03/11/1998 Contract
119annp lL. itolbage
BRANCH OFFICE
3117 OVERSEAS InGHWAY
MARAlHON, FLORIDA 33050
TEL. (305) 289-6027
FAX (305) 289-1745
CLERK OF THE CIRCUIT COURT
MONROE COUNTY
500 WHITEHEAD STREET
KEY WEST, FLORIDA 33040
TEL. (305) 292-3550
FAX (305) 295-3660
""
BRANCH OFFICE
88820 OVERSEAS HIGHWAY
PLANT A nON KEY, FLORIDA 33070
TEL. (305) 852-7145
FAX (305) 852-7146
MEMORANDUM
TO: Dent Pierce
Director of Public Works
FROM:
Attention: Beth
Ruth Ann Jantzen, Deputy Clerk ~.
March 30, 1998
DATE:
------------------------------------------------------------------------------------------------------------------------
On March 11, 1998, the Board of County Commissioners granted approval
and authorized execution of an Agreement between Monroe County and Humane Animal
Care Coalition, Inc., to operate the Key Largo Animal Control Shelter.
Enclosed please find a fully executed duplicate original of the above Agreement
for return to Humane Animal Care Coalition.
If you have any questions concerning the above, please do not hesitate to contact
this office.
cc: County Attorney
Finance
County Administrator, w/o document
File
..
-~
AGREEMENT
for
OPERATION OF KEY LARGO ANIMAL CONTROL
This agreement, is entered into this ~ day of 1Yt,4-~ , 1998, by and
between the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY,
FLORIDA, a political subdivision of the State of Florida, (hereinafter "County"), and
HUMANE ANIMAL CARE COALITION, INC., 283 Saint Thomas Avenue, Key Largo,
Florida 33037, a non-profit organization existing under the laws of the State of Florida,
(hereinafter Contractor);
WIT N E SSE T H:
The County hereby authorizes the Contractor to operate the Key Largo Animal
Control Shelter located at 105951 U.S. Highway 1, Key Largo, Florida 33037, as further
described in Exhibit "A" attached hereto, (hereinafter "Shelter"), and to provide complete
animal control and enforcement services within the unincorporated area of Monroe
County from MM 70 West to MM 112 North, and East to Ocean Reef, including the
Village of Islamorada (hereinafter "Service Area"), according to the follO\!:ing terrlila a~
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I. SCOPE OF SERVICES: ~?';: w ..."
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a. The Contractor will fully staff, operate and perform all current f~~ns:Jf t; ,.
Shelter. ~:-f~ -= ~
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b. The Contractor shall secure, maintain and pay all applicable feesffur ~y ;r~
and licenses necessary to operate the Shelter.
c. The Contractor shall cooperate with the Monroe County Health Department and
follow all local and state laws, regulations and procedures, including but not limited to
F .A.C. 1 OD-3.091, Procedures for Control of Specific Communicable Diseases and
Chapter 59X-29, Animal Control Shelter Permits.
d. The Contractor shall give first preference of employment to the current Shelter
Supervisor and three (3) Animal Control Officers. Further, the Contractor shall provide
that all animal control officers complete the mandatory certification program outlined by
F.S. 828.27 (40 hours of training curriculum approved by the Florida Animal Control
Association); said training shall be completed on a timely basis after a 90-day
probationary period.
e. The Contractor will receive and properly confine all animals that are brought to
the Shelter or which become the responsibility of the Shelter. All animals in the custody
of the Contractor shall have a constant supply of fresh water and be fed a diet
appropriate for their species, breed, age and physical condition.
f. The Contractor shall provide appropriate care for sick and injured animals in its
custody and shall obtain the services of a veterinarian who is licensed by and in good
standing with the Board of Veterinary Medical Examiners for the State of Florida for
consultations and/or professional services.
g. The Contractor shall maintain the Shelter, including kennel area, cages and
euthanasia room, and all equipment in a clean, safe, and sanitary manner.
h. The Contractor shall provide the personnel and materials necessary to humanely
euthanize all animals designated for euthanasia by the supervisor or designee of the
Shelter. The primary drug to be utilized for euthanasia shall be sodium pentobarbital,
and the Contractor shall administer euthanasia to those animals designated for
destruction in a humane manner and consistent with state and county laws and
regulations. The Contractor's personnel who perform euthanasia will have a certificate
signed by a licensed veterinarian attesting to the employee's ability to perform
euthanasia.
i. The Contractor shall ensure that rabies inoculations will be given to all adopted
and redeemed animals as required by law.
j. The Contractor shall provide heartworm testing and deworming to all adoptable
animals, provide feline leukemia virus testing for all adoptable kittens and cats, and
shall have a program in place for flea and tick control.
k. The Contractor will provide an adoption service through the Shelter for the
purpose of securing suitable homes for adoptable animals. Adoptable animals will be
available for inspection by the public during normal working hours.
I. The Contractor will issue license certificates for dogs and cats as required by the
Monroe County Code and collect the established fees therefor. The Contractor will be
responsible for determining that all requirements have been satisfied by an applicant
prior to issuing a license certificate and shall remit all fees therefor to the Monroe
County Tax Collector, Harvey Government Center, 1200 Truman Avenue, Key West,
Florida.
II. ENFORCEMENT SERVICES:
The Contractor will provide complete animal control and enforcement services within the
Service Area described above, including, but not limited to:
1. Emergency services (24-hours per day!? -days a week) for Priority One calls
which are:
a. Injured animal;
b. Bite cases; person bit by any warm blooded creature;
c. Animal bites to other animals;
2
d. Wild animal in home;
e. Dangerous dog investigations;
f. Animal cruelty investigations;
g. Law enforcement requests.
2. Patrolling on a regular and consistent basis;
3. Picking up dogs that are running at-large;
4. Picking up cats captured in cat traps;
5. Non-emergency animal pick up from residential homes during normal
operating hours;
6. Picking up dead animals along County or City rights-of-way and arrange
for proper disposal in accordance with all applicable laws, regulations and
ordinances;
7. Disposing of any animals that are euthanized or that expire while in the
care, custody, or control of the Contractor, in accordance with all
applicable laws, regulations and ordinances.
8. Investigating all reports of violation of local and state ordinances and
regulations relating to animal control and, when warranted by the facts,
issue citations and/or prosecute all persons charged with violation of said
ordinances and regulations, which includes representing Monroe County
in court proceedings when required. Further, upon termination of this
agreement, the Contractor shall complete all cases originated by
Contractor including representing the County in court if necessary.
9. Complying with all applicable County ordinances and regulations as well
as the laws of the State of Florida.
III. TERM OF AGREEMENT:
This agreement shall be for a twelve (12) month period beginning
Pr pr\ I ,) Iqq8 and ending at 12:00 midnight on 1Yl<< rc..h 31. /qqq
The term of this agreement shall be renewable in accordance with Section IV .'
IV. RENEWAL:
The County shall have the option to renew this agreement after the first year, for two (2)
additional one year periods. The contract amount agreed to 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
3
based upon the annual average CPI computation from January 1 through December 31
of the previous year.
V. ASSIGNMENT:
The Contractor shall not assign nor subcontract its duties under this agreement without
the prior written approval of the County.
VI. TERMINATION WITHOUT CAUSE:
The County may terminate this agreement without cause by providing the Contractor
with written notice of termination at least sixty (60) days prior to the date of termination.
VII. TERMINATION WITH CAUSE:
The County may terminate this agreement for cause if the Contractor shall default in the
performance of any of its obligations under this agreement. Default shall include the
occurrence of anyone of the following events and same is not corrected to the
satisfaction of the County within fifteen (15) days after the County provides the
Contractor with written notice of said default:
a. Failure to provide food or water for animals in the custody of Contractor.
b. Failure to procure appropriate veterinary care for any sick or injured animal in
the custody of the Contractor.
c. Failure to administer euthanasia in a humane manner.
d. Failure to maintain the Shelter in a clean, safe and sanitary manner.
e. Breach of any other term, condition or requirement of this agreement.
VIII. UTILITIES:
The Contractor shall be responsible for payment of all utility charges for the Shelter. All
utility accounts, except for telephone service, will be transferred to the Contractor's
name. The telephone system will remain in the County's name, and the County will
provide the Contractor with a monthly invoice regarding Contractor's use of same. The
Contractor shall complete a phone log form to verify all long-distance calls and shall
return said form along with its check, made payable to the Board of County
Commissioners, to reimburse the County for telephone service. The phone log form
and payment shall be sent to the attention of the Division of Public Works no later than
the 15t1l day of each month. (The County Phone Log form is attached hereto as Exhibit
"B").
IX. PAYMENT:
The total compensation to be paid to the Contractor in consideration of its services
under this Agreement shall be $181,440 per annum. The County shall pay the
Contractor on a per month in arrears basis in an amount equal to 1/12 of the total cost
4
of the contract, or $15,120 per month. The Contractor shall provide a monthly invoice to
the Division of Public Works, and payment shall be made on or before the 15th day of
the following month.
X. FUNDING AVAILABILITY
In the event that funds are partially reduced or cannot be obtained or continued at a
level sufficient to allow for the purchase of the services contemplated, then the contract
may be terminated immediately at the option of the County upon written notice of
termination being delivered in person or by mail to the Contractor. The County will not
be obligated to pay for any services provided by the Contractor after the Contractor has
received written notice of immediate termination.
XI. VEHICLES:
The County hereby leases to the Contractor the two (2) County vehicles currently
assigned to the Shelter identified as a 1993 Ford F150 Pick Up Truck (Unit No. 0910-
053) and a 1994 Ford F150 Pick Up Truck (Unit No. 0910-056). The Contractor shall be
responsible for payment of all fuel, oil, and other supplies necessary to operate said
vehicles. In addition, the Contractor shall be responsible for repairs to said vehicles and
shall maintain them in accordance with the maintenance schedule attached hereto as
Exhibit "C." The Contractor shall provide receipts to the Director of Public Works or his
designee to document and verify that the required maintenance has been performed.
The County shall have the right to inspect the vehicles at any reasonable time.
XII. INSURANCE REQUIREMENTS:
The Contractor will provide insurance coverage as described in the Risk Management
Policy and Procedures Contract Administration Manual attached hereto and marked
Exhibit "D."
XIII. FEES:
The Contractor shall collect and remit to the County all funds that are collected for fees,
license certificates, adoption, etc. In this regard, the Contractor shall issue receipts and
keep appropriate records of all funds received and shall provide the Director of Public
Works or his designee with a monthly report of same along with copies of all license
certificates and vaccination certificates issued. In addition, the Contractor shall collect
and remit to the County all funds collected for penalties as required by the County Code
and shall provide the Director of Public Works or his designee with a monthly report
thereof. The Contractor shall only charge fees as outlined in Monroe County Resolution
No. 209A-1995, as same may be amended from time to time; said Resolution is
attached hereto as Exhibit "E." The Contractor shall not charge any other fees for
services at the Shelter unless authorized by the County to do so.
5
XIV. DONATIONS:
The Contractor shall issue receipts and keep appropriate records of all donations
received by Contractor, and said donations shall only be used to operate the Shelter.
XV. FACILITIES AND EQUIPMENT:
The Contractor hereby accepts the Shelter facilities and equipment in "as is" condition,
and the Contractor shall allow the County to inspect said facilities and equipment at any
reasonable time. In addition, all operating supplies and any additional equipment such
as catch-all sticks, cages and the like shall be the responsibility of the Contractor.
XVI. INVENTORY:
Prior to commencement of the service contemplated herein, the County shall perform
an inventory of all supplies, materials, medicines and equipment at the Shelter and the
inventory list prepared therefrom shall be signed by both parties hereto.
XVII. MAINTENANCE:
The Contractor shall maintain and be responsible for the cost of repairs to the Shelter
building, grounds and equipment in order to keep same in proper working condition.
Repairs costing over $1,000 shall be paid by the County.
XVIII. IMPROVEMENTS OR MODIFCATIONS TO FACILITY:
No improvements or modifications may be made to the Shelter, appurtenances, or
surrounding property without the prior written approval of the County.
XIX. HOURS OF OPERATIONS:
The Shelter shall be open to the public at a minimum of Monday through Saturday
utilizing the same hours of operation as the Key West and Marathon Shelters; however,
nothing herein shall preclude the contractor from extending its hours of operation.
XX. INDEPENDENT CONTRACTOR:
At all times and for all purposes, the Contractor, its agents and employees are strictly
considered to be independent contractors in their performance of the work
contemplated hereunder. As such, the Contractor, its agents and employees shall not
be entitled to any of the benefits, rights or privileges of County employees.
XXI. COUNTY LOGO:
Prior to commencement of services, the County will remove any reference to Monroe
County or Public Works from the County vehicles to be leased hereunder, and
6
Contractor shall remove all reference to Monroe County and Public Works from the
County uniforms if same are utilized by said Contractor.
XXII. NON-DISCRIMINATION:
The Contractor shall not discriminate against any person on the basis of race, creed,
color, national origin, sex or sexual orientation, age, physical handicap, or any other
characteristic or aspect which is not job related when recruiting, hiring, promoting,
terminating or any other area affecting employment under this agreement. At all times,
the Contractor shall comply with all applicable laws and regulations with regard to
employing the most qualified person(s) for positions under this agreement. Additionally,
the Contractor shall not discriminate against any person on the basis of race, creed,
color, national origin, sex or sexual orientation, age, physical handicap, financial status
or any other characteristic or aspect in regard to providing services hereunder.
XXIII. INSPECTION OF BOOKS AND FACILITIES/AUDIT:
The Contractor shall allow the County to inspect its books and records at any
reasonable time. In addition, the Contractor shall, at its expense, provide the County
with an annual audit that conforms to generally accepted accounting principles.
XXIV. MEDICAL RESEARCH:
In no event shall any animals under the care, custody, or control of the Contractor be
given, bartered or sold to any medical research company.
XXV. PUBLIC ENTITY CRIME STATEMENT:
A person or affiliate who has been placed on the convicted vendor list following a
conviction for public entity crime may not submit a bid on a contract to provide goods or
services to a public entity, may not submit a bid on a contract with a 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, F.S. for CATEGORY TWO for a period of 36 months from the date
of being placed on the convicted vendor list. (CATEGORY TWO: $15,000.00).
XXVI. NOTICE:
Any notice required or permitted under this agreement shall be in writing and hand-
delivered or mailed, postage prepaid, by certified mail, return receipt requested, to the
other party as follows:
FOR COUNTY:
Dent Pierce, Director
FOR CONTRACTOR:
Tom Garrettson, President
7
Monroe County Public Works
5100 College Road, Rm. 500
Key West, Florida 33040
Humane Animal Care Coalition, Inc.
283 Saint Thomas Avenue
Key Largo, Florida 33037
XXVII. CONSENT TO JURISDICTION:
This agreement shall be construed by and governed under the laws of the State of
Florida and venue for any action arising under this agreement shall be in Monroe
County, Florida.
XXVIII.
AUTHORIZED SIGNATORY:
The signatory for the Contractor, below, certifies and warrants that:
(a) The Contractor's name in this agreement is its full name as designated in its
corporate charter.
(b) He or she is empowered to act and contract for Contractor.
(c) This agreement has been approved by the Contractor's Board of Directors.
Further, Contractor shall, upon execution of this agreement, provide proof of
incorporation and a list of its Board of Directors.
XXIX. ENTIRE AGREEMENT:
This agreement constitutes the entire agreement between the County and the
Contractor for the services contemplated herein. Any amendments or revisions to this
.,/",~,.~~,e en",t must be in writing and be executed in the same manner as this agreement.
, /.'..' .,~>~~,.WITNESS WHEREOF, the parties hereto have set their hands and seals on
" . the day\r~t written above.
>"'~
(SEAL)
Attest: DANNY L. KOLHAGE, CLERK
By~.yQ ~~~ '
put lerk
By:
UNTY COMMISSIONERS
OUNTY, FLORIDA
~
Mayor/Chairman
HUMANE ANIMAL CARE COALITION, INC.
APPROVED AS TO FORM
AND
BY
By: 7/""'A_/. ~
Presi ent
8
MONROE COUNTY
ANIMAL SHELTER
KEY LARGO, FL
ANIMAL SHELTER TRACT
Being a portion of lot 9 in Section 1, Township 61 South, Range 39 East, lying
southeasterly of U. S. Highway I as shown on the Model Land Company Plat recorded in
Plat Book 1, Page 68 , Public Records of Monroe County, FL and being more particularly
described as follows:
Beginning on a rod and cap located at the intersection of the divisional line between the
Monroe County Animal Shelter and the Florida Keys Electric Cooperative Association,
Inc. with the southeasterly right-of-way line of U. S. Highway 1, thence proceed
coincident with said southeasterly right-of-way line N 37 degrees 18 minutes 38 seconds
E, 158.99 feet; thence depart said southeasterly right-of-way line and proceed S 52
degrees 44 minutes 25 seconds E, 44.12 feet; thence proceed S 88 degrees 58 minutes 33
seconds E, 70.60 feet to the East line of said Lot 9; thence proceed coincident with said
East line S 00 degrees 37 minutes 56 seconds E, 253.16 feet to a rod and cap in the
divisional line between the Monroe County Animal Shelter and the Florida Keys Electric
Cooperative Association, Inc.; thence proceed coincident with said divisional line N 52
degrees 56 minutes 54 seconds W, 256.68 feet to the Beginning, containing 0.75 acres.
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MONROE COUNTY
ANIMAL SHELTER
KEY LARGO, FL
PORTION OF LOT 9
TOWNSHIP 61 SOUTH
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MONROE COUNTY PHONE LOG
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DEPARTMENT:
EMPLOYEE:
PHONE #:
DATE: NUMBER TO: BUSINESS PURPOSE:
CALLED #:
I hereby celiify that the calls listed above were made for official county business.
Signature
Date
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From: Rufus Frazier Monroe County Floet Management Fax: 1-305-296-3423 Voice: 1-305;l96-3423 To: Beth Leto
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RISK MANAGEMENT
POUCY AND PROCEDURES
CONTRACf ADMINISTRATION
MANUAL
GeDcnllDlunDce RequlreDlCDa
lor
A.lm" CODtrol Contnm
At, a pre-requisite of the work governed, or the goods supplied under this contract
(including the pre-stapg of persoJUlel and material), the Contractor sball obtain, at
hi&lher own expense, msurance as specified in any aUached 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.
The Contractor will not be pennitted to commence work .8overned 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 worle, resulting from the failure of the Contractor to provide
satisfactory evidence of the required insurance, shall not extend deadlines specified in this
contract and any penalties and failure to perfonn assessments shall be imposed as if the
work commenced on the specified date and time, except for the Contractor's failure to
provide satisfactory evidence.
The Contractor shall maintain the required insurance throughout the entire tenn 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 replaoed. Delays in the completion of work resulting
from the failure of the Contractor to maintain the required insurance shall not extend
dcadHnes 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 insunmce.
The Contractor shaI1 provide, to the County, as satisfactory evidence oftbe 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.
EXHIBIT '9"
PAGE 1 OF 8
The acceptance and/or approval of the Contractor's insurance shall not be construed as
relieving the Contractor from any liability or obligation assumed under this contract or
imposed by law. ,
The Monroe County Board of County Commissioners, its employees and officials will be
included as "Additional Insured" on au policies, except for Workers' Compensation.
Any deviations from these General Insurance Requirements must be requested in writing
on the County prepared fonn entitled "Request for Waiver or Insuranee Requiremeuu"
and approved 6y Monroe County Risk Management.
PAGE 2 OF 8
ANIMAL CONTROL ERROS " OMISSIONS LIABJLllY
INSURANCE REQUIREMENTS .
FOR
CONTRACT
BETWEEN
MONROE COUN1Y, FLORIDA
AND
Prior to the commencement of wort governed by this co~ the Contractor sba1l obtain
Animal Control Errors" Omissions Liability Insurance. Coverage shall be maintained
throughout the life of the contract and inc1ud~ as a minimum:
· False Arrest, Detention or Imprisonment
· ~ciousP~~tion
· Wronsful ~ and Eviction
· Assult and BatteIy
. Fint Aid FAO
· False or Improper Service of Process
· Violation ofPro~ Rights
· Violation of Civil Rigths
The minimum limits acceptable shall be:
SI,ooo,OOO Combined Single Limit (CSL)
An Occurrence Fonn policy is preferred. If coverage is provided on a Claims Made
poli~t its p~vi8ions should inClude coverage for claims filed on or after the effective date
of this contract. In addition, the period for which elaJrns may be reported should extend
for a minimum of twelve (12) months following the termination of the contract.
The poUey shall not exclude claims or have coverage limitations relating to occurences
caused by or related to animals.
The Monroe County Board ofCou~ Commissioners shall be named as Additional
Insured on all poUcles issued to satisfY the above requirements.
ANlMALE8cO
PAGE 3 OF 8
EMPLOYEE DISHONESTY
INSURANCE REQUIREMENTS
lOR
CONTRACf
BE1WEEN
MONROE COUNTY, FLORIDA
AND
The Contractor shall purchase and maintain, throughout the tcnn of the contract, Employee
Dishonesty Insurance which will pay for losses to County property or ~oney caused by the
fraudulent or dishonest acts of the Contractor's employees or its agents. whether acting alone or
in collusion of others.
The minimwn limits shall be:
$100,000 per Occurrence
EDZ
PAGE 4 OF 8
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 shaD be maintained throughout the life of the
contract and include, as a minimum:
· Premises Operations
· Products and Completed Operations
· Blanket Contractual Liability
· Personal In' Uabili
· Expanded b~on 07Property Damage
The minimum limits acceptable shall be:
$1.000.000 Combined Single Limit (CSL)
If split limits are provided. the miniDUlm limits acceptable shall be:
$ 500,000 per Person
S 1.000,000 per Occurrence
S 100,000 Property Damage
An Occurrence Ponn policy is preferred. If coverage is provided on a Claims Made
poli~. 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 policy shall not exclude claims or have coverage limitations relating to occurences
caused by or related to animals.
The Monroe County Board of County Commissioners shall be named as Additional
Insured on all poliCIes issued to satisty the above requirements.
GL....nl.....
PAGE 5 OF 8
MONROE COUNTY, F'WRlDA
RISK MANAGEMENT
POLICY AND PROCEDURES
CONTRACI' ADMlNJSTRA"DON
MANUAL
Indemniftcation and Bold HanDless
for
Animal Control ContradS
The Contractor covenants and I8f:CCS to indemnify and hold harmless Monroe County
Board of County Commissioners from any and all claims for bodily injury (including
death), personal injury, and property damage (includinl property owned by Monroe
County) and any other losses, aamages. 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, erTon, or other
wrongful act or omission orThe Contractor or its Subcontractors in any tier, their
employees, or agents.
In the event the completion of the project (to include the work of others) is delayed or
suspended as a result of the Contractor's failure to purchase or"maintain the required
insurance, the Contractor shall indemnify the County from any and an increased expenses
resulting from such delay.
The extent of liability is in no way limited to, reduced, or lessened by the insurance
requirements contained elsewhere within this agreement.
TCS
PAGE 6 OF 8
VEHICLE LIABILITY
INSURANCE REQUIREMENfS
lOR
CONTRACI'
DElWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contraCt requires the use of vehicles, the
Contractor, prior to the commencement of work, shall obtain Vehicle liability Insurance.
Coverage shall be maintained throughout the life of the contract and include, as a
minimum, liability covcrase for:
. Owned, Non-Owned, and Hired Vehicles
The minimum limits acceptable shall be:
$1,000,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shaJI be:
$ 500,000 per Person
$1,000,000 per Occurrence
$ 100,000 PrOperty Damage
The Monroe County Board of County Commissioners shall be named as Additional
Insured on all poliCies issued to satisfY the above requirements.
VL3
PAGE 7 OF 8
WORKERS' COMPENSAll0N
INSURANCE,REQUlREMENTS
FOR
CONTRACf
BETWEEN
MONROE COUNTY. FLORIDA
AND
Prior to the commencement of work aovemed b)': this 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
Icss 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 and the company or companies must maintain a minimum rating of A~
VI, as assigned by the AM. Best Company.
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 I>epartment
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, ttie Contractor may be required to submit updated financial
statements from the fund upon request trom the County.
WCl
PAGE 8 OF 8
Public Works
RESOLUTION N0209A-l995
A RESOLUTION OF THE BOARD OF COUNTY COMMIS-
SIONERS OF MONROE COUNTY, FLORIDA, AMENDING
RESOLUTION NO. 252-1993, ESTAULISHlNG A DANGEROUS
DOG REGISTRATION FEE
WHEREAS, Sec. 767.12(2), Florida State Statute, authorizcs Animal Control authoritics
to issue certificate of registration to the owncr of a dog which has bccn classified as dangcrous: and
WHEREAS, the ccrtificate shall be rcncwcd annually; and
WHEREAS, thc Board of County Commissioners hcrcby amcnds its fcc schedulc
Rcsolution in ordcr to comply with thc aforcmcntioned statutc and its own Ordinancc No. 0 I 0-
1995, now, thcrcfore,
BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF
MONROE COUNTY, FLORIDA,
Section I.
Rcsolution No. 252- I 993 is hcrcby amcnded to rcad as follow:
Service
Fcc
Pickup:
1st timc
$ 25
2nd timc
$ 50
3rd timc and more within 12 months
$ 100
The pick-up fccs set forth above shall be doubled if the animal picked up was not vaccinated for
rabies.
Board (per night)
$ 10
Adoption
$ 10
EXHIBIT "9"
Service
Fcc
Cremation:
Small
$ 35
Medium
$ 50
Large
$ 75
Disposal
$ 10
County License:
spayed/neutered
$ 10
unspayed/unneutered
$ 20
replacement
$ 2
Dan~erous Dog Certificate of Registration:
First Y car
.-UQQ
Annually rcnewal
L1Q
PASSED AND ADOPTED by the Board of County Commissioncrs of Monroc County,
Florida, at a regular mceting of said Board held on the 22nd day of Jtme 1995.
Mayor Frceman
Mayor Pro Tem London
Commissioner Harvey
Commissioner Douglass
Commissioner Reich
yes
yes
yes
yes
yes
(SEAL)
Attest: DANNY KOLHAGE, Clerk
BOARD OF COUNTY COMMISSIONERS
OF MON . COlJN '~~
By
By ~~jIaM~~4V
. Deputy lerk
r "
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY. FLORIDA
'"
I .
~ !
ETHICS CLAUSE
fAu'lfHt:: t) I1I~J Ca. ("eo ~1,.Lo:' warrants that hc/it has not employed, rctained
or othcrwisc had act on his/its bchalf any formcr County officcr or cmployce in violation of
1 I
Scction 2 of Ordinancc no. 1 0-1990 or any County officcr or cmployec in violation of
Section 3 of Ordinance No. 10-1990. For breach or violatipn of this provisionlhe County
.
may, in ils discretion, terminate this contract without iiability and may also, in its discretion,
deduct from the contract or purchase price, or otherwise recover, the full amount of any fcc,
commission, percenlage, gin, or consideration paid to the former Counly officer or employee.
STATEOF flt;'uD~
COUNTY OF -il1D to R-.tJE,
7/zc~7.1kw~
(signature)
Date: ~~ 7' 119g'
I
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
~ ~;J who, after first being swor~ by me, affixed his/her
signature (name of individual signing) in the space provided above on this .5711- day of
My commission expires:
~'Y P(j OFFICIAL NOTARY SEAL
O"~ 6'<'.... ALAN H STAFFORD
~ ~J. ~ COMMISSION NUMBER
... ~ CC508861
"J'] ~ MY COMMISSION EXP.
~ OF f'\'O '
OMU - MCP FORM 114
DRUG-FREE WORKPLACE FORM
..
TIle undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
, I
1-\ \A.Y\t\~ ~;~ C ~t
(Name of Business)
COlt' I ~. H1 J :me.
"
I. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that
will be taken against employees for violations of such prohibition.
2. Infonn employees about the dangers of drug abuse in the workplace, the business's policy of maintaining
a drug-free workplacc, any available drug counseling, rehabilitation, and employee assistance programs.
and the penalties Ihat may be imposed upon employees for drug abuse violations.
3. Give each employee engaged in providing the commodities or contractual services that arc under bid a
copy of the statement specified in subsection (1).
4. In the statement specified in subsection (I), notify the employees that, as a condition of working on the
commodities or contractual services that are under bid, the employee will abide by the tenns of the
statement and will notifY the employer of any conviction of, or plea of guilty or nolo contendere to, any
violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any
state, for a violation occurring in the workplace no later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation
program ifsuch is availilble in the employee's community, or any employee who is so convicted.
6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this
section.
As the person authorized to sign the statement, I certify that this tinn complies fully with the above
requiremcnts.
7~ 7. ~4~
Bidder's Signature
~ 5. fl?g
Date I
OMB - MCP#5
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
REGAN INSURANCE AGCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
9 0 14 4 OVERSEAS HWY COMPANIES AFFORDING COVERAGE
TAVERNIER FL 3 3 0 7 0 COMPANY
A MONTI CELLO INS CO
INSURED COMPANY
HUMANE ANIMAL CARE COALITION B
INC COMPANY
2 8 3 ST THOMAS AVE C
KEY LARGO FL 3 3 0 3 7 COMPANY
I D
\:IQ'l_tl.f:mm:\:m:\:\:j:m:mI:\::I:::\Im\:::::\:m:\I:m:j:::m:'IImmmm:\:j:\:j:j:\:::\I,\::,m:\mm:jI:m:j:j:j:j:j:\:j:!,\:m:::m:mmmI:j:m:m:m:jI,m:\:m:m:':\:::m:m:\I:\:j:m:\tI:j:\:\m\:\:m:m:m,m:\'\:\II:m~\mm:::rmI:m:':jm::m:m:m:m:j:m:mIIII:r\:::\'\ImmI:r\:m:j,m:mII:\:m:m:m:jI:m:\:\I:rr\:r\':I,rm:m:\II,::\,\:\:rmII::'::j'
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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECT1VE POUCY EXPI'lATlON LIMns
LTR DATE (MMIDD/YY) DATE (MMlDDlYY)
~ GENERAL UABIUTY MCL3 7 1 8 S 2 0 4 / 0 1 / 9 8 04 / 0 1 / 9 9 GENERAL AGGREGATE .1 , 0 0 0 , 0 0 0
I--
X COMMERCIAL GENERAL LIABILITY PRODUCTS COM PlOP AGG .INCLUDED
t2 ::=J CLAIMS MADE [K] OCCUR PERSONAL & ADV INJURY .EXCLUDED
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE .1 , 0 0 0 , 0 0 0
I--
ARE DAMAGE (Any one fire) . S 0 , 0 0 0
I--
MED EXP (Any one person) . 1 , 0 0 0
AUTOMOBILE UABIUTY
I-- COMBINED SINGLE LIMIT .
- ANY AUTO '~D~O r;:~rG Mf:NT
- ALL OWNED AUTOS .) ,de b BODILY INJURY
SCHEDULED AUTOS (Per person) .
- lY
HIRED AUTOS 3-(llt-q'~ 1/ BODILY INJURY
- .
NON.OWNED AUTOS "\~TE 1\ (Per eccldenl)
-
- N/A / Vf~ PROPERTY DAMAGE .
\':1. ''/m: -
~ARAGE UABIUTY AUTO ONLY - EA ACCIDENT .
ANY AUTO OTHER lMAN AUTO ONLY: i i i
-
- EACH ACCIDENT .
AGGREGATE S
EXCESS UABIUTY EACH OCCURRENCE .
R UMBRELLA FORM AGGREGATE S
OTHER lMAN UMBRELLA FORM .
WORKERS COMPENSATION AND I T'g~ll.~WJ I~W. ,...,........'..'..,. <dd
EMPLOYERS' UABIUTY
R EL EACH ACCIDENT .
THE PROPRIETORl INCL EL DISEASE-POLICY LIMIT .
PARlNERSlEXECUTlVE
OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE .
~ OTHER MCL3 7 1 8 S 2 04 / 0 1 / 9 8 0 4 / 0 1 / 9 9 LI 1 0 0 0 0 0 0 / 1 0 0 0 0 0 0
, , , ,
PROFESS IONAL
DESCRIPTION OF OPERATlONSILOCATlONSNEHlCLESISPECIAL ITEMS
CERTIFI CATE HOLDER I S SHOWN AS AN ADDITIONAL INSURED
i9!!'tJf!!!UF::!94?:!!ltt,:mmt:r:::':t::::::::::tmmm:m:tt::'::::::::::::rmmmmmm:m::m::':::t::::m:,:::mmtmmtt,r:,mt::::::t::m::':'r:::!J."!~P9!:tt::::m:::::::t::::::tt::::m:::m:mmt::::~:::::m:::::::::m:t::::::m:m:::t::'::::::::::::::::'t::::t::::::::m:::,:m::::::::rm::m:t::ttm:m:::::::::m:::m::
SHOULD ANY OF TllE ABOVE DESCRIBED POUCIE8 BE CANCELLED BEFORE THE
MONROE COUNTY BOARD OF COMM EXPIRATION DATE TllEREOF, TllE ISSUINQ COMPANY WIJ. ENDEAVOR TO MAL
ATT : RI SK MANAGEMENT .liL DAYS WRITTEN NOTICE TO TllE CERTIFICATE HOLDER NAMED TO TllE LEFT,
S 1 0 0 COLLEGE RD BUT FAILURE TO MAIL SUCH NOTICE SHAll. "POSE NO OBUQATlON OR UABIUTY
KEY WEST FL 3 3 0 4 0 OF ANY KIND UPON 11& COMPANY ns &NTS OR REPRESENTATWES.
,~ 2;~.2~;;;~
::li~t"i~itdiHr:':':':::m:':::'I'm::':m:':ItI'm::"":"'~:~::::::~Ii:"""",,:{,:,::,,::::,,::,,;::,,::::
INITIAL {/
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM.
PRODUCER I W8":0 Ext\3 0 5 - 8 5 2 - 3 2 3 4 COMPANY 1 BINDER ·
REGAN INSURANCE AGCY THE HARTFORD HUMA50-5
EFFEcnYE EXPlRAnoN
nME DAnE nME
1 X I AM I X 112:01 AM
4/01/98 12: 01 n PM 5/01/98 n NOON
I THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY
PER EXPIRING POLICY.:
DESCRIP110N OF OPERAnoNSNEHlCLESlPROPERTY (lnclucllng Location)
DAnE
90144 OVERSEAS HWY
TAVERNIER FL 33070
CODE: 21224589
~~~ER ID: AHUMA50 - 5
INSURED
l SU~ODE:
93 FORD PICKUP WITH IFTDF15Y4PNA86155
94 FORD F150 WITH CA 1FTEF15Y9RNB52931
HIRED AND NON OWNED
HUMANE ANIMAL CARE COALITION
INC
283 ST THOMAS AVE
~EY LARGO FL 33037
~:q,~!gJ,A4drr~::~:~~::~~:mmmmr::::r::::::::~:m:m:::::::m::~mmm:::rrrr::m:::::::::m::::~~:rr::rrm:mm::mmmmm:m:rm:m:::::m:~:::::~:r:::~rr\::rr::m:rr::::::::r~~\\\:::::mmr::::::
TYPE OF INSURANCE
PROPERTY CAUSES OF LOSS
:= BASIC 0 BROAD 0 SPEC
COVERAGE/FORMS
AMOUNT
:::::::m:::m:::::rr::::r::rm:m:\:~I~:r::m:m:rrm:m:::::m:mmmmrr::::r::::~:m.n:m:::r::m:::r::~:::::{::::m:::m:::m:\\::::mm::.
DEDUCTIBLE COINS 'J(,
ACTUAL CASH VALUE
STATED AMOUNT $
OTHER
AUTO ONLY EA ACCIDENT $
OTHER THAN AUTO ONLY:> .":".'.:...' i
EACH ACCIDENT $
AGGREGAnE $
EACH OCCURRENCE $
AGGREGAnE $
SELF-INSURED RETENTION $
STATUTORY LIMITS" .. ,....,.: ... .'.... ......',....
EACH ACCIDENT $
DISEASE POLICY LIMIT $
DISEASE. EACH EMPLOYEE $
AND ADDITIONAL INSURED
GENERAL UABIUTY
-
GENERAL AGGREGAnE
PRODUCTS - COMPIOP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one ftre)
MED EXP (Any one person)
COMBINED SINGLE LIMIT
BODILY INJURY (Per person)
BODILY INJURY (Per accldenl)
PROPERTY DAMAGE
MEDICAL PAYMENTS
PERSONAL INJURY PROT
UNINSURED MOTORIST
COMMERCIAL GENERAL LIABILITY
>< I CLAIMS MADE 0 OCCUR
_ OWNER'S & CONTRACTOR'S PROT
i--
RETRO DAnE FOR CLAIMS MADE:
AUTOMOBLE UABILITY
-
~(lPO,YfD ~ISK ~~IfAP~ENT
By'ftlAL)C1JQ
a rd\7~S(
WOII!FR: N/A ~ vrs
ANY AUTO
-
ALL OWNED AUTOS
'-----
X SCHEDULED AUTOS
c---::-=-
X HIRED AUTOS
-
X NON-OWNED AUTOS
:--
i--
D~TE
AUTO PHYSICAL DAMAGE DEDUCTIBLE ---.J ALL VEHICLES
rXl COWSION: 2 5 0
IX1 OTHER THAN COL: 250
GARAGE UABLITY
I--
LKJ SCHEDULED VEHICLES
I---
ANY AUTO
I--
EXCESS UABILITY
R UMBREu.A FORM
OTHER THAN UMBREu.A FORM
RETRO DAnE FOR CLAIMS MADE:
WORKER'S COMPENSATION
AND
EMPLOYER'S UABILITY
SPECIAL
CONDmONSl
OTHER
COVERAGES
BINDER REISSUED TO SHOW COUNTY AS A LOSS PAYEE
$
$
$
$
$
$
$1,000,000
$
$
$
$ 5,000
$ 10,000
$1,000,000
$
~MM'rlr_lg'}:m:m:~~r:::r:m:::::::::i:::ti:::~::::rr:rrtt::::t::i:r:~:::~:~:::~tt:::r:::i:ir::::::r:::~::r:::::~:r:t:::r:::::::::::::mm::t:~::~~~~r:mr:::r.:::::t::I:::::::::::~::tt:~::::::::::i::::rr:r::.::i.%~:::ir~:r:.r:i:tti:i:::::tIt:::r:::::rmr:::tirr:i:i::::rmri:i:i:Iir::r:i:rtmmti:i:i::r::rr:i:::i:::::irr~~~r::::r::::m
MORTGAGEE X ADDITIONAL INSURED
X LOSS PAYEE
LOAN .
MONROE COUNTY BOARD OF COMM ......,.. /Ji
~~:iq~~""
INmAl
(
. .
CONDITIONS
This Company binds the kind(s) of insurance stipulated on the reverse side. The Insurance is subject to the
terms, conditions and limitations of the policy(ies) in current use by the Company.
This binder may be cancelled by the Insured by surrender of this binder or by written notice to the Company
stating when cancellation will be effective. This binder may be cancelled by the Company by notice to the
Insured in accordance with the policy conditions. This binder is cancelled when replaced by a policy. If this
binder is not replaced by a policy, the Company is entitled to charge a premium for the binder according to the
Rules and Rates in use by the Company.
Applicable In California
When this form is used to provide insurance in the amount of one million dollars ($1,000,000) or more, the title
of the form is changed from -Insurance Binder" to -Cover Note-.
Applicable In Delaware
The mortgagee or Obligee of any mortgage or other instrument given for the purpose of creating a lien on real
property shall accept as evidence of insurance a written binder issued by an authorized insurer or its agent if
the binder includes or is accompanied by: the name and address of the borrower; the name and address of the
lender as loss payee; a description of the insured real property; a provision that the binder may not be canceled
within the term of the binder unless the lender and the insured borrower receive written notice of the cancel-
lation at least ten (10) days prior to the cancellation; except in the case of a renewal of a policy subsequent to
the closing of the loan, a paid receipt of the full amount of the applicable premium, and the amount of
insurance coverage.
Chapter 21 Title 25 Paragraph 2119
Applicable In Nevada
Any person who refuses to accept a binder which provides coverage of less than $1,000,000.00 when proof is
required: (A) Shall be fined not more than $500.00, and (B) is liable to the party presenting the binder as proof
of insurance for actual damages sustained therefrom.
\~::\t..nli.ijt\:\tt:@@\\@@@mm@\=\:=:\=\:::=:::::@\::tt:@@\\:tt::tm@mt:::::::@@@=t:\:\:=:=::tmmttm@t::t'@@@@@@@@@=t=:=\=\==:\=m:::\:@mm:tmmm@\':=::::::::::::::::@:tm@mtt'=::=:t::t:@!:@@@@:=:tt:!:::::::\:::::@:rr:@@::@::::mrm@@::::::::::@@:r:::::::@:m@@@@:::m::::::::t
THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM.
PRODUCER I rl1g~ Ext,;3 0 5 - 852 - 3 234 COMPANY I BINDER ,
REGAN INSURANCE AGCY THE HARTFORD HUMA50-4
EFFECTIVE EXPlRAnON
nME DATE nME
Tx I NIl X 112:01 AM
04/01/98 12: 01 n PM 05/01/98 I NOON
1 THIS BINDER IS ISSUED TO EXTEND COVERAGE IN lliE ABOVE NAMED COMPANY
I PER EXPIRING POLICY':
DESCRIPnON OF OPERAnONSNEHlCLESlPROPERTY (Includlng Locallon)
DATE
90144 OVERSEAS HWY
TAVERNIER FL 33070
CODE: 21224589
~3:~ER 10: AHUMA50 - 4
INSURED
I SUB-CODE:
ANIMAL SHELTER
105951 OVERSEAS HIGHWAY
FLORIDA 33037
KEY LARGO
HUMANE ANIMAL CARE COALITION
INC
283 ST THOMAS AVE
~EY LARGO FL 33037
::P!ft~B4mtf!J:!J:::!:::f!:ff!:mJJ:!:!:::!:m:!J:!JJ:!:::!:::!:f!:!:!:m::::m!:!J:!:!:f!:!:f::!:f:::::!JJ:!:!:!:!:!J:!:!:!:!:!:!:ffff\f!:!::f!:!::!::::!J::::!:!:!:!:::\f!JJ:::::f!:!:!:::!:!:::!JJ:!:!:!JJJ:::!=f!:!:mJJJJJ:::\!:j:j:::!JJ:::::!JJJJ:::::::!:::!:!J:::!JJ::::::ail'rlff!:\\j::f::!::::::::JJJ:f!:!::JJ:::::!:!
TYPE OF INSURANCE COVERAGElFORMS AMOUNT DEDUC11BLE COINS %
PROPERTY CAUSES OF LOSS
:= BASIC D BROAD D SPEC
GENERAL UABILITY
-
AP~~Y ~MANA:W~
BY .J.l\ :~Q)JU L ~
,~,.a l{ -C( 0'
.... ~vr~
COMMERCIAL GENERAL LIABILITY
<< I CLAIMS MADE D OCCUR
_ OWNER'S & CONTRACTOR'S PROT
DATE
RETRO DATE FOR CLAIMS MADE:
AUTOMOBLE UABILITY
-
IVIi: Hl..
ANY AUTO
-
ALL OWNED AUTOS
-
SCHEDULED AUTOS
r--
HIRED AUTOS
-
NON-OWNED AUTOS
r--
I-
AUTO PHYSICAL DAMAGE DEDUCnBLE ~ ALL VEHICLES
I COLLISION:
rI OlliER lliAN COL:
GARAGE UABLITY
I-
ANY AUTO
U SCHEDULED VEHICLES
I--
I--
EXCESS UABILITY
R UMBRELLA FORM
OlliER THAN UMBRELLA FORM
RETRO DATE FOR CLAIMS MADE:
WORKER'S COMPENSAnON
AND
EMPLOYER'S UABILITY
SPECIAL
CONDmoNSl
OTHER
COVERAGES
GENERAL AGGREGATE S
PRODUCTS. COM PlOP AGG S
PERSONAL & ADV INJURY S
EACH OCCURRENCE S
FIRE DAMAGE (Any one lire) S
MED EXP (Any one perw<<I) S
COMBINED SINGLE LIMIT S
BODILY INJURY (Per perw<<I) S
BODILY INJURY (Per accident) S
PROPERTY DAMAGE S
MEDICAL PAYMENTS S
PERSONAL INJURY PROT S
UNINSURED MOTORIST S
S
ACTUAL CASH VALUE
STATED NIlOUNT S
OTHER
AUTO ONLY EA ACCIDENT S
OlliER lliAN AUTO ONLY: < ....'.'.'...'....,'.},'
EACH ACCIDENT S
AGGREGATE S
EACH OCCURRENCE S
AGGREGATE S
SELF-INSURED RETEN110N S 2
X STATUTORY LIMITS
EACH ACCIDENT S 100,000
DISEASE. POLICY LIMIT S 500,000
DISEASE. EACH EMPLOYEE S 100,000
JMMI:j=='=Jlpgrmlftmmf!:j=::!:::j:!:fm:::::f::::!J:mJ=fj=::!::m!:!::m:mmI=ffff=:=:!:!:=:j:!I:m::mf:::JJ=:I:f!=j:!I::::III:ff:::::IJ::R::::::::::::::::::ffmmffffIm::f:m:IImmmm='::'=R=:f=:::::::::::I::::::::ImffmI=:::::::::::mf:IImmI::=:=:m:::::::Im:mffm=:I=:::::mmmmm::f=I:ff:::::::=:::=f:III::;:f
MORTGAGEE ADDmONAL INSURED
LOSS PAYEE
Go I erA LOAN'
::AL 3 ~ ......... ..........- (l
}'UiiQ~t\'U;,',:;i"."""?;' iiQrEf~',~j.~~~~~~
'_ 7/
V
"
CONDITIONS
This Company binds the kind(s) of insurance stipulated on the reverse side. The Insurance is subject to the
terms, conditions and limitations of the policy(ies) in current use by the Company.
This binder may be cancelled by the Insured by surrender of this binder or by written notice to the Company
stating when cancellation will be effective. This binder may be cancelled by the Company by notice to the
Insured in accordance with the policy conditions. This binder is cancelled when replaced by a policy. If this
binder is not replaced by a policy, the Company is entitled to charge a premium for the binder according to the
Rules and Rates in use by the Company.
Applicable In California
When this form is used to provide insurance in the amount of one million dollars ($1,000,000) or more, the title
of the form is changed from "Insurance Binder" to "Cover Note".
Applicable In Delaware
The mortgagee or Obligee of any mortgage or other instrument given for the purpose of creating a lien on real
property shall accept as evidence of insurance a written binder issued by an authorized insurer or its agent if
the binder includes or is accompanied by: the name and address of the borrower; the name and address of the
lender as loss payee; a description of the insured real property; a provision that the binder may not be canceled
within the term of the binder unless the lender and the insured borrower receive written notice of the cancel-
lation at least ten (10) days prior to the cancellation; except in the case of a renewal of a policy subsequent to
the closing of the loan, a paid receipt of the full amount of the applicable premium, and the amount of
insurance coverage.
Chapter 21 Title 25 Paragraph 2119
Applicable In Nevada
Any person who refuses to accept a binder which provides coverage of less than $1,000,000.00 when proof is
required: (A) Shall be fined not more than $500.00, and (B) is liable to the party presenting the binder as proof
of insurance for actual damages sustained therefrom.
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1996 Edition
MONROE COUNTY, FLORIDA
Request F or Waiver
Of
Insurance Requirements
It is requested that thc insurance requirements, as specified in the County's Schedule of Insurance Requirements, be
waived or modified on the following contract.
Contractor: Humane Animal Care Coalition, Inc
Contract for: Service Contract to Operate Key Largo Animal Shelter
Address of Contractor: 283 Saint Thomas Avenue
Key Largo, Florida 33037
Phone: (305) 453-0826
Scope of work; Service Contract to Operate the Key Largo Animal Shelter
Reason for Waiver: The insurance underwriters have informed me no one will write a
stand alone $100,000.00 Employee Dishonesty Coverage. Since the Contract is front
loaded (County will pay after services are performed between 30-45 days) there is little
risk to the County.
POlicies Waiver will apply to: Employee Dishonesty Insurance Requirements 100,000.00.
Risk Management:
Date: ,-5 k 7/9 ,f"
"2~ ). ~ JA,..,(24, ""
Not Approved ---;- 1-- J j () --I--f-:-.
, W/~'-'~~
Signature of Contractor:
County Administrator appeal:
Approved:
Not Approved:
Date:
Board of County Commissioner's appeal:
Approved:
Not Approved:
Meeting Date:
Administration Instruction
#4709.2
103
DATE
INmAl
3IZ~geJ
03/2121/98
14:59
Fax to: 305-2Q2-4,64
March 20, 1998
Donna Perez
Monroe County Board Of Comm
Att:Risk Management
r.','l ()() rn 11 age Rd
Key West FL 33040
Re~ Humane Animal Car. Co~lition Tnc
Em~loyee Dishonesty
D6,a r Me:. Fier l;~Z :
Please be advised that none of our carriers will offer a
$10,000 or $100,000 bond for the above captioned.
If you have any que~tions. do not hesitate to contaot uo.
Thdllk you.
SIncerely,
ere
8M( A )/pe
PLANTATION KEY, 901"'" OVERSEAS HIGHWAY, TAVERNIER, FLORI[lA ~'3117~"~
TA.VERNIER: (305) 852.3234 - MARATHON: (305) 743-3414 - FAX: (305) 952-3703
NO. 133
[;101
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