11/20/2012 AgreementDANNY L. KOLHA GE
CLERK OF THE CIRCUIT COURT
DATE: February 14, 2013
TO: Dent Pierce, Director
Public Works Division
ATTN. Beth Leto, Assistant Director
Public Works Division
FROM. Pamela G. Hancock, 1(k
At the November 20, 2012, Board of County Commissioner's meeting, the Board granted
approval and authorized execution of Item F31 a Contract with Haskins Plumbing to replace the
main sewer line at the Key West Library, in the amount of $15,400.00. The work will be funded
from the Facilities Maintenance budget.
Enclosed are two duplicates original of the above - mentioned for your handling. Should
you have any questions, please do not hesitate to contact this office.
cc: County Attorney w/o document
Finance
File
AGREEMENT BETWEEN MONROE COUNTY
AND HASKINS PLUMBING
This Agreement is made and entered into this 20t& day of �� , 2012,
between MONROE COUNTY ( "COUNTY"), a political subdivision of the State of Florida, whose
address is 1100 Simonton Street, Key West, Florida 33040, and HASKINS PLUMBING, INC.,
( "CONTRACTOR "), a Florida Corporation, whose address is 17088 Flying Fish Lane, Sugarloaf Key,
Florida 33040.
WHEREAS, it is in the public interest to remodel plumbing in several areas in and around the Key West
Library; and
WHEREAS, COUNTY desires to employ a professional plumber to accomplish the work at the Key
West Library; and
WHEREAS, CONTRACTOR has agreed to provide professional plumbing services labor and materials,
which services shall collectively be referred to as the "Project ";
IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed as follows:
ARTICLE 1
The Contract Documents
The Contract Documents consist of this Agreement, also referred to as the Contract, the video made by
CONTRACTOR prior to this Agreement and Modifications issued after execution of this Agreement as
approved by the COUNTY. The Contract represents the entire agreement between the parties hereto and
supersedes prior negotiations, representations or agreements, either written or oral.
ARTICLE 2
The Work of this Contract
2.1 The CONTRACTOR shall furnish materials and labor necessary to complete the following work:
The Work shall include relocating sewer lines at the Key West Library. New lines shall be excavated and
rerouted so that they run outside the building; the lines will cut into or under the existing building only at
two of the three points of connection to the existing plumbing, if necessary. The location of all points of
connection to existing plumbing and to the new main line shall be the responsibility of the
CONTRACTOR. It is anticipated that the first point of connection will be near the present break room
(kitchen) and staff bathroom, this connection will be connected to an existing cast iron line. It is
anticipated that the second connection will be made near the existing public bathrooms. The new line will
connect to existing PVC lines at the existing public bathrooms. It is anticipated that the third connection
will be near the Auditorium bathrooms; the CONTRACTOR will locate the existing line and connect to
existing cast iron line. In addition, a new main sewer line will be excavated and relocated outside the
building in the driveway area; it will run down the back of the building going toward Elizabeth Street and
will connect to a new sewer clean -out to be installed by the City of Key West. Clean-outs on all lines
provided by CONTRACTOR will be installed every 50', or per code. New lines will be made of 4 inch
PVC piping to be installed at all building connections/lines and used for all pipes rerouted outside
building. CONTRACTOR will replace all disturbed brick, concrete, tile, dirt and backfill around the
piping with sheet rock, will level or remove excess fill from the site. The site of excavations shall be left
in substantially the same condition as they were prior to the beginning of the Work.
2.2 The CONTRACTOR shall be responsible for cutting, fitting or patching required to complete the
Work or to make its parts fit together properly and without leakage; and shall also provide protection of
existing plumbing in areas related peripherally to the work. Contractor will be responsible for
performance of all tests, paying for permits, and calling for inspections on all sewer lines and
connections.
23 The CONTRACTOR agrees that he has carefully examined the site and has made investigations
to fully satisfy himself that the site is suitable for the work and assumes full responsibility for his work.
2.4 The CONTRACTOR shall, without additional compensation, promptly correct any errors,
omissions, deficiencies, damage to underground lines or conflicts in the work product of the
CONTRACTOR or its subcontractors, or both.
2.5 All material and labor under this agreement is guaranteed to be appropriate for the task and
application as used; and all the work shall be performed in a workmanlike manner consistent with the
standards of the industry.
2.6 The CONTRACTOR shall keep the premises and surrounding area free from accumulation of
waste materials or rubbish caused by its operations. At completion of the Work the CONTRACTOR
shall remove from and about the project waste materials rubbish, the CONTRACTOR's tools,
construction equipment, machinery and surplus materials. Clean up shall be performed to the satisfaction
of the COUNTY or Public Works. If the CONTRACTOR fails to clean up as provided in the Contract
Documents, Project Management may do so with the COUNTY's approval and the cost thereof shall be
charged to the CONTRACTOR.
2.7 The CONTRACTOR recognizes and agrees that the site is a working library open to the public
and will provide all necessary safety banners, signage and safety constraints as necessary and required for
public safety.
2.8 The CONTRACTOR shall provide the COUNTY, Building Maintenance Administrator, and
County Plumbing Foreman, access to the Work in preparation and progress wherever located.
29 The CONTRACTOR shall assign only qualified and, when required by law or ordinance licensed,
personnel to perform any service concerning the project and shall provide the names of all subcontractors
and copies of their licenses, where licenses are required by statute, code, or ordinance.
ARTICLE 3
Date of Commencement
3.1 CONTRACTOR shall be responsible for applying for, paying for, and obtaining a permit for the
Work. CONTRACTOR shall notify City of Key West and its CONTRACTOR that application for a
permit has been submitted.
3.2 The date of commencement shall be 48 hours after completion of sewer box relocation by the
City of Key West and/or its contractor, expected to be OMI. Therefore, it is the responsibility of the
CONTRACTOR to contact the City to determine when the City's sewer box is installed. The
CONTRACTOR shall notify the COUNTY, through James Bruce at Public Works, not less than 12 hours
before commencing the Work. The date of commencement shall be the date specified in the Notice to
Proceed, issued to the CONTRACTOR.
3.3 Time is of the essence. The CONTRACTOR shall achieve Substantial Completion of the system
installation and testing, not later than Thirty (30) Days after the Date of Commencement.
3.4 The CONTRACTOR shall, without additional compensation, promptly call for inspections at the
completion of the project.
ARTICLE 4
Contract Sum
4.1 The COUNTY shall pay the CONTRACTOR in current funds for the CONTRACTOR's
performance of the Contract the Contract, the total lump sum of Fifteen Thousand Four Hundred
Dollars and no/cents ($15,400.00). There shall be no reimbursable expenses paid under this Agreement.
All expenses are paid for in the contract price.
ARTICLE 5
Payments to Contractor
5.1 Final payment, constituting the one entire lump sum, under the Contract, shall be made by the
COUNTY to the CONTRACTOR when (1) the Contract has been fully performed by the
CONTRACTOR including the its responsibility to correct nonconforming work and to satisfy other
requirements, if any, which necessarily survive final payment, and (2) a final approval for payment has
been issued by the Director of Public Works.
5.2 Upon completion of the work, the CONTRACTOR shall submit invoices with supporting
documentation approved by the County and acceptable to the Clerk. Acceptability to the Clerk is based on
approval by the county and accepted accounting principles and such laws, rules and regulations as may
govern the Clerk's disbursal of funds.
53 COUNTY shall pay in accordance with the Florida Local Government Prompt Payment Act;
payment will be made after delivery and inspection by COUNTY and upon submission of invoice by
CONTRACTOR.
5.4. COUNTY'S performance and obligation to pay under this agreement, is contingent upon annual
appropriation by the Board of County Commissioners.
ARTICLE 6
NOTICE
6.1 Any notices sent by the parties shall be deemed to have been duly served if delivered in person
to the individuals and addresses listed below, or if delivered or sent by first class mail, certified, return
receipt, or by courier with proof of delivery. All written correspondence to the County shall be dated and
signed by an authorized representative of the CONTRACTOR. The correspondence shall be directed to:
Director of Public Works and: County Administrator
Historic Gato Building Historic Gato Building
1100 Simonton Street, Room 2 -216 1100 Simonton Street, Room 2 -205
Key West, Florida 33040 Key West, Florida 33040
Notice to the CONTRACTOR shall be delivered to:
HASKINS PLUMBING, INC.
17088 Flying Fish Lane
Sugarloaf Key, Florida 33040
3
ARTICLE 7
COUNTY'S RESPONSIBILITIES
7.1 County shall designate a representative to act on the County's behalf with respect to the Project.
The County or its representative shall render decisions in a timely manner pertaining to documents
submitted by the CONTRACTOR. Extension of time shall be the sole remedy under this Agreement for
delay and shall be granted when necessary. There shall be no damages for delay under this contract.
7.2 Prompt written notice shall be given by County through its representative to CONTRACTOR if
County becomes aware of any fault or defect in the Project or non - conformance with the Agreement
Documents. Written notice shall be deemed to have been duly served if sent pursuant to paragraph 6.1.
7.3 The County's review of any documents prepared by the CONTRACTOR or its subcontractors
shall be solely for the purpose of determining whether such documents are generally consistent with the
County's criteria. No review of such documents shall relieve the CONTRACTOR of responsibility for the
accuracy, adequacy, fitness, suitability or coordination of its work product.
7.5 Information requested by CONTRACTOR that may be of assistance to the CONTRACTOR and
to which the County has immediate access will be provided as requested. Both parties recognize that the
County does not have recent surveys of the plumbing, and are relying primarily on the video provided by
the CONTRACTOR.
ARTICLE 8
Termination or Suspension
8.1 The Contract may be terminated by the COUNTY, in its discretion, if the COUNTY determines
that the CONTRACTOR has breached this AGREEMENT.
ARTICLE 9
INSURANCE
9.1 The CONTRACTOR shall obtain insurance as specified and maintain the required
insurance at all times that this Agreement is in effect. In the event the completion of the project (to
include the work of others) is delayed or suspended as a result of the CONTRACTOR's failure to
purchase or maintain the required insurance, the CONTRACTOR shall indemnify the County from any
and all increased expenses resulting from such delay. The Monroe County Board of County
Commissioners shall be named as Additional Insured on all policies issued to satisfy the above
requirements.
9.2 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.
Notwithstanding the provisions in Article 10, the COUNTY may immediately treat the CONTRACTOR
in default if the CONTRACTOR fails to maintain insurance as required herein.
The insurance certificate shall contain an endorsement providing thirty (30) days notice to the County
prior to any cancellation of said coverage. Said coverage shall be written by an insurer acceptable to the
County and shall be in a form acceptable to the County.
9.3 CONTRACTOR shall obtain and maintain the following policies Workers Compensation, General
Liability and Vehicle Liability in the amounts set forth in Composite Exhibit "A ".
4
ARTICLE 10
Miscellaneous Provisions
10.1 The following items are included in this contract:
a) Contractor shall maintain all books, records, and documents directly pertinent to performance
under this Agreement in accordance with generally accepted accounting principles consistently applied.
Each party to this Agreement or their authorized representatives shall have reasonable and timely access
to such records of each other party to this Agreement for public records purposes during the term of the
Agreement and for four years following the termination of this Agreement. If an auditor employed by the
County or Clerk determines that monies paid to Contractor pursuant to this Agreement were spent for
purposes not authorized by this Agreement, the Contractor shall repay the monies together with interest
calculated pursuant to Sec. 55.03, FS, running from the date the monies were paid to Contractor.
b) 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. In the event that any cause of action or administrative proceeding is
instituted for the enforcement or interpretation of this Agreement, the County and Contractor agree that
venue shall lie in the appropriate court or before the appropriate administrative body in Monroe County,
Florida. The Parties waive their rights to trial by jury. The County and Contractor agree that, in the event
of conflicting interpretations of the terms or a term of this Agreement by or between any of them the issue
shall be submitted to mediation prior to the institution of any other administrative or legal proceeding.
c) 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 by by a
court of competent jurisdiction, the remaining terms, covenants, conditions and provisions of this
Agreement, shall not be affected; 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 Contractor 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.
d) Attorney's Fees and Costs. The County and Contractor 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 and
court costs as an award against the non - prevailing party, and shall include attorney's fees and courts costs
in appellate proceedings.
e) Binding Effect. The terms, covenants, conditions, and provisions of this Agreement shall bind
and inure to the benefit of the County and Contractor and their respective legal representatives,
successors, and assigns.
f) Authority. Each party represents and warrants to the other that the execution, delivery and
performance of this Agreement have been duly authorized by all necessary County and corporate action,
as required by law. Each party agrees that it has had ample opportunity to submit this Contract to legal
counsel of its choice and enters into this agreement freely, voluntarily and with advice of counsel.
g) Adjudication of Disputes or Disagreements. County and Contractor agree that all disputes and
disagreements shall be attempted to be resolved by meet and confer sessions between representatives of
5
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 is not subject to arbitration.
j) Nondiscrimination. County and Contractor agree that there will be no discrimination against
any person as defined by law, 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 Contractor
agree to comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to
nondiscrimination. The County and Contractor and subcontractors shall not discriminate on the basis of
race, color, national origin or sex in award and performance of contracts, entered pursuant to this
Agreement.
k) Covenant of No Interest. County and Contractor 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.
1) 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.
m) No Solicitation/Payment. The County and Contractor 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 Contractor 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.
n) Public Access. The County and Contractor 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 Contractor in
conjunction with this Agreement; and the County shall have the right to unilaterally cancel this
Agreement upon violation of this provision by Contractor.
o) Non - Waiver of Immunity. Notwithstanding the provisions of Sec. 286.28, Florida Statutes,
the participation of the Contractor and the County 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.
p) 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.
q) Legal Obligations and Responsibilities: 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 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.
r) 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 Contractor agree that
neither the County nor the Contractor 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.
s) Attestations. Contractor 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.
t) 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.
v) Hold Harmless and Indemnification. Notwithstanding any minimum insurance requirements
prescribed elsewhere in this agreement, the Contractor covenants and agrees that he shall indemnify and
hold the COUNTY and the COUNTY's elected and appointed officers and employees harmless from and
against (i) claims, actions or causes of action, (ii) litigation, administrative proceedings, appellate
proceedings, or other proceedings relating to any type of injury (including death), loss, damage, fine,
penalty or business interruption, and (iii) costs or expenses that may be asserted against, initiated with
respect to, or sustained by the County and the COUNTY's elected and appointed officers and employees
from liabilities damages, losses and costs, including but not limited to, reasonable attorney's fees, to the
extent caused by the negligence, recklessness, or intentional wrongful misconduct of the Contractor and
persons employed or utilized by the indemnifying party in the performance of the construction contract.
The monetary limitation of liability under this contract shall be not less than $1 million per occurrence
pursuant to F. S. 725.06. Insofar as the claims, actions, causes of action, litigation, proceedings, costs or
expenses relate to events or circumstances that occur during the term of this Agreement, this section will
survive the expiration of the term of this Agreement or any earlier termination of this Agreement.
In the event the completion of the project (including the work of others) is delayed or suspended as a
result of the Contractor's failure to purchase or maintain the required insurance, the Contractor shall
indemnify the County from any and all increased expenses resulting from such delay.
The first ten dollars ($10.00) of remuneration paid to the Contractor is for the indemnification provided
for above. The extent of liability is in no way limited to, reduced, or lessened by the insurance
requirements contained elsewhere within this agreement.
7
v) 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.
w) Disadvantaged Business Enterprise (DBE) Policy and Obligation. It is the policy of the
County that DBE's, as defined in C.F.R. Part 26, as amended, shall have the opportunity to participate in
the performance of contracts financed in whole or in part with County funds under this agreement. The
DBE requirements of applicable federal and state laws and regulations apply to this Agreement.
x) Agreements with Subcontractors. In the event that the Contractor subcontracts any or all of the
work in this project to any third party, the Contractor specifically agrees to identify the COUNTY as an
additional insured on all insurance policies required by the County. In addition, the Contractor
specifically agrees that all agreements or contracts of any nature with his subcontractors shall include the
COUNTY as additional insureds.
y) 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.
IN WITNESS WHEREOF, each party has caused this Agreement to be executed by its duly authorized
representative on the day and year first above written.
(SEAL) AMY IEAVILIN, Clerk BOARD OF COUNTY COMMISSIONERS OF
A t:-onroe Co, my Clerk o Courts MONROE COUNTY, FLORIDA
B A'S —'44 By:
Deputy Clerk Mayo ai
MONROE COUNTY ATTORNEY
For HASKINP PLUMBING, Inc. APPROVED AS TO F
BY: 14 °
NATILEENE W. CA
Print Nam ASSISTANT COUNTY ATTEY r "
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STATE OF FLORIDA - -,
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COUNTY OF MONK r
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On this \R� day, of r�L R , 2012, before me, the undersigned notary public, personaliy
appeared 3 known
o
, to me to be the person whose name is subscribed`Love
and acknowledged that he/she is the person who executed the above Contract with Monroe County with
Haskins Plumbing, Inc.
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NOTARY PUBLIC
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2011 Edition
WORKERS' COMPENSATION
INSURANCE REQUHU MENTS
CONTRACT FOR
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Workers' Compensation Insurance with limits sufficient to respond to Florida Statute 440.
In addition, the Contractor shall obtain Employ
than: ers' Liability Insurance with limits of not less
$100,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$100,000 Bodily Injury by Disease, each employee
Coverage shall be maintained throughout the entire term of the contract.
Coverage shall be provided by a company or companies authorized to transact business iri the
state of Florida.
If the Contractor has been approved by the Florida's Department of Labor, as an authorized self -
insurt+er, the County shall recognize and honor the Contractor's status. The Contractor maybe
required to submit a Letter of Authorization issued by the Department of Labor and a Cert ate
ific
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.
WCl
Com pvs,+
Administration Instruction
2011 Edition
GENERAL LIABILITY
INSURANCE REQUIREMENTS
CONTRACT FOR
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
• Expanded Definition of property Damage
The minimum limits acceptable shall be:
$300,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$200,000 per person
$300,000 per Occurrence
$ 200 Property Damage
An Occurrence Form policy is preferred. If coverage is provided on a Claims Made li i
Provisions should include coverage for claims filed on or after the effective date of this contract.
In addition, the period for which claims may be reported should extend for a minimum of twelve
(12) months following the acceptance of work by the County.
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
GL1
Administration Instruction
53
2011 EdW=
VESICLE LIABILITY
INSURANCE REQUIREMENTS
CONTRACT FOR
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract requires the use of vehicles, the Contractor,
prior to the commencement of work, shall obtain Vehicle Liability Insurance. Coverage shall be
maintained throughout the life of the contract and include, as a minimum, liability coverage for.
• Owned, Non - Owned, and Hired Vehicles
The minimum limits acceptable shall be:
$100,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$ 50,000 per Person
$100,000 per Occurrence
S 25,000 Property Damage
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
THE USE OF THIS FORM SHOULD BE LIMITED TO SPECIAL PROJECTS THAT
INVOLVE OTHER GOVERNMENTAL, ENTITIES OR "NOT FOR PROFTT"
ORGANIZATIONS. RISK MANAGMENT MUST APPROVE THE USE OF THIS
FORM. VLl
Administrmion Inuruction VL1
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CERTIFICATE OF LIABILITY INSURANCE R045
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THIS CERTIFICATEIS 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 SUBROGATIONIS 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 andorsament(s).
rRODUCM
PAYCHEX INSURANCE AGENCY INC
210705 P:()- F:(888)443-6112
PO BOX 33015
SAN ANTONIO TX 78265
MVICT
PHONE FAX
IMCN (888) 443 -611
ADDRESS
INSURERISI AFFORDING COVERAGE NAIC 0
INSURER A; Twin City Fire Ina Co
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HASKINS PLUMBING INC
17088 FLYING FISH LN
SUMMERLAND KEY FL 33042
INSURER B :
INSURER c
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INSURER E
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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 ISSUES) 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.
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76 W80 TR9778
05/04/2012
05/04/2013
E.L. EACH ACCIDENT
1 100, 000
EL DISEASE - EA EMPLOY
1 100 000
II
N OF OPERATIONS below
I
E.L. DISEASE - POUCY UMIT
I 1 Soo , 000
0 E
IErpplMlpN OF0/1°RA7fOlMJN /LOGTA7Rl / YENMIES /AfreaA ACOAD fef, AdrJk�twnfArrrAe deRYdYrb1.1'eees ywe r rgeierl
Those usual to the Insured's Operations.
CERTIFICATE HOLDER CANCELLATION
1988 -2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
Monroe County Board of County
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
Commissioners
DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
AWNDII@pREPRESWAnIff ,
1100 SIMONTON ST
KEY WEST, FL 33040
7o-z— - 7A4d4.,,/
1988 -2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
CERTIFICATE OF INSURANCE
CI CWA021011
This ce lceb is towed for tnfonaatlomd purposes only. it certifies that the policies listed in this document have
been issued to the Named Insured. It does not grant any rights to any party nor an it be used, in any way, to modify
coverage provided by such policies. Alteration of this certificate does not change the terms. exclusions or conditions
of such policies. Coverage Is subject to the provisions of the policies, Including any exclusions or conditions, regard-
less of the provisions of any other oontract, such as between the certificate holder and the Named Insured. The limits
shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits.
Cardtlrab Holder• Named insured:
MONROE COUNTY BOARD OF COUNTY HASKINS PLUMBING INC
COMMISSIONER 17088 FLYING FISH LANE
1100 SIMONTON ST SUGARLOAF KEY FL 33042
KEY WEST, FL 33040 -3110
THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER
IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES)
MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE H OLDER WITH
ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE WENT
INDICATED IN SUCH POLICY LA NGUAGE OR ENDORSEMENT
Includes copyrighted malaria! of Insurance Services Office, Inc., with Its permission
Cl CW A02 10 111
Allstate insurance Company
Page 1 of 1
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AutsmotlN Liffilift
kaw Name: Allstate 11MU ruse COM
PollwNumbor 048098356
1- Aub
_ 9 - Owned Priv. Pass. Autos Onl
4 - Owned Autos Other Than Pdv.
I X
5 - Owned Aube Subject to No 0 - Owned Auto Subject to a Compulsory UM Law
Page. Autos On
Fault
x 7 - Spedfically Described Autos
5 -Hired Autos Only
• - Non-owned Aube On
Poi Electlrs Dab: 10-09-2012
Dab: 10-09-201
Limits Of S 500, 000
Combined Single Limit (each accident
hnwance: gl pct Person 81 Per Aoddent PO Per Accident
DeeWplion of opndcrmiLo=donsiVohMotiEndmumonbiSPKW
Provisions
A V , T fAiGEMENI
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DA
W
THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER
IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES)
MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE H OLDER WITH
ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE WENT
INDICATED IN SUCH POLICY LA NGUAGE OR ENDORSEMENT
Includes copyrighted malaria! of Insurance Services Office, Inc., with Its permission
Cl CW A02 10 111
Allstate insurance Company
Page 1 of 1
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A � CERTIFICATE OF LIABILITY INSURANCE 1/16�z" 013
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 CERT(FlCATE OF, INSURAN¢¢ AUTHORI
E )DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), ZED
REPRESENTATIVE OR PRODUCER, AND T911rcERTIFICATE HOLDER. rsust . li S�RQGATIQN IS WAIVED, subject to
IMPORTANT: M the cerfificate der b an Q01TIONAL INSURED. the PoikY(les}
the terms and conditions of the policy, certain. Policies may require an endorsement. A statement on this certificate does not confer rights to the
Hwlda,r In Ilau of auch sndorsemenga)/
PRODUCER
The Porter Allen Compariy, Inc.
513 Southard Street
Key West FL 33040
INSURED
Haskins Plumbing, Inc.
17088 Flying Fish Lane
Maria Gonzales
– (305)294-2542
_..., -2-1 -1 cnan`l
REVISION NUMBER:
296 - 7ssS
COVERAGES uc�a rr�w+. r ...+...-- . -• - - -- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT
BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED
OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
EXCLUSIONS AND CONDITIONS
u Mrrs
TYPE OF INSURANCE 1,000,000
EACHOCCLIRRENCE f
GENERALLIABRJTY 100,000
PREMISES E===M f
X COMMERCIAL GENERAL LIABILITY /11/2012 /11/2013 MED pip am f zxCLUDZD
4GI.000853635
®
A C�S4MM OCCUR
PERSONAL 6 ADV INJURY S 1,000,000
GENERAL AGGREGATE f 2,000 000
PRODUCTS - COMPIOPAGG 1,000,000
GEWL AGGREGATE LIMIT APPLIES PER: f
X POLICY O LOC
AUTOMOBILE LIABILITY APP V
� BODILY INJURY (Pw P--) f
ANY AUTO BODILY INJURY (Pw f
� SCH EDULED 1DMA
DAMAG f
NON ZED
HIRED AUTOS AUTOS f
EACH OCCURRENCE
f
UMBRELLA LUU!
OCCUR
AGGREGATE
f
EXCESS LIAR
CLAMS�MADE
OEp RETENTIO 6
A OTH
WORRERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
E.L. EACH ACCIDENT
f __
E.L. DISEASE - EA EMIPLOYEIJ
f
ANY moPRIETORIPARTNERIEXECUTIVE D
EXCLUDED?
NIA
E.L. DISEASE - POLICY LIMIT
f
�
B dwgrb A PE
Tl S
DESCRIPTION OF OPERATION@ I LOCATIONS I VEHICLES (Afta+ ACORD 101, AddIUaW Rwnw" aehipdub, N more qwp U required)
Plumbing Contractor
Certificate Holder is named Additional Insured on Policy
CERTIFICATE HOLDER —
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Monroe County Board of County Commissions
1100 Simonton Street AuTII REpREaENTATNE p ��
Key West, FL 33040 4 7
ELIZABETH FREEMAN
® 19m L2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105)
INS025 Pmws)-01 The ACORD name and logo are registered red mar of ACORD