Item C05BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: May 15, 2013 Division: Emergency Services
Bulk Item: Yes _ No X Department: Fire Rescue
Staff Contact Person: Mary Napoli ext. 6010
AGENDA ITEM WORDING: Approval of the Renewal Agreement between the Board of County
Commissioners of Monroe County and J. A. LaRocco Enterprises, Inc. for the installation of fire
hydrants in unincorporated Monroe County using Ad Valorem taxes, Impact Fees, and other funding
sources such as grants, private donations, etc.
ITEM BACKGROUND: The original Agreement between the parties provided for a three year term
from June 16, 2010 through June 15, 2013 with the option renew once for three (3) additional years,
with the approval of the District's governing Board. Staff is requesting approval to exercise the
renewal clause for three additional years, commencing on June 16, 2013 and ending on June 15, 2016.
PREVIOUS RELEVANT BOCC ACTION: On May 6, 2010 sealed bids were opened for the
installation of fire hydrants in unincorporated Monroe County. There were four bids. From the four
bidders, J. A. Larocco Enterprises Inc. was the successful bidder with the lowest overall pricing. On
June 16, 2010 the County entered into a new service agreement with J. A. LaRocco Enterprises, Inc.
with a term beginning June 16, 2010, for the installation of fire hydrants in unincorporated Monroe
County using Ad Valorem taxes, Impact Fees, and other funding sources such as grants, private
donations, etc. This contract provides for the installation of hydrants in District 1 for $9,975.00 per
hydrant, in District 2 for $7,975.00 per hydrant, in District 3 for $7,000.00 per hydrant and in Key
Colony Beach for $7,975.00 per hydrant.
CONTRACT/AGREEMENT CHANGES: Contract will be extended and the new expiration date
will be June 15, 2016.
STAFF RECOMMENDATIONS: Staff recommends approval as written.
TOTAL COST: $9975.00/hydrant District 1 INDIRECT COST: X BUDGETED: Yes X No
$7975.00/hydrant District 2
$7000.00/hydrant District 3
$7975.00/hdrant Key Colony Beach
DIFFERENTIAL OF LOCAL PREFERENCE: Yes
COST TO COUNTY: See above SOURCE OF FUNDS: Ad Valorem Taxes, Impact Fees, other
Funding sources such as grants, donations,
etc.
REVENUE PRODUCING: Yes No X AMOUNT PER MONTH Year
5-1-
APPROVED BY: County Atty OMB/Purchasing Risk Management
DOCUMENTATION: Included X Not Required
DISPOSITION: AGENDA ITEM #
Revised 07 09
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract with: J.A. LaRocco Enterprises Inc. Contract #
Effective Date:
Expiration Date:
Contract Purpose/Description:
Installation of fire hydrants in unincorporated Monroe County.
Contract Manager: Mary Napoli
(Name)
for BOCC meeting on 05/15/2010
06/ 16/2013
06/15/2016
6010 Emergency Services / Stop 14
(Ext.) (Department/Stop #)
genda Deadline: 04/3012010
CONTRACT COSTS
Total Dollar Value of Contract: $ $9975.00/hydrant District 1 Current
$7975.00/hydrant District 2 Year
$7000.00/hydrant District 3
$7975.00/hydrant Key Portion:
Colony Bch. $
Budgeted? Yes® No ❑ Account Codes: Impact Fee funds: 31501-560-630.31502-560-630.31503-
560630 31504-560-6503 and other fundine sources such as Ad Valorem taxes, ¢rants.
private donations, et.
Grant: $
County Match: $
ADDITIONAL COSTS
Estimated Ongoing Costs: $ /yr For:
(Not included in dollar value above) (eg. maintenance, utilities, janitorial, salaries, etc.)
CONTRACT REVIEW
Changes Date Out
Date In Needed
Division Director- 15 Yes❑ No[�]--
Risk Management 1-Ay Yes❑ No�
7-
O.M.B./Purchasing Jq-J4/!3 Yes❑ NoEf
County Attorney *1L+ 1-n13 Yes❑ No[� �4 ao
Comments:
OMB Form Revised 2/27/01 MCP #2
RENEWAL AGREEMENT
1 his RENEWAL, AGREEMENT is dated the _ __ day of _
2013, by and between the Board of County Commissioners of Monroe Count}. Florida, and J. A. LaRocco
Enterprises, Inc., hereinafter called the "Contractor".
WIT-NESSETH
WHEREAS. the parties hereto did enter into an agreement dated June 16, 2010 for the installation of
fire hydrants in unincorporated Monroe County using Ad Valorem taxes, Impact Fees, and other funding
sources such as grants. private donations, etc. ("Agreement"'). the term of which runs from June 16, 2010
to June 15, 2013: and
WHEREAS, said Agreement provided an option to the Count) to renew the contract for one
additional three year term: and
WI IEREAS, the County has elected to exercise said option for the continuation of the installation
of fire hydrants in unincorporated Monroe County: not therefore
IN CONSIDERATION of the mutual covenants and obligations contained herein, the parties agree
as follows:
1. The County elects to reneNN the Agreement for the three additional }ears pursuant to Article
2 of the Agreement.
2. The effective date of this amendment is June 16. 2013 and shall extend through June 15.
2016. under the same terms and conditions of the Agreement.
4. All other terms and conditions of the Agreement shall remain in full force and effect.
Attest: AMY HLAVILIN, CLERK
Deputy Clerk
WITNESS:
BOARD OI COUNTY COMMISSIONERS
OF MONROE COUNTY. FLORIDA
By:
Mayor/Chairman
J.A. LAROCCO ENTERPRISES. INC.
Print Name:
S e care
Print Title
MONROE COUNTY ATTORNEY
AP OVE AS TO F R
HIA L. AL
ASSIST T OUNTY ATTORNEY
Date - .� —.Z0
Client#: 65951
IALAR1
ACORD_ CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
1 04/24/2013
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(ies) must 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).
PRODUCER
Advanced Insurance Und. (Estero)
CONTACT
NAME:
PHONE 239-949-1888 Alc No): 29-949-1388
AIC No Ext
10600 Chevrolet Way Ste. 200
Estero, FL 33928
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIC #
239 949-1888
INSURER A: FCCI Insurance Company
10178
INSURED
J. A. LaRocco Enterprise, Inc.
dba All Keys Concrete
743 Largo Road
Key Largo, FL 33037
INSURER B :
INSURER C
INSURER D
INSURERS:
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSR WVD POLICY NUMBER MMIDDIYYYY MMIDD
A
GENERAL LIABILITY
GLOO130472
D2113/2013
02/13/201
$1 000000
MMERCIAL GENERAL LIABILITY
-EACH
q�OCCURRENCE
PREMISES EaENurrence
S50O OOO
MED EXP (Any one person)
$1O 000
CLAIMS -MADE L ^JOCCUR
PERSONAL & ADV INJURY
$1 000 000
rGEWLA(
GENERAL AGGREGATE
s2,000,000
GREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2,000,000
$
ICY E O LOC
D211312013
A
AUTOMOBILE LIABILITY CA00203452
02/13/201
(Ea accideDtSINGLE LIMIT
$1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
BODILY INJURY (Per accident)
$
$
ALL OWNED SCHEDULED
_ AUTOS AUTOS
NON OWNED
X HIRED AUTOS X AUTOS
PROPERTY DAMAGE
Per accident
X UMBRELLA LIAB X OCCUR UMB00138462
2/13/2013
$
A
02113/2014
EACH OCCURRENCE
$1 OOO 000
AGGREGATE
S1,000,000
EXCESS LIAB CLAIMS-MADEi
---
$
DED X RETENTION $10000 _
WORKERS COMPENSATION 001 WC12A68081
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
OFFICER/MEMBER EXCLUDED? a N / A
(Mandatory in NH)
A
2/25/2013
02/25/201
TOTH-
X ` O sT LIMIS ER
E.L. EACH ACCIDENT
$1 000 000
E.L. DISEASE - EA EMPLOYEEI
$1 000 000
E.L. DISEASE - POLICY LIMIT
$1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
4-a5+
DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required)
** Workers Comp Information **
USLH
** Supplemental Name **
First Supplemental Name applies to all policies - J. A. LaRocco Enterprise, Inc.
