Item F26 F.26
BOARD OF COUNTY COMMISSIONERS
County of Monroe YFfi� 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
October 16, 2019
Agenda Item Number: F26
Agenda Item Summary #6131
BULK ITEM: Yes DEPARTMENT: Tourist Development Council
TIME APPROXIMATE: STAFF CONTACT: Ammie Machan (305) 296-1552
N/A
AGENDA ITEM WORDING: Approval of District V Turnkey Events as per attached spreadsheet
totaling $50,000
ITEM BACKGROUND: In order to reduce the vast quantity of paperwork, we request approval
the District V Turnkey Events as outlined on the attached spreadsheet, wherein the Contract ID
number, organization, event name, event dates, funding allocation, line item number and expiration
dates are provided. A boilerplate District V Turnkey event agreement is attached for your
information.
DAC V approved same at their meeting of August 6, 2019
TDC approved same at their meeting of September 17, 2019
PREVIOUS RELEVANT BOCC ACTION: At the meeting of April 19, 1995 the BOCC approved
the TDC's reduction of repetitive paperwork wherein the TDC would provide a summary of event(s)
funding information.
CONTRACT/AGREEMENT CHANGES:
New Agreements
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
DAC V Turnkey Event Summary Sheet, Boilerplate Agreement and Insurance Check Lists
FINANCIAL IMPACT:
Effective Date: October 16, 2019
Expiration Date: Various — see attached spreadsheet
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F.26
Total Dollar Value of Contract: $50,000
Total Cost to County: No Cost to County
Current Year Portion: $50,000
Budgeted: Yes
Source of Funds: TDC
CPI:
Indirect Costs:
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: No If yes, amount:
Grant:
County Match:
Insurance Required: Yes —Insurance Check Lists Attached
Additional Details:
See attached list of Line Item Numbers
REVIEWED BY:
Maxine Pacini Completed 09/25/2019 2:25 PM
Christine Limbert Completed 09/29/2019 10:37 AM
Budget and Finance Completed 10/01/2019 10:08 AM
Maria Slavik Completed 10/01/2019 11:06 AM
Kathy Peters Completed 10/01/2019 11:07 AM
Board of County Commissioners Pending 10/16/2019 9:00 AM
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F.26.a
Turnkey Event Agreement
THIS Agreement is made and entered into by and between Monroe County, Florida, a
political subdivision of the State of Florida (County), and Organization (Event Contractor) on
this day of 2019.
WITNESSETH: F
In consideration of the mutual covenants contained herein the parties agree as follows-
1. Payment: A Turnkey event shall be considered an all-inclusive event where the
Event Contractor has financial responsibility for every facet of the production, promotion and
management of the event. Payment under a contract for a Turnkey event will be made only A
after completion of the event and proof that the scope of services as described below in
paragraph 2 has been completed. If a Turnkey event is delayed or canceled for any reason,
no payment shall be forthcoming, even if the Event Contractor has out-of-pocket expenses
leading up to the actual event. The Tourist Development Council (TDC), therefore, strongly 121
recommends that the Event Contractor purchase insurance that covers the cancellation or
delay of an event due to "force majeure" or unforeseen circumstances (see paragraph 8).
The County agrees to pay $Funding Allocation ( Dollars — TDC District V Funding
Allocation) for: Event Name on Event Date, from tourist development tax funds upon receipt
of documentation from Event Contractor, on or before the expiration date of agreement in
paragraph 3, that they have met its obligations under this agreement. Said documentation
shall also include samples of the Event Contractor's marketing program as outlined in their
application. Documentation submitted by Event Contractor will be reviewed and verified by the
Tourist Development Council (TDC) Administrative Office, at which time, County shall pay the
sum noted above.
Monroe County's performance and obligation to pay under this contract is contingent
upon an annual appropriation by the County. �s
2. Scope of Services: The Event Contractor agrees to provide the County with an E
event as specified in the Scope of Services below (Event):
(Insert)
3. Expiration of Agreement: This agreement expires on Expiration Date unless the
date of the event is amended upon approval of the Advisory Committee and TDC Director and 0
the County shall not be obligated to pay for any services provided by Event Contractor under
this agreement if documentation as noted above is not received by the TDC administrative
office on or before this reimbursement deadline date.
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4. Modification: The event name, time & date of the event and Schedule of
Activities may be amended upon written approval of the Advisory Committee and TDC 0
Director. Any changes to said contract other than stated above require approval by the
Advisory Committee, TDC and the County.
Event Name:
Turnkey Funding: FY 2020
ID #:
1
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F.26.a
5. Non Occurrence of Event: The Event Contractor shall give written notice to the
TDC if it is found necessary to cancel an event. The notice shall contain the reason for the
cancellation.
