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06/16/1999 AgreementBRANCH OFFICE 3117 OVERSEAS HIGHWAY MARATHON, FLORIDA 33050 TEL. (305) 289-6027 FAX (305) 289-1745 �r�ouNtyC�� f4�4�J;M CUIp�R�'M G7 _ • s = O' i� Maw I. Rotbagc CLERK OF THE CIRCUIT COURT MONROE COUNTY 500 WHITEHEAD STREET KEY WEST, FLORIDA 33040 TEL. (305) 292-3550 FAX (305) 295-3660 MEMORANDUM TO: Dent Pierce Director of Public Works Attention: Beth Leto FROM: Ruth Ann Jantzen, Deputy Clerk A01 DATE: July 13, 1999 BRANCH OFFICE 88820 OVERSEAS HIGHWAY PLANTATION KEY, FLORIDA 33070 TEL. (305) 852-7145 FAX (305) 852-7146 On June 16,1999, the Board of County Commissioners granted approval and authorized execution of an Assignment of Agreement between Monroe County and Animal Disposal & Private Cremations from Monroe County to the Florida Keys Society for the Prevention of Cruelty to Animals. Enclosed please find a fully executed duplicate original of the above Contract for return to the SPCA. If you have any questions on the above, please do not hesitate to contact this office. Enclosure cc: County Attorney Finance County Administrator, w/o document File ASSIGNMENT OF AGREEMENT This Assignment of Agreement is made and entered into on June 16, 1999, between Monroe County, a political subdivision of the State of Florida, hereafter County, Animal Disposals and Private Cremations, hereafter ADPC, and The Florida Keys Society for the Prevention of Cruelty to Animals, hereafter FKSPCA, as follows: WITNESSETH: WHEREAS, the County has an animal disposal agreement with ADPC dated February 19, 1997, as renewed on April 8, 1998 and February 10, 1999, and WHEREAS, on June 16, 1999, the County and the FKSPCA entered into an agreement whereby FKSPCA will operate the Key West, Big Pine Key and Marathon Animal Shelters effective July 1, 1999, and WHEREAS, in accordance with Section II(7) of its agreement with the County, the FKSPCA agrees to accept assignment of the agreement between the County and ADPC; now, therefore, the parties agree as follows: 1. The animal disposal agreement between County and ADPC dated February 19, 1997, as renewed on April 8, 1998 and February 10, 1999, is hereby assigned to the FKSPCA effective July 1, 1999. 2. FKSPCA hereby accepts this assignment and agrees to be bound by all the terms and conditions of the contract dated February 19, 1997, as renewed. 3. ADPC hereby consents to this assignment and hereby releases the County of all obligations of the contract dated February 19, 1997, as renewed. 4. The County is only obligated to pay ADPC for its services rendered to the County / through June 30, 1999. Thereafter, payment shall be made to ADPC by FKSPCA. fr, CANNY L. KOLHAGE, CLERK By: eputy CI rk BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA By: Mayor/Chairman THE FLORIDA KEYS SOCIETY FOR THE PREY TION OF CRUELTY TO ANIMALS Ln RENEWAL AGREEMENT (Mass Disposal of Animal Carcasses) This renewal agreement is made and entered into this 10#x day of P_ , 1999, between the COUNTY OF MONROE (County) and ANIMAL DISPOSALS & PRIVATE CREMATIONS (ADPC) in order to renew that certain agreement entered into on April 8, 1998, as follows: 1. In accordance with Section X - Renewal, this agreement is hereby renewed for one additional year. 2. Section XIV - PAYMENT, is amended to read as follows: "XIV. PAYMENT. Payment by the County to ADPC for the performance of said service shall be made on a per month in arrears basis on or before the 151h day of the following month in each of twelve (12) months, and shall be a rate of six dollars and one cents ($6.01) per carcass. (The aforementioned charge does not apply to very large animals such as horses and cows). Pigs and goats shall be at a rate of seven dollars and seventy-six cents ($7.76) per carcass. The total dollar value of this contract shall not exceed eighteen thousand dollars ($18,000.00) per year." 3. The term of this amended agreement shall commence on March 12, 1999, and terminate on March 11, 2000. 4. n all other respects, the original agreement between the parties dated April 8, 1998, remains �...,:n fu71 force and effect. IN WITNESS WHEREOF, the parties have hereunto set their hands and seal, the day and year first t above. BOARD OF COUNTY COMMISSIONERS z�--OANWY L. KOLHAGE, CLERK OF MONROE COUNTY, FLORIDA By Mayor/Chairman ANIMAL DISPOSAAS & CREMATIONS 171 By. 4LWitness Tit VATE o Qr- O M=-< — cJ - C3 C-1 .�� C = rn APPROVED AS TO Fdp.A > %a C-3 AN L�SUFFIQ OC O Ria2l� DATE RENEWAL AGREEMENT (Mass Disposal of Animal Carcasses) This renewal agreement is made and entered into this M_ day of 40 1 , 1998, between the COUNTY OF MONROE (County) and ANIMAL DISPOSAL & PRIVATE CREMATIONS (ADP�)h order to renew that certain agreement entered into on February 19, 1997, as follows: In accordance with Section X — Renewal, this agreement is hereby renewed for one additional year. 2. Section I — Scope of Work is hereby amended as follows: On or about April 1, 1998, service to the Key Largo Animal Shelter, 105951 US 1, Key Largo, Florida 33037, will no longer be required; however, County will notify ADPIin writing as to the exact date services will be terminated at this location. -� `cl ► 3. Section XIV — PAYMENT, is amended to read as follows: o N o XIV. PAYMENT. 4.0 p © -0 ?s Payment by the County to ADPt°for the performance of said service shall"rde�n ar month in arrears basis on or before the 15th day of the following month tR (5rtwEqp (12) months, and shall be a rate of five dollars ninety-two cents ($5.92) pe�,capsrouio aforementioned charge does not apply to very large animals such as hoses and cows). Pigs and goats shall be at a rate of seven dollars sixty-four cents ($7.64) per carcass. The total dollar value of this contract shall not exceed eighteen thousand dollars ($18,000.00) per year." 4. The term of this amended agreement shall commence on March 12, 1998, and terminate on March 11, 1999. 5. In all other respects, the original agreement between the parties dated February 19, 1997, remains in full force and effect. IN WITNESS WHEREOF, the parties have hereunto set their hands and seal, the day and y� --written above. `= BOARD OF COUNTY COMMISSIONERS Attest: DANNY L. KOLHAGE, CLERK OF MONRO�UNTY, FLORIDA Witness Wit es M Mayor/Chairman ANIMAL DISPOSAL & PRIVATE CREMATIONS igo APPROVED AS TO FORM A G4NQLFE I Cy. DATE.: « ...:............::}.:.......:.:.:.....:........ :.:.. -- ::...r..Si'L'i'K\:::iiiij}}::}i:?:i::`<;;j•}::+.:::isi;:}:::ii::ii:{:}:?•i:}......iii}.:�i .{..:}:•: R:.2:.hCt:})}fi#•:::ita�.$R..O. 'J \}.} ............. ...:.....n.....:........ ...::::: :4:} � '�,: (`�i•%•.VL•.�vn�. GiY}•%:%ii:•:v:�}iiii:!Csii:`viiiiiiiiiiiiiiij is:ii ':�:�i:i�:>}• WillW :ti ii}ii$}:.}:i:::: i;n:+ :•}: .:: w:; .....::. :•::;,: i:. �._ ::v: •.v:::.:::::.::. -.:. n..:....::w... *.....:::.....:.::v`/'� `iTt � .J,:i:: V„wr.^"• •,:: 04/15/98 P------ R 305-591-0090 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H01DEL THIS CERTIFICATE Seidin & Company DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P. 0. Box 025220 Miami. FL 33102-5220 W COMPANIES AFFORDING COVERAGE COMPANY APPRWE R MANAGf��FNT A Hartford Fire Ins Co INSURED / Pet Heaven Memorial Park COMPANY BY B Twin City Fire Ins Co COMPANY PATE V// Att: Candy Santos C Hertford Ins Co of SE 10901 West Rayler Street COMPANY Miami, FL 33174 D ...M{...:::•}:}}}}}'•}:}:n%i.%ixi.Y?n::^:m::i :S ...................... .. r .v. ... .: ^. .n.......,v,.:: •: .n. •.w.•::... • ' • : {:. }v{ v vhvh \'v\, v, .v v.v..v... y v } r '} ^}(A v+�+ti.%•v'i?•}:ti:...... 4•': '•.'ii:ti}+::+:ti: •' _. i:fsiV.,��...�. r...".;i:•:.+.r,•.4�:..p..xtw.ra+.{•x't•91?fi•%k'}`r:oRo'.�ea}r •:p•..vnn.::vr:?:i:nw},vry,,,n;.: :: .:.S+O�it .: n. nv •:::; • .. ... r......: •.::.v .: 'i.%�:xv} :.•.}%' {:yt•}}:w:?:i:iiiii}iii: v....v :. ..v..rr.•v; ..,..{ .,v�v"• ;+ ..:{{•.• .wR{ix �Y%: •T.:..Krr.'>'.' '}} ..fv.``.'t'o'j:Y:%:::: THIS IS TO CERTIFY THAT THE POLICES OF DMURANCK LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TIE POLICY PERIOD INDICATED: NOT MIS TANDIING ANY REQUIREMENT, TERM OR CONDITION OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 1SSU® OR MAY PRRTABN. THE VOURANCE AFFORDED BY Nis. POLICIES DESCRIBED HEREON IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COI LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF. DATE (MMMD/YY) POLICY a". DATE (MMMD/YY) LIMN ABILITY GENERAL AGGREGATE 1000000 PROD'COMNOPACG A cD� w' GE ELI��' •.':x CLAIMS MADE ®OCCUR 21 UUCKI3382 1 /23/98 1 /23/99 PERS. • ADV. INJURY EACH OCCURRENCE 1500000 500000 OWNER'S & CONTRACT'S PRIT FIRE DAMAGE(O:n Fin) innnnn MED RXP(Ap �* pawn) 10000 AUTOMOULK LIABILITY COMBINED SINGLE A NY X AAuto 21 UUCKI3382 1 /23/98 1 /23/99 LIMIT 500000 SODILY INJURY ALL OWNED AUTO@ SCHEDULED AUTOS (P'W Mrr+) Y R r,r rat) x T»ReDAvros X NONowN®Avine TRUE ORIGINAL COPY I OFFI LOU NOTARYSEA DES D GARCIA RIDA oPER DAMAGE R�, NOTARY PUB COMM C STATE OF IOI�' NO. C GARAGE LIABILITY S I GNATURE OF OTARY I MY comma, Y-EAACCIDENT ANY AUTO t71 HERTHMT l O ONLY: AU EACH ACCIDENT AGGREGATE EXCESS LIABILITY EACH OCCURRENCE AGGREGATE UMBRELLA FORM OTHRR TITAN UMBRELLA FORM WORKERS COMPENSATION AND STATUTORY LIMIIZf q EMPLOYERS. LIABILITY 21 WECDR2331 1 /23/98 1 /23/99 EACH wocIDsrrr 100000 DISRASZ-POLICY LIMIT 500000 THE PROPRIETOR/ �, PARTNERS/BXSCtr17VEROFFICRRS ARE: QCL DLSLUS 9ACH EMPL. 100000 OTTER DESCRIPTION OF OPERATIOPl/LOCATI ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS PER FORM HC2600(10/93) AS RESPECTS BUS.AUTO & GENERAL LIABILITY COVERAGE. NAMED INSURED CONTINUE: & PRIVATE CREMATION ...........................::.:.:::•::::::::::.�:. �.... .r...%;•}:•}i:.i;:.;:.}i}}>:{•;.};•:;;•}:•:ti•};:;.;::•.;,;:.:?:::::::::.::•;:::::::::::?•:>?•}};•};•:;•i;•:{•};.};•};.;};.};•>;•};.;:•:�}:.}}%::}:.i:.};:.:.;:.:_ii}:;{•:}}}:i•:;?.}:?<ti.}•};:{•T:tia:;•;:�}::.}}}:•}:•}:.}}:•}:•}::{•}:.:.::•:;.}:?.;: %.I;'Is�CTip'(•:. '>FE:A . •t....... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY, ANIMAL CONTROL EXPIRATION DATE THEREOF, THE ISSUINGCOMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE DEPT., PUBLIC WORKS DIVISION LEFT, BUr FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 5230 COLLEGE ROAD LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AtMIORIZED RRPRESEN'ATIVE KEY WEST, FL 33040 MA-v, 0 �::::AG'OI'tDc.25.:S.l� ::.:,....::.:::.::. .....:..:::: �::::.::::. � :•::::........... _ _ - ...3.. 7 E CONTRACT THIS AGREEMENT, made and entered into this 1 q;6K day of k-bKaa-r'!1, 1997, between MONROE COUNTY, Florida (OWNER), and ANIMAL biSPOSAL 8v PRIVATE CREMATIONS, (CONTRACTOR) WITNESSETH That the parties, hereto, for the consideration hereinafter set forth, mutually agree as follows: I. SCOPE OF WORK The CONTRACTOR shall furnish all labor and equipment necessary for the mass disposals of animal carcasses from the Animal Control Shelters located throughout Monroe County. Shelter locations are: 5230 College Road, Stock Island, Key West, FL 33040; Route 1 Box 830, Industrial Road, Big Pine Key, FL 33042; 10600 Aviation Blvd., Marathon, FL 33050; and, 105951 U.S. #1, Overseas Highway, Key Largo, FL 33037. OWNER agrees to place all animal carcasses in plastic bags and sea - such bags properly. CONTRACTOR is responsible for unle. ding carcasses from OWNER'S freezers located within the _-_sh:elterf an(c transporting to CONTRACTOR'S vehicle. Carcasses will be picked p oral a once every two weeks basis and transported to an approved h ane~; Disposal Facility. '� II. INDEPENDENT CONTRACTOR CN 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 of his/her employees, contractors, servants, or agents to be employees of the BOARD OF COUNTY COMMISSIONERS FOR MONROE COUNTY. III. 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. IV. ASSIGNMENT The CONTRACTOR shall not assign 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 OWNER and CONTRACTOR may deem necessary. This agreement shall be incorporated by reference into any assignment and any assignee shall comply with all of the provisions of this agreement. Unless expressly provided therein, such approval shall in no manner or event be deemed to impose any obligation upon the OWNER in addition to the total agreed -upon price of the services/goods of the CONTRACTOR. V. COMPLIANCE WITH LAW In providing all services/goods pursuant to this agreement, the CONTRACTOR shall abide by all statutes, ordinances, rules, and regulations 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 OWNER to terminate this contract immediately upon the delivery of written notice of termination to the CONTRACTOR. VI. INSURANCE CONTRACTOR will be responsible for all necessary insurance coverage as indicated in the attached General Insurance Requirements form and as further detailed in forms GL 1, VL 1 and WC 1, also attached hereto. VII. HOLD HARMLESS The CONTRACTOR shall defend, indemnify and hold harmless the County as outlined on the attached form identified as TCS. VIII. TERM OF CONTRACT This contract shall begin on MARCH 12, 1997, and end on MARCH 11, 1998. This Contract term shall be renewable in accordance with Article X. IX. CANCELLATION Either of the parties hereto may cancel this agreement with or without cause by giving the other party sixty (60) days written notice sent certified mail of its intention to do so. 2 X. RENEWAL 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 herein may be adjusted annually in accordance with the percentage change in the Consumer Price Index (CPI)) for Wage Earners and Clerical Workers in the Miami, Florida, area index, and shall be based upon the annual average CPI computation from January 1 through December 31 of the previous year. XI. FUNDING AVAILABILITY In the event that funds from Animal Control Contractual Services are partially reduced or cannot be obtained or cannot be continued at a 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 OWNER by written notice of termination delivered in person or by mail to the CONTRACTOR. The OWNER shall not be obligated to pay for any services provided by the CONTRACTOR after the CONTRACTOR has received written notice of termination. XII. PROFESSIONAL RESPONSIBILITY The CONTRACTOR warrants that it is authorized by law to engage in the performance of the activities encompassed by the project herein described. 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. XIII. 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 FOR CONTRACTOR Monroe County Public Works Animal Disposal 8s Private 5230 College Rd. Cremations ATTN: Animal Control Director 10901 West Flagler Street Miami, Fl 33174 3 XIV. PAYMENT Payment by the County to Animal Disposal 8v Private Cremations for the performance of said service on a per month in arrears basis on or before the 15th day of the following month in each twelve (12) months, and shall be at a rate of five dollars eighty-three cents ($5.83) per carcass. (The aforementioned charge does not apply to very large animals such as horses and cows). Pigs and goats shall be at a rate of seven dollars fifty- two cents ($7.52) per carcass. The total dollar value of this contract shall not exceed eighteen thousand dollars ($18,000.00) per year. XV. PUBLIC ENTITIES 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 goods or services to a public entity, may not submit a bid on a contract with public entity for 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 of 36 months from the date of being placed on the convicted vendor list. (CATEGORY TWO: $3,000.00). In Witness Whereof, the parties hereto have executed this agreement the g qpd year first above written. 1 DANNY L. KOLHAGE, CLERK Attest: NEW 4 COUNTY OF MONROE, STATE OF FLORIDA By 0000*0 a or/ air ANIMAL DISPOSAL & PRIVATE CREMATIONS �I, APPROVED AS TO FORM A GAL UFFIC B RT DATE 1996 Edition RISK MANAGEMENT POLICY AND PROCEDURES CONTRACT ADMINISTRATION MANUAL General Insurance Requirements for Other Contractors and Subcontractors As a pre -requisite of the work governed, or the goods supplied under this contract (including the pre -staging of personnel and material), the Contractor shall obtain, at his/her own expense, insurance as specified in any attached schedules, which are made part of tlus 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. The Contractor will not be permitted to commence work governed by this contract (including pre -staging of personnel and material) 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 nit 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 sliall maintain the required insurance throughout the entire term of this contract and any extensions specified in the attached schedules. Failure to comply with tlus_pro.vision may result in the immediate suspension of all work until the required insurance has'been reinstated or replaced. 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, tb 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. Administration Instruction 44709.2 14 AIL 1996 L•dition The Monroe County Board of County Commissioners, its employees and officials will be included as "Additional Insured" on all policies, except for Workers' Compensation. Any deviations from these General Insurance Requirements must be requested in writing on tlic County prepared form entitled "Request for Waivcr of Insurance Requirccucnts" and approved by Monroe County Risk Management. Administration Instruction #4709.2 15 E 0 1996 Edition GENERAL LIABILITY INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain General Liability Insurance. Coverage shall be maintained throughout the life of the contract and include, as a minimum: • Premises Operations , • Products and Completed Operations • Blanket Contractual Liability • Personal Injury Liability • Expanded Definition of Property Damage The minimum limits acceptable shall be: L1 $300,000 Combined Single Limit (CSL) If split limits are provided, the minimum limits acceptable shall be: $100,000 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 shall be named as Additional Insured on all policies issued to satisfy the above requirements. GLI Administration Instruction #4709.2 49 1996 Edition VEHICLE LIABILITY INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Recognizing that the work governed by this contract requires the use of vehicles, the Contractor, prior to the comincnccment 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: • 0,Amcd, Non -Owned, and Hired Vehicles The minimum limits acceptable shall be: $100,000 Combined Single Limit (CSL) If split limits are �rovidcd, the minimum limits acceptable shall be: $ 50,000 per Person $100,000 per Occurrence $ 25,000 Property Damage The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirements. VL1 Administration Instruction #4709.2 . 81 1996 Edition WORKERS' COMPENSATION INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by tivs contract, the Contractor shall obtain Workers' Compensation Insurance with limits sufficient to respond to Florida Statute 440. 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. .. If the Contractor has been approved by the Florida's Department of Labor, as;an authorized self - insurer, the County shall recognize and honor the Contractor's status. The Contractor may be required to submit a Letter of Authorization issued by the Department of Labor and a Certificate of Insurance, providing details. on the Contractor's Excess Insurance Program. If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required. In addition, the Contractor may be required to submit updated financial statements from the fund upon request from the County. i WC1 Administration Instruction #4709.2 APMA ♦ 1996 Edition MONROE COUNTY, FLORIDA RISK MANAGEMENT POLICY AND PROCEDURES CONTRACT ADMINISTRATION MANUAL Indemnification and Hold Harmless fo r Other Contractors and Subcontractors The Contractor covenants and agrees to indemnify and hold harmless Monroe County Board of County Conunissioncrs 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, damaees, 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 or 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 i4dcnuiify 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 abov6. The extent of liability is in no way limited to, reduced, or lessened by the insurance:requirements contained elsewhere within this agreement. TCS Administration Instruction #4709.2 97 SWORN STATEMENT UNDER ORDINANCE NO. 10-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE C'a✓n� San-FOS V](►►'l Dt p A S °f" 1' ✓I ✓ol �O_ warrants that heft has not employed, retained CA1_e411't6_(,rvqS or otherwise had act on his/its behalf any former 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 Ordinance No. 10-1990. For breach or violation -of this provision the County may, in its discretion, terminate 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, commission, percentage, gift, or consideration paid to :fie former County officer or employee. Date: STATE OF COUNTY OF PERSONALLY APPEARED BEFORE ME, the undersigned authority, (�?1121/,-jc �-9.yTa5 who, after first being sworn by me, affixed his/her signature (name of individual signing) in the space provided above on this Zg day of .q .4-t_o lr>.9 >R_1 v--&- ue . �S �D T�Ficr,� ric�i✓ . 19 My commission expires: MCP##4 /:M ^ 'fy •,, JUAN DAVID TOWN W COMMISSION 0 CC 472093 ,''?R EXPIRES: June 14,19M `.•`' Bonded Thru NaWy Pudic Wdeffl tars ............................. ............................. .............................. DATE (MM/DD/YY) 01 /27/97 PRODUCER 305-591-0090 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE Seitlin & Company DOES NOT AMEND, EXTEND OR ALTER -THE COVERAGE AFFORDED BY THE P. 0. Box 025220 ICI s BE ow Miami, FL 33102-5220 COMPANIES AFFORDING COVERAGE COMPANY A Hartford Fire Ins Co INSURED Pet Heaven Memorial Park COMPANY B Twin City Fire Ins Co COMPANY Att: Candy Santos C Hartford Ins Co of SE 10901 West Flagler Street COMPANY Miami, FL 33174 D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WINCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TILE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY RXP.YY) LIMITS LTN DATE (MM/DD/DATE (MM/DDfM GENERAL LIABILITY GENERAL AGGREGATE 1000000 COMM. GENERAL LIABILITY PROD-COMP/OP AGG. 1000000 A 21 UiJCril3382 i /23/�7 i /231S8 CLAIMS MADE FX 1 OCCUR PERS. & ADV. INJURY 500000 OWNER'S & CONTRACTS PROT EACH OCCURRENCE 500000 FIRE DAMAGE(One Fire) znnnnn A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 21 UUCKI3382 pppFn••�ED AIN 1 /23/97 AN It 'W 1 R►SK M � y 1 /23/98 Ni � COMBINED SINGLE LIMIT 500000 X BODILY INJURY (Per Per—) X BODILY INJURY (Per accident) X R PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO _ DATE mER: L ���JJJ���� iA S AUTO ONLY -EA ACCIDENT OTHER THAN AUTO ONLY: BACH ACCIDENT AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM l - / (• L , EACH OCCURRENCE AGGREGATE A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL 21 WECDR2331 i i23/97 1 i23/98 STATUTORY LIMITS77-77 EACH ACCIDENT 100000 DISBASE-POLICY LIMIT SOOOOO DISEASE -EACH EMPL. 100000 OTHER DESCRIPTION OF OPERATIONS(LOCATIONS/VEIIICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS PER FORM HC2600(10/93) AS RESPECTS BUS.AUTO & GENERAL LIABILITY COVERAGE. NAMED INSURED CONTINUE: & PRIVATE CREMATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY, ANIMAL CONTROL EXPIRATION DATE THEREOF, TILE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE DEPT., PUBLIC WORKS DIVISION LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 5230 COLLEGE ROAD LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE KEY WEST, FL. 33040 A - /1 ( n n