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02/29/2024 Agreement Monroe County Purchasing Policy and Procedures ATTACHMENT D.5 COUNTY ADMINISTRATOR CONTRACT,SUMMARY, FORM FOR CONTRACTS $1„00,000.00 and Under Express Trenchless FL Effective Date: Expiration Date: Contract Purpose/Description: Trenchless Pipeline Rehabilitation Marathon MCSO Substation 3103 Overseas Hwy, Marathon FL 33050 Contract is Original Agreement Contract Amendment/Extension Renewal Contract Manager: John T.,Null 8036 Facilities Maintenance CONTRACT COSTS Total Dollar Value of Contract: $ 1800 00 Current Year Portion: $ (must be$100,000.00 or less) (If multiyear agreement then requires BOCC approval,unless the i wl aint ihlii�c 4Imt ni is 100,000.00 or Icss). Budgeted? YAK No ❑ Grant: $ County Match: $ Fund/Cost Center/Spend Cate o : 304-CC 26010 SC 00061 ADDITIONAL COSTS Estimated Ongoing Costs: $ /yr For: (Not included in dollar value above) (e.g.maintenance,utilities,janitorial,salaries,etc.) Insurance Required: YES ❑NO ❑ CONTRACT REVIEW Reviewer Date In Department Head Signature: William Desantis Patricia Eables Digitally signed by Patricia Eables County Attorney Signature: Date''2024 022812''05'.12-05'00' Risk Management Signature: Purchasing Signature: Lisa Abreu Digitally s Date 2024 signed Abreu '. . . 13'.53'.00-05'00' John Quinn Digitally signed by John Quinn OMB Signature: Date'.2024.02.29 08'.31'.00-05'00' Comments: Revised BOCC 4/19/2023 Page 84 of 105 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS REQUEST FOR SERVICES FOR Trek le Pipeline Rehab flitation, Marathon MCSO Substation 3103 Overseas Hwy., Mara on, FL 33050 BOARD OF COUNTY COMMISSIONERS Mayor Holly Merrill Raschein Craig Cates, District 5 Mayor Pro Tem Jwnes K. Scholl, District 3 Craig Cates, District I Michelle Lincoln, District 2 David Rice, District 4 COUNTY ADMINISTRATOR Roman Gastesi Clerk of the Circuit Court Facilities Maintenance Director Kevin Ma k William DeSantis December 14, 2023 PREPARED BY: Monroe County Facilities Maintenance Department Page I of 27 Monroe County Facilities Maintemince General Scope of Work Job ® Trenchless Pipeline Rehabilitation, Marathon MCS O Substation Job ® Marathon MCSO Substation 3103 Overseas Hwy. Marathon,FL 33050 Contact: John T. Null John T. Null 305-587-8036 Jessica Morris madkit, 305-289-6036 PROJECT OVERVIEW PROJECT INTENT AND SCOPE GENERAL REQUIREMENTS 1® Project Overview A) Enter into a contract with a qualified Contractor for a Trenchless Pipeline Rehabilitation project, at the Marathon MCSO Substation, located at 3103 Overseas Hwy., Marathon,FL 330% The to of this contract shall commence within ten(10) days after issuance of a building permit. Once commenced, the undersigned shall diligently continue performance until completion of the Project. The undersigned shall accomplish Final Completion of the Project within Thirty (30) days, thereafter. The Contractor shall be required to secure and pay for all required permits and approvals to perform the work which may include: Monroe County Building Department,the City of Marathon Building Department, and any other pen-nitting or regulatory agencies, if applicable. Contractor shall include those permit fees as a part of the Contractor's bid. B) All quotes are due by Thursday,December 28,2023, at 12:00 P.M.,via email to Morris-Jessica@monroecounty-fl.gov. All Quotes must state they will be good for one hundred twenty(120)calendar days from submittal due date. Page 2 of 27 2® Project Intent and Scope Scope of Work: The Contractor shall provide the following Scope of or and provide all labor and materials to complete the Trenchless Pipeline Rehabilitation project necessary at the Marathon MCSO Substation: a Descale, clean, clear, and hydro,jet the pipeline. 0 Install Epoxy Spin Casting/Curcd-in-Place-Pipe(CIPP) lining(76 LF of interior& exterior mainline). * All branches will be reinstated. o 50-year warranty on the repair. * Appropriate permitting and fees. 3. General Requirements A) The Contractor shall coordinate all activities with the Monroe County Facilities Maintenance Department contact: JT Null at 305-587-8036 B) The Contractor is required to provide protection for all existing surfaces including,but not limited to: i. Existing fixtures ii, Personal Items iiiF Floors iv. Vehicles and Personal Property V, Landscaping C) The Contractor shall ensure that all non-exempt employees for this effort are compensated in accordance with all State and Local Laws. D) The Contractor shall load, haul, and properly dispose of all construction debris and materials. E) The Contractor shall provide and maintain appropriate (OSHA required) construction warning signs and barriers. F) The Contractor shall furnish all required work site safety equipment. G) The Contractor shall furnish and maintain on-site material safety data sheets (MSDS) for all materials used in the construction. Page 3 of 27 H) Construction work times shall be limited to: Specified by the County 1) All materials must be approved by submittal prior to commencement of work. J) The Contractor shall provide a lump sum price by December 28,2023,at 12:00 p.m., via email as noted herein. K) The Contractor needs to be aware of weather and location and plan accordingly. L) The Contractor needs to be aware of the facility, its residents, and staff with unusual schedules and plan accordingly. M) The Contractor shall provide a schedule for all phases of the project. N) If applicable, Contractor shall provide paper or electronic copies of all original device specifications, warranties,maintenance schedules, shop drawings,permits,repair and maintenance contacts, and any other information necessary forte proper ftmction and maintenance of the equipment. 0) The Contractor shall coordinate all activities with concurrent site work being performed, if any, P) Insurance Requirements: Workers Compensation Statutory Limits Employers' Liability $100,000 Bodily Injury by Accident $500,000 Bodily Injury by Disease,policy limits $100,000 Bodily Injury by Disease, each employee General Liability $200,000 per Person $300,000 per Occurrence $200,000 Property Damage or $300,000 Combined Single Limit Vehicle: $200,000 per Person (Owned, non-owned, $300,000 per Occurrence and hired vehicles) $200,000 Property Damage or $300,000 Combined Single Limit Builders Risk Not Required Construction on Not Required Page 4 of 27 The Monroe County Board of County Commissioners, its employees and officials, 1100 Simonton Street,Key West,Florida 33040, shall be named as Certificate Holder and Additional Insured on General Liability and Vehicle policies. A"Sample"Certificate of Insurance is attached, which may not be reflective of the insurance amounts required for this project but is provided for "informational purposes"only. Q) The Contractor is required to have all current licenses necessary to perform the work and shall submit the Contractor's License and Monroe County Business Tax Receipt along with its Proposal. If the Contractor is not a current registered Monroe County Vendor, then itshall also submit a properly completed and executed W-9 Form. R) INDEMNIFICATION, HOLD HARMLESS, AND DEFENSE. Notwithstanding any minimum insurance requirements prescribed elsewhere in this agreement, the Contractor shall defend, indemnify and hold the County and the County's elected and appointed officers and employees harmless from and against(i)any claims,actions or causes of action,(ii)any litigation, administrative proceedings, appellate proceedings, or other proceedings relating to any type of injury (including death), loss, damage, fine,penalty or business interruption, and (iii)any costs or expenses that may be asserted against, initiated with respect to, or sustained by, any indemnified party by reason of,or in connection with,(A)any activity of the Contractor or any of its employees, agents, contractors or other invitees during the to of this Agreement, (B) the negligence or recklessness, intentional wrongful misconduct, errors or other wrongful act or omission of the Contractor or any of its employees, agents, sub-contractors or other invitees, or (C) the Contractor's default in respect of any of the obligations that it undertakes under the terms of this Agreement,, except to the extent the claims, actions, causes of action, litigation, proceedings,costs or expenses arise from the intentional or sole negligent acts or omissions of the (,ounty or any of its employees,agents, contractors or invitces(other than the Contractor I), The monetary limitation of liability under this contract,shall be equal to the dollar value of the contract and not less than$1 million per occurrence pursuant to Section 725.06, Florida StkitUiCS. The limits of liability shall be as set forth in, the insurance requirements included in Paragraph 3 P. herein. Insolar as the claims, actions, causes of action, litigation, proceedings, costs or expenses relate to events or circumstances that occur during the term of this Agreement, this section will survive the expiration of the to of this Agreement or any earlier termination or this Agreement. In the event that 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 shrill ,i,ti(leinniry the County from any anti all inctcased expenses resulting from such delay. Should any clainis be asserted against the County by virtue e ofany deficiency or ambiguity in the plans and specifications provided by the Contractor, the Contnactor agrees and warrants that the Contractor shall hold the County harmless arid shall indemnify it frorn all losses occurring thereby and shall lurther defend any claim or adiOrl on the Country's behalf, The extent of liability is in no way limiled to, reduced, or lessened by the insurance requirements contained elsewhere within this Agreement. This indemnification shall survive the termination of this Contract. Nothing contained in this paragraph is intended to nor shall it constitute a waiver oft e County's sovereign immunity, Page 5 of 27 S) NON-COLLUSION. By signing this proposal, the undersigned swears, according to law on his/her oath, and under penalty of perJury, that their firni executes this proposal with prices arrived at independently without collusion, consultation, communication, or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor. Unless otherwise required by law, the prices which have been quoted in this proposal have not been knowingly disclosed by the proposer and will not knowingly be disclosed by the proposer prior to proposal opening, directly or indirectly, to any other proposer or to any competitor. No attempt has been made or will be made by the proposer to induce any other person, partnership or corporation to submit, or not to submit a proposal for the purpose of restricting competition. The statements contained in this paragraph are true and correct, and made with the full knowledge that Monroe County relies upon the truth of the statements contained in this paragraph in awarding contracts for this project. T) EMPLOYMENT OR RETENTION OF FORMER COUNTY OFFICERS OR EMPLOYEES. By signing this proposal, the undersigned warrants that he/she/it has not employed, retained, or otherwise had act on is/ behalf any former County officer or employee in violation of Section 2 of Ordinance No. 0 10-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this provision the County may, in its discretion, terminate this Agreement without liability and may also, in its discretion, deduct from the Agreement or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee. U) 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 acceptance 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. U) DRUG-F'REE WORKP1,A(,E. By sigriing this proposal, the undersigned certifies that the contractor complies fully, with,, and in accordance with Florida Statute, Section 287.087, the requirements as follows: 1) They will publish a statenient notifying employees that the unlawful manufacture, distribution, dispenshig, possession, or use of a controlled substance is prohibited in the workplace and specify the actions that will be taken against employees for violations of such prohibition. 2) Inform employees about the dangers ofdrug abuse in the workplace, the businessis policy of maintaining a drug-frec, workplace,any available drug counseliog, rehabilitation, and einployee assistance programs, acid the penalties that may be imposed upon employees for drug abuse violations, 3)Give each ernployee engaged in providing the commodities or contractual services that are underbid a copy of the statement spcefflied in subsection I, 4) In the statement specified in subsection 1, notify the employees that, as a condition of working mi the commodities or contractual services that are under bid, the employee will Page 6 of 27 abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five(5)days after such conviction, 5) Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, for any employee who is so convicted. 6) Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. ADDITIONAL CONTRACT PROVISIONS 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 disc rintination has occurred, this Agreement automatically terminates without any further action on the part of any party, effective the to 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 (ILL 88-352) which prohibits discrimination in employment on the basis of race, color, religion,sex, or national origin; 2)Title IX of the Education Amendment of 1972,as amended (20 USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; 3)Section 504 oft e 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 is 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 patient records; 8) Title VIII 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 is 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 of nondiscrimination provisions in any Federal or state statutes which may apply to the parties to,or the subject matter of, this Agreement. II) ,Termination Provisions. A. In the event that the Contractor shall be found to be negligent in any aspect of service, the County shall have the right to terminate this agreement after five (5) days' written notification tote Contractor. B. 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® Page 7 of 27 C. Terg1ji q for ("ause gLid Remedies: In the event of breach of any contract terms, the County retains the right to terminate this Agreement. The County may also terminate this agreement for cause with Contractor should the Contractor fail to perform the covenants herein contained at the time and in the manner herein provided. In the event of such termination,prior to termination,the County shall provide Contractor with five(5)calendar days' notice and provide the Contractor with an opportunity to cure the breach that has occurred. If the breach is not cured, the Agreement will be terminated for cause. If the County terminates this agreement with the Contractor, County shall pay Contractor the sum due the Contractor under this agreement prior to termination, unless the cost of completion to the County exceeds the funds remaining in the contract;however,the County reserves the right to assert and seek an offset for damages caused by the breach. The maximum amount due to Contractor shall not in any event exceed the spending cap in this Agreement. In addition, the County reserves all rights available to recoup monies paid under this Agreement, including the right to sue for breach of contract and including the right to pursue a claim for violation of the County's False Claims Ordinance, located at Section 2-721 et al. of the Monroe County Code. D. Tennination for Convenience:The County may terminate this Agreement for convenience, at any time, upon seven (7) days' notice to Contractor. If the County terminates this agreement with the Contractor, County shall pay Contractor the sum due the Contractor under this agreement prior totermination, unless the cost of completion to the County exceeds the funds remaining in the contract. The maximum amount due to Contractor shall not exceed the spending cap in this Agreement. In addition, the County reserves all rights available to recoup monies paid under this Agreement,including the right to sue for breach of contract and including the right to pursue a claim for violation of the County's False Claims Ordinance, located at Art. IX, Section 2-721 et al. of the Monroe County Code. E. ScL�LlLpjLzcd Companies: For Contracts of any amount, if the County determines that the Contractor/Consultant has submitted a false certification under Section 287.135(5), Florida Statutes or has been placed on the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel, the County shall have the option of(1)terminating the Agreernerit after it has given the Contractor/Consultant written notice and an opportunity to demonstrate the agency's determination of false certification was in error pursuant to Section 287.135(5)(a),Florida Statutes, or(2)maintaining the Agreement if the conditions of Section 287.135(4),Florida Statutes, are met. III)Maintenance of RecordE. The Contractor shall maintain all books, records, and documents directly pertinent to performance under this Agreement in accordance with generally accepted accounting principles consistently applied. Records shall be retained fora period of seven(7) years from the termination of this agreement or for a period oft ee(3)years from the submission of the final expenditure report as per 2 CFR §200.334, whichever is greater. Each party to this Agreement or its authorized representatives shall have reasonable and timely access to such records of each other party to this Agreement for public records purposes during the to of the Agreement and for seven (7)years following the termination of this Agreement. Page 8 of 27 MRight to Audit. Availability of Records. The records of the parties to this Agreement relating tote Project, which shall include but not be limited to accounting records (hard copy, as well as computer readable data if it can be made available; subcontract files (including proposals of successful and unsuccessful bidders,bid recaps,bidding instructions,bidders list,etc.);original estimates; estimating work sheets;,correspondence;change order files(including documentation covering negotiated settlements);back charge logs and supporting documentation;general ledger entries detailing cash and trade discounts earned, insurance rebates and dividends- any other supporting evidence deemed necessary by Owner or the Monroe County Office of'the Clerk of Court and Comptroller (hereinafter referred to as "County Clerk") to substantiate charges related to this agreement, and all other agreements, sources of information and matters that may in Owner's or the County Clerk's reasonable judgment have any bearing on or pertain to any matters, rights, duties, or obligations under or covered by any contract document (all foregoing hereinafter referred to as"Records") shall be open to inspection and subject to audit and/or reproduction by Owner's representative and/or agents of Owner or the County Clerk, Owner or County Clerk May also conduct verifications such as, but not limited to, counting employees at the job site, witnessing the distribution of payroll, verifying payroll computations, overhead computations, observing vendor and supplier payments, miscellaneous allocations, special charges, verifying information and amounts through interviews and written confirmations with employees, subcontractors, suppliers, and contractors'representatives. All records shall be kept for ten(10)years after Final Completion, The County Clerk possesses the independent authority to conduct an audit of records, assets, and activities relating to this Project. If an auditor employed by the County or Clerk determines that monies paid to Contractor pursuant to this Agreement were spent for purposes not authorized by this Agreement, or were wrongfully retained by the Contractor, the Contractor shall repay the monies together with interest calculated pursuant to Sec. 55.03 of the Florida Statutes, running from the date the monies were paid to Contractor. The right to audit provisions survive the termination or expiration of this Agreement. V) hUMent of Fees Invoi/ I Invoices County shall pay pursuant to the Florida Local GovelUment Prompt Payment Act, Fla. "tat., Sec. 21830, upon receipt of a Proper Invoice from the Contractor, Payment,;due and unpaid under the Contract shall bear interest pursuant to the Florida Local Government Prompt Payment Act. The Contractor is to submit to the County invoices with supporting documentation that are acceptable to the Clerk. Acceptability 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 submitted to Monroe County Facilities Maintenance Department, Attention:Jessica Morris,via:eman at "Com"T"—11--11111-11—m The County is exempt from sales and use taxes. A copy of the tax exemption certificate will be provided upon request. Final payment shall be made by the County,as,the Owner,to the Contractor when the Contract has been fully Performed by the Contractor and the work has been accepted by the County. Page 9 of 27 The Contractor must comply with Florida public records laws, including but not limited to Chapter 119, Florida Statutes and Section 24 of article I of the Constitution of Florida. The 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 contract and related to contract performance, The County shall have tile right to unilaterally cancel this contract upon violation of this provision by the C,ontractor, Failure of the Contractor to abide by the terms of this provision shall be deemed a material breach of this contract and the County may enforce the terms of this provision in the forni of as court proceeding and shall, as a prevailing party, be entitled to reimbursement of all attorney's f*ccs and costs associated with that procceding. rhis provision shal I survive any tennination or ex,pi ration of the contract, The Contractor is encouraged to consult with its advisors out Florida Public Records Law in order to comply with this provision. Pursuant to Fla. Stat., Sec. 119.0701 and the terms and conditions of this contract, the Contractor is required toe (1) Keep and maintain public records that would be required by the County t® perform the service. (2) Upon receipt from tile COulitys custodian of'records, provide tile County With a copy of the requested records or allow the records to be inspected or copied within a reasomable time 'it a,cost that does not exceed the cost provided in this chapter or as 0111cl-Wise Provided by law, (3) r-,nsure that public records that are exeMpt or con fidential and exerript fi om public records disclosure requirements are not disclosed except ws,: authorized by JaW fbr the duration or file c011,tract terrn and following completion ofthe contract if the records,to the County,, C011tractOr does not transfer the (4) Upot, con,1pletion, of tile contnact, transfer, at no cost, to the County all public ic r c in ain public records that Would be required by the POSScssion of the Contractor()r keep and maint, J I c ords COUJAY to PerbOrlll tile service, If the Contnactor trallsters all public records to the(,011111y ul)(n, completion of the contract,, tile Contractor shall destroy any duplicate public recO'f(IS that are eXelllpt or confidential and exeiript from public records disclosure, requirementS, If' the Contractor keeps and maintains Public records upon col-npjction of tile contract, the Contractor shall Meet all applicable requirements fbr retaining public records, All records stored clectronically must be provided to file Coul)(Y. Upon request "ro'll tile COUTAY's custodian of' S records, in a format that is compatible with ale inbortnation technology sYstems of the County. (5) A request to illsPect 01'copy, public records relating to as County contract "'lust be madc direct�ly to rl-le County, but iftlie IoUnrY does not possess tile requested records, the ("ot n V shall imniediatclY notifyflic Contractor of'rhe request,, arid the C011tractor must � I ( provide the records to the, (,ou'lly or allow the records to be inspected or copied within a reasonable tine, ' If the Contractor does not cOMPlY with the Countys request for records, the County Shall enforce tile public records contract provisio n,s in accordance with the contract,notwithstanding the County's option and tight to unilaterally cancel this contract upol,l violation of this Page 10 of 27 provision by the Contractor.A Contractor who fails to provide the public records tothe County or pursuant to a valid public records request within a reasonable time may be subject to penalties under Section 119.10, Florida Statutes. The 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. IF THE REGARDING THE APPLICATION OF CHAPUR 119 FLORIDA STA]�UTF,�STQ�Tlffi,' .......... —��8� COINTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS.11fl-ATING ----------------------- TO THIS CONTRACT CONTACT--LHE CUSTODIAN OF P 1,1C RECORDS, BRIAN BRADLILY_ A�r ..PHONE,_ NO.-_305-292-N70.1 113R)iDLEY-t M 0),NZR�QE Y (A '1CM )NROE1111j��)UN V C et S ATTORNE. �Ir�LN�O�8 33040. 08 KEY WEST, FL VII) t,werif sn"t y Beginning January 1,202 1,in accordance with Fla. Stat.,Sec.448.095,the Contractor and any subcontractor shall register with and shall uti lize 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 to Of the Contract and shall expressly require any subcontractors Performing work or providing services pursuant tote Contract to likewise utilize the U.S. Departrnent of Homeland Sects rity's E-Veffy system to verify the or authorization status of all new employees hired by the subcontractor during the Contract to Any subcontractor shall provide kin affi�da,vit stating that the subcontractor does not employ, contract with, or subcontract with an unauthorized alien. The Contractor shall comply with and be subject tothe provisions of Fla. Stat., Sec. 448.095. I: Anywtitten notices or corrcspoudence given pursuant tothis contract shall be sent by United States Mail, certified, return receipt requested, postage prepared, or by courier with proof of delivery. Notice is deemed rcceivc(l by Cott actor when hand delivered by national couorier with proof of delivery or by U.S. Mail upon veri liCd receipt or upon the date of refusa I or non- acceptance of"delivery. The place of giving Notict,,, shall remain the same as set r6rth herein until changed in writing in the manner provided in this Paragraph. Notice shall be sent to the 1,011owing persons, For Contractor: LINE REPA 'J-5�0�W-7�0 AVi—'--'---'--'---' .LRS,_ L L C MIAMI Page 11 of 27 For Owner: Facilities Maintenance Department Attention: John T.Null 10600 Aviation Blvd. Marathon, FL 33040 And Monroe County Attorney's Office I I I I 12'h Street Suite 408 Key West, Florida 33040 IX) Encontrolialge("iflunistanEc�. Any delay or failure of either Party to perform its obligations under this Agreement will be excused to the extent that the delay or failure was caused directly by an event beyond such Party's control, without such Party's fault or negligence and that by its nature could not have been foreseen by such Party or, if it could have been foreseen, was unavoidable: (a) acts of God; (b) flood, fire, earthquake, explosion, tropical storm, hurricane or other declared emergency in the geographic area of the Project; (c)war, invasion, hostilities (whether war is declared or not), terrorist threats or acts, riot, or other civil unrest in the geographic area oft e Project; (d) government order or law in the geographic area of the Project; (e) actions, embargoes, or blockades in effect on or after the to of this Agreement, (f) action by any governmental authority prohibiting work in the geographic area of the Project-(each, a "Uncontrollable Circumstance"). CONTRACTOR'S financial inability to perform, changes in cost or availability of materials,components,or services,market conditions,or supplier actions or contract disputes will not excuse performance by Contractor under this Section. Contractor shall give County written notice within seven (7) days of any event or circumstance that is reasonably likely to result in an Uncontrollable Circumstance, and the anticipated duration of such Uncontrollable Circumstance. Contractor shall use all diligent efforts to end the Uncontrollable Circumstance, ensure that the effects of any Uncontrollable Circumstance are minimized and resume full performance under this Agreement. The County will not pay additional cost as a result of an Uncontrollable Circumstance. The Contractor may only seek a no cost Change Order or Amendment for such reasonable time as the Owners Representative may determine. X) AA94!Sati a of�lslmtes or DisggEegnentss. 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 the issue or issues are still not resolved tote 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. This Agreement is not subject to arbitration. This provision does not negate or waive the provisions of Sections 1, Nondiscrimination, or Section 11, concerning termination or cancellation. Page 12 of 27 PROPOSALPROPOSAL FORM roe County FacilitiesMaintenance 10600 Aviation Blvd. Marathon, PROPOSAL FROM: EXF Rk j ;,1. �tCttiLESS S L LINE REPAIRS LL The undersigned, having carefully examined ork and reference Drawings, Specifications, Proposal, and Addendathereto and other Contract Documents for the construction of: Trenchiess PipelineRehabilitation Marathon ,MCSO Substation Overseas3103 Hwy., Marathon, FL 33050 havingand ll examined the site where the Work is to be performed,having become familiar with all local conditions including labor gaff cting the cost thereof,and hawing, familiarized himself with material availability, Federal, ;state, and Loeaal laws, or-dinances, miles and regulations affecting performance of" the Work, does hereby propose to furnish all labor, rneehaanics, Superintendents, tools, nraterial, equipn ent, transportation services, and all incidentals necessary to pei form and Complete said Work and work incidental hereto, in as work n an-like manner, itr eorrlorTn°ranee with said Drawings, Specifications, and other Contract Documents including Addenda issued thereto. The undersigned further certifies that he/she has personally inspected the actual location of where the Work is to be perl"orarred., together with the local sources of supply and that he/she understands the conditions under which the Work is to be performed. The proposers 1 assume the risk of any and all costs and delays arising from the existence ol`any subsurface or other latent physical condition which could he reasonably anticipated by reference to documentary irafornaation provided and naarde available, and fyotri inspection and examination of the site, "he undersigned agrees to commence perfiartu ante or this Protect within Ten 10 calendar days arller°the date of issuance of tine Building Permit, tlnee cotrunenced, undersigned shall diligently continue per°forniaance until completion cif" the Project, The undersigned shall accomplish Final 'ornpletion of the project within Thirty 30 days„ thereafter. Page 13 of 27 The Base Proposal shaff be fimrnished below in words and numbers. If there is an inconsistency between the two,the Proposal in words shall control. EIGHTEEN THOUSAND Dollars. (T-otal B-a-s—e Proposal-words) $ 18,000 Dollars, (Fotal Base Proposal—numbers) I acknowledge Alternates as follows: N/A I acknowledge receipt of Addenda No.(s)or None co. Dated Page 14 of 27 In addition, Proposer states that he/she has provided or will provide the County, along with this Proposal, a certified copy of Contractor's License, Monroe County Business Tax Receipt, and Certificate of Insurance showing the minimum insurance requirements for this project. Execution by the Contractor must be by a person with authority to bind the entity. By signing this agreement below,the Contractor has read and accepts the terms and conditions set forth by the Monroe County General Requirements for Construction found at the link on the Monroe County web page: AND accepts all of the terms and conditions and all Federal required contract provisions herein. IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly authorized representatives, as follows- Contractor: EXPRESS TRENCHLESS SEWER LINE REPAIRS, LLC ............................................................................................................................................................................................................................................................................................................................................................................................................................................................. Mailing Address: 3540 SW 90 AVE, MIAMI, FL 33165 ....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... .................................................................................................................................................................................................................................................................................................................................................................................................................................................................. Phone Number: (786) 479-6712 .............................................................................................................�........................................�......................................................................................................................... .......... .......... ............. E1M- 85-1873664 ................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Email: EXPRESSTRENCHLESS@OUTLOOK.COM ................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Date: C)A/A7 G 4 Signed: Name Title Contractor's Witness signature: Witness name: N Date: 0,219 Z/ Y- The County accepts the above proposal: MONROE COUNTY, FLORIDA Digitally signed by Kevin Wilson Kevin Wilson Date 2024.0 2.2 9 Date: ................................................................................................................ By: County Administrator or Designee 140t*�DE COUNTY ATTORNEV'S 0FFr-E Page 15 of 27 ^SSW NON-COLLUSION AFFID"IT 1, K e\j'% yx Gavc."to, �Lq�.of the according to law on my oath, and under penalty of perjury, depose and say that: 1. I am of the firm of T renc Me Utcj%rs . LLQ the proposer,making the Proposal for the project descriadin the notice for calling for proposals for: W\0,JN VOe Qouv\N I V \,e KON V\ and that I executed the said proposalWith full authority to do so; 2. The prices in this proposal have been arrived at independently without collusion, consultation, communication or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other proposer or with any competitor-, and 3. Unless otherwise required by law, the prices which have been quoted in this proposal have not been knowingly disclosed by the proposer and will not knowingly be disclosed by the proposer prior to proposal opening, directly or indirectly, to any other proposer or to any competitor; and 4. No attempt has been made or will be made by the proposer to induce any other person, partnership or corporation to submit, or not to submit, a proposal for the purpose of restricting competition; and 5. The statements contained in this affidavit are true and correct, and made with full knowledge that Monroe County relies upon the truth of the statements contained in this affidavit in awarding contracts for said project. (Signature of Proposer) (Date) STATE OF: COUNTY OF: Subscribed and sworn to (or affirmed) before me, by means of 14 physical presence or Cl online notarization, on (date) by (name of affiant). He/She is p(r:so:n:all�kno to me or has produced (type of identification) as identification. NOTARY PUB-LIC My commission expires:--&Ae-A �,p (SEAL) 0�1 N ATALIA RODR IG UEZ Pige 16 of 27'$y P( , Notary Public�State0 PIUrida C" HH276985 W - COmmission Expires June 14,2021 LOBBYING AND CONFLICT SWORN STATEMENT UNDER ORDINANCE NO. 010-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE ' EXPRESS TRENCHLESS SEWER LINE REPAIRS, LLCs, warrants that tie/ague/it has not employed, retained or otherwise / its behalf any former County officer or employee rSection 2 of Ordinance fit . 01'0-19�90 or any County officer or employee in violationOrdinance No. 1 - 99 . For breach or violation of this provision the County may, in its discretion, terminate i o ntr ct without liability rn may stain, in its discretion, deduct from contract purchase price, or othervWse recover, the full amount of any fee, commission, percentage, gift, or considerationi former County office r or employee". (Signature) 01/24/2024 STATE OF.- FLORIDA COUNTY OF: MIAMI—DADE Subscribed and s n �r t (fir affirmed) before me, by means, f X physical: presence or C1 online notarization, on JANUARY 24 2 (mate) by DARWIN FERNAWD'EZ '_' (name f ffiant), He/Stye i s � rnally known to m i'or has rmJuce identification. (Type f identification) If ROTARY PUBLIC MY Commission expires- �� NA� is T�4L6A ® IGI� Z ctary PulMc-$tit®of MuuMtnrs Page 17 of 27 DRUG-FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute, Sec. 287.087 hereby certifies that: EXPRESS TRENCHLESS SEIVER LINE REPAIRS, LLC (Name of Business) 1, Publishes a statement notifying employees that the unlawful manufacture, distribution, dispensing,possession, or use of a controlled substance is prohibited in the workplace and specilying the actions that will be taken against employees for violations of such prohibition. 2. Informs employees out the dangers of drug abuse in the workplace,the business's policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs,and the penalties that may be imposed upon employees for drug abuse violations, 3. Gives each employee engaged in providing the commodities or contractual services that are under proposal a copy of the statement specified in subsection(1). the statement specified in subsection(1), notifies the employees that, as a condition of working on the commodities or contractual services that are under proposal, the employee will abide by the terms of the statement and will notify teemployer of any conviction of, or plea of guilty or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five(5)days after such conviction. 5. Imposes a sanction on, or requires the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, for any employee who is so convicted. 6, Makes a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign the statement,I certify that this firm complies fully with the above requirements. Pr poser's Signature 01/24/2024 Date STATE OF: FLORIDA COUNTY OF: MIAMI-DAD E Subscribed and sworn to (or affirmed)before me, by means of D&physical presence or 0 online notarization, on JANUARY 24, 2024 DARWIN FERNANDEZ (date)by (name of affiant). He/She is personally known to me® has proju_ced '__FL __(typeoff ntification identification. NOTARY T1j:6_LIC (SEAL) My Commission Expires: ._ JUNE 14, 2026 NATALIA RODRIGUEZ NCo mission #Public-State HH 275985 of F$06da Page 18 of 27 My commission Expires June 14, 2026 PUBLIC ENTITY CRIME STATEMENT "A person or affiliate who has been placed on the convicted vendor list following a conviction for, public entity crime may not submit a bid, proposal, or reply on a contract to provide any goods or services to a public entity, may not submit a bid, proposal, or reply on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, Florida Statutes, for CATEGORY TWO for a period of thirty-six (36) months from the date of being placed on the convicted vendor list." I have read the above and state that neither EXPRESS TRENCHLESS SEWER LINE REPAIRS, LLC (Proposer's name) nor any Affiliate has been placed on the convicted vendor list within the last thirty-six (36) months. — /2�� (Signature) Date STATE OF:_jLo r COUNTY OF: M_jiQ mi— Dade Subscribed and sworn to (or affirmed) before me, by means of X physical presence or 0 online notarization, on the c 7 day of ruGr,G r , 20-kL, by_-Keyinj2?r (name of affiant). He/She is personally known to me or has produced _LQ I- (type of identification) as Tdentification. My Commission Expires.- JMWJ-y4�01() NA'ALIA RODRIGUEZ Notary Public-State of Florida NOTARY PUBLIC Commission# JHH 275985 (SEAL) my Commission Expires e 14, 2026 Page 19 of 27 VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS Project escription(s), INSTALL CURED IN PLACE PIPELINING ON 76 LINEAR FEET of SANrrARY MAINLINE Respondent Vendor TRENCHLESS SEWER LINE REPAIRS, LLC Vendor 6 4 Vendors Authorized Representativee and Ti Address: 3540 SW 90 AVE City: MIAMI State: FLORIDA Zip: Phone Number (78UTZ7T-_6712 -Email Address.. EXPRESSTRENCHLESS@OU'TLOOK.COM Section 7e to ` tea prohibits a companybidding , submitting a proposal for, o entering into r renewing r c for goods or services of any amount i , at the time of contracting o renewal,the company is on the ScrutinizedCompanies that Boycott IsraelList,created pursuant to Section 215.4725, Florida Statutes,or is engaged in a Boycott of Israel. s the person authorizedto sign of Respondent, companyidentified abovein the Section " is not listed on the ScrutinizedCompanies that Boycott Israel ism understand that pursuant to Section7®1 I Statutes, e submission of a false i ' `o n may subject civil penalties, a 's fees,and/or costs. I further understand that any contract with the COUNTY may be terminated, at the optionis found to havesubmitted a false certification or has been placed on the Scrutinizedi t Boycott Israelis o r engaged in a boycott of Isr a who isauthorizedo sign behalfon f v referenced d y° Authorized Signature: nature: Print Name:- AR IA BUENO Title: AUTHORIZED REPERSENTATIVE Note: The Listavailable oll i Management e i sSite: k!l a Ll+ vYuAa s my _qc ta-(Icar°n L)ULj p r�tligns t, R _pi.arOL p iM-kNirar Niont/r cnvii ted ri d �� is ri 1linaaa!°° a �, ?!a iil w p or Mists INSURANCE REQUIREMENTS AND FORMS MONROE COUNTY, FLORIDA RISK MANAGEMENT POLICY AND PROCEDURES General Insurance Requirements For Other Contractors,Subcontractors and Professional Services As a pre-requisite of the work and services govern4 or the goods supplied under this contract (including the pre-staging of personnel and material), the Contractor shall obtain, at his/her own expense, insurance as specified in any attached schedules, which are made part of this contract. The Contractor will ensure that the insurance obtained will extend protection to all Subcontractors engaged by the Contractor. Alternatively, the Contractor may require all Subcontractors toot ` ce consistent with the attached schedules. The Contractor will not be permitted to commence work governed by this contract (including pre- staging of personnel and material) until satisfactory evidence of the required insurance has been ffirnished to the County as specified below. Delays in the commencement of work,resulting from the flailtire of the Contractor to provide satisfactory evidence oft a required insurance, shall not extend deadlines specified in this contract and any penalties and fiflurc to perforur assessments shall be imposed as if the work commenced on the specified date and time, except for the C,ontractor's failure to provide satisfactory evidence. The Contractor shall maintain the required insurance throughout the entire to of this contract and any extensions specified in the attached schedules.Failure to comply with this provision may result in the immediate suspension of all work until the required insurance has been reinstated or replaced. Delays in the completion of"work resulting froul the railure of the Contractor to maintain tberequired insurance sliall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the or had not been suspended,except for the Contractor's failure to maintain the required insurance. The Contractor will be held responsible for all deductibles and self iris ured retentions that may be contained it,the Contractors Insurance policies. The Contractor shall provide, to the County, as satisfactory evidence of the required insurance,either: ®Certificate of Insurance or ®A Certified copy of the actual insurance policy. The County, at its sole option, has the right to request a certified copy of any or all insurance policies reqnircd by this contract, Ali insurance policies must specify t1lat they are, not subject to cancellation, non-renewal, material change,or reduction in coverage unless a ofillimuni of thirty(30)days prior notification is gi veil to the County by the insurer. The acceptance and/or approval of the Contractor's insurance shall riot be constrned as relieving the Contractor from any liability or obligation assumed under this contract or imposed by law. Page 21 of 27 The Monroe County Board of County Commissioners, its employees and officials, at 1100 Simonton Street, Key West, Florida 33040, will be included as "Additional Insured" on all policies, except for Workers" Compensation. Any deviations from.these General Insurance Requirements must be requested in writing on the County prepared fonn entitled"Request for Waiver of Insurance Requirements"and approved by Monroe County Risk Management Department. Page 22 of 27 PROPOSER'S INSURANCE AND INDEMNIFICAT71ON STATEMENT INSURANCE REQUIREMENTS Workers Compensation Statutory Limits Employers Liability $100,0001$500,0001$100,000 Bodily Injury by Accident/Bodily Injury by Disease, policy limits/Bodily Injury by Disease each employee General Liability $200,000 per Person $300,000 per Occurrence $200,000 Property Damage or $300,000 Combined Single Limit Vehicle $200,000 per Person (Owned, non-owned, and hired vehicles) $300,000 per Occurrence $200,000 Property Damage or $300,000 Combined Single Limit Builders Risk Not Required Construction Bond Not Required The Monroe County Board of County Commissioners, its employees and officials, 11 Simonton Street, Key West, Florida 33040, shall be named as Certificate Holder and Additional Insured on General Liability and Vehicle policies. INDEMNIFICATION,HOLD IIARMLESS,AND DEFENSE.Notwithstanding any minimum insurance requirements prescribed elsewhere in this agreement,Contra:tors all defend,indemnify and of the County and the County's elected and appointed officers and employees harmless from and against (i) any claims, actions or causes of action, (ii) any litigation, administrative proceedings, appellate proceedings,or other proceedings relating to any type of injury(including death),loss,damage, fine,penalty or business interruption,and(iii)any costs or expenses that may be asserted against, initiated with respect to, or sustained by, any indemnified party by reason of, or in connection with, (A) any activity of Contractor or any of its employees, agents, contractors or other invitees during the to of this Agreement, (B)the negligence or recklessness, intentional wrongful misconduct, errors or other wrongful act or omission of Contractor or any of its employees, agents, sub-contractors or other invitees, or(C)Contractor's default in respect of any of the obligations that it undertakes under the terms of this Agreement, except tote extent the claims, actions, causes of action, litigation, proceedings, costs or expenses arise from the intentional or sole negligent acts or omissions of the County or any of its employees, agents, contractors or invitees (other than Contractor). The monetary limitation of liability under this Page 23 of 27 contract shall be equal to the dollar value of the contract and not less than$1 million per occurrence pursuant to Section 725.06, Florida Statutes. The limits of liability shall be as set forth in the insurance requirements included in Paragraph 3.P. herein. Insofar as the claims, actions, causes of action, litigation, proceedings, costs or expenses relate to events or circumstances that occur during the term of this Agreement, this section will survive the expiration of the term of this Agreement or any earlier termination of this Agreement. In the event that 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. Should any claims be asserted against the County by virtue of any deficiency or ambiguity in the plans and specifications provided by the Contractor, the Contractor agrees and warrants that the Contractor shall hold the County hamiless and shall indemnify it from all losses occurring thereby and shall fin-ther defend any claim or action on the County's behalf The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this Agreement. P LROPQSERS STATEMENT I understand the insurance that will be mandatory if awarded the contract and will comply in full with all of the requirements herein, I fully accept the indemnification and hold harml ss and duty to defend as set out in this proposal. DARWIN FERNANDEZ Ile- PROPOSER Signature Page 24 of 27 INS ICE- ,AGENT-S STATEMENT 1 have reviewed the above requirements ro r named above. The following deductibles appt i policy. POLICY DEDUCTIBLES T24 C74701740 $75X0 Liability lii am—x occurrence Claims Business Express Insurance Agency insurance AgencyS�i r Page 25 of 27 INSURANCE AGE T-S s-rATEMENT I havervi y requirements with the pr r named above. The following deductibles I to the correspondingpolicy. POLICYTI Liability lici r -Claims a Next First Insurance cy, Inc Tura are Signature Page 25 of 27 INSQfL4�NgE AGENr�LS�TA:rE�MEN�T I have reviewed the above requirements with the proposer named above. The following deductibles, apply to the corresponding policy. POLICY DEDUCTIBLES P-A _A_j_Q 0_00 (70 Liability policies are_occurrence -Claims Made Q�.�2�,e JA&) _ J'-,& ,, C', 1111SUrance Ag cy Signature Page 25 of 27 ACOR" CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 02/27/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: ANIET MATIAS Marsan Financial Dba Orange Group I A/CNNo Ext: (305)740-9938 plc No: (305)740-9948 8585 SUNSET DRIVE#106 E-MAIL-ADDRESS: it eins.com ane oran C g INSURER(S)AFFORDING COVERAGE NAIC# MIAMI FL 33143 INSURERA: ASCENDANT UNDERWRITERS LLC INSURED INSURERB: ACCREDITED SURETY AND CASUALTY COMPAN Express Trenchless Sewer Line Repairs, LLC INSURER 7 3540 SW 90th Ave INSURER D: INSURER E: Miami FL 33165-4355 INSURERF: COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDD/YYY MMIDD/YYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAM CLAIMS-MADE 1:1OCCUR P R E MA SESOEa occurrDence $ APPROVED BY RISK MANAGEMENT MED EXP(Any one person) $ m PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: DATE 2,�2,R�2,n2,4 � GENERAL AGGREGATE $ POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ JECT WAIVER N/A_YES_ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ 25,000 A OWNED SCHEDULED Y CA-64676-0 02/02/2024 02/02/2025 BODILY INJURY(Per accident) $ 50,000 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ 25,000 AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH Y/N - AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? YI N/A 1AUIFL160135525501 08/15/2023 08/15/2024 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) PLUMBING CERTIFICATE HOLDER LISTED AS ADDITIONAL INSURED EXCLUED: NATALIA RODRIGUEZ, KEVIN BUENO GARCIA 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 COMMISSIONERS ACCORDANCE WITH THE POLICY PROVISIONS. ITS EMPLOYES AND OFFICIALES AUTHORIZED REPRESENTATIVE 100 SIMONTON STREET C KEY WEST FL 33040 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ��" "' DATE(MM/DDNYYY) CERTIFICATE OF LIABILITY INSURANCE 02/01/2024 THIS CERTIFICATE IS ISSUED AS A MATTERINFORMATION I HT THE CERTIFICATEHOLDER. THIS CERTIFICATE T AFFIRMATIVELY OR NEGATIVELYT T THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT E THE ISSUING I S (S), AUTHORIZED REPRESENTATIVE THE CERTIFICATEHOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,thepolicy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such en orse t(s). PRODUCER NOIh�CT _... Next First Insurance Agency,Inc. PHONE f FAX I� (855)222 5919 At N O BoxkS0'781 A/c,No Fxt}:.._......... �I_Ca ah _ Palo Alto,CA 94306 E-MAIL ADDRESS: ' pp °}u ort:C nextinsurance,com INSURER(S)AFFORDING COVER AGE NAIC# INSURER° Next Insurance US Company 116285 INSURII D INSURER B: F..xpl e `z'1"renrhles.s Sewer Line Repairs,I...LC 3 540 SW 90th Ave INSURER C: Mianni,FL 33165 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:429887856 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€" .... — — "AIDDL,SUBR' POLICY EFF POLICY EXP ... ................... ...... .. ._ LTR TYPE OF INSURANCE I POLICY NUMBER MMlDD MM(DDlXXXX LIMITS I' X COMMERCIAL GENERALLIABILITY :ACHOCCURRE14C $1,000,000.00 , _ E�� . 1 F —� �Ar�A�L lttla(-�tluEO , m. „ CLAIMS IUPAL7L � X� OCCUR �PfaiCL+ll�,l-"a(Carsur�wlaa+h�rezl $100,1}00.0_0 MED EXP(Any one person) $15,000.00 A X 1 NXiVYfIiIIKY-00-C1... 121141202.3 �1211412024 GGNFRALA&ADVINJURY $1,000,000,00 GI N'L AGGRI GAVE I.IMI r APPLIES PER: 2,000,000.00 X POLICYmRO-6 ...) L.oc FIRODUCTS_-COIMdPIOPP AGG $2=0.000._00 tTTI R.l $ AUTOMOBILE LIABILITY / C.1C'utw MNk,D SINGLF S iMl r $ c• BYPPROVED BY RISK MANAGEMENT I � �a ua alurarr� ANY AU 1"0 o BODIl Y INJURY(Per person) I$ OWNED CHLGUI_kIJ _ AI,.d"CCaSC&Idi...X AUTOS _ BODILY INJURY(Per accident)�'� I flRED IV0114-OWNED DATE A VER N A024 T°IdkJ#�EUaa X DAMAGE � $ j AUT'Cl`di GIWI_Y ALiTC.lS 0141 Y ES (Pop _ _ �$ �...... _ _ . X UMBRELLA LIAB �X OCCUR X� NXIVYJHHKY-00-GL 12f14/202.3 �12/14/2024 I AC I14>CC"U12IdFNCF $2,000,000.00 A EXCESS LIAR ... l ... .... CLAIM IVWAr36 AGGREGATE $2,000,000,00 nr,o.. 11 war r:IvrICaN$ _. ........ ..... WWW WWWW WORKERSCOMPENSArION ' I I PLR OTH-STA1 i AND EMPLOYERS°IL.IIABILITY Y!N ( (( F,I EACH I6p,rL ... Ala....: d _ ANYPROPRIEFORwIARTNF.F!]EX.UTIVP. CCIDENT $ ... ..., OFFICE RIMEMFSI',',REXC,LI.lDELR7 � ] N!A _. ... (Mandalevyy tun NH) F,I 13151'ASE FA EMPLOYEE $ If yes,de,.mribe under DESCR PTION OF OPERA rIONS below E.L.DISEASE-POLICY I IMI r � $ Each Occurrence `&25,000.00 A Contractors Errors and Omissions X NXTVYJIII IKY-00...01... 12/14/2023 12/14/2.024 Aggregate: `50,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 1t°I(-Centficate Holder,is MCwriroe(,so lrat; Board of C"omir y Commissioners,its employees and af`flcial l hIs t:erdflcatn Hold r is all Add'ilJonal Insured on Die General tlabdity pol'Icy and U''Inb nllall:ncr s,LI,�bli ty fm ic;,y per t'he At,dItional Insured Automatic Statuas Endorsement,TIf us ecrtllul me I loldet: will Ie mve alt least 30 days prior anwrateln r"ouce of +on,lrra,any rr',Iscin Inc:ludfn*for nonpa meet,of any of the following)oflcies.General Liaabdity'.All Certoflcate Holder prlvlla.ges Opply riniy II rf r(uh ed tay wr tten c,�ancL III ol,l y agri! rnew,I,,retweefrt the CPriffic^aal.I ulf�dl�lr"and the Insured,and are suhlfaaa to policy ternns and ccrid lmns. CERTIFICATE, HOLDER CANCELLATION Monroe Courlt Board of County t ornmi.ssioner,,its LIVE CERTIFICATE emplaaye an ralfucials ' SHOULD ANY F THE ABOVE DESCRIBED POLICIES CANCELLED BEFORE 1100 Simonton St t Key West,FL 33040 "� THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Click or �° Vl�n D W ©1988-2015 ACORD CORPORATION. II rights reserved. ( 1 /0 ) The ACORD name and logo are registered arks of ACORD 40 DATE(MM/DDAC"R" CERTIFICATE OF PROPERTY INSURANCE /YYYY, �.� (2(0112024 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 INSUE (S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IPRODUCERNe_xt First Insurance Agency,Inc...... CONTACT PO Box 60787 NAME; P dJp NT�,Fa)s(i3S5}222-5919 FAX Alto,CA 94306 E•MAtltC pp u ort@nextinsurance.conl PRODUCER ADDRSS: '' V1"DtOPI , ..,_...... ........ ..... n,,.,.,.,., INSURERII AFFORDING COVERAGE NAIL/C INSURED Express Trenchless Sewer fine Repairs,LL C INSURERA: State National Insurance Company,Inc 12.3.31 3540 6W 90th Ave Miami,FL 33165 INSURER B: INSURER C: INSURER p -..-. INSURER,E: INSURER F: COVERAGES CERTIFICATE NUMBER: 429887856 REVISION NUMBER: LOCATION OF PREMISES I DESCRIPTION OF PROPERTY(Attach ACORD 101,Additional Remarks Schedule,if more space is required) IS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW .` POLICY I .._ _.-._.. _ _ _�` _ W HAVE BEEN ISSUED TO 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 INSURAA14CE 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�LTR - _ POLICY NU11 M11 B11 E11 R °DATE(MMIDD/YYYY) DATE(MM/DD/YYYY) COVERED PROPERTY LIMITS TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION I PROPERTY BUILDING $ PERSONAL PROPERTY 1.A0.d fiiia, Q.BII L.O"u"R I'111:ii117d,UC1111�1 II'r:"ro BASIC S�UPI tlI/NG.. _ i BUSINESS INCOME j BROAD ......... APPROVED BY RISK MANAGEMENT ............ .. CONTENTS EXTf3AExPF_INSF_ T _., s SPECIAL - BY. ...,�°, .., "....... .�„.,.... . 2*^^ FdF_NTAI VALUE EARTHQUAKE f 1 DATE 2/28/2024I BLANKET BUILDING 1y WIND BI AINKE r PE_RS PROP $ WAIVER N/A—YES X — FLOOD BLANKET BLDG S PP $. CAUSES N LOSS IT1011.ICY X EQUIPIME14T...... $7,000.00 INLAND MARINE TYPE CDY Contractors Equipment A _ �S Contras... _--�12/14/2023 12/14/2024 J MISCTT70I_S $1,000.00 VANPF_t7 PF_FCII_u POLICY NUMBER X BORROWED TOOLS $5,000.00 X OPEN PERILS NXTCV3Y4HR-00-IM � — — T CRIME — Is — — IYF'F OF POLICY I I ........ Ju..... ......... ......... �.....� ................................_...._.____......... ,...e....www..._....._..�.._.w..� � BOILER&MACHINERY/ --EQUIPMENT BREAKDOWN i --- -- ................................ ..�...®.. ......_...... .._,._ SPECIAL CONDITIONS I OTHER COVERAGES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Proof of Insurance. CERTIFICATE HOLDER CANCELLATION Monroe Count Board of County Commissioners„its LIVE CERTIFICATE employees arrd ofticials SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 11 00 Simonton St THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Key West,IT_33040 ACCORDANCE WITH THE POLICY PROVISIONS. .................... AUTHORIZED REPRESENTATIVE Click Or scan to view ©1995-2015 ACORD CORPORATION. All rights reserved. ACORD 24(2016/03) The ACORD name and logo are registered marks of ACORD *an Umbrella Policy was not required, so no Waiver is necessary MONROE COUNTY,FLORIDA REQUEST FOR WAIVER OF INSURANCE REQUIREMENTS It is requested that the insurance requirements,as specified in the County's Schedule of Insurance Requirements, be waived or modified on the following contract. Con tractorNendore EXPRESS TRENCHLESS SEWER LINE REPAIRS, LLC Project or Service: TRENCH LEA S PIPELINING PROJECT .............. Cori tractorNendor Address& Phone a AVE MIAMI, FL 33165 . ......... General Scope of Work: INSTALL CURED IN PLACE PIPELINING ON 76 LINEAR FEET OF SANITARY MAINLINE ---------- ...................... .....------ . ...... Waiver - our umbrella insurance limit is $2,000,000 and Reason for Waiver or requirements are $5,000,000 Modcation: .. ................... .........—------ Policies Waiver or Modification will apply to: ------------ Signature of Corr tracfor Nendorm ate _Approved ---X Not Approved"' Risk Management Signature. Date: 3/1/2024 Umbrella not required per contract. ........--------- County Administrator appeal: Approved: _.,,,_No Date: Approved: --------.. .... .......... Board of County Commissioners appeal. Approved: ............... Not Approved'- Meeting Date: Page 27 of 27 OocuSign Envelope ID: ED6D98F6-3C96-47F3-9962-3B9350C66D49 MONROE COUNTY, FLORIDA REQUEST FOR WAIVER OF INSURANCE REQUIREMENTS It is requested that the insurance requirements, as specified in the County's Schedule oflnsurance Requirements,be waived cr modified on the following contract. ContractorNendor: EXPRESS TRENCHLESS SEWER LINE REPAIRS, LLC Project or Service: TRENCHLESS PIPELINING PROJECT ContractorNendor Address & Phone#: 3540 SW 90 AVE MIAMI FL 33165 General Scope of Work- INSTALL CURED IN PLACE PIPELINING ON 76 LINEAR FEET OF SANITARY MAINLINE Reason for Waiver cr waiver - our automobile liability insurance limit is Modification: ..._$50,000 and requirements are $300,000 Policies Waiver cr Modification will apply to: Signature of ContractorNendor: 2/28/2024 Approved___yes__ Not Approved..... Risk Management Signature: Date: .................... County Administrator appeal: Approved: Not Approved: Date: ........................ Board of County Commissioners appeal: Approved: ____ Not Approved: MeetingDate: ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® Page 27 427 IIES"171MA17E Express Trenchless FI pdr@exptrenchless.comr Keys +1 (305)498-5691EXPWAS� 326 Little Miss Muffett Ln hftps://expresstrenchlesssewerlinerepairs.c �AArr a Key Largo, FL 33037 om/ John NLIH Bill to Ship to John Null John Null Marathon Momroe County Sheriffs Substation Marathon Momroe County Sheriffs Substation 10600 Aviation Blvd 10600 Aviation Blvd Marathon, FI 33050 US Marathon, FI 33050 US Estimate details Estimate no.: 1104 Estimate date: 12/08/2023 # Date Product or service SKU Qty Rate Amount 1. Trenchless Rehabilitation 1 $15,000.00 $15,000.00 Descale,clean,clear,hydro jet, Epoxy Spin Casting/Cured-in-Place-Pipe(CIPP)lining(76 LF of interior&exterior mainline)All branches will be reinstated. (50-year warranty on the repair) 2. Permit&Associated Fees $3,000.00 $3,000.00 Includes permit process, plumbing drawings,engineer site visit,engineer approval letter&city inspection Total $18,000.00 2023 / 2024 MONROE COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30, 2024 RECEIPT# 30140-138390 Business Name: EXPRESS TRENCHLESS SEWER LINE REPAIRS LLC NATALIA RODRIGUEZ MO CTY Owner Name: Business Location: KEY WEST, FL 33040 Mailing Address: 3540 SW 90TH AVE Business Phone: (786) 479-6712 MIAMI, FL 33165-4355 Business Type: CONTRACTOR (CERTIFIED PLUMBING) Employees 1 STATE LICENSE: CFC1431483 Tax Amount Transfer Fee Sub-Total Penalty Prior Years Collection Cost Total Paid 20.00 0.00 20.00 0.00 0.00 0.00 20.00 Paid 000-23-00038497 0 2/0 7/2 0 2 4 20. 00 THIS BECOMES A TAX RECEIPT Sam C. Steele, CFC,Tax Collector THIS IS ONLY A TAX. WHEN VALIDATED PO Box 1129, Key West, FL 33041 YOU MUST MEET ALL COUNTY AND/OR MUNICIPALITY PLANNING, ZONING AND LICENSING REQUIREMENTS. MONROE COUNTY BUSINESS TAX RECEIPT P.O. Box 1129, Key West, FL 33041-1129 EXPIRES SEPTEMBER 30, 2024 Business Name: EXPRESS TRENCHLESS SEWER LINE RECEIPT# 30140-138390 REPAIRS LLC MO CTY Business Location: KEY WEST, FL 33040 Owner Name: NATALIA RODRIGUEZ Mailing Address: Business Phone: (786) 479-6712 3540 SW 90TH AVE Business Type: CONTRACTOR (CERTIFIED PLUMBING) MIAMI, FL 33165-4355 Employees 1 STATE LICENSE: CFC1431483 Tax Amount Transfer Fee Sub-Total Penalty Prior Years Collection Cost Total Paid 20.00 0.00 20.00 0.00 0.00 0.00 20.00 Paid 000-23-00038497 0 2/0 7/2 0 2 4 20. 00 IVIII:;IMNJ 7W CIMRIIORWIMNS I��i'r, fIt i r ri m � :Dmt.r r�iwor:;inr�g.fl f]LL�ra / C:Di iie�iim�u�e��d�C;'rmr�:re�av 1.11imaun.; l �iea mlh Ifw��c mrd � / �ir:�awch�117� Iliiia b!i� N airir�e:, / r......................................................................... ......................................................4...................................... ....................................................................... .......................................k.....................,Y.............................. Detail by Entity Name Florida Limited Liability Company EXPRESS TRENCHLESS FL KEYS L.L.C. Filing Information Document Number L22000323535 FEI/EIN Number 88-3449926 Date Filed 07/21/2022 State FL Status ACTIVE rind al Address 325 CALUSA ST 71 KEY LARGO, FL 33037 ailingAddress 18355 NW 89TH AVE HIALEAH, FL 33018 Registered Agent Name&Address RODRIGUEZ, PEDRO C 18355 NW 89TH AVE HIALEAH, FL 33018 Authorized Person(s) Detail Name &Address Title AMBR RODRIGUEZ, PEDRO C 18355 NW 89TH AVE HIALEAH, FL 33018 Title AMBR RODRIGUEZ, DELMIS 18355 NW 89TH AVE HIALEAH, FL 33018 Title AR GARCIA, KEVIN 3540 SW 90TH AVE WESTCHESTER, FL 33165 Title AR RODRIGUEZ, NATALIA 3540 SW 90TH AVE WESTCHESTER, FL 33165 Annual R lq�qrts Report Year Filed Date 2023 05/01/2023 Document lmages Mew iirnag�--,iirn F11F.)F fforifinat QZ2 E2.112..? F Ifn ida 1l nflRed 11 abillity. View image iin F11DF fain........................................................................................................ .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... w� Z 0 7C) mLU J D _ W UO w Q 0 w °J vi J O Z �r�.�r �r � +-� O N = / W Co') — LL li LL /LL � 11'r"r I 1!r/ %%% , / // /% !fr%rf r r � Z � rr/ %raa/�� J IU� � � / r J � I I LyJ � LLI LLI %f , Ljj r /1%/ J/ rG. •— — ' — �, W to 0 f JI J % f % rarU / rw N LL W Z J r U a� o 0 a a = w 0 � W H ■ �,Iil�wir a7 0 I. I pp i EXPRESS SS ff I � i. III 02/2 /2024 EXPRESS TRE, C'.HL.ESS SEWER LINE REPAIRS,LLC" License#C"FC14314 3 3540 SW 90TH AVE MIA .I,EL 33165 (7 fa)479-6712 I Kevin Garcia Buerro Authorized Agent of EXPRESS TRENC14LESS SEWER LINE REPAIRS, rL " give Darwin Fernandez Qualifier ofEXPRESS " ".I ENCHLESS SEWER LINE REPAIRS, I LC" Authorization to sera on behalf ofEXPRESS THE CAI-LESS SEWED LINE I EPA.I: S,LLC. C EVI f GARC"IA BUENO Authorized Agent "I "T"E OF FLORIDA I 1"IAA COUNTY I OF Sworn to(or"affirmed)and subscribed before rrrc this dad of .tlCl 20._.k,,b et....�..�t,L (Nan e of Person Ai ig NATALIA RODRIC�U Z w yt� 1I Statement). Notary Public-State of Florida w Commission # HH 275985 /'' My Commission Expires (`r ) Signature caf �star�I'rablfc;(Sea]) �'� ` j41 June 14, 2026 ._.__ �, Ocs Print, Type or Stamp parsec;of Notary Personally Known:�_ OR Produced Identification: _ Type of Identification Produced: Form Request for Taxpayer Give Form to the (Rev.October2018) Identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Service ►Go to wwwJrs.gov/FormW9 for instructions and the latest information. 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank. Kevin Garcia Bueno 2 Business name/disregarded entity name,if different from above Express Trenchless Sewer Line Repairs, LLC M 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Exemptions codes apply only to � P Y P ( PP Y Y following seven boxes. certain entities,not individuals;see a instructions on page 3): p ❑ Individual/sole proprietor or ElC Corporation ElS Corporation ElPartnership ElTrust/estate m single-member LLC Exempt payee code(if any) 6 c Tv Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)► S p r Note:Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting S m LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is de(if any) c another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that co n v is disregarded from the owner should check the appropriate box for the tax classification of its owner. y ❑ Other(see instructions)► (Applies to accounts maintained outside the U.S.) N5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optional) 3540 SW 90th Ave 6 City,state,and ZIP code Miami Florida 33165 7 List account number(s)here(optional) RiUM Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number backup withholding. For individuals,this is generally your social security number(S . However,for a TU — resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later. For other entities,it is your employer identification number(EIN). If you do not have a number,see How to get a TIN, later. or Note: If the account is in more than one name,see the instructions for line 1.Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter. M85 - 1 8 7 3 6 6 4 Certification Under penalties of perjury,I certify that: 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3.I am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are n v l�llfi a aV�r-'--the certification,but you must provide your correct TIN.See the instructions for Part II,later. n g v Sign Signature of Kel/�h G(rCl( Here U.S.person 0- Date► 01/01/2021 General Instructions • Form 1099-DIV(dividends,including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise a Form 1099-MISC(various types of income,prizes,awards,or gross noted. proceeds) Future developments. For the latest information about developments a Form 1099-B(stock or mutual fund sales and certain other related to Form W-9 and its instructions,such as legislation enacted transactions by brokers) after they were published,go to www.irs.gov/FormW9. • Form 1099-S(proceeds from real estate transactions) Purpose of Form • Form 1099-K(merchant card and third party network transactions) An individual or entity(Form W-9 requester)who is required to file an • Form 1098(home mortgage interest),1098-E(student loan interest), information return with the IRS must obtain your correct taxpayer 1098-T(tuition) identification number(TIN)which may be your social security number • Form 1099-C(canceled debt) (SSN),individual taxpayer identification number(ITIN),adoption a Form 1099-A(acquisition or abandonment of secured property) taxpayer identification number(ATIN),or employer identification number (EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident amount reportable on an information return.Examples of information alien),to provide your correct TIN. returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might • Form 1099-INT(interest earned or paid) be subject to backup withholding. See What is backup withholding, later. Cat.No.10231X Form W-9(Rev.10-2018) ADDITIONAL QUOTES AND DOCUMENTATION FOR: Trenchless Pipeline Rehabilitation Marathon MCSO Substation 3103 Overseas Hwy., Marathon FL 33050 County BOARD OF COUNTY COMMISSIONERS Monroed Mayor Craig Cates,District 1 Michelle Lincoln,District 2 h�" Florida y James K.Scholl,District 3 David Rice,District 4 Mayor Pro Tem Holly Merrill Raschein,District 5 MEMORANDUM TO: Lisa Abreu, Purchasing Coordinator FROM: William DeSantis, Director, Facilities Maintenance —Wfl °D-1111-- William DeSantis moe�o, Mo,oeo rveo«o-Fa te, mai f=desa nos-wi Iam�m onroecounTy-Flg ov, D DATE: 2/7/2024 ��20240��0��22��0 RE: Trenchless Pipeline Rehabilitation, Marathon MCSO Substation Dear Lisa, I am writing to explain the difficulties we had in securing bids for the Trenchless Pipeline Rehabilitation at the Marathon MCSO Substation. John Null contacted and received a bid from Express Trenchless FL Keys, LLC for $18,000.00. John Null contacted and received a bid from Red Quattro Corp for 16,339.50. Red Quattro was selected as the lowest bidder, and stated they would complete the RFS on 1/3/2024. Jessica Morris and John Null followed up multiple times via phone and emails to check on the status of the RFS. On 1/17/2024 Red Quattro stated "unfortunately Red Quattro Corp situation change and we can not take your project offer. We apologize for any inconvenience. Thanks. " I am attaching all of the supporting documentation. I do believe that the staff in Marathon did the due diligence required to obtain the required price quotes as per the Monroe County Purchasing Policy. We are submitting the completed RFS from Express Trenchless FL Keys, LLC for approval. Kindest regards, William DeSantis From: Red— uattro To: Morrus-Jessiica m Subject: Re:Trenchless Pipeline Rehabilitation Marathon MCSO Substation Date: Wednesday,January 17,2024 11:34:44 AM You don't often get email from redqcorp@gmai1.com. L�c-,�v_��,��--LrD �ILI CAUTION Hi, Mrs. Morris unfortunately Red Quattro Corp situation change and we can not take your project offer. We apologize for any inconvenience. Thanks. On Tue, Jan 16, 2024, 8:53 PM Red Quattro<f!2.d1- wrote: Hi, Mrs. Morris I will send the RFS to you tomorrow. Thanks for your follow up. On Tue, Jan 16, 2024, 2:29 PM Morris-Jessica< ,;u ,;;;;;,„p„ ,;;,ic.. „( > wrote: Good afternoon, Ivan, We are just following up on the RFS status for the trenchless pipeline at Marathon Substation. Please let us know if you have any questions to get the packet completed. Thank you, Jew Mcwr-L�- Executive Assistant Middle Keys Facilities Maintenance Monroe County, Florida 'Is Monroe County Public Works 10600 Aviation Blvd. Marathon, FL 33050 Phone: 305-504-4327 (cell) Email:.lMor:.r:.`�..:.:J_e',`�,`ic. .... Moriroc}Cou.lrut -Il.,ov PLEASE NOTE:FLORIDA HAS A VERY BROAD RECORDS LAW.MOST WRITTEN COMMUNICATIONS TO OR FROM THE COUNTY REGARDING COUNTY BUSINESS ARE PUBLIC RECORDS AVAILABLE TO THE PUBLIC AND MEDIA UPON REQUEST.YOUR EMAIL COMMUNICATION MAY BE SUBJECT TO PUBLIC DISCLOSURE From: Red Quattro <,r„c}„d,,,;cor) @:.rnaH corn> Sent: Wednesday,January 3, 2024 9:02 AM To: Morris-Jessica <Morris-Jessica@MonroeCounty-FL.Gov> Subject: Re:Trenchless Pipeline Rehabilitation Marathon MCSO Substation You don't often get email from LoJcC a,of. i cr afllls is gbn amtlmt CAUTION:This email originated from outside of the County. Whether you know the sender or not, do not click links or open attachments you were not expecting. Good morning Mrs. Morris. Happy new year to you too. We want to thank you for this opportunity to work with your team. We are working to complete the RFS packet asap. Best regards. Ivan Canino. On Tue,Jan 2, 2024 at 10:48 AM Morris-Jessica <,IVl,or;,r;,,s�,,,,;Jes�,s ic,,,,,I7rr�uc)rurc)c}cc.)Lirut -fl._;cvv>wrote: Good morning, Ivan, Happy New Year! Your bid has been selected for this trenchless pipeline project at Marathon MCSO Substation. We will need the attached packet completed to submit for final approval. Once the small contract is approved, we will be issued a PO, then give you notice to proceed. Please let us know if you have any questions. Thank you, Jew Mcwr-L�- Executive Assistant Middle Keys Facilities Maintenance Monroe County, Florida 'Is Monroe County Public Works 10600 Aviation Blvd. Marathon, FL 33050 Phone: 305-504-4327 (cell) Email:.IVIor;.r:i.`�..:.:�_e',`�,`�.i.c.�...`NVIonroeCou.�rut -1l.,ov PLEASE NOTE:FLORIDA HAS A VERY BROAD RECORDS LAW.MOST WRITTEN COMMUNICATIONS TO OR FROM THE COUNTY REGARDING COUNTY BUSINESS ARE PUBLIC RECORDS AVAILABLE TO THE PUBLIC AND MEDIA UPON REQUEST.YOUR EMAIL COMMUNICATION MAY BE SUBJECT TO PUBLIC DISCLOSURE Ivan Canino Red Quattro Corp. PO Box 223944 West Palm Beach, FL. 33422. CONFIDENTIALITY NOTICE:This message including any attachments and/or linked documents is intended for the sole use of the intended recipient and may contain information that is privileged, confidential, proprietary or otherwise protected by law. Any unauthorized review, dissemination, distribution or copying is prohibited. If you have received this communication in error please contact the original sender immediately. Please note that any views or opinions presented in this message are solely those of the individual and do not necessarily represent those of Red Quattro Corp. The Base Proposal shall be furnished below in words and numbers. If there is an inconsistency between the two, the Proposal'in swords shall control. eilv ffv 0 v V�CAZ"( C4"� e) � ec) (Total �B�ase ?rnpc�sal- wea°ds) altars. 4 Irilars. (Total Base Prop al—numbers) I acknowledge Alternates as follows: N/A I acknowledge receipt of Addenda No.(s) or None No. Dated No. :Gated Page 14 of 2 In addition, Proposer states that he/she has provided. or will provide the County, along with this Proposal, a certified copy of Contractor's License, Monroe County Business Tax Receipt, and Certificate of Insurance showing the minimum insurance requirements for this project. Execution by the Contractor must be by a person with authority to bind the entity. By signing this agreement below,the Contractor has read and accepts the terms and conditions set forth by the Monroe County General Requirements for Construction found at the link on the Monroe County web page: http://fl-monroecounly.civic plus.coin/Bids.asl2x?CatlD=18; AND accepts all of the terms and conditions and all Federal required contract provisions herein. IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly authorized representatives, as follows: Contractor: V a-,-1ko /Je Mailing Address: �5-qci 9 PP 0 0 V11V ................. .. .... 4-(a ko . -3-3 e-f'-7 0- Phone Number: 9 Z1- E.I.N.: q '70 a,7 Email: ld ce)re Date: Q:��-12:27 Signed: wine Title me Contractor's Witness signature: Witness name: Date: The County accepts the above proposal: MONROE COUNTY, FLORIDA Date: By: County Administrator or Designee ;Mo,t4,RO,F-COUNTYATTORNEYS OFFICE ED'AST9 ,T-0 I Page 15 of 27 PAIRCIA�EABLES ASSIISTAt�Tffffl:ffM,RiNEY DATE' 41, Red Quattro Corp. License: E P.O Box 223944 CMC1250583 �l West Palm Beach FL.33422 RedQcorp@gmail.com CFC1429648 fJQ� 1 (561)506-0992 Mechanical Air Conditioning and Plumbing t 0; Customer PO: Proposal Commercial Piuelinins Technician: Ivan Canino Date: 12/26/2023 PROPERTY INFORMATION OWNER NAME: Monroe County Facilities Maintenance Contractor/Agent: John T.Null Address: Marathon MCSO Substation—3103 Overseas Hwy. City: Marathon State:FL Zip Code:33050. Lot: Subdivision: Block: _ Property ID: Zoning: _ PropeLly Size: Platted: Phone: Email: SCOPE OF WORK This proposal is based upon the walk thru the job site, and camera video inspection. Job site: 3103 Overseas Hwy. Marathon FL. 33050 Pipe type: Pipe is Cast Iron. Scope of work: This proposal includes building permit acquisition, city fee, one hour for engineer visit to the job site including one letter for product approval, cleaning, lining of main drain line inside the building and camera video inspection. Repair with CIPP (Cure in Place pipe) approx. seventy-six (76) LF after customer replace one 4-inch wye three way fitting for one regular wye. With a PICOTE machine and a washer Jetter, clean approximately seventy-six(76)LF of drain line under floor slab inside the building and with pull and push in place method install Liner. • Descale the main drain pipes between the Clean out and the bathroom toilet access. • Flush the descaled pipes using water jets • Inspect the descaled pipes. Additional descaling/flushing as needed • Install CIPP lining in the drain pipes and reinstate the branch connections. • Final.)et cleaning and inspection. (Installing an epoxy Cure In-Place Pipe (CIPP) system on the interior walls of the unlined pipes. Reconstruction of the pipes is accomplished by using a UV-sensitive glass-fiber-coated tube with one or more layers of material and utilizing a UV-light curable resin with physical and chemical properties appropriate for the application,resulting in a new CIPP liner, complete and ready for operation.) Between when this proposal was drafted and execution/mobilization of any contract proceeding, the piping conditions and or scope of work has changed, a necessary change order function may be placed upon any contract. 41, Red Quattro Corp. License: E P.O Box 223944 CMC1250583 �l West Palm Beach FL.33422 RedQcorp@gmail.com CFC1429648 fJQ� 1 (561)506-0992 Mechanical Air Conditioning and Plumbing t01401 GENERAL PARAMETERS To install an epoxy CIPP system on the interior wall of the unlined pipe, the reconstruction is accomplished by using a felt tube of one or more layers of material, and a thermoset epoxy resin with physical and chemical properties appropriate for the application. This system process will provide a new CIPP lining system, complete and ready for operation. 1. Contractor shall field verify/document the current condition of the contracted portion of the piping system prior to the rehabilitation,using Closed Circuit Television (CCTV) and recording equipment. 2. Recording of post-cleaning and post-rehabilitation will be performed in each Work segment. 3. Piping system will be cleaned with one or all the following methods: 4. Electric/pneumatic proprietary cleaning equipment and tools. 5. High pressured water jetting. 6. Traditional rotary cleaning equipment. 7. The pipe will be lined in work segments using Nu Flow Technologies,Nu-Drain. 8. Overlapping sections are allowed in the length of the liner. Ensure that the liner tube is capable of conforming to 45 and& 90-degree degree bends,offset joints,bells, and disfigured pipe sections. 9. The CIPP restores structural integrity and extends the useful life. 10. The restoration is accomplished through either single or double-entry access points with minimal or no destruction to interior or exterior surfaces on either end(if proper access currently exists). 11. The liner shall be installed in lengths to be determined by the Contractor in runs that allow for proper cure and timely restoration of water services to the building/occupants. 41, Red Quattro Corp. License: E P.O Box 223944 CMC1250583 �l West Palm Beach FL.33422 ' RedQcorp@gmail.com CFC1429648 fJQ� 1 (561)506-0992 Mechanical Air Conditioning and Plumbing t01401 12. Timely and uninhibited access must be provided to all areas where the cleaning, lining, and reinstating process will occur. GENERAL PARAMETERS-Cont'd Scheduling,Communications,Security,&Equipment Staging: I. In general, access will be required during the hours of 8:00 a.m.to 5:00 p.m. Monday to Friday,unless specified in Proposal Summary(this time frame may adjust slightly based on the cleaning and curing process of the day's work). 2. 24 hours written notice of any interruptions of water service will be provided. 3. Inconveniences and disruption of service are minimal with the lining technology compared to those experienced during a re-piping project. Our crews will make every effort to keep such disruption to a minimum. 4. On-site parking for equipment is required and on-site for the crew is requested. 5. Construction area will be cleaned, and tools and equipment put away at the end of each workday. During the day, crews will make every effort to minimize any inconvenience. 6. Any damage inadvertently caused to the building or contents during the prQ]ect by our crew shall be made good at The Contractors' expense. 7. Contractor will make every effort to maintain building security and will prevent unauthorized persons from entering the building. 8. Specialized Plumbing Technologies staff will always wear clothing displaying the Red Quattro Corp logo so they can be identified as Red Quattro Corp employees. 41, Red Quattro Corp. License: E P.O Box 223944 CMC1250583 �l West Palm Beach FL.33422 ' RedQcorp@gmail.com CFC1429648 fJQ� 1 (561)506-0992 Mechanical Air Conditioning and Plumbing t01401 9. The Contractor will provide a prQj ect schedule upon commencement of the work, and complete the investigation of the existing piping configuration, and complete the installation/renovation with an expected completion date. The Contractor will maintain a work schedule as required to meet this deadline. If for some reason access to require work areas is not possible despite appropriate notice, RQC reserves the right to back charge for lost production days when the restricted access is due to the actions (or inactions) of the Owners, Tenants or Management. 10. The Contractor shall not be entitled to claim for additional compensation or project completion extensions unless the delays and/or additional expenses are the direct result of actions of the Owners, Tenants or changes and/or additions to the Contract beyond our control. 11. All schedule variances are to be the burden of the owner. Any such variances may result in a change order. 12. It is the Contractor's decision to locate and stage the equipment in the best possible location based on the scope of work. Any other options a change order could be applicable. Specific Exclusions (Unless Specified): Specifically excluded from the Scope of Work,in addition to any items noted or not specifically included are: 1. Removal of any Hazardous Substances as defined under Workplace Hazardous Materials Information System ("WHMIS"),Workers' Compensation Board ("WCB"), Environmental Protection Agency ("EPA"),or other regulations (asbestos and urea-formaldehyde insulation). 2. Toxic mold abatement and lead paint abatement. 3. Loose-fill building insulation removal,including its replacement. 4. Engineering and drawings. 5. Replacement of wallpaper in common and private areas.Any such areas affected will be restored to a paint-ready state. 6. Restoration of any custom paint(faux)finishes.Any such areas affected will be restored to a paint- ready state. 7. Floor,wall, and ceiling materials,put-back/finishes of any type or upgrades. 8. Any supervision,labor,x-raying/coring required as a result of pipe relocation due to post-tension cables in the building's structure. 9. Removing and replacing in-suite improvements. Any such openings will be restored to basic construction finishes (drywall). 10. Traffic control. 41, Red Quattro Corp. License: E P.0 Box 223944 CMC1250583 �l West Palm Beach FL.33422 RedQcorp@gmail.com CFC1429648 fJQ� 1 (561)506-0992 Mechanical Air Conditioning and Plumbing t01401 11. Excavation and shoring. 12. Notifications of tenants/unit owners. 13. Required upgrades to current plumbing codes. 14. Axillary plumbing parts such as,but not limited to p-traps. 15. Demolition. 16. Creating access points. 17. Pump and bypass of the flow in the pipe. 18. Any shutdowns,removal and/or installation of floor drains and clean-outs. 19. City fees 20. Acts of God. Cost per Total Per ITEM Description LF/Sgft LF/Sgft/Hrs. Stack Total Stacks Total perjob Pipelining 3 and 4 inch up to 20 LF including PICOTE,Jetter Cleaning,and Camera inspection. $0.00 20 LF $0.00 0 $5,000.00 Additional CIPP per LF including PICOTE,Jetter Cleaning,and Camera inspection. $150.00 56 LF $0.00 0 $8,400.00 Reinstatements $250.00 5 R $0.00 0 $1,250.00 Including city fee approx.three(3)% $0.00 0 $0.00 0 $439.50 Engineering visit and letter for product approval $0.00 1 hr $0.00 0 $1,250.00 Total $16,339.50 Additional Cost for Proiect Elements as need it PICOTE mini miller(only)3-inch&4-inch cast iron main drain line cleaning per LF -$27.78 Camera inspection (only) up to 100 ft&video recorded -$500.00 Sewer Jetter(only) up to 100 ft. -$1250.00 Cutting Slab concrete per ScIft -$365.00 Excavation and backfilling per Sgft -$47.00 Labor per Hr. (one(1) Plumber&one(1) Helper.) -$112.00 Pipelining 3 inch and 4-inch per LF -$150.00 41, Red Quattro Corp. License: E P.O Box 223944 CMC1250583 �l West Palm Beach FL.33422 ' RedQcorp@gmail.com CFC1429648 fJQ� 1 (561)506-0992 Mechanical Air Conditioning and Plumbing This work will be done in accordance with the Florida Plumbing Code 2020. I authorize the work described and agree to the terms and conditions as stated on this form.I recognize that aged and deteriorated plumbing fixtures, piping,HVAC Systems,and appurtenances may no longer be serviceable and I agree to hold Red Quattro Corp blameless for any damage or destruction to those items as a result of these conventional repair efforts.I agree to pay for all work,goods,and services received and further authorize Red Quattro Corp to bill any of my credit card(s)for the goods and/or services being provided. Customer Signature Technician Signature Agent Signature No warranty is provided on stoppages/owner-supplied material and drain cleaning services.LIMITED WARRANTY:All material,Pants and equipment are warranted by the manufacturers or suppliers' written warranty only.All labor performed by Red Quattro Corp is warranted for 30 days or as otherwise indicated in writing.Red Quattro Corp makes no other warranties express or implied and its agents or technicians are not authorized to make any such warranties on behalf of Red Quattro Corp.All materials supplied by Red Quattro Corp title of ownership are property of Red Quattro Corp until payment is made in full.Red Quattro Corp reserves the right to claim and take possession of all materials in case of failure of progress payment or default.All collections will be referred to an attorney after 90 days.The customer will incur all attorney fees&fees incurred by Red Quattro corp.All equipment sales financed through banking institutions are final.All maintenance plan agreement holders that incurred a running balance of unpaid invoices merchant has the right to cancel and forfeit maintenance and all remaining services.All return checks will have a$30.00 charge added to the invoice.Red Quattro Corp is not responsible for electric bill increases.Red Quattro is not responsible for water damage and drywall damage. Red Quattro Corp is not responsible or liable for copper lines or underground leaks.Red Quattro is not responsible for any rodent trapped in the drain line resulting in leaking of water causing damage.Red Quattro Corp is not responsible for any damage to electrical pipe,cable,plumbing pipe or any other element inside floor slab concrete or wall where not x-ray is been done by customer and not visually detected. NuFlow Technical,S art#1-800- 34-597 Job Name: C50 Address: ° " oc Jab P.O.#: Date:/ Lead,Tech: Support Tech; • , " c Draw Diagram Below: (!Notate critical aspects measurements,connections,start,stop,voids,etc.) Liner Length: "� �"�� "", - "�"" Liner Diameter: r� Calibrated w!Vacuum:Y or N Launcher Length:3 11" 33' Number of Bends: 22 Degree 45 Degree 90 Degree 1...Ig,.�°��r�r��,sr�M�g<ada.=;? Connections r r.rsxr per of drw��r..rsitp on to b1' � �,u .,.,..... Time installed: Inflated to for 5 Minutes" � "rrcrease t;.)for S Minutes: r r Deflate Y or N: Begln Cure at: Time Bladder Puled: 0 .4 Circle All That ApjpBy: 5& J Pull1-3 Push Rope Calale w u Before Video File Name.___..__ ____._.. w ' eo Video `ill (4� 1`eaarrbc r Average Arnps Y Average 'Volts: Comments: � * �" � �� r Product/Batch Numbs ers: Liner: Resin: NuFlow Technologies(2000), Inc. @2022 NuCure InstaPlation Farm