Item D6 BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: FEBRUARY 19, 2014 Division: TDC
Bulk Item: Yes X No Department:
Staff Contact Person/Phone #: Maxine Pacini
296-1552
AGENDA ITEM WORDING:
Approval to advertise a Request for Applications for FY 2015 Capital Project Funding.
ITEM BACKGROUND:
Application is attached. TDC approved same at their meeting of January 28, 2014.
PREVIOUS RELEVANT BOCC ACTION:
CONTRACT/AGREEMENT CHANGES:
STAFF RECOMMENDATIONS:
Approval
TOTAL COST: N/A BUDGETED: Yes X No
COST TO COUNTY: N/A SOURCE OF FUNDS: TDC
REVENUE PRODUCING: Yes X No AMOUNT PER MONTH Year
APPROVED BY: County Atty X OMB/Purchasing N/A Risk Management N/A
DOCUMENTATION: Included X Not Required
DISPOSITION: AGENDA ITEM#
Revised 11/06
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APPLICATION DEADLINE: APRIL 29, 2014
All applications should be received no later than 5.00 p.m. (close of business day) April 29, 2014
All applications submitted in response to this solicitation should be addressed to:
Monroe County Purchasing Department
1100 Simonton Street, 2nd Floor, Room 2-213
Key West, Florida 33040
ATTENTION: CAPITAL PROJECT FUNDING APPLICATION
InIllnllHcaints iniust sulbiirnurt uiin a ucallbd can &IoII4 c ouir Ilhbo
One (1) disc (1) USB flash drive with complete copy of application as a 4 df (all
attachments must be merged into one document. Please DO NOT include the instruction
pages) a n .......
One (1) signed and marked as ORIGINAL paper copy III''°°IIII U
The correct number of paper copies for the district for which you are applying:
District I requires 5 paper copies of application
District II requires 3 paper copies of application
District III requires 5 paper copies of application
District IV requires 5 paper copies of application
District V requires 3 paper copies of application
All inquiries and correspondence should be made to the Monroe County Tourist Development
Council. Contact Maxine Pacini or Lynda Stuart at (305) 296-1552. All email correspondence
should be addressed to i ss fl - eys.c
Monroe County Tourist Development Council FY 2015 Capital Project Application
This application is intended for applicants whose facility has a primary purpose of promoting
tourism.
The Monroe County Tourist Development Council (TDC) administers the four (4) cent bed tax
collected for the purpose of promoting the Florida Keys as a tourist destination. Each year, the
TDC advertises a Request for Applications (RFA) for capital project funding through the TDC.
Projects must be owned and operated by either a governmental entity or non-profit
organization. Individuals and for-profit organizations are not eligible to apply for Capital
Projects funds. Applicants must be registered to do business in Florida. All applications will be
reviewed by the appropriate District Advisory Committees (DAC's), who shall make
recommendations on funding the project to the TDC. Upon approval of recommended funding
allocation by the TDC, the administrative office will coordinate with the project coordinator to
establish an agreement for the project, and will present the proposed agreement to the County
for final approval.
This application will be funded as a fifty percent (50%) reimbursement of funds expended
by any individual organization. The applicant must show that all funds (100%) are
available for the project at the time of application so that there is no delay in the progress
of the project, and that TDC funding is not used as "matching" funds.
All information furnished or disclosed as part of the application process is considered public
record by the laws of the State of Florida.
The applicant shall not lobby, solicit or act to influence the advisory committee members and/or
the TDC board members in any way that may have an effect on the outcome of the competition,
discussion or negotiations leading to the allocation of funding, or an award of an agreement as
reviewed and approved by the County Attorney's office. Such action may lead to withdrawal of
the application from consideration.
Commencement of Project: No portion of the project for which you are seeking TDC funding
may commence prior to the approval of an agreement by the Monroe County Board of County
Commissioners.
