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04/17/2002 Agreement CLERK OF THE CIRCUIT COURT MONROE COUNTY BRANCH OFFICE MARATHON SUB COURTHOUSE 3117 OVERSEAS HIGHWAY MARATHON, FLORIDA 33050 TEL. (305) 289-6027 FAX (305) 289-1745 MONROE COUNTY COURTHOUSE 500 WHITEHEAD STREET KEY WEST, FLORIDA 33040 TEL. (305) 292-3550 FAX (305) 295-3663 BRANCH OFFICE PLANTATION KEY GOVERNMENT CENTER 88820 OVERSEAS HIGHWAY PLANTATION KEY, FLORIDA 33070 TEL. (305) 852-7145 FAX (305) 852-7146 MEMORANDUM DATE: April 30, 2002 TO: Dent Pierce, Director Public Works Division ATTN: Beth Leto, Administrative Assistant Public Works Division Pamela G. Hanc~ Deputy Clerk "CY FROM: At the March 20, 2002, Board of County Commissioners (BOCC) meeting the Board granted approval and authorized execution of a Contract Amendment between Monroe County and Mowery Elevator Service, Inc. to include the elevator located in the common area and the dumbwaiter, located in the Property Appraiser's Office, at the Key West Courthouse for monthly maintenance and biennial inspections. ) At the April 17, 2002, BOCC meeting the Board granted approval and authorized execution of Contracts between Monroe County and L & N Dependable Janitorial, Inc. for Janitorial Services for the following locations: Big Pine Key Library, George Dolezal Library in Marathon, Islamorada Library, and the Key Largo Library. Enclosed are duplicate originals of each of the above mentioned for your handling. Should you have any questions please do not hesitate to contact this office. Cc: County Administrator w/o documents County Attorney Finance File ,/ CONTRACT THIS AGREEMENT, made and entered into this 17th day of April, 2002, A.D., by and between MONROE COUNTY, FLORIDA, (hereinafter sometimes call the "owner"), and L & N Dependable Janitorial, Inc., (hereinafter called the "Contractor"). That the parties hereto, for the consideration hereinafter set forth, mutually agree as follow: 1.01 THE CONTRACT The contract between the owner and the contractor, of which this agreement is a part, consists of the contract documents. A. THE CONTRACT DOCUMENTS The contract documents consist of this agreement, the specifications, all change orders, and any addenda issued hereafter, any other amendments hereto executed by the parties hereafter, together with the bid proposal and all required insurance documentation. 1.02 SCOPE OF THE WORK The Contractor shall provide janitorial services, including all necessary supplies and equipment required in the performance of same, and perform all of the work described in the Contract Specifications entitled: JANITO~LSERVICES BIG PINE KEY LffiRARY BIG PINE KEY, FLORIDA And his bid dated March 13, 2002, each attached hereto and incorporated as part of this contract document. The specifications shall serve as minimum contract standards, and shall be the basis of inspection and acceptance of all the work. The Contractor shall insure all exterior doors locked upon their departure. 1.03 THE CONTRACT SUM The County shall pay to the Contractor for the faithful performance of said service on a per month in arrears basis on or before the 30th day of the following month in each of twelve (12) months. The Contractor shall invoice the County montWy for janitorial services Performed under the Specifications contained herein. The Contract amount shall be as stated by the contractors proposal as follows: $3.540.00 per year, $295.00 per month. 