08/31/2020 Agreement Monroe County Purchasing Policy and Procedures
ATTACHMENT D.5
COUNTY ADMINISTRATOR
CONTRACT_SUMMARY FORM FOR CONTRACTS LESS THAN$50,000.00
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Contract with: BERRY PAINT Contract#
Effective Date:
Expiration Date ��� rt �r
Contract Purpose/Description:
;'fr R , ICANE'WATER``INTRUS]O.N,=; }ARPET„WAS C.O`MP ETELY:SOAKED.,,. ..
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AN LANTaTIOI ICEY.TAX COLLECTOR E4 "IS`13UI1~pING`...
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Contract is Original Agreement Contract Amendment/Extension Renewal
Contract Manager: �s
(Name) (Ext.) (Department/Stop#)
CONTRACT COSTS
Total Dollar Value of Contract: $ (IS '°. r Current Year Portion: $
(must be less than$50,000) {If multiyear agreement then
6,217 2 requires BOCC approval,unless
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tonal cumulalive axsloum is less
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Budgeted?Yes[] No❑ Account Codes: ----
Grant: $ 15.406.26 r=—_ 125-0459110-530490-
County Match: $ 810.86 --=---== IRPG7095-530460
ADDITIONAL COSTS
Estimated Ongoing Costs: $4/yr For:
dot included in dollar value above) (e.g.maintenance.utilities 'anitorial salaries-_etc.
CONTRACT REVIEW
Changes
Date In Needed R%3j=P.L Date In
Department Head Yes[:]No® William DeSantis 8/27/20
oipitaly slpnea by PoWd.
County Attorney Yes❑No[✓ Patricia Eables Zo2,�.=,,,2,; 8/27/2020
8-27-2020
Risk Management YesEDqo❑✓ Maria Slavik o«..MO08 27 11 51 13 fR
Ograry sgned by JWio Cune°
O.M.B./Purchasing Yes❑No�
Julie Cuneo ' �°z°��,z.�s� 8/27/2020
Comments:
Revised BOCC 3/18/2020
Page 74 of 92
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
REQUEST FOR SERVICES
FOR
REPLACEMENT OF FLOORING AT
PLANTATION KEY TAX COLLECTOR'S
OFFICE
BOARD OF COUNTY COMMISSIONERS
Mayor Heather Carruthers, District 3
Mayor Pro Tern Michelle Coldiron, District
Craig Cates, District 1
David Rice, District
Sylvia Murphy, District
COUNTYI17 T
Oman Gastesi
Clerk of the Circuit Court Facilities Maintenance Director
Kevin Madok Willie DeSantis
0112712020
PREPARED
Monroe County Facilities Maintenance Department
Monroe County Facilities Maintenance
u �
3583 South Roomvclt Blvd.
Key West,FI. 33040
Monroeill ! Maintenance
Date: January 27, 2020
Scoperk Replacement of flooring at Plantationy Tax Collector's
Office.
Job Name: Plantation Key Tax CI c r—Flooring—IRMA Damage
Job Location: Ink do a ollecor's Office
88800 Overseas Highway
Governmental Center Annex Building
Plantation Ke , Florida 33070
Contact: Facilities et
W,illie DeSantis
_ i ill Lam@ monroecou t - ,
) 79 -1250
hrissy ollins
Coll l - ri g@mo p un -fl y
( ) - 71
PROJECT OVERVIEW
PROJECT INTENT AND SCOPE
GENERAL REQUIREMENTS
I. Project Overview
a. Replacement of Flooring at Plantation Key Tax Collector's office located at
88800 Overseas Highway, Governmental Center Annex Building,
Plantation Key, Florida 33070, as a result of damage caused by Hurricane
Irma.
b. All Quotes are due by February 12,202 ,3:00 P.M.via email to _ I r-
r nro nth-I All Quotes must state they will be honored
for one hundred twenty (120) calendar days from submittal due date.
2. Project Intent and Scope
a. The project intent and scope of the work is to Furnish and install Flooring.
b. Contractor shall supply all of the needed materials and hardware to
complete the project and properly dispose of debris.
Page 2 of 45
Nionroct ty Faaeilitie Maintenarice
s
' t 3553 South Roosevelt Blvd.
Key West,FL 330440
. Summary of General Requirements
a. Contractor is required to provide protection for all existing surfaces.
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 and materials.
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: 7:00 A.M.to 5:00 P.M. Monday-
Friday.
i. All materials shall be approved by submittal prior to commencement of
work.
j. The provided pictures and measurements, if any, may be used for
estimating purposes. Contractor shall be responsible for any errors or
omissions in measurements or pictures provided.
k. Contractor shall provide a lump sum price by February 1 , 2020, at :00
P.M. via email as noted herein.
1. Contractor needs to be aware of weather and location and plan accordingly.
m. Contractor needs to be aware of the facility, its residents, and staff with
unusual schedules and plan accordingly.
n. Contractor shall provide a safety lift plan for all crane/hoist work.
Page 3 of 45
r®e Facilities Maintm e
t� '
353 South eSt[38wd.
�'�zsF�tz Key W at9 FL, 33040
o. Contractor to provide schedule for all phases of the project.
. Contractor to provide one3-ring Binder with all relevant documents.
. Contractor to coordinate all activities with concurrent site work being
performed, if any.
r. Insurance uir ents:
Workers' Compensation Statutory Limits
Employers' Liability 10 , 0 oily Injury Accident
$500,000 Bodily Injury by Disease,
policy limits
$100,000 BodilyInjury Disease
each employee
General Liability $200,000 per Person
$300,000 per Occurrence
$200,000 Property a a e
or
$300,000 CombinedSingle Limit
Vehicle $200,000 per Person
300,000 per Occurrence
$200,000 Property Damage
or
$300,000 Combined SingleLimit
Builders Risk Not require
Construction Bond Not require
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.
Page 4 of 45
onme County Facilities Maintenance
i 3583 Seth Roosevelt Blvd.
ti Key West,FL 33040
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
employees, agents, contractors or other invitees during the term of this
Agreement, O 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 $9 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 ( 40.00) 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.
FDEM Indemnification
Page 5 of 45
r �E
� s ) Monme County Facilities Mainicnanec
3583 South RaosLvelt Blvd.
Key Wcst,FL 33040
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.
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
helshe/it has not employed, retained or otherwise had act on his/her/its
behalf any former County officer or employee in violation of Section 2 of
Ordinance No. 010-1990 or any County officer or employee in violation of
Section 3 of Ordinance No. 010-1990. For breach or violation of this
provision the County may, in its discretion,terminate this 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 27.07, the requirements as folio
Page 6 of 45
rya
ry Monroc County Factlitics Maintenance
e.
3583 South Roosevelt Blvd,
1 Key West,FL 33040
1. 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 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. Nondiscriinationlgual 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 196 (PL 8-352) 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. 161-163, and
1685-1686), which prohibits discrimination on the basis of sex; ) Section 50
of the Rehabilitation Act of 1973, as amended (20 USC s. 79 ), which prohibits
discrimination on the basis of handicaps; ) The Age Discrimination Act of
1975, as amended ( 2 USC ss. 6101-6107) which prohibits discrimination on
Page 7 of 4
r
� Monroe County Facilities Mainterwrice
3583 South Roosevelt Blvd.
trey West,FL 33
the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92-
255), as amended, relating to nondiscrimination on the basis of drug abuse; 6)
The Comprehensive Alcohol Abuse and Alcoholism Prevention,Treatment and
Rehabilitation Act of 1970 (PL 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public
Health Service Act of 1912, ss. 523 and 527 (42 USC ss. 690dd-3 and 290ee-
3), as amended, relating to confidentiality of alcohol and drug abuse patient
records; 8) Title Vlll 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 11, 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, 194-1965 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 11, 7 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.
Page 8 of 45
Monme County Facilities Mairuenance
3583 South Roosevelt BlvdKey Wcst,FL 33M
This provision shall not apply to instances in which an employee, who has
access to the compensation information of other employees or applicants as a
part of such employee's essential job functions, discloses the compensation of
such other employees or applicants to individuals who do not otherwise have
access to such information, unless such disclosure is in response to a formal
complaint or charge, in furtherance of an investigation, proceeding, hearing, or
action, including an investigation conducted by the employer, or is consistent
with the CONTACTOR's legal duty to furnish information.
(4) The CONTRACTOR will send to each tabor 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 1126 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 1126 of September 2 , 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 COTRACTOR's non-compliance with the
nondiscrimination clauses of this contract orwith 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 2 , 1965, and such other sanctions may be
imposed and remedies invoked as provided in Executive Order 11246 of
September 2 , 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 2 , 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
Page 9 of 45
1, Monme County Facilities Maintenance
3583 South Ro=vclt Blvd
1 + Key West,FL 33040
the United States to enter into such litigation to protect the interests of the
United States.
11. Termination.
a. In the event that the CONTRACTOR shall be found to be negligent in any
aspect of service, the COUNTY shall have the right to terminate this
agreement after five (5) days'written notification to the CONTRACTOR.
b. Either of the parties hereto may cancel this Agreement without cause by
giving the other party sixty (60) days' written notice of its intention to do so.
c. Termination for Cause and Remedies: In the event of breach of any
contract terms, the COUNTY retains the right to terminate this Agreement.
The COUNTY may also terminate this agreement for cause with
CONTRACTOR should CONTRACTOR fail to perform the covenants
herein contained at the time and in the manner herein provided. In the event
of such termination, prior to termination, the COUNTY shall provide
CONTRACTOR with five ( ) 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 COU TY's False Claims
Ordinance, located at Art. I , 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) 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
Page 10 of 45
Mon Monmc County Facilities Maintenance
4, 3583 South Roosevelt Blvd
Key West,Fl. 33040
violation of the U T 's False Claims Ordinance, located at Art. I
Section 2- 1 et al. of the Monroe CountyCode.
. Scrutinized Companies:
For Contracts of any amount, if the County determines that the
Contractor/Consultant has submitted a false certification under Section
2 7.1 O, Flodda 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 er it has
given the Contractor/Consultant written notice and an opportunity to
demonstrate theagency's determination of false certification was in error
pursuant to Section 7.1 5(5)( ), FloridaStatutes, or (2) maintaining the
Agreement if the conditions of Section 8 .1 5( ), Florida Statutes, are
et.
Ill. MAINTENANCE
CONTRACTOR shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally
accepted accounting ri ci le consistently lieRecords shall be retained
for a period of ten (10) years from the termination of this agreement or for a
period of five ( ) 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
Page 11 of 4
Manme County Facilities Maintc=cc
3553 Booth Roasmit Blvd
y� 4 Key WcsL FL 33040
Section 24 of article I of the Constitution of Florida. The County and Contractor
shall allow and permit reasonable access to, and inspection of, all documents,
records, papers, letters or other "public record" materials in its possession or
under its control subject to the provisions of Chapter 119, Florida Statutes, and
made or received by the County and Contractor in conjunction with this contract
and related to contract performance. The County shall have the right to
unilaterally cancel this contract upon violation of this provision by the
Contractor. Failure of the Contractor to abide by the terms of this provision shall
be deemed a material breach of this contract and the County may enforce the
terms of this provision in the form of a court proceeding and shall, as a
prevailing party, be entitled to reimbursement of all ttorney'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.
( ) 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.
Page 12 of 4
a.
�. Monme County Foci lilies Munt=ancc
3583 South Roosevelt Blvd
k Key West,FL 33040
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.
1F THE CONTRACTOR HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO
THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN
OF PUBLIC RECORDS BRIAN BRADLEY AT PHONE# 305-292-
3470 DLEY-BRIAN OOECOUTY-FL.GOV ONOE
COUNTY ATTO EY'S OFFICE, 111,1 12TH Street, SUITE 408,
KEY WEST, FL 33040.
V. Right to Audit
Availability of Records. The records of the parties to this Agreement relating to
the Project, which shall include but not be limited to accounting records (hard
copy, as well as computer readable data if it can be made available;
subcontract tiles (including proposals of successful and unsuccessful bidders,
bid recaps, bidding instructions, bidders list,etc.);original estimates;estimating
work sheets; correspondence; change order tiles (including documentation
covering negotiated settlements); backcharge logs and supporting
documentation; general ledger entries detailing cash and trade discounts
earned, insurance rebates and dividends; any other supporting evidence
deemed necessary by Owner or the Monroe County Office of the Clerk of Court
and Comptroller (hereinafter referred to as 'County Clerk") to substantiate
charges related to this agreement, and all other agreements, sources of
information and matters that may in Owner's or the County Clerk's reasonable
judgment have any bearing on or pertain to any matters, rights, duties or
obligations under or covered by any contract document (all foregoing
hereinafter referred to as "Records") shall be open to inspection and subject to
audit and/or reproduction by Owner's representative and/or agents of Owner or
the County Clerk. Owner or County Clerk may also conduct verifications such
as, but not limited to, counting employees at the job site, witnessing the
distribution of payroll, verifying payroll computations, overhead computations,
Page 13 of 45
r
Monroe County Facilities Maintenance
3583 South Roosevelt Blvd.
Key best,F[. 33040
j
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. The County Clerk possesses the independent authority to conduct
an audit of Records, assets, and activities relating to this Project.
VI. PAYMENT OF FEES 1 INVOICES.
County shall pay pursuant to the Florida Local Goveent Prompt Payment
Act, Fla. Stat. Sec. 218.70, upon receipt of a Proper Invoice from the
Contractor. Payments due and unpaid under the Contract shall bear interest
pursuant to the Florida Local Govemment Prompt Payment Act.
The Contractor is to submit to the County invoices with supporting
documentation that are acceptable to the Clerk. Acceptability to the Clerk is
based on generally accepted accounting principles and such laws, rules, and
regulations as may govern the Clerk's disbursal of funds.
The County is exempt from sales and use taxes. A copy of the tax exemption
certificate will be provided upon request.
Final payment shall be made by the County, as the Owner, to the Contractor
when the Contract has been fully performed by the Contractor and the work has
been accepted by the County.
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 Il to Part 200, as amended, including but not limited to:
I. Clean Air Act 2 U.S.C. 7 1-7671 and the Federal Water Pollution
Control Act 33 U.S.C. 1251-1387 s amended. Contractor agrees to
comply with all applicable standards, orders or regulations issued pursuant to
the Clean Air Act ( 2 U.S.C. § 701-771 ) and the Federal Water Pollution
Control Act as amended (33 U.S.C. §1251-137) and will report violations to
FEMA and the Regional Office of the Environmental Protection Agency (EPA).
The Clean Air Act(42 U.S.C. §§701-7671 .) and the Federal Water Pollution
Control Act (33 U.S.C. §121-1387), as amended, applies to Contracts and
subgrants of amounts in excess of$150,000.
11. Davis-Bacon Act, s amend (440 U.S.C. §§3141-31481. When requir6d by
Federal program legislation, which includes emergency Management
Page 14 of 45
� , Monive County Facilities Maintenance
3593 South Roosevelt Blvd
- Key West,FL 33040
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- 1 , and 3146-
31 ) 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 FEA grant and cooperative agreement programs, including the Public
Assistance Program), the contractors must also comply with the Copeland
"Anti-Kickback" Act ( 0 U.S.C. 3145),, as supplemented by Department of
Labor regulations (29 CFR Part 3, "Contractors and 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 contract®r 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.
. 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. _ § 5.12.
Page 15 of 45
� &a
' w`'f, Mono County racultil Maint ce
3583 South R cvclt Blvd
'y}s i Key West,FL. 33040
III. Contract Work Hours and SafeW Standards Act 40 U.S.C. 3701-3708 .
Where applicable, which includes all FEA 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 Park 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 01.2 (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 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 10.220) must not be made to parties listed on the
government wide exclusions in the System for Award Management (SA ), in
accordance with the OMB guidelines at 2 CFR 180 that implement Executive
Orders 1259 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 19B9
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
Page 16 of 45
G, t.t Mon County Facilities Maintenance
3583 South Roosevelt Blvd-
�.�� � i� Key West,FL 33040
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.
VII. Compliance 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 items, is available at
EPA's Comprehensive Procurement Guidelines web site,
tto a� a.co m on7cre e si r r> t® l - is - b
piggram.
OTHER FEDERAL AND FEMA REQUIREMENTS
I. 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.
Il. Disadvantaged Business Enterprise(DBE)Policy and Obligation. It is the policy
of the COUNTY that DBEs, 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 DE'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 low), applicable
Page 17 of 45
h�F Yf
J Pfl�P t
Monroe Courity Facilities Maintcnance
� 3593 South Rooscvclt Blvd_
Key West,FL.33040
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 shall 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, OEN'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.
§20 .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 gossible.
b. Affirmative steps must include:
L 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;
iv. Establishing delivery schedules, where the requirement permi#s.
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 -
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 (DH )
and the Federal Emergency Management Agency's(FEA) access to records,
accounts, documents, information, facilities, and staff.
Page 18 of 4
monme County Facilities Maintenance
3583 Sarah Roosevelt Blvd
Keg West,FL 33040
Contractors/Consultants must: (1) Cooperate with any compliance review or
complaint investigation conducted by DHS; ( ) 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. Degartment of Homeland Security [DHS) Seal. Logo, and Flags. Contractor
shall not use the Department of Homeland Security sel(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 or constructive
change must be approved in writing by both the County and Contractor.
VI1. The Contractor is bound by the terms and conditions of the Federally-Funded
Subard and Grant Agreement between County and the Florida Division of
Emergency Management (Division) found at the following link on the Monroe
County web page: htt s:/ , _ nr o t p_/l r r
VIII. 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 19 of 45
J, � ,11
. E VO."Weccounly rnr � Mninkw� c�
3593 Soul R
1{cy Wcl,F' 130d
LTO: Monroe County Projectt
1 100 Simonton ., Room 2-216
Key t, FL 33040
Ck
The undersigned, havingcarefully a in t r n r renc r in ,
Specifications, r os I, and Addendathereto and other Contract ocu is for
the construction of:
Replacement of Flooring i
Tax Collector's Office
and havingcarefully examined the site r the Work is to be performed, having
become familiar with all local conditions including labor affecting the cost thereof,
and having iliaried himself/herself with material availability, Federal, State,
and Local laws, ordinances, rules and regulations aff tin or c f the
Work, does hereby proposeo furnish all labor, mechanics,superintendents, tools,
material, equipment, transportation servis s, and all incidentals necessary t
performn complete sai ork and work incidental hereto, in a workman-like
manner, in conformance ith said Drawings, Specifications, and other Contract
Documents including Addenda issued thereto.
The undersigned fu r certifies that he/she has personally inspected the actual
location h r 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 b
performed. ro oser shall assume the risk of any and all costs and delays
rising from the existence of any subsurface or other latent physical condition
which could reasonably antici to reference to documentary information
provided and madev it le, and from inspection nd examination of the site.
The undersigned agrees to commence performance of this Project within ten (1 )
calendar days after the date of issuance to the undersigned y Owner of the
Purchase Order. Once commenced, undersigned shall diligently continue
performanceuntil completion of the Project. The undersigned shall accomplish
Substantial o I io of the Project within Ninety (90) calendar s. The
undersigned shall accomplish Final Completion of the Project within Thirty ( )
calendar s thereafter.
Page 20 of 45
LIP
Mtanme Grimy Focilities Moinlenance
3583 Smah Roosevelt Blvd.
Key Well,PL 33040
Proposal shall be furnished I in words and numbers. I Is an
inconsistency between the two, the Proposal in words shall contro1.
-t �ff
(Total BaseProposal-words)
ors -
® olla
( s r !— rs
l acknowledge Alternates as f I! 1
�n
l acknowledge receipt of Addenda No.(s)or None
Dated
Page 21 of 45
35K3 Saud,Roosevell Blvd,
In addition, Proposer states that he/she has included a certified copy of Contractor's
License, Monroe o ty Occupational License, and Certificatef Liability h in the
minimum insurance requirements for this project-
Execution by the Contractor mustproject-be by a personit i to bind the entity.
IN WITNESS WHEREOF, the parties have causedthis Agreement to be executed
their duly authorized re resentatives, as follows:
Contractor:
Mailing : x
Number:Phone .
E.I.N.:
v�
C
Email:
°� ....
Date: Signed.
�1 ;me -
(Title)
Contractor , nes signature:.
L✓
Witness name: 4 reap ATTORNEYS OFFICE
00,10
Date: PAWMEAM
The County accepts the above proposal: pA�'
MON LINTY �:
Date:
y: outy ini rat r or designee
Page 22 of 45
I
Pztonr¢te i`ottnry rterrlrrt€s NiflifflewWRICU
3593 South i#a onveit Wvd,
Key west,FL 33040
p: t
Minori Owned Business Declaration
s tractor a gage y Munroe County duringthe
cb—*Jetion of work associ a with t e below indicated project
(Check one)
is a minority business enterprise,as defined in Section 288,703, Florida Statutes
r ..
�is not a minority business enterprise,as defined in Section 298.703, Florida Statute.%.
F.S. 2$$.703(3) "Minority business enterprise'' means any small business concern as defined in
subsection ( )(secbelow) 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
embers 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 an
with that group resulting in an un errepresetaion of commercial enterprises under the group's
control, and whose management and daily operations arc 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 non inority person to a
minority person within a related immediate family group if the combined total net asset value o
all members of such family group exceeds 1 million. For purposes of this subsection, the ter
6&related immediate family group"means one or more children under 16 years of age and a parent
of children or the spouse of such parent residing in the same}rouse or living unit.
RS 288.703(6) "Small business" means an indepcndently owned and operated business concern
that employs 200 or fewer permanem full-time employees and that,together with its affiliates,has
a net worth of not more than. million r any firm based in this state which has a Small Business
Administration ) certification, As applicable to sole proprietorships, the 5 million net worth
requirement shall include both personal and business investments.
oU•act r m re er t F. f r tno ifor atio .
,�
ontractoi ` 1 - ei' i .t. n6Ae County
Y.MAn i056�:Y.P510��
Signature Signature
Print NaWc: rint arn :
w
Title: Title/OMB Department:
Verified via:
lttt ®rr s.r on a.coin/ iretoris
r V
w. DEM Contract: Z0002
City/ at i 3
Date, , FEMA roiNt Number:
Page 23 of 45
s Moproe County i°ooifilies Mainknance
3333 Sadi Hwievch fflvd.
Key West,FL 33040
Certification Regarding
Suspension, Ineligibility
VoluntaryAnd cl i
CoveredContractor ctiIN
(1} The prospectivecontractor of the Reciplenk,.ry .-- , CertifieNy
submission f this document,that neither it nor its principals is presently debarred,
suspended, proposedfor debarment, declaredineligible, or voluntarily excluded
from ici io in this transaction by any Federal department or agency.
( ) Where thei i 's contractor is unable to certify to the abovestatement, the
prospective contractor shall attach an explanation o this form.
® T
S'gnatrRecipient'sNa
me
�:.- y
ameand Title. MDivision Contract Number
Streetfs� - AQ
res Project Number
City, State, Zip
ate
®m.
Page 24 of 45
t�
W Rfit molirm C'ntinly I`xcilthes MaIMC110,1cc
3583 South 1(auscvcll alvti
G Key West,R. 31140
VENDOR CERTIFICATION {
Project a cri t n( )- ~'w
Respondent Vendor Name;
Vendor FEIN: -�
Vendor's r a en fiv y Title, �c
Address,
City; State. zi
Phone umber mail dress:
Section 287A35, 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, 7 5,Florida Statutes,or is engagedin a Boycott of Israel.
s 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 287.136,Florida Statutes,the submission of a false certification may
subject company to civil penalties, ttorn '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
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 y: �._ ..
l who is authorized to
sign an behalf of the above referenced com
Authorized Sign ;
Title:
Note:The List are available at the following ep rt et7of nagement ServicesSite:
(t °rr da ,rttQ' a r ust _s ortrat' n1bJ&e_2UMh
psin ve r Ifa do convict sub
en a Isri in to comolaints vendor lists
Page 25 of 45
Monroe county facilities Mainsemme
3393 South Rmevell Rlvd,
Key West,M 33040
-------------------------------------------
NON-COLLUSION AFFIDAVIT
R:;v of the city of
according to law on, y oah, and under penalty of perjury, depose and say that.
1. 1 am
of the firm of
lamposer-making the P posal for the project described In the notice
calling for proposals for: v
and that I executed the said proposaf-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 restric
"Drnpetition; and
5. The statements c ntal d in is affidavit are true and correct,, and made with full
knowledge of said r *e
(Signature of Proposer Ikl (Date)
STATE OR,
COUNTY OF:
Subscribed and sworn to (or affirmed) before me, by means of Q-6hysical presence or
0 online notarization, on (date) by
A eu I e is personally known to
(name of affiant). k"
me or has pro aced
(type of identification) as identification.
SUSAN MAP AMEr ME1LEY C.—
WCOMBSION RMOM16(2 NO;TY F" LIC
SMEB.'FM 09.M3 0011M 1hM*lot 616 knom Q y M Commission fires:
4
Page 26 of 45
^v ,Mimirtic Coundy i°tsctlilics Mawlenancc
s 3583%oath l(cosevch Blvd.
Kcy Wcs9,1t1. 3304
,
LOBBYING AND
CONFLICT INTEREST CLAUSE
STATEMENTSWORN I010-1990
MONROE y FLORIDA
ETHIC,5,,.TL USE
" \
( Company)
" .. warrants that helit has not employed, retained or otherwise ct on his/its behalf
any former County officer oremployee In violation of Section 2 of Ordinance No. 010-
1990 or any County officer oremployee in violation f Section 3 of Ordinance No. 010-
1990. For breach or violation this provision the County may, in Its discretion, terminate
this contract without liability n also, in Its i!icrebon, deduct from h contract or
purchase rice,or otherwise recover, the full amo nt -n fee, commission, percentage,
it, or consideration pal t theformer County is y ".
(Signature) t
Date: S
STATE F: C®�'
COUNTY F. -g
Subscribed n r (or affirmed) before me, by means of 19/physical presence or
online notarization, on F - (date)
t). 'eAhe is personallyto
(t f i ntiic lion) i ntiicati ""
NOTARY
My commission expire : MELLEY
-
=EWWIMRES�.�
COMMISSIONG263116 (SEAL)
2023
e Insurace
Page 27 of 45
_KA
Mm mme County racitair-S mahunance
hey °"i,FL 33040
V .
WORKPLACE ------------
The undersignedr in accordance with Florida StatuteA87,087 hereby certifies that:
C a - C7,
�b
( a f udi ss)
1 Publishes a statement notifying employees that the unlawful manufacture, distribution,
dispensing, ossessin, or use of a controlled substance is prohibited In the workplace
and specifyingthe 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 drug-free workplace, any available drug counseling, rehabilitation,
and employee ssistace programs, and the penalties that may be imposed upon
employees for drug u violations.
3. Gives c employee engaged in providingthe commodities or contractual services that
re under proposal a copy of the statement specified in subsection (1).
. 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 o ,
or plea of guilty or polo contender contendere to, any violation of Chapter 893 (FloridaStatutes) or
of any controlled substance law of the United States or any state, for a violation occurring
in the workplace no later than five ( )days after such conviction.
. Imposes sanction on, or require the satisfactory participation in a drugabuse assistance
or rehabilitation program if such is available in the employee's community, or any
employee who is so convicted,
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 trnd-mplieplully with the above
requirements,
E
o is i n
STATE OF;
COUNTY OF:_'�_\�),
Subscribed and sworn to (or affirmed) before me by means of h sic l presence or 0 online
notarization, o _ (date) by
_ (name of a it). He/She is personallyknown t
me or has produce -__ (type of identification) a
Idt ..
SUSAN MARGARETEELEY
WOOMNSWN#GG283116 TA
EVIRES, 09,2023
Bonded lhr® ist Stale inwarr a
Commission Expires:
Page 28 of 45
Munroe County Fam Idles mahliellance
3583 sokoh Rousaveh ti W
ley West,11, 33040
PUBLICIY CRIME STATEMENT
person or affiliate who has been placed on the convicted vendor list following
conviction for public entitycrime may not submit a bid contract to provide any goods
or services to a public entity, may not submit a bid'. 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 siess with anypublic entity in excess of the thresholdon
provided in Section . 1 , Florida Statutes, for CATEGORY TWO for a periodof 3
ants from the date of being placed on the convicted vendor list."
t ave read the above and state that ter
A ro oser's ) nor any Affiliate
s be placedt ' v d vendor list witiviln the last thi y-six O months.
(Signature) t
Date:
STATEF:
COUNTY
Subscribed sworn t ( r affirmed) beforey means of iphysical presence or
4jRline notarization, o (date) by
c (name o fi nt). 1 e is personally
o n to r has r ,+ Wry �tp (type f
identification) s identification.
`rry MIS MISAN MARGARETMELLEYrr MN
I -
#002 118 �
P! 09,2M3
'•" Onrtded"nus lot stale fnsumma Nay Commission pares:
(SEAL)
Page 29 of 45
d,
roc County Facilatim Maintenance
t an 3593 South Roosevel Blvd
Key West,FL, 33040
INSURANCEREQUIREMENTS AND FORMS
MONROE COUNTY, FLORIDA RISKEPOLICY AND
PROCEDURES ,
General Insurance Requirements For
Cher 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 30 of 45
' Monroe County Facilities Maintmawe
3583 South Rcosewlt Blvd.
Key West,FED 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 ( 0) 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 forWorkers' 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 31 of 45
Monroe Cmmly Fasslaws Maintenunce
r 3583 South Romyelt Blvd
$ Key West,14L 3304€!
7
PROPOSER'PROPOSER'S INSURANCE AND INDEMNIFICATION STATEMENT
INSURANCE REQUIREMENTS
Workers' Compensation Statutory Limits
Employers' Liability $100,000 Bodily Injury by Accident
00,000 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
00,000 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, L.D 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, ( ) 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 32 of 45
Monroe County Pacitiiics masiaticaeueace
3583 Saudi R seveii Blvd,
, Key l al,FL 33040
except to the extent the claims, actions, causes of action, litigation, roc in s, costs or
expenses rise from the intentional or sole negligent acts or omissions the County or
any of its employees, ets, contractors or invites (other than Contractor). The
monetary limitation of liability under this contract shall be not less than $1 million per
occurrence pursuant to Section , Florida Statutes. Insofar as the claims, actions,
causes of action, litigation, proceedings, costs or expenses relate o 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 proj ct (to include the work of others) is delayed
or suspended result of the Contractors failure to purchase or maintain the required
insurance,the Contractor shall indemnify the County from n II increased s
resulting from such delay. Shouldclaims sserteagainst the of virtue of
any deficiency or ambiguity in the plans and specifications rovi ontr ctor,
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 ount ' h I .
The first ten dollars ( 1 ) of remuneration i tote Contractor is for the
indemnification provided for the above.
The extentof liability is in no way limited , reduced, or lessened by the insurance
requirements contained elsewherewithin this Agreement.
FDEIVI 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, not limited t ,
reasonable attorne 's fees, to the extent caused y the negligence, recklessness or
intentional wrongful misconduct of the Contractor and persons employed or utilized by
the Contractor in the performanceof this Contract.
This indemnification shall survive the termination of this Contract. Nothing contained i
this paragraph is intended to nor shall it constitute waiver of the tat of Floridathe
(County) Agency's sovereign immunity.
PROPOSER'S STATEMENT
I understand the insurance that will be mandatoryIf awarded e contract and will comply
in full with all of the requirements herein. I fully n
accept t �e e ification and hold
armless and duty to defends set out in this proposal.
PRO
" W Signature� `
_
._ _ Page 33 o
Munroe counly Fficilkies malmenrince
3593 gatd s Rmeyell ON.
Kay West,FL 33040
i
0
INSURANCE AGENT'SI
e I
r 4
I have reviewed the above requirements it the proposer named ab e. The following
deductibles ly to the corresponding policy.
POLICY DEDUCTIBLES
fi
i
I
f
CLiability olici r ccurr c lai aIt
I
'.
V-
insurance Agencyi n t r
t
k
i
4
S
Page 34 of 45
i
IS GATE(iMW )
ACCPRO
li-.� CERTIFICATE OF LIABILITY INSURANCE
Sll aza
IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA71ONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.T IS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY D,EXTEND OR ALTERTHE COVERAGE AFFORDED BY THEPOLICIES
BELOW. THIS CERTIFICATE OF INSURANCE T CONSTITUTE A CONTRACT BETWEEN THE ISSUING I SU ER(S),AUTHO
REPRESENTATIVE OR PRODUCER, ND THE CERTIFICATE HOLDER.
IMPORTANT. If the certificate holder Is an ADDITIONAL INSURED,the olic (le )must have ADDITIONAL 114SURED provisions or he endorsed.
If 3LIBROGATION IS WAIVED.sublect to the terms and conditions of the policy,certain policies may require an endorsement, A statement an
IS certificated s not canter rights to the certificate holder in Ilan of h ondo ont(s).
Pw ucin N T.Haruitton loom
liamillea Fax&Company,Ina., Na sr: 9 •263-1947 ®Na
12651 South Dixie Ifury Suitc 329 °MLAIL
ADDRESS. iljnu Iuo illunC®xit�s.cn'n
INSURER(B)AFFORDJNGCOW CE HMO 0
P1necrest FL 33156 INSURER A-. SCOTTSDALE INSURANC13COMPA 41297
INSURED iN s: TECHNOLOGY INSCO INC 42376
BctrO Paint 4&aiipal r&Flooring,lne- IMsuRER C I SAFF-POINT INS CO 15341
590 N Hanicstced Blvd I S R :
INSU R :
HOGICstced FL 33032 01SU ERF:
COVERAGES CERTIFICATE NU ER; REVISION NUMBER.,
THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERM
INDICATED. ITNSTANDINO ANY REOUIREMENT,TERM OR CONDITION Y CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH I
CERTIFICATE MAY BE ISSUIED OR MAY PERTAIN,THE INSURANCE AF ORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
ELUSIONS AND CONOrrtONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TR TYPE OF INSURANCE INSO wvc POLICTNUMBFIRtmwGoNYYn LIAMTS
COMIAERCIALO 6RAL UAGILITY FACHOCCURRENCE 3 11
CLAIM& C!R PREBAIS Ea e S 100,000
AI- ota peraan) S 5.001)
Y C:PS29641 S 02111/2020 021I 112021 PERSONAL A ACV INJURY S 1,00().Om
O=NN'L AGGREGATE UN,rf APPLIES GENEMAGGREUAM 3 2,000,000
PRICY ,cm' LOC PRODUCTS-C 1OPABD 3 2, 0®d
MOTKR $
AUTOMOBILE LPABUJW $
APPROVED RISK A ENT
ANY A BODILY INJURY(Pier pa man) It
OWNED[OS Y AUTOS{fltlEO SOL79LY INJURY(Per® enl) S
IRRIU ONLY AUTOS ONLY t*qe® nt z S
AUTOS
UMBRELLA LIAO CC R EACHOCCURRENCE S i
A MESSLIAO LICLAWS-MADE X13SCIE13875 0211112020 0211112021 AooREoATE S
DEa I ng HnONS S
ace SCOran SATs ATUTE ER
AND EMPLOVERSLIABILITY Y f N
ANY PROPMETORIPARTNEPrOtECUTIVE E.L.EACH RCC ENT S 5 ,
13OFMCERRAVMEREKCLU(3 7 N NIA TWC3948997 02/11/2020 02121/2021
(Nandetary In NH1 E.L.DISEASE-EA EMPLOYEE S 500,000
If yyam,dg under
CE PT I CF OPERATIONS 4nw E.L.DtSE -POLICY LIMIT S 500,000
Building 21,5
C Catnnlerreinl Property E
EPCPA002 3-01 02JI 1/2020 02111120 1 Business Perna I Propa S400.000
Business Interruption 1 1250.000
OESCRIFITON UP OPERAWONS I LOCATIONS I VEIMCLES JACORD 101,AddlOonal Remarks Schedule.maybe aftachod If Awn spac&Is required)
ct 's paint,wallpaper&flooring company
CERTIFICATE CANCELLATION
SHOULD OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,N0710E WILL DELIVERED IN
Monme County BCOC ACCORDANCE E POLICY PROVISIONS,
lilt 121h Street AUTHORU!EO REPRESENTAIWE
Suite 409
y West FL 33D40
IS S-2 15 ACORD CORPORA110N. All rights reserved.
ACORD 2 (2011 03) The ACORD name and logo are registered arks of ACORD
.® � �taase�e i;nua99y Ina�9itmca ta'stalcna��ce
3583 Saudi Hoomyeft Blvd
Kcy West,FL 3304
INSU 1ANCE AGENT'ST T E T
I have reviewed the above requirements NWithQ prooposer named above. The following
deductibles apply to the corresponding policy.
G
x
POLICY DEDUCTIBLES
C86 331- 7-59, 045 1355- 16- 9
5 136- 16- , C9 17 -G16-5
E64 6305- Q2-59,E65 2555- 05-59
E7.1 9045-1312-.59.E94 2616-D26-59_ r
Liability policies are per Occurrence Claims Made
T GEORGE MERONI INSURANCE AGGY INC
Insurance Agency Signature
i
16 9211- 17-5 , 273 513- 16-5
275 7666- 15- , 3544-F1 -59
l
r
i
i
I
Page 34 of 45
5
a
=a10'2YY0yy'
CERTIFICATE OF LIABILITY INSURANCE
IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING i SURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER.
IMPORTANT, If the certificate holder Is an ADDITIONAL INSU EDr the policy(les)must have ADDITIONAL INSURED provisions or be endorsed,
If SUBROGATION IS WAIVED,subject to the[arms and conditions of the policy, certain)policies may re hire an endorsement. A statement an
this certificate does not confer rI fiats to the certificate holder in lieu of such endorsement a.
PRODUCER GEORGE MER NI
r' T GEORGE MERONI INSURANCE AGENCY INC E 305-247- 971 305-247-4055
1501 N K TOME AVENUE GEORGE EO GEMERONI.COM
" HOMESTEAD,FL 33030 wSuRERa F ace uE NAtcs
INSURER A, State Farm Mutual Automobile ile Insurance Company 25178
INSURED INSURER 5
S R Y'S PAINT WALLPAPER&FLOORING INC -INSURERe
896 N HOMESTEAD BLVD ARSURER O
HOMESTEAD FL 33030-5D91 INSURER e:
INSUR F
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 W17H 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 SEEN REDUCED BY PAID CLAIMS
WER TYPE OF INSURANCE PO Y u Y �
LM LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S
CLAIMS-MADE OCCUR
MEIf EXIu An nnm roerarniU ',5
PERSONAL d ADV INJURY 3
OEITL AGGREGATE UNIT APPLIES PER: GENE AGGREGATE S
CT El LOC PRODUCFS-COMPJOPAGG S
OTHER:
AUTOMOBILE LIABILITY Y 190 9211-D17-59 04/171202D 1011712020 t EL r 1,000,000
ANY AUTO 275708&B18- 9 08/1812020 0211812021 BODILY INJURY(Par prraan) s
OWNED SCHEDULED BODILY INJURY IPar doddano,$
Autos ONLY AUTOS
HIRED NON-OWNED PROPERrfOAMME
AUTOS ONLY AUTOS ONLY APPROVED RISK A IANAGE NIENT
---------------
�EXCESS
OCC EACH CURRENCE CLAIMS-M E AGGREGA7E
riTt S
WORKERS COMPENSATIONTH•
AND E LOVERS'LIABILN-Y Y I N 8-26-2020
ANY FROPR ARTNf XECUTNE N!A F-L EACH ACCIDENT S
OFFICE EMSEREXCLUDED7
IMAndatery1nHH1 E.LDISEASG-FA EMPLOYE S
re aa ddecflbo er
S61UPTt OF OPERATIONS bakes E.L.DISEASE-POLICY LIMIT S
T'
DESCRIPTION OF OPERATION$I LOCATIONS 1 VEHICLES(ACOAD 101,Additional Raraatka Sctl4dut®,may On attached If more 4paca in required)
15 FORD TRANS 1S0 IFTNE1YM FKA 2074
05 CHEVROLET W3SO42 BX TRK 4KBB4 IU75JB01511
CER71FICATE HOLDERCANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
Monroe County BOCC:
1111 121h Street,Spite 400 AUTHORIZED REPRFSENrAnVF
Key West,FL 3340
196 -21fi ACORD CORPORATION. ll rights reserved.
ACORD 2 (201 1 3) The ACORD name and logo are registered marks of ACORD
1001408 132849,13 04.22.2020
DATE IN Y'MI
AC<::)I?V CERTIFICATE OF LIABILITY INSURANCE
tS12020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. N OR ALTER THE COVERAGE AFFORDED Y THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEENT ISSUING INSUR (S), AU ORl
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT- If the certificate holder Is an ADDITIONAL INSURED,the ollcy(ies)must have ADDITIONAL INSURED provisions or he andorsed,
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statoment on
this certificate does not confer rights to the certificate holder In lieu of such an orse ent s.
FNonlc �+' F
. OR GE MFRONI
F
StateFarm T GEORGE MERO I INSURANCE AGENCY INC PHONE 305 247 3971 _ ... FAX FAL3 247.446
1001 N KRONE AVENUE E FOR E FOR E ER NI.COM
AM
HOMESTEAD,FL 33036E IN8UR ffi AFFORDING CLUERACE NAIL�
sae_RA. Stale Farm Mutual Automobile Insurance Company 5170
Bounce INS ea N
BERRYS PAINT WALLPAPER FLOORING INCM;NNERc
896 N HOMESTEAD LVD INSUREAD,
HOMESTEAD FL 33 -50 1 INSURED u
—URCR F
COVERAGES CERTIFICATENUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEFOR THE POLICY PER165—
INDICATED. NOTNITHSTANDING 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.
INSLT TYPE OF INSURANCE A to R POLICY NUMBER PG kF!° POLICY152L' L Y'
COMMERCIAL GENERALLIA IUTY EACH OCCURRENCE S
CLAIMS-MADE CUR -504 a g S
.. rasa pararaql 5
PERSONAL&AOV INJURY i
�......... .,».-T......... .........x
CEADL AGGREGATE LIMIT APPLIES PEW G E E TC S
POLICY JE; ICIC _PRODUCTS-CO PPGPAGG
dT1tElti S
AUTO ®SILELIANLITY Y E64 6305-B02-59 001021202D 021 2/2021 I IItIEGSiPI Lr tt 1, D, 00
n
Y AUTO lie IRLY INJURY IPat p ) S
E65 2 -E05-59 020 0210012021
OWNED SCftOUL BODILY IN.1URY IP®r a Intl'S
Atl7 SLY AIJ'O'
a�n At'R,a nN E71 5-ITi 411 20 101121202
0 IslatYi$EIIIY oc s
Al9tt15GNLY uSS Y
E 2318- 2 - 9 0412 ® 1012612020 $
UMBRELLA LtA GC.CUR I EACH OCCURRENCE 'I �.
EXCESS UAR CLAIMS- E AG TE S
R U ENTI S
WORKERS CQUIPENSATION TH-
AND EMPLOVERS'LIABILITYY I N AT
ANY PROPRIETORIPARTNERMEXECUTIVE "° E.L H Cl FAT S ---
OFFICE EXCLUDED?UDED? R 9 A .�.- --- -
(Mandatary In NMI E.L.DISEASE-EA EMPLOYEES
C gas,d w
m3CRIPT02LOPERATIONS twkw I E.L,OMEASE•POLICY LIMIT S
DESCRIPTION GP OPERATIONSILOCATIONS I VE ICLES(ACORG RIM,Adodanal ReMalks SchadUN.array ba rallached I$MONO MpIC4 Ia Mqul I
17 ISUZU NPR-HD 137H580 B24
20CHRYSLER300 2C3CCA8G9LHIa8647
17GMCYUKON IGKSICKJ7HR323101
16 FORD TRANS 150 IFTYEICMUJKA54915
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE A13OVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE aM.IVERED I
ACCORDANCE WITH THEPOUICY PROVISIONS.
rime Cowl Cowly BODO
1111 121h Street,Saute 400 A REPfiESEiWATIYE
Key West,FL 33040
1980-2015 ACORD CORPORATION. II rights reserved.
ACORD 2S( 1 0 ) The name and logo are registered marks of ACORD
1014M lams.13 04.22m2
ACC)RDO CERTIFICATE OF ILITY INSURANCE DATE IM YYI
®S11I202
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE RTI AT HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED Y THE POLICIES
BELOW. THIS CERTIFICATE OF iNSURANCE DOES NOT CONSTITUTE A CONTRACT EEN THE ISSUING INSIJ E ( ), AUTHORIZED
REPRESENTATIVE ROY7 C ,AND THE CERTIFICATE HOLDER.
IMPORTANT. If the certificate holder is on ADDITIONAL INSURED,the policy(le )must have ADDITIONAL INSURED provislons; r enendorsed.
If SUBROGATION IS WAIVED,subject to the forms and conditions of the policy,certain pollcies may require an endorsement. A statement on
this certificate does not comer rights to the cortifical®holder In lieu of such ando em nl s.
PRODUCER r GEORGE...CRONI
SfateFam T CECR E MERO N INSURANCE AGENCY INC PHONE 305 247-3 79
1 B01 N KROME AVENUE U44AIL a, GEOR EORGEM RO I.COM
HOMESTEAD,FL 33030 YNsam zER
OjIMOa��rd�
INSURER Slate Yn Mutual Automobile Insurance Company 25175
UISURVO INS R
BERRY'S PAINT WALLPAPER FLOORING INC INSURER C
896 N HOMESTEAD EL O INSURER 0
HOMESTEAD FL 33030.50 1 INSURER E
INSURER F i . . _.
COVERAGES CERTIFICATE VISION
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N EC ABOVE FOR THE POLICY PEFRU
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.
9R TYP
E OF INSURANCE
A 9 J9 POW"P CY NUMBER CIF PG Y EBP LIMITS
COMMERCIAL ENB L 11AINILTIV EACH OCCURRENCE S
-. CLAIMS E OCCUR �;; . _S
u...._...�.�....�,.__.,_..,A. men E%P
YPE ONAL$ADV INJU FY S
...............................,.,.,.,w................,...............................------..,.,.,.,.,.,......._ ., ..�, ..........
AGGREGATE LIMIT APPLIESFCR: GENERAL AGORFOAlE Y
POLICY :PRO.JECT Lac PRODUCTS-COMP A
.,a
_ DTY40;If: S
AUTO OBJLE L ILISY Y C60 33BI-E27-59 05127/2020 1112 /2020 �°. 4NEI} E LIbJYT i 000 000 ... .N^.
ANY AUTO BOWLYINJURY{PwPoi 'j S
— Ja�vN�T SCHEDULED 5135 -016-59 04116/2020 1011612020
AUTO ONLY AurOS
BODILY INJURY{ e e danD S
HIRED NON-OWNED 5 1356-Oi9-59 0411012020 11 020 PROPENTY[MM E tiuti... M..,u uNNNNNNNNNNN NNNMtiw..-.
TOS ONLY AUTOS ONLY
099 t 79®CIS-S3 0 1IW 0 D 0911012020
UMBRELLALIAB CUR IZACIY CURRE E S
ac SUAR C M5 APPROVEDRISK MANAGEMENT Aoc TE s
RED RETENn S $
YJCR RBCOMPESA1TCH CbTki-
N EMPLBYERa°LIAINUTY T
YJlJ
ANY tPft0PWrTGJhr`AE(YJE %CCU"Ve El.. HACONENT $
FICE .ore EREXCL D? N! S-2 - 02®
s4nda In Me E.L.CHSEASE<EAEMPLOYE S
I9 dw e? -- ---_--
I ;SI:RIPTold or OPERAI IONS 013 SE-FOLW.°LIMIT S
DESCRIPTION OF OPERATM&i LOCATWNG I VEHICLES(ACORD 10t Adc4ganol Piemonte Schedule,may be alt idled U snore space Ia m qulradi
OL
17 TOYOTA COROLLA 5YFSURHE9HP6962R0
15 KIA SOUL KNDJ1N2A20F7158324
99 CHEVROLET BOX TRK 4KSC4SiRSXJ0D344B
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITHTH POLICY PROVISIONS.
Monroe County BOCC
11 i 1121h Skeot.Suits 406 AWHORRED REPIISSENTATWE
Key West,FL 33040
1965- 015 ACORD CORPORATION. Aii rI reserved,
ACORD 25(20 ) The ACORD name and logo are registered marks of ACORD
1001488 11254%13 04m72.2020
ACCM" CERTIFICATE OF LIABILITY INSURANCE DATEWMANDIVYYY7
OW111120 0
THIS CER71FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT E EEN THE ISSUING INSURER(S)6 AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT. If the cortincsts holder Is an ADDITIONAL INSURED,the policy(Iss)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 endarsomant. A statement are
this cartlflciTta d s nal caI far r Tts Ia!h�carlllic l�fTaldsr to If�u®Fsuch ondc soTsn s,
'PRODUCER ?Or{ rat T OEOR MEfRONI
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06-247 71 �^$ 30 . 41-4CBS6
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HOMESTEAD,FL 33030 �®
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696 N HOMESTEAD BLVO INSURER u a -
HOMESTEAD FL 3' 30 1 � au eet N
INSPIRER r
COVERAGES CERTIFICATE NUMBER. REVISIONIJ
IS 13 TO CERTIFY THAT'rHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE OLIC'PERIOD
INDICATEM 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 TER
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SUOWN MAY HAVE BEEN REDUCED Y PAID CLAIMS
PT dC TYPE or INSURANCE OLIc EF1 e
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COMMERCIAL GENE LUAINUTY EACH OCCURRENCE
CLAIMS-MADE CLN1 17 P1TZCi �� NNNNNNNNNNNNNNNNti.,..
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AUTOMOBILE LIABILITY Y° 1:64 6305-1302-59 OEV0212020 0210212021 'ac ',® tN Lea€r s 1.000.000
ANYAUTO 5 2588-BOS•59 08MB12020 021081 21 8 r-V NauRY iP I"I) S
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CERTIFICATE HOLDER CANCELLATION
SHOULD ANY E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Monroo County BOCC ACCORDANCE WITH THE POLICY PROVISIONS,.
1411 121h Street,Suite 408 AUTUDINZED REPRESENTATTWE
Key West,FL 33040
988-2016 ACORD CORPORATION, All rights reserved.
ACORD 25( 016103) The ACORD name and logo are registered marks of ACORD
1W1480 13284113 04-. -20M
Monroe County Fasc9istaes hRaoaalcnasxce
3583 South R smit Blvd,
COUNTY, Key Wesk FL 3304U
MONROE FLORIDA
WAIVERREQUEST FOR INSURANCE REQUIREMENTS
It is requested t the insurance requirements, s specified in the County'sSchedule o
Insurance Requit nts, be waivedor modified on the following contract.
ntr tr enor:
Project or Service.
ContractorNendor Address
General Scope of or :
Reason for Waiver or Modificatiom
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 35 of 45
Monroo County Facilit hiaintcnance
3583 South Roosevelt Blvd
y u, Key West,FTC 33040
EXHIBIT "A"
DEPARTMENT OF LABOR IMAGE DETERMINATION
EXHIBIT"A" Page 36 of45
Monroe County Facilities Maintenance
3583 South Roosevelt Blvd
a Kcy West,Fl, 33040
i
'General Decision Number: FL2 200022 01/03/2020
Superseded General Decision Number: FL20190022
State: Florida
Construction Type: Building
County: Monroe County in Florida.
BUILDING COSTRUCTI N PROJECTS (does not include single family
homes or apartments up to and including 4 stories) .
Note: Under Executive Order ( ) 13 58, an hourly minimum wage
of $10. 0 for calendar year 200 applies to all contracts
subject to the Davis-Bacon Act for which the contract is awarded
(and any solicitations was issued) on or after January 1, 2015.
If this contract is covered by the E0, the contractor must pay
all workers in any classification listed on this wade
determination at Least $10.80 per Stour (or the applicable
gage rate listed on this wade determination, if it is higher)
for all hours spent performing on t_he contract in calendar
year 2020. If this contract is covered by the EO and a
classifications considered necessary for performance of work on
the contract does not appear on this wage determination, the
contractor must pay workers in that classification at least
the wage rate determined through the conformance process set
forth in 29 CFR 5.5 (a) (1) (ii) (or the EO minimum wage rate,
if it is higher than the conformed wage rate) . The EO minimum
wage rate will be adjusted annually. Tease note that
this E0 applies to the above-mentioned types of contracts
entered into by the federal government that are subject
EXHIBIT"A" Page 37 of45
' £ Mourne County Fuc€lplies Mainlenance
3583 South€i=Lvelt Blvd
tt�t� t Key We3t,FL 3 040
u
to the Davis-Bacon Act itself, but it does not apply
to contracts subject only to the Davis-Bacon Related Acts,
including '.dose set forth at 29 CFR . (a) (2) - (60) . Additional
information on contractor requirements and worker protections
ions
under the DO is available at www.dol.gov/whd/govcontracts.
modification Number Publication Date
0 /03/2020
ELEC0349-00309/02/2019
Rates Fringes
ELECTRICIAN. . . . . . . . . . . . . . . . . . . . . .$ 35.36 12.77
------®®--------------- ------------------------------___-----------
NG1 0497-004 07/ / 013
Rates Fringes
OPERATOR: Crane
All Cranes Over 15 Ton
Capacity. . . . . . . . . . . . . . . . . . . .$ 29. 00 8 .80
Yard Cranes Hydraulic
Crane, Capacity 15 Ton and
Under. . . . . . . . . . . . . . . . . . . . . . ®$ 22. 0 8.80
----------------------------------------------------------------
I ON0272--00 10/01/20 9
Rates Fringes
IRONWORKER, STRUCTURAL ND
EXHIBIT" off
Monrm County Facilain Maintenance
3593 South RooseveltBlvd.
33040
REINFORCING. . . . . . . . . . . . . . . . . . . . . .$ 25. 49 11. 99
---_.-.. ---._---_.-_.-------------------------- _-----------
PAI 0365-004 08/01/2019
Rates Fringes
PAINTER: Brush Only. . . . . . . . . . . . .$ 20.21 11.20
----------------------------------------------------------------
SF°FLO 21-0 1 01/01/201
Rates Fringes
SPRINKLER FITTER (Fire
Sprinklers) . . . . . . . . . . . . . . . . . . . . . a 25 .36 19. 44
-----------------------------------------------------------------
SHFF 0 2-00 12/01/2013
Rates Fringes
SHEET METAL WORKER ( I ACa Duct
Installation) . . . . . . . . . . . . . . . . . . . .$ 23.50 12. 18
----------------------------------------------------------------
SUFL200 -059 /2 /200
Rates Fringes
CARPENTER. . . . . . . . . . . . . . . . . . . . . . . . 15.08 . 07
CEMENT MASON/CONCRETE FINISHER. . . 12 .45 0.00
FENCE ECTOR. . . . . . . . . . ® ® . . . . . . ® . 9. 94 0. 00
1A Common or General. . . . . .$ 8 . 62 0. 00
EXHIBIT
Monrou County Facilitics Maintenance
35 3 out Roosevelt Blvd
�Qw k° Key west,FL 3304D
LABORER: Pipela er. . . . . . . . . . . . . . 10. 45 0.00
OPERATOR: ackhoe/Excavator. . . . . $ 16. 9 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: Suitt Up,
Composition, Foot Tar and
Single Ply. . . . . . . . . . . . . . . . . . . . . . . 14 .33 0 . 00
SHEET METAL WORKER, Excludes
HVAC Duct Installation. . . . . . . . . _$ 14 .41 3_ 1
TRUCK DRIVER, Includes Dump
and 10 'hard Haul Away. . . . . . . . . . o ® . 00 0 .1
---- ------------------____-----------__-----------__-_____-----
WELL PS - Receive rate prescribed for craft performing
operation to which welding is incidental.
Note: Executive Order ( ) 13706, Establishing PaidSick Leave
for Federal Contractors applies to all contracts subject to the
Davis-BaconAct for which the contract is away (and any
EXHIBIT"A" of 45
Monme County Facilities Maintenance
3593 South Roosev°eR Blvd.
t',t4 FKey Fast,FL 33040
s
solicitation was issued) on or after January 1, 2017 . If this
contract is covered by the CO, the contractor bust provide
employees with I hour of paid sick leave for every 30 hours
they work, yap 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 for 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
( 9C F .5 (a) (1) (ii) ) .
----------------------------------------------------------------
he boy 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
determination The classifications are listed in alphabetical
order of ""identifiers"" that indicate whether the particular
rate is a union rat (current union negotiated rate for local) ,
a survey rate (weighted average rate) or a union average rate
(weighted union average rate) .
EXHIBIT "A" Page 41 o
O
Monroe Co ty F ilits`es lvainw r3593 South R sevelt lvd
cy Wo3t,FL 33040
Union Rate Identifiers
four letter classification abbreviation identifier enclosed
in dotted lines beginning with characters other than 1111SWI r, or
'"'U VG"" denotes that the union classification and rate were
prevailing for that classificat l o-- in the survey. Example:
LLUM019 -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. 019
indicates the local union number or district council number
where applicable, i.e. , Plumbers Local 019B . The next number,
005 in the example, is an internal number used in processing
the gage determination. 07/01/ 014 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 ( ) governing
this classification and rate.
Surrey Rate Identifiers
Classifications listed unde..,., vhe ""SU"" identifier indicate that
no one rate prevailed for this cl.assificat.-Lon in the surrey 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: U 01 -007 5/13/2014 . SU indicates
the rates are survey rates based on a weighted average
calculation of rates and are not majority rates. LA indicates
the Mate of Louisiana. 2012 is the year of surrey on which
these classifications and :rates are based. The next number, 007
EXHIBIT age 42 of 45
Monroc County Facilnim Maintenance
?` 3583 South Roo3cvclt Blvd.
fey Wcst FI. 33040
in the: example, is an internal number used in producing the
wage determination. 5/13/2014 indicates the surrey completion
date for the classifications and rates under that identifier.
Survey wage rates are noL 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 these
classifications; however, 100 of the data reported for the
classifications was union data . EXAMPLE: U C- H-0010
0 /29/2 14 . UAVG indicates that the rate is a weighted union
average rate. ON indicates the state. The next number, 0010 in
the example, is an internal number used in producing the gage
determination. 08/29/2014 indicates the surrey 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/CB,negotiated/CBA rate of the union locals from which the rate is
based.
----------------------------------------------------------------
DETERMINATION APPEALS PROCESS
1. ) Has there been an initial decision in the matter? This can
be:
EXHIBIT "A" Page 43 of45
r w•�
Monroe County Fo-effitia Muinienance
5593 South Roosevoll Blvd
* an existing published gage determination
a survey underlying a gage determination
* a Wage and Hour Division letter setting forth a position on
a gage 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 Hoar
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 satisfacLory, then the process described in 2 . )
and . ) 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. e art Sent of Labor
200 Constitution Avenue, N.W.
Washington, DC 20210
. ) 1f the answer to the question in 1. I is yes, then an
interested party (those affected by the action) can request
review and reconsideration from the gage and Four Administrator
(See 29 CFR Part 1 . 8 and 29 CFRPart 7) , Write o:
Wage and Hour Administrator
U.S. Department of Labor
200 Constitution Avenue, N.W.
Washington, DC 20210
EXHIBIT"A" Page 44 of45
4
t 3583 Suuth Roosevelt Blvd
Key WmL FL 33040
The request should be accompanied by a full statement of the
interested art y' position and by any information (wage
payment data, project description, area practice material,
etc. ) that the requestor considers relevant to the issue.
m ) 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
Administrative € 'i w Board
U.S. Department of Caber
200 Constitution Avenue, i -W.
Washington,ton, C 2 210
. ) All decisions by the Administrative Review Board are final.
0 OF GENERAL DECISION
EXHIBIT"A" Page 45 of 45