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09/03/2019 Agreement �� e. BOARD OF COUNTY COMMISSIONERS County of Monroe ' Mayor Sylvia J.Murphy,District 5 Mayor Pro Tern Danny L. Kolhage,District 1 The Florida Keyst. Michelle Coldiron,District 2 r£ 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 Administrators DATE: October 3, 2019 SUBJECT: Small Contract I / �ecei✓ (Fet- Small contract for your records only. Enclosures: . . A-1 Fencing Inc.— 1 copy . ATTACHMENT D.6 COUNTY ADMINISTRATOR CONTRACT SUMMARY FORM FOR CONTRACTS LESS THAN$50,000.00 Contract with: ..Ai.Fencing Inc. .: ... _. .Contract# - Effective Date: 9/3/2019 Expiration Date: 11/3/2019 Contract Purpose/Description: Install new fence and gates at the new facilities location in Rockland Key. Contract is Original Agreement Contract Amendment/Extension Renewal Contract Manager: Steven Sanders. 4338 Stop 2 (Name) (Ext.) (Department/Stop#) CONTRACT COSTS Total Dollar Value of Contract: $ 23,500.00 Current Year Portion: $ 23,500.00 (must be less than S50,000) (If multiyear agrcement then requires BOCC animal,unless the - total cumulative amount is less than S50,000.00). Budgeted?Yes❑ No❑ Account Codes:2 — ' 0630 - • Grant: $ - - - CountyMatch: $ ADDITIONAL COSTS Estimated Ongoing Costs: S /yr For: (Not included in dollar value above) (e .maintenance,utilities,janitorial,salaries.etc.) CONTRACT REVIEW . Changes Date 9ut D te n Needed "ewer . Department Head if Yes❑ Na, ili Risk Management 10- Jq Yes❑No a is-f 1 O.M.B./Purchasing loll i Yes❑No© f1 t i lq County Attorney q(Ztj/( 'YesE]No i /9Ai l ‘977 Comments: -- Monroe County Engineering i I 1Y x. + c tnr li 1100 Simonton Street,2-216 ZTJc? Key West,FL 33040 Project Management PROPOSAL TO: _ _ Monroe County Project_Management 1100 Simonton St., Room 2-216 Key West, FL 33040 PROPOSAL FROM: Al Fer4uNG- I Svc 1107 K eta-z.A 43 i K. V -; -L 3304-0 The undersigned, having carefully examined the Work and reference Drawings, Specifications, Proposal, and Addenda thereto and other Contract Documents for the construction of: ROCKLAND KEY FACILITY INSTALL NEW FENCE AND GATES 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 22 f Monroe County Engineering �t!bx. ���� 1100 Simonton Street,2-216 Key West,FL 33040 LyFr Project Management 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.? TWEE 77-k32.9414b rive title4DieED (Total Base Proposal-words) $ 23 5°0. Dollars (Total Base Proposal— numbers) I acknowledge Alternates as follows: N/A I acknowledge receipt of Addenda No.(s) or None No. Dated gl2 j l 4, Monroe County Engineering ( ,l 1100 Simonton Street,2-216 --- ;' Key West,FL 33040 Project Management ADDITIONAL CONTRACT PROVISIONS I. Nondiscrimination/Equal Employment Opportunity. CONTRACTOR and COUNTY 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. CONTRACTOR or COUNTY agrees to comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1) Title VII of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20 USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42 USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. 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 s. 12101 Note), as may be amended from time to time, relating to nondiscrimination 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; 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. During the performance of this Agreement, the CONTRACTOR, in accordance with Equal Employment Opportunity (30 Fed. Reg. 12319, 12935, 3 C.F.R. Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, Amending Executive Order 11246 Relating to Equal Employment Opportunity, and implementing regulations at 41C.F.R. Part 60 (Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor). See 2 C.F.R. Part 200, Appendix II, ¶ C, agrees as follows: Monroe County Engineering c & 1100 Simonton Street,2-216 h� a •l Key West,FL 33040 Y\_ Project Management (1) The CONTRACTOR will not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, or national origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex, sexual orientation, gender identity, or national origin. Such action shall include, but