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Item O2BOARD OF COUNTY COMMUSSIONERS AGENDA ITEM SUM[MARY Meeting Date: January 19, 2012 Bulk Item: Yes X No Division: Court Admm*istrator Department: Count Administrator Staff Contact /Phone #: Rhonda Haag, ext. 4482 ................. AGENDA ITEM WORDING: Approval of an extension of the Agreement through January 30, 2012, with Green Earth Environmental Foundation, Inc., for no additional cost to the County .............. ITEM BACKGROUND: The Green Earth Environmental Education Foundation is producm*g a 15 minute educational video to highlight the sustam*ability u*fitiatives being implemented via the State"s Energy Program. This extension will allow Green Earth to incorporate into the final educational video footage taken at the 3rd Annual SE FL Regional Climate Leadership Summit at Key Largo December 8-9, 2011. ............................. ............... PREVIOUS RELEVANT BOCC ACTION: Approval of Grant Agreement ARS 010im October . . 201ot- Green Earth Contract approved March 16, 20 10, and Amendment No 1 approved December 14, 2011. CONTRACPAGREEMENT CHANGES: Extend contract through January 30,2012, at no additional cost to County., in order to add footage taken at the 3rd Annual Climate Leadership Summit in Key Largo on December 84, 2011. GREEN EARTH shall use such interviews to prepare the final version of the Keys Energy Conservation Initiative video. STAFF RECON fWNDATIONS: Approval TOTAL AMENDMENT COST: I%tpnv INDIRECT COST, ............... BUDGETED: Yes No OUTERENTIAL OF LOCAL PREFERENCEIP NA COST TO COUNTY,0 -0- SOURCE OF FUNDS, NA REVENUE PRODUCING: Yes No X ALMOUNT PER MONTH Year Sic "PROVED BY: County Atty OM]3;urc asm*g Risk Management DOCUMENTATION: Included X DISPOSITION: 7/09 Not Required AGENDA ITEM # Revised MOIL ROE COUNTY BOARD OF COUNTY COMMISSIONERS CONTRACT SUNINLkRY Contract with: Green Earth Env. Found. Contract # Effective Date: Expiration Date: Contract Purpose/Description: Amendment#2 extends contract to Jan. 30, 2012 to add of interviews at the 3Annual SE FL Re2ional ................................. November 30, 2011 January 30., 2012 Clftnate Leadership Summit in Key 1,.ar on December 8-9, 2011. L Contract Manager-, Rhonda Ha 4482 OMB #1 (Name) (Ext.) (Department/Stop #) for BOCC meeting on 1/17/12 Deadline.- 1/3/12 CONTRACT COSTS Total Dollar Value of Contract: $ O(Amen Current Year Portion: $ Budgeted? YesEl No 0 Account Codes: iz 0) I-oL)q - >::- , 5_-3 o 4-")o 4 -3 Grant:$ $ - County Match,: $ ADDITIONAL COSTS Estimated Ongoing Costs: $./yr For: (Not included in dollar value above) (ez. maintenance, utill-ties, janitorial, salaries, etc.) -WOMMMM000" 11 I'll 1 .1 - I -- ----- --------------- - T)atd'ln Division Director V Risk Management O.M.B./Purc as M*g County Attorney Conn ients: I.. IN 1.1 1 MW WAV A It k AJ L I I I X%iFw- V I brwU 44f L I I V L IVL%.Ir fFL CONTRACT REVIEW Changes Needed e !,e iew �.,., Yes[D Noo,­"""" A 'ok I '�� 5 Yes El NoE�£ Yes[:] Non V Yes[] No Date Out /71 7 M, WMM—ENT No, 2 TO THE AGJUZKMZM BETWFAN MONROE COUNTYAND GREEN EARTH ENVIRONNWMAL EDUCATIONAL FOUNDATION UNDER GRANT AGREFIVIENT ARS018 TIM AGREENS` as enwred into on the 16th day of Mar* 2010, and Amended by Amwdment No. III by and betwece the MONROIC COUNTY BOARD OF CONKMONM a political subdivision of the State of Floriclas whOSO addms is 1100 Sbwnton Sbvet Key Wmt, Florida 33040 Nrem to as the "COUNTY") aW green Earth EnvftuomenW Educatkm Foundatice, Inc., a nary- fit whose address s 3931 RCA Boulevwd, Suitef 3114, Cahn each Gardens, FL 33410 v (hereine&w relmmW W as "'GREEN EARTH") is hemby ammde& WHE.RZAA% flw COUNTY d0sims tDM*JifY this Arvement to -do a 30 day no cost fixne mtension-I and Provi MSo the CONTRACTOR kUniewed select Wwdem of 1he 14 Anmal RqoorW Cffinaw summit" Key Lugo on Deminber 8-9 at no duwp; and In WM.T#EA& the CON"MCTOR amtjonal time to fkWi= the *dco- T"Pures V1 NOW THEREFORR, mi cmiderafion of the mubW undersUmdings and agmements set forth hem" the COUNTY and GREEN EARTH agm as follows: U4 I. ParNmh 3 is hemby deleW in its enfirety and replaced with the Wowing: TERM — This Agwment sbaU be completed on or be= jgmuay 30, 2012, in order to add additionQ inWviem from the Yd Annual R4omd CHmate Summit and fhWim the video. This jadditional inf logo" in the video will be at no Wditiond cost to the COUNTY. This CONTRACT is confingest upon avx9ftuce and m"ew by the Staff of Florida In all other x e 3111plud% the Ag=ment of whic* this is an Amodmimt and aftchumft relative thereto, sha rcummi in full faMe wd effWt rrNEss WmEoF, am pwties hm "usw this air meft to be ex=w " _&W Of .2011. (SEAL) ATTEST: DANNY L, KOLHAGK CLERK BY Dqjx" Clak BOARD OF COUNTY COMMMIONERS OF MONROE COVNW. FLORIDA 13Y . . . . .. ............... Ma a AMENDMENT NO, 1 ORIGINAL TO THE AGREEMENT BETWEEN MONROE COUNTY AND GREEN EARTH ENVIRONMENTAL EDUCATIONAL FOUNDATION UNDER GRANT AGREEMENT ARS010 THE AGREEMENT as entered into on the 1 bth day of March, 2010, by and between the MONROE COUNTY BOARD OF COMMISSIONERS, a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key Nest, Florida 33040 (hereinafter referred to as the "COUNTY") and Green Earth Environmental Education Foundation, Inc,, a non-profit organization, whose address is 3931 RCA Boulevard, Suite 3114, Palm Beach Gardens, FL 33410, (hereinafter referred to as "GREEN EARTH") is hereby amended. WITNESSETH WHEREAS, the COUNTY desires to modify this Agreement to provide a 30 day no cost time extension; and WHEREAS, the CONTRACTOR agrees to interview select attendees of the 3`d Annual Regional Climate Summit in Key Largo on December 8-9 at no charge; NOW THEREFORE, in consideration of the mutual understandings and agreements set forth herein, the COUNTY and GREEN EARTH agree as follows: 1. Paragraph 3 is hereby deleted in its entirety and replaced with the following: "TERM — This Agreement shall be completed on or before December 30, 2011. This CONTRACT is contingent upon acceptance and review by the State of Florida." 2. Paragraph 2 is hereby modified to have the following added: "GREEN EARTH shall, at no additional cost to the COUNTY: (a) Attend the 3�d Annual Climate Leadership Summit in Key Largo on December 8-9, 2011, being hosted by the COUNTY, (b) GREEN EARTH shall preview a draft release of the Keys Energy Conservation Initiative video to summit attendees, (c) GREEN EARTH shall also interview and film select speakers and other summit attendees as directed by the COUNTY, and (d) GREEN EARTH shall use such interviews to prepare the final version of the Keys Energy Conservation Initiative video." respects, the Agreement of which this is an Amendment, and attachments relative thereto, shall remain in full aused this Amendment to be duly executed the day and year last written below, Deputy Clerk Witness.fipr G EN E TH: W ess Print Name: Date: 2} t&a Witness Print Name:A�K,112,^ Date:lit Green Earth Agreement, Amendment No. 1, Page 1 BOARD OF COUNTY COMMISSIONERS OF MONROE 0 By Mayor/ChaiLrnqajm Date: «/ 1f /Z,0 For G TH: 9 Title _e .X!A 1., Arf Print Name: ­r04(4.10J t04046,Z7 Date: / MONROE COUNTY AOAF�GVEDq4ST Y 011 ��r7#L- ASSSISTANT ECASSEL Bate - UN7Y A-rTORNEY .�_ AGREEMENT BETWEEN GREEN EARTH ENVIRONMENTAL EDUCATION FOUNDATION AND MONROE COUNTY UNDER GRANT AGREEMENT # ARS010 THIS AGREEMENT is made and entered into this 14 . day of , 2011, by and between the MONROE COUNTY, a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key '`hest, FL 33040 ("COUNTY"'), and the Green Earth Environmental Education Foundation, Inc., a non-profit organization organized under IRS 501(C) 3), whose address is 3931 RCA. Boulevard, Suite 3114, Palm Beach gardens, Florida 33410 ("GREEN EARTH"). WHEREAS, the STATE OF FLORIDA, EXECUTIVE OFFICE OF THE GOVERNOR, FLORIDA ENERGY COMMISSION ("STATE") has entered into a Grant Agreement #ARS010 ("Grant Agreement") with the COUNTY to provide financial assistance for the Energy Efficiency and Conservation Project in which the COUNTY is the named grantee on the Grant .Agreement, and WHEREAS, the United States Department of Enemy (USDOE) awarded funding to the STATE pursuant to USDOE through American Recovery and Reinvestment .Act (AARA) Grant Agreement No. DE-E0000241, and WHEREAS, the COUNTY and the GREEN EARTH desire to develop a energy efficiency and conservation strategy, which would assist the COUNTY to improve energy conservation for the citizens of the COUNTY, and WHEREAS, the CREED EARTH has agreed to develop an energy efficiency and conservation strategy, which will meet the requirements of the Grant Agreement, and WHEREAS, GREEN EARTH acknowledges that COMITY will serve as the grantee/recipient under the Grant Agreement, and WHEREAS, GREEN EARTH hereby agrees to abide by the requirements of the Grant Agreement entered into between the STATE and the COUNTY. NOW THEREFORE, in consideration of the mutual understandings and agreements set forth herein, the COUNTY and GREEN EARTH agree as follows: INCORPDR.ATION BY REFERENCE. The provisions of that certain document entitled "'FLORIDA ENERGY AND CLIMATE COMMISSION GRANT AGREEMENT NO. A RSO 10�s (Grant Agreement) and its attachments is incorporated by reference as EXHIBIT A to this agreement and made a part hereof as if fully set forth in the body of the agreement and all laws, rules and regulations relating thereto are also incorporated by reference. 2. SCOPE OF WORK. GREEN EARTH will produce a short 15 minute educational audio 1 video piece to be utilized according to the grant to highlight the Keys Energy Conservation Initiative 2010 and will be available on local government websites and television channels and public radio. The materials will be disseminated by CD, DVD, and email. The cost of this educational component is Thirty -Thousand Dollars and No Cents. $30,000 , to be paid from grant funding. GREEN EARTH specifically agrees to allow COUNTY to use the educational piece as the COUNTY wishes for educational purposes in the Florida Keys. GREEN EARTH will use its best efforts to have the segment played on NPR stations in the Keys area. In addition, Green Earth will donate in -kind services to develop the content for this educational program and coordinate with the entities that Monroe County designates to complete the task., which shall include but not be limited to, development of the script/content, interviews with elected decision makers and key community leaders on energy conservation initiatives. These in -kind services should be considered costs that would normally need to be incurred to successfully develop and produce the educational video/audio piece; but because GREEN EARTH believes in the work that the County is attempting to accomplish, GREEN EARTH pledges to participate in these in -kind services in the sum of an additional Thirty -Thousand Dollars and No Cents ($30,000). 3. TERM. The agreement shall be completed on or before November 30, 2011. This contract is contingent upon acceptance and review by the State of Florida. 4. DOCUMENT REVIEW AND COMPLIANCE. GREEN EARTH agrees to comply with the Grant Agreement and its attachments in its entirety; references, if any, in this agreement to specific paragraphs of the Grant Agreement are for convenience only and are not intended to limit compliance with the Grant Agreement. 5. BUDGET", The total budget for this project is Thirty Thousand Dollars 30,000) which includes expenses payable to GREEN EARTH exclusively from grant funding as specified in the Grant Agreement. In addition, GREEN EARTH will contribute Thirty Thousand Dollars ($30,000) in -kind funds. County is not obligated to pay, any fees or expenses in excess of the amount budgeted and funded for this project under the Grant Agreement. The amount may only be modified by an affirmative act of the STATE or County's Board of County Commissioners. Monroe County's performance and obligation to pay under this contract is contingent upon an annual appropriation by the Board of County Commissioners and the approval of the Board members at the time of contract initiation and its duration. b• PAYMENT. There will be three equal payments of $ 0,000 each, including expenses. 'rhe first payment will be made after completion of onsite interviews to be held within the first 60 days after execution of the contract but in no case until onsite interviews are completed. The second payment will be made upon submission of the first draft of the video to County. The third payment will be made upon final acceptance by the County of the completed video. All payments to GREEN EARTH will be exclusively from grant funding as specified in the Grant Agreement. 7. COUNTY RESPONSIBILITY. THE COUNTY will provide the information in its possession regarding the activities outlined in the grant agreement and as requested by GREEN EARTH. The information provided will be the latest information at the time requested and it will be delivered to GREEN EARTH as soon as practical after request, in a format usable to both GREEN EARTH and COUNTY, if available. GREEN EARTH is not responsible for the accuracy nor the completeness of information provided to it by the COUNTY. COUNTY will be responsible for all necessary arrangements to convene conference calls, and in -person meetings and to provide materials for attendees at meetings. COUNTY will be responsible to inform attendees of activates associated with the development of the EECS. 8. NOTICES. Any notice required or permitted under this agreement shall be in writing and hand delivered or mailed, postage prepaid, to the other party by certified mail, returned receipt requested, to the following: FOR COUNTY: Lisa Tennyson 1100 Simonton Street The Gato Building Ivey west, Fl. 33040 305-292-4444 FOR GREEN EARTH: John R. Poggi Green Earth Environmental Education Foundation 3931 RCA Boulevard, Suite 3114, Palm Beach Gardens, Florida 33410 561-627-2270 9, PERSONNEL AND LICENSES. GREEN EARTH shall assign only qualified licensed personnel to perform any service concerning the project. GREEN EARTH shall provide to the COUNTY a copy of the professional license for all supervisory personnel on the project within 30 days of approval of the agreement by the Board of County Commissioners. 10. DISPUTES. . If a dispute arises between COUNTY and GREEN EAR"I':EI, they agree to seek to resolve any disputes between them regarding their responsibilities as soon as possible and at the lowest level reasonable, in order to conserve the resources of the parties. The parties further agree to use their best efforts to assure speedy and non - confrontational resolution of any and all disputes between them. 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 attorneys fees and court costs, as an award against the non -prevailing party, and shall include attorney's fees and courts costs in appellate proceedings, as an award against the non -prevailing party. Mediation proceedings initiated and conducted pursuant to this agreement shall be in accordance with the Florida Rules of Civil Procedure and usual and customary procedures required by the circuit court of Monroe County. The parties agree that they will not submit any dispute to Arbitration. 11 • AMENDMENT AND ASSIGNMENT. No agent, employee, or other representative of either party is empowered to modify or amend the terns of this agreement, unless executed with the same formality as this document with approval of the STATE. This agreement or duties under the grant Agreement shall not be assignable by either party unless such assignment is first approved by the STATE. 12. INSURANCE. GREEN EARTH shall obtain and maintain the following policies A. Workers' Compensation insurance as rewired by the State of Florida. B. vehicle Liability Insurance in the amounts designated on attached form VLl . C. General Liability Insurance in the amounts designated on attached form. GLI. D. Professional liability insurance in the amounts designated on attached form PRO L E. County shall be named as an additional insured with respect to GREEN EARTH's liabilities hereunder in insurance coverage identified in Paragraphs C and D. F. GREEN EARTH shall provide to the County certificates of insurance or a copy of all insurance policies including those naming the County as an additional insured by including any subsection thereunder. The County reserves the right to rewire a certified copy of such policies upon request. 13. REPORTING. G. The Grant Agreement requires various reports, including but not limited to Monthly Progress Reports, Annual Reports, and Final Reports. GREEN EARTH shall complete reports, provide documents or information as requested by COUNTY in the manner described in the Grant Agreement for the project tasks under its control and for its benefit. GREEN EARTH recognizes that failure to comply with the reporting ,jeopardizes funding for the entire grant for GREEN EARTH and COUNTY. GREEN EARTH agrees to complete Monthly Reports in a timely manner and to provide the reports, documents or information documents or information to COUNTY at least 48 hours before the Monthly report is due from the COUNTY to the STATE, at least 5 calendar days before the Annual documents or information report is due from the COUNTY to the STATE, and at least 5 calendar days before the Final Report is due from the COUNTY to the STATE. Failure by GREEN EARTH to comply with the requirements of the STATE shall result in termination of the agreement and reimbursement to COUNTY by GREEN EARTH of related payments to GREEN EARTH under the grant agreement. 14. COMPLIANCE MONITORING. GREEN EARTH agrees to cooperate with the COUNTY and to participate in any compliance monitoring which may be required pursuant to the Grant Agreement, GREEN EARTH further agrees to provide to the COUNTY the documentation required by the STATE related to��',�R ,EN EARTH' S project tasks. 15. ATTESTATIONS. GREEN EARTH agrees to execute such documents as the County may reasonably require including a Public Entity Crime Statement, an Ethics Statement, and a Drug -Free Workplace Statement. 16. INDEPENDENT CONTRACTOR RELATIONSHIP. GREEN EARTH is and shall be an independent contractor in the performance of all work, services, and activities under this agreement and is not an employee, agent or servant of the COUNTY. GREEN EARTH shall exercise control over the means and manner in which. it and its employees perform the work and in all respects the GREEN EARTH's relationship and the relationship of its employees to the COUNTY shall be that of an independent contractor and not as employees or agents of the COUNTY. GREEN EARTH does not have the power or authority to bind the COUNTY in any promise, agreement or representation other than such power and authority that is specifically provided for in this agreement. 17. 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. 1 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 instrument and any of the parties hereto may execute this Agreement by singing any such counterpart. 19. SECTION HEADINGS. Section headings have been inserted in this .Agreement as a matter 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. 20. SEVERABILITY. If any term, covenant, condition or provision of this agreement or the application thereof to any circumstance or person) shall be declared invalid 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 remaining terms, covenants, conditions and provisions of this agreement would prevent the accomplishment of the original intent of this agreement. COUNTY and GREEN EARTH agree to reform the agreement to replace any stricken provision with a valid provision that comes as close as possible to the intent of the stricken provision. 21. WAIVER of PROVISIONS. The failure of either party to this agreement to object to or to take affirmative action with respect to any conduct of the other which is in violation of the terms of this agreement shall not be construed as a waiver of the violation or breach, or of any future violation, breach or wrongful conduct. 22. 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 corporate or governmental action, as required by law to be enforceable. Each party agrees that it has had ample opportunity to submit this agreement to legal counsel of its choice and enters into this agreement freely, voluntarily and with advice of counsel. 23. ENTIRE AGREEMENT. (a) It is understood and agreed that the entire agreement of the parties is contained herein and that this agreement supersedes all oral agreements and negotiations between the parties relating to the subject natter hereof as well as any previous agreements presently in effect between the parties relating to the subject matter hereof. b) Any alterations, amendments, deletions, or waivers of the provisions of this agreement shall be valid only when expressed in writing and duly signed by the parties. 24. NON -WAIVER OF IMMUNITY. CoLJNTY and GREEN EARTH acknowledge that nothing contained herein shall constitute a waiver by COUNTY of its sovereign immunity or the provisions of Section 768.28, Florida Statutes. COUNTY does not agree to hold GREEN EARTH harmless. Notwithstanding the provisions of Sec. 768.28, Florida Statutes, the participation of GREEN EARTH and the COUNTY in this agreement and the acquisition of any commercial liability insurance coverage, self-insurance coverage by GREEN EARTH 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. 25. HOLD HARMLESS. Notwithstanding any minimum insurance requirements prescribed elsewhere in this agreement, GREEN EARTH shall defend, indemnify and hold the COUNTY and the COUNTY's elected and appointed officers and employees from and against any claims, actions or causes of action ,including litigation, administrative proceedings, or other proceedings relating to any type of injury (including death), loss, damage, fine, penalty or business interruption, in connection with a violation of any federal law or regulation that may be asserted against the COUNTY in connection with, (A) the negligence or willful misconduct of GREEN EARTH or any of its employees, agents, contractors or other invitees, or (B) GREEN EA.RTH'S default in respect of any of the obligations that it undertakes under the terms of this Agreement, except to the extent the claims, actions, causes of action, litigation, proceedings, costs or expenses arise from the intentional or negligent acts or omissions of the COUNTY or any of its employees. This Section will survive the expiration of the term of this agreement or any earlier termination of this agreement. 26. NO SOLICITATIONIPA.YMENT. The GREEN EARTH and COSY warrant 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, gift, or other consideration contingent upon or resulting from the award or making of this Agreement. For the breach or violation of the provision, the GREEN EARTH 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 full amount of such fee, commission, percentage, gift, or consideration. 27. PUBLIC ACCESS, The GREEN EARTH and COUNTY shall allow 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 of Chapter 119, Florida Statutes, and made or received by the GREEN EARTH and COUNTY in conjunction with this Agreement; and the GREEN EARTH shall have the right to unilaterally cancel this Agreement upon violation of this provision by COUNTY. 28. COVENANT OF NO INTEREST. GREEN EARTH and County 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 in this agreement. 29. MAINTENANCE OF BOOKS AND RECORDS. GREEN EARTH agrees to maintain books, records, and documents directly pertinent to performance under the Grant Agreement and this agreement in the same manner as set out in paragraph 17 of the Grant Agreement. GREEN EARTH agrees to provide the books, records and documents to the COUNTY in order for the COUNTY to comply with the Grant Agreement. 30. PUBLIC ACCESS. The COUNTY and GREED EARTH shall allow 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 of Chapter 119, Florida Statutes, and made or received by the COUNTY and GREEN EARTH in conjunction with this agreement; and the COUNTY shall have the right to unilaterally cancel this agreement upon violation of this provision by GREED EARTH. Nothing in this section waives attorney/client or attorney work product privilege. 31. RIGHTS RESERVED. Rights not specifically granted to GREEN EARTH by this Agreement are reserved to the COUNTY. IN WITNESS WHEREOF, the parties have caused this agreement to be executed this I L-t& day L. KOLHAGE, CLERK Deputy Clerk Witness for GREE EARTH: Je rtness Print Name: MAL$e-_L--& Date: / /! BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA BY Mayor/, hair Date: ! For G By "firs Print Name: .,T. o ar7- Date: 3 / ILL_ t7 C. to MONROE COUNTY ATTORNEY A ROVED AS To PC . or e-*"OtATILEENE W. CASSEL Jel ASSISTANT COUNTY ATTORNEY Date --mow M CD 71 M C) M INSURANCE REQUIREMENTS MONROE COUNTY, FLORIDA Request For Waiver of Insurance Requirements It is requested that the insurance requirements, as specified in the County's Schedule of insurance Requirements, be waived or modified on the following contract. Contractor: 6RAKN E44PTAI 0A1V1RoA1NsA#-*+L 6aw44?r/*4) 1,1:o'ctm%of T/ * 4) Contract for: aA�4Arr ffo��"�',y,��+T �� R „s' p � Q Address of Contractor: 3 7 3 / R e4 AL Vci , �U i �E 3 l fofLtj ��icl 6.¢o<j>BtiS' r4 3 3 Ylt7 Phone: (A *7 - / $'06 Scope of Work: V 44TI 0 *VA L g/ate' 0 Reason for Waiver: ....................... _WVAK!91:S . . . ................ . C42.01 ""won A)/A Atlrla -AJ /,4 JR(O K"sio4ua-t 4. 1,44?14 Ty woo, IV /A Policies Waiver 41 4APAWCOAs c. opt � �l� Tca , {'gyp F Lod will apply to: ..................... /S OAJ T_­ e�6470"V Signature of Contractor: ....... .. U App oved Not Approved Risk Management Date � ' '" Q� t County Administrator appeal: Approved-, Not Approved: Date-, Board of County Commissioners appeak Approved: Not Approved: Meeting Date: • ACCOR CERTIFICATE OF LIABILITY INSURANCE MT1 23 011 I mg TE 1 03 LIED A3 A MATCW 01FORKATION ONLY AND COWLffKMTS UPON 71 CERTIFICATE: HOLDER, TH13 CMIFCA1600MOR I TE OM LOT AF:F9dMTfVELY OR NEGATNILY A ,, EXI °D OR ALTER THE COVMAGE AFFOFMNED BY T CW. THE CERTIFICATE OF INSURMCE DOES NOT CONSTWM A COKMCT WTWEM. THE IWOM MUMIM A R2PFM%EJffATlVE ON AMID THE CEKTIFWATE IMPCWAW: N dw 09McM hakf4w Is ADDITXWL WSLWM. l mtotbe endai it SUM""1 IIU*a to bmw wd Gal of On polky f ce rtmin pobcft w" mqtiww an do A B On thIB to t h 1wj Of ate a . Evelya Amb l or , AAA 8 a Ca►11n y * Inc* us (562) 276-044 0 3945 West Atlantic Avenue smoblewsweekowcal1 y . a Deli 3 d45-3 02 I a way - _COVEXAM Inguranm Ore" "r th Invironzental Educatlon T ti cnInc. 3931 FCA Boulevard Buite 31L14 i m1: BO&Ch Gm done JrL 33410 — COvERABE$ CERTIFICATE NUMBER v=232302210 REvrSOM Nu NN",- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVWTHSTANDING ANY REQUIREMENT, TERM DR CONDITION oF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI41CH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE PUUCIES DESCREED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND S OF SUCH POLICIES. LIMITS SI40VM MAY HAVE BEEN REDUCED BY Ply CLApAS. TMOF Aftim 084AAL UAWAM EACH OCCURREMM i 1 ■ 000, 04G x C�CIAL aa�u. � S 500000 A _j wms4mm Fx] OCCUR IS2301210 /23/2011 /23/2012 1AED EXP *w i 5, Q QC PER80t�AL a AM �Y $ 1, 0O0 1 000 i alaakst Addl.GENERAL AGOMOATE $ 21000,000 ' 0M AGGRE %TE UWT APPLIES PER: PRODUCTS - COMPW AGG ! Z3cluded ' x PGLIGY LDCLASKM ; COUNNED goo= UWT $ ANY AUTO M � ALL O%VM AUTOS BODILY MNURY =Pw prrrortj ; SCHEDUMAUTCM ° BODILY lN,A,1RY LPw ; PROP RA TY DAMAGE ; LPw yj AUTOS UALLA LLB w(CEU um OCCUR IAGN OCCURF494M; ALATE ; 0EDUCTE M ; ME TII 'nm ; AND EIAPLOYEW UAL W., aTATU- Aw Y I N JOTH OIP EKCtUDED? NIA ILL EACH ACCIDENT s P 1W F.L DBEAU - GA EIVILOYEE S DE LRFTIOM QPSRATKWG bebw E.L OMME - POLICY LMT i UE Tm (w OfERAT*w 1 I,DGAT1DMs 111EHCLE pi"A 1"0 #ANN" ftemu i-hofth , B am k 09W . Florida statute raquirra Tan I 1 d) Days Motioa of Caancal3.ation for xon Payment Of Br*eiuw. T'h4 Mons" Comty Board of COMW Cvawfaaimers is nasnd as 7lWiticual Imp.U.sd a■ s xirard u r Nritton omtraat. CERTIFICATE HOLDER �. u�+.r ..�..... The Nbnr0! County Board of County commis! A&St . County Attorney' a Office Attn.: Nttileen Cassel Monroe Country 1111 13th Stroot, #408 K*y West,, FL 33042 ACORD 25 (200) INS (2d) The ACORD nama and iO MILD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCMLED WORE THE "PIRATION DATE THEREOF, NOTICE WLL BE DELNE.RED IN ACCORDANCE WITH THE POLICY PR0vI8ION& AUTHORM ATM Rose maZwen, CIC/gh 01 209 ACORD CORPORATION. All right resarvad. �o Ora is�ored r#ta f CO 9 IWO ma O A RD