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05/19/2021 Agreement Monroe County Purchasing Policy and Procedures ATTACHMENT D.5 COUNTY ADMINISTRATOR CONTRACT SUMMARY FORM FOR CONTRACTS LESS THAN $50,000.00 Contract with: Messina & Associates, In Contract# Effective Date: 5/19/2021 Expiration Date: TBD Contract Purpose/Description: Provide and install lift plumps for Plantation Key Courthouse and Detention Center Contract is Original Agreement Contract Amendment/Extension Renewal Contract Manager: Suzi Rubio 305-453-8788 Project M, mt/ Stop 426 (Name) (Ext.) (Department/Stop #) CONTRACT COSTS Total Dollar Value of Contract: $ Current Year Portion: $ (must be less than$50,000) 22,356.81 (If ra ltiyear agreement then 22,356.81 requires BOCC approval,unless the [OLIl utl1lialati e,t1n0ola 1.,1U ys tI1a11 Budgeted? Yes ✓❑ No❑ Account Codes 2b11a -5°°5z°-°P15°3-53°3^°- Grant: $ - - - - County Match: $ _-_-_-_- ADDITIONAL COSTS Estimated Ongoing Costs: $_/yr For: Purchase and Installation of sewage grinder pumps iNot included in dollar value above) (e.g.maintenance,utilities,janitorial, salaries, etc.) Insurance Required: YES ❑✓ NO 0 CONTRACT REVIEW Changes Date In Needed Reviewer Date In Department Head Yes❑No ✓❑ Cary Knight DigitallyZgo5.2b1y11:1r1:48'OQ'4g' 5/21/2021 County Attorney Yes❑No❑✓ Joseph X. DiNovo Dig1tal2021.ly 5.21 11 32 38-4,00, 5/21/2021 Date:2021.05.21 11:32:38-04'00' Risk Management Yes❑No❑ Maria L. SlavikDigi 2',2ignedbyMaria4-04'L. ik Date:2021.05.21 11:41:04-04'00' Olglblly signed by Ch,,tine R,l lkbll O.M.B./Purchasing Yes❑No ✓❑ Christina Brickell°n"°"'"o, " °°ePiai1 Bncke1 05/21/21 cbn 2021. e unry-fl.govOl Oa[e:2°21.°5.2115'19'11-0d'°°' Comments: Revised BOCC 10/21/2020 Page 83 of 101 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS REQUEST FOR SERVICES FOR PLANTATION KEY COURTHOUSE AND DETENTION CENTER LIFTSTATION REPAIR y r� r BOARD OF COUNTY COMMISSIONERS Mayor Michelle Coldiron, District 2 Mayor Pro Tern David Rice, District 4 Craig Cates, District 1 Eddie Martinez, District 3 Mike Forster, District 5 COUNTY ADMINISTRATOR Roman Gastesi Clerk of the Circuit Court Dir. of Project Management Kevin Madok Cary Knight May 2021 PREPARED BY: Monroe County Project Management Department F +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 Monroe County Project Management Date: May 10, 2021 Scope of Work Supply and install three (3) new Flygt 230V pumps and custom trash basket by the sole source vendor in the existing lift station. Project will be turn-key and will include all labor and materials. Includes staff training for operations. See Attachment "A". Job Name: Plantation Key Courthouse and Detention Center Lift Station Repair. Job Location: Plantation Key Courthouse and Detention Center 88820 Overseas Hwy Plantation Key, FL 33070 Contact: Project Management/Facilities Maintenance Project Manager Name: Suzi Rubio Rubio-Suzanne@m_onroecounty-fl.gov (305) 453-8788 PROJECT OVERVIEW, PROJECT INTENT AND SCOPE, GENERAL REQUIREMENTS 1. Project Overview a. The Intent and Scope of the Project is to describe the materials and methods of construction required for the performance of the work. In general, it is intended that the scope shall delineate the detailed extent of the work. Contract documents are complimentary, and what is required by one shall be as binding as if required by all. 2. Project Intent and Scope a. Contractor shall supply all of the needed materials and hardware to complete the project as noted in the Project Overview above and properly dispose of debris. b. Contractor shall supply and install three (3) new Flygt 230V pumps from the sole source vendor and custom trash basket in the existing lift station. Project will be turn-key and will include all labor and materials. Includes staff training for operations. See Attachment "A". Page 2 of 28 F � +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 3. Summary of General Requirements a. Contractor is required to provide protection for all existing surfaces. To include, but not limited to: i. Existing fixtures ii. Personal Items iii. Vehicles and Personal Property iv. Landscaping b. The Contractor shall ensure that all non-exempt employees for this effort are compensated in accordance with all State and Local Laws. c. Provide a dumpster, containment bin, or similar device for the collection and containment of construction generated debris. d. Load, haul, and properly dispose of all construction debris. e. Provide and maintain appropriate (OSHA required) construction warning signs and barriers. f. Furnish all required work site safety equipment. g. Furnish and maintain on-site safety data sheets ("SIDS") for all materials used in the construction. h. Construction work times shall be limited to: 8:00 A.M. to 5:00 P.M. Monday- Friday. i. All materials shall be approved by submittal prior to commencement of work. j. Contractor needs to be aware of weather and location and plan accordingly. k. Contractor needs to be aware of the facility, its residents, and staff with unusual schedules and plan accordingly. I. Contractor shall provide a safety lift plan for all crane/hoist work. m. Contractor to provide schedule for all phases of the project. n. Contractor to provide paper or electronic copies of all original device specifications, warranties, maintenance schedules, shop drawings, permits, Page 3 of 28 F � +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 repair and maintenance contacts, and any other information necessary for the proper function and maintenance of the equipment. o. Contractor to coordinate all activities with concurrent site work being performed. p. By signing this agreement, the Undersigned has read and accepts the terms and conditions set forth by the Monroe County General Requirements for Construction, found at the following link on the Monroe County web page: http-//fi-monroecounty.civicplus.com/Bids.as ? a =1 q. Insurance Requirements: Workers' Compensation Statutory Limits Employers' Liability $100,000 Bodily Injury by Accident $500,000 Bodily Injury by Disease, policy limits $100,000 Bodily Injury by Disease each employee General Liability $300,000 Combined Single Limit Business Vehicle $200,000 per Person $300,000 per Occurrence $200,000 Property Damage or $300,000 Combined Single Limit Builders Risk Not-required Construction Bond Not-required The Monroe County Board of County Commissioners shall be named as Additional Insured on General Liability and Vehicle polices. r. The Contractor shall be required to secure and pay for all permits required to perform the work. s. The Contractor is required to have all current licenses necessary to perform the work. Page 4 of 28 F � +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 