Item C22Revised 2/95
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date:
February 2122, 2001
Division:
Public Safet
Bulk Item: Yes
X No
Department:
Fire -Rescue
AGENDA ITEM WORDING: Approval to award bid and enter into an Agreement between Board of County
Commissioners, acting as the governing board for the Municipal Services Taxing District #6 and Fire Tech
Repair Service, Inc. for maintenance of Fire/Rescue vehicles, semi-annual inspections, preventative
maintenance, and unscheduled maintenance resulting from malfunction or failure.
ITEM BACKGROUND: On December 21, 2000, sealed bids were opened for maintenance of Fire/Rescue
vehicles, semi-annual inspections, preventative maintenance, and unscheduled maintenance resulting from
malfunction or failure by the Purchasing Department. Fire Tech Repair Service, Inc. was the only bidder. We
are now requesting that the Board accept the Fire Tech Repair Service, Inc. bid for a one-year period,
commencing on March 1, 2001 and ending February 28, 2002. The contract provides for an annual renewal for
up to three (3) one-year periods, with the approval of the District's governing Board. The previous contract was
with Fire Tech Repair Service, Inc. which expired -on December 31, 2000. Itemized pricing for the hourly labor
rate has increased from $52.00 to $60.00 per hour for the primary technician, from $30.00 to $35.00 per hour for
the secondary technician, and annual pump testing has increased from $250.00 to $275.00 for the term of the
contract. All other item pricing provided through the contract for the various types of service will remain the
same as in the previous contract for the term of the contract with variations being due only to adjustment
(additions and/or deletions) in the schedule of the covered vehicles.
PREVIOUS RELEVANT BOCC ACTION: On January 19, 2000, the Board approved the final renewal of
the previous Fire Tech Repair Service, Inc. contract's final three year option beginning December 18, 1999 and
ending on December 31, 2000.
STAFF RECOMMENDATION: Approval.
DISTRICT 6 COST: $5,100.00 to cover periodic inspection, preventative maintenance and pump testing
plus repairs at $60/hour and parts 25% over cost.
BUDGETED: Yes X No
REVENUE PRODUCING: Yes No X AMOUNT/MONTH YEAR
APPROVED BY: County Attorney Yes OMB/Purchasing Yes Risk Management Yes
DEPARTMENT HEAD APPROVAL:
DIVISION DIRECTOR APPROVAL:
DOCUMENTATION:
DISPOSITION:
Included: X
9 ZV O
es R. "Reggie" Paros
To Follow: Not Required:
Agenda Item #:
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract #
Contract with: Fire Tech Repair Service Effective Date:
Inc.
Expiration Date:
Contract Purpose/Description:Agreement for scheduled semi-annual inspections and
preventative maintenance of fire rescue vehicles annual pump tests and for unscheduled
maintenance and re air resulting from a ui ment failure or malfunction.
Contract Manager: Reggie Paros 6088 Fire Rescue
(Name) (Ext.) (Department)
for BOCC meeting on 2/21.22/01 Agenda Deadline: 02/07/01
CONTRACT COSTS
Total Dollar Value of Contract: $ Current Year Portion: $
Budgeted? Yes® No ❑ Account Codes: 12500-530-460- -
Grant: $ 12500-530-462- -
County Match: $
ADDITIONAL COSTS
Estimated Ongoing Costs: $ /yr For:
(Not included in dollar value above) (eg_ maintennnrP
CONTRACT REVIEW
Changes Da e O t
Da I Needed e sewer
Division Director 9oEyes❑ No❑� s2 y 2(
Risk ManagC+",`e�meent Z G
urcha n ^� I, I 1
g
County Attorney 11-2- �
Comments:
Yes[/] No❑
Yes ► NoO�,�� 6
Yes o
OMB Form Revised 9/11/95 MCP et
0IC 2/7/G
cy�� 2, (g /'
Feb-08-01 07:17A Risk Management 305.295 4364 P.02
Sent By: HP Laseriet 3100; Jetsuite; Feb-7-01 1:15PM; Page 213
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract #
Contract with: Firc Tech Repair Service- Effective Date -
ice
Expiration Date:
Contract Purpose/Description:Agmment fox Uhcduled semi-annual inspections and
preventative maintenance of fire rescue vehicles annual pwnp fists aad for unschedulqd
maintenance and mDair resulting from equipment failure or mal runrg'on
Contract Manager. Reg 'e Paros
(Name)
for BOCC meeting MZalZ2/01
6089 Firc Rescue
(Ext.) (Dcpartment)
Deadline:
CONTRACT COSTS
Total Dollar Value of Coal=: S Current Year Portion: S
Budgeted? Yes® No C) Xc�_c`ount Codcs: 1=_M 4bU-
cnnt: S
County Match: S
ADDITIONAL COSTS
Fstimated Ongoing Costs: $/yr For:
(Not included in dollar value above) (eg. inaintenantz, utilities, janitorial salaries, etc
REVIEW
Changes Date Out
Daft In Needed Reviewer
Division Director Yesn Non
Risk Management 'L .5i l o t Yes"No[]
urcbasing d� I6 �� Yes�o �'��'`.`'`�c�ie ,Ll5lo/2 2A-1-0
County Attorney ���.�/d� Y o[do.,-,�, _ C) I
OMB Form Revised 9/ 11 /95 MCP 42 ti'
490 63`d Street, Ocean
Marathon, FL 33050
Phone: 289-6088
Fax: 289-6336
To: Rob Bleser From: Susan Hover, Admin. Asst.
Company: Fire Tech Repair Service Company: Fire Rescue
45-1 - (.. - /y���,' Date: 2/6/01
Total Pages: 2
Attached please find a copy of your handwritten Bid Proposal Form.
Please note the section for regularly scheduled semi-annual inspections and
I1 ian 1Lai Im IC;e, vuU 1Idve !!Sieu
Per Inspection
$ 360.00 Rescue Veh. w/out pump
$ 490.00 Pumper
$ 640.00 Aerial
as shown In 1JUA A.
r uui previous contract was as Tollows:
Per Inspection
$ 180.00 Rescue Veh. w/out pump
$ 245.00 Pumper
$ 320.00 Aerial
BOX A
Total cost Der year
$ 720.00 Rescue Veh. w/out pump
$ 980.00 Pumper
$1,280.00 Aerial
BOX B
Total cost Per year
.$ 360.00 Rescue Veh. w/out pump
$ 490.00 Pumper
$ 640.00 Aerial
Please read the statement below, and if you agree, please sign and fax back so that I
may proceed in processing your contract through the February Board meeting.
I, Rob Bleser, state that I made an error on the Bid Proposal Form submitted on
December 21, 2000. It was my intent to keep the semi-annual inspection and
maintenance charges the same as the previous contract as shown in BOX B.
The only changes I made from the previous contract was to increase the primary
technician hourly rate from $52.00 to $60.00, the secondary technician hourly rate
from $30.00 to $35.00, and the cost for the ump test from $250.00 to
$275.00.
Rob Bleser
Fire Tech Repair Service, Inc.
BID PROPOSAL FORM
Bidders Name and Address: �i2�- 1 ECbi !?4PA1 k_ 5CRU1ci_ :ZVc
/a3Gko od�,�c.s�s Ncoy .
Telephone No.: `Cy-//Sq .�W. 3p3/632_ cz
Regularly scheduled semi-annual inspection and maintenance, as specified in Item 6, on all apparatus.
Per vehicle price to be inclusive of travel, milea e, etc.
Cost per Vehicle $ Wo.00 - +� Total Cost (1 Year) $ U0.00
u
6 4b. oo - i0 ,� i 28u Qo
lg4v,VA- &JU-C DO No% 1A-rLuDf_, P"A-TX46, oi`, �iG�tiS
Annual pump test.
Cost per Vehicle $ R? S cb
Unscheduled Maintenance resulting from equipment malfunction or failure requiring service.
