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Independent Contractor Agreement 07/29/2021 BOARD OF �QUNfYC0NINIISSI0NFRS Cotnit of M()nroe y 41uc,Yi�^!l�°C"fir@ 9rk t. P7 ,t�iat " The Florida a :� �r �¢� t „rah' �T,,mD� idPice, 1)d Kati:~� l ."Y'19 Cates 9 Ji,v6 o I s, ,„_ May 18, 2021 Mr, Ralph 'f. Welters 3 E~s 1 I"' Avenue Key ?Vest, Fl- 33040 Dear Mi.. C11CI.S: "1'lriS ICUCI' is (0 CCI—Iify t1t<rt YOU tlttarlify' to participate in Monroe ('()rrnty'S SMtC 1-l0U.Sind Initiative Partnership Program under the Homeowner Rehahilitation Stratc y. B1 IS rl 011 tarn. inl'OrrM16011 y0LI IMVC IrorrrvicCCI, YOU rlrr lily for a deferred payment SI-111.) Loan in the amount cif.$15„000.1111 art ZCI'0 percent interest for �r terra of twenty (20) gears. The t0trrl M11Otrrrt Of the award is S35,000.00.. The first S20„000.00 of expenses %will I)c a grant. 1"11t, balance c7f',S15,000.00 wilt be forgiven On the IMMLrr-ity date. No payments MV r-c(tLrirerl 011 tlriS 1ie-rr, Sinccre,I), Streryl (irrlram MOrrrOC C"OUnty SHIP Adininistrat.or Monroe County SHIP Notice to Proceed ANvard of Bid Date: 06/29/2021 Job Number: 12-2285-20 Client: Ralph Weltei-s Clicnt/job Address: 3 E I F" Avemle Key West, F1 3(3040 (813) 765-1012 (Gad ?vlffles---daLl"IlteT) Contractor/Vendor: (Jar), the Cmjrpejlter 800 Sh-nomoa Sti-ect, Kc� West FL 33040 (305) 292-0261 Date :and Amount of Bid: 06/29/2021 - $35,000,00 Comments: No other bids Wel-C SUbmitted, 01.1"'iflal Scope of Bid was revised afm- bidding Coll I ractor jx.,,,l-fom led a vialk- Z7 thww'11 ,111d discover, 't, Y, CheIt was collmlited abow the chmige hi pi-o�j.ected work to trap sm-mmid. ("fietit skamed a Revised Pi�'e-Wol'k Order A-i-ee tile lit, �j Sheryl Gri ham Date Sr. Director,Social Services 4 ZO) Kirn �flflkes-Wean Date Compliance Manuger fiernhard Rasch Case Manager/ Inspector Ralph , welters 3 E 10' Avenue Key West Fl 33040 Job#: 12-2285-20 SHIP ReHab INDEPENDENT CONTRACTOR AGREEMENT Ralph It' Welters 3 E 11"' Avenue k West FL 33040 Job#: 12-2285-20 This Independent Contractor Agreement is made this 29th day of July, 202 1, by and between Monroe County , a political subdivision of the State of Florida, (hereafter County) and Gary 'Flie--"-Carp Construction Inc., (hereinafter referred to as the "contractor"Ffcr set-vices described in Scope of Work, attachment A, arid Contractor's proposal, attached hereto and made a part hereof, The parties agree as follows: 1. RELATIONSHIP Nothing contained in this Agreement shall be deemed or construed as creating any other business relationship, partnership or Joint vetiture between Contractor and Monroe County Board of County Conunissioners/Monroe County Social Services/Monroe County Weatherization Assistance Program and/or WAP-IIIEAP Program, and/or SHIP Program (hereinafter referred to as the "County"). 11. SE:',RVlCES TO BE PERFORMED Contractor agrees to provide the services listed in the Scope of Work (Attachment A) and iii the Contractor's proposal to the satisfaction of the County and in accordance with federal and state regulatimis for the Weatherization Assistance Program and/or WAP- I.Illf"Al) Prograrn, and/or SHIP Prograrri, 111. MANNER OFPERFORMANCE Contractor shall properly supervise and direct completion of weatherization and/or rehabilitation measures on all units assigned under this agreement. Contractor shall be solely responsible for coordinating all Nvork C011CILIeted under the contract, Contractor shall provide and pay for all labor, materials, equipment, tools, equipment/niachinery, transportation, and services necessary for the proper completion of work. Contractor shall cottiply with all laws, ordinances, rules, regulations and orders of any governmental authority bearing on the performance of the work, including local building codes and permits. Contractor shall be responsible for the acts and omissions of employees and Subcontractors, Contractor at all times shall keep tile premises free from accumulation of waste materials or rubbish caused by the operation. At completion, Conti-actor shall remove all waste and surplus materials and rubbish from arid about the premises, and if applicable, shall clean all glass surfaces and shall leave the work "broom clean," IV, CONFIDENTIALITY I Ralph F. wohers 3 IS I W A vernie Key %IM 1133040 Jobt 12-2285420 SFUP Retlab Contractor agrees to keep confidential MI cheat inhirmultion paivided to Contractor andvar employees by Nurity, excepting such Wforamdon as is Wrmdy known to the public, and not to release, trio disc oic same, direcdy or indirectly, to any other person or business, except with prior written Permission of County. V, Neither Contractor nor COLInty has an exclusive I-ClalionShip with the other, Contractor is five to perArril the above desalibed services for any other person or business, so 11mg, ,is this does not interfere with Contractor's satisfactory and tinlely, perf(irn la lice of See-Vices for County under this agreement, V1. Contractor shall not enter mtO any SUbC,0111ract Mitt any subcontractor Who has been debmied from pc&wmhg %awk by any Agalcy of dw thited States Unernment or by, the Staw (if FUNN. ConnICIAT shall be fully msporl"'ible for tile "Icts or onfissions (it' Shconuactory and of peNons Willer dkeedy or iwhrecdy enipkiyed by thern, At no tirne shall any conunci w" agreement between Contractor, and a m0coiaractor be constriled as a relabonihip, Mrmal or inforrilal, between the stilicolitnictor and Couwy" )v'fl. AJ It'"T Unuxttir gummus A wait pc&wnwd Rw a pc6od of one (1) ycar born Key chtle of final acceptance of all %W reqL!Vd by 19 hid proposal- Untractor warrants to tile owner and Cbumy drat all nuturials and equQnwnt uwd in the %wnk will be new and free of defects, unless officrwrsc specified and appmW 0 Avance by-"n allthoiiied representative of' CIUM" X11 lWIIUfU(:tUrurs' and SilppliCrS' Written and warranties covering stich materials and equtmou AM! be furnished to the o%vnm- or weatiredzation Wel-roki. C'ontractor agrecs to correct any defector CILIC 10 I'al.11ty WOrknianship, materials or e(.1tripillent and AWI pay Or cm reydr any danvigc to odder vairk restdiing there f"011, for a period of one year froin the date of firrid acccoame of the omawn work. Vill. S91,NNIMKK Unnamir warrants pwd I& to all inatedals, Supplies NO e+Iij')nlCnt incorporated in thc- work and warrants that it is ice front any claims, Hens, or charges, and that Contractor not- any other person, firm, or corporation, shall have any right to put a lien upon the prenrises or iriaterials, supplies or cAmnent. UntracUir nnmt contact the homeowner within 7 days of receiving a Noticc to Prmeed and rnmt complete all work within 180 days of receiving sai(I Wc, Contractor will contact the "eat!erizatOn Coordinator upon notice of tile event giving; rise to the need for additional days heyond 180, Addkionall days may be granted upon inuttiul agreement between Contractor and COUnty. 2 Rzdp h T. welters :I E 110 Aotnue Key y'IM f1 33040 Ix- l'Rol Ec1IRT)IN 1 „4 QKKA Nf, faI !.' l f'.Y COrtrrrew ,hAl be responsible for initiating, maintaining aritr.l Srall r'v'isin`rg, all safety precautions and parot(yinns in connection with the gook and r•or-rpflyin � idj all napl:hc°aahlc law, ordinaanc°e.s, tides, regulartp ns. C ontinactor shall take all reasonable parec;antiaans fear the safety of, an([ shall provide all recascnnaalale protection tea pnreva,nt daanaanp e, injury or loss to (I) all entpnlcayms c:ana the work site and rather affected Persons, (2) :all work; and materials an(] ecpauhnlent art the, site., and (3) rather pnnTerty in the .site.. Any damage or hms tea any property e c c aatsed jt�anrlc and or inpart by C�c-rrntraac trar � r.ahcrantr4nctcar zar rnpnlo fees, AM! be remed1d by shall be hold harmless, Any 6ange orders rnntnst he ap.apnmved in writing by the Owner and cacculqunt if arpapalicili e, Wntnitclor, Watheriz:adion hbpnc,cWr, mu:l Weaatherrroatiann Cr.Ridinaatcrr widi rewieww and sign off by the h nigraann p;NMratc 0 Pdrx t'r.r Ow r.omnneancar.rtneM of srn h work. Any change order or- %" k w;:aker ccnnnannenced pnrior to a anthrnWaaticana ON he considered a ana,antlncarired work and will not he rcirrnl.atrrsml by ("carnnty. If final invoice front (:"ontrarctor exceeds die Bid Prop warl arnncn mt, and a'u) change cnWer was apapara`>%VT the invoice will be approved liar only the aanuonant.a:luoted in the Bid Prcapnosaal. I. C"C:tA'wIl'f ,ay"I lt: i l?pncan i°a uc: of perridt, C'c7ntraretm, at thcsir discretion, can submit inwcnice for twc,nty W,. l be reN oft the,issstaaalnn4y�'rmitprrmiq l°accompany lrr�naa p ainitial y invoice, (��animcdeemed at Ted discretion, can copy permit p " can strlumit invoice Rw fifty paercernr OW4 ) Of ccmtrut We rrlacan ddiwery of ,all required oh rrnatCrials to icnln site. Wrific;aikm of ttrarWria.rl delivery, good condition of materials and assurance that all materials are sec�urod at job site. will h)c deta:rrnirred aarncl cicncanaanCnted by Weiitherii,ation lnsp cmor, Wwahcsriwrtpc:cn ('cacardinaalor or Social Services Senior. dminrastratar, Upon corrnph.-tic.rn of tlae work, Contractor shall snlnnnit final iravcaiCe for twc my five° paem nt (25%) of c ontrau price tea C'catnnty. C';raaant'y"a, y"ve atheri/artion Inspc c¢ for and/or Coordinator, C untraacRx and Owrrer shall inspect, =1 aapnparrawc, in avrithng, tlle, work. A final calc ed p:nermit. w01 No required with final invoice. Untractur invoices will be processed for reinibursennent npncAn verification that all conditions under We agreement have been nnet. Payments will he issued in accordance with tine: Florida Ffonrl'at Payanwnt Act upon the santisfactcary completion, post inspections, and verification of all billing data by the (County, X11- Untractcnr tagmes to hares, solely responsible, and Shall hold harrrnless tine County, its officers, directors„ and employees for any arnd aril claims brought against either Contractor or County, or for liabilities inc mvd, by Comity as as result of actions or omissions by [lie Contractor, 3 Ralph I , %wCfters 3 F 110 Aveme Key West Fl 33040 Job,'k 12-2285-20 SH if, Rel fah whether under Workers Compensation la,wvs, or under inly other foderal, SLILO, 01* municipal law, rules or mgulmiong wh4h may he applicable, or. any other set of ch-cumbunwes not specifically addressed herein. X H L By to date of We execution of this agreement, Cor-Hractor shall prOCLIW Und maintain for t1w dwsuion of Ns agmernent, insurance against injuries k) Persons and daniages to property whill r1lay atise out ol", or in connCC6011 %ViA, Be PCIOMMICe Of the agreement. C'ontractor shall fwTkh evil awe of Comnlzmho General Liability and Automobile Liability. Contractor shall i+tain Pollution Occuacme frIsumnce if mquimd W Be Scope of Work. Contractor shall alcltj (Amulty U) its pol-icki as an addRional insured and shall p""Ide as WHOM of insurance and perlicy enclorsemem as evkknce of coverage, XIV. Nlq)i UJ Cbnmwuw will rernAn in conWhatwe with the Winkers' ClumpensaHon I= Q the Slaw ol' Rxida thnmigh the &wadon of this agreemem. Comnwmr shall provide a cenificiac of insurance or letter Cal exemphon by the dam ofexecution of thk agreement, XV, Lj:Y Contractor shall not discHMOW agaWl any enqhoyce or apfkcam fear employnient becausQ of race, col(w, religion, sex. or nation ori, in. (."on(ractor %Y01 take affirmative action to ensure dmi appkams iwe cmpkjol and than employees are treauni during empk1mcm, "jImIt regard to their race, color, religion, se'X or nah,)nal origin. Contractor agreei to post ill COF-IS1.1iCUOUS plaCes, aWkWe 0) empkIns and aMdWaras RW enphymem, Tarr kes wuR HT dw plawidn-ts of this nmidWriminadoan clause, AH okjvertiserjjerjt %Vill state that all ynhHed antlicams will recoNe conskkWon "Umul regard U) W nwe, enkv, mHoon, sex or na6onal ori�gin. XVL (7ontractol, shall Comply with tile provkions of tile fcdcral (:oPeland "Anti-K4.'kback" Act and agrees to mandate such 0),upliance by its subcontractors. Contractor or its subcontractors shall not in ally sway kIdUCO all 01111)1()YCe to give LIP ally pact of tile collipensation to which ho/shC IS entitled LH)dCI- his/her contract forentployluent, Key West C'1 330,10 Joh0f. 1-2285i-20 6lll' Rel- ail ,✓'1.