05/15/2002
MONROE COUNTY
CONTRACT
EMERGENCY GENERATOR INSPECTIONS
AND ELECTRICAL REPAIRS
MONROE COUNTY, FLORIDA
BOARD OF COUNTY COMMISSIONERS
Mayor Charles "Sonny" McCoy, District 3
Mayor Pro Tern, Dixie Spehar, District 1
George Neugent, District 2
Nora Williams, District 4
Murray Nelson, District 5
COUNTY ADMINISTRATOR
James L. Roberts
CLERK OF THE CIRCUIT COURT
Danny L. Kolhage
DIRECTOR OF PUBLIC WORKS
C. Dent Pierce
DIRECTOR OF FLEET MANAGEMENT SERVICES
Roy Sanchez
April 2002
Prepared by
Monroe County Public Works
Fleet Management Services Department
EMERGENCY GENERATOR INSPECTIONS
AND ELECTRICAL REPAIRS
Monroe County, Florida
The OWNER and the CONTRACTOR agree as set forth as follows:
ARTICLE 1- THE CONTRACT DOCUMENTS
The Contract Documents consist of this Agreement, the Generator List, the Approved Inspection
Checklist, the Non-Collusion Affidavit, the Lobbying and Conflict of Interest Clause (Sworn Statement
under Monroe County Ordinance #10-1990), the Drug-Free Work Place Form, the Insurance Documents,
and all Modifications issued after execution of this Agreement. These form the Contract, and all are as
fully a part of the Contract as if attached to this Agreement or repeated herein. An enumeration of the
Contract Documents appears in Article 8.
ARTICLE 2- THE WORK
A. The CONTRACTORfI'ECHNICIANS shall perform one inspection of the approximately
fifty (50) emergency generators, listed on the Generator List, using the approved inspection checklist. The
annual major inspection is required during the month of Mayor June in preparation for hurricane season.
The annual major inspection will include electrical load tests. Load tests may have to be accomplished
after normal working hours. The OWNER will provide the electrical load for the portable generators. The
OWNER will provide or perform the annual oil changes and other routine engine maintenance.
Immediately following inspections, the CONTRACTOR shall submit inspection reports identifying
needed maintenance, electrical, and/or engine repairs.
B. The CONTRACTORfI'ECHNICIANS shall perform maintenance, electrical, and/or
engine repairs upon the request of the OWNER.
C. The OWNER is responsible for routine engine repairs and maintenance (such as,
replacement of defective water hoses, drive belts, batteries, filters, lubricants, etc.) but may
approve the CONTRACTORfI'ECHNICIANS or others to perform these repairs on a case-
by-case basis. The OWNER may perform or assist with all routine and emergency engine
repaIrs.
D. The CONTRACTORfI'ECHNICIANS shall be available 24 hours per day, 365 days per
year. The CONTRACTOR shall report to the owner's Emergency Operations Center (EOC) within four
(4) hours of verbal notification and remain on site available to the owner immediately following an
emergency, declared by the owner. The CONTRACTORfI'ECHNICIANS shall be at the site of an
Emergency Generator requiring emergency repairs within four (4) hours of verbal notification by the
OWNER. Monroe County shall be given priority at all times for generators requiring emergency repairs.
The OWNER and the CONTRACTOR recognize that time is of the essence in this Contract. They also
recognize the delays, expenses, and difficuhies involved in proving, in a legal proceeding, the actual Loss
suffered by OWNER if the Work is not completed on time, Accordingly, instead of requiring such proof,
OWNER and CONTRACTOR agree that as liquidated damages for delay (but not as a penalty)
CONTRACTOR shall pay OWNER $80.00 for each hour over four (4) hours that expires after
notification to respond and the CONTRACTOR is not on site, barring travel conditions beyond
CONTRACTORS control.
E. The CONTRACTOR shall have access to a supply of all parts and controls normally
necessary for the emergency repairs of all county maintained Emergency Generators so that such
emergency repairs can be completed as soon as possible. If the CONTRACTOR feels that a unit is not
economically repairable, the CONTRACTOR will submit an estimate for replacement and/or repair to the
OWNER. The OWNER may, at his discretion, have the CONTRACTOR repair the unit in keeping with
the repair estimate or seek other outside proposals for replacement.
F. The CONTRACTOR may be required to assist in the development of specifications for
new or replacement generators and associated equipment.
ARTICLE 3- ASSIGNMENT
A. The Contractor shall not assign or subcontract 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 or subcontract and any assignee or subcontractor 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 services/goods of the Contractor.
B. Contractor shall not employ any Subcontractor, Supplier or other person or organization
against whom the Owner may have reasonable objection.
ARTICLE 4- TERM OF CONTRACT
A. This contract shall be for a period of One (1) year commencing upon the day in which it
has been executed by both parties.
B. The County shall have the option to renew this agreement after the first year, for two
additional years, to be approved one year at a time.
ARTICLE 5- SCHEDULE
The Contractor shall commence Work to be performed under this Contract no later than ten (10) calendar
days from Notice to Proceed. The Annual Major Generator Inspection shall be completed on all of the
approximate fifty (50) generators no later than the end of the month of June or sixty (60) days from the
commencement of work as defined above.
ARTICLE 6- CONTRACT PRICE
The OWNER shall pay the CONTRACTOR in accordance with the following schedule:
A. Labor for repairs - normal working hours of8:00 AM. to 5:00 P.M. Monday through Friday,
excluding holidays $ 45.00 per hour mechanic I $ 20.00 per hour helper.
B. Labor for repairs - overtime rate for hours other than the normal working hours as stated in
item (A) above, including holidays $ 55.00 per hour mechanic / $ 25.00 per hour helper.
C. Materials, supplies, and replacement parts - purchase price plus 10 percent. Shipping
charges will be reimbursed.
D. Hourly rate for specification development and other professional services $ 45.00 per
hour.
E. Hourly rate for hours of 8:00 AM. to 5:00 P.M. during assignment to the owners Emergency
Operations Center (EOC) excluding actual electrical I generator maintenance and repairs
$ 45.00 per hour.
F. Hourly rate for hours other than the hours as stated in item (E) above, during assignment to the
owners Emergency Operations Center (EOC) excluding actual electrical I generator
maintenance and repairs $ 55.00 per hour.
ARTICLE 7- PAYMENT PROCEDURES
The Contractor may make applications for payment after each scheduled inspection is complete and may
send invoice after each requested repair job is complete. The CONTRACTOR will be paid the purchase
price plus 10 percent for materials, supplies and replacement parts. Shipping charges will be
reimbursed. The OWNER will purchase all parts necessary for engine repairs and maintenance but has the
option to have the CONTRACTOR obtain the parts. Receipts, invoices, or other acceptable proof of
purchase must be attached to requests for payment. All parts and materials shall be of equal or greater
quality as compared to existing parts and materials in use. (There are no additional costs for travel,
mileage, meals, or lodging).
ARTICLE 8- CONTRACT DOCUMENTS
The Contract Documents which comprise the entire agreement between the OWNER and the
CONTRACTOR concerning the Work consist of the following:
1. This Agreement
2. Generator List
3. Approved Inspection Checklist
4. Non-CoBusion Affidavit
5. The Lobbying and ConOict of Interest Clause
6. The Drug-Free Workplace Form
7. Insuran~e Documents
8. Contract Modifications (If any)
There are no Contract Documents other than those listed above in this Article. The Contract
Documents may only be amended, modified, or supplemented upon prior written approval by
Board of County Commissioners.
ARTICLE 9- INDEMNIFICATION AND HOLD HARMLESS
The Contractor covenants and agrees 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 (including property owned by Monroe County) and any other losses, damages, 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 or other wrongful act or
omission of the Contractor or its Subcontractor( s) 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 all 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.
ARTICLE 10- LAW AND VENUE
This agreement shall be governed by the laws of the State of Florida. Venue for any dispute arising under
this contract shall be in a court of competent jurisdiction in Monroe County, Florida.
ARTICLE 11- 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 any goods or services to a
public entity, may not submit a bid on a contract with a public entity for the construction or repair of a
public building or public work, may not submit bids on leases of real property to public entity, and may
not be awarded or perform work as a contractor, supplier, subcontractor or consultant under a contract
with a public entity a, and may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017, for CATEGORY TWO ($3,000.00) for a period of 36 months from
the date of being placed on the convicted vendor list.
FORM OF AGREEMENT
IN WITNESS WHEREOF, the OWNER and CONTRACTOR have signed this Agreement in four copies.
One counterpart each has been delivered to the CONTRACTOR, OWNER (DIRECTOR, FLEET
MANAGEMENT SERVICES DEPARTMENT), COUNTY ATTORNEY and CLERK OF THE
CIRCUIT COURT. All portions of the Contract Documents have been signed or identified by the
OWNER and CONTRACTOR.
This Agreement will be effective on
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OWNER: t511 ~ 10 1---
MONROE COUNTY BOCC
CONTRACTOR:
CONDO ELECTRIC MOTOR REPAIR
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ATTEST
ADDRESS FOR GIVING NOTICES:
ADDRESS
Monroe County Fleet Management Services
3583 S. Roosevelt Blvd.
Key West, FI 33040
CONDO ELECTRIC
3615 EAST 10TH COURT
HIALEAH, FL 33013
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APPROVED AS TO FORM
AND LEGAL SUFFICIEN
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BY
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THE EMERGENCY GENERATORS INCLUDED IN THIS CONTRACT ARE:
LOCATION UNIT# KW'S DESCRIPTION TRANSFER SWITCH
1. KW Old Jail GENKWOJL 230 CUMMINS Auto transfer-Lake Shore
500FDR7116JJW 17234P1
2. KW Courthouse 0902/438 500 Caterpillar 3412dit Auto transfer (3switches)-West-
inghouse 3T2378, Lake Shore
3. KW 310 Fleming 0903/567 80 Cummins 6BT59-GC 1 Auto Transfer
(Out of Service)
4. KW Gar~e 0903/672 250 Kohler Portable Generator on trailer
5. KW Garage 0903/671 150 Kohler fast response 1 Portable Generator on trailer
150ROZJ101
6. KW Gar~e Fuel 0903/871 30 30ROZJ Portable generator, Auto transfer
7. KW Garage 0903/988 30 Spectrum 30DSEJ Portable generator on trailer
8. KW Garage 0903/990 40 Spectrum 40DSEJ Portable generator on trailer
9. KW Garage 0903/994 80 Spectrum 80DSEJ Portable generator on trailer
10. KWNew Jail 0902/519 1000 Caterpillar SR4 Auto transfer-ASCO Type 1 (3
sections)
11. KW Sheriff Admin GENKWSAD 650 Kohler 600ROZD71, Auto transfer-Kohler ACS 166341
Genset 573RSlA032
12. KW PSB Inf Sys GENKWPSB 60 Onan 60DGCBL Auto transfer
(Out of Service)
13. KW Douglas Center 1808/009 15 Kohler 15ROZ81 Auto transfer-Westinghouse
06T843
14. KW Truman School 1808/008 25 Kohler 20ROZ-J8 Auto transfer-Westinghouse
06T843
15. KW Harvey Center GENHARVC 500 Kohler500ROZ Kohler 200 amp
16. KW Sheriff Fire GENSHEFP 50 Detroit 351 No transfer switch
Pump
17. KW Sigsbee 2500/020 60 Kohler 60ROZJ61 Auto transfer-K62828
Translator
18. KW Coutbouse GENCHILL 275 Generac
Chiller
19. KW Gato Bldg. 600
20. KW Big Coppitt GENBCFST 100 Kohler 100ROZ Kohler 300 amp
Fire Station
21. KW SugarloafFire GENSGLFS 25 Kohler 25ROZ Kohler
Station
22. Big Pine Sr. Ctzn 1808/010 15 Kohler 15ROZ Auto transfer, Westinghouse
06T843.4
23. MAR Levit Sr. Ctzn 1808/011 15 Kohler 15ROZ Auto transfer, Westinghouse
06T6843.1
24. MAR Garage GENMARGA 100 Spectrum DDA Auto transfer, Spectrum S-
168341-600
25. MAR Gar~e 0903/669 100 Kohler 100ROZJ71 Portable generator on trailer
26. MAR ,.., e 0903/668 100 Kohler 100ROZJ81 Portable generator on trailer
_. ... . .Y.H!o.."1"o'
27. MAR Garage Fuel 09011148 15 Kohler 15ROZ Auto transfer, Westinghouse
06T7842
LOCATION UNIT# KW'S DESCRIPTION TRANSFER SWITCH
28. MAR Garage 0903/986 80 Spectrum 80DSEJ Portable generator on trailer
29. MAR Garage 0903/992 30 Spectrum 30DSEJ Portable generator on trailer
30. MAR ~ e 0903/993 80 Spectrum 80DSEJ Portable ~enerator on trailer
31. MAR 63 St. Govt 0903/654 100 Kohler power system Manual Square D double throw
Center
32. MAR EOC GENMAEOC 180 Kohler 180ROZJ1 0 1 Auto transfer, Kohler K-
166341225
33. MAR Sheriff Sub GENMASHE 60 Kohler 60ROZJ81 Auto transfer, Westinghouse
Station 06T6843.9
34. MAR Jail 3000/013 125 Generac 89A03570 Auto transfer, Generac CTS
8702-8815
35. PK Garage 0902/667 100 Kohler 1 OOROZJ1 0 1 Portable generator on trailer
36. PK Garage 0902/670 150 Kohler 150ROZJ1 0 1 Portable generator on trailer
37. PK Gara~e 0903/984 80 Spectrum 80DSEJ Portable generator on trailer
38. PK Garage 0903/985 80 Spectrum 80DSEJ Portable generator on trailer
39. PK Garage 0903/987 30 Spectrum 30DSEJ Portable generator on trailer
40. PK Garage 0903/989 40 Spectrum 40DSEJ Portable generator on trailer
41. PK Garage 0903/991 20 S 20DSEJ Portable generator on trailer
42. PK Sheriff Sub 0903/134 60 Kohler Auto transfer -Westinghouse
Station 06T2414
43. PK Senior Citizen 1808/012 15 Kohler, Yanmar Auto transfer-Westinghouse
06T55293
44. PK Courthouse GENPKCTH 325 Sanford, Onan engine Auto transfer- TCU80000
250DFB2
45. PK Ellis Bldg GENPKELL 50 Kohler genset, Auto transfer
Cummins engine
4BT3.9GC
46. PK Card Sound 3200/079 25 Kohler genset, Auto transfer-OGT55293
Yanmar engine
4TN84R-RK
47. PK Key Largo 2500/021 60 Kohler 60ROZJ61 Auto transfer-K62828
Translator
48. PK Key Largo Fire GENKLFST 100 Katolight ASCO 940 300 amp
Station
49. PK Tavernier Fire 1437/492 60 Kohler 60ROZ ASCO
Station
50. PK Garage 09011149 15 Kohler 15ROZ Portable generator on trailer
51. PK Public Works 1404/058 25 Kohler 50ROZJ81 1
Bldg. John Deere enJdne
52. PK Mariners 300?
Hospital
Name
Hours
KW
GENERATOR INSPECTION REPORT
Location
Genset Brand
Fuel System
Day Tank Level
Day Tank Float
Transfer Pump
External Solenoid
Strainer
Water Filter
Flex Hose
Tank Vents
Overflow Piping
Piping
Lubrication System
Oil Level
Filter Leakage
Crankcase Breather
Coolin2 System
Radiator Full
Antifreeze Level
Nitrate Level
Block Heater
Radiator Clean
Radiator Condo
Belts
Water Pump
Hoses
Clamps
Louvers & Ducts
Exhaust System
Leakage
Wet Stacking
Fire Hazards
Restrictions
Rain Cap
Hangers & Flex
By
Accept
Date
Unit Number
Battery System
Battery Terminals
Battery Clean
Specific Gravity
Battery Cables
Min Crank VDC
Float VDC
Running VDC
DC Voltmeter
DC Ammeter
AC Ripple
Electrical System
Control Wiring
No Chaffing
Safety Alarms
Boxes & Cabinets
AC Voltmeter
AC Ammeter
Hz Meter
Volts Hz Adj.
Prime Mover
Svc. Air Cleaner
Gov. Oil Level
Gov. Linkage
Gov. Adjustment
Oil Pressure Gauge
Temp Gauge
Generator
Rotor Bearing
Exciter
Volt Regulator
Commutator
Brushes
Slip Rings
General Condition
Vibration
Leakage
Noise
Deterioration
Area Clean
Equipment Clean
Sub Base Tank
Housing
Transfer Switch
IDES (seconds)
IDNE (minutes)
TDEN (minutes)
Wiring Hot
Corrosion
Transfer Switches
Parameters
Oil Pressure
Water Temp.
Hz.
1 Phase 3 Phase
A-B Volts
A-C Volts
B-C Volts
A Amps
B Amps
CAmps
Annual Load Test
Comments:
Comments I Due
NON..COLLUSION AFFIDA vir
I.
HECTOR GOMEZ
of the city
of
HIALEAH
according to law on my oath, and under
penalty of perjury, depose and say that;
1) lam ~~
project described as foil : ~
HECTOR GOMEZ
, the bidder making the Proposal for the
EMERGENCY GENERATOR INSPECTIONS AND ELECTRICAL REPAIRS
2) The prices in this bid have been arrived at independently without collusion, consultation,
communication or agreement for the 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 orto any competitor; and
4) No attempt has been made or will be made by 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 .4i.~
(Signature of Bidder)
COUNTY OF 1f~1 j- D!J Oe
1f1ft~
/DATE
PER ONALL Y APPEARED BEFORE ME, the undersigned authority,
~ IE. who, after first being sworn by me, (name of individual signing)
affixed hislher signature in the space provided above on this
29'~~4 d u~~ .W.zCV~
_/.....-_ _ _ My commission expires:
NOTARY P IC
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'" OF'! ~XJMMISSION EXPIRES
".~ 26.2005
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE COUNTY. FLORIDA
ETIllCS CLAUSE
HECTOR GOMEZ
warrants that helit has not employed, retained
or otherwise had act on his/its behalf any former County officer or employee in violation of
Section 2 of Ordinance No. 10-1990 or any County officer or employee in violation of
Section 3 of Ordinance No. 10-1990. For breach or violation of this provision the County
may, in its discretion, terminate this contract without liability and may also, in its discretion,
deduct from the contract or purchase price, or otherwise recover, the full amount of any fee,
commission, percentage, gift, or consideration paid to the former County officer or employee.
~p~
/ (signature)
Date: 04/29/2002
STATE OF
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1/1/:"1 (- D A-aJ ~
COUNTY OF
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
,J-! F 6~ /L. Go rv1 e 2- who, after first being sworn by me, affixed his/her
signature (name of individual signing) in the space provided above on this :297;... If day of
A/iLl! ,w20~V
NOTARY PUBLIC
Cr (/;7~
My commission expires:
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j 'c F_".,.._..~ DEs:. 26.2005
\M(,)~:~ HO.JI\t1
DRUG-FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
CONDO ELECTRIC MOTOR REPAIR
(Name of Business)
1. 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. Inform employees about the dangers of drog 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).
4. In the statement specified in subsection (1), 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 if such is
available 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 firm complies fully with the above requirements.
~~~
Bidder's Signa1:ure
04/29/2002
Date
GENERAL LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
CONDO ELECTRIC MOTOR REPAIR INC.
Prior to the commencement of work governed by this contract, the Contractor shall obtain General
Li.a~i1ity Insurance. Coverage shall be maintained throughout the life of the contract and include, as a
mInImum:
. Premises Operations
. Products and Completed Operations
. Blanket Contractual Liability
. Personal Injury Liability
. Expanded Definition of Property Damage
The minimum limits acceptable shall be:
$300,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$100,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
An Occurrence Form policy is preferred. If coyerage is provided on a Claims Made policy, its provisions
should include coverage for claims filed on or after the effective date of this contract. In addition, the
period for which claims may be reported should extend for a minimum of twelve (12) months following
the acceptance of work by the County.
The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies
issued to satisfy the above requirements.
GLl
VEmCLE LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
CONDO ELECTRIC MOTOR REPAIR INC.
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 coverage for:
. Owned, Non-Owned, and Hired Vehicles
The minimum limits acceptable shall be:
$100,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$ 50,000 per Person
$100,000 per Occurrence
$ 25,000 Property Damage
The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies
issued to satisfy the above requirements.
VLl
WORKERS' COMPENSATION
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
CONDO ELECTRIC MOTOR REPAIR, INC.
Prior to the commencement of work governed by 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 less than:
$100,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$100,000 Bodily Injury by Disease, each employee
Coverage shall be maintained throughout the entire term of the contract.
Coverage shall be provided by a company or companies authorized to transact business in the state of
Florida.
If the Contractor has been approved by the Florida's Department of Labor, as an authorized self-insurer,
the County shall recognize and honor the Contractor's status. The Contractor may be required to submit a
Letter of Authorization issued by the Department of Labor and a Certificate of Insurance, providing
details on the Contractor's Excess Insurance Program.
If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required. In
addition, the Contractor may be required to submit updated financial statements from the fund upon
request from the County.
wel
-
A CORD_ CERTIFICATE OF LIABILITY INSURANCeoN8~J~ E, DATE (MM/DDNY)
06/14/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HBA Insurance Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3401 NW 82nd Ave Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Miami FL 33122
Phone: 305-714-4400 Fax:305-714-4401 INSURERS AFFORDING COVERAGE
INSURED INSURER A: THE HARTFORD
INSURER B:
Condo Electric Motor Repair & INSURER C:
Industrial su~plYt Inc.
3615 E. 10TH our INSURER D:
Hialeah FL 33013
I INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
'~f: TYPE OF INSURANCE POLICY NUMBER b2i'ir(M'MtbDW~jE P~l'~cg~MM/DDNYI LIMITS
GENERAL LIABiliTY EACH OCCURRENCE $ 500000
- 10/22/01 10/22/02
A X COMMERCIAL GENERAL LIABILITY 21UUNLH6921K3 FIRE DAMAGE (Anyone fire) $ 300000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 10000
I ! PERSON.AL 8. ADV INJURY $ 500000
f--- I
GENERAL AGGREGATE $ 1000000
f--
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000
n n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT
f--- $ 500000
A X ANY AUTO 21UUNLH6921K3 10/22/01 10/22/02 (Ea accident)
f-
ALL OWNED AUTOS BODILY INJURY
f-- $
SCHEDULED AUTOS (Per person)
f- .
X HIRED AUTOS BODILY INJURY
f- $
~ NON-OWNEO AUTOS (Per accident)
I
I I PROPERTY DAMAGE I
f- '$
(Per accident) I
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY ~ ~A~~ENT EACH OCCURRENCE $
o OCCUR D CLAIMS MADE ;~ '~-rr~ ..LI AGGREGATE $
DATE CO};k ~1l14- $
R DEDUCTIBLE $
RETENTION $ :,......- .-.... $
WORKERS COMPENSATION AND ..~. .-, I TORY LIMITS I IUEft
EMPLOYERS' LIABILITY .-
E.L. EACH ACCIDENT $
I
I I E.L. DISEASE. EA EMPLOYEE $
I I E.L. DISEASE - POLICY LIMIT $
OTHER
A PROPERTY 21UUNLH6921K3 10/22/01 10/22/02 PROP TRAN $50,000*
BLKT BLVD. /BPP $1,365,100
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CONTRACT #78-287-02002/LC- TITLE "EMERGENCY GENERATOR INSPECTIONS &
ELECTRICAL REPAIRS" CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURES WITH
RESPECTS TO GENERAL LIABILITY INSURANCE AND AUTOMOBILE LIABILITY INSURANCE.
CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
MONRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAil ~ DAYS WRITTEN
MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
COMMISSIONERS
PURCHASING OFFICE IMPOSE NO OBLIGATION OR liABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
1100 SIMONTON ST ROOM 2-213 REPRESENTATIVES.
KEY WEST FL 33040 AUTHOR'{C;/NTATIVE
I
ACORD 25-5 (7/97)
@ACORD CORPORATION 1988
ACO~DTM
PRODUCER
DATE (MMIDDIYY)
5/20/2002
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.
COMPANIES AFFORDING COVERAGE
PAYCHEX AGENCY, INC.
P.O. BOX 1503
72 PERINTON PARKWAY
FAIRPORT, NY 14450-7503
COMPANY
A
HARTFORD CASUALTY INSURANCE CO.
INSURED
PAYCHEX BUSINESS SOLUTIONS, INC.
911 PANORAMA TRAIL SOUTH
ROCHESTER, NY 14625
COMPANY
B
COMPANY
C
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
LTR
TYPE OF INSURANCE
GENERAL LIABILITY
POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DDIYYI
LIMITS
COMPREHENSIVE FORM
PREMISES/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPER
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
BODILY INJURY OCC $
BODILY INJURY AGG $
PROPERTY DAMAGE OCC $
PROPERTY DAMAGE AGG $
BI & PO COMBINED OCC $
BI & PO COMBINED AGG $
PERSONAL INJURY AGG $
ANY AUTO
ALL OWNED AUTOS (Private Pass)
ALL OWNED AUTOS
(Other than Private Passenger)
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
APP
BY
DATE
WAIVER
BODILY INJURY $
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE $
BODILY INJURY &
PROPERTY DAMAGE $
COMBINED
EACH OCCURRENCE $
AGGREGATE $
$
OTH.
ER
06/01/01 06/01/02 EL EACH ACC!')ENT 1000000
EL DISEASE. POLICY LIMIT $ 1000000
EL DISEASE. EA EMPLOYEE $ 1000000
AUTOMOBILE LIABILITY
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND
^ EMPLOYERS' LIABILITY 01 WN J71900
THE PROPRIETOR!
PARTNERS/EXECUTIVE
OFFICERS ARE:
OTHER
QgINCl
EXCL
ONLY THOSE EMPLOYEES LEASED TO BUT NOT
SUBCONTRACTORS OF: SEE RE: BELOW
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
RE: CONDO ELECTRIC MOTOR REPAIR
CONTRACT TITLE EMERGENCY GENERATOAR INSPECTIONS AND ELECTRICAL REPAIRS
CONTRACT # 78-287 -0-2002/LC
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
1100 SIMONTON ST. ROOM 2-213
KEY WEST, FL 33040
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 KIND UPON T ITS AGENTS OR REPRESENTATIVES.
DATE (MM/DDIYY)
5/27/2002
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.
COMPANIES.AFFORDING COVERAGE
PRODUCER
PAYCHEX AGENCY, INC.
P.O. BOX 1503
72 PERINTON PARKWAY
FAIRPORT, NY 14450-7503
COMPANY
A
HARTFORD CASUALTY INSURANCE CO.
INSURED
COMPANY
B
-
PAYCHEX BUSINESS SOLUTIONS, INC.
911 PANORAMA TRAIL SOUTH
ROCHESTER; NY 14625
COMPANY
C
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
lTR
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DDIYY) DATE (MM/DDIYY)
POLICY NUMBER
TYPE OF INSURANCE
GENERAL LIABILITY
BODILY INJURY OCC
BODilY INJURY AGG
PROPERTY DAMAGE OCC
PROPERTY DAMAGE AGG
BI & PD COMBINED OCC
BI & PD COMBINED AGG
PERSONAL INJURY AGG
COMPREHENSIVE FORM
PREMISES/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETED OPER
CONTRACTUAL
INDEPENDENT CONTRACTORS
BROAD FORM PROPERTY DAMAGE
PERSONAL INJURY
AUTOMOBILE LIABILITY
BODILY INJURY
(Per person)
ANY AUTO
All OWNED AUTOS (Private Pass)
ALL OWNED AUTOS
(Other than Private Passenger)
HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
BODilY INJURY &
PROPERTY DAMAGE
COMBINED
APP.
BY
DATE
WAIVER
BODilY INJURY
(Per accident)
PROPERTY DAMAGE
EACH OCCURRENCE $
AGGREGATE $
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
IWORKER'S COMPENSATION AND
A EMPLOYERS' LIABILITY 01 WN J71900
THE PROPRIETOR! ~ INCl
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
OTHER
06/01/03
06/01/02
$
El DISEASE - POLICY LIMIT $
EL DISEASE - EA EMPLOYEE $
ONLY THOSE EMPLOYEES LEASED TO BUT NOT
SUBCONTRACTORS OF: SEE RE: BELOW
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
RE: CONDO ELECTRIC MOTOR REPAIR
CONTRACT TITLE EMERGENCY GENERATOAR INSPECTIONS AND ELECTRICAL REPAIRS
CONTRACT # 78-287-0-2002/LC
LIMITS
$
$
$
$
$
$
$
$
$
$
$
OTH-
ER
1000000
1000000
1000000
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
1100 SIMONTON ST. ROOM 2-213
KEY WEST, FL 33040
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 KIND UPON THE COMP ,ITS AGENTS OR REPRESENTATIVES.
-~
AUTHORIZED REPRESENTATIVE