5th Amendment 06/21/2023 CO Kevin Mad.ok, CPS►
o
o ...:.... . Clerk of the Circuit Court&Comptroller—Monroe County, Florida
DATE: June 22, 2023
TO: William DeSantis, Director
Facilities Maintenance
ATTN: Clu issy Collins
Executive Administrator
FROM: Pamela G. Hancol".
SUBJECT: June 21"BOCC Meeting
Attached are electronic copies of the following items for your handling:
C16 5'n Amendment to Agreement with Master Mechanical Services, Inc., for Middle
Keys HVAC Maintenance and Service, to update certain contract provisions, and specifically to
include American Rescue Plan Act(ARPA) provisions. Funding is Ad Valorem.
C17 5'h Amendment to Agreement with Master Mechanical Services, Inc., for Upper
Keys HVAC Maintenance and Service, to update certain contract provisions and specifically to
include American Rescue Plan Act (ARPA) provisions. Funding is Ad Valorem.
Should you have any questions please feel free to contact me at(305) 292-3550.
cc: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY
500 Whitehead Street 3117 Overseas Highway 8.8770 Overseas Highway
Key West, Florida 33040 Marathon, Florida 33050 Plantation Key, Florida 33070
FIFTH AMENDMENT TO AGREEMENT
UPPER KEYS HVAC MAINTEANCE AND, SERVICE
MONROE COUNTY, FLORIDA
THIS,FIFTH AMENDMENT TO AGREEMENT is made and entered into this 21 st day
of June, 2023, between MONROE COUNTY (hereinafter "County" or "Owner"), a political
subdivision of the State of Florida, whose address is 1100 Simonton Street, Key West, Florida
33040, and MASTER MECHANICAL SERVICES, INC., ("Contractor"), a Florida
corporation, whose address is 1.5181 NW 33 Place, Miami, Florida 33054.
WHEREAS,the parties hereto did on March 21,2019,enter into an Agreement for 11VAC
Maintenance and Service for the County's Upper Keys Facilities, (hereinafter "Original
Agreement"); and
WHEREAS, the parties hereto did on July 15, 2020, enter into a First Amendment to
Agreement to increase the annual agreement amount by Thirty Thousand and 0�0/1 00 ($30,000.00)
Dollars, from Fifty nousand and 00/100 ($50,000.00) Dollars to Eighty Thousand and 00/100
($80,000.00) Dollars, and to revise the Maintenance of Records provision of the Original
Agreement; and
WHEREAS,the parties hereto did on March 17, 2021, enter into a Second Amendment to
Agreement to provide for the annual CPI-U,adjustment of 1.4%as of December 31,20�20,pursuant
to the terms of the Original Agreement; and
WHEREAS, the parties hereto did on March 16, 2022, enter into, aThird Amendment to
Agreement to amend its Original Agreement, as amended, to add or update contract provisions,
renew the agreement for the first of two (2) optional renewals, and to provide for the annual CP1-
U ad.justment of 7% as of December 31, 2021, pursuant to the terms of the Original Agreement;
and
WHEREAS,the parties hereto did on February 15, 2023, enter into a Fourth Amendment
to Agreement to amend the Original Agreement to increase payment amounts by the annual CPl-
U adjustment of six and five tenths percent (6.5%) as of December 31, 2022, to exercise the last
option to renew the Original Agreement for an additional one-year period, and to add or update
certain contract provisions; and
WHEREAS, the parties desire to amend the Original Agreement, as amended, to add
and/or update provisions to bring it current with certain County, State or Federal required contract
provisions and particularly the Coronavirus State and Local Fiscal Recovery Funds Financial
Assistance Agreement awarded to Monroe County in 2022; and
WHEREAS, the parties have found the Original Agreement, as amended, to be mutually
beneficial; and
WHEREAS, the parties find it would be mutually beneficial to amend its Original
Agreement and enter into this Fifth Amendment to Agreement to add or update certain contract
provisions;
NOW THEREFORE, IN CONSIDERATION of the mutual promises and covenants set
forth below, the parties agree as follows:
1. The two paragraphs of Paragraph 8, MAINl.'ENANCE OF RECORDS and RIGHT TO
AUDIT, of the Original Agreement, as amended, is,hereby amended to delete both paragraphs
of Paragraph 8, as set forth in the Original Agreement and replace it in its entirety with the
following paragraphs:
8. MAINTENANCE OF RECORDS
Contractor shall maintain all books, records, and documents directly pertinent to
performance under this, Agreement 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 Treasury, whichever is later; or 2) a period of seven (7) years from the termination
of this Agreement or five (5) years from the submission of the final expenditure report
as per 2 CFR,§200.33, if applicable,whichever is,greater. Each party to,this Agreement
or their 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) The Contractor shall maintain. records and financial documents sufficient to
evidence compliance with Section 602(c)�, 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.
RIGHT TO AUDIT'
Availability qf.Records. The records of the parties to this Agreement relating to the Project,
which shall include but not be limited to,accounting records(hard copy,as well as computer
readable data if it can be made available; subcontract files (including proposals of
successful and unsuccessful bidders, bid recaps, bidding instructions, bidders list, etc.);
original estimates; estimating work sheets; correspondence; change order files (including
documentation covering negotiated settlements); back charge logs and supporting
documentation; general ledger entries detailing cash and trade discounts earned, insurance
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rebates and dividends; any other supporting evidence deemed necessary by Owner or the
Monroe County Office of the Clerk of Court and Comptroller (hereinafter referred to as
"County Clerk")to substantiate charges related to this agreement,and all other agreements,
sources of information and matters that may in Owner's or the County Clerk's reasonable
judgment have any bearing on or pertain to any matters, rights, duties, or obligations tinder
or covered by any contract document (all foregoing hereinafter referred to as "Records")
shall be open to inspection and subject to audit and/or reproduction by Owner's
representative and/or agents of Owner or the County Clerk. "Owner or County Clerk may
also conduct verifications such as, but not limited to, counting employees at the job site,
witnessing the distribution of payroll, verifying payroll computations, overhead
computations, observing vendor and supplier payments, miscellaneous allocations, special
charges, verifying information and amounts through interviews and written confirmations
with employees, subcontractors, suppliers, and contractors' representatives. All records
shall be kept for ten (10) years after Final Completion. The County Clerk possesses the
independent authority to conduct an audit of records, assets, and activities relating to this
Project. If an auditor employed by the County or Clerk determines that monies paid to
Contractor pursuant to this Agreement were spent for purposes not authorized by this
Agreement,
or were wrongfully retained by the Contractor, the Contractor shall repay the
monies together with interest calculated pursuant to Sec. 55.03 of the Florida Statutes,
running from the date the monies were paid to Contractor. The right to audit provisions
survive the termination or expiration of this Agreement.
2. The third paragraph of Paragraph 10, HOLD HARMLESS, INDEMNIFICATION,
DEFENSE, AND INSURANCE, of the Original Agreement, as, amended, is hereby amended
to delete in its entirety the sentence which reads, "The first ten dollars ($10.00) of remuneration
paid to the Contractor is for the indemnification provided for the above." Then the following
paragraph shall be inserted as the third paragraph of Paragraph 10, as previously amended:
United States file p Artment of the Treasui:y Indemnification
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 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.
3. Paragraph 13, NONDISCIUMINATION,_of the Original Agreement, as amended, is
hereby deleted in its entirety and replaced with the following:
13. NONDISCRIMfNATION[EQUAL EMPLOYMENT OPPORTUNITY
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The Contractor and County agree that there will he no discrimination against any person,
and it is expressly understood that upon a determination by a Court of competent
jurisdiction that discrimination has occurred, this Agreement automatically terminates
without any further action on the part of any party, effective the date of the court order.
Contractor agrees to comply with all Federal and Florida statutes, and all local ordinances,
as applicable, relating to nondiscrimination. These include but are not limited to: 1) Title
VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination in
employment on the basis of race, color, religion, sex, or national origin; 2) Title IX of the
Education Amendment of 1972, as amended (20 USC ss. 1681-,1683, and 1685-1686),
which prohibits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act
of 1973, as amended (20 USC s. 794), which prohibits discrimination out the basis of
disability; 4) The Age Discrimination Act of 1975, as amended (42 USC ss. 6101-6107)
which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and
Treatment Act of 1972(P,L 9'2-255), as amended, relating to nondiscrimination on the basis
of drug abuse; 6) 'rhe Comprehensive Alcohol Abuse and Alcoholism Prevention,
Treatment and Rehabilitation Act of 1970 (PL 91-616), as amended, relating to
nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health
Service Act of 1912, ss. 523 and 527 (42 USC ss, 690dd-3 and 290ce-3), as amended,
relating to confidentiality of alcohol and drug abuse patient records; 8) Title VIII of the
Civil Rights Act of 1968 (42 USC s. 36011 et seq.), as amended, relating to
nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
Disabilities Act of 19901 (42 USC s. 12101 Note), as may be amended from time to time,
relating to nondiscrimination on the basis of disability; 10) Monroe County Code Chapter
14, Article 11, which prohibits discrimination on the basis of race, color, sex, religion,
national origin, ancestry, sexual orientation, gender identity or expression, familial status
or age; and 11) Any other nondiscrimination provisions in any Federal or state statutes
which may apply to the parties to, or the subJect matter of,this Agreement.
During the performance of this Agreement, the Contractor, in accordance with Equal
EMployment Opportunity (30 Fed. Reg. 12319, 12935, 3 C.F.R. Part, 1964-1965 Comp.,
p. 339) as amended by Executive Order 11375,Amending Executive Order 11246 Relating
to E.qual Emplovnient Qpl)ortunity, and implementing regulations at 41 C.F.R. Part 60
(Office of Federal Contract COITIpliance Programs, Equal Employment Opportunity,
Department of Labor), �g 2 C.F.R. Part 200, Appendix 11, J[C, agrees as follows:
1) The Contractor will not discrin-iinate 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
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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 employee, who has access to the compensation
information 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 information.
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 Contractors
commitments under section 202 of Fxecutive Order 11246 of September 24,
1965, and shall post cop�ies 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 perinit, 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, of 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, 1.965, and such other sanctions may be imposed and remedies invoked as,
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provided in Executive Order 11246 of September 24, 1965, or by rule,
regulation, or order of the Secretary of Labor, 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, 1965,so that such provisions will be binding upon each
subcontractor or vendor. The Contractor will take such action with respect to
any subcontract or purchase order as the administering agency may direct as a
means of enforcing such provisions, including sanctions for non-cornpliance;
provided, however, that in the event a contractor becomes involved in, or is
threatened 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..,Fights_Act of 1964., The Contractor and any subcontractor, successor,
transferee, and assignee shall comply with Title VI of the Civil Rights Act of 1964, which
prohibits recipients of federal financial assistance frown excluding froin 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 Cl"R 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.S.C. 2000d et seq., as implemented
by the Department of the Treasury's Title VI regulations, 31 CFR Part 22, and herein
incorporated by reference and made a part of this contract or agreement.
4. The Original Agreement, as amended, is hereby amended further to add the following
Paragraph 46, FEDERAL CONTRACT REQUIREMENTS as applicable,, and particularly as
related to the ARPA Funding Agreement, and shall read as follows-
46. FL,DERAI, CONTRACT RE,QUIREi MENTS
The Contractor and its subcontractors must follow the provisions, as applicable, as set forth in
2 C.F.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 (33 I[J.S.C-_§_§125t-_1387). Contractor agrees to comply with all applicable standards,
order-,, or regulations issued pursuant to the Clean Air Act, as amended, (42 U.S.C,
§§740�1-7671q) and the Federal Water Pollution Control Act, as amended (33 U.S.C.
§§1251-1387) and will report violations to the Department of the Treasury and the
appropriate Regional Office of the Environmental Protection Agency (EPA). The Clean
Mr Act(42 U.S.C. §§7401-7671q)and the Federal Water Pollution Control Act(33 U.S.C.
§§1251-1387), as amended, applies to Contracts and subgrants of amounts in excess of
$100,000,00, The Contractor agrees, to include these requirements in cach subcontract
exceeding $100,000 financed in whole or in part with Federal assistance provided by the
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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 Work Hours and Safely Standards Act (40 U.S.C. §§3701-3708 . Where
applicable, which includes all Federal 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 tJ,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 01' materials or articles 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 pert-nit any such
laborer or mechanic in any workweek in which fie 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 times the basic rate of pay for all hours worked in
excess of forty hours in such workweek.
(2) Violation; liability for imlmid 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 tinder
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 sum of $27 for each
calendar clay on which such individual was required or permitted to,
work in excess of the standard workweek of forty hours without
payment of the Overtime wages required by the clause set forth in
Paragraph (b)(1) of 29 C.F.R. §5.5.
(3) Withholding for unpaid wages and liquidated 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
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to be withheld fron-i 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 C.F.R. §5.5.
(4) Subcontracts. The contractor or subcontractor shall insert in any
subcontracts the clauses set forth in 29 C.F.R. §5.5, Paragraphs (b)(1)
through (4), and also a. clause requiring the subcontractors to include
these clauses in any lower tier subcontracts. 1-1 he prime contractor shall
be responsible for compliance by any subcontractor or lower tier
subcontractor with the clauses set forth in 29 C.F.R.. §5.5, Paragraphs
(1)through (4).
Q Rights to Inventions Made Under a Contract or Agreement. If the 1,ederal 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, assigni-nent or performance of
experimental, developmental, or research work under that "funding agreement," the
recipient or subrecipient must comply with the requirements of 37 CFR Part 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) Debarment and Suspension (Executive Orders 1254,9 and 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.F.R.Part 180 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 the Department of Homeland Security's regulations at 2
C.F.R.Part 3000(Nonprocurement Debarment and suspension). SAM Exclusions contains
the names 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,saiii.gov. 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. §1 80.905) arc excluded (defined at 2 C.F.R. §180.940)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.F.R. pt. 3000, 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 no,t comply with 2 C.F.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 CYR. pt. 180, subpart C and 2
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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.'rhe 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 Treasury's implementing
regulation at 31 C.F.R. Part 19.
E) Byrd Anti-Lobbying Amendment(31 U.S.C. §1352). Contractors that apply or bid for
an award exceeding $1 O0,000 must file the required certification. Each tier 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 or 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 of'any other
award covered by 31 U.S.C. § 1352. Each tier inust 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 award exceeds $100,000, the certification,
attached hereto as Attachment B and made a part hereof, must be signed and submitted by
the Contractor to the County.
F) Compliance with Procurement of Recovered Materials as set forth in 2 CFIR
200.322. The Contractor Must Comply With Section 60�O�2 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 value of the
quantity acquired during the preceding fiscal year exceeded$10,000; procuring solid waste
management services in a manner that maximizes energy and resource 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,
,t.Rov/smm/compreliensive-proCLirej'netit-gu deline-cp-g-mop-roam,
The Contractor also agrees to comply with all other applicable requirements of Section
6002 of the Solid Waste Disposal Act.
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G) Prohibition on certain telecommunications and video surveillance services or
eg uipment as set forth in 2 CFR § 200.216. Recipients and subrecipients and their
contractors and subcontractors inay 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 systems
that uses covered telecommunications 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 telecornmunications equipment is
telecommunications equipment produced by 14uawei Technologies Company or ZTE
Corporation (or any subsidiary or affiliate Of Such entities).
(i) For the purpose of public safety, security of government facilities, physical security
surveillance of critical infrastructure,, and other national security purposes, video
surveillance and telecommunications equipment produced by Hytera Communications
Corporation, 11angzhou Hikvision Digital Technology Company, or Dahua Technology
Company (or any subsidiary or affiliate of such entities).
(H) Telecommunications or video surveillance services provided by such entities or using
such equipment.
(iii) Telecommunications 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 connected to,the government
of a covered foreign country.
H) Domestic Preference for Procurements as set forth W 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 it-on, aluminum, steel, cement, and other manufactured
products). These requirements of this, section must be included in all subaw,ards 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(2 C.F.R.200,Appendix 11(D);40 U.S.C. §3145). This
section applies if the contract is in excess oj',$2,000 andpertains to cyan strucHon or rel-mir,
andfirther, if required by Federal program legislation, Contractor shall comply with the
Copeland "Anti-Kickback" Act (40 U.S.C. §3145), as supplemented by Department of
Labor regulations (29 GFR. Part 3), "Contractors and Subcontractors on Public Building
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or Public Work Financed in Whole or in Part by Loans or Grants frorn the United States").
The Act provides in part that Contractor shall be prohibited frorn inducing, by ally means,
any person employed in the construction, completion, or repair of public work, to give up
any 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. The Original Agreement, as amended, is hereby amended further to add the following as
Paragraph 47, Other Federal and/or Department of the Treasury Requirements (as
applicable), and shall read as follows:
47. Other Federal and/or Department of the Treasury lzequirements (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. 117-2 (March 11, 021), auttlorizes
the Department of the Treasury (Treasury) to make payments to certain recipients from the
Coronavirus State Fiscal Recovery Fund and the Coronavirus I...Ocal 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 herein, as
applicable, including but not limited to:
A) Americans with Disabilities Act of 1990 (ADA), as amended. The 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) Disadvantaged Business, Enterprise: (DBE) Policy a!Ld 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 requirements
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. §200.321 (as set forth below), applicable federal and state laws and
regulations to ensure that DBE's have the opportunity to compete and perform
contracts. The 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. § 200,321 CONTRACTING WITH SMALL AND MINORITY
BUSINESSES, WOMEN'S BUSINESS ENTERPRISES, AND LABOR
SURPI.JJS AREA FIRMS
a. If the Contractor,with the funds authorized by this Agreement, seeks to subcontract
goods or services then, in accordance with 2 CYR §200�.321, the Contractor shall
take the following affirmative steps to assure that minority businesses, wornen's
business enterprises, and labor surplus area firms are used whenever,possible.
b, Affirmative steps must include:
(1) Placing qualified small and minority businesses and women's business
enterprises on solicitation lists;
(2) Assuring that small and minority businesses, and wornen's business
enterprises are solicited whenever they are potential sources;
(3) Dividing total requirements,when economically feasible,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 requirement permits, which
encourage participation by small and minority businesses, and women's
business,enterprises;
(5) Using the services and assistance,as appropriate,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 (1) through (5) of this section.
Q 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 must: (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 records,
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 to
support the reports.
D) Changes to Contract. The Contractor understands and agrees that any cost resulting from
a change or modification, change order, or constructive change of theagreernent Must be
within the scope of any Federal grant or cooperative agreement that may ftuld this Project
and be reasonable for the completion of the Project. 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 CER. Part 170, Appendix A, the Contractor
must report the names and total compensation of its five most highly compensated
executives and the names and total compensation of the five most highly compensated
executives of its subcontractors for the preceding completed fiscal year if:
- 12 -
(a) the total federal funding authorized to date under the award funding this Agreement
equals or exceeds $30,000.00 as defined in 2 C.F.R.. §170,320;
(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 information about the compensation of the executives
through periodic reports filed under Section 13(a) or 15(d) of the Securities Exchange Act
of 19'34(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 E.xcharige Commission total compensation filings at
httpL//w!Axy.sec,goy/answerg/execomp.htm.
L - c- p
F) No Obligation by Federal Government. The Federal Government is not 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, 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 remedy.
H) The Contractor shall utilize the U.S. Department of Homeland Security's E-Verify system
to, verify the employment eligibility of all new employees hired by the Contractor during
the term of the Contract and shall expressly require any subcontractors performing work
or providing services pursuant to the 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 tinder this Agreement,
to the extent allowed and required by law.
- 13-
K) Energy 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 CYK § 200.31 8(c) and that such conflict-of-interest
policy is applicable to each activity funded under 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 C.F.R. § 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 of a subsequent tranche of future award funds, if any, or, take other available
remedies as set forth in 2 C.F.R. § 200.339,, In the case of a violation of Section 602(c) of
the Act regarding the use of funds, previous payments shall be subject to recoupment as
provided in Section 602(c) of the Act and any additional payments may be subject to
withholding as provided in Sections 602(b)(6)(A)(ii)(111) of the Act, as applicable.
N) Compliance with Federal Law, 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 Contractor agrees to comply with the requirements 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 200, other than such
provisions as Treasury may determine are inapplicable to this award and
subject to such exceptions as may be otherwise provided by Treasury.
Subpart F—Audit Requirements of the Uniform Guidance, implementing
the Single Audit Act, shall apply to this award.
iL Universal Identifier and System for Award Management (SAM), 2 C.F.R.
Part 25, pursuant to which the award term set forth in Appendix A to 2
C.F.R. Part 25 is hereby incorporated by reference,
iii. Reporting Subaward and Executive Compensation Information, 2 C.F R.
Part 170, pursuant to which the award term set forth in Appendix A to 2
C.F.R. Part 170 is hereby incorporated by reference,
- 14-
iv. OMB Guidelines to Agencies on Goverturientwide Debarment and
Suspension (Nonprocurerrient), 2 C.F.R. Pail 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 C.F.R. Part 19.
V. Recipient Integrity and Performance Matters, pursuant to which tile award
term set forth in 2 C.F.R. Part 200, Appendix XII to Part 200 is hereby
incorporated by reference.
vi. Government-wide Requirements for Drug-Free Workplace 31 C.F.R. Part
20�.
vii. New Restrictions, on Lobbying, 3,1 C.F.R. Part 21.
viii. Uniform Relocation Assistance and Real Property Acquisitions Act of
1970 (42 tJ,S.C. §§ 4601-4655) ,and implementing regulations.
ix. Generally applicable federal environmental laws and regulations.
0) Hatch Act. The Contractor agrees to comply,as applicable,with requirements of the Hatch
Act(5 1J.S.C. §§ 15 01-1508 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,) 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]
supported, in whole or in part, by federal award riumber [enter project FAIN] awarded to
[name of Recipient] by the U.S. Department of the rreasury."
Q) Debts, Owed the Federal Government.
a. Any funds paid to the Contractor (1) in excess of the amount to which Contractor
is tinalty determined to be authorized to retain under tile terms of this award as set
forth in Attachment A; (2)that are determined by the Treasury Office of Inspector
General to have been misused; or (3) that are determined by Treasury to 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 roust be paid promptly
by Conti-actor. A debt is delinquent if it has not been paid by the date specified in
TreaSUry's, initial 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.
R) 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 performance of services funded under the federal award as set forth in
Attachment A or any other losses resulting in any way from the performance of
services pursuant to any contract, or subcontract under this award.
b. The acceptance of these funds provided by the federal award as set forth in
Attachment A by the Contractor does not in any way establish all agency
relationship between the United States and the Contractor.
S) 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 federal
contract or grant, a substantial and specific danger to public health of safety, or a
violation of law, rule, or regulation related to a federal contract (including the
competition for or negotiation of a contract) or grant.
b. The list of persons and entities referenced in the paragraph above includes the
following:
E A member of Congress or a representative of a committee of Congress;
ii. An Inspector General;
iii. The Government Accountability Office;
iv. A Treasury employee responsible for contract or grant oversight or
management;
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.
I') Increasing Seat Belt Use in the United States. Pursuant to Executive Order 13043,
62 FR 19217 (Apr, 18, 1997), 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 ernployees when
operating company-owned, rented, or personally owned vehicles.
- 16-
-U) Reducing Text Messaging While Driving. Pursuant to Executive Order 13513, 74
FR.51225 (Oct. 6,2009),the Contractor should encourage its employees, subrecipients,
and subcontractors to adopt and enforce policies that ban text messaging while driving,
and the Contractor, should establish workplace safety policies to decrease accidents
caused by distracted drivers.
6. Except as set forth in Paragraphs I through 5 of this Fifth Amendment to Agreement, in all
other respects, the terms and conditions set forth in the Original Agreement, as amended, remain
in full force and effect.
[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]
[SIGNATURE PAGE 110 FOLLOW]
ESS WHEREOF,the parties hereto have set their hands and seals the day and year first
® v n.
e .
+ 'a BOARD OF COUNTY COMMISSIONERS
.o s MADOK, CLERK OF MONROE COUNTY,FLORIDA
` � y
tti
�Qhy
COUNSV
By.
As Deputy Clerk Mayor Pro Tem
Date: Tune 21, 2023
Witnesses for CONTRACTOR: CONTRACTOR:
MAST - -HANICAL SERVICES,
ignature of peison au orized to
Si ature legally bind CONTRACTOR
Date:. (.OJS 113
k123 J%AKn RhV-rel. !LfCO
ate Print Name Print Name and Title )) n
Address:/SIP/ A I.IJ-33-
nature
le
Date T Print Name
Telephone Number
M
MONROE:000NTY ATTORNEY'S OFFICE c z
VCwDA TOpORM° .. , �� = rn
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:PATRIGIA�LlS..._.. �
-ASSISTANT COUNN ATTORNO
PATE: 6/2/2023_.._ G►9
-18-
ATTACHMENT
CORONA'VIRUS STATE AND LOCAL FISCAL.RECOVERY FUNDS
FINANCIAL ASSISTANCE AGrRL,Ii.M14 NT
OMB Approved No. 1505-0271
EM)irulion.Dite: I U30,12021
U)RONAVI RUS STATFAND LOCAL FISCAL RECOVFIRY FUNDS
Recipient name and address: DUNS NUmber:073876757
Monroe Comity Board of Commissionem Taxpayer Ideatification NUmber:596000749
1100 Simonton Street, Room 2-213 Assistance Usting Number and Title:21,027
Key West,Florida 33040
Sections 6102(b)and 603(b)of the Social Security Act(the Act)its added by section 9901 of the American Rescue Phoi Act,Pub, L.
No. 117-2(March 11,2021)authorizes the Department of the Treasury(Treasury)to make payownts to curtain rocipicnts from the
Corortavirus State Fiscal Recovers,l,und and the Coronavints Local Fiscal Recovery Fund.
Recipients hereby agrees,as a condition to reociving such payment froth Treasury,agrees to the terms atiacbed berets.
Recipient:
li,I1,11,sit n,,l by Irt, B,,n
Tina B,olan Date:2022.08,02 09A 1:02
-04'00'
Aulhorind Representative Signature(Itbovc)
Authorized Representative Name: Tina Boan
Authorized Representative Title: Senior Director Budget&Finance
Datc signed:
U.S.Department
Authorized Representative Signature(above)
Authorized Representative Naow Jacob LeibelIlLift
Authorized Representative Title: Chief Recovery Officer,Office of Recovcry Programs
Date Signed: NItty 14,2021
PAPERWORK REDUCTiON ACTNOTICE
The information col tooted will be used for the t I,�'Gm el nineril to promss requLms for quptx)m The estimated burden associated with this cal loot ion of
hiformati(in is 15 minutes per response,Comments ooncerning the accuracy of(I iis burden estinuiteand soggestions,for roduming thus burden shouki k,-directed
to the Office of Privacy,T'ramparency arid Reoords,I)Lputwlent of tile Treasury,I 50OPemnylvaisia Ave.,N.W.,Wishingeon,D.C.20220,DO NOT send the
fonn to this address,An agency imy not coriducIorsponsor,and a person is not required to rospond to,a Collection If'informatiol I 111fless it distAys I%a I ki
control munbor assigned by WAB.
-20-
'U.N.DEPARTMENT OFTHETREASURY
CORONAVIRUS STATE FISCAL RECOVERY FUND
AWARD TERMS AND CONDITIONS
a. Recipient understands and agrees that the funds disbursed under this award may only he used in cornpliance with sections
602(c)and 603(c)of the Social Security Act(the.Act)and Treasury's regulations implementing that section and guidance,
b. Recipient will determine prior to engaging in any project using this assistance that it has the:institutional,managerial,arid
financial capability to ensure proper planning,management,and completion of such project.
1 Period of Performance The period of performance for this award begins on the date hereof and ends on Doceni her 31,2026,As
set forth in Treasiuy's implementing regulations,Recipient may use award funds to,cover eligible costs incurred during the period
that begins on March 3,2021 and ends on December 31,2024.
3.Reporting.Re6pientagrees to comply with any reporting obligations established by'rreasury,as it relates to this award.
4.h/laintemance of and Access to Records
a. Recipient shall maintain records and financial documents sufficient to evidence cornpliatice with sections 602( and
603(c),T'i-easury"sregulatioiig implementing those sections,arid guidance regarding the eligible uses of funds,
b. The Treasury Office of Inspector General and the Goveniment.Accountability Office,or their authorized representatives,
shall have the right of access to records(electronic and otherwise)of Recipient in order to conduct audits or other
investigations.
c. Records shall be maintained by Recipient for a period of five(5)years after all funds have been expended or returned to
Treasury,whichever is later.
S.Pre-award Costs.Pre-award costs,as defined in 2 C.F.R.§200.458,may not be paid with funding from this award.
_0_Adajtr.iistrnnveCostq Recipient may use funds provided under this award to cover both direct Land indirect costs
7,Qgst Sha_ljpg.Cost sharing or matching funds are not required to be provided by Recipient.
�,CQnflicta QflnjQrQst.Recipient understands and agrees it must maintain a conflict of interest policy consistent with 2 C.F.R.
2W.318(c)and that such conflict of interest policy is applicable to each activity funded under this award.Recipient and
subrecipients must disclose in writing,LuTreusury or the pass-through entity,as appropriate,any potential conflict of interest
affecting the awarded fund.,;in accordance with 2 CY.R.§200.112.
9.Compliance with Al2plicablo Law and Rggui4i6ous
9. Recipient agrees to comply with the requirements of sections 602 and 603 of the Act,regulations adopted by Treasury
pursuant to sections 602(f)and 603(f)of the Act,and guidance issued by Treasury regarding the foregoing.Recipient also
agrees to comply with all other applicable federal statutes,regulations.,and executive orders,and Recipient shall provide for
such compliance by other parties in any agreements it enters into with other parties relating to this award.
b. Federal regulations applicable to this award include,without limitation,the following.-,
j. Uniforru Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards,2 C.F.R.Part
200,other than such provisions as Treasury may determine are inapplicable to this Award and subject to such
exceptions as may be otherwise provided by Treasury.Subpart F -Audit Requirements of the Uniform Guidance,,
implementing the Sin&Audit Act,shall apply to this award.
ii. Universal Identifier and System for Award:Management(SA",2 CYK Part 25,pursuant to which the award term
get forth in Appendix A to 2 C.F.R.Part 25 is hereby incorporated by reference.
iii. Reporting Subaward and Executive Compensation Information,2 CYR.Part M,pursuant to which the award term
set forth in Appendix A to 2 C.F.R.Pat-[170 is hereby incorl)orated by reference.
iv, OIN/M Guidelines to Agencies on Cloverrunentwidt Deb2nnentand Suspension(Nonpiocru'enient),2 CYR.Part
180,including the requirement to include q term or condition in all lower tier covered transactions(contracts and
subcontracts described in 2 C.F'.R.Part 180,sublyart B)that the award is subject to 2 C.B.R.Part 180 arid Treasury's
implementing regulation at 31 C.F.R.Part 19.
21 -
v. Recipient Integrity andPerfon-nance N[atters,purquant to which the award term set forth in C,FK Part200,
Appendix XII to Part 2�00 is hereby incorporated by reference.
vi. Goverrinwritwide Requirements for Drug-Frey Wolklelace,31 C.F.R.Part 20.
vu. New Restrictions on Lobbying,31 C.F R.Part 21.
viii. Uniform Relocation Assistance and Real Property Acquisitions Act of 1970(42 U.S.C.§§4601-4655)and
implementing regulations.
ix. Generally applicable federal environmental laws and regulations
c. Statutes and regulations prohibiting discrimination applicable to this award,include,witboutfimitation,the,following:
i. Title VI of the Civil Rights Act of"1964(42 U.S.C.§§2000d et seq.)and Treasury's implementing regulations at 31
C.F.R.Part 22,which prohibit discrimination on the basis of race„color,or national origin under programs or
activities receiving federal financial assistance;
ii. The Fair Housing Act,Title A1111 of the Civil Rights Act of 1968(42 U,S,C,§§3601 et seq.),which prohibits
discrinturation,in housing on the basis of race,color,religion,national origin,sex,faniflial status,or disability;
iii. Section 504 of the Rehabilitation Act of 1973,as amended(29 U.S.C.§794),which prohibits discrimination on the
basis of disability under any prograni or activity receiving federal financial assistancc,
iv. The Age Discrimination Act of 1975,as amended(42'U.S.C.§§6101 et seq.),and Treasury's implementing
regulations at 3,1 CY.R-Part 23,which prohibit discrimination on the basis of age in programs or activities
receiving federal financial assistance-,and
v. Title 11 of the Americans with Disabilities Act of 1990,as amended(42 US.C. §§ 12101 et seq.),which prohibits
discrimination on the basis of disability under programs,activities,and service.,;provided or made available by state
and local governments or instrumentalities or agencies thereto.
In the event of Recipient's noncompliance with sections 602 and 603 off the Act,other applicable laws,
Treasury's implementing regulations,guidance,or any reporting or other program requirementsTrea5ury may oupose additional
conditions on the receipt of subsequent tranche of future award funds,if any,or take other available remedies as set forth in 2
C.F.R.§200.339 In the case of violation of sections 602(c)or 603(c)of the Act regarding the use of funds,previous payments
shall be subject to recoupinent as provided in sections 602(e)and 603(e)or the Act.
11.1IRtch Act,Recipient agrees to comply,as applicable,with requirements of the Hatch Act(5 U&C. §§1501-1508 and
'7324-7328),which lituit certain political activiticsof State or local govenunent employees whose principal employment is in
connection with an activity financed in whole or in part by this federal assistance,
12.False Statements.Recipient understands that making false statements or claims in connection with this award is 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 remedy available by law.
13,Publications.Any publications produced with funds from this award must display the following language_"This project[is
being][was]supported,in whole or in part,by federal award number[enter project FAIN]awarded to Ivionrot County Board of
Commissioners by the US,Department of the Treasury,"
14,Debts Owed the Federal Government.
a. Any funds paid to Recipient(1)in excess of the amount to which Recipient is finally determined to be authorized to retain
under the terms of this award,(2)that are determined by the Treasury Office of Inspector General to have been inisused-,or
(3)that are determined by Treasury to be subject to a repayment obligation pursuant to sections 602(e)and 603(e)of the
Act and have not.been repaid by Recipient shall constitute a debt to the federal governnient.
b. Any debts determined to be owed the federal government must be paid promptly by Recipient.A debt is delinquent if it has
not been paid by the date specified in Treasury's initial written demand for payment,unless other satisfactory arrangements
have been made or if the Recipient knowingly or improperly retains funds that are a debt as defined in paragraph 14(a).
Treasury will take any actions available to it to collect such a debt
22-
,�,� l7isclaiaaaer
a The United States expressly disclaims any and all responsibility or liability to Recipient or third persons for the actions of
Recipient cr 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 performance of this award or,any contract,
or subcontract under this award.
b. The acceptance of this award by Recipient sloes not in any way establish an agency relationship between the United States
and Recipient.
16 Protections for Mlhistlelalmgo
a. In accordance with 41 U.S.C.§471.2,Recipient niay 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 employc;e 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 federal contract or grant,a substantial and specific danger to public health or safety,or a violation of
law,rule,or regulation related to a federal contract(including the competition for or negotiation of 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 a committee of Congress;
ii. An Inspector(:general,
iii, The Govcrmuent(Accountability Office;
iv. A Treasury employee responsible for contract or grant oversight or management
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. Recipient shall inform its employees in writing of the.rights and remedies provided under this section,in the predominant
native language of the workforce.
17 Increasing eat 1 t11> rd ifae United States.Pursuant to Executive Order 13043,621`'R 19217(Apr.. 18, 19917)„recipient
should encourage its contractors to adopt and enforce on-the-job seat belt policies and programs for their employees when
operating company-owned,rented or personally owned vehicles.
18,Reducirt;`l'eut hdv=uging While T7riving,Pursuant to lixecutive Order 13513,74I«.R 51225(Oct,f,2009),Recipient should
encourage its employees,subrecipients,and contractors to adopt and enforce policies that ban text messaging while driving,and.
Recipient should establish workplace safety policies to decrease accidents caused by distracted drivers.
- 23-
01VIB Approved No. 1505-0271
Expiration Date:11130/2021
ASSURANCE OF COMPLIANCE NVITH CIVIL RIGMS REQUIREMENTS
ASSURANCE OF COMPLIANCE WITH TITLE VI OF THE
CIVIL RIGHTS ACT OF! 1964
As a condition of receipt of federal financial assistance from the Department of the Treasury,the Monroe County Board of
Commissioners(hereinafter referred to as"the Recipient")provides the assurances stated herein.The federal financial assistancc
may include,federal grants,loans and contracts to provide assistance to the recipient's beneficiaries,the use or rent of Federal land
or property at below market value,Federal training,a loan of Federal personnel,subsidies,and other arrangements with the
intention of providing assistance.Federal financial assistance does not encompass contracts of guarantee or insurance,regulated
programs,licenses,procurement contracts by the Federal government at market value,or progranis that provide direct benefits.
This assurance applies to all federal financial assistance from or funds made available through the DCP2r1ment of the Treasury,
including any assistance that the Recipient may request in the future.
The Civil Rights Restoration Act of 1987 provides that the provisions of this assurance apply to all of the recipient's programs,
services and activities,so long as any portion of the recipient's progr9ra(s)is federally assisted in the manner proscribed above.
L Recipient ensures its current and future,compliance with Title VI of the Civil Rights Act of 1964,as amended,which
prohibits exclusion From participation,denial of the benefits of,or subjection to discrimination tinder programs and
activities receiving federal funds,of any person in the United States on the ground of race,color,or national origin(42
U,S,C. §2000d et seq.),as implemented by the,Department of the Treasury Title V1 regulations at 31 CFR Part 22 and
other pertinent executive orders such as Executive Order 13166-,directives;circulars;policies;memoranda and/or guidance
documents.
2. Recipient acknowledges that Executive Order 13166,"Improving Access to Services for Persons with Limited English
Proficiency,"seeks to improve access to federally assisted programs andactivifies far individuals who,because of national
origin,have Limited English proficiency(LEP).Recipient understands that denying person access to its programs,
services,Eric]activities because of LEP is a form of national origin discrimination prohibited tinder Title VI of the Civil
Rights Act of 1964 and the Department of the Treasury's implementing regulations.Accordingly,Recipient shall initiate
reasonable steps,or comply with the Department of the Treasury's'directives,to ensure that LEP persons have meaningful
,access to its prograins,services,and activities.Recipient understands and agrees that meaningful access may entail
providing Iiingtnige assistance services,including oral interpretation and written translation where necessary,to ensure
effective communication in the Recipient's programs,services,and activities.
3. Recipient agrees to consider the need for language services for LEP persons during development of applicable budgets and
when conducting programs,services and activities.Asa resource,the Department of the Treasury has published its LEI'
guidance at 10 FR 6067.For more information on LEP,please visit hU1/www Jell,Vov,
4. Recipient acknowledges and agrees that compliance with this assurance constitutes a condition of continued receipt of
federal financial assistance and is binding upon Recipient and Recipient's successors,transferees and assignees for the
period in which such assistance is provided.
5. Recipient acknowledges and agrees that it must require any sub-grantees,contractors,subcontractors,successors,
transferces,and assignees to comply with assurances 1-4 above,and agrees to incorporate the following language in every
contract or agreement subject to'Title VI and its regulations between the Recipient and the Recipient's sub-grantees,
contractors,subcontractors,successors,transferees,and assignees:
The sub-granlee, contractor,subconlractor,successor,transferee,and assignee sh all comply willy Title T,7 of the
Civil Rights Act of 1964, stihich prohibits;-ecil)ient.Tnffedet-cil financial assistance from e.icchidingfiorii,,jprog;,Qnt
or activity,denying benefits of or othenvise discriminating against a person on the basis of race,color, or
national origin(42 US,C.§2000d et seq.),as implemented by the Deparlmeni of the Tivasiay's Title V1
regulations,31 CFR Part 22, which are herein incorporated 7)),reference and maele a part of this coidract(or
agreement). Title H also includes protection to persons with "LimitedEnglish Proficiency"in any l2rogram or
activity rece fidngfederalfinancial assistanc(,42 US.C,§2000d et se q.,as implemented by the Department of the
Treasury's Mle N regulation,% 31 CFR Part 22 rind herein incwl)oratedby reference and viade a part of this
contract or agreement.
6. Recipient understancls,and agrees that if any real property or structure is provided or ini proved with the aid of federal
financial assistance by the Department of the Treasury,this assurance obligates the Recipient,or in the case of a subsequent
transfer,the transferee,for the period during which the real property or structure is used fora purpose for which the federal
financial assistance is extended or for another purpose involving the provision of similar services or benefits.If any
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personal property is provided,this assurance obligates the Recipient for the period during which it retains ownership or
possession of the property;
7. Recipient shall cooperate in any enforcement or compliance review activities by the Department of the Treasury of the
aforementioned obligations.Enforcement inay include investigation,arbitration,mediation,litigation,and monitoring of
any settlement agreements that may result froin these actions.That is,the Recipient shall comply with information requests,
on-site compliance reviews,and reporting requirements.
S. Recipient shall maintain q complaint log and inform the Department of the Treasury of any comphrims of discrimination on
the grounds of race,color,or national origin,and limited English proficiency covered by Title VI of the Civil Rights Act of
1964 and implementing regulations and provide,upon request,a list of all such reviews or proceedings based on the
complaint,pending or completed,including outcome,Recipient also must inform the DepaTtment of the Treasury if
Recipient has received no complaints under Title VI..
9, Recipient must provide documentation of an administrative.agency's or court's findings of non-compliance of Title VI and
efforts to address the non-compliance,including any voluntary compliance or other agreements between the Recipient and
the adin inistrative agency that made the finding,.If the Recipient settles a case or matter alleging such disedin ination,the
Recipient must provide documentation of the settlement.If Recipient has not been the subject of any court or administrative,
agency finding of discrimination,please so state.
10. If the Recipient makessub-awards to other agencies or other entities,the recipient is responsible for ensuring that
sub-recipients also comply with Title V1 and other applicable authorities covered in this document State agencies that make
sub-awards must have in place standard grant assurances and review procedures to demonstrate that that they are effectively
monitoring flie civil rights compliance of soli-recipients.
The United States of America has the right to seek judicial enforcement of the terms of this assurances document.
and nothing in this document afters or limits the federal enforcement measures that the United States may take in order to
address violations of this document or applicable federal law.
Under penalty of pmjuty,the undersigned official(s)certifies that lie/she has read and understood its obligations as
here 8'any information submitted in conjunction with this assurance docurn ent.is accurate and complete,and
lvs(Fit_n't 1 in comphatice with the aforementioned nondiscrimination requirements.
r ,P,91
c e is
ce P., Date
an
Signature of Authorized.Official:
PAPERWORK REDUCT1()N ACT NOUCT.
The rifornunion collected will lie insect for the U.S.covenuncrit to process requests for support,The estimated burden associated wiffi this collection of
infounation is 15 ininutes per response.Comments concerning the accuracy of Uns burden estijnate and.suggestions for reducing t1du burden should be directed
to tile Office ofPAwcy,Talusparericy and Records,Department of Ole Treasury,1500 Pennsylvania Ave.,N.W.,Wwhington,D.C.20220.DO NOT send tile
forin to Us address.Ail agency MAY not C(ulducL or sponsor,and a person is nor required to respond to,a collection ofinforrnation unless it displays a valid
control rounbar assigned by OMB.
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ATTACHMENT
BYRD ANTI-LOBBYING CERTIFICATION
(as applicable)
26_
APPENDIX A, 44 C.,F'.,R. PART 18 — CERTIFICATION REGARDING LOBBYING
(To be submitted with each bid or offer exceeding $100,000)
Certification for Contracts, Grants, Loans, and Cooperative Agreements
The undersigined 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, an officer or employee of
Congress, or an employee of a Member of Congress in connection with, the
awarding of any Federal contract, the making of any Federal grant, the making of
any Federal loan, the enitering into of any cooperative agreement, and the
extension, continuation, renewal, amendment, or modification of any Federal
contract, grant, loan,, or cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or will
be paid to any person, for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in connection with this
Federal contract, grant, loan, or,cooperative agreement, the undersigned shall
complete and submit Standard Form-LLL, "Disclosure Form to Report 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 subawairds at all tiers (including
subcontracts, subgrants, and contracts, under grants, loans, and cooperative
agreements) and that all subrecipients, shall certify and disclose accordingly. This
certification is a material representation of fact upon which;, reliance was placed
when this transaction was made or entered into. Submission of thins certification is
a prerequisite for making or entering into this transaction imposed by section
1352, title 31, U.S. Code. Any person who fails to file the required certification
shall be subject to civil penalty of not less than $10,000 and not more than
$100,,0001 for each such failure.
The Conitractor, erifis or affirms the truthfulness
and accuracy of each, statement of its certification and disclosure, if any. In
addition, the Contractor understands and agrees that the provisions of 31 U.S.C.
Chap, 38, Administrative Remedies for False Claims and Statements, apply to,
this certif' 9 a 61 F�S'�csure, if iy.
7ignature of Contra6i®rri-Ku—ihorized Official
Name and Title of Contractor's Authorized Official Date
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DISCLOSURE OF LOBBYiNZG ACMUTIES
COMPLETE MIS FOrW TO DISCLOSE 7:OBB1rDTGACr1"t=9 Ptw8t7A-NTTCJ 3 a U&C,1352
1. Type of Federal Acdow- 2. Stitw of Federal Action: 3. Report r)-P,
a.contract =h�bWaflu"appricaton =a,LriliflL
b. grant b. initial award b. material charge
L. coomaiM agreewew E, post-award
d. IBM Tar Material Change Only'.
e, Loan parartlee year TaarrET—
f. loan hnsurarre date oaf last report_
4 Name and Address Of RepDrfiag Entity IFReportingEntity ijuNa,4isSnbawardee,
Fvter Name and Ad dress of Prime-
Rime 121UIAWAI(he
Tier if knoum
XCC4L4�n.1 C&A (A's
CaWessionn]Distrw(if know Congressional Dis-Wct, Dwn
6- Federal DeparimanUAgency: 7- Federal Program N ascriptim:
CFDA N7l err,if appkable
a. Federal,Actiov Number;,ifkno%w 9- ward ' mount,if knawm
10. a. Ngme and Address of Lobby Enfify Iudh Is Performing Skes (incladixig
-idun m-
(If iDdhidual'3a54 DAME,first name, I afteis if different from No.10a)
Ilast rswm'fiat any,MI)
(adach C -linuation Sheex(s)if neces;wy)
111- AmauntafPay3nezkt(ch*&all flmf, ply) 19. TY of Paympat(chKh,.A that apply)
Elartuat PIRTIM4 F-1 a. retainer
❑ b, ante-do w*fee
12- For of Payment(check all f tapply): c' commis:3011
a. ra&h d. civingent fee
❑ b. iD-kind, specik" MtUTe e deferred
value f other,apecify
14- Brief De5cdp1d%nDf enices PprfGrme,d aTta be performed aur!Wte(g)of Service,including
officer(s),Pmplqy .s),.,or membeir(s.)comWed,for PaymeutIndirsted in Item 11:
I (atlach Contmuntim Sbeetfs)if upcessat)i)
I& CDUtivagtion Sheet(s)offached.: YP5 F1 N41 ❑
0
I& Inkmation r,;qvm-Ad 6waghtis form is raihuizodby
Mt1R3,1U.',C.SavdCU,1311 Pis&u.Aomg cd1cbb,)-ioS
rU.3-UMnt to 31 U.S.C.n52. 71L.i91WMZ4Va'AU bi?
rv,patadtoCcagp;�sum�aawmll7y and wMibr,n�'bLQF,-,.r
FWir imxpodiom p Psi c u a fils tra fi5a Few s l Title:, 0.1f r),
di;ctosw%�aU boi.,doJint in n chit pgmaLV of not Wis 65n
S I G'rOD aad wl mero thm SIN,GCO fwwA surl faii-mv. TFle?bDne No �431V atr
Authorized,for Local Raproibxtfon
Slandwd Form-LLL
2-6c PART ZfCOUPITY
- 28-
INSTRUCTIONS FOR COMPLETION OFSI,'-I,I,J,,
DISCLOSURE OF LOBBYING ACTIVITIES
This disOosurc fora shall be completed by the reporting entity,whether subawardec or prune Federal recipient,at the initiation or receipt of
covered Federal action or inateriat change toprevious filing pursuant to title 31 U.S.C.section 1352. Thefilingol'a form is required for
such payment or agreement to inake payment to,lobbying entity for influencing or attempting to nifluence an officer or employee of any
,agency,a Member of Congress an officer or employee ofCongress or an employee of a Member of Congress in connection with a covered
Fedcralae6on. Attach a continuation sheet for additional information il'the space on the form is inadequate, Completcall hens that apply
for berth the initial filing and material change report. Refer to the implementing guidance published by the Office ofManagentent and
Budget for additional information.
1, ldcntily the type of cowered Federal action for which lobbying activity is.and/oar has been secured to influence,
the outcome ofa covered Federal action.
2. Identify the Identify the status ofthe covered Federal action.
3. Identify the appropriate,cl assi fit cat i oil 0 fth is report. Ift1liSiSa follow-up lreportteaLusedbya material change
to due ulfOUrnatiOn previously reported,enter the year and quarter in which the change cocurred. Enter the
date ofthe last, previously submitted report by this reporting entity for this covered Federal action.
4. Enter the full name,address,city,state and zip code ofthe reporting entity. Include Congressional District it'
known. Check Ilse approp6ate c%ssifi cation ofthe reporting entity that designates if it is or expects to be a
prime orRibamrard recipient. Identify the tier ofthe SLibawaTdee,e.g.,the first subawardee ofOic prime is the
first tier. Subawardsu-iChldc but are not limited to subcontracts,subgrants and contract awards under grants.
5. If the organization filing,the report in Item 4 checks"Subawardee"then enter the full name,address,city,state
and zip code offlic prime Federal recipient. Include COugfCSSiolial District,if known.
6, Enter the name of the Federal agency making the award or loan commitment. Include at least one
organization level below agency riante,rfknown For example,Department offransporlation,United States
('cast Guard.
7. Enter the Federal program name or description for the covered Federal action(itern 1). If known,enter the 17A
atalogof Federal Domestic Assistance(CFDA)number for grants,cooperative agreements,loans and loan
commitments.
S. Enter the most appropriate Federal identifying number available for the Federal,action identification in item I (c'8"
Request far PFOPOSRI i(RFP)number,Invitation for Bid(lFB)number,grant announcement number,(be contract
grant"or I can award number,bet,the appI icatioiVpi oposal control mint her assigned by the Federal agency). Include
prefixes,e.g., "RFP-DE-90-001."
9. Fora covered Federal action where there has been an award or loan commitment by the Federal agency,enter the
Fedend arnounL of the award/loan commitments for the prime entity identified in itern 4 or 5.
M (a)Enter the full name,address,city,state and zip code ofthe lobbying entity engaged by the reporting entity
identified in item 4 to influenced the covered Federal action.
(b)Enter the full narnes ofthe individual(s)performing services and include frill address Wdifferent from l0,(a).
Enter Last Marne,First Narne and Middle Initial(MI).
11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity(item 4)to the
lobbying entity(item l 0). Indicate whether the payment has been made(actual)or will be made(planned).
Check all boxes that apply. Ifthrs is a material change report,enter the curnula6vc mount ofpayineni made or
planned to be rna&
12. Check the appropriate box. Check all boxes that apply. It'payment is made through an in-kind contribution,
specify the nature and value ofthciii-kindpayment.
13. Check the appropriate box. Check all boxes that apply. If other,specify nature
14. Provide a speci fie and detailed description ofthe services that the lobbyist has performed or will be expected to
perform and the date(s)of any services tendered. Include all preparatory and related activity 11o1just time spent in
actual contact with Federal officials. Identify the Federal officer(s)or eniployce(s)contacted or the officer(s)
ernployec(s)orMernbCT(S) Of Congress that were contacted.
15. Check whether or not,,tcoiitinL[ati011sliect(s)isattached.
16. "I'lic cerli lying officia➢shall sign and date the form,print his/her name title and telephone number.
Public reporting burden for this collection of information is estimated to average 30 minutes per response,including(irric for reviewing
instruction,searching existing data sources,gathering and nraurrtaining the data needed,and completing and icviewing the collection of
information. Send continents regardi i ig the burden estimate ate or any other aspect of this is collection of information, inClUding9uggcstionsfor
reducing this burden,to,the Office ofManagenient and Budget,Paperwork Reduction Project
(0348-0046),Washington,D.C.20503. SF-11-1.-Instructions Rev.06-04-
9WENDM)
- 29-
DATE(MMIDD/YYYY)
A�" CERTIFICATE OF LIABILITY INSURANCE
03/30/2023
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(ies)must have ADDITIONAL INSURED provisions or 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 endorsement(s).
PRODUCER CONTACT
NAME:
RSC Insurance Brokerage,Inc. pHONE (305)446-2271 FAx
A/C No Exf: A/C,No):
9350 S Dixie Hwy E-MAIL MIA-Certificates@Risk-Strategies.com
ADDRESS:
Suite 1400 INSURER(S)AFFORDING COVERAGE NAIC#
Miami FL 33156 INSURERA: National Trust Insurance Co 20141
INSURED INSURER B: FCCI Insurance Co 10178
Master Mechanical Services Inc INSURER C: Federal Insurance Co 20281
15181 NW 33 Place INSURER D:
INSURER E:
Opa Locka FL 33054 INSURER F:
COVERAGES CERTIFICATE NUMBER: CL2333037266 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY EFF POLICY EXP
LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDreme $ 100'000
MED EXP(Any one person) $ 5,000
A Y GL100041840-05 03/31/2023 03/31/2024 PERSONAL&ADV INJURY $ 1,000,000
MOTHER
LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000
JECT: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
Ea accident
X ANYAUTO BODILY INJURY(Per person) $
B OWNED SCHEDULED Y CA1506488-00 03/31/2023 03/31/2024 BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
X HIRED �/ NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY /� AUTOS ONLY Per accident
UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000
A X EXCESS LAB CLAIMS-MADE UMB1506488-00 03/31/2023 03/31/2024 AGGREGATE $ 4,000,000
DED I X1 RETENTION $ 10,000 $
WORKERS COMPENSATION ER/� STATUTE EORH
AND EMPLOYERS'LIABI LI TY Y/N 1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
B OFFICER/MEMBER EXCLUDED? N/A WC0100067854-03 03/31/2023 03/31/2024
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
Contractor's Equipment Scheduled Equip. $115,298
C 0664-21-83-ECE 03/31/2023 03/31/2024 Leased/Rented Equip. $100,000
Deductible $1,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Contract:Upper Keys HVAC Maintenance and Service
The Certificate Holder is Additional Insured with respects to General Liability and Commercial Automobile when required by written contract.
'
)' 'a,
23
CERTIFICATE HOLDER CANCELLATION ^"
SHOULD ANY OF TF
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS.
1100 Simonton Street
AUTHORIZED REPRESENTATIVE
Key West FL 33040 "
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD