Item D11
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: FEBRUARY 18. 2004
Division:
TDe
Bulk Item: Yes ---1L- No
Department:
AGENDA ITEM WORDING:
Approval of an Amendment to Agreement with Florida Keys Community College for
the Remodel and Improvement Project at the Tennessee Williams Theatre.
ITEM BACKGROUND:
A request for extension has been made to allow time for completion of the
project.
PREVIOUS REVELANT BOCC ACTION:
BOCC approved original Agreement at their meeting of February 19, 2003.
CONTRACT/AGREEMENT CHANGES:
Amendment to extend
STAFF RECOMMENDATIONS:
Approval
TOTAL COST: $180.005
BUDGETED: Yes ----X- No
COST TO COUNTY: $180.005
SOURCE OF FUNDS: TDe
REVENUE PRODUCING: Yes -L.. No
AMOUNTPERMONTH_ Year
APPROVED BY: County Atty -----K- OMBIPurc~ Management--X-
DIVISION DIRECTOR APPROVAL: C J ., ../
(Lynda Stuart)
DOCUMENTATION:
Included X
To Follow_ Not Required_
AGENDA ITEM #.JlJl
DISPOSITION:
Revised 2/27/01
MONROE eoUNTY BOARD OF eOUNTY eOMMISSIONERS
eONTRAeTSUMMARy
eontract with:
Florida Keys eommunity
eollege
eontract#_
Effective Date:
Expiration Date:
eontract Purpose/Description:
A roval of an Amendment to A eement with Florida Ke s Communi . Colle e
for the Remodel and Improvement Project at the Tennessee Williams Theatre.
eontract Manager: Maxine Pacini
(Name)
3523
(Ext. )
TDe#3
(Department/Stop #)
for BOee meetin on
2/18/04
Agenda Deadline: 2/3/04
eONTRAeT eOSTS
Total Dollar Value of eon tract: $ 180,005
Budgeted? Yes/ZJ No 0 Account eodes:
Grant: $
eounty Match: $
eurrent Year Portion: $ 147,887
117-77040-530340-T37M-021Y_530340
- - - -
-----
ADDITIONAL eOSTS
Estimated Ongoing eosts: $_/yr For:
_(Not included in dollar value above) _(ego maintenance, utilities, janitorial, salaries, etc.)
- -
---
eONTRAeT REVIEW
Division Director
Risk Management
O.M.B./Purchasing
eounty Attorney
eomments:
OMB Form Revised 2/27/01 MCP #2
AMENDMENT TO AGREEMENT
THIS AOOENOUM to agreement is made and entered into this _ day of
2004, between the County of Monroe and Florida Keys Community College.
WHEREAS, there was a contract entered into on February 19, 2003, between
the parties, awarding $180,005 to the Florida Keys Community College for the Remodel
and Improvement Project at the Tennessee Williams Theatre, and
WHEREAS, it has become necessary to extend the contract for an additional
period to allow time for The Florida Keys Community College to complete the project;
NOW, THEREFORE, in consideration of the mutual covenants contained herein
the parties agree to the amended agreement as follows:
2004.
1. Contract period as outlined in Paragraph 1 be extended to March 31,
2. The remaining provisions of the contract dated February 19, 2003, remain
in full force and effect.
IN WITNESS WHEREOF, the parties have set their hands and seal on the day
and year first above written.
Florida Keys Community College
President
(SEAL)
ATTEST: DANNYL.KOLHAGE,CLERK
BOARO OF COUNTY
COMMISSIONERS OF
MONROE COUNTY, FLORIOA
Oeputy Clerk
Mayor/Chairman
UZANNE A. HUTTON
Dale SS'ST~~~V'TTORNEY
.}
,
r GRANT OF FUNDS
/
This AGREEMENT datad the d"day of ~. ~003. Is entered info by and betweel
the BOARO OF COUNTY COMMISSIONERS FOR MON E COUNTY, hereinafter "County," 01
behalf of the TOURIST OEVELOPMENT COUNCIL, hereinafter "TOC," and Florida Key:
Community College, a Florida not-for-profit corporation, hereinafter" Contractor".
(
WHEREAS, the third penny of Tourist Development Tax may be used to acquire, construct.
extend, enlarge, remodel, repair or improve, convention centers, sports stadiums, sports arenas,
coliseums, auditoriums, fishing piers, museums, zoological parks, nature centers and beaches
which are publicly owned and operated or owned and operated by not-for-proflt corporations, and
WHEREAS, Contractor has applied for funding" for the Remodel & Improvement project to
acquire, construct, repair and rehabilitate the Tennessee Williams Theatre project, hereinafter "the
Property"; and
WHEREAS, the County and TOC have determined that it is in the best interest of the
County, for pUrposes of promoting tourism and preserving the heritage of the community. to
acquire, construct, repair and rehabilitate the property for use as a convention center/auditorium
open to the public;
NOW, THEREFORE, in consideration of the mutual covenants and payments contained
herein, the Contractor and the County have entered into this agreement on the terms and
conditions as set forth below.
1. AGREEMENT PERIOO. This agreement is for the period February 19, 2003, through
December 31, 2003. This agreement shall remain in effect for the stated period unless one party
gives to the other written notification of termination pursuant to and in compliance with paragraphs
7,12 and 13 below.
2. SCOPE OF AGREEMENT. The Contractor shall provide such services, materials and
equipment as are required for auditorium/stage remodel and repair; box office update and
remodel; audio/video equipment repair and acquisition; business meeting and convention hall
remodel and equipment acquisition; and acquisition and installation of signage.
The recipient of TDC capital project funding shall designate a project manager if no licensed
architect, engineer or general contractor is involved in the project. If the project is performed by
County or City personnel, the project manager shall be the Engineer, Building Official or
Construction Manager of that local government.
3. AMOUNT OF AGREEMENT ANO PAYMENT. The County shall provide an amount not to
exceed $180,005 in reimbursement for materials and services used to acquire, rehabilitate and
renovate the property. The Board of County Commissioners and the Tourist Development Council
assume no liability to fund this agreement for an amount in excess of this award. Monroe County's
performance and obligation to pay under this agreement ;s contingent upon an annual
appropriation by the BOCC.
a). Payment for expenditures permissible by law and County policies shall be made
through reimbursement to Contractor upon presentation of invoices, canceled checks and other
Tennessee Williams Theatre
FY 2003 Capital Project Resources
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documentation necessary to support a claim for reimbursement. Included in said documentatio
shall be proof that the Contractor has received and applied to the property matching fund
equivalent to or greater than the amount invoiced to the County. Submission of invoices must b~
certified through a statement signed by an officer of the organization and notarized, declaring tha
representations in the invoice are true and factual.
b) Application of matching funds requires actual payment of the matching funds, or, ir
the alternative, a commitment of said funds and that the portion of the project for which thE
matching funds are to be used has been sufficiently completed to require payment of said
matching funds. Mere obligation through execution of a contract or approval of a budget item to
be paid from matching funds will not suffice.
c) Oocumentation shall be submitted to the TOC Administrative Office to show the
receipt and application of in-kind donations of goods, professional services, and materials. Said
documentation should include invoices, bills of lading, etc., and be verified as received and
applied to the project through a notarized statement of the project architect, engineer, general
contractor or project manager. The receipt and application to the project of volunteer labor are to
be documented and verified by notarized signature of the project architect, engineer, general
contractor or project manager, and said documentation submitted to the TOC Administrative
Office. All submissions should have a proposed schedule of values for phases and indicate the
percentage of completion of the overall project as of the submission. This document should be
signed by the project architect, engineer, general contractor or project manager.
