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Item C30 C.30 t, BOARD OF COUNTY COMMISSIONERS County of Monroe Mayor Sylvia Murphy,District 5 The Florida Keys l'U � � Mayor Pro Tern Danny Kolhage,District 1 �pw° Michelle Coldiron,District 2 Heather Carruthers,District 3 David Rice,District 4 County Commission Meeting March 21, 2019 Agenda Item Number: C.30 Agenda Item Summary #5311 BULK ITEM: Yes DEPARTMENT: Project Management TIME APPROXIMATE: STAFF CONTACT: Cary Knight(305) 292-4527 N/A AGENDA ITEM WORDING: Approval to award a contract to Razorback, LLC., for the Key West Light House Keepers Quarters Foundation Repair in the amount of Fifty-Four Thousand dollars ($54,000.00). ITEM BACKGROUND: Razorback, LLC is the lowest responsive bidder to a Request for Proposals that was publicly advertised for the Key West Light House Keepers Quarters Foundation Repair project. The Key West Light House was in service from 1848 to 1969 and the Keeper's Quarters were built in 1887. The Light House is now operated as a museum and the property and structures are listed on the National Registry of Historic Places. The Keeper's Quarters foundation has significant mortar deterioration between historic brickwork in multiple areas due to high environmental exposure. The foundation is sound, but in need of brick and mortar repairs to preserve structural integrity. The Project is required to follow strict Historic Preservation standards as called for by the National Register of Historic Places. The County has made improvements to the property to maintain compliance with all code regulations and uses of the building have remained unchanged for more than 20 years. The Light House facility will continue to be maintained through Key West Arts and Historical Society and Monroe County Public Works. All required local permits including the City of Key West and Historic Architectural Review Commission have been obtained. PREVIOUS RELEVANT BOCC ACTION: TDC approved the County's request for a grant in the amount of$81,000 on 11/7/17, to perform and complete these repairs by 9/30/19. CONTRACT/AGREEMENT CHANGES: n/a STAFF RECOMMENDATION: Approval as noted. Packet Pg. 722 C.30 DOCUMENTATION: KW Lighthouse Foundation Repairs- Final Contract.docx Razorback Key West Lighthouse Foundation Repairs Proposal documents KW Lighthouse Keepers Quarters Foundation Repair - TDC and County Project Detail Form Final BID TAB FINANCIAL IMPACT: Effective Date: 03/21/2019 Expiration Date: Total Dollar Value of Contract: $54,000 Total Cost to County: none Current Year Portion: n/a Budgeted: n/a Source of Funds: TDC Grant CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: none Revenue Producing: No If yes, amount: Grant: $81,000 County Match: none Insurance Required: n/a Additional Details: Architect's design and construction administration fees of$8,000 are also funded via the TDC grant. None REVIEWED BY: Cary Knight Completed 03/05/2019 11:39 AM Chris Ambrosio Completed 03/05/2019 3:46 PM Budget and Finance Completed 03/05/2019 3:57 PM Maria Slavik Completed 03/05/2019 4:11 PM Kathy Peters Completed 03/05/2019 4:44 PM Board of County Commissioners Pending 03/21/2019 9:00 AM Packet Pg. 723 C.30.a r_ 0 Agreement Between Owner and Contractor Where the basis of payment is a STIPULATED SUM AGREEMENT Made as of March 21, 2019 BETWEEN the Owner: Monroe County Board of County Commissioners 500 Whitehead Street Key West, Florida 33040 And the Contractor: Razorback, LLC. 276 Knollwood Road Tarpon Springs, FL 34688 0 4- For the following Project: KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR 0 4- 0 Scope of the Work 0 The Scope of Work shall include, but not be limited to, all work shown and listed in the Project Drawings and Specifications. The Contractor is required to provide a complete job as contemplated by the drawings and specifications, which are a part of this bid package. The Contractor shall furnish all labor, supervision, materials, power, tools, equipment, supplies, permits and any other means of construction necessary or proper for performing and completing the Scope of Work, unless otherwise specifically stated. 0 A. Project consists of repair and repointing of the historic brick masonry foundation piers at the Key West Light Station Keeper's Quarters. The brick masonry base of the fireplace under the building will also be repointed. Additionally, the wood floor framing system will be secured to the foundation piers. The Key West Light Station is a National Register historic site. All work activities must be undertaken with sufficient care to protect this historic resource and must be supervised by personnel who are familiar with the Secretary of Interior's Standards for Rehabilitation and have been pre-qualified under General Specifications, Section I, Bidding Conditions; Section II, Contractual Conditions; and Section III, Forms. 0 U) B. The work will include, but not necessarily be limited to, the following items: Restoration of historic brick and mortar dating from the 1880s using a lime based mortar. The Contractor shall be responsible for complying with regulations, approvals, and permitting by the: Historic Architectural Review Commission of the City of Key West and any other permitting or regulatory agencies as applicable. AGREEMENT 00500- Page 1 of 15 Packet Pg. 724 C.30.a r- ARTICLE 1 The Contract Documents 0 The Contract Documents consist of this Agreement, Conditions of the Contract (General, - Supplementary and other Conditions including the General Conditions contained in the Request for Proposals (RFP) of which the table of contents is included after the signature page in this Agreement), Drawings, Specifications, Proposal Documents, Addenda issued prior to execution of this Agreement, together with the response to RFP and all required insurance documentation, and Modifications issued after execution of this Agreement. The Contract represents the entire and integrated agreement between the parties hereto and supersedes prior negotiations, representations or agreements, either written or oral. An enumeration of the Contract Documents, other than Modifications, appears in Article 9. In the event of a discrepancy between the documents, precedence shall be determined by the order of the documents as just listed. ARTICLE 2 The Work of this Contract The Contractor shall execute the entire Work described in the Contract Documents, except to the extent specifically indicated in the Contract Documents to be the responsibility of others, or as follows: N/A 0 ARTICLE 3 0 4- Date of Commencement and Substantial Completion 3.1 The date of commencement is the date to be fixed in a notice to proceed issued by the 0 Owner. The Contractor shall achieve Substantial Completion of the entire Work not later than X Ninety (90) calendar days after the date of commencement or issuance of a Notice to Proceed. The time or times stipulated in the contract for completion of the work of the contract or of specified phases of the contract shall be the calendar date or dates listed in the milestone schedule. U Liquidated damages will be based on the Substantial Completion Date for all work, modified by all approved extensions in time as set forth by the Director of Project Management's signature of approval on the Certificate of Substantial Completion. The liquidated damages table below shall be utilized to determine the amount of liquidated damages. FIRST SECOND 31ST DAY & CONTRACT AMOUNT 15 DAYS 15 DAYS THEREAFTER Under $50,000.00 $50.00/Day $100.00/Day $250.00/Day $50,000.00-99,999.00 100.00/Day 200.00/Day 750.00/Day $100,000.00-499,999.00 200.00/Day 500.00/Day 2,000.00/Day 0 $500,000.00 and Up 500.00/Day 1,000.00/Day 3,500.00/Day The Contractor's recovery of damages and sole remedy for any delay caused by the Owner shall be an extension of time on the Contract. AGREEMENT 00500- Page 2 of 15 Packet Pg. 725 C.30.a r- ARTICLE 4 Contract Sum 0 4.1 The owner shall pay the Contractor in current funds for the Contractor's performance of - the Contract the Contract Sum of Fifty-Four Thousand and 00/100 Dollars ($54,000), subject to additions and deductions as provided in the Contract Documents. 