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Item C18
r BOARD OF COUNTY COMMISSIONERS AGENDA ITEM SUMMARY Meeting Date: March 19 2008 Division: Budget & Finance Bulk Item: Yes X No Department: Purchasing Staff ContactPerson: Carlos Victores AGENDA ITEM WORDING: Approval to renew Buccaneer Contract for 4th year of original 4 year Contract To cover period from March 16, 2008 thru March 15, 2009. ITEM BACKGROUND: On March 15, 2005 Buccaneer Courier was again awarded the courier contract via sealed bid process For a period of 4 years with renewal options each year. PREVIOUS RELEVANT BOCC ACTION: On February 21, 2007 the BOCC approved a renewal of the contract for the 3rd year of the original 4 year term dated March 1, 2005.. CONTRACT/AGREEMENT CHANGES: Renewal STAFF RECOMMENDATIONS: Approval TOTAL COST: $ 72,960.00 BUDGETED: Yes X No COST TO HEALTH DEPT: _$ 6,840.00 SOURCE OF FUNDS: STATE COST TO COUNTY: $ 66.120.00 SOURCE OF FUNDS: AD VALOREM REVENUE PRODUCING: Yes _ No X AMOUNT PER MONTH Year APPROVED BY: County Atty O rchasing Risk Management DIVISION DIRECTOR APPROVAL: DOCUMENTATION: Included DISPOSITION: Revised 2/05 Not Required_ AGENDA ITEM # MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CONTRACT SUMMARY Contract with: Buccaneer Courier Contract # Effective Date: March 16, 2008 Expiration Date. March 15, 2009 Contract Purpose/Description: Renewal of Contract for 4th year of original 4 year contract. Contract Manager: Carlos Victores 4466 Purchasing Stop #1 (Name) (Ext.) (Department/Stop #) for BOCC meeting on March 19, 2008 Agenda Deadline: March 4, 2008 CONTRACT COSTS Total Dollar Value of Contract: $ 72,960.00 Current Year Portion: $ 42,560.00 Budgeted? Yes® No ❑ Account Codes: 001-06030-530-340- Grant: $ - County Match: $ - - ADDITIONAL COSTS Estimated Ongoing Costs: $200.00/yr For: bags,tags, repairs to lock boxes (Not included m dollar value above) (eg. maintenance, utilities, janitorial, salaries, etc.) CONTRACT REVIEW Chat D to W Nee, Division Director a- Zv Zees❑ Risk Manage enYes❑ OtvI ' .VQ5&a9ing a ,1 i -OK Yes❑ County Attorney cl RE Yesn NoK] Comments: OMB Form Revisecl 2/27/01 MCP #2 Date Out COURIER SERVICE AGREEMENT Fourth Renewal THIS Fourth Courier Service Agreement Renewal ("Fourth Renewal") is entered into this day of 2008, between the Monroe County Board of County Commissioners ("County") and Buccaneer Courier (Buccaneer"). WITNESSETH: WHEREAS, on March 15, 2005, the parties entered into a one year contract for courier services with options to consecutively extend the contract for additional three one-year terms; and WHEREAS, the contract was amended on January 18th, 2006 for an increase of $ 10.00 per courier stop per month; and WHEREAS, the contract still has one option for additional one-year term; and WHEREAS, County desires to exercise its option to extend the contract from March 16, 2008, until March 15, 2009, and deems said arrangement to be in the best interest of the County; NOW, THEREFORE, IN CONSIDERATION of the mutual promises contained herein, the parties hereby agree to renew and extend the existing contract, as previously amended, as follows: 1. The agreement shall be extended for a one-year period commencing March 16, 2008, and ending March 15, 2009. 2. In all other respects, the Agreement entered March 15, 2005, as amended January 18, 2006, shall remain in full force and effect. IN WITNESS WHEREOF, the parties have caused these presents to be executed in their respective names. Attest: LI-M Deputy Clerk BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA By: Mayor Charles "Sonny" McCoy MONROE COUNTY ATTORNEY PROVE TO FORM: ¢,tb HRISTINE M. L M ER - ARROWS ASSANT�C Y_ ,PTTORNEY Date p� / Thcy forgot to put their' bogs out last }rights Courier Stop List EXHIBIT A (32 Courier Stops) T forgot the stop number... 1 1 "onroe County Courier Service Stops STOP #1 The Historic Gato Cigar Factory CAD County Administrator 1100 Simonton Street SAF Safety Office The Mail Room ART Monroe Council of the Arts Key West, Florida 33040 GRP Group Insurance WKC Workers Compensation PER Personnel Office OMB Budget Office PUR Purchasing Office GRT Grants Office CDF Code Enforcement OUT TO KE.Y WEST CSD Community Service Division 10A5 AM and 2:30 PM EXS Extension Services OUT TO KH.YS NORTH SSD Social Services Dept, 5:00 PM PWD Public Works Division from Keys orth to Key West CMD Construction Management 8:00 AM ENG Engineering Department SWM Solid Waste Management ART Monroe Council of the Arts STOP #2 Monroe C? my Health Dept. DOH Department Of Health The Histori Cato Cigar Factory 1100 Simoon Street, I't Floor Key West, lorida 33040 STOP #2 A DOH Department Of Health Monroe Coon y Health Care; Center (Depoo Hospital) Kennedy Drive Key West, lflorida 33040 EXHIBIT A (32 Courier Stops) STOP #-2-1R. DOH Department Of Health Monroe Uoupty Roosevelt Sainds Center Olivia Street Key West, F rida 33040 STO #3 1201 White treet, Suite 102 Key West, F orida 33040 STO #4 3583 S. Ro sevelt Blvd. Key West, F orida 33040 STQP #5, 3491 S. Ro sevelt Blvd. Key West, orida 33040 ST P #5-B. The Harvey Gout. Center located in a Historic Truman Building 1200 Tru Avenue Key West, orida 33040 i STOP #6, 700 Fleming Street Key West, J�lorida 33040 i TDC Tourist Development Council FMS Fleet Management Service PFM Public Facility Maintenance RDS Road Department APK Airport Director's Office TSD Technical Services Dept. VAD Veteran Affairs Dept. TAX Tax Collector, I" floor LAT Land Authority LIB Key West Library EXHIBIT A (32 Courier Stop) i STOP#7 CAY County Attorney 502 Whitehe d Street RSK Risk Management Key West, F orida 33040 SPE Commissioner Spehar MCC Commissioner McCoy STO #s Monroe Co ty Courthouse CTA Court Admini$trator 500 Whiteh d Street CLK Clerk of the Courts Key West, F orida 33040 PAO Property Appraiser Office FIN Finance Department PAY Payroll Department SOE Supervisor of Elections STA State Attorney ST P #9 :lop M Monroe Co my Bayshore Manor SSB Bayshore Manor 5200 Colle a Road Key West, 33040 ST P #9 IBI SHF Sheriff Dept. 5:10 PM BLD Building Dept. (RM 92030) Juvenile Ju ice Building NDF New Detention Facility 5503 Colle a Road MPC Marine Projects (RM #2024) Key West, 33040 GAL Guardian Ad Litem PTS Pre -Trail Services STOP #10 5 A0 PM Cudjoe Ke�', Transfer Station MM #21.5 Blimp Roa Cudjoe Ke}, Florida 33042 HAZ EXHIBIT A (32 Courier Stops) Hazardous Waste Transfer Station STOP #io-A #25 Ships Big Pine I 3-us-i 6:00 PM Big Pine Ke; Big Pine Kel. 213 Key Deg Big Pine Ke, 3vay back) By NUG FL 33043 P #10-B Library LIB Shopping Center FIR .r Blvd. FL 33043 STOP #11 6:30 PM Monroe Cot 2798 Overs( Marathon, F � Regional Service Ctr, Highway, MM 47.5 (gul f) ida 33050 STOP #12 6:35 PM Marathon S 3101 Overs Marathon, I iffs Office Highway, MM 48 (ocean) ida 33050 ST6P #13. 6:40 PM Marathon L brary 3251 Over0as Highway, MM 48 (ocean) Marathon, Florida 33050 Commissioner Neugent Big Pine Key Library Big Pine Key Fire Rescue GMD Growth Management BLD Building Dept, PLN Planning Dept. MRD Marine Resources EVR Environmental Resources CDF Code Enforcement PFM Facility Maint. (Bldg. Super.) PAO Property Appraiser Office EXS Extension Service EMC Emergency Communications SHF Sheriffs Department CTH Courthouse TAX Tax Collector CLK Clerk LIB Marathon Library EXHIBIT A (32 Courier Stops) STO #14 6: 50 PM Marathon vernment Annex FMD Fire Marshall 490 63rd Str et (ocean) Marathon, F orida 33050 EMS Emergency Medical Services EMG Emergency Management FRD Fire Rescue SSD Social Services VAD Veteran Affairs TRS Translator SOE Supervisor of Elections STO #15, 7:00 PM Marathon rport APM Airport Manager's Office 9000 Overs as Highway, MM 51.5 PSD Public Safety Division Office Marathon, F orida 33050 HRS Health Department RIC Commissioner Rice ST P #16. 7.I0 PM Marathon blic Works RDS Road Department 10600 Avia on Blvd. PFM Facility Maintenance Marathon, lorida 33050 ENG Engineering FMS Fleet Management Service ST P# 17. T35 PM Long Key Transfer Station only Transfer St `tion MM 68 U. . # 1 (gulf) Long Key, lorida 33001 STOP #18. 7: SOPM Islamorada t.ibrary LID Islamorada Library MM 81.5 U,S. #I (gulf) Islaorada,; mFlorida 33036 EXHIBIT A (32 Courier S(ops) STO 8:10 PM Plantation K 186 Key Hei Plantation K 8115 PM Ellis Build 88800 OVI Plantation STC 8:20 PM Plantation 88820 Ovi Plantation #19 Public Works P" Public Works its Dr, MNI 88-99 (gulf) EMG Emergency Management Florida 33070 HRS Health Department FMS Fleet Management Service ENG Engineering BLD Building Dept Ls Hwy, MM 88-89 (gulf) TAX Tax Collector Florida 33070 PAO Property Appraiser Office PLN Planning Dept. #21 ernment Center SSD Social Services Ls Hwy, MM 88-89 (gulf) VAD Veteran Affairs Florida 33070 SOE Supervisor of Elections CDF Code Enforcement CLK Clerk of Court STOP #22 8;35 T Key go olunteer Ambulance Corp. KLV 98600 Over eas Hwy, MM 98.6 (median) UKT Key Largo, lorida 33037 STOP #23, 8:45 PM Tradewinds laza LIB 101485 Ovei seas Hwy, NM 101.485 (ocean)TAX Key Largo, Florida 33037 EXHIBIT A (32 Courier Stops) Key Largo Volunteer Amb. Upper Keys Trauma Center Key Largo Library Tax Collector's Office STO 9.00 PM Key Largo I 1180 State 1 Key Largo, 424 sfer Station 1905 (gulf) ida 33037 STOP #25 Transfer Station only 9: l 5 PM Cardsound oll Bridge CDS Card Sound Bridge County Roa 905A US #AlA STO #26, 9A0 PM NEL Commissioner Nelson Damaron B Ming 99199 Over as Highway, Suite II EXS Extension Service Key Largo, 33037 Approx, 11: 0 PM EXHIBIT A (32 Courier Stops) z Q tLl O O Q � W W W U)u~LL.S0 LU U0fA0 ~(DOuj r+ Mai Ln U >ce u�� ce m I Lu a a z F, z W Q O O J O D (n O z O r+ z u Q �p O CL O �O co O u z W z 0- W Cl' W_ D O u Ci w W z Q u u CO r d u d L BID FORM B�D TO: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CIO PURCHASING DEPARTMENT GATO BUILDING ROOM 2-213 1100 SIMONTON STREET KEY WEST, FLORIDA 33040 i BID FROM: �vC �°�`��� E r Cv v c �C� 0 �f The undersiLhacarefully examined the work, specifications, proposal, and addenda thereto and oDocuments for the services of: COURIER SERVICE The Contracting the foregoing bid, agrees to comply with all contract specification documents. C5n per stop per month. Amg Amount in Numbers S� -nlicpmc QSCA (Una $ f t� ,cc-5 per year. ic `I- `v r k/ I acknowlept of Addenda No. (s) I have inclu33through 36of the Bid Proposal which entails the Proposal Form the Non-Colludavit , and the Lobbying and Conflict of Interest Clause , and the Drug Freece Form In addition, I have included a current copy of, Monroe County OcLicense , insurance Agents Statement and all requirements as stated in Se, Article 1.04 Paragraphs A through D. nhove. as a reminder that they are included.) Mailing Addr ss: y 3(-1-7 Telephone: 905 c, \4, �rL 3 3 c-, y 3 Fax: _ te: i c�.C�.��' Witness: Signed: (Seal) �C�-c:nne (Name) i (Title) - 33 - I SWORN STATEMENT UNCOD NRORDINoANCE RIDA NO. 10-1990 MONRO ETHICS CLAUIE wan -ants that he/it has not employed, retained or otherwise had act on his/its behalf any fonner County officer or employee in violation of Section 2 of Ord nance No. 10-1990 or any County officer or employee in violation of Section 3 of Ord nance No, 10-1990. For breach or violation of this provision the County may, in its diser tion, terminate this contract without liability and may also, in its discretion, deduct from the ontract or purchase price, or otherwise recover, the full amount of any fee, commission, -entage, gift, or consideration paid to the former County officer or employee. (signature) .2.. 2 S STATE OF COUNTY OF �y\C'1 It2 L- �- PERSONALL APPEARED BEFOR-E ME, the undersigned authority, \� c �� who, after first being sworn by me, affixed his/her signature nam of individual signing) in the space provided above on this ,7Nt{ day of 20�- NOTARY PUBLIC My commissio' expires.. < OMB - MCP FbRM #4 - 35 - 7 SUSAN M STOCKTON :Notary Public • Stale of Florida _WComer"pnEVimmFeb 19,2007 Commission # DOI85424 Bonded By Notlonal Notary Assn according to la' NON -COLLUSION AFFIDAVIT !�4 A2`S i �i.lf2 of the city of T/roe ��� f on my oath, and under penalty of perjury, deposeaythat: of the firm of �C,2 LIU/li E /L the bidder making the Proposal for the project described in the Notice for Calling for bids for: and that 1 executed the said proposal with full authority t do so: 2. th prices in this bid have been arrived at independently without co munication or agreement for the purpose of restricting competition, as su h prices with any other bidder or with any competitor; collusion, consultation, to any matter relating to 3. un ess otherwise required by law, the prices which have been quoted in this bid have not been kn wingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to bid op ning, directly or indirectly, to any other bidder or to any competitor; and 4, no attempt has been made or will be made b the bidder to induce any other person, partnership or co oration to submit, or not to submit, a bid for the purpose of restricting competition; 5• th statements contained in this affidavit are true and correct, and made with full k owledge that Monroe County relies upon the truth of the statements contained in th s affidavit in awarding contracts for said project. ( nature of Bi der) (Date) STATE O}r`./ I COUNTY OF: I , V111► 2 rA I PERSONALLY APPEARED BEFORE ME, the undersigned authority, ►�� �—� who, after first eing sworn by me, (name of individual signing) affixed ibuve on this day of 20 his/her signature in the space provided NOTARY PUBLIC SUSAN M STOCKTON t b c3iiC�_ :r' Notary Public - State of Ftorlda my Conunissiom,Expires: _ WCorrvn&ibnExph%Feb 19,2007 Commission # DD185424 Bonded By National Notary Assn, - 34 - NON -COLLUSION AFFIDAVIT I of the city of according to lay on my oath, and under penalty of perjury, depose and say that: 2 C Iarn ol'the Firm of the bidder making the Proposal for the project described in the Notice for Calling for bids for: and that 1 executed the said proposal with full authority t do so: prices in this bid have been arrived at independently without collusion, consultation, tmunication or agreement for the purpose of restricting competition, as to any matter relating to h prices with tiny other bidder or with any competitor; 3. un ess otherwise required by law, the prices which have been quoted in this bid have not been kn wingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to bid op ning, directly or indirectly, to any other bidder or to any competitor; and 4. nolattempt has been made or will be made b the bidder to induce any other person, partnership or co oration to submit, or not to submit, a bid for the purpose of restricting competition; 5. th statements contained in' this affidavit are ti-ue and correct, and made with toll k wledge that Monroe County relies upon the truth of the statements contained in th s affidavit in awarding contracts for said project. (Signature of Bidder STATE OF(/ I L_L`f 0-t_\')A COUNTY OF: I 0 D K 17=c lc 2/2'/� (Date) PLRSONALLYIAPPEARED BEFORE ME, the undersigned authority,►'1v1� who, after first being sworn by tile, (name of individual signing) affixed his/her signature in the space provided above on this day of •'i _ 2 0 (6 NOTARY PUBLIC ` �� SUSAN M STOCKTON l ; o= Notary Public • State of Florida My Commission Expires: �___ ' _.__ t /h/ Cornmkssbn EpIr-Feb 5 2002 ' Commission # DD185424 .'.• Bonded By Notional Notary Aun 34 - nooms 0 n e.IJ,--CANEEF,, C KAE'�TNER Ji PC- P,CX 430 [:I,-) PINE K "It t OM- S A IAX 0 AN IV rIJHFM \,AU0AIG0 p 0 0000000000 014 2 0 0 5 51- IJ I P',-A i EC' IN P I C 1 J 'J f't SEATS f,l r C) 1! 1 T I & F F I C E IF W-INPOF )ANNE `3 y 3 0 E D H E N R I Q U F 7- TAX 1-OLLECTOR Ox 1 12 9 - KEY WEST FL 33041-1129 M E E= m u f- 0000002500 0000292400065882 1001 4 z 0 rj Sands of the Keys George San s 87899 U S wy. 1 Tavernier, F 33036 305-852-43 8 HospiceXN A of FI Keys 1319 Williwn St. Key West, FL 33040 305-294-88 12 Clear Ch el Maryanne ibbons 93500 Ove eas Hwy. Tavernier, L 33036 305-852-90 5 References Delivery of all toner for 9 years Delivery of interoffice paperwork for 9 years Delivery of interoffice paperwork for 9 years Car Parts A to Delivery of auto parts for 9 years Chri s Pare i 22 First Av nue Rock Harb r, FL 33037 305-852-4336 Coldwell B er Schmidt Realty Delivery of interoffice mail for 2 ye: DD 11100 Ove eas Hwy. Marathon, L 33050 305-743-5 81 Office Supply Elaine ' 202107`h treet Marathon, 7L 33050 305-743-5 40 Delivery of office supplies for 5 yea i Buccaneer ourier has been owned and operated by Joanne and William Kaestner for the past seven years. Prior to purchasing the business, we operated it for two years. In the past nne years, we have never missed a work day. We close only on national holidays and when Monroe County and other business offices are closed. The Monday following H irricane Georges we were operational. COURIER SERVICE AGREEMENT Second Renewal This Second Renewal of Agreement is entered into by and between Monroe County, a political subdivi5�on of the t to of Florida and Buccaneer Courier ("Buccaneer"), this _--Zi day of , 2007; WTINESSETH: WHEREAS, the parties entered into a Contract for Courier Service dated March15, 2005, and executed a First Renewal of that Contract in 2006; WHEREAS, there was an Amendment to Contract on January 18, 2006; and WHEREAS, in paragraph 5_ TERM OF CONTRACT/RENEWAL this contract is renewable for three additional one-year periods. At this time there are 2 one-year periods remaining as an option for renewal; and WHEREAS, the County desires to exercise its option to extend the contract from March 15, 2007 through March 14, 2008; and NOW THEREFORE, IN CONSIDERATION of the mutuall promises contained herein, the parties hereby agree to renew and extend the existing contract, as previously amended, as follows: This agreement shall be extended for a one-year period commencing March 15, 2007, and ending March 14, 2008. 2. The rate of $190.00 per month per courier stop shall remain the same as agreed to in Amendment to Agreement dated January 18, 2006. In all other respects, the Agreement entered March 15, 2005, as amended January 18, 2006, shall remain in full force and effect. IN WITNESS WHEREOF, the parties have caused these presents to be executed wive names. KOLHAGE, Clerk Deputy Clerk MONROE COUNTY ATTORNEY ::nA5 ,FORM: SUSAN M. GOIJASiEY ASSISTANT COUNTY ATTORNEY Cate 04;� r� •c1 -o7 011,13 BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA 3 v : BY ///?`j �•` _ _ -•c Mayor, Mario N66 naro-i r_ BUCCANEEP,,C �RAR� /> I ry ME _,l r- rn This Amendment to Agreement Is made and entered into this If3th day of January, 2006, between the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter referred to as "COUNTY," and Buccaneer Courier, hereinafter referred to as "COURIER." WHEREAS, the COUNTY and the COURIER entered Into an agreement on April 21, 2005, regarding the provision of courier services, and WHEREAS, COURIER has requested a rate increase due to high cost of fuel, and WHEREAS, the COUNTY desires to amend said agreement to Increase the rate per stop per month; NOW, THEREFORE, I. The contract Is amended by changing paragraph 3 to show a new rate of $ 190.00 per month per courier stop. 2. The effective date of the increase is to begin on February 15, 2006. 3 All other provisions of the contract dated April 21, 2005, not inconsistent herewith, remain in Full force and effect. ESS WHEREOF, the Parties hereto have caused these presents to be executed as of r first written above. �- N1titY tj KOLHAGE, CLERK B Deputy Clerk 0 a WAX �-- C%j a x >-�w U- Q x A N � BOARD OF COUWY COMMISSIONERS OF MONROE C , FLORIDA By --L Mayor/Chairman Buccaneer Courier (Federal ID o. i By Name and Title A40NROE COUNTY ATTAR Y QVED AS T F 2A IV is A. p January 3, 2006 Dear County Commissioners: Please consider this an addendum to our contract due to the rising prices for fuel. We feel it is necessary to add Ten Dollars ($I0, 00) per stop to cover this cost. Ifyou have any questions, please contact me at the above number. Sincerely, Joanne Kaestner COURIER SERVICE AGREEMENT First Renewal THIS First Courier Service Agreement Renewal ("First Renewal") is entered into this 19th day of April, 2006, between the Monroe County Board of County Commissioners ("County") and Buccaneer Courier ("Buccaneer"). WITNESSETH: WHEREAS, on March 15, 2005, the parties entered into a one year contract for courier services with options to consecutively extend the contract for additional three one-year terms; and WHEREAS, the contract was amended on January 18's, 2006 for an increase of $ 10.00 per courier stop per month; and WHEREAS, the contract still has three options for additional one-year terms; and WHEREAS, County desires to exercise its option to extend the contract from March 15, 2006, until March 14, 2007, and deems said arrangement to be in the best interest of the County; NOW, THEREFORE, IN CONSIDERATION of the mutual promises contained herein, the parties hereby agree to renew and extend the existing contract, as previously amended, as follows: 1. The agreement shall be extended for a one-year period commencing March 15, 2006, and ending March 14, 2007, 2. In all other respects, the Agreement entered March 15, 2005, as amended January 18, 2006, shall remain in full force and effect. s f` uty 0 oc z LL- o C vo Lu iCj(p -j 4. p N � WHEREOF, the parties have caused these presents to be executed in their KOLHAQE,CWk Clerk BOARD OF C OF MONROE By._ Mayor COMMISSIONERS Y, FLORIDA McCoy MONROE COUNTY ATTORNEY AP ROVED AS TQ\FORM: SU,8 N M. GRIMSLEY ASSISTAXT COUNTY ATTOR Y CONTRACT FOR COURIER SERVICE THIS AGREEMENT, made and entered into this 15th day of March, 2005, A.D., by and between MONROE COUNTY, FLORIDA, (hereinafter sometimes call the "owner"), and Burr Courier, (hereinafter called the "Contractor"). WTTNESSED: That the parties hereto, for the consideration hereinafter set forth, mutually agree as follow: 1. THE CONTRACT DOCUMENTS The contract documents consist of this agreement, the RFP, and any addenda issued hereafter, any other amends hereto executed by the parties hereafter, together with the bid proposal and all required insurance documentation 2. SCOPE OF THE WORK The Contractor shall provide courier service as specified. Locations to be serviced see Exhibit A. Times specified in Exhibit A for pick up and deliveries by Contractor are approximate with the exception of the locations in Key West which remain firm. Deliveries — Deliveries to Stop # 1 made will include opening the bags and distributing mail in department mail boxes in the Mailroom. Pick up and delivery is required Monday through Friday with the exception of holidays. A list of holidays will be provided to the Contractor and the Contractor will be notified should changes to the list occur. Deliveries to all locations en route from the Key Largo area west (south) to Key West Gato Building and including Monroe County Courthouse and Harvey Government Building, Key West will be matte prior to 8:00 AM daily. Daily service will be available when needed from Key Largo to Key West with delivery in the afternoon. Materials to be transported. Contractor will be required to transport marl, cash, computer printouts, office supplies, etc. contained in colored courier bags and general office supplies so long as they are boxed, sealed and weigh no more than 50 pounds per box. Boxes being used for the transportation of copy machine paper and general office supplies may be no longer than 18" wide, 15" deep and loth high. Provision of Lock Boxes. Lock boxes for the purpose of temporarily storing items until such time as they are picked up by Contractor will be installed at each location. Exceptions: Stop # 1 through Stop #8 will not need a lock box as they are serviced during normal office hours. Owner will be responsible for the purchase of Lock Boxes to be installed at each location serviced, and such purchases will be made in accordance with Monroe County Purchasing Policies and Procedures. Lock Boxes will be a minimum of 24" wide, 17" deep and 48" high Provision of mail bags. Mail begs are to be used as the transportation media of choice and are to be provided by Owner. Mail bags being used for transportation may be no larger than 18" wide, 5" deep and 30" high and Protection The Contractor shall be responsible for initiating, maintaining, and supervising all safety precautions and programs in connection with the work. The Contractor shall take all necessary precautions for the safety of, and shall provide the necessary protection to prevent damage, injury, or loss to: All employees on the work site and other persons and organizations who may be affected thereby, All the work and materials and equipment to be incorporated therein, whether in storage on or off the site; and Other property at the site or adjacent thereto, including trees, shrubs, lawns, walks, pavements, roadways, structures, utilities, and undergmunnd facilities. The Contractor shall comply with all applicable laws and regulations of any public body having jurisdiction for the safety of persons or property or to protect them from damage, injury, or loss. won To the fullest extent permitted by laws and regulations, the Contractor shall indemnify and hold harmless the Owner and the Owner's consultants, agents, and employees from and against all claims, damages, losses, and expenses, direct, indirect, or consequential (including but not limited to fees and charges of engineers, architects, attorneys, and other professionals, and court costs) arising out of or resulting from the performance of the work, provided that any such claim, damage, loss, or expense (a) is attributable to bodily injury, sickness, disease or death, or to injury to or destruction of tangible property (other than the work itself) including the loss of use resulting therefrom and (b) is caused in whole or in part by any negligent act or omission of the Contractor, or person or organization directly or indirectly employed by the Contractor to perform or furnish any of the work or anyone for whose ads any of them may be liable regardless of whether or not it is caused in part by a party indemnified hereunder or arises by or is imposed by law and regulations regardless of the negligence of any such part. In any and all claims against the Owner or any of the Owner's consultants, agents or employees by any employee of the Contractor, or any person or organization directly or indirectly employed by the Contractor to perform or furnish any of the work or anyone for whose ads any of them may be liable, the indemnification obligation shall not be limited in any way by and limitation on the amount or type of damages, compensatiorn, or benefits payable by or for the Contractor or other person or organization under workers' or workrnens' compensation acts, disability benefit acts, or other employee benefit acts. 3. THE CONTRACT SUM The County shall pay to the Contractor for the faithful performance of said service on a per month in arrears basis on or before the 30th day of the following month in each of twelve (12) months. The Contractor shall invoice the County monthly for services rendered in accordance with the rates of $180.00 per month. tier courier stop. 4. CONTRACTOR'S ACCEPTANCE OF CONDITIONS All specifications have been read and carefiilly considered by the Contractor, who understands the same and agrees to their sufficiency for the work to be done. Under no ci amistances, conditions, or situations shall this Contract be more strongly construed against the Owner than against the Contractor. Any ambiguity or uncertainty in the specifications shall be interpreted and construed by the Owner, and his decision shall be final and binding upon all parties. The passing, approval, and/or acceptance by the Owner of any of the services furnished by the Contractor shall not operate as a waiver by the Owner of strict compliance with the terms of this Contract, and specifications covering the services. Fad= on the part of the Contractor, immediately after Notice to Correct shall entitle the Owner, if it sees fit, to correct the same and recover the reasonable cost of such replacement and/or repair from the Contractor, who shall in any event be jointly and severally liable to the Owner for all damage, loss, and expense caused to the Owner by reason of the Contractor's breach of this Contract and/or his failure to comply strictly and in all things with this Contract and with the specifications. 5. TERM OF CONTRACT/RENEWAL This contract shall be for a period of one (1) year, commencing March 2005 and terminating March 15, 2�006�� The County shall have the option to renew this aft after the =, and each succeeding year, for ttnre =� additional one year periods. The Contract amount agreed to herein might be and annually in accordance with the percentage change in the Consumer Price Index for all urban consumers (CPI-U) for the most recent twelve (12) months available. 6. HOLD HARMLESS The Contractor covenants and agrees to indemnify and hold harmless Monroe County Board of County Commissioners from any and all claims for bodily ir41ury (including death), personal mjury, and property damage (including property owned by Monroe County) and any other losses, damages, and expenses (including attorney's fees) which arise out of in connection with, or by reason of services provided by the Contractor or any of its Subcontractor(s) in any tier, occasioned by the negligence, errors, or other wrongful act of omission of the Contractor or its Subcontractors in any tier, their employees, or agents. In the event the completion of the project (to include the work of others) is delayed or suspended as a result of the Contractor's failure to purchase or maintain the required insurance, the Contractor shall indemnify the County from any and all increased expenses resulting from such delay. The first ten dollars ($10.00) of remuneration paid to the Contractor is for the indemnification provided for above. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this agreement. 7. INDEPENDENT CONTRACTOR At all times and for all purposes under this agreement the Contractor is an independent contractor and not an employee of the Board of County Commissioners for Monroe County. No statement contained in this agreement shall be construed so as to find the contractor or any of his/her employees, contractors, servants, or agents to be employees of the Board of County Commissioners for Monroe County. & ASSURANCE AGAINST DISCRIIMATION a) Contractor shall maintain all books, records, and documents directly pertinent to performance under this Agreement in accordance with generally accepted accounting principles consistently applied Each party to this Agreement or their authorized rives 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 four years following the termination of this Agreement. If an auditor employed by the County or Clerk determines that monies paid to Contractor pmmaw to this Agreement were spent for purposes not authorized by this Agreement, the Contractor shall repay the monies together with interest calculated pursuant to Sec. 55.03, FS, running from the date the monies were paid to Contractor. b) Interpretation, Costs, and Fees: The County and Contractor agree that, in the event of conflicting interpretations of the terms or a term of this Agreement by or between any of them the issue shall be submitted to mediation prior to the institution of any other administrative or legal proceeding. The County and Contractor agree that in the event any cause of action or administrative proceeding is initiated or defended by any party relative to the enforcement or lion of this Agreement, the prevailing party shall be entitled to reasonable atto ney's fees, court costs, investigative, and out-of- pocket expenses, as an award against the non -prevailing party, and shall include attorney's fees, courts costs, investigative, and out-of-pocket expenses in appellate proceedings. Mediation proceedings initiated and conducted pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and usual and customary procedures required by the circuit court of Monroe County. c) Severability. If any term, covenant, condition or provision of this Agreement (or the application thereof to any cir amstanoe or person) shall be declared invalid or unenforceable to any extent by a court of competent jurisdiction, the remaining terms, covenants, conditions and provisions of this Agreement, shall not be affected thereby; and each remaining term, covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the fullest extent permitted by law unless the enforcement of the remaining terms, covenants, conditions and provisions of this Agreement would prevent the accomplishment of the original intent of this Agreement. The County and Contractor agree to reform the Agreement to replace any stricken provision with a valid provision that comes as close as possible to the intent of the stricken provision. e) Binding Effect. The terms, covenants, conditions, and provisions of this Agreement shall bind and inure to the benefit of the County and Contractor and their respective legal representatives, successors, and assigns. f) Authority. Each party represents and warrants to the other that the execution, delivery and performance of this Agreement have been duly authorized by all necessary County and corporate action, as required by law. g) Claims for Federal or State Aid. Contractor and County agree that each shall be, and is, empowered to apply for, seek, and obtain foderal and state funds to further the purpose of this Agreement; provided that all applications, requests, grant proposals, and funding solicitations shall be approved by each party prior to submission h) Adjudication of Disputes or Disagreements. County and Contractor agree that all disputes and disagreements shall be attempted to be resolved by meet and confer sessions between representatives of each of the parties. If no resolution can be agreed upon within 30 days after the first meet and confer session, the issue or issues shall be discussed at a public meeting of the Board of County Commissioners. If the issue or issues are still not resolved to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy as may be provided by this Agreement or by Florida law. i) Cooperation. In the event any administrative or legal proceeding is instituted against either party relating to the formation, execution, performance, or breach of this Agreement, County and Contractor agree to participate, to the extent required by the other party, in all proceedings, hearings, processes, meetings, and other activities related to the substance of this Agreement or provision of the services under this Agreement County and Contractor specifically agree that no party to this Agreement shall be required to enter into any arbitration proceedings related to this Agreement. j) Nondiscrimination. County and Contractor agree that there will be no discrimination against any person, and it is expressly understood that upon a determination by a court of competent jurisdiction that discrimination has occurred, this Agreement automatically terminates without any further action on the part of any party, effective the date of the court order. County or Contractor agree to comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to nolidiscrimination. These include but are not limited to: 1) Title VI of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20 USC ss. 1681-1683, and 1685-1686), which pnAubits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prolibits discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42 USC ss. 6101.6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91.616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patent records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with Disabilities Act of 1990 (42 USC s. 1201 Note), as maybe amended from time to time, relating to nondiscrimination} on the basis of disability; 10) Monroe County Code Ch. 13, Art. VI, prohibiting discrimination on the bases of race, color, sex, religion, disability, 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 ot; this Agreement. k) Covenant of No Interest. County and Contractor covenant that neither presently has any interest, and shall not acquire any interest, which would conflict in any manner or degree with its performance under this Agreement, and that only interest of each is to perform and receive benefits as recited in this Agreement. 1) Code of Ethics. County agrees that officers and employees of the County recognize and will be required to comply with the standards of conduct for public officers and employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to, solicitation or aceepumm of gifts; doing business with one's agency; unauthorized compensation; misuse of public position, conflicting employment or contractual relationship; and disclosure or use of certain information. m) No Solicitation/Payment The County and Contractor warrant that, in respect to itself; it has neither employed nor retained any company or person, other than a bona fide employee working solely for it, to solicit or secure this Agreement and that it has not paid or agreed to pay any person, company, corporation, individual, or firm, other than a bona fide employee wording solely for it, any fee, commission, percentage, gift, or other consideration contingent upon or resulting from the award or making of this Agreement.. For the breach or violation of the provision, the Contractor agrees that the County shall have the right to terminate this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise recover, the full amount of such fee, commission, percentage, gift, or consideration. n) Public Access. The County and Contractor shall allow and permit reasonable access to, and inspection of, all documents, papers, letters or other materials in its possession or under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received by the County and Contractor in conjunction with this Agreement; and the County shall have the right to unilaterally cancel this Agreement upon violation of this provision by Contractor. a) Non -Waiver of Immunity. Notwithstanding he provisions of Sec. 768.28, Florida Statutes, the participation of the County and the Contractor in this Agreement and the acquisition of any commercial liability insusnee coverage, self-insurance coverage, or local government liability insurance pool coverage shall not be deemed a waiver of immunity to the extent of liability coverage, nor small any contract entered into by the County be required to contain any provision for waiver. P) Privileges and Immunities. All of the privileges and immunities from liability, exemptions from laws, ordinances, and rules and pensions and relief, disability, workers' compensation, and other benefits which apply to the activity of officers, agents, or employees of any public agents or employees of the County, when performing their respective functions under this Agreement within the territorial limits of the County shall apply to the same degree and extent to the performance of such functions and duties of such officers, agents, volunteers, or employees outside the territorial limits of the County. q) Legal Obligations and Responsibilities: Non -Delegation of Constitutional or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any participating entity from any obligation or responsibility imposed upon the entity by law except to the extent of actual and timely performance thereof by any participating entity, in which case the performance may be offered in satisfaction of the obligation or responsibility. Further, this Agreement is not intended to, nor shall it be construed as, authorizing the delegation of the constitutional or statutory duties of the County, except to the extent permitted by the Florida constitution, state statute, and case law. r) Non -Reliance by Non -Parties. No person or entity shall be entitled to rely upon the terms, or any of them, of "this Agreement to enforce or attempt to enforce any third -party claim or entitlement to or benefit of any service or Program contemplated hereunder, and the County and the Contractor agree that neither the County nor the Contractor or any agent, officer, or employee of either shall have the authority to inform, counsel, or otherwise indicate that any particular individual or group of individuals, entity or entities, have entitlements or benefits under this Agreenreut separate and apart, inferior to, or superior to the community in general or for the purposes contemplated in this Agreement. s) Attestations. Contractor agrees to execute such documents as the County may reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, and a Drug -Free Workplace Statement t) No Personal Liability. No covenant or agreement contained herein shall be deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe County in his or her individual capacity, and no member, officer, agent or employee of Monroe County shall be liable personally on this Agreement or be subject to any personal liability or accountability by reason of the execution of this Agreement u) Execution in Counterparts. This Agreement may be executed in any number of counterparts, each of which shall be regarded as an original, all of which taken together shall constitute one and the sane instrument and any of the parties hereto may execute this Agreement by singing any such counterpart v) Section Headings. Section headings have been inserted in this Agreement as a matter of convenience of reference only, and it is agreed that such section headings are not a part of this Agreement and will not be used in the interpretation of any provision of this Agreement. 9. ASSIGNMENT/SUBCONTRACT The Contractor shall not assign or subcontract its obligations under this agreement, except in writing and with the prior written approval of the Board of County Commissioners for Monroe County and Contractor, which approval shall be subject to such conditions and provisions as the Board may deem necessary. This paragraph shall be mcorpor,ded by reference into any assignment or subcontract and any assignee or subcontractor shall comply with all of the provisions of this agreement. Unless expressly provided for therein, such approval shall in no manner or event be deemed to impose any obligation upon the board in addition to the total agreed -upon price of the services/goods of the contractor. 10. COMPLIANCE WITH LAW In providing all services/goods pursuant to this agreement, the contractor shall abide by all statutes, ordinances, rules and regulation pertaining to, or regulating the provisions of such services, including those now in effect and hereinafter adopted. Any violation of said statutes, ordinances, rules and regulations shall constitute a material breach of this agreement and shall entitle the Board to terminate this contract immediately upon delivery of written notice of termination to the contractor. The contractor shall possess proper licenses to perform work in accordance with these specifications throughout the term of tins contract. 11. INSURANCE Prior to execution of this agreement, the contractor shall fiumsh the Owner Certificates of Insurance indicating the minimum coverage limitations as indicated by an "X" on the attached forms identified as INSCKLST 1-5, as further detailed on forms WC1, GLI, and VLl, each attached hereto and incorporated as part of this contract document, and all other requirements found to be in the best interest of Monroe County as may be imposed by the Monroe County Risk Management Department. 12. FUNDING AVAILABII.ITY In the event that finds from Purchasing Office Contractual Services are partially reduced or cannot be obtained or cannot be continued at level sufficient to allow for the purchase chase of the services/goods specified herein, this agreement may then be terminated immediately at the option of the Board of County Commissioners by written notice of termination delivered in person or be mail to the contractor. The Board shall not be obligated to pay for any services provided by the contractor after the contractor has received written notice of termination. 13. PROFESSIONAL RESPONSIBILITY ne Contractor warrants that it is authorized by law to engage in the performance of the activities encompassed by the project herein described, subject to the terms and conditions set forth in these contract documents The provider shall at all times exercise independent, professional judgment and shall assume professional responsibility for the services to be provided. Continued funding by the Owner is contingent upon retention of appropriate local, state, and/or federal certification and/or licensure of contractor. NOTICE REQUIREMENT Any notice required or permitted under this agreement shall be in writing and hand delivered or mailed, postage prepaid, to the other party by certified mail, returned receipt requested, to the following: FOR COUNTY FOR CONTRACTOR Monroe County Purchasing Office Buccaneer Courier 1100 Simonton Street PO Box 430763 Suite 2-213 Big Pine Key, FL 33043 Key West, FL 33040 14. CANCELATION The County may cancel this contract for cause with seven (7) days notice to the contractor. Cause shall constitute a breach of the obligations of the Contractor to perform the services enumerated as the Contractor's obligations under this contract. Either of the parties hereto may cancel this agreement without cause by giving the other party sixty (60) days written notice of its intention to do so. 15. GOVERNING LAWS This Agreement is governed by the laws of the State of Florida. Venue for any litigation arising under this Agreement must be in Monroe County, Florida. In the event of any litigation, the prevailing party is entitled to attorney's fees and costs. 16. CONTINGENCY STATEMENT Monroe County's performance and obligation to pay under this contract is contingent upon an annual appropriation by the Monroe County Board of County Commissioners. IN WITNESS WHEREOF the parties hereto have executed this Agreement on the day and date first written above in four (4) counterparts, each of which shall, without proof or accounting for the other counterparts, be deemed an original "contract. (SEAL) BOARD OF COUNTY COMMISSIONERS Attest: DANNY L: KO AG� OF MONROE COUNTY, FLOIDA 44wa4t-) By: — By: 4- - / / 72. eputy Clerk avor/Chairman Date: (SEAL) Attest: By. WITNESS Title: By: TNESS Title: CONTRACTO MONROE COUNTY ATTORN Y OVED AS OR UZ NNE UTT N Date����nt)� BY: ro � . ac'sr � Title: = r� 1 ACORL7 `� AGENCY The Johnsons Insurance Agency 30975 Avenue A Big Pine Key, FL 33043 The Johnsons Insurance Agency --�-- !. Af /C, No, E�rt);__305-872_2888 FAX � E-MAIL -- �� CODE: AGENCY CUSTOMER ID:BUCCA. COMMERCIAL INSURANCE APPLICATION APPLICANT INFORMATION SECTION CARRIER NAIC CODE: UNDERWRITER Landmark Insurance Company POLICIES OR PROGRAM RFAnPaTcn --'—` SUB CODE: 5 FATUS OF TRANSACTION j QUOTE �� ISSUE POLICY BOUND (Give Date and/or Attach Copy): I CHANGE DATE TIME ' CANCEL I 12:00 NAME (First Named Insured & Other Named Insureds) Buccaneer Courier x i INDIVIDUAL CORPORATION j PARTNERSHIPS- JOINT VENTURE INSPECTION CONTACT: Joanne Kaest PHONE (A/C. No. Extl: 305-872-0015 PREMISES INFOPMATInAI General Liability _ INDICATE SECTIONS ATTACHED PROPERTY GLASS AND SIGN I VALUABLE PAPEUNTS RS ABLE/ CRIME/MISCELLANEOUS CRIME TRANSPORTATION/ EQUIPMENT FLOATER INSTALLATION/BUILDERS RISK ELECTRONIC DATA PROC COMMERCIAL GENERAL LIABILITY BUSINESS AUTO TRUCKERS/MOTOR CARRIER OP ID: DE DATE (MM/DD/YYYY) 2/25/2008 UNDERWRITER OF,. POLICY NUMBER DISCP0622289 GARAGE AND DEALERS VEHICLE SCHEDULE 1� BOILER 8 MACHINERY I WORKERS COMPENSATION UMBRELLA RENEW ENTER THIS INFORMATION WHEN COMMON DATES AND TERMS APPLY TO SEVERAL LINES, OR FOR MON_ OUNE POLICIES. PROPOSED EFF DATE PROPOSED EXP DATE BILLING PLAN PAYMENT PLAN AUDIT .AM —' ------ —- — - �" DIRECT BILL i PM 02/208 02/209 X AGENCY BILL I FINANCED MAILING ADDRESS INCL ZIP+4 (of First Named Insured) Joanne Kaestnet P O Box 430763 Big Pine Key, FL 33043 5 ADORES ES), 71:�() LLC CR BUREAUID NUMBERNAME OF MEMBERS STARTED MANAGERS ._ ACCOUNTING RECORDS CONTACT: - LOC # BLD # j YR # ANNUAL STREET, CITY, COUNTY, STATE, ZIP+4 CITY LIMITS INTEREST — —��— BUILT EMPLOYEES REVENUES 1 j- 1 I29139 Aster Lane INSIDE OWNER Big Pine Key FL 33043 OUTSIDE TENANT --T -- ��� ----�--- ---���- �- INSIDE OWNER AIATI IOC � rlr I OUTSIDES TENANT I -. �.��wv�J�rf[Ir 1 IvfV Ur LJYtKA I WNS BY PREMISE S 1 1 0urier Service GENERAL INFORMATION EXPLAIN ALL "YES" RESPONSES 1a- IS THE APPUCANT A SUBSIDIARY OF ANOTHER ENTITY ? lb DOES THE APPLICANT HAVE ANY SUBSIDIARIES? IS A FORMAL SAFETY PROGRAM IN OPERATION? 3 ANY EXPOSURE TO FLAMMABLES, EXPLOSIVES, CHEMICALS a ANY CATASTROPHE EXPOSURE? 5 _ ANY OTHER INSURANCE WITH THIS COMPANY OR BEING SUBMITTED,- 6 ANY POLICY OR COVERAGE DECLINED, CANCELLED OR NON -RENEWED DURING THE PRIOR 3 YEARS7 (Not applicable in MO) ALLEGATIONS, DISCRIMINATION OR NEGLIGENT HIRING> REMARKS/PROCESSING INSTRUCTIONS (Attach additional sheets If more space- is required)) OCCUPIED NO EXPLAIN ALL ,YES" RESPONSES YES NO X 8. DURING. LAST FIVE YEARS (TEN IN RI), HAS ANY APPLICANT BEEN _ -?— INDICTED FOR OR CONVICTED OF ANY DEGREE OF THE CRIME OF FRAUD, BRIBERY, ARSON OR ANY OTHER ARSON -RELATED CRIME IN CONNECTION WITH THIS OR ANY OTHER PROPERTY? X X (In RI, this question must be answered by any applicant for property insurance. Failure X to QIsGose the existence of an arson conviction is a misdemeanor punishable by a sentence of u to one year of imprisonment) X L g. ANY UNCORRECTED FIRE CODE VIOLATIONSi BANKRUPTCIES, TAX OR CREDIT LIENS AGAINST THE APPLICANT X x IN THE PAST ----i---.._..-__ 5 YEARS X BUSINESS BEEN PLACED IN A TRUST?----'---t -- X.-- 12. ANY FOREIGN OPERATIONS, FOREIGN PRODUCTS DISTRIBUTED INN 11SA, OR US X PRODUCTS SOLD/DISTRIBUTED IN FOREIGN COUNTRIES? (If "YES", attach ACORD 815 for Uablli sure and/or ACORD 816 for Pro e E osure BUSINFSS TYPE nruee ANY PERSON W--------------- HO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR ANOTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAiM, CONTAINING ANY MATERIALLY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE OF MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO, COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS e CRIME AND SUBJECTS THE PERSON TO CRIMINAL AND [NY: SUBSTANTIAL) CIVIL PENALTIES. (Not applicable in CO, HI, NE, OH, OK. OR, or VT, in DC, LA, ME, TN and VA, insurance benefits may also be denied) THE, UNDERSIGNED IS AN AUTHORIZED RpT��$� SF.�LLIgSt_VE OF THE APPLICANT AND CERTIFIES THAT REASONABLE ENQUIRY HAS BEEN MADE TO OBTAI THIS RP`PUCATION. HE)SHE CERTIFIES TbrATTHfagldSw;"T ARE TRUE ACOR7D. f25 (2005/06) CORRECT AND COMPLETE TO THE BEST OF HIS/HER KNOWLEDGE. N THE ANSWERS TO QUESTIONS ON JDATT.E PRODUCER'S SIGNATURE NATIONAL PRODUCER NUMBER dry IThe Johnsons Insurance Agency PLEASE COMPLETE REVERSE SIDE © ACORD CORPORATION 1993-2005 PRIOR CARRIFR IAIFf1RMATInki LINE CATEGORY ...-----v CARRIER POLICY NUMBER__- POLICY TYPE OCCURRENCE GDE t GWMS —T r --- i LR.ETP,O DATE MADE 1 f MBE OCCVRRENE OCCURRENCE IMADE E OCCURRENCE '��--`- - - -- 1 G --------.—. E I FF-EXP DATE N G-GENERAL AGGREGATE E---- C _ p R I I PRODUCTS COMP OR ------ ---- --------- �- - -- -- -� - ------ I-------- -- .. A j l _4GGR-ATE___ M ------ - --_--- - --_-i ----I--.---- PERSONAL 8 ADV INJ E L R I C 1 I EACH OCCURRENCE IL FIRE DAMAGE - -__--- � ---------- �-� - - � - - _.. A I A 8 I Mj MEDICAL EXPENSE T —_.--- -- - T---- ---- ------ L L Sj BODILY OCCURRENCE I T f INJURY AGGREGATE --- --�- - --- --- Y I PROPERTY . OCCURRENCE --- v DAMAGE AGGREGATE COMBINED SINGLE OMIT -_— - - - - '�---------------- -- - --- MODIFICATION FACTOR ---�'------------- --- TOTAL PREMIUM "--- CARRIER POLICY NUMBER POLICY TYPE--- --- - A U L T 1 i 8 M A EFF_EXP DATE COMBINED SINGLE LIMIT .---_ -------- OI B � I L T Y------'- BODILY EA PERSON INJURY IEA ACCIDENT -- __----'------ ------.._-.__ ------------'-""--'- " PROPERTY DAMAGE I rMODIFICATION FACTOP. ---- -- ---------- - TOTAL PREMIUM I ) ---'"� --------- - - CARRIER - POLICY NUMBER - - - R POLICY TYPE O p EFF-EXP DATE -- ----- --"'---"- - --- ---------- --- ----- ---- i- R _ BUILDING AMT __._.._-- -------- I -------- T-.. PERS PROP AMT ------ .� I _ _ MODIFICATION FACTOR i TOTAL PREMIUM CARRIER POLICYNUMBER I -----�-"-- --'- - ----`---- - ' j I EFF-EXP DATE I LIMIT -------_._.____.__.. MODIFICATION FACTOR TOTAL PREMIUM - I f1CC u1CTnov __ ENTER ALL CLAIMS OR LOSSES (REGARDLESS OF FAULT AND WHETHER OR NOT INSURED) OR OCCURRENCES THAT MAY GIVE CHK RE SEE ATTACHED FQR G P -THRI R Y R 3 Y R IN KS "_NY, E RISE TO CLAIMS X IF N0WE_ ;_ LOSS TT MARCHED _ OCCURRENCE DATE OF LINE TYPE/DESCRIPTION OF OCCURRENCE OR CLAIM DATE AMOUNT AMOUNT �STATIUS _„_-- OF CLAIM PAID RESERVED (OPE CLS[ i j REMARKS NOTE: FIDELITY REQUIRES A FIVE YEAR LOSS HISTORY ATTACHMENTS ----_--- STATE SUPPLEMENT(S) (If apPllcabie) COPY OF THE NOTICE OF INFORMATION PRACTICES (PRIVACY) HAS BEEN GIVEN TO THE APPLICANT. (Not applicable in all states, consult your agent or broker for your state's requirements.) NQT'-U-Q LNSl1RANOF- IN�F-ORMA119S1_PRAOTICE PERSONAL INFORMATION ABOUT YOU, INCLUDING INFORMATION FROM A CREDIT REPORT, MAY BE COLLECTED FROM PERSONS OTHER THAN YOU IN CONNECTION WITH THIS APPLICATION FOR INSURANCE AND SUBSEQUENT POLICY RENEWALS. SUCH INFORMATION AS WELL AS OTHER PERSONAL AND PRIVILEGED INFORMATION COLLECTED BY US OR OUR AGENTS MAY IN CERTAIN CIRCUMSTANCES BE DISCLOSED TO THIRD PARTIES WITHOUT YOUR, AUTHORIZATION. YOU HAVE THE RIGHT TO REVIEW YOUR -PERSONAL INFORMATION IN OUR FILES AND CAN REQUEST CORRECTION OF ANY INACCURACIES, A MORE DETAILED DESCRIPTION OF YOUR RIGHTS AND OUR PRACTICES REGARDING SUCH INFORMATION IS AVAILABLE UPON REQUEST, CONTACT YOUR AGENT OR BROKER FOR INSTRUCTIONS ON HOW TO SUBMIT A REQUEST TO US. ACORD 125 (2005/06) COMMERCIAL GENERAL LIABILITY SECTION OP ID: DE F DATE(MMIDDIYYYY) AGENCY I�jA�/C,NNo,E�x�t):3Q5-872-2888 i---- APPLICANT Buccaneer Courier 2/25/2008 FAQ X �_1AIC�No}: (First Named -" '— Johnsons Insurance Agency -- Insured) �he 30975 Avenue A EFFEC E DATE EXPIRATIO DATE T— (�p I DIRECT BILL PAYMENT PLAN -- AUDIT 02/2''5/08 02/25/09 X AGENCY BILL FINANCED Big Pine Key, FL 33043 FOR — - ------ .- . --------------- --- CODE: SUB CODE: COMPANY USE ONLY AGENCY BUCCA-3 L:UV :KAVL5 LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCURRENCE OWNER'S S CONTRACTOR'S PROTECTIVE GENERAL AGGREGATE $ ,QQQ QQ PREMIUMS P REMISESIOP E RATIONS PRODUCTS PRODUCTS & COMPLETED OPERATIONS AGGREGATE $ eXCI PERSONAL L ADVERTISING INJURY S eXCI _ EACH OCCURRENCE S1,000,000 DEDUCTIBLES X -_i PROPERTY DAMAGE $ 500 X BODILY INJURY g ___.. y . g cM PER OCCURRENCE DAMAGE TO RENTED PREMISES (each occurrence) S - 50,000 OTHER ------- TOTAL MEDICAL EXPENSE (Any one person) $ 2,000 EMPLOYEE BENEFITS g —"-�— —--------- OTHER COVERAGES, RESTRICTIONS AND/OR ENDORSEMENTS (For hired/non-owned auto coverages attach the applicable state Business Auto Section, ACORD 137) f �+�-ILV VLC yr nr�uirtuJ LOCATION - --- CLASSIFICATION ;courier serve --- —insured— - -- -- -- additional CLASS CODE 99793 -- ----- 49950 PREMIUM BASIS P T EXPOSURE 20000 2 TERR 6 RATE — - 1 PREMIUM - -- PREM/OPS l PRODUCI 1 800.00 200.00 PREM/OPS 26.02000 6 100.00000 -- PRODUCTS _ ---- -- — -- ------ --------- ---- __i ___----__—"-- -------- -- i I PREMIUM BASIS (P) PAYROLL -PER 51,000/SALES _ (A) AREA RATING AND (S) GROSS SALES - PER $1,000/PAY -PER 1,000lSO FT (C) TOTAL COST - PER (M) ADMISSIONS -PER $1,000/COST 1,000/ADM (U) UNIT -PER fTl bTHFR UNIT CLAIMS MAnF (Fvninin �11 "V - - - ------ �- c�a_I�LI-1 t J LIN0I1-I I T I.. PROPOSED RETROACTIVE DATE: _ 1. DEDUCTIBLE PER CLAIM: $ ENTRY DATE INTO UNINTERRUPTED CLAIMS MADE COV: 2. NUMBER OF EMPLOYEES: 3, HAS ANY PRODUCT, WORK, ACCIDENT, OR LOCATION BEEN EXCLUDED, UNINSURED OR SELF-INSUREO YES NO 3. NUMBER OF EMPLOYEES COVERED BY EMPLOYEE BENEFITS PLANS: _ 4. RETROACTIVE DATE: FROM ANY PREVIOUS COVERAGE? 4. WAS TAIL COVERAGE PURCHASED UNDER ANY PREVIOUS POLICY? REMARKS I - I REMARKS" -"- PI FACE rr1MP1 FTF PFVFPCF CIr1F lc) Arr1PIl rrIPPnPATIr)N 1QQ'2 CONTRACTORS EXPLAIN ALL "YES" RESPONSES (For past or present operations) 1. DOES APPLICANT DRAW PLANS, DESIGNS, OR SPECIFICATIONS FOR OTHERS? 2, DO ANY OPERATIONS INCLUDE BLASTING OR UTILIZE OR STORE EXPLOSIVE MATERIAL? 3, DO ANY OPERATIONS INCLUDE EXCAVATION, TUNNELING, UNDERGROUND WORK OR EARTH MOVING? REMARKS/DESCRIBE THE TYPE OF WORK SUBCONTRACTED $ PAID TO SUB - PRODUCTS I ANNUAL GROSS SALES I # OF UNITS EXPLAIN ALL "YES" RESPONSES (For any past or present product or operation) 1 _DOES APPLICANT INSTALL. SERVICI� OR DEMONSTRATE PRODUCTS? 2_FOREIGN PRODUCTS SOLD, DISTRIBUTED, USED AS COMPONENTS? 3. RESEARCH AND DEVELOPMENT CONDUCTED OR NEW PRODUCTS PLANNED? a GUARANTEES, WARRANTIES, HOLD HARMLESS AGREEMENTS? 5- PRODUCTS RELATED TO AIRCRAFT/SPACE INDUSTRY? PLEASE ATTACH LITERATURE, BROCHURES, LABELS, WARNINGS, ETC INTEREST RANK: X ADDITIONAL INSURED LOSS PAYEE {MORTGAGEE } LIENHOLDER EMPLOYEE AS LESSOR C11FNFRAI INCr1Dil11 A_rIn\I NAME AND ADDRESS I REFERENCE #: Monroe County Board Of County Commissioners 1100 Simonton Street Key West, FL 33040 BUCCA-3 OP ID: DE EXPLAIN ALL "YES" RESPONSES (For past or present operations)_ YESj NO 4. DO YOUR SUBCONTRACTORS CARRY COVERAGES OR LIMITS LESS THAN YOURS? 5. ARE SUBCONTRACTORS ALLOWED TO WORK WITHOUT PROVIDING YOU WITH A CERTIFICATE OF INSURANCE? 6. DOES APPLICANT LEASE EQUIPMENT TO OTHERS WITH OR WITHOUT OPERATORS? OF WORK ULL- -- ------ -- - cnwrnurwn�rr.,.- INTENDED USE PRINCIPAL COMPONENTS EXPLAIN ALL "YES" RESPONSES (For any past or present product or operation) �YESI NO 6. PRODUCTS RECALLED, DISCONTINUED, CHANGED? 7. PRODUCTS OF OTHERS SOLD OR RE -PACKAGED UNDER APPLICANT LABEL? 8. PRODUCTS UNDER LABEL OF OTHERS? I 9. VENDORS COVERAGE REQUIRED? 1 10. DOES ANY NAMED INSURED SELL TO OTHER NAMED INSUREDS? ACORD 45 attached for additional names CERTIFICATE REQUIRED INTEREST IN ITEM NUMBER LOCATION:1_ BUILDING: VEHICLE: -' i BOAT: -_.------.- SCHEDULED ITEM NUMBER: OTHER .. —.------- EXPLAIN ALL "YES" RESPONSES (For all past or present operations) YES NO EXPLAIN ALL "YES" RESPONSES (For all past or present operations) lYE 1. ANY MEDICAL FACILITIES PROVIDED OR MEDICAL PROFESSIONALS EMPLOYED OR CONTRACTED? X 12. ANY STRUCTURAL ALTERATIONS CONTEMPLATED? 13. ANY DEMOLITION EXPOSURE CONTEMPLATED? 2 ANY EXPOSURE TO RADIOACTIVE/NUCLEAR MATERIALS? x1 14. HAS APPLICANT BEEN ACTIVE IN OR IS CURRENTLY ACTIVE IN JOINT VENTURES? 3. DO/HAVE PAST, PRESENT OR DISCONTINUED OPERATIONS INVOLVE(D) STORING, TREATING, DISCHARGING, APPLYING, X 15. DO YOU LEASE EMPLOYEES TO OR FROM OTHER EMPLOYERS? DISPOSING, OR TRANSPORTING OF HAZARDOUS MATERIAL? (e.g, landfills, wastes, fuel tanks, etc) --- — — -- 16. IS THERE A LABOR INTERCHANGE WITH ANY OTHER BUSINESS OR SUBSIDIARIES? -- 4 ANY OPERATIONS SOLD, ACQUIRED, OR DISCONTINUED IN LAST 5 YEARS? x 17. ARE DAY CARE FACILITIES OPERATED OR CONTROLLED? 18. HAVE ANY CRIMES OCCURRED OR BEEN ATTEMPTED ON YOUR PREMISES WITHIN THE LAST THREE YEARS? 5. MACHINERY OR EQUIPMENT LOANED OR RENTED TO OTHERS? — X 6 ANY WATERCRAFT, DOCKS, FLOATS OWNED, HIRED OR LEASED? X 7. ANY PARKING FACILITIES OWNED/RENTED? X -----------4 --- 19. IS THERE A FORMAL, WRITTEN SAFETY AND SECURITY POLICY IN EFFECT? 8. IS A FEE CHARGED FOR PARKING? X - 9. RECREATION FACILITIES PROVIDED? X --- -- --- 20. DOES THE BUSINESSES' PROMOTIONAL LITERATURE MAKE 10. IS THERE A SWIMMING POOL ON THE PREMISES? X ANY REPRESENTATIONS ABOUT THE SAFETY OR SECURITY 11. SPORTING OR SOCIAL EVENTS SPONSORED? X OF THE PREMISES? REM gRKs see dec in scan or a endorsements 10119 05 Cr ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPANY OR ANOTHER PERSON FILES AN AP STATEMENT OF CLAIM CONTAINING ANY MATERIALLY FALSE INFORMATION, OR CONCEALS FOR THE PURPOSE OF FACT MISLEADING IN MATERIAL THERETO, COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS THP PPPC nOM Tn r oleo yin PFNAI TIFC (tiro � ..�;.... ACORD 126 2004l03 -- `' v" v„' V1` v ATTACH TO APPLICANTIINFORMATION SECTIONnsurance benefits may also be enied). X APPLICATION FOR INSURANCE OR FORMATION CONCERNING ANY ,L AND (NY:SUBSTANTIAL) CIVIL r'HVC 1 Vt" AC)RP.ADDITIONAL INTEREST DATE(MM/DD/YYYYj O I AGENCY 1 PHONE 2f 2512008 A!C No E�ar.305-872-2888 APPLICANT (First Named Insured) PHONE "� - L.JC------,--..-- FAX (A c, NO Buccaneer Courier !The Johnsons Insurance Agency i30975 Avenue A jBig Pine Key, FL 33043 !The Johnsons Insurance Agency I EFFECTD E DATE EXPIRATJo DATE CO/PLAN-----""--"-"-`""-- --- ----..__ _-. -------------------- tC j CODE__ SUB CODE: _- 02/2b/08 02/M9 Landmark Insurance Company AGENCY CUSTOMER ID BUCCA-3 POLICY NUMBER: �� P0622289 ACCOUNT NUMBER: ------------------------ INTEREST RANK: X NAME AND ADDRESS i REFERENCE #: X J. CERTIFICATE REQUIRED INTEREST IN ITEM NUMBER i ADDITIONAL INSURED FKEC FKEC--1 - - - �, LOCATION: 1 BUILDING: LOSS PAYEE 91605 O/S HWY I---------"------- MARATHON FL 33050 VEHICLE: MORTGAGEE ' _ _1BOAT: -- - - - SCHEDULED ITEM NUMBER: LIENHOLDER OTHER -- - EMPLOYEE AS LESSOR INTEREST: ITEM DESCRIPTION: - LINTEREST RANK: ADDITIONAL INSURED NAME AND ADDRESS REFERENCE #: -- _ CERTIFICATE REQUIRED INTEREST IN ITEM NUMBER --------" - ---- LOCATION_ BUILDING: i LOSS PAYEE -Y'--------- - -- _I j VEHICr LE:` BOAT:---------- MORTGAGEE SCHEDULED ITEM NUMBER: II LIENHOLDER I EMPLOYEE AS LESSOR INTEREST: ITEM DESCRIPTION: -- ----'--�'-----'---- INTEREST RANK: NAME AND ADDRESS l REFERENCE #: - CERTIFICATE REQUIRED INTEREST IN ITEM NUMBER —1 j ADDITIONAL INSURED LOSS PAYEE - LOCATIONBUILDING: -- --"-- ----- VEHICLE: BOAT: -� (MORTGAGEE —�� --" - SCHEDULED ITEM NUMBER: 1 ( "__", ! LIENHOLDER rOlT ER ----- — _- - - j EMPLOYEE AS LESSOR INTEREST: ---------_--� I I ITEM DESCRIPTION: -----"------ -�- INTEREST LRANK: - NAME AND ADDRESS REFERENCE #: CERTIFICATE REQUIRED I INTEREST IN ITEM NUMBER ADDITIONAL INSURED—� 4 - ---� LOSS PAYEE LOCATION: BUILDING: VEHICLE: BOAT: MORTGAGEE �- SCHEDULED ITEM NUMBER: ' LIENHOLDER OTHER EMPLOYEE AS LESSOR INTEREST: F ITEM DESCRIPTION: INTEREST RANK: - NAME AND ADDRESS REFERENCE #: CERTIFICATE REQUIRED INTEREST IN ITEM NUMBER LOCATION: -"- BUILDING: ADDITIONAL INSURED - LOSS PAYEE VEHICLE: - BOAT: j MORTGAGEE UENHOLOER SCHEDULED ITEM NUMBER - OTHER i EMPLOYEE AS LESSOR INTEREST: ITEM DESCRIPTION: ------"-"-"--- - INTEREST RANK: NAME AND ADDRESS ( REFERENCE #: CERTIFICATE REQUIRED INTEREST IN ITEM NUMBER LOCATION: BUILDING: ----- ADDITIONAL INSURED 1 I LOSS PAYEE - VEHICLE: BOAT: MORTGAGEE—�---- - - SCHEDULED ITEM NUMBER: OTHER --' I i i LIENHOLDER j EMPLOYEE AS LESSOR INTEREST: ITEM DESCRIPTION: -----"'-'-_-_INTEREST RANK: NAME AND ADDRESS REFERENCE #: _ CERTIFICATE REQUIRED INTEREST IN ITEM NUMBER ADDITIONAL INSURED -------- LOCATION: TBUILDING: LOSS PAYEE VEHICLE: BOAT: C MORTGAGEE---- ITEM NUMBER: ( LIENHOLDERSCHEDULED - - OTHER EMPLOYEE AS LESSOR INTEREST: ITEM DESCRIPTION: -----"----- ACORD 45 (2003/04) © ACORD CORPORATION 19 Coverage can be provided for firms such as; Courier services, valet parking, wrecker services, vehicle repossession companies and many others who provide outside services you can provide' your clients bonded assurance that property in the hands of your employees will be properly returned when recovered. An OR Specialty Outside Services Bond provides surety protection to your clients that you will indemnify them against fraudulent or dishonest acts of your employees. In order to protect you and your employees against unjustified allegations, the employee must be convicted before coverage will apply.' LOW COST ..The amazing low cost of this bond makes it possible for you to offer bonded security to your clients. Just complete the attached application and mail it today with your check for the premium to the agent — his name appears on the reverse side of the application. Of course, if you have any questions or need any assistance, contact the agent — he will be glad to help you. Note: This brochure contains only a brief summary of coverage and policy provisions. All statements herein are subject to the provisions, exclusions and conditions of the applicable policy. Coverages afforded are only those for which application is made and for which a premium charge is indicated in the Declarations of the policy. FLORIDA: "Any person Who knowingly and with intent to injtue, th defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete -or misleading information is gluilry of a felony of the third degree." w