02/17/2021 Agreement it Kevin Madok, CPA
gi
. ;' Clerk of the Circuit Court&Comptroller—Monroe County, Florida
DATE: February 23, 2021
TO: Judith Clarke, PE, Director
Engineering/Roads& Bridges
ATTN: Tyler Jackson, Project Manager
FROM: Pamela G. Hana.
SUBJECT: February 17th BOCC Meeting
Attached is an electronic copy of the following item for your handling:
C9 Contract with Mike Haack Excavation, Inc.,the lowest responsive responsible
bidder, in the contract amount of$139,557.27 for repairs to two existing culverts in the Cudjoe
Gardens neighborhood.
Should you have any questions please feel free to contact me at(305) 292-3550.
cc: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING
500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road
Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070
305-294-4641 305-289-6027 305-852-7145 305-852-7145
Cudjoe Drainage Rehabilitation Project
Section 00500
Standard Form of Agreement
Between Owner and Contractor
Where the basis ofpayment is a STIPULATED SUM
AGREEMENT
Made as of the 17thday of February in the year of Two Thousand and Twenty One.
BETWEEN the Owner: Monroe County Board of County Commissioners ("BOCC")
1100 Simonton Street
Key West, Florida 33040 ("Owner")
And the Contractor: Mike Haack Excavating, Inc.
127 Industrial Road, Suite E
("Contractor") Big Pine Key, FL 33043
For the following Project: Cudj oe Gardens Drainage Rehabilitation Project
Cudj oe Key
Monroe County, Florida ("Proj ect")
Oversight for Owner:
Engineer: HDR Engineering
1475 Centrepark Blvd., Suite 230
West Palm Beach, Florida 33401
The Owner and Contractor agree as set forth below.
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ARTICLE 1
The Contract Documents
The Contract Documents consist of this Agreement, Conditions of the Contract (General,
Supplementary and other Conditions), Drawings, Specifications, Insurance Requirements and
Documents, Milestone Schedule, Bid Documents and Contractor's Bid, Addenda issued prior to
execution of this Agreement, other documents listed in this Agreement and Modifications issued after
execution of this Agreement. These form the Contract and are as fully a part of the Contract as if
attached to this Agreement or repeated herein. The Contract represents the entire and integrated
agreement between the parties hereto and supersedes prior negotiations, representations or
agreements, either written or oral.
Notice Requirement
All written correspondence to the COUNTY shall be dated and signed by an authorized
representative of the CONSULTANT. Any notice required or permitted under this agreement shall
be in writing and hand delivered or mailed, postage pre-paid, to the COUNTY by certified mail,
return receipt requested, to the following:
Ms. Judith Clarke, P.E.
Director of Engineering Services
Monroe County
1100 Simonton Street, Room 2-216
Key West, Florida 33040
For the Contractor:
Mike Haack Excavation, Inc.
127 Industrial Road, Suite E
Big Pine Key, FL 33043
ARTICLE 2
The Work of this Contract
The Contractor shall execute the entire Work described in the Contract Documents, except to the
extent specifically indicated in the Contract Documents to be the responsibility of others, or as
follows:
Scope of Work is as specified in the Contract Documents and shown on the Drawings and in the
specifications. The contract constitutes the entire and exclusive agreement between the Owner and
the Contractor with reference to the Cudioe Gardens Drainage Rehabilitation Proiect.
ARTICLE 3
Date of Commencement and Substantial Completion
3.1 The date of commencement is the date from which the Contract Time of Paragraph 3.2 is
measured, and shall be the date of this Agreement, as first written above, unless a different date is
stated below or provision is made for the date to be fixed in a notice to proceed issued by the Owner
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Cudjoe Drainage Rehabilitation Project
as stated in Section 00350, milestone schedule. Unless the date of commencement is established by a
notice to proceed issued by the Owner, the Contractor shall notify the Owner, in writing not less than
five days before commencing the Work.
The date of commencement shall be the date specified in the Notice to Proceed issued to the
Contractor.
3.2 The Contractor shall achieve Substantial Completion of the entire Work not later than
60 Days after the Date of Commencement, subject to adjustments of the Contract Time as provided
by the Contract Document.
LIQUIDATED DAMAGES
Liquidated damages will be based on the Substantial Completion Date for all work, modified by all
approved extension in time as set forth by the Owner's signature of approval on the Certificate of
Substantial Completion. The liquidated damages table below shall be utilized to determine the
amount of liquidated damages.
FIRST SECOND 31st DAY&
CONTRACT AMOUNT 15 DAYS 15 DAYS THEREAFTER
Under 50,000.00 $50.00/DAY $100.00/DAY $250.00/DAY
$50,000.00-$99,999.00 100.00/DAY 200.00/DAY 750.00/DAY
$100,000.00-499,999.00 200.00/DAY 500.00/DAY 2,000.00/DAY
$500,000.0 and Up 500.00/DAY 1,000.00/DAY 3,500.00/DAY
The Contractor's recovery of damages and sole remedy for any delay caused by the Owner shall be
an extension of time on the Contract.
Uncontrollable Circumstance
3.3 Any delay or failure of either Party to perform its obligations under this Agreement will be
excused to the extent that the delay or failure was caused directly by an event beyond such Party's
control, without such Party's fault or negligence and that by its nature could not have been foreseen
by such Party or, if it could have been foreseen, was unavoidable: (a) acts of God; (b) flood, fire,
earthquake, explosion, tropical storm, hurricane or other declared emergency in the geographic area
of the Project; (c) war, invasion, hostilities (whether war is declared or not), terrorist threats or acts,
riot, or other civil unrest in the geographic area of the Project; (d) government order or law in the
geographic area of the Project; (e) actions, embargoes, or blockades in effect on or after the date of
this Agreement; (f) action by any governmental authority prohibiting work in the geographic area of
the Project;(each, a "Uncontrollable Circumstance"). CONTRACTOR'S financial inability to
perform, changes in cost or availability of materials, components, or services, market conditions, or
supplier actions or contract disputes will not excuse performance by Contractor under this Section.
Contractor shall give County written notice within 7 days of any event or circumstance that is
reasonably likely to result in an Uncontrollable Circumstance, and the anticipated duration of such
Uncontrollable Circumstance. Contractor shall use all diligent efforts to end the Uncontrollable
Circumstance, ensure that the effects of any Uncontrollable Circumstance are minimized and resume
full performance under this Agreement. The County will not pay additional cost as a result of an
Uncontrollable Circumstance. The Contractor may only seek a no cost Change Order for such
reasonable time as the Owners Representative may determine.
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ARTICLE 4
Contract Sum
4.1 The owner shall pay the Contractor in current funds for the Contractor's performance of the
Contract, for the Cudioe Gardens Drainage Rehabilitation Proiect the
Contract Sum of One Hundred Thirty Nine Thousand, Five Hundred and Fifty Seven
Dollars and Twenty Seven Cents, ($139,557.27), subject to additions and deductions as
provided in the Contract Documents.
4.2 The Contract Sum is based upon the following alternates, if any, which are described in the
Contract Documents and are hereby accepted by the Owner: None
4.3 Unit prices, if any, are as follows: As specified in Section 00110.
ARTICLE 5
Progress Payments
5.1 Based upon Applications for Payment submitted by the Contractor to the Owner, and upon
Project Applications and Certificates for Payment, the Owner shall make progress payments on
account of the Contract Sum to the contractor as provided below and elsewhere in the Contract
Documents.
5.2 The period covered by each Application for payment shall be one calendar month ending on
the last day of the month.
5.3 County shall pay pursuant to the Local Government Prompt Payment Act 218.70 Florida
Statutes.
5.4 Each Application for Payment shall be based upon the Schedule of Values submitted by the
Contractor in accordance with the Contract Documents. The Schedule of Values shall allocate the
entire Contract Sum among the various portions of the Work and be prepared in such form and
supported by such data to substantiate its accuracy as the Owner may require. This schedule, unless
objected to by the Owner, shall be used as a basis for reviewing the Contractor's Applications for
Payment.
5.5 Applications for Payment shall indicate the percentage of completion of each portion of the
Work as of the end of the period covered by the Application for Payment.
5.6 Subject to the provisions of the Contract Documents, the amount of each progress payment
shall be computed as follows:
5.6.1 Take that portion of the Contract Sum properly allocable to completed Work as determined by
multiplying the percentage completion of each portion of the Work by the share of the total Contract
Sum allocated to that portion of the Work in the Schedule of Values, less retainage of Five percent
(5%). Pending final determination of cost to the Owner of changes in the Work, amounts not in
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dispute may be included in applications for Payment. The amount of credit to be allowed by the
Contractor to the Owner for a deletion or change which results in a net decrease in the Contract Sum
shall be actual net cost as confirmed by the Owner. When both additions and credits covering related
Work or substitutions are involved in a change the allowance for overhead and profit shall be figured
on the basis of net increase, if any, with respect to that change.
5.6.2 Add that portion of the Contract Sum properly allocable to materials and equipment delivered
and suitably stored at the site for subsequent incorporation in the completed construction (or, if
approved in advance by the Owner, suitably stored off the site at a location agreed upon in writing),
less retainage of Five percent(5%):
5.6.3 Subtract the aggregate of previous payments made by the Owner; and
5.6.4 Subtract amounts, if any, for which the Owner has withheld or nullified a Certificate for
Payment as provided in Paragraph 9.5 of the General conditions.
5.7 The progress payment amount determined in accordance with Paragraph 5.6 shall be further
modified under the following circumstances:
5.7.1 Add, upon Substantial Completion of the Work, a sum sufficient to increase the total
payments to Ninety Five percent (95%) of the Contract Sum, less such amounts as the Owner
recommends and determines for incomplete Work and unsettled claims; and
5.7.2 Add, if final completion of the Work is thereafter materially delayed through no fault of the
Contractor, any additional amounts payable in accordance with Subparagraph 9.10.3 of the General
Conditions.
5.8 Reduction or limitation of retainage, if any, shall be as follows: None
ARTICLE 6
Final Payment
Final payment, constituting the entire unpaid balance of the Contract Sum, shall be made by the
Owner to the Contractor when (1)the Contract has been fully performed by the Contractor except for
the Contractor's responsibility to correct nonconforming Work as provided in Subparagraph 12.2.2 of
the General Conditions and to satisfy other requirements, if any, which necessarily survive final
payment: and (2) a Final Project Certificate for Payment has been issued by the Project Manager:
such final payment shall be made by the Owner not more than 20 days after the issuance of the Final
Project Certificate for Payment.
ARTICLE 7
Miscellaneous Provisions
7.1 Where reference is made in this Agreement to a provision of the General Conditions or
another Contract Document, the reference refers to that provision as amended or supplemented by
other provisions of the Contract Documents.
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7.2 Payments due and unpaid under the Contract shall bear interest pursuant to the Local
Government Prompt Payment Act 218.735.
7.3 Temporary facilities and services:
None.
7.4 Monroe County's performance and obligation to pay under this contract is contingent upon an
annual appropriation by the Board of County Commissioners.
7.5 Public Entities Crimes By signing this Agreement, Contractor represents that the execution
of this Agreement will not violate the Public Entities Crime Act (Section 287.133, Florida Statutes).
Violation of this section shall result in termination of this Agreement and recovery of all monies paid
hereto, and may result in debarment from County's competitive procurement activities.
In addition to the foregoing, Contractor further represents that there has been no
determination, based on an audit, that it or any subcontractor has committed an act defined by Section
287.133, Florida Statutes, as a "public entity crime" and that it has not been formally charged with
committing an act defined as a "public entity crime" regardless of the amount of money involved or
whether Contractor has been placed on the convicted vendor list.
Contractor will promptly notify the County if it or any subcontractor is formally charged with
an act defined as a "public entity crime" or has been placed on the convicted vendor list. A person or
affiliate who has been placed on the convicted vendor list following a conviction for public entity
crime may not submit a bid on a contract to provide any goods or services to a public entity, may not
submit a bid on a contract with a public entity for the construction or repair of a public building or
public work, may not submit bids on leases of real property to public entity, may not be awarded or
perform work as contractor, supplier, subcontractor, or consultant under a contract with any public
entity, and may not transact business with any public entity in excess of the threshold amount
provided in Section 287.017, for CATEGORY TWO for a period of 36 months from the date of being
placed on the convicted vendor list.
7.6 The following items are part of this contract:
a) Maintenance of Records: Contractor shall maintain all books, records, and
documents directly pertinent to performance under this Agreement in accordance with
generally accepted accounting principles consistently applied. Each party to this
Agreement or their authorized representatives, shall have reasonable and timely access
to such records of each other party to this Agreement for public records purposes
during the term of the Agreement and for seven 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, the Contractor shall repay the monies together with interest
calculated pursuant to Sec. 55.03; FS, running from the date the monies were paid to
Contractor.
b) Right to Audit: Availability ofRecords. 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
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files (including proposals of successful and unsuccessful bidders, bid recaps, bidding
instructions, bidders list, etc.); original estimates; estimating work sheets;
correspondence; change order files (including documentation covering negotiated
settlements); backcharge logs and supporting documentation; general ledger entries
detailing cash and trade discounts earned, insurance rebates and dividends; any other
supporting evidence deemed necessary by Owner to substantiate charges related to
this agreement, and all other agreements, sources of information and matters that
may in Owner's reasonable judgment have any bearing on or pertain to any matters,
rights, duties or obligations under or covered by any contract document(all foregoing
hereinafter referred to as "Records") shall be open to inspection and subject to audit
and/or reproduction by Owner's representative and/or agents of Owner. Owner may
also conduct verifications such as, but not limited to, counting employees at the job
site, witnessing the distribution of payroll, verifying payroll computations, overhead
computations, observing vendor and supplier payments, miscellaneous allocations,
special charges, verifying information and amounts through interviews and written
confirmations with employees, Subcontractors, suppliers, and contractors'
representatives. All records shall be kept for seven(7)years after Final Completion.
c) Governing Law, Venue, Interpretation, Costs, and Fees: This Agreement shall be
governed by and construed in accordance with the laws of the State of Florida
applicable to contracts made and to be performed entirely in the State.
In the event that any cause of action or administrative proceeding is instituted for the
enforcement or interpretation of this Agreement, the County and Contractor agree
that venue shall lie in the appropriate court or before the appropriate administrative
body in Monroe County, Florida. This Agreement shall not be subject to arbitration.
d) Severability: If any term, covenant, condition or provision of this Agreement (or the
application thereof to any circumstance or person) shall be declared invalid or
unenforceable to any extent by a court of competent jurisdiction, the remaining terms,
covenants, conditions and provisions of this Agreement, shall not be affected thereby;
and each remaining term, covenant, condition and provision of this Agreement shall
be valid and shall be enforceable to the fullest extent permitted by law unless the
enforcement of the remaining terms, covenants, conditions and provisions of this
Agreement would prevent the accomplishment of the original intent of this
Agreement. The County and Contractor agree to reform the Agreement to replace any
stricken provision with a valid provision that comes as close as possible to the intent
of the stricken provision.
e) Attorney's Fees and Costs: The County and Contractor agree that in the event any
cause of action or administrative proceeding is initiated or defended by any party
relative to the enforcement or interpretation of this Agreement, the prevailing party
shall be entitled to reasonable attorney's fees and court costs, as an award against the
non-prevailing party, and shall include attorney's fees and courts costs in appellate
proceedings. Mediation proceedings initiated and conducted pursuant to this
Agreement shall be in accordance with the Florida Rules of Civil Procedure and usual
and customary procedures required by the circuit court of Monroe County.
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f) Binding Effect: The terms, covenants, conditions, and provisions of this Agreement
shall bind and inure to the benefit of the County and Contractor and their respective
legal representatives, successors, and assigns.
g) Authority: Each party represents and warrants to the other that the execution,
delivery and performance of this Agreement have been duly authorized by all
necessary County and corporate action, as required by law.
h) Claims for Federal or State Aid: Contractor and County agree that each shall be,
and is, empowered to apply for, seek, and obtain federal and state funds to further the
purpose of this Agreement. Any conditions imposed as a result of funding that effect
the Project will be provided to each party.
i) Nondiscrimination: County and Contractor 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. County or Contractor agree to comply with all Federal and
Florida statutes, and all local ordinances, as applicable, relating to nondiscrimination.
These include but are not limited to: 1) Title VI of the Civil Rights Act of 1964 (PL
88-352)which prohibits discrimination on the basis of race, color or national origin; 2)
Title IX of the Education Amendment of 1972, as amended (20 USC ss.1681-1683,
and 1685-1686), which prohibits discrimination on the basis of sex; 3) Section 504 of
the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits
discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as
amended (42 USC ss. 6101-6107) which prohibits discrimination on the basis of age;
5) The Drug Abuse Office and Treatment Act of 1972 (PL 92-255), as amended,
relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive
Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970
(PL 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse
or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC ss.
690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug
abuse patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. 3601 et
seq.), as amended, relating to nondiscrimination in the sale, rental or financing of
housing; 9) The Americans with Disabilities Act of 1990 (42 USC s. 12101 Note), as
maybe amended from time to time, relating to nondiscrimination on the basis of
disability; 10) Monroe County Code Chapter 14, Article II, which prohibits
discrimination on the basis of race, color, sex, religion, national origin, ancestry,
sexual orientation, gender identity or expression, familial status or age; 11) Any other
nondiscrimination provisions in any Federal or state statutes which may apply to the
parties to, or the subject matter of, this Agreement.
j) Covenant of No Interest: County and Contractor covenant that neither presently has
any interest, and shall not acquire any interest, which would conflict in any manner or
degree with its performance under this Agreement, and that only interest of each is to
perform and receive benefits as recited in this Agreement.
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k) Code of Ethics: County agrees that officers and employees of the County recognize
and will be required to comply with the standards of conduct for public officers and
employees as delineated in Section 112.313, Florida Statutes, regarding, but not
limited to, solicitation or acceptance of gifts; doing business with one's agency;
unauthorized compensation; misuse of public position, conflicting employment or
contractual relationship; and disclosure or use of certain information.
1) No Solicitation/Payment: The County and Contractor warrant that, in respect to
itself, it has neither employed nor retained any company or person, other than a bona
fide employee working solely for it, to solicit or secure this Agreement and that it has
not paid or agreed to pay any person, company, corporation, individual, or firm, other
than a bona fide employee working solely for it, any fee, commission, percentage, gift,
or other consideration contingent upon or resulting from the award or making of this
Agreement. For the breach or violation of the provision, the Contractor agrees that the
County shall have the right to terminate this Agreement without liability and, at its
discretion, to offset from monies owed, or otherwise recover, the full amount of such
fee, commission, percentage, gift, or consideration.
m) Public Records Compliance. Contractor must comply with Florida public records
laws, including but not limited to Chapter 119, Florida Statutes and Section 24 of
article I of the Constitution of Florida. The County and Contractor shall allow and
permit reasonable access to, and inspection of, all documents, records, papers, letters
or other"public record" materials in its possession or under its control subject to the
provisions of Chapter 119, Florida Statutes, and made or received by the County and
Contractor in conjunction with this contract and related to contract performance. The
County shall have the right to unilaterally cancel this contract upon violation of this
provision by the Contractor. Failure of the Contractor to abide by the terms of this
provision shall be deemed a material breach of this contract and the County may
enforce the terms of this provision in the form of a court proceeding and shall, as a
prevailing party, be entitled to reimbursement of all attorney's fees and costs
associated with that proceeding. This provision shall survive any termination or
expiration of the contract.
The Contractor is encouraged to consult with its advisors about Florida Public Records Law in
order to comply with this provision.
Pursuant to F.S. 119.0701 and the terms and conditions of this contract, the Contractor is required
to:
(1) Keep and maintain public records that would be required by the County to perform the
service.
(2) Upon receipt from the County's custodian of records, provide the County with a copy of the
requested records or allow the records to be inspected or copied within a reasonable time at a cost
that does not exceed the cost provided in this chapter or as otherwise provided by law.
(3) Ensure that public records that are exempt or confidential and exempt from public records
disclosure requirements are not disclosed except as authorized by law for the duration of the contract
term and following completion of the contract if the contractor does not transfer the records to the
County.
(4) Upon completion of the contract, transfer, at no cost, to the County all public records in
possession of the Contractor or keep and maintain public records that would be required by the
County to perform the service. If the Contractor transfers all public records to the County upon
completion of the contract, the Contractor shall destroy any duplicate public records that are exempt
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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.
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 section119.10, Florida
Statutes.
The Contractor shall not transfer custody, release, alter, destroy or otherwise dispose of any
public records unless or otherwise provided in this provision or as otherwise provided by law.
IF THE CONTRACTOR HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE
CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO
THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS,
BRIAN BRADLEY AT PHONE# 305-292-3470 BRADLEY-
BRIAN(a,MONROECOUNTY-FL.GOV, MONROE COUNTY ATTORNEY'S
OFFICE 1111 12TH Street, SUITE 408, KEY WEST, FL 33040.
n) Non-Waiver of Immunity: Notwithstanding the provisions of Sec. 768.28, Florida
Statutes, the participation of the County and the Contractor in this Agreement and the acquisition of
any commercial liability insurance coverage, self-insurance coverage, or local government liability
insurance pool coverage shall not be deemed a waiver of immunity to the extent of liability coverage,
nor shall any contract entered into by the County be required to contain any provision for waiver.
o) Privileges and Immunities: All of the privileges and immunities from liability,
exemptions from laws, ordinances, and rules, pensions and relief, disability, workers' compensation,
and other benefits which apply to the activity of officers, agents, or employees of any public agents or
employees of the County, when performing their respective functions under this Agreement within
the territorial limits of the County shall apply to the same degree and extent to the performance of
such functions and duties of such officers, agents, volunteers, or employees outside the territorial
limits of the County.
p) Legal Obligations and Responsibilities: Non-Delegation of Constitutional or
Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any
participating entity from any obligation or responsibility imposed upon the entity by law except to the
extent of actual and timely performance thereof by any participating entity, in which case the
performance may be offered in satisfaction of the obligation or responsibility. Further, this
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Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the
constitutional or statutory duties of the County, except to the extent permitted by the Florida
constitution, state statute, and case law.
q) Non-Reliance by Non-Parties: No person or entity shall be entitled to rely upon the
terms, or any of them, of this Agreement to enforce or attempt to enforce any third-party claim or
entitlement to or benefit of any service or program contemplated hereunder, and the County and the
Contractor agree that neither the County nor the Contractor or any agent, officer, or employee of
either shall have the authority to inform, counsel, or otherwise indicate that any particular individual
or group of individuals, entity or entities, have entitlements or benefits under this Agreement separate
and apart, inferior to, or superior to the community in general or for the purposes contemplated in this
Agreement.
r) Attestations: Contractor agrees to execute such documents as the County may
reasonably require, including a Public Entity Crime Statement, an Ethics Statement, and a Drug-Free
Workplace Statement.
s) No Personal Liability: No covenant or agreement contained herein shall be deemed
to be a covenant or agreement of any member, officer, agent or employee of Monroe County in his or
her individual capacity, and no member, officer, agent or employee of Monroe County shall be liable
personally on this Agreement or be subject to any personal liability or accountability by reason of the
execution of this Agreement.
t) Execution in Counterparts: This Agreement may be executed in any number of
counterparts, each of which shall be regarded as an original, all of which taken together shall
constitute one and the same instrument and any of the parties hereto may execute this Agreement by
signing any such counterpart.
u) Section Headings: Section headings have been inserted in this Agreement as a matter
of convenience of reference only, and it is agreed that such section headings are not a part of this
Agreement and will not be used in the interpretation of any provision of this Agreement.
v) Special Conditions, if any are detailed in Section 01000 of the Project Manual for this
Proj ect.
w) Hold Harmless and Indemnification: Notwithstanding any minimum insurance
requirements prescribed elsewhere in this agreement, the Contractor covenants and agrees that he
shall defend, indemnify and hold the COUNTY and the COUNTY's elected and appointed officers
and employees harmless from and against (i) claims, actions or causes of action, (ii) 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) costs or expenses that
may be asserted against, initiated with respect to, or sustained by the County and the COUNTY's
elected and appointed 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
indemnifying party in the performance of the construction contract. The monetary limitation of
liability under this contract shall be not less than $1 million per occurrence pursuant to F. S. 725.06.
Insofar as the claims, actions, causes of action, litigation, proceedings, costs or expenses relate to
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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 the completion of the project (including 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.
The first ten dollars ($10.00) of remuneration paid to the Contractor is for the indemnification
provided for above.
The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements
contained elsewhere within General Insurance Requirements Section 900. In the event any claims are
brought or actions are filed against the County with respect to the indemnity contained herein, the
Contractor agrees to defend against any such claims or actions regardless of whether such claims or
actions are rightfully or wrongfully brought or filed. The Contractor agrees that the County may
select the attorneys to appear and defend such claims or actions on behalf of the County. The
Contractor further agrees to pay at the Contractor's expense the attorneys' fees and costs incurred by
those attorneys selected by the County to appear and defend such actions or claims on behalf of the
County at both the trial and appellate levels. The County at its sole option, shall have the sole
authority for the direction of the defense, and shall be the sole judge of the acceptability of any
compromise or settlement of any claims or actions against the County.
x) Adjudication of Disputes or Disagreements: COUNTY and CONTRACTOR agree
that all disputes and disagreements shall be attempted to be resolved by meet and confer sessions
between representatives of each of the parties. The CONTRACTOR and COUNTY Representative
shall try to resolve the claim or dispute with meet and confer sessions. If the issue or issues are still
not resolved to the satisfaction of the parties, then any party shall have the right to seek such relief or
remedy as may be provided by this Agreement or by Florida law. This Agreement is not subject to
arbitration. This provision does not negate or waive the provisions of paragraph x or Article 8.1
concerning termination or cancellation.
y) Cancellation: In the event that the Contractor shall be found to be negligent in any
aspect of installation, stocking, maintenance, repair, or service, the County shall have the right to
terminate this agreement after five days written notification to the Contractor.
z) Cooperation: In the event any administrative or legal proceeding is instituted against
either party relating to the formation, execution, performance, or breach of this Agreement, County
and Contractor agree to participate, to the extent required by the other party, in all proceedings,
hearings, processes, meetings, and other activities related to the substance of this Agreement or
provision of the services under this Agreement. County and Contractor specifically agree that no
party to this Agreement shall be required to enter into any arbitration proceedings related to this
Agreement.
aa) Insurance: Prior to commencement of work the Contractor will provide satisfactory
evidence of insurance as required in Specification Section 00900 General Insurance Requirements for
Construction Contractors and Subcontractors. The Contractor shall name the Florida Department of
Transportation and Monroe County Board of County Commissioners, its employees and officials as
"Additional Insured" on all policies except for Worker's Compensation.
2/19/21 Standard Form of Agreement between Owner and Contractor 00500- 12
Cudjoe Drainage Rehabilitation Project
7.7 Ownership of the Project Documents: The documents prepared by the Contractor for this
Project belong to the County and may be reproduced and copied without acknowledgement or
permission of the Contractor.
7.8 Successors and Assigns: The Contractor shall not assign or subcontract its obligations under
this agreement, except in writing and with the prior written approval of the Board of County
Commissioners for Monroe County, which approval shall be subject to such conditions and
provisions as the Board may deem necessary. This paragraph shall be incorporated by reference into
any assignment or subcontract and any assignee or subcontractor shall comply with all of the
provisions of this Agreement. Subject to the provisions of the immediately preceding sentence, each
party hereto binds itself, its successors, assigns and legal representatives to the other and to the
successors, assigns and legal representatives of such other party.
7.9 No third Party Beneficiaries: Nothing contained herein shall create any relationship,
contractual or otherwise, with or any rights in favor of, any third party.
7.10 Americans with Disabilities Act of 1990 (ADA) - 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.
7.11 Beginning January 1, 2021, in accordance with F.S. 448.095, the Contractor and any
subcontractor shall register with and shall utilize the U.S. Department of Homeland Security's E-
Verify system to verify the work authorization status 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 work authorization status of all new employees hired by the
subcontractor during the Contract term. Any subcontractor shall provide an affidavit stating that the
subcontractor does not employ, contract with, or subcontract with an unauthorized alien. The
Contractor shall comply with and be subject to the provisions of F.S. 448.095"
ARTICLE 8
Termination or Suspension
8.1 The Contract may be terminated by the Owner or the Contractor as provided in Article 14 of
the General Conditions.
8.2 The Work may be suspended by the Owner as provided in Article 14 of the General
Conditions.
Article 9
Enumeration of Contract Documents
9.1 The Contract Documents, except for Modifications issued after execution of this Agreement,
are enumerated as follows: See Article 1
2/19/21 Standard Form of Agreement between Owner and Contractor 00500- 13
Cudjoe Drainage Rehabilitation Project
9.1.1 The Agreement is this executed Standard Form of Agreement between Owner and Contractor.
9.1.2 The General Conditions are the General Conditions of the Contract for Construction.
9.1.3 The Supplementary and other Conditions of the Contract are those contained in the Project
Manual dated November 2020 and are as follows:
As listed in Table of Contents, Section 00001 of the Project Manual for this project.
9.1.4 The Specifications are those contained in the Project Manual dated as in Subparagraph 9.1.3,
and are as follows:
As listed in Table of Contents, Section 00001 of the Project Manual for this project.
9.1.5 The Drawings are as follows, and are dated on each individual drawing unless a different date
is shown below:
HDR Engineering
Dated November 2020
Pages 1 through 17
9.1.6 The Addenda, if any, are as follows:
Portions of Addenda relating to bidding requirements are not part of the Contract Documents unless
the bidding requirements are also enumerated in this Article 9.
9.1.7 Other documents, if any, forming part of the contract Documents are as follows: Monroe
County Bid Form in Section 00110.
See Article 1.
2/19/21 Standard Form of Agreement between Owner and Contractor 00500- 14
Cud ioe Drainage Rehabililmion Pmiecl
'A a`� k S WHEREOF the parties hereto have executed this Agreement on the day and date first
Cis e in counterparts, each of which shall, without proof or accounting for the other
. be deemed an original contract.
r- r BOARD OF COUNTY COMMISSIONERS
���'' d VIN MADOK,Clerk OF MONROE C I • ', FLORI IL
By 67R^^^,-)f�i't^^^^ +'v By
As Deputy Clerk Mayor
NONROE COUNTY ATTOPNEY
I pFaQy� 0N5ID '2w,r
NUVI�OV"Lde'!BARO.nS Ia
Date Len t� i"Oj 8 ASSISTANT COUNTY
-- ASSISTANT CONTY ATTORNEY
DATE 9/4/21
(SEAL) CONTRACTOR
Attest: ....// ''((�II Mike Haack
Excavating,Inc.
By: c�'FNP9.LCl-,Us virtu- By: & K• Cal1406.
F.Denise Cesani Ann L.Huck
Title: Notary Title: VP or Operations
mafAI c.ocrosK CCOM 1
Maury IabIN Public-State Wile
la
ConaatIon I%/HMS
taint MY Co .t Am 24.IUA
I - landed fin*/101061/10WY kilo. END OF SECTION 00500
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2/19/21 Standard Form of Agreement between Owner and Contractor 00500- 15
Cudjoe Gardens Drainage Rehabilitation Project
SECTION 00300
SCOPE OF WORK
1. GENERAL SCOPE
1.1 The Scope of Work shall include,but not be limited to, all work shown and listed in the
Project Drawings and Project Manual. The Contractor is required to provide a
complete job as contemplated by the drawings and specifications, which are a part of
this bid package.
1.2. The Scope of Work consists of Drainage Rehabilitation Improvements at two sites.
This includes replacement of sections of RCP pipe, headwall construction, and other
roadway construction as shown on the Drawings and included in the Technical
Specifications.
1.3 Provide all labor,supervision,materials,supplies,equipment,tools,construction
equipment,transportation, inspection, and proper execution and completion of all Work
as specified in the Project Manual included in this Bid Package.
END OF SECTION 00300
11/12/2020 SCOPE OF WORK 00300-1
Cudioe Gardeti.s,13rainaMReliabititatioit Proiect
NON-COLLUSION AFFIDAVIT
1, Ann L.Haack of the city of Big Pine Key according to law on my oath, and
under penalty of perjury, depose and say that-,
1. I am VP of Operations of the firm of
Mike Haack Excavating,Inc. the bidder making the Proposal for the project
described in the Request for Competitive Solicitations for:
Cudjoe Gardens Drainage Rehab Vita q2g_f!:9jeet
Monroe County,Florida
and that I executed the said proposal with full authority to do so;
2.) the prices in this bid have been arrived at independently without collusion, consultation,
communication or agreement for the purpose of restricting competition, as to any matter
relating to such process with any other bidder or with any competitor;
3.) unless otherwise required by law, the prices which have been quoted in this bid have not been
knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder and will
not be knowingly disclosed by the bidder prior to bid opening, directly or indirectly, to any
other bidder or to any competitor; and
4.) no attempt has been made or will be made by the bidder to induce any other person,
partnership or corporation to submit, or not to submit, a bid for the purpose of restricting
competition-,
5.) the statements contained in this affidavit are true and correct, and made with full knowledge
that Monroe County relies upon the truth of the statements contained in this affidavit in
awarding contracts for said project.
_LL_k_ALk ilw_1 1/12/2021
(Signature of Bidder) (Date)
STATE OF: FLORIDA
COUNTY OF: MONROE
PERSONALLY APPEARED BEFORE ME,the undersigned authority, Ann L.Haack
(name of individual signing)who,after first being sworn by me,affixed his/her signature in the space provided above on this
12th day of. JaplraI34 202]
F.DENISE CESANi N TARY PUBLIC
State of Florida
NotaryPublic
My commission expires: Commission N GG 974328
My 24,2024
Bonded through National Notary Assr.
11/12/20 BID PROPOSAL 00110-5
Outlive Gardens Drainai!c Rebabilitation Proj!LL
LOBBYING AND CONFLICT OF INTEREST CLAUSE
SWORN STATEMENT UNDER ORDINANCE NO.010-1990
MONROE COUNTY,FLORIDA
MIKE HAACK EXCAVATING,INC.
(Company)
warrants that it has not employed, retained or otherwise had act on its behalf any former County officer or
employee subject to the prohibition of Section 2 of Ordinance No. 010-1990 or any County officer or
employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this provision the
County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct
from the contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage,
gift, or consideration paid to the former County officer or employee".
0, clmao- 1/12/2021
(Signature) (Date)
STATE OF
COUNTY OF MO OE
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
Ann L Haack who, after first being swom by me, affixed his/her
Signature 01- a-J&w4l in the space provided
(Name of individual signing)
Above on this 12th day of_jailluary 20_2L.
&Sal"
NOTARY PUBLIC
My commission expires:
aa,-m A dh A
"I&I.", F.DENISE CESDANt ate of Florida
Notary Public-State of Florida
Commission#GG 974328
J 02
24,2024
My Comm.Expires Jun
io al ot, Assn.
bonded through National Notary Assn.
11/12/20 IB PROPOSAL 00110-6
£udiae C atrdeu a lit attrarMr Rehabilitation project
DRUG-FREE WORKPLACE FORM
The undersigned Contractor in accordance with Fl. Statute 287.087 hereby certifies that:
(Name of Business)
I, Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance is prohibited in the workplace and specifying the actions
that will be taken against employees for violations of such prohibition.
2. Inform such employees about the dangers of drug abuse in the workplace, the business's policy of
maintaining adrug-free workplace, any available drug counseling, rehabilitation, and employee
assistance programs, and the penalties that may be imposed upon employees for drug abuse violations.
3. Give each employee engaged in providing the commodities or contractual services that are under bid a
copy of the statement specified in subsection(1).
. In the statement specified in subsection (1), notify the employees that, as a condition of working on
the commodities or contractual services that are under bid, the employees 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,
y violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States
or any state,for a violation occurring in the workplace no later than five(5)days after such conviction.
5. 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, or any employee who is so
convicted.
6. Mae a good faith effort to continue to maintain a drug-free workplace through implementation of
this section.
As a person authorized to sign the statement, I certify that this finn complies fully with the above requirements.
Bidder's Signature
/12/2021 .
Date
11/12/20 BID PROPOSAL 00110- 7
Cudloo Gard ensDrainage ItchaWfitation
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list following a conviction for
public entity crime may not submit a bid on a contract to provide any goods or services to a
public entity, may not submit a bid on a contract with a public entity for the construction or repair
of a public building or public work, may not submit bids on leases of real property to public
entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or
CONTRACTOR under a contract with any public entity, and may not transact business with
any public entity in excess of the threshold amount provided in Section 287.017, Florida Statutes,
for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted
vendor list."
I have read the above and state that neither Mike Haack Excavating,Inc. (Proposer's name)
nor any Affiliate has been placed on the convicted vendor list within the last 36 months.
0, 11) ,
Ldzlezle-tt- - 1/12/2021
(Signature) (Date)
STATE OF: FLORIDA
COUNTY OF:MONROE
Subscribed and sworn to (or affirmed)before me on the 12th day of Janua 20 21 ,by
Ann L.Haack (name of affiant). He/She is personally known to me or
has produced n/a (type of identification)as
identification.
My Commission Expires: &, %-a� C%-aX,4,
F,DENISE CESANI
Notary Public-State of Florida NOTARY PUBLIC
Commission#GG 974328
My Comm,Expires Jun 24,2024
Bonded through National Notary Assn
..........
11/12/20 BID PROPOSAL 00110- 8
Oidioe-Gardens Drainage Rehabilitatiosi Project
SECTION 00110
Bid Bond
KNOW ALL MEN BY THESE PRESENTS,that we
( IA
Here insert tblt and ddrcs, r�cgal �of Contractor)
'r'
as Principal,hereinafter called the Principal, and
(Here insert full o In e as qdctfs or
. ,,, . ALal foal Wstray-i
a corporation duty organized under the laws of the State of
as Surety,hereinafter called the Surety, are held and firmly bound to
(Here insert full name and address or legal title of Owner)
as Obligee,hereinafter called the Obligee, in the sum of ............
Dollars ($
for the payment of which sum well and truly to be made, the said Principal and the said Surety,bind ourselves,
our heirs, executors, administrators, successors and assigns,jointly and severally,firmly by these presents.
WHEREAS,the Principal has submitted a bid for
(Here insert full name.address and description of project)
NOW, THEREFORE, if the Obligee shall accept the bid of the Principal and the Principal shall-enter a
Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be
specified in the bidding or Contract documents with good and sufficient surety for the faithful performance of
such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the
event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall
pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and
such larger amount for which the Obligee may in good faith contract with another party to perform the Work
covered by said bid,then this obligation shall be null and void,otherwise to remain in full force and effect.
Signed and sealed this day of 20
(Witness), ilp�(Vlrinc (Seal)
ify A
(Witness) (Surety) (Seal)
(Title)
11/12/20 BID PROPOSAL 00110-9
QLdjoe-Ga rdens,Drainage Rehabilitation Proiect
Bidder's Insurance Statement
The Insurance requirements are set forth in Section 00900 of the project manual as follows:
Insurance-Renuirement Limits
Worker's Compensation Statutory Limits
Employer's Liability WC3 $1,000,000/$1,000,000/$1,000,000
General Liability GL2 $500,000 Combined Single Limit
GLXCU *Required Endorsement
Underground, Explosion and Collapse
(XCU)
Vehicle Liability VL2 $200,000 per person; $300,000 per occurrence
(Owned, hired and $200,000 Property Damage
Non- owned Vehicles) or
$300,000 Combined Limit
I understand the insurance that will be mandatory if awarded the contract and will comply in full with
all these requirements.
All insurers shall have an A.M. Best rating of VI or better and shall be licensed to do business in the state of
Florida.
amm, twauall
Name of Business Signature Date
11/12/20 BID PROPOSAL 00110- 10
Cudioe Gardens Drainage Rehabilitation Noiect
VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS
Project Description(s):
Respondent Vendor Name: Mike Haack Excavating,Inc.
Vendor IN: 65-0748633
Vendor's Authorized Representative Name and Title: Ann L.Haack,VP of Operations
Address: 127 Industrial Road,Suite E,
City: Big Pine Key State: FL Zip: 33043
Phone Number:
Email Address: info@haackexcavating.com
Section 287.135, Florida Statutes prohibits a company from bidding on, submitting a proposal for, or
entering into or renewing a contract for goods or services of any amount if, at the time of contracting
or renewal, the company is on the Scrutinized Companies that Boycott Israel List, created pursuant to
Section 215.4725, Florida Statutes, or is engaged in a Boycott of Israel. Section 287.135, Florida
Statutes, also prohibits a company from bidding on, submitting a proposal for, or entering into or
renewing a contract for goods or services of$1,000,000 or more, that are on either the Scrutinized
Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran
Petroleum Energy Sector Lists which were created pursuant to s. 215.473, Florida Statutes, or is
engaged in business operations in Cuba or Syria.
As the person authorized to sign on behalf of Respondent, I hereby certify that the company
identified above in the Section entitled "Respondent Vendor Name" is not listed on the Scrutinized
Companies that Boycott Israel List or engaged in a boycott of Israel and for Projects of$1,000,000 or
more is not listed on either the Scrutinized Companies with Activities in Sudan List,
the Scrutinized
Companies with Activities in the Iran Petroleum Energy Sector List, or engaged in business
operations in Cuba or Syria.
I understand that pursuant to Section 287.135, Florida Statutes, the submission of a false certification
may subject company to civil penalties, attorney's fees, and/or costs. I further understand that any
contract with the County may be terminated, at the option of the County, if the company is found to
have submitted a false certification or has been placed on the Scrutinized Companies that Boycott
Israel List or engaged in a boycott of Israel or placed on the Scrutinized Companies with Activities in
Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List or
been engaged in business operations in Cuba or Syria.
Certified By: Ann L. Haack who is
authorized to sign on behalf of the above referenced company.
Authorized Signature: a— & ,
Print Name: Ann L.Haack
Title: VP of Oneratim
Note: The List are available at the following Department of Management Services Site:
litti):/""www.dryis.rnvflorida.cotyi/'business overatioits/statL )Lirchasii1g/vendor inform ad o n/convicted
kspended otllplaicll,� 1'[S�s
11/12/20 BID PROPOSAL 00110- 11
MIKEHAA-02 ____DH0GUE
DATE(MM/DDfYYYY)
CERTIFICATE OF LIABILITY INSURANCE
12/2112020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
...........
N�PRODUCER
M�ACT
Collinsworth,Alter,Fowler&French,LLC ONE,Exi 305 2 -780 FAIX
3056 - 43800 GovernorsSquareBlvd �A y ) iAC,N,)J )Suite 301 MRaw
Miami Lakes,FL 33016
INSURERIS)AFFORDING COVERAGE NAIC 14
INSURER A:American Casualty Co Reading
INSURED INSURERsoTransportation Insurance Cornpa
Mike Haack Excavating,Inc iNsuRER c Evanston Insurance Company 35378
157 Industrial Road INSURER 0 Valley Forge Insurance Company 20508
Big Pine Key,FL 33043 INSURER E Federal Insurance Company
INSURERF:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR, ADDLiSUBR POLICY EFF POLICY EXP
TYPE OF INSURANCEICE" POLICY NUMBER 1, 1 LIMITS
------ QnLyyy MmMuryYy )...........
A X �COMMERCIAL GENERAL LIABILITY C-Aal OCCURRENCE S 1,000,000
I
CLAIMS-MADE I� X:,OCCUR X X 7011988824 12/21/2020 12/21/2021 DAMAGE TO RENTED 100,000
PRPMISES I[eapccenencoj
Approved Risk Management MED EXP(Any one pogron) 15,000
PERSONAL&ADV INJURY S 1'000'000�
GEN'L AGGREGAIL LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
Poucy X "I n J - I LOC 1-19-2021 PROD LIC M TS-CO POP AGO S 2,000,000
OTHER-
B AUTOMOBILE LIABILITY GONt,13INED SINGLE Lli�IF ............-1 0_00,0 co
lFa aqcidan[) $
X ANY AUTO 7011988810 12/21/2020 12/2112021 BODILY INJURY(Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY(.Per accident) S
X HIRED X NON,OWN60 1,1 I'll"'E,11 Y f_�b a
AUTOS ONLY AUTOS ONLY n"frAGE $
$
C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000
X EXCESS LIAR CLAIMS-MADE 44286031 12/21/2020 12/21/2021 AGGREGATE 5,000,000
DED RETENTION S $
D WORKERS COMPENSATION P rz,R OtH.
AND EMPLOYERS'LIABILITY YIN X 7011988838 12/21/2020 12/21/2021 X STAi'UM E R 1,000,000
ANY P ROPRIEIT)RIPA RTN FIVE X E CIJ HvE E N NIA E.L_EACH ACUDENT S
4C�AWIENIBEIP XCLUDED'
11"I'lintory in NH) EL,DISEASEl EA EMPLOYrE 1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E1,DISEASE.POLICY LIMIT 11000,000
E Equipment Floater 45471128 12/2112020 1212112021 -Leased/Rented 300,000
"
.............. w.
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,AddRlonrii Remarks Schedule,may be attached 11 nacre'Pace is required)
Monroe County Board of Commissioners is included as additional insured with respects to General Liability and Auto.Waiver of Subrogation applies to the
General Liability&Worker's Compensation.
License X's:CFC1429107 Certified Plumbing Contractor-CUC1225234 Underground Utility&Excavation Contractor-CGC1523491 Certified General
Contractor
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Monroe County Board of Commissioners ACCORDANCE WITH THE POLICY PROVISIONS.
1100 Simonton Street
Key West,FL 33040
AUTHORIZED REPRESENTATIVE
........................ "I IIL---- ---
ACORD 25(2016/03) @ 19i 8..........2 0,-I--5,,-A" C0R_D' CORPORATION. All rights reserved,
The ACORD name and logo are registered marks of ACORD