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09/16/2024 Agreement Monroe County Purchasing Policy and Procedures ATTACHMENT D.5 COUNTY ADMINISTRATOR CONTRACT SUMMARY FORM FOR CONTRACTS $100,000,00 and Under Contract with- GARCON Construction, fj Contract 4 Effective Date: 09,110/2024 Expiration Date: 09/ 0/2024 Contract Purpose/Description: Repair spalling at the Old Plantation Key Courthouse, Contract is Original Agreement Contract Amendment/Extension Renewal Contract Manager: Wendy Carter 786-929-5657 Project Management CONTRACT COSTS Total Dollar Value of Contract: $ 68,427.00 Current Year Portion: $ 81427.00 (must be$100,000.00 or less) (If multiyear agreement then requires BOCC approval,unless the gos�fl .Daeo koa ,vr,aladlN Ld E'd00,000 00 or Budgeted? Yes❑■ No ❑ Grant: $ County Match: $ Fund/Cost Center/Spend Category: 001-22001-00036 ADDITIONAL COSTS Estimated Ongoing Costs: $ /yr For: (Not included in dollar value above) (e.g. maintenance,utilities,janitorial, salaries,etc.) Insurance Required: YES 0 NO ❑ CONTRACT REVIEW Reviewer Date In Department Head Signature: Cary Vick Dag"a'"s4.09.3Y 93558- Date:20sig-d b g9:3B.58-04'00' Nathalia M. Archer Digitally slgoed by Nathalia M.Archer County Attorney Signature: Date 2024.09.1314 5803-0400 Risk Management Signature: ` -"'' - • t. "" ��° lbrcu Purchasing Signature: Lisa Abreu Digitally 20240913y Lisa 07-0 Date:zozasa 1315 ss m-oa ss John Quinn Digitally signed by John Oulnn OMB Signature: Date:2024.0913 16:09:30-04•00• Comments: Revised BOCC 4/19/2023 Page 84 of 105 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS REQUEST FOR SERVICES FOR PLANTATION KEY OLD COURTHOUSE SPALLING REPAIR NON-MANDATORY/ Pre-bid Job Walk for the PLANTATION KEY OLD COURTHOUSE SPALLING REPAIR, shall be held at the jobsite: 88770 Overseas Hwy., Plantation Key, FL, on Wednesday, September 4, 2024 at 9:30 am u z iiihh l BOARD OF COUNTY COMMISSIONERS Mayor Holly Merrill Raschein, District 5 Mayor Pro Tern James K. Scholl, District 3 Craig Cates, District 1 Michelle Lincoln, District 2 David Rice, District 4 ACTING COUNTY ADMINISTRATOR Kevin Wilson Clerk of the Circuit Court Interim Project Management Director Kevin Madok Cary Vick August 2024 PREPARED BY: Monroe County Project Management Page 1 of 46 Monroe County Project Management Date: 8/30/24 Scope of Work Spalling repair of eight (8) concrete columns and one (1) location on exterior wall of the Courthouse building as shown on the March 21, 2023, K2M Design report. See EXHIBIT "A". Repair criteria and specifications are provided on EXHIBIT "B". ALL work shall be completed no later than September 30, 2024 Job Name: PLANTATION KEY OLD COURTHOUSE SPALLING REPAIR Job Location: Monroe County Old Courthouse 88770 Overseas Highway Plantation Key, FL 33070 Contact: Project Management Wendy Carter Irteii ,, ir1dy,r i�°o rou a°c ac uu�u t ,,,,tll, av (786) 929-5657 Facilities Maintenance Willie DeSantis s ,g„n,�,G. ,:,° ii,Il„I[l.ai��inCu rnou�nroeco�.�ii°nt. ,,,,fl1. . oov (305) 797-1250 .......... ............ ............ ........................ ............ ............ ............ ............ ............ .............. .......... ............ ............. ..................... PROJECT OVERVIEW PROJECT INTENT AND SCOPE GENERAL REQUIREMENTS 1. Project Overview a. Spalling repair of eight (8) concrete columns and one (1) location on exterior wall of the Courthouse building as shown on the March 21, 2023, K2M Design report. See EXHIBIT "A". Repair criteria and specifications are provided on EXHIBIT "B". b. A non-mandatory job walk is scheduled for Wednesday, September 4, 2024, at 9:30 A.M. at the jobsite. All Quotes are due by Friday, September 6, 2024, 3:00 P.M. via email to Carter-Wendy@monroecounty-fl.gov. Page 2 of 46 2. Project Intent and Scope Scope of Work: Spalling repair of eight (8) concrete columns and one (1) location on exterior wall of the Courthouse building as shown on the March 21, 2023, K2M Design report. See EXHIBIT "A". Repair criteria and specifications are provided on EXHIBIT "B". The Contractor shall be responsible for furnishing and installing a complete spalling repair job as shown on the construction drawings and as described in this request for services and in the attached exhibits. Time is of the essence on this project and ALL work shall be completed no later than September 30, 2024. 3. Summary of General Requirements a. Contractor is required to provide protection for all existing surfaces, including but not limited to: i. Vehicles and Personal Property ii. Trees and Landscaping iii. Asphalt Road and walking asphalt sidewalks and any concrete sidewalks. iv. Buildings b. Contractor shall ensure that all non-exempt employees for this effort are compensated in accordance with all State and Local Laws. c. Contractor shall provide a dumpster, containment bin, or similar device for the collection and containment of construction generated debris. d. Contractor shall load, haul, and properly dispose of all construction debris and materials. e. Contractor shall provide and maintain appropriate (OSHA required) construction warning signs and barriers. f. Contractor shall furnish all required work site safety equipment. g. Contractor shall furnish and maintain on-site safety data sheets ("SDS") for all materials used in the construction. h. Construction work times shall be coordinated with the Project Manager and may extend outside the normal working hours which are 8:00 a.m. to 5:00 pm. i. All materials shall be approved by submittal prior to commencement of work. Page 3 of 46 j. Contractor shall provide a lump sum price by Friday, September 6, 2024, at 3:00 P.M. via email to Carter-Wendy@monroecounty-fl.gov. k. Contractor needs to be aware of weather and location and plan accordingly. I. Contractor needs to be aware of the facility, its residents, and staff with unusual schedules and plan accordingly. m. Contractor shall provide a safety lift plan for all crane/hoist work. n. Contractor shall provide schedules for all phases of the project. o. Contractor shall provide paper or electronic copies of all original device specifications, warranties, maintenance schedules, shop drawings, permits, repair and maintenance contacts, and any other information necessary for the proper function and maintenance of the equipment. p. Contractor shall coordinate all activities with concurrent site work being performed. q. By signing this agreement, the Undersigned has read and accepts the terms and conditions set forth by the Monroe County General Requirements for Construction, found at the following link on the Monroe County web page: http://fi-monroecounly.civicplus.com/Bids.aspx?CatlD=l r. Insurance Requirements: Workers' Compensation Statutory Limits Employers' Liability $100,000 Bodily Injury by Accident $500,000 Bodily Injury by Disease, policy limits $100,000 Bodily Injury by Disease each employee General Liability $200,000 per Person, $300,000 per Occurrence $200,000 Property Damage or $300,000 Combined Single Limit Vehicle $200,000 per Person (Owned, non-owned, and hired vehicles) $300,000 per Occurrence $200,000 Property Damage Page 4 of 46 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 polices. s. The Contractor shall be required to secure and pay for all permits required to perform the work. t. 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. u. INDEMNIFICATION, HOLD HARMLESS AND DEFENSE. Notwithstanding any minimum insurance requirements prescribed elsewhere in this agreement, Contractor shall defend, indemnify and hold the County and the County's elected and appointed officers and employees harmless from and against (i) any claims, actions or causes of action, (ii) any litigation, administrative proceedings, appellate proceedings, or other proceedings relating to any type of injury (including death), loss, damage, fine, penalty or business interruption, and (iii) any costs or expenses that may be asserted against, initiated with respect to, or sustained by, any indemnified party by reason of, or in connection with, (A) any activity of Contractor or any of its employees, agents, contractors or other invitees during the term of this Agreement, (B) the negligence or recklessness, intentional wrongful misconduct, errors or other wrongful act or omission of Contractor or any of its employees, agents, sub-contractors or other invitees, or (C) Contractor's default in respect of any of the obligations that it undertakes under the terms of this Agreement, except to the extent the claims, actions, causes of action, litigation, proceedings, costs or expenses arise from the intentional or sole negligent acts or omissions of the County or any of its employees, agents, contractors or invitees (other than Contractor). The monetary limitation of liability under this 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.r. 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, Page 5 of 46 this section will survive the expiration of the term of this Agreement or any earlier termination of this Agreement. In the event that the completion of the project (to include the work of others) is delayed or suspended as a result of the Contractor's failure to purchase or maintain the required insurance, the Contractor shall indemnify the County from any and all increased expenses resulting from such delay. Should any claims be asserted against the County by virtue of any deficiency or ambiguity in the plans and specifications provided by the Contractor, the Contractor agrees and warrants that the Contractor shall hold the County harmless and shall indemnify it from all losses occurring thereby and shall further defend any claim or action on the County's behalf. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this Agreement. 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 (County) Agency's sovereign immunity. v. NON-COLLUSION. By signing this proposal, the undersigned swears, according to law on his/her oath, and under penalty of perjury, that their firm executes this proposal with prices arrived at independently without collusion, consultation, communication, or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other bidder or with any competitor. Unless otherwise required by law, the prices which have been quoted in this proposal have not been knowingly disclosed by the proposer and will not knowingly be disclosed by the proposer prior to proposal opening, directly or indirectly, to any other proposer or to any competitor. No attempt has been made or will be made by the proposer to induce any other person, partnership or corporation to submit, or not to submit a proposal for the purpose of restricting competition. The statements contained in this paragraph are true and correct, and made with the full knowledge that Monroe County relies upon the truth of the statements contained in this paragraph in awarding contracts for this project. w. EMPLOYMENT OR RETENTION OF FORMER COUNTY OFFICERS OR EMPLOYEES. By signing this proposal, the undersigned warrants that he/she/it has not employed, retained or otherwise had act on his/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. Page 6 of 46 x. CODE OF ETHICS. County agrees that officers and employees of the County recognize and will be required to comply with the standards of conduct for public officers and employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to, solicitation or acceptance of gifts; doing business with one's agency; unauthorized compensation; misuse of public position, conflicting employment or contractual relationship, and disclosure or use of certain information. y. 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. ii. 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. iii. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (i). iv. In the statement specified in subsection (i), 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. v. 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. vi. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. ADDITIONAL CONTRACT PROVISIONS I. NONDISCRIMINATION/EQUAL EMPLOYMENT OPPORTUNITY. 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 or COUNTY agrees to comply with all Page 7 of 46 Federal and Florida statutes, and all local ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1) Title VII of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20 USC ss. 1681-1683, and 1685-1686), which 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 handicaps, 4) The Age Discrimination Act of 1975, as amended (42 USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92- 255), as amended, relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism, 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC ss. 690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC s. 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing, 9) The Americans with Disabilities Act of 1990 (42 USC s. 12101 Note), as may be amended from time to time, relating to nondiscrimination on the basis of disability; 10) Monroe County Code Chapter 14, Article II, which prohibits discrimination on the basis of race, color, sex, religion, national origin, ancestry, sexual orientation, gender identity or expression, familial status or age; 11) Any other nondiscrimination provisions in any Federal or state statutes which may apply to the parties to, or the subject matter of, this Agreement. During the performance of this Agreement, the CONTRACTOR, in accordance with Equal Employment Opportunity (30 Fed. Reg. 12319, 12935, 3 C.F.R. Part, 1964- 1965 Comp., p. 339), as amended by Executive Order 11375, Amending Executive Order 11246 Relating to Equal Employment Opportunity, and implementing regulations at 41C.F.R. Part 60 (Office of Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor). See 2 C.F.R. Part 200, Appendix II, ¶ C, agrees as follows: 1) The contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, or national origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their race, color, religion, sex, sexual orientation, gender identity, or national origin. Such action shall include, but not be limited to the following: Employment, upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation, and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. Page 8 of 46 2) The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. 3) The contractor will not discharge or in any other manner discriminate against any employee or applicant for employment because such employee or applicant has inquired about, discussed, or disclosed the compensation of the employee or applicant or another employee or applicant. This provision shall not apply to instances in which an employee who has access to the compensation information of other employees or applicants as a part of such employee's essential job functions discloses the compensation of such other employees or applicants to individuals who do not otherwise have access to such information, unless such disclosure is in response to a formal complaint or charge, in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or is consistent with the contractor's legal duty to furnish information. 4) The contractor will send to each labor union or representative of workers with which it has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representative of the contractor's commitments under this section, 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 administering 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 noncompliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, this contract may be canceled, terminated or suspended in whole or in part and the contractor may be declared ineligible for further Government contracts or federally assisted construction 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. Page 9 of 46 8) The Contractor will include the portion of the sentence immediately preceding paragraph (1) and the provisions 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 purchase order as the administering agency may direct as a means of enforcing such provisions, including sanctions for non-compliance; provided, however, that in the event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency, the contractor may request the United States to enter into such litigation to protect the interests of the United States. II. TERMINATION. a. In the event that the CONTRACTOR shall be found to be negligent in any aspect of service, the COUNTY shall have the right to terminate this agreement after five (5) days' written notification to the CONTRACTOR. b. Either of the parties hereto may cancel this Agreement without cause by giving the other party sixty (60) days' written notice of its intention to do so. c. Termination for Cause and Remedies: In the event of breach of any contract terms, the COUNTY retains the right to terminate this Agreement. The COUNTY may also terminate this agreement for cause with CONTRACTOR should CONTRACTOR fail to perform the covenants herein contained at the time and in the manner herein provided. In the event of such termination, prior to termination, the COUNTY shall provide CONTRACTOR with five (5) calendar days' notice and provide the CONTRACTOR with an opportunity to cure the breach that has occurred. If the breach is not cured, the Agreement will be terminated for cause. If the COUNTY terminates this Agreement with the CONTRACTOR, COUNTY shall pay CONTRACTOR the sum due the CONTRACTOR under this agreement prior to termination, unless the cost of completion to the COUNTY exceeds the funds remaining in the contract; however, the COUNTY reserves the right to assert and seek an offset for damages caused by the breach. The maximum amount due to CONTRACTOR shall not in any event exceed the spending cap in this Agreement. In addition, the COUNTY reserves all rights available to recoup monies paid under this Agreement, including the right to sue for breach of contract and including the right to pursue a claim for violation of the COUNTY's False Claims Ordinance, located at Art. IX, Section 2-721 et al. of the Monroe County Code. 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 Page 10 of 46 pay CONTRACTOR the sum due the CONTRACTOR under this agreement prior to termination, unless the cost of completion to the COUNTY exceeds the funds remaining in the contract. The maximum amount due to CONTRACTOR shall not exceed the spending cap in this Agreement. In addition, the COUNTY reserves all rights available to recoup monies paid under this Agreement, including the right to sue for breach of contract and including the right to pursue a claim for violation of the COUNTY's False Claims Ordinance, located at Art. IX, Section 2-721 et al. of the Monroe County Code. e. Scrutinized Companies: For Contracts of any amount, if the County determines that the Contractor/Consultant has submitted a false certification under Section 287.135(5), Florida Statutes or has been placed on the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel, the County shall have the option of (1) terminating the Agreement after it has given the Contractor/Consultant written notice and an opportunity to demonstrate the agency's determination of false certification was in error pursuant to Section 287.135(5)(a), Florida Statutes, or (2) maintaining the Agreement if the conditions of Section 287.135(4), Florida Statutes, are met. III. MAINTENANCE OF RECORDS. 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 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 §200.333, 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 and audit purposes during the term of the Agreement and for seven (7) years following the termination of this Agreement. If an auditor employed by the County or Clerk determines that monies paid to CONTRACTOR pursuant to this Agreement were spent for purposes not authorized by this Agreement, or were wrongfully retained by the CONTRACTOR, the CONTRACTOR shall repay the monies together with interest calculated pursuant to Sec. 55.03 of the Florida Statutes, running from the date the monies were paid by the COUNTY. IV. PUBLIC ACCESS. The CONTRACTOR and COUNTY shall allow and permit reasonable access to, and inspection of, all documents, papers, letters or other materials in its possession or under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received by the CONTRACTOR and COUNTY in connection with this Agreement; and the COUNTY shall have the right to unilaterally cancel this Agreement upon violation of this provision by CONTRACTOR. CONTRACTOR shall be referred to herein also as "Contractor" for this provision only: Page 11 of 46 Public Records Compliance. Contractor must comply with Florida public records laws, including but not limited to Chapter 119, Florida Statutes and Section 24 of Article I of the Constitution of Florida. The County and Contractor shall allow and permit reasonable access to, and inspection of, all documents, records, papers, letters or other"public record" materials in its possession or under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received by the County and Contractor in conjunction with this contract and related to contract performance. The County shall have the right to unilaterally cancel this contract upon violation of this provision by the Contractor. Failure of the Contractor to abide by the terms of this provision shall be deemed a material breach of this contract and the County may enforce the terms of this provision in the form of a court proceeding and shall, as a prevailing party, be entitled to reimbursement of all attorney's fees and costs associated with that proceeding. This provision shall survive any termination or expiration of the contract. The Contractor is encouraged to consult with its advisors about Florida Public Records Law in order to comply with this provision. Pursuant to Fla. Stat., Sec. 119.0701 and the terms and conditions of this contract, the Contractor is required to: (1) Keep and maintain public records that would be required by the County to perform the service. (2) Upon receipt from the County's custodian of records, provide the County with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. (3) Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the contractor does not transfer the records to the County. (4) Upon completion of the contract, transfer, at no cost, to the County all public records in possession of the Contractor or keep and maintain public records that would be required by the County to perform the service. If the Contractor transfers all public records to the County upon completion of the contract, the Contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the Contractor keeps and maintains public records upon completion of the contract, the Contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the County, upon request from the County's custodian of records, in a format that is compatible with the information technology systems of the County. (5) A request to inspect or copy public records relating to a County contract must be made directly to the County, but if the County does not possess the requested records, the County shall immediately notify the Contractor of the request, and the Contractor must provide the records to the County or allow the records to be inspected or copied within a reasonable time. Page 12 of 46 If the Contractor does not comply with the County's request for records, the County shall enforce the public records contract provisions in accordance with the contract, notwithstanding the County's option and right to unilaterally cancel this contract upon violation of this provision by the Contractor. A Contractor who fails to provide the public records to the County or pursuant to a valid public records request within a reasonable time may be subject to penalties under Section 119.10, Florida Statutes. The Contractor shall not transfer custody, release, alter, destroy or otherwise dispose of any public records unless or otherwise provided in this provision or as otherwise provided by law. IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS, BRIAN BRADLEY AT PHONE# 305-292-3470 BRADLEY-BRIAN(ci)MONROECOUNTY-FL.GOV, MONROE COUNTY ATTORNEY'S OFFICE, 1111 12T" Street, SUITE 408, KEY WEST, FL 33040. V. RIGHT TO AUDIT. Availability of Records. The records of the parties to this Agreement relating to the Project, which shall include but not be limited to accounting records (hard copy, as well as computer readable data if it can be made available; subcontract files (including proposals of successful and unsuccessful bidders, bid recaps, bidding instructions, bidders list, etc.); original estimates; estimating work sheets; correspondence; change order files (including documentation covering negotiated settlements); backcharge logs and supporting documentation; general ledger entries detailing cash and trade discounts earned, insurance rebates and dividends; any other supporting evidence deemed necessary by Owner or by the Monroe County Office of the Clerk of Court and Comptroller (hereinafter referred to as "County Clerk") to substantiate charges related to this Agreement, and all other agreements, sources of information and matters that may in Owner's or the County Clerk's reasonable judgment have any bearing on or pertain to any matters, rights, duties or obligations under or covered by any contract document (all foregoing hereinafter referred to as "Records") shall be open to inspection and subject to audit and/or reproduction by Owner's representative and/or agents of Owner or the County Clerk. Owner or County Clerk may also conduct verifications such as, but not limited to, counting employees at the job site, witnessing the distribution of payroll, verifying payroll computations, overhead computations, observing vendor and supplier payments, miscellaneous allocations, special charges, verifying information and amounts through interviews and written confirmations with employees, Subcontractors, suppliers, and contractors' representatives. All records shall be kept for ten (10)years after Final Completion. The County Clerk possesses Page 13 of 46 the independent authority to conduct an audit of records, assets, and activities relating to this Project. If an auditor employed by the County or Clerk determines that monies paid to Contractor pursuant to this Agreement were spent for purposes not authorized by this Agreement, or were wrongfully retained by the Contractor, the Contractor shall repay the monies together with interest calculated pursuant to Sec. 55.03, 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. VI. PAYMENT OF FEES/INVOICES Payment will be made by the Owner, upon receipt of a proper invoice from the Contractor, in accordance with the Florida Local Government Prompt Payment Act, Section 218.735, Florida Statutes and Monroe County Code. The Contractor is to submit to the Owner invoices with supporting documentation that are acceptable to the Monroe County Office of Clerk and Comptroller (Clerk). Acceptability to the Clerk is based upon generally accepted accounting principles and such laws, rules and regulations as may govern the disbursal of funds by the Clerk. The Owner is exempt from sales and use taxes. A copy of the tax exemption certificate will be provided by the Owner upon request. Final payment, constituting the entire unpaid balance of the Contract Sum, shall be made by the Owner to the Contractor when the Contract has been fully performed by the Contractor and the work has been accepted by the Owner. VII. E-VERIFY SYSTEM Beginning January 1, 2021, in accordance with Section 448.095, Florida Statutes, the Contractor and any subcontractor shall register with and shall utilize the U.S. Department of Homeland Security's E-Verify system to verify the work authorization status of all new employees hired by the Contractor during the term of the Contract and shall expressly require any subcontractors performing work or providing services pursuant to the Contract to likewise utilize the 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 an unauthorized alien. The Contractor shall comply with and be subject to the provisions of Section 448.095, Florida Statutes. 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 prepaid, or by courier with proof of delivery. The place of giving Notice shall remain the same as set forth herein until changed in writing in the manner provided in this paragraph. Notice 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. Notice shall be sent to the following persons: Page 14 of 46 For Contractor: Carlos A. Padron, Owner and Operator 353 Sound Drive Key Largo, FL 33037 For Owner: Director of Project Management Assistant County Administrator, PW & E 1100 Simonton St., Room 2-216 1100 Simonton St. Key West, Florida 33040 Key West, Florida 33040 Monroe County Attorney's Office 1111 12th 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 failure was caused directly by an event beyond such Party's control, without such Party's fault or negligence and that by its nature could not have been foreseen by such Party or, if it could have been foreseen, was unavoidable: (a) acts of God; (b) flood, fire, earthquake, explosion, tropical storm, hurricane or other declared emergency in the geographic area of the Project, (c) war, invasion, hostilities (whether war is declared or not), terrorist threats or acts, riot, or other civil unrest in the geographic area of the Project; (d) government order or law in the geographic area of the Project, (e) actions, embargoes, or blockades in effect on or after the date of this Agreement; (f) action by any governmental authority prohibiting work in the geographic area of the Project; (each, a "Uncontrollable Circumstance"). Contractor's financial inability to perform, changes in cost or availability of materials, components, or services, market conditions, or supplier actions or contract disputes will not excuse performance by Contractor under this Section. Contractor shall give County written notice within seven (7) days of any event or circumstance that is reasonably likely to result in an Uncontrollable Circumstance, and the anticipated duration of such Uncontrollable Circumstance. Contractor shall use all diligent efforts to end the Uncontrollable Circumstance, ensure that the effects of any Uncontrollable Circumstance are minimized and resume full performance under this Agreement. The County will not pay additional cost as a result of an Uncontrollable Circumstance. The Contractor may only seek additional time at no cost to the County as the Owner's Representative may determine. The Contractor may only seek a no cost Change Order 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 Page 15 of 46 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 Article II concerning termination or cancellation. Page 16 of 46 PROPOSAL FORM PROPOSAL TO: Monroe County Project Management 1100 Simonton St., Room 2-216 Key West, FL 33040 PROPOSAL FROM: _CAPCON CONSTRUCTION CORP. CGC1528760 CARLOS A. PADRON, OWNER The undersigned, having carefully examined the Work and reference Drawings, Specifications, Proposal, and Addenda thereto and other Contract Documents for the construction of: PLANTATION KEY OLD COURTHOUSE SPALLING REPAIR and having carefully examined the site where the Work is to be performed, having become familiar with all local conditions including labor affecting the cost thereof, and having familiarized himself with material availability, Federal, State, and Local laws, ordinances, rules and regulations affecting performance of the Work, does, hereby propose to furnish all labor, mechanics, superintendents, tools, material, equipment, transportation services, and all incidentals necessary to perform and complete said Work and work incidental hereto, in a workman-like manner, in conformance with said Drawings, Specifications, and other Contract Documents including Addenda issued thereto. The undersigned further certifies that he/she has personally inspected the actual location of where the Work is to be performed, together with the local sources of supply and that he/she understands the cond'itions under which the Work is to be performed. The proposer shall assume the risk of any and all costs and delays arising from the existence of any subsurface or other latent physical condition which could be reasonably anticipated by reference to documentary information provided and made available, and from inspection and examination of the site. The undersigned agrees to commence performance of this, Project within Ten (10) calendar days after the date of issuance to the undersigned by Owner of the Notice to Proceed or Purchase Order, which commencement of performance may include applying for a permit if one is required for the Project. If a permit is required for the Project, Contractor agrees to commence further performance of its work within Ten (10) calendar days of issuance of the permit. The undersigned shall accomplish Final Completion of the Project on or before September 30, 2024, unless an extension of time is granted by the County Page 17 of 46 The Base Proposal shall be furnished below in words and numbers. If there is an inconsistency between the two, the Proposal in words shall control. SIXTY EIGHT THOUSAND FOUR HUNDRED TWENTY SEVEN Dollars. (Total Base Proposal- words) $ 68,1427.00 Dollars. (Total Base Proposal — numbers) I acknowledge receipt of Addenda No.(s) or None No. Dated_ No. Dated Page 18 of 46 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. IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly authorized representatives, as follows: Contractor: CAPCON CONSTRUCTION CORP. Mailing Address: 353 SOUND DRIVE KEY LARGO, FL 33037 844896295 Phone Number: 786-719-0033 E.I.N.: Email: CARLOS@CAPCONCGC.COM Date: 09/0'6/2024 Signed. Name Title Contractor's Witness signature: q � Witness name: Date: The County accepts the above proposal: MONROE COUNTY, FLORIDA y Digitally signed by Christine Hurley Christine H u r le Date:2024.09.16 17:40:24 @CAW.' By. County Administrator or Designee APPROVED AS TO FORM&LEGAL SUFFICIENCY Monr4e,County Attorney's Office 14 0 k t,J0 N t Iia Mellies Archer Assitt,County Attorney Page 19 of 46 NON-COLLUSION AFFIDAVIT I, Carlos Padron of the city Key Largo according to law on my oath, and under penalty of perjury, depose and say that: 1 1 am Carlos Padron of the firm of CAPCON Construction Corp. the proposer making the Proposal for the project described in the notice for calling for proposals for: Plantation Key Old Courthouse Spalling Repairs and that I executed the said proposal with full authority to do so', 2. The prices in this proposal have been arrived at independently without collusion, consultation, communication or agreement for the purpose of restricting competition, as to any matter relating to such prices with, any other proposer or with any competitor- and 3. Unless otherwise required by law, the prices which have been quoted in this proposal have not been knowingly disclosed by the proposer and will not knowingly be disclosed by the proposer prior to proposal opening, directly or indirectly, to any other proposer or to any competitor; and 4. No attempt has been made or will be made by the proposer to induce any other person, partnership or corporation to submit, or not to submit, a proposal for the purpose of restricting competition; and 5. The statements contained in this affidavit are true and correct, and made with full knowled ge ect. (Signature ofProposer) (D/ate) STATE OF: FbmA�, COUNTY OF: MOM` ,OV-7 Subscribed and sworn to (or affirmed) before me, by means ofX'physical presence or El online notarization, on _5_t:X- (� 2-111 � (date) by C t (name of affiant). He/She is personally known to me or has produced (type of identification) as identification. -le NOTARY PUBLIC (SEAL) 15, My commission expires: #HH312687 ` A. ..... 0 of 46 1/,;#"11/C gm, Page 2 * LOBBYING AND CONFLICT OF INTEREST CLAUSE SWORN STATEMENT UNDER ORDINANCE NO, 010-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE CAPCON CONSTRUCTION CORP. (Company) warrants that he/it has not employed, retained or otherwise had act on his/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 contract without liability and may also, in its discretion, deduct from the contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County ffic o e oyee". (Signature) Date: STATE OF: Floq�AA COUNTY OF: M o N P,0 Subscribed and sworn to (or affirmed) before me, by means of physical presence or F1 online notarization, on se'l:j�t"bE-2 02- by A�QLO�Sp J\ N ZL_�_ (date) ..... (name of affiant). He/She is personally known to me or has produced (type of identification) as identification, AA' n:�, NOTARY PUBLIC (SEAL) My commission expires: 15 , Z04o a 'N �Vp�VEs? 5, #HH312687 0.: Z tZ STAlk, Page 21 of 46 DRUG-FREE WORKPLACE FORM The undersigned vendorinacoondmncewithF|nridoStotute Section 2D7.O87hamabwoer§fies ths�� - � CAPCON CONSTRUCTION CORP. (Name of Business) 1 Publishes e statement notifying employees that the unlawful rmsnufactupe, distribution, d|mponsing, poamessiou, or use of controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Informs employees about the dangers of drug abuse in the workplace, the business's policy of maintaining a drug-free workplace, any available drug oounsa|img, rehabilitation, and employee assistance programs, and the penalties that may be 'imposed upon employees for drug abuse violations, 3 Gives each employee engaged in providing the commod'ities or contractual services that are under proposal e copy of the statement specified im subsection (1). 4. /m the e1otgmnentupecj�ed in subsection (i), notifies the emmp[oyeos that, as a condition of working on the commodities or contractual services that are under proposal, the employee will abide by the terms of the staternent and will notify the! employer of any conviction of, or plea of guilty or nm3o cunbendere 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 m sanction on, or require the satisfactory participation ina drug abuse assistance or rehabilitation program if such is available in the employee's community, or any employee who isoo convicted. 6. Makes a good faith effort to continue to maintain m drug-free workplace through implementation of this section. Ao the person authorized to sign the statement, ] certify above naqm|nennants. Date STATE OF: FLoRwA COUNTY OF: 1"-\ot,4 Po e Subscribed and sworn hz (or affirmed) before me, by means cf Xhysical presence or OonUime nm��r��rzmb on, on (date) by (name of affianQ. He/She is Rersonally knownbomeor has produced (type ofidentification) as identification, ou» NOTARY PUBLIC (SEAL ��oommiun�n expires #HH312687 A: CT Page%2nf46 LOCAL PREFERENCE FORM A. Vendors claiming a local preference according to Ordinance 023-2009, as amended by Ordinance No. 004-2015 and 025-2015, must complete this form. Name of Bidder/Responder CAPCON CONSTRUCTION CORP., Date: 09/06/2023 1. Does the vendor have a valid receipt for the business tax paid to the Monroe County Tax Collector dated at least one(1)year prior to the notice of request forbids or proposals? YES (Please furnish copy.) 2. Does the vendor have a physical business address located within Monroe County from which the vendor operates or performs business on a day-to-day basis that is a substantial component of the goods or services being offered to Monroe County? YES (The physical business address must be registered as its principal place of business with the Florida Department of State for at least one (1) year prior to the notice of request for bid or proposal.) List Address: 353 SOUND DRIVE KEY LARGO, FL 33037 Telephone Number: 786-719-0033 B. Does the vendorlprime contractor intend to subcontract 50% or more of the goods, services or construction to local businesses meeting the criteria above as to licensing and location? NO If yes, please provide: 1. Copy of Receipt of the business tax paid to the Monroe County Tax Collector by the subcontractor dated at least one (1)year prior to the notice or request for bid or proposal. 2. Subcontractor's physical business address within Monroe County from which the subcontractor operates: (The physical business address must be registered as its principal place of business with the Florida Department of State for at least one (1)year prior to the notice of request for bids or proposals) Tel.Number 786-719-0033 Address-353 SOUND DRIVE KEY LARGO, FL 33037 Print Name-. CARLOS A. PADRON----) Signature and Title of Authod 1�d __!n Bidder/Responder STATE OF: COUNTY OF: Q t44 Subscribed and sworn to (or affirmed) before me, by means of;Kphysicm presence or 0 online notarization, on ::xL__ f-_- fV\6R_ 6 202A (date) by (name of affiant). He/She is pnonall�r known to me or has produced (type of identifi ion) as identification. Una Q NOTARY PUBLIC ..V.E..R. 4,(SEAL) My commission expires: E,o 0 2� J. •4, #HH312687 Page 23 of 46 ZIt C,ST "I'lihillm 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 on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or CONTRACTOR 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 36 months from the date of being placed on the convicted vendor list." I have read the above and state that neither CARLOS A. PADRON (Proposer's name) nor any Affiliate has been place o 1§,) victed vendor list within the last thirty-six (36) months, (Signature) Date: STATE OF: COUNTY OF: Subscribed and sworn to (or affirmed) before me, by means of)4,physical presence or El online notarization, on a 2,06 (date) IN by UA(6y, W\A ito (name; of affiant). He/She is personally known to me or has produced (type of identification) as identification. Aud-a- V I A-MCL NOTARY PUBLIC (SEAL) My commission expires: \NVER/V SS k#HI4312687 ""I'111 Z/C sTo- 16111ill"ON wti Page 24 of 46 VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS Project Description(s): 353 Sound Drive Respondent Vendor Name: 353 Sound Drive Vendor FEIN: 84-4896295 Vendor's Authorized Representative Name and Title: Carlos A. Padron, Owner and Operator Address: 353 Sound Drive City: Key Largo State: FL Zip: 33037 Phone Number: 786-719-0033 Email Address: Carlos@capconcgc.com Section 287.135,Florida Statutes prohibits a company from bidding on, submitting a proposal for,or entering into or renewing a contract for goods or services of any amount if, at the time of contracting or renewal, the company is on the Scrutinized Companies that Boycott Israel List, created pursuant to Section 215.4725, Florida Statutes, or is engaged in a Boycott of Israel. Section 287.135, Florida Statutes, also prohibits a company from bidding on, submitting a proposal for, or entering into or renewing a contract for goods or services of$1,000,000 or more,that are on either the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Terrorism Sectors Lists which were created pursuant to s.215.473,Florida Statutes,or is engaged in business operations in Cuba or Syria. As the person authorized to sign on behalf of Respondent, I hereby certify that the company identified above in the Section entitled "Respondent Vendor Name" is not listed on the Scrutinized Companies that Boycott Israel List or engaged in a boycott of Israel and for Projects of$1,000,000 or more is not listed on either the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in the Iran Terrorism Sectors List, or engaged in business operations in Cuba or Syria. I understand that pursuant to Section 287.135, Florida Statutes, the submission of a false certification may subject company to civil penalties, attorney's fees, and/or costs. I further understand that any contract with the County may be terminated, at the option of the County, if the company is found to have submitted a false certification or has been placed on the Scrutinized Companies that Boycott Israel List or engaged in a boycott of Israel or placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Terrorism Sectors List or been engaged in business operations in Cuba or Syria. Vendor has reviewed Section 287.135, Florida Statutes, and in accordance with such provision of Florida law, is eligible to bid on, submit a proposal for, or enter into or renew a contract with Monroe County for goods or services. Certified By: Carlos A. Padron , who is authorized to sign on behalf of the above referenced company. Authorized Signature: Print Name: Carlos A. Padron Title: Owner and Operator Note: The List are available at the following Department of Management Services Site: llltp:// w.dms.mv�D�a��d�o� ;a�s� ss_or�erations/state ,purchasing/vendor info ation/convicted seas e.ndgd discriminatory ,compllaints vendor lists Page 25 of 46 AFFIDAVIT ATTESTING TO NONCOERCIVE CONDUCT FOR LABOR OR SERVICES Entity/Vendor Name: CAPCON Construction Corp. Vendor FEIN: 84-4896295 Vendor's Authorized Representative: Carlos A. Padron, Owner and Operator (Name and Title) Address: 353 Sound Drive City: Key Largo StateFL Zip: 33037 Phone Number:_786-719-0033 Email Address: Carlos@capconcgc.com As a nongovernmental entity executing,renewing,or extending a contract with a government entity, Vendor is required to provide an affidavit under penalty of perjury attesting that Vendor does not use coercion for labor or services in accordance with Section 787.06, Florida Statutes. As defined in Section 787.06(2)(a), coercion means: 1. Using or threating to use physical force against any person; 2. Restraining, isolating, or confining or threating to restrain, isolate, or confine any person without lawful authority and against her or his will; 3. Using lending or other credit methods to establish a debt by any person when labor or services are pledged as a security for the debt,if the value of the labor or services as reasonably assessed is not applied toward the liquidation of the debt, the length and nature of the labor or service are not respectively limited and defined; 4. Destroying, concealing, removing, confiscating, withholding, or possessing any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification document, of any person; 5. Causing or threating to cause financial harm to any person; 6. Enticing or luring any person by fraud or deceit; or 7. Providing a controlled substance as outlined in Schedule I or Schedule II of Section 893.03 to any person for the purpose of exploitation of that person. As a person authorized to sign on behalf of Vendor,I certify under penalties of perjury that Vendor does not use coercion for labor or services in accordance with Section 787.06.Additionally,Vendor has reviewed Section 787.06, Florida Statutes, and agrees to abide by same. Certified By: Carlos A. Padron who is authorized to sign on behalf of the above referenced company. Authorized Signature: f�r� Print Name: Carlos A. Padron Title: Owner and Operator Page 26 of 46 INSURANCE REQUIREMENTS AND FORMS MONROE COUNTY, FLORIDA RISK MANAGEMENT POLICY AND PROCEDURES General Insurance Requirements For Other Contractors, Subcontractors and Professional Services As a pre-requisite of the work and services governed, or the goods supplied under this contract (including the pre-staging of personnel and material), the Contractor shall obtain, at his/her own expense, insurance as specified in any attached schedules, which are made part of this contract. The Contractor will ensure that the insurance obtained will extend protection to all Subcontractors engaged by the Contractor. Alternatively, the Contractor may require all Subcontractors to obtain insurance consistent with the attached schedules. The Contractor will not be permitted to commence work governed by this contract (including pre-staging of personnel and material) until satisfactory evidence of the required insurance has been furnished to the County as specified below. Delays in the commencement of work, resulting from the failure of the Contractor to provide satisfactory evidence of the required insurance, shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work commenced on the specified date and time, except for the Contractor's failure to provide satisfactory evidence. The Contractor shall maintain the required insurance throughout the entire term of this contract and any extensions specified in the attached schedules. Failure to comply with this provision may result in the immediate suspension of all work until the required insurance has been reinstated or replaced. Delays in the completion of work resulting from the failure of the Contractor to maintain the required insurance shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work had not been suspended, except for the Contractor's failure to maintain the required insurance. The Contractor will be held responsible for all deductibles and self-insured retentions that may be contained in the Contractor's Insurance policies. The Contractor shall provide, to the County, as satisfactory evidence of the required insurance, either: • Certificate of Insurance or •A Certified copy of the actual insurance policy. The County, at its sole option, has the right to request a certified copy of any or all insurance policies required by this contract. All insurance policies must specify that they are not subject to cancellation, non-renewal, material change, or reduction in coverage unless a minimum of thirty (30) days prior notification is given to the County by the insurer. The acceptance and/or approval of the Contractor's insurance shall not be construed as relieving the Contractor from any liability or obligation assumed under this contractor imposed by law. Page 27 of 46 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 28 of 46 Docusign Envelope ID:F31A2D19-F522-476C-9743-7E7EF15DOAA6 PROPOSER'S INSURANCE AND INDEMNIFICATION STATEMENT INSURANCE REQUIREMENTS Workers' Compensation Statutory Limits Employers' Liability $100,000 Bodily Injury by Accident $500,000 Bodily Injury by Disease, policy limits $100,000 Bodily Injury by Disease each employee General Liability $200,000 per Person; $300,000 per Occurrence $200,000 Property Damage or $300,000 Combined Single Limit Vehicle $200,000 per Person (Owned, non-owned, and hired vehicles) $300,000 per Occurrence $200,000 Property Damage or $300,000 Combined Single Limit Builders Risk Not Required Construction Bond Not Required The Monroe County Board of County Commissioners, its employees and officials, 1100 Simonton Street, Key West, Florida 33040, shall be named as Certificate 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 from and against (i) any claims, actions or causes of action, (ii) any litigation, administrative proceedings, appellate proceedings, or other proceedings relating to any type of injury (including death), loss, damage, fine, penalty or business interruption, and (iii) any costs or expenses that may be asserted against, initiated with respect to, or sustained by, any indemnified party by reason of, or in connection with, (A)any activity of Contractor or any of its employees, agents, contractors or other invitees during the term of this Agreement, (B) the negligence or recklessness, intentional wrongful misconduct, errors or other wrongful act or omission of Contractor or any of its employees, agents, sub-contractors or other invitees, or(C) Contractor's default in respect of any of the obligations that it undertakes under the terms of this Agreement, except to the extent the claims, actions, causes of action, litigation, proceedings, costs or Page 29 of 46 Docusign Envelope ID:F31A2D19-F522-476C-9743-7E7EF15DOAA6 expenses arise from the intentional or sole negligent acts or omissions of the County or any of its employees, agents, contractors or invitees (other than Contractor). The monetary limitation of liability under this 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.r. herein. Insofar as the claims, actions, causes of action, litigation, proceedings, costs or expenses relate to events or circumstances that occur during the term of this Agreement, this section will survive the expiration of the term of this Agreement or any earlier termination of this Agreement. In the event that the completion of the project (to include the work of others) is delayed or suspended as a result of the Contractor's failure to purchase or maintain the required insurance, the Contractor shall indemnify the County from any and all increased expenses resulting from such delay. Should any claims be asserted against the County by virtue of any deficiency or ambiguity in the plans and specifications provided by the Contractor, the Contractor agrees and warrants that the Contractor shall hold the County harmless and shall indemnify it from all losses occurring thereby and shall further defend any claim or action on the County's behalf. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this Agreement. 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 County. PROPOSER'S STATEMENT I understand the insurance that will be mandatory if awarded the contract and will comply in full with all of the requirements herein. I fully accept the indemnification and hold harmless and duty to defend as set out in this proposal. / r r` f CARLOS A. PADRON PROPOSER Signature Page 30 of 46 Docusign Envelope ID:F31A2D19-F522-476C-9743-7E7EF15DOAA6 INSURANCE AGENT'S STATEMENT I have reviewed the above requirements with the proposer named above. The following deductibles apply to the corresponding policy. POLICY DEDUCTIBLES General Liability $2,500 Bodily Injury/$2,500 Property Damage Liability policies are x Occurrence Claims Made DocuSigned by: The Risk Management Group ( 9649699BFRRG49[;— Fr 9wfa Insurance Agency Signature Page 31 of 46 EXHIBIT A Report by K2M Design, Inc. Page 33 of 46 1 EU C3 March 21", 2023 TO: Kevin Wilson Monroe County Administrator 1100 Simonton Street Key West, FL RE: Monroe County Old Courthouse 88770 Overseas Highway,Tavernier, FL Site Inspection on March 14th,2023 Job Number:#23813 ENGINEER: K2M Design, Inc. Steven S. Grasley, P.E. Eddie Blanco, E.I. 3000 Overseas Highway Marathon, FL 33050 (305)289-7980 Kevin Wilson,County Administrator: K2M Design was asked to provide a spalling observation of the old Monroe County Courthouse. Eddie Blanco arrived at 1:30 PM. to perform the observation and documentation and was met by Robert Glassmer of Monroe County. This report is meant to comment on the condition and severity of spalling and to offer our recommendations. Criteria: The inspection team will identify and classify spalling and potential spalling. Classifications will be noted (location- by-location)on unit floor plans, according to the following: 1. Class"A"—Immediate remediation required—Safety hazard 2. Class"B"—Remediate within 1—2 years: a. Inspection team will provide guidance on what sealing or other work should be done now to prevent further deterioration until remediation takes place. 3. Class"C"—Remediate within 3—4 years: a. Inspection team will provide guidance on what sealing or other work should be done now to prevent further deterioration until remediation takes place. 4. Class"D"—Watch List: a. For long term potential future remediation. Post Survey Action:The Monroe County Administrator will: 1. Secure a cost estimate for Class "A"and "B"spalling. BUILII ANG RELATIONSHIPS BASAWD ON'TRUST AND RESULTS. M D E S l G 1A 3000 Overseas INSagN way - Marathon, 11=L 33050 K, V1 EU C3 Spalling Report Overview: Spalling was observed at the 8 columns visible in the atrium area of the building.The reinforced concrete columns are 8"x16"in cross section.The extent of spalling observed at these columns were confined to the base and extend approximately 3 LF up from the finished slab on grade elevation.The main vertical reinforcement and dowels were visible in 7 of the columns at the time of the inspection and showed signs of severe deterioration. Of the damages observed, approximately 3 CF of repairs are required at each of the 8 columns. It is recommended to chip around the exposed reinforcement, remove corrosion, and measure rebar diameter to determine the full extent of deterioration. To determine the extent of spalling below the finished slab on grade, it is recommended to cut the existing slab back from one of the columns and inspect the condition of the column below the slab.This will allow for an accurate estimation of damages and the appropriate repair procedure. Below you will find typical spalling repair guidelines o be used for bidding purposes and photos of the damages observed at the time of the observation. Guidelines: The following is offered for guidance to the contractor and general information to the building owner(s). During repairs, conditions may be exposed which require further inspection by the engineer and more specific instructions for proper repair. 1) All work shall comply with applicable codes including, but not limited to FBC 2020 plus supplements,ASCE 7-16, ACI 318 latest, etc. 2) The contractor making the repairs shall be responsible for the means, methods, techniques, sequence, procedures, and all safety aspects of the construction. 3) The contractor shall protect all utilities and shall be responsible for any damage at his/her expense. 4) Remove all non-structural items attached to the area of repair to allow full access to the repair. 5) Post shoring or other suitable shoring shall be installed to relieve loads from the structural components being repaired. Each post shore shall be capable of supporting at least five thousand pounds indefinitely and shall be placed in a proper manner. Contact the engineer if further assistance or specific shoring design is required. 6) Repair procedure is as follows: (a) remove all spalled and cracked concrete from all surfaces of the structural component down to sound concrete and remove all concrete in contact with corroded reinforcing to create at least a half-inch tunnel around the exposed reinforcement where necessary. Remove concrete by chipping. No more than one-third of any span shall be removed and repaired at any time.The remaining span lengths shall be shored. (b) clean exposed steel reinforcement to remove all rust and scale and clean the newly exposed chipped sound concrete surfaces. Remove all loose material, wet concrete,traces of oil,grease, laitance,form treatments,etc. (c) completely coat the exposed steel reinforcement with a rust inhibitor such as corroseal to isolate the bars from the new repair concrete material that will be used. BUILII ANG RELATIONSHIPS BASM ON'T'RU aT AND RESUYLI'S. K 2 M D E S I G M 3000 Overseas INSagN way - Marathon, 11=L 33050 PRO .REG.AA26001059 I CA L c:,Noc 30945 P 05,28M�°80 1 EU C3 (d) add anchors, stirrups, etc., as necessary to provide for proper attachments of the repair material as detailed in the specific repair instructions or design. (e) use approved bonding agent to improve cold joint bond between all exposed old surfaces and the new concrete or patching material. (f) apply patching material to match the existing concrete. 7) The bonding and patching agent shall be speed crete redline or equivalent and shall be applied according to the manufacturer's recommendations. 8) Nonstructural minor cracks should be opened to remove loose material. Such cracks may be sealed with polyurethane prior to resurfacing with concrete. 9) If any reinforcing steel is found to be degraded by more than 30% of its original diameter it shall be removed and replaced with new steel. 10) Forms shall be constructed to match the existing finished shape unless specified otherwise. 11) Any concrete used in the repair shall have a 28-day compressive strength of 5,000 psi minimum. 12) The contractor shall contact the engineer for further design detail if there is believed to be any need for a special admixture or procedure during the repair. 13) Contact k2m design, inc.For further guidance if the above instructions cannot be achieved or result in a conflict. BUILII ANC RELATIONSHIPS BASED ON'T'RU aT AND RESUYLI'S. M D E S � G M 3000 Overseas INSagN way - Marathon, 11=L 33050 K, V1 Eu C3 Location/ID Comments Photo COURTHOUSE Grade A—Spalling at base of 8"x16" Atrium Column 1 rectangular concrete column.Main I vertical reinforcement and dowels are visible at both corners of the column. Spalling travels approximately 30"up from finished slab. Pa� , Vertical reinforcement and dowels have degraded enough to require IIO reinforcement repairs. This condition occurs at all 8 concrete columns visible in the atrium area "ice COURTHOUSE Grade A—Vertical reinforcement and h r�F Atrium Column 1 dowels have degraded enough to require reinforcement repairs.Shear ties are also visible and have degraded g significantly. � i f Wpm n � �,i� ,� y, �� Ire I'i✓�� 7i,�„ BUILEANG RELATIONSHIPS BASED ON TRUST ST AND RESULTS. M D E S G N C 0 1A 3000 Overseas INSagN way - Marathon, 11=L 33050 PROFAEG.AAe26001059 I CA Lic:,Not 30945 P 05,28M�`80 KIEu VI rrrrrrrrr C3 COURTHOUSE Grade A—Spalling at base of 8"x16" Atrium Column 2 rectangular concrete column.Main vertical reinforcement and dowels are �ppp visible at both corners of the column. Spalling travels approximately 36"up from finished slab. �J r ` Vertical reinforcement and dowels l have degraded enough to require reinforcement repairs. r � li 9r c✓p+, r r It✓i j r��fr/off�� F� I' / fib Y n lii k V!r!��i r /� ii/i �i�l+r xr✓� �r t r��ur/l, � � C r COURTHOUSE Grade A—Spalling at base of 8"x16" u Atrium Column 3 rectangular concrete column.Main vertical reinforcement and dowels are visible at both corners of the column. Spalling travels approximately 30"up A from finished slab. �f Vertical reinforcement and dowels have degraded enough to require reinforcement repairs. �imTYQ : r✓ faf I / r r d/�%r %u�Y>' BUILI`:)ANd: RELATIONSHIPS BASED ON'TRUST AND RESULTS. M D E S G N C 0 IA 3000 Overseas INSagN way - Marathon, 11=L 33050 PROFAEG.AAe26001059 I CA Lic:,Not 30945 P 05,28M�`80 KIEu VI rrrrrrrrr C3 COURTHOUSE Grade A—Spa I I in at base of 8"x16" Atrium Column 4 rectangular concrete column.Main vertical reinforcement and dowels are visible at both corners of the column. i ,� Spalling travels approximately 36"up from finished slab. Vertical reinforcement and dowels have degraded enough to require reinforcement repairs. , r COURTHOUSE Grade A—Spalling at base of 8"x16" Atrium Column 5 rectangular concrete column.Main vertical reinforcement and dowels are visible at both corners of the column. ro Spalling travels approximately 30"up from finished slab. �� r � Vertical reinforcement and dowels have degraded enough to require �� reinforcement repairs. ff/ III N I A i BUILI`:)ANd: RELATIONSHIPS BASED ON'TRUST AND RESULTS. M D E S G N C 0 IA 3000 Overseas INSagN way - Marathon, 11=L 33050 PROFAEG.AAe26001059 I CA Lic:,Not 30945 P 05,28M�`80 Eu K, V1 C3 COURTHOUSE Grade A—Spalling at base of 8"x16" i/ Atrium Column 6 rectangular concrete column.Main r vertical reinforcement and dowels are r �, visible at both corners of the column. s; Spalling travels approximately 36"up from finished slab. ` Vertical reinforcement and dowels / have degraded enough to require reinforcement repairs. it ...........�i�/i// 1// i / COURTHOUSE Grade A—Spalling at base of 8"x16" " � ''' umluu�IllVl�di�i Atrium Column 7 rectangular concrete column.Shear ties visible at base and degraded. Di Spalling travels approximately 24"up wQ from finished slab. r r r/ro Iry, i 4u � / r/ W!>§ U i RE o i � BUILE ANd: RELATIONSHIPS BASED ON'TRUST AND RESULTS. M D E S G N C 0 1A 3000 Overseas INSagN way - Marathon, 11=L 33050 PROFAEG.AAe26001059 I CA Lic:,Not 30945 P 05,28M�`80 KI VI Eu C3 COURTHOUSE Grade A—Spalling at base of 8"x16" � ��Atrium Column 8 rectangular concrete column.Main vertical reinforcement and dowels are visible at both corners of the column. Spalling travels approximately 36"up from finished slab. Vertical reinforcement and dowels have degraded enough to require reinforcement repairs. / i r r � r d r i COURTHOUSE Grade A—Vertical reinforcement and Atrium Column 8 dowels have degraded enough to require reinforcement repairs. ) j3 NX f I r f✓f � tt, � I N'�� 'ii'i U" d uu ,��r £ rV�pY; r"✓ v' h Uuwvvr ! i /N Q � , ✓ sum r,be, �lv il' /�i/� i 4 i sir r BUILIANG RELATIONSHIPS BASED ON TRUST ST AND RESULTS. PROFAEG.AAe26001059 I CA Lic:,Not 30945 P 05,28M�`80 KI VI Eu C3 COURTHOUSE Grade A—Spa IIing at top of concrete Exterior Corner stem wall with horizontal Near Sheriff's Office reinforcement visible. Entrance i µs Approximate length of horizontal crack =6LF Vertical crack appears to be in stucco finish following the wall/corner column d u edge. f� E q� t' a/ fa ri COURTHOUSE Grade A Horizontal rebar degraded g Exterior Corner and visible in 2 LF section,requires Near Sheriffs Office rebar repair. Entrance � 7 r, BUILI`:)ANd: RELATIONSHIPS BASED ON'TRUST AND RESULTS. M D E S G N C 0 IA 3000 Overseas INSagN way - Marathon, 11=L 33050 PROFAEG.AAe26001 059 I CA Lic,No 30945 P 305,28M�`80 EU K, V1 C3 The undersigned attests without prejudice that the above statements are true and correct to the best of my professional abilities. Investigation performed & report prepared by: E01 01 '?'La VLoo Eddie Blanco, E.I. Engineer B U I L 1)A N G R E L ATI 0 N S H I P S B A S I-D 0 N TR U ST A N 1) RESULTS. ............................................................................................................................................................................................................... K 2 M D E S � G N . C 0 M 3000 Overseas, Mghway - Marathon, 11=L 33050 PROF.REG.AA26001 059 I CA Lic,Not 30945 P: 305,28M980 z JOB ...... �� ` k2mdeslgn.C®m SHEET NO ... ... ----- .......... OF ......... K2 MLu 855.866.4K2m CALCULATED BY., ......... DATE CHECKED BY ...... DATE. ..,,, .. SCALE .. t ,� ✓ f' _.._. ...........� C � AWROE CaW � tirJ� D PRODUCT207 EXHIBIT B Spalling Repair Details Page 45 of 46 O40££l3'153M A3N'1S NOlNOIrV N5.IL Smom orond AINnoo 30bNOA - O' .1 0 3� Q OLO£E l3 3'IN213�V1 HSO NLL88 �~ � ONII]VdS-AsnOHI2jno0 P OO - _ = al0 AlNnO3 30bNOW - - - W oz�= u) - O 0 ( F Lu O J U a� e � Lu O - - Lu )- Q o� J d Z Z � O Q U U U W O} }W & G U W Q W U �Z 02 Q U a Q W Of fr W Q J — U d W W W W d u) —— C7 > ® UO ~U - H O - w o o cD �F w z W ~ Lu z m z Z a » J :i - U � w W O w€w - W ti e LL w x Z y O cn = 3x 3' LL W a�_ � - z- z 3 CD �Ew W cn — —U _ - -Pm w 0 m LL 5= � z � mE a t�_ `� �O Lu - E H W Lu Lu W o�iiu�w..air:•+»ux vorx��-.e�u,:.aa�saae+�o�=��v:u7ti"xu7 ob-F��a�=o.�aux-¢oea�zeontl DATE(MM/DD/YYYY) ACCO " CERTIFICATE O LIABILITY INSURANCE 9/12/2 24 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION O YAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEN ,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTI TE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLD R. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED a policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lie of such endorsement(s). PRODUCER CONTACT Sophie Lopez NAME: The isk Management Group,Inc aCNN. Ext: (786)581-5550 ac No): (786)551-0156 7300 N Kendall Dr#202 ADDRESS: coi@trmg.net INSURER(S)AFFORDING COVERAGE NAIC# Miami FL 3315 INSURERA: Sutton Specialty Insurance Co 16848 INSURED INSURER B: Capcon Construction Corp. INSURER C: 353 Sound Dr INSURER D: INSURER E: Key Largo FL 3303 INSURER F: COVERAGES CERTIFICATE NUMBER: CL 2032408 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW H E BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITIO OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORD BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY H E BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD POLICY MBER MM DY EFF MM DDY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F OCCUR PREMISES Ea occurrenc $ 50,000 MED EXP(Any on p rson) $ 5,000 A Y ISCP040000239 2/21/2024 02/21/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PE : GENERAL AGGREGATE $ 2,000,000 X POLICY OJECTPRO- LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per per on) $ OWNED SCHEDULED BODILY INJURY(Per acci ent) $ AUTOS ONLY AUTOS HI ED NON-OWNED P OP ER DAMAGE $ AUTOS ONLY AUTOS ONLY P r accid nt UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE r '. AGGREGATE $ A'7 DED RETENTION$ $ WORKERS COMPENSATION �p PER OTH- AND EMPLOYERS'LIABILITY ,,,y,„„, - STATUTE ER YIN ANY PROPRIETO /PARTNER/EXECUTIVE . .-, E.L.EACH ACCIDENT $ OFFICE /MEMBE EXCLUDED? ❑ N/A 9. (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If ye,d scribe un er y y0 DESCRIPTION OF OPERATIONS below 'P"1'AW ' -`,, E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remark Schedule,maybe attached if more space is required) License Number CGC1528760 Certificate Holder is an additional insured and r General Liability CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN The Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 3304 Fra4,Lk @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name a logo are registered marks of ACORD 79/12/2024 E(MM/DD/YYYY) A�R`" C RTIFICATE OF LIABILITY I URANC THI CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS C RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES B LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED R PRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSUR D,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). PRODUC R CONTACT NAME: Workers'Comp Department SUNZ Insurance Solutions, LLC. ID: (TLR) PHONE o �: 727-520 7676 X3 FAX No: 727-525 3862 c/o TLR of Bonita, Inc E-MAIL 700 Central Ave, Suite 500 ADDRESS: CertS encorehr.com St. Petersburg, FL 33701 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: SUNZ Insurance Company 34762 INSURED INSURER B, TLR of Bonita, Inc dba EnterpriseHR 700 Central Avenue Suite 500 INSURER C: St. Petersburg FL 33701 INSURERD: INSURER E INSURER F: COVERAGE CERTIFICATE NUM R: 81858816 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYP OF INSURANC ADDL SUBR POLICY NUM ER MM POLICY EFF MM POLICY EXP LIMITS LTR COMMERCIAL GEN RAL LIABILITY EACH OCCURRENCE $ OCCUR DAMAGE TO S(RENTED CLAIMS-MADE PREMISES Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ PRO- POLICY JECT LOC I '�ISX „'T PRODUCTS-COMP/OP AGG $ OTHER: w) ^p $ AUTOMO ILE LIABILITY 4 ^ _. „„,",,,,,.� COMBINED SINGLE LIMIT $ Ells" � Ea accident ANY AUTO 9 13 24 BODILY INJURY(Per person) $ OWNED SCHEDULED ; I -- AUTOS ONLY AUTOS ,.n, BODILY INJURY(Per accident) $ HIRED NON-OWNED 1 PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UM RELLALIA OCCUR EACH OCCURRENCE $ EXC SS LIA CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKER COMP NSATION WC039-00001-024 6/1/2024 6/1/2025 �/ SPER TATUTE EORH AND EMPLOY RS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1 00O 000.00 OFFICER/MEMBEREXCLUDED? ❑ N/A (Mandatory in H) E.L.DISEASE-EA EMPLOYEE $1.000.000.00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$1,000,000.00 DESCRIPTION O OPERATIONS/LOCATIO S/VEHICL S(ACORD 101,Additional Remarks chedule,may be attached if more space is required) Coverage Provided for all leased employees but not subcontractors of:Capcon Construction Corp Client Effective:6/5/2023 CERTI ICATE HOLDER CANCELLATION 2720 HOULD A OF TH ABOV DE CRIBED POLICIE BE CA CELLED B OR The Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West FL 33040 AUTHORIZED REPRESENTATIVE / Rick Leonard �J ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 81858816 1 TLR of Bonita PEO 039 MASTER CERT I Francine Jackson 1 9/12/2024 10:56:34 AM (EDT) I Page 1 of 1 ® DATE CERTIFICATE OF LIABILITY INSURANCE Fo911212024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT SIMON INSURANCE CORP DBA ESTRELLA INSURANCE NAME: FAX 672 N UNIVERSITY DR A/CON No, Ext: AC, C No: PEMBROKE PNES, FL 33024-6738 EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Kemper Auto Commercial 39497 INSURED Capcon Construction Corp. INsuRER B: 353 Sound Dr INSURER C: Key Largo, FL 33037 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLIC POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDY EFF MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ❑ CLAIMS-MADE [:]OCCUR ❑ ❑ DAMAGE PREMISES O RENTED ence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑PRO ❑LOC PRODUCTS-COMP/OP AGG $ JECT OTHER I $ COMBINED SINGLE LIMIT 300,000 X❑ AUTOMOBILE LIABILITYAUTOMOBILE ❑X ❑ 50017339001 09/12/2024 09/12/2025 Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED X SCHEDULED IT AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY p Per accident) ccident $ �m UMBRELLA LIAB OCCUR 9.13 24 � EACH OCCURRENCE $ LAB LB CLAIMS-MADE DA �� - AGGREGATE $ DED RETENTION$ WANM ""� $ WORKERS COMPENSATION STAPERT OTH- AND EMPLOYERS'LIABILITY YIN UTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project Number: Vehicle: 2024 CHEVROLET 2GClYNE74RIl79287 CERTIFICATE HOLDER CANCELLATION The Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Key West,FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD cw'� omniom LUMM Z Q c c E u i 0 u w a� p� W N +� Q W W N Q m Z / o Sm 0 /�" iO '//�/ii/�f 0 O Z j % u GL ///r CN LLI cc LL w/ +-J jl r^�j r /i r/ G / I ' /// '�' V LL N +, V r/ 1T , , r/ r U i ' l ' +� A ��'/ (� // !�i' %, rotj LL /�rj/ � 11 JLu O / O 0 LLI9/ / i /�/ ///� // i! �� ' �i 1, +j �i/d/yrw %O% �� > U i W / �/�1 r ��',Dior r r � �l/ �� N l/ ,%/ ��I a �Jrir� fir �j�vi N 7 i///%� /%G o/%f r i/�� iiiiioi lV /��f r I LJr W O 3 (U Q LL W W L Z 0 Z w p a W Z u 0 O w a - ~ V ~ 0 Q .N a o W H � Q o,o 2024 / 2025 MONROE COUNTY BUSINESS TAX RECEIPT EXPIRES SEPTEMBER 30�, 2025 RECEIPT# 30140-138972 Business Name: CAPCON CONSTRUCTION CORP Owner Name CARLOS A PADRON MO CTY Mailing Address: Business Location: KEY LARGO, FL 33037-4676 353 SOUND DR Business Phone: 786-719-0033 KEY LARGO, FL 33037-4676 Business Type: CONTRACTOR(CERTIFIED GENERAL) Employees 1 Tax Amount Transfer Fee Sub-Total Penalty Prior Years Collection Cost Total Paid 20.00 0.00 20.00 0.00 0100 0.00 20.00 Paid 402-23-010002254 0 7/2 3/2 0 2 4 20.00 THIS BECOMES A TAX RECEIPT Sam C. Steele, CFC, Tax Collector THIS IS ONLY A TAX. WHEN VALIDATED PO Box 1129, Key West, FL 33041 YOU: MUST MEET ALL COUNTY AND/OR MUNICIPALITY PLANNING, ZONING AND LICENSING REQUIREMENTS, MONROE COUNTY BUSINESS TAX RECEIPT P.O. Box 1129, Key West, FL 33041-1129 EXPIRES SEPTEMBER 30, 2025 Business Name: CAPCON CONSTRUCTION CORP RECEIPT# 30140-138972 MID CTY Business Location: KEY LARGO, FL 33037-4676 Owner Name: CARLOS A PADRON Mailing Address: Business Phone: 786-719-0033 353 SOUND DR Business Type: CONTRACTOR(CERTIFIED GENERAL) KEY LARGO, FL 33037-4676 Employees Tax Arnount Transfer Fee Sub-Total Penalty Prior Years Collection Cost Total Paid 20.00 0.00 0.00 20.00 0.00 0,00 0.00 20.00 .................. ....................... Paid 402-23-00002254 0 7/2 3/2 02 4 20.00