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BOARD OF COUNTY COMMISSIONERS
C ounty of M onroe
Mayor David Rice, District 4
Mayor Pro Tem Craig Cates, District 1
The Florida Keys
Michelle Coldiron, District 2
Vacant, District 3
Holly Merrill Raschein, District 5
County Commission Meeting
May 18, 2022
Agenda Item Number: U.2
Agenda Item Summary #10608
BULK ITEM: Yes DEPARTMENT: County Attorney's Office
TIME APPROXIMATE: STAFF CONTACT: Brian Bradley (305) 295-3177
N/A
AGENDA ITEM WORDING: Approval to advertise a request for proposals (RFP) for General
Liability, Vehicle Liability, Public Official/Employee Practices Liability and Excess Workers'
Compensation Liability Insurance policies.
ITEM BACKGROUND: The General Liability, Vehicle Liability and Public
Officials/Employee Practices Liability insurance policies provide coverage for sums that the County
may become obligated to pay due to a bodily injury, property damage, or personal injury arising out
of County business operations.
statutory benefits in excess of the County-insured retention (currently $500,000). The Excess
coverage with limits of
$1,000,
the purviews of Florida Statute 440. These policies were renewed three times since the last
procurement. Pursuant to County purchasing policy chapter 10 this solicitation must be issued to
obtain new quotes.
The current policies were procured through an RFP in 2017 and expire on 9/30/2022. The RFP must
be issued now to allow sufficient time for advertising in order to have a new policy in place on that
date.
PREVIOUS RELEVANT BOCC ACTION: These insurance policy coverages were initially
procured through a bid solicitation in 2014 then the BOCC approved renewals of these coverages in
2015, 2016 and 2017.
CONTRACT/AGREEMENT CHANGES:
N/A -- RFP
STAFF RECOMMENDATION: Approval to advertise.
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DOCUMENTATION:
RFP Liability & WC
FINANCIAL IMPACT:
Effective Date: October 1, 2022
Expiration Date: September 30, 2023
Total Dollar Value of Contract: Advertising
Total Cost to County: Advertising
Current Year Portion: Advertising
Budgeted: Yes
Source of Funds: Internal Service Fund/Primarily Ad Valorem
CPI: N/A
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts: N/A
Revenue Producing: No If yes, amount:
Grant: N/A
County Match: N/A
Insurance Required: N/A
Additional Details:
REVIEWED BY:
Brian Bradley Completed 05/09/2022 2:46 PM
Mark Gongre Completed 05/09/2022 2:51 PM
Cynthia Hall Completed 05/10/2022 10:04 AM
Bob Shillinger Completed 05/10/2022 10:08 AM
Purchasing Completed 05/10/2022 10:13 AM
Budget and Finance Completed 05/10/2022 11:51 AM
Lindsey Ballard Completed 05/10/2022 1:33 PM
Board of County Commissioners Pending 05/18/2022 9:00 AM
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BOARD OF COUNTY COMMISSIONERS
Mayor, David Rice, District 4
Mayor Pro Tem, Craig Cates, District 1
James K. Scholl, District 3
Michelle Coldiron, District 2
Holly Merrill Raschein, District 5
COUNTY ADMINISTRATOR
Roman Gastesi
CLERK OF THE CIRCUIT COURT
Kevin Madok, CPA RISK MANAGEMENT
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SECTION ONE - INSTRUCTIONS TO PROPOSERS
SECTION TWO- COUNTY FORMS
SECTION THREE REQUESTED COVERAGES
A. GENERAL LIABILITY
B. VEHICLE LIABILITY AND PHYSICAL DAMAGE
C. PUBLIC OFFICIALS AND EMPLOYMENT PRACTICES LIABILITY
D. COMPENSATION
SECTION FOUR PROPOSAL FORMS
Part I General Information
Part II Carrier Information
A. GENERAL LIABILITY
B. VEHICLE LIABILITY AND PHYSICAL DAMAGE
C. PUBLIC OFFICIALS AND EMPLOYMENT PRACTICES LIABILITY
D.
SECTION FIVE UNDERWRITING INFORMATION
A. PROJECTED PAYROLLS
B. VEHICLE SCHEDULE
C. CURRENTLY VALUED LOSS RUNS (included as separate
attachments)
D. AIRCRAFT AND PILOT INFORMATION
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NOTICE OF REQUEST FOR COMPETITIVE SOLICITATIONS
NOTICE IS HEREBY GIVEN that on Wednesday, July 13, 2022, at 3:00 P.M., the Monroe County Purchasing
Office will receive and open sealed responses for the following:
MONROE COUNTY, FLORIDA
Pursuant to F.S. 50.0211(3)(a), all published competitive solicitation notices can be viewed at:
www.floridapublicnotices.com, a searchable Statewide repository for all published legal notices. Requirements for
submission and the selection criteria may be requested from DemandStar at www.demandstar.com OR
www.monroecountybids.com. The Public Record is available upon request.
aƚƓƩƚĻ /ƚǒƓƷǤ tǒƩĭŷğƭźƓŭ 5ĻƦğƩƷƒĻƓƷ ƩĻĭĻźǝĻƭ Ĭźķƭ ĻƌĻĭƷƩƚƓźĭğƌƌǤ͵ tƌĻğƭĻ ķƚ ƓƚƷ ƒğźƌ ƚƩ ğƷƷĻƒƦƷ Ʒƚ ķĻƌźǝĻƩ źƓ
ƦĻƩƭƚƓ ğƓǤ ƭĻğƌĻķ Ĭźķƭ͵ ağźƌĻķΉƦŷǤƭźĭğƌƌǤ ķĻƌźǝĻƩĻķ ĬźķƭΉƦƩƚƦƚƭğƌƭΉƩĻƭƦƚƓƭĻƭ L\[\[ bh ĬĻ ğĭĭĻƦƷĻķ͵
The Monroe County Purchasing Department hereby directs that bids be submitted via email to: OMB-
BIDS@monroecounty-fl.gov, no later than 3:00P.M., on July 13, 2022. Please submit your confidential financial
information in a SEPARATE EMAIL from your bid and required documents. Your subject line on both emails
must read as follows:
Insurance 07/13/2022
Files that do not contain this subject line WILL BE REJECTED. Please note that the maximum file size that
will be accepted by email is 25MB. Please plan accordingly to ensure that your bid is not rejected due to the file
size. Should your bid documents exceed 25MB or otherwise be rejected or undeliverable to OMB-
BIDS@monroecounty-fl.gov, in advance of the bid opening, please email: omb-purchasing@monroecounty-
fl.gov so accommodations for delivery of your bid can be made prior to the bid opening. Please be advised that
address
or confirm your bid submission delivery will result in your bid being rejected.
The bid opening for this solicitation will be held virtually, via the internet, at 3:00 P.M., on July 13, 2022. You
may call in by phone or internet using the following:
Join Zoom Meeting
https://mcbocc.zoom.us/j/4509326156
Meeting ID: 4509326156
One tap mobile:
+16465189805,,4509326156 (New York)
+16699006833,,4509326156 (San Jose)
Dial by your location:
+1 646 518 9805 (New York)
+1 669 900 6833 (San Jose)
Publication dates:
Citizen: Saturday, 05/28/2022
Keys Weekly: Thursday, 05/26/2022
News Barometer: Friday, 05/27/2022
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Monroe County is seeking insurance agent(s) duly licensed in the State of Florida to provide the County
with insurance coverages in accordance with the specifications outlined in this Request for Proposals.
The County anticipates that the contract will be awarded for an effective date of October 1, 2022. The
initial policy term will be for 1 year and the County may elect to renew for up to three(3) additional
consecutive 1-year terms, dependent upon acceptability of cost, coverage, service, provider
stability and market conditions, with Board of County Commission review.
The County is requesting proposals for the following coverages:
Commercial General Liability
Business Automobile Liability
Automobile Physical Damage (scheduled vehicles)
Public Officials Liability (including Employment Practices Liability)
The County prefers that all of the requested coverages be provided by one agent and one insurer but
retains the right to purchase the coverages from different agents and insurers. Proposers are required
to indicate if the coverages can be purchased separately and are required to provide the pricing for
es all of the requested coverages
under one master insurance policy.
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SGQ/ The proposal forms are structured to allow the Proposer to provide the cost of individual
coverages and the cost of the coverages combined.
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Monroe County is a non-charter county and a political subdivision of the State of Florida. The County
population is approximately 82,874 as of the last census. The Board of County Commissioners,
constituted as the governing body, has all the powers of a body corporate, including the powers to
contract; to sue and be sued; to acquire, purchase, hold, lease and convey real estate and personal
property; to borrow money and to generally exercise the powers of a public authority organized and
existing for the purpose of providing community services to citizens within its territorial boundaries. In
order to carry out this function, the County is empowered to levy taxes to pay the cost of operations.
Monroe County is the southernmost county in the United States. It is comprised of the Florida Keys
and a portion of the Florida Everglades. The Florida Keys are an archipelago of islands stretching
from Key West, only 90 miles from Cuba, up to the mainland. In addition to the unincorporated county,
there are five municipalities in the Florida Keys: Key West, Marathon, Key Colony Beach, Layton, and
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Islamorada. Further information about the demographics of the County can be found here:
http://www.monroecounty-fl.gov/index.aspx?NID=27.
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Approximately one-third of the population is situated in the City of Key West, which is the county seat;
however, the County offers services throughout the Keys, and has government buildings throughout
the Lower Keys (primarily Big Pine Key), Middle Keys (primarily Marathon), and Upper Keys (primarily
Plantation Key and Key Largo) in addition to Key West, with employees stationed in all locations.
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Posting of RFP on Demand Star 5/19/22
Deadline for Agents to Submit Requests for Additional
6/15/22
Information
6/22/22
for Additional Information
Proposal Return Date and Bid Opening 7/13/22 3:00 p.m.
Review Proposals 7/14/22 through 8/3/22
Submit Recommendation to Board and Receive
9/21/22
Approval
Implementation Date 10/1/22
The County reserves to amend this schedule as necessary. Any changes to the above scheduled will
be posted on DemandStar as an addendum to this RFP.
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Coverage Insurer Agent Policy Limits Deductible/ Annual
Type Term SIR Premium
Florida Florida
Excess 10/1/21 W/C Statutory
Municipal League
to Employee. Liability $500,000 $256,193
Insurance of
Compensation 10/1/22 $1 Million
Trust Cities
Florida Florida
Commercial 10/1/21
Municipal League
General to $5 Million $200,000 $175,050
Insurance of
Liability 10/1/22
Trust Cities
Florida Florida
Business 10/1/21
Municipal League
Automobile to $5 Million $200,000 $62,794
Insurance of
Liability 10/1/22
Trust Cities
Florida Florida
Automobile 10/1/21
Municipal League
Physical to ACV $1,000 $23,323
Insurance of
Damage 10/1/18
Trust Cities
Public
Florida Florida Incl. in
Officials 10/1/17
Municipal League Commercial
Liability to $5 Million $200,000
Insurance of General
(including 10/1/18
Trust Cities Liability
EPL)
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.
are the cyber coverages being provided. In addition, the limits and deductibles for each coverage are
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being reflected.
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Business Interruption $2,000,000 $35,000
Cyber Extortion $2,000,000 $35,000
Data Recovery $2,000,000 $35,000
Data & Network Liability $2,000,000 $35,000
Regulatory Defense &
$2,000,000 $35,000
Penalties
Payment Card Liabilities &
$2,000,000 $35,000
Costs
Media Liability $2,000,000 $35,000
Fraudulent Instructions 100,000 $35,000
Funds Transfer Fraud $100,000 $35,000
Telephone Fraud $100,000 $35,000
Criminal Reward $5,000 Nil
The County desire to maintain these coverages listed above. The County will accept a stand-alone
and separate policy for these coverages.
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The First Named Insured reads:
Monroe County Board of County Commissioners
The following entities have also been endorsed as Insureds:
Monroe County Clerk of the Court
Monroe County Tax Collector
Monroe County Property Appraiser
Monroe County Supervisor of Elections
Monroe County Sher and Employers Liabilityonly)
The above entities must be included as Insureds.
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A Selection Committee will be convened to review the Proposals and recommend which individual or
firm should be selected for the project. The successful Proposer will be selected based on the following
criteria.
Cost of services 35 points
Experience and qualifications of proposing agent 8 points
Terms and conditions of coverages being proposed 33 points
Financial stability of insurers being proposed 11 points
Compliance with the Bid Specifications 4 points
Recommendations from government clients 4 points
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A Selection Committee will be analyzing Proposals and providerecommendations to the County
Administrator who will ultimately make a recommendation to the Board of County Commissioners
regarding which Proposer and program should be selected.
Interisk, Inc. (the Consultant) is acting in a consulting capacity for the Monroe County Board of County
Commissioners under the terms of an Agreement between the County and Interisk. Interisk will
participate in the analysis process of the proposals and provide advice and assistance to the Selection
Committee with regard to this RFP, and will be assisting with ongoing servicing of the policy. In
exchange for these services Interisk is collecting a consulting fee from the County.
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Every attempt has been made to furnish complete and accurate information to the best of Monroe
County's knowledge. Proposers are encouraged to determine, at their own expense, their own
information for underwriting purposes including any inspections and loss control surveys.
The Proposer is solely responsible for all costs of preparing and submitting their response, regardless
of whether the County purchases insurance through this RFP process or not. The proposer is
responsible for knowledge of the content of all parts of this RFP package, including the statementof
the coverage expected to be provided by the successful proposer.
If additional information is required, please contact:
Mr. Brian Bradley
Risk Manager
Monroe County
th
1111 12 St., Suite 408
Key West, Florida 33040
Re: Monroe County Liability Insurance
Email: Bradley-Brian@Monroecounty-Fl.Gov
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All requests for additional underwriting or rating information must be in writing and received by 2:00
pm June 15, 2022. The County's responses will be issued in writing at one time and distributed via
an addendum on DemandStar. No further requests for additional information will be considered.
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While appropriate applications will be completed for the successful proposer, requests to complete
individual applications during this RFP process will not be honored.
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Proposals must be submitted electronically in accordance with the instructions in Notice of
Request for Competitive Solicitations. Proposals must be received by 3:00pm on July 13, 2022
at which time they will be publicly opened. Proposals received after this deadline will not be
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considered.
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Proposals, bu!b!njojnvn-!shall include the following:
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A cover page that states "Sfrvftut!gps!Qspqptbmt!gps!Mjbcjmjuz!boe!Fydftt!Xpslfst!Dpnqfotbujpo!
Jotvsbodf!Gps!uif!Qpmjdz!Zfbs!fggfdujwf!Pdupcfs!2-!3133/!!!The cover page should contain
Proposer's name, address, telephone number, and the name and email address of the Proposer's
contact person(s).!
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firm will work with the County to provide services associated with the coverages provided.
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All agents shall be licensed in the State of Florida in accordance with Florida Statute § 626.
The Proposer shall provide a minimum of five (5) client references. At least two (2) of these
references must be from other governmental entities within the State of Florida. References
may include former clients the agent is no longer serving.
Each reference at a minimum shall include:
o Name and full address of the client;
o Name, address, title, and telephone number of the client contact;
o Identification of coverage provided; and
o The length of time the policy(ies) were in place.
An overview of how the agent mcoverages. For example, is the agent
responsible for all marketing activities, does the agent work for an agency that has a dedicated
marketing department or does the agent primarily use the services of a wholesale broker?
Copie
be provided.
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The County prefers that all insurers have an A.M. Best rating of A- or higher and a financial size
of VI or higher.
Insurers must be licensed by the Florida Department of Insurance for all coverages provided.
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If the Insurer is not rated by A.M. Best or the A.M. Best rating is below A- the proposal may not
receive full consideration.!
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All pricing for the proposed coverages must include all fees and assessments that may be
imposed including those imposed by the State of Florida. Included at the end of this RFP are
the Proposal Forms. Such forms must be completed in detail and submitted as part of each
acceptable response.
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Proposer shall provide any additional project experience not already described in other tabs
to service the County for the
coverages awarded to the Proposer.
Questionnaire, may be included in this section. If needed, please include the complete question
and repeat your entire response under this tab.
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In accordance with Section 2-347(h) of the Monroe County Code, the Proposer must provide
the following information:
(1) A list of the
or, if a general partnership, a list of the general partners; or, if a limited liability
company, a list of its members; or, if a solely owned proprietorship, names(s) of
owner(s);
(2) A list of the officers and directors of the entity;
(3) The number of years the person or entity has been operating and, if different, the
number of years it has been providing the services, goods, or services called for in the
bid specifications (include a list of similar projects);
(4) The number of years the person or entity has operated under its present name and any
prior names;
(5) Answers to the following questions regarding claims and suits:
a. Has the person, principals, entity, or any entity previously owned, operated or
directed by any of its officers, major shareholders or directors, ever failed to
complete work or provide the goods for which it has contracted? If yes, provide
details;
b. Are there any judgments, claims, arbitration proceeding or suits pending or
outstanding against the person, principal of the entity, or entity, or any entity
previously owned, operated or directed by any of its officers, directors, or general
partners? If yes, provide details;
c. Has the person, principal of the entity, entity, or any entity previously owned,
operated or directed by any of its officers, major shareholders or directors, within
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
the last five (5) years, been a party to any lawsuit, arbitration, or mediation with
regard to a contract for services, or goods services similar to those requested in the
specifications with private or public entities? If yes, provide details;
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d.Has the person, principal of the entity, or any entity previously owned, operated or
directed by any of its officers, owners, partners, major shareholders or directors,
ever initiated litigation against the county or been sued by the county in connection
with a contract to provide services, goods or construction services? If yes, provide
details;
e. Whether, within the last five (5) years, the owner, an officer, general partner,
principal, controlling shareholder or major creditor of the person or entity was an
officer, director, general partner, principal, controlling shareholder or major creditor
of any other entity that failed to perform services or furnish goods similar to those
sought in the request for competitive solicitation.
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Proposer shall complete, execute, and attach the forms specified below which are located in Section
Two in this RFP, as well as a copy of
include it in this section, i.e. Tab 7:
Gpsnt;!!!
Submission Response Form
Lobbying and Conflict of Interest Ethics Clause
Non-Collusion Affidavit
Drug Free Workplace Form
Public Entity Crime Statement
Request for Waiver of Insurance Requirements
Vendor Certification Regarding Scrutinized Companies Lists
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Only complete sets of RFP Documents will be issued and shall be used in preparing responses. The
County or Interisk does not assume any responsibility for errors or misinterpretations resulting from the
use of incomplete sets.
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See Notice of Request for Competitive Solicitation.
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A. NON-COLLUSION AFFIDAVIT: Any person submitting a proposal in response to this invitation
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must execute the enclosed NON-COLLUSION AFFIDAVIT. If it is discovered that collusion
exists among the Proposers, the proposals of all participants in such collusion shall be rejected,
and no participants in such collusion will be considered in future proposals for the same work.
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B.PUBLIC ENTITY CRIME: A person or affiliate who has been placed on the convicted vendor
list following a conviction for a public entity crime may not submit a proposal on a contract to
provide any goods or services to a public entity, may not submit a proposal on a contract with
a public entity for the construction or repair of a public building or public work, may not submit
Proposals on leases or perform work as a contractor, supplier, subcontractor, or contractor
under a contract with any public entity, and may not transact business with any public entity in
excess of the threshold amount provided in Section 287.017, Florida Statutes, for CATEGORY
TWO for a period of 36 months from the date of being placed on the convicted vendor list.
Category Two: $25,000.00
C. DRUG-FREE WORKPLACE FORM: Any person submitting a bid or proposal in response to
this invitation must execute the enclosed DRUG-FREE WORKPLACE FORM and submit it
with his/her proposal. Failure to complete this form in every detail and submit it with the bid or
proposal may result in immediate disqualification of the bid or proposal.
D. LOBBYING AND CONFLICT OF INTEREST ETHICS CLAUSE: Any person submitting a bid
or proposal in response to this invitation must execute the enclosed LOBBYING AND
CONFLICT OF INTEREST CLAUSE and submit it with his/her bid or proposal. Failure to
complete this form in every detail and submit it with the bid or proposal may result in immediate
disqualification of the bid or proposal.
E. E-VERIFY, F.S. 448.095: Beginning January 1, 2021, every public employer, contractor and
subcontractor shall register with and use the E-Verify system to verify the work authorization
status of all newly hired employees. By submitting a proposal, the Proposer warrants that it
complies with this requirement as to any employee hired on or after January 1, 2021, and that
it will collect an affidavit from any subcontractor stating that the subcontractor does not employ,
contract with, or subcontract with an unauthorized alien.
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A. Each Proposer shall carefully examine the RFP and other contract documents, and inform
himself/herself thoroughly regarding any and all conditions and requirements that may in any
manner affect cost, progress, or performance of the work to be performed under the contract.
Ignorance on the part of the Proposer shall in no way relieve him/her of the obligations and
responsibilities assumed under the contract.
B. All questions or comments regarding any discrepancies or ambiguities in, or omissions from,
the information contained in this RFP, or if there is any doubt as to their meaning, should be
HPWFSOJOH!MBXT!BOE!SFHVMBUJPOT
The Proposer is required to be familiar with and shall be responsible for complying with all federal,
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
state, and local laws, ordinances, rules, professional license requirements and regulations that in any
manner affect the work. Knowledge of business tax requirements for Monroe County and municipalities
within Monroe County are the responsibility of the Proposer.
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QSFQBSBUJPO!PG!SFTQPOTFT
Signature of the Proposer: The Proposer must sign the Proposal Forms in the space provided for the
signature. If the Proposer is an individual, the words "doing business as _______", or "Sole Owner"
must appear beneath such signature. In the case of a partnership, the signature of at least one of the
partners must follow the firm name and the words "Member of the Firm" should be written beneath
such signature. If the Proposer is a corporation, the title of the officer signing the Response on behalf
of the corporation must be stated along with the Corporation Seal Stamp.
NPEJGJDBUJPO!PG!SFTQPOTFT!
Written modifications to previously submitted proposals will be accepted if received prior to the Proposal
due date and time. !
SFTQPOTJCJMJUZ!GPS!SFTQPOTF!
The Proposer is solely responsible for all costs of preparing and submitting the response, regardless
of whether a contract award is made by the County.
SFDFJQU!BOE!PQFOJOH!PG!SFTQPOTFT!
Responses will be received until 4;11!qn!po!Kvmz!24-!3133 and will be publicly opened. Proposers
names shall be read aloud at the appointed time and place stated in the Opujdf!pg!Sfrvftu!gps!
Dpnqfujujwf!Tpmjdjubujpo/!!Monroe County's representative authorized to open the responses will
decide when the specified time has arrived and no responses received thereafter will be considered.
No responsibility will be attached to anyone for the premature opening of a response not properly
addressed and identified.
The County reserves the right to reject any and all responses and to waive technical error and
irregularities as may be deemed best for the interests of the County. Responses that contain
modifications that are incomplete, unbalanced, conditional, obscure, or that contain additions not
requested or irregularities of any kind, or that do not comply in every respect with the Instruction to
Proposer, may be rejected at the option of the County.
BXBSE!PG!DPOUSBDU!
A. The County reserves the right to waive any informality in any response, reject all proposals, or
to re-advertise for all or part of the coverages included in this RFP.
B. The County also reserves the right to reject the response of a Proposer who has previously
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
failed to perform properly or to complete contracts of a similar nature on time.
C. The recommendation of staff shall be presented to the Board of County Commissioners of
Monroe County, Florida, for final selection and award of contract.
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DFSUJGJDBUF!PG!JOTVSBODF!BOE!JOTVSBODF!SFRVJSFNFOUT!!
The successful agent(s) shall be required to maintain the types and amounts of insurance coverage as
indicated below. Certificates of Insurance must be provided to Monroe County within fifteen (15) days
after award of contract, with Monroe County BOCC listed as additional insured as indicated. If the
proper Certificates of Insurance are not received within the fifteen (15) day period, the contract may be
awarded to the next selected Proposer. 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. All insurance
companies shall have an A.M. Best rating of A- or better. The required insurance shall be maintained
at all times while Proposer is providing service to County.
!
Njojnvn!bddfqubcmf!mjnjut!
!!!!Statutory Limits!
jbcjmjuz!Jotvsbodf!
Bodily Injury by Accident $100,000
Bodily Injury by Disease, policy limits $500,000
Bodily Injury by Disease, each employee $100,000
Hfofsbm!Mjbcjmjuz-!jodmvejoh!
Premises Operation
Products and Completed Operations
Blanket Contractual Liability
Personal Injury Liability
Minimum acceptable limits $1,000,000 CSL
Monroe County shall be named as an Additional Insured on the General Liability policy.
Wfijdmf!Mjbcjmjuz!qspwjejoh!dpwfsbhf!gps!bmm!pxofe-!opo.pxofe!boe!ijsfe!wfijdmft!
Minimum acceptable limits $1,000,000 CSL
Qspgfttjpobm!Mjbcjmjuz $1,000,000 per Occurrence
$2,000,000 Aggregate
JOEFNOJGJDBUJPO!
The Proposer to whom a contract is awarded shall defend, indemnify and hold harmless the County
as outlined below.!
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The Proposer covenants and agrees to indemnify, hold harmless and defend Monroe County, its
commissioners, officers, employees, agents and servants from any and all claims for bodily injury,
including death, personal injury, and property damage, including damage to property owned by
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Monroe County, and any other losses, damages, and expenses of any kind, including attorney's fees,
court costs and expenses, which arise out of, in connection with, or by reason of services provided
by the Proposer or any of its Subcontractor(s), occasioned by the negligence, errors, or other wrongful
act or omission of the Proposer, its Subcontractor(s), their officers, employees, servants or agents.
In the event that the service is delayed or suspended as a result of the Proposer/Vendor's failure to
purchase or maintain the required insurance, the Proposer/Vendor shall indemnify the County from
any and all increased expenses resulting from such delay.
The first ten dollars ($10.00) of remuneration paid to the Proposer is consideration for the
indemnification provided for above. The extent of liability is in no way limited to, reduced, or lessened
by the insurance requirements contained elsewhere within this agreement.
TNBMM!BOE!NJOPSJUUFSQSJTFT-!BOE!MBCPS!!!!
TVSQMVT!BSFB!GJSNT/
The County strongly encourages the use of women-, minority- and veteran-owned business
enterprises (SBEs) and wishes to see a minimum of 25% of the contract or subcontracts awarded
pursuant to this RFP go to SBEs. Contractors may search for Florida registered SBEs at:
http://www.dms.myflorida.com/agency_administration/office_of_supplier_diversity_osd
Any proposal submitted in which the vendor is certified as an SBE, or in which the vendor proposes
to use subcontractors that are certified as SBEs, in Florida or another jurisdiction, must submit proof
of the registration or certification from the local authority in order to receive credit for the use of the
SBE.
3!DGS!QBSU!311!
The County anticipates that a portion of the funds used to pay for these coverages and/or services
will come from federal awards, as defined in 2 CFR part 200. As such, the County will require the
successful proposer to enter into an agreement containing the provisions outlined in this RFP. The
vendor will be expected to enter into an agreement or rider containing the terms and conditions
required by 2 CFR part 200, including Appendix II to 2 CFR part 200 (Contract Provisions for Non-
Federal Entity Contracts under Federal Awards).
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aTFDUJPO!UXP;!!DPVOUZ!GPSNT!
Bmm!Dpvouz!Gpsnt!nvtu!cf!dpnqmfufe!boe!tvcnjuufe!xjui!fbdi!Qspqptbm
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SFTQPOTF!GPSN
RESPOND TO: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
I acknowledge receipt of Addenda No.(s) _____________
I have included:
Response Form
Lobbying and Conflict of Interest Clause
Non-Collusion Affidavit
Drug Free Workplace Form
Public Entity Crime Statement
Vendor Certification Regarding Scrutinized Companies List
Copy of business tax receipt from the
I have included a current copy of the following professional licenses and business tax receipts:
______________________________________________________________________
Jg!uif!bqqmjdbou!jt!opu!bo!joejwjevbm!)tpmf!qspqsjfups*-!qmfbtf!tvqqmz!uif!gpmmpxjoh!jogpsnbujpo;!
BQQMJDBOU!PSHBOJ\[BUJPO:
(Registered business name must appear exactly as it appears on www.sunbiz.org).
Boz!bqqmjdbou!puifs!uibo!
tdsffo!gspn!Tvocj{-!boe!b!dpqz!pg!uif!nptu!sfdfou!boovbm!sfqpsu!gjmfe!xjui!uif!Gmpsjeb!Efqbsunfou!pg!Tubuf-!
Ejwjtjpo!pg!Dpsqpsbujpot/!!
Fee for services included in contract: $__________________
The fee is an all-inclusive cost. No additional costs or fees will be paid, including but not limited to travel costs, per diems,
telephone charges, facsimile charges, and postage charges.
Mailing Address: __________________________ Telephone: ________________
____________________________ Fax: ____________________ Date__________________
Signed: ___________________________ Witness: ________________________
___________________________
(Print Name)
___________________________
(Title)
STATE OF:____________________________
COUNTY OF:__________________________
Subscribed and sworn to (or affirmed) before me, by means of physical presence or online notarization, on
_________________ (date) by ___________________ (name of affiant). He/She is personally known to me or has
produced (type of identification) as identification.
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
_________________________
NOTARY PUBLIC
My Commission Expires: ________________
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TXPSO!TUBUFNFOU!VOEFS!PSEJOBODF!OP/!121.2::1!
NPOSPF!DPVOUZ-!GMPSJEB!
!
ETHICS CLAUSE
(Company)
behalf any former
County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer
or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this
provision the County may, in its discretion, terminate this Agreement without liability and may also, in
its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of
any fee, commission, percentage, gift, or consideration paid to the former County office
___________________________________
(Signature)
Date: ______________________________
STATE OF:____________________________
COUNTY OF:__________________________
Subscribed and sworn to (or affirmed) before me, by means of physical presence or online notarization, on
_________________ (date) by ___________________ (name of affiant). He/She is personally known to me or has
produced (type of identification) as identification.
_________________________
NOTARY PUBLIC
My Commission Expires: ________________
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OPO.DPMMVTJPO!BGGJEBWJU
I, _______________________ of the city of _______________________ according to law on my oath,
and under penalty of perjury, depose and say that
1. I am ______________________________________________ of the firm of
_______________________________________________ the bidder making the
Proposal for the project described in the Request for Proposals for
_________________________________________ and that I executed the said proposal
with full authority to do so;
2. 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 bidder or with any competitor;
3. Unless otherwise required by law, the prices which have been quoted in this bid have not
been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder
prior to bid opening, directly or indirectly, to any other bidder or to any competitor; and
4. No attempt has been made or will be made by the bidder 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 this
affidavit in awarding contracts for said project.
_______________________________
(Signature)
Date: __________________________
STATE OF:____________________________
COUNTY OF:__________________________
Subscribed and sworn to (or affirmed) before me, by means of physical presence or online notarization, on
_________________ (date) by ___________________ (name of affiant). He/She is personally known to me or has
produced (type of identification) as identification.
_________________________
NOTARY PUBLIC
My Commission Expires: ________________
!
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The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
(Name of Business)
1. Publishes a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for violations of such prohibition.
2.
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. Gives 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), notifies 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. Imposes a sanction on, or require the satisfactory participation in a drug abuse assistance or
is so convicted.
6. Makes 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.
_______________________________
(Signature)
Date: __________________________
STATE OF:____________________________
COUNTY OF:__________________________
Subscribed and sworn to (or affirmed) before me, by means of physical presence or online notarization, on
_________________ (date) by ___________________ (name of affiant). He/She is personally known to me or has
produced (type of identification) as identification.
_________________________
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
NOTARY PUBLIC
My Commission Expires: ________________
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QVCMJD!FOUJUZ!DSJNF!TUBUFNFOU
ed vendor list following a conviction for public
entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may
not submit a bid on a contract with a public entity for the construction or repair of a public building or
public work, may not submit bids on leases of real property to public entity, may not be awarded or
perform work as a contractor, supplier, subcontractor, or CONTRACTOR under a contract with any
public entity, and may not transact business with any public entity in excess of the threshold amount
provided in Section 287.017, Florida Statutes, for CATEGORY TWO for a period of 36 months from the
I have read the above and state that neither _____________
Affiliate has been placed on the convicted vendor list within the last 36 months.
________________________________
(Signature)
Date: ___________________________
STATE OF:____________________________
COUNTY OF:__________________________
Subscribed and sworn to (or affirmed) before me, by means of physical presence or online notarization, on
_________________ (date) by ___________________ (name of affiant). He/She is personally known to me or has
produced (type of identification) as identification.
_________________________
NOTARY PUBLIC
My Commission Expires: ________________
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VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS
Project Description(s):
Respondent Vendor Name:
Vendor FEIN:
Authorized Representative Name and Title:
Address:
City: State: Zip:
Phone Number:
Email Address:
Section 287.135, Florida Statutes prohibits a company from bidding on, submitting a proposal for, or entering intoor
renewing a contract for goods or services of any amount if, at the time of contracting or renewal, the company ison the
Scrutinized Companies that Boycott Israel List, created pursuant to Section 215.4725, Florida Statutes, or is engaged
ina Boycott of Israel. Section 287.135, Florida Statutes, also prohibits a company from bidding on, submitting aproposal
for, or entering into or renewing a contract for goods or services of $1,000,000 or more, that are on eitherthe Scrutinized
Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran PetroleumEnergy Sector
Lists which were created pursuant to s. 215.473, Florida Statutes, or is engaged in business operations in Cuba or Syria.
As the person authorized to sign on behalf of Respondent, I hereby certify that the company identifiedabove in the
Section entitled Vendor is not listed on the Scrutinized Companies that Boycott Israel List orengaged
ina boycott of Israel and for Projects of $1,000,000 or more is not listed on either the Scrutinized Companies with
Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or engaged
inbusiness operations in Cuba or Syria.
Iunderstand that pursuant to Section 287.135, Florida Statutes, the submission of a false certification may subject
company to civil penalties, fees, and/or costs. I further understand that any contract with the Countymay
be terminated, at the option of the County, if the company is found to have submitted a false certification or hasbeen
placed on the Scrutinized Companies that Boycott Israel List or engaged in a boycott of Israel or placed on the
Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the IranPetroleum
Energy Sector List or been engaged in business operations in Cuba or Syria.
Certified By: , who is authorizedto sign on
behalf of the above referenced company.
Authorized Signature: Print Name:
Title:
Note: The List is available at the following Department of Management ServicesSite:
http://www.dms.myflorida.com/business_operations/state_purchasing/vendor_information/convicted_suspended_discr
iminatory_complaints_vendor_lists
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Revised BOCC 3/18/2020
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!
B/!G ENERAL L IABILITY
!
G PSNT!
Coverage is requested on an Occurrence Basis to pay for liability arising out of all operations of the
County and include:
Premises and Operations
Products
Completed Operations
Employee Benefits Program Administration Liability
Blanket Contractual Liability
Personal Injury Liability
Discrimination and Civil Rights Liability
Independent Contractors
Broad Form Property Damage
Medical Attendants'/Medical Director Malpractice
Cyber Liability
E FTJSFE!M JNJUT!BOE!E FEVDUJCMFT 0TJS!
Limits Deductible/SIR
$5,000,000 $200,000
If a separate Excess or Umbrella policy is utilized to achieve the desired limits, its terms and conditions
must be no more restrictive than the underlying primary policy.
Alternative Limits and Deductible options will be evaluated based on cost and the adequacy of
protection that is being offered to the County.
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S BUJOH!E BUB
County Population 82,874
Projected Payroll $79,367,190
2021/22 Budget $457,311,773
Number of Employees 563 plus 5 Commissioners and their aides
The Countys most current audited financial statements and budget are available on the Countys
website at www.monroecounty-fl.gov.
M PTT!I JTUPSZ!
Historical loss experience is provided as an attachment.
N POSPF!D PVOUZ!T IFSJGGT!P GGJDF!
purchases their
Commercial General Liability, Vehicle Liability, Police Professional Liability and Aircraft Liability
coverages. These coverages are not part of this RFP.
D MBJNT!B ENJOJTUSBUJPO!
The County currently administers all claims that fall within their retention. All claim activities are
self-administering the claims within any self-insured or retained amounts.
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G PSN!
Coverage should be equal to, or broader than, the current Business Automobile policy filed by the
Insurance Services Office (ISO). Coverage should include:
Liability Symbol 1 (Any Vehicle)
Uninsured Motorists Will be rejected
No-Fault Benefits Symbol 5 (will be included within
retention)
Physical Damage Scheduled vehicles (basically those
with an original cost in excess of
$25,000)
E FTJSFE!M JNJUT!BOE!E FEVDUJCMFT 0TJS!
Limits Deductible/SIR
$5,000,000
Liability Combined Single $200,000
Limit
No-Fault
Included within Retention
Benefits
Physical $1,000 for both
Actual Cash Value
Damage Comprehensive and Collision
Alternative Limits and Retention options will be evaluated based on cost and the adequacy of protection
that is being offered to the County.
S BUJOH!E BUB!
A current vehicle schedule is included as an attachment to this RFP. Physical Damage coverage is
requested only for those vehicles that have a value in the Original Cost New column. Fire Rescue and
Emergency Medical vehicles are separately insured for Physical Damage. Physical Damage coverage
for these vehicles is not included as part of this RFP.
OPUF; Named Insured must be extended to include the various Leasing companies with whom Monroe
County contracts. If the lease requires "Split Limits", the policy must be endorsed to satisfy the lease
requirements.
M PTT!F YQFSJFODF!
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Historical loss experience is provided as an attachment.
N POSPF!D PVOUZ!T IFSJGGT!P GGJDF!
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The only insurance
Commercial General Liability, Vehicle Liability, Police Professional Liability and Aircraft Liability
coverages. These coverages are not part of this RFP.
D MBJNT!B ENJOJTUSBUJPO!
The County currently administers all claims that fall within their retention. All claim activities are
proposing insurers must be agreeable with the County
self-administering the claims within any self-insured or retained amounts.
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C.Q VCMJD!P GGJDJBMT!M JBCJMJUZBOE!F NQMPZNFOU!Q SBDUJDFT!M JBCJMJUZ
G PSN!
The form should provide coverage for actual or alleged wrongful acts of public officials, including
negligence, errors and omissions, breaches of duty, misfeasance, malfeasance and nonfeasance, and
include members of the Monroe County Board of County Commissioners, and all elected or appointed
officers including employees, volunteers and any individual or organization required by statute,
agreement, contract or lease or other circumstances including all existing boards, committees and their
members and all newly created boards, committees and their members during the term of the policy.
Coverage must also include as insureds, the constitutional officers of:
Clerk of Courts, Monroe County, Florida
Property Appraiser, Monroe County, Florida
Tax Collector, Monroe County, Florida
Supervisor of Elections, Monroe County, Florida
Coverage should include violation of civil rights, sexual harassment, claims seeking non-monetary
relief, claims involving dismissal or demotion, failure to hire or promote; other employment related
claims and intentional acts.
The County's current Public Officials Liability program includes Employment Practices Liability
insurance. A separate policy will be considered and acceptable to the extent the desired coverages
are provided.
Coverage should include indemnification of individuals included above and expenses to the extent
permitted by law.
If a Claims Made form is to be utilized, a pre-agreed Extended Reporting Endorsement is requested at
a pre-determined premium.
E FTJSFE!M JNJUT!BOE!E FEVDUJCMFT 0TJS!
Limits Deductible/SIR
$5,000,000 $200,000
Alternative Limits and Deductible options will be evaluated based on cost and the adequacy of
protection that is being offered to the County.
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S BUJOH!E BUB
County Population 82,874
Projected Payroll $79,367,190
2021/22 Budget $457,311,773
Number of Employees 563 plus 5 Commissioners and their aides
Number of Volunteers 210
M PTT!F YQFSJFODF!
There have no known claims within the past 5 years.
N POSPF!D PVOUZ!T IFSJGGT!P GGJDF!
The only
Commercial General Liability, Vehicle Liability, Police Professional Liability and Aircraft Liability
coverages. These coverages are not part of this RFP.
D MBJNT!B ENJOJTUSBUJPO!
The County currently administers all claims that fall within their retention. All claim activities are
overseen by the County
self-administering the claims within any self-insured or retained amounts.
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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D.E XCESS W ORKERS C OMPENSATION
G PSN!
The form should provide standard workers compensation coverages that complies with Florida Statute
§ 440. While the County currently purchases Excess coverage, the cost effectiveness of converting
nal insurance will be considered. Proposers
are encouraged to submit alternative structures to the Countys current program.
While the County
be viewed as a favorable enhancement.
E FTJSFE!M JNJUT!
Workers Compensation Statutory
Employers Liability $1,000,000
If specific limits are proposed for Workers Compensation, they should be clearly stated within the
proposal.
E FTJSFE!S FUFOUJPO!
$500,000 per occurrence
The County desires to evaluate optional retention amounts. Proposers are requested to provide
proposals for optional retentions of $250,000, $750,000 and $1,000,000 in addition to a proposal with
a $500,000 retention.
U IJSE!Q BSUZ!D MBJNT!B ENJOJTUSBUJPO!
The County currently utilizes Relation Insurance Services, located in Stuart, Florida as its Third Party
Claims Administrator (TPA). The County desires to retain Relation as their TPA. All proposals must
clearly indicate that Relation is acceptable to the insurer submitting the proposal. Proposals that do
not indicate Relation is an acceptable TPA or state that Relation is unacceptable to the insurer, will be
eliminated from further consideration.
S BUJOH!E BUB!
The following information has been included as attachments to assist in the underwriting of the account:
A. Projected payrolls by Workers Compensation classification codes
B. Copy of the Countys Drug Free Work Place policy statement
C. Narrative descriptions of losses for past 5 years with Incurreds in excess of $50,000
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
D. Current Valued Loss Runs
E. Additional Underwriting Information
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To assist interested proposers in their initial evaluation efforts the following table displays the historical
December 31, 2021.
Qpmjdz!Zfbs!Op/!pg!Qbje!up!Ebuf!Pqfo!Sftfswft!Upubm!
Dmbjnt!Jodvssfe!
!
3127028!
Lost Time 21 $1,241,380 $183,823 $1,425203
Medical Only 74 $161,645 $1,337 $162,982
!
3128029!
Lost Time 14 $858,784 $141,144 $999,928
Medical Only 70 $169,551 $0 $169,551
!
312902:!
Lost Time 19 $1,059,758 $49,921 $1,109,680
$5,900
Medical Only 61 $164,681 $170,581
!
312:031!
Lost Time 35 $1,261,884 $477,557 $1,739,441
Medical Only 106 $62,312 $2,484 $64,496
!
3131032!
Lost Time 51 $542,486 $422,161 $970,968
Medical Only 66 $77,608 $29,303 $106,911
1.21.
The County desires that the successful Proposer fully understands its operations and that the current
classification codes be accepted for the full policy term, including any subsequent payroll audits.The
County has thoroughly reviewed each employee function, which has resulted in the current
classification schedule.
Proposers are invited to pre-inspect the Countys operations prior to providing a proposal and to agree
on the classification to avoid potential conflict in payroll allocation upon audit.
E SVH!G SFF!BOE!T BGFUZ!D SFEJUT!
Monroe County has been approved for the States Safety and Drug Free credits.
N POSPF!D PVOUZ!T IFSJGGT!P GGJDF!
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
Commercial General Liability, Vehicle Liability, Police Professional Liability and Aircraft Liability
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for the
G JOBODJBM!T UBUFNFOUT!
!
The Countys current financial statements can be obtained from its website at:
xxx/dmfsl.pg.uif.dpvsu/dpn!
!
N JTDFMMBOFPVT!V OEFSXSJUJOH!E BUB!
Included at the end of this RFP is a separate schedule of additional underwriting information that was
developed based on questions that were raised during previous RFPs.
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
TFDUJPO!GPVS;!!QSPQPTBM!GPSNT !
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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S FRVFTU!G PS!Q SPQPTBMT
G PS!
M JBCJMJUZ!BOE!!X PSLFST!DPNQFOTBUJPO!
J OTVSBODF!
!
QSPQPTBM!GPSN!
Q BSU!J!..!H FOFSBM!J OGPSNBUJPO!
Use of the proposal forms will enable a faster more complete analysis of the Proposal(s) submitted.
Please complete this general proposal form in addition to a separate proposal for each coverage
proposed. Additional information can be attached to the forms.
Agent/Agency submitting proposal:
Address:
Telephone & Fax Number:
Are the following coverages proposed?
General Liability Yes No
Vehicle Liability & Physical Damage Yes No
Public Official Liability and Employment Yes No
Practices Liability
Yes No
Cyber Liability Yes No
Can all coverages be purchased independently? Yes No
If not, provide details
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
Are the following entities included as Insureds?
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Monroe County Board of County
Commissioners Yes No
Monroe County Clerk of the Court Yes No
Monroe County Tax Collector Yes No
Monroe County Property Appraiser Yes No
Monroe County Supervisor of Election Yes No
Yes No
and Employers Liability only)
Are any coverages being proposed on
a Fee basis? Yes No
Does agent have binding authority? Yes No
If not, state procedure to bind.
Is Agent/Broker licensed in the State of Florida
for the type of coverage proposed? Yes No
Are coverages different from requested program? Yes No
If so, state differences
Effective date(s) of coverage(s)?
Describe payment plan, including down payment terms,
interest or service charges.
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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Proposal valid until (date)?
Rate Change/Policy Modification wording included
as requested? Yes No
Termination Notice wording included as requested? Yes No
If not, state wording
Named Insured wording included as requested? Yes No
If not, include actual wording to be used.
Claim reporting location included? Yes No
Claim reporting location: ______________________________________________
Claim reporting wording to be used?
Claim reports to be provided as requested? Yes No
If not, state details.
Will the County retain the right to investigate and
adjust claims within its self-insured retention? Yes No
Will Insurers adjust claims exceeding the County's
retention? Yes No
Will the County retain the right to select
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
defense counsel? Yes No
Provide details on specialized loss control services
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to be provided.
Sample forms and policies included? Yes No
Explain any deviations to the above:
The Proposer stated below is the authorized agent of the company or companies proposed, and is
authorized to bind coverages upon acceptance by Monroe County, Florida. Deviations from the
requested program have been stated. Coverage will be issued as proposed. The insurer agrees to
deliver a policy(ies) to the insured within forty-five (45) days after inception of coverages. It is agreed
that policy premiums will be payable upon receipt by insured of complete policy conforming with the
accepted proposal.
Name of Authorized Representative
Title
Signature of Authorized Representative Date
!
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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N POSPF!D PVOUZ-G MPSJEB
!
S FRVFTU!G PS!Q SPQPTBMT!
G PS!
L IABILITY AND W ORKERS C OMPENSATION
QSPQPTBM!GPSN!
Q BSU!JJ!!D BSSJFS!J OGPSNBUJPO!
!
!
B/!H FOFSBM!M JBCJMJUZ!
Company
Underwriting office used
Address
Telephone number
Current A.M. Best Co. rating?
Is policy form and all endorsements included
for review? Yes No
Are the following coverages included?
Premises and Operations Yes No
Independent Contractors Yes No
Products/Completed Operations Yes No
Blanket Contractual Yes No
(all related contracts included?) Yes No
(any reporting requirements?) Yes No
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
Personal Injury Liability Yes No
Employee Benefits Liability Yes No
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Medical Attendants'/Medical Director
Malpractice Yes No
Discrimination and Civil Rights Liability Yes No
Broad Form Property Damage Yes No
Cyber Liability Yes No
Are all Coverages provided on an Occurrence Basis?Yes No
If not, which Coverages are provided on a Claims
Made Basis?
Please provide the proposed Retroactive Date
for all coverages provided on a Claims Made
Basis.
Are defense costs included in the aggregate limit of
liability? Yes No
Is requested Named Insured wording used? Yes No
If not, stated wording to be used
Does the insurer agree with the County
self-administering claims that fall within its
self-insured/deductible retention? Yes No
Will the policy impose any COVID or other
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
Communicable Disease exclusion or limitations? Yes No
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M JNJUT 0Q SFNJVNT
Limits Deductible Annual
Premium/Fee
Requested Coverage $5,000,000 $200,000
Insurers Option
All Taxes, Fees and
Assessments
Proposed Agent Annual
Fee if Coverages are
Total
Are the above premium subject to audit? Yes No
If so, on what terms?
Explain any deviations to the above:
The Proposer stated below is the authorized agent of the company or companies proposed, and is
authorized to bind coverages upon acceptance by Monroe County. Deviations from the requested
program have been stated. Coverage will be issued as proposed. The insurer agrees to deliver a
policy(ies) to the insured within forty-five (45) days after inception of coverages. It is agreed that policy
premiums will be payable upon receipt by insured of complete policy conforming with the accepted
proposal.
Name of Authorized Representative
Title
Signature of Authorized Representative Date
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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N POSPF!D PVOUZ-G MPSJEB
!
S FRVFTU!G PS!Q SPQPTBMT!
G PS!
L IABILITY AND W ORKERS C OMPENSATION
QSPQPTBM!GPSN!
Q BSU!JJ!!D BSSJFS!J OGPSNBUJPO!
!
C/!W FIJDMF!M JBCJMJUZ!BOE!Q IZTJDBM!E BNBHF!J OTVSBODF!
Company
Underwriting office used
Address
Telephone number
Current A.M. Best Co. rating?
Is policy form and all endorsements included
for review? Yes No
Which coverage symbols are proposed for:
Liability?
No-Fault Benefits?
Physical Damage?
Are defense costs included in the aggregate limit of
liability? Yes No
Is requested Named Insured wording used? Yes No
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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If not, stated wording to be used
Does the insurer agree with the County
self-administering claims that fall within its
self-insured/deductible retention? Yes No
Number of Vehicles being proposed with
Physical Damage Coverage? (currently 83)
Will the policy impose any COVID or other
Communicable Disease exclusion or limitations? Yes No
If so, details: _______________________________________________________
M JNJUT 0Q SFNJVNT!
L IABILITY
Limits Deductible Annual
Premium
Requested Coverage
$5,000,000 $200,000
Insurers Option
All Taxes, Fees and
Assessments
Proposed Agent Annual
Fee if Coverages are
Total
P HYSICAL D AMAGE
Deductible Premium
Actual Cash Value
Proposed Agent Annual
Fee if Coverages are
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
Explain any deviations to the above:
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The Proposer stated below is the authorized agent of the company or companies proposed, and is
authorized to bind coverages upon acceptance by Monroe County. Deviations from the requested
program have been stated. Coverage will be issued as proposed. The insurer agrees to deliver a
policy(ies) to the insured within forty-five (45) days after inception of coverages. It is agreed that policy
premiums will be payable upon receipt by insured of complete policy conforming with the accepted
proposal.
Name of Authorized Representative
Title
Signature of Authorized Representative Date
!
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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N POSPF!D PVOUZ-G MPSJEB
!
S FRVFTU!G PS!Q SPQPTBMT!
G PS!
L IABILITY AND W ORKERS C OMPENSATION
QSPQPTBM!GPSN!
Q BSU!JJ!!D BSSJFS!J OGPSNBUJPO!
!
D/!Q VCMJD!P GGJDJBMT!M JBCJMJUZ!BOE!F NQMPZNFOU!Q SBDUJDFT!M JBCJMJUZ!
If separate Public Officials Liability and Employment Practices Liability proposals are offered, please
complete separate forms for each coverage.
Company
Underwriting office used
Address
Telephone number
Current A.M. Best Co. rating?
Is policy form and all endorsements included
for review? Yes No
Does coverage extend to:
Board of County Commissioners? Yes No
Elected Officials? Yes No
Appointed Officers? Yes No
Employees? Yes No
Volunteers? Yes No
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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Is Coverage provided on an Occurrence Basis?YesNo
If not:
What retrospective date is
being offered?
Is an extended reporting date being offered?
If so, provide details and cost
Are defense costs included in the aggregate limit of
liability? Yes No
Is requested Named Insured wording used? Yes No
If not, stated wording to be used
Does the insurer agree with the County
self-administering claims that fall within its
self-insured/deductible retention? Yes No
Will the policy impose any COVID or other
Communicable Disease exclusion or limitations? Yes No
M JNJUT 0Q SFNJVNT!
Limits Deductible Annual
Premium
Requested Coverage $5,000,000 $200,000
All Taxes, Fees and
Assessments
Proposed Agent Annual
Fee if Coverages are
Total
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
Explain any deviations to the above:
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The Proposer stated below is the authorized agent of the company or companies proposed, and is
authorized to bind coverages upon acceptance by Monroe County. Deviations from the requested
program have been stated. Coverage will be issued as proposed. The insurer agrees to deliver a
policy(ies) to the insured within forty-five (45) days after inception of coverages. It is agreed that policy
premiums will be payable upon receipt by insured of complete policy conforming with the accepted
proposal.
Name of Authorized Representative
Title
Signature of Authorized Representative Date
!!
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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N POSPF!D PVOUZ-G MPSJEB
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S FRVFTU!G PS!Q SPQPTBMT!
G PS!
L IABILITY AND W ORKERS C OMPENSATION
QSPQPTBM!GPSN!
Q BSU!JJ!!D BSSJFS!J OGPSNBUJPO!
!
E/!EXCESS COMPENSATION!
!
!
Company
Underwriting office used
Address
Telephone Number
Current A. M. Best Co. rating
Does the County retain the
right to select its claims administrator? Yes No
Is requested policy form proposed? Yes No
If not, list form(s) used
Is a Voluntary Compensation
Endorsement included? Yes No
Is an All States Endorsement included? Yes No
What experience modification was
used in developing this proposal?
Does insurer agree to the current
classification schedule? Yes No
Is Excess Insurance Proposed? Yes No
If so, specify the retention.
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
Is a Large Deductible Program Proposed? Yes No
If so, specify the deductible.
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Is an Alternative Program Proposed? Yes No
If so, provide complete details of
the program.
Is aggregate excess coverage Included? Yes No
If so, specify attachment point.
Does proposing insurer view
Relations Insurance Solutions
as an acceptable TPA? Yes No
Will the policy impose any COVID
or other Communicable Disease exclusion
or limitations? Yes No
M JNJUT 0Q SFNJVNT!
Annual
Limits Retention
Premium
Workers
Statutory
Compensation
Requested
Program $500,000
Employers
Liability $1,000,000
Statutory
Compensation
Optional
Retention $250,000
Employers
$1,000,000
Liability
Statutory
Compensation
Optional
$750,000
Retention
Employers
$1,000,000
Liability
Statutory
Compensation
Optional
$1,000,000
Retention
Employers
$1,000,000
Liability
Explain any deviations to the above:
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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The Proposer stated below is the authorized agent of the company or companies proposed, and is
authorized to bind coverages upon acceptance by Monroe County. Deviations from the requested
program have been stated. Coverage will be issued as proposed. The insurer agrees to deliver a
policy(ies) to the insured within forty-five (45) days after inception of coverages. It is agreed that policy
premiums will be payable upon receipt by insured of complete policy conforming to the accepted
proposal.
Name of Authorized Representative
Title
Signature of Authorized Representative Date
!
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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!
TFDUJPO!GJWF;!!VOEFSXSJUJOH!JOGPSNBUJPO!
!
Uif!jogpsnbujpo!qspwjefe!po!uif!gpmmpxjoh!gpsnt0tdifevmft!jt!cfjoh!qspwjefe!up!bttjtu!jo!uif!
efwfmpqnfou!pg!qspqptbmt/!
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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B/
Npospf!Dpvouz!!
3132033!Qspkfdufe!Qbzspmmt!
!
!
Class Code Occupation Projected Payroll
5191 Office Machine and Installation $1,479,475
5509 Street Road/Maintenance 932,292
6217 Excavation 210,754
7370 Taxicab Drivers
221,594
7403 Aircraft/Helicopter Operations 3,054,778
7425 Aircraft/Helicopter Operations NOC 1,534,832
7704 Firefighters 7,515,038
7720 Police Officers 24,543,083
8350 DğƭƚƌźƓĻ ğƓķ hźƌ {ğƌĻƭ ğƓķ 5źƭƷƩźĬǒƷźƚƓ 1,159,626
8742 Outside S:ales 201,842
8810 Clerical 31,433,721
8820 Attorney 2,205,191
8835 Public Health Nursing 243,690
9015 Building Operations 3,565,636
9063 Health or Exercise Institute & Clerical 60,870
9102 Park NOC 375,152
9403 Garbage Collection 207,793
$78,945,368
Total
!!
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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!
Uijt!Qbhf!Mfgu!Cmbol
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
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Qbdlfu!Qh/!4123
NoNoNoNoNoNoNoNo
YesYesYesYesYesYesYesYes
Collision
Required
Coverage
NoNoNoNoNoNoNoNo
YesYesYesYesYesYesYesYes
EHICLES
Required
Coverage
V
LORIDA
Comprehensive
F
88
of
B.
VIN
7689882205572219261044207077155502512954021537204092414776856863
OUNTY
52
C
CHEDULE OF
S
ONROE
M
Dr
-
URRENT
Van
4
Model
PickupPickupPickupPickup
C
Oil Truck
Crew Cab
Stake Body
F150 PickupF150 PickupF150 Pickup
Dump TruckDump TruckDump TruckDump Truck
FordFordFordFordFordFordFordFordFordFordFordFord
GMC
Make
ChevroletChevroletChevrolet
Year
1995198619951990198619891987199219941994199519901994199119951983
123456789
10111213141516
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4124
NoNoNoNoNoNoNo
YesYesYesYesYesYesYesYes
Collision
Required
Coverage
NoNoNoNoNoNoNo
YesYesYesYesYesYesYesYes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
667384743006847520248385737383847664300511940873746234728400
of
OUNTY
53
C
CHEDULE OF
S
ONROE
M
Model
Pickup
URRENT
AmbulanceAmbulanceAmbulance
Passenger Van
C
Eldorado BusEldorado BusEldorado BusEldorado BusEldorado Bus
10 Passenger Van12 Passenger Van12 Passenger Van12 Passenger Van10
Navistar Ambulance
FordFordFordFordFordFordFordFordFordFordFordFordFordFordFord
Make
Year
198119941989199419921994199219941994198919961992199219931991
171819202122232425262728293031
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4125
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
181911638040341321277111657880706579658057633415656156763212
of
OUNTY
54
C
CHEDULE OF
S
ONROE
M
Model
URRENT
Rescue
PumperPumperPumperPumper
Fire Truck
Hose Reel
C
Super Duty
Tk/PumperTk/PumperTk/Pumper
AmbulanceAmbulanceAmbulance
Res. Pumper
Rescue Truck
Duplex
-
OneOne
--
FordFordFordFord
Make
SlsbrySlsbrySlsbrySlsbry
EE
Spartan
Southern
ChevroletChevrolet
Simon
Year
199419891997199019941986198119891981198119921990199219881975
323334353637383940414243444546
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4126
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
EHICLES
Comprehensive
V
LORIDA Coverage Required
F
88
VIN
of
784998746442615461551133343520511653768074993127691641030337
OUNTY
55
C
CHEDULE OF
S
ONROE
M
Pickup
VanVanVan
URRENT
Aries
Model
10 TruckPickupPickupPickup
Taurus
Tempo
Dynasty
-
C
S
F150 PickupF150
Aerostar VanAerostar Van
FordFordFordFordFordFordFord
GMC
Make
DodgeDodgeDodge
Nissan
ChevroletChevroletChevrolet
Year
199719851988199319931988198819901990198719921991198819901992
474849505152535455565758596061
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4127
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
825507721596159429582959769041637687295362228273600705090495
of
OUNTY
56
C
CHEDULE OF
S
ONROE
M
Model
PickupPickupPickupPickupPickup
URRENT 4 Door4 Door
Dynasty
E350 Van
B150 VanB150 Van
C
F150 Truck
F150 PickupF150 Pickup
8 Passenger Van
TBD
FordFordFordFordFordFordFordFordFord
Make
DodgeDodgeDodge
Toyota
Chevrolet
Year
199319871994199419941994199519951995199419881989199119891989
626364656667686970717273747576
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4128
NoNoNoNoNoNoNoNoNoNoNoNoNoNo
Yes
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNo
Yes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
049811131328159104910595647136158527056605650675402051097559
of
OUNTY
57
C
CHEDULE OF
S
ONROE
Van
M
Model
PickupPickup
4 Door4 Door4 Door4 Door4 Door
Caprice
URRENT
Ambulance
Dump Truck1500 Pickup
C
Crown VictoriaCrown Victoria
3500 Crew Cab 3500 Crew Cab
FordFordFordFordFordFord
Make
Dodge
ChevroletChevroletChevroletChevroletChevroletChevroletChevroletChevrolet
Year
198919901990199019891997198619971988199719971997199719981990
777879808182838485868788899091
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4129
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
050604932001136121181019437256595814848443705377776789079432
of
OUNTY
58
C
CHEDULE OF
S
ONROE
M
Cab Truck
Escort
Model
URRENT TaurusTaurusTaurus
-
CapriceCaprice
Cherokee
C
Ram PickupRam Pickup
Chs
Crown VictoriaCrown VictoriaPlatform TruckPlatform Truck
Astro Cargo Van
FordFordJeepFordFordFordFord
Make
DodgeDodge
ChevroletChevroletChevroletChevroletChevroletChevrolet
Year
198919891990199019981998199819981998199119981998199819981998
9293949596979899
100101102103104105106
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!412:
NoNoNoNoNoNoNoNoNoNoNoNoNoNo
Yes
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNo
Yes
Required
Coverage
EHICLES
V
Comprehensive
LORIDA
F
88
VIN
of
032443698337140610844602842064725641603150504763423697387375
OUNTY
59
C
CHEDULE OF
S
ONROE
M
VanVanVan
Type
URRENT
Model
Pickup
Taurus
Ranger
CorsicaCorsica
Celebrity
C
Fire Truck
Ram Pickup
Type Ambulance
Stake Body Truck
12 Passenger Van
FordFordFordFordFord
GMCGMC
Make
Dodge
Toyota
G Oshkosh
ChevroletChevroletChevroletChevroletChevrolet
-
T
Year
199819981989198919881984199219951994198819901987198919811992
107108109110111112113114115116117118119120121
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4131
NoNoNoNoNoNoNoNoNoNoNo
YesYesYesYes
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNo
YesYesYesYes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
98450358443156295642626244432777163308250048480232276445
963D
of
OUNTY
60
C
CHEDULE OF
S
ONROE
M
Model
TRUCKTRUCKTRUCKTRUCK
URRENT
PICKUP
Caravan
C FIRETRUCK
FIRE TRUCK
AMBULANCEAMBULANCE
DUMP TRUCKDUMP TRUCKDUMP TRUCKDUMP TRUCK
STREET SWEEPER
MakeFORDFORDFORDFORDFORD
ELGIN
Dodge
SLSBRY
OSHKOSH
CHEVROLETCHEVROLETCHEVROLETCHEVROLETCHEVROLETCHEVROLET
Year
199219811998199219941982198119841995198919891988198719851984
122123124125126127128129130131132133134135136
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4132
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
165219672108371896491656296009659781428547261632198904518478
of
OUNTY
61
C
CHEDULE OF
S
ONROE
M
VAN
Model
TRUCKTRUCK
URRENT
PICKUPPICKUPPICKUPPICKUPPICKUPPICKUPPICKUP
AERO VANOIL TRUCK
C
S10 PICKUPS10 PICKUP
1500 TRUCK
MakeFORDFORDFORDFORD
CARGO
CHEVROLETCHEVROLETCHEVROLETCHEVROLETCHEVROLETCHEVROLETCHEVROLETCHEVROLETCHEVROLETCHEVROLET
Year
199119901990199019921983199419971993198619891989199219921992
137138139140141142143144145146147148149150151
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4133
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
711021824827325629506156355986449839570835504162700474603009
of
OUNTY
62
C
CHEDULE OF
S
ONROE
M
VAN
Model
TRUCKTRUCK
URRENT
PICKUPPICKUPPICKUPPICKUPPICKUPPICKUP
STEP VAN
E350 VAN
C
ASTRO VAN
CARGO VAN
VOYAGER VAN
3500 CREW CAB
SONOMA TRUCK
GMCGMC
MakeFORDFORDFORDFORDFORD
DODGE
NISSAN
PLYMOUTH
CHEVROLETCHEVROLETCHEVROLETCHEVROLETCHEVROLET
Year
199019891990198919941993198419821985199019971992199719971989
152153154155156157158159160161162163164165166
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4134
NoNoNoNoNoNoNoNoNoNoNoNoNo
YesYes
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNo
YesYes
Required
Coverage
EHICLES
V
Comprehensive
LORIDA
F
88
VIN
of
691639641439501458120338867382544861943906629411672177424467
OUNTY
63
C
CHEDULE OF
S
ONROE
M VICTORIA
URRENT
Model
TEMPOTEMPO
TAURUSTAURUSTAURUSTAURUSTAURUS
CORSICA
C
DYNASTYDYNASTY
CAVALIER
CELEBRITY
NATIONAL BUS
CROWN
12 PASSENGER VAN
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORD
DODGEDODGE
ELDORADO
CHEVROLETCHEVROLETCHEVROLET
Year
199319981993199219981992199219931998199119851985199319901988
167168169170171172173174175176177178179180181
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4135
NoNoNoNoNoNoNoNoNoNoNoNoNoNo
Yes
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNo
Yes
Required
Coverage
EHICLES
V
Comprehensive
LORIDA
F
88
VIN
of
055917769643098820532380851686509606865711262687102705810576
OUNTY
64
C
CHEDULE OF
S
ONROE
M VICTORIA
F150F150
URRENT
SABLE
EAGLE
Model
4 DOOR
LUMINA
CAPRICECAPRICECAPRICECAPRICECAPRICE
CORSICA
C
GOLFCART
8 PASSENGER
E150 CARGO VAN
CROWN
DSE
JEEP
MakeFORDFORDFORDFORD
PONTIAC
MERCURY
CHEVROLETCHEVROLETCHEVROLETCHEVROLETCHEVROLETCHEVROLETCHEVROLET
Year
199019901989198919901990199119911992199719981998200120052005
182183184185186187188189190191192193194195196
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4136
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
VIN
88
057505800579879911338436843705780652057743546983553255316019
of
OUNTY
65
C
CHEDULE OF
S
ONROE
F150F150F150F150F150
M Model
VENTURA
E250 VANE250 VANE250 VANE250 VAN
EXPLOREREXPLORER
URRENT
F150 PICKUPF150 PICKUP
C
FREESTAR WAGON
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORD
CHEVROLET
Year
200520052005200520052005200520052005200520042005200520052005
197198199200201202203204205206207208209210211
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4137
NoNoNoNoNoNoNoNo
YesYesYesYesYesYesYes
Collision
Required
Coverage
NoNoNoNoNoNoNo
YesYesYesYesYesYesYesYes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
602360206021632991533968115011491148795836323631363036297871
of
OUNTY
66
C
CHEDULE OF
S
ONROE
M
E250E250
Model
URRENT
ECONOLINE
C
F150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUP
DUMP TRUCKDUMP TRUCKDUMP TRUCKDUMP TRUCK
ROAD TRACTORROAD TRACTORROAD TRACTOR
F800 CLAM TRUCK
MakeFORDFORDFORDFORDFORDFORDFORDFORD
MACKMACKMACKMACKMACKMACKMACK
Year
200520052005200520062004200620062006200620062006200620062006
212213214215216217218219220221222223224225226
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4138
NoNoNoNoNoNoNoNoNoNoNo
YesYes
Collision
Required
Coverage
YesYesYesYesYesYesYesYesYesYesYesYesYes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
TBDTBD
39383061268326892681269026842682268726865747
of
OUNTY
67
C
CHEDULE OF
S
ONROE
M
BUS
VAN
F150
ModelDUMPDUMP
URRENT
C
F150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUP
VACTOR TRUCK
F550 CREW CAB F550 CREW CAB
TURTLE TOP PASS
E150 8 PASSENGER
AL
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORD
INTERNATION
Year
2006200620062006200620062006200620062006200520052006
227228229230231232233234235236237238239
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4139
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Collision
Required
Coverage
NoNo
YesYesYesYesYesYesYesYesYesYesYesYesYes
Required
EHICLES Coverage
V
LORIDA Comprehensive
F
88
VIN
of
TBDTBDTBDTBD
70201489148860116014601560126010600560086006
OUNTY
68
C
CHEDULE OF
S
ONROE
M
PICKUP
URRENT
Model
FOCUS
C
F150 PICKUPF150 PICKUPF150 PICKUPF150 F150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUP
E250 CARGO VANE250 CARGO VAN
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORD
Year
200620062006200620062006200620062006200620062006200620062006
240241242243244245246247248249250251252253254
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!413:
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Collision
Required
Coverage
NoNoNoNoNoNoNoNo
YesYesYesYesYesYesYes
EHICLES
Comprehensive
Coverage Required
V
LORIDA
F
88
VIN
TBDTBDTBDTBDTBD
2685281328126063268860641955201162736066
of
OUNTY
69
C
CHEDULE OF
S
TRUCK
ONROE
PICKUP
M
ModelDUMP
URRENT FOCUS
EXPLORER
C
EXPEDITIONEXPEDITION
F150 F150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUP
UPLANDER VAN
F550 CREW CAB
F150 4X4 PICKUP
E550 DUMP
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORD
CHEVROLET
Year
200620062006200620062006200620062006200620062006200620062006
255256257258259260261262263264265266267268269
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4141
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNo
YesYesYesYes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
606547894790933593339334026275729208730590978965950075719806
of
OUNTY
70
C
CHEDULE OF
S
ONROE
250150150
M
-
--
FF
E
Model
URRENT
TAURUSTAURUS
150 PICKUP250 PICKUP
EXPLOREREXPLOREREXPLORER
C
--
F150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUPF150 PICKUP
FF
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORD
Year
200620062006200620062006200620062006200620062007200620062007
270271272273274275276277278279280281282283284
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4142
NoNoNoNoNoNoNoNoNoNoNoNoNoNo
Yes
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNo
Yes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
105244086031603016140143682026869527805680307961816779631843
of
OUNTY
71
C
CHEDULE OF
S
ONROE
M
Model
URRENT
PICKUP
IMPALA
E150 VAN
EXPLORER
C
F350 PICKUPF550 PICKUPF550 PICKUP
CLAM TRUCK
TRAVEL TRAILERTRAVEL TRAILERTRAVEL TRAILERTRAVEL TRAILERTRAVEL TRAILERTRAVEL TRAILER
CANYON PICKUP
GMC
MakeFORDFORDFORDFORDFORDFORD
STERLING
MALLARD
CHEVROLET
WILDWOODWILDWOODWILDWOODWILDWOODWILDWOOD
Year
200620072007200720062006200720062006200620062006200620062005
285286287288289290291292293294295296297298299
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4143
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
of
184624398110465820811310950596127800779977987797780878079613
OUNTY
72
C
CHEDULE OF
S
ONROE
M
URRENT
Model
MALIBUMALIBUMALIBUMALIBUMALIBU
TRAILER
C
150 PICKUP150 PICKUP150 PICKUP150 PICKUP150 PICKUP150 PICKUP150 PICKUP150 PICKUP
--------
FFFFFFFF
TRAVEL TRAILER
MakeFORDFORDFORDFORDFORDFORDFORDFORD
CARGO
MALLARD
CHEVROLETCHEVROLETCHEVROLETCHEVROLETCHEVROLET
Year
200520052007200720072007200720072007200720072007200720072007
300301302303304305306307308309310311312313314
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4144
NoNoNoNoNoNoNoNoNoNoNoNoNo
YesYes
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNo
YesYes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
780578067804780378023955792079215505353882426338970025860606
of
OUNTY
73
C
CHEDULE OF
S
ONROE
M
Model
URRENT FOCUS
COBALT
MALIBU
150 PICKUP150 PICKUP150 PICKUP150 PICKUP150 PICKUP
CARAVANCARAVAN
EXPLORER
C
-----
F350 PICKUPF150 PICKUP
FFFFF
FIRE APPARTOS
TURTLE TOP 11 PASS
GM
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORD
DODGEDODGE
HALLMARD
CHEVROLETCHEVROLET
Year
200720072007200720072007200720072007200720082007200720072007
315316317318319320321322323324325326327328329
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4145
NoNoNoNoNoNoNoNoNoNoNoNo
YesYesYes
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNo
YesYesYes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
266812173397041304140412207325113365618769891158281394930515
of
OUNTY
74
C
CHEDULE OF
S
ONROE
M
Model
FOCUSFOCUSFOCUS
COBALT
URRENT
ROLL OFF
EXPEDITION
17 PASS BUS
F150 PICKUP
C
AMBULANCEAMBULANCEAMBULANCE
CLAM TRUCK
DUMP TRUCK
COMMAND UNIT
CROWN VICTORIA
GM
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORD
MACK
STERLINGSTERLINGSTERLING
CHEVROLET
Year
200720072007200820082008200720062001200719901997200620062007
330331332333334335336337338339340341342343344
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4146
NoNoNoNoNoNoNoNoNoNoNoNoNo
YesYes
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNo
YesYes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
754575467887788876215420795045877505223549624983304291182517
of
OUNTY
75
C
CHEDULE OF
S
ONROE
M
Model
VERSAVERSAVERSA
URRENT FOCUS
ESCAPEESCAPEESCAPE
RANGERRANGERRANGER
PUMPERPUMPER
EXPLORER
C
CROWN VICTORIACROWN VICTORIA
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORDFORD
PIERCEPIERCE
NISSANNISSANNISSAN
Year
200820082007200720082008200820082008200820072007200820082008
345346347348349350351352353354355356357358359
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4147
NoNoNoNoNoNoNoNoNoNoNoNoNo
YesYes
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNo
YesYes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
695325179118304272944756475065388242847503777950304225170440
of
OUNTY
76
C
CHEDULE OF
S
ONROE
M
Model
URRENT FOCUSFOCUSFOCUS
ESCAPEESCAPEESCAPE
SENTRA
MALIBUTRAILER
RANGER
C
F150 PICKUPF350 PICKUP
1500 PICKUP1500 PICKUP
BUCKET TRUCK
PACE
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORD
DODGEDODGE
NISSAN
STERLING
AMERICAN
CHEVROLET
Year
200820082008200820012002200220032008200820092008200820081997
360361362363364365366367368369370371372373374
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4148
NoNoNoNoNoNoNoNoNoNoNoNoNo
YesYes
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNo
YesYes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
618947620436037041559148473584677572876731311211465497076745
of
OUNTY
77
C
CHEDULE OF
S
ONROE
Pickup
150
-
BUS
M
F550
F
Model
ESCAPEESCAPE
FUSION
IMPALA
RANGER
URRENT
Crew Cab
EXPLORER
E450 AMB
SILVERADO
1500
C
AMBULANCE
COM. TANKER
Ford
MakeFORDFORDFORDFORDFORDFORDFORDFORD
DODGE
NAVISTAR
CHEVROLETCHEVROLETCHEVROLET
FREIGHTLINER
Year
200720022001200920092009200320082006200920092010201020102002
375376377378379380381382383384385386387388389
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4149
NoNoNoNoNo
YesYesYesYesYesYesYesYesYesYes
Collision
Required
Coverage
NoNoNoNoNo
YesYesYesYesYesYesYesYesYesYes
Required
Coverage
EHICLES
V
Comprehensive
LORIDA
F
88
VIN
of
342604381717190544785878587771333743832016908755194965280346
OUNTY
78
C
CHEDULE OF
S
ONROE
M
550
-
VAN
F350F350F150F150F750F350F350
URRENT
F
ModelVERSA
SENTRYFUSION
C
INTRUDER II
AMBULANCE
SAVANA CARGO
SILVERADO 2500
HME
GMC
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORDFORD
NISSANNISSAN
CHEVROLET
Year
201020092001201020102011201120112001201120112011201120112011
390391392393394395396397398399400401402403404
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!414:
NoNoNoNoNoNoNoNoNoNoNoNoNo
YesYes
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNo
YesYes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
634463458333622277264735063775927595759375948265849132643263
of
OUNTY
79
C
CHEDULE OF
S
ONROE
M
F150F350F350
Model
VERSAVERSA
URRENT
ESCAPEESCAPE
IMPALA
C
SILVERADO
FUSION HYBRIDFUSION HYBRIDFUSION HYBRIDFUSION HYBRID
EXPLORER WAGONEXPLORER WAGON
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORD
NISSANNISSAN
CHERVOLETCHEVROLET
Year
201120112011201120112011200820122012201220122012201220122012
405406407408409410411412413414415416417418419
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4151
NoNoNoNoNoNoNoNoNoNoNoNoNoNo
Yes
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNo
Yes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
998875960569112511249980298451736142614461436141849358965897
of
OUNTY
80
C
CHEDULE OF
S
ONROE
M
F150F150
Model
VERSA
URRENT
SIERRA
ESCAPE
IMPALA
TAURUSTAURUS
TRANSITTRANSITTRANSIT
MINI VAN
C
SILVERADOSILVERADO
FUSION HYBRID
GMC
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORD
DODGE
NISSAN
CHEVROLETCHEVROLETCHEVROLET
Year
201220122012201320132012200019982013201320132013201320132013
420421422423424425426427428429430431432433434
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4152
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
589858995900590159025903590459050734073707360649073907330738
of
OUNTY
81
C
CHEDULE OF
S
ONROE
M
F150F150F150F150F150F150F150F150F150F150F150F550F150F150F150
Model
URRENT
C
FORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORD
Make
Year
201320132013201320132013201320132014201420142014201420142014
435436437438439440441442443444445446447448449
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4153
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
073207357146314840227626074063793145314631477145245796453637
of
OUNTY
82
C
CHEDULE OF
S
ONROE
M
F150F150F350F150F150F350F150F150
Model
URRENT
FUSIONFUSIONFUSIONFUSIONFUSIONFUSION
C
F150 LONG BED
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORDFORD
Year
201420142014201420142014201420142014201420142014201420142014
450451452453454455456457458459460461462463464
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4154
NoNoNoNoNoNoNoNoNo
YesYesYesYesYesYes
Collision
Required
Coverage
NoNoNoNoNoNoNoNoNo
YesYesYesYesYesYes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
016995117753680191843674473604527595367331626099609824812832
of
OUNTY
83
C
CHEDULE OF
S
ONROE
150150
M
--M2M2
E250
FF
Model
URRENT
FUSIONFUSION
GLAVAL
TAURUS
F550 4X2F550 4X2
CARAVAN
CUTAWAY
C
SILVERADO 2500
EXPLORER PICKUP
MakeFORDFORDFORDFORDFORDFORDFORDFORDFORD
DODGE
CHAMPION
CHEVROLETCHEVROLET
FREIGHTLINERFREIGHTLINER
Year
201420152014201520092013201320132012201320002014201420062008
465466467468469470471472473474475476477478479
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4155
NoNoNoNoNo
YesYesYesYesYesYesYesYesYesYes
Collision
Required
Coverage
NoNoNoNoNo
YesYesYesYesYesYesYesYesYesYes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
769576958348239840590427610861098745002491614733631248981617
of
OUNTY
84
C
CHEDULE OF
S
ONROE
550
-
M
NIRONIRONIRO
F
Model
CRUZE
CAMRY
TRAILERTRAILER
URRENT
EQUINOX
EXPLOREREXPLORER
EXPEDITION
C
SABER PUMPERSABER PUMPER
TRANSIT CONNECT
KIAKIAKIA
FORDFORDFORDFORDFORD
Make
PIERCEPIERCE
TOYOTA
CHEVROLETCHEVROLET
CARGOMATE
CONTINENTAL
Year
201020142015201520152015201520152016201620172017201720172017
480481482483484485486487488489490491492493494
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4156
YesYesYesYesYesYesYesYesYes
!
Collision
Required
Coverage
YesYesYesYesYesYesYesYesYes
Required
Coverage
EHICLES
Comprehensive
V
LORIDA
F
88
VIN
!!
841475762805797629553889389024385328
of
OUNTY
85
C
CHEDULE OF
S
ONROE
M
F150F150F150F350
Model
URRENT
TYMCO
ESCAPE
TRAILER
ACTERRA
C
TRANSIT CONNECT
MakeFORDFORDFORDFORDFORDFORDLOOK
ISUZU
STERLING
Year
201720172015200420122013201320032017
495496497498499500501502503
Vehicle
Number
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf
V/3/b
Qbdlfu!Qh/!4157
88
Mfgu!Cmbol
!!!!!!!!!!!!!!!!!!
of
86
Uijt!Qbhf!
V/3/b
D/
Dvssfoumz!Wbmvfe!Mptt!Svot!
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!
2/!!
3/!Hfofsbm!Mjbcjmjuz!Mptt!Svot!wbmvfe!bt!pg!4023029
4/!Bvup!Mjbcjmjuz!Mptt!Svot!wbmvfe!bt!pg!4023029
5/!Bvup!Qiztjdbm!Ebnbhf!Mptt!Svot!wbmvfe!bt!pg!4023029
Uif!Hfofsbm!Mjbcjmjuz-!Bvup!Mjbcjmjuz!boe!Bvup!Qiztjdbm!Ebnbhf!Mptt!Svot!bsf!qspwjefe!jo!bo!
tu
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ui
41/
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
87 of 88
Qbdlfu!Qh/!4158
V/3/b
E/
Bjsdsbgu!boe!Qjmpu!Jogpsnbujpo!
!
!
!
Aircraft:
Year FAA # Make and Model Pass Crew # of Engines Annual Flt Hours
1976 N505FK Beechcraft A200 8 1 2 <200
2002 N911RR Sikorsky S76 C+ 6 2 2 700
2002 N911LK Sikorsky S76 C+ 6 2 2 700
1970 N91EC Bell OH-58A 2 2 1 <100
S76 helicopters alternate at Lower Keys Medical Center helipad in Key West and hangar at Marathon, FL.
Beechcraft airplane and Bell helicopter hangered at Marathon, FL.
Aviation Personnel:
Name Position Age License Total Hours Beech Sikorsky
David Masterson Director of Aviation 65 ATP 17,250 1200 175
Joao Freire Chief Pilot 41 ATP 4,690 N/A <100
Jeffrey Austin Pilot 54 ATP 7,450 N/A 720
Gary Baginski Pilot/Check Airman 67 ATP 9,080 1650 1380
Gregory Buchanan Pilot 56 ATP 10,050 N/A 3200
Harold Davis Pilot 51 ATP 5,950 1860 830
Mark Jewell Pilot 53 ATP 4,520 410 810
Lawrence Knowles Pilot 47 ATP 3740 N/A 980
Rafael Rios Pilot 56 Comm 4950 N/A 225
Mark Rivas Pilot 52 ATP 4850 N/A 220
Masterson is retired Army with 45 years aviation experience.
Freire is former Portuguese military with 10+ years US aviation experience. Former HAA Chief Pilot/Check
Airman/Instructor for Air Resource Medical Group (AMRG).
Austin is retired Army with 31 years in aviation.
Baginski is retired Army with 47 years in aviation.
Buchanan is a former US Army aviator with 36 years aviation experience including Search and Rescue (SAR)
service in Hong Kong and Sweden.
Davis is a retired Marine with 24 years aviation experience in both fixed wing and rotary wing aircraft.
Jewell is a retired Marine with 26 years in aviation in both fixed wing and rotary wing aircraft.
Knowles is a retired Army Apache gunship pilot. 15 years aviation experience including Search and Rescue
and Helicopter Air Ambulance.
Rios is retired Army. 27 years aviation experience as standardization instructor pilot, instrument examiner and
Buubdinfou;!SGQ!Mjbcjmjuz!'!XD!!)Bqqspwbm!up!bewfsujtf!SGQ!gps!mjbcjmjuz!boe!xpslfst(!dpnq/!jotvsbodf!qpmjdjft*
medevac pilot.
Rivas is retired Army. 24 years aviation experience as standardization instructor pilot and instrument examiner.
88 of 88
Qbdlfu!Qh/!4159