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08/12/2021 Agreement Monroe County Purchasing Policy and Procedures ATTACHMENT COUNTY ADMINISTRATOR CONTRACT SUMMARY FORM FOR CONTRACTS LESS THAN S50,000.00 Contract wltlrm Contract Effective Date Expiration Date. 1 Contract Purpose/Description- Contract is Original AQernent Contract Amendment/Extension Renewal Contract Mana er: ' " .x '° � � (Name) (Ext.) (Department/Stop#) CONTRACT COSTS Total Dollar Value of Contracvfta� �' t �° Portion- � F � t datums i than 5$C�, ) �' �� a 4 (Ir m i then l t., iit .,. Budgeted`) YesEl No® Account Cedes_ _____________ Grant: S N/A v _ Countyatc . /A ADDITIONAL T Estimated On C .00 1yr ror. Soso t included in dollar_value b U_ e.g.mintgnance,utillbes.jwiftorial,salanes etc 1 CONTRACT REVEEW I Changes ate Out Date In Needed Department e.. . Yes o t Risk Management 10- 7- 0 1 Yes o x 10- -2021 i i e Countytto 's o ®® 8-21 Comments: , Updated&Resigne o Changes Need 01 NOV 2021 Page 74 of 96 o !! 1 PROFESSIONAL SERVICES AGREENKNT MONROE COUNTY,FLORIDA AND NATIONAL FALLEN FIREFIGHTERS FOUNDATION THIS AGREEMENT is made and entered into this 12th day of August 2021, by and between MONROE COUNTY("COUNTY'),a political subdivision of the State of Florida,whose address `is 1100 Simonton Street,Key West, Florida 33040 and National Fallen Firefighters Foundation ("COAITR.ACTOR'),whose address is 2130 priest Bridge Drive,Ste 6,Crofton,MD 21114. Section 1. SCOPE OF SERVICES CONTRACTOR shall -do, perform and cant' out in a professional and proper mannar the professional services described in the Propowl/A ent—Exhibit A—which is attached hereto and made a part of this agreement. IN THE EVENT OF A CONFLICT IN TERM BETWEEN THIS AGREEMENT AND EXHIBIT A,THE TERMS OF THIS AGREEMENT PREVAIL. CONTRACTOR warrants that it is authorized by law to engage in the performance of the activities herein described,subject to the terms and conditions set forth in these Agreement documents. The CONTRACTOR shall at all times exercise independent,professional judgment and shall assume professional responsibility for the services to be provided. CONTRACTOR shall provide services using the following standards,as a minimum requirement; A. -The CONTRACTOR shall maintain adequate staffing levels to provide the services required under this Agreement. B. To the extent that CONTRACTOR uses employees, subcontractors or independent contractors, this Agreement specifically requires that the employees, subcontractors and Independent contractors shall not be an employee of or have any contractual relationship with COUNTY. C. All personnel engaged In performing services under this Agreement shall be fiilly qualified, and,if required,to be authorized or permitted under State and local law to perform such services. Section 2. CO 'S RESPONSIBILIT&S 2.1 The COUNTY will provide such equipment,resources,and refreshments as provided in Exhibit A. 2.2 The COUNTY will make payments as outlined in Section 4 of this Agreement. Section 3. TERM OF AGRFYNMNT 3.1 This Agreement shall become effective upon the later of signature by CONTRACTOR and COUNTY. This agreement shall'remain in effect until November 20,2021. Section 4. PAYMENT TO CONTRACTOR 4.1 The lump sum fees that will be paid by the COUNTY are as shown on Exhibit A. The COUNTY is exempt from sales and use taxes. 1 4.2 The lump sum few are inclusive of 8I1 actual costs incurred,including by way of example and not limitation,photocopies,long distance telephone cherges,Overnight delivery services,and travel expenses. 4.3 Payment will be made according to the Florida Local Government Prom t Pa yment Sections 218.70-218.80, Florida Statutes. CONTRACTOR s submit to the COUNTY n, invoice with supporting documentation in a form acceptable to the Clerk. Invoices may be submitted upon completion of the seMces. Acceptability of the Invoice to the Clerk is based on generally accepted accounting principles and such laws,rules and regulations as ma Clerk's disbursal of f bnds. Invoi shall be seat to th®CO ►s Y govern the will review the documents and route them � Fire Rescue Department who receiving all required approvals,the Invoice(s)will be forwarded to the COUNTYNTY Staff for approval.Clerk's face for payment. Section 5. CONTRACT TERMNATION COUNTY reserves the right to ate this Agreement by written notice given 48 hours prior to the date the services Hated In Exhibit A am provide&In the event of such termination