4.2 The Contract Sum is based upon the following alternates, if any, which are described in a the Contract Documents and are hereby accepted by the Owner: none (State the numbers or other identification of accepted alternates. If decisions on other alternates are to be made by the Owner subsequent to the execution of this Agreement then attach a schedule of such other alternates showing the amount for each and the date until which that amount is valid.) Alternate # 1: No Alternates Specified 4.3 Unit prices, if any, are as follows: N/A ARTICLE 5 0 Progress Payments 5.1 Based upon Applications for Payment submitted by the Contractor to the Director of Project Management, and upon approval for payment issued by the Director of Project 0 Management and Architect, the Owner shall make progress payments on account of the Contract Sum to the contractor as provided below and elsewhere in the Contract Documents. 5.2 The period covered by each Application for payment shall be one (1) calendar month ending on the last day of the month, or as follows: X 0 5.3 Payment will be made by the Owner in accordance with the Florida Local Government Prompt Payment Act, Section 218.735, Florida Statutes. 0 5.4 Each Application for Payment shall be based upon the Schedule of Values submitted by the Contractor in accordance with the Contract Documents. The Schedule of Values shall allocate the entire Contract Sum among the various portions of the Work and be prepared in such form and supported by such data to substantiate its accuracy as the Director of Project Management may require. This schedule, unless objected to by the Director of Project Management, shall be used as a basis for reviewing the Contractor's Applications for Payment. 5.5 Applications for Payment shall indicate the percentage of completion of each portion of the Work as of the end of the period covered by the Application for Payment. 0 5.6 Subject to the provisions of the Contract Documents, the amount of each progress payment shall be computed as follows: 5.6.1 Take that portion of the Contract Sum properly allocable to completed Work as determined by multiplying the percentage completion of each portion of the Work by the share of the total Contract Sum allocated to that portion of the Work in the Schedule of Values, less retainage of ten percent 10%. Pending final determination of cost to the Owner of changes in the Work, amounts not in dispute may be included in Applications for Payment. The AGREEMENT 00500- Page 3 of 15 0 Packet Pg. 726 C.30.a r- amount of credit to be allowed by the Contractor to the Owner for a deletion or change which results in a net decrease in the Contract Sum shall be the net cost to the Owner, less Overhead, Profit and Documented Costs incurred prior to the change Request, as indicated in the corresponding line item in the Approved Schedule of Values for that line - item as confirmed by the Director of Project Management.When both additions and credits covering related Work or substitutions are involved in a change, the allowance for overhead and profit shall be figured on the basis of net increase, if any, with respect to that change. 5.6.2 Add that portion of the Contract Sum properly allocable to materials and equipment delivered and suitably stored at the site for subsequent incorporation in the completed construction (or, if approved in advance by the Owner, suitably stored off the site at a location agreed upon in writing), less retainage; 5.6.3 Subtract the aggregate of previous payments made by the Owner; and 5.6.4 Subtract amounts, if any, for which the Director of Project Management has withheld or nullified a Certificate for Payment as provided in Paragraph 9.5 of the General Conditions. 5.7 Retainage of ten percent(10%)will be withheld in accordance with Section 218.735 (8)(b), Florida Statutes. 0 4- 5.8 Reduction or limitation of retainage, if any, shall be as follows: Monroe County is exempt from and not subject to Florida Statutes, Section 255.078, "Public Construction Retainage". Reduction or limitation of retainage, if any, shall be reduced incrementally at the discretion of and upon the approval of the Director of Project Management. 0 0 ARTICLE 6 Final Payment Final payment, constituting the entire unpaid balance of the Contract Sum, shall be made by the Owner to the Contractor when (1) the Contract has been fully performed by the Contractor except for the Contractor's responsibility to correct nonconforming Work as provided in Subparagraph 12.2.2 of the General Conditions and to satisfy other requirements, if any, which necessarily survive final payment, and (2) a final approval for payment has been issued by the Director of Project Management. Such final payment shall be made by the Owner not more than twenty (20) days after the issuance of the final approval for payment. The following documents (samples in section 01027, Application for Payment) are required for Final Payment: (1) Application and Certificate for Payment (2) Continuation Sheet (3) Certificate of Substantial Completion 0 (4) Contractor's Affidavit of Debts and Claims (5) Contractor's Affidavit of Release of Liens (6) Final Release of Lien (7) Contractor shall provide two (2) hard copies in tabulated divided binders and one (1) saved electronically tabbed and indexed in Adobe Acrobat file (.PDF) format delivered on a common form (i.e. flash drive) of all the following, but not limited to: AGREEMENT 00500- Page 4 of 15 Packet Pg. 727 C.30.a r_ A. Project Record Documents (As Built Documents). B. Operating and maintenance data, instructions to the Owner's personnel. C. Warranties, bond and guarantees. D. Keys and keying schedule. E. Spare parts and maintenance materials. F. Electronic copies of approved submittals. U) G. Evidence of payment and final release of liens and consent of surety to final release (includes final release from all utilities and utility companies). ARTICLE 7 Miscellaneous Provisions 0 7.1 Where reference is made in this Agreement to a provision of the General Conditions or another Contract Document, the reference refers to that provision as amended or supplemented by other provisions of the Contract Documents. 0 4- 7.2 Payment shall be made according to the Florida Local Government Prompt Payment Act and Monroe County Code. 0 7.3 Temporary facilities and services: As described in Section 01500, Temporary Facilities, of the General Conditions. 0 0 7.4 Monroe County's performance and obligation to pay under this contract is contingent upon an annual appropriation by the Board of County Commissioners. 7.5 A person or affiliate who has been placed on the convicted vendor list following a conviction for 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 proposal on a contract with a public entity for the construction or repair of a public building or public work, may not submit proposals on leases of real property to public entity, may not be awarded or perform work as contractor, 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 thirty-six (36) months from the date of being placed on the convicted vendor list. 7.6 The following items are included in this contract: 0 U) a) 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 AGREEMENT 00500- Page 5 of 15 Packet Pg. 728 C.30.a r_ shall repay the monies together with interest calculated pursuant to Sec. 55.03, Florida Statutes, running from the date the monies were paid to Contractor. 0 b) 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 contracts 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 shall lie in the appropriate court or before the appropriate administrative body in Monroe County, Florida. The Parties waive their rights to trial by jury. 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. c) 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 0 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. d) 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. e) Binding Effect. The terms, covenants, conditions, and provisions of this Agreement shall bind and inure to the benefit of the County and Contractor and their respective legal representatives, successors, and assigns. f) 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. Each party agrees that it has had ample opportunity to submit this Contract to legal counsel of its choice and enters into this agreement freely, voluntarily and with advice of counsel. 0 U) g) 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. h) 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 each of the parties. If the issue or issues are still 0 AGREEMENT 00500- Page 6 of 15 0 Packet Pg. 729 C.30.a r- not resolved to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy as may be provided by this Agreement or by Florida law. This Agreement is not subject to arbitration. i) 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. U) j) Nondiscrimination. The parties agree 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. The parties agree 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 VII of the Civil Rights Act of 1964 (PL 88-352), which prohibit discrimination in employment on the basis of race, color, religion, sex, and national origin; 2)Title IX of the Education Amendment of 1972, as amended (20 USC §§ 1681- 0 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 § 794), which prohibits 0 discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42 USC §§ 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, §§ 523 and 527 (42 USC §§ 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patent records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC §§ 3601 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 §§ 12101), as amended from time to time, relating to nondiscrimination in employment on the basis of disability; 10) Monroe County Code Chapter 14, Article II, which prohibits discrimination on the basis of race, color, sex, religion, national origin, ancestry, sexual orientation, gender identity or expression, familial status or age; and 11) any other nondiscrimination provisions in any federal or state statutes which may apply to the parties to, or the subject matter of, this Agreement. k) Covenant of No Interest. County and Contractor covenant that neither presently has any interest, and shall not acquire any interest, which would conflict in any manner or 0 degree with its performance under this Agreement, and that only interest of each is to perform and receive benefits as recited in this Agreement. I) Code of Ethics. 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; AGREEMENT 00500- Page 7 of 15 Packet Pg. 730 C.30.a r- unauthorized compensation; misuse of public position, conflicting employment or contractual relationship; and disclosure or use of certain information. 0 m) No Solicitation/Payment. The County and Contractor warrant that, in respect to itself, U- 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. n) Public Records Compliance. Contractor must comply with Florida public records laws, including but not limited to Chapter 119, Florida Statutes and Section 24 of article 1 of the Constitution of Florida. The County and Contractor shall allow and permit reasonable access to, and inspection of, all documents, records, papers, letters or other "public record" 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 contract and related to contract performance. The 0 County shall have the right to unilaterally cancel this contract upon violation of this provision by the Contractor. Failure of the Contractor to abide by the terms of this 0 provision shall be deemed a material breach of this contract and the County may enforce the terms of this provision in the form of a court proceeding and shall, as a prevailing party, be entitled to reimbursement of all attorney's fees and costs associated with that proceeding. This provision shall survive any termination or expiration of the contract. The Contractor is encouraged to consult with its advisors about Florida Public Records Law in order to comply with this provision. 0 U Pursuant to Fla. Stat. Sec. 119.0701 and the terms and conditions of this contract, the Contractor is required to: (1) Keep and maintain public records that would be required by the County to perform the service. (2) Upon receipt from the County's custodian of records, provide the County with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. 0 U) (2) Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the contractor does not transfer the records to the County. (4) Upon completion of the contract, transfer, at no cost, to the County all public records in possession of the Contractor or keep and maintain public records 0 AGREEMENT 00500- Page 8 of 15 0 Packet Pg. 731 C.30.a r- that would be required by the County to perform the service. If the Contractor transfers all public records to the County upon completion of the contract, the Contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the - Contractor keeps and maintains public records upon completion of the contract, the Contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the County, upon request from the County's custodian of records, in a format that is compatible with the information technology systems of the County. A request to inspect or copy public records relating to a County contract must be made directly to the County, but if the County does not possess the requested records, the County shall immediately notify the Contractor of the request, and the Contractor must provide the records to the County or allow the records to be inspected or copied within a reasonable time. If the Contractor does not comply with the County's request for records, the County shall enforce the public records contract provisions in accordance with the contract, notwithstanding the County's option and right to unilaterally cancel this contract upon violation of this provision by the Contractor. A Contractor who fails to provide the public records to the County or pursuant 0 to a valid public records request within a reasonable time may be subject to penalties under Section 119.10, Florida Statutes. 0 0 The Contractor shall not transfer custody, release, alter, destroy or otherwise dispose of any public records unless or otherwise provided in this provision or as otherwise provided by law. 0 0 IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS, BRIAN BRADLEY AT PHONE# 305-292-3470 BRADLEY- BRIAN@MONROECOUNTY-FL.GOV, MONROE COUNTY ATTORNEY'S OFFICE 1111 12TH Street, SUITE 408, KEY WEST, FL 33040. a� Right to Audit - Availability of Records. The records of the parties to this Agreement relating to the Project, which shall include but not be limited to accounting records (hard copy, as well as computer readable data if it can be made available; subcontract files (including proposals of successful and unsuccessful bidders, bid recaps, bidding instructions, bidders list, etc.); original estimates; estimating work sheets; correspondence; change order 0 files (including documentation covering negotiated settlements); back- charge logs and supporting documentation; general ledger entries detailing cash and trade discounts earned, insurance rebates and dividends; any other supporting evidence deemed necessary by Owner to substantiate charges related to this agreement, and all other agreements, sources of information and matters that may in Owner's reasonable judgment have any bearing on or pertain to any matters, rights, duties or obligations under or covered by any contract document (all foregoing hereinafter referred to as "Records") AGREEMENT 00500- Page 9 of 15 Packet Pg. 732 C.30.a r_ shall be open to inspection and subject to audit and/or reproduction by Owner's representative and/or agents of Owner. Owner may also conduct verifications such as, but not limited to, counting employees at the job site, witnessing the distribution of payroll, verifying payroll computations, _ overhead computations, observing vendor and supplier payments, miscellaneous allocations, special charges, verifying information and amounts through interviews and written confirmations with employees, Subcontractors, suppliers, and contractor's representatives. All records shall be kept for ten (10) years after Final Completion. o) Non-Waiver of Immunity. Notwithstanding the provisions of Sec. 768.28, Florida Statutes, the participation of the Contractor and the County 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 contract entered into by the County be required to contain any provision for waiver. p) 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 County, when 0 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 0 functions and duties of such officers, agents, volunteers, or employees outside the territorial limits of the County. q) Legal Obligations and Responsibilities: Non-Delegation of Constitutional or Statutory Duties. 