Request for Proposals • 4
•
I
MONROE COUNTY
REQUEST FOR PROPOSAL
CONTAMINATED SOIL REMOVAL
from
PLANTATION KEY FUELING FACILITY
Plantation Key
Monroe County, Florida
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BOARD OF COUNTY COMMISSIONERS
Wilhelmina Harvey, District 1
Mayor Jack London, District 2
Shirley Freeman, District 3
Mayor Pro -Tem A. Earl Cheal, District 4
Mary Kay Reich, District 5
COUNTY ADMINISTRATOR DIRECTOR OF PUBLIC WORKS
James L. Roberts ' C. Dent Pierce
CLERK OF THE CIRCUIT COURT DIRECTOR OF FLEET MANAGEMENT SERVICES
Danny L. Kolhage Roy Sanchez
December 1993
Prepared by
Monroe County Public Works
Fleet Management Services Department
REQUEST FOR PROPOSAL
CONTAMINATED SOIL REMOVAL
from
PLANTATION KEY GARAGE
Plantation Key
Monroe County, Florida
December, 1993
GENERAL
ITEM 1 - PROPOSAL
Proposals shall be received in the Office of the Director of Purchasing, 5100 College Road, Public
Service Building, Cross Wing Room #002, Stock Island, Key West, Florida, on Wednesday,
January 26, 1994 until 10:00 A.M., at which time they will be opened and read aloud. No
proposals will be received after 10:00 A.M. The contractor must supply two (2) original signature
packets and two (2) photo copies ofthe proposal. For additional information on this project, contact
Rufus Frazier, (305) 292 -3571.
ITEM 2 - SCOPE OF WORK
The scope of work consists of Initial Remedial Actions as recommended by the Contamination
Assessment Report (CAR) for the County of Monroe Fueling Facility at 186 Key Heights Drive,
Tavernier, Florida, May 1992 (Atch 1) and actions required by FDEP in letter dated September 28,
1993 (Atch 2). This requires the excavation of excessively contaminated soils for disposal such
that contamination is not spread into previously uncontaminated areas through untreated discharges
or improper treatment or disposal techniques and that flammable products are handled in a safe and
competent manner. The approximate area to be excavated and refilled as estimated by the Missimer
and Associates' CAR is 20 feet by 60 feet and down to the water table (approximately 8 (eight)
feet) (Atch 3). The Contractor shall remove and dispose of the existing 1000 gallon diesel fuel tank
and concrete leak containment. Contaminated soil shall be removed until the remaining soil falls
within Department of Environmental Protection, Chapter 17- 770.200 guidelines.
Monitoring wells MW -B, MW -C, MW -3, MW -4 and MW -10 shall be sampled and analyzed for
EPA Method 610. All monitoring wells that are removed during excavation shall be replaced and
additional monitoring wells shall be installed if significant contaminant concentrations are detected
at perimeter monitoring wells or at the vertical extent well. Due to the nature of the soil, split spoon
sampling cannot be conducted.
A table summarizing the construction details, including the screened interval, of all compliance
wells and monitoring wells at this site shall be provided. Construction details of existing wells will
be provided by the Owner to be included in the table. A written report (four copies, titled:
Contamination Assessment report Addendum II for the Monroe County Fueling Facility,186 Key
Heights Drive, Tavernier Key, Florida 33032) signed and sealed by a registered Professional
12/9/93 REQUEST FOR PROPOSAL PAGE 1
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Engineer or a registered Professional Geologist shall be submitted with closeout documents
summarizing all work done, including the compliance/monitoring well table, as required above,
and results of all soil sample tests.
All work must conform to the requirements of FDEP Ch.17 -761: Underground Storage Tank
Systems which details the installation ofMonitoring Wells, and FDER Ch.17 -770: Underground
Petroleum Environmental Response requirements.
Before starting work, the Contractor shall obtain all required licenses and permits. The Owner will
pay for or reimburse the Contractor for permits. Additionally, the Contractor shall contact all utility
companies for clearance verification prior to the installation of monitoring wells , conducting soil
borings, or starting excavation, and will be responsible for any damage that may occur to water,
electrical or communication lines. All work shall be coordinated with the Owner's representative.
Before excavation is started, the Contractor shall provide written notification to the Department of
Environmental Protection, Marathon Office (two copies). The written notification shall contain the
following information:
1. The estimated volume of soil to be excavated and the type of product in it;
2. The method used to determine excess soil contamination; and
3. The disposition of excavated material.
Monroe County reserves the right to reject any and all proposals in whole or in part and to waive
any informalities or irregularities in the proposals, determined to be in the best interest ofthe citizens
of Monroe County.