nLo MMMI shall be due the CONTRACTOR. Section 6. NO110ES Any notice required or Permitted under this agreement shall be in writing and hand delivered or mailed,post following: a Prepaid,to the other by cerfifled mail,returned receipt requested,to tine To the COUNTY: Roman GastesL Monroe County Administrator 1100 Simonton St. Key West,Florida 33040 n \ And Monroe County Attorney's office 1111 12a'St.,Suite 408 KeY West,Fl.33040 To the CONTRACTOR: National Fallen Firefighters Foundation 2130 Priest Bridge Dr Ste 6 Crofton,MD 21114 John Tippett Sections 7. Public Records Compliance CONTRACTOR must comply with Florida public records laws, Including but not ihnited 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 inVection of,all documents,records,paper%letten or other"publicrecord"mataws in its pos sion or under its 2 ........t.ia.'iSm•v.w+Y\61tlV�Y.�.e_\8.rt.1•+--d.t•• •• 41.L1•iJmrLs.r-[3Y61 V5.48au%oLL'.ICJHvsv�s4.L.1.L'•.t�a.4:.l PL4.m�.ttaRt.r.a..4Y..\66M•®++—w �:1i 1. 1 1 Y . `:� 1 ' 1 1 :1 : 1 • 1 : ' ' t1: :.::: ! i 1 f"i • 1 1 � 1 1 1 1 . 1 : 1- : 1 . '� • 1 II 11 !:. 1 XA.. • ;-. 1 I' J ;- 11 '/ ' � �:' 1 :. 1 ':I 1 1:11 l �._I 1 1 I. 1 /1:1 1 1 1 1 1 ► ;'.1 M / 1 1 • ! F 1 . :.. 1 ♦ 1 1 :1 / lit .:: 1 II . �: 1 • 4 • 1. . 1 1 ::: / . � . ! 1 '.1 1 . .;'. : ', . 1. :.:• 1 1:: ' .11 .. 1 1 1, 1 L: : 1:. 1 !' ! ' 1� 1 . 1 • ■ - 1 r. 1 1. -• f l 1 1 : ::. custodian of records, in a format that is compatible with the information technology systems of COUNTY. If the CONTRACTOR does not comply with the COUNTY 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•prevision 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 reasoable time may be subject to penalties under Section 119-10,Florida Statutes. n 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. CONTRACTORIF THE HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER E 119, FLORIDA STATUTES, TO CON CTOR'S D TUTY O PRO E P LIC CORDS RELATING TO TFUS CONTRACT, CONTACT TBE CUSTODIAN OF PUBLIC CORDS, BRIAN B LEY,AT ttor 2's ffice bra a -! ' _ onroeaount-- do Monroe County Attorneys Office, l 111 12d'St., Suite 408,Key FL 33040. Section S. EMPLOYERS SUBJECT TO COUNTY ORDINANCE NOS.010 AND 020-1990 The CONTRACTOR warrants that it has not employed,retained or otherwise had act on its behalf any former COUNTY officer or employee subject to the prohibition of Section 2 of Ordinance No. 010-1990 or any COUNTY afficer or employee in violation of Section 3 of Ordinance No. 020- 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, gm or consideration paid to the former COUNTY officer or employee. Section 9. CONVICTED VENDOR By signing this agreemen4 dONTRACTOR represents that the execution of this Agreement will not violate the public Entities Crime Act (Section 287.133, Florida Statutes). Violation of this sect'on shall feWt in termination of this Agreement and recovery of alI monies paid hereto, and may result in debarment from COUNTY's competitive procurement activities. A person or affiliate who has been placed on the convicted vendor list following a conviction far public entity crime may not submit a bid on an Agreement with a public entity for the n construction or repair of a public building or public work,may not perf®rrn work as a CO subcontractor,or CO CONTRACTOR,supplier, CONTRACTOR under Agreement with any public entity,and may not transwt business with any public entity in excess of the threshold amount provided in Section 287.017 of the Florida Statutes,for the Category Two for a period of 36 months from the date of being placed on the convicted vendor list. Section 10. GOVERNING LAW, VENUE9 INTERPRETATION,CO STS AND FEES This Agrement shall be governed by and construed in accordance with the laws of the State of 4 -...•...\.5.:�4—L:I]t L.Lb6e.•I §..°2::,y.vtirll.---_.•. L61.L"-=—.,9:.r.L�ue..ex Lam.., ' L_._t..n,,..u»Y_..w®.J„—.„t.,,...<..�.W�.—tif_v.w�.�eLLP41tl.-4R5.\IKL®or4L1.L:•JYJM.-•• • •�s:e.