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. r) 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 0 purposes contemplated in this Agreement. s) 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. t) 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 AGREEMENT 00500- Page 10 of 15 Packet Pg. 733 C.30.a r_ g 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. u) 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. v) Hold Harmless and Indemnification. 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, contractors or other invitees during the term 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 the extent the claims, actions, causes of action, 0 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). The monetary limitation of liability under this contract shall be not less than $1 million per occurrence pursuant to F. S. 725.06. 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. 0 U In the event that the completion of the project(to include the work of others) is delayed or suspended as a result of the Contractor s failure to purchase or maintain the required insurance, the Contractor shall indemnify the County from any and all increased expenses resulting from such delay. Should any claims be asserted against the County by virtue of any deficiency or ambiguity in the plans and specifications provided by the Contractor, the Contractor agrees and warrants that the Contractor shall hold the County harmless and shall indemnify it from all losses occurring thereby and shall further defend any claim or action on the County's behalf. The first ten dollars ($10.00) of remuneration paid to the Contractor is for the indemnification provided for the above. 0 0 w) 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. x) Disadvantaged Business Enterprise (DBE) Policy and Obligation. It is the policy of the County that DBE's, as defined in C.F.R. Part 26, as amended, shall have the AGREEMENT 00500- Page 11 of 15 Packet Pg. 734 C.30.a r- opportunity to participate in the performance of contracts financed in whole or in part with County funds under this agreement. The DBE requirements of applicable federal and state laws and regulations apply to this Agreement. The County and its Contractor agree to ensure that DBE's have the opportunity to participate in the performance of - the Agreement. In this regard, all recipients and contractors shall take all necessary and reasonable steps in accordance with applicable federal and state laws and regulations to ensure that DBE's have the opportunity to compete and perform contracts. The County and Contractor and subcontractors shall not discriminate on the basis of race, color, national origin or sex in award and performance of contracts, entered pursuant to this Agreement. y) Agreements with Subcontractors. In the event that the Contractor subcontracts any or all of the work in this project to any third party, the Contractor specifically agrees to identify the COUNTY as an additional insured on all insurance policies required by the County. In addition, the Contractor specifically agrees that all agreements or contracts of any nature with his subcontractors shall include the COUNTY as additional insured. z) Florida Green Building Coalition Standards. Monroe County requires its buildings to conform to Florida Green Building Coalition standards. Special Conditions, if any are detailed in Section 00100 of the Project Manual for this 0 Project. 0 7.7 Any written notices or correspondence given pursuant to this contract shall be sent by United States Mail, certified, return receipt requested, or by courier with proof of delivery. Notice shall be sent to the following persons: x For Contractor: Anthony Houllis Razorback, LLC. 276 Knollwood Road Tarpon Springs, FL 34688 0 For Owner: Director of Project Management Assistant County Administrator, PW& E 1100 Simonton St., Room 2-216 1100 Simonton St. Key West, Florida 33040 Key West, Florida 33040 ARTICLE 8 Termination or Suspension 8.1 The Contract may be terminated by the Owner as provided in Article 14 of the General Conditions. 0 ARTICLE 9 Enumeration of Contract Documents 9.1 The Contract Documents, except for Modifications issued after execution of this Agreement, are enumerated as follows: a) Drawings: Bender Associates, signed and sealed plans (sheets A0, A1.0, A1.1, A1.2, A2.0, A8.0, A8.1) as included in the Monroe County Request for Proposals (RFP) for this project AGREEMENT 00500- Page 12 of 15 Packet Pg. 735 C.30.a r- 0 b) Project Manual: Key West Lighthouse Keepers Quarters Foundation Repairs Specifications — 38 pages c) Documents: None 9.1.1 The Agreement is this executed Standard Form of Agreement between Owner and Contractor. 9.1.2 The General Conditions are the General Conditions of the Contract for Construction as included in the Monroe County Request for Proposals (RFP) for this project. U) 9.1.3 The Supplementary and other Conditions of the Contract are those contained in the Project Manual dated: April 2018. 9.1.4 All County required forms and certifications as included in the Monroe County Request for Proposals (RFP) for this project. 0 9.1.5 The Addenda, if any, are as follows: Number Date 01 2/5/19 02 2/7/19 0 0 This Agreement is entered into as of the day and year first written above and is executed in one (1) original copy a copy is to be delivered to the Contractor. 0 0 BALANCE OF PAGE INTENTIONALLY LEFT BLANK SIGNATURE PAGE TO FOLLOW 0 a� 0 0 U) 0 AGREEMENT 00500- Page 13 of 15 Packet Pg. 736 r- 0 Execution by the Contractor must be by a person with authority to bind the entity, SIGNATURE OF THE PERSON EXECUTING THE DOCUMENT MUST BE NOTARIZED. 0 U- (SEAL) BOARD OF COUNTY COMMISSIONERS Attest: Kevin Madok, Clerk OF MONROE COUNTY, FLORIDA a U) By: By: Deputy Clerk Mayor/Chairman Date 0 CONTRACTOR'S Witnesses Attest: CONTRACTOR: Contractor must provide two witnesses signatures Signature: 0 Signature: Print Name: Print Name: Title: 0 0 4- Title: Date: 0 0 Date: and MONROE COU ATTORNEY P O� X ,) AP ROVED TO 0 0 Signature: 77/ Print Name: C IS CH IS AMBROSIO 0 Title: ASSISTANT C U TY ATTORNEY Date: U- Date: U) STATE OF FLORIDA, COUNTY OF On this day of 20 before me, the undersigned notary public, personally appeared known to me to be the person whose name is subscribed above or who produced as identification, and acknowledged 0 that he/she is the person who executed the above contract with Monroe County for Key West U- Lighthouse Keeper's Quarters Foundation Repair for the purposes therein contained. 0 U) 0 Notary Public Print Name My commission expires: (Seal) E GENERAL REQUIREMENTS Page 14 of 15 I Packet Pg. 737 C.30.a r_ GENERAL REQUIREMENTS Where Project Management is Not a Constructor 0 Section 00750 General Conditions Section 00970 Project Safety and Health Plan a Section 00980 Contractor Quality Control Plan Section 01015 Contractor's Use of the Premises °8 Section 01027 Application for Payment Section 01030 Alternates Section 01040 Project Coordination Section 01045 Cutting and Patching Section 01050 Field Engineering Section 01200 Project Meetings Section 01301 Submittals Section 01310 Progress Schedules Section 01370 Schedule of Values Section 01385 Daily Construction Reports Section 01395 Request for Information— (RFI) 0 4- Section 01410 Testing Laboratory Services Section 01421 Reference Standards and Definitions Section 01500 Temporary Facilities Section 01520 Construction Aids _ Section 01550 Access Roads and Parking Areas Section 01560 Temporary Controls Section 01590 Field Offices and Sheds Section 01595 Construction Cleaning Section 01600 Material and Equipment Section 01630 Post-Proposal Substitutions Section 01640 Product Handling Section 01700 Contract Closeout Section 01710 Final Cleaning Section 01720 Project Record Documents Section 01730 Operation and Maintenance Data Section 01740 Warranties g 0 0 U) 0 GENERAL REQUIREMENTS Page 15 of 15 Packet Pg. 738 C.30.b KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR a� a� SECTION 00120 PROPOSALFORM c The Proposal shall be submitted on the forms included in this section of the Proposal Documents as previously instructed herein. LM l Item Description Pages . 1. Proposal Form 20 c 2. Bid Bond (Proposal Security) 26 3. Non-Collusion Affidavit 27 0 4. Lobbying and Conflict of Interest Clause 28 5. Drug-Free Workplace Form 29 6. Local Preference Form 30 7. Public Entity Crime Statement 31 8. Vendor Certification Regarding Scrutinized Companies List 32 9. Subcontractor Listing Form 33 U 10. Insurance Requirements and Forms 34-35 c 11. Workers Compensation and Employers' Liability 36 c 12. General Liability 0. 37 c 0- 13.Vehicle Liability 38 14. Builders Risk (If needed) 39 #; 15. Proposer's Insurance and Indemnification Statement 40-41. ° a� 16. Insurance Agent's Statements 42 17. Contractor License: A Current Copy to be submitted with Proposal. Subcontractor Licenses to be Submitted Prior to a� ` Award of Notice to Proceed. f INFORMATION REQUIRED TO BE PROVIDED 1. In order to determine if the persons or entity submitting proposals are responsible, all Proposals for contracts to be awarded under this section must contain the following information: a� A. A list of the entity's shareholders with five percent (5%) or more of the stock or, if a general partnership, a list of the general partneri ,, if a limited liability company, a list of its members; if a solely owned propri ` r's,6ip, names(s) of owner(s). A 0 copy of documentation demonstrating that the entity is a legally viable entity shall be attached. a� PROPOSAL FORM 00120-Page 20 of 213. 'i s, Packet Pg. 739 KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR B. A list of the officers and directors of the entity. C. Relevant Experience:The number of years the person or entity has been operating and, if different, the number of years it has been providing the service, goods, or 0 construction services called for in the proposal specifications (include a list of similar projects). D. The number of years the person or entity has operated under its present name and any prior names. 0 E. Answers to the following questions regarding claims and suits: a. Has the person or entity ever failed to complete work or provide the goods 0 for which it has contracted? (If yes, provide details of the job, including where the job was located and the name of the owner.) YES NO 0 L- CL CL b. Are there any judgments, claims, arbitration proceeding or suits pending or outstanding against the person, principal of the entity, or entity, or its officers,directors,or general partners(this specifically includes any present or prior entities in which the person, principal, entity, officer, director or 0 general partner of the proposing entity has been involved as a person, principal, entity, officer, director or general partner in the last five (5) years)? (If yes, provide details, include enough information about the CL judgment, claim, arbitration or suit so that the Owner will able to obtain a copy of the judgment or claim or locate the suit by location and case number.) CL a) YES NO XJ 0 C. Has the person, principal of the entity, entity, or its officers, major shareholders or directors within the last five (5) years, been a party to any law suits or arbitrations with regard to a contract for services, goods or construction services similar to those requested in the specifications with private or public entities? This specifically includes any present or prior entities in which the person, principal, entity, officer; director or general. partner of the proposing entity has been involved as a person, principal, entity, officer, director or general partner in the last five (5) years. (If yes, provide details, include enough information about the judgment, claim, arbitration or suit so that the Owner will able to obtain a copy of the judgment or claim or locate the suit by location and case number.) 0 YES NO Q 0 N d. Has the person, principal of the entity, or its officers, owners, partners, major shareholders or directors, ever initiated litigation against Monroe a� PROPOSAL FORM 00120-Page 21 of 213 0 Packet Pg. 740 C.30.b KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR 0 SECTION 00120 PROPOSAL FORM PROPOSAL TO: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS c/o PURCHASING DEPARTMENT 1100 SIMONTON STREET ROOM 2-213 KEY WEST, FLORIDA 33040 0 PROPOSAL FROM: RAZORBACK, LLC 0 ;V 0- CL CL The undersigned, having carefully examined the Work and reference Drawings, Specifications, Proposal, and Addenda thereto and other Contract Documents for the construction of: KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR and having carefully examined the site where the Work is to be performed, having become familiar E with all local conditions including labor affecting the cost thereof, and having familiarized CL 0 himself/herself with material availability, Federal, State, and Local laws, ordinances, rules and regulations affecting performance of the Work, does hereby propose to furnish all labor, - mechanics, superintendents, tools, material, equipment, transportation services, and all incidentals necessary to perform and complete said Work and work incidental hereto, in a 0 workman-like manner, in conformance with said Drawings, Specifications, and other Contract Documents including Addenda issued thereto. The undersigned further certifies that he/she has personally inspected the actual location of where the Work is to be performed,together with the local sources of supply and that he/she understands the conditions under which the Work is to be performed. The successful proposer shall assume 0 the risk of any and all costs and delays arising from the existence of any subsurface or other latent physical condition which could be reasonably anticipated by reference to documentary information. provided and made available, and from inspection and examination of the site. The Base Proposal shall be furnished below in words and numbers. If there is an •® inconsistency between the two, the Proposal in words shall control. a� _ ')4 �� ... Dollars. 0 (Total Prop sag_words) (Total Ease Proposal - numbers) a� 0 PROPOSAL FORM 00120- Page 23 of 213 i s Packet Pg. 741 i C.30.b { KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR 0 I acknowledge Alternates as follows: N/A 1. Alternate#1 •® Dollars (Alternate#1-words) c $ (Alternate#1—numbers) c 2. Alternate#2 c Dollars > (Alternate#2-words) CL CL (Alternate#2— numbers) ' 3. Alternate #3 i Dollars (Alternate#3-words) CL $ (Alternate#3—numbers) CL a) 4. Alternate#4 Dollars (Alternate#4-words) c U- $ a� (Alternate#4—numbers) 0 Unit prices, if any, are as follows: N/A •® a� 1 acknowledge receipt of Addenda No.(s) No. 1 Dated 2-5-19 No. Dated " c No. Dated No. Dated a� PROPOSAL FORM 00120-Page 24 of 213 Packet Pg. 742 C.30.b KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR Proposer, states by his/her check mark in the blank beside the form and by his/her signature that he/she has provided the following requirements (located in Section 00120): 0 1. Proposal Form 2. Proposal Security (Bid Bond) ,,, 3. Non-Collusion Affidavit t , 0 ii 4. Lobbying and Conflict of Interest Clause II 5. Drug-Free Workplace Form l ° 0 6. Local Preference Form and requirements(if applicable) ° 0 7. Public Entity Crime Statement " 0 8. Vendor Certification Regarding Scrutinized Companies Subcontractor List Form CL CL 9. Proposer's Insurance and Indemnification Statement 10. Insurance Agents Statement (signed by agent) a� 11. Answered Required Questions 12. Provided three (3) Customer References and three (3) Credit References 13. Provided three (3) years of Financial Statements in separate envelope 14. Certified copy of Valid Florida Contractor's License 00. 