1.04 CONTRACTOR'S ACCEPTANCE OF CONDITIONS A. The Contractor hereby agrees that he has carefully examined the site and has made investigations to fully satisfy himself that such site is correct and a suitable one for this work and he assumes full responsibility therefore. The provisions of the Contract shall control any inconsistent provisions contained in the specifications. All specifications have been read and carefully considered by the Contractor, who understands the same and agrees to their sufficiency for the work to be done. Under no circumstances, conditions, or situations shall this Contract be more strongly construed against the Owner than against the Contractor. B. Any ambiguity or uncertainty in the specifications shall be interpreted and construed by the Owner, and his decision shall be final and binding upon all parties. C. The passing, approval, and/or acceptance by the Owner of any of the janitorial services furnished by the Contractor shall not operate as a waiver by the Owner of strict compliance with the terms of this Contract, and specifications covering the services. Failure on the part of the Contractor, immediately after Notice to Correct shall entitle the Owner, if it sees fit, to correct the same and recover the reasonable cost of such replacement and/or repair from the Contractor, who shall in any event be jointly and severally liable to the Owner for all damage, loss, and expense caused to the Owner by reason of the Contractor's breach of this Contract and/or his failure to comply strictly and in all things with this Contract and with the specifications. 1.05 TERM OF CONTRACT/RENEW AL A. This contract shall be for a period of one (1) year, commencing May 1. 2002, and terminating April 30. 2002. B. The Owner shall have the option to renew this agreement after the first year, and each succeeding year, for two additional one year periods. The Contract amount agreed to herein might be adjusted annually in accordance with the percentage change in the Consumer Price Index for all urban consumers (CPI-U) for the most recent twelve (12) months available. 1.06 HOLD HARMLESS The Contractor covenants and agrees to indemnify and hold harmless Monroe County Board of County Commissioners from any and all claims for bodily injury (including death), personal injury, and property damage (including property owned by Monroe County) and any other losses, damages, and expenses (including attorney's fees) which arise out of, in connection with, or by reason of services provided by the Contractor or any of its Subcontractor(s) in any tier, occasioned by the negligence, errors, or other wrongful act of omission of the Contractor or its Subcontractors in any tier, their employees, or agents. In the event the completion of the project (to include the work of others) is delayed or suspended as a result of the Contractor's failure to purchase or maintain the required insurance, the Contractor 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 Contractor IS 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. 1.07 INDEPENDENT CONTRACTOR At all times and for all purposes under this agreement the Contractor is an independent contractor and not an employee of the Board of County Commissioners for Monroe County. No statement contained in this agreement shall be construed so as to find the contractor or any ofhislher employees, contractors, servants, or agents to be employees of the Board of County Commissioners for Monroe County. 1.08 ASSURANCE AGAINST DISCRIMINATION The Contractor shall not discriminate against any person on the basis of race, creed, color, national origin, sex, age, or any other characteristic or aspect which is not job related, in its recruiting, hiring, promoting, terminating, or any other area affecting employment under this agreement or with the provision of services or goods under this agreement. 1.09 ASSIGNMENT/SUBCONTRACT The Contractor shall not assign or subcontract its obligations under this agreement, except in writing and with the prior written approval of the Board of County Commissioners for Monroe County and Contractor, which approval shall be subject to such conditions and provisions as the Board may deem necessary. This paragraph shall be incorporated by reference into any assignment or subcontract and any assignee or subcontractor shall comply with all of the provisions of this agreement. Unless expressly provided for therein, such approval shall in no manner or event be deemed to impose any obligation upon the board in addition to the total agreed-upon price of the services/goods of the contractor. 1.10 COMPLIANCE WITH LAW In providing all services/goods pursuant to this agreement, the contractor shall abide by all statutes, ordinances, rules and regulation pertaining to, or regulating the provisions of, such services, including those now in effect and hereinafter adopted. Any violation of said statutes, ordinances, rules and regulations shall constitute a material breach of this agreement and shall entitle the Board to terminate this contract immediately upon delivery of written notice of termination to the contractor. The contractor shall possess proper licenses to perform work in accordance with these specifications throughout the term of this contract. 1.11 INSURANCE Prior to execution of this agreement, the contractor shall furnish the Owner Certificates of Insurance indicating the minimum coverage limitations as indicated by an "X" on the attached forms identified as INSCKLST 1-5, as further detailed on forms WCl, GLl, ED 1, and VL 1, each attached hereto and incorporated as part of this contract document, and all other requirements found to be in the best interest of Monroe County as may be imposed by the Monroe County Risk Management Department. 1.12 FUNDING AVAILABILITY In the event that funds from Facilities Maintenance Contractual Services are partially reduced or cannot be obtained or cannot be continued at level sufficient to allow for the purchase of the services/goods specified herein, this agreement may then be terminated immediately at the option of the Board of County Commissioners by written notice of termination delivered in person or be mail to the contractor. The Board shall not be obligated to pay for any services provided by the contractor after the contractor has received written notice of termination. 1.13 PROFESSIONAL RESPONSffiILITY The Contractor warrants that it is authorized by law to engage in the performance of the activities encompassed by the project herein described, subject to the terms and conditions set forth in these contract documents The provider shall at all times exercise independent, professional judgment and shall assume professional responsibility for the services to be provided. Continued funding by the Owner is contingent upon retention of appropriate local, state, and/or federal certification and/or licensure of contractor. 1.14 NOTICE REQUIREMENT Any notice required or permitted under this agreement shall be in writing and hand delivered or mailed, postage prepaid, to the other party by certified mail, returned receipt requested, to the following: FOR COUNTY Monroe County Facilities Maintenance 3583 S. Roosevelt Blvd. Key West, FL 33040 FOR CONTRACTOR L & N Dependable Janitorial, Inc. P.O. Box 2546 Key Largo, FL 33037 1.15 CANCELLATION A) The County may cancel this contract for cause with seven (7) days notice to the contractor. Cause shall constitute a breach of the obligations of the Contractor to perform the services enumerated as the Contractor's obligations under this contract. B) Either of the parties hereto may cancel this agreement without cause by giving the other party sixty (60) days written notice of its intention to do so. 1.16 GOVERNING LAWS This Agreement is governed by the laws of the State of Florida. Venue for any litigation arising under this Agreement must be in Monroe County, Florida. 1.17 CONTINGENCY STATEMENT Monroe County's performance and obligation to pay under this contract is contingent upon an annual appropriation by the Monroe County Board of County Commissioners. IN WITNESS WHEREOF the parties hereto have executed this Agreement on the day and date '.'.)'.'.~.!.1. -~..' 'en above in four (4) counterp~s, each of which shall, without proof or accounting for A{; ',"" "nterparts, be deemed an oogmal contract. .'/:'"/,,,,' ',i. "';;,...'J..-,\ ,~?,.:'~/' _ ._c~_ '\-.-{:,; ~"',-.c"~;':~:,:~~!~S, :1:.;( ';\tsm)\~;;<: BOARD OF COUNTY COMMISSIONERS :ft~\..'l..):~.,;J~.~.r.,.....;.,rn.i:.;:~.:...' i L. K;LHAGE, ~ OF MONROE CO~. ~TY, FLOIDA ><~.::~n;U-~ ~ By: -'. ---.:.:..:.. ; Deputy Clerk Mayo Chairman Date: ~ I? 