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Item S2 c4 `�' BOARD OF COUNTY COMMISSIONERS County of Monroe Mayor David Rice, DisMct 4 The Florida Keys t - Mayor Pro Tem Sylvia J. Murphy, District 5 4z Danny L. Kolhage, District 1 t ` George Neugent, District 2 Heather Carruthers, District 3 County Commission Meeting October 17, 2018 Agenda -Numb er.:.-5:27 Agenda Item Summary #4259 ADD O.L - DAY —OF- MEEIIN.G: -IF A.I'PROE ED.LO jDD, WILL BE ADD ON S -2J BULK ITEM: Yes DEPARTMENT: Facilities Maintenance TIME APPROXIMATE: STAFF CONTACT: Alice Steryou (305) 292 -4549 None AGENDA ITEM WORDING: Approval of Fourth Amendment to Agreement on a month to month basis with Sub -Zero, Inc. not to exceed 6 months pending the award of an RFP contract for A/C maintenance and repair services for the Lower Keys' facilities. Ad valorem funding. ITEM BACKGROUND: The award agreement provided for two, one -year renewals. On July 20, 2016, the BOCC approved a First Amendment which increased the total contract amount from $70,000 /yr. to $120,000 /yr. On October 19, 2016, the BOCC approved the second amendment, first renewal agreement with a CPI -U increase of .7 %. On October 18, 2017, the BOCC approved the third amendment, second renewal agreement with a CPI -U increase of 2.1%. In the fourth amendment, we are requesting approval to extend the terms of the original agreement on a month -to- month basis pending the advertising of a Request for Proposals ( "RFP ") and the award of a new contract. PREVIOUS RELEVANT BOCC ACTION: 10 -18 -17 BOCC approved a Third Amendment Second Renewal Agreement with a 2.1% CPI -U increase (Item B -2). 10 -19 -16 BOCC approved a Second Amendment First Renewal Agreement with a .7% CPI -U increase (Item C -34). 07 -20 -16 BOCC approved a First Amendment which increased total contract amount from $70,000 /yr to $120,000 /yr (Item C -23). 10 -21 -15 BOCC awarded the Contract for A/C maintenance and repair services with Sub -Zero, Inc. (Item D -52). CONTRACT /AGREEMENT CHANGES: Approval of Fourth Amendment to Agreement on a Month to Month basis with Sub Zero for A/C maintenance and repair services for the Lower Keys' facilities. STAFF RECOMMENDATION: Approval DOCUMENTATION: Fourth Amendment Month to Month 3rd Amendment SubZero 101916 SubZero Second Amendment First Renewal Agreement (Executed C -34) 072016 Sub -Zero 1st Amendment (Executed) 102115 Sub -Zero Award Agreement FINANCIAL IMPACT: Effective Date: 11/01/2018 Expiration Date: Month to Month not to exceed 6 months (04/30/2019) Total Dollar Value of Contract: $120,000. Total Cost to County: $120,000. Current Year Portion: $60,000 Budgeted: Yes Source of Funds: 001 - 20501 - 530340, 147 - 20503 - 530340, 101 - 20505 - 530340 CPI: Yes Indirect Costs: N/A Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: No If yes, amount: Grant: No County Match: N/A Insurance Required: Yes Additional Details: Month to Month not to exceed 6 months (04/30/2019) N/A 08/16/17 001 -20501 FACILITIES MAINTENANCE $105,000.00 08/16/17 101 -20505 • CORRECTION FACILITIES $10,000.00 08/16/17 147 -20503 • UNINC PARKS & BEACHES $5,000.00 Total: $120,000.00 REVIEWED BY: Patricia Eables Completed 10/09/2018 4:15 PM William DeSantis Completed 10/09/2018 4:40 PM Budget and Finance Completed 10/10/2018 8:23 AM Maria Slavik Completed 10/10/2018 9:21 AM Kathy Peters Completed 10/10/2018 10:00 AM Board of County Commissioners Pending 10/17/2018 9:00 AM FOURTH AMENDMENT AGREEMENT FOR CENTRAL AIR CONDITIONING MAINTENANCE AND REPAIR AT LOWER KEYS FACILITIES, MONROE COUNTY; FLORIDA This Fourth Amendment Agreement is made and entered into this 17th day of October, 2018, between MONROE COUNTY, FLORIDA ( "COUNTY "), a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key West, Florida 33040, and SUB- ZERO, INC. ( "CONTRACTOR "), a Florida corporation, whose address is 6003 Peninsular Ave., No. 5, Key West, Florida 33040. WHEREAS, the parties hereto did on October 21, 2015, enter into an Agreement for Central Air Conditioning Maintenance and Repair Services to Lower Keys Facilities, Monroe County, Florida (hereinafter "Original Agreement "); and WHEREAS, on July 20, 2016, the BOCC approved a First Amendment, which provided an increase in the contract amount from $70,000 /yr. to $120,000 /yr.; and WHEREAS, on October 19, 2016, the BOCC approved the Second Amendment First Renewal Agreement; and WHEREAS, on August 16, 2017, the I3OCC approved the Third Amendment Second Renewal Agreement; and WHEREAS, the County desires to extend the term of the Original Agreement on a month -to -month basis pending the advertising of a Request for Proposals ( "RFP ") and the award of a contract; and WHEREAS, the parties have found the Original Agreement, as amended, to be mutually beneficial and; NOW THEREFORE, IN CONSIDERATION of the mutual promises and covenants set forth below, the parties agree as follows: 1. In accordance with Paragraph 3 of the Original Agreement: a. Item 3E under Contract Amount, hourly rate for a mechanic shall remain at $87.40 during normal working hours of 8:00 am to 5:00 pm, Monday through Friday, excluding holidays (including travel time); hourly rate for a mechanic plus helper shall remain at $128.52 (including travel time); b. Item 3E under Contract Amount, the overtime labor shall. remain at $128.52 for hours not stated above, including holidays and facilities that conduct critical business; hourly rates for a mechanic plus helper shall remain at $149.09 (including travel time); 2. In accordance with Paragraph 4 of the Original Agreement, the County agrees to: a. Extend the Term of Agreement with the additional term to commence November 1, 2018, on a month -to -month basis for a period not to exceed six (6) months pending the advertising of an RFP and award of a contract. 3. Except as set forth in paragraphs 1 and 2 of this Fourth Amendment Agreement, in all other respects, the terms and conditions set forth in the Original Agreement, as amended, remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and year first above written. (SEAL) BOARD OF COUNTY COMMISSIONERS Attest: KEVIN MADOK, CLERK OF MONROE COUNTY, FLORIDA By: By: Deputy Clerk Mayor Date: Date: CONTRACTOR: SUB -ZERO, INC. Witn-: .es for Contractor: CO, 71 A i. �4., „ i . i j d Signature o perso authorized to 4...... Signature 1 dr legally bind SUB -ZERO, INC. Date: 10-- 6 Z r .. . to--q— lam/ q » P. .2--c. t. - ,. 0 s 4 t,- t D/ t- Print Name and itle 1 % ' 1 Address: �°” 0o. x.i rw'..- 1)"v -1 _ nature Telephone Number Date Mg ROE COUNTY ATTORNEY'S OFFICE APPRO: AS O i 0, M PATRICIA FABLES ASSISTANT. COUNTYA ORNEY DATE: : 2 KEVIN MADOK, CPA MONROE COUNTY CLERK OF THE CIRCUIT .COURT & COMPTROLLER DATE: November 3, 2017 • TO: Alice Steiyou Contract Monitor FROM: Pamela G.1=hutc �1t.C. SUBJECT: October 18th BOCC Meeting Attached is a duplicate original of B2, Third Amendment/Second Renewal with Sub -Zero, Inc. for A/C maintenance and repair services for the Lower Keys, for your handling. Should you have any questions, please feel tree to contact me at ext. 3130. Thank you. cc: Facilities via e-mail County Attorney via e -mail Finance ion e File 'N? OeTO beck \ B t aOl 7 cc 1 THIRD AMENDMENT SECOND RENEWAL AGREEMENT FOR x'.1 Ea CENTRAL AIR CONDITIONING MAINTENANCE AND REPAIR AT LOWER KEYS FACILITIES; MONROE COUNTY, FLORIDA This Third Amendment Second Renewal Agreement is made and entered into this 20 day of September, 2017, between MONROE COUNTY, FLORIDA ( "COUNTY "), a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key West, Florida 33040, and SUB -ZERO, INC. ( "CONTRACTOR "), a Florida corporation, whose address is 6003 Peninsular Ave., #5, Key West, Florida 33040. WHEREAS, the parties hereto did on October 21, 2015, enter into an Agreement for Central Air Conditioning Maintenance and Repair Services to County Lower Keys' Facilities (hereinafter "Original Agreement "); and WHEREAS, on July 20, 2016, the BOCC approved an increase in the contract amount from $70,000 /yr. to $120,000 /yr.; and WHEREAS, on October 19, 2016, the BOCC approved the Second Amendment First Renewal Agreement; and WHEREAS, the parties have found the Original Agreement as Amended to be mutually beneficial and; WHEREAS, the parties find it would be mutually beneficial to enter into this Third Amendment Second Renewal Agreement; and NOW THEREFORE, IN CONSIDERATION of the mutual promises and covenants set forth below, the parties agree as follows: 1. In accordance with Paragraph 3 of the Original Agreement, the County agrees: a. Item 3E under Contract Amount, hourly rate for a mechanic shall increase from $85.60 to $87.40 during normal working hours of 8:00 am to 5:00 pm, Monday through Friday, excluding holidays; hourly rate for a mechanic plus helper shall increase from $125.88 to $128.52; b. Item 3E under Contract Amount, the overtime labor for a mechanic shall increase from $125.88 to $128.52 for hours not stated above, including holidays and facilities that conduct critical business; hourly rates for a mechanic plus helper shall increase from $146.02 to $149.09; 2. In accordance with Paragraph 4 of the Original Agreement, the County: a. Exercises the option to renew the Original Agreement for the second of the two (2) optional one -year terms. This term will commence on November 01, 2017, and terminate October 31, 2018; and b. The Contract amount shall be adjusted in accordance with the percentage change in the U.S. Department of Commerce Consumer Price Index (CPI -U) for all Urban Consumers as reported by the U.S. Bureau of Labor Statistics at December 31 of the previous year of 2.1 %. 1 3. Except as set forth in paragraph 1 and 2 of this Third Amendment Second Renewal Agreement, in all other respects, the terms and conditions set forth in the Original Agreement as Amended remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and year ; BOARD OF COUNTY COMMISSIONERS AttOt:, KEVIN MADOK, CLERK OF MONROE COUNTY, FLORIDA 624 By Deputy Clerk Mayor Date: cntroGt., 2-0 11 Date: CONTRACTOR: SUB-ZERO, INC. Witnesses for •CONTRA OR SUB INC.: 11_ - Lr e24 Si o ;person authetized to Signature legally bind SUB-ZERO, INC. Date: clioM 71 / - (? , errof?'9Pt Date Print Name and Title i Aik:A. I Address 111111.1 Sig, attire 1 g 0 5 qA 142,44 7 Telephone Number Date ONROE COUNTY ATTORNEY'S OF ICE 9.VE_p PATRICIA EAGLES ASSISTANT COUNTY ATTORNEY 131-17 2 • 9 ..., , .p, , 44-A.\-.‘,-,,w7-'),,*r.,:i %I 1 .,,,,,, or ,„ ... ....,,, ,...., ,,,t,„„o A ' ,. m CLERK OF CIRCUIT COURT &COMPTROLLER V ...," MONROE COUNTY, FLORIDA DATE: December 13, 2016 TO: Doug Sposito, Director Project Management pp FROM: Cheryl Robertson Executive Aide to the Clerk of Court & Comptroller (� J" ` At the October 19, 2016 Board of County Commissioner's meeting the Board granted approval and execution of the following Item C34 ,Approval of 1st Renewal Amendment with Sub -Zero for Lower Keys Air Conditioning Maintenance and Repair to increase the contract amount by CPI -U adjustment of .7 %. The renewal term will commence on November 01, 2016 and ends on October 31, 2017. Labor Costs Increase Regular Rates of Mechanic From $85.00 per hour to $85.60 per hour, mechanic plus helper from $125.00 per hour to $125.88 per hour. Increase overtime rates of mechanic from $125.00 per hour to $125.88 per hour, mechanic plus helper from $145.00 per hour to $146.02 per hour. Enclosed is a duplicate original 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 t��. ,,- ...-.� �. --- - °--- _.,...a ---., - ,,- ..,„.,_,u --ate y �. - ... SECOND AMENDMENT FIRST RENEWAL AGREEMENT FOR CENTRAL AIR CONDITIONING MAINTENANCE AND REPAIR AT LOWER KEYS_ FACILITIES, MONROE COUNTY, FLORIDA This Second Amendment First Renewal Agreement is made and entered into this 19th day of October, 2016, between MONROE COUNTY, FLORIDA ( "COUNTY "), a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key West, Florida 33040, and SUB -ZERO, INC. ( "CONTRACTOR "), a Florida corporation, whose address is 6003 Peninsular Ave., #5, Key West, Florida 33040. WHEREAS, the parties hereto did on October 21, 2015 enter into an Agreement for Central Air Conditioning Maintenance and Repair Services to County Lower Keys Facilities (hereinafter "Original Agreement "); and WHEREAS, on July 20, 2016 the BOCC approved an increase in the contract amount' from $70,000 /yr. to $120,000 /yr.; and WHEREAS, the parties have found the Original Agreement as Amended to be mutually beneficial and; WHEREAS, the parties find it would be mutually beneficial to enter into this Second Amendment and Renewal Agreement; and NOW THEREFORE, IN CONSIDERATION of the mutual promises and covenants set forth below, the parties agree as follows: 1. In accordance with Paragraph 3 of the Original Agreement, the County: a. Item 3E under Contract Amount, hourly rate for a mechanic shall increase from $85.00 to $85.60 during normal working hours of 8:00 am to 5:00 pm, Monday through Friday, excluding holidays; hourly rate for a mechanic plus helper shall increase from $125.00 to $125.88. b. Item 3E under Contract Amount, the overtime labor shall increase from $125.00 to $125.88 for hours not stated above, including holidays and facilities that conduct critical business; hourly rates for a mechanic plus helper shall increase from $145.00 to $146.02. 2. In accordance with Paragraph 4 of the Original Agreement, the County: a. Exercises the option to renew the Original Agreement for the first of the two (2) optional one -year terms. This term will commence on November 01, 2016 and terminate October 31, 2017; and b. The amount shall be adjusted in accordance with the percentage change in the U.S. Department of Commerce Consumer Price Index (CPI -U) for all Urban Consumers as reported by the U.S. Bureau of Labor Statistics at December 31 of the previous year of .7 %. 1 3. Except as set forth in paragraph 1 and 2 of this Second Amendment First Renewal Agreement, in all other respects, the terms and conditions set forth in the Original Agreement as Amended remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and year first above written. F `fi BOARD OF CO NTY COMMISSIONERS � ; '? ' '4.. AVILIN, CLERK OF MONROE,. '. , L t PA Ai r 9 ,-,,„ 10- " r ,,t 'cle Mater % ' `�. ' 1 � 1810 Date: /4-J3 l ( Witnesses for o CONTRACTOR SUB. -ZERO, INC. li �_.r � I I .,-aa.- t� fa 1 i� 11.;x- Sig turbefper linat • Signature legally bind SUB -ZERO, INC. Date: 11,— iZ r-l I ( - 7 i b (-- ( 7 .- - ce - 2_; O Pv_ ...c.- , Date Print Name and Title di P a PO,N1 i o, Av. .It3 � OW( .414 Al Address: Si 9 3 //- 7 -/ Gp Telephone Number Date r Anik 2 FIRST AMENDMENT FOR CENTRAL AIR CONDITIONING MAINTENANCE AND REPAIR AT LOWER KEYS FACILITIES, MONROE COUNTY, FLORIDA This First Amendment is made and entered into thid day of _ � , 2016, between MONROE COUNTY, FLORIDA ( "COUNTY "), a political subdivision fb the of Florida, whose address is 1100 Simonton Street, Key West, Florida 33040, and SUB -ZERO, INC. ( "CONTRACTOR "), a Florida corporation, whose address is 6003 Peninsular Ave., #5, Key West, Florida 33040. WHEREAS, on October 21, 2015, the parties hereto entered into an Agreement for Central Air Conditioning Maintenance and Repair Services at Lower Keys Facilities Monroe County (hereinafter "Original Agreement "); and WHEREAS, the Original Agreement states that the contract shall not exceed $70,000.00 /year unless preapproved emergency work requiring additional funds is implemented; and WHEREAS, there has been unanticipated repairs and /or emergency work at various locations, exhausting the annual agreement amount for this year with 3 summer months remaining; and WHEREAS, the parties find it would be mutually beneficial to increase the annual agreement amount by $50,000.00, from $70,000.00 to $120,000.00; and NOW THEREFORE, IN CONSIDERATION of the mutual promises and covenants set forth below, the parties agree as follows: 1. In accordance with Paragraph 3F of the Original Agreement, the Total Compensation to CONTRACTOR under this Agreement shall not exceed ONE HUNDRED TWENTY THOUSAND AND NO /100 DOLLARS ($120,000.00) unless pre- approved emergency work requiring additional funds is implemented. 2. Except as set forth in paragraph 1 of this First Amendment Agreement, in all other respects, ' the terms and conditions set forth in the Original Agreement as Amended remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and year !aye written. y I .- (" .. ' 1. BOARD OF COUNT CO a ISSIONERS Q. Ar A �. ;) HEAVILIN, CLERK OF MONROE CO 0 � v 0 O � N. � 'any( lei k " M. yor Date: 9 "/4 /(2 Date: 7"I4 - /U 1 o: Witnesses for CONTRACTOR SUB -ZERO, INC. :. f %.� . ' ' • � = l� � , tu r f . erS n a> razed to Si p Signature \ - ® legally bind SUB -ZERO INC. Date: q — ,(6 IF .s` 't 1 p-4 Dat Print Name an4 Title ( ;--1I f' Address: - t r S 0 5 ab( 4 1 7) . 3 of ( Telephone Number Date MONROE COUNTY ATTORNEY AP CUE] AS TO FORM CHRIS AMBROSIO ASSISTANT COUNTY A ORNEY Date: " / ,f 2 .:..w -.. a .,... ._n .- _. tea. _ ....... =x,. ai. �.. v- K:.3r. :,.». �....., ....w.T . ....... ... .v« uR. .... : . /y p * s`.a`LS' € t t s c }; !+ x l x F F 3 E ,� v s r° d .! '' ` € yep` xz.,y .t } € N , ( 4 t si + ; .Y S @ a e S , 4.-,,r' ,..,, <� � i ; 5 � . 6 CLERK OF CIRCUIT COURT COMPTROLLER ¢ e`h w MONROE COUNTY, FLORIDA � ... S t 7 l I( I fly 08 ,015 J I f..! r DATE: October 27, 2015 By TO: Doug Sposito, Director ATTN: Alice Steryou FROM :: Cheryl Robertson Executive Aide to the Clerk of Court & Comptroller e/ wg A kds an At the October 21, 2015 Board of County Commissioner's meeting the Board granted approval and execution of the following Items: D50 Approval to exercise the second option to renew the contact with Air Mechanical & Service Corp. for a full maintenance program for the two centrifugal chillers at Jackson Square. D51 Approval to exercise the second option to renew the contract with Culver's Cleaning Company for Janitorial Services at Veteran's Memorial Park Restrooms, Little Duck Key, Monroe County. This contract is funded in full by Tourist Development Funds. D52 Approval to award bid and execute a contract with Sub Zero, Inc., for Lower Keys facilities central air conditioning maintenance and repair. D55 Approval to execute an Interlocal Agreement with the City of Marathon for utilization of the County meeting room in Marathon for 24 City Council meetings D56 Approval of First Renewal, Second Amendment Agreement with Stockton Maintenance Group, Inc. (SMG) for janitorial services at the May Hill Russell Library and Department of Juvenile Justice Building, second floor. Enclosed is a duplicate original of the above mentioned executed on behalf of Monroe County for your handling. Should you have any questions, please feel free to contact me. 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 1 I AGREEMENT FOR CENTRAL AIR CONDITIONING MAINTENANCE AND REPAIR AT LOWER KEYS FACILITIES, MONROE COUNTY, FLORIDA This Agreement is made and entered into this JI day of . De-f 2015, between MONROE COUNTY, FLORIDA ( "COUNTY "), a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key West, Florida 33040, and SUB -ZERO, INC. ( "CONTRACTOR "), a Florida corporation, whose address is 6003 Peninsular Ave., #5, Key West, Florida 33040. WHEREAS, COUNTY desires to provide central air conditioning at the COUNTY Lower Keys Facilities that are indicated in section 2F of this Agreement; and WHEREAS, CONTRACTOR desires and is able to provide central air conditioning maintenance and repair services to the COUNTY Lower Keys Facilities; and WHEREAS, it serves a legitimate public purpose for CONTRACTOR to provide central air conditioning maintenance and repair services to the COUNTY Lower Keys Facilities, now therefore, IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed as follows: 1. THE AGREEMENT The Agreement consists of this document, the bid documents, exhibits, and any addenda only. 2. SCOPE OF THE WORK A. Routine repairs and maintenance of all central air conditioning units in the COUNTY Lower Keys Facilities as needed. B. Emergency repairs of all central air conditioning units in the COUNTY Lower Keys facilities. The CONTRACTOR shall be available 24 hours per day, 365 days per year to perform these services. The CONTRACTOR shall be at the site for performance of the service or repair of a COUNTY Lower Keys Facility air conditioning unit within three (3) hours of verbal or written notification by the COUNTY. The CONTRACTOR shall provide the COUNTY with an after -hours contact person and phone number. The COUNTY, upon award of the contract, shall provide a contact person and phone number for building and equipment access. C. The CONTRACTOR shall have access to a supply of all parts and controls normally necessary for the emergency repairs of all COUNTY central air conditioning units so that such emergency repairs will be completed within 48 hours of notification by the COUNTY. D. The COUNTY shall reimburse the CONTRACTOR for the Manufacturer's invoice cost of all parts and materials (excluding freight, tax, services supplied by others and equipment rental), plus percentage indicated in section 3D of this Agreement, that are used in the repair of all county maintained central air conditioning 1 units. Manufacturer's invoice must accompany all requests for payment. All parts and materials shall be of equal or greater quality as compared to existing parts and materials in use. On all orders that 'require shipping or transportation of parts or materials whether the part is under warranty or not, freight invoices must also accompany requests for payment. E. In the event of a major component failure or system breakdown, the COUNTY, when deemed as an emergency situation, shall have the option to request from the CONTRACTOR only, a proposal /quote for replacement equipment in an amount that could exceed Five Thousand Dollars ($5,000.00). Any proposal over $5,000.00 up to and including $10,000.00 must be approved and signed by the Division Director and/or the County Administrator. My proposal over $10,000.00 up to and including $49,999.99 must be approved and signed by the Division Director and the County Administrator. F. The Lower Keys facilities to be serviced by the CONTRACTOR shall include,- but shall not be limited to, the following: KEY WEST COURTHOUSE Jackson Square Complex, 500 Whitehead Street, Key West MONROE COUNTY COURTHOUSE ANNEX, a/k/a JUDGE JEFFERSON B. BROWNE COURTROOM COMPLEX (including 1986 Jail Addition) Jackson Square Complex, 510 Whitehead Street, Key West J. LANCELOT LESTER JUSTICE BUILDING INCLUDING CLERK'S RECORDS STORAGE FACILITY Jackson Square Complex, 530 Whitehead Street, Key West FREEMAN JUSTICE CENTER 302 Fleming Street, Key West JUVENILE DETENTION 500 Whitehead Street, Key West KEY WEST LIBRARY (MAY HILL RUSSELL LIBRARY) 700 Fleming Street, Key West GATO BUILDING 1100 Simonton Street, Key West HARVEY GOVERNMENT CENTER 1200 Truman Avenue, Key West HARVEY CENTER NUTRITION SITE 1200 Truman Avenue, Key West TAX COLLECTOR/DMV OFFICES 3439 South Roosevelt Boulevard, Key West MONROE COUNTY DETENTION FACILITY 5501 College Road, Key West 2 1 SHERIFF'S ADMINISTRATION BUILDING 5525 College Road, Key West • STOCK ISLAND FIRE STATION 5655 McDonald Avenue, Stock Island, Key West BERNSTEIN PARK HOUSE/ROAD DEPARTMENT 6751 Fifth Street, Stock Island, Key West BAYSHORE MANOR 5200 College Road, Key West BIG COPPITT FIRE STATION 28 Emerald Drive, Big Coppitt Key SHERIFF'S SUB- STATION US Highway 1, Cudjoe Key BIG PINE KEY FIRE STATION 390 Key Deer Boulevard, Big Pine Key BIG PINE KEY LIBRARY (one -story CBS Building) Big Pine Key Shopping Center, Big Pine Key TAX COLLECTOR/SHERIFF'S OFFICE Big Pine Key Shopping Center, Big Pine Key HOUSE AT BIG PINE KEY PARK (formerly OLD MARINER'S RESORT) 31009 Atlantis, Big Pine Key • BIG PINE KEY PARK COMMUNITY CENTER 31009 Atlantis, Big Pine Key The CONTRACTOR shall be responsible to obtain any necessary permits during the term of this contract in order to perform the services and scope of work in this Agreement. 3. PAYMENTS TO CONTRACTOR A. COUNTY's performance and obligation to pay under this agreement, is contingent upon annual appropriation by the Board of County Commissioners. B. COUNTY shall pay in accordance with the Florida Local Government Prompt Payment Act; payment will be made after delivery and inspection by COUNTY and upon submission of invoice by CONTRACTOR. C. CONTRACTOR shall submit to COUNTY invoices with supporting documentation acceptable to the Clerk, at completion of the work/repair by the CONTRACTOR and approval by the on -site COUNTY representative. Acceptability to the Clerk is based on generally accepted accounting principles and such laws rules and regulations as may govern the Clerk's disbursal of funds. 3 D. COUNTY shall pay the actual cost of parts, materials and refrigerants, excluding freight, equipment rental, tax amounts, and services supplied by others purchased from the manufacturer plus 25 % to fulfill the obligations of the Contract. Freight, equipment rental, tax amounts, equipment rental amounts and services supplied by others shall be reimbursed for amounts charged. A manufacturer's invoice must accompany all requests for payment. Freight invoices must accompany all orders that require shipping or transportation of parts whether the part is under warranty or not (see section 2.D above). E. The cost of the CONTRACTOR's labor used to fulfill the obligations of this maintenance and services Agreement are calculated using the unit prices set forth in . the CONTRACTOR's proposal as follows: Labor — Normal working hours of 8:00 a.m. to 5:00 p.m. Monday through Friday, excluding holidays: $ 85.00 per hour, mechanic $ 125.00 per hour, mechanic plus helper Overtime rate for hours other than the normal working hours as stated above, including holidays: $ 125.00 per hour, mechanic $ 145.00 per hour, mechanic plus helper Such costs must be documented for each repair and /or maintenance job and included with all Applications for Payment. Refrigerants evacuation and disposal shall be a part of the CONTRACTOR's rate, and shall not be billed as an additional item. Contractor shall provide all Refrigerants weight and compliance reports as per EPA refrigerant recycling regulations under section 608 of the Clean Air Act and amendments. The air conditioning units are to be maintained and installed at the COUNTY Lower Keys Facilities. Window and portable units may, from time to time, be submitted for analysis for economical repair. If the CONTRACTOR determines that the unit is economically repairable, the CONTRACTOR will submit an estimate for repair to the COUNTY representative, who, at his discretion, may have the CONTRACTOR repair the window or portable unit in keeping with the estimate. Contractor shall submit with all invoices the Application for Payment form attached. There are no additional costs for travel, mileage, meals, or lodging. F. Total Compensation to CONTRACTOR under this Agreement shall not exceed SEVENTY THOUSAND AND NO /100 DOLLARS ($70,000.00) unless pre - approved emergency work requiring additional funds is implemented. 4. TERM OF AGREEMENT This Agreement shall commence on November .01., - 2015 and ends upon October 31, 2016 unless terminated earlier under paragraph 18 of this Agreement. The COUNTY shall have the option to renew this Agreement for up to an additional two (2) one year periods at terms and conditions mutually agreeable to the parties, 4 exercisable upon written notice given at least 30 days prior to the end of the initial term. Unless the context clearly indicates otherwise, references to the "term" of this Agreement shall mean the initial term of one (1) year. The Contract amount may be adjusted annually in accordance with the percentage change in the U.S. Department of Commerce Consumer Price Index (CPI -U) for all Urban Consumers as reported by the U.S. Bureau of Labor Statistics at December 31 of the previous year using the most recently published indicator. 5. ACCEPTANCE OF CONDITIONS BY CONTRACTOR CONTRACTOR has, and shall maintain throughout the term of this Agreement, appropriate licenses. Proof of such licenses shall be submitted to the COUNTY upon execution of this Agreement. 6. FINANCIAL RECORDS OF CONTRACTOR CONTRACTOR shall maintain all books, records, and documents directly pertinent to performance under this Agreement in accordance with generally accepted accounting principles consistently applied. Each party to this Agreement or their authorized representatives shall have reasonable and timely access to such records of each other party to this Agreement for public records purposes during the term of the Agreement and for four years following the termination of this Agreement. If an auditor employed by the COUNTY or Clerk determines that monies paid to CONTRACTOR pursuant to this Agreement were spent for purposes not authorized by this Agreement, the CONTRACTOR shall repay the monies together with interest calculated pursuant to Sec. 55.03, FS, running from the date the monies were paid to CONTRACTOR. 7. PUBLIC ACCESS The COUNTY and CONTRACTOR shall allow and permit reasonable access to, and inspection of, all documents, papers, letters or other materials in its possession or under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received by the COUNTY and CONTRACTOR in conjunction with this Agreement; and the COUNTY shall have the right to unilaterally cancel this Agreement upon violation of this provision by CONTRACTOR. 8. HOLD HARMLESS AND INSURANCE Notwithstanding any minimum insurance requirements prescribed elsewhere in this agreement, CONTRACTOR shall defend, indemnify and hold the COUNTY and the COUNTY's elected and appointed officers and employees harmless from and against (i) any claims, actions or causes of action, (ii) any litigation, administrative proceedings, appellate proceedings, or other proceedings relating to any type of injury (including death), loss, damage, fine, penalty or business interruption, and (iii) any costs or expenses that may be asserted against, initiated with respect to, or sustained by, any indemnified party by reason of, or in connection with, (A) any activity of CONTRACTOR or any of its employees, agents, sub- contractors or other invitees during the teen of this AGREEMENT, (B) the negligence or recklessness, intentional wrongful misconduct, errors or other wrongful act or omission of CONTRACTOR or any of its employees, agents, sub - contractors or other invitees, or (C) CONTRACTOR's default in respect of any of the obligations that it undertakes under the terms of this AGREEMENT, except to 5 the extent the claims, actions, causes of action, litigation, proceedings, costs or expenses arise from the intentional or sole negligent acts or omissions of the COUNTY or any of its employees, agents, contractors or invitees (other than CONTRACTOR). Insofar as the claims, actions, causes of action, litigation, proceedings, costs or expenses relate to events or circumstances that occur during the term of this AGREEMENT, this section will survive the expiration of the term of this AGREEMENT or any earlier termination of this AGREEMENT: The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this agreement. Failure of CONTRACTOR to comply with the requirements of this section shall be cause for immediate termination of this agreement. Prior to execution of this agreement, CONTRACTOR shall furnish the COUNTY Certificates of Insurance indicating the minimum coverage limitations in the following amounts: WORKERS COMPENSATION AND EMPLOYER'S LIABILTIY INSURANCE. Where applicable, coverage to apply for all employees at a minimum statutory limits as required by Florida Law. COMPREHENSIVE AUTOMOBILE VEHICLE LIABILITY INSURANCE. Motor vehicle liability insurance, including applicable no -fault coverage, with limits of liability of not less than $100, 000.00 per occurrence, combined single limit for Bodily Injury Liability and Property Damage Liability. Coverage shall include all owned vehicles, all non -owned vehicles, and all hired vehicles. COMMERCIAL GENERAL LIABILITY. Commercial general liability coverage with limits of liability of not less than $300,000.00 combined single limit for Bodily Injury Liability and Property Damage Liability. CERTIFICATES OF INSURANCE. Original Certificates of Insurance shall be provided to the COUNTY at the time of execution of this Agreement and certified copies provided if requested. Each policy certificate shall be endorsed with a provision that not less than thirty (30) calendar days' written notice shall be provided to the COUNTY before any policy or coverage is canceled or restricted. The underwriter of such insurance shall be qualified to do business in the State of Florida. If requested by the County Administrator, the insurance coverage shall be primary insurance with respect to the COUNTY, its officials, employees, agents and volunteers. MONROE COUNTY BOARD OF COUNTY COMMISSIONERS MUST BE NAMED AS ADDITIONAL INSURED ON ALL POLICIES EXCEPT WORKER'S COMPENSATION. 9. NON - WAIVER OF IMMUNITY Notwithstanding the provisions of Section 768.28, Florida Statutes, the participation of COUNTY and CONTRACTOR in this Agreement 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 Agreement entered into by the COUNTY be required . to contain any provision for waiver. 6 10. INDEPENDENT CONTRACTOR At all times and for all purposes under this agreement CONTRACTOR is an independent contractor and not an employee of the Board of County Commissioners of Monroe County. No statement contained in this Agreement shall be construed so as to find CONTRACTOR or any of his employees, subcontractors, servants, or agents to be employees of the Board of County Commissioners of Monroe County. 11. NONDISCRIMINATION CONTRACTOR agrees that there will be no discrimination against any person, and it is expressly understood that upon a determination by a court of competent jurisdiction that discrimination has occurred, this Agreement automatically terminates without any further action on the part of any party, effective the date of the court order. CONTRACTOR agrees to comply with all Federal and Florida statutes, and all local . ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1) Title VI of the Civil Rights Act of 1964 (PL 88 -352) which prohibits discrimination on the basis of race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20 USC ss. 1681 -1683, and 1685- 1686), which prohibits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42 USC ss. 6101 -6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92 -255), as amended, relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91 -616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC ss. 690dd -3 and 290ee -3), as amended, relating to confidentiality of alcohol and drug abuse patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to • nondiscrimination on the basis of disability; 10) Any other nondiscrimination provisions in any Federal or state statutes which may apply to COUNTY and CONTRACTOR to, or the subject matter of, this Agreement. 12. ASSIGNMENT /SUBCONTRACT CONTRACTOR shall not assign or subcontract its obligations under this agreement to others, except in writing and with the prior written approval of the Board of County Commissioners of Monroe County and CONTRACTOR, which approval shall be subject to such conditions and provisions as the Board may deem necessary. This paragraph shall be incorporated by reference into any assignment or subcontract and any assignee or sub shall comply with all of the provisions of this agreement. Unless expressly provided for therein, such approval shall in no manner or event be deemed to impose any additional obligation upon the board. 13. COIVIPLIANCE WITH LAW AND LICENSE REQUIREMENTS In providing all services /goods pursuant to this Agreement, CONTRACTOR shall abide by all laws of the Federal and State government, ordinances, rules and regulations pertaining to, or regulating the provisions of, such services, including those now in effect 7 and hereinafter adopted. Compliance with all laws includes, but is not limited to, the immigration laws of the Federal and State government. Any violation of said statutes, ordinances, rules and regulations shall constitute a material breach of this agreement and shall entitle the Board to terminate this Agreement. CONTRACTOR shall possess proper licenses to perform work in accordance with these specifications throughout the term of this Agreement. 