Item B10AUG-03-00 THU 15:55 GROWTH MGT. DIV. 305 289 2854 P.02
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: 08-17-00 Division: Growth Management
Bulk Item: YES X NO`— Department:Marine Resources
AGfiNDA ITEM FORDING: Approval of the Contract Agreement between Monroe
County and American Underwater Contractors, Inc. for the repair of aids to navigation
damaged by Hurricane Irene. -
ITEM: During Hurricane Irene several County owned aids to navigation and
regulatory aids were damaged. FEMA has approved funding to repair these aids. Two
$17,9a0.
quotes received A,S,A p„ Inc.-549,60E) and American Underwater Contractors, Inc.-
PREVIUUS RELEVANT BOCC ACTION: None
STAFF RECOMMENDATION: Approval -
TOTAL COST; 517.900.00 BUDGETED: Yes
COST TO COUNTY: Staff Time Only BIF/FEMA
RI;VEN'UE PRODUCING: YES___ NO X AMT. PER MO. REAR
APPROVED BY:COATTY X
DEPARTMENT BEAD APPROVAL:
DIVISION DIRECTOR APPROVAL:
Timothy J. A
DOCUMENTATION: INCLUDED: X
X JSKMANAGEMENT X
, Marinc Resources
Management
TO FOLLOW:_ NOT REQUIRED:
DISPOSITION: AGENDA ITEM #kiBlO
-,.�._
AUG-03-00 THU 15:54 GROWTH MGT. DIV. 305 289 2954 P.01
MONROE COUNTY BOARD OF COUNTY CO.'%DIISSIONTERS
CONTRACT SUMMARY
Contract #
Contract «rith: A)MI UNERHATER MKIRACMRS, Effective Date: / !
Expiration bate:/—/--,
Contract Purpose/Description: Channel Marker Repairs —..
Contract Manager: Kio McGee 4511 Marina ���'taer�
--�..,. _
(Sxt.) (Depanment)
for BOCC meeting on 8 ./
L7 4 00 Agenda Deadline: 7 / n_/
CONTRACT COSTS
Total Dollar Value of Contract: S 17-900.40 Current Year Portion: S_ 17 000.00
Bud;eted? Yes No Account Codes:-gM1BXF - -
Grant. S !L L- 4 (Q Z -536 0 — 4-5 -
County Match: $ N/A 5'7 3 Yp( Ij p f
ADDITIONAL COSTS k
Estimated Onzoina Costs: S N/A !),r r-or:
(Not ioehsded i;a dollar value above) (el. maintenance, utilities. janitorial, salaries, etc.)
Division Director
12��aa4 ent
County Attorney
Comments :
Date rn
CONTRACT REVIEW
Chan_es
Neede
N•" ti
00 (>
I—aLlo ( ) (
I
OMB Form Rcvlstd SM,95 MCP 02
Date Out
'�Iy-' aI
FROM ASAP PHONE NO. : 852 4554 Jul. 26 2000 02:53PM PI
A.&A.P. INC. Wm* Conftctm
P.O. Box am
Twemier, FL Un
Phone au4m
7-26.2000
Maaroe Co®ty Marine pftjaw
Mention Kiw:
vppa Rep Near Share Msrkwx.
"rudb' K*y Cbm"L Wbde $arbor Cba=W North, Wbab Harbor Cbm Soatb,L�& Key CbaaaeL
Middle Keys Markers:
Caco Plum chmmi4vaca Cat Somadde, 97tb Sw Cbaaael.
LMW xen cb Markaa:
Keep OWN1 1, 'Tamarac parr. cow Key chaaad, Lima P=wgc
Phase amp the hdowia0 bid of 549Aftoo
A.S" 11YC:
Jay Fries
07/27/2000 09:40 561-575-4651 AMERICAN IJC PAGE 01
AMERICAN UNDERWATER CONTRACTORS, INC.
TECHNICAL MOORING SYSTEMS
102 SUN FISH LANs JUPfrs]t, n 33477
PS: 561S754M FAX- 561S7S4"1
July 25, 2000
Mrs. Kim McGee
Marine Projects Coordinator
Coamasudty Services Division
County of Monroe
S 100 College Road
Key West, FL 33040
Ph. 305-2924511
Fx: 305-295-4317
RE: Hid For RepairwHurricane Irene
Dear Kim:
As Per your fhx for the repairs to Aida to Navigation damaged by Hun icane Irene, whkh
includes &0 listed other than the Reef Line Markers, American Underwater Contractors,
Inc_ bids a harp sum price of $ 17,900.00, (Seventeen thousand, airs hundred dollars) to
do aH the repairs outlined.
Thank you for the opportunity to bid this job.
David Foster
As President,
American Underwater Contractors, Inc.
CONTRACT AGREEMENT
AGREEMENT, MADE THIS day of 2000, by and
between, American Underwater Contractors, Inc. (" Contractor ") and the BOARD
OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, of the
County of Monroe, State of Florida (Board).
The Contractor and the Board, for the consideration named, agree as follows:
1. The Contractor shall furnish all the materials for the repair of aids to
navigation and regulatory aids listed on attached exhibit A.
2. The work performed under the Contract shall commence immediately from
the date the Liaison provides the Notice to Proceed and shall be completed by
September 30, 2000.
3. The work performed under the Contract is contingent upon funding from the
Federal Emergency Management Association and the Florida Department of
Environmental Protection Boating Improvement Fund. The Contractor understands the
rules of FEMA and the FDEP and shall comply with said rules, along with the rules
and procedures instituted by the Board to ensure an orderly progress to the project.
Both the intent and the requirements of the Specifications attached as Exhibit B are
understood by the Contractor.
4. The Board shall pay the Contractor the total sum of $ 17,900.00 for the
work listed in Exhibit A of this Contract. Payment shall be upon completion by the
Contractor and review and approval of the close out documentation by the Marine
Projects Coordinator. No Change Orders will be allowed.
5. The attached Maps and Specifications together with this Agreement, form
the Contract. They are fully a part of this Contract as if repeated herein verbatim.
6. The Contractor covenants and agrees to indemnify and hold harmless
Monroe County Board of the County Commissioners from any and all claims for
bodily injury (including death), personal injury, and the property damage
(including property owned by Monroe County) and other losses, damages, and
expenses (including attorney's fees) which arise out of, in connection with, or by
reason of services provided by the Contractor or any of its subcontractor(s) in any tier,
their employees or agents. The purchase of the insurance required in the paragraph 11
does not vitiate this indemnification provision.
7. The Contractor acknowledges his/ her intention to comply with the need to
coordinate all work with the appropriate environmental agencies, the U.S. Coast
Guard, and the County.
8 . The Contractor agrees to supply the County with a set of photographs of the
complete work along with a letter certifying completion of work.
The Contractor will be responsible for the camera, film, and development
costs. The Contractor also agrees to provide transportation fof the Liaison to inspect
the completed work.
9. The Contractor understands and agrees that no payment will be made for
this project without required photographs and written certification of completion.
10. Due to the use of heavy equipment and, at times, dangerous work
environment, the Contractor understands and agrees to maintain an alcohol and drug
free work environment.
11. The CONTRACTOR will be responsible for all necessary insurance
coverage as indicated by the an "X" on the attached forms of Exhibit C identified as
General Insurance Requirements and INSKLST 1-4, as further detailed on forms
WC1, WCJA, GL1, VU, & WLL All policies must list Monroe County as
additional insured with the exception or the Workers Compensation policy.
12. The Contractor 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. 020-1990. For breach or violation of this provision, the
owner may, in its discretion, terminate this contract without liability and may also, in
its direction, 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. -
13. 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 real property to a public entity, may not be awarded or
perform work as a contractor, supplier, subcontractor, or consultant under a contract
with any public entity in excess of the threshold amount provided in Section 287.017,
for CATEGORY TWO ( $10,000.00 ) for a period of 36 months from the date of
being placed on the convicted vendor list.
14. The Board may terminate this Agreement with or without cause at any time
upon giving the Contractor up to 10 days notice in writing. The Contractor, upon
receipt of the notice, shall immediately cease work. The Board must pay the
Contractor the percentage of the contract price which is satisfactory to the Board up to
date the contractor received the notice of termination.
14. This Contract is governed by the laws of the State of Florida. Venue for
any litigation arising under this contract must be in Monroe County.
IN WITNESS WHEREOF the parties here to have executed this agreement by
the day and year first written above.
(SEAL)
Attest: DANNY L. KOLHAGE, CLERK
M.
Deputy Clerk
Witness: �� ^. � -A
Witness:
Witness:
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
M
Mayor/Chairman
AN PROVED AS TO F
GA ORF
►E .
ROBERT ri.
DATE `
]II�BIT A
Channel
Windley Key Channel
Whale Harbor Ch (north)
id Name
DBN 4
Reg. markers
(east and west)
Whale Harbor Ch (south) DBN 3
Indian Key Ch
DBN I
UPPER KEYS
lscre anc
Piling leaning/
Signs damaged
Signs damaged
Marker missing
NRidug for USCG
t PbOemeat of I-beam)
Reg. signs missing
Piling leaning 100
Work Needed
Straighten piling
Replace signs (2)
Replace regulatory signs(2 of each):
SLOW SPEED
MDRMUM WAKE
PERMn'NO.96-157 00.0RD.o65-19%
RESUME NORMAL
SAFE OPERATION
PERMfrNO.96.157 CD.ORD.065-19%
Replace reg. signs on I-beam (2**):
SLOW SPEED
MINIMUM WAKE
PM Mrr NO.96-157 CO.ORD. 065-19%
Replace reg. signs on I-beam (2**):
SLOW SPEED
MINHVIUM WAKE
PERMfrNo.96.157 CO.ORD.065-19%
Straighten piling
** These regulatory signs are to be hung underneath and perpendicular to lateral aid signs on I -beams. Method of
attachment should be made accordingly.
Channel
Coco Plum Channel
Vaca Cut (south side)
97`s Street Channel
Channel
Kemp Channel
Tamarac Park
Cow Key Channel
Lakes Passage
Cow Rey Channel
MIDDLE KEYS
id Nam Discrevanev
DBN 1 Signs missing
Reg. marker Signs missing
DBN 2 Marker missing
LOWER KEYS
id Name
Discrepancy
DBN 2
Marker missing
Obst DBN E
Marker missing
DBN 2
Signs damaged
DBN 4
Signs damaged
DBN 1
Caution sign
damaged
DBN 4 One sign missing
DBN 32 Leaning
Work Needed
Replace signs (2)
Replace signs (1 of each)
SLOW SPEED
MINIMUM WAKE
PERMIT NO.96-131 CO.ORD. 34-1996
RESUME NORMAL,
SAFE OPERATION
PERMIT NO.96-131 CO. ORD. 34-1996
Replace piling (1) and signs (2)
Work Needed
Replace piling (1) and signs (2)
Replace piling (1) and signs (2)
DANGER REEF
Replace signs (2)
Replace signs (2)
Replace sign (1)
CAUTION
CONTROLLING DEPTH <3FT.
LOCAL KNOWLEDGE REQUIRED
Replace sign (1)
Straighten
EMIBIT B
GENERAL CONTRACT SPECIFICATIONS FOR INSTALLATION OF AIDS TO
NAVIGATION REGULATORY BUOYS/SIGNS, AND OTHER MARINE
PROJECTS
1. SCOPE OF WORK: The Contractor shall be responsible for providing all
supervision, labor, equipment, tools, fees and taxes required to complete this project to
the satisfaction of the County.
The Contractor's procedure and work methods must satisfy the requirements of these
specifications and all necessary environmental permits.
2. MATERIALS AND WORKMANSHIP: The Contractor shall provide the necessary
materials and equipment to safely complete the job. The Contractor agrees that all
work shall be performed by competent employees who are experienced and qualified
to do the work specified, and that all work will be performed in accordance with the
best commercial practices.
Precaution shall be exercised at all times for the protection of persons and property.
The safety provisions of the Occupational Safety and Health Act of 1970 ( Public Law
91-596) and other applicable laws, including building and construction codes shall be
observed.
The Contractor shall store materials and shall be responsible for them during the
contract time frame and until final acceptance of the completed work. If any of the
materials become lost, damaged, or destroyed by any cause or means whatsoever, the
Contractor shall satisfactorily repair, replace and/or remove, or not receive payment
for work unsatisfactorily performed. Suitable and suicient guards and barriers must
be utilized at night, and must be suitable protection for the prevention of accidents.
3. ASSIGNMENTS OF CONTRACTOR AND SUBCONTRACTORS: It is expressly
understood that the Contractor is in all respects an independent Contractor for this
work, not withstanding under certain conditions. He is bound to follow the directions
of the County, and is in no respect an agent, servant, or employee of the County.
Neither the Contract, nor any part thereof, nor any Monies due or to become due there
under, may be assigned by the Contractor without the prior written
County. approval of the
The Contractor is fully responsible to the County for the acts and omissions of hi
employed bs
subcontractors and of persons either directly or indirectly emply said subcontractor, as he is for the acts and omissions of the contract documents and shall
abide by the terms and the conditions. It is the responsibility, of the Contractor to pay
all the obligations incurred with subcontractors in an expedient manner.
4. LICENSE, POLLUTION CONTROL ACT, AND TRAFFIC PROVISION:
The Contractor shall comply with all applicable local, State and Federal
requirements pertaining to the terms of the Contract. The Contractor will be
responsible for obtaining, at his own expense, any license that may be
required. The Contractor shall comply with all the requirements of the Federal
Pollution Control Act.
The Contractor shall conduct his operations so that he shall not close any
thoroughfare nor interface in any way with traffic on highways, or on water,
without the written consent of the proper authorities. Work shall be done at any
time that shall interrupt or disturb members of the public. Consideration should
be given all times to the welfare of the public.
5. INSURANCE: The Contractor must obtain all insurance required by the
County and submit proof of same to the County immediately after notification
of low bid or quote but no later than ten working days after. All insurance shall
be maintained until work has been completed and accepted by the County.
The Contractor shall furnish the following certificates of insurance for review
by the County's Risk Management Division.
Certificates of Insurance: provide proof that the Contractor has obtained the insurance
coverage required in paragraphs a,b,c,d,and a below.
a. Workers Compensation Insurance as required by Florida Statues.
b. General Liability Insurance in the amount of $300,000.
C. Vehicle Liability Insurance in the amount of $100,000
d. Water Craft Liability Insurance in the amount of $500,000.
e. Federal Jones Act Coverage .
All insurance policies required above shall be issued by companies authorized to do
business under the laws of the State of Florida. All policies must list Monroe County as
additional insured with the exception of the Workers Compensation Policy.
6. COMMENCEMENT, DELAYS AND COMPLETION OF WORK: After
receiving Board of County Commission approval of the Contract, and after
reconciliation of any details or conditions which may directly or indirectly
interfere with the Contract, the County will issue a "Notice to Proceed with
Contract Work" officially authorizing the Contractor to commence. The
Contractor shall commence work on said date or shortly thereafter. If the
Project is considered and emergency the Notice to Proceed may be issued prior
to the execution of the Contract.
If the Contractor should be delayed in the progress of the work included in the
Contract by unforeseeable cause beyond his control, the time for the
completion of the work may be extended upon agreement of the County's
representatives. Requests for the extension of time must be submitted in writing
to the County's representatives.
Extensions of time cannot legally be approved unless the written request is
submitted in time to permit it to be acted upon before the Contract expiration
date. To allow sufficient time for administrative procedures the written request
must be received by the County representative at least ten (10) calendar days
prior to the contract expiration date. Liquidated damages resulting from factors
beyond the control of the Contractor which occur too date to allow time for
action by the Board of County Commissioners approving a time extension may
be waived by the County Commission. Such wavier shall be granted only when
the county representatives determines that the delay is beyond the control of the
Contractor, and in this event the Contractor shall not be charged with
liquidated damages or any excess cost when the delay in the completion of the
work is due:
a• To any issue order by the County or the State Department of Environmental
Protection changing the Contractors approved work schedule.
b• To unforeseeable cause beyond the control and with out the fault or negligence
of the Contractor.
C. To any delays of subcontractors or suppliers occasioned by any of the cause
specified in the subparagraphs (a) and (b) above. ,
Provided further that the Contractor shall within ten (10) days from the
beginning of such delay notify the county, in writing, of the causes of the delay.
The County's representative will ascertain the facts and the extent of the delay
and notify the Contractor within a reasonable time of her decision in the matter.
If the Contractor fails to complete the work within the time limit, and if the
County should nevertheless permit the Contractor to continue and complete the
same without official extension of time in writing, such permission shall not
modify nor waive any liability of the Contractor for damages arising from non_
completion of work within the time limit.
7. CHANGES AND INSPECTION: The navigational and/or regulatory aids
herein considered are to be installed, repaired, or relocated for the County by
the Contractor in accordance with the Specifications. The County may give
instructions or directions to supplement the Specifications and upon all of
his subcontractors, employees and agents of every kind.
All work and every process and operation shall be subject to inspections at all
times, by the County and their representatives and they shall have free access
to all access to all aspects of work. The Contractor shall remove, or make
good, as may be directed, without charge, any defective materials. The right is
reserved to change the Specifications consistent with regard to the general
intention of the Contract for any part of work or materials, either before or
after work has begun. Notice of such changes shall be given in writing to the
Contractor.
8. AUDIT RIGHTS : As a provision of the grant from the State of Florida to the
County, and if so requested by the State, the successful bidder agrees to
provide access to all records and allow the audit of any books, documents and
papers related to this project for up to one year during and after termination of
the Contract.
9. CONTRACT AWARD: The County reserves the right to evaluate the
submitted bids and to award a contract to bidder other -than the bidder
submitting the lowest bid.
10. PREWORK CONFERENCE: A meeting may be necessary involving a
representative of the County, the Contractor and the other parties with direct
involvement, prior to the commencement of the work. The time and place of
this Conference will be set by the County representatives. At this time the
Contractor shall provide the County with a work schedule. The Contractor
must also provide transportation to the proposed project site for placement of
temporary markers if the project involves the installation of regulatory buoys or
aids to navigation.
11. EXECUTION OF CONTRACT DOCUMENTS: Due to the time frame
involved with this project, the Contractor upon notification that he is to be
awarded the Contract, shall return said documents properly executed along with
his insurance within ten working days. With the Contractor's cooperation,
if this period can be reduced, it will assist in excelleration of the execution of
the contract documents. The Contractor, by virtue of signing the Contract,
acknowledges that he and all his subcontractors have satisfied themselves as to
the nature and location of work, the general and local conditions, including,
but not restricted to, those bearing upon transportation, handling, and the
care of equipment and facilities needed to perform the work. Failure on the
Part of the Contractor to completely or properly evaluate any factors of his
costs prior to bidding shall not form a basis for additional compensation if he is
awarded the Contract.
If for any reason, not acceptable to the County, the Contractor does not
perform, the County shall have the right to levy liquidation damages against the
Contractor. Liquidated damages shall be assessed against the Contractor for
any bid item awarded to him which is not completed and accepted in the
Contract. Liquidated damages are accumulative.
12. NOTICE TO PROCEED: The Contractor shall commence upon this project on
the effective date of the Notice to Proceed and perform in a continuous manner
until completion and acceptance by the County. For Contracts wherein a
specified number of days for completion is stated in the Contract the effective
date of the "Notice to Proceed with Contract Work " will establish the "
beginning date" of the project.
13. TERMINATION OF CONTRACT: This Contract may be terminated by the
County, without cause, giving up to ten (10) days written notice to the
Contractor; said notice shall be sufficient if delivered to the party personally or
mailed by certified mail to his mailing address as specified on the acceptance
bid.
14. FINAL CLEAN UP: Upon completion of the work specified herein and before
acceptance and final payment shall be made, the Contractor shall remove from
the sites all machinery, equipment, surplus and discarded materialsrubbish
and debris shall be made at legal disposal site. ,
15. Certification: Bidder must also certify,
installations where in accordance ith see s completion , the project, all
Department of Environmental Protection specifications, the Florida
Guard permit requirements, and the US Army Corp of E
mew' �e US Coast
requirements and associated attachments. ngineers permit
16. PAYMENT: Payment shall be upon completion by the Contractor and review
and approval by the Marine Projects Coordinator. The Contractor must submit complete documentation, including the required hoto
for which a P graphs for the work
Payment is being requested. The contractor must provide
transportation, upon request by the Marine Projects Coordinator, to the project
site for review of work either in progress or completed . In addition, property
Public or private, if damaged during the work, shall be repaired or replaced
prior to final payment for contracted work.
Specifications For the Repair/Replacement/Installation of
Aids to Navigation, Regulatory Markers, and Information Markers
for Monroe County, Florida
For all nilings•
• Pilings shall be of timber treated with chromated copper arsenate (C.C.A.).
• Pilings shall be of timber which will withstand the driving for which they are intended.
• A straight line drawn from the center of the butt to the center of the tip shall not at any
point face further away from the center of the pile than a distance equal to 1 % of the
length of the pile.
• Piles to be sufficient length to provide a minimum of four foot penetration into the
substrate and the base of the dayboard must be eight feet above mean high water.
• Black, cone head, round piling caps of the appropriate size should be mounted atop
the piling using four stainless #6 nails (this includes all sign replacements).
• Any pilings replaced will be removed and properly disposed of.
For all signs:
• Signage to be constructed of. 125 gauge aluminum.
• Signage must be USCG approved.
• All signs should be pre -made (text, borders, etc.) by a County approved manufacturer.
• Signs should be mounted so that the piling is not visible above the signs.
• Hardware should all be stainless steel, including: 3/8" all -thread and 3/8" lag screws,
1 %2" (o.d.) flat washers and 3/8" nuts. 1 %2" (o.d.) plastic or nylon (or similar material)
washers shall also be used to separate the aluminum signs from the stainless steel flat
washers and nuts.
Standard size markers: Signs for these markers have a 1 nm nominal range. The standard size
for such signs is- 3' x 3' green square, 4' x 4' red triangle, 3' x 3' diamond (danger), and 4' x 3'
regulatory, and information signs. 12" diameter pilings (approximately) will be used for all
standard size sign installations.
For standard size signs mounted at the top of standard size pilings
A 12" long 2" x 4" pressure treated backing board should be installed horizontally 2"
below the top of the piling (to provide room for the piling cap) and attached to the piling
with four stainless #16 ring shank nails to prevent the board from rotating. The board
will be beveled to provide a flat surface for the downward angle of the sign. The board
will be installed so as to mount the signs to the appropriate approach angle of the marker
route.
Two lag screws and two all -threads will be used to mount the signs. One lag screw (4"
long) will be installed at the top of the sign, through the backing board and into the
piling. The other lag screw (3" long) will be installed at the bottom of the sign into the
piling. The two all -threads will be installed on the sides of the signs. Washers and nuts
are to be used, both in front and back of the signs, to assist with adjusting the approach
angle and ensure proper tightening of the hardware.
For standard size regulatoryand information signs mounted below standard size lateral aid signs:
The 4' x 3' signs should be mounted 4 inches below the lateral aid sign. Signs should be
mounted flat against the piling using two 3" long lag screws with washers, one at the top
and one at the bottom. An all -thread will be installed at the sides of the signs. Washers
and nuts are to be used, both in front and back of the signs, to assist with adjusting the
approach angle and ensure proper stiffness of the sign assembly.
Smaller size markers: For certain situations smaller size signs should be used (this will be
indicated on the work order). These signs will have a %Z nm nominal range. The standard size
for such signs is- 1 %' x 1 '/z' square green, 2' x 2' red triangle, and 3' x 2' regulatory and
information signs. 8-9" diameter pilings will be used for all small size sign installations.
For smaller size lateral aid signs:
Signs should be mounted flat against the piling using two 3" long lag screws with
washers, one at the top and one at the bottom of the sign.
For smaller size regulatory and information signs,
Signs should be mounted flat against the piling using two stainless 3" long lag screws
with washers, one at the top and one at the bottom of the sign. An all -thread will be
installed at the sides of the signs, with washers and nuts in front and back. If mounted
beneath a lateral aid sign, a space of 4" should be provided.
EXHIBIT C
1"6 Edition
V! .
MONROE COUNTY, FLORIDA
INSURANCE CHECKLIST
VENDORS SUBI\ ItTING PROPOSALS
FOR WORK
To assist in the development of your proposal, the insurance coverages marked with an "X" will
be required in the event an award is made to your firm. Please review this form with your
insurance agent and have him/her sign it in the place provided. It is also required that the bidder
sign the form and submit it with each proposal.
WORKERS' COMPENSATION
A \TD
EMPLOYER ' .IABIT ITy
WC l
-- X Workers' Compensation
WC
Employers Liability
WC3
Employers
-- Employers Liability
WCUSLH
Employers Liability
US Longshoremen &
WCJA
g Harbor Workers Act
Federal Jones Act
Administration Instruction
#4 709.2
Statutory Limits
$100,0005500,000/$100,000
$ 00,000/$500,0003500,000
$1,000,000/$1,000,000/$1,000,000
Same as Employers'
Liability
Same as Employers'
Liability
MSCKLST 1
1996 Edition
G N AT. T TARTT�-y
As a minimum, the required general liability coverages will include:
• Premises Operations Prgducts and Completed Operations
• Blanket Contractual Personal Injury
• Expanded Definition
of Property Damage
Required Limits:
GL 1 X
GL2
GL3
GL4
Required Endorsement:
GLXCU
GLLIQ
GLS
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage
or
$300,000 Combined Single Limit
$250,000 per Person; $500,000 per Occurrence
$50,000 Property Damage
or
$500,000 Combined Single Limit
$500,000 per Person; $I,000,OQO per Occurrence
$100,000 Property Damage
or
$1,000,000 Combined Single Limit
$5.000,000 Combined Single Limit
Underground, Explosion and Collapse (XCU)
Liquor Liability
Security Services
All endorsements are required to have the same limits as the basic policy.
INSCKLST 2
Administration Instruction
#4 709.2
1"6 Edition
As a minimum, coverage should extend to liability for:
• Owned; Non -owned; and Hired Vehjrles
Required Limits:
VL1 X
$50,000 per Person: $100,000 per Occurrence
$25,000 Property Damage
or
$100,000 Combined Single Limit
VL2
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage
or
$300,000 Combined Single Limit
VL3
$500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage
or
$1,000,000 Combined Single Limit
VL4
$5,000,000 Combined Single Limit
BR1
Builders'
Limits equal to the
Risk
completed project.
MVC
Motor Truck
Limits equal to the maximum
Cargo
value of any one shipment.
PRO1
Professional
$ 250,000 per Occurrence/$ 500,000 Agg.
PR03
Liability
$ 500,000 per Occurrence/$1,000,000
Agg.
$1,000,000 per Occurrence/$2,000,000 Agg.
POL1
Pollution
$ 500,000 per Occurrence/$1,000,000 Agg.
POL3
Liability
$1,000,000 per Occurrence/$2,000,000 Agg.
$5,000,000 per Occurrence/$10,000,000 Agg.
ED 1
ED2
Employee
000
Dishonsty
$100,000
GK
GK3
Garage
Keepers
$ 300,000 ($ 25,000 per Veh)
$ 500,000 ($100,000 per Veh)
WLI
$1,000,000 ($250,000 per Veh)
X Watercraft
Liability $500,000
INSCKLST 3
Administration Instruction
k4 709.2
1"6 Edition
INSURANCE ArENTS ST---MF.NT
I have reviewed the above requirements with the bidder named below. The following deductibles
apply to the corresponding policy.
POLICY'
DEDUCTIBLES
Liability policies are _ Occurrence _ Claims Made
Insurance Agency Signature
BIDDERS TAT .AEI N7'
I understand the insurance that will be mandatory if awarded the contract and will comply in full
with all the requirements.
Bidder
IN'SCKLST 4
Administration Instruction
N4 709.2
Signature
1996 Edition
WORKERS' COMPEN*-o"A`fION
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETkWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Workers' Compensation Insurance with limits sufficient to respond to Florida Statute to
40.
In addition, the Contractor shall obtain Employers' Liability Insurance Aith limits of not less
than:
$100,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$100,000 Bodily Injury by Disease, each employee
Coverage shall be maintained throughout the entire term of the contract.
Coverage shall be provided by a company or companies authorize
state of Florida. d to transact business in the
If the Contractor has been approved by the Florida's Department of Labor, as an authorized self -
insurer, the County shall recognize and honor the Contractor's status. The Contractor may be
required to submit a Letter of Authorization issued by the Department of Labor and a Certificate
of Insurance, providing details on the Contractor's Excess Insurance Program.
If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required.
In addition, the Contractor may be required to submit updated financial statements from the fund
upon request from the County.
WC1
Administration Instruction
N4 709.2
1996 Edition
WORKERS' COMMNSATION
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract involves Maritime Operations, the Contractor's
Workers' Compensation Insurance Policy shall include coverage for claims subject to the Federal Jones
Act (46 U.S.C.A. subsection 688) with limits not less than those specified for Employer's Liability.
The Contractor shall be permitted to provide Jones Act Coverage through a separate Protection and
Indemnity Policy, in so far as the coverage provided is no less restrictive than would have been provided
by a Workers' Compensation policy. .11
NN'CJA
Administration Instruction
# 4 709. 2
1996 Edition
GENERAL LIABIT, Ty
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWIEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of work governed by this contract, the Contractor shall obtain
General Liability Insurance. Coverage shall be maintained throughout the life of the contract and
include, as a minimum:
• Premises Operations
• Products and Completed Operations
• Blanket Contractual Liability
• Personal Injury Liability
• Expanded Definition of Property Damage
The minimum limits acceptable shall be:
$300,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$100,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its
provisions should include coverage for claims filed on or after the effective date of this contract.
In addition, the period for which claims may be reported should extend for a minimum of twelve
(12) months following the acceptance of work by the County.
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
GLl
Administration Instruction
a4 709.2
1996 Edition
VEHICLE LIABILI'I;:F °-
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract requires the use of vehicles, the Contractor,
prior to the commencement of work, shall obtain Vehicle Liability Insurance. Coverage shall be
maintained throughout the life of the contract and include, as a minimum, liability coverage for:
Owned, Non-0,Amed, and Hired Vehicles
The minimum Iimits acceptable shall be:
$100,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$ 50,000 per Person
$100,000 per Occurrence
$ 25,000 Property Damage
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
VL1
Administration Instruction
k 4 709.2
xo
1996 Edition
WATER CRAFT LIAB!LWIl;,
INSURANCE REQUIREA,?EN1-S
FOR
CONTRACT
t
BETWEEN
MONROE COUNTY, FLORIDA
AND
Prior to the commencement of xvork governed by this contract; the Contractor shall obtain
Water Craft Liability Insurance with terms no less restrictive than those found in the
standard "American Institute Hull Clauses" (June 2, 1977 edition). Coverage shall be
maintained throughout the life of the contract and include, as a minimum:
• Injury (including death) to any Person
• Damage to Fixed or Movable Objects
• Costs Associated with the Removal of Wrecked Vessels
• Contractual Liability with Respect to this Contract
If the policy obtained states that coverage applies for the "Acts, r Omissions of a Vessel",
it shall be endorsed to provide coverage for the legal liability of the shipowner.
The minimum limits acceptable shall be:
$500,000 Combined Single Limit (CSL)
Coverage provided by a Protection and Indemnity Club (P&I) shall be subject to the
approval of the County.
The Monroe County Board of County Commissioners shall be named as Additional
Insured on all policies issued to satisfy the above requirements.
WL1
Administration Instruction
# 4 709. 2
...........
ACORD �t
:...:�,.....-..- ERTlFA`TE 4F...�1
PRODUCER .....
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Plastridge Agency, Inc
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
.
811 S S Ocean Blvd.
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
. .
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Stuart FL 34994-2427
COMPANIES AFFORDING COVERAGE
Jean R. Parks
COMPANY
PhoneNa 561-287-5532 FmxNa 561-287-5572
A American National Fire Ins.
INSURED
COMPANY
B
American Underwater Contractor
COMPANY
i Scuba Scrubbers, Inc.
C
102 Sunfish Lane
Jupiter FL 33477-7212
COMPANY
D
COVERAGES ,
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.
CO
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MMIDD/YY) DATE (MMIDD M LIMITS
GENERAL LIABILITY
A $ COMMERCIAL GENERAL WOM50095901
GENERAL AGGREGATE f 2000000
08/30/99 08/30/00 PRODUCTS.COMPIOPAGG
OCCUH2
CLAIMS MADE OCCUR
f 1000000
owNEas a coNTRAcroas PROT
PEiSONALaADVINJURY $ 1000000
8 3hi r
Shiprepairers Lia
EACH OCCURRENCE $ 1000000
FIRE DAMAGE Ouw am Tim) $ 50000
AUTOMOBILE LIABILITY
MED EXP (ANY ampemon) f 2500
ANY AUTO
COMBINED SINGLE LIMIT f
ALL OWNED AUTOS
SCHEDULED AUTOS �/��{�
1 I\)
BODILY INJURY f
pia Poeon)
HIRED AUTOS
NON -OWNED AUTOS I
/�� _ (BODIL URY f
_ ^
- PROPERTY DAMAGE f
GARAGE
LIABILITY
f
ANY AUTO
AUTO ONLY. EA ACCIDENT
OTHER THAN AUTO ONLY:
...................................:.
rj/`,
EACH ACCIDENT
f
AGGREGATE
f
EXCESS LlAelllTY
UMBRELLA FORM
EACH OCCURRENCE f
071iER THAN UMBRELLA FORM
AGGREGATE f
WORKERS' COMPENSATION AND
f
ATUMITS-
EMPLOYERS' UAIKAY
� I
THE PROPRIETOR/ INCL
EL EACH ACCIDENT f
PARTNERSMDMCUnvE
O
OFFICERS A EXCL
DISEASE
EL POLICY LIMIT Is
OTHER
EL DISEASE - EA EMPLOYEE f
DESCRIPTION OF OPERATIONW.00ATIONSIVEHZaVSPECIAL ITEMS
Monroe CountY is Listed as additional insured.
CEETIFiCA'C!! HOi pEi� .
..::....:..
]E�ONRO-5
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIE
Monroe Board Of Cty Comm
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR To MAT.
Commissionon ers
1100_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAME) TO THE LEFT,
Kim Mc Gee
AIUNtE TO MAL SUCH NOTICE SHALL NO OBLIGATION OR LIABILITY5100
College Rd, Wing IV #410
of KINDUPONTHECOMPANYms REPRESENTATIVES.
KeY West FL 33040
ooA