Item C25BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: Jan 19, 2011
Bulk Item: Yes X No
Division: County Administrator
Department: Engineering Services
Staff Contact Person/Phone #: Judith Clarke 295-4329
AGENDA ITEM WORDING:
Approval to execute a Contract with Grader Mike, LLC, for the Boca Chica Road Restoration project
located in Boca Chica Key.
ITEM BACKGROUND:
On April 29, 2010, Monroe County received 5 bids for this project. Grader Mike, LLC, was the lowest
bidder with a bid price of $255,830. Due to Department of Environmental Protection (DEP)
permitting delays, execution of the contract was delayed until January 2011.
The project is eligible for reimbursement through the Federal Emergency Management (FEMA) as a
result of damages incurred from Hurricane Wilma.
PREVIOUS RELEVANT BOCC ACTION: BOCC approved authorizing MBI K2M to proceed
with the design of the "partial restoration" alternative to Boca Chica Road in June 2007. BOCC
approved advertising for construction bids at the March 2010 meeting.
CONTRACT/AGREEMENT CHANGES: N/A
STAFF RECOMMENDATIONS: Approval of the Contract as mentioned above.
TOTAL COST: $255,830 INDIRECT COST: BUDGETED: Yes No
DIFFERENTIAL OF LOCAL PREFERENCE: N/A
COST TO COUNTY: -0- SOURCE OF FUNDS: FEMA
REVENUE PRODUCING: Yes No X AMOUNT PER MONTH Year
APPROVED BY: County Atty X OMB/Purchasing X Risk Management X
DOCUMENTATION:
DISPOSITION:
Revised 7/09
Included X Not Required
AGENDA ITEM #
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: Grader Mike LLC. Contract #
Effective Date: January 19, 2011
Expiration Date: -March 19, 2011
Contract Purpose/Description:
A portion of Boca Chica Road on Boca Chica Key was damaged during Hurricane
Wilma. The Boca Chica Road Restoration project will be funded by the Federal
Emergency Management Agency (FEMA). The construcion cost for this project is
$255,830.
Contract Manager: Clark Briggs 4306 Engineering /# I
(Name) (Ext.) (Department/Stop #)
for BOCC meeting on Jan 19, 2011 Agenda Deadline: Jan 4, 2011
CONTR-ACT COSTS
Total Dollar Value of Contract: $ 255,830
Budgeted? YesF] No F Account Codes:
Grant- $ 2551830
County Match: $
Estimated Ongoing Costs-, $0/yr
(Not included in dollar value above}
Current Year Portion: 255,830
ADDITIONAL COSTS
For:
(eg. maintenance, LltilitiCSI Janitorial, salaries, etc.)
CONTRACT REVIET
Changes
Da -e In Needed
I
Division Director YesF NoM----
Risk Management V!51 1` YesL_] NoU
P.JI�-
O.M.B./Furehasing Yes[:]N.�
----------
County Attorney YesL] NoFXI
Comments:
Date Out
4 Boca Ciea Road Restoration
Section 00500
Standard Form of Agreement
Between Owner and Contractor
Where the basis ofpayment is a STIPULATED SUM
AGREEMENT
Made as of the 19th day of January in the year of Two Thousand and Eleven.
BETWEEN the Owner: Monroe County Board of County Commissioners " BOCC"
I 100 Simonton Street
Key West, Florida 33040 ownee'
Arad the Contractor: Grader Mike LLC
2 Bay Drive
Key West, FL 33040 ("Contractor"')
For the following Project: Boca Chica Road Restoration
Boca CIa Key
Monroe County, Florida ("Project")
Oversight forOwner: Monroe County Engineering Department
I 100 Simonton Street
Second Floor — Room 2--216
Key West, Florida 33040
Drawings and Specification
Provided by:
nnbi k2in Ric .ard J. Milelli, hie.
1001 Whitehead Street, Unit 101
Key West, Florida 33040
The Owner and Contractor agree as set forth below.
2IM010 STA DA DF RI ofAGoVVNAI D C NTF ACIFoR oo oo-1
M
Boca Chica Road Restoration
ARTICLE I
The Contract Documents
The Contract Documents consist of this Agreement, Conditions of the Contract(General,
Supplementary and other Conditions), Drawings, Specifications, Insurance Requirements and
Documents, Milestone Schedule, Bid Documents and Contractor's lid, Addenda issued prior to
execution of this Agreement, other documents listed in this Agreement and Modifications issued
after execution of this Agreement. These form the Contract,, and are as fully a part of the
Contract as if attached to this Agreement or repeated herein. The Contract represents the entire
and integrated agreement between the parties hereto and supersedes prior- negotiations,
representations or agreements, either written or oral.
ARTICLE
The Work of this Contract
The Contractor shall execute the entire Work described in the Contract Documents, except to the
extent specifically indicated in the Contract Docuinents to be the responsibility ofothers, or a
o llo vas :
Scope ofWorl is as specified in the Project Manual for this project, Section 00300 and shown on
the construction drawings. The contract constitutes the entire and exclusive agreement between
the Owner and the Contractor with reference to the Boca ChicChica Road Restoration Project.
ATTY ,
Date of Commencement and Substantial Completion
3.1. The date of commencement is the date from which the Contract Time of Paragraph 3.2 is
measured, and shall be the date of this Agreement, as fu-st written above, unless a different date
is stated below or provision is made for the date to be fixed in a notice to proceed issued by the
Owner as stated in Section 00350, milestone schedule. Unless the date of commencement i
established by a notice to proceed issued by the Owner, the Contractor shall notify the Owner, in
writing not less than five days before conn-nencing the Work.
The date of commencement shall be the date sp cif ed in the Notice to Proceed issued to the
Contractor.
3.2 The Contractor shall achieve Substantial Completion of the entire Work not later than
Sixty Days after; the Date of Commencement, subject to adjustments of the Contract Time as
provided by the Contract Document.
--------
=010 STANDARD FORM OF AGREBENT BETWEEN OWNERAND CONTRACTOR 00--
Boca CXca Road Restoration
LIQUIDATED DAMAGES
Liquidated damages will be based on the Substantial Completion rate for all work, modified by
all approved extension time as set i-th by the owner's signature of approval on the
Certificate of Substantial Completion. The liquidate damage's tale below shall be utilized. to
determffie the amount of liquidated damages.
FIRST
SECOND
31 ' rAY
CONTRACT AMOUNT
15 DAYS
15 DAYS
THEREAFTER
Under 50,000. 0
50.00/DAY
$1 o. oo/DAY
2 o. o/DAY
4 50)00o• 4J L � r
1 .00/DAY
.r Vi 4J Vr Y
0F 4J Y
1 . -4 , r
2s AY
. 0/D Y
+, r AY
$500,000.0 and Up
50 . 0 AY
1,000.00 AY
3�500.00/DAY
The Contractor's reeo ei of damages and sole remedy for any delay caused by the Owner shall
be an extension of time on the Contract.
Balance of Page late do aRy Left Blank
2Q2M10 STANDARD FORMFOWNER AND CONTRACTOR 00500- 3
Boca ChIca Road Restoration
ARTICLE
Contract Sum
4.1 The owner shall pay the Contractor in current funds for the Contractor's performance of
the Contract, for Boca Chi c Road Restoration Project the Contract Sum o f TWO
HUNDRED FIFTY FIVE THOUSAND EIGHT HUNDRED AND THIRTY DOLLARS,
($255,830.00), subject to additions and deductions as provided in the Contract Documents,
4.2 The Contract Sung is based upon the following alternates, if any, which are described in
the Contract Documents and are hereby accepted by the owner. None
4.3 Unit prices, if any, are as follows: As specified in Section 00110.
ARTICLE
Progress Payments
.1 Based upon Applications for Payment submitted by the Contractor to the Owner, and
upon Project Applications and Certificates for Payment, the owner shall male progress
payments on account of the Contract Sum to the contractor as provided below and elsewhere
the Contract Documents.
.2 The period covered by each Application for payment shall be one calendar month ending
on the last day of the month.
5.3 County shall pay pursuant to the Local Government Prompt Payment Act 218.70.
.4 Each .Application for Payment shall be based upon the Schedule of Values submitted by
the Contractor in accordance with the Contract Documents. The Schedule of Values shall
allocate the entire Contract Sung among the various portions of the Work and be prepared in such
form and supported by such data to substantiate its accuracy as the owner may require. This
schedule, unless objected to by the owner, shall be used as a basis for reviewing the Contractor's
Applications for Payment.
5.5 Applications for Payment shall indicate the percentage of completion of each portion of
the Work as of the end of the period covered by the Application for Payment.
5.6 Subject to the provisions of the Contract Documents, the ainount of each progress
payment shall be computed as follows:
5.6.1 Fake that portion of the Contract Suin properly allocable to completed Work as
detenuined by multiplying the percentage completion of each portion of the Work by the share
f the total Contract Sum allocated to that portion of the Work in the Schedule of Values, less
retainage of Ten percent 10 . Pending final determination of cost to the owner of changes in
the Work, , amounts not in dispute may be included in applications for Payment. The amount of
credit to be allowed by the Contractor to the owner for a deletion or change which results in a
not decrease in the Contract Sum shall be actual net cost as confirmed by the owner. When both
additions and credits covering related Work or substitutions are involved in a change the
Boca Chita Road Restoration
allowance for overhead and profit shall be figured on the basis of net mncrese, if any, with
respect to that change.
5. .2 Add that portion of the Contract Sung properly alto cable to materials and equipment
delivered and suitably stored at the site for subsequent incorpor ation. In the completed
construction or, if approved in advance by the owner, suitably stored off the site at a location
agreed upon in writ ing , less retain ge of Ten percent 10%):
5.6.3 Subtract the aggregate of previous payments made by the owner; and
5.6.4 Subtract amounts, if any, for which the owner has withheld or nullified a Certificate for
Payment as provided in paragraph 9.5 of the General conditions.
5.7 The progress pa inert ainount letern ned in accordance with Paragraph 5.6 shall be
further modified under the following circumstances:
5. 7.1 Add, upon Substantial Completion of the Work, a sung sufficient to increase the total
payments to Ninety percent 0% of the Contract Sum, less such amounts as the owner
recommends and detennines for incomplete Work and unsettled claims; and
5.7.2 Add, if final completion of the Work is thereafter materially delayed though no fault of
the Contractor, any additional amounts payable In accordance with Subparagraph 9.10.3 of the
General Conditions.
5.8 Reduction or limitation ofreta.inage, if any, shall he as follows: Done
ARTICLE
Final Payment
Final payment, constituting the entire unpaid balance of the Contract Suin, shall be made by the
Owner to the Contractor* when 1 the Contract has been fully performed by the Contractor;
except for the Contractor's responsibility to correct nonconform g Work as provided in
Subparagraph 12.2.2 of the General Conditions and to satisfy other requirements, if any, which
necessarily survive final payment: and 2 a final Project Certificate for Payment has been issued
by the Project Manager: such final payment shall be made by the owner not more than 20 days
after the issuance of the final Project Certificate for Payment.
ARTICLE 7
Miscellaneous Provisions
7.1 Where reference is made in this Agreement to a provision of the General Conditions or
another Contract Document, the reference refers to that provision as amended or supplemented
y other provisions of the Contract Documents.
7.2 Payments clue and unpaid under the Contract shall bear interest pursuant to the Local
Government Prompt Payment Act 218.735
=010 S'ANDAM FORM OF AGREEMENT BETWEEN OWNER AND CONTRACIFOR o 500- 5
Boca Chica Road Restoration
7.3 Temporary facilities and services:
None.
7.4 Monroe Counter's performance and obligation to pad' under this contract is contingent
upon are annual appropriation by the Board of County Commissioners.
7.5 Public Entities Crimes By signing this Agreement, Contractor represents that the
execution of this Agreement will not violate the Public Entities Crime Act Section 287.133,
Florida Statutes). Violation of this section shall result termination of this Agreement and
recovery of all monies paid hereto, and may result in debarment from Counter's compeffi e
pro curement activities.
In addition to the foregoing, Contractor farther represents that there has been no
determination, based on an audit, that it or any subcontractor has conunitted an act de rued by
Section 287.133, Florida Statutes, as a "public entity crime" and that it has not been formally
charged with committing an act defined as a "public entity crime" regardless of the amount o
money involved or whether Contractor; has been placed on the convicted vendor list.
Contractor will promptly notify the County if it or any subcontractor 1s formally charged
with an act defined as a "public entity crime" or has been placed on the convicted vendor; list. A
person or affiliate who has been placed on the convicted vendor list following a conviction for
public entity crime may not submit a bid on a contract to provide any goods or services to
public entity, may not submit a bid on a contract with a public entity for the 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 perfonn work as 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 flueshold amount provided in Section 287.017, for CATEGORY TWO for
a period of 36 months from the date of being placed on the convicted vendor list.
7.6 The following items are part of this contract:
a Maintenance of Records: Contractor shall maintain all boobs, 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
authoriLzed representatives, or the Federal Emergency Management Agency or its designee, shall
have reasonable and timely r access to such records of each other party to this Agreement for
public records purposes during the to ar of the Agreement and for four gears following the
termffiation of this Agreement. If an auditor employed by the County or Clerk determines that
monies paid to Contractor pursuant to this Agreement were spent for purposes not autbon* ed by
this Agreement, the Contractor shall repair the monies together with interest calculated pursuant
to Sec. .03; FS, running from the date the monies were paid to Contractor.
b Governing Law, Venue, Interpretation, Costs, and Fees: This Agreement shall
be governed by and construed in accordance with the laws of the State of Florida applicable to
contracts made and to be performed entirely in the State.
In the event that any cause of action or admen* istrati e px o ceeding is instituted for;
the enforcement or interpretation of this Agreement, the Counter and Contractor agree that venue
=010 STANDARD FORM OF AGREEMENT BErWEEN OWNERAND C NTR. TOR 00500-
Boca Chica Road Restoration
shall lie in the appropriate court or before the appropriate adi=* Istrative body in Monroe
County, Florida. This Agreement shall not be subject to arbitration.
c Severa ility: If any term, covenant, condition or provision of this
Agreement (or the application. thereofto any circumstance or person) all be declared M*valid or
unenforceable to any extent by a court of competent jurisdiction, the remaining terns, covenants,
conditions and provisions of this Agreement, shall not be affected thereby; and each remaining
term, covenant, condition and provision of this Agreement shall be valid and shall be enforceable
to the fullest extent permitted by law unless the enforcement of the reinaffi ng tea rs, covenants,
conditions and provisions of this Agreement would prevent the accomplislunent. of the original
intent of this Agreement. The County and Contractor agree to reform the Agreement to replace
any stricken provision with a valid provision that cores as close as possible to the intent of the
stricken provision.
d A. orn y's Fees and Costs: The County and Contractor agree that in the event
any cause of action or administrative proceeding is initiated or defended by any party relative to
the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to
reasonable attorney's fees and court costs, as an award against the non -prevailing ply, and shall
include attorneys fees and courts costs in appellate proceedings. Mediation proceedings
initiated and conducted pursuant to this Agreement shall be in accordance with the Florida Rules
of Civil Procedure cedure and usual and customary procedures required by the circuit court of Monroe
County.
e Binding Effect; The terns, covenants, conditions, and provisions of this
Agreement shall bind and inure to the benefit of the County and Contractor and their respective
legal representatives, successors, and assigns.
Authority: Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all necessary County
and corporate action, as required by law.
g Claims for Federal or State Aid: Contractor and County agree that each shall
be, and is, empowered to apply for, seep, and obtain federal and state funds to farther the
purpose of thisAgreement; provided that all applications, requests, grant proposals, and funding
solicitations shall be approved by each party prior to submission.
h Nondiscrimination: 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 ply, effective the date ofthe court
order. County or; Contractor agree to comply with all Federal and Florida statutes, and all local
ordinances, as applicable, relating to nondiscrimffiation. These include but are not limited to: 1
Title VI of the Civil Rights Act of 19 pL - 2 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 1 -1 , which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation Act of 197, as amended 20 USC s. 79, which prohibits
discrimination on the basis of handicaps; The .Age I iscrimffiation Act of 1975, as amended
(42 USC ss. 101- 10 which prohibits discrimination on the basis of age; The Drug Abuse
Office and Treatment Act of 1972 L 2--2 , as amended, relatirrg to nondiscrimination on the
basis of drug abuse; The Comprehensive Alcohol Abuse and Alcoholism Prevention,
ROMA Nm a : V
Boca Chica Road Restoration
Treatment and Rehabilitation Act of 197 91- 16 , 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 29 ee- , as amended, relating to
confidentiality of alcohol and drug abuse patent records; 8 Title VIII of the Civil Rights Act of
1968 2 USC s. et sect.), as amended, relating to nondiscrimination in the sale, rental or
fmaneing of housing; 9 The Americans with Disabilities Act of 199 2 USC s. 1201 Note), as
maymayb e amended from tine to time,, relating to nondis rina7nati n on the basis of disability; 10)
Monroe County Code Chapter 13, Article Vl, which prohibits discrimination on the basis of race,
color, sex, religion, national origin, ancestry, sexual orientation, gender identity or expression,
familial status or age; 1 I Any other nondiscr immnati n provisions in any Federal or state
statutes which may apply ' to the panes to, or the subject natter of, this Agreement.
Covenant of No Interest: County and Contractor covenant that neither presently
has any interest, and shall not acquire any interest, which would conflict in any manner or degree
with its performance under this Agreement, and that only interest of each is to perform and
receive benefits as recited xn this Agreement.
j Code of Ethics; County agrees that officers and employees of the County
recognize and will be required to comply with the standards of conduct for public officers and
employees as delineated xn Section 112.313, Florida Statutes, regarding, but not limited to,
solicitation or acceptance of gifts; doing business with one's agency; unauthorized
compensation; misuse ofpublic position, conflicting employment or contractual relationship; and
disclosure or use of certain information.
k) No Sold a ion a ment: The County and Contractor waiTant that, in respect to
itself, it has neither employed nor retained any company or person, other than a bona fide
employee working solely for it, to solicit or secure this Agreement and that it has not paid or -
agreed to pay any person, company, corporation, individual, or firm, other than a bona fide
employee working solely for it, any fee, commission, percentage, gin, or other consideration
contingent upon or resulting from the award or making of this Agreement. For the breach or
violation of the provision, the Contractor agrees that the County shall have the right to terminate
this Agreement without liability and, at its discretion., to offset from monies owed, or otherwise
recover, the fall amount of such fee, commission, percentage, gift, or consideration.
l Public Access: The County and Contractor shall alloy and permit reasonable
access to, and inspection of, all documents, papers,, letters or other materials in its possession or
under its control subject to the provisions o f Chapter 119, Florida Statutes, and made or- received
by the County and Contractor in conjunction with this Agreement; and the County shall have the
right to unilaterally cancel this Agreement upon violation of this provision by Contractor.
in Non -Waiver of Immunity*. Notwithstanding the provisions of Sec. 768.28,
Florida Statutes, the participation of the County and the Contractor in this Agreement and the
acquisition of any col rercial liability insurance coverage, self-insurance coverage, or local
government liability insurance pool coverage shall not be deemed a waiver of immunity to the
extent of liability coverage, nor shall any contract entered into by the County be required to
contain any provision for waiver.
n) Privileges and Immunities: All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules, pensions and relief, disability, workers'
compensation, and other benefits which apply to the activity of officers, agents, or employees of
2 0Io STANDARD FORM SAND C NTRACr00-
Boca Chica Roach Restoration
any public agents or employees oft e County, when performing their respective functions under
this Agreement within the territorial limits of the County shall apply to the sane degree and
extent to the performance of such functions and duties of such officers, agents, volunteers, or
employees outside the territorial limits of the County.
o Legal Obligations and Responsibilities: Non -Delegation of Constitutional or
Statutory Duties, This Agreement is not intended to, nor* shall It be construed as, relieving any
partieipatmg entity from any obligation or responsibility imposed upon the entity by law except
to the extent of actual and timely performance thereof by any participating entity, in which case
the performance may be offered in satisfaction of the obligation or responsibility. Further, this
Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the Florida
constitution, state statute, and case law.
p Non -Reliance by Non -Parties: ies: 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 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 this Agreement.
q) Attestations: Contractor agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free Workplace place Statement.
r No Personal Liability: No covenant or agreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent or employee of Monroe
County shall be liable personally on this Agreement or be subject to any personal liability or;
accountability by reason of the execution of this Agreement.
S) Execution in Counterparts: This Agreement may be executed in any number of
counterparts, each of which shall be regarded as an original, all of which taken together shall
constitute one and the same in trument and any of the parties hereto may execute this Agreement
by signing any such co unt erp art.
t Section Headings; Section headings have been inserted in this Agreement as a
utter of convenience of reference only, and it is agreed that such section headings are not a part
of this Agreement and will not be used in the interpretation of any provision of this Agreement.
u Special Conditions, if any are detailed in Section 0 1000 ofthe Project Manual
for this Project.
v) Hold Harmless: The Contractor} covenants and agrees to indemnify and hold
harmless Monroe County Board ofCounty Commissioners from any and all claims for bodily
injury (including death), personal injury, and property damage (including property owned by
Monroe County) and 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
=010 STANDARD FORM OF AGREEMENT BETWEEN OPERAND COFACTOR 000 -
Boca Chica Road Restoration
Subcontractor(s) Mn any tier-, occasioned by the negligence, errors, or other wrongful act or
omission of the Contractor or its Subcontractor(s) in any tier, their employees, or agents.
In the event the completion of the project (including 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 Counter from any and all increased expenses resulting from such
delay.
The first tern dollars $10. oo of remuneration paid to the Contractor is for the indemnification
provided for above.
The extent of liability is xn no way limited to, reduced, or lessened by the insurance requirements
contained elsewhere within this agreement.
w) Adjudication of Disputes or Disagreements: The owner and Contractor agree
that all disputes and disagreement shall be attempted to be resolved by meet and confer sessions
between representatives of each of the parties. Ifno resolution can be agreed upon within 30
days after the first meet and confer session, the issue or issues shall be discussed at public
meeting of the Board of County Corrnnissioners. If the issue or issues are still not resolved to the
satisfaction of the parties, then any party shall have the aright to seen such relief or remedy as
may be provided by this Agreement or by Florida law. This provision does not negate or waive
the provisions of Paragraph X concerning cancellation.
x) Cancellation: In the event that the Contractor shall be found to be negligent in
any aspect of installation, stocking, maintenance, repair, or service, the County shall have the
right to terminate this agreement after five days 'written notification to the Contractor.
y) Cooperation; In the event any administrative or legal proceeding is instituted
against either; party relating to the formation, execution, performance, or breach of this
Agreement, County and Contractor agree to participate, to the extent required by the other party,
m all proceedings, hearings, processes, meetings, and other activities related to the substance o
this Agreement or provision of the services under this Agreement. Counter and Contractor
specifically agree that no party to this Agreement shall he required ed to enter into any arbitration
proceedings related to this Agreement.
7.7 Ownership of the projectDocuments: The documents prepared by the Contractor for this
Project belong to the Counter and may be reproduced and copied without acl iowledgement or
permission of the Contractor.
7.8 Successors and Assigns: 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 for Monroe County, which approval shall be subject to such conditions
and provisions as the Board may deem necessary. This paragraph shall be incorporated b
reference into any assignment or subcontract and any assignee or subcontractor shall comply
with all of the provisions of this Agreement. Subject to the provisions of the immediately
edia.tely
preceding sentence, each party hereto binds itself, its successors, assigns and legal
representatives to the other and to the successors, assigns and legal representatives of such other
party.
Boca ChicRoad Restoration
7.9 No third Party Beneficiaries: Nothing contained herein shall create any relationship,
contractual or otherwise, with or any rights in favor of, any third party.
7.10 Davis -Bacon Act -In accordance with the Davis -Bacon Act, the CONTRACTOR or their
subcontractors shall pay workers employed directly upon. the site of the work no less than the locally
prevailing wages and fi-M'ge benefits paid on projects of a similar character. The current prevailing
wage rates can be found at.- www.access.gpo.g.ov/davisbacon/fl.html under Monroe County.
7.11 Americans with Disabilities Act of 1990 (A ) -The CONTRACTOR will comply with all
the requirements as imposed by the ADA, the regulations of the Federal government issued
thereunder, and the assurance by the CONTRACTOR pursuant thereto.
7.12 Disadvantaged Business Enterprise (DBE) Policy and Obligation - It is the policy of the
COUNTY that DBE's, as defnied ill 49 C.F.R. Part 261, as amended) shall have the opportunity to
participate in the performance of contracts financed H'i whole or in part with COUNTY funds under
this Agreement. The DBE requirements of applicable federal and state laws and regulations apply to
this Agreement. The COUNTY and its CONTRACTOR agree to ensure that DBE's have the
opportunity to participate H'_1 the performance of this Agreement. In this regard, all recipients and
contractors shall take all necessary and reasonable steps in accordance with applicable federal and
state laws and regulations to ensure that the DBE's have the opportunity to compete for and perform
contracts. The COUNTY and the CONTRACTOR and subcontractors shall not discriminate on the
basis of race, color, national orighi or sex in the award and perfon-nance of contracts, entered pursuant
to this Agreement.
7.13 Convict Labor - The convict labor prohibition in 23 U.S.C. 114 applies to Federal Aid projects.
Convict labor cannot be used in Federal Aid construction projects.
7.14 FHWA Form 1273 is attached hereto as Attachrnent A and made a part of this Agreement.
7.15 The requirements of 23 CFI Part 635.410 Buy America Requirements are attached hereto as
Attachment B and made a part of this Agreement.
7.16 Contractor will adhere to provisions of Executive Order 11246 entitled "Equal Employment
Opp o ft unity" as amended by Executive order 113 75 and as supplemented ill D ep art ment of Labor
regulations.
7.17 Contractor will comply with the Copeland "Anti -Kickback" Act (118 USC 874) as
supplemented by the Department of Labor regulations.
7.18 Contractor will comply with Sections 103 and 10,7 of the Contract Work Hours and Safety
Standards Act as supplemented by the Department of Labor regulations.
7.19 Contractor will adhere with provisions of the Clean Air Act, Clean Water Act, Executive Order
1173 8 and applicable regulations of the Environmental Protection Agency.
7.20 Contractor will adhere to the provision of Executive Order 12549 entitled "Debarment and
Suspension".
=010 STANDARD FORM OF AGREEME\TT BErWEEN OWNER AND COW ACT 00500-11
Boca Chica Road Restoration
Termination or Suspension
.1 The Contract may r be termm' aced by the Owner or the Contractor as provided in Article 1
of the General Conditions.
8.2 The Work may be suspended by the Owner as provided in Article 14 of the General
Conditions.
rtielp
Enumeration of Contract Documents
9.1 The Contract Documents, except for Modifications issued after execution of this
Agreement, are enumerated as follows: See Article I
.1.1 The Agreement is this executed Standard Form ofAgreement between. Owner and
Contractor.
9.1.2 The General Conditions are the General Conditions of the Contract for Construction.
9.1.3 The Supplementary and other Conditions of the Contract are those contained in the
Project Manual dated . March 2 010., and are as follows:
As listed in Table of Contents,, Section 00001 ofthe project Manual for this project.
9.1.4 The Specifications are those contained in the project Manual dated as in Subparagraph
.1. 3, and are as follows:
As listed in Table of Contents, Section 00001 of the Project Maa-ival for this project.
9.1.5 The Drawings are as follows, and are elated on each individual drawing unless a different
elate is shown below:
As listed in. Table of Contents, Section 00001 of the Project Manual for this project.
Contract Drawings.
9.1. 6 The Addenda, if any, are as follows: Addenda # 1 issued April 12, 2 010
Addenda #2 issued April 13, 2010
Addenda #3 issued April 21, 201
Portions of Addenda relating to bidding requirements are not part of the Contract Documents
unless the bidding requirements are also enumerated in this Article 9.
9.1.7 Other documents, if any, forming part of the contract Documents are as follows:
Monroe County Bid Form in Section 00110.
See Adele I.
=010 STANDARD FORM OFA N AND CONTRACTOR 00500-
Boca Chica Road Restoration
IN WITNESS WHEREOF the parties hereto have executed this Agreement on the day and date
first written above M' four (4) counterparts, each of which shall, without proof or accounting for
the other counterparts, be deemed an original contract.
(SEAL)
Attest: DANNY L. KOLHAGE, Clerk
am
Deputy Clerk
Date
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
a
(SEAL)
Attest:
By:
By:
Title-
Title:
ANN M. R
MER
Nowy ftft - $W* of raw
MY COMWMW Exphu JW 2is 2moi
C DD 787762
Bonded N*"NotKyl
Mayor
CONTRACTOR
END OF SECTION 00500
llol'oONROE COUNTY AT01
A P P� 1:10 V U77 D A S "IF 0 F 0 R to:
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P p d-1 F1 18141 A I Ki 6 E R, T- V, A R R G 'N S
I ri I nyn E 1�"i.
ASSISTANT COUNT' ATTORNTI-Y
Date
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R01 M,11111
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1' 3 a
ATTACHMENT A
Required Contract Provisions Federal -Aid Construction Contracts
FHWA-1273 Electronic Version —March 14, 1994
1. General
IT. Nondiscrimination
II. Nonsegregated Facilities
IV. Payment of Predetermined Minimum Wage
V. Statements and Payrolls
VT. record of Materials, Supplies, and Labor
V11. Subletting or Assigning the Contract
VI1 . Safety; Accident Prevention
IX False Statements concerning Highway Projects
X. Implementation of clean Air Act and Federal Water Pollution Control Act
XI. Certification Regarding Debarment, Suspension Ineligibility, and Voluntary Exclusion
X. Certification Regarding Use of Contract Funds for Lobbying
Attachments
1
2
6
7
1
1
14
15
1
17
21
A. Employment Preference for Appalachian Contracts (included in Appalachian contracts only) 2
1. GENERAL
1. These contract provisions shall apply to all work performed on the contract by the
contractor's own organization and with the assistance of workers under the contractor's
immediate superintendence and to all work performed on the contract by piecework, station
work, or by subcontract.
. Except as otherwise provided for in each section, the contractor shall insert in each
subcontract all of the stipulations contained in these Required Contract Provisions, and
further require their inclusion in any lower tier subcontract or purchase order that may in turn
be made. The Required Contract Provisions shall not be incorporated by reference in any
case. The prime contractor shall be responsible for compliance by any subcontractor or
lower tier subcontractor with these Required Contract Provisions.
. A breach of any of the stipulations contained in these Required Contract Provisions shall be
sufficient grounds for termination of the contract.
4. A breach of the following clauses of the Required Contract Provisions may also be grounds
for debarment as provided in 29 CFR 5.12:
Section l# paragraph ;
Section IV, paragraphs 1 � 21 3, 4, and ;
Section V, paragraphs I and 2a through 2g.
I
. Disputes arising out of the labor standards provisions of Section IV (except paragraph 6 and
Section V of these required Contract Provisions shall not be subject to the general disputes
clause of this contract. Such disputes shall be resolved in accordance with the procedures of
the U.S. Department of Labor DOL as set forth in 29 CFR 59 6, and 7. Disputes within the
meaning of this clause include disputes between the contractor or any of its subcontractors)
and the contracting agency, the DOL, or the contractor's employees or their representatives.
6. Selection of Labor: During the performance of this contract, the contractor shall not:
a. discriminate against labor from any other State, possession, or territory of the United
States (except for employment preference for Appalachian contracts, when
applicable, as specified in Attachment A), or
b. employ convict labor for any purpose within the limits of the project unless it is labor
performed by convicts who are on parole, supervised release, or probation.
Ii. NONDISCRIMINATION
(Applicable to all Federal -aid construction contacts and to all related subcontracts of $10,000 or
more.)
1. Equal Employment Opportunity: Equal employment opportunity (EEO) requirements not
to discriminate and to take affirmative action to assure equal opportunity as set forth under
laws, executive orders, rules, regulations (28 CFR, 29 CFR 1630 and 41 CFR 60)and
orders of the Secretary of Labor as modified by the provisions prescribed herein, and
imposed pursuant to 23 U.S.C. 140 shall constitute the EEO and specific affirmative action
standards for the contractor's project activities under this contract. The Equal Opportunity
Construction Contract Speciflcatlons set forth under 41 C F R 6 0-4.3 and the provisions of the
American Disabilities Act of 1990 2 U.S.C. 12101 et , . set forth under 28 CFR 35 and
29 CFR 1630 are incorporated by reference in this contract. In the execution of this contract,
the contractor agrees to comply with the following minimum specific requirement activities of
EEO:
a. The contractor will work with the State highway agency SH and the Federal
Government in carrying out EEO obligations and in their review of his/her activities
under the contract.
b. The contractor will adept as his operating policy the following statement -
"It is the policy of this Company to assure that applicants are
employed, and that employees are treated during employment,
without regard to their race, religion, sec, color, national origin, age
or disability. Such action shall include: employment, upgrading,
demotion, or transfer; recruitment or recruitment advertising; layoff
or termination; rates of pay or other forms of compensation; and
selection for training, including apprenticeship, preapprenticeshipt
and/or on-the-job training."
2
2. E Eo officer. The contractor will designate and rake hown to the SHA Contracting officers
an EEO Officer who will have the responsibility for and must be capable of effectively
administering and promoting an active contractor program of EEO and who must be
assigned adequate authority and responsibility to do so.
. Dissemination of Policy: All members of the contractor's staff who are authorized to hire,
supervise, prornote, and discharge employees, or who recommend such action, or who are
substantially involved in such action, will be made fully cognizant of, and will implement, the
contractor's EEO policy and contractual responsibilities to provide EEO in each grade and
classification of employment. To ensure that the above agreement will be met, the following
actions will be taken as a minimum -
a. Periodic meetings of supervisory and personnel office employees will be conducted
before the start of work and then not less often than once every sic months, at which
time the contractor's EEO policy and its implementation will be reviewed and
explained. The meetings will be conducted by the EEO Officer.
b. All new supervisory or personnel office employees will be given a thorough
indoctrination by the EEO officer, covering all major aspects of the contractor's EEO
obligations within thirty days following their reporting for duty with the contractor.
C. All personnel who are engaged in direct recruitment for the project will be instructed
by the EEO Officer in the contractor's procedures for locating and hiring minority
group employees.
d. Notices and posters setting forth the contractor's EEO policy will be placed In areas
readily accessible to employees, applicants for employment and potential
employees.
e. The contractor's EEO policy and the procedures to implement such policy will be
brought to the attention of employees by means of meetings, employee handbooks,
or other appropriate means.
. Recruitment: when advertising for employees, the contractor will include in all
advertisements for employees the notation: "n Equal Opportunity Employer." All such
advertisements will be placed in publications having a large circulation among minority
groups in the area from which the project work force would normally be derived.
a. The contractor will, unless precluded by a valid bargaining agreement, conduct
systematic and direct recruitment throutgh public and private employee referral
sources likely to yield qualified minority group applicants. To meet this requirement,
the contractor will identify sources of potential minority group employees, and
establish with such identified sources procedures whereby minority group applicants
may be referred to the contractor for employment consideration.
b. In the event the contractor has a valid bargaining agreement providing for exclusive
hiring hall referrals, he is expected to observe the provisions of that agreement to
the extent that the system permits the contractor's compliance with EEO contract
provisions. (The Doi. has held that where implementation of such agreements have
the effect of discriminating against minorities or women, or obligates the contractor
to do the sane# such implementation violates Executive ord er 11246 , as amended.
