Item G2BOARD OF GOVERNORS
FIRE AND AMBULANCE DISTRICT I
AGENDA ITEM SUMMARY
Meeting Date: January 19, 2012
Bulk Item: Yes No x
Division: Emergency Services
Department: Fire Rescue
Staff Contact Person/Phone # Susan Hover/x608 S
AGENDA ITEM WORDING: Approval of a 12 month service agreement with Bio-Med Waste
Solutions, Inc. for the collection and disposal of biomedical waste generated from emergency medical
calls and transports of Monroe County Fire Rescue and authority for Fire Chief to execute all necessary
documents including the agreement.
ITEM BACKGROUND: Monroe County Fire Rescue Stations #7 (Key West Airport), #8 (Stock
Island), #9 (Big Coppitt), #11 (Cudj oe), #13 (Big Pine), Trauma Star Hangar, #17 (Conch Key), #18
(Layton), and #22 (Tavernier), all generate biomedical waste from emergency medical calls and
transports. Three quotes were obtained for this service, with Bio-Med Waste Solutions, Inc. chosen at
$42.00 per month per station, and with 9 stations, the total comes to $4,536 per year. Funds have been
budgeted to cover this expense.
PREVIOUS RELEVANT BOARD ACTION: None.
CONTRACT/AGREEMENT CHANGES: NIA
STAFF RECOMMENDATIONS: Approval as written.
TOTAL COST: $ 4,536.00 INDIRECT COST: NIA BUDGETED: Yes x No
DIFFERENTIAL OF LOCAL PREFERENCE: NIA
COST TO COUNTY: $ 4,536.00 SOURCE OF FUNDS: 141-13001, 101-11001, and 404-63100
REVENUE PRODUCING: Yes X AMOUNT PER MONTH Year
N
APPROVED BY: County Atty OMB/Purchasing Risk Management
DOCUMENTATION: Included x Not Required
DISPOSITION, AGENDA ITEM #
Revised 7/09
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, AND
MONROE COUNTY BOARD OF GOVERNORS FIRE AND AMBULANCE DIST I
Contract with: Bio-Med Waste
Solutions, Inc.
CONTRACT SUMMARY
Contract #
Effective Date:
Expiration Date:
January 1, 2012
December 31, 2012
Contract Purpose/Description.
12 month service _agreement with Bio-Med Waste Solutions, Inc. for the collection and
disposal of biomedical waste generated from emergency , medical calls and transports of
Monroe County, Fire Rescue and authority for Fire Chief to execute all_necessary
documents including the agreement.
Contract Manager: Susan Hover 6088
(Name)
I for BOCC meeting on 1/19/2012
�r.jxt.)
Fire Rescue !Stop 14
(Department/ Stop #)
Agenda Deadline: 1:."03/2012
CONTRACT COSTS
I Total Dollar Value of Contract: $ $4,536
Budgeted? Yes
Grant: $
County Match: $
No F-1 Account Codes:
Current Year
Portion: $
141-13 001, 101-11001, and 404-63100
account 530 340
ADDITIONAL COSTS
Estimated Ongoing Costs: $ /yr For:
Not included in dollar value above) (eg. maintenance, utilities, janitorial, salaries, etc.
CONTRACT REVIEW
Changes Date Out
Date In Needed vie er
Division Director 1,L-ZL11 Yes[] No
�/-� • -/ -!/
Risk Manag m nt ��� YesO Not\ v
[`�
O.M.B./Purc asing �"LV�' Yes[:]No[�
County Attorney �-1 �l �'�� Yes❑ No[IIll $Ly
Comments:
OMB Form Revised 2,127/01 MCP #2
BIO-MED WASTE SOLUTIONS, INC.
ENVIRONMENTALLY SOUND MEDICAL WASTE TREATMENT
SERVICE AGREEMENT
BOARD OF GOVERNORS FIRE AND AMBULANCE DIST Z
ANI CUSTOMER NAME : MONROE COulNTY.. FLORIDA F COUNTY MMI55lONERS OF BILLING INFORMATION IF DIFFERENT
MONROE COUNTY FIRE RESCUE
ADDRESS: 490 63rd Street ocean
cETY, sT, zip: Marathon, FL 33050
PHONE: (305) 289-6088
FAX: (305) 289-6007
E-MAIL: hover-susan@monroecounty-fl.gov
CONTACT: Susan Hover
ADDRESS:
CITY, ST, ZIP:
PHONE:
FAX:
E-MAIL:
CONTACT:
SCOPE OF SERVICES:
* BIO-MED WILL PROVIDE PICKUP, TRANSPORT, TREATMENT AND DISPOSAL OF REGULATED MEDICAL
WASTE IN ACCORDANCE WITH STATE OF FLORIDA DEPARTMENT OF HEALTH RULES AND REGULATIONS.
* CUSTOMER WILL PAY MONTHLY RATE AS SET FORTH BELOW BY THE loth CALENDAR DAY OF EACH
MONTH UNLESS NOTED OTHERWISE BELOW.
* BIO-MED WASTE SOLUTIONS, INC. AND CUSTOMER AGREE TO TERMS AND CONDITIONS ASSET
FORTH ON SEPARATE PAGE.
DESCRIPTION OF REGULATED MEDICAL WASTE TO BE REMPVED:
SHARPS CONTAINERS:
96 GALL -LOCKABLE CONTAINER ONE PER LOCATION FOR 9 LOCATIONS (SEE ATTACHED EXHIBIT A)
SMALL (2 CU. FT.)BOX:
LARGE (4 CU. FT.) BOX:
FREQUENCY (MIN. 13/YEAR):
ADDITIONAL BOXES:
BILLING RATE: $42.00 PER SERVICE
CUSTOMER: SIGNATURE
BOARD OF GOVERNORS FIRE AND AMBULAN DISTRICT 1 AND
BOARD OF COUNTY COAAI777
IIIR E C , FLORIDA
BIO-MED WASTE SOLUTIONS, INC. It it
MICHAEL REINSTEIN, PRESIDENT DATE
EFFECTIVE DATE: January 1, 2012
SERVICE AGREEMENT EXPIRES 12 MONTHS FROM EFFECTIVE DATE
I24HR PHONE:786-546-4739 M ROE COUNTY ATTORNEY 8201 NW 64th ST., #8
FAX:954-944-1977 RQV QA�T F M: MIAMI,FL33166
YNTHIA L. ALL
ASSISTANT C UNTY�TTORNEY Page 1 of
Date J�' �
BIO-MED WASTE SOLUTIONS, INC.
ENVIRONMENTALLY SOUND MEDICAL WASTE TREATMENT
SERVICE AGREEMENT TERMS AND CONDITIONS
1. CUSTOMER 1S RESPONSIBLE TO ENSURE THAT ALL REGULATED MEDICAL WASTE CONFORMS TO STATE OF FLORIDA
DEPARTMENT OF HEALTH RULES AND REGULATIONS AND THAT NO HAZARDOUS WASTE 1S MIXED WITH REGULATED
MEDICAL WASTE.•
2. 1F BIO-MED WASTE SOLUTIONS, INC. DETERMINES THAT HAZARDOUS WASTE HAS BEEN MIXED WITH REGULATED
MEDICAL WASTE THEN THE WASTE SHALL BE RETURNED TO CUSTOMER FOR PROPER DISPOSAL- MONTHLY PICKUP
FEES WILL STILL BE INCURRED BY CUSTOMER.
3. TRACKING/SHIPPING DOCUMENTS WILL BE PREPARED BY BIO-MED WASTE SOLUTIONS, INC. IN ACCORDANCE WITH
STATE OF FLORIDA DEPARTMENT OF HEALTH RULES AND REGULATIONS AND MAINTAINED FOR THREE YEARS.
4. BIO-ME❑ WASTE SOLUTIONS, INC. RESERVES THE RIGHT TO SUSPEND SERVICE IF INVOICES ARE NOT PAD WITHIN
30 DAYS OF DUE DATE.
5. CUSTOMER 1S RESPONSIBLE FOR ALL EQUIPMENT PLACED 1N SERVICE BY BIO-MED WASTE SOLUTIONS AND
ACCEPTS LIABILITY FOR THE EQUIPMENT AND CONTENTS UNTIL PICKED UP BY BIO-ME❑ WASTE SOLUTIONS, INC.
CUSTOMER AGREES TO DEFEND, INDEMNIFY AND HOLD HARMLESS 1310-MED WASTE SOLUTIONS, INC FROM ANY AND
ALL CLAIMS OF LOSS, DAMAGE OR INJURY ARISING FROM ANY MANNER OF USE OF EQUIPMENT PLACED IN USE UNDER
THIS AGREEMENT.-
S. BIO-MED WASTE SOLUTIONS, INC. SHALL INDEMNIFY AND HOLD HARMLESS CUSTOMER FROM ANY LIABILITIES
ARISING FROM THE NEGLIGENCE OR WILLFULL MISCONDUCT IN THE PERFORMANCE OF THIS AGREEMENT. CUSTOMER
WILL INDEMNIFY AND HOLD HARMLESS BIO-MED WASTE SOLUTIONS, INC. FROM ANY LIABILITIES ARISING FROM THE
NEGLIGENCE OR WILLFULL MISCONDUCT OF CUSTOMER INCLUDING BUT NOT LIMITED TO PROPER LABELING,
SEGREGATION AND PACKAGING OF MEDICAL WASTE.,
7. EACH PARTY AGREES TO PAY THEIR OWN ATTORNEY'S FEES AND COSTS 1F A SUIT 1S FILED BY CUSTOMER, BIO-MED
WASTE SOLUTIONS, INC OR THIRD PARTY, FOR ANY REASON WHATSOEVER.
8, ETHICS CLAUSE: COMPANY WARRANTS THAT HE/IT HAS NOT EMPLOYED, RETAINED OR OTHERWISE HAD ACT ON HIS/
ITS BEHALF ANY FORMER COUNTY OFFICER OR EMPLOYEE 1N 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, 1N ITS DISCRETION, DEDUCT FROM THE CONTRACT OR PURCHASE PRICE, OR OTHERWISE RECOVER,
THE FULL AMOUNT OF ANY FEE, COMMISSION, PERCENTAGE, GIFT, OR CONSIDERATION PAID TO THE FORMER COUNTY
OFFICER OR EMPLOYEE-
9- INSURANCE: WITHIN FIVE (5) DAYS OF EXECUTION OF THIS AGREEMENT BY BOTH PARTIES AND PRIOR TO
PERFORMANCE, COMPANY WILL PROVIDE PROOF OF INSURANCE IN THE FORM REQUIRED BY EXHIBIT B TO THIS
AGREEMENT_
CUSTOMER: SIGNATURE
BOARD OF GOVERNORS FIRE AND AMBULANCE DISTRICT 1 AND
BOARD OF COUNTY COMMISSIO RS OF N UN FLORIDA
BID IVIED WASTE SOLUTIONS, INC.
MICHAEL REINSTEIN, PRESIDENT DATE
24HR PHONE: 786-546-4739 8201 NW 64th ST., #8
FAX: 954-944-1977 M O N R O E COUNTY ATTORNEY M IAM I, FL 33165
APPROVEDAS TO FOR&
DYNTHIA L. HALL
ASSISTANT COU TY ATTORNEY
Date_. -.�• � r ,_.
Page 2 of 2
Locations included under Service Agreement
Key West Airport Station 7 (not monthly, put on "will call if needed")
3491 S. Roosevelt Blvd
Key Vest, FL 3 3 040
Stock Island Fire Station 8
6180 2nd Street (MM 5)
Key West, FL 33040
Big Coppitt Fire Station 9
28 Emerald Dr. (MM 10)
Key West, FL 33044
Cudjoe Fire Station 11
20950 Overseas Highway (MM 21)
Cudjoe Key, FL 33042
Big Pine Fire Station 13
390 Key Deer Blvd. (MM 30.5)
Big Pine Key, FL 33043
Trauma Star Hangar
10100 Overseas Highway
Marathon, FL 33050
Conch Key Fire Station 17
Trailer #3
2 N. Conch Ave (MM 63)
Conch Key, FL 33050
Layton Fire Station 18
68260 Overseas Highway (MM 68)
Layton, FL 33001
Tavernier Fire Station 22
151 Marine Ave. (MM 92)
Tavernier, FL 33070
EXHIBIT A /41-'k
2005 Edition
GENERAL LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
General Liability Insurance. Coverage shall be maintained throughout the life of the contract
and include, as a minimum:
• Premises Operations
• Products and Completed Operations
• Blanket Contractual Liability
• Personal Injury Liability
40 Expanded Definition of Property Damage
The minimum limits acceptable shall be:
$1,000,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$ 500,000 per Person
$ 1.000,000 per Occurrence
$ 100,000 Property Damage
An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its
provisions should include coverage for claims filed on or after the effective date of this contract.
In addition, the period for which claims may be reported should extend for a minimum of twelve
(12) months following the acceptance of work by the County.
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
GL3
Administration instruction
#7500
EXHIBIT B (Page 1 of 5)
2005 Edition
VEHICLE LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract requires the use of vehicles, the Contractor,
prior to the commencement of work, shall obtain Vehicle Liability Insurance. Coverage shall be
maintained throughout the life of the contract and include, as a minimum, liability coverage for:
Owned, Non -Owned, and Hired Vehicles
The minimum limits acceptable shall be:
$1,000,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$ 500,000 per Person
$1,000,000 per occurrence
$ 100,000 Property Damage
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
lA -
Administration Instruction
#7500
EXHIBIT B. (Page 2 of 5) U-
2005 Edition
HAZARDOUS CARGO TRANSPORTERS LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall purchase
Pollution Liability Insurance which extends to the hauling of toxic and hazardous material by
motorized vehicles. In compliance with the Motor Carrier Act, the policy should be endorsed
with an MCS-90 Endorsement, demonstrating financial responsibility for spills and clean-up.
Any pollution exclusion limiting coverage under this policy shall be removed.
The minimum limits acceptable shall be;
$ I ,000,000 per Occurrence
VLP3
Administration Instruction
#7500
L*O"'
EXHIBIT B (Page 3 of 5) 01
2005 Edition
WORKERS' COMPENSATION
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Workers' Compensation Insurance with limits sufficient to respond to the applicable state
statutes.
In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less
than:
$500,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$500,000 Bodily Injury by Disease, each employee
Coverage shall be maintained throughout the entire term of the contract.
Coverage shall be provided by a company or companies authorized to transact business in the
state of Florida.
If the Contractor has been approved by the Florida's Department of Labor, as an authorized self -
insurer, the County shall recognize and honor the Contractor's status. The Contractor may be
required to submit a Letter of Authorization issued by the Department of Labor and a Certificate
of Insurance, providing details on the Contractor's Excess Insurance Program.
If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required.
In addition, the Contractor may be required to submit updated financial statements from the fund
upon request from the County.
WC2
Administration Instruction
#7500
EXHIBIT B (Page 4 of 5) 01-001,
2005 Edition
MONROE COUNTY, FLORIDA
Request For Waiver
of
Insurance Requirements
It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, he
waived or modified on the following contract.
Contractor: 610.o,t��f VASfIC � t�G,
Contract for: Q l0 - %460 IGD,(,
Address of Contractor: r7 tot /`r W 64 4t .5�T- l �O
F4 co►r^4 � PL 15 166
Phone: 40+ 86. S*6 , 4q 3 1
Scope of Work: I.JA'S
Ate,% T/•oGATLor�
s� Ex�C.atr A .
Reason for Waiver:CJo�Cea,�S 40 fe_ 6x-40-0,MT wn1
5 c rl� :T, Ae"1 f r-V-
Policies Waiver
will apply to:
Signature of Contractor:
Risk Management
Date
At (cWA ce
Approved Not Approved
County Administrator appeal:
Approved:
Date:
Board of County Commissioners appeal:
Approved:
Meeting Date:
Not Approved:
Not Approved:
MONROE COUNTY, FLORIDA
Administration Instruction
#7500.1
9cNsZcr/J e eorac3lb
106
EXHIBIT B (Page 5 of 5)
8
04-27-2010
ALEX SINK STATE OF FLORIDA
CHIEF FIMU=AL OFFICER - DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF, WORKERS' COMPENSATION
i
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS* COMPENSATION LAIN
NON -CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE:
PERSON:
f 4fN
04/27/2010 EXPIRATION DATE: N/A
REINSTEIN MICHAEL N
270635814
BUSINESS NAME AND ADDRESS:
810 MED WASTE SOLUTIONS INC
8201 NMI 64TH ST #8
MIAMI FL 33166
SCOPES OF BUSINESS OR TRADE:
1- B Iv -HAZARD CLEANUP ( sa 14 )
IMPORTANT: Pursvont to Chapter 440 . 06414), F.S., on officer of a corporation who elects exemption from this chapter by filing a certificate of election under this
section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.06(12), F.S., Certificates of election to be exempt... apply only within the
scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.0503I, F.S., Notices of election to be exempt and caniflcates of
election to be exempt shell be subject to revocation if, at any time alter the filing of the notice or the isstmtce of the certificate, the person named on the notice or
certificate no longer meets the requirements of this section for Issuance of a`certificate. The department shelf revoke a certificate at any time for failure of the parson
named an the certificate to meet the requirements of this section.
QUESTIONS? 050) 41:
OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06
k
PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE
STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DMISION OF WORKERS` COMPENSATION _
1—MSTRUCTION INDUSTRY '
CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA
WORKERS! COMPENSATION LAW
EFFECTIVE: 04/27/2010 EXPIRATION DATE: N/A
PERSON: MICHAEL N REINSTEIN
FEIN: 270635814
BUSINESS NAME AND ADDRESS:
BIO MED WASTE SOLUTIONS INC
8201 NW 64TH ST t#8
MIAMI, FL 33166
SCOPE OF BUSINESS OR TRADE:
1- 810-HAZARD CLEANUP (9014)
F IMPORTANT
O Pursuant to Chapter 440.0504), F.S., an officer of a corporation who
L elects exemption from this chapter by filing a certificate of election
under this section may not recover benefits or compensation under th
D chapter.
H Pursuant to Chapter 440.05J12), F.S., Certificates of election to be
E exempt.. apply only within the scope of the business or trade listed
the notice of election to be exempt
R
E Pursuant to Chapter 440.05t13i, F.S., Notices of election to be exsmp
and certificates of election to be exempt shall be subject to revocati
if, at any time after the filing of the notice or the issuance of the
certificate, the person named on the notice or certificate no longer n
the requirements of this section for issuance of a certificate. The
department shall revoke a certificate at any time for failure of the
person named on the certificate to meet the requirements of this
section.
CUT HERE
QUESTIONS? 0501 413 11
* Carry bottom portion on the Job, keep upper portion for your records,,
OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06
BIOMEDWA-1 JKC
FLORIDA PERSONAL AUTO INSURANCE
IDENTIFICATION CARD
COMPANY: State National Insurance Compat
POLICY #: CW110176 DATE TI E 12/12/2011
YEAR:2010 MAKE/ Ford Van
MODEL:
VEHICLE ID #: NMOKS9AN3AT023450
PERSONAL IN,ILIRY PROTECTION BODILY INJURY
BENEFITS 1 PROPERTY DAMAGE LIABILITY FRILIABILITY
Blo-Med Waste Solutions, Inc.
NAMED 8201 NW 64th Street, #8
INSURED: Miami,FL 33166
ADDRESS:
(OPTIONAL)
NOT VALID FOR MORE THAN ONE YEAR FROM EFFECTIVE DATE
THIS CARD MUST BE KEPT IN THE INSURED
VEHICLE AND PRESENTED UPON DEMAND
IN CASE OF ACCIDENT: Report all accidents to your
Agent/Company as soon as possible. Obtain the
following information:
1. Name and address of each driver, passenger
and witness.
2. Name of Insurance Company and policy number
for each vehicle involved.
Rental car coverage is provided, see outline of coverage.
MISREPRESENTATION OF INSURANCE IS A FIRST DEGREE MISDEMEANOR
ACORD 50 FL (2008l02) m 1994 2008 ACORD CORPORATION. All rights reserved,
BIOMEDWA-1 JKC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
1 1211412011
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 pollcy(les) 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 Ileu of such endorsement(s).
PRODUCER
Exclusive Programs, Inc.
www.excluslveprvgrams.comE-MAIL
PO Box 29-4170
Boca Ration, FL 33429-4170
CONTACT
NAME:
�CN[Vv Egg: FAX
Na
ADDRESS:
INSURER AFFORDING COVERAGE
NAIC #
INSURER A : Landmark American insurance Company
INSURED Bio-Med Waste Solutions, Inc.
8201 NW 64th Street
Miami, FL 33166-
INSURER B :State National insurance Com n
INSURER C :
INSURER D
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
ILTR
TYPE OF INSURANCE
POLICY NUMBER
MMID�IYYYYY
MMID�IIYYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE FX OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICYF-] PRO-F LOC
JECT
LBA127376
8/11/2011
8/11/2012
EACH OCCURRENCE
19000,000
O RENTEff-$
DAMAGT Ea occurrence
PREMISES
100,000
MED EXP (Any one person)
$ 50000
PERSONAL. & ADV INJURY
$ 11000,000
GENERAL AGGREGATE
$ 2009000
PRODUCTS- COMP/OP AGG
$ 2100000
$
B
AUTOMOBILE LIABILITY
ANY AUTO
ALL. OWNED X SCHEDULED
AUTOS AUTOS
NON-OWNED
X HIREDAUTOS rAUTOS
0 �
CWI10176
12/12/2011
12/12/2012
COMBINED SINGLE LIMIT
Ea accident
$ 000 000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAR
EXCESS L1AB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DED RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y 1 N
ANY PROPRIETOR/PARTNERIEXECUi1VE ❑
OFFICERMEMBER EXCLUDED?
(Mandatory In NH)
If yyes describe under
❑ESG�RIPTION OF OPERATIONS below
NIA
WC STATU- JOTH.
TORY LIMITS ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
Coverage includes Errors & Omissions coverage with a limit of $1,000,000 per act / $2,0001000 aggregate.
CERTIFICATE HOLDER CANCELLATION
Bio-Med Waste Solutions, Inc.
8201 NW 64th Street
Miami, FL 33166-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD
BIOM E DWA-'1 JKC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
1 1211412011
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 pollcy(les) 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
Exclusive Programs, Inc.
www.excluslveprograms.com
PO Box 29-4170
Boca Ration, FL 33429-4170
ACT
NAME:
HNEx : FAX
ADDRESS:
INSURER AFFORDING COVERAGE
NAIL #
INSURER A: Landmark American insurance Company
INSURED Bio-Med Waste Solutions, Inc.
8201 NW 64th Street
Miami, FL 33166-
INSURER B :State National insurance Company
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
1LTR
TYPE OF INSURANCE
POLICY NUMBER
MMIDDIYYYY
MMID�YIYYYY
LIMITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE F_X] OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICYF__] PRO- LOC
JECT
LBA127376
8/11/2011
8/11/2012
EACH OCCURRENCE
$ 1 t000,o00
DAMAGE- TO RENTED PREMISES Ea occurrence
100,000
ME❑ EXP (Any one person)
$ 5100
PERSONAL & ADV INJURY
$ 19000,000
GENERAL AGGREGATE
$ 29000,000
PRODUCTS - COMP/OP AGG
$ 21000000
$
B
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED X SCHEDULED
AUTOS AUTOS
X HIREDAUTOS X NON -OWNED
AUTOS
CW110176
12/12/2011
12/12/2012
COMBINED SINGLE LIMIT
Ea accident
$ 11000100
BODILY INJURY (Per person)
$
BODILY INJURY (Per acddent)
$
PROPER DAMAGE
Per accident
$
S
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
DE❑ RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y 1 N
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICERMEMBER EXCLUDED?
(Mandatory in NH)
if yyes describe under
❑ANIPTION OF OPERATIONS below
N r A
WC STATU- OTH-
TORY LIMITS ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE- POLICY LIMIT
$
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required)
Proof of Coverage
CERTIFICATE HOLDER CANCELLATION
Florida Department of Environmental
Protection
2600 Blair Stone Rd, MS 4560
Tallahassee, FL 32399-2400
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
r
@ 'I 988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
BIOMEDWA-1 JKC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM1D DIYYYY)
12/14/2011
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 pollcy(les) 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
Exclusive Programs, Inc.
rams.com
www.exclusiveprograms.com
g
PO Box 29-4170
Boca Raton, FL 33429-4170
CONTACT
NAME:
�� NFAX
o x : E(A/C No :
ADDRESS:
INSURER AFFORDING COVERAGE
NAIC #
INSURER A : Landmark American insurance Company
INSURED Blo-Med Waste Solutions, Inc.
8201 NW 64th Street
Miami, FL 33166-
INSURER B :State National insurance Cornn
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
ILTR
TYPE OF INSURANCE
D LSUBR
POLICY NUMBER
MMI��IIYYYYY
POLICY
LIMITS
A
GENERAL LIABILITY
x COMMERCIAL GENERAL LABILITY
CLAIMS -MADE F_x1OCCUR
riGENERA!
GEITL AGGREGATE LIMIT APPLIES PER:
�( POLICY 0PRO-JECT F__] LOC
X
LBA127375
8/11/2011
8111/2012
EACH OCCURRENCE
$ 11000,000
DAMAGE TO RENTEEF- PREMISES Ea occurrence
$ 00,000
ME❑ EXP (Any one person)
$ 51000
PERSONAL & ADV INJURY
$ 11000,000
AGGREGATE
$ 290009000
PRODUCTS-COMPIOP AGG
$ 2,000000
$
B
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED x SCHEDULED
AUTOS AUTOS
x HIREDAUTOS x NON -OWNED
AUTOS
CVVI10176
12/12/2011
12/12/2012
COMBINED SINGLE LIMIT
Ea accident
$ 11000,000
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
❑E❑ I I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y 1 N
ANY PROPRIETOR/PARTNER/EXECUTIVE D
OFFICERMEMBER EXCLUDED?
(Mandatory In NH)
If yyes describe under
DESCRIPTION OF OPERATIONS below
N 1 A
WC STATU- OTH-
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Add Mona I Remarks Schedule, if more space is required)
Certificate holder is listed as additional insured as their interest may appear.
CERTIFICATE HOLDER CANCELLATION
Monroe Cty. Board of Cty. Commissioners
1100 Simonton Street
Key West, FL 33040-
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
r
C 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
Hover -Susan
From: Melissa Romano < info@safewaste-fl.com >
Sent: Tuesday, December 06, 2011 1:44 PM
To: Hover -Susan
Subject: Re: Quote for biomedical waste services
Hello Susan,
Thank you for your email and yes we would like to quote you for services to the Fire Stations listed
below.
We propose pricing fora 96 gallon container with liner at $44.00 each per exchange. This includes
disposal fees. We have no fuel charges or any delivery fees.
I do have a couple questions regarding services:
1. When does the contract start?
2. How long is the contract for?
3. Are the exchanges monthly for each station, except station 7?
4. How many containers are there per station?
Thank you again for considering Safewaste of Florida for your biomedical waste needs. We would be
happy to be of service to you.
Have a great day,
Melissa Romano
Melissa H. Romano
Safewaste of Florida, LLC
Phone 365-654-3555
Fax 305-654-3552
m . ro ma noa,safewaste-f I . co m
From: Hover -Susan <Hover-Susan-(6- onroecounty-fl.gov�
To: '" info[�]a safewaste-fl. com"' <i nfoasafewaste-fl . co m>
Sent: Friday, December 2, 2011 4:04 PM
Subject: Request Quote
It's time to re -negotiate our contract for bio-medical waste pickup for our fire stations. We are required to
obtain 3 quotes and then use the lowest. Please provide an updated quote for
the service of bio-medical waste pickup and disposal monthly, using 96-gallon plastic containers with liners, for
9 fire station locations in the Florida Keys as follows:
Key West Airport Station 7 (not monthly, put on "will call if needed")
3491 S. Roosevelt Blvd
Ivey West, FL 3 3 040
Stock Island Fire Station 8
6180 2°d Street (MM 5)
Key West, FL 33040
Big Coppitt Fire Station 9
28 Emerald Dr. (MM 10)
Key West, FL 33044
Cudjoe Fire Station 11
20950 Overseas Highway (MM 21)
Cudjoe Key, FL 33042
Big Pine Fire Station 13
390 Key Deer Blvd. (MM 30.5)
Big Pine Key, FL 33043
Trauma Star Hangar
10100 overseas Highway
Marathon, FL 33050
Conch Key Fire Station 17
Trailer #3
3 N. Conch Ave (MM 63)
Conch Key, FL 33050
Layton Fire Station 18
68260 Overseas Highway (MM 68)
Layton, FL 33001
Tavernier Fire Station 22
151 Marine Ave. (MM 92)
Tavernier, FL 33070
Susan Hover
Executive Assistant 1�rnergen.cy Services
490 6) Street ocean, Suite 1,40
Marathon, FL 33050
hover-s-u san@monroeco«zty-ll .gov
(.305) 289-6088 Phone
(305) 289-6007 Fax
"The grand essentials of happiness are: something to do, something to love, and somethingy to ho p e jbr. " Allan K ("hahners
Susan Hover
.Executive Assistant Emergency Services
490 63 rd Street Ocean, Suite 140
Hover -Susan
From: Mileydis Guerra < medwasteremoval@yahoo.com >
Sent: Tuesday, December 06, 2011 5:24 PM
To: Hover -Susan
Subject: Re: Quote for Bio- Medical Waste Pickup - Monroe County Fire Stations
Dear Susan Hover,
Bio Response Corp. gave us your information to quote you for the service of bio-medical waste pickup and
disposal monthly.
- 96 Gallon Plastic containers with liners - $45.00
for 9 fire stations located in the Florida Keys.
There will be no hidden fees, we will only charge you for the pickup of the 96-gallon container with liner
which we will replace with a new 96-gallon container with liner at no extra charge. There will also be no extra
charge for fuel. The price will not change or vary it will be a flat $45.00 rate of each 96-gallon container.
Some of the companys we provide service to are:
Bio Response, Corp.
7351 NW 7 St #U
Miami, FL 33126
786-252-5207
Monroe County Sheriffs office
5501 College Road
Key West, FL 33040
705-760-8640
City of Hialeah Rescue Division
93 E 5 St Stations 1-8
Hialeah, FL 3 3 010
305-883-6983
Police Busines Managment Section
5555 E 8 Ave
Hialeah, FL 33013
3 05-810-9629
If you have any further questions for me please contact me via a -mail or by phone which ever you prefer. We
have a 24hr call center if you need us. We are also licensed to clean crime scenes and we are experienced. You
may also view our web site at WWW.MEDWASTESERVICE.COM.
Sincerely,
Agui Chevere
Med Waste Removal Services, Inc.
10705 SW 216 St
.. B & D Biomedical Waste Services
Serving the entire state of Florida
�,■h� P.O. Box 1309 Toll free: 866-998-2644
Okeechobee, F134973 Phone: 863-763-3259 Fax: 863-763-2253
bd-biowaste@yahoo.com
Dear: Susan Hover Emergency Services
Thank you for the opportunity to send you this quote for your biomedical waste disposal needs.
The following is the price list that we offer to all your facilities:
This bid is for the services of biomedical waste pickup and disposal monthly, using
96 gallon plastic containers with red liners (1) container per location and there are
9 fire stations located in the Florida Keys. (1) location Key West Airport Station 7 WIC
P/LT & Disposal of each 96 gallon container ............................... $44900
This price is a flat fee price of $44.00 per month per station for each 96 gallon container.
• Diesel Fuel Surcharge (per stop) Overweight charge or extra pick-up fees..... $0.00
Our Website: www.bdbiowaste.com
Sincerely,
Director of Sales
Please visit www.doh.state.fl.us/envi*romnenticommuni*t3 /blomedlcalllndex.html for the Florida
Administrative Codes on disposal of biomedical waste.
BIO-MEN WASTE SOLUTIONS, INC.
ENVIRONMENTALLY SOUND MEDICAL WASTE TRFAEI�I��
SERVICE AGREEMENT CNu
CUSTOMER NAME: BOARD OF GOVERNORS BILLING INFORMATION IF DIFFERENT
FIRE AND AMBULANCE DIST. 1, MONROE CTY. FIRE RESCUE
ADDRESS:
490 63rd STREET, OCEAN
CITY, ST, ZIP:
MARATHON, FL 33050
PHONE:
305-289-6088
FAX:
305-289-6007
E-MAIL:
HOVER-SUSAN @MONROECOUNTYFL.GOV
CONTACT:
SUSAN HOVER
SCOPE OF SERVICES:
ADDRESS:
CITY, ST, ZI P:
PHONE:
FAX:
E-MAIL:
CONTACT:
* BIO-ME❑ WILL PROVIDE PICKUP, TRANSPORT, TREATMENT AND DISPOSAL OF REGULATED MEDICAL
WASTE IN ACCORDANCE WITH STATE OF FLORIDA DEPARTMENT OF HEALTH RULES AND REGULATIONS.
* CUSTOMER WILL PAY MONTHLY RATE AS SET FORTH BELOW BY THE 10th CALENDAR DAY OF EACH
MONTH UNLESS NOTED OTHERWISE BELOW.
* BIO-ME❑ WASTE SOLUTIONS, INC. AND CUSTOMER AGREE TO TERMS AND CONDITIONS AS SET
FORTH ON SEPARATE PAGE.
DESCRIPTION OF REGULATED MEDICAL WASTE TO BE REMOVED:
SHARPS CONTAINERS:
96 gal. lockable container ONE PER LOCATION FOR 8 LOCATIONS (SEE ATTACHED EXHIBIT "A'")
SMALL (2 CU. FT.)BOX: ONE
LARGE (4 CU. FT.) BOX:
FREQUENCY (MIN. 13/YEAR): EVERY 4 WEEKS
ADDITIONAL BOXES:
BILLING RATE: $42.00 PER SERVICE
CUSTOMER: SIGNATURE
PRINT NAME DATE
BIO-M ED WASTE SOLUTIONS INC. M ICHAEL. NEIL. REINSTEIN, PRESIDENT 12/9/11
MICHAEL NEIL REINSTEIN, PRESIDENT DATE
EFFECTIVE DATE: JAN. 11 2012
SERVICE AGREEMENT EXPIRES 12 MONTHS FROM EFFECTIVE DATE
I24HR PHONE: 786-546-4739 j
I 8201 NW 64th ST., #8I
FAX: 954-944-1977 MIAMI, FL 33166