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04/05/2023 Agreement Monroe County Purchasing Policy and Procedures XvrAC H M EN'T'D.5 COUNTY ADMINISTRATOR CONTRACT SUMMARY FORM FOR CONTRACTS LESS THAN $50,000.00 Contract with:Parera Caret lnc Contract# Effective Date: Expiration late,. "� .'--.:--- Contract Purpose/Description: far et re lacement in,Cler1C of Courts„I (a athon, . � . I y� Contract is Original Agreement Contract Amendment/Extension Renewal „ Contract Manager: JT Null 305 5,87-8036aGlllllGS,,,MelntIlraCG: �� Name Ext, e.artment ,� # CONTRACT COSTS Total Dollar Value of Contract: $ 891 0 Current Year Portion: $ (must be less than$50,000) ((Cmulliyear agreement then requires BOCC approval,unless the tatal cumulative muount is less than 5so,aoa�aa. Budgeted?Yes❑■ No Grant: $ARPA$8940.00 County Match: $ Fund/Cost Center/Spend Category: 125167 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 Reviewer Date In Department Head Signature: William DeSantis Digitally signed by Patricia Eables County Attorney Signature: Patriciai s Date:2023.04.0312 16 07 04'00 "' Akq y W 1� Y IW �t vn nrvaxre': S' Risk Management Signature: .... Lisa Abreu Digitally signed by Lisa Abreu Purchasing Signature: Date:2023.04.03 14 07:59-04'00' Digitally signed by John Quinn OMB Signature: John Quinn Date:2023 04.03 15:46:59 04'00' Comments: Revised BOCC 2/15/2023 Page 85 of 106 NE COUNTY ARC OF COUNTY COMMISSIONERS REQUEST" FOR SERVICES FOR Carpet Replacement Marathon,on, Ierk of Courts, 3117 Overseas Highway, ar hon, Florida, ry�yr BOARD O�F COUNTY COMMISSIONERS .aw Mayor Craig Cates, District l Mayor Pro Tem I lolly Merrill Rasc:"Flic in, District Michelle Lincoln, District Jai-tie Jai-ties K. Sclioll, District David Rice, District COUNTY ADMINISTRATOR Roman Gastesi Clerk of the Circuit Court Facilities Maintenance Director Kevin Maclok William De antils 3/14/2023 PREPARED BY: Monroe County Facilities Maintenance Department Page I of 52 Monroe County Facilities Maintenance General Scope of Work Job Name- Carpet Replacement Job Location: Monroe County Clerk of Courts 3117 Overseas Highway Marathon, FL 33050 Contact: John T. Null Facilities Maintenance John T. Null 305-587-8036 Michele Safos :L 305-289-6036 PROJECT OVERVIEW PROJECT INTENT AND SCOPE GENERAL REQUIREMENTS 1, Project Overview A) Monroe County ("Owner" or "County") shall enter into a contract with a qualified Contractor to replace the carpet in the Monroe County Clerk of Courts office located at 3 117 Overseas, Highway, Marathon, Florida, The term of this contract shall carnmencc upon, the date of issuance to the Undersigned by Owner of the Notice to Procced/Purchase Order/Task t rder, Once commenced, the undersigned shall diligently continue performance until completion of the Project. 'file undersigned shall accomplish Final Completion of the ProjJect 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'52 B) All quotes are due by Monday, March 20,, 2023, at 3:00 P.M,, via email to Safos- michele@monroeco,unty-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 at the office of the Clerk of Courts: • Remove and dispose of old the and z;a eting • Provide and install new carpet tile • New Cove base and waterproof coating under carpet 3. General Requirements A) The Contractor shalt coordinate all activities with the Monroe County Facilities Maintenance Department contact: j,r 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 ii. Personal Stems iii, Floors iv, Vehicles and Personal Property V. Landscaping C) The Contractor shall ensure that all non-exernpt employees for this efforl, 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 appro�priate (OSHA required) construction warning signs and barriers. F) The Contractor shall furnish all required work site safety equipment. G) The Contractor shall furnish and maintain oii-site material safety data sheets (MSDS) for all materials used in the construction. 11) Construction work times shall be limited to: Specified by the County Page 3 of 52 1) All materials must be approved by submittal prior to commencement of work, J) The Contractor shall provide a lump sum price by Monday, March 20, 2023, at 3:00 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 safety lift plan for any crane/hoist work. N) If applicable, Contractor shall provide paper or electronic copies of all original device specifications, warranties, maintenance schedules, shop drawings, permits, repair and maintenance contacts, and any other in-formation necessary for the proper function and maintenance of the equipment. 0) The Contractor shall provide a schedule for all phases of the project. P) The Contractor shall coordinate all activities with concurrent site work being per6ornied, if any. Q) Insurance Requirements: Workers Compensation StatUtoly Limits I-,'Imployers' Liability $100,0100 Bodily Iny"jur by Accident $500,000 Bodily Injury by Diseasc, policy limits $100,000, Bodfly Injury by Discasc, each employee General Liability $200,000 per person $300,000 per Occurrence $200,0010 Property Damage Or $300,0:00 Combined Single Linnit Vehicle: $200,0001 per Person (Owned., non-owned, $300,000, per Occurrence and hired vehicles,) $200,000 Property Damage or S300,0010 Combincd Single Linift Builders Risk Not Required C,01IStrUCtiOrl Bond Not Required Page 4 of'52 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" Certi licate of Insurance is attached, which may not be reflective of the insurance amounts required for this project but is provided for"informational purposes" only, R) The Contractor is required to have all current licenses necessary to perforni 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. S) INDEMNIFICATION, HOLD IIA11VILESS, 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 indernnified 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 wrongfid 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 Linder 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(he 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 Q. herein, Insofar as the claims, actions, causes of action, litigation, proceedings, costs or expenses relate to events or circumstances that occur during the terra 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 indemni Cy the County from any and ail 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 indernnify it from all losses Occurring thereby and shal I further defend any claim or action oil 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 52 United States Department of the Treasury.Jilidemnification To the fullest extent permitted by law, the Contractor shall indemnify and hold harmless the United States Departtrient of the Treasury and its officers and employees, from liabilities, damages, losses and costs, including, but not limited to, reasonable attorney's fees, to the extent, caused by the negligence, recklessness or intentional wrongful misconduct of the Contractor and persons employed or utilized by the Contractor in the performance of this, Contract. 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 sovereign immunity of the United States or the County. T) 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 C011USi011, 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. U) EMPLOYMENTOR RETENTION OF FORMER(MOUNTV OFFICERS 0 R EMPLOVEES. By signing this p!roposaN, the undersigned warrants that he/she/it has not employed, retained or otherwise had act on his,/hers/its behalf ally 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 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. V) 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,bout 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, Page 6 of 52 W) 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 ofa controlled substance is prohibited in the workplace and specify the actions that will be taken against, employees for violations of such Prohibition. 2) InII)rni employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug-free workplace, any available drug counseling,rehabilitation,and employee assistance programs,and the penalties that may be imposed upon employees for drug abuse violations. 3) Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection I" 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) Non discrim ination/Ea uall,Employment( pportunity. The Contractor and County agree that there will be no discrimination against any person,and it is expressly understood,.hat upon a determination by a court o�f competent jurisdiction that discrimination has occurred, this Agreement, autornatically 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 V11 of the Civil Rights Act of 1964 (PI, 88-352) which prohibits discrimination on the:basis of race,,color or national origin;2)Title IX of the Education Amendment of' 1972, as arnended (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 disability;4)The Age Discrimination Act of 1975,as amended(42 USC ss. 6101-61107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92-2,55), 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 (PI, 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public I lealth Page 7 of 52 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 V III 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 19190 (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 oil the basis of race, color, sex, religion, national origin, ancestry, Sexual orientation, gender identity or expression, familial status or age; and 11) Any other nondiscrimination provisions in ally Federal or state statutes which may apply to the parties to, or the subject matter of, this Agreement. During the perforrnance of this Agreement, the Contractor, in accordance with Equal Employment Opportunity (30 Fed. Reg. 12319, 129,35, 3 C,I`,R. Part, 1964-1965 Cornp., p. 339) as amended by Executive Order 11375, Amending Executive Order 11246 Relciling to Equal Employment 01y)orninily, and implementing regulations at 41 CJ,'.R. Part 60 (Office of Federal Contract Compliance Programs,, Equal Employment Opportunity, Department of Labor), sge, 2 C.F.R. Part 2010, Appendix 11,J� C, agrees as, follows: 1) The Contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, or national origin. The Contractor will take affirmative action to ensure that applicants are employed, and that employees are treated equally during employment, without regard to their race, color, religion, sex, sexual orientation, gender identity, or national origin. Such action shall include, but not be limited to the following: Employment, upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination, rates of pay or other forms of compensation; and selection for training, including apprenticeship, The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause. 2) The Contractor will, in all solicitations or advertisements for employees, placed by or on behalf' of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color,religion, sex, sexual orientation, gender identity, or national origin. 3) The Contractor will not discharge or in any other manner discriminate against any employee or applicant for employment because such employee or applicant has inquired about, discussed, or disclosed the compensation of the employee or applicant or another employee or applicant. This provision shall not apply to instances in which an Page 8 of 52 employee, who has access to the compensation infiormation of other employees or applicants as a part of such employee's essential job functions, discloses the compensation of such other employees or applicants to individuals who do not otherwise have access to such information, unless such disclosure is in response to a formal complaint or charge, in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or is consistent with the Contractor's legal duty to furnish infon-nation. 4) The Contractor will send to each labor union or representative, of workers with which it has a collective bargaining agreement or other contract or understanding, a notice to be provided by the agency contracting officer, advising the labor union or workers' representative of the Contractor's commitments under section 202 Of Executive Order 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment, 5) The Contractor will comply with all provisions of Executive Order 11246 of September 24, 1965,and of the rules, regulations,and relevant orders of the Secretary of Labor. 6) The Contractor will furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders. 7) In the event of the Contractor's non-compliance with the nondiscrimination clauses or this contract or with any of such rules, regulations, or orders, this contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts, in accordance with, procedures authorized in Executive Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of I-abor, or as otherwise provided by law. 8) The Contractor will include the portion of the sentence immediately preceding paragraph (1)and the provision of paragraphs(1)through (8) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 196 5, so that such provisions will be binding upon each subcontractor or vendor, The Contractor will take such action with respect to any subcontract or Page 9 of 52 purchase order as the administering agency may direct as a means of enforcing such provisions, including sanctions for non-compliance; provided, however, that in the event a contractor becomes involved in, or isthreatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency the Contractor may request the United States to enter into such litigation to protect the interests of the United States, Title VI of the Civil.Rights Act of 1964. The Contractor and any subcontractor, successor, transferee, and assignee shall comply with ,ritic VI of the Civil Rights Act of 1964, which prohibits recipients of federal financial assistance frorn excluding from a program or activity, denying benefits of, or otherwise discriminating against a person on the basis of race, color, or national origin (42 U.S.C. § 2000d et seq.), as implemented by the Department of the Treasury's Title VI regulations, 31 CFR Part 22, which are herein incorporated by reference and made a part of this contract (or agreement). Title VI also includes protection to persons with "Limited English Proficiency"in any program or activity receiving federal financial assistance,42 U,SC. § 2000d et seq., as implemented by the Department of the Treasury's Title VI regulations, 31 CFI Part 22, and herein incorporated by reference and made a part of this contract or agreement. 11) 1'ermination Pi-ovisio,ns. 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" Caus'eand 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, tile 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 surn due the Contractor tinder this agreement prior to termination, unless the cost of completion to the County exceeds the funds remaining in tile 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 l"or violation of the County's False Claims Ordinance, located at Section 2-721 et a]. of the Monroe County Code. Page 10 of 52 1). Tennination 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. Scrutinized C,!�jrnp jes: For Contracts of any amount, if the County determines, that the Contractor/Consultant has submitted a false certification Linder 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 Agreernent after it has given the Contractor/Consultant written notice and an opportunity to dernonstrate the agency's determination of false certification was in error pursuant to Section 287.1 35(5)(a), Florida Statutes, or(2) maintaining the Agreement if' the conditions of Section 287.135(4), Florida Statutes, are met. 111) Maintenance of Records,. The Contractor shall maintain all books, records, and documents directly pertinent to performance under this Agreernent in accordance with generally accepted accounting principles consistently applied. Records shall be retained as applicable for 1) a period of Five (5) years after all funds have been expended or returned to the Department of the rreasury, whichever is later; or 2) for a period of seven (7) years, from the termination of this Agreement or for a period of five (5) years from the submission of the final expenditure report as pier 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, Further, the, Contractor is subject to the following: 1) ]'he Contractor shall maintain records and financial documents sufficient to evidence compliance with Sections 602(c)and 603(c)of the Social Security Act,Treasury's regulations implementing that section,and guidance issued by the Department of the Treasury regarding the foregoing, 2) The Department of the Treasury Office of Inspector General and the Government Accountability Office, or their authorized representatives,, shall have the right of access to records (electronic and otherwise) of the Contractor in order to conduct audits, or other investigations. Page I I of 52 IV) Right to Audit. Availability (?I'Records. The records of the parties to this Agreement relating to the Pr6ject,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 7 p 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 array 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 distributio�n 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) Payment of Fees /Invoices. County shall pay pursuant to the Florida Local Government Prompt Payment Art, Fla. Stat., Sec. 218.70,upon receipt of a Proper Invoice from the Contractor, Payments due 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 sae fos- DicheW Co antonroec( -1t1EtA--fl..9Q)X. The County is exempt from sales and use taxes. A copy of the tax exemption certificate will be provided upon request. Page 12 of 52 Final payment shall be made by the County, as the Owner, to the Contractor when the Contract has been fully per-fornied by the Contractor and the work has been accepted by the County. VI) Public Records Compliance. 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 tinder 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., See. 119.07011 and the terns and conditions of this contract, the Contractor is required to: Keep and maintain public records that would be required by the County to perform the service. (2) Upon receipt from the County's custodian ofrecords, 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 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 tile County upon completion of the contract, the Contractor shall destroy any duplicate public records that are exempt or confidential and exempt frown,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. Ali records stored electronically must be provided to tile County, upon request from the County's custodian of records,,, in a format that is compatible with the information technology systems car the County. Page 13 of 52 (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' 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 11 9.10, Florida Statutes. 'rhe Contractor shall not transfer custody, release, alter, destroy or otherwise dispose of any public records unless or othe7wisc provided in this provision or as, otherwise provided by law, IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OAF CHAPTER 119, FLORIDA STATUTES, T THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS,_BRIAN BRADLEY AT PHONE NO. 305- 292-34701) BRADL,EY-BRIARL&,MONROECOUNTY-FLGOV3 MONROE COUNTY ATTORNEY'S OFFICE, 1111 12 TH Street, SUITE 408, KEY' WEST, FL 33040. V[l) E-Verify System, Beginning January 1, 2021, in accordance with Fla. 'tat,, 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 perforrni-ig work or providing services pursuant to the 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. Mat., See. 448,095. Vill) Notice Reguireinent. 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 Page 14 of 52 i 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: t(( a t � wa L y For Owner: Facilities Maintenance Department Attention: John T. Null 10600 Aviation Blvd, Marathon, FL 33040 And Monroe County Attorney's Office 1111 12" Street Suite 408 Key West, Florida 33040 IX) Uncontrollable Circumstance. 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 Patty's control, without such Patty'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 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 Projeet;(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 Uncontrollahlc 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 Representalive may detennine. Page 15 of 45 X) Adiudicationcif Disputes or Disagreements. 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 11, concerning termination or cancellation. 4. FEDERAL CONTRACT REQUIREMENTS The Contractor and its subcontractors must follow the provisions, as applicable, as set forth in 2 C.1'.R. §200.326 Contract provisions and Appendix 11 to C.F,R. Part 200, as amended, including but not limited to: A) Clean Air Act 42 U.S.C. §§7401-7671g.) and the Federal Water Pollution Control Act,Q3 U.S.C. §§1251-1387). CONTRACTOR agrees to comply with al I applicable standards,orders,or regulations issued pursuant to the Clean Air Act,as amended, (42 U.S.C. §§740 1-767'1 q) and the Federal Water Pollution Control Act, as amended (3 3 1 J.S,C, §§12 5 1-13 8 7)and will report violations to the Department of the Treasury and the appropriate Regional Office of the Environmental Protection Agency (EPA). The Clean Air Act (42 U.S.0 7401-7671 q) and the Federal Water Pollution Control Act(33 UXC, §§1251-1387),as amended,applies to Contracts and subgrants of arnounts is excess of$100,000.00, The contractor agrees to include these requirements in each subcontract exceeding $100,000 financed in whole or in pail with Federal assistance provided by the American Rescue Plan Act funding. The Contractor agrees to report each violation to the COUNTY, understands, and agrees that the COUNTY will, in turn, report each violation as required to assure notification to the: Department of Treasury/Federal Agency and the appropriate EPA Regional Office, B) Contract Wo�rk Hours and Safe!y Standards Act [40 U.S.C. 4§3701-3708). Where applicable, which includes all FEMA grant and cooperative agreement programs, all contracts awarded by the County in excess of$100,000 that involve the employment of mechanics,or laborers must comply with 40 U.S.C. §§3702 and 3704,as supplemented by Department of Labor regulations(29 CFR Part 5). Under 40 U.S.C. §3702 of the Act, each Contractor must compute the wages of every mechanic and laborer on the basis of a standard work week of forty (40) hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in excess of forty (40) hours, in the work week. The requirements of 40 U S.C. §3704 are applicable to construction work and provide that no laborer or mechanic must be required to work in Surroundings or under working conditions which are unsanitary, hazardous, or dangerous. These requirements do not apply to the purchases of supplies or materials or articles Pagc 16 of 52 ordinarily available on the open market, or contracts for transportation or transmission of intelligence. Compliance with the Contract Work Hours and Safety Standards Act. (1) Overtime requirements. No contractor or subcontractor contracting, for any part of the contract work, which may require or involve: the employment of laborers or mechanics shall require or permit any such laborer or mechanic in any workweek in which he or she is employed on such work to work in excess of forty hours in such workweek unless such laborer or mechanic receives compensation at a rate not less than one and one-half tirnes the basic rate of pay for all hours worked in excess of forty hours in such workweek. (2) Violation; liability.1br unpaid wages,•liquidated damages, In the event of any violation of the clause set forth in Paragraph (b)(1) of this section,the Contractor and any subcontractor responsible therefor shall be liable for the: unpaid wages. In addition, such contractor and subcontractor shall be liable to the United States (in the case of work done under contract for the District of Columbia or a territory, to such District or to such territory), for liquidated Damages. Such liquidated damages shall be computed with respect to each individual laborer or mechanic, including watchmen and guards, employed in violation of the clause set forth in Paragraph(b)(1)of this section, in the sure of $27 for each calendar day on which such individual was required or permitted to work in excess of the standard workweek of forty hours without payment of the overtirric wages required by the clause set forth in Paragraph (b)(1) of 29 C.F.R. §5.5. (3) Withholding.fbr unpaid wages and liquidaled damages. The Federal agency shall, upon its own action or upon written request of an authorized representative of the Department of Labor, withhold or cause to be withheld from any moneys payable on account of work performed by the contractor or Subcontractor under any such contract or any other Federal contract with the same prime contractor, or any other federally- assisted contract subject to the Contract Work Hours and Safety Standards Act,which is held by the same prime contractor,such sums as may be determined to be necessary to satisfy any liabilities of such contractor or subcontractor for unpaid wages and liquidated damages, as provided in the clause set forth in Paragraph (b)(2) of 29 CY.R. §5.5. (4) Subcontracts. The contractor or subcontractor shall insert