ITEM 3 - CONTRACT FORMS
PUBLIC ENTITY CRIME AFFIDAVIT: (a) Any person submitting a proposal in response to
this invitation must execute the attached Form PUR 7068, SWORN STATEMENT PURSUANT
TO SECTION 287.133 (3) (a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES,
including proper check(s), in the space(s) provided. This form with original signatures must be
included with each proposal. If you are submitting a proposal on• behalf of dealers or suppliers
who will ship commodities and receive payment from the resulting contract, it is your
responsibility to see that copy(s) of the form are executed by them and are included with your
proposal. Corrections to the form will not be allowed after the proposal opening time and date.
Failure to complete this form in every detail and submit it with your proposal will result in
immediate disqualification of your proposal.
NON - COLLUSION AFFIDAVIT:
(a) Any person submitting a proposal in response to this invitation must execute the enclosed
NON - COLLUSION AFFIDAVIT. If it is discovered that collusion exists among the respon-
dents, the proposals of all participants in such collusion will be rejected, and no participants in
such collusion will be considered in future proposals. This form with original signatures must
be included with each proposal.
LOBBYING AND CONFLICT OF INTEREST CLAUSE -
SWORN STATEMENT UNDER ORDINANCE NO. 10 -1990:
12/9/93 REQUEST FOR PROPOSAL PAGE 2
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(a) Any person submitting a proposal in response to this invitation must execute the enclosed Sworn
Statement for breach or violation of this provision, the County may terminate this contract without
liability. This form with original signatures must be included with each proposal.
DRUG FREE WORK PLACE FORM:
(a) Any person submitting a proposal in response to this invitation must execute the attached Drug
Free Workplace Form. This form with original signatures must be included with each proposal.
INSURANCE DOCUMENTS:
(a) The Contractor shall comply with all provisions of the section entitled "GENERAL
INSURANCE REQUIREMENTS FOR ALL CONTRACTS WITH MONROE COUNTY"
attachedhereto. The Contractor shall require each Subcontractor similarly to provide "WORKER'S
COMPENSATION INSURANCE" for all of the latter employees unless such employees are
covered by the protection afforded by the Contractor.
INDEPENDENT CONTRACTOR:
(a) At all times and for all purposes under this agreement the Contractor is an independent
Contractor and not an employee of the BOARD OF COUNTY COMMISSIONERS FOR
MONROE COUNTY. No statement contained in this agreement shall be construed so as to find
the Contractor or any of his/her employees, Contractors, servants, or agents to be employees of
the BOARD OF COUNTY COMMISSIONERS FOR MONROE COUNTY.
DISCRIMINATION:
(a) Contractor shall not discriminate against any person on the basis of RACE, CREED, -
COLOR, NATIONAL ORIGIN, SEX, AGE, or any other characteristic or aspect which is not
job related, in its recruiting, hiring, promoting, terminating, or any other area affecting
employment under this agreement or with the provision of services or goods under this
agreement.
ITEM 4 - NOTICE OF AWARD:
(a) The Notice of Award to the successful bidder will be accompanied by two (2) signed originals
and two (2) copies of the Contract Agreement and all other Contract Documents. The Contractor
shall sign and deliver all four (4) copies of the Contract Agreement to the Director, Fleet
Management Services Department, with all other Contract Documents attached within ten (10)
days after receipt of Notice of Award. The original Insurance Certificates and three copies are to
be provided by the Contractor and shall accompany each of the copies of the Contract Agreement
to the Director, Fleet Management Services Department, for execution. The Director, Fleet
Management Services Department, will return one fully executed copy of the Contract Agreement
to the Contractor with all other Contract Documents attached within two (2) weeks thereafter.
(b) In the event that the Contractor does not comply with ITEM 4 (a) as stated above, the Owner
may cancel the Award of Contract and select the next responsive bidder or reject all proposals.
12/9/93 REQUEST FOR PROPOSAL PAGE 3
SWORN STATEMENT PURSUANT TO SECTION CRIMES 287.133(3Xa),
ON PUBLIC ENTITY
BE SIGNED AND SWORN TO IN THE PRESENCE OF A atemenRs submitted PUBLICC OR
THIS FORM MUST R OATHS. This sworn
O � Mon =oeCL�LCoAUTHORIZED TO ADMINISTE
to
[print name of the public entity]
by
Judd Gilbert, President
(print individual's name and title]
for
Petroleum Management, Inc.
[print name of entity submitting sworn statement]
whose business address is
2191 S.W. 115th Terrace,
Davie, FL 33325
and (if applicable)
its Federal Employer Identification Number (FEIN) is 59- 2230656
entity has no FEIN, include the Social Security Number of the individual signing this sworn
(If the ty .)
statement:
iime" as defined in Paragraph 287.133(1)(g), Florida Statutes. means a
I understand tha t a "public entity crime"
with respect to and directly related to the transaction of business
violation of any state or federal law by a person other state or of the United States, including, with any public entity or with an agency or political subdivision of any to any public entity or an agency og
but not limited to, any bid or contract for goods or services to be provided
other state or of the United States and involving antitrust, fraud, theft, bribery,
political subdivision of an y
collusion, racketeering, conspiracy, or material misrepresentation. "tom Statutes, means a
I understand that "convicted" or "conviction" as defined in Paragraph 287.13 3 (1 xb ) ,
findin of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or
g
state trial court of record relating to charges brought by indictm;o contend ee.aon after July 1,1989, as a result
of a jury verdict, nonjury trial, or entry of a p lea of guilty or
I un
derstand that an "affiliate" as defined in Paragraph 287.133(1Xa), Florida Statutes. means:
1. A predecessor or successor of a person convicted of a public entity crime; or an d who has
been co P under the control of any natural person who is active in the management of the entity
2. An e nti ty partners,
shareholders, nvicted of a public entity crime. The term "affiliate" includes those officers, directors,
an The shareholders, employees, members, and agents who are active in management
by one person of shares constituting a controlling interest a nnm'��� a�g shall be a priuip ipment or income
facie case that
among persons when not for fair market value under l enters into a joint venture with a person who has
one person controls another person. A person who knowingly 36 months shall be considered an affiliate.
been convicted of a public entity crime in Florida during P person � ir,riria Sta tutes, means any natural e son
I understand that a "person" as defined in Paragraph 287.133(1Xe), power to enter natural
a p e n
or entity organized under the laws of any state or of the United States with the legal po to a entity,
contract and which bids or applies bid on contracts business with a public entity. The term services
pe rsby includes
t by a public en
those
i os
or whihich h otherwise transacts or applili es to and a gents who are
officers, directors, executives, partners, shareholders, employees, members, g
management of an entity.1.2.3.4.5.
11/4/91 REQUEST FOR PROPOSAL
PAGE 4
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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.
X 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 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]
6. 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, THAT THIS 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 FOR CATEGORY TWO OF ANY
CHANGE IN THE INFORMATION CONTAINED IN THIS FORM.
de
[signature]
Sworn to and subscribed before me this 25th day of January
Personally known X n (�
OR Produced identification Notary Public - State of ?r Orw 1 ,
My Commission expires h c7U `a. \ R 9
(Type of identification)
d
4 .... public)
. a c $ a
MY +�,?�_i?k' :l'Lrnrai.) ••,
OFFICIAL NoTA KY 5E 1 L
Form PUR 7068 (Rev. 06/11/92) ELEANOR M ANDERSON N
NOTARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC,331581
MY COMMISSION EXP. NOV. 21,1997
1 7/[1/(12 DC/1T T1rCT CnD DD(lDlICAT DAt= C
•
NON- COLLUSION AFFIDAVIT
JUDD GILBERT of the
city of Davie, Florida according to law on my oath, and
under penalty of perjury, depose and say that
1) 1 am the President of Petroleum Management, i Afi e bidder mak-
ing the Proposal for the project described as follows:
CONTAMINATED SOIL REMOVAL
from
PLANTATION KEY FUELING FACILITY
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 project.
STATE OF F LORIDA fire of Bidder)
COUNTY OF BROWARD ,I !
ATE
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
JUDD GILBERT who, after first being sworn by me, (name of
individual signing) affixed his/her signature in the space provided above on this
25th day of January , 19 94
0
it ' OFFICIAL "woA1R� tF i
ELEANOR M AND t 7L 1 l
NOTARY PUBLIC STATE r: is LORLDA
NOTARY PUBLIC COMMISSION NO. CC3.11584
MY COMMISSION EXP. NOV. 21,1997
My commission expires:
`C\ rn) 2.\ Oak ( r)
12,'9/93 REOUEST FOR PROPOSAL PAGE 6
LOBBYING AND CONFLICT OF INTEREST CLAUSE
SWORN STATEMENT UNDER ORDINANCE NO. 010-1990
MONROE COUNTY, FLORIDA
K
K
Petroleum Management, Inc.
(Company)
,11 . . . . warrants that it has not employed, retained or otherwise had act on its behalf any former
County officer P Y
or em to ee subject to the prohibition of Section 2 of Ordinance . 1 0. 1 For
�
ce No. or any County officer or employee in violation ofSection� disOenonanterm Hate this contract
breach or violation of this provision the County Y
without liability and may also, in its discretion, deduct from the contract ft, or purchase price n paid or
otherwise recover, the full amount of any fee, commission, percentage, gl
to the former County officer or employee ". ✓ employee". / ,
ignature)
Jan uar 25, 1994
(Date)
STATE OF FLORIDA
COUNTY OF BROWARD
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
JUDD GILBERT who, after first being
sworn by me, affixed his/signature JIIDD GILBERT
(name of individual signing) in the space provided above on this
2 5th day o f January , 19 4
0
NOTARY PUBLIC
OFFICIAL NO f AI' Y ' ' .�_
ELEANOR M k " 1
My commission expires: NOTARY PUBLIC STr -;i
coMMi7�1ON Nf t
MY COMMISSION E. NOv = -,, ,57 1
12/9/93 REQUEST FOR PROPOSAL
PAGE 7
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DRUG-FREE WORKPLACE FORM
The undersigned ed vendor in accordance with Florida Statute 287.087 hereby certifies that:
Petroleum Mana•ement Inc.
(Name of Business)
1. Publish a
statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited i o f u h pkplaceiand
speci the actions that will be taken against employees for vl
2. Inform employees about the dangers of drug
abuse in the workplace, the business's policy of
maintaining a drug-
free work P lace, 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 ch em to ee 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
the commodities or contractual services that are under bid, the employee will abide
working on the employer of any conviction of, or plea guilty
by the terms of the statement and will notify
or polo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled
substance ce law of the United States or any state, for a violation occurring in the workplace no later
than five (5) days after such conviction.
ci
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or
any employee who
rehabilitation program if such is available in the employee's community,
is so convicted.
g
6.
Make a good faith effort to continue to maintain a drug -free workplace through implemen-
tation of this section.
p
As
the person authorized to sign the statement, I certify that this firm complies fully with the
above requirements. j
dder's Signature
January 25, 1994
Date
MCP #5 REV. 6/91
12/9/93
REQUEST FOR PROPOSAL PAGE 8
MONROE COUNTY, FLORIDA
INSURANCE GUIDE
TO
CONTRACT ADMINISTRATION
General Insurance Requirements
for
Contractors and Subcontractors
Prior to the commencement of work governed by this contract (including the pre- staging of
personnel and material), the Contractor shall obtain, at his own expense, insurance as specified
in the attached schedules, which are made part of this contract. The Contractor shall also ensure
that all Sub - Contractors, in any tier, have obtained the insurance as specified in the attached
schedules.
The Contractor will not be permitted to commence work governed by this contract (including
pre- staging of personnel and material) until satisfactory evidence of the required insurance has
been furnished to the County as specified below. Delays in the commencement of work, resulting
from the failure of the Contractor to provide satisfactory evidence of the required insurance shall
not extend deadlines specified in this contract and any penalties and failure to perform
assessments shall be imposed as if the work commenced on the specified date and time, except
for the Contractor's failure to provide satisfactory evidence.
The Contractor and any Sub - Contractor(s) shall maintain the required insurance throughout the
entire term of this contract and any extensions specified in the attached schedules. Failure to
comply with this provision may result in the immediate suspension of all work until the required
insurance has been reinstated or replaced. Delays in the completion of the work resulting from
the failure of the Contractor to maintain the required insurance shall not extend deadlines
specified in this contract and any penalties and failure to perform assessments shall be imposed
as if the work had not been suspended, except for the Contractor's failure to maintain the required
insurance.
The Contractor and shall provide, to the County, as satisfactory evidence of the required
insurance, either:
- Certificate of Insurance
OR
- A Certified copy of the actual insurance policy.
The County, at its sole option, has the right to request a certified copy of any or all insurance
policies required by this contract.
12/9/93 REQUEST FOR PROPOSAL PAGE 9
All insurance policies must specify that they are not subject to cancellation, non - renewal,
material change, or reduction in coverage unless a minimum of thirty (30) days prior notification
is given to the County by the insurer.
The acceptance and/or approval of the Contractor's and insurance shall not be construed as
relieving the Contractor from any liability or obligation under this contract or imposed by
law.
Monroe County, Monroe County Board of County Commissioners, its employees and offi-
cials will be included as "Additional Insured" on all policies, except for Workers' Compen-
sation.
Any deviation from these General Insurance Requirements must be requested in writing on
the County prepared form entitled "Request for Waiver or Modification of Insurance Re-
quirements" and approved by Monroe County's Risk Management.
MONROE COUNTY, FLORIDA
INSURANCE CHECKLIST
FOR
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 sign it in the place provided. It is also required that the bidder sign
the form and submit it with each proposal.
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
_ Workers' Compensation Statutory Limits
WC1 Employers' Liability $100,000 /$500,000/$100,000
WC2 _ Employers' Liability $500,000 /$500,000 /$500,000
WC3 Employers' Liability $1,000,000 /$1,000,000 /$1,000,000
WCUSLH US Longshoremen & Same as Employers'
Harbor Workers Act Liability
WCJA Federal Jones Act Same as Employers'
Liability
12;'9 /93 REQUEST FOR PROPOSAL PAGE 10
GENERAL LIABILITY
As a minimum, the required general liability coverages will include:
- Premises Operations - Products and Completed Operations
- Blanket Contractual - Personal Injury
- Expanded Definition
of Property Damage
Required Limits:
GL1 $100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage
OR
$300,000 Combined Single Limit
GL2 $250,000 per Person; $500,000 per Occurrence
$50,000 Property Damage
OR
$500,000 Combined Single Limit
GL3 X_ $500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage
OR
$1,000,000 Combined Single Limit
Required Endorsement:
GLXCU _X_ Underground, Explosion and Collapse (XCU)
GLLIQ Liquor Liability
All endorsements are required to have the same limits as the basic policy.
12/9/93 REQUEST FOR PROPOSAL PAGE 11
VEHICLE LIABILITY
As a minimum, coverage should extend to liability for:
- Owned; Nonowned; and Hired Vehicles
- Medical Payments
Required Limits:
VL1 $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 _ X_ $500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage
OR
$1,000,000 Combined Single Limit
MISCELLANEOUS COVERAGES
BR1 Builders' Limits equal to the
Risk completed project.
MVC Motor Truck Limits equal to the maximum
Cargo value of any one shipment.
PRO1 Professional $250,000 per Occurrence /$500,000 Agg.
PRO2 Liability $500,000 per Occurrence /$1,000,000 Agg
PRO3 $1,000,000 per Occurrence /$2,000,000
Agg.
POL 1 Pollution $500,000 per Occurrence /$1,000,000 Agg.
POL2 _X_ Liability $1,000,000 per Occurrence /$2,000,000 Agg.
POL3 $10,000,000 per Occurrence /$10,000,000 Agg.
ED1 Employee $10,000
ED2 Dishonesty $100,000
GK1 Garage $300,000 ($25,000 per Veh.)
GK2 Keepers $500,000 ($100,000 per Veh.)
GK3 $1,000,000 ($250,000 per Veh.)
12/9/93 REQUEST FOR PROPOSAL PAGE 12
ti -25 -1994 1A :40AM FROM PETROLEUM MANAGEMENT INC TO 9641438
MED 1 Medical $500,000 /$1,000,000 Agg.
MED2 Professional $1,000,000/$3,000,000 Agg.
MED3 $5,000,000/$10,000,000 Agg.
IF Installation Maximum Value of Equipment
Floater Installed
VLP1 Hazardous $300,000 (Requires MCS- 90)
VLP2 Cargo $500,000 (Requires MCS- 90)
VLP3 Transporter $1,000,000 (Requires MCS - 90)
BLL Bailee Liab. Maximum Value of Property
HKL 1 Hangar keepers' $3,000,000
HKL2 Liability $500,000
HKL3 $1,000,000
AIR 1 Aircraft $25.000,000
AIR2 Liability $1,000,000
AIR3 $ ,000,000
INSURANCE AGENT'S STATEMENT
1 have reviewed the above requirements with the bidder named below. The following
deductibles apply to the corresponding policy.
POLICY DEDUCTIBLES
GL541- 74- 06RA -Gen'l Liability $2,500.00 Per Occurrence
CPL5872626- Pollution Legal Liab. $50,000 Retention
Liability policies are xx Occurrence xx Claims Made - P o l l u t i o n L i a b i l i t y
ADVANCED INSURANCE UNDERWRITERS
Insurance Agency Signature
BIDDER'S STATEMENT
I understand the insurance that will be mandatory if awarded the contract and will comply in
full with all the requirements.
�-.., _ ��
Bidder i ature
11'9/93 REQUEST FOR PROPOSAL PAGE 13
TOTAL P.06