Hourly Rate
Parts to be marked up
$ Fro. 00
3s-• co �►z. a<ce.12 n.n.
aS'
% over cost to the Contractor.
The schedule of vehicles may be adjusted periodically, depending on the addition or deletion of vehicles
of the fleet. The cost of Inspections/Maintenance (Item 6) and/or pump test will be adjusted accordingly.
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MAINTENANCE OF FIRE/RESCUE VEHICLES
AGREEMENT is made and entered into by the Board of County Commissioners of Monroe
County, Florida, acting as the governing board for the Municipal Services Taxing District 6,
hereinafter referred to as "DISTRICT", and Fire -Tech Repair Service, Inc., hereinafter referred to
as "CONTRACTOR".
RECITALS
A. The DISTRICT advertised a notice of calling for bid for MAINTENANCE OF
FIRE/RESCUE VEHICLES on the 18tn day of November and the 251n day of November
2000 in the Florida Keys Keynoter, on the 171n day of November and the 241n dM oof
November 2000 in the Key West Citizen and on the 23`d day of November and the 301n
day of November 2000 in The Reporter;
B. The successful bidder was Fire -Tech Repair Service, Inc.;
C. The initial contract provides for a renewal of the contract for three additional one-year
terms.
D. This contract is an agreement between parties.
NOW, therefore, the parties agree as follows:
1. CONTRACT PERIOD AND RENEWAL - The contract term is a period of one year from
the date on which it is signed by the last of the two parties to sign.
2. CONTRACT TERMINATION - This contract may be terminated for any reason by either
party on 30-day written notice without cause.
SUBJECT MATTER OF CONTRACT - This contract is for scheduled semi annual
inspections and preventative maintenance of fire rescue vehicles, annual pump tests and
for unscheduled maintenance and repair resulting from equipment failure or malfunction.
4. RATES -The hourly rate shall be $60.00 per man-hour with no travel time or mileage
charge. Jobs requiring more than one technician will be charged at the rate of $35.00 per
man-hour for the second man. Semi Annual inspections and annual pump tests are at
quoted flat rates and excluded from hourly rate.
5. OVERTIME AND HOLIDAYS - Rates per man-hour for emergency repairs called
outside normal business hours and federal holidays shall be one and one half times the
normal rate.
6. SEMI-ANNUAL INSPECTIONS - During the year Contractor shall perform two
inspections on vehicles described in Attachment 1 (Level I and Level II Preventative
Maintenance Service) at an annual total cost of.
Rescue -type vehicles, without pump $360.00
Pumpers $490.00
Aerials $640.00
Exception shall be if a vehicle has been used 1,000 hours prior to yearly preventative
maintenance service, Level I and II Preventative Maintenance Service shall be performed
and charged the above rate.
Level I: 250 Hours or 6 months (whichever comes first)
Full vehicle inspection as per attached semi-annual inspection schedule plus:
- Engine oil and filter change
- Fuel filter change (every 6 months)
- Air filter inspection and replacement if necessary
- Chassis lubrication
- Outboard (forward) impeller shaft lubrication
- Lubrication of all valve control linkages
- Clean or replace air compressor strainer
- Clean engine crankcase breather
Inspection of generator and service of lubricant system, full system, and air filter
according to its individual hours of operation (not to exceed 6 months)
Level II: 1000 Hours or one year (which ever comes first)
Full service performed in Level I plus:
- Replacement of coolant hoses, filter and coolant as needed
- Replacement of all drive belts as needed
- Replacement of pump transmission oil and.filter
- Replacement of engine transmission fluid and filter
- Replacement of rear axle lube oil as needed -
- Inspection of front wheel bearing
- Replacement and repacking as needed
- Inspection and cleaning of relief valve strainer
- Replacement of secondary fuel filters on both engine and generator
The number of vehicles may fluctuate from time to time due to new purchases or removal
of vehicles from inventory. The inspections shall be preformed at the respective fire
stations.
7. WORK SCHEDULE Regularly scheduled semi-annual inspections and preventative
maintenance shall be conducted at such intervals as are approved by the DISTRICT.
8. PUMP TESTS - CONTRACTOR shall perform an annual pump test at a flat rate cost of
$275 each for all vehicles requiring such test. In order to facilitate the passing of the
pump test, minor repairs and adjustments shall be made as needed; price includes clean-
up after salt water use.
9. PARTS, FLUIDS AND LUBRICANTS - All parts, fluids, and lubricants used for
maintaining and repairing vehicles shall be supplied by CONTRACTOR and billed to the
DISTRICT at cost plus 25%, with a copy of original parts supplier invoices for all parts
attached to the bill.
10. ENGINE OIL AND FILTER CHANGE and complete drive train lubrication and any
other fluids and/or filter changes, shall be performed as recommended by the
manufacturer.
11. SEMI-ANNUAL INSPECTION SCHEDULE - CONTRACTOR shall perform the
following inspection and preventative maintenance twice per year on all vehicles:
(a) Cooling system, including fan belts, radiator supports, hoses and clamps, and
auxiliary cooler;
(b) Exhaust System, including hanger, clamps, muffler, and pipes;
(c) Clutch, including freeplay, linkage, and fluid levels;
(d) Manual Transmission, including seals, linkage, and lube level;
(e) Automatic Transmission, including fluid level, seals, modulator adjustment, and
linkage;
(f) Drive Train, including U joints, center support, and companion flanges;
(g) Rear Axle and Springs, including oil links, spring hangers, center bolts, and U-
bolts
(h) Front End, including steering box, linkage, kingpins and bushings, spring hangers,
and U-bolts;
(i) Mechanical Brakes, including adjustment and fluid levels;
0) Air Brakes, including drain, adjustment, wear, and air leaks;
(k) Tires, including condition and wear;
(1) Electrical System, including running lights, emergency lights, battery cables, turn
lights, 4-way flasher, headlights, stop lights, and switches;
(m) Fuel System, including hoses and fittings, filters and brackets, and tank straps;
(n) Booster Tank, including leaks and supports;
(o) Prime Pump, including wires, coupling, switch, and valve discharge;
(p) Plumbing and Gates, including leaks, brackets, bleed valves, control arms and
knobs, and linkage;
(q) Main Pump, including vacuum test, pressure test, packing, clappers, and
mounting;
(r) Pump Transmission, including fluid levels, seals, shift motors, and manual
override;
(s) Aerial Ladder, including power takeoff, drive shaft and coupling, p.t.o. activating
device, and outrigger controls;
(t) Aerial Operation, including engine r.p.m., hydraulic pressure, operation of all
controls, warning devices, hoses and fittings, rung covers, ladder locks, and ring
gear;
(u) Aerial Platform, including lubrication, leveling, electrical system, turntable and
platform controls, communications, and water tube.
The above inspections shall include, at no additional labor charge, the changing of all
applicable filters and fluids used by the unit being inspected. Air filters shall be changed
on first inspection and then yearly thereafter. Filters and fluids shall be billed at cost plus
25%, as previously described in Section 10 of this AGREEMENT.
12. WEEKLY MAINTENANCE SCHEDULE - CONTRACTOR shall provide to the
DISTRICT a preventative maintenance schedule that can be performed weekly by the
individual Volunteer Fire Departments' personnel.
13.
14.
MAINTENANCE LOG CONTRACTOR shall maintain an inspection and maintenance
chart on each vehicle containing at least the following information:
(a) Date of performance,
(b) apparatus serviced,
(c) service performed,
(d) parts used,
(e) name of service person(s),
(f) total downtime of vehicle
A copy of this chart shall be supplied to the Fire Rescue Office within 30 days of the
service.
COMMUNICATION - CONTRACTOR shall maintain a telephone or paging device such
that prompt notification of request for service is possible at all times.
15. RESPONSE TO SERVICE REQUEST - CONTRACTOR shall maintain itself in a state
of readiness during normal working hours, 8:00 am — 5:OOpm Monday thru Friday, and
shall respond to the location where emergency repairs are needed within 12 hours of
receiving a request. For repairs required after normal working hours, CONTRACTOR
shall respond to the location where emergency repairs are needed within 24 hours of
receiving a request.
16. CERTIFICATION - CONTRACTOR shall provide evidence satisfaction to the
DISTRICT that its personnel who perform maintenance work are certified in pump
mechanics, general mechanics and repair.
17. QUALIFICATIONS OF MAINTENANCE PERSONNEL - All personnel performing
maintenance, repairs, adjustments, and related work on the DISTRICT'S equipment shall
be certified or experienced in the work to be performed.
18. INDEMNIFICATION - CONTRACTOR shall indemnify and hold the DISTRICT and
Monroe County harmless for any negligence on its part, or faulty or improper
workmanship, for all work performed under this contract, including all costs of
collection, reasonable attorney fees, claim costs, and as per "Attachment A". All property
or equipment being directly maintained or repaired by CONTRACTOR shall be
considered in its care, custody, and control while such work is in progress and until
physical control of such property or equipment is restored to the DISTRICT.
19. LOCATION OF WORK - This contract covers vehicles located at the following Fire
Stations:
a. Key Largo (2 Stations)
20. INSURANCE - As per Attachments "B" and "C".
21. PAYMENTS Payments for semi-annual inspection, preventative maintenance and pump
tests shall be made by the DISTRICT within 30 days of the completion of the rendered
services on each vehicle and proper invoicing by the CONTRACTOR. All unscheduled
maintenance and repair resulting from equipment failure or malfunction requiring service
shall be billed by the CONTRACTOR at the applicable rates as specified in Section four
and five of this AGREEMENT. The CONTRACTOR upon notification by the
DISTRICT of an equipment failure or malfunction requiring unscheduled maintenance
shall, in a timely manner investigate the problem and provide to the DISTRICT an
estimate of the cost for repair and vehicle downtime. The CONTRACTOR upon
receiving authorization to proceed from the DISTRICT shall effectuate such repair; upon
completion of same the contractor shall notify the DISTRICT of the out come and actual
cost. The DISTRICT shall issue a separate purchase order for each occurrence of
unscheduled maintenance and repair.
22. This contract takes effect on the date of the last party to sign.
23. Monroe County's performance and obligation to pay under this contract is contingent
upon an annual appropriation by the B.O.C.C.
24. Venue for any litigation arising under this contract must be in a court of competent
jurisdiction in Monroe County, Florida.
IN WITNESS WHEREOF, each party hereto has caused this contract to be executed by its duly
authorized representative.
(SEAL)
Attest: Danny L. Kolhage, Clerk
Clerk
-TT TTn C1
BOARD OF COUNTY COMMISSIONERS
MUNICIPAL SERVICES TAXING
DISTRICT 6
Mayor / Chairman
APr�O D AS TO FO
41v GAl SUFFICIE
ANNE A. (TON
DATE ._� L el
FIRE -TECH REPAIR SERVICE, INC.
Authorized Representative
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 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."
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
AoBEler -2), ,6L&462 warrants that he/it has not employed, retained
or otherwise had act on his/its behalf any former County officer or employee in violation of
Section 2 of Ordinance No. 10-1990 or any County officer or employee in violation of
Section 3 of Ordinance No. 10-1990. 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.
(signature)
Date: / Xj L,:::9z)
STATE OF /'- <-02/ DA
COUNTY OF AlONF-or,
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
who, after first being sworn b me affixed his/her
Y
Signature (name of individual signing) in the space provided above on this vX-76"" day of
20.
7 zi
NOTARY PUBLIC
My commission expires: c9 a v2DIU
OMB - MCP FORM #4
� V,4" SOPHIE P. PENA
MY COMMISSION # CC 718957
Off`oFf� [XPIRES:February=2002
1.800,4.WTAPY Fla. NCtWV 8V-0 al & /OndifpCO_
MONROE COUNTY FIRE RESCUE
Vehicle List - District 6
Location Vehicle Description
Key Largo 1994 Saulsbury HD Rescue/Pumper
1983 Ford Rescue/Pumper
1974 Chevrolet Rescue
1978 American LaFrance Pumper
1978 American LaFrance Pumper
1993 Boardman Tanker/Pumper
1988 E-One Aerial
Attachment 1
1996 Edition
MONROE COUNTY, FLORIDA
RISK MANAGEMENT
POLICY AND PROCEDURES
CONTRACT ADMINISTRATION
MANUAL
Indemnification and Hold Harmless
for
Other Contractors and Subcontractors
The Contractor covenants and agrees to indemnify and hold harmless Monroe County Board of
County Commissioners from any and all claims for bodily injury (including death), personal
injury, and property damage (including property owned by Monroe County) and any 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,
occasioned by the negligence, errors, or other wrongful act or omission of The Contractor or its
Subcontractors in any tier, their employees, or agents.
In the event the completion of the project (to include the work of others) is delayed or suspended
as a result of the Contractor's failure to purchase or maintain the required insurance, the
Contractor shall indemnify the County from any and all increased expenses resulting from such
delay.
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 this agreement.
TCS
Administration Instruction Attachment A
#4709.3 96
1996 Edition
RISK MANAGEMENT
POLICY AND PROCEDURES
CONTRACT ADMINISTRATION
MANUAL
General Insurance Requirements
for
Other Contractors and Subcontractors
As a pre -requisite of the work governed, or the goods supplied under this contract (including the
pre -staging of personnel and material), the Contractor shall obtain, at his/her own expense,
insurance as specified in any attached schedules, which are made part of this contract. The
Contractor will ensure that the insurance obtained will extend protection to all Subcontractors
engaged by the Contractor. As an alternative, the Contractor may require all Subcontractors to
obtain insurance consistent with the attached schedules.
The Contractor will not be .permitted to commence work governed by this contract (including
pre -staging of personnel and material) until satisfactory evidence of the required insurance has
been furnished to the County as specified below. Delays in the commencement of work,
resulting from the failure of the Contractor to provide satisfactory evidence of the required
insurance, shall not extend deadlines specified in this contract and any penalties and failure to
perform assessments shall be imposed as if the work commenced on the specified date and time,
except for the Contractor's failure to provide satisfactory evidence.
The Contractor shall maintain the required insurance throughout the entire term of this contract
and any extensions specified in the attached schedules. Failure to comply with this provision
may result in the immediate suspension of all work until the required insurance has been
reinstated or replaced. Delays in the completion of work resulting from the failure of the
Contractor to maintain the required insurance shall not extend deadlines specified in this contract
and any penalties and failure to perform assessments shall be imposed as if the work had not
been suspended, except for the Contractor's failure to maintain the required insurance.
The Contractor shall provide, to the County, as satisfactory evidence of the required insurance,
either:
• Certificate of Insurance
Wi
• A Certified copy of the actual insurance policy.
The County, at its sole option, has the right to request a certified copy .of any or all insurance
policies required by this contract.
All insurance policies must specify that they are not subject to cancellation, non -renewal,
material change, or reduction 1n coverage unless a minimum of thirty (30) days prior notification
is given to the County by the insurer.
The acceptance and/or approval of the Contractor's insurance shall not be construed as relieving
the Contractor from any liability or obligation assumed under this contract or imposed by law.
Administration Instruction
#4709.3
14
Attachment B (Page 1 of 3)
1996 Edition
The Monroe County Board of County Commissioners, its employees and officials will be
included as "Additional Insured" on all policies, except for Workers' Compensation.
Any deviations from these General Insurance Requirements must be requested in writing on the
County prepared form entitled "Request for Waiver of Insurance Requirements" and
approved by Monroe County Risk Management.
Administration Instruction
#4709.3
15
Attachment B (Page 2 of 3)
1996 Edition
MONROE COUNTY, FLORIDA
Request For Waiver
of
Insurance Requirements
It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be
waived or modified on the following contract.
Contractor:
Contract for:
Address of Contractor:
Phone:
Scope of Work:
Reason for Waiver:
Policies Waiver
will apply to:
Signature of Contractor:
Approved Not Approved
Risk Management
Date
County Administrator appeal:
Approved:
Date:
Not Approved:
Board of County Commissioners appeal:
Approved: Not Approved:
Meeting Date:
Administration Instruction
#4709.3
102
Attachment B (Page 3 of 3)
1996 Edition
GARAGE LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract involves the servicing and/or repair of
County -owned vehicles, the Contractor will be required to purchase and maintain a Garage
Policy to include Garage Liability Insurance extending to vehicles, owned or leased by the
County, left with the Contractor for servicing, repair, storage, or safekeeping. Coverage should
include, as a minimum:
• Premises and Operations Liability
• Vehicle Liability
• Contractual Liability
• Products and Completed Operations Liability
• Garage Keepers' Legal Liability, to include:
Comprehensive and Collision
The Garage Keepers' Legal Liability shall extend to all County-owned/leased vehicles in the care,
custody, and control of the Contractor.
The Contractor's insurance shall be primary to any coverage maintained by the County.
The minimum limits acceptable shall be:
$300,000 Combined Single limit (CSL) for liability
$ 25,000 Garage Keepers' Legal Liability
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
Administration Instruction
#4709.3
GK1
46
Attachment C
Feb-08-01 09:27A Smith Mack & Assoc.
P-01
Key Largo FL 33037-
(305) 1451-4230
LTY �`11R1N DATE(INM/DD/YY)
02/08/01
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
-_A Hartford Insurance .Company
COMPANY
B
COMPANY—
C
COMPANY
D
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 ( TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION
LTR� POLICY NUMBER DATE (MM/DO/YV) DATE (RAM/DD/W) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE f --
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPA7PAGG f
CLAIMS MADE n OCCUR PERSONAL 6 ACV INJURY S
j I OWNER'S a CONTRACTOR'S PROT EACH OCCURRENCE s
FIRE DAMAGE (Any one fire) S
MEO EXP (Any one Drson) S --
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
_
COMBINED SINGLE LIMIT I S
BODILYINJURY I S
(Per person)
LY INJURY
(II&=Id nq I S
PROPERTY DAMAGE I $
A
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$ 3 0 0 0 0 0
X ANY AUTO
02UECBU4172
04/01/00
04/01/01
OTHER THAN AUTO ONLY:
X I_n_cl Gen Liab
EACH ACCIDENT
s300000
AGGREGATE
S 9 0 0 0 O 0
EXCESS LIABILITY
EACH OCCURRENCE 1 S
UMBRELLA FORM
/ /
/ /
AGGREGATE S
OTHER THAN UMBRELLA FORM
$
r I WORKERS COMPENSATION AND
sCSBYII�T- FH-
EMPLOYERS' LIABILITY
EL EACH ACCIDENT
S
THE PROPRIETOR! PARTNER$/EXECUTIVE INCL
EL DISEASE - POLICY UMIT
_
S
—
OFFICERS ARE: i EXCL
EL DISEASE - EA EMPLOYEE!
S
Dam.
02UECBU4172
04/01/00
04/01/01
Comprehensive $500 ded.
IAJOTHEAPhysical
A.
Physical Dam.
02UECBU4172
04/01/00
04/01/01
Collision $500 ded.
IAI
Garagekeepers
02UECBU4172
04/01/00
04/01/01
Liability - Direct
Primary Coveraae
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
Certificate holder is additional insured with respect to these
coverages. _
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
E]X/PIIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Monroe County - Monroe County Board 3_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
of County Commissioners BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
5100 College Road OF ANY KIND UFO C S REPRESENTATIVES.
Key West FL 33040
AUTHORIZED REPREBENTA r