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07/26/2024 Agreement
Monroe County Purchasing Policy and Procedures ATTACHMENT D.5 COUNTY ADMINISTRATOR CONTRACT SUMMARY FORM FOR CONTRACTS $100,000.00 and Under Mike's Painting & Re ai Effective Date: Within 10 calendar days of NTP,PO or TO Expiration Date: Final Completion within 30 days Contract Purpose/Description: BIG COPPITT FIRE STATION-INTERIOR BAY PAINTING 28 EMERALD DRIVE,BIG COPPITT KEY,FL 33040 Contractor shall commence performance within ten(10)calendar days of the date of issuance of a Notice to Proceed,Purchase Order or Task Order,Once commenced,Contractor shall diligently continue performance until completion of the Project The Contractor shall accomplish Completion of the Project within thirty(30)days,thereafter,unless an extension of time is granted by the County. Contract is Original Agreement Contract Amendment/Extension Renewal Contract Manager: WIliiam De antis 4307 Facilities Maintenance I Stop#9C CONTRACT COSTS Total Dollar Value of Contract: $ 12,950.00 Current Year Portion: $ (must be$100,000.00 or less) (If multiyear agreement then requires BOCC approval,unless the iowl ainni.hliir c 4m1tt una is 1 00.000.00 or Iw ss). Budgeted? YAW No ❑ Grant: $ N/A County Match: $ N/A Fund/Cost Center/Spend Cate o : 001 -22001 -00036 1 F 001 CC 22001 SC_00036 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.2024.07251027.09-04'00' Risk Management Signature: Purchasing Signature: Lisa Abreu Digitally 20240725ned yLisa Abreu Date'.2024.07.25 11'.25'.34-04'00' John Quinn Digitally signed by John Quinn OMB Signature: Date'.2024.07.25 13'.05'.12-04'00' Comments: Revised BOCC 4/19/2023 Page 84 of 105 NR E COUNTY BOARD OF COUNTY COMMISSIONERS REQUEST FOR SERVICES S FOR BIG COP'P'ITT FIRE STATION - INTERIOR BAY PAINTING n BOARD OF COUNTY COMMISSIONERS Mayor Holly Merrill. Raschein, District 5 Mayor Pro Tern James K. Scholl, District 3 Craig Cates, District I David Rice, District 4 Michelle Lincoln, District 2 ACTING COUNTY ADMINISTRATOR Kevin G. Wilson Clerk of the Circuit Court Facilities Maintenance Director Kevin Maclok William DeSantis 07/19/2024 PREPARED BY; Monroe County Facilities Maintenance Department Page l of 53 Monroe County Facilities Maintenance General Scope of Work Job Name: BIG COPPITT FIRE STATION— INTERIOR BAY PAINTING Job Location: Big Coppitt Fire Station 28 Emerald Drive Big Coppitt Key,FL 33040 Contact: Chrissy Collins-Facilities Maintenance collin+i-chris edit nac nroccou(,I-f 305-304-9711 PROJECT OVERVIEW PROJECT INTENT AND SCOPE GENERAL REQUIREMENTS 1. Project Overview A) Monroe County ("Owner" or "County") shall enter into a contract with a qualified Contractor to paint the interior bay of the Big Coppitt Fire Station located at 28 Emerald Drive, Big Coppitt Key, Florida. The term of this contract shall commence upon approval and execution of the contract by Monroe County and will terminate upon final completion of the Project as noted herein. Contractor shall commence performance under the contract, which may include applying for a pen-nit if one is required for the Project, within Ten(10) calendar days of the date of issuance to the undersigned by Owner of a Notice to Proceed, Purchase Order,or Task Order.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, unless an extension of time is granted by the County. The Contractor shall be required to secure and pay for all required permits and approvals to perform the work which may include: City of Key West Building Department,Monroe County Building Department, and any other permitting 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 Wednesday,July 24,2024, at 12:00 P.M., via email to collins- chrissy*a 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 53 2. Project Intent and Scope Scope of Work: The Contractor shall provide the following Scope of Work and provide all labor and materials to complete the interior bay painting at the Big Coppitt Fire Station: • Pressure wash walls and mezzanine railings within the bay • Paint all bay walls with at least two (2)coats of Sherwin Williams paint • Paint mezzanine railings • Patch and paint spalling of one post of the railing • Touch up paint the utility room doors within bay • Colors to be determined 3. General Requirements The Contractor shall coordinate all activities with the Monroe County Facilities Maintenance Department contact: Chrissy Collins at 305-304-9711 A,) The Contractor is required to provide protection for all existing surfaces including, but not limited to: i. Existing fixtures ii. Personal items iii. Floors iv. Vehicles and Personal Property V. Landscaping B) The Contractor shall ensure that all non-exempt employees for this effort are compensated in accordance with all State and Local Laws. C) The Contractor shall load, haul,and properly dispose of all construction debris and materials. D) The Contractor shall provide and maintain appropriate (OSHA required) construction warning signs and barriers. E) The Contractor shall furnish all required work site safety equipment. F) The Contractor shall furnish and maintain on-site material safety data sheets (MSDS) for all materials used in the construction. Page 3 of 53 G) Construction work times shall be limited to: Specified by the County. H) The Contractor shall provide a lump sum price by Wednesday,July 24, 2024, at 12.00p.m., via email as noted herein. 1) The Contractor needs to be aware of weather and location and plan accordingly. J) The Contractor needs to be aware of the facility,its residents,and staff with unusual schedules and plan accordingly. K) The Contractor shall provide a safety lift plan for any crane/hoist work. L) 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 for the proper function and maintenance of the equipment. M) The Contractor shall provide a schedule for all phases of the project. N) The Contractor shall coordinate all activities with concurrent site work being performed, if any. 0) Insurance Requirements: Workers Compensation Statutory Limits Employers' Liability 5100,000 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 Bond Not Required Page 4 of 53 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. P) 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 it shall also submit a properly completed and executed W-9 Form. Q) 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 (1) 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 term 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 County or any of its employees, agents, contractors or invitees (other than the Contractor). The monetary limitation of liability under this contract shall be equal to the dollar value of the contract and not less than S,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 O. 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 harmless and shall indemnify it from all losses occurring thereby and shall further 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. Page 5 of 53 United States Department ent of the TreasuEy Indemni ication To the fullest extent permitted by law, the Contractor shall indemnify and hold harmless the United States Department of the Treasury and its officers and employees, from liabilities, damages, losses and costs, including, but not limited to, reasonable attorney's fees, to the extent caused by the negligence, recklessness or intentional wrongful misconduct of the Contractor and persons employed or utilized by the Contractor in the performance of this Contract. This indemnification shall survive the termination of this Contract. Nothing contained in this paragraph is intended to nor shall it constitute a waiver of the sovereign immunity of the United States or the County. R) NON-COLLUSION.By signing this proposal,the undersigned swears, according to law on his/her oath, and under penalty of perjury, that their firm 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. S) 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 his/hers/its behalf any former County officer or employee in violation of Section 2 of Ordinance No. 010-1990 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. T) 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. Page 6 of 53 U) DRUG-FREE WORKPLACE.By signing 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 statement notifying employees that the unlawful. manufacture, distribution, dispensing, 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 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) Give each employee engaged in providing the commodities or contractual. services that are under bid a copy of the statement specified in subsection 1. 4) In the statement specified in subsection 1, notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contenders 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 1) Nondiscrimination/Equal Em Io m+ent Oplaortunity. The Contractor and County agree that there will be no discrimination against any person,and it is expressly understood that upon a determination by a court of competent jurisdiction that discrimination has occurred, this Agreement automatically terminates without any further action on the part of any party,effective the date of the court order. Contractor agrees to comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1) Title VII of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination in employment on the basis of race, color, religion, sex, or national origin, 2) Title IX of the Education Amendment of 1972, as amended (20 USC ss. 1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex, 3) Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits discrimination on the basis of disability; 4) The Age Discrimination Act of 1975,as amended(42 USC ss. 6101-6107)which prohibits discrimination on the basis of age;5)The Drug Abuse Office and Treatment Act of 1972(PL 92-255),as amended, relating to nondiscrimination on the basis of drug abuse; 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 Page 7 of 53 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. 12101 Note), as may be amended from time to time, relating to nondiscrimination on the basis of disability; 10) Monroe County Code Chapter 14, Article 1I, which prohibits discrimination on the basis of race,color,sex,religion,national origin,ancestry,sexual orientation, gender identity or expression, familial status or age; and 11) Any other nondiscrimination provisions in any Federal or state statutes which may apply to the parties to, or the subject matter of, this Agreement. During the performance of this Agreement, the Contractor, in accordance with Equal Employment Opportunity (30 Fed. Reg. 12319, 12935, 3 C.F.R. Part, 1964-1965 Camp., p. 339) as amended by Executive Order 11375, Amending Executive Order 11246 Relating to Equal Employment Opportunity, and implementing regulations at 41 C.F.R. Part 60 (Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor), see 2 C.F.R. Part 200, Appendix II,¶C, agrees as follows: 1) The Contractor will not discriminate against any employee or applicant for employment because of race,color,religion, sex, sexual orientation, gender identity,or national origin. The Contractor will take affirmative action to ensure that applicants are employed, and that employees are treated equally during employment, without regard to their race, color, religion, sex, sexual orientation, gender identity, or national origin, Such action shall include, but not be limited to the following: Employment, upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the contracting officer setting forth the provisions of this nondiscrimination clause, 2) The Contractor will,in all solicitations or advertisements for employees placed by or on behalf of the Contractor, state that all qualified applicants will receive consideration for employment without regard to race, color,religion, sex, sexual orientation, gender identity, or national origin. 3) The Contractor will not discharge or in any other manner discriminate against any employee or applicant for employment because such employee or applicant has inquired about, discussed, or disclosed the compensation of the employee or applicant or another employee or applicant. This provision shall not apply to instances in which an Page 8 of53 employee, who has access to the compensation information of other employees or applicants as a part of such employee's essential job functions, discloses the compensation of such other employees or applicants to individuals who do not otherwise have access to such information,unless such disclosure is in response to a formal complaint or charge, in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or is consistent with the Contractor's legal duty to furnish information. 4) The Contractor will send to each labor union or representative of workers with which it has a collective bargaining agreement or other contract or understanding, a notice to be provided by the agency contracting officer, advising the labor union or workers' representative of the Contractor's commitments under section 202 of Executive Order 11246 of September 24, 1965, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 5) The Contractor will comply with all provisions of Executive Order 11246 of September 24, 1965,and of the rules,regulations,and relevant orders of the Secretary of Labor. 6) The Contractor will furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by the rules, regulations, and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the contracting agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders. 7) In the event of the Contractor's non-compliance with the nondiscrimination clauses of this contract or with any of such rules, regulations, or orders, this contract may be canceled, terminated, or suspended in whole or in part and the Contractor may be declared ineligible for further Government contracts in accordance with procedures authorized in Executive Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. S) The Contractor will include the portion of the sentence immediately preceding paragraph(1)and the provision of paragraphs (1)through(8) in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such provisions will be binding upon each subcontractor or vendor. The Contractor will take such action with respect to any subcontract or Page 9 of 53 purchase order as the administering agency may direct as a means of enforcing such provisions, including sanctions for non-compliance, provided, however, that in the event a contractor becomes involved in, or is threatened with,litigation with a subcontractor or vendor as a result of such direction by the administering agency the Contractor may request the United States to enter into such litigation to protect the interests of the United States. Title V1 of the Civil Ri hts Act of 1964. The Contractor and any subcontractor, successor, transferee, and assignee shall comply with Title VI of the Civil Rights Act of 1964, which prohibits recipients of federal financial assistance from excluding from a program or activity,denying benefits of, or otherwise discriminating against a person on the basis of race, color, or national origin (42 U.S.C. § 2000d et seq.), as implemented by the Department of the Treasury's Title VI regulations, 31 CFR Part 22, which are herein incorporated by reference and made a part of this contract (or agreement). Title VI also includes protection to persons with "Limited English. Proficiency"in any program or activity receiving federal financial assistance,42 U.S.C. 2000d et seq., as implemented by the Department of the Treasury's Title VI regulations, 31 CFR Part 22, and herein incorporated by reference and made a part of this contract or agreement. 11) 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 to the 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. C. Termination for Cause and 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. Page 10 of 53 D. Termination 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 to termination, 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 at. of the Monroe County Code. E. Scrutinized.Com hies: 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 Agreement 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 Records. 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 as applicable for 1)a period of five (5) years after all funds have been expended or returned to the Department of the Treasury, whichever is later; or 2) for a period of seven (7) years from the termination of this Agreement or for a period of five (5) years from the submission of the final expenditure report as per 2 CFR §200.33,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 term of the Agreement and for seven (7)years following the termination of this Agreement. If any auditor employed by Monroe County or County 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,Florida Statutes,running from the date the monies were paid by the County. Further,the Contractor is subject to the following: 1) The Contractor shall maintain records and financial documents sufficient to evidence compliance with Sections 602(c)and 603(c)of the Social Security Act, Treasury's regulations implementing that section,and guidance issued by the Department of the Treasury regarding the foregoing. Page 11 of 53 2) The Department of the Treasury Office of Inspector General and the Government Accountability Office, or their authorized representatives, shall have the right of access to records (electronic and otherwise) of the Contractor in order to conduct audits or other investigations. IV) Right to Audit. Availability of Records. The records of the parties to this Agreement relating to the Project,which shall include but not be limited to accounting records(hard copy,as well as computer readable data if it can be made available; subcontract files (including proposals of successful and unsuccessful bidders, bid recaps, bidding instructions, bidders list, etc.); original estimates; estimating work sheets; correspondence; change order files (including documentation covering negotiated settlements); back charge logs and supporting documentation; general ledger entries detailing cash and trade discounts earned, insurance 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 (1.0) years after Final Completion. The County Clerk possesses the independent authority to conduct an audit of records, assets, and activities relating to this Project. I.fany auditor employed by Monroe County or County Clerk determines that monies paid to Contractor pursuant to this Agreement were spent for purposes riot authorized by this Agreement, or were wrongfully retained by the Contractor, the Contractor shall repay the monies together with interest calculated pursuant to See. 55.03,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) Payment of Dees l Invoices. County shall pay pursuant to the Florida Local Government Prompt Payment Act, Fla. Stat., See. 218.70,upon receipt of Proper Invoice from the Contractor. Payments 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 Page 12 of 53 disbursal of funds. Invoices shall be submitted to Monroe County Facilities Maintenance Department, Attention: Chrissy Collins via email at collins- chrissNfy monroecounty-11.g2 . 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 frilly performed by the Contractor and the work has been accepted by the County. VI) Public Records Compliance. '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 the right to unilaterally cancel this contract upon violation of this provision by the Contractor. Failure of the Contractor to abide by the terms of this provision shall be deemed a material breach of this contract and the County may enforce the terms of this provision in the form of a court proceeding and shall, as a prevailing party, be entitled to reimbursement of all attorney's fees and costs associated with that proceeding. This provision shall survive any termination or expiration of the contract. The Contractor is encouraged to consult with its advisors about 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 to: (1) Keep and maintain public records that would be required by the County to perform the service. (2) Upon request from the County's custodian of records,provide the County with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. (3) Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the contractor does not transfer the records to the County. (4) Upon completion of the contract, transfer, at no cost, to the County all public records in possession of the Contractor or keep and maintain public records that would be required by the County to perform the service. If the Contractor transfers all public records to the County upon completion of the contract,the Contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records Page 13 of 53 disclosure requirements. If the Contractor keeps and maintains public records upon completion of the contract, the Contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the County, upon request from the County's custodian of records, in a format that is compatible with the information technology systems of the County. (5) A request to inspect or copy public records relating to a County contract must be made directly to the County, but if the County does not possess the requested records, the County shall immediately notify the Contractor of the request, and the Contractor must provide the records to the County or allow the records to be inspected or copied within a reasonable time. If the Contractor does not comply with the County's request for records, the County shall enforce the public records contract provisions in accordance with the contract, notwithstanding the County's option and right to unilaterally cancel this contract upon violation of this provision by the Contractor. A Contractor who fails to provide the public records to the County or pursuant to a valid public records request within a reasonable time may be subject to penalties under Section 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 CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 1.19 FLORIDA STATUTES TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACTI CONTACT THE CUSTODIAN OF PUBLIC RECORDS BRIAN BRADLEY AT PHONE NO. 305- 292-3470 BRADLEY-BRIAN a)MONROECOUNTY-FI..GOV MONROE COUNTY ATTORNEYS OFFICE 1111 12TH Street. SUITE 408, KEY WEST, FL, 33040. V11) E-Verify System. Beginning January 1, 2021, in accordance with Fla. Stat., Sec.448.095,the Contractor and any subcontractor shall register with and shall utilize the U.S. Department of Homeland Security's E-Verify system to verify the work authorization status of all new employees hired by the Contractor during the term of the Contract and shall expressly require any subcontractors performing work or providing services pursuant to the Contract to likewise utilize the C.T.S. Department of Homeland Security's E-Verify system to verify the work authorization status of all new employees hired by the subcontractor during the Contract term. Any subcontractor shall provide an affidavit stating that the subcontractor does not employ, contract with, or subcontract with an unauthorized alien. The Contractor shall comply with and be subject to the provisions of Fla. Stat., Sec. 448.095. Page 14 of 53 VIII) Notice Requirement. Any written notices or correspondence given pursuant to this contract shall be sent by United Mates Mail„ certified, return receipt requested, postage prepared, or by courier with proof of delivery. Notice is deemed received by Contractor when hand delivered by national courier with proof`ofdelivery or by U.S. Mail upon verified receipt or upon the date of refusal or non-acceptance of delivery, The place of giving notice shall remain the same, as set forth herein until changed in writing in the manner provided in this paragraph. Notice shall be sent to the following persons: e For Contractor: r For Owner: Facilities Maintenance Department Attention: Chrissy Collins 123 Overseas Highway—Rockland Key Key West, Florida 33040 And Monroe County Attorney's Office 1111 12`" Street Suite 408 Key West, Florida 33040 IX) Vraeoptrollable CircHmst o e 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 of the Project; (d)government order or law in the geographic area of the Project, (e) actions, embargoes, or blockades in effect on or after the date of this Agreement; (0 action by any governmental authority prohibiting work in the geographic area of the Project;(each, a "UticontroI]able Circumstance"). Contractor's financial inability to perform, changes in cost or availability ot`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, or as soon as possible after such Uncontrollable Circumstance has occurred if' reasonably anticipated, and the anticipated duration of` such Uncontrollable Circumstance. Contractor shall use all Page 15 of 53 diligent efforts to end the (_Incontrollable Circumstance, ensure that the effects of able. Circumstance are minimized and resume full performance under any Uncontroll this Agreement..Ti,ic County will not pay additionat 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 Owner's Representative may determine. X) Adjudication of Disputes or Disagreements. County and Contractor agree that all disputes and disagreements shall be attempted to be resolved by meet and confer sessions between representatives of each of the parties. If the issue or issues are still not resolved to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy as may be provided by this Agreement or by Florida law. This Agreement is not subject to arbitration. This provision does not negate or waive the provisions of Section 1, Nondiscrimination, or Section 11, concerning Termination or Cancellation. 4. FEDERAL CONTRACT REQUIREMENTS The Contractor and its subcontractors must follow the provisions, as applicable, as set forth in 2 C.F.R. §200.326 Contract provisions and Appendix 11 to C.F.R. Part 200, as amended, including but not limited to: A) Clean Air Act 42 U.S.C. 74111-7671 and the Federal Water Pollution Control Act 33 U.S.C. 441251-138'71, as amended. CONTRACTOR agrees to comply with all applicable standards, orders, or regulations issued pursuant to the Clean. Air Act, as amended, (42 U.S.C. §§7401-7671q) and the Federal Water Pollution Control Act, as amended (33 U.S.C. §§1251-1387) and will report violations to the Department of the Treasury and the appropriate Regional Office of the Environmental Protection Agency (EPA). The Clean Air Act (42 U.S.C. §§7401-7671q) and the Federal Water .Pollution Control Act (33 U.S.C. §§1251- 1387), as amended, applies to Contracts and subgrants of amounts in excess of $100,000.00. The contractor agrees to include these requirements in each subcontract exceeding $100,000 financed in whole or in part with Federal assistance provided by the American Rescue Plan Act funding. The Contractor agrees to report each violation to the COUNTY, understands, and agrees that the COUNTY will, in turn, report each violation as required to assure notification to the Department of Treasury/Federal Agency and the appropriate EPA Regional. Office. B) Contract Work Hours and Safe Standards Act J40 U.S.C. 3701-3708' Where applicable, which includes all FEMA grant and cooperative agreement programs, all contracts awarded by the County in excess of$100,000 that involve the employment of mechanics or laborers must comply with 40 U.S.C.,§_§3702 and 3704,as supplemented by Department of Labor regulations(29 CFR Part 5). Under 40 U.S.G. §3702 of the Act, each Contractor must compute the wages of every mechanic and taborer on the basis of a standard work week of forty (40) hours. Work in excess of the standard work week is permissible provided that the worker Page 16 of 53 is compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in excess of forty (40) hours in the work week. The requirements of 40 U.S.C. §3704 are applicable to construction work and provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are unsanitary, hazardous, or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence. Compliance with the Contract Work Hours and Safety Standards Act. (1) Overtime requirements. No contractor or subcontractor contracting for any part of the contract work,which may require or involve the employment of laborers or mechanics shall require or permit any such laborer or mechanic in any workweek in which he or she is employed on such work to work in excess of forty hours in such workweek unless such laborer or mechanic receives compensation at a rate not less than one and one-half times the basic rate of pay for all hours worked in excess of forty hours in such workweek. (2) Violation;liability far unpaid wakes;liquidated damages. 1n the event of any violation of the clause set forth in Paragraph (b)(1) of this section,the Contractor and any subcontractor responsible therefor shall be liable for the unpaid wages. 1n addition, such contractor and subcontractor shall be liable to the United States (in the case of work done under contract for the District of Columbia or a territory,to such District or to such territory), for liquidated Damages. Such liquidated damages shall be computed with respect to each individual laborer or mechanic, including watchmen and guards, employed in violation of the clause set forth in Paragraph (b)(1)of this section, in the sum of $27 for each calendar day on which such individual was required or permitted to work in excess of the standard workweek of forty hours without payment of the overtime wages required by the clause set forth in Paragraph(b)(1) of29 C.F.R. §5.5. (3) Withholding far unpaid wages and liquidated damages. The Federal agency shall, upon its own action or upon written request of an authorized representative of the Department of Labor, withhold or cause to be withheld from any moneys payable on account of work performed by the contractor or subcontractor under any such contract or any other Federal contract with the same prime contractor,or any other federally- assisted contract subject to the Contract Work Hours and Safety Standards Act,which is held by the same prime contractor,such sums as may be determined to be necessary to satisfy any liabilities of such contractor or subcontractor for unpaid wages and liquidated damages as provided in the clause set forth in Page 17 of 53 Paragraph (b)(2) of 29 C.F.R. §5.5. (4) Subcontracts. The contractor or subcontractor shall insert in any subcontracts the clauses set forth in 29 C.F.R. §5.5, Paragraphs (b)(1)through(4), and also a clause requiring the subcontractors to include these clauses in any lower tier subcontracts. The prime contractor shall be responsible for compliance by any subcontractor or lower tier subcontractor with the clauses set forth in 29 C.F.R. §5.5, Paragraphs (1) through (4). C) Rights to Inventions Made Under a Contract or Agreement If the Federal award meets the definition of"funding agreement" under 37 CFR §401.2 (a) and the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit organization regarding the substitution of parties, assignment or performance of experimental,developmental,or research work under that"funding agreement,"the recipient or subrecipient must comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit Organizations and Small. Business Firms Under Government Grants, Contracts and Cooperative Agreements,"and any implementing regulations issued by the awarding agency. D) Debarment and Suspension Executive Orders 12549 and 12689 A contract award under a "covered transaction" (see 2 CFR §180.220) must not be made to parties listed on the government-wide exclusions in the System for Award Management (SAM), in accordance with the OMB guidelines at 2 C.P.R. Part ISO that implement Executive Orders 12549 (3 C.F.R. Part 1986 Comp., p. 1 S9) and 12689 (3 C.F.R. Part 1959 Comp., p. 235), "Debarment and Suspension" and the Department of Homeland Security's regulations at 2 C.F.R. Part 3000 (Nonprocurement Debarment and Suspension). SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. SAM exclusions can be accessed at %vwwv.s,Ai.n...gpy. Contractor is required to verify that none of the contractor's principals (defined at 2 C.F.R. §180.935) or its affiliates (defined at 2 C.F.R. §180.905) are excluded (defined at 2 C.F.R. §180.940) or disqualified(defined at 2 C.F.R. §180.935). The Contractor must comply with 2 C.F.R. pt. 180, subpart C and 2 C.F.R. pt. 3000, subpart C, and must include a requirement to comply with these regulations in any lower tier covered transaction it enters into. This certification is a material. representation of fact relied upon by the County. If it is later determined that the contractor did not comply with 2 CYK pt. 180, subpart C and 2 C.F.R. pt. 3000, subpart C, in addition to remedies available to the County,the Federal Government may pursue available remedies, including but not limited to suspension and/or debarment.Bidders or Proposers agree to comply with the requirements oft C.F.R. pt. 150, subpart C and 2 C.F.R. Pt. 3000, subpart C while this offer is valid and throughout the period of any contract that may arise from this offer. The Bidder or Proposer further agrees to include a provision requiring such compliance in its lower tier covered transactions, including that the award is subject to 2 C.F.R. Part Page 18 of 53 180 and the Department of the Treasury's implementing regulation at 31 C.F.R. Part 19. E) Byrd Anti-L bb in Amendment 31 U S.C» 1 2 . Contractors that apply or bid for an award exceeding $100,000 must file the required.certification. Each tier certifies to the tier above that it will not and has not used Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. §1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the recipient who in turn will forward the certification(s) to the awarding agency. If the award exceeds $100,000, the attached certification must be signed and submitted by the Contractor to the County. F) Compliance with Procurement of Recovered Materials as set forth in 2 CFR 200.323. The Contractor must comply with Section 6002 of the Solid Waste Disposal Act, as amended, by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 C.F.R. Part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition,where the purchase price of the item exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA. guidelines.In the performance of this contract,the Contractor shall make maximum use of products containing recovered materials that are EPA-designated items unless the product cannot be acquired ---. 1.Competitively within a timeframe providing for compliance with the contract performance schedule; 2. Meeting contract performance requirements; or 3. At a reasonable price. Information about this requirement, along with the list of EPA-designated items, .is available at EPA's Comprehensive Procurement Guidelines website, htttr fw w LIOV/iTItTlrc�)iritirehcii.side-pr d 1}n� The Contractor also agrees to comply with all other applicable requirements of Section 6002 of the Solid Waste Disposal Act, Page 19 of 53 G) Prohibition on certain telecommunications and video surveillance services or e ui nxent as set forth in 2 CFR,4 200.216.Recipients and subrecipients and their contractors and subcontractors may not obligate or expend any federal funds to (1) Procure or obtain; (2)Extend or renew a contract to procure or obtain; or (3)Enter into a contract (or extend or renew a contract) to procure or obtain equipment services, or systems that uses covered telecommunications equipment or services as a substantial or essential component of any system,or as critical technology as part of any system. As described in Public Law 115-232, section 889, covered telecommunications equipment is telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation (or any subsidiary or affiliate of such entities) (i)For the purpose of public safety, security of government facilities, physical security surveillance of critical infrastructure, and other national. security purposes, video surveillance and telecommunications equipment produced by Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company,or Dahua. Technology Company(or any subsidiary or affiliate of such entities). (ii)Telecommunications or video surveillance services provided by such entities or using such equipment, (W)Telecommunications or video surveillance equipment or services produced or provided by an entity that the Secretary of Defense, in consultation with the Director of the National Intelligence or the Director of the Federal Bureau of Investigation, reasonably believes to be an entity owned or controlled by, or otherwise connected to, the government of a covered foreign country. H) Domestic Pr f r n g Lor Procurements as set forth in 2 C.F.Q. 4200.322. The County and Contractor should, to the greatest extent practicable, provide a preference for the purchase, acquisition, or use of goods, products, or materials produced in the United States (including but not limited to iron, aluminum, steel, cement,and other manufactured products). These requirements of this section must be included in all subawards including contracts and purchase orders for work or products under federal award. For purposes of this section: (1) "Produced in the United States" means, for iron and steel products, that all manufacturing processes, from the initial melting stage through the application of coatings, occurred in the United States. (2) "Manufactured products" means items and construction materials composed in whole or in part of non-ferrous metals such as aluminum; plastics and polymer- based products such as polyvinyl chloride pipe; aggregates such as concrete; glass, including optical fiber; and lumber. 1) Copeland "Anti-Kickback" Act 2 C.F.R. 200 Appendix 11 D • 40 U.S.C. 0145). This section applies if the contract is in excess of'$2,000 and pertains to construction or repair, and fierther, if required by Federal program legislation. Contractor shall comply with the Copeland "Anti-Kickback" Act (40 U.S.C. Page 20 of 53 §3145), as supplemented by Department of Labor regulations (29 C.F.R. Part 3), "Contractors and Subcontractors on Public Building or Public Work Financed in Whole or in Part by Loans or Grants from the United States"), The Act provides in part that Contractor shall be prohibited from inducing, by any means, any person employed in the construction,completion, or repair of public work, to give up any part of the compensation to which it is otherwise entitled. The County shall report all suspected or reported violations to the Department of the Treasury. 5. Other Federal and/or Department of the Treasury Requirements (as applicable) Section 602(b) of the Social Security Act (the Act), as added by Section 9901 of the American Rescue Plan Act (ARPA), Pub. L. No. 117-2 (March 11, 2021), authorizes the Department of the Treasury(Treasury)to make payments to certain recipients from the Coronavirus State Fiscal Recovery Fund and the Coronavirus Local Fiscal Recovery Fund (Fiscal Recovery Funds). Monroe County shall not enter into a Contract or make any distributions of funds to Contractor using monies from the Fiscal Recovery Funds absent Contractor's agreement and adherence to each term and condition contained herein. The Contractor and its sub-contractors must follow the provisions set forth herein, as applicable, including but not limited to: A) Americans,with 0 abilities Act of 199 ADA as a sou ed. The Contractor will comply with all the requirements as imposed by the ADA, the regulations of the Federal government issued thereunder, and the assurance by the Contractor pursuant thereto. B) Diudyantaged 111aiuM Enterprise DR Poligy and Obfintlon. It is the policy of the County that DBE's, as defined in C.F.R. Part 26, as amended, shall have the opportunity to participate in the performance of contracts financed in whole or in part with County funds under this agreement. The DBE requirements of applicable federal and state laws and regulations apply to this Agreement. The County and its Contractor agree to ensure that DBE's have the opportunity to participate in the performance of the Agreement. In this regard, all recipients and contractors shall take all necessary and reasonable steps in accordance with 2 C.F.R. §200.321 (as set forth below), applicable federal and state laws and regulations to ensure that DBE's have the opportunity to compete and perform contracts. The County and Contractor and subcontractors shall not discriminate on the basis of race, color, national origin, or sex in award and performance of contracts,entered pursuant to this Agreement. . ,R„ 6 200.321 CONTRACTING WITH SMALL AND MINORITY RITY BUSIbII��' E WtME1�l"�" B1.II1' ES EI�ITERPRI�;E�S A1' I�► LABOR SURPLUS AREA FIRMS Page 21 of 53 a. If the Contractor, with the funds authorized by this Agreement, seeks to subcontract goods or services then, in accordance with 2 C.F.R. §200.321„ the CONTRACTOR shall take the following affirmative steps to assure that minority businesses, women's business enterprises, and labor surplus area firms are used whenever oossible. b. Affirmative steps must include: (1) Placing qualified small and minority businesses and women's business enterprises on solicitation lists; (2) Assuring that small and minority businesses, and women's business enterprises are solicited whenever they are potential sources; (3) Dividing total requirements, when economicall feasibly, into smaller tasks or quantities to permit maximum participation by small and minority businesses,and women's business enterprises; (4) Establishing delivery schedules,where the re uirement, rerinits, which encourage participation by small and minority businesses, and women's business enterprises; (5) Using the services and assistance, as appropriate, of such organizations as the Small.Business Administration and the Minority Business Development Agency of the Department of Commerce. (6) Requiring the Prime contractor„ if subcontracts are to be let, to take the affirmative steps listed in paragraph(1)through(5)of this section. C) Access to Records. Contractor and its successors, transferees, assignees, and subcontractors acknowledge and agree to comply with applicable provisions governing the access to records, accounts, documents, information, facilities and staff by the United States Department of the Treasury. Contractors must: (1) Cooperate with any compliance review or complaint investigation conducted by the Department of the Treasury; (2)Give the Department of the Treasury access to and the right to examine and copy records, accounts, and other documents and sources of information related to the grant and permit access to facilities, personnel, and other individuals and information as may be necessary, as required by the Department of the Treasury regulations and other applicable laws or program guidance; and(3) Submit timely, complete, and accurate reports to the appropriate Department of the Treasury officials and maintain appropriate backup documentation to support the reports. D) !Lhan es to Contract. The Contractor understands and agrees that any cost resulting from a change or modification, change order, or constructive change of the Agreement must be within the scope of any Federal grant or cooperative agreement that may fund this Project and be reasonable for the completion of the Project. Any contract change or modification,change order or constructive change must be approved in writing by both the County and Contractor. E) Executive Compensation. As required by 2 C.F.R. Part 1.70, Appendix A, the Contractor must report the names and total compensation of its five most highly Page 22 of 53 compensated executives and the names and total compensation of the five most highly compensated executives of its subcontractors for the preceding completed fiscal year if: (a) the total federal funding authorized to date under the award funding this Agreement equals or exceeds S30,000.00 as defined in 2 C.F.R. §170.320; (b) the Contractor received 80 percent or more of its gross revenues from federal procurement contracts(and subcontracts)and federal financial assistance subject to the Transparency Act, as provided by 2 C.F.R. §170.320 (and subcontracts); (c) the Contractor received $25,000,000.00 or more in annual gross revenues from federal procurement contracts (and subcontracts) and federal financial assistance subject to the Transparency Act, as defined in 2 C.F.R. §170.320 (and subcontracts); and (d) the public does not have access to information about the compensation of the executives through periodic reports filed under Section 13(a) or 15(d) of the Securities Exchange Act of 1934(1 S U.S.C. 78m(a),78o(d))or Section 6104 of the Internal Revenue Code of 1986. To determine if the public has access to the compensation information, see U.S. Security and Exchange Commission total compensation filings at kwattga..:.. .. F) No Obligation by Federal Government. The Federal Government is not a party to this contract and is not subject to any obligations or liabilities to the County/non- Federal entity, contractor or any other party pertaining to any matter resulting from the contract. G) Program Fraud and False or Fraudulent Statements or Related Acts. The contractor acknowledges that 31 U.S.C. Chap. 38 (Administrative Remedies for False Claims and Statements) applies to the Contractor's actions pertaining to this contract. H) The Contractor shall utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility of all new employees hired by the Contractor during the term of the Contract and shall expressly require any subcontractors performing work or providing services pursuant to the Contract to likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the Contract term. 1) The Contractor will be bound by the terms and conditions of the Federally Funded State & Local Fiscal Recovery Fund Financial Assistance Agreement between the County and the United States Department of Treasury attached hereto as Attachment A and made a part of this Agreement. Page 23 of 53 I) The Contractor shall hold the United States and County harmless against all claims of whatever nature arising out of the Contractor's performance of work under this Agreement, to the extent allowed and required by law. K.) Enemy Efficiency. If applicable, the Contractor will comply with the Energy Policy and Conservation Act (P.L. 94-163„ 42 U.S.C. §§6201-6422) and with all mandatory standards and policies relating to energy efficiency and the provisions of the state Energy Conservation Plan adopted pursuant thereto. L) Conflicts of Interest. The Contractor understands and agrees it must maintain a conflict-of-interest policy consistent with 2 C.F.R. § 200.318(c) and that such conflict-of-interest policy is applicable to each activity funded under the federal award as set forth in Attachment A. The Contractor and subcontractors must disclose in writing to Treasury or the pass-through entity, as appropriate, any potential conflict of interest affecting the awarded funds in accordance with 2 C.F.R. § 200.112. M) Remedial Actions. In the event of the Contractor's noncompliance with Section 602 of the Act, other applicable laws, Treasury's implementing regulations, guidance, or any reporting or other program requirements, Treasury may impose additional conditions on the receipt of a subsequent tranche of future award funds, if any, or take other available remedies as set forth in 2 C.F.R. § 200.339. In the case of a violation of Section 602(c)of the Act regarding the use of funds,previous payments shall be subject to recoupment as provided in Section 602(e) of the Act and any additional payments may be subject to withholding as provided in Sections 602(b)(6)(A)(ii)(III)of the Act, as applicable. N) Compliance with Federal Law It ulations and Executive Orders, This is an acknowledgment that Department of the Treasury (Treasury) financial assistance will be used to fund the contract only. The Contractor agrees to comply with the requirements of Sections 602 and 603 of the Act,regulations adopted by Treasury pursuant to Sections 602(f)and 603(f) of the Act,and guidance issued by Treasury regarding the foregoing. The Contractor also agrees to comply with all other applicable federal statutes, regulations, and executive orders, and the Contractor shall provide for such compliance by other parties in any agreements it enters into with other parties relating to this award. Federal regulations applicable to this Department of Treasury award include, without limitation, the following: i. Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards,2 C.F.R. Part 200, other than such provisions as Treasury may determine are inapplicable to this award and subject to such exceptions as may be otherwise provided by Treasury. Subpart F—Audit Requirements of the Page 24 of 53 Uniform Guidance, implementing the Single Audit Act, shall apply to this award. ii. Universal Identifier and System for Award Management(SAM), 2 C.F.R. Part 25,pursuant to which the award term set forth in Appendix A to 2 C.F.R. Part 25 is hereby incorporated by reference. iii. Reporting Subaward and Executive Compensation Information, 2 C.F.R. Part 170,pursuant to which the award term set forth in Appendix A to 2 C.F.R. Part 170 is hereby incorporated by reference. iv. OMB Guidelines to Agencies on Governmentwide Debarment and Suspension(Nonprocurement), 2 C.F.R. Part 180, including the requirement to include a term or condition in all lower tier covered transactions(contracts and subcontracts described in 2 C.F.R. Part 180, subpart B)that the award is subject to 2 C.F.R. Part 180 and Treasury's implementing regulation at 31 C.F.R. Part 19. V. Recipient Integrity and Performance Matters,pursuant to which the award term set forth in 2 C.F.R. Part 200,Appendix XII to Part 200 is hereby incorporated by reference. vi. Governmentwide Requirements for Drug-Free Workplace 31 C.F.R. Part 20. vii. New Restrictions on Lobbying, 31 C.F.R. Part 21. viii. Uniform Relocation Assistance and Real Property Acquisitions Act of 1970(42 U.S.C. §§ 4601-4655)and implementing regulations. ix. Generally applicable federal environmental laws and regulations. O) Hatch Act. The Contractor agrees to comply, as applicable, with requirements of the Hatch Act(5 U.S.C. §§ 1501-1508 and 7324-7328),which limit certain political activities of State or local government employees whose principal employment is in connection with an activity financed in whole or in part by this federal assistance. P) False Statements. The Contractor understands that making false statements or claims in connection with this award is a violation of federal law and may result in criminal, civil, or administrative sanctions, including fines, imprisonment, civil damages and penalties,debarment from participating in federal awards or contracts, and/or any other remedy. Q►) Publications.Any publications produced with funds from the federal award as set forth in Attachment A must display the following language: "This project[is being] [was] supported,in whole or in part,by federal award number[enter project FAIN] awarded to [name of Recipient] by the U.S. Department of the Treasury." Page 25 of 53 ............ R) Debts Owed the Federal Government. a. Any funds paid to the Contractor (1) in excess of the amount to which Contractor is finally determined to be authorized to retain under the terms of this award as set forth in Attachment A; (2) that are determined by the Treasury Office of Inspector General to have been misused; or(3) that are determined by Treasury to be subject to a repayment obligation pursuant to Sections 602(e) and 603(b)(2)(D) of the Act and have not been repaid by Contractor shall constitute a debt to the federal government. b. Any debts determined to be owed the federal government must be paid promptly by Contractor. A debt is delinquent if it has not been paid by the date specified in Treasury's initial written demand for payment,unless other satisfactory arrangements have been made or if the Contractor knowingly or improperly retains funds that are a debt as defined in Paragraph 14(a)of the federal award as set forth in Attachment A. Treasury will take any actions available to it to collect such a debt. S) Disclaimer. a. The United States expressly disclaims any and all responsibility or liability to the Contractor or third persons for the actions of Contractor or third persons resulting in death, bodily injury, property damages, or any other losses resulting in any way from the performance of this award or any other losses resulting in any way from the performance of services funded under the federal award as set forth in Attachment A or any other losses resulting in any way from the performance of services pursuant to any contract, or subcontract under this award. b. The acceptance of these funds provided by the federal award as set forth in Attachment A by the Contractor does not in any way establish an agency relationship between the United States and the Contractor. T) Protections for Whistleblowers. a. In accordance with 41 U.S.C. § 4712, the Contractor may not discharge, demote, or otherwise discriminate against an employee in reprisal for disclosing to any of the list of persons or entities provided below, information that the employee reasonably believes is evidence of gross mismanagement of a federal contract or grant, a gross waste of federal funds, an abuse of authority relating to a federal contract or grant, a substantial and specific danger to public health or safety, or a violation of law, rule, or regulation related to a federal contract (including the competition for or negotiation of a contract)or grant. b. The list of persons and entities referenced in the paragraph above includes the following: Page 26 of 53 i. A member of Congress or a representative of committee of Congress; ii. An Inspector General; iii. The Government Accountability Office; iv. A Treasury employee responsible for contract or grant oversight or management; v. An authorized official of the Department of Justice or other law enforcement agency; vi. A court or grand jury; or vii. A management official or other employee of Recipient,contractor, or subcontractor who has the responsibility to investigate,discover, or address misconduct. c. The Contractor shall inform its employees in writing of the rights and remedies provided under this section, in the predominant native language of the workforce. U) Increasing Seat Belt Use in the United States.Pursuant to Executive Order 13043, 62 FR 19217(Apr. 18, 1997),the Contractor is encouraged to adopt and enforce on-the-job seat belt policies and programs for its employees when operating company-owned, rented, or personally owned vehicles and encourage its subcontractors to adopt and enforce on-the-job seat belt policies and programs for their employees when operating company-owned, rented, or personally owned vehicles. V) Reducing Text Messaging While Driving. Pursuant to Executive Order 13513, 74 FR 51225 (Oct. 6, 2009), the Contractor should encourage its employees, subrecipients, and subcontractors to adopt and enforce policies that ban text messaging while driving, and the Contractor should establish workplace safety policies to decrease accidents caused by distracted drivers. i Page 27 of 53 PROPOSAL FORM PROPOSAL TO: Monroe County Facilities Maintenance 123 Overseas Highway— Rockland Key Key West,FL 33040 PROPOSAL FROM: ..,a ,.. The undersigned, having carefully examined the Work and reference drawings, Specifications„ Proposal, and Addenda thereto and other Contract Documents for the construction of: Big Coppitt - Interior Bay Painting and having carefully examined the site where the Work is to be performed,having become familiar with all local conditions including labor affecting the cost thereof, and having familiarized himself with material availability, Federal, State,and Local laws,ordinances, rules and regulations affecting performance of the Work, does hereby propose to furnish all labor, mechanics, superintendents, tools, material, equipment, transportation services, and all incidentals necessary to perform and complete said Work and work incidental hereto,in a workman-like manner„in conformance 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 performed,together with the local sources of supply and that he/she understands the conditions under which the Work is to be performed. The proposer shall assume the risk of any and all costs and delays arising from the existence of any subsurface or other latent physical condition which could be reasonably anticipated by reference to documentary information provided and made available, and from inspection and examination of the site. The undersigned agrees to commence performance of this Project within Ten (10) calendar days after the date of issuance to the undersigned by Owner of the Notice to Proceed/Purchase Carder/Task Carder. Once commenced, undersigned shall diligently continue performance until completion of the Project. The undersigned shall accomplish Final Completion of the Project within Thirty(30)days,thereafter,unless an extension of time is granted by the County. Page 28 of 53 The fuse Proposal shall be furnished below in words and numbers. if there is an inconsistency between the two,the Proposal in words shall control. .._ (Total Base Proposal-cords) 0 ..._.._ _._ _<;_i- posal Dollars. (Total Base numbers) I acknowledge Alternates as follows. N/A I acknowledge receipt of Addenda No.(s) or None No.,. ._..__.Dazted. No. �Dated ./' "y"4 Page 29 of 53 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: �� tl i. Mailing Address: CH Lx-. C)> Phone Number: E.I.N.: � r Email: i ",�, - C:,. Date: Signed: Name Title Contractor's Witness signature: Witness name: Date: The County accepts the above proposal: MONROE COUNTY, FLORIDA � - 07/26/2024 Date: By: Acting County Administrator or Designee MONWE Coutm ATTORNEv'S OFFICE +ED Ttt Page 30 of 53 e OATEt I NON-COLLUSION AFFIDAVIT 1, bw OV11;6)'44of the city of "' r c . i according to la on my o th, an under penalty of perju depose and say that: a. I am . ,,I r of the firm of '�, �.. t . � � � � a ��.�w .. ,. A. _ the bidder making the Proposal for the project described in the Request for Pro os awls for: 60 and that I executed the said proposal with full authority to do so; b. The prices in this bid 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 bidder or with any competitor; and c. Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to bid opening, directly or indirectly, to any other bidder or to any competitor; and d. No attempt has been made or will be made by the bidder to induce any other person, partnership or corporation to submit, or not to submit, a bid for the purpose of restricting competition; and e. 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. (Si ature of Fro er (Date) 7Z STATE OF: 1",4 COUNTY OF: Subscribed and sworn to (or affirmed) before me, by means ofphysical presence or ❑ online notarization, on - _. (date) by w' (' ) J Q6 (name of affiant). He/She is personal) known to me or has produced (type of identification) as identification. NOTARY PUBIC My commission expires: I'L6 (SEAL) Page 31 of 53 $iyv au°<.. CHRISTINE E COLLINS +� s Notary Public•State of Florida Commission#NN 266973 or My Comm,Expires,Jun 9,2026 Bonded through National Notary Assn. LOBBYING AND CONFLICT OF INTEREST CLAUSE SWORN STATEMENT UNDER ORDINANCE NO. 010-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE q 6 , &' 44 (.Company) "... warrants that he/she/it has not employed, retained or otherwise had act on his/her/ its behalf any former County officer or employee in violation of Section 2 of Ordinance No. 010-1990 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 ( nature) r'1te^ ` STATE OFw d A, COUNTY OF: L Cl i . Subscribed and sworn to (or affir ed) before me, by means of Uphysical presence or 0 online notarization, on 20 (date) by I 1 jP 5!� V (name of affiant). He/She is ersonall M�k.-, wn to me or has produced no 2p s ide tfdn. `ype of identification) NOTARY PUBLIC My commission expires: (SEAL) «� au =COLLINSO�LINSNotare of F(733daCoH 266973My CJun 9,2076ded thr "�otarr Assn. Page 32 of 53 DRUG-FREE WORKPLACE FORM with Florid Statut „ Sec hereby ceifaes that: The ve�dor�i ac �nce" Tl�t�. unders�r ed (Name of Business) I Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing,possession,or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about 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. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1). 4. in the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will 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, Imposes 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. As the person authorized to sign the statement,I certify that this firm complies fully with the above requirements. P Sig ature Date STATE OF: a" f. 1 d COUNTY OF: �. - -_ Subscribed and sworn t (or a firmed)before me, by means of 0 physical presence or Cl online notarization, on _.__(date)by (name of affiant). He/She is personallw"lcncwn or has produced „ n as relent (type of idtrnt1ft ificati NOTARY PU C ._ (SEAL) My Commission Expires. �b Page 33 of 53 jv a ,, CHRISTINE E COLLINS Notary Public-State of Florida Commission#HH 266973 °'?aa May Comm.Expires Jun 9,2©26 Bonded through National Notary Assr. 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, proposals, or replies 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 , u, (Respondent's name) nor any Affiliate has be rr placed on the convicted vendor list within the last thirty-six (36) months. (S" re) ate: r STATE OF: 1.._.dA. COUNTY OF: rA&Aj r'a _. Subscribed and sworn to (or affirmed) before me, by means ofA)Spbysical presence or 0 online notarization, on the day of ~ 20 % (date), by 41 . S (name of affiant). He/She p r�,,sr�nally known or has prod ed (type of identification) as identification. 'I., NOTARY PUB C (SEAL) My Commission Expires. x gyyv aU CHRISTINE E Ct0,_INS Notary Pubis�State a`',aria *` Cammisstiar» "266;73 ' or My Comm.Expires.wr 9 202: "Eorrrec through Nationa�Notary Assn. Page 34 of 53 VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS kjProject Descriptions) Respondent Vend r Name. I 0TI is � t Vendor FEIN: "�2, h m Vendor's Au thar Repreentative am and and Title: , ' , Address:City: State: Phone Nm r� � ' t.° Email Address y � 1 Section 287.135, Florida Statutes prohibits a company from bidding on, submitting a proposal for, or entering into or renewing a contract for goods or services of any amount if, at the time of contracting or renewal,the company is on the Scrutinized Companies that Boycott Israel List,created pursuant to Section 215.4725, Florida Statutes, or is engaged in a Boycott of Israel. Section 287.135, Florida Statutes, also prohibits a company from bidding on, submitting a proposal for, or entering into or renewing a contract for good or services of$1,000,000 or more, that are on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Terrorism Sectors Lists which were created pursuant to s. 215.473, Florida Statutes, or is engaged in business operations in Cuba or Syria. As the person authorized to sign on behalf of Respondent, I hereby certify that the company identified above in the Section entitled "Respondent Vendor Name" is not listed on the Scrutinized Companies that Boycott Israel List or engaged in a boycott of Israel and for Projects of$1,000,000 or more is not listed on either the Scrutinized Companies with Activities in Sudan List,the Scrutinized Companies with Activities in the Iran Terrorism Sectors List,or engaged in business operations in Cuba or Syria. I understand that pursuant to Section 287.135, Florida Statutes, the submission of a false certification may subject company to civil penalties, attorney's fees, and/or costs. I further understand that any contract with the County may be terminated„ at the option of the County, if the company is found to have submitted a false certification or has been placed on the Scrutinized Companies that Boycott Israel List or engaged in a boycott of Israel or placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Terrorism Sectors List or been engaged in business operations in Cuba or Syria, Vendor has reviewed Sec.287.135, Florida Statutes,and in accordance with such provision of Florida law, is eligible to bid on, submit a proposal for, or enter into or renew a contract with Monroe County for goods or services. Certified By. i :"� °. _ .. 0 "k h d , who is authorized to sign on behalf of the above re pany. Authorized Signature: Print Nam I C"I lik, Title: Note: The List are available at the following Department of Management Services Site; ua°c�ha ingdv,em dor OformaWn/convicter st4 t� gc rJ�sfimir�atory co._,_,m Yaonts vendor lists, Page 35 of 53 AFFIDAVIT ATTESTING TO NONCOERCIVE CONDUCT FOR LABOR OR SERVICES EntityNendor Namc. 1 Vendor FEIN, Vendors Authorized Representative: _ /U le Name Addres �e r City: State: �� __. �._ Zip: Phone Num Email Address; _ h 1@C :.� m_ _ _ ."'" " As a nongovernmental entity executing, renewing, or extending a contract with a government entity, Vendor is required to provide an affidavit under penalty of perjury attesting that Vendor does not use coercion for labor or services in accordance with Section 787.06, Florida Statutes. As defined in Section 787,06(2)(a), coercion means: 1. Using or threating to use physical force against any person; 2. Restraining, isolating, or confining or threating to restrain, isolate, or confine any person without lawful authority and against her or his will; 3. Using lending or other credit methods to establish a debt by any person when labor or services are pledged as a security for the debt, if the value of the labor or services as reasonably assessed is not applied toward the liquidation of the debt, the length and nature of the labor or service are not respectively limited and defined; 4. Destroying, concealing,removing, confiscating, withholding, or possessing any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification document, of any person; 5. Causing or threating to cause financial harm to any person; 6. Enticing or luring any person by fraud or deceit; or 7. Providing a controlled substance as outlined in Schedule I or Schedule 11 of Section 893.03 to any person for the purpose of exploitation of that person. As a person authorized to sign on behalf of Vendor, I certify under penalties of perjury that Vendor does not use coercion for labor or services in accordance with Section 787.06.Additionally,Vendor has reviewed Section 787,06, Florida Statutes,and agrees to abide by same. Certified By: _ww_ww . who is authorized to sign on behalf of move refer ced c Authorized Si nat mNWn r Print lea �_ t� ._ " ,� �, �" :� ..� Title: Page 36 of 53 APPENDIX A 44 C.F.R. PART 18 — CERTIFICATION REGARDING LOBBYING (To be submitted with each bid or otter exceeding$100,000) Certification for Contracts,Grants, Loans, and Cooperative Agreements The undersigned certifies„to the best of his or her knowledge and belief",that. I., No Federal appropriated funds have been paid or will be paid„ by or on behalf"ref the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement„ and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. If any funds other than Federal appropriated funds have been paid orwill be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan„ or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Deport Lobbying,"in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants„ loans, and cooperative agreements)and that all subrecipients shall certify and disclose accordingly.This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency„a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this commitment providing for the United States to insure or guarantee a loan, the undersigned shall complete and submit. Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions" Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352,title 31,U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The Contractor, l i r4h Q�- qPi h rti es or affirms the truthfulness and accuracy of each statement of its ee 'ricati n and disclosure, if any. In addition,the Contractor understands and agrees that the provisions of 31 U.S.C. Chap,38, Administrative Remedies for False Claims d ,appl t -ertication and disclosure, if any. gnature of Cop r" Authorized Official Name and Title of Contractor's Authorized tcial Date Page 37 of 53 DISCLOSURE OF LOBBYING ACTIVITIES 4proved by OMB Complete this form to disdose lobbying activities pursuant to 31 U S,C 1352 0348-OW .......... r TjPW'off-��deral burden disdosu 1. Action: 2. Status of Federal Action: 3, Report Type: Ela, contract ED� p bid/offer/aprication 13 a initial filing b grant . initial award b material cbange c- cooperative agreement c post-award For Material Change Only: d loan year quarter 9 loan guarantee date of last report f, loan -i.",-,-N-a,me—an-d—Address,-of Reporting Entity: µ 5.If Reporting Entity in No.4 is a Subawardee,Enter Name PMW Subwowdee and Address of Prime: Tier �f — Congressional district;if Con ressio �6.Federal rtrrrentfA ency- 7.Federal Program NameMescription: CFDA Number, if /.......... 3. Federal Action Number,if kaaW 9.Award Amount,if k7qgn' 10.a.Name and Address of Lobbying Registrant b.Individuals Performing Services(inchiding address if (�f end wrrfr�et sat name t Warne different from No. 10p.1 (lost name,6 �W W........... ................... ........................... ......................... p W, M "p, ,/V/ 'q 11. Signaturw p� '152 The darkwoft 4 MWOM9&Mh**M 1 4 11wo4d"Pte""ramw at hd �,M, �a L�,g/ uz, *M WhW%fflftr�e4*pWad by to 4W&&M WMM 64 VWM*~Wft mom rhos Print Name Y,................. W wftfad A& Is MqWr*d AMOKA It US C 13U T�k ftnA~*Q bo rap mW b so C'09"M OWW."-*and Wo W WON"to OW W hVAdjt& "parson*ft W*.V so me-#*M dwMa-6"to Tit1w WA$W,?V 4 Mi pd,�4 MA Aa S WO(W drd f4i W4M ftM$1MA00 to ofth Mob WASM, Telephone No. Date, W Local FtU�bo�.l 7_Sri %antlart!FWM LLL Rft.74r) Page 38 of 53 INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure forts shall be completed by the reporting entity,whether subawardee or prime Federal recipient,at the initiation or receipt of a covered Federal action,or a material change to a previous riling,pursuant to title 31 U.S.C.section 1151 The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency,a Member of Congress,an officer or employee of Congress,or an employee of a Member of Congress in connection with a covered Federal action.Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of'Management and Budget for additional information. I. Identify the type;of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action. 1 Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow tip report caused by a material change to the information previously reported,enter the year and quarter in which the change occurred.Enter the date of the last previously submitted report by this reporting entity f`or this covered Federal action. 4. Enter the full name,address,city,State and zip code of the reporting entity,include Congressional District, if, known. Check the appropriate classification of the reporting entity that designates if it is,or expects to be, a prime or subaward recipient. Identify the tier of the subawardee,e.g.,the first subawardee of the prime is the I st tier. Subawards include but are not limited to subcontracts,subgrants and contract awards under grants, 5.If the organization filing the report in item 4 checks"Subawardec," then enter the full name, address, city, State and zip code of"the prime Federal recipient. Include Congressional District,if known. Er Enter the name of the Federal agency malting the award or loan commitment.Include at least one organizational level below agency name,if known.For example,Department of Transportation,United States Coast Guard. 7.Enter the Federal program name or description for the covered Federal action(item 1).If known,enter the full Catalog ofFederal Domestic Assistance(CFDA)number for grants,cooperative agreements„Loans,and loan commitments. fi Enter the most appropriate Federal identifying number available For the Federal action identified in item I (e.g„ Request for proposal(RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract,grant,or loan award number;the application/proposal control number assigned by the Federal agency). Include prefixes,e.g.,"RFP-DE-90-001." 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5. 10 (a)Enter the full name,address,city,State and zip code ofthe lobbying registrant tinder the Lobbying Disclosure;Act.of 1995 engaged by the reporting entity identified in item 4 to influence the covered Federal action. (b)Enter the full names of the individual(s)perfornicig services,and include full address if different from 10(a). Enter bast Name,First Name,and Middle Initial(Ml). 11,The certifying official shall sign and date the form,print his/her name,title,and telephone number. According to the Paperwork Reduction Act,as amended,no persons are required to respond to a.collection of information unless it displays a valid OM13 Control Number."I he valid OMB control number for this information collection is OMB No.0348-0046.Public reporting burden for this collection of infonnation is estimated to average 10 minutes per restxmse,including time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of intbnnation,Send con7m nits regarding[lie burden estimate or any other aspect oft&ris collection of infonnatiort,including iuggcstions l'or reducing this burden,to the office of Management and Budget,Paperwork Reduction Project(0348-0046),wasliington,DC 20303, Page 39 of 53 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 governed, 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 to obtain insurance 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 furnished to the County as specified below. Delays in the commencement of work,resulting from the failure of the Contractor to provide satisfactory evidence of the required insurance, shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work commenced on the specified date and time, except for the Contractor's failure to provide satisfactory evidence. The Contractor shall maintain the required insurance throughout the entire term 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 from the failure of the Contractor to maintain the required insurance shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work 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-insured retentions that may be contained in the Contractor's 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 required by this contract. All insurance policies must specify that they are not subject to cancellation, non-renewal, material change,or reduction in coverage unless a minimum of thirty(30)days prior notification is given to the County by the insurer. The acceptance and/or approval of the Contractor's insurance shall not be construed as relieving the Contractor from any liability or obligation assumed under this contract or imposed by law. Page 40 of 53 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 form entitled"Request for Waiver of Insurance Requirements"and approved by Monroe County Risk Management Department. Page 41 of 53 PROPOSER'S INSURANCE AND INDEMNIFICATION STATEMENT INSURANCE REQUIREMENTS Workers Compensation Statutory Limits Employers Liability $1 00,0003500,0001S 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, 1100 Simonton Street, Key West, Florida 33040, shall be named as Certificate [folder and Additional Insured on General Liability and Vehicle policies, INDEMNIFICATION,HOLD HARMLESS,AND DEFENSE.Notwithstanding any minimum insurance requirements prescribed elsewhere in this agreement,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 Contractor or any of its employees, agents, contractors or other invitees during the term 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 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 County or any of its employees, agents, contractors or invitees (other than Contractor). The monetary limitation of liability under this Page 42 of 53 contract shall be equal to the dollar value of the contract and not less than 51 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 3.0. 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 harmless and shall indemnify it from all losses occurring thereby and shall further defend any claim or action on the County's behalf JZWLed Ntatesa trrtent ofthe Trggya Indemnificafig1l To the fullest extent permitted by law,the Contractor shall indemnify and hold harmless the United States Department of the Treasury and its officers and employees,from liabilities,damages,losses and costs, including, but not limited to, reasonable attorney's fees, to the extent caused by the negligence, recklessness or intentional wrongful misconduct of the Contractor and persons employed or utilized by the Contractor in the performance of this Contract. This indemnification shall survive the termination of this Contract. Nothing contained in this paragraph is intended to nor shall it constitute a waiver of the sovereign immunity of the United States or the County. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this Agreement. PROPOSER'S 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 harmless and duty to defend as set out in this proposal. PROPOSER We ' Page 43 of 53 INSUMNQLAMM NT I have reviewed the above requirements with the proposer named above. The following deductibles apply to the corresponding policy. POLICY DEDUCTIBLES 33913193959 General Liability $1,000 per Property Damage claim 03888147 Commercial Auto Liability policies are X Occurrence Claims Made The Porter Allen Company, Inc. Insurance Agency Znat4ureA!��� I Page 44 of 53 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. Contractor/Vendor: Project or Service: ---------- Contractor/Vendor Address & Phone #: ------------- General Scope of Work: ------------------------ Reason for Waiver or Modification: Policies Waiver or Modification will apply to: ------------ ------- ------------------------------ ........................ Signature of Contractor/Vendor: Date: ...___ _Approved Not Approved Risk Management Signature: Date: County Administrator appeal: Approved: Not Approved: Date: Board Of County Commissioners appeal: Approved: ________.... Not Approved: Meeting Date: ........ Page 45 of 53 0 [ DATE(MMIDDIYYYY) C "RL> CERTIFICATE OF LIABILITY INSURANCE 07/23/2024 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 Automatic Data Processing Insurance Agency,Inc. 9 Agency, Fax Automatic Data Processing Insurance A enc ,Inc. PHONE e >s3) 1 B00 524 7024 t^!Fr NoJ ADDRESS: 1 Ad Boulevard - s P __ INSURERS�AFFORDING COVERAGE NAIC 1f Roseland NJ 07068 INSURER A: BusinessFirst Insurance Company 11697 - -------- ----._._ ......... INSURED Mike's Painting&Repair Inc INSURER B;. INSURER C 19 Beachwood Dr INSURER,D INSURER E Key West FL 33040 INSURER F COVERAGES CERTIFICATE NUMBER: 3752682 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. fLTR. TYPE OF INSURANCE A6 601J w. POLICY.. 06L(dY EF# "O"I N 4P NUMBER MMIDD/YYYY MMIDDMYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO'RENTIED -_ CLAIMS-MADE OCCUR PREMISESSEa occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JECT P PRO COMP/OP AGG $ OTHER: LOB I PRODUCTS,.. ... ..,...$.,, AUTOMOBILE LIABILITY ,+ qr„ OWT $ ANY AUTO ABODILY INJURY(Per person) $ OWNED ...m... SCHEDULED ODI11 LYINJUU Per accident)RY.,B ,. .......... .. ... ,... AUTOS ONLY _, AUTOS ( ( $ .......,.... HIRED NON-OWNED " iRbFi R1Y1)AMA_d ^... .., .......... ......... .. AUTOS ONLY AUTOS ONLY '� 24 24* Ppr o<;Worrq $ $ UMBRELLA LIAR OCCUR WARN At � EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER YIN STATUTE, ER ANY PROPRIYERS'LIABILITY1,000,000 AND EMPLO A OfFICERNEMSE) N NIA N 0521-20417 02/O6/2024 02/06/2025 E L.DISEASE ENT $ SER EXCLUDED?ECUrIVE E L EACH A ()Mandatory to E-EA EMPLOYEE $ 1,000,000 UIII desvibe under ls"CIRIPTION Of OPERATIONS below E L DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) 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. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 - ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE °"`E'0312024024 t16l03 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIG UPON i 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 INSURERS),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IORMRF Meadiffeaftr LINSUIREP.the po eo must 1;i;;ADO[T60NAL wouRED pwWom or be miaoried. If SUBROGATION IS WAIVED,subject to the tans and conditions of the policy,certain policies rosy mqulro an andomement. A staoanient on this corWicate does not confer Io the oertiftale holder In lieu of such orulo 1I PRODUCER Lot ffueolo Porter-Allen Company (205)294-2542 N m (305)296-7945 $13 Southard Street a II�RA Portareliarll arRpeny el f P aU ODtIERAOE MIIIC a Key West FL 33040 INSURERA: Burlington IIallrwvg Company INSURED INIURIR a: Miks's Painting 6 Repair,Inc. INSURER 19 Beachwood Drive !!!M 0: IIBURER C Key West FL 33040-4207 COVERAGES CERTIFICATE N BE CL23102710513 REVISION NUIII joen: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LIST'EO BELOW HAVE BEEN ISSUED'TO THE INSURED NAMED ASOVE FOR Tile POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYFS OF INSURANCEPOLICY NUMaER LIMITS COMMEACIAL 0044ftLIABILI Y EI 1,000,coo CLAIMS-MADE 19OCCUR 100,000 MEDFJCP area 1; 5,000 A Y Y 3398193959 1012612023 10/25/2024 OVAL Air RY 11,000,000 GEN'LAGORINIATIELI'MITAPPLIESPER: GMERAL6MREgATE..... S 2,000,000 POLICY E]JJEC 0 LOC PRODUCTS-COMPK]PA00 2,000,000 AUTOMOBILE LIABILITY _ ULMT i ANYAUTO BODILY INJURY(Per perum) S OYINED SCHEDULED •,•••�•••••••••• . AUTOS ONLY AUTOS BODILY INJURY peer acddent) S URED UTOS ONLY AUTOS VMED $ S ONLY A lk He UM BR[LLALIAB OCCUR ' „,� � URR E MADEEXCESaLlA6 P. �,�rv,,,,� � .�,.,.....� ....�,...,.,.-....�'. DED RETENTION! 1 �7woRas COMPENSATION 7 24 24 RPER MIM AAND NY P 0L "UAMGUTY YIN 1 1 ,,�-�— RMARTNER/EXECUTIVE „. E.L.EACHACCIDENT i � ._ OFFICER/MEMSER EXCLUDED? N rAWAMM I(MaadatM In NH) ❑ E.L.DI E•EAtsM.LOYF.E.. It... US "9 W under OF OPERMIONS below E.L.DkRWE-POLICY LIMIT DESCRIPTION OF OPEMTOND/LOCATIONS I VEHICLES(ACORD 101.Addlonal Remrlu BeheduN,may be deahad It more apnea N required) PAINTING AND DECORATING CERTIFICATE HOLDER 13 LISTED AS ADDITIONAL INSURED AS RESPECT TO THE GENERAL LIABILITY HOUM cANOLLATIo" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITN THE POLICY PROVISIONS. 11 GO SIMONTON STREET A KEY WEST FL 33040 74K.",V49OVE m 9gS 1ffi ORATION» All TIP s,reserved. ACORD 26(2016/03) The ACORD name and logo an reglstered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DA�..........._-.w. ......_......_........ ATE(MM/DD/YYYY) 07/24/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF C RIGHT 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 provisionsmmo ... rmmbe 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(. PRODUCER CONTACT _ er annl Scrvlcrrusl _..._... The Porter Allen Company,Inc. rtv�;'. 513 SOUTHARD ST,KEY WEST,FL 33040 HONES E fr��l i1r)4 4p1AA-Z �P %gy p 1491 ......... ....�yym ADDRESS: 9 P 9 r�:� rsIMr.a wmr11€realG,tem�alE. rtb, re,slvax.com _ INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Prpr�ressiye Exp Insurance Camp an ri , r�ss _ INSURED INSURER B: MIKE'S PAINTING&REPAIR INC �" """"" 19 BEECHWOOD DR INSURER C: KEY WEST,FL 33040-0000 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 334851993008342506D072424T000615 REVISION NUMBER: THIS IS TO CERTIFY✓THAT THE POLICIES ....O................................................................................................ F 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. LTR...,...-.. ,�........ _.INSD WVD �,,,L,,,,,,� , POLICY NUMBER POLICY EFF POLICY EXP TYPE OF INSURANCE (MMIDDIYYYY) (MM/DD/yyYY) LIMITS INSR ADDL SUB � �................._ . COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE .. �CLAIMS MADE OCCUR tX �§�`(�°'"L"M w(aT0_ w PR�"�18� mow.^psa�pm�_e,_rp •$__________.... , rson �w.. PERSONAL&ADV INJURY $ ----... GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ PRO- PRODUCTS-COMPIOP AGG POLICY ❑JECT ❑LOC .$ ..............OTHER: $ AUTOMOBILE LIABILITY LIMIT ANY AUTO COMBINED tlNGhk� $300 000....a OWNEDSCHEDULED BODILY INJURY(Per person) A AUTOS ONLY X''AUTOS Y N 03888147 12/16/2023 12/16/2024 BODILY INJURY,JPeraccident) HIRED X NON-OWNED TROPE RTY q)APAFIGEt _....AUTOS ONLY AUTOS ONLY _:...mr and�drank $.._-............................ ............. ,. UMBRELLA LIAB OCCUR A EACH OCCURRENCE $ ]EXCESS LIAB CLAIMS MADE I iPAGGREGATE $ mmmn DED RETENTION$ $ WORKERS COMPENSATION 7 24 24 EE�� IH AND EMPLOYERS"LIABILITY YIN d� ���TATUS,E❑�d . ...... ... _.- ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ N "' E L EACH ACCIDENT $ OFN(ERIME�MSEREXCLUDED? WOW ,hN _'� (Mandatory In NH') E L.DISEASE-EA EMPLOYE "yes describe under — DE'SCRIPT'ON(7F OI�I::RAI IONS below E.L.DISEASE-POLICY LIMIT $ ..._-..-_ _ . . w__ .m..,, —,,.,m �.. ....... See ACORD 101 for additional coverage details $ A Y N 03888147 12/16/2023 12/16/2024 -- m............. ...-..-.- -------- --- .. —.___ ._,.m m m... .".. DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES ACORD 101,Additional Remarks Sc hedule,chedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MONROE COUNTY BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 SIMONTON S KEY WEST,FL 33040-0000 m .... .......................---------. AUTHORIZED REPRESENTATIVE ... ...... ._.m.,,,,.. ___... ....,�.�,..,.._ _,,,,w....... ..,,, _w .. ....-. . ©1988-2015 ACORD CORPORATION. All rights reserved. .µµ. ACORD 25(2016/031 The ACORD name and loco are registered marks of ACORD AGENCYCUSTOMER ID: ....................................................................................................� ..... ��.................................. LOC#: AC"R"� ADDITIONAL REMARKS SCHEDULE Page 1 of 1 W ......_. _. .... -------_ ., m., ........ AGENCY NAMED INSURED The Porter Allen Company,Inc. MIKE'S PAINTING&REPAIR INC POLICYNUMBER ........................................................................................................................................................................ DR 03888147 KEY WEST,FL 33040-0000 CARRIER..........................- .......... .,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.m._,.,.,,,,,,,,,,...............NAI........0....E ................' Company 10193 D .... _W..�....... W.. _____ .... . _, ---- ... . .... m..-�.. Progressive Express Insurancep y EFFECTIVE DATE:12/16/2023 � ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance ........ ... _................. Additional Coverages Insurance coverage's) Limits .............................................. ......... . .... . . ... ... ...... .. ...,,...... .. ..,... . .. ... Personal Injury Protection $10,000 w/$0 De -Named Insured Only Uninsured Motorist Nonstacked $300,000 Combined Single Limit Liability coverage may not apply to all scheduled vehicles. Additional Information Certificate holder is listed as an Additional Insured, ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD .................. ATTACHMENT A CORONAVIRUS STATE AND LOCAL FISCAL RECOVERY FUNDS FINANCIAL ASSISTANCE AGREEMENT Page 47 of 53 COOB Approved No 1505.0271 Expiration Date t 1,30,2021 l..S. DEPARTNOEN F OF THE-1 REASI,,R't' CORONAVIRUS STATE:AND LOC�YI..FISCAL.RECOVERY FUNDS Recipient name and address, DUNS Number 073876757 Monroe County Board of Cannmissitmers Taxpayer Identification Number 596000749 1.100 Simonton Street Roorn 2-213 tsvistancc listing Nurnhcr attd'1"itle 21.027 Key Wesi.Florida:3.3040 Sections 602(b)and 603(b)ofthe Social Security.Act(the Act.)as added by seCtion 9901 of the American Rescue Plan Ace,Pub.L. No 1 17-2(March 11,2021)authorizes the Department of the Treasury(Treasury)to make payments to certain recipients from the Coronavirtrs State fiscal Recover✓Fund and the Coronavinrs Local Fiscal Recovery Fund. Recipients)herebv agrees,as a condition to receiving such payment from'treasury,agrees to the temts attached hereto Recipient tjdaliy Signed Ti 1 1 Ca V V G#1 1 D to 2022.0 2Cic3�1 02an 04'00' Authorized Representative Sipature(above) Authorized Representative N`ante Tina Boan Authorized Representative Title Senior Director Butt tic Finance. Date Signed. [ S Department of the Treasury Authorized Representative Signature(above) Authorized Representative Ntune Jacob Leibenluf^t Title LInef Recoter Officer,(.ffiicc of Recovery programs flutharized Representative ..�rvery P'rrr rams Date Signed May 14,2021 PAPERWORK REDiKMON ACf NOrIC'E The informati n oWected will be omect for rile 11 W Govurnment m powess retluests for support The estirnata l tstrc'dan ass wiatacl wi h this coflectirm of information is 15 minures per response.Camrneists crmcernmg tYts auutrxuy of PFtis Errudarr estimate and si.tt!},!esGie;mrs Cor reducinM this Oraudert sinttidd tw drreutad to the Office of Priv icy,'Transparency and Records,Departnerrt of the Treasury,1.5oO Pennsylvania;rve,N W,Washington,D.C.20220.DC)NOT.wend the roan tp tots address,hn agency may nut s%Aidnct or sponsor,and a person is mn rctltoircd W rrapond to,a collectwoat f information unless it displays a valid conn'oi ntrcnber assigned by 0hrii3 Page 48 of 53 U.S.DEPARTMENT OFT11 it TREASURY C ORONAVli i' ;fAt'E FI"C,AL Rf(:0\r1,;R.ia IrC-ND AWARD ER;MS AND CONDITIr.)NS a Keeipient understands and agrees that than funds disbi.irsecl cruder this award may coniy rw o.seux in coon pliance wr,ith sections 602(c)and 603(c,)of the Sociial Security Act(the Act)and Treasury's regulations implementing that,ectton sand guidance h Recipient will determine prior',o engaging w any project using this;assrst«ance that it Iiwi the institutions[,m urqgerial"and. fanancaai capability to ensure proper ptarar trig„management,and completion ref such project. 'R6 ti E 8 qt3 %. 'fhe period of perforsrrance for this award begins or the date hereof and ends on Dccetra'[Vr 31,2(i26.As wt forth in Treasury's implenicnting regulations,Recipient may use award funds ter catvcr eligible costs uacurrcd during the period that hegpns on March 3,20211 and ends on December 31,2024, 3.hc'port nsr Recipwrit agrees to r(xmply with any reporting obligcat.acvns est;ablished'-ry"1'ra aasury,ns at relates to this award a. Recipient shall maintain records and fmatncial docutnents sufficient to evidence complirarce with sec:tioc 602(c)and 603(c)"Treasury's regulations implementing those sectieotas„and gu:id ance regaardmg the eligible rows of funds, b. `t"he Treasury(.)f"five of Inspector General and the Government Accountability Office,or their authcorured representatives, shall have the right of access to records,(electronic and otherwise)of Recipient in carder tca conduct audit.,or other investigations. c. Ikecords shall be maintained by Recipient f¢ar a period of five('5)years after all kinds have been expended or returned to ("reasury,whichever is later, t � ri t rc w [are-award ccosts,as defined it 2 i:'F R.§200 458,may not he paid with funding from this award. )S Adminktrative Costs Recipient anay use funds provided under this award to carver both direct and indirect ccost% Sharinsr C:°crab sharing or matching funds are not required to be provided by Recipient, 8 Conflicts of(�Cest Recipient undcrstaind,s and agrees it must maintain a conflict of interest policy consistent with 2(:".F.R � 2W 318(c)and that such conflict of interest policy is applicable is each activity funded under this award Recipient and subrecipients merit.disclose in writing to Treasury or the pass-through entity,as appropriate,,any potential conflict of interest affecting the awarded funds in accordance with 2 C F R.(t 200 1 l I a. Recipient agrees to comply with the requirements of sections 602 and 603 of the.flat,regulations adopted by Treasury pursuant for sections 6dl2(f);and 603(f)of the Act,and guidance issued by Treasury regarding die foregoing.Recipient'dso agrees to ceorraply with all other applicable federal statutes,regulations and executive orders,and Recipient shall provide ftr such compliance by other patties in any agreements it enters into with other parties relating to this;award. b laederal regulations appiicabic to this award include,withcout inn itat ton,the foil owing, Umfiornr Administranve Requiremeras,Cost Principles,and Audit Requirements for Federal Awards,2 C;.F.R.Part 200,other than such previsions as'Treasury may deterna one are inapplicable to this Award and subject to such, excephoiss as may he otherwise provided by Treasury Subpart F-Audit Requirements aofthe Uniform Cruidance, implementing the Single Audit Act,shall apply to this award.. it I niver,al t CmIfier nand tiystem for;"award Var,agemenk.(SAM),2 C:F R part 25,pursuant to Winch the award lernt set forth in Appendix A to 2 C E`h.Part 25 as hereby incorporated by reference in w i setf orth in Ap arid Executive pendx t tar 2 C o F fi Part,170sation herebycri incorporated bylreference Part ds parrsuairt ccowhich the awaard term iv c NIB d:ruidelmeas to Agencies on iovernmentwide Debarment and Suspension(1'llonprocurementl„2 C"F R Part. 180,including the requirement to include a term or condition in all lower tier"shied transactions(contracts and ubcontracts described in 2 C",FR Part h fiat),subpart:B)that the award is subject to 2 d".ir.'R.Part 180 and Treasury's imp.leraaenti g regulation at 3't C'.li R.Pact,19 Page 49 of 53 v Rccipiesnt int sgnty-and Performance tvlatteas,ixmiiant to which the award tx im set forth in"C."I"'R iaart 200 Appendix X11 to part 200 is hereby incorporated by reference. vi C.I+avernmenautde i2equirements for Drug-Free Workplace.3l C,F R 'part 20 vii r,„ew on Lobbying, 31 ("1'R Part'2V v ni, l`mtiarrn Relocation Assistance and!steal Property.4cqui.onons Act of 1970(42 i`S r:." 464)l-4655)and irnplementing regulauc rise ix Cxencratly applicable federal emironmentaal laws and regulation:,, c. Statutes and regulations prohibiting discrimination applicable to this sward,include,without limitation,the i`aallo vow irg i. Tt Ce'Vl of the('iv i�Rights Act of 11)64142 f'.S,(' jty 20(Jd et seq)and Treasury's imptereenting regulations at 31 F.R.,Flart.22,which prohibit discrimination on the basis of race,color„or mmnonai origin under programs or activities re;eiving federal driancial assistance, it. The Fair Housing Act,"Title VI1.l of the(.7ivil Rights z Act of 068('42 t'S(' 44:3601 et sect.),which prohibits discrimination in housing on the basis of race,color,religion,national ongin,sex,familial status,or disability, tit. Section 504 oaf the Rehabilitation Act of l973,as amended(29 U.S C §794),which prohibits diascrim!nution on the basis of disability under any program or activity receiving fedLtsil financial assistance„ w the Age Discrimination Act of I275°' ,„as amended 42 L1':S.t". „. 6101 et seal.)„and'l"reasury's implementing 4§ regulations at 31.C,h R_Nrt 2 3,which prohibit discrim ination on the basis of age m programs der activities receiving federal financial assistance,and v fl'We I of the Americans with Disabilities Act of 1990,as amended(42 U t3 12101 et wq.),which prohibits discrimination on the basis cif disability under programs,activities,and services provided or made available by state and local goveranitrus or instrumentalities or agencies thereto, JjLRgMgjjaL,&WUL In the event of Recipient's noncompliance with sections 602 and 603 of the Act,other applicable taws, Treasury's implementing regulations,guidance,or any reporting or other program requirement,;,Treasury may impose additional conditions on the;receipt oi''s subsequent tranche of future award funds,if any,or take other avaailable remedies as scat forth in 2 Cw F R §200 339 In the case,of a violation of sections 602(c)or a1(13('c)of the Act regarding the use of funds,previous payments shall be subject to rdcouparient as prov Aed in sections t102(e)and f)3(e)of the Act. I fla ch Act Recipient agrees to comply,as applicable„with requirements of the Haieh Act(.5 C.t S C §§ 1501-1508 and 7324-73213),which limit certain political activities of State or local government employees whose principal employment is in connection with an activity financed in whole or in part by this federai assistance, Recipient understands that making false:statements or claims in cdonnectucm with this award is a violation of federal law and may result in criminal,civil,or admintstrative sanctions,including fixes,imprisonment,cavil damages and penalties,ck-barment from participating in federal awards or contracts,and/or any other remedy available by law li, %rn L Any publications produced with funds from this award must display the following language "Phis pro}eat[es berngp I was l supported„ut whale or in part,by federal award number(enter project FAINT awarded to Monroe(.'aunty Board of Commissioners by the U S, Department of the'rreasury,°" a Any funds paid td)Recipient Vy1;t in excess of the amount to which Recipient its finally determined to he authonzed to retain under the terms daf this award';(2)that are dew mined by the"l'reasury Office of In Spector General to have been misused,or (:3)that are determined by'Freasury to be subject to a repayment obligation pursuant to sections 602(a)and 603(e)of the Act and have not been repaid by'Re,ipient shall constitute a debt to the federail government, It Any debts determined to be owed the federal government must be paid promptly by.Recipient.A debt is delinquent if it has not been paid by the date:,pec skied in"treasury's initial written demand for payment,unless other satisfactory arrangements have been made or ifthe Recipient knowingly esr improperly retains fiends that are a debt as defined to paragraph 14(a). Treasury w�H take any actions available to it to collect such a deiat. Page 50 of 53 5 C7isriaimPr a The United States expressly disclaims any and all responsibility or liability to Recipient or third persons for the actions of Recipient or third persons resulting in death,'bodily injury,property damages,or any other losses resulting in any way from the performance of this award or any other losses resulting ur any way from theperformance caC'this award or any contract„ or subcontract under this award. b l'he acceptance of this award by Recipient does not in any way establish an agency relationship between the tinitcd States and Recipient. 14 Pmt Clion for �Ehredc al toy a In accordance with 41 1 t S,C,4 4712,Recipient may not discharge,demote,or otherwise discriminate against,an employee in reprisal[or disclosing to any of the list of persons or entities provided below„information that,the employee reasonably believes is evidence of gross mismanagement ofa federal contract or grant,a gross waste of federal funds,an abuse of authority relating to a federal contract or grant,a substantial and specific danger to public health or safety,or a violation of law,rule,or regulation related to a federal contract(including the competition for or negotiation ofa contract)or grant. b "l'he list of persons and entities referenced in the paragraph above includes the following: i. A member of Congress or a representative of a committee of Congress; It, An Inspector General, tit. The Government Accountability Office, iv. A Treasury employee responsible for contract or grant oversight or management, v An authorized official ofthe Department of.lusbcc or other law enforcement agency, vi. A count or grand jury;or vii A management official or other,employee of Recipient,contractor,or subcontractor who has the resporusibdity to investigate,discover,or address misconduct, c Recipient shall inform its employees in writing of the rights and remedies provided under this section,in the predominant native language of the workforce. ILLM M 1" Pursuant to Executive Order 13043,62 FR 19217(Apr 18, 15a47),Recipient should encourage its contractors to adopt and enforce can-the-lob seat belt policies and programs for their employees when operating company-owned„rented or personally owned vehicles, l t4" Sie^clar^rn� t"e*et P1�r%.+z�erkrae7 "rl` l t iyxl ..Pursuant to Executive Order 13513„74 Ff#51225(Oct,6,2009),Recipient Shouldencourage its employees,subrecipients,and contractors to adopt and enforce,policies that ban text messaging while driving,and Recipient should establish,workplace safety policies to decrease accidents caused by distracted drivers. Page 51 of53 CFMB Approved trio. 1.50.5-0271 Expiraturn Lute 11/300021 ASSURANCE OF COMPLIANCE WITH CIVIL RIGHTS REQUIRE.,"1tII:NTS ASSURANCE OF(C„)MPLIAN('h WITH TI'1`Ll VT OF T11E CTVTI,RIGHTS ACT OF 1964 As a condition of receipt of federal financial assistance from the Department of the Treasury,the Munroe County Board of C ommis toners(hereinafter referred to as"the Recipient")provides the assurances stated herein.The federal financial assistance may include federal tyrants,loans and contracts to provide assistance to the recipient's berieficiaries„the use or rent of Federal land or property at below market value,,Federal training,a loran ofFedesral personnel,subsidies,and other arrangements with the intention a."providing assistance.Federal financial assistance does not encompass contracts of guarantee or insurance,regulated Programs,iicmvs,procurement;contracts by the Federal government at imarket value,or programs that provide direct benefits. This assurance applies wall federal financial assistance from or funds made available through the Department of the Treasury, including any assistance that the Recipient may request in the future The Civil.Rights Restoration Act of"17;37 provides that the provisions of this assurance apply to all of the recipient's programs, sery ices and activities,so long;as any portion of the recipient's program(s)is f"ederally assisted in the manner proscribed above I Recipient ensures its current and future compliance with Title VI of the Civil Rights Act of 19034,as amended,which prohibits exclusion from participation„demat of the benefits of,or subjection to discrimination under programs and activities receiving federal funds,of any person in the United States on the ground of race,color,or national origin(42 U S.C, §20(X)d et sey.),as implemented by the Department of the Treasury Title V'1 regulations at 3 F CF'R Part 22 and other pertinent executive orders such as Executive f7rder 131 eah;directives;circulars;policies;memoranda and/or guidance documents, 2 Recipient acknowledges that Executive Cirder 13166,-Improving Access;to Services for Persons with Limited English Proficiency,"seeks to improve access to federally assisted programs and activities for individuals who,because ofnational origin,have Limited English proficiency(1.EP).Recipient understands that denying a person access to its programs, services,and activities because,of LEP is a form of national origin discrunuradon prohibited under'Title VI ofthe Civil. Rights Act of 1964 and the Department of the Treasury's implementing regulations.Accordingly,Recipient shall initiate reasonable steps,or comply with the Department of the Treasury's directives,to ensure that I.EP persons have mcanmgful access to.its programs,services,and activities.Recipient understands and agrees that meaningful access may entail providing language assistance services,including oral interpretation and written translation where necessary,to ensure effective communication in the Recipient's programs,services,and activities, 3 Recipient agrees to consider the need for language services for LEP persons during development of applicable budgets and when conducting programs,services and activities.As a resource,the Department of the Treasury has published its LET guidance at 70 FR 6067 For more information on LEP,please visit htw./Jtvww.l ov. 4 Recipient acknowledges and agrees that compliance with this assauance constitutes a condition of continued receipt of feileral financial assistance and is binding upon Recipient and Recipient's successors,transferees and assignees for the period in which such assistance is provided. 'i Recipient acknowledges and agrees that it must require any sub-giantees,contractors,subcontractors,successors, transferees,and assignees to comply with assurances 1-4 above„and agrees to incorporate the following language in every contract or agreement.subject to Titic VI and its regulations between the Recipient and the Recipient's sub-grantee:., contractor.,;,subcontractors,successors,transferees,and assignecs: The sub-grantee,contractor.subcontractor,successor transferee,and assignee shall comply with Title V1 of the t'71vil Rights Act ref 1964, which prohihiv recipients gfffederal fr"nanc iai assistance from excluding from a program or activity,oerrvrn,g bendits of,or otherwise discriminating against a person on die basis of race,color,or national origin(42�^fy/S.C. r 2000d et seq.),as implemented by the Depar iment nf'the Treavin's Title C regulations, 31 CFR Fart 22,which are herein incorporated by rg ference and made a part of this contract(ear agreement). Title F7 also includes protection to persons with "Limited English Prolficiency"in any program or activity receiving federal financial assistance,42 U.S.C"§2000d el svgt,as implemented by the Department of"ihe Treasury's Title V1 regulations,,31 C'FR Part 2.`r.,and herein incorporated by reference and made a part of this contract or agreement 6 recipient understands and agrees that if any real property err structure is provided or improved with the aid oaf f"ederai financial assistance by the Department of the Treasury,this assurance obligates the Recipient,or in the case of a subsequent transfer,the transferee,for the period during which the real property or structure is used fora purpose for which the federal financial assistance is extended or for another purpose involving the provision of similar services or benefits If any Page 52 of 53 perscanal property xs provided,this assurances obligates the Recipient for the period during which it rutai.r!s ownership or p s ussion of the pv)perty„ 7 Recipient sFali cooperate in any enforcesnend or compliance review acti,vihes by the.f:3epnrtment of the Treasury of the of"orumentioned obligations Enforcement may include investigation,arliitratic ti,mediation,litigation,and monitoring of any settlement agreements that may result from these actions 'That is,the Recipient shiall comply wttit infemi ation requests, can-asitc compliance reviews„and reporting regwrementt. 8 ldccipicmt shaalt maintain it complaint lag and mtcirm the Department of the'Creasury of any complaints cit`discrimination can the grounds of race„color,or national origin,and limited English proficiency covered by Title VC of the Civti Rights Act of 064 and implernentmg regulations and provtdc,apron request,a list of all such reviews;a r proceseiiirig�ns based con the complaint,pending or completed,including outcome.Recipient also must inform the Department of the Treasury if Recipient hats received no complaints under Title VL. 9 Recipient must proviatu documentation ofan administrative agency's or court"s findings ofnon-compliance of Title V[and efforts to address the non-compliance,including any voluntary compliance or other agreements between the recipient and the administrative ive agency that made the Finding if the Recipient settles a.case or matter alleging such discrimination,the Recipient mLett provido;documentation of the settlement.If Recipicnl has riot been the,subject of any court or administrative agericy finding of discrimtr ation,please so state lit, If the Recipient stakes sub-awarais to other agencies or other entities,the Recipient is responsible for ensuring that: sutra-recipients also comply with Title VI and other applicable authorities covered in this document State:agencies that make sub-awards must have in place standard grant assurances and review procedures to demonstrate that that they are effectively monitoring the civil rights compliance of sub recipients. The United States of America has the right to seek judicial enforcement of the terms of this assurances document and nothing in this document alters or limits the federal enforcement measures that the,United States may take in order to address violations ofthis document or applicable federal law. Linder penalty of perjury„Cite urtdrxst gned official(.,;)certifies that he/she hurt read and understood its obligations as as reels rprana Witted,in conjunction with this assurance document is accurate and complete„and N11, p t e � sort � aforementioned nondurcritaii Mort re uiremenrs. Kan ,�. date a` � arp T'lina aoen S nit*0 d orir dOfficial: p Ip. rIRK REDtk("'TtON A(."F N(Yrt The information ceodecred will be used ror the US,(aczverament to process requests for support.The esurrated burdeti atiewisted a th taus colleen e>r information is 15 minutes per respcanne.Com ientsa eoncentang the acoracy of this hurden estimate and saaggesuous for reaming Rot burden sWuld he directed to the Office ot'pmvecy„Tramgrarency and Records,Depannaasnt of the Treasury,1300 petretylvinua,Ave.,N.V,Washington,D.C,2a5220 DO NOT send the foini to ft8us address.1kn agency may nut c<uaduct or ,sputm)r,,arid a person is nix required to respond tu,a collection of information cudess it ettsplays a valid control number assigned by O)Mta Page 53 of53 ATTACHMENT B MIKE'S PAINTING & REPAIR, INC. BID FOR BIG COPPITT FIRE STATION - INTERIOR BAY PAINTING MIKE ' S' & 19 Beechwood Drive 305-745-4513 Key West, FL 33040 Licenses: City 3426 County SP 3929 PROPOSAL July 20, 2024 William Desantis Director of Facilities Maintenance RE: Monroe County Fire Station — Big Coppitt Work Proposed: Walls in truck bay will be painted with two coats of Sherwin Williams latex eggshell paint, color Big Chill Grey. Concrete will be repaired at bottom of metal handrails on second floor, same will be painted. Metal handrail will be painted with Sherwin Williams Acrylic Enamel, color Fire Engine Red. Labor & Material $12,950.00 ATTACHMENT C ADDITIONAL BID JUSTIN TYME WALL COVERINGS, INC BID FOR BIG COPPITT FIRE STATION - INTERIOR BAY PAINTING PROPOSAL Paint & Wallpaper Key West, FL 33040 Phone: 305-797-3852 TO: FOR: BIG COPPITT FIRE STATION William Desantis Director of Facilities Maintenance Desantis-william�,7a monroecountyfl-gov AMOUNT Inside of fire station to be painted, colors to be provided Handrail on second story will painted, colors to be provided Total job cost $14,900.00 ATTACHMENT D 2024 FLORIDA PROFIT CORPORATION ANNUAL REPORT FOR: MIKE'S PAINTING & REPAIR, INC 2024 FLORIDA PROFIT CORPORATION ANNUAL REPORT FILED DOCUMENT#P08000104798 Feb 25, 2024 Entity Name: MIKES PAINTING & REPAIR, INC. Secretary of State 8703299761 CC Current Principal Place of Business: 19 BEECHWOOD DRIVE KEY WEST, FL 33040 Current Mailing Address: 19 BEECHWOOD DRIVE KEY WEST, FL 33040 US FEI Number: 26-3785738 Certificate of Status Desired: No Name and Address of Current Registered Agent: MONSALVATGE, MICHAEL O 19 BEECHWOOD DRIVE KEY WEST, FL 33040 US The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date Officer/Director Detail : Title P Title VPD Name MONSALVATGE, MICHAEL O Name MONSALVATGE, NICHOLAS PAUL Address 19 BEECHWOOD DRIVE Address 1205 17TH STREET City-State-Zip: KEY WEST FL 33040 City-State-Zip: KEY WEST FL 33040 1 hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath;that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607,Florida Statutes;and that my name appears above,or on an attachment with all other like empowered. SIGNATURE:MICHAEL O MONSALVATGE P 02/25/2024 Electronic Signature of Signing Officer/Director Detail Date ATTACHMENT E 2024 / 2025 MONROE COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30, 2025 MIKE'S PAINTING & REPAIR, INC. 2024 / 2025 MONROE COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30, 2025 RECEIPT# 30140-101202 Business Name: MIKE'S PAINTING &REPAIR INC MICHAEL MONSALVATGE MO CTY Owner Name: Business Location: KEY WEST, FL 33040 Mailing Address: 19 BEECHWOOD DR Business Phone: 305-745-4513 KEY WEST, FL 33040 Business Type: CONTRACTOR (PAINTING AND REPAIRS) Employees 1 COMP CARD: SP 3929 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 WRB-23-00074724 07/06/2024 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, 2025 Business Name: MIKE'S PAINTING &REPAIR INC RECEIPT# 30140-101202 MO CTY Business Location: KEY WEST, FL 33040 Owner Name: MICHAEL MONSALVATGE Mailing Address: Business Phone: 305-745-4513 19 BEECHWOOD DR Business Type: CONTRACTOR (PAINTING AND REPAIRS) KEY WEST, FL 33040 Employees 1 COMP CARD: SP 3929 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 WRB-23-00074724 07/06/2024 20. 00