Item D06
BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
MEETING DATE: 8/16/06
BULK ITEM: YES
DIVISION: COUNTY ADMINISTRATOR
DEPARTMENT: AIRPORTS
STAFF CONTACT PERSON: Peter Horton
AGENDA ITEM WORDING: Approval of and authorization for the Mayor to execute a contract with Koch Corporation for
the Noise Insulation Program, Phase 5 Construction, for the Key West International Airport.
ITEM BACKGROUND: This project will be funded 95% by the Federal Aviation Administration, and 5% by Passenger
Facility Charge Revenue.
PREVIOUS RELEVANT BOCC ACTION: Approval to submit PFC Application # 9. to the Federal Aviation Administration,
August 18.2004.
CONTRACT/AGREEMENT CHANGES: New contract
STAFF RECOMMENDATION: Approval
TOTAL COST: $2,718,934.00
COST TO AIRPORT: None
COST TO PFC: $135,919.70
eOST TO eOUNTY: None
BUDGETED: Yes
SOURCE OF FUNDS: FAA, PFC Revenue
REVENUE PRODUCING: No
AMOUNT PER MONTH /YEAR:
APPROVED BY: County Attorney X
OMB/Purchasing X
Risk Management X
.~:J}-
Peter J. Horton
AIRPORT DIRECTOR APPROVAL
DOCUMENTATION: Included X
Not Required
AGENDA ITEM #
DISPOSITION:
/bev
AO
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
CONTRACT SUMMARY
Contract #
Contract with: Koch Corporation
Effective Date: Execution
Expiration Date: 10/5/07
Contract Purpose/Description: Noise Insulation Program, Phase 5 Construction
Contract Manager: Bevette Moore
(name)
# 5195
(Ext. )
Airports - Stop # 5
(Department! Stop)
for BOCC meeting on: 8/16/06
Agenda Deadline: 8/1106
CONTRACT COSTS
Total Dollar Value of Contract:
Budgeted? Yes
Grant: FAA
I County Match: PFC Revenue
Estimated Ongoing Costs: nla
I (not included in dollar value above)
2,718,394.00
Current Year Portion: - 50,000.00
Account Codes: Pending FAA Grant 037-29
ADDITIONAL COSTS
For: .
(eg. maintenance, utilities, janitorial, salaries, etc.)
CONTRACT REVIEW
Changes
Date In Needed Reviewer Date Out
Yes No
Airports Director ~~Qh ) ex) .1-J1J:i.M?
Risk Managlment 1-1-0JM ( ) ( ..r u!12J 'II,
~ ~ ~\~'~ _1_'- ( ) ( ) .2-,110 .DiJ
O.M.B.lPu cha ing
County Attorney ~~- ( ) ( ) rp & cl :r.r.OM ~ft,.CAcLo ~b1L
County Attorney
Comments:
~@lliID@
From:
Board of County Commissioners
Peter Horton, Director of Airports
To:
Date:
8/1/06
Re:
Agenda Item - Koch
This item requests approval of a contract with Koch Corporation, for the Noise Insulation Program,
Phase 5 Construction, for the Key West International Airport.
The project will be funded 95% by the Federal Aviation Administration, and 5% by PFC Revenue.
The Commission granted approval to submit PFC Application # 9, to the FAA, 8/18/04. This project is
noted in this PFC Application.
Thank you
Ibev
Key West International Airport - Monroe County -Noise Insulation Program
CONSTRUCTION CONTRACT
THIS AGREEMENT effective day of , 20_, between the MONROE
COUNTY, a municipal cOl"2.oration org~nized and existing under the la ws of the State of Florida (hereinafter referred to as the
"Sponsor") and Koch Corpora tlOn , (hereinafter referred to as the
"Contractor") .
WITNESSETH
WHEREAS, the Sponsor is the sponsor of the Key West International Airport Noise Insulation Program (hereinafter referred to as
the "NIP"); and
WHEREAS, the Sponsor has elected to implement the fifth phase of the NIP (hereinafter referred to as "Phase 5"); and
WHEREAS, the Phase 5 NIP is managed by the consultant team consisting of the prime manager, architect, acoustician and
construction manager (hereinafter referred to as the Program Manager"); and
WHEREAS, the Contractor shall perfonn all necessary work and labor in the Phase 5 NIP (hereinafter referred to as the "Work");
and
WHEREAS, the Work shall be performed in accordance with the approved Phase 5 NIP Construction Drawings dated April 17,
2006 (herinafter referred to as the "Drawings" and the approved Phase 5 NIP Construction Specifications dated April 17, 2006
(hereinafter referred to as the "Specifications"); and
WHEREAS, the Work shall be completed in accordance with the Phase 5 NIP Construction Schedule (hereinafter referred to as the
"Schedule"), consisting of the sub-construction construction schedules (1-6) and total construction period schedule; and
NOW, THEREFORE, in consideration of the terms, covenants and conditions set forth herein, and other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the Sponsor and the Contractor hereby agree as
follows:
That the Contractor in consideration of the payment of the Contract price thereof amounting to Two Million Seven Hundred
Eil!hteen Three Hundred Ninetv Four Dollars ($2.718.394.00), shall perform all work set forth in the Drawings and
Specifications, and agrees to furnish all materials (except as specified to be furnished by the NIP), together with all necessary to
furnish all necessary equipment, tools, labor, and other means of construction and do and perform all necessary work and labor for
the full completion of the Work under Contract No. , the Work to be performed in accordance with approved
Drawings and Specifications and for the price and compensation set forth above and as specified in the Bid Form of the Contractor
which is hereto attached and hereby made a part of this agreement. The Work will be performed in accordance with Schedule.
Work and payments will be pursuant to and in accordance with Drawings and Specifications, therein set forth and addenda thereto,
all being incorporated by reference and being a part of this agreement.
The Contractor agrees to utilize the following Disadvantaged Business Enterprises:
KenMar General Contractina
CONSTRUCTION CONTRACT/BONDS
00500 - 1
Contractor agrees that the Work shall be done and performed in a good and workmanlike manner, that all materials and Jabor shall
be in strict conformity in every respect with the Drawings and Specifications for the improvement and shall be subject to
inspection and approval of the Sponsor through its duly authorized Program Manager and, in case any material or labor supplied
shall be rejected by the Sponsor as defective or unusable, such rejected material shall be removed and replaced with approved
material, and the rejected work shall be corrected to the satisfaction and approval of the Sponsor through its authorized Program
Manager, at no additional cost or expense to the Sponsor.
Contractor further agrees that he will commence the Work hereunder upon receipt of the executed copy thereof and will complete
the Work to the satisfaction and approval of the Program Manager within the time limits specified in Time of Completion
and Schedule sections in the Specifications.
It is further agreed that any delay caused by the elements and other causes over which Contractor has no control or by strikes or
other combined action of workers employed in the construction or in the transportation of materials, in no part caused or resulting
from default or collusion on the part of the Contractor, shall be excused and the time for completion extended to the extent that
Program Manager may find and determine such condition to have delayed completion within the time limit through no
fault of the Contractor, but the judgment of Program Manager in respect thereto shall be final and conclusive upon the
parties. Contractor agrees that neither it nor its Subcontractors shall have any claim for damages against the Sponsor
or its agents arising from delays in the Work. Contractor understands that its sole remedy for a delay is an extension of time.
The Sponsor and the Contractor agree that the damages which would be incurred by the Sponsor in the event of delay of the
Project would be substantial but are not capable of being precisely calculated as of the execution of this Contract. The Sponsor
and the Contractor therefore agree based upon their professional knowledge and experience with projects of this type and their best
estimates of the damage associated with delay of the Project that the Contractor (and his surety) shall be liable for and shall forfeit
One Thousand Dollars ($1,000.00) from the Contract Sum for each calendar day (Sundays and Holidays included) after the final
Completion Date that any part of the Work upon any property remains incomplete, herein stipulated as fixed, agreed, as liquidated
damages, and not as a penalty.