14. DISCLOSURE AND CONFLICT OF INTEREST CONTRACTOR represents that it, its directors, principles and employees, presently have no interest and shall acquire no interest, either direct or indirect, which would conflict in any manner with the performance of services required by this contract, as provided in Sect. 112.311; et. seq., Florida Statutes. COUNTY agrees that officers -and employees of the COUNTY recognize and will be required to comply with the standards of conduct for public officers and employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to, solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation; misuse of public position, conflicting employment or contractual relationship; and disclosure or use of certain information. COUNTY and CONTRACTOR warrant that, in respect to itself, it has neither employed nor retained any company or person, other than a bona fide employee working solely for it, to solicit or secure this Agreement and that it has not paid or agreed to pay any person, company, corporation, individual, or firm, other than a bona fide employee working solely for it, any fee, commission, percentage, gift, or other consideration contingent upon or resulting from the award or making of this Agreement. For the breach or violation of the provision, the CONTRACTOR agrees that the COUNTY shall have the right to terminate this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise recover, the full amount of such fee, commission, percentage, gift, or consideration. 15. NO PLEDGE OF CREDIT CONTRACTOR shall not pledge the COUNTY's credit or make it a guarantor of payment or surety for any contract, debt, obligation, judgment, lien, or any form of indebtedness. CONTRACTOR further warrants and represents that it has no obligation or indebtedness that would impair its ability to fulfill the terms of this Agreement. 16. NOTICE REQUIREMENT Any notice required or permitted under this agreement shall be in writing and hand delivered or mailed, postage prepaid, to the other party by certified mail, returned receipt requested, to the following: FOR COUNTY: FOR CONTRACTOR: Monroe County SUB -ZERO INC. Doug Sposito, Director 6003 Peninsular Ave # 5 Public Works Facilities Maintenance Key West, FL 33040 1100 Simonton Street Key West, Fl, 33040 and Monroe County Attorney 8 Post Office Box 1026 Key West, FL 33041 -1026 17. TAXES COUNTY is exempt from payment of Florida State Sales and Use taxes. CONTRACTOR shall not be exempted by virtue of the COUNTY's exemption from paying sales tax to its suppliers for materials used to fulfill its obligations under this contract, nor is CONTRACTOR authorized to use the COUNTY's Tax Exemption Number in securing such materials. CONTRACTOR shall be responsible for any and all taxes, or payments of withholding, related to services rendered under this agreement. 18. TERMINATION A. The COUNTY or CONTRACTOR may terminate this Agreement for cause with seven (7) days notice to CONTRACTOR. Cause shall constitute a breach of the obligations of either party to perform the obligations enumerated under this Agreement. B. Either of the parties hereto may cancel this agreement without cause by giving the other party sixty (60) days written notice of its intention to do so. 19. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES This Agreement shall be governed by and construed in accordance with the laws of the State of Florida applicable to Agreements made and to be performed entirely in the State. In the event that any cause of action or administrative proceeding is instituted for the enforcement or interpretation of this Agreement, the COUNTY and CONTRACTOR agree that venue will lie in the appropriate court or before the appropriate administrative body in Monroe County, Florida. 20. MEDIATION The COUNTY and CONTRACTOR agree that, in the event of conflicting interpretations of the terms or a term of this Agreement by or between any of them the issue shall be submitted to mediation prior to the institution of any other administrative or legal proceeding. Mediation proceedings initiated and conducted pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and usual and customary procedures required by the circuit court of Monroe County. 21. SEVERABILITY If any term, covenant, condition or provision of this Agreement (or the application thereof to any circumstance or person) shall be declared invalid or unenforceable to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions and provisions of this Agreement, shall not be affected thereby; and each remaining term, covenant, . condition and provision of this Agreement shall be valid and shall be enforceable to the fullest extent permitted by law unless the enforcement of the remaining terms, covenants, conditions and provisions of this Agreement would prevent the accomplishment of the original intent of this Agreement. The COUNTY and CONTRACTOR agree to reform the Agreement to replace any stricken provision with a valid provision that comes as close as possible to the intent of the stricken provision. 9 f ` 22. ATTORNEY'S FEES AND COSTS The COUNTY and CONTRACTOR agree that in the event any cause of action or administrative proceeding is initiated or defended by any party relative to the enforcement or interpretation of this Agreement, the prevailing party shall be entitled to reasonable attorney's fees and court costs as an award against the non - prevailing party, and shall include attorney's fees and courts costs in appellate proceedings. 23. ADJUDICATION OF DISPUTES OR DISAGREEMENTS COUNTY and CONTRACTOR agree that all disputes and disagreements shall be attempted to be resolved by meet and confer sessions between representatives of COUNTY and CONTRACTOR. If no resolution can be agreed upon within 30 days after the first meet and confer session, the issue or issues shall be discussed at a public meeting of the Board of County Commissioners. If the issue or issues are still not resolved to the satisfaction of COUNTY and CONTRACTOR, then any party shall have the right to seek such relief or remedy as may be provided by this Agreement or by Florida law. 24. COOPERATION In the event any administrative or legal proceeding is instituted against either party relating to the formation, execution, performance, or breach of this Agreement, COUNTY and CONTRACTOR agree to participate, to the extent required by the other party, in all proceedings, hearings, processes, meetings, and other activities related to the , substance of this Agreement or provision of the services under this Agreement. COUNTY and CONTRACTOR specifically agree that no party to this Agreement shall be required to enter into any arbitration proceedings related to this Agreement. 25. BINDING EFFECT The terms, covenants, conditions, and provisions of this Agreement shall bind and inure to the benefit of COUNTY and CONTRACTOR and their respective legal representatives, successors, and assigns. 26. AUTHORITY Each party represents and warrants to the other that the execution, delivery and performance of this Agreement have been duly authorized by all necessary COUNTY and corporate action, as required by law. 27. CLAIMS FOR FEDERAL OR STATE AID CONTRACTOR and COUNTY agree that each shall be, and is, empowered to apply for, seek, and obtain federal and state funds to further the purpose of this Agreement; - provided that all applications, requests, grant proposals, and funding solicitations shall be approved by each party prior to submission. 28. 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 10 employees of the COUNTY, when performing their respective functions under this Agreement 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. 29. LEGAL OBLIGATIONS AND RESPONSIBILITIES This Agreement is not intended to, nor shall it be construed as, relieving any participating entity from any obligation or responsibility imposed upon the entity by law except to the extent of actual and timely performance thereof by any participating entity, in which case the performance may be offered in satisfaction of the obligation or responsibility. Further, this Agreement is not intended to, nor shall- it be construed as, authorizing the delegation of the constitutional or statutory duties of the COUNTY, except to the extent permitted by the Florida constitution, state statute, and case law. 30. NON - RELIANCE BY NON - PARTIES No person or entity shall be entitled to rely upon the terms, or any of them, of this Agreement to enforce or attempt to enforce any third -party claim or entitlement to or benefit of any service or program contemplated hereunder, and the COUNTY and the CONTRACTOR agree that neither the COUNTY nor the CONTRACTOR or any agent, officer, or employee of either shall have the authority to inform, counsel, or otherwise indicate that any particular individual or group of individuals, entity or entities, have entitlements or benefits under this Agreement separate and apart, inferior to, or superior to the community in general or for the purposes contemplated in this Agreement. 31. ATTESTATIONS CONTRACTOR agrees to execute such documents as the COUNTY may reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -Free Workplace Statement. 32. NO PERSONAL LIABILITY No covenant or agreement contained herein shall be deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe County in his or her individual capacity, and no member, officer, agent or employee of Monroe County shall be liable personally on this Agreement or be subject to any personal liability or accountability by reason of the execution of this Agreement. 33. EXECUTION IN COUNTERPARTS ' This Agreement may be executed in any number of counterparts, each of which shall be regarded as an original, all of which taken together shall constitute one and the same instrument and any of the parties hereto may execute this Agreement by signing any such counterpart. 34. SECTION HEADINGS Section headings have been inserted in this Agreement as a matter of convenience of reference only, and it is agreed that such section headings are not a part of this Agreement and will not be used in the interpretation of any provision of this Agreement. 11 • 35. PUBLIC, ENTITY CRIME INFORMATION STATEMENT "A person or affiliate who has been placed on the convicted vendor list following a . conviction for a public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to a public entity, may not be awarded or perform work as a Construction Manager, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list." 36. MUTUAL REVIEW This agreement has been carefully reviewed by CONTRACTOR and the COUNTY, therefore, this agreement is not to be construed against either party on the basis of authorship. 37. INCORPORATION OF BID DOCUMENTS The terms and conditions of the bid documents are incorporated by reference in this contract agreement. 38. ANNUAL APPROPRIATION The COUNTY's performance and obligation to pay under this agreement is contingent upon an annual appropriation by the Board of County Commissioners. In the event that the COUNTY funds on which this Agreement is dependent are withdrawn, this Agreement is terminated and the COUNTY has no further obligation under the terms of this Agreement to the Contractor beyond that already incurred by the termination date. • END OF AGREEMENT 12 IN WITNESS WHEREOF, COUNTY and CONTRACTOR hereto have executed this Agreement on the day and date first written above in four (4) counterparts, each of which shall, without proof or accounting for the other counterparts, be deemed an original contract. %`_ ''11711 ' � . _ BOARD OF COUNTY COMMISSIONERS - 0 ' , ,,,4 1 p zf. HEAVILIN, CLERK OF MONRO COUNTY, FLORIDA ' : °� : u d�'e Mayor /2 1 f 1 /0/2! I /5 Date: �.d / S Date: ._ ._. Witnesses for.. CONTRACTOR SUB -ZERO, INC.: t I1 r Lk. � b yak ,+ at S i u of perso thorized to Signature legally bind SUB -ZERO, INC. Date: (0,6,- 5 /0 n - r 9e)/ --- Az-kr-0.--ek c/X7fiRikt...1 id ( AQ---% Y q Date /L Print Name and Title ,./.../( Address: fn3 f !` -aft AV' 1I nature /0 _ 7-/ 5 --- Telephone Number Date MONROE COUNTY ATTORNEY . APPRO ED AS TO FORM CHRIS AMBROSIO ASSJ COUNTY ATTORNEY ( 1 `'i Date: . , 13 APPLICATION FOR PAYMENT DETAILS DATE: ARRIVAL TIME: DEPARTURE TIME: LOCATION:. PARTS AND MATERIALS COSTS ITEM DESCRIPTION UNIT PRICE QUANTITY SUB -TOTAL l 3 4 5.. REFRIGERANTS COST LBS OF . @ PER POUND PARTS, MATERIALS & REFRIGERANTS SUB -TOTAL % INCREASE ON ABOVE PARTS, MATERIALS & REFRIGERANTS FREIGHT CHARGE TAX CHARGES PARTS, MATERIALS & REFRIGERANTS TOTAL $ LABOR AND EQUIPMENT COSTS HOURS @ $ SUB -TOTAL .$ HOURS @ $ SUB -TOTAL $ LABOR & EQUIPMENT TOTAL $ TOTAL $ DESCRIPTION OF WORK Date Authorized Signature / Title * Contractor must provide a copy of Invoice /Receipts for manufacturer's cost of parts, materials & Refrigerants, freight for transportation/shipping costs, equipment rental amounts and services supplied by others. 14