t. INDEMNIFICATION, HOLD HARMLESS AND DEFENSE. Notwithstanding any minimum insurance requirements prescribed elsewhere in this agreement, Contractor shall defend, indemnify and hold the County and the County's elected and appointed officers and employees harmless from and against (i) any claims, actions or causes of action, (ii) any litigation, administrative proceedings, appellate proceedings, or other proceedings relating to any type of injury (including death), loss, damage, fine, penalty or business interruption, and (iii) any costs or expenses that may be asserted against, initiated with respect to, or sustained by, any indemnified party by reason of, or in connection with, (A) any activity of Contractor or any of its employees, agents, contractors or other invitees during the term of this Agreement, (B) the negligence or recklessness, intentional wrongful misconduct, errors or other wrongful act or omission of Contractor or any of its employees, agents, sub-contractors or other invitees, or (C) Contractor's default in respect of any of the obligations that it undertakes under the terms of this Agreement, except to the extent the claims, actions, causes of action, litigation, proceedings, costs or expenses arise from the intentional or sole negligent acts or omissions of the County or any of its employees, agents, contractors or invitees (other than Contractor). The monetary limitation of liability under this contract shall be not less than $1 million per occurrence pursuant to Section 725.06, Florida Statutes. Insofar as the claims, actions, causes of action, litigation, proceedings, costs or expenses relate to events or circumstances that occur during the term of this Agreement, this section will survive the expiration of the term of this Agreement or any earlier termination of this Agreement. In the event that the completion of the project (to include the work of others) is delayed or suspended as a result of the Contractor's failure to purchase or maintain the required insurance, the Contractor shall indemnify the County from any and all increased expenses resulting from such delay. Should any claims be asserted against the County by virtue of any deficiency or ambiguity in the plans and specifications provided by the Contractor, the Contractor agrees and warrants that the Contractor shall hold the County harmless and shall indemnify it from all losses occurring thereby and shall further defend any claim or action on the County's behalf. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this Agreement. This indemnification shall survive the termination of this Contract. Nothing contained in this paragraph is intended to nor shall it constitute a waiver of the (County) Agency's sovereign immunity. Page 5 of 28 F � +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 u. NON-COLLUSION. By signing this proposal, the undersigned swears, according to law on his/her oath, and under penalty of perjury, that their firm executes this proposal with prices arrived at independently without collusion, consultation, communication, or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor. Unless otherwise required by law, the prices which have been quoted in this proposal have not been knowingly disclosed by the proposer and will not knowingly be disclosed by the proposer prior to proposal opening, directly or indirectly, to any other proposer or to any competitor. No attempt has been made or will be made by the proposer to induce any other person, partnership or corporation to submit, or not to submit a proposal for the purpose of restricting competition. The statements contained in this paragraph are true and correct, and made with the full knowledge that Monroe County relies upon the truth of the statements contained in this paragraph in awarding contracts for this project. v. EMPLOYMENT OR RETENTION OF FORMER COUNTY OFFICERS OR EMPLOYEES. By signing this proposal, the undersigned warrants that he/she/it has not employed, retained or otherwise had act on his/her/its behalf any former County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this provision the County may, in its discretion, terminate this Agreement without liability and may also, in its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee. w. CODE OF ETHICS. County agrees that officers and employees of the County recognize and will be required to comply with the standards of conduct for public officers and employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to, solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation; misuse of public position, conflicting employment or contractual relationship; and disclosure or use of certain information. x. DRUG-FREE WORKPLACE. By signing this proposal, the undersigned certifies that the Contractor complies fully with, and in accordance with Florida Statute, Section 287.087, the requirements as follows: i. They will publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specify the Page 6 of 28 F +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 actions that will be taken against employees for violations of such prohibition. ii. Inform employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. iii. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (i). iv. In the statement specified in subsection (i), notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. V. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, for any employee who is so convicted. vi. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. ADDITIONAL CONTRACT PROVISIONS I. NONDISCRIMINATION/EQUAL EMPLOYMENT OPPORTUNITY. CONTRACTOR and COUNTY agree that there will be no discrimination against any person, and it is expressly understood that upon a determination by a court of competent jurisdiction that discrimination has occurred, this Agreement automatically terminates without any further action on the part of any party, effective the date of the court order. CONTRACTOR or COUNTY agrees to comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1) Title VII of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20 USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42 USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92- 255), as amended, relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Page 7 of 28 F +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC ss. 690dd-3 and 290ee- 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with Disabilities Act of 1990 (42 USC s. 12101 Note), as may be amended from time to time, relating to nondiscrimination on the basis of disability; 10) Monroe County Code Chapter 14, Article II, which prohibits discrimination on the basis of race, color, sex, religion, national origin, ancestry, sexual orientation, gender identity or expression, familial status or age; 11)Any other nondiscrimination provisions in any Federal or state statutes which may apply to the parties to, or the subject matter of, this Agreement. II. TERMINATION. a. In the event that the CONTRACTOR shall be found to be negligent in any aspect of service, the COUNTY shall have the right to terminate this agreement after five (5) days' written notification to the CONTRACTOR. b. Either of the parties hereto may cancel this Agreement without cause by giving the other party sixty (60) days' written notice of its intention to do so. c. Termination for Cause and Remedies: In the event of breach of any contract terms, the COUNTY retains the right to terminate this Agreement. The COUNTY may also terminate this agreement for cause with CONTRACTOR should CONTRACTOR fail to perform the covenants herein contained at the time and in the manner herein provided. In the event of such termination, prior to termination, the COUNTY shall provide CONTRACTOR with five (5) calendar days' notice and provide the CONTRACTOR with an opportunity to cure the breach that has occurred. If the breach is not cured, the Agreement will be terminated for cause. If the COUNTY terminates this Agreement with the CONTRACTOR, COUNTY shall pay CONTRACTOR the sum due the CONTRACTOR under this agreement prior to termination, unless the cost of completion to the COUNTY exceeds the funds remaining in the contract; however, the COUNTY reserves the right to assert and seek an offset for damages caused by the breach. The maximum amount due to CONTRACTOR shall not in any event exceed the spending cap in this Agreement. In addition, the COUNTY reserves all rights available to recoup monies paid under this Agreement, including the right to sue for breach of contract and including the right to pursue a claim for violation of the COUNTY's False Claims Ordinance, located at Art. IX, Section 2-721 et al. of the Monroe County Code. Page 8 of 28 F +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 d. Termination for Convenience: The COUNTY may terminate this Agreement for convenience, at any time, upon seven (7) days' notice to CONTRACTOR. If the COUNTY terminates this Agreement with the CONTRACTOR, COUNTY shall pay CONTRACTOR the sum due the CONTRACTOR under this agreement prior to termination, unless the cost of completion to the COUNTY exceeds the funds remaining in the contract. The maximum amount due to CONTRACTOR shall not exceed the spending cap in this Agreement. In addition, the COUNTY reserves all rights available to recoup monies paid under this Agreement, including the right to sue for breach of contract and including the right to pursue a claim for violation of the COUNTY's False Claims Ordinance, located at Art. IX, Section 2-721 et al. of the Monroe County Code. e. Scrutinized Companies: For Contracts of any amount, if the County determines that the Contractor/Consultant has submitted a false certification under Section 287.135(5), Florida Statutes or has been placed on the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel, the County shall have the option of (1) terminating the Agreement after it has given the Contractor/Consultant written notice and an opportunity to demonstrate the agency's determination of false certification was in error pursuant to Section 287.135(5)(a), Florida Statutes, or (2) maintaining the Agreement if the conditions of Section 287.135(4), Florida Statutes, are met. III. MAINTENANCE OF RECORDS. IV. CONTRACTOR shall maintain all books, records, and documents directly pertinent to performance under this Agreement in accordance with generally accepted accounting principles consistently applied. Records shall be retained for a period of seven (7) years from the termination of this agreement or for a period of five (5) years from the submission of the final expenditure report as per 2 CFR §200.333, whichever is greater. Each party to this Agreement or its authorized representatives shall have reasonable and timely access to such records of each other party to this Agreement for public records and audit purposes during the term of the Agreement and for seven (7) years following the termination of this Agreement. If an auditor employed by the County or Clerk determines that monies paid to CONTRACTOR pursuant to this Agreement were spent for purposes not authorized by this Agreement, or were wrongfully retained by the CONTRACTOR, the CONTRACTOR shall repay the monies together with interest calculated pursuant to Sec. 55.03 of the Florida Statutes, running from the date the monies were paid by the COUNTY. IV. PUBLIC ACCESS. Page 9 of 28 F � +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 The CONTRACTOR and COUNTY shall allow and permit reasonable access to, and inspection of, all documents, papers, letters or other materials in its possession or under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received by the CONTRACTOR and COUNTY in connection with this Agreement; and the COUNTY shall have the right to unilaterally cancel this Agreement upon violation of this provision by CONTRACTOR. CONTRACTOR shall be referred to herein also as "Contractor" for this provision only: Public Records Compliance. Contractor must comply with Florida public records laws, including but not limited to Chapter 119, Florida Statutes and Section 24 of article I of the Constitution of Florida. The County and Contractor shall allow and permit reasonable access to, and inspection of, all documents, records, papers, letters or other "public record" materials in its possession or under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received by the County and Contractor in conjunction with this contract and related to contract performance. The County shall have the right to unilaterally cancel this contract upon violation of this provision by the Contractor. Failure of the Contractor to abide by the terms of this provision shall be deemed a material breach of this contract and the County may enforce the terms of this provision in the form of a court proceeding and shall, as a prevailing party, be entitled to reimbursement of all attorney's fees and costs associated with that proceeding. This provision shall survive any termination or expiration of the contract. The Contractor is encouraged to consult with its advisors about Florida Public Records Law in order to comply with this provision. Pursuant to Fla. Stat., Sec. 119.0701 and the terms and conditions of this contract, the Contractor is required to: (1) Keep and maintain public records that would be required by the County to perform the service. (2) Upon receipt from the County's custodian of records, provide the County with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. (3) Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the contractor does not transfer the records to the County. (4) Upon completion of the contract, transfer, at no cost, to the County all public records in possession of the Contractor or keep and maintain public records that would be required by the County to perform the service. If the Contractor transfers all public records to the County upon completion of the contract, the Contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure Page 10 of 28 F � +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 requirements. If the Contractor keeps and maintains public records upon completion of the contract, the Contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the County, upon request from the County's custodian of records, in a format that is compatible with the information technology systems of the County. (5) A request to inspect or copy public records relating to a County contract must be made directly to the County, but if the County does not possess the requested records, the County shall immediately notify the Contractor of the request, and the Contractor must provide the records to the County or allow the records to be inspected or copied within a reasonable time. If the Contractor does not comply with the County's request for records, the County shall enforce the public records contract provisions in accordance with the contract, notwithstanding the County's option and right to unilaterally cancel this contract upon violation of this provision by the Contractor. A Contractor who fails to provide the public records to the County or pursuant to a valid public records request within a reasonable time may be subject to penalties under section 119.10, Florida Statutes. The Contractor shall not transfer custody, release, alter, destroy or otherwise dispose of any public records unless or otherwise provided in this provision or as otherwise provided by law. IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS, BRIAN BRADLEY AT PHONE# 305-292- 3470 BRADLEY-BRIAN(c-MONROECOUNTY-FL.GOV, MONROE COUNTY ATTORNEY'S OFFICE, 1111 12T" Street, SUITE 408, KEY WEST, FL 33040. V. RIGHT TO AUDIT. Availability of Records. The records of the parties to this Agreement relating to the Project, which shall include but not be limited to accounting records (hard copy, as well as computer readable data if it can be made available; subcontract files (including proposals of successful and unsuccessful bidders, bid recaps, bidding instructions, bidders list, etc.); original estimates; estimating work sheets; correspondence; change order files (including documentation covering negotiated settlements); backcharge logs and supporting documentation; general ledger entries detailing cash and trade discounts earned, insurance rebates and dividends; any other supporting evidence Page 11 of 28 F � +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 deemed necessary by Owner or by the Monroe County Office of the Clerk of Court and Comptroller (hereinafter referred to as "County Clerk") to substantiate charges related to this Agreement, and all other agreements, sources of information and matters that may in Owner's or the County Clerk's reasonable judgment have any bearing on or pertain to any matters, rights, duties or obligations under or covered by any contract document (all foregoing hereinafter referred to as "Records") shall be open to inspection and subject to audit and/or reproduction by Owner's representative and/or agents of Owner or the County Clerk. Owner or County Clerk may also conduct verifications such as, but not limited to, counting employees at the job site, witnessing the distribution of payroll, verifying payroll computations, overhead computations, observing vendor and supplier payments, miscellaneous allocations, special charges, verifying information and amounts through interviews and written confirmations with employees, Subcontractors, suppliers, and contractors' representatives. All records shall be kept for ten (10) years after Final Completion. The County Clerk possesses the independent authority to conduct an audit of records, assets, and activities relating to this Project. If an auditor employed by the County or Clerk determines that monies paid to Contractor pursuant to this Agreement were spent for purposes not authorized by this Agreement, or were wrongfully retained by the Contractor, the Contractor shall repay the monies together with interest calculated pursuant to Sec. 55.03, Florida Statutes, running from the date the monies were paid to Contractor. The Right to Audit provisions survive the termination or expiration of this Agreement. VI. PAYMENT OF FEES/INVOICES Payment will be made by the Owner, upon receipt of a proper invoice from the Contractor, in accordance with the Florida Local Government Prompt Payment Act, Section 218.735, Florida Statutes and Monroe County Code. The Contractor is to submit to the Owner invoices with supporting documentation that are acceptable to the Monroe County Office of Clerk and Comptroller (Clerk). Acceptability to the Clerk is based upon generally accepted accounting principles and such laws, rules and regulations as may govern the disbursal of funds by the Clerk. The Owner is exempt from sales and use taxes. A copy of the tax exemption certificate will be provided by the Owner upon request. Final payment, constituting the entire unpaid balance of the Contract Sum, shall be made by the Owner to the Contractor when the Contract has been fully performed by the Contractor and the work has been accepted by the Owner. VII. E-VERIFY SYSTEM Beginning January 1, 2021, in accordance with Fla. Stat. Sec. 448.095, the Contractor and any subcontractor shall register with and shall utilize the U.S. Department of Homeland Security's E-Verify system to verify the work Page 12 of 28 F � +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 authorization status of all new employees hired by the Contractor during the term of the Contract and shall expressly require any subcontractors performing work or providing services pursuant to the Contract to likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the work authorization status of all new employees hired by the subcontractor during the Contract term. Any subcontractor shall provide an affidavit stating that the subcontractor does not employ, contract with, or subcontract with an unauthorized alien. The Contractor shall comply with and be subject to the provisions of Fla. Stat. Sec. 448.095. VIII. NOTICE REQUIREMENT Any written notices or correspondence given pursuant to this contract shall be sent by United States Mail, certified, return receipt requested, postage prepaid, or by courier with proof of delivery. The place of giving Notice shall remain the same as set forth herein until changed in writing in the manner provided in this paragraph. Notice is deemed received by Contractor when hand delivered by national courier with proof of delivery or by U.S. Mail upon verified receipt or upon the date of refusal or non-acceptance of delivery. Notice shall be sent to the following persons: For Contractor: For Owner: Director of Project Management Assistant County Administrator, PW & E 1100 Simonton St., Room 2-216 1100 Simonton St. Key West, Florida 33040 Key West, Florida 33040 IX. UNCONTROLLABLE CIRCUMSTANCE. Any delay or failure of either Party to perform its obligations under this Agreement will be excused to the extent that the delay or failure was caused directly by an event beyond such Party's control, without such Party's fault or negligence and that by its nature could not have been foreseen by such Party or, if it could have been foreseen, was unavoidable: (a) acts of God; (b) flood, fire, earthquake, explosion, tropical storm, hurricane or other declared emergency in the geographic area of the Project; (c) war, invasion, hostilities (whether war is declared or not), terrorist threats or acts, riot, or other civil unrest in the geographic area of the Project; (d) government order or law in the geographic area of the Project; (e) actions, embargoes, or blockades in effect on or after the date of this Agreement; (f) action by any governmental authority prohibiting work in the geographic area of the Project; (each, a "Uncontrollable Page 13 of 28 Y +i Manme County Project Management 1100 Simonton Strut,2-216 t r +a} k i961y Key West,FL 33040 authorization status of all new employees hired by the Contractor during the term of the Contract and shall expressly require any subcontractors performing work or providing services pursuant to the Contract to likewise utilize the U.S. Department of Homeland Security's F-Verify systems to verify the work. authorization status of all new employees hired by the subcontractor during the Contract term. ,Any subcontractor shall provide an affidavit stating that the subcontractor does not employ, contract with, or subcontract with an unauthorized aliens. The Contractor shall comply with and be subject to the provisions of Fla. Stat. Sec. 448.0195. VIII. .NOTICE REQUIREMENT ..Any written notices or correspondence given pursuant to this contract shall be sent by United States Mail, certified, return receipt requested, postage prepaid, or by courier with proof of delivery- The place of giving Notice shall remain the save as set forth herein until changed in writing in the manner provided in this paragraphs. Notice is deemed received by Contractor when hand delivered by national courier with proof of delivery or by U.S. Mail upon verified receipt or upon the date of refusal or non-acceptance of delivery. Notice shall be sent to the following persons: For Contractor: j I For Owner: Director of Project Management .Assistant County Administrator, P'sf'V 1100 Simonton t. Room - 16 1100 Simonton St. Key West, Florida 33040 Kgy 't,FVest, Florida 33040 IX UNCONTROLLABLE I T C '. Any delay or failure of either Party to perform its obligations under this Agreement will be excused to the extent that the delay or failure was caused directly by an event beyond such Party°s control, without such Party's fault or negligence and that by its nature could not have been foreseen by such Party or, if it could have been foreseen, was unavoidable: (a) acts of Cod; (b) flood, fire, earthquake, explosion, tropical storm, hurricane or other declared emergency in the geographic area of the Project; (c) war, invasion, hostilities (whether war is declared or not), terrorist threats or acts, riot, or other civil unrest in the geographic area of the Project-, (d) government order or law in the geographic area of the Project; (e) actions, embargoes, or blockades in effect on or after the date of this Agreement (f) action by any governmental authority prohibiting work in the geographic area of the Project-, (each, a "Uncontrollable Page 13 of 28 F � +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 and Local laws, ordinances, rules and regulations affecting performance of the Work, does hereby propose to furnish all labor, mechanics, superintendents, tools, material, equipment, transportation services, and all incidentals necessary to perform and complete said Work and work incidental hereto, in a workman-like manner, in conformance with said Drawings, Specifications, and other Contract Documents including Addenda issued thereto. The undersigned further certifies that he/she has personally inspected the actual location of where the Work is to be performed, together with the local sources of supply and that he/she understands the conditions under which the Work is to be performed. The proposer shall assume the risk of any and all costs and delays arising from the existence of any subsurface or other latent physical condition which could be reasonably anticipated by reference to documentary information provided and made available, and from inspection and examination of the site. The undersigned agrees to commence performance of this Project within ten (10) calendar days after the date of issuance to the undersigned by Owner of the Purchase Order. Once commenced, undersigned shall diligently continue performance until completion of the Project. The undersigned shall accomplish Substantial Completion of the Project within Thirty (30) calendar days. The undersigned shall accomplish Final Completion of the Project within Thirty (30) calendar days thereafter. Page 15 of 28 The Base Proposal all be furnished below in words and numbers. If there is an inconsistency between the two, the Proposal in words shall control. Twenty-two Thousand Three Hundred Fifty-six & 81/100 Dollars (Total Base Proposal-words) $ Dollars (Total Base Proposal — numbers) I acknowledge Alternates as follows: Alternate #1 Dollars (Alternate#1-words) $ Dollars (Alternate #1— numbers) 11 acknowledge receipt of Addenda No.(s): No. _-—Dated_ s pit ` ` r , Monroe County Project Management 12f�f!Simonton'Street,2-216 key West Ft. 33040 In addition, Proposer states that he/she has included a certified copy of Contractor's License, Monroe County Business Tax Receipt, and Certificate of Liability showing the minimum insurance requirements for this project. Execution y the Contractor must be ,y a person withauthority to bind the entity. IN # , the parties have caused this Agreement to be executed by their duly authorized representatives, as follows: Contractor: ` .T Ae,�, -�c4*Tus (OL Mailing Address: ` - 5 91 Phone Number: � �` l JX.