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Item C23 C.23 t, BOARD OF COUNTY COMMISSIONERS County of Monroe Mayor Heather Carruthers,District 3 IleOI1da Keys Mayor Pro Tern Michelle Coldiron,District 2 �p.° Craig Cates,District I David Rice,District 4 Sylvia J.Murphy,District 5 County Commission Meeting January 22, 2020 Agenda Item Number: C23 Agenda Item Summary #6470 BULK ITEM: Yes DEPARTMENT: Project Management TIME APPROXIMATE: STAFF CONTACT: Steven Sanders (305) 295-4338 N/A AGENDA ITEM WORDING: Approval to waive Chapter 2, Section F(3) of the Purchasing Policy and, upon finding that the competitive solicitation procedures were not evaded, award three (3) contracts totaling $91,245.00 to Sea Tech of the Florida Keys, Inc. for the transfer station canopies/awnings. ITEM BACKGROUND: Monroe County's three (3)transfer station offices have just been replaced and are in need of new canopies/awnings. Project Management issued individual Requests for Solicitations (RFS) for each transfer station location due to the fact that each canopy/awning is a different design and also because the three transfer stations are separated by a relatively large distance. In separating out each of the locations, Project Management hoped to allow and receive bids from smaller contractors that may be location limited or who may not be able to bid on a job that stretched 100 miles. Five (5) bids were received for each RFS and Sea Tech of the Florida Keys was the lowest bidder for all three of the RFS's. Each individual bid from Sea Tech was less than $50,000, however, combined the three bids total $91,245.00. Due to this, the County Attorney's office suggests that Project Management request approval from the BOCC to waive Chapter 2, Section F(3) of the Purchasing Policy in order to approve these contracts for the reasons as set forth above and thus finding that these projects were not split to evade the competitive solicitation procedures. PREVIOUS RELEVANT BOCC ACTION: N/A CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval to waive purchasing policy and award all (3) three contracts. DOCUMENTATION: Packet Pg.490 C.23 Memo from Kevin Wilson Small Contract_SeaTech_CR905 Transfer Small Contract_SeaTech_Cudjoe Transfer Small Contract_SeaTech_Long Key Transfer FINANCIAL IMPACT: Effective Date: 1/22/2020 Expiration Date: 75 days after Notice to Proceed issued Total Dollar Value of Contract: $91,245.00 Total Cost to County: $91,245.00 Current Year Portion: $91,245.00 Budgeted: Yes Source of Funds: 40000-560620 CPI: n/a Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: If yes, amount: Grant: n/a County Match: Insurance Required: yes Additional Details: REVIEWED BY: Cary Knight Completed 01/06/2020 4:25 PM Kevin Wilson Completed 01/06/2020 5:01 PM Cheryl Sullivan Completed 01/06/2020 5:08 PM Christine Limbert Completed 01/07/2020 9:51 AM Budget and Finance Completed 01/07/2020 11:19 AM Maria Slavik Completed 01/07/2020 11:30 AM Kathy Peters Completed 01/07/2020 1:19 PM Board of County Commissioners Pending 01/22/2020 9:00 AM Packet Pg.491 C.23.a BOARD OF COUNTY COMMISSIONERS County ofMonroe Mayor SylviaJ.Murphy,District 5 The Florida Keys Mayor Pro Tem Danny L.Kolhage,District 1 Michelle Coldiron,District 2 fi Heather Carruthers,District 3 " David Rice,District 4 0 r- Memorandum U) DATE: 19 December 2019 U) TO: County Attorney (Limbert, Shillinger) FROM: Kevin G. Wilson, P.E. SUBJECT: Award of Solid Waste Awnings to Sea Tech FAction Requested* County Attorney approval for award to Sea Tech of awnings at three Solid Waste transfer stations using separate purchase orders. 0 Bans for ire uested action: 1. Each awning was purpose designed to match the requirements of each site. 2. Each specification was separately advertised for bids on the County's website. 3. At least five(5)bids were received for each site. 4. The sites are separated by at least 40 miles from the next closest site and each has site specific constraints. 2 0 5. There was no intent to circumvent the use of competitive solicitation IL Background: U) After replacement of the weigh station offices,it was clear that an awning at the customer window was necessary for convenience during inclement weather. Since each site had different specific requirements a design was prepared for each. IL Since the locations were geographically separated,each was advertised with the intent of maximizing the potential that local,small businesses would have the opportunity to compete for the work. To PEsINmm°„m.ICENS. AND RINDS that end,each site's design was submitted via the County's web site e,ohio ��*vnII:U�qFo `--8,,Appff ADRI,, 0 inmrvrnro-aP SM Md Otlagno&-Nn m, - (using the"Project Management-solicitation under$50,000"page- see inset)since the estimated cost of each was less than$50,000. CL When the proposals were received,one company was the low bidder CL on all three(3)sites. 0 Attached are the structural drawing for each site. They are not the same,Cudjoe Key is 301 X 10'9"W(320.1 SF); Long Key is 20'6"L X 8"6"W(174.25 SF);and Key Largo is 17' L X 10'W(170 SF). The pricing for each site is also different as seen in the attachment:$34,915(Cudjoe);$27,735(Long Key);and$28,595(Key Largo). y Each solicitation received five(5)proposals. The issue raised is that there is an appearance of intent to avoid using the public bid process to make separate acquisitions that otherwise,if advertised together as one purchase,would exceed the 4- $50,000 threshold of the purchasing policy. The policy is in place to ensure that staff does not circumvent the competition of the market place or to allow staff to make multiple purchases without appropriate controls that the Demandstar RFP 0 process is in place to avoid. In this case,staff's decision was driven by 1)the differences in the requirements of each location;2)the desire to get more small,local businesses involved,and 3)the expectation that the geography of the locations would lead different local firms 0 to be the low bidder on each site. The reality was that the same firm was the low bidder on each site. That firm may or may not have decided its bidding strategy on the assumption that it would get all three projects and that resulted in a better price to the County. In any event,moving forward with the current low bidder on each site,while risking the appearance of avoiding the$50,000 limit,is appropriate since 1)there was no intent on the part of staff to avoid the limit, and 2)There was a robust competition (5 proposals for each site). Packet Pg.492 C.23.a 7 2D 91 Total OAS Total t + $ L- , rc� aa�q tr. »rau 0 U) op to'no„ ' 101412019 Base AK I AX i w 3 31,750,00 27,736,00 1 0m2mv IL �» .� S ?0 k a ca 20Ilow T*rw iow fob IL a� 0 0 0 a� 0 I- 4- 0 Packet Pg.493 7 2D 91 0 0 U) U) ........................................... ........ ................ ........... 0 4- 0 Lu DV - tl 64*,125ALUM,POST LUDSODED WINTO 16'DIA, z z CONC AUGER PILE(TYP.) 0-1 a .... .................... m ................. ...... ..... .... ............ z Uj Yl' 0 0 Uj. 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(7tgP3A � 0#5MdQtl9 5�&R >ATRMXC q1A F P4,XN StAY'P 0 T N[�Wp. is°v a 03 0 M® 4- 0 Packet Pg.496 C.23.b Monroe County Engineering t- 1100 Simonton Street,2-216 11 i' Key West,FL 33040 OZE Project Management 0 ti � PROPOSAL TO: Monroe County Project Management 1100 Simonton St., Room 2-216 Key West, FL 33040 I PROPOSAL FROM: Sea Tech of the Florida Keys Inc 131 Palomino Horse Trail Big Pine Key, FL 33043 0 The undersigned, having carefully examined the Work and reference Drawings, Specifications, Proposal, and Addenda thereto and other Contract Documents for the construction of: TRANSFER STATION NEW CANOPY 0 and having carefully examined the site where the Work is to be performed, havingbecome familiar with all local conditions including labor affecting the cost g 9 °Us 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. 0 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 LO provided and made available, and from inspection and examination of the site. �s I 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 Forty Five (45) calendar days. The undersigned shall accomplish Final Completion of the Project within Thirty (30) calendar days thereafter. U Page 8 of 22 Packet Pg.497 C.23.b Monroe County Engineering 1100 Simonton Street,2-216 iNf 1 Key West,FL 33040 � Project Management 0 irG 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. Twenty-eight Thousand, Five Hundred Ninety-five and No/100---------------Dollars (Total Base Proposal-words) $ 28,595.00 Dollars (Total Base Proposal — numbers) I acknowledge Alternates as follows: 3 Alternate #1 N/A D II r 2 oas (Alternate#1) IL $ Dollars (Alternate#1) I acknowledge receipt of Addenda No.