(See Attached Descriptions)
I:[0]U14V
Monroe County Board of County
Commissioners
490 63rd Street, Suite 170
Marathon, FL 33050
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
,c7 19RR-2nln ACI6RD CORPORATION. All riahts reserved
ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD
#S981604/M981603 SAB
DESCRIPTIONS (Continued from Page 1) 1
First Supplemental Name applies to all policies - dba All Keys Concrete
SAGITTA 25.3 (2010105) 2 of 2
#S9816041M981603
CONTRACT BETWEEN
THE BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
AND
J. A. LaROCCO ENTERPRISES INC.
FOR INSTALLATION OF FIRE HYDRANTS IN MONROE COUNTY
THIS CONTRACT, hereinafter "CONTRACT or AGREEMENT" is made and entered into this
-J-(- day of June, 2010 by and between the Board of County Commissioners of Monroe
County, Florida, hereinafter referred to as "COUNTY", and J. A. LaRocco Enterprises Inc.,
hereinafter referred to as "CONTRACTOR'.
WITNESSETH:
WHEREAS, the COUNTY advertised a notice of request for proposals for INSTALLATION OF
FIRE HYDRANTS IN MONROE COUNTY; and
WHEREAS, the successful Contractor was J.A. LaRocco Enterprises Inc., and;
WHEREAS, this CONTRACTOR represents that it is capable and prepared to provide such
services, and;
WHEREAS, the COUNTY intends to enter into an agreement for the INSTALLATION OF
FIRE HYDRANTS IN MONROE COUNTY with the CONTRACTOR and;
WHEREAS, this contract is an "Agreement" between both parties,
NOW, THEREFORE, in consideration of the promises contained herein, the parties agree
as follows:
1. CONTRACT DOCUMENTS - This contract consists of the Agreement, the
CONTRACTOR'S response to the RFP, and the documents referred to in the Agreement
as a part of this Agreement. In the event of any conflict between any of the contract
documents, the one imposing the greater burden on the CONTRACTOR will control.
2. CONTRACT PERIOD AND RENEWAL - The effective date of this Agreement shall be
June 16, 2010 through June 15, 2013. This Agreement may be renewed once for three
(3) additional years, subject to approval of the Fire Chief of Monroe County Fire Rescue,
the Office of Management and Budget and the Monroe County Board of County
Commissioners.
3. CONTRACT TERMINATION - This Agreement may be terminated for any reason by
either party on 30-day written notice without cause. If the CONTRACTOR fails to fulfill
the terms of this Agreement, or attachments, properly or on time, or otherwise violates
the provisions of the agreement or of applicable laws or regulations governing the use of
funds, the County may terminate the contract by written notice. The notice shall specify
cause. All finished or unfinished supplies or services shall, at the option of the County,
become property of the County. The County shall pay the CONTRACTOR fair and
equitable compensation for expenses incurred prior to termination of the agreement, less
any amount or damages caused by the CONTRACTOR'S breach. If the damages are
more than compensation payable, the CONTRACTOR will remain liable after
termination and the County shall pursue collection for damages.
4. SUBJECT MATTER OF CONTRACT — This contract is for the installation of Fire
Hydrants in unincorporated Monroe County in the following areas:
a. District 1 Lower Keys — The area of Monroe County South of the Seven Mile Bridge
(MM40), excluding the City of Key West.
b. District 2 Middle Keys — The area of Monroe County and including Fiesta Key south
to the Seven Mile Bridge. (MM40).
c. District 3 Upper Keys — The area of Monroe County north of Fiesta Key, excluding
Layton.
d. Key Colony Beach — The area of Key Colony Beach.
5. QUALIFICATION OF THE CONTRACTOR:
a. The Contractor shall be responsible for obtaining all necessary permits and approvals
for the installation of the hydrants, including permits from the FKAA, Monroe
County Growth Management (Building Department), and FDOT.
b. 'The Contractor performing installation, maintenance, repairs, adjustments and related
work shall be properly certified by the State of Florida for the work to be performed.
c. Personnel performing work who are not certified or experienced in such work shall be
directly supervised (in person) by an individual with such certification. -
d. Within 90 days after award of the Contract, the Contractor shall supply Monroe
County with a monthly schedule of the time frame when each fire hydrant will be
installed.
6. SERVICES TO BE PERFORMED BY CONTRACTOR:
a. The CONTRACTOR shall begin the permitting phase for each requested hydrant
within 30 days of notification by the Monroe County Fire Marshal of the location(s)
of the hydrant(s). The hydrant(s) shall be installed within 45 days after the issuance
of the last required permit (such date shall be transmitted in writing to the Fire
Marshal's Office).
b. The CONTRACTOR shall ensure that all installations, maintenance and repairs are
performed in a timely manner in accordance with operational needs.
c. The CONTRACTOR shall describe the approach and methodology he/she will take to
accomplish the services defined herein. This shall include information on time for
installation, schedule and availability, staffing, whether sub -contractors are used,
whether the Contractor owns the equipment used, and any other relevant information
explaining how the delivery of the product and the provisions of services is
accomplished.
d. The CONTRACTOR shall conform to the standards set forth by the Florida Keys
Aqueduct Authority's (FKAA) Minimum Construction Standards and Specifications
when connecting to an FKAA water source. Standards are available at fkaa.com.
e. The CONTRACTOR shall be responsible for performing the installation of fire
hydrants.
f. The CONTRACTOR shall, within 30 days after completion of each fire hydrant
installation, forward a computerized report to Monroe County Fire Rescue indicating
the status of the hydrant and GPS coordinates. This will be done for each hydrant
when completed. This report must be emailed to the Assistant Fire Marshal. The
form must either be in Microsoft Word or Excel.
g. The CONTRACTOR shall be licensed in fire hydrant installation by the State of
Florida.
h. The CONTRACTOR agrees to indemnify and hold harmless Monroe County for all
actions of contractor's negligence as well as faulty or improper workmanship for all
work performed under the contract including all costs of collection, reasonable
attorney fees, claim costs and others. It is agreed that all property and equipment
being directly worked on by the contractor is considered to be in its care, custody and
control while such work is being performed.
i. The CONTRACTOR shall supply all materials and labor for the installation of
specified fire hydrants including but not limited to: the hydrant itself (acceptable
hydrants are specified in the FKAA construction standards document), labor, pipes,
joints, valves, taps, thrust blocks, restraining clamps, backfill material, excavation,
asphalt, temporary paving, repair of pavement removed as a result of installation,
tools, cutting, barricades, traffic and warning devices and any and all required
permits.
7. RATES -The following rates shall be per hydrant installation with no travel time or
mileage charged.
District 1 — Lower Keys
$9975.00 / per hydrant.
District 2 — Middle Keys
$7975.00 / per hydrant.
District 3 - Upper Keys
$7000.00 / per hydrant.
Key Colony Beach
$7975.00 / per hydrant.
8. INSURANCE - During the term of this contract, the CONTRACTOR must keep in force
and effect the insurance required by Attachments F. Attachment F is attached and
incorporated into this contract.
9. ADDITIONAL REQUIRED STATEMENTS/VERIFICATIONS/AFFIDAVITS.
Attached hereto in Attachments A, B, C, D and E are Non -Collusion Affidavit, Public
Entity Crime Statement, Drug -Free Workplace Form, Conflict of Interest Clause, and
Indemnification to Hold Harmless.
10. PAYMENTS — The COUNTY shall pay CONTRACTOR within 30 days of the
completion of the rendered services on each hydrant and after proper invoicing by the
CONTRACTOR. All payments will be made in accordance with the Florida Local
Government Prompt Payment Act.
11. STANDARD OF CARE — CONTRACTOR shall exercise the same degree of care, skill,
and diligence in the performance of Services as is ordinarily provided by a professional
CONTRACTOR, offering services for local governments in South Florida, under similar
circumstances and CONTRACTOR shall, at no additional cost to the COUNTY, re -
perform services which fail to satisfy the foregoing standard of care.
12. Monroe County's performance and obligation to pay under this contract is contingent
upon an annual appropriation by the Board of County Commissioners of Monroe County,
Florida.
13. Venue for any litigation arising under this contract must be in a court of competent
jurisdiction in Monroe County, Florida. This Agreement is not subject to arbitration.
IN WITNESS WHEREOF, each party hereto has caused this contract to be executed by its duly
authorized representative.