4. REPORTS. The Contractor shall provide financial reports in summary of activity on forms
provided or approved by the TOC, and quarterly narrative reports of activity under the approved
work plan. The Contractor shall keep such records as are necessary to document the
performance of the agreement and expenses as incurred, and give access to these records at the
request of the TOC, the County, the State of Florida or authorized agents and representatives of
said government bodies. It is the responsibility of the Contractor to maintain appropriate records
to insure a proper accounting of all funds and expenditures. The Contractor understands that it
shall be responsible for repayment of any and all audit exceptions which are identified by the
Auditor General for the State of Florida, the Clerk of Court for Monroe County, the Board of
County Commissioners for Monroe County. or their agents and representatives. In the event of an
audit exception, the current fiscal year grant award or subsequent grant awards will be offset by
the amount of the audit exception. In the event the grant is not renewed or supplemented in future
years, the Contractor will be billed by the County for the amount of the audit exception and shall
promptly repay any audit exception.
5. MOOIFICATIONS AND AMENDMENTS. Any and all modifications of the terms of this
agreement shall be only amended in writing and approved by the Board of County Commissioners
for Monroe County.
6. INOEPENOENT CONTRACTOR. At all times and for all purposes hereunder, the
Contractor is an independent contractor and not an employee of the Board of County
Commissioners of Monroe County. No statement contained in this agreement shall be construed
as to find the Contractor or any of its employees, contractors, servants or agents to the employees
of the Board of County Commissioners of Monroe County, and they shall be entitled to none of the
rights, privileges or benefits of employees of Monroe County.
7. COMPLIANCE WITH LAW. In carrying out its obligations under this agreement, the
Contractor shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating
Tennessee Williams Theatre
FY 2003 Capital Project Resources
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the provisions of this agreement, including those now in effect and hereafter adopted. An
I' violation of said statutes. ordinances. rules or regulations shall constitute a material breach of thi
agreement and shall entitle the County to terminate this agreement immediately upon delivery c
written notice of termination to the Contractor.
8. RESTRICTIONS ON AGREEMENTS ENTEREO PURSUANT TO THIS AGREEMENT. ThE
Contractor shall include in all agreements funded under this agreement the following terms:
a) Anti-discrimination. Contractor agrees that they will not discriminate against an}
employees or applicants for employment or against persons for any other benefit or service undel
this agreement because of their race, color, religion, sex, national origin, or physical or mental
handicap where the handicap does not affect the ability of an individual to perform in a position 01
employment, and to abide by all federal and state laws regarding non-discrimination.
b) Anti-kickback. Contractor warrants that no person has been employed or retained to
solicit or secure this agreement upon an agreement or understanding for a commission,
percentage, brokerage or contingent fee, and that no employee or officer of the Contractor has
any interest, financially or otherwise, in Contractor. For breach or violation of this warranty, the
Contractor shall have the right to annul this agreement without liability or, in its discretion, to
deduct from the agreement price or consideration, the full amount of such commission,
percentage, brokerage or contingent fee. Contractor acknowledges that it is aware that funding
for this agreement is available at least in part through the County and that violation of this
paragraph may result in the County withdrawing funding for the Project.
c) Hold harmless/indemnification. Contractor acknowledges that this agreement is funded
at least in part by the County and agrees to indemnify and hold harmless the County and any of its
officers and employees from and against any and all claims, liabilities, litigation, causes of action,
damages, costs, expenses (including but not limited to fees and expenses arising from any factual
investigation, discovery or preparation for litigation), and the payment of any and all of the
foregoing or any demands, settlements or jUdgments (collectively claims) arising directly or
indirectly from any negligence or criminal conduct on the part of Contractor in the performance of
the terms of this agreement. The Contractor shall immediately give notice to the County of any
suit, claim or action made against the Contractor that is related to the activity under this
agreement, and will cooperate with the County in the investigation arising as a result of any suit,
action or claim related this agreement.
d) Insurance. Contractor agrees that it maintains in force at its own expense a liability
insurance policy which will insure and indemnify the Contractor and the County from any suits,
claims or actions brought by any person or persons and from all costs and expenses of litigation
brought against the Contractor for such injuries to persons or damage to property occurring during
the agreement or thereafter that results from performance by Contractor of the obligations set
forth in this agreement. At all times during the term of this agreement and for one year after
acceptance of the project, Contractor shall maintain on file with the County a certificate of the
insurance of the carriers showing that the aforesaid insurance policy is In effect. The following
coverage's shall be provided:
1. Workers Compensation insurance as required by Florida Statutes.
2. Employer's Liability insurance with minimum limits of (aggregate): $100,000 bodily
injury by accident, $500,000 bodily injury by disease aggregate, $100,000 bodily injury by disease
per person.
3. Commercial General Liability Insurance with minimum limits of $500,000 per Occurrence
for bodily injury, personal injury and property damage.
4. Comprehensive Auto Liability Insurance with minimum limits of $300,000 combined
single limit per Occurrence.
Tennessee Williams Theatre
FY 2003 Capital Project Resources
3
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The Contractor, the County and the TOC shall be named as additional insured, exempt worker.
compensation. The policies shall provide no less than 30 days notice of cancellation, non-renewa
or reduction of coverage.
At all times during the term of this agreement and for one year after acceptance of the project
Contractor shall maintain on file with the County a certificate of insurance showing that thE
aforesaid insurance coverage's are in effect.
e) Licensing and Permits. Contractor warrants that it shall have, prior to commencement 01
work under this agreement and at all times during said work, all required licenses and permits
whether federal, state, County or City.
9. HOLO HARMLESSIINOEMNIFICA TION. The Contractor hereby agrees to indemnify and
hold harmless the BOCCITOC and any of its officers and employees from and against any and all
claims, liabilities, litigation, causes of action, damages, costs, expenses (including but not limited
to fees and expenses arising from any factual investigation, discovery or preparation for litigation),
and the payment of any and all of the foregoing or any demands, settlements or jUdgments arising
directly or indirectly under this agreement. The Contractor shall immediately give notice to the
County of any suit, claim or action made against the County that is related to the activity under this
agreement, and will cooperate with the County in the investigation arising as a result of any suit.
action or claim related to this agreement.
10. ANTI-DISCRIMINATION. The Contractor agrees that they will not discriminate against
any of their employees or applicants for employment or against persons for any benefit or service
because of their race, color, religion, sex, national origin, or physical or mental handicap where
the handicap does not affect the ability of an individual to perform in a position of employment,
and to abide by all federal and state laws regarding non-discrimination.
11. ANTI-KICKBACK. The Contractor warrants that no person has been employed or retained
to solicit or secure this agreement upon an agreement or understanding for a commission,
percentage, brokerage or contingent fee, and that no employee or officer of the County or TDC
has any interest, financially or otherwise, in the said funded project, except for general
membership. For breach or violation of this warranty, the County shall have the right to annul this
agreement without liability or, in its discretion, to deduct from the agreement price or
consideration, the full amount of such commission, percentage, brokerage or contingent fee.
12. TERMINATION. This agreement shall terminate on Oecember 31,2003. Termination prior
thereto shall Occur whenever funds cannot be obtained or cannot be continued at a level sufficient
to allow for the continuation of this agreement pursuant to the terms herein. In the event that
funds cannot be continued at a level sufficient to allow the continuation of this agreement pursuant
to the terms specified herein, this agreement may then be terminated immediately by written
notice of termination delivered in person or by mail to Contractor. The County may terminate this
agreement without cause upon giving written notice of termination to provider. The County shall
not be obligated to pay for any services or goods provided by Contractor after Contractor has
received written notice of termination.
13. TERMINATION FOR BREACH. The County may immediately terminate this agreement
for any breach of the terms contained herein. Such termination shall take place immediately upon
receipt of written notice of said termination. Any waiver of any breach of covenants herein
contained to be kept and performed by Contractor shall not be deemed or considered as a
continuing waiver and shall not operate to bar or prevent the County from declaring a forfeiture for
Tennessee Williams Theatre
FY 2003 Capital Project Resources
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any succeeding breach either of the same conditions or of any other conditions. Failure to providl
County with certification of use of matching funds or matching in-kind services at or above the rab
of request for reimbursement or payment by is a breach of agreement, for which the County ma~
terminate this agreement upon giving written notification of termination.
14. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the partie~
hereto with respect to the subject matter hereof and supersedes any and all prior agreements wit"
respect to such subject matter between the Contractor and the County.
15. CONSENT TO JURISOICTION. This agreement, its performance, and all disputes arising
hereunder, shall be governed by the laws of the State of Florida, and both parties agree that the
proper venue for any actions shall be in Monroe County.
16. ETHICS CLAUSE: Contractor warrants that he has not employed, retained or otherwise
had act on his behalf any former County officer or employee in violation of Section 2 or 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 the provision the County may, at its discretion terminate this agreement
without liability and may also. at 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 or present County officer or employee.
17. PUBLIC ENTITY CRIME STATEMENT: A person or affiliate who has been placed on the
convicted vendor list following a conviction for public entity crime may not submit a bid on an
agreement to provide any goods or services to a public entity, may not submit a bid on a
agreement 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, sub-contractor, or consultant under a agreement with any pUblic entity, and
may not transact business with any public entity in excess of the threshold amount provided in
Section 287.017, for CATEGORY TWO for a period of 36 months from the date of being placed on
the convicted vendor list.
18. AUTHORITY: Contractor warrants that it is authorized by law to engage in the
performance of the activities encompassed by the project herein described. Each of the
signatories for the Contractor below certifies and warrants that the Contractor's name in this
agreement is the full name as designated in its corporate charter (if a corporation); they are
empowered to act and contract for the Contractor, and this agreement has been approved by the
Board of Directors of Contractor or other appropriate authority.
19. LICENSING ANO PERMITS: Contractor warrants that it shall have, prior to commencement
of work under this agreement and at all times during said work, all required licenses and permits
whether federal, state, County or City.
20. INSURANCE: Contractor agrees that it maintains in force at its own expense a liability
insurance policy which will insure and indemnify the Contractor and the County from any suits,
claims or actions brought by any person or persons and from all costs and expenses of litigation
brought against the Contractor for such injuries to persons or damage to property occurring during
the agreement or thereafter that results from performance by Contractor of the obligations set
forth in this agreement. At all times during the term of this agreement and for one year after
acceptance of the project, Contractor shall maintain on file with the County a certificate of the
Tennessee Williams Theatre
FY 2003 Capital Project Resources
5
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insurance of the carriers showing that the aforesaid insurance policy is in effect. The followin!
coverage's shall be provided:
1. Workers Compensation insurance as required by Florida Statutes.
2. Employer's Liability insurance with minimum limits of (aggregate): $100,000 bodil)
injury by accident, $500,000 bodily injury by disease aggregate, $100,000 bodily injury by diseasE
per person.
3. Commercial General Liability Insurance with minimum limits of $500,000 per occurrence
for bodily injury, personal injury and property damage.
4, Comprehensive Auto Liability Insurance with minimum limits of $300,000 combined
single limit per occurrence.single limit per occurrence.
The Contractor, the County and the TDC shall be named as additional insured, except workers
compensation. The policies shall provide no less than 30 days notice of cancellation, non-renewal
or reduction of coverage.
At all times during the term of this agreement and for one year after acceptance of the project,
Contractor shall maintain on file with the County a certificate of insurance showing that the
aforesaid insurance coverage's are in effect.
21. NOTICE. Any written notice to be given to either party under this agreement or related
hereto shall be addressed and delivered as follows:
For Florida Keys Community College: Rebecca Tomlinson
5901 College Road
Key West, FL 33040
For County: Lynda Stuart
Monroe County Tourist Oevelopment Council
1201 White Street, Suite 102
Key West, FL 33040
and
Suzanne Hutton, Asst. County Attomey
P.O. Box 1026
Key West, FL 33041-1026
SS WHEREOF, the parties hereto have caused this agreement to be executed
Irst above written,
L. KOLHAGE, CLERK
BOARO OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIOA
-0~ >n ~
By:
Mayor/Chairman
(SEAL) Q). MYCOM=;C~S::~ EXPIRES
A TTEST: ~ : I July 20. 2003
" ;eM; BONDED nlIlI TRCl'f fAIN INSWHCE. INC
BY:~<JIo~
Secretary
Florida Keys Community College
BY~~~~ )
1'"resident --
Tennessee Williams Theatre
FY 2003 Capital Project Resources
6
CUen": 105(_ FL ....JMCO
A-CORD", CERTIFICA TE OF LIABILITY INSURANCE T DATE IMIIIDM'YVY)
O6ICW03
PRODUCER THIS CERnFICATE ISI88UED AS A MATTER OF INFORMAnON
Arthur J.- Gallagher & Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
8200 N.W. 41st Street ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
Suite 200
Miami, FL 33166 INSURERS AFFORDING COVERAGE HAlC,
INSURED INSURER A: Colonv Insurance ta1)
FLORIDA KEYS COMMUNITY COLLEGE INSURER B:
5901 COLLEGE ROAD INSURER c:
KEY WEST, FL 33040 INSURER D:
INSURER E:
c
COVERAGES
THE POlICIES OF INSURANCE USTED 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. AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCeD BY PAID ~~
= TYPEOI'IN8URAHCE POl..ICYNUUBER ~~ LMra
A ~ERAL LIAIILITY CP3036093 04129/03 04129104 EACH OCCURReNce $1 000 000
X COMMERCIAL. GENERAl. LIABIlITY ~------:;:;rRENTED .
I CLAIMS MADE 0 OCCUR MEDEXPIAnv__, .
PERSClNAL a MN INJURY .
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PRClOUCTS. COMPIOP AGO .
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I I POLICY I J~ J 'LOC
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DESCRIPTION 01' OPERATIONS/LClCAnONS I VEHICLEa I EXCLUSIONS ADDED BY ENIlORBEIIEHT I SPECIAL PROVlBIONa
TENNESSEE WILLIAMS THEATRE. OWNERS & CONTRACTORS PROTECTIVE LIABILITY
CERTIFICATE HOLDER IS ADDITIONAL INSURED
CERTIFICATE HOLDER
SHOULD Nf'f Of' THE A80YE DESCRIBED POUcIEs BE CNlCElLED BEFORE THE EXPIRATION
BOARD OF COUNTY COMMISSIONERS DATE THEREoF, THE lBBUINo INSURER WILL ENDEAVOR TO IIAIL -3Q... DAYS WRITTEH
FOR MONROE COUNTY & TOURIST NOTICE TO THE CERTIFICATE HOLDER NAIlED TO THE LEFT, BUT FAILURE TO DO so SHALl.
DEVELOPMENT COUNCIL IIIPOBE NO OBLIGATION OR LIABILITY 01' Nf'f IOND UPON THE INBURER, m AGENTS OR
1201 WHITE STREET, SUITE 102 REPRESENTATIVES.
KEY WEST, FL 33040 AUTHclRJzeo REPRESENTATIVE
~4,~
CANCELLAnON
ACORD 25 (2001/08) 1 of 2
#50150
LXS
· ACORD CORPORATION 1888
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IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
OISCLAIMER
The Certificate of Insurance on the reverse side of this fonn does not constitute a contrad between
the Issuing insurer(s), authorized representative or producer, and the certificate holder, nor does It
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-8 (2001/08) 2 of 2
#50150
CII-ntt#: 10S{ OMCO
ACORDTtA CERTIFICAtE OF LIABILITY INSuRANCE 1 DATE (1IMIDIlIYYYv)
02127/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Arthur J. Gallagher & Co. ONLY AND CONFERS NO RJGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
8200 N.W. 41st Street AlTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 200
Miami, FL 33166 INSURERS AFFORDING COVERAGE HAlC ,
INSURED INSURER A:. Pacific Employers Insurance Company
Florida Keys Community College INSURER B:
5901 College Road INSURER C:
Key West, FL 33040-4397 INSURER 0:
I INSURER E:
d'
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
AHY 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
~ TYPE OFINauRANCE POLICY NUMBER ~ ~ UMIT8
.,!!!NERAI. LlA8lLITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $
I CLAIMS MADE 0 OCCUR MED EXP (Any one~) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
~N'L AGGRM, LIMIT Ar~!t, PER: PROOUCTS . COMPIOP AGG $
POLICY .~ LOC
~OII08ILE lIABILITY COMBINED SINGLE LIMIT $
AJolY AUTO (Ell accident)
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$
SCHEDULED AUTOS ~~~'<m~ SW't ~~AGEMI (Per~)
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- HIRED AUTOS BOOIL Y INJURY
t. 'V (Per ec:cidenl) $
NON-DWNED AUTOS
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PROPERTY DAMAGE $
(Per accident)
=fE LlA8lLITY ,. ' NIA.__ '-~ YES AUTO ONLY. EA ACCIDENT $
ANY AUTO OTHER THAN EA ACe $
AUTO ONLY: AGG $
EXCE88/UIIBREUA LIABILITY EACH OCCURRENCE $
~'OCCUR 0 CLAIMS MAllE AGGREGATE $
$
~ DEoucnBLE $
RETENnON $ $
A WORKERS COMPENSATION AND WLRC43514970 03/01/03 03101104 xT..~~J.Jf..T TON
EIIPLOYERa' LlA8lLITY $1 000.000
ANY PROPRIETORIPARTNERlEXECUTIVE E.L. EACH ACCIDENT
OFFlCERJMEMBER EXCLUDED? E.L. DISEASE. EA EMPlOYEE $1 000.000
~ deec:rfbe under E.L DISEASE. POlICY LIMIT $5.000.000
ClAL PROVISIONS be'-
OTHER
DESCRIPTION OF OPERATIONS' LOCATIONS' VEHICLEI' EXCLUSIONS ADDED BY ENDORSEMENT 'SPECIAL PROVISIONS
Re: Florida Key. Community College
Remodel and Improvement project, Tennesee Williams Theater.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POlICIES BE CANCEllED BEFORE THE EXPIRATION
Board of County Commissioners DATE THEREOF, THE _SUING INSURER WIU ENDEAVOR TO MAIL ...3Q.. DAYS WRITTEN
for Monroe County NOTICE TO THE CERlFICATE HOlDER HAMED TO THE lEFT, BUT FAIlURE TO DO so SHAll.
Tourist Development Council IMPOSE NO OBUGATION OR LIAIIIUTY OF ANY KINO UPON THE INSURER, ITS AGENTS OR
1201 White Street, Suite 102 REPRESENTATIVES.
Key West, FL 33040 AUTHORIZED REPRESENTATIVE
~4,~
ACORD 25 (2001108) 1 of 2
#S47000/M46912
KMP
" ACORD CORPORATION 1988
(
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED. the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend. extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-8 (2001/08) 2 of 2
#S47000/M46912
PEa-.,-a. ,....jP.ON.NCTD[
(
ID.3862Sa1a,ee
MONROE COUNTY,
IleqIUllt For W
of
IAln.....ce Req1Iire
11 is nq1JIItad that the iDA&ade RqlJiJe...... II speclfIed ill CouaI;y". ~~o ofJnsUlUlCt
RcquiremeGts., be waived or ~ed an1be !bJIowiI!I COIdract.
lUDA
COD~ Florida K y. Community College
CCJII1ract tor: Remodel Improvement p~oject
Phour
AddrMt 01 Coatradon
296-9081 ext 230
Seope of Work:
and ~provement proje~t, Tennessee Williams The
ReaIoa _ WId...er:
Thecol1ege does not own or lease any vehieles. Per
autJs/vehicles 11 not be used during the project.
.PoUchl W....... wID
apply to:
SiaMa. of Coldnctor:
Community Co ege
Date;
C01IDtJ Admtal8tra1_ Appell:
Approved
Not Approved
Dlte:
Board of CoIIDtJ CO....~1oDer1 Appeal:
Appro."
Not Appl'OWld
Meeda. o.te:
Admlalltratlea bttnacdoa
tH7Dt.2
7.Jn-~ In/ln'~ 7'1_1
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