'Zcc <.. (SEAL) Attest: By: By: Title: By .,7!L ra- WITNESS Titk~~ OJrm _. ~ c::::. .." <::::> ~ r- ;t-. ,." -0 ", :::0 0 W .." <::> 0 :::u -0 :::0 ::Jl: fT1 W c-> 0 <::> :::0 ~ 0 PUBLIC ENTITY CRIME STATEMENT "A person or affiliate who has been placed on the convicted vendor list following a conviction for public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287,017, for CATEGORY TWO for a period of36 months from the date of being placed on the convicted vendor list. " 13 SECTION 1WO CONTRACT SPECIFICATIONS 2.01 DESCRIPTION The Contractor shall furnish janitorial service, including all necessary supplies, equipment, and safety devices required in the performance of same for the Big Pine Key Library, located at the Big Pine Key Shopping Plaza, consisting of approximately 2,400 s.f 1. Restroom Sanitation shall include the following on a daily basis: a. All Floors swept, loose dirt removed. b. Wash and disinfect floor c. Stall partitions damp cleaned. d. All commodes, urinals, basins and vanities shall be scoured and disinfected. e. All urinal traps shall be specially cleaned and disinfected. f All sanitary napkin receptacles will be cleaned, waste disposed, and disinfected. g. All supplies shall be replaced (paper goods, soap, etc.). All other work necessary to maintain a clean and sanitary condition in these restrooms shall be accomplished, whether it is specifically noted in these specifications or not. NOTE: The Big Pine Key Library has 1 male public restroom with 1 toilet and 1 urinal, and 1 female public restroom with 2 toilets. 2. All sinks and water fountains outside the restroom areas are to be cleaned daily. Water fountains are to be polished periodically. 3. General Cleaning shall be completed daily, and should include the following: a. All tile floors are to be dusted and mopped. b. All furniture and furnishings to be dusted and spot cleaned. c. Low ledges, sills, rails, tables, shelving, baseboards, etc. to be wiped with a damp cloth to reduce the amount of dust in the building. d. All trash receptacles emptied, and trash can liners replaced. e. All upholster furniture to be vacuumed. f All carpeting shall be vacuumed with a powerful lIEP A vacuum, such as the Orik. 3. Weekly janitorial services to include: a. All glass partitions, doors, mirrors, windows, etc. to be cleaned and/or polished. b Obvious scuff marks shall be removed from resilient flooring. c. All door vents cleaned. 4. Monthly janitorial services to include: a. All high dusting (i.e. pk:tures, door frames, air vents, tops of book shelves, etc.) b. All walls dusted monthly c. All air conditioning vents, supply and return air grilles cleaned. 5. The Contractor shall insure all exterior doors are locked while they are servicing the building and upon their departure. 6. Janitorial services will be 4 days a week, Tuesday thru Friday (excluding holidays), beginning at or around 8:00 a.m. and completing no later than 10:00 a.m. 7. Coordination of the work with the County area representative shall be the responsibility of the Contractor. The Contractor shall perform the work during hours and time as specified. 8. Keys shall be issued to the Contractor by the area representative at the start of the Contract. Written confirmation of receipt of keys shall be signed by the Contractor. The Contractor shall return all keys as issued upon expiration of the contract or termination. 9. The contractor shall be responsible for the cost of changing locks, etc., for all keyed secured areas for which the Contractor does not return the keys. 10. The Contractor shall report any problems regarding open doors and/or vandalism to the Facilities Maintenance Department. 11. The Contractor shall provide all supplies necessary for the cleaning performance of his work under the contract. All supplies, including but not limited to, hand soap, paper towels, toilet paper, and trash can liners, shall be supplied by the Contractor. 12. Additional Services: (To be performed once in every three month period, and shall be included in the bidding price. A. Resilient Flooring shall be swept/dust mopped and stripped. After application of three coats of wax, areas shall be buffed sufficiently for maximum gloss and uniform sheen from wall to wall, including comers. The waxed floor shall present a clean appearance free from scuff marks or dirt smears. Furniture and/or other equipment moved during floor stripping and waxing shall be returned to their original positions. B. Dry Cleaning, Steam Cleaning, or Shampooing Carpets and Rugs shall be vacuumed of all loose soil and debris prior to cleaning, and shall be free of streaks, stains and spots, and shall have a bright uniform color upon completion of dry cleaning, steam cleaning or shampooing. ,~J~~~1~~' . . .~,~:,<;{ ::". . ' \'.,,"'::"", - . , \'tt.'. '> ' '.,.'t.... . ,) ...,..~~J:."i......:~,..~':?:":'."7 JANITORIAL SERVICES: AlA Y IIILL RUSSELL LIBRAR Y BIG PINE KEY LIBRARY GEORGE DOLEZAL LIBRARY -MARATIION ISLA!tfORADA LIBRARY KEY LARGO LIBRARY ADDENDUM NO.1 February 2, 2002 The information contained in this Addendum modifies, supplements or replaces information contained in the Bid and is hereby made a part of the Contract Documents I SECTION ONE - Article 1.04, paragraphs Band C, if Certificates of Competency and the Monroe County Occupation License cannot be obtained by the bid opening date, it must be obtained prior to contract execution, if awarded. 2 BID FORM - Page 3, delete fiom checklist the second sentence that requires the inclusion of a copy of the Contractor's License. All othcr items remain as called for in the documents End of AddcndulIl No I J n W. King, Acting Sf. DirL'Ctol uhlic Facilities Maintenance . ."....-. '. H:H G 8 2002 ~n I . \ P.O, BOX 2546 KEY LARGO, FL. 33037 305-248-0826 305-242-9274/FAX 11&.................... . .. ,,". .. '. .' The following is a list of some of our customers, you may call them for a recommendation. FLORIDA KEYS AQUEDUCT FLORIDA KEYS ELECTRIC FBG/BELL SOUTH COMMUNITY BANK/KEY LARGO COMMUNITY BANK/TAVERNIER COMMUNITY BANK/OCEAN REEF REPUBLIC BANKS TIB BANKS SED1ENS TECH 305-852-8068 305-852-2431 904-805-9282 305-451-5733 contact Debbie contact C. Russell contact Ramona contact Laurie 407-933-3338 305-451-4660 305-260-8520 contact Marge contact D. Johnson contact Jay Insurance certificates furnished upon signed contract. Thank You, a :t':f~/&NE~ 8/ The Bid PropOsal shall he submitted On the forms included in this section of the Bidding Documents as previously instructed therein. BID PROPOSAL Item Description Pages 1. Bid Form 2-3 2. Non-Collusion Affidavit 4 3. Lobbying and Conflict of Interest Clause 5 4. Drug Free Workplace 6 5. Contractor License (Current COpy to be submitted with bid) .\ . t ~ V,-1'"'_-.~_......".~., . . . ~ .... BID FORM ~ BID TO: MONROE COUNTy BOARD OF COUNTY COMMISSIONERS C/O PURCHASING DEPARTMENT GA TO BUILDING ROOM 2-213 1100 SIMONTON STREET KEV WEST, FLoRIDA 33040 BID FROM: ( .1 ~o3 The undersigned. having carefully examined the work, specifications, Proposal. and addenda thereto and other Contract Documents for the services of: . ., JANITORIAL SERVICES - MONROE COUNTY, BIG PINE KEY LmRARY ANNuAL FEE FOR JANITORIAL SERVICES $ 3~'iQ o.$L And having become familiar with all local conditions including labor affecting the cost thereot; and having familiarized himself with material availability, Federal, Slate, and Local laws, ordinances, rules and regulations affecting performance of the work, does hereby propose to furnish labor, mechanics, tools. material, equipment, transportation services, and all incidentals necessary to perform and t complete said work in a workman-like manner, in conformance with said Specifications, and other contract documents including addenda issued thereto. MONTHLy FEE FOR JANITORIAL SERVICES ~ kh "fJ.-tf..ui; -~ tf ~O<l I rO 0 In words t/ $~9~ -- JJ rj~ ~ !far In words - J acknowledge receipt of Addenda No. (s) I have included pages 2 through 6 of the Bid Proposal which entails the Proposal Form v-;'the Non- Collusion Affidavit ~ the Lobbying and Conflict ofiQterest Clause ""-:-and the Drug Free 2 ~ - ..'.....~...'lrT_._"!l.~ -'~... '''":''~.w:'.~~~.~~.. .,' ..... , Workplace Fonn ~ln addition, r have included copy of Contractor's License~ Monroe County oCCUpation License 00SUrance Agents Statement .......-:- and all requirements as stated in Section One, Article 1.04, Paragraphs A through D. Check mark items above as a reminder that the, are indnded.J ~A.&D-f d.~t/Co ~ ~o ,?t iJkJ37 Telephone: ~tJS cJl/J ...of~ ~ Fax: 3OS--cXlf~ -9~ '1,/ Mailing Address: Signed: Witness: (Seal) o~t-f'.y PVt. Flor~n?~ K. YOth.ers ~ ..lluwi 0 ccn;f!llSSIOn ~ cd 739595/. ~~ff EXPlfflSMay 22,2002 ~OF~ MER('~"!...OEO no/AU =- '~"'I/S BONDING CO... I/o!! IJ- Os Ie r; (Nt) ~ (Title) , ., .. t 3 '~",::-"'t::;lP')I"~")o''''''''~''>-. ......~, .....,-.'"'t,JIU'T. NON-COLLUSION AFFIDAVIT I, d~tI t2-ff1J law on my oath, and under pc 1. of the city of .;.k11t<P:;;-ff 19- h ?/ ty of pcrjwy, depose and say that: O~1i ~ If" DtfJl1lJl!!.- of the finn of L",-)( Jk:p ()f11J r1- P (of> :J,t-J.). !.foK-:~ according to lam lW~sal for~ prr; :scnl>ed in the Notice f: ~:(?' ~ and that I executed the said proposal with full authority t do so: f rl-k.- 2. the prices in this bid have been anived at independently without colImion, consullation, communication or agteemen( for the PutpOse of restiicting competition, as to any matter relating 10 soch prices with any other bidder or with any competitor; 3, nnless otherwise required by law, the prices which have been qnotod in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior 10 bid opening, directly or indirectly, to any other bidder or to any competitor; and ~ . ~ 4, no attempt has beeo made or will be made b the bidder to indnce any other person, paItner.;bip or corpomtion to submit, or not to submit, a bid for the purpose of restricting competition; 5. in this affidavit are true and correct, and made with full knOWledge that Monroe of the ts contained in this affidavit in awarding contracts for said project. STATE OF: - ~/~/:J- ~/-<H~1/' - 4/D~ c2 -/.3 -O.z (Date) t COUNTY OF: PERsONALLY AI'PEARED BEFoRE ME, the nndersigned antIwri1y, iJo/l.4 ~7U who, aflcr.first being ""'m by mCJ...namc of ind";dual signing) affixed h;s/her sign""," in Ihe space pro.,;ded above on Ibis /037'7'1 day of -L~3 ____ 20_~ My COIDnUss;on Expires, ,~n-/ ~ -'<7ZJ A. oR f/~ ~ 5 tbnnwssiol\ " CC 739:rs/ ~..r _ &. pires May 22.2DOZS5 ~o,:-f\S1'" I.tERC~ T"HRU -'0' SONOiNr'; ~t). 4 ,"" '\':' .'n:'7;,~:~:'~':;F~-I";'Vr..~','~' SWORN STATEMENT UNDER ORDINANCE NO. 10-1990 MONROE COUNTY. FLORIDA ETHICs CLAUSE W ~n1>Jl.~ fto ~U'-kx.'~ rJL wamurts that helit has not employed, retained or otherwise had act on hislits behalf any fonner County officer or employee in violation of Section 2 of Ordinance No. 10-1990 or any County officer or employee in violation of Section 3 of OrdWancc No, 10-1990 , For breach or violation of this provision the Connty may, in its discretion, tenninate this contract without liability and may also, in its discretion, deduct from the contract or purchase price, or otherwise recover, the full amount of any fee, .\ Date: c2 - /3--o;c STATE OF TZI/::7 /1 , COUNlY OF J72 m71/ - LZ/~ PERSONALLY APPEARED BEFORE ME, the undersigned authority, ~,ltf U7L2c7l/ who, after first being SWorn by me, affixed hisIber signature (name of individual signing) in the space provided above on this /3l7>- day of t - /-C:/3 200~ ~ -" . ~~e:c NOTARY PUBLIC ~z My commission expires: $.4/ 02. ~/ OMB - MCP FORM #4 (_< I tJ\Y... F ' i~'''~ ~"?e 1(. ' Yothel3 ~' 0 Exh~~~n fIE,CC 139SS5 ~ fY;4 Plfes May 22. 2002 OF~' , I.fE~EO TJ.#RU . 8ONDt~ r.o. 5 . . . DRUG-FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: J. "- ~/~4 A-J... :T,ul 1. Publish a statement notifying employees that the unlawful manufacture, distributio" dispensing, POSsessio" or use of a controlled substance is Prohibited in !be wodplace and specifying the actions that wiIl be taken against employees for violations of SUch prohibition. 2, Infonu employees about the dang... of drug abuse in !be workplace, the business's pobcy of maintaining a drug-free workplace, anr available drug counseling, rehabilitation. and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3, Give each employee engaged in providing !be COmmodities or C01ltr.lcluaI services !bat are under bid a COpy of the statement specified in subsection (I). 4, In the staleroem specified iu subsection (I), notify !be employees that as a condition of working on the COmmodities or COntIactual services !bit are under bid, the employee will abide by the terms of !be statement and will notify the employer of any conviction of, or plea of guilty or nolo cootendere 10, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any state, for a violation OCCUrring in the workplace no later than five (5) days after such COnviction. 5, Impose a sanctioo 0" or require the satisfactory participation in a drug abuse assistance or rehabilitation program if sucb is available in !be employce's conunmtity, or any employee wbo is so convicted. 6. Make a good I3ith eIfort to continue 10 maintain a drug-free workplace tbrongh implementation of this section. As !be person authorized to sign the statement I certi1y that this fino complies fully with !be above requirements. tx~OLW .o~ s Signature / Dale 02 - /..3 '0,;:( OMB - MCPf#5 ~',X"f''':,:',lI/WII~~.~'''1''+-'' .. t 6 '""'""",~,'!'l'.''I'l',-0-'',''''' ..- G 2001-2002 KONROE OCCUPATIONAL TAX STATE OF FLORIDA ^v\"V,JN I ~L1TIES EXPIRES 29240-00103: SEPT. 30, 200; :HINES ROOMS SEATS MUST BE DISPLAYED IN ~ONSPICUOUS PLACE EMPLOYEES EOF INESS 29240 J AN I TOR I AL SE RV I CE -_-'5rt1Ef-r;:'~:'~~' ..~o i/ff.' '",-. ,', ".~>~~\ 99264 OVERSEAS HWY Ai~Yu ....;::.:~".-: ;','-=- "'':,~~ 00 - COUNTY OF MONROE (I/al/~--, ,-',...10' !.:.~ ,;.'.;,\, {//t\G-/l~~,vl'--. '. I; , .., <~.~ ft'..:;:;]// '-'" :e'-"" I ,r, ~~ ."_\.'\ L&N DEPENDABLE: JANITORIALj!~:(((;--'~,~".> i i.;;::cV ~L~,'<": ~~ ~ E ~~ ~~~ ~ tt PRE S 33 037 ~:..'- :~_:,T \ ," . ;:? ~ I,i,i.. " i;l ~"'.. -.--- ,', ....iff '~.. '~ " <>/l" ~o" . /,~~~ ~~/":::--.... .. \~(r~' "~ C'O(;"Nr"V\ ( j" ,. ~~":..( ....~. . ~";>~ ~&:,~,...'11' SUPPUoMU'-n AL RENEWAL X NEW TAX ,f':;ANSFfR OtllGINAt -, AX INESS HESS 25.1 IE JNG RESS AMOUNf PENAL1 Y g:: ----i COUEe"ON GOS1 :JI "" '" ~ ~ 10 (At 1-. .~ ("0 ;::-4 - 0;;-:) ~I---'..... r>.", 1 Q;)~C""3 ~ ~t-~ . t:1 ::~L6 ~ 8 Q-, /- I-'- ~ BECOMESATAX OANISE I). HENRIQUEZ TAX COLLECTOR =-JPTWHENVALIDATED PO BOX 1129" KEY WEST FL 33041-1129 TLUi:'> a~ nt,", ",' V" ,,.' 110.,.,...,,,. "'''". "':'~.<,'::"",-. "-:~r"'--.: ;..r:-;:}'>l,'~',rc"-- .... --. · · II. ."'". ~ ur IN~UKANCE SUCH INSuRANCE AS IlESPecrs TlIE INTEREST OF THE CERTIFICATE HauleR W1U NOT BE CANCeLED OR OTlIER'" TERIIINATEO WITHOIiT GIVING 10 DAYS PRIOR "'RITTEN NOllce TO TlIE CER1lFICATE'HOlDER NAMeD BELO..., BUT IN EVENT SHAU THIS CERTIFICATE BE VAUO MORE 'IlfAN 30 DAYS FROM TlIE bATE ....meN. TlIIS CERTIFICATE OF INSUIlAN DOES NOT CHANGE THE poVERAGE' PROVIDED BY ANY pOliCY DESCRIBED BELOW. ' Trus certifies that 0' STATE .FARM MUTUAl AIlfOMOIlllE 'N5URANceCOMpA/iy of """"'*'oton _, .. o STATE FARM F1FlE AND CASUALTY COMPANY of Bloomington, IIDnois has COVetage In force forfhe ~ _ I[Jsured as shown beJo.r., \ CrT"';' 11r-' <\ / /", >;",' /'",1-' /"';"'''',,,,,,,,,,,-, _ , - - ~'.. ~~ '. 'p ',.' ~ -,H.., '",',D/" _ , _ _ " ,." ',,: ~!,,) /.."" t . L ' /...-:; ,'~ :x. . .~~ :.: (/ (" I\ddress of Nomod I......, ~ :- ~;.~r~~ ~. (>.:.4.,'. -'.: ,'; ,~ , I .' .')-'. / ~,.:2:~). ~:>~'-';k~' . " :T >-. POLICy NUMBER " ". ,,' ~... ~:' ~~ '~; /. I.;~;; ~~:...:: ;, -.. {~: /~/ - . -.... . ~ ..~ l-..' EFFECTIVE DATE , /-: Of' POLICy :J ",' 'Y .. ()J DESCRIPTION OF ;'''/'')'7 ;1:':. '" VEHICLE .'., -.-, ~'. . " ~,,;./').( , ~.;. <" .. . ("r~. UABlUTY COVERAGE ByES 0 NO D YES DNO 0 YES ONO 0 YES 0 NO UMlTs OF UABIUYY a. Bodily Injury Each Person - Each Accident b. Property Damage Each ~ ::. ~1r1wy&~ ;/ ",1/ Dimige s.ve l.irit 11../ Each~ 'HYSICAL DAMAGE BYES ONO DyES ONO DYES ONO 0 YES DNO :ovERAGES .-:;L"',.., L $ .;:.,.H. .......l" Ileductible $ DeducWe $ Deducttll9 $ DecIuctIlIe BYES 0 NO DyES DNO DyES DNO D YES 0 NO ColIsIon $ ~:--;o Deductible $ 0eductilIe $ Decb:We $ Oeductble. '-'PLOYER'S D.yES CJ DYES DNO DYES DNO 0 D IN.owNERSHIP NO YES NO )VERAGE RED CAR COVERAGE DyES 'GJNO , DYES ONe DyES ONO D YES 0 NO /7 ... / .. .' J ., -' , , , .,. .,#,.. ~~Ia~~~~ Name and Address of Certlficate Holder /It, -'/ a 4'.l:i":{ ,.i';I< ,,/, ./-t.. i,..;,.:.~. , ,.... .' '. . l'~ ....-, /'~?.~ ,,..,,-1' .J/_" ,./,:..."./ r .' TItle --, r Agent's Code Number Date' Name and Address of Agent ,/' / ,.;-. /..:... f."'r' t'.. /i" /' -: , :-,:.1,/ 'I..~. (," Lit of)' ....... I I 'I! " 1/ ,. " -/:,,' ;.7'7 ','I. , f .-." . -" .;'\ , :f :,' . /'-' < ..:.... I. <: .-- l '. .:Y'I>";;(,!..I~';, I tf iI'-.' (l' , ,{' ... {.,.' 'I i " , , 7: - ,'-. ,~" !. I ;0 1..<." ...,.', .~,.... ,(". ,/ ...., ~' ~ ". ,/','" .. . / /' A '.'..il ~( .:": ( J. ..<.,':' /"~'/~v /~.;( ,_ ;;'~'//":':i.. 't.t-Oj,I.' f. ,. t' (-;.~~ ,;., .....~ .....-...j< :'f...,.,.,4t~.~ ;f;' , ., / . / 7 .....,'.'/(.('J.t!."? --, /J //" ;', ",' ~.. ~ ,."".4 .. ~ / R.:-;, J'.3 IV C /, ,;::;.; /l. ~/ A I -" , ,~"~/;J /.; r;"_ '1/.' />t~,!I,...,. . ./T.' "/, (;) _?. .::'~.,~ :/':;; .- - - .... ... ---- .... -- .-. ~ - I 01/257200-2 ~ (305)247-5121 FAX (305)248-8543 THIs CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION T. R." ,'Jones " COlttJany ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1780 North Krome Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Homesteaa, FL 33030 INSURERS AFFORDING COVERAGE INSURED L " N Dependable Janltorlal, Inc INSURER A: Hartford Insurance Company PO Box 2546 INSURER B: Bridgefield Employers Ins. Co, Key Largo, Fl 33037-2546 INSURER C Security Bond Associates Inc~ INSURER D I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. '~f~ TYPE OF INSURANCE POLICY NUMBER p~.H~~~~iggAJ~f 71EUCLI2622 11/22/2001 ~NERAL LIABILITY X COMMERCIAL GENERAL LIABILITY I CLAIMS MADE 0 OCCUR Pg~'fJ'~~bRn~!gN 11/22/2002 LIMITS EACH OCCURRENCE A FIRE DAMAGE (Anyone fire) MED EXP (Anyone person) PERSONAL & ADV INJURY s s s 1,000,000 300,000 10,000 1,000,000 1,000,000 1,000,000 GEN'L AGGRE_FiGATE LIMIT APPLIES PER: --, PRO- n I POLICY JECT LOC AUTOMOBILE LIABILITY ----, ANY AUTO ---I ~ GENERAL AGGREGATE S PRODUCTS - COMP/OP AGG S ALL OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) - HIRED AUTOS - SCHEDULED AUTOS - NON-OWNED AUTOS " gl \ .,. - ENT APP!\ov~e' ",IiIi" ~ . \ '.\ V -; BY I . ~tJ '"\' '\DO' \J'tD\ J\' ~ ~ WAIVER N/A- _YES BODILY INJURY (Per person) - BODILY INJURY (Per accident) XlA ; rf\ n EROPERTY DAMAGE . U ll} '.\J.bU ,Per accident) AUTO ONLY - EA ACCIDENT S EA ACC S OTHER THAN AUTO ONLY: AGG S S S S S S ~AGE LIABILITY I ANY AUTO EXCESS LIABILITY ~ OCCUR 0 CLAIMS MADE I DEDUCTIBLE I RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY G/~~ \{: EACH OCCURRENCE AGGREGATE ~39901 03/28/2002 03/28/2003 OTH;R . ~mp oyee Dlshonesty C ~ond ~BS-460042 10/30/2001 10/30/2002 x I TORY LIMITS I IOJ~- E.L. EACH ACCIDENT S EL DISEASE - EA EMPLOYEE S E: L. DISEASE - POLICY LIMIT S $25,000 Contains Conviction 500,000 500,000 500,000 B Clause .,~ESCRIPTlON OF OPERA TIONSlLOCA T10NSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ~O Day Notice of Cancellation Applies for Workers Compensation CERTIFICATE HOLDER T I ADDITIONAL INSURED; INSURER LETTER CANCELLATION r-:..'- ----- - Generalr~~b2fJ;Jl~t O' (fj - 02 , ; Monroe County Board of County Commissioners is named as Add'l Insured for Monroe County, Board of County Commissioners Attn: Maria del Rio 51 College Read Key West, Fl 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ......!L DAYS WRITTEN NOTICE TO THE. CERTIFICATE HOlDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR L!ABILITY OF ANY KIND UPON THE COMPANY. IT:: AGENTS OR REPRESENTATIVES. AUTHORIZEO REPRESENTATIVE -niL Thomas Jones Jr. /JM I LJ- ACORD 2505 (7/97) ClACORD CORPORATION 1988