- \)t M)ra A V S5�s4�w cum­es�- &)&A — _ Date-. Signed: eAA Narn (Title) Contractor's Witness signature: r Witness name: ;� � # � Date-- The County accepts the above proposal; MONROE COUNTY, FLORIDA Date: 05.25.2021 By: County�Administrator or designee AAONRCE COUNTY ; V F COUNTY DATE: -17-202 1 Page 17 of 28 � k Monroe County Project Mmagement 1100 St-nontot Street,2 I 6 r VENDOR a CERTIFICATION RELNG SCFWINIZED OMPANIESLISTS j Project Descriptions}: m Despondent Vendor Came: l �rIn Vendor FEI ' Vendor's Auth j ie Deb entati e and Tit ems` Addre _ City: " State: zip: ..` 'hone Cumber '� Email Address: es Section 287.135, Florida Statutes prohibits a company from bidding on, submitting a proposal for, or entering into or renewing a contract for goods or services of any amount if, at the time of contracting or renewal, the company is on the Scrutinized Companies that Boycott Israel List, created pursuant to Section 215.4725„ Florida Statutes, or is engaged in a Boycott of Israel. As the person authorized to sign on behalf of Despondent, I hereby certify that the company identified above in the Section entitled "Despondent Vendor Carve" is not listed on the Scrutinized Companies that Boycott Israel List. I understand that pursuant to Section 287.135, Florida Statutes„ the submission of a false certifications may subject company to civil penalties, attorney's fees, and/or costs. I further understand that any contract with the COUNTY may be terminated, at the option of the COUNTY, if the company is found to have submitted a false certification or has been placed on the Scrutinized Companies that Boycott Israel List or engaged in a boycott of Israel. Certified By, — ,ieAslkvL who is authorized to sign on behalf of the abov red Authorized Signature: Print Came: Title: Note: The List are available at the following Department of Management Services Site: tTE./tw t/v.drn,3.nlyfloricla.com/busiA'veDss gpe r bons/stati" _purt[Igsinc�/vr ndr r inform atio�rn/car ivict ec suspfsrO d discrin-unw cors1plaint�y r ring lists. Page IS of 2 t Monme County Projed Management �t ; 1100 Simonton Stmet,2-216 + fey Wesf,6 , _s_040 NON-COLLUSION AFFIDAVIT l j Victoria Messina of the City Of Tavares FL according to law my oath, an1�er malty o perjury, depose and say that: am T— --A - Pre ident _ of the firrr`Ir of _ I A, .6 the proposer making the Proposal fdY the project described in the notice for C ll'na for ra osals for- TIOM and that I executed the said proposal with full authority to do so; . The prices in this proposal have been arrived at independently without collusion, consultation, communication or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other proposer or with any competitor-, and . Unless otherwise required by law, the prices which have been quoted in this proposal have not been knowingly disclosed by the proposer and will not knowingly be disclosed by the proposer prior to proposal opening, directly or indirectly, to any other proposer or to any competitor, and , No attempt has been made or will be made by the proposer to induce any other person, partnership or corporation to submit, or not to submit, a proposal for the pure of restricting competition- and The stater- rats a ed in this affidavit are true and coa;ct, made with f h kn rl ct. (Sig re of poser) (€safe) STATE OF: 9 4 COUNTY OF_ Subscribed and sworn to (or affirmed) before me, by means of physical presence or ❑ online notarization, on (date) by_ r s�®�� (name of affiant). He/She i personally known to me or has produced (type of identification) as identification, N TAR BLIC (SEAS My Comm,Expires W ��h.1.207.2 rW y commission expires: � ° " GG 181927 w f7rr03tt ` Page 19 of 28 2 } Monroo County Ptojud Managcmcnt 1100 Simontan Street,2-?iG LOBBYING AND CONFLICT OF INTEREST CLAUSE STATEMENTSWORN I CE NO. 010-1990 FLORIDAMONROE COUNTY, ETHICS CLAUSE (Company) ",.. 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. 010-1 90 or any County officer or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this provision the County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct from the contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage gift, or i station paid' to the former County officer or employee". nature) Date; � STATE F. _ COUNTY OF: Subscribed and sworn to (or affirmed) before me, by means ofEl-'p" ysical presence or ❑ online notarization, on rf l,- -/ (date) by � � f _s� (name of afFiant). He/She is el personally known to me or has produced ; (type of identification) as identification. �.�. Y ( 9 �` _ -_ y commission expires._ } n; sire 18,j928 `arar��11�P ffldti4k41�4,�,• Page 20 of 2 ,R xitr Monroe County Pro1ect'+.4xnagernenz 1100 Simonton Street,2-216 t i Key West,FL 33040 �''lutuW ,,�3fl{zfi DRUG-FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: (blame 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. . Informs employees about the dangers of drug abuse in the workplace,the business's policy of maintaining a drug-tree 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 contenders 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 wor p through implementation of this section. As the person authorized to sign the statement, I certify that this rrn co i iy the above requirements. Proposer' `g'n ure I — q 20-"w ,5 , Date STATE CF ,— COUNTY OF: rf Subscribed and sworn to (or affirmed) before me, b means of I physical presence or Cl online notarization, on. e, (date) by _ rs c 4 " (name of afFiant). He/She is personally known to me or has produced41- .Fri (type: of identification) as identification. (SE - y commission expires_ , ?t, 2__ Z wly comim Expires M� � t a'f F IP Monroe County Project Iti1[anagemcnt 1100 51IDQIDt13¢1 Street,2-216 Key Vv6si,NL. 33040 ¢,t r 1tkn PUBLIC ITS CRIME STATEMENT "A person or affiliate who has been placed on the convicted vendor list following a conviction for public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or CONTRACTOR under 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 3,6 months from the date of being placed on the convicted vendor list. I have read the above and sta that neither r ______ (proposer's name) nor any Affiliate has been pl, ced on evicted vendor list within the last thirty-six ( ) months. (Signature) Gate: STATE OF: COUNTY OF: Subscribed and sworn to (or affirmed) before me, by means of rphysical presence or n online notarization, on Z4 Z'y e,Z _ (Gate) by6 (name of aff He/She is personally known to me or has produced . (type of identification) as identification. M..41141f.kIlff SFfFfir1 F` 'r f'`',{, OTARY P I O , � , ) a ._ y commission expires: / .. y in PuBbc Fil . WHIM a e 22 of 28 F � +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 INSURANCE REQUIREMENTS AND FORMS MONROE COUNTY, FLORIDA RISK MANAGEMENT POLICY AND PROCEDURES General Insurance Requirements For Other Contractors, Subcontractors and Professional Services As a pre-requisite of the work and services governed, or the goods supplied under this contract (including the pre-staging of personnel and material), the Contractor shall obtain, at his/her own expense, insurance as specified in any attached schedules, which are made part of this contract. The Contractor will ensure that the insurance obtained will extend protection to all Subcontractors engaged by the Contractor. Alternatively, the Contractor may require all Subcontractors to obtain insurance consistent with the attached schedules. The Contractor will not be permitted to commence work governed by this contract (including pre-staging of personnel and material) until satisfactory evidence of the required insurance has been furnished to the County as specified below. Delays in the commencement of work, resulting from the failure of the Contractor to provide satisfactory evidence of the required insurance, shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work commenced on the specified date and time, except for the Contractor's failure to provide satisfactory evidence. The Contractor shall maintain the required insurance throughout the entire term of this contract and any extensions specified in the attached schedules. Failure to comply with this provision may result in the immediate suspension of all work until the required insurance has been reinstated or replaced. Delays in the completion of work resulting from the failure of the Contractor to maintain the required insurance shall not extend deadlines 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 will be held responsible for all deductibles and self-insured retentions that may be contained in the Contractor's Insurance policies. The Contractor shall provide, to the County, as satisfactory evidence of the required insurance, either: • Certificate of Insurance or • A Certified copy of the actual insurance policy. The County, at its sole option, has the right to request a certified copy of any or all insurance policies required by this contract. Page 23 of 28 F � +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 All insurance policies must specify that they are not subject to cancellation, non- renewal, material change, or reduction in coverage unless a minimum of thirty (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. 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 Department. Page 24 of 28 F +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 PROPOSER'S INSURANCE AND INDEMNIFICATION STATEMENT INSURANCE REQUIREMENTS Workers' Compensation Statutory Limits Employers' Liability $100,000 Bodily Injury by Accident $500,000 Bodily Injury by Disease, policy limits $100,000 Bodily Injury by Disease each employee General Liability $200,000 per Person; $300,000 per Occurrence $200,000 Property Damage or $300,000 Combined Single Limit Vehicle $200,000 per Person (Owned, non-owned, and hired vehicles) $300,000 per Occurrence $200,000 Property Damage or $300,000 Combined Single Limit Builders Risk Not Required Construction Bond Not Required The Monroe County Board of County Commissioners shall be named as Additional Insured on General Liability and Vehicle policies. INDEMNIFICATION, HOLD HARMLESS and DEFENSE. Notwithstanding any minimum insurance requirements prescribed elsewhere in this agreement, Contractor shall defend, indemnify and hold the County and the County's elected and appointed officers and employees harmless from and against (i) any claims, actions or causes of action, (ii) any litigation, administrative proceedings, appellate proceedings, or other proceedings relating to any type of injury (including death), loss, damage, fine, penalty or business interruption, and (iii) any costs or expenses that may be asserted against, initiated with respect to, or sustained by, any indemnified party by reason of, or in connection with, (A) any activity of Contractor or any of its employees, agents, contractors or other invitees during the term of this Agreement, (B) the negligence or recklessness, intentional wrongful misconduct, errors or other wrongful act or omission of Contractor or any of its Page 25 of 28 Monroe County Project Managenwnt t 1100 Simonton Stmd,2-216 Key We4t,FL 33040 employees, agents, sub-contractors or other invitees, or(C) Contractor's default in respect of any of the obligations that it undertakes under the terms of this Agreement„ except to the extent the claims, actions, causes of action, litigation, proceedings, costs or expenses arise from the intentional or sole negligent acts or omissions of the County or any of its employees, agents, contractors or invitees (other than Contractor). The monetary limitation of liability under this contract shall be not less than $1 million per occurrence pursuant to Section 725.06, Florida Statutes. Insofar as the claims, actions, causes of action, litigation, proceedings, costs or expenses relate to events or circumstances that occur during the terra o this Agreement, this,section will survive the expiration of the term of this Agreement or any earlier termination of this Agreement. In the event that the completion of the project (to include the work of others) is delayed or suspended as a result of the Contractor's failure to purchase or maintain the required insurance, the Contractor shall indemnify the County from any and all increased expenses resulting from such delay. Should any claims be asserted against the County by virtue of any deficiency or ambiguity in the plans and specifications provided by the Contractor, the Contractor agrees and warrants that the Contractor shall hold the County harmless and shall indemnify it from all lasses occurring thereby and shall further defend any claim or action on the County's behalf. The first ten dollars ($10.00) of remuneration paid to the Contractor is for the indemnification provided for the above. The extent of liability is in no gray limited to, reduced, or lessened by the insurance requirements contained elsewhere within this Agreement. PROPO ER'a STATEMENT I understand the insurance that will be mandatory if awarded the contract and will comply in full with all of the requirements herein. I fully accept the indemnification and hold harmless and duty to defend as set out in this proposal. r f A- PROPOS igna re VU,rbeo' �k��-AA4 Page 26 of 28 F +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 INSURANCE AGENT'S STATEMENT I have reviewed the above requirements with the proposer named above. The following deductibles apply to the corresponding policy. POLICY DEDUCTIBLES Liability policies are Occurrence Claims Made Insurance Agency Signature Page 27 of 28 F � +i �4 Monroe County Project Management is 1100 Simonton Street,2-216 Key West,FL 33040 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/Vendor: Project or Service: Contractor/Vendor Address & Phone #: General Scope of Work: Reason for Waiver or Modification: Policies Waiver or Modification will apply to: Signature of Contractor/Vendor: -------------------------------------------------------------------------------------------------------------------------------- Date: Approved Not Approved Risk Management Signature: County Administrator appeal: Approved: Not Approved: Date: Board of County Commissioners appeal: Approved: Not Approved: Meeting Date: Page 28 of 28 Al TACHMEENT "A" ME S S I NA Sales Quotation & ASSOCIATES ,.... Date: May 5,2021 Quote Number: VMM050521 Quote expires: 6/5/2021 Customer/Bill To: Suzi Rubio From: Victoria Messina Monroe Co ,,-. .,.,.,.,.,.,.,-.. 352.800.9758 Phone: 305-393-6277. Email: _ Ship To: TBA Serial Number(s(: Flygt 23oV/3Ph for Plantation Key GC LS 5-10 Days Net 30 Ph° Pumps&parcel karts... FLYGT-PC-3ph-23OV 30 Flygt Progressive cavity grinder pump 1.7Hp 3Ph/230V with 30ft cable 3.00 i$ 1,936 77 $ 5,810.32 OEC-Contactor12A3P Contactor,IEC,12A 3 pole 1.00 $ 50.46 $ 50.46 OEC-XTOB010BC1 Overload relay 6-10 Amp 1.00 $ 5296 $ 52.96 Trash basket&raGBs_.. USF-Bskt10x2gx28 Trash basket;aluminum;10"D x 28"W x 28"H with 2"holes. 1.00 $ 744.42 $ 744.42 Curved to meet wall(due to two inverts side-by-side);Approx weight= 32 lbs USF-AlumRail Aluminum rails for 29"trash basket;length 9ft 1.00 $ 591 0S $ 591.05 Lift station dia:48^ Scala .. Model#S-OB-120-NK Omnibeacon Combination of Visual Alarm Beacon and Cellular transmission OmniBeacon Power:120 Vac 1.00 $ 1,26016 $ 1,260.16 Super Bright LED Cluster bulbs Alarm Light Annunciator:2.8Khz @ 85d1b Battery Backup:Battery Backup for transmit during power loss. lnstaflation of aVl Revs listed above Vactor&wash wet well for entry 1.00 $ 1,206 48 $ 1,206.49 Confined space entry equipment&permit 1.00 $ 423.72 $ 423.72 Removal of existing pump from system 1.00 $ 719.08 $ 718.08 Install(3)New pumps to replace in kind 1.00 $ 2,095.50 $ 2,095.50 Remove existing lid.Supply and install(1)new 48"round access hatch 1.00 $ 2,566 08 $ 2,566.08 with vent Install trash basket and rail system with stainless hardware. 1.00 $ 3,037.32 $ 3,037.32 Replace contactor and overload in control panel 1.00 $ 435 60 $ 435.60 Install OMNI Beacon on existing control panel.Mount battery backup. 1.00 $ 647.46 $ 647.46 (Unit,hardware,battery,and start up supplied under separate quote) Excavate,relocate,and extend existing 2"electrical conduits through 1.00 $ 1,153 68 $ 1,153.68 wet well wall Hotels and per diem(1)night 1.00 $ 1,001.52 $ 1,001.52 MENEM= Delivery Approx freight(3 new pumps&trash basket) 1 $ 562.00 $ 562.00 - ---- ---- ---- ---- ---- ---- -- Material Total $ 21,794.81 Notes: Delivery Charge $ 562.00 Subtotal $ 22,356.81 SiI,r r-.I.0 d-. .re. �,Ins .i,�o Sales Tax _ Exempt c.... ,.,at rpr 6I._ire, p -"c Total Amount $ 22,356.811 Signature: Net 30 day terms ore-il.bie with occept.ble credit references.A 1.5%per month lore charge will be.ssessed on oil payments not mode within.greed terms in -itmg,f this order Is sent to collection,.11leg.l.nd collection charges will be.dded to the responsibility of the buyer.Any order c.ncel)ed will be subject to. 25%resmcking charge.All mate..)must be returned in new condition,oraJwbishment cho ges will be added.Ali-...freight is the responsibility of the buyer. DATE{MMIDWYYYY) ,4 o CERTIFICATE OF LIABILITY INSURANCE 05/17/2021 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lois Goodwin-Glaze Reiter Insurance Agency PHONE FAX 926 N Summit St , (386)698-2400 A C.A Na: (386)698-1337 Crescent City, FL 321121725 ADDRe : lois@reiterinsurance.com INSURERS AFFORDING COVERAGE NAIC 0 INSURER A: southern-Owners Insurance Co. 10190 INSURED Messina&Associates, inc. INSURER B; Progressive 10193 11340 Dead River Rd. Tavares, FL 327784801 INSURER c: First Comp FC INSURER D: INSURER E: 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 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, IL. TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A COMMERCIAL GENERAL LIABILITY Y Y 78447367 01/09/2021 1/09/2022 EACH OCCURRENCE $ 1,000,000 FV DAMAGE TO RENTED 300,000 CLAIMS-MADE OCCUR PREMISE Ea occurcence $ MED EXP(Any one parson) $ 10,000 ,.t PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGR7GATE LIMIT APPLIES PER: Approved Risk Managem mt GENERAL AGGREGATE $ 2,000,000 POLICY PRO LOG PRODUCTS-COMP/OPAGG 3 2,000,000 PRO- OTHER 1 $ B AUTOMOBILE LIABILITY Y 00445959-2 02/19/2021 02/19/2022 COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ 100,000 OWNED SCHEDULED f� BODILY INJURY(Per accident) $ 300,000 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ 50,000 AUTOS ONLY AUTOS ONLY Peraccitlent 5-21-2021 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB El CLAIMS-MADE AGGREGATE $ DEL) RETENTION$ $ C WORKERS COMPENSATION Y MWC0129770-03 05131/2020 05/31/2021 STATUTE ER H AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y❑ NIA E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDEV7 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yyes,describe under DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) PLUMBING SUPPLIES AND FIXTURES DEALERS AND DISTRIBUTORS.GROUND WATER SUPPLIES The Monroe County Board of County Commissioners, its employees and officials are an additional insured with respect to General Liability and Auto Liability. CERTIFICATE HOLDER CANCELLATION MONROE COUNTY 1100 SIMONTON STRET,2-216 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE KEY WEST, FL 33040 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Oyu,—,) Jp_ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 30i R Edition COUNTY,MONROE KLORIDA REQUEST FOR WAIVER OF INSURANCE REQUIREMENTS It is requested that the insurance requirements, as specified in the o nt 's Schedule of Insurance Requirements,be waived or modified on the following contract. oatractorNe dor; Project or Service: TZ ontractorNettdor Address&Phone#: . , RS General Scope ofWork: b " > m., Reason for Waiver or _. � „_ Modification: � „m.v -2?7moL4 Awl o.. . ., Policies Waiver or Modification will apply to Signature ref c tr ctcsr/1 endora Data Approved X r�rosezl tr�t�e. r�. . Cep Risk Management Signature: .,. 5-21-2021 latc. County Administrator appeal: Approved NotApproved; bate; Board of County Commissioners appeal; Approved No(Approved: Meeting Date: .A.d inist live Instruction 7500.7 104