Prior to filling out application, please go to www.sunbiL.org to ensure that your organization is
registered to do business in the state of Florida. Only applicants that are duly registered will be
accepted. Print out and attach as Exhibit A.
Cost of preparation and submission of the application is the responsibility of the applicant.
Monroe County Tourist Development Council FY 2015 Capital Project Application
2
Applicant shall complete, copy, sign (by an authorized officer) and submit the correct number of
copies of the application to the Monroe County Purchasing Department. (Please DO NOT use
three (3) ring hard binders, soft binders or spiral binding; no binders are preferred.)
Completed Application: The application shall be considered complete upon receipt and
should stand alone with no other information being provided after-the-fact other than any
additional information that may be requested by the TDC administrative office, or questions from
the DAC at the allocation meeting.
All attachments should be noted as such in the top right hand corner of each sheet — please do
not use tab inserts.
Applicant shall familiarize itself with referenced online materials noted in this application (sample
agreement): http://www.monroecounty-fl.gov/pages/MonroeCoFL TDC/index.
Any part of the project for which the applicant wishes to seek reimbursement from the County,
must NOT commence prior to the date of County approval.
Be advised that if your organization is awarded funding you will be required to enter into an
agreement which delegates you to maintain accurate and complete documentation of the
project. You will be required to obtain a signed amendment to the agreement before making any
substantive changes to the project or you may nullify the County's obligation to pay. You will be
required to comply with the following reimbursement procedures outlined in the sample
agreement which can be found at
http://www.monroecounty-fl.gov/pages/MonroeCoFL TDC/index.
The recipient of TDC capital project funding shall designate a project manager if no licensed
architect, engineer or general contractor is involved in the project. If the project is performed by
County or City personnel, the project manager shall be the Engineer, Building Official or
Construction Manager of that local government.
Taxes: The TDC/County is exempt from Federal, Excise and State of Florida Sales Tax.
Maintenance: The applicant shall be responsible for all maintenance and operational costs of
the premises improved or constructed with the use of funding from the TDC/County. The
applicant shall be responsible to the TDC/County for the safekeeping and proper use of the
property entrusted to applicant's care, to include any and all insurance for the value of the
equipment and any maintenance or service contracts relating to such equipment for its service
life. Any disposal of assets procured through funding under this agreement shall comply with
chapter 274, F.S. or chapter 617, F.S., dependent upon the type of entity funded under this
agreement.
Permits: Applicant shall be responsible for securing all federal, state and local development
approval and permits necessary to complete the project. Award of funds under this application
do not indicate any development approval by the County and applicant shall be required to
Monroe County Tourist Development Council FY 2015 Capital Project Application
3
comply with all County concurrency requirements under land use laws of the County and State.
The TDC/County shall not reimburse for the cost of permits.
Insurance: Applicant shall provide the TDC/BOCC with current insurance certificates as per the
requirements set forth within the funding agreement. The TDC/County shall not reimburse for
the cost of insurance relating to the project for which the applicant is receiving funding.
Performance Guarantee: A successful applicant shall warrant, by signing this application, that
applicant has the financial capability of completing the project as planned without the need to
request further funding from TDC/County for same. Applicant shall warrant by signing this
application and confirm in writing (in the form of bank statements; signed letter from the bank
stating that funds are in the bank for the specified project; documentation provided by a financial
institution of a line of credit assigned to the specific project within the application) that applicant
has the funds in place at the time of the application for grant funds to be able to complete the
project prior to seeking reimbursement of TDC funds. A governmental applicant shall provide a
line item budget for the project in question, and proof that the budget has been adopted by the
governing board of that entity. The applicant by signing the application certifies that: applicant,
its principals, and any previously owned business is/are not and have never been in default to
Monroe County under the terms of any contract. (Default means failure to fulfill contractual
obligations where County had to take legal action to obtain remedy or where a bonding company
had to make good for applicant.)
