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04/20/2011 ContractCONTRACT (Operation of Marathon Animal Control Shelter & service area MM16.7 through 70) THIS CONTRACT, entered this 20th day of April, 2011, by and between the Board of County Commissioners of Monroe County, Florida (hereafter "County" or "Board"), and Safe Harbor Animal Rescue of the Keys, Inc., a Florida not -for -profit corporation ("SHARK") (hereafter "Contractor"). WHEREAS, County has certain responsibilities under State and County laws to provide animal control services and enforcement of laws related to animals; and WHEREAS, it has been determined that it is in the best interest of the residents of and visitors to the County that a contract with a private provider of such services, NOW THEREFORE IN CONSIDERATION OF the mutual promises contained herein, the parties agree as follows: TERM OF AGREEMENT: This agreement shall be effective on May 1, 2011 and end at 12:00 midnight on June 30, 2015. The term of this agreement shall be renewable in accordance with Section V. IL AMOUNT OF AGREEMENT/AVAILABILITY OF FUNDS. The County, in consideration of the Contractor substantially and satisfactorily performing and carrying out the duties of the County as to providing animal control services and enforcement of laws related to animals in Monroe County, Florida, shall pay to the Contractor the sum of Two hundred and thirty-two thousand five hundred and fifty-six DOLLARS ($232,556) per year. If funds cannot be obtained or cannot be continued at a level sufficient to allow for continued reimbursement of expenditures for services specified herein, this agreement may be terminated immediately at the option of the Board by written notice of termination delivered to the Contractor. The Board shall not be obligated to pay for any services or goods provided by the Contractor after the Contractor has received written notice of termination, unless otherwise required by law. III. PAYMENT: The County recognizes that the Contractor will incur cost to start up animal control operations and that the Contractor is in need of funds to mobilize operations. The County agrees to provide ($58,139.00) or 3/12"' of the total amount of compensation as an "advance sum". The "advance sum" shall be credited against the total reimbursement amount. The Contractor must provide evidence of payment in the form of a letter with a notarized certification statement (See Attachment B) summarizing the expenses paid, with supporting documentation attached, before further allocation of funds will be made. The County will review all expenditures to ensure that the "advance sum" has been used solely for services rendered pursuant to this agreement and incompliance with requirements as set for in Attachment B. Payment after the initial "advance sum" will be made periodically, on a reimbursement basis, as hereinafter set forth. Reimbursement requests will be submitted to the Public Works Department:. The County shall only reimburse, subject to the funded amounts below, those reimbursable expenses which are reviewed and approved as complying with Monroe County Code of Ordinances, State laws and regulations and Attachment A - Expense Reimbursement Requirements. Evidence of payment by the Contractor shall be in the form of a letter, summarizing the expenses, with supporting documentation attached. The letter should contain a notarized certification statement. An example of a reimbursement request cover letter is included as Attachment B. The Contractor's final invoice must be received within thirty days after the termination date of this contract as shown in Article I above. After the Clerk of the Board examines and approves the request for reimbursement, the Board shall reimburse the Contractor. However, the total of said reimbursement expense payments in the aggregate sum shall not exceed the annual total amount shown in Article II of this agreement. The Contractor must furnish to the County the following (prior to the payment of any invoices, items (a) through (h) must be provided): (a) IRS Letter of Determination indicating 501(c)(3) status; (b) List of the Organization's Board of Directors of, for each board member please indicate when elected to serve and the length of term of service; (c) Evidence of annual election of Officers and Directors; (d) IRS Form 990 from most recent fiscal year for all organizations; (e) Organization's Corporate Bylaws, which must include the organization's mission, board and membership composition, and process for election of officers; (f) Organization's Policies and Procedures Manual which must include hiring policies for all staff, drug and alcohol free workplace provisions, and equal employment opportunity provisions; (g) Cooperation with County monitoring visits that the County may request during the contract year; and (h) Other reasonable reports and information related to compliance with applicable laws, contract provisions and the scope of services that the County may request during the contract year. IV. SCOPE OF SERVICES: A. The Contractor shall provide all staffing, equipment, and supplies necessary to operate the Marathon Animal Shelter located at 10550 Aviation Boulevard, and provide complete animal control and enforcement services from Mile Marker 16.7 (the Harris Channel Bridge) to Mile Marker 70, including the cities of Marathon, Key Colony Beach and :Layton. 1. STAFF: The Contractor will fully staff, operate and perform all current functions of the Shelters, as further identified in the training manual to be prepared by Contractor; said training manual will be reviewed and approved by the Director of Public Works or designee prior to implementation. 2. COMPLIANCE WITH LAW: The Contractor shall cooperate with the Monroe County Health Department and follow all local and state laws, regulations and procedures, including but not limited to F.A.C. IOD-3.091, Procedures for Control of Specific Communicable Diseases and Chapter 64B 16-29, Animal Control Shelter Permits. 3. CARE OF ANIMALS: (a) The Contractor will receive and properly confine all animals that are brought to the Shelters or which become the responsibility of the Shelters. All animals in the custody of the Contractor shall have a constant supply of fresh water and be fed a diet appropriate for their species, breed, age and physical condition. Each shelter facility has a perimeter fence to confine all animals to the facility grounds and to restrict wildlife from accessing the property; in this regard, Contractor is not to place food or water outside of the Shelter's fenced area(s) unless it is in an appropriate cat or raccoon trap. (b) The Contractor shall provide appropriate care for sick and injured animals in its custody and shall obtain the services of a veterinarian who is licensed by and in good standing with the Board of Veterinary Medical Examiners for the State of Florida for consultations and/or professional services. (c) The Contractor shall provide the personnel and materials necessary to humanely euthanize all animals designated for euthanasia by the supervisors or designees of the Shelters. The primary drug to be utilized for euthanasia shall be sodium pentobarbital, and the Contractor shall administer euthanasia to those animals designated for destruction in a humane manner and consistent with state and county laws and regulations. The Contractor's personnel who perform euthanasia will have appropriate certificates attesting to the employee's authority to perform euthanasia, and copies of the certificates will be forwarded to the Director of Public Works or designee. (d) The Contractor shall provide heartworm testing to all adoptable dogs, provide deworming to all adoptable animals, and shall have a program in place for flea and tick control. Feline leukemia testing, up to $12.50 per animal or by agreement with the Contractor, will be funded by the County in order to determine whether the animal is adoptable. If the animal is adopted, then the person adopting the animal should pay the expense incurred for the testing, and the contractor will remit those funds to the County. 4. MAINTENANCE OF PREMISES: The Contractor shall maintain the Shelters, including kennel areas, cages and euthanasia room, and all equipment in a clean, safe, and sanitary manner. Gen#^^*^r shall be aware o #t lease agFeeffiefft f the Big Pipe Key Animal Shelter- at4 ei.ed L.e.-ete .. tln\i lltlt LV f.Ln T'i xh*b t'IF" and n ref r-e«...e.i b.em..+ 5. ADOPTIONS: (a) The Contractor shall ensure that rabies inoculations will be given to all adopted and redeemed animals as required by law. (b) The Contractor will provide an adoption service through the Shelters for the purpose of securing suitable homes for adoptable animals. The Contractor shall follow appropriate criteria to insure that each companion animal is given a suitable home through basic screening procedures that evaluate both the animal to be released and the potential adopter in an effort to assure that the animals adopted are being placed in long-term homes. The screening procedures shall be reviewed periodically by the Director of Public Works or designee as to form and practicality. All adoptable animals will be available for inspection by the public during normal working hours. The Contractor shall utilize the Adoption Agreement attached hereto as Exhibit "GI" unless modified by written and signed directive from the Director of Public Works or designee. (c) The contractor shall enforce the provisions of the contract, including, but not limited to, taking any action necessary to ensure that an adopted animal is spayed or neutered and licensed prior to releasing the animal or transferring ownership to its adopter. 6. ISSUANCE OF COUNTY LICENSES: The Contractor will issue license certificates and corresponding tags for dogs, cats and ferrets as required by the Monroe County Code and collect and remit to the County the fees established by the County Resolutions attached hereto as Exhibit "B." The Contractor will be responsible for determining that all requirements have been satisfied by an applicant prior to issuing a license certificate and shall remit all fees to the County. The license certificates and corresponding tags are numbered and tracked, and Contractor is responsible for returning copies of each numbered certificate that is either issued or voided (including tag for all voids) to the Director of Public Works or designee on a bi-weekly basis. 7. POLICIES AND PROCEDURES MANUAL: The Contractor shall maintain a Policies and Procedures Manual for guidance of all staff. At a minimum, it shall set forth the following: 1. Goals and Objectives of the Organization. 2. Protocols for intake, care, adoption, return to owners, and other disposal of animals. 3. Protocols for responding to calls for animal control services, whether in the nature of law enforcement, pick-up of dead animals, or other. 4. Protocols for daily maintenance of premises and equipment, including vehicles. 5. Training Staff a) prerequisites for certain positions b) keeping staff current 6. Training provided* shall include: a) Shelter Policies & Procedures (required of all staff, including volunteers) b) Basic Pet Care c) Veterinary Health Care d) Animal Behavior e) Animal Handling f) Breed Identification & characteristics g) Obedience Training h) Behavior Problem Solving i) Counseling Methods j) Conflict Management (required of all law enforcement personnel) k) Grief Counseling 1) Telephone Manners and Customer Service Skills *Items a & j must be at least in part provided in a classroom or seminar type setting, with live or video teaching. All other training may be self -study, although some in -person or video training is highly recommended. Training shall be provided appropriate to the position filled by the worker, whether that worker is an employee or a volunteer. 7. Adoption Guidelines, which shall absolutely require sterilization of all animals prior to release to adopter. Other guidelines shall address, at a minimum: a. Consultation with the prospective adopter. b. Prospective adopter's commitment to be responsible for providing care, safe environment, veterinary bills for life of the animal. c. Animal's disposition and that of members (human and animal) of the household to enhance as well as possible the probability of successful placement. 8. HOURS OF OPERATIONS: At a minimum: the Marathon Animal Shelter shall be open to public from 9:00 a.m. to 5:00 p.m., Eastern Time, Tuesday through Friday, and 9:00 a.m. to 12:00 noon, Eastern Time, on Saturday and Sunday. Hours of operation may be adjusted only upon mutual written consent of the County and the Contractor in the form of a contract amendment approved by both parties. B. ENFORCEMENT SERVICES: The Contractor will provide complete animal control and enforcement services within the Service Area described above, including, but not limited to: 1. Training of Animal Control Officers: The Contractor shall provide that all animal control officers complete the mandatory certification program outlined by F.S. 828.27 (40 hours of training curriculum approved by the Florida Animal Control Association); said training shall be completed on a timely basis after a 90-day probationary period. The Contractor is to provide the Director of Public Works, or designee, with copies of the Animal Control Officer Training Program Certificates. 2. Emergency services (24-hours per day/7-days a week) for Priority One calls which are: a. Injured animal; b. Bite cases; person bit by any warm-blooded creature; C. Animal bites to other animals; d. Wild animal in home; e. Dangerous dog investigations; f. Animal cruelty investigations; g. Law enforcement requests. 3. Patrolling service area on a regular and consistent basis; at a minimum, Contractor shall patrol service area once per week with additional emphasis on areas inhabited by endangered species. 4. Picking up dogs that are running at -large; 5. Picking up cats or raccoons captured in cat or raccoon traps; contractor shall notify the public of the availability of cat and raccoon traps. 6. Non -emergency animal pick up from residential homes during normal operating hours; 7. Picking up dead animals along County or City rights -of -way and arrange for proper disposal in accordance with all applicable laws, regulations and ordinances; 8. Disposing of any animals that are euthanized or that expire while in the care, custody, or control of the Contractor, in accordance with all applicable laws, regulations and ordinances. 9. Investigating all reports of violation of local and state ordinances and regulations relating to animal control and, when warranted by the facts, issue citations (Resolution No. 290-2010 and animal control citation form attached hereto in Exhibit 11G3"), and/or prosecute all persons charged with violation of said ordinances and regulations, which includes representing Monroe County in court proceedings when required. Further, upon termination of this agreement, the Contractor shall complete all cases originated by Contractor including representing the County in court if necessary. 10. Complying with all applicable County ordinances and regulations as well as the laws of the State of Florida. B. FEES. The Contractor shall collect and remit to the County all funds that are required to be collected pursuant to Monroe County Code Sections 4-39, 4-45, 4-46 and 4-66, and Monroe County Resolution No. 240-2006, as amended by Resolution Nos. 386-2006 and 599-2006, as same may be amended from time to time; said Resolutions are attached hereto and marked Exhibit "B." Checks received for these fees shall be made payable to Monroe County and remitted directly to the County. In this regard, the Contractor shall issue numbered receipts and keep appropriate records of all funds received and shall provide to the Director of Public Works or designee on a bi-weekly basis copies of daily cash reconciliation forms, daily bank deposit information and original license certificates that are issued or voided. All funds must be deposited into specific Monroe County bank accounts, and all requests for waiver of any fines or fees owed to the County must be submitted in writing on the County - approved affidavit form to the Director of Public Works or designee, said affidavit form is attached hereto and marked Exhibit "G2." The Contractor shall only charge fees as outlined in Monroe County Resolution No. 240-2006, as amended by Resolution Nos. 386-2006 and 599-2006, as same may be amended from time to time; said Resolutions are attached hereto and marked Exhibit "B." The Contractor shall not charge any fees for services at the Shelters unless approved in writing by the Contractor and the Board of County Commissioners in the form of a contract amendment. In addition to the transactional fees as set forth in the resolutions and as required to be :remitted to the county pursuant to Sec. 4-39, Monroe County Code, the animal control contractors may charge animal owner(s) or potential adopter(s) for services, :including sterilization pursuant to Sec. 823.15,Florida Statutes, vaccinations, deworming, heartworm testing, feline leukemia & FIV tests, and any other services provided to the public which are not required by the County contract, but the amount charged by the animal control contractors shall not exceed the actual cost of services rendered. D. REPORTS. On a bi-weekly basis, Contractor shall provide the Director of Public Works or designee with copies of all bite reports and citations that are issued. On a monthly basis, Contractor shall submit a statistical report utilizing the form marked as Exhibit "G4," as same may be amended from time to time. E. HURRICANE OR OTHER NATURAL DISASTER: In the event of a hurricane or other natural disaster, the Contractor shall make its best efforts to properly house and care for all animals. In this regard, the Contractor shall designate at least three (3) employees who will be able to remain in the County to care during the disaster for the animals which have not been evacuated and after the disaster for animals not evacuated and any animals which are at large. The Contractor will supply those employees' names, addresses and telephone numbers to the County Administrator who may, at his discretion, require the Contractor to have the listed employees remain in the County during and after a Category 1, 2 or 3 Hurricane or natural disaster. F. PETS IN SHELTERS: Contractor shall provide the services designated for the Animal Control/Shelter Contractor in the Pet Friendly Special Needs Clients Sheltering Plan to provide evacuation of pets of Special Needs Clients and assistance with care of said pets. See Exhibit G. NON -RELIANCE BY NON-PARTIES: No person or entity shall be entitled to rely upon the terms, or any of them, of this Agreement to enforce or attempt to enforce or attempt to enforce any third -party claim or entitlement to or benefit of any service or program contemplated hereunder, and the County and the Contractor agree that neither the County nor the Contractor or any agent, officer, or employee of either shall have the authority to inform, counsel, or otherwise indicate that any particular individual or group of individuals, entity or entities, have entitlements or benefits under this Agreement separate and apart, inferior to, or superior to the community in general or for the purposes contemplated in the Agreement. V. RE14EWAL: The County shall have the option to renew this agreement after the original term, for one additional live -year period. The contract amount agreed to herein may be adjusted annually in accordance with the percentage change in the Consumer Price Index (CPI) for all urban consumers (CPI-U) for the most recent 12 months ending in December of each year. VI. CONTRACTOR'S LICENSE: The Contractor shall secure, maintain and pay all applicable fees for any permits and licenses necessary to operate the Shelters; a list of the currently required permits is attached hereto and marked Exhibit "A." It is the Contractor's responsibility to maintain all permits and licenses, even those not listed in Exhibit "A" that may be required. By signature hereon, the Contractor warrants that it is authorized by law to engage in the performance of the activities herein described, subject to the terms and conditions set forth in these contract documents. Proof of such licenses and approvals shall be submitted to the County upon request. The Contractor has, and shall maintain throughout the term of this contract, appropriate licenses and approvals required to conduct its business, and that it will at all times conduct its business activities in a reputable manner. VII. INDEPENDENT CONTRACTOR: At all times and for all purposes, the Contractor, its agents and employees are strictly considered to be independent contractors in their performance of the work contemplated hereunder. As such, the Contractor, its agents and employees shall not be entitled to any of the benefits, rights or privileges of County employees. The provider shall at all times exercise independent, professional judgment and shall assume professional responsibility for the services to be provided. VIII. STAFFING: Since this contract is a service agreement, staffing is of paramount importance. Contractor shall provide services using the following standards, as a minimum requirement: A. The Contractor shall provide at its own expense all necessary personnel to provide the services under this contract. The personnel shall not be employees of or have any contractual relationship with the County. B. All personnel engaged in performing services under this contract shall be fully qualified, and, if required, to be authorized or permitted under State and local law to perform such services. IX. UTILITIES: The Contractor shall be responsible for payment of all utility charges for the Shelters. All utility accounts will be held in the Contractor's name. X. VE]HICLES: The County hereby leases to the Contractor County vehicles currently assigned to the Shelters identified as follows: 1. 2004 Ford F 150 Truck (Unit 0910/082) AND/OR 2. 2005 Ford F150 Truck (Unit 0910/1706) The Contractor shall be responsible for payment of all fuel, oil, and other supplies necessary to operate the vehicles. In addition, the Contractor shall be responsible for repairs to said vehicles and shall maintain them in accordance with the maintenance schedule attached hereto as Exhibit "E." The Contractor shall provide an average of four (4) oil changes annually for each vehicle, and shall schedule vehicle inspections with Monroe County Fleet Management no less than three times annually for each vehicle. The Contractor may choose the option of paying Fleet Management for oil changes and preventative maintenance, at Fleet Management's current annual rates, or utilize private garages and provide receipts to the Director of Fleet Management or designee to document and verify that the required maintenance has been performed. Nothing herein shall prevent the County from inspecting the vehicles at any reasonable time. Contractor is not permitted to take a County vehicle out of Monroe County unless prior written approval is received from the Director of Public Works or designee. If the contractor acquires or uses any other vehicle(s) in performing/providing services under this agreement, the contractor shall include and list those vehicle(s) under this agreement with the VIN (vehicle identification number) and the contractor must adhere to all insurance coverage requirements under this contract. If County funds are used to acquire any capital assets, then upon termination or expiration of the contract those assets will become the property of Monroe County, unless otherwise agreed to by the County. The Contractor shall maintain a list of capital assets and the Contractor shall provide said list to the Public Works Department, as amended, when additional capital assets are acquired. Property acquired will be inventoried pursuant of Chapter 274, Florida Statutes. XI. HOLD HARMLESSANSURANCE REQUIREMENTS: The Contractor covenants and agrees to indemnify and hold harmless Monroe County Board of County Commissioners and the County Court of Monroe County 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 or any of its Subcontractor(s) in any tier, occasioned by the negligence, errors, or other wrongful act of omission of the Contractor or its Subcontractors in any tier, their employees, or agents. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained within this agreement. Prior to execution of this agreement, the contractor shall furnish the Owner Certificates of Insurance indicating the minimum coverage limitations as indicated on the forms identified as ANIMAL E&O, ED2, GLAnimals, VEHICLE LIABILITY INSURANCE REQUIREMENTS FOR ANIMAL CONTROL CONTRACT, WC1, and ALL RISK PROPERTY INSURANCE REQUIREMENTS FOR ANIMAL CONTROL SHELTERS as shown in attached Exhibit "C," and all other requirements found to be in the best interest of Monroe County as may be imposed by the Monroe County Risk Management Department. XII. DONATIONS AND GRANTS: The Contractor shall issue numbered receipts, keep appropriate records, and account separately for all donations and grants received by Contractor: (a) At any Monroe County Animal Shelter; (b) For the benefit of animals in Monroe County; or (c) Off of Monroe County premises for which the donors have a reasonable expectation that the funds may be used out of County Said donations and grants shall be used by Contractor only for the benefit of shelter animals in Monroe County or other services not mandated by the contract and may only be applied to the organization's operational mission within Monroe County. In the case of donations solicited by third parties on behalf of the Contractor, the donating entity must make its financial records pertaining to the donated funds available to representatives of the Contractor and the County during regular business hours (Monday through Friday, 9:00 a.m. to 5:00 p.m., excluding holidays) in order to insure that all monies collected on behalf of the Contractor are in fact donated to the Contractor for the benefit of Monroe County shelter animals in Monroe County. If a prospective donating entity is unwilling or unable to comply with the foregoing requirement, then the Contractor may not accept any donations from that entity. XIII. FACILITIES AND EQUIPMENT: The Contractor hereby accepts the Shelter facilities and equipment in "as is" condition, and the Contractor shall allow the County to inspect said facilities and equipment at any reasonable time. In addition, all operating supplies and any additional equipment such as catch-all sticks, cages and the like: shall be the responsibility of the Contractor. XIV. INVENTORY: Prior to commencement of the service contemplated herein, the County shall perform an inventory of all supplies, materials, medicines and equipment at each Shelter and the inventory lists prepared therefrom shall be signed by both parties hereto. XV. CONTRACTOR'S ASSUMPTION OF PREMISES AND CONDITIONS: The Contractor hereby agrees that he has carefully examined the premises provided by the County and the district for which he shall provide services and has made investigations to fully satisfy himself that such site(s) is (are) correct and suitable for this work and he assumes full responsibility therefor. The provisions of the Contract shall control any inconsistent provisions contained in the specifications. All specifications have been read and carefully considered by the Contractor, who understands the same and agrees to their sufficiency for the work to be done. Under no circumstances, conditions, or situations shall this Contract be more strongly construed against the Owner than against the Contractor. XVI. MAINTENANCE, IMPROVEMENTS AND CAPITAL ASSETS: The Contractor shall be responsible for the shelter premises. The Contractor shall: a) Maintain the Shelters, including kennel areas, cages, and euthanasia room(s) and all equipment in a clean, safe and sanitary manner. b) Maintain and be responsible for the costs of repairs to the Shelter buildings, grounds, and equipment in order to keep same in proper working condition. Prior to commencement of any repairs, the: Director of Public Works or designee must be notified, in writing, of the proposed repairs and estimated cost. If such repairs are approved by the Director of Public Works or designee, the Contractor shall pay the first $1,000, 00 of cost regardless of the total cost of said repairs. The Contractor will accept the facilities and equipment in "as is" condition. All operating supplies and any additional equipment such as catch-all sticks, cages and the like shall be the responsibility of the Contractor. c) Contractor shall have the right during the term of the contract to construct, re -construct, re- model, paint, decorate and re -decorate the Shelter; provided however, that all such improvements to the Shelter by Contractor shall conform to all applicable building codes, regulations, permits and prior written approval from the Director of Public Works or designee is obtained; written approval by the Director of Public Works or designee shall not be unreasonably withheld. All improvements remaining at the Shelter at the expiration or upon the termination of the contract shall become the property of the County. If at the expiration or termination of the contract the Contractor wishes to leave the improvements or personal property at the Shelter, Contractor shall obtain written approval from the County. The County has the sole right to reject the leaving of such personal property and improvements and require the Contractor to remove them from the Shelter. If Contractor fails to remove personal property or improvements that a) Contractor leaves on site and b) the County requests removal, the County shall have the sole right to remove Contractor's personal property and improvements from the Shelter. Contractor shall be responsible to reimburse the County for all costs and expenses associated with the removal and disposal of Contractor's personal property and improvements. If County funds are used to acquire any capital assets, then upon termination or expiration of the contract, those assets will become the property of Monroe County, unless otherwise agreed to in writing by the County. XVII. FUNDRAISING: The Contractor may not use the Shelter facilities for fundraising or for selling merchandise or services unless requested in writing and approved in writing by the County Administrator. Requests for events shall be requested by the Contractor in writing and approved by the County Administrator in writing. The Contractor shall collect on behalf of the County the fines as listed in Monroe County Code Section 4-39, 4-45, 446 and 4-66, and the fees listed in the Fee Resolutions attached hereto as Exhibit 11B,," as same may be amended from time to time. Said fines and fees shall be remitted to the County as set forth in Sec. 4-39 of Monroe County Code. Contractor shall account separately for all donations and funds received: a) At any Monroe County Animal Shelter; b) For the benefit of animals in Monroe County; and c) Off of Monroe County premises for which the donors have a reasonable expectation that the funds may be used out of Monroe County. Funds raised by the Contractor from fundraising events in Monroe County and donations received at Monroe County Animal Shelters shall only be used to benefit the shelter animals in Monroe County or other services not mandated by the contract and may only be applied to the organization's operational mission within Monroe County. XVIII. NON-DISCRIMINATION: County and Contractor agree that there will be no discrimination against any person, and it is expressly understood that upon a determination by a court of competent jurisdiction that discrimination has occurred, this Agreement automatically terminates without any further action on the part of any party, effective the date of the court order. County or Contractor agree to comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1) Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20 USC ss. 1681-1683, and 1685- 1686), which prohibits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42 USC ss. 6101- 6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism:, 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patent records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to nondiscrimination on the basis of disability; 10) Monroe County Code Ch. 13, Art. VI, prohibiting discrimination on the bases of race, color, sex, religion, disability, national origin, ancestry, sexual orientation, gender identity or expression, familial status or age; and 11) any other nondiscrimination provisions in any Federal or state statutes which may apply to the parties to, or the subject matter of, this Agreement. XIX. INSPECTION OF BOOKS AND FACILITIES/AUDIT/ACCOUNTING: Contractor shall keep and maintain all books, records, and documents directly pertinent to performance under this Agreement in accordance with generally accepted accounting principles consistently applied. Each party to this Agreement or their authorized representatives shall have reasonable and timely access to such records of each other parry to this Agreement for public records purposes during the term of the Agreement and for five (5) years following the termination of this Agreement. If an auditor employed by the County or Clerk determines that monies paid to the Contractor pursuant to this Agreement were spent for purposes not authorized by this Agreement, the Contractor shall repay the monies together with interest calculated pursuant to Sec. 55.03, FS, running from the date the monies were paid to Contractor. In addition, the Contractor shall, at its expense, provide the County with an annual audit prepared by an independent Certified Public Accountant; said audit shall conform to generally accepted auditing standards and shall be submitted to the County within one hundred twenty (120) days following the close of the Contractor's fiscal year. If this agreement if terminated early, the County has a right to demand an accounting of all funds held by the Contractor. The Contractor shall also allow the County to inspect the shelter property, facilities or vehicles at any reasonable time. ►�� ' is - 0 ' Y The Contractor shall comply with the Public Records laws of the State of Florida, subject to any provisions providing exemption from disclosure. XXI. MEDICAL RESEARCH: In no event shall any animals under the care, custody, or control of the Contractor be given, bartered or sold to any medical research company. XXII. CAT/RACCOON TRAPS: The County hereby leases its cat/raccoon traps to the Contractor for the Contractor to rent to the public upon payment of a deposit fee. All deposit fees collected by Contractor shall be returned to the renter upon return of the trap or, if the trap is not returned to Contractor, the deposit fee will be retained by the Contractor in order to purchase replacement traps. At the end of this agreement, the Contractor will return the same number of cat/raccoon traps to the County as the County had provided at the beginning of this agreement. Nothing herein shall preclude Contractor from purchasing and renting its own cat and raccoon traps. Contractor shall notify the public of the availability of cat and raccoon traps. XXIII. BREACH OF TERMS BY CONTRACTOR: The passing, approval, and/or acceptance by the Owner of any defect in the services furnished by the Contractor, shall not operate as a waiver by the County of strict compliance with the terms of this Contract, and specifications covering the services. County may immediately terminate the Agreement due to any violations by Contractor of criminal statutes governing humane and cruel treatment of animals. Any other Contractor breach of this agreement shall be governed by the article below on termination for cause. The Contractor agrees that the County Administrator may designate representatives to visit the facility(ies) periodically to inspect Contractor's maintenance of the premises, and care provided to animals. The Contractor agrees that the County Administrator may designate representatives to visit the facility(ies) periodically to conduct random open file evaluations during the Contractor's normal business hours. XXIV. TER'.MINATION WITHOUT CAUSE: The County may terminate this agreement without cause by providing the Contractor with written notice of termination at least sixty (60) days prior to the date of termination. XXV. TERMINATION WITH CAUSE: The County may terminate this agreement for cause if the Contractor shall default in the performance of any of its obligations under this agreement. Default shall include the occurrence of any one of the following events and same is not corrected to the satisfaction of the County within fifteen (15) days after the County provides the Contractor with written notice of said default: a. Failure to provide food or water for animals in the custody of Contractor. b. Failure to procure appropriate veterinary care for any sick or injured animal in the custody of the Contractor. c. Failure to administer euthanasia in a humane manner. d. Failure to maintain the Shelters in a clean, safe and sanitary manner. e. Breach of any other term, condition or requirement of this agreement. XXVI. ASSIGNMENT: The Contractor shall not assign or subcontract its obligations under this agreement, except in writing and with the prior written approval of the Board of County Commissioners of Monroe County and Contractor, which approval shall be subject to such conditions and provisions as the Board may deem necessary. This paragraph shall be incorporated by reference into any assignment or subcontract and any assignee or subcontractor shall comply with all of the provisions of this agreement. Unless expressly provided for therein, such approval shall in no manner or event be deemed to impose any additional obligation upon the board. XXVII. COMPLIANCE WITH LAW: In providing all services/goods pursuant to this agreement, the Contractor shall abide by all statutes, ordinances, rules and regulations pertaining to, or regulating the provisions of, such services, including those now in effect and hereinafter adopted. Any violation of said statutes, ordinances„ rules and regulations shall constitute a material breach of this agreement and shall entitle the Board to terminate this contract immediately upon delivery of written notice of termination to the contractor. The contractor shall possess proper licenses to perform work in accordance with these specifications throughout the term of this contract. XXVIII. DISCLOSURE AND CONFLICT OF INTEREST: A. The; Contractor represents that it, its directors, principles and employees, presently have no interest and shall acquire no interest, either direct or indirect, which would conflict in any manner with the performance of services required by this contract, as provided in Sect. 112.311, et. seq., Florida Statutes. B. Upon execution of this contract, and thereafter as changes may require, the Contractor shall notify the County of any financial interest it may have in any and all contracts with Monroe County. XXIX. FINANCIAL RESPONSIBILITY: The Contractor shall not pledge the County's credit or make it a guarantor of payment or surety for any contract, debt, obligation, judgment, lien, or any form of indebtedness. The Contractor further warrants and represents that it has no obligation or indebtedness that would impair its ability to fulfill the terms of this contract. XXX. NOTICE REQUIREMENT: Any notice required or permitted under this agreement shall be in writing and hand delivered or mailed, postage prepaid, to the other parry by certified mail, returned receipt requested, to the following: FOR COUNTY: Monroe County Administrator and Dent Pierce, Director and County Attorney 1100 Simonton Street Monroe County Public Works 1111 12'' St., Suite !III:? Key West, FL 33040 1100 Simonton St., Rm. 2-231 PO Box 1026 Key West, FL 33040 Key West, FL 33041-1026 FOR CONTRACTOR: SHARK 10803 6a' Ave. Gulf Marathon, FL 33050 The County is exempt from payment of Florida State Sales and Use taxes. The Contractor shall not be exempted by virtue of the County's exemption from paying sales tax to its suppliers for materials used to fulfill its obligations under this contract, nor is the Contractor authorized to use the County's Tax Exemption Number in securing such materials. The Contractor shall be responsible for any and all taxes, or payments of withholding, related to services rendered under this agreement. XXXII. GOVERNING LAWS: This Agreement is governed by the laws of the State of Florida. Venue for any litigation arising under this .Agreement must be in Monroe County, Florida. In the event of any litigation, the prevailing party is entitled to attorney's fees and costs. XXXIII. 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 goods or services to a public entity, may not submit a bid on a contract with a public entity for construction 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, F. S. for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list. (CATEGORY TWO: $25,000.00). XXXIV. AUTHORIZED SIGNATORY: The signatory for the Contractor, below, certifies and warrants that: (a) The: Contractor's name in this agreement is its full name as designated in its corporate charter. (b) He or she is empowered to act and contract for Contractor. (c) This agreement has been approved by the Contractor's Board of Directors. -TI Further, Contractor shall, upon execution of this agreement, provide proof of inc ftion-a7nd Fr list of its Board of Directors. - - -- w � XXXV. ENTIRE AGREEMENT: — J This agreement constitutes the entire agreement between the County and the C01740or Ar tQ services contemplated herein. Any amendments or revisions to this agreement �Miusge ljg writing and be executed in the same manner as this agreement. ca Q TNESS WHEREOF the parties hereto have executed this Agreement on the day and e:nterparts, above in four (4) counterparts, each of which shall, without proof or accounting be deemed an original contract. Y L. KOLHAGE, CLERK BOARD OF COWNTY COMMISSIONERS OF MONRO W* C • By: Deputy Clerk M oChairman f '�7-4 -A- �1 AL /1! ' By: DOUG MADER ITNES J Title: �� e.1` CONTRACTO By: CHRIS ZUE CH Title: eecre Jc':x rrr yr= f . TO F" �' � Fw A ATTACHMENT A Expense Reimbursement Requirements This document is intended to provide basic guidelines to Human Service and Community - Based Organizations, county travelers, and contractual parties who have reimbursable expenses associated with Monroe County business. These guidelines, as they relate to travel, are from the Monroe County Code of Ordinances and State laws and regulations. A cover letter (see Attachment B) summarizing the major line items on the reimbursable expense request needs to also contain the following notarized certified statement: "I certify that the above checks have been submitted to the vendors as noted and that the attached expenses are accurate and in agreement with the records of this organization. Furthermore, these expenses are in compliance with this organization's contract with the Monroe County Board of County Commissioners and will not be submitted for reimbursement to any other funding source." Invoices should be billed to the contracting agency. Third party payments will not be considered for reimbursement. Remember, the expense should be paid prior to requesting a reimbursement. Only current charges will be considered, no previous balances. Reimbursement requests will be monitored in accordance with the level of detail in the contract. This document should not be considered all-inclusive. The Clerk's Finance Department reserves the right to review reimbursement requests on an individual basis. Any questions regarding these guidelines should be directed to 305-292-3534. Data Processing, PC Time, etc. The vendor invoice is required for reimbursement. Inter -company allocations are not considered reimbursable expenditures unless appropriate payroll journals for the charging department are attached and certified. Payroll A certified statement verifying the accuracy and authenticity of the payroll expense is needed. If a Payroll Journal is provided, it should include: dates, employee name, salary or hourly rate, total hours worked, withholding information and payroll taxes, check number and check amount. If a Payroll Journal is not provided, the following information must be provided: pay period, check amount, check number, date, payee, support for applicable payroll taxes. Postage, Overnight Deliveries, Courier, etc. A log of all postage expenses as they relate to the County contract is required for reimbursement. For overnight or express deliveries, the vendor invoice must be included Rents, Leases, etc. A copy of the rental or lease agreement is required. Deposits and advance payments are not allowable expenses. Reproductions, Copies, etc. A log of copy expenses as they relate to the County contract is required for reimbursement. The log must define the date, number of copies made, source document, purpose, and recipient. A reasonable fee for copy expenses will be allowable. For vendor services, the vendor invoice and a sample of the finished product are required. Supplies, Services, etc. For supplies or services ordered, a vendor invoice is required. Telefax, Fax, etc. A fax log is required. The log must define the sender, the intended recipient, the date, the number called, and the reason for sending the fax. Telephone Expenses A user log of pertinent information must be remitted including: the party called, the caller, the telephone number, the date, and the purpose of the call. Travel and Meal Expenses Travel expenses must be submitted on a State of Florida Voucher for Reimbursement of Travel Expenses. Travel reimbursement requests must be submitted and will be paid in accordance with Monroe County Code of Ordinances and State laws and regulations. Credit card statements are not acceptable documentation for reimbursement. If attending a conference or meeting a copy of the agenda is needed. Airfare reimbursement requires the original passenger receipt portion of the airline ticket. A travel itinerary is appreciated to facilitate the audit trail. Auto rental reimbursement requires the vendor invoice. Fuel purchases should be documented with paid receipts. Taxis are not reimbursed if taken to arrive at a departure point: for example, taking a taxi from one's residence to the airport for a business trip is not reimbursable. Parking is considered a reimbursable travel expense at the destination. Airport parking during a business trip is not. A detailed list of charges is required on the lodging invoice. Balance due must be zero. Room muss: be registered and paid for by traveler. The County will only reimburse the actual room and related bed tax. Room service, movies, and personal telephone calls are not allowable expenses. Mileage reimbursement shall be at the rate established by ARTICLE XXVI, TRAVEL, PER DIEM, MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. An odometer reading must be included on the state travel voucher for vicinity travel. Mileage is not allowed from a residence or office to a point of departure. For example, driving from one's home to the airport for a business trip is not a reimbursable expense. Meal reimbursement shall be at the rates established by ARTICLE XXVI, TRAVEL, PER DIEM, MEALS, AND MILEAGE POLICY of the Monroe County Code of Ordinances. Meal guidelines state that travel must begin prior to 6 a.m. for breakfast reimbursement, before noon and end after 2 p.m. for lunch reimbursement, and before 6 p.m. and end after 8 p.m. for dinner reimbursement. Non -allowable Expenses The following expenses are not allowable for reimbursement: capital outlay expenditures (unless specifically included in the contract), contributions, depreciation expenses (unless specifically included in the contract), entertainment expenses, fundraising, non -sufficient check charges, penalties and fines. ATTACHMENT 8 ORGANIZATION LETTERHEAD Monroe County Board of County Commissioners Finance Department 500 Whitehead Street Key West, FL 33040 Date The following is a summary of the expenses for (Organization name) for the time period of to Check # Payee Reason Amount 101. Company A Rent $ X,XXX.XX 102 Company B Utilities XXX.XX 104 Employee A P/R ending 05/14/01 XXX.XX 105 Employee B P/R ending 05/28/01 XXX.XX (A) Total $X'XXX.XX (B) Total prior payments $ X,XXX.XX (C) Total requested and paid (A + B) $ X,XXX.XX (D) Total contract amount $ X,XXX.XX Balance of contract (D-C) $ X.XXX.XX I certify that the above checks have been submitted to the vendors as noted and that the expenses are accurate and in agreement with the records of this organization. Furthermore, these expenses are in compliance with this organization's contract with the Monroe County Board of County Commissioners and will not be submitted for reimbursement to any other funding source. Executive Director Attachments (supporting documentation) Sworn to and subscribed before me this day of 200 by who is personally known to me. Notary Public Notary Stamp EXHIBIT "A" CURRENTLY REQUIRED PERMITS FOR ANIMAL CONTROL SHELTERS Permit Agencv Address Monroe County Monroe County Tax Harvey Government Center Occupational License Collector 1200 Truman Avenue Key West, FL 33040 Board of Pharmacy Florida Department of 2020 Capital Circle S. E. License Business and Tallahassee, FL 32399 Professional Regulation Controlled Substance United States Drug Enforcement Registration Department of Justice Administration Certificate Washington, D. C. 20537 Permit for vehicles Florida Department of Department of Agriculture and used to transport Agriculture & Consumer Services animal carcasses Consumer Services Division of Animal Industry Mayo Building, Room 332 Tallahassee, FL 32399-0800 Wildlife permit* Florida Game & 620 South Meridian St. Freshwater Fish Tallahassee, FL 32399 Commission Biomedical Waste Florida Department of 1100 Simonton St. Permit Health Key West, FL 33040 *According to FWC's website: "The FWC has discontinued its Nuisance Wildlife Trapping Permit." However, all bidders are advised to familiarize themselves with FWC's rules and regulations regarding nuisance wildlife. http://vnw.myfwc.com/License/Permits—NuisWild.htm EXHIBIT `B" PAGE 1 OF 4 RESOLUTION NO 599- 2006 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, AMENDING RESOLUTION NO. 386-2006 TO PROVIDE A THREE-YEAR COUNTY LICENSE FEE FOR CATS THAT ARE NOT SPAYED/NEUTERED. WHEREAS, Resolution 386-2006 was passed by the Board of County Commissioners on September 20, 2006 providing for one-year and three-year County licenses, fees for dogs, cats and ferrets and replacement license; and WHEREAS, a scrivener's error resulted in the omission of the 3-year County license fee for cats that are "not spaye&neutered and 6 months ofage or older", 2.E. (2)(b); and WHEREAS, the animal control contractors report that there are a sufFiciem number of people selecting the three-year vaccine for their pets to make the alternative three-year license also desirable; NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY', that: I. Section 2.E. of Resolution No. 386-2006 is hereby amended to read: 2. E. County License: (1) Dogs: ONE YEAR THREE YEAR (a) Animal is spayed/neutered or under 6months of age $10 $20 (2) Cats: (b) Animal is not spayed/neutered and 6 months of age or older $35 $75 (a) Animal is spayed/neutered or under 6months of age $10 $20 (b) Animal is not spayed/neutered and 6 months of age or older $35 (3) Ferrets: $6 $10 (4) Replacement (per replacement, regardless of years covered) $ 2 (5) Dogs and cats with microchips or other means of permanent identification and with mgi n to the �nty or a national identification service current to the owner, shall receive a $5 discount from the annuazce=e fe§ PASSED AND ADOPTED by the Board of County Commissioners of Monroe �0"'e F cz AC —meeting of the Board held on the 15th day of November, 2006. Mayor eDa Mayor Mc -,Coy Yes Mayor Spehar Yes Commissioner Neugent Yes �r `r Commissioner Murphy Yes w Comn)issioner DiGennaro Yes (Seal) BOARD OF COUNTY COMMISSIONERS Attest: DANNY L. KOLHAGE, Clerk OF MONROE COUNTY, FLORIDA L Y. Deputy Clerk MONROE COUNTY ATTORNEY Mayor/Chairman AP VED AS TO G' ZANNE A. FlUITTON COUNTY A O Y Date __ 4 D� EXHIBIT "B" PAGE 2 OF 4 A RESOLUTION OF .FLORIDA,� BOARD OF COUNTY COMMMIONERS OF MONROE COUNTY1THREE-REAR ALTERNATIVE 1N � CAT & FERRET LICENSE nX& AMENDING RESOLUTION NO 241�jW To MOVIDE WF[E,REAS, Resolution No. 240-2006 was passed by titre Board of Cw°h' COMIUMMo°e's (BOCC) to revise the fees to be charged for various animal control services; and WHEREAS, Resolution No. 240-2006 eliminated the alternative duce, -year beceea av bMc m conjunction with the three-year rabies vaccine winch area administered to some Pets; and AREAS, the animal control contractors report that there are a sufficient number of poeple selecting the three-year vaccine for their pets to make the alternative three-year license also desirable; NOW, THER>SFORE, BE iT RESOLVED BY THE BOARD OF COUNTY COMBSSiONERS OF MONROE COUNTY, that: I. Section Z.E. of Reaohdiou No. 240-2006 is hereby amended to read: 2. YEAIii THREE YF�R E. County License: QNB (1) Dogs: (a) Animal is spayedhmutered or under 6months of age $10 $20 (b) Animal is not spayed/neutwed and 6 months of age or older $35 $75 (2) Cats: (a) Animal is spayedhmutered or under 6manths of age $ I0 $20 (b) Animal is not spsyedh centered and 6 mouths of age or older $35 (3) Ferrets: $ 6 $10 (4) Replacement (Per replaceuant, regardless of years covered) $ 2 (5) Dogs and cats with microchips or other means of permanent identification and with rapWation to the County or a rational identification service current to the owner, shall receive a $5 discount from tM annual license fee. PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Fbride, at a meeting of the Board held on tine 20th day of September, 2006. Mayor McCoy Mayor Spehar MONROE COUNTY ATTORNEY in APPROVED T .FARM: Y" NATil.EENE W.,CA/n83O0L "1 ASSISTANT COUNTY ATTOPEI YA Date-/d—�7�fNr � 9 rn cy�r BOARD OF COUNTY COM�iE1% C3 � OF MON"19 FLOWMM; aso JUNW, D rrnn -gon at By:.— MayorlClt a>t EXHIBIT "B" PAGE 3 OF 4 Companion to Alternate Version RESOLUTION NO. 240 -2006 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, REPEALING AND REPLACING RESOLUTION NQ 261 UN TO PROVIDE CHANGES TO DOG, CAT dt FERRET LICENSE FEES. WHEREAS, Resolution No. 261-2005 was passed by the Board of County Commissioners (BOCC) to require the issuance of a dog license to correspond with the length of effectiveness of the rabies vaccination actually administered; and WHEREAS, the BOCC has passed Ordinance No. 006-2006 requiring licensiue of dogs, cats and ferrets; and WHEREAS, the BOCC has determined that it is in the best interests of the public to change Chapter 3 of the Monroe County Code to also require licensure of ferrets and to change the age at which licenses are required to conform Gcensure to the State rabies vaccination laws; and WHEREAS, the BOCC has determined that there is no public concern about the fact previously found by the BOCC that calls for pick up of un-neutered and unsprayed dogs at huge oweed such calls for dogs who have been neutered or spayed; and WHEREAS, it is desired to reduce the angst of pet owners who do not keep their pets from roaming at large; NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, that: 1, Resohfdm No. 261-2005 is hereby repealed. 2. :Fees shall be collected for the following services as specified: RVICE FEE A. RjQk-un': (1) First Time $ 25 (2) Second Time $ 50 (3) Third and each additional time within a 12-month period $100 "The above pick-up fees shall be doubled if the animal picked up was not vaccinated for rabies. (4) Unaltered antnral Qt iarp fms/exemption license. Van unaltered animal comes into the shelter, either by being picked up or brought in, there will be an additional $100 fine for the fact that it is unaltered and that fine will be waived if owner or assigned caretaker agrees to alter the animal prior to laving the shelter. B. DQUdia (per ) $10 C. $10 D. DIVQUL $10 Revise Res. 261-2003 (Cempsoionto Ord Amud 006.2006 Alprnste version App 6 2106) EXHIBIT "B" PAGE 4 OF 4 E. Cglpty License: PER YEAR" (1) Dogs: (a) Animal is spayed/neutered or under 6months of age $10 (b) Animal is not spayed/neutered and 6 months of age or older $35 (2) Cats: (a) Animal is spayed/neutered or under 6months of age $10 (b) Animal is not spayed/neutered and 6 months of age or older $35 (3) Ferrets: $ 6 (4) Replacement $ 2 (5) Dogs and cats with microchips or other means of permanent identification and with registration to the County or a national identification service current to the owner, shall receive a $5 discount &ore the annual license fee. * Licenses are to be issued on an annual basis. However, any three-year license previously issued in conformity to a three-year rabies vaccine and pursuant to Resotutton 261-2005 shall remain in effect until its natural expiration date. F. 20MME Iog Certificate Qf Naistration (1) First year $100 (2) Animal Renewal $ 50 G. Litter (per litter) $ 50 Litter registration is required before birth. The owner of a pregnant animal shall be assessed a litter fee of $50 for each litter. If the litter is not registered, there will be $100 fine for first oBbnse, $250 fine for second offense, $500 fine on third offense. At the first offense, the fine of $100 will be waived if owner/caretaker agrees to after the litter and breeding mother. PASSED AND ADOPTED by the Board of County Commissioners of Monroe County, Vnida, at a BOARD OF CO COMMISSIONERS O OF MONROE CO , FLORIDA AbAW: DANNY L. KOLHAGE, Clerk Byc'� By: Mayor/Chaff D Clerk MONROE COUNTY ATT �.� a�.. 261 zoos 2 APP ED AS R (Companion to aid Amend 006.2006 Akamw Version App 6 2106) A. t1TToN cou"rr1.� i meeting ofthe Board held on the 2lscday of June , 2006. 3 � �_ r Mayor McCoy You �r�an Mayor Spehar Yes �?�,-- o Commissioner Neugent Yes Commissioner Patton Yes � CesnaEiasioner Rice Yes in EXHIBIT "C" POLICY AND PROCEDURES CONTRACT ADMINISTRATION MANUAL General Insurance Requirements for Animal Control Contracts As a pre -requisite of the work governed, or the goods supplied under this contract (including the pre - staging of personnel and material), the Contractor shall obtain, at his/her own expense, insurance as specified in any attached schedules, which are made part of this contract. The Contractor will ensure that the insurance obtained will extend protection to all Subcontractors engaged by the Contractor. As an alternative, the Contractor may require all Subcontractors to obtain insurance consistent with the attached schedules. The Contractor will not be permitted to commence work governed by this contract (including pre - staging of personnel and material) until satisfactory evidence of the required insurance has been furnished to the County as specified below. Delays in the commencement of work, resulting from the failure of the Contractor to provide satisfactory evidence of the required insurance, shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work commenced on the specified date and time, except for the Contractor's failure to provide satisfactory evidence. The Contractor shall maintain the required insurance throughout the entire term of this contract and any extensions specified in the attached schedules. Failure to comply with this provision may result in the immediate suspension of all work until the required insurance has been reinstated or replaced. Delays in the completion of work resulting from the failure of the Contractor to maintain the required insurance shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work had not been suspended, except for the Contractor's failure to maintain the required insurance. The Contractor shall provide, to the County, as satisfactory evidence of the required insurance, either: • Certificate of Insurance or . A Certified copy of the actual insurance policy. The County, at its sole option, has the right to request a certified copy of any or all insurance policies required by this contract. All insurance policies must specify that they are not subject to cancellation, non -renewal, material change, or reduction in coverage unless a minimum of thirty (30) days prior notification is given to the County by the insurer. The acceptance and/or approval of the Contractor's insurance shall not be construed as relieving the Contractor from any liability or obligation assumed under this contract or imposed by law. The Monroe County Board of County Commissioners, its employees and officials will be included as "Additional Insured" on all policies, except for Workers' Compensation. Any deviations from these General Insurance Requirements must be requested in writing on the County prepared form entitled "Request for Waiver of Insurance Requirements" and approved by Monroe County Risk Management. ANIMAL CONTROL ERRORS AND OMISSIONS LIABILITY INSURANCE REQUIREMENTS FOR ANIMAL CONTROL CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain Animal Control Errors and Omissions Liability Insurance. Coverage shall be maintained throughout the life of the contract and include, as a minimum: • False Arrest, Detention or Imprisonment • Malicious Prosecution • Wrongful Entry and Eviction • Assault and Battery • First Aid E&O • False or Improper Service of Process • Violation of Property Rights • Violation of Civil Rights The minimum limits acceptable shall be: $1,000,000 Combined Single Limits (CSL) An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its provisions should include coverage for claims filed on or after the effective date of this contract. In addition, the period for which claims may be reported should extend for a minimum of twelve (12) months following the termination of the contract. The policy shall not exclude claims or have coverage limitations relating to occurrences caused by or related to animals. The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirements. ANIMAL E&O EMPLOYEE DISHONESTY INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND The Contractor shall purchase and maintain, throughout the term of the contract, Employee Dishonesty Insurance which will pay for losses to County property or money caused by the fraudulent or dishonest acts of the Contractor's employees or its agents, whether acting alone or in collusion of others. The minimum limits shall be: $100,000 per Occurrence ED2 GENERAL LIABILITY INSURANCE REQUIREMENTS FOR ANIMAL CONTROL CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain General Liability Insurance. Coverage shall be maintained throughout the life of the contract and include, as a minimum: • Premises Operations • Products and Completed Operations • Blanket Contractual Liability • Personal Injury Liability • Expanded Definition of Property Damage The minimum limits acceptable shall be: $1,000,000 Combined Single Limit (CSL) If split limits are provided, the minimum limits acceptable shall be: $ 500,000 per Person $1,000,000 per Occurrence $ 100,000 Property Damage An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its provisions should include coverage for claims filed on or after the effective date of this contract. In addition, the period for which claims may be reported should extend for a minimum of twelve (12) months following the termination of the contract. The policy shall not exclude claims or have coverage limitations relating to occurrences caused by or related to animals. The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirements. GLAnimals VEHICLE LIABILITY INSURANCE REQUIREMENTS FOR ANIMAL CONTROL CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the Organization taking possession of the vehicles governed by this agreement, the Organization shall purchase Vehicle Liability Insurance and Auto Physical Damage Insurance. Coverage shall be maintained throughout the life of the Agreement and include, as a minimum, liability coverage for: • Owned, Non -Owned, and Hired Vehicles • Physical Damage Protection The minimum. limits acceptable shall be: $1,000,000 Combined Single Limit (CSL) ACV for Physical Damage The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirements. In addition, the Monroe County Board of County Commissioners shall be named as "Loss Payee" with respect to the physical damage protection. WORKERS' COMPENSATION INSURANCE REQUIREMENTS FOR ANIMAL CONTROL CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain Workers' Compensation Insurance with limits sufficient to respond to Florida Statute 440. In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less than: $100,000 Bodily Injury by Accident $500,000 Bodily Injury by Disease, policy limits $100,000 Bodily Injury by Disease, each employee Coverage shall be maintained throughout the entire term of the contract Coverage shall be provided by a company or companies authorized to transact business in the State of Florida, and the company or companies must maintain a minimum rating of A -VI, as assigned by the A.M. Best Company. If the Contractor has been approved by the Florida's Department of Labor, as an authorized self - insurer, the County shall recognize and honor the Contractor's status. The Contractor may be required to submit a Letter of Authorization issued by the Department of Labor and a Certificate of Insurance, providing details on the Contractor's Excess Insurance Program. If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required. In addition, the Contractor may be required to submit updated financial statements from the fund upon request from the County. WC1 ALL RISK PROPERTY INSURANCE REQUIREMENTS FOR ANIMAL CONTROL SHELTERS/ COUNTY -OWNED PROPERTY BETWEEN MONROE COUNTY, FLORIDA AND Prior to the Organization/Individual taking possession of the property governed by this lease/rental agreement, the Organization/Individual shall obtain All Risk Property Insurance (to include the perils of Flood and Wind) with limits no less than the Replacement Cost Value of the property leased or rented. Coverage shall be maintained throughout the life of the Lease/Rental Agreement and include, as a minimum, liability coverage for: Fire Lightning Vandalism Sprinkler Leakage Sinkhole Collapse Falling Objects Windstorm Smoke Explosion Civil Commotion Aircraft and Vehicle Damage Flood The Monroe County Board of County Commissioners shall be named as Additional Insured and Loss Payee on all policies issued to satisfy the above requirements. MONROE COUNTY, FLORIDA RISK MANAGEMENT POLICY AND PROCEDURES CONTRACT ADMINISTRATION MANUAL Indemnification and Hold Harmless for Animal Control Contracts The Contractor covenants and agrees to indemnify and hold harmless Monroe County Board of County Commissioners 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 or any of its Subcontractor(s) in any tier, occasioned by the negligence, errors, or other wrongful act or omission of the Contractor or its Subcontractors in any tier, their employees, or agents. In the event the completion of the project (to include the work of others) is delayed or suspended as a result of the Contractor's failure to purchase or maintain the required insurance, the Contractor shall indemnify the County from any and all increased expenses resulting from such delay. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this agreement. TCS MONROE COUNTY, FLORIDA RISK MANAGEMENT POLICY AND PROCEDURES CONTRACT ADMINISTRATION MANUAL WAIVER OF INSURANCE REQUIREMENTS There will be times when it will be necessary, or in the best interest of the County, to deviate from the standard insurance requirements specified within this manual. Recognizing this potential, and acting on the advice of the County Attorney, the Board of County Commissioners has granted authorization to Risk Management to waive and modify various insurance provisions. Specifically excluded from this authorization is the right to waive: • The County as being named as an Additional Insured - If a letter from the Insurance Company (not the Agent) is presented, stating that they are unable or unwilling to name the County as an Additional Insured, Risk Management has been granted the authority to waive this provision. and • The Indemnification and Hold Harmless provisions Waiving of insurance provisions could expose the Countv to economic loss For this reason, every attempt should be made to obtain the standard insurance requirements. If a waiver or a modification is desired, a Request for Waiver of Insurance Requirements form should be completed and submitted for consideration with the proposal. After consideration by Risk Management and if approved, the form will be returned, to the County Attorney who will submit the Waiver with the other contract documents for execution by the Clerk of the Courts. Should Risk Management deny the Waiver Request, the other party may file an appeal with the County Administrator or the Board of County Commissioners, who retains the final decision making authority. MONROE COUNTY, FLORIDA Request For Waiver of Insurance Requirements It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be waived or modified on the following contract. Contractor: Contract for: Address of Contractor: Phone: Scope of Work: Reason for Waiver: Policies Waiver will apply to: Signature of Contractor: Approved Not Approved Risk Management Date County Administrator appeal: Approved: Not Approved: Date: Board of County Commissioners appeal: Approved: Not Approved: Meeting Date:_ MONROE COUNTY EMERGENCY MANAGEMENT PET FRIENDLY SHELTER OPERATIONS PLAN Ey- > � it D 11 Pet Friendly Shelter 2/8/2011 I. INTRODUCTION Purpose The purpose of this plan is to provide standard operating procedures for operation of the following Primary Shelters as a pet friendly evacuation shelters. • Key West High School — #4-124 & 4425 (Girls & Boys Locker Rooms) • Sugarloaf School — #3-123 & 1-123 (Boys Locker Room) • Stanley Switlik School — #611(The Marathon High School, Boys Room) • Coral Shores High School - # 2-004A, 2-110A, 2-1108 (Boys Locker Room) Scone Overall management, coordination, prioritization and identification of services and assets needed to support humans and domestic animals being housed together in a shelter during an emergency or disaster. Acronyms AEO — Animal Enforcement Officers EOC — Emergency Operation Center ESF — Emergency Support Function MCEM — Monroe County Emergency Management SM — Shelter Manager VET — Veterinarian VT — Veterinarian Technician KWHS — Key West High School SLS — Sugarloaf School SSS — Stanley Switlik School CSHS — Coral Shores High School FIU — Florida International University SOP — Standard Operating Procedure PFSP — Pet Friendly Shelter Plan SPCA —Society for the Protection of Cruelty to Animals PFST — Pet Friendly Shelter Teams II. POLICIES Authorities In performing the functions outlined in this SOP County and Municipal agencies are governed by the authorities of Public Law 93- 288, as amended, FS§ 252, FS § 768.13 and other rules and regulations governing this agency. Assignment of Responsibilities: Primary Agency Pet Friendly Shelter 2/8/2011 2 MCEM is designated as the lead agency and is responsible for duties under the ESF- 17, as well as the following: l . Notify, activate and mobilize agencies assigned to the KWHS, SLS, SSS, CSHS, KLS, and FIU pet shelter 2. Coordinate all support agency actions in supporting the pet shelter 3. Coordinate request for assistance and additional resources with the appropriate agencies 4. Function as the County's representative and liaison with the Emergency Operations Center (EOC) for activities and responsibilities carried out by other support agencies 5. Provide SM and coordinate volunteer staffing for the KWHS, SLS, SSS, CSHS, and FIU pet shelter 6. Provide emergency supplies for animal care 7. Coordinate the intake and placement of Human/animal occupants of the KWHS, SLS, SSS, CSHS, and FIU pet shelter Support Azencies Support agencies are responsible for the following: 1. Notify, activate and mobilize personnel and equipment when required 2. Designate and assign people for staffing all facilities as required. Provide representation when requested by the primary agency of this PFSP 3. Coordinate all actions of the support agency with the primary agency when performing the assigned mission of this PFSP 4. Identify all personnel and resource requirements to perform assigned missions in excess of the support agencies' capabilities Monroe County Emereency Management The Monroe County Office of Emergency Management (MCOEM) is responsible for: l . Initial notification to the primary agency of this PFSP and the ESF to implement all or portions of it. 2. Coordinate requests for support from this PFSP and the ESF between other ESFs represented in the EOC. 3. Continual improvement and refinement of this PFSP and ESF. Additional Support Agencies Additional support agencies, as listed at the ESF-17 Station at EOC, shall provide support and assistance as requested. Response Reauirements Federal and State assistance to this plan is provided under Public Law 93-288 and F.S. § Chapter 252. The primary and support agencies of this plan must anticipate being as self-sufficient as possible during the first 72 hours following an event. Pet Friendly Shelter 2/8/2011 3 Resource Coordination This PFSP will provide human/animal assistance through its primary and support agencies in coordination with other ESFs to support its missions. This PFSP will allocate available resources to each mission based upon priorities identified by the EOC. Relative to human/animal shelter matters. If animal assistance resources are locally unavailable, the ESF will directly request assistance from its corresponding ESF at the State EOC. All other ESF's will coordinate with the ESF 17 representatives at EOC when requesting emergency support or disaster assistance. If a conflict of priorities develops, this ESF will work directly with the Operations Supervisor to resolve the conflict. Recovery Operations Although this annex addresses recovery activities of the agencies associated with this ESF, EOC is responsible for coordinating all recovery activities to provide animal services to the County, as required. Therefore, recovery operations of this ESF will be initiated commensurate with emergency priorities within the County and based on the availability of resources. Operating Facilities Pet Friendly Shelter Teams: • Vendors: Vendors providing animal services to Monroe County will provide staffing assistance. They will also provide ESF17 staffing support when requested by the County EOC staff. • Volunteers: The PFST will be made up of one AEO and two volunteers identified prior to event. The rest of the shelter support team will be made up of volunteers from the individuals sheltering within the facility. The Team will be stationed at the assigned Primary Staging Area. Duties of the team include: Have potential volunteers fill out the identification and information form, if they meet the following criteria: 1. Is a Monroe County resident. 2. Is 18 years old or older and in good physical condition. 3. Picture identification. 4. Ability to write legibly. 5. Ability / knowledge to open designated pet shelter facility upon demand. 6. Maintain list of volunteer names, hours worked, and forward, upon demand, that information to the Shelter Manager. Pet Friendly Shelter 2/8/2011 4 Shelter operations including: 1. Logging in animals and owners. 2. Checking the registration log for completed forms. 3. Sorting animals to group kinds/types. 4. Reviewing shelter rules and regulations with evacuees. 5. Verifying vaccination records. 6. Inspection of animal restraint equipment (cages, pens, collars, leashes) 7. Providing support agencies with number of registered animals. 8. Identify all animal medications brought into the shelter and insure they are in a controlled location. 9. Issue identification tags and wrist bands for people/carriers/cages and animals. 10. Issue cleaning supplies to evacuees as needed and available. 11. Placing protective barrier between cages and the floor of the shelter. Dunne the month of April the shelter support team shall: Check supplies in the Shelter Hurricane Kit 1. Order any supplies needed. 2. Prepare intake logs and forms. 3. Walk through all the Shelters, photograph, and note conditions and or damages. III. EMERGENCY MANAGEMENT CENTER LEVELS OF ACTIVATION In the event of an emergency this PFSP will follow the MCEM Levels of Activation (1-3). The Monroe County Shelter Manager will assess the severity and the extent of the area impacted by the event and designate appropriate pre - identified pet sheltering facilities. In the event of a large scale disaster there may be multiple shelters assigned. Pet -Friendly Shelter Preparations: Level 3 — Monitoring 1. Review emergency procedures. 2. Review and update organizational plans. 3. Notify PFST and direct them to prepare vehicles and equipment. 4. Contact support agencies. 5. Identify designated pet friendly shelter facilities. 6. Notify Pet Friendly Shelter Managers and assign duties accordingly. Level 2 - Partial Activation Danger is probable within 24 to 36 hours. Staff is briefed and Municipal and County coordination is established. Emergency Information Hotline is activated. 1. All PFST members are put on stand-by. 2. PFST briefed by the Monroe County Shelter Manager with regards to the designated pet friendly shelter facilities, and when and where to report. Pet Friendly Shelter 2/8/2011 5 3. Supply shelters with needed provisions (i.e. dog food, cat food, water, etc.), and provide access to such supplies to PFST. 4. Notify volunteers to remain on stand-by. Level 1— Full Activation Danger is probable within 12 to 24 hours. 1. Shelter will be opened to evacuees and in -processing will begin. 2. Initiate registration of animals. 3. Review rules and regulations with pet owners. 4. Verify vaccination records of incoming animals. 5. Inspection of animal restraint equipment (cages, collars, leashes, etc 6. Provide Shelter Manager with number of animal owners and pets. 7. Issue identification tags. Post Event Damage assessment is conducted, noted appropriately, and conveyed to Shelter Manager. The PFST will begin to deactivate the shelter by: l . Verifying the all clear has been given by EOC. 2. Checking registration log as people leave. 3. Prepare area for Public Works to clean and disinfect animal areas of the shelter. 4. Returning moved items to proper place (once area cleansed). IV DISASTER SUPPLIES/ EQUIPMENT IN -COUNTY PET -FRIENDLY SHELTERS _Laptop computer/printer First aid kits Fire extinguishers _Pei: carriers Portable radios _Clipboards _Blankets _Catch -poles and nets _Newspapers _Standard tool kit for minor repairs _Bolt cutters _Nylon rope _Flashlight with battery supply _Plastic carcass bags _Supply of animal information forms _Ball point pens and felt markers lD bands, tags, or collars _Air filtration masks/bandanas _Pooper Scoppers Pet Friendly Shelter 2/8/2011 0 _Nylon leashes Animal stretcher _Rubber boots _Leather gloves _Waterless hand cleaner, disposable towelettes, and paper towels Absorbent materials (such as cat litter) Radios with extra batteries _Manual can openers _Duct tape _Camera, film, and batteries _ Disposal litter pans _Waste disposal containers, _Leashes _Cleaning supplies, bleach, sanifect, buckets, rubber gloves, garbage can liners, brooms, hoses, paper towels, antibacterial soap _Food, dry dog, dry cat, canned dog, canned cat _Bottled water. Personal supplies (brought by individual) _chair/cot _sleeping bag _change of clothes _rain gear _medications _Water, light food stuffs _special dietary needs V. LIST OF AGENCIES 2 each (20 gal) 800 MHz radio w/charger Chairs/ cots _Office supplies. Log forms, intake cards, ID tags A. Primary Agencies (To be contacted only by MCEM): 1. Monroe County Emergency Management Department (305)289-6418 2. Monroe County Fire Rescue (305)289-6088 3. Monroe County Public Works (305)289-4560 4. Monroe County School District (305)293-1400 B. Secondary Agencies: 1. Florida Keys SPCA (305)294-4857 2. Marathon (Florida Keys SPCA) (305)743-4800 3. Monroe County Sheriff's Office (305)296-2424 4. Florida Fish and Wildlife Commission (305)289-2320 5. University of Florida Extension Services (305)292-4501 6. City of Key West Police Department (305)809-1011 7. Key Colony Beach Police Department (305)743-5380 8. Florida Highway Patrol (305)289-2383 Pet Friendly Shelter 2/8/2011 7 APPENDIX OF FORMS Pet Friendly Shelter 2/8/2011 AGREEMENT 1, (the owner of the pet(s) listed on the registration form) understand that an emergency exists and that special arrangements have been made to allow my family and pet(s) to remain together In this shelter facility. I understand and agree to abide by the pet care rules contained in this agreement and have explained them to any other family member accompanying my pet(s) and me. RULES: I. My pet(s) will remain contained in its approved carrier except at scheduled times. During scheduled relief times, my pet(s) will be properly confined with leash, harness or muzzle (if necessary). Scheduled times will be strictly adhered to. 2. 1 agree to properly feed, water, and care for my pet(s) as instructed by the shelter manager. i understand all medication will be controlled by the shelter manager and administration will be properly documented. 3. 1 agree to properly sanitize the areas used by my pet(s), including proper waste disposal and disinfecting as instructed by the shelter manager. 4. 1 certify that my pet(s) is current on rabies and all other vaccinations recommended 5. 1 will not permit other shelter occupants to handle or approach my pet(s) either while it Is In its carrier or during exercise times. I will make sure the carrier door Is latched and secures with a wire or rope tie. 6. 1 will maintain proper identification on my pet(s) and its carrier at all times. 7. 1 will permit my pet(s) to be examined by qualified animal shelter personnel to determine if medical or stress conditions requiring attention are present. I further agree to the administration of medication to alleviate any symptoms. 8. 1 acknowledge that my failure to follow these rules may result in the removal of my pet(s) to another location. I further understand that if my pet(s) becomes unruly, aggressive, shows signs of contagious disease, Is Infested by parasites (fleas, ticks, lice, etc.) or begins showing signs of stress related conditions, it may be removed to a more appropriate location. I understand that any decision concerning the care and welfare of my pet(s) and the shelter population as a whole are within the sole discretion of the shelter manager, whose decision is final. 9. 1 further understand that any damaged cause by my pet(s) will be my responsibility. 1 certify that my pet(s) has no previous history of aggressive behavior and has not been diagnosed with any contagious disease for which it has not received successful treatment. I hereby agree and hold harmless all persons, organizations, corporations, or government agencies involved in the care and sheltering of my animal(s). I further agree to indemnify any persons or entities which may have suffered any loss or damage as a result of the care and sheltering of my animal(s). I acknowledge that the following items were loaned to me to provide proper care of my pet(s) during the emergency SIGNED PRINTED NAME DATE Pet Friendly Shelter 2/8/2011 9 MONROE COUNTY EMERGENCY MANAGEMENT DEPARTMENT PET FRIENDLY PUBLIC EVACUATION SHELTER REGISTRATION AND AGREEMENT Owner: Address: City: FL Zip: Phone: Mman: FIRST NAMES AGE (Persons that will stay at shelter) For Offical Use Only Check In Date: Time: Check Out Date: Time: Area: Medications: ALL ANIMALS ARE REQUIRED TO BE IN CAGES OR CARRIERS. (Please mark cage/carrier with owners identification) EMERGENCY CONTACT (NOT IN SHELTER) (Name) (Phone) ucensea Hmmais uo s, Cats Ferrets — Limit of 4 Total Type (Dog, Name ICat, Ferret)l Color License # vtner Animals Its1ras, Ke tiles, etc... Type (Bird, Name Snake, etc.. Color ARE ANY ANIMALS ON MEDICATION? If so explain and give time normally administered: Can medication/ supplements be given in regular food rations? _ yes no Are there medical problems or behavioral characteristics we should know about? Pet Friendly Shelter 2/8/2011 10 Monroe County Emergency Management Department INDIVIDUAL VOLUNTEER DAILYSIGN-INLOG Pet -Friendly Shelter Team 490 63`d Street Suite 150 Marathon, FL 33050 [NAME: The information in. the box below is filled out the first time you volunteer. Then, each time you return, enter on the back side of this log your time in and time out. It is very important that these procedures are followed so that MCOEM can properly acknowledge volunteers for the work they have done, and to keep our internal records current. If you have any questions about the log, those working in the volunteer sign -in area will be glad to help you. DISASTER LOCATION: ADDRESS HOME PHONE# TODAY'S DATE: STREET CITY / STATE / ZIP CODE MESSAGE PHONE # IF YOU HAVE NOT COMPLETED THE PET FRIENDLY SHELTER RESPONSE TEAM DISASTER PREPAREDNESS WORKSHOP. ❑ NO ❑ YES IS THIS THE FIRST TIME YOU HAVE VOLUNTEERED WITH MCEMD? ❑ NO ❑ YES IF YES. WHICH DISASTER(S) HAVE YOU BEEN TO? CHECK WHICH OF THE FOLLOWING VACCINATIONS YOU ARE UP-TO-DATE ON: (PLEASE NOTE THAT VOLUNTEERS MUST BE CURRENT ON THEIR TETANUS VACCINATION BEFORE THEY CAN START WORKING!) ❑ TETANUS (DACE ) ❑ HEPATITIS A (DATE ) ❑ RABIES PRE -EXPOSURE (DATE ) HAVE YOU COMPLETED THE MONROE COUNTY VOLUNTEER APPLICATION FORM? ❑ NO ❑ YES IF NO, VOLUNTEERS MUST COMPLETE THIS FORM BEFORE THEY CAN START WORKING! DO YOU HAVE A CURRENT PICTURE I.D.? ❑ NO ❑ YES IF NO. VOLUNTEERS MUST HAVE ONE BEFORE THEY CAN START WORKING! CHART USE ONLY ❑ VOL APP 1 ❑ CTY FORM 1 ❑ EMG ❑ PICT LD ❑ CERT ❑ LTR ❑ TS ❑ WS INFO CONT Pet Friendly Shelter 02/08/2011 11 MCOEM Daily Volunteer Sign in Sheet I N-IN TALLY SHEET ► VOLUNTEER'S NAME: N SUMMARY OF VOLUNTEER HOURS N ► START DATE: ► FINAL DATE: ► TOTAL DAYS: ► TOTAL HOURS: Pet Friendly Shelter 02/08/2011 12 INSTRUCTIONS: ON THE FIRST LINE IN COLUMN "A" FILL IN THE DATE AND YOUR TIME IN AND TIME OUT, AND THEN TOTAL YOUR HOURS FOR THAT DAY, CONTINUE TO DO THIS FOR EACH DAY THAT YOU VOLUNTEER IF YOU REACH THE BOTTOM LINE OF COLUMN "A" CALCULATE YOUR SUB- TOTAL AND THEN CONTINUE KEEPING TRACK OF YOUR TIME IN COLUMN "B." WHEN YOU ARE DONE VOLUNTEERING WRITE IN YOUR TOTAL HOURS AND MINUTES AT THE BOTTOM OF COLUMN "B." MCOEM VOLUNTEER REGISTRATION By completing this form, you are registering as a volunteer with Monroe County Emergency Management Department. Completing this form does not guarantee you will be able to volunteer during this disaster. DATE LOCATION OF DISASTER NAME SSN ADDRESS DRIVERS LIC # / STATE CITY/ STATE / ZIP CODE ARE YOU LICENSED TO DRIVE ANYTHING OTHER THAN A CAR? ❑ NO ❑ YES WHAT? HOME PHONE WORK PHONE PAGER CELL CONTACT RELATIONSHIP ADDRESS PHONE CELL DO YOU HAVE HEALTH CARRIER POLICY NUMBER INSURANCE? ❑ NO ❑ YES DO YOU HAVE A CURRENT TETANUS VACCINATION? ❑ NO ❑ YES IF NOT, YOU MUST GET ONE. PROOF OF THE VACCINATION WILL BE NEEDED PRIOR TO ALLOWING YOU TO VOLUNTEER IF YES. DATE OF LAST TETANUS VACCINATION? ARE YOU ON LONG TERM MEDICATIONS? ❑ NO ❑ YES IF YES TYPE DO YOU HAVE ANY MEDICAL CONDITIONS THAT HCAS SHOULD BE AWARE OF IN T EVENT OF AN EMERGENCY? ❑ NO ❑YES IF YES, EXPLAIN DO YOU HAVE ANY MEDICAL ARE YOU ALLERGIC TO ANY ANIMALS? ARE YOU AFRAID OF ANY ANIMALS? ALLERGIES? ❑ NO ❑ YES IF YES, p NO ❑ YES IF YES, TYPE ❑ NO ❑ YES IF YES, TYPE EXPLAIN ❑ DOGS ❑ CATS ❑ HORSES ❑ DONKEYS ❑ CATTLE ❑ SHEEP ❑ GOATS ❑ PIGS ❑ BIRDS ❑ REPTILES -TYPE ❑ WILDLIFE -TYPE HAVE YOU EVER HUMANELY TRAPPED ANIMALS? ❑ NO ❑ ❑ EXOTIC ANIMALS -TYPE YES WHAT PREVIOUS ANIMAL RELATED EXPERIENCE DO YOU HAVE? DOES ANY OF YOUR EXPERIENCE INCLUDE HELPING ANIMALS DURING A DISASTER? Pet Friendly Shelter 02/08/2011 13 ANIMAL RESCUE FORM TO BE DISTRIBUTED TO LAW ENFORCEMENT, UTILITY CREWS, MILITARY AND OTHER WORKERS IN THE DISASTER AREA, AS WELL AS PET OWNERS EVACUATED FROM THE AREA. IT SHOULD ALSO BE USED TO RECORD INFORMATION FROM OWNERS CALLING IN A RESCUE REQUEST. PLEASE FILE A SEPARATE REQUEST FOR EACH ANIMAL. THE FORM SHOULD BE COMPLETED FOR ALL ANIMALS SIGHTED EVEN IF DECEASED. LOCATION OF ANIMAL DATE TIME AM or PM DESCRIPTION OF ANIMAL: DOG ❑ CAT ❑ OTHER ❑ MALE ❑ FEMALE ❑ ALTERED ❑ BREED COLOR AGE DISTINCTIVE MARKINGS (note injuries or special conditions) NAME OF REQUESTING PARTY AGENCY or OWNER ADDRESS CITY STATE ZIP PHONE: WORK TEMP ADDRESS (If Other Than Permanent) CITY HOME( OTHER( IF OWNER, IS KEY AVAILABLE? yes ❑ no ❑ LOCATION OF KEY STATE ZIP, IF NO, IS KEYLESS ENTRY AUTHORIZED? yes ❑ no ❑ SIGNATURE OF OWNER **RESCUE TEAM USE ONLY REQUEST RECEIVED: DATE ACTION TAKEN EMERGENCY MEDICAL TREATMENT PROVIDED TO ANIMAL TIME TREATMENT GIVEN BY Rescue Team ❑ Veterinarian ❑ NAME PHONE ( ANIMAL TAKEN TO MCOEM — DISASTER SERVICES CITY STATE ZIP PHONE Pet Friendly Shelter 02/08/2011 14 AM or PM 0 I o� a W H 00 J w W za 00 2 x a z 0 H U O J ao LU 3~ W OJ a Jg 00 (> LLui G Ix M a w z 0 P a z W O U a w m a� �z z W m 0� Z tUi iu Z W Z O uW 00 O LL N W D Q W } IL a n ca O U u ow G U LLi OC m 0 W W U W W U O N LLI to Uj UJ QUO LLI OC=Z H aaLL z O90) P z ILW U 2 N� WO GU �O W z } m 0 W N W C'! W 0 m- 0 i. w �+ O sftftft V) = O � Y J ._ s Q ,E c a CL III �I O r�: W 1- Q a 0 0 F- z 0 a U O J la-�G 000 z i- W Ong NOF z W 22 N �ui za 0 U z w 0 Lu W2 Z W w z 0 a J W U w z 2 IL w 0 z 0 z a c� ac O W z H N LL W a z co g N 0 O N 0000 O N O Lr r-+ .-r G7 ^CJ w a EXHIBIT "E" co Fri !x! I I Ix: IXjXf ixiXlXi :X:o• 1 •X X X,X' : i 1 i •'r: 1 'X X. j �X'XI i i )NIf X x'X X'x:X�X, .I.' �•X,x'x,Xl ' , I...I .i. � I { '`I• t �• j ;XI ;XFx x;x xixix-xlxlxj ! x ;. I I �IxiX�x,X� �i E !! i x x x !I x i iXixl o;;X ! ► ; I w InIX,X'X:XI , , I c C I O I G I i-i dl iu of A o! 0� A 0-1 Al I IX ,x:xlxixI,<, ixIXl iX x x: !X:v �1x,xlx; X; 1 : i I• ! i I I r: ti' �.. : ' , , ' j lu 1 �x• x'x: xI !l x;X I x , XXX � l I _.I. l i 1 i I ^� I , iN I I j ..Ii..,.. i I_ �.� Xlx'x!><I I: ; I r; 5i ; 1 I i, I . I EI x• � I ' A I xI u otW xI II I i at f x K X�><!xIX IX!iX) I x�. I ' �) Wi V i• _ 1 1�... 1 t.. i I I I._. l� Qt i_._...i_yl. I i•rs tn•wl �': 10 ; L to ._••, - N •Oi' i._i..i. ;., .i..;...l...l-L.i..l_.i:__L_j•. i 1�IY. N it•, .,� I 1 ! t I ! YI XI XIXr I --I- --1'-- _.-I 1�1 vJI i I I -.� , .yNf X!X XIX!X'X X� ' X xI Ni �I ' 'c w °• L �' of • i I -�•-G-..L.. X °°!I{ Ix.><I i I ! I I l ''�1 � i °°; �i °�' t`i m; �i i t'nt a`i o• I ,. .;. x z ? W,w u.�n a s E u c u `d C. _ m.. : E.i,.v a L � a I F y °i xl dct di T: of ��. d' i •O. d N u �' D . .41 in :.'' 7 ni x vl O al d _ 41 = E M W a •- FA, hT. �t E - - LYa EXHIBIT "G1" FORMS REQUIRED TO BE USED BY CONTRACTOR ADOPTION AGREEMENT (ORGANIZATION' S NAME) Monroe County, Florida This Agreement is entered into between (name of Adopter), the "Adopter," and name of organization), the "Agency" this (day) day of (month), 20_. In consideration of the mutual promises contained herein, the above stated parties hereby agree as follows: 1. Agency shall release to Adopter the animal described in Receipt No. 2. Agency has provided basic care to the animal, and has found it to be in apparent good health, but makes no guarantees as to any undetected medical disorders or defects in its disposition. Any medical treatment or procedures rendered to the animal preparatory to the adoption shall be listed on a receipt provided to Adopter. Adopter may return the animal within 10 days of adoption without further charge only if the animal is certified by a licensed veterinarian to suffer from a congenital disorder. Any return after that time or for other than a congenital disorder will be subject to the Agency's Intake Fee. In recognition that Agency is a not -for -profit organization providing shelter care for the County shelter, none of the adoption or other related preparatory fees are refundable. 3. In consideration of the privilege of adoption, Adopter hereby waives any and all claims for damages against Agency and Monroe County, their officers, employees, agents and representatives which may result from this adoption, including, but not limited to, any veterinary costs or expenses incurred for the animal, damages or injury to property or person. 4. Animal has been neutered or spayed. Adopter agrees that spaying/neutering is a condition of the adoption and this contract provision may be enforced in Court. In the event that the animal is discovered to have not been neutered or spayed for any reason prior to release to Adopter, Agency shall, by written notice delivered in person or by registered mail, return receipt, require Adopter, within ninety (90) days of said notice, to provide to Agency a licensed Veterinarian's certified statement that the animal has been neutered/spayed or shall return the animal to the Agency for such procedure. Should Agency action become necessary to enforce this provision, Adopter agrees to pay all costs, including court costs and attorney's fees of the Agency. Should a Court adjudicate this issue, the parties agree that in addition to payment by Adopter of all costs, the Agency shall be entitled to injunctive relief requiring the spay/neuter surgical procedure. 5. Adopter agrees to provide humane care for the animal in accordance with all laws and ordinances in force in Monroe County. Adopter will not sell, trade, give away, or otherwise dispose of said animal without first giving Agency the right to take possession and ownership of the animal, subject only to the Agency's Intake fee as set by Monroe County Resolution. SO AGREED the date first written above. (Signature of Adopter) (Signature of Agency Representative) EXHIBIT "G2" FORMS REQUIRED TO BE USED BY CONTRACTOR AFFIDAVIT OF INABILITY TO PAY ANIMAL CONTROL CHARGES I, , (name) who being first duly sworn, in support of my request to have certain Monroe County Animal Control charges waived, do certify that: 1. I am the owner of (name(s) of animal(s) who are, respectively, (specify species) who have/has been picked up, housed or cared for by Monroe County Animal Control. 2. For the period of (date of I' charge) to (date of last charge) has been incurred as a result of the animal control services stated in paragraph number one. 3. That I am unable to pay (check one) 1) the charges (or) 2) any more than $ and without substantial hardship to myself or my family due to the following circumstances: (check all that apply) (A) My household gross monthly income from all sources is less than: (1) $1,200 if only one person in household, or (2) $1,500 if more than one person in household. (B) I do not have cash (including checking and savings account) in excess of $500.00. (C) I owe debts due to illness or misfortunes of my family. If this item is checked, briefly describe in the space provided below: (D) 1 do not own real or personal property which are not used by me for shelter and the necessities of life. If this item is checked, briefly list and describe all real property and automobiles owned by affiant: 4. If any statement herein is determined to be untrue, I agree to pay such charges as have been waived as a result of this affidavit. (signature) SWORN TO AND SUBSCRIBED before me this _day of , 201, by who is personally known to me or who produced ,as identification. Concur Concur Animal Control Director County Administrator Notary Public - State of Florida at large EXHIBIT "GY FORMS REQUIRED TO BE USED BY CONTRACTOR RFSOL TION NO. 290 •2810 A RE,SOi a ION OF THE BOARD OF CUirlM COW>FSSiC?NER$ OF MONROE COUNTY, "A)UTDA, APPROVING THE ANIMAL CONIVOL CrfATION TO BE USED PIIRSGAT. r TO SECTI N 4.46 OF TFFE MONROE CIH)-" I CODE. WHRRM, puma t to Mauoc Cjurty Coda; (MCC) SWion 4-46, upon ohmVing a violation of Chrptar 4 of the MCC, An animal Comfol supNvisw of Ribmal COntttal officer, of any other law enfnroement effacer, may issue a Citation; and 'WWRREAS, the aniaru<t control tK tion Load OWI be in subsu udly dv "me form as approved by Board rwAutku ; and WERRYAS, the aninxl control cWAiou Amid be app vvud by the Ruud of Cuuncy Conn»iark tM r*r iht polkw of ensuring eefofeement of the Moomre County Animal Control Ordingtwe; and WNKREAS, SeCtioa 4.46, MCC sets forth the required infrmation that shalt be cawAined in the citation; NOW THEttLMM, BE IT RESOLVZD BY THE BOARD OF COUNTY C0WC3MNM OF MONROB Cr00NTY. FWWA, THAT: 1. The gonad er C*austy C4mmiurorseri at Moor" comfy appnoyau Ow rwNsol W centnst ckstian aWrdnd hereto and, pa and is Sw. " at die Mown Coady Code. mpka tint ad am baud control centrKft Y we citideos in alobataves * the not ferrm au herein. PAt�i 'D AVD ADOYM-D by the Board of County Commissioners of Monroe County, floa'ida, oa lhie 1 Sth day of Scpwmba. 2010. Mayor syme Murphy M"w pan Tem lieetlter Catrluthe» Comm6sionerKim Wigitrgton CMMilwotr Gvurp NegW Commistiouer Maio IN Ceanwo (SM) Attest: DAls"NYL. KOT.HAGP. CLERIC BY . l� tS� C. L\a Lzr 'Zt. ' ) Deputy Clork Yam; J! 1 7� �a r � Z Ye c iV yev y� ?_r .V .739 BOARD OF COUNTY COMidl.' r S 4 OF W-NROE (K)lTV N, F A)RIDA fsyor/Clairpemon !r ONFIOE G(XV4TY A P P 10' RM: C TI 1t. � ��!Ne!H;-$ARFi4Yi5 A$613TAN OM"Y!—TCFN_Y N6 1�__ �--.. EXHIBIT "G3" FORMS REQUIRED TO BE USED BY CONTRACTOR RF30LI:TION NO. 290 •2610 A RKAOLVtION OF THE BOARD OF COLA W COlMiMSipMS OF MONROE COUNTY, FUOATDA, APPRUYING THE ANIMAL COMML WATKV TO BF USED PVRSTANT TO SECTION 4.46 OF WE MONROV C.f2I)WrY CODE. WIi31S, pursuant 10 Meow Cmniy Colt (MCC) Se0jon 4 46, upon obiterving a violation of Chaptar 4 of the MCC, an animal coaual &*ervitor or animal control officer, or any other law enforcement officer, may lssim a rotation; and ATERCAS, the ar► wai control eit 6071 used "I be in subg"tially the same fOtm as approved by Board rmkjt cm; old VMnF.A& the animal control citatim Avid be approved by the Ruud of County Connn4skr4m I:br the pin" of ensuring enforcement of the Motwoe County Animal Co rIttol Ordrnanoe; stet WHKREAS, Section 4.46, MCC sets forth the required infoncation that shalt be cenusiatd in the citation. NOW TTHLREMBE, BE IT REStiLV''ED IFY THE BOARD OF COUNTY C.OM M MlONERS OF MONROE COUNTY, FIARWA, THAT: 1. The Board of C'o+wty C4mmirfioetra of Maaroe COwty NPPMYW Ow aaiwai ceatfel ciatim atteeied bweto and, panaaat to Sec 4.46 of die Moome Cents Cock, ret ekes tint till animal control contrKee s ore cetatiews in aa4fat211116 10y the quit form at spPVOV*d hu'siv. PAWM AND AIDOPTN:ii► by the Board of County Commissiariers of Monroe County, Flo-ida, on this I Sth clay of Scpta®ber. 2010_ N%yur Sylvia Murphy Mayor Pro Tem Needier C4mthem Commissioner Kim Wigivon. CommWiow Goorp Nlaged Cammiss ow W io Di Gem o (SFAL) Attest: DAN-NY L. XO1,HAGP. CLERK By: r aj y" C. L�LzL r'';"zt ) Deprly Chic Yen - .aLV Yei Yoe Al ?C 11OARD OF COUNTY WM"o Y4 S 4 OF MONROE C01IN ,1�{rU1 MA 4' .�� 'Vlaynrl('�airpetaon !4ONPOE C;CtiI111TV ATTO"::j? ,APP, Wc-'j A'� TP FORW 01. r dHP TINEN. f 1'!M! "-,6AFtO'K5 A$1i13TAN O�M"Yf•'TCFN�Y Board of County Commissioners, Monroe County, Florida Animal Control Division In the County Court, In and for Monroe County, Florida Citation No. Citation Date: A.M./P.M. In the name of lvlonroe County, Florida: the undersigned certifies that he/she had just and reasonable grounds to believe, and does believe that First. Name Middle Last Name (Name of the Owner/Alleged Violator) Street City State M On the _day of 20 at A.M. / P.M. at (locati—) Monroe Couripi, Florida, did commit the following offense(s), contrary to laws. Facts constituting probable causetelements of offense: Animal Description- (if available) Name: Breed: Color: Sex: Spay/Neutered Age: _ ❑ ANIMAL AT LARGE, SEC. 4.67(a) ❑ DOG BITE, SEC. 4.75(f) ❑ NO CURRENT RABIES VACCINATION, SEC. 4.64 ❑ NO VALID COUNTY LICENSE SEC. 4.65 ❑ FAILURE TO PROVIDE ADEQUATE SHELTER, SEC. 4-810) 0ANIMAL(S) CONFINED IN VENHICLE, SEC. 4.81(s) ❑ FAILURE TO NEUTER DOGS, CATS, RABBITS, SEC. 4.69(a) ❑ OTHER VIOLATION SEC. 4. Where triable in County Court; Lower Keys Division - Monroe County Courthouse Annex, 302FIeming Street, Key West, FL. 33040; or Middle Keys Division- Marathon Branch Courthouse, 3117 Overseas Highway., Marathon, FL 33050; or Upper Keys Division- Upper Keys Govenunent Center, 88820 Overseas Highway, Plantation Key, Florida 33070 On: (Month) (Day), 20 at A.MJP.M. Judge: Courtroom:_ ❑ IT IS MANDATORY THAT YOU APPEAR IN MONROE COUNTY COURT AT THE TIME AND PLACE RECORDED ABOVE. ❑ YOU NEED NOT APPER IN COURT ON THE DATE ABOVE, BUT MUST COMPLY WITHT THE INSTRUCTIONS ON YOUR COPY OF THIS DOCUMENT. ISSUING OFFICER: DATE: SIGNATURE PRINT NAMIi AND TITLE: I HEREBY AGREE TO APPEAR AT THE TIME AND PLACE DESIGNATED ABOVE TO ANSWER TO THE OFFENSE(S) CHARGED OR, IF THE OFFENSE(S) CHARGED DOES NOT REQUIRE A MANDATORY COURT APPEARANCE AND I DESIRE NOT TO CONTEST THE CHARGE, TO PAY A CIVIL PENALTY IN THE AMOUNT OF S IN THE MANNER SET FORTH IN THE INSTRUCTIONS ON THE BACK SIDE OF THIS CITATION. I UNDERSTAND THAT, IF I DO NOT APPEAR IN COURT TO CONTEST THE CITATION OR PAY THE CIVIL PENLTY WITHIN TEN (10) DAYS OF DATE OF THIS CITATION (EXCLUDING SATURDAY, SUNDAYS AND HOLIDAYS], I SHALL HAVE BEEN DEEMED TO WAIVE MY RIGHT TO CONTEST THE CITATION AND IN SUCH CASE JUDGEMENT MAYBE ENTERED AGAINST ME UP TO THE MAXIMUM AMOUNT OF THE CIVIL PENALTY OF S5M. IN ADDITION, FAILURE TO COMPLY MAY ALSO RESULT IN AN ORDER TO SHOW CAUSE TO BE ISSUED FOR MY APPEARANCE IN COURT, WHICH MAY FURTHER RESULT IN BEING HELD IN CONTEMPT OF COURT. SIGNATURE OF OWNER/ALLEGED VIOLATOR DATE SIGNATURE IS NOT AN ADMISSION OF GUILT (Note: Front of eitation) INSTRUCTIONS If the officer marked an "X" in the box preceding the words "YOU NEED NOT APPEAR IN COURT". You may answer this summons by either of the following methods: l _ If you desire to plead GUILTY or NOLO CONTENDERS (No Contest) you must WITHIN 10 DAYS of the issue of this citation, (Saturdays, Sundays and Holidays excluded MAIL CLEK OFtCIRCUIT COURT, t the address checked belowice with a Cashier's Check Or Money Order for , prescribed amount for the violation charged, payable or you may at the address checked below, between the hours (DO NOT MAIL CASH OR PERSONAL CHECKS); y y appear the rescribed amount. of 8:30 A.M. & 5:00 P.M., Monday — Friday (Saturdays, Sundays and Holidays excluded) and pay p Lower Keys Clerk's Office (or Middle or Upper Keys Clak's Office as appropriate) 500 Whitehead St., Suite 101, Key west, Florida 33040 AMOUNT TO BE PAID: S Note: Whichever your method of payment, you must sign the " PLEA OF GUILTY OR NOLO CONTENDERS AND WAIVER OF RIGHTS," below and return it to the Clerk with your check. made in person 2. YOU MAY APPEAR IN COURT by requesting a court hearing on thisch on the our refront ia Hof this MUST be This copy of y appearing yourself or through an attorney at the address and time specified the Notice to Appear must be presented to the court at such appearance. PLEA OF GUILTY OR NOLO CONTENDERE AND WAIVER OF RIGHTS In consideration of my not appearing in court; I, the undersigned, do hereby enter my appearance on the affidavit for the offense(s) waive the reading of the affidavit in the above named cause and the right to be present charged on the other side of the citation. And at the trial of such action. I hereby enter a plea of: ❑ GUILTY OR NOLO CONTENDERS (No Contest) for the offense(s) charged. I waive my right to defend against such charge(s) or to apt and error in sare uch proceedingsmy . tIo understand his ply will nn veurthe f the charge(s) against me. I plead, as indicated above, to the charge(s) $ y same effect as judgment of this Court. Signature Address Signature of person taking waiver if presented in person Title: (Clerk, Deputy Clerk) (Note: Back of citation) EXHIBIT 66G4" FORMS REQUIRED TO REPORT FORMSED By MONTHLY STATISTICAL ,Inc. ANIMAL SHELTER DATA FOR MONTH OF: Animals Brought In: Animals Picked Up: Animals Adopted: Animals Redeemed: Animals Transferred— Animats Escaped: Animals Born at Shelter: Animals DOA: Animals Euthanized** DOGS CATS ----------- ** number sick, injured, or dangerous - Animals on Hand NOTES: Service Calls: Bite Reports: Cruelty Cases: COUNTY FEES COLLECTED Failure to Spay/Neuter: Exemption License: License' Pick -Up Boarding:- --Adoption: Disposa 1: Euthanasia: Total County Fees Collected: REPORTED BY: Date Reported: *Last how many, type animal was transferred m A5/25/'2011 08:22 3052847761 OFFICE DEPOT PHGE 02/01- j� Delmrh'nent of Ilia Trnmw N' fJ R hi(crital Raceme Scaler P.O. Box 2508 In reply refer to: 0248323016 Cincinnati OH 45201 May 20) 2011 LTR 4168C Po 27-30.86504 000000 00 00018577 BODC: SB SAFE HARBOR ANIMAL RESCUE OF THE KEYS INCORPPORATED 10803 6TH AVE 'V MARATHON PL 33050 )4175?. Employer Identification dumber: 27-3086504 Toll Free 'rel•ephone Number: 1-877-829-5500 -- Dear Taxpayer: This is in response to your May 11, 2011, request for information regarding your tax-exempt status. Our records :indicate that you were recognized as exempt under section 501(c)(3) of the Internal Revenue Code in a determination letter issued in May Z011. OUr records also indicate that you are not a private foundation within the meaning of section 509(a) of the Code because you are described in section(s) 509(a)(1) and 170(b)(1)(A)(vi). Donors may deduct contributions to you as provided in section 170 of the Code. Bequests, legacies, devises, transfers, or gifts to you or for your use are deductible for Federal estate and gift tax purposes if they meet the applicable provisions of sections 2055, 2106, and 2522 of the Code. Please refer to our website www.1rs.gov/eo for information regarding filing requirements. Specifically, section 6033(j) of the Code - rarov 4l,e„ t-ha-t_—fail-u-r_e--'to -fit-e..ar�. ?nnu.a-1,-.i.n,formation return for three consecutive years results in revocation of taX-exempt status as o the filing due date of the third return for organizations required to file. We will. publish a list of organizations whose tax-exempt status was revoked under section 6033(j) of the Code on our website beginning in early 2011. 405,`25"2011 0_,:' 3052897761 OFFICE DEPOT PAGE 01101 02483230,16 May 20, 2011 LTR 4168C EO 27-3086504 000000 00 00018578 SAFE HARBOR ANIMAL RESCUE OF THE KEYS INCORPPORATEb 10803 6TH AVE MARATHON FL 33050 If You have any questions, please call us at the telephone number shown in the heading of this letter. Sincerely yours, S. A. Martin, Operations Manager Accounts Management Operations NON -COLLUSION AFFIDAVIT I,2Xof the cityof MNrUa-k nrl according to law on my oath, and under pend1ty of perjury, depose and say that: 1. I am ��1JkA1V f bt lL� 6K'e firm of the bidder maling the Proposal for the project desqribed in toe Notice for Calling for Bids for: o r CYlWOJ%lh n 2. I executed the said proposal with full authority to do so. 3. The prices in this bid have been arrived at independently without collusion, consultation, communication or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor. 4. Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to bid opening, directly or indirectly, to any other bidder or to any competitor. 5. No attempt has been made or will be made b the bidder to induce any other person, partnership or corporation to submit, or not to submit, a bid for the purpose of restricting competition. 6. 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 contract fo > project �:_) I J( I &UAa� Signature of Bidder) (Date) STATE OF: 1 Q r t 0,_, COUNTY OF: EYllne., PERSONALLY APPEARED BEFORE ME, the undersigned authority, _ I Ai f who, (providedPt- IN- ,G (� 3�3y.�'Id�ris proof of identity, or () is personally known to me, and having been first sworn by me, affixed his/her signature in the space provided above on this 9eday of IF V-) 201�. 'o, NANCY H LILLIE Notary Public -State of Florida '�;_c My Comm. Expires Nov 28, 2013 Commission # DD 942490 �'�•` Bonded Through National Notary Assn. \A� & V�' \� L� �n) V \ NOTARY PUBLIC My Commission Expires: `\ q�' 41 SWORN STATEMENT UNDER ORDINANCE NO. 10-1990 MONROE COUNTY, FLORIDA ETHIC S CLAUSE &e,,Ate—Mwarrants that he/it has not employed, retained or otherwise had act on his/its behalfany-former County officer or employee in violation of Section 2 of Ordinance No. 10-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 10-1990. For breach or violation of this provision the County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct from the contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee. STATE OF (Signature) (Date) COUNTY OFUQ PERSONALLY APPEARED BEFORE ME, the undersigned authority, �CJ le who, after first being sworn by me, affixed his/her signature (name of individual signing) in the space provided above on this � day of kb 01-,(01y , 201_�_. OMB — MCP FORM #4 NOTARY PUBLIC My commission expires: � �A l3 T NANCY H LILLIE Notary Public -State of Florida • My Comm. Expires Nov 28. 2013 Commission #r DID 942490 °••�,� ;,;t•�° , Bonded Through Natronat Notary Assn. 42 DRUG -FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: b �Aa\r Uc) Y An 1 tYW (Name of Business) 1t2, K" S I n c, - 1. Publishes a statement notifying employees that the unlawful 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. 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, rehabilitation, 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 that are under bid a copy of the statement specified in subsection (1). 4. 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 bid, 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 contendere 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 assistance or rehabilitation program if such is available in the employee's community, or any employee who is so convicted. 6. 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 requ_11rem ts. i e s Signature '), A- I � Date 43 LOCAL PREFERENCE FORM A. vendors claiming a local preference according to Ordinanoe,02/3-2009 most this form. Nam Naof BidX der/Responder 'r-'LDY Date:;�— I- I I 1. Does the vendor have a valid receipt for the business tax paid to County Tax Collector dated at least one year prior to the notice or request for bid or proposal? Tease finish cePy. ) 2. Does the vendor have a physical business address located within Monroe County from which the vendor operates or performs business on a day to day basis that is a substantial component of the goods or services ding o1l�d to Monroe Canty? w� List Address- : t c��C) PCV fJL� 1l �1�1C� TelephoneN.�mbe��31 • �_I B. Does the vendorlprime contractor intend to subcontract 50% or more of the goods, services or construction to local businesses meeting the criteria above as to licensmg and location? _t-3k If yes, please provide: 1. Copy of Receipt of the business tax paid to the Monroe Cotudy Tax Collector by the subcontractor dated at least one year prior to the notice or request for bid or proposal. l 2. Subcomra�cmr Address within Monroe County from whichthe subcontractor operates: �] w -✓� f% � GI J Td. Nurua-�� 31- (",e,adiun t ip • Print Name: 1� e Ge— n 1, 1 ftfiiiire and Title of AutboriicLSi&ory for Bidder/Responder STATE OF r COUNTY OF� On this day off i7 2Q�_�__, before me, the undersiped � Pam, PAY red known to me to be the person whose name is subscribed above or who pradttced L � r L _ ` 85 idatffication, and admmlodged that he/she is the person who executed the above Local Pref eno Form for the purposes therein contained. s \ Notary Public v L Priut Name My commission \ \ <� Seal NANCY H LILLIE sf Notary Public - State of Florida My Comm. Expires Nov 28, 2013 r Commission #r DD 942490 80edsd Through National Notary Assn. 45 MONROE COUNTY, FLORIDA Request For Waiver Of Insurance Requirements It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be waived or modified on the following contract. Contractor: SKR T Luc) S Vc" Contract for: N i %(r� m MATn l — miilrkIl/u V l Address of Contractor: lo5b YiV 16d1tV\ akA- Phone:' Scope of Work: % Reason for Waiver: i(VQu, Policies Waiver '1( will apply to: i-[Y),-,c n- Signature of Contractor Appro, Not Risk Management Date S f County Administrator appeal: Approved: Date: Board of County Commissioners appeal: Approved: Meeting bate:_ trove C: Not Approved: Not Approved: 05i24/2A11 13:48 3052897781 OFFICE DEPOT PAGE 11111 MONROE COUNTY, FLORIDA Request For Waiver of Insurance Requirements It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be waived or modified on the following contract. fir, Contractor:TL Contract for: � Y Il '�"` C��b,I sJ CS " Address of Contractor: Phone: Scope of Work: Reason for Waiver: Policies Waiver will apply to: Signature of Contractor: L-�y 0 —(aLV-1-c—t�6 n,. l -7 -.-fo a n� LO-61Nl C&- Risk Management 'Ll' Date County Administrator appeal: Approved: Date: Board of County Commissioners appeal: Approved: _ Meeting Date; _ r v Vera-Cep- Not Approved: Not Approved: _ F-1 15, / 0 9 /2'0 11 10: 51 H152-37761 OFFICE DEPOT PAGE 06/08 i y": 4,Xj & X`4 . ...... 1, w t k 2010 2011 MONROE COUNTY BUSINESS TAX RECEIPT 13ER 20 inj i r.ArJLKCO Sr-r IM-111-1 RECEIPT# 47161-105987 Business Name: SAFE HARBOR ANIMAL RESCUE OF THE KEYS Thirnppapa-rr-n ousinets Location: 10550 AVIATION BLVD Owner Name; SHEILA COOK MARATHON, FL 33050 Mailing Address' 10550 AVIATION BLVD Business Phone: 305-743-4800 lu Busine MARATHON; FL 33050 Business Type: MISCELLANEOUS SERVICE (ANIMAL SHELVE Rooms Seats Ernplovee!5 Mi6thlhes Stalls Ft� r Vending. Business, Only Number of Maihines: Vending Ty0e, �Tax Amount Transfer Fee Sub -Total Penalty Prior Yeats toiiecti 0100 10.00 10,00 0,00 0,601 Paid 203-10-00000543 04/2'8/2011 10.00 THIS RECEIPT MUST BE POSTED C0NSpj(;U0USLY.rN YOUR PLACE Or BUSINESS THIS BECOMES A TAX RECEIPT Danise D. Henrli4uez, CFC, Tax Collector TH15 IS ONLY A TAX, 33041 you MUST MEET ALL po Box 1129, Key West, FL WHEN VALIDATED COUNTY AND/OR MUNICIPALITY PLANNING AND ZONING REQUIREMENTS x 11 405/09/'�GJ11 19:51 38528977b1 OFFICE DEPOT P96 AR/A8 AN41 vETE off; May 4, 2011 Re; Safe Harbor Animal Rescue of the Florida Keys operational license To Whom It May Concern: This letter is to state that the Safe Harbor Animal Rescue of the Florida Keys (SHARK) will be temporarily operating under the pharmacy license of the Marathon Veterinary Hospital Inc.. SHARK has already applied for its own license. Sincerely, Geraldine Diethelm, Dr, vet. med. Chief of Staff of Marathon Veterinary Hospital. 11187 Overseas Highway, Marathon, FL 33050 / Ph (305) 743-7099, Fax 005? 7434057 -----Original Message ----- From: Pierce -Dent Sent: Saturday, May 28, 20111:46 PM To: Leto -Beth Subject: Re: Re: Beth good news that you are feeling better. I talked to Ms. Grimes and she gave a verbal ok to use the truck if SHARK follow the protocols for hauling animals and it's our truck that was used by SUFA. Let me know if you need me to help. The best news is that you feel better. Sent from my Whone 05/19/2011 THU 10:19 FAX 305 289 6537 CB SCHMITT MARKETING 0002/002 _ _... Florida Department of Agriculture and Consumer Services Division of Animal Industry Bureau of Animal Disease Control ADAM H. pUT� APPLICATION FOR PERMIT TO COMMISSIONER TRANSPORT ANIMAL CARCASSESIREFUSl= 585.747 5G23. Florida Administrative Gode Note: Ah documents, and attachments submitted with this request are subject to public review pursuant to Chapter 119, F.S. F7odda Stawt®s Remit fee of $200,00 by check or money order made payable to FDACS and mall to: Florida Department Of Agriculture and Consumer$sn/oes Post Office Box 8740 Taltahasse®, Florida 323i4-6�i0 So — To—d�i�� Name rJoo r ,Address `D �� YJA State City Se Zip Code�''� Phone os " -714 a- (� County 111m�� Do you engage in the business of (receive payment or derive monetary or economic benefit from transporting or hauling any dead, dying or diseased animal; any product of an nimal that has died other than by slaughter; or any inedible animal product not meant for huumn consumo i m' Yes C No If you answered "Yes", please complete this application an return with the application fee of $200, payable to the t+earrda s>,eparttneitt of 1!>cricultnre anal +�ans�anaier services. 11-No", please stop and return bras rorm, Vehicle Invento ivt all vehicles to be used to tre ort onimal carcasses or rse- Um a se ate sheet 'necessary) Year Make Model VIN # Ucense Tw. Y State of R ' tration rr— ho accordance with section 595.147, Florida $*notes, application permit to trz'i rt sul atsin animals or animal products (cartasses/rditse) within the State of Flo1n'" `�►' — °' (I) All vehicles used is the transportation of eareasses.or _`�,rO �gltways shall be of coo ctsonc�w prevent seepage or residue Prow escaping; .al, M (2) All barrels or other containers used for tram of carcasses or refuse sh# Ottale& ma� "INEDIBLE" with letters not tens than 2 (3) I agree to comply with tht rccluiurcmv `` >, Florida Statutes, and all rules of lip cps eaeat 'fed pursuant thereto. _ t� The ir►d'ormation i� obovp ' ` ,cEto -the best of my knowledge. , Signature of Owner W a or Agent J Title,,,'--�{��'�-��1�� Please Prime Name �::. Date' Witness my hand Ind *Mewl seal, this � Y day of )VOTANX MBIIC RMCA Nolan ts*k Halal of am 1q "T A. AWx, 8i COlttmiWort i tE iti27 Distribution: Original (Office) Copy (Dlsasa) RE7i1RNALL, COPMS 14 W FEE DACS-09056 Rev. 01111 10/T0 39Vd Aais aNI-IaWINti AIG Org.Code:42090201000 EO: A2 Obje& Code.- 002059 Fee: $200.00 2;3G.rt; R,� C.73/20ii 9b000TPO98 LT:60 TTOZ/6T/50 a M 05/19/2011 THU 10:18 FAX 305 289 6537 CB SCHMITT MARKETING 0001/002 Safe Harbor Animal Rescue of the Keys S.H.A.R.K. p,Vk,n '. �-� In,/D e11� o._v,�ts� � G��u•�n'��s c�'lr� C�--Imes ,fir-arn`l�he.. Co SIB --tY 10550 Aviation Blvd., Marathon, FL 33050 0 (305)743-4800 0 Fax (305)743-4818 I_15/409/'2-011 10: 51 3052897761 OFFICE DEPOT P -(E 07/08 fl mADBpARTNmrrrOF STATE OF FLORIDA EJEAL l DEPARTMENT OF HEALTH Operating Permit For: Biomedical Waste - Other issued To: Safe Harbor Animal Rescue of the Keys Inc. 10550 Aviation Blvd Marathon, FL 33050 Mailed To: Katie Bentley 10550 Aviation Blvd Marathon, FL 33050 Audit Control: Permit Number: County: Issue pate: Amount Paid: Date Paid: Permit Expires On, ®C/ '"_ d. 7 issued By: Marathon Environmental Health Office 3333 Overseas Hwy Marathon, FL 33050 ORIGINAL - CUSTOMER (Non -Transferable) DISPLAY CER11FICATE IN A CONSPICUOUS PLACE FMA DTP TNkN7O STATE OF FLORIDATAL11 DEPARTMENT OF HEALTH operating Permit For: Biomedical Waste - Other issued To: safe Harbor Animal Rescue of the Keys Inc, 10550 Aviation Blvd Marathon, FL 33050 Mailed To: Katie Bentley 10550 Aviation Blvd Marathon, FL 33050 Audit Control: 44-BID-1540817 Permit Number: 444 49.t6, ,r County: r Df rA; Issue Date: nF„ i Amount paid: Onto Paid: Permit Expires On: ' w Issued By: Marathon Environmental Health Office 3333 Overseas Hwy Marathon, Ft. 33050 OM