Item F18BOARD OF COUNTY CO SIGNERS
AGENDA ITEM SUMMARY
Meeting Date: November_16, 2011 Division: Public Works
Bulk Item: Yes �x No Department: Facilities Maintenance
Staff Contact Person/Phone #: Joe Medallion1852-7161
AGENDA ITEM WORDING: Approval to award bid and contract to 3 Generation Plumbing, Inc.
for on -site sewer connections at the Key Largo Recycle Yard, Key Largo Animal Shelter, and
Friendship Park in the amount of $331,795.
ITEM BACKGROUND: On October 11, 2011, four (4) bids were received for this project:
3 Generation Plumbing, Inc. $33,795; Keys Contracting $57,440; C&w Pipeline $181,500; and Team
Contracting $589,405. 3rd Generation Plumbing is the lowest, most responsive bidder.
PREVIOUS RELEVANT BOCC ACTION: This project was identified and funded within the
FY12 budget for Fund 001 and 147 wastewater upgrades to County facilities as adopted b the BGCC
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on September 15, 2011.
CONTRACT/AGREEMENT CHANGES: New contract.
STAFF RECONU4ENDATIONS., Approval.
TOTAL COST: $33395.00 INDIRECT COSTS: BUDGETED: Yes x No
DIFFERENTLL OF LOCAL PREFERENCE: Lowest of the two local bidders
COST TO COUNTY: same
SOURCE OF S: solid waste
assessment and ad valorem
REVENUE PRODUCING: Yes No X AMOUNT Per Month Per Year
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APPROVED BY: Coun A � GMB/Purchasin
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DOCUMENTATION: Inclined x Not Re 'quir
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DISPOSMON:
Revised 7/09
AGENDA ITEM #
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MONBOP COUNTY HOARD OF COUNTY COMMMIMNUS
CONTRACT SU1VIl1►L46RY
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Cont�ci Nor: Joe 14ledallion
(Name)
for BOCC on November 16, 2011
7161 Public Works #19
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CONTRACT COSTS
Total Dotlar Value of contrat $33.795
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CONTRACT FOR ON -SITE SEWER CONECTION
AT XEY LARGO RECYCLE YARD KEY LARGO
ANIMAL SHELTER AND FRIENDSHIP PARK
3 GENERATION PLUMBING
MONROE COUNTY
THIS CONTRACT (hereafter '&Contract" or "Agreement"), made and entered into this 16th
day of November, 2011, by and between Monroe County, a political subdivision of the State of
Florida, (hereafter "County"), whose address is 1100 Simonton Street, Ivey west, Florida,
33040 and 3Id Generation Plumbing, a Florida Corporation (hereafter Contractor), whose
address is 3980 Overseas Highway, Marathon, Florida 33050. The parties hereto, for the
considerations herein set forth, mutually agree as follows:
1. SCOPE OF WORK.
a) The Contractor shall complete the following work;
R cle Yard
• Provide gravity connection from existing building pipe to vacuum collection system in
street.
■ Decommission the existing wastewater system (septic tank) in accordance with all
Monroe County, Department of Health, and Department of Environmental Protection
abandonment requirements.
Obtain all required permits and inspections including, but not limited to, Ivey Largo
Wastewater Treatment District, Monroe County Building Department, department of
Health, and Department of Environmental Protection.
• Include all permit fees, design and drawing costs.
FriendshipPark
Requires a low pressure lift station (grinder pump) into a vacuum pit+ If it is possible to get a
minimum 1 % slope using a gravity line to the vacuum pit, that would be preferable.
Decommission and abandon existing septic system according to all Monroe County, DOH and
DEP requirements. Contractor to obtain all required permits from DOH, FDEP, Building Dept
and KLWTD.
Animal Shelter
Scope of work:
• Resign, supply and install complete lit station including all piping, equipment, valving,
power, alarms, etc, to direct all sanitary sewage currently entering the facilities
wastewater treatment system into the stubbed out connection from the i LwTD's US I
force main located just inside the property line at the US 1 side of the property.
• Decommission the existing wastewater system in accordance with all Monroe County,
Department of Health, and Department of Environmental Protection abandonment
requirements.
• Obtain all required permits and inspections including but not limited to Key Largo
Wastewater Treatment District, Monroe County Building Department, Department of
Health, and Department of Environmental Protection.
• Provide complete operation and maintenance manuals and equipment documentation.
s Warrant all equipment and work for a minimum period of one year from substantial
completion of the project or the manufacturer's standard warranty, if greater.
• Include all permit fees, design & drawing costs.
• Provide a complete set of system documentation, design documents, and permits in both
hard copy and one (1) electronic (.pdf format) copy.
b) All work shall be done in accordance with permits and/or requirements of the Key
Largo Wastewater Treatment District, Florida Department of Health, Florida Department of
Environmental Protection, and the Monroe County Building Department, including all required
tests of existing and new equipment and appurtenances.
2. CONTRACT SUM. The County shall pay the Contractor for the faithful
performance of said construction $33,795.00.
The Board of County Commissioners assumes 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 is contingent upon an annual appropriation by the BGCC.
a) Partial progress payments may be issued to the Contractor with the Owner's
approval and with submission of properly executed invoice and partial release of liens. Payment
for expenditures permissible by Yaw and County policies shall be made through reimbursement to
Contractor upon presentation of Application for Payment Summary — AIA Document G702,
invoices, canceled checks and other documentation necessary to support a claim for
reimbursement. All submissions for payment shall have a proposed Schedule of values 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. Pbotos of the progress of the work shall also be submitted with the payment
application. when the project requires a county and/or municipal building permit(s), it
shall be the responsibiliEty of the general contractor to initiate the communication with the
Monroe County Building Department to facilitate the inspection of said phase and obtain
the signature of a Monroe County Inspector (out permit card) documenting acceptance of
said phase at which time the documentation shall be submitted for payment.
The application for payment document must be certified through a statement signed by an officer
of the organization and notarized, declaring that representations in the invoice are true and
factual. Grantee shall also provide partial releases of liens or certifications of non -lien if
applicable. Grantor shall retain 10% of any payment on work in progress until the Grantee has
provided a Final Release of Lien for each vendor/Contractor for whom payment is requested.
Final payment will not be made until the following documents are complete and submitted to the
Grantor:
AIA Document
G-702
Application for Payment Summary
AlA Document
G-704
Certificate of Substantial Completion
AIA Document
G-706
Contractor's Affidavit of Debts & Claims
AIA Document
G-706A Contractor's Affidavit of Release of Liens
AIA Document
G-70 7
Consent of Surety to Final Payment
Final Release of Lien
Affidavit and Partial Release of Lien
All payment requests must be submitted no later than the completion of project of
2011. Invoices received after , 2011 will not be considered for
payment.
b) The owner may decline to make payment, may withhold funds, and if necessary,
may demand the return of some or all of the amounts previously paid to the contractor, to protect
the owner from loss because of:
1. defective work not remedied by the contractor nor, in the opinion of
the owner, likely to be remedied by the contractor;
2. claims of third parties against the owner or the owner's property;
3. failure by the contractor to pay subcontractors or others in a prompt
and proper fashion;
4. evidence that the balance of the work cannot be completed in
accordance with the contract for the unpaid balance of the contract
price;
S. persistent failure to carry out the work in accordance with the
contract;
6. damage to the owner or a third party to whom the owner is, or may be,
liable.
In the event that the owner makes written demand upon the contractor for amounts previously
paid by the owner as contemplated in this subparagraph, the contractor shall promptly comply
with such demand.
3. CONTRACTOR'S ACCEPTANCE OF CONDITIONS.
a) The Contractor hereby agrees that he has carefully examined the sites and has
made investigations to fully satisfy himself/herself that such sites are correct and suitable ones
for this work and he/she assumes full responsibility therefore. The provisions of this Agreement
shall control any inconsistent provisions contained in the Specifications. All Specifications have
been read and carefully considered by the Contractor, who understands the same and agrees to
their sufficiency for the work to be done. Under no circumstances, conditions, or situations
shalt this Contract be more strongly construed against the County than against the Contractor
(and his Surety, if applicable).
b) Any ambiguity or uncertainty in the Specifications shall be interpreted and
construed by the Upper Keys Public works Director and his decision shall be final.
c) The passing, approval. and/or acceptance of any part of the work or material by
the County shall not operate as a waiver by the County of strict compliance with the terms of
this Agreement, and Specifications covering said work. Failure on the part of the Contractor,
immediately after Notice to correct workmanship shall entitle the County, if it sees fit, to
correct the same and recover the reasonable cost of such remediation work and/or repair from
the Contractor, who shall in any event be jointly and severally liable to the County for all
damage, loss, and expense caused to the County by reasons of the Contractor's breach of this
Agreement and/or his failure to comply strictly and in all things with this Agreement and with
the Specifications.
4. INDEPENDENT CONTRACTOR. At all times and for all purposes under this
Agreement the Contractor is an independent contractor and not an employee of the Board of
County Commissioners for Monroe County. No statement contained in this Agreement shall be
construed so as to find the contractor or any of his/her employees, contractors, servants., or
agents to be employees of the Board of County Commissioners for Monroe County.
5. ASSIGNMENT. The Contractor shall not assign this Agreement, except in writing
and with the prior written approval of the Board of County Commissioners for Monroe
County, which approval shall be subject to such conditions and provisions as the Board may
deem necessary. This Agreement shall be incorporated by reference into any assignment and
any assignee shall comply with all of the provisions of this Agreement. Unless expressly
provided for therein, such approval shall in no manner or event be deemed to impose any
obligation upon the Board in addition to the total agreed -upon price of the services/goods of
the contractor.
6. COMPLIANCE WITH THE LAW. In providing all services/goods pursuant to
this Agreement, the contractor shall abide by all statutes, ordinances, rules and regulations
pertaining to, or regulating the provisions of, such services, including those now in effect and
hereinafter adopted. Any violation of said statutes, ordinances, rules and regulation shall
constitute a material breach of this Agreement and shall entitle the Board to terminate this
contract immediately upon delivery of written notice of termination to the contractor. The
Contractor shall possess proper licenses to perform work in accordance with these
specif cations throughout the terns of this contract.
7. INSURANCE. Prior to execution of this Agreement, the Contractor shall furnish to
the County Certificates of Insurance for the following coverage:
worker's Compensation - $100,000 Bodily Injury by Accident; $500,000 Bodily
Injury by Disease, policy limits; $100,000 Bodily
Injury by Disease, each employee
Vehicle Liability - V 00,000 combined single limit
General Liabi 1 ity - $3 00,000 combined single limit
Employee Dishonesty - $100,000
a) Certificates of Insurance must be provided to Monroe County prior to execution of this
Agreement and within fifteen days after award of proposal, with Monroe County BOCC listed as
additionally insured on all except workers Compensation. Thereafter, the Contractor must keep
4
in full force and effect all of the insurance coverage's listed above during the terra of this
Agreement. If the insurance policies originally purchased that meet the requirements are
canceled., terminated or reduced in coverage, then the Contractor must immediately substitute
complying policies so that no gap in coverage occurs.
b) All forms of insurance required above shall be from insurers acceptable to the County.
c) 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 days prior
notification is given to the County by the insurer.
d) The insurance required of the Contractor by the terms of this Agreement is for the
protection of the County, its property and employees, and the general public. The insurance
requirement is not, however, for the protection of any specific member of the general public who
might be injured because of an act or omission of the Contractor. The insurance requirements do
not make any specific injured member of the general public a third party beneficiary under this
Agreement. Therefore, any failure by the County to enforce these insurance requirements, or
terminate this Contract if the Contractor becomes uninsured or undednsured, is not a breach of
any duty or obligation owed to any specific member of the general public and cannot form the
basis of any County liability to a specific member of the general public or his/her dependents, or
estate or heirs.
1} Notwithstanding the provisions of paragraph 32, the County may immediately treat the
Contractor in default if the Contractor fails to maintain the insurance required by this paragraph
7. Before terminating the agreement in this situation, the County need only provide the
Contractor 24-hour notice by FAX or overnight courier. The County may, but need not, provide
the Contractor with an opportunity to cure the default.
8. INDEMNIFY AND HOLD HARMLESS. 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 actions (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 willful misconduct of Contractor or any of its employees, agents, 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). 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.
9. RECORDS. Contractor shall maintain all books, records, and documents directly
pertinent to performance under this Agreement in accordance with generally accepted
accounting principles consistently applied. Each party to this Agreement or their authorized
representatives shall have reasonable and timely access to such records of each other party to
this Agreement for public records purposes during the term of the Agreement and for four
years following the termination of this Agreement. If an auditor employed by the County or
Clerk determines that monies paid to the Contractor pursuant to this Agreement were spent for
purposes not authorized by this Agreement, the Contractor shall repay the monies together with
interest calculated pursuant to Sec. 55.03, FS, running from the date the monies were paid to
Contractor.
10. GOVERNING LAW, VENUE, INTERPRETATION, COSTS, AND FEES.
This Agreement shall be governed by and construed in accordance with the laws of the State of
Florida applicable to contracts 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 will lie in the
appropriate court or before the appropriate administrative body in Monroe County, Florida.
The County and Contractor agree that, in the event of conflicting interpretations of the terms or
a term of this Agreement by or between any of them the issue shall be submitted to mediation
prior to the institution of any other administrative or legal proceeding.
11. SEVERABIEITY. If any term, covenant, condition or provision of this Agreement
(or the application thereof to any circumstance 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 this Agreement would prevent the
accomplishment of the original intent of this Agreement. The County and Contractor agree to
reform the Agreement to replace any stricken provision with a valid provision that cornes as
close as possible to the intent of the stricken provision.
12. ATTORNEYS FEES AND 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; court costs, investigative, and out-of-pocket expenses, as an
award against the non --prevailing party, and shall include attorney's fees, courts costs,
investigative, and out-of-pocket expenses in appellate proceedings. 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.
13. BINDING 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.
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.
15. ADJUDICATIONS OF DISPUTES OR DISAGREEMENTS. 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 can be
agreed upon within 30 days after the first meet and confer session, the issue or issues shall be
discussed at a public meeting of the Board of County Commissioners. If the issue or issues are
still not resolved to the satisfaction of the parties, then any party shall have the right to seep
such relief or remedy as may be provided by this Agreement or by Florida lave.
16. COOPERATION. In the event any administrative or legal proceeding is instituted
against either party relating to the formation, execution, performance, or breach of this
Agreement, County and Contractor agree to participate, to the extent required by the other
party, in all proceedings, hearings, processes, meetings, and other activities related to the
substance of this Agreement or provision of the services under this Agreement. County and
Contractor specifically agree that no party to this Agreement shall be required to enter into any
arbitration proceedings related to this Agreement.
17. NONDISCRIMINATION. Contractor will 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 VI 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. 16 81-1683, 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 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. 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.
1201 Note), as may be amended from time to time, relating to nondiscrimination based of
disability; 10) Secs. 13-101, et seq., Monroe County Code, relating to discrimination based on
race, color, sex, religion, disability, national origin, ancestry, sexual orientation, gender identify
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. The
Contractor expressly understands that upon a determination by a court of competent jurisdiction
that the Contractor has discriminated against any person, this agreement automatically terminates
without any further action on the part of any party, effective the date of the Court order.
18. COVENANT OF No INTEREST. County and Contractor covenant that neither
presently has any interest, and shall not acquire any interest, which would conflict in any
manner or degree with its performance under this Agreement, and that only interest of each is
to perform and receive benefits as recited in this Agreement.
19. 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.
20. NO SOLICITATION/PAYMENT. The County and Contractor warrant that, in
respect to itself, it has neither employed nor 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 fill amount of such fee, commission, percentage, gift, or consideration.
21. PUBLIC ACCESS. The County and Contractor 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 County and Contractor in conjunction with this Agreement; and the County
shall have the right to unilaterally cancel this Agreement upon violation of this provision by
Contractor.
22. NON -WAIVER OF IMMUNITY. 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 contract entered into by the County be required to
contain any provision for waiver,
23. PRIVILEGES AND IMMUNITIES. 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.
24. LEGAL OBLIGATIONS AND RESPONSIBILITIES. Non -Delegation of
Constitutional or Statutory Duties. This Agreement is not intended to, nor shall it be construed
8
as, relieving any participating entity from any obligation or responsibility imposed upon the
entity by law except to the extent of actual and timely performance 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.
25. NON -RELIANCE BY NON-PARTIES. No person or entity shall be entitled to
rely upon the terms, or any of them, 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.
26. ATTESTATIOIr & Contractor agrees to execute such documents as the County may
reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -
Free workplace Statement.
27. NO PERSONAL LIABILITY. No covenant or agreement contained herein shall be
deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe
County in his or her individual capacity, and no member, officer, agent or employee of Monroe
County shall be liable personally on this Agreement or be subject to any personal liability or
accountability by reason of the execution of this Agreement.
28. EXECUTION IN COUNTERPARTS. This Agreement may be executed in any
number of counterparts, each of which shall be regarded as an original, all of which taken
together shall constitute one and the same instrument and any of the parties hereto may execute
this Agreement by signing any such counterpart.
29. SECTION HEADINGS. Section headings have been inserted in this Agreement as
a matter of convenience of reference only, and it is agreed that such section headings are not a
part of this Agreement and will not be used in the interpretation of any provision of this
Agreement.
30. PROFESSIONAL RESPONSIBILITY. The Contractor warrants that it is
authorized by law to engage in the performance of the activities encompassed by the project
herein described, subject to the terms and conditions set forth. The provider shall at all tunes
exercise independent, professional judgment and shall assume professional responsibility for the
services to be provided. Continued funding by the Board is contingent upon retention of
appropriate local, state, and/or federal certification and/or licenser of contractor.
31. NOTICE REQUIREMENT. Any notice required or permitted under this
agreement shall be in writing and hand delivered or mailed, postage prepaid, to the other party by
certified mail, returned receipt requested, to the following:
9
FOR COUNTY
Joe Medallion
Director, Upper Keys Operations
88770 overseas RgnWay
Tavernier, FL 33470
Phone:(305) 852 -7161
Fax: (305) 852-7117
32. CANCELLATION.
FOR CONTRACTOR
Jay Massaro
President, P Generation Plumbing, Inc.
3980 Overseas Highway
Marathon, Fl. 33050
Phone:(305) 743-4245
a) The failure by the Contractor to comply with all the terms and conditions of
this Agreement shall constitute a defaultlbreach under the terms of this Agreement. Unless the
County has accepted in writing a delay in performance of the services, the failure by the
Contractor to perform said services shall also constitute a default/breach under the terms of this
agreement. In the event of a default/breach of the Agreement, the County may cancel this
Agreement for cause with seven days notice to the contractor.
b3 Except for the County's termination because of non -appropriation in paragraph
2 or because of lank of insurance coverage in paragraph 7, either of the parties hereto may
cancel this agreement without cause by giving the other party thirty days written notice of its
intention to do so.
33. MUTUTAL REVIEW. This agreement has been carefully reviewed by the
Contractor and the County, therefore this agreement is not to be construed against either party on
the basis of authorship.
IN WITNESS WHEREOF, the parties have caused this Agreement to be executed this
day of �. , 2011.
(SEAL)
ATTEST: DANNY L. IKOLHAGE, CLERK BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By: By:
Deputy Clerk Mayor
MON E ED S
't a
PEDRO J. M
ASSI
CONTRACTOR
By:
Title
E i
10 it
I�
PROPOSAL FORM
TO:MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CIO PURCHASING DEPARTMENT
GATO BUILDING ROOM 1-213
1100 SIMONTON STREET
KEY WEST, FLO RI DA 33040
PROPOSAL FROM: N -. ��A
N c.
P .
c
The undersigned, having carefully examined the work, specifications, proposal, and addenda
thereto and other Contract Documents for the services of:
ON -SITE SEWER CONNECTIONS AT KEY LARGO RECYCLE YARD, KEY LARGO
ANIMAL SHELTER AND FRIENDSHIP PARK
The Contractor, in submitting the foregoing proposal, agrees to comply with all contract
specification documents.
I acknowledge receipt of Addenda No. (s)
(Check mark (N) items below, as a reminder that they are included.)
I have included the Bid Proposal which entails:
• Lobbying and Conflict of Interest Clause
■ Non -Collusion Affidavit
• Drug Free Workplace Form
• Public Entity Crime Statement
Insurance Requirements
• Local Preference Form (if applicable)
In addition, I have included a current copy of
Monroe County Occupational License ;
Insurance Agents Statement
and all requirements as stated in Section One, Article 1.04 Paragraphs A through C.
Print Name4s, r�g��
Mailing Address. C3 �� eje
Signed:
21
Title: 2c�S t C4 C-a T:( _�_ _ ..
Telephone: 3!2f:) 713- 4- 24 S
Fes: �s 7Fz - �-49
Date: O
wime -�-� • '��`d�
(Seal)
3RD GENERATION
PLUMBING
Wastewater Services
License # CFC055680
3980 Overseas Highway
Marathon, FL 33050
(305) 743-4245
Fax (305) 743-4299
E-Mail:
im _3rdgenerationplumbing :corn
Website:
www_3rd enerationplumbing.com
October 11, 2011
Monroe County
Recycle Yard
c/o Joseph Medallion
Key Largo, Fl 33037
We hereby submit estimate and proposal for sever connection, all labor, and
material to complete the sewer lateral connection from building drain to the
Municipal sewage collection system at above location. All work to be performed
by certified, trained, and experienced employees of 3rd Generation Plumbing and
will be completed in a timely, neat, and professional manner.
To Include the Following:
■ All required permits and inspections from Building Department
• Copies of Building and Health Dept. reports and final approvals
4 inch PVC approved sewer pipe and fittings —N.S.F Certified
■ Furnish and install 4" standard backwater valve device at building
• Extra Heavy Duty grey Glue N.S.F. Certified
• Pump out septic tank
• Rupture, fill, and abandon existing wastewater system
■ All pipes to be bedded with proper bedding material
• Work area will be backfilled to grade and raked over
• Haul away excess fill
• Two -Million Dollar General Liability Insurance Policy
• Workman's Compensation on all Employees
• one -Year Warranty on labor and material
Total Price to Be: $3,150.00
Authorized Signature: --- X2%G�rr�
James saro as President for 3' Gene on Plumbing, Inc.
I find the above satisfactory and agree to pay for same upon acceptance of proposal, and further agree to pay
reasonable charges for collection including attorney fees in the event of my default. You are authorized to do
the work as specified. Payment will be made as outlined above:
Acceptance of Proposal:
Date:
3RD GENERATION
PLUMBING
Wastewater Services
License # CFC055680
3980 Overseas Highway
Marathon, FL 33050
(305) 743-4245
Fax (305) 743-4299
E-Mail:
irn(@3rd_ eneration umbing.com
Website:
www, 3r4eneration lumbin .cam
October 11, 2011
Monroe County
Animal Shelter
c/o Joseph Medallion
Key Largo, Fl 33037
We hereby submit estimate and proposal for Municipal sewage connection at
above location. All work to be performed by certified, trained, and experienced
employees of 3rd Generation Plumbing and will be completed in a timely, neat.
and professional manner.
To Include the Follownt:
All required permits and inspections from Building Department
■ Copies of Building and Health Dept. reports and final approvals
1-E One simplex lift station
2" SCH 40 PVC force main from lift station to connection in street
Excavation and installation of lift station
Abandonment of existing wastewater system
Repair of asphalt with cold patch mix
• Two -Million Dollar General Liability Insurance Policy
Workman's Compensation on all Employees
■ One -Year Warranty on labor and material
Total Price to Be: $15,240.00
Authorized Signature:
James VMassaro as President for 3rd Gen on Plumbing, Inc.
I find the above satisfactory and agree to pay for same upon acceptance of proposal, and further agree to pay
reasonable charges for collection including attorney fees in the event of my default. You are authorized to do
the work as specified. Payment will be made as outlined above:
Acceptance of Proposal: Date:
3RD GENERATION
PLUMBING
Wastewater Services
License # CFC055680
3980 Overseas Highway
Marathon, FL 33050
(305) 743-4245
Fax (305) 743-4299
E-Mail:
lm@3rdqenerabonplumbing.com
Website:
tiwww,3rd eneration lumbin .com
October 11, 2011
Monroe County
Friendship Park
Key Largo, F133O37
C/O Joseph Medallion
We hereby submit estimate and proposal for Municipal sewage connection at
above location. All work to be performed by certified, trained, and experienced
employees of 3d Generation Plumbing and will be completed in a timely, neat,
and professional manner.
To Include the Following.-
0 All required permits and inspections from Building Department
• Copies of Building and Health Dept. reports and final approvals
• 1-E one simplex lift station
1-Electrical Panel for lift station
■ 2" SCH 40 PVC force main from building to connection in street
Backwater valve at building outlet as required
■ Excavation and installation of lift station
Abandonment of existing wastewater system
■ Two -Million Dollar General Liability Insurance Policy
■ Workman's Compensation on all Employees
■ one -Year Warranty on labor and material
Nam: Landscaping not included
Total Price to Be: $15,405.00
Authorized Signature: . r� /-, � ��e4 -vil /a
James N. saro as President for 3`d Generatir.lumbing, Inc.
I find the above satisfactory and agree to pay for same upon acceptance of proposal, and further agree to pay
reasonable charges for collection including attorney fees in the event of my default. You are authorized to do
the work as specified. Payment will be made as outlined above:
Acceptance of Proposal:
Date:
NON -COLLUSION AFFIDAVIT
�? of the city of -v4
according to law on my oath, and under penalty of perjury, depose and say that:
1. I am P, -/1
of the firm o f � ,r1-1 �.nae� ��o� V �u.,�►.�G �� ' .�►-�c
the respondent making the Proposal for the project described in the Notice for
Calling for bids for:
and that I executed the said proposal with full authority to do so:
the prices in this bid have been arrived at independently without collusion, consultation,
communication or agreement for the purpose of restricting competition, as to any
matter relating to such prices with any other respondent or with any competitor;
unless otherwise required by law, the prices which have been quoted in this bid have not
been knowingly disclosed by the respondent and will not knowingly be disclosed by
the respondent prior to bid opening, directly or indirectly, to any other respondent or
to any competitor; and
no attempt has been made or will be made b the respondent to induce any other person,
partnership or corporation to submit, or not to submit, a bid for the purpose of
restricting competition;
5. the statements contained in this affidavit are true and correct, and made with full
knowledge that Monroe County relies upon the truth of the statements contained in
th;s,davit
in awarding contracts for said project.
(Sizo..'
ure of Respon ent) (Date)
STATE OF: A
COUNTY OF:AA&�n t
PERSONALLY APPEARED BEFORE ME, the undersigned authority, , J .ngs la"A��
who, after first being sworn by me, (name of indi i(lual signing) affixed his/her
signature in the space provided above on this '#4 day of e A 20�_.
NOTARY PUBLIC ����' ��G�►4.��
My Commission Expires: V T
�Z.
0 #DD 977235 '
22 �9•
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�as��Rrs�� ��[;x%S
��ClC, STA' �t%v
1M 111110
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTYq FLORIDA
ETHICS CLAUSE
f 0 Wf Acs - 4yp warrants that he/it has not employed, retained
W-j
or otherwise had act on his/its behalf any former County officer or employee in violation of
Section 2 of Ordinance No. 10-1990 or any County officer or employee in violation of
Section 3 of Ordinance No. 10-1990. For breach or violation of this provision the County
may, In its discretion, terminate this contract without liability and may also, in its discretion,
deduct from the contract or purchase price, or otherwise recover, the full amount of any fee,
commission, percentage, gift, or consideration paid to the former County officer or employee.
(signature)
Date: A9 1.- /v I f
STATE OF —;-) 0 2. clr;
COUNTY OF [V\ en n-,n Cr
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
...c � A R- D who, after first being sworn by me, affixed his/her
signature (name of individual signing) in the space provided above on this 1h day of
NOTARY PUBLIC
My commission expires:
OMB - MCP FORM #4
001111111011to�li
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23
DRUG -FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
_3 %
G r
_:ZrA, Q
f
(Name of Business)
1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of
a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for
violations of such prohibition.
2. 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.
3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the
statement specified in subsection (1).
4. In the statement specified in subsection (1), 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.
5. 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, or any employee who is so convicted.
6. Make a good faith effort to continue to maintain a drug -free workplace through implementation of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements.
STATE OF �� ���-�-- -4�� . �440540
(Signature of Respondent)
COUNTY OF l0 — AQ am/ -I
Date
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
Tnna s ,e2d who, after first being sworn by me, (name of individual
signing) affixed his/her signature in the space provided above on this
zD >h day of Oe 2Q/L•
Ato� Q My commission expires:
NOTARY PUBLIC
24
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PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list following a
conviction for public entity crime may not submit a bid on a contract to provide any
goods or services to a public entity, may not submit a bid on a contract with a public
entity for the construction or repair of a public building or public work, may not
submit bids on leases of real property to public entity, may not be awarded or perform
work as a contractor, supplier, subcontractor, or consultant under a contract with any
public entity, and may not transact business with any public entity in excess of the
threshold amount provided in Section 287.017, for CATEGORY TWO for a period of
36 months from the date of being placed on the convicted vendor list."
By executing below, proposer states that he/she/it is in compliance.
Signature
STATE OF 1.2t c: A
(Sigpfiture of Respondent)
COUNTY OF fLc r� � '" r//
DATE
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
„nas 1Vl�.s�AQp who, after first being sworn by me, (name of
individual signing) affixed his/her signature in the space provided above on this
A day of /4,&,)Ito , 201
- 6 My commission expires:
NOTARY PUBLIC
'j�6�CCA
OWN
MAIO
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'off:
�onl"
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144i,11111110
25
INSURANCE CHECKLIST
FOR
VENDORS SUBMITTING PROPOSALS
FOR WORK
To assist in the development of your proposal, the insurance coverage's marked with an "Y' will be
required in the event an award is made to your firm. Please review this form with your insurance
agent and have him/her sign it in the place provided. It is also required that the respondent sign the
form and submit it with each proposal.
WC] x
WC2
WC3
WCUSLH
WCJA
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
Workers' Compensation
Employers Liability
Employers Liability
Employers Liability
US Longshoremen &
Harbor Workers Act
Federal Jones Act
kro
Statutory Limits
$ 100,0003500,0003I 00,000
$500,0001$500,0001500,000
$ I , 000,0001$1,000, 000l$1, 000, 000
Same as Employers'
Liability
Same As Employers'
Liability
GENERAL LIABILITY
As a minimum, the required general liability coverage will include:
• Premises Operations • Products and Completed Operations
• Blanket Contractual • Personal Injury
• Expanded Definition
Of Property Damage
Required Limits:
GL1 x
G L2
G L3
GL4
Required Endorsement:
GLXCU
GLLIQ
GLS
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage
or
$3009000 Combined Single Limit
$250,000 per Person; $500,000 per Occurrence
$50,000 Property Damage
or
$500,000 Combined Single Limit
$500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage
or
$1,000,000 Combined Single Limit
$5,000,000 Combined Single Limit
Underground, Explosion and collapse (XCU)
Liquor Liability
Security Services
All endorsements are required to have the same limits as the basic policy
27
VEHICLE LIABILITY
As a minimum, coverage should extend to liability for:
Owned; Non -owned; and hired Vehicles
Required Limits:
VL I X $50,000 per Person; $100,000 per Occurrence
$25,000 Property Damage
or
$100,000 Combined Single Limit
VL2 $100,000 per Person; $300,000 per Occurrence
$ 50,000 Property Damage
or
$300,000 Combined Single Limit
VL3 $500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage
or
$1,000,000 Combined Single Limit
VL4 $5,000,000 Combined Single Limit
MISCELLANEOUS COVERAGES
BR I
Builders'
Limits equal to the
Risk
completed project
MVC
Motor Truck
Limits equal to the maximum
Cargo
value of any one shipment
PROI
Professional
$ 250,000 per Occurrence/$ 500,000 Agg.
PR02
Liability
$ 500,000 per Occurrence/$1,000,000 Agg.
PR03
$1,000,000 per Occurrence/$2,000,000 Agg.
POL I
Pollution
$ 500,000 per Occurrence/$ 1,000,000 Agg.
POL2
Liability
$1,000,000 per Occurrencel$ 2,000,000 Agg.
POL3
$5,000,000 per Occurrence/$10,000,000 Agg.
EDI
Employee
$ 109000
ED2
X Dishonesty
$1005000
GKI
Garage
$ 3009000 ($ 25,000 per Veh)
GK2
Keepers
$ 500,000 ($100,000 per Veh)
GK3
$19000,000 ($250,000 per Veh)
28
MED 1
Medical
$ 2509000/$ 750,000 Agg.
MED2
Professional
$ 5009000/$ 1,000,000 Agg.
MED3
$1,000,0003,000,000 Agg.
MED4
$570009000/$10,000,000 Agg.
IF
Installation
Maximum value of Equipment
Floater
Installed
VLP 1
Hazardous
$ 300,000 (Requires MCS-90)
VLP2
Cargo
$ 500,000 (Requires MCS-90)
VLP3
Transporter
$1,000,000 (Requires MCS-90)
BLL
Bailee Liability
Maximum Value of Property
HKL 1
Hangarkeepers
$ 300,000
HKL2
Liability
$ 5009000
HKL3
$1,000,000
AIR1
Aircraft
$ 15000,000
AIR2
Liability
$ 5,000,000
AIR3
$50,000,000
AEOI
Architects Errors
$ 250,000 per occurrence/$ 500,000 Agg.
AE02
& Omissions
$ 500,000 per Occurrence/$ 1,000,000 Agg.
AE03
$1,000,000 per Occurrence/$3,000,000 Agg.
Ep I
Engineers Errors
$ 250,000 per occurrence/$ 500,000 Agg.
E02
& Omissions
$ 500,000 per Occurrencel$1,000,000 Agg.
E03
$1,000,000 per Occurrence/$3,000,000 Agg.
29
LOCAL PREFERENCE FORM
A. Vendors claiming a local preference according to Ordinance 023-2009 must complete this form.
Name of BidderlResponde c� .4 c Date:
1. Does the vendor have a valid receipt for the business tax paid to the Monroe County Tax Collector dated at least
one year prior to the notice or request for bid or proposal? Is (Please furnish copy. )
2. Does the vendor have a physical business address located within Monroe County from which the vendor operates
or performs business on a day to day basis that is a substantial component of the goods or services being offered to
Monroe County?
- Ay5b-
List Address: '�,r-� ,,��cs �-,� Utu-ry
_ _ A _ -i 3
Telephone Number: - 30 aa 7-,
B. Does the vendor/prime contractor intend to subcontract 50% or more of the goods services or construction to
local businesses meeting the criteria above as to licensing and location? C�
If yes, please provide:
1. Copy of Receipt of the business tax paid to the Monroe County Tax Collector by the subcontractor dated at least
one year prior to the notice or request for bid or proposal.
2. Subcontractor Address within Monroe County from which the subcontractor operates:
_ )nCnn1#f- o Tel. Number
,?. Print Name:
Si tore and Title of Authorized SiT�Iory for
B' er/Responder
STATE OF: �
COUNTY OF: 1LAan e e j
Subscribed and swum to (or affirmed) before me on �i► �e �s 2 l�� .iD/ �
(date) by q;�Lpy- s jAA&S,8jRZ> (name of affiant). He/She is personally known to me or has
produced
(type of identification) as
identification.
NOTARY PUBLIC
My Commission Expires: m 2 v/ `f
�
31
s� `; #DD 971�35 Q
If �Nl� 11# T1 11��11GG►,��
5024234 STATE OF FLORIDA" .
DEPARTST�C�Oi IDii�RY�1� BOARD
$ECG L10070600579
06/20101108002635 ICFC055680
e P LMB ING CONTRACTOR
med below IS CERTIFIED
der the provisions of Chapter 4B. 9 FS .
piration date: AUG 31, 2012
xASSARO,r JAMES NIRAM. JR
3 RD GENERATION PLUMBING INC .
109 PIRATES CV 050-292�5
MARATHON FL 3 3
CEUkRLI E CRI ST
GCVEI GR
DISPLAY AS REQUIRED BY LAW
CHARLIE LIEN
INTERIM SECRETARY
� 4420990 S"TE OF FLORIDA
DEPARTIENT OF SII$IMg 3 AND PROFESSIONAL REGULATION
CONSTRUC=fN INDUSTRY LICENSING BOARD SEQ#L09052900535
N NBR
5 29 2009 088223712 B47709
'he BUSINESS ORGANIZATION
lamed below IS QUALIFIED
ender the provisions of Chapter 489 FS.
:xpiration date: AUG 31, 2011
THIS IS NOT A LICENSE TO -PBRF'ORM WORK, THIS ALLOWS
!OMPANY TO DO BUSINESS ONLY IF I'i HAS A QUALIFIER.)
3 RD GENERATION P LL]MB ING INC
3980 OVERSEAS HWY
MARATHON FL 33050
CHARLIE GRIST CHARLES W. DRAGO
GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY
rtr. ar*,nr,
�s
• S
f �
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a
y
•4 -
tp
M
ACORpm DATE (MMIDDIYYYY)
05/Zo/Zoll
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 pollcy(les) must be endorsed. N SUBROGATION IS WAIVED, subject to
the terns and conditions of the policy, certain policlee may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
CONTACT
PRODUCER NAMLO Robert Mi hm
Insurance Office of America, Inc. ONENo ; 954-318-1379 a,c Ho;954-318--1383
100 NE Thi rd Avenue E
o •
Suite 850 R
Ft. Lauderdale, FL 33301 INSU S AFFORDING COVERAGE NAIC 0
INSURED INSURER A: FCCI Commercial Insurance Co. 3 347z
3 rd Generation Plumbing Inc INSURER B :
3980 Overseas Highway INSURER C
Marathon , . FL 33050 INSURER D:
F:
OV911AGES CERTIFICATE NUMBER: 11•-12 -Li ab . RIEVISION 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.
R TYPE OF INSURANCt? NSR � PaLICY NUMBER MMIa M
GENERAL LIABILITY CPPOO10790 0 02/21/2011 62/2`11201 2
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
7 POLICY X JECT , LOC
AUTOMOBILE LIABILITY
X ANY AUTO
ALL OWNED AUTOS
A w SCHEDULED AUTOS
NHIRED AUTOS
NON -OWNED AUTOS
uMgaEua uAB occua
occEsa uae HCLAIMS-MADE
DEDUCTIBLE
RETENTION $
AND RMPLOVOW LIABILITY Y I N
ANY PROPRIETORIPARTNERIEXECUTIVE� N I A
❑FFIC�ERIMEMBER EXCLUDED?
(Mandatory In NH)
If yea, desc6bo un t� - -- - - - - -
CA00 JO 15 5 - 01021211201110212112012
ontractor s Equipment- - - CPPOO10790-4 0212112011 02121/2012
A Leased or Rented Equipment
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach AGORD 101, Additional RemeAs Schedule, IFmore space Is roquirad)
CERTIFICATE HOLDER
3 rd Generation Plumbing,
For Information Purposes
3980 Overseas Highway
Marathon, FL 33050
ACORD 25 (2009/09)
Inc.
CANCELLATION
uMlTs
EACH OCCURRENCE S
1000 001
DAMAGE To RENTED$
100 P 00(
MED EXP (Any one person)
3 5 V 00(
PERSONAL & ADV INJURY
$ x 000 ow
GENERAL AGGREGATE
$ 040 00(
PRODUCTS - COMPIOP AGG
$ 000 opt
COMBINED SINGLE LIMIT
(Es eackient)
s
a 1 000 00(
BODILY INJURY (Per person)
$
BODILY INJURY (Per a=dent)
S
J
PROPERTY DAMAGE
(Per accident)
s
5
EACH OCCURRENCE
S
AGGREGATE
3
3
I VC JTATU- H-
3
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT 3
$50,000. limit
$1,000. deductible
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Robert Mi hm/TRIC
Q 1988-2009 AC[
The ACORI) name and logo are registered marks of ACORD
CORPORATION. All rights reserved.
_
EXPIRES SEPTEMBER 30, 2012
N,
RECEIPT# 30140-72998
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Business Name: 3RD GENERATION PLUMBING INC
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Owner Name: ]AM ES N MAS5ARD Business Location: 3980 OVERSEAS H WY
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Mailing Address: 3980 OVERSEAS HWY MARATHON,FL 33050
MARATHON, FL 33G50 Business Phone: 305-743-4245 �•s-'•
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Business Type: CONTRACTORS (CONTRACTORS/PLUMBIN
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LANDSCAPING)
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STATE LICENSE: CFC055680 EX
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For Vending Business Only
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Number of Machines: Vending Type:
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Tax Amount
Transfer Fee
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Sub-
Penalty
Prior Years
Collection Cost
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Total Paid
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35.00
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35.00
0.00
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3s.00
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Paid 122-10-00005274 09 / 12 /2011 35.00
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THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE DF BUSINESS
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THIS BECOMES A TAX RECEIPT Danise D. Henrlquez, CFC, Tax Collector THIS IS ONLY A TAX.
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WHEN VALIDATED PO Box 1139, Key west. FL 33041 YOU MUST MEET ALL
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COUNTY AND/OR
MUNICIPALITY PLANNINGT..
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AND ZONING REQUIREMENTS.
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