11/07/2024 Emergency Management 1,411� lw tl w W lw 11:P R114 I S PI II i�� S II-'N I IR.ilw i�/ ''1 -111:M a ilw"u' P14 1I I'All.U.,
ATTACHMENT D.5
COUNTY ADMINISTRATOR
CONTRACT SUMMARY FORM FOR CONTRACTS $100,000.00 and Under
Contract with: Sands of the Keys, INC Contract# 00201
Effective Date: 11/01/2024
Expiration Date: 12/31/2024
Contract Purpose/Description:
Lease agreement for 2 Canon Copiers - Image Runner Advance C5540 and C5560 for Emergency
Management to include 4 tray paper cassette feeding unit, inner finisher, fax board, and single pass
scanning. Total coast is $250.00 per month, $0.015 per B&W page and $0.075 per color page to cover
all consumables, service, parts, and labor.
Contract is Original Agreement
Contract Manager: Cory Schwisow 6065 EM/ Stop 414
(Name) (Ext.) (Department/Stop #)
CONTRACT COSTS
Total Dollar Value of Contract: $ 250.00 Current Year Portion: $ 250.00
(must be$100,000 or less) (If multiyear agreement then
requires BOCC approval,
unless the;orq d cunmh,,e
wr o+ho,d,N iH"MN1000,0w0„r d,s)
Budgeted?Yes X No ❑
Grant: $ County Match: $N/A
Fund/Cost Center/Spend Category: 13500 /530310 SC_00036 Other Contractual Services
ADDITIONAL COSTS
Estimated Ongoing Costs: $ N/A /yr For: N/A
(Not included in dollar value above) (e.g. maintenance,utilities,janitorial, salaries, etc.)
Insurance Required: YES ❑ NO X
CONTRACT REVIEW
Reviewer
Department Head Signature: eG4_,_.__
pp Digitally signed by Cynthia L.Hall
W DN:_Cynthia L.Hall,o=Monroe County SOCC,ou,
W email=hall-cynthia[mon,ae unty-fl.ga,,-US
County Attorney Signature: _ Date:County
Risk Management Signature: 10.28.24
Purchasing Signature: `'
Digitally signed by John
OMB Signature: John uinn
Quinnn
g _Date
15:19:11-04'00'
Comments:
Revised BOCC 4/19/2023
i e 'a.sc 4i d P i 2(,P2, 89 t
t '' ��d o� o f t1 keys, Inc.
INVOICE#: 00201
'y ui N ��„�k.� i ,,ac h u d:°ro it i at l'1)1 a fn e IY'..,
EQUIPMENT RENTAL INVOICE
ORDER DATE: 11/01/2024 NEW/ EXISTING CUSTOMER: NEW
SOLD TO CUSTOMER: MC BOCC EOC BUILDING
7280 OVERSEAS HWY MARATHON, FL 33050
SHIP TO: SAME
EQUIPMENT RENTAL SALES SERVICE EQUIPMENT RENTAL SALES SERVICE
DELIVERY
X INCLUDED
QUANTITY PRODUCT NO. DESCRIPTION MONTHLY TOTAL
RATE PER MONTH
CANON ima eRUNNER ADVANCE C5540 $125.00 125.00
BOTH DEVICES EQUIPPED WITH 4 TRAY PAPER
CASSETTE FEEDING UNIT INNER FINISHER
FAX BOARD AND SINGLE PASS SCANNING.
ZERO BASE MAINTENANCE AGREEMENT BILLED AT
$0.015 PER B&W PAGE AND$0.075 PER COLOR PAGE,TO
COVER ALL CONSUMABLES,SERVICE,PARTS AND
LABOR. 'STAPLES,PAPER AND NON-COPIER SPECIFIC IT
SUPPORT ARE NOT INCLUDED IN AGREEMENT.
SUB-
TOTAL $250.00
TAX N/A
TOTAL $250.00
STANDARD RENTAL RATE 2 MONTH MINIMUM. CANCELLABLE
AFTER 60 DAYS WITH 30 DAY NOTICE TO QUIT.
TAX EXEMPT NUMBER IF APPLICABLE
CUSTOMER SIGNATURE: DATE:
SANDS OF THE KEYS John Ribble DATE:1 1/01/2024
SIGNATURE:
Post Office Box 345, Islamorada, FL 33036 Phone: 305-852-4378
Fax: 305-852-5054
Approved as to form and legal sufficiency
Monroe County Attorney's Office 10-23-2024 °
ADDENDUM TO EQUIPMENT RENTAL INVOICE FROM SANDS OF THE KEYS
(COPIER LEASE)
(State and Local Clauses Only)
The following clauses are added into the attached Equipment Rental Invoice as if fully
set forth therein:
Vendor:
Sands of the Keys, Inc.
86489 Overseas Highway
Islamorada, FL 33036
1. Florida Public Records law (F.S. 119.0701).
RECORDS- ACCESS AND AUDITS: Pursuant to F.S. 119.0701, Contractor and its
subcontractors shall comply with all public records laws of the State of Florida, including
but not limited to:
a. Keep and maintain public records required by Monroe County in order to
perform the service.
b. Upon request from the public agency's custodian of public records, provide the
public agency with a copy of the requested records or allow the records to be inspected
or copied within a reasonable time at a cost that does not exceed the cost provided in
Florida Statutes, Chapter 119 or as otherwise provided by law.
c. Ensure that public records that are exempt or confidential and exempt from
public records disclosure requirements are not disclosed except as authorized by law for
the duration of the contract term and following completion of the contract if the contractor
does not transfer the records to the public agency.
d. Upon completion of the contract, transfer, at no cost, to Monroe County all
public records in possession of the contractor or keep and maintain public records
required by the public agency to perform the service. If the contractor transfers all public
records to the public agency upon completion of the 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 Monroe
County, upon request from the public agency's custodian of records, in a format that is
compatible with the information technology systems of Monroe County.
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,
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BRIAN BRADLEY, AT (305) 292-3470, radle -brian rnonroecount° -
1. v, c/o Monroe County Attorney's Office, 1111 12th St., Suite 408,
Key West FL 33040.
2. F.S. 287.0582, F.S. and Monroe County Purchasing Policy (required for all
contracts for purchases of services or goods > 1 year): Monroe County's
performance and obligation to pay under this contract is contingent upon an annual
appropriation by the BOCC.
3. Insurance Requirements (Monroe County Risk Manual): The vendor is required
to provide the following insurance coverage:
N/A
Prior to or at time of execution of the agreement, the vendor shall provide a certificate
of insurance evidencing current coverage in this amount. Therefore, the vendor shall
provide updated certificates whenever the coverage is renewed.
4. Public Entity Crime Statement (required for all procurement documents and
contracts by F.S. 287.133 and Monroe County Purchasing Policy): 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, for CATEGORY TWO for a period
of 36 months from the date of being placed on the convicted vendor list. As used
herein, the term "convicted vendor list" means a list maintained by the Florida
Department of Management Services, as defined in F.S. 287.133.
By entering in this Agreement, the vendor acknowledges that it has read the above
and states that neither the vendor nor any Affiliate has been placed on the convicted
vendor list within the last 36 months.
5. Ethics Clause (required for all contracts by Monroe County Ordinance No. 10-
1990): By entering in this Agreement, the vendor warrants that he/it has not
employed, retained or otherwise had act on his/her 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
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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.
6. E-verify requirement (required by F.S. 448.095): Beginning January 1, 2021,
every public employer, contractor, and subcontractor shall register with and use the
E-Verify system to verify the work authorization status of all newly hired employees.
By entering into this Agreement, the vendor certifies that it registers with and uses
the E-Verify system. If the contractor enters into a contract with a subcontractor, the
subcontractor must provide the contractor with an affidavit stating that the
subcontractor does not employ, contract with, or subcontract with an unauthorized
alien. The contractor shall maintain a copy of such affidavit for the duration of the
contract.
7. Scrutinized companies (F.S. 287.135):
a. (Applies to contracts > $1 million): This contract is terminable at the option of
the awarding body if the vendor is found to have submitted a false certification as
defined below, has been placed on the Scrutinized Companies with Activities in
Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum
Energy Sector List as those terms are defined in F.S. 287.135, or been engaged
in business operations in Cuba or Syria.
i. False certification: At the time a company submits a bid or proposal for a
contract or before the company enters into or renews a contract with an
agency or local governmental entity for goods or services of $1 million or
more, the company must certify that the company is not on the Scrutinized
Companies with Activities in Sudan List or the Scrutinized Companies with
Activities in the Iran Petroleum Energy Sector List and that it does not have
business operations in Cuba or Syria. At the time a company submits a bid
or proposal for a contract or before the company enters into or renews a
contract with an agency or local governmental entity for goods or services
of any amount, the company must certify that the company is not
participating in a boycott of Israel. By entering into this agreement, the
vendor certifies that the company complies with these requirements.
b. (Applies to all contracts): This contract is terminable at the option of the
awarding body if the company is found to have been placed on the Scrutinized
Companies that Boycott Israel List as that term is defined in F.S. 287.135 or is
engaged in a boycott of Israel.
8. Payment: Invoices will be paid in accordance with the Florida Local Government
Prompt Payment Act, F.S. 218.70 et seq. Invoices must be submitted to the Clerk
with supporting documentation acceptable to the Clerk. Acceptability to the Clerk is
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based on generally accepted accounting principles and such laws, rules, and
regulations as may govern the Clerk's disbursal of funds.
9. Human Trafficking (F.S. 787.06): Whenever a contract is executed, renewed, or
extended between a nongovernmental entity and a governmental entity, the
nongovernmental entity must provide an affidavit signed by an officer or a
representative of the nongovernmental entity under penalty of perjury, attesting to
that the nongovernmental entity does not use coercion for labor or services. The
affidavit attached hereto is incorporated by reference.
10. Foreign Entities Affidavit (F.S. 287.138):
a. Beginning 1/1/2024, a governmental entity may not accept a bid or proposal from,
or enter into a contract with, an entity which would grant the entity access to
individual personal identifying information ("PII") unless the entity provides an
affidavit signed by an officer or representative under penalty of perjury attesting
that the entity does not meet any of the criteria in F.S. 287.138(2)(a)-(c):
• Entity owned by a country of concern (China, Russia, Iran, North
Korea, Venezuela, Syria)
• Controlling interest by government of foreign country of concern;
• Entity organized under the laws of or has principal place of business
in foreign country of concern.
b. Beginning 7/1/2025, a governmental entity cannot renew a contract with an entity
which would grant the access to PII unless the entity provides the affidavit.
c. Beginning 7/1/2025, a governmental entity cannot extend or renew a contract with
an entity meeting the above criteria if the contract would give access to PII to that
entity.
The affidavit attached hereto is incorporated herein by reference.
11. Total Amount of Invoice: The maximum amount of the contract shall not exceed
one hundred thousand dollars and no cents ($100,000.00).
12. The signatories below have full authority to execute this Addendum on behalf of
their respective entities.
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WHEREFORE, the parties are entering into this Agreement as of the dates set forth
below.
VENDOR: CUSTOMER:
Sands of the Keys Inc. Monroe County Board of County
Commissioners
Digitally signed by Christine
Christine Hurley Hurley
d ✓ r� By:
Date:2024.11.07 11:47:21-OS'00'
Fw7
(---(�eb-rgW�nds, President Christine Hurley, County Administrator
Date: �o W Date:
Approved as to form and legal sufficiency:
Monroe County Attorney's Office 10-23-2024
5
AFFIDAVIT ATTESTING TO NONCOERCIVE CONDUCT
F R B EES
Entity/Vendor Name: ,..e_�At .. .__.
Vendor FEIN: - /' "
Vendor's Authorized Representative:
(Name and Title)
Addr s: � ( .
City, - w � ' Stater Zip:
Phone Number: .:° ..,
Email Address: mr � ..t � . ��,� ....,Y.
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:
who is authorized to si n behal . f he ,move red renced company.
Authorized Signat re:
Print Name: _ , /; .
Title: A._.
6
FOREIGN ENTITIES AFFIDAVIT F.S. 287.138
of the city of &Z-A&6 according to
law on my oath, and under penalty of perjury, depose and say that:
a. I am of the firm of
'g,
("Entity"), the bidder
making the P46posal for th _pr?)ect described in the Request for Proposals for
...... and that I executed the said
proposal with full authority to do so;
b. In accordance with section 287.138, Florida Statutes, the Entity is not owned by
the government of a Foreign Country of Concern, as that term is defined in F.S.
287.138, is not organized under the laws of nor has its Principal Place of Business
in a Foreign Country of Concern, and the government of a Foreign Country of
Concern does not have a Controlling Interest in the entity.
c. The statements contained in this affidavit are true and correct, and made with full
knoWledgt-that--Mo"n'roe County relies upon the truth of the statements contained
"Arf his avit iin awa'r&qg contracts for said project.
`6y
(Signature)
Date:
STATE OF:
COUNTY OF:
Subscribed and sworn to (or affirmed) before me, by means of ysical presence or Ei
online notarization", on Q L±- by
des �qrsqaly(name of affiant). He/She is p (date)
n, ! known to me
or has"produced (type
of identification) as identification.
NOTARY PUBLIC
My Commission Expires:
as ray JOSHUA P(AL 10'Not a r y ryubk,R,0 IN`F kv i da g' o Jr
CvrmflNon +1312763
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