07/25/2024 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:
LESTER BUILDING-EXTERIOR PAINTING 530 WHITEHEAD ST,KEY WEST,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: William De antis 4307 Facilities Maintenance!Stop#9C
CONTRACT COSTS
Total Dollar Value of Contract: $ 55,000.00 Current Year Portion: $
(must be$100,000.00 or less) (If multiyear agreement then
requires BOCC approval,unless the
iowl ainni.hliir c 4u1tt una is
1 00.000.00 or Iw ss).
Budgeted? YAK 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.2024.07241623.01-04'00'
Risk Management Signature:
Purchasing Signature: Lisa Abreu Digitally 20240725ned yLisa Abreu
Date'.2024.07.26 10'.22'.31-04'00'
John Quinn Digitally signed by John Quinn
OMB Signature: Date'.2024.07.26 10'.44'.63-04'00'
Comments:
Revised BOCC 4/19/2023
Page 84 of 105
MONROE COUNTY
BOARD OF COUNTY COMMISSIONER
REQUEST FOR SERVICES
FOR
LESTER BUILDING - EXTERIOR PAINTING
BOARD OF COUNTY COMMISSIONERS
Mayor Holly Merrill Raschein, District 5
Mayor Pro Tern Jarnes K. Scholl, District 3
Craig Cates, District 1
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, 1 of`53
Monroe County Facilities Maintenance
General Scope of Work
Job Name: t-ESTER BUH-DING — EXTERIOR PAINTING
Job Location: Lester Building
530 Whitehead St
Key West, FL 33040
Contact: Chrissy Collins - Facilities Maintenance
collins-chrissvw 111011r`"ec )um .j'jt��,
V z
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 exterior of the I..ester Building located at 530 Whitehead Street,
Key West, 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 tinder the contract, which may
include applying for a permit if one is required for the Project, within Ten (10) calendar
days of the (late Of issuance to the Undersigned by ()wrier 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( 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 Exterior Painting of the Lester Building:
• Complete building will be power washed, caulked, spackled, and repaired as
needed.
• Concrete portion of building will be painted with two coats of Sherwin Williams
Loxon XP.
• Colors will be matched to existing building colors.
3. General Requirements
The Contractor- shall coordinate all activities with the Monroe County Facilities
Maintenance Department contact:
Ch rissy Collins at 305-304-9711
A) The Contractor is required to provide protection for all existing surfaces including,
but not limited to:
1. Existing fixtures
i i. Personal Items
In. 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.
Q The Contractor shall load, haul, and properly dispose of all construction debris and
materials,
D) The Contractor shall provide and maintain appropriate (OSFIA required)
construction warning signs and barriers.
E) The Contractor shall tumish all required work site safety equipment.
F) The Contractor shall farnish and maintain on-site material safety data sheets
(MSDS) for all materials used in the construction.
G) Construction work times shall be limited to: Specified by the County.
Page 3 of 53
i4) 'The Contractor shall provide a lump SUrn price by Wednesday, July 24, 2024, at
12:00p.m., via email as noted herein.
1) ' 'he Contractor needs to be aware of weather and location and flan 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 flan 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 infort-nation necessary for the proper function and
maintenance orthe 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.
O) Insurance Requirements:
Workers Compensation Statutory Limits
Employers' Liability S100,000 Bodily InJuzy by Accident
$500,000 Bodily Injury by Disease, policy limits
100,000 Bodily Injury by Disease, each employee
General Liability $200,000 per Person
S300,000 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
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
Page 4 of 53
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 (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 ofthe 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 $I 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 circurnstances 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 frorn 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 ot53
United States Department of the Treasury Indetunification
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 erliployees, 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 ill
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 oil his/her oath, and Linder penalty of`per 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 oil his/hers/its behalf any Ion'ller County officer
or employee in violation of Section 2 of Ordinance No. 0 10-1990 or any County officer or
employee in violation of Section 3 of Ordinance No. 0 10-1990. 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 112.3 13, Florida Statutes,regarding,but not limited
to, solicitation or acceptance of gifts; doing business with one's agency; unauthorized
compensation; misuse 01" Public Position, conflicting employment or contractual
relationship; and disclosure or use of certain information.
Page 6 of 53
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:
I) 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 contendere to, any violation of
Chapter 893 (Florida Statutes) or of any controlled substance law of the United
States or any state, fbr 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
t) Nondiscriinination/Equal Employment Opportunity.
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: I) Title VtI of the Civil Rights Act of 1964 (PI, 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 LJSC 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
(PI., 91-616), as arnended, relating to nondiscrit-runat ion 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; S) Title VIII of the Civil Rights Act of 1968 (42 USC s. 3601 et
sect.), 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 Tote), as
may be amended from tirne to time, relating to nondiscrimination on thebasis of
disability; 1.0) Monroe County Code Chapter 14, Article 11, which prohibits
discrimination on the basis ofrace, 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
1;rnplo.Wnent Opportunity (30 Fed. Reg. 12319, 12935, 3 C.F.R. Part, 1964-1965
Comp., p. 339) as amended by Executive Order 11375, Alnending 1::xecutive Order
1124E Relating to Equal rnplc*yment 01)purtunity, 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 11, 1� 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 ernployrnent, 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 er-nployee or
applicant. This provision shall not apply to instances in which an
Page 8 of 53
employee, who has access to the compensation in-forination 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 far 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.
8) 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 niay
request the United States to enter into such litigation to protect the
interests of the United States.
Title VI of the Civil R47hts 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 rnade a part of
this contract or agreement.
[I) 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 tenminate 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 ofbreacll 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 all opportunity to cure the breach that has occurred. lfthe breach is not cured,
the Agreement will be terminated for cause.. If the County terminates this
agreement with the Contractor, County shall pay Contractor file sum due the
Contractor under this agreement prior to termination, unless the cast 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 Linder this Agreement, including the right to sue for breach of
contract and including the right to pursue a claim for violation of the C'ounty's False
Claims Ordinance, located at Section 2-721 et al. of the Monroe County Code.
Page 10 of S3
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
cornpletion 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 Linder 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 a], of the Monroe County Code.
E. Scrutinized CL)�)aqies:
For Contracts of any amount, if the County determines that the
Contractor/Consultant has submitted a false certification Linder 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
(I) 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 it' the conditions of Section 287.135(4), Florida
Statutes, are met.
111) 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. It' 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 Conti-actor shall repay the monies together with interest calculated
pursuant to Sec. 55.03, Florida Statutes, running frorn 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 I I of 53
2) The Department of the Treasury Office of Inspector General and the
Government Accountability Office, or then- 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 The records of the parties to this Agreement relating to the
Prqject,which shall include but not be limited to accounting records(hard copy, as well
as computer readable data if it call 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 docurnentation covering negotiated settlements); back charge
logs and supporting documentation; general ledger entries detailing cash and trade
discounts carried, 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 oil 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 arid amounts through interviews and written confirmations with
employees, subcontractors, suppliers, and contractors' representatives. All records
shall be kept for tell (10) years after f"inal Completion. The County Clerk possesses
the independent authority to conduct an audit of records, assets, and activities relating
to this Pro.ject. 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 to Contractor. The
right to audit provisions survive the termination or expiration of this Agreement.
V) Payment of Fees/ Invoices.
County shall pay pursuant to the Florida Local Government Prompt Payment Act, Fla.
Stat., Sec. 218.70, upon receipt of a 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 f olf ns:
°frrr3ir °o . nt ,wffffy.
The County is exempt from sales and use taxes. A copy of the tax exemption certificate
will be provided upon request.
Final payment shall be made by the County, as the Owner, to the Contractor when the
Contract has been fully performed by the Contractor and the work has been accepted
by the County.
VI) Public Records Compliance.
The Contractor mast 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 11.9, Florida
Statutes, and made or received by the County and Contractor in conjunction with this
contract and related to contract performance. 'File 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. 1.1.9.0701 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 tile contract terra 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 ofthe contract, the Contractor shall destroy any
duplicate public records that are exernpt 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, fire 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 1.1.9.1.0, 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 119, FLORIDA STATUTES, TO
THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN
OF PUBLIC RECORDS, BR,IAN BRADLEY AT PHONE NO. 305-
292-3470, BR.ADLEY-BRIAN(ti,MONROECOUNTY-FL.GOV,
MONROE COUNTY ATTORNEY'S OFFICE, 11.11 1.2""' Street,
SUITE 408, .KEY WEST, FL 33040.
V11) E-Verift System,
Beginning January 1, 2021, in accordance with Fla. Stat., Sec. 448.095, ti�re Contractor
and any subcontractor shall register with and shall utilize the U.S. Department Of
Homeland Security's E-Verity 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 U.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 all
unauthorized alien. The Contractor shall comply with and be subject to the provisions
of Fla. Stat., Sec. 448,095.
Page 14 of 53
Vill) Notice Requirement.
Any written notices or correspondence given Pursuant to this contract shall be sent by
United States 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 of delivery or by U.S. Mail upon verified receipt or upon
the date of refusal or non-acceptance of delivery. I'lie 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:
I 'e")
For Contractor: 4, lee,_- 's- IAZL)
For Owner: Facilities Maintenance Department
Attention: C.hrissy Collins
123 Overseas Highway - Rockland Key
Key West, Florida 33040
And
Monroe County Attorney's Office
I I 11 12"' Street
Suite 408
Key West, Florida 33040
IX) Uncontrollable Circumstance.
Any delay or failure of either Party to perform its obligations under this Agreement
will be excused to the extent that the delay Or tItIlLire 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 stonri,
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 oil or
after the date of this Agreement; (1) action by any governmental authority prohibiting
work in the geographic area of the Pro�ject;(each, a "Uncontrollable Cil-CLITTIstance"),
Contractor's financial inability to perform, changes in cost or availability of materials,
components, or services, market conditions, or Supplier actions or contract disputes will
not excuse performance by Contractor under this Section. Contractor shall give County
Written notice within seven (7) clays of any event or circumstance that is reasonably
likely to result in all 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 Uncontrollable Circumstance, ensure that the effects of
any Uncontrollable Circumstance are trimu sized and resume full performance under
this Agreement. The County will not:pay additional cost as a result of all Uncontrollable
Circumstance. The Contractor may only seep 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. 11EDERAL 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 CY.R.. fart 200, as
amended, including but not limited to;
A) Clean Air Act (42 U.S.C. k�7401-7671g.) and the Federal. Water Pollution
Control Act (33 U.S.C. "1251-1387), 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. § 7401-7671 q) and the Federal Water
Pollution Control Act, as amended (33 U.S.C. §§1251-1357) 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. §§1.251-
1357), as arrrended, 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 1H,PA Regional
Office.
B) Contract Work Yours and Safety Standards Act (40 U.S.C. iz 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.C. §3702 of the Act, each Contractor must compute the wages of every
mechanic and laborer 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 1.6 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. Tire
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) Overthne requirements. No contractor or subcontractor
contracting for any part of the contract work, which may require
or involve the employment of laborers or rmecha nics shall.
require or permit any such laborer or mechanic in any workweek
in which lie or she is employed on such work to work in excess
of fogy 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 for unpaid wag(�s,, liquidated damages. In the
event of any violation of the clause set forth in Paragraph (b)(l)
ofthis section,the Contractor and any subcontractor responsible
therefor shall be liable for file unpaid wages. In 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)(l) of 29 C.F.R. §5.5.
(3) Withholding for unpaid wages and liquidated damages. Tile
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 FIorrrs 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 1.7 of 53
Paragraph (b)(2) of 29 C.F.R. §5.5.
(4) Subc onlr 4.icls,. The contractor or subcontractor shall insert in ally
subcontracts the clauses set forth in 29 C.F,R. §5.5, Paragraphs
(b)(I)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) Rit*hts to Inventions Made Under a Contract or Aireement. 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 Fart 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.F.R. Part 1.80
that implement Executive Orders 12549 (3 C.F.R. Part 1986 Comp., p. 189) and
12689 (3 C.F.R. Part 1989 Comp., p. 235), "Debarment and Suspension" and the
E7epartment 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 1.2549. SAM exclusions can be accessed ata
Contractor is required to verify that none of the contractor's principals (defined at
2 C.F.R. §1.80.935) 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 CJ,.R. 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 of 2 C,F.R.
pt. 180, 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 1.8 of 53
180 and the Department of` the Treasury's implementing regulation at 31 C.F.It.
Part 19.
E) Byrd Anti-Lobhyinf! Amendment (31 U.S.C. §1352). Contractors that apply or
laid for an award exceeding $100,000 must file the required certification. Each tier
certifies to the tier alcove that it will not and has not used.Federal appropriated Rinds
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 C"ongress 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 hinds 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. lf'the award exceeds $100,000, the attached certifications 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,
m;�
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
equipment as set forth in 2 CFR§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 I-luawei 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 I lytera Communications
Corporation, Ilangzhou 1 likvision Digital. Technology Company, or Dallua
Technology Company (or any subsidiary or affiliate of such entities).
(H) "I,elecommunications or video surveillance services provided by such
entities or using such equipment.
(iii) 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 L7irector
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 Preference for Procurements as set forth in 2 C.F.R. §200.322. 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 Stages" 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.
§3145). This section cxplalie?s if"the contruc•t is in. excess c?f$2,000 (4nd pertains to
construction or repair, and further, if'required /v f7eclertnl program legislcztiona.
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 Lip any
part of the compensation to which it is otherwise entitled. The County shall report
all suspected or reported violations to theDepartment 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
C'oronavir•us 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 fi-om the Fiscal Recovery Funds absent
Conti-actor'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 Disabilities Act of 1990 (ADA), as amended. 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) Usadvantaf4ed Business Enterprise (DBE) Policy and Oblation. 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 fiends 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.
C.F.R. 200.321 CONTRACTING WITH SMALL AND MINORITY
BUSINESSES WOM ;N'S BUSINESS ENTERPRISES, AND LAItOR
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 possible.
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 economically feasible, 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 requirement permits,
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 ofthe 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) Changes 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 tlse
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 170, 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 tinder the award funding this
Agreement equals or exceeds $30,000.00 as defined in 2 C.F.R. §1.70.320;
(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. §1.70.320 (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 I5(d) of the
Securities Exchange Act of 1934 (15 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 flings at����1� i��� w��� aµ��w�/��s �✓���/���w�wc ����.�.h�,..jp�e .
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) Fro ram 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
J) The Contractor shall hold the United States arid 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) Energy Efficiency. If applicable, the Contractor will comply with tile 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 tile provisions
of the state Energy Conservation Plan adopted pursuant thereto,
L) Conflicts of Interest. 'File Conti-actor 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 oil 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)(111) of the Act, as applicable.
N) Compliance with Federal Law, Regulations 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. 'File 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, arid Audit
Requirements for Federal Awards, 2 C.F.R. Part 200, other than
such provisions as 'I"'reasury 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, impleinenting the Single Audit Act, shall apply
to this award.
ii. Universal Identifier and System for Award Management (SAM), 2
C.F.R. fart 25, pursuant to which the award term set forth in
Appendix A to 2 C.F.R. Past 25 is hereby incorporated by
reference.
iii. Reporting Subaward and Executive Compensation Information, 2
C.F.R. fart 1.70, 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 Governmen.twide Debarment and
Suspension (Nonprocureirnent), 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 1.9.
V. Recipient Integrity and Performance Matters, pursuant to which
the award term set forth in 2 C.I .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) Hutch Act. The Contractor agrees to comply, as applicable, with requirements of
the]latch Act(5 U.S.C. §§ 1501-1.508 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 (I) in excess of the amount to which
Contractor is finally determine(] 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
Conti-actor sliall 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 dernand 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 trom 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,
infori-nation that the employee reasonably believes is evidence of gross
Mismanagement of a federal contract or grant, a gross waste of federal
funds, all 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 a 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 ether 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) IncreasinLy 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) IReducina Text Messagin$j While Driving. Pursuant to Executive Order 135 13,
74 FR 51.225 (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.
Page 27 of 53
PROPOSAL FORM
PROPOSAL TO: Monroe County Facilities Maintenance
1.23 Overseas Highway—Rockland Key
Key West, FL 33040
PROPOSAL FROM: be& LS - �84 e.
9'e t r'0
The undersigned, having carefully examined the Work and reference Drawings,
Specifications, Proposal, and Addenda thereto and other Contract Documents for the
construction of:
Lester Building Exterior 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 IJocal 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 al.I 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 Order/Task Order. 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 Base Proposal shall be furnished below in wards and numbers. If there is an.
inconsistency between the two, the Proposal in words shall control.
m, (67/t5 Dollars,
(Total Base, Proposal- words)
$ � Dollars.
(Total Base Propo. l --numbers)
I acknowledge Alternates as fellows; N/A
I acknowledge receipt of Addenda No.(s) or None
No Dated ' 2- — 2— G/,t4O
No. Dated ` ,� '2-
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; htt ://tl-�nonroecc�unt .civicplus.com/Bids asx`�CatID=1 ; 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: ,. �- /r 'a j ✓� ,� ' °
Mailing Address: 1 4-,�4.: e:) '
Phone Number; °
Email;
Date: Signed:
Name Title
Contractor's Witness signature;
Witness name: _ ,
Date: ,.
The County accepts the above proposal.
MONROE COUNTY, FLORIDA
Date: 07/25/2024
I3y; eting C"out ty Administrator or Designee
MONROE COUNTY ATTORNEY S OFFICE
a Page 30 of 53
AWS uNTY ATTORNEY
TE•
NON-COLLUSION AFFIDAVIT
I of the city of .
according to la"n my oath, and under penalty of per' ry, depos and say that:
a. I am > . e
of the firm of _ , . z
the bidder making the Proposal for the proje described in the Request for
Proposals for:
2=e��L_nl e-44 5�_
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.
Z-7 5�� 100.
(Sign ure o`f r er) (Date)
STATE OF:
COUNTY OF:
Subscribed and sworn to (or affirmed) before me, by means of physical presence or
M online notarization, on - (date) by
'" (name of affiant). e he is persanall�kn ►
mje or has produced
(type of identification) as identification.
"s
NOTARY PUBLIC
...._..
My commission expires: _ h (SEAL)
►�w"a CHMSTINE E COLLINS
Notary Public-State of Florida Page S
". Commission A HH 266973
or My Comm.Expires Jun 4,2026
Bonded through National Notary Assn.
LOBBYING AND CONFLICT OF INTEREST CLAUSE
SWORN STATEMENT UNDER ORDINANCE NO. 010-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
117)
(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".
(Signa1dre)
Date:
STATE OF: A,
COUNTY OF: -JV(N CLZ C—
Subscribed and sworn to (or affirmed) before me, by means ofWohysical presence or
El online notarization, on name of affiant
2�Z' 20 (date) by
<
AA" V
( ). �5She is
personally know,n.tqm_e_,or has produced
as I& i i ation. (Type of identification)
NOTARY PUBLIC
My commission expires:
(SEAL)
0 MAN
ry CHRISTINE E COLLINS
State
of F 0"d!
Notary Pubk State of F:o,ide,
Commission#HH 266973
P".s JL�r 2 0 26 My Comm.Expires Jur, 2026
E Bonded through National"Ctary A55r. Page 32 of 53
DRUG-FREE WORKPLACE FORM
The undersigned vendor in accordance wit Florida Statute, Sec. 287.087 hereby certifies that:
'r 7 ) 7") V,-')
(Name of Busme. sj ' Je
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.
1 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 (I).
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.
Prop.�ser's S'ignature
2-
Date
STATF OF:
COUNTY OF: t-A,C>
Subscribed and sworn to (or affirmed) before rne, by means of physical presence or R online
notarization, on
(name of affiantqe—
�e or has produced
as identifipation,
NOTARY PU L
L) My Cornmission Expires:
CHRISTINE E COLLINS
Notary Public-State of Florida
Commission 0 HH 266973 Page 33 of 53
My Comm,Expires Jun 9,2026
dedBon through National Notary Assn.
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 re the ab nd ate that neither
respondent's name) nor any Affiliate
een p a n the convicted vendor list Ahin the last thirty-six (36) months.
gnature) c
Date:
STATE OF: ,,,f k
COUNTY OF: .,C) (� 'L,C) -
Subscribed and sworn to (or affirm ) before me, by means of EX hysical presence or
Elonline notarization, on the day of "7
20 (date), by -A t :t4 L.,. k4 ov"A-..�H ,v" - ,,,C_ (name of affiant).
( eAhe is personally known to me or has produced
(type of identification) as
identification.
NOTARY PUBLIC
F (SEAL)
My Commission Expires: 9 b.,
Y"ay CHRISTINE E COLLINS
Notary Pubtic,-State of P',orida
a Commission;NN 266973
my Comm.Expires Jun 9. [C:a
6or decl through Navora,Notarf Ass,-.
Page 34 of 53
� VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS
Project Description(s): ?A/4— 7—//->-c' !�)/E Ze,3, Z� )3C//CjQ1xA
Respondent Vendor Name:
~
�
Vendor's Authorized Representative Name and Title:
Add
City
Phone NumlSe Email Address:
Section 287.135, Florida Statutes prohibits a company from bidding on, submitting a proposal for, or
entering into or renewing m contract for goods or services of any amount if, at the time of contracting or
renewo|, the company is on the Scrutinized Companies that Boycott|onae| Liet, cnaobad pursuant to Section
215.4725, Florida SLaLutee, or is engaged in m Boycott of Israel. Section 287.135, Florida Stotub*m, also
prohibits e company from bidding on, submitting a proposal for, or entering into or renewing a contract for
good or een/ic*m 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 |nmn Terrorism Sector Lists which were
nnaabad pursuant to s. 215.473. Florida Ekotubao, or is engaged in business operations in Cube or Syria.
As the person authorized to sign on behalf of Respondent, | hereby certify that the company identified
above in the Section entitled "Respondent Vendor Name" is not listed on the Scrutinized Companies that
Boycott |anae| List or engaged in e boycott of |eroe| and for Projects of$1`000.000 or more is not listed on
either the Scrutinized Companies with Activities in Sudan Liat, the Scrutinized Companies with Activities in
�
the Iran Terrorism Sector List, or engaged in business operations in Cube or Syria.
| understand that pursuant Uo Section 287.135, Florida Statutes, the submission ofofalse certification may
subject company tocivil pana|iieo, aUonney'shaae. and/or costs. | 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 |anae| List or engaged in
a boycott of |ense| or placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized
Companies with Activities in the Iran Terrorism Sector List orbeen engaged in business operations in Cuba
or Syria.
Vendor has reviewed Sec. 287.135. Florida Sbatu{ee, and in accordance with such provision of Florida |nvv,
is eligible to bid on, submit a proposal for, or enter into or renew o contract with Monroe County for goods
or services,
Certified By: to sign
on behalf of the above ferenc c a;n;y,�,
Authorized Signature�.
Print Name:
Note: The List are available mt the following Department ofManagement Services Site:
Page 35of53
AFFIDAVIT XITESTINGTO NONCOEROVE CONDLJCT
FOR LABOR OR SERVICES
P r� � rr-"'�Entity/Vendor Name: 63- (W fQ(-' .-.(
Vendor FEIN: ;7`9 6/7",
Vendor's Authorized Representative:
(Name and Title)
Address: e�(--tA
OY,
City: -1t, State: 1,- Zip .. y/Zl)
2
Phone Number: 3
Email Address: Fl, .e ai N-ri o Y,.a�J
J
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:
I. 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;
S. Causing or threating to cause financial harm to any person;
6. Enticing or luring any person by fraud or deceit; or
T 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 ot'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.* I I/P t"It VYI)1�411dve,1)6
who is authorized
to sign on behalf of the above referenced company.
Authorized Signature:
Print Name:
Title:
Page 36 of 53
APPENDIX A, 44 C.F.R. PART 18 — CERTIFICATION REGARDING LOBBYING
(To be Submitted with each bid or offer exceeding $100,000)
Certification Im Contracts, Grants, Loans, and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief, that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
tim_), to influence an officer or
undersigned, to any person R)r influencing or atterrip
employee of an agency, a Member of Congress, an officer or employee OfCC)Dgress, or
an employee ofa Member of Congress in connection with the awarding of any Federal
contract, the making off 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.
2. 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 all 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 Report Lobbying," in accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in the
award
ard 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 ftinds have been paid or will be paid to ally person
for influencing or attempting to influence all officer or employee ofany agency,a Member
of, Congress, an officer- or employee of Congress, or all 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 Fong-I.I.-L,
"Disclosure of Lobbying Activities," in accordance with its illStl-LICtions. 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 $100,000 for each
such failure.
The Contractor, t Ile CV12tllmes or affirms the truthfulness and
accuracy of each statement of`its certificatWn and disclosure, if any. In addition, the Contractor
understands and agrees that the provisions of 31 U.S.C. Chap. 38, Adininistrative Remedies for
False Claims a Statements, apply to this certl -cation and disclosure, if any.
Sir ature of C ant era s Atithorized Official
A
-actor's uthorized Official flat
Name and Title of( onu at
Page 37 o1753
DISCLOSURE OF LOBBYING ACTIVITIES 4proved by OMB
Complete this form to disdose lobbying activities pursuant to 31 U S,C 1352 0348-OW
..........
r
TjPW'off-��deral burden disdosu
1. Action: 2. Status of Federal Action: 3, Report Type:
Ela, contract ED� p bid/offer/aprication 13 a initial filing
b grant . initial award b material cbange
c- cooperative agreement c post-award For Material Change Only:
d loan year quarter
9 loan guarantee date of last report
f, loan
-i.",-,-N-a,me—an-d—Address,-of Reporting Entity: µ 5.If Reporting Entity in No.4 is a Subawardee,Enter Name
PMW Subwowdee and Address of Prime:
Tier �f
— Congressional district;if Con ressio
�6.Federal rtrrrentfA ency- 7.Federal Program NameMescription:
CFDA Number, if
/..........
3. Federal Action Number,if kaaW 9.Award Amount,if k7qgn'
10.a.Name and Address of Lobbying Registrant b.Individuals Performing Services(inchiding address if
(�f end wrrfr�et sat name t Warne different from No. 10p.1
(lost name,6
�W
W...........
...................
...........................
.........................
p
W, M "p,
,/V/ 'q 11.
Signaturw
p�
'152 The darkwoft 4 MWOM9&Mh**M 1 4 11wo4d"Pte""ramw at hd �,M, �a L�,g/
uz,
*M WhW%fflftr�e4*pWad by to 4W&&M WMM 64 VWM*~Wft mom
rhos Print Name Y,.................
W wftfad A& Is MqWr*d AMOKA It US C 13U T�k
ftnA~*Q bo rap mW b so C'09"M OWW."-*and Wo W WON"to
OW W hVAdjt& "parson*ft W*.V so me-#*M dwMa-6"to Tit1w
WA$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 I"01-11-1 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 filing,pursuant to title 31
U.S.C.section 1352.'The filing of fbrrn is required for each payment or agreement to make payment to any
lobbying entity for influencing or attempting to nillucrice an officer or employee of`any agency,a Member of'
('(.)tigress,all 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 inforillatioll.
1. 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.
2. Identify tile status of the covered Federal action.
3, Identify the appropriate classification ofthis report, It"this is a 1`0110W LIP report caused by a material change
to the information previously reported,enter the year and quarter in which the change occurred.Enter the(late
ofthe last previously submitted report by this reporting entity for this covered Federal action.
4. E'riter the full name,address,city, State and zip code of the reporting entity. Include Congressional District, if
known. Check the appropriate classification oi'the reporting entity that designates if it is, or expects to be, a
prime or SUbaward recipient. Identify the tier of tic subawardee,e.g.,the first subawardee of the prime is tile
1st tier. Subawards include but are riot limited to subcontracts, subgrants and contract awards under grants.
5. If the organization filing the report in item 4 checks "Subawardee,"then enter the full name, address, city,
State and zip code of the prime Federal recipient. Include Congressional District, irknown.
6. Enter the name of the Federal agency making the award or loan commitment Include at least one organizational
level below agency narne,if known.For example, Department of Transportation, United States(-`oast Guard,
7. Enter the Federal program narne or description for the covered Federal action(itern 1).It'known,enter the full
Catalog of Federal Domestic Assistance(CTDA)number for grants,cooperative agreements,loans,arld Iciall
committrients.
S. Enter tile most appropriate Federal identifying number available Im- the Federal action identified in itern I
(e.g., Request for Proposal (RFF`) number; Invitation for Bid (IFB) number; grant announcement number;
the contract, grant, of-loan award number; the application/proposal control munber assigned by the Federal
agency). Include prefixes, e.g., "RF'P-DF-90-001,"
9. For a covered Federal action where there has been all award or loan commitment by the Federal agency,enter
the Federal amount of the award/loan confunifirrent for the prime entity identified in item 4 or 5.
10.(a)F"Inter the full narric,address,city, State and zip code of the lobbying registrant Linder 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 marries oCthe individual(s)performing services,and include full address ii'different from
10(a). Enter Last Name,First Name,and Middle Initial (MI).
I I.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 ofinfOlIffilti011 Unless it displays as
valid ON113 Control Number.I lie valid OMB control lairliber tor this infiorniation collection is(A113 No.0349-0040.public reporting hUrdell for
this collection ol'infiornialion is estirnated to average 10 nnnutCS per response,iflClUding,linic for reviewing,instructions,searching existing data
sources,gathering and maintaining the data needed,and completing and reviewing dic collection of information.Send connnents regarding the
burden estiniatc or any other aspect ofthis collection of int,61.1-nati011,including suggestions for reducing this burden,to the()IFfice of Management
and Budget,Paperwork Reduction project(0348-0046),Washington,DG 20503,
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 Linder 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 arc 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 cornmence 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 Conti-actor 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 Conti-actor'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 ofthirty(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 $100,0001$500,0001$100,000
Bodily Injury by Accident/Bodily
lr�jl.iry by Disease, policy hinits/Bodily
InJury by Disease each employee
General Liability $200,000 per Person
$300,000 per Occurrence
$200,000 Property Damage
or
$300,000 Combined Single Limit
Vehicle $200,000 per Person
(Owned, non-owned, and hired vehicles) $300,000 per Occurrence
$200,000 Property Damage
or
$300,000 Combined Single Limit
Builders Risk Not Required
Construction Bond Not Required
The Monroe County Board of County Commissioners, its employees and officials, 11.00 Simonton
Street, Key West, Florida 33040, shall be named as Certificate Holder 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 fi-orn
and against (i) any claims, actions or causes of action, (i]) 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 ornission 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 firnitation of liability under this
Page 42 of 53
contract shall be equal to the dollar value of the contract and not less than $1 million per occurrence
Pursuant to Section 725.06, Florida Statutes. The limits of liability shall be as set forth in the
insurance requirements included in Paragraph 3.0. 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.
United States Department of the Treasury Indemnification
To the fullest extent permitted by law,the Contractor shall indernnify 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
'ontractor 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 ffill
with all of the requirements herein. I ftilly accept the indemnification and hold harmless and duty
to defend as set out in this proposal.
(AI�., IAL
PROPOSER atur 4gn e
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
A' 07123/2024 Y)
CERTIFICATE OF LIABILITY INSURANCE DAT123/ 024
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 =ACT Automatic Data Processing Insurance Agency,Inc.
Automatic Data Processing Insurance Agency,Inc. "
PHONE1-800 524-7024
ADORL
1 Adp Boulevard INSURER(B)AFFORDING COVERAGE NAIC#
Roseland NJ 07068 INSURER A: 0usinessFiry Insurance Company 11697
INSURED Mike's Painting&Repair Inc INSURER 8
INSURER C
19 Beachwood Dr INSURER 0.
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 CON rRACI 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.
L pdL �- tY�a*P'T LinnlTs
TYPE OF INSURANCE POLICY NUMBER M"D(YYYY
COMMERCIAL GENERAL.LIABILITY EACH OCCURRENCE $
C AIMS-MADE OCCUR
MAMAtaFTCI"M2C7GTFTT
O
.._. ..... .._ _....... .......-........ ...ED EXP(Anyone person)
PERSONAL&ADV INJURY $
.., PLIES PER GENERALAGGREGAIE $
POLICY E.LIMIT APP
LIES 1p
C.._. l. ..-. .... ....
LOC PRODUCTS COMP/OP ADD $
OTHER: $
AUTOMOBILE LIABILITY .fin $
- ANY AUTO �...�,.., r .,.(^y. d .... {...
OODILY IN 1.JURY'11(Per parson}
OWNED SCHEDULED ""`""" ODILYINJURY(Paraccident)
AUTOS ONLY AUTOS -._....._ _ ''...
HIRED �NON-OWNED 't° .-_. �.Z RfV E" 9$
.........AUTOS ONLY AUTOS ONLY
�.... 4.24 a -m -... _ _....-.. . .... _ _..
UMBRELLA LIAR _... OCCUR wm" ., EACH OCCURRENCE, $
EXCESS LIAR CLAIMS-MADE AGGREGATE $
DED RETENrION$
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY STATUTE ER
YIN
ANY E't" ARTNERIEXEICUTIVE F.L EArNACCIDENr
A .. . $ 1 00000p ....
OFICICERNEMSER EXCLUDEDT NIA N 0521-20417 02/06/2024 02/06/2025
..
ollandeftary
'Its"
_EMPLOYEE $ 1 000,000
a BCttIPtNCMI OF OPERATIONS below E.L DISEASE-POLICY LIMIT 0
1a1 RHt C�L DISEASE EA EMPL
... .,.IMIT $ 1.�t}O,dap
DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES ACORD 101,Additional Remarks Schedule,may be attached It 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
(D 1988-201 S ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
DATE no,YYYYI
CERTIFICATE OF LIABILITY INSURANCE 0660312024
THIS CERTIPICATE 18 ISSUED AS A MAT MR OF INFORN IATION ONLY AND CONFERS NO RIOHITS UPON THE CERTIFICATE HOLDERL THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAOE 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 CERTIIIICAT'E HOLDER.
an poUsy(la0 must Mlarra or
If SUBROGATION IS WAIVED,subject to the berms and condlUons Of Me polky,cartain policies may mqudrs an andomeni end. A ataterreeTN an
Ihle cattffbcats does not confor lyLft be lie hoMdse In bou of such
aRODUCBII LLaI P
Porter-Allan Company ffs, (306) -7006
6113 Southard Street y:Opnt
Trey Want FL 33040 ,a A: Sur lllylan Insunrnae Company
IMSUREO
Wks's Pa(ntdng Q Repair,Inc. la
19 Beachwood Drive O:
BJ9UItaR E
Key West FL 33040-9207
102710813 Mme MOM
THIS IS TO CERYWY THAT THE POLICIES OF(INSURANCE UMOSELOWNAVS I TO THE 14SURE0 NAUEOASOVeFOR THE POLICY PERIOD
INDICATEb, 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,
EXCW89MAND CONINTIONS OF SUCH POUCIS&UJINTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
rYPB OF INSURANCE vAmmialm r.0 mucyMygmUINTS
EIIMCtJIU 11000,000
n F
CLAIMS.NADE 5-4 OCCUR t00,000
Ku I 5,000
A Y Y 3398193969 1012512023 10125J2024 Y 11000,000
UOTAPPT BPFR Z000,000
POUCYC°T LOC S 2,000,000
s
AUTOMOBILE LABILITY ;
ANY AUTO BODILY INJURY(flaw eaman) S
OvINED SCHEDULED BCXriLY INJURY IPwaaddaPli '.S ,............,....,..,..
HIRED NON-OWNED AUTOS ONLY AUTOS S "`"""""-'•"`"
AUTOS ONLY AUTOS ONLY
UMBRELLA WB 77M*K;U!�
R9xcLIMA S I LAB r A E
YWRMM UAWUYV N �7.24.24
YJN
ANY PROPMETOWPARTNER/E%ECUTIVE X E.L, HAC I
'OFFICERJMENOEREXCI.UDEO^ ® NIAJ WAW
;Mandallary In NHI
B umtar
t L YIT
OF OPERATIONS/LOCATIONS I VENkCLE$(ACORD"I.Addalonal Rrmarka aehaduN,may be eaaohad II more spaaa is requeed)
PAINTING AND DECORATING
CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED AS RESPECT TO THE GENERAL LIABILITY
SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ACCORDANCE
EXPIRATION OATS TH0110F.NOTICE WILL BE OQLIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
1100 SIMONTON STREET
KEY WEST FL 33040
I r=4f& N
SI y RATVK AB dqfft merved.
ACORD 2S(2016J03) The ACORD na,m and logo are reglebered merle of ACORD
DATE(MM/DDIYYYY)
�~ CERTIFICATE OF LIABILITY INSURANCE 0„24/2024
__..._...... _............M_._M.._....._. 0 _.__ ___.._.._._._ _.._,._____...w__......_.___..___.._....___ ._...___. __._.._w. w_.._.. _.._ ___.__ _.._.__.._.. ... w
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 anD 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 endorsements, _......,..,_.. _.... ._,.w_...,._.,
..PRODUCER CONTACT
AYC N Prcu re8 wve 0 eaTlrmBrxa XaE„fines C u ID er ervrc udecU
The Porter Allen COmpanInc,In , an,d @nt
_ .FAX
513 SOUTHARD aT,KEY WEST,FL,33040 PHONE „EaI,,,1• R44.44 .. a.._
E MAIL ra resslvttCclaroaaYterr8a9 ec!!!a r rsssive.com
At7A2SS ..._n ..._.___,__._..__._..
INSURER(S)AFFORDING COVERAGE NAIC#
_.. __.___..,_ ___w._._.
INSURERA: wro ressive Excess Msuranre C"cam any...._.__..w.w �O,i E 3 '..
INSURED �......- _,. __
INSURER B
MIKE'S FAINTING&REPAIR INC _ ............
19 BEECHWCOOD DR
KEY WEST,FL 33040-00GO INSURER D
INSURER E
tNSURER F
COVERAGES CERTIFICATE NUMBER: 334851993008342506DO72424T000615 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES O= INSURANCE LISPED 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
ISR ,
_. w___._.......... .._...__... A DDL SUB_. . __._...... POLI C C Y EF_1EFF...M POL..,...,....._CW EXP...... ..,_,..., _.__.........._ _ .._ ..._� ._....._
L
TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYYI MMtOD/YYYY) LIMITS..
.. ......_ .........._.....,._..........w.m......_.......____.................. ..........,........ _ ___ __.._____.....,_._..,.._... .......______ ..._._„_..,.,.,....,,....._... ..,...._ ..........�..,___mn.....,..,......... .,...._. ._..... ......�,..,...,
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _
CLAIMS MADE.El OCCJR
M8D EXP rr une erscm �.
PERSCINAL&ADV INJURY
..___d_m______.. ......._..,...._.....__GENT A(,CREGATELIMITAPPLIESPER GENERAL AUURFUATE p _.
7 PRO- p� PRODUCTS COMP/OF A4 U
POLICY 'f C f P LOC .. ..__............... ............_'___W...._ ._.._...m_.....n............ .._..
�C)THEE2: ..
AUTOMOBILE LIABILITY OMEINIED SINGLE LE'LIMIT i g3[!0,
.,�c1_,�...._... ...__.... .................�.
ANY AUTO HOf.)ILY INJURY Per�ersvi"t,�..v
OWNED SOHEDUI.,ED N d:§BY9 B'147 1,".f1t'SlCf7a?a t'<r1fit�±IJ`�" �...���. . .�.._�....�AUTOS ONLY X AU'COS BODILY I%URY Peraccident
RJLTC)D,'CINLY X AJTOOWC.INEDX acrw�I 5-..____._.....
.._.._,..... ..,.................._.....,._...... ..W........__._...._____._.....__..
UMBRELLA LIAR OCCUR � ' EACH OCCURRENCE $
EXCESS LIAR CLAWS-MADE .„, AGGREGATE
I
WORKERS COMPENSATION 7.24.24
H.
AND EMPLOYERS"LABILITY YIN �I -
ANYPROPRIFTOR/PAR'TNER/EXECUTIVE '
OFRCER�I'MEM9SEREXC'LUOEDT k _EL EACH ACCIDENT $
(M Is INN) E, DISEASE,_EA EMPLOYEE
If yes,defier be under
..._. DESCRIPTION OF OPERATIONS,IaRrSsy,w. .__. m.._ _. _....._.__.M...___._..,.............„.,..... ..m.....w....._.. ._._..�. E.L.DISEASE_POLICY LIMIT "&._..,.,.,.....
__w._,..M.�..�,..,..
.See ACORD 101 for addrional coverage details $
A Y' N 03888147 12/16t2023 121"6/2024
�..__.._. .'-`-_.."'---......._ ..,.. ........__�......_. .........._w ............ ... ....,._.., ....._.,....,. ..._,_...,.,.,,.,_..... ..._.,..._...._.,_..._.,._._. ___..._....,_..._.. .............._.....____.__..__.,__,,,......_„__._.......__._..._„........_....,....,,....,__............
DESCRIPTION OF OPERATIONS I LOCATIONS/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 BOCC ACCORDANCE WITH THE POLICY PROVISIONS.
1100 SIMONTON S
KEY WEST,FL 33040-0000 _._ _ �. _..,..__......_.._.,....._.......__ _..__w.......__...._....
AUTHORIZED REPRESENTATIVE '�II
Oq 1988-2015 ACORD CORPORATION, All rights reserved.
ACORD 25(2016/031 The ACORD name and l000 are reoistered marks of ACORD
AGENCY CUSTOMER ID: _ .___,,,.,.„__.._._ ....,.
LOC#: ._ _
ACC>R& ADDITIONAL REMARKS SCHEDULE
Page 1__- of._.l_..
.AGENCY NAMED INSURED
I'I The Porter Allen Company,Inc, MIKE'S PAINTING&REPAIR INC
POLICYNUMBEstM.._._. _,.__.__w._._---w_. ._.__.. _..............._W.,_. __..,m,._...,_,...,m_.._w__... 19 BEECHWOOD DR
KEY WEST',FL 33040-0000
038A£i 141
'CARRIER
Progresswe Express Insurance Company 10193 EFFECTIVE DATE t2116/2023_..,.__ __.w., _.�._._,_ _....... ,..
ADDITIONAL REMARKS_
�THIS ADDITIONAL REMARKS FORM
........._....... .._... ..,..... _..._.._..,,.,.M_.,_„u...,..__.,...�..._,_...,,w........W.,._.___,... .w..�w......,,_ .....___._,.�.._..., ..,�..._..�. ..... _. ...._.....�._...
S A SCHEDULE TO ACORD FORM,
FORM NUMBER: _Z ._.__... FORM TITLE; Certificate of Liabilik insurance
_M._.._..__.w�. _�.__ _.___._._..... __ _....._._.._......
Additional Coverages
Insurance coverage(s)
. ..� Limits
Personal Personal injury Protection
.. .. ..
$10,000 wt$(7 Ded-Named Insured Only
.Uninsured Motorist-Nonstacked� � $300 00� 0 Combined Sin g� � . ne . . gI
d le Limit
Liability coverage may not apply to all scheduled vehicles.
Additional Information
Certificate holder is listed as an Additional Insured,
ACORD 101 (2008/01) N _ . ... ...__ __.____.._.._ CC72008 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
(A I B ApproNed\o 1505-0271
Fxplrataill I katc! I 1 30 2021
S I)f,,PA 10%1 FN I ()I F 111 t, I k I"M,R
C()R(A \VI M S S I k IT A's 1)H)CAI F NCAI RFC(NFRY Ft\I)S
kecipicnt name and addrcss IA \S Nunitm 0738707i'7
Monroe Count% Board ofCommisstoners Ta.\payer Identification Mimbet'. 590000749
1100 Stmonron Street, Room 2-2 13 ksststance L isting\mribcr and Title 21 027
Kc\ % CA I lonch I'm4o
Sections o02(h)and 603(b)of the Scrotal Secunt� %ct(the Act)as added bls Seell0l)9901 Oftk �ITIMCan ReSCLIC Nall Act.,PUb-I
`so, 117-2(Marcli 11,202 1)authorizes the Depmurient oftlic TreasurN (Treasur\')to make paNtrients to ceflain recipients from the
ContnavwIts State I v'caf keCmer\ huld and the Coroltavmv;Local I`iscal kccowm I luld
Recipients hereby aorees,as a condifimi to receiving such pakinent from I reasury agrees to the terrns attached hereto
Rk cjplent
D�,gbll,si,ned an Tina Boan
Date 2022 08 02 09 11,02
Tinca Bo^ n -04'00'
'I ina Boan
Authorized RvpircsentatlNe'I ale. Senior L)wector Budget&I'mance
Date'Sloud
t S, Depamwnt of the I reasur%
lollhon/ed Repvc sell ta uve Srgnalruc(abo%i"1
Jacob LclbeIlltrtl
Wthol l/i!d kepres,c,nwnvc J We (litel Rec(.)\erN (fflker, )fficc of'Reco%erc ProVums
Date Si,med Ma\ 14 ?0')1
IT WA 0 f,!1, RI'M ('�10' 47' 0 I-Itlr.
The H he o"'d Irq the d S lcquoms k,r wproqi, the o,mmud Kaden aswcwted'Idi tNs wkocti'ml of
nl"Fmatwn is[i;ininutes pe re,�pon�;e ('kwiment,Yokworntrig ttic ki cc if ac,r of 0i is burdei i esti In ate ax i d S U fil L!eSt 1061S r0y I eI AUC M,'th i hUr den 0i ou I d Iv d ii ected
to the Of'fice Tuinwmem—an,l Records,Department ofthe rreasul, 1 50oO Penivo,kayiia ,,v W,Washington,D C' 20220 DO'IOT seguj the
k,m)to 0"','Jdkhe s .'r 3�)Ow" MA"110I f s,qmmlsof'aid A f"!FS""IS MIot wq(merl C"roijiomf to .a c,Alecw m fuilcimation wd�!ss it displa-,S a e and
co'ltrol mrwbe'ass'IkTled ill: (),At
Page 48 of 53
U.S.DEPARI'ME'NI'OF IIIE I'REASURY
CORONAVIRUS STAI'F,FISCAL REC(ATFRY FUND
AWARD TFRMS ANT)C0N-DTTK.)\S
I
a. Recipient understands and agrees that the funds disbursed under this award may only be used in compliance with sections
602(c)and 603(c)of the Social Security Act(the Act)and'freasury's regulations implementing that section and guidance.
b. Recipient will deterraine prior to engaging in any project using this assistance that it has the institutional,managerial,and
financial capability to ensure proper planning,management,and completion of such project.
2.Period of Performance. The period cat performance for this award begins on the date hereof and ends on]December 31,2026.As
set forth in Treasury's implementing regulations,Recipient may use award funds to cover eligible costs incurred during the period
that begins on March 3,2021 and ends on F)ecem her 31,2024.
3.Rej)ortmg,Recipient agrees to comply with any reporting obligations established by T'reasury,as it relates to this award.
4.Maintenance ol'and Access tQ Records
a. Recipient shall maintain records and financial documents sufficient to evidence compliance with sections 602(c)and
603(c),'freasury's regulations implementing those sections,and guidance regarding the eligible uses of funds.
b. 'The Treasury Office of frispector General and the G overnment Accountability Office,or their authorized representatives,
shall have the right of access to records(electronic and otherwise)of Recipient in order to conduct audits or other
investigations.
c. Records shall lie maintained by Recipient fora period of five(5)years after all funds have been expended or returned to
'Treasury,whichever is later,
5.Pre-award Costs. Pre-award costs,as defined in 2 CYIZ, §200,458,may not be paid with funding from this award.
6,Administrative Costs, Recipient may use,funds provided under this award to cover both direct.and indirect costs.
7,Cost ShaLil-W.(Post sharing or matching funds are not,required to be provided by Recipient.
8 Conflicts of Interest Recipient understands and agrees it must maintain a conflict of interest policy consistent with 2 §
200.318(c)and that such conflict of interest policy is applicable to Cacti.activity funded under this award.Recipient and
subrecipients must disclose in writing to freasury 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,
9,Compliance with Applicable Law,aid Regulations.
- by"treasury
a. Recipient agrees to comply with the requirements of'sections 0)2 and 603 of Act,regulations adopted
pursuant to sections 602(f)and 603(f)of the Act,and guidance issued by Treasury'regarding the foregoing.Recipient also
agrees to comply with all other applicable federal statutes,regulations,and executive orders,and Recipient shall provide for
Such compliance by other parties in any agreements it enters into with other parties relating to this;sward.
b. Federal regulations applicable to this award itICILILle,without limitation,the following:
r 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 he otherwise provided by Treasury. Subpart F Audit Requirements of the 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.
fii. Reporting Subaward and Executive Compensation Informatiorc, 2 C.F.R.Part 170,pursuant to which the award term
set forth in Appendix A to 2(1..F.R. Part 170 is hereby incorporated by reference.
iv. OMB Guidelines to Agencies on Governmentwide Del-,)arment and SusTrision(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 CYR. Part 180 and Treasury's
implementing regulation at 31 C.F,R Part 19,
Page 49 of 53
v. Recipient Integrity and Perfortriance Matters,pursuant to which the award teen set forth in 2 C F.R Part 200,
Appendix XII to Part 200 is hereby incorporated by reference.
vi. (jovernmentwide Requirements for Drug-Free,Workplace,31 C Y R�Pall 20,
vas. 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. (Jenerafly applicable federal environmental laws and regulations.
c. Statutes and regulations prohibiting discrimination applicable to this award,include,without limitation,the following:
i, Title V1 of the Civil]Rights Act of 1964(42 US.("'. §§2000d et seq.)and Treasury's implementing regulations at 31
C F.R.Part 22,which prohibit discrimination on the basis of race,color,or national origin under programs or
activities receiving federal financial assistance;
ii, The Fair Bousing Act,Title VfJI of the(".'ivil Rights Act of'1968(42 1J.&C. §§3601 ct seq.),which prohibits
discrimination in housing on the basis of race,color,:religion,national origin,sex,familial status,or disability,
iii. Section 504 of the Rehabilitation Act of 1973,as amended(29 U.S.C. §794),which prohibits discrimination on the
basis of disability under-any program or activity receiving federal financial assistance;
iv. The Age Discrimination Act of 1975,as amended(42 U S.0 §§6101 et seq.),and Treasury's implementing
regulations at 31 C.F.R.Part 23,which prohibit discrimination on the basis of age in programs or activities
receiving federal financial assistance;and
v. Title 11 of the Americans with Disabilities Act of 1990,as arnended(42 U,&('. §§ 12101 et seq.),which prohibits
discrimination on the basis of disability under programs,activities,and services provided or made available by state
and local government,;or inSITUnientalities or agencies thereto.
10,Remedial Actions. In the event of Recipient's noncompliance with sections 602and 603 of the Act,other applicable laws,
Treasury's implementing regulations,guidance,or any rel-x)rting or other program requirements,Treasury may impose additional
conditions on the receipt of subsequent tranche of uture award funds,if any,or take otheravadable remedies as set forth in 2
(-,F,R. §200.339.In the case of'a violation of sections 6(-.12(c)or 603(c)of the Act regarding the use of funds,previous payments
shall be subject to recoupment as provided in sections 602(e)and 0)3(e)of the Act.
I I [latch Act Recipient agrees to comply,as applicable,with requirements of the Hatch Act(5 1 T S C. §§ 1501-1508 and
7324-7328),which limit certain political activities ofStatc or local government employees whose principal employment is in
connection with an activity financed in whole or in part by this federal assistance.
12,False Statements,Recipient understands that making false statements or clamns in connection with this award is a violation of
federal law and may result in criminal,civil,or administrative sanctions,including fines,imprisonment,civil charnages and
penalties,debarment from participating in federal awards or contracts,andlor any other remedy available by law.
13 publications.Any publications produced with funds from this award MUSL display the following language:"This project[is
being] [was]supported,in whole or in part,by federal award number[enter project FAIN]awarded to Monroe County Board of
(I
'.onimissioners by the 1,11S. Department of theTreasury
14 D,i s�Ow Ow- the Federal GoyenmuL
a, Any funds paid,to Recipient(1)in excess of the amount to which Recipient is finally determined to he authorized to retain
under the terms of this award;(2)that are determined by the TMISUT-y Office offrispector 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(e)of the
Act and]rave not been repaid by Recipient shall constitute a debt to the federal government,
b. 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 specified in Treasury's initial written demand lor payment,unless other satisfactory arrangements
have been made or if the Recipient knowingly or improperly retains funds that are a debt as defined in paragraph 14(a).
Treasury will take any actions available to it to collect such a debt.
Page 50 of 53
15 Discinimer.
a. 'Elie Ulnited 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 in any way from the performance of this award or any contract,
or subcontract Linder this award.
b. The acceptance of this award by Recipient does not in any way establish an agency relationship between the United States
and Recipient,
16.Protections f<a �rhistlehlowers.
a, In accordance with 41 I.T.S.C. §4712,Recipient 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 ot'gross mismanagement of 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:
i. A member of Congress or a representative of a committee of Congress;
ii. An Inspector Genera%
iii. The Government,Accountability Office;
iv. AT'reasury 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
via A management official or other employee of Recipient,contractor,or subcontractor who has the responsibility to
investigate,discover,or address misconduct.
c. Recipient shall inform its employees in writing of the rights and remedies provided wider this section,in the,predominant
native language of the workforce.
17.IDcreasma Seat Belt Use in the United States.Pursuant to H,xecutive Order 13043,62 FR 19217(Apr. 18, 1997),Recipient
should encourage its contractor,,,to adopt and enforce on-the-job seat belt policies and programs for their employees when
operating company-owned,rented oi-personally owned vehicles.
18. Reducing'Text Messaging While Driving Pursuant to LXeCUtiVe Order 13513,74 ER 51225(Oct. 6,2009),Recipient should
encourage 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 of 53
C 7M13 Approved No. 1505-0271
Exprration Date 11/30r2021.
ASSUIRANCE 01"C',O PLIAi" CE WITH CIVIL RIGHTS REQ 1121^MENJ'S
ASSURANCE,OF COMPLIANCE WITH TITLE'VT OFa TILE
CIVIL,RIGHTS AC,T OF 1964
As a condition of receipt of federal financial assistance;from the Department of the'Treasury,the. Monroe County hoard of
Commissioners(hereinafter referred to as"the Recipient")provides the assurances stated herein The federal financial assistance
y p 1 ,the use or rent of Federal land
tatua include federal grants,Fraarts toad contracts to rcavrele assistance to tkrc recipient's lreraefiriaries,
or property at below market value,federal training,a loan of Federal personnel,Subsidies,and other arrangements with the
intention of providing,assistance.Federal financial assistance ckoes not encompass contracts of guiarantee or insurance,regulated
programs,licenses,procurement contracts by the Federal government at market value,or programs thatprovide direct benefits.
Phis assurance applies to all 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 1987 provides that.the provisions of this assurance apply to all of the recipient's programs,
services and activities;,so long as any portion of the recipient's programs)is federally assisted in the manner proscribed above.
1. Recipient ensures its current and future compliance with Title VI of the C_'ivi.l Rights Act of 1964,as amended,which
prohibits exclusion from participation,denial of the benefits of,or subiection 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.0 4 2000d et sect.),as implemented by the Department of the Treasury Title\11 regulations at 31 C'F"R Fart 22 and
other pertinent executive orders such as Executive C)rder 1.31661 directives;circulars;policies,memoranda and/or guidance
documents.
2. Recipient acknowledges that Executive Order 1.31E6,"Improving Access to Services for Persons with L naited English
Proficiency,"seeks to improve access to federally assisted Programs and activities for individuals who,because,of national
origin,have Limited English proficiency(LEf) Recipient understands that denying a person access to its programs,
services,and activities because of LEP is a form of national origin discrimination prohibited under Title VI of the Civil
Rights Act of 1964 and the Department of the'Treasury's implementing regulations.Accordingly,Recipient shall initiate
reasonable steps,or comply with the i7epartment,of the Treasury's directives,to ensure that LEP persons have meaningful
access;to its programs,services,and activities.Recipient understand:;and agrees that meaningful access may entail
providing language assistance services,including aural 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 LEP
guidance at.70 FR 6067 For more information on LEP,please visit , n✓lgy
4. Recipient acknowledges and agrees that compliance with this assurance constitutes a condition of continued receipt of
federal financial assistance and is'binding upon.Recipient and Recipient's successors,transferees and assignees for the
period in which such assistance is provided.
5 Recipient acknowledges and agrees that it must require any sub-grantees,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 Title VI and its regulations between the recipient and the Recipient's sub-grantees,
contractors,subcontractors,successors,transferee's,and assignees:
The sub-grantee, contractor,subcontractor,successor, tran.yferee,and assignee shall comply with Title 1/7 of"t)'ne
Civil.l2ights act ol'19d4, avhich pacalaibit5:a�ecipients ot/'ederal firraracial asyistance jY«rra exc£tiding,from a proyr•ani
or activity, ckarving benefit of,'or otheraarase discrinanating against a person on the basis of race, color, or
ntrtiunal or-agiii(42(.:1.b.C'§2000d et seq.), as implemented by the Departirsent of the Treasury'S Title H
re,gulations, 31 C`TR hart 22, rovhic•h are he+i-ctin inccirpvrated by a°efcr�ence and anadL a part rif this contract('e)r
agreeaent). Title 17 coinO incltides protection to pe)a� iis whiz "Limitedl.ia,glisli P),,7ficieaacy,"iar away program oar
activity receiving fE�deaal naazcia£as,vistcance, 42 tl S.C:.§2001.1d ei seq.,as implemented by the Department gfthe
T"rea.rairyr's Tale 117 neguhnians, 31 Chit Part 22, and herein incorporal dby reference and made apart rif this
contract or agreement
Ci. Recipient understands and agrees that if any real property or structire is provided or improved with the aid of federal
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 for a purpose for which the federal
financialassistance is extended or for another purpose involving the provision of similar service's or benefits,If any
Page 52 of 53
personal property is provided,this assurance obligates the Recipient for the period(luring which it retains ownership or
possession of the property;
7 recipient shall cooperate in any enforcement or compliance review activities by the Department of the.Treasury of the
aforementioned obligations.Enforcement may include investigation,arbitration„medication,litigation,and monitoring of
any settlement agreements that may result from these actions That is,the.Recipient shall comply with information requests„
on-site compliance reviews,and reporting requirements.
ti. Recipient shall maintain a complaint log and inform the Department of the Treasury of any complaints of discrimination on
the grounds of race,color,or nation l origin,and limited English proficiency covered by Title VI of the(7,ivil Rights Act of
1964 and implementing regulations and provide,upon request,a list of all such reviews or proceedings based on the
complaint,pending or completed,including outcome.Recipient also must inform the Department of the Treasury if
Recipient has received no complaints under'title VI..
9 Recipient must provide documenuition of an administrative agency's or court's findings of noan-compliance of'Title VI and
efforts to address the non-compliance,including any voluntary compliance or other agreements between the Recipient and
the administrative agency that made the finding.If the Recipient settles a case or matter alleging such discrimination,the
Recipient must provide docunientation of the settlement.If Recipient has not been the subject of any court or administrative
agency finding of discrimination,please so state.
10. If the Recipient makes sub-awards to other agencies or other entities,the Recipient is responsible for ensuring that.
sub-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 cavil rights compliance of sub-recipients.
The United.States of A nerica has the right to seek judicial enforcement of the terms of this assurances document
and nothing in this document alters Or limit-,the federal enforcement measures that theUnited States may take in order to
address violations of this document,or applicable federal law.
Under penalty of perjury,the undersigned official(s)certifies that he/she has read and understood its obligations as
herein described,that any information submitted in conjunction with this assurance doctun ent is accurate and complete,and
hat the Reci ' nt is an cot plia we.with the aforementioned nondiscrimination requirements.
7-A24-
Rea lieiit ' Date
Tina Boars
Signature of Authorized Official:
l'APL^'I2'drORK RE.DUCTION ACT NOTICE,
The information collected will be used for the U.S.Governrrtent to process requests fbi supfx ri,The estimated burden associated with this collection of
infoaanation is 15 mitnttes per response.Cotnnneays concemhng tine accuracy of this burden estimate and suggestions for reducing,this burden should be directed
to the Office of privacy,Traanstwency earl Records,Depattanent of tire Treasw,y, 1500 Pennsylvania Ave..N.W.,Washtixngtorr,D.C.20220' DO NOT send the
form to this address.An agency may not conduct or:pomor,and a peason Ls not regaured to respond to,as collection of infotination it displays a valid
control number assigned nay t)Mfa.
Page 53 of 53
ATTACHMENT B
MIKE'S PAINTING & REPAIR, INC. BID FOR
LESTER BUILDING - EXTERIOR PAINTING
d ♦v. IK E * S
19 Beechwood Drive 305-745-4513
Key West, FL 33040 Licenses: City 3426 County SP 3929
PROPOSAL.
July 4, 2024
William Desantis
Director of Facilities Maintenance
esa_rit.is- ulluam c :,r,��onr ounty..fR. o
RE: Lester Building
Work Proposed: Complete building will be power washed, caulked, spackled and
repaired as needed. Concrete portion of building will be painted with two coats of
Sherwin Williams Loxon XP. Colors will be matched to existing building colors.
Labor & Materials $55,000.00
ATTACHMENT C
ADDITIONAL BID
ALVIN AND THE PAINTERS BID FOR
LESTER BUILDING - EXTERIOR PAINTING
Hulllp ° I
ESTIMATE
William Desantis
Director of Facilities Maintenance
Desantis-william@monroecounty-fl.gov
Proposal: 530 Whitehead
Exterior of complete building will be prepared and painted with Sherwin Williams
Super Paint.
Labor & Materials $59,500.00
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