03/13/2020 Agreement ATTACHMENT D.6
COUNTY ADMINISTRATOR
CONTRACT SUMMARY FORM FOR CONTRACTS LESS THAN S50,000.00
Contract with: Contract#
Effective Date:
Expiration Date:
Contract Purpose/Description:
Contract is Original tunent Contract Amendment/Extension Renewal
Contract Manager:
(Name) (Ext.) (Department/Stop#)
CONTRACT COSTS
Total Dollar Value of Contract: S Current Year Portion: $
(mast be less than SSO,ON) (IF multiyear agreement then
requires DOM approval.unless the
total cumulanve amount is less than
SSfl,Elt}tl INl).
Budgeted? Yes[] No® Account Codes: 414-40003- 35 0490-IRPS6771-530460
Grant:S TBD-FEMA
County Match: S TBD -
ADDITIONAL COSTS
Estimated Ongoing Costs: $ /yr For:
Not included in dollar value above le.a.maintenance.utilities,'anitorial salaries etc.
CONTRACT REVIEW
Changes Date 9ut
to In Necdcd viewer ",Department Head qhlJ= Yes❑NoW '.--t
Risk Management 2-28-2020 Yes x❑No[:] Maria L. Slavik 2-28-202
O.M.B./Purchasing3 00V Yes[] NoZ r Lam
County Attorney 2-1-9-61-z V Yes[:)N 2 J2,I
Comments: Hurricane Tracldn
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
REQUEST FOR SERVICES
FOR
CUDJOE KEY TRANSFER STATION FENCE
REPAIRS
NON-MANDATORY! Pre-bid Job Walk for Cudjoe Key Transfer Station Fence Repairs at
740 Blimp Road, Cudjoe Key, FL 33042, on January 10, 2020, at 10:00 a.m.
BOARD OF COUNTY COMMISSIONERS
Mayor Heather Carruthers, District 3
Mayor Pro Tem Michelle Coldiron, District 2
Vacant, District 1
David Rice, District 4
Sylvia Murphy, District 5
COUNTY ADMINISTRATOR
Roman Gastesi
Clerk of the Circuit Court Dira of Project Management
Kevin Madok Cary Knight
12/10/2019
PREPARED BY:
Monroe County Project Management Department
Monroe County Project Management
1100 Simonton Stint,2.216
Key West,FL 33040
Monroe County Project Management
Date: December 10, 2019
Scope of Work Replace Hurricane IRMA damaged fences with all new,
commercial grade fences, commercial grade top and bottom
rails, posts, and wire. Three (3) strands of barbed wire
attached on top of all of the new 6'fences and gates. There
are a total of four (4) new sets of swing gates; sizes are 12'
width x 6' height Swing Gates. Also, install 185' length of Silt
Fence, and approx. 462' length X 4' height of new Chain link
catch fence with approximately Twenty-five (25) new fence
posts.
Job Name: Cudjoe Key Transfer Station Fence Repairs
Job Location: Cudjoe Key Transfer Station
740 Blimp Road
Cudjoe Key, Florida 33042
Contact: Project Management
Steven Sanders
Sanders_-Steven c monroecounty-fl.00v
(305) 295-4338
Facilities Management
Willie DeSantis
desantis-williamAmonroecounty-fl.gov
PROJECT OVERVIEW
PROJECT INTENT AND SCOPE
GENERAL REQUIREMENTS
1. Project Overview
a. A job walk is scheduled for January 10, 2020, at 10:00 A.M. at the job
location. All Quotes are due by January 27, 2020, at 3:00 P.M. via email
to sanders-steven@monroecounty-fl.gov or via hand delivery at 1100
Simonton Street, Room 2-216, Key West, Florida 33040. All Quotes must
state they will be good for one hundred twenty (120) calendar days from
submittal due date.
2. Project Intent and Scope
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a. Contractor shall supply all of the needed materials and hardware to
complete the project and properly dispose of debris.
b. Replace new at the front entrance, two (2) new swing gates 12'
width X 6' height and approximately 75' length X 6' height 9 gauge
galvanized chain link fence poles, with new top and bottom rails all
to be commercial grade materials.
c. Replace new at the second set of entrance gates, two (2) new
swing gates 12' width X 6' height and approximately 105' length X
6' height of 9 gauge galvanized chain link fence and poles, with
new top and bottom rails all to be commercial grade materials.
d. Replace 4' Catch fence, from Scale to light pole approximately 150'
length X 4' height and approximately ten (10) new fence poles.
e. Replace 4' Catch fence, in back behind the mulching area
approximately 185' length X 4' height with the new silt fence
attached to new fence, and approximately five (5) new fence poles.
f. Replace 4' Catch fence, approximately Northwest of the tipping
building approximately 130' length X 4' height and approximately
ten (10) new fence poles.
3. Summary of General Requirements
a. Contractor is required to provide protection for all existing surfaces. To
include, but not limited to:
i. Scales
ii. Vehicles and Personal Property
iii. Trees and Landscape
iv. Asphalt Road
b. The Contractor shall ensure that all non-exempt employees for this effort
are compensated in accordance with all State and Local Laws.
c. Provide a dumpster, containment bin, or similar device for the collection
and containment of construction generated debris.
d. Load, haul, and properly dispose of all construction debris.
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e. Provide and maintain appropriate (OSHA required) construction warning
signs and barriers.
f. Furnish all required work site safety equipment.
g. Furnish and maintain on-site material safety data sheets ("MSDS") for all
materials used in the construction.
h. Construction work times shall be limited to: 8:00 A.M_ to 5:00 P.M.
Monday-Friday.
L All materials shall be approved by submittal prior to commencement of
work.
j. Contractor shall provide a lump sum price by January 27, 2020, at 3:00
P.M. via email or hand delivery as noted herein.
k. Contractor needs to be aware of weather and location and plan
accordingly.
I. Contractor needs to be aware of the facility, its residents, and staff with
unusual schedules and plan accordingly.
m. Contractor shall provide a safety lift plan for all cranethoist work.
n. Contractor to provide schedule for all phases of the project-
o. Contractor to provide one 3-ring Binder with all original device
specifications, warranties, maintenance schedules, shop drawings,
permits, repair and maintenance contacts, and any other information
necessary for the proper function and maintenance of the equipment and
one (1) digital copy in PDF format on CDIDVD.
p. Contractor to coordinate all activities with concurrent site work being
performed.
q. By signing this agreement, the Undersigned has read and accepts the
terms and conditions set forth by the Monroe County General
Requirements for Construction, found at the following link on the Monroe
County web page:
htto:llfl-monroecounty.civicalus.com/Bids.aspx?CatlD=7 0
r. Insurance Requirements:
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Monroe County Project Management
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Workers' Compensation Statutory Limits
Employers' Liability $100,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease,
policy limits
$100,000 Bodily Injury by Disease
each employee
General Liability $200,000 per Person
$300,000 per Occurrence
$200,000 Property Damage
or
$300,000 Combined Single Limit
Business Vehicle $200,000 per Person
$300,000 per Occurrence
$200,000 Property Damage
or
$300,000 Combined Single Limit
Builders Risk Not-required
Construction Bond Not-required
The Monroe County Board of County Commissioners shall be named as
Additional Insured on General Liability and Vehicle policies.
s. The Contractor shall be required to secure and pay for all permits required
to perform the work.
t. The Contractor is required to have all current licenses necessary to
perform the work.
u. Indemnification, Hold Harmless and Defense. Notwithstanding any
minimum insurance requirements prescribed elsewhere in this agreement,
Contractor shall defend, indemnify and hold the County and the County's
elected and appointed officers and employees harmless from and against
(i) any claims, actions or causes of action, (ii) any litigation, administrative
proceedings, appellate proceedings, or other proceedings relating to any
type of injury (including death), loss, damage, fine, penalty or business
interruption, and (iii) any costs or expenses that may be asserted against,
initiated with respect to, or sustained by, any indemnified party by reason
of, or in connection with, (A) any activity of Contractor or any of its
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employees, agents, contractors or other invitees during the term of this
Agreement, (B) the negligence or recklessness, intentional wrongful
misconduct, errors or other wrongful act or omission of Contractor or any
of its employees, agents, sub-contractors or other invitees, or (C)
Contractor's default in respect of any of the obligations that it undertakes
under the terms of this Agreement, except to the extent the claims,
actions, causes of action, litigation, proceedings, costs or expenses arise
from the intentional or sole negligent acts or omissions of the County or
any of its employees, agents, contractors or invitees (other than
Contractor). The monetary limitation of liability under this contract shall be
not less than $1 million per occurrence pursuant to Section 725.06, Florida
Statutes. Insofar as the claims, actions, causes of action, litigation,
proceedings, costs or expenses relate to events or circumstances that
occur during the term of this Agreement, this section will survive the
expiration of the term of this Agreement or any earlier termination of this
Agreement.
In the event that the completion of the project (to include the work of
others) is delayed or suspended as a result of the Contractor's failure to
purchase or maintain the required insurance, the Contractor shall
indemnify the County from any and all increased expenses resulting from
such delay. Should any claims be asserted against the County by virtue of
any deficiency or ambiguity in the plans and specifications provided by the
Contractor, the Contractor agrees and warrants that the Contractor shall
hold the County harmless and shall indemnify it from all losses occurring
thereby and shall further defend any claim or action on the County's
behalf.
The first ten dollars ($10.00) of remuneration paid to the Contractor is for
the indemnification provided for the above.
The extent of liability is in no way limited to, reduced, or lessened by the
insurance requirements contained elsewhere within this Agreement.
FDEAA Indemnification
To the fullest extent permitted by law, the Contractor shall indemnify and
hold harmless the Agency, the State of Florida, Department of Emergency
Management, and its officers and employees, from liabilities, damages,
losses and costs, including, but not limited to, reasonable attorney's fees,
to the extent caused by the negligence, recklessness or intentional
wrongful misconduct of the Contractor and persons employed or utilized
by the Contractor in the performance of this Contract.
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This indemnification shall survive the termination of this Contract. Nothing
contained in this paragraph is intended to nor shall it constitute a waiver of
the State of Florida and the (County) Agency's sovereign immunity.
v. NON-COLLUSION. By signing this proposal, the undersigned swears,
according to law on his/her oath, and under penalty of perjury, that their
firm executes this proposal with prices arrived at independently without
collusion, consultation, communication, or agreement for the purpose of
restricting competition, as to any matter relating to such prices with any
other bidder or with any competitor. 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. 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. The statements contained in this paragraph are true and
correct, and made with the full knowledge that Monroe County relies upon
the truth of the statements contained in this paragraph in awarding
contracts for this project.
w. ETHICS CLAUSE. By signing this proposal, the undersigned warrants that
he/sheet has not employed, retained or otherwise had act on his/herfits
behalf any former County officer or employee in violation of Section 2 of
Ordinance No. 010-1990 or any County officer or employee in violation of
Section 3 of Ordinance No. 010-1990. For breach or violation of this
provision the County may, in its discretion, terminate this Agreement
without liability and may also, in its discretion, deduct from the Agreement
or purchase price, or otherwise recover, the full amount of any fee,
commission, percentage, gift, or consideration paid to the former County
officer or employee.
x. DRUG-FREE WORKPLACE. By signing this proposal, the undersigned
certifies that the Contractor complies fully with, and in accordance with
Florida Statute, Section 287.087, the requirements as follows:
i. They will publish a statement notifying employees that the unlawful
manufacture, distribution, dispensing, possession, or use of a
controlled substance is prohibited in the workplace and specify the
actions that will be taken against employees for violations of such
prohibition.
ii. Inform employees about the dangers of drug abuse in the
workplace, the business's policy of maintaining a drug-free
workplace, any available drug counseling, rehabilitation, and
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employee assistance programs, and the penalties that may be
imposed upon employees for drug abuse violations.
iii. Give each employee engaged in providing the commodities or
contractual services that are under bid a copy of the statement
specified in subsection (i).
iv. In the statement specified in subsection (i), notify the employees
that, as a condition of working on the commodities or contractual
services that are under bid, 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.
V. Impose 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, for any employee who is so
convicted.
vi. Make a good faith effort to continue to maintain a drug-free
workplace through implementation of this section.
ADDITIONAL CONTRACT PROVISIONS
I. Nondiscriminabon/Equal Employment Opportunity.
CONTRACTOR and COUNTY agree that there will be no discrimination
against any person, and it is expressly understood that upon a determination
by a court of competent jurisdiction that discrimination has occurred, this
Agreement automatically terminates without any further action on the part of
any party, effective the date of the court order. CONTRACTOR or COUNTY
agrees to comply with all Federal and Florida statutes, and all local
ordinances, as applicable, relating to nondiscrimination. These include but are
not limited to: 1) Title VII of the Civil Rights Act of 1964 (PL 88-352) which
prohibits discrimination on the basis of race, color or national origin; 2) Title IX
of the Education Amendment of 1972, as amended (20 USC ss. 1681-1683,
and 1685-1686), which prohibits discrimination on the basis of sex; 3) Section
504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which
prohibits discrimination on the basis of handicaps; 4) The Age Discrimination
Act of 1975, as amended (42 USC ss. 6101-6107) which prohibits
discrimination on the basis of age; 5) The Drug Abuse Office and Treatment
Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the
basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism
Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), as
amended, relating to nondiscrimination on the basis of alcohol abuse or
alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42
USC ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of
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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 ll, if C, agrees as
follows:
(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
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have access to such information, unless such disclosure is in response to a
formal complaint or charge„ in furtherance of an investigation, proceeding,
hearing, or action, including an investigation conducted by the employer, or is
consistent with the CONTRACTOR's legal duty to furnish information.
(4) The CONTRACTOR will send to each labor union or representative of
workers with which it has a collective bargaining agreement or other contract
or understanding, a notice to be provided by the agency contracting officer,
advising the labor union or workers' representative of the contractor's
commitments under section 202 of Executive Order 11246 of September 24,
1965, and shall post copies of the notice in conspicuous places available to
employees and applicants for employment.
(5) The CONTRACTOR will comply with all provisions of Executive Order
11246 of September 24, 1965, and of the rules, regulations, and relevant
orders of the Secretary of Labor.
(6) The CONTRACTOR will furnish all information and reports required by
Executive Order 11246 of September 24, 1965, and by the rules, regulations,
and orders of the Secretary of Labor, or pursuant thereto, and will permit
access to his books, records, and accounts by the contracting agency and the
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.
(8) The CONTRACTOR will include the portion of the sentence
immediately preceding paragraph (1) and the provisions of paragraphs (1)
through (7) in every subcontract or purchase order unless exempted by rules,
regulations, or orders of the Secretary of Labor issued pursuant to section
204 of Executive Order 11246 of September 24, 1965, so that such provisions
will be binding upon each subcontractor or vendor. The CONTRACTOR will
take such action with respect to any subcontract or purchase order as the
administering agency may direct as a means of enforcing such provisions,
including sanctions for non-compliance; provided, however, that in the event a
contractor becomes involved in, or is threatened with, litigation with a
subcontractor or vendor as a result of such direction by the administering
agency the contractor may request the United States to enter into such
litigation to protect the interests of the United States.
II. Termination.
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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) calendar days written notification to the
CONTRACTOR,
b. Either of the parties hereto may cancel this Agreement without cause by
giving the other party sixty (60) days' written notice of its intention to do
so.
c. Temnination for Cause and Remedies: In the event of breach of any
contract terms, the COUNTY retains the right to terminate this Agreement.
The COUNTY may also terminate this Agreement for cause with
CONTRACTOR should CONTRACTOR fail to perform the covenants
herein contained at the time and in the manner herein provided. In the
event of such termination, prior to termination, the COUNTY shall provide
CONTRACTOR with five (5) calendar days' notice and provide the
CONTRACTOR with an opportunity to cure the breach that has occurred.
If the breach is not cured, the Agreement will be terminated for cause. If
the COUNTY terminates this Agreement with the CONTRACTOR,
COUNTY shall pay CONTRACTOR the sum due the CONTRACTOR
under this agreement prior to termination, unless the cost of completion to
the COUNTY exceeds the funds remaining in the contract; however, the
COUNTY reserves the right to assert and seek an offset for damages
caused by the breach. The maximum amount due to CONTRACTOR
shall not in any event exceed the spending cap in this Agreement. In
addition, the COUNTY reserves all rights available to recoup monies paid
under this Agreement, including the right to sue for breach of contract and
including the right to pursue a claim for violation of the COUNTY's False
Claims Ordinance, located at Art. IX, Section 2-721 et al. of the Monroe
County Code.
d. Termination for Convenience: The COUNTY may terminate this
Agreement for convenience, at any time, upon seven (7) calendar 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. 1X,
Section 2-721 et al. of the Monroe County Code.
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e. Scrutinized Companies:
For Contracts of any amount, if the County determines that the
Contractor/Consultant has submitted a false certification under Section
287.135(5), Florida Statutes or has been placed on the Scrutinized
Companies that Boycott Israel List, or is engaged in a boycott of Israel, the
County shall have the option of (1) terminating the Agreement after it has
given the Contractor/Consultant written notice and an opportunity to
demonstrate the agency's determination of false certification was in error
pursuant to Section 287.135(5)(a), Florida Statutes, or (2) maintaining the
Agreement if the conditions of Section 287.135(4), Florida Statutes, are
met.
III. MAINTENANCE OF RECORDS.
CONTRACTOR shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally
accepted accounting principles consistently applied. Records shall be
retained for a period of ten (10) years from the termination of this Agreement
or for a period of five (5) years from the submission of the final expenditure
report as per 2 CFR §200.333, whichever is greater. Each party to this
Agreement or its authorized representatives shall have reasonable and timely
access to such records of each other party to this Agreement for public
records and audit purposes during the term of the Agreement and for ten (10)
years following the termination of this Agreement. If an auditor employed by
the County or Clerk determines that monies paid to CONTRACTOR pursuant
to this Agreement were spent for purposes not authorized by this Agreement,
or were wrongfully retained by the CONTRACTOR, the CONTRACTOR shall
repay the monies together with interest calculated pursuant to Sec. 55.03 of
the Florida Statutes, running from the date the monies were paid by the
COUNTY.
IV. PUBLIC ACCESS.
The CONTRACTOR and COUNTY shall allow and permit reasonable access
to, and inspection of, all documents, papers, letters, or other materials in its
possession or under its control subject to the provisions of Chapter 119,
Florida Statutes, and made or received by the CONTRACTOR and COUNTY
in connection with this Agreement; and the COUNTY shall have the right to
unilaterally cancel this Agreement upon violation of this provision by
CONTRACTOR. CONTRACTOR shall be referred to herein also as
"Contractor"for this provision only:
Public Records Compliance. Contractor must comply with Florida public
records laws, including but not limited to Chapter 119, Florida Statutes and
Section 24 of article I of the Constitution of Florida. The County and
Contractor shall allow and permit reasonable access to, and inspection of, all
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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 Fla. Stat., Sec. 119.0701 and the terms and conditions of this
contract, the Contractor is required to:
(1) Keep and maintain public records that would be required by the County
to perform the service.
(2) Upon receipt from the County's custodian of records, provide the County
with a copy of the requested records or allow the records to be inspected or
copied within a reasonable time at a cost that does not exceed the cost
provided in this chapter or as otherwise provided by law.
(3) Ensure that public records that are exempt or confidential and exempt
from public records disclosure requirements are not disclosed except as
authorized by law for the duration of the contract term and following
completion of the contract if the contractor does not transfer the records to the
County.
(4) Upon completion of the contract, transfer, at no cost, to the County all
public records in possession of the Contractor or keep and maintain public
records that would be required by the County to perform the service. If the
Contractor transfers all public records to the County upon completion of the
contract, the Contractor shall destroy any duplicate public records that are
exempt or confidential and exempt from public records disclosure
requirements. If the Contractor keeps and maintains public records upon
completion of the contract, the Contractor shall meet all applicable
requirements for retaining public records. All records stored electronically
must be provided to the County, upon request from the County's custodian of
records, in a format that is compatible with the information technology
systems of the County.
(5) A request to inspect or copy public records relating to a County contract
must be made directly to the County, but if the County does not possess the
requested records, the County shall immediately notify the Contractor of the
request, and the Contractor must provide the records to the County or allow
the records to be inspected or copied within a reasonable time.
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If the Contractor does not comply with the County's request for records, the
County shall enforce the public records contract provisions in accordance with
the contract, notwithstanding the County's option and right to unilaterally
cancel this contract upon violation of this provision by the Contractor. A
Contractor who fails to provide the public records to the County or pursuant to
a valid public records request within a reasonable time may be subject to
penalties under Section 119.10, Florida Statutes.
The Contractor shall not transfer custody, release, alter, destroy or otherwise
dispose of any public records unless or otherwise provided in this provision or
as otherwise provided by law.
IF THE CONTRACTOR HAS _QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE
CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO
THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS,
BRIAN BRADLEY AT PHONE# 306-292-3470 BRADLEY-
BRIAN(&MONROECOUNTY-FL.GOV MONROE COUNTY ATTORNEY'S
OFFICE, 111112 TH Street, SUITE 408, KEY WEST, FL 33040.
V. Right to Audit
Availability of Records. The records of the parties to this Agreement relating
to the Project, which shall include but not be limited to accounting records
(hard copy, as well as computer readable data if it can be made available;
subcontract files (including proposals of successful and unsuccessful bidders,
bid recaps, bidding instructions, bidders list, etc.); original estimates;
estimating work sheets; correspondence; change order files (including
documentation covering negotiated settlements); backcharge logs and
supporting documentation; general ledger entries detailing cash and trade
discounts earned, insurance rebates and dividends; any other supporting
evidence deemed necessary by Owner to substantiate charges related to this
agreement, and all other agreements, sources of information and matters that
may in Owner's reasonable judgment have any bearing on or pertain to any
matters, rights, duties or obligations under or covered by any contract
document (all foregoing hereinafter referred to as "Records") shall be open to
inspection and subject to audit and/or reproduction by Owner's representative
and/or agents of Owner. Owner may also conduct verifications such as, but
not limited to, counting employees at the job site, witnessing the distribution of
payroll, verifying payroll computations, overhead computations, observing
vendor and supplier payments, miscellaneous allocations, special charges,
verifying information and amounts through interviews and written
confirmations with employees, Subcontractors, suppliers, and contractor's
representatives. All records shall be kept for ten (10) years after Final
Completion.
Page 14 of 46
Monroe County Projcct Management
1100 Simonton Street,2-216
Kcy West.FL 33644
FEDERAL REQUIRED CONTRACT PROVISIONS
The CONTRACTOR and its subcontractors must follow the provisions, as
applicable, as set forth in 2 C.F.R. §200.326 Contract Provisions and 2 C.F.R.,
Appendix II to Part 200, as amended, including but not limited to:
I. Clean Air Act 42 U.S.C. 7401-7671 and the Federal Water Pollution
Control Act 33 U.S.C. 1251-1387 as amended. Contractor agrees to
comply with all applicable standards, orders or regulations issued pursuant to
the Clean Air Act (42 U.S.C. §§7401-7671q) and the Federal Water Pollution
Control Act as amended (33 U.S.C. §§1251-1387) and will report violations to
FEMA and the Regional Office of the Environmental Protection Agency
(EPA). The Clean Air Act (42 U.S.C. §§7401-7671q.) and the Federal Water
Pollution Control Act (33 U.S.C. §§1251-1387), as amended, applies to
Contracts and subgrants of amounts in excess of$150,000.
II. Davis-Bacon Act as amended 40 U.S.C. 3141-3148 . When required by
Federal program legislation, which includes emergency Management
Preparedness Grant Program, Homeland Security Grant Program, Nonprofit
Security Grant Program, Tribal Homeland Security Grant program, Port
Security Grant Program and Transit Security Grant Program, all prime
construction contracts in excess of $2,000 awarded by non-Federal entities
must comply with the Davis-Bacon Act (40 U.S.C. §§3141-3144, and §§3146-
3148) as supplemented by Department of Labor regulations (29 CFR Part 5,
"Labor Standards Provisions Applicable to Contracts Covering Federally
Financed and Assisted Construction"). In accordance with the statute,
contractors must be required to pay wages to laborers and mechanics at a
rate not less than the prevailing wages specified in a wage determination
made by the Secretary of Labor. In addition, contractors must be required to
pay wages not less than once a week. If applicable, the COUNTY must place
a copy of the current prevailing wage determination issued by the Department
of Labor in each solicitation (attached hereto as Exhibit "A" and made a part
hereof). The decision to award a contract or subcontract must be conditioned
upon the acceptance of the wage determination. The COUNTY must report all
suspected or reported violations to the Federal awarding agency. When
required by Federal program legislation, which includes emergency
Management Preparedness Grant Program, Homeland Security Grant
Program, Nonprofit Security Grant Program, Tribal Homeland Security Grant
Program, Port Security Grant Program and Transit Security Grant Program (it
does not apply to other FEMA grant and cooperative agreement programs,
including the Public Assistance Program), the contractors must also comply
with the Copeland "Anti-Kickback" Act (40 U.S.C. §3145), as supplemented
by Department of Labor regulations (29 CFR Part 3, "Contractors and
Page 15 of 46
u
ASM
Monroe County Project Management
1100 Simonton Stmel,2-216
Key West,FL 33040
Subcontractors on Public Building or Public Work Financed in Whole or in
Part by Loans or Grants from the United States"). As required by the Act,
each contractor or subrecipient is prohibited from inducing, by any means,
any person employed in the construction, completion, or repair of public work,
to give up any part of the compensation to which he or she is otherwise
entitled. The COUNTY must report all suspected or reported violations to the
Federal awarding agency.
a. The Contractor shall comply with 18 U.S.C. § 874, 40 U.S.C. § 3145, and
the requirements of 29 C.F.R. pt. 3 as may be applicable, which are
incorporated by reference into this contract.
b. Subcontracts. The contractor or subcontractor shall insert in any
subcontracts the clause above and such other clauses as FEMA may by
appropriate instructions require, and also a clause requiring the
subcontractors to include these clauses in any lower tier subcontracts.
The prime contractor shall be responsible for the compliance by any
subcontractor or lower tier subcontractor with all of these contract clauses.
c. Breach. A breach of the contract clauses above may be grounds for
termination of the contract, and for debarment as a contractor and
subcontractor as provided in 29 C.F.R. § 5.12.
III. Contract Work Hours and Safety Standards Act (40 U.S.C. §§370,1 3708).
Where applicable, which includes all FEMA grant and cooperative agreement
programs, all contracts awarded by the COUNTY in excess of $100,000 that
involve the employment of mechanics or laborers must comply with 40 U.S.C.
§§3702 and 3704, as supplemented by Department of Labor regulations (29
CFR Part 5). Under 40 U.S.C. §3702 of the Act, each contractor must
compute the wages of every mechanic and laborer on the basis of a standard
work week of forty (40) hours. Work in excess of the standard work week is
permissible provided that the worker is compensated at a rate of not less than
one and a half times the basic rate of pay for all hours worked in excess of
forty (40) hours in the work week. The requirements of 40 U.S.C. §3704 are
applicable to construction work and provide that no laborer or mechanic must
be required to work in surroundings or under working conditions which are
unsanitary, hazardous, or dangerous. These requirements do not apply to the
purchases of supplies or materials or articles ordinarily available on the open
market, or contracts for transportation or transmission of intelligence.
IV. Rights to Inventions_Made Under a Contract or Agreement. If the Federal
award meets the definition of "funding agreement" under 37 CFR §401.2 (a)
and the recipient or subrecipient wishes to enter into a contract with a small
business firm or nonprofit organization regarding the substitution of parties,
assignment or performance of experimental, developmental, or research work
under that "funding agreement," the recipient or subrecipient must comply
with the requirements of 37 CFR Part 401, "Rights to Inventions Made by
Page 16 of 46
Monroe County Project Management
all 1100 Simonton Street,2-216
Key West,FL 33040
Nonprofit Organizations and Small Business Firms Under Government
Grants, Contracts and Cooperative Agreements," and any implementing
regulations issued by the awarding agency.
V. Debarment and Suspension (Executive Orders 12549 and 12689). A contract
award (see 2 CFR 180.220) must not be made to parties listed on the
government wide exclusions in the System for Award Management (SAM), in
accordance with the OMB guidelines at 2 CFR 180 that implement Executive
Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989
Comp., p. 235), "Debarment and Suspension." SAM Exclusions contains the
names of parties debarred, suspended, or otherwise excluded by agencies,
as well as parties declared ineligible under statutory or regulatory authority
other than Executive Order 12549_
VI. Byrd Anti-Lobbying Amendment (31 U.S.C. $1352). Contractors that apply or
bid for an award exceeding $100,000 must file the required certification. Each
tier certifies to the tier above that it will not and has not used Federal
appropriated funds to pay any person or organization for influencing or
attempting to influence an officer or employee of any agency, a member of
Congress, officer or employee of Congress, or an employee of a member of
Congress in connection with obtaining any Federal contract, grant or any
other award covered by 31 U.S.C. §1352. Each tier must also disclose any
lobbying with non-Federal funds that takes place in connection with obtaining
any Federal award. Such disclosures are forwarded from tier to tier up to the
non-Federal award.
VI1. Coml2liance with Procurement of Recovered Materials as set forth in 2 CFR
200.322. CONTRACTOR must comply with section 6002 of the Solid Waste
Disposal Act, as amended by the Resource Conservation and Recovery Act.
The requirements of Section 6002 include procuring only items designed in
guidelines of the Environmental Protection Agency (EPA at 40 CFR part 247
that contain the highest percentage of recovered materials practicable,
consistent with maintaining a satisfactory level of competition, where the
purchase price of the item exceeds $10,000 or the value of the quantity
acquired during the preceding fiscal year exceeded $10,000; procuring solid
waste management services in a manner that maximizes energy and
resource recovery; and establishing an affirmative procurement program for
procurement of recovered materials identified in the EPA guidelines. (1) In the
performance of this contract, the Contractor shall make maximum use of
products containing recovered materials that are EPA-designated items
unless the product cannot be acquired; (i) Competitively within a timeframe
providing for compliance with the contract performance schedule; (ii) Meeting
contract performance requirements; or (iii) At a reasonable price. (2)
Information about this requirement, along with the list of EPA-designated
Page 17 of 46
Manme County Projcct Managemcnt
1100 Simonton Street,2-216
Key WesL FL 33040
items, is available at EPA's Comprehensive Procurement Guidelines web
site, htt ://www.e2g.00y/smm/comprehensive-trocurement- uideline-c
program.
OTHER FEDERAL AND FEMA REQUIREMENTS
1. Americans with Disabilities Act of 1990 (ADA). as amended. The
CONTRACTOR will comply with all the requirements as imposed by the ADA,
the regulations of the Federal government issued thereunder, and the
assurance by the CONTRACTOR pursuant thereto.
II. Disadvantaged Business Enterprise (DBE) Policy and Obligation. It is the
policy of the COUNTY that DBE's, as defined in 49 C.F.R. Part 26, as
amended, shall have the opportunity to participate in the performance of
contracts financed in whole or in part with COUNTY funds under this
Agreement. The DBE requirements of applicable federal and state laws and
regulations apply to this Agreement. The COUNTY and its CONTRACTOR
agree to ensure that DBE's have the opportunity to participate in the
performance of this Agreement_ In this regard, all recipients and contractors
shall take all necessary and reasonable steps in accordance with 2 C.F.R.
§200.321 (as set forth below), applicable federal and state laws and
regulations to ensure that the DBE's have the opportunity to compete for and
perform contracts. The COUNTY and the CONTRACTOR and
subcontractors small not discriminate on the basis of race, color, national
origin or sex in the award and performance of contracts, entered pursuant to
this Agreement-
2 C.F.R. §200.321 - CONTRACTING WITH SMALL AND MINORITY
BUSINESSES WOMEN'S BUSINESS ENTERPRISES. AND LABOR
SURPLUS AREA FIRMS:
a. If the CONTRACTOR, with the funds authorized by this Agreement, seeks
to subcontract goods or services, then, in accordance with 2 C.F.R.
§200.321, the CONTRACTOR shall take the following affirmative steps to
assure that minority businesses, women's business enterprises, and labor
surplus area firms are used whenever possible.
b. Affirmative steps must include:
i. Placing qualified small and minority businesses and women's
business enterprises on solicitation lists;
ii. Assuring that small and minority businesses, and women's
business enterprises are solicited whenever they are potential
sources;
iii. Dividing total requirements, when economically feasible into
smaller tasks or quantities to permit maximum participation by small
and minority businesses, and women's business enterprises;
Page 18 of 46
4.
Monroe County Project Management
1100 Simonton Street,2-216
Key WesL FL 33040
iv. Establishing delivery schedules, where the requirement permits,
which encourage participation by small and minority businesses,
and women's business enterprises;
v. Using the services and assistance, as appropriate, of such
organizations as the Small Business Administration and the
Minority Business Development Agency of the Department of
Commerce.
vi. Requiring the Prime contractor, if subcontractor are to be let, to
take the affirmative steps listed in paragraph (i) through vi) of this
section.
III. The Contractor shall utilize the U.S. Department of Homeland Security's E-
Verify system to verify the employment eligibility of all new employees hired
by the Contractor during the term of the Contract and shall expressly require
any subcontractors performing work or providing services pursuant to the
Contract to likewise utilize the U.S. Department of Homeland Security's E-
Verify system to verify the employment eligibility of all new employees hired
by the subcontractor during the Contract term.
IV. Access to Records. Contractor/Consultant and their successors, transferees,
assignees, and subcontractors acknowledge and agree to comply with
applicable provisions governing the Department of Homeland Security (DHS)
and the Federal Emergency Management Agency's (FEMA) access to
records, accounts, documents, information, facilities, and staff.
Contractors/Consultants must: (1) Cooperate with any compliance review or
complaint investigation conducted by DHS; (2) Give DHS access to and the
right to examine and copy records, accounts, and other documents and
sources of information related to the grant and permit access to facilities,
personnel, and other individuals and information as may be necessary, as
required by DHS regulations and other applicable laws or program guidance;
and (3) Submit timely, complete, and accurate reports to the appropriate DHS
officials and maintain appropriate backup documentation to support the
reports.
V. DHS Seal, Logo, and Flags. Contractor shall not use the Department of
Homeland Security seal(s), logos, crests, or reproduction of flags or likeness
of DHS agency officials without specific FEMA approval.
VI. Changes to Contract. The Contractor understands and agrees that any cost
resulting from a change or modification, change order, or constructive change
of the agreement must be within the scope of any Federal grant or
cooperative agreement that may fund this Project and be reasonable for the
completion of the Project. Any contract change or modification, change order
Page 19 of 46
Monroe County Project Management
1100 Simonton Street.2-216
Kcy West,FL 33040
or constructive change must be approved in writing by both the County and
Contractor.
Vil. The Contractor is bound by the terms and conditions of the Federally-Funded
Subaward and Grant Agreement between County and the Florida Division of
Emergency Management (Division) found at the following link on the Monroe
County web page: hftp://fl-rnonto!gcQunty.civicr)lus.com/Bids.asDx?CatlD=l 8.
Vill. The Contractor shall hold the Division and County harmless against all claims
of whatever nature arising out of the Contractor's performance of work under
this Agreement, to the extent allowed and required by law.
Page 20 of 46
Monroe County Project Management
1100 Simonton Street,2.216
Key West,FL 33040
PROPOSAL TO: Monroe County Project Management
1100 Simonton St., Room 2-216
Key West, FL 33040
PROPOSAL FROM: Qpma7and Sop Pend, Corp
Mjami, I✓lQdda 33172
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 FENCE REPAIRS
and having carefully examined the site where the Work is to be performed,
having become familiar with all local conditions including labor affecting the cost
thereof, and having familiarized himself/herself with material availability, Federal,
State, and Local laws, ordinances, rules and regulations affecting performance of
the Work, does hereby propose to fumish all labor, mechanics, superintendents,
tools, material, equipment, transportation services, and all incidentals necessary
to perform and complete said Work and work incidental hereto, in a workman-like
manner, in conformance with said Drawings, Specifications, and other Contract
Documents including Addenda issued thereto.
The undersigned further certifies that he/she has personally inspected the actual
location of where the Work is to be performed, together with the local sources of
supply and that he/she understands the conditions under which the Work is to be
performed. The proposer shall assume the risk of any and all costs and delays
arising from the existence of any subsurface or other latent physical condition
which could be reasonably anticipated by reference to documentary information
provided and made available, and from inspection and examination of the site.
The undersigned agrees to commence performance of this Project within ten (10)
calendar days after the date of issuance to the undersigned by Owner of the
Purchase Order. Once commenced, undersigned shall diligently continue
performance until completion of the Project. The undersigned shall accomplish
Substantial Completion of the Project within Thirty (30) calendar days. The
undersigned shall accomplish Final Completion of the Project within Thirty (30)
calendar days thereafter.
Page 21 of 46
Monroe County Project Management
1100 Simonton Stint,2-216
Key West,FL 33040
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.
Nine Thousand Nine Hundred Eighty Dollars and Oil 00 Dollars
(Total Base Proposal-words)
$ $9,980.00
Dollars
(Total Base Proposal— numbers)
I acknowledge Alternates as follows: N/A
I acknowledge receipt of Addenda No.(s) or None
No. Dated
Page 22 of 46
Monroe County Project Management
1100 Simonton Street.2-216
, key West,FL 33040
In addition, Proposer states that he/she has included a certified copy of Contractor's
License, Monroe County Occupational License, and Certificate of Liability showing the
minimum insurance requirements for this project.
Execution by the Contractor must be by a person with authority to bind the entity.
IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by
their duly authorized representatives, as follows:
Contractor: Gomez and Son Fence, Corp
Mailing Address; 10805 NW 22nd Street
Miami, Florida 33172
Phone Number (305) 471-8922
E.I.N.: 45-2731396
Email: egomez@gomezfence.OW'l�a)biart@gomezfence.com
01/27/2020
Date. Signed:
Cari d G ez
(Name)
President
(Title)
t 4same:
s Witness signature:
to Albert Aguirre
Date: 01/27/2020
Page 23 of46
The County accepts the above proposal:
MONROE COUNTY, FLORIDA
Z//z�
Date: J•IJ r
By: County Adm nistrator or Designee
MONROE COUNTY ATTORNEYS OFFICE
APPROVED AS TO FORM
LI.
SSISTANT COUNTY ATTORNEY
DATE: !
Page 23a of 46
f
Monroe County Project Management
1100 Simonton Street,2-216
Key West,FL 33040
Minority Owned Business Declaration
Gomez and Son Fence, Corp, a sub-contractor engaged by Monroe County during the
completion of work associated with the below indicated project
(Check one)
x is a minority business enterprise, as defined in Section 288.703, Florida Statutes
or
is not a minority business enterprise, as defined in Section 288.703, Florida Statutes.
F.S. 288.703(3) "Minority business enterprise" means any small business concern as defined in
subsection (6)(see below) which is organized to engage in commercial transactions, which is
domiciled in Florida, and which is at least 51-percent-owned by minority persons who are
members of an insular group that is of a particular racial, ethnic, or gender makeup or national
origin, which has been subjected historically to disparate treatment due to identification in and
with that group resulting in an underrepresentation of commercial enterprises under the group's
control, and whose management and daily operations are controlled by such persons. A minority
business enterprise may primarily involve the practice of a profession. Ownership by a minority
person does not include ownership which is the result of a transfer from a nonminority person to
a minority person within a related immediate family group if the combined total net asset value
of all members of such family group exceeds $1 million. For purposes of this subsection, the
term "related immediate family group" means one or more children under 16 years of age and a
parent of such children or the spouse of such parent residing in the same house or living unit.
F.S 288.703(6) "Small business" means an independently owned and operated business concern
that employs 200 or fewer permanent full-time employees and that, together with its affiliates,
has a net worth of not more than $5 million or any firm based in this state which has a Small
Business Administration 8(a) certification. As applicable to sole proprietorships, the $5 million
net worth requirement shall include both personal and business investments.
Contractor_may refer to F.S. 288.703 for more information.
Contractor Sub-Recipient: Monroe County
Signature Signature
Print Name: Arida Gomez Printed Name:
Title: President Titlei OMB Department:
Verified via:
https://osd.dmr ;.myflorida.com/directories
Address: e-el
City/State/zip Miami, Florida 33172 DEM Contract: Z0002
Date: 01/27/2020 FEMA Project Number:
Page 24 of 46
Munroe County Project Management
' 1100 Sintanton Street,2-216
Key West,FL 33040
Certification Regarding
Debarment, Suspension, Ineligibility
And Voluntary Exclusion
Contractor Covered Transactions
(1) The prospective contractor of the Recipient, Gomez and Son Fence Corp certifies,
by submission of this document, that neither it nor its principals is presently
debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any Federal department or
agency.
(2) Where the Recipient's contractor is unable to certify to the above statement, the
prospective contractor shall attach an explanation to this form.
CONTRACTOR:
ay
Sig Recipient's Name
Caridad G ez-Pr (dent
Name and Title Division Contract Number
10805 NW 22nd Street
Street Address FEMA Project Number
Miami,Florida 33172
City, State, Zip
011VI2020
Date
Page 25 of 46
Monroe County Project i-tanagcmcnt
l 100 Simonton Street,2-2 i 6
Key West,rL 33040
VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS
Project Descriptions):
Respondent Vendor Name: Gomez and son Fence Corp
Vendor FEIN: 45-2371396
Vendor's Authorized Representative Name and Title- Carldad Gomez-President
Address: 10805 NW 22nd street
City: Miami State: Florida Zip.33172
Phone Number (305)471-8922 Email Address:EgomezQgomezfence com I Albert gomezrence corn
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 or engaged in a boycott of Israel and for Projects of$1,000,000 or more is not listed on
either the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities
in the Iran Petroleum Energy Sector List, or engaged in business operations in Cuba or Syria.
I understand that pursuant to Section 287.135, Florida Statutes, the submission of a false certification
may subject company to civil penalties, attorney's fees, and/or costs. I further understand that any
contract with the COUNTY may be terminated, at the option of the COUNTY, if the company is found to
have submitted a false certification or has been placed on the Scrutinized Companies that Boycott Israel
List or engaged in a boycott of Israel or placed on the Scrutinized Companies with Activities in Sudan List
or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List or been engaged in
business operations in Cuba or Syria.
Certified By: Caridad Gomel , who is authorized to
sign on behalf of the above a ed mpany.
Authorized Signature:
Print Name: caridad Gomez
Titre: President
Note: The List are available at the following Department of Management Services Site.
httc,Jr'v�vww,dms,mvf1arida,com)ou iness cr rationsistate purchasiny)vendcr JnfgrmaWrJpQnv1rtpdjtj,%,y
ended discriminatory cornl7laint5 vendor list8
Page 26 of 46
Monroe County Project Management
1100 Simonton Su=%2.216
Key West,FL 33040
NON-COLLUSION AFFIDAVIT
Caridad Gomez of the city of Miami Dade
according to law on my oath, and under penalty of perjury, depose and say that:
1. i am President
of the firm of Gomez and Son Fence.Corp
the proposer making the Proposal for the project described in the notice for
calling for proposals for:
Cudtce Key Transfer Station Fence Repair
and that I executed the said proposal with full authority to do so;
2. The prices in this proposal have been arrived at independently without collusion,
consultation, communication or agreement for the purpose of restricting
competition, as to any matter relating to such prices with any other proposer or
with any competitor; and
3. Unless otherwise required by law, the prices which have been quoted in this
proposal have not been knowingly disclosed by the proposer and will not
knowingly be disclosed by the proposer prior to proposal opening, directly or
indirectly, to any other proposer or to any competitor; and
4. No attempt has been made or will be made by the proposer to induce any other
person, partnership or corporation to submit, or not to submit, a proposal for the
purpose of restricting competition; and
5. The stat s contained in this affidavit are true and correct, and made with full
knowle of d roject.
of/27/2020
(Signat r oser) (Date)
STATE OF: Florida
7
COUNTY OF: Miami Dade
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
who, after first being sworn by me, (name of individual signing) affixed his/her
signature in the space provided above.
on this day of (44?Y , 20;- ., ..
r
NOIJARY PUBLIC NORMA RAMOS
NOTARY PUBLIC
STATE OF FLORIDA
My commission expires: C0MM#G(6"L)
*Expires 11/13/2023
Page 27 of 46
Monroe County Project Management
1100 Simonton Street,2-216
k Key West,FL 33040
LOBBYING AND CONFLICT OF INTEREST CLAUSE
SWORN STATEMENT UNDER ORDINANCE NO. 010-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
a Gomez and Son Fence,Corp
(Company)
warrants that he/it has not employed, retained or otherwise had act on hisrts
behalf any former County officer or employee in violation of Section 2 of Ordinance No.
010-1990 or any County officer or employee in violation of Section 3 of Ordinance No.
010-1990. For breach or violation of this provision the County may, in its discretion,
terminate this contract without liability and may also, in its discretion, deduct from the
contract or purchase price, or otherwise recover, the full amount of any fee,
commission, percentage, gift, or consideration paid o the former County officer or
employee".
(Signatur /
Date: 01127. o
STATE OF: Florida
COUNTY OF: Miami Dade
Subscribed and sworn to (or affirmed) before me on �00VV I�A MQ, (date)
by (name of affiant). He/She is personally known
to me
or has produced ��� Srr _TEAO ds identification. (Type of identification)
i
NOTARY PUBLf
My commission expires: 13 7-0 NORM RMOs
(SEAL) NOTARY PUBLIC
4 STATE OF FLORIDA
Commtll GG93%57
). Expires 1 1/1 312 02 3
Page 28 of 46
Monroe County Fmject Management
1100 Simonton Street,2-216
4F Key West.FL 33040
DRUG-FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies
that
Gomez and Son Fence Gore
(Name of Business)
1. Publishes a statement notifying employees that the unlawful manufacture,
distribution, dispensing, possession, or use of a controlled substance is
prohibited in the workplace and specifying the actions that will be taken against
employees for violations of such prohibition.
2. Informs employees about the dangers of drug abuse in the workplace, the
business's policy of maintaining a drug-free workplace, any available drug
counseling, rehabilitation, and employee assistance programs, and the penalties
that may be imposed upon employees for drug abuse violations.
3. Gives each employee engaged in providing the commodities or contractual
services that are under proposal a copy of the statement specified in subsection
(1).
4. In the statement specified in subsection (1), notifies the employees that, as a
condition of working on the commodities or contractual services that are under
proposal, the employee will abide by the terms of the statement and will notify the
employer of any conviction of, or plea of guilty or nolo contenders 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.
8. 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 t is firm complies fully with
the above requirements. Z_ 4�
trIes Signature
01127/2020
Date
Page 29 of46
Monroe County Project Management
0 1100 Simonton Sttcct,2-216
Kcy West,FL 33040
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list following a
conviction for public entity crime may not submit a bid on a contract to provide any
goods or services to a public entity, may not submit a bid on a contract with a public
entity for the construction or repair of a public building or public work, may not submit
bids on leases of real property to public entity, may not be awarded or perform work as
a contractor, supplier, subcontractor, Or CONTRACTOR under a contract with any
public entity, and may not transact business with any public entity in excess of the
threshold amount provided in Section 287.017, Florida Statutes, for CATEGORY TWO
for a period of 36 months from the date of being placed on the convicted vendor list."
I have read the above and state that neither
Gomez and Son Fence,core (Proposer's name) nor any Affiliate
has been pl c d n the convicted vendor list within the last thirty-six (36) months.
I
(Signs- )
Date: 01127/202D
STATE OF: Florida
COUNTY OF:Miami Dade
Subscribed and sworn to (or affirmed) before me on the day of
, 20 , by (name of
a lant). He/She is personally known to me or has produced
, k-7_ � tom, �g 00- P „T (type of identification) as
identification.
My Commission Expires: II l3 23 CZOZfEi,lLI sa gdxa
L991009XWW03 .
" d11Iltio'W 40
31Y1S
OnencI AHVION
NO ARY PUBLIC sow" vwvON
(SEAL)
NORMA RAMOS
NOTARY PUBLIC
STATE OF FLORIDA
Comm#GG931857
Expires 11/13/2023
Page 30 of 46
Monme County Project Management
1100 Simonton Street,2-216
Key West,FL 33040
INSURANCE REQUIREMENTS AND FORMS
MONROE COUNTY, FLORIDA RISK MANAGEMENT POLICY AND
PROCEDURES
General Insurance Requirements For
Other Contractors, Subcontractors and Professional Services
As a pre-requisite of the work and services governed, or the goods supplied under this
contract (including the pre-staging of personnel and material), the Contractor shall
obtain, at his/her own expense, insurance as specified in any attached schedules, which
are made part of this contract. The Contractor will ensure that the insurance obtained
will extend protection to all Subcontractors engaged by the Contractor. Alternatively, the
Contractor may require all Subcontractors to obtain insurance consistent with the
attached schedules.
The Contractor will not be permitted to commence work governed by this contract
(including pre-staging of personnel and material) until satisfactory evidence of the
required insurance has been furnished to the County as specified below. Delays in the
commencement of work, resulting from the failure of the Contractor to provide
satisfactory evidence of the required insurance, shall not extend deadlines specified in
this contract and any penalties and failure to perform assessments shall be imposed as
if the work commenced on the specified date and time, except for the Contractor's
failure to provide satisfactory evidence.
The Contractor shall maintain the required insurance throughout the entire term of this
contract and any extensions specified in the attached schedules. Failure to comply with
this provision may result in the immediate suspension of all work until the required
insurance has been reinstated or replaced. Delays in the completion of work resulting
from the failure of the Contractor to maintain the required insurance shall not extend
deadlines specked in this contract and any penalties and failure to perform
assessments shall be imposed as if the work had not been suspended, except for the
Contractor's failure to maintain the required insurance.
The Contractor will be held responsible for all deductibles and self-insured retentions
that may be contained in the Contractor's Insurance policies.
The Contractor shall provide, to the County, as satisfactory evidence of the required
insurance, either:
• Certificate of Insurance or
•A Certified copy of the actual insurance policy.
The County, at its sole option, has the right to request a certified copy of any or all
insurance policies required by this contract.
Page 31 of 46
Monroe County Project Management
1100 Simonton Strcc42-216
IF Key West,FL 33040
All insurance policies must specify that they are not subject to cancellation, non-
renewal, material change, or reduction in coverage unless a minimum of thirty (30) days
prior notification is given to the County by the insurer.
The acceptance and/or approval of the Contractor's insurance shall not be construed as
relieving the Contractor from any liability or obligation assumed under this contract or
imposed by law.
The Monroe County Board of County Commissioners, its employees and officials will be
included as "Additional Insured" on all policies, except for Workers' Compensation.
Any deviations from these General Insurance Requirements must be requested in
writing on the County prepared form entitled "Request for Waiver of Insurance
Requirements" and approved by Monroe County Risk Management Department.
Page 32 of 46
Monroe County Project Management
l 100 Simonton Strcct,2-21 G
Key West,FL 33040
PROPOSER'S INSURANCE AND INDEMNIFICATION STATEMENT
INSURANCE REQUIREMENTS
Workers' Compensation Statutory Limits
Employers' Liability $100,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy
limits
$100,000 Bodily Injury by Disease each
employee
General Liability $200,000 per Person;
$300,000 per Occurrence
$200,000 Property Damage
or
$300,000 Combined Single Limit
Vehicle $200,000 per Person
(Owned, non-owned, and hired vehicles) $300,000 per Occurrence
$200,000 Property Damage
or
$300,000 Combined Single Limit
Builders Risk Not Required
Construction Bond Not Required
The Monroe County Board of County Commissioners shall be named as Additional
Insured on General Liability and Vehicle policies.
INDEMNIFICATION, HOLD HARMLESS and DEFENSE. Notwithstanding any minimum
insurance requirements prescribed elsewhere in this agreement, Contractor shall defend,
indemnify and hold the County and the County's elected and appointed officers and
employees harmless from and against (i) any claims, actions or causes of action, (ii) any
litigation, administrative proceedings, appellate proceedings, or other proceedings
relating to any type of injury (including death), loss, damage, fine, penalty or business
interruption, and (iii) any costs or expenses that may be asserted against, initiated with
respect to; or sustained by, any indemnified party by reason of, or in connection with, (A)
any activity of Contractor or any of its employees, agents, contractors or other invitees
during the term of this Agreement, (B) the negligence or recklessness, intentional
wrongful misconduct, errors or other wrongful act or omission of Contractor or any of its
employees, agents, sub-contractors or other invitees, or (C) Contractor's default in
respect of any of the obligations that it undertakes under the terms of this Agreement,
Page 33 of 46
Monroe County Project Management
V 1100 Sitronton Street,2-216
Key West,FL 33040
except to the extent the claims, actions, causes of action, litigation, proceedings, costs or
expenses arise from the intentional or sole negligent acts or omissions of the County or
any of its employees, agents, contractors or invitees (other than Contractor). The
monetary limitation of liability under this contract shall be not less than $1 million per
occurrence pursuant to Section 725.06, Florida Statutes. Insofar as the claims, actions,
causes of action, litigation, proceedings, costs or expenses relate to events or
circumstances that occur during the term of this Agreement, this section will survive the
expiration of the term of this Agreement or any earlier termination of this Agreement.
In the event that the completion of the project (to include the work of others) is delayed
or suspended as a result of the Contractor's failure to purchase or maintain the required
insurance, the Contractor shall indemnify the County from any and all increased expenses
resulting from such delay. Should any claims be asserted against the County by virtue of
any deficiency or ambiguity in the plans and specifications provided by the Contractor,
the Contractor agrees and warrants that the Contractor shall hold the County harmless
and shall indemnify it from all losses occurring thereby and shall further defend any claim
or action on the County's behalf.
The first ten dollars ($10.00) of remuneration paid to the Contractor is for the
indemnification provided for the above.
The extent of liability is in no way limited to, reduced, or lessened by the insurance
requirements contained elsewhere within this Agreement.
PROPOSER'S STATEMENT
I understand the insurance that will be mandatory if awarded the contract and will comply
in full with all of the requirements herein. I fully accept th indemnification and hold
harmles d duty to defend as set out in this proposal. ,
f '
OA'D Ab
PROMO R - Signa r
Om
Page 34 of 46
Monroe County Pmajw Management
1100 Simonton Street,2-216
Key West,FL 33040
PROPOSER Signature
INSURANCE AGENTS STATEMENT
I have reviewed the above requirements with the proposer named above. The following
deductibles apply to the corresponding policy.
POLICY DEDUCTIBLES
Liability policies are Occurrence Claims Made
Insurance Agency Signature
Page 35 of 46
Monroe County Project Management
1100 Simonton Street,2-216
Key West,FL 33040
MONROE COUNTY, FLORIDA
REQUEST FOR WAIVER OF INSURANCE REQUIREMENTS
It is requested that the insurance requirements, as specified in the County's Schedule of
Insurance Requirements, be waived or modified on the following contract.
ContractorNendor:
Project or Service:
Contractor/Vendor Address & Phone#:
General Scope of Work:
Reason for Waiver or Modification:
Policies Waiver or Modification will apply to.-
Signature of ContractorNendor:
Date: Approved Not Approved
Risk Management Signature;
County Administrator appeal:
Approved: Not Approved: Date,
Board of County Commissioners appeal:
Approved: Not Approved; Meeting Date:
Page 36 of 46
Monroe Cotrnry Reject Management
1100 Simonton Street,2-216
40 "West,FL 33040
EXHIBIT "A"
DEPARTMENT OF LABOR WAGE DETERMINATION
EXHIBIT "A" Page 36 of45
Monroe County Project Management
1 t OD Simonton Street,2-216
40 Key West,FL 33040
"General Decision Number: FL20190022 11/01/2019
Superseded General Decision Number: FL20180063
State: Florida
Construction Type: Building
County: Monroe County in Florida.
BUILDING CONSTRUCTION PROJECTS (does not include single family
homes or apartments up to and including 4 stories) .
Note: Under Executive Order (EO) 13658, an hourly minimum wage
of $10 . 60 for calendar year 2019 applies to all contracts
subject to the Davis-Bacon Act for which the contract is
awarded (and any solicitation was issued) on or after January
1, 2015. If this contract is covered by the EO, the contractor
must pay all workers in any classification listed on this wage
determination at least $10. 60 per hour (or the applicable wage
rate listed on this wage determination, if it is higher) for
all hours spent performing on the contract in calendar year
2019. If this contract is covered by the EO and a
classification considered necessary for performance of work on
the contract does not appear on this wage determination, the
contractor must pay workers in that classification at least the
wage rate determined through the conformance process set forth
in 29 CFR 5. 5 (a) (1) (ii) (or the EO minimum wage rate, if it is
higher than the conformed wage rate) . The EO minimum wage rate
will be adjusted annually. Please note that this EO applies to
the above-mentioned types of contracts entered into by the
federal government that are subject to the Davis-Bacon Act
itself, but it does not apply to contracts subject only to the
EXHIBIT uK Page 37 of 45
Mnnme County Project Management
1100 5imonlon Street,2-216
Key West,FL 33040
Davis-Bacon Related Acts, including those set forth at 29 CFR
5. 1 (a) (2) - (60) . Additional information on contractor
requirements and worker protections under the EO is available
at www.dol-gov/whd/govcontracts.
Modification Number Publication Date
0 01/04/2019
1 02/01/2019
2 02/15/2019
3 08/30/2019
4 10/25/2019
5 11/01/2019
* ELEC0349-003 09/02/2019
Rates Fringes
ELECTRICIAN. . . . . . . . . . . . . . . . . . . . . . $ 35. 36 12. 77
-----------------------------------------------------------------
ENG10487-004 07/01/2013
Rates Fringes
OPERATOR: Crane
All Cranes Over 15 Ton
Capacity. . . . . . . . . . . . . . . . . . . .$ 29. 00 8. 80
Yard Crane, Hydraulic
Crane, Capacity 15 Ton and
Under. . . . . . . . . . . . . . . . . . . . . . .$ 22. 00 8.80
----------------------------------------------------------------
IRON0272-004 10/01/2019
EXHIBIT "A" Page 38 of 45
Monroe County Project Management
1100 Simonton Sheol.2-216
40 Key West,FL 33040
Rates Fringes
IRONWORKER, STRUCTURAL AND
REINFORCING. . . . . . . . . . . . . . . . . . . . . .$ 25. 49 11. 99
------------------------------------------------------------------
PAIN0365-004 08/01/2019
Rates Fringes
PAINTER: Brush Only. . . . . . . . . . . . . $ 20.21 11.28
-----------------------------------------------------------------
SFFLOB21-001 01/01/2019
Rates Fringes
SPRINKLER FITTER (Fire
Sprinklers) . . . . . . . . . . . . . . . . . . . . . .$ 28. 38 19. 44
-------------------------------------------------------------------
SHEE0032-003 12/01/2013
Rates Fringes
SHEETMETAL WORKER (HVAC Duct
Installation) . . . . . . . . . . . . . . . . . . . .$ 23. 50 12. 18
----------------------------------------------------------------
SUFL2009-059 05/22/2009
Rates Fringes
CARPENTER. . . . . . . . . . . . . . . . . . . . . . . .$ 15.08 5. 07
CEMENT MASON/CONCRETE FINISHER. . . $ 12 .45 0.00
EXHIBIT W' Page 39 of45
Monroe County Project Management
1100 Simonton Sweet,2-216
Key West.FL 33040
FENCE ERECTOR. . . . . . . . . . . . . . . . . . . . $ 9. 94 0. 00
LABORER: Common or General. . . . . . $ 8. 62 0.00
LABORER: Pipelayer. . . . . . . . . . . . . . $ 10. 45 0.00
OPERATOR: Backhoe/Excavator. . . . . $ 16. 98 0.00
OPERATOR: Paver (Asphalt,
Aggregate, and Concrete) . . . . . . . . . $ 9.58 0. 00
OPERATOR: Pump. . . . . . . . . . . . . . . . . . $ 11. 00 0.00
PAINTER: Roller and Spray. . . . . . . $ 11.21 0. 00
PLUMBER. . . . . . . . . . . . . . . . . . . . . . . . . . $ 12.27 3. 33
ROOFER: Built Up,
Composition, Hot Tar and
Single Ply. . . . . . . . . . . . . . . . . . . . . . . $ 14.33 0. 00
SHEET METAL WORKER, Excludes
HVAC Duct Installation. . . . . . . . . . . $ 14. 41 3. 61
TRUCK DRIVER, Includes Dump
and 10 Yard Haul Away. . . . . . . . . . . .$ 8. 00 0. 15
----------------------------------------------------------------
WELDERS - Receive rate prescribed for craft performing °
operation to which welding is incidental.
EXHIBIT "A" Page 40 of45
Monroe County Project Management
1100 Simonton Street,2-216
4 Key West.FL 33040
Note: Executive Order (EO) 13706, Establishing Paid Sick Leave
for Federal Contractors applies to all contracts subject to the
Davis-Bacon Act for which the contract is awarded (and any
solicitation was issued) on or after January 1, 2017. If this
contract is covered by the EO, the contractor must provide
employees with 1 hour of paid sick leave for every 30 hours
they work, up to 56 hours of paid sick leave each year.
Employees must be permitted to use paid sick leave for their
own illness, injury or other health-related needs, including
preventive care; to assist a family member (or person who is
like family to the employee) who is ill, injured, or has other
health-related needs, including preventive care; or for reasons
resulting from, or to assist a family member (or person who is
like family to the employee) who is a victim of, domestic
violence, sexual assault, or stalking. Additional information
on contractor requirements and worker protections under the EO
is available at www.dol.gov/whd/govcontracts.
Unlisted classifications needed for work not included within
the scope of the classifications listed may be added after
award only as provided in the labor standards contract clauses
(29CFR 5.5 (a) (1) (ii) ) .
----------------------------------------------------------------
The body of each wage determination lists the classification
and wage rates that have been found to be prevailing for the
cited type (s) of construction in the area covered by the wage
1
determination. The classifications are listed in alphabetical '
order of ""identifiers"" that indicate whether the particular
rate is a union rate (current union negotiated rate for local) ,
EXHIBIT "A" Page 41 of 45
Monroe County Project Management
1100 Simonton Street,2-216
Key Wcst,FL 33040
a survey rate (weighted average rate) or a union average rate
(weighted union average rate) .
Union Rate Identifiers
A four letter classification abbreviation identifier enclosed
in dotted lines beginning with characters other than ""SU"" or
""UAVG"" denotes that the union classification and rate were
prevailing for that classification in the survey. Example:
PLUM0198-005 07/01/2014 . PLUM is an abbreviation identifier of
the union which prevailed in the survey for this
classification, which in this example would be Plumbers. 0198
indicates the local union number or district council number
where applicable, i.e. , Plumbers Local 0198. The next number,
005 in the example, is an internal number used in processing
the wage determination. 07/01/2014 is the effective date of the
most current negotiated rate, which in this example is July 1,
2014.
Union prevailing wage rates are updated to reflect all rate
changes in the collective bargaining agreement (CBA) governing
this classification and rate.
Survey Rate Identifiers
Classifications listed under the ""SU"" identifier indicate that
no one rate prevailed for this classification in the survey and
the published rate is derived by computing a weighted average
rate based on all the rates reported in the survey for that
classification. As this weighted average rate includes all
rates reported in the survey, it may include both union and
non-union rates. Example: SULA2012-007 5/13/2014 . SU indicates
the rates are survey rates based on a weighted average
EXHIBIT "A" Page 42 of45
Monroe County Pmjca Management
1100 Simonton Street,2-216
0 Key West.FL 33040
calculation of rates and are not majority rates. LA indicates
the State of Louisiana. 2012 is the year of survey on which
these classifications and rates are based. The next number, 007
in the example, is an internal number used in producing the
wage determination. 5/13/2014 indicates the survey completion
date for the classifications and rates under that identifier.
4t�
Survey wage rates are not updated and remain in effect until a
new survey is conducted.
Union Average Rate Identifiers
Classification (s) listed under the UAVG Identifier indicate
that no single majority rate prevailed for those
classifications; however, 100% of the data reported for the
classifications was union data. EXAMPLE: UAVG-OH-0010
08/29/2014 . UAVG indicates that the rate is a weighted union
average rate. OH indicates the state. The next number, 0010 in
the example, is an internal number used in producing the wage
determination. 08/29/2014 indicates the survey completion date
for the classifications and rates under that identifier.
A UAVG rate will be updated once a year, usually in January of
each year, to reflect a weighted average of the current
negotiated/CBA rate of the union locals from which the rate is
based.
----------------------------------------------------------------
WAGE DETERMINATION APPEALS PROCESS
EXHIBIT "A" Page 43 of45
Monme Counry Project Management
1100 Simonton Street,2-216
Key West,FL 33040
1. ) Has there been an initial decision in the matter? This can
be:
* an existing published wage determination
* a survey underlying a wage determination
* a Wage and Hour Division letter setting forth a position on
a wage determination matter
* a conformance (additional classification and rate) ruling
On survey related matters, initial contact, including requests
for summaries of surveys, should be with the Wage and Hour
Regional Office for the area in which the survey was conducted
because those Regional Offices have responsibility for the
Davis-Bacon survey program. If the response from this initial
contact is not satisfactory, then the process described in 2. )
and 3. ) should be followed.
With regard to any other matter not yet ripe for the formal
process described here, initial contact should be with the
Branch of Construction Wage Determinations. Write to:
Branch of Construction Wage Determinations
Wage and Hour Division
U. S. Department of Labor
200 Constitution Avenue, N.W.
Washington, DC 20210
2. ) If the answer to the question in 1. ) is yes, then an
interested party (those affected by the action) can request
review and reconsideration from the Wage and Hour Administrator
(See 29 CFR Part 1 . 8 and 29 CFR Part 7) . Write to:
EXHIBIT "A" Page 44 of45
Mo=a County Project Management
1100 Simonton Strect,2-216
Key WM FL 33040
Wage and Hour Administrator
U.S. Department of Labor
200 Constitution Avenue, N.W.
Washington, DC 20210
The request should be accompanied by a full statement of the
interested party' s position and by any information (wage
payment data, project description, area practice material,
etc. ) that the requestor considers relevant to the issue.
3. ) If the decision of the Administrator is not favorable, an
interested party may appeal directly to the Administrative
Review Board (formerly the Wage Appeals Board) . Write to:
Administrative Review Board
U.S. Department of Labor
200 Constitution Avenue, N.W.
Washington, DC 20210
4 . ) All decisions by the Administrative Review Board are final.
END OF GENERAL DECISION"
I
EXHIBIT "A" Page 45 of 45
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PRODUCER coN`rAcTn M9_1 Staci Merchant
Merchant Insurance Solutions �+ (239)935-506g F
12326 Isabella Drive E Ne: ( )a06 4983
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A OFFICERIMFMBEREXCLUDED? ❑N NIA 10660596-2019 09/0412019 09/0412020, --
(MandaterylnNMI E.L.DISEASE-EAEMPLOYER"f 1,000,000
NyyssA desalt under ...�._._.. _
OESCRIPTIONOF OPERATIONS below .. --- ry E.L.DISEASE-POLICYLIMIT_s 1,D00,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Addtllenal Remarks Schedule,may be adached If mom spat@ Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED MI
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ACCORDANCE WITH THE POLICY PROVISIONS.
AUTROR¢ED REPRES ENTATIYE
1100 SIMONTON STREET
Key West FL 33040
0 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 2512016103) The ACORD name and logo are registered marks of ACORD
P ACC CERTIFICATEDATE(UwD .OF LIABILITY INSURANCE °'"""
021i312020
DOES NOT
CEIS FICATtcISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT
E HOLDER.THIS
AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certNicate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,Certain policies may require an endorsement. A statement on
this Certificate does not confer rights to the certificate holder In 0au of such endorsements.
PRODUCER CDNTKCT
KEY KNOWLEDGE INSURANCE INC. NAYE Maria R als _
' D� 954-082fi259 �F' � 9S4-082-0080
9101-C S.W.99th Place 4"1- rAlc"IOr
Fort Lauderdale FL 33324 who esa-mryals@keyknowledgeins.com _
MKS
INSU"31AFFORDCOVERAOE NAIL 0
IHsUMA,Arch Specialty Insurance Company 211e8
INSURED INSURER a:Scottsdale Insurance Company 41297
10805>ZW 22 ST
Gomez 8<Son Fence Corp. INSURER C.•Nautilus Inssurance Company 117370
_ --...._
Miami FL33172 MISURER D:
INSURER E:
INSURERF. .. �.. -
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COMMERCIAL OI:HERAL LUU3ILIIY StIBR POLID' POLICY E3� -
TYPE OF INSURANCE POLICY NUMBER M OUC EF f MLLb LNNTS
A ✓ _
✓ t/ AGLOD53763-01 0*111412019 0511412020 EACHOCCURRENCE $1,000,000
cLAIMSaNADE Q✓ ocCUR PREMAGaEMRrF= . $ 1DO,DDD
✓ Contractual Uab ft ._ -
i MED EXP yAnr Ww jm s 10,000
✓ XCU Coverage Provided PERSONAL&ADV INJURY S.1,000,D00
Gen AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2.000,000
POLICY PGMT LOC PRODUCTS-COMP/OPAGG s 2,D00,000
O?1�IER I " S
AUTOMOBILE. �IL LIAaILnY IINIA CON L
Ea amderg
ANY AUTO Li Li B ` f+fAGE BODILY INJURY(Pet pewon) $
OWNED SCHEDULED
HAUTOS IRED ONLY N TONOWNED WAh BODILYINUURY(Pot wxkIenl) f
AUTOS ONLY AUTOS ONLY ^^ ent
• Per e _
_ $
uNBRELLAAuna jejoccuR ✓ ✓ XBS0102558 10511412019 05M412020
B &/ ExcEsal3Ae cua�Is.raaas � >=J�cHOccuI:RENCE =S,000,D00
__�I AGGREGATE S 5,000,000
DED 5 ftETENTION i s r .__ S
.... AND EMPLOYERS'LIABILM I - A 6
WORKERS COMPENSATION NIA
YIN TUTS eR ,
ANYpROPRIETO U"Af M3VEXECLITIVE f E.L.EACH ACCIDENT S
OF FICEWMEMBEFtEXCLUDED? � NIA __.__ ..,,
(MenddIeryInNH E.L.DISEASE-EA EMPLOYEE$
M yam,describe undo �
DESCRIPTION OF OPERATIONS bebw —_m E.L.DISEASE-POLICY LIMIT S
C CONTRACTORS EQUIPBAENT�= NN668215 11111120t9 1111112020
DQI Equipment 200.000.00
1
DESCRIPTIONOF OPERATIONS I LOCATIONS IVENICLES A ,t--— _
{ COaO 141,Additional Remaeke Sd,eduk,maybe eeeelwd Umere sped Is requlrW)
CERTIFICATE HOLDER CANCELLATION
Monroe County Board of Couty Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
1100 Simon Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Key West, FL.33040 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHOREED REPRESENTATIVE
�z"64- �� � !� Maria Ryals,Agent
01998-2015 ACORD CORPORATION. All rights reserved.
ACORD 2S(2016103) The ACORD name and logo are registered marks of ACORD