07/11/2023 SHIP Contractor Agreement MONROE COUNTY STATE HOUSING INITIATIVES PARTNERSHIP PROGRAM
(SHIP11NDEPENDENT CONTRACTOR AGREEMENT
Jennifer Stettner - 3409 Flagler Avenue, Key West, Fl, 33040, Job#: 06-9715-22 SHIP
Rehabilitation. 'This Independent Contractor Agreement is rri,ade this I 1+—k day ofRily, 2023,
by and between Monroe County, a political subdivision of the State of Florida, (hereafter
"County") and Keys Home and Investments Inc. (hereinafter referred to as the
"Contractor"), for services described in the Contractor's Bid Proposa]/Job#: 06-9715-22, this
Independent Contractor Agreement, the Work Write-Up/Scope of Work, the Award of Bid, and
the Notice to Proceed, attached hereto and made a part hereof. The parties agree as follows:
I. Relationsilip. Nothing contained in this Agreement shall be deemed or construed as creating
any other business relationship, partnership or joint venture between Contractor and Monroe
County Board of County Commissioners/Monroe County and/or the Monroe County State
Housing Initiatives Partnership (SHIP) Program (hereinafter referred to as the "County").
2. Services to be Pet-formed. The Contractor shall provide a proposal containing the services
listed in the Bid Proposal/Job#.- O6-9715-22 including pricing, to the County. The bid proposal
shall be reviewed by the County's SHIP coordinator and be in accordance with the Pre-Work
Order Agreement, the SHIP Local Housing Assistance Plan (LIJAP), and the SHIP Program
Overvie-vv and Procedures Manual, All SHIP Program measures to be provided to homes governed
by this Agreement must also be in accordance with the Work Write-Up/Scope of Work.
3. Manner of Performance; Warranties and Representations. Contractor shall do, perform, and
carry out in a professional and proper manner the services described in the proposal and Work
Write-Up/Scope of Work. Contractor shall properly supervise and direct completion of
rehabilitation measures on all units assigned Under this agreement. Contractor shall be solely
responsible for coordinating all work conducted under the Agreement. Contractor shall
provide and pay for all labor, materials, equipment, tools, equipinent/111achincry,
transportation, and services necessary for the proper completion of work. Contractor shall
comply with all laws, ordinances, rules, regulations, and orders of any governmental
authority bearing on the performance of the work, including adhering to all local building
codes, and obtaining and paying for permits. Contractor shall be responsible for the acts and
on-iissions of employees and subcontractors. Contractor, at all times, shall keep the premises
free from accumulation of waste materials or rubbish caused by the operation. At Completion,
Contractor shall remove all waste and surplus materials and rubbish from and about the
premises, and if applicable, shall clean all glass surfaces and shall leave the work "broom
clean."
Contractor warrants that it is authorized by law to engage in the performance of the activities
herein described, subject to the terms and conditions set forth in these Agreement documents.
The Contractor shall, at all times, exercise independent, professional Judgment and shall
assume professional responsibility for the services to be provided. Contractor shall provide
services using the following standards, as a minimum requirement:
A. The Contractor shall maintain adequate staffing levels to provide the services required
under this Agreement.
B. To the extent that Contractor uses employees, subcontractors or independent
contractors, this Agreement specifically requires that the employees, subcontractors and
C. independent contractors shall not be an erriployee of or have any contractual
relationship With County.
D. All personnel engaged in performing set-vices under this Agreement shall be fully
qualified, and, if required, to be authorized or permitted Linder State and local law to
perform such services.
E. The Contractor shall maintain all necessary licenses, permits or other authorizations
necessary to act as a Contractor,
4. Confidentiality. Contractor agrees to keep confidential all client information provided to
Contractor and/or Contractor's employees by the County, except such inforn-ration as is
already known to the public, and not to release, use, disclose same, directly, or indirectly, to
any other person or business, except with prior written permission of County.
5. Non-Exclusive Relationsb I -�i . Neither Contractor nor County has an exclusive relationship
with the other. Contractor is free to perform the above-described services for any other person
or business,, so long as this does not interfere with Contractor's satisfactory and timely
performance of set-vices for County under this agreement.
6. Subcontracts. Contractor shall not enter into any subcontract with any subcontractor who has
been debarred from performing work by any Agency of the United States Government or by
the State of Florida. Contractor shall be fully responsible for the acts or omissions of
Subcontractors, and of persons either directly or indirectly employed by them. At no time
shall any contract or agreement between Contractor and a subcontractor be construed as a
relationship, formal or informal, between the subcontractor and County.
7. Contractors Guarantee. Contractor guarantees all work performed for a period of one (1) year
from the date of final acceptance of all work required by the bid proposal and Work Write-Up/Scope
of Work, Contractor warrants to the owner and County that all materials and equipment used in the
work will be new and free of defects, unless otherwise specified, and approved in advance by an
authorized representative of County. All manufacturers" and suppliers' written guarantees and
warranties covering such materials and equipment shall be furnished to the owner or SHIP project
household. Contractor agrees to correct any defects due to faulty workmanship, materials or
equipment and shall pay for or repair any damage to other work resulting there from for a period of
one year frorn the date of final acceptance of the pen-nitted work.
S. Commencement of Work. Contractor warrants good title to all materials, supplies and equipment
incorporated in the work and warrants that it is free from any claims, liens, or charges, and that
Contractor not- any other person, firm, or corporation, shall have any right to put a lien upon the
premises or materials, supplies or equipment, Contractor must contact the homeowner within five
(5)days of receiving a Notice to Proceed and must complete all work within 180 days of receiving
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said Notice, Contractor shall contact the SHIP Project Manager upon notice of the event giving
rise to the need for additional days beyond 180. Additional days may be granted upon inutual
written agreement between Conti-actor and County via a change order.
9. Protection of Work and Property. Contractor shall be responsible for initiating, rn.aintaining, and
supervising all safety precautions and programs in connection with the work and complying with
all applicable laws, ordinances, rules, regulations. Contractor shall take all reasonable precautions
for the safety of, and shall provide all reasonable protection to prevent damage, injury, or loss to
(1) all employees oil the work site and other affected persons, (2) all work and materials and
equipilient at the site, and (3)other property at the site. Any damage or loss to any property caused
in whole or in part by Contractor, Subcontractor, or employees, shall be remedied by Contractor
and County shall be held harmless.
10. Chan ze Orders/Waivers. Any change orders must be approved in writing by the homeowner,
occupant if applicable, Contractor, and SHIP Project Manager with review and sign off by the
SHIP Program Director, prior to the, commencement of such work. Any change order or work
waiver commenced prior to authorization shall be considered unauthorized work and will not be
reirnbursed by County. If final invoice from Contractor exceeds the Proposal amount, and no
change order was approved, the invoice will be approved for only the amount quoted ill the
Proposal.
11. Compensation, Upon issue of permit, Contractor, at their discretion, can submit invoice for up to
fifty percent (50%) of approved price as stated in the accepted bid proposal and confirmed in the
Award ofBid and Notice to Proceed. This initial invoice will be deemed a progress payment. A
copy of the issued permit and material receipt(s) must accompany invoice. Upon completion of
the work, Contractor shall submit final invoice for fifty percent (50%) of approved price as stated
in the accepted bid proposal and confirmed in the Award of Bid and Notice to Proceed. Ally
increases to the original bid proposal must be submitted in writing via a change order and require
advanced approval by the SHIP Project Manager and S141P Program Director. The SHIP Project
Manager, Contractor, and Owner shall inspect, and approve in writing, the work prior to final
completion. A final closed permit will be required with final invoice, The Contractor shall deliver
to the Owner a complete release of all claims for labor and material arising out of this Agreement
and a final closed permit will be required with final invoice.
Contractor invoices will be processed for reirribUrsernellt upon verification that all conditions
under the agreement have been met. Payments will be made: according to the Florida Local
Government Prompt Payment Act, Sections 218.70-218.80, Florida Statutes. Contractor shall
submit to the County an invoice with supporting documentation in a form acceptable to the Clerk.
Acceptability of the invoice to the Clerk is based on generally accepted accounting principles and
such laws, rules and regulations as may govern the Clerk's disbursal of funds. Invoices shall be
sent to the County's Social Services Department who will review the documents and route them
to appropriate County Staff for approval. Upon receiving all required approvals, the invoice(s)
will be forwarded to the County Clerk's office for payment. After the prime contractor has
received payment,they must release payment to their subcontractors and suppliers within 30 days
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of either when payments became due after furnishing labor or materials, or after the request for
payment was received; whichever is later,
12. Indemnification, Conti-actor agrees to be solely responsible, and shall hold harmless the County,
its officers, directors, and employees for any and all claims brought against either Contractor or
County, or for liabilities incurred by County as a result of actions or omissions by the Contractor,
whether tinder Workers' Compensation laws, or under any other federal, state, or municipal laws,
rules or regulations which may be applicable, or any other set of circumstances not specifically
addressed herein,
11 Insurance. The Contractor shall obtain insurance as specified and maintain the required insurance
at all times that this Agreement is in effect. 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 coverage provided herein shall be provided by an insurer with an A.M. Best rating of V1 or
better, that is licensed to do business in the State of Florida and that has an agent for set-vice of
process within the State of Florida. The coverage shall contain an endorsement providing sixty
(60) days' notice to the County prior to any cancellation of said coverage. Said covet-age shall be
written by an insurer acceptable to the County and shall be in a form acceptable to the County.
Contractor shall obtain and rnaintain the following policies-,
A. Workers' Compensation insurance as required by the State of Florida, sufficient to respond
to Florida Statute 440,
B. General Liability Insurance ,vith limits of$300,000 combined single limit
C. Comprehensive Business Automobile and Vehicle Liability Insurance covering claims for
injuries to members of the public and/or damages to property of others arising fi-om use of
motor vehicles, including onsite and offsite operations, and owned, hired or non-owned
vehicles, with$200,,000 per person, $300,000 per Occurrence, $ 200,000 Property Damage
or $30�0,00�0 combined single limit.
D, Commercial General Liability Insurance, including Personal Injury Liability, covering
claims for it1juries, to members of the public or damage to property of others arising out of
any covered act or omission of the Contractor or any of its employees, agents or
subcontractors or subcontractors, including Prerruses and/ or Operations, Products and
Completed Operations, Independent Contractors; Broad Form Property Damage and a
Blanket Contractual Liability Endorsement with limits of$300,000 combined single limit.
E. County shall be named as an additional insured with respect to Contractor's liabilities
hereunder in insurance coverages identified in Paragraphs C and D.
F. Contractor shall require its Subcontractors to be adequately insured at least to the limits
prescribed above, and to any increased limits of Contractor if so required by County during
the term of this Agreement. County will not pay for increased limits of insurance for
subcontractors.
G. Contractor shall provide to the County certificates of insurance or a copy of all insurance
policies including those naming the County as an additional insured. The County reserves
the right to require a certified copy of such policies upon request.
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1-1. If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be
required. In addition., the Contractor may be required to submit updated financial
statements from the fund upon request from the County.
14. Nondiscrimination. The Contractor and County 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 oil the part of any party, effective the date of the court
order. Contractor agrees to comply with all Federal and Florida statutes, and all local
ordinances, as applicable, relating to nondiscrimination, 'These include but are not limited
to: 1) Title VII of the Civil Rights Act of 1964 (I'll- 88-352) which prohibits discrimination
in employment on the basis of race, color, religion, sex or national origin; 2) Title IX of
the Education Amendment of 1972, as amended (20 USC ss. 1681-1683, and 1685-1686),
which prohibits discrimination oil the basis of sex; 3) Section 504 of the Rehabilitation Act
of 1973, as amended (20 USC s. 794), which prohibits discrimination on the basis of
disability; 4) The Age Discrimination Act of 1975, as amended (42 USC ss. 6101-6107)
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; () The Comprehensive Alcohol Abuse and Alcoholism Prevention,
on,
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 patient records; 8) Title Vill of the
Civil Rights Act of 1968 (42 USC s. 3601 et seq.), as amended, relating, to,
nondiscrimination in the sale, rental or financing of housing; 9) The Americans with
Disabilities Act of 1990 (42 USC s. 12 101 Note), as may be amended from time to time,
relating to nondiscrimination on the basis of disability; 10) Monroe County Code Chapter
14, Article 11, which prohibits discrimination on the basis of race, color, sex, religion,
national origin, ancestry, sexual orientation, gender identity or expression, familial status
or age; and 11) Any other nondiscrimination provisions in any Federal or state statutes
which may apply to the parties to, or the subject matter of, this Agreement,
15. Florida Public Records Law (Florida Statute 119.0701), Contractor must comply with
Florida public records laws, Including but not limited to Chapter It 9, Florida Statutes and
Section 24 of article I of the Constitution of Florida. Tile County and Contractor shall allow
and permit reasonable access to, and inspection of, all documents, records, papers, letters
or other "public record" materials in its possession or 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 related to Agreement p erfort-fla lice. Tile
County shall have the right to unilaterally cancel this Agreement upon violation of this
provision by the Contractor. Failure of the Contractor to abide by the terms of this provision
shall be deemed a material breach of this Agreement and the County may enforce the terms
of this provision in the form of a court proceeding and shall, as a prevailing party, be
entitled to reimbursement of all attorney's fees and costs associated with that proceeding.
This provision shall survive any termination or expiration of the Agreement.
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The Contractor is encouraged to consult with its advisors about Florida Public Records
Law in order to comply with this provision.
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 and their authorized representatives shall have reasonable
and timely access to such records of each other party to this Agreement for public records and
auditing Purposes during the term of the Agreement and for five(5)years following the:termination
of this Agreement. If an auditor employed by the County or Clerk determines that monies paid to
Contractor pursuant to this Agreement were spent for purposes not authorized by this Agreement,
the Contractor shall repay the monies together with interested calculated pursuant to Section 55.03
the Florida Statutes, running from the date the monies were paid to Contractor.
Pursuant to F.S. 119.070 1, Contractor and its subcontractors shall comply with all public records
laws of the State of Florida, including but not limited tw
a. Keep and maintain public records required by Monroe County in order to perform the service.
b. Upon request froin the public agency's custodian Of public records, provide the public agency
with a copy of the requested records or allow the records to be inspected or copied within a
reasonable time at a cost that does not exceed the cost provided in Florida Statutes, Chapter 1 ]9
or as otherwise provided by law.
c. Ensure that public records that are exempt or confidential and exempt from public records
disclosure requirements are not disclosed except as authorized by law for the duration of the
Agreement term and following completion of the Agreement if the contractor does not transfer tile
records to the public agency.
d. Upon completion Of,the Agreement, transfer, at no cost, to Monroe County all public records
in possession of the contractor or keep and maintain public records required by the public agency
to perform the service. If the contractor transfers all public records to the public agency upon
completion of the Agreement, the contractor shall destroy any duplicate public records that are
exempt or confidential and exempt from public records disclosure requirements. If the contractor
keeps and maintains public records upon completion of the Agreement, the contractor shall meet
all applicable requirements for retaining public records. All records stored electronically must be
provided to Monroe County, upon request from the public agency's custodian of records, in a
format ormat that is compatible with the information technology systems of Monroe County.
If the: contractor does not comply with the County's request for records, the County shall enforce
the public records Agreement provisions in accordance with the Agreement notwithstanding the
County's option and right to unilaterally cancel this Agreement upon violation of this provision
by the Contractor. A Contractor who fails to provide the public records to the County or pursuant
to a valid public records request within a reasonable time may be subject to penalties under Section
H 9.10, Florida Statutes,
Contractor shall not transfer custody, release, alter, destroy, or otherwise dispose of any public
records unless or otherwise provided in this provision or as otherwise provided by law.
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IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF
CHAPTER 119,FLORIDA STATUTES,TO THE CONTRACTOR'S DUTY TO PROVIDE
PUBLIC RECORDS RELATING TO THIS AGREEMENT, CONTACT THE
CUSTODIAN OF PUBLIC RECORDS, BRIAN BRADLEY, AT (305) 292-3470, ,hra. dlev.-
- 111 ............
bri"Ibuff iwnon roc o un_t ,41 u c/o Monroe County Attorney's Office, 1111 12111 St., Suite 408,
1,................. L,
key-,,,W ,e,s,t-"T I" 33040.
16, DisagLee In the event that either Contractor or County commence an action
for damages, injunctive relief, or to enforce the provisions of this agreement, and either party
prevails in any such action, the prevailing party shall be entitled to an award of its reasonable
attorneys' fees and all costs Incurred in connection therewith as determined by the court in any
such action.
IT Govjnjqg_L,. This Agreement shall be governed by and construed in accordance with the
laws of the State of Florida applicable to Agreements made and to be performed entirely in
the State. In the event that any cause of action or administrative proceeding is instituted for
the enforcement or interpretation of this Agreement, County and Contractor agree that venue
shall lie in the 16"' Judicial Circuit, Monroe County, Florida,
18. Assignment. This agreement may not be assigned without prior written consent of both parties.
This agreement will be binding upon, and will inure to the benefit of, each party's permitted
successors and assigns.
19. Severability. The parties agree that the covenants of this agreement are severable: and that if any
single clause or clauses shall be found unenforceable, the entire agreement shall not fall but shall
be construed and enforced without any severed clauses in accordance with the terms of this
agreement,
20, Duration and Termination. If the SI--IIP Project Manager finds the materials furnished, work
performed, or the finished product are not in reasonably close conformity with the plans and
specifications and have resulted in an unacceptable finished product, the affected work. or
materials shall be removed and replaced or otherwise corrected by and at the expense of
the Contractor in accordance with the SHIP Project Manager 's written orders. If Contractor
defaults or neglects to carry out any work in accordance with this agreement or fails, to perform or
comply with any provision of this agreement, the County may, after written notice to Contractor,
make good Such deficiencies and may deduct the cost incurred from the payment due to Contractor
and/or County may terminate the contractor's services and take possession of the site and of all
materials, equipment,, tools and construction equipment, and machinery owned by Conti-actor,
which were purchased with SIJIP program funds, and may finish the work. If the expense of
finishing the work exceeds the unpaid balance to Contractor, Contractor shall be liable for payment
of the difference to County. Contractor and County can tern-runate the set-vices contemplated this
agreement at any time for any reason upon 7 calendar day notice to either party,. Contractor shall
be required to satisfactorily finish all work in progress prior to termination of the services. Failure
to do so by Contractor shall result in forfeiture of payment for any work in progress.
21. Notices. 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:
To the County: Roman Gastesi, Monroe County
Administrator
1100 Simonton Street, Room 2-205
Key West, Florida 33040
7
And: Monroe County Attorney's Office
I 111 12'1' Street, Suite 408
Key West, Florida 33040
And: Monroe County Social Services
1100 Simonton Street, Roorn 1-190
Key West, Florida 33040
For the Contractor: Keys Home and Investments LLC
1107 Keys Plaza - Mailbox 4289
Key West, Il., 33040
22. Examination and Retention of Contractor's Records. Contractor shall retain records relating to this
Agreement for four years after final payment is made this agreement. If an audit, litigation,or other
action involving the records is started before the end of the four-year period, records triust be
retained until all issues arising Out Of the action are resolved,or until the end of the four-year period,
whichever is later. County, or any of its authorized representatives, shall have access to Contractor
records.
23. Headings. The headings contained in this agreement are for reference purposes only and shall not
al"t-'ect the meaning or interpretation of this agreement,
24. Agreement Documents. This agreement consists of this Independent Contractor Agreement
(ICA), the Work Write-Up/Scope of Work, the bid proposal from the Contractor, the Award
of Bid, and Notice to Proceed. In the event of a conflict in terms between the ICA, Work
Write-Up/Scope of Work, and the bid proposal, the terms of this Agreement shall prevail.
25. Miscellaneous.
a. ForceMajeure. Due performance of any duty or obligation hereunder by either party shall be
excused if prevented by acts of God, information providers or other service providers, public
enemy, War,terrorism, any accident, explosion, fire, storm, earthquake, flood, strike, computer
outage or virus, telecommunications failure, or any other circumstance beyond that party's
reasonable control.
b. Waiver or Consent. Any failure by either of the Parties to comply with any obligation,
covenant, condition, or agreement contained herein may be waived in writing by the party
entitled to the benefits thereof, but such waiver or failure to insist on strict compliance with
such obligation, covenant, condition, or agreement shall not operate as a waiver of or estoppel
with respect to any subsequent or other failure. To be effective, any consent must be in writing
and signed by ail authorized representative of that party.
c. Independent Parties. Nothing in this Agreement shall be construed as creating a partnership,
joint venture, fiduciary, or agency relationship between the parties, or as authorizing either
party to act as an agent for the other. The pat-ties to this Agreement are independent parties.
8
26, Attestations. Contractor agrees to execute such docurnents, as the County may reasonably require,
including, but not being limited to, a Public Entity Crime Statement, an Ethics Statement and a
Vendor Certification Regarding Scrutinized Companies,
27. E-Verify. Beginning January 1, 2021, in accordance with F.S. 448.095, the Contractor and any
subcontractor shall register with and shall utilize the U.S. Department of Homeland Security's E-
Verify system to verify the work authorization status of all new employees hired by the
Contractor during the term of the Agreement and shall expressly require any subcontractors
performing work or providing services pursuant to the Agreement to likewise utilize the U.S.
Departmetit of Homeland Security's F-Verify system to verify the work authorization status of
all new employees hired by the subcontractor during the Agreement term. Any stibcontractor
shall provide an affidavit stating that the subcontractor does not employ, contract with, or
subcontract with an unauthorized alien, The Contractor shall comply with and be subject to the
provisions of F.S. 448.095.
**TI-IE REST OF THIS PAGE WAS LEFT INTENTION A LLY LEFT BLANK**
9
IN WITNESS WHEROF, County and Contractor have executed this Independent Contractor
Agreement as of the date first written above.
CONTRA 11 : Keys Hom
e and Investments Inc.
T
By:
Sid At&e
Print Name & Title
STATE OF FLORIDA
C 0 LYN T Y OF (Co u,n ly(?f No I ary)
Subscribed and sworn to (or affirmed) before me, by means of physical presence or El online
notarization, on 3U )q 111 2611� (Date) by (Name)__. on
C e he
is (are) per'sonalfy known to nie or has/have produce.
qE�
F (Type of Identification) as identification.
DviVC-hs LiC exi s-e.
'4rs-N, Notary Public Stale of Maresa N Sanchez
N FloridaFooda ecif z H 103607 5
a a y Pu Oc M a:, Stal esa N �H
My Commies
;:E a,05t�l` 172:02
NOTAPY PUBLIC My CommisSion HH
-41 E E-pres 05/141025
MONROECOU
By; Sheryl L.-GGRharn
Monroe County S1111" Program Administrator
STATE OF FLORIDA
COUNTY OF MONROE
Subscribed and sworn to (or affirmed) before me, by means of 9-fphysical presence or F-1 online
notarization, on Z-7-. _202,j__ (Date) by SHERYL L. GRAI-IAM.
14CSi OThey is (are) ppjw&1,ly -or has/have produced.
(Type of Identification) as identification.
NOTARV PUBLIC
Notary Public Stale of Florida
Maresa N Sanchez
My Commission HH 103597
Expires 0511412025
LEGIAL: 1\ YEE I
10
AC"r?" CERTIFICATE OF LIABILITY INSURANCE Yy)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,tfie pol icy(ies)must be endorsed. If SUBROGATION IS WAIVED,su9jeGt to
the terms and conditions of the policy,certain pollicies may require ain endorsement. A statement on this certificate does not confer rights to the
certificate holder in fieu of such endorsement(s).
PRODUCIER CONTACT
NAME: Amanda Katulich
PA.oN.E
PG1 of West Centra,l Florida,LLC rcj 4 941-242-9.6 2..I
ti, 941-2 2-9619 (AJC,No):
T Eq- ...... ........................
3809 E SR 64 ADDRESS: aiiiinclair�pg�ofwcstcentra�f�orida.coin
.........................................................
INSURER(S)AFFORDING COVERAGE NAIC#
....... ............................ 11 1
Bradenton FL 34208 INSURER A: Atlantic CaSUaRy Insurance Cornpany 42846
. .. ............................................................. ............ ............. ..... ...............
INSURED INSURERB:
........................................-----------
Keys Home&Investments,Inc. INSURER C�
..............................
1 10,7 Key Plaza INSURER D:
.......................
Mailbox,1289 INSURER E
....................... ....................
Key West FL 33040 INSURER F:
COVERAGES CERTIFICATE NUM ER; REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN'ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDLTSUBR- — "1 1-11 : POLICYEFF POLICY'EXP
LTR TYPE OF INSURANCE INSO WVD11 POLICY NUMBER (MMM DIYYYY) (MM0DIyYYY) LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
CLAIMS-NIADE X OCCUR DAMAGE TO RENTED
PREMISES iEa occurrence( $ 100,000
MED EXP(Any cane person) $ 5,000,
A Y L335000051-1 05131/2023 i 05131/2024 PERSONAL&ADV INJURY $ 1,000,000
GENT AGGREGATE LIMIT APPLIES PER. APPROVED BY RISK MANAGEMENT i GENERAL AGGREGATE $ 2,000,000
OTH O-
X P i OLIER PCY JECTR LOC PRODUCTS-COMP)'OP AGG 2,000,000
DATE 8,12023 $
AUTOMOBILE LIABILITY rOMBINED SINGUFTIMI I
WArVER NIA YES 4Ezi accident)
ANY AUTO i BODILY INJURY(Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS j BODILY INJURY(Per accident)
NON-OWNED
PROPERTY DAMAGF_
HIRED AUTOS Per accident)AUTOS
UMBRELLA LIAR OCCUR EACH OCCURRENCE
EXCESS LIAB CLAIMS-MADE AGGREGATE
DED RETENTIONS
'WORKERS COMPENSATION TAT CI H-
UTE A
iAND EMPLOYERS'LIABILITY YIN
i ANY PROPRIETORIPARTNERIEXECUTIVE FACHACCIDENT $
OFFICERAAEMBER EX NfAi
y
(Mandatory In NH)
I DISEASE-FA EMPLOYEE,$
if ............... .........
_12ESCRIPTlONes describe OF under OPERATIONS below E.N. DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Monroe County SOCC is included as an additional insured as required by written contract for general liability.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Monroe County Board of County Coin mi ssi oners ACCORDANCE WITH THE POLICY PROVISIONS.
1100 Simonton St
AUTHORIZED REPRESENTATIVE
Suite 1-190
Key West FL 33040
1988-2014 ACORD CORPORATION, All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
A C, DATE IMNVD0rYYYY)
CER
D TIFICATE OF LIABILITY INSURANCE F 071"31"12023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW., THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEIEN THE ISSUING INSUIRER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollicy(ies) must have ADDITIONAL INSURED provisions or be endorsed'.
If SUBROGATION IS WAIVIED, subject to the terms and conditions of the policy:, certain policies may require an endorsement, A statement on
this certificate does not confer rights to the certificate holder in lieu of such enclorsement(s).
PRODUCER CNAONTACT Todd George
ME:
PO Box 6090 101
Bouchard Insurance for WBS-TG PHONE FAX
,Na):Q No,Ext): (866,)293-3600 ext.623 (AIC
E-MAIL ....................—-- ............ ...
Clearwater,FL 33758-6090 _ADDRESS:. ...........
.. ............—INSURER B)AFFORDING COVERAGE NAIC N
INSURER A: American Zurich Insurance Company 40142
INSURED INSURER B:
Workforce Budoiness Services,Inc.All.Emp:Keys Home and Investments Inc.
1401 Manatee Ave,West Ste 600 INSURER C,:--,
Bradenton,FL 34205-6708 INSURER D:
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER:22FI-079934540 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD'
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF INSUR lNSQ M12 PO LIC Y NUMBER (MWDD v YYY) (MMfl)DfYYYY) LIMITS
IN SR ADDCSUBR POLICY EFF POLICY EXP
LTR ANCE
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE
DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES(Err occurrence),
MED EXP rAny one person) $
PERSONAL&ADV INJURY S
GEN'L.AGGREGAIL LIMIT APPLJ S PER: APPROVED BY RISK MANAGEMENT GENERAL AGGREGATE
PRO.
POLICY
JECT LOC BY, PR0, DUCTS-COMP(OP AGG
OTHER DATE------,8_3_?0_?3 $
.................
AUTOMOBILE LI ABILITY COMBINED SINGLE LIMIT5
'WAIVER NrA_YES (Ea acdderitI
ANY AUTO BODILY INJURY(Per person)
OWNED SCHEDULED
AUTOS BODILY INJURY(Per accident), S
AUTOS ONLY
HIRED NON-OVVNED P1ROPER7ytJAMAGE
AUTOS ONLY i AUTOS ONLY
(Pv accidem),
$
UMBRELLA LIAB
OCCUR EACH OCCURRENCE
EXCESS LIAB
CLAIMS-MADE
AGGREGATE
DED RE fENTION$
WORKER$COMPENSATION UP
Y N1 OTH-
AND EMPLOYERS'LIABILITY X S IATUTE ER
ANYPROPRIETOPJPARTNERIEXECt)TINiE E L EACH ACH A-CGIDENT
A OFFICERA,4EMBEREXCLUDEiS11 E] NIA WC 90-00-818-12 12/31/2022 12/31/2023
(Mandatory In NH) EJ.,DISEASE--EA EMPLOYEE 1,000,000
"'es'describe under
DESCRIPTION OF OPERATIONS below E L DISEASE:-POLICY LIMIT 5 1,000,000
Location Coverage Period: 12/31/2022 12131/2023 Client# 054616
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
Coverage is provided for Keys Home and Investments Inc.
only those co-employees 1107 Key Plaza#289
Of,Our net subcontractors Key West,FL 33040
to„
CERTIFICATE HOLDER CANCELLATION
Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
1100 Simonton Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Suite 1-190 ACCORDANCE WITH THE POLICY PROVISIONS.
Key West,Fl-33040
AUTHORIZED REPRESENTATIVE
1988-2015 ACORD CORPORATION, All rights reserved.
ACORD 25(20113)/03) Thp ACCIRD nacne and l000 are roriistered marks of ACORD
GEICO Tel: 1-800-841-3000 Declarations Page
981COOC10m! This is a description of your coverage.
Please retain for your records.
GEICO General Insurance Company
One GEICO Center Policy Number,: 4257-1111-96-87
Macon, GA 31295-0001 Coverage Period:
08-03-23 through 02-03-24
112:01 a.m.localtirne at the address of the named insured.
Date Issued: June 17, 2023
APPROVED BY RISK MANAGEMENT
B
DON CHRISTOPHER MILLER Y,
291 GOLF CLUB DR DATE 8.3,2023
KEY WEST FL 33040-7941 WAIVER NIA YES
Email Address: DMILLER@IHBFL.COM
... .... ........ .
Named Insured Additional Drivers
Don Christopher Miller None
Vehicles VIN Vehicle Location Finance Company/
Lienholder
1 2006 Ford F-250 1 FTSX21526ECO2067 KEY WEST FL 33040-7941
2 2022 GMC Sierra 1GT49PEYXNF107866 KEY WEST FL 33040-7941
Coverages* Liimiits and/or Deductibles Vehicle 1 Vehiicle 2
Bodily Injury Liability
Each Person/Each Occurrence $250,000/$500,000 $574.20 $534,50
Property Damage Liability $100,000 $100,70 $86A0
Personal Injury Protection Non-Ded/Insd&ReI $5270 $57.60
Uninsured Motorist/Stacked
Each Person/Each Occurrence $250,000/$500,000 $857.10 $728.60
Comprehensive (Excluding Collision) $250 Ded! - $578-60
Collision $500 Ded - $237.00
Emergency Road Service ERS FULL - $3,00
Rental Reimbursement $,50 Per Day
$1,500 Max - $18.90
Mechanical Breakdown $250 Ded - $31.50
Six Month Premium Per Vehicle $1,584.70 $2,275.80
Total Six Month Premium $,3,860.50
T-4 Continued or,Back
DEC,_PAGE(06-16) (Page 1 of 4) Renewal Page 7 of 11
*Coverage applies where apvmmiumor$O.80io shown for uvehicle.
Uf you elect k» pay your premiu,win installments, you maybe subject ioun additional fee for each installment. The fee
amount wUHbe shown on your billing statements and ia subject tochange,
Discounts
The total value of your discounts is $�849.90
Smatbu|t(All Vehicles) ... ................... ......................................... -.........'..-....-..................__$115.70
Passive Restraint/Air Bag (All Vehicles) ...... --- ..... .......................... ....................................... ........$59.5O
Multi-Car(AtUVehicles) .... ...... ....... ..........................................................—_—........ .............. ....... --$2Q4.50
5 Year Good Driving (All Vehicles) ..... ............. .... ...............----_ ....... ...... ... ... ............. ....... ....-$525.00
Anti-Lock Brakes (\DVehicles) ....._ ........................................._— ........ ................. --- ............. ... $81�70
Anb-Theft Device (Veh2) —.... ............................. ...___........................._------- ............. _— ... $83.50
Contract Type: A3OFL FAMILY AUTO INSURANCE PC)LKCY
Contract Amendments: ALL VEHICLES -A30FL(85-22) B|BPGCW(O720
The following forms for your policy are mvmUub|e to review online aiguioo.com/expmss:
Form Name Form Number(Revision �Dmtm),
Fee Schedule Endorsement &8608 (03-21)
Coverage Descriptions 0337FL (03-18)
Notice cfChange M700FL (89-22)
Family Auto Policy Contract p`30FL (05'22)
You may view, save and print the forms listed above un our wmbsit�e. You will not receive a paper copy cf the forms unless
you request that we mail you m paper copy cf any uf the forms listed above atnu cost bynmUfinQusmt 1-800-841-3000.
Countersigned by Authorized Representative
Important Policy Information
- If you have any questions about this policy, about the insurance services we offer, or if you need assistance resolving
a complaint please contact GEICO at 1-800-841-3000. We can assist you with your personal insurance needs.
- Please review the front and/or back of this page for your coverage and discount information.
- Subject to the policy carrying Comprehensive and/or Collision Coverage, if a non-owned auto, in operation while
leased or rented for a fee, has a Manufacturer Suggested Retail Price above $100,000, the limits of liability for loss
to the non-owned auto is the highest of the actual cash value of any owned auto shown on the Declarations
Continued on Next Page
oEc_rxsE(os-1s) (Page 2or4) Renewal Page omrv1
BOARD OF COUNTY COMMISSIONERS
County of Monroe
Mayor Craig Cates,
The Florida Kevs $ Mayor Pro Tura Holly Murrill R aschein. District 5
Michelle Lincoln, District
James K. Scn1101l. D'Strict 3
David id Rice, Nstrict 4
Monroe County Social Services
State Mousing Initiatives Partnership Program (SHIP)
Award of Bid
Date: 24 May 2023
Job Number: 06-971 -22
Client: Jennifer Stettner
Client/job Address: 3409 Flagler Avenue„ ley West, Fl— 330140
ContractorNendor: Keys lionie and Investi-nent:; Inc. / 13940
Bate and Amount of Bid: 03/07/23 - $41,800
Comments:
An entail was sent on 16 February to approximately 25 contractors. One (1) quote was received on :3 ° 1' a .: „
The: price cleated for all work listed in the Scope of Work was $41,800. The horneow°ner has
agreed to pay the difference (`6, 110) of the Maxilirlrrl11 ]can amount, $3 ,000.
____-....w..... w " .
._.._.w.
Sheryl Date —
SherIraham _.......
MC SHIP Administrator
r
Kim I1s"" an._._. Date_..__. ..._ .._......_
° �
Sr Administrator Programs and Compliance
..�
Steven Becker mm. Date
Project Manager 11
BOARD OF COUNTY C(MM[SS1C?l' ERS
County of Monroe „ i rrP � Nhyor David Rice,District 4
TheFlorida KevstG M, car Pro'Fem Craig Cates. District 6
Michelle Lincoln. District 2
ones K `+chcrll. (:District 3
"+ Itch% Merrill Raschein, District
.tune 30, 2022
Ms. Jennifer M. Stettner
3409 Fla ler Avenue
Key West, Ff., 33040
Dear Ms. Stettner,
This letter is to certify that YOU qualify to participate in Monroe C aunty's State Housing
Initiative Partnership Program under the l-loineo ner Rehabilitation Strategy.,
Based can the information you have provided, you qualify for a deferred payment SHIP Loan in
the amOUnt of$15,000.00 at zero Percent interest Ccar a term of'twenty (20) years. The total
amount of the award is $35,000.00.
The first 20,000.00 ofexpenses will be a grant. The balance of l5,(l(}0,00 will be forgiven can
the maturity elate. No payments are required on this lien.
Sincerely,
Sheryl I:.,. Graham
Monroe County SHIP Achrunistrator