It is further understood and agreed that no claim for extra Work done or materials furnished by the Contractor will be allowed
except as provided by the Drawings and Specifications, nor shall the Contractor do any work or furnish any materials not covered
by the Drawings and Specifications and by this Contract unless such work is first ordered in writing as provided in the Drawings
and Specifications. Any extra work done or materials furnished by the Contractor without written order first being given therefore
as in the Drawings and Specifications provided shall be at Contractor's risk, cost and expense, and Contractor agrees in such event
that he will make no claim for compensation for such extra work or materials.
It is further agreed that in no event shall the contracting officers of the Sponsor be personally liable or responsible in any manner
to the Contractor, Subcontractors, suppliers, laborers or to other person or persons whomsoever for claim, demand, damages,
actions, or causes of action or character arising out of or by reason of the execution of this agreement or the performance and
completion of the Work and improvement provided herein.
Contractor certifies to being not disqualified or debarred from entering into or receiving a Florida Department of Transportation
contract, or a municipal State-aid or County State-aid Contract administered by the Department of Transportation as agent of a
municipality or county pursuant to Florida Statutes. Further, Contractor agrees not to utilize either directly or indirectly any
contractor, corporation, partnership, or business however organized, which is disqualified or debarred from entering into or
receiving contract as stated above. This restriction applies regardless of whether the disqualified or disbarred party acts in the
capacity of a Contractor, a Subcontractor, or as an equipment or material supplier.
It is further agreed that the Contractor will abide by the provisions of Title VI of the Civil Rights Act of 1964 and Federal
Regulations of the Department of Transportation, set forth in Section 00210 of the Specifications, will afford opportunity for
Disadvantaged Business Enterprise as set forth in Section 00210 of the Specifications, will comply with restrictions on Federal
Public Works Projects as set forth in Section 00210 of the Specifications, will comply with the General Civil Rights Provisions as
set forth in Section 00210 of the Specifications, and will comply with Buy American Steel and Manufactured Products for
Construction requirements as set forth in Section 00210 of the Specifications.
CONSTRUCTION CONTRACT/BONDS
00500 - 2
MONROE COUNTY NOISE INSULATION PROGRAM
By
STATE OF FLORIDA )
) SS
MONROE COUNTY )
This instrument was acknowledged before me on
day of
,20_, by
, as the authorized representative of Monroe County NIP.
(Notarial Seal)
Notary Public Signature
Title C. Steph n Koch, Pres; dent
Contractor
Individual & Co-Partnership Acknowledgment
STATEOFFLORIDA )
) SS
MONROE COUNTY )
This instrument was acknowledged before me on
day of
,20
by
Notary Public Signature
(Notarial Seal)
Contractor
Corporate Acknowledgment
KENTUCKY
ST ATE OF )(Q{~xm )
) SS
Xbn~1 COUNTY )
JEfFERSON
This instrument was acknowledged before me on 28th day of
C. Stephen Koch
,2006
, by
(Notarial Seal)
CONSTRUCTION CONTRACT/BONDS
00500 - 3
Monroe COlmty Noise Insulation Pn:J,gtarn (NIP)
PAYMENT AND PERFO,RMANCE BOND
Part A: Payment Bond
BCR> l'D. 3481632
KNOW ALL BY THES,E PRESENTS, that we, KOCH CXJ.UlQU\TICIif
Contractor,
as Principal, whose address is 1131 LOGAN STREET, LaJISVILLE, KY 40204 . and Surety
GREAT AMERICAN INSURANCE
rYWP&NV . whose addre.<lS is 580 WALHIJT ~F.R"I'. ClNCINNATI. on 45202
duly authori zed and licelJsed to do busine~l'o In the State of Florida, as Surety. hereinafter called Surety. are held and firmly bound
unto the MONROE COUNTY NOISE INSULATION PROGRAM (NTP), as obli~~nafter called ownM the use and
benefit of claimant.,~ as hereinafter provided in the nmount of '.00 MIIL1tN SMti tIJ.'lU6) ~ .. r the
payment wbfi:reofPrlndpal and Surety bind tbemRelve", their ~~a~ s. IltlSigns.jointtyand
~verally, flnnly by these present'l. WHEREAS. Principal ha.. written agreement dated .20_. entered
into II contract with Owner for NIP CONTRACT AlP ~' in accordance with dnwing... and 6pecifications prepared
by/for MONROE COUNTY NIP which contract ill b made party of hereof and is required by Section 255.05, Florida.
Statutes. The said written agreement, drawing.'l, ~pecifjcations and arnendment~ llf'e hereinafter referred to as the Contract.
NOW THEREFORF.., THE CONDITION OF TillS OBLIGATION, as required by Section 255.05, Florida StaIDtcs, i:l such
that, if the Principalllhall faithfully pcrfonn the !laid contract and pay every person entitled thereto for all the claim!') for labor
Ilcrfonned and materials furnished under tbe Contract. to be u!led or consumed in making the public improvement'l or performing
the l'ublic work all provided in the Contract, then thiiO obligation stJan. be nullllnd void; otherwise hi shall remain in full force and
effect. subject. however. to the following C01'lditions: 1) No as.'~lgnment, modification or chllnge (lfthe Contract. or change in the:
work covered thereby, or any extension of time for the completion of the Contl'llCt shall release the sureties on the bond. 2) Not
later than one year after the completion of the worX under the Contract, any party in interec;t may maintain an action in his own
name against the Principal and the Surety upon thi~ bond for the recovery of any damages he may have sustained by reason of the
failure of the Principal to comply with the Contract or with tbe Contract between the Principal and his subcontractoN;. Jf the
amount realized on this bond i5 in~ufficient to satisfy all claim~ of the parties in full. it shall be distributed :among the parties pro
rata.
Signed and !ieated this
28th da)' of
June
. w06
IN THE PRESENCE OF:
KOCH
DiI
me f Princip.al (Contractor)
/
/
dt~~
L . G" jIltne .
, sa . '.lreen
By:
I,v
(Seal)
c.
President
GREAT AMERICAN INSURANCE CD'IPANY
Name of Suret:Y
~~~~
L. PHELPS Witncs'
(Seal)
DIANE
CONSTRUC110N CONTRACTISONDS
00500 - 4
Monroe Count)' NoillC In!Nl.mjon Pcogrnm (NlPJ
PAYMENT AND PERFORMANCE BOND
Part B: Performance Bond
JDiJD 1<<>. 3481632
KNOW ALL BY TRESE PRESENTS. that we, KOCH ~C6
Contractor.
a.~ Principal. who~e address is 1131 ur..AN STRRR'I'. rLnT~.r.R. TCV .4n7n4 , and Surety
GREAT AMERICAN INSllRANCE
a>>tPANY . WhORl: address is 580 WAr.NrJj' ~~ I ~. OB 45202
duly authorized and licensed to do busine."o; in the 'state of Florida, as Surety, hereinafter called Surety, are held a.nd firmly bound
unto MONROE COUNTY NOISE INSULA nON PROGRAM (NIP), a.. obligee, hereinafter called owner. for the use and
benefit of claimants as hereinafter provided in the amount of 1N) MIILlDI SWEN IIJlI:RD K'(oHI1<'M\I 'lIft.B6lbr tbe
payment whereof Principal and Surety bind themile.lve.<;. their heinl, executors, administratol'll, ~Ucce$1S0rs and assi8n~, jointly and
severally. firm!y by tne.~ presenls. WHEREAS. ~en agreement dated , 20~, entered
into a contract wilh Owner for NIP CONTRAC'I) , in accordance with dl'llwings and specifications prepared
by/for MONROE COUNTY NIP which contract is y rc erence made I'Qrty of herecf and j~ reqllitcd by Section 255.05, Florida
Statutes. The Aid written agreement, drawings. $!'l:cific.atiom; and amendments are hereinafter rcfaTed to a, the Contract.
NOW THEREFORE, mE CONDITION OF Tms OBLIGATION, If the Princit)al shall faithfully complete the COlltracl(3)
according to its wmll and ~halJ. save the Monroe County NIP bannle:~s .from all cost and charge~ that may accroe on account of the
doing of the Work sp~cified and shall pay all costs of enforcement of tbE: termll of the bond, if acticn ill brought thereon, including
reasonable auorney's fees, cost, and di3burscmcot~1 In any case in which such action Is ~uccessfu[]y maintained. or succcs.<;fully
appealed, and $"al1 comply with the laws oftne state appertaining to .'>Uch Contract(ll), then this obligation shall be void but
olherwise it Mall remain in fuIJ force and effect pUiSuant to Florida Stal1.ltes.
Signed and ~ealed this 28th
day of
June
06
.20
IN THE 'PR.ESENCE OF:
KOCH
1m
Name cf Principa 1 (Contractor)
,f';
~'~BY.
Lis . Green W' .'S
.i
(Seal)
c.
GREAT AMERICAN INSURANCE CDtPANY
~'~
l-~,--,-- ' ,'-'2-
DIANE L. PHELPS Wime~.~ ;
~~
THao1AS M:I'l'u1t;L.L I A'l"l'CRNEY- IN-I!'Acr
(Seal)
CONS"rRUCTION CQNTRACT/60NDS
00500 - 5
GREAT AMERICAN INSURANCE COMPANY@
Administrative Office: 580 WALNUT STREET . CINCINNATI, OHIO 45202 . 513-369-5000 . FAX 513-723-2740
The number of persons authorized by
this power of attorney is not more than Eight
No.O 18129
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: That the GREAT AMERICAN INSURANCE COMPANY. a corporation organized and existing
under and by virtue orthe laws of the State of Ohio. does hereby nominate. constitute and appoint the person or persons named below its true and lawful attorney-
in-fact. for it and in its name. place and stead to execute in behalf of the said Company. as surety. any and all bonds. undertakings and contracts of suretyship. or
other written obligations in the nature thereof: provided that the liability of the said Company on any such bond. undertaking or contract of suretyship executed
under this authority shall not exceed the limit stated below.
Steven M. Garrett
Name
Deborah A. Yates
Jeffrey A. Brown
Diane L. Phelps
Address
all of
Louisville, Kentucky
Limit of Power
all
Unlimited
William A. Kantiehner, III
Thomas J. Mitchell
Roger A. Neal Linda Kapfhammer
This Power of Attorney revokes all previous powers issued in behalf of the attorney(s)-in-fact named above.
IN WITNESS WHEREOF the GREAT AMERICAN INSURANCE COMPANY has caused these presents to be signed and attested by its appropriate
officers and its corporate seal hereunto affixed this 26th day of May . 2005
Attest GREAT AMERICAN INSURANCE COMPANY
STATE OF OHIO. COUNTY OF HAMILTON - ss: DAVID C, KITCHIN (513-412-4602)
On this 26th day of May, 2005 . before me personally appeared DAVID C. KITCHIN. to me known. being
duly sworn. deposes and says that he resides in Cincinnati. Ohio. that he is the Divisional Senior Vice President of the Bond Division of Great American
Insurance Company. the Company described in and which executed the above instrument: that he knows the seal of the said Company: that the seal affixed to
the said instrument is such corporate seal: that it was so affixed by authority of his office under the By-Laws of said Company. and that he signed his name
thereto by like authority.
This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company
by unanimous written consent dated March I. 1993.
RESOLVED: Thill The DiI'ision PresidellT. The several Division Vice PresidenTS and AssisTallf Vice PresidenTS. or al1\' olle of Them. be and hereb\' is
allTllOri~ed. from Time f() Time. To appoillT one or more Afforneys-in-FacT TO exeClITe Oil belwlf {if The Company. as sureTy. anv a;7d aI/ bonds. ullderTilkillgs ~Ild
COil TracTS of sureTvship. or ",her II'riffell obligillions ill The Ilillure Thereof; To prescribe Their respecTi\'e dllTies and The respeCTive limiTS of Their aUTlwriTy: and To
re\'{Jke any .H!ch aPfJoillTmellf ilf ill/V Time.
RESOLVED FURTHER: Thilf The Company seal and The sigllillure of anv of The aforesaid officers and any SecreTilrv or AssisTal7T SecreTilr\' of The
Compilllv may be C(ffixed by facsimile To anv pml'er of affornev or cerTificaTe {!f eiTher gil'en for The execuTion of any bond. underrakillg. cmITracT or sureTyship.
or oTher IITirren obligilfion in The Ililfure Thereof, Sl/ch sigllilfure alld sea/ll'hell so used being hereb\' adopTed by The CompallY as The origillal sigllafUre of such
officer and The origil7al seal of The CompaH\'. To be valid alld binding upon The CompallY lI'iTh The same force alld effeCT as Though manual/v affixed.
CERTIFICATION
I. RONALD C. HAYES. Assistant Secretary of Great American Insurance Company. do hereby certify that the foregoing Power of Attorney and the
Resolutions of the Board of Directors of March I. 1993 have not been revoked and are now in full force and effect.
Signed and sealed this
day of
S1029U (4-04)
ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE
TM 06/20/2006
PRODUCER Garrett-Stotz Company THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
6011 Brownsboro Park Blvd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Suite B ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Louisville KY 40207-1292 INSURERS AFFORDING COVERAGE
INSURED Koch Corporation INSURER A: Amerisure Companies
P. O. Box 4398 INSURER B Amerisure Companies
Louisville KY 40204 INSURER c: Great American Insurance Companies
INSURER D:
I INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~~ TYPE OF INSURANCE POLICY NUMBER PR.HSY EFFECTIVE POLICY EXPIRATION LIMITS
~ ~NERAL UABILlTY CPP 1322729 12/31/2005 12/31/2006 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ 100,000
I CLAIMS MADE [K] OCCUR MED EXP (Anyone cerson) $ 5,000
- PERSONAl & ADV INJURY $ 1,000,000
- GENERAL AGGREGATE $ 2,000,000
~'L AGGREME LIMIT APnS PER: PRODUCTS.COMP~PAGG $ 2,000,000
POLICY X ~~R.,: LOC
B ~OMOBILE LIABILITY CA 1322730 12/31/2005 12/31/2006 COMBINED SINGLE LIMIT 1.000,000
$
ANY AUTO (Ea accident)
X ALL OWNED AUTOS BODILY INJURY
- $
X SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY
X (Per accident) $
- NON.QWNED AUTOS
- PROPERTY DAMAGE $
(Per accident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG S
B EXCESS LIABILITY CU 1322731 12/31/2005 12/31/2006 EACH OCCURRENCE $ 5,000,000
~ OCCUR D CLAIMS MADE AGGREGATE $ 5,000,000
$
==l DEDUCTIBLE $
RETENTION S $
B WORKERS COMPENSATION AND WC 132177002 12/31/2005 12/31/2006 X I we STATU- I IOJ~-
EMPLOYERS' LIABILITY 100,000
E,L, EACH ACCIDENT $
E,L DISEASE - EA EMPLOYEE $ 100,000
EL DISEASE. POLICY LIMIT S 500,000
OTHER
B EQUIP.FLOA TER CPP 1322729 12/31/2005 12/31/2006 $80,000 PER ITEM & AGGREGATE
C BUILDERS RISK BINDER 07/01/2006 05/01/2007 LIMIT: $2,718,394.00
DESCRIPTION OF OPERATlONSlLOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ALL WORK INCLUDING MONROE COUNTY NOISE INSULATION PROGRAM (NIP), PROJECT NO.
AIP-3-12-0037-029-2006
CERTIFICATE HOLDER I X I ADDITIONAL INSURED' INSURER LETTER: A CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POlICIES BE CANCELLED BEFORE THE EXPIRATION
MONROE COUNTY BOARD OF COMMISSIONERS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
1100 SIMONTON ST., RM 2-2 I3 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
KEY WEST FL 33040 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE c;:JL-J:J. .n/L..A /J/J
I
ACORD 25-S (7/97) C-@ ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the tenns 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 endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affinnatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-S (7/97)
FROM :MDA
FAX NO. :3052930678
KEY weST CONSTRUCTION SCHEDULE ~ PHASE 5
7"112OOt
Nam. ADMISS SIIrt FI1t&b
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ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE
TM 06/20/2006
PRODUCER Garrett-Stotz Company THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
6011 Brownsboro Park Blvd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Suite B ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Louisville KY 40207-1292 INSURERS AFFORDING COVERAGE
INSURED Koch Corporation INSURER A Amerisure Companies
P. O. Box 4398 INSURER B: Amerisure Companies
Louisville KY 40204 INSURER c: Great American Insurance Companies
INSURER 0:
I INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
I ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~: TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PR~.fJ EXPIRATION LIMITS
A $NERAL LIABILITY cpp 1322729 12/31/2005 12/31/2006 EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anv one firel $ 100,000
I CLAIMS MADE [K] OCCUR MED EXP IAnv one oarsonl $ 5,000
r-- PERSONAL & ADV INJURY $ 1,000,000
r-- GENERAL AGGREGATE $ 2,000,000
n'L AGGRE~E LIMIT APflS PER PRODUCTS-COMP~PAGG $ 2,000,000
POLICY X ~~R.; LOC
B ~TOMOBILE LIABILITY CA 1322730 12/31/2005 12/31/2006 COMBINED SINGLE LIMIT 1.000,000
$
ANY AUTO (Ea accident)
r--
X ALL OWNED AUTOS ;ODIL Y INJURY
f-- ", C. ( / L (~ ( , ~"'~""- $
X SCHEDULED AUTOS 1/', 'J-di" ",:r' (( \ t{~llt i, :,. " Per person)
rx HIRED AUTOS \ ." " ~l",
'~ (.. -')L' BODILY INJURY
X ",' - (Per accident) $
NON.OWNED AUTOS
- / I
- (.,' PROPERTY DAMAGE $
(Per accident)
~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
B EXCESS LIABILITY CU 1322731 12/31/2005 12/3 1/2006 EACH OCCURRENCE $ 5,000,000
:KJ' OCCUR D CLAIMS MADE AGGREGATE $ 5,000,000
$
=1 DEDUCTIBLE $
RETENTION $ $
B WORKERS COMPENSATION AND WC 132177002 12/31/2005 12/31/2006 X I T"X~~T~J~~ I IOJ~-
EMPLOYERS' LIABILITY 100,000
EL EACH ACCIDENT $
I , 100,000
EL DISEASE - EA EMPLOYEE $
E L DISEASE - POLICY LIMIT $ 500,000
OTHER
B EQUIP.FLOA TER CPP 1322729 12/31/2005 12/3 1/2006 $80,000 PER ITEM & AGGREGATE
C BUILDERS RISK BINDER 07/01/2006 05/01/2007 LIMIT: $2,718,394.00
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ALL WORK INCLUDING MONROE COUNTY NOISE INSULA nON PROGRAM (NIP), PROJECT NO.
AIP-3-12-0037-029-2006
CERTIFICATE HOLDER I X i ADDITIONAL INSURED' INSURER LETTER: A CANCELLATION
SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
MONROE COUNTY BOARD OF COMMISSIONERS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
1100 SIMONTON ST., RM 2-2\3 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
KEY WEST FL 33040 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE c:;J.~-Q j7ft~:-f2?)
i
ACORD 2S-S (7/97) C@ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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 endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25-S (7/97)