HomeMy WebLinkAboutItem D4 D4
BOARD OF COUNTY COMMISSIONERS
COUNTY of MONROE Mayor James K.Scholl,District 3
The Florida Keys Mayor Pro Tern Michelle Lincoln,District 2
Craig Cates,District 1
David Rice,District 4
Holly Merrill Raschein,District 5
Board of County Commissioners Meeting
January 15, 2025
Agenda Item Number: D4
2023-3473
BULK ITEM: Yes DEPARTMENT: Tourist Development Council
TIME APPROXIMATE: STAFF CONTACT: Ammie Machan
N/A
AGENDA ITEM WORDING: Approval to Advertise a Request for Applications for FY 2026
Capital Project Funding Applications.
ITEM BACKGROUND:
Attached is a copy of the FY 2026 Capital Project Funding Application.
The following updates were made:
• Updates to the dates throughout the application
• Added clarification on Permissible Uses (page 9) of the application that "The Capital(Bricks and
Mortar) funding application process is to offer funding for capital projects for construction,
renovation or major repair of infrastructure or buildings for qualifying facilities and which are
permanently affixed to the infrastructure of the building.
• Added clarification to Question 9 (page 18) that design is only permissible for projects that fall
under the Public Facilities category
• Added New Vendor and Change of Vendor Forms
TDC approved at their meeting of December 6, 2024.
PREVIOUS RELEVANT BOCC ACTION:
INSURANCE REQUIRED:
No
CONTRACT/AGREEMENT CHANGES:
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
803
FY 2026 Capital Project Application.pdf
FINANCIAL IMPACT:
804
2026
TDC APPROVAL TO ADVERTISE: December 6, 2024
BOCC APPROVAL TO ADVERTISE: January 15, 2025
NOTICES SENT TO INTERESTED PERSONS February 3, 2025
ADVERTISE RFP: Week of February 3, 2025
APPLICANT WORKSHOPS: February 26, 2025
Approx. 78 DAYS
It1,;L1:)LIN1,: Weeli of l ril 22, 2025
(1),ite to be cotifirined with d'tirchasitid(
SEND OUT EVENT APPS TO DAC MEMBERS: June 1, 2025
DAC DEADLINE: June 13, 2025
DAC APPROVAL: June 13th and 14th, 2025
TDC APPROVAL: July 29, 2025
BOCC APPROVAL SEPTEMBER/OCTOBER BOCC (EFFECTIVE DATES OF
OCTOBER lsT FOR AGREEMENTS)
805
hkl respondents must use the current app�hcaflon downbaded from the County's &Iectron��c
APPLICATION DEADLINE:
All applications should be received no later than 5:00 p.m. (close of business day)
All inquiries and correspondence, other than submission of application, should be made to the Monroe
County Tourist Development Council. Contact Maxine Pacini or Ammie Machan at(305)296-1552. Email
correspondence should be addressed to ,Ain"i.in"ii.e.C2 E!2 Questions regarding permissibility of
your project submitted less than 10 business days prior to the deadline date may not be answered.
Monroe County Tourist Development Council FY 2026 Capital Project Application
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CAPITAL PROJECT FUNDING ROC
This application is intended for applicants whose facility has a primary purpose of promoting
tourism.
The Monroe County Tourist Development Council (TDC) administers the four (4) cent bed tax
collected for the purpose of promoting the Florida Keys as a tourist destination. Each year, the
TDC advertises a Request for Applications (RFA) for Capital Project funding through the TDC.
Projects must be owned and operated by either a governmental entity or non-profit
organization. Individuals and for-profit organizations and companies are not eligible to apply
for Capital Project funds. Applicants must be registered to do business in Florida. The Applicant
must be the owner or operator of the facility. Applications received from organizations that are
not the owner or operator of the facility will not be considered. All applications will be reviewed
by the appropriate District Advisory Committees (DAC's), who shall make recommendations on
funding the project to the TDC. Upon approval of recommended funding allocation by the TDC,
the administrative office will coordinate with the project manager to establish an agreement for
the project and will present the proposed agreement to the County for final approval.
This application may be funded up to one hundred percent 100% reimbursement of funds
expended by any individual non-profit organization and governmental entities. The
applicant must show that all funds (100%) are available for the project at the time of
application so that there is no delay in the progress of the project, and that TDC funding
is not used as "matching" funds.
If an applicant applies for funding in more than one District for their Capital Project, they may
either:
Apply for a specific portion of the total funding request in multiple Districts. Each DAC will
be informed of the amount requested in each DAC and will consider only the amount
requested in their specific District. The majority of the project cost should be requested
from the district in which the project is located. The amount requested in each DAC should
take into consideration the positive tourism impact the project will have on adjacent DAC's
(This method is to be utilized unless emergency circumstances exist as set forth
below
or
Only under emergency circumstances, i.e. projects that need to be completed due to
emergency circumstances (an immediate danger to the public health or safety or a danger
of loss of public or private property that requires immediate action), may an applicant
apply for the full funding request across multiple DACs. The Applicant must submit
documentation or a detailed explanation of the emergency circumstances relating to the
project. Each DAC will consider the total funding request and will be informed that the
funding request is across multiple Districts. If the project is partially funded by a DAC, the
funding request for the other DACs will be reduced by that amount, and the DAC members
will be informed of the funding recommendations made by the other DACs. Once a DAC
has approved the final funding allocation recommendation, the funding process does not
allow for that amount to be increased or decreased based upon subsequent funding
allocations made by other DACs.
Monroe County Tourist Development Council FY 2026 Capital Project Application
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807
IMPORTANT INFORMATION
All information furnished or disclosed as part of the application process is considered a public
record under the laws of the State of Florida.
The applicant shall not lobby, solicit or act to influence the advisory committee members and/or
the TDC board members in any way that may influence the outcome of the competition,
discussion or negotiations leading to the allocation of funding, or an award of an agreement as
reviewed and approved by the County Attorney's office. Such action may lead to withdrawal of
the application from consideration.
Commencement of Project: No portion of the project for which you are seeking TDC funding
may commence prior to the approval of an agreement by the Monroe County Board of County
Commissioners. Once your agreement has been approved by the BOCC then the project work
described in Exhibit A must commence before the end of the Fiscal Year in which it is funded.
Example: FY 2026 funding would be October 1, 2025 to September 30, 2026, or between the
date of BOCC approval of your agreement and September 30, 2026. Proof that the project
commenced within the 2026 Fiscal Year may be requested by the TDC administrative office. For
projects requesting $19,999.99 and under, please see page 7.
Prior to filling out the application, please go to „.su�u,lr bi ,,,,, irg„ to ensure that your organization
is registered to do business in the State of Florida. Only applicants that are duly registered will
be accepted. Print out the Sunbiz documentation and attach as Exhibit A.
Cost of preparation and submission of the application is the responsibility of the applicant.
Applicant shall complete, sign (by an authorized officer)and submit the application to the Monroe
County Purchasing Department as instructed.
Completed Application: The application shall be considered complete upon receipt and should
stand alone with no other information being provided after-the-fact other than any additional
information that may be requested by the TDC administrative office, or questions from the DAC
at the allocation meeting.
All attachments should be noted as such in the top right-hand corner of each sheet.
Applicants shall familiarize themselves with referenced online materials noted in this application.
A sample agreement can be found at: Ir s://rrr .r�rnoiiroeacoui
fll. r�rneairCeaire:air/ Hearn/333!/ ar�rn Ilea Ca Ii all A irea :ar�rneai
q........................................................................................................................................................................................................................................................................................p,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,........................q,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,......
Any part of the project for which the applicant wishes to seek reimbursement from the County
must NOT commence prior to the date of County (BOCC) approval.
Be advised that if your organization is awarded funding, you will be required to enter into an
agreement which requires you to maintain accurate and complete documentation of the project.
You will be required to obtain a signed amendment to the agreement before making any
Monroe County Tourist Development Council FY 2026 Capital Project Application
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substantive changes to the project or you may nullify the County's obligation to pay. You will be
required to comply with the following reimbursement procedures outlined in the sample
reimbursement packet which can be found at: t]t
1::Reirribuirserrient.............Qa.pita�l
............................................................................................................................................................................................................... ...........................................................................................................................................................................................The recipient of TDC capital project funding shall designate a project manager if no licensed
architect, engineer or general contractor is involved in the project. If the project is performed by
County or City personnel, the project manager shall be the engineer, building official or
construction manager of that local government.
Taxes: The TDC/County is exempt from Federal, Excise and State of Florida Sales Tax.
Maintenance: The applicant shall be responsible for all maintenance and operational costs of
the premises improved or constructed with the use of funding from the TDC/County. The
applicant shall be responsible to the TDC/County for the safekeeping and proper use of the
premises and property under the applicant's care, which includes obtaining any and all insurance
for the premises and the property/equipment, and obtaining any and all maintenance or service
relating to such property and equipment for its service life. Any disposal of assets procured
through funding under this agreement shall comply with chapter 274, F.S. or chapter 617 F.S.,
dependent upon the type of entity funded under this agreement.
Permits: Applicant shall be responsible for securing all federal, state and local development
approval and permits necessary to complete the project. Award of funds under this application
does not indicate any development approval by the County and applicant shall be required to
comply with all County concurrency requirements under land use laws of the County and State.
The TDC/County shall reimburse not for profits for the cost of permits required to complete the
physical brick and mortar portion of the project as outlined in the scope of services (Exhibit A) of
the final agreement. Applicant shall submit for reimbursement for permits within the last segment
of their proposed project. The TDC/County will not reimburse for permits obtained prior to
approval of a funding agreement by the BOCC.
Insurance: Applicants requesting $20,000 or more in funding shall complete Exhibit M (pg. 22-
26 of application). Applicant shall provide the TDC/BOCC with current insurance certificates as
per the requirements set forth within the funding agreement. The TDC/County shall not
reimburse for the cost of insurance relating to the project for which the applicant is receiving
funding.
Performance Guarantee: A successful applicant shall warrant, by signing this application, that
applicant has the financial capability of completing the project as planned without the need to
request further funding from TDC/County for same. Applicant shall warrant, by signing this
application, and confirm in writing (in the form of bank statements; signed letter from the bank
stating that the funds are in the bank for the specified project; documentation provided by a
financial institution of a line of credit assigned to the specific project within the application) that
applicant has the funds in place at the time of the application for grant funds to be able to
complete the project prior to seeking reimbursement of TDC funds. Applicant may be asked to
provide proof that the funds are available to complete all outstanding TDC grants in addition to
this application. Applicants may also be asked to provide proof that the funds are available if
requesting an amendment to agreement. A governmental applicant shall provide a line item
budget for the project in application, and proof that the budget has been adopted by governing
Monroe County Tourist Development Council FY 2026 Capital Project Application
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809
board of that entity. The applicant, by signing the application certifies that: applicant, its
principals, and any previously owned business is/are not and have never been in default to
Monroe County under the terms of any contract. (Default means failure to fulfill contractual
obligations where County had to take legal action to obtain remedy or where a bonding company
had to be utilized in the completion of the applicant's contracted services.)
In-Kind Services: Non-Profit Organizations that do not apply for 100% of their total project cost
may utilize up to 50% of their funding obligation (out of pocket cost) in the form of in-kind services
which relate to the permissible elements of the project. In-kind services mean
donated/free/volunteered labor; materials; goods and services. Applicant shall provide a
schedule of values for each unit of in-kind services and/or goods at the time of the application.
Volunteered labor, as a component of in-kind services, will be calculated at a reasonable hourly
rate for the type of work/services being performed (e.g. an architect who volunteers to paint will
be able to seek reimbursement for the reasonable rate for the painting work performed, not the
professional rate of an architect). Should funding be allocated, County/TDC reserves the right to
deny the application of certain in-kind services and goods and to negotiate a revised schedule
of values for permissible items. For example, County will not accept as in-kind services the
waiver of governmental fees, or in-kind towards the acquisition of property. The amount of in-
kind services you note within your application shall be entered into your final agreement.
Applicants will be able to request additional allowable in-kind services after submission of
application only if the applicant does not receive the full TDC funding requested in the
application. In-kind services will not be reimbursed to the applicant.
Project Quotes and Bidding Process:
Governmental Entities: An applicant which is a governmental entity shall comply with the
procurement regulations and policies to which it is subject. A copy or link to these policies will
need to be submitted as part of your reimbursement request.
Not-for-Profits: Work from $10,000 to $100,000 requires two (2) written quotes for the work to
complete the project.
Work expected to be more than $100,000.00 requires three (3) written quotes for the work to
complete the project.
When obtaining price quotes, the not-for-profit must diligently seek to obtain quotes and such
efforts should be documented (by noting calls and emails etc. by staff and/or the project
manager) and provided with the reimbursement request. In the event that the required number
of quotes are not obtained a notarized statement from the President/Chief Executive Officer of
the not-for-profit shall explain why the required number of quotes were not obtain and certifying
that the not-for-profit has made all efforts to obtain the number of quotes required must be
provided. This should include all documentation of the efforts to obtain the required number of
quotes.
If the commodities or services will be provided by a "sole source" provider, the not-for-profit must
submit a notarized statement with its request for payment explaining why the vendor is the only
source for the commodities or services. The Grantee should submit the "sole source"justification
to the TDC Administrative Office for review and approval by the County. Failure to obtain
advance approval for a "sole source" expenditure may cause the reimbursement to be
disallowed for reimbursement by the County.
Monroe County Tourist Development Council FY 2026 Capital Project Application
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This documentation will need to be submitted as part of your reimbursement request.
Construction and Other Contracts: Applicant, by signing the application, warrants that, if
awarded funds for the project, all contracts, for construction or otherwise, to complete the project
shall be compliant with all applicable laws and to comply particularly with F.S. Chapter 255,
Chapter 274 and Chapter 287 as applicable. Applicant further agrees to provide TDC/County
and their designated representatives with:
a) Access to the project premises for inspection of the progress of the project;
b) Documentation including copies of all sub-contracts/Requests for Quotes/Bids
verifying compliance with purchasing/construction/architectural contract
requirements of the County {Notice to owner: list of sub-contractors must be
provided to County}; and
c) Access to all records concerning the project. These records must be retained by
applicant for a minimum of four (4) years after the termination date of agreement.
The requirement may be for a different time period than that required by other
government agencies. All records must be kept in accordance with Generally
Accepted Accounting Principles.
Termination for Default/Convenience: The TDC/County reserves the right to terminate any
agreement if, in its opinion, there shall be a failure at any time to properly perform faithfully any
portion of the project as funded by TDC/County according to the plan presented within the
application, or as modified and accepted in writing by TDC/County. Further, TDC/County
reserves the right to terminate payments under this agreement should the anticipated funding
become unavailable for any reason. Should termination occur under this provision, TDC/County
shall give the applicant thirty (30) days' notice prior to termination.
Payments: Applicants shall submit all documentation required by the Monroe County Clerk of
Circuit Court & Comptroller's Finance Department in accordance with instructions from said
department, prior to payment of any funds awarded. The TDC Application for Payment forms
provided in the TDC reimbursement package shall be used. Ten percent (10%) of every
Progress payment shall be withheld by County until certification of completion of project.
Design/Engineering/Architectural Costs: Design/Engineering/Architectural cost will not be
eligible for funding unless the project is a "public facilities" project (per AGO 2021-02). For public
facilities projects, design/engineering/architectural costs will be paid upon completion of the
physical brick and mortar portion of the project outlined within the agreement. Applicants shall
submit for reimbursement for design/engineering/architectural services within the last segment
of their proposed project (Exhibit A). This is to ensure that TDC dollars are used for completed
projects at the public facilities that are open to the public. No portion of the final design plans or
architectural drawings for which you are seeking TDC funding may commence prior to the
approval of an agreement by the Monroe County Board of County Commissioners. Applicants
may submit a preliminary plan within their application to provide the District Advisory Committee
and TDC with a more detailed proposed plan.
Acquisition of Property: Applications for acquisition of property will only be considered: if the
applicant can confirm availability of funding for one hundred percent (100%) of the purchase
price through a bank statement showing that the entity has funding set aside in a line item for
the purchase of the property, or that a loan from a financial institution has been fully approved;
Monroe County Tourist Development Council FY 2026 Capital Project Application
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there are no liens on the property; and a clear title of ownership will be held by the entity
requesting funding upon the closing of the purchase of the property. A clear title in the name of
the contracting entity will be required to submit for reimbursement of the TDC funds allocated.
The property shall be used for a minimum of ten (10) years as a tourist facility. The County will
evaluate non-compliance of use as a tourist facility and upon request by the County the applicant
shall pay a prorated reimbursement of funding allocated. The purchase or down payment on the
property may not commence prior to approval of a funding agreement between the County and
the contracted entity. No in-kind services apply to the purchase of property, and payment will be
made in one reimbursement check upon completion of the requirements set forth within the
funding agreement. A Restrictive Covenant on the property will be required to secure
TDC/County funds.
Acknowledgements: Applicant shall be required to display an appropriate public
acknowledgement of the support of the Monroe County Tourist Development Council in a
publicly prominent area of the project.
Funding Allocations: DAC recommendations on funding allocations shall be limited to
recommending allocations which do not exceed the amount requested by the applicant.
Funding requests may be denied or reduced to a lesser amount than requested by the applicant.
Projects Requesting $19,999.99 and Under: Projects requesting $19,999.99 and under may
utilize a "Streamlined Process" (this eliminates the requirement for a formal contract to be
entered into with the Board of County Commissioners which allows for a faster start time for your
project; insurance documentation; and County Engineering Department approval of work
completed) whereby the applicant will swear or affirm that the work will be completed in
accordance with the Streamline Process. Upon approval by the TDC, the administrative office
will provide the applicant with a commencement date, project summary sheet, and
reimbursement packet. Applicant will be required to comply with reimbursement procedures
outlined in the sample Project Summary Sheet, which can be found at:
Irr s://r r r .r7rnoi iroeacoui ....fll. I::::�ocur7rieaintCeainte:air/ Bear /23323/Sar7ri Ilero........II...II:Q I�iro eac ....
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........................
ur7rnr7ryair Sheae t for II::::1iro eac�s 11999999 aired Under
Public Facilities: TDC Capital funding may be utilized to acquire, construct, extend, enlarge,
remodel, repair, improve, maintain, operate, or finance public facilities, if needed to increase
tourist related business activities and in accordance with the conditions as set forth in F.S.
125.0104(5)(a)(6). These conditions include:
1) The use must be approved by a vote of at least two-thirds of the BOCC;
2) An independent analysis, performed at the expense of the TDC, must demonstrate the
positive impact of the infrastructure project on tourist related business in the county;
3) No more than 70% of the cost of the project may be paid by the tourist development tax;
Applicants submitting an application for a Public Facility should complete the section on pg. 13
pertaining to Public Facilities; the application for the project will be submitted as one application
with two segments. The first segment of the project should include the request for the
independent analysis "study", including an estimated completion date and funding request
(100%) for the study. The second segment of the project should include the physical portion of
the project. The applicant may request and may be allocated up to 70% of the total project cost
Monroe County Tourist Development Council FY 2026 Capital Project Application
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for this segment. Upon approval by the DAC and TDC, an agreement including both segments
will be placed on a BOCC agenda and must receive a two-thirds vote to utilize the funds. Upon
approval by the BOCC, the applicant will be responsible for coordination of the study and will
receive 100% reimbursement of the total cost of the study segment of the project, subject to the
cap on expenditures for that segment as set forth in the agreement. If the study shows a positive
impact of the project on tourist-related businesses, the remaining segments of the project will
move forward as set forth in the agreement. If the study does not show a positive impact of the
project on tourist-related businesses, then the remainder of the agreement will terminate.
Regardless of the outcome of the study, the applicant will be reimbursed for the cost of the study,
subject to the caps on expenditures set forth in the agreement. For more information on the
process please refer to the flow chart located here: Ir s://rrr .r�rnoiiroeacoui
fll.gr,eir,Ceir,eir/, ,Ber /25520/,f,,,�u, ll,ic if,,,,,acli,l,i,,ies ca,e
, ,, ,,,, ,, ,, ,,, ,,, ,,,, ,, ,,,, ,, ,, ,, ,, ,,,, ,, ,,, ,,,,,, ,,,,,,, ,, ,, ,,,,,,,,,,, ,, ,,,,,,, , ,,, ,q, ry oc .................
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"Public facilities" means major capital improvements that have a life expectancy of 5 or more
years, including, but not limited to, transportation, sanitary sewer, solid waste, drainage, potable
water and pedestrian facilities.
Public Record: All information furnished or disclosed as part of the application process is
considered public record under the laws of the State of Florida.
Total Project Cost Estimates: When calculating the total project cost, please take into
consideration the Consumer Price Index/inflation rates, local conditions, and challenges with
supply chain/material cost variances that may affect your project cost. If you have utilized an
engineer, architect, or other professional in determining your total project cost estimate, please
confirm that these considerations have been factored into their cost estimates.
Download and Submission of Application: All respondents must use the current application
downloaded from the County's electronic bidding platform at https://monroecounty-
fl.bonfirehub.com OR www.monroecounty-fl.gov/BonfireBids. Use of any other application will
result in your application being rejected. All directions within the application must be
followed or it will not be accepted. In the event that additional rounds of FY 2025 of funding
applications are offered, the updated application MUST be downloaded and use of this
application for additional rounds of funding will result in your application being rejected.
Applications must be uploaded to the County's electronic bidding platform by the deadline date
and in the manor listed on the first page of this application. It is applicant's sole responsibility to
ensure that the application is successfully received prior to the application deadline
IIII° IIIIS Illh°°j IIL S IIII'° IIII III°°�III III III III' "'III'.""'S
A workshop will be held via zoom for those applicants that are interested in applying for funding.
Attendance is strongly recommended. (Please note that all times zoom information are subject
to change and can be confirmed by emailing Ammie and Maxine at.................................................... l „- Q�E and
INSERT ZOOM INFORMATION
Monroe County Tourist Development Council FY 2026 Capital Project Application
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I° UII� SII�I fUl USES 1° 11 CAPITAL P110JECT 1�UIQS
This application is intended for applicants whose facility has a primary purpose of promoting
tourism. The Capital (Bricks and Mortar)funding application process is to offer funding for capital
projects for construction, renovation or major repair of infrastructure or buildings for qualifying
facilities and which are permanently affixed to the infrastructure of the building.
All capital projects funded by TDC shall be owned and operated by either a governmental entity
or non-profit organizations and open to the public. Individuals and for-profit organizations
and companies are not eligible to apply for Capital Project funds. Applicant shall provide proof
of property ownership, long term lease, or service contracts for consideration of funding, and
should show sufficient expertise or financial capability to operate such facilities.
Tourist Development Council capital project funds may be used in Monroe County as follows-
1. To acquire, construct, extend, enlarge, remodel, repair, improve, maintain, operate or
promote one or more:
Publicly owned and operated convention centers, sports stadiums, sports arenas, coliseums or
auditoriums within the boundaries of the county or subcounty special taxing district in which the
tax is levied;
Auditoriums that are publicly owned but are operated by organizations that are exempt from
federal taxation pursuant to 26 U.S.C. s. 501(c)(3) and open to the public within the boundaries
of the county or subcounty special taxing district in which the tax is levied; or
Aquariums or museums that are publicly owned and operated or owned and operated by not-
for-profit organizations and open to the public, within the boundaries of the county or subcounty
special taxing district in which the tax is levied; or
Zoological parks, fishing piers or nature centers which are publicly owned and operated or owned
and operated by non-profit organizations and open to the public; and
2. To finance beach park facilities, or beach, channel, estuary, or lagoon improvement,
maintenance, re-nourishment, restoration, and erosion control, including construction of
beach groins and shoreline protection, enhancement, cleanup or restoration of inland
lakes and rivers to which there is public assess as those uses relate to the physical
preservation of the beach, shoreline, channel, estuary, lagoon, or inland lake or river.
3. To acquire, construct, extend, enlarge, remodel, repair, improve, maintain, operate, or
finance public facilities, if public facilities are needed to increase tourist related business
activities, and in accordance with the conditions as set forth in F.S. 125.0104(5)(a)(6.)
uflll,.iuoui zed uses of uirc einuc ui must Ill e iiin uomlll llluiaince ui°flll,°iu IIII oui da Statute 125 0104,,, as ui may
be airneinded Iuirom tiiui c "to tiii me
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L LIII�C 'TII101Y [��011 CAPITAL P110JEC I I1�71.11 III G
This application is to request funding from the following District:
❑ District I: Key West— (shall encompass the city limits of Key West)
❑ District II: Lower Keys — (from city limits of Key West to west end of Seven Mile Bridge)
❑ District III: Marathon — (from west end of Seven Mile Bridge to Long Key Bridge)
❑ District IV: Islamorada — (between Long Key Bridge and Mile Marker 90.939)
❑ District V: Key Largo — (from Mile Marker 90.940 to the Dade/Monroe County Line and any
portions of mainland Monroe County)
APPLICANT ORGANIZATION: Organizaton Name Here
(Registered business name EXACTLY as it appears on :... u�„ir bi ,,pirg. Attach as Exhibit A
Type of Applicant: ❑ Non-Profit ❑ Governmental Entity
Project Title:
FEDERAL EMPLOYER'S IDENTIFICATION NUMBER OF APPLICANT'S ORGANIZATION
DESIGNATED PROJECT CONTACT PERSON:
Please provide a contact for general correspondence for this project. The person listed below
should be able to accept responsibility for receipt of information including agreement and
reimbursement information.
Name and Title-
Telephone/Mobile Number:
Email Address:
Address:
Website for Facility:
LOCATION OR ADDRESS OF PROJECT: Provide physical (postal service) address, RE#
and legal description lot, block, subdivision and attach map.
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WHICH OF THE FOLLOWING APPLIES TO YOUR FACILITY?
❑ Publicly owned and operated ❑ Owned and operated by a non-profit organization
❑ Publicly owned and operated by a non-profit organization
WHICH OF THE FOLLOWING BEST DESCRIBES YOUR FACILITY?
❑ Convention Center ❑ Sports Stadium ❑ Sports Arena ❑ Coliseum
❑ Auditorium ❑ Aquarium ❑ Museum ❑ Zoological Park
❑ Nature Center ❑ Fishing Pier ❑ *Beach or Beach Park Facility, channel,
estuary or lagoon
❑ Public Facilities in accordance with conditions
set forth in F.S. 125.0104(5)(a)(6)
WHICH OF THE FOLLOWING APPLIES TO YOUR PROJECT?
❑ Acquire ❑ Construct ❑ Extend ❑ Enlarge ❑ Remodel
❑ Repair ❑ Improve
*IF YOU CHECKED THE BOX FOR BEACH OR BEACH PARK FACILITY, WHICH OF THE
FOLLOWING APPLIES:
❑ Improve ❑ Renourishment ❑ Restoration ❑ Erosion Control
❑ Maintenance ❑ Construct ❑ Repair
If the TDC/County requires a Conservation Easement Deed or mortgage note requiring
repayment of TDC monies in the event of transfer of ownership or change in use of the premises,
would you be agreeable to executing same?
❑ Yes ❑ No
CODE ENFORCEMENT: Does your organization/property have any outstanding code violations
and/or fines/costs or liens? (please note that pursuant to Section 2-25(e), Monroe County Code, organizations
with outstanding code compliance fines are not eligible to receive grants or contracts from the county until such
time as the fines are resolved through payment or settlement). ❑ Yes ❑ No. If you have answered yes,
please explain below:
Monroe County Tourist Development Council FY 2026 Capital Project Application
11
816
.Non-Profit 0
Payment may be up to one hundred percent (1O0%) reimbursement of the total cost of each segment of
the project, subject b» the maximum reimbursement amount ofexpenditures for each segment (if the
project work is segmented) as set forth in the agreement. Applicant must be prepared to pay the entire
cost of each segment of work in advance of seeking the up to one hundred percent(100%). For purposes
of this application no more than fifty percent (50%) of out of pocket cost for non-profits shall be of in-kind
services and materia|s, and no in-kind services shall be reimbursed. |f the TOC Funds Requested are
allocated at less than 10096 of the total project oost, only then may the organization request to a||ovv
additional in-kind services after submission of the app|ioadon, which must be entered into the final
agreement. The project may be broken down into or segments. When one segment is completed,
reimbursement of the TDC portion of that completed segment cost can be applied for through the TDC.
For acquisition of property, see importation information on page 0.
Total TOCFunds Organizations' Confirmed Confirmed/Available Organizations'
Project Requested: Out of Pocket In-Kind Hard Dollar Funds: Financial
Cost: (mr') to Cost: Services: (TotaU I:::Ir ject Cost |OvSStnOSOt:
10096 of (TotaU l:::1r Ject (U�p to 1� ess U0-Ki0d (Out of l:::1ocket
TotaU Cost UessTDC 5096 of Services) Cost 1� essU0-Ki0d
l:::1r Ject I::::�u0ds Out of Services)
Cost) Requested) l:::1ocket
Cost)
|O the space below list all in-kind services and goods and their values. These values are subject
t negotiation withth TDC/County Please f8 5 of this application.
Payment may be up to one hundred (10096) reimbursement of the total cost of each segment of the
project, subject to the cap on expenditures for that segment as set forth in the agreement. Applicant must
be prepared to pay the entire cost of each segment in advance of seeking up to 10096 reimbursement.
The project may be broken down into 2 or 3 segments. For acquisition of property see important
information on page 0.
Total TOC Funds Requested: Governmental Agency's | have highlighted
Project (U�p to 10096 of total Out Of POCkEd Cost: the |iOS itSnO(S) in the
Cost: l:::1r Ject Cost) (TotaU l:::1r Ject Cost Uess budget for this
TDC I::::�u0ds Requested) specific project.
Enclose portion of
line item budget as
proof of funding for
Exhibit F-1
Monroe County Tourist Development Council FY 2026 Capital Project Application
12
817
Public Facilities
Se irneint#1 ,........ Study
Payment will be 100% reimbursement of the total project cost of the study segment of the project, subject
to the cap on expenditures for that segment as set forth in the agreement. Applicant must be prepared to
pay the entire cost of this segment in advance of seeking reimbursement. The project may be broken
down into additional segments. For acquisition of property see importation information on page 6.
Total Study TDC Funds Governmental I have highlighted the
Cost: Requested: Agency's Out of line item(s) in the
(up to 100% of Pocket Cost: budget for this specific
Total Study Cost (Total Project Cost less project. Enclose
TDC Funds portion of line item
Requested) budget as proof of
funding for Exhibit B
El
Estimated Completion date for study:
Se irneint° III°1roject°
Payment will be up to 70% reimbursement of the physical project segment, subject to the cap on
expenditures for that segment as set forth in the agreement. Applicant must be prepared to pay the entire
cost of each segment in advance of seeking reimbursement. The project may be broken down into
additional segments. For acquisition of property see importation information on page 6.
Total Project TDC Funds Governmental I have highlighted the
Cost: Requested: Agency's Out of line item(s) in the
(not including (up to 70% of Pocket Cost: budget for this specific
study) Total Project Cost (Total Project Cost less project. Enclose
TDC Funds portion of line item
Requested) budget as proof of
funding for Exhibit B
El
TDC requires confirmation in writing that the project funds are in place at the time of this
application for grant funds (see Performance Guarantee on page 4). Enclose proof of funding
as Exhibit B.
In the space below list the specific items/services, and the estimated dollar amount for each of
those items/services on which your requested TDC funds will be spent on (please do not include
warranty fees, items relating to administrative, office, or retail space as part of your budget.
Design may only be included for Public Facilities Category Projects):
Monroe County Tourist Development Council FY 2026 Capital Project Application
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818
1. Use:
a) Original use of structure/facility and date of construction:
b) Present Use:
c) Proposed Use-
d) Attach photograph of existing site as Exhibit C.
e) Historic designation: Indicate whether the property has been listed in the National
Register, is located in a National Register district, is a locally designated historic landmark or is
located in a locally designated historic district. If located within a historic district, provide the
official name of the district. This information is available from the planning agency having
jurisdiction over the property.
2. All Capital projects funded by the TDC shall be owned and operated by a governmental
entity or non-profit organization. Applicant shall provide proof of property ownership, long term
lease or service contracts for consideration of funding and should show sufficient expertise or
financial capability to operate such facilities (Enclose as Exhibit D).
Ownership or other interest in property by applicant:
a) Official records reference for ownership documentation
b) If not owned by applicant, provide long term lease of property or service contract
and provide notarized consent letter from owner for use of property as outlined in
this application.
3. If proposed project calls for transfer of title of real property to County, at least two (2)
current real estate appraisals and one (1)environmental assessment shall be provided (Enclose
Monroe County Tourist Development Council FY 2026 Capital Project Application
14
819
as Exhibit E). The TDC/County shall ascertain, prior to acceptance of any donation or prior to
the purchase, that the property will pose no environmental hazard or liability for same, to County.
The TDC/County must also ascertain permissible governmental interest in the transfer of title.
Indicate any such proposed title transfers here:
4. This paragraph applies only to an acquisition funding request, but you will still need to
complete items 5-13, whether this is a new construction or renovations, additions, or exhibits.
Indicate the area of the property to be acquired in acres:
In evaluating applications for acquisition funding, an important consideration is the
appropriateness of the size of the site to be acquired. Determinations of the appropriateness of
the site size will be made on a case-by-case basis and will depend on the characteristics for
which the property is considered to be significant. Sufficient property should be acquired to
assure that the historic relationship of a structure or archaeological site to its surrounding
environment is preserved as applicable. However, it is important that no more property than is
necessary to achieve established preservation objectives be included in the acquisition project
application. As these factors are critical to favorable consideration of your grant application and
will have substantial impact on the cost of the required application documentation, we encourage
prospective applicants to consult with the staff of the TDC administrative office prior to initiating
the required documentation.
5. Protection of Property: Indicate any type of state or federal protection currently afforded
the property. It may be that more than one type may be applicable. Provide citations for
applicable local protective ordinances. Include copies of property-specific restrictive legal
instruments in an attachment (Enclose as Exhibit F). By signing and submitting this application,
the proposer warrants that all restrictions are disclosed. Failure to include every restriction on
the property may result in immediate termination of any agreement and demand for return of any
monies paid thereunder.
6. Is the property threatened by imminent destruction, deterioration or other loss which may
include demolition, vacancy, severe deterioration, loss of structural integrity, encroaching
development, adverse environmental conditions, vandalism, etc.? Be specific regarding the
nature of immediacy of the threat. If so, describe in detail:
Monroe County Tourist Development Council FY 2026 Capital Project Application
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820
7. a) Are there any building restrictions on the site? If so, describe. Attach copies of all
recorded easement and restrictive covenants. By signing and submitting this application, the
proposer warrants that all restrictions are disclosed. Failure to include every restriction on the
property may result in immediate termination of any agreement and demand for return of any
monies paid thereunder Enclose as Exhibit G .
b) Is the proposed project compatible with the County's and/or the Municipality's
Concurrency Requirements under the existing and proposed Land Use Comprehensive Plan?
❑ Yes ❑ No
Describe below how you have ascertained such compatibility. Note if your description does not
provide information about existing permits and/or review by the appropriate Planning
Department, your application shall be rejected. Please list all permits required to complete this
project.
c) Does the site contain endangered or threatened species of flora or fauna?
❑ Yes ❑ No If yes, attach explanation as Exhibit H
d) Indicate whether or not the project will be accessible to the handicapped per
Chapter 553, Part V Florida Statutes and the Americans with Disabilities Act of 1990, Public Law
101-336, as amended.
❑ Yes ❑ No If no, attach explanation as Exhibit
e) Explain how your facility will utilize recycling within the work of your proposed
project:
Monroe County Tourist Development Council FY 2026 Capital Project Application
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821
f) Public accessibility and use: Indicate the extent to which the property is currently
or will be scheduled to be open to the public each year(hours per day, days per week and weeks
per year) upon project completion. Estimate the number of persons who will use or visit the
completed facility annually. Explain how this estimate was derived. For archaeological projects,
if the site will not be accessible to the public, estimate the number of persons annually who will
be exposed to the interpretive materials and reports resulting from the project. Include details on
how was your estimate was derived?
g) Is there currently signage for this project/facility on U.S.1?
❑ Yes ❑ No
If No, are there plans to install signage and if so, do you have FDOT approval? Explain below:
h) If the project/facility is located in a Historic District, is there currently signage for
the project/facility in the Historic District?
❑ Yes ❑ No ❑ Not located in a Historical District
i) Does the project/facility require any parking variances? Explain how this was
determined in the space below.
❑ Yes ❑ No
8. Describe present physical condition of site (attach legal description per property tax
records). Indicate the present condition of the property by checking the appropriate term below:
Monroe County Tourist Development Council FY 2026 Capital Project Application
17
822
❑ Excellent: The property is habitable and occupied; no repairs are needed. All physical
evidence indicates that the property is under continuous maintenance. Application is for
expansion and enhancement.
❑ Good: The property is habitable and occupied; only replacement or cosmetic repairs are
needed (e.g. peeling paint, missing ornamental features, windows, doors, some deteriorated
mortar, etc.) Property is maintained but in need of minor repair.
❑ Fair: The property is habitable but may be vacant. Both the structural integrity (foundation,
framing, etc.) and weather tight integrity of the property (siding, walls, roofing, etc.) are in
jeopardy because of prolonged neglect.
❑ Poor: The property is uninhabitable and vacant. Major structural repairs are needed.
Weather tight integrity has been lost. The property is derelict, abandoned and not habitable
without major rehabilitation work.
List any specific factors or problems which contribute to the present condition of the
property—
9. Status of project planning: (Design/Architectural/Engineering cost are only permissible for
TDC funding if the project falls under the Public Facility category. Any work initiated prior to
approval of an Agreement by the Monroe County Board of County Commissioners will be at
applicants' own cost):
❑ Not yet initiated ❑ Initiated
❑ Schematics Completed ❑ Design development completed
❑ Construction documents completed ❑ Permits have been obtained (if
required)
10. Name and Address of Project Consultant (architect, engineer, contractor, etc)
Enclose preliminary plans or architectural documents completed to date — 1 set (Enclose as
Exhibit J)
11.Has an Agreement for architectural services or construction services been executed?
❑ Yes (cost will not be reimbursed by TDC) ❑ No
❑ Project does not require architectural services
Monroe County Tourist Development Council FY 2026 Capital Project Application
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823
12.It is the County's policy not to fund operations and maintenance cost of facilities.
Describe the means by which the structure(s) affected by this project will be maintained
subsequent to restoration/rehabilitation. Include sources and estimated amounts of funding for
such maintenance.
13.How will this project positively impact the visitor experience in Monroe County? Please
site examples.
Monroe County Tourist Development Council FY 2026 Capital Project Application
19
824
14.Applicant must demonstrate the ability to complete the project as proposed and to
maintain and operate the project as a viable and long-term tourist attraction that is open to the
public. Included in this demonstration should be a proposed operational budget and marketing
program to promote this facility as a tourist attraction. (Attach as Exhibit KA the proposed
operational budget of the facility and as Exhibit K.2. the marketing plan and/or
promotional efforts for the facility).
15.Estimated Project completion date. As a reminder this funding becomes available October
1, 2025
Monroe County Tourist Development Council FY 2026 Capital Project Application
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825
off dts I�Dage, coiqNete, and indlide IDart of your appIhcaflon
ndose asII: II Iill lii IL
F0,10 W"91 Request for Taxpayer Glive Formi to the
M-, (X kkw 2171 M Identification Number and Certification requester. Do not
�VJ�v"H%'r send to the IRS.
�v' '.MeNA'±&N to 1b,Go to www.h-s.gov/Form W9 far iinstructions and the latest:information.
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liraM Taxpayer Identifi cation Number JTIN�
Enter your TIN in the appropnale box..The TllN provild ed must match 1he name gIrven an line I ta awdd -Sbend *edlfty mdMb6r
backup welitilholdIng.For individuals,this is generally your social security number(SSNl,.However,for a
res dent alien,scge Iproprletsr,on disregarded entity,see the insu'urtions for Part I hater For Dl:har
enthres,!it is youqr amployer,identification number(EI Ni.11 you do not have a number,see Hawrn:
ge t a
TIN,later.
Natei 11 the accoun I.is in more than one nanne,see the instructions for line 1 Also see Waf Name and
funnier To Qve Me R�vquester fcw guidelines on whose.number to enter., I I d I I I I I I L
Under penalties of perjury.I certify I:hal::::
1.The number shovai on this forma iis ni comeat taxpayer cl m- tificalmin mvmber(or N am wmting for a number 10 be issued to mel,;and
2.1 am noaat subject to Ibaclkup rrwthlhofdinmg because:la'j i a exempt from backup withholding,or llb�I have not been notIfied1by the Innernai Revenue
Service @RSJ that.I am subject to Ibacpuatp Mthholding as a result of a ialure to report all interest or dMiderids,or(c)the IRS has ratified{lance that i am
no longer sublect to Ibackup withholding;and
3.1 am a U-S.ctizen or other U.S.person('declined below;and
4.The FATCA ccde(st entered on this farm('If snyj indicaling that I am exampt from FATCA reporting is correct-
Ceirtfication instructions.YOU ITIUMI cross cut uitsrd 2 above of you have been noilihed by the IRS lhal you are 0.111rently Kibjec2 to bacikup^hnhholding bGC2LJS8
you have faMed tic repart all Interest and dividends on your iax return For real es#,afe transact onus„ tem'2does not apply.For mortgage interest paid,
acquisition or abandonment rJ secured properly,cancellation of dEbt,contribuqlans to an ini retkEnTenlairrangpri @RAl,and generaffy,paymEn Is
offiLy dian limtairest mid dr-yideinds,you are not reqihired to sign lhisi cerhificalion,but you i proOde your correct TIN.See the unstauchonsfor Pan 111,1
Sign Siqrutuit&uf
Here I J.'s,peffson W O'Sire I.
Genera! Instructions -Form 1 X39-DIV(dividends,including those tram stocks or mulLW
funds)
Seofion r0arences are to the Internal Revenue Godeunriess utfiefwise -Form 1rYJ9 MiISC�,qahous types cA income,prilzes,awards,or gross
noted, proceeds)
Future dewelopmients.For the latest inliormalion about developments Form 1VJg-B(sloolk or mutual[fund sales and certain other
relawd to Form W-9 and its Instruc6ons,such as Ile-gislaton enacted vansaulmons Eby brokers)
after they were published,go to www:.ers.goWFomn W9. -Form 1VJ9-S(proceeds Ironn real estate transactions)
Purpose of Form -Form lffjg.K imerchant card and third carry network iiansartions)
An individual or entity�(Form W-9 requester')who iis required to firp an -Form 1ffJ8 lhomB miarigage,mm1eresti,1 6@8--E(stu6ery loan linieres 1),
Iniormaticyn Ireturn with the IRS must obtain your,correct taxpayer 1098-T ltwhonq
dentificalion number 71NF Winch may be your social seourily number -Form 1VJ9-C(canceled debt)
rSSI%rp,urid,41dumll taxpayer,denfilfication number(ITIN,adoption
taKparyer clen lificalmn nuimber(ATINl,,cw employer dentificalion number -forum 11Y09-A,�acqiuisftn air abandonmeirt of secured prepertyl,
(El N),lo repent an an i1crmation ireturn the amount pad to you,or other Use Form6-9 only if you are a .S Iperson(includring a resident
amount reportable on an infoni return..Examplea of uniormation alen,�,to prov de your correct TIN.
returns Indude,but are not limited to.the IDII[lowing. if you de root return,Form W 9 to the requesr&MO a TW,you mrghp.
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Monroe County Tourist Development Council FY 2026 Capital Project Application
21
826
IIL III III IIL IIIn t aind comlp11 ete fl,'lds (°m 111 ul Y III l f' m tm ulr maul inn 4 ° ul m uln III°Ili not m m llln t III tm 111 llln t
�III�°I III m uln ulrm t mtiu uln i llln III,°Ilrt past.
ryibd i.rwwtw�"fij°I� MONROE COUNITY, FLORIDA
BOARD OF COUNITYCOMMISSIONERS
NE"W 'VENDOR I ' R
Thz form)�s to be:completed to ADID 2 rewmr vendor mforixratiora'to Morwrot County,F'II Veindo8 i r us°t complete the,entire fformi
and!Include ail required documentam',omrrs'to s�jpp�ort,t:IMe cmarr erequeA.
Use,tlhis frnurlrm for A I IEW VENDOR,NAME CHANGE,or TAX I,D C'IHNA,NGIE
ImldividUal or Business I
Vendor IEIlIN or lllast Ali digits,iSN:
Vendor F oIlllint of Contact: Phone:
*aECTICpI"rll A—MAWING OR IFtEIMITTAINICIE ADDRESS INFORMATION
INiXus:t: c:tlude:a cDmpieted IIIiR:'s IkaArmm Wt9 ar d a cowyofwendarlinwoice.wnll'h biillfilwrg eddmess.
vendioir Mlalilllliing Adidues&: Remittalnwce Addiress liilf different f'Irunrt Mailing Addr a-ss:
Aci 'cress: Address:
ilty: City:
state dip: stage: Zill :
SECTION I9—OTHER REQUIRED INFORMATION
IMus:ttli r.ludwe 2 VOlIDEd7 chmr ck or a dm,rmk.Cerctifiic'atiii,mu Letter A MnikCertiifliucatiom Letter
ima^i Ih�au�tlhe taa r?�re�resezm teat uw+e"s�s'i�m,ak�e.�a"ae d�root ac�tia�o-t depces'ot:�sN'ips ma a wen<dr�"s amteirm ai rxrniit�taawce�,Ie�iMier..
I II'nfolrmnatilon for electronic deposit: 1099 Required?
Bank�Acocoalunt Type: ❑ClI ❑havIlir ❑ Yes ❑ No
Bank Nanrte: it Y-ea,,pleasn chcn kl Oala Type
❑:�MtTu,l°'rlit„raw
Nance an,AraOLunut: � 9I Vc `Ha��ltlmc�ars la�yrwn� l rr
Bank Routiling Number: f 011-En ployi,e Compensation
Oth eir Incan°ule
Bank AcCIDI.1�11t Iw Unnber: Rantals
SECTION C;—VENDOR AUTHORIZATION
That fu=i must.be signed,by.a person wth chacck rd).,Rning aut�horky ff'or time comipany listed.Under p�enialties of perjury,II cert�ofy that the ab�crec
Information isco,moeto amrd accurate,.I autlhoriaac.Monine C" in�ty,,Iflcrici;atoremiit,pairrrcnt tmtn�the bank account:or,rawd adrd,mess iindicated;AB�e,.
lrhuz zaufhxana.ati&n willl irenmaim 4,,affect,untul1monr�oeCounty,iF6a)662 Ihas received,in writion&.a camnellat�cln notumrc,at,i .
SigmatUire Title
Friunt.Name Phone I" Um heir I
STAT'IE OF C;OU I"JITY 0IF _
The foregoing iilmstrw.urnelmt was ackinoMie�dged Ibeferia me Iby iimeaiins mf❑physical presence l ❑mmdine(notarization,
this d,3V calf, _20_ by
hrgwme snolrfiUe
(S EAQ
Print,Trv(pe,sta"P c�mrm�.Maione�IGterme ct'hsiotarlr
Persoina,lllly Known of IH'IrodUice�cd!Idelmtifidcatinin
Type of Vdiemrarlf'icatiolm Prodtulced:,
Monroe County Tourist Development Council FY 2026 Capital Project Application
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827
IIL III III IIIIIInt aind comlpl�ete °fl,,Iids ("m lllul III I our I ul IIInIIIzafloiIIn III°Ili m fmllln Ilh usIhlln lu�lll,°Ili.
I uln ulrl t o u ul It In III,°Ilse III " IIIn m�iu need
t uIIII IIIIIriil „ ° r veindoir ululi"ful,ulmtuIIIIII
I ONR E COUNITY, FLORIDA
M u VENDOR INFORMATION UP TIE (REQUEST IFORM
'Th,,z form z to be competed to update vrendvr meorimationa In Vznroc C"ouinty,Fiohda-, ndon record Vendor must:compete the entiire fa ni airy
include zil,re�gUred doviinrentatudrrns to support the cr arr ge request..
Do not uise this forirn 1for inairne or tax:IllCf change request,,thils is cunrs�iiideredl a new vreindor creatibn.
III nudividLlaI oIr IButsinuess Iltidalrne:
Vendor IEIIN or Illast Ali digits sill~:
Vendor Pciililnit of Conitact:: Pllh-onue:
Please select the type of cllhznge: BarilkkiliP IIIlmhorl Iilatioc+ri Mai liliung oir Remittance Address
SECTION A—FINANCIAL INSTITUTION IGIwIFORMATI!'CMIN
IMust include a'w011DE+G,chiezk or a Bar&CeRtification Letter.A VOIDED cheat rnrus�t,Kaye t1he,wrendor's preprinted narne A Mnk Cevrltiliueaation letter
irn a^fIrzvat:hefibirepr�esentati»ve's s'irmature Wedo not accept.deprositslipsmaaverdcit's:,irteranasreanittamce letter
..
I IPanik Ilnfcii-nrvatii-oin: Previlou:s IPa,nik Ilnfornrvatiloin:
BanulkAccountType: FIClI El Savings Bain k Account Type: FIClmeclkirrE FI avilings
Bank P""Vlair'>e: Bank Naire:
Nance onu AccoLlnt: Narne oru Arco int:
Bank Routing Number Bain RourtinP In'>cllher�:
BanulkAccowdnt INLlmrber: Bain Account t+dLwlmbelr
SECTIfOI"II B,— ILIIINIG GR REI'h�IITTANCE AD�DpRIE.S a,IIMIIFOI�MATI N
(hunt m6ude:a compiled IIIILS.Ip;ornm.WMl9 and a co;yy of wmendor iiinmoice w lith ItKe imeuva billlliiing,mi dlre^sm.
I IMA Ii ing Address: lPreviious Mailing Address:
Addlrescs: Address:
City: City:
State: z i p: hate: ZIIp:
SECTtCgNI C—VENDOR AUTHORIZATION''
71re fcm ni must:be shared by w person nwit'n check,signing authoratf for the company lusted..Under jpen2l6es of per'irsanf,II mertfy that t:he:2bc,,
Information is c,om a ete and accurate.I authorize Monr�o�e C" nty,IF'ior4a to remit iozynment mterthe bank aceonumt or/and address undicaked a(�ae�,.
lfhus a jfhoroaatcm willl enema im in effect until(Monroe County,.Florida IMas recei,ed,In writiing,a cancellat inodfica6on.
m�idt�
Signature Title
Print('unite Rhone INLE n�ber IDa te
ST WTIE OF COUNTY 0IF
The f regoing instrument was ackinoMiedged Ihefore nmfe Icy i of p physicaI presence or ordine notarization,
tlltiiiis_day of —20--,, Idy.
blame and Tftr !
( E.AQ
Print,7101t,SiamF commnr`ssi rneel i er'Riocarf
Persoinalllly Known OR Produced Identification
Type of Identification Produced:
Monroe County Tourist Development Council FY 2026 Capital Project Application
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� I°f I 1�LiEQ III I III° III ; °° l�l�� �1� f' I° ' III! N F`
(Enclose as Exhibit N)
f ffl�l� �fuu � re yes, ng,,,,,, � umore in f n,d
INSURANCE CHECKLIST FOR VENDORS SUBMITTING PROPOSALS OR BIDS FOR WORK
To assist in the development of your proposal, the insurance coverages marked with an "X" will be
required in the event an award is made to your organization. It is required that the bidder sign the
requisite form reflecting coverage and submit it with the proposal.
The insurance requirements are highlighted below.
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
Workers' Statutory Limits
X Compensation
Bodily Injury by Accident/Bodily Injury by Disease, Policy
Limits/Bodily Injury by Disease each employee
WC1 Employers Liability $100,000/$500,000/$100,000
WC2 Employers Liability $500,000/$500,000/$500,000
WC3 Employers Liability $1,000,000/$1,000,000/$1,000,000
US Longshoremen &
WCUSLH Harbor Workers Act $1,000,000
WCJA Federal Jones Act $1,000,000
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GENERAL LIABILITY
As a minimum, the required general liability coverages will include:
• Premise Operation • Products and Completed Operations
• Blanket Contractual • Personal Injury
Required Limits:
GL1 $300,000Combined Single Limit
GI-2 x $500,000 Combined Single Limit
GI-3 $1,000,000 Combined Single Limit
GI-4 $2,000,000Combined Single Limit
GI-5 $3,000,000Combined Single Limit
GI-6 $4,000,000Combined Single Limit
GI-7 $5,000,000Combined Single Limit
Required Endorsements:
GLLIQ Liquor Liability
GLS Security Services
All endorsements are required to have the same limits as the basic policy.
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BUSINESS AUTOMOBILE LIABILITY
As a minimum, coverage should extend to liability for:
• Owned; Non-Owned and Hired Vehicles
Required Limits:
$50,000 per Person:$100,000 per Occurrence
$25,000 Property Damage
Or
$100,000 Combined Single Limit
(The use of VLI should be limited to special projects that involve other
governmental entities or "Not for Profit"organizations. Risk Management
VL1 must approve the use of this form).
$200,000 per Person; $300,000 per Occurrence
$200,000 Property Damage
or
VL2 X $300,000 Combined Single Limit
$500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage
or
VL3 $1,000,000 Combined Single Limit
VL4 $5,000,000 Combined Single Limit
Miscellaneous Coverages
Builders Risk Limits equal to the
Full Replacement Value of the completed
BR1 project.
CLI Cyber Liability $1,000,000
Motor Truck Cargo Limits equal to the maximum value of any one
MVC shipment
PRO Professional Liability $300,000 per Occurrence/$ 500,000 Agg.
PRO2 $500,000 per Occurrence/$1,000,000 Agg.
PRO3 $1,000,000 per Occurrence$2,000,000 Agg.
POL1 Pollution Liability $ 500,000 per Occurrence/$(,000,000 Agg.
POL2 $1,000,000 per Occurrence/$2,000,000 Agg.
POL3 $3,000,000 per Occurrence/$6,000,OOOAgg.
POL4 $5,000,000 per Occurrence/$10,000,000 Agg.
EDt Employee Dishonesty $ 10,000
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ED2 $100,000
GK1 Garage Keepers $ 300,000 ($ 25,000 per Vehicle)
GK2 $ 500,000 ($100,000 per Vehicle)
GK3 $1,000,000 ($250,000 per Vehicle)
MED1 Medial Professional $300,000/$750,000 Agg.
MED2 $500,000/$1,000,000 Agg.
MED3 $1,000,000/$3,000,000 Agg.
MED4 $5,000,000/$10,000,000 Agg.
IF Installation Floater Maximus value of Equipment Installed
VLP1 Hazardous Cargo Transporter $300,000 (Requires MCS-90)
VLP2 $500,000 (Requires MCS-90)
VLP3 $1,000,000 (Requires MCS-90)
Maximum Value of County Property that will be
BILL Bailee Liab. in the Bailee's possession
HKL1 Hanger Keepers Liability $300,000
H KL2 $500,000
H KL3 $1,000,000
H KL4 $5,000,000
AIR1 Aircraft Liability $1,000,000
AIR2 $5,000,000
AIR3 $50,000,000
AEO1 Architects Errors &Omissions $250,000 per Occurrence/$500,000 Agg
AE02 $500,000 per Occurrence/$1,000,000 Agg
AE03 $1,000,000 per Occurrence/$3,000,000 Agg.
AE04 $300,000,000 per Occurrence/$5,000,000 Agg.
ARP All Risk Property Full Replacement Value of Structure
EOJ Engineers Errors &Omissions $250,000 per Occurrence/$500,000 Agg.
E02 $500,000 per Occurrence$1,000,000 Agg.
E03 $ 1,000,000 per Occurrence$2,000,000 Agg.
E04 $ 5,000,000 per Occurrence $10,000,000 Agg.
WL1 Water Craft Liability $500,000 per Occurrence
WI-2 $1,000,000 per Occurrence
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APPLICANT'S
INSURANCE
STATEMENT
I understand the insurance that will be mandatory. If awarded the contract all insurance
requirements will be satisfied.
Applicant Name Signature
Title
OrganizationName...........................................................................................................................................................................................................................................................................................................................................................................................................
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ATTAC111WEN I A14D CE11)11l III« I IONS
(Enclose as Exhibit 0)
1. The following supporting documents are attached:
a) ❑ Print out from Sunbiz.org "Detail by Entity" (Exhibit A)
b) ❑ Documentation from bank of confirmed project funds (Exhibit B)
c) ❑ If applicable: Insert or attach photograph of existing site (Exhibit C)
d) ❑ Proof of ownership; long term lease or service contract (Exhibit D)
(Include consent of ownership for use of property as described within this application)
e) ❑ If applicable: Enclose at least two (2) current real estate appraisals and one (1)
environmental assessment (Exhibit E)
f) ❑ If applicable: Enclose citations for local protective ordinances (Exhibit F)
g) ❑ If applicable: Enclose copies of all recorded easements and restrictive covenants
(Exhibit G)
h) ❑ If applicable: Enclose description of endangered/threatened species of flora or
fauna (Exhibit H)
i) ❑ If applicable: Enclose ADA accessibility explanation (Exhibit 1)
j) ❑ If applicable: Enclose preliminary plans or architectural documents (Exhibit J)
k) ❑ Proposed operational budget and marketing plan (Exhibit K.1. and Exhibit K.2.)
1) ❑ Applicant has printed and completed the W-9 Form included within this
application (Exhibit L)
m) ❑ If applicable: Applicant has submitted Monroe County New Vendor or Monroe
County Vendor Update Form and supporting documentation (Exhibit M)
n) ❑ Applicant has printed and completed the Insurance Worksheet (pg. 22-26) with
Applicant's Insurance Agent (only required if requesting $20,000 or more in
funding) (Exhibit N)
o) ❑ Notarized Attachments and Certifications form (Exhibit 0)
p) ❑ I have read the Capital Project Funding Process and Importation Information
provided on pg. 2-9 of this application (not necessary to print and include these pages
with your submission)
President of Organ ization's/Mayor's Name Typed President's/Mayor's Signature
Subscribed and sworn to (or affirmed) before me, by means of ❑ physical presence or ❑ online
notarization,on (date)by
name of affiant). He/She is personally known to me or has produced
(type of identification) as identification.
NOTARY PUBLIC
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