C. The contractor will encourage his present employees to refer minority group
applicants for employment. Information and procedures with regard to referring
minority group applicants will be discussed with employees.
. Personnel Actions: Wages, es, working conditions, and employee benefits shall be established
and administered, and personnel actions of every type, including hiring, upgrading,
promotion, transfer, demotion, layoff, and termination, shall be taken without regard to race,
color, religion, sex, national origin, age or disability. The following procedures shall be
followed:
a. The contractor will conduct periodic inspections of project sites to insure that
working conditions and employee facilities do not indicate discriminatory treatment
of project site personnel.
b. The contractor will periodically evaluate the spread of wages paid within each
classification to determine any evidence of discriminatory wage practices.
C. The contractor will periodically review selected personnel actions in depth to
determine whether there is evidence of discrimination. Where evidence is found, the
contractor will promptly take corrective action. If the review indicates that the
discrimination may extend beyond the actions reviewed, such corrective action shall
include all affected persons.
d. The contractor will promptly investigate all complaints of alleged discrimination made
to the contractor in connection with his obligations under this contract, All atternpt to
resolve such complaints, and will take appropriate corrective action within a
reasonable time. If the investigation indicates that the discrimination may affect
persons other than the complainant, such corrective action shall include such other
persons. Upon completion of each investigation, the contractor will inform every
complainant of all of his avenues of appeal.
. Training and promotion:
a. The contractor will assist in locating, qualifying, and increasing the shills of minority
group and women employees, and applicants for employment.
b. Consistent with the contractor's work force requirements and as permissible under
Federal and Mate regulations, the contractor shall make furl use of training
programs, i.e., apprenticeship, and on-the-job training programs for the geographical
area of contract performance. Where feasible, 25 percent of apprentices or trainees
in each occupation shall be in their first year of apprenticeship or training. In the
event a special provis!on for training is provided under this contract, this
subparagraph will be superseded as indicated in the special provision.
C. The contractor will advise employees and applicants for employment of available
training programs and entrance requirements for each.
4
d. The contractor will periodically review the training and promotion potential of minority
group and women employees and will encourage eligible employees to apply for
such gaining and promotion.
. Unions: If the contractor relies in whole or in part upon unions as a source of employees,
the contractor will use his/her best efforts to obtain the cooperation of such unions to
increase opportunities for minority groups and women within the unions, and to effect
referrals by such unions of minority and female employees. Actions by the contractor either
d irectly or through a contractor's association acting as agent will include the procedures set
forth below:
a. The contractor will use best efforts to develop, in cooperation with the unions, joint
training programs aimed toward qualifying more minority group members and
women for membership in the unions and increasing the shills of minority group
employees and women so that they may qualify for higher paging employment.
b. The contractor will use best efforts to incorporate an EEO clause into each union
agreement to the end that such union will be contractually bound to refer applicants
without regard to their race, color, religion, sex, national origin, age or disability.
C. The contractor is to obtain information as to the referral practices and policies of the
labor union e cept that to the extent such information is within the exclusive
possession of the labor union and such labor union refuses to furnish such
information to the contractor, the contractor shall so certify to the SHA and shall set
forth what efforts have been made to obtain such information.
d. In the event the union is unable to provide the contractor with a reasonable flow of
minority and women referrals within the time limit set forth in the collective
bargaining agreement, the contractor will, through independent recruitment efforts,
fill the employment vacancies without regard to race, color, religion, sex, national
origin, age or disability; mating full efforts to obtain qualified and/or qualiflable
minority group persons and women. (The DL has held that it shall be no excuse
that the union with which the contractor has a collective bargaining agreement
providing for exclusive referral failed to refer minority employees.) In the event the
union referral practice prevents the contractor from meeting the obligations pursuant
to Executive Order 11246, as amended, and these special provisions, such
contractor shall immediately notify the SHA.
. Selection of Subcontractors, Procurement of Materials and Leasing of Equipment: The
contractor shall not discriminate on the grounds of race, colon religion, sex, national origin,
age or disability in the selection and retention of subcontractors, including procurement of
materials and leases of equipment.
a. The contractor shall notify all potential subcontractors and suppliers of his/her EEO
obligations under this contract.
b. Disadvantaged business enterprises (DBE), as defined in 49 CFR 23, shall have
equal opportunity to compete for and perform subcontracts which the contractor
enters into pursuant to this contract. The contractor will use his best efforts to solicit
bids from and to utilize DBE subcontractors or subcontractors with meaningful
minority group and female representation among their employees. Contractors shall
obtain lists of DBE construction firms from SHA personnel.
C. The contractor will use his best efforts to ensure subcontractor compliance with their
EEO obligations.
. Records and Reports: The contractor shall keep such records as necessary to document
compliance with the EEO requirements. Such records shall be retained for a period of three
wars following completion of the contract work and shall be available at reasonable times
and places for inspection by authorized representatives of the SHA and the FH1A.
a. The records kept by the contractor shall document the following-
1 - The number of minority and non -,minority group members and women
employed in each work classification on the project;
. The progress and efforts being made in cooperation with unions, when
applicable, to increase employment opportunities for ,minorities and ,omen;
. The progress and efforts being made in locating, hiring, training, qualifying,
and upgrading minority and female employees; and
. The progress and efforts being made in securing the services of DBE
subcontractors or subcontractors with ,meaningful minority and ferule
representation among their employees.
b. The contractors gill submit an annual report to the SHA each July for the duration of
the project, indicating the number of ,minority, women, and non -minority group
employees currently engaged in each work classification required by the contract
work. This information is to be reported on Form FHWA-1391. If on-the-job training
is being required by special provision, the contractor will be required to collect and
report training data.
Ili. NONSEGREGATED FACILITIES
(Applicable to all Federal -aid construction contracts and to all related subcontracts of $10,000 or
,Wore.
a. By submission of this bid, the a ecution of this contract or subcontract, or the consuimmation
of this ,material supply agreement or purchase order, as appropriate, the bidder, Federal -aid
construction contractor, subcontractor, material supplier, or vendor, as appropriate, certifies
that the ,'Iran does not ,maintain or provide for its employees any segregated facilities at any
of its establishments, and that the firm does not permit its employees to perform, their
services at any location, under Its control, where segregated facilities are maintained. The
firm agrees that a breach of this certification is a violation of the EEO provisions of this
contract. The firm further certifies that no employee will be denied access to adequate
facilities on the basis of sec or disability.
b. As used in this certification, the term "segregated facilities" ,Weans any waiting rooms, work
areas, restroorns and washrooms, restaurants and other eating areas, timeclo ks, locker
rooms, and other storage or dressing areas, parking lots, drinking fountains, recreation or
entertainment areas, transportation, and housing facilities provided for employees which are
segregated by explicit directive, or are, in fact, segregated on the basis of race, color,
R
religion, national origin, age or disability, because of habit, local custom, or otherwise. The
only exception will be for the disabled when the demands for accessibility override e.g.
disabled parking).
c. The contractor agrees that it has obtained or will obtain identical certification from proposed
subcontractors or material suppliers prior to award of subcontracts or consummation of
material supper agreements of $10 t oo or more and that it will retain such certifications in its
fifes,
I. PAYMENT of PREDETERMINED MINIMUM WAGE
(Applicable to all Federal -aid construction contracts exceeding $2,000 and to all related
subcontracts, except for projects located on roadways classified as local roads or rural minor
collectors, which are exempt.)
1. General:
a. All mechanics and laborers employed or working upon the site of the word
will be paid unconditionally and not less often than once a week and without
subsequent deduction or rebate on any account [except such payroll
deductions as are permitted by regulations CF issued by the
Secretary of Labor under the Copeland Act o U.S.C. c ] the full
amounts of wages and bona fide fringe benefits or cash equivalents
thereof} due at time of payment. The payment shall be computed at wage
rates not less than those contained in the wage determination of the
Secretary of Labor hereinafter "the wage determination" which is attached
hereto and made a part hereof, regardless of any contractual relationship
which may be alleged to exist between the contractor or its subcontractors
and such laborers and mechanics. The wage determination (including any
additional classifications and wage rates conformed under paragraph 2 of
this Section Ill and the DOL poster WH -1 21 or Form 1= ILI A-14 shall
be posted at all tires by the contractor and its subcontractors at the site of
the work in a prominent and accessible place where it can be easily seen by
the workers. For the purpose of this Section, contributions made or costs
reasonably anticipated for bona fide fringe benefits under Section I l of
the Davis -bacon Act o J.S.C. a on behalf of laborers or mechanics
are considered wages paid to such laborers or mechanics, subject to the
provisions of Section IV, paragraph 3b, hereof. Also, for the purpose of this
Section, regular contributions made or costs incurred for more than a weekly
period (but not less often than quarterly) under plans, funds, or programs,
which ever the particular weedy period, are deemed to be constructively
made or incurred during such weedy period. Such laborers and mechanics
shall be paid the appropriate wage rate and fringe benefits on the wage
determination for the classification of work actually performed, without
regard to skill, except as provided in paragraphs 4 and 5 of this Section Ill.
b. Laborers or mechanics performing work in more than one classification may
be compensated at the rate specified for each classification for the time
actually worked therein, provided, that the employer's payroll record
accurately set forth the time spent in each classification in which work is
performed.
c. All rulings and interpretations of the Davis -Bacon Act and related acts
contained in 29 CFR 1, 3, and 5 are herein incorporated by reference in this
contract.
2. Classification:
a. The SHA contracting officer shall require that any class of laborers or mechanics
employed under the contract, which is not listed in the wage determination, shall be
classified in conformance with the wage determination.
b. The contracting officer shall approve an additional classification, wage rate and
fringe benefits only when the following criteria have been met:
. the work to be performed by the additional classification requested is not
performed by a classification in the wage determination;
2. the additional classification is utilized in the area by the construction
industry;
. the proposed wage rate, including any bona tide fringe benefits, bears a
reasonable relationship to the wage rates contained in the wage
determination; and
. with respect to helpers, when such a classification prevails in the area in
which the work is performed.
c. if the contractor or subcontractors, as appropriate, the laborers and mechanics if
known) to be employed in the additional classification or their representatives, and
the contracting officer agree on the classification and wage rate including the
amount designated for fringe benefits where appropriate, a report of the action
taken shall be sent by the contracting officer to the DI..., Administrator of the
Wage and -four Division, Employment Standards Administration, Washington,
D.C. 20210. The Wage and Hour Administrator, or an authorized representative,
will approve, modify, or disapprove every additional classification action within 30
days of receipt and so advise the contracting officer or will notify the contracting
officer within the 0-day period that additional time is necessary.
d. In the event the contractor or subcontractors, as appropriate, the laborers or
mechanics to be employed in the additional classification or their representatives,
and the contracting officer do not agree on the proposed classification and wage
rate (including the amount designated for fringe benefits, where appropriate), the
contracting officer shall refer the questions, including the views of all interested
parties and the recommendation of the contracting officer, to the wage and Dour
Administrator for determination. Said Administrator, or an authorized
representative, will issue a determination within 30 days of receipt and so advise
the contracting officer or will notify the contracting officer within the 0-day period
that additional time is necessary.
. The wage rate (including fringe benefits where appropriate) determined pursuant
to paragraph c or 2d of this Section IV shall be paid to all workers performing
work in the additional classification from the first day on which work is performed
in the classification.
. Payment of Fringe Benefits:
a, Whenever the minimum wage rate prescribed in the contract for a class of laborers
or ,mechanics includes a fringe benefit which is not expressed as an hourly rate, the
contractor or subcontractors, as appropriate, shall either pay the benefit as stated in
the wage determination or shall pay another bona fide fringe benefit or an hourly
case equivalent thereof.
b. If the contractor or subcontractor, as appropriate, does not make payments to a
trustee or other third person, he/she may consider as a part of the wages of any
laborer or mechanic the amount of any costs reasonable anticipated in providing
bona fide fringe benefits under a plan or program, provided, that the Secretary of
Labor has found, upon the written request of the contractor, that the applicable
standards of the Davis -Bacon Act have been met. The Secretary of Labor may
require the contractor to set aside in a separate account assets for the meeting of
obligations under the plan or program.
. Apprentices and Trainees (Programs of the J.S. DOL) and Helpers:
a. Apprentices:
1 . Apprentices will be permitted to work at less than the predetermined rate for the
work they performed when they are employed pursuant to and individually
registered in a bona fide apprenticeship program registered with the COL,
Employment and Training Administration, Bureau of Apprenticeship and
Training, or with a State apprenticeship agency recognized by the Bureau, or if a
person is employed in his/her first 90 days of probationary employment as an
apprentice in such an apprenticeship program, who is not individually registered
in the program, but who has been certified by the Bureau of Apprenticeship and
Training or a State apprenticeship agency (where appropriate) to be eligible for
probationary employment as an apprentice.
. The allowable ratio of apprentices to journeyman -level employees on the job site
in any craft classification shall not be greater than the ratio permitted to the
contractor as to the entire work force under the registered program. Any
employee listed on a payroll at an apprentice gage rate, who is not registered or
otherwise employed as stated above, shall be paid not less than the applicable
gage rate listed in the wage determination for the classification of work actually
performed. In addition, any apprentice performing work on the job site in excess
of the ratio permitted under the registered program shall be paid not less than
the applicable wage rate on the wage determination for the work actually
performed. Where a contractor or subcontractor is performing construction on a
project in a locality other than that in which its program is registered, the ratios
and wage rates (expressed in percentages of the journeyman -level hourly rate)
9
specified in the contractor's or subcontractor's registered program shall be
observed.
. Every apprentice must be paid at not less than the rate specified in the
registered program for the apprentice's level of progress, expressed as a
percentage of the journeyman -level hourly rate specified in the applicable wage
determination. Apprentices shall be paid fringe benefits in accordance with the
provisions of the apprenticeship program. If the apprenticeship program does
not specify fringe benefits, apprentices must be paid the full amount of fringe
benefits listed on the wage determination for the applicable classification. If the
Administrator for the Wage and Hour Division determines that a different
practice prevails for the applicable apprentice classification, fringes shall be paid
in accordance with that determination.
. In the agent the Bureau of Apprenticeship and Training, or a State
apprenticeship agency recognized by the Bureau, withdraws approval of an
apprenticeship program, the contractor or subcontractor will no longer be
permitted to utilize apprentices at less than the applicable predetermined rate for
the comparable work performed by regular employees until an acceptable
program is approved.
b. Trainees:
I . Except as provided in 29 CFR 5.16, trainees will not be permitted to work at less
than the predetermined rate for the work performed unless they are employed
pursuant to and individually registered in a program which has received prior
approval, evidenced by formal certification by the D i✓, Employment and Training
Administration.
. The ratio of trainees to journeyman --level employees on the job site shall not be
greater than permitted under the plan approved by the Employment and Training
Administration. Any employee listed on the payroll at a trainee rate who is not
registered and participating in a training plan approved by the Employment and
Training Administration shall be paid not less than the applicable wage rate on the
wage determination for the classification of work actually performed. In addition, any
trainee performing work on the job site in excess of the ratio permitted under the
registered program shall be paid not less than the applicable wage rate on the gage
determination for the work actually performed.
. Every trainee must be paid at not less than the rate specified in the approved
program for his/her level of progress, expressed as a percentage of the journeyman -
level hourly rate specified in the applicable wage determination. Trainees shall be
paid fringe benefits in accordance with the provisions of the trainee program. If the
trainee program does not mention fringe benefits, trainees shall be paid the full
amount of fringe benefits listed on the wage determination unless the Administrator
of the Wage and Hour Division determines that there is an apprenticeship program
associated with the corresponding journeyman -level wage rate on the wage
determination which provides for less than full fringe benefits for apprentices, in
which case such trainees shall receive the same fringe benefits as apprentices.
. In the event the ErnpIoyment and Training Ad rn inistration withdraws approvaI of a
training program, the contractor or subcontractor will no longer be permitted to utilize
trainees at less than the applicable predetermined rate for the work performed until
an acceptable program is approved.
c. Helpers:
Helpers will be permitted to work on a project if the helper
classification is specified and defined on the applicable wage
determination or is approved pursuant to the conformance
procedure set forth in Section Iv.2. Any worker listed on a payroll at
a helper wage rate, who is not a helper under a approved definition,
shall be paid not less than the applicable wage rate on the wage
determination for the classification of work actually performed.
. Apprentices and Trainees (Programs of the U.S. DOT):
Apprentices and trainees working under apprenticeship and skill training programs which
have been certified by the Secretary of Transportation as promoting EEO In connection with
Federal -aid highway construction programs are not subject to the requirements of paragraph
of this Section IV. The straight time hourly gage rates for apprentices and trainees under
such programs will be established by the particular programs. The ratio of apprentices and
trainees to journeymen shall not be greater than permitted by the terms of the particular
program.
. Withholding:
The SHA shall upon its own action or upon written request of an authorized representative
of the D L withhold, or cause to be withheld, from the contractor or subcontractor under this
contract or any other Federal contract with the same prime contractor, or any other
Federally --assisted contract subject to Davis -Bacon prevailing wage requirements which is
held by the same prime contractor, as much of the accrued payments or advances as may
be considered necessary to pay laborers and mechanics, including apprentices, trainees,
and helpers, employed by the contractor or any subcontractor the full amount of wages
required by the contract. In the event of failure to pay any laborer or mechanic, including any
apprentice, trainee, or helper, employed or working on the site of the work, all or part of the
wages required by the contract, the SHA contracting officer may, after written notice to the
contractor, take such action as may be necessary to cause the suspension of any further
payment, advance, or guarantee of funds until such violations have ceased.
. Overtime Requirements:
No contractor or subcontractor contracting for any part of the contract work which may
require or involve the employment of laborers, mechanics, watchmen, or guards (including
apprentices, trainees, and helpers described in paragraphs 4 and 5 above) shall rewire or
permit any laborer, mechanic, watchman, or guard in any workweek in which he/she is
employed on such work, to work in excess of 40 hours in such workweek unless such
laborer, mechanic, watchman, or guard receives compensation at a rate not less than one -
and -one-half times his/her basic rate of pay for all hours worked in excess of 40 hours in
such workweek.
I
. violation:
Liability for Unpaid Wages; Liquidated Damages: In the event of any violation of the
clause set forth in paragraph 7 above, the contractor and any subcontractor responsible
thereof shall be liable to the affected employee for his/her unpaid wages. In addition, such
contractor and subcontractor shall be liable to the United States in the case of work done
under contract for the District of Columbia or a territory, to such District or to such territory)
for liquidated damages. Such Iiquidated damages shall be computed with respect to each
individual laborer, mechanic, watchman, or guard employed in violation of the clause set
forth in paragraph 7, in the sum of $10 for each calendar day on which such employee was
required or permitted to work in excess of the standard work week of 40 hours without
payment of the overtime wages required by the clause sat forth in paragraph 7.
g. Withholding for Unpaid Wages and Liquidated Damages:
The SHA shall upon its own action or upon written request of any authorized
representative of the DL withhold, or cause to be withheld, from any monies payable on
account of work performed by the contractor or subcontractor under any such contract or
any other Federal contract with the same prime contractor, or any other Federally -assisted
contract subject to the Contract Work flours and Safety Standards Act, which is held by the
same prune contractor, such sums as may be determined to be necessary to satisfy any
liabilities of such contractor or subcontractor for unpaid wages and liquidated damages as
provided in the clause set forth in paragraph 8 above.
V. STATEMENTS AND PAYROLLS
(Applicable to all Federal -aid construction contracts exceeding $2,000 and to all related
subcontracts, except for projects located on roadways classified as local roads or rural collectors,
which are exempt.)
1. Compliance with Copeland Regulations (29 CFR
The contractor shall comply with the Copeland regulations of the Secretary
of Labor which are herein incorporated by reference.
. Payrolls and Payroll Records:
a. Payrolls and basic records relating thereto shall be maintained by the contractor and
each subcontractor during the course of the work and preserved for a period of
years from the date of completion of the contract for all laborers, mechanics,
apprentices, trainees, watchmen, helpers, and guards working at the site of the
work.
b. The payroll records shall contain the name, social security number, and address of
each such employee; his or her correct classification; hourly rates of wages paid
(including rates of contributions or costs anticipated for bona fide fringe benefits or
cash equivalent thereof the types described in Section 1 bE of the Davis Bacon
Act); daily and weekly number of hours corked; deductions made; and actual wages
paid. In addition, for Appalachian contracts, the payroll records shall contain a
notation indicating whether the employee does, or does not, normally reside in the
12
labor area as defined in Attachment A, paragraph 1. Whenever the Secretary of
Labor, pursuant to Section Ill, paragraph 3b, has found that the wages of any
laborer or mechanic include the amount of any costs reasonably anticipated in
providing benefits under a plan or program described in Section b1 of the
Davis Bacon Act, the contractor and each subcontractor shall maintain records
which show that the commitment to provide such benefits is enforceable, that the
plan or program is financially responsible, that the plan or program has been
communicated in writing to the laborers or mechanics affected, and show the cost
anticipated or the actual cost incurred in providing benefits. Contractors or
subcontractors employing apprentices or trainees under approved programs shall
maintain written evidence of the registration of apprentices and trainees, and ratios
and wage rates prescribed in the applicable programs.
c. Each contractor and subcontractor shall furnish, each week in which any contract
work is performed, to the SHA resident engineer a payroll of gages paid each of its
employees (including apprentices, trainees, and helpers, described in Section IV,
paragraphs 4 and 5, and watchmen and guards engaged on work during the
preceding weekly payroll period). The payroll submitted shall set out accurately and
completely all of the information required to be maintained under paragraph 2b of
this Section 1 . This information may be submitted in any form desired. Optional
Form WH-347 is available for this purpose and may be purchased from the
Superintendent of Documents (Federal stock number 029-00 -001 --1)_ U.S.
Government Printing Office, Washington, D.C. 20402. The prime contractor is
responsible for the submission of copies of payrolls by all subcontractors.
d. Each payroll submitted shall be accompanied by a "Statement of Compliance,"
signed by the contractor or subcontractor or his/her agent who pegs or supervises
the payment of the persons employed under the contract and shall certify the
following:
1, that the payroll for the payroll period contains the information required to be
maintained under paragraph 2b of this Section V and that such information is
correct and complete;
. that such laborer or mechanic (including each helper, apprentice, and trainee)
employed on the contract during the payroll period has been paid the full weekly
gages earned, without rebate, either directly or indirectly, and that no
deductions have been made either directly or indirectly from the full wages
earned, other than permissible deductions as set forth in the Regulations, 29
CFR ;
. that each laborer or mechanic has been paid not less that the applicable wage
rate and fringe benefits or cash equivalent for the classification of worked
performed, as specified in the applicable wage determination incorporated into
the contract.
e. The weekly submission of a properly executed certification set forth on the reverse
side of Optional Form WH-347 shall satisfy the requirement for submission of the
"Statement of Compliance" required by paragraph 2d of this Section 1 .
13
The falsification of any of the above certifications may subject the contractor to civil
or criminal prosecution under 18 U.S.C. 1001 and 31 U.S.C. 231.
g. The contractor or subcontractor shall rake the records required under paragraph 2b
of this Section V available for inspection, copying, or transcription by authorized
representatives of the SHA, the FHWA, or the D L, and shall permit such
representatives to inter ie r employees during working hours on the job. If the
contractor or subcontractor fails to submit the required records or to make them
available, the SHA, the FH1lA, the DL, or all may, after written notice to the
contractor, sponsor, applicant, or owner, take such actions as may be necessary to
cause the suspension of any further payment, advance, or guarantee of funds.
Furthermore, failure to submit the required records upon request or to make such
`;cords available may be grounds for debarment action pursuant to 29 CFR 5.12.
r. RECORD of MATERIALS, SUPPLIES, AND LABOR
1 On all Federal -aid contracts on the National Highway System, except those which provide
solely for the Installation of protective devices at railroad grade crossings, those which are
constructed on a force account or direct labor basis, highway beautification contracts} and
contracts for which the total final construction cost for roadway and bridge is less than
1,099#00 3 CFR 635)the contractor shall:
a. Become familiar with the list of specific materials and supplies contained in Form
FH1I' A-4 , "Statement of Materials and Labor Used by Contractor of Highway
Construction Involving Federal Funds,` prior to the commencement of work under
this contract.
b. Maintain a record of the total cost of all materials and supplies purchased for and
incorporated in the work, and also of the quantities of those specific materials and
supplies listed on Form FHI AR4 , and in the units shown on Form FH 1lA-4 .
c. furnish, upon the completion of the contract, to the SHA resident engineer on Form
FHWA-47 together with the data required in paragraph 1 b relative to materials and
supplies, a final labor summary of all contract work indicating the total hours worked
and the total amount earned.
. At the prime contractor's option, either a single report covering all contract work or separate
reports for the contractor and for each subcontract shall be submitted.
Vri. SUBLETTING OR ASSIGNING THE CONTRACT
The contractor shall perform with its own organization contract work amounting to not less
than 30 percent or a greater percentage if specified elsewhere in the contract) of the total
original contract price, excluding any specialty items designated by the State. Specialty
items may be performed by subcontract and the amount of any such specialty items
performed may be deducted from the total original contract price before computing the
amount of work required to be performed by the contractor's own organization 3 CFI .
14
a. "Its own organization" shall be construed to include only workers employed
and paid directly by the prime contractor and equipment owned or rented b
the prune contractor, with or without operators. Such term does not include
employees or equipment of a subcontractor, assignee, or agent of the prune
contractor.
b. "Specialty Items" shall be construed to be limited to work that requires highly
specialized knowledge, abilities, or equipment not ordinarily available in the
type of contracting organizations qualified and expected to bird on the
contract as a whole and in general are to be limited to minor components of
the overall contract.
. The contract amount upon which the requirements set forth in paragraph 'I of Section V I I is
computed includes the cost of material and manufactured products which are to be
purchased or produced by the contractor under the contract provisions,
. The contractor shall furnish a a competent superintendent or supervisor who is employed
by the firm, has fuII authority to d 1rect performance of the work in accordance with the
contract requirements, and is in charge of all construction operations (regardless of who
performs the work) and b such ether of its own organizational resources (supervision,
management, and engineering services) as the SHA contracting officer determines is
necessary to assure the performance of the contract.
. No portion of the contract shall be sublet, assigned or otherwise disposed of except with the
written consent of the SHA contracting officer, or authorized representative, and such
consent when given shall not be construed to relieve the contractor of any responsibility for
the fulfillment of the contract. Written consent will be given only after the SHA has assured
that each subcontract is evidenced in writing and that it contains all pertinent provisions and
requirements of the prime contract.
III. SAFETY: ACCIDENT PREVENTION
1. In the performance of this contract the contractor shall comply with all applicable Federal,
State, and local laws governing safety, health, and sanitation CF1 . The contractor
shall provide all safeguards, safety devices and protective equipment and take any other
needed actions as it determines, or as the SHA contracting officer may determine, to b
reasonably necessary to protect the life and health of employees on the job and the safety of
the public and to protect property in connection with the performance of the work covered by
the contract.
. It is a condition of this contract, and shall be made a condition of each subcontract, which
the contractor enters into pursuant to this contract, that the contractor and any subcontractor
shall not permit any employee, in performance of the contract, to work in surroundings or
under conditions which are unsanitary, hazardous or dangerous to his1her health or safety,
as determined under construction safety and health standards 29 CFR 1 promulgated
by the Secretary of Labor, in accordance with Section 10of the Contract work Fours and
Safety Standards Act o U.S.C. .
. Pursuant to 29 CFR 192 . , it is a condition of this contract that the Secretary of Labor or
authorized representative thereof, shall have right of entry to any site of contract
performance to inspect or investigate the ratter of compliance with the construction safety
and health standards and to carry out the duties of the Secretary under Section 107 of the
Contract Work lours and Safety Standards Act o U.S.C. .
IX FALSE STATEMENTS CONCERNING HIGHWAY PROJECTS
In order to assure high quality and durable construction in conformity with approved plans and
specifications and a high degree of reliability on statements and representations made by engineers,
contractors, suppliers, and workers on Federal -aid highway projects, it is essential that all persons
concerned with the project perform their functions as carefully, thoroughly, and honestly as possible.
Willful falsification, distortion, or misrepresentation with respect to any facts related to the project is a
violation of Federal laver. To prevent any misunderstanding regarding the seriousness of these and
similar acts, the following notice shall be posted on each Federal -aid highway project CF
in one or more places where it is readily available to all persons concerned with the project:
NOTICE To ALL PERSONNEL ENGAGED ON FEDERAL -AID HIGHWAY
PROJECTS
18 U.S.C. 1020 reads as follows:
"Whoever, being an officer, agent, or employee of the United States, or of any State or Territory, or
whoever, whether a person, association, firm, or corporation, knowingly makes any false statement,
false representation, or false report as to the character, quality, quantity, or cost of the ma enal Used
or to be used,, or the quantity or quality of the work performed or to be performed, or the cost thereof
in connection with the submission of plans, maps, specifications, contracts, or costs of construction
on any highway or related project submitted for approval to the Secre taryof Transpor a ion or
Whoever 1(nowingly makes any false statement, false representation, false report or false claim with
respect to the character, quality, quantity,, or cost of any work performed or to be performed, or
materials furnished or to be f mfished, in connection with the construction of any highway or related
project approved by the Secretary of Transportation; ion or
Whoever knowingly makes any false statement or false representation as to material fact in any
statement, certificate,, or report submitted pursuant to provisions of the Federal -aid loads Act
approved July I., 1 1 $ Sfat. , as amended and supplemented,
Shall be fined not more that $10, 000 or imprisoned not more than 5 years or both. It
X. IMPLEMENTATION OF CLEAN AIR ACT AND FEDERAL WATER POLLUTION CONTROL ACT
(Applicable to all Federal -aid construction contracts and to all related subcontracts of $100,000 or
more.
By submission of this bid or the execution of this contract, or subcontract, as appropriate, the bidder,
Federal -aid construction contractor, or subcontractor, as appropriate, will be deemed to have
stipulated as follows:
That any facility that is or will be utilized in the performance of this contract, unless such
contract is a empt under the Clean Air Act, as arnended 42 U.S.C. 18 5 7 et s.. -a as
amended by Pub.L. 91-604 , and under the Federal Water Pollution Control Act, as
amended U.S.C. 1251 et sea.. as amended by Pub.L. -, Executive Order 11738,
and regulations in implementation thereof (40 CFR 1 is not listed, on the date of contract
award, on the J.S. Environmental Protection Agency (EPA) List of Violating Facilities
pursuant to 40 CFR 15.20.
2. That the firm agrees to comply and remain in compliance with all the requirements of Section
114 of the Clean Air Act and Section 30of the Federal hater Pollution Control Act and all
regulations and guidelines listed thereunder.
That the firm shall prornptly notify the S HA of the receipt of any communication frorn the
Director, Office of Federal Activities, EPA, indicating that a facility that is or wiII be utilized for
the contract is under consideration to be listed on the EPA List of Violating Facilities.
4. That the firm agrees to include or cause to be included the requirements of paragraph 1
through 4 of this Section X in every nonexempt subcontract, and further agrees to tape such
action as the government may direct as a means of enforcing such requirements.
X1. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY
EXCLUSION
1, Instructions for Certiffication - Primary Covered Transactions:
(Applicable to all Federal -aid contracts - 49 CFR 2
a, By signing and submitting this proposal, the prospective primary participant is
providing the certification set out below.
. The inability of a person to provide the certification set out below will not necessarily
result in denial of participation in this covered transaction. The prospective
participant shall submit an explanation of why it cannot provide the certification set
out below. The certification or explanation will be considered in connection with the
department or agency's determination whether to eater into this transaction.
However, failure of the prospective primary participant to furnish a certification or an
explanation shall disqualify such a person from participation in this transaction.
17
C. The certification in this clause is a material representation of fact upon which
reliance was placed when the department or agency determined to enter into this
transaction. If it is later determined that the prospective primary participant
knowingly rendered an erroneous certification, in addition to other remedies
available to the Federal Government, the department or agency may terminate this
transaction for cause of default.
d. The prospective primary participant shall provide immediate written notice to the
department or agency to whom this proposal is submitted if any time the prospective
primary participant learns that its certification was erroneous when submitted or has
become erroneous by reason of changed circumstances.
e. The terms "covered transaction," "debarred," "suspended," "ineligible, "louver tier
covered transaction," "participant," "person," "primary covered transaction,"
11principal," "proposal," and "voluntarily excluded," as used in this clause, have the
meanings set out in the Definitions and Coverage sections of rules implementing
Executive order 19. You may contact the department or agency to which this
proposal is submitted for assistance in obtaining a copy of those regulations.
The prospective primary participant agrees by submitting this proposal that, should
the proposed covered transaction be entered into, it shall not knowingly eater into
any tower tier covered transaction with a person who is debarred, suspended,
declared ineligible, or voluntarily excluded from participation in this covered
transaction, unless authorized by the department or agency entering into this
transaction.
g. The prospective primary participant further agrees by submitting this proposal that it
will include the clause titled "Certification Regarding Debarment, Suspension,
Ineligibility and Voluntary Exclusion -Lower Tier Covered Transactions" provided by
the department or agency entering into this covered transaction, without
modification, in all lower tier covered transactions and in all solicitations for lower tier
covered transactions.
h. A participant in a covered transaction may rely upon a certification of a prospective
participant in a louver tier covered transaction that is not debarred, suspended,
Ineligible, or voluntarily excluded from the covered transaction, unless it knows that
the certification is erroneous. A participant may decide the method and frequency by
which it determines the eligibility of its principals. Each participant may, but is not
required to, check the nonprocurernent portion of the "Lists of Parties Excluded
From Federal Procurement or Nonprocurement Programs„ Nonprocurement List)
which is compiled by the General Services Administration.
Nothing contained in the foregoing shall be construed to require establishment of a
system of records in order to render in good faith the certification required by this
clause. The knowledge rledge and information of participant is not required to exceed that
which is normally possessed by a prudent person in the ordinary course of business
dealings.
Except for transactions authorized under paragraph f of these instructions, if a
participant in a covered transaction knowingly enters into a lower tier covered
transaction with a person who is suspended, debarred, ineligible, or voluntarily
excluded from participation in this transaction, in addition to other remedies available
to the Federal Government, the department or agency may terminate this
transaction for cause or default.
Certification Regarding Debarment, Suspension, Ineligibility and voluntary Exclusion-
-Primary Covered Transactions
1. The prospective primary participant certifies to the best of its knowledge and belief, that
it and its principals:
a. Are not presently debarred, suspended, proposed for debarment, declared ineligible,
or voluntarily excluded from covered transactions by any Federal department or
agency,
b. Have not within a -year period preceding this proposal been convicted of or had a
civil judgement rendered against there for commission of fraud or a criminal offense
in connection with obtaining, attempting to obtain, or performing a public (Federal,
State or local) transaction or contract under a public transaction; violation of Federal
or State antitrust statutes or commission of embezzlement, theft, forgery, bribery,
falsification or destruction of records, making false statements, or receiving stolen
property;
c. Are not presently indicted for or otherwise criminally or civilly charged by a
governmental entity (Federal, Mate or local) with commission of any of the offenses
enumerated in paragraph 1b of this certification; and
d. Have not within a -year period preceding this application/proposal had one or more
public transactions (Federal, Mate or local) terminated for cause or default.
. Where the prospective primary participant is unable to certify to any of the statements in
this certification, such prospective participant shall attach are explanation to this
proposal.
. Instructions for Certification - Lower Tier Covered Transactions:
(Applicable to all subcontracts, purchase orders and other lower tier transactions of $25,000
or more - 49 CFF g
a. By signing and submitting this proposal, the prospective lower tier is providing the
certification set out below.
19
b. The certification in this clause is a material representation of fact upon which
reliance was placed when this transaction was entered into. If it is later determined
that the prospective lower tier participant knowingly rendered an erroneous
certification, in addition to other remedies available to the Federal Government, the
department, or agency with which this transaction originated may pursue available
remedies, including suspension and/or debarment.
c. The prospective lower tier participant shall provide irnrnediate written notice to the
person to which this proposal is submitted if at any time the prospective lower tier
participant learns that its certification was erroneous by reason of changed
circumstances.
d. The terns "covered transaction," "debarred,„ (,suspended," "ineligible," "primary
covered transaction,11 11participant,11 11person," "principal," "proposal," and "voluntarily
excluded," as used in this clause, have the meanings set out in the Definitions and
Coverage sections of rules implementing Executive Order 12549. You may contact
the person to which this proposal is submitted for assistance In obtaining a copy of
these regulations.
e. The prospective Iowe r tier participant agrees by submitting this proposal that, should
the proposed covered transaction be entered into, it shall not Knowingly eater into
any tower tier covered transaction with a person who is debarred, suspended,
declared ineligible, or voluntarily ecluded from participation in this covered
transaction, unless authorized by the department or agency with which this
transaction originated.
f. The prospective lower tier participant further agrees by submitting this proposal that
it will include this clause titled "Certification Regarding Debarment, ent, Suspension,
Ineligibility and Vol untary Exclusion -Lower Tier Covered Transaction," without
,modification, in all lower tier covered transactions and in all solicitations for lower tier
covered transactions.
g. A participant in a covered transaction may rely upon a certification of a prospective
participant in a lower tier covered transaction that is not debarred, suspended,
ineligible, or voluntarily excluded from the covered transaction, unless it knows that
the certification is erroneous. A participant may decide the method and frequency by
which it determines the eligibility of its principals. Each participant may, but is not
required to, check the lonprocurernnt List.
h. Nothing contained in the foregoing shall be construed to require establishment of a
system of records in order to render in good faith the certification required by this
clause. The knowledge and information of participant is not required to exceed that
which is normally possessed by a prudent person in the ordinary course of business
dealings.
PAZ
Except for transactions authorized under paragraph a of these instructions, if a
participant in a covered transaction knowingly enters into a lower tier covered
transaction with a person who is suspended, debarred, ineligible, or voluntarily
excluded from participation in this transaction, in addition to other remedies available
to the Federal Government, the department or agency with which this transaction
originated may pursue available remedies, including suspension and/or debarment.
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion --Lower
Tier Covered Transactions:
1. The prospective lower tier participant certifies, by submission of this proposal, that
neither it nor its principals is presently debarred, suspended, proposed for debarment,
declared ineligible, or voluntarily excluded from participation in this transaction by any
Federal department or agency.
2. Where the prospective lower tier participant is unable to certify to any of the statements
in this certification, such prospective participant shall attach an explanation to this
proposal.
XIl. CERTIFICATION REGARDING G USE of CONTRACT FUNDS FOR LOBBYING
(Applicable to all Federal -aid construction contracts and to all related subcontracts which exceed
$100,000 - 49 CFR 20
1. The prospective participant certifies, by signing and submitting this bid or proposal, to the best of
his or her knowledge and belief, that.
a. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or
employee of any Federal agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in connection with the
awarding of any Federal contract, the making of any Federal grant, the making of
any Federal loan, the entering into of any cooperative agreement, and the extension,
continuation, renewal, amendment, or modification of any Federal contract, grant,
loan, or cooperative agreement.
b. If any funds other than Federal appropriated funds have been paid or will be paid to
any person for influencing or attempting to influence an officer or employee of any
Federal agency, all ember of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with this Federal contract, grant,
loan, or cooperative agreement, the undersigned shall complete and submit
Standard Form-LL_.L.., Tisclosure Form to Deport Lobbying," in accordance with its
instructions.
21
. This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for
making or entering into this transaction imposed by 31 U.S.C. 1352. Any person who fails to
file the required certification shall be subject to a civil penalty of not less than $10,000 and not
more than $100,000 for each such failure.
. The prospective participant also agrees by submitting his or her hid or proposal that he or she
shall require that the language of this certification b e included ire all Iowe r tier subcontracts,
which exceed $100,000 and that all such recipients shall certify and disclose accordingly.
22
AMENDMENT
REQUIRED CONTRACT PROVISIONS
FEDERAL -AID CONSTRUCTION CONTRACTS
(Exclusive of Appalachian Contracts)
Section 1, General, Is supplemented with the following:
7. Section 902 of the American Recovery and Reinvestment Act (ARRA) A of 2009 requires that
each contract awarded using ARRA A funds must include a provision that provides the U.S.
Comptroller General and his representatives with the authority to:
" 1 to a amine any records of the contractor or any of its subcontractors, or any
State or local agency administering such contract, that directly pertain to, and involve
transactions relating to, the contract or subcontract; and
to interview any officer or employee of the contractor or any of its subcontractors,
or of any Mate or local government agency administering the contract, regarding
such transactions. F1
The Contractor shall include the following provision in all contracts, subcontracts, and other
contracts for services for an ARRA funded project:
itAccordingly, the Comptroller General and his representatives shall have the
authority and rights as provided under Section 902 of the ARRA with respect to this
contract, which is funded with funds made available under the AR A. Section 90
further states that nothing in this section shall be interpreted to limit or restrict in any
way any existing authority of the Comptroller General,"
;'Section 1 a of the AA provides authority for any representatives of the
Inspector General to examine any records or interview any employee or officers
working on this contract. The contractor is advised that representatives of the
Inspector general have the authority to examine any record and interview any
employee or officer of the contractor, its subcontractors or other firms working on this
contract. Section 1 1 b further provides that nothing in this section shall be
Interpreted to Bruit or restrict in any war any existing authority of an inspector
general.J,
Under Section II, Paragraph 8b is revised as follows:
The reference to 49 CFR 23 is revised to read 49 CFR 26.
Under Section [lt Paragraph 8b is supplemented with the following -
The contractor, sub -recipient or subcontractor shall not discriminate on the basis of race,
color, national origin, or sex In the performance of this contract. The contractor shall carry out
applicable requirements of 49 CFR Part 26 in the award and administration of USD T-
assisted contracts. Failure by the contractor to carry out these requirements is a material
breach of this contract, which may result in the termination of this contract or such other
remedy as the recipient deems appropriate.
Amendment to Form FHWA 1273
Devised March 26, 2009
Under Section 11, in accordance with standard specification 1--0 .1 1 and applicable RCWs a new
paragraph 8d is added as follows:
The contractor or subcontractor agrees to pay each subcontractor under this prime contract
for satisfactory performance of its contract and/or agreement no later than ten 11o days from
the receipt of each payment the prinne contractor receives from WSD OT or its sub -recipients.
The prime contractor agrees further to return retainage payments to each subcontractor
with in ton 1 o days after the subcontractor's wo rk is satisfactorily corn pleted. Any delay or
postponement of payment from the above referenced time frame may occur only for good
cause following written approval of the WSDOT. This clause covers both DBE and non -DBE
contractors.
Under Section IV, the applicability statement is supplemented with the following:
(Applicable to all ARRA A funded construction contracts and related subcontracts regardless of
location, including projects on local roads or rural minor collectors, and Transportation
Enhancement projects outside the highway right-of-way.)
ay.
Under Section III, Paragraph 2b is deleted.
Under Section IV, Paragraph 4, 'rand helpers" is deleted from the title.
Under Section IV, Paragraph a , add:
The provisions in this section allowing apprentices to work at less than the predetermined
rate when they are registered in a bona fide apprenticeship program registered with the U.S.
Department of Labor, Employment and Training Administration, or with the Bureau of
Apprenticeship and Training, does not preclude a requirement for the Contractor to pay
apprentices the full applicable predetermined rate in the event a State Apprenticeship
Agency, recognized by the Bureau, has not approved, or withdraws approval, of an
apprenticeship program.
Under Section Ill, Paragraph 4c is deleted,
Under Section IV, Paragraph 6 is revised by deleting "helpers` and "helper".
Under Section IV, Paragraph 7 is reprised by deleting "helpers".
Under Section V, the applicability statement is supplemented with the following -
(Applicable to all ARIA funded construction contracts and related subcontracts regardless of
location, including projects on local roads or rural minor collectors, and Transportation
Enhancement projects outside the highway right-of-way.)
[finder Section V, Paragraph 2a is reprised by deleting "helpers".
Amendment to Fora l* HWA 1273
Revised March 26, 2009
2
Under Section V, Paragraph 2b, the first sentence is reprised to read:
"The payroll records shall contain the name and are individually identifying number e.g., the
last four digits of the employees social security number) for each such employee, his or her
correct classification- hourly rates of enrages paid (including rates of contributions or costs
anticipated for bona fide fringe benefits or cash equivalent thereof the types described in
Section 1 b B of the Davis Bacon Act); daily and weekly nurnber of hours worked;
deductions made; and actual wages paid. Payrolls shall not include the full social security
number and borne address of covered workers. Contractors and subcontractors shall
maintain the full social security number and home address of each covered worker and shell
provide therm to the SHA upon request."
Under Section V, Paragraph d is revised by deleting "helper".
Section ill, records of Material, Supplies, And Labor, is deleted
Amendment to Form FH A 1273
Revised March 26, 2009
ATTACHMENT B
23 CFR 635A10 - Buy America requirements.
TITLE 23 - HIGHWAYS
CHAPTER I - FEDERAL HIGHWAY ADMINISTRATION: DEPARTMENT IENT F
TRANSPORTATION
TATION
SUBCHAPTER G - ENGINEERING AND TRAFFIC OPERATIONS
PART 635 - CONSTRUCTION AND MAINTENANCE
subpart d - GENERAL MATERIAL REQUIREMENTS
EMENTS
635.410 - Buy America requirements.
(a)The provisions of this section shall prevail and be given precedence over any requirement
of this subpart which are contrary to this section. However, nothing in this section shell be
construed to be contrary to the requirements of 3 .4 09 of this subpart.
(b) No Federal -arid highway construction project is to be authorized for advertisement or
otherwise authorized to proceed unless at least one of the following requirements is met: 1
The project either: i includes no permanently incorporated steel or iron materials, or ii if steel
or iron materials are to be used: all manufacturing processes, including application of
coating, for these materials must occur in the United States. Coating includes all processes
which protect or enhance the value of the material to which the coating is applied.
(2) The State has standard contract provisions that require the use of domestic materials and
products, including steel and iron materials, to the same or greater extent as the provisions set
forth in this section.
(3) The State elects to include alternate bid provisions for foreign and domestic steel and iron
materials which comply with the following requirements. Any procedure for obtaining alternate
bids based on furnishing foreign steel and iron materials which is acceptable to the Division
Administrator may be used. The contract provisions must i require all bidders to submit a bid
based on furnishing domestic steel and iron materials, and ti clearly state that the contract will
be awarded to the bidder who submits the lowest total bid barred on furnishing domestic steel
and iron materials unless such total bid exceeds the lowest total bid based on furnishing
foreign steel and iron materials by more than 25 percent.
(4) When steel and iron materials are used in a project, the requirements of this section do not
prevent a minimal use of foreign steel and iron materials, if the cost of such :materials used
does not exceed one -tenth of one percent .1 percent) of the total contract cost or $2,500,
whichever is greater. For purposes of this paragraph, the cost is that shown to be the value of
the steel and iron products as they are delivered to the project.
(c)(1) A State may request a waiver of the provisions of this section if; i The application of
those provisions wul be inconsistent with the public interest; or ii Steel and iron
materials/products are not produced in the United States in sufficient and reasonably available
quantities which are of a satisfactory quality.
(2) A request for waiver, accompanied by supporting information, rust be submitted in writing
to the Regional Federal Highway Administrator 1 FHWA through the FH A Division
Administrator. A request must be submitted sufficiently in advance of the need for the waiver in
order to allow time for proper review and action on the request. The I FHWA will have approval
authority on the request.
(3) Requests for waivers may be made for specific projects: or for certain :materials or products
In specific geographic areas, or for combinations of both, depending on the circumstances.
(4) The denial of the request by the F FHWA may be appealed by the State to the Federal
Highway Administrator (Administrator), whose action on the request shall be considered
administratively final.
(5) A request for a waiver which involves nationwide public interest or availability issues or
more than one FHV A region may be submitted by the I FHWA to the Administrator for action.
(6) A request for waiver and an appeal from a denial of a request must include facts and
justification to support the granting of the waiver.
The FH A response to a request or appeal will be in writing and :made available to the public
upon request. Any request for a nationwide waiver and FHWA's action on such a request may
be published in the Federal Register for public comment.
(7) In determining whether the waivers described in paragraph 1) of this section will be
granted, the FHWA will consider all appropriate factors including, but not limited to, cost,
administrative burden: and delay that would be imposed if the provision were not waived.
(d) Standard State and Federal -aid contract procedures may be used to assure compliance
with the requirements f this section.
[48 Fly 53104, Nov. 25, 1983, as amended at 49 FR 18821, May 3, 19 4; 58 Fly 38975, July
21, 1993] Editorial Dote: For a waiver document affecting 635.410, see 60 FR 15478, Mar. 24,
1995.
... .
JOHwSOw /msAGCY
' 89015MRSam*wn
TAVsRNIEmas3 07
�^~~~~°~' Policy number: 082121$4-5
� umenmmenk:
\� o Progressive Expmssm,Cum pany
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1 �z
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r _
Certificate of Insurance
0mmi"nim"r .~__�wn* _.~_______,,.__, �_____,,,,,,,_.
MIKE ANSON
MoNnOE C00wTYWoCC GRADE MxKE'uz 890 1yOVERSEAS xwv -
1100S)MON7OmxN2)6 2 BAY DRIVE TmanmIEn FL3ano
KEY WEST, fta3n4n KEY WEST, FLs3u4
Th is'document cerA es that insurance policies 1de ntified belGw ha ve been issued by the designated insurer to the
|nsvcdname �above for indicated. This Certificate isissued for information purposes only. bconfers no
_ dght5 upon the uurdficate holder and does not change, alter, modil�, or extend the coverages afforded by the policies
listed below. The coverages afforded by the policies listed below are subject to all the tennm exdu Ions, }imitadoos'
endm^emems, and cnndkonsofthese policies,
.-....... ........... .....-....._. . -.....'......'-..-...--..-......-..-.--..- -....'-~.-...__.".........^.....-..
wdo� ���� om�� �mo xa' z0�o pdi� �pm�wn om� Aug 2� 2011 ''
Insumn�
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Description mfVowticmNehidem/Specla0Items
Scheduled autos onl�
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9 9 9 N 0 N E T RA I L E R 4S 0 D K4 8 24'9'X,* 41,06-0,43" 40, 4 P 4 4 4 1
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1���MC MS1GDJ*ucfiXu 152e
Fire n d ���mm
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2on8 ws SUP �nU�'.no�m3n�E�`�7�
Comprehensive $1,000 Ded '
ColWon
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MAX ik�
12532
--_----_-_' '—_--~~-_-----_---_-'_----...--.----
1999
/rRxrFLD'i---------'------~----~~—~-'......... `—~--^~----^'~-'--
Comprehensive $H,0o Deg
Collision �D� nam� e��,p���TY'1'' ---r--------^^'^-----^'--^--'-^^---
compeheusive $1,000 Ded
Collision $1'000med
We will endeavor to pmvldo 30 days notice of cancellation to the ceiMcate holder, but failure to do so ohwU impose no
cbUgodun or liability of any Nnd upon the insurer, its agents or representatives.
Polity number. 08 1 i 4.s
Page 2 of 2
Certificate number
5 1 OA0 1 4
Please be advised that additional Insureds and loss payees w1U be n ffl d In the event of a l -term
cancellation,
ACORD-rm CERTIFICATE LIABILITY INSURANCE
NNUDWYYYY
ATE / / 1 )
PRODUCER
Affiliated Agency Cps
18 South River Street
THIS CERTIFICATE IS ISSUED AS A► MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ilke - arrr-e, PA 18702
Tel. 00) 87 -24 Fax: 70) 820-7968
INSURERS AFFORDING COVERAGE E
NA.IC
INSURED
Employee Leasing Solutions, Inc.
Phone; 41) f 4 -
INSURER A. EastGUARD Insurance Company
14702
INSURER B:
1401 Manatee Ave W. Suite 600
Bradenton, FL 34205�NSUREI
INSURER C:
D.
WSURER E.
rnVPPAnFq
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MANY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERMN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED ED BY PAID CLAIMS.
INSR
LTR
ADD'L
INSRIDTYPE
OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE MMfDDIYY
POLICY EXPIRATION
DATE MM1DD YY
LIMIT'S
GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
PREMfSES Ea occurence
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [:] OCCUR
MED EXP Arlo one arson
PERSONAL & AOV INJURY
GENERAL AGGREGATE
PR T -COMP/OP AGG
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO-
POLICY [:],SECT LC�C
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea accident)
ANY AUTO
BODILY INJURY
(Per person)
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per acbdent)
HIRED ALTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
I
ALTO ONLY - EA ACCIDENT
OTHER THAN EA ACC
ANY AUTO
A
'(�
AUTO ONLY: AGO
EXCESSIUMBRELLrILITY
EACH OCCURRENCE
S
AGGREGATE
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION
WORKERS COMPENSATION AND
EMPLOYERS* LIABILITY
_
WC ST ATU- OTHA
X TORY LIMITS EIS
E.L. EACH ACCIDENT
1. C0,00
A
ANY PRO P R I E TO RJPARTN E RfF-X ECUTI'VE
OFFICERMEMBER EXCLUDED?
,
,f �
f
01/2011
E.L. DISEASE - EA EMPLOYEE
S 9,000,00G
If yes, describe under
SPECIAL PROVISIONS below
E.L_ DISEASE - POLICY LIMIT
$1,000,000
OTHER
Client ID: #4102002
Valid in the State of Florida
DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL. PROVISIONS
COVERAGE APPLIES 0I4LY TO THOSE EMPLOYEES LEASED TO BUT NOT' SUBCONTRACTORS OF: EastGUARD Insurance Company
Grader Mike LLC carries ieS an A.M. Best
Qualifiers lifier Name: Travis L Livengood Rating f A- (Excellent)
and a 'financial size Financial Strength
Apr active employee court: C 7___Dw
Category of Vi Er ll A- Excellent
CERTIFICATE HOLDER.
Monroe County Board of County Commissioner
1100 Simonton Street
Key let, FI 33040
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 0 BAYS 'WRITTEN
NOTICE TO THE +CERTIFICATE. HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SCE SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES,
AUTHORIZED REPR'ESENTA
DATE (M PA M D,YYY Y)
CERTIFICATE OF LIABILITY IIIS URAN CE 1 212112C 10
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER( S), AUTHORIZED
REFRESENT ATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT. If the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
ON
PRODUCER Han
ull & Compare Inc. N CAREACT -.
600 Ca(illon Parkway, Suite 150 PHONE � F Al.
I&C. Q_�52-924T___ Na: )852-2734
rr-MAIL
St, Petersburg FL 33716 Scherryffi
AIDURIESS. _phnsonsinsure,corn
PRODUCER. 86406
C -"Ili
NAIC N
INSUREc' Grader Mike LLC rINISSUTREER A Evanston Insurance Company 35378
2 Bay Dr INSURER 13:
INSURER C
Key West FL 33040 VS-URER E) :
INSURF-A E :
INSURER F:
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMSER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE JNSLJRFD NAMED ABOVE FGR THE POLICY PERIOD
INDICATED. NOTWITHSTAND,ING ANY REQUIREMENT: TERM OR CONDMION OF ANY CONTRACT OR GTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAO CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSR
SUIRRI
WVD POLICY NUMBER
POLI��V-ffft--
(MMIDDAYW)
—POLicy r:xp
(PAMIDDlYYYYL
LWITS
OENERAL LIABILITY
EACH OCCURRENCE
1 �000'000
COM M ERC I A L E N E RA L LI G ABI LITY
—7 GLAIMS-MADE L OCCUR
DA MAG E TO RENTED
PREMISES (Ea o Dcurue nge)
50,000
V E 1) E X P (Any on pjrson
$ 17000
P= RSONAL & AE)V INJURY
11000,000
A
x
CLO90202493
08123110
08/23/11
J
2,000,000
GENERAL AGGREGATE
GENI AGGREGATE LIMIT APPLIES PER:
PRO-
FOLICY F7 JPCT Ll LOC
PRODUCTS - COMMOP AGO
10000,000
AUTOMOBILE LIABIL17Y
COW, BI NED SINGLE LIMIT
(Ea accideni)
ANY AUTO
BODILY INJURY (Per person)
ALL OWN E D A UT08
BODILY INJURY (Per aoddent)
S
SCHEDULEDAUT06
PROPERTY OAMAGE
HIRED AUTOS
(Per accident)
NON-OVVN2DAJTOS
UMBRELLA LIAS
OCCUR
v
EACH OCCURRENCE
AGGREGATE
EXCESS LIAR
E
DEDUCTIBLE
x
$
RETENTION S
WORKERS COMPENSATION
V%C STATU OTH-
-J
AND EMPLOYER S'LIABILITY YIN
ANY PROPRIETORTARTNERIEXECUI IVE
OF510ER' WEMBER EXCLUDED? LJ
N!A
TORY- I-twao� ER
E. L- EACH ACCI 1) E NT
$
E. L. BIB r= - EA E M P LOYE E
(Mandatory In NH)
te
If as, desonLinder
E L. DISEASE - POLICY LIMIT
S
12-SCRIPT ON OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES (Attach ACORD 10i, Additional Remarks Schedule, if morn Space is required)
CERTIFICATE HOLDER CANCELLATION
Monroe County BOCC SHOULD ANY or THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Attn- Clark Briggs THE EXPIRATION DATE THEREOF, NOTICE WJLL BE DELIVERED IN
1100 simontom St, Rrn, #216 ACCORDANCE WITH THE POLICY PROVISIONS.
Key West, FL 33040
Is named as Add itlonal Insured. ALIT DRIZED REPRESENTA711VE
Surplus Lines Agent 9A305417
0 1988-2009 ACO RD CORPO RATI ON. A It rights reserved.
ACD 25 (2009/09) The ACORD name and logo are registered marks of ACORD