BOARD OF COUNTY COMMISSIONERS
s - of MO OE C TY, FL
(SEAL)-
Mayor/Chairman
Attest: Danny L. Kolhage, Clerk
Clerk
WITNESS:
Name and Address of Contractor
MON E COUNTY ATTORNEY ` � V,_,=��q OVEp AfSU
R
, % iorized Representative Signature
YNTHIA L. HALL
ASSIS NT COUNTY ATTORNEY ess se
Date-as-aoi0
SECTION FOUR:
FORMS
Attachment A
Attachment B
Attachment C
Attachment D
Attachment E
Attachment F
Attachment G
Non -Collusion Affidavit
Public Entity Crime Statement
Drug Free Workplace Form
Lobbying & Conflict of Interest Clause- (Ethics Clause)
Indemnification and Hold Harmless
Insurance Documents
Local Preference Form (if applicable)
tltrtychnient +
UO- D& CQ LUSION AFMAVEF
I, John LaRocco of the
city of Key Largo according to law on my oath,
and under penalty of peijury, depose and say that;
1) Iam J.A. LaRocco Enterprise. Inc. the respondent
making the Proposal for the project described as follows:
Installation of Fire Hydrants in Monroe County
2) The prices in this proposal have been arrived at independently without
collusion, consultation, communication or agreement for the purpose of restricting
competition, as to any matter relating to such prices with any other respondent or with
any competitor;
3) Unless otherwise required by law, the prices which have been quoted in this
proposal have not been knowingly disclosed by the respondent and will not knowingly be
disclosed by the respondent prior to proposal opening, directly or indirectly, to any other
respondent or to any competitor; and
4) No attempt has been made or will be made by the respondent to induce any
other person, partnership or corporation to submit, or not to submit, a proposal for the
purpose of restricting competition; and
.11 5) The sta_tements contained in this affidavit are true and correct, and made with
full knowledge that Monroe County relies upon the of stet Lt-inedin
this affidavit in awarding contracts for said project.
STATE OF Florida �-
(Signature of Respondent)
COUNTY OF Monroe 0 4 / 1 6 / 10
Date
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
John LaRocco who, after first being sworn by me, (name of
individual signing) affixed his/her signature in the space provided above on this
16th day of April , 20 10
My commission expires: A BRIAN KEITH CONOVER
NOTARY PUBLIC •" MY COMMISSION # D0907044
���,.'
iEXPIRES July 14, 2013
OMB - MCP FORM # 1 ox) 39e ws� ��+ogdeeloto ervloaoom
R
Attachment B
FUBLIC ENTITY CRMM, STATE si NT
"A person or affiliate who has been placed on the convicted vendor list following a
conviction for public entity crime may not submit a proposal on a contract to provide any
goods or services to a public entity, may not submit a proposal on a contract with a public
entity for the construction or repair of a public building or public worts, may not submit
proposals on leases of real property to public entity, may not be awarded or perform worts
as a bidder, supplier, subbidder, or RESPONDENT 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."
By executing this form, I acknowledge that I/my company is in compliance with the
above. _
STATE OF —El —Or I —da � (l, / % (
(Signature of Respondent)
COUNTY OF Monroe _ 04 / 16 / 10
Date
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
John LaRocco who, after first being sworn by me, (name of
individual signing) affixed his/her signature in the space provided above on this
16t:h _day of April , 20 10
My commission expires: , 4,�
NOTARY PUBLIC <�RIAN KEITH a;oNov�+R
•O? My COMMISSION # DD907544
EXPIRES July 14, 2013
4 39&0753 poridallotery5embe,com
tlttaclunent C
DRUG -FREE WOREFLACE FORM
The undersigned Respondent in accordance with Florida Statute 287.087 hereby certifies
that:
J.A. LaRocco Enterprise, Inc.
(Name of Business)
1. Publishes a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace
and specifying the actions that will be taken against employees for violations of such
prohibition.
2. Informs employees about the dangers of drug abuse in the workplace, the business's
policy of maiutainipg a drug -free workplace, any available drug counseling,
rehabilitation, and employee assistance programs, and the penalties that may be imposed
upon employees for drug abuse violations.
3. Gives each employee engaged in providing the commodities or contractual services
that are under proposal a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notifies the employees that, as a condition
of working on the commodities or contractual services that are under proposal, the
employee will abide by the terms of the statement and will notify the employer of any
conviction of, or plea of guilty or nolo contendre to, any violation of Chapter 893
(Florida Statutes) or of any controlled substance law of the United States or any state, for
a violation occurring in the workplace no later than five (5) days after such conviction.
5. Imposes a sanction on, or require the satisfactory participation in a drug abuse
assistance or rehabilitation program if such is available in the employee's community, or
any employee who is so convicted.
6. Makes a good faith effort to continue to maintain a drug -free workplace through
implementation of this section.
As the nerson Authoriz (f-I gn the statement, I certify that this firm complies fully with
the ab a emen .
!ti
Respondents Signature
04/'16/10
Date
OMB - MCP FORM #5
W
AttaChmet2t D
]Li,OBBiYII1 G AND CONIFUCT OF, INTEREST CLAUSE'
SWORN STATEMENT UDDER ORDINANCE NO. 1.0-1990
MONROE COUNTY, FLORSDA
ETEJFCS CLAUSE
John LaRocco warrants that helit 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 discr 'on, deduct from the contract or purchase price, or otherwise
re v r, r9full am any fee, commission, percentage, gift, or consideration paid to
th fo unty or employee.
Date: 04/16/10
STATE OF
(Signature)
Florida
COUNTY OF Monroe
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
John LaRocco
his/her
who, after first being sworn by me, affixed
signature (name of individual signing) in the space provided above on this 1 6th day
Of
April .20 1 0 .
NOTARY PUBLIC
__��pVbll� . EITH CONOVER
My commission expires: A MY COMMISSION It DD907544
EXPIRES July 14, 2013
4f
407)398-0153 Rlor{deNo4+M3ory wm
OMB - MCP FORM 04
:9
Attachment E
Ii/i101 ROE COUNTY, F LOR DA
RISK MANAG EAd[E 1T
POLICY AND PROCEDURES
CONTRACT ADMMSTRATION
B AWAL
Indemnification and Hold Harmless
for
Other Bidders and Subbidders
The Bidder covenants and agrees to indemnify and hold harmless Monroe County Board
of County Commissioners AND Board of Governors for District I, its servants, agents
and employees 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 �incluchng attorney's fees which arise out of, in
connection with, or by reason of services provided by the Bidder or any of its
Subbidder(s) in any -tier, occasioned by the negligence, errors, or other wrongful act or
omission of The Bidder or its Subbidders 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 Bidder's failure to purchase or maintain the required
insurance, the Respondent 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 Respondent is for the
indedinification-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.
Respondent's Signature
04/16/10
Date
TCS
I0
Attachment F (1 of S)
INSURANCE REQUIREMENTS
FOR CONTRACT
INSTALLATION OF HYDRANTS IN MONROE COUNTY, FL
BETWEEN
MONROE COUNTY, FLORIDA
AND
J.A. LaROCCO ENTERPRISE, Inc.
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:
$500,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$250,000 pefPerson
$500,000 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 liability policies issued to satisfy the above requirements.
GL2
Attachment F (2 of S)
GENERAL LIABILITY
INSURANCE REQUIREMENTS
FOR CONTRACT
INSTALLATION OF FIRE HYDRANTS IN MONROE COUNTY, FL
BETWEEN
MONROE COUNTY, FLORIDA
AND
J.A. LaROCCO ENTERPRISE, Inc.
Recognizing that the work governed by this contract involves either underground exposures,
explosive activities, or the possibility of collapse of a structure, the Contractor's General Liability
Policy shall include coverage for the XCU (explosion, collapse, and underground) exposures
with limits of liability equal to those of the General Liability Insurance policy.
GLXCU
12
Attachment F (3 of S)
VEHICLE LIABILITY
INSURANCE REQUIREMENTS
FOR CONTRACT
INSTALLATION OF HYDRANTS IN MONROE COUNTY, FL
BETWEEN
MONROE COUNTY, FLORIDA
AND
J.A. LaROCCO ENTERPRISE, Inc.
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 -Owned, and Hired Vehicles
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
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
VL2
13
Attachment F (4 of S)
WORKERS' COMPENSATION
INSURANCE REQUIREMENTS
FOR CONTRACT
INSTALLATION OF HYDRANTS IN MONROE COUNTY, FL
BETWEEN
MONROE COUNTY, FLORIDA
AND
J.A. LaROCCO ENTERPRISE, Inc.
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Workers' Compensation Insurance with limits sufficient to respond to the applicable state
statutes.
In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less
than:
$500,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$500,000 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 authorized to transact business in the
state of Florida.
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.
WC2
14
Attachment F (S of S)
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:
Board of County Commissioners appeal:
Approved: _
Meeting Date:
Not Approved:
Not Approved:
15
Attachment 6
LOCAL PREFERENCE FORM
A. Vendors claiming a local preference acoording to Ordinance 023 -2009 must complete this form
Name of Bidder/Responder J e A o LaRocco Ent. Inca Date: 0 4/ 1 6/ 1 0
1. Does the vendor have a valid receipt for the business tax paid to the Monroe County Tax Collector dated at least
one year prior to the notice or request for bid or proposal? yes (Please furnish copy. )
2. Does the vendor have a physical business address located within Monroe County from which the vendor operates
or performs business on a day to day basis that is a substantial component of the goods or services being offered to
Monroe County? Yes
List Address: 743 Largo Rd, Rey Largo, FL 33037
Telephone Number. (305) • 453-0368
B. Does the vendor/prune contractor intend to subcontract 50% or more of the goods, services or construction to
local businesses meeting the criteria above as to licensing and location?
If yes, please provide:
1. Copy of Receipt of the business tax paid to the Monroe County Tax Collector by the subcontractor dated at least
one year prior to the notice or request for bid or proposal.
2. Subcontractor Address within Monroe County from which the subcontractor operates:
Tel. Number
Print Name: John LaRocco
Predident
STATE OF Florida
COUNTY OF Monroe
Oa this 1 6th day of ARK-1.1 201 0 , before me, the undersigned notary public, personally appeared
John LaRocco , known to me to be the person whose name is subscribed above or who produced
persona y nowrb identification, and acknowledged that he/she is the person who executed the above
Local Preference Form for the purposes therein contained.
Notary Public
Brian Ka Conover
Print Name
My commission expires: Seal
- 011� NWH CONOVET4 16
w• , ;°? MY COMMISSION it 00901644
EXPIRES July 14, 2013
NotArAGrvtoe.�
407 39 p153 Florida
C( #:65951 t
JALARI
ACORM CERTIFICATE OF LIABILITY INSURANCE DATEIMMWOIYYYY)
06/28/2010
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 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).
PRODUCER CONTACT
Adv. Ins. UM - ESTERO NAME:
10600 Chevrolet Way Ste. 200 WMAIL "0 H Eat 954 963-6666 A/C No ; 9549641438
Estero, FL 33928 ADDRESS:
239 949-1888 CU,11QMER ID a:
INSURER(S) AFFORDING COVERAGE NAICS
INSURED INSURER A: FCC[ Insurance Company
J. A. LaRocco Enterprise, Inc. -------
743 Largo Road INSURER 0:
Key Largo, FL 33037 INSURERC:
INSURER D :
INSURER E
INSURER F:
COVERAGES CFRT1Ctfnerr
.,crrarvr`% iwmocn:
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 CONTRACTOR 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 CLAIMS..
TYPE OF INSURANCE
POLICY NUMBER
pPAID
M LI 0/1'YY
P
M�OYpl ;V
LIMITS
A
GENERAL LIABILITY
GL000�3 44 i r ; .
f ,1 j ,
0 3/2010
Q2/13/2011
EAcHoccuRRENCE
$1 000 000
D�
X COMMERCIAL GENERAL LIABILITY
-..�
G
CLAIMS -MADE aOCCUR
3{�` -
PREMISES Ea ou nes
$100 000
MEDEXPAnyonsporaon)
$10000
-- - •
/
(j�t4� y � (4
�w
PERSONAL A ADV INJURY
51,000,000
GENt AGGREGATE LIMIT APPLIES
y •'
� i�j
GENERALAGGREGATE
S2 00O 000
PRODUCTS • COMP!°PAGG
s2 OOO 000
PER:
PRO-
tit:; l , -------µ`r
+=�.....................