(s) or None a� No. 1 Dated 9/27/2019 0 t) LO �s i i 0 U (n Packet Pg.498 C.23.b Monroe County Engineering 1100 Simonton Street,2-216 Key West,FL 33040 Project Management 0 ADDITIONAL CONTRACT PROVISIONS t) I. Nondlscriminat'io�n/E ual 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 I- 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 LO 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 �s Opportunity, and implementing regulations at 41C.F.R. Part 60 (Office of Federal Contract Compliance Programs, Equal Employment Opportunity, E Department of Labor). See 2 C.F.R. Part 200, Appendix II, ¶ C, agrees as follows: Packet Pg.499 C.23.b Monroe County Engineering 1100 Simonton Street,2-216 Key West,FL 33040 ^ ° / Project Management 0 I- (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 U) consistent with the CONTRACTOR's legal duty to furnish information. (4) The CONTRACTOR will send to each labor union or representative of LO workers with which it has a collective bargaining agreement or other contractCD or understanding, a notice to be provided by the agency contracting officer, U 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, E 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 Packet Pg. 500 C.23.b Monroe County Engineering 1100 Simonton Street,2-216 ' Key West,FL 33040 r Project Management 0 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 3 Secretary of Labor, or as otherwise provided by law. I IL 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 da s' written notification to the CONTRACTOR. 9 ( ) Y aU) 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. a� 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 LO 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 �s 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 E County Code. Packet Pg. 501 C.23.b Monroe County Engineering 1100 Simonton Street,2-216 'm l Key West,FL 33040 0 • bra �' ' Project Management 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. 2 e. Scrutinized Companies: For Contracts of any Y amount, if the Count 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. 0 III. MAINTENANCE OF RECORDS. CONTRACTOR shall maintain all books, records, and documents directly pertinent to performance under this Agreement in accordance with generally U) accepted accounting principles consistently applied. Records shall be retained for a period of ten (10) years from the termination of this agreement. LO 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 cni 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 0 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 Packet Pg. 502 C.23.b a Monroe County Engineering 1100 Simonton Street,2-216 "+ a Key West,FL 33040 ? „ Project Management 0 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: (1) Keep and maintain public records that would be required by the County to perform the service. U) (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 LO 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 0 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 E contract, the Contractor shall destroy any duplicate public records that are (n exempt or confidential and exempt from public records disclosure requirements. If the Contractor keeps and maintains public records upon Packet Pg. 503 C.23.b Monroe County Engineering 1100 Simonton Street,2-216 Key West,FL 33040 Project Management 0 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 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. IL The Contractor shall not transfer custody, release, alter, destroy or otherwise 0 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- U) BRIAN MONROECOUNTY-FL.GOV MONROE COUNTY ATTORNEY'S OFFICE 11111 12 Street SUITE 408 KEY WEST FL 33040. LO 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 �s supporting documentation; general ledger entries detailing cash and trade discounts earned, insurance rebates and dividends; any other supporting E 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, Packet Pg. 504 C.23.b r Monroe County Engineering 1100 Simonton Street,2-216 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. 3 0 0 t) to �s i i 0 �s (n 4i Packet Pg. 505 C.23.b j � qV" Monroe County Frigincering 1100 Simonton Street,2-216 Key West,H. 33040 �i � 0Prgiect Management icy ° rrarvun,;.F;rrvnoA U) 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. 0 Execution by the Contractor must be by a person with authority to bind the entity. 0 IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly authorized representatives, as follows: 3 Contractor: Sea Tech of the Florida Keys Inc Mailing Address: PO Box 420529 0 IL Summeriand Key, FL 33042 Phone Number: 305-872-0888 c� E.1.N.: 65-0126213 IL Email: robins@seatech.cc ,W 0 Date: 10/3/2019 Signed: , 0 Robin Sz ansly (Name) President (Title) U) Contra4g, s Witne s sign ure: �w LO Witnes name: Try' augh Ui as Ca : 10/3/2019 cas i MONROE COUNTY 0 �s Date: County Administrator or designee �s Packet Pg. 506 C.23.b Momoc County Engineering ", 1 100 Simonton Street,2-216 l Key West,PI, 33040 0 �l Project Management j��nru Of U) U) VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS � Trailer Canopy Card Sound Transfer Station Project Description.s : Py c s -ry ski ) �a 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: PO Box 420529, Summerland Key„ FL 33042 City: State: Zip: Phone Number 305-872-088e 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 U) identified above in the Section entitled"Respondent Vendor Name"is not listed on the Scrutinized Companies that Boycott Israel List. 1 understand that pursuant to Section 287.135, Florida Statutes, the submission of a false certification may subject company to civil y y f p y penalties, attorne '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 Com ni s that Boycott Israel List or engaged in a boycott of Israel. CL CL Certified By. s •�' � �" who is authorized to sign on behalf of v "colap�any, Authorized Signature: al ,, fed f 4 Print Name:Robin azhnansky Toile;President to Note: The List are available at the following Department of Management Services Site: I tutht) I calµlp�tl��sine���..pp� rathon�l��tatq U grct lgc,�irtt . tlttwt arl4t�llp Iign/corivkA c� d"1,,.alki t4 lXkp?CL d,Y 4 tR6N litl_ 4 1 d k 9kptlpa3011r, w,"I'Wor list I 0 (n Packet Pg. 507 C.23.b Monroe County Engineering 1 100 Sinumton Street,2-216 Key West,H. 33040 0 Project Management ++ o,imr r un di0%�� f� U) NON-COLLUSION AFFIDAVIT 1 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 0 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:j Card Sound Transfer Station New Canopy 0'�_ Ty bmr.-f ow � and that I executed the said proposal with full authority to °2 do so; 2. The prices in this proposal have been arrived at independently without Us 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 IL 1 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 s te nts contained in this affidavit are true and correct„ and made witi esaid project. +""atQ,"R AP (Si nature o P(oposer) (Date) t t, ,0 to JAM& ., = M STATE OF: Florida w Ica �At5�s3 M` J U 1 COUNTY OF:Monroe OF '"rYrabar ttrnari+.d"� PERSONALLY APPEARED BEFORE ME, the undersigned authority,,„Robin r�1 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 October �ps NOTARY" PUBLIC Q E (n My commission expires: MCKr t3 2 ) _ � (SEAL) Packet Pg. 508 C.23.b � UIp'FAr 0 ��Wn'b WIIVIINI�H ff Monroe County Engineering rl 1 100 Simonton Street,2-216 :{ Key West,PI. 33040 0 Pmjcel Management t) t) 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 ,X (Company) warrants that he/it has not employed, retained or otherwise had act on his/its behalf an former Count officer or employee in violation of Section 2 of 2 Y Y 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 Count oflcer or rn loyee 3 (SI nat e) 0 Date; @ 0 CL CL STATE OF: Florida COUNTY OF: Monroe I- T t) Subscribed and sworn to (or affirmed) before me on October 2019 (date) to by Robin Szmansky (name of affiant). He/She is personally known to me or has-produced �� as identification, (Type of identification) A� m U/' , NOTARY PUBLIC 0 , My commission expires�,'�i w"zZ " ' OTARy E (SEAL) ,ayrl�,wuti Ew�eS` t.J,20z2 YrtS 0S:"r 195358 GS rj F / 1V�a✓ :w 'yrONFua � Packet Pg. 509 C.23.b Monroe County lingineering 1 100 Simonton Streci,2-216 i` Key West,PL 33040 0 Project Management ++ 888 DRUG-FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: 1 Sea Tech of the Florida Keys Inc (Name of Business) i 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 2 business's policy of maintaining a drug-free workplace, any available drug IL counseling, rehabilitation, and employee assistance programs, and the PY p p employees 9 on ees enalties that ma be imposed u em to for drug abuse violations. aU) 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). IL 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 LO through implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. Proposer's Signature 10/4/19 0 Date (n Packet Pg. 510 C.23.b �o�Nr ho lw"ids Monroe County Fnginecring 1 100 Simonton Street,2-216 Key West,1:1. 33040 UUUnN Project Management U) U) PUBLIC ENTITY CRIME STATEMENT 0 "A person or affiliate who has been laced on the convicted vendor list following p p 9 � 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." a. 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. (Signature) 3 Date: 0 STATE OF: Florida a� COUNTY OF: Monroe ... ... ....rw.....__.m,.�. U, Subscribed and sworn to (or affirmed) before me on the day of October to 2019 by Robin Szmansky (name of affiant). He/She is personally known to me or has produced psi (type of identification) as identification. NO My Commission Expires: 20�2� ,, ,,, ,�,, � `F� dy M� t 0 IV ?TARY PUBLIC (SEAL) lay M ''�►"°�`�? ,OFF w,`""�, Packet Pg. 511 C.23.b c } v u Ln w F- v► W DC w 0 H v 3 Q Ln H oD vz Z U Q E a U o a) 2 0ZLL F- N L) CL o a u) 10 LL N Z - Q CY) c O u C o Q W W W p `} a M >1 � U) 0 V � J O Q Z M � c J — p -j -1 V o ra �, L CL -i m LL in ce. w o; O 0 LL U ? .m 00 .. Q Q O a D , cn w V LL ZU O OW I N O c —(U o Z V 2 0 a� m t/) Z O w V w o� ,� 0 O i- F- cn Q � a '�, o - m V U Z M` w X > LO W O cn W O Z a ¢o w O v �a) w m 0o � a) V = �i o ~ �' U to Ln Y 0. N " Packet Pg. 512 C.23.b 2019 / 2020 MOROE COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30, 2020 U) 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: 30S-872-0888 SUMMERLAND KEY, FL 33042 Business Type: CONTRACTOR(GENERAL&BUILDING CONTRACTOR) 0 Employees 10 STATE LICENSE: CBC1259331 �..� 0 00 25 00 y �0. ..0. m 0 ee Sub Total Penalt Pror Years Collectlon Cost Total Paid ..- � .. _. 00 m,...� 0 00 __m...�...._...m�__0 00 25.00 °� ax mount Transfer F 25.00 IL U) Paid 000-18-00030713 09/04/2019 25.00 IL 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, I- CL CL U) era I MONROE COUNTY BUSINESS TAX RECEIPT P.O. Box 1129, Key West, FL 33041-1129 EXPIRES SEPTEMBER 30, 2020 Business Name: SEA TECH OF THE FLORIDA KEYS INC RECEIPT# 30140-23837 �I MO CTY Business Location: SUMMERLAND KEY, FL 33042 Owner Name: ROBIN SZMANSKY, RYON LACHAPELLE Mailing Address:QUALIFER Business Phone: 305-872-0888 0 PO BOX 420529 Business Type: CONTRACTOR(GENERAL&BUILDING SUMMERLAND KEY, FL 33042 CONTRACTOR) (n Employees 10 0 STATE LICENSE: CBC1259331 x Amount Transfer Fee 5tj m- otal Penalty 0 Prior Years Collection Cost Total Paidmm� 0 _— ., wwww. _ 0 Ta 00 0.00 0 00 25.0... 0 25 00 � Paid 000-18-00030713 09/04/2019 25 .00 Packet Pg. 513 C.23.b SEATE-1 CERTIFICATE OF LIABILITY INSURANCE D 1011 0IY 09 301l2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 0 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. I) 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 I) this ccartiflcato moos not confer ri hts to the cortlffesto holder in llou of such endorsements, PRODUCER 305-741-7373 ARAJAcy Rebee a l"11Pran Kays Anchor Insurance Agency P,HONS J 305.741.7373 rAx 04,y,-2'.69.7923 Re Horan lr Acy Na EaI. lAdC,Nn) PO BOX 420308 Summerland Key,FL 33042 Rebecca Horan INYt li(,'R(S nI I ORDI NC CO NAOF NAIC 0 0 INSURER A:Kinsale Insurance CoNFdStRi!t1 INSURER B _ 0 ?Frio th Fi lip a Inc Peoi Kloy or3o0clil IltsuR08 c INSURER O 0 INSURER E;. dNSURER r TI11S 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 RE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, � I_XCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 0 eOL SU A �( COMMERCIAL GENERAL LIABILITY I IR e 1 PMI IC I POLICYMIffWyVVV I LIMITS 'TYPE OP INSURANCE POLICY NUMBER I„ PI $ 1,000,000 cLnlMs-Mnur. I X uccuR X 01000816180 03101/2019 03101/2020 PaAtdt TTTI1trtIl;ul 100000 !' BaMEttS9ETCCn�a Pdpl $ ' f� w,titi�Par taMwy,ww ?narl s eXcl' 1,000,000 I�#;,Lrk'�"49»'7A0.. �Vr74111N�luCIrT'"P' GCN L AGGRFGATE LIMIT APPLIES PER r�i�Ta.III t+YAC nT mIRI.CknTq:; 5 2,000,000 (L POLICY PEp I LOG 6�6�OOIII TS-W�x�dIN'PgP�OPA�"CB,T .-S 2,�Q�,DOQ > OTHER* 0 AUTOMOBILE LIABILITY f OMBIINED SINGLE LIMIT $ 0 ANY AU rO tI�WHT SQIVOULFO 900fLY INJURY IP,orporsanl $ 0 AUI�S ONLY AII,I;T;� 0Q.DJLYI1gJU YiPorecurlgnll $.. > Ir7iP{p Nz,ppyyky Ip I* aIIR^IPY nMno� 0 n4BC16i"ONLY A 'rd,T;d�I�.Y' ` iP�a awwa�A�7a7wrp� .� L- 7 P UMBRELLA LIAR OCCUR "" EACHCCCURnENCE S < EXCESS LIAR CLAINIS-MADC AP gc3r3REgAYE $ DC-D RETC-NIIONS : PER WORKERS DEIAPL YERS'LSATION YIN � �- ., E.L.C•AGH ACCIDENT OThI- AMdCd rlAr flNYLRS I Pnr4P kTY STnTLIfE ER nadVPada�IP'w TC78A'nNT'pddppawXECUiIVE Ir1�.....�°^^^'""""" 4 Pk fl Ir'a fra"rOL p�ypprqq�P,r LLPd9P,,689 N 1 n — ...ACCIDENT ',$ '..Iatarrea7,wm<sryVwkhpwiy WAIVER ;. LC8 tlryc3,desclwo undo` ii.l.DISL=nsr-r-A EMPLOYEE''.5 ,e LIMITr. ICY CIT) I I� DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD lnl,Addlllonal Remarlcs Scheduln,may be attached I1 more apace le raqulrad) 0 State License#CBC-1259331 I O 0 U to MCBOCCI E SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Count BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS, 0 1100 Simonton St.,STE 2-213 Key West, FL 33040 AUTHORIZED REPRESENTATIVE Rebecca Horan ACORD 25(2016103) ©1988-2015 AC RD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Packet Pg. 514 C.23.b CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/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. U) IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) 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 fAAIC No,E,,Q: (877)234-4420 �(AIC No): (877)234-4421 4— Omaha, NE 68154 ).MAIL ADDRESS: � PRODUCER (877) 234-4420 CUSTOMER ID# INSURER(S)AFFORDING COVERAGE NAIC N O LJ INSURED INSURERA: Illinois Insurance Co. 35246 Sea Tech of the Florida Keys, Inc. INSURER a: PO Box 420529 INSURER C; Sugarloaf Key, FL 33042-0529 INSURERD: INSURER E: � CTL 1273 1517386 INSURER r: COVERAGES CERTIFICATE U CATC, NUMBER: REVISION NUMBER, tis 15 T'O CERTIF Y THAf THE POLICIES OF INSURANCE LISTED BELOW Q IAVL BEEN ISSUE0 1XITHE INSURED NAMED ABOVE FOR THE POLIICY PERIOD O fNDICATEt3'. NOrwattSTAN'DING ANY REQUIREMENT,'TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS D` CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDI PIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, � IN.5R Adot BUG' POLICYEFF POLICYEXP TYPBOF9NSUdiANCE INSR WV4 POLICY`NOMOVIt GENERAL LIABILITY ..-,....,...,.,, .. EACH CH OCC-LIRRfiN.(:F 3 r')W",MM1 RC�MI.GENERAL LIAMLITY DAMAGE_TO RENTED I OCCUR CLAIMS MADE I 1IRLMISES(Enoccurroltco) $ QL MED EXP Ony 9m mol) $ 4) PFRSQNAL A AQV.INJURY S Z V CENERALAGORCOATE $ GEN'L AGGREGATE LIMIT APPLIES PER: CralyCy, PRODUCTS-CQMPI012A00 $ 0 ra'1 ;t'IY W' w $ AUTCMOBWLL.LIABILITY COMBINED SINGLE LIMIT > 0d m AP0 AUTO I I I (rm 0 ), $ 0 ALL OWNED AUTOS J �� � (` �— BODILY INJURY(PWrwAon) $ CL SCHEDULED Au ros +*' — f7DOILY INJURY(NraeskWI) f � HIREDAUTOS "'""'"" I1RUPLH WY DAMAGE, INON-OWNED AUTOS WAIVER Wlk, 5 U) f UMBRELLA LIAR I IOCCUR EACHOCGURRFNCE $ EXCESS CIIBpC RETENTIONCLAIMS MADE I I I AGGREGATE $ toDUCTI..,......... »_...w,,,..,,.,., .,._ f f $_... Y-�1 .-_. WrL;SI'A, OTWi' WORKERS COMPENSATION AND EMPLOYERS'LIABILITY E L:.7ORY LQMI"I' , ER ANY PROPRIETOR/PARTNER/EXECUTIVE GACFIACCIDENI' f 1,000,000 0 A '.OFFICLRIMEMBEREXCLUDED7 Y NIA I 1. 4 6- 9 8 5 7 9 2 -0 1-0 6 103/01/2019 03/01/2020 :, _._ _ '(Mandatory In NH) E.L.OISEA$E-EA EMPLOYEE f 1,000,000 _ _ M If yoo,descn6o undor - -- - - --- ---.-.. --___ . SPECIAL PROVISIONS below E,L,DISEASC-POLICY LIMIT f 1,000,000 f/,ill Q UESCRIPTIONOf OPERATIONS ILOCATION 8 1 VFHICLE 3(Attach Acord 101,Addition al Rarnarke Schad ul a,11 in ore space Is required) O CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Monroe County BDCC BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED 1100 Simonton St, STE 2-213 IN ACCORDANCE WITH THE POLICY PROVISIONS, Key West, FL 33040 O AUTHORIZED REPRESENTATIVE . % L,03 971 ACORD 25 (2009/09) 01000- 009 ACORD CORPORATION. All rights reserved Packet Pg. 515 C.23.b DATE(MM)DDIYYYY) THIS CERTIFICATE OF LIABILITY INSURANCE 1/5/2019 F t MATTER INFORMATION ONLY AND CONFERS NO N THE ,ERTIF�AIE HOLDER. 0 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), AUTHORQEDREPRESENTATIVE LA OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANTAI t1hecort,1111calsholdartaotADCTABCNALIN U0 0"he'Po'ey't m�ath�N A DTGIC MA9 NSt1REI paT#nrt Or be ttNlDr d. HSUBROGATION IS WANED,aalb,Iacctttc»theterrreand condl6orBof ltie�JNCIIIiS(i,oNlTtairllrLwllGtsmayrequireanalrwSGlaalTlar6,Astaternanton this rdltl does not ootlter ritlta b the a a111$1ta Orin lieu of such elldrtloTNt 1t rRf7DLJr,F/R CC'N" GEICO GEICO NAl1E: One GEICO Boulevard Fredericksburg,VA 22412 to r,,r.e L"1 a F II Address: RICOMMEW@GEI00.00M u v a uN s�f#I,q'ab AS E rcaRr�ura�a r t#Yaw#aa N NAIC# INSURER A:GOVERNMENT EMPLOYEES INSURANCE COMPANY 22063 NN"i1RFg1 INSURER B; SEA TECP. OF 'rAN FLORLDA KEYS TNC INSURER C: 131 PALOMLNO HORSc: TRALL INSURER D: BIG PINE KEY, Pt. 33013 INSURER E; INSURER F: t V 3ViMFiCATENtN(MPIBER: REVISION NII'RI3EB O THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCELISTED 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 CERTIFICATEMAY BE 0. ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAI D L SLAWS LT IR R TYPE OF INSURANCE INS BURR POLICY NUMBER.... POLICY EFF POLICY EXp OMITS.... a� LT IN R WVD MUM"rvYN ,.W4 � COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE-TO HLPITEO $ OL MEO EXP(Any one poison) $..... 0 .... ..-... .w,.....mm. ...... PERSONAL a ADV INJURY $ ,�' cu GEN'L AGGREGATE UMIT APPLES PER: GENERAL AGGREGATE $ POUCYI (PROJECT I (LOG PRODUCrs—COMPIOP AGO ;$ $ AUTOMOBILE LIABILITY COMBINEO SINGLE UMIT > � � !I $ 500,000 A ANY AU TO X 9100237300 00 J/30/2019 1/30/2020 BODILY INJURY(Per person) $ (hVN641 SCHEDULED BODILV INJU �. •,„ ...RY(Per accident) AUTOS ON LV X AUTOS X $ � HIRED Ndw'CWN'r.o X PROPERTY DAMAGC ,_, �m AUTOS ONLY AUTOS ONLY (Per accldent) $ :EXCESS MBRELLA UAB OCCUR EACH OCCURRENCE $ LIAB CLAIMB-MADE APP yAGGREGAT LO E $ 06tBY Rd T#'AI'Pk:%N$ WORKERS'COMPENSATION N. A PI:PTA.. OTH �I AND EMPLOYERS'LIABILITY YIN . 'S R`ATL&'fC F,R ANYPROPRIETORlPARTNERIEXECUTIVE """""'�^w I E L EACH ACCIDENT _ L Y 'OFFICER!MEMBER EXCLUDED? y.Y - •`^ A""6i f (Mandelory In NH) E L DISEASE-EA EMPLOYEE $ If yes,describe under E L DISEASE-POLICY LIMIT ES Rl PTI N OF OPERATE N o $ I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) O MONROE COUNTY BOCC IS NAMED AS ADDITIONAL INSURED. PO#60396-Bcrnstein Park Fitness Court CERTIFICATE MONROE COUNTY BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 500 WHITEHEAD ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, KEY WEST, EL 33040-6581 AUTHORIZED REPRESENTATIVE (y ACORD25 2016/03 The ACORD name and logo are registered marks olfACOR 1 D O N All dglTtgr06LprVpd ( ) D Packet Pg. 516 C.23.c i Monroe County Engineering 1 100 Simonton Street,2-216 d i Key West,FL 33040 Project Management 0 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 PO Box 420529 Summerland Key, FL 33042 0 The undersigned, having carefully examined the Work and reference Drawings, Specifications, Proposal, and Addenda thereto and other Contract Documents for the construction of: CUDJOE KEY TRANSFER STATION NEW CANOPY 0 a. 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 U) 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 o 0 Documents including Addenda issued thereto. > 0 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. �s I 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 I Substantial Completion of the Project within Forty Five (45) calendar days. The undersigned shall accomplish Final Completion of the Project within Thirty (30) calendar days thereafter. �s Page S of 22 Packet Pg. 517 C.23.c `- Monroe County Engineering 1100 Simonton Street,2-216 " Key West,FL 33040 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. Thirty-four Thousand, Nine Hundred Fifteen and No/100----------------------flollars (Total Base Proposal-words) $ 34,915.00 Dollars (Total Base Proposal — numbers) I acknowledge Alternates as follows: Alternate #1 N/A Dollars IL (Alternate#1) - Dollars (Alternate#1) I acknowledge receipt of Addenda No.(s) or None a� No. 1 Dated 9/27/2019 0 CL CL t) a 0 �s i i 0 U (n Packet Pg. 518 C.23.c Monroe County Engineering 1100 Simonton Street,2-216 r h Key West,FL 33040 Project Management 0 ADDITIONAL CONTRACT PROVISIONS 1. 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 a. 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 0 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 0 Opportunity, and implementing regulations at 41C.F.R. Part 60 (Office of Federal Contract Compliance Programs, Equal Employment Opportunity, E Department of Labor). See 2 C.F.R. Part 200, Appendix II, ¶ C, agrees as follows: Packet Pg. 519 C.23.c Monroe County Engineering 1100 Simonton Street,2-216 If Key West,FL 33040 Project Management 0 (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 employment,employees and applicants for notices to be provided Y by the contracting officer setting forth the provisions of this nondiscrimination clause. (2) The CONTRACTOR will, in all solicitations or advertisements for a. 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 0 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. 0 (6) The CONTRACTOR will furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by the rules, regulations, E 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 Packet Pg. 520 C.23.c Monroe County Engineering 1100 Simonton Street,2-216 Key West,FL 33040 Project Management 0 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 a. aspect of service, the COUNTY shall have the right to terminate this agreement after five (5) days' written notification to the CONTRACTOR. U) 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. a� 3 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 E County Code. Packet Pg. 521 C.23.c 1�1 Monroe County Engineering 1100 Simonton Street,2-216 Key West,FL 33040 r.; Project Management 0 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 3 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: a. 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. Ill. 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. 0 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. 0 If an auditor employed by the County or Clerk determines that monies paid to CONTRACTOR pursuant to this Agreement were spent for purposes not cni authorized by this Agreement, or were wrongfully retained by the 0 CONTRACTOR, the CONTRACTOR shall repay the monies together with interest calculated pursuant to Sec. 55.03 of the Florida Statutes, running 0 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 Packet Pg. 522 Monroe County Engineering 1100 Simonton Street,2-216 Key West,FL 33040 Project Management 0 ---—---------------------------------------------- .... ...... .... ........ U) possession or under its control subject to the provisions of Chapter 119, U) 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 0 CONTRACTOR. CONTRACTOR shall be referred to herein also as "Contractor" for this provision only: 0 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, .2 Florida Statutes, and made or received by the County and Contractor in 0 conjunction with this contract and related to contract performance. The County shall have the right to unilaterally cancel this contract upon violation of U) 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. 0 The Contractor is encouraged to consult with its advisors about Florida Public Records Law in order to comply with this provision. 0 Pursuant to F.S. 119.0701 and the terms and conditions of this contract, the 0. Contractor is required to: (1) Keep and maintain public records that would be required by the County to perform the service. U) (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 0 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 0 U 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 E 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 Packet Pg. 523 C.23.c Monroe County Engineering d 1100 Simonton Street,2-216 Key West,FL 33040 � Project Management 0 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. 3 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 a. 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 0. 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- g3RIAN MONROECOUNTY-FL.GOV MONROE COUNTY ATTORNEY'S OFFICE 1111 12 Street SUITE 405 KEY WEST FL 33040. � a 0 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, (ni bid recaps, bidding instructions, bidders list, etc); original estimates; estimating work sheets; correspondence; change order files (including documentation covering negotiated settlements); backcharge logs and 0 supporting documentation; general ledger entries detailing cash and trade discounts earned, insurance rebates and dividends; any other supporting E 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, Packet Pg. 524 C.23.c Monroe County Engineering 'i 1100 Simonton Street,2-216 Key West,FL 33040 Project Management 0 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 3 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. a� 3 0 0 U) a 0 �s i i 0 �s (n Packet Pg. 525 C.23.c Monroe County linginccring 1100 Simonton Street,2-216 Key West,1-1. 33040 0 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. 0 Execution by the Contractor must be by a person with authority to bind the entity. 0 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 0 a. Summerland Key, FL 33042 U) Phone Number: 305-872-0888 c� E.I.N.: 65-0126213 IL Email: robins@seatech.cc l Date: 10/3/2019 Signed: t,� 0 Robin Sz ansky CL CL (Name) President (Title) U) Contrac s U itne s sign e: �W 1itnes name: Tro a.ugh psi a 10/3/2019 i MONROE COUNTY 0 �s Date: County Administrator or designee Packet Pg. 526 C.23.c V, � dr nisi Monroc County V ginccring 1 100 Simonlon S(rcct,2-216 Key West,H. 33040 0 Pro cc(Mnnagcmcnl r) r) 4tj VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS Proj a Keys Inc Respeondent Vendor Name: Sea Tech of the Floridransy r Station ��, �,il '��" "" + .°�M��"" Vendor FEIN: 65-0126213 Vendor's Authorized Representative Name and Title: Robin Szmansky, President Address: PO Box 420529, Summerland Key, FL 33042 cu City: State: Zip: 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, IL 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 U) identified above in the Section entitled"Respondent Vendor Name"is not listed on the Scrutinized Companies that Boycott Israel List. IL 1 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 y el List or engdl in a boycott of Israel. CL Scrutinized Com �ni that Boycott Israel CL y .w Certified B ( t who is authorized to sign behalf g of the a v fa wce0 ornany. Authorized Signature Print Name.Robin Szrnansky Title:President ° 0 Note: The List are available at the following Department of Management Services Site: I I1t t�//ww r. 11t1 p19"ile�d.ur-J colll t tl.lwbltml _.� f r " , nation/convictr J '�Ltr,tl yla;wlq, w tA, 11Nr 11 Id1r wt.rra,l r� tntt lt , c� t tf u Rq tgJprided GIICa tBn,VltlleltClty d V7d t Ia eptt vt lndt.r fisat a; I® I 0 Packet Pg. 527 C.23.c ^�� Monroc Counly Gnginecring u, ktku � 1100 tiinuNnlon Street,2-216 � Key West,H. 330,10 0 Project Management e) dt8 NON-COLLUSION AFFIDAVIT I, 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 0 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: Transfer Station New Canopy Sbdi and that I executed the saicrproposal with full authority to 2 do so; Z The prices in this proposal have been arrived at independently without U) 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 sJptements contained in this affidavit are true and correct and made *���,��y,,#RltNll#VI�/NAIdYs"� t�wit I !g"said project. CU .0 (Si nature o F oposer) (Date) Nmgwr ty011C= c. i '69 °7a�7 STATE OF: Florida " ..� l COUNTY OF:Monroe ",,�,4N�F.. N4 11,,,E PERSONALLY APPEARED BEFORE ME, the undersigned authority,Robin Szmansky who, after first being sworn by me, (name of individual signing) �l affixed his/her signature in the space provided above, on this day of October s NOTARY PUBLIC My commission expires: :- t3 t" '� . (SEAL) Packet Pg. 528 C.23.c 4 VRI�IYI lt�,O"I,JYN Y(r/ , �ryy� Y A � i k Monroe County ringincering /���� 1100 Simonton Street,2-216 Key West,1'I, 33040 �r Pro.icc(Management %,'Zm X,"Offf" ++ U) U) 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 (Company) i " 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 1 -No 0 0 1990 or an Count officer or employee in violation f y yo Section 3 of Ordinance No. 010-1990. For breach or violation of this provision the County 'may,, in its discretion, terminate this contract without liabilityand may aU) 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 Count officer or m loyee", a� 3 (Si n,at e) 0 Date: 1 @ 0 STATE OF: Florida COUNTY OF: Monroe t) Subscribed and sworn to (or affirmed) before me on october , 2019 (date) a 0 by Robin szmansky (name of affiant), He/She is personally known to me or has produced — as identification. (Type of identification) . .. �1 NOTARY PUBLIC iy+ ld My commission expires zZARY (SEAL)z %lyComm Evres ^% tddreh 13,2022 — ho.GG 19535E OF,. w ` 'ttrImtarywwwyww 4� Packet Pg. 529 C.23.c u�i(V rf�Nfi�i " i/ mr r � 1✓, MonrocCounty Engineering �t�w 1 100 Simonton Street,2-216 Key West,FL 33040 0 11rojLct Management + tee ..®m„, G8 DRUG-FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: 0 Sea Tech of the Florida Keys Inc (Name of Business) 0 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 2 business's policy of maintaining a drug-free workplace, any available drug o counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. U) 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 o 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. o As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. i Proposer's Signature 10/4/19 0 Date cos Packet Pg. 530 C.23.c �d Y.TIrS Monroe County Enginccring f ei 1 100 Simonton Slrect,2-216 W Key West,11, 33040 0 ^Y l Project Management U) l) 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 0 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 2 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 U) Affiliate has been placed on the convicted vendor list within the last thirty-six (36) months. r' a� (,Signature) Date ......-... � > 0 L_ 91 STATE OF: Florida --_. ------- COUNTY O orF• Monroe .... ...6�. � Subscribed and sworn to (or affirmed) before me on the day of October ° 0 2019 by Robin Szmansky (name of affiant), He/She is p on4jjy knoqn to me or has produced �I (type of identification) as identification. My Commission Expires:. Q�Lz_(l ,yxl rm M .. 4y ., NOTARY PUILI (SEAL) to . E TE bi �s Packet Pg. 531 C.23.c u N "far 4, a r vrj��dard I- Ln o = n C) m O (D W Z r1'I m y_ < v Z , O tn< m to Z G) TI 2 m m f7 n .--I GOCL O 7 Lo r n 0 Z c m c rt C n -n 0 (A U) v � Z m v m ."""" D Z (A L 3 m 0 0 (D rm m m 7� 2 � 3 m 3 3 D Op 00 m �' Gl TZ � y Z _. — a (n N w z > o �^ O CJ w m m rn m - ~ w 0 D z° -� (n N ca D Vf Vf 7 3 fD CA n G Z U) m Z O _ � > C� z o Z C Z p _ o m c r+ Qu z Q. (T'' 7U' Packet Pg. 532 C.23.c 2019 / 2020 'ONROE COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30, 2020 U) RECEIPT# 30140-23837 � Business Name; SEA TECH OF THE FLORIDA KEYS INC Owner Name: ROBIN SZMANSKY, RYON LACHAPELLE Business Location: MO CTY SUMMERLAND KEY, FL 33042 Mailing Address: QUALIFER PO BOX 420529 Business Phone: 305-872-0888 SUMMERLAND KEY, FL 33042 Business Type: CONTRACTOR(GENERAL&BUILDING CONTRACTOR) 0 Employees 10 STATE CBC1259331 _ _ Tax Amount T _ 25 00 ansfer FO OO WSub Total 25 00 Penalty wu 0 00 Prior Years 0 00 0( .. �2�5.00 r Collectwn Cost Total Paid c� . ._ _ _.. _ �r IL as U) Paid 000-18-00030713 09/04/2019 25.00 ca IL 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 3 COUNTY AND/OR MUNICIPALITY PLANNING @ AND ZONING REQUIREMENTS. I- CL CL U) ° O I MONROE COUNTY BUSINESS TAX RECEIPT P.O. Box 1129, Key West, FL 33041-1129 EXPIRES SEPTEMBER 30, 2020 RECEIPT# 30140-23837 Business Name: SEA TECH OF THE FLORIDA KEYS INC MO CTY �I Business Location: SUMMERLAND KEY, FL 33042 Owner Name: ROBIN SZMANSKY, RYON LACHAPELLE Mailing Address:QUALIFER Business Phone: 305-872-0868 U PO BOX 420529 Business Type: CONTRACTOR(GENERAL&BUILDING SUMMERLAND KEY, FL 33042 CONTRACTOR) (n Employees 10 STATE LICENSE: CBC1259331 ...__ Pear .... ..-- ...�. .... � O Tax Amount Transfer Fee Sub Totalmmm Penalty Years X ollection Cost Total Paid 0 0 25 00 0 00 25 00 0 0 0.00 25.00]„ Paid 000-18-00030713 09/04/2019 25.00 Packet Pg. 533 C.23.c SEATE-1 A�o�o CERTIFICATE OF LIABILITY INSURANCE D0112 Y9 . ..�...� 03101/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS O 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. U) IMPORTANT; If the cortifrcato holder is an ADDITIONAL INSURED, the policy(ias) 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 coftificatte f1'oes not Confer ri hts to the certificate holder in Ilau of such endorsements, PRODUCER 305.741.7373 CT Rebecca Horan Keg Anchor Insurance Agency PHONE 3Q5-741-7373 FAX 844-21i9-7923 Recca Horan (MC,No.e.q: (Air•,,No): PO BOX 420308 tltl,, O ' (8 Summerland Key,FL 33042 � Rebecca Horan .INSURER(S)AFFORDING COVERAGE NAIC Of INSURER A:Kinsale Insurance Co INSN Ef) INSURERS: - ha�the FN Ites laic Ae I olRoy1 Ot3s3e0 fall NSURER C f( FL INSURERD: _ INSURER E; INSURERF: THIS ISTO CERTIFY THAT THL POLICIES OF INSURANCE E ABOVE NUMBER: - - E LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AROVE FOR THE POLICY PERIOD 1 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTIIER DOCUMENT WITII 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, ZRLXCLUSIONStANPDCONDITIONS UCL OF SUCH POLICIES,LIMITS SHOWN POLICY MAY NUM ERVE BEEN REDUCED BY(PAID CLAIMS, INSR AOOL S06Vol POLICY EFF POq,)r•''y EIRP i LIMITS A X COMMERCIAL GENERAL LIABILITY 1000000 EACH OCCURRE , , NCE $ a� 0Cc EINIS & 100,000cLAIMs-Near X z 03(01/2019 0310112020 HA i E (Eo occurfenco) s Nf I}VXIW(Any ann r wM7r11 S excl t y dVkgf$+fNAL JS IhDv`INJuTkY 1.000,000' GEN'L AGGREGATE LIMIT APPI..ICS PI'R S 2,000,000 4) - P„fI'sd df fiQA9 AGf'�ad8a:f�FAr6„ 5 � PR - POLIC - Y LOG 2,000,000 �c ' JEC I d d A W V I Rorl,af, � a)�T awr A4;faS� I Ti-Ir-r+ AUTOMOBILE LIABILITY C;OM041,41.0 SIN13LE LIMIT � ((A Arf94c4l I- fi ANY AUTO C)ImY r.0 SG d Itguvrr BODILY INJURY(Por.paroon) 8 A01Qi ONLY AGI Wi > BQDII Y INNJURY(per eccldOnit 94da('9+GIJLY Na%C' ,t, �I NDa a�(4 apt�MAO[ y !� a CL UMURELLA HAS OCCUR ^ EACH OCCURRENCE EXCESS LIAR CLAIMS-MADC ID AGGREGATE $. DED RE'fEN fION$ U) WQRNrf6 C 0&1PVN8A afON - q�'" PGR O7N- AND EM d OYr R,a L[AH"aTY ...YIN �• STKT(I TE ER _ Arva,d Tar rl r�'IF'FI;IRIS"Aaflfad paNd n:✓.U 16Nn1• I (fC I�"4y a Y Podn0a dI va fYra 1.„4I7L'd,k'n DATE— E.L.EACH ACCIDENT CIDFMaa KM fX+C NIAWAIVER 4/ �G) desaiho unrar 1 � A .] 0 r F r P a r d'r s7 M"^ "d - S �I a� DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Addlllonal Remarks Schedule,may be attached If mono%pace la required) State License#CBC-1259331 aas I O 0 OLDER MCBOCCI (n SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Count BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. � 1100 Simonton St.,STE 2-213 Key West, FL 33040 AUTHORV-ED REPRESCNWIVE O Rebecca Horan �C ACORD 25(2016/03) ©1988-2015 AC RO CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Packet Pg. 534 DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 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 U) REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, L- IMPORTANT: If ilia certificate holder Is BI1 ADDITIONAL INSURED, the pollcy(les) must be endorsed. IF SUBROGATION IS WAIVED, subject to U) 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 endorsoment(s), 1 PRODUCER CONTAC�f t�'2 Applied Rink Services, Inc, PHONE FAX 0 10825 old Mill Rd (AIC,No,Ext); (877)2 3 4-4 4 2 0 (AIC,No): (877)2 3 4-4 4 2 1 4— Omaha, NE 68154 E-MAIL �y ADDRESS; PRODUCER (877)234-4420 CUSTOMER ID tm INSURER(S)AFFORDING COVERAGE NAIC/ 0 CJ INSURED INSURER A: Illinois Insurance Co. 35246 INSURER B: (� Sea Tech of the Florida Keys, Inc. PO Box 420529 lNsuRERc; Sugarloaf Key, FL 33042-0529 INSURER 0: tm (� CTL 1273 1517386 1 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER p THE tIF7k F)NAtCCJ A INDICATED. NOf WIT'HSTANOINGTHIS IS TO CERTIFY THAT THE I OANY REQUIREMENT.TERM OR ONDILICIES Of:INSURANCE Lss'rm ITTION OF ANY CONTRAC HAVE BEEN ISSUED OT OR OTHER DOCUMENT RESPECT TiTtl IF Ibt YL H Pf THIS WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PFRI"AW I'HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS„ - I)ISR W,�{ (("'S. LIMITSOSIHCOWN I MAY HAVE kCF' N hCf7tl�l�,�"MO BY PAID CLAIMS. 888 t"X .UuIO S AND CONDITIONS OF S(J INSR. �AI?btt1* PCILP&RFF Pot„tCYE',XP LIEL TLea L)F INSURANCE � I GENERALLIABIt.tTY Y I Afal Cl l IUIII�INI°r, $ iCOM,tMt:NCIAt.GENE,1,01,LIAM,I1L1IY I I OAMA6( it,ilBN,''�N"CNmu4 C;'I AIMS I4A1J OCCUR I Y�RIOiN3u lR�lr4l�snlpmuop $ I 0 MII:zOu•YSI�S'aM1,y11�rIlE�4rr2,1wty $ Z N R;SMOAL A AIIN,IN,9URY $ GEN'L AGGREGATE LIMIT APPLIES PER: d'tVNI-',fW�ACSC6"60A rt;' $ PRO- r�6 ",ll lVOS•(WhIPA)II M;K'J ,$ POLICY f I. Y T I LOC $ @ M,ITOMOSILE LIABILITY COMDINMCDM S.INGLE dMl7 > ArYnuTo (Fad 0 nL:6.OWNED nUT05 I 'r, �" "r"'^"' Bo01t.v IN)_uRY(PgfIwww) a ;01CUI„JI.0)AUfOS , 0001LY INJURY(Veraachl0nl) 4 HIRED AUTOS PROPERTY DAMAGE .... WAAMR WA, I YES— -L accidanl_ - - - $ d— NON-OWNED AUTOS § U) $ UMBRELLA I LIAR, OCCUR EAGHOCCURRENCE $ DEOUC'CESS LIAR L�!.nll'-,I MADE ........._.EX w.... ...I I. I_ f AGGREGATE...,... $ 1'IBLG I $ RETENTION S $ WORKERS COMPENSATION x WC STATU• OTMI-, t.�l AND EMPLOYERS'LIABILITY YIN ,. .TORY LIMITS. .ER ANY PROPRIETORIPARTNER/EXECUTIVE '� 1,000,000CJ A OrFICE-RIMEMBEREXCLUDED? Y N I ¢6 - B 8 5 7 9 2-0 1-0 6 0:3jg1„/2019�03/01/2020 r•L.EAChI ACCIDENT $ (Mandatory In NH) E.L.OISCASE-EA CMPLOYEE $ 1,000,000 If y0.dascnh0 Under -- -- - --- -- --. ._. SPECIALPROVISIONSbelow E,L•DISEASC-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach Acord 101,Addlllonal Ramarka Schadula,if more space la requlrod) tm 0 CERTIFICATE HOLDER CANCELLATION E Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1100 Simonton St, STE 2-213 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED Key West, FL 33040 IN ACCORDANCE WITH THE POLICY PROVISIONS. O m AUTHORIZED REPRESENTATIVE _r-- L0:3 9971 ACORD 25 (2009109) _ 9111988-2009 ACORD CORPORATION. All rights reserved Packet Pg. 535 C.23.c /DD/VYYY) (DATE RIM CERTIFICATE OF LIABILITY INSURANCE UATE NIMID19 THIS CERTIFICATE IS ISSUED AS A MATTER OF IN—FORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.,TH. 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), AUTHORREDREPRESENTATIVE rA OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the tarlillrstabolderIssinADDITIONAL INSURED,thepoticy(les)mustin voADDITIDNALINSUREDprowlsl or be endorsed, If SUBROGATION IS WANED,bUt7)glotto the terns and Ibndltlarsof the pot lcy,oerbrin policlesmay,require an ondorsomerlt,A statemer>!on m this carllt)rate does not corder d hIe to the oe"IficAte hDldar in lieu of such endorrearmant(tl. PRODUCER CONWT7C'r GEICO GEICO NAME: One GEICO Boulevard PEON$ ,AX Fredericksburg,VA 22412 a1;'I •I'ra LyLn 1-866-509-9444 r,r a' Emil RICOMMEPDICUX3800.00M Arrdreas: m I a SI#rsrVM a Ar ORINNG COVERAGE NAIC# INSURERA:GOVERNMENT EMPLOYEES INSURANCE COMPANY 22063 O CT #C'1a'LIEIp-1I INSURERB; SEA TECH OF TRF. NLORLDA KEYS INC INSURER C: 131 PALOMINO HORSE TRAIL INSURER D: UIG PINE; KEY, FL 330,13 INSURER E: INSURER F: C 1I RA WS CERTI T'IuATIc NUIwIBER: REM ION NUII4MOPRB THIS IS TO CERTIFYTHAT THE POUCIES 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 CERTIFICATEMAY BE ISSUED 01 NufAh"I"LITTAIN I1°iF INSUHANCS AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONSAND CONDITIONS CID OF SUCH PCX IC1.S.UMI TS SIIIMIIN MAY HAVE BEEN REDUCED BY PAI D GLAIMS INSq' AYSD"L SUBR POLICYEFE P�LICYEXP.... .. '® LiR TYPE INSURANCE IN WVD POLICY NUMBER IM r r p / UMITS U) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE IU RENTED ' r It ^v...._. ..ww a MED,EXP(Any one persun) $ PERSONAL&ADV INJURY $ _> GEN L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE '.'$ r POLICY( (PROJECT ILOG PRODUCTS-COM PLOP AGG '$ ...$... . 500,000..... AUTOMOBILE LIABILITY COMBINED SINGLE UMff A ANY AUTO X 9100231300 00 1/30/2019 1/30/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) a AUTOS ONLY IX AUTOS X $ HIRED X f;R.6 AMAG „Y DE e�PPERT AUTOS ONLYINON-OWNED AUTOS ONLY $ Per accident) $ M UMBRELLA UAB OCCUR EAC11 H 11 OCCURRENCE _. $ _... EXCESS LIAB CLAIMS-MADE IaMBY ,), AGGREGATE $ a....._ ..__ _.........w.w„. DEO np nNTrrp$ d11 "^ $ WORI(EFIT COMPENSATION ^- PER OTH AND EMPLOYERS'UABIUTY Y I N STATUTE ER �I ANY PROPRIETOR/PAR rNER/EXECUTIVE [] IN/A �""'"`""""^^^-^^�+�.,....,,„. E L EACH ACCIDENT OFFICERIMEMBEH EXCLUDED? (Mendolory In NH) 1�WAIVE:R E L DISEASE-EA EMPLOYEE $ If yes,describe under DES P1PTL N OF OPERATION o E L DISEASE-POLICY LIMIT Is GS IY)I t� DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) O MONROE COUNTY BOCC IS NAMED AS ADDITIONAL INSURED, f.3 PO#60396-Bernstein Park Fitness Court FT CATE HO gAN2jLtAW_N MONROE COUNTY BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 500 WHITEHEAD ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS, KEY WEST, EL 33040-6561 AUTHORIZED REPRESENTATIVE m 1 t RATM 14.All righttrrrasDrwotL ACORD25(2016/03) The ACORD name and logo are registered marks of ACORD Packet Pg. 536 C.23.d Monroe County Engineering 1100 Simonton Street,2-216 'Pd � Key West,FL 33040 "tka Project Management 0 ° 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 1 PO Box 420529 Summerland Key, FL 33042 0 The undersigned, having carefully examined the Work and reference Drawings, Specifications, Proposal, and Addenda thereto and other Contract Documents for the construction of: LONG KEY TRANSFER STATION NEW CANOPY 0 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 U) 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 0 Documents including Addenda issued thereto. 0 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 Forty Five (45) calendar days. The I undersigned shall accomplish Final Completion of the Project within Thirty (30) calendar days thereafter. 0 U Page 8 of 22 Packet Pg. 537 C.23.d Monroe County Engineering 1100 Simonton Street,2-216 „c Key West,FL 33040 Project Management 0 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. Twenty-seven Thousand, Seven Hundred Thirty-five and No/100-----------Dollars (Total Base Proposal-words) 27,735.00 $ Dollars (Total Base Proposal — numbers) I acknowledge Alternates as follows; 3 Alternate #1 N/A Dollars 0 (Alternate#1) a $ Dollars (Alternate#1) I acknowledge receipt of Addenda No.(s) or None a� No. 1 Dated 9/27/2019 0 t) 0 i i 0 U Packet Pg. 538 C.23.d Monroe County Engineering � 1100 Simonton Street,2-216 Key West,FL 33040 Project Management 0 ....... ADDITIONAL CONTRACT PROVISIONS ........... .......� .... .. .... ..... .. ................. ... ......... t) I. Nondlscriminatlon/E ual Em to meat 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: Packet Pg. 539 C.23.d Monroe County Engineering 1100 Simonton Street,2-216 tW Key West,FL 33040 Project Management 0 (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 f clause. (2) The CONTRACTOR will, in all solicitations or advertisements for a. 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 U 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 Packet Pg. 540 C.23.d Monroe County Engineering 1]00 Simonton Street,2-216 " Key West,FL 33040 r Project Management 0 __. 888 Secretary of Labor for purposes of investigation to ascertain compliance with U) 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 a. 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. a� 3 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 �s Claims Ordinance, located at Art. IX, Section 2-721 et al. of the Monroe County Code. E (n Packet Pg. 541 C.23.d Monroe County Engineering 1100 Simonton Street,2-216 Key West,FL 33040 t `r Project Management 0 a 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: a. For n r Co t acts of an amount if the Count determines that h y y a to 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. �s IV, PUBLIC ACCESS. E The CONTRACTOR and COUNTY shall allow and permit reasonable access to, and inspection of, all documents, papers, letters or other materials in its Packet Pg. 542 C.23.d Monroe County Engineering 1100 Simonton Street,2-216 Key West,FL 33040 ry ro t Project Management 0 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: i 0 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 a. 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: (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 �s 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 (n requirements. If the Contractor keeps and maintains public records upon Packet Pg. 543 C.23.d d w � Monroe County Engineering 1100 Simonton Street,2-216 w r Key West,FL 33040 u ' Project Management 2 _..,.. ..........r....... ... _....._.. --_._. ....... .......... ........................... U) 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. j (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 notwithstandingthe County's option and right to unilateral) Y P 9 Y 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. IL 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- U) BRIAN MONROECOUNTY-FL.GOV MONROE COUNTY ATTORNEY'S OFFIICE 1111 12 Street SUITE 405 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; i 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, Packet Pg. 544 C.23.d Monroe County Engineering i®r"! 1100 Simonton Street,2-216 Key West,FL 33040 Project Management 0 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 a. 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. a� 3 0 0 U) 0 i i 0 �s (n Packet Pg. 545 C.23.d reUtt�rm Monroe County Cnginccring 1100 Simonton Street,2-2 16 Key West,H. 33040 0 Project Management G8 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. 0 Execution by the Contractor must be by a person with authority to bind the entity. 0 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 2 0 IL Summerland Key, FL 33042 U) Phone Number: 305-872-0888 c� E.1.N.: 65-0126213 IL Email: robins@seatech.cc .._... .. w .......... 10/3/2019 m Date: Signed. > 0 L_ Robin SzJansky 91 (Name) President (Title) Contrac(g, s Witne s sign ure: ,. . Witnes name: Tro, augh Da 10/3/2019 MONROE COUNTY 0 Dater County Administrator or designee (n Packet Pg. 546 C.23.d e � �r�!3Wiui /s � Monroe County Engineering (��aaU �F� 1100 Simonton Stria t,2-216 � Key West,rl. 33040 l Projeel Management tee VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS 0 Project Descrlption(s):_Trailer Canopy Transfer Station ' Mp Respondent Vendor Name: Sea Tech of the Florida Keys Inc Vendor FEIN: 65-0126213 Vendor's Authorized Representative Name and Title: Robin Szmansky, President Y PO Box 420529. Summerland Key,, FL 33042 City: State: Phone Number 305-872-0888 Email Address: robins@seatech.cP c 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. 1 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, o 0 if the company is found to have submitted a false certification or has been placed on the > Scrutinized Com Boycott Israel List or engaged in a boycott of Israel, n1�that Certified By, � M who is authorized to sign on behalf of the a v f' n -comp ny. Authorized Signature. U) Print Name Robin Szmansky - ° Title:President Note: The List are available at the following Department of Management Services Site: 0 @alb /"wuwr lrtt ..l.�:@vll a lt, a rrl�j � ylt w .ata ,l l�u�1 A yl t t: .t�tLw q!jgt iinu Iv ltdol ill rill ufia r111 rtl t, dwd_.. tp"al)l"n1rled ddNstItPglNt lllty Q N'tllMlwttbits vendor hst � I 0 (n Packet Pg. 547 C.23.d "� . a , Munroe County Engineering �r�� 1100 Simonton Street,2-216 � a: Key West,FL 33040 2 Project Munagcment �"fWini.avr iyHOTi��7� U) NON-COLLUSION AFFIDAVIT I„Robin Szmansky of the City Big Pine Key according to law on my oath, and under penalty of perjury, depose and say that: I am President 0 of the firm of Sea Tech of the Florida Keys Inc 3 the proposer making the Proposal for the project described in the notice for calling for proposals for: evrVgMme�Transfer Station New Canopy T1( and that I executed the said proposal with full authority to .2 0 do so; 2. The prices in this proposal have been arrived at independently without U) 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 3 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 s Cements contained in this affidavit are true and correct and made a� wit, t k f said project. °`"" "'"� U) (Si nature of P oposer) (Date) Of y� �u l 'h�4 ^�bm 0b STATE OF: Florida 0 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 1 day of October s c NOTARY PUBLIC _ M commission expires: 0/C t � �� y p � 3 �,,, � .(SEAL) �s Packet Pg. 548 C.23.d 'ih 7, 41w Monroe County Nngmcering 1 100 Simonton Street,2-216 Key Weal,FI, 33040 0 i Pro cc(Management ' h�a±riomrx,, �,�P)d U) U) LOBBYING AND CONFLICT OF INTEREST CLAUSE SWORN STATEMENT UNDER ORDINANCE NO. 010-1990 MONROE COUNTY, FLORIDA i ETHICS CLAUSE 0 c� "Sea Tech of the Florida Keys Inc IN (Company) 3 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 I 0L 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 U) 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 Count o ficer or m loyee". Z (Si nt e) 0 Date: 0 CL CL STATE OF: Florida COUNTY OF:. Monroe 4T U) Subscribed and sworn to (or affirmed) before me on October , 2019 (date) by Robin Szmansky (name of affiant). He/She is personally known to me or has produced as identification. (Type of identification) i NOTARY PUBLIC XI ,,,,t tl t rtadR,�f� � 0 t0 My commission expires `q z bTAAj `i (SEAL): fdycomm tq, ll,arch 13,20� a t;o.GG 19') �1 x t!5 U V� G8 E Packet Pg. 549 C.23.d Munroe Gnmly L'ngineering VIM' 1 I00 Simonton Street.2-216 r Key West,FL 33040 2 Pro,ect Management ' I B f� tee wo 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) 0 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 2 0 business's policy of maintaining a drug-free workplace, an available dru g p Y ,9 g P Y 9 counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. U) 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). IL 4, In the statement specified in subsection (1), notifies the employees that, as a condition of working on the commodities or contractual services that 3 are under proposal, the employee will abide by the terms of the statement 0 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. ,, Proposer's Signature i 10/4/19 Date 0 �s (s Packet Pg. 550 C.23.d Monroe County Engineering 1 100 Simonton Street,2-216 � f err 4 r "i Key West,1:1. 33040 0 Project Managementwo ' U) L_ U) 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 0 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 2 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 U) Affiliate has been placed on the convicted vendor list within the last thirty-six (36) months. (Signature) Date: 0 STATE OF: Florida _._.................... as COUNTY OF: Monroe Subscribed and sworn to (or affirmed) before me on the day of October 2019 , by Robin Smansky (name of affiant), He/She Is personally known to me or has produced c (type of identification) as identification. w�c��amr i u r urr«roar« t� My Commission Expires 14 Q dC , 6 �s """ r' ARy .p NOTARY PUBLIC .,. � � c (SEAL) �s U 5:.. ,rE 01 Packet Pg. 551 C.23.d c ` � c Z c ~AP W u c W O U _ - w to � w 0 0 LLj Z D o � F- 4 z v Z Q E 0 Z Lu � Z o aj u cCL u c cm z N LL H Q fV M N On O � s Q W 0C d' ON M uLU > aJ G LL V U 0 M N �" -o f 0 c 00 U c a-' > 0 G. - o; Z U a� (uO L LU L D ao O w & Q E t 3 0 W O a M Y D o LU W U = 0 LL � O W ZO ° a`) fJ� F- O w U ~ o CO u Z ILLI n W > Z O .� 0 CC 3 O H 0 > Q ai i > W m a w o 0 w = r F- V ° u Q L a - W t ON ki �i& c Packet Pg. 552 C.23.d 2019 / 2020 MONROE COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30, 2020 U) RECEIPT# 30140-23837 Business Name: SEA TECH OF THE FLORIDA KEYS INC ROBIN SZMANSKY, RYON LACHAPELLE O Owner Name: Business Location. MO CTY Mailing Address: QUALIFER SUMMERLAND KEY, FL 33042 O PO BOX 420529 Business Phone: 305-872-0888 SUMMERLAND KEY, FL 33042 Business Type: CONTRACTOR(GENERAL&BUILDING CONTRACTOR) O Employees 10 STATE LICENSE: CBC1259331 Tax 2 Amount ransfer Fee Sub-Total Penalty Prior Years Collection Cost T .�... __ otal Paid 0 00 ......._25 00 0.00w w ... 0 00 0 00 25.00 O T as U) Paid 000-18-00030713 09/04/2019 25.00 IL 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 0 MUNICIPALITY PLANNING 1� AND ZONING REQUIREMENTS. CL CL 0 U) 0 0 O MONROE COUNTY BUSINESS TAX RECEIPT P.O. Box 1129, Key West, FL 33041-1129 0 0 EXPIRES SEPTEMBER 30, 2020 0 B MO Business Name: SEA TECH OF THE FLORIDA KEYS INC RECEIPT# 30140-2 0 MO CTY �I Business Location: SUMMERLAND KEY, FL 33042 Owner Naw"rte: ROBIN SZMANSKY, RYON LACHAPELLE Mailing Address:QUALIFER Business Phone: 305-872-0888 PO BOX 420529 Business Type: CONTRACTOR(GENERAL&BUILDING 0 SUMMERLAND KEY, FL 33042 CONTRACTOR) U Employees 10 (n STATE LICENSE: CBC1259331 .__..__ b Total Penalty Prior Years Collectlon Cost Total Paid .....0 00 _.,.Tax Amount Transfer Fee Su 0 00 25 00 0 25.00 0 00 0 00 Paid 000-18-00030713 09/04/2019 25 .00 � Packet Pg. 553 C.23.d SEATE-1 A`oRo CERTIFICATE OF LIABILITY INSURANCE DATE O f01C 019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS a 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 V) 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,s1 blact to the terms and conditions of the Policy, certain policies may require an endorsement A statement on tins certificate does net confer flillits to the certificate holder in Ileu of such apndorsernant s PROoucnc 305-74'1-737 l cT Rebecca Horan i Keay�r Anchor insurance Agency FAX 844-2 9.7 23 � Rot acc'a Horan (AtC,No,Ext): (AW N<, j PO BOX 420308 1� s 4- Summorland Key,FL 33042 Rebecca Horan INSURERS)AFFORDING COVERAGE_ NAIr_NI INSURER A:Kinsale Insurance Co INS RAD INSURERS: 0 � �e h of,0 tr Ef Kv s htG ca Ito% y h 3 all INsunERc INSURER O: rNSUR'R R E: Ell NUMBER- INSUR'axfa Y: � THIS IS TO INDICATED.CERTIFY THAT NOTWITHSTANDING POLICIES REQUIREMENT,F INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ANYTERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS O_ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TFIE'TERMS, —OF ..-.�..�......,. �A00 UON � POLICYEF'F' PEE, I: . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS Ira R EXCLUSIONSA CONDITIONS OF SUCH POLICIES. �Ytfrti TYPE OF INUraAN.GtV.. POLICY NUMBER ,�.�,�'.. � I LIMITS CD A X COMMERCIAL GENERAL LIABILITY ri AC"1i410.","a"a,hN7ItI N�drl $ 1,000,000 _S CLAIMS-MADE I X occuR X 01000816180 �0310112019 03/01/2020 rrnanAall fC,Md1'I°rtII9:TA s 100,000 I"'if,RoNltroa:",i aC`1k exaNtlalNrt:'ui ,M P(',,a 1NAN 4,APY INIpACY 1,000,000 � GEN'L AGGREGATE LIMIT APPI WS PCR I SatlrsAl6 N1AL AtarIr4r CbA1E 2,000,000 L POLICY JECr LOG iPROI)U I~A•yTMN)MI'OP A(16 .g 2,000,000 AUTOMOBILE LIABILITY 0„k fI NED SINGLE LIMIT tI A a1a u9 111. 9 0 ANY AU 10 BODILY INJURY(Perporlonl S r9WNEf,1. S„P;reaitft ,.tPM AUIR;,1E�f r)NLY aNat.7w OQpJLY IN�.UIrY(Per ecc1lignli 0 ONLY AV�'L C�tP19 Y �p�dOii ,jQAMAG1 CL t CL UMBRELLA LIAR f OGCUR g " EACHOGGt11iRENCE 3 EXCESS LIAR CLAIMS-PAADC L- f P AGGREGATE DED RE1 EN rION s V) WORKERS COMPENSATION ,1'C'I•a p• C AND rMPY r"'I F R'�a"`t.VAdTN4 N'PY YIN xt d 1 k g N h» 1 0 �4Fd P Y NCt 3lyf�pyy,,i4fRllwApafr�N IidN+XECUIIVE `ATE.—,�„—�^�^" Cuf a CN t ttr',kN�Mf97,f�C'kCr.1)tn R..i7 � � NIA C C,aAa 1tlANd`f4P"rNltaN S i�'arrUptuw�lla MT4 � II a5 decrlibB under WAIVER �� I$..$tl&d Arwl _I:A P:Mw-W CM"d;k:' T rRaF- I F CP•R (�A�6442 . .. Ff,nwrAN IL4101WN' e O � I DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Renarks Schedule,may be attached If morn apace I�required) State License#CBC-1259331 I O O U MCBOCCI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE (E Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN n y ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St.,STE 2-213 Key West, FL 33040 AUTHORIZED REPRESENTATIVE Rebecca Horan ACORD 25(2016103) Q 1900-2015 AC RO CORPORATION. All rights reserved. The ACORD naino and logo are registered marks of ACORD Packet Pg. 554 C.23.d DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 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 U) REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. %- IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION 15 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 endorsoment(s). PRODUCER CONTACT t'A Applied Riek Services, Inc, PHONE FAX 10825 Old Mill Rd (AIGNo,ext)p (877)234-4420 I(ARC,IYo): (877)234-4421 Omaha, NE 68154 t4wL 0 ADDRESS, PRObkEk (877)234-4420 CUSTOMERIDN INSURER(S)AFFORDING COVERAGE NAIC M 0 INSURED INSURERA: Illinois Insurance Co. 35246 INSURER B: Sea Tech of the Plorida Keys, Inc. PO BOX 420529 INSURER C; Sugarloaf Key, FT, 33042-D529 INSURER 0: INSURER E: 4� CTL 1273 1517386 INSURER F 2 COVERAGES CERTIFICATE NUMBER a REVISION NUMBER. fHtS IS 60 CERTIFY THAT THE HOIw1CIF5 OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSURED NAMED Arjovr FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 0 (,ERfIPICATE MAY BE ISSUED OR MAY PERTAIN,TH° INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 0 ' D e I� IGYRIaJRAet;It N PAID CI.ApfulS PN CN CI.USION A6NODttC00NDNITC CONDITIONS OFSUCHRPSOLOCpLS„ LIMITS SHOWN MAY HAVE kJEEN REDU-0 B I I PWD, EFF ( 1nof BJLP YUIN GENERAL LIABILITY C�CH-OCC�Uf?L34NCF S COhIMERCIAl.4ENl9RAL LIABILITY �' III I DAMAGE_TO RENTED $ ICLA161SMADE lOCCUR PIiEMISES(Eno=mnwl MEDEXPtooyAaovwrmnl $ > PERSONAL A ADY,INJURY S OENP;RAI,AGGRL•OATE S GEN'L AGGREGATE LIMIT APPLIES PER: O PRO- PRODUCTS•COMPIOPAW $ POLICY I I.FCT I L,OO - S 4� AUTOMOBILE LIABILITY m COMBINED SINGLE LIMIT - mm ANYAUTO ([1;a(4r,,h1!1011).. Atl„L.OWNED AUTOS ^'^^ . ,Y. CL BODILY INJUIV(PW".ion) S CL SCIIR^UV1,V�DAUrOS 4 1 UODIIY INJURY(Vit acci0m) HIREDAUTOS � """" ' PROPERTY DAMAGE W�( n.t4�— arr nccidnnl) _nctIva.t� rvudtYAUTOS $ t0 $ tD UMBRELLA LIAB OCCUR EAOIiOCCURRENCE $ -„ EXCESSLIAS CLAWS MADE AGGREGATE DEDUCTIBLE $ RETENTION S 5 CD C WC STAID• ER AND EMPLOYERS'LIABILITY x .TOtiY LlhlffS. .ER I A O WORKERS CLRIMLM f R EXCLUDED? NERIEXECUTIVE •x N f A 1 U 4 6 - 8 8 5 7 9 2- 0 1-0 6 03/Ol/2019 03/01/2020 E L EACH ACCIDENT S 11000,000 (Mondatory In NH) E.L.OISCASE•EAGMPLOYEE� 51,000,000 If yea,doscr,bn undor _.._ _ ,.,_,. ...„-• _. SPGCIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OFOPER&AVONTeLOCA' oR iVEHICLES(AII00ACord 101,AddIlGnmWR+nrrrvaarkoquhaduln,IPlnore space IsroTijrde CY 0 CERTIFICATE HOLDER CANCELLATION (J) Monroe County'BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1100 Simonton St, STE 2-213 BEFORE THE EXPIRATION DATETHEREOF,NOTICE WILLBE DELIVERED Key West, FL 33040 IN ACCORDANCE WITH THE POLICY PROVISIONS. 0 AUTHORIZED REPRESENTATIVE ' "` L03'9971 ACORD 25 (2009/09) 01988.2009 ACORD CORPORATION. All rights reserved Packet Pg. 555 DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE $/5/2019 THNS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO FICHTS UPON THE CERTIFICATE HOLDER, THIS � CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. � IMPORTA6tT:tltheoortRll;atehotderIsen ADDITIONAL INSURED,thepoltey(taB)must hevet)JDDITION INSURETIpIrovlsl lnortoeend,of Rd, RA N UBROOATION IS WANED,sR,bloGtIO the terms and condltlonSof the polloy,cortsin palls losmay require an ond'arsernerd.AstaternarRlon this cerilli ale does not corder fl', tTta tC1 fibs a MMcate holder in lieu otsuch andorsemlt e. FKA)UCEH CONTACT GEICO GEICO NPAE; One GEICO Boulevard Pro rNe PAyxyry Fredericksburg,VA 22412 dAR.I'9P txMl1-86&509 µAS Ermll e dieas: MCOMVEMOGE(OO.00M IN,,aular`tl(5r API"ORnTNG COVC06F NAIC# I INSURER A:GOVERNMENT EMPLOYEES INSURANCE COMPANY 22063 9N;tl..IHFR) INSURER B: SEA TEC9 OP TAK PLORiDA KEYS INC INSURER C- 131 PALOMINO HORSr: 'TRAIL INSURERD. BIG PINE KEY, U1, 33013 INSURER E; INSURER F: VE E. CERT IFICATE NUIMBER. R,EVTSION'NUMBER: cI THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, O NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATEMAY BE OL ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONSAND CONDITIONS CD OF SUCH POLICIES,LI MI I S SHOWN MAY HAVE BEEN REDLICED BY PAID CLAIMS, _ LT A I R... TYPE OF INSURANCE DD'L BUP LTR IN BURR POLICY EFF POLICY U� POLICY NUMBER I r rW LIMITS U) COMMERCIAL GENERAL LIABILnY EACH OCCURRENCE CLAIMS-MADE OCCUR DAMAGE TO RENTED I$ PRFMI.SFS IF "rriirr nrnl ,.,,,......m 'MEO EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POUCYI 1PROJECT ILOG PRODUCTS-COMP/OP AGG '$ AUTOMOBILE LIABILITY COMBINED SINGLE LIMO $ 500,000 A ANY AUTO X 9100237300 00 1/30/2019 1/30/2020 BODILY INJURY(Per person) $ ..-.. �00DILY INJURY(Per accidenQ �.. OWNED SCHEDULED IT..IT„AUTOS ONLY X ''...AUTOS X $ HIRED NON-OWNED PROPERTY DAMAGE "� X AUTOS ONLY AVIOS ONLY (Per accident) $ ... ........ $ UMBRELLA UAB.... OCCUR „,� ,EACH OCCURRENCE..... $.... E](CFSS LIAB CLAIMS•MADE APP By AGGREGATE $ ��� ey T ......_ DED RETENTION$ 1, WORKERS'COMPENSATION rz OTH AND EMPLOYERS' ANY PROPRIETOR/ AFTN Rf EXECUTIVE NI JUTY Y/`] N/A IN pA STATUTE ER L�r ... "'"'""""�^^ E L EACH ACCIDENT �_ I OFFICERIMEMBER EXCLUDED? ��( '--� - (MandBlory In NH) Ym W RIPTI E L DISEASE-EA EMPLOYEE $ Cy If yes, 1PTI,Odescribe under $ N QF OPERATIONS o EL DISEASE-POLICY LIMIT $$ t� I CI DESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more spate is required) MONROE COUNTY BOCC IS NAMED AS ADDITIONAL INSURED. 0 PO#60396-Bcrnstein Park Fitness Court U CERTIFICATCHO12EIR MONROE COUNTY BOCC SHOULD ANYOF THE ABOVE DESCRIBED POLICIESBE CANCELLED 13EFORE 500 WHITEHEAD ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, KEY WEST, EL 33040-6581 AUTHORIZED REPRESP3Rrnnve O 1 1 N.AI rl0llta�earVad. ACORD25(2016/03) The ACORD name and logo are registered marks of ACORD Packet Pg. 556