Removal Debris Boca Chica BayCONTRACT AGREEMENT
AGREEMENT, MADE THIS 144 day of 1998, by and
between, sni ri t Marine Towing ("Contractor"), and the BOARD OF
Assistance
COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, of the County of
Monroe, State of Florida ("Board").
The Contractor and the Board, for the consideration named agree as follows:
1. The Contractor shall furnish all the materials and perform all the work as
required by the Specifications for the removal of debris from the baybotto f tioca`'ITI
r—
Chica Bay." w
CD r, O
2. The work to be performed under this contract shall commence imm#g!�y Gin
71
-n = ry
the date the Marine Projects Coordinator provides the Notice to Proceed ad; shc2l br,
CD
completed by June 30, 1998,
3. The Contractor understands the rules and procedures instituted by the Board to
ensure an orderly progress to the project. Both the intent and the requirements of the
specifications, attached as Exhibit A, are understood by the Contractor.
4. The Board shall pay the Contractor $ 3,000.00 for the cleanup of the
baybottom of Boca Chica Bay. Payment will be upon completion of work by the
Contractor and review and approval by the Marine Projects Coordinator.
5. The Specifications, and the Monroe County Insurance Requirements together
with this Agreement, form the Contract. They are fully a part of this Contract as if
repeated herein verbatim.
1
6. The Contractor covenants and agrees to indemnify and hold harmless the
Monroe County Board of County Commissioners from any and all claims for bodily
injury (including death), personal injury and property damage (including property
owned by the County) and other losses, damages, and expenses (including attorney's
fees) which arise out of, in connection with, or by reason of services provided by the
Contractor or any of its Subcontractor (s) in any tier, their employees or agents. The
purchase of the insurance required in paragraph 11 does not vitiate this indemnification
provision.
7. The Contractor agrees to supply the County with a set of photographs of the
debris in all phases of the removal and disposal process. The Contractor will be
responsible for the camera, film, and development costs. Disposal costs will be paid
for out of the Boating Improvement Fund.
8. The Contractor must inform the County and the Florida Marine Patrol prior to
initiation of work.
9. The parties agree that a timely performance of this agreement is essential due to
possible damage to the natural resources, hazards to navigation, or threats to human
health and welfare. Therefore, the parties agree that the Contractor shall be liable to
the Board for $100 per day of liquidated damages for each day after 6-30-98 that the
Contractor's obligations under this agreement remain unperformed. The parties agree
that such amount is by the way of compensatory damages and does not constitute a
penalty.
2
10. Due to the use of heavy equipment and, at times, dangerous work environment,
the Contractor understands and agrees to maintain an alcohol an drug free work
environment.
11. The Contractor will be responsible for all necessary insurance coverage as
indicated by an "X" on the attached forms identified as INSCKLST 1-4, as further
detailed on forms VL1, WC1, WCJA, GL1, WLl, & POL1 attached as Exhibit B. All
policies must list Monroe County as additional insured with the exception of the
Worker's Compensation policy.
12. A person or affiliate who has been placed on the convicted vendor list
following a conviction for public entity crime may not submit a bid on a contract to
provide any goods or services to a public entity, may not submit a bid on a contract
with a public entity for the construction or repair of a public building or public work,
may not submit bids on leases of real property to public entity, may not be awarded or
perform work as a contractor, supplier, subcontractor, or consultant under a contract
with any public entity, and may not transact business with any public entity in excess of
the threshold amount provided in Section 287.017, for CATEGORY TWO ($10,000)
for a period of 36 months from the date of being placed on the convicted vendor list.
13. The Board may terminate this agreement with or without cause at anytime
upon giving the contractor a minimum of ten days in writing. The contractor, upon
receipt of the notice, shall immediately cease work. The Board shall pay the contractor
the percentage of the contract sum which is proportional to the amount of work
3
performed by the contractor in a manner satisfactory to the Board up to the date the
Contractor received the Notice of Termination.
IN WITNESS WHEREOF the parties hereto have executed this Agreement to day
and year first written above.
AT. DANNY L KOLHAG K
By
(SEAL) ATTEST:
By:
Title:
Business name:���
BOARD OF COUNTY COMMISSIONERS
i
APPROVED AS TO Foi%-.,
AND LEGAL SUFF,FC)ENC v.
�� -_
B ,
OBERT N ;� FE
DATE - S - g
4
GENERAL CONTRACT SPECIFICATIONS FOR INSTALLATION OF AIDS TO
NAVIGATION REGULATORY BUOYS/SIGNS, AND OTHER MARINE
PROJECTS
1. SCOPE OF WORK: The Contractor shall be responsible for providing all
supervision, labor, equipment, tools, fees and taxes required to complete this project to
the satisfaction of the County.
The Contractor's procedure and work methods must satisfy the requirements of these
specifications and all necessary environmental permits.
2. MATERIALS AND WORKMANSHIP: The Contractor shall provide the necessary
materials and equipment to safely complete the job. The Contractor agrees that all
work shall be performed by competent employees who are experienced and qualified
to do the work specified, and that all work will be performed in accordance with the
best commercial practices.
Precaution shall be exercised at all times for the protection of persons and property.
The safety provisions of the Occupational Safety and Health Act of 1970 ( Public Law
91-596) and other applicable laws, including building and construction codes shall be
observed.
The Contractor shall store materials and shall be responsible for them during the
contract time frame and until final acceptance of the completed work. If any of the
materials become lost, damaged, or destroyed by any cause or means whatsoever, the
Contractor shall satisfactorily repair and replace or not receive payment for work
unsatisfactorily performed. Suitable and sufficient guards and barriers must be utilized
at night, and must be suitable protection for the prevention of accidents.
3. ASSIGNMENTS OF CONTRACTOR AND SUBCONTRACTORS : It is expressly
understood that the Contractor is in all respects an independent Contractor for this
work, not withstanding under certain conditions. He is bound to follow the directions
of the County, and is in no respect an agent, servant, or employee of the County.
Neither the Contract, nor any part thereof, nor any Moines due or to become due there
under, may be assigned by the Contractor without the prior written approval of the
County.
The Contractor is fully responsible to the County for the acts and omissions of his
subcontractors and of persons either directly or indirectly employed by said
subcontractor, as he is for the acts and omissions of the contract documents and shall
abide by the terms and the conditions. It is the responsibility of the Contractor to pay
all the obligations incurred with subcontractors in an expedient manner .
4. LICENSE, POLLUTION CONTROL ACT, AND TRAFFIC PROVISION:
The Contractor shall comply with all applicable local, State and Federal
requirements pertaining to the terms of the Contract. The Contractor will be
responsible for obtaining, at his own expense, any license that may be
required. The Contractor shall comply with all the requirements of the Federal
Pollution Control Act.
The Contractor shall conduct his operations so that he shall not close any
thoroughfare nor interface in any way with traffic on highways, or on water,
without the written consent of the proper authorities. Work shall be done at any
time that shall interrupt or disturb members of the public. Consideration should
be given all times to the welfare of the public.
5. INSURANCE: The Contractor must obtain all insurance required by the
County and submit proof of same to the County immediately after notification
of low bid or quote but no later than ten working days after. All insurance shall
be maintained until work has been completed and accepted by the County.
The Contractor shall furnish the following certificates of insurance for review
by the County's Risk Management Division.
Certificates of Insurance: provide proof that the Contractor has obtained the insurance
coverage required in paragraphs a,b,c,d,and a below.
a. Workers Compensation Insurance as required by Florida Statues.
b. General Liability Insurance in the amount of $300,000.
C. Water Craft Liability Insurance in the amount of $500,000.
d. Pollution Insurance in the amount of $500,000.
e. Federal Jones Act Coverage.
All insurance policies required above shall be issued by companies authorized to do
business under the laws of the State of Florida. All policies must list Monroe County as
additional insured with the exception of the Workers Compensation Policy.
6. COMMENCEMENT, DELAYS AND COMPLETION OF WORK: After
receiving Board of County Commission approval of the Contract, and after
reconciliation of any details or conditions which may directly or indirectly
interfere with the Contract, the County will issue a "Notice to Proceed with
Contract Work" officially authorizing the Contractor to commence. The
Contractor shall commence work on said date or shortly thereafter.
If the Contractor should be delayed in the progress of the work included in the
Contract by unforeseeable cause beyond his control, the time for the
completion of the work may be extended upon agreement of the County's
representatives. Requests for the extension of time must be submitted in writing
to the County's representatives.
Extensions of time cannot legally be approved unless the written request is
submitted in time to permit it to be acted upon before the Contract expiration
date . To allow sufficient time for administrative procedures the written request
must be received by the County representative at least ten (10) calendar days
prior to the contract expiration date. Liquidated damages resulting from factors
beyond the control of the Contractor which occur too late to allow time for
action by the Board of County Commissioners approving a time extension may
be waived by the County Commission. Such wavier shall be granted only when
the county representatives determines that the delay is beyond the control of the
Contractor, and in this event the Contractor shall not be charged with
liquidated damages or any excess cost when the delay in the completion of the
work is due:
a. To any issue order by the County or the State Department of Environmental
Protection changing the Contractors approved work schedule.
b. To unforeseeable cause beyond the control and with out the fault or negligence
of the Contractor.
C. To any delays of subcontractors or suppliers occasioned by any of the cause
specified in the subparagraphs (a) and (b) above.
Provided further that the Contractor shall within ten (10) days from the
beginning of such delay notify the county, in writing, of the causes of the delay.
The County's representative will, ascertain the facts and the extent of the delay
and notify the Contractor within a reasonable time of her decision in the matter.
If the Contractor fails to complete the work within the time limit, and if the
County should nevertheless permit the Contractor to continue and complete the
same without official extension of time in writing, such permission shall not
modify nor waive any liability of the Contractor for damages arising from non -
completion of work within the time limit.
7. CHANGES AND INSPECTION : The navigational and /or regulatory aids
herein considered are to be installed for the County by the Contractor in
accordance with the Specifications. The County may give instructions or
directions to supplement the Specifications and upon all of his subcontractors,
employees and agents of every kind .
All work and every process and operation shall be subject to inspections at all
times, by the County and their representatives and they shall have free access
to all access to all aspects of work . The Contractor shall remove, or make
good, as may be directed, without charge, any defective materials . The right is
reserved to change the Specifications consistent with regard to the general
intention of the Contract for any part of work or materials, either before or
after work has begun. Notice of such changes shall be given in writing to the
Contractor.
AUDIT RIGHTS : As a provision of the grant from the State of Florida to the
County, and if so requested by the State, the successful bidder agrees to
provide access to all records and allow the audit of any books, documents and
papers related to this project for up to one year during and after termination of
the Contract .
9. CONTRACT AWARD: The County reserves the right to evaluate the
submitted bids and to award a contract to bidder other than the bidder
submitting the lowest bid.
10. PREWORK CONFERENCE: A meeting will be necessary involving a
representative of the County, the Contractor and the other parties with direct
involvement, prior to the commencement of the work. The time and place of
this Conference will be set by the County representatives. At this time the
Contractor shall provide the County with a work schedule. The Contractor
must also provide transportation to the proposed project site for placement of
temporary markers if the project involves the installation of regulatory buoys or
aids to navigation.
11. EXECUTION OF CONTRACT DOCUMENTS: Due to the time frame
involved with this project, the Contractor upon notification that he is to be
awarded the Contract, shall return said documents properly executed along with
his insurance within ten working days . With the Contractor's cooperation,
if this period can be reduced, it will assist in excelleration of the execution of
the contract documents. The Contractor, by virtue of signing the Contract,
acknowledges that he and all his subcontractors have satisfied themselves as to
the nature and location of work, the general and local conditions, including,
but not restricted to, those bearing upon transportation, handling, and the
care of equipment and facilities needed to perform the work. Failure on the
part of the Contractor to completely or properly evaluate any factors of his
costs prior to bidding shall not form a basis for additional compensation if he is
awarded the Contract.
If for any reason, not acceptable to the County, the Contractor does not
perform, the County shall have the right to levy liquidation damages against the
Contractor. Liquidated damages shall be assessed against the Contractor for
any bid item awarded to him which is not completed and accepted in the
Contract. Liquidated damages are accumulative.
12. NOTICE TO PROCEED : The Contractor shall commence upon this project on
the effective date of the Notice to Proceed and perform in a continuous manner
until completion and acceptance by the County. For Contracts wherein a
specified number of days for completion is stated in the Contract the effective
date of the "Notice to Proceed with Contract Work " will establish the "
beginning date" of the project.
13. TERMINATION OF CONTRACT: This Contract may be terminated by the
County, without cause, giving up to ten (10) days written notice to the
Contractor; said notice shall be sufficient if delivered to the party personally or
mailed by certified mail to his mailing address as specified on the acceptance
bid.
14. FINAL CLEAN UP: Upon completion of the work specified herein and before
acceptance and final payment shall be made, the Contractor shall remove from
the sites all machinery, equipment, surplus and discarded materials, rubbish
and debris shall be made at legal disposal site.
15. Certification: Bidder must also certify, upon completion of the project, all
installations where in accordance with these specifications, the Florida
Department of Environmental Protection permit requirements, the US Coast
Guard permit requirements, and the US Army Corp of Engineers permit
requirements and associated attachments.
16. PAYMENT: Payment shall be upon completion by the Contractor and review
and approval by the Marine Projects Coordinator. The Contractor must submit
complete documentation, including the required photographs for the work
for which payment is being requested. The contractor must provide
transportation, upon request by the Marine Projects Coordinator, to the project
site for review of work either in progress or completed.
In addition, property public or private, if damaged during the work, shall be
repaired or replaced prior to final payment for contracted work.
17. NON -COLLUSION AFFIDAVIT: Acceptance of the bid is contingent upon
receipt or the signed and endorsed Non -Collusion Affidavit form (attached).
18. ETHICS CLAUSE: Acceptance of the Bid is contingent upon receipt of the
signed and endorsed Ethics Clause form ( attached).
19. DRUG FREE WORK PLACE FORM: Acceptance of the Bid is contingent
upon receipt of the signed Drug Free Work Place form (attached ).
1996 Edition
MONROE COUNTY, FLORIDA
INSURANCE CHECKLIST
F9R
VENDORS SUBMITTING PROPOSALS
FOR WORK
To assist in the development of your proposal, the insurance coverages marked with an "X" will
be required in the event an award is made to your firm. Please review this form with your
insurance agent and have him/her sign it in the place provided. It is also required that the bidder
sign the form and submit it with each proposal.
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
_Workers' Compensation
WC1
Y Employers Liability
WC2
Employers Liability
WC3
Employers Liability
WCUSLH
US Longshoremen &
Harbor Workers Act
WCJA
g Federal Jones Act
Administration Instruction
#4709.2
Statutory Limits
$100,000/$500,000/$100,000
$500,000/$500,000/$500,000
$ 1,000,000/$ 1,000,000/$ 1,000,000
Same as Employers'
Liability
Same as Employers'
Liability
MCKLST
1996 Edition
GENERAL LIABILITY
As a minimum, the required general liability coverages will include:
• Premises Operations Prgducts and Completed Operations
• Blanket Contractual Personal Injury
• Expanded Definition
of Property Damage
Required Limits:
GL1 X
GL2
GL3
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage
or
$300,000 Combined Single Limit
$250,000 per Person; $500,000 per Occurrence
$50,000 Property Damage
or
$500,000 Combined Single Limit
$500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage
or
$1,000,000 Combined Single Limit
GL4 $5,000,000 Combined Single Limit
Required Endorsement:
GLXCU Underground, Explosion and Collapse (XCU)
GLLIQ Liquor Liability
GLS Security Services
All endorsements are required to have the same limits as the basic policy.
INSCKLST
Administration Instruction
#4709.2
1996 Edition
VEHICLE LIABILITY
As a minimum, coverage should extend to liability for:
• Owned; Non -owned; and Hired Vehicles
Required Limits:
VL1 X
$50,000 per Person: $100,000 per Occurrence
$25,000 Property Damage
or
$100,000 Combined Single Limit
VL2
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage
or
$300,000 Combined Single Limit
VL3
$500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage
or
$1,000,000 Combined Single Limit
VL4
$5,000,000 Combined Single Limit
BR1 Builders' Limits equal to the
Risk completed project.
MVC
PRO1
PR02
PR03
POL1
POL2
POL3
X
ED1 _
ED2
GK1 _
GK2 _
GK3 _
WU X
Administration Instruction
t14709.2
Motor Truck
Cargo
Professional
Liability
Limits equal to the maximum
value of any one shipment.
$ 250,000 per Occurrence/$ 500,000 Agg.
$ 500,000 per Occurrence/$1,000,000 Agg.
$1,000,000 per Occurrence/$2,000,000 Agg.
Pollution
$ 500,000 per Occurrence/$1,000,000 Agg.
Liability
$1,000,000 per Occurrence/$2,000,000 Agg.
$5,000,000 per Occurrence/$10,000,000 Agg.
Employee
$ 10,000
Dishonesty
$100,000
Garage
$ 300,000 ($ 25,000 per Veh)
Keepers
$ 500,000 ($100,000 per Veh)
$1,000,000 ($250,000 per Veh)
Watercraft
Liability $500,000
INSCKLST
1996 Edition
ii 2 lei=X601 a SM 9G I I_ l/
I have reviewed the above requirements with the bidder named below. The following deductibles
apply to the corresponding policy.
POLICY DEDUCTIBLES
Liability policies are _ Occurrence _ Claims Made
Insurance Agency Signature
BIDDERS STATEMENT
I understand the insurance that will be mandatory if awarded the contract and will comply in full
with all the requirements.
Bidder Signature
IN'SCKLST
Administration Instruction
44709.2
1996 Edition
NVORKERS' COMPENSATION
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract involves Maritime Operations, the Contractor's
Workers' Compensation Insurance Policy shall include coverage for claims subject to the Federal Jones
Act (46 U.S.C.A. subsection 688) with limits not less than those specified for Employer's Liability.
The Contractor shall be permitted to provide Jones Act Coverage through a separate Protection and
Indemnity Policy, in so far as the coverage provided is no less restrictive than would have been provided
by a Workers' Compensation policy.
W CJA
Administration Instruction
# 4 709.2
1996 Edition
WORKERS' COMPENSATION
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Workers' Compensation Insurance with limits sufficient to respond to Florida Statute 440.
In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less
than:
$100,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$100,000 Bodily Injury by Disease, each employee
Coverage shall be maintained throughout the entire term of the contract
Coverage shall be provided by a company or companies authorized to transact business in the
state of Florida.
If the Contractor has been approved by the Florida's Department of Labor, as an authorized self -
insurer, the County shall recognize and honor the Contractor's status. The Contractor may be
required to submit a Letter of Authorization issued by the Department of Labor and a Certificate
of Insurance, providing details on the Contractor's Excess Insurance Program.
If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required.
In addition, the Contractor may be required to submit updated financial statements from the fund
upon request from the County.
WC1
Administration Instruction
114709.2
1996 Edition
GENERAL LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BET'VEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
General Liability Insurance. Coverage shall be maintained throughout the life of the contract and
include, as a minimum:
• Premises Operations
• Products and Completed Operations
• Blanket Contractual Liability
• Personal Injury Liability
• Expanded Definition of Property Damage
The minimum limits acceptable shall be:
$300,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$100,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its
provisions should include coverage for claims filed on or after the effective date of this contract.
In addition, the period for which claims may be reported should extend for a minimum of twelve
(12) months following the acceptance of work by the County.
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
GL1
Administration Instruction
#4709.2
1996 Edition
POLLUTION LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract involves the storage, treatment, processing,
or transporting of hazardous materials (as defined by the Federal Environmental Protection
Agency), the Contractor shall purchase and maintain, throughout the life of the contract,
Pollution Liability Insurance which will respond to bodily injury, property damage, and
environmental damage caused by a pollution incident.
The minimum limits of liability shall be:
$ 500,000 per Occurrence/$1,000,000 Aggregate
If coverage is provided on a claims made basis, an extended claims reporting period of four (4)
years will be required.
POLL
Administration Instruction
94709.2
1996 Edition
VEHICLE LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract requires the use of vehicles, the Contractor,
prior to the commencement of work, shall obtain Vehicle Liability Insurance. Coverage shall be
maintained throughout the life of the contract and include, as a minimum, liability coverage for:
• Owned, Non -Owned, and Hired Vehicles
The minimum limits acceptable shall be:
$100,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$ 50,000 per Person
$100,000 per Occurrence
$ 25,000 Property Damage
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
VL1
Administration Instruction
#4709.2
1996 Edition
WATER CRAFT LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
5
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Water Craft Liability Insurance with terms no less restrictive than those found in the
standard "American Institute Hull Clauses" (June 2, 1977 edition). Coverage shall be
maintained throughout the life of the contract and include, as a minimum:
• Injury (including death) to any Person
• Damage to Fixed or Movable Objects
• Costs Associated with the Removal of Wrecked Vessels
• Contractual Liability with Respect to this Contract
If the policy obtained states that coverage applies for the "Acts or Omissions of a Vessel",
it shall be endorsed to provide coverage for the legal liability of the shipowner.
The minimum limits acceptable shall be:
$500,000 Combined Single Limit (CSL)
Coverage provided by a Protection and Indemnity Club (P&I) shall be subject to the
approval of the County.
The Monroe County Board of County Commissioners shall be named as Additional
Insured on all policies issued to satisfy the above requirements.
WL1
Administration Instruction
#4709.2
1996 Edition
MONROE COUNTY, FLORIDA
Request For Waiver
of
Insurance Requirements
It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be
waived or modified on the following contract.
Contractor:
Contract for:
Address of Contractor:
Phone:
Scope of Work:
Reason for Waiver:
Policies Waiver
will apply to:
Signature of Contractor:
Approved Not Approved
Risk Management
Date
County Administrator appeal:
Approved:
Not Approved:
Date:
Board of County Commissioners appeal:
Approved: Not Approved:
Meeting Date:
Administration Instruction
#4709.2
NON -COLLUSION AFFIDAVIT
of the
-eiy of D �E� according to law on my oath, and
under penalty of perjury, depose and say that;
1) 1 am�/9� �1 the bidder making
the Proposal for the project described as follows:
2) The prices in this bid have been arrived at independently without collusion,
consultation, communication or agreement for the purpose of restricting competition, as
to any matter relating to such prices with any other bidder or with any competitor;
3) Unless otherwise required by law, the prices which have been quoted in this
bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed
by the bidder prior to bid opening, directly or indirectly, to any other bidder or to any
competitor; and
4) No attempt has been made or will be made by the bidder to induce any other
person, partnership or corporation to submit, or not to submit, a bid for the purpose of
restricting competition;
5) The statements contained in this affidavit are true and correct, and made with
full knowledge that Monroe County relies upon the truth of the statements contained in
this affidavit in awarding contracts for said projectj
STATE OF ,-
(Signature of Bidder)
COUNTY OF
DATE
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
—7 cj/�e- �y��`� who, after first being sworn by me, (name of
individual signing) affixed his/her signature in the space provided above on this
15
Y of 19
—
NOTARY PUBLIC
My commission expires:
:, 00ft K. McGee
' ' o W COMMISSION It CC62M EXPIRES
March 24, 1999
P , MCP 41 BONDED 1HRU ftiBiSUOY FAIN qa. INC.
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE /
�� y„"dj�%Sl�k
��%��f J4i�F loe✓/"/J� warrants that he/it has not employed, retained
T
or otherwise had act on his/its behalf an), former County officer or employee in violation of
Section 2 of Ordinance no. 10-1990 or any County officer or employee in violation of
Section 3 of Ordinance No. 10-1990. For breach or violation of tlus provision the County
may, in its discretion, terminate this contract without liability and may also, in its discretion,
deduct from the contract or purchase price, or otherwise recover, the full amount of any fee,
commission, percentage, gift, or consideration paid to the former Count), officer or employee.
(signature)
Date: / / . / S i 97 7
STATE OF o 73 �'04
COUNTY OF e for
PERSONALLY APPEA9ED BEFORE ME, the undersigned authority,
who, after first beingsworn b me affixed his/her
y s
signature (name of individual signing) in the space provided above on this day of
/Y a ✓F �r! .4 19 77
NOTARY PUBLIC
My commission expires: _4q Y My MMSSION IF Mi= EXPIRES
`�= March 24, 1999
BON= THRU TROY FAIN INSURANCE, INC.
MCP/4
DRUG -FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
(Name of Business)
1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispens-
ing, possession, or use of a controlled substance is prohibited in the workplace and specifying the
actions that will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business's policy of
maintaining a drug -free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse
violations.
3. Give each employee engaged in providing the commodities or contractual services that are
under bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notify the employees that, as a condition of working
on the commodities or contractual services that are underbid, the employee will abide by the terms
of the statement and will notify the employer of any conviction of, or plea of guilty or nolo
contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law
of the United States or any state, for a violation occurring in the workplace no later than five (5)
days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
rehabilitation program if such is available in the employee's community, or any employee who is
so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation
of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the above
requirements. /
GX
Bidder's Signature
l/ /i5%
Date
MCP#5 REV. 6/91
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
L O I TYPE OF INSURANCE I POLICY NUMBER POLICY EFFECTIVE I CDATE(MM/DDNY) I (M 1 RATIODEN I OMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE r I OCCUR
OWNER'S & CONTRACTORS PROT
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
1-11'MO AUTOS
NON -OWNED AUTOS
GARAGE LIABILITY
I ANY AUTO
1 EXCESS LIABILITY
UMBRELLA FORM
_ X OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS LIABIUTY
THE PROPRIETOR/ R
INCL
PARTNEAS/EXECUTNE
OFFICERS ARE: EXCL
A OTHER
PROTECTION& lZMEMNIT:
BY `
naTE
WnivFR: N/A-4.Z--Y
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG S
PERSONAL & ADV INJURY S
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MED EXP (Anv one oereon) $
COMBINED SINGLE LIMIT S
BODILY INJURY S
(Per Person)
BODILY INJURY $
(Per accideno
PROPERTY DAMAGE IS
AUTO ONLY - EA ACCIDENT S
rj�i Il OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
POJF007214 1111011997 1111011998 EACH OCCURRENCE $ 1500000
AGGREGATE $
TOHY UMIT5
EL EACH ACCIDENT $
EL DISEASE - POUCY LIMIT $
EL DISEASE - EA EMPLOYEE S
POS222891 2111011997 1111011998 500000
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
DERELICT VESSEL REMOVAL
CHANNEL MARKING
MISC. MARINE RELATED PROJECTS
MONROE COUNTY BOARD OF COUNTY
ADDITIONAL INSURED
COl0fXSSIONERS ATT: KIM MCGEE
5100 COLLEGE TOAD
KEY WEST, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
TOM I
1 1j:j' i0:17 305-872-1292 SPIRIT MAKINE Ui
F'UuE 01
ACOE?D Y
fin.
�,,; M1 �• x.v� 4Y'� .�fi�. � OAllpaylporyn
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rwcwucm 11 2 0 9 7
IS CERTIFICATE IB WSUED AS A MATTER OF INFORMATION
* PROFESSIONAL INSURANCE CTR ONLY AND CONFERS NO RIGHTS UpON THE CVRTIFICATE
MOLDER. THIS CERTIFICATE DOES NOY AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POWES BELOW.
2003 W KENNEDY COMPANIES AFFORDING COVERAGE
TAMPA FL 33606 COMPANY
A INTEGON NATIONAL INS COMPANY
tsloRra
SPIRIT MARINE
COMPANY
B
DBA DUKE PONTIN
PO BOX 244
COMPANY
C
BIG PINE KEY FL 33043
COMPANY
D
-. .. ... ... .. ........ n. n . ... r.. w�i :... ���afi°�Z�,r'��.� a�w.•.�. �-yl {.'a4tn°�}7F���i�". :�.�."�� �� l�'- �.. �• Y �Y� � �-
TH18 1$ TO CERTVY THAT THE POLICIES OF P48UPAN0E LISTED BELOW HAVE BEEN IB$UED TO THE WA'REO NAMED ABOVE FOR 711E POLICY PERIOD
K' 'CA7E0, NOTWTIHSTANDN" ANY REQUIREMENT, TERM OR OONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS
CERTIFICATE MAY BE EGUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES OE8CRI8E0 HEREIN 1$ SUBJECT
TO ALL THE TERMS,
EXCLUSIONS AND OONDRIONS OF BUM POUCIES. UMITB BROWN MAY HAVE BEEN REOUCED BY PAID CLAIMS.
LTRCID
T m OF aAIIRANCt
POLICY IaJnaEl1 POLICY
1111 T1Vt
oATW p"Amolm
FUMY [1LFalATION
DAN prMloorTYl
"
LAW$
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GENERAL AQLIREGAtE
t
PRODUCTS - COMPiOP AGO
i
COMMERCAAL OMMAL UABEIIY
UAIMS MI El OCCUR
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OWNER'i t CORr%ACTOR'a POOT
a ADV K$VRY
i
LAII OccupArme
t
ME DAMAGE LAM or* MJ
t
Mm Exr y1M Lnv P.�atl
t
A
AuroMoWE
LIASUff
CFL7376695
11/06/97
05/06/98
500,000
ANY AM
COMBINED aMGLE uum
t
ALL OWMm AVTM
X e�xxAD Mms
v ky Ia1uRY
(P
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t
BODA.Y WURY
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HONOWNEO AUTOS
PpOPERTY DAMAGE
i
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AVTO ONLY - EA ACCIDENT
i
ANY AM
OTHER THAN AUTO ONLY
EACH ACCID@NT
i
AGGRPGATL!
i
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—
EACH OCCURRU CC
AGO TIE
t
�UMBRE" F(Md
s
OTHFR TNAN uMaRQiJI FORM
wORRlI1 I OOMPOISATIM Alai
a1PLQTTO1a' LJAaaJrT
RY LIMIT R^
EL EACH KeC�
i
THE P/IOPRiETDW
IICL
PARTNERarD(ECUTNE
Flexict.
.-I&
DIS ABE-POLICY LIMIT
t
EL OtSE -EA EMPLOYEE
t
EM ARE
OTNtlI
Do
6aaCwrTlOw OF OPVIAt10�NILJOCa CIAL eleW
MARINE CONTRACTING—CHANNELL MARKER/REMOVAL OF DERELICT VESSELS, BUOY
INSTALLATION/REPAIR
1979 GMC SN : 601349 ADDfL INSD MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
_ v •. x. �K < a;
...-.k.e .: �.. � v. ne.e.r �R �r�`�.,•iC;t�4► ................ T...... �7.i}�i�� ...M . �c. 'SD�x�
NIOUID AGIY OF TT! MOW OFACR FOL =M W CAMORLIM ROOM TAX
MONROE COUNTY BOARD OF
RXMAUft oAta TTpgOr, net MaUM COwmff waL aM&roR TO NAIL
COUNTY COMMISSIONERS
1�2_ oAYt wmrnm norm Tv Tw eoRSTCAm mtmm RA1 w TO TIN: uwr
ATTN : KIM MONROE
BUT F poi. oaJOATLON DR UPAWIT
KEY WEST, FLORIDA 33040
or oR niPRiaam%mo
PR[ A
AWIrt��'is1�'ra��y�w�:":'v2�°tci '� •a• ,xe�^�` �PT�F
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