6. Indemnification and Hold Harmless: The Event Contractor covenants and agrees
to indemnify and hold harmless and defend Monroe County, its officers, employees and agents W
including the TDC and Visit Florida Keys from any and all claims for bodily injury (including
death), personal injury and property damage (including property owned by Monroe County)
and any other losses, damages and expenses (including attorney's fees) which arise out of, in
connection with, or by reason of the services provided by Event Contractor, or other activities
and funding associated with this agreement, except those losses or damages caused by the
negligent or wrongful act or omission of County or its agents. a
U)
A
7. Non-Waiver of Immunity: Notwithstanding the provisions of Sec. 768.28, Florida _®
Statutes, the participation of the Event 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. U)
8. Claims and Venue: Event Contractor agrees to notify County immediately of any
claims, suits or action made against the Event Contractor that is related to the activity under
this agreement, and will cooperate with County in the investigation arising as a result of any E
action, suit or claim related to this agreement. Any legal proceedings arising out of this
agreement shall be in accordance with the laws of the State of Florida in the 16t" Judicial
Circuit for Monroe County; venue shall be in Monroe County, Florida.
9. Insurance Requirements: Event Contractor as a pre-requisite of the Special
Event governed by this agreement shall obtain, at its own expense, insurance as specified in
this section. If a Turnkey event is delayed or canceled for any reason, no payment shall be
forthcoming, even if the Event Contractor has out-of-pocket expenses leading up to the actual
event. The TDC, therefore, strongly recommends that the Event Contractor purchase
insurance that covers the cancellation or delay of an event due to "force majeure" or
unforeseen circumstances.
Event Contractor shall furnish the County with a certificate evidencing the
insurance required by this paragraph not later than twenty (20) days prior to the event. >
Event Contractor must have their insurance agency email the certificates of insurance
directly to Maria Slavik in the Monroe County Risk Management Department. Slavik-
aria onroeCounty-FL.Cov — The email must state that this is a certificate for a TDC
event (state name of event as written within your contract) and should be forwarded to
Ammie Machan at the TDC administrative office. Your certificate must state that the
Monroe County Board of County Commissioners is a "Certificate Holder" and that
Monroe County, its employees and officials will be included as "additional insured". If
you or your insurance agency needs to speak with Maria Slavik regarding the insurance
Event Name:
Turnkey Funding: FY 2020
ID #:
2
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F.26.a
requirements, she can be contacted by telephone at (305) 295-3178, or by email at the
address stated above.
It is the Event Contractor's responsibility to confirm that the insurance has been
received and approved. You can do this by contacting Ammie Machan at Afl]Miggf!,q-
k py s.com or by calling (305) 296-1552. >
Event Contractor will not be permitted to commence work associated with the Event
(including pre-staging of personnel and material) until satisfactory evidence of the required
insurance has been furnished to the County as specified below. Event Contractor shall
maintain the required insurance throughout the entire duration of the Special Event and any
extensions specified in any attached schedules. Failure to comply with this provision may a
result in the immediate suspension of the Event until the required insurance has been
reinstated or replaced. Event Contractor shall provide, to the County, as satisfactory evidence A
of the required insurance, either:
�s
Original certificate of Insurance
or
Certified copy of the actual insurance policy U)
A certified copy of any or all insurance policies required by this contract shall be filed
with the Clerk of the County prior to the Event.
All insurance policies must specify that they are not subject to cancellation, non-
renewal, material change or reduction in coverage unless a minimum of thirty (30) days prior
notification is given to the County by the insurer.
Acceptance and/or approval of Event Contractor's insurance shall not be construed as
relieving Event Contractor from any liability or obligation assumed under this contract or
imposed by law.
Any deviations from these General Insurance Requirements must be requested in
writing on the County form titled "Request for Waiver of Insurance Requirements" and must be
approved by Monroe County Risk Management.
Prior to commencement of work governed by this contract, Event Contractor shall
obtain General Liability Insurance. Coverage shall be maintained throughout the life of the >
contract and include, as a minimum:
Premises Operations
Products and Completed Operations
Blanket Contractual Liability
Personal Injury Liability
Expanded Definition of Property Damage
The minimum limits acceptable shall be:
Event Name:
Turnkey Funding: FY 2020
ID #:
3
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F.26.a
$1,000,000.00 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$ 500,000.00 per Person
$1,000,000.00 per Occurrence W
$ 100,000.00 Property Damage
An Occurrence Form policy is preferred. If coverage is provided on a Claims Made
policy, its provisions should include coverage for claims filed on or after the effective date of
this contract. In addition, the period for which claims may be reported should extend for a
minimum of twelve (12) months following the acceptance of work by the County. Recognizing
that the work governed by this contract involves the sales and/or distribution of alcoholic
beverages, the Contractor's General Liability Insurance policy shall include Liquor Liability with
limits equal to those of the basic coverage. A
A separate Liquor Liability policy is acceptable if the coverage is not more restrictive
than the contractor's General Liability policy.