In-kind services: In-kind services (donated/free/volunteered labor; materials; goods; services)
up to 25% of the total cost of the project may be considered to meet the 106% funding of the
project. Applicant shall provide a schedule of values for each unit of in-kind service and/or
goods at the time of the application. Volunteered labor, as a component of in-kind services, will
be eligible for reimbursement at a reasonable hourly rate for the type of work/service being
performed (e.g. an architect who volunteers to paint will be able to seek reimbursement for the
reasonable rate for the painting work performed not the professional rate of an architect). Should
funding be allocated, County/TDC reserves the right to deny the application of certain in-kind
services and goods and to negotiate a revised schedule of values for permissible items. For
example, county will not accept as in-kind, the waiver of governmental fees, or in-kind towards
the acquisition of property. The amount of in-kind services you note within your application shall
be entered into your final agreement. Applicants will not be able to introduce a request to allow
in-kind services after submission of the application.
Construction and Other Contracts: Applicant, by signing the application, warrants that, if
awarded funds for the project, all contracts, for construction or otherwise, to complete the project
shall be met in compliance with all applicable laws and County purchasing policy and to comply
particularly with F.S. Chapter 255, Chapter 274 and Chapter 287. Applicant further agrees to
provide TDC/County and their designated representatives with:
a) access to the project premises for inspection of the progress of the project;
b) documentation including copies of all sub-contracts/Request For Bids verifying
compliance with purchase/construction/architectural contract requirements of the
County [Notice to owner: list of sub-contractors, and release of liens must be
provided to County]; and
c) access to all records concerning the project. These records must be retained by
applicant for a minimum of four (4) years after the termination date of agreement.
Monroe County Tourist Development Council FY 2015 Capital Project Application
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This requirement may be for a different time period than that required by other
government agencies. All records must be kept in accordance with Generally
Accepted Accounting Principles.
Termination for Default/Convenience: The TDC/County reserves the right to terminate any
agreement if, in its opinion, there shall be a failure at any time to properly perform faithfully any
portion of the project as funded by TDC/County according to the plan presented with the
application, or as modified and accepted in writing by TDC/County. Further, TDC/County
reserves the right to terminate payments under this agreement should the anticipated funding
become unavailable for any reason. Should termination occur under this provision, TDC/County
shall give applicant thirty (30) days notice prior to termination.
Payments: Applicant shall submit all documentation required by the County Finance
Department in accordance with instructions from said department, prior to payment of any funds
awarded. The TDC Application for Payment forms provided in the TDC reimbursement
package shall be used. Ten percent (10%) of every progress payment shall be withheld by
County until certification of completion of project.
Contractor and Sub-Contractor Bonding: Applicant shall require all contractors and sub-
contractors to post such performance bonds as are required by such contractors/sub-contractors
entering into agreement with the TDC/County.
Design/Architectural Costs: Final design plans and architectural costs will be paid upon
completion of the physical bricks and mortar portion of the project outlined within the
agreement. Applicant shall submit for reimbursement of final design plans and architectural
services within the last segment of their proposed project (Exhibit A). This is to ensure that TDC
dollars are used for completed projects that are open to the public. No portion of the final design
plans or architectural drawings for which you are seeking TDC funding may commence prior to
the approval of an agreement by the Monroe County Board of County Commissioners.
Applicant may submit a preliminary plan within their application to provide the District Advisory
Committee and TDC with an idea of the proposed plan.
Acquisition of Property: Applications for acquisition of property will only be considered if the
applicant can confirm availability of funding for one hundred percent (100%) of the purchase
price through a bank statement showing that the entity has funding set aside in a line item for
the purchase of the property, or that a loan from a financial institution has been fully approved;
there are no liens on the property; and a clear title of ownership will be held by the entity
requesting funding upon the closing of the purchase of the property. A clear title in the name of
the contracting entity will be required to submit for reimbursement of the TDC funds allocated.
The property shall be used for a minimum of ten (10) years as a tourist facility. The County will
evaluate non-compliance of use as a tourist facility and upon request by the County the
applicant shall pay a prorated reimbursement of funding allocated. The purchase or down
payment of the property may not commence prior to approval of a funding agreement between
the County and contracted entity. No in-kind services apply to the purchase of property, and
payment will be made in one reimbursement check upon completion of the requirements set
forth within the funding agreement.
Monroe County Tourist Development Council FY 2015 Capital Project Application
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Acknowledgements: Applicant shall be required to display an appropriate public
acknowledgment of the support of the Monroe County Tourist Development Council in a publicly
prominent area of the project.
Funding Allocations: DAC recommendation on funding allocations shall be limited to
recommending allocations which do not exceed the amount requested by the applicant.
Funding requests may be denied, or reduced to a lesser amount than requested by the
applicant.
Public Record: All information furnished or disclosed as part of the application process is
considered public record by the laws of the State of Florida.
Monroe County Tourist Development Council FY 2015 Capital Project Application
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This application is intended for applicants whose facility has a primary purpose of promoting
tourism.
All capital projects funded by TDC shall be owned and operated by either a governmental
entity or non-profit organization and open to the public. Individuals and for-profit
organizations are not eligible to apply for Capital Projects funds. Applicant shall provide proof
of property ownership, long-term lease or service contracts for consideration of funding, and
should show sufficient expertise or financial capability to operate such facilities.
Tourist Development Council capital project funds may be used in Monroe County as follows:
1. To acquire, construct, extend, enlarge, remodel, repair, improve or promote one or more:
Publicly owned and operated convention centers, sports stadiums, sports arenas, coliseums or
auditoriums within the boundaries of the county or subcounty special taxing district in which the
tax is levied;
Aquariums or museums that are publicly owned and operated or owned and operated by not-for-
profit organizations and open to the public, within the boundaries of the county or subcounty
special taxing district in which the tax is levied; or
Zoological parks, fishing piers or nature centers which are publicly owned and or operated by
non-profit organizations and open to the public; and
2. To finance beach park facilities or beach improvement, maintenance, re-nourishment,
restoration and erosion control.
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Monroe County Tourist Development Council FY 2015 Capital Project Application
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This application is to request funding from the following District(s):
❑ District I: Key West - (shall encompass the city limits of Key West)
❑ District II: Lower Keys - (city limits of Key West to west end of Seven Mile Bridge)
❑ District III: Marathon - (west end of Seven Mile Bridge to Long Key Bridge)
❑ District IV: Islamorada - (between Long Key Bridge and Mile Marker 90.939)
❑ District V: Key Largo - (from Mile Marker 90.940 to the Dade/Monroe County line and any
portions of mainland Monroe County)
APPLICANT ORGANIZATION:
(Registered business name exactly as it appears on www.sunbiz.orq).
FEDERAL EMPLOYER'S IDENTIFICATION NUMBER OF APPLICANT'S ORGANIZATION:
DESIGNATED PROJECT CONTACT PERSON:
(Please note that the TDC Administrative Office conducts most of its correspondence, including
agreement and reimbursement material by email, so the person listed below should be able to
accept responsibility for receipt of this information).
Name & Title-
Telephone/mobile no.-
E-mail-
Address-
TYPE OF APPLICANT: ❑ Non-Profit ❑ Governmental Entity
PROJECT TITLE:
LOCATION OR ADDRESS OF PROJECT: Provide physical (postal service) address, RE# and
legal description (lot, block, subdivision) and attach map.
Monroe County Tourist Development Council FY 2015 Capital Project Application
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WHICH OF THE FOLLOWING APPLIES TO YOUR PROJECT?
❑ Publicly owned and operated ❑ Owned and operated by a non-profit organization
❑ Publicly owned and operated by a non-profit organization
WHICH OF THE FOLLOWING BEST DESCRIBES YOUR PROJECT?
❑ Convention Center ❑ Sports Stadium ❑ Sports Arena ❑ Coliseum
❑ Auditorium ❑ Aquarium ❑ Museum ❑ Zoological Park
❑ Nature Center ❑ Fishing Pier ❑ *Beach or Beach Park Facility
WHICH OF THE FOLLOWING APPLIES TO YOUR PROJECT?
❑ Acquire ❑ Construct ❑ Extend ❑ Enlarge ❑ Remodel
❑ Repair ❑ Improve
*IF YOU CHECKED THE BOX FOR BEACH OR BEACH PARK FACILITY, WHICH OF THE
FOLLOWING APPLIES?
❑ Improvement ❑ Renourishment ❑ Restoration ❑ Erosion control
❑ Maintenance ❑ Construct ❑ Repair
If the TDC/County requires a Conservation Easement Deed or mortgage note requiring
repayment of TDC monies in the event of transfer of ownership or change in use of the
premises, would you be agreeable to executing same?
❑ Yes ❑ No
Code Enforcement: Does your organization/property have any outstanding code violations?
❑ Yes ❑ No If you have answered yes, please explain below:
Monroe County Tourist Development Council FY 2015 Capital Project Application
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Application is for % of total funds to be obtained from all sources.
Has applicant received previous TDC assistance: ❑ Yes ❑ No
If yes, please specify year, amount, and nature of project.
List any previous grant-in-aid assistance received by the applicant or for the property from any
government agency. Indicate year of award, amount, division which awarded the grant, and a
brief description of the project assisted by each.
For purposes of this application no n701rn than tWrnrrt.y...fiv (25%) petrent of total project cost shall
be of in kind services and n7atenals No in 11<lnd sery Ihallll app y to Uhe acqd§tlon of
"nu" Iperty I DC regUir iffrnn tli n in rrrr ti ing UIln t II"nroject funds are in IIDIIace at Uhe tlrne of UIlnl
applllcatlon for grant funds (see :°Ierforimance Guarantee on Image .) Enclose proof of funding
as Exhibit B. I:�ayrn nl li % ur61mbuirsern unt of Uhe t t II cost of eadh segiment of Uhe :rr p t,
subject ec t to Uhe calm on Ip e n li to r for UIln l segirneinI as set film li on Uhe agreernenl. II"n lln 11 lcanl
n usl Iloe nurrnlpare to IIn y Uhe enlire cost uiin IlWduiin uiin Illnuiun f segimenI in van f eekl ling
UIln % ur61m b a irs e rn int ( II he protect t iimay IIoe o ro ke n down li n10 k or 3 segimenIsnun one
Monroe County Tourist Development Council FY 2015 Capital Project Application
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segiment lis cornpIeted, urn li a b a ur urn nt of % of UIh t cost can Ihoe appII lied for UIh r ug Ihn Uhe IL..II::: .�
::or acqU§Lon of Droperty see li rnpoilanl li in f rim a L un on Image 5.
a) TDC Funds Confirmed/Available Confirmed Total Project
Requested: Hard-Dollar Funds: In-kind Funds: Cost-
(Up Ip to a urn nn Ii urn a urn of
25% of protect)
b) State source of resources for the project specified in this application-
(i) Hard-dollar: $
(ii) In-kind: $
In the space below list all in-kind services and goods and their values. These values are subject
to negotiation with TDC/County. Please refer to page 4 of this application.
In the space below list the specific items/services, and the estimated dollar amount for each of
those items/services that your requested TDC funds will be spent on:
Monroe County Tourist Development Council FY 2015 Capital Project Application
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IIII'° !III II III!II III III 114""'III
1. Use:
a) Original use of structure and date of construction:
b) Modifications to the present date including date & description:
c) Present use-
d) Any other uses between original and present:
e) Proposed use:
f) Insert or attach photograph of existing site (Enclose as Exhibit C).
g) Historic designation: Indicate whether the property has been listed in the National
Register, is located in a National Register district, is a locally designated historic landmark or is
located in a locally designated historic district. If located within a historic district, provide the
official name of the district. This information is available from the planning agency having
jurisdiction over the property.
All Capital projects funded by the TDC shall be owned and operated by a governmental entity or
non-profit organization. Applicant shall provide proof of property ownership, long-term lease or
service contracts for consideration of funding, and should show sufficient expertise or financial
capability to operate such facilities (Enclose as Exhibit D).
Monroe County Tourist Development Council FY 2015 Capital Project Application
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2. Ownership or other interest in property by applicant:
a) Official records reference for ownership documentation
b) If not owned by applicant, provide long-term lease of property, or service contract and
provide notarized consent letter from owner for use of property as outlined in this
application
3. If proposed project calls for transfer of title of real property to County, at least two (2)
current real estate appraisals and one (1) environmental assessment shall be provided
(Enclose as Exhibit E). The TDC/County shall ascertain, prior to acceptance of any donation
or prior to purchase, that the property will pose no environmental hazard or liability for same, to
County. The TDC/County must also ascertain permissible governmental interest in the transfer
of title. Indicate any such proposed title transfers here.
4. This paragraph applies only to an acquisition funding request, but you will still need to
complete items 5 through 13, whether this is new construction or renovations, additions or
exhibits. he nnnnxlinnurn gr nl nnnn unl frorn loui sl dev6oprnenl revenue for an
UixliLon Drojecl slhalll un l exceed % of Uhe nurcu In x rn unl. Indicate the area of the
property to be acquired in acres.
In evaluating applications for acquisition funding, an important consideration is the
appropriateness of the size of the site to be acquired. Determinations of the appropriateness of
site size will be made on a case-by-case basis and will depend on the characteristics for which
the property is considered to be significant. Sufficient property should be acquired to assure that
the historic relationship of a structure or archaeological site to its surrounding environment is
preserved. However, it is important that no more property than is necessary to achieve
established preservation objectives be included in the acquisition project application. As this
factor is crucial to favorable consideration of your grant application and will have substantial
impact on the cost of the required application documentation, we encourage prospective
applicants to consult with the staff of the TDC Administrative Office prior to initiating the required
documentation.
Monroe County Tourist Development Council FY 2015 Capital Project Application
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5. Protection of property: Indicate any type of state or federal protection currently afforded
the property. It may be that more than one type may be applicable. Provide citations for
applicable local protective ordinances. Include copies of property-specific restrictive legal
instruments in an attachment. By signing and submitting this application, the proposer warrants
that all restrictions are disclosed. Failure to include every restriction on the property may result
in immediate termination of any agreement and demand for return of any monies paid
thereunder (Enclose as Exhibit F).
6. Is the property threatened by imminent destruction, deterioration or other loss which may
include demolition, vacancy, severe deterioration, loss of structural integrity, encroaching
development, adverse environmental conditions, vandalism, etc.? Be specific regarding the
nature of immediacy of the threat. If so, describe in detail:
7. a) Are there any building restrictions on the site? If so, describe. Attach copies of all
recorded easement and restrictive covenants. By signing and submitting this application, the
proposer warrants that all restrictions are disclosed. Failure to include every restriction on the
property may result in immediate termination of any agreement and demand for return of any
monies paid thereunder (Enclose as Exhibit G).
Monroe County Tourist Development Council FY 2015 Capital Project Application
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b) Is the proposed project compatible with the County's Concurrency
Requirements under the existing and proposed Land Use Comprehensive Plan?
❑ Yes ❑ No
Describe below how you have ascertained such compatibility. (Note: If your description
does not provide information about existing permits and/or review by the County Planning
Department, your application shall be rejected. Please list all permits required to complete this
project)
c) Is the proposed project compatible with the Municipality's Concurrency
Requirements under the existing and proposed Land Use Comprehensive Plan?
❑ Yes ❑ No
Describe below how you have ascertained such compatibility. (Note: If your description
does not provide information about existing permits and/or review by the Municipality Planning
Department, your application shall be rejected. Please list all permits required to complete this
project)
d) Does the site contain endangered or threatened species of flora or fauna?
❑ Yes ❑ No Describe/Explain-
Monroe County Tourist Development Council FY 2015 Capital Project Application
15
e) Indicate whether or not the project will be accessible to the handicapped per
Chapter 553, Part V, Florida Statutes and the Americans with Disabilities Act, Public Law 1012-
336.
❑ Yes ❑ No If not, provide a brief explanation:
f) Explain how your facility will utilize recycling within the work of your proposed
project:
g) Public accessibility and use: Indicate the extent to which the property is currently
or will be scheduled to be open to the public each year (hours per day, days per week and
weeks per year) upon project completion. Estimate the number of persons who will use or visit
the completed facility annually. For archaeological projects, if the site will not be accessible to
the public, estimate the number of persons annually who will be exposed to the interpretive
materials and reports resulting from the project. How was this estimate derived?
8. Describe present physical condition of site: (attach legal description per property tax
records). Indicate the present condition of the property by checking the appropriate term below:
❑ Excellent: The property is habitable and occupied; no repairs are needed. All
physical evidence indicates that the property is under continuous maintenance. Application is
for expansion and enhancement.
❑ Good: The property is habitable and occupied; only replacement or cosmetic repairs
are needed (e.g., peeling paint, missing ornamental features, windows, doors, some
deteriorated mortar, etc.) Property is maintained but in need of minor repair.
Monroe County Tourist Development Council FY 2015 Capital Project Application
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❑ Fair: The property is habitable but may be vacant. Both the structural integrity
(foundation, framing, etc.) and weather tight integrity of the property (siding, walls, roofing, etc.)
are in jeopardy because of prolonged neglect.
❑ Poor: The property is uninhabitable and vacant. Major structural repairs are needed.
Weather tight integrity has been lost. The property is derelict, abandoned and not habitable
without major rehabilitation work.
Also, list any specific factors or problems which contribute to the present condition of the
property.
9. Status of Project Planning: (Any work initiated prior to the approval of an agreement by
the Monroe County Board of County Commissioners will be at applicants own cost):
❑ Not yet initiated ❑ Initiated
❑ Schematics complete ❑ Design development completed
❑ Construction documents completed
10. Name and Address of Project Consultant (architect, engineer, contractor, etc.).
Enclose preliminary plans or architectural documents completed to date - 1 set (Enclose
as Exhibit H).
Monroe County Tourist Development Council FY 2015 Capital Project Application
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11. Has an agreement for architectural services or construction services been executed?
❑ Yes (costs will not be reimbursed by TDC)
❑ No
❑ Project does not require architectural services
If so, in the space provided below, indicate the scope of services to be provided under this
agreement and whether these services were obtained through competitive negotiations,
requests for applications or other process.
12. Describe the means by which the structure(s) affected by this project will be maintained
subsequent to restoration/rehabilitation. Include sources and estimated amounts of funding for
such maintenance. It is the County's policy not to fund operations and maintenance costs of
organizations notwithstanding any tourism promotional value of a project.
13. Estimated completion date
Monroe County Tourist Development Council FY 2015 Capital Project Application
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� �� IIC i C � Illf"""IIII i
1. How will the project enhance tourism in Monroe County?
2. Applicant must demonstrate the ability to complete the project as proposed and to
maintain and operate the project as a viable and long-term tourist attraction that is open to the
public.
Included in this demonstration should be a summary of the applicant's past grant
experience, past two (2) year's financial statements, and proposed operational budget. (Attach
as Exhibit 1)
3. Outline your marketing program efforts to promote this facility as a tourist attraction:
Monroe County Tourist Development Council FY 2015 Capital Project Application
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� ' � ' C IIII IIII U IIII � ' IIII'° IIII°°'IIII C IIII IIr"" �� t IF� IIII IIII'°IIII C IIr""'IIII � '
Enclose as Exhibit
J
( )
I, , of the city of according to
law on my oath, and under penalty of perjury, depose and say that:
1) 1 am the applicant making the
application for the project described as follows:
2) The prices in this application 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 applicant or with any competitor;
3) Unless otherwise required by law, the prices which have been quoted in this
application have not been knowingly disclosed by the applicant and will not knowingly be
disclosed by the applicant prior to application opening, directly or indirectly, to any other
applicant or to any competitor; and
4) No attempt has been made or will be made by the applicant to induce any other
person, partnership or corporation to submit, or not to submit, an application for the purpose of
restricting competition;
5) The statements contained in this affidavit are true and correct, and made with full
knowledge that Monroe County relies upon the truth of the statements contained in this affidavit
in awarding agreements for said project.
VERIFICATION
I HEREBY CERTIFY that I have read the forgoing application and that the facts stated herein
are true and correct to the best of my knowledge and belief.
President's/Mayor's Name Typed President's/Mayor's Signature
Sworn to and subscribed before me this day of 20
personally appeared , , and
known to be the person named in and who executed the foregoing document.
My commission expires: Notary Public State of
Monroe County Tourist Development Council FY 2015 Capital Project Application
20
D 1 U f""'] UZE E III � IIII C� Illf""" " IIIIU
(Enclose
.......as.........Exhibit
K)
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
(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 application 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 application, the employee will
abide by the terms of the statement and will notify the employer of any conviction of, or plea of
guilty or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled
substance law of the United States or any state, for a violation occurring in the workplace no
later than five (5) days after such conviction.
5. Imposes a sanction on, or require the satisfactory participation in a drug abuse assistance
or rehabilitation program if such is available in the employee's community, or any employee who
is so convicted.
6. Makes a good faith effort to continue to maintain a drug-free workplace through
implementation of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the
above requirements.
Applicant's Signature-
Date-
Monroe County Tourist Development Council FY 2015 Capital Project Application
21
i°"i°°AC UUIEN I AND C 11 i IIII IIII C I N
(Enclose as Exhibit L
1. The following supporting documents are attached.
a) ❑ Print out of Sunbiz.org "Detail by Entity" (Exhibit A)
b) ❑ Documentation from bank of confirmed project funds (Exhibit B)
c) ❑ If applicable: Insert or attach photograph of existing site (Exhibit C)
d) ❑ Proof of ownership; long term lease or service contract (Exhibit D)
(Include consent of owner for use of property as described within this application)
e) ❑ If applicable: Enclose at least two (2) current real estate appraisals and one
(1) environmental assessment (Exhibit E)
f) ❑ If applicable: Enclose citations for local protective ordinances (Exhibit F)
g) ❑ If applicable: Enclose copies of all recorded easement and restrictive
covenants (Exhibit G)
h) ❑ If applicable: Enclose preliminary plans or architectural documents - 1 set
(Exhibit H)
i) ❑ Past two (2) year's financial statements and proposed operational budget
(Exhibit 1)
k) ❑ Notarized Non-Collusion affidavit and verification (Exhibit J)
1) ❑ Signed Drug Free Workplace Form (Exhibit K)
m) ❑ Notarized Attachments and Certification form (Exhibit L)
VERIFICATION
I swear and certify that the information contained in this application is true and correct, and that
I am the duly authorized representative of the applicant.
President's/Mayor's Name Typed President's/Mayor's Signature
Sworn to and subscribed before me this day of 20
personally appeared , and
known to be the person named in and who executed the foregoing document.
My commission expires: Notary Public State of
Monroe County Tourist Development Council FY 2015 Capital Project Application
22