01/13/2023 Agreement Monroe County Purchasing Policy and Procedures
ATTACHMENT D.5
COUNTY ADMINISTRATOR
CONTRACT SUMMARY FORM FOR CONTRACTS LESS THAN $50,000.00
Contract with: Parera Carpet, Inc Contract#
Effective Date:
Expiration Date:
Contract Purpose/Description:
Carpet keplacement in Commissioner Rice's once Marathon Airport
Contract is Original Agreement Contract Amendment/Extension Renewal
Contract Manager: JT NO 6036 racilities Maintenance
(Name) (Ext.) (Department/Stop #)
CONTRACT COSTS
Total Dollar Value of Contract: $ Current Year Portion: $
(must be less than$50,000) (if multiyear agreement then
6,600.00 requires BOCC approval,miless the
;NLfl ;.,uWifi VV1 ,Mwtp0UW � f �dfl1 +a
Budgeted? Yes X❑ No ❑
Grant: $ County Match: $
Fund/Cost Center/Spend Catel;oa: 001-20501-SC 00061
ADDITIONAL COSTS
Estimated Ongoing Costs: $ /yr For:
(Not included in dollar value above) (e.g.maintenance,utilities,janitorial,salaries,etc.)
Insurance Required: YES ❑ NO ❑
CONTRACT REVIEW
Changes
Date In Needed Reviewer Date In
Department Head Yes❑ No X❑ William DeSantls
County Attorney Yes❑No❑X Patricia Eables Dar.2023n01.1011 Patricia 0500' 1/10/2023
Risk Management Yes❑No❑X -0.o "s 1/1 0/2023
Julie Cueo
Julie C u n eo Datlea 2023.01.1�1 084950 n05'00' 1/1 0/2023
Purchasing Yes❑No
nn
OMB Yes❑No ❑X John Quinn Datlea 2023.01.1lly signed�1Y0855:02Johnu105'00' 1/11/2023
Comments:
Revised BOCC 8/17/2022
Page 85 of 106
ONRO.E COUNTY
BOARD OF COUNTY COMMISSIONERS
REQUEST FOR SERVICES
FOR
Carpet Replacement Commissioner ice's
Mice, Marathon Airport Main Terminal,
9400 Overseas Highway, Suite 210�,
Marathon, Florida
Wf
YY �+ry
BOARD OF COUNTY COMMISSIONERS
Mayor Craig Cates, District 1
Mayor Pro Tern Holly Merrill Raschein, District 5
Michelle Lincoln, District 2
James K. Scholl, District 3
David Rice, District 4
COUNTY ADMINISTRATOR
Roman Gastesi
Clerk of the Circuit Court Facilities Maintenance Director
Kevin Madok William DeSantis
DECEMBER 2022
PREPARED BY:
Monroe County Facilities Maintenance Department
Page 1 of 28
Monroe County Facilities Maintenance
General Scope of Work
Job Name: Carpet Replacement for Commissioner Rice's Office
Job Location: Marathon Airport -Main Terminal
Commissioner Rice's Office
9400 Overseas Highway, Suite 210
Marathon, FL 33050
Contact: John T. Null
John T. Null
i[iuf,1---iohn,/,y monroecounty-11 goN
305-587-8036
Michele Safos
ski fos-In i0l cloy III,mi F(Lql')il!-�-rl.gLj V
305-289-6036
PROJECT OVERVIEW
PROJECT INTENT AND SCOPE
GENERAL REQ11111EMENTS
1. Project Overview
A) Enter into a contract with a qualified Contractor to replace the carpet in Commissioner
Rice's office at the address as noted above. The term of this contract shall commence upon
the date of issuance to the undersigned by Owner of the Notice to Proceed/Purchase
Order/Task Order. Once commenced, the undersigned shall diligently continue
performance until completion of the Project. The undersigned shall accomplish Final
Completion of the Project within Thirty (30)days, thereafter.
The Contractor shall be required to secure and pay for all required permits and approvals
to perform the work which may include: Monroe County Building Department, the City
of Marathon, and any other permitting or regulatory agencies, if applicable. Contractor
shall include those permit fees as a part of the Contractor's bid.
Page 2 of 28
B) All quotes are due by Tuesday, December 20,2022,at 12:00 P.M., via email to
Safos-michele@monroecounty-fl.gov. All Quotes must state they will be good for one
hundred twenty(120) calendar days from submittal due date.
2. Project Intent and Scope
Scope of Work:
The Contractor shall provide the following Scope of Work and provide all labor and
materials to complete the carpet replacement:
• Floor Preparation
• Carpet Removal
• New carpet tile
• Carpet Tile Installation
• Install Vinyl Cover Base
3. General Requirements
A) The Contractor shall coordinate all activities with the Monroe County Facilities
Maintenance Department contact:
JT Null at 305-587-8036
B) The Contractor is required to provide protection for all existing surfaces including,
but not limited to:
i. Existing fixtures
i i. Personal Items
iii. Floors
iv. Vehicles and Personal Property
V. Landscaping
C) The Contractor shall ensure that all non-exempt employees for this effort are
compensated in accordance with all State and Local Laws.
D) The Contractor shall load, haul, and properly dispose of all construction debris and
materials.
E) The Contractor shall provide and maintain appropriate (OSHA required)
construction warning signs and barriers.
F) The Contractor shall furnish all required work site safety equipment.
Page 3 of 28
G) The Contractor shall furnish and maintain on-site material safety data sheets
(MSDS) for all materials used in the construction.
H) Construction work times shall be limited to:
Specified by the County
I) All materials must be approved by submittal prior to commencement of work.
J) The Contractor shall provide a lump sum price by December 20, 2022, at 12:00
p.m., via email as noted herein.
K) The Contractor needs to be aware of weather and location and plan accordingly.
L) The Contractor needs to be aware of the facility, its residents,and staff with unusual
schedules and plan accordingly.
M) The Contractor shall provide a schedule for all phases of the project.
N) The Contractor shall coordinate all activities with concurrent site work being
performed, if any.
O) Insurance Requirements:
Workers Compensation Statutory Limits
Employers' Liability $100,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$100,000 Bodily Injury by Disease, each employee
General Liability $200,000 per Person
$300,000 per Occurrence
$200,000 Property Damage
or
$300,000 Combined Single Limit
Vehicle: $200,000 per Person
(Owned, non-owned, $300,000 per Occurrence
and hired vehicles) $200,000 Property Damage
or
$300,000 Combined Single Limit
Builders Risk Not Required
Construction Bond Not Required
Page 4 of 28
The Monroe County Board of County Commissioners, its employees and officials,
1100 Simonton Street, Key West, Florida 33040, shall be named as Certificate Holder
and Additional Insured on General Liability and Vehicle policies. A "Sample"Certificate
of Insurance is attached, which may not be reflective of the insurance amounts required for
this project, but is provided for"informational purposes" only.
P) The Contractor is required to have all current licenses necessary to perform the
work and shall submit the Contractor's License and Monroe County Business Tax Receipt
along with its Proposal. If the Contractor is not a current registered Monroe County
Vendor, then it shall also submit a properly completed and executed W-9 Form.
Q) INDEMNIFICATION, HOLD HARMLESS, AND DEFENSE.
Notwithstanding any minimum insurance requirements prescribed elsewhere in this
agreement, the Contractor shall defend, indemnify and hold the County and the County's
elected and appointed officers and employees harmless from and against (i) any claims,
actions or causes of action, (ii) any litigation, administrative proceedings, appellate
proceedings, or other proceedings relating to any type of injury (including death), loss,
damage, fine, penalty or business interruption, and (iii) any costs or expenses that may be
asserted against, initiated with respect to, or sustained by, any indemnified party by reason
of,or in connection with,(A)any activity of the Contractor or any of its employees,agents,
contractors or other invitees during the term of this Agreement, (B) the negligence or
recklessness, intentional wrongful misconduct, errors or other wrongful act or omission of
the Contractor or any of its employees, agents, sub-contractors or other invitees, or(C) the
Contractor's default in respect of any of the obligations that it undertakes under the terms
of this Agreement, except to the extent the claims, actions, causes of action, litigation,
proceedings,costs or expenses arise from the intentional or sole negligent acts or omissions
of the County or any of its employees, agents, contractors or invitees (other than the
Contractor). The monetary limitation of liability under this contract shall be equal to the
dollar value of the contract and not less than $1 million per occurrence pursuant to Section
725.06, Florida Statutes. The limits of liability shall be as set forth in the insurance
requirements included in Paragraph 3 O. herein. Insofar as the claims, actions, causes of
action, litigation, proceedings, costs or expenses relate to events or circumstances that
occur during the term of this Agreement, this section will survive the expiration of the term
of this Agreement or any earlier termination of this Agreement.
In the event that 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. Should any claims be asserted against the County by virtue of
any deficiency or ambiguity in the plans and specifications provided by the Contractor, the
Contractor agrees and warrants that the Contractor shall hold the County harmless and shall
indemnify it from all losses occurring thereby and shall further defend any claim or action
on the County's behalf.
The extent of liability is in no way limited to, reduced, or lessened by the insurance
requirements contained elsewhere within this Agreement.
Page 5 of 28
This indemnification shall survive the termination of this Contract. Nothing contained in
this paragraph is intended to nor shall it constitute a waiver of the County's sovereign
immunity.
R) NON-COLLUSION. By signing this proposal, the undersigned swears, according
to law on his/her oath, and under penalty of perjury, that their firm executes this proposal
with prices 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. Unless otherwise required by law,the prices
which have been quoted in this proposal have not been knowingly disclosed by the
proposer and will not knowingly be disclosed by the proposer prior to proposal opening,
directly or indirectly,to any other proposer or to any competitor.No attempt has been made
or will be made by the proposer to induce any other person, partnership or corporation to
submit, or not to submit a proposal for the purpose of restricting competition. The
statements contained in this paragraph are true and correct, and made with the full
knowledge that Monroe County relies upon the truth of the statements contained in this
paragraph in awarding contracts for this project.
S) EMPLOYMENT OR RETENTION OF FORMER COUNTY OFFICERS OR
EMPLOYEES. By signing this proposal, the undersigned warrants that he/she/it has not
employed, retained, or otherwise had act on his/hers/its behalf any former County officer
or employee in violation of Section 2 of Ordinance No. 0 10-1990 or any County officer or
employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of
this provision the County may, in its discretion, terminate this Agreement without liability
and may also, in its discretion, deduct from the Agreement 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.
T) CODE OF ETHICS. County agrees that officers and employees of the County
recognize and will be required to comply with the standards of conduct for public officers
and employees as delineated in Section 112.313,Florida Statutes,regarding,but not limited
to, solicitation or acceptance of gifts; doing business with one's agency; unauthorized
compensation; misuse of public position, conflicting employment or contractual
relationship; and disclosure or use of certain information.
U) DRUG-FREE WORKPLACE.By signing this proposal,the undersigned certifies
that the contractor complies fully with, and in accordance with Florida Statute, Section
287.087, the requirements as follows;
1) They will publish a statement notifying employees that the unlawful
manufacture, distribution, dispensing, possession, or use of a controlled substance
is prohibited in the workplace and specify the actions that will be taken against
employees for violations of such prohibition.
2) Inform employees about the dangers of drug abuse in the workplace, the
business's policy of maintaining a drug-free workplace, any available drug
Page 6 of 28
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 terms 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, for 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.
ADDITIONAL CONTRACT PROVISIONS
1) 'ondi criniiriation/E ua,l 1Enr log tirtent 012portullitA.
The Contractor and County agree that there will be no discrimination against any
person,and it is expressly understood that upon a determination by a court of competent
jurisdiction that discrimination has occurred, this Agreement automatically terminates
without any further action on the part of any party, effective the date of the court order.
Contractor agrees to comply with all Federal and Florida statutes, and all local
ordinances, as applicable, relating to nondiscrimination. These include but are not
limited to: 1) Title VI1 of the Civil Rights Act of 1964 (PL 88-352) which prohibits
discrimination on the basis of race,color or national origin; 2)Title IX of the Education
Amendment of 1972, as amended (20 USC ss. 1681-1683, and 1685-1686), which
prohibits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act of
1973, as amended (20 USC s. 794), which prohibits discrimination on the basis of
handicaps; 4) The Age Discrimination Act of 1975, as amended (42 USC ss. 6101-
6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office
and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on
the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism
Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), as amended,
relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7)The Public
Health Service Act of 1912, ss. 523 and 527 (42 USC ss. 690dd-3 and 290ee-3), as
amended, relating to confidentiality of alcohol and drug abuse patient records; 8) Title
VIII of the Civil Rights Act of 1968 (42 USC s. 3601 et seq.), as amended, relating to
nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
Disabilities Act of 1990 (42 USC s. 12101 Note), as may be amended from time to
time, relating to nondiscrimination on the basis of disability; 10) Monroe County Code
Chapter 14, Article 11, which prohibits discrimination on the basis of race, color, sex,
religion, national origin, ancestry, sexual orientation, gender identity or expression,
familial status or age; and l 1) Any other nondiscrimination provisions in any Federal
Page 7 of 28
or state statutes which may apply to the parties to, or the subject matter of, this
Agreement.
II) 'r rmination Provisions.
A. In the event that the Contractor shall be found to be negligent in any aspect of
service, the County shall have the right to terminate this agreement after five (5)
days' written notification to the Contractor.
B. Either of the parties hereto may cancel this Agreement without cause by giving the
other party sixty (60) days' written notice of its intention to do so.
C. Termination for Cause and Remedies: In the event of breach of any contract terms,
the County retains the right to terminate this Agreement. The County may also
terminate this agreement for cause with Contractor should the Contractor fail to
perform the covenants herein contained at the time and in the manner herein
provided. In the event of such termination, prior to termination, the County shall
provide Contractor with five (5) calendar days' notice and provide the Contractor
with an opportunity to cure the breach that has occurred, if the breach is not cured,
the Agreement will be terminated for cause. If the County terminates this
agreement with the Contractor, County shall pay Contractor the sum due the
Contractor under this agreement prior to termination, unless the cost of completion
to the County exceeds the funds remaining in the contract; however, the County
reserves the right to assert and seek an offset for damages caused by the breach.
The maximum amount due to Contractor shall not in any event exceed the spending
cap in this Agreement. In addition, the County reserves all rights available to
recoup monies paid under this Agreement, including the right to sue for breach of
contract and including the right to pursue a claim for violation of the County's False
Claims Ordinance, located at Section 2-721 et al. of the Monroe County Code.
D. Termination for Convenience: The County may terminate this Agreement for
convenience, at any time, upon seven (7) days' notice to Contractor. If the County
terminates this agreement with the Contractor, County shall pay Contractor the sum
due the Contractor under this agreement prior to termination, unless the cost of
completion to the County exceeds the funds remaining in the contract. The
maximum amount due to Contractor shall not exceed the spending cap in this
Agreement. In addition, the County reserves all rights available to recoup monies
paid under this Agreement, including the right to sue for breach of contract and
including the right to pursue a claim for violation of the County's False Claims
Ordinance, located at Art. IX, Section 2-721 et al. of the Monroe County Code.
E. Serutinized!�on2 a!)ies:
For Contracts of any amount, if the County determines that the
Contractor/Consultant has submitted a false certification under Section 287.135(5),
Florida Statutes or has been placed on the Scrutinized Companies that Boycott
Israel List, or is engaged in a boycott of Israel, the County shall have the option of
(1) terminating the Agreement after it has given the Contractor/Consultant written
notice and an opportunity to demonstrate the agency's determination of false
certification was in error pursuant to Section 287.135(5)(a), Florida Statutes, or(2)
maintaining the Agreement if the conditions of Section 287.135(4), Florida
Statutes, are met.
Page 8 of 28
111) Maintenance of Records.
The Contractor shall maintain all books, records, and documents directly pertinent to
perrormance under this Agreement in accordance with generally accepted accounting
principles consistently applied. Records shall be retained for a period of seven(7)years
1�oni, [lie termination of this agreement or for a period of three (3) years from the
submission of the final expenditure report as per 2 CFR §200.33, whichever is greater.
Each party to this Agreement or its authorized representatives shall have reasonable
and timely access to such records of each other party to this Agreement for public
records purposes during the term of the Agreement and for seven (7) years following
the termination of this Agreement.
IV)Right to Audit.
Availability of Records. The records of the parties to this Agreement relating to the
Project,which shall include but not be limited to accounting records(hard copy,as well
as computer readable data if it can be made available; subcontract files (including
proposals of successful and unsuccessful bidders, bid recaps, bidding instructions,
bidders list, etc.); original estimates; estimating work sheets; correspondence; change
order files (including documentation covering negotiated settlements); back charge
logs and supporting documentation; general ledger entries detailing cash and trade
discounts earned, insurance rebates and dividends; any other supporting evidence
deemed necessary by Owner or the Monroe County Office of the Clerk of Court and
Comptroller(hereinafter referred to as "County Clerk")to substantiate charges related
to this agreement, and all other agreements, sources of information and matters that
may in Owner's or the County Clerk's reasonable judgment have any bearing on or
pertain to any matters, rights, duties, or obligations under or covered by any contract
document (all foregoing hereinafter referred to as "Records") shall be open to
inspection and subject to audit and/or reproduction by Owner's representative and/or
agents of Owner or the County Clerk. Owner or County Clerk may also conduct
verifications such as, but not limited to, counting employees at the job site, witnessing
the distribution of payroll, verifying payroll computations, overhead computations,
observing vendor and supplier payments, miscellaneous allocations, special charges,
verifying information and amounts through interviews and written confirmations with
employees, subcontractors, suppliers, and contractors' representatives. All records
shall be kept for ten (10) years after Final Completion. The County Clerk possesses
the independent authority to conduct an audit of records, assets, and activities relating
to this Project. If an auditor employed by the County or Clerk determines that monies
paid to Contractor pursuant to this Agreement were spent for purposes not authorized
by this Agreement,or were wrongfully retained by the Contractor, the Contractor shall
repay the monies together with interest calculated pursuant to Sec. 55.03 of the Florida
Statutes, running from the date the monies were paid to Contractor. The right to audit
provisions survive the termination or expiration of this Agreement.
V) Pa anent of Fees/ Invoices.
County shall pay pursuant to the Florida Local Government Prompt Payment Act, Fla.
Stat., Sec.218.70, upon receipt of a Proper Invoice from the Contractor. Payments due
Page 9 of 28
and unpaid under the Contract shall bear interest pursuant to the Florida Local
Government Prompt Payment Act.
The Contractor is to submit to the County invoices with supporting documentation that
are acceptable to the Clerk. Acceptability to the Clerk is based on generally accepted
accounting principles and such laws, rules, and regulations as may govern the Clerk's
disbursal of funds. Invoices shall be submitted to Monroe County Facilities
Maintenance Department, Attention Michele Safos, via email at safos-
m ichele@m on roecou n ty-fl.gov.
The County is exempt from sales and use taxes. A copy of the tax exemption certificate
will be provided upon request.
Final payment shall be made by the County, as the Owner, to the Contractor when the
Contract has been fully performed by the Contractor and the work has been accepted
by the County.
VI)Public Records Cony )liance.
The Contractor must comply with Florida public records laws, including but not limited
to Chapter 119, Florida Statutes and Section 24 of article I of the Constitution of
Florida. The County and Contractor shall allow and permit reasonable access to, and
inspection of, all documents, records, papers, letters or other"public record" materials
in its possession or under its control subject to the provisions of Chapter 119, Florida
Statutes, and made or received by the County and Contractor in conjunction with this
contract and related to contract performance. The County shall have the right to
unilaterally cancel this contract upon violation of this provision by the Contractor.
Failure of the Contractor to abide by the terms of this provision shall be deemed a
material breach of this contract and the County may enforce the terms of this provision
in the form of a court proceeding and shall, as a prevailing party, be entitled to
reimbursement of all attorney's fees and costs associated with that proceeding. This
provision shall survive any termination or expiration of the contract.
The Contractor is encouraged to consult with its advisors about Florida Public Records
Law in order to comply with this provision.
Pursuant to Fla. Stat., Sec. 119.0701 and the terms and conditions of this contract, the
Contractor is required to:
(1) Keep and maintain public records that would be required by the County to
perform the service.
(2) Upon receipt from the County's custodian of records, provide the County with a
copy of the requested records or allow the records to be inspected or copied within a
reasonable time at a cost that does not exceed the cost provided in this chapter or as
otherwise provided by law.
(3) Ensure that public records that are exempt or confidential and exempt from public
records disclosure requirements are not disclosed except as authorized by law for the
Page 10 of 28
duration of the contract term and following completion of the contract if the contractor
does not transfer the records to the County.
(4) Upon completion of the contract, transfer, at no cost, to the County all public
records in possession of the Contractor or keep and maintain public records that would
be required by the County to perform the service. If the Contractor transfers all public
records to the County upon completion of the contract, the Contractor shall destroy any
duplicate public records that are exempt or confidential and exempt from public records
disclosure requirements. If the Contractor keeps and maintains public records upon
completion of the contract, the Contractor shall meet all applicable requirements for
retaining public records. All records stored electronically must be provided to the
County, upon request from the County's custodian of records, in a format that is
compatible with the information technology systems of the County.
(5) A request to inspect or copy public records relating to a County contract must be
made directly to the County, but if the County does not possess the requested records,
the County shall immediately notify the Contractor of the request, and the Contractor
must provide the records to the County or allow the records to be inspected or copied
within a reasonable time.
If the Contractor does not comply with the County's request for records, the County
shall enforce the public records contract provisions in accordance with the contract,
notwithstanding the County's option and right to unilaterally cancel this contract upon
violation of this provision by the Contractor. A Contractor who fails to provide the
public records to the County or pursuant to a valid public records request within a
reasonable time may be subject to penalties under Section 1 19.10, Florida Statutes.
The Contractor shall not transfer custody, release, alter, destroy or otherwise dispose
of any public records unless or otherwise provided in this provision or as otherwise
provided by law.
IF THE CONTRACTOR 14A S QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119 FLORIDA STATUTES TO
THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS CONTRACT3 CONTACT THE CUSTODIAN
OF PUBLIC RECORDS BRIAN BRADLEY AT PHONE NO. 305-
292-3 "0 B'R, LEY-BR1AN ,MONROECOIJNTY-F'L.GO
MONROE COUNTY ATTORNEY'S OFFICE 1111 12"'" Street
SUITE 408 KEY WEST FL 33040.
V11) E-Verif r System.
Beginning January 1, 2021, in accordance with Fla. Stat., Sec. 448.095, the Contractor
and any subcontractor shall register with and shall utilize the U.S. Department of
Homeland Security's E-Verify system to verify the work authorization status of all new
employees hired by the Contractor during the term of the Contract and shall expressly
require any subcontractors performing work or providing services pursuant to the
Page 11 of 28
Contract to likewise utilize the U.S. Department of Homeland Security's E-Verify
system to verify the work authorization status of all new employees hired by the
subcontractor during the Contract term. Any subcontractor shall provide an affidavit
stating that the subcontractor does not employ, contract with, or subcontract with an
unauthorized alien. The Contractor shall comply with and be subject to the provisions
of Fla. Stat., Sec. 448.095.
VIII) Notice Ilea uirement,
Any written notices or correspondence given pursuant to this contract shall be sent by
United States Mail, certified, return receipt requested, postage prepared, or by courier
with proof of delivery. Notice is deemed received by Contractor when hand delivered
by national courier with proof of delivery or by U.S. Mail upon verified receipt or upon
the date of refusal or non-acceptance of delivery. The place of giving Notice shall
remain the same as set forth herein until changed in writing in the manner provided in
this paragraph. Notice shall be sent to the following persons:
For Contractor: P tit N. CAp.PC T
For Owner: Facilities Maintenance Department
Attention: John T Null
10600 Aviation Blvd
Marathon, FL. 33040
And
Monroe County Attorney's Office
1 1 1 1 12'h Street
Suite 408
Key West, Florida 33040
IX) Uncontrollable Circuinstarice.
Any delay or failure of either Party to perform its obligations under this Agreement
will be excused to the extent that the delay or failure was caused directly by an event
beyond such Party's control, without such Party's fault or negligence and that by its
nature could not have been foreseen by such Party or, if it could have been foreseen,
was unavoidable: (a)acts of God; (b) flood, fire, earthquake, explosion, tropical storm,
hurricane or other declared emergency in the geographic area of the Project; (c) war,
invasion, hostilities (whether war is declared or not), terrorist threats or acts, riot, or
other civil unrest in the geographic area of the Project; (d) government order or law in
Page 12 of 28
the geographic area of the Project; (e) actions, embargoes, or blockades in effect on or
after the date of this Agreement; (f) action by any governmental authority prohibiting
work in the geographic area of the Project;(each, a "Uncontrollable Circumstance").
CONTRACTOR'S financial inability to perform, changes in cost or availability of
materials, components, or services, market conditions, or supplier actions or contract
disputes will not excuse performance by Contractor under this Section.Contractor shall
give County written notice within seven (7) days of any event or circumstance that is
reasonably likely to result in an Uncontrollable Circumstance, and the anticipated
duration of such Uncontrollable Circumstance. Contractor shall use all diligent efforts
to end the Uncontrollable Circumstance, ensure that the effects of any Uncontrollable
Circumstance are minimized and resume full performance under this Agreement. The
County will not pay additional cost as a result of an Uncontrollable Circumstance. The
Contractor may only seek a no cost Change Order or Amendment for such reasonable
time as the Owners Representative may determine.
X) Ad'uudicaatiori of Dis utes or 11isagreements.
County and Contractor agree that all disputes and disagreements shall be attempted to
be resolved by meet and confer sessions between representatives of each of the parties.
If the issue or issues are still not resolved to the satisfaction of the parties, then any
party shall have the right to seek such relief or remedy as may be provided by this
Agreement or by Florida law. This Agreement is not subject to arbitration. This
provision does not negate or waive the provisions of Sections 1,Nondiscrimination, or
Section II, concerning termination or cancellation.
Page 13 of 28
PROPOSAL FORM
PROPOSAL TO: Monroe County Facilities Maintenance
10600 Aviation Blvd
Marathon, FL 33050
PROPOSAL FROM: ( P,(Z p(,--r , I
The undersigned, having carefully examined the Work and reference Drawings,
Specifications, Proposal, and Addenda thereto and other Contract Documents for the
construction of:
Carpet Replacement in Commissioner Rice's Office, Marathon Airport,
Main Terminal, 9400 Overseas Highway, Suite 210, Marathon, Florida
and having carefully examined the site where the Work is to be performed, having become
familiar with all local conditions including labor affecting the cost thereof, and having
familiarized himself with material availability, Federal, State, and Local laws, ordinances,
rules and regulations affecting performance of the Work, does hereby propose to furnish
all labor, mechanics, superintendents, tools, material, equipment, transportation services,
and all incidentals necessary to perform and complete said Work and work incidental
hereto, in a workman-like manner, in conformance with said Drawings, Specifications,and
other Contract Documents including Addenda issued thereto.
The undersigned further certifies that he/she has personally inspected the actual location of
where the Work is to be performed,together with the local sources of supply and that he/she
understands the conditions under which the Work is to be performed. The proposer shall
assume the risk of any and all costs and delays arising from the existence of any subsurface
or other latent physical condition which could be reasonably anticipated by reference to
documentary information provided and made available, and from inspection and
examination of the site.
The undersigned agrees to commence performance of this Project within Ten (10)
calendar days after the date of issuance to the undersigned by Owner of the Notice to
Proceed/Purchase Order/Task Order. Once commenced, undersigned shall diligently
continue performance until completion of the Project. The undersigned shall accomplish
Final Completion of the Project within Thirty (30) days, thereafter.
Page 14 of 28
The Base Proposal shall be furnished below in words and numbers. If there is an
inconsistency between the two, the Proposal in words shall control.
fx 4-housand smhundaed dolI&P-s Dollars.
(Total Base Proposal-words)
Ww. _. . ..... 00 1"1)o1lars.
(Total Base Proposal—numbers)
I acknowledge Alternates as follows:N/A
I acknowledge receipt of Addenda No.(s)or None
No.— .—.Dated.—.......__.. .
Dated _
Page 15 of 28
In addition, Proposer states that he/she has provided or will provide the County, along with this
Proposal, a certified copy of Contractor's License, Monroe County Business Tax Receipt, and
Certificate of Insurance showing the minimum insurance requirements for this project.
Execution by the Contractor must be by a person with authority to bind the entity.
By signing this agreement below,the Contractor has read and accepts the terms and conditions set
forth by the Monroe County General Requirements for Construction found at the link on the
Monroe County web page: htp://fl-monroccour of com/Bidsaspx?( a f)=1 , AND
accepts all of the terms and conditions and all Federal required contract provisions herein.
IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly
authorized representatives, as follows:
CContractor: �N rZ � A ��0 d E .i .._.....: ��
Mai Iing Address: _ i< �� �<° ° .. `
G) ...... n. ( .. .
Phone Number: �� � �
E.I.N.: 1.4
Email: t c
." �t � � �p �� � ➢���,,
_ e.,. , .. . )
Date: 4 :� .°,' Signed:
Q
/I is -0 1
Name Title
Contractor's Witness signature:{
W itness navne h.. �" " _ 4 . _.,. .............�..e..�m......_.� ..... _... ._...._....�
Date:
The County accepts the above proposal:
MONROE COUNTY, FLORIDA
...
Date 01/13/2023
B�y.County Ad �:..:? .. .m . ..... . ......._ ...... ... .. ..... ..
ministrator or Designee
MONROE COUNTY ATTORNEY'S OFFICE
vo ror Page 16 of 28
PATMIA EABLES
ASIST�ri � To-
DA'rra
NON-COLLUSION AFFIDAVIT
1, 41,4` JA ir,)p re-0 PAP_EP.A
11 of the city of MIA-M �
according to law on my oath, and under penalty of perjury, depose and say that:
1. I am T�J L-, f) T--
of the firm of P ,R6N (LA P-Pf- T_.41-IL
the proposer making the Proposal for the project described in the notice for
calling for proposals for:
and that I executed the said proposal with full authority to do so;
Z The prices in this proposal 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 proposer or
with any competitor; and
3. Unless otherwise required by law, the prices which have been quoted in this
proposal have not been knowingly disclosed by the proposer and will not knowingly
be disclosed by the proposer prior to proposal opening, directly or indirectly, to any
other proposer or to any competitor; and
4. No attempt has been made or will be made by the proposer to induce any other
person, partnership or corporation to submit, or not to submit, a proposal for the
purpose of restricting competition; and
5. The statements ntained in this affidavit are true and correct, and made with full
knowledge that onroe County relies upon the truth of the statements contained
in this affidavit awarding contracts for said project.
Z C
(Siglh'Af6re of Proposer) (Date)'
STATE OF: 14'A t 6,
COUNTY OF: V\k,
Subscribed and sworn to (or affirmed) before me, by means of 0'_p�hysical presence or
0 online notarization, on _�(A VVJ CSC`J l)--t 3 (date) by
(� 11 ve
(name of affiant). He/She is personally known to
me or has produced
(type of identification) as identification.
NOTARY PUBLIC
401* Notary Public.State of Florida
� "I
My commission expires: L ff Carolina A Cabrera
My Commission GG 300863
Expires 03/06/2023
Page 17 of"28
LOBBYING AND CONFLICT OF INTEREST CLAUSE
SWORN STATEMENT UNDER ORDINANCE NO. 010-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
(.
(Company)
warrants that he/she/it has not employed, retained or otherwise had act on his/her/
its behalf any former County officer or employee in violation of Section 2 of Ordinance
No. 010-1990 or any County officer or employee in violation of Section 3 of Ordinance
No. 010-1990. For breach or violation of this provision the County may, in its discretion,
terminate this contract without liability and may also, in its discr tion, deduct from the
contract or purchase price, or otherwise recover, the full amount any fee, commission,
percentage, gift, or consideration paid to the former County offi 'r or employee
(Signature
Date: 0 1 �
;` 2 0
STATE OF:
COUNTY OF:.
.ro. �� . 4 '.
Subscribed and sworn to (or ffirmed) before me, by means of 9 ysical presence or
❑ online notarization on � °�° �� w' 20 t,e a (date) by
(name of affiant). He/She is
pers r_V no wn to me or has produced
as identification. (Type of identification)
I'", II R'" F 113LI C''
My commission expires:
(SEAL) buNd4rr �flsV'v} . 'dMR. .'rf W`4rona
G arolinil,
My
Page 18 of 28
DRUG-FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute, Sec. 287.087 hereby certifies that:
(Name of Business)
I. Publishes 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.
1 Informs 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. Gives each employee engaged in providing the commodities or contractual services that
are under proposal a copy of the statement specified in subsection (1).
4. In the statement specified in subsection (1), notifies the employees that, as a condition of
working on the commodities or contractual services that are under proposal, the employee
will abide by the terms 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. Imposes a sanction on, or requires the satisfactory participation in a drug abuse assistance
or rehabilitation program if such is available in the employee's community, for any
employee who is so convicted.
6. Makes 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 corn ics fully with the above
requirements.
,s
Pro oser"s "signature
2, " ,
Qate
STATE OF: � "
COUNTY OF: a
a
Subscribed and sworn to (or affirmed) bef6re me, by means of alpn�hysical presence o ❑ online
(name of affiant). He/She is�personall�krro �.���( } y . ... �
notarization on ,No date b
_. ...
wii dUced ' .........
(type of ident 1ia ,r� as identification.
_..... �... _w_....__.....e ............... w_._ ..., --._._...e._..._.. ..........�......
NOTARY PUBLIC
=00
Stale of FlonOa(SEALabrera COmmlSSlon EXpICeS:on GG 30886312023
Page 19 of 28
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, proposal, or reply on a contract to
provide any goods or services to a public entity, may not submit a bid, proposal, or reply
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 a 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, Florida Statutes, for
CATEGORY TWO for a period of thirty-six (36) months from the date of being placed on
the convicted vendor list."
I have read the above and state that neither
xltic_.I/ �vg_ P (�E iz-A (Proposer's name) nor any Affiliate
lace",� the has been p convicted vendor list within the last thirty-six (36) months.
Date:
STATE OF t... . �
COUNTY OF; �, P
Subscribed and sworn to (or affirmed) before e, by means of C1 physical presence or
❑ online notarization,� �on the day of �(name
20 Tom, by 4',. s ,r � � �� of affiant). He/She is
personally known f 'me or has produced
(type of identification) as
identification..
My Commission Expires: _ MEE]
c State aP FlGn
da
..
Carolina Cabrera
iearr�f 30tl��3&2023
NOTARY PUBLIC
(SEAL)
Page 20 of 28
VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS
A
PhoneResponden
Vendor FEI
Number Email Address: /.�mmrl
Section 287135. Florida Statutes prohibits a company from bidding on, submitting a proposal for, or
entering into or renewing a contract for goods or services of any amount if, at the time of contracting or
renewal, the company is on the Scrutinized Companies that Boycott Israel List, created pursuant to Section
215.4725. Florida Statutes, orim engaged ino Boycott ofIsrael.
As the person authorized to sign on behalf ofRespondent, | hereby certify that the company identified
above in the Section entitled "Respondent Vendor Name" is not listed on the Scrutinized Companies that
Boycott Israel List.
I understand that pursuant to Section 287.135, Florida Statutes, the submission of a false certification may
subject company to civil penalties, attorney's fees, and/or costs. I further understand that any contract with
the COUNTY may be terminated, at the option of the COUNTY, if the company is found to have submitted
a false certification or has been placed on the Scrutinized Companies that Boycott Israel List or engaged
ina boycott ofIsrael.
Certified u to sign
on behalf of the above referen (co
Authorized Signature��
rJ
JIf
Note: The List are available at the following Department of Management Services Site:
�,[�s,nlYY�hd���O�/��sfOD��[���2�/�t@��''P�p�h���g/������iDfq�?�������O���l��_����
Page 28of20
INSURANCE REQUIREMENTS AND FORMS
MONROE COUNTY, FLORIDA RISK MANAGEMENT POLICY AND PROCEDURES
General Insurance Requirements For
Other Contractors,Subcontractors and Professional Services
As a pre-requisite of the work and services governed, or the goods supplied under this contract
(including the pre-staging of personnel and material), the Contractor shall obtain, at his/her own
expense, insurance as specified in any attached schedules, which are made part of this contract. The
Contractor will ensure that the insurance obtained will extend protection to all Subcontractors engaged
by the Contractor. Alternatively, the Contractor may require all Subcontractors to obtain insurance
consistent with the attached schedules.
The Contractor will not be permitted to commence work governed by this contract (including pre-
staging of personnel and material) until satisfactory evidence of the required insurance has been
furnished to the County as specified below. Delays in the commencement of work, resulting from the
failure of the Contractor to provide satisfactory evidence of the required insurance, shall not extend
deadlines specified in this contract and any penalties and failure to perform assessments shall be
imposed as if the work commenced on the specified date and time, except for the Contractor's failure
to provide satisfactory evidence.
The Contractor shall maintain the required insurance throughout the entire term of this contract and
any extensions specified in the attached schedules. Failure to comply with this provision may result in
the immediate suspension of all work until the required insurance has been reinstated or replaced.
Delays in the completion of work resulting from the failure of the Contractor to maintain the required
insurance shall not extend deadlines specified in this contract and any penalties and failure to perform
assessments shall be imposed as if the work had not been suspended,except for the Contractor's failure
to maintain the required insurance.
The Contractor will be held responsible for all deductibles and self-insured retentions that may be
contained in the Contractor's Insurance policies.
The Contractor shall provide,to the County, as satisfactory evidence of the required insurance, either:
•Certificate of Insurance or
•A Certified copy of the actual insurance policy.
The County, at its sole option, has the right to request a certiFed copy of any or all insurance policies
required by this contract.
All insurance policies must specify that they are not subject to cancellation, non-renewal, material
change,or reduction in coverage unless a minimum of thirty (30)days prior notification is given to the
County by the insurer.
The acceptance and/or approval of the Contractor's insurance shall not be construed as relieving the
Contractor from any liability or obligation assumed under this contract or imposed by law.
Page 22 of 28
The Monroe County Board of County Commissioners, its employees and officials, at 1100
Simonton Street, Key West, Florida 33040, will be included as "Additional Insured" on all policies,
except for Workers' Compensation.
Any deviations from these General Insurance Requirements must be requested in writing on the
County prepared form entitled"Request for Waiver of Insurance Requirements"and approved by
Monroe County Risk Management Department.
Page 23 of 28
PROPOSER'S INSURANCE AND INDEMNIFICATION STATEMENT
INSURANCE REQUIREMENTS
Workers Compensation Statutory Limits
Employers Liability $100,000/$500,000/$100,000
Bodily Injury by Accident/Bodily
Injury by Disease, policy limits/Bodily
Injury by Disease each employee
General Liability $200,000 per Person
$300,000 per Occurrence
$200,000 Property Damage
or
$300,000 Combined Single Limit
Vehicle $200,000 per Person
(Owned, non-owned, and hired vehicles) $300,000 per Occurrence
$200,000 Property Damage
or
$300,000 Combined Single Limit
Builders Risk Not Required
Construction Bond Not Required
The Monroe County Board of County Commissioners, its employees and officials, 1 100 Simonton
Street, Key West, Florida 33040, shall be named as Certificate Holder and Additional Insured on
General Liability and Vehicle policies.
INDEMNIFICATION,HOLD HARMLESS,AND DEFENSE.Notwithstanding any minimum
insurance requirements prescribed elsewhere in this agreement,Contractor shall defend, indemnify
and hold the County and the County's elected and appointed officers and employees harmless from
and against (i) any claims, actions or causes of action, (ii) any litigation, administrative
proceedings, appellate proceedings, or other proceedings relating to any type of injury (including
death), loss,damage, fine, penalty or business interruption,and(iii)any costs or expenses that may
be asserted against, initiated with respect to, or sustained by, any indemnified party by reason of,
or in connection with, (A) any activity of Contractor or any of its employees, agents, contractors
or other invitees during the term of this Agreement,(B)the negligence or recklessness, intentional
wrongful misconduct, errors or other wrongful act or omission of Contractor or any of its
employees, agents, sub-contractors or other invitees, or(C) Contractor's default in respect of any
of the obligations that it undertakes under the terms of this Agreement, except to the extent the
claims, actions, causes of action, litigation, proceedings, costs or expenses arise from the
intentional or sole negligent acts or omissions of the County or any of its employees, agents,
contractors or invitees (other than Contractor). The monetary limitation of liability under this
Page 24 of 28
contract shall be equal to the dollar value of the contract and not less than$1 million per occurrence
pursuant to Section 725.06, Florida Statutes. The limits of liability shall be as set forth in the
insurance requirements included in Paragraph 3.0. herein. Insofar as the claims, actions, causes
of action, litigation, proceedings, costs or expenses relate to events or circumstances that occur
during the term of this Agreement, this section will survive the expiration of the term of this
Agreement or any earlier termination of this Agreement.
In the event that 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. Should any claims be asserted against the County by virtue of any deficiency or ambiguity
in the plans and specifications provided by the Contractor, the Contractor agrees and warrants that
the Contractor shall hold the County harmless and shall indemnify it from all losses occurring
thereby and shall further defend any claim or action on the County's behalf.
The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements
contained elsewhere within this Agreement.
PROPOSER'S STATEMENT
I understand the insurance that will be mandatory if awarded the cone,act and will comply
in full with all of the requirements herein. I fully accept the ind nification and hold
harmless and duty to defend as set out in this proposal.
PROPOSER Sighature
Page 25 of 28
INSURANCE AGENT'S STATEMENT
I have reviewed the above requirements with the proposer named above. The following
deductibles apply to the corresponding policy.
POLICY DEDUCTIBLES
COMMERCIAL GENERAL LIABILITY $500
Liability policies are X Occurrence Claims Made
AAA HAMMOCKS INSURANCE AGENCY
Insurance Agency Signature
Page 26 of 28
12
k301 RRE� `
6E801 SW�PNS�° ".a 1r"2rda/��RICI L
SW CIfW 51
MIAMI, Fi... :1155
1 305-66 5-4147 Policy number. 0209SO91
Underwritten by:
Progressive Express Ins Company
NAIC Number:10193
January 3,2023
Page 1 of 1
1 ' if T
Certificate of Insurance,
4 23 ACa
OAS 1 _.. ...�,
CartMeMe Holder
Additional insured
Monroe Craurty 13(KC::.
1100 Simonton St
Key West, FL 33040
9uasuured A96ina
"ARE13A CARPET, INC EYIRIELLA TINS # 1C
G 5
11854 SVV 249 1fIERR 6801 SW 40TH S-u
i OMESTCAD, FIL 33032 MIWM Fi 3-1155
This document certifies that insurance policies identified below have been issued by the designated insurer to the insured
named above for the period(s) indicated,This Certificate is issued for information purposes only, It confers no rights upon
the certificate holder and does not change,alter, modify,or extend the coverages afforded by the policies listed below.The
coverages afforded by the policies listed below are subject to all the terms,exclusions, limitations, endorsements,and
conditions of these policies. Liability coverage may not apply to all scheduled vehicles.
Policy Effective Datc Mar 1, 2022 Policy Expiration Date: Mar 1,2023
Insurance cov"else LIMRS
6odJy Ilirimy/'i ro11r..._ o.
� I � y 1a $1d,iq:'i,i'lin"1i1 m a�uiurN�imrorodi 1,oi�nu;,NV�^liu'uriru.
i e son ll �n ur Proteclla�eo.o..�.,a D y StlV1,000yA0i111111�:A tlrrrwuiliuu,w('d+�3�iiU1
Description ofIVl,00° ion/ eloiieies/ l etbialll Items
Scheduled au tas Wy
2018 MERCEDES B'ENZ SPRINTER 2500 WD3PE8CD4JP617059
Comprehensive $1,000 Ded
Collision $1,000 Ded
Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation.
Pr,_
's�„u"",� �hll 61
JIMMY PATRONIS
CHIEF FINANCIAL OFFICER STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS'COMPENSATION
**CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW
CONSTRUCTION INDUSTRY EXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law.
EFFECTIVE DATE: 4/14/2021 EXPIRATION DATE: 4/14/2023
PERSON: ALEJANDRO PARERA LOPEZ EMAIL: ALEJANDR00412QYAHOO.COM.MX
FEIN: 680612044
BUSINESS NAME AND ADDRESS:
PARERA CARPET, INC,
11854 SW 248TH TERRACE
HOMESTEAD, FL 33032
SCOPE OF BUSINESS OR TRADE:
Floor Covering Installation-
Resilient Flooring-Carpet and
Laminate Flooring
IMPORTANT:Pursuant to subsection 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under
this section may not recover benefits or compensation under this chapter.Pursuant to subsection 440.05(12),F.S.,Certificates of election to be exempt issued
under subsection(3)shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or
trade listed on the notice of election to be exempt.Pursuant to subsection 440.05(13),F.S.,notices of election to be exempt and certificates of election to be
exempt shall be subject to revocation if,at any time after the filing of the notice or the Issuance of the certificate,the person named on the notice or certilicate
no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a certificate at any time for failure of the person
named on the certificate to meet the requirements of this section.
DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01333398 QUESTIONS?(850)413-1609
FREEN
CERTIFICATE OF LIABILITY INSURANCE
DATE tMMlDDIVVYY)...,W
014A
F
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOL'ADq' 2T
IFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIC EIS
W. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SI, AUTHORIZED
ESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
RTANT: If the certificate holder,is an ADDITIONAL INSURED.the pollCy(Ies)must have ADDITIONAL INSt1RED provisions or be endorsed.
BROGATION IS WAIVED, subject to the terms and conditions of the policy„certain policies may require an endorsement. A statement on
ertificate does not confer rl hts to the CortlliCat hold iu of such endorsement sRNAME: Orestes F Gonzalez �Ax
mmocks Insurance Agency ,>ati; (305)388 0134 (w"Ne)^W 128CT SUIT 139 SUITE 139 IgSURERtSj AFFORDIMCaNAIC r FL 33186 INSU RA, ASCENDANT COMMERCIALINSU NCE
_
INSU, R B: J
ALEJANDRO PARERA DBA PARERA CARPET,INC. INSURERC:
INSURER 0:
3791 SW 68 AVE INSURER E.
Miami FL 33155 IN c..F
COVERAGES CERTIFICATE IUUJUIRP : 4 REVISION NUM1BEW NA
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
INS r1 _TYPE OF INSURANCEIPOIrer`YEFF IC7LICY ew%P
P Ucy 4)mask LIMITS
RAL,. neam
c w+a) +rare+alra+ s 1,000,00D MS
LAIMS COMMERALMAIDEOENEI}CuOCCUR
- - +I$rF1Ia� 91oaa„Jwturp¢[§ P $ 10.000
MEO EXP I„rer,r + p r I s 5000
A Y N GL57200-05 08/10/2022 08110t2023 VTRSONAI&ADVft )RY 1 1,000,000
aWNr A(WRd''r^JArF LAW rirAPPi IE;PER
�42 N,R ,A GGRECA+r t 21000,000
1E'"al
w�tre6I Y <;'h a+a rROOLrO+s l l+�rlaWACI+; ,r 2.000,000
AUTOMOBILE LIABILITY...e...... _fi
1 .� �"`T�od.76I96'14P CN#MpA2(iB P
IFI euc+'rcaldrm4)
ANY AUTO ' C�+,IOVI Y IMA,r9Jt+`u"dlwa+d lrrbu�srp S
OWNED
U OS ONLY au°r'oscei.r:n AP N' ' ^.., acrsil,"r Irlret,pd$Y IFS+++ ++reel+,Il.1
HIRED NON-OV�dNED ,..,, ,,... J ., m ... p°Ipa,"14'SG�f'I R.JF4ozR("vIs
AUTOS ONLY AUTOS ONLY __., ..
Ipor masEde ply
g
ExoEss uAe cLalt�s Mao��!OCCDATE, .,,.GL ICE u F�m ii Ir
UMBRELLA unB 1 4 2 3 AGGREGATE r,c lrra�L:.N(,F 1
WI
HE ++
WORKERS COMPENSATION
AND E I
i
+ .f
i Iytra arw+
MPLOYERS LIABILnY YIN s Al I R
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICIRIM[R1MEMeERf=XCLU0I:D7 � N/A LL ru:�Ya„a++r R:u.mWl", � $
(Mandatory In NH) r t TPS G q. kh ItlAYX,9a
9w rrl,rmerscrojo&w1v
95�C" `Tkd,WTIOd+I OP O9 F)IWkr8)N'S
L 1 U
boob LnCIh°I n^+JI ICYl lNdow s
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES JACORD 101,Additional Remarks Schedule,may be attached H more space Is required)
FLOORING INSTALLTION OPERATIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
MONROE COUNTY BOCC AUTHORIZED REPRESENTATIVE
1100 SIMONTON ST. ORESTES F GONZALEZ
KEY WEST FL
01988-2015 ACORD CORPORATI' All r ghts reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
Local Business Tax Receipt
Miami—Dade County, State of Florida
-THIS IS NOT A BILL-00 NOT PAY
5615936 �' LBT
BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES
PARERA CARPET INC RENEWAL
OPERATING IN DADE COUNTY 5857280 SEPTEMBER 300 2023
MIAMI,FL 33999 Must be displayed at place of business
Pursuant to County Code
Chapter BA-Art,9&10
OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED
PARERA CtRIPi:.T INC 213 SERVICE BUSINESS BY TAX COLLECTOR
75.00 09/30/2022
# INT-22-437531
Not a Contractor Receipt
This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license,
Permit or*canlficetion of the holdsls qualifications,to do business.Holder must comply with any governmental
or nongovernmental regulatory laws end requirements which apply to the business,
104M The RECEIPT NO.above most be displayed an all commercial vehicles-Miami-Bade Code Sac Ba-276.
For more information,vish 4 Y .oflbll[#I#tII F,SayAi4x,V#9,tA9r
�pr. ICON Floors, LLC.
40
� �� h 610 White St
1 CON
Key Wes, FL 3304C
FLOORS 305-901-4884
CUSTOMER Monroe County Facilities Management QUOTE NUMBER 0221126
JT Null DATE November 30,2022
10600 Aviation BLVD THIS QUOTE EXPIRES IN 60 DAYS
Marathon, FL 33050 TERMS
safos-michelegmonroecounty-fl.gov
JOB NAME: Marathon Airport-Mayor Rice's Office
on Completion
QTY UOM DESCRIPTION/SCOPE OF WORK UNIT PRICE LINE TOTAL
80.00 S/Y Carpet Removal 3.50 $ 280.00
80.00 S/Y Furniture Removal and Replacement 18.00 $ 1,440.00
106.67 S/Y New Basic III Tile Celestial 31.75 $ 3,386.77
80.00 S/Y Carpet Tile Installation 8.00 $ 640.00
220.00 L/F 4"Vinyl Cove Base Allowance-Supply and Install 3.00 $ 660.00
720.00 S/F Floor Prep 0.85 $ 612.00
1.00 Each Travel Housing and Perdiem 775.00 $ 775.00
>County to Provide Dumpster for Disposal of job $
related materials
>Work based on regular hours,Night and Weekend $
hours billed at 1.5X
SUMNLARY QUOTE
I' II'I,")1 (71 V1I()71 Tax Included
')^ I l 1 D 1,S:Removal of any existing flooring,Floor prep,Moistzu:e Testing, Total $ 7,793.77
Moisture mitigation,Disposal of materials off property,waxing or polishing
floors,moving or replacing furniture.
Repairs to any installed materials Are outside the scope of work detailed in this
quote. Any repairs require a signed work order and ire billed as time and
material at an hourly rate of$125 per man hour.
All work will be schedule with a contractor or client approved start time and date. Should ICON Floors staff not be able to
work at the scheduled and approved start times due to any delays on the contractor or client's part,the contractor or client
will be billed at$75 per hour up to eight hours a day per man scheduled.
This quote is for the supply of materials and performance of labor based on the scope of work detailed irn this quote. Any
materials or labor outside the scope of work detailed irn this quote,or irn addition to the amounts detailed irn this quote wil l
require a signed change order prior to the materials being purchased and commencement of labor.
Terms for this quote ire Invoice upon completion of project.Invoices ire due upon receipt.
To accept this quotation please print name,sign here and retzn:n:
Authorized Representative for Customer Date
Authorized Representative for Icon Floors Date
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