$
POLK:Y LOC
q
AUTOMOBILE LIABILITY
TCA00086464
02/13/2010
02/13/2011
COMBINED SINGLE LIMIT
X ANY AUTO
(Ea accident)
51,000,000
BODILY INJURY (Pet person)
S
ALL OWNED AUTOS
BODILY INJURY (Per acodem)
5
SCHEDULED AUTOS
PROPERTY DAMAGE
S
X HIRED AUTOS
X NOR -OWNED AUTOS
War acddont)
5
S
A
UMBRELLALUIB
X
OCCUR
UMS00060993
02/13/2010
02/13/2011
EACH OCCURRENCE
51 000 000
EXCESS LIAR
CLAIMS -MADE
AGGREGATE
51 00O 000
DEDUCTIBLE
S
RETENTION 5
S
A
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY
OO1 WC1 OA63744
02/25l2010
02/25/2011
X I WC STATU' OTH•
Y/NrR
0 FICERAAAEMMaEOR EXCLUDE EED? ECUTIVEFE
NIA
ILL EACH ACCIDENT
$1 000 OOO
(Mandatory In NIA
E.L. DISEASE • EA EMPLOYEE
S11,000,000
E.L DISEASE - POLICY LIMB
S1 00O 000
0yyeea,dsacrlt 4under
OESC IPTK)N OF OPERATIONS below
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach ACORD 101, AddlUonal Remark! Schadule, It more space Is required)
Monroe County Board of County Commissioners - Additional Insured
(See Attached Descriptions)
CERTIFICATE HOLDER CANCELLATION 10 Days for Non -Payment
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Monroe County Board County
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
of
ACCORDANCE WITH THE POLICY PROVISIONS.
Commissioners
1100 Simonton Street, Room 1-213
AUTHORIZED REPRESENTATIVE
Key West, FL 33040
ACORD 25 (2009109) 1 Of 2
dS651429/M651428
0199a-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SAB
DESCRIPTIONS (Continued from Page 1)
'• General Liability Information'•
Job#; 1
•• Workers Comp Information ••
Proprietors/Partners/Executive Officers/Members Excluded:
John LaRocco, President
G VI G
#S651429/M651428
2009 / 2010
MONROE COUNTY BUSYNESS TAX RECEIPT
EXPIRES SEPTEMBER 30, 2010
Business Name: LAROCCO J A ELATE
Owner Name: J A LAROCCO
Mailing Address: 743 LARGO R
KEY LARGO, J
Rooms
COMP CARD
RECEIPT# 30 t40-60562
743 LARGO RD
KEY LARGO, FL 33037
305-453-0368
'�\CONTRACTORS(CONT
ENGINEERING ENG 1245)
rl' .�ku.ni�0%7.ti � YrINrIMr
+v.M
,I
PAID-105-aa-001J07049 0 i
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX -RECEIPT Danise D. Henriquez, CFC, Tax Collector
WHEN VAUDATED -• PO Box 1129, Key West, FL 33041
THIS IS ONLY A TAX. YOU MUST
MEET ALL COUNTY AND/OR
MUNICIPALITY PLANNING AND
ZONING REQUIREMENTS.
MONROE COUNTY MONROE COUNTY
RECEIPT N0, 128230 CC: ENGI THIS IS TO CERTIFY THAT
ISSUE DATE: 11/04/2009 FEE DUE 200.00 LAROCCO, JOHN A
COUNTY LIC# ENG 1245 FEE PAID 200.00 QUALIFIES AS A
ENGINEERING CONT I
THIS CERTIFIES THAT THIS CERTIFICATE EXPIRES ON
LAROCCO, JOHN A 10/31/11
QUALIFIES AS A ENGINEERING CONT I UNLESS REVOKED
IN GOOD STANDING AND THIS CERTIFICATE ACCORDING TO
OF COMPETENCY IS VALID AND IN FORCE
UNTIL 10/31/11 P
BUILDING OFFICIAL
LAROCCO, JOHN A
J A LAROCCO ENTERPRISE INC
424 SUNSHINE BLVD
TAVERNIER FL, 33070
CERTIFICATE OF COMPETENCY