FY12 10/19/2011 AgreementDANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE: October 24, 2011
TO: Lynda Sl uart, Of .f ce Manager
Tourist Development Council
ATTN: Marine Pacini
Administrative Assistant
FROM: Pamela G. Hanc ck, 9 - C � .
At the October 19, 2011, Board of County Commissioners meeting, the Board granted
approval and authorized execution of the following
DI Dolphin Research Center, Inc. in an amount not to exceed $44,647, DAC III, FY
2012 Capital Resources.
D2 Key West Film Society, Inc. for the Tropic Cinema Phase Seven: Conversion to
Digital Projection project in an amount not to exceed $150,000, DAC 1, FY 2012 Capital
Resources.
D5 Florida Keys History of Diving Museum, Inc. in an amount not to exceed
$11,531, DAC IV, FY 2012 Capital Resources.
D6 Pigeon Key Foundation, Inc. in an amount not to exceed $14,415, DAC III, FY
2012 Capital Resources.
D7 Florida Keys Wild Bird Rehabilitation Center, Inc. in an amount not to exceed
$7,000, DAC V, FY 2012 Capital Resources.
D8 Instituto Patriotico Y Docente San Carlos, Inc. covering the San Carlos minor
repairs project in an amount not to exceed $2,500, DAC I, FY 2012 Capital Resources.
D9 Key West Half Marathon LLC covering the Key West Half Marathon in 2012 in
an amount not to exceed $10,000, DAC I, FY 2012 Event Resources.
D 10 Premiere Racing, Inc. for the Key West Race Week 2012 in an amount not to
exceed $120,000, DAC I, FY 2012 Event Resources.
D11 Lower Keys Chamber of Commerce, Inc. covering the Big Pine & Lower Keys
Nautical Flea Market in 2012 in an amount not to exceed $10,000, DAC II, FY 2012 Event
Resources.
D12 MRM Key West LLC for the Key West Food and Wine Festival in 2012 in an
amount not to exceed $25,000, DAC I, FY 2012 Event Resources.
D13 Domestic Abuse Shelter, Inc. covering the No Name Race in 2012 in an amount
not to exceed $7,500, DAC II, FY 2012 Event Resources.
D14 Bauer Restaurant, Inc. covering the Key West Songwriters' Festival in May, 2012
in an amount not to exceed $75,000, DAC I, FY 2012 Event Resources.
D16 Keys Area Interdenominational Resources, Inc. covering Sombrero Beach Run in
2012 in an amount not exceed $20,000, DAC III, FY 2012 Event Resources.
D18 Super Boat International Productions, Inc. covering Key West World
Championship Race in November, 2012 in an amount not to exceed $120,000, DAC I, FY 2012
Event Resources.
D19 Shoot for the Moon covering Battle in the Bay Dragon Boat Festival in May 2012
in an amount not to exceed $30,000, DAC III, FY 2012 Event Resources.
D20 Hawk's Cay Resort covering Conchtoberfest 2012 in an amount not to exceed
$40,000, DAC III, FY 2012 Event Resources.
D21 218 Duval Street Corp. covering Fight Night in the Keys V in an amount not to
exceed $50,000, DAC I, FY 2012 Event Resources.
D22 Lower Keys Chamber of Commerce, Inc. covering the Big Pine & Lower Keys
Island Art Festival in 2012 in an amount not to exceed $10,000, DAC II, FY 2012 Event
Resources.
D23 Greater Marathon Chamber of Commerce, Inc. covering the Original Marathon
Seafood Festival in 2012 in an amount not to exceed $50,000, DAC III, FY 2012 Event
Resources.
D24 Key Largo Merchants Association, Inc. covering the Key Largo Stone Crab and
Seafood Festival in 2012 in an amount not to exceed $30,000, DAC V, FY 2012 Event
Resources.
D25 Key West Business Guild, Inc. covering Tropical Heat Key West in August, 2012
in an amount not to exceed $17,000, DAC I, FY 2012 Event Resources.
D26 Key West Business Guild, Inc. covering Key West Pride in June, 2012 in an
amount not to exceed $35,000, DAC I, FY 2012 Event Resources.
D27 Key West Business Guild, Inc. covering Womenfest in September 2012 in an
amount not to exceed $35,000, DAC I, FY 2012 Event Resources.
D28 2011 Key West Gator Club Dolphin Derby Agreement to correct name of event
sponsor to University of Florida Alumni Association, Inc. dba Key West Gator Club.
D29 Mad Dog Mandich Fishing Classic, LLC covering the Publix Mad Dog Mandich
Fishing Classic in October 2012 in an amount not to exceed $10,000, DAC IV, FY 2012 Event
Resources.
D30 2011 Key West Half Marathon Agreement to correct name of event sponsor to
University of Florida Alumni Association, Inc. dba Key West Gator Club.
D31 Marine Mammal Conservancy, Inc. for the Marine Mammal Conservancy Phase 1
project to extend completion date to December 31, 2011.
D32 Phil Peterson's Key West Poker Run, LLC covering Phil Peterson's 40 Key West
Poker Run in September 2012 in an amount not to exceed $50,000, DAC I, FY 2012 Event
Resources and $7,500, DAC II, FY 2012 Event Resources.
D33 Agreement with TRIKW, LLC covering the Key West Triathlon and Expo in
November /December 2012 in an amount not to exceed $25,000, DAC I, FY 2012 Event
Resources.
D35 Upper Keys Community Pool, Inc. covering Orange Bowl Winter Training and
Swim Classic in December 2012 in an amount not to exceed $50,000, DAC V, FY 2012 Event
Resources.
D36 Ragnar Events, LLC covering Ragnar Relay Florida Keys in January 2012 in an
amount not to exceed $82,500, FY 2012 Event Resources.
D17 Monroe County Commercial Fisherman, Inc. for the Florida Keys Seafood
Festival in 2012 in an amount not to exceed $25,000, DAC I, FY 2012 Event Resources. The
agreement is being returned as the signature is not an original. Please have signed and
return to our office for follow through.
Attached is the electronic copy of each of the above - mentioned for your handling.
Should you have any questions, please feel free to contact me.
cc: County Attorney w/o documents
Finance
File
Grant Award Agreement
e?4
THIS AGREEMENT (Agreement) is entered into this < _ day of
AA�A , 2011 by and between MONROE COUNTY, a political subdivision of the State
of FI ida (County or Grantor) and The Florida Keys History of Diving Museum, Inc. a
not for profit business organized and operating under the laws of the state of Florida
(Grantee).
WHEREAS, the district pennies of Tourist Development Tax may be used
to acquire, construct, extend, enlarge, remodel, repair or improve, convention centers,
sports stadiums, sports arenas, coliseums, auditoriums, fishing piers, museums, zoological
parks, nature centers, beach improvements and beach park facilities which are publicly
owned and operated or owned and operated by not - for - profit corporations, and
WHEREAS, Grantee has applied for funding for the Generating Stability in
the Diving History Research Library project; and
WHEREAS, the Grantor and Tourist Development Council (TDC) have
determined that it is in the best interest of the County, for purposes of promoting tourism
and preserving the heritage of the community, to attract tourists, and improve the property
for use as a museum that is open to the public;
NOW, THEREFORE, in consideration of the mutual covenants and
payments contained herein, the Grantee and the Grantor have entered into this Agreement
on the terms and conditions as set forth below.
1. GRANT AGREEMENT PERIOD. This Agreement is for the period of October 19,
2011 through to September 30, 2012. This Agreement shall remain in effect for the
stated period unless one party gives to the other written notification of termination pursuant
to and in compliance with paragraphs 7, 12 or 13 below.
2. SCOPE OF AGREEMENT. The representations made by the Grantee in its
proposal submitted to the TDC are incorporated herein by reference. The Grantee shall
provide the following scope of services: Materials and labor required to complete the
Generating Stability in the Diving History Research Library project; Segment(s) of the
work is /are more particularly described in Exhibit(s) A, detailing the work and the cost
allocable to each segment, attached hereto and incorporated herein by reference. All work
for which grant funds are to be expended must be completed by the stated termination
date of September 30, 2012 and all invoices pertaining to this project shall be submitted to
the Finance Department of Monroe County no later than September 30, 2012 to be
considered for payment. Acknowledgement Grantee shall be required to
permanently display and maintain at Grantee's expense, public acknowledgement of
the support of the Monroe County Tourist Development Council in a publicly
prominent area of their facility in the following form: "This project was made
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FY 2012 Funding
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possible with the financial support of the Monroe County Tourist Development
Council." If the Grantee has already complied with this requirement through
previous funding, said acknowledgement fulfills this condition. A photograph of
said acknowledgment shall be provided with the final request for reimbursement
outlined in Exhibit A of this agreement.
a) There shall be a project manager to acknowledge receipt of goods or work
performed. This Project Manager shall be Debra Illes, 82990 Overseas Hwy, Islamorada,
FL 33036 (e -mail: Debra(a-divingmuseum.org /tel: (305) 664 - 9737). Should there be a
change in the project manager specified in the Grantee's application, a new project
manager shall be designated and notice with new contact information shall be provided in
writing to the TDC administrative office.
b) If, and to the extent that, Grantee contracts for any of the work funded under this
Agreement to be performed or completed, Grantee shall give notice to County of the
contractual relationship, provide County with a copy of any and all contracts and shall
require the contractor(s) to comply with all the terms of this contract. Should Grantee
contract the work and then decrease the scope of work to be performed by a contractor,
Grantee shall provide County with an amended contract executed by Grantee and its
contractor.
(i) A Grantee which is a governmental entity shall comply with the procurement
regulations and policies to which it is subject, and shall provide Grantor documentation of
the procurement requirements applicable to the project and compliance therewith.
(ii) A Grantee which is a not - for - profit entity shall use procurement processes for
those parts of the project to be contracted (not performed by the entity's employees) as
follows. For work expected to be under $25,000, the not - for - profit shall document in the
file two written quotes or a notarized statement as to why such written quotes were not
feasible for the goods or services. For work expected to be $25,000 or more, a
competitive bid process must be performed following Monroe County's procurement
policies and procedures must be followed, unless the commodities or services will be
provided by a "sole source" provider, in which case the not - for - profit must submit a
notarized statement with its request for payment explaining why the vendor is the only
source for the commodities or services.
c) Grantee shall exercise good internal controls to assure that the project as described in
the funding application shall be completed on a timely basis within the proposed budget
and shall provide to County any certifications, including those by the architect, engineer,
contractor or an independent consultant if necessary, required to establish that materials
which are purported to be applied to the project are in fact so applied. Further verification
shall be required to show that equipment and other fixtures and personal property covered
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by this Agreement are delivered to and installed in the project site. When any permit is
required by any governmental agency, copies of plans and other documents which are
submitted to the applicable agency shall be submitted to the County Engineering Division
to enable verification that the scope of services under this Agreement has been provided.
3. AMOUNT OF AGREEMENT AND PAYMENT. The Grantor shall provide an
amount not to exceed $11,531.00 for materials and services used to improve the property.
Reimbursement request must show that Grantee has paid in full for materials and services
relating to the segment prior to seeking the 50% (fifty percent) reimbursement from
Grantor. Payment shall be 50% (fifty percent) reimbursement of the total cost of the
segment, subject to the cap on expenditures for that segment as set forth in Exhibit A.
