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08/19/2019 Agreement t���x e BOARD OF:COUNTY COMMISSIONERS County of Monroe r �` _ Mayor Sylvia J.Murphy,District 5 The Florida Keys �► e, Mayor Pro Tern Danny L. Kolhage,District 1 1: Michelle Coldiron District 2 Heather Carruthers,District 3 David Rice,District 4 Monroe County Board of County Commissioners Office of the County Administrator The Historic Gato Cigar Factory 1100 Simonton Street, Suite 205 Key West,FL 33040 (305)292-4441 —Phone (305)292-4544-Fax MEMORANDUM TO: Pam Hancock, Deputy Clerk FROM: Lindsey Ballard, Aide to County Administrator QV DATE: August 28, 2019 SUBJECT: Small Contracts Small contracts for your records only. Enclosures: Clear Track HR,LLC— 1 copy . Samuel's House 1 copy Sea Tech of the Florida Keys— 1 copy ATTACHMENT D.6 COUNTY ADMINISTRATOR CONTRACT SUMMARY FORM FOR CONTRACTS LESS THAN$50,000.00 Contract with: Sea Tech of the Florida Contract# itz,(S Effective Date: 08/19/2019 Expiration Date: 10/30/2019 Contract Purpose/Description: Relocate two double wide trailers from the current location to the new location two blocks away.Re-set up double wide trailers with the stairs and ramps at new location.Elevated and strapped down. Contract is Original Agreement Contract Amendment/Extension Renewal Contract Manager: Steven Sanders 4338 _ 1 (Name) (Ext.) (Department/Stop#) CONTRACT COSTS Total Dollar Value of Contract: $ 39,230.00 Current Year Portion: $ 39,230.00 (must be less than$50,000) (If multiyear agreement then requires BOCC approval,unless the total cumulative amount is less than $50,000.00). Budgeted?YesE No❑ Account Codes: - - - - Grant:$ Np 10_1 304(121 - County Match: $ NO - - - - ADDITIONAL COSTS Estimated Ongoing Costs: $ /yr For: (Not included in dollar value above) (e.g.maintenance,utilities anitorial,salaries,etc.) CONTRACT REVIEW Changes . Date Out to 1 Needed ev' er Department Head /; je( Yes❑ Nop 7( Risk Management 6[Il{! I CYesO No[✓ ri O.M.B./Purchasing Yes❑ No1��� • 8(2.71.19 County Attorney q .-tit Yes No IV( ,(.1 Comments: x ' Monroe County Engineering • ro 1 100 Simonton Street,2-216 Key West,FL 33040 Project Management . - - PROPOSAL TO: Monroe County Project Management - 1100 Simonton St., Room 2-216 Key West, FL 33040 PROPOSAL FROM: Sea Tech of the Florida Keys Inc 131 Palomino Horse Trail Big Pine Key, FL 33043 The undersigned, having carefully examined the Work and reference Drawings, Specifications, Proposal, and Addenda thereto and other Contract Documents for the construction of: RELOCATION OF TWO DOUBLE WIDE TRAILERS and having carefully examined the site where the Work is to be performed, having become familiar with all local conditions including labor affecting the cost } thereof, and having familiarized 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 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 proposer shall assume 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 undersigned agrees to commence performance of this Project within ten (10) calendar days after the date of issuance to the undersigned by Owner of the Purchase Order. Once commenced, undersigned shall diligently continue performance until completion of the Project. The undersigned shall accomplish Substantial Completion of the Project within Thirty (30) calendar days. The undersigned shall accomplish Final Completion of the Project within Thirty (30) calendar days thereafter. • Page 8 of 20 } 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. Thirty-nine Thousand, Two Hundred Thirty and No/100 Dollars (Total Base Proposal-words) $ 39,230.00 Dollars (Total Base Proposal —numbers) I acknowledge Alternates as follows: Alternate#1 N/A Dollars (Alternate#1-words) $. Dollars (Alternate#1— numbers) I acknowledge receipt of Addenda No.(s) or None No. Dated Page 9 of 20 ADDITIONAL CONTRACT PROVISIONS I. Nondiscrimination/Equal Employment Opportunity. 1. NON-DISCRIMINATION. 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 §§ 1681-1683, 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 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 patient 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. II. Termination. a. In the event that the CONTRACTOR shall be found to be negligent in any aspect of service, the COUNTY shall have the right to terminate this agreement after five (5) days' written notification to the CONTRACTOR. 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. Page 10 of 20 c. Termination for Cause and Remedies: In the event of breach of any contract terms, the COUNTY retains the right to terminate this Agreement._ The COUNTY may also terminate this agreement for cause with CONTRACTOR should CONTRACTOR fail to perform the covenants herein contained at the time and in the manner herein provided. In the event of such termination, prior to termination, the COUNTY shall provide CONTRACTOR with five (5) calendar days' notice and provide the CONTRACTOR with an opportunity to cure the breach that has occurred. If the breach is not cured, the Agreement will be terminated for cause. If the COUNTY terminates this agreement with .the CONTRACTOR, COUNTY shall pay CONTRACTOR the sum due the CONTRACTOR under this agreement prior to termination, unless the cost of completion to the COUNTY exceeds the funds remaining in the contract; however, the COUNTY reserves the right to assert and seek an offset for damages caused by the breach. The maximum amount due to CONTRACTOR shall not in any event exceed the spending cap in this Agreement. In addition, the COUNTY reserves all rights available to recoup monies paid under this Agreement, including the right to sue for breach of contract and including the right to pursue a claim for violation of the COUNTY's False Claims Ordinance, located at Art. IX, Section 2-721 et al. of the Monroe County Code. d. Termination for Convenience: The COUNTY may terminate this Agreement for convenience, at any time, upon seven (7) days' notice to CONTRACTOR. If the COUNTY terminates this agreement with the CONTRACTOR, COUNTY shall pay CONTRACTOR the sum due the CONTRACTOR under this agreement prior to termination, unless the cost of completion to the COUNTY exceeds the funds remaining in the contract. The maximum amount due to CONTRACTOR shall not exceed the spending cap in this Agreement. In addition, the COUNTY reserves all rights available to recoup monies paid under this Agreement, including the right to sue for breach of contract and including the right to pursue a claim for violation of the COUNTY's False Claims Ordinance, located at Art. IX, Section 2-721 et al. of the Monroe County Code. e. Scrutinized Companies: For Contracts of any amount, if the County determines that the Contractor/Consultant has submitted a false certification under Section 287.135(5), Florida Statutes or has been placed on the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel, the County shall have the option of (1) terminating the Agreement after it has given the Contractor/Consultant written notice and an opportunity to demonstrate the agency's determination of false certification was in error pursuant to Section 287.135(5)(a), Florida Statutes, or (2) maintaining the Agreement if the conditions of Section 287.135(4), Florida Statutes, are met. Page 11 of 20 III. MAINTENANCE OF RECORDS. CONTRACTOR shall maintain all books, records, and documents directly pertinent to performance under this Agreement in accordance with generally accepted accounting principles consistently applied. Records shall be retained for a period of ten(10) years from the termination of this agreement. Each party to this Agreement or its authorized representatives shall have reasonable and timely access to such records of each other party to this Agreement for public records and audit purposes during the term of the Agreement and for ten (10) 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, or were wrongfully retained by the CONTRACTOR, the CONTRACTOR shall repay the monies together with interest calculated pursuant to Sec. 55.03 of the Florida Statutes, running from the date the monies were paid by the COUNTY. IV. PUBLIC ACCESS. The CONTRACTOR and COUNTY 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 CONTRACTOR and COUNTY in connection with this Agreement; and the COUNTY shall have the