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HomeMy WebLinkAbout02/19/2003 AgreementClerkefthe Circuit Court Danny L. Kolhage Clerk of the Circuit Court Phone: (305) 292-3550 FAX: (305) 295-3663 Mvnorandum TO: Lynda Stuart, Office Manager Tourist Development Council ATTN: Maxine Pacini Administrative Assistant FROM: Pamela G. Ha~ Deputy Clerk DATE: June 18, 2003 At the February 19, 2003, Board of County Commissioner's meeting the Board granted approval and authorized execution of Grant of Funds between Monroe County and Florida Keys Community College for the Tennessee Williams Theatre Remodel & Improvement project in an amount not to exceed $180,005, DAC I, FY 2003 Capital Project Resources. Enclosed are two duplicate originals of the above mentioned for your handling. Should you have any questions please do not hesitate to contact this office. CCi County Administrator w/o document County Attorney Finance FileJ GRANT OF FUNDS d' This AGREEMENT dated the t?tI. day of ~ 2003, is entered into by and between the BOARD OF COUNTY COMMISSIONERS FOR MO OE COUNTY, hereinafter "County," on behalf of the TOURIST DEVELOPMENT COUNCIL, hereinafter "TDC," and Florida Keys Community College, a Florida not-for-profit corporation, hereinafter" Contractor". WHEREAS, the third penny of Tourist Development Tax may be used to acquire, construct, extend, enlarge, remodel, repair or improve, convention centers, sports stadiums, sports arenas, coliseums, auditoriums, fishing piers, museums, zoological parks, nature centers and beaches which are publicly owned and operated or owned and operated by not-for-profit corporations, and WHEREAS, Contractor has applied for funding for the Remodel & Improvement project to acquire, construct, repair and rehabilitate the Tennessee Williams Theatre project, hereinafter "the Property"; and WHEREAS, the County and TDC have determined that it is in the best interest of the County, for purposes of promoting tourism and preserving the heritage of the community, to acquire, construct, repair and rehabilitate the property for use as a convention center/auditorium open to the public; NOW, THEREFORE, in consideration of the mutual covenants and payments contained herein, the Contractor and the County have entered into this agreement on the terms and conditions as set forth below. 1. AGREEMENT PERIOD. This agreement is for the period February 19, 2003, through December 31,2003. This agreement shall remain in effect for the stated period unless one party gives to the other written notification of termination pursuant to and in compliance with paragraphs 7,12 and 13 below. 2. SCOPE OF AGREEMENT. The Contractor shall provide such services, materials and equipment as are required for auditorium/stage remodel and repair; box office update and remodel; audio/video equipment repair and acquisition; business meeting and convention hall remodel and equipment acquisition; and acquisition and installation of signage. The recipient of TDC capital project funding shall designate a project manager if no licensed architect, engineer or general contractor is involved in the project. If the project is performed by County or City personnel, the project manager shall be the Engineer, Building Official or Construction Manager of that local government. 3. AMOUNT OF AGREEMENT AND PAYMENT. The County shall provide an amount not to exceed $180,005 in reimbursement for materials and services used to acquire, rehabilitate and renovate the property. The Board of County Commissioners and the Tourist Development Council assume no liability to fund this agreement for an amount in excess of this award. Monroe County's performance and obligation to pay under this agreement is contingent upon an annual appropriation by the BOCC. a). Payment for expenditures permissible by law and County policies shall be made through reimbursement to Contractor upon presentation of invoices, canceled checks and other Tennessee Williams Theatre FY 2003 Capital Project Resources documentation necessary to support a claim for reimbursement. Included in said documentation shall be proof that the Contractor has received and applied to the property matching funds equivalent to or greater than the amount invoiced to the County. Submission of invoices must be certified through a statement signed by an officer of the organization and notarized, declaring that representations in the invoice are true and factual. b) Application of matching funds requires actual payment of the matching funds, or, in the alternative, a commitment of said funds and that the portion of the project for which the matching funds are to be used has been sufficiently completed to require payment of said matching funds. Mere obligation through execution of a contract or approval of a budget item to be paid from matching funds will not suffice. c) Documentation shall be submitted to the TDC Administrative Office to show the receipt and application of in-kind donations of goods, professional services, and materials. Said documentation should include invoices, bills of lading, etc., and be verified as received and applied to the project through a notarized statement of the project architect, engineer, general contractor or project manager. The receipt and application to the project of volunteer labor are to be documented and verified by notarized signature of the project architect, engineer, general contractor or project manager, and said documentation submitted to the TDC Administrative Office. All submissions should have a proposed schedule of values for phases and indicate the percentage of completion of the overall project as of the submission. This document should be signed by the project architect, engineer, general contractor or project manager. 4. REPORTS. The Contractor shall provide financial reports in summary of activity on forms provided or approved by the TDC, and quarterly narrative reports of activity under the approved work plan. The Contractor shall keep such records as are necessary to document the performance of the agreement and expenses as incurred, and give access to these records at the request of the TDC, the County, the State of Florida or authorized agents and representatives of said government bodies. It is the responsibility of the Contractor to maintain appropriate records to insure a proper accounting of all funds and expenditures. The Contractor understands that it shall be responsible for repayment of any and all audit exceptions which are identified by the Auditor General for the State of Florida, the Clerk of Court for Monroe County, the Board of County Commissioners for Monroe County, or their agents and representatives. In the event of an audit exception, the current fiscal year grant award or subsequent grant awards will be offset by the amount of the audit exception. In the event the grant is not renewed or supplemented in future years, the Contractor will be billed by the County for the amount of the audit exception and shall promptly repay any audit exception. 5. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the terms of this agreement shall be only amended in writing and approved by the Board of County Commissioners for Monroe County. 6. 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 of Monroe County. No statement contained in this agreement shall be construed as to find the Contractor or any of its employees, contractors, servants or agents to the employees of the Board of County Commissioners of Monroe County, and they shall be entitled to none of the rights, privileges or benefits of employees of Monroe County. 7. COMPLIANCE WITH LAW. In carrying out its obligations under this agreement, the Contractor shall abide by all statutes, ordinances, rules and regulations pertaining to or regulating Tennessee Williams Theatre FY 2003 Capital Project Resources 2 the provisions of this agreement, including those now in effect and hereafter adopted. Any violation of said statutes, ordinances, rules or regulations shall constitute a material breach of this agreement and shall entitle the County to terminate this agreement immediately upon delivery of written notice of termination to the Contractor. 8. RESTRICTIONS ON AGREEMENTS ENTERED PURSUANT TO THIS AGREEMENT. The Contractor shall include in all agreements funded under this agreement the following terms: a) Anti-discrimination. Contractor agrees that they will not discriminate against any employees or applicants for employment or against persons for any other benefit or service under this agreement because of their race, color, religion, sex, national origin, or physical or mental handicap where the handicap does not affect the ability of an individual to perform in a position of employment, and to abide by all federal and state laws regarding non-discrimination. b) Anti-kickback. Contractor warrants that no person has been employed or retained to solicit or secure this agreement upon an agreement or understanding for a commission, percentage, brokerage or contingent fee, and that no employee or officer of the Contractor has any interest, financially or otherwise, in Contractor. For breach or violation of this warranty, the Contractor shall have the right to annul this agreement without liability or, in its discretion, to deduct from the agreement price or consideration, the full amount of such commission, percentage, brokerage or contingent fee. Contractor acknowledges that it is aware that funding for this agreement is available at least in part through the County and that violation of this paragraph may result in the County withdrawing funding for the Project. c) Hold harmless/indemnification. Contractor acknowledges that this agreement is funded at least in part by the County and agrees to indemnify and hold harmless the County and any of its officers and employees from and against any and all claims, liabilities, litigation, causes of action, damages, costs, expenses (including but not limited to fees and expenses arising from any factual investigation, discovery or preparation for litigation), and the payment of any and all of the foregoing or any demands, settlements or judgments (collectively claims) arising directly or indirectly from any negligence or criminal conduct on the part of Contractor in the performance of the terms of this agreement. The Contractor shall immediately give notice to the County of any suit, claim or action made against the Contractor that is related to the activity under this agreement, and will cooperate with the County in the investigation arising as a result of any suit, action or claim related this agreement. d) Insurance. Contractor agrees that it maintains in force at its own expense a liability insurance policy which will insure and indemnify the Contractor and the County from any suits, claims or actions brought by any person or persons and from all costs and expenses of litigation brought against the Contractor for such injuries to persons or damage to property occurring during the agreement or thereafter that results from performance by Contractor of the obligations set forth in this agreement. At all times during the term of this agreement and for one year after acceptance of the project, Contractor shall maintain on file with the County a certificate of the insurance of the carriers showing that the aforesaid insurance policy is in effect. The following coverage's shall be provided: 1. Workers Compensation insurance as required by Florida Statutes. 2. Employer's Liability insurance with minimum limits of (aggregate): $100,000 bodily injury by accident, $500,000 bodily injury by disease aggregate, $100,000 bodily injury by disease per person. 3. Commercial General Liability Insurance with minimum limits of $500,000 per occurrence for bodily injury, personal injury and property damage. 4. Comprehensive Auto Liability Insurance with minimum limits of $300,000 combined single limit per occurrence. Tennessee Williams Theatre FY 2003 Capital Project Resources 3 The Contractor, the County and the TDC shall be named as additional insured, exempt workers compensation. The policies shall provide no less than 30 days notice of cancellation, non-renewal or reduction of coverage. At all times during the term of this agreement and for one year after acceptance of the project, Contractor shall maintain on file with the County a certificate of insurance showing that the aforesaid insurance coverage's are in effect. e) Licensing and Permits. Contractor warrants that it shall have, prior to commencement of work under this agreement and at all times during said work, all required licenses and permits whether federal, state, County or City. 9. HOLD HARMLESS/lNDEMNIFICATION. The Contractor hereby agrees to indemnify and hold harmless the BOCC/TDC and any of its officers and employees from and against any and all claims, liabilities, litigation, causes of action, damages, costs, expenses (including but not limited to fees and expenses arising from any factual investigation, discovery or preparation for litigation), and the payment of any and all of the foregoing or any demands, settlements or judgments arising directly or indirectly under this agreement. The Contractor shall immediately give notice to the County of any suit, claim or action made against the County that is related to the activity under this agreement, and will cooperate with the County in the investigation arising as a result of any suit, action or claim related to this agreement. 10. ANTI-DISCRIMINATION. The Contractor agrees that they will not discriminate against any of their employees or applicants for employment or against persons for any benefit or service because of their race, color, religion, sex, national origin, or physical or mental handicap where the handicap does not affect the ability of an individual to perform in a position of employment, and to abide by all federal and state laws regarding non-discrimination. 11. ANTI-KICKBACK. The Contractor warrants that no person has been employed or retained to solicit or secure this agreement upon an agreement or understanding for a commission, percentage, brokerage or contingent fee, and that no employee or officer of the County or TDC has any interest, financially or otherwise, in the said funded project, except for general membership. For breach or violation of this warranty, the County shall have the right to annul this agreement without liability or, in its discretion, to deduct from the agreement price or consideration, the full amount of such commission, percentage, brokerage or contingent fee. 12. TERMINATION. This agreement shall terminate on December 31,2003. Termination prior thereto shall occur whenever funds cannot be obtained or cannot be continued at a level sufficient to allow for the continuation of this agreement pursuant to the terms herein. In the event that funds cannot be continued at a level sufficient to allow the continuation of this agreement pursuant to the terms specified herein, this agreement may then be terminated immediately by written notice of termination delivered in person or by mail to Contractor. The County may terminate this agreement without cause upon giving written notice of termination to provider. The County shall not be obligated to pay for any services or goods provided by Contractor after Contractor has received written notice of termination. 13. TERMINATION FOR BREACH. The County may immediately terminate this agreement for any breach of the terms contained herein. Such termination shall take place immediately upon receipt of written notice of said termination. Any waiver of any breach of covenants herein contained to be kept and performed by Contractor shall not be deemed or considered as a continuing waiver and shall not operate to bar or prevent the County from declaring a forfeiture for Tennessee Williams Theatre FY 2003 Capital Project Resources 4 any succeeding breach either of the same conditions or of any other conditions. Failure to provide County with certification of use of matching funds or matching in-kind services at or above the rate of request for reimbursement or payment by is a breach of agreement, for which the County may terminate this agreement upon giving written notification of termination. 14. ENTIRE AGREEMENT. This agreement constitutes the entire agreement of the parties hereto with respect to the subject matter hereof and supersedes any and all prior agreements with respect to such subject matter between the Contractor and the County. 15. CONSENT TO JURISDICTION. This agreement, its performance, and all disputes arising hereunder, shall be governed by the laws of the State of Florida, and both parties agree that the proper venue for any actions shall be in Monroe County. 16. ETHICS CLAUSE: Contractor warrants that he has not employed, retained or otherwise had act on his behalf any former County officer or employee in violation of Section 2 or Ordinance No.1 0-1990 or any County officer or employee in violation of Section 3 of Ordinance NO.1 0-1990. For breach or violation of the provision the County may, at its discretion terminate this agreement without liability and may also, at 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 or present County officer or employee. 17. 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 an agreement to provide any goods or services to a public entity, may not submit a bid on a agreement 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, sub-contractor, or consultant under a 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, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list. 18. AUTHORITY: Contractor warrants that it is authorized by law to engage in the performance of the activities encompassed by the project herein described. Each of the signatories for the Contractor below certifies and warrants that the Contractor's name in this agreement is the full name as designated in its corporate charter (if a corporation); they are empowered to act and contract for the Contractor, and this agreement has been approved by the Board of Directors of Contractor or other appropriate authority. 19. LICENSING AND PERMITS: Contractor warrants that it shall have, prior to commencement of work under this agreement and at all times during said work, all required licenses and permits whether federal, state, County or City. 20. INSURANCE: Contractor agrees that it maintains in force at its own expense a liability insurance policy which will insure and indemnify the Contractor and the County from any suits, claims or actions brought by any person or persons and from all costs and expenses of litigation brought against the Contractor for such injuries to persons or damage to property occurring during the agreement or thereafter that results from performance by Contractor of the obligations set forth in this agreement. At all times during the term of this agreement and for one year after acceptance of the project, Contractor shall maintain on file with the County a certificate of the Tennessee Williams Theatre FY 2003 Capital Project Resources 5 insurance of the carriers showing that the aforesaid insurance policy is in effect. The following coverage's shall be provided: 1. Workers Compensation insurance as required by Florida Statutes. 2. Employer's Liability insurance with minimum limits of (aggregate): $100,000 bodily injury by accident, $500,000 bodily injury by disease aggregate, $100,000 bodily injury by disease per person. 3. Commercial General Liability Insurance with minimum limits of $500,000 per occurrence for bodily injury, personal injury and property damage. 4. Comprehensive Auto Liability Insurance with minimum limits of $300,000 combined single limit per occurrence.single limit per occurrence. The Contractor, the County and the TDC shall be named as additional insured, except workers compensation. The policies shall provide no less than 30 days notice of cancellation, non-renewal or reduction of coverage. At all times during the term of this agreement and for one year after acceptance of the project, Contractor shall maintain on file with the County a certificate of insurance showing that the aforesaid insurance coverage's are in effect. 21. NOTICE. Any written notice to be given to either party under this agreement or related hereto shall be addressed and delivered as follows: For Florida Keys Community College: Rebecca Tomlinson 5901 College Road Key West, FL 33040 " r f"'l1 o " o :;0 r-.-.> -y C..-::l -""" .;::::t ~ ~: {-tJ L~daS~art ~~~ ~ Monroe County Tourist Developmen~ync[: 1201 White Street, Suite 102 ~::2~_ ex> -- :;0 .-" Key West, FL 33040 :::;. '-r"'; !: :-:;,j d ~n~ ~ ~ an . :--1=,.,.. n ""Y"\- - 0 Suzanne Hutton, Asst. County Attorrwy f~ -'_ P.O. Box 1026 . . > -'-', ", Key West, FL 33041-1026 ,/. ff', ,~':;.' ,,':::' i'/1,,:"~~~_ .l~:;'_~~'-.\:li~~~~ss WHEREOF, the parties hereto have caused this agreement to be executed ~g{f~' "ff~f~ first above written. ~, f!l: i'.'~ '.', -;~" ~ If ~~ \ .--r>: -;::"}5.:l~f"~J . ) ~-\'" , ~ '^ ~~ p ~~,'_ ~ Y L. KOLHAGE, CLERK " ""\'",;:-~-- '.'" ~~1 ("OU"11 For County: u ....... ,.'v o BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA By: -i)j'; >n ~ Mayor/Chairman (SEAL) ATTEST: "'~. '~~ Dionne C. Harnish r"f . 13 MY COMMISSION # CC856805 EXPIRES ~" ..~N July 20, 2003 "'~P.r:or.-~' BONDED THRU TROY FAIN INSURANC~ INt: Florida Keys Community College By: ~i\ ~f\ President v By: ~6~~ Secretary 6 y s J.\Ni'-rA ~znC'.'~1 "w' tJ..- / f J- / f/ :J' Tennessee Williams Theatre FY 2003 Capital Project Resources ACORD,.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) 06/04/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur JRGallagher & Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8200 N.W. 41st Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 Miami, FL 33166 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Colony Insurance (n) FLORIDA KEYS COMMUNITY COLLEGE INSURER B: 5901 COLLEGE ROAD INSURER C: KEY WEST, FL 33040 INSURER D: INSURER E: Client#. 105 FLOCOMCO 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER PJ>1-{~~ri~r68tWIE p~~fl/~~~~N LIMITS A GENERAL LIABILITY CP3036093 04/29/03 04/29/04 EACH OCCURRENCE $1 000 000 - DAMAGE TO RENTED x.. 5'MERCIAL GENERAL LIABILITY $ - CLAIMS MADE D OCCUR MED EXP (Anyone person) $ PERSONAL & ADV INJURY $ X OCP GENERAL AGGREGATE $1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPJOP AGG $ I POLICY n ~r8T n LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - - HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ==i ANY AUTO OTHER THAN EA ACC $ ,- AUTO ONLY: AGG $ -, , :=JESS/UMBRELLA LIABILITY nl ~~ ~ 1~;;' EACH OCCURRENCE $ OCCUR D CLAIMS MADE BY ,~\... AGGREGATE $ DATE J) \ '1 '>1\113 $ ~ DEDUCTIBLE f YES $ RETENTION $ ._~ Mia $ WORKERS COMPENSATION AND I TIfj,~J!~r.~;" I IOJ~- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes. describe under $ SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS J LOCATIONS J VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISIONS TENNESSEE WILLIAMS THEA TRE- OWNERS & CONTRACTORS PROTECTIVE LIABILITY CERTIFICATE HOLDER IS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION BOARD OF COUNTY COMMISSIONERS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -3.0- DAYS WRITTEN FOR MONROE COUNTY & TOURIST NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL DEVELOPMENT COUNCIL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1201 WHITE STREET, SUITE 102 REPRESENTATIVES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE f/4~ ACORD 25 (2001/08) 1 of 2 #50150 LXS @ ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-5 (2001/08) 2 of 2 #50150 ACORDTM CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYYYY) ----. 02/27/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher & CO. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8200 N.W. ~1st Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 Miami, FL 33166 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Pacific Employers Insurance Company Florida Keys Community College INSURER B: 5901 College Road INSURER c: Key West, FL 33040-4397 INSURER 0: INSURER E: Client#. 105 FLOCOMCO 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER PJ>..t~~~J~FJ'8,wE p~~fJ/~J/~~N LIMITS ~ERAL LIABILITY EACH OCCURRENCE $ - 3'MERCIAL GENERAL LIABILITY g~~AGE TO RENTED $ - CLAIMS MADE D OCCUR MED EXP (Anyone person) $ - PERSONAL & ADV INJURY $ - GENERAL AGGREGATE $ ~'L AGGREAE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $ POLICY ~~,9T LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) - - ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS ff\'<W; 3,~<:~~AGEM (Per person) - NT HIRED AUTOS ';\ V o. '''0_. ..," J BODtL Y INJURY - $ (Per accident) - NON-OWNED AUTOS "C'.' .~~ \o{blD? ~ ;,,1, " 1'~ PROPERTY DAMAGE ... _...."",,...~.,., $ (Per accident) RAGE LIABILITY II-' ,. t')-- to.,! ". !',~ ._o~ YES AUTO ONLY. EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ OESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ =i DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND WLRC43514970 03/01103 03/01/04 X I T~~N~J,~;,T IOJ~' EMPLOYERS' LIABILITY $1.000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under $5,000,000 SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: Florida Keys Community College Remodel and improvement project, Tennesee Williams Theater. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Board of County Commissioners DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL --3Q.... DAYS WRITTEN for Monroe County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Tourist Development Council IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 1201 White Street, Suite 102 REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENTATIVE fJ!4~ ACORD 25 (2001/08) 1 of 2 #S47000/M46912 KMP @ ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain pOlicies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-5 (2001/08) 2 of 2 #S47000/M46912 FEB-21-11I3 , P I ;~ I~' I' ~ ~ I 1111.20IPROM.MCTOC 10.3052880788 MONROE COUNTY, Request For W of Insurance Require It is Rquestcd that the insurance requitemcnlS. as specified in CoUDty's Schedule ofInsURDCt Rcqu.irements. be waived OT mbdified on the following contract. Conttaclnr: Florida K ys Community college Contract Cor: Remodel Improvement Project Address orContraetor: 59 1 Colle e Road West, FL 33040 Phone: 305 296-9081 ext 230 Scope of Work: Remode and improvement project, Tennessee Williams The Reuoulor Wai-ver: The Icollege does not own or lease any vehicles. Per I aut6s/vehicles 'II not be used during the project. poUeles Waiver will apply to: Ve~icles SignatlWe of CGntractor: Community Co lege Date: Coanty AdmiuiStratot Appe8J: Approved Not Approved Date: Board of County Commissioners Appeal: Appro~ed Not Approved Meeting Date: Administration InatrllClion #470g.l ZlO-~ IO/IO'd Zll-l gglgZ6Zg0E 33~~-WOJ~ wdl gO EO-lZ-q ~ I, 19% Rdinod t' Ali . 2/;.i ,. ~ r I 81'" . ....