Item D1
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date:February 10, 2016Department:TDC
Bulk Item: YesXNo _Staff Contact /Phone #:Ammie Machan 305-296-1552
AGENDA ITEM WORDING:
Approvalto advertise a Request for Applications for FY 2017 Capital Project Funding
ITEM BACKGROUND:
Application is attached. TDC approved same at their meeting of December 15, 2015
PREVIOUS RELEVANT BOCC ACTION:
CONTRACT/AGREEMENT CHANGES:
_________________________________________________________________________________
STAFF RECOMMENDATIONS:
Approval
TOTAL COST:INDIRECT COST: ______________BUDGETED:
N/AYes XNo ____
DIFFERENTIALOF LOCAL PREFERENCE: _______________________________________
COST TO COUNTY:SOURCE OF FUNDS:
N/ATDC
REVENUE PRODUCING:AMOUNT PER MONTHYear ____
Yes __No
APPROVED BY:
County AttorneyXOMB/Purchasing N/ARisk Management N/A
DOCUMENTATION:
Included XNot Required____
DISPOSITION:AGENDA ITEM #
Revised 6/15
MONROE COUNTY TOURIST DEVELOPMENT COUNCIL
CAPITAL PROJECT (BRICKSAND MORTAR)
FUNDING APPLICATION
REQUEST FOR APPLICATIONS FOR CAPITAL PROJECTS (BRICKSAND MORTAR)
All respondents must use the current application downloaded from the website www.demandstar.com.
Use of any other application will result in your application being rejected.All directions within
the application must be followed or it will not be accepted.
APPLICATION DEADLINE:MAY 3, 2016
All applications should be received no later than 5:00 p.m. (close of business day)
All applications submitted in response to this solicitation should be addressed to:
Monroe County Purchasing Department
nd
1100 Simonton Street, 2Floor, Room 2-213
Key West, Florida 33040
ATTENTION: CAPITAL PROJECT FUNDING APPLICATION
Any applicationsnotsubmittedin a sealed envelope or boxwill be rejected:
A.(1) USB flash drive with complete copy of application as a .pdf
(all attachments must be
merged into one document:Please DO NOT include the instruction pages) and……..
B.One (1) signed and marked as ORIGINAL paper copy PLUS…….
C.The correct number of paper copies for the district for which you are applying:
District I requires 6paper copies ofapplication
District II requires 6paper copies of application
District III requires 5paper copies of application
District IV requires 5paper copies of application
District V requires 6paper copies of application
All inquiries and correspondence should be made to the Monroe County Tourist Development
Council. Contact Maxine Pacini or Ammie Machanat (305) 296-1552. All email correspondence
should be addressed to adminasst@fla-keys.com.
Monroe County Tourist Development Council FY 2017 Capital Project Application
CAPITAL PROJECTFUNDING PROCESS
This application is intended for applicants whose facility has a primary purpose of promoting
tourism.
The Monroe County Tourist Development Council (TDC) administers the four (4) cent bed tax
collected for the purpose of promoting the Florida Keys as a tourist destination. Each year, the
TDC advertises a Request for Applications (RFA) forcapital project funding through the TDC.
governmental entitynon-profit
Projects must be owned and operated by either a or
organizationare not eligible
. Individuals and for-profit organizationsand companiesto apply
for Capital Projects funds. Applicantsmust be registered to do business in Florida.All
applications will be reviewed by the appropriate District Advisory Committees (DAC’s), who shall
make recommendations on funding the project to the TDC. Upon approval of recommended
funding allocation by the TDC, the administrative office will coordinate with the project
coordinator to establish anagreementfor the project, and will present the proposed agreement
to the County for final approval.
This applicationwill be funded as a fifty percent (50%) reimbursement of funds expended
by any individual organization. The applicant must show that all funds (100%) are
available for the project at the time of application so that there is no delay in the progress
of the project, and that TDC funding is not used as “matching” funds.
IMPORTANT INFORMATION
All information furnished or disclosed as part of the applicationprocess is considered public
record by the laws of the State of Florida.
The applicant shall not lobby, solicit or act to influence the advisory committee members and/or
the TDC board membersin any way that may have an effect on the outcome of the competition,
discussion or negotiations leading to the allocation of funding, or an award of an agreementas
reviewed andapproved by the County Attorney’s office. Such action maylead to withdrawal of
the application from consideration.
Commencement of Project:
No portion of the project for which you are seeking TDC funding
may commence prior to the approval of an agreement by the Monroe County Board of County
Commissioners.Once your agreement has been approved by the BOCC then the project work
described in Exhibit A must commence before the end of the fiscal year in which it is funded.
Example:FY 2017funding would be between October 1, 2016to September 30, 2017, or
between the date the BOCC approved your agreement and September 30, 2017. Proof that the
project commenced within the fiscal year funded may be requested by the TDC administrative
office.For projects requesting $10,000 and under please see page 6.
Monroe County Tourist Development Council FY 2017 Capital Project Application
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Prior to filling out application, please go to www.sunbiz.orgto ensure that your organization is
registered to do business in the state of Florida. Only applicants that are duly registered will be
Print out and attach as Exhibit A.
accepted.
Cost of preparation and submission of the application is the responsibility of the applicant.
Applicant shall complete, copy, sign (by an authorized officer) and submit the correct number of
copies of the application to the Monroe County Purchasing Department. (Please DO NOT use
three (3) ring hardbinders, soft binders or spiral binding; no binders are preferred.)
Completed Application:
The application shall be considered complete upon receipt and
should stand alone with no other information being provided after-the-fact other than any
additional information that may be requested by the TDC administrative office, or questions from
the DAC at the allocation meeting.
All attachments should be noted as such in the top right hand corner of each sheet –please do
not use tab inserts.
Applicant shall familiarize itselfwith referenced online materials noted in this application (sample
agreement): http://www.monroecounty-fl.gov/index.aspx?nid=328.
Any part of the project for whichthe applicant wishes to seek reimbursement from the County,
must NOT commence prior to the date of County approval.
Be advised that if your organization is awarded funding you will be required to enter into an
agreementwhich delegates you to maintain accurate and complete documentation of the
project. You will be required to obtain a signed amendment to the agreementbefore making any
substantive changes to the project or you may nullify the County’s obligation to pay. You will be
required to comply with the following reimbursement procedures outlined in the sample
agreementwhich can be found at
http://www.monroecounty-fl.gov/index.aspx?nid=328.
The recipient of TDC capital project funding shall designate aproject manager if no licensed
architect, engineer or general contractor is involved in the project.If the project is performed by
County or City personnel, the project manager shall be the Engineer, Building Official or
Construction Manager of that local government.
Taxes:
The TDC/County is exempt from Federal, Excise and State of Florida Sales Tax.
Maintenance:
The applicant shall be responsible for all maintenance and operational costs of
the premises improved or constructed with the use of funding from the TDC/County. The
applicant shall be responsible to the TDC/County for the safekeeping and proper use of the
property entrusted to applicant's care, to include any and all insurance for the value of the
equipment and any maintenance or service contracts relating to such equipment for its service
life. Any disposal of assets procured through funding under this agreementshall comply with
chapter 274, F.S. or chapter 617, F.S., dependent upon the type of entity funded under this
agreement.
Monroe County Tourist Development Council FY 2017 Capital Project Application
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Permits:
Applicant shall be responsible for securing all federal, state and local development
approval and permits necessary to complete the project.Award of funds under this application
donot indicate any development approval by the County and applicant shall be required to
comply with all County concurrency requirements under land use laws of the County and State.
The TDC/County shall not reimburse for the cost of permits.
Insurance:
Applicant shall provide the TDC/BOCC with current insurance certificatesas per the
requirements set forth within the funding agreement. The TDC/County shall not reimburse for
the cost of insurance relating to the project for whichthe applicant is receiving funding.
Performance Guarantee:
A successful applicant shall warrant, by signing this application, that
applicant has the financial capability of completing the project as planned without the need to
request further funding from TDC/County for same.Applicant shall warrant by signing this
application and confirm in writing (in the form of bank statements; signed letter from the bank
stating that funds are in the bank for the specified project; documentation provided by a financial
institution of a line of credit assigned to the specific project within the application) that applicant
has the funds in place at the time of the application for grant funds to be able to complete the
project prior to seeking reimbursement of TDC funds. A governmental applicant shall provide a
line item budget for the project in question, and proof that the budget has been adopted by the
governing board of that entity.The applicant by signing the application certifies that: applicant,
its principals, and any previously owned business is/are not and have never been in default to
Monroe County under the terms of any contract.(Default means failure to fulfill contractual
obligations where County had to take legal action to obtain remedy or where a bonding company
had to make good for applicant.)
In-kind services:
In-kind services (donated/free/volunteered labor; materials; goods;services)
up to 25% of the total cost of the project may be considered to meet the 100% funding of the
project. Applicant shall provide a schedule of values for each unit of in-kind service and/or
goods at the time of the application. Volunteered labor, as a component of in-kind services, will
be eligible for reimbursement at a reasonable hourly rate for the type of work/service being
performed (e.g. an architect who volunteers to paint will be able to seek reimbursement for the
reasonable rate for the painting work performed not the professional rate of an architect). Should
funding be allocated, County/TDC reserves the right to deny the application of certain in-kind
services and goods and to negotiate arevised schedule of values for permissible items.For
example, county will not accept as in-kind, the waiver of governmental fees,or in-kind towards
the acquisition of property.The amount of in-kind services you note within your application shall
be entered into your final agreement. Applicants will not be able to introduce a request to allow
in-kind services after submission of the application.
Project Quotes and Bidding Process:
Governmental Entities:An applicant which is a governmental entity shall comply with the
procurement regulations and policies to which it is subject.A copy of these policies will need to
be submitted as part of your reimbursement request.
under $50,000or
Not-for-Profits:Work requires two written quotes a notarized statement as to
$50,000
why such written quotes were not obtainable for the work to complete the project.Work
or more
requires a competitive bid process. These will need to be submitted as part of your
reimbursement request.
Monroe County Tourist Development Council FY 2017 Capital Project Application
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Construction and Other Contracts:
Applicant, by signing the application, warrants that, if
awarded funds for the project, all contracts, for construction or otherwise, to complete the project
shall be met in compliance with all applicable laws and County purchasing policy and to comply
.
particularly with F.S. Chapter 255, Chapter 274 and Chapter 287Applicant further agrees to
provide TDC/County and their designated representatives with:
a)access to the project premises for inspection of the progress of the project;
b)documentation including copies of all sub-contracts/Request For Bids verifying
compliance with purchase/construction/architectural contract requirements of the
County [Notice to owner: list of sub-contractors must be provided to County];and
c)access to all records concerning the project.These records must be retained by
applicant for a minimum of four (4) years after the termination date of agreement.
This requirement may be for a different time period than that required by other
government agencies. All records must be kept in accordance with Generally
Accepted Accounting Principles.
Termination for Default/Convenience:
The TDC/County reserves the right to terminate any
agreementif, in its opinion, there shall be a failure at any time to properly perform faithfully any
portion of the project as funded by TDC/County according to the plan presented with the
application, or as modified and accepted in writing by TDC/County. Further, TDC/County
reserves the right to terminate payments under this agreementshould the anticipated funding
become unavailable for any reason.Should termination occur under this provision, TDC/County
shall give applicant thirty (30) days notice prior to termination.
Payments:
Applicant shall submit all documentation required by the County Finance
Department in accordance with instructions from said department, prior to payment of any funds
The TDC Application for Payment forms provided in the TDC reimbursement
awarded.
package shall be used.
Ten percent (10%) of every progress payment shall be withheld by
County until certification of completion of project.
Design/ArchitecturalCosts:
Finaldesign plans and architectural costswill be paid upon
completion of the physical bricksand mortar portion of the project outlined within the
agreement.Applicant shall submit for reimbursement of final design plans and architectural
services within the last segment of their proposed project (Exhibit A).This is to ensure that TDC
dollars are used for completed projects that are open to the public.No portion of the final design
plans or architectural drawings for which you are seeking TDC funding may commence prior to
the approval of an agreement by the Monroe County Board of County Commissioners.
Applicant may submit a preliminary plan within their application to provide the District Advisory
Committee and TDC with an idea of the proposed plan.
Acquisition of Property:
Applications for acquisition of property will only be considered if the
applicant can confirm availability of funding for one hundred percent (100%) of the purchase
price through a bank statement showing that the entity has funding set aside in a line item for
the purchase of the property, or that a loan from a financial institution has been fully approved;
there are no liens on the property; and a clear title of ownership will be held by the entity
requesting funding upon the closing of the purchase of the property. A clear title in the name of
the contracting entity will be required to submit for reimbursement of the TDC funds allocated.
The property shall be used for a minimum of ten (10) years as a tourist facility. The County will
evaluate non-compliance of use as a tourist facility and upon request by the County the
Monroe County Tourist Development Council FY 2017 Capital Project Application
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applicant shall pay a prorated reimbursement of funding allocated. The purchase or down
payment of the property may not commence prior to approval of a funding agreement between
the County andcontracted entity. No in-kind services apply to the purchase of property, and
payment will be made in one reimbursement check upon completion of the requirements set
forth within the funding agreement. A Restrictive Covenant on the property will be required to
secure TDC/County funds.
Acknowledgements:
Applicant shall be required to display an appropriate public
acknowledgment of the support of the Monroe County Tourist Development Council in a publicly
prominent area of the project.
Funding Allocations:
DAC recommendation on funding allocations shall be limited to
recommending allocations which do not exceed the amount requested by the applicant.
Funding requests may be denied, or reduced to a lesser amount than requested by the
applicant.
Projects Requesting $10,000 and Under:
Projects requesting $10,000 and under may enter
into a “Streamlined Process” (this eliminates the requirement fora formal contract to be entered
into with theBoard of County Commission which allows a faster start time for your project;
insurance documentation; and County Engineer Department approval of work completed)
whereby the applicant will swear or affirm that the work will be completed in accordance withthe
Streamline Process.Upon approval by the TDC, the administrative office will provide the
applicant with a commencement date; project summary sheet; and reimbursement package.
Applicant will be required to comply with reimbursement procedures outlined in the sample
Project Summary Sheet, which can be found athttp://www.monroecounty-
fl.gov/DocumentCenter/Home/View/9761.
Public Record:
All information furnished or disclosed as part of the application process is
considered public record by the laws of the State of Florida.
DISTRICT ADVISORY COMMITTEE WORKSHOPS FOR APPLICANTS
Workshops will be held in each of the districts at the following venues and times for those
applicants that are interested in applying for funding (Please note that all venues and times are
subject to change and can be confirmed by callingthe TDC administrative office at (305) 296-
1552):
District I:March 2, 2016Harvey Government Center3:00 p.m.
District II:March 1, 2016Lower KeysChamber of Commerce6:00 p.m.
District III:March 2, 2016Hawks Cay9:30 a.m.
District IV:March 1, 2016Cheeca Lodge2:00 p.m.
District V:March 1, 2016Murry Nelson Government Center10:00 a.m.
Monroe County Tourist Development Council FY 2017 Capital Project Application
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PERMISSIBLE USES FOR CAPITAL PROJECT FUNDS
This application is intended for applicants whose facility has a primary purpose of promoting
tourism.
governmental
All capital projects funded by TDC shall be owned and operated by either a
entitynon-profit organization and open to the public
or .Individuals and for-profit
are not eligible
organizationsand companiesto apply for Capital Projects funds. Applicant
shall provide proof of property ownership, long-term lease or service contracts for consideration
of funding, and should show sufficient expertise or financial capability to operate such facilities.
Tourist DevelopmentCouncilcapital project funds may be used in Monroe County as follows:
1. To acquire, construct, extend, enlarge, remodel, repair, improve or promote one or more:
Publicly owned and operated convention centers, sports stadiums, sports arenas, coliseums or
auditoriums within the boundaries of the county or subcounty special taxing district in which the
tax is levied;
Aquariums or museums that are publicly owned and operated or owned and operated by not-for-
profit organizations and open to the public, within the boundaries of the county or subcounty
special taxing district in which the tax is levied;or
Zoological parks, fishing piers or nature centers which are publicly owned and operated or
owned and operated by non-profit organizations and open to the public; and
2. To finance beach park facilities or beach improvement, maintenance, re-nourishment,
restoration and erosion control.
Authorized uses of revenue must be in compliance with Florida Statute 125.0104, as may
be amended from time to time.
Monroe County Tourist Development Council FY 2017 Capital Project Application
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APPLICATION FOR CAPITAL PROJECT FUNDING
This application is to request funding from the following District(s):
District I:
Key West -(shall encompass the city limits of Key West)
District II:
Lower Keys -(city limits of Key West to west end of Seven Mile Bridge)
District III:
Marathon -(west end of Seven Mile Bridge to Long Key Bridge)
District IV:
Islamorada -(between Long Key Bridge and Mile Marker 90.939)
District V:
Key Largo -(from Mile Marker 90.940to the Dade/Monroe County line and any
portions of mainland Monroe County)
APPLICANT ORGANIZATION:
Organization Name Here
Exhibit A
(Registered business nameexactlyas it appears on www.sunbiz.org). Attach as
FEDERAL EMPLOYER’S IDENTIFICATION NUMBER OF APPLICANT’S ORGANIZATION:
DESIGNATED PROJECT CONTACT PERSON:
(Please note that the TDC Administrative Office conducts most of its correspondence, including
agreementand reimbursement material by email, so the person listed below should be able to
accept responsibility for receipt of this information).
Name & Title:
Telephone/mobile no.:
E-mail:
Address:
TYPE OF APPLICANT:
Non-ProfitGovernmentalEntity
PROJECT TITLE:
Project Title Here
LOCATION OR ADDRESS OF PROJECT:
Provide physical (postal service) address, RE# and
legal description (lot, block, subdivision) and attach map.
WEBSITE FOR FACILITY:
Monroe County Tourist Development Council FY 2017 Capital Project Application
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WHICH OF THE FOLLOWING APPLIES TO YOUR PROJECT?
Publicly owned and operated Owned and operated by a non-profit organization
Publicly owned and operated by a non-profit organization
WHICH OF THE FOLLOWING BEST DESCRIBES YOUR PROJECT?
Convention CenterSports StadiumSports ArenaColiseum
Auditorium AquariumMuseumZoological Park
*
Nature CenterFishing PierBeach or Beach Park Facility
WHICH OF THE FOLLOWING APPLIES TO YOUR PROJECT?
AcquireConstructExtendEnlargeRemodel
RepairImprove
*IF YOU CHECKED THE BOX FOR BEACH OR BEACH PARK FACILITY, WHICH OF THE
FOLLOWING APPLIES?
ImprovementRenourishmentRestorationErosion control
MaintenanceConstructRepair
If the TDC/County requires a Conservation Easement Deed or mortgage note requiring
repayment of TDC monies in the event of transfer of ownership or change in use of the
premises, would you be agreeable to executing same?
YesNo
Code Enforcement:
Does your organization/property have any outstanding code violations
and/or fines/costs or liens?
(Please note that pursuant to Section 2-25(e), Monroe County Code, organizations
with outstanding code compliance fines are not eligible to receive grantsor contracts from the county until such time
)Yes No If you have answered yes,
as the fines are resolved through payment or settlement.
please explain below:
Monroe County Tourist Development Council FY 2017 Capital Project Application
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Has applicant received previous TDC assistance: Yes No
For purposes of this applicationno more than twenty-five (25%) percent of total project cost shall
be of in-kind services and materials.No in-kind services shall apply to the acquisition of
property.TDC requires confirmation in writing that project funds are in place at the time of this
Encloseproof of funding
application for grant funds (see Performance Guarantee on page 4)
as Exhibit B
. Payment is a 50% reimbursement of the total cost of each segment of the project,
subject to the cap on expenditures for that segment as set forth in the agreement. Applicant
(including in-kind)
must be prepared to pay the entire cost of segment in advance of seeking
the 50% reimbursement. (Theproject may be broken down into 2 or 3 segments. When one
segment is completed, reimbursement of 50% of that cost can be applied for through the TDC.)
For acquisition of property see important information on page 5.
TDC Funds Confirmed/Available Confirmed Total Project
Requested:Hard-Dollar Funds: In-kind Funds: Cost:
(Up to a maximum of
25%of project)
$$$$
In the space below list all in-kind services and goods and their values. These values are subject
to negotiation with TDC/County. Please refer to page 4 of this application.
In the space below list thespecific items/services, andthe estimateddollar amount for each of
those items/services that your requested TDC funds will be spent on(please do not include
contingency fees, permit fees, or warranty fees as part of your budget):
Monroe County Tourist Development Council FY 2017 Capital Project Application
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1.Use:
a)Original use of structure and date of construction:
b)Present use:
c)Proposed use:
Enclose as Exhibit C
d)Insert or attach photograph of existing site():
e)Historic designation:Indicate whether the property has been listed in the National
Register, is located in a National Register district, is a locally designated historic landmark or is
located in a locally designated historic district. If located within a historic district, provide the
official name ofthe district.This information is available from the planning agency having
jurisdiction over the property.
All Capital projects funded by the TDC shall be owned and operated by a governmental entity or
non-profit organization. Applicant shall provide proof of property ownership,long-term leaseor
service contractsfor consideration of funding, and should show sufficient expertise or financial
Enclose as ExhibitD
capability to operate such facilities().
2.Ownership or other interest in property by applicant:
a)Official records reference for ownership documentation
b)If not owned by applicant, provide long-term lease of property, or service contractand
provide notarized consent letter from owner for use of property as outlined in this
application
3.If proposed project calls for transfer of title of real property to County, at leasttwo (2)
current real estate appraisals and one (1) environmental assessment shall be provided
Enclose as Exhibit E
().The TDC/County shall ascertain, prior to acceptance of any donation
Monroe County Tourist Development Council FY 2017 Capital Project Application
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or prior to purchase, that the property will pose no environmental hazardor liability for same, to
County.The TDC/County must also ascertain permissible governmentalinterest in the transfer
of title.Indicate any such proposed title transfers here.
4.This paragraph applies only to an acquisition funding request, but you will still need to
complete items 5 through 13, whether this is new construction or renovations, additions or
NOTE:
exhibits.The maximum grant amount from tourist development revenue for an
acquisition project shall not exceed 50% of the purchase amount.Indicate the area of the
property to be acquired in acres.
In evaluating applications for acquisition funding, an important consideration is the
appropriateness of the size of the site to be acquired.Determinations of the appropriateness of
site size will be made on a case-by-case basis and will depend on the characteristics for which
the property is considered to be significant.Sufficient property should be acquired to assure that
the historic relationship of a structure or archaeological site to its surrounding environment is
preserved.However, it is important that no more property than is necessary to achieve
established preservation objectives be included in the acquisition project application.As this
factor is crucial to favorable consideration of your grant application and will have substantial
impact on the cost of the required application documentation, we encourage prospective
applicants to consult with the staff of the TDC Administrative Office prior to initiating the required
documentation.
5.Protection of property:Indicate any type of state or federal protection currently afforded
the property.It may be that more than one type may be applicable.Provide citations for
applicable local protective ordinances.Include copies of property-specific restrictive legal
warrants
instruments in an attachment. By signing and submitting this application, the proposer
allevery
that restrictions are disclosed.Failure to include restriction on the property may result
in immediate termination of any agreementand demand for return of any monies paid
Enclose as Exhibit F
thereunder().
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6. Is the property threatened by imminent destruction, deterioration or other loss which may
includedemolition, vacancy, severe deterioration, loss of structural integrity, encroaching
development, adverse environmental conditions, vandalism,etc.?Be specific regarding the
nature of immediacy of the threat.If so, describe in detail:
7.a)Are there any building restrictions on the site?If so, describe. Attach copies of all
recorded easement and restrictive covenants. By signing and submitting this application, the
warrantsallevery
proposerthat restrictions are disclosed. Failure to include restriction on the
property may result in immediate termination of any agreementand demand for return of any
Enclose as Exhibit G
monies paid thereunder().
b)Is the proposed project compatible with the County'sand/or the Municipality’s
Concurrency Requirementsunder the existing and proposed Land Use Comprehensive Plan?
Yes No
Describe below how you haveascertained such compatibility.(Note:If your description
does not provide information about existing permits and/or review by the County Planning
Department, your application shall be rejected.Please list all permits required to complete this
project)
c)Does the site contain endangered or threatened species of flora or fauna?
ExhibitH
Yes No If yes, attachexplanationas
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d)Indicate whether or not the projectwill be accessible to the handicapped per
Chapter 553, Part V, Florida Statutes and the Americans with Disabilities Act, Public Law 1012-
336.
ExhibitI
Yes NoIf no, attachexplanationas
e)Explain how your facility will utilize recycling within the work of your proposed
project:
f)Public accessibility and use:Indicate the extent to which the property is currently
or will bescheduled to be open to the public each year (hours per day, days per week and
weeks per year) upon project completion.Estimate the number of persons who will use or visit
the completed facility annually. For archaeological projects, if the site will not be accessible to
the public, estimate the number of persons annually who will be exposed to the interpretive
materials and reports resulting from the project.How was this estimate derived?
8.Describe present physical condition of site:(attach legal description per property tax
records).Indicatethe present condition of the propertyby checking the appropriate term below:
Excellent:The property is habitableand occupied; no repairs are needed.All
physical evidence indicates that the property is under continuous maintenance.Application is
for expansion and enhancement.
Good:The property is habitable and occupied; onlyreplacement orcosmetic repairs
are needed (e.g., peeling paint, missing ornamental features,windows, doors,some
deteriorated mortar, etc.)Property is maintained but in need of minor repair.
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Fair:The property is habitable but may be vacant.Boththe structural integrity
(foundation, framing, etc.) and weather tightintegrity of the property (siding, walls, roofing, etc.)
are in jeopardy because of prolonged neglect.
Poor:The property is uninhabitable and vacant.Major structural repairs are needed.
Weathertight integrity has been lost.The property is derelict, abandoned and not habitable
without major rehabilitation work.
Also, list any specific factors or problems which contribute to the present condition of the
property.
9.Status of Project Planning:(Any work initiated prior to the approval of an agreementby
the Monroe County Board of County Commissionerswill be at applicants own cost):
Not yet initiatedInitiated
Schematics completeDesign developmentcompleted
Construction documents completed
10.Name and Address of Project Consultant (architect, engineer, contractor, etc.).
Enclose
Enclose preliminary plans or architectural documents completed to date -1 set(
as Exhibit J
).
11.Has an agreementfor architectural services or construction services been executed?
Yes(costs will not be reimbursed by TDC)No
Project does not require architectural services
not to fund operations and maintenance costs
12.It is the County's policy of organizations.
Describethe means by which the structure(s) affected by this project will be maintained
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subsequent to restoration/rehabilitation. Include sources and estimated amounts of funding for
such maintenance.
13.Estimated completion date
14.How will the project enhancetourism in Monroe County?
15.Applicant must demonstrate the ability to complete the project as proposed and to
maintain and operate the project as a viable and long-term tourist attraction that is open to the
public.
Included in this demonstration should be a proposed operational budgetand marketing
Attach as Exhibit K
program to promote this facility as a tourist attraction.()
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NON-COLLUSION AFFIDAVIT and VERIFICATION
(Enclose as Exhibit L)
I, , of the city of,according to
law on my oath, and under penalty of perjury, depose and say that:
1)I am , the applicant making the
application for the project described as follows:
2)The prices in this application 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 applicant or with any competitor;
3)Unless otherwise required by law, the prices which have been quoted in this
application have not been knowingly disclosed by the applicant and will not knowingly be
disclosed by the applicant prior to application opening, directly or indirectly, to any other
applicant or to any competitor; and
4)No attempt has been made or will be made by the applicant to induce any other
person, partnership or corporation to submit, or not to submit, an application for the purpose of
restricting competition;
5)The statements contained in this affidavit are true and correct, and made with full
knowledge that Monroe County relies upon the truth of the statements contained in this affidavit
in awarding agreementsfor said project.
VERIFICATION
I HEREBY CERTIFY that I have read the forgoing application and that the facts stated herein
are true and correct to the best of my knowledge and belief.
President's/Mayor’s Name Typed President's/Mayor’s Signature
Monroe County Tourist Development Council FY 2017 Capital Project Application
17
Sworn to and subscribed before me thisday of20
personally appeared , ,and
known to be the person named in and who executed the foregoing document.
________________________________
My commission expires: Notary PublicState of
DRUG FREE WORKPLACE FORM
(Enclose as Exhibit M)
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
(Name 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 theactions 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 maintaining 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 application 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 application, the employee will
abide by the terms of the statement and will notify the employer of any conviction of, or plea of
guilty or nolo contendere 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 person authorized to sign the statement, I certify that this firm complies fully with the
above requirements.
Monroe County Tourist Development Council FY 2017 Capital Project Application
18
Applicant’s Signature:
Date:
Monroe County Tourist Development Council FY 2017 Capital Project Application
19
/INDEMNIFICATION
HOLD HARMLESS
(Enclose as Exhibit N)
Organization Name Here
(herein after “Organization”) hereby covenants and agrees to indemnify and hold
harmless the Monroe County Board of County Commissioners and Monroe County Tourist Development Council
(herein after “BOCC/TDC”) and the 3406 North Roosevelt Blvd. Corporation or any of its officers and employees
from and against any and all claims, liabilities, litigation, causes of action, bodily injury (including death), personal
injury, and property damage, and another other losses, damages, costs, expenses (including but not limited to fees
and expenses arising from any factual investigation, discovery or preparation for litigation), and the payment of any
Project
and all of the foregoing or any demands, settlements or judgments arising out of, or in connection with,
Title Here
(herein after “Project”) being funded by the BOCC/TDC.The Organization shall immediately give notice
to the BOCC/TDC of any suit, claim or action made against the Organization that is related to this Project, and will
cooperate with the BOCC/TDC in the investigation arising as a result of any suit, action or claim related to this
Project.
a.)Non-Waiver of Immunity. Notwithstanding the provisions of Sec. 768.28, Florida Statutes, the
participation of the BOCC/TDC in reimbursing/funding any portion of the Project and the acquisition of any
commercial liability insurance coverage, self-insurance coverage, or local government liability insurance
pool coverage shall not be deemed a waiver of immunity to the extent of liability coverage, nor shall any
contract entered into by the BOCC/TDC be required to contain any provision for waiver.
b.)Privileges and Immunities. All of the privileges and immunities from liability, exemptions from laws,
ordinances, and rules and pensions and relief, disability, workers’ compensation, and other benefits which
apply to the activity of officers, agents, or employees of any public agents or employees of the BOCC/TDC,
when performing their respective functions related to this Project within the territorial limits of the County
shall apply to the same degree and extent to the performance of such functions and duties of such officers,
agents, volunteers, or employees outside the territorial limits of the County.
c.)RESTRICTIONS ON AGREEMENTS FUNDED BY BOCC/TDC. The Organization shall include the
following term in all agreements funded by the BOCC/TDC for this Project:
Hold harmless/indemnification.Contractor acknowledges that this agreement is funded at least in
part by the BOCC/TDC and agrees to indemnify and hold harmless the BOCC/TDC and any of its officers
and employees from and against any and all claims, liabilities, litigation, causes of action, damages, costs,
expenses (including but not limited to fees and expenses arising from any factual investigation, discovery or
preparation for litigation), and the payment of any and all of the foregoing or anydemands, settlements or
judgments (collectively claims) arising directly or indirectly from any negligence or criminal conduct on the
part of contractor in the performance of the terms of this agreement.The contractor shall immediately give
notice to the BOCC/TDC of any suit, claim or action made against the contractor that is related to the
activity under this agreement, and will cooperate with the BOCC/TDC in the investigation arising as a result
of any suit, action or claim related to this agreement.
President of Organization/Mayor’s Name Typed President's/Mayor’s Signature
Sworn to and subscribed before me thisday of20
personally appeared , ,and
known to be the person named in and who executed the foregoing document.
________________________________
My commission expires: Notary PublicState of
Monroe County Tourist Development Council FY 2017 Capital Project Application
20
Print off this page, complete, and enclose as Exhibit O
Monroe County Tourist Development Council FY 2017 Capital Project Application
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ATTACHMENTS AND CERTIFICATIONS
(Enclose as Exhibit P)
1.The following supporting documents are attached.
Exhibit A
a)Print out of Sunbiz.org “Detail by Entity” ()
Exhibit B
b)Documentation from bank of confirmed project funds ()
Exhibit C
c)If applicable: Insert or attach photograph of existing site ()
Exhibit D
d)Proof of ownership; long term lease or service contract ()
(Include consent of owner for use of property as described within this application)
e)If applicable: Enclose at least two (2) current real estate appraisals and one (1)
Exhibit E
environmental assessment ()
Exhibit F
f)If applicable: Enclose citations for local protective ordinances ()
g)If applicable: Enclose copies of all recorded easement and restrictive covenants
Exhibit G
()
h)If applicable: Enclose description of endangered/threatened special of flora or
Exhibit H
fauna ()
Exhibit I
i)If applicable: Enclose ADA accessibility explanation ()
Exhibit
j)If applicable: Enclose preliminary plans or architectural documents -1 set (
J
)
Exhibit K
k)Proposed operation budget and marketing plan()
Exhibit L
l)Notarized Non-Collusion affidavit and verification ()
Exhibit M
m)Signed Drug Free Workplace Form ()
Exhibit N
n)Notarized Hold Harmless/Indemnification form ()
o)Applicant has printed and completed the W-9 form included within the application
Exhibit O
(page 20)()
Exhibit P
p)Notarized Attachments and Certification form ()
VERIFICATION
I swear and certify that the information contained in this application is true and correct, and that I am the
duly authorized representative of the applicant.
President's/Mayor’s Name Typed President's/Mayor’s Signature
Sworn to and subscribed before me thisday of20
personally appeared , ,and
known to be the person named in and who executed the foregoing document.
________________________________
My commission expires: Notary PublicState of
Monroe County Tourist Development Council FY 2017 Capital Project Application
22