+.a u Florida applicable to Agreements made and to be performed entirely In the State. In the event that any cause of action or administrative proceeding is instituted for the enforcement or interpretation of this Agreement,the COUNTY and CONTRACTOR agree that venue shall lie in the appropriate court or before the appropriate adminIstrative body in Monroe County,Florida. Section 11, SEVERABUM If any term,covenan4 condition or provision of this Agreement(or the application thereof to any circtunstance or person) shall be declared invalid or unenforceable to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions and provisions of this Agreement, shall not be affected thereby; and each remaining term, covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the fullest extent permitted by law unless the enforcement of the remaining terms,covenants,conditions and provisions of ft Agm=ent would prevent the accomplishment of the original intent of this Agreement. The COUNTY and CONTRACTOR agree to reform the Agreement to replace arty stricken provision with a valid provision that comes as close as possible to the intent of the stricken provision. Section 12. ATTO Y'S FEES COSTS The COUNTY and CONTRACTOR agree that In the event any cause of action or administrative proceeding Is Initiated or defended by any party relative to the enforcement or interpretation of this Agreement,the prevailing party shall be entitled to reasonable attorney's fees,and court costs, as an award against the non-prevailing party. Mediation proceedings initiated and conducted pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and usual and customary procedures required by the Circuit Court of Monroe County. Section 13. BEOING EFFECT The terms, covenants, conditions, and provisions of this Agreement shall bind and inure to the benefit of the COUNTY and CONTRACTOR and their respective legal representatives, successors,and assigns. Section 14. AUTHORITY Each party represents and warrants to the other that the execution, delivery and performance of this Agreement have been duly authorized by all necessary COUNTY and corporate action, as required by law. Section 15. ADJUDICATION OF DISPUTES OR DISAGREEMZNTS COUNTY and CONTRACTOR agree that all disputes and disagreements shall be attempted to be resolved by meet and confer sessions between representatives of each of the parties. If no resolution c=be agreed upon within 30 days after the first meet and confer session,then any party shall have the right to seek such relief or remedy as may be provided by this Agreement or by Florida law, This Agreement shall not be subject to arbitration. Section 16. COOPERATION In the event any administrative or legal proceeding is insdtuted against either party relating to the formadon,execution,performance,or breach of this Agmement,COUNTY and CONTRACTOR agree to participate, to the extent required by the other party, in all proceedings, hearings, 5 pkuoesses,meetings,and other activities related to the substance of this Agreement or provision of the services under thus Agreement. COUNTY and CONTRACTOR s Party to this Agreement shall be required to enter into specifically agree that no Agreement. any arbitration proceedings related to this Section 17. NONDismimNATioN The parties agree that there will be no discrimination against an understood that upon a determination Y person, and it is expressly 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. The parties agree 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 prohibit discrimination in employment on the basis ofrace,]X of the Educati color,religion,sex,and national origin;2)Title on Amendment of 1972, as amended (20 USC If 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 1794), which prohibits discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42 USC §§ 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 Rehabilitation Act of 1970(PL 91616), amended, relating to nondiscrimination on the basis of alcohol abuse or al h lism; e Public Health Service Act of 1912,§§523 and 527(42 USC§§690dd-3 and 290ee-3),as amended, co o 7) Th relating to confidentiality of alcohol and drug abuse patient records; 8) Title VIQ of the Civil Rights Act of 1968 (42 USC §§ 3601 et seq.),aiammled, relating to nondiscrlminetion in the sale,rental or financing of housing, 9)The Americans with Disabilities Act of 1990 (42 USC If 12101),aso f disability; amended from time to of time,relating to nondiscrimination in employment on the basis 10)Mon disaty; roe County Code Chapter 14, Article II,which prohibits discrimination on the basis of race,color,sex,religion national origin,ancestry, . . Y,sexual orientation,gender Identity or expression, status or age;and 1 I)any other nondiscrimination provisions in any federal ar state statutes which may apply to the parties to, or the subject matter of,this Agreement. Section 19. COVENANT OF NO INTEREST COUNTY and CONTRACTOR covenant that neither presently has any interest ot acquire any interest,which wound conflict in any manner or degree with its performance orma and shall this Agreement, and that only interest of each is to perform and receive benefits as recited !n this Agreement. Section 19. CODE OF ETMCS The understand that officer.and employees of the COUNTY are the standards of conduct for public officers and employees as delinea required to ted in Sectioncomply l 12.313 Florida Statutes, regarding, but not limited to, solicitation or acce tance of with one's agebusiness ncy;unauthorized compensation;misuse ofpublic position,comindoing a ployment or contractual relationship;and disclosure or use of certain information. Section 20. NO SOLICITATIONIPA NT The COUNTY and CONTRACTOR warrant that,in respect to itself,it has neither employed nor 6 t,.. .....S:W4i��}..L4ti....^. „lL�l`.�r..rer'...SFryae 1�.._..ru.=-„1..:.n,�...LPL.4xLi.5.'+-'11..4r,�6xxm„kE!'44r+.vf��.k�nt4l.�i.u:._.n.'s°::LA.YI\i�ti.L•.►L1.Ll....f_.LlL4.�.LO JSLAL YL\ .• I retained any company or person,other than a bona fide employee working solely for it,to solicit or secure this Agreement and that it has not paid or agreed to pay any person, company, corporation, individual, or firm, other than a bona fide employee working solely for it, any fee, commission,percentage,gift, or other consideration contingent upon or resulting from the award or making of this Agreement. For the breach or violation of the provision,the CONTRACTOR agrees that the COUNTY shall have the right to terminate this Agreement without liability and,at its discretion, to offset from monies owed, or otherwise recover, the full amount of such fee, commission,percentage,gift,or consideration. SecdGn 21. NON-WAIVER OF UdMMTY Notwithstanding the provisions of Sec.768.28,Florida Statutes,the participation of the COUNTY and the CONTRACTOR In this Agreement and the acquisition of any commercial liability Insurance coverage,self-insurance coverage,or local government liability insurance pool coverage shall not be deemed a waiver of Immunity to the extent of liability coverage, nor shall any Agreement entered into by the COUNTY be required to contain any provision for waiver. Section 22. PRIVILEGES AND DEVIMTIES All of the privileges and immunities from liability,exemptions from laws, ordinances,and rules and pensions and relief,disability,workers' compensation,and other benefits which apply to the activity of officers, agents, or employees of any public agents or employees of the COUNTY, when performing their respective functions under this Agreement within the territorial limits of the COUNTY shall apply to the same degree and extent to the performance of such functions and duties of such officers, agents, volunteers, or employees outside the territorial limits of the COUNTY. Section 23. LEGAL OBLIGATIONS AND RESPONSIBILITIES Non-Delegation of Constitutional or Statutory Duties.This Agreement is not intended to,nor shall it be construed as,relieving any participating entity from any obligation or responsibility imposed upon the entity by law except to the extent of actual and timely pmformance thereof by any participating entity,in which case the performance may be offered in satisfaction of the obligation or responsibility. Further, this Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the constitutional or statutory duties of the COUNTY,except to the extent permitted by the Florida constitution,state statute,and case law. Section 24. NON-RELIANCE BY NON-PARTIES No person or entity shall be entitled to rely upon the terms,or any of diem,of this Agreement to enforce or attempt to enforce any third-party claim or entitlement to or benefit of any service or program contemplated hereunder,and the COUNTY and the CONTRACTOR agree that neither the COUNTY nor the CONTRACTOR or any agent,officer,or employee of either shall have the authority to inform,counsel,or otherwise indicate that any particular individual or group of individuals,entity or entities,have entitlements or benefits under this Agreement separate and apart,inferior to,or superior to the community in general or for the purposes contemplated in this Agreement. Section 25. ATTESTATIONS CONTRACTOR agrees to execute such documents as the COUNTY may reasonably require,. 7 Mys., including, but not being limited to, a Public Entity Drug Free Crime Statement, an Ethics Statement, and a Workplace Statement,and Non-Collusion Agreement. Section 26. NO P $OAL y No covenantor agreement contained herein shall be deemed to be a covenant or agreement of any member,officer,agent or employee of CO .in his or her individual capacity,and no member, officer,agent or employee of COUNTY shall be liable personally on this Agreement or be subject to any Personallidbility or accountability by reason of the execution of this Agreement Section 27, ExECUTION IN COUNTERpARTS This Agreement may be executed In any number of counterp arts as an original,all of which taken together shall constitute one and each he of which s be regarded the es hereto execute this Agreement b si iame nstrument any of Y 8�n8 any such coualatparL Section 28. SECTION BEADINGS Section headings have been inserted in this Agreement as a matter of convenlence of re ce only,and it is agreed that such section headings are not a part of this Agreement and will not be used in the in etation of any provision of this AgreemenL Section 29. INSURANCE POLICIES 29.1 General Insurance Requirements for Other Contractors and Subcontractors. As a pre-requisite of the work governed,the CONTRACTOR shall obtain,at his/her own expense, insurance as specified in attached schedules, which are made part of contract, The CONTRACTOR will ensure that the insurance obtained will extend protection to all Subcontractors engaged by the CONTRACTOR As an alternative, the CONTRACTOR m ay require all Subcontractors to obtain insurance consistent with the attached schedules; however and shall submit CO CTOR is solely onsible to ensure that said ins Is obtained proof of ` ce to COUNTY. Failure to provide proof of Insurance shall be grounds for tem2ination of this Agreement. The CONTRACTOR will not be permitted to commence work governed by this contract until sa ' ctory evidence of the required insurance has bum furnished to the CO UNTY asbelow. Delays in the commencement of work, resulting from the failure of the CONTRACTOR specified to provide satisfactory evidence of the CT®R this contract and an ties ° insurance,shall not ex dunes specified in commenced on the specified data time, except for the CONTRACTOR aw0=011ts shall be Imposed as if work satisfactory evidence. provide The CONTRACTOR shall maintain the required insurance throughout the of this contract any ons specified in the attached edules. pailWire term ure to comply with this provision may t In the immediate cusp on of all work until the required or replacedor stu Agreement and for d to the CO reinstated n of this i e been flag from the failure of the CONTRACTOR to maintain Delays in the completion of work the required insurance sWl not extmW deadlines specified in this contract and any penalties and failure to perfomn ame=Ments shall be imposed as If the work had not been suspended,except for W 8 ....r ..�:�..IMM..L.LL..41®.. "r.iidYdult...i-L.-m L•4..4..�...I.�r..u�6..•�i..L.L44...�..sNt�.s.-.•--... \k...l........-..i6.,.\t.�+Lr•.....�.1.-.bMLt i the CO CTO 's failure to maintain the required insurance. The CONTRACTOR provide, to the COUNTY, as satisfttory evidence of the required Insurance,either. i CAMMICAtO of IMMMOC 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. Allinsurance oiicies must specify that they,are not subj to cancellation,non-renewal,material change,or re action in coverage a minimum of thirty(3 )days prior notification is given to the COUNTY by the insmr. The acceptance an&or approval of the CONTRACTOR a Insurance shah not be construed as relieving 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 f " on all policies, except for Workers' Comps Lion and Profusional Liability. 29,2 Insurance Requirernents For Contract Between COUNTYCONTRACTOR Policies shall be written by companies licensed to do business In the State of Florida and having an agent for service of process In the State of Florida. ce companies shall have an A.M.Best rating of A or better. The required insurance shall be maintained at all times while CONTRACTOR Is providing service to COUNTY. Workers' Compensation Statutory Limits Employers'Liability Insumuce Bodily Injury by Accident $100,000 Bodily Wary by Disease,policy limits $500,000 Bodily N=7 by Diseasel each employee $100,000 General Liability,Including Promises Operation Products and Completed Operations BlanketContractual Liability Personal Injury Liability Minimumacceptable limits $1,000,000 CSL Vehicle Liability providing coverage for all owned,non-owned and hired vehicles Minimum acceptable limits $1,000,000 CSL Professional Liability $1,000,000 per Occurrence $2,000,000 Aggregate Section 30. INDENWMCATION,DE ND,HOLD HARMLESS The CONTRACTOR does hereby consent and agree to Indemnify,defend and bold harmless the COLiNTY,its Mayor,the Board of County COMMIWOnem,appointed Boards aid Co Officers,and the Employees,and any other ag Individually,and collectively, from all fines, suits,claims,demands,actions, costs, obligations,attorneys fees,or liability of any ` out of the sole negligent actions of the CONTRACTOR or substantialand arising. caused by the willful non ce of the CO unnecessary delay any and all accidents or des to persons or property CONTRACTOR and shall be solely responsible for p perry arising out of its performance of this contract. The amount and We of insumnce coverage requirentents set forth hereunder shall In no way be construed as limiting the scope of indemnity set forth in this paragraph. Further the CONTRACTOR agrees to de&nd and pay all legal costs of the COUNTy forclaimsor acts attributable to the sole negligent act of the CONTRACTOR or any of CO CTOR's employ=or representatives. At all times and for allpurpom hereunder,the CONTRACTOR is an independent contractor and not ate employee of the Board of County Commissioners. No statement contained in this agreement shall beconstrued so as to find the CONTRACTOR or any of his/her employees, contractors, sermts or agents to be employees of the Board of County Commissioners for Monroe County. As an Independent contractor the CONTRACTOR shall provide independent p P t, professional judgment and comply with all federal,state, and local statutes, ordinances, rules and regulations applicable to the serVices to be provided. THE REMAMER OR TIRS PAGE HAS BFEN INTENTIONALLY LEFT DLANX 1 mamarL L.L>. •..Io.L'.SB..4 L•4�L1°°«141.°ay. w....a.aL®••�L.cBr. WITNESSIN e parties hereto have caused these presents to be executed o e 12 day of Augt4 221. ON BEHALF OF MONROE COUNTy Romani, o A for STATE F: ` C OF:- LUOL Subscribed o to (or before me, by means of Ef physicalen or 0 online notarization on r (date) . 2 ram,_ .,1 (name of aff iant). fW4 ,She is p n !y o to ear produced (type of identification) idea ' cation.- LINDSEY 13ALLARD NOTARYPUBLIC MY COMMISSION N GG 970058 .A EXPIRES:July 8,M4 FOUNDATIONON BEHALF OF NATIONAL FALLEN FIREFIGHEM In do y a toTirePrograms— STATEF: COUNTY Subscribed (or a before e, by means of E/physical presenceor online notarization, o i b 21% (date) by —jan pennett (name of afflant). He/She is personally known to me or has produced (type of identification)as identification. �..t100 . f iN J,°r 1''1 E1 ATTORNEYFeW Zo MONROE COUNTY r r ......... .�ritli®rer.•••,•• APPROVED AS TO FORM J - IST T _:O2U4NTY Date; OCT. 02 11 r EXUIBITA Taking Care of Our OwnO National Fallen Firefighters Foundation Training Program Length: T Hours,including a working lunch and brealo Target Audience: All Fire Service Personnel HOST WILL BE RESPONSIBLE ° Recruitment and Regis bn • Proposed datm and location of course • Course Coordination • Recraitment of target audience through mailings and other outreach rain° acub • Appropriate training room for anticipated number of partic4mts • AndiG-visual equipment including: ■ LCD Projector for use with Microsoft Powerpoint ■ Computer to nun Microsoft Powerpoint presentation ■ Speakers fur sound projeerion ■ Screen • Experienced AN person to set up and test the AN equipment • Printing of course material laaksamcb • Making anugements for breaks and a working lunch. cons_ : • Training Room and specified AN Equipment • Registration&WlingsMinting course materids • Breaks and Lunch FOUNDATION WILL BE RESPONSIBLE Recruitment and Reui 'on: • A recmitment package including: ■ Course hdbrmatian ■ Sample recruiting letters and °strat➢on forms CO M.IQ, ORMA : • Training 's eV es v [COURSE OVERVII-E.W1 Taking Care of Our Own- Overview A fire department does not know when it will have a line-of-duty death or serious injury. Does it have a plan in place?Are personnel records current?Does the department know how to make timely and proper notification to the survivors? it chiefs and survivors tell us that most fire departments are not prepared for a line-of-duty death. "Taking Care of Our Own" provides specific information and valuable insights. In Module One participants assess their own views and attitudes on key points that the training will cover. Throughout the training,the participants can compare these with some of the principles and procedures being suggested.The first module concludes with first-hand experiences of a chief and a family member whose stories set the stage for the rest of the day. Module Two focuses on the importance of pre-incident planning. It covers: 1)putting together a pre- incident plan for line-of-duty deaths and serious injuries;2)maintaining up-to-date employee emergency contact information. Class participants discuss ways to support the family immediately after the death, during the faneral planning and service, and to term, Module Three deals with notification oft e survivors. It discusses the five basic principles of notification and lets the participants suggest ways to handle difficult situations. Module Four covers benefits that may be available to survivors, including the Public Safety Officers' Benefits and State and to support. Module Five presents the basic concepts associated with grief and mourning and explores the challenges of dealing with sudden death. It 'ends by asking the participants to reframe inappropriate statements commonly made to persons who are grieving. The National Fallen Firefighters Foundation websit e uyw.firehero.org contains extensive information on survivor benefits, ways to support the family, examples of fire department line-of-duty death SOPs, funeral protocols, investigations,and other useful resources. jPJZNPj Taking Care of Our Owne Host Checklist • Provide a local coordinator to work with the Foundation staffi • Coordinate the date and time of this course. • Advertise the course in your area and recruit participants from the target audience. • Maintain a registration cost (name and rank,address,phone number of each participant). • Arrangement for on-site coffee breaks o lunch. • Open the room at least one hour beforethe start of training for set-up. Have a staff person.available for the duration of the training to assist with any computer problems. Trainingat s Hotel or Conference Center If the training occurs at a facility other than the local host's own site, the host will be responsible for making ngements directly with the facility contact person. The local host will also send the Foundation a facility contact name and phone number.The Foundation will follow up upon arrival. Ile host is responsible for all costs related to the training room,required equipment, and traftdng day breaks and lunch. t ACC)RV CERTIFICATE OF LIABILITY INSURANCE PATE{N Wtt3lha t`€'r"''t1 THIS C RTIFICTE tS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER-THIS CERTIFICATE DOES NOT AFFIRMATIVELY NEGATIVELY AMEND,EXTEND ORALTERTHE COVERAGE AFFORDED Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU ER(S),AUTHORIZED REPRESENTATIVEOR PRODUCER,AND THE CERTIFICATE HOLD i PO TA T, 9iW8`;;rtfflcat&holder Is an ADDITIONAL INSURED,the olicy(le )must have ADDITIONAL INSURED provisions or be endo ed. N SUBROGATION IS ,subject to the terms and conditions of the policy,certain ollcie y require an endorsement. A statenwnt on this certificate s not confer riphis to the cortificato holder In lieu of such endo s n ►. PRODUCERME ne Lucia REESE YEATMAN INSURANCE PHONE (301)657-9501 FAx ( 0t)NO-5340 4704 Highland Avenue AIL aIudaQn3myeatrn2n INSU AFFORDING C IC Bethesda D 20814 INSURER A Hartford Casualty 2942 INSURED -INSURER0. Hartford Ins Cc oftheMiderwev D09t4 National Fallen FirerQhtefs Foundation INSURER c. P.O.Box 498 INSURER 0 INSURER E EivirntsburgD 21727 Ix F COVERAGES CERTIFICATENU E 1 REVISION THIS IS TO C IFY T THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED YO THE INSURED NAMED ABOVE F POLICY PERIOD— INDICATED NOTWTHSTANDING ANY REOUIREMENT TERMOR CONDITION OF ANY CONTRACTOR OTHER DOCUMENTRESPECT TO VMICH THIS CERTIFICATE Y BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCR18ED HEREW IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES L1 ITS SHOWN Y HAVE BEEN REDUCED BY PAID CLAIMS Y Numem LIMITS COMMERCIIALGENERALUARILITY CH CLIRRENCE = 1,000,0 CILMMSMADE E9 OCCUR f 300,000 ED W lAnLofmw 10.000 A Y 2SBAGK6 iD382020 091031202I 1 ,0 — LiADVIwJUAY s 00 GEN'L AGGREGATE LIMIT A SPER GENERAL AGGREGATE f 2,000,000 Cv JJECT LOC 6R AGGf 2,000 000 OTHER I IY AUrOMOINLE UARILITY C 1 LELINIT f 1.000,000 ANYALITO ROMLYINJuRYIPerparsaml f A_ Aos SCHEDULED Y 42 BA K6554 091DY2020 0910312021 LY INJURY{ • t1 tf vLtIRE® ED PA R HA T ONLY 6 25 uM CUR EACH OCCURRENCE S ,000..000 A C CM Y 42 GK65 090 020 09t 021 AGGREGATE 5,000,000 D R s 10-CDO s WORKERS COMPENSATION o AND EMPLOYERS EMPLOYERSLIAINLaY Y r N ANY PROPRIETORMARTHERIEXECUTIVE L ERGHACCID t f 500,000 o NNI CLUDED? N NOR 42 CC 8 103rp0 0910312021 0,0 Ir ye®. EL -Ei Y s SC 1 O00 P OPERATIONS Mew EL MSEASE PDUCYLIMIT f 500A00 DESCRIPTION Of a r LOCATOVS f VENICISS(ACORO 101.Add anti ark®Schedukh may be ftached If mors space is mqWmdl SK DA 1 .2021 GL, AL, W/CIll ly r s "VX"a.- CERTIFICATE HOLDERCANCELLATION- SHOULD OF THE ABOVE DESCRIBED CI CANCELLED REFORE THE EXPIRATION DATE THEREOF,NOTICE VOLL HE DELIVERED I nme County Board of County Comrrussioners ACCORDANCE WITH THE POLICY PROVISIONS, The d5ft Building A TA 11 nton t Key West FL 33040 i -2016 ACORD CORPORATION. ll dghts ruerved. ACORD 2612 t 3► The ACOROand logo are registered ffwfka of ACORD t rLIABILITYGATE INNS I 1a8�z7f2D2T THIS CERTIFICATE 15 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. IS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERJS),AUTHORIZED REPRESENTATIVE PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: B the certificate holder Is an ADDITIONAL INSURED,the licylles)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the ternis and condltlons of the policy,certain policies rnay require an endorsement A statement on this certificate does not confer rights to the cartificate holder In lieu of such ndo a ntls). I PRODUCER CZWAzr Anne Leda NAME: REESE YFATMAN INSURANCE E (301) 7-9 1 1 FAX No 4704 HoghlandAv e A aluclaCreeseyearnan, m INSUREMS)AFFORINNG COVERAGE AMC a Bethesda MO 201114 PISURERA. Hardoid Casualty 424 INSURED !USURERa Hartford Ins Cc-oftheMldewest 00914 National Fallen Firefighters Foundation INSURER c PO Box 490 INSURER®: INSURER E. Emmitsburg MD 21727 IN P: COVERAGES CERTIFICATE ER: CL2161707064 REVISION NUMBER: THIS IS TO-CERnFY THAT THE POLICIES OF INSURANCE LISTED BELLOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO STANDING 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 SH0VM MAY HAVE BEEN REDUCED BY PAID CLAIMS t Y NB" f9wiDoerrm IMNKXYVYYVI Uwas COMMERCIAL G L LIAIRLM _g CHOCCURRF14CE S 1,000,000 CLAIMS DE [FAOCCUR DAMAGE TCFRENTEU-a 1 n = 300.Ow M Aw S 10, A Y 42SEAGK6554 -Art 3 2021 091032022 PERSONAL&ADV LNJURY s 1 GEWL AGGREGATE LIMIT AFPLIES PER GENEMAGGRFGATE f 2,0 O. CV JE LOC PRoouCTs-cONProPAGG ° s 2.000,000 OTHER. a AUTOMOBILE LI LITY CGUSINED SINGLE LIMIT a 1, 0, 0 A @=dw7tI ANYAUTO BODILY INJURYiPer vwsmj S A A OMMD LY SCHEDULED Y 42SBAGK6554 AUTOS091032021 0910 ILYINJURY I r&=kWM s HIRED NON-OWNED AUTOSONLY AUTOS ONLY r ERIY E s PV - s . UMBRELLA LIAR L> UR H CURRENCE s 5,000,000 A EXCESS UAa I ICLAJM�MADE Y 425BAGKO554 0910312021 0910 022 AGGREGATE S 5000,000 DEb RETEunL71 s WORKERS COMPENSATION - PER T A PL s UTY YIN T R ANY PR IET RT'NE CUTiVE EACHACCIOENT ; 500, B E eER tUDED7 N NIA 42 CCG6866 10312021 f0320 EL WD W qI urd E L DISEASE-EA EMPLOYEE s 500-00 If DE i ®FI ERA'noms wD. EL DISEASE-PDUCYUNIT S - 0 DESCRIPTIONERA S f LOCATIONS I VEHICLES;AC 101,Add al Ramavkz SzhedWe.may bg gtuchw It man Ipwo Is Mquirsin BY DA 9 .1 2021 WAMR CERTIFICATE HOLDER CANCELLATION SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EMRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE POLMY PROVISIONS. The Cato Buidng 1100 sknonton S t AUTHOPaM REPRE.&ENTATrdE Key Mst FL 33040 18 - 1 ACORD CORPORATION. At hts forseived. ACORD 25( 1 3) The ACORD name and logo or@ registeredmarks of ACORD 2011 Edition MONROE COUNTY, FLORIODA REQUEST FOR WAIVER OF INSURANCE REQUIREMENTS It is requested that the insumnce requitements,as specirsed in the County's Schedule of Insurance Requi=ents,be waived or modifnd an the following contract. ore or, National Fallen Firefighters Foundation (NFFF) Project or Service: ContractorNerJor Address&Mae 0: 16825 S. Seton Avenue Ernmits burg, MD 21727 Germal Scope ofWogk.. The NFFF will be delivering an 8- r training class to Monroe County Fire Rescue personnel. The course out lines strategies fire departments can employ to prepare for Rcitson for Waiver or a line of duty death. Modirwation: rance as I ts course defivenesdo of involve Ts-M—PMEFNHH-57— Policies Waiver or Modification will apply to: Signature of ContractorNendor: Date: 09/29/2021 Approved Not Approved Rak Management Signature: X44A;?, Z- 5&0,4 10-29-2021 Date. 9-29-2021 County Administrator appeal: Approvcd: Not Approved- Date- Board of County Commissioners appeal- Approved- Not Approved: Meeting Date: A tive Insftetion 7500.7 104