2. 07/21/1994 to 07/20/1994MAINTENANCE OF FIRE/RESCUE VEHICLES
AGREEMENT, made this 21st day of July 19 9-L between
the Monroe County Board of County Commissioners acting as the
governing board for the Municipal Services Taxing District 5 and 6,
Monroe County, Florida, hereinafter (DISTRICT), and Fire -Tech
Repair Service, Inc., Key Largo, Florida , hereinafter (CONTRACTOR).
RECITALS
A. The DISTRICT advertised a notice .gf�,calling for bid for
MAINTENANCE OF FIRE/RESCUE VEHICLES tcj be opened on the 2nd day of
February, 1993, duly submitted to be published on the 5th day of
January 1993.
B. The successful bidder was Fire -Tech Repair Service, Inc.
and in consideration of the mutual covenants expressed herein it is
agreed that:
1. CONTRACT PERIOD AND RENEWAL - This contract covers a
period of one year from the date on which it is signed by the last
of the two parties to sign. It may be renewed annually by DISTRICT
up to three one year periods, with the approval of (a) the Public
Safety Director, (b) the Office of Management and Budget, and (c)
the Board of County Commissioners, Monroe County, Florida. Notice
of intention to renew shall be given at least 60 days before the
applicable anniversary date.
2. CONTRACT TERMINATION - This contract may be terminated
for any reason by either party on 30-day written notice without
cause.
3. SUBJECT MATTER OF CONTRACT - This contract is for
scheduled semi annual inspections and preventative maintenance of
fire rescue vehicles, annual pump tests and for unscheduled
maintenance And repair resulting from equipment failure or
malfunction.
4. RATES The hourly rate shall be $45.00 per man-hour
with no travel time or milage charge. Jobs requiring more than one
technician will be charged at the rate of $30.00 per man-hour for
the second man. Semi Annual inspections and annual pump tests are
at quoted flat rates and excluded from hourly rate.
5. OVERTIME AND HOLIDAYS - Rates per man-hour for
emergency repairs called outs id6l_-h6±+&j) b@00fss hours and federal
holidays shall be one and one half !tliMbs }CW9 normal rate.
0t:bd 1Z330 K
; �H 1 �O � a3 lip
6. SEMI ANNUAL IN-SPECTIONs - Contractor shall perform two
inspections during the year (Level I and Level II Preventative
Maintenance Service) of each vehicle at an annual total cost of:
Rescue -type vehicles, without pump $360.00
Pumpers $490.00
Aerials $640.00
Exception shall be if a vehicle has. been. used 1,000 hours prior
to yearly preventative maintenance. service, level I and II
Preventative Maintenance Service shall be performed and charged the
above rate.
Level I: 250 Hours or 6 months (whichever comes first)
Full vehicle inspection as per attached semi-annual inspection
schedule plus:
- Engine oil and filter change
- Fuel filter change (every 6 months)
- Air filter inspection and replacement if necessary
- Chassis lubrication
- Outboard (forward) impeller shaft lubrication
- Lubrication of all valve control linkages
- Clean or replace air compressor strainer
- Clean engine crankcase breather
- Inspection of generator and service of lubricant system,
full system., and air filter according to its individual
hours of operation (not to exceed 6 months)
Level II: 1000 Hours or one Year (which ever comes first)
Full service performed. in Level I plus.:
- Replacement.of coolant hoses, filter and coolant as
needed
- Replacement of all drive belts
- Replacement of pump- transmission oil and filter
- Replacement of engine transmission fluid and filter
- Replacement of rear axle lube oil
- Inspection and re -packing or replacement of front wheel
bearing grease
- Inspection and cleaning of relief valve strainer
- Replacement of secondary -fuel filters on both engine and
generator
The number of vehicles may fluctuate from- time to time due to
new purchases or removal of vehicles from inventory. The
inspections shall be preformed at the respective fire stations.
7. WORK SCHEDULE_ - Regularly scheduled semi annual
inspections and preventative maintenance shall be conducted at such
intervals as are approved by the DISTRICT.
8. PUMP TESTS - CONTRACTOR shall perform an annual pump
test at a flat rate cost of $225 each for all vehicles requiring
Page No. 2
such test. In order to facilitate the passing of the
ump
minor repairs and adjustments shall be made as needed,test,
includes clean-up after salt water use.Price
4. PARTS, FLUIDS AND LUBRICANTS - All parts,. fluids_, and
lubricants. used for maintaining and repairing vehicles shall be
supplied by CONTRACTOR and billed to the DISTRICT at cost plus 25$,
with a copy of original parts supplier invoices for all parts
attached to the bill.
10. ENGINE OIL AND FILTER CHANGE and complete drive train
lubrication and any other fluids and/or filter changes, shall be
performed as recommended by the manufacturer.
11. SEMI ANNUAL INSPECTION. SCHEDULE - CONTRACTOR shall
perform the following inspection and preventive maintenance twice
per year on all vehicles: _
(a) Cooling system, including fan belts-, radiator supports,
hoses and clamps, and auxiliary cooler;
(b) Exhaust System, including hanger, clamps, muffler, and
pipes;
(c) Clutch, including freeplay, linkage, and fluid levels;
(d) Manual Transmission, including seals, linkage, and lube
level;
(e) Automatic Transmission, including fluid level, seals,
modulator adjustment, and linkage;
(f) Drive Train, including U-joints, center support, and
companion flanges;
(g) Rear Axle and Springs, including oil links, spring
hangers, center bolts, and U-bolts
(h) Front End, including steering box, linkage, kingpins
and bushings, spring hangers, and U-bolts;
(i) Mechanical Brakes, including: adjustment and fluid
levels;
(j) Air Brakes, including drain, adjustment, wear, and air
leaks;
(k) Tires, including.condition and wear;
(1) Electrical System, including running lights, emergency
lights, battery cables., turn lights., 4-wag flasher,
headlights., stop lights,, and switches;
(m) Fuel System, including hoses and fittings, filters and
brackets, and tank. straps;
(n) Booster Tank, including leaks and supports;
(o) Prime" Pump, including wires-, coupling, switch, and
valve discharge;
(p) Plumbing and Gates, including leaks, brackets, bleed
valves, control arms and knobs, and linkage_;
(q) Main Pump, including vacuum test, pressure test,
packing, clappers, and mounting;
(r) Pump Transmission, including fluid levels, seals, shift
motors., and manual override;
(s) Aerial Ladder, including power takeoff, drive shaftand
coupling, p.t.o. activating device, and outrigger
controls;
Page No. 3
•'
it) Aerial Operation, including engine r.p.m., hydraulic
pressure, operation of all controls,_ warning devices
hoses and fittings, rung covers., ladder locks, and rin,
g
gear;
(u) Aerial Platform, including lubrication, leveling,
electrical. system, turntable and platform controls,
communications, and water tube.
The above inspections. shall include, at no. additional labor
charge the changin4 of all applicable filters and fluids
used by the unit being inspected. Air filters shall be
changed on first inspection and then yearly thereafter.
Filters and fluids shall be billed at cost plus 25%.,_ as
previously described in Section 10 of this AGREEMENT. .
12. WEEKLY MAINTENANCE SCHEDULE - CONTRACTOR shall provide
to the DISTRICT.a preventative maintenance schedule that can be
performed weekly by the individual Volunteer Fire Departments
personnel.
13. MAINTENANCE LOG -
inspection and maintenance chart
least the following information:
(a) Date of performance,
(c) service performed,
(e) name of service person(s.),
CONTRACTOR shall maintain an
on each vehicle containing at
b)
(d)
(f)
A copy of this chart shall be supplied
within 30 days of the service.
apparatus. serviced,
parts used,
total downtime of
vehicle
to the Fire Marshal's Office
14. COMMUNICATION. - CONTRACTOR shall maintain a telephone
or paging device such that prompt notification of request for
service is possible at all times.
15. RESPONSE TO SERVICE REQUEST - CONTRACTOR shall maintain
itself in a state of readiness such that it can be on the way
within twelve hours -of receiving a request.
16. CERTIFICATION - CONTRACTOR shall provide _ evidence
satisfaction to the DISTRICT that its personnel who perform
maintenance work are certified in pump mechanics, general mechanics
and repair.
17. QUALIFICATIONS OF MAINTENANCE PERSONNEL - All personnel
performing maintenance,, repairs, adjustments, and related work on
the DISTRICT'S equipment shall be certified or experienced im the
work to be performed.
18. INDEMNIFICATION - CONTRACTOR shall indemnify and hold
the DISTRICT and Monroe County harmless for any negligence on its
part, or faulty or improper workmanship, for all work performed
under this. contract, including all costs of collection,. reasonable
attorney fees, claim costs, and others-. All property or equipment
being directly maintained or repaired by CONTRACTOR shall be
considered in its care, custody, and control while such work is in
Page No. 4
progress and until physical control of such property or equipment
is restored to the DISTRICT.
19. LOCATION OF WORK - This contract covers. vehicles
located at the following Fire Stations:
a. Tavernier b. Key Largo, two stations
20. INSURANCE - CONTRACTOR shall provide public liability
insurance for bodily injury, personal injury, and property damage
in the amount of $•300., 000.0.0 for each occurrence. Coverage. shall
include products and completed operations, contractual liability,
operation of independent contractors., and other coverages as- the
DISTRICT may designate. Coverage shall be at least as broad as the
coverage in the current corcial liability occurrence form in use
by the Insurance Services Office.
21. NO-FAULT COVERAGE - CONTRACTOR shall provide vehicle
liability insurance for bodily injury, property damage, and
required no-fault coverages in the amount of at least $300,000.00
per occurrence. Coverage shall be at least as broad as the
coverage in the current business automobile form. in use by the
Insurance Services Office and shall include garage keepers'
liability on a direct primary basis for property in CONTRACTOR'S
care, custody, or control while such property is beingg repaired or
tested.
22. CERTIFICATE OF INSURANCE - Coverage for all exposures
shall be underwritten by an insurer rated at least. "A" or higher by
the A.M. Best Company insurance rating organization. The -DISTRICT
shall be. provided with a certificate of insurance requiring
notification of at least 30 days for termination for any cause.
Coverage shall remain in effect for the full term of this contract.
23. PAYMENTS - Payments for semi annual inspection,
preventative maintenance and pump tests shall be made by the
DISTRICT within 30 days of the completion of the rendered services
on each vehicle and proper invoicing by the CONTRACTOR. All
unscheduled maintenance and repair resulting from equipment failure
or malfunction requiring service shall be billed by the COWI'RACTOR
at the applicable rates as specified in Section four and five of
this AGREEMENT. The CONTRACTOR upon notification by the DISTRICT
of an equipment failure• or malfunction requiring unscheduled
maintenance shall; in a timely manner investigate the problem. and
provide to the DISTRICT an estimate of the cost for repair and
vehicle downtime. The CONTRACTOR upon receiving authorization to
proceed from the DISTRICT shall effectuate such repair; upon
completion of same the contractor shall notify the DISTRICT of the
out come and actual cost. The DISTRICT shall issue a separate
purchase. order for each occurrence of unscheduled maintenance. and
repair.
Page No. 5
SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR
OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS., This sworn statement is submitted
to. MONROE COUNTY
[print name of the public entity]
by ROD= D. BLESER PRESIDENT
(print individual's name and title]
for FIRE—= REPAIR SERVICES INC.
[print name of entity submitting sworn statement]
whose business address is
Po ii,J- 1 S
and (if applicable) its Federal Employer Identification Number (FEIN) is Ki—dlj�'�S�
(If the entity has no FEIN, include the Social Security Number of the individual signing this sworn
statement:
I understand that a "public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes means a
violation of any state or federal law by a person with respect to and directly related to the transaction of business
with any public entity or with an agency or political subdivision of any other state or of the United States, including,
but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or
Political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery,
collusion, racketeering, conspiracy, or material misrepresentation.
I understand that "convicted" or "conviction" as defined in Paragraph 287.133(1)(b), Florida S_ tatutes, means a
finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or
state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result
of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere.
I understand that an "affiliate" as defined in Paragraph 287.133(l)(a), Florida Statutes, means:
1. A predecessor or successor of a person convicted of a public entity crime; or
2. An entity under the control of any natural person who is active in the management of the entity and who has
been convicted Of public entitycrime. The term "affiliate" includes those officers, directors, executives, partners,
shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership
by one person of shares constituting a controlling interest in another person, or pooling of equipment or income
among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that
one person controls another person. A person who knowingly enters into a joint venture with a person who has
been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate.
I understand that a "person" as defined in Paragraph 287.133(1)(e), Florida Statutes, means any natural person
or entity organized under the laws of any state or of the United States with the legal power to enter into a binding
contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity,
or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those
officers, directors, executives, partners, shareholders, employees, members, and agents who are active in
management of an entity.1.2.3.4.5.
Based on information and belief, the statement which I have marked below is true in relation to the entity
submitting; this sworn statement. [Indicate which statement applies.]
..X- Neither the entity submitting; this sworn statement, nor any of its officers, directors, executives,
partners, shareholders, employees, members, or agents who'are active in the management of the entity, nor
any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July
1, 1989.
The entity submitting this sworn statement, nor any of its officers, directors, executives, partners,
shareholders, employees, members, or agents who arc active in the management of the entity, nor an affiliate
of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989.
The entity submitting this sworn statement, or one or more of its officers, directors, executives,
Partners, shareholders, employees, members, or agents who are active in the management of the entity, or
an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1,
1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida,
Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that
it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor
list. [Attach a copy of the final order]
G. I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER
FOR THE PUBLIC ENTITY IDENTIFIED ON PARAGRAPH 1(ONE) ABOVE IS FOR THAT PUBLIC
ENTITY ONLY AND, THATTHIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR
YEAR IN WHICH IT IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE
PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD
AMOUNT PROVIDED IN SECTION 287.017, FLORIDA STATUTES FO CATEGORY TWO OF ANY
CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
i
[signature]
Pf
Sworn to and subscribed before me this day' f �( i✓
,19 9Y .
Personally known_
OR Produced identificatio
(Type of identification)
Form PUR 7068 (Rev. 06/11/92)
Notary Public -State of --7f
My C sion expires a i9 oj�
o
(Printed typed or stamped
commissioned name of notary public)
ANN'///f�iii
26,�NFeq?�cP�i
1
9, oq`u •� Z
. y t ACC 289914 •'a
�9 •• T Bonded �r���� ' 0���
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY; FLORIDA
ETHICS CLAUSE
ffi2BERT D. BLESER warrants that he/it has not employed,
retained or otherwise had act on his/its behalf any 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 this 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, co ission, percentage,
gift, or consideration paid to the former Cou or employee.
(signature)
Date:
STATE OF
COUNTY OF
Subscribed and sworn to (or affirmed) before
me on �9y (date) by
(name of affiant) .
He/She is personally known to me or has
produced
as identification.
(type of identification)
McP#4 REV. 2/92
CERTI
PRoaucsR
MARTIN J DARLOW it ASSOCIATES
7219 SW 48 ST
MIAMI FL 33155-5518
FIRE TECH REPAIR SVC
p 0 BOX 1570
KEY LARGO FL 33037
PATE a�rrl
a
11/25/94
'r"o
ONLY AND COMMS NO RIQHTs UPON THE CERTMATI
HOLDER. TWZ CRATIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE OOVMQf AFFORDED OY THE POLICES BELOW
CoMpAmn AFFORDING COVERAGE
COMI'my LLOYDS OF T.,ONDON
COMPANY
By 4-1-
OOMO-ANY U,
C
C XIMPANY
D WAIVER: N/A YES
. . . . . . . . . . . .. . . . . . .
COW —A E BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM
THIS 16 TO CERTIFY THAT THE POLICIES OF 04URANOF L'S(T)rpLoC"oNLoW HAVE
OCT OR OTHER DOCUMENT WITH RESPECT TO WHICH T"'S
F ANY CONTRA
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED By THE pOUMS DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES- LJMffS SHOWN MAY HAVE SEEN REDLICED BY PAID CLAWS.
- poLjoy gpMCWS POLICY a"IMATION LAMITS
00 TYM OF MMMIAMOE Y IKMNER PATE PAMMINT" YTE PWffi4L'Y"
GENERAL AGGREOAT! I&
GENERAL LAULITY ppoODUCT& • OWPIOP AGO! a
..loommapICIAL ORNAiAAL LIABILITY
PCERSIONALiAtIVINJURY i .-
GIAms MADEOccult
EACH OCCURRENCE •
QWNER'S A C4DNTRAr.T0iR'm PWT
IRM DAMAGr WTWWI11*)
MID RXF(Any ans ple W)
AUTOMONS LIABILITY C41MBINED S*XUX LIMIT $
ANY AUTO
ALL OWNED AUTO$ I bomy Immy
I SCHEDULED AUTO$ ---- - --- -------
...IMWIM AUTO$ SODLY INJURY
: (pw
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THE PROPRIETOR? I INCL
FAWNERIVEXECUTIVIF
nr,;-r:FRR ARE' EXCL
OTHER
pgscwTwm OF
rmus
MONROE COUNTY
RISK MANAGEMENT
5100 COLLEGE RD
I(EY WEST FL 33040
OTHMTHAN AUTO ONLY! . ......
EACH
AaaftQATE 1$ 100,00(
EACH. OCCURRENCE
TV
�A ATUTORY !!qffs
EACH ACCIDENT
'POLICY L IIIIT AEARE. EACH EMPLOYEE; I
.... ..... ...
. .. ..... ...
SRO" ANT OF THE #A0149 6990MM PONCES ft v- KOK*,
6XIOMATION PAW 7MRFCW, TM WSUM cOMPANY W0JL 9NDCAVO1111 TO MAL
DAY& WOtMM W=9 TO THE CERTIFICATE NOLOM WJALP TO TM ""I
Wr 00AL '* TO MAIL SUCH MOT1IZ 6KA" NOOK NO COLMAT" ON L"LITY
OF Ab* tt UPON THE CONIVANY. fW AORM OR _N"tWffAWM-
GA
NURSER 2
ATTACHING TO AND FoRmiNG PART OF CERTIFICATE f22014-11-4030
NAMED OFF INSURED: PIKE 1-901 REPAIR SERVICES, INC.
IT IS HEREBY. NOTED An AGREED THAT:
AS PER LNDORSLMENx 01, MONROE COUNTY C/O XONROE COUN7y TIRE MARSHALS
o is , ��—AO1i1 A �i'iEIDN7U: INStIkIE� AWL —Pr
Received
Risk Mgrnt. 111bS f cuicrui
DATL 1.
ENDORSEMENT EFFECTIVE DATE: 11/9/93
----ALL OTHER TERMS AND CONDITIONS R13MAIN UNCHANGED——
SECURITY: 100% UNDERWRITERS AT LLOTDS, LONDON
ROEHRIG—FLOOD & ASSGCTATSSI INC.
DATE SIGNLSUi '8/1/94
N�m� JACK WRLIA.M FLOOD. JR.
1�1RT IN J +'' Z41;6g0 303
�::.113cAltl0j•+P0TaDA 33155
STATE FILE 0 1866-93
nr wN? vuA11.
ANT/ A.A* '-Y � Gr'��i...v�: t' AN
I.,,!
�i�SILYtNT
V•A� r usv,�tk
APPROVED DY RISK MANAGfMENT
DATE r
WAIVER: N1A YES
MONIKO>V COUNTY, FLORIDA
Rvyluest vor Waiver
of
Ir+surAwe Requircmemlls
It is Mptc ted that tho ilmraw Mgtlimptonis, ns spwilled ill tJto CotlnV11; Svk4utc of Iftuntltca
[tsquircn►cnts, ba %iivod or ntodiftod on dw fullawiug couuuot.
Conlcoc►or. FIRE TLCH REPA'[tt iURV NI,,,,' (;-
Ftitz 'rKU'(;K REPAIR AND MAINTMANC.R
('ontina for:
Addrv--% of Contraotor; P.O. BOX 1570--
KEY LARGO, FL
Ptto►tc. 305) 451-4230
Scope of Work: Mnintensoce of fire trucks
Reduce limit o Cara alcee er s Liabt t to lc 0
ttemw for Waiver; �..�._._... _ . , ... •..f.-
$300,000r itt cunt prohihitive ,for amount of concr,Sa—
SiZ,natt►rc of Cmuractor.
AppMad Not Approvod
tbsk Mnnngetnerd
Dat4 -
Comely Administrator At)(MM:
Approval' Not Approval:
Iloard or County C'c l"Mis iawrs npl►c:11:
Apltrovctt' Not Atj)rovcd;
WAIVCtt
INFO NATION
. RTIFCAT IN �iANC 11 49 94
N
eruct n THIS CER CATE IS ISSUED AS A MATTER OF
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
R CAN 1NSTJRANCE AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
ALTER THE COVERAGE AFFORDED sY THE POLICES BELOW.
NIES APFQRD ma COVERAGE
UVj-'PSFA,9 HWY COMPA —
l'AVHRNT i,,R FL, 32070 I COMPANY
AITT---r
INlUR[P COMPANY - ow
l'1 RE ' EC:IT REPAIR SERV INC
COMPANY goo, r t
C DATE
--.... .
FL 33027 COMPANY
D WAIVER NIA ,........YES —
1HRi 6 10 CFR ' TIFY THAT THE POLICIES OF INSURANCE LISTED ONLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATFII• NO rwi fLHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CLRTIFICAIL- MAY SE ISSUI-I) OR MAY PEnTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN is SUBJECT TO ALL THE TERMS,
LXCLUSIONS AND (,ONDITIONS or SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS.
POIJCY pwcTTVE pOLECY EXPOATHNI LEMTE
CO TYPc os munANcr - I Pomv Numm �PArE (rM AMWVY) DALE AwIuoorrY)
0ENLHAL LIASLITY 21 UECKU817 7 1 12 / 1. 3 / 9 4 12 / 13 9 5 ^GENERAL AGfiREGATE 1 300,000
}( l r1MMFH(:IAL GENERAL LIABILITY PRODUCT$ - COMP/OP AGO 3 0 0 0 0 0
4 I.
(:I.AFMS MAL7E }(� OCCUh PERSONAL i ACV INJURY / 30.01. 0 0 0
—_.
GWNLII Iy A CONTHArrOR'S PROTI EACH OCCURRENCE i 300 r 000
1 _ _.
FIRF nAMAAF (Any ntr Ewl- : 3 0010.1.0_-
MFD KXP (AM mrn PW"A) III 10 000
I
i
_?AUTOMOIILLE I.IARII,RY I OOHED 81N(�LE LIMIT f
4 ANY AL) f(1
ALL ttWNl0 AUTOS I �IL)URY E
^GIffVULI AUTOS _-_—......
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PROPERTY gAMAOE S
ONLY •. PA ACOEDENT �,.__.__—... ..
GARAGE UAMILRY
IAtiY A; r(l OTHE11 THAN AUTO_L7NLY: .....__ ......
— -. .
i i •, I r ._ F�ICH ACGIDENL�!_. .
EXCESS UARILRr I EACM OCCURRENCE
VMRREILA FORM II � AGGREGATE
ATlirrt TIIAN UMHnSLLA FORM I
WUmlt.ns COMPENSATION AND
I STATUTORY LIMITS.
BMYLUYL'Hti' UASLITY C�11
, I EACH ACCIDENTTHEl'HOI,mETOIU iCAy D18EASE -POLICY LIMIT f _..
f•AllrNl n:rr0CLITIVC 1 ' DISEASE -.,EACH EMPLOYEf
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OTHLn NOV 4 19, 4 �.
1 MUNkuU. ,Y. BLD6. DEFT.
p S-CnIp'nON W6 OMERATION"OCAMMNEHICLUAHMCIAL FMMS J�
;II('I< PRPAIR
CERTIFICATE OF INSUI
RTIFICATE HOLDER
MO NROE UQ) JUARD OF COUNTY
,,'()MM 1 �S I0NER S - ADDL INSURED
1,100 COLLSGE RD
KI:Y WEST FL 33040
TO AMEND CERTIFICATE HOLDER"""*
iHOULD ANY OF THE ABOVE DESCRIMM FOLM* W C NCZL AD 09mm TM
EXPIRATION DATE TWAROP, TM iSSU1NG COMPANT WILL CNIMAVOR TO MAL
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