right to unilaterally cancel this Agreement upon violation of this provision by CONTRACTOR. CONTRACTOR shall be referred to herein also as "Contractor" for this provision only: 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 I 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 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 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. Pursuant to F.S. 119.0701 and the terms and conditions of this contract, the Contractor is required to: Page 12 of 20 (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. (3) 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 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. (5) 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 to a valid public records request within a reasonable time may be subject to penalties under section 119.10, Florida Statutes. 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. 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(cr?.MONROECOUNTY-FL.GOV, MONROE COUNTY ATTORNEY'S OFFICE 1111 12T" Street, SUITE 408, KEY WEST,:FL 33040. Page 13 of20 V. 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 files (including documentation covering negotiated settlements); backcharge 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") 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 contractors' representatives. All records shall be kept for ten (10) years after Final Completion. Page 14 of 20 In addition, Proposer states that he/she has included a certified copy of Contractor's License, Monroe County Occupational License, and Certificate of Liability showing the minimum insurance requirements for this project. Execution by the Contractor must be by a person with authority fo bind the entity. IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly authorized representatives, as follows: Contractor: Sea Tech of the Florida Keys Inc Mailing Address: PO Box 420529 Summerland Key, FL 33042 Phone Number: 305-872-0888 E.I.N.: 65-0126213 Email: robins@seatech.cc Date: 7/2i111_ Signed: �14 `,. Robin Szmansky (Name) President (Title) Contra is Witn s si ature: } t MONROE COUNTY ATTORNEY OV AS TO FORM WifnesV name: v 0 Date: -7/�-2--/ I / CHRIS AMBROSIO .ASSI dip T OUN ATTORNEY MONRO NTY Date: _ Od a3•dt)lg Date: 06•a3'aUlg Co ty Administrator or designee COUNTY CONTRACT FORMS Page 15 of 20 { VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS Project Description(s):Relocation of Two Trailers Respondent Vendor Name: Sea Tech of the Florida Keys Inc Vendor FEIN: 65-0126213 } Vendor's Authorized Representative Name and Title: Robin Szmansky,President _ Address: 131 Palomino Horse Trail . City: Big Pine Key State: Florida Zip: 33043 Phone Number 305-872-0888 Email Address: robins@seatech.cc Section 287,135, Florida Statutes prohibits a company from bidding on, submitting a proposal for, or 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. 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. . I understand that pursuant to Section 287.135, 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. Certified By: Robin Szmansk' ,who is authorized to sign on behalf of the ab) eft€- ee comps y. Authorized Signature: Print Name:Robin Szmansky Title:President Note:The List are available at the following Department of Management Services Site: hltp://www.dinsmyfloricla.com/business operal.idns/state.'pi.u°chosing/venclor information/convict ed suspended tliscriminatory complaints vendor lists. COUNTY CONTRACT FORMS Page 16 of 20 NON-COLLUSION AFFIDAVIT l Robin Szmansky of the city Big Pine Key according to law on my oath, and under penalty of perjury, depose and say that: 1. I am President { of the firm of Sea Tech of the Florida Keys Inc the proposer making the Proposal for the project described in the notice for calling for proposals for: Relocation of Two Trailers and that I executed the said proposal with full authority to do so; 2. The prices in this proposal have been arrived at independently without collusion, consultation, communication or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other proposer or with any competitor; and 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 4. No attempt has been made or will be made by the proposer to induce any other person, partnership or corporation to submit, or not to submit, a proposal for the purpose of restricting competition; and 5. The statements contained in this affidavit are true and correct, and made with off ll.knpwl dge of said project. 1 �- )`7 (Signature of Proposer) (Date) STATE OF:Florida COUNTY OF:Monroe PERSONALLY APPEARED BEFORE ME, the undersigned authority,Robin Szmansky who, after first being sworn by me, (name of individual signing) affixed his/her signature in the space provided above. on this day of July ,2019 (1)((I �. '. SHANA CnSEY N TARY PUBLIC gMY COMMISSION S('029581 My commission expires: S�afl4 EXPIRES,Scp.ii,ner 13:2020 (SEAL) COUNTY CONTRACT FORMS Page 17 of 20 LOBBYING AND CONFLICT OF INTEREST CLAUSE SWORN STATEMENT UNDER ORDINANCE NO. 010-1990 } MONROE COUNTY, FLORIDA ETHICS CLAUSE "Sea Tech of the Florida Keys Inc 'i (Company) 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". , ,i (SignatLre) Date: f/.2 2p`y STATE OF: Florida COUNTY OF: Monroe Subscribed and sworn to (or affirmed) before me on . ) ct (1 61,22 , ° ) `J (date) () by Robin Szmansky (name of affiant). He/She is personally known to me or has produced /L//i- as identification. (Type of identification) 1 7' C .0 -.' NOTARY PUBLIC My commission expires:. ` '�� CASEY �Qn' � (SEAL) �t i, 7 MY COMMISSION R IiG29581 �'0 s EXPIRES September 13,2020 COUNTY CONTRACT FORMS Page 18 of 20 DRUG-FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: Sea Tech of the Florida Keys Inc (Name of Business) 1. Publishes a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Informs employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Gives each employee engaged in providing the commodities or contractual services that are under proposal a copy of the statement specified in subsection (1). 4. In the statement specified in subsection (1), notifies the employees that, as a condition of working on the commodities or contractual services that are under 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 of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. Imposes a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, or any employee who is so convicted. 6. Makes a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. \ktio4 - Proposers Signature 7,/ 7/2- Y l 9 Date COUNTY CONTRACT FORMS Page 19 o1'20 • PUBLIC ENTITY CRIME STATEMENT "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 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 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 Sea Tech of the Florida Keys Inc (Proposer's name) nor any Affiliate has been placed on the convicted vendor list within the last thirty-six(36) months. e -/ :. ..r. ,( f� _,. ` Si nature '`(Signature) Date: _ / __ /) - /`i STATE OF: .Florida COUNTY OF: Monroe Subscribed and sworn to (or affirmed) before me on the ,) day of July 20 19 , by Robin Szmansky (name of affiant). He/She is personally known to me or has prOduced ti/',4L (type of identification) as identification: ""•°,, SHANA CASEY My Commis ion Expires; .MY COMMISSIONU(1G29581 _ '"—" 10.i G'` V l(r -'.-P � 0,ft EXPIRES.St:lu mber 13.2020 NTARY PUBLc +^^^ (SEAL) COUNTY CONTRACT FORMS Page 20 of 20 . ` TII� 'r RICK SCOTT,GOVERNOR .,, ��' JONATHAN ZACHEM,SECRETARY .17 • lb STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD THE BUILDING CONTRACTOR HEREIN IS CERTIFIED UNDER THE PROVISIONS OF CHAPTER 489, FLORIDA STATUTES LACHAPELLE, RYO:N ANTHONY SEA TECH OF THE FLORIDA KEYS, INC. 173 GALLEON LN CUDJOE KEY FL 33042 j . LICENSE NUMBER: CBC1259331 EXPIRATION DATE: AUGUST 31, 2020 Always verify licenses online at MyFloridaLicense.com • Sim ; .; Do not alter this document in any form. ': ; tt This is your license. It is unlawful for anyone other than the licensee to use this document. 2018 / 2019 MONROE COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30, 2019 RECEIPT## 30140-23837 Business Name: SEA TECH OF THE FLORIDA KEYS INC Owner Name: ROBIN SZMANSKY,RYON LACHAPELLE Business Location: MO CTY Mailing Address: QUALIFER SUMMERLAND KEY,FL 33042 PO BOX 420529 Business Phone: 305-872-0888 SUMMERLAND KEY,FL 33042 Business Type: CONTRACTOR(GENERAL&BUILDING • CONTRACTOR) • Employees 10 STATE LICENSE: CBC1259331 Tax Amount Transfer Fee Sub-Total Penalty Prior Years Collection Cost Total Paid 25.00 0.00 25.00 0.00 0.00 0.00 25.00 Paid 000-17-00023207 07/10/2018 25.00 THIS BECOMES A TAX RECEIPT Danise D. Henriquez, CFC,Tax Collector THIS IS ONLY A TAX. WHEN VALIDATED PO Box 1129, Key West, FL 33041 YOU MUST MEET ALL COUNTY AND/OR MUNICIPALITY PLANNING AND ZONING REQUIREMENTS. MONROE COUNTY BUSINESS TAX RECEIPT P.O. Box 1129, Key West, FL 33041-1129 EXPIRES SEPTEMBER 30, 2019 Business Name: SEA TECH OF THE FLORIDA KEYS INC RECEIPT# 30140-23837 MO CTY Business Location: SUMMERLAND KEY,FL 33042 Owner Name: ROBIN SZMANSKY,RYON LACHAPELLE Mailing Address:QUALIFER Business Phone: 305-872-0888 PO BOX 420529 Business Type: CONTRACTOR(GENERAL&BUILDING SUMMERLAND KEY,FL 33042 CONTRACTOR) Employees 10 STATE LICENSE: CBC1259331 Tax Amount Transfer Fee Sub-Total Penalty Prior Years Collection Cost Total Paid 25.00 0.00 25.00 0.00 0.00 0.00 25.00 Paid 000-17-00023207 07/10/2018 25.00 -----1 SEATE-1 OP ID:RH ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) �� 03101/2019 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 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. 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 305-741-7373 zpilhu Rebecca Horan _ Keys Anchor Insurance Agency PHONE 305-741-7373 FAX )844-269-7923 Rebecca Horan (AC,No,EM)_ I(A/C,No): _ PO BOX 420308 E-MAIL Summerland Key,FL 33042 ADDREss, ______.____ Rebecca Horan _ INSURER(S)AFFORDING COVERAGE NAIC II ____ INSURER A:Kinsale Insurance Co __ INSURED INSURER B: SeaTech of the Fl Keys Inc -- 131 Pplomino Horse Trail INSURER C: Big Pine Key,FL 33043 INSURER D: INSURER E INSURER F: ---- '—....--`--.-- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. INS( TYPE OF INSURANCE ADOL SUBPJ POLICY NUMBER 1 POLICY EFF POLICY EXP LIMITS LTRINSD NIVD IMM/DDIYYYYL IMMIDD/YYYYI - A X COMMERCIAL GENERAL LIABILITY _EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR X 01000816180 03/01/2019 03/01/2020 DAMAGE TO RENTED 100,000 _EREMISES1Ea aSCWOO) $ MED EXP(Any one person)_ $ excl PERSONAL&ADV INJURY $ 1,000,000 _GEN'L AGGREGATE LIMITp APPLIES PER: GENERAL AGGREGATE 5 2,000,000 POLICY I_J imf L__I LOC PRODUCTS_COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY 4E°_ac d DRuSINGLE LIMIT $1 erson __ ANY AUTO BODILY INJURY(Per P OWNED SCHEDULED _ $ —- `------ _- AUTOSRE� ONLY _ AUTOS AUUTNO�pSyy��❑ BODILY INJURY(Per accident) $ --_ AUTOS ONLY ___ AUTOS ONLY _e°acad ntDAMAGE $ ---- $ UMBRELLA LIAB _ OCCUR T EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE B __. AP AGGREGATE S DED RETENTION ` , $ • WORKERS COMPENSATIONY , PER OTH- AND EMPLOYERS'LIABILITY __—._STALUIE._______ER_____________ ANYPROPRIETORIPARTNERIEXECUTIVC- YIN I EXCLUDED? NIA DATE. ,E.L.EACH ACCIDENT $ OFFICER/MEMBERMandatory In NH) WAIVER Wi4__L_YES_ EL DISEASE=EA EMPLOYEE $ If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT-$ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1a1,Additional Remarks Schedule,may be attached If more space Is required) State License#CBC-1259331 CERTIFICATE HOLDER CANCEL,LATLON MCBOCCI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe CountyBOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St.,STE 2-213 Key West,FL 33040 m AUTHORIZED REPRESENTATIVE/ i Rebecca Horan e.÷te. 1CYtLI�`ACORD 25(2016/03) ©1988-2015 CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • A r) CERTIFICATE OF LIABILITY INSURANCE DATE(MC1/DD/YYYY) 03/01/2019 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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 NAME: Applied Risk Services, Inc. PHONE FAX —' 10825 Old Mill Rd E-MAIL,Ezt): (877)234-4420 (A/C No): (877)234-4421 Omaha, NE 68159 E-MAI — ADDRESS: PRODUCER (877)234-4420 ,_CUSTOMER ID -- INSURER(S)AFFORDING COVERAGE NAIC 00 INSURED INSURER Pc 111inois Insurance Co. 35246 INSURER B: Sea Tech of the Florida Keys, Inc. INSURER — PO Box 420529 __._____._ — -- Sugarloaf Key, FL 33042-0529 INSURER • INSURER E: CTL 1273 1517386 ---- --------— — INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. _ INSR ADDLSUBRI f POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER IMMIDD(YYYY)I(MMIDDIYYYY) LI6 ITS GENERAL LIABILITY EACH OCCURRENCE ___ COMMERCIAL GENERAL LIABILITY i-I--1 DAMAGE TO RENTED $ - _PREMISES(Eaoccunenco)____$ — JI CLAIMS MADE I OCCUR _M,FP EXP jepygnOser,sen)-- $ -- ___-----`---""-- PERSONAL A ADV INJURY $ -- ------- GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: • i PRO- �3QQUC7SS,01 LLOPl_lraa_ .$ POLICY I IJECT LOC S AUTOMOBILE LIABILITYA ...,,,..me, _ ••• COMBINED SINGLE LIMIT ANY AUTOIL J _(En nccident)_ S ALL OWNED AUTOS BY ii-_ . BODILY INJURY(Parporson) 5 _` DATESCHEDULEDAUTOS a gi / i ._@Op1LYJNJURI(Pataeclsivn))_ $____ HIRED AUTOS PROPERTY DAMAGE NON-OWNED AUTOS WAIVER 1,/A, YES__ (Par accident) $ $ $ UMBRELLA LIAB OCCUR _ EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DEDUCTIBLE P i Ll $ RETENTION $ 5 WORKERS COMPENSATION X IIR STAMS OTH- AND EMPLOYERS'LIABILITY y/N -_ A ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA r I 4 6-6 8 5 7 9 2-0 1-0 6 03/01/2019 03/01/2020 E.L.EACH ACCIDENT $ 1,0 0 0,0 0 0__ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 5 1,000,000 If yes,describe under SPECIAL PROVISIONS below _ E.L.DISEASE-POLICY LIMIT $ 1,0 0 0,0 0 0 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION Monroe County HOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1100 Simonton St, STE 2-213 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 ` AUTHORIZED REPRESENTATIVE / / /__/ 111 L 0 3 9 9 7 1 • ACORD 25 (2009/09)-- ®1988-2009 ACORD CORPORATION. All rights reserved • '4—D® CERTIFICATE OF LIABILITY INSURANCE I DA3/5/2019 m 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 CONSTRUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:if the certificateholder is an ADDITIONAL INSURED,the policy(ies)must have ADDmONALINSURED provisions or be endorsed. N SUBROGATION IS WAIVED,subjectto the terns and conditiortsof the policy,certain policlesmay require an endorsement.A statementon •this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT GEICO GEICO NAME: One GEICO Boulevard PHONE � 6-509-94 FAX Fredericksburg,VA 22412 (A/c,No,Extl: INC Nol; Email Address: R1C0(UMEPD@G9CO.00M INSURERISI AFFORDING COVERAGE NAIC# INSURER A:GOVERNMENT EMPLOYEES INSURANCE COMPANY 22063 INSURED INSURER B: SEA TECH OF THE FLORIDA KEYS INC INSURER C: 131 PALOMINO HORSE TRAIL INSURER D: BIG PINE KEY, FL 33043 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: • REVISION NUMBER: THIS IS TO CERTIFYTHAT THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM CR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 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. INSR TYPE Of INSURANCE ADM. SUBS POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSRD WVD (.MM/DD!YYI (MM/DD!YY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED $ PRFMLSFS(Fa n cur,ennnl MED.EXP(My ono person) $ ._ PERSONAL&ADV INJURY $ GEN'L AGGREGATE OMIT APPLIES PER: GENERAL AGGREGATE $ 1 POUCY PROJECT LOC PRODUCTS—COMP/OP AGG. $ OTHER $ • AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500,000 ..(Es accident) A ANY AUTO X 9100237300 00 1/30/2019 1/30/2020 BODILY INJURY(Per person) $ AUTOS ONLY X SCHEDULED X BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY X (Per accident) $ . $ UMBRELLA UAB OCCUR I EACH OCCURRENCE $ EXCESS LJAB CLAIMS-MADE APFrjr,BY r „A AGGREGATE $ WENT DED !RETENTION$ eY $ WORKERS'COMPENSATION PER TH- AND EMPLOYERS'LIABILITY Y I N DATE STATUTE OER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A 1r� ' E,L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? WAIVER WOO EL DISEASE-EA EMPLOYEE $ (Mandatory in NH) YES If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POUCY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) MONROE COUNTY BOCC IS NAMED AS ADDITIONAL INSURED. PO#60396-Bernstein Park Fitness Court CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 500 WHITEHEAD ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. KEY WEST, FL 33040-6581 AUTHORIZED REPRESENTATIVE ©1988-2015ACORDCORPORATION.All rig htsreserve d. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD