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12/06/1999 AgreementBRANCH OCE 3117 OVERSEAS AY MARATHON,, FLORIDA 33050 TEL. (305) 289-6027 FAX (305) 2s9-1745 ZU10 c qb YtU/ . J JAM Q4p'.• 9a C17 # #5 7� �E COu 33annp 3L• UAW CLERK OF THE CIRCUIT COURT MONROE. COUNTY 50011EAD STREET 40 KEY WE T, FLORID 30 TEL. (305) 292-3550 FAX (305) 295-3660 MEMORANDUM DATE: February 4, 2000 Dent Pierce, Director TO: public Works Division ATTN. Beth Leto, Assistant FROM: Pamela G. Hanco De uty Clerk BRANCH OFFICE 88820 OVERSEAS HIGHWAY PLANTATION KEY, FLORIDA 33070 .� (305) 852-7145 FAX (305) 852-7146 P the Board granted Commissioner's meeting and Dade At the December 8, 1999, Board of County reement between Monroe County authorized execution of a Contract Ag3 072 00 per year. and preventative maintenance service contract of the kitchen approval a air Shop, Inc -for preve in the amount o , Restaurant Rep Detention Center, equipment located at the Monroe County e original of the above for your handling. lease find a fully executed duplicate Enclosed please please do not hesitate to contact this office. Should you have any q Cc: County Administrator w/o document County Attorney Finance File SECTION THREE CONTRACT This agreement is set forth as of the DECEMBER 6, year 1999, between THE OWNER, WHO IS THE BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY FLORIDA AND THE FOLLOWING CONTRACTOR: NAME: DADE RESTAURANT REPAIR SHOP INC. }. ADDRESS: 201 WEST 27TH STREET HIALEAH, FLORIDA 33010 PHONE: 305-887-0783 ::r fi ~ g :::J ::0 ("')~ "?I r- or-:;;;::. rw1 try -, '- ,.,.,:x:.....( aJ 0 ("'). r- ,.-" 0("'). .(f:- C requ~~ b~ t]jj ~.("')r- ::It ::0 .. :..:::r: ,.,., ~, ;:,. CD C") r . C' .. 0 f.. ,.,., I\) __ . C>> S for the purpose of performing all of the work Contract Documents for the following Project: PREVENTIVE MAINTENANCE SERVICE CONTRACT KITCHEN EQUIPMENT FOR THE MONROE COUNTY DETENTION CENTER 5501 COLLEGE ROAD KEY WEST, FL. 33040 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, who are hereafter referred to as the OWNER and who assumes all duties and responsi- ~ilities and has the rights and authority assigned to the OWNER in ~ the Bid Documents in connection with completion of the Work in accordance with the Contract Documents. WITNESSED: That the parties hereto, for the consideration hereinafter set forth, mutually agree as follows: 3.1 SCOPE OF WORK The CONTRACTOR shall furnish all labor, materials, equipment, machinery, tools, apparatus, and transportation and perform all of the work described in the Specification entitled: Preventive Maintenance Service Contract Kitchen Equipment For the Monroe County Detention Center 5501 College Road Key West, Florida 3-1 and his bid dated NOVEMBER 16, 1999 attached hereto and incorporated as part of this contract document, and shall do everything required by this Contract and other Contract Documents. 3.2 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 laffecting employment under this agreement or with the provision of services or goods under this agreement. 3.3 ASSIGNMENT a) The CONTRACTOR shall not assign this agreement, except In writing and with the prior written approval of the OWNER and CONTRACTOR, which approval shall be subject to such conditions and provisions as the OWNER and CONTRACTOR 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 for 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 CONTRAC- TOR. ~) CONTRACTOR> shall not employ any Subcontractor, Supplier or other person or organi za t ion (including those acceptable to OWNER) whether initially or as a substitute, against whom OWNER may have reasonable objection. CONTRACTOR shall not be required to employ any Subcontractor, Supplier or other person or organization to furnish to perform any of the Work against whom CONTRACTOR has reasonable objection. 3.4 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 ef fect and hereinafter adopted. Any violation of said statutes, ordinances, rules and regulations shall consti tute a material breach of this agreement and shall entitle the OWNER to terminate this contract immediately upon delivery of written notice of termination to the CONTRACTOR. ]-2 3.5 LABOR, MATERIALS AND EQUIPMENT: a) CONTRACTOR shall provide competent, suitably qualified personnel to perform the Work as required by the Contract Documents. CONTRACTOR shall at all times maintain good disci- pline and order at the facility. Except in connection with the safety or protection of persons or the Work or property at the facil i ty or adj acent thereto, and except as otherwise indicated in the Contract Documents. b) All materials and equipment shall be of good quality and new, except as otherwise provided in the Contract Documents. If } required by the OWNER, CONTRACTOR shall furnish satisfactory evidence (including reports of required tests) as to the kind and quality of materials and equipment. Original invoices will be submitted to the OWNER for reimbursement. All materials and equipment shall be applied, installed, connect- ed, erected, used, cleaned and conditioned in aecordance with the instructions of the applicable Supplier except as other- wise provided in the Contract Documents. c) The OWNER is tax exempt and reserves the right to purchase directly various materials and equipment that may be a part of the CONTRACT. If the OWNER elects to make a particular purchase, the Director of Facilities Maintenance, Public Works Division, will act as a purchasing agent for the OWNER. The OWNER will, via a Purchase Contract, purchase the materials and equipment, and the Contractor shall assist the Director of Facilities Maintenance, Public Works Division in the preparation of these Purchase Contracts. ~) Independeut Contractor Status and Compliance Immigrati6n Reform and Control Act of 1986. with the At all times and for all purposes under this agreement the CONTRACTOR is an independent contractor and not an employee of the OWNER. 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 OWNER. The CONTRACTOR acknowledges that it is responsible for complying with the provisions of the Immigration Reform and Control Act of 1986, located at 8 U.S.C. Section 1324, et seq., and regulations relating thereto. Failure to comply with the above provisions of this contract shall be considered a material breach and shall be grounds for immediate termination of the contract. G) The OWNER designates the Director of Facilities Maintenance, Public Works Division, to function as Contract Manager, who shall be responsible for enforcing performance of the Contract terms and conditions, serve as liason with the contractor, and approve all invoices prior to payment. 3 -3 3.6 SAFETY AND PROTECTION a) CONTRACTOR shall be responsible for initiating, maintaining and supervising all safety precautions and programs in connection with the Work. CONTRACTOR shall take all necessary precautions for the safety of, and shall provide the necessary protection to prevent damage, injury or loss to: 7.1 all employees on the Work and other persons and organizations who may be affected thereby; 7.2 all the Work and materials and equipment to be incorporated therein, whether in storage on or off the site; and 7.3 other property at the site or adjacent thereto, including trees, shrubs, lawns, walks, pavements, roadways, structures, utilities and underground facilities not designated for removal, relocation or replacement in the course of construction. . b) CONTRACTOR shall comply with all applicable Laws and Regulations of any public body having jurisdiction for the safety of persons or property or to protect them from damage, inj ury or loss; and shall erect and maintain all necessary safeguards for such safety and protection. c) The CONTRACTOR shall notify owners of adjacent property and of underground facilities and utility owners when prosecution of the Work may affect them, and shall cooperate with them in the protection, removal, relocation and replacement of their property. All damage, injury or loss to any property, directly or indirectly, in whole or in part, by CONTRACTOR, any subcontractor, supplier or any other person or organization directly or indirectly employed by any of them to perform or furnish any of the Work or anyone for whose acts any of them may be liable, shall be remedied by CONTRAC TOR (except damage or loss attributable to the acts or omissions of OWNER or anyone employed by OWNER whose acts may be liable, and not attributable, directly or indirectly, in whole or in part, to the fault or negligence of CON TRACTOR) . 3.7 EMERGENCIES In emergencies affecting the safety or protection of persons or the Work or property at the site or adjacent thereto, CONTRACTOR, without special instruction or authorization from OWNER, is obli- gated to act to prevent threatened damage, injury or loss. CON- TRACTOR shall give OWNER prompt written notice if CONTRACTOR believes that any significant changes in the Work or variations from the Contract Documents have been caused thereby. 3 -4 3.8 SUSPENSION OF WORK AND TERMINATION a) OWNER may terminate upon the occurrence of anyone or more of the following events: 9.1. if CONTRACTOR commences a voluntary case under any chapter of the Bankruptcy Code (Title II, United States Code), as now or hereafter in effect, or if CONTRACTOR takes any equivalent or similar action by filing a peti- tion or otherwise under any other federal or state law In effect at such time relating to the bankruptcy or insolvency; ~ 9.2. if a petition is filed against CONTRACTOR under any chapter of the Bankruptcy Code as now or hereafter in effect at the time of filing, or if a petition is filed seeking any such equivalent or similar relief against CONTRACTOR under any other federal or state, law in effect at the time relating to bankruptcy or insolvency; 9.3. if CONTRACTOR makes a general, assignment for the benefit of creditors; 9.4. if a trustee, receiver, custodian, or agent of CONTRACTOR is appointed under applicable law or under contract, whose appointment or authority to take charge of property of CONTRACTOR is for the purpose of enforcing a lien against such property or for the purpose of general administration of such property for the benefit of -CONTRACTOR's creditors; . t' ~ 9.5. if GONTRACTOR admits in writing an inability to pay its debts generally as they become due; 9.6. if CONTRACTOR persistently fails to perform the Work in accordance wi th the Contract Documents (including, but not limited to, failure to supply sufficient skilled workers or suitable materials or equipment) ; 9.7. if CONTRACTOR disregards Laws or Regulations of any public body having jurisdiction; 9.8. if CONTRACTOR disregards the authority of OWNER; or 9.9. if CONTRACTOR otherwise violates in any substantial way any prOVlSlons of the Contract Documents. p) OWNER may, after giving CONTRACTOR (and the surety, if there be one) seven days' written notice and to the extent permitted by Laws and Regulation, terminate the services of CONTRACTOR, exclude CONTRACTOR from the site and take possession of the Work and of all CONTRACTOR I s tools, appliance, and machinery 3 -5 . ~ at the site and use the same to the full extent they could be used by CONTRACTOR (without liability to the CONTRACTOR for trespass or conversion), incorporate in the Work all materials and equipment stored at the site or for which OWNER has paid CONTRACTOR but which are stored elsewhere, and finish the Work as OWNER may deem expedient. In such case CONTRACTOR shall not be entitled to receive any further payment until the Work is finished. I f the unpaid balance of the Contract Price exceeds the direct, indirect and consequential costs of completing the Work (including but not limited to fees and charges fo engineers, architects, attorneys and other professionals and court costs) such excess will be paid to CONTRACTOR. If such costs exceed such unpaid balance, CONTRACTOR shall pay the difference to OWNER. c) Where CONTRACTOR's services have been so terminated by OWNER, the termination will not affect any rights or remedies of OWNER against CONTRACTOR the existing or which Jll..ay thereafter accrue. Any retention or payment of moneys due CONTRACTOR by OWNER will not release CONTRACTOR from liability. d) Upon seven days' written notice to CONTRACTOR, OWNER may, wi thout cause and wi thout prej udice to any other right or remedy, elect to abandon the Work and terminate the Agreement. In such case, CONTRACTOR shall be paid for all Work executed and any expense sustained plus reasonable termination expenses, which will include, but not be limited to direct, indirect, and consequential costs (including, but not limited to, fees and charges of engineers, architects, attorneys, and other professionals and court and arbitration costs) . ~) Contracto{ may stop work or terminate: If, through no act or fault of CONTRACTOR, the Work is sus- pended for a period of more than ninety days by OWNER or under an order of court or other public authority, or OWNER fails to act on any Application for Payment within a reasonable time after it is submitted, or OWNER fails to pay CONTRACTOR any sum finally determined to be due wi thin a reasonable time, then CONTRACTOR may, upon ninety days' written notice to OWNER, terminate the Agreement and recover from OWNER payment for all Work executed and any expense sustained plus reasonable termination expenses. In addition and in lieu of terminating the Agreement, if OWNER has failed to act on an Application for Payment or has failed to make any payment as aforesaid, CONTRACTOR may upon ninety days' written notice to OWNER stop the Work until payment of all amounts then due. 3 -6 3.9 DISPUTE RESOLUTION All claims, disputes and other matters in question between OWNER and CONTRACTOR arising out of, or relating to the Contract Docu- ments or the breach thereof (except for claims which have been waived by the making or acceptance of final payment) will be decided by a Court of Law in the County of Monroe in the State of Florida. All procedures shall be subj ect to all the standard pract ices of civil proceedings of the State of Florida. The CONTRACTOR shall carryon the Work in accordance with the contract documents and without delay during disputes and disagreements with ithe OWNER. 3.10 TERM OF CONTRACT This CONTRACT shall be for a twelve (12) month period beginning on JANUARY 1 2000 and end on DECEMBER 31, 2000 This CONTRACT term shall be renewable in accordance with RENEWAL terms as specified in paragraph 3.11. 3.11 -RENEWAL ~he Owner shall have the option to renew this agreement after the first and ea~h succeeding year, for two (2) additional one-year periods. The contract amount agreed to herein may be adj usted annually in accordance wi th the percentage change in the most recent Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W) i most recent unadjusted twelve (12) months ending average for all items. Increases in the contract amount during each option year period shall be extended into the succeeding years. 3.12 FUNDING AVAILABILITY Notwithstanding anything contained elsewhere in this contract( funds for Facilities Maintenance Detention Facilities Contractual Services are partially reduced or cannot be obtained or cannot be continued at a level sufficient to allow for the purchase of the 3 -7 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 or any equipment purchased by the CONTRACTOR after the CONTRACTOR has received written notice of termination. 3.13 PROFESSIONAL RESPONSIBILITY The ,CONTRACTOR warrants that it is authorized by law to engage in ,the performance of the activities encompassed by the project 1-herein described. The CONTRACTOR 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. 3.14 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 OWNER: FOR CONTRACTOR: ~onroe County. Public Works Facilities Maintenance Dept. 3583 S. Roosevelt Blvd. Key West, Florida 33040 DADE RESTAURANT REPAIR SHOP,INC. 201 West 27th Street Hialeah, FL. 33010 Tel:305-887-0783 Attn: Director of Facilities Maint. 3.15 PAYMENT 1) The OWNER shall pay to the CONTRACTOR for the performance of said service on a per quarterly arrears basis on or before the 30th day of the following month in each three (3) month peri- ods. The CONTRACTOR shall invoice the OWNER quarterly for the maintenance and testing performed under the Contract Documents contained herein. The Contract amount shall be as stated by the CONTRACTORS proposal as follows: a . Preventive Maintenance Services per year paid $768.00 per quarter $3,072.00, to be 3 -8 b. Repairs (routine, prior approval required) -Hourly rate for work not within the scope of preventive maintenance-normal working hours of 8AM to 5PM Monday through Friday, excluding holidays $80.00 c. Emergency service call-overtime hourly rate for work not within the scope of preventive maintenance other than normal working hours as stated above under Article 3.15b, including holidays $120.00 1- d. Handl ing fee maintenance, invoice plus for supplies and replacement parts required for repairs, and emergency service. Manufacturer's 25% (twenty five percent) . 2) Service Call Travel Expenses - The OWNER shall compensate the CONTRACTOR for travel and per diem expenses at the rates established by Florida Law (Florida Statue 112.061~~SEE ATTACHED Exhibit D). The CONTRACTOR must receive approval froin the OWNER for more than one (1) representative of the CONTRACTOR to be compensated for travel expenses. Approval from the OWNER must be received by the CONTRACTOR prior to the travel taking place. 3.16 GENERAL a) The duties and obligations imposed by these General Conditions and the rights and remedies available hereunder to the parties hereto, and, in particular but without limitation, the warranties, guarantees and obligations imposed upon CONTRACTOR and all of the rights and remedies available to OWNER ; thereunde~, are in addition to, and are not to be construed in any way a~ a limitation of, any rights and remedies available to ei ther or both of them which are otherwise imposed or available by Laws or Regulations, by special warranty or guarantee or by other provisions of the Contract Documents, and the provisions of this paragraph will be as effective as if repeated specifically in the Contract Documents in connec- tion with each particular duty, obligation, right and remedy to which they apply. All representations, warranties and quarantees made in the Contract Documents will survive final payment and termination or completion of the Agreement. b) No provision of this agreement or the duty perform any act required by this Agreement waived by the waiver of any particular act breach. or obligation to shall be deemed or occurrence of . c) This writing constitutes the entire expression of the parties agreement and may not be contradicted, modified, explained or supplemented by any prior written agreement or oral agreement or any other prior written or oral communication. 3 -9 In witness whereof, the parties hereto have executed this agree- ment the day and year first above written, COUNTY OF MONROE, STATE OF FLORIDA cS~-F~ By Mayor! airman L. KOLHAGE, Clerk D. c... DADE RESTAURANT REPAIR SHOP, INC. By {?nldr~ Attest: . t' ~~. f WITNESS Corporate seal if corporation: 3 -10 NON-COLLUSION AFFIDAVIT I, ()L1de. f2eS--tAUR-ANr~;:>A/~ ':;:)U:Y:>I'NC of the city of H/ .LlL!.e At.. /..-=-~ , :>3~ct)('.c> according to law on my oath, and under penalty of perjury, depose and say that; 1) lam /JA dp_ P~.s..i9v.2.A4 PrA/~~thebiddermaking the Proposal for the project described as follows: ::r c. 2) The prices in this bid have been arrived at independently without collusion, consultation, communication or agreement forthe purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor; 3) Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to bid opening, directly or indirectly, to any other bidder or to any competitor; and 4) No attempt has been made or will be made b~/. the bidder to induce any other person, partnership or corporation to submit, or not to submit, a bid for the purpose of restricting competition; 5) The statements contained in this affidavit are true and correct, and made with full knowledge that Monroe County relies upon the truth of the statements contained in this affidavit in awarding contracts for said project. STATE OF ~L~.~j dA a #~~s fl (Signature of Bidder) COUNTY OF J..IJ AM/'- DAIJG /CJ '-~9- 99 DATE PERSONALLY APPEARED BEFORE ME, the undersigned authority, IIH;n/V"od~" FL. pt:"e~ ;::r;. who, after first being sworn by me, (name of individual signing) affixed his/her signature in the space provided above on this .2. t-J , 19 q ~ .f((((((((<((<(<(<<(((<<<((<<<<<(<~<(<<<<<(<<<<<<<~I: '( f<....~y p{'8. Manuel Qumtero ) . ;~ ~t> Notary Public, State of Florida :: ;\ ~." ~ Commission No. CC 605849 : ' >~ ~ I)F fl.(\~My Commission Exp. 12/08/2000) : ~( Bonded Tbrou8b Fla. Nollry Service &: BoodiDll Co, :' l)l)))))I)))I)))))))))))))))))))))I))))))))))I)))))) : My commission expires: DRUG-FREE \VORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: j)Adp P<",,-s"i;gb:PA/j/r .P7PA/R.. .s::'hooI/V.c. (Name of Business) . / I. Publish a statement notitying employees that the unlawful manufacture, distribution, dispens- ing, possession, or use of a controlled substance is prohibited in the workplace and specitying 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 workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities 'or contractual services that are under bid a copy of the statement specified in subsection (1). I 4. In the statement specified in subsection (I ), notity 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 notity 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 available in the employee's community, or any employee who is so convicted. 6. Make a good faith e/fort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign the statement, I certity that this finn compli es fully with the above requirements. .. (J~4r/ Bidd r's Signature /O-,..J~- 99 Date MCP#5 REV. 6/9 I SWORN STATEMENT UNDER ORDrNANCE NO 10-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE lJA de- ~.5~ VL.A/Y'T"" R74/~ .$.l_......warrants that he/it has not employed, retained ~. or other.'1ise 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.1 0- I 990. For breach or \~olation of this provision the County may, in its discretion, lell11inate this contract \\~thOllt liability and may also, in its discretion, deduct from the contract or purchase price, or other.vise recover, the full amount of any fcc, commission, percentage, gift, or consideration paid to ;11e former County oflicer or employee a~ak.{i (signature) Date: /LJ-...::; $;>- r~- STATE OF fit:) ~~dp.- COUNTY OF I/;.AA,.t/'/~- ,DAde ~ PERSONALLY APPEARED BEFORE ME, the undersigned authority, ,4 /V\,7';.IV /. ~ L;:. FL pc-j.c~ho, after first being sworn by me, affixed hislher signature (name of individual signing) in the space provided above on this ) /....} day of 0y) ~ ~v v _ ,19Qt1. ~ NOT AR.PUB It My commission expires: )~(<<<<(<<<<<<<<<(<<<<<<<<<<<<<<<<<<<<(<<<<<<<<<<<<l' ~< ~ Manuel Quintero . : )< "" 'f> N Pu' ) )< olary bhe, State ofFiorida .' )~ ~1> $ Commission No. CC 605849 : : ~~ OFf\.ti My Commission Exp. 12/08/2000) : )( Bonded Through Fla. NolaJy Service & BODding Co ;)' )))))))))))))))))))))))))))))))))))))))))))))))}).W.'>: MCP#4 t1/05/99 FRI 10:03 FAX 561 562 3466 SID BANACK INS. 'HOV-04-'~ lZ.Z~ AM UHITEV VATA TECHNOLOGIES 30~ ~92 0a~2 (- "",I )0. 1!196 INSURANCE AOeNT'S STATEMENT I b~vc r'c\lie~ved the .,bovc reqllirements with the ~;dder named below. The followins deductibles apply 10 the: correspc1nding Fl<'lliey /500j~'- POlley ~/500J~bEDlJCTlI3LES " L / J.,. 500J t - ;LJJV!1Hfill!i~ [YEnMn/ 1"""'8,L,_~ _)-0 IIEJE..liJt8,/i'l fc.m8;...I<;"I. 1;<<;t5oo1"" - -; 0 - !J;1tKEAs' ('(jmtJ-r&"I/~ut'r~ },'!h5 /4~j~f~r~/~ - 0 - I I /i~ . t..ie,bility policies are ~ Occurrence _ Claims Made :fi4,r~~$. ::;'MIJ ~ InsLlre.nee Agency Signature BIDDEijS STATEMfiNT J und~r$land the in!ill~anCC Ihal will be mandalory irawarded the contract and will ecmplvln rull with Btlthe requirements ~ BIdder Signature INSCKLST ^,JIIIIIlI,.loIli v..: h\,~lrlldi"l1 "nll'J 2 II 141002 P.1i32 ACORD_ CERTIFICATE OF LIABILITY INSURANCE DATE (MMiDDNY) DEC 1099 SID BANACK INSURANCE AGENCY 204514TH AVE. POBOX 130 VERO BEACH FL 32961 PHONE: 561-562-3369 FAX: 561-562-3466 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED DADE RESTAURANT & REPAIR INC. 201 W. 27TH ST. HIALEAH FL 33010-1511 I ,"t; 'Y~ COMPANIES AFFORDING COVERAGE BRIDGE FIELD INSURANCE CO OWNERS INSURANCE CO AUTO OWNERS INSURANCE CO 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. INSRI TYPE OF INSURANCE I POLICY NUMBER i POLICY EFFECTIVE I POLICY EXPIRATION LIMITS LTR! I DATE (MMlOONYI DATE (MMJOONYI I GENERAL LIABILITY 912312-20516094-99 JUL 17 99 I JUL 17 00 EACH OCCURRENCE 1$ 500,000 ! I !Xl COMMERCIAL GENERAL LIABILITY i FIRE DAMAGE (Any One Fire) $ 50,000 I L J CLAIMS MADE i~ OCCUR MED. EXP (Any One Person) $ 5,000 B PERSONAL & ADV INJURY $ 500,000 L-..j ~'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 500,000 PRODUCTS-COMP/OP AGG. $ 500,000 i ~PRo- I' i POLICY , JECT I LOC ffiOMOBILE LIABILITY 95424-609-00 I JUL 17 99 I JUL 17 00 COMBINED SINGLE LIMIT ,X ANY AUTO (Ea aCCident) $ 500,000 I H ALL OWNED AUTOS I BODILY INJURY C ~ SCHEDULED AUTOS (Per person) $ ~ HIRED AUTOS I BODILY INJURY $ . X ! NON-OWNED AUTOS ,~~'rt'0f15:: ' (Per aCCident) r---1 ~ ---~~ PROPERTY DAMAGE S I I I "Y I I P- I GARAGE LIABILITY ' -~~ AUTO ONLY - EA ACCIDENT $ tJ ANY AUTO DAlE:-: ,i\~ ,oS : OTHER THAN EA ACC $ I AUTO ONLY: AGG $ EXCESS UABILlTY .1 _". ! t5'~~ ~Jl~ EACH OCCURRENCE $ ~ OCCUR C CLAIMS MADE I AGGREGATE $ ({ 1~J2: . f) $ --.-.-, I : DEDUCTIBLE , . $ '--' ! 'r h/ }r; ---1;f~ 1(:': r2t ' I X : RETENTION $ ! $ I i I WORKERS COMPENSATION AND I 0830 06577 APR 1 99 APR 1 00 I I WCSTATU. 1 I~JH ! EMPLOYERS' LIABILITY Ai E.L. EACH ACCIDENT $ 100,000 I , E.L. DISEASE-EA EMPLOYEE $ 100,000 I I E.L. DISEASE-POLICY LIMIT 1$ 500,000 ! OTHER: I ! i I i DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED ON GENERAL LIABILITY AND THE AUTOMOBILE POLICY CERTIFICATE HOLDER X I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE ROAD "::.:::T' FL ::0 TO' 3.5 295~M !fAJi s~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. . AUTHORIZED REPRESEN~ ~ A 1 ,./'2 _ ./~ /~i ACORD 25-S (7/97) Certificate # 16325 U~/~~/~UUU L'.. ~.~ -.JLl~uv:.J~...J ( { DADE:. Pc.::>; Aut-<Ar,' ",.t.r'i4 PAGE li5 .,,\" , . ~TIONAL UCINl! TAX - COUNTY- ITATI OF FLONDA ,~w ,...IXPIRI!S IEPT. ao.aooo ~lIUST n DllPLAVED AT PLACE Of .uIINDI ~. CHAmR IA - ART.' '10_ ,-:.::.. FlR8T~LA88 u.a. ~TAQE PAID "':"'~.t . _ _ _'-, >. I"" (, 14lJ2~4 . "0;<,~.;~~:,,, ; RENEWAL ;,mh"r(mit~JJ\.$HOP IHC u......o. 140230-4 , : ~ . ' ':;j/~~"~,n~ '" DADER!STAURANT;,ftEPAIR' SHOP INe lee. 1YPI of ....... . " ',;, Z13 SERVICE'aePAIR~NON'CONTRACTOR tl"'iu;~~~~~~~~1C~~ SHOP tHC ="'-='=" ' ~ -.-_',..;.It:~:-~ -~-..---...._-. .~ EMPLOYEES 8 'i . ~888U~!i99 IfI OntlR IIDE \lln 111\\ I UIIIIII un 1111111\ 111111111\111111\ 1I111l1\1\1I11 \ ATJONAL UCENSE TAX... NST-c&.AH ..~~ '. EXPI~ w:.r.:~ FLORIDA U.I. ="GI! ...., H DISPLAYeD AT PLAce or 8UI'NUI IIIAIiI PL ~ CODE CHAPTER IA - AAT. . . 10 , . .4 I'ERIIIT NO. 231 .1402'30-4 ';;",:~. ,,;"'.,; :~"fllt";r RENEWAL . BUSINU8IW1E I LOCA'1'1OM" .t< "'9'\" UCENSE NO. 199951- 3 'V .~~~~~1 R~ $ ItC!.~t~J,llr~!~~.~ ,S HO P I NC ,....)30IO . HIALEAH, ,. ,..".., 11r; .i()w~", . " .:':.:;f,"~ : ~,4 ~ L;:~., . ;.,~~,~~ftANT!'~,,'~JR': SHOP I He 1220 WHOLESALE/'OJ$TRIBUTOR fit !ft;~~:~f~:1~~~0;:~: SHOP INC ~ ..08/11/1999 200000713 . ()0004i,00 SEE OTHER SlOE EMPLOIEES \"U".H.ll......IIlI" ..,,1\ 11.111111\ ,,,I Ill, ,., II Ut\"U u..i./ .......J/ ~UU~_ _ L:.--00-.'''':'''':; ( ( jJ!..U)t. i".t..::> I HUi".HI < I i".t.I- H r-'A\:)t. Uj .\~ Si ",,!-'7 . '~.r;ALUi6.TaH'..Ii 'F~:tl:i'~~.J~;}F \::~:> fl!;"'O'. ,""'.' '., ~)C~"...~....,., ,.,\~~,,+ . .., ".- 't:) t- ..J ,-..' ,,' ,'_: SHOP INC '...' ~... ", , >~~,~.~~;;i~f~~tfxl ,;' . 201 W 27.ST}".'(~\; .' ,~'. ~'-"", ,', :.:,,~ ';:. .~',:,' ; EXPIRES 5EPTEM8ER;30;:~tQOO~' ;', .... ".....,. ...., SHOF, INC.. 201 W 27.ST' EXPIRES SEPTE"'8EFr30.~<;2P'OQ" U1/~~/~UUU Ul:UU ,jU::.tH:J~:L,j II DADt. k:t.~IAUkANI kt.t-'A PAGE Ej7 .' ~",":'01.-r"~.~~~ ~~ ~" ~. . -. . oTia or EMPlOYD- !~~J,~NUM'" " '1- ~9 1551'78 _. l. I ii ~I""':-;-:'~DF. JltSTAURANT REPAIR SHOP. ] ~ ~ 2319 N. w~ 7 A".., , r C. . I 1C\'1.f\t"I'\"t. rlA 331~ Dado'. '., 1" . .' '.' . <,.' . .. ~ '=, ::. ~......~~ ........"'" ...;....'....;.;..<IIi.:.oiI,.~ ..... , : _ ......:;;.. .......O...Jf. .' f2G:t.AO 941 k d " ".'~ ~ ",.1 on euch ;' Yo......ill ..,...,. ,........::.i;..' ,'" on your poylMfttuf the ~~ \.. ... ~ ~;,;(. .,_::1:.... " " ,".:;-:rl'!: ~.~h.o"'o'l on such return., ~~";~'ClC1 ~~..ltA n.~i -- -. .:....~f-::..~...i, -- ' ' . . ~~ ""-. ~-.... .":;....~-.-- ' iT .. ......-"'t: , . ,~ DR.13 N.01/oo III OEMlUMENT ot UI/lHUE Business Name and L nt'AtIon Address ~ 2000 Annual Re~~eceiilifcat!Jl In;:':; CERnl-.. ReQislration Effective Date ~rtIflcat8 Number 23.0~-020'55-72-2 . NOVE"BER 1. 197~ DADE RESTAURANT REPAIR SHOP IHe 201 W 27TH ST HIALEAH FL 33010-1511 This is 10 cer1lfy that all Wlgible peflOO8l property purcha.sed Of renled. real properly rented, or services purchesed after lhe abOve Reglslradon EftectlVe Date by the ~ bullNu are being pu~aMd or rented for one of the followlng purposes: . ,..,. u langIIItf ~ PftII*tY. . ,......... u ......,.. 18tl1al IlrOP&flY. . Re-Nnl8l11 ~ ~ ll'CC*1Y. . IftCOIPCll'don InIO W safe 18 part 01 1M reo;.;' Q/ . ReMIe ril...w-. ~ pel'IOI'Al p<oPeI1Y by · ~ek deal.... . Re-f'tIlCAl u .... plqlOllty. l-his cerlifi..::ale canoo\ be rHiJ.:,;:~ .,~:~-.) 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