03/28/1990 Agreement
ADDENDUM TO AGREEMENT
(1315 Whitehead Street)
THIS ADDENDUM TO AGREEMENT is made and entered into this
28th day of March, 1990, between the COUNTY OF MONROE and ACE
BUILDING MAINTENANCE in order to amend that certain agreement
between the parties dated April 4, 1989, as follows:
1. In accordance with Paragraph 5 of aforementioned
agreement, the County hereby exercises its option to renew said
Agreement and Paragraph 5 is also therefor amended to read as
follows:
"5.) The party of the first part shall have the option to
renew this agreement after the second year, which terminates on
April 3, 1991, for two (2) additional one-year periods. The
contract amount agreed to herein will be adjusted annually in
accordance with the Official U.S. Government Consumer Price Index
(CPI) and applied annually during the term of this agreement.
Increases in the contract amount during each option year period
shall be extended into the succeeding years."
2. Payment by the County to Ace Building Maintenance for
the performance of said service remains at $725.00 per month, in
arrears.
3. In all other respects, the agreement between the parties
dated April 4, 1989, remains in full force and effect.
IN WITNESS WHEREOF, the parties have hereunto set their
hands and seal, the day and year first written above.
BOARD OF COUNTY COMMISSIONERS
::.~
. ayor a1rman,
(SEAL)
Attest: DANNY L. KOLHAGE, CLERK
.'Tl
\cj
(-,
BY:~' ~~f~
eput er .
""
,.'
-)
i'J
1,,-,0
--'
,
~
.'
c.:)")
ACE BUILDING MAINTENANCE-".:>' :'J
By: h BN
(A'C'<\~ W~
Ujj~
ness
API'ROVED AS roroRf.,'
AND LEGAL. S.UFFf."'-'!r"..:r'~.', V'
~ \::\-~ I
BY ,t\\'\~ L~~~ I
Atti1Tnn1':; Of1:rr-'
. .,
SWORN STATEMENT UNDER SECTION 287.133(3)(a),
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR
OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS.
1.
This sworn statement is submitted with Bid, Proposal or
Contract No. Jani torial Service
for 1315 Whitehead Street, Key West
2.
This sworn statement is submitted by
Ace Building Maintenance
(name of entity submitting swo~ statement)
whose business a dress is _ ..",D ~~ ~
3.
and (if applicabl ) Identification
Number (FEIN) is (If the
entity has no FEIN, include the Social Security Number
of the iI)di){iduaJ..o/ signing this sworn statement:
~, ~-1-!i/ S /b
My name is v""t ClI- !:>~uc.c...
(please print name of
entity named above is
{268tdc
individual signing)
4.
I understand that a "public entity crime" as defined in
Paragraph 287.133(1)(g), Florida Statutes, means a
violation of any state or federal law by a person with
respect to and directly related to the transaction of
business with any public entity or with an agency or
poli tical subdi vi sion of any other state or with the
Uni ted States, inc luding, but not limited to, any bid
or contract for goods or services to be provided to any
public entity or an agency or political subdivision of
any other state or of the United States and involving
antitrust, fraud, theft, bribery, collusion,
racketeering, conspiracy, or material misrepresentation.
5.
I understand that "convicted" or "conviction" as
defined in Paragraph 287.133 (1) (b) , Florida Statutes,
means a finding of guilt or a conviction of a public
entity crime, with or without an adjudication of guilt,
in any federal or state trial court of record relating
to charges brought by indictment or information after
July 1, 1989, as a result of a jury verdict, nonjury
trial, or entry of a plea of guilty or nolo contendere.
6.
I understand that an "affiliate" as defined in
Paragraph 287.133(1)(a), Florida Statutes, means:
1. A predecessor or successor of a person convicted of
a public entity crime: or
2. An entity under the control of any natural person
who is active in the management of the entity and who
has been convicted of a public entity crime. The term
"affiliate" includes those officers, directors,
executives, partners, shareholders, employe~s, members,
and agents who are active in the management of an
affiliate. The ownership by one person of shares
constituting a controlling interest in another person,
or a pooling of equipment or income among persons when
not for fair market value under an arm's length
agreement, shall be a prima facie case that one person
controls another person. A person who knowingly enters
into a joint venture with a person who has been
convicted of a public entity crime in Florida during
the preceding 36 months shall be considered an
affiliate.
7.
I understand that,a "person" as defined in Paragraph
287.l33(1)(e), Florida Statutes means natural person
or entity organized under the laws of any state or of
the United States with the legal power to enter into a
binding contract and which bids or applies to bid on
contracts for the provision of goods or services let by
a public entity, or which otherwise transacts or
applies to transact business with a public entity. The
term "Person" includes those officers, directors,
executives, partners, shareholders, employees, members,
and agents who are active in management of an entity.
8.
Based on information and belief; the statement which I
have marked below is true in relation to the entity
submitting this sworn statement. (please indicate
which statement applies.)
)\ Neither the entity submitting this sworn statement, nor
any officers, directors, executives, partners, shareholders,
employees, members, or agents who are active in management of the
enti ty, nor any affiliate of the entity have been charged with
and convicted of a public entity crime subsequent to July 1, 1989.
The entity submitting this sworn statement, or one or
more, of the officers, directors, executives, partners,
shareholders, employees, members, or agents who are active in
management of the entity, or an affiliate of the entity has been
charged with and convicted of a public entity crime subsequent to
July 1, 1989, AND (Please indicate which additional statement
applies.)
There has been a proceeding concerning the
conviction before a hearing officer of the State of
Florida, Division of Administrative Hearings. The
final order entered by the hearing officer did not
place the person or affiliate on the convicted vendor
list. (Please attach a copy of the final order.)
The person or
convicted vendor Ii st.
affiliate was placed on the
There has been a subsequent
proceeding before a hearing officer of the State of
Florida, Division of Administrative Hearings. The
final order entered by the hearing officer determined
that it was in the public interest to remove the person
or affiliate from the convicted vendor list. (Please
attach a copy of the final order)
The person or affiliate has not been placed on
the convicted vendor list. (Please describe any action
taken by or pending with the Department of General
Services.)
~~ ~.fir~
() (signature)
Date: 2> /1'/7(;
, ,
STATE OF
F-O(t,L VA
Mo NIl.0t.
COUNTY OF
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
3,,~ {- f>o 6r>iLck- who, after first being sworn by
(name of individual signing)
me,
affixed hisjher signature in the space provided above on this
I '7.Jh
day of
vY1~
, 19 10 .
~~-
NOTA PUB C
My commi ssion expires: Notary Public. State of Florida at U1rge
My. Commission Expires Feb. 26, 1991
Laplante Agenq
. The Porter.Allen Company,lnc.
513 Southard St,
Key West, FL 33041-1940
(305) 294-2542
I~ugust 16~ 1989
Judy ECld\;,
Ace Building Maintenance
F' . 0, Bo:-: 27,~3
Key West, FL 33040
Re: Policy# D19993814/ADV PACKAGE
Effective September 30~ 1989 TO September 30~ 1990
,Dear- Ms:,. Ec:.~dy:
Enclosed 1S the above policy. Your premium payment
for this policy period is $1~062.00.
".
Should you have any questions, please do not hesitate to con-
tact .Dur officf?
mJF/ss
Eric 1 c. S,Ul--E'
~,.;C:.j-~ ,'; ..~:'.:f.~ ?rcp':;! r'..' ':n':! I~'-'::-l;aitv CO:-nDd~~1t;3
1- CIGNA INSURANCE COMPANY'"
IDeCLARAT IONS - 'SERVICE INDUSTRIES- PACKAGE
NAMED'INSURED
~'UOY EAOY DBA ACE BUILDING MAINTENANCE
PO BOX 2763
KEY WEST Fl33040
I
1
!
MARK
~ 'POLlCY-ID
SV I 01 99 93 81 ~
J PRODUCER BILLED
RENEWAL CERTIFICATE
g~~NSURANCE CO .
(jPO~ IItI TNls ,JT.clACT -THe
ATTA'C/:t, Oft;; co.IN~~~ BASED RATE
OF THE A.sSU~~D' . To, 1I~''''H i~ C,LAUSE
1"0 c: I 1[: 0G'~v""~
. ~ , ~cNr
THE'NAMED INSURED IS: INDIVIDUAL
BUSINESS Of INSURED: GENERAL SERVICES
POLICY PERIOO: FRCM 09/30/89 TO 09/30/90 12:01 A.M.. STANDARO TIME
AT YOUR MAILING ADDRESS SHOWN ABOVE.
IMPORTANT NOTE: THE COMMERCIAL GENERAL lIABILITY SECTION OF THIS INSURANCE
APPLIES ON AN OCCURRENCE BASIS
PRE H I U M
PAY MEN T
CON D I T ION S
PAYMENT PLAN
.
.
PREPAID
TOTAL NET PREMIUM :
TOTAL PAYVENT:
$ 1. 062
$1. 062
"i:~ ./:: ,<~; ~i~ 're :~'~'J
..~~ ".f ~'.":" ''''!;'.I. ,
\~;; 1~;'; ," Ii ~ ~ ,~1(:. ,
....~,.w . -':.I,;:. '-," ,"".I
... .-:... \"JI:" '-:.'1..,...... C'~ 'L~ ~ )'-~(~
PREMIUMS DUE wITH REPORTS OR RESULTING FROM AUDITS ARE NOT INCLUDED IN THE
ABOVE PRBHUM.
SU;\-tMAPY
o F
C 0 V ERA G E S
THE FOLlDWING COVERAGE(S) ARE PROVIDED SUEJECT Tn ALL OF THE TERMS AND
CONDITIONS OF THIS POLICY.
COMMERCIAL PROPERTY COVERAGE fORM
OOM~ GENERAL LIABILITY COV. fORM
S C Ii E 0 U l E
o F
L 0 CAT ION S
KK-72 'A
-- --,.~--~ ______ - __""_ ___n_________ _ __~____.____________.____ __ ________.
(CCNTINUED fN NEXT PAGE)
l"J /\'~F
DECLArtATIONS -
, . NAMED INSURED
JUDY EADY DBA
PO BOX 2163
KEY WEST
. ---------- :-co----p-l!Mr:--':'-:,--:s-:;-------:--~.'''''' 1.<;)"
CIGNA INSURANCE M .'~~A'9''''''~''''< . ,w ""'. SYM.. *le;,.,.;., .r'POLlCy_m .
. .' .,. q . .... ...A,~ .,.." SV r 01 99 93 81 ~
SERVICE INDUSTRIES PACKAGE POt'ICY' ,..' , '. .;,;.>.PRODUCER,BILLEI
~:~;;'~~;'->'7:'~~;><~~.",,,-, '~o.t,~~'f.-
FL33040
ACE BUILDING MAINTENANCE
MARKETING OFFICE: MIAMI
LOCATION
NUMBER
DESCRIPTION OR ADDRESS
1-1
2401 HARRIS AVE
KEY WEST FLORIDA
PRO PER T Y
( 0 V ERA G E S
&
lIMITS
o F
INS U RAN ( E
COVERED
lOCATION
NUM8ER A.REAL PROPERTY B.PERSONAl PROPERTY C.lOSS OF INCOME D.EXTRA EXPENSE
- -------- -----
1-1
NOT COVERED
$5,200
NOT (OVERED
$10,000
E. PERSONAL PROPERTY OFF YOUR PREMISES
COVERAGE lIMIT
$HhOOO
SPECIAL DEDUCTIBLE $250
lEVELS OF PROPERTY PROTECTION
COVERED LOCATION
NUMBER
COVERAGE
lEVEL OF PROTECTION
ALL
B,D
BASIC
COINSURANCE AGREEMENT
COVERED LOCATION
NUMBER
COVERAGE
COINSURANCE PERCENTAGE
1-1
B
80
PROPERTY DEDUCTIBLE
COVERED LOCATION
NU M8 ER
AMOUNT
All
$250
OPTION 1 - SUPPLEMENTARY VALUABLE PAPERS AND RECORDS
KK-72J4
(CONTINUED ON NEXT PAGE)
PAGE
')
<-
~?JfS_S_~~~.~~_~_-:0''''1 '\-~E :'.:~~,~ '/E 3EE:: ,i .~~' IT c-~.
-, '
. ;; ~) eM) \.I' J"'" '\ c: t=
G'::"
(~ "
--------------- + ---------~----- ~ --------~- - -- - --------
':;-:~~;~~~: .:
Fl33040
MARKETING OFFICE: MIAMI
All LOCATIONS ARE COVERED UNDER EXTENSION 3 ONLY
------
OPTION 2 - SUPPLEMENTARY ACCOUNTS RECEIVABLE
ALL LOCATIONS ARE COVERED UNDER EXTENSION 5 ONLY
OPTION 3 - MONEY AND SECURITIES
ALL LOCATIONS ARE NOT COVERED
----
OPTION 4 - PERSONAL PROPERTY - CRIME
All LOCATIONS ARE NOT COVERED
ADD I T ION A L
PRO PER T Y, C 0 V ERA G E S
AUTOMATIC INCREASE fOR PERSONAL PROPERTY ENDORSEMENT
COV. LOC.
NUMBER
ALL
L I A B I LIT Y
C 0 V t RAG E S
&
L I M ITS
o F
INS U RAN C C
COMMERCIAL GENERAL lIABILITY:
LIMITS OF
INSURANCE
-----------------
GENERAL AGGREGATE LIMIT (OTHER THAN PRODUCTSI
COMPLETED OPERATIONS)
PRODUCTS/COMPLETED OPERATIONS AGGREGATE LIMIT
PERSONAL & ADVERTISING INJURY LIMIT
EACH OCCURRENCE LIMIT
FIRE DAMAGE LIMIT (ANY ONE FIRE)
MEDICAL EXPENSE LIMIT (ANY ONE PERSON)
$500,00C
$500,COO
$500,COO
$5JO,COO
$50,000
$5 , COO
KK-72J4
(CONTINUED eN NEXT PAGE)
PAGE
J}PH~S Qc_='-::~:__ ~<:,=!_.I\~€:'\lT ;";1\/[ ~~::\~ S~;"JT-O
T \
.. ~ 2 -'"'; ;fJ.. D \-' -1\ '\~ T -~ :~; ~~ ~ G ~ ", /
I DECLARATIONS
NAMEO INSURED
~UQY EADY DBA
PO BOX 2763
KEY WEST
I
!
[~--UCiGNA'. I~,SURANCJ: COM~:;::-'~:=~-~~.~:1;i" Dl ;~U~~D 81 4
SERVICE INDUSTRIES PACKAGE-POLICY H PRODUCER BILLED
ACE BUILDING
FL33G40
MARKETING OFFICE: MIAMI
FOR M S
AND
END 0 R S E MEN T S
CC-2R57 SVP PORTFOLIO COVER
CC-3R09 SPECIAL CONDITIONS-GENERAL SERVICES
FA-2R62 COMMERCIAL PROPERTY COVERAGE fORM
FA-3R60 PERSONAL PROPERTY AUTOMATIC INFLATION
FA-3R83 LEVEL Of PROPERTY PROTECTION-BASIC
FA-3R85 COMMERCIAL PROPERTY CONDITIONS
FA-3R86 COMMERCIAL PROPERTY COVERAGE DEFINITIONS
CG-0220 FL CHANGES
CG-OOOl COMM GENERAL LIABILITY COV. fORM
CG-0041 AMENDMENT OF POLLUTION EXCLUSION
IL-0021 BROAD FORM NUCLEAR ENERGY EXCL ENDT
FA3R99 WINDSTORM/HAIL DELETION ENDORSEMENT
KK1520 FLORIDA CHANGES
THIS DECLARATI0Ny AND THE COVERAGE fORMS(S) AND ENDORSEMENTS, IF ANY, lISTED
ABOVE AND INCLUDED, COMPLETES THIS POLICY.
WI f~ fj ~ "W/~~, ~~ :-11,' ,],
~ Ii t3.;" ,',. ~.:'
EXCLUDED~~
COUNTERSIGNED AT:
DATE:
,),\'10 W. FREHIlAN CF _,
I KK-72'J4
(CONTINUED uN NEXT PAGE)
PAGE
4
"'C;pI c:" r:.
:'.'- .....,.....
r_~ "/It
"
,t
CIGNA IN
I DtCLARATIONS -' UPPlEMENTAl
NAMEO INSUREb
~UpY EADY DBA ACE BUILDING MAINTENANCE
PO BOX 2763
KEY WEST Fl33040
" '-'"j)'.
I ( POUCY-ID
. 01 99 93 81 i.
PRODUCER BILLE[
.
MARKETING OFFICE: MIAMI
PREMIUM AD~USTMENTS RESULTING FROM AUDITS OR REPORTS IIF ANY) WIll BE
DEVELOPED FROM THE FOLLOWING
lIABILITY
AUDIT FREQUENCY: ANNUAL
THE CLASSIFICATION AND RATING USED IN THIS POLICY ARE PRESENTED BELOW
AS FOLLOWS:
FIRST LINE
CLASS CODE
CLASSIFICATION DESCRIPTION
SECOND AND SUBSEQUENT LINES
LOCATION
COY ERAG E
PREMIUM BASIS CODE
EXPOSURE
RATE
PREHIUN
WHEN USED AS A PREMIUM BASIS THE FOLLOWING CODE DEFINITIONS APPLY:
P-PAYROLl - PER $1,000 OF PAYROLL
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
96816
JANITORIAL SERVICES - INCLUDING PRODUCTS
AND/OR COMPLETED OPERATIONS
PREM-OP P 16400 63.421
PROD-INCLUDED
$1.040
1
1
TOTAL ADVANCE PREMIUM (COMMERCIAL GENERAL LIABILITY INSURANCE)
$1,040
All PREMIUMS ABOVE ARE INCLUDED IN THE TOTAL NET PREMIUM SHOWN ON THE FIRST P;~GF
OF YOUR DECLARATION.
KK-7204
(LAST P,"'GE)
P~GE
>;;;
j
~QCl'::::: - ~ -." ~ ....~
--~"T"-
'-r) n~f)\f 4 r C';:
c
FLORIDA
APPLICATION FOR WORKERS COWIPENSATION INSURANCE
This application mUlt be typed or printed end flied, In duplicate, with:
NCCI- ATLANTIC DIVISION. Post Office Box 3098, Boca Raton, Florida 33431-0998 · (407) 997-4633
Important: Instructions for completing Ihls application can be found In Ihe Florida Workers Compensation Insurance Plan-Information and Procedures-
Handbook, This handbook Is available from NCCI- Order Processing. 750 Park 01 Commerce Orlve, Boca Rllton, Fl33487.
Please answer all questions and requested Information thoroughly, Omissions may result in delay 01 coverage
The undersigned employer hereby applies lor workers compensation inSurance In Florida and expressly represents thai such insurance is sought in good faith,
I. GENERAL INFORMATION
JUDY BOBICK, VBA ACE BUILVING & MAINTENA~CE
EFFECTIVE 12:01 A,M, (DATE)
03/16/90
1, NAME OF EMPLOYER
o
00000000
i
F.E.I.N. REQUIRED BY LAW
,
SS# 263-94-1596
3,
MAILING A~.oRESS
SAME
(Street)
,
MONROE: COUNTY,
(Clly)! (County)
j,
I
fLOR!.VA
2
FEDERAL EMPLOYER 10 NUMBER
2401 HARRIS AVE, KEY WEST,
33040 13051
296-6206
tS:ate)
(Zip)
(Phone)
PnlNCIPAL L0C4T10N OF BUSINESS
NONE
(Slreet)
I
---L.-.-_______J
(Cily) (Counly)
(Cily)
(
(County)
(State)
(Zip)
5
OTHE'1 FLORIDA LOCATIONS
(Street)
(Stale)
(Zip)
f.s:..
..'.:..'. bf
, (7,
, 8,
II"
~E ~
ItAYI'lOLl-OFFICE ADDRESS----'Street)-n -------,- (City) ----------- (CountYI - ---- --- -- (Stalel
[~GAL stATUS )(J Sole Proprietor (] Partnership [) Corpo'atlon r1 dther (explain): _ -------------- -------
Hes there been a nllme change du,lng Ihe past three yea's? n Yes ~ ~o, II yes, give previous nllme and date 01 change: ------
(1,1')
9
Are Ihere operations in states other than Florida? "Yes
~ No, II y,?s. complete the (ollowing' (self-h,sured or uninsured. indica Ie under Insurance Carrier)
Location
Insurance Carrier
-j
- --- ----]-
State
--..--.
--- -- --------
II. INSURANCE RECORD
1.
Has there been p,evlous workers compensation'insurance coverage In Florida? Il!l
If no, complete: (J New Business 0 Self-Insured n Other (explain):
If yes, Insurance Record :Three Previous Years'
Yes
o No,
~------_.
Stale
.:J~~IVA
- i
, Policy Period:
Insurance Company i Policy Number From To Premiums
LIBERTY MUTUAL I~S. CO. WCT-351-415006-018 11/88 11/89 311.00
,----
------- ---- ,
---
10\a1 "udl\~d pay'oll lor each 01 the above policy perir>ds. (Do Not Complete" New Business)
Policy Period:
From To
Payroll - =-1
t~3
:J ^", yr>" in dehlto any broker, agent or Insurance company lor any unpaid pn~mlums lor workers compensation coverage? n Yes Xl No,
II yes, covera(le may be denied or canceled, Explain: _____;---____ .---------------.--.----------
III. INSURANCE COMPANIES WHO HAVE REFUSED INSURANCE
Ust below name and representative of two COmpanies who havll rE!'used coverage In Ihe past slxly days, The reprl!,enlalivlJ named must be a full-time eml'loyee of "m in""",,,,!,
company II nl'plicable, 01U! of these companies should b,e the one providing workers compensation Insurance to I'll! applicant at the lime of application.
~--_--_h---N;~~;;~;-==-----n-.-I
__ RAUNI121. __ ____________
VOUG FISHER__
IV. CORPORATE OFFICERS, SOLE PROPRIETORS O~.PARTNERS
t ist belpw n,1m,', lille. dlJlir.s and approximate annual salary of officers, sole proprietors or partners,
r~}~1=~~~NER '''~~- D"" --- __^:~~;'~;,..;--~
1 " n corporation, are any o<<iCefS exempt? n Yes U No, It yes, attach a copy of the exemption form which has been filed with the Department of Labor and Employment Secu.
f.' .'f.. .. ".' ".'IIY, EJreCUI._ officers ot a corporation are "utomatically covered under the Law, ". any olllcers choose nollo be coverad, then an exemption lorm has to be completed In duplicate,
1 ; "', !he payroll for a" officers whrch are covered must be Included In the premium c'lculatlons In Section Viol this apptication,
. . "'2. III partnership or proprletOlllhlp. have the partners or proprietors elected coverag8? O'rtls JQ No. If yes, attach a copy of the election form which has been filed with Department
it. o(labor IInd Employment Security. I
::~: . !>ertners nnd sole proprletOlllar. not automatically covered under the law. If th~ desire to be covered, thay must complete an election of coverage form In duplicate, The pAyroll
- , ' lor partners or IIOle proprietors Is not to be Included In the premium calculations unless thay have chosen to be COIIllred under the policy,
3, Has the corporation ollicers, part!l8rs or sole proprietors payroll been Included Irl determining the estimated annual premium? [1 Yes )(1 No.
, " any e.ecutive olflcers, plll1ners or sole proprietors are to be covered under thelpollcy, then this question should be Ilnswered yes,
.,' I~ the premium financed? 0 Yes ll!I No, "yes, a"ach a signed copy of the finance agreement.
, '
I
I
I
f--~;NA -:
_.-HI ____
Insurence Company
_._--~-
Ad(\'pss
Fed, Emp, tD No,lSoc, Sec, No,
59-0401360
3)r7?()
Date
OVER
WCIPI-FU661
NCI4'O
'o'prL)
LICENSE YEAR
1989-1990
OCCUPATIONAL LICENSE
City of Key West, Florida
No. 50016139012
NO REFUNDS
THIS LICENSE MUST BE PROMINENTLY DISPLAYED
LICENSE PERIOD BEGINNING 10/01/8 9 THROUGH 0 9/3 0/9 0
PENALTY SCHEDULE
50.00
LICENSE FEE
55.00
OCTOBER
57.50 60.00
NOVEMBER DECEMBER
TOTAL UN
0067 2 02085628 REVE 01/18/90 12:24
GEHERAL REVENUE FUND 50016139012
NAME: ACE BLDG MAINTENANCE CK 208
001 LICENSES 321-100 $ 62.50
JANITORIAL
BUSINESS
ADDRESS:
TYPE
LICENSE:
P.O. BOX 2763
6Q WINDOW WASHERS & FLOOR CLEANERS:
BUSINESS /
NAME:r ACE BUILDING MAINTENANCE
'\
OWNER: ACE BUILDING MAINTENANCE
ADDRESS: ~~]..-IiAR&l-S--A1J.EmJ&- P .0. BOX 2768
CITY:~ KEY WEST FL 33040
FINANCE DEPARTMENT
DIVISION OF REVENUE
~.
~ (L
~
COUNTY OCCUPATIONAL L10ENSE 1989-199Q
wallROE ~Q~~TA~~FFum~
THIS LICENSE EXPIRESSEr IDlIII:II, ,jU. '1YYU
471-00~10 . '
IIU88&&..&U: c.rLOIEES: S
c.....~a)CUaa~ItT x_RiGf "EMPLOYEES'LItER.: ":;::::""'0;"
TAX
COST AND-R5"I,fI
PENALTY
22.00
5.~
TRANSFER FEEt;
"
C....
iJl:t
~u;
zC
37-5D ~~
."l(l
;!!u;
0."
:DC
o~
)>-
j~~
')>m
C!~
....z
m
en
; . .;, - I ~ ';
TOTAL DUE
STATE CERTIFICATE NUMBER
~1:t.~.. MAlia, f.:X"~6"I,'CfC
TD.. . 'I" · COU;.ECIoa 294-8403'
P.O.80&..1129
1(1:, Wf.5'1. f1.33041~1t29
r-'~ '
PLEASE SEE BACK OF FORM
Ift 'AaU"EiL~CEIISEE IS'IIEREBY ..
LiCE_ED TOiJUiA6E lit THE BUSI.ESS
P&O'CSSI011 OR, otCUPAJ:IO.1. Of :
.,uIUIORlAI. SaVICE
ACE aOIUING,RAIIITE..".CE
.cADY:, ..uay'O....eR
,P 0 BOX .2763
,XEY . veST. , fL 33040
\
***PAID*HARRY F.KNIGHT***
~~:="""AtCOU.T.U.BEa' IS 20566
LO';Al'lON.:8aILE UNIT'
'/-'7. "'I)" ~,,' ,',' '1 r, ,r T.)'i1S"f~M-,I!fi'~~!\A ftEC.EIf'T QNLY :Nt!E;N VALIDATED BY RECEIPTING
_ .., 1..1\ VIi Ol7UAQlIlI~ljqJqt~I!~ft:,D!1j,ANOAMOUNTPAID,
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THIS LICENSE MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
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