2nd Amendment 03/23/2017County of Monroe
ne Florida
Monroe County
Board of County Commissioners
Office of the County Administrator
The Historic Gato Cigar Factory
1100 Simonton Street, Suite 205
Key West, FL 33040
(305) 292-4441 —Phone
(305) 292-4544 - Fax
MEMORANDUM
TO: Pamela Hancock — Executive Assistant
BOARD OF COUNTY COMMISSIONERS
Mayor George Neugent, District 2
Mayor Pro Tern David Rice, District 4
Heather Carruthers, District 3
Danny L. Kolhage, District 1
Sylvia I Murphy, District 5
FROM: Lindsey Ballard, Aide to County Administrator \5V
DATE: March 24, 2017
SUBJECT: Small Contract for your records
Second amendment to contract to add two additional monitoring wells.
This small contract is for your records only.
Enclosures:
GHD Services, Inc. — 1 Copy
Thank you,
Lindsey
Monroe County Purchasing Policy and Procedures
COUNTY ADMINISTRATOR
CONTRACT SUMMARY FORM FOR CONTRACTS LESS THAN $50,000
Contract with: GHD Services, Inc. Contract #
Effective Date:
Expiration Date:
Contract Purpose/Description:
2nd amendment to contract to add 2 additional monitoring wells.
Contract Manager: Doug Sposito Project Management
(Name) (Ext.) (Department/Stop #)
CONTRACT COSTS
Total Dollar Value of Contract: $ N/A Current Year Portion: $ N/A
Budgeted? Yes❑ No ❑ Account Codes: - - - -
Grant: $ N/A
County Match: $
ADDITIONAL COSTS
Estimated Ongoing Costs: $ /yr For:
(Not included in dollar value above) (e.g. maintenance, utilities, janitorial, salaries, etc.)
CONTRACT REVI W
Changes Date Out
Pall In Needed Reviewer
Department Head ll- Yes❑ NoF�r S �► �-
Risk Management ,3&- i ) Yeso NoW df- ( 7
O.M.B./Purchasing Tl Yes❑ No[�J- 3 as fI
County Attorney 3 !� Yes❑ NoV /2/) 7
I Comments:
.twin rorm Kevisea z1z //u i muF i71
March 15, 2017
Mr. Doug Sposito
Director of Project Management
Monroe County Engineering
1100 Simonton Street, 2-216
Key West, FL 33040
Dear Mr. Sposito:
Re: Jobber Inc
255 Tavernier Street
Key Largo, Florida
Facility ID No. 448626406
FDEP PO AF12C1
Reference No. 11122167
Attached please find four signed original hard copies of the access agreement for 151 Marine Avenue
in Tavernier, Florida.
Sincerely,
GHD
oel';�� 66,ta'VeC4,
Jenna Martin, P.E.
Project Manager
JM/SS/2
Encl.
GHD Services Inc.
4019 East Fowler Avenue Tampa Florida 33617 USA
T813 971 3882 F813 971 1862 W www.ghd.com
IW D1063I RMINVEGW
1. The Parties. The undersigned real property owner, Board of County Commissioners of
Monroe County ("Owner"), hereby give(s) permission to the State of Florida, Department of
Environmental Protection ("Department") and GHD Services, Inc., its subcontractors, and
vendors (collectively, "Contractor"), to enter the Owner's property specifically identified in
paragraph #2 below. A graphic depicting the approximate locations of the monitoring wells is
attached hereto as Exhibit A. A graphic depicting a cross-section of the monitor well detail is
attached hereto as Exhibit B.
2. The Property. Owner owns the certain parcel(s) RE numbers 00479100-000000 and
00478980-000000 of real property located at 151 Marine Avenue, Tavernier, Florida 33070("the
Property").
3. The Source: There is a suspected source of petroleum contamination from the facility adjacent
to the Property located at 255 Tavernier Street, Key Largo, -parcel # 00478900-000000 and FDEP
Facility/Project # 448626406. -
4. Permissible Activities. This Permission to Enter Property ("Permission") is limited to
activities which may be performed by the Department or its Contractor pursuant to Chapter 62-
780 or 62-730, Florida Administrative Code, without cost to the Owner, to locate contamination,
determine contamination levels which may be performed by the Department and its Contractor.
Specifically, the activities will consist of collection of soil, groundwater (including the
installation of wells), surface water and sediment samples from the monitoring well. In addition
to the well previously installed by the Contractor and identified as MW-5 on Exhibit A, the
Department's Contractor may install two additional groundwater wells identified on Exhibit A as
MW-7 and MW-8 on the County's property for these purposes.
5. Duration and Work Performed during Business Hours. It is anticipated that installation
activities will take 1 day to complete. The well installation activities shall commence on March
28, 2017 and shall terminate on March 28, 2016. The Contractor shall sample the well within 45
days of installation. The well will be properly abandoned and all materials and equipment used
or the tests shall be removed from the Property and any right-of-way following completion of
assessment activities, with approval from the Department. The well will be removed no later
than one (1) year from the installation date, unless a prior extension is agreed to in writing by the
Owner. The Department and Contractor may enter the Property during normal business hours
and may also make arrangements to enter the Property at other times after agreement from the
Owner.
6. No Admission. The granting of this Permission by the Owner is not intended, nor should it be
construed, as an admission of liability on the part of the Owner for any contamination discovered
on the Property.
7. Activities Comply with Applicable Laws. The Department and Contractor agree that any and
all work performed on the Property and in association with this Permission shall be done in a
good, safe, workmanlike manner, and in accordance with applicable federal and state statutes,
rules and regulations.
8. Well Permits. The Owner authorizes the Department and its Contractor to act as its agent in
signing all required forms and documents necessary for obtaining applicable permits related to
well construction, repair, maintenance, modification, and abandonment pursuant to Chapter 373,
Florida Statutes, only after and subject to review and written approval and authorization provided
by County Project Management.
9. Equipment Ownership. The monitoring wells and remedial equipment installed pursuant to
this agreement are the property of the Department.
10. Property Restoration. The Department shall pay the reasonable costs of restoring the
Property to equal to or better than the conditions which existed before activities associated with
contamination assessment were taken.
11. Injury to Department. The Owner shall not be liable for any injury, damage or loss on the
Property suffered by the Department, Department employees or Contractors not caused by the
negligence or intentional acts of the Owner's agents or employees.
12. Sovereign Immunit
applicable law y. The Department acknowledges and accepts its responsibility under
(Section 768.28, Florida Statutes) for damages caused by the acts of its employees while on the
Property. Monroe County retains and does not waive any of its rights and immunities that it is
entitled to pursuant to Section 768.28, Florida Statutes.
13. Public Records. All documents created or received associated with the Permissible activities
are a public record pursuant to Chapter 119, Florida Statutes. The Owner may retrieve any
documents or other information related to the Permissible Activities online using the facility or
project number referenced above in paragraph 4.
http://depedms dep state fl us/Oculus/servIeUlogin?actionHtg in
14. Additional work. Depending on the results of the tests and sampling there may be a need for
placement of
monitoring wells monitoring efforts, and remediation work. All of which shall be subject to a
separate agreement.
15. Insurance. Monroe County shall be named as an "Additional Insured" on the Contractors
Commercial General Liability policy. The contractor shall maintain the following types and
amounts of insurance:
Workers' Compensation: Statutory
Employers Liability:$1,000,000/$1,000,000/$1,000,000
2
Commercial General Liability: $1,000,000
Business Automobile Liability: $1,000,000
Type of Insurance County Forms
16. Hold Harmless and Indemnification. The Contractor covenants and agrees to indemnify and
hold harmless the Owner 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, and expenses (including attorney's fees) which arise out of, in connection with,
or by reason of services provided by the Contractor occasioned by the negligence, errors, or
other wrongful act of omission of the Contractor, its employees, or agents.
