1st Amendment 09/16/2015 BOGAMENDMENT TO THE CONTRACT BETWEEN
THE BOARD OF GOVERNORS OF FIRE AND AMBULANCE DISTRICT 1
OF MONROE COUNTY, FLORIDA
"Mu
ROY KHANNA (INDIVIDUAL)
FOR MAINTENANCE OF FIRE RESCUE AMBULANCES AND OTHER VEHICLES
This is an Amendment to the Roy Khanna Contract between the Monroe County Board of
Governors Fire and Ambulance District I of Monroe County (the "Customer ") and Roy Khanna,
Individual,
WHEREAS, in February 2015, the Board of Governors of Fire and Ambulance District 1
( "Board of Governors ") approved a contract with Roy Khanna, for the maintenance of fire rescue
ambulances and other vehicles; and
WHEREAS, the contract mandates Roy Khanna, supply MCFR the original parts
supplier invoices, if the total of all parts for an individual repair is $400, or over; and
WHEREAS, the previous contract (BOG approved February 16, 2011) mandated Roy
Khanna only supply MCFR the original parts supplier invoices when the individual part cost
$200, or over, and
WHEREAS, Roy Khanna respectfully requests the contract be changed to match the
current version Fire Tech Repair Services, Inc. is requesting, which is original parts invoice be
supplied when the individual part cost $400, or over.
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF GOVERNORS OF
MONROE COUNTY, FLORIDA, THAT
1. Paragraph 9 of the Contract is revised to read as follows:
9. 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%
If the cost to the vendor of any individual part, fluid or lubricant is equal to or
greater than $400.00, the vendor shall attach a copy of the original parts supplier
invoice documenting the price paid by the vendor for that part, fluid or lubricant
to the bill submitted to the County. The Contractor is also required to keep all
Page 1 of 2
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 Z z �?
Norm Anderson, Mayor, City of Layton r'
Clark Snow, Councilman, City of Layton r
In the event a Layton member above was unable to attent4 the Alternate's vote bow shaAser rg
- J
Katie Scott, Alternate, City of Layton r -.j
(SEAL)
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By:
Mayor, Danny L. Kolhage
BOARD OF GOVERNORS OF FIRE AND
AMBULANCE DISTRICT 1 OF MONROE
COUNTY, FL
By: k I )
Roy Khann Ow ner
Date: r l S
Mayor / Chairmen
ASSISTANT COUNTY ATTORNEY
MONROE COUNTY ATTORNEY
A7 ROV D AS TO RM
YNTHIA L. ALL
ASSIS NT COUNTY ATTORNEY
Date 10 W ` 2-015,
royrkhannaQcs.com
AC RD CERTIFICATE OF GARAGE INSURANCE
DATE (MMNDI
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5
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: H the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terns and conditions of the policy, certain policies may require an endorsement. A statement on this caMcats does not confer rights to the
cerWicate holder In lieu of such endorsement(s).
PRODUCER
Insurance Capital Management LLC
1035 S. State Road 7
N M T E � Deborah B Howard Al24072
PHONE 561-223-2199 AIC No: 561 - 209 -581
WrRES , icmllcl ahoo.com
INS S AFFOR OIGG COVERAGE
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Suite 315-9
INSURER A: Catlin clafty Insurance Company
15989
Wellinertan FL 3341A
INSURED
INSURER B Progressive Express Insurance Com an
OTHER THAN
AUTO ONLY
INSURER C:
$ 1,
Roy Khanna
IN ID:
X
3117 Carol Avenue
INSURER E:
11912015
Palm Springs FL 33461
INSURER F:
S 2,000,000.
COVERAGES PROD f Cu$TOMER to: CERTIFICATE X: REVISION M
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.
I SR
TYPE OF INSURANCE
1100 Simonton Street
POLICY NUMBER
CY EFf
POLICY EXP
LIMITS
Fax 305 - 29241487
GARAGE LIABILITY
ALL OWNED HIRED AUTOS
ALrro ONLY (Ea acaaer,q
$ 1,000,000.
OTHER THAN
AUTO ONLY
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$ 1,
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NON -OWNED AUTOS ONLY
USED IN GARAGE BUSINESS
Sealer Service Liability
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0900702333
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WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
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REMARKS (ACORD 401, Additional Remarks Schaduiq may be attached It more space Is required)
Monroe County Board of County Commissioners is listed as an additional insured as indicated above with an "x"
CERTIFICATE HOLDER CANCELLATION
Monroe County Board of County Commissioners
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Attn: Rick Management
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
1100 Simonton Street
Key West FL 33040
AUTHORIZED REPRESENTATIVE
Fax 305 - 289.6061
Al24072
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Fax 305 - 29241487
4
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