0 15. Current Monroe County Occupational License CL Business Name: RAZORBACK, LLC DBA: CL as Business 26 344 7303 EIN# Business Mailing Address: 276 KNOLLWOOD RD. Address: y 0 City, TARPON SPRINGS, FL 34688 State, Zip City,State,Zip 727-938-9500 0 Phone: Local Phone: The physical business address must be registered as its principal place of business with the Florida Department of State for at least one (1)year prior to the notice of request for bid or proposal. as as Date: 2-5-19 Signed: 0 Printed: ANTHONY HOULLIS 0 N MGRM Witness: s 0 a PROPOSAL FORM 00120-Page 25 of 213 i Packet Pg. 743 C.30.b KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR SECTION 00120 NON-COLLUSION AFFIDAVIT o 1, ANTHONY HOULLIS of the city TARPON SPRINGS '® ' according to law on my oath, and under penalty of perjury, depose and say that: 1. 1 am MGRM of the firm of RAZORBACK, LLC the proposer making the Proposal for the project described in the notice for calling for proposals for: KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIRS and that I executed the said proposal with full authority to do so; L_ CL I 2. The prices in this proposal have been arrived at independently without collusion, CL consultation, communication or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other proposer or with any competitor; and a� 3. Unless otherwise required by law, the prices which have been quoted in this proposal have not been knowingly disclosed by the proposer and will not knowingly be disclosed by the proposer prior to proposal opening, directly or indirectly, to any other proposer or #, to any competitor; and CL 4. No attempt has been made or will be made by the proposer to induce any other person, a partnership or corporation to submit, or not to submit, a proposal for the purpose of - restricting competition; and CL 5. The statements contained in this affidavit are true and correct, and made with full knowledge of said projeC. 2-5-19 (Signature of Proposer) (Date) 0 U_ i STATE OF: FLORIDA COUNTY OF: PINELLAS PERSONALLY APPEARED BEFORE ME, the undersigned authority, ANTHONY HOULLIS who, after first being sworn by me, (name of individual signing) affixed his/her signature in the space provided above. a on this 5TH day of FEBRUARY , 20 19 o — � NOTARY PUBLIC "•• MATTHEW HOUSH 1 .commission#FF 957693 My commission expires: Ferry 4 2020 , '+9, ' BmW TMu Troy Frn Umn�s 806 W"M�9 PROPOSAL FORM 00120-Page 27 of 213 Packet Pg. 744 KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR 0 LOBBYING AND CONFLICT OF INTEREST CLAUSE SWORN STATEMENT UNDER ORDINANCE NO. 010-1990 MONROE COUNTY, FLORIDA c ETHICS CLAUSE 0 U RAZORBACK, LLC (Company) CL CL 10 f warrants that he/it has not employed, retained or otherwise had act on his/its behalf any former County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this provision the County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct from the contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee". CL (Signature) CL a� Date: 2-5-19 0 U- STATE OF: FLORIDA a� COUNTY OF: PINELLAS c Subscribed and sworn to (or affirmed) before me on 2-5-19 (date) a� By ANTHONY HOULLIS (name of affiant). He/She is p .±,Lqgaally K0,gWp to me or has produced as identification. (Type of identification) N NOTARY PUBLIC MAMEW HOUSH My commission expires: ... Commission#FF 957693 a (SEAL) '. ya, Expires February 4,2020 •P.;.-,.N �, Bor m TW TrW Fro hmrwm 1003�7019 PROPOSAL FORM 00120-Page 28 of 223 Packet Pg. 745 KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR c DRUG-FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: •® RAZORBACK, LLC (Name of Business) c 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 the actions that will be taken against employees for violations of such prohibition. CL C CL 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 a� employees for drug abuse violations. c 3. Gives each employee engaged in providing the commodities or contractual services that t; are under proposal a copy of the statement specified in subsection (1). CL 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 proposal,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 CL of any controlled substance law of the United States or any state, for a violation occurring 4' ;. 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. a� 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. �W, � � . Proposer's Signature 2-5-19 0 Date i>t wd � P. PROPOSAL FORM 00120- Page 29 of 213 Packet Pg. 746 C.30.b KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR LOCAL PREFERENCE FORM 0 A. Vendors claiming a local preference according to Ordinance 023-2009, as amended by Ordinance No. 004-2015 and 025-2015, must complete this form. Name of Bidder/Responder N/A Date: 1. Does the vendor have a valid receipt for the business tax paid to the Monroe County Tax Collector dated at least one(1)year prior to the notice of request for bids or proposals? (Please furnish copy.) 0 2. Does the vendor have a physical business address located within Monroe County from which the vendor operates or performs business on a day to day basis that is a substantial component of the goods or services being offered to Monroe County? 0 j (The physical business address must be registered as its principal place of business with the Florida Department of State for at least one (1) year prior to the notice of request for bid or proposal.) 0- CL List Address: CL Telephone Number: B. Does the vendor/prime contractor intend to subcontract 50%or more of the goods, services or construction to local businesses meeting the criteria above as to licensing and location? 0 If yes, please provide: 0 1. Copy of Receipt of the business tax paid to the Monroe County Tax Collector by the subcontractor dated at least one (1) year prior to the notice or request for bid or proposal. CL 0 2. Subcontractor's physical business address within Monroe County from which the subcontractor operates: (The physical business address must be registered as its principal place of business with the Florida CL } Department of State for at least one (1) year prior to the notice of request for bids or proposals) as Tel.Number 0 Address i . s Print Name: Signature and Title of Authorized Signatory for LL Bidder/Responder 0 w, STATE OF COUNTY OF On this day of , 20 , before me, the undersigned notary public, personally appeared known to me to be the person whose name is subscribed above or who produced as identification, and acknowledged that he/she is the person who executed the above Local Preference Form for the purposes therein contained. My commission expires: Print Name N (SEAL) ti PROPOSAL FORM 00120-Page 30 of 213 Packet Pg. 747 4 C.30.b KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR PUBLIC ENTITY CRIME STATEMENT 0 "A person or affiliate who has been placed on the convicted vendor list following a conviction for LM 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 public entity, may not be awarded or perform work as a contractor,supplier,subcontractor, or CONTRACTOR 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, Florida Statutes, for CATEGORY TWO for 0 a period of 36 months from the date of being placed on the convicted vendor list." I have read the above and state that neither RAZORBACK, LLC (Proposer's name) nor any Affiliate has been placed on the convicted vendor list within the last CL thirty-six (36) months. CL .. E (Signature) 0 Date: 2-5-19 W ; CL 0 0 CL CL STATE OF: FLORIDA COUNTY OF: PINELLAS Subscribed and sworn to(or affirmed) before me on the 5TH day of FEBRUARY a� 20 19 , by ANTHONY HOULLIS (name of affiant). He/She is ersonala 0jo me or has produced (type of identification) as identification. a� My Commission Expires: a� NOTARY PUBLIC � (SEAL) 0 N yz MATTHEw HOWSH 1:= Commis n#FF 957693 Expires Febru q 4,2020 � as 9mdW Thru Troy Fen kw9w y 9003AS7019 U PROPOSAL FORM 00120-Page 31 of 213 Packet Pg. 748 f C.30.b KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS 0 Project Description(s): KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR •® Respondent Vendor Name: RAZORBACK, LLC Vendor FEIN: 26 344 7303 0 Vendor's Authorized Representative Name and Title: ANTHONY HOULLIS, MGRM Address: 276 KNOLLWOOD RD City: TARPON SPRINGS State: FLORIDA Zip; 34688 Phone Number 727-938-9500 Email Address: RAZORBACKLLC@GMAIL.COM 0 0 L_ CL .Section 287.135, Florida Statutes prohibits a company from bidding on, submitting a proposal for, or CL entering into or renewing a contract for goods or services of any amount if, at the time of contracting or. renewal,the company is on the Scrutinized Companies that Boycott Israel List, created pursuant to Section 215.4725, Florida Statutes, or is engaged in a Boycott of Israel. Section 287.135, Florida Statutes, also prohibits a company from bidding on, submitting a proposal for, or entering into or renewing a contract for goods or services of$1,000,000 or more, that are on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector Lists which •were created pursuant to s. 215.473, Florida Statutes, or is engaged in business operations in Cuba or Syria. 0 CL i' As the person authorized to sign on behalf of Respondent, I hereby certify that the company identified above in the Section entitled "Respondent Vendor Name" is not listed on the Scrutinized Companies that Boycott Israel List or engaged in a boycott of Israel and for Projects of$1,000,000 or more is not listed onCL E either the Scrutinized Companies with Activities in Sudan List,the Scrutinized Companies with Activities in as the Iran Petroleum Energy Sector List, or engaged in business operations in Cuba or Syria. I understand that pursuant to Section 287.136, Florida Statutes,the submission of a false certification may subject company to civil penalties, attorney's fees, and/or costs. I further understand that any contract with the County may be terminated, at the option of the County, if the company is found to have submitted a false certification or has been placed on the Scrutinized Companies that Boycott Israel List or engaged in a boycott of Israel or placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List or been engaged in business operations 0 in Cuba or Syria. Certified By: ANTHONY HOULLIS ,who is authorized to sign on behalf of the above referenced company. Authorized Signature: i Print Name: ANTHONY HOULLIS Title: MGRM Note: The List are available at the following Department of Management Services Site: r http://www.dms.myflorida.com/business operations/state purchasing/vendor information/convicted susp 0 ended discriminatory complaints vendor lists 0 PROPOSAL FORM 00120-Page 32 of 213 Packet Pg. 749 KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR SUBCONTRACTOR LISTING FORM c Divisionm « mSubcontractor Contact Person ' Ph#w/area mm Fax: Cell: AddressLm ..................................._........._........................._........................_........................................_..................._.......... code ..__«___ r_.««.« _._«_««_.___..«,.._.._ .........................._.__.................................. ........................................................ ... �_ _................................. __......................_......_.................. ....... _ ..................................... ........................................._........._..._. ...............,..........__..............._.. ................... ................ ........ �.....f 1 _ _ _ .........._.. -.. _._ ...----------- ................_.. __...._.....__.._ ........... CL i _E ............_..........._.._........_i............__._.._._.......................................„..__....._.._................._..........._....._..w............_..__............ .._......_.____._...__.___.._.. ! ............. ......._..... .......... ... ..W ..... ....y..... __. ................ ........_............._...___........................ ....................._..............._.....__... i ....:..... :.........................................:..................................................................................................................................................................................i................................................................E....................................... i............................................._«............_.._......._..............__.._......................._...._....___....{.. ....._....._...__....«..«._..__.._........_ _..._..___....__.._.........__.._...« ..__........-__......._._.......__..._.,...............,€.._.......___._._.»...__.........._.._._.....�.__.._..............._....................._..._.. f€.... .....«_._ p t : € 1 € f � ; ii t th CL j `:'........_....._._....._..............'._...... CL .................................................................................................d.......................................................................:`............................................................................................................................................f t i 0 LL 0 0 N PROPOSAL FORM 00120- Page 33 of 213 Packet Pg. 750 C.30.b KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR 0 GENERAL INFO REQUIRED PER (SECTION 00120) .® 0 COMPANY INFO • Razorback LLC is a single member owned LLC organized and incorporated in the State of Florida c • Anthony Houllis is the sole member, whom owns 100% of the shares. L_ • Sunbiz verification attachedCL • Razorback Officers and Directors are as follows o Owner, Project Manager-Anthony Houllis o Secretary—Lynne Tabery E o Historic Project Field Manager-Alex Klahm • Razorback LLC has been operating under its current status since 2008, over 10 years. M c EXPERIENCECL • Razorback LLC has been performing Historic Restoration on a large scale for over 10 years. Our lead Historic Restoration specialists include Anthony Houllis and Alex Klahm. CL a) • Specifically TUCK POINTING and FOUNDATION STABILIZATION has been performed by Razorback and our specialists on the following projects: c o Ocracoke North Carolina Lighthouue, 4 months of interior tuck-pointing with historic lime putty mortar. This work was performed under the supervision of the National Park Services conservation staff. o Port Boca Grande Lighthouse foundation repair. This project involved shoring, removing and replacing historic wood supports and cast iron brackets. o Jupiter Inlet Lighthouse, tuck pointing was performed on the interior and exterior of this historic Lighthouse by Razorback and Team in 2017. o Gasparilla Island Rear Range Light, Razorback acting as the prime contractor and lead on this $1,700,000 project completely restored this historic structure that was near unsalvageable. A crucial part of construction was removing and reinstalling the foundation slab at the base of the lighthouse along with associated retaining walls. o Note: Razorback LLC performed the most recent painting of the Key West Lighthouse. o References and Contact Info is attached FINANCIAL STATEMENTS — IN SEPARATE ENVELOPE PER SECTION (00120, g) Packet Pg. 751 C.30.b KEY WEST LIGHTHOUSE KEEPER'S QUARTERS FOUNDATION REPAIR REFERENCES CUSTOMER AND VENDOR 0 PROJECT/CUSTOMER - RECENT LIGHTHOUSE PROJECTS INVOLVING MASONRY AND METAL RESTORATION WHERE RAZORBACK LLC WAS THE PRIME CONTRACTOR. ADDITIONAL LIGHTHOUSES INCLUDE: SANIBEL ISLAND, ST. MARKS, HOPE TOWN, AND THE KEY WEST o LIGHTHOUSE. NOTE: RAZORBACK PERFORMED THE METAL RESTORATION AND PAINTING AS A SUB CONTRACTOR FOR DL PORTER ON THE KEY WEST LIGHT. • JUPITER INLET LIGHTHOUSE o 500 Captain Armour's Way,Jupiter, FL 33469 o CONTACT:JAMIE STUVE O jstuve@jupiterlighthouse.org O 561-747-8380 x102 0 • BOCA GRANDE LIGHTHOUSECL o Port Boca Grande Lighthouse & Museum o CONTACT: SHARON MCKENZIE CL o Gasparilla Island Lighthouse a� o P.O. Box 637 — Boca Grande, FL 33921 o (941) 964-0060 • KENNITH SMITH ARCHITECTS, INC o CONTACT: Kenneth R. Smith, FAIA, President o KENNETH SMITH ARCHITECTS, INC. • 110 Cypress Landing o Saint Johns, Florida 32259 o Telephone:904-281-0002—Cell 904-234-7200 • HILLSBORO INLET LIGHTHOUSE o CAPT.Art Makenian o TEL:305 799-5621 o LT. WOWTSCHUK o captmakenian@yahoo.com • ST AUGUSTINE LIGHTHOUSE o 81 Lighthouse Avenue Packet Pg. 752 C.30.b o Saint Augustine, Florida 32080 CL o (904) 829-0745, Ext 219 a a� • CITY OF DANIA BEACH o Rickelle Williams, Executive Director o Dania Beach Community Redevelopment Agency .® 0 100 W. Dania Beach Boulevard o Dania Beach, FL 0 954-924-6801 Ext. 3732 0 • ST SIMONS ISLAND LIGHTHOUSE o Mimi Rogers o Curator o Coastal Georgia Historical Society > o P.O. Box 21136 CL o St. Simons Island, GA 31522 CL o Tel. 912.634.7085 as SUPPLIER/VENDOR REFERENCES: 0 • SUNBELT RENTALS o CL o Bill Hair- Sunbelt Rentals a Outside Sales Representative 0 813-478-4167 cell CL 0 813-854-4555 office ® bill.hair@sunbeltrentals.com • Florida Protective Coatings o (407) 322-1243 o Chad Holmes o CHOLMES@TNEMEC.COM o 0 250 Waymont Court, Suite 120 o LAKE MARY, FL 32746 a� • HERC RENTALS a Darren Johnson 0 39418 US HWY 19 N o o Tarpon Springs, FL 0 727-560-7412 o Darren.Johnson@hercrentals.com 0 Packet Pg. 753 C.30.b t a s , i. y� e� 4 . a p . a : ..w S€ § z CL CL 1<1 CL W �- a i r s" i° a if lb @ggg rs.. L CL NZ ay s rn Cf9 v g ul a RV r fp: q7 C fi k' 4 ' x y� � •£°,� r Es' c� „y.•�� a.� s._�' , ..tom ...,�' -.e ��... --"S. v� '°�•.. qi L i y Packet Pg. 754 2(7/2019 Detail byEntityName as `./ ✓ � .moo Department of State QNsion of Corporations / Search Records / Detail By Document Number/ Detail by Entity Name Florida Limited Liability Company i RAZORBACK LLC 0 Filing Information Document Number L08000089307 CL FEI/EIN Number 26-3447303 CL Date Filed 09/18/2008 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 02/22/2011 Principal Address CL 0 276 KNOLLWOOD ROAD TARPON SPRINGS, FL 34688 CL Changed: 07/11/2012 Mailing Address 276 KNOLLWOOD ROAD ' TARPON SPRINGS, FL 34688 c U- f Changed: 07/11/2012 c Registered Agent Name&Address HOULLIS,ANTHONY M .® 276 KNOLLWOOD ROAD TARPON SPRINGS, FL 34688 :> Authorized Person(s)Detail Name &Address Title MGRM HOULLIS,ANTHONY M 276 KNOLLWOOD ROAD TARPON SPRINGS, FL 34688 Annual Rem Report Year Filed Date 2016 02/01/2016 -- .- -- -- •- Packet Pg. 755 httpJ/search.sunbiz.orgMquir)/CarporationSewcWSearchResultDetail7AnquiryNw-ErttityNanieWrectionType=lnital&searchNameOr - 1/2 11 C.30.b ® DATE(MMIDD/YYYY) A�,� CERTIFICATE OF LIABILITY INSURANCE 12ros/2o1a THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED q) REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. O If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Mary Smith 2 NAME: Stahl&Associates Insurance Inc. AlC No Ezt: (813)$18-5300 C No: (813)818-5396 3939 Tampa Road ADDRESS: mary.smith@stahlinsurance.com INSURER(S)AFFORDING COVERAGE NAIC Oldsmar FL 34677 INSURER A: Wilshire Insusrance Company 132, U INSURED INSURER B: Owners insurance Co 327( Razorback LLC INSURER C Westchester Surplus Lines Ins Co I W 276 Knollwood Road INSURER D: O 0 INSURER E: Q Tarpon Springs FL 34688 INSURER F COVERAGES CERTIFICATE NUMBER: 18-19 Master REVISION NUMBER: 0- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD CL INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CL CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR PO CY EFF POL CY EXP tA LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 7 OCCUR PREMISES Ea occurrence $ 100,000 U MED EXP(Anv one person) $ 5,000 O A LB00070382 07/08/2018 07108/2019 PERSONAL a ADV INJURY $ 1,000,000 GEN-LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 tA PET LOC PRODUCTS $ 2,000,000 POLICY ❑ CL OTHER. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 5181816000 06/16/2018 06/16/2019 BODILY INJURY(Per accident) $ CL AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLYId Per accident $ PIP $ 10,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION Q LL AND EMPLOYERS'LIABILITY YIN STATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE El EA-EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? to (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ Q If Yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY UMIT $ General Aggregate 2,000,000 Contractor's Pollution Liability C E154920 001 07/08/2018 07/08/2019 Each Pollution Condition 1,000,000 Deductible 2,500 tA 4) DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) REF: RFP No18-016 Water Tank Painting Services. Certificate Holder is listed as an additional insured with respects to General Liability if required by direct written agreement. Waiver of Subrogation applies in favor of additional insured with respects to General Liability if required by direct written 4) agreement. U O N CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORI 4) THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN The City of Dania Beach Florida ACCORDANCE WITH THE POLICY PROVISIONS. 100 W Dania Beach Blvd AUTHORIZED REPRESENTATIVE Dania Beach FL 33004 �, eor ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Packet Pg. 756 C.30.b QD DATE(MMIDDIY"Y) A � ' CERTIFICATE OF LIABILITY INSURANCE 7/1/2019 12/13/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TI CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICI BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZ REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endors� O If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER LOckton Companies CONTACT _ .® 8110 E Union Avenue PHONE FAX Suite 700 E-MAIL t A/c Nor Denver CO 80237 ADDRESS: (303)414-6000 INSURERS AFFORDING COVERAGE NAIC INSURER A:National Union Fire ins Co Pitts.PA 19, INSURED PeopleReady Florida,Inc. INSURER B:New Hampshire Insurance Company 231 1036749 1015 A.Street INSURER C:insurance Company of the State of PA 19, PO Box 2910 INSURER D:American Home Assurance Company 19. 00 Tacoma,WA 98401 INSURER E 000748865 INSURERF: COVERAGES CERTIFICATE NUMBER: 15778074 REVISION NUMBER: XXXXXX: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI C INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T CL CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERI EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRPOLICY EFF POLICY EXP LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER lMM1DDNYYYl (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y N 4786805 7/1/2018 7/1/2019 EACH OCCURRENCE $ 1000000 DAMAGE TO RENTED CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 1,000,000 X SIR$1M MED EXP(Any one person) $ XXXXXX. PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 2 X POLICY PET LOC PRODUCTS-COMP/OP AGG $ 3 000 000 Q OTHER: $ A AUTOMOBILE LIABILITY N N 7742318 AOS) 7/1/2018 7/1/2019 COMBINED SINGLE LIMIT $ 21000,000 Ea accident � A 2018 7/1/2019 X 774CL 2319 A)) 7/1/2018 7/1/2019 XXXXXX ra ANY AUTO BODILY INJURY(Per person) $ ra OWNED SCHEDULED BODILY INJURY(Per accident) $ XXXXXX CL AUTOS ONLY AUTOS q) HIRED NON-OWNED PerOPERdZDAMAGE $ XXXXXX AUTOS ONLY AUTOS ONLY $ XXXXXX. A X UMBRELLA LIAB X OCCUR N N 28294901 7/1/2018 7/1/2019 EACH OCCURRENCE $ 5,000,000 EXCESS UAB CLAIMS-MADE AGGREGATE $ 51000,000 DED RETENTION$ $ XXXXXX. WORKERS COMPENSATION B AND EMPLOYERS'UABIUTY N 14590719,19177132,18177128 7/1/2018 7/1/2019 X STATUTE EORH IL �' ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 14590723,14590725,18177130 7/1/2018 7/1/2019 EL.EACH ACCIDENT $ 1,000,000 D OFFICER/MEMBEREXCLUDED? � NIA 14590721 7/1/2018 7/1/2019W (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 O If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 1 00O 000 A Excess Work Comp N N 4595602-QSl 7/1J2018 7/1/2019 SIR$350,000 each accident DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The above coverages apply only to temporary employees dispatched to do work on behalf of the Named Insured. RE:RFP No)8-016 Water Tank Painting Services. The City of Dania Beach,Florida is included as Additional Insured if required by written contract between Razorback,LLC as respects General Liability. U O N CERTIFICATE HOLDER CANCELLATION See Attachments 15778074 Razorback,LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BIER 4) Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 276 Knollwood Ro Tarpon Spring,FL ad ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2 a—Aco--Rb coRpdkATiON. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Packet Pg. 757 C.30.c E O Ln f6 Go f� U �rw a) r ' ® "" fD > (� ®® o 0 ®Om 7 � L. ®® ®m . a, mm. U. Q Um ® 0 Cu mm W ®_ A fA mm mµ cl Cl .. &- Ila� ':�: NIL 0 +r 4D �— OL 2' µ IA a Rµ� M < CL WI .. Gs (IIu co _ a gym'eL O GJ O U LL.a �.. _ a.. 4�) RJ- Q 4Ab i.. m Ln G, mms e a ro R " 0 w C) TI E N lu c � w Q rl " a.. u mmG 01) L .° < O O a� GJ N r ru 2a art ., +�+ Z ate+ Z a fC . C C C C Ai , mmmm, — Packet Pg. 758 uoi; uno say erg siodeeN esnO u 1-1 MM JOI yea uO3 10 I AOadd ) I uI :; ewtjo ;; rn CD r� CM ci a a. 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