Item J3
· Revisr,d 2/95
MONROE COUNTY
BOARD OF GOVERNORS
LOWER AND MIDDLE KEYS FIRE AND AMBULANCE DISTRICT
AGENDA ITEM SUMMARY
Meeting Date: January 19.QO. 2000
Division:
Public Safety
Bulk Item: Yes
No X
Department: Fire-Rescue
AGENDA ITEM WORDING: Approval of the Renewal Agreement dated 12/18/96 between the Lower and
Middle Keys Fire and Ambulance District and Fire Tech Repair Service, Inc. concerning testing, maintenance
and repair of fire rescue apparatus.
ITEM BACKGROUND: On December 18, 1996, the Board approved a contract with Fire Tech Repair
Service, Inc. for maintenance of fire apparatus, including preventative maintenance, unscheduled Maintenance
and annual pump testing. The original contract provided for annual renewal for up to three (3) one-year periods,
with approval ofthe District's governing Board.
Weare requesting approval to exercise that renewal clause for the third one-year period, commencing on
December 18, 1999 and ending on December 31, 2000.
PREVIOUS RELEVANT BOG ACTION: On December 10, 1997 the Board approved the first one-year
renewal period through December 31, 1998. On November 12, 1998 the Board approved the second one-year
renewal period through December 31, 1999.
ST AFF RECOMMENDATION: Approval.
DISTRICT 1 COST: $14.720.00 to cover periodic inspection. preventative maintenance and pump testing
plus repairs at $52/hour and parts 25% over cost.
BUDGETED: Yes X No
REVENUE PRODUCING: Yes
No X
AMOUNT/MONTH
YEAR
APPROVED BY: County Attorney Yes OMB/Purchasing Yes Risk Management
d~21t%/L--
,
Ross-'illman / .'
,. /'p //
DIVISION DIRECTOR APPROV AL: ~ / /" y/;
/"ines ~ ll'Reggie" Paros
Included: ~ To Follow: Not Required:
Yes
DEP ARTMENT HEAD APPROVAL:
I
DOCUMENT A TION:
~
DISPOSITION:
Agenda Item #:
MONROE COUNTY BOARD OF GOVERNORS
CONTRACT SUMMARY
Contract #
Contract with: Fire Tech Reoair Servic~ Effective Date:12/18/99
Inc.
Expiration Date: 12/31/00
Contract I'urposelDescription:Renewal of a reement dated 1211 8/96 for scheduled semi-annual
ins ections and reventative maintenance of fire rescue vehicles annual urn tests and for
unscheduled maintenance and re air resultin from e ui ment fuilure or malfunction.
Contract Manager:Ross Willman
(Name)
6006
(Ext. )
Fire Rescue
(Department)
for BOCC meetin on 1/19.20/00
A enda Deadline: 01/05/00
CONTRACT COSTS
Total Dollar Value of Contract: $14. 72 a 00 Current Year Portion: $
Budgeted? Yes0 No 0 Account Codes: 11500-530-460__
Grant: $ 11500-530-462_ _
---....;::. - - --
County Match: $ _-_-_-_
ADDITIONAL COSTS
Estimated Ongoing Costs: $_/yr For:
(Not included in dollar value above ) (eo. maintenance, utili.ies, janitorial, salaries, etc.)
- - -
--------.
CONTRACT REVIEW
Division Director
Changes ~ Date Out
9ateln Neede~~er , '
II V'{tC',~ Yeso No . '\ / ~. _ / /It'''..
, \ \ I '~\'1 Yeso No ' . - l L:' O--L\:"'- ~ ~ '-<' ~. ~ " I c+r
YesO NoEJ -J-Llc Lij2 ( / L _: , 7,
YeSONO~~ ~(_ (8-~
Ris anagfffient
O.M.B.lP~ng
County Attorney
Comments:
OMB Form Revised 9/11/95 MCP #2
RENEWAL AGREEMENT
This AGREEMENT dated the day of , 1999, by and between
the Board of Govemors of the Lower and Middle Keys Fire and Ambulance District of Monroe County,
Florida, hereinafter called the "District" and Fire Tech Repair Service, Inc., whose mailing address is Post
office Box 1570, Key Largo, Florida 33037hereinafter called the "Contractor".
WITNESSETH
WHEREAS, the parties hereto did enter into an agreement dated December 18, 1996 for scheduled semi-
annual inspections and preventative maintenance of fire rescue vehicles, annual pump tests and for unscheduled
maintenance and repair resulting from equipment failure or malfunction; and
WHEREAS, said agreement provided an option to the District to renew the contract for three additional
one year terms; and
WHEREAS, the DISTRICT has elected to exercise said option for the continuation of scheduled semi-
annual inspections and preventative maintenance of fire rescue vehicles, annual pump tests and for unscheduled
maintenance and repair resulting from equipment failure or malfunction; how, therefore
IN CONSIDERATION of the mutual convenants and obligations contained herein, the parties agree as
follows:
1. The District elects to renew the contract for an additional year pursuant to paragraph 1 of the
agreement entered December 18, 1996.
2. The effective date of this amendment is December 18, 1999 and shall extend through
December 31, 2000, under the same terms and conditions of the contract dated December 18,
1996.
3. Attachment I, as amended, reflects the current schedule of fire r~scue vehicles.
4. All other terms and conditions of the contract dated December 18, 1996 shall remain in full
force and effect.
Attest: DANNY L. KOLHAGE, CLERK
BOARD OF GOVERNORS, LOWER AND
MIDDLE KEYS FIRE AND AMBULANCE
DISTRICT
By:
Deputy Clerk
By:
WITNESS:
Mayor/Chairman
FIRE~TECH P IRtSERVICE, INC.
~. ,/
..-~. .
AuthoriZed Representative
.~
MAINTENANCE OF FIRE/RESCUE VEHICLES
-, ,
AGREEMENT is made and entered into by the Board of Governors of
the Lower and Middle Keys Fire & Ambulance District Monroe County
Florida, hereinafter (D~STRICT), and Fire-Tech Repair service'
Inc., hereinafter (CONTRACTOR). '
'. l.
RECITALS
A. The DISTRICT advertised a notice of calling for bid for
MAINTENANCE OF FIRE/RESCUE VEHICLES on the 6th day of August, 1996,
duly submitted to be published on the 29th day of June and the 6th
day of July 1996 in the Florida Keys Keynoter, on the 30th day of
June and the 7th day of July 1996 in the Key West Citizen and on
the 4th day of July and the 18th day of July 1996
in the The Reporter;
B. The successful FY 1997 bidder was Fire-Tech Repair Service,
I nc. ;
C. The initial FY 1997 contract provides for a renewal of the
contract for three additional one-year terms.
D. This contract is an agreemen~ b~tween the parties.
.. .'" :....t;
NOW, therefore, the parties agree as tallows:
, "Ii'"
1. CONTRACT PERIOD AND RENEWAL - The contract term is a
period of one year from the date on ~hich it is signed by the last
of the two parties to sign.
2. CONTRACT TERMINATION - This contract may be terminated
for any reason by either party on 30-day written notice without
cause.
3. SUBJECT MATTER OF CONTRACT This contract is for
scheduled semi-annual inspections and preventative maintenance of
fire rescue vehicles, annual pump tests and for unscheduled
maintenance and repair resulting' from equipment, failure or
malfunction.
4. RATES - The hourly rate shall, be $52.00 per man-hour
wi th no travel time or mileage charge.' Jobs requiring more than
one technician will be charged at the rate of $30.00 per man-hour
for the second man. Semi-Annaal inspections and annual pump tests
are at quoted flat rates and excluded from hourly rate.
5. OVERTIME AND HOLIDAYS - Rates per man-hour for
emergency repairs called outside normal business hours and federal
holidays shall be one and one half times the normal- rate.
6. SEMI -ANNUAL INSPECTIOIIS During the year Contractor
shall perform two inspections on vehciles described in Attachment
1 (Level I and Level II Preventative Maintenance Service) at an
annual total cost of:
Rescue-type vehic~es, without pump
Pumpers
Aerials
$360.00
$490.00
$640~00
Exception shall be if a vehicle has been used 1,000 hours prior
to yearly preventative maintenance service, Level I and II
Preventative Maintenance Service shall be performed and charged the
above rate.
Level I: 250 Hours or 6 months (whichever comes first)
Full vehicle inspection as per attached semi-annual inspection
sct\edule plus:
- Engine oil and filter change
Fuel filter change (every 6 months)
Air filter inspection and replacement if necessary
Chassis lubrication
Outboard (forward) impeller shaft lubrication
Lubrication of all valve control linkages
Clean or replace air compressor strainer
Clean engine crankcase breather
Inspection of generator and service of lubricant system,
full system, and air filter according to its individual
hours of operation (not to exceed 6 months)
Level II: 1000 Hours or one year (which ever comes first)
Full service performed in Level I plus:
- Replacement of coolant hoses, filter and coolant as
needed
Replacement of all drive belts as needed
Replacement of pump transmission oil and filter
Replacement of engine transmission fluid and filter
Replacement of rear axle lube oil as needed
Inspection front wheel bearing
Replacement and repacking as needed
Inspection and cleaning of relief valve strainer
Replacement of secondary fuel filters on both engine and
generator
The number of vehicles may fluctuate from time to time due to
new purchases or removal of vehicles from inventory. The
inspections shall be preformed at the respective fire stations.
Page No. 2
7. WORK SCHEDULE Regularly scheduled semi-annual
inspections and preventative maintenance shall be conducted at such
intervals as are approved by the DISTRICT.
s. PUMP TESTS - CONTRACTOR shall perform an annual pump
test at a flat rate cost of $250 each for all vehicles requiring
such test. In order to "facilitate the passing of the pump test,
minor repairs and adjustments shall be made as needed; price
includes clean-up after salt water use.
9. PARTS, FLUIDS AND LUBRICANTS - All parts, fluids, and
lubricants used for maintaining and repairing vehicles shall be
supplied by CONTRACTOR and billed to the DISTRICT at cost plus 25%,
wi th a copy of original parts supplier invoices for all parts
attached to the bill.
10. ENGINE OIL AND FILTER CHANGE and complete drive train
lubrication and any other fluids and/or filter changes, shall be
performed as recommended by the manufacturer.
11.
perform the
per year on
(a)
(b)
(c)
( d)
(e)
( f)
(g)
(h)
(i)
( j )
(k)
( 1 )
(m)
(n)
(0)
(p)
SEMI-ANNUAL INSPECTION SCHEDULE CONTRACTOR shall
following inspection "and preventative maintenance twice
all vehicles: "
Cooling system, including fan belts, radiator supports,
hoses and clamps, and auxiliary cooler;
Exhaust System, including hanger, clamps, muffler, and
pipes; "
Clutch, including freeplay, linkage, and fluid levels;
Manual Transmission, including seals, linkage, and lube
level;
Automatic Transmission, including fluid" level, seals,
modulator adjustment, and linkage;
Drive Train, including" U-joints, center support, and
companion flanges;
Rear Axle and Springs, including oil links, spring
hangers, center bolts, and U-bolts
Front End, including steering box, linkage, kingpins
and bushings, spring hangers, and U-bolts;
Mechanical Brakes, including adjustment and fluid
levels;
Air Brakes, including" drain, adjustment, wear, and air
leaks;
Tires, including condition and wear; "
Electrical System, including running lights, 'emergency
lights, battery cables, turn lights, 4-way flasher,
headlights, stop lights, and switches;
Fuel System, including hoses and fittings, filters and
brackets, and tank straps;
Booster Tank, including leaks and supports;
Prime Pump, including wires, coupling, switch, and
valve discharge; =
Plumbing and Gates, including leaks, brackets, bleed
valves, control arms and knobs, and linkage;
Page No. 3
"
(q) Main Pump, including vacuum test, pressure test,
packing, clappers, and mounting;
(r) Pump Transmission, including fluid levels, seals, shift
motors, and manual override;
(s) Aerial Ladder, including power takeoff, drive shaft and
coupling, p.t.o. activating device, and outrigger
controls;
(t) Aerial Operation, including engine r.p.m., hydraulic
pressure, operation of all controls, warning devices,
hoses and fittings, rung covers, ladder locks, and ring
gear;
(u) Aerial Platform, including lubrication, leveling,
electrical system, turntable and platform controls,
communications, and water tube.
The above inspections shall include, at no additional labor
charge, the changing of all applicable filters and fluids
used by the unit being inspected. Air fllters shall be
changed on first inspection and then yearly thereafter.
Filters and fluids shall be billed at cost plus 25%, as
previously described in Section 10 of this AGREEMENT.
12. WEEKLY MAINTENANCE SCHEDULE - CONTRACTOR shall provide
to the DISTRICT a preventative maintenance schedule that can be
performed weekly by the individual Volunteer Fire Departments'
personnel.
13. MAINTENANCE LOG
inspection and maintenance chart
least the following information:
(a) Date of performance,
(c) service performed,
(e) name of service person(s),
CONTRACTOR shall
on each vehicle
maintain
containing
an
at
b) apparatus serviced,
(d) parts used,
(f) total downtime of vehicle
A copy of this chart shall be supplied to the Fire Rescue Office
within 30 days of the service.
14. COMMUNICATION - CONTRACTOR shall maintain a telephone
or paging device such that prompt notification of .request for
service is possible at all times.
15. RESPONSE TO SERVICE REQUEST - CONTRACTOR shall maintain
itself in a state of readiness such that it can be on the way
within twelve hours of receiving a request.
16. CERTIFICATION CONTRACTOR shall provide evidence
satisfaction to the DISTRICT that its personnel who perform
maintenance work are certified in pump mechanics, general mechanics
and repair.
Page No. 4
17. QUALIFICATIONS OF MAINTENANCE PERSONNEL - All personnel
performing maintenance, repairs, adjustments, and related work on
the DISTRICT' S equipment shall be certified or experienced in the
work to be performed.
18. INDEMNIFICATION - CONTRACTOR shall indemnify and hold
the DISTRICT and Monroe County harmless for any negligence on its
part, or faulty or improper workmanship, for all work performed
under this contract, including all costs of collection, reasonable
attorney fees, claim costs, and as per "Attachment A". All
property or equipment being directly maintained or repaired by
CONTRACTOR shall be considered in its care, custody, and control
while such work is in progress and until physical control of such
property or equipment is restored to the DISTRICT.
located
19. LOCATION OF
at the following
(a) Stock Island
(c) Sugarloaf
(e) Marathon (two
(g) Layton
WORK This
Fire Stations:
(b)
( d)
stations) (f)
(h)
,( i)
contract covers
vehicles
Big Coppitt
Big Pine Key
Conch ,Key
Islamorada
Tavernier .
20. During the term of this contract, the Contractor must
keep in force and effect the insurance required by Attachments B
and C. Attachments Band C are attached and incorporated into this
contract.
21. PAYMENTS Payments for semi annual inspection,
preventative maintenance and pump tests shall be made by the
DISTRICT within 30 days of the completion of the rendered services
on each vehicle and proper invoicing by the CONTRACTOR. All
unscheduled maintenance and repair resulting from equipment failure
or malfunction requiring service shall be billed by the CONTRACTOR
at the applicable rates as specified in Section four and five of
this AGREEMENT. The CONTRACTOR upon .notification by the DISTRICT
of an equipment failure or malfunction requiring unscheduled
maintenance shall, in a timely manner investigate the problem and
provide to the DISTRICT an estimate of the cost for repair and
vehicle downtime. The CONTRACTOR upon receiving authorization to
proceed from the DISTRICT shall effectuate such repair; upon
completion of same the contractor shall notify the DISTRICT of the
out corne and actual cost. The DISTRICT shall issue a separate
purchase order for each occurrence of unscheduled maintenance and
repair.
22. This contract takes effect on the date of the last
party to sign.
Page No. 5
23. Monroe County's performance and obligation to pay
under this contract is contingent upon an annual' ,aJ>propriation by
the B.O.C.C.
IN WITNESS WHEREOf, each party has caused this contract to
be executed by its duly authorized representative.
Attest: Danny L. Kolhage, Clerk
~~
Authorized
WITNESS:
- '-
Page No. 6
ATrACHMmr A
A",1I20, 1996
MONROE COUNTY, FLORmA
RISK MANAGEMENT
POLICY AND PROCEDURES
CONTRAcr ADMINI~"TRA TION
MANUAL
. '
Indemnification aDd Hold Ranuless .
for
Other Contractors and Subcontractors
The Cunlrdelur covenants and agrees to indemnify and hold harmless Monroe County Board of
County Commissioners from any and ail claims for bodiJy injury (including death), personal
injul)', lUld property damage (including property Owned by Monroe Counly) and any olhcr losses,
dumages. and expenses (including a1lomeydccs) which arise oul of, in COllllcction wilh, or by
rem~on of services provided by the Contractor or any of its Suhcontractor(s) in any tier,
occasioned hy the negligence, errors, or other wrongful act or omission of The Contractor or its
Subcol1tmctors 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
8S a result of the Contractor's failure to purchase or maintain the required insurance, the
COlllmctor shall indemnify the County from any and all increased expenses resulting from such
delay.
'111C first tcn dollars ($10.00) of remuneration paid to the Contractor is for the indemnification
provided for above.
The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements
contained elsewhere within this agreement.
TCS
^dminishlllivc 1n...ICUl:lion
..7'''12
94
ATl'AOH:NT B
April 20, 1996
RISK MANAGEMENT
POLICY AND PROCEDURES
CONTRACT ADMINISTRATION
MANUAL
General Insurance Requirements
for
Other Contractors and Subcontrac:tors
As a pre-requisite of the work governed, or the goods supplied under this contract (including the
pre-staging of persoIUlel and material), the Contractor shall obtain, at hislher 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.
Thc 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 rcquired
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 datc 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 in the attached schedules. Failure to comply with this provision
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 <;::,ontractor shall provide, to the County, as satisfactory evidence of the required insurance,
either:
· Certificate ofInsurance
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 riotbe construed as relieving
the Contractor from any liability or obligation assumed under this contract or imposed by law.
Administative Instruction
1147092
14
April 20, 1996
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 the
County prepared form entitled "Request for Waiver of Insuranc:e Requirements" and
approved by Monroe County Risk Management.
-',,.1.-_ - ~.
Administative Instruction
#47092
15
ATl'AClI-IENl' C
April 20, 1996
GARAGE LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract involves the servicing and/or repair of
County-owned vehicles, the Contractor will be required to purchase and maintain a Garage
Policy to include Garage Liability Insurance extending to vehicles, owned or leased by the
CO\.lnty, left with the Contractor for servicing, repair, storage, or safekeeping. Coverage should
include, as a minimum:
· Premises and Operations Liability
. Vehicle Liability
· Contractual Liability
· Products and Completed Operations Liability
· Garage Keepers' Legal Liability, to include:
Comprehensive and Collision
The Garage Keepers' Legal Liability shall extend to all County-owned/leased vehicles in the
care, custody, and control of the Contractor.
The Contractor's insurance shall be primary to any coverage maintained by the County.
"
The minimum limits acceptable shall be:
$300,000 Combined Single limit (CSL) for liability
$ 25,000 Garage Keepers' Legal Liability
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
GKl
Administativc Instruction
#47092
47
WJRKERS I ~IOO
April 20, 1996
MONROE COUNTY, FLORIDA
Request For Waiver
of
Insurance Requirements
It is requested that the insurance requirements, as specified in the County's Schedule ofInsurance Requirements, be
waived or modified on the following contract.
Contractor:
Contract for:
Address of Contractor:
Phone:
Scope of Work:
Reason for Waiver:
Policies Waiver
will apply to:
Signatul;C of Contractor:
Approved
Not Approved
Risk Management
Date
County Administrator appeal:
Approved:
Not Approved:
Date:
Board of County Commissioners appeal:
Approved:
Not Approved:
Meeting Date:
Administative Instruction
114709.2
99
\,
ETfUCS CLAUSE
- h_ /l fJ ~lfl:;( 1> . t5l.E.( (IL , "fk4.
I
or otherwise hcd act On hisJjts behalf any fonner County uffieer or employee in vin!:;tioll 01
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY, FLORIDA
I
warrants that he/it has not employed, ret,~illl;\!
Section 2 c f Ordinance no. 10-1990 nr allY County oUicer or employee in viol.uioll 0 f
Section 3 of Ordinance No. 10-1990. For breach or violation of this provision the C OHnly
may, in its discretion, teoninate lhis contract without liability and may also, in its discretion.
deduct from the contracl or purchase price,. or otherwise recover, lh. full amounl of allY fu,.
COlDIn;,;ion, percentaee, gift, or eonsideralion paid to ilte fonner County oUicer or employee.
~
_CC- - I ~
' (signature)
Dale:-Y~7
-.._._0____..
STATEOF .-=t. .~-
COUNTY OF_ ~ . ~ _ ./
PERSONALL Y APPEARED BEFORE ME, lhe undersigned ,ulholilY,
,~ AO. ~ oJ, ~.J who, after first being Sworn by me, aftlxcd his/hel
,ignatur, (name of individual signing) in Ihe space provided above on this It:.~.. day of
~~J'7192Z. _
My commi!;sion expires:
"1111/.'111111111/11111111/11111"10'111111111111111.]'
'~, .......v ~I/. Rose Marie Himtel'
,': ,.oi 1'\~'" Notary Public, Salce o( FIorilk
MCP#4~' ~.,,_~ ComminioaNo.CC.27069
:;: Y1-o, ,..0. My Conunis.ioD Expim 12111191 ~
,>: 1.800-l.II/Or AAV. FI... Nocary ScTvioe a B..... c..
:~)"\\\"'''''''\''''''''W)''''''W'''''W''W'J''''i')'''\\'''\'''''''''''''W)'''''''''''W .
DRUG-FREE WORKPLACE F~RM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
Pi tZA. - -r € C~ tfL/'~ 1i2..... S L/'lJ/IU! -;CA.Jf!- ~
(Name ofBusine5s)
1. Publish a statement nvtifying employees that the unlawful manufacture, distribution, (I;.;pCII:;
;ng, possession, or use of a controlled ~;ubstance is prohibited if. the workplace and &pccif)'ing the
actions that will be taken against employees for viclations of such p..ohibitioll.
! .
2 Iufolm employees about the dangers of drug abuse in the workplace. the business's policy of
rll.~intaiaing a drug-free workplace, any ..vailable drug counseling, rehabilitation, and employc,;
assi~tal1cc prugrams, and the penalties that may be imposed upon employees tor dlUg abuse
'v i,llations.
>>
3 Give each employee engaged in providing the commodities 'or contractual services that are
tlnd~r bid a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1). notify the employees that, as a condition of workin0
on t he commodities or contractual services that are under bid, the employee will abide by the' {ellH:;
of the statement and wiJl notifY the employer of any cOllviction of, or plea of BlIilty or 110L,
co.ltendcre to, any violation of Chapter 893 (Flodda Statutes) or of any controlled sllhstulH.;c 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 on. or require the satisfactory participation in a drug abuse assistance or
r~hai:?ilitation program ifsuch is available in the employee's community, or any employee who i~;
~o convicted.
6. Make a good faith effort to continue to maintain a drug-free workplace through implcmclltatinn
;:}f t his section.
A:; the person authorized to siBn the statement, I certify that this firm complies fuUy with t he above
I eq lllrcmcnts.
Bidder's Signature
/~6/n
Date /
!\1CP#5 REV. 6/91
Me? #1
\.-...
NON-COlUJSrON AFFIDAVIT
-- ~-'
1._- ~I(.q 1:>. ~~L'L , fU5. oflhe
, j
city of I<!.~f.- "-"~O - _accoJd!n!) to law On my oalh,
under p~nalty of perjllry, depose <lnd say that;
~li".'.. !
1) lam flZLL"F r/JlU:~CH ~St:1I!JI1CL ~"h,'lIiduermal.i""
the Proposal for the project described as fonows:
2) 1'he prices in Ihi" bid have beell arrived at IndependenUy Wilhout cOllusion,
cor.sullation, commullicalion or agreemenl forlhe purpose of restricting compelilion. a"
10> any moUer relaling 10 su~h prices with allY olher bidder or wilh any compelilor;
J) Unless olherwise required by law, the prices which have'been quoI~d in Ihis
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 biddor or 10 oilY
ccmp:;titor; and
4) No altem~.t has been made or will be made b~( the bidder to induce any olh"..
person. partnership or corporalion to Submit, or not to submit, a bid for tho purl'Oi,C ..f
r(:~t{ictiIlY competition;
#
5j The Etatemellts contained in this affidavit are true a nd correct, and made t' II t I,
full know/edne Ihat Monroe County relies upon th" truth of III tatements centai"" I;"
thj~ affidavit in awanHng cCintructs for said project.
STAn: 0
COUNT'! OF
1519nat7;1;r)
7~ .L
: , DA TE
I
o BEFORE ME, the undersigned authority,
who, after first being sworn by me, (name of
vidual signing) affixed hisn,er signature in the space provided above on this
J 19 9! 7
My Commission expires:
.'I."""IJ"N""III/'IIN'I/N"II'NN'III1'II/.I~
~. ..fo' "II. Rose Marie Hunter <
.,; .<>~ 1'\;t.... NOlaI}' Public. Sl.1le of Florida ~
.~. ~ f(lfI1@ Conunission No. CC 427069 (
;.; '?-OFF\.<:;~ MyCommissiou Expircsl2l18198 ~
'~: 1-IOO-J-NOTAJl.Y. fl,. N.,..,./ ~<mce" BODdiDI Co. ~
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SWORN STATEMENT PURSUANT TO SECTION 287.133(3)(a),
FI.OIUI)A STATrrTF~ ON I:'UDUC ENTITY CRIMES
THIS FORM MUST DE SIGNED AND SWORN TO IN THE PRESENClo: OF A NOTARY PUBLIC Ol~
OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. This swom statemeDt is submitted
!O_______ /ld.AI~L
(prir:t nome of the blic ontity)
~~~. ()~~~_.8us.
(print individual's nama and tillo)
h}'
fo r.,.
f$'/~~--r~~/ 1U~/1?- S~/CL.. ~._
(plir.t name of entity submitting 6Worn stf)temantl ,
~'ho~ husioe~~! address ili
p.o. rg~.x / S-?O
----, ~7 LIQ/ZL.o) f1..., ~~7._,_
~n j (if al-'illicabl~) its Federal Employer Identification Number (FEIN) is 5~' dD-O;r: /Y? ....-?!-/I
.
(If the eClit)' has no FEIN, include tbe SOtial Security Number of the individuill signing this swum
statement.
1 _____.)
I
I undcrstaud tbat a "public entity crime" as defiDed iD Paragraph 287.13J(l)(g), f::lorigA Stf)~~.J Rle:m:; a
\iolation of allY statc or federal law by a PCI'SOd with rc.:lpect tu and directly l'elated to the tr:&l1sactiou of IIw."J:~.;
hith ~ny IJublic entity orVlith an agcDcy or political subdivisioD ofallyotherrtatc ororthe United Stules, iw 1.ILijil:~
t;;t not limiteJ to, any uid or conb'ac! for goods or services to be IU'ovidcd to any public entity or all ::/',;'11'-.1' ill'
!lulitic.;.l ~ubdh hitJu of any other stateor()ftlac United States and involviugahtitrust, fraud, theft, b,.jiitTy, (1111,.,';,1",
r"ci-<.:Itel"ing. conspiracy, or Ol~,teriallnisrclJre.<;entatiou.
i. lll,dt:rstaild that "convicted" or "co.lviction" as defined in Paragraph 287.1.lJ(I)(b), k:'.!!~~!!:!~tall!.!~~, ~" "l:~:;;J
findi/lt:: \Jf ~i!t or a conviction of a public entity crime, with or without all aJjudicatioll of ~~lIi1t, ill :.ny I.:J..'I',:1 , "
~!alc trial Court of retord relating to charges broll~ht by indictment ol'info"IU<ltiuJI after .July I. 1'J~l'J, ;u; :ll(:,H~1
of a >>.:ry H...-diet, nfUljury tlial, or cntl.y of a lllea of guilty or nolo cOlltendere.
1 \l~derstalid that au "affiliate" ~5 ~cfiliCd in ParagralJh 287.1JJ(I)(1l). .E!Q~'!!Jl! St~!utQ~1 IIIC:lIl~;:'
J. A predecessor or successor of a llerson convicted of a public entity crime; 01'
2. An eatity under the control of any natural person wbo is active ia the mllnagement of the entity and whu h:1!J
bc~n l:oQ\'icted of a public entity crime. The term "affiliate" includes those officers, directors, cxrcutin.'s, 1'~iikL;'S.
sl1archolders, employees, members, and agents who are active in the managelilcllt uf an arfili:lte. The o\iw:r"i,ip
h; one person of shares constituting a controlling interest In arlothel' person, OI'I)Oolilll~ uf equipment .o~' il\lUI.IC
among J1~rsOllS n hen not (or fait. m.1.-l,et value under an arm's length agreemcllt, sball be a Iuillla f;lCk ca.:":: III at
one person conL'ols anothcr person. A perSOIl whu knowingly enten into .joiut venture with it!ICrsOIl who kl" I,L'''1
:: ,JlI\ irled ur a IJllblic entity crime b l'lorida dul'illg the IJrCfcding 36 mouths shall be COIIl.'1lkrcd ~II ail.li:.i:',
I undt: rstand that a "person" a~ defined in Pal'agrallh 287. 133(1)(e), Floridn StAtutes, means ~any natur;;;1 II'- l':;rl.1
or ~ntjty orgaui:.-'.ed under the laws of any state or of the United States wlthlhe legal powel' to cnte.' iuto a ili:II~;~I;~
COllt. ...tt and which bids or applies to bid on contl'act. for tbe pro\'i.ioa of goods or services let by allUbli:: olliitJ,
or n i'lirb otht:nt'is.: transacts or appHe. to tnl.sad business wi.h a public (;:Iltify. The tenll "pc.-~on" indulks it ;; j"
uf;J(en, diH.'CtOrs, executives, partner9, sha,'ch..lJdcl"S, employees, members, and IItu1's who ..r.: Lui\'~ i.1
m.l!>..r.emel1t of ~ ec:titv.l.2.3.4.5.
j~,lsl:ll (I I illf.,'lIlatit)fj :HH\ helit f, the sl<!lemellt which I have Dl"rkcd l;('lmv is t.\I~ ill rdaiifill III tilt." c"i' ,
,',hminin:.; this s\,nru sl~II4"n:nt. IllIdit"tc whit'h sl"tclU.:ut a!ll)lics.J
..K- rh iOlcr tlle entity ~lIll1l1;Hill~ tbis sworn statement, nOl' allY ur it!! omcl'r~. din'ctors. nl'C<lti,.. ';
" ., t..I': '" "h,..'diUl,kn, UIJ\lt.ilcc:i" mealllh:n;, 01' ;ll~cuts wl.o an: at~tivc ill ti..: mamll~Cm"1I1 uf 1I41: eutit \', ,,': I
u\ ..:,',iLt,: of tile emit, 1~...!j lI':l'u ,'k\i'i~::.l "i!!. and Ctlll\'ielt~d (If a II1Iblic "kltity t:ril"I{~ ~lIb~~(lhl...i tH j"j,
I. 1'/.0,
. _.. - 1'1..: Cdlil)' ,;uhlilitli.:l:~ t:.b; sworn !j~:\iCI1.Cllt, 1101' :lny of its officer!!, (~ircctors, cxcfueiH'!j, pallaH',.;.
..:."....'i.ul:k..>, 1~Ii!IlIH}'(;:S. n,cmbcl':', ur al~;~l.,t!l \. ho JUC at.h'e ill the m~..a~cmult ofthe cUiity, 111:1' ;.;.~ IliJ'iii:, i,:
\ f Ihe ':I:(i{:, t.aS ;~c:cn c:h;1a'~l't1 wiih ...,Id cthnktcd tJi' i1lmblie clleity crimc subs(;(IUcnt to Julyl, 19,19.
The clltily stJ,mittinl~ this SW,h'n statcml~nt. Ol' one 0.. more of ib (,fa'kers. daru.toni, C1ctu:iH'~;,
(I;:: tocr." llil:Jl'ch11Idcrs, CIIII)loyccs.lDcm!Jtr~;, fir agcnts who are acth'c ill the 1IIllOlII:cIIlcnt of tile cntity. (/I'
..11 ..ffili..l:" l;i .:lL tneit). h:J:j hCt.'l\ l.haq~ed '.',iIll a.ld corn'icted or a IIUblic entity crime !!ub~cqllcnt tll July i,
: '1,0. hu .H:\ -.=.., there LIS Ilt'.:a .t sldJliCq!::Cilt IlrOrctdinJ~ before.. lIcll.l-iu~~ OUkcr of ~h~ Se..lc 1\1' Umit\l,
l.., i., j,iulll'( A J,p;uisLralh'e Hcariil~~.:; ana the Filial Order entcred I,y tli~ II.:... iUl~ Oftkcl' deh:.'."wcI2 .,j..:
j; \\ ,~, ,lut i,l ll..: ll~lhlil,; i"ten'st to jllacc ~h~~ t'lCeit)' submitting this sworu ~;e;.tl'lIICll~ (Jl1lhe l'Jnl'ire'~il \'l,ul',I'
, ',I. 10\ ,i..d. a CI,1"'), of th~ f'iuall){d,';;J
\J. I t~I)EI(!:TAND l'JlAl' THE SmJl\I~SSMON OF THIS FOIlM TO THE CONTRACTING OFFiCl-:!t
~.)I:'I HE PI!lH.IC [NTH\' HH~Nl'WI~lJ ON PARAGRAP1l1 (ONI!:) ADOV~ IS I"ON TIlAT PlIIHI('
I
.;.;" d1 Y oNLY AND, lUA1'TUISFOllM IS VALIDTIIROUGIIDECl!:MIn:KJl OFTHl!:C/\I.END.\H
;'EAR IN WUlCH IT IS FILED. I ALSO UNDERSTAND THAT I AM IU:QUlREDTO INF<}t(M THE
PlanK ENTITY PRIOR TO ENTEJUNG INTO A CONTllACT IN EXCF:SS Oil' TilE 'fURESIWl.tJ
,'::'.!\tuu hT PlWVlDED IN SJ::CTlON 2U7.017, f.LOIUDA STA TUTF.S lo'Olt (,A'fH~()U.\' TWO OF ,<\ r; \l
CH.\NGl-: iN nn: ll'llI<)!(MATlON CONTMNF.D IN THIS i'OUM.
~
I si l~n a e II rc I
S~orn to ..nd sllh~lrjbcd bcfore Ille tbi9,/? --bk tiayof
__ ... .___".,11:7..7.
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Not:' ',: Fl'hlic. St:ltr (jf~-Z~-!,-:~.' ~J I;~J
---
i'{ r~o.l...lIy hli(IWn_____.________ _..._
~ '.. : (!)d.It"~'d ;..e"~i.r~;,.;,tir.
- -. --- _. -_.._--~.._-_.__...._..-.-._,.-. ---.---'.
. M!):J}2:;;~~~ '<
~' (1'l'inted tYIICtl or :.tal11!Jl:d
COllll;lis'.illdt'd nalne (if Iwe:Il~' ptll. :il')
":Nllllllllllllh'/I/lI/llll/li/~111111/111/11 'II 11<
..,. .......V'IL Rose Mane Hunler. ,~
': il.';~-c. No<<ary Public, Slale ofFlonda: (
:~ 'a._~ Commission No. CC 421069 <
.:~.,. o~ MyCommissic:1 Expires 12/18198 ~
.) Off\; . <
'~: ) NOTAl.Y , Fl.. Nowy Service a Bo-tial Co. <
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<T~, Ill" of identification)
For'", P{!H. 7i16l:1 (Rev. 06111/92)
MONROE COUNTY FIRE RESCUE
VEHICLE LIST - DISTRICT 1
STOCK ISLAND
1 FDKE30MXKHC33995 1439-195 E-12 E-1 PUMPER 1990 1500 750
BIG COPPITT
1439-303 R-14 FORD REHAB UNIT/AMB 1983/89 NIP N/A
46JABAA84L1003413 1439-281 T-15 SO.COACH. TANKERI PUMPER 1994 1250 2000
46JABAA84L1003414 1430-116 E-20 E-1 PUMPER 1990 1500 750
1417-206 T-18 SO.COACH. PUMPER 1999 1250 2000
SUGARLOAF
1 FV6JLCB3PL476133 1431-164 E-26 BRDMN. PUMPER 1993 1250 750
1GBL7D1G9GV107111 1431-70 R-25 CHEVY RESCUE PUMPER 1986 250 200
1430-20 R-17 E-1 RESCUEI PUMPER 1979 750 500
CUDJOE KEY
IGDV9E4HXBV566578 1431-17 T-24 SAULS. TANKER PUMPER 1981 1000 3000
BIG PINE
1091 P11J5KI008070 1432-216 E-30 YOUNG PUMPER 1989 1000 750
IGDV9E4HXBV566579 1432-42 T-32 SAULS. TANKER PUMPER 1981 1000 3000
3B7MF33C6TM111113 1432-383 B-31 DODGE BRUSH TRUCK 1996 150 350
T80FVB38357 3210-218 T-38 FORD TANKER 1976 750 2200
MARATHON
1 FV6JLCB2SL612678 1433-505 R-36 E-1 RESCUE/ PUMPER 1994 500 750
IXPL259X60704273 1433-318 T-37 PTRBULT. TANKER 1989 1250 2500
8VA39318138779 1433-23 E-40 E-1 PUMPER 1979 1500 1000
4ENBAAA83P1002037 1433-484 L-41 E-1 LADDER 1993 1500 300
CONCH KEY
1091 P11J6KI008059 1434-183 E-45 YOUNG PUMPER 1989 1000 750
1GDV9E4H8BV566580 1434-61 T-47 SAULS. TANKERI PUMPER 1981 1000 3000
LA YTON
1FDPK74P7NVA35763 1440-177 R-50 E-1 RESCUE 1992 ( 0
46JABAA84L1003415 1440-166 E-49 E-1 PUMPER 1990 1250 750
TA VERNIER
1 HTSCPHN4NH446561 1437-361 H-57 SAULS. HOSE REEL TRUCK 1992 0 0
QR842125 1437-300 R-61 SPARTAN RESCUEI PUMPER 1988 1500 500
IF9D8BA89J1037252 1437-288 L-58 E-1 AERIAL PLATFORM 1988 1500 150
CE12-6240 1437-2 E-59 LFRNC. PUMPER 1978 1500 1000
CCZ335A143212 3210B-233 U-56 CHEVY UTI UTY I HAl MAT 1975 0 0
1413-37 FORD REHAB UNIT/AMB NIl- N/A
TRAINING DIVISION
1439-5 E-18 CENTRAL PUMPERI TANKER 1969 750 500
E= ENGINE
R= RESCUE
L= LADDER
T= TANKER
U= UTILITY
H= HOSE TRUCK
ATTACHMENT 1
Jan-04-OO 09:29A R;sk Management
305 295 4364
P.Ol
Smith, Mack & Associates, Inc.
Warner-Harrison House
3384 Post Road, suite 1
Warwick RI 02886-1133
j401) 732-2800 () -
'"!lURED
Fire Tech Repair Service,
P.O. Box 1570
Inc
cOMPANY
. A Hartford
'~;BANV _
COMPANY
C
In~.~!,~nce Company
.-
Key Largo
(305) 1'J,51-4230
FL 33037-
COMPANY
o
,C_AAt;,I!lO,~i2i)!E"S;;"~""'E4!g:;,)!Ejif.ifu':iit'i;;i:"iiE;;ji"ii"i;;Si~iiji!;;'i~"C1!2it":fi"i''':'''?''iS,,"E:i:i'';:;i:!~
THIS IS TO cERTIFY THAf THE POUC\ES OF INSURANCE I.ISTED BEI..OW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCV PERIOD
INDICATED. NOlWliHSTANDING ANY REQUIREMENT, TERM OR CONomON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL 1l1E TERMS,
exCI.USIONS AND CONomONS OF SUCH POUCIES, UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co I TVl"! OF INSURANCE I - poUC., NUt,l8!R l~ollCY E1'P!cllVE I POliCY ElCPlIlATION I
LTA \ I \'gATEIIoIIlIIDDrm I OAfE(MM/DOrm
I ~ENEAAL LIA8lUlY oeNEFIIILMlGReGATE S
~~AL GCNeAAL ~E1lurt / / / / Pf<<)OUCl'S . cOMPIOP IIGG S
_,I~ """'s ...,,, 0 0CCUf' """,OOL' "" ~'" ,
H-- OWNER9&CONTAACTOR'SI'ROT\ lIy.~.~r: P,.V F'1'.'r"j~fl~ e,\CHoccuRllENCE S
__- ~ 1\ \ ~ ~ I\..4J FIRe ClAMAOE ~ on8'1I81 $
MEO E)(P (MV (lf18 P8_nl $
o~tE_Llll~\('1 / 7 /
W~:"Cl:!: ill,;' _, S (\
~: C~1!b-
/- . \. J ...:..~.
LL ' l I'~ 11 .
~ kA ~ ~:;)C L~ PROPERlY DMlAOE
AUTO ONLY. EA ACCIOENT 13 0 0 0 0 0
04/01/99 04/0~/OO OTlolER1HANAUlOONLY: .'
~ti ACCIDENT 5
AGGFlEGATE $
EACH OCCUAReNCE S
AGGREGATE S
I.
\wc:;TATU" 10TH.
TORY liMITS I I-"Q
eLEACHAOC~NT S
El DISEASE. pouCV UMIT S
El Ot9EASE . EA EJ,APlOYEE S
comprehensive $500 ded.
Collision $500 ded.
Liability - Direct
Primary Coveraqe
UMITlI
..-
/
COMBINeD SINGLe LIMIT
s
AUTOIolOI'LS LlA8lUlY
ANY AUTO
f--
\_ AU. OWNeD AUTOS
1_ SCHEOUL.eOIWTOS
I _ HIRED AUTOS
f-- NON<JWNED AU1'09
_.-
aOOIL Y INJUAV
(Per penlonl
$
eoOll Y INJUAV
(Pe' lICoCld8nO
S
.
I--
A ~ UA81UlY
X ANY AuTO
f-"-
f--
o.2UECBU4172
\_~~E55 UA81UlV
H UNllIF\E1.lA FORM
, O'!J04ep'~-,\.~\)~~BREL!..A. "ORM
WORK!'" COMPI!IlllAT10H AND
EIoIPLOftRt' UAIIUlV
THE pROPRETOAI R INCt. ,
PARlNER9IelCECVTlVe I
OFFIcERS ARE: EXCL
A omlRPhysical Dam. 02UECBU4172
A Physical Dam. 02UECBU4172
A Garagekeepers 02UECBU4~72
\
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04/01/99
04/01/99
04/0~/99
04/01/00
04/01/00
04/0~/OO
DEIICAII'TIOH 0' OPI!RAT10NlILOCATIONIIVEHIClESISPliCIAL ITOII
certificate holder is additional insured with respect to these
coverages
!:1ll!TI~\!l'PEl!::" ,;;c: 25:;1"'2;:;;';:;;;,. ,,; ::;:,:: . . ,;';:""iSii~~~!!!!;:;::;"'ii;;;"E,,,,;ii2'" i:ii::c', ;;"ii",;E~iI:,";
SHOULD AIlV Of THE AtIovr OElICRI8t:O 1'0UClEa S! c,,"cl!U.EO UEFOI'IE nil'
EXPIRATION gATE THEREOf. THI! ISSU,"Q CO,",PAN" ~IU. EIlDl!AVOR TO "AIL
Monroe County - Monroe county Board 1JL ~B -~ .."a ~ ,."..".~.." ~.... .~.. ,. - "",
of County Commissioners ){i BUT ~A1LUIlE TO MAIL SUCH 'OflCE lI"ALL IMPOSE "0 OILlQAnOH OR LI,.8IUTY
5~OO college Road ~f\ 0(1 OF ANY KIN-........ 01'1 "EPI'IESENTA1IVEII.
Key West FL 33040 ;..-:-~. L?' (Lf AUTHORI~OREI'AE&ENTAnftE
\ - -:.. 1~. I ....~... ,- r.AA.'._..... ..... ..... .'
1 ~... . "0" . :.::: ;~H'n.\:t _ _.,~:.'_...,.-__.. ,'; ,:'::....<.;..... ~....' ~-::1"1." ".'. '." .... . n~RPORA,.'ON'g88
ACORD2!5wSlI95/ ..' ...........,... .... .. ....,.
,_ I -L I II I, \ I '-.1 ( If