not be limited to the following: Employment, upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause. (2) The CONTRACTOR will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. (3) The CONTRACTOR will not discharge or in any other ,manner discriminate against any employee or applicant for employment because such employee or applicant has inquired about, discussed, or disclosed the compensation of the employee or applicant or another employee or applicant. This provision shall not apply to instances in which an employee, who has access to the compensation information of other employees or applicants as a part of such employee's essential job functions, discloses the compensation of such other employees or applicants to individuals who do not otherwise have access to such information, unless such disclosure is in response to a formal complaint or charge, in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or is consistent with the CONTRACTOR's legal duty to furnish information. (4) The CONTRACTOR will send to each labor union or representative of workers with which it has a collective bargaining agreement or other contract or understanding, a notice to be provided by the agency contracting officer, advising the labor union or workers' representative of the contractor's commitments under section 202 of Executive Order 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. (5) The CONTRACTOR will comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. (6) The CONTRACTOR will furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the U/ Tv \ Monroe County Engineering t l 'L 1100 Simonton Street,2-216 ":=1 Key West,FL 33040 Project Management Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders. (7) In the event of the CONTRACTOR's non-compliance with the nondiscrimination clauses of this contract or with any of such rules, regulations, or orders, this contract may be canceled, terminated, or suspended in whole or in part and the CONTRACTOR may be declared ineligible for further Government contracts in accordance with procedures authorized in Executive Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. 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. 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. ireTtlN ( F2-31 Monroe County Engineering 1100 Simonton Street,2-216 t Key West,FL 33040 Project Management r� H 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. 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. r. 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 ))1. Monroe County Engineering % 1100 Simonton Street,2-216 $�_.V KeyWest,FL 33040 Project Management 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 J 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: (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 Monroe County Engineering �r N 1100 Simonton Street,2-216 L °s Key West,FL 33040 Project Management 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- BRIANaMONROECOUNTY-FL.GOV, MONROE COUNTY ATTORNEY'S OFFICE 1111 12TH Street, SUITE 408, KEY WEST, FL 33040. 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 or the Monroe County Office of the Clerk of Court and Comptroller (hereinafter referred to as "County Clerk") to substantiate charges related to this agreement, and all other agreements, �D , �' ,�: .. AAA _ Monroe County Engineering `� 1100 Simonton Street,2-216 �a )6,ir Key West,FL 33040 `. Project Management sources of information and matters that may in Owner's or the County Clerk'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 or the County Clerk. Owner or County Clerk 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. The County Clerk possesses the independent authority to conduct an audit of Records, assets, and activities relating to this Project. If any auditor employed by the Monroe County or County Clerk determines that monies paid to Contractor pursuant to this Agreement were spent for purposes not authorized by this Agreement, the Contractor shall repay the monies together with interest calculated pursuant to Section 55.03, F.S., running form the date the monies were paid to . Contractor. ' • Monroe County Engineering • ' 1100 Simonton Street,2-216 Key West,FL 33040 Project Management - - 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 to bind the entity. IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly authorized representatives, as follows: Contractor: A I Ft , czsk,6100-b 5/16)f_1*--Mailing Address: 1 07 KEY PL47A -4:!C 1431 Vy A1 Phone Number: - 4 g -ci E.I.N.: 4S 58%(pS40 Email: col,P e. t Date: a/2314_ Signed: Ell.0144/2Z _ (Name) C •3 FizEs. MONROE COUNTY ATTORNEY (Title) Contr tor's Witness signature: MLAVA.Ativ•--- VED TO ORM CHRTILAutvlroyeROASTrlOoriNEy Witness name: 14.t(-OLE, -ThYst-t9k4 Date: q1;41iq Date: , MONROE COUNTY • - - Date: /014201.9 County AdministrálSVt& rmIrns1rator 4,t0i4sett; VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS • Project Description(s):?NC)C'k-i l Pti^).b �i`? FAG 11—\ - Respondent Vendor Name: Al_ L- Vendor FEIN: ( . .3 to Q 40 Vendor's Authorized Representative Name and Title: o uAsPP D Address: 107 PLAZA L431 City: wE l State: 1L- Zip: 3 040 Phone Number 30..—7447—(4 )Q Email Address: GL1C'{c nyKu0-frjn4 \e C,olIA 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, attomey'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: , who is authorized to sign on beh lf of the above re �p�rr��� ` Authorized Signature: Print Name: L.v t'A 9,a'1CHE, Title: /PRES yvnl Q Note: The List are available at the following Department of Management Services Site: http://www.dms.myflorida.com/business operations/state purchasing/vendor information/convicted susp ended discriminatory complaints vendor lists - Page 13 of 13 1 3 Monroe County Engineering 1100 Simonton Street,2-216 2\ Key West,FL 33040 G1a Project Management NON-COLLUSION AFFIDAVIT 1,EN.Z142.b Sqd JC.{- 7 of the city OF K L)E according to law on my oath, and under penalty of perjury, depose and say that: 1. I am QLON.)C o11— p2ES of the firm of A 1 FiJG the proposer making the Proposal for the project described in the notice Mailing for proposals for: C-lC ulous i� / A2#� Fc,J Gi ruC—. and that II 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 j'wlef2 : if s id project. L (S ure of Proposer) (Date) STATE OF: Ft-b 121 D'Yar' COUNTY OF: KOA!►RA‘. PERSONALLY APPEARED BEFORE ME, the undersigned authority, Et i S C W 2- who, after first being sworn by me, (name of individual signing) affixed his/her signature in the space provided above. on this 23 day of S` — J"1- , 20 let . NOTARY 'U :LIC My commission expires: A-eat $ 7,07,77 (SEAL) t ' NICOLE IWYMAN =, MY COMMISSION IR GO 283049 ;o:' EXPIRES:Apri 8,2023 .•.�gw;;.•°`BendedThuNOFerYPubac a 1 % ? 6 Monroe County Engineering r' 4 1100 Simonton Street,2-216 V. ;� " rf 7s,7% Key West,FL 33040 Project Management LOBBYING AND CONFLICT OF INTEREST CLAUSE SWORN STATEMENT UNDER ORDINANCE NO. 010-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE " A l cG- c rocs I r4Cc (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 icer or a to ee". (Signature) Date: 9/ a3/ /9 STATE OF: fW1-1beIF- COUNTY OF: MOtaie,OS Subscribed and sworn to (or affirmed) before me on SiCPTt IS 2 2.3: vo t 9 (date) by evvoi-vz sotAukEZ (name of affiant). He/She is personally known to me or has produced FL• WICOS 1-.1C jEas identification. (Type of identification) 1 NOTARY PUBLIC My commission expires: Pf&1 i . $', 20 Z?j - (SEAL) •: ' • NICOLE TAIWAN MY COMMISSION#00 283049 ' sk•)A—P0.' EXPIRES•Apni 8,2023 1 • Ptg••' Bonded Diu NotaryPublicUndemdtets ►-- — -• Ain-- - Monroe County Engineering a .,. 1100 Simonton Street,2-216 Key West,FL 33040 Project Management DRUG-FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: f� -1- .1GII r)O - (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. Prop r' Signature /z3/ Date s< `4J lr ` Monroe County Engineering � �. 1100 Simonton Street,2-216 F Key West,FL 33040 a\ "`µ Project Management • 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 E? (Proposer's name) nor any Affiliate has been placed on the convicted vendor list within the last thirty-six (36) months. ignature) - Date: /P3/ STATE OF: o%R- T)* COUNTY OF: taot l , 04, Subscribed and sworn to (or affirmed) before me on the IA day of 5cPw'Y1/44P7S9- 20 ('1 , by ZQWr40 Serf.Ck --2.— (name of affiant). He/She is personally known to me or has produced Ft.• De-Welt-4 LA C.wt*.i S (type of identification) as identification. M(Y ommis 'on Expires: etreau.. of t Zo Zvj NOTAR B IC (SEAL) My ccu LION GoIF 28,3oa9 :x.��q EXPIRES:Apti 8,2823 �N►ri.°Bonded7Mi PubicUndsrfts AIFENCI-01 DDOUGLAS A`ORI? CERTIFICATE OF LIABILITY INSURANCE �1Q11/ZOTE D 9 n 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 poiicy(tes)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 Eights to the certificate holder in lieu of such endorsement(s). PRODUCER +fi:CT INSURICA Express . No,�1:j405)310-1583 I rA c,Not:(405)556-2332 2420 Springer Dr,Suite 105 Norman,OTC 73069 serviceINNSURICAexpress.com INSURERIS1ATTORIIING COVERAGE NAICs INSURER A Ohio Casualty Insurance Company 24074 INSURED INSURERS: Al Fencing Inc INsunsrtC, 1107 Key Plaza 0431 INSUNERD: Key West,FL 33040 INSURER E: INSURER F: COVERAGES CERT]FiCATE NUMBER' RRVISIOI�NU1ti1@ER: 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. lllw TYPE OF INSURANCE POLICY NUMBER ZW&Sen AC UNITS A X COMMERCIAL GENERAL UABILITY kAreH�, TfRR E $ 1,000,000 I CLAIMS-MADE EX OCCUR X BLS60423978 10/1/2019 10/112020 FRLfSE'SfEaoan envhA s 100,000 MED EXP lAhey oneoso ad s 15,000 _ PERSONAL R ACV INJURY $ 1,000,000 N L AGGRE TE pLIMIT APPLIES PER: ;GENERAL.AGGREG TE $ 2,000,000 POLICY JECT 0 LOC PRODUCT$-COMPIOPAGO 3 2,000,000 r OTHER; A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT aPoebtklorm $ ANY AUTO X BAS60423978 10/1/2019 10/112020 emu INlJRYIRea►pshsa9) $ 1,000,000 OYVNED -SCHEDULED AUTOSp�p ONLY AUTOS BODILY BBQDIILY'NEWQ/ JPr. dl j X AUTOS ONLY X AUTO ONLY +eOERTY e ! S S UMBRELLA UAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEO I I RETENTIONS i p g AANND EMPLOYEE'S'LRKERS IABIILIITTY 1 SYAnrrt ! ,EAR Y ANY PROPRIETORIPARTNER/EXECUTIVE D N l A EL EACH ACCIDENT $ ��nNtl)EXCLUDED'? £LD:CRAAF-EA EMPLOYEEI $ If pa�a,deealbe aander DESCRIPTION OF OPERATIONS below' B.L DaSRA$I -POLICY LIST S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,AdditIonal Remadhs Schedule,may be attached If more space Is required) The Certificate Holder Is listed as additional Insured when required by written contract aP ASK A( j ,lr BY. WAIVER 'ode. YEs CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC ACCORDANCE WITH THE PO CYIRATION DATE RPROVISIONS. E � BE DELIVERED IN 1100 Simonton St Key West,FL 33040 AUTHORIZED REPRESENTATIVE /7,6//r/./Z---L ACORD 25(2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 2018 Edition MONROE COUNTY,FLORIDA REQUEST FOR WAIVER OF INSURANCE REQUIREMENTS It is requested that the insurance requirements,as specified in the County's Schedule of Insurance Requirements,be waived or modified on the following contract. ContractorlVendor: Al Fencing,Inc. _ Project or Service: Rockland Key Facilities New Fence and Gate Installation ContractorNendor Address&Phone 1: General Scope of work: Installation of 700LF of new 6'tall chain link fence with 2 commercial grade double wide swing gates. Reason for Waiver or NO_ P1 0 ,J ' Modification: �1 Business does not employ and o4th rp rssons other t -anrth -- 2-owners. Policies Waiver or Modification will apply to: 00-4- Cie' Signature of ContractorNendor: 44 _ - _ C?/1°. -4 57 0 17 d...c:7__.A__ Date: Approved _ It .pproved Risk Management Signature:_' - i Date: County Administrator appeal: Approved: Not Approved: Date: Board of County Commissioners appeal: Approved: Not Approved: Meeting Date: Administrative Instruction 7500.7 104 • Al Fence I - Al Fence 1107 Key Plaza #431 Key West Fl. 33040 305-747-4820 Alfencingkw@gmail.com Breanne Erickson, Our Company Al Fence has less than 4 employees and we have submitted two copies of Florida worker compensation exemptions to your office. The exemptions are for myself (Edward Sanchez) and my partner Todd Jones. We are the owners and operators of this business. We have elected not to purchase Workers Compensation coverage as permitted by Florida statutes. Sincerely, c • Edward Sanchez/Al Fe de