Consent to Assignment 07/17/2013AMY REAVIIIN, CPA
CLERK OF CIRCUIT COURT &COMPTROLLER
Mroxxxoe canrrr, FLORIDA
DATE: August 16, 2013
TO: Dent Pierce, Director
Public Works Division
ATTN: Beth Leto, Assistant Director
Public Works Division
FROM. Vitia Fernandez, D. C.
At the July 17, 2013, Board of County Commissioner's meeting the Board granted approval of
the following items:
Item C6 ✓ Copsent to Assignment Agreement with Best Janitorial & Supplies, Inc., hereafter
ASSIGNOR and''Miami Janitorial Supplies, Inc., hereafter ASSIGNEE for janitorial services at the Big
Pine Key Library.
Item C7 Consent to Assignment Agreement with Best Janitorial & Supplies, Inc., hereafter
ASSIGNOR and Miami Janitorial Supplies, Inc., hereafter ASSIGNEE for janitorial services at the
George Dolezal Library - Marathon.
Item C8 Consent to Assignment Agreement with Best Janitorial & Supplies, Inc., hereafter
ASSIGNOR and Miami Janitorial Supplies, Inc., hereafter ASSIGNEE for janitorial services at the
Islamorada Library.
Item C9 Consent to Assignment Agreement with Best Janitorial & Supplies, Inc., hereafter
ASSIGNOR and Miami Janitorial Supplies, Inc., hereafter ASSIGNEE for janitorial services at the Key
Largo Library.
Enclosed is an original of each of the above - mentioned for your handling. Should you have any
questions, please feel free to contact our office.
cc: County Attorney
Finance
File
500 Whitehead Street Suite 101, PO Box 1980, Key West, FL 33040 Phone: 305- 295 -3130 Fax: 305- 295 -3663
3117 Overseas Highway, Marathon, FL 33050 Phone: 305 -289 -6027 Fax: 305- 289 -6025
88820 Overseas Highway, Plantation Key, FL 33070 Phone: 852 -7145 Fax: 305- 852 -7146
CONSENT TO ASSIGNMENT
This Consent to Assignment is entered into this 17th day of July, 2013, by and between Monroe
County, a political subdivision of the State of Florida, hereafter COUNTY, and Best Janitorial &
Supplies, Inc., hereafter ASSIGNOR, and Miami Janitorial Supplies, Inc., hereafter ASSIGNEE.
WHEREAS, on May 18, 2011, the parties entered into an agreement to provide janitorial
services four (4) days per week for the BIG PINE KEY LIBRARY, Monroe County (hereinafter
"Original Agreement "); and
WHEREAS, on September 15, 2011, the County extended the number of days the library
is open which resulted in the parties amending the contract on March 21, 2012 to add one
additional day per week of janitorial services at the library, increasing the monthly fee and
exercising the first renewal option; and
WHEREAS, on May 15, 2013, the COUNTY and ASSIGNOR entered into a second renewal
contract for the provision of janitorial services, which will expire May 31, 2014; and
WHEREAS, the COUNTY received notice on or about June 11, 2013 that Best Janitorial &
Supplies, Inc. will be "shutting down operations" and wishes to assign and transfer all rights, title, interest
and obligations of the second renewal contract to Miami Janitorial Supplies, Inc.; and
Now therefore, inconsideration of the mutual promises of the original agreement as amended
herein, the parties agree as follows:
1. Effective August 01, 2013, the Assignor assigns to Assignee all the Assignor's rights, title
and interest in the original agreement as amended. Miami Janitorial Supplies, Inc., as
assignee, will be substituted for Best Janitorial & Supplies, Inc., as assignor.
2.
3.
In consideration for such consent, the Assignee agrees to be bound by all the terms and
conditions of the original agreement, as amended above.
All Notices will be sent to Miami Janitorial Supplies, Inc. 696 �' '163 ' 1
3
ement dated May 18, 2011, as amended, not inconsistent
ect.
BOARD OF COUNTY COMMISSIONERS
OF MON E COUN Y „FLORIDA
By: y
Mayor /Chairman
Witnesses:
By 0 6re) �' s 6Q5;a
L9 /-6f VP aA
Best Janit &Suppl�Inc. �SIGNOR)
By:
Signature
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Printed Name o
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Date: Oq— 6T 1 -3
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Witnesses: r
By VIA I j oia
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Miami Janitorial Supplies, Inc. (ASSIGNEE)
By:
Signature
64 •�1�;
Printed Name
Date: 07- Of 13
MONROE COUNTY ATTORNEY
APPROVED AS TO FORM:
4CA ntf-sc'7f)"N t A—,,,naI) ✓
CHRISTINE M. LIMSERT- BARROWS
ASSISTANT COUNTY ATTORNEY
Date ( 9A2
2
�t Nf1 0R
bit
W9
Request for Taxpayer
Give Form to the
Rev. December 2011)
Identification Number and Certification
requester. Do not
send to the IRS.
3epartment of the treasury
nternal Revenue Service
Name (as shown on your income tax return) _
/,V )1 / J tN / ? f r� L S 1) 1
N
Business r,amerdisrogarded entity name, if different from above
al
9
m
C Check
appropriate box for federal tax classification:
❑ Individual /sole proprietor [� C Corporation ❑ S Corporation ❑ Partnership ❑ Trust /estate
a
t—t
LJ Exempt payee
U
❑ Limited liability company. Enter the tax classification ,C -C corporation. S =S corporation. P= partnership) ►
O
C „
C
El Other tree instructions) It _
Address (number, street, and apt. or suite no.)
Requester's name and address (optional)
City, state, and ZIP code
list account numbers) here (optional)
Taxpayer identification Number (TIN
Enter your TIN in the appropriate box. The TIN provided must match the name given on the "Name" line social security
number
to avoid backup withholding. For individuals, this is your social security number (SSN). However, fora =-M-FTF
resident alien, sole proprietor, or disregarded entity, see the Part 1 instructions on page 3. For other
unfitfac it is unr v omninvpr Identification number IFIN). If you do not have a number, see How to oet a
TIN on page 3.
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose j Employer identification number
number to enter. FA3 I ,3 e �! ,
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. 1 am not subject to backup withholding because: (a) I aril exempt from backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that i am subject to backup withholding as a result of a failure to report all interest or dividends. or (c) the IRS has notified me that I am
no longer subject to backup withholding, and
3. 1 am a U.S. citizen or other U.S, person (defined below).
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax return, For real estate transactions, item 2 does not apply. For mortgage
interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and
generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TiN. See the
instructions on page 4.
Sign Signature of
Here I U.B. person ► "t fi? °; Date 0
General instructions
Section references are to the Internal Revenue Cade unless otherwise
noted.
Purpose of Form
A person who is required to file an information return with the IRS must
obtain your correct taxpayer identification number (TiN) to report, for
example. income paid to you, real estate transactions, mortgage interest
you paid, acquisition or abandonment of secured property, canceilabor
of debt, or contributions you made to an IRA.
Use Form W -9 only if you are a U.S. person (including a resident
alien), to provide your correct TiN to the person requesting it (the
requester) and, when applicable, to:
1. Certify that the TIN you are giving is correct (or you are waiting for a
number to be issued),
2. Certify that you are not subject to backup withholding, or
Note, It a requester gives you a form other than Form W -9 to request
your TIN, you must use the requester's form if it is substantially similar
to this Form W -9.
Definition of a U.S. person. For federal tax purposes, you are
considered a U.S. person if you are:
• An 'individual who is a U.S, citizen or U.S. resident alien,
• A partnership, corporation, company, or association created or
organized m the United States or under the laws of the United States,
• An estate (other than a foreign estate), or
• Adomestic trust (as defined in Regulations section 301.7701 -7).
Special rules for partnerships. Partnerships that conduct a trade or
business in the United States are generally required to pay a withholding
tax on any foreign partners' share of income from such business.
Further, in certain cases where a Form W -9 has not been received, a
partnership is required to presume that a partner is a foreign person,
and pay the withholding tax. Therefore, if you are a U.S. person that is a
3. Claim exemption from backup withholding if you are a U,S. exempt partner in a partnership conducting a trade or business in the United
payee. If applicable, you are also certifying that as a U.S. person, your States, provide Form W -9 to the partnership to establish your U.S.
allocable share of any partnership income from a U.S. trade or business status and avoid withholding on your share of partnership income.
is not subject to the withholding tax on foreign partners' share of
effectively connected income.
Cat. No. 10231X Form w -S (Rev. 12 -2011)
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WOIiNR COMP: EXCLUDED OFFICER: CARaELA DMZ
30 DAY NOTICE OF CANCELLATION FROM INSURANCE COMPANY. 1
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