07/12/2022 Agreement Monroe County Purchasing Policy and Procedures
ATTACHMENT D.5
COUNTY ADMINISTRATOR
CONTRACT SUMMARY FORM FOR CONTRACTS LESS THAN $50,000.00
Contract with: , /I PIUmbIn AC„If 1 Contract#
Effective Date: upon L"xecutiion;
Expiration Date: One yew
Contract Purpose/Description:
This,contracf is for thee operations arid;meintenahce seruio"of the dbunty au+ned;air curtain;on;Canal 266;, The Vendor is also
the reerdent on the l fwhere the eqOiepment is located,.but;isr qualifiied and`experienced,in provi dfho sleemrlaf services for his firm:,
This'] fund d thr u h the assessment.e lleeted for Canal 2%,
Contract is Original Agreement Contract Amendment/Extension Renewal
Contract Manager: Ah pnda Heaeaq; 4714 �
(Name) (Ext.) (Department/Stop #)
Total Dollar Value of Contract: $ Current Year Portion: $ Ge 0'
(must be less than$50,000) (If multiyear agreement then0'7 requires BOCC approval,unless the 5-i
ita.r�aa�a�iiumniiiulan�nes ,amnia.r�ulmiV n,�s,; ��u,ami
"^a�rfll,fllfllfll���.
Budgeted? Yes❑■ No ❑
Grant: $NSA County Match: $
Fund/Cost Center/Spend Category: 177-23100 -SC_00036
ADDITIONAL COSTS
Estimated Ongoing Costs: $ /yr For: N/A
(Not included in dollar value above) (e.g.maintenance,utilities,janitorial, salaries,etc.)
IInsurance Required: YES 0 NO ❑
CONTRACT REVIEW
Changes
Date In Needed Reviewer Date In
DeparYl ❑ � Rhonda Haag Digitally 7.22 Rhonda Haag
tment Head Yes No g Date:2022.07.22 11 28 07-04'00'
County Attorney Yes❑ No��'�� P�r ��°
Risk Management Yes❑ No❑■
Digitally signed Julie Igl a y signs y
John by John Quinn Julie Cuneo
O.M.B./Purchasing Yes❑ No* Quinn Date:2022.10.14 Cuneo 15:2 44-0400'
1 R�48.38-04'00' 1526:44-D4'00'
Comments:
Revised BOCC 1/21/2022
� . � 8 5 nd II
VTONROF', COUNTY
CON"URAC"I' Ask
OR
CANAll, 2,66 AIR CUR]"AIN
OPERATIONS AND ,MIAINTENANCE SERVICES
FORTME,
CANAL RESTORATION PROGRAM
THIS AGREEMENT is made and entered into this day of"
2022 by MONTtOl"'. COUTNTY ("COUN'T"Y"), a polilical SUbdivision of thd 'S't,'a' tc ?o` --ort�a,
whose address is, I 100 Simonton treel, Suile 2-205, Key, West, Florid-a 3�3040 and Avis
Pkinibing And it Conditioning Inc. ("CONTRACTOR"), whose address is 83 1 SW 44th Street,
Cape Cora l, F loirida 3 3 9�4
NAll N ES S 111w.
I
WHER E AS, the ("OUN'TY' requires, serviccs for the operations, t'naintenance and monitoring
services of the insialledafi Clillaill syslem in Canal #266: and
WHEREWS, ihe CONTRAcu"M desires and is able to provide operatio�its and mainWnance and
nionitoritig services and itorm preparation 5ery ice s for the existing air curtm I in systcni owned by
Munroe C,ounty, and,
WHFIU,:AS, the C'ON'Fl?A(.7r'0R is also the honicowner of the kit where the Coi�inty-ownled
e1quiptnent is located, at 30960 Bail Y's I ane, Big Pine Key, Florida 3
WHEREA , it s,erves as legitimate pubbe pu,q)osc f6r ('ONTRACTOR to provide operations and
niaintenance and monitoring services for Monroe Counly.
NOW THEREFORti", in consideration ofthe tnulwal promislesiind coveymms contained her6n, it
is agreed as ftjflows.
Section I. THE AGREEMEN'T
The Agreement sludl consist of this document and exhibils'.
Section 2. SCOPE OF THE NVORK:
The CONTRACITOR shall Imovidle stern operations, and jimintei"iance (O&Nfli and monitoring
services for Canal 266 in Dr's ikrn'i of'Big Pine Key, inchting rh cost of el 'ectnci
ty consurned
aTid the depusits and tces required by the U'lififiles and as docunic rat ed by paid receipts It-01T) flIC
utilitics, At a iminimuni, ffie O&kl activities shall ffie services listedl in E,xhibit A.
Section 3, CONTRACF A MOUWT
A, The toW CON'FIZAC"T anwun trall be not to exicccd Filleen Thousand Dolliars,
l-..-..--..-..........
The COUNTY shall pay th,ie CONTRAC"FOR ,,i lunip surn amoura of
S6,00,01 flair the CONTRACTOW's plerformance of the Contract For, Operatkni and
Mriii�illena ice ol"tl,icAirC'ui,-Iaii,ii, ""flan i ne lu,des aqua me OY lump sunr amount o f S 1,5 O ,,
1
B. The CONTRACT Amount includes $9,000 for deposits, utilities, replacement parts and
equipment, and pre and post storm preparedness activities. The COUNTY shall reimburse
the CONTRACTOR for the actual power consumption cost and replacement of parts,
subject to paid receipts provided by the CONTRACTOR. Fees and deposits shall be
reimbursed by the COUNTY at actual costs plus 5% overhead and Profit. Replacement
parts and equipment costing greater than $100.00 require advance approval of the County
prior to purchase and installation, which shall be provided by email from the County's
project manager.
C. No additional costs for travel, mileage, meals, or lodging shall be allowed.
Section 4. PAYMENTS TO CONTRACTOR
A. CONTRACTOR shall submit to COUNTY itemized invoices with all required supporting
O&M documentation acceptable to the Clerk on a quarterly schedule in arrears.
Acceptability to the Clerk is based on generally accepted accounting principles and such
laws,rules and regulations as may govern the Clerk's disbursal of funds.Invoices for O&M
may be submitted quarterly in the lump sum amount of$1,500.
B. Invoices for the electrical and replacement parts may be submitted quarterly, with paid
receipts from the electrical utility for the previous month's power use and receipts for the
replacement parts.
C. In the event of an approaching storm, CONTRACTOR shall perform the pre and post-
storm preparedness activities outlined in Exhibit B, and shall be paid a lump sum amount
of$500.
D. COUNTY shall pay in accordance with the Florida Local Government Prompt Payment
Act; payment will be made after delivery and inspection by COUNTY and upon
submission of invoice by CONTRACTOR.
Section 4. TERM OF AGREEMENT
This Agreement shall commence on the date of the Notice to Proceed and extend for a period of
one year unless terminated earlier under paragraph 19 of this Agreement.
Section 5. CONTRACT TERMINATION
Either party may terminate this Agreement because of the failure of the other party to perform its
obligations under the Agreement. COUNTY may terminate this Agreement with or without cause
upon thirty (30) days' notice to the CONTRACTOR. COUNTY shall pay CONTRACTOR for
work performed through the date of termination.
Section 6. CONTRACTOR'S ACCEPTANCE OF CONDITIONS
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A. CONTRACTOR hereby agrees that they have carefully examined the RFP, his response,
and this Agreement and has made a determination that he/she has the personnel, equipment,
and other requirements suitable to perform this work and assumes full responsibility
therefore. The provisions of the Agreement shall control any inconsistent provisions
contained in the specifications. All specifications have been read and carefully considered
by CONTRACTOR,who understands the same and agrees to their sufficiency for the work
to be done. Under no circumstances, conditions, or situations shall this Agreement be more
strongly construed against COUNTY than against CONTRACTOR.
B. Any ambiguity or uncertainty in the specifications shall not be construed against the
drafter.
C. The passing, approval, and/or acceptance by COUNTY of any of the services furnished by
CONTRACTOR shall not operate as a waiver by COUNTY of strict compliance with the
terms of this Agreement, and specifications covering the services.
D. CONTRACTOR agrees that a County representative or her designated representative may
visit the site periodically to conduct random evaluations of services during
CONTRACTOR'S normal business hours.
E. CONTRACTOR has, and shall maintain throughout the term of this Agreement,
appropriate licenses and approvals required to conduct its business, and will at all times
conduct its business activities in a reputable manner. Proof of such licenses and approvals
shall be submitted to COUNTY upon request.
Section 7. NOTICES
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:
To the COUNTY: County Administrator, Mr. Roman Gastesi
1100 Simonton Street, Suite 205
Key West, Florida 33040
To the CONTRACTOR: Avis Plumbing and Air Conditioning Inc.
831 SW 44th Street
Cape Coral, Florida 33914.
Section 8. RECORDS
Public Records Compliance. CONTRACTOR must comply with Florida public records laws,
including but not limited to Chapter 119, Florida Statutes and Section 24 of article I of the
Constitution of Florida. The County and CONTRACTOR shall allow and permit reasonable access
to, and inspection of, all documents, records, papers, letters or other "public record" materials in
its possession or under its control subject to the provisions of Chapter 119, Florida Statutes, and
made or received by the County and CONTRACTOR in conjunction with this contract and related
to contract performance. The County shall have the right to unilaterally cancel this contract upon
violation of this provision by the CONTRACTOR. Failure of the CONTRACTOR to abide by the
terms of this provision shall be deemed a material breach of this contract and the County may
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enforce the terms of this provision in the form of a court proceeding and shall, as a prevailing
party, be entitled to reimbursement of all attorney's fees and costs associated with that proceeding.
This provision shall survive any termination or expiration of the contract.
The CONTRACTOR is encouraged to consult with its advisors about Florida Public Records Law
in order to comply with this provision.
Pursuant to F.S. 119.0701 and the terms and conditions of this contract, the CONTRACTOR is
required to:
(1) Keep and maintain public records that would be required by the County to perform the
service.
(2) Upon receipt from the County's custodian of records, provide the County with a copy of the
requested records or allow the records to be inspected or copied within a reasonable time at a cost
that does not exceed the cost provided in this chapter or as otherwise provided by law.
(3) Ensure that public records that are exempt or confidential and exempt from public records
disclosure requirements are not disclosed except as authorized by law for the duration of the
contract term and following completion of the contract if the CONTRACTOR does not transfer
the records to the County.
(4) Upon completion of the contract, transfer, at no cost, to the County all public records in
possession of the CONTRACTOR or keep and maintain public records that would be required by
the County to perform the service. If the CONTRACTOR transfers all public records to the County
upon completion of the contract, the CONTRACTOR shall destroy any duplicate public records
that are exempt or confidential and exempt from public records disclosure requirements. If the
CONTRACTOR keeps and maintains public records upon completion of the contract, the
CONTRACTOR shall meet all applicable requirements for retaining public records. All records
stored electronically must be provided to the County, upon request from the County's custodian
of records, in a format that is compatible with the information technology systems of the County.
(5) A request to inspect or copy public records relating to a County contract must be made
directly to the County, but if the County does not possess the requested records, the County shall
immediately notify the CONTRACTOR of the request, and the CONTRACTOR must provide the
records to the County or allow the records to be inspected or copied within a reasonable time.
If the CONTRACTOR does not comply with the County's request for records, the County shall
enforce the public records contract provisions in accordance with the contract, notwithstanding the
County's option and right to unilaterally cancel this contract upon violation of this provision by
the CONTRACTOR. A CONTRACTOR who fails to provide the public records to the County or
pursuant to a valid public records request within a reasonable time may be subject to penalties
under Section 119.10, Florida Statutes.
CONTRACTOR shall not transfer custody, release, alter, destroy or otherwise dispose of any
public records unless or otherwise provided in this provision or as otherwise provided by law.
IF THE CONTRACTOR HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE
CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING
TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC
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RECORDS BRIAN BRADLEY AT (305) 292-3470 @�r� ie
,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
rian c� roecoun ,,,,,gym ov c/o Monroe CountyAttorne 's Office 1111 12'
ST'g, Suite 408 Key West FL 33040.
Section 9. EMPLOYEES SUBJECT TO COUNTY ORDINANCE NO. 010 & 020-1990
The CONTRACTOR warrants that it has not employed, retained or otherwise had act on its behalf
any former County officer or employee subject to the prohibition of Section 2 of Ordinance No.
0 10-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 020-1990.
For breach or violation of this provision the COUNTY may, in its discretion, terminate this
agreement without liability and may also, in its discretion, deduct from the agreement or purchase
price, or otherwise recover the full amount of any fee, commission, percentage, gift, or
consideration paid to the former County officer or employee.
Section 10. CONVICTED VENDOR
By signing this agreement, CONTRACTOR represents that the execution of this Agreement will
not violate the Public Entities Crime Act (Section 287.133, Florida Statutes). Violation of this
section shall result in termination of this Agreement and recovery of all monies paid hereto and
may result in debarment from County's competitive procurement activities.
A person or affiliate who has been placed on the convicted vendor list following a conviction for
public entity crime may not submit a bid on an Agreement with a public entity for the construction
or repair of a public building or public work,may not perform work as a CONTRACTOR, supplier,
subcontractor, or CONTRACTOR under Agreement with any public entity, and may not transact
business with any public entity in excess of the threshold amount provided in Section 287.017 of
the Florida Statutes, for the Category Two for a period of 36 months from the date of being placed
on the convicted vendor list.
Section 11. GOVERNING LAW, VENUE
This Agreement shall be governed by and construed in accordance with the laws of the State of
Florida applicable to Agreements made and to be performed entirely in the State.
In the event that any cause of action or administrative proceeding is instituted for the enforcement
or interpretation of this Agreement, the COUNTY and CONTRACTOR agree that venue shall lie
in the appropriate court or before the appropriate administrative body in Monroe County, Florida.
Section 12. SEVERABILITY
If any term, covenant, condition or provision of this Agreement (or the application thereof to any
circumstance or person) shall be declared invalid or unenforceable to any extent by a court of
competent jurisdiction, the remaining terms, covenants, conditions and provisions of this
Agreement, shall not be affected thereby; and each remaining term, covenant, condition and
provision of this Agreement shall be valid and shall be enforceable to the fullest extent permitted
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by law unless the enforcement of the remaining terms, covenants, conditions and provisions of this
Agreement would prevent the accomplishment of the original intent of this Agreement. The
COUNTY and CONTRACTOR agree to reform the Agreement to replace any stricken provision
with a valid provision that comes as close as possible to the intent of the stricken provision.
Section 13. ATTORNEY'S FEES AND COSTS
The COUNTY and CONTRACTOR agree that in the event any cause of action or administrative
proceeding is initiated or defended by any party relative to the enforcement or interpretation of
this Agreement,the prevailing party shall be entitled to reasonable attorney's fees, and court costs,
as an award against the non-prevailing party. Mediation proceedings initiated and conducted
pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and
usual and customary procedures required by the Circuit Court of Monroe County.
Section 14. BINDING EFFECT
The terms, covenants, conditions, and provisions of this Agreement shall bind and inure to the
benefit of the COUNTY and CONTRACTOR and their respective legal representatives,
successors, and assigns.
Section 15. AUTHORITY
Each party represents and warrants to the other that the execution, delivery and performance of
this Agreement have been duly authorized by all necessary County and corporate action, as
required by law.
Section 16. ADJUDICATION OF DISPUTES OR DISAGREEMENTS
COUNTY and CONTRACTOR agree that all disputes and disagreements shall be attempted to be
resolved by meet and confer sessions between representatives of each of the parties. If no
resolution can be agreed upon within 30 days after the first meet and confer session,then any party
shall have the right to seek such relief or remedy as may be provided by this Agreement or by
Florida law. This Agreement shall not be subject to arbitration.
Section 17. COOPERATION
In the event any administrative or legal proceeding is instituted against either party relating to the
formation, execution, performance, or breach of this Agreement, COUNTY and CONTRACTOR
agree to participate, to the extent required by the other party, in all proceedings, hearings,
processes, meetings, and other activities related to the substance of this Agreement or provision of
the services under this Agreement. COUNTY and CONTRACTOR specifically agree that no
party to this Agreement shall be required to enter into any arbitration proceedings related to this
Agreement.
Section 18. NONDISCRIMINATION/EQUAL EMPLOYMENT OPPORTUNITY
COUNTY and CONTRACTOR agree that there will be no discrimination against any person, and
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it is expressly understood that upon a determination by a court of competent jurisdiction that
discrimination has occurred, this Agreement automatically terminates without any further action
on the part of any party, effective the date of the court order. COUNTY or CONTRACTOR agree
to comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to
nondiscrimination. These include but are not limited to: 1) Title VII of the Civil Rights Act of
1964 (PL 88-352), which prohibit discrimination in employment on the basis of race, color,
religion, sex, and national origin; 2) Title IX of the Education Amendment of 1972, as amended
(20 USC §§ 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)
Section 504 of the Rehabilitation Act of 1973, as amended (20 USC § 794), which prohibits
discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42
USC §§ 6101-6107),which prohibits discrimination on the basis of age; 5)The Drug Abuse Office
and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis of
drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and
Rehabilitation Act of 1970 (PL 91616), as amended, relating to nondiscrimination on the basis of
alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, §§ 523 and 527 (42 USC
§§ 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient
records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC §§ 3601 et seq.), as amended,
relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
Disabilities Act of 1990 (42 USC §§ 12101), as amended from time to time, relating to
nondiscrimination in employment on the basis of disability; 10)Monroe County Code Chapter 14,
Article II, which prohibits discrimination on the basis of race, color, sex, religion, national origin,
ancestry, sexual orientation, gender identity or expression,familial status or age; and 11)any other
nondiscrimination provisions in any federal or state statutes which may apply to the parties to, or
the subject matter of, this Agreement.
During the performance of this Agreement, the CONTRACTOR, in accordance with Equal
Employment Opportunity (30 Fed. Reg. 12319, 12935, 3 C.F.R. Part, 1964-1965 Comp., p. 339),
as amended by Executive Order 11375, Amending Executive Order 11246 Relating to Equal
Employment Opportunity, and implementing regulations at 41C.F.R. Part 60 (Office of Federal
Contract Compliance Programs, Equal Employment Opportunity, Department of Labor). See 2
C.F.R. Part 200, Appendix II, ¶ C, agrees as follows:
(a) The CONTRACTOR will not discriminate against any employee or applicant for
employment because of race, color, religion, sex, sexual orientation, gender identity, or national
origin. The CONTRACTOR will take affirmative action to ensure that applicants are employed,
and that employees are treated during employment, without regard to their race, color, religion,
sex, sexual orientation, gender identity, or national origin. Such action shall include, but not be
limited to the following:Employment,upgrading, demotion, or transfer,recruitment or recruitment
advertising; layoff or termination; rates of pay or other forms of compensation; and selection for
training, including apprenticeship. The CONTRACTOR agrees to post in conspicuous places,
available to employees and applicants for employment, notices to be provided by the contracting
officer setting forth the provisions of this nondiscrimination clause.
(b) The CONTRACTOR will, in all solicitations or advertisements for employees placed
by or on behalf of the CONTRACTOR, state that all qualified applicants will receive consideration
for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or
national origin.
(c) The CONTRACTOR will not discharge or in any other manner discriminate against
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any employee or applicant for employment because such employee or applicant has inquired about,
discussed, or disclosed the compensation of the employee or applicant or another employee or
applicant. This provision shall not apply to instances in which an employee, who has access to the
compensation information of other employees or applicants as a part of such employee's essential
job functions, discloses the compensation of such other employees or applicants to individuals
who do not otherwise have access to such information, unless such disclosure is in response to a
formal complaint or charge, in furtherance of an investigation, proceeding, hearing, or action,
including an investigation conducted by the employer, or is consistent with the CONTRACTOR's
legal duty to furnish information.
(d) The CONTRACTOR will send to each labor union or representative of workers with
which it has a collective bargaining agreement or other contract or understanding, a notice to be
provided by the agency contracting officer, advising the labor union or workers' representative of
the CONTRACTOR's commitments under section 202 of Executive Order 11246 of September
24, 1965, and shall post copies of the notice in conspicuous places available to employees and
applicants for employment.
(e) The CONTRACTOR will comply with all provisions of Executive Order 11246 of
September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
(f) The CONTRACTOR will furnish all information and reports required by Executive
Order 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of
Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the
contracting agency and the Secretary of Labor for purposes of investigation to ascertain
compliance with such rules, regulations, and orders.
(g) In the event of the CONTRACTOR's non-compliance with the nondiscrimination
clauses of this contract or with any of such rules, regulations, or orders, this contract may be
canceled, terminated, or suspended in whole or in part and the CONTRACTOR may be declared
ineligible for further Government contracts in accordance with procedures authorized in Executive
Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies
invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation, or
order of the Secretary of Labor, or as otherwise provided by law.
(g) The CONTRACTOR will include the portion of the sentence immediately preceding
sub-paragraph(a)and the provisions of paragraphs(a)through(g)in every subcontract or purchase
order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to
section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be
binding upon each subcontractor or vendor. The CONTRACTOR will take such action with
respect to any subcontract or purchase order as the administering agency may direct as a means of
enforcing such provisions, including sanctions for non-compliance; provided, however, that in the
event a CONTRACTOR becomes involved in, or is threatened with,litigation with a subcontractor
or vendor as a result of such direction by the administering agency the CONTRACTOR may
request the United States to enter into such litigation to protect the interests of the United States.
Section 19. COVENANT OF NO INTEREST
COUNTY and CONTRACTOR covenant that neither presently has any interest, and shall not
acquire any interest,which would conflict in any manner or degree with its performance under this
Agreement, and that only interest of each is to perform and receive benefits as recited in this
Agreement.
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Section 20. CODE OF ETHICS
The parties understand that officers and employees of the COUNTY are required to comply with
the standards of conduct for public officers and employees as delineated in Section 112.313,
Florida Statutes, regarding, but not limited to, solicitation or acceptance of gifts; doing business
with one's agency;unauthorized compensation; misuse of public position, conflicting employment
or contractual relationship; and disclosure or use of certain information.
Section 21. NO SOLICITATION/PAYMENT
The COUNTY and CONTRACTOR warrant that, in respect to itself, it has neither employed nor
retained any company or person, other than a bona fide employee working solely for it, to solicit
or secure this Agreement and that it has not paid or agreed to pay any person, company,
corporation, individual, or firm, other than a bona fide employee working solely for it, any fee,
commission, percentage, gift, or other consideration contingent upon or resulting from the award
or making of this Agreement. For the breach or violation of the provision, the CONTRACTOR
agrees that the COUNTY shall have the right to terminate this Agreement without liability and, at
its discretion, to offset from monies owed, or otherwise recover, the full amount of such fee,
commission, percentage, gift, or consideration.
Section 22. NON-WAIVER OF IMMUNITY
Notwithstanding the provisions of Sec. 768.28,Florida Statutes,the participation of the COUNTY
and the CONTRACTOR in this Agreement and the acquisition of any commercial liability
insurance coverage, self-insurance coverage, or local government liability insurance pool coverage
shall not be deemed a waiver of immunity to the extent of liability coverage, nor shall any
Agreement entered into by the COUNTY be required to contain any provision for waiver.
Section 23. PRIVILEGES AND IMMUNITIES
All of the privileges and immunities from liability, exemptions from laws, ordinances, and rules
and pensions and relief, disability, workers' compensation, and other benefits which apply to the
activity of officers, agents, or employees of any public agents or employees of the COUNTY,
when performing their respective functions under this Agreement within the territorial limits of
the COUNTY shall apply to the same degree and extent to the performance of such functions and
duties of such officers, agents, volunteers, or employees outside the territorial limits of the
COUNTY.
Section 24. LEGAL OBLIGATIONS AND RESPONSIBILITIES
Non-Delegation of Constitutional or Statutory Duties. This Agreement is not intended to, nor shall
it be construed as, relieving any participating entity from any obligation or responsibility imposed
upon the entity by law except to the extent of actual and timely performance thereof by any
participating entity, in which case the performance may be offered in satisfaction of the obligation
or responsibility. Further, this Agreement is not intended to, nor shall it be construed as,
9
authorizing the delegation of the constitutional or statutory duties of the COUNTY, except to the
extent permitted by the Florida constitution, state statute, and case law.
Section 25. NON-RELIANCE BY NON-PARTIES
No person or entity shall be entitled to rely upon the terms, or any of them, of this Agreement to
enforce or attempt to enforce any third-party claim or entitlement to or benefit of any service or
program contemplated hereunder, and the COUNTY and the CONTRACTOR agree that neither
the COUNTY nor the CONTRACTOR or any agent, officer, or employee of either shall have the
authority to inform, counsel, or otherwise indicate that any particular individual or group of
individuals, entity or entities, have entitlements or benefits under this Agreement separate and
apart, inferior to, or superior to the community in general or for the purposes contemplated in this
Agreement.
Section 26. ATTESTATIONS
CONTRACTOR agrees to execute such documents as the COUNTY may reasonably require,
including, but not being limited to, a Public Entity Crime Statement, an Ethics Statement, a Drug-
Free Workplace Statement, a Non-Collusion Affidavit and a Vendor Certification Regarding
Scrutinized Companies.
Section 27. NO PERSONAL LIABILITY
No covenant or agreement contained herein shall be deemed to be a covenant or agreement of any
member, officer, agent or employee of Monroe County in his or her individual capacity, and no
member, officer, agent or employee of Monroe County shall be liable personally on this
Agreement or be subject to any personal liability or accountability by reason of the execution of
this Agreement.
Section 28. EXECUTION IN COUNTERPARTS
This Agreement may be executed in any number of counterparts, each of which shall be regarded
as an original, all of which taken together shall constitute one and the same instrument and any of
the parties hereto may execute this Agreement by signing any such counterpart.
Section 29. SECTION HEADINGS
Section headings have been inserted in this Agreement as a matter of convenience of reference
only, and it is agreed that such section headings are not a part of this Agreement and will not be
used in the interpretation of any provision of this Agreement.
Section 30. INSURANCE POLICIES
30.1 General Insurance Requirements for Other Contractors and Subcontractors.
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As a pre-requisite of the work governed,the CONTRACTOR shall obtain, at his/her own expense,
insurance as specified in any attached schedules, which are made part of this contract. The
CONTRACTOR will ensure that the insurance obtained will extend protection to all
Subcontractors engaged by the CONTRACTOR. As an alternative, the CONTRACTOR may
require all Subcontractors to obtain insurance consistent with the attached schedules; however
CONTRACTOR is solely responsible to ensure that said insurance is obtained and shall submit
proof of insurance to COUNTY. Failure to provide proof of insurance shall be grounds for
termination of this Agreement.
The CONTRACTOR will not be permitted to commence work governed by this contract until
satisfactory evidence of the required insurance has been furnished to the COUNTY as specified
below. Delays in the commencement of work, resulting from the failure of the CONTRACTOR
to provide satisfactory evidence of the required insurance, shall not extend deadlines specified in
this contract and any penalties and failure to perform assessments shall be imposed as if the work
commenced on the specified date and time, except for the CONTRACTOR's failure to provide
satisfactory evidence.
The CONTRACTOR shall maintain the required insurance throughout the entire term of this
contract and any extensions specified herein. Failure to comply with this provision may result in
the immediate suspension of all work until the required insurance has been reinstated or replaced
and/or termination of this Agreement and for damages to the COUNTY. Delays in the completion
of work resulting from the failure of the CONTRACTOR to maintain the required insurance shall
not extend deadlines specified in this contract and any penalties and failure to perform assessments
shall be imposed as if the work had not been suspended, except for the CONTRACTOR's failure
to maintain the required insurance.
The CONTRACTOR shall provide, to the COUNTY, as satisfactory evidence of the required
insurance, either:
• Certificate of Insurance, or
• A Certified copy of the actual insurance policy.
The County, at its sole option, has the right to request a certified copy of any or all insurance
policies required by this contract. All insurance policies must specify that they are not subject to
cancellation, non-renewal, material change, or reduction in coverage unless a minimum of thirty
(30) days prior notification is given to the County by the insurer.
The acceptance and/or approval of the CONTRACTOR's insurance shall not be construed as
relieving the CONTRACTOR from any liability or obligation assumed under this contract or
imposed by law.
The Monroe County Board of County Commissioners, the municipalities, its employees and
officials will be included as "Additional Insured" on all policies, except for Workers'
Compensation.
30.2 Insurance Requirements
General Liability
Prior to the commencement of work governed by this contract, the CONTRACTOR shall obtain
11
General Liability Insurance. Coverage shall be maintained throughout the life of the contract and
include, as a minimum:
• Premises Operations
• Bodily Injury Liability
• Expanded Definition of Property Damage
The minimum limits acceptable shall be $300,000 Combined Single Limit(CSL)
If split limits are provided, the minimum limits acceptable shall be:
$ 300,000 per Person
$ 300,000 per Occurrence
$ 50,000 Property Damage
An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its
provisions should include coverage for claims filed on or after the effective date of this contract.
In addition, the period for which claims may be reported should extend for a minimum of twelve
(12) months following the acceptance of work by the County.
The Monroe County Board of County Commissioners and the municipalities shall be named as
Additional Insured on all policies issued to satisfy the above requirements.
30.3 Vehicle Liability Insurance requirements
Recognizing that the work governed by this contract requires the use of vehicles, the
CONTRACTOR, prior to the commencement of work, shall obtain Vehicle Liability Insurance.
Coverage shall be maintained throughout the life of the contract and include, as a minimum,
liability coverage for:
• Owned, Non-Owned, and Hired Vehicles
The minimum limits acceptable shall be:
$300,000 Combined Single Limit(CSL)
If split limits are provided, the minimum limits acceptable shall be:
$200,000 per Person
$300,000 per Occurrence
$200,000 Property Damage
The Monroe County Board of County Commissioners and the municipalities shall be named as
Additional Insured on all policies issued to satisfy the above requirements.
30.4 Workers' Compensation Insurance Requirements
Prior to commencement of work governed by this contract, the CONTRACTOR shall obtain
Workers' Compensation Insurance with limits sufficient to respond to the applicable state statutes.
12
In addition, the CONTRACTOR shall obtain Employers' Liability Insurance with limits of not
less than:
$100,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$100,000 Bodily Injury by Disease, each employee
Coverage shall be maintained throughout the entire term of the contract. Coverage shall be
provided by a company or companies authorized to transact business in the state of Florida.
Section 31. INDEMNIFICATION
The CONTRACTOR does hereby consent and agree to indemnify and hold harmless the
COUNTY and the County's elected and appointed officers and employees harmless from and
against (i) any claims, actions or causes of action, (ii) any litigation, administrative proceedings,
appellate proceedings, or other proceedings relating to any type of injury (including death), loss,
damage, fine, penalty or business interruption, and (iii) any costs or expenses that may be asserted
against, initiated with respect to, or sustained by, any indemnified party by reason of, or in
connection with, (A) any activity of CONTRACTOR or any of its employees, agents, contractors
or other invitees during the term of the Agreement, (B)the negligence or recklessness, intentional
wrongful misconduct, errors or omissions, or other wrongful act or omission of CONTRACTOR
or any of its employees, agents, sub-contractors or other invitees, or(C)CONTRACTOR's default
in respect of any of the obligations that it undertakes under the terms the Agreement, except to the
extent the claims, actions, causes of action, litigation, proceedings, costs or expenses arise from
the intentional or sole negligent acts or omissions of the COUNTY or any of its employees, agents,
contractors or invitees (other than CONTRACTOR). The monetary limitation of liability under
this contract shall be equal to the dollar value of the contract and not less than $1 million per
occurrence pursuant to Section 725.06, Florida Statutes. Insofar as the claims, actions, causes of
action,litigation,proceedings, costs or expenses relate to events or circumstances that occur during
the term of the Agreement, this provision will survive the expiration of the term of the Agreement
or any earlier termination of the Agreement.
Section 32. INDEPENDENT CONTRACTOR.
At all times and for all purposes hereunder, the CONTRACTOR is an independent
CONTRACTOR and not an employee of the Board of County Commissioners. No statement
contained in this agreement shall be construed so as to find the CONTRACTOR or any of his/her
employees, contractors, servants or agents to be employees of the Board of County Commissioners
for Monroe County. As an independent CONTRACTOR the CONTRACTOR shall provide
independent, professional judgment and comply with all federal, state, and local statutes,
ordinances, rules and regulations applicable to the services to be provided.
Section 33. COMPLETENESS OF WORK.
The CONTRACTOR shall be responsible for the completeness and accuracy of its work, plan,
supporting data, and other documents prepared or compiled under its obligation for this project,
13
0,nnnaissioners for klonn�w County, As an independent CON-rRACTOR thic CONTRACTOR
shall provide independerit, prolcssional judgment and coinply with all federal, slate, and local
statutes,, ordinances, rules and regidations appliciable to the sci-Ndces tcm be provided.
Section 33. COMPILETENESS OF WOW
the CONIMACTOR strall be responsible for the completeness and accuraicy, of its work, plan,
ISUpportirig data, and othcr documents prepared or compiled under its obligation for this, project,
and sliall wrriect at its expense call significant errors or onussions therein which 111ay be disclosc&
The cost of fli'le, %vork necessary to Convict thaw errors attrilmtablc to, the "ON TIZ ACTOR and
any darnage hicurred by the COUNTY as a NSUIt of additiorial costs caused by suchi erroirs s[Wl
ble c[iarlcable to (lie CONTRACTOR, Th!k, pro,,,,ision shall not apply Io any nialis, official
records, contracts, or other data that may be provided by the C()IU,',NJ'Y or other public or semi-
public agencies,
The CON'T'Rr\CTOR agreles ftrl no charges or clainis ft,)r damages shall be rmade by it ibr any,
delays or hindi-ances attributtible to the MINI`)( di tring the progress of any portion of the
services specified in tlris corm,act. Such delays or hindrances, ifarmy, shiall be wrnpiensated for
by flic COUNTY by an; extension of time for a reasonable ptriod f(,)r the CONTRACTOR to
C0111plele the work schedule. Such atiagreernent shall be made, between time piarfics,
FN` WITN"ESS yea HERI"101", the parties hereto has caused, these presients to be executed
on the 25th day of' October 20122,
(S l"'A L) BOARD OFCOUNTY CONINUSSIONERS
Attest: Kevriti Madok,CLERK 01'' NIONROE CO(JN"IfY, 11"LORIDA
- B—-—---------------------------------------------- Y
As Deputy Ciminty Admillistratot
(CORPORATE SEAL) �4111�PLUMING AND AIR, CONDITIONING
I N
A f-J+ISI-:
...........
By .
40
3Y,
THIF, IJ
Approved as to form and legal sufficiency:
Monroe County Attorney's Office
'I'lta",signed by Cynthia L Hall
DN:co Cynthia L.Hall,o Monroe 14
C-nty BOCC,ou,email hall
cynthiaorrionmecounty-fl.g-,
c==US
Date 2022.10.27 135821 04'00'
EXHIBIT A
SCOPE OF SERVICES
The Contractor shall provide the following minimum services quarterly:
I. Utilities: The CONTRACTOR shall establish an account for the systems with Keys Energy
Services (Big Pine Key) for the system dedicated meters and shall pay all associated fees and
deposits required for establishing the electrical service. Additionally, the CONTRACTOR shall
pay the monthly electric bills in a timely manner so that a disruption in service does not occur.
II. Maintenance Visits: Maintenance visits shall be completed quarterly, for a minimum of 4
visits per calendar year. Document each visit using the attached O&M Inspection Form and this
Exhibit and submit to the COUNTY within 48 hours after completing inspection.
A. Controls and Electrical System:
• Record the hour meter on the control panel,
• Check wind vane to ensure it is working properly and cables and pole are secure.
• Verify wire connections are weather tight and not eroded.
• Look for evidence of damage or vandalism
• Verify control panel is locked.
• Verify electrical meter is in working order
• Verify breakers are secure in panel box
• Check for tripped breaker, blown fuse, poor electrical connection, interruption of
power, or improper power supply.
• Check circuit breaker/fuses to ensure in working order.
B. Pumps, Motors, Compressors:
• Check, clean, and replace as necessary the blower filters, pistons, O-rings, and
gaskets in accordance with the manufacturer specifications. The air filters shall be
replaced at least quarterly, and the pistons shall be replaced at least twice a year.
• Check, clean and repair all pumps, motors, compressors, and related equipment.
Check all pumps to ensure each is running as designed. Check impellors and
electronic start switches are working and capacitors are not blown.
• Check running amps on pumps.
• Verify overload in motors is not tripped. Check for solid material possibly lodged
in pump inlet.
• Start and stop each pump several times. Check to ensure vent holes are open and
clean.
• Check pump inlet or valves in discharge pipe to ensure not clogged.
• Verify pump motors are delivering appropriate voltage
C. Aeration System:
• Dive the canal and clean the fouling from the air curtain discs using a scrub brush
or equivalent. Adjust the distribution manifold as necessary to reestablish equal air
15
distribution once the fouling has been removed from both sides of the weed barrier
system.
• Inspect all visible plumbing lines, fittings, and components for signs of damage,
degradation, or leaks, and correct or replace as necessary. Look for loose or
broken lines.
• Inspect the blower enclosure cooling fans and lubricate as necessary.
• Look for evidence of damage to compressor cabinets and that the compressors are
secure in the cabinet
• Verify gauges are working and record flow rates
• Look for visible wear on pistons and vanes
• Verify Remote manifold lines are secure with no damage
D. Site conditions:
• Maintain the landscaping in the area surrounding the blower enclosures, and apply
ant control products as necessary.
• Look for evidence of leaks
• Look for washouts or uneven ground
• Verify the platform is sturdy
• Look for evidence of weather damage and vandalism
• Observe any trash or debris
E. Resident response:
• Respond within 48 hours to individual homeowner complaints. Such response may
be in electronic or other communication methods. The County's project manager
shall be notified of all complaints and the resolution.
• Provide a vendor telephone number and email address for residents to report issues
or concerns
III. Storm preparation services: In the event of an approaching storm, the Contractor shall
verify with the County and perform the following services:
Pre-storm activities:
• Review emergency response plans.
• Button up equipment on platform and ensure everything is securely fastened to
the platform
• Remove underwater lines and discs and place in a secure facility
• Turn off the pumps and compressors.
• Remove the wind vane
Post-storm activities:
• Observe site conditions and noting any damage or destruction to equipment,
controls, platform, etc.
• Repair and replacement of parts
16
• Reinstallation of aeration system
• Report to County
F. Reporting To County:
o Report to County immediately any emergency conditions.
o Report services performed through written detailed quarterly reports with
photographic evidence of activity
o Report all repairs performed, replacement of parts and equipment and
anticipated major expenses in the upcoming quarter
o Provide receipts of power used, repairs and replacements.
17
Attachment B—Checklist Form
Operations and Maintenance Summary Report
Air Curtain Operations and Maintenance: Canal 266
Location: 30960 Bailey's Lane, Big Pine Key, FL
Date and time:
Report l-"oiiimm e ted By:
Feather:
Weed Wrack Conditions:
Extent of weed wrack outside of curtain:
Is it stagnant or migrating along the shoreline?
If so, describe quantity, extent, and location, or attach photograph.
Other:
Climate:
Temperature:
Conditions (windy, cloudy, rainy)
System/Measurements:
Diffuser 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Line
Pressure
Flow
Summary o�f Visit and Inspection:
Preventive Maintenance and Cleaning Activities Performed:
Warranty Items Addressed:
Unresolved Issues or Factor contributing to potential O&M M issues:
Other Notes:
Attach photographs of site conditions, repairs made and parts replaced.
18
COUNTY FORMS AND INSURANCE FORMS
19
AVIS OP 10:SP
P4
F�
DAKWONVY�
CERTIFICATE O'F LIABILITY INS TE( D Y
URANCE '6�0711212'022
THI IERTI II ATE IS ISSUED AS A MATTER OF ]INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFtCA.TE HOLDER. TH
CERTIPICATE DOES NOT AFFIRMATIVELY OR INEG,ATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE ICI UCIES
BELOW. THIM CERTIFICATE OF INSUIRANCE DOES, NOT CONSTITUTE A CONTRACT BETWEEN' THE ISSUING INSURER(S)l, AUTHORIZED
REPRESENTATIVE OR PRODUCER,,ANOTHE CERTIFICATE IN OLDER,
IMPORTANT; If thle ceffifica IN is an ADDlr AL INSURED,the piollicylles) miust be ondorsed. If SUBROGATION IS WAIVED,subject to
the to the d
terms and condlitims ofthe ficy,carlIaln pollcle s m ay requir n e,a endomement. A s tste mtnt an this carlifl"Itle,douse n otconf ar rights
certificate holdet�ni flau of such en podlorsamengsi,
PROU ER
Uc rk D.Stichteir#A26483,1
Stewart&Sons Insurance,Inc. 'Al�� III _lll11_1
P.O,.,Sox 6002,9 PNORF 239-936-8844 A,_2139.276:4�'
..........
F,t.Myers,,FL 33906-0029
5jn 9&!�rtandlsonsiqsurancel.com
Mark IT.Stichter#A2548,31 ..........
4K5JVF!LA 6L FOROM COVERAGE NA4 4
...... SI
nritX ptnplp,m.. '23,280INUED vis Pluming&AirINSORIER al ervl'c,'e"LI yo!Itl�jqt#qce Co.
CondMoning1jiTc, 9 ........
8,31 SW 441h Street I .............
Cape C�oral, FIN 4 R,
2A
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COVERAGE$ CERTIFICATE NUMBER, REVISION NUMBER:
TfflS M TO CERTWY'rl TTHIE POLICIES OF IAS mAN IUSTED BELOW RAVE BEEN GSVED"IT 0 THE II SORED NAMILD ABOVE FOR THE PGL4Y PERIOD
tlNDCATED OTT' IfTHSTANINING ANY REQUIREMENT TERM 0,114 CON DIT[ON ITT ANY CONTRACTOR OT11ER DOCUMENT WITH RESPECT TO WHICH rWS
CEIRVFICATE MKY BE ISSUED OR MAY PERTAIN, TRE', INSURANCE AFFORDED BY THE Ind LOES DESCRIBED IH REW IS SUBJECT TO AU 91E TIERMS,
EXCLUS0NS AIND CONVI'llONS OF SUCH POUCES,IIIIwINITS SHOWN MAY HAVE BEEN REDUCED I PXD CLAJMS�,
M
...... �lcy fff V11-1.111101=
Paticy NUMBPA
TYPE OF URANCE I ,411"1 71 M060 y LWITS
A X coM NEWA GENERAL LIMLITY
EACH cX 11000100c
X I x NP01678390 OV0112022 071011t2021 p' 5100,010,10
CLAIMSMADE
MIEDE (A I I 0"00c
1,0100,000
(IENI AGGREGATE UM" APPLIES PER GENERAL AGGAEGAVIE S 2,0001,000
PULICY S 1000
IN
JECT LIOC PRODUCTS,COMPIOP AW S
.............. .......
AU MONLE Ll"MnLY -rZ0FR4F`,7;;-VMTFl JAM,IT
A ANY AUTID x %fE'NPLk 'T8,3 1071O1I"2022 07101120123
ALL OWNED SCAIEDIJ16EU
AUTOS ........... MOOS
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All HIREGAUTOS 49TOS
PIP T0.000
.......... OrN."'UR EA&Of OCCURRENCE 3 2'"101,000
A ExCIESS UAS IENP,0678390 0710112022 0710,112023 AGGREGATE 1 2,000,000
........... _ I
DED X 1pETENRON! .0
WORKER3 COMPENSATV ru'TE X ER AND MPL)DYERV LAA&UtY _Sjf
: ......
YIN
B 0412712022 0412712023 E L EA011 ACCIDENT 3
0F,TlCER9MEV9E,R EXCLIXE07
jMm",4ary W NH� F L DISEA4E60,EMPLOYEE 1 1,,0010,000:
DISEASE-POL K"�r L 1,00.0100
L L .................................-.2 ii..................
A ILeaselftnted 763901 07MV20122 OV01*023 1,000 DeductiNe
Equipment 11001,0100 Limit
DUMPTION OF OPERATORS LOCAncrm,t vr"111CILIS 000AD 191, MAR R0rJh,*ft$S0h*69TA,MY b*OftChod It M*ry 4ptice Nquhrod)
APPROVED BY RISK MANAGEMENT
DATE 10/14/2022
WAIVER N/A YES
CERTIFICATE HOLDIER CANCIELDTI _,
MON1110.1
SHOULD ANY Of rHlE ABOVE DESCRWED POLACIES SE CANCELLED BEFORE
TNTEXPIRATON OATE THEREOF, NOTIME WILL Of DELIVERED 11N
Monroe County Building Dept ACCORDANCE WTH THE POLACYPIROVISIONS.
2798 Overseas Hvvy,$to 300
IMairall,iion, FL 330,50 AUfTHC*fZFM RIPMENTATIVE
........... �,a4i*�_
C 198,11-2,014 ACORD CORPORATI10N. AIIII rights reserved.
A RD 25(2014401) Thie ACORD niamie and toge are reglatered marks WACORD
SWOR14 STATEMENT UNDER ORDINANCE NO. 010-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
tm i
N G- cxn�
(Company
"—warrants that he/it ha 5l not employed',, retained or otherwise had act on his/her b�ehalf any
former County officer or m-ployee 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 provisior ith,e County may, in its discretion, terminate this Agreement without
liability and may also, i-l! its discretion, deduct from the Agreement or purchase price, or
otherwise recover, the f0i amount of any fee, commlission, percentage, gift, or consideration
paid to the former County officer or employee.":
I Z1ell',
0,,I
Date: to ZZ_
STATE OF: /0
COUNTY OF:
Subscribed and sworn to or affirmed) before me, by means of gphysical presence or it online
notarization, on— -DR- -e e v-- 07 6c�,P, (date)
by (name of affiant). He/She is personally
known to me or has produced jr1sciAd-11 , t�#Am/*DL_ (type of identification) as
identification,
RON GERARD
Notary Public-Stat$of Florida
commission 0 HIH 306899
my commission Expires
Aupst 301, 2026
N In-"OTARYV
PUBLIC
My Colmmiission Expires: 0-V
J
NON�-COLLUSION AFFIDAVIT
t
Imy oath, and underpenalty of perjury, depose��� an �� according to law on
y, d say that
a. I am �IIA4 1E, kw tf of the firm of
` _ the bidder making the
Pro osal fo th proje described in the Bequest for Proposals for
and that l executed the said
proposal wit full authority to do so;
b. 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 competi r;
C. unless otherNise 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
d. no attempt h s been made or wiii be made by the bidder to induce any other
person, part rship or corporation to submit, or not to submit, a bid for the purpose
of restricting competition;
e. the staternerts contained in this affidavit are true and correct, and made with full
knowiedge that Monroe County relies upon the truth of the st,gtements contained in
this affidavit h awarding contracts for said project " '
Oe
a6e),tr"
Cate:
-
STATE OF:
COUNTY OF
) physical' p r L1 online
Subscribed and. sworn to r affirmed before me b means of C� h sical' presence o
notarization on 2. o (date)
by " &
name Oft4'a ). He/She is er on nown to me or
has produced type of
identification) a identification, � r y ��i� -s r rloddsF4i U 9IE ints
My Commission Expires;
DRUG-FREE WORKPLACE FORM
MENUMM
The undersigned vendor r accordance with Florida Statute 287,087 hereby certifies that-,
(Name of Business)
1 Publish a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possesscion, or use of a controlled substance is prohibited in the workplace
and specifying the actions that will be taken against employees for violations of such
prohibition,
2, Inform employee E ;about the dangers of drug abuse in the workplace, the business'
policy of maintaini ig a drug-free workplace, any available drug counseling, rehabilitation,
and employee a istance programs, and the penalties that may be imposed upon
employees for dru abuse violations,
& Give each emplo 0'e engaged in providing the commodities or contractual services that
are under bid a co Jy of the statement specified in Subsection (1).
4. In the statement s ecified in subsection (1), notify the employees that, as a condition of
working on the commodities or contractual services that are under bid, the employee will
abide by the term lof the statement and will notify the employer of any conviction of, or
plea of guilty or n 1,6 contende,re to, any violation of Chapter 89'3 (Florida Statutes) or of
any controlled substance law of the United States or any state, for a violation occurring
in the workplace no�!later than five (5) days after such conviction,
5. Impose a sanction o:n, or require the satisfactory participation in a drug abuse assistance
or rehabilitation program if such is available in the employee,'s community, or any
employee who is sly convicted.
6. Make a good faith effort to continue to maintain a drug-free workplace through
implementation of this section.
As the person authorized to sign the statement, 11 certify that this firm complies fully with the
above requirements,
(Sig
Date-,
STATE OF:
COUNTY 01=:
Subscribed and sworn to (or affirmed) before me, by means of 0 physical presence or 0 online
notarization, on Dee 4L,,,ADct ozodn_ (date)
by (ni ime of affian . He/She is personally
known to me or has produced ffe Wn
of
identification) as identificat fin. V
1d RON G,ERARD
I Notary Pubk-State
R1, S --
1 Commission 0 H!H
A PITIel a 2 8 ;
My Commission Expires:
PUBLIC ENTITY C'RIME STATEMENT
A person or affiliate who f as 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 su r6,t 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 awarc4d 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, for CATEGORY
TWO for a period of 36 m nths from the date of being placed on the convicted vendor list."
p
I have read the above ar state that neither l (Respondent's name)
nor any Affiliate has been placed on the convicted vendor list within the last 36 months.
9 r �
Gate: �Z
STATE F:
COUNTY OF ..
Subscribed' and sworn to or affirmed) before me, by means of El physical presence or 0 online
notarization, on (date)
by (name of ffiant). Floe/She is personally
known to me or has produced
type of identification)
as identification. RD
,%%Notary Public-State cf lorl99
Commission s HH 30689
.*# my y,ommission Expires
My Commission Expires: Aoq. 36
VENDOR
CERTIFICATION I� AC Dt IN SCRUTINIZED 1��IPANIES LISTS
Project Description(s): r .
Respondent.Vendor Name � t t '" C to c,
"Vendor PL➢N: r__
Vendor's,Authorized Repre entat ve Name and Title: � f I� t
Address: CA Pke CC ca,
City: Mate: Zip:
Phone Nuniber:
Email Address: kJA ➢ )Q&, nW% C, t14
Section 287.135, Florida St4tutes prohibits a company from bidding; on, submitting a proposal for, or
entering into or renewirr a �orntract for goods or services of.any arnouunt if, at the time of contracting or
renerwaI, the company is on the Scrutinized. Companies that Boycott Israel Dist, created pursuant to
Section 215. 725, Florida Statutes, or is engaged in a Boycott of Israel. Section 287.135, Florida
Statutes., also prohibits a company from bidding on, submitting a proposal for, or entering into, or
renewing a contract for g aids or services of $1,()I10,000 or more, that are on either the Scrutinized
Companies with Activities lin Sudan List or the Scrutinized Companies with Activities in the Iran
Petroleum Energy Sector Li sits which were created pursuant to s. 215.473, Florida Statutes, or is engaged
in business operations in Cn ba or Syria.
As the person authorized t `sign on behalf of Respondent, 1 hereby certify that titre company identified
above in the Section entitle "Respondent Vendor Narrre" is not listed on the Scrutirnized Companies that
Boycott Israel Gist or engaged in a boycott; of Israel and for Projects cif'$1,Ild0,fl0ti r more is not listed
can either the Scrutinized Companies with Activities in Sudan list, the Scrutinized Companies with
Activities in the Iran Petrol Lim Energy Sector list, or engaged in business operations in Cnrba or Syria.
I understand that pursuant tc :S'ection 287.135, Florida Statutes, the submission of"a false certification may
subject company to civil P halties, attorney's fees, and/or coasts. l further understand that any contract
With the County may be i[q]-ninated, at the option of the County, if the company is found to have
submitted a false certificatic nr on° has been placed on the Scrutinized Companies that Boycott Israel l.Jst or
engaged in ar boycott of Israel or placed on the Serurtinized Companies with Activities in Sudan List or the
Scrutinized. Companies wi ` Activities in the Iran Petroleum Energy Sector Dist or been engaged inbusiness operations ill Cuba oar Syria.
to sign on bel�alfof`tl�nc , who is authorized
B t
ab(2 r ene d ry nrpany.
Authorized Signature: n...
Print Narne: BrIAN F_ I's
Title:
Note: The List are availablelat the following Department of Management Services Site:
__LlnLs,,L}41Qriolpud onni/b us"nL s ()L! WSWt ..➢ uircn ,,Lstu Zv,e��➢��1; i1 . r�unmarrtiorrl c u� is too./ sus,
fy�1r d ni �lnwa n n uuu��rn�rlc r tLo 1 tuns%yr�urnisnn_➢Hams