A Workers' Compensation insurance is required by Florida Statutes. U)
10. Permits: The Event Contractor will secure all required permits, licenses and shall
pay all appropriate business taxes.
11. Laws and Regulations: Any and all services, materials and equipment shall
comply fully with all Local, State and Federal laws and regulations.
12. Taxes: The County and TDC are exempt from Federal Excise and State of
Florida Sales Tax, but this in no way exempts the Event Contractor from applicable Federal
and State taxes.
13. Finance Charges: The County and TDC will not be responsible for any finance
charges.
14. Relation of County/TDC: It is the intent of the parties hereto that the Event
Contractor shall be legally considered as an independent contractor and that neither it nor its
employees shall, under any circumstances, be considered servants or agents of the County
and TDC, and the County and TDC shall at no time be legally responsible for any negligence >
on the part of said Event Contractor, its employees or agents, resulting in either bodily or
personal injury or property damage to any individual, firm or corporation.
15. Disclosure: The Event Contractor shall be required to list any or all potential >
conflicts of interest, as defined by Florida Statutes Chapter 112 and Monroe County Code.
The Event Contractor shall disclose to the County and TDC all actual or proposed conflicts of
interest, financial or otherwise, direct or indirect, involving any client's interest which may
conflict with the interest of the County and TDC.
Event Name:
Turnkey Funding: FY 2020
ID #:
4
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F.26.a
16. Assignment: The Event Contractor shall not assign, transfer, convey, sublet or
otherwise dispose of this agreement, or of any or all of its right, title or interest therein, or his or
its power to execute such agreement to any person, company or corporation without prior
consent of the TDC and County.
17. Compliance with Laws - Nondiscrimination: County and Event Contractor agree that W
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. County or Event Contractor 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 a
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- A
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 E
patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC ss. 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 maybe 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.
18. Security Protection: The Event Contractor agrees to provide adequate security
for the event.
19. Ethics Clause: The Event Contractor warrants that it has not employed, retained
or otherwise had act on its behalf, any former County office or employee in violation of Section >
2 of Ordinance No. 10-1990 or any County officer or employee in violation of Section 3 of
Ordinance No. 10-1990. For breach or violation of the provision the County may, at its
discretion, terminate this agreement without liability and may also, at its discretion, deduct from
the agreement or purchase price, or otherwise recover the full amount of any fee, commission, >
percentage, gift or consideration paid to the former or present County officer or employee.
20. Media Rights: The TDC shall have the right under this agreement to broadcast
or rebroadcast, for any purpose whatsoever, radio, television, sound, video or film production
and still photographs, paid by the TDC and County, and produced by the TDC agencies of
record.
Event Name:
Turnkey Funding: FY 2020
ID #:
5
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F.26.a
21. Logo: Marketing promotions that display our logo must use the "The Florida
Keys — Key Largo" logo/trademark (as per attached logo sample — Exhibit A). Electronic
format (eps or jpg file) of the appropriate logo may be obtained by contacting Danielle Salman
or John Underwood with Tinsley Advertising at 305-856-6060.
22. Severability: If any provision of this agreement shall be held by a court of
competent jurisdiction to be invalid or unenforceable, the remaining provisions shall not be F
affected thereby; and each provision of this agreement shall be valid and enforceable to the
fullest extent permitted by law. >
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23. Authority: Each of the signatories for the Event Contractor below certifies and
warrants that: a) the Event Contractor's name in the agreement is the full name of the
person/entity or corporation as designated in its corporate charter, and b) they are empowered A
to act and execute the agreement for the Event Contractor and c) this agreement has been
approved by the Event Contractor's governing board, as applicable to corporations.
24. Public Entities Crimes: 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 consultant under a contract with any public entity and E
may not transact business with any public entity in excess of the threshold amount provided in
Section 287.017, for category two for a period of 36 months from the date of being placed on
the convicted vendor list.
25. Governing Law/Venue: 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 the agreement, the County and
Event Contractor agree that venue shall lie in the appropriate court or before the appropriate
administrative body in Monroe County, Florida. This agreement shall not be subject to
arbitration.
26. Accounting and Records: Event Contractor shall maintain records pursuant to
generally accepted accounting principles for four (4) years after the event and shall permit >
County and its agents and employees access to said records at reasonable times.
27. Notice: Any notice required or permitted under this agreement shall be in writing
and hand delivered or mailed, postage prepaid, to the other party by certified mail, returned >
receipt requested to the following:
For Grantee:
For Grantor: Maxine Pacini
Monroe County Tourist Development Council
Event Name:
Turnkey Funding: FY 2020
ID #:
6
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F.26.a
1201 White Street, Suite 102
Key West, FL 33040
And
Christine Limbert-Barrows, Asst. County Attorney W
P.O. Box 1026
Key West, FL 33041-1026
28. Breach and Penalties: The parties agree to full performance of the covenants >
contained in this agreement, and the County reserves the right at its discretion, provided such <
breach is material, to terminate this agreement for any misfeasance, malfeasance or a
nonperformance of the agreement terms or negligent performance of the agreement terms by
the Event Contractor.
29. Termination of Agreement: County may terminate this agreement without cause
by providing written notice to Event Contractor, through its officer, agent or representative, no
less than sixty (60) days prior to the event and may terminate for breach upon providing to
Event Contractor, through its officer, agent or representative, written notice at least seven (7)
days prior to the effective date of the termination. Notice is deemed received by Event
Contractor when hand delivered, delivered by national courier with proof of delivery, or by U.S.
mail upon verified receipt or upon the date of refusal or non-acceptance of delivery.
30. Miscellaneous: As used herein, the terms "contract" and "agreement" shall be
read interchangeably.
31. Entire Agreement: The parties agree that the agreement above constitutes the
entire agreement between the County and Event Contractor.
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IN WITNESS WHEREOF, the parties hereto have executed this agreement the day and year
first above written.
(SEAL) Board of County Commissioners
Attest: Kevin Madok, Clerk of Monroe County
Deputy Clerk Mayor/Chairman
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Organization AND TWO WITNESSES
Event Name:
Turnkey Funding: FY 2020
ID #:
7
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F.26.a
BY (�)
President
Print Name:
Print Name Date:
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Date: (2)
Print Name:
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Event Name:
Turnkey Funding: FY 2020
ID #:
8
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F.26.a
EXHIBIT A
Color ads four (4) color processing printing W
Black & white ads shall include the appropriate generic or district logo in high resolution
TV: logo must appear at the conclusion of commercial
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Radio Advertising: No logo is required. All radio announcements must say "Brought to you
by the Monroe County Tourist Development Council." U)
A
Marketing promotions that display our logo must use the "The Florida Keys — Key Largo"
logo/trademark. Electronic format (eps or jpg file) of the appropriate logo may be obtained by U
contacting Danielle Salman or John Underwood with Tinsley Advertising at 305-856-6060.
Tke floridd Keys
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KeyLdrgo
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Event Name:
Turnkey Funding: FY 2020
ID #:
9
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INSURANCE CI IU1'C',KLISTF()R VENDORS SUBMITTING IIR(.,)I>OSAI,,S OR BIDS
FOR WORK C
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To assist in the development of" your proposal, the insurance covet-ages marked with an "V will 4)
19
Ile required in the event an award is made to your Firm. Please review this form with your insurance C
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agent and have him/her sign it in the place provided. It is also required that the bidder sign the i=
requiste torn) reflecting coverage and submit it with the proposal. >
WORKERS' (.70NIPENSATION
AND U)
EMPLOYERS' LIABILITY A
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Workers' Compensation Statutory Limits
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Bodily Injury by Accident/Bodily
Injury by Disease, policy U)
limits/Bodily Injury by Disease 'a
each employee C
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WC 0
1 Employers Liability $10(),000/$500, 00/$]00,000 0
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WC72 Employers Liability $500,000/$50(),000/1',500,000
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WC3 Employers I iability $],()()(),()O()/$1,000,000"$],Ooo,00O
W( USI 111 US L,ongshoremen & $1,000,000
I larbor Workers Act
WC,J A Federal Jones Act $1,000,000
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Adminish'afivc:InsImelion 7500.7
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1 Packet Pg. 1736
2018 Edilion
GINFRAL LIA1311-ATY
As as MilliMUITI,the required general liability coverages will inClUde:
W
0 Premises Operations Pr(dUCtS and Completed Operations
. Blanket Contractual Personal Injury
ReClUired Limits:
GLI $300,000 Combined Single Limit
GL2 $500,000 Combined Single I-Imit U)
Gl,3 $1,000,000Combined Single l-imit
ca
G 1A $2,000,000 Combined Single I-Amit m
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GlIs $3,000,000 Combined Single Limit
GL6 $4,000,000 Combined Single Limit
GL7 $5,000,000 Combined Single Limit
ReqUired L'Indorsement: E
Cm
I.Jability
Liquot
(it"s Security Services CL
All endorsements arc required to have the sarne limits as the basic policy.
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Administrative Instruction 7500.7
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1 Packet Pg. 1737
2018 Edition
BUSINESS ALJTOM.QBlLF,' LIABILITY
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As a minimuni, coverage should extend to liability for
Owned,- Nora-owned; and Hired Vehicles
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Required Limits:
VH $50,000 per Person-$100,000 per Occurrence >
$25,000 Property Damage <
Or a
$100,000 Combined Single Lirrin. U)
(The use ot'VIA should be limited to special projects that involve A
other governmental entities or "Not for Profit"organizations, Risk
Managetnent Must approve the use of this loan).
V L2 $200,000 per Pcrson; $300,000 per Occurrence
$200,000 property Dainagc C
or
$300,000 C,orribined Single L.,imit U)
V13 $500,000 per llerson; $1,000,000 per,OCCUrrence C
$100,000 Property Darnage
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$1,000,000 Combined Single Limit E
VL4 $5,000,000 Clorribined Single Limit
N11S.C�ELIANEOUS COVtj A(J[_',�S
BRI Builders' L,imits equal to the
Risk Fail Replacement Value of the completed
pro.ject.
C L,I C.yber Liability $1,000,()0()
MVC Motor Truck Limits eqUal to the maximum
Cargo value of any one shipment. E
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PR() I Professional $ 300,000 per Occurrence $ 500,000 Agg. ras
IIR02 Liability $ 500,000 per Occurrence5d,000,000 Agg. C
PR03 $1,000,000 per OccurrenceS2,000,000 Agg.
1101-11 Pollution $ 500,000 per Occurrenee/$(,000,000 Agg.
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P01-2 Liability $1,000,000 per()ccurrence/$2,000,000 Agg.
1'O1..3 $3,000,000 per(I)ccurr-circe$6,000,000 Agg.
POIA $5,000,000 per Occurrencc,11 0,000,000 Agg, >
EDt Employee $ 10,000
ED2 Dishonesty $100,000 C
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CY K I Garage $ 300,000 ($ 25,000 pet-Vehicle)
GK2 Keepers $ 500,000 ($100,000 per Vehicle'
GK3 $1,000,000 ($250,000 per Vehicle)
Adininistrative Instruction '7500.7
Packet Pg. 1738
2018 Edifi�r n
MEDI Medical $ 300,000 750,000 Agg.
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MED2 Prol'essional $ 500,0001$ 1,000,000 Agg
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MED3 $1,000,000/$ 3,000,000 Agg.
MED4 $5,000,000510,000,000 Agg. w
IF Installation Maxim urn value of Equipment C
Floater Installed
VI I)I Hazardous $ 300,000 (Requires MCS-90) >
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VLP2 C',argo $ 500,000 (Requires MC S-90) <
VL,P3 Transporter $1,000,000 (Requires MC S-90) a
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Bailee Liab. Maximum Value of County Property that A
Nvill be in the Bailee's posession, j
1 KLI I I an gar keepers $ 300,000
HK.L2 Liability $ 500,000
11 K.L3 s 1,()00,00()
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f IK JA $ 5,000,000
A I R I Aircraft $ 1,000,000 U)
AI Liability $ 5,000,000
AI $50,000,000
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*HO I Architects Errors $ 250,000 per Occurrence$ 500,000 Agg 0
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*i.,()2 & onlission's $ 500,000 per Ctccurrence3 1,000,000 Agg E
A F"0 3 $ 1,000,000 per Occurrence $3,000,000 Agg.
A E104 $ 3,000,000 per Occurrence,$5,000,000 Agg.
ARP All Risk Property Full Replacement Value of"S4nicture
U,(A 1"Inginners Errors $ 250,000 pet-Occurrence$ 500,000 Agg, .2
F'02 & (..)rnissions $ 500,000 pet-Occurrence$!,000,000 Agg. .5
F 03 $ 1,000,000 per0ccurrence$2,000,000 Agg�
F"04 $ 5,000,000 per OCCUrrence V0,000,000 Agg.
will Water Craft $ 500,000 per C.)ccurrence
E
WL2 Liability $ 1,000,000 perOCCUrrence E
cas
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Administrative Instruction 7500.7
9
1 Packet Pg. 1739
2M8 I Alion
INSURANCE' AGENT'S STATENFXY
C
I have reviewed the above req u i reme tits with the bidder named below.The f'ollowing deductibles W
apply io the corresponding policy.
C
Policy DedUctibles
..........................
"'CL-1-746972'
...........
A
Liability policies are _JE OCCUrrence ElClaims Made
C
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_Rggp.p. I surance Agen�ay Inc.------------------------- ----------------------------------------
Insurance Agency Signat re
E
BIDDERS
STATEMENT
1 Understand the insurance that will be mandatory if awarded the contract and
will corn ply in ffill with all the repirements.
E
Robert Stoky E
-e Bidcklr's Nanw and Title Signatui
C
C
on,ipany Name.:.,K, Y Mer I.,ai q chants Assoc i ati on j Incnc. >
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.......... .......................-.............. .............-
19
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AdvninirEdive Inlruchon 7500.7
Ind
Packet Pg. 1740
o
F.26.a
�' 4.i+�ilian
INSURANCE CHECKLIST FOR VENDORS SUBMITTING PROPOSALS OR BIDS FOR
WORK
To assist in the development of your proposal, the insurance coverages marked with an "X" will -19
0
be required in the event an award is made to your firm.Please review this foran with your insurance
agent and have hirn/her sign it in the place provided. It is also required that the bidder sign the
reguiste form reflecting coverage and submit it with the proposal. >
U'
AND
EMPLOYERS' LIABILITY A
Workers' Compensation Statutory Limits
Bodily Injury lay.Accident/Bodily
Injury by Disease, policy
limits/Bodily Injury by Disease
each employee
WCI Eanployers Liability $100,000/S5tlt)„C:001;,.10(),t100
IC2 Employers Liability 500,000/$500,0(O'S500,000 as
CT Employers Liability S I'000,000/s 1,000,000 S 1 000,000
WC 11SLI4 US Longshoremen& S 1,000,000
Harbor Workers Act
a
C J A Federal :long, Act S 1.000,000
Aa3minMsirahvc:hisYamtrdiOla
Packet Pg. 1741
2018
GENERAL—LIABILITY
As a rrri. murn,the required general liability coverages will include: W
Products and Completed Operations
Premise% Operations
Blanket Contractual
U)
um
U)
um
um
um
cas
cas
um
um
um
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W
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Admi6strative Instruction 7500.7
Packet Pg. 1742
2018
Personal 117jury
U)
Required Limits:
GLI $300,000 Combined Single Limit w
GL2 $500,,000 Combined Single Limit
GL3 x $1,000,000 Combined Single Limit >
GL4 S2,000,00OCornbined Single Limit
GLS $3,000,000Combined Single Limit U)
M
-j
GL6 $4,000,000 Combined Single Ling t
ei
GI-7 S5,000,00OCombined Single Limit
ei
Required Endorsement:
U)
GLIAQ Liquor Liability
GLS Security Services
E
All endorsement arc required to have the same firnits as the basic POIK*1V
E
E
INSCKLST
ei
E
M
Administralivc 1�1st,"Llclion 7500.7
Packet Pg. 1743
2018 Editioi
BUSINESS AUTOMOBILE LIABILITY
As a nlinir im, coverage should extend to liability for: W
Owned; Non-owned; and Hired Vehicles
Required Limits:
VLI $5 0,000 per Person:$100,000 per Occurrence
$25,000 Property Damage
Or
$100,000 Combined Single Limit
(The use of VLl should be limited to special prqjects that involve A
_j
other governmental entities or"Not for Profit"organizations. Risk
Management must approve the use of this form).
VL2 5200,000 per Person; $300,000 per Occurrence
$200,000 Property Darnage
01'
$300,000 Combined Single Lirnit
$500,000 per Person; $1,000,000 per Occurrence
VL3
$100,000 Property Damage
or
Sj,0()(),000 Combined Single Limit E
VL4 $5,000,000 Combined Single Limit
MISCELL\NFOUS COVERAGES
Builders' Limits equal to the
BRI Risk Full Replacement Value of the completed
projiect.
CLI Cyber Liability $1,000,000
Motor Truck Limits equal to the maximum
MW Cargo value of any one shipment.
E
E
Professional $ 300,000 per Occurrence $ 500,000 Agg.
PRO (n
Liability $ 500,000 per Occurrence/$,1,000,000 Agg�,
PR02 51,000,000 per Occurrenc&$2.000,000 Agg.
PR03 W
Pollution $ 500,000 per Occurrence�$(.,000,000 Agg.
POLI Liability $1,000,000 per Occurrence/S2,000,000 Agg.
PO
$3,000,000 per Occurrence$6,000,000 Agg.
POU POLO $5,000,000 per Occurrcnccl$l 0,000,000 Agg.
>
U
Employee S 10,000 <
Elit Dishonesty 5100,000 a
ED2
Garage S 300,000 ($ 25,000 per Vehicle) 0
GKI Keepers $ 500,000 (SIOO,000 per Vehicle) E
GK2 51,000,000 ($250,000 per Vehicle)
GK3
Adminislnt6vc Insametion 7500.7
Packet Pg. 1744
2018 Editb n
NIEDI Medical $ 300,000J'S 750,0OO Agg.
MI D2 Professional $ 500,000$ 1,000,000 Agg-
MED3
S1,000,000,'S 3tOOO,000 Agg. >
w
S5,000,000v$10,000,000 Agg. >%
MEN 0
Installation Maximum value of Equipment
IF Floater Installed
VLPI I lazardous $ 300,000 (Requires MCS-90)
VLP2 Cargo $ 500,000 (Requires MCS-190)
VLP3 Transporter $1,000,000 (Requires NICS-90) U)
BLL Bailee Liab.
Maximum Value of County Property that A
j
will be in the Bailec's posession.
HK.L1 Hangar keepers S 300,000
I-1K.L2 Liability $ 500,000
S 1,000,0()()
HK.L3
$ 5,000,000
HK.L4
AIRI Aircraft S 1,000,000 U)
AIR2 Liability $ 5,000,000
AIRS S50,000,000
AEOI Architects Errors $ 250,000 per Occurrence$ 500,00OAgg.
AE02 Omissions
$ 500,000 per OccurrenceS 1,000,000 Agg. E
&
AE03 s 1,000,000 per Occurrence$3,000,000 Agg.
Al 04 $ 3,000,000 perOccurrenc05,000,000 Agg. 0
ARP All Risk Property Full Replacement Value ofStnicture
Engineers Errors $ 250,000 per Occurrence$ 500,000 Agg.EOJ &Omissions S 500,000 per occurrence$1,000,000 Agg,
E02 E03 $ 1,000,000 per Occurrence$2,000,000 Agg.
S E04 5,000,000 per Occurrence$!0,000,000 Agg.
WLI Water Craft $ 500,000 per Occurrence
E
WI,2 Liability $ 1,000,000 per Occurrence E
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E
Administl-ativc [ii,,,truction 7500.7
Packet Pg. 1745
o, F.26.a
2018 Edi[iuri
INSURANCE ,AGENT'S STATEMENT
l have reviewed the above requirements with the bidder named below.The following deductibles �
apply to the corresponding policy.
Policy Deductible
/. u
L �rGer
Liability policies.are _occurrence ElClaims, Made �
nce Agency LiM
BIDDERS
STATEMENT
l understand, the insurance that will he mandatory if awarded the contract and �
will comply in full with all the requ °em nts.
Bidder's Name 'Lind SigilatUrC
Company Name:
cs
Acirrinfiahvc. hdruchun M0.7'
411
Packet Pg. 1746
I _ I
101 i lAi➢ion
INSURANCE CHECKLIST FOR VENDORS SUBMITTING PROPOSALS OR BIDS
FOR WORK �
To assist in the development of your proposal, the insurance coverages marked with an "X" will
be required in the event an award is made to your firm.Please review this form with your insurance
agent and have him/her sign it in the place provided. It is also required that the bidder sign the
requiste form reflecting coverage and submit it with the proposal.
WORKERS' COMPENSATION
AND
EMPLOYERS" LIABILITY
A
Workers" Compensation Statutory Limits �
Bodily Injury by Accident/Bodily
Injury by Disease, policy
limits/Bodily Injury by Disease
each employee
WC1 Employers Liability $100,000/$500,000/$100,000
WC2 Employers Liability $500,0001$500,000/ 500,000 E
WC3 Employers Liability $1,000,000/$1,000,000 1,000,000
WCI SLIT US Longshoremen & $1,000,000 �
Harbor Workers Act
WCJA Federal Jones Act $1,000,000
Adminislralive:pnslrucVion 7500.7
6
2018 Edilion
GENERAL LIABILITY
As a minimum,the required general liability coverages will include:
0 Premises Operations 0 Products and Completed Operations W
0 Blanket Contractual Personal Injury
Required Limits:
GLI $300,000 Combined Single Limit
GL2 $500,000 Combined Single Limit
U)
GL3 X $1,000,000 Combined Single Limit A
J
GL4 $2,000,000 Combined Single Limit
GLS $3,,000,000 Combined Single Limit
GL6 $4,000,000 Combined Single Limit
GL7 $5,000,000 Combined Single Limit
Required Endorsement:
E
GLLIQ Liquor Liability
GLS Security Services
All endorsements arc required to have the same limits as the basic policy.
E
E
W
INSCKLST
E
Administrative Instruction 7500,7
7
2018 Edition
BUSINESS AUTOMOBILE LIABILITY
As a minimum, coverage should extend to liability for:
Owned; Non-owned; and Hired Vehicles W
Required Limits:
Vill $50,000 per Person: $100,000 per Occurrence
$25,000 Property Damage is
Or
$100,000 Combined Single Limit
U)
(The use of VLI should be limited to special projects that involve
other governmental entities or "Not for Profit" organizations. Risk A
_J
Management must approve the use of this form).
VL2 $200,000 per Person; $300,000 per Occurrence
$200,000 Property Damage
or
$300,000 Combined Single Limit
VL3 $500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage
or
$1,000,000 Combined Single Limit
E
VL4 $5,000,000 Combined Single Limit
MISCELLANEOUS COVERAGES
BRI Builders' Limits equal to the
Risk Full Replacement Value of the completed
project.
C111 Cyber Liability $1,000,000
MVC Motor Truck Limits equal to the maximum
Cargo value of any one shipment, E
E
PRO I Professional $ 300,,000 per Occurrence A 500,000 Agg. (n
PR02 Liability $ 500,000 per Occurrence/$1,000,000 Agg.
PR03 $1,000,000 per Occurrencei$2,000,000 Agg.
W
P'OLI Pollution $ 500,000 per Occtirrence/$(,000,000 Agg.
POL2 Liability $1,000,000 per Occurrence/$2,000,000 Agg,
POU $,3,000,000 per Occurrence/$6,00 0,000 Agg,
POL4 $,5,000,000 per Occurrence/$I 0,000,000 Agg. >
U
EDt Employee $ 10,000 <
ED2 Dishonesty $100,000 as
a
GKI Garage $ 300,000 ($ 25,,000 per Vehicle)
E
GK2 Keepers $ 500,000($100,000 per Vehicle)
GK3 $1,000,000 ($250,000 per Vehicle)
Administrative InStfUction 7500.7
8
2018 Editb n
MEDI Medical $ 300,0005 750,0'00 Agg,
MED2 Professional $ 500,0001$ 1,000,000 Agg.
ME D3 $1,000,000 3,000,000 Agg.
MED4 $5,0'00,000/$10,000,000 Agg.
w
IF Installation Maximum value of Equipment 0
Floater Installed
VLPI Hazardous $ 300,000 (Requires MCS-90)
VLP2 Cargo $ 500,000 (Requires MCS-90)
VLP3 Transporter $1,,000,000 (Requires MCS-90)
BLL Bailee Liab. Maximurn Value of County Property that U)
will be in the Bailee's posession, A
j
HK.LI Hangar keepers $ 300,000
14K.L2 Liability $ 500,000
HK.L3 $ 1,000,000
HK.L4 $ 5,000,000
AIRI Aircraft $ 1,000,000
AIR2 Liability $ 5,000,000 U)
AIR3 $50,000,000
AE01 Architects Errors $ 250,000 per Occurrence,/$ 500,000 Agg.
AE02 & Omissions $ 500,000 per Occurrencel$1,000,000 Agg.
AE03 $ 1,000,000 per Occurrence/$3,000,000 Agg. E
AE04 $ 3,000,000 per Occurrencel$5,000,000 Agg.
ARP All Risk Property Full Replacement Value ofSuncture
EOJ Engineers Errors $ 250,000 per Occurrence/$ 500,000 Agg,
E02 & !Omissions $ 50'0,,000 per Occuri-ence/$1,000,000 Agg.
EO'3 $ 1,000,000 per Occurrence/$2,000,000 Agg.
E04 $ 5,000,000 per Occurrence/V0,000,000 Agg.
WLI Water Craft $ 500,000 per Occurrence
E
WL2 Liability $ 1,000,000 per Occurrence E
w
E
Administrative Instruction 7500t.7
9
I _ I
201,8 Edh ion
INSURANCE AGENT'S STATEMENT W
I have reviewed the above requirements with the bidder named below.The following deductibles �
apply to the corresponding policy.
Policy Deductibles
. ''fig a iabi It h
A
a®
ALE . t R
-MMUP .. "obi
�s
Liability policies are (Jccurrencelaims made
Sguth Uis
Insurance Agency Signature �
BIDDERS �
STATEMENT �
a
l understand the insurance that will be mandatory if awarded the contract and
will comply in full with all the requirements.
. r
Bidder's Name and Title Signature E
Company Names 4
�s
A4dminin live h1ruclinn 750M
111 c