#10/15/2003 Agreement
Clerk of lhe
Circuh coun
Danny L. Kolhage
(305) 292-3550 Office (305) 295-3663 Fax
MemnrandJJm
To: Peter Horton, Director
KWIA
From:
Attn: Bevette Moore
Isabel C. DeSantis, l V
Deputy Clerk yP
Date: Thursday, November 13, 2003
At the BOCC meeting of October 15, 2003, the Board approved the following:
Master Agreement to Manage and Implement Noise Mitigation Projects and
Professional Service Order for implementation of the Noise Insulation Program Phase 3 A
& E Services, for the Key West International Airport between Monroe County and THC,
Inc.
Attached hereto are duplicate originals of the above documents for your
handling. Should you have any questions concerning the above, please do not hesitate
to contact this office.
cc: Finance
County Attorney
File v'
THIS MASTER AGREEMENT between Monroe County, a Florida municipal corporation (hereinafter called
"COUNTY"), represented by Peter Horton, Airport Director, Monroe County Department of Airports, and THC,
Inc., (hereinafter called "CONSULTANT") is entered into on and is effective as of the issuance of a Notice-
to-Proceed with Services from the COUNTY to the CONSULTANT.
1. SCOPE OF SERVICES
The CONSULTANT shall manage and implement all noise mitigation projects in and around the noise
impacted areas in close proximity to Key West International Airport. CONSULTANT shall specifically
perform all tasks to an acceptable level of effort set forth in the Project Scope, which is attached hereto as
Exhibit A. The COUNTY, to initiate performance under this Agreement, shall issue an individual
Professional Service Order to the CONSULTANT for each phase of the noise mitigation program. Each
Professional Service Order will be agreed to form and content between the COUNTY and the
CONSULTANT, and initiated via a Notice-to-Proceed with Services. All tasks described in each
Professional Service Order will be performed by the CONSULTANT via the lump-sum contract format.
Professional Service Orders must be executed by COUNTY and CONSULTANT authorized
representatives as set forth in the Agreement. In providing services under this Master Agreement, and all
associated Professional Service Orders, the CONSULTANT shall report directly to the Airport Noise
Mitigation Program Coordinator, Ms. Carn Freije. The CONSULTANT shall, upon receipt of each duly
executed Professional Service Order, perform the work described in the Professional Service Order in
accordance with Exhibit "A" as may be required in said Professional Service Order.
2. STAFFING
CONSULTANT'S employees enumerated below are to be assigned to the project:
1. Steve Vecchi - Director of Sound Insulation Programs. Mr. Vecchi will provide overall program
consultation and guidance to the COUNTY and the consultant team. Mr. Vecchi will travel to Key West
for various meetings, consultant team coordination and planning sessions.
2. Angela Ebarb - Project Manager. Ms. Ebarb will serve as the Project Manager and travel extensively to
Key West for on-site work. She will also provide services to the project while away from Key West.
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CONSULTANT shall not replace the above named persons without the prior approval of COUNTY. If a
successor to one of the assigned persons cannot be mutually agreed upon, COUNTY shall have the right to
terminate this Agreement upon thirty (30) days' notice. Any replacement of other listed personnel shall be
by persons of equal qualifications, which shall be attested to by CONSULTANT. The above named
persons shall be required to give this contractual obligation top priority. CONSULTANT shall provide, at
its own expense, all personnel required in performing the services under this Agreement. Such personnel
shall not be employees of, or have any other contractual relationships with, the COUNTY.
3. DATES OF PERFORMANCE
THIS AGREEMENT shall commence upon receipt by the CONSULTANT of a Notice-to-Proceed with
Services for the first Professional Service Order. The COUNTY will issue the Notice-to-Proceed with
Services to the CONSULTANT upon receipt of federal and state grant funds and at the COUNTY'S
discretion. This agreement will terminate upon completion of tasks associated with the final Professional
Service Order issued by the COUNTY.
4. COMPENSATION
The CONSULTANT will perform the services described in each individual Professional Service Order for
the Lump-Sum Amount agreed to by the COUNTY and the CONSULTANT. This lump-sum amount for
each Professional Service Order represents a not-to-exceed amount which includes the CONSULTANT'S
professional fees and associated expenses for the completion of the project scope associated with each
individual Professional Service Order. This lump-sum amount also includes all sub-consultant fees and
associated expenses. COUNTY shall pay the CONSULTANT upon CONSULTANT'S percent of
completion of tasks identified within each Professional Service Order.
In case of termination of the contract before completion of the work, the CONSULTANT will be paid only
for the work completed as of the date of termination as determined by the COUNTY.
5. BILLING
CONSULTANT shall provide COUNTY with monthly billings which shall include, but not be limited to,
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the following:
A. Percentage completion of each task performed to date.
B. General task performed.
C. A summary of the amount of the monthly bill designated to the sub-consultant and DBE firms, and a
total to date designated to those firms.
6. OWNERSHIP OF DATA
Upon completion of the work or upon termination of the Agreement, it is understood that all completed or
partially completed data, drawings, records, computations, survey information, and all other material that
CONSULTANT has collected or prepared in carrying out this Agreement shall be provided to and become
the exclusive property of COUNTY. Therefore, any reports, information, and data given to or prepared or
assembled by CONSULTANT under this Agreement shall not be made available to any individual or
organization by CONSULTANT without the prior approval of COUNTY.
No reports, maps, or other documents produced in whole or in part under this Agreement shall be the subject
of an application for copyright by or on behalf of CONSULTANT.
7. REPORTS
Contractor shall provide written progress reports to COUNTY on a monthly basis or as directed by the
COUNTY.
8. AUDIT AND INSPECTION OF RECORDS
CONSULTANT shall permit the authorized representatives of the COUNTY Auditor, after reasonable
notice, to inspect and audit all data and records of CONSULTANT and any of its subcontractors relating to
carrying out this Agreement for a period up to three years after completion of the Agreement.
9. AFFIRMATIVE ACTION
The CONSULTANT assures that it will undertake an affirmative action program as required by
14 CFR Part 152, Subpart E, to insure that no person shall on the grounds of race, creed, color, national
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origin, or sex be excluded from participating in any employment activities covered in 14 CFR Part 152,
Subpart E. The CONSULTANT assures that no person shall be excluded on these grounds from
participating in or receiving the services or benefits of any program or activity covered by this subpart. The
CONSULTANT assures that it will require that its covered sub organizations provide assurances to the
CONSULTANT that they similarly will undertake affirmative action programs and that they will require
assurances from their sub organizations, as required by 14 CFR Part 152, Subpart E, to the same effect.
10. DISADVANTAGED BUSINESS ENTERPRISE
The CONSULTANT shall comply with Momoe County Ordinance 56.30 and CFR 49 Part 23, which has an
overall goal of Fifteen Percent (15%) participation of certified disadvantaged business enterprises (DBE). In
accordance with these goals, the contractor shall ensure, to the best of its ability that DBE's have the
maximum opportunity to participate in this project.
11. NONDISCRIMINATION AND EQUAL OPPORTUNITY PROVISIONS
REQUIRED BY GENERAL ORDINANCES OF MONROE COUNTY
In the performance of work under this Agreement, the CONSULTANT shall not discriminate against any
employee or applicant for employment because of race, color, national origin, age, sex, or handicap, which
shall include, but not be limited to the following:
Employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination;
rates of payor other forms of compensation; and selection for training, including apprenticeships.
CONSULTANT will post in conspicuous places, available for employees and applicants for employment,
notices to be provided by the COUNTY, setting forth the provisions ofthe nondiscriminatory clause.
CONSULTANT agrees to strive to implement the principles of equal employment opportunities through an
effective Affirmative Action program. The program shall have as its objective to increase the utilization of
women, minorities and handicapped persons, and other protected groups, at all levels of employment in all
divisions of the CONSULTANT'S work force, where these groups may have been previously underutilized
and underrepresented. CONSULTANT also agrees that in the event of any dispute as to compliance with
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the aforestated requirements, it shall be its responsibility to show that it has met all such requirements.
When a violation of the nondiscrimination, equal opportunity or Affirmative Action provisions of this
section has been determined by COUNTY, CONSULTANT shall immediately be informed of the violation
and directed to take all action necessary to halt the violation, as well as such action as may be necessary to
correct, if possible, any injustice to any person adversely affected by the violation, and immediately take
steps to prevent further violations.
12. INDEMNITY
The CONSULTANT agrees to the fullest extent permitted by law to indemnify, defend and hold harmless
the COUNTY and its agents, officers, and employees from and against all loss or expense including costs
and attorney's fees by reason of liability for damages, including suits at law or in equity, caused by any
wrongful, intentional, or negligent act or omission of the CONSULTANT or its (their) agents which may
arise out of or are connected with the activities covered by this agreement.
13. INSURANCE
The CONSULT ANT shall purchase and maintain policies of insurance and proof of financial responsibility
to cover costs as may arise from claims of tort, statutes and benefits under Workers' Compensation laws, as
respects damage to persons or property and third parties in such coverages and amounts as required and
approved by the COUNTY Risk Manager. Acceptable proof of such coverages shall be furnished to the
COUNTY Risk Manager prior to services commenced under this agreement.
The Consultant shall provide evidence of the following coverages and minimum amounts.
Type of Coverage
Minimum Limits
Florida Workers' Compensation
Employer's Liability & Disease
Statutory
$100,000/$500,000/$100,000
General Liability
General Aggregate
Bodily Injury & Property Damage
$1,000,000 Per Occurrence
$1,000,000 Aggregate
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Personal Injury
Contractual Liability
Fire Legal Liability
$1,000,000 Per Person
$1,000,000 Per Occurrence
$50,000 Per Occurrence
Professional Liability
Errors & Omissions
$1,000,000 Per Occurrence
$2,000,000 Aggregate
Refer to the sub-paragraph entitled "Professional Liability - Additional Provisions" below for additional
conditions
Automobile Liability
Bodily Injury & Property Damage
All autos owned, non-owned
and! or hired
Uninsured Motorists
$500,000 Per Accident
Per Florida Requirements
The COUNTY shall be named as an additional insured as their interests may appear as respects the services
provided in this agreement. A thirty (30) day written notice of cancellation, non-renewal, or material
change shall be afforded to the COUNTY.
The insurance specified above shall be placed with an A rated carrier per Best's Rating Guide approved to
do business in the State of Florida. Any deviations or waiver of required coverages or minimums shall be
submitted in writing and approved by the COUNTY Risk Manager as a condition of this agreement.
Waivers may be granted when surplus lines and specialty carriers are used.
A Certificate of Insurance shall be submitted for review to the COUNTY for each successive period of
coverage for the duration ofthis agreement.
COMPLIANCE WITH GOVERNMENTAL REQUIREMENTS
The Consultant shall evidence satisfactory compliance for Unemployment Compensation and Social
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Security reporting as required by Federal and State laws.
PROFESSIONAL LIABILITY - ADDITIONAL PROVISIONS
The Consultant agrees to provide additional information on their professional liability coverages as respects
policy type, i.e., errors & omissions for consultants, architects, and/or engineers, etc.; applicable retention
levels; coverage form, i.e., claims-made, occurrence; discovery clause conditions, and effective, retroactive
and expiration dates, to the COUNTY Risk Manager as may be requested to obtain approval of coverages as
respects this section.
It is understood and agreed that coverages which apply to the services inherent in this agreement will be
extended for two (2) years after completion of all work contemplated in this project if coverage is written on
a claims-made basis.
The Consultant shall certify and make available loss information from any Insurer as to any claims filed or
pending against any and all professional liability coverages in effect for the past five (5) years, is requested.
The Consultant shall certify to inform the Owner of any claims filed for errors and omissions that may be
covered under professional coverages pursuant to the work within ten (10) days of notice of the occurrence
or claim filing whichever is sooner.
Deviations and waivers may be requested in writing based on market conditions to the COUNTY Risk
Manager. Approval shall be given in writing of any acceptable deviation or waiver to the Consultant prior
to the Consultant effecting any change in conditions as contained in this section. Waivers shall not be
unduly withheld nor denied without consultation with the consultant.
It is understood and agreed that the Consultant will obtain information on the professional liability
coverages of all sub-consultants and/or sub-contractors in the same form as specified above, as applicable
and reasonable, for review of the Owner.
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NOTE: Professional liability will be required for Architectural and Engineering design and supervision. If
the principal consulting firm is not eligible for this coverage, the principal consulting firm shall disclose the
sub-consultant who will perform the Architectural and Engineering design work and evidence the existence
of professional liability coverages for such sub-consultants as respects this section.
14. TERMINATION BY CONSULTANT
CONSULTANT may, at its option, terminate this Agreement upon the failure of the COUNTY to pay any
uncontested amount which may become due hereunder for a period of forty-five (45) days following
submission of appropriate billing and supporting documentation. Upon said termination, CONSULTANT
shall be paid the compensation due for all services rendered through the date of termination including any
retainage.
15. TERMINATION BY COUNTY FOR VIOLATIONS BY CONSULTANT
If CONSULTANT fails to fulfill its obligations under this Agreement in a timely or proper manner, or
violates any of its provisions, COUNTY shall thereupon have the right to terminate it by giving thirty (30)
days' written notice of termination of contract, specifying the alleged violations and effective date of
termination. It shall not be terminated if, upon receipt of the notice, CONSULTANT promptly cures the
alleged violation prior to the end of the thirty (30) day period. In the event of termination, the COUNTY
will only be liable for services rendered through the date of termination and not for the uncompleted
portion, or for any materials or services purchased or paid for by CONSULTANT for use in completing the
Agreement.
16. INDEPENDENT CONSULTANT
Nothing contained in this Agreement shall constitute or be construed to create a partnership or joint venture
between COUNTY or its successors or assigns and CONSULTANT or its successors or assigns. In
entering into this Agreement, and in acting in compliance herewith, CONSULTANT is at all times acting
and performing as an independent contractor, duly authorized to perform the acts required of it hereunder.
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17. ASSIGNMENT/SUBCONTRACTING
Assignment of any portion of the Scope of Services must have the prior written approval of COUNTY,
except as otherwise provided in Section 10, Disadvantaged Business Enterprise, subcontracting of any
portion of the Scope of Services must have the prior written approval of COUNTY.
18. ASSIGNMENT LIMITATION
This Agreement shall be binding upon and inure to the benefit of the parties and their successors and
assigns; provided, however, that neither party shall assign its obligations hereunder without the prior written
consent of the other.
19. PROHIBITED PRACTICES
CONSULTANT during the period of this contract shall not hire, retain, or utilize for compensation any
member, officer, or employee of COUNTY or any person who, to the knowledge of CONSULTANT, has a
conflict of interest.
20. NOTICES
Notices to COUNTY provided for in this Agreement shall be sufficient if sent by Certified or Registered
Mail, postage prepaid, addressed to Ms. Carri Freije, Airport Noise Mitigation Program Coordinator, Key
West International Airport, 3491 S. Roosevelt Boulevard, Key West, Florida 33040; and notices to
CONSULTANT shall be sufficient if sent by Certified or Registered Mail, postage prepaid, to, Joe A.
Carroll, President, THC, Inc., Sugarloaf Corporate Center, 2180 Satellite Boulevard, Suite 160, Duluth,
Georgia, 30097, or to such other respective addresses as the parties may designate to each other in writing
from time to time.
21. MISCELLANEOUS
This Agreement shall be interpreted and enforced under the laws and jurisdiction of the State of Florida.
This Agreement constitutes the entire understanding between the parties and is not subject to amendment
unless agreed upon in writing by both parties hereto. CONSULTANT acknowledges and agrees that it will
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perform its obligations hereunder in compliance with all applicable state, local or federal laws, needs,
regulations and orders.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day, month, and year first
above written.
WITNESS:
COUNTY:
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EXHIBIT A
SCOPE OF WORK
THC Consultant Tasks
~ Administer all noise mitigation programs including, residential sound insulation, institutional sound
insulation, purchase assurance program (purchase resale program), acquisition/relocation program, any
other noise related program.
~ Direct and monitor all sub-consultant tasks
~ Provide Monroe County with closeout reports and assist in proj ect closeout of FAA grants.
~ Prepare all graphics necessary for presentations at the above referenced meetings.
~ Conduct all homeowner interviews
~ Develop all necessary paperwork and material relative to the appropriate noise mitigation programs
~ Consult with and interact with the participating public, county officials, local elected officials, etc. on a
daily basis
~ Administer homeowner orientation (location, visual, sound)
~ Administer contractor orientation (location, visual, sound)
~ Assist in development of contractor training course (with CM sub)
~ Administer block prioritization method
~ Administer design and construction schedule
~ Administer document tracking, schedules and database management
~ Administer Homeowner communication
~ Administer Homeowner orientation presentation and notebook
~ Administer contractor training and certification
~ Administer contractor deficiency points, suspensions and disqualification
~ Administer program update and newsletter
~ Administer legal documents
~ Administer product showroom
~ Administer all payment applications with Monroe County
~ Oversee all SIP processes and tasks (orientation, design, pre-bid open house, pre-construction)
~ Administer periodic meeting format (Monroe County, THC and sub-consultants)
~ Administer Contractor outreach program and material
~ Develop media releases and general public relations materials as necessary
~ Maintain and update as necessary homeowner survey material
~ Oversee process to distribute warranties
~ Coordinate SIP process with all eligible institutions such as schools, churches, day care facilities, etc.
Appraiser Sub-Consultant Tasks
~ Prepare appraisal reports in accordance with all applicable federal and state regulations
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~ Provide expert testimony as necessary
Review Appraiser Sub-Consultant Tasks
~ Prepare review appraisal reports in accordance with all applicable federal and state regulations
~ Provide expert testimony as necessary
Land Acquisition and Relocation and Sales Assistance Tasks
~ Provide a plan for relocation of residential and business owners and/or tenants.
~ Conduct a property inventory and assess the needs and characteristics of the displacees.
~ Prepare comparable housing determinations and make offer presentations to each property owner.
~ Oversee displace move from displacement dwelling into replacement dwelling.
~ Provide negotiations services in acquire property.
~ Prepare real estate analysis of property values and reports as necessary
~ Assist in the administration of relocation regulations and benefits
~ Administer appeals procedures for displaces.
~ Provide relocation advisory services.
~ Assist in the administration of sales assistance for property owners selling their homes
~ Assist in any update of property values relative to the determination of the value of an avigation easement
Surveyor Sub-Consultant Tasks
~ Prepare boundary line surveys for each parcel acquired in the Property Acquisition Phase. Each survey will
require a layout of the property's boundary lines with the measurement of each line stated, and an outline of
the improvements as they sit relative to the boundary lines.
Environmental Sub-Consultant Tasks
~ Prepare limited environmental audits on each property to be purchased.
~ Advise and prepare phase I environmental assessments where necessary
~ Advise and prepare phase II environmental assessments where necessary
~ Oversee and direct environmental clean-up where determined necessary
Land Clearance Sub-Consultant Tasks
~ Perform asbestos investigation and sampling on dwelling components for supplying asbestos abatement
contractors with specifications and quantities for asbestos removal. Services include construction
administration, inspections and final reporting.
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~ Assist in the establishment of a property management program for newly acquired land.
~ Develop plans and specifications for site clearing, demolition, security and vegetation establishment.
~ Assist in securing contractors through competitive bidding process.
~ Oversee demolition and land clearance phase of project.
Architectural Sub-Consultant Tasks
~ Conduct visual survey of homes
~ Revise specs and review local codes/ordinances
~ Review and select program products, styles, colors
~ Assist THC in the program showroom
~ Assist THC in the development of homeowner waivers (moisture, structural, preference)
~ Coordination with CM sub-consultant
~ Administer design process (CAD, measurements, acoustic package)
~ Administer bid opening, review and award process
~ Research and maintain HV AC policies
~ Monitor and manage data base input process
~ Provide local mechanical services analysis, review and guidance
~ Provide local electrical services analysis, review and guidance
~ Provide local structural services analysis, review and guidance
Ventilation Tasks
~ Maintain and revise ventilation standards
~ Ventilation design analysis and recommendations
~ Ventilation post-test analysis and recommendation
~ Maintain design ventilation modifications and strategies
~ Maintain and coordinate local ventilation alliance
Database Development Tasks
~ Maintain Key West SIP database
~ Maintain THC house and process scheduler databases
~ Maintain and update database software as necessary
~ Provide required staff training
~ Provide mechanism for CM downloads
~ Provide mechanism for all AlE downloads, past CAD as well as future
~ Provide mechanism for Ventilation downloads
~ Provide mechanism for CM and GMIA access
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~ Provide mechanism to convert current database
~ Provide connection with existing GIS database
Construction Management Tasks
~ Daily site inspections & reports
~ Pre-construction walk-through inspections
~ Monitor contractor performance
~ Issuance of contractor deficiency points and associated penalties
~ Prepare payment recommendations
~ Change order processing & site problem solving
~ Developing punch-list and providing final inspection
~ Assist THC in homeowner communication (during construction)
~ Conduct monthly contractor meetings
~ Attend weekly project status meetings
~ Assist THC in contractor training sessions
~ Assist THC in Homeowner Orientations (Q&A section)
~ Assist Architect & THC for revisions to specification
Legal Tasks
~ Maintain and revise Homeowner Work Agreement Contract
~ Maintain and revise contract amendments and waivers
~ Maintain and revise Contractor Eligibility Agreement
~ Maintain and revise construction specifications and general conditions
~ Maintain and revise contractor certification process
~ Maintain and revise construction contract
~ Maintain and revise homeowner documents
~ Review and consultation of ventilation policy
~ Review and consultation of product manufacture issues
~ Review and consultation of bid issues
~ Prepare title examinations
~ Close the acquisition of all land purchases
~ Process mortgage consent letters and agreements
~ Process all lien waivers and secure clearance of any property deed issues relative to the purchase of
property rights
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ACORDN CERTIFICATE OF LIABILITY INSURANC~~~~ 6~ DATE (MMIDDIYY)
10/29/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Jim Anderson & Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
121 Langley Dr HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 100000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Lawrenceville GA 30046 INSURERS AFFORDING COVERAGE
Phone: 770-962-4111 Fax:770-339-2062
INSURED INSURER A: CINCINNATI INS CO
INSURER B: TWIN CITY FIRE INS CO
T. H. C., Inc. INSURER C: ROYAL SURPLUS LINES INS. CO.
Susan Edwards
2180 Satellite Blvd. Ste.160 INSURER 0:
Duluth GA 30097
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.
II~~~ TYPE OF INSURANCE POLICY NUMBER b~~IrM.lib5T-#( DATE ::~~rg'-JJt?N LIMITS
GENERAL LIABILITY ~H OCCURRENCE $ 1000000
f-
A X COMMERCIAL GENERAL LIABILITY CAP5481012 04/18/03 04/18/04 FIRE DAMAGE (Anyone fire) $ 500000
I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 10000
PERSONAL & ADV INJURY $ 1000000
-
GENERAL AGGREGATE $ 2000000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000
i-n PRO-n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $1,000,000
A ANY AUTO CAP5481012 04/18/03 04/18/04 (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS A~n~~f13H! (Per person)
f-- r3~,t/.jA..'tEMf rt,.l2A.A,J.j
~ HIRED AUTOS BODILY INJURY
BY . U.n. $
~ NON-OWNED AUTOS "I I)/ (i'j (Per accident)
\( l(p I PROPERTY DAMAGE
DATE n~ (Per accident) $
GARAGE LIABILITY WAIVER N/Ai ~YES AUTO ONLY - EA ACCIDENT $
=l ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000
A ~ OCCUR D CLAIMS MADE CAP5481012 04/18/03 04/18/04 AGGREGATE $ 1,000,000
$
=1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I TORY LIMITS I X I U J~-
B EMPLOYERS' LIABILITY 20WECEU7672 OS/25/03 04/18/04 $ 500,000
EL, EACH ACCIDENT
EL DISEASE - EA EMPLOYEE $ 500,000
EL. DISEASE - POLICY LIMIT $ 500,000
OTHER
C Professional Liab. K2HR701799 06/01/03 06/01/04 Per Claim $2,000,000
Aaareaate $2,000,000
DESCRIPTION OF OPERA TlONSlLOCA TlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Certificate holder, Monroe County is named as additional insured with regard
to General Liability and Excess/Umbrella Liability.
CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ...3..0.- DAYS WRITTEN
Monroe County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
1100 Simmon ton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND U,N THE INSURER, ITS AGENTS OR
Key West FL 33040 .........."''''ES. ~ . .,f #
AUTHORIZED REPRESENT~r,., ~_ .-~
I GREG WHITLOCK."Y r,,-." -
ACORD 25-S 7/97 ,
@ACORDCORPORATION 1988
FROM JI.M ANDERSON & CO
(WED) 11. 5' 03 17: 06/8T. 17: OJ/NO. 4862040437 P 2
&
JIM ANDERSON & CO.
ANDERSON INSURANCE
121 Langley Drive. P.O. Box 100,000. LAWRENCEVILLE, GA 30046
Tel. (770) 962-4111 · Fax (770) 339-2062
2090 Columbiana Road. Suite 2000 · BIRMINGHAM. AL 35216
Tel. (205) 979-7389 · Fax (205) 979-6873
November 5, 2003
Ms. Maria Slavik
Monroe County, Risk Mgt
1100 Simmonton Street
Key West, FL 33040
RE: T.H.C., Inc.
Dear Maria:
I am writing in correspondence to the work TRC, Inc. is doing for Monroe County. It
is my understanding that you are requesting to be added onto T.H.C.'s automobile
liability policy as an additional insured. The purpose of my letter today is to confirm
with you thal T.Re., Inc. does not have any owned vehicles, so they do not have an
automobile insurance policy.
To protect T.H.e., Inc. from exposure to vehicles being driven for work. but are not
titled in the name ofT.H.C., Inc., we have endorsed their genera11iability policy to
included hired and non-owned automobile liability insurance. Since you have already
been added as an additional insured on the generalliahility policy, you are
automatically an additional insured for the hired and non-owned automobile liability
coverage.
If you should have any further questions, please contact me or Helen Cushing at my
office.
Sincerely,
6~' /Jj.#
Gre~Ck, CIC
Commercial Insurance Specialist
cc: Susan Edwards
~
Home · Auto · Life . Health · Business
Solutions@Andersonlns.com
www.Andersonlns.com
.Sep 30 03 12: 4Sp
p.2
NUlj , \\ ~
' ...--,
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list
following a conviction for publie entity crime may not submit a bid on a
contract to provide any goods or services to a public entity, may not submit a
bid on a contract with a public entity for the construction or repair of a public
I
building or public work, n:ay not submit bids oflleases of real property to
public entity, may not be awarded or perform work as a contractor, supplier, .
subcontractor, or consultant under a contract with any public entity, and may
not transact business with any public entity in excess of the threshold amount
provided in.Section 287.017, for CATEGORY TWO for a period of36
months from the date of being placed on the convicted vendor list. II
cP~~IUre) -II
Date: 9- 3D - () :5
STATE OF
C:re,or~
V\) OJ..;~ _
COUNTY OF
PERSONALLY APPEARED BEFORE ME, the undersigncd authority,
'JOe. A-. wroU.
who, after first being sworn by me, affixed his/her
signature (namc of individual signtng) in tbe space provided above on this 30 day of
~ )~O=3.
~~
-- .::
NO ARY PU HEATHERP.FAlJBERT
NoIory PubIc
My commission expires: == ' .'
My CormlIssIon ExpIres Augt..ii 2 J. 2007
~ep 30 03 02:35p
p.2
SWORN STATEMENT UNDER ORDINANCE NO. 10-1990
MONROE ~=OUNTY, FLORIDA
ETHICS CLAUSE
T /1(2. 7", t!- '" _ ~__ warrants that he/it has not employed, retained
,
or othclwise had act on hislits behalf any km1er County officer or employee in violation of
Section 2 of Ordinance No.1 0-1990 ,or any County officer or employee in violation of
Section 3 of Ordinance No.1 0-1990. For breach or violation of this provision the County
may, in its discretion, terminate this contract without liability and may also, in its discretion,
deduct from the contract or purchase price, or otherwise recover, the full amount of any fee,
commission, percentage, gift, or consideration paid to the fOImer County officer or employee.
~R-A3-~~
V -, (signature)
Date: 9-.:3tJ-tJ3
-If
STATE OF A.,~
COUNTYOF~
PERSONALL Y APPEARED BEFORE ME, the undersigned authority,
r~,.~
who, after first being sworn by me, affixed hislher
signature (name of individual signing) in the space provided above on this
oJ(/)
day of
~ ,H"~".$
~h.~
NOTARYPUBLlC
My commission expires:
SUSAN G EOWARZ::;
~County.G~,~
!JqlIree" 4.
OMB - MCP FORM #4