Consent to Assignment 07/17/2013AMY REAVIIIN, CPA
CLERK OF CIRCUR COURT &COMPTROLLER
MONROE COIIN1Y FLORIDA
DATE: August 16, 2013
TO: Dent Pierce, Director
Public Works Division
ATTN: Beth Leto, Assistant Director
Public Works Division
FROM: Vitia Fernandez, D.
At the July 17, 2013, Board of County Commissioner's meeting the Board granted approval of
the following items:
Item C6 Consent 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 GEORGE DOLEZAL LIBRARY - MARATHON,
Monroe County (hereinafter "Original Agreement "); and
exercising the first renewal option; 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
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:
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. 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., 6 NW 3.'h *vqnuc, im all1i Ft
-33H�? ciao N I II ekee� uq& 1
g1gl1(a (40rdMS, I%I 3318
tment dated May 18, 2011, as amended, not inconsistent
ect.
Witnesses:
sY q,� s i5 Si��o
_�40_�Zp Ve- C'a
BOARD OF COUNTY COMMISSIONERS
OF MO OE COU
By Y�
Mayor /Chairman _
�. M
Best Janitori Su plies, IncIGNOi
By'
�7l�
Signature
s rTI
Printed Name a
Date: 0 �_ D1f -- 201 w
Witnesses:
B f IJ W
Miami Janitorial Supplies, Inc. (ASSIGNEE)
By: ��
Signature
Ce, f me,/4, �IC
Printed Name
Date: a J - a8 'l3
MONROE COUNTY ATTORNEY
APPROVED AS TO FORM:
- • u �1pQ y _
CHRISTINE M. IIMBERT- BARROWS
ASSISTANT COUNTY ATTORNEY
Date ! G1a -411-1
71N on page 3.
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification number
number to enter.
rum Certification
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 am 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 ail interest and dMclends 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 U.S. person ► C,p'+y e -e , , �� '' Date Ii, it
General Instructions ``
Section references are to the internal Revenue Code unless otherwise
noted.
Purpose of Form
A person who is required to file an informaticn 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, cancellatior
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
3, Claim exemption from backup withholding if you are a U.S. exempt
payee. If applicable, you are also certifying that as a U.S, person, your
allocable share of any partnership income from a U.S. trade or business
is not subject to the withholding tax on foreign partners' share of
effectively connected income.
Cat
Note, If 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 in the United States or under the laws of the United States,
• An estate (other than a foreign estate), or
• A domestic 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
partner in a partnership conducting a trade or business in the United
States, provide Form W -9 to the partnership to establish your U.S.
status and avoid withholding on your share of partnership income.
No. 10231 Form W -9 (Rev. 12 -2011)
WM9
Request for Taxpayer
Give Form to the
orm
011)
iev. December 2o)1}
Rev. D
Identification Number and Certification
requester. Do not
send to the IRS,
er
ry
ntemal Revenue Service
Name (as shown on your income tax return)
Business naroWdisregarded entity name, if different from above
N
m
rn
B
CL
Check appropriate box for foderai tax classification:
❑ C Corporation ❑ S Ccrporatior ❑ Partnership ❑ Trust /astate
b
Individuallsole proprietor
o
❑ Exempt payee
❑ Limited liability company, Enter the tax class&catan (C =C corporation. S =S corporation, P= par#nerst +:p) ►
0
h
a ❑
U
,�
Other (see instructions) ► _ _ _
Address (number, street, and apt. or sorts no.} � Requester's name and address (optional)
m
/CU IV // �,C6r 7
City, state, and ZIP code
3-3 0A ,
Ust 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
avoid backup wit pr to. For individuate, this is your social securit number However, for a
resident alien, sole proprietor, or disregarded entity, see the Part I instructions on n page 3. For other �
re -�1�1 —
.....r -. r idnnHMalinn n rnher 1FINI If vnu rfn not have a number. see Ho w to oet a
t i
71N on page 3.
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification number
number to enter.
rum Certification
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 am 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 ail interest and dMclends 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 U.S. person ► C,p'+y e -e , , �� '' Date Ii, it
General Instructions ``
Section references are to the internal Revenue Code unless otherwise
noted.
Purpose of Form
A person who is required to file an informaticn 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, cancellatior
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
3, Claim exemption from backup withholding if you are a U.S. exempt
payee. If applicable, you are also certifying that as a U.S, person, your
allocable share of any partnership income from a U.S. trade or business
is not subject to the withholding tax on foreign partners' share of
effectively connected income.
Cat
Note, If 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 in the United States or under the laws of the United States,
• An estate (other than a foreign estate), or
• A domestic 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
partner in a partnership conducting a trade or business in the United
States, provide Form W -9 to the partnership to establish your U.S.
status and avoid withholding on your share of partnership income.
No. 10231 Form W -9 (Rev. 12 -2011)
, R CERTIFICATE OF LIABILITY INSURANCE 1110 I"
o7mn3
THIS CORIFICATE M NSUKD AS A MATTER OP NIFCRMATION ONLY CO NO WOIf Ti UPON fl! CERTHWATE MOLDER. THE
LM'RT FVATE DOES NOT Ai1f1RMATNELY OR N IQATNd.YAMEND, DLTL O CR ALTER THE COMAQE AFFORDED BY THE POLIPM
EFlOW. TM CE1tTrICATE OF PIRN ICE DOES NOT COMM" CONTRACT EffrWl L THE ISSUING NUM11RER(P). AUTHORIZW
0 W NWATNE OR PRODUCER, AND THE CERTIFICATE HOLDER.
VO W" am gwdlllm d a. pe ft eoASlo pollOn mry M*ft W WWWW.ur. AsYYRafa oR StY eMBEisd diM aot eoR1IT 14ha 10 YM
gAMOUihomwinNu doom snwxv m o
MaDUCOI now "=ON
FU9 G4 MTII WIVIII011 a174300 OW 817.0933
79M NW 133 SL SUN 102
Ms1LI LOW FL 33018 •
PhOM 90 817 FM 617-0'.133 MIp , ARCM SPECKI.TV alb OO
pILSIBO • ASCEIOAIIT IRE CO
MIAMB JANITOWAL SLPPL.IES, INC. p PROGR MM
2100NW1193T,S1
MIA" GARDENS, FL 7084086008
THIS a TO CERTIFY THAT THE POLCEE OF INSURANCE L WW BELOW HAVE BEEN ISSUED TOTM I IRED NAM EDASOW FOR THE POLICY PERIOD
WW ATW. NOTWITHWANDIND ANY REQUIREM ENT, TUMOR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH REDPECT TO WHK31 Two
CERTIFICATE MAYBE WIN= OR MAY PERTAIN. THE SIOURANCEAFFORDED BY THE POLICES DESCMEO HEREIN A 81AIECT TO ALL THE TBRLIS.
EXCUAOW AND CONWIONS OF SUCH VIL LBBTS SHOWN MAY HAVE BE IN REDUCED BY PAD CLAWA
wl
tMaPmw111i m
A000R0ANCE rATH THE POLICY PROUNIO .
ROOM I-M3
ALITILORLiD IHSPIHlISNin7Ns
KEY WEST. FL 33040
MISS
ROSIE BRU ZON
aww" NAILUT
10 OOOA
1 100.000.00
® CasocwaamnaLAILRr
LsloLUIP ..
10.000.00
A
❑❑ [1 E MAN@ -W ® OWU
AMM1841-00
08r!?!l019
05=014 14
PL OW&AAMMUTARY
6 1.000000.00
®
aeNLIIALAOas=oATS
i ZWO
W.WL AOOIELMSI LMRAIFLU PWt
PI1000C1i • COLLPIOP A00
i 000 00
10
0 paw 1:1 M 13 Lac
[]
C
AY10NasIL ILIAMILM
A ,�
®A El
Em
02270006-0
0=12013
07/01/J014
soDAriLRInrLP.ro.�I
I 1 000.00
eoCArwLiArp.
I 3ADAM00
® HIEOAV= ® Amos
16Q00000
El
PP -D®0
6 10.000:00
❑ UINNIALLAUAS ❑ OCCUR
iACH OCCUM& CE
AaOREMYN
i
LICE{ L L#A
B
Vx L eaLrs► "7M
AMO 11104A a# I UAMIL iY vim
40000 I Y
wC333712 -"
I
OBW3
E.LEACHACCMW
1 100000.00
ILL 00019- EAIPLOYE
EI
i 100.000.00
EL WILME • POLICY LIMN
i 600 000.00
OOeA MM OPMOVI MIL MAWNS f vsisala VANbAOLRIO M.1/irrl Rwr4 solowwo. N ame N Y R I CIV
JANITORIAL SUPPLIES IES 3Al.E8 AND JANITORIAL SERVICES,
WORKER COMP. EXCLUl= OFFICER: CARMELA DIAL W
30 DAY NOTICE OF CANCEWITION FROM INSUItANCE COMPANY.
"ADDITIONAL INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CERTrlCATE NOL= CANCELLATION
61190- MIACORD OORPOMTKWL AE ft ft RHasfYad
ACORD 26 (N1010L) QF Ths ACORD ruirm amd l"o a1 s rsgls me" d ACORD
SHOULD ANY OP THE ABOVE OSSCMM POLICIES BE CAWALM BEFORE
MONROE COUNTY BOARD OF COUNTY COMMISBK** R8
THE FEXFSIA110N DATE THRIISOP. NOTICE WLL BE CoAa m M
1100 3BIONTON STREET
A000R0ANCE rATH THE POLICY PROUNIO .
ROOM I-M3
ALITILORLiD IHSPIHlISNin7Ns
KEY WEST. FL 33040
ROSIE BRU ZON
61190- MIACORD OORPOMTKWL AE ft ft RHasfYad
ACORD 26 (N1010L) QF Ths ACORD ruirm amd l"o a1 s rsgls me" d ACORD