17. Authority. The Contractor warrants that it has been granted all necessary authority by the
Department to enter into this Permission and to bind the Department to the representations
cont in is P ission.
Signature of Monroe County representative
R•ol'm w C-10fw i a3 I3
Print Name Date
I too w O kii-b h d' rc e t, sa.i to arz-,�S
"14 M If f, Fl y, 40
Mailing Address
Signature of Witness
Print Name Date
Olu i a. k- U ndfeg @ moo*cf6mt1j-f1.00 ✓
Email Address
Accepted on behalf of the State of Florida Department of Environmental Protection:
lk6LtA A. 3�1y/ I-7
'gnature of Contractor Date
Print name: Jenna Martin, PE
Title: Project Engineer
GHD Services Inc.
4019 East Fowler Ave.
Tampa, Fl. 33617
LEGEND
u•� 0 MONITORING WELL
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PA114 POLYCYCUC AAOWTIC NYOROCARBONS
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of
FOR BUT HOT DETECTED AS WE THE METHOD
DETECTION LIMIT ("X)
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METTIOD DETECTION lIL9T AND THE LABORATORY
PRACM.IIL 01 ATIDN LIMIT
OCTL DROIMDWATEA CLEANUP TARGET LEVELS SPECIFED IN
TABLE 1 OF CHAPTER s2.77T, iAC
RAW NATURAL ATTENW1TA011 DEfA1At sOLRTCE CONCENTUTIOH9
SPECIRED N TABLE V OF CHAPTER B7-,. FAC.
BOLD VALUE EXCEEDS CCTL
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INTERIM ASSESSMENT REPORT
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MONITOR WELL DETAIL
GHD0000-01 PHILLIP/
A` oRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
11/30/2016
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 have ADDITIONAL INSURED provisions or 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 endorsementlsl_
PRODUCER cgME:NTAcT Willis Towers Watson Certificate Center
Willis of Massachusetts, Inc.
c/o 26 Cantur Blvd PHONE
ryy (ac, No, EMI: (877) 945-7378 FAX No)•(888) 467-2378
P.O. Box 305191 no RIEss• certificates@Wllhs.com
Nashville, TN 37230-5191
INSURED
GHD Services Inc.
2055 Niagara Falls Blvd., Suite 3
Niagara Falls, NY 14304
F:
+�aimoCR:
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.
YSR
.19 TYPE OF INSURANCE ADDL SUER POLICY EFF ! POLICY EXP POLICY NUMBER LIMITS
A X COMMERCIAL GENERAL LUU31LnY 1,000 O
- CO CLAIMS -MADE X OCCUR JACH $ +
X 0310-4497 12/01/2016 12/O1/2017 1,000,0'
GEN'L AGGREGATE LIMIT APPLIES PER:
I POLICY LA %(?T LOC
OTHER:
AUTOMOBILE LIABILITY
X ANY AUTO BAP 3757423-01 OWNED SCHEDULED 07/01/2016 07/01/2017
—�
AUTOS ONLY AUTOS
X AUTOS ONLYX AUTOS ONED
X Coll Dad: $500 X Comp Dad: $250
UMBRELLA LIAR OCCUR
EXCESS LIAR ~_. CLAIMS -MADE
DED RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N WC 0380936-01 07/01/2016 07/01/2017
gFFICEandatR/ory in NMEMgH EXCLUDED? N N/A
(M
If yat, describe under
Phys
ION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, me be attached If more space Is required)
Iect no.: 11122167, Access Agreement, 151 Marine Avenue, Tavernier, Flori3a.
County Commissioners of Monroe County is included as an Additional Insured as respects to General Liability where required by contract or
it.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Board of County Commissioners of Monroe County AUTHORIZED REPRESENTATIVE
Monroe County Engineering
1100 Simonton Street, 2-216 9UL" avr_ _
ACORD 25 (2016/03) 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD