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Marathon Customs Facility 07/16/2014 vo ti b If) � & 4 1 CLERK OF CIRCUIT COURT & COMPTROLLER ,o MONROE COUNTY FLORIDA 0.10A0* DATE: August 7, 2014 TO: Kevin Wilson Director of Engineering ATTN: Breanne Erickson FROM: Lindsey Ballard, D.C.\50- At the July 16, 2014 Board of County Commissioner's meeting the Board granted approval and authorized execution of Item C27 Task Order withrCDM,Smith7for Resident Professional Representative (RPR) Services during construction of the Marathon Airport Customs and Border Protection facility. This project is funded by an FDOT grant and airport funds. Enclosed a duplicate original executed on behalf of Monroe County,for your handling. Should you have any questions,please feel free to contact me. Cc: County Attorney Finance File J 500 Whitehead Street Suite 101,PO Box 1980,Key West,FL 33040 Phone:305-295-3130 Fax:305-295-3663 S '' 3117 Overseas Highway,Marathon,FL 33050 Phone:305-289-6027 Fax:305-289-6025 Cam• " �D 88820 Overseas Highway,Plantation Key,FL 33070 Phone:852-7145 Fax:305-852-7146 v bii2-/�2o ii+ Lb 1 m 1 � Coo* 1100 Sieorlon Sbuk 2-116 K Weil. FL 33010 TASK ORDER FOR RESIDENT PROFESSIONAL REPRESENTATIVE SERVICES FOR Marathon Customs Facility In Accordance with the Continuing Contract for On Call Professional Engineering Services made and entered into on the le day of January 2014, by and between Monroe County, hereinafter referred to as `County', and CDM Smith, Inc., hereinafter referred to as Tonsuttare, where professional services are allowed If construction costs do not exceed $2,000,000.00. All terms and conditions of the referenced Contract for On Cali Professional Engineering Services apply to this Task Or der, unless the Task Order modlfres an Article of the Agreement of which will be specifically referenced In this Task Order and the modification shall be precisely described. This Task Omer is effective on the ]rday of July. 2014 In accordance to Article 2.1 of the original Contract for On Call Professional Engineering Services, the Scope of Work shall be described as follows: A. SCOPE OF BASIC SERVICES 1. RPR Qualifications 1.1. The RPR may be an employee or contract employee of CDM Smith 1.2. The RPR must have field experience in the type of work to be perfomied; be fully qualified to make Interpretations, decisions, field computations, etc.; and have knowledge of testing requirements and procedures. The resident engineer or inspector must have the authority to reject both unsatisfactory workmanship and materials. 1.3. The RPR must have experience as a construction foreman, construction superintendent construction engineer, or RPR on at least two projects similar to the type, complexity and size of the project on which the candidate will be performing for Monroe County. 1.4. At least thirty calendar days before the date on which construction is scheduled to commence, the RPR's resume shall be submitted to Monroe Muaftn AnpW C=boms & god PwWbm Pages 1 of 15 i � � r 1ANW 1100 Simmin Shay 2-216 Key Way FL 33040 County Project Management. If MC Project management and Monroe County Airport Management agree that the candidate meets all of the described qualifications, they shall approve the candidate for the position of RPR. If either believes the candidate does not possess the required qualifications or objects to the candidate for other reasonable reason the nomination shall be rejected. 1.5. If the MC Project Management and Monroe County Airport Management become dissatisfied with the RPR's performance during the course of construction, CDM Smith shall meet to determine if corrective action should be taken or if the RPR should be replaced. 1.6. CDM Smith will provide a qualified construction Resident Professional Representative engineer to observe that the construction Is carried out in reasonable conformity with the contract documents and In accordance with the customary practices of prrofessional engineers and consultants. The resident engineer will be available for both full -time and part-time construction observation services during the 240 calendar day duration of the project as required by the nature of the ongoing construction activities. 1.7. For budgeting purposes, the Resident project representative (RPR) will provide construction observation during the anticipated twenty -eight (28) weeks of actual on -site construction during the two hundred and forty (240) day construction period. These services will include: Five (5) - six (6) hour days per week by the RPR (up to 140 business days) Including startup services and substantial and final acceptance walk through. The resident engineer will also be available for eight (8) hours to attend the final inspection. Variations to this proposed man -hour distribution may be necessary as the work progresses but must not exceed 840 man- hours. Additional man-hours for the resident engineer must be addressed by a supplemental agreement. Further. the CONSULTANT will attend special meetings with County staff at the request of the COUNTY from time to time (budget assumes a maximum of six (6) meetings). Matad= AnpW Cudoam tit Border Projection PW 2 of 15 Moeaoe Casty Boone ft 1100 Smoetoa Street, 2-216 Rey Weet. FL 33010 Fiojeot Moorland 1.8. The RPR is CDM Smith's agent at the site, so the RPR reports directly to CDM Smith. As a licensed Florida Professional Engineer, CDM Smith accepts professional liability for the RPR's work. 2. Length of Service 2.1. The Consultant services for the Construction Contract shall begin upon written notification to proceed by County. 2.2. The Consultant Senior Project Engineer will track the execution of the Construction Contract such that the Consultant is given timely authorization to begin work. While no personnel shall be assigned until written notification by the County has been issued, the Consultant shall be ready to assign personnel within two weeks of notification. For the duration of the project, the Consultant shall coordinate closely with the County and Contractor to minimize rescheduling g of Consultant activities due to construction delays or changes in scheduling of Contractor activities. 2.3. For estimating purposes, the Consultant will be allowed an accumulation of thirty working days to perform preliminary administrative services prior to the issuance of the Contracts notice to proceed and thirty calendar days to demobilize after final acceptance of the Construction Contract. Bid Date Start Date Duration June 5th, 2014 August 15th, 2014 240 days 3. DEFINITIONS: Resident Profamionai Engineer. The Engineer assigned to a particular Project or area to administer Construction Contracts for the County. Construction Project Manager. The County employee assigned to manage the Construction Engineering and Inspection Contract and represent the County during the performance of the services covered under this Agreement. Engineer of Record: The Engineer noted on the Construction plans as the responsible person for the design and preparation of the plans. Marathon Aupod Customs & Border protection Page 3 of 15 MOMM COMO Engbeld% 1100 Sbw taa Stet, 2-216 Ksy Wept, FL 33010 raajeot MWONPO nt Consultant The Consulting firm under contract to the County for administration of Construction Engineering and Inspection services. Agreement The Professional Services Agreement between the County and the Consultant setting forth the obligations of the parties thereto, including but not limited to the performance of the work, furnishing of services, and the basis of payment. Consultant Senior Project Engineer: The Engineer assigned by the Consultant to be In change of providing Construction Contract administration for one or more Construction Projects. This person may supervise other Consultant employees and act as the lead Engineer for the Consultant. Consultant Project Administrator: The employee assigned by the Consultant to be in charge of providing Construction Contract administration services one or more Construction Projects. Contractor: The individual, firm, or company contracting with the County for performance of work or furnishing of materials. Construction Contract -The written agreement between the County and the Contractor setting forth the obligations of the parties thereto, including but not limited to the performance of the work, furnishing of labor and materials, and the basis of payment. County: Monroe County Board of County Commissioners. 4. REQUIREMENT'S 4.1. It shall be the responsibility of the Consultant to administer, monitor, and inspect the Construction Contract such that the project is constructed in reasonable conformity with the plans, specifications, and special provisions for the Construction Contract. 4.2. The Consultant shall observe the Contractor's work to determine the progress and quality of work, identify discrepancies, report significant discrepancies to the County, and direct the Contractor to coned such observed discrepancies. 4.3. The Consultant Is hereby designated by the County to negotiate Supplemental Agreements. However, the Consultant must seek input from the Construction Project Manager. The Consultant shall prepare the Mauthon AapW Guatama & Boaa Protection Page 4 of 15 monmendyBoBboodes 1100 Smoel= S4eek 2 216 Key Womk FL 33010 Nwor " Supplemental Agreement as a recommendation to the County, which the County may accept, modify or reject upon review. The Consultant shall consult with the Construction Project Manager, as it deems necessary and shall direct all issues, which exceed its delegated authority to the Construction Project Manager for County action or direction. 4.4. The Consultant shall advise the Construction Project Manager of any significant omissions, substitutions, defects, and deficiencies noted in the work of the Contractor and the corrective action that has been directed to be performed by the Contractor. Work provided by the Consultant shall not relieve the Contractor of responsibility for the satisfactory performance of the Construction Contract. 5. Technical Observation of Construction 5.1. The RPR's point of contact with the contractor shall be the Contractors project superintendent. 5.2. The RPR will be available to meet with the representatives of the Owner, Contractor, the FAA, the state, and other interested parties at the project location. 5.3. When clarifications and Interpretations of the contract documents are needed, the RPR shall consult with Architect. if the Contractor makes verbal inquiries, the RPR may respond verbally but must document the question and answer in the written daily report. If the contractor submits a written RFI, the RPR shall forward the RFI to the Architect and Monroe County Project Management for a formal response. 5.4. The RPR will monitor and document the Contractors sub - consultants and personnel who are performing on -site testing, surveying, or other project related services. 5.5. The RPR shall review the progress schedule prepared by the contractor, but the contractor has sole responsibility for preparing and executing the schedule. 5.6. The RPR will monitor and coordinate the construction progress; will coordinate with the Contractor, Monroe county Project Management, and the Architect; will provide construction oversight to ensure that the work is proceeding according to the construction contract documents; and will Mau&= pnpW Customs & Bonder ProWetm Page 5 of 15 MM= COOMW B3opuesut 1100 Sisoarot Seeek2 -216 Key wart. FL 33040 Poi"Mmorm" notify the Architect and Monroe County Project Management If problems, disputes, or changes arise during the course of construction. 5.7. The RPR shall review the contracWs recd -lined as -built drawings at least once each week to confirm that they are being maintained properly. The RPR shall again review the contractors redlined as4xA t drawings as a condition of approving the contractors monthly pay application. 5.8. The RPR may not authorize extra work. Issue work directives, or issue change orders. After consulting with Monroe County Project Management, the RPR shall prepare draft change orders and work directives. The RPR shall then deliver draft copies of change orders and work directives to the Monroe County Project Management for review and approval. The RPR shall then finalize change orders and work directives and forward them to the Contractor. Change orders and work directives shall not be issued by Monroe County Project Management without Consultant's involvement. 5.9. The RPR shall attend construction phase meetings with the Contractor. The RPR shall prepare draft minutes of the meetings and submit them to Monroe County Project Management within two workdays. If Monroe County Project Management agrees with the content of the minutes, Monroe County Project Management shall initial the minutes, file them in his project record file, and send a copy of them to the RPR. If the content of the minutes cause the Monroe County Project Management or the RPR concern, he may call for a subsequent meeting that he shall attend. 5.10. The RPR will prepare and maintain cost estimates and construction quantity estimates for use in preparing monthly payment reimbursement requests and for monitoring the progress of the Contractors work. The resident engineer will prepare daily construction progress reports of the construction activities that are observed and will submit the reports to Monroe County Project Management for review. The resident engineer will prepare monthly construction summary reports of completed work that has been accepted and approved by the RPR and will submit the reports to the Monroe county Project Management for review. 6. Expenses 6.1. The RPR may incur and will be solely responsive for project related expenses during the course of the technical observation of construction phase of the work which may include but will not be limited to: meals, Ma z&m Airport Custom & Border Protection Page 6 of 15 1100 S MOW N184 2 216 Ksy Wet, FL 33010 � F�ojeotlNsesaameot lodging, mileage, toils, overnight shipping, blueprints, photocopies, photographic materials, equipment rental, survey materials, long distance telephone calls from the field, and miscellaneous vendor invoices and hotels. These expenses will be included in CDM Smith's contract with Monroe County. 6.2. Outside Services - The RPR may incur certain project related costs during the technical observation phase of the work in the florm of geotechnical sub - consultant costs for quality assurance testing of construction materials and practices. These costs if any will be included in CDM Smith's contract with Monroe County. 7. Dud" 7.1. The RPR shall conduct on -site observation of the Contractors work in progress to assist Monroe County in determining if the work is generally proceeding in accordance with the contract documents. The RPR shall verify the results of tests, equipment, and systems start-up. If construction work Is not in compliance with the requirements of the contract documents and If the contractor fails to take prompt corrective action, the RPR shall notify Monroe County Project Management. If Monroe County Project Management determines that the work should be rejected, Consultant shall consult with the Monroe County Project Management and then shall give notice of rejection to the Contractor. 7.2. The terms "observe" and "observation" does not mean "inspect" or "inspection ". CDM Smith's and the RPR's services are only advisory, leaving the Contractor solely responsible for completing construction in conformance with the contract documents. 7.3. General: 7.3.1. RPR is Owner's agent at the Site, will act as directed by and under the supervision of Owner's licensed Professional Engineer, and will confer with Owner regarding RPR's actions. RPR's dealings in matters pertaining to the Contractor's work in progress shall in general be with Owner and Contractor, keeping Engineer advised as necessary. RPR's dealings with subcontractors shall only be through or with the full knowledge and approval of Contractor. RPR shall generally communicate Marathon Airport Gutoms & Borda Protection Page 7 of 15 J� ►' 1100 Si N@ft S&ed, 2 -216 Key Wait, FL 33010 Ni" Maoeyamaat with Engineer with the knowledge of and under the direction of Owner's licensed Professional Engineer. 7.4. Schedules: 7.4.1. Review the progress schedule, schedule of Shop Drawing and Sample submittals, and schedule of values prepared by Contractor and consult with Owner and to Monroe County Project Management concerning acceptability. 7.5. Conkrences and Meetings: 7.5.1. Attend meetings with Contractor, such as preconstruction conferences, progress meetings, job conferences and other project- related meetings, and prepare and circulate copies of minutes thereof. 7.6. Liaison: 7.6.1. Serve as Owner's liaison with Contractor, working principally through Contractor's superintendent, assist in providing information regarding the intent of the Contract Documents. 7.6.2. Serve as Owners liaison with Contractor when Contractor's operations affect Owners on -Site operations. 7.6.3. Assist in obtaining from Owner additional details or information, when required for proper execution of the Work. 7.7. Interpretation of Contract Documents: 7.7.1. Report to Engineer when clarifications and Interpretations of the Contract Documents are needed and transmit to Contractor clarifications and Interpretations as Issued by to Monroe County Project Management. 7.8. Shop Drawings and Samples: 7.8.1. Record date of receipt of Samples and approved Shop Drawings. 7.8.2. Receive Samples which are furnished at the Site by Contractor, and notify to Monroe County Project Management of availability of Samples for examination. Marathon Airport Cudo m & Bm 4w Protection Page 8 of 15 .'t MomoeCounty Bogboodeg 1100 Sinoaoan SWK 2-216 Key Wee, FL 33040 7.8.3. Advise to Monroe County Project Management and Contractor of the commencement of any portion of the Work requiring a Shop Drawing or Sample submittal for which RPR believes that the submittal has not been approved by to Monroe County Project Management. 7.9.I111odiflcations: 7.9.1. Consider and evaluate Contractor's suggestions for modifications in Drawings or Specifications and report such suggestions, together with RPR's recommendations, to Monroe County Project Management. Transmit to Contractor in writing decisions as issued by to Monroe County Project Management. 7.10. Review of Work and Rejection of Defective Work: 7.10.1. Conduct on -Site observations of Contractor's work in progress to assist Owner and Engineer in determining if the Work is in general proceeding in accordance with the Contract Documents. 7.10.2. Report to Owner and Monroe County Project Management whenever RPR believes that any part of Contractor's work In progress will not produce a completed Project that conforms generally to the Contract Documents or will imperil the integrity of the design concept of the completed Project as a functioning whole as indicated in the Contract Documents, or has been damaged, or does not meet the requirements of any inspection, test or approval required to be made; and advise Owner and Monroe County Project Management of that part of work in progress that RPR believes should be corrected or rejected or should be uncovered for observation, or requires special testing, inspection or approval. 7.11. Inspections, Tests, and System Startups: 7.11.1. Consult with Monroe County Project Management in advance of scheduled major inspections, tests, and systems startups of important phases of the Work. Mara&m Airport Customs & Border Protection Page 9 of 15 b . V I t 1100 Sim ft Shay 2-216 Key Walk FL 33010 tro"MeeaOseat 7.11.2. Ensure that tests are performed at the frequency stated in the specificatbns. Determine when and where tests will be taken and witness tests. If not indicated in the - -1fic a s, a sufficient number of tests should be taken to verify that the construction is acceptable. 7.11.3. Verify that tests, equipment, and systems start -ups and operating and maintenance training are conducted in the presence of appropriate personnel, and that Contractor maintains adequate records thereof. 7.11.4. Observe, record, and report th Monroe County Project Management appropriate details relative to the test procedures and systems start-ups. Each best report for material in -place should, at a minimum, contain the following: 1. Test performed and date 2. Applicable standard or project specification 3. Test location 4. Test result 5. Action taken on failing tests 6. Lot size and location and adjusted contract price when statistical acceptance procedures are specified or when provisions allow for reduced payment. 7.11.5. Accompany visiting inspectors representing public or other agencies having jurisdiction over the Project, record the results of these inspections, and report to Owner and to Monroe County Project Management. 7.11.6. Ensure that all testing required by the specification is performed, all commercially produced products, such as pipe and reinforcing steel, that are used on the project should be accompanied by numerical test results or a certification form. 7.12. Photographs 7.12.1. The Consultant shall have a digital camera for photographic documentation of noteworthy incidents or events to cover the following areas: 1. Pre - construction photographs 2. Normal and exceptional progress of work Marathon Anport Customs & Bow Protean Page 10 of 15 A V 1100 Siowaft SWK 2 -216 Key Wad, FL 33010 3. Critical path activities 4. Accidents showing damage 5. Unsafe working conditions 6. Unusual construction techniques 7. Damaged equipment or materials 8. Any activity, which may result In claim 7.12.2. These photographs will be filed and maintained on the Consultant's computer. Copies of photographs will be electronically transferred to the County at an interval determined by the Senior RPR and the Monroe County Project Manager. 7.12.3. The taking of the photographs shall begin the day prior to the start of construction and continue regularly throughout this project. Photographs shall be taken the days of Conditional, Partial and/or Final Acceptance. 7.13. Records: 7.13.1. Maintain at the Site orderly files for correspondence, reports of job conferences, reproductions of original Contract Documents including all Change Orders, Field Orders, Work Change Directives, Addenda, additional Drawings issued subsequent to the execution of the Contract, Engineers clarifications and interpretations of the Contract Documents, progress reports, Shop Drawing and Sample submittals received from and delivered to Contractor, and other Project-related documents. 7.13.2. Record names, addresses, fax numbers, e-mail addresses, web site locations, and telephone numbers of all Contractors, subcontractors, and major suppliers of materials and equipment. 7.13.3. Maintain records for use In preparing Project documentation. 7.13.4. The RPR shall maintain orderly files of correspondence, reports of job conferences, change orders, field orders, work change directives, daily reports and /or diaries, photographs and other similar documents. These documents shall be filed in the RPR's project record file. They shall be made available to Monroe County upon receipt of request. Marathon AnpW CUM= & Border Protection Page 11 of 15 M== CZ=IY 1100 SinoWs Mick 2-216 Key WwN FL 33010 h0jeot MM1810 eot 7.13.5. Submits copies of FAA Form 5370 -1, Construction Progress and Inspection Report, or equivalent form to the appropriate FAA Airports Division/District/Feld Office upon request and provides copies for the owner. 8. Closeout 8.1. Reports 8.1.1. Schedule and conduct a meeting with the County at least 45 calendar days prior to project final acceptance. The purpose of this meeting is to discuss the required documentation, including as- bunts, necessary to dose out the permit(s). 8.12. Furnish to Owner and Engineer periodic reports as required of progress of the Work and of Contractors compliance with the progress schedule and schedule of Shop Drawing and Sample submittals. 8.1.3. Draft and recommend to the County proposed Change. Orders, .Work Change Directives, and Field Orders. Obtain backup material from Contractor. 8.1.4. Furnish to Monroe County and Owner copies of all inspection, test, and system start-up reports. 8.1.5. Immediately notify Owner and Monroe County of the occurrence of any Site accidents, emergencies, ads of God endangering the Work, damage to property by fire or other causes, or the discovery of any Constituent of Concern. 8.2. Payment Requests: Review Applications for Payment with Conbador for compliance with the established procedure for their submission and forward with recommendations to Owners licensed Professional Engineer noting particularly the relationship of the payment requested to the schedule of values, Work completed, and materials and equipment delivered at the Site but not incorporated in the Work. 8.3. Certificates, Operation and Maintenance Manuals: During the course of the Work, verify that materials and equipment certificates, operation and Marathon Airport Cwftw dt Bordw Protection Page 12 of 15 MflMMF:C0 n 1100 Si mam Shee, 2 -216 Key Week FL 33040 p� maintenance manuals and other data required by the Specifications to be assembled and fumished by Contractor are applicable to the items actually installed and in accordance with the Contract Documents, and have these documents delivered to Engineer for review and forwarding to Owner prior to payment for that part of the Work. 9. Completion: 9.1. Participate in a Substantial Completion inspection, assist in the detenr ination of Substantial Completion and the preparation of lists of items to be • • 1 l 711. • • • � 1 l .r =• 9.2. Participate in a final inspection in the company of Engineer, Owner, and Contractor and prepare a final list of items to be completed and deficiencies to be remedied. 9.3. Observe whether all items on the final list have been completed or corrected and make recommendations to Owner and Engineer concerning acceptance and. issuance of the Notice of Acceptability of the Work. 10. Resident Project Representative shall not: 10.1. Authorize any deviation from the Contract Documents or substitution of materials or equipment (including "or -equar Items). 10.2. Exceed limitations of RPR's authority as set forth in the Agreement or the Contrsrct Documents. 10.3. Undertake any of the responsibilities of Contractor, subcontractors, suppliers, or Contractor's superintendent. 10.4. Advise on, issue directions relative to, or assume control over any aspect of the means, methods, techniques, sequences or procedures of Contractors work unless such advice or directions are specifically required by the Contract Documents. 10.5. Advise on, issue directions regarding, or assume control over safety practices, precautions, and programs in connection with the activities or operations of Owner or Contractor. Marathon Auport Cutmw & Border Protection Page 13 of 15 Moe cou dy 13nswo ft 1100 Siooeft Street, 2 -216 Key Weer, FL 33040 ` hoidd muffiglumm l 10.6. Participate In specialized field or laboratory tests or inspections conducted off -site by others except as specifically authorized by Owner. 10.7. Accept Shop Drawing or Sample submittals from anyone other than Contractor. 10.8. Authorize Owner to occupy the Project in whole or in part. B. COMPENSATION 1. The COUNTY shall pay the CONSULTANT monthly in current funds for the CONSULTANTS performance of this Agreement based on the hourly rates outlined in Attachment A of the On -Call Professional Engineering Services Contract dated January 16, 2014. The Total Not to Exceed an Amount of. $126,666.00 (One Hundi and Twenty Six Thousand Six Hundred and Sbdy Eight Dollars and Zero Cants) will apply to this AW"n*nL Payments shall be In accordance to the paragraph 721 of the On Call Professional Engineering Services Contract dated January 16, 2014` 2. REIMBURSABLE EXPENSES Article 7.3.1 of the On Call Professional Engineering Services Contract shall be revised as follows: CONSULTANT acknowledges that the compensation amount set forth In Article B. COMPENSATION above fully compensates CONSULTANT for any and all expenses incurred by CONSULTANT in the performance of this task order therefore NO reimbursable expenses shall be allowed as part of this contract. C. PUBLIC RECORDS The CONSULTANT is required under Chapter 119, Florida Statutes to: A. Keep and maintain public records that ordinarily and necessarily would be required by the public agency in order to perform the service. B. Provide the public with access to public records on the same terms and conditions that the public agency would provide the records and at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. Mua*m AupM Cwtoms & Border Protection Page 14 of 15 C. Ensure that public records that are exempt or confidential and exempt from public records disclosure requiremenrts are not disclosed except as authorized by law. D. Meet all requirements for retaining public records and transfer, at no cost, to the public agency all public records in possession of the contractor upon termination of the contract and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the public agency in a format that is compatible with the information technology systems of the public agency. D. Consultant must complete the following norms: Public Entity Crime Statement, Lobbying and Conflict of Interest Clause, and the Drug -Free Workplace Form. E. All other temps and conditions of this Task Order shall comply with the On Call Professional Engineering Services Contract dated January 16, 2014, which shall be made a part of Vila contract as if written herein in its entirety. IN WITNESS WHEREOF, each party has caused this Agreement to be executed by its authorized representative on the day and year first above written. Oil (BOARD OF COUNTY COMMISSIONERS ,Amy Heavilin, Clerk OF MONROE COUNTY, FLORIDA Deputy Clerk Date: J4-LO I &I ", (mil) Attest: BY: Y P DESIRE MEJIA s iP�� w `s Notary Public - State of Florida ® ,�� My Comm. Expires Jan 31, 2016 Commission N EE 165148 � �� Bonded Through National Notary Assn. - ��i CDM SMITH. INC Title Title: t l c' 'car ( e11i e L)1 S END OF AGREEMENT 0614 PNEY Mua&m Airport OIIIIt & Borg Proftllon Q7 Moos Key wag, FL 33040 PUBLIC ENTITY CRIME STATEMENT "A person or affiliate who has been placed on the convicted vendor list following a conviction for public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the consbtxtion or repair of a public building or public work. may not submit bids on leases of real property to public entity, may not be awarded or perform work as a contractor, supplier, subcontractor. or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor fist." Public Entity Crime Statement 166AOD Printed Name ,tSS 0047?� TWe Date: 2 Mon<oe County P0&Mio8 1100 Simoulan Sood, 2.216 Key Waek FL 33040 Pwiad Meawn" LOBBYING AND CONFLICT OF INTEREST CLAUSE SWORN STATEMENT UNDER ORDINANCE NO. 010-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE (Company) " warrants that he& has not employed, retained or otherwise had act on hW is behalf any farmer County offlow or employee In violation of Section 2 of Ordinance No. 010 -1980 or any County officer or employes In violation of Seaton 3 of Ordnance No. 010 -1980. For breach or violation of this provision the County may, In its terminate this Agreement without liability and may also, in Its discretion, deduct from or purchase price, or otherwise recover, the full amount of any fee, oomm , gift, or consideration paid to the e" former County officer or employe. STATE OF: COUNTY OF: - Subscribed and sworn to (or affirmed) before me on -70 (date) by a (name of MOM). Is personally known to me or has produced as Identification. (type of identtflation) NOT LIC My commission expires: Jam 31, - X)itP DESIRE MEJIA •,� o• ff "'••,� Notary public -State of Florida My Comm• Expires Jen 31.20 ;• s ComMWslo # EE 185148 „�� Ar scow T"* 11114"ll jjW Assn. Mosoe Cowly Enskeeft 1100 Simossm Staeat, 2-216 Key Went, FL 33010 Plaied Moslem" DRUG -FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies N,s*. :D ��H / �&_ (Name of Business) 1. Publish a statement notifying employees that the unkrAA manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug -free workplace, arty 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 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 working on the commodities or contractual services that are under bid, the employee will abide by the berms of the statement and will notify the employer of any conviction of, or plea of guilty or nob contenders to, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, or any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person a % s the statemeK I certify that this firm complies fully with the above requi Consufte s gn t 7 a T Date NOTARYPUBLI - My Commission Expires: r �� •�'.,,,� DESIRE MEJIA i� Notary Public - State of Florida _• My Comm. Expires Jan 31, 2016 Commission # EE 165148 • ,,;� BMW Through National Notary Assn. f ACO/?O DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/13/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Aon Risk services Northeast, Inc. PHD (866) 283 -7122 FAX 800- 363 -0105 Boston MA Office (A/C. No. Ext): ,q/C, N One Federal Street E-MAIL Boston MA 02110 USA ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC p INSURED INSURER A: Zurich American Ins CO 16535 CDM Smith Inc. INSURER B: Lloyd's Syndicate No. 2623 AA1128623 ONE CAMBRIDGE PLACE 50 HAMPSHIRE STREET INSURER C: ACE Property & Casualty Insurance Co. 20699 CAMBRIDGE MA 021390000 USA INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570052211225 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INSR SD POLICY NUMBER MMIDDIYYYY MM/DDI EXP LIMITS A GENERAL LIABILITY GLO 1 1 EACH OCCURRENCE $2,000,000 SIR applies per policy terns & conditions AGE ToREN PREMISES Ea occurrence $300,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X❑ OCCUR MED EXP (Any one person) $10,006 PERSONAL & ADV INJURY $2,000,00 GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP /OPAGG $4,000,0 GEML AGGREGATE LIMIT APPLIES PER: POLICY X PRO- X LOC A AUTOMOBILE LIABILITY BAP 8376631 -18 01/ 01/2014 01/01/2015 COMBINED SINGLE LIMIT $2,000, Ea accident X ANY AUTO BODILY INJURY ( Per person) y ALL OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS AUTOS X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE Per accident AUTOS C X UMBRELLA LIAB X OCCUR XOOG27373720 01/01/2014 01/01/2015 EACH OCCURRENCE $5,000, " EXCESS LIAB CLAIMS -MADE AGGREGATE $5, _ DIED I X RETENTION S25, 000 A WORKERS COMPENSATION AND wc837663319 01/01/2014 01/01/2015 X I I T ER EMPLOYERS' LIABILITY YIN TORY ' -' ANY PROPRIETOR / PARTNER / EXECUTIVE E.L. EACH ACCIDENT S1, 000,0 " OFFICER/MEMBER EXCLUDED? � N 1 A (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $1,000,0 If es, describe under E.L. DISEASE POLICY LIMIT $1, 000 OOO " B DESCRIPTION OF OPERATIONS below Archit &Eng Prof QC1401367 01/01/2014101/01/2015 - each claim , $3,000,00 SIR applies per policy terns & condi ions aggregate $3,000,00 1JCSGKIP I ION Oh OPtKA1ION5I LOGAI IONS I VtHICLt5 (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Monroe County Board of County Commissioners is included as Additional Insured in accordance With the policy provisions of the General Liability and Automobile Liability policies. P Y M M D ATE a 1-1 WAIVER N/A_ Y S _ CERTIFICATE HOLDER CANCELLATION 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 AUTHORIZED REPRESENTATIVE Commissioners 1100 Simonton Street � Key west FL 33400 USA ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD m w y m a c , Z .