Reimbursement can be sought after each segment of the Agreement is completed and
signed by the Monroe County Engineering Department as outlined in 3.a. The Board of
County Commissioners and the Tourist Development Council assume no liability to fund
this Agreement for an amount in excess of this award. Monroe County's performance and
obligation to pay under this Agreement is contingent upon an annual appropriation by the
BOCC.
a) Payment shall be made upon the completion of a specific segment as outlined in
the Scope of Services and Exhibit A. Payment for expenditures permissible by law and
County policies shall be made through reimbursement to Grantee upon presentation of
Application for Payment Summary— AIA Document G702 or similar certification as required
below for governmental entities and not - for - profit entities, invoices, canceled checks and
other documentation necessary to support a claim for reimbursement. Included in said
documentation shall be proof that the Grantee has received the property, realty or
personalty, for each segment of Agreement as outlined in Exhibit A and paid an amount
equal to or greater than the amount invoiced to the Grantor. It shall be necessary for the
Grantee to contact the County Engineering Division and to arrange for inspections upon
the completion of each segment. The documentation needed to support the payment
request shall be in the form necessary for submission and available to the County
Engineer at the time of inspection. All submissions for payment shall have a proposed
schedule of values for segment(s) and indicate the percentage of completion of the overall
project as of the submission. This document should be signed by the project architect,
engineer, general contractor or project manager. Photos of the progress of the work shall
also be submitted with the payment application. It shall be the responsibility of the project
architect, engineer, general contractor or project manager to initiate the communication
with the Monroe County Engineering Division to facilitate the inspection(s) of the segment
of the project. All submissions requesting payment shall be approved in writing, and
signed, by the Monroe County Engineering Division as to the completion of the segment of
the project for which payment is requested. The application for payment document must
be certified through a statement signed by an officer of the organization and notarized,
declaring that representations in the invoice are true and factual. Grantee shall also
provide partial releases of liens or certifications of non -lien if applicable. Grantor shall
retain 10% of any payment on work in progress until the Grantee has provided a Final
Florida Keys History of Dive Museum
FY 2012 Funding
Contract ID #: 943
Release of Lien for each vendor /Contractor for whom payment is requested. For projects
exceeding $25,000 in TDC funding under this Agreement, final payment will not be made
until the following documents are complete and submitted to the Grantor:
AIA Document
G -702 Application for Payment Summary
AIA Document
G -704 Certificate of Substantial Completion
AIA Document
G -706 Contractor's Affidavit of Debts & Claims
AIA Document
G -706A Contractor's Affidavit of Release of Liens
AIA Document
G -707 Consent of Surety to Final Payment (when applicable)
Final Release of Lien or Affidavit and Partial Release of Lien
For projects for which TDC funding under this Agreement is $25,000 or less, the AIA
documentation is not required, but sufficient documentation must be submitted to County
to provide similar assurances that the work has been completed and contractors /suppliers
paid.
All payment requests must be submitted no later than the completion of project of
September 30, 2012. Invoices received after September 30, 2012 will not be considered
for payment.
b) If in -kind services where noted within your application, and you are applying
them to this project, documentation shall be submitted to the TDC Administrative Office
to show the receipt and application of in -kind donations of goods, professional services,
and materials. Said documentation should include invoices, bills of lading, etc., and be
verified as received and applied to the project through a notarized statement of the project
architect, engineer, general contractor or project manager. The receipt and application to
the project of volunteer labor are to be documented and verified by notarized signature of
the project architect, engineer, general contractor or project manager, and said
documentation submitted to the TDC Administrative Office. All submissions shall identify
the items included in Exhibit A and grantee shall complete the Application for Payment
form which is provided within the payment/reimbursement kit provided to the grantee,
listing the schedule of values which are sought to be reimbursed and shall indicate the
percentage of completion of the overall project as of the submission. This document
should be signed by the project architect, engineer, general contractor or project manager.
Photographs showing progress on project shall be included in any payment request. The
Project Manager shall certify delivery to the project site and installation therein of any
goods or services provided other than through an architect, engineer or contractor. All
work performed and goods received on site and incorporated into the project shall be
verified by one of the foregoing. Submission of any documentation which is untrue,
falsified, or otherwise misrepresents the work which has been completed, paid, or donated
shall constitute a breach of agreement, for which breach the contract may be immediately
terminated at the discretion of the County, whose decision shall be final.
Florida Keys History of Dive Museum
FY 2012 Funding
Contract lD #: 943
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c) Grantee must submit all documentation for final payment on or before the termination
date of this grant of September 30, 2012. Invoices received after September 30, 2012
will not be considered for payment.
d) At any time that the documentation requirement policies of Monroe County are
revised, such as to require annual inventory reports for equipment purchased under a TDC
capital project grant, Grantee shall comply thereafter with such increased requirements, or
further funding under the Agreement may be terminated by County.
e) Upon successful completion of this Grant Agreement, the Grantee may retain
ownership of the real and personal property acquired and /or improved with funding under
this Grant Agreement. However, the Grantee shall maintain, preserve and operate the
property which was acquired or improved under this Agreement for the uses and purposes
which qualified the Grantee for tourist development tax funding. Grantee shall complete
and sign a Property Reporting Form (provided within payment/reimbursement package) for
personal property and forward said completed form with the appropriate invoice to the TDC
Administrative Office. Real property acquired or improved through funding under this
Agreement shall remain dedicated for the purposes set forth herein or for other purposes
which promote tourism and ownership of said property shall be retained by the Grantee.
The following terms shall apply:
(i) The Grantee shall have the use of the property, including both realty and personalty
acquired with funding under this agreement, at the project site for so long as the facility is
operated by Grantee, open to the public, and has a primary purpose of promoting tourism.
At such time as any of the conditions in the preceding sentence shall cease to exist, the
Grantee shall transfer ownership and possession of equipment and personal property to a
local government or another not - for - profit organization which is a facility for which tourist
development taxes may be used pursuant to Florida Statute with prior approval from TDC
and BOCC.
(ii) At any time that the Grantee: (a) elects to stop the project or otherwise decide not to
place into service for tourist - related purposes the facility acquired, constructed, or
renovated with tourist development tax funding, (b) demolishes the project facility or
divests itself of ownership or possession of the real property, or (c) ceases the use of the
property with a primary purpose of promoting tourism, Grantee shall, pursuant to the
formula set forth hereafter, refund to the County the Tourist Development funding. This
provision shall survive the termination date of all other provisions of this contract for a
period of ten years. Should the demolition, transfer of ownership, or change to a non -
tourist related purpose occur after the facility has been used for tourist - related purposes for
at least three (3) years, the amount of refund shall be pro -rated based on a useful life of
ten (10) years.
(iii) The Grantee is responsible for the implementation of adequate maintenance
procedures to keep the real and personal property in good operating condition.
Florida Keys History of Dive Museum
FY 2012 Funding
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(iv) The Grantee is responsible for any loss, damage, or theft of, and any loss, damage
or injury caused by the use of, real or personal property or equipment purchased through
funding under this Agreement.
4. RECORDS AND REPORTS. The Grantee shall keep such records as are necessary to
document the performance of the Agreement and expenses as incurred, and give access
to these records at the request of the TDC, the County, the State of Florida or authorized
agents and representatives of said government bodies. The Grantee shall also provide
such access to the personal property and equipment purchased under this Agreement. It is
the responsibility of the Grantee to maintain appropriate records in accordance with
generally accepted accounting principles consistently applied to insure a proper
accounting of all funds and expenditures. The Grantee understands that it shall be
responsible for repayment of any and all audit exceptions which are identified by the
Auditor General for the State of Florida, the Clerk of Court for Monroe County, the Board of
County Commissioners for Monroe County, or their agents and representatives. In the
event of an audit exception, the current fiscal year grant award or subsequent grant
awards will be offset by the amount of the audit exception. In the event the grant is not
renewed or supplemented in future years, the Grantee will be billed by the Grantor for the
amount of the audit exception and shall promptly repay any audit exception.
(a) Public Access. The County and Grantee shall allow and permit reasonable access to,
and inspection of, all documents, papers, letters or other materials in its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and made or
received by the County and Grantee in conjunction with this Agreement; and the County
shall have the right to unilaterally cancel this Agreement upon violation of this provision by
Grantee.
5. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the terms of this
Agreement shall be only amended in writing and approved by the Board of County
Commissioners for Monroe County. The terms, covenants, conditions, and provisions of
this Agreement shall bind and inure to the benefit of the County and Grantee and their
respective legal representatives, successors, and assigns.
6. INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder, the
Grantee is an independent contractor and not an employee of the Board of County
Commissioners of Monroe County. No statement contained in this Agreement shall be
construed as to find the Grantee or any of its employees, contractors, servants or agents
to the employees of the Board of County Commissioners of Monroe County, and they shall
be entitled to none of the rights, privileges or benefits of employees of Monroe County.
(a) No Personal Liability. No covenant or Agreement contained herein shall be deemed to
be a covenant or Agreement of any member, officer, agent or employee of Monroe County
in his or her individual capacity, and no member, officer, agent or employee of Monroe
Florida Keys History of Dive Museum
FY 2012 Funding
Contract ID #: 943
County shall be liable personally on this Agreement or be subject to any personal liability
or accountability by reason of the execution of this Agreement.
7. COMPLIANCE WITH LAW. In carrying out its obligations under this Agreement, the
Grantee shall abide by all statutes, ordinances, rules and regulations pertaining to or
regulating the provisions of this Agreement, including those now in effect and hereafter
adopted. Any violation of said statutes, ordinances, rules or regulations shall constitute a
material breach of this Agreement and shall entitle the Grantor to terminate this Agreement
immediately upon delivery of written notice of termination to the Grantee.
8. RESTRICTIONS ON AGREEMENTS ENTERED PURSUANT TO THIS AGREEMENT.
The Grantee shall include in all Agreements funded under this Agreement the following
terms:
a) Anti - discrimination. Contractor agrees that it will not discriminate against any
employees or applicants for employment or against persons for any other benefit or
service under this Agreement because of their race, color, religion, sex, national origin, or
physical or mental handicap where the handicap does not affect the ability of an individual
to perform in a position of employment, and to abide by all federal and state laws regarding
non - discrimination.
b) Anti - kickback. Contractor warrants that no person has been employed or retained to
solicit or secure this Agreement upon an Agreement or understanding for a commission,
percentage, brokerage or contingent fee, and that no employee or officer of the Contractor
has any interest, financially or otherwise, in County. For breach or violation of this
warranty, the County shall have the right to annul this Agreement without liability or, in its
discretion, to deduct from the Agreement price or consideration, the full amount of such
commission, percentage, brokerage or contingent fee. Contractor acknowledges that it is
aware that funding for this Agreement is available at least in part through the County and
that violation of this paragraph may result in the County withdrawing funding for the
Project.
c) Hold harmless /indemnification. Contractor acknowledges that this Agreement is funded
at least in part by the County and agrees to indemnify and hold harmless the County and
any of its officers and employees from and against any and all claims, liabilities, litigation,
causes of action, damages, costs, expenses (including but not limited to fees and
expenses arising from any factual investigation, discovery or preparation for litigation), and
the payment of any and all of the foregoing or any demands, settlements or judgments
(collectively claims) arising directly or indirectly from any negligence or criminal conduct on
the part of Contractor in the performance of the terms of this Agreement. The Contractor
shall immediately give notice to the County of any suit, claim or action made against the
Contractor that is related to the activity under this Agreement, and will cooperate with the
Florida Keys History of Dive Museum
FY 2012 Funding
Contract ID #. 943
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County in the investigation arising as a result of any suit, action or claim related this
Agreement.
d) Insurance. Contractor agrees that it maintains in force at its own expense a liability
insurance policy which will insure and indemnify the Contractor and the County from any
suits, claims or actions brought by any person or persons and from all costs and expenses
of litigation brought against the Contractor for such injuries to persons or damage to
property occurring during the Agreement or thereafter that results from performance by
Contractor of the obligations set forth in this Agreement. At all times during the term of this
Agreement and for one year after acceptance of the project, Contractor shall maintain on
file with the County a certificate of the insurance of the carriers showing that the aforesaid
insurance policy is in effect. The following coverage's shall be provided:
1. Workers Compensation insurance as required by Florida Statutes.
2. Commercial General Liability Insurance with minimum limits of $500,000 per
occurrence for bodily injury, personal injury and property damage.
3. Comprehensive Auto Liability Insurance with minimum limits of $300,000
combined single limit per occurrence.
The Contractor, the County and the TDC shall be named as additional insured, exempt
workers compensation. The policies shall provide no less than 30 days notice of
cancellation, non - renewal or reduction of coverage.
At all times during the term of this Agreement and for one year after acceptance of the
project, Contractor shall maintain on file with the County a certificate of insurance showing
that the aforesaid insurance coverage's are in effect.
e) Licensing and Permits. Contractor warrants that it shall have, prior to commencement
of work under this Agreement and at all times during said work, all required licenses and
permits whether federal, state, County or City.
f) Right to Audit. The Contractor shall keep such records as are necessary to
document the performance of the Agreement and expenses as incurred, and give access
to these records at the request of the TDC, the County, the State of Florida or authorized
agents and representatives of said government bodies.
9. HOLD HARMLESS /INDEMNIFICATION. The Grantee hereby agrees to indemnify and
hold harmless the BOCC/TDC and the 3406 North Roosevelt Blvd. Corporation or any of
its officers and employees from and against any and all claims, liabilities, litigation, causes
of action, damages, costs, expenses (including but not limited to fees and expenses
arising from any factual investigation, discovery or preparation for litigation), and the
payment of any and all of the foregoing or any demands, settlements or judgments arising
Florida Keys History of Dive Museum
FY 2012 Funding
Contract ID #: 943
0
directly or indirectly under this Agreement. The Grantee shall immediately give notice to
the Grantor of any suit, claim or action made against the Grantor that is related to the
activity under this Agreement, and will cooperate with the Grantor in the investigation
arising as a result of any suit, action or claim related to this Agreement.
(a) Non - Waiver of Immunity. Notwithstanding he provisions of Sec. 768.28, Florida
Statutes, the participation of the County and the Grantee in this Agreement and the
acquisition of any commercial liability insurance coverage, self - insurance coverage, or
local government liability insurance pool coverage shall not be deemed a waiver of
immunity to the extent of liability coverage, nor shall any contract entered into by the
County be required to contain any provision for waiver.
(b) Privileges and Immunities. All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules and pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or
employees of any public agents or employees of the County, when performing their
respective functions under this Agreement within the territorial limits of the County shall
apply to the same degree and extent to the performance of such functions and duties of
such officers, agents, volunteers, or employees outside the territorial limits of the County.
10. NONDISCRIMINATION. County and Grantee agree that there will be no
discrimination against any person, and it is expressly understood that upon a
determination by a court of competent jurisdiction that discrimination has occurred, this
Agreement automatically terminates without any further action on the part of any party,
effective the date of the court order. County or Grantee agree to comply with all Federal
and Florida statutes, and all local ordinances, as applicable, relating to nondiscrimination.
These include but are not limited to: 1) Title VI of the Civil Rights Act of 1964 (PL 88 -352)
which prohibits discrimination on the basis of race, color or national origin; 2) Title IX of the
Education Amendment of 1972, as amended (20 USC ss. 1681 -1683, and 1685 - 1686),
which prohibits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act
of 1973, as amended (20 USC s. 794), which prohibits discrimination on the basis of
handicaps; 4) The Age Discrimination Act of 1975, as amended (42 USC ss. 6101 -6107)
which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and
Treatment Act of 1972 (PL 92 -255), as amended, relating to nondiscrimination on the basis
of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention,
Treatment and Rehabilitation Act of 1970 (PL 91 -616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health
Service Act of 1912, ss. 523 and 527 (42 USC ss. 690dd -3 and 290ee -3), as amended,
relating to confidentiality of alcohol and drug abuse patent records; 8) Title VIII of the Civil
Rights Act of 1968 (42 USC s. et seq.), as amended, relating to nondiscrimination in the
sale, rental or financing of housing; 9) The Americans with Disabilities Act of 1990 (42
USC s. 1201 Note), as maybe amended from time to time, relating to nondiscrimination on
the basis of disability; 10) Any other nondiscrimination provisions in any Federal or state
statutes which may apply to the parties to, or the subject matter of, this Agreement.
Florida Keys History of Dive Museum
FY 2012 Funding
Contract ID #: 943
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11. ANTI - KICKBACK. The Grantee warrants that no person has been employed or
retained to solicit or secure this Agreement upon an agreement or understanding for a
commission, percentage, brokerage or contingent fee, and that no employee or officer of
the County or TDC has any interest, financially or otherwise, in the said funded project,
except for general membership. For breach or violation of this warranty, the Grantor shall
have the right to annul this Agreement without liability or, in its discretion, to deduct from
the Agreement price or consideration, the full amount of such commission, percentage,
brokerage or contingent fee.
12. TERMINATION. This Agreement shall terminate on September 30, 20$&. aua.
Termination prior thereto shall occur whenever funds cannot be obtained or cannot be
continued at a level sufficient to allow for the continuation of this Agreement pursuant to
the terms herein. In the event that funds cannot be continued at a level sufficient to allow
the continuation of this Agreement pursuant to the terms specified herein, this Agreement
may then be terminated immediately by written notice of termination delivered in person or
by mail to Grantee. The Grantor may terminate this Agreement without cause upon giving
written notice of termination to Applicant. The Grantor shall not be obligated to pay for any
services or goods provided by Grantee after Grantee has received written notice of
termination.
13. TERMINATION FOR BREACH. The Grantor may immediately terminate this
Agreement for any breach of the terms contained herein. Such termination shall take
place immediately upon receipt of written notice of said termination. Any waiver of any
breach of covenants herein contained to be kept and performed by Grantee shall not be
deemed or considered as a continuing waiver and shall not operate to bar or prevent the
Grantor from declaring a forfeiture for any succeeding breach either of the same conditions
or of any other conditions. Failure to provide Grantor with certification of use of matching
funds or matching in -kind services at or above the rate of request for reimbursement or
payment is a breach of Agreement, for which the Grantor may terminate this Agreement
upon giving written notification of termination.
14. ENTIRE AGREEMENT. This Agreement constitutes the entire Agreement of the
parties hereto with respect to the subject matter hereof and supersedes any and all prior
Agreements with respect to such subject matter between the Grantee and the Grantor.
15. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES.
This Agreement shall be governed by and construed in accordance with the laws of the
State of Florida applicable to contracts made and to be performed entirely in the State.
This Agreement is not subject to arbitration. Mediation proceedings initiated and
conducted pursuant to this Agreement shall be in accordance with the Florida Rules of
Civil Procedure and usual and customary procedures required by the circuit court of
Monroe County.
Florida Keys History of Dive Museum
FY 2012 Funding
Contract ID #: 943
10
(a) Venue. In the event that any cause of action or administrative proceeding is
instituted for the enforcement or interpretation of this Agreement, the County and Grantee
agree that venue shall lie in the appropriate court or before the appropriate administrative
body in Monroe County, Florida.
(b) Severability. If any term, covenant, condition or provision of this Agreement (or the
application thereof to any circumstance or person) shall be declared invalid or
unenforceable to any extent by a court of competent jurisdiction, the remaining terms,
covenants, conditions and provisions of this Agreement, shall not be affected thereby; and
each remaining term, covenant, condition and provision of this Agreement shall be valid
and shall be enforceable to the fullest extent permitted by law unless the enforcement of
the remaining terms, covenants, conditions and provisions of this Agreement would
prevent the accomplishment of the original intent of this Agreement. The County and
Grantee agree to reform the Agreement to replace any stricken provision with a valid
provision that comes as close as possible to the intent of the stricken provision.
(c) Attorney's Fees and Costs. The County and Grantee agree that in the event any
cause of action or administrative proceeding is initiated or defended by any party relative
to the enforcement or interpretation of this Agreement, the prevailing party shall be entitled
to reasonable attorney's fees, court costs, investigative, and out -of- pocket expenses, as an
award against the non - prevailing party, and shall include attorney's fees, courts costs,
investigative, and out -of- pocket expenses in appellate proceedings.
(d) Adjudication of Disputes or Disagreements. County and Grantee agree that all
disputes and disagreements shall be attempted to be resolved by meet and confer
sessions between representatives of each of the parties. If the issue or issues are still not
resolved to the satisfaction of the parties, then any party shall have the right to seek such
relief or remedy as may be provided by this Agreement or by Florida law. This agreement
shall not be subject to arbitration.
(e) Cooperation. In the event any administrative or legal proceeding is instituted
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and Grantee agree to participate, to the extent required by the other
party, in all proceedings, hearings, processes, meetings, and other activities related to the
substance of this Agreement or provision of the services under this Agreement. County
and Grantee specifically agree that no party to this Agreement shall be required to enter
into any arbitration proceedings related to this Agreement.
16. ETHICS CLAUSE: Grantee
warrants that he has not employed,
retained
or
otherwise had act on his behalf any
former County officer or employee in
violation
of
Section 2 or 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 the provision
the Grantor
may, at its discretion terminate this
Agreement without liability and may
also, at
its
Florida Keys History of Dive Museum
FY 2012 Funding
Contract ID #: 943
11
discretion, deduct from the Agreement or purchase price, or otherwise recover, the full
amount of any fee, commission, percentage, gift, or consideration paid to the former or
present County officer or employee. The County and Grantee warrant that, in respect to
itself, it has neither employed nor retained any company or person, other than a bona fide
employee working solely for it, to solicit or secure this Agreement and that it has not paid
or agreed to pay any person, company, corporation, individual, or firm, other than a bona
fide employee working solely for it, any fee, commission, percentage, gift, or other
consideration contingent upon or resulting from the award or making of this Agreement.
For the breach or violation of the provision, the Grantee agrees that the County shall have
the right to terminate this Agreement without liability and, at its discretion, to offset from
monies owed, or otherwise recover, the full amount of such fee, commission, percentage,
gift, or consideration.
(a) Covenant of No Interest. County and Grantee covenant that neither presently has
any interest, and shall not acquire any interest, which would conflict in any manner or
degree with its performance under this Agreement, and that only interest of each is to
perform and receive benefits as recited in this Agreement.
(b) Code of Ethics. County agrees that officers and employees of the County recognize
and will be required to comply with the standards of conduct for public officers and
employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to,
solicitation or acceptance of gifts; doing business with one's agency; unauthorized
compensation; misuse of public position, conflicting employment or contractual
relationship; and disclosure or use of certain information.
17. PUBLIC ENTITY CRIME STATEMENT: 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 an Agreement to provide any goods or services to a public entity, may not submit a
bid on a Agreement 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, sub - contractor, or consultant under a
Agreement with any public entity, and may not transact business with any public entity in
excess of the threshold amount provided in Section 287.017, Florida Statutes, for
CATEGORY TWO for a period of 36 months from the date of being placed on the
convicted vendor list. By executing this document grantee warrants that it is in compliance
with this paragraph.
18. AUTHORITY: Grantee warrants that it is authorized by law to engage in the
performance of the activities encompassed by the project herein described. Each of the
signatories for the Grantee below certifies and warrants that the Grantee's name in this
Agreement is the full name as designated in its corporate charter (if a corporation); they
are empowered to act and contract for the Grantee, and this Agreement has been
approved by the Board of Directors of Grantee or other appropriate authority.
Florida Keys History of Dive Museum
FY 2012 Funding
Contract ID #: 943
12
19. LICENSING AND PERMITS: Grantee warrants that it shall have, prior to
commencement of work under this Agreement and at all times during said work, all
required licenses and permits whether federal, state, County or City.
20. INSURANCE: Grantee agrees that it maintains in force at its own expense a liability
insurance policy which will insure and indemnify the Grantee and the Grantor from any
suits, claims or actions brought by any person or persons and from all costs and expenses
of litigation brought against the Grantee for such injuries to persons or damage to property
occurring during the Agreement or thereafter that results from performance by Grantee of
the obligations set forth in this Agreement. At all times during the term of this Agreement
and for one year after acceptance of the project, Grantee shall maintain on file with the
Grantor a certificate of the insurance of the carriers showing that the aforesaid insurance
policy is in effect. The following coverage's shall be provided:
1. Workers Compensation insurance as required by Florida Statutes.
2. Commercial General Liability Insurance with minimum limits of $500,000
Combined Single Limit (CSL) If split limits are provided, the minimum limits acceptable
shall be $250,000 per Person $500,000 per occurrence $50,000 property damage.
3. Comprehensive Auto Liability Insurance with minimum limits of $300,000
combined single limit per occurrence.
The Grantee, the Grantor and the TDC shall be named as additional insured, except
workers compensation. The policies shall provide no less than 30 days notice of
cancellation, non - renewal or reduction of coverage.
Grantee shall provide, to the County, as satisfactory evidence of the required insurance,
including the insurance policy application and either:
• Original Certificate of Insurance
or
• Certified copy of the actual insurance policy
Or
• Certificate of Insurance e- mailed from Insurance Agent/Company to County
Risk Management - Telephone Maria Slavik at (305) 295 -3178 for details
(Certificates can be e- mailed directly from the insurance agency to:
Slavik- Maria (&_ Mon roeCounty- FL.Gov — The e-mail must state that this is a
certificate for a TDC project and should be forwarded to Maxine Pacini
at the TDC administrative office)
Florida Keys History of Dive Museum
FY 2012 Funding
Contract 1D #: 943
13
An original certificate or a certified copy of any or all insurance policies required by
this contract shall be filed with the Clerk of the BOCC prior to the contract being
executed by the Clerks office. The Insurance policy must state that the Monroe
County BOCC and Monroe County TDC is the Certificate Holder and additional
Insured for this contract (certificate only for worker's compensation coverage).
Insurance information should be mailed to:
Monroe County Board of County Commissioners
c/o Risk Management
P.O. Box 1026
Key West, FL 33041
21. NOTICE. Any notice required or permitted under this agreement shall be in writing
and had delivered or mailed, postage prepaid, to the other party by certified mail, returned
receipt requested to the following:
For Grantee: Debra Illes
82990 Overseas Hwy
Islamorada, FL 33036
For Grantor: Lynda Stuart
Monroe County Tourist Development Council
1201 White Street, Suite 102
Key West, FL 33040
and
Cynthia Hall, Asst. County Attorney
P.O. Box 1026
Key West, FL 33041 -1026
22. CLAIMS FOR FEDERAL OR STATE AID. Contractor and County agree
that each shall be, and is, empowered to apply for, seek, and obtain federal and state
funds to further the purpose of this Agreement; provided that all applications, requests,
grant proposals, and funding solicitations shall be approved by each party prior to
submission.
23. NON - DELEGATION OF CONSTITUTIONAL OR STATUTORY DUTIES. This
Agreement is not intended to, nor shall it be construed as, relieving any participating entity
from any obligation or responsibility imposed upon the entity by law except to the extent of
actual and timely performance thereof by any participating entity, in which case the
performance may be offered in satisfaction of the obligation or responsibility. Further, this
Florida Keys History of Dive Museum
FY 2012 Funding
Contract ID #: 943
14
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the
Florida constitution, state statute, and case law.
24. NON - RELIANCE BY NON - PARTIES. No person or entity shall be entitled to rely
upon the terms, or any of them, of this Agreement to enforce or attempt to enforce any
third -party claim or entitlement to or benefit of any service or program contemplated
hereunder, and the County and the Grantee agree that neither the County nor the Grantee
or any agent, officer, or employee of either shall have the authority to inform, counsel, or
otherwise indicate that any particular individual or group of individuals, entity or entities,
have entitlements or benefits under this Agreement separate and apart, inferior to, or
superior to the community in general or for the purposes contemplated in this Agreement.
25. ATTESTATIONS. Grantee agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a
Drug -Free Workplace Statement.
26. NO PERSONAL LIABILITY. No covenant or Agreement contained herein shall be
deemed to be a covenant or Agreement of any member, officer, agent or employee of
Monroe County in his or her individual capacity, and no member, officer, agent or
employee of Monroe County shall be liable personally on this Agreement or be subject to
any personal liability or accountability by reason of the execution of this Agreement.
27. FORCE MAJEURE. The Grantee shall not be liable for delay in performance or
failure to complete the project, in whole or in part, due to the occurrence of any
contingency beyond its control or the control of its contractors and subcontractors,
including war or act of war whether an actual declaration thereof is made or not, act of
terrorism impacting travel in the United States, insurrection, riot or civil commotion, act of
public enemy, epidemic, quarantine restriction, storm, flood, drought or other act of God, or
act of nature (including presence of endangered animal species which cannot be timely
removed in a safe manner or any act of any governmental authority which prohibits the
project from proceeding as described in the scope of services and incorporated references
and which the Grantee has exercised reasonable care in the prevention thereof.
However, lack of planning for normal and expected weather conditions for the time of year
the project is to be executed shall not constitute an act of God excusing a delay. Any
delay or failure due to the causes stated shall not constitute a breach of the Agreement;
however, the BOCC shall have the right to determine if there will be any reduction to the
amount of funds due to the Grantee after consideration of all relevant facts and
circumstances surrounding the delay in performance or failure to complete the project
within the contract period. Upon demand of TDC or BOCC, the Grantee must furnish
evidence of the causes of such delay or failure. BOCC shall not pay for any goods
received or services provided after the date(s) described in paragraph 1 and Scope of
Services.
Florida Keys History of Dive Museum
FY 2012 Funding
Contract ID #: 943
15
28. EXECUTION IN COUNTERPARTS. This Agreement may be executed in any
number of counterparts, each of which shall be regarded as an original, all of which taken
together shall constitute one and the same instrument and any of the parties hereto may
execute this Agreement by singing any such counterpart.
29. SECTION HEADINGS. Section headings have been inserted in this Agreement as
a matter of convenience of reference only, and it is agreed that such section headings are
not a part of this Agreement and will not be used in the interpretation of any provision of
this Agreement.
Cleric
(CORPORATE SEAL)
Attest:
WHEREOF, the parties hereto have caused this Agreement to be
year first above written.
Clerk
By.
Secretary
Print Name
Date: 0 LL—�—
0 ,O WITNESSES
P�ridt t ��
Name
Date:
FbWa Keys History of Dive Museum
FY 2012 Funding
Conh8d /D#: 913
Board of County Commissioners
of Monroe County
Mayor/ thai
The Florida Keys History of Diving Museum, Inc.
B
President
Print Name rr,)
Date:
� o
(2)
( rl 1- UWD fz'
Print Name
Date:
MONROE COUNTY ATTORNEY
is RALE
ASSTS N ATTORNEY
O NTY
Date �- -a pt(
EXHIBIT A
NAME OF ENTITY: Florida Keys History of Diving Museum, Inc.
NAME OF PROJECT: Generating Stabilityin the Diving History Research Library Project
NUMBER OF SEGMENTS TO PROJECT: 1
Note County signoff and submission for reimbursement only allowed after completion of each segment as
documented in this exhibit. Grantee must apply for reimbursement utilizing the 'Application for Payment' form
included within the Payment /Reimbursement Kit.
•
Segment #: 1
Description:
• Materials and labor required to purchase
and install a 38 KW Generac Standby
generator with 200 Amp service, and a 500
galon propane tank to be affixed to
concrete slab to provide constant humidity
and temperature control in the Diving
Museum Research Library during power
outages.
(in order for this segment to be reimbursed, acknowledgement of
TDC funding must be in place and proof in the form of pictures
provided with submission for reimbursement of this segment. This
acknowledgement shall not be covered as part of the TDC
reimbursement - see contract paragraph 2)
Total Cost: $23,063
No in -kind services
will be used towards
reimbursement for this
project.
TDC portion: $11,531
Page 1 of 1
I ou oowrr rtrwt tsttNi ISSUtU TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
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A POENERAL LIABILITY 535BO19427 2/182011 2/182012 EACH OCCURRENCE $ $1,000,000
MERCIAL GENERAL LIABILITY PREMISES Ea o NTED ce S $ 100,000
CLAIMS MADE OCCUR MED EXP (Any one person) $ $ 5,000
PERSONAL &ADV INJURY
$ $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
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Miseums
Certificate Holder is listed as Additional Insured.
RE- Capital Funding Agreement
Monroe County Board of County Commissioners & Monroe
County Tourist Development Council
c% Risk Management ISO Box 1026
KeyWest, FL 33041
:ANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
AUTHORIZED REPRESENTATIVE
25(2001/08)
A CERTIFICATE OF LIABILITY INSURANCE 8 201111
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER NAME CT Lilliam Reyes
Regan Insurance Agency PHONE (305) 852 -3234 A N (305)852 - 3703
90144 Overseas Hwy. Ao D R I ESC .lreyes @reganinsuranceinc.com
Tavernier FL 33070
INSURED
The Florida Keys History of Diving Museum
82990 Overseas Highway
sFirst
NAIC #
1697
E:
Islamorada FL 33036 I INSURERF:
COVERAGES CFRTIFIrATF NI IMRFR{7L11R160051 6 ocAncrnar au ua000.
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.
I LTR TYPE OF INSURANCE ADDL UB POLICY NUMBER PO EFF M
LIMITS
GENERAL LIABILITY
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MED EXP (Any one person) $
AUTHORIZED REPRESENTATIVE
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PO Box 1026
GENERAL AGGREGATE $
GE 'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $
POLICY PRO- LOC
$
AUTOMOBILE
LIABILITY
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52104715
11/17/2010
1/17/2011
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E.L. EACH ACCIDENT
$ 100
E.L. DISEASE - EA EMPLOYEE
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E.L. DISEASE - POLICY LIMIT
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DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
Museum
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Monroe County Board of County Commissions
ACCORDANCE WITH THE POLICY PROVISIONS.
6 Monroe County Tourist Development Counc
AUTHORIZED REPRESENTATIVE
c/o Risk Management
PO Box 1026
Key West, FL 33041
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A` ° R°® CERTIFICATE OF LIABILITY INSURANCE 8%16%2011 )
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER NAME: T Lilliam Reyes
Regan Insurance Agency PHONE (305) 652 -3234 NC (305)852 -3703
90144 Overseas Hwy. A : lreyes @reganinsuranceinc.com
INSURERS AFFORDING COVERAGE NAIC #
Tavernier FL 33070 INSURER ABusinessFirst 11697
INSURED INSURER B:
The Florida Keys History of Diving Museum INSURERC:
82990 Overseas Highway INSURER D:
INSURER E:
Islamorada FL 33036 INSURER F:
COVERAGES CERTIFICATE NIIMRFR CL1181600516 12MVICIf1 M1111111,111121=12-
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.
INSR
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COMMERCIAL GENERAL LIABILITY
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WORKERS COMPENSATION
WC STATU- OTH-
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ANY PROPRIETOR /PARTNER /EXECUTIVE
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(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
52104715
1/17/2010
1/17/2011
E.L. EACH ACCIDENT
$ 100, 000
E.L. DISEASE - EA EMPLOYEE
$ 100,000
E.L. DISEASE - POLICY LIMIT
$ 500,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Museum
Lars I o-iUA I t Ht It ur FL rAKIf CI I ATI rVd
r+ VVRN ,CU %LV IOluoy U 1W%0 -2010 ACORD CORPORATION. All rights reserved.
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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Monroe County Board of County Commissions
ACCORDANCE WITH THE POLICY PROVISIONS.
& Monroe County Tourist Development Counc
AUTHORIZED REPRESENTATIVE
c/o Risk Management
PO Box 1026
Key West, FL 33041
Joseph Roth /SPARICE
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FROM
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FAX ND. :
Aug. 30 2011 12:23PM P1
R ax a/ 1"6 Edition
MONROE COUNTY, FLORIDA
Request For W aiver
of
Insurance Requirements
It is requested drat the insurance requirements, as specified in the County's Schedule of lnsarancc
Raquhwuents, be waived or modified on the following contract.
Contractor:
Contract for:
Address
i
Reason 1
2 50V MWHIC&I
Signature of Contractor:
Not Approved
� I
County Admialstrator Appeal:
Approved Not Approved
Date:
Board of County Commissioners Appeal:
Approved Not Approved
Meeting Date-
Administration Instruction
it47".2
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III AUG 31 2011