`w'l.l. C_C) W l"J"l<'k4.,,1..,.,N�"f QJ.""�s 4�'#.. Ci l,mt k ��r,{,Wdt1:4:,..1 4w L.._.,Y.1 'idWl ,!k.1lw.T 14.7 Contractor shall ca reply° Nvuth the provisions of the federal Contract 'Work llcrurs and S�Ifety yltanclaardi NCL C hwntraactcar shall ccaaaMute waafac,s of every nieclaaanic aancl laborer on the basis of as standard ICJ-hour awc,rrk week. For nNork in excess of the standard vwaark cveek. C.ontractor shaall ccwnalacnsatc vworlaer( ) at as raw of nowt Vs deans 1 A trnae;s Haar Irma Me of pay for all hours wo kcal in excess aat`410 hours in (lac, work week. C oninactcrr slaaall scat rrccluire kuay laborer or rnechanic, to awcrrk in surroundings or under vacark ry con1tions tat are unuinitaar"y,. h azuar°cicaus, Or c aaaagemus. `V111. Or c(muic;ts or 1t1O„(Mo or nu me, t"maaatraicacwr aMI its Momitracicars ,slUdl cc.,rjy wuith all aalalalicahle standard cardCrs Or rCciuirc:ruCnts mrr,aaccl unale.r° section 306 Of' the Clean Air Act., yics:trarra 508 of the (lean Mer Acq and the lVederal Water l°calluticwn C;'ntraal Act. ly;:. M'l P zxO.A^l l"_ _t.Cyl f, r]w`vtr "cl `rl)IF . Or a;catatr,wts of SIM),C)tlt) or rHnv, C ontras:uw certi% tlaaat heAhe. will not ancl has ni)t usCal (ruder,d appropriated funds tO taaaw' any person or orl:3aanizatlun for influencing or attempting, ts'.a influonc e an orficer or enalwlaayeca or any f`ideml agency, a rnerber or Congress, cafHccr cwr employee or Congress,ss, or an emmalaliwym of a nacwnabCr Of C"W_)raYac S in connec°tacsn whir Mning any !Qdcararl c ontr9ack,l;ra e car any other aam,,ar"d covcracl by 31 U-S. C". 1352. yC X. lwy l , " m,I l l m lm ,.1"', ZNNLI__l�l ca l'l III the crwent that citlacr Contractor or Clunty commence an aactiswaa for climaaarages, intuaa ove rcr k[ or to enfnve the lwriww"sforis of dais agreenient, and either party prevails in any such action, the prewbFing party shall he entitleml to an aa"arrcl of its rmisonalale, aancan yM Les and all c i:)sts incurred in connectican therevwib as cloernaisacrcl by the court in any sucli Min. XXI, QMYU'Kl "wl`vCa L:At V `l°hk aagrceirrarnt shall lie governed , accordance �+ itlr tlan kl%Vs of the State of Flor ht, and weracrc for any action enforcrin , tile: terms of this Agreement sizill be khrime C oumn Rwriclaa. "Phis aagwement may not he assigned without prkw written consent of both paarti s. This agreement "till he bNd&g upon, and will inure to the benefit of, each Esau"ty"s faerraait:tawtl successors and a;assigras. 5 Ralph 'I . wkcftcrs, 3 E 110 Avowe Key West F1 33040 Jobik 12-2285,20 SHIP S1110 X X I I I File parties ag,rcac that the car verimts car this agreernent are severable ajjjd that it' any single dame or clauses shall he Wind LuWnt'Orcealfle, we craire agreernern .Mull not GH bw shalke COnStRIC(I and C1111MVed %ithout any severed clauses in .,iccorda lice %itjj the teyrus of this agreement. XXII If'Contractor dcfaLdls or neglects to carry ()ill ally Work in accordance %kith this ag.,yo(:mjjjent Or fails to perforin or Cornply kvith any prooision or wis agreement, tile coi.itity afler "Then nmice to Contractor, niake good such deRcOmbs and nmy (ICCILICt the Cost incurred friml the payment due a) CAmnactor and/ow ChAnyy rnay Wri-ninate the cornractor's services a111(j take, possession of the sHe and of all rriatedak, equipmero, tcmis 4111(1 consirtiction eqtnplliow, and machinery ownc�,d by Contracior, xhich %vere purchased With %veathe'ri/ation and/or WAP-1,11IF',A]" funds, and imly finish thc wvork. If the expense of finishing tile work, cxaxeds thin unpaid balance to (ontractor, Contractor shall be hable for payment of the (fifferenc-c to, CouMy. Contracmr and Wray tmn terminate the snNixammOmpLad this agreannt at any tinic for any reason Hj)on 7 calendar days notke to eiler party, MMn-acRw shall he ruWAmd M sAkwomily Wish all work in progress prior to termination of (he serviees, KIM to th) so by Mmaxacror shall resin( in fclrfeiture (afpayincnt for,,�iny work in progress. XXkn i1%. Contractor Shall retain mcoids mlating, to this, Contract for COUr years aftor fimaj payjnoma is imsde this agreommit. if an awlt, litigation. or odwr actkm invt1ving the reco "hi is maned before the end of be Mica pcWxL nxods must be ruaked twirl all issues arising out of the wrtion am rewhN or until the end or we 11mr-year period, kyllichever is Ater. County, or any Of its authorized repivsentatives, shall have access to Contractor records. XXVI. The Unmy and (Anivactur shall allo%v and perruh reamAwhk aaess W, aml inqwcdon of, all clocumenN, papers, letters or (Hher rimtedals in its PosWsS1011 (M Under its (!OuIrOl Sd�jeCt to the pnwkkms or ChafHer 119, Florid,,i StMUtc,S, and made or received by than. County and Untractor in conjunction with this agrecinetv; and the County shall ha,,e tile ri,�,ht to unilateral'ly terminate Chnunictor's services upon viva uion or this provishn by Contnusor. 6 RAph R wdca-s 3 E I W Avenue Key MOM IT 3YMO Jobt 12-2285-20SHIPReflah X x V I I ff["'AlAf The headings conl6ned in dk agreement me for I-O'c"ence puqxmes only and shMI not aflc( the mcaning, or inturpretadon ofthis agreement, Tllf' RENIAINDER OF THIS PAGE HAS BE'EN INTENIU)NALLY U90131mm. 7 3 F I Key Wst 11 3 VIR) 100 112285.20 SHIP Rollb wo wrooss WHERS)k Qunq drul (Quador hwo vveculud this Indqunden; Convauhn- Ow doo Am %"Own dwvc, MONROF k9t. �e Shmyl (hahon Monroe NV AP khmwc Ummq WAPAMWAP AWANkonq Nlunroo Coumy `0HP Pw'graw Admlnktralor MONROE COUNT"'Y XrTORNEY AS JO FORM Gl() Tf JAME,' ; ENIAAR A5.51STANT cOUNrY AITORNE'V' Si p E,q Date: �7W -A 0 Pfint Nlaln(. TuV 1141 F OF: lUklt C00111 Ok Nluwoc I IfEW311' CE10IFY thm (m ob 'day a4' 37 offir duly qualdk"d Co klko, perwnaBYy ap pea e� e W nw Umn a) hc le paum dnuihd havh am! wNy"emUd dw jWyWQM jn,U,, bdore noc t1tat lw/:dm:executed the art no..lkhvr I jowNp whown wkwdWoll. SFMI NOTARY P1111 ICSIGUNN It,I- �4 flriwod Nanw del Nol'ary Commission N(,,),: Nt�' Commi.ssion Fxp�rcs: k EXANDRA WCM AL6UP Nb v� 5,,at@ r,)d Flo6da 1 1 man OU IN72R Q orr, 2022, Natlofla�NOWY Msn wi kalph T. wchers 3 E I W Avetwe Key West F1 33040 JohN: 12-2285-20 SI-IJP Rellah All weathelization or rehabilitation measures to be pr(wided lu homes go;vmed by this, ily,rcenlent niust be in accordance with the "Pre-Work Order AVrem eer;C% "Md PmpmaWob #: and the 'Weatherkativi Assistance Proorain and/or WAP-LIHEAP, iniWor SHIP Program rules arm! regulationy Ile RAlowing wo the pnwedures 1`01-c0i"Pleting tile Scope of'Work per this Agmement: I. Conn-actor slhdl provide such nwasures as deterriflned by tic Pre-Work Order Agreement a-nd [Ad PnqomVhb 4: j1:12#5y County, �749 pawided to Contractor by 1 (Jpon reccipt of the Pre-Work, Order Agrecinetv, Contractor sjjali provmde:! a (JuOtc via a Nd pr(.q)osal per home a dw cost or o)rrlpietion of WC�flhel'i/,Atik)u Measures as indicated in the Pre-Work Order(s), 3, Contractor shall c(mnply with all laws, onhnances, rules, regulatkis and oulOrs of' any, govinumentA auLhody hearing on We pe&wmamv of Me mod, including AW bud1mg C(As and lwnnis. 4, County,;-,; Weatheri/ation Inspeclon Wevuhcriziaion Owrchnatoq and Program Dkewr shall approve die e.luotes and kSi.le. a Notice M Pnweed to Omtnickw. The Shmice to Pnxved WWI conWn the Owner/Occiipant MHTW, aKldreSs and telephone numbers. 5. Contractot slwdl contact all ()%licaoccupants limed in the NANce U) Flocced vvkhin 7 days of reccil:4 of the Notice and Shall ammNete A "Tnk mithin 90 days of receipt of the notice, Cornractor will contact the Weatherization Cw,)rdinator upoll notice of' tile evert gWNg rke U) the neul for WAWA days beyond 90, Addiio:ul Alys, nmy be gmnWd up)n muluual agreenMn bCt%VCCfl (701nraC[Or and County. 6, Conlraclot- shall foltow the PrCAVO]'k Order aS wv°ritteTMn by Clunty and agwmed by Owrier/Occupanv 7. It' Owncr/Occ u pant ruruses it measure. Contractor shall contact Weat Ile rizat ion lnspccu)r inwiediateo and Te Owner/occup� ilra am! We County will docuinent same in the OWN file. If the refusal will cause We County U) be in non-cornplAnce, it rimmi be rdQued to the Weathelization Coordinator and the Pmgmni DRector who "411 advise the client that if the memure prevents elimination of air infiltrations, County cannot proceed with, weathedzing die home unless the Owner/occupant approves the measure, To tile extent possible, all nicaSUrCS approved for the unit sh(Alld be reviewed by staff.with Owner/Occupant in pre-wmk philse and approval obtained in wwrking before coninnencing work. Ile only exceptk)n %would be in the rime case of chaxige oixiers due to unforeseen conditions as outlined in Bid Propoul Avddendmn, X. Chatige Drders=vers. 9 Monroe County SHIP PROGRAM 1100 Sinion ton Street, Ste 1-190 Key West, FIL 33040 REVISED WORK WRI'TE-UP / SCOPE OF WORK --- SHIP #2 NAME Ralph T. Welters PROJECT AI DRESS 3 E 1111" Avenue, Key West, FL 3,30,40 srrE BUILT PHONE (813) 765-1012 EMAIL: Jobtf: 12-2285-20 GENERAL REQUIREMENTS D15CLAIIMER AH work specified riaay not be conclusive. Ad o)(MSUrernents and Quantities in than Work Write-Up are approxkiiate. Prior, to bid submittal, all contractors are require(] to verify exact 11"ei'surernents, sizes, and q.amities and to know jol') conditiorls and to immediately notify the Monroe Countys Administrator of any other necessary work to acifleve quality finished products that rneet or exceed applicable specs and codes. 1"he spc.-cified itenis in this Work Write-Up DO N01'preempt any current applicabk) codes enforced by the appropriate code authority having jurisdiction, PERMITS AND LICENSES Cootractor shall obtain, pay for and post on site all permits and lkenses necessary to cornplet(r this proi(,�ct, Contractor and SUbcontractors nUffit haV(� current licensf,-,rs required by the State, County, and City WIlEN APPLYMG FOR, PERMITS, CONFRACTOR SHALL SUBMIT IN ADDITION TO A COPY OF THIS WORK WRIT-E-UP, A c)ETAILED DRAWING OF ALL REHABILrm-rm WORK AND ANY REQUIRED ENGINEERING FOR STRUCTURAL ASPECTS OF Ti-iis, joB, INCLUDING BUT NOT UN11FED TO,, NAILING SCHEDOLES, FASTERN J�r RS, STRUCTURAL LOADS, ETC. CONTRACTOR SHALL OBTAIN A RESIDENTIAL AL-rEIiA-1"ION/RENOVATION/REHABIL.1'I-ATION PERMIT UNLESS OTHERW61E APPROVED BY THE PROGRAM ADMINISTRATOR, CODE COMPLIANCE All materials and methods of construction related to work performed on this project must comply with locally arrIopted code requirements and must meet with the approval of local code enforcement officials, INSURANCE REQUIREMENTS The Contractor shall, maintain such insurance as will protect hirri from clairT,is for damages for personal injury, including death, which may arise from work perforrned on this project, whether such work be by 1 himself or by any subcontractor or anyone directly or indirectly employed by either of them). Contractor• shall present Program Adrilinistrator with certificate Of insurance evidencing comprehensive public liability insurance coverage of not less than $100,0006300,000 in the event Of bodily injury including death and $50,000/$100,C00 in the event of property damage arising out of the work performed by the Contractor. Contractor shall also carry Worker's Compensation kISLIrance as required by State law. Contractor shall ensure that i current certificate Of insurance is submitted to the Florida City Building Department at each renewal period, JOB,SITE WORKWRITE-OP A Job Site Work Write-Up shall be posted with the building permit at all tunes while work is in progress, This Work Write-Up shall be used by all cod(-.a enforcement officials and other interested parties to review scope of work and work being performed on the project. JOB SIG�N IN FRONT YARD Contractor must securely position a project sign in the front yard and in view of the street. VERIFY MEASUREMENTS,SIZES AND QUANTITIES All measurements,shwas and CILH,)ntities in this Work Write-Up refer to a cost allowance, The Contractor is Responsible for verifying exact measurements, sizes and quantities prior to submitting a quote, Change Orders will NOT be approved for rnistakes made in measurements, sizes, and quantities for tbose items readily accessible to Contractor to verify. COST ALLOWANCES 'When specifications in this, Work W6te-Up refer to as cost allowance, the Contractor is to permit the Homeowner to select the product to be installed, Providing the total Cost Of the product, inciuding taxes, deliw-,,ry fees, set up fees,and any necessary accessory items,does riot exceed the a0owance, Tile product selected must m(:),et the quality standards specified in this Work 1rw,Fr4e-Up, Homeowners shall select ad items and products from Contractor's samples crud/or recommended SLJPpfier'S, WORKMANSHIP AND,MATERIAL STANDARDS Contractor to perform work specified ki this Work Write-Up in a high-quality good-workrnarilike mariner using, specified materials or approved equals, Materials must also (1) be higIrl quality, (2) be installed irl accordance with manufacturer's specs and (3) meet requirements of Code enforcement inspectors, All rociterials must be new. Used and/or darylaged materials will riot be accepted and will be replaced by Contractor at no additional cost to City or Homeowner. GENERAL WARRANTY Materials installed, and work performed shall have a minirnurn oncw-year Contractor warranty frorn the date of the issuance of a Certificate of COMPletiOn/OCCLIPWICY issued by tile City Building Department or as determined by the Program Adrninistrator where there may be a question of dispute regarding the cornpletion of the agreed upon work, SCHEDULING OF WORK Contractor to schedule work between &00 am and 6:00 prn Monday through Friday. Requests to work before or after these hours and on weekends must be approved by the Homeowner. Work requiring a 2 Coll)134 ia n(,".0 Inspection by,the Prograrn Adnniniastrator car) ONLY be performed betweena 8,:00 wn and S:00 Monday through Friday, The Contractor responsible for scheduling and coordinating SUI)contractorr,vork, COMPLIANCE INSPECTIONS Contractor to call Progyrann Administrator for inspection of all work that will be concealed from view following completion of work on that item, For example, thn=se inspections frequently include, but are not limited to, (1) inspection of footings, (2) inspection of roof sheathing prior to installation of new felt and shingles and (3) inspection of repaired floors p0or to installation of new sub-floor, underlayment and floor coverings, Check each Spec to see if a COMpliance inspection is required. Work that has been concealed without a Compkance hispection may result in payments delays or deni*i PROGRESS AND FINAL PAYMENT INSPECTIONS Contl'dCtOr MUSt SUbMit to Program Administrator a payment r(�ClUeSt MI forms approved and/or SUpplied by the City/County Building Departrrient or the Program Administrator. This request mUst be Submitted to glad dmtorast ondyhad of desire('] inspecfion date. Payment iospections will be shed on a first-corne first schedu�ed basis, PROTECT' HOUSE CONTEN*rS FROM DAMAGE DURING WORK Contractor shall take steps to protect house and contents from darnage dUriog project, Contractor is advised to use drop cloths to protect I'Lu'llitUre, appliances, entertainment systerns and other house cc)ntents and cornponents Contr&:tor shaH move furniture! and Zipph,AnCeS OUt Of and back into work areas once work is corupl(-i,te. corltractor not to peave furniture, apphances, and c tithing or other house COutcrItS unprotected outside house during job, REPAIR DAMAGE CAUSEDTO PROPERTY DURING WORK Contractor responsible for professionally repairing or replacing buiidrng and Site components darnaged as a r0suft of constri,action actil0ty with no additional cost to 11orneowner or City, This includes all incidental repairs, including paint touch-Up, as a result Of the contracted work. LEAD BASED PAINTEVALUATION V1005es taunt in 1978 or before. BuHding surfaces fnay contain lead pairit. The Contractor shall provide an evaluation of the components which inay include risk assessment,lead hazard screening,lead-based paint inspection, paid testing, or a combination of these to determine the presence of lead-basecl paint hazards or lead-based paint in accordance with federal standards (24 CFR Part 3,5), The evaluation for LBP or LBP hazards shall be conducted by a person who is licensed or certified to perform such activities. Contractor to provide Prografu Administrator with evaluation report PR 0111 to the corTimencernent of any rehabilitation work. PRIME BARE WOOD 'rhe exposed faces of all newly installed wood and all wood scraped down to bare wood must be prinned with appropriate primer, 3 CAULKING WOOD CZ1UNIng, if any, MUSt OCCUl'only after primer has,been applied to the area being caulked and prior to the installation of any paint, CONCEAL ANY NEW WIRING AND PLUMBING All new electrical wiring arid Pkimbing lines are to be installed concealed from View inside stud walls, Under walls, floors and in attics. Unless othrmrwise approved by Homeowner and program Adniinistrator, surface rnounted sire moId and conduit are not permitted, INSULATE EXPOSED WALL CAVITIES All exposed exterior wall cavities that are to be enclosed by a new wall surface rnaterW are to have R-I I insulation instal[e d in the cavity before the new wall surface material is installed, REDUCE AIRBORNE DUST DURING CONSTRUCTION Contractor to take steps necessary 'to redUCP arld Contain airborne dust crc.,ated du6ing constructlon, dernolitiorl and removal of defective paint, Wet scrape, if renaoving defective paint. DO NO r use electric sanders or torches if rernoving paint, Contractor and workers encouraged to wear protective clottling arid resiArators and to fallow hy&ne, procedures approved by OSHA GENERAL CLFAN-UP Contractor to provide clear and safe passage ways in and OLI:t around structure during project, Contractor to' remove debris arid building rnaterWs from in and around structure being repaired to lt,.�gal droops site regularly and at the end of the pmjecj, In progress and final Ck-Mrl-Up tO include but is not limited to damps wipinp g, sweepmg, mopping and vacuurning, Fhe City/County reserves the right to add up to ten per cent M%) contirigency to the, total cost of tare work write-up. The contingency Shall be usod for items which are discovered by the contractor during the rehabilitation work and most be approved by the City arid the Program Administrator PRIOR to any work being Performed by the Contractor re carding thi� additional iterns. SCOPE OF WORK INTERIOR AND EXTERIOR SHIP PROGRAM Window Replacement Replace ten (10) existing Jalousie Wnldow with, replacement Windstorm Rate(] windov units. Window rep]ace me tits to be Si[110C htln-, dlUmillUITI framed, white finish, with Low-( coating 4 Rouzgh HIe& LIreHIQIHS fOr the OXiStinz(,' WilrLICAV Lllli(,S Toc (6) windows: 37.25-IN' x 38.7501 FOLIr (4) %vindows: 73,5- W x 383YI1 (Bathroon-i Windows (2) will Liol to I)e i-eplaced) AH tmits aw roxighly nieasured wilth respect to the exterior gross Measuivc! openings, Contractor is responsiNe to detcrrnining accurate replaceinem unit nwasurernems anti ordering the con,ect size and nvhhh of w0dow Win and niembers. Egmss Wticlows Shall )mply io local building and Fie Wnatwekkd". Contractor kvill renhwe Wing WHIOWS milli (,]List is0l,'16011 installed %ith I _Spe,C t to h *e ) L knCISM INIng SpUCCS, Ahzing dust contaInrnent ineasures, vactiurnitq; with FIE.-T"N I-Ahers. and Raving the Wing areas clean aim! habitable at the end of each Work day/perAd. 3) M/caih er seahng die new wimlow unit installatimb W he dow xonding u) spec ificathni and in acoorchmce with local cod, PnTer drWnage fronn mCeP holes wv,ill be inainlaincoll and [tic miindo v fr',nne exteriors will tie finished with approprimo ritaterials t(t "IC',C01111110date MailUfac(urers specificaljons for drainage froin weep holes and present a undlorni appearance, 4) ExteMir Stucco and InterWr Wail I'Anishes W he wored to its We to(vional FAA as possible. Surfac'e- soling MH be thmic milli (lie appropriate printer to t'ijjj�jj, I) Replace oximing Shlngj"s MA I) wit an alurnituani frarneol, sin, le hypass, white finish, will) J.,om, A cc aing - WdMorrn Raled Sliding1has Door. Fixisting roug!h opening is 73"W x 80.5"11 2) Connowtor MH wnxwe e6sthig tkx)r will( dLJSt isAltio-')Ii installed with re'spw to the interior limn, SIXICCS, UITZ&g dust containment nicasures, vacutuning, wvith HEPA Me", and leaving the living areas clart and habitable at the end of each work day/perk)(1, 3) Install wiricismn rated dwy per rnanufacturers recornniendaHons and in concurrence with local wind-Monn co&s udh/ing reconartiended fasteners, 5 4) Weatilcl. Sealing the ncv,, door installation "'ill b�,' dMIC Z1CC0r(hncQ' to rnallUfiCtLWor and in accordance to local coofc(q T EAWrior SMcco and hHerhr Mill Finishes will be irsWred to as close tca cqs ignjajl t*inish ajs Pusible, stutwe sadog "ju be (]one with the appropriate ptinier to finish, MUOVIAng RQUIr-- Main Bathroom Tub/Shower The slunwrkpyot valve assembly has Md. Ile le,akin, wam- has cornpr(orldsC(I tile sheeiruck holding . Me. Acccss to (he valve asseinNy is restricted l-)Y the 1-tandicapTub that is a(ljacent to the conmon %51 shoved by are two hMhnmnB. The sl"rectrock bohind th' tr�)ilct is also ConlPFOHlised Mid Will need to be replaced and finished (ai.)proximately 2'x2'S(jUare t`cd). I ) Den)o tile tHe and sheet rock on the tub surr°r LIM! to rcnmvc the dogradNI Medals and rcveal the valve assornbo. OpRov W Q tmd) 2) Rephce damaged valve amembly with as new sljower/spig(q valve unh, Use appropri,,,,ite natterialS and best practices to Met rephcenrenUreydrs, 3) Rephcc darn aged sheet rock vAth Duro-Rock/Ceniont Board as tindcHayjjj(!jjt, 4) lnslaH Fiberglass RAW& Phadc SheathinWi5nels on lubsunsund kw a waturpnN)C shower/Bath surround. 5) Install shectrock behiml Mn jqw.n.nom sul()oth j(,) existin't,, sea] and finWl. Master Bathroom 'Fub Seal Repair/ Replace ffarldiCaf) Tub SC l to laster Bath, Use mean ntifilcLurer irplacernent parts or best available SUbStitUtC JaHTS to effect warer- light seaL Central Air-conditioning Service central air-conditioning system needs h) be serviced by as qual't"ed air conditioning servIe company. Particular mention needs W be [add to the air-handler coil, the condensate, P1,1111P, arld the thermostat, Rephwe car RepOr as needed, 6 f 2) We expri ding Stan amsund supply registers(8) and seal between supply register and ceiling 'llateri,11s. Ixt foam cure and cut exceis down to efthct snwoth lmnsitkmi and allow register to lay ['Ill are tile, ceiliagg/w,"Ifl CentA Air-conditioning Closet — Oiling Replacement Tle Ceiling Am the air-handler h,,is a 6' x 8' section missing. This is providing, a direct SOLH-CC of hot A to be drawn in from Me an& by W, Or-handler An Or bader k nealcd to stop hot attic dr infiltration. I) Renrovo any , d0hrk, nails, wiring, damaged cciHnjj material, etc., 2) InUT Only sunm memberWrwime raydred to Ndd ik mplacerners Wrig imucrial ill ph we. 3) Install appropriaw c&Hng nmacriM awl Won mTh nwnWhourer afynnod fasteners, rnud & tape to as smooth surface, IS= Rw a Wmme liar of seal, 4) the hest pWces and nmrials to gonerrue an airtight seal. Old - i 11 AC' Unit Sp,aces W) There are three wall spac,.es for old w'all/window AC Units, (Inc nonoperutive AC Unit is still in the Wall (livill,(!, I'00111) and Iwo space are covered with plywood, on the outside, l ) Remove old AC LON in hvhg rmwn %sH. 2) NmMl haming as nc!eded, add Mywoml slundiNg h) eumkw skly 6, U,,) 3) Install insulation as needed and cover the imerior WE with s1leetruck, Tape-n-float seams to tmitch ititerior- +%,ajj tCXtUre, Prinle to seat and finish. 4) StUCCO the OUNWe of be assemNy to mawh the exterior stucc(�) texture. Prime, to scal and finish„ 5) Do be smw payce&We with We remlnhg two wall spwes. 7 Hot �N'ater-heatt�r Replacement 1.) Replace old and rusted hot mairer heater with as thirty galk)n equivalent unit. Use best practices, fittings, and materials to effect rq'flacellient, 2) Set mplacentem temperature at 120*F (nwasumd at the kitchen 6wcm), 3) Rchuildhepkwe the smaH shed to protect the unit from the environment. ROOf 13004 -- Mectrical standpipe Repkwe the ism Rmt seding the clocnical slam§pe on Me roof with as ne", unit. Use best practices and nwwHds to mure dha a %vatemight swd k made against the roof, JQ 7 ContmaO 0 AJ /v 4 Datv WAP/SHIP Coyr" ifia t o r try 8 A DATE(MM/DDC'YYYYI CV_V�,TI VV=11 ,141TE F LIABILITY INSURANCEE DATE THIS CERTIFICATE IS ISSUED AS A.MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON'THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN'THE ISSUING INSURE,R(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)roust be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this,certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME.. Margaret Schneider CLIFFCORD INSURANCE CENTER, INC PHONE (352)245-5455 AtlC No): taszraas-sass 9790 SE 160th Lane E-MAIL ADDRESS:marg a:aret@cliffordinsurnce.net INSURER(S)AFFORDING COVERAGE NAIL# Summerfield FL, 34491 INSURER A:Southern Owners Insurance Co. 10190 INSURED INSURERS: L he Carpenter Construction, Inc. INsuRER c:Burchfield INSURERDmonton St INSURERE: st FL 33040-7446 INsuRERF. COVERAGES CERTIFICATE NUMBER:22/23 REVISION NUi1 BER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD @NDICATED. NOTVUI'THSTANDINGANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT VWITHI RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE,AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INrSR ADDL SUER POLICY EFF POLICY EXP LLTR TYPE CR INSURANCEINSpPOLICY NUMBER M1M/ODIYYYY JUM22a=YL LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,ppp DA"IAGE To RENTED 300,00�p A CLAIMS MADE 7C OCCUR PREMISES Ea eccrurcenice S X MED EXP(Any rove person) .$.-...... -rseaza5e 5/1E/2022 s,+16J?023 10,000 PERSONAL&ADN INJURY .,-S 1,000,000 GENiLAGrGREGATELIMITAPPLIESPER. GENIERALAGGREGATE 5..... 2,000,000 ... POLICY F PRO- [:]LOG 2,ppp,00p JECT PROOUCTS-CC�P�1PfC]PAGG 5 OTHER S AUTOMOBILE LIABILITY APPROVE')BY RISK MANAGEMENT Ea COMBINED SING IEDSINGLE.LIMIT $ ANYAUTC DY mw K BODILY INJURY(Per person) S ALL O"A'u'1+9ED SCHEDULED �.,-- _ "' AUTOS AIJT.S DATE. �1/ter 022 BODILY INJURY Ter accident) 5 NCN-OWNED ...._ _._ _....._ ...,. PROPERTY DAMAGE HIRED AUTOS AUTOS WV'AVE:R NA YES µr.M_... Per acadew S S UMBRELLA.LIAe OC.,C'UR EACH OCCURRENCE S EXCESS LIAR CLAIMhS MIADE, AGGREGATE:. S I''.. DED RETENTION S S WORKERS COMPENSATION PLR AND EMPLOYERS'EMPLOYERS'LIABILITY YIN ST"vTUTE E:R ANY'PERIME EIERE EXCLUDED? EXECUTIVE E,4 EACH ACCIDENT ..,5 O�FPICER/MEMBER EXCI-4DDEDP IL_�I N PA IMandatnry in NH) IE.L DI.....SEASE...EA EMPLOYEE S If yes describe tinder DESCRIPTION,OF OPERATIONS beVaw E_L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,'may be attached it more space is required) Qualifier; Gary P. Burchfield - License Ns; CBC1250924 - RC29027091 - IH/106449 Monroe County Building Department is included as additional insured with respect to the General Liability coverage, per forth 55373 (5-17) . CERTIFICATE HOLDER CANCELLATION (305)289�-2515 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Building Department THE,EXPIRATION DATE THEREOF,NOTICE WILL SE DELIVERED IN 279'8 Overseas Highway ACCORDANCE WITH!THE POLICY PROVISIONS. Suite 300 Marathon, L 33050 AUTHORIZED REPRESENTATIVE L.i.nda Clifford/SS a'1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS02'5(201401) Agency Code 12-0307-00 Poky Number 112322-78842358 55373 (5-17) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following!: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Under SECTION II -WHO IS AN INSURED is in whole or in part, by"your work"for that Addi- amended. The following provision is added. tional Insured by or for you. Other insurance A person or organization is an Additional Insured, available to the Additional Insured will apply as only with respect to liability caused, in whole or in excess insurance and not contribute as primary part, by"your work"for that Additional Insured by or insurance to the insurance provided by this for you: endorsement. 1. If required in a written contract or agreement; or 2. The following condition is added. 2. If required by an oral contract or agreement only Other Additional Insured Coverage Issued By if a Certificate of Insurance was issued prior to Us the Ioss indicating that the person or organiza- If this policy provides coverage for the same tion was an Additional Insured. loss to any Additional Insured specifically shown B. SECTION III - LIMITS OF INSURANCE is as an Additional Insured in another endorsement amended. The following provision is added, to this policy, our maximum firnit of insurance The limits of liability for the Additional Insured are under this endorsement and any other endorse- those specified in the written contract or agreement ment shall not exceed the limit of insurance in between the insured and the owner, lessee or con- the written contract or agreement between the tractor or those specified in the Certificate of insur- insured and the owner, lessee or contractor, or ance, if an oral contract or agreement, not to exceed the limits provided in this policy, whichever is the limits provided in this policy. These limits are less. Our maximum limit of insurance arising inclusive of and not in addition to the limits of out of an "occurrence", shall not exceed the limit insurance shown in the Declarations. of insurance shown in the Declarations, regard- C. SECTION IV- COMMERCIAL GENERAL less of the number of insureds or Additional LIABILITY CONDITIONS is amended. Insureds, 1. The following condition is added to 4. Other Insurance, All other policy terms and conditions apply. This insurance is primary for the Additional Insured, but only with respect to liability caused, 55373 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 11 of 1 GARYBUR-01 REGANIL CERTIFICATE OF LIABILITY" INSURANCE DATE IMMG7DIYYYYI 7t7/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON(THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU'R R(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poilcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain(policies may rewire an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER. No'MTEAcr Linda Regan Insurance Office of America PHONE FAX 13361 Overseas Highway IAIC,N r,Eztp:(305)537-2782 (AaC,Not. Marathon,FL 3305 EAra�O :Linda.Regan ioausa.com .._ INsURr� DING COVERAGE NAIL q. INSURER A:Progressive Express Insurance CU.tTI an/ 10193 INSURED INSURER 0: Gary Burchfield dba Gary the Carpenter INSURER c: _.. 800 Simonton Street INSURER D Key West,FL 33040-3168 INSURER E INSURER F:, _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THUS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW'HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITNON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W'WHiCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN„ THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN'IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUOR. ...POLICY E,FF POLICY EXP LIMITS LTIRPOLICY NUMBER COMMERCIAL GENERAL LIABILITY EACH OCCUiRRENCE S CLAIMS-MADE [:]OCCUR.. DAMAGE TO RENTED 1aEa _ac urr n ej. S _.._..._ PIEDEXP An aCe:.P..frson S ... PERSONAL&ADV INJURY S.. GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE S POLICY IA per, � ] LOC .. F-1 C, PRODUCTS-COMPAGR AOO S ............BOTHERS .,._........ A AUTOMOBILE LIABILITY _ COMBINED SINGLE LIMIT 100,000.. _LEa accident➢ S ANY AUTO X 08370079-3 11//912021 1111'...9J2022 E ODLY INJURY(Per,pers©n s OWNED SCHEDULED AUTOS ONLY AUTOS BOt7iLY VN,JURY(Per accident S ,( IMIIR�E¢1 X NON-+J"dWNFD PROPERTY DAMAGE. AUT S ONLY AVJTO ONLY {Per accuderuil S 5 UMBRELLA LIAO ...........m OCCUR EACM OCCURR'.ENCE 5.. EXCESS LIAR CLAIMS-MADE AGGREGATE 5 DEC) I RETENTION S 5 WORKERS COMPENSATION' PER. OTIt'- AND EMPLOYERS'LIA.OILITY YIN ''....STAT" T .w ANY PROPRVETORIPARTNE'RIEXECUTIVC ... �CyyFFiCERIMEMlf3'ERIEXGLLiDED? NIA E..N_.EACHACCIDENT s_-....-_.___ (Mandatary In NH) E.L.C3V5EA.SE-EA EMPV.OYE S If yes, describe uindler �----_ .. DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule„may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE(DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION' DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Monroe County BOCC 1100 Simonton Street f ✓/ A221073 ACORD 25(2+016103) 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are reglistered marks of ACORD r ATE IMe1Fw9rDDaYYYYy.... CERTIFICAITE F LIABILITY INSURANCE, TE(MMJ DJYYY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE, COVERAGE, AFFORDED BY THE POLICIES BELOW.. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT'.: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be ondorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy„ certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Ilou of such endorsernent(s). PRODUCER CONTACT Todd Gear e NAME. g Bouchard Insurance for WBS-TG PHONE P PO Box 6090, (A/C,No,Ext): (866)293-3600 ext 623 Fax E-MAIL ._ IArc,Nay. Clearwater, FL 33758-6090 ADDRESS;_ .....INSURERtSjAFFORDING COVERAGE 1AIC iS INSURER A: Zurich-American Insurance Company 16535 _ INSURED 9NSURER Workforce Business Services,Inc.Alt.Ernp Gary the Carpenter Construction Inc _ B: _ _ B ...,,,,, .... 1401 Manatee Ave.West Ste 600 INSURER C: Bradenton,FL 342 0 5-6 7 0$ INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NU,MBER:21FL079807619 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE. FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR 4 ....... __. ___. ,,, ..... POLICY INSR JADDL SUBRI POLICY NUMBER MM IDDIYYY TYPE OF INSURANCE 1 1 POLICY EFY MMM®. E)c LIMITS O1^fYYX COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS-MADE C7C':CIJR I DAMAGE TO RENTED ..._ 6 � R'f1E4iPI,,L°a QE'u a�r.ctirrcnc'EL ° .. ......... .._._ .... MF.D EXP(Any one person) 5 _ ",RS NAL 1S AD"INJURY GEN"I AaGHE GA r"E LI11%I APPLIES PER l .. CJFfBI-tuHLFGGf«C)AiL 1 S 1 r`RO- _ k°4JLUCY f.11EC;T f LGC PRODUCTS C;P7 IPIOP AGG S ... ... CYEHEIR IE'. (Ea accident). AUITOMOE31LE LIABILITY � tC7JMNEl7SINGLE-LIMpl �.. I .. � ''...ANY AUTO E3f;LALY INJURY(Per person) �5 .. _ ... G fr'PV?C'1 Sw IRE[Jt1LEPC i l3(UD Y INJURY(Peraccidentj S _ AuISMS ON[Y AUFOS� � { . AU ros 01,ILY AU'OS aNF( 6 (F'er a adontp S I S UMBRELLA LIAB C?CC3tJR EACH OCCURRENCE EXCESS LIAB _._. CLAIM,`.)P,1ADJ P AGGREGATE C DEIC7 RETENTIONS _., �.. ....... S WORKERS COMPENSATION I F'EP Oulu AND EMPLOYE,RS'LIABILITY h'/N X SffiTtJTE _ IR,. ANYP O Iry I,ICHrPAP1NERIFXECUTIVE Ei EACHACCIOENT � 1,000,000 REXCLtJDEDT NJA� WC90-00-818-11 12/31/2021 12/31/2022 _._.. ,.. . (MUandatoryInNil) I�_.E.DI,T,EASF.-�EAF.MPLOYC S 1,)00,000 it yes,desr_'nbe under ........_. _ GES:CRIIPTION OF 0PERA110NS beNmv E_L.DISFASF-POLICY L.IMOT S 1,000,000 Location Coverage Period: 12/31/2021 12/31/2022 Client# 002806 l � DESCRIPTION OF OPERATION'S P LOCATIONS 1 VEHi'CLES (ACORD 101,Additional Remarks Schedule,may be attached if rnore space is required) Coverage is provided for Gary the Carpenter Construction Inc only those co-employees 800 Simonton St of,but not subcontractors Key West.FL 33040 to; CERTIFICATE HOLDER CANCELLATION Monroe County BL7CC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. 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