06/16/2010 AgreementDANNY L. KOLHA GE
CLERK OF THE CIRCUIT COURT
DATE: July 1, 2010
TO: Fire Chief James Callahan
Fire -Rescue Department
ATTN: Camille Dubroff
FROM: Isabel C. DeSantis, D. C.
At the June 16, 2010, Board of County Commissioners meeting, the Board granted
approval to award bid and authorized execution of an Agreement between the Board of County
Commissioners of Monroe County and J.A. LaRocco Enterprises, Inc. for the installation of fire
hydrants in unincorporated Monroe County using Ad Valorem taxes, Impact Fees, and other
funding sources such as grants, private donations, etc.
Enclosed is a duplicate original of the above -mentioned for your handling. Should you
have any questions please do not hesitate to contact this office.
cc: County Attorney
Finance
File
CONTRACT BETWEEN
THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
"rcr o
AND -n
J. A. LaROCCO ENTERPRISES INC.
FOR INSTALLATION OF FIRE HYDRANTS IN MONROE COUN'Y
- 0 0
o
THIS CONTRACT, hereinafter "CONTRACT or AGREEMENT" is made and eniered into tf& o
1 (o day of June, 2010 by and between the Board of County Commissioners of Monroe
County, Florida, hereinafter referred to as "COUNTY", and J. A. LaRocco Enterprises Inc.,
hereinafter referred to as "CONTRACTOR".
WITNESSETH:
WHEREAS, the COUNTY advertised a notice of request for proposals for INSTALLATION OF
FIRE HYDRANTS IN MONROE COUNTY; and
WHEREAS, the successful Contractor was J.A. LaRocco Enterprises Inc., and;
WHEREAS, this CONTRACTOR represents that it is capable and prepared to provide such
services, and;
WHEREAS, the COUNTY intends to enter into an agreement for the INSTALLATION OF
FIRE HYDRANTS IN MONROE COUNTY with the CONTRACTOR and;
WHEREAS, this contract is an "Agreement" between both parties,
NOW, THEREFORE, in consideration of the promises contained herein, the parties agree
as follows:
1. CONTRACT DOCUMENTS — This contract consists of the Agreement, the
CONTRACTOR'S response to the RFP, and the documents referred to in the Agreement
as a part of this Agreement. In the event of any conflict between any of the contract
documents, the one imposing the greater burden on the CONTRACTOR will control.
2. CONTRACT PERIOD AND RENEWAL - The effective date of this Agreement shall be
June 16, 2010 through June 15, 2013. This Agreement may be renewed once for three
(3) additional years, subject to approval of the Fire Chief of Monroe County Fire Rescue,
the Office of Management and Budget and the Monroe County Board of County
Commissioners.
CONTRACT TERMINATION - This Agreement may be terminated for any reason by
either party on 30-day written notice without cause. If the CONTRACTOR fails to fulfill
the terms of this Agreement, or attachments, properly or on time, or otherwise violates
the provisions of the agreement or of applicable laws or regulations governing the use of
funds, the County may terminate the contract by written notice. The notice shall specify
cause. All finished or unfinished supplies or services shall, at the option of the County,
become property of the County. The County shall pay the CONTRACTOR fair and
equitable compensation for expenses incurred prior to termination of the agreement, less
any amount or damages caused by the CONTRACTOR'S breach. If the damages are
more than compensation payable, the CONTRACTOR will remain liable after
termination and the County shall pursue collection for damages.
4. SUBJECT MATTER OF CONTRACT — This contract is for the installation of Fire
Hydrants in unincorporated Monroe County in the following areas:
a. District 1 Lower Keys — The area of Monroe County South of the Seven Mile Bridge
(MM40), excluding the City of Key West.
b. District 2 Middle Keys — The area of Monroe County and including Fiesta Key south
to the Seven Mile Bridge. (MM40).
c. District 3 Upper Keys — The area of Monroe County north of Fiesta Key, excluding
Layton.
d. Key Colony Beach — The area of Key Colony Beach.
5. QUALIFICATION OF THE CONTRACTOR:
a. The Contractor shall be responsible for obtaining all necessary permits and approvals
for the installation of the hydrants, including permits from the FKAA, Monroe
County Growth Management (Building Department), and FDOT.
b. 'The Contractor performing installation, maintenance, repairs, adjustments and related
work shall be properly certified by the State of Florida for the work to be performed.
c. Personnel performing work who are not certified or experienced in such work shall be
directly supervised (in person) by an individual with such certification.
d. Within 90 days after award of the Contract, the Contractor shall supply Monroe
County with a monthly schedule of the time frame when each fire hydrant will be
installed.
6. SERVICES TO BE PERFORMED BY CONTRACTOR:
a. The CONTRACTOR shall begin the permitting phase for each requested hydrant
within 30 days of notification by the Monroe County Fire Marshal of the location(s)
of the hydrant(s). The hydrant(s) shall be installed within 45 days after the issuance
of the last required permit (such date shall be transmitted in writing to the Fire
Marshal's Office).
b. The CONTRACTOR shall ensure that all installations, maintenance and repairs are
performed in a timely manner in accordance with operational needs.
c. The CONTRACTOR shall describe the approach and methodology he/she will take to
accomplish the services defined herein. This shall include information on time for
installation, schedule and availability, staffing, whether sub -contractors are used,
whether the Contractor owns the equipment used, and any other relevant information
explaining how the delivery of the product and the provisions of services is
accomplished.
d. The CONTRACTOR shall conform to the standards set forth by the Florida Keys
Aqueduct Authority's (FKAA) Minimum Construction Standards and Specifications
when connecting to an FKAA water source. Standards are available at fkaa.com.
e. The CONTRACTOR shall be responsible for performing the installation of fire
hydrants.
f. The CONTRACTOR shall, within 30 days after completion of each fire hydrant
installation, forward a computerized report to Monroe County Fire Rescue indicating
the status of the hydrant and GPS coordinates. This will be done for each hydrant
when completed. This report must be emailed to the Assistant Fire Marshal. The
form must either be in Microsoft Word or Excel.
g. The CONTRACTOR shall be licensed in fire hydrant installation by the State of
Florida.
h. The CONTRACTOR agrees to indemnify and hold harmless Monroe County for all
actions of contractor's negligence as well as faulty or improper workmanship for all
work performed under the contract including all costs of collection, reasonable
attorney fees, claim costs and others. It is agreed that all property and equipment
being directly worked on by the contractor is considered to be in its care, custody and
control while such work is being performed.
i. The CONTRACTOR shall supply all materials and labor for the installation of
specified fire hydrants including but not limited to: the hydrant itself (acceptable
hydrants are specified in the FKAA construction standards document), labor, pipes,
joints, valves, taps, thrust blocks, restraining clamps, backfill material, excavation,
asphalt, temporary paving, repair of pavement removed as a result of installation,
tools, cutting, barricades, traffic and warning devices and any and all required
permits.
7. RATES -The following rates shall be per hydrant installation with no travel time or
mileage charged.
District 1 — Lower Keys
District 2 — Middle Keys
District 3 - Upper Keys
Key Colony Beach
$9975.00 / per hydrant.
$7975.00 / per hydrant.
$7000.00 / per hydrant.
$7975.00 / per hydrant.
8. INSURANCE - During the term of this contract, the CONTRACTOR must keep in force
and effect the insurance required by Attachments F. Attachment F is attached and
incorporated into this contract.
9. ADDITIONAL REQUIRED STATEMENTS/VERIFICATIONS/AFFIDAVITS.
Attached hereto in Attachments A, B, C, D and E are Non -Collusion Affidavit, Public
Entity Crime Statement, Drug -Free Workplace Form, Conflict of Interest Clause, and
Indemnification to Hold Harmless.
10. PAYMENTS — The COUNTY shall pay CONTRACTOR within 30 days of the
completion of the rendered services on each hydrant and after proper invoicing by the
CONTRACTOR. All payments will be made in accordance with the Florida Local
Government Prompt Payment Act.
11. STANDARD OF CARE — CONTRACTOR shall exercise the same degree of care, skill,
and diligence in the performance of Services as is ordinarily provided by a professional
CONTRACTOR, offering services for local governments in South Florida, under similar
circumstances and CONTRACTOR shall, at no additional cost to the COUNTY, re -
perform services which fail to satisfy the foregoing standard of care.
12. Monroe County's performance and obligation to pay under this contract is contingent
upon an annual appropriation by the Board of County Commissioners of Monroe County,
Florida.
13. Venue for any litigation arising under this contract must be in a court of competent
jurisdiction in Monroe County, Florida. This Agreement is not subject to arbitration.
IN WITNESS WHEREOF, each party hereto has caused this contract to be executed by its duly
authorized representative.
(SEAL)
Attest: Danny L. Kol�h(age�, `Clerk ^'
Clerk
WITNESS:
BOARD OF COUNTY COMMISSIONERS
of MO ROE CO Y, FL
Mayor/Chairman
Name and Address of Contractor
MON E COUNTY ATTORNEY 743 a Road I Largo, f
A ROVED A T F M:
YNTHlA L. ALL A orized Representative Signature
%ASSIST N Cp U�jTY ATTORNEY .l
Date -a Ul0 Witness signature
SECTION FOUR:
FORMS
Attachment A
Attachment B
Attachment C
Attachment D
Attachment E
Attachment F
Attachment G
Non -Collusion Affidavit
Public Entity Crime Statement
Drug Free Workplace Form
Lobbying & Conflict of Interest Clause- (Ethics Clause)
Indemnification and Hold Harmless
Insurance Documents
Local Preference Form (if applicable)
F QN- COLLUSION AFFIDAVIT
I, John LaRocco of the
city of Key Largo according to law on my oath,
and under penalty of perjury, depose and say that;
1) I am J.A. LaRocca Enterprise, Inc the respondent
making the Proposal for the project described as follows:
Installation of Fire Hydrants in Monroe County
2) The prices in this proposal have been arrived at independently without
collusion, consultation, communication or agreement for the purpose of restricting
competition, as to any matter relating to such prices with any other respondent or with
any competitor;
3) Unless otherwise required by law, the prices which have been quoted in this
proposal have not been knowingly disclosed by the respondent and will not knowingly be
disclosed by the respondent prior to proposal opening, directly or indirectly, to any other
respondent or to any competitor; and
4) No attempt has been made or will be made by the respondent to induce any
other person, partnership or corporation to submit, or not to submit, a proposal for the
purpose of restricting competition; and
5) The statements contained in this affidavit are true and correct, and made with
full knowledge that Monroe County relies upon the of state ntained in
this affidavit in awarding contracts for said project.
STATE OF Florida a A -
(Signature of Respondent)
COUNTY OF Monroe 04 / 1 6 / 10
Date
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
John LaRocco who, after first being sworn by me, (name of
individual signing) affixed his/her signature in the space provided above on this
1 6 th day of April 20 10
My commission expires: e'"'"li BRIAN KEITH CONOVER
NOTARY PUBLIC •°: MY COMMISSION # DD907544
EXPIRES July 14, 2013
OMB - MCP FORM # r ° -- W*AW
151
PUBLIC ENTITY CRIME STA—jLErvMNT
"A person or affiliate who has been placed on the convicted vendor list following a
conviction for public entity crime may not submit a proposal on a contract to provide any
goods or services to a public entity, may not submit a proposal on a contract with a public
entity for the construction or repair of a public building or public work, may not submit
proposals on leases of real property to public entity, may not be awarded or perform work
as a bidder, supplier, subbidder, or RESPONDENT under a contract with any public
entity, and may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017, Florida Statutes, for CATEGORY TWO for a
period of 36 months from the date of being placed on the convicted vendor list."
By executing this form, I acknowledge that I/my company is in compliance with the
above.
STATE OF Florida 1.
(Signature of Respondent)
COUNTY OF Monroe 04 / 1 6 / 1 0
Date
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
John LaRocco who, after first being sworn by me, (name of
individual signing) affixed his/her signature in the space provided above on this
16th day of April , 20_1_Q__.
My commission expires:
NOTARY PUBLICHRIAN KEITH GONOVER
MY COMMISSION # DD907544
EXPIRES July 14, 2013
N07)388Ot53 FbndeNolsry9erv1ce.com
Attachinen C
DRUG -FREE WORKPLACE FORM
The undersigned Respondent in accordance with Florida Statute 287.087 hereby certifies
that:
J.A. LaRocco Enterprise, Inc.
(Dame of Business)
1. Publishes a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace
and specifying the actions that will' be taken against employees for violations of such
prohibition.
2. Informs employees about the dangers of drug abuse in the workplace, the business's
policy of maintainilig a drug -free workplace, any available drug counseling,
rehabilitation, and, employee assistance programs, and the penalties that may be imposed
upon employees for drug abuse violations.
3. Gives each employee engaged in providing the commodities or contractual services
that are under proposal a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notifies the employees that, as a condition
of working on the commodities or contractual services that are under proposal, the
employee will abide by the terms of the statement and will notify the employer of any
conviction of, or plea of guilty or polo contendre to, any violation of Chapter 893
(Florida Statutes) or of any controlled substance law of the United States or any state, for
a violation occurring in the workplace no later than five (5) days after such conviction.
5. Imposes a sanction on, or require the satisfactory participation in a drug abuse
assistance or rehabilitation program if such is available in the employee's community, or
any employee who is so convicted.
6. Makes a good faith effort to continue to maintain a drug -free workplace through
implementation of this section.
As the ge�son,�uthoritp�gn the statement, I certify that this firm complies fully with
the aba e remen /
04/16/10
Date
OMB - MCP FORM #5
9
LOBBYRiG AND CONFLICT OF INTEREST CLAUSE
ETMCS CLAUSE
John LaRocco warrants that he/it has not employed,
retained or otherwise had act on his/its behalf any former County officer or employee in
violation of Section 2 of Ordinance No. 10-1990 or any County officer or employee in
violation of Section 3 of Ordinance No. 10-1990. For breach or violation of this
provision the County may, in its discretion, terminate this contract without liability and
may also, in its discr 'on, deduct from the contract or purchase price, or otherwise
rec v r, thgull am any fee, commission, percentage, gift, or consideration paid to
th4 forknei0ounty or employee.
(Signature)
Date: 04/16/10
STATE OF Florida
COUNTY OF Monroe
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
John LaRocco
his/her
who, after first being sworn by me, affixed
signature (name of individual signing) in the space provided above on this 1 6th day
Of
April f , 20 1 0 .
NOTARY PUBLIC
BRIAN KEITH CONOVER
My commission expires: = MY COMMISSION # DD907544
EXPIRES July 14, 2013
(40T 398-0t53 FIoNoterYServicacom
OMB - MCP FORM #4
'.9
F14ON�Rg OE CO�JIqTY,F-p� GA
RID
RISK MANAGEMENT
POLICY AND PROCEDURES
CONTRACT ADMINISTRATION
MANUAL
Indemnification and Hold Harmless
for
Other Bidders and Subbidders
The Bidder covenants and agrees to indemnify and hold harmless Monroe County Board
of County Commissioners AND Board of Governors for District I, its servants, agents
and employees from any and all claims for bodily injury (including death), personal
injury, and property damage (including property owned by Monroe County) and any
other losses, damages, and expenses (including attorney's fees) which arise out of, in
connection with, or by reason of services provided by the Bidder or any of its
Subbidder(s) in any tier, occasioned by the negligence, errors, or other wrongful act or
omission of The Bidder or its Subbidders in any tier, their employees, or agents.
In the event the completion of the project (to include the work of others) is delayed or
suspended as a result of the Bidder's failure to purchase or maintain the required
insurance, the Respondent shall indemnify the County from any and all increased
expenses resulting from such delay.
The first ten dollars ($10.00) of remuneration paid to the Respondent is for the
inderiinification-•provided for above.
The extent of liability is in no way limited to, reduced, or lessened by the insurance
requirements contained elsewhere within this agreement.
Respondent's Signature
04/16/10
Date
TCS
/0
Attachment F (1 of 5)
INSURANCE REQUIREMENTS
FOR CONTRACT
INSTALLATION OF HYDRANTS IN MONROE COUNTY, FL
BETWEEN
MONROE COUNTY, FLORIDA
AND
J.A. LaROCCO ENTERPRISE, Inc.
Prior to the commencement of work governed by this contract, the Contractor shall obtain
General Liability Insurance. Coverage shall be maintained throughout the life of the contract
and include, as a minimum:
• Premises Operations
• Products and Completed Operations
• Blanket Contractual Liability
• Personal Injury Liability
• Expanded Definition of Property Damage
The minimum limits acceptable shall be:
$500,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$250,000 pef Person
$500,000 per Occurrence
$ 50,000 Property Damage
An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its
provisions should include coverage for claims filed on or after the effective date of this contract.
In addition, the period for which claims may be reported should extend for a minimum of twelve
(12) months following the acceptance of work by the County.
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all liability policies issued to satisfy the above requirements.
GL2
11
Attachment F (2 of S)
GENERAL LIABILITY
INSURANCE REQUIREMENTS
FOR CONTRACT
INSTALLATION OF FIRE HYDRANTS IN MONROE COUNTY, FL
BETWEEN
MONROE COUNTY, FLORIDA
AND
J.A. LaROCCO ENTERPRISE, Inc.
Recognizing that the work governed by this contract involves either underground exposures,
explosive activities, or the possibility of collapse of a structure, the Contractor's General Liability
Policy shall include coverage for the XCU (explosion, collapse, and underground) exposures
with limits of liability equal to those of the General Liability Insurance policy.
GLXCU
12
Attachment F (3 of 5)
VEHICLE LIABILITY
INSURANCE REQUIREMENTS
FOR CONTRACT
INSTALLATION OF HYDRANTS IN MONROE COUNTY, FL
BETWEEN
MONROE COUNTY, FLORIDA
AND
J.A. LaROCCO ENTERPRISE, Inc.
Recognizing that the work governed by this contract requires the use of vehicles, the Contractor,
prior to the commencement of work, shall obtain Vehicle Liability Insurance. Coverage shall be
maintained throughout the life of the contract and include, as a minimum, liability coverage for:
• Owned, Non -Owned, and Hired Vehicles
The minimum limits acceptable shall be:
$300,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$100,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
VL2
13
Attachment F (4 of 5)
WORKERS' COMPENSATION
INSURANCE REQUIREMENTS
FOR CONTRACT
INSTALLATION OF HYDRANTS IN MONROE COUNTY, FL
BETWEEN
MONROE COUNTY, FLORIDA
AND
J.A. LaROCCO ENTERPRISE, Inc.
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Workers' Compensation Insurance with limits sufficient to respond to the applicable state
statutes.
In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less
than:
$500,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$500,000 Bodily Injury by Disease, each employee
Coverage shall be maintained throughout the entire term of the contract
Coverage shall be provided by a company or companies authorized to transact business in the
state of Florida.
If the Contractor has been approved by the Florida's Department of Labor, as an authorized self -
insurer, the County shall recognize and honor the Contractor's status. The Contractor may be
required to submit a Letter of Authorization issued by the Department of Labor and a Certificate
of Insurance, providing details on the Contractor's Excess Insurance Program.
If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required.
In addition, the Contractor may be required to submit updated financial statements from the fund
upon request from the County.
WC2
14
Attachment F (5 of 5)
MONROE COUNTY, FLORIDA
Request For Waiver
of
Insurance Requirements
It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be
waived or modified on the following contract.
Contractor:
Contract for:
Address of Contractor:
Phone:
Scope of Work:
Reason for Waiver:
Policies Waiver
will apply to:
Signature of Contractor:
Approved Not Approved
Risk Management
Date
County Administrator appeal:
Approved:
Date:
Board of County Commissioners appeal:
Approved:
Meeting Date:
Not Approved:
Not Approved:
15
Attachment C
LOCAL PREFERENCE FORM
A. Vendors claiming a local preference according to Ordinance 023 -2009 must complete this form.
Name of Bidder/Responder J.A. LaRoCCo Ent. InC . Date: 0 4 / 1 6 / 1 0
1. Does the vendor have a valid receipt for the business tax paid to the Monroe County Tax Collector dated at least
one year prior to the notice or request for bid or proposal? yes (Please furnish copy. )
2. Does the vendor have a physical business address located within Monroe County from which the vendor operates
or performs business on a day to day basis that is a substantial component of the goods or services being offered to
Monroe County? yes
List Address: 743 Largo Rd, Key Largo, FL 33037
Telephone Number: ( 3 05 ) 4 5 3— 0 3 6 8
B. Does the vendor/prime contractor intend to subcontract 50% or more of the goods, services or construction to
local businesses meeting.the criteria above as to licensing and location?
If yes, please provide:
1. Copy of Receipt of the business tax paid to the Monroe County Tax Collector by the subcontractor dated at least
one year prior to the notice or request for bid or proposal.
2. Subcontractor Address within Monroe County from which the subcontractor operates:
Tel. Number
Print Name: John LaRoCCo
Predident
STATEOF Florida
COUNTY OF Monroe
On this 1 6thday of April 201 0 , before me, the undersigned notary public, personally appeared
John LaROCCo , known to me to be the person whose name is subscribed above or who produced
persona y knOWr;�s identification, and acknowledged that he/she is the person who executed the above
Local Preference form for the purposes therein contained.
Notary Public
Brian K. Conover
Print Name
My commission expires: Seal
BRIAN K11IiM CONOVE'R (6
=p: MY COMMISSION # D0907644
_ EXPIRES July 14, 2013
7)Sgg.9153 �nondaNry$°rv"'Com
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Client#: 85961
JALARI
ACORO., CERTIFICATE OF LIABILITY INSURANCE DATE(MWDOMY)
06/2801110
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER.
IMPORTANT. If the certificate holder Is an ADDITIONAL INSWREff, the policy es must be endorsedSUBROGATION IS WAIVED, subject to
the terns 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 Ileu of such endonsement(s).
PRODUCER
Adv. Ins. LIW - ESTERO
10600 Chevrolet Way Ste. 200
PMONE 954 963-6866 , 9549641438
Estero, FL 33928
ADDRESS:
IDr.
239 949-1888
AFFORDING COVERAGE
MAIL t
1°'s 0
J. A. LaRocco Enterprise, Inc.
ROMER A I FCCI Insurance Company
--
I SURtER B :
743 Largo Road
sN UM R C ,
Key Largo, FL 33037
INSURER D •
INSURER E •
INSURER F :
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vW YCrI rrr'n.wrC.raIAOCl1: We n¢r arr rYn
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE I NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS.
TYPE OF INSURANCE
POLICY NUMBER
PRIEM
WITS
A
GENERALLwBILm
X COMMEWAAL GENERAL UABILm
CLAIMS -MADE X OCCUR
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$1000 000
$109,000
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$10 000
PERSONAL a AOV KMY
a1J0M000 — —
OENERM1LAGGREGATE
000
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POLICY LOC
PRODUCTS • COHrPA7P AGG
s2 000.000
$
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AUTOMOBILE
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ANY AUTO
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SINGLE L"'T
$1 OOO 000
BODILY INJURY (Per Pinson)
S
ALL OWNED AUTOS
BODILY INAAIY (Par aeddeM
S
SCHEDULED AUTOS
HIRED AUTOS
X
PROPERTY DAMAGE
(Peracddam)
$
X
NON -OWNED AUTOS
S
$
A
UMBRELLA LIAS
X
OCCUR
UMBOODS0993
02JI312010
02M312011
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$t 000 000
AGGREGATE
S1 000 000
EXCESS LIAR
CLARAS•MADE
DEDUCTIBLE
$
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RETENTION S
A
WORKFJTSCOMPENSATION
AND EMPLOYERS, LL4MU Y Y / N
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E.L. DISEASE - EA EMPLOYE
0000 s1 0,0
E.L. DISEASE • POUCY LIMIT
$1 000 000
DESCRIPT "OF OPERATIONS/ LOCATIONS / VEHICLES (AWoh ACORD tot, Add0a" Ramrks SeheduN, R man apse. M reWked)
Monroe County Board of County Commissioners - Additional insured
(See Attached Descriptions)
CERTIFICATE OLDER CANCELLATION 10 Days for Non -Payment
SHOULD ANY OF THE ABOVE DESCRIBED POUCHES BE CANCELLED BEFORE
Monroe County Board of County
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Commissioners
1100 Simonton Street, Room 1-213
AUTHORIZED REPRESENTATIVE
Key West, FL 33040
ACORD 25 (20090) 1 of 2
4S651429/'M651428
01988-2009 ACURO CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SAS
DESCRIPTIONS (Continued from Page 1)
"" General Uability information +"
Job#: 1
" workers comp Information'*
ProprietoraMartnera'Executive Officers/Nlembers Excluded:
John LaRocco, President
AMS 25.3 (2009/09) 2 of 2
#S651429/M651428
2009 / 2010
MONROE COUNTY BUSINESS TAX RECEIPT
EXPIRES SEPTEMBER 30, 2010
Business Name: LAROCCO 3 A
Owner Name: 3 A LAROCCO
Mailing Address: 743 LARGO R
KEY LARGO, I
Rooms
COMP CARD
RECEIPT# 301,40-60562
743 LARGO RD
KEY LARGO, FL 33037
3057453-0368
CONTRACTORS (CONT
ENGINEERING ENG 1245)
Stalls
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11
PAID-105-08-00007049 0,9
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX•RECEIPT Danise D. Henriquez, CFC, Tax Collector THIS IS ONLY A TAX. YOU MUST
WHEN VALIDATED PO Box 1129, Key West, FL 33041 MEET ALL COUNTY AND/OR
MUNICIPALITY PLANNING AND
ZONING REQUIREMENTS.
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MONROE COUNTY MONROE COUNTY
RECEIPT NO. 128230 CC: ENGI THIS IS TO CERTIFY THAT
ISSUE DATE: 11/04/2009 FEE DUE 200.00 LAROCCO, JOHN A
COUNTY LIC# ENG I 245 FEE PAID 200.00 QUALIFIES ASENGINEERING A I
THIS CERTIFIES THAT THIS CERTIFICATE EXPIRES ON
LAROCCO, JOHN A 10/31/11
QUALIFIES AS A ENGINEERING CONT I UNLESS REVOKED''"
IN GOOD STANDING AND THIS CERTIFICATE ACCORDING TO ���
r� r
OF COMPETENCY IS VALID AND IN FORCE
UNTIL 10/31/11
BUILDING OFFICIAL
LAROCCO, JOHN A
J A LAROCCO ENTERPRISE INC
424 SUNSHINE BLVD
TAVERNIER FL, 33070
CERTIFICATE OF COMPETENCY