07/20/2005 Agreement
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DA TE:
November 22, 2005
TO:
Dave Koppel, County Engineer
Public Works Division
Pamela G. Han~
Deputy Clerk
FROM:
At the July 20, 2005, Board of County Commissioner's meeting the Board granted
approval and authorized execution of the following:
Contract No. 04-0054-ML between the School District of Manatee County and Playmore
Recreational Products and Services, for procurement and installation of a shade structure and
aluminum bleachers for Key Largo Community Park.
Contract No. SC-0549-03 between the City of Jacksonville Department of Parks,
Recreation and Entertainment and Playmore Recreational Products and Services, for procurement
of skate board park equipment and installation services for Key Largo Community Park.
Enclosed is a duplicate original of each of the above-mentioned for your handling. Should
you have any questions please do not hesitate to contact this office.
Cc: County Attorney
Finance
File
AGREEMENT
This AGREEMENT dated the20th day of Julv. 2005, is entered
into by and between the BOARD OF COUNTY COMMISSIONERS FOR
MONROE COUNTY, hereinafter "County" and Playmore Recreational Products
& Services, a fictitious name for Playmore West, Inc., a Florida corporation,
herei nafter "Contractor".
WHEREAS, Monroe County purchasing policies and procedures
allow for the County to procure goods and services through other Florida
governmental contracts, upon the same terms and conditions of those contracts,
without going out for bid; and
WHEREAS, County has ascertained that Contractor can provide
goods or services through the above mentioned "piggy-back" process; ;
NOW, THEREFORE, in consideration of the mutual covenants
and payments contained herein, the County and the Contractor have entered into
this agreement on the terms and conditions as set forth below.
1. AGREEMENT PERIOD. This agreement is for the period July 20, 2005
through July 20, 2006. This agreement shall remain in effect for the stated
period unless one party gives to the other written notification of termination
pursuant to and in compliance with paragraph 11 below.
2. SCOPE OF AGREEMENT. The Contractor shall provide the goods or
services set forth in Attachment A, setting forth the terms of the Contractor's
agreement with another governmental entity in the State of Florida.
3. AMOUNT OF AGREEMENT AND PAYMENT. The County shall provide
an amount not to exceed $215,934.44 for the goods or services to be provided
according to Attachment A. Monroe County's obligation to pay under this
agreement is contingent upon an annual appropriation by the BOCC.
4. RECORDS. The Contractor shall keep such records as are necessary to
document the performance of the agreement and expenses as incurred, and give
access to these records at the request of the County, the State of Florida or
authorized agents and representatives of said government bodies. It is the
responsibility of the Contractor to maintain appropriate records to insure a proper
accounting of all funds and expenditures. The Contractor understands that it
shall be responsible for repayment of any and all audit exceptions which are
identified by the Auditor General for the State of Florida, the Clerk of Court for
Monroe County, the Board of County Commissioners for Monroe County, or their
agents and representatives. In the event of an audit exception, the current fiscal
year contract payments will be offset by the amount of the audit exception. In the
event the agreement is not renewed or supplemented in future years and an
audit exception occurs after the final payment under this agreement, the
Contractor will be billed by the County for the amount of the audit exception and
shall promptly repay any audit exception.
5. MODIFICATIONS AND AMENDMENTS. Any and all modifications of the
terms of this agreement shall be only amended in writing and approved by the
Board of County Commissioners for Monroe County.
6. INDEPENDENT CONTRACTOR. At all times and for all purposes hereunder,
the Contractor is an independent contractor and not an employee of the Board of
County Commissioners of Monroe County. No statement contained in this
agreement shall be construed as to find the Contractor or any of its employees,
contractors, servants or agents to the employees of the Board of County
Commissioners of Monroe County, and they shall be entitled to none of the
rights, privileges or benefits of employees of Monroe County.
7. COMPLIANCE WITH LAW. In carrying out its obligations under this
agreement, the Contractor shall abide by all statutes, ordinances, rules and
regulations pertaining to or regulating the provisions of this agreement, including
those now in effect and hereafter adopted. Any violation of said statutes,
ordinances, rules or regulations shall constitute a material breach of this
agreement and shall entitle the County to terminate this agreement immediately
upon delivery of written notice of termination to the Contractor.
8. HOLD HARMLESSIINDEMNIFICATION. The Contractor hereby agrees to
indemnify and hold harmless the BOCCO and any of its officers and employees
from and against any and all claims, liabilities, litigation, causes of action,
damages, costs, expenses (including but not limited to fees and expenses arising
from any factual investigation, discovery or preparation for litigation), and the
payment of any and all of the foregoing or any demands, settlements or
judgments arising directly or indirectly under this agreement. The Contractor
shall immediately give notice to the County of any suit, claim or action made
against the County that is related to the activity under this agreement, and will
cooperate with the County in the investigation arising as a result of any suit,
action or claim related to this agreement.
9. ANTI-DISCRIMINATION. The Contractor agrees that they will not
discriminate against any of their employees or applicants for employment or
against persons for any benefit or service because of their race, color, religion,
sex, national origin, or physical or mental handicap where the handicap does not
affect the ability of an individual to perform in a position of employment, and to
abide by all federal and state laws regarding non-discrimination.
10. ANTI-KICKBACK. The Contractor warrants that no person has been
employed or retained to solicit or secure this agreement upon an agreement or
understanding for a commission, percentage, brokerage or contingent fee, and
that no employee or officer of the County has any interest, financially or
otherwise, in the said funded project, except for general membership. For
breach or violation of this warranty, the County shall have the right to annul this
2
agreement without liability or, in its discretion, to deduct from the agreement price
or consideration, the full amount of such commission, percentage, brokerage or
contingent fee.
11. TERMINATION FOR BREACH. The County may immediately terminate this
agreement for any breach of the terms contained herein, including Attachment
A. Such termination shall take place immediately upon receipt of written notice of
said termination. Any waiver of any breach of covenants herein contained to be
kept and performed by Contractor shall not be deemed or considered as a
continuing waiver and shall not operate to bar or prevent the County from
declaring a forfeiture for any succeeding breach either of the same conditions or
of any other conditions.
12. ENTIRE AGREEMENT This agreement constitutes the entire agreement of
the parties hereto with respect to the subject matter hereof and supersedes any
and all prior agreements with respect to such subject matter between the
Contractor and the County.
13. CONSENT TO JURISDICTION. This agreement, its performance, and all
disputes arising hereunder, shall be governed by the laws of the State of Florida,
and both parties agree that the proper venue for any actions shall be in Monroe
County.
14. ETHICS CLAUSE: Contractor warrants that he has not employed,
retained or otherwise had act on his behalf any former County officer or
employee in violation of Section 2 or Ordinance No. 10-1990 or any County
officer or employee in violation of Section 3 of Ordinance No. 10-1990. For
breach or violation of the provision the County may, at its discretion terminate
this agreement without liability and may also, at 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 or present
County officer or employee.
15. PUBLIC ENTITY CRIME STATEMENT: A person or affiliate who has
been placed on the convicted vendor list following a conviction for public entity
crime may not submit a bid on an agreement to provide any goods or services to
a public entity, may not submit a bid on a agreement 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, sub-contractor, or consultant under a agreement 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.
16. AUTHORITY: Contractor warrants that it is authorized by law to engage
in the performance of the activities encompassed by the project herein
described. Each of the signatories for the Contractor below certifies and
warrants that the Contractor's name in this agreement is the full name as
3
designated in its corporate charter (if a corporation); they are empowered to act
and contract for the Contractor, and this agreement has been approved by the
Board of Directors of Contractor or other appropriate authority.
17. LICENSING AND PERMITS: Contractor warrants that it shall have, prior to
commencement of work under this agreement and at all times during said work,
all required licenses and permits whether federal, state, County or City.
18. INSURANCE: Contractor agrees that it maintains in force at its own
expense a liability insurance policy which will insure and indemnify the Contractor
and the County from any suits, cJaims or actions brought by any person or
persons and from all costs and expenses of litigation brought against the
Contractor for such injuries to persons or damage to property occurring during
the agreement or thereafter that results from performance by Contractor of the
obligations set forth in this agreement. The insurance required under this
agreement is the same as is required under the parent contract.
19. NOTICE. Any written notice to be given to either party under this
agreement or related hereto shall be addressed and delivered as follows:
For Contractor
Ryan J. Russell
10271 Deer Run Farms Road, Suite 1
Fort Myers, FI. 33912
For County:
Director of Engineering
1100 Simonton Street
Key West, FL 33040
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
B,(~ m ~~.j,..u
or/Chairman
(SEAL)
By:
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ATTACHMENT A
Nine Pages
PlAYMORE
QUOTATION DATE QUOTE #
6/6/2005 772lB
IIIIIIIIIIIII r--l-
Recreational NAME I ADDRESS
Products a services Key Largo Skate Park
YNIW.plavmoreonline.com
10271 Deer Run Fanns Road, Suite 1
Fort Myers, FL 33912
(239) 791-2400 (239) 791-2401 fax TFax I
(888) 886-3757 toll free Tel I
APPROX SHIP TERMS FOB REP PROJECT
8/5/2005 Net 30 Origin 100 Key Largo Skate Park
ITEM DESCRIPTION QTY COST SUB- TOTAL
Huna Designs Woodward Ramps & Rails. Custom Skate Park Design 1 175,949.00 175,949.00
05HD0299B.
Discount JAX Discount. City of Jacksonville SC-0549-03. 5% -8,797.45 -8,797.45
Freight Woodward Ramps & Rails. Freight to Key Largo, FL. 1 6,995.00 6,995.00
*Price does not include installation or any additional materials or services. SUB-TOTAL $174,146.55
SALES TAX (7.5%) $0.00
TOTAL $174,146.55
Acceptance by either a signature or a purchase order based on this proposal indicates that you are in full agreement with all terms and conditions
of this proposal including the following:
Prices are valid for 30 days. After 30 days, prices are subject to change without notice. Sales Tax will be charged unless a copy of a valid Sales
Tax Exemption Certificate is presented with order. SpecifY all color selections in writing. Any discrepancies that arise due to oral color
selections will be the responsibility of the customer. If customer is installing equipment, all equipment is to be installed per manufacturer's
instructions and appropriate guidelines such as ASTM and CPSC.
This proposal is for equipment only. Sealed engineered drawings (typically $1,(00) and additional insured status (typically $3(0) are available
for an additional charge unless otherwise noted. Installation, site work, etc. are not included and if desired will be quoted and contracted
separately.
ACCEPTANCE SIGNATURE DATE________ P.O. #______________
QUOTATION DATE QUOTE #
6/6/2005 77228
Recreational NAME/ADDRESS
Products a Services Key Largo Skate Park
VNIW.p1aymoreonline.com
10271 Deer Run Farms Road. Suite 1
Fort Myers, Fl 33912
(239) 791-2400 (239) 791-2401 fax I Fax T
(888) 886-3757 toll free Tel I
TERMS REP PROJECT
Net 30 JDG Key Largo Skate Park Installation
ITEM DESCRIPTION QTY COST TOTAL
Installation Installation of Woodward Ramps & Rails Custom Skate 1 41,787.8875 41,787.89
Park Design 05HD0299B. City of Jacksonville
SC-0549-03.
*Price does not include any additional materials or services. SUB-TOTAL $41,787.89
SALES TAX (7.5%) 50.00
TOTAL $41,787.89
PLAYMORE
Acceptance by either a signature or a purchase order based on this proposal indicates that you are in full agreement with all terms and conditions
of this proposal including the following:
Prices are valid for 30 days. After 30 days, prices are subject to change without notice.
t
This proposal is for installation and related services only. No equipment is included in this proposal. Cost for building permits are not included.
Ifrequired, customer is reponsible for charges. Sealed engineered drawings (typically $1,(00) and additional insured status (typically $3(0) are
available for an additional charge unless otherwise noted.
A signed "Installation Terms and Conditions" must be completed. If this is not completed and this proposal is accepted, the "Installation Terms
and Conditions" will become in effect as is without customer changes and/or notations.
ACCEPTANCE SIGNATURE
DATE
P_O_#_______________________
Key Largo Skate Park
De8lgn No: Q8tD02HB -Modular PrIcIng
2005 PrIcIng Unit Total
Ref. PM Un. u.t TGtId LIst
No. Number QTY DeKrIptIon WeIght PrIce WeIght Price
.S.U"H T
Box..
1 ZZHN4204 2 2ft BOX THREE EDGE 253.48 1,155.00 506.96 2,310.00
2 ZZHN.m1 15 3ft BOX ONE EDGE 239.06 1,015.00 3,585.90 15,225.00
3 ZZHN4302 4 3ft BOX TWO EDGE 90 DEGREE 249.48 1,095.00 997.92 4,380.00
4 ZZHN4401 6 4ft BOX ONE EDGE 245.82 1,040.00 1,474.92 6,240.00
5 ZZH N4402 1 4ft BOX TWO EDGE 90 DEGREE 256-24 1,115.00 256.24 1,115.00
6 ZZH N4403 1 4ft BOX TWO EDGE PARAlLEL 257.18 1,115.00 257.18 1,115.00
7 ZZHN4404 1 4ft BOX THREE EDGE 266.66 1,185.00 266.66 1,185.00
8 ZZHN4422 1 4ft~in BOX-ESCAlA TOR LEFT 517.31 3,095.00 517.31 3,095.00
9 ZZHN4423 1 4ft~in BOX-ESCALA TOR RIGHT 517.31 3,095.00 517.31 3,095.00
10 ZZHN4601 4 6ft BOX ONE EDGE 262.46 1,070.00 1,049.84 4,280.00
Flat Ledges
11 ZZHN4431 2 4ft LEDGE- THREE EDGE-48il 140.78 785.00 281.56 1,570.00
12 ZZHN4527 2 5ft LEDGE- THREE EDGE- 48in 146.24 800.00 292.48 1,600.00
Angled LecIgee
13 ZZHN3406 2 4ft ANGlED LEDGE 300.18 2,325.00 600.36 4,650.00
14 ZZHN3506 2 5ft ANGlED LEDGE 316.87 2,425.00 633.74 4,850.00
15 =1 5 EDGING 8ft 27.00 140.00 135.00 700.00
Box .........
16 ZZHN4206 2 2ft BOX SlOE 20.53 120.00 41.06 240.00
17 ZZHN.m6 5 3ft BOX SlOE 33.34 165.00 166.70 825.00
18 ZZHN.m7 5 3ft BOX BACKING PANEL 33.34 145.00 166.70 725.00
19 ZZHN4406 3 4ft BOX SlOE 46.10 210.00 138.30 630.00
20 ZZHN4407 9 4ft BOX BACKING PANEL 46.10 190.00 414.90 1,710.00
21 ZZHN4506 1 5ft BOX SlDE 58.86 250.00 58.86 250.00
22 ZZHN4507 2 5ft BOX BACKING PANEL 58.86 230.00 117.72 460.00
23 ZZHN4606 2 6ft BOX SlDE 71.62 285.00 143.24 570.00
24 ZZHN4607 2 6ft BOX BACKING PANEL 71.62 265.00 143.24 530.00
Doors
25 ZZHN4024 2 6ft DOOR 115.41 535.00 230.82 1,070.00
26 ~~2 4ft ANGlED LEDGE SlOE - lEFT 76.93 575.00 153.86 1,150.00
27 ZZHN3408 2 4ft ANGlED LEDGE SlOE -RIGHT 76.93 575.00 153.86 1,150.00
28 ZZHN3507 2 5ft ANGlED LEDGE SIDE -LEFT 111.40 645.00 222.80 1,290.00
29 ZZHN3508 2 5ft ANGlED LEDGE SIDE - RIGHT 111.40 645.00 222.80 1,290.00
Short ...
30 ZZHN4000 6 1ft SHORT SIDE 14.19 80.00 85.14 480.00
31 ZZHN4001 2 2ft SHORT SIDE 29.69 115.00 59.38 230.00
Wedges
32 ZZHN3201 2 2ft VVEDGE -LEFT EDGE 488.65 1,495.00 977.30 2,990.00
33 ZZHN3202 2 2ft VVEDGE - RIGHT EDGE 488.65 1,495.00 977.30 2,990.00
34 ZZHN3300 10 3ft WEDGE - NO EDGE 444.52 1,775.00 4,445.20 17,750.00
35 ZZHN3301 3 3ft WEDGE - LEFT EDGE 469.76 1,875.00 1,409.28 5,625.00
36 ZZHN3302 3 3ft WEDGE - RIGHT EDGE 469.72 1,875.00 1,409.16 5,625.00
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Key Largo Skate Park
DNlgn No: OSHD02I8B -1Iocknr PrIcIng
~005 PrIcIng
Ref. PM
No. Nu........ QTY
~
37 ZZHN3312 1 3ft CORNER VllEDGE - NO EDGING
38 ZZHN3400 1 4ft WEDGE - NO EDGE
39 ZZHN3401 2 4ft WEDGE -LEFT EDGE
40 ZZHN3402 1 4ft \lllEDGE - RIGHT EDGE
=....
41 ZZHN 204 2 2ft WEDGE SIDE -LEFT
42 ZZHN3205 2 2ft VllEDGE SIDE - RIGHT
43 ZZHN3304 3 3ft VllEDGE SIDE - LEFT
44 ZZHN3305 3 3ft WEDGE SIDE - RIGHT
45 ZZHN3404 2 4ft WEDGE SIDE -LEFT
46 ZZHN3405 1 4ft VllEDGE SIDE - RIGHT
47 =1cr 1 3ft COPED QUARTERPlPE LEFT EDGE
48 ZZHN2313 1 3ft COPED QUARlERPlPE RIGHT EDGE
49 ZZHN2317 1 3ft COPED QUARTERPlPE T'M) EDGE
50 ZZHN2411 4 4ft COPED QUARTERPlPE - NO EDGE
51 ZZHN2412 1 4ft COPED QUARTERPlPE LEFT EDGE
52 ZZHN2420 1 4ft-6in COPED QUARlERPlPE ESCALATOR LEFT
53 ZZHN2421 1 4ft-6in COPED QUARlERPlPE ESCALATOR RIGHT
54 ZZHN2611 2 6ft COPED QUARlERPlPE - NO EDGE
55 ZZHN2612 1 6ft COPED QUARTERPlPE LEFT EDGE
56 ZZHN2613 1 6ft COPED QUARlERPlPE RIGHT EDGE
Coped QP .Idea
57 ZZHN2303 2 3ft COPED QUARTERPlPE SIDE-LEFT
58 ZZHN2304 2 3ft COPED QUARTERPlPE SIDE- RIGHT
59 ZZHN2403 1 4ft COPED QUARTERPlPE SIDE-LEFT
60 ZZHN2603 1 6ft COPED QUARTERPlPE SIDE-LEFT
61 ZZHN2604 1 6ft COPED QUARTERPlPE SIDE- RIGHT
CopIng
62 ZZHN2000 1 COPING 4ft
63 ZZHN2001 1 COPING 8ft
64 ZZHN2006 3 COPING 4ft SECTION
65 ZZHN2007 1 COPING 8ft SECTION
66 ZZHN2012 2 COPING CAP KIT
67 ZZHN2013 4 COPING CONNECTOR KIT
~QP.
68 N2405 1 4ft QUARTERPlPE - NO EDGE
69 ZZHN2407 1 4ft QUARTERPlPE - RIGHT EDGE
Regu.... QP ......
70 ZZHN241 0 1 4ft QUARlERPlPE SIDE - RIGHT
TI'IIMItIon P....
71 ZZHNOSOO 42 TRANSITION PLATE
Stairs
72 ZZHN1201 2 3ft STAIRS
StaIr SI_
73 ZZHN1203 3ft STAIR SIDE RIGHT
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Friday, June 03, 2005
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Unit Total
Unl LIst Total LIst
WeIght PrIce WeIght Price
1,264.46 5,665.00 1,264.46 5,665.00
504.64 1,835.00 504.64 1,835.00
533.00 1,965.00 1,066.00 3,930.00
533.00 1,965.00 533.00 1,965.00
16.69 130.00 33.38 260.00
16.69 130.00 33.38 260.00
30.22 165.00 90.66 495.00
30.22 165.00 90.66 495.00
45.05 210.00 90.10 420.00
45.05 210.00 45.05 210.00
346.48 1,525.00 346.48 1,525.00
346.48 1,525.00 346.48 1,525.00
364.43 1,625.00 364.43 1,625.00
380.58 1,520.00 1,522.32 6,080.00
401.95 1,645.00 401.95 1,645.00
907.09 4,245.00 907.09 4,245.00
907.09 4,245.00 907.09 4,245.00
478.49 1,875.00 956.98 3,750.00
506.06 2,015.00 506.06 2,015.00
506.06 2,015.00 506.06 2,015.00
14.02 140.00 28.04 280.00
14.02 140.00 28.04 280.00
21.37 175.00 21.37 175.00
33_65 335.00 33.65 335.00
33.65 335.00 33.65 335.00
15.07 95.00 15.07 95.00
28.10 115.00 28.10 115.00
14.07 77.00 42.21 231.00
27.30 140.00 27.30 140.00
3.50 30.00 7.00 60.00
2.05 20.00 8.20 80.00
392.18 1,585.00 392.18 1,585.00
412.99 1,825.00 412.99 1,825.00
19.50 220.00 19.50 220.00
45.08 145.00 1,893.36 6,090.00
451.22 2,575.00 902.44 5,150.00
18.18 150.00 18.18 150.00
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Key Largo Skate Park
OHlin No: OSHD028a -1IoduIIlr PrIcIng
2005 PrIcing
Ref. Part
No. Number QTY
~1pIIon
8IaIr HMdndle
74 ZZHN0400 1 3ft STAIR HANDRAIL
Box IIount Grtnd Ralls
75 ZZHN03>3 1 10in x 12ft RECTANGUlAR GRIND RAIL FOR 2ft BOX AND WEDGE
76 ZZHN03l6 1 15in x 17ft RECTANGULAR GRIND RAIL FOR 3ft BOX AND WEDGE
Independent Grind Ralls
77 ZZHN0014 1 GRIND RAIL- 1ft 3in x 8ft RECTANGULAR PERMANENT
78 ZZHN0016 1 GRIND RAIL - 1ft 3in X 8ft ROUND PERