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Item G2Chapter 125 Section 0108 - 2014 Florida Statutes - The Florida Senate Page 2 of 3 county adopts an ordinance reauthorizing levy of the tax and the continued levy of the tax is approved by referendum as provided for in subsection (5). (2)(a) The person receiving the consideration for such taxable privilege and the person doing business within such area or areas of critical state concern or within the entire county, as applicable, shall receive, account for, and remit the tourist impact tax to the Department of Revenue at the time and in the manner provided for persons who collect and remit taxes under chapter 212. The same duties and privileges imposed by chapter 212 upon dealers in tangible property, respecting the collection and remission of tax; the making of returns; the keeping of books, records, and accounts; and compliance with the rules of the Department of Revenue in the administration of that chapter shall apply to and be binding upon all persons who are subject to the provisions of this section. However, the Department of Revenue may authorize a quarterly return and payment when the tax remitted by the dealer for the preceding quarter did not exceed $25. (b) The Department of Revenue shall keep records showing the amount of taxes collected, which records shall also include records disclosing the amount of taxes collected for and from each county in which the tax imposed and authorized by this section is applicable. These records shall be open for inspection during the regular office hours of the Department of Revenue, subject to the provisions of s. 213.053. (c) Collections received by the Department of Revenue from the tax, less costs of administration of this section, shall be paid and returned monthly to the county and the land authority in accordance with the provisions of subsection (3). (d) The Department of Revenue is authorized to employ persons and incur other expenses for which funds are appropriated by the Legislature. (e) The Department of Revenue is empowered to promulgate such rules and prescribe and publish such forms as may be necessary to effectuate the purposes of this section. The department is authorized to establish audit procedures and to assess for delinquent taxes. (f) The estimated tax provisions contained in s. 212.11 do not apply to the administration of any tax levied under this section. (3) All tax revenues received pursuant to this section, less administrative costs, shall be distributed as follows: (a) Fifty percent shall be transferred to the land authority to be used to purchase property in the area of critical state concern for which the revenue is generated. An amount not to exceed 5 percent may be used for administration and other costs incident to such purchases. (b) Fifty percent shall be distributed to the governing body of the county where the revenue was generated. Such proceeds shall be used to offset the loss of ad valorem taxes due to acquisitions provided for by this act. (4)(a) Any person who is taxable hereunder who fails or refuses to charge and collect from the person paying for the taxable privilege the taxes herein provided, either by himself or herself or through agents or employees, is, in addition to being personally liable for the payment of the tax, guilty of a misdemeanor of the second degree, punishable as provided in s. 775.082 or s. 775.083. (b) No person shall advertise or hold out to the public in any manner, directly or indirectly, that he or she will absorb all or any part of the tax; that he or she will relieve the person paying for the taxable privilege of the payment of all or any part of the tax; or that the tax will not be added to the consideration for the taxable privilege or that, when added, the tax or any part thereof will be refunded or refused, either directly or indirectly, by any method whatsoever. Any person who willfully violates any provision of this paragraph is guilty of a misdemeanor of the second degree, punishable as provided in s. 775.082 or s. 775.083. (c) The tax authorized to be levied by this section shall constitute a lien on the property of the business, lessee, customer, or tenant in the same manner as, and shall be collectible as are, liens authorized and imposed in ss. 713.67, 713.6€3, and 713.69. (5) The tourist impact tax authorized by this section shall take effect only upon express approval by a majority vote of those qualified electors in the area or areas of critical state concern in the county seeking to levy such tax, voting in a referendum to be held by the governing board of such county in conjunction with a general or special http://www.flsenate.gov/Laws/Statutes/2014/125.0108 2/3/2015 Chapter 125 Section 0108 - 2014 Florida Statutes - The Florida Senate Page 3 of 3 election, in accordance with the provisions of law relating to elections currently in force. However, if the area or areas of critical state concern are greater than 50 percent of the land area of the county and the tax is to be imposed throughout the entire county, the tax shall take effect only upon express approval of a majority of the qualified electors of the county voting in such a referendum. (6) The effective date of the levy and imposition of the tourist impact tax authorized under this section shall be the first day of the second month following approval of the ordinance by referendum or the first day of any subsequent month as may be specified in the ordinance. A certified copy of the ordinance shall include the time period and the effective date of the tax levy and shall be furnished by the county to the Department of Revenue within 10 days after passing an ordinance levying such tax and again within 10 days after approval by referendum of such tax. If applicable, the county levying the tax shall provide the Department of Revenue with a list of the businesses in the area of critical state concern where the tourist impact tax is levied by zip code or other means of identification. Notwithstanding the provisions of s. 213.053, the Department of Revenue shall assist the county in compiling such list of businesses. The tourist impact tax, if not repealed sooner pursuant to paragraph (1)(c), shall be repealed 10 years after the date the area of critical state concern designation is removed. History.—s. 2, ch. 86-170; s. 4, ch. 87-280; s. 29, ch. 90-132; s. 231, ch. 91-224; s. 813, ch. 95-147; s. 1, ch. 97-99; s. 21, ch. 2001-60; s. 13, ch. 2001- 252; s. 1, ch. 2006-223; s. 2, ch. 2009-133. Disclaimer: The information on this system is unverified. The journals or printed bills of the respective chambers should be consulted for official purposes. Copyright © 2000- 2015 State of Florida. http://www.flsenate.gov/Laws/Statutes/2014/125.0108 2/3/2015 BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT I AGENDA ITEM SUMMARY Meeting Date: February 18, 2015 Division: — Emergency Services Bulk Item: Yes X No Department: Fire Rescue Staff Contact Person:, .Holly..Pfiester 289-6088 AGENDA ITEM WORDING: Approve to award contract for maintenance of and repairs to Monroe County Fire Rescue ambulances, and other vehicles, to Roy Khanna (individual) for a base term of three (3) years plus the option to renew for two (2) further one-year periods, and approval for the Fire Chief to sign all documents as needed to complete the transaction. ITEM BACKGROUND: On December 16,2014 at 3:00prn the Monroe County purchasing office opened one (1) response to our Request for Proposals— Maintenance of Monroe County Fire Rescue Ambulances and Other Vehicles — from Roy Khanna (individual) who also holds the current contract for same dating back to 2007. This RFP includes flat — rate preventative maintenance in addition to repairs which are billed at an hourly rate. It also includes the addition of the Key West International Airport ARFF vehicles, which were not included in Roy Khanna's previous contract, as the KWIA Station No. 7 was not under the purview of MCFR the last time an RFP went out. Taking these differences into consideration, and upon validating the vendor has not markedly increased his hourly rate since 2007, staff recommends approval. PREVIOUS RELEVANT BOG ACTION: At the September 17,2014 Board of Governors meeting, the Board approved item G3, which was a request to issue a request for proposal (RFP) for Maintenance of Monroe County Fire Rescue Ambulances and Other Vehicles, On February 19, 2014, in itern G2, the Board granted approval for the District to exercise the only one-year renewal period. The original (2011 ) contract was for a three-year (3) term, with one (1) annual renewal. CONTRACT/AGREEMENT CHANGES: The hourly rate increases from $75 to $95, the Level I and Level 11 preventative maintenance for ambulances and rescues increased in totality by $3 15 per year, and the Level I and Level 11 preventative maintenance flat —rate cost(s) for KWIA vehicles are new. STAFF RECOMMENDATIONS: Approval. TOTAL COST: — $120,000 approx. — 141 District I L&M Key and $50,000 approx. — 404 International Airport INDIRECT COST: N/A BUDGETED: Yes X No COST TO COUNTY: See above SOURCE OF FUNDS: 141 — 11500 — 530462 and 404 — 63 100 — 530462 REVENUE PRODUCING: Yes No X AMOUNT PER MONTH Year APPROVED BY: County Atty "/Purc Vasing Risk Management DOCUMENTATION: Included X Not Required DISPOSITION: AGENDA ITEM # CONTRACT SUMMARY Contract with: Roy Khanna (individual) Contract # Base Term - 3 years Effective Date: 0311/2015 Expiration Date: 02M/201 8 Aro (2) /-.vwr renewal pplions 0111=8 thno 02/28019 and 03/l/2019 thru 02/28/2020 Contract Purpose/Description- Contract for maintenance.of and repairs to Monroe County Fire Rescue ambulances, and other vehicIM-to Roy Khanna.fino idual) for a base term of three (3) years l2lus the option to renew for two 2 rther one-year periods, and annroval for the Fire Chief to sib all documents as needed to compete the transaction. Contract Manager: Holly PrIester 6088 (Name) (Ext.) 02/18/2015 CONTRACT COSTS Emergency Services/ Stop I (Department/Stop 4) Agenda Deadline: 02/03/2015 Total $120,000 / year approx. Fund 141 District I L&M Key Current Dollar $ 50,000 / year approx. Fund 404 International Airport Year Value Portion: N/A Of Contract- Hourly Rate - $95 Parts - Cost+ 25% Overtime - Vendor Refused OT or Holiday Pay Lcvgl I — aemi AnjjUI Preventative _Maintenance; Level II — Annual Preventative Maintenance: (rtalfiafe Cost Per Vehicle)- (Flat Rate Cost Per Vehicle): Rescue Ambulances = $275 Rescue Ambulances - $865 Rehab Units 1 S275 Rehab Units = $865 MCI Trailer and Utility - $100 MCI Trailer and Utility = SI 75 ARFF Vehicles $1,800 ARFF Vehicles - $1,800 Budgeted? Yes m No El Account Codes: 11500-530462 and 63100-530462 Grant: S N/A County Match: $ N/A ADDITIONAL COSTS Estimated Ongoing Costs: $, included above For. so (Not included in dollar value above) (eg. maintenance, utilities,janitorial, salaries, Division Director Risk Management w County Attorney [410NN 9 NAffift &Wl Changes Needed YesD NoET' YesEj No(3'Z Yes[] Nol?f Yeso Nom, OMB Form Revised 2/27/01 MCP 42 BUDGET FINANCE PURCHASING DEPARTMENT TABULATION SHEET OPEN DATE: DECEMBER 16, 2014 AT 3:00 PM, TITLE: MAINTENANCE OF MONROE COUNTY FIRE RESCUE AMBULANCES AND OTHER VEHICLES RESPONDENT'S NAME: ROY KHANNA Site Visit of Year Level I — Semi Annual PM (Labor Only - Parts Extra) rs' scue Ambulances $ 275.00 Rehab Units $ 275.00 MCI Trailer and Utility $ 100.00 ARFF Vehicles $ 1,800.00 ................................................................................................................................................................ 2°d Site Visit of Year Level I — Semi Annual PM and Level 11— Annual PM (Labor Only - Parts Extra) Rescue Ambulances $ 1,140.00 Rehab Units $ 1,140.00 MCI Trailer and Utility $ 275.00 ARFF Vehicles $ 3,600.00 ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. Total Cost Per Vehicle / Per Year for Level I & Level I (Labor Only - Parts Extra) Rescue Ambulances $ 1,415.00 Rehab Units $ 1,415.00 MCI Trailer and Utility $ 375.00 ARFF Vehicles $ 5,400.00 continued Unscheduled Maintenance Resulting from Equipment Failure or Malfunction (Travel Time and Mileage NOT charged separately — Amount Below Inclusive) Hourly Rate 1 $ 95.00 Overtime/Holiday Rate $ N/A DON'T WANT — (One and One Half Times Hourly Rate) NOT APPLICABLE All Parts Used for Maintenance and Repair of Vehicles Parts I Cost + 25 % Bid Committee Present: Emie Coughlin - Purchasing Dept. Members of the Public Present: None I hereby certify that this is a true and correct copy of said bid opening and that all bidders listed above have been checked against the State of Florida Convicted & Suspended Vendor listings. All bids listed above were received by the date and time specified. Bid Opened By: Emie Coughlin - Purchasing Manager CONTRACT BETWEEN THE BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA AND ROY KHANNA (INDIVIDUAL) FOR MAINTENANCE OF FIRE RESCUE AMBULANCES AND OTHER VEHICLES THIS CONTRACT, hereinafter `CONTRACT OR AGREEMENT' made and entered into this IST day of March, 2015 by and between the Board of Governors of Fire and Ambulance District 1, Monroe County, Florida with principal offices located at 490 63rd Street, Marathon, FL 33050 (hereinafter referred to as the "COUNTY"), and Roy Khanna, Individual, 1033 Valencia Road, Key Largo, FL 33037 (hereinafter referred to as `CONTRACTOR') WITNESSETH: WHEREAS, the COUNTY advertised a notice of request for Proposals for MAINTENANCE OF FIRE RESCUE AMBULANCES AND OTHER VEHICLES WHEREAS, the only Respondent was Roy Khanna, individual, and; WHEREAS, this CONTRACTOR represents that he is capable and prepared to provide such services, and; WHEREAS, the COUNTY intends to enter into an Agreement for Maintenance of and Repair to Fire Rescue Ambulances, and Other Vehicles; semi-annual and annual preventative maintenance inspections, and unscheduled maintenance resulting from malfunction or failure with the CONTRACTOR and; WHEREAS, this Contract is an `Agreement' between both parties, NOW, THEREFORE, in consideration of the promises contained herein, the parties agree as follows: Contract Documents: This Contract consists of the Agreement, the Contractor's response to the RFP, and the documents referred to in the Agreement as a part of this Agreement. In the event of any conflict between any of the Contract documents, the one imposing the greater burden on the Contractor will control. 2. Contract Period and Renewal: The effective date of this Agreement shall be an initial three (3) year term commencing on March 1, 2015 through February 28, 2018. This Agreement may then be renewed annually, not to exceed two (2) renewals, subject to approval of the COUNTY. 3. Contract Termination: This Agreement may be terminated for any reason by either Page 1 of 9 party on thirty (30) day written notice without cause. If the Contractor fails to fulfill the terms of this Agreement, or attachments, properly or on time, or otherwise violates the provisions of the Agreement or of applicable laws or regulations governing the use of funds, the County may terminate the Contract by written notice. The notice shall specify cause. All finished or unfinished supplies or services shall, at the option of the County, become property of the County. The County shall pay the Contractor fair and equitable compensation for expenses incurred prior to termination of the Agreement, less any amount or damages caused by the Contractor's breach. If the damages are more than compensation payable, the Contractor will remain liable after termination and the County shall pursue collection for damages. 4. Subject Matter of Contract: This Agreement is for all fire rescue ambulances and other vehicles described in `Attachment A' to receive: Level I Preventative Maintenance / Semi -Annual Level II Preventative Maintenance / Annual Unscheduled maintenance and repair resulting from equipment failure or malfunction 5. Hourly Rate: The hourly rate shall be $ 95 per man-hour with no travel time or mileage charge. Level I (Semi -Annual) and Level II (Annual) Preventative Maintenance are at quoted flat rates and excluded from hourly rate. 6. Overtime and Holidays: The vendor has declined the overtime and holiday rate for emergency repairs called outside normal business hours and federal holidays. Calls made outside normal business hours and during federal holidays shall also be at the hourly rate of $ 95 (as outlined in Section 5 above). 7. Inspections: During the year, Contractor shall perform twice per year on all vehicles, including the modular portion of the vehicles, described in `Attachment A'. Semi -Annual Level I Preventative Maintenance Service Annual Level II Preventative Maintenance Service. The number of vehicles on `Attachment A' may fluctuate from time to time due to new purchases or removal of vehicles from inventory. The inspections shall be performed at the respective fire stations. Semi -Annual Level I Preventative Maintenance Service: 250 hours or 6 months (whichever comes first) Full vehicle inspection (to include at a minimum) outlined as follows: Page 2 of 9 - Engine oil and filter change - Fuel filter change (every 6 months) - Air filter inspection and replacement if necessary - Chassis lubrication - Lubrication of all valve control linkages - Clean or replace air compressor strainer - Clean engine crankcase breather - Inspection of generator and service of lubricant system, full system, and air filter according to its individual hours of operation (not to exceed 6 months) - Cooling system, including fan belts, radiator supports, hoses and clamps, and auxiliary cooler - Exhaust system, including hanger, clamps, muffler, and pipes - Exhaust regeneration system - Diesel exhaust fluid (D.E.F.) - Automatic transmission, including fluid level, seals, modulator adjustment, and linkage - Drive train, including a joints, center support, and companion flanges - Rear axle and springs, including oil links, spring hangers, center bolts, and a -bolts - Front end, including steering box, linkage, kingpins and bushings, spring hangers, and U-bolts - Mechanical brakes, including adjustment and fluid levels - Air brakes, including drain, adjustment, wear, and air leaks - Tires, including condition, wear, tread depth, year of tire and replacement recommendations - Electrical system, including running lights, emergency lights, battery cables, turn lights, 4-way flasher, headlights, stop lights, hazards and switches - Fuel system, including hoses and fittings, filters and brackets, and tank straps - Booster tank, including leaks and supports - Prime pump, including electrical wires, coupling, switch, and valve discharge - Plumbing and gates, including leaks, brackets, bleed valves, control arms and knobs, and linkage - Main pump, including vacuum test, pressure test, packing, clappers, and mounting - Pump transmission, including fluid levels, seals, shift motors, and manual override Annual Level II Preventative Maintenance: 1000 hours or one year (whichever comes first) Full vehicle inspection performed in Level I, plus at a minimum: - Replacement of coolant hoses, filter and coolant as needed - Replacement of all drive belts as needed - Replacement of pump transmission oil and filter - Replacement of engine transmission fluid and filter - Replacement of rear axle Tube oil as needed - Inspection of front wheel bearing Page 3 of 9 - Replacement and repacking as needed - Inspection and cleaning of relief valve strainer - Replacement of secondary fuel filters on both engine and generator - Inspection of front wheel bearing The above Level I and Level 11 inspections shall include, at no additional labor charge, the changing of all applicable filters and fluids used by the unit being inspected. Filters and fluids shall be billed at cost plus 25 % as described in section 10 of this Agreement. Preventative Maintenance Inspections incorporating Level I (semi-annual) and Level II (annual) shall be conducted at such intervals as are approved by Monroe County Fire Rescue. Upon completion of inspection a computerized report will be forwarded to the logistics support services indicating the status of the items inspected. This will be done for every vehicle when Level I (semi-annual) and Level II (annual) Preventative Maintenance is performed on the vehicle. This report must be emailed to the Logistics Support Services office and The Contract Administrator's office, over period of contract. The form must either be in Microsoft Word or Excel. Rates: Contractor shall charge Level I (semi-annual) Preventative Maintenance Service at Flat —Rate annual total costs of: RESCUE AMBULANCES $ 275.00 REHAB UNITS $ 275.00 MCI TRAILER AND UTILITY $ 100.00 ARFF VEHICLES $ 1,800.00 Contractor shall charge Level II (annual) Preventative Maintenance Service at Flat —Rate annual total costs of: RESCUE AMBULANCES $ 865.00 REHAB UNITS $ 865.00 MCI TRAILER AND UTILITY $ 175.00 ARFF VEHICLES $ 1,800.00 Page 4 of 9 I 10 Each year, the Contractor shall perform a minimum of Two (2) Level I (semi-annual) Preventative Maintenance Service(s), and One (1) Level II (annual) Preventative Maintenance Service for a Total Annual cost of: RESCUE AMBULANCES $ 1,415.00 REHAB UNITS $ 1,415.00 MCI TRAILER AND UTILITY $ 375.00 ARFF VEHICLES $ 5,400.00 Parts, Fluids and Lubricants Rate: Contractor shall supply all parts, fluids, and lubricants used for maintaining and repairing vehicles to Monroe County Fire Rescue at: Cost + 25 % For any individual parts, or if total of all parts for an individual repair, is $400.00 or over, a copy of original parts supplier invoices shall be attached to the bill. Contractor will be required to keep all original parts supplier invoices available at request by Monroe County Fire Rescue for spot checking and auditing purposes. Engine Oil and Filter Change: Complete drive train lubrication and any other fluids and/or filter changes, shall be performed as recommended by the manufacturer. 11. Weekly Maintenance Schedule: Contractor shall also provide to Monroe County Fire Rescue a Weekly Preventative Maintenance Schedule which can be performed by the individual fire stations' personnel. The Contractor shall provide in-service training to the Lieutenants on all three (3) shifts at all of the stations at no extra cost. This will be scheduled by the Contractor with the on -duty Lieutenants and can be done during Level I and Level II Preventative Maintenance visits. 12. Maintenance Lot: Contractor shall maintain an inspection and maintenance chart on each vehicle containing at least the following information: - Date of Performance - Apparatus Serviced - Service Performed - Parts Used - Name of Service Person(s) - Total Downtime of Vehicle 13. Maintenance Chart: A copy of chart outline above shall be supplied to the fire rescue office within ten (10) days of the service. Page 5 of 9 14. Response Email: Contractor shall respond to all original emergency field repair forms by emailing the original document to the logistics support services office with documentation of repairs made, parts used and any other miscellaneous information that is applicable. 15. Communication Device: Contractor shall maintain a telephone, cell phone, email or paging device such that prompt notification of request for service is possible twenty-four (24) hours a day. 16. Response Time to Service Reguest: Contractor shall maintain a state of readiness during normal working hours defined as 8:00 am — 5:00 pm Monday thru Friday, and shall acknowledge and respond within two (2) hours to Monroe County Fire Rescue's initial notification during normal working hours; Contractor then has twelve (12) regular working hours to either make repairs, or respond to Monroe County Fire Rescue with a Repair Plan, Response(s) can be by phone or email. Contractor shall be available 24-hours a day per Item 16 of Contract; Contractor shall acknowledge and respond within four (4) hours to the Monroe County Fire Rescue's initial notification outside of normal working hours; Contractor then has thirty-six (36) hours to either make repairs, or respond to Monroe County Fire Rescue with a Repair Plan; Response(s) can be by phone or email. 17. Staffing: Contractor shall maintain adequate staff to ensure compliance. 18. Certification: Contractor shall provide evidence satisfactory to Monroe County Fire Rescue that its personnel who perform maintenance work `Attachment J' are certified: - EVT (Emergency Vehicle Technicians) certified as Level III Master Ambulance Technician - Automotive Service Excellence (ASE) certified Master Medium/Heavy Truck Technician - Pump mechanics - General Mechanics - Repair Mechanics Or, personnel who are not certified are overseen by certified personnel. 19. Qualifications of Maintenance Personnel: All personnel performing maintenance, repairs, adjustments and related work on Monroe County Fire Rescue equipment shall be a certified fire apparatus mechanic, or otherwise certified for the work to be performed. Personnel performing work who are not certified or experienced in such work shall be directly supervised (in person) by an individual with such certification. Page 6 of 9 20. Indemnification: Contractor shall indemnify and hold Monroe County harmless for all actions of Contractor's negligence as well as faulty or improper workmanship, for all work performed under this Contract, including all costs of collection, reasonable attorney fees, claim costs, and as per `Attachment G'. All property or equipment being directly maintained or repaired by Contractor shall be considered in its care, custody, and control while such work is in progress and until physical control of such property or equipment is restored to the County. 21. Location of Work: This Contract is for maintenance of fire rescue vehicles located at the following sites: - KWIA (Key West International Airport) — STATION 7 - Stock Island — STATION 8 - Big Coppitt — STATION 9 - Sugarloaf — STATION 10 - Cudjoe —STATION 11 - Big Pine — STATION 13 - Crawl Key — MONROE COUNTY FIRE ACADEMY - Conch Key — STATION 17 - Layton — STATION 18 - Tavernier — STATION 22 22. Insurance: During the term of this Contract, the Contractor must keep in force and affect the insurance required by `Attachment H' which is attached and incorporated into this Contract. 23. Additional Required Statements / Verifications / Affidavits: Attached hereto: Attachment C Non -Collusion Affidavit Attachment D Public Entity Crime Statement Attachment E Drug Free Workplace Form Attachment F Lobbying & Conflict of Interest Clause (Ethics Clause) Attachment G Indemnification and Hold Harmless Attachment I Local Preference Form Page 7 of 9 24. Payments: All payments will be made in accordance with the Florida Local Government Prompt Payment Act. All unscheduled maintenance and repair resulting from equipment failure or malfunction requiring service shall be billed by the Contractor at the applicable rates as specified in contract. The Contractor upon notification by Monroe County Fire Rescue of an equipment failure or malfunction requiring unscheduled maintenance, shall in a timely manner investigate the problem and provide to Monroe County Fire Rescue an estimate of the cost for repair and vehicle downtime. The Contractor upon receiving authorization to proceed from Monroe County Fire Rescue shall effectuate such repair; upon completion of same the Contractor shall notify Monroe County Fire Rescue of the outcome and actual cost. Monroe County Fire Rescue shall issue a separate purchase order for each occurrence of unscheduled maintenance and repair. 25. Monroe County's performance and obligation to pay under this Contract is contingent upon an annual appropriation by the Board of Governors of Fire and Ambulance District 1 of Monroe County, Florida. 26. Venue for any litigation arising under this Contract must be in a court of competent jurisdiction in Monroe County, Florida. This Agreement is not subject to arbitration. IN WITNESS WHEREOF, the parties have executed this Agreement 1ST day of March, 2015 THE BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1 OF MONROE COUNTY, FLORIDA George Neugent, Commissioner District 2, Monroe County David Rice, Commissioner District 4, Monroe County Danny Kolhage, Commissioner District 1, Monroe County Norm Anderson, Mayor, City of Layton Clark Snow, Councilman, City of Layton In the event a Layton member above was unable to attend, the Alternate's vote below shall serve Katie Scott, Alternate, City of Layton Page 8 of 9 (SEAL) ATTEST: AMY HEAVILIN, COUNTY CLERK By: Deputy Clerk By: Roy Khanna, Owner Date- WW_ W I I Jbil Af-"IJILAfIUE )Ih'vWIU'I' I IIkF COUNTY, FL m Mayor / Chairman FE W FROM RI R-101MIKONiN MONO E COUNTY ATTORNEY AP I PROVJRD AST FCC ASSISTr\�j i C.OUNTY ATTORNEY c Page 9 of 9 Attachment A SCOPE OF WORK MONROE COUNTY FIRE RESCUE AMBULANCES AND OTHER VEHICLES LIST LOCATION DESCRIPTION 1996 T-1500 2007 Striker Key West 2012 Ford 350Truck 2010 Ford 550 Truck 2005 MCI Trailer 10TBK8Z17WS064431 / 2401-313 Reserve ARFF — 107 10TBKAK107SO94275 / 2401-5973 Prime ARFF — 7 1FT8W3BT3CE31413 / 2401-7394 Prime ARFF — 207 1FDAW5HR2AEB04654 / 6819 MCI MCI 1WC200J2X53052439 / 1416-306 MCI MCI Stock 2001 Ford Ambulance 1FDXF46FXIEC33366 / 2418 Prime R — 8 Island 2006 Sterling Ambulance 2FZACFCS76AV92511 / 1416-5098 Prime R — 9 Big Coppitt 1994 Ford Rehab Unit 1FDLF47M6REA52322 / 1417-159 Prime Rehab — 9 2002 Ford Ambulance 1FDXF46F22ED14878 / 1416-215 Reserve R — 109 Cudjoe 2008 Horton Ambulance 3HTMNAAM68N698467 / 6507 Prime R —11 Big Pine Key 2006 Sterling Ambulance 2FZACFCS37AX62073 / 1416-5806 Prime R — 13 Conch Key 2009 Ford Ambulance IFDXE45P79DA90438 / 1416-6845 Prime R — 17 2009 Ford Ambulance 1FDXE45P19DA83131 / 6813 Prime R — 22 Ambulance 1FDXF46F9XEB99283/1416-120- 1998 Ford Reserve R — 122 4287 Tavernier 1992 Ford Rehab Unit 1FDFL47F2SEA30339 / 4295 Prime Rehab — 22 2001 Ford Rescue 1FDXF46F61EC33364/ 1416-059 Training Training Res I p I ondent' I s 11 Name 9bi K�rrlqrl Mailing Address 311-7 C-A*rpt- 1033 L o c- 4 L WbD re<.5 33 3 -.;)-76 0 PD y A - Phone Fax Email 3z> 5— -7 fw--- 9 -< All amounts must be in number forniat AND written. III Site Visit of Year Level I — Semi Annual PM — LOYI&Y Rescue Ambulances Rehab Units 175 MCI Trailer and Utility $11>0,f Ov ARFF Vehicles $ 2'Ad Site Visit of Year ARFF Vehicles Rescue Ambulances Rehab Units MCI Trailer and Utility ohs Level I Semi Annual PM and Level 11 Annual PM Total Cost Per Vehicle Per Year slq6l o $ 1 5— rl-e conrinued ARFF Vehicles Unscheduled Maintenance Resulting from Equipment Failure: or Malfunction (Travel Time and Mileage NOT charged separately Amount Below Inclusive, Hourly to Overtime/Holiday be (One and One Half Times Hourly Rate) Puts Proposal Submission Response Form Non Collusion Affidavit Drug Free Workplace Form Indemnification and Hold Harmless Local Preference Form (Wapplicable) STATEOF r-10-Y-,V0-. COUNTY OF j V f t>0 cl-�- cmam�� t-t--y 4, ve- (Check mark items as a reminder that they are included) 11 1 �p (Signl�uref ­Ro`ndent)��� /Zh// Date PERSONALLY APPEARED BEFORE ME, the undersigned authority, cri rr.in spaice provided above on this FkDLic: �(5-oo731-5-316-?o Attachment C J"IICKK1 a h-W.'1k tA U Ll of the city of according to law on my oath, and under penalty of ted ury, deyosie and say that; 1) 1 am K-4APO-% VA Y'N- the Respondent malcing the Solicitation for the projecit described as follows: Pr-Df9v5'+L - n4l n-r-e,-v 0-11 0--e- OF 3) Unless otherwise required by law, the pri ices, which have been quoted in this &flicN-W-lisn hwre no&zin, "Irri-fert'gly fiscfl�;4 �y tie W11,7411 disclosed by the Respondent prior to solicitation opening, directly or indirectly, to any other Respondent or to any competitor, and 4) No attempt has been made or will be made by the Respondent to induce any other person, partnership or corporation to submit, or not to submit, a solicitation for the purpose of restricting competition; and 5) The statements contained in this affidavit are true and correct, and made with full knowledge that Monroe County relies upon the truth of the statements contained in this affidavit in awarding contracts for said project. STATE OF__z&o z (Signe- of Respondent) COUNTY OF 6-3 Date wh, after first beoam • ing swrn by me, (ne Vo ivi6a] signing) affixed his/her signature in the space provided above on this tay of 2qj�L_1. NOTARY PUBLIC OMB - MCP FORM #I 'A person or affiliate who leplaced on the convicted vendor list following a conviction for public entity crime may not submit a solicitation on a contract to provide any goods or 7 Ov 03 � = M 11111111111 lI :1 1 1 Pill L�n(Si re of Respondent) Ole ---- Date & /Z / A, 14 who, after first being swom by me, (name of 4a s-Ignmig) affixed his/her —signature in the space provided above on this —day of 20_. NOTARYPUBL 1C I WIN12111 I I I � I I � I I I I I I Publishes a statement notifying employees that the unlawfW manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against emplo ees for violations of such y prohibition. 2. Informs employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug -free workplace, any available drug counseling, rehabation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Gives each employee engaged in providing the commodities or contractual services thal are under solicitation a copy of the statement specified in subsection (1). k In the statement specified in subsection (1), notifies the employees that, as a condition of working on the commodities or contractual services that are under solicitation, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendre 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. Imposes a sanction on, or require the satisfactory participation in a drug abuse assistano; or rehabilitation program if such is available in the employee's community, or any employee who is so convicted. f. Makes a good faith effort to continue to maintain a drug -free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. W-M ro M.- W" II, flt� t4— warrants that hatit has not employed, retained or STATE OF -FZDC VAR 1 11 J: �lil 1; 111 ;5EM=; 2-743�� 1 1 AD.5 LWI I bst who, after first being sworn by me, affixed �his/her I signature (name of individual signing) in the space provided above on this __.�ay of OMB - MCP FORM #4 uit� Indemncation and Hold Harmless for 11MA i1111 ;; ;1 19= The Responder covenants and agrees to indemnify and hold harmless Monroe County Board of County Commissioners AND Board of Governors for District 1, its servants, agents and employees from any and all claims for bodily injury (including death), personal injury, and property damage (including property owned by Monroe County) and any other losses, damages, znd expenses (including consultant's fees) which arise out of, in connection with, or by reasoin of services provided by the Bidder or any of its subRespondents (s) in any tier, occasioned by the negligence, errors, or other wrongful act or omission of The Responder or its sub -Responder in any tier, their employees, or agents. .?.s a result of the Responder's failure to purchase or maintain the required insurance, the "it , 71�ll The first ten dollars ($10.00) of remuneration paid to the Respondent is for the indemnification p rovi 'ded for above. The extent of liability is in no v., reduw*�-Tr_ttc �_%A�W_&e.��%CPirements contained elsewhere within this Agreement. Date 11M GENERAL LUBILITY FOR CONTRACT A01 " ervx r-, PgA- Pri�or to the commencement of work governed by this contract� the Respondent 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 Defmition of Property Damage The minimum limits acceptable shall be: 3EMME An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its LJFAEi =14 0 t; 0 Nioners s e MOM- - ou'l all policies issued to satisfy the above requirements. Attachment H (2 of 4) LU DI ,1 iWA FOR CONTRACT lo 1 1 1 1'II Recognizing that the work governed by this contract requires the use of vehicles, the Respondent, 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: The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirements. 9766M 1069 2 AT 0.406 FG1 LA02S 012 001069 Named insured' =411i"i , III 11113941441111111111 1111114 Commercial Auto Insurance Coverage Summary This is your revised Renewal Declarations Page The named insured organization type is a sole proprietorship. Outline of coverage i I, =-.- - Policy number 02121612-1 Underwritten by: Progressive Express Ins Company March 1, 2014 Policy Period: Apr 3, 2014 - Apr 3, 2015 Page 1 of 2 progressiveagentcom Online Service Make payments, check billing activity, print policy documents, or shed the status of a claim. 1-561-223-2199 INSURANCE CAPITAL Contact your agent for pemnalized service. 1-8004444487 For customer sen4ce ff your agent is unavailable or to report a claim. Dr.4tion umfts Dedod* pmmwm -f� &er-s........................ ........ ................ ................................. .......... 4 ......... .......... ..... 6-7. -7- Bodily Injury and Property Damage Liablity S 100,000 oombinM single limit ..................... .... . ... ....... ....... Uninsured Motorist Mon -Stacked $11 ONO each person/$ 2000 each accident 100 basic . ''Pe'rs'ona'l'f'n'pry'P'iot'eLl,ion ........ .......... ­­ .......... IIIIII'l",.11*111111IIL.Illll,*"............. * ............. * ......... 20 Without Work Comp -Named Insured Only $1 ONO each $0 ............ .................. ............. &iiifhensive 77 See Auto Coverage Schedule Limit, of liabt ...... --- ........... .................... ......... ... *.. � ....... 6-- ....... ....... ...... I—. - -.. — I � � � .......... Collision 71 See Auto Coverage Schedule Limit of liability less deductible Subtotal policy premium $1,129.00 Florida m" cane Catastrophe Fund Assessment AM i�e-s ....... -- ................. .......................... * ....... --- ......... * ...... —* ................ ....*....... * ........... * .............. 2,0-.6 0** premium amid $1,163.69 ­ 1. R6Y'K­'?�A"N­NA' ......... * ............... ­­ * ....................... *............ * ....... * ........ ­­­­ ­........................................ 4"", 2. 156K'6;. ............ *­* .............. *­­*"-­­ .............. ................... * ................ * ........................... * .... ** . ......... I yen 6489FL(11112) cmunug Policy number- 2121612-1 Paige 2 of 2 Auto coverage schedule 1. 1996 Intl 470Stated Amount 19,000 (including Permanently Attached Equip) VIN 1 HTSLAA!v1,6TH 2 74156 Garaging Zip Code 33057 Radius 50 Liability Wbrrrry urn NIM Or rip Premium 677 S 100 .....�ZO4 Comp comp 01ision C011150n Physical Damage Dedwittle Premium Deductible Premium .Aura Nal Premium 4500 $77 .....500 $71 $1,129 *A vehicle's stated amount should indicate its current retail value, including any special or permanently attached equipment, In the event of a total loss, the maximum amount payable is the lesser of the Stated Amount or Actual Casts Value, less deductible Be suss to check stated amount at every renewal in order to receive the hest value from your Progressive Commercial Auto policy. Premium discounts Porsey 021 1 12-1 LToisiness Experience, Paid In full, Package and Renewva' Additional Insured information 1 Addit ona, Insured 1v ONROE COUNTY 9D,CC 1100 SIMONT N S KEY WEST, FL 33040 Agent signature I C' i3 B N Attachment H (3 of 4) UTIN"PT 1) DE K 11 IJ C I M 41 am 0 Prior to the commencement of work governed by this contract, the Respondent shall obtain Workers' Compensation Insurance with limits sufficient to respond to the applicable state statutes. In addition, the Respondent 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 Coverage shall be maintained throughout the entire term of the contract ,V.9te of Flo-ida, If the Respondent has been approved by the Florida's Department of Labor, as an authorized self -insurer, the County shall recognize and honor the Respondent's status. The Respondent may be required to submit a Letter of Authorization issued by the Department of Labor and a Certificate of Insurance, providing details on the Respondent's Excess Insurance Program. If the Respondent participates in a self-insurance fund, a Certificate of Insurance will be required. In addition, the Respondent may be required to submit updated financial statements from the fund upon request from the County. i I I IN i WMEM Request for Witiver of It is requested that the insurance requirementsas speced in the County's Schedule of Insurance Requirements, be waived or modified on the fbilowing contracL Respondent: - --9D\1 pj�opo�j/ — Contract for r-c— e5r Address of Respondent _zz):o I/ 11-� I Phone: 30 6 — Zj64—,5v-:)6:3 c3r— f6—j — Scope of Work., 4eseut- Reason for Waiver. By L44.L.-, rinore- 1— Policies Waiver will apply to - Signature of Respondent Apved Not Approved Fisk Management Date Approved: Not Approved - Board of County Commissioners appeal: Approved: Not Approved: Meeting Date. Attachment I s [ - 1 1 d ` 1 ,7115 A r oneyearprior to L 'a notice or requestfor r':S or S L,YL { finvish fF't M B. ;.{e, the .r [ i 9` a Respondent il ft:{ to :+ #catit t ; f. 0; or more1 4 11 goods, n { •k s Af^[ a to FW businesses ![ ._il {r �[k T+4 1{ to licensing location? 0 If 4' { : F 1 1. one prior to the s e r. or requestfor bid or s iaa 2. SubRespDndent Address wUAr 3 - County f. A { which *a subRwspondento[ .« cL{.s: Nwnber STATE OF A COUNTY T i [[ M { r, e" a u r a { ♦ Ae, [ r a a a �t+ '� } .�•. ,+[� i [ { a r : E [ a i ' �:i Ti [. iF Y t ai.. `e 3 4 � i ;M [ [ Wrv4s a z r. ca �00 �. ICL MLUz ce LU En cepr m be EM r vd il�p1 N d�B � C � C co (a Lt Ut uj uj U LL Q va OQ fa r cm Ti 0 0 �j e 0 :5 Attachment J CERTIFICATIONS n N n a cd a wi a Piz w a Cl w U a a a ON w t s cc cl el 16. im es a l"i I 9 rt r i c rr iu A 0 m--_o dip CD C) w CL- W i= LU = I-- u LLJ Li CC 1:4 wr U9 0 rL -Nd LJ I-- lidUl kkj Ul cc LU ui -j I— rn -4 En En -4 fn w lu -4 'n to z CN 7, ,a