in any subcontracts the clauses, set forth in 29, CRR, §5.5, Paragraphs (b)(1)through(4),and also a clause requiring the subcontractors to include these clauses in any lower tier subcontracts. The prime contractor shall be responsible for compliance by any Page 17 ol'52 subcontractor or lower tier subcontractor with the clauses set forth in 29 C1.R. §5,5, Paragraphs (I)through(4). C) Rights, to Inventions Made Under a Contract or Agreement, If the Federal award meets the definition of"funding agreement" under 37' CFR §401,2 (a) and the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental,developmental, or research work under that"funding agreenient," the recipient or subrecipient must comply with the requirements of 37 CFR Pail 401, "Rights to Inventions Made by Nonprofit Organizations and Small Business Firms, Under Government Grants, Contracts and Cooperative Agreements,"and any implementing regulations issued by the awarding agency, D) I)ebarment and Suspension (Executive Orders 1,2549 avid 12689) A contract award under a "covered transaction" (see 2 CFR §180.220) Must not be made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 C.1".R. Part 1801 that implement Executive Orders 12549 (3 C,F.R, Part 1986 Comp., p. 189) and 12689 (3 C,F.R. Part 1989 Comp., p. 235�), "Debarment and Suspension" and time Department of Itomeland SecuritYs regulations at 2 CYK Pail 3000 (NonproCUrernent Debarment and suspension). SAM Exclusions contains the narnes of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. SAM exclusions can be accessed at www.sp nl a _V toy, Contractor is required to verify that none of the contractor's principals (defined at 2 C.F.R. §180,935) or its affiliates (defined at 2 C.F.R. §180.905) are excluded (defined at 2 C.F'.R. §4 8'0.940) or disqualified (defined at 2 C.F.R. §180.935). The Contractor Must Comply with 2 C.F.R. pt. 180, subpart C and 2 C+'K pt. 300:0, Subpart C,and must include a requirement to comply with these regulations in any lower tier covered transaction it enters into. This, certification is a material representation of fact relied upon by the County. If it is later determined that the contractor did not comply with 2 CY.R. pt. 180, subpart C and 2 C.F.R. pt. 3000, subpart C, in addition to remedies available to the County,the Federal Government may pursue available remedies, including but not limited to Suspension and/or debarment. Bidders or Proposers agree to comply with the requirements of 2 C.F.R. pt. 180, subpart C and 2 C.F.R. Pt. 3000, subpart C while this offer is valid and throughout the period of any contract that may arise from this offer. The Bidder or Proposer further agrees to include a provision requiring such compliance in its lower tier covered transactions, including that the award is subject to 2 C.F.R. Part 180 and the Department of the 'Freasury's implementing regulation at 31 C.FK Part 19, E) Byrd Anti-Lobbying Amendment (31 U.S.C. 0352). Contractors that apply or bid for an award exceeding $100,000 rn ust fi I c the required certification, 1�,ach tier Page 18 of 52 certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer car employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. §1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the recipient who in turn will forward the certification(s) to the awarding agency. If the award exceeds $100,0010, the attached certification must be signed and submitted by the Contractor to the County. F) Compliance with Procurement of Recovered Materials as set forth in 2 CF'R,§ 200.322, The Contractor must comply with Section 6002 of the Solid Waste Disposal Act, as amended, by the Resource Conservation and Recovery Act, The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 C.F.R. Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition, where the purchase price of the item exceeds $10,000 or the ValLiC of the. quantity acquired during the preceding fiscal year exceeded $10,( 00; procuring solid waste management services in a manner that maximizes energy and rc ource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. In the performance of this contract,the Contractor shall make maximum use of products containing recovered materials that are EPA-designated items unless the product cannot be acquired — 1, Competitively within a timeframe providing for compliance with the contract performance schedule; 2. Meeting contract performance:requirements; or 3. At a reasonable price. Information about this requirement, along with the list of EPA designated items, is available at EPA's Comprehensive Procurement Guidelines website, h4r "1/wWw,epa,go V/s a1rn/conlp pjjqn Si,V,C-I)TOCLI re?tic it I-L!pi dcl i it e-cpg- The Contractor also agrees to comply with all other applicable requirements,of Section 6002 of the Solid Waste Disposal Act. G) Prohibition on certain telecommunications and video surveillance services or qtuigment as set forth in 2 CFR 4 200.216. Recipients and subrecipicrits and their contractors and subcontractors may not obligate or expend any federal funds to (1) Procure or obtain; (2) Extend or renew a contract to procure or obtain; or (3) Enter into a contract (or extend or renew a contract) to procure or obtain equipment services, or systerns that uses covered telecommunications Page 19 of52 equipment or services as a substantial or essential, component of any system, or as critical technology as part of any system. As described in Public Law 115-232, section 889, covered telecommunications equipment is telecommunications equipment produced by fluawei Technologies Company or ZTE Corporation (or any subsidiary or affiliate of such entities) (i) For the purpose of' public safety, SeCUrity of government flacilitim physical security surveillance of critical infrastructure, and other motional security purposes., video surveillance and telecommunications equipment produced by Hytera Communications Corporation, I-langzhou Ifikvision Digital Technology Company, or Dahua Technology Company (or any subsidiary or affiliate of such entities). (ii) Telecommunications or video surveillance services provided by such entities or using such equipment. (iii) 1'elecomi-minications or video surveillance equipment or services produced or provided by an entity that the Secretary of Defense, in consultation with the Director of the National Intelligence or the Director of the Federal Bureau of Investigation, reasonably believes to be an entity owned or controlled by, or otherwise conriected to, the government of a covered foreign country. H) Domestic Preference for Procurements, as set forth in 2 C.F.R. §200.322. The County and Contractor should, to the greatest extent practicable, provide a preference for the purchase, acquisition, or use of goods, products, or materials produced in the United States (including but not limited to iron, aluminum, steel, cement,and other manufactured products). These requirements of this section must be included in all SUbawards including contracts and purchase orders for work or products under federal award. For purposes of this section: (1) "Produced in the United States" means, for iron and steel products, that all manufacturing processes, from the initial melting stage through the application of coatings, occurred in the United States, (2) "Manufactured products"'means items,and construction materials composed in whole or in part of non-ferrous metals such as aluminum; plastics and polymer based products such as polyvinyl chloride pipe; aggregates such as concrete; glass, including optical fiber; and lumber. 1) Copeland "Anti-Kickback" Act I C.F.R. 200, Appendix II(D); 40 U.S.C. §3145). This section applies ifthe contract is in excess oj"$2,000 and pertains to construction or repair, and jimher, rf required by Fecteral program legislation. Contractor shall comply with the Copeland "Anti-Kickback" Act (40 U.S.C. §3145), as supplemented by Department of Labor regulations (29 C.F.R. Part 3), "Contractors and Subcontractors, on Public Building or Public Work Financed in Whole or in Part by Loans or Grants from. the United States"). The Act provides in part that Contractor shall be prohibited firorn inducing, by any means, any person employed in the construction, completion, or repair of public work, to give Lip ally Page 20 of 52 part of the compensation to which, it is otherwise entitled. The County shall report all suspected or reported violations to the Department of the Treasury. 5. Other Federal and/or Department of the Treasury Requirements (as applicable) Section 602(b) of the Social Security Act (the Act), as added by Section 9901 of the American Rescue Plan Act (ARPA), Pub. L. No. H 7-2 (March 11, 202 1), authorizes the Department of the Treasury(Treasury)to make payments to certain recipients froni the Coronavirus State Fiscal Recovery Fund and the Coronavirus Local Fiscal Recovery Fund (Fiscal Recovery Funds). Monroe County shall not enter into a Contract or make any distributions of funds to Contractor using monies from the Fiscal Recovery Funds absent Contractor's agreement and adherence to each term and condition contained herein. The Contractor and its sub-contractors must follow the provisions set forth hercia, as applicable, including but not limited to: A) Americans with Disabilities Act of 1999O JADAI,, as amended. 'Fhe Contractor will comply with all the requirements as imposed by the ADA, the regulations of the Federal government issued thereunder, and the ,assurance by the Contractor pursuant thereto. B) Disadvanta,Ud Business Enter risc I)BE) Policy and Obligation. It is the policy of the County that DBEs, as, defined in C.F.R. Part 26, as amended, shall have the opportunity to participate in the performance of contracts financed in whole or in part with County funds under this agreement, The DBE requ:rements of applicable federal and state laws and regulations apply to this Agreement. The County and its Contractor agree to ensure that DBE's have the opportunity to participate in the performance of the Agreement. In this regard, all recipients and contractors shall take all necessary and reasonable steps in accordance with 2 C.F.R. §200.3,21 (as set forth below), applicable federal and state laws and regulations to ensure that DBE's have the opportunity to compete and perforrn contracts, ']'he County and Contractor and subcontractors shall not discriminate on the basis of race, color, national origin, or sex in award and performance of contracts, entered pursuant to this Agreement. C.F.R.--§ 20Q.321 CONI-RACTING WITTH SMALI.., AND MINORITY BUSINESSES WOME.NS ITBIJSINI SS I'NTERPRIS[I'S AND LABOR ............. ....................................... ................................ SURPLUS AREA FIRMS a. If the Contractor, with the funds authorized by this Agreement, seeks to subcontract goods or services then, in accordance with 2 C.F.R. §200321, the CONFRACTOR shall take the following affirmative steps to assure that minority businesses, women's business enterprises, and labor surplus, area firms are used whenever.po.ssible. ................ ....... ........ Page 21 ol'52 b, Affinnative steps must include: (1) Placing qualified small and minority businesses and women's business enterprises oil solicitation lists; (2) Assuring that small and minority businesses, and women's business enterprises are solicited whenever they are potential sources; (3) Dividing total requirements, when cconornicallyficasibIg, into smaller tasks or quantities to permit maximum participation by small and minority businesses,and women's business enterprises; (4) Establishing delivery schedules, where the reqpjjcn'ucu�tjl r oLqIjts which encourage participation by small and minority businesses, and women's business enterprises; (5) Using the services and assistance, as gLipLp.priate, of such organizations as the Small Business Administration and the Minority Business Development Agency of the Department of Commerce. (6) Requiring the Prime contractor, if subcontracts are to, be let, to take the affirmative steps listed in paragraph(I)through(5,),of this section, C) Access to Records. Contractor and its successors, transferees, assignees, and subcontractors acknowledge and agree to comply with applicable provisions governing the access to records, accounts, documents, information, facilities, and staff by the United States, Department of the Treasury, Contractors ITILISI: (1) Cooperate with any compliance review or complaint investigation conducted by the Department of the`treasury; (2) Give the Department of the Treasury access to and the right to examine and copy recL)rds, accounts, and other documents and sources of information related to the grant and permit access to facilities, personnel, and other individuals and information as may be necessary, as required by the Department of the Treasury regulations and other applicable laws or program guidance; and(3) Submit timely, complete, and accurate reports to the appropriate Department of the Treasury officials and maintain appropriate backup documentation tea support the reports. D,) Ch,agges to Contract. The Contractor understands and agrees that any cost resulting frorn a change or modi ti cation, change order, or constructive change of the agreement Must be within the scope of any Federal grant or cooperative agreement that may fund this Project and be reasonable for the completion of the Pro'jea Any contract change or modification,,change order or constructive change must be approved in writing by both the County and Contractor. E) Executive Compensation',. As required by 2 C.F.R. Part 1:170, Appendix A, the Contractor must report tile names and total compensation of its live most highly compensated executives and the names and total compensation of the five most highly compensated executives of its subcontractors l'br tile preceding completed fiscal year if. Page 22 of 52 (a) the total federal funding authorized to date under the award funding this Agreement equals or exceeds $30,000.00 as defined in 2 CI`.R. §170320; (b) the Contractor received 80 percent or more of its gross revenues from federal procurement contracts(and subcontracts) and federal financial assistance subject to the Transparency Act, as provided by 2 C.F.R. §170.320 (and subcontracts); (c) the Contractor received $25,000,000,.00 or more in annual gross revenues from federal procurement contracts (and subcontracts) and federal financial assistance subject to the Transparency Act, as defined in 2 C.F.R. §170.320 (and subcontracts); and (d) the public does not have access to inforination about the compensation of the executives through periodic reports filed under Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (15 U.S.C. 78m(a), 78o(d))or Section 6104 of the Internal 'Revenue Code of 1986. To determine if the public has access to the compensation information, see U.S. Security and Exchange Commission total compensation filings at F) No Obligation !,ly,federal Government. The Federal Government is riot a party to this contract and is not subject to any obligations or liabilities to the County/non- Federal entity, contractor or any other party pertaining to any matter resulting from the contract. G,) Program Fraud and False or Fraudulent Statements or Related Acts. The contractor acknowledges that 31 U.S.C. Chap. 38 (Administrative Remedies for False Claims and Statements) applies to the Contractor's actions pertaining to this contract. R) The Contractor shall utili7e the U.S. Department of Homeland Security's E-Verify system to verify the ernployment eligibility of all new employees hired by the Contractor during the tens of the Contract and shall expressly require any subcontractors performing work or providing services pursuant to the Contract to likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the Contract term. 1) The Contractor will be bound by the terms and conditions of the Federally Funded State & Local Fiscal Recovery Fund Financial Assistance Agreement between the County and the United States Department of Treasury attached hereto as Attachment A and made a part of this Agreement. J) The Contractor shall hold the United States,and County harmless against all claims of whatever nature arising out of the Contractor's performance of work under this Agreement, to the extent allowed and required by law. Page 23 of 52 K) [Kiser gy Efficiency. If applicable, the Contractor will comply with the Energy Policy and Conservation Act (P.L. 94-163; 42 U.S.C. §§6201-6422) and with all mandatory standards and policies relating to energy efficiency and the provisions of the state Energy Conservation Plan adopted pursuant thereto. L) Conflicts of Interest, The Contractor understands and agrees it must maintain a conflict-of-interest policy consistent with 2 C.F.R. § 200.318(c) and that such conflict-of-interest policy is applicable to each activity funded Linder the federal award as set forth in Attachment A. The Contractor and subcontractors must disclose in writing to Treasury or the pass-through entity, as appropriate, any potential conflict of interest affecting the awarded funds in accordance with 2 CYR § 200.112. M) Remedial Actions. In the event of the Contractor's noncompliance with Section 602 of the Act, other applicable laws, Treasury's implementing regulations, guidance, or any reporting or other program requirements, Treasury may impose additional conditions on the receipt ofa subsequent tranche of future award funds, if any, or take other available remedies as set forth in 2 CYR § 200339, In the case of a violation of Section 602(c) of the Act regarding the use of funds, previous payments shall be subject to reCOLIpment as provided in Section 602(e) of the Act and any additional payments may be subject to withholding as provided in Sections 602(b)(6)(A)(ii)(Ill) of the Act, as applicable. N) Compliance with Federalt,aw, Regulations and Executive Orders. This is an acknowledgment that Department of the Treasury (Treasury) financial assistance will be used to fund the contract only. The Conti-actor agrees to comply with the requiremcnts of Sections 602 and 603 of the Act, regulations adopted by Treasury pursuant to Sections 602(f)and 603(o of the Act,and guidance issued by 'treasury regarding the foregoing. The Contractor also agrees to comply with all other applicable federal statutes, regulations, and executive orders, and the Contractor shall provide for such compliance by other parties in any agreements it enters into with other parties relating to this award, Federal regulations applicable to this Department of Treasury award include, without limitation, the following: i. Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards, 2 C.F.R. Part 2001,other than such provisions as Treasury may deten-nine are inapplicable to this, award and subject to such exceptions as, may be otherwise provided by "Freasury. Subpart F Audit Requirements of the U`niforrn Guidance, implementing the Single Audit Act, shall apply to this,award. ii. Universal Identifier and System for Award Management (SAM), 2 C.F.R. Part 25, pursuant to which the award term set forth in Page 24 of, Appendix A to 2 C.1".R. Part 25 is hereby incorporated by reference. i ii. Reporting Subaward and Executive Compensation Information, 2 C.F.R. Part 170, parsuant to which the award term set forth in Appendix A to 2 CYK Part 170 is hereby incorporated by reference. iv. OMB Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement), 2 C.F.R.. Part 180, including the requirement to include a term or condition in all lower tier covered transactions (contracts and subcontracts described in 2 C.F.R, Part 180, subpart B) that the award is subject to 2 C.F.R. Part 180 and Treasury's implementing regulation at 31 CYK Part 19, V. Recipient Integrity and Performance Matters, pursuant to which the award term set forth in 2 C.F.R. Part 200, Appendix XII to Part 200 is hereby incorporated by reference. vi. Governmentwide Requirements for Drug-Free Workplace 31 C.F.R. Part 20. Vii. New Restrictions on Lobbying, 31 C.F.R. Part 21 viii. Uniform Relocation Assistance and Real Property Acquisitions Act of 19�70 (42 U.S.C. §§ 4601-4655) and implementing regulations. ix. Generally applicable federal environmental laws and regulations, 0) [latch Act. The Contractor agrees to comply, as applicable, with requirements of the Hatch Act(5 U.S.C. 1501-1508 and 7324-7328),which limit certain political activities of State or local government employees whose principal employment is in connection with an activity financed in whole or in part by this federal assistance, P) False Statements. The Contractor understands that making false statements or claims in connection with this award is a violation of federal law and may result in criminal, civil, or administrative sanctions, including fines, imprisonment, civil damages and penalties,debarment from participating in federal awards,or contracts, and/or any other rernedy, Q) Publications. Any publications,produced with funds from the federal award as set forth in Attachment A must display the following language: "This project [is being] [was,J supported, in whole or in part, by federal award number [enter project FAIN] awarded to [name of Recipient] by the U.S. Department of the"Treasury."' 11) Debts Owed the Federal Government. a, Any funds paid to the Contractor (1) in excess of the amount to which Contractor is finally determined to be authorized to retain under the terms of this award as set forth in Attachment A; (2) that are determined by the Treasury 0:ff ice of Inspector General to have been misused; or (3) that are Page 25 of'52 determined by Treasury tc be subject to a repayment obligation pursuant to Sections 602(e) and 603(b)(2)(D) of the Act and have not been repaid by Contractor shall constitute a debt to the federal government, b. Any debts determined to be owed the federal government, must be paid promptly by Contractor. A debt is delinquent if it has not been paid by the date specified in Treasury's initiall written demand for payment, unless other satisfactory arrangements have been made or if the Contractor knowingly or improperly retains funds that are a debt as defined in Paragraph 14(a) of the federal award as set forth in Attachment A. Treasury will take any actions available to it to collect such a debt. S) Disclaimer. a. The United States expressly disclaims any and all responsibility or liability to the Contractor or third persons for the actions of Contractor or third persons resulting in death, bodily injury, property damages, or any other losses,resulting in any way from the performance of this award or any other losses resulting in any way from the perfori-nance of services funded under the federal award as set forth in Attachment A or any other losses resulting in any way from the perforniance of services pursuant to any contract, or subcontract under this award. b. The acceptance ofthese funds provided by the federal award as set forth in Attachment A by the Contractor does not in any way establish an agency relationship between the United States and the Contractor, T) Protections for�Whistleblowers. a. In accordance with 41 U.S.C. § 4712, the Contractor may not discharge, demote, or otherwise: discriminate against an employee in reprisal for disclosing to any of the list of persons or entities provided below, information that the employee reasonably believes is evidence of gross mismanagement of a federal contract or grant, a gross waste of federal funds, an abuse of authority relating to a f'edcral contract or grant, a substantial and specific danger to public health or safiety, or a violation of law, rule,, or regulation related to a federal contract (including the competition for or negotiation ol�'a contract) or grant. b. The list of persons and entities referenced in the paragraph above includes the following: i. A member of Congress or a representative of committee of Congress; ii. An Inspector General; iii, The Government Accountability Office; iv. A Treasury employee responsible for contract or grant oversight or management; Page 26 of 52 v. An authorized official of the Department of Justice or other law enforcement agency; vi. A court or grand jury; or vii, A management official or other employee of Recipient, contractor, or subcontractor who has the responsibility to investigate,discover, or address misconduct. c. The Contractor shall inform its employees in writing of the rights and remedies provided under this section,in the predominant native language of the workforce. U) Increasing Seat Belt Use in the United States. Pursuant to Executive Order 1304 , 62 Fr. 19217(Apr. 18, 199,7),the Contractor is encouraged to adopt and enforce on-the-job seat belt policies and programs for its employees when operating company-owned, rented, or personally owned vehicles and encourage its subcontractors to adopt and enforce on-the-job seat belt policies and programs for their employees when operating company-owned, rented, or personally owned vehicles, V) Reducing Text Messaping,While Driving. Pursuant to F'xecutive Ordcr 13 513. 74 FR 5 1225 (Oct. 6, 2009), the Contractor should encourage its employees, subrecipients, and subcontractors to adopt and enforce policies that ball text messaging while driving, and the Contractor should establish workplace safety policies to decrease accidents caused by distracted drivers. Page 27 of"52 PROPOSAL ]FORM PROPOSAL TO: Monroe County Facilities Maintenance 10600 Aviation Blvd. Marathon,FL 33050 PROPOSAL FROM: w�u7 5 IL 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, Marathon Clerk of Courts, and having carefully examined the site where the Work is to be performed, having become familiar with all local conditions including labor affbcting 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 perforrii 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 actuaf location of where the Work is to be perrorracd,together with the local sources,of supply and that helshe 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 perfon-nance until completion of the Project, The undersigned shall accomplish Final Completion of the Project within't'hirty(30)days,thereafter. 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. ! Base Proposal-swords) ._ ,. dota base . l ollar , l .. .I Proposal numbers) � .... _..� ......., I acknowledge Alternates as follows.N/A I acknowledge receipt of Addenda No,(s)or None r�. ff�atecl No. Dated. In addition, Proposer states that he/she has provided or will provide the County, along with this Proposal, I certified copy of Contractor's License, Monroe, County Business Tax Receipt, and Certificate of Insurance showing the minimum insurance requirements for this project.. ect. 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: 9P-1U.%---cAmU/3 ,jd%A ,IM AND , ��?CatjqL accepts all of the tents and conditions and all Federal required contract provisions herein, IN WITNESS WHEREOF, the Parties have caused this AgTeement to he executed by their duly authorized representatives, as follows: Contractor: .7 Mailing Address, 4 Phone Number: L E, L. L N-� ........... Email: Date: Signed: /-k Ajo c foll 1, Yarne Title r Con W tractor's itn e signature:C. Witness name; Date: The County accepts the above proposal: MONROE COUNTY, FLORIDA Datc: 04.05.2023 4: County A�mmistrator or Designee MONROE COUNTY ATTORNEVIS OFFICE P Ell,�18 T Page 30 of 45 PATRICAJEASLES ASSISTAWIMMfOANEY DATE NON-COLLUSION AFFIDAVIT a according to law b of the city of ,. ,. n my oath, and under,penalty of perjury, depose andl say that: a. I am 0 a(2 t,o a of the firm of the bidder making the I roposal fort e project described in the f equest for Proposals for, ' and that. I +exNouted the said proposal with fulN aNrthority to do soy b. 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, and, c. unless otherwise required by law the prices wnrhich have been quoted in this bid have not been, knowingly disclosed by the budder and will not knowingly be disclosed by the bidder prior to bid opening, directly or indirectly„ to any other bidder or to any competitor; and d. 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, and a. The statements contained in this affidavit are true and correct, and made with full knowledge that Me roe County relies uplon the truth of the statements contained in this affidavit in ' arding contracts for said protect. (Si nature of roposer) (Date) STATE OF: COUNTY ON=.gym ;Subscribed and sworn to (or affirmed') before me, by means of 04hysical presence or Hine notarization, on ' t r (date)by name of affiantHe/Sh e is personally I known to me or rnas produced (type of identification)as identification. arolimne A Cabrera NOTA Y" PUBLIC NiNN Y CCYBtprrNNWon HH 354499 I Exares �re�p2� y commission expires: ( EA Page 31 of 4 LOBBYING AND CONFLICT OF INTEREST CLAUSE SWORN STATEMENT UNDER ORDINANCE NO. 010_195F_ 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 Ordnance 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 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 paidto th -former County officer or employee", to i(Signature) Date: STATE OF: COUNTY OF:—, ' Subscribed and sworn to (or firmed)before me, by means,of ep�hysical presence or C] on notan ation, u (date) by rr p rs� w (name of affiant), He/She is, erson tvAm f- me or has produced as identification. (Type of identification) Notary Public State of Flofi�a CaflAil.. A NOT Y PUBLIC rrl MY COMMISSIOn HH ExPireS 31612027 My commission expires: (SEAL) Page 32 of 45 DRUG-FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute, Sec. 287,087 hereby certifies that M.. ._ .. ' .mm. AMA"C (Name of Business) 1. publish a statement notifying; employees that the unlawf d 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, lnl"orrn employees about the dangers of"drug abuse in the workplace, the business's policy of"maintaining, a drug-free workplace„ any available drug, counseling, rehabilitation, and employee assistance programs,and the penalties that may be imposed upon employees for drug abuse violations.. 3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the staternent specified in subsection(I). 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 lave 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 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.. u. Make a good faith effort to continue to maintain a drub,-free workplace through implementation of"this section. As the person authorized to sign the statement,,l certify that this firrtm contpl` s lily with the above requirements, $ _.. Pro o er' Si naltmme Date ST 'l`l✓ OF: COUNTYl,4 _ ... �: .r. Subscribed and sworn to(or affmrrtted)before me, by means of" ysical resene or aline notarization,ffia t' . l lc� �....... ._ (date)by � � l �F� m_ l .....w. m .,....m (name ) ° Slme is person know me or has produce .. �f tdunttt n as tiler ,., s. ... , ._. ...... _ lmtmf cation,_. .... _.... ... tape� � 1 ARY PUBLIC l otary Public state of Florida (° Carolina Cabrera My Commission Expirm.s: ..., tt11 y Commission HH 3544 d! mtipwres 31812027 Page 33 of 4 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 A-t,-;1)f10 �A R A- (Respondent's name) nor any Affiliate has been placed on th onvicted vendor list within the last thAy-six (36) months. A 'Z A In onv_Elcled vendor (Signature) Date: 2-9 94 47> STATE OF: COUNTY OF: Jai Subscribed and sworn to (or affirmed) before me by means of 0/physical presence or 0online notarization, o Z_the day Mv 20_21 (date), by (name of affiant). v� 'I He)She is personally kno ��to to m me or has produced identification, (type of identification) as NOTARY PUBLIC My Commission Expires: (SEAL) Notary Public StOle''01 Fj�or�ej'a MCarolina A Cabrera fj�j i$"") y commlWon fl"3$44�3 'S 3 02 EXPOGS WISM27 LZI it, M'y,,iCX1P1ir1611 Page 34 of 45 VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS Project Description(s), (Z I A E(I N T lk MA,K4 I H ?J L4 /Z K, 0 F`f 0 0 p,T-,N Respondent'Vendor Name: �-A Vendor FEIN: Vendor's A l orized representative Addrc Spy ' city: &M A 5 P ne .5 ho imber Email Address: 50 W P"01 Section 2,87,135, 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 IUst,created pursuant to Section 2,15.4725, Florida Statutes, or is engaged in a Boycott of Israel. Section 287.135, Florida Statutes,, also prohibits a company from bidding on,submitting a proposal for,or entering into or renewing a contract for good or services of$1,000,000 or more, that are on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector Lists which were created pursuant to s. 215.473, Florida Statutes, or is engaged in business opefatons in Cuba or Syria. As, the person authorized to sign on behalf of Respondent, I 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 or engaged in a boycott of Israel and for Projects of$11,000,000 or more is not listed on either the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List, or engaged in business operations in Cuba or Syria. I understand that pursuant to Section 287,135, Florida Statules, the submission of a false certification may subject company to civil penalties,attorneys 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 an the Scrutinized Companies that Boycott Israel List or engaged in a boycott of Israel or placed an the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List or been engaged in business operations in Cuba or Syria. Certified By- ' A±CJ1h\) who is authorized to sign on behalf of the above reference ny. Authorized Signature: 15 Print Nam A Title, 2, Note., The List are available at the following Department of Management Services Site: Page 35 of 45 "� C�,iteFw FT 1 TtFf �� Ijing dNV+D 1 Certification fortContra s,iGrants, Loansand CooaeravelAr ) p g eements The undersigned certifies, to the best of his or her knowledge and belief, that: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress„ ri 0f"I1Wr or (,'-4rqAjyee of Qingress, or.. an ompl n,e of a Mornlaer cl Can rsss in coo ieo0or� with tlwe awartft ng of any Federal iiliract, the, Makin ,fl of any Federal gran,t, the ma inq of any 1 edicraf loe�^r" the, anlerin,g ryi to ally,couperal ei agr"eemam, and too exl) rMsion c rrtin cation„renewot,anierAment, or modification of any Federal contract, grans„ loan,-ur moperaliveogreement. 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for inflt;encing or alternpfing to influence an olfr"cor or employee agency, a Member of Congress, an officer or employe e of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreemen(N M,P" unders��rgrred soil complete and submit Standard Form-LLL, "Df ,,s o re Fr iq,rr to Re frog Lobbying," in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreornerrls) ,awid at all �subr�e+uipierits ��shafl certify and disclose accordingly. This ,certifiGalJon ,is a material represarllal�rjrj of last upon which reliaod�e was placed Wh n tohis transau"1`loti Vuas mado r'rentered into. Submission of this certification is a prerequisite for makt� g or et "rh into this transaction imposed by section 1352, litle 31, U.S. Code, �Any person vvho fails to file the required certification shall be su oct to a civil porrafty of not less than $10,000 and not more than $100,000 for each such failure. The Contractor" ��y� �°�f,l��:° i I" � l, certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor qrrde n;d,5 and agrees that the provisions of 31 U.S.0 Chap. 38, Administrative ° ,.r ies for False Claims and Statements, apply to this certification and df$clos , „, if any„ Stgnaturd Contr 'ctor s Authorized Official Name and Title of Contractor's Authorized Official Date �„ �� Page 36 of 45 DISCLOSURE OF LOBBYIN'G ACT.TVITIES C0114?127-2 THIS M34 M,al"."CLOSE LOBBYING ACITMMS FUMSMLNT TO 3:US C H 12 11. T�,-ja,e of Federal Acdam. '21.1 ISICINt."Us of FeAer-d Acdam: 3w' Report Tree: ❑2, Cal=Ct ❑A.'bAQffPvaPpdic'vwM =3 Mrnl b gram b ih"tm""Waad, b. matte chime C. rams sse I.. POS'l-an'=d 'd km Far MaferW G iatize,Cmlr. P. JOL71E ETjZjAUjee, I'lem q'ILIAMI f 10aninnlr=e Mars.7175 repa rr'. 4. Name iamd Address Df ReWitmg EMYN S. F1Prime FISul-Aswiedee Eater Nam#and Addjress of Pftme Tier— "'ff Pala CcvW,esnknal DJ,Arkr.,Z`kmomm CocagressiamsE Dimic.A.,of hnmn 6. Federal DepartmemU'Ageucy: 7. Federal,Progum Nam&Descipficn: C�YDA Nuidber,if aphcabLe! Federal Ac6am Number,,ff Imowu,'. Award Ampumt.,Lf kmomm- 191., a. Nzm eauAkddireviefL,ebbFEmbo bi, Indhidu&Perfarmimg Sien-,,ues (inckdmg �mdMdja:,IaB-I Dame,first U'Mle'M,1) art&essif LffErec-I fram,No.I On) (last natma,firsit namie,Mp (aftach Col ft MmIatca.'Sheer.(4�if Mpcas"�M—) 11. Amauxit of Paymeol(cb*ckxU trail apply), B. Type of Payment khm L,all thst apoly) r-1 acmud F1�Ianmed, F-I a, recamer F-I 'b one-dzae fie 12. FDrm of Paymsmg(chedii aM that ap.W,y): c' 10MLM.'sijou FIa c d. imhLfeml Lie F—] b. m-kini. specizjr- natwe e dah=,ed v a"U,e H f cotter,speclei� 14. Brief Description of,Semices,PerfcTmfid or tea be performied,asd Date(s)of Svrke,includhag offeirer(s),emq;Joyj ),w ffr member�s)caml2cted,fax-Payment Imdicaled in It*m,11: (avarh Corninlar'M shazv�s)if necessary) 15. Calrbinuadaia'Slwel(s)aftached: Yes, ❑ K. F-] 1,61, In,&=-aban,rraTm2stad chnm#—hr:fcrm L'%zmlharaad kny 7'irlo I�U 5,C Mani m B I 7hi. Uparue: vzL;zca'w3s pb�cad by dig dqr i6nvajwhan his raminAaL wm;=d,&waWurQdL,z6v Print Name�� FIZTUZMIbo]IU,5C'A352 71u�.mfozr-,ztaaj3wiV Iva r4portgd.to Cc rQmmm=Uv am&ml t�a-?.dLaba'Ru 11111e. puhlv:zrpctimu Amy pw=wio fuhic ETa tha zvq=jzd', &-'cinurg'LLKI bp IMbjz':T as zd-L'O PQML".,!VE"Mmt ku�'L= UG'of'y')amd MICA taks,;UM,UNSIVI foraml Nuch 16;-'Phaae No.. Dale: ALLIh=ed fm Lora] Federal U-se Only: '=AuJ Farm-LLLI 2-6c RAIR7 ICOUIN7Y Page 37 of 45 INSTRUCTIONS FOR COMPLETION OF DISCLOSURE OF LO88VING ACTIVITIES hisifisc[ilsui ilornisluill two ekI,mIdvwj bg,Iful reipolloll"terotly,whetheruU4,3wal orpirkrinu Fici I goviplielit,ilk fliv,n"Palwmor 0i(If' aoiwted Felligal act itart rim a it)FrIC00"N 51i"m Plusli to lit 101 USA!'Sveticoi 1152, Tht 1`11i of'a Avm is,w4ki I AUCh lmYlincir"iv agrevintsunt lit malit PaYri kt 60yingenfily lInr re11fluming or autuntiling vii liqluence ere ill it-le or In(eflop,I)y ,ajfo Y Ili ofCongircillior on itnI lift,Moetilber tg (�,;ai In o"Accitliin lit,a vi alli a Member OrCalii vir Aim era" Rodural HICItun, &Urv4 a crinittinnialion Arco 6T addil litinal inroffnatrilin t f IN space I Ile 110 is ifludeqita le. Crintlitetv all imum ilkial apply ibir both the Injilial Ifini and er;1I chunge Tepom Ki to fhe,jilinpleruvilung 911 filkni PUblish 01 hy tire(Alice of Mhnagerrim aril 8144901 ftyr additional infimakIoll yPc eden,,,arred i edrial wii loy wiijt+J(nqjy irrog ItMviir la j,,�md,'w ha,"Ilieun w4!kjrua to )j a uvercd @-cderag aciIiolr, 'duntify tiiv lidenlify me mlita's,01"m ofu is repoll, P thl's I,a Poi'i.MV-tap Powerull Crwlg(, to the iffurulation p""vii4luAy leprPried,writer dim yow and qNRI iti willich 011 JuIngir,,jo imcd Fivicir char (law of the&um fir,Vloashy stiftrillod selim by thwu repoo�jfv mulay for this cove,M K 9i Cinlm the III nallmo,mjeI Clity,state and zip code ofltrc erktrty ifIclu(ke Conerrummmal Dwnci I k'nown Chuck Ihv'qrn)P6jrCClaS„ajfiCtkljjoi OiL the rqjimn Ing mg),4lwtj cS d n i,�or cxpii tit hu a pnifile of soSirward m6pi Idenii(Y tiler tier(V the subawardev,e,g,III I'lirsl sublawar4ee,Of the pirli is the Ming the rellolt in llenikl chwks"Subtilwar&c"Olvin tknterthe ruHnisivir,tiddres%,ciiiy,statc Ci 4im G umd Cawliugof P edu im I Dumest ti',As,,i smI I(k"Fl)A)I'm mbQ P fo e 00 P'e,M,L vt,"It'TCC MW 1,111 a,to on s arid I Ir RL 0MI"111101wil S. 8 Film the nlosh app,iIlir mv l'tderal idtikii' hir Ole 'tein i(c.g lr°auinarr "�Oaffl a w8fid nuinfier,k1w numaer as�igrmd by a7,r),mi,rm qrm Yk l'i 9 Flm cuvuwd t-k;dvIuk'Icuon whure horn hw,bvmi 05)Mili r 114),kiij by itC Ceiray jrw, Vii ainvow of qre dsvtirMumi jej tPrO,Plirm,"11141Y rdckltlAcd in im'm 4'x 5 1,A)f?nic r Ow Cufl"Iwiniv,addret:a,k oy,arjtc and'mrr code,of dw lohh.v4q,cvr0 ity uAgqvd hy Ihe rr.giiaoaurtpt u,utv y rdennhW iin ourn 4 Io influenitvid ake u,i I:edvtatl l&i,he uqudjVuJU.J, ,1( )perfontinng i,vviviirw amt grildulic fign fi'uw Pi (�O. k-,r (I wr Name,First Nwiti and Middle InifirW last), Eli the amou"i paid or tcattoriably ieepvcrad to hue paid by sk cpaohng(-Iktq(jjcOi 4t a,ta Illi, likilitTrig MirfY 0wflit iii)). Indfickile whotherthe Payrnicill haw 1%rcrl III taa tui ali or mil he,fudc(plai (fiiork uIll boev,IhAi q)ply, H un%is u pnmevW diange I tiIi MV-tviuilWwe mllionr and payli muke lor p1mmW.o ht mhNiv 12, Chvick the Eppmpli hLps t,hoek It[[boxi Ihaa-dpp:y, it P¢�ymitll is marle OvAmigh an ni,kind elimnhwilin, 5l)c".ify die rjiimtu ard%13-C of'l)I(,-in kind payinem 0ii Oic wr4i,roi box (;hktck a R bous dimir ji jd'ittlitg.specilly"Ai 14 Pit0vildC At SlI Wnd detailed diowntir irm ciffti s thud tobby,mt has jivktknied air willl blt exiii lit pec tort(( 'Ind[t+e dale(s)of avlyscrvice,,miWered filidi all WvParntonP unreal rdii im;6voy nm just auntie sp�,rfr I n OICOngre,ohijli error cuwacwa 1'5, Check whiCtWf urnot a commumion shi is arvr.hoj 16- I'lle atCIEPVIFIV sIgfl wid dule the SwTI,pnra hI!Aern4qnv tolv,and u1cphow numbur burditm fln iris,Cotjeelicri is uMiimmited to a,arage 30 lv nuics per rukpcmse.inkAuduig l'Cq qClifiching vXiming daii swvulovs,gdth.^nrIg and: p.the data liecdcdi,rand n-writwitji;ehe celIcefion lit m!'llilralur". Sicid Conli regardiog Lhic hwkn cutimagie mw jay()[)er aI of fi,,w e":mect ork 4n;Uing huggestiorts for ra-qIuCfi-ig I h ia,burden,to rtil,()frj(o oJ Munagmvv and lludgxl,Pupei Rett AiInwn llrujoncl 0(p46), D,C,' 2C54'f3 SF-LL 1.-Inskovo ions Rm%-P Wh F N D I F Pa e 38of 45 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 Linder this contract (including the pre-staging of personnel and material), the Cortractor shall obtain, at his/filer 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 al' 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 Caffurc to provide satisfactory evidence. "Me Contractor shall maintain the required insurance throughout the entire term of this contract and any extensions specified in the attached schedules. l'ailure 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. `rhe 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 certified copy of any or all insurance policies required by this contract. All insurance policies must specify that they are not subject to cancellation, non-renewal, material change, or reduction in coverage unless a minirriurn of th,irty(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 Linder this contract or imposed by law, Page 39 of'52 The Monroe County Board of' County Commissioners, its employees and officials, at 1100 Simonton Street, Key West, Florida 33040, will be included as "Additional InSLINd" on all policies, except for Workers' Compensation. Any deviations firorn these Gieneral Insurance Requirements MUSt be requested in writing oil the County prepared f'orm entitled "IZcquest for Waiver of Insurance lZequirements" and approved by Monroe County Risk Management Department. Pagc 40 of'52 PROPOSFR'S INSUI�ANCEAND INI)FMNII-,'ICATION S'1"A"H`1'Ml-`NT INSUI�ANCF'l RFQUlR11`M1111N'-1'S Workers Compensation Statutory fJmits Employers I.Jability $100,0001$500,0001$100,000 Bodily Injury by Accident/Bodily Injury by Disease, policy limits/Bodily Injury by Discase each employee General Liability $200,000 per Person $300,000 per Occurrence $200,000 property Darnage 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, 1100 Simonton Street, Key West, Florida 33040, shall be named as Certificate Holder and Additional Insured on General l,iability and Vehicle policies. INDEMNIFICATION, HOLD HARMLES ,AN D DEFENSE. Notwith standing any minimum insurance requirements prescribed elsewhere in this agreement,Contractor shall defend,indernni fy 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, line,penalty or business interruption,and(iii)any costs or expenses that may be asserted against, initiated with respect to, or sustained by, any indernnified 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 41 of 52 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,Q. 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 terin of this Agreement or any earlier termination of this Agreement. In the event that the completion of the pmject (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. United,States,Department of the Treasury hademnification To the fullest extent permitted by law,the Contractor shall indemnify and hold harmless the United States Department of the Treasury and its officers and employees,from liabilities,damages,losses and costs, including, but not limited to, reasonable attorney's fees, to the extent caused by the negligence, recklessness or intentional wrongU misconduct of the Contractor and persons employed or utilized by the Contractor in the perfort-nance of this Contract. 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 sovereign immunity of the United States or the County. The extent of liability is in no way limited to, reduced,or lessened by the insurance requirements contained elsewhere within this Agreement. PROPQSER'S STATEMENT I understand the insurance that will be mandatory if awarded the contract and will comply in full with all of the requirements herein. I fuilly accept the in lemnificatlon and hold harmless and duty to defend as set out in this proposal. M,i;'AK)W0 PA-REP-4- PROPOSER Signature Page 42 of 45 $jT A�T ENT T I have reviewed the above requirements with the proposer named above. The following deductibles apply to the corresponding polilicy. POLICY DEDUCTIBLES COMIMERMAL GENERAL LIABILITY $51010 Liability policies are X Occurrence -Claire s Made AAA HAIMMiOCKS INSURANCE AGENCY 0141W, "'aA Insurance Agency Signature Page 2,6 of 28 �'►�4 CERTIFICATE OF LIABILITY INSURANCE 6/29/2020 ��Y � THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER WCAMNTE ACT MandFy Elmore ASSURE LLC PH ENE 941 739-5121 .(941)739-5608 1931 Manatee Ave W many assure on a.com Bradenton, FL 34205 INSURERS AFFORDING COVERAGE NAICN AmGUARD Insurance Co 42390 INSURED INSURER B Normandy Insurance Co q'q.k should bpi., yow� nilanuk. as app.lars emit [hi.,, INSURER D. INSURER E. INSURER F COVERAGES CERTIFICATE NUMBER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN OSSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY RECUOREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER OOGI,6 MENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFURDED BY THE POLICIES DESCRIBED HEREA IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS LTR TYPE OF INSURANCE POLICYI LI Y LIMITS X COMMERCIAL GENERAL LIABILITY EACH �ilC�l."Y;414CE s 1,000,000 cLAIM,�.MA € �X occuR ;r$r$'x111111.IN hr sul�r'r�$,bo,o,1I��I+'�;&�c�A s 50,000 BABP050054 09/11/19 9/11/20 MEDEXP A one erson S 5,000 A PERSONAL d ADV INJURY s INCLUDED GEN'L AGGREGATM LIMITAPPUES PER GENERAL AGGREGATE S 2,000,000 POLICY JECT LOC PRODUCTS-COMPIOPAGO s 2 000 000 nTHFR f AUTOMOBILE UABIUTY COM81MED SINGLELIMIT ;r$r$xtlIIIIa Ir.'�Il�r'r,$,ho,o.1I�hccl.C�c' f Su X ANYAUTO BAAU057988 09/11/19 9/11/20 BODILY INJURY(Pee person) S ALL OWNED SCHEDULED A AUTOS AUTOS BODILY INJURY(Par acddaeq S HIRED AUTOS NON-OWNED f AUTi,,,)S I Ell IIIIIIIIIII S , ,t t� X UMBRELLA LIAR F E.C.-RS-MADE 1� EACH OCC RENCE sA EXCESS LIAB �/� "` 1 9 9/ '/ A+aduREGAT J''1�� S l e �iluuuu�uuuud�nJJ uiu� WORKERS COMPENSATION , �1��i I1 r . I��b� , I UW AND EMPLOYERS NSATIO �l� p y ANY PROPRIETORIPARTNERIEXECM,OTIVE HF 11818 V 04 05 20 4/05/21 E,� EACH ACCIDENT S r 1 B OFFICERIMEMBER EXCLUDED? Y NIA 0000007 (Mandatery In NH) E ti..DISEASE-EA EMPLOYEE S r If yes.describe under r r OESCRIPTIONOFOPFRATIONS'LOCATIONS+VEHICLES a ACORD 101 Additimal Remarks Schedule maybe attached it more space'4ro (ed) Monroe County BOCC is listed as additional insured to the General Liability and Automobile Liability policy. ff oN Wkio',oarl': gBpsNErcr: ho,om's ¢lo',ol dIr:Lkc1 ' 1'11,1 hM cr l u¢IIk'r�hc Ik's:I¢pn¢o',m of o,op :8',Bnq+ms (asabcol?+) ¢saccq'). A)fir:. Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St. THE EXPIRATON DATE THEREOF NOTICE WILL BE DELIVERED N Key Wet FL. 33040 ACCORDANCE WITH THE POLICY PROVISIONS 1, r ✓ I,., , AUTHORIZED REPRESENTATIVE f� ( � 1 S1IcoII(I�)ba I xocI ):1y,Its H �Ipp ms,ho,o I�. fleFol Ll r 1988 2014 ACORD CORPORATION All rights reserved ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ATTACHMENT A CORONAVIRUS STATE AND LOCAL FISCAL, RECOVERY FUNDS FINANCIAL ASSISTANCE AGREEMENT Pagc 46 o f 52 ON I Hp Approved No 1505-027 lExpirgitinn Dale ➢1,30,2102 1 DEPA R�%WN I sill 111 C I,, I Rli',M,NN CORC)NAV RU�'S S]A H,'.AV)11()( M FlISC m.R-COV[�R) I \I)s -—--—-—------------------------------ .......................................................................................................................... Recybu name and addyss IRAS NmMa OMMM NAmm Omnly Numd Mlnunivponer Taxpa, cr wourkwomi Nundwr 51AHMM 1 HM Rinmorn SWO, 5mm IN 3 Msmnac IAGR Nmnbcr as TO 21427 Key Avem, Fhwwa 331110 M Win 601 b I and(M01 b)u F Mo Ow a I Seaway Act(Ow AW"s M e0m,soucti kiii 1 91941 I ot'llne NmL��r,:,v,Kc,",o Phn V,'chh I, CaronswviN Star FAW Rmmvg !Ind and dvConmmv"us Inc& Mal hoo"Tv hunkl gitaRy sgmd 4 Va Sm DaM: M22 08 02 OW I 12 OW00, ......................................................... 'I ma Boali — ............. Auffiorized Direcu", Ftnarl�:k', S' Reprcsowanae \anu; Jaucb Led,)cnluQ ....................................................... i i t i i i z e c I k a 1)ri,s t,sr a t e t I e I H c I RM.'canecc MWfiuvi Olt of Rkxo%er� I% Synd- W� 20,21 wH,� _",i vol rN� u,"i lj ''a v.q,po�l k", Ahol,n W ^, �hW CA a �T,f i''wl,v.....�,n °n md "Ara i W,h,vi"r ho 11 I ,[,iiGaa V �J ApCll,, H❑r,1''o K", V,p,lld f�df jp,s, Page 47 of 52 US, H:ND A"'VAM 0 rNIAT[uC'�S a, Coca I undo-st a nik acid hig,t cM ih�it LhC tend J v I I(Jor t It is avval-d n I i x I y he used I ri.creme mr)G,,tnail.fa stickbo n 6011)and WIN,)of IN QvA SwunIty An(he Aw and vswy ,rgwW"M ihX'ienlon mut sruhkhncv- ko,,�Iowia w H down:Qw pma to ergyVig m oV pMav may ON w4mlano Ula"I hs be AAqWwmL managnit,and %PmA uNnKLI to enswe repa p9ming. wId or ,ucl"I Pea f""'no'd'f f f I n)a mefor In awwd NTim(v dw do c hand wA emb vn Du an Nr I k 124 A,L- sot 1'orih in Intl1niontIng nj�y wvu&RmA W own A;Wbl costs xvuwd dwing he ovkd rt•ant 47a s era ori'vrioi 1,2(C'� �,:�-at ends on 31 2024, &W211,111,KnInvu agrees hi Compt,With any rqnstivig ohhgftorv, ky'.rcasi,uy,.is I[rehnk's to d"Is w'v„jrd 1, kca"em dal MUMMM NTMA my t1mmital dccuraowy Sumniml h;evdepix Cnaphams wol SMOMS 102yo and, 6UXw wriwy4 ugWasms u"Navoltag lhoso �a'urd alce rqrandmg ule w.'res"�C tiIrld"i TinoI'rc'I:aily()Niix 4 1,qvchv?Anent and On Govanment Au"nsUddy t Twe.a doer„au thorned qyawrnainvs, MaH to On rgW Ot',ICCe"�Car as (oloctronic IinJ oil RccipIall in ordc'r I condo audfitu or oihcr inveslij-"atjofll� c" Rk"',onk ho avniraamcd ley Ko'efaIna Or u punud vf nve(M ywN a oJ U0 I=hem oqxacted or rounwd to Jre,d,a aau "vhi"'diever is lato�' Ptc'uvvar,, cosl,i u�,s de bicd K 2 KKR §IA58,roy not he twos wah tUnIng Ami ths ywaM kecyml May UW km'k])r ovlchN unde�Ons'w"varc,!,,-,cover I-xith dmect ind in� hrecl Cost", 't—Shj'wr (",)st shIi-a-ig 'i�r rmtchtng are rt,4 requIr(,'d 1,tr h kcctpiont, Cunfliel- "I oWggsi, �6,;ctpIent 412rlds6aIRJ igroos R m ust m sm=a emlTet or Interco I"wy cmsavd w9h 2 PJIC 23131 We)and than sudi conRit S finger om IxAvy is apVnwhIL.to w0"Aw q Rm&d m&r%=4 RmIms nd w6wapims rn UA dockso in"Yung t. Trwlrarp w�- cntil'y''�Irs rip[)I of 17iate'any pof'wntlol con[]cl ol iuuta7msl �,rfe'hinto lrc avvardcd riinds In'J cfr-�rdillla-tvldl AhAvil law AS Ajoij iuWe Law anklReWlilims, r1' Ku:pc III I o cm pn w QAw mph m m mts d un ma 6 Q nd 05 00 c AM Ry A 5 m"AVim"y J")irr*±Iiant It.v tecL Ions 6102(1)j rs] i1r I I ie A t;1,vid '�'aje'j�)�" j -i�a��rxy Il u,tho forq -aen(ak��',uidamie I q�,ard I going J<i�aj' �1 'Carl':',, W wnpv WS d Ulu WNW&! UUM nmwm Ry"Mons"�nd ex L,v,u'.Ivo oi-dai,',und RmTwa Aa prowde Q such hy oth,-r pHAWS in any agreemalk q mwm mw vviai,„Haar partws rabnng to 0%award, i 1,ni Col'Ili, %dill III I v"', 1""a 4,;IrOTI"rate�"' '%' (PI I uc iyJto"i,L aIrld '%Ildll ke4 tnl"a'itlent,for Fod,,!ral Cor vv""aIO P"'Ianug'olwnt(SAt,"t),2 C Pai� av xdt,,arm Anuhm A W 2 C F RAnA 25 &herety imopyMN!Q rdbvrce kv Rjuning Atm.&my K"crdwo Conwerl"Mm ww"Wym 1 C J�R,PY, I At proxmj to wh"!IQ awnd WnTT, sQt,fivto in Appendm A t.,2, PHTA 4"0 is ht56� mcorpordt,-d t; iv ()Tvf1i C'aiidehes to Agencies on(fovernm tinswide Debununt and Sur,,jvnsK')n 2 t,J'R,Part I WimMkig the requirentent to inckide a Iierni or axidition;in all kiwa ficir cover" (ran,"ctioiv (conliacts ai-0 ad-ii de nl-rcd it 2 UF R INN MR inhImn W IM Be mard k QQ W 2 OF R I'MI MJ and Trnsmy's rm paenicntirig regulation at 31 (7,1r,R,P,,ir 1,19 Page 48 of 52 v, Roi%piv II f,I it I cg an'd PCTI'0.rire,C t1,12 It Co,put;fi4 I awi I 1r I vvh I ch the fl,,%or d!,rvvi wt Pi Lh m 'I r',K Pm I.`O I, Apvrfdtx X, I 4o Part :l,) ) horcVvy Incc)rpor IrlarsI by r f toifnwe v I Oovc I np1cntv,,idL ["'L"qui,"an cr&i for )r f 1g,-Iroe'V,,,,rkp I;toe F R Pal 20 V a I, 1 eqjr I r,.f,,,j,,;on i olbhv ing,.;I F R, P;Lt:2 1 vIlt U ntfol-ru R,cflocalfvni A ww"n mid R ad l.asqwQ AnNink"kA a 4 100 1 Y I K IV §§1601405)H rid fill V Genamfly TippRVIC ICLIcrld rfrid rcgulati"ins Sawfaesind rq;ula6mis MmAnv chni-iminstwn awhume v wk sma HWW&moblut hmumm be CoMmg I, filler V1 ot ih Civ I!RYI-Is An t?ITA(42 U&C §§TOO et soq)and I fantsul's miplenwrihng rqpIkknis at 31 (AT lot 21 which MOM MOtimmm or S,nants cd mcc,x1or or now Part orgui,umV fToWanis of todcr�il hritic�al issista�.Oe, It l he Faar➢„ousir g t%,ct, I ide vjl:,it Irle Civid t9(,,X(42 1, U, 3(01 el prohth ts d I:M ftfl 11 n I Wrl I fl,[10,U Sing,oil the I I Ivits M,rfwc.,c,,)4)r, flflt I i1M,'n �2l ITS ',t'IlrCf ni I ot I It�, S Smian IN ddiv RdWAAMm Aa or 1971 to anvoidold(29 1 A(7 7q4j Vkh pRiNhus d6cr r-Irtnamn on to hasis ul'alcr Hny riRTion or Ru", rue Twin g JIM nromad avistance; jv The Age J%munuwaRm AS d 1971 d a vmwnJcd(42(IM §OP A 0 sy I mW TrumnA""ImarWrig reL�,Jrlijntj jj*. rt. ;I k, RM 21 wN6 pA AM Jan mdmtion on dic h,,,i.sis,,,,[ag�e in projpr,.mTsor a(livalcis locewing iodclal fiyolrxhl9,ias�stancc,.arfd v TWe H or Ge On crowN"A DNA Wks A0 d V5kmwfx net,dN2 UM IN Q! dNq) uJilch prvAbm,,, ,fis"crun Ination on t1n: Under wrf,] ervIcc r1rovIded ot tn"I'do avfathfHo ond loca gpverrrrien,s te insti uirvlwnUflilw of aLvnele:,fhcn,alo =RmagdwLbahnni.M to cvav U ReammCs with nahm,NQ mW 56 oNw AcL o1a qVk*k Ows, rephavcms, or my 7C.pilrUng of,olho,., prognffn nil fy Inopaosva6Lhkeilxfl oordfrlor,;uri,ihe,rccei r"ll'Ol"A 11rdlilche offulurkr awaral fafnd.i, iCan or lake oher Avadalhr,,, ffs scl. rn,,-th in 7 C KIR §TYL311 In be unc oCa vokoon dsovions NCO)tq ronk)AM Aa w1m0f;Hia uw or RM penotfs NImee, 4,mfl .ir ffcouprifonl as pnovic1cd In and fori(c)of fhe!t,;t I L.ual&2LAQt 021 MQ which hirrra culam politnM aawaws of Sue or ImMgovo,ri inwnt priliqlal elnploynlen; i.,,III vxlth ror)activity fiff"mccd in%Ou"Ic Or U-I h)aTt J')y'lhtS ledCM]2SMSU-InCt'- Jal.cmtni*-Recipiolff,lrfrldcims rjd�,that iinakiiig Elko, itMefflenls r,a clrIlln:,n)C.)ITANtIon mfl)flhl. award )o a viciL".tion"i", foam KW and niq revall,in";rlintrie, crvd,or adlikirv;r-,ativc sarcffon,,,inchiding fines,iniprfsonnic°rt,cikil a-d fmill parnicipiling,11-1 le dcrl fwv uds cr 4on0-,,CJ,,,,gruPorant/ Any puHimiKs rgudmdd mth UK Smi ON avini dlephly,Ihe(oflowing I iw,frrojcet�.js herrVl�'N2'd fu)POrted, In whojc or In rtarf.ary rio6,!:al av!erd jemer pinjal M NJ awaoded v Nkma;(YWy hvido(' Dc"pa bile tit o f d1c,I re aiur_y Q WIMMMMMM. ,IL o\171)' fiWIJS t�'a I d it)RO I;)in eXe'�,, Z%am owt W"hwh Act Men:is An Hy dew nn me d to be a plodu d xv muh]I 1AMAV WMS d ON M"Ad Un am Maw Ifned by me T rrewwry fls,t I(v off nspQclo rorwral to ha vA been fit to (POO Wa°�hWMMNI bylivaary to obligabon pwwwA to sauxz0jol and 603(o adle ,act tald fl.nee not n,par,i by Recivwfia corlmnute,I debt to the tcdaal govcl I'll rw ni b AU Min Awrirrimcd to 4 owd We MY gmymmorn mum he pud rNnNy hy kmip!cra, k dela"r1f.fr"Ill it it G; mA A"I d 4 Q&0c qwnfral in Tmum,4 Odd written duriand Rr pqmem.unAs other=Rnlory vauganonts hue bun ma&cr-It is Rectimi Imp"AQ or mpf-opaly raum klmh than Aare"Oh w dbud vi rmgyh kh , 'I rv�aIs,,,vy ixin t d e any actiolis rvaflh11-4e to a a d0ri Page 49 of 52 DISCA nai 'L a 74 1 bit d Swex cWrenly d4chims any and all tysIonshily or Ibbarty u)kocyanu wx th A persoms RN the wimts to' kooqmd m?Wnwmms Wkv in hath,hoddy qwy,plerty Smagev(m any uHwr famins i-nulmy in mW wq Aunt the PeH,uramnce o'On",awsii-d or anyo-t1w rwWwg m aq wq nuar the peifinnmwo oC W swat l nr mV aiwxaca, (v SACMund umor wis awwd, h, 11te wiculmwe of I&M 3WIMI by Rect"M A"rM it any"my ombtwh mi agatrcy rchrJoMp benvan the UAwd Taw my kuipwrt. a. In acoardmxx w1h 41 U S(7 §471 2qW*wM mq no JsAw,Wa,or olowwo dims hrum"agmul mi wriphje,- in repn',fl Co to.arts got'the list oCp rsons(% cnkitr(.,s provrdv'd boIow flv l the 0 I'll,pI ovu r,oasxnrahy befieves,uS evider[C4.orgwm MMwnwMcn1 Ora federal commut or gwy to goss waste(I Ukral MY 1M abuse of awkmV w5tal w n Qdml coMmut w gmt,a iubluum!mid s,cMc dwTu to pWTc hwhh Or saky,u as vkhhori,,,iC t�iw, nAh cr relawd 1"')a.'odcral ,�ortracr orw%ng to=Ntum Rv Or nqwwwn aa wMmAWr pwri- b f he,I nA of pt,I son's and on fit rcs,0,CCTer-j,;CL I in the p�I F-1,gr ap I I,I hcloC M<I L K I k°s t hc��'oflow I t1g, I A 111c.mbef otl Congrcss,or i ooninulloe ar 'A")ttvq�wclur("wmqal; The GovoMinler"I Accour'!ahility officc, as A �'Few"w-y cnipkiyoc wpmQhQ Rw ow[mv;wqmw oveNgh w mnmpmm, v, An authonzed official of the Dq-,artment wA'Ju',"J[ck'or a,2krc.r Iwx cnlotcccrlcri,s1,gcncy, YL A cmM m pmW Wy 3,,r vii w nuiragen"wr1r,o:fixial of other empkiee dRaWwn cmuriva err`Mmowun"to Nudic r"pWhIty tsk or acldres;;muioonduct, v 1560ou AN uIvir as cmpkyccs W wmhg AW nph mid wnwd.PWOM MW tlm-x m thc,predonrinant naUvw language of the WoJf1aa,L(.'- 11—luuusui&-a�� , w Hvcxwe(An I.3rw 021"Nap. KA7 Qn, 4, 49", Ratient should envowagc fts cii Crvwuws hi A,and uhme vritmy)b at hch poWs wul pnqmms Rw dwir canygeosxher compoly-owned,rented w peisoiiaHy (xvvud veh cr,;. U 8"'Lluji Tew Mas"Sawing jjhjj:jkjxQ, PwswuA lo A"WinT Mr I Ell 74 Fk 5 1 M )a K IM RMAI&I vowd encowage is ompkiwa,ghruVww wW autrutums w mbra wK aMc Qcws W ban tom mrompQ whk ANK,and Recipw AM establist workpice sakq pAtAs w Was;awdorni camed by Aw"nod dinvers, Page 50 of 52 �)MIi, l50's oM ASSLIRANC E,OF COMPLIANCE WITH Cf%]L MUITS REQU I REAWNTS 01.1 Ppq%M) at Mow ImIrk'n vwtjl_j�r Fk,d k-n d Imming,a t,s:Jrj sub;I,Jlvs,wid ih,, ")f pnoy Idung rmnc l docd rvA en,om paws ,onfl'j L ,t'L,,�ow mtc(,or has�,�SLMMICO tL,Ill,fcdcr,4i I)mlicril irxrn or mado thl'ougL th,e I 0t d1l.TI'C ISLIIA', MkAOmg al-ly aIsi'Manco 01rq Un k'o,:Ipwrlt rmly ta rmi st m dw futur,: I hk".'IVI)R',ig,,Ns kenqolallon Act of a K?plovidc";[N[1110 �),t thv,, Ipt-fly 0 101111 & Amy' oCthe i�. ,a w,,Isrxd in ihl, iaatallner prosomhcd I[,;current rrid Cuokre com pkmce%4'u011'I Wc "'I A,Lhu 'iv[I R,4,hu `a,eJ A I ln%m(,Icd, x'-li(,,h px'uk:pltion,dorl2l ol 6,,e henc!'iE! 01 01'Alh CGI[On Irk)Jisknrim rmli(m,luldef Pnr.)r,']-Wll arILI �w I CC d c—,fl Cllnd,c shark)!PC Ison I In I Urwcd S I a It,�t o n I I,,c gro�,Ind cd fr--,i I mr.rrig.I II�42` , 2(j(X,)'J C IC Cj. II I 1111 C"I l C rl by Haas 1C t)m pl 1 Il l("I 1� of ljie Ir,,, l'i k;VI r�;g,LILL()CI W st 11 I'K Pw,22 a Ild tiw, p.,I (it)v l.kln e,,s,u(,:,h as FIxecul lvc (4,Jer I 3 1 tH�,dj I t I V k!�,C1 r CU t.r ra; In cm,oranLLi Li ld 2cr gu Idanc e,, eta,(-,all en is, I,,,e�C I ul 0 nl now i c d 1,,cs,l 1;it I Iv o(')rdo r 13 1 6o,"I m proA T-j,Acces,,,r,o Sc,n, c,,�>1'(fir 110 i xm�,k.,r1l 1 1 m It!,d I"I 1p,I I sh FroLcienq,-seeks to lmp�kn/�,�W,c 03s to C064""'Oly piaglran,as Ink] ie",for tndlvah.ak;kvho, mv,� j mll lh,"m por"'c'n WO , tO it services,and activities because oft-HP is a fixin oI'nafiona origrn dm;tImInation prohIbited un r Tiflo Vt of the Civil R gfils,Act of 1964 and the Depmunent of die Troasll-lfy's(111pleYPOIll"S Acc(qdingly,Reciplemshatl initiate rcpllsonable st)eps,or comply with the Deruln'lent ofthe Treasury's directivcs,to enswe that LEP persons have meaniri�ful access to its prO&1llln1s,"X'l vices,and actrviiic s Recipient understands,"Ind 2prees that Ineard ng fill accom nifiy entail providing language assistance services,including oral interpt,eta6cri and wrItUm trandation v,,here necessary,to ensure effective comimmication in die Recipient's prcgr , and ac.4vilnes 3 It ectpuent agrees to comiderthe need fkm language swryLces f6r Lfilll porLqms during develop oir cat apptical!)Ic budgets and when condLcfirle,progtarns,services and activities As a resource,die Departnient rz)Nhe Treasury pubhShext lis I Ell guichnice at 70 FR 6067 For more infomimon on,LkY,please visit 4 Recipient acknoMedges and apxOC,,','that comp hance with this assul-ance coymititutcs a coridifion of conininued raccipt of federal financial assistance and is binding upon tied pent and Recipient's smcmssors,transfercesand assIgnees(bT the period in which such as.,.Iiaance is prov ided 5, Recipient acktrowtedges and agrees ffiat it ril u,;L require any su b-g ran tees,contractois,subcontradol-s",mwoessors, and a,sognees to onni pty with assurances 1.4 a&Niva,and%rtes Ic.l,incorporate the following hmguage in evert contract or agieemorlL suhject ro Trtle Nrl and its ieguhations between the Recipient and the RcclpietWs svb-graraces" contrutors,subconlrachms,successors,tnansf`erces,and The sO-grunlee,colqfticlor subcontruclor,successor,,Uumsfiffee,ran dcl.uvagnee sliall comp�v u4th Tide P7 qf#u, ivil Hi, hls,Act q(1964, which prohibas nxipients qjftdew1financhut usns aunce from axcludnaq fiom a pt-ogram same its q/,'err Othv ise di,wcr-immuhng 4qamsl a person on file basis of nice, ookv-,op, natwyial ongin(42 US C.§2000d et seq.), as implemenled ky the Depa),Irnenl ofthe Treayrepy is Tdle T7 re"gulations, 31 e.,7FH P'art 22, which ar(,,,hervin incorporated bY rqjgrence and amide aparl qflkns eowract(0y, eql-eemenl.), Dik, G'l atvo include. pr'wechoo,p to pea�,Vnu ivah 'Emuted F`nglish 11roficwkicy"iri aTyprc,,)&wn M* assislance, 42 X;aSX,'�§NOW el seq-as implemenled by 1he Depadawnt qflhm, Ts-easuty"T Tide i/I tvgulufiony, 31 CTR I'art 22,undhe-ezn re.f�-enee andmade apart G Reepont kzidemtands and ageea that Wany real pf-operty or'Aructure is provkled or Improved with the aid of[,&Icral rmam;Ial ws�lixulrloe by the I)epamllem of the 1'reasury,th assurance,)bfigaws the Reciprent,or in die case ot'a suLasequent transfer,the trarisferce,for the Iiericd during which tho real propedy DT SIFUCtLlre iS Used for a purpcxw for which the federffl fimlriol,,d,assistance is extended or for anmfier purpose irlvoMng the provision of simillAr smices or benefits, If any Page 51 of 52 jw son'd pr'opoFty is providaL ")?'1 l'w prop"rLy, 7 1"Rokoppew^'Nfll cooper"Ite In any aInklrcemcn'l "n cvwnph ricQ revic'x ac4nv6e,by ilae I)�jmrrx'ient�'q'lne 0'Olo, obllgai�ons. Erd" t114 invcs"Ig�ihon,��rhitrraicn nlcdiarioll� and nwrinonngoc its �i;,lflcmcnt igm.evmaMs ha Mp MMA Wil Me,a0mr,Ion M dw RMWM*Arm sup, on-silk" -ev�'-nvs''.'Vld repornng,tmqnilem(Tlis, Reciplent mimWK a MaMn"Q wk wilm th Depmmaw or le TwwuqmC wV com Mmw of Mrim awki.0"i Te givwks Max,Wor,or rime wntml oryn and Lm ud A40 FWOMIq covert'd Iry'[)lie VI of Jw "Ivd kqdlt��2'Vt ct, I TA md mykmmbig nghmms wrd qmUApm wquA a WA of pd',slicil rt'vi ev"S or[M Wod on tj'w corllplwnt'pcndinw"'ol,COM at ted, MC ULfirlp",ol'�ilwmo kmwwm AM MODA&M ow D"Mmerd a we Try amy i t' R ccipient h I'e'c ve'd rw coillp4tints t"nd« Tide VI Rccip iemt rnwz t p'ov tJe an 2dini agcii".'y's or cowl f°rldalg"' 'A'non-Loni pl rince ct''ki le %I and i nd uduy 2MnwKMwy cullp:mluarnmp o or awWNmprr I r"I com(!Ills W001)tl')t k eC iJNeM 2m n11 ndsocoiilpy wAh TOO VI wdoWayThAk Wwww"M WIN Awnew Swegm6nTamAe WT in ant wwWwrOgram wwrwKys and review pincelms Wduwrwmw to MW Iq an MUN4, dw owd nglli,s ad Moing Q IM Awalem MWO X WAS me INA ww"MMM MOMMS that be MiEd AMM Mq Qdwmkv� Adress vAdvions rip has d,,wia�sicnl w "ipplir llfle""'"J'eml lawv' Ulldk%jycllalgy "A jw1juily,ho ccKfics Out WAR ha madam!undamood os ohhp,thnm as Wrem&nnNQ IM mq ink"mAm wMinumd wr N"wwwwl wah In assw=AwwwcM m nwroln W wmNoq wd Am me RMONA A M"Wjwwc&A dw Mwerawwond MM6MMAMbn w"irmads Ijba apap Tk nSwimum w%ud mH k wW M"k IAS (Ammum;w pom nq",Nn sirg"; lie ominwed Nu&n wwww moWnH Won"'IJI'm I"Prillnuies Pei japmay MuMMM4 co"WTImg dw "C IM bMW QwMM ad Mjppw'Iaolls ':,r Hig than hadkm diollr4 iv hiwhid �o Ow('04t WO Wwwk LaepraucraMN OW TmwM,ION Mmwylvwk Aw.NW.WwNywiv D CAAMM M)Nar mw wu Trin "ffik A leuw'.y uwy il'A OARdlkl"I Sjh'U'X�I.no 0 MM.a Mt rupwd r"reslivnd tlo 2 YHa':Iwn urn srnmr4on Irl fi wuS Pl dispIkly,oq vand "'111'rul IAII.1114v rlssip'w d bry 0"M Page 52 of 52 I JIMIM"PATRONIS CHIEF FINANCIAL OFFICER STATE.OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES � DIVISION OF WWORKERS'COMIIP'EN aAT'ICN CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAWN CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed,below has elected to be exemlipt.from Florida Workers'Compensation law, f EFFECTIVE DATE: 4/14/2021 EXPIRATION:DATE, 4/1412023 PERSQ'NI, ALEJANDRO PARERA LOPEZ EMAIL. ALEJ'ANDR00412@YAHOO C IIM.M FIEIN: 680612044 BUSINESS NAME AND aADDRES - PARERA CARPET, INC. 11854 SW 248TH TERRACE HOMESTEAD,FL 33032 SCOPE OF BUSINESS OR TRADE: Moor Cr venng installation. R Floorirq Carpet and Laminate Rom" IhJIPOPTANT PUrSU3nt tosubseciJon 440 05114,10 F.'S.„an officer of a corporation who stecls exemption from this chapter by filing!a certificate of efection under this section may not recover benefits or compensad'on sander this chapter.Pursuant to subsection 44005(12I,F.S..Certificates of election to be exempt issued under sullosection pal shalt,apply orgy to Ifte corpomle officer named on the notice of election to be exempt and apply,only within the scope of the business or trade fisted on the notice of efecddn to be exempt.Pursuant to subsection 440.05(13)n F.S.,notices of election to be exempt and certidicrales of election to be exempt shalt be subject to revocation If,at any time after the fi'ftng of the notice or The issuance of the cedillcafe,the person named on the notice or cerld witte no forvi meets the'requirements of this section for issuance of a cerlificafe,The deparlmerrl shelf revoke a cerfrliicate at any time for failure of the peson named on the rxsrtlficate to meet the requirements of this section. DF5- 2-DWC- 52 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08.13 E01333398 QUESTIONS?NS?(850)4134-16 a q I CERTIFICATE OF LIABILITY INSURANCE t7ATE¢M�9PC71aMaAYYI N 03131N2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY' OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(las) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,,certain policles may require an endorsement.A statement on this certificate does not confer rights to the cartiflcate holder in lieu of'such endorsemont(s). PRLDUCER CORE.„ Estrella 4125 PFrON �C -t4 7 .tP� � ., 801 SW 40th Street E-NA&A aT�ancyt2��eslrc�ilalrrscirNallco cam Miami, FL,3315 9Mst1Rr��ll3a [fRDING COVERAGE tdAICN' ......... __W.. _ INSURER A. PROGRESSIVE EXPRESS INS COMPANY 1019,f... ..._ INSURED I INSURER R; PARERA CARPET INC INSURER C:. 11854 SW 248 TERR IC#S4IR'ERIL INSUR'ER rri I1C1ME5TEAI7 FL 23032 IHSLIRERP. .._.... ._ .___..._ .._....�._ ._� �. ...__. w...__.u. , COVERAGES CERTIFICATE NUMBER- REVISION NUMBER- THIS IS TO CERTIFY THAT THE POLICIES Ot' INSURANCE LISTED BELOW i4AV, e'3EEN r,aSUED TO FHE 1,%1SURFID%1A?.1E7ABOvE FOR THE 7'OL� 'Y k-"rrMOU INDICATED, NCITWITHSITANMNC ANY REQUIREMENT, TEEM OR CC3NDiTION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CER,IFICA1'F M.AY BE ISSUED ON MAY PERT"AIN, THE INSJRANCE AFF(:RDII) 13Y rHE POLICIES D---SCRWEU HEREIN IS SuB,IECI" rO ALL THE TERIPAS, EXCLJVONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID GLAINIS. I�1r _ .. _... _._. _ .. �dIB�1iaR po�r,c NurneRrr�uyvoL.cY TYPE OF INSURANCE .�. .... ,.,�_u.... .... , C...!.... ......X. . A'ICe7D1WY'YYY'.. LIMITS GENERAL LIh.WLITY I EACH ., "tGWTA? Yita 3W°resit" . TY C%I.7M CLAIM AOF rtCCI LlR b N-a I§ l4Ny ore 67{!�"5.' 1��I: .. .... .............. .PFI§SDNAL&ADV FN.II.PRY 2 t'"EtIL Af3URI:'.GAIL LrMirAPyNaL4k;$Pr,,;R: f'r{C'➢DUCTS w COMP)OP AGC •'�H 'p 76-romoEILE LIABILITY 61NErM'M ,LF Limit 347t1 CNUE EAfit' AI14Y AUTO 9C)DILY Smuw iiPer'person) ALfTOS AUTOS x 029950 P1 C13t0102923 43101N2074 NON-OWNEp r RCaPrki9'"r I,A"dAUC HIRFCDAI.I'TOE AUTOS PERSONAL INJURY F UMBRELLA LIAR OCCUR EACH CPC't INRItFNr F � �. FXCESS LPArN.....,,...,, ... C,LAkhIS MACE Ar r f"C(ATC � UTIL l REIENT"ION$ t WORKERS COMPENSATION •• ,... T .' �ELPc W. �'I�.. AND EMPLOYERS'LIAGILI'rY' ! .._. ... .,.._.�.. N1H ANY PRO 1RIk"TCtPVC°"at°RJNLWC.aE*.(;I,I rtVE N$FL £L E,.AC,4 ACCIDEN'T S . OFFICCRIMCMACR FXCLIJOED? _ (Mandatory In NH) El.DI:SFASE•FA EMPLO I�I $ IPy" davuriba ur,daa,. ,,.».�._,.._.�.. ._,.,�__,...�... ..,,_._..., .... 17ESCF ip rJON OF C PCNk TIONS bufurw EL DISEASE-VOUCG'W L0,111- '$ I CESCRIPTKIN OF OPERATIONS t LOCATIONS;VEHICLES I;Attach.ACORD 10 Additloual Romarks Schodula,i6 more apace oz mquiradH CARPENTRY-INTERIOR(RUG INSTALLATION ) COMPREHENSIVE AND COLLISION 1000.17Lr DEDUCTIBLE MONR OE COUNTY BOCC LISTED AS ADDITIONAL INSURED APPROVED BY RISK MANAGEMENT BY DATE 4/2/2023 WAIVER N/A—YES— CERTIFICATE HOLDER CANCELLATION w MONROE COUNTY BOGG 1100 SINvRO N rON S-I SH°HOULD ANY OF THE ABOVE D CRIB'Ela POLICIES HE:CANCELLED BEFORE KEY WEST,FL S9r� THE E9CPIHIITILIN DATE TIi ImCNr, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THIS POLI PROVISIONS, AUTHORIZED REPRESENT ALIVE ACCIR©25(2010/05) ID 1LgSS-2011 ACIr CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORN ACC>Rbe CERTIFICATE OF LIABILITY INSURANCE t1A� IlMwuramrrYrYN ,to"112a23 CERTIFICATED{ES S ISSUED AS A MATTER {I= UNFCRNAATI NN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS POLICIES BELOW. THIS CHIRT FI AOT TE�OFMIN DURANCE DELY OR O NOT` AMEND, EXTENDON OR COER NTRACTBETWEEN H SIDIOVERAGE NG IN�NSI RER(S),FORDED BY T AUTHORIZED REPRESENTATIVE OR PRODUCER,CR NwE ,AND TH CERTIFI ,ATE HOLDER, TI I IMPORTANT: IN the ael�tNNNeate r Is an ADDITIONAL INSURED,the polls last must have ADDITIONAL INSURED provisions or be endorsed, IN SUBROGATION IS WAIVED,,subject to the terms and conditions of the policy, Certain Policies may require an endorsement. A statement on this certificate does not confer rights to the certi'Nlcat'e holder In lieu of sueh endorsemen s. 1 PRODUCER 00A06 cr._..,.. F Gonzalez CSresNBs AAA Hammocks Insurance Agency rpONE LN D anB Q-86 hBrrvnccNrsiras FAx p0:N � ., ur�rasrrtarr -urancar _.w. ... 12150 SW 128CT SUIT 139 SUITE 139, IMAH. �I INS n _,�....� N .. crer,PcrwR + y. N1mIBmI EL 33185slrRErla ASCENDANT COMMERCIAL INSURANCE ALEJIANDR'O PARERA DBA PARERA CARPET„INC. INsvp w c INrsueER a 3,791 SW Nib AVE INSURER E CDVERACESMiamu 15E CERTIFICATE NUMBER- 3 _...._W. W...._ _. REVISION " aNauIRERE; �� NUMBER:NA THIS IS TO CERTIFY THAT THE POLICIES 6F INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE,NNSUREO NAMED ABOVE FOR THE POLICY PFRIC1i) INDICATEDNOTWIITHSTANMNG ANY REQUIREMENT, TERM,OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO VVHICHI THIS CERTIFICATE MAY BE ISSUED CAR MAY PERTAIN, 'rHIE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH P'CLICVES LIIwTS SHDVNN MAY HAVE BEEN REDUICErJ BY PAID,CLAIMS �. _....... ._ w. .. �..w.. . _..LIE ." aNSR —Xi Is a LaCYEFp"�-00-u—"'Wi C E ar INSAIDECANC�, IN 32 A 4�EfiLaCY NnA'�P4BEER i dJkMTrS ," 6 COW4AxiF Cti`11AL r3ENk.R.AIL LtlIABI'ILOT'Nf t I EACH OCCURRENCE _ 'S l=O 000 ...._ MAID SSMAADE X,. OCCUR s 13000 40 ha_6SYUJ+ one isms !Sm_5000 A _ Y NI CVLSa2DD-CS NVTSN1012022�ITBNID12I123 w+EasC a sArrarlHavRr s I,IJBtp.CGID Nr1 L AGGREGATE iLI WT APPLIES PIER � I P GENERAL AC4RIEGAATC �i S 2,000,0010 PRO- F—I�POLICY ,aECv ,�;LOG AUTpumeul E LUAIMUTr a�baUquua sLsm w iuAuv s x�zs _ I......,..'. ANY 6c1'0 � 7I SCHEDULED Ji r BOCr IwL..Yc wIN JIU c�RY�IPer n_y AUTOS BOOMY INJURY IPef acditn_ {I�S R RWIRr N.aAwEro AS�hu ptEErYDAwAW AJOCONLY _ _ .. .v....,,... OCCUR �r r V�aC�a��CURRrnarE 's � F.. I I ..mm ...,m......,... .,.... „m.. E"CC 'S LIAR f rnIAAIwiS.aAIaE� A—,-r E 'ALE I 'WORKERS COUPEE,NSADOIN AND E3MPILOYERS"iLLA- UTY Y J N T E L EA TUI ... V.�—R ....._,... ............. r.hrW G+' gPRO�,T GRYN�IP�ETIJIk +'ErSEChI rVYL n 1.7u.➢0✓SQ.4v'p�bLX�k9,W'E.AL6i.Y4CV�&,lliCAFIC,h"s �pWRJY, a"N1EddJ7E ._� _ "Ift,C*50 m NHII 1 f E L.DISEASE IEA EMPLOYE "a' M yyrrs,dcrsa�d�a wrud'arc � p � �._.._.. �... ... _..' 'L76 w'x Ri'p H'3r,yd$DE EaPE.V"a.A T'bEWNS'SmzL rw t E IL DISEASE POUC'Y I,IMT1 S I v is N OESCFUPTDON OF OPERAI')ONS 1 LOCATIONS 8 VEHICLES (ACOR7 101,Additional Remarks Schedufa,may'!4 a1tuhtd of more space Hs mquiredl (FLOORING INSTALLTION OPERATIONS APPROVED BY RISK MANAGEMENT BYE; = DATE- 4/2/2023 WAIVER N/A—YES— CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANC'ELLEC BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, MIONROE COUNTY BCCC AUTHLIRaEUREPAESENTAnVE 110D SIMION!TONJ ST. ORESTES F GONZALEZ � a3t r KEY WEST FL (D1988-2016 ACCJRO CONRPORATI N. AIIII rights reserved. ACORD 26(2016/03) The ACORD name and 1090 are'registered(marks of ACICIRD ESTIMATE PARERA CARPET,INC. parer,,icarpet griiS'ifV,corn 1 1854 SW 248 Terrace 1 78628b3(14q Hornestead,IrL 33032 Monroe County Clerk Of Courts, Marathon, Ull to SMp to EsUmate detaids M WrOe GOWItlyr iCllerk.Of CULPIS Monroe County Ueirk Of Courts ESUI[TrAte 10L30 Marashon Klaralhon [ nm")ate date03/116/2023 :1101 oveseas Hwy l0600 Av ahon Blvd Marathon N,33050 Viaiaflxw,fl 3310-50 1 Safes 150 x$34,00 $5,1 1100.00 niev carpe file(r vor land Hg sample 2. Ilaboir 2 x $150,001 $1300,00 rnin'mve uld tile 3, laboir I x $4,513,00 $450,0G; remove old carpel 41 liabor �50 x $8,00 $1,200,00 new cairprc"t tflf'9 qrw;Lj0 a S. Sales x $950,00 $950100 rew cove base 6. Sales 1 x $940M $940M vi,atierp roof coafing urdor carpet Total $8,940.00 ICON Floors, -.L-C. ICON 610 M 1,to st okli Key Wes,FL.3 3 D4 C FLOORS 305-901-4884 1 ST� I I R, illmirm 1 wdo.v,Nlanagcgntlw Q(:()TF W%WIR 0221127 I Nu I DAT!�, Marl 3,2023 16W Av�zuw BIA'D 'I i I"S EXPIR)IS IN Gil )AYS [Mliun hon,11,3 WSO , Ktl " Mkqk—fMr2 Mfflb—fl 22M 111,NAVV� M l 1'sJ I'l I I I ClUrk k i C Cwms Iv.vowcd Cpo L mr 1plc-'Iclr qn, LraM DUSCRUeTION)SCOPE 01"'WORK UNTITRIC'U, LMWrarm-, I IJ5,vo s/) Aficrilmt))hmerbond 16 Carpi I ,otl,,i"I M) Ys,59 s 6,940,05 1 7n,ol) S/Y RmwvJ 3L)() S 170,00 S/Y VoJmilullv and I g,0o 5,060,00 I Pov, II), rc� I !rw:ldhimm 1,531)00 220.00 L/I, 4"Vit-d Covc hasv r\Ilow.uwv-Sq)p),and lmE�d -00 $ 660,00 I S/I Hoor Ircp (),85 5 1"11001,50 I'(A) I�:acn Trzivvl i hmsl md 1'Cfkjj('r7k 50 ()f I'50(pffi I I'M l I i Matenal's 1)chvc.ry"Ind 1 hndll FYg to 1 hi,Ell h(,m 1,200,00 >Counjy to Providc J or C)vpu-,0.,"job lra h I c!ma wrij I s S >Work Based on rcRuhr I Tours,Nigh and Wc•dkcnd houts trifled m L5X Included 1 1 "low,my,k1lom. A fmal $ 1 16,785M prup,Moisnpa,Tv,,12pig,Moi"lrurc:miligmiml,I)isjmmll of m.hllcrlal,.off propoly„wn-6ng air lw)lishmg lrloors,nnovilig,ol,rep1wing furn2turc, Rcrnnni lo anY Jf100WiidL div,a.copu 0 m,uk dcmplcd gn dus e.pwlle, Am,ri lmkv.mliligrea gRgilwd work ordcrand arc bollcod r1, Pinlc and malcrial w an hourly rwla of S125 per umn h(mr, All w,,clrk%,vd h, mJu'dulc woh a owmacror ol chi w„pfnln4d sl,vl ;attic and E.J.'"c' ;^hmfld]CON Hoors sl;lff!1ol Ix )M w work bap+c"'d-H dqdcd wid:up provud lim Ilm",do �o any dd,l'V�mt 01c colaracLur or chcw pmrl,dw (,wr,w or art vvih 1, h&d sY S/S 7'Wj-hOUF Hp'41 o cll.11vr hU urS JXT rlllill SLhUdUlAIL 1`11ks cpo!c u,k"r lh,,,"upply tA ind pk rfnrn-V Lnl u o, Libor bi.cd on lhc m�opt of wolk dcltaillcd.ri 01IN q u t n I c A u PY q z u:j cI rVml r,lv 1,41 gpf d Alt�Pr kt 1 I w s ce q pk mr l,,)a a,au ul i v i Phis q L ii)lic,osr err add i i iE)n Io ii hc a rm-i IT) the I I'cd c P B ml pm l( w"d I d u quil n I q,,i vF d �irrc9a r pm pf k I�lc inalcvial±u being pun--ha,wd r,jnd k700 Hf!W1r*,!uh-W Of l'CrM,6 H,IN,qunitc x-c In"olord l,psn(of"q&l1w)of peqqm,hwol� arc duC UIMMI MCIAIM. To acccp tW,klu,LUXW ph'Asc pi um mnnu'Mgf� W(l . ....................... - --.............. .................................. --- ................ bn'Cw','�onwl Awhorixcd Rcprcscnta6%,(,for Icon hoops