1996/1997..11/12/1996BRANCH OFFICE
3117 OVERSEAS HIGHWAY
MARATHON, FLORIDA 33050
TEL. (305) 289-6027
FAX (305) 289-1745
Amp 1. Rotjagt
CLERK OF THE CIRCUIT COURT
MONROE COUNTY
500 WHITEHEAD STREET
KEY WEST, FLORIDA 33040
TEL. (305) 292-3550
FAX (305) 295-3660
MEMORANDUM
TO: Lynda M. Stuart, Office Manager
Tourist Development Council
Attention: Ginger Sager, Administrative Assistant
FROM: Ruth Ann Jantzen
Deputy Clerk
DATE: December 20, 1996
BRANCH OFFICE
UM OVERSEAS HIGHWAY
PLANTATION KEY, FLORIDA 33070
TEL (305) 852-7145
FAX (305) 852-7146
i
At the November 12, 1996 County Commission Meeting, the Board granted
approval and authorized execution of an Agreement between Monroe County and Prange s
& O'Hearn, Inc., Marketing and Research Group to provide a Visitor Profile Survey in
an amount not to exceed $38,437.500 fiscal year 199, and $5,662.50 for fiscal year 1998. R
Enclosed please rind two fully executed duplicate originals of the above
Agreement; one for return to your provider, and one for your files.
If you have any questions, please do not hesitate to contact this office.
cc: County Attorney
Finance - Karin Goddard
County Administrator, w/o document
File
' r
VISITOR PROFILE SURVEY AGREEMENT
THIS AGREEMENT is entered into this /Z 6( day of %�b1% M b�� , 1996, by
and between the BOARD OF COUNTY COMMISSIONERS, Monroe County, Florida,
hereinafter referred to as the COUNTY and PRANGE & O'HEARN, INC. MARKETING AND
RESEARCH GROUP, hereinafter referred to as FIRM;
WITNESSETH
WHEREAS, FIRM is qualified to provide services, and;
WHEREAS, the Monroe County Tourist Development Council (TDC) has recommended
this contract be entered into provide services, and;
WHEREAS, the COUNTY wishes to enter into this Agreement for services with the
FIRM,
1. TERM: The term of this Agreement is for a period of fourteen (14) months
commencing November 1, 1996 and terminating December 31, 1997 subject to Section 10
herein.
2. SERVICES: In consideration of the base monthly contractual amo t, the -FIRM
shall provide the following services on behalf of the Florida Keys & Key West:
A. Survey Design -- Develop survey instrument, restricting the numb' of
questions so that the interview can be completed in a 3-5 minute time frar.-ne. PMtest
questionnaire to ensure validity of response and timing requirements.
B. Field Set -Up -- Identify key locations for interview sites. Develop a rotation plan
for the locations selected, to provide alternates to unproductive sites as well as to
broaden the reach of the field interviewing crew. Recruit interviewers from local labor
pool from various locations in the Keys. Instruct interviewers in respondent selection
techniques to be used, qualification criteria, and survey instrument administration.
Supervise interviewers in the field.
C. Data Collection -- Develop project schedule to provide a guide for interview
completion. Conduct intercept interviews with visitors at selected locations throughout
the five regions of Monroe County (Key Largo, Islamorada, Marathon, Lower Keys, and
Key West). Achieve a quota of 200 completed interviews (approximately 50 per month)
in each region during each season, for a total interview base of 3,000 per year. Rotate
schedule so that days of the week are covered and a variety of visitors are interviewed.
1
D. Data Cleaning and Input -- Review each questionnaire for completeness and
legibility. Input survey responses and deliver to TDC monthly survey data on diskette,
in a format compatible with TDC's computer software.
3. REPORTS: The FIRM shall provide to TDC Administrative Office, 3406 N.
Roosevelt Blvd., Key West, Florida, reports and documentation of results of services. Reports
shall show, at a minimum:
Monthly survey data on diskette, in a format compatible with TDC's computer software.
All completed questionnaires and other hard copy from field work.
4. COMPENSATION: The FIRM's fee shall be $40,500, with an additional amount
of no more than $3,600 per year for approved expenses as specified in Exhibit A attached
hereto and incorporated herein by reference. Expenses which shall be reimbursed at cost are
described in Exhibit A with the maximum reimbursements allowed for fiscal year ending
September 30, 1997 and for fiscal year ending September 30, 1998. The maximum
reimbursement allowed for each of the remaining years shall be determined by the annual
budget process and shall be documented at those times by the TDC line item budget for such
expenses, which budget documents, upon approval by County, shall become unilateral
addendum's to this agreement and transmitted to FIRM. Monroe County's performance and
obligation to pay under this contract is contingent upon an annual appropriation by the BOCC.
5. BILLINGS: The FIRM shall submit to the TDC Administrative Office an initial
billing for 25% ($10,125), due upon receipt of the project design document, followed by 12
equal monthly billings of $2,531.25 for contract services, and up to $300 per month for all
other approved charges incurred during the previous month for which payment is due from the
COUNTY as authorized under this Agreement. The COUNTY shall be responsible for
payment of all authorized fees and costs due the FIRM while this Agreement is in force which
fees and costs are described and limited in paragraph 4 and Exhibit A. Said payments shall
be sent by mail by COUNTY directly to Prange & O'Hearn, Inc., 6401 SW 87 Avenue, Suite
120, Miami, FL 33173.
6. LICENSES AND QUALIFICATION: The FIRM warrants that it is qualified to
perform the services under this agreement and holds any licenses necessary for same.
7. INDEMNIFICATION AND HOLD HARMLESS: The Contractor covenants and
agrees to indemnify and hold harmless Monrare County Board of County Commissioners from
any and all claims for bodily injury (including death), personal injury, and property damage
E
(including property owned by Monroe County) and any other losses, damages, and expenses
(including attorney's fees) which arise out of, in connection with, or by reason of services
provided by the Contractor or any of its Subcontractor(s) in any tier, occasioned by the
negligence, errors, or other wrongful act or omission of the Contractor or its Subcontractors in
any tier, their employees, or agents.
In the event the completion of the project (to include the work of others) is delayed or
suspended as a result of the Contractor's failure to purchase or maintain the required
insurance, the Contractor shall indemnify the County from any and all increased expenses
resulting from such delay.
The first ten dollars ($10.00) of remuneration paid to the Contractor is for the
indemnification 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.
8. INSURANCE: See "Exhibit B" for insurance requirements.
9. APPROVALS AND CHANGES OF SPECIFICATIONS OF SERVICES: The
TDC shall have the sole and exclusive right to approve, modify, reject, or cancel any and all
plans, proposals, submissions and other work in process, in which event the TDC's directions
shall be immediately implemented. However, nothing in this Agreement shall be construed as
requiring the FIRM to violate any contractual commitments to vendors contracted on TDC's
behalf. All contractual commitments to contracted vendors require the TDC's prior written
approval. The COUNTY shall only be liable for charges approved in writing prior to the
FIRM's entering into such contractual commitment. If any modifications to the specifications
become substantial, the FIRM may elect to re -negotiate the cost of deliverables under the
revised specifications.
The performance of all services between FIRM as described and otherwise provided
under this Agreement will be in full cooperation with and under the direct supervision of the
TDC. Whenever approval is required from the TDC, said approval shall be in writing from the
TDC Administrative Director or a designee, according to TDC policy.
10. TERMINATION: RENEWAL: Either party shall have the right to cancel this
Agreement at its sole discretion upon sixty (60) days written notice to the other party. FIRM
shall deliver to TDC and COUNTY all papers and other materials related to the work
3
performed under this Agreement upon termination thereof. County shall pay FIRM only for
such reimbursable expenses authorized prior to termination. If, for any reason, funds are not
appropriated in any fiscal year, FIRM will be given fifteen (15) days notice of termination, and
FIRM will not be required to continue services or produce deliverables after the termination
date.
The COUNTY shall have the option of renewing this agreement for an additional one
(1) year under the same terms and conditions subject to negotiation of monetary terms and
provided the COUNTY provides FIRM prior written notice of its election of this option no later
than thirty days before this agreement expires.
11. DISCLOSURE OF FINANCIAL INTERESTS: The FIRM agrees to disclose any
existing financial interest in its business by its suppliers or providers utilized in fulfillment of
this Agreement and shall disclose said interests as they may arise from time to time.
12. APPLICABLE LAW: VENUE: This Agreement shall be governed by and
construed according to the laws of the State of Florida and all actions brought under or
pursuant to this Agreement shall be brought in a court of competent jurisdiction in Monroe
County, Florida.
13. ENTIRE AGREEMENT AMENDMENT: This writing embodies the entire
Agreement and understanding between the parties hereto, and there are no other agreements
or understandings, oral or written, with reference to the subject matter hereof that are not
merged herein and superseded hereby. Any amendment to this Agreement shall be in writing
and signed by both the COUNTY and FIRM.
14. LAWS AND REGULATIONS: It shall be understood and agreed that any and all
services, materials and equipment shall comply fully with all Local, State and Federal laws
and regulations.
15. TAXES: The Board of County Commissioners and TDC are exempt from
Federal Excise and State of Florida Sales Tax. State Sales Tax and Use Tax Certificate
Number is 03000 210354.
16. FINANCE CHARGES: The COUNTY and TDC, shall not be responsible for any
finance charges.
17. ASSIGNMENT: The FIRM shall not assign, transfer, convey, sublet or otherwise
dispose of this Agreement, or of any or all of its right, title or interest therein, of his or its
4
power to execute such contract to any person, company or corporation without prior consent
of the COUNTY.
18. OWNERSHIP: All work performed under the Agreement shall be the property of
the TDC and COUNTY, for whatever use and/or disposition the TDC and COUNTY may deem
appropriate. Such property shall include: a) all plans, documents and recommendations; b)
All manuscripts, copy, graphics, and videotapes. The TDC and COUNTY shall have the full
right to reproduce and/or use any products derived from the contractor's work under the
Agreement without payment of any royalties, or fees. No reproduction of said property shall
be made by FIRM or any other entity for purposes of resale.
19. COMPLIANCE WITH LAWS - NONDISCRIMINATION: The firm shall comply
with all federal, state and local laws and ordinances applicable to the work or payment for
work thereof, and shall not discriminate on the grounds or race, color, religion, sex, age, or
national origin in the performance of work under this Agreement. This Agreement shall be
subject to all federal, state, and local laws and ordinances.
20 NOTICE: Whenever notice is required by this Agreement to be give to either
party, said notice shall be delivered to:
For County: Ms. Lynda Stuart For FIRM: Jack O'Hearn, President
Monroe County TDC Prange & O'Hearn, Inc.
3406 N. Roosevelt Blvd., Suite 201 6401 SW 87 Avenue, Suite 120
Key West, FL 33040 Miami, FL 33173
21. SEVERABILITY: If any provision of this Agreement shall be held by a Court of
competent jurisdiction to be invalid or unenforceable, the remainder of this Agreement, or the
application of such provision other than those as to which it is invalid or unenforceable, shall
not be affected thereby; and each provision of this Agreement shall be valid and enforceable
to the fullest extent permitted by law.
22. The FIRM agrees to furnish the TDC with copies of bids of subcontractors.
23. ETHICS CLAUSE: The FIRM warrants that no person has been employed or
retained to solicit or secure this contract upon an Agreement or understanding for a
commission, percentage, brokerage, or contingent fee and that no member of the Monroe
County government or the TDC has any interest, financially or otherwise, in the FIRM or its
subcontractors.
5
IN WITNESS WHEREOF, the parties hereto have caused this instrument to be
executed in their names, and seals impressed hereon, by their proper officials, all as of the
and year first above written.
L. Kolhage, Clerk
(CORPORATE SEAL)
Attest:
LIM
_i.
Secretary
Board of County Commissioners
of Monroe County
MM - Tivag'r
-
Prange & O'Hearn, Inc. Marketing and
research Group
By
President
APPRO ED AS TO FOR
AN GAL SUFFICIEN
BY
NNE A U N
ATE 9
E.
Exhibit A
PROJECT BUDGET
Initial Investment (due upon delivery of project design document)
Monthly Payments
December 1996 through September 1997
October through November 1997
FY 96-97 FY 97-98
$10,125.00 $ 0.00
$25, 312.50
$ 5,062.50
Miscellaneous Expenses Maximum Monthly Payment
Miscellaneous expenses may include travel, lodging, printing, mailing, couriers,
postage, respondent incentives (if required), etc. Expenses will be approved in
advance and billed separately.
December 1996 through September 1997 $ 3,000.00
October through November 1997 $ 600.00
Total Project Budget FY 96-97 $35,437.50
Total Project Budget FY 97-98 $ 5,062.50
Total Possible Miscellaneous Expenses Budget FY 96-97 $ 3,000.00
Total Possible Miscellaneous Expenses Budget FY 97-98 $ 600.00
7
EXHIBIT B 19% Edition
RISK MANAGEMENT
POLICY AND PROCEDURES
CONTRACT ADMINISTRATION
MANUAL
General Insurance Requirements
for
Other Contractors and Subcontractors
As a pre -requisite of the work governed, or the goods supplied under this contract (including the
pre -staging of personnel and material), the Contractor shall obtain, at his/her own expense,
insurance as specified in any attached schedules, which are made part of this contract. The
Contractor will ensure that the insurance obtained will extend protection to all Subcontractors
engaged by the Contractor. As an alternative, the Contractor may require all Subcontractors to
obtain insurance consistent with the attached schedules.
The Contractor will not be permitted to commence work governed by this contract (including
pre -staging of personnel and material) until satisfactory evidence of the required insurance has
been furnished to the County as specified below. Delays in the commencement of work,
resulting from the failure of the Contractor to provide satisfactory evidence of the required
insurance, shall not extend deadlines specified in this contract and any penalties and failure to
perform assessments shall be imposed as if the work commenced on the specified date and time,
except for the Contractor's failure to provide satisfactory evidence.
The Contractor shall maintain the required insurance throughout the entire term of this contract
and any extensions specified in the attached schedules. Failure to comply with this provision
may result in the immediate suspension of all work until the required insurance has been
reinstated or replaced. Delays in the completion of work resulting from the failure of the
Contractor to maintain the required insurance shall not extend deadlines specified in this contract
and any penalties and failure to perform assessments shall be imposed as if the work had not
been suspended, except for the Contractor's failure to maintain the required insurance.
The Contractor shall provide, to the County, as satisfactory evidence of the required insurance,
either:
• Certificate of Insurance
or
• A Certified copy of the actual insurance policy.
The County, at its sole option, has the right to request a certified copy of any or all insurance
policies required by this contract.
All insurance policies must specify that they are not subject to cancellation, non -renewal,
material change, or reduction in coverage unless a minimum of thirty (30) days prior notification
is given to the County by the insurer.
The acceptance and/or approval of the Contractor's insurance shall not be construed as relieving
the Contractor from any liability or obligation assumed under this contract or imposed by law.
Administration Instruction
#4709.2 14
19% Edition
The Monroe County Board of County Commissioners, its employees and officials will be
included as "Additional Insured" on all policies, except for Workers' Compensation.
Any deviations from these General Insurance Requirements must be requested in writing on the
County prepared form entitled "Request for Waiver of Insurance Requirements" and
approved by Monroe County Risk Management.
Administration Instruction
#4709.2 15
1996 Edition
GENERAL LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
General Liability Insurance. Coverage shall be maintained throughout the life of the contract and
include, as a minimum:
• Premises Operations
• Products and Completed Operations
• Blanket Contractual Liability
• Personal Injury Liability
• Expanded Definition of Property Damage
The minimum limits acceptable shall be:
$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
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 follo«zng the acceptance of work by the County.
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
GLl
Administration Instruction
#4709.2 53
1996 Edition
VEHICLE LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
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-0,Amed, and Hired Vehicles
The minimum limits acceptable shall be:
$100,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$ 50,000 per Person
$100,000 per Occurrence
$ 25,000 Property Damage
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
VL1
Administration Instruction
#4709.2 80
19% Edition
WORKERS' COMPENSATION
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Workers' Compensation Insurance with limits sufficient to respond to Florida Statute 440.
In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less
than:
$100,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$100,000 Bodily Injury by Disease, each employee
Coverage shall be maintained throughout the entire term of the contract.
Coverage shall be provided by a company or companies authorized to transact business in the
state of Florida.
If the Contractor has been approved by the Florida's Department of Labor, as an authorized self -
insurer, the Countv shall recognize and honor the Contractor's status. The Contractor may be
required to submit a Letter of Authorization issued by the Department of Labor and a Certificate
of Insurance, providing details on the Contractor's Excess Insurance Program.
If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required.
In addition, the Contractor may be required to submit updated financial statements from the fund
upon request from the County.
WC1
Administration Instruction
#4709.2 87
SWORN STAMMWT PURSUANT TO SECIZON 287.133(3)(a),
ELQRIDA STATUTES- ON PUBLIC ENTIIY CRIBIES
THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER
OFFICIAL AUTHORIZED TO ADBUNISTER OATHS..
L This sworn statement is submitted to f 1 on ro e- Gown Fv 60a.r4t of C.oun f GoM,X, c-C.r off erS
a.c k n . D N e.a r n . T e. EPrint of the public entity]
by Q r� es i n1... +
aws umrriauWs name and title]
r_ ran:e. a1ot 0t14c.c.eet XAt (Ylarke�In,g 4Lr10! Re.SQ.0.0-C-k C-tou�
[Print name of entity submitting swnr stnfn.......�
whose business address is
C C{ 01 S w 47 A��rtve
and (if applicable) its Federal Employer Identification Number qMN) is
(If the entity has no FMN, include the Social Security Number of the individual signing this
sworn statement: )
2 I understand that a "public entity crime as defined in Paragraph 287.133(1)(p,), Florida Statutes. means a
violation of any state or federal law by a person with respect to and directly related to the transaction of
business with any public entity or with an agency or political subdivision of any other state or of the United
States, including, but not limited to, any bid or contract for goods or services to be provided to any public
entity or an agency or political subdivision of any other state or of the United States and involving antitrust,
fraud, theft, bribery, collusion, racketeering, conspiracy, or mateaal misrepresentation.
3. I understand that "convicted" or "conviction' as defined in Paragraph 287.133(1)(b), Florida Statutes, means
a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any
federal or state trial court of record relating. to charges brought by indictment or information after July 1,
1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere.
4. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a), Florida Statutes, means:
L A predecessor or successor of a person convicted of a public entity crime; or
2. An entity under the control of any natural person who is active in the management of the entity and
who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors,
UCCutives, partners, shareholders, employees, members, and agents who are active in the management of
an affiliate. The ownersbip by one person of shares constituting a controlling interest in another person,
or a pooling of equipment or income among persons when not for fair market value under an arm's length
agreement, shall be a prima facie case that one person controls another person. A person who knowingly
enters into a joint venture with a person who has been convicted of a public entity crime in Florida during
the preceding 36 months shall be considered an affiliate.
S. I understand that a "person' as defined in Paragraph 287.133(1)(e), Florida Statutes, means any natural
Person or entity organized under the laws of any state or of the United States with the legal power to enter
into a binding contract and which bids or applies to bid on contracts for the provision of goods or services
let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The
term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and
agents who are active in management of an entity.
6. Based on information and belief, the statement which I have madded below is true in relation to the entity
submitting this sworn statement. [Indicate which statement apliles.I
Neither the entity submitting this sworn. statement, nor any of its officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in the management of the entity, nor
any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July
1, 1989.
The entity submitting this sworn statement, or one or more of its officers, directors, executives,
partners, shareholders, employees, members, or agents who are active in the management of the entity, or
an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July
1, 1989.
The entity submitting this sworn statement, or one or more of its ofrt=s, directors, executives,
Partners, shareholders, employees, members, or agents who are active in the management of the entity, or
an afSliate of the entity has bees charged with and convicted of a public entity crime subsequent to July
1, 1989. However, there has been a subsequent proceeding before a Hearing Officer of the State of Florida,
Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that
it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor
list. [attach a copy of the final order]
I UNDERSTAND THAT T33E SOBMISSION OF THIS FORM TO THR CONTRACTING OFFICER FOR THE
PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND,
THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FkT.ED.
I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING
INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION 287.017, $.Q$�A
S FOR CATEGORY TWO OF ANY CHANGE IN THE DWe4KATION CONTAINED IN THIS FORM.
Sworn to and subscribed before me this i E day of 19
Personally known "!
OR Produced identification
Crype of identification)
Form PUR 7068 (Rev. o6/11m)
Notary Public - State ofl`o
My commission expires
r N A r-G too n1
(Printed typed or stamped
commissioned name of notary public)
=o��.pr 11MI Nr
�oN
ccazaass
F FV ~ JAB .; Es
1996 Edition
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: PRANGE & O'HEARN, INC.
Contract for: PROVIDE VISITOR PROFILE SURVEY FOR TDC
Address of Contractor: 6401 SW 87 AVENUE, SUITE 120, MIAMI, FL 33173
Phone:
Scope of Work:
Reason for Waiver:
Policies Waiver
will apply to:
Signature of Contractor:
Risk Management
Date:
(305) 271-8788
SURVEY DESIGN, SET-UP, DATA COLLECTION & REPORTS
COMPANY HAS LESS THAN FOUR EMPLOYEES AND IS THEREFORE EXEMPT
FROM WORKER'S COMPENSATION FLORIDA STATUTE. INTERVIEWERS _
HAVE WORKER'S COMP COVERAGE THROUGH PROFESSIONAL EMPLOYEE
SERVICES AGENCY INC. FOR SUBCONTRACTOR - NATIONAL OPINION
RESEARCH, INC. SEE ATTACHED
WORKER'S COMPENSATION COVERAGE
County Administrator appeal:
Approved
Date:
Board of County Commissioners appeal:
Approved _
Meeting Date:
Administration Instruction
#4709.2
Not Approved
Not Approved
Not Approved
102
4 DATE (MM/DD/")
�s CSR AL
ACORDTM CERTI CAT QF L AB1 TYf NSU: AN PROBE 1 11/22/96
_.
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
William Anthony Ins Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR '
4390 N Federal Hwy, Suite 103 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Ft Lauderdale FL 33308-5200 COMPANIES AFFORDING COVERAGE
WILLIAM W. MCIV CR COMPANY
PhonsNo. 954-772-5590 Fax No. A PCA PROPERTY & CASUALTY CO
INSURED
COMPANY
B
COMPANY
C
Professional Employee Services
Agency Inc
COMPANY
D
150 NW 168th .Street Spite 300
North Miami FL 33169-6086
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE7
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
GENERAL
LIABILITY
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ❑ OCCUR
PERSONAL & ADV INJURY
$
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$
FIRE DAMAGE (Any one fire)
$
MED EXP (Any one person)
$
AUTOMOBILE
LIABILITY
APPPOVED BY R SK
?,!�,�,14GEMENT
COMBINED SINGLE LIMIT
$
ANY AUTO
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
^Y
q
/ !
BODILY INJURY
(Per accident)
$
-
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
S
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
S
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
WC STATU- OTH-
TORY LIMITS ER
EL EACH ACCIDENT
$ 100, 000.
EMPLOYERS' LIABILITY
EL DISEASE -POLICY LIMIT
5500,000.
A
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
09007899096
01/01/96
01/01/97
EL DISEASE - EA EMPLOYEE
$ 100,000.
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
PRANGEA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
PRANGE AND O r HEARN, INC. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPPO.% NO OBLIGATI R LIABILITY
6401 S.W. 87TH AVENUE STE 120 �w
MIAMI FL 33173 OF ANY KIND UPON THE COMPANY, ITS AG S,k, ENTAT {
AUTHORIZED REPRESENTATIVE
WILLIAM W. McIVER
ACORD 25-S` (1 J95) - WCORD CORPORATI 8
1996 Edition
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: _PRANGE & O'IIEARN, INC.
Contract for: _PROVIDE VISITOR PROFILE SURVEY FOR TDC
Address of Contractor: _ 6401 SW 87 AVENUE,, SUITE 120, MIAMI, FL 33 t73
Phone: • _305) 271-8788
Scope of Work: _SURVEY DESIGN, SET-UP, DATA COLLECTION & REPORTS
Reason for Waiver: _NO AUTOMOBILES OWNED BY THE CORPORATION-F.MPLOYEF,'S
_PRIVATE VEHICLES ARE tlSZD
Policies Waiver AUTO LIABILITY- REQUEST TO PURCHASE ONLY HIRL"D/NON-
will apply to:
'OVERAGE
Signature of Contractor:
Ap rov • _ _ Not Approved _
Risk Management
Date _ — �� C;
co
County Administrator appeal:
Approved: _ — — Not Approved: _
Date:
hoard of County Commissioners appeal•
Approved: — — _ Not Approved:
Meeting Date:
Administration Instruction
#4709.2
102
�o•u o00 ou ib.oi oa_oo nou bOCb-ZG2_COL.am uuunu o u
PRODUCER
INSURED
OSWALD TRIPPE AND COMPANY
OF MIAMI INC
9200 S DADELAND BLVD #314
MIAMI FL 33156
PRANGE & O'HEARN INC
C/O RANDY PRANGE
6401 SW 87 AVE, #120
MIAMI FL 33173
..::.: ................
DA
1►n
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 POLICES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A
THE HARTFORD
COMPANY
B
COMPANY
C
COMPANY
R E Cj E;
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
L Co
TYPE OF INSURANCE
POLICY NUMBER
p ATEl EFFECTIVE
� Y(M�YN
LIMITS
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 7 OCCUR
OWNER'S 6 CONTRACTOR'S PROT
21SBADE1716
3/19/96
3/19/97
GENERAL AGGREGATE
$2 000 000
X
PRODUCTS - COMP/OP AGG
$2 000 00 0
PERSONAL 3 ADV INJURY
$1 0 0 0 0 0 0
EACH OCCURRENCE
$1 000 000
FIRE DAMAGE (Any one fire)
S 300,000
MILD EXP (Any one person)
S 10,000
AUTOMOBILE LIABILITY
21SBADE1716
03/19/96
03/19/97
COMBINED SINGLE LIMB
1,000,000
$
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
DC(`
j�GV
lVE@ DEC
..
1 2
- . _
BODILY INJURY
(P- P—)
=
X
BODILY INJURY
(�'d�)
:
X
PROPERTY DAMAGE
i
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
S
OTHER THAN AUTO ONLY:
EACH ACCIDENT
S
AGGREGATE
S
EXCESS LIABILITY
PUMBRELLA FORM
OTHER THAN UMBRELLA FORM
J Lgt
!
EACH OCCURRENCE
S
AGGREGATE
S
t
WORKER8 COMPENSAIK/N AND
EMPLOYERS' LIABBJTY
THE PROPRIETOR/ INCL
PARTNERS/E IECUTIVE
OFFICERS ARE EXCL
AF%�'n''
Y
i ^.:y� Ginn ' :•t
.. �
STA"T1 ORY LII.;ITS
EACH ACCIDENT
Is
DISEASE - POLICY LIMIT
S
DISEASE -EACH EMPLOYEE
i
OTHER
DATE
WAWER:
N 'A YFS
DESCRIPTION OF OPERATIONS/LOCATIONSNEFICLESoSPECULL ITEMS
CERTIFICATE HOLDER IS ADDITIONAL INSURED.
MONROE COUNTY
ATTN: LINDA MCMINN
3406 N ROOSEVELT BLVD #201
KEY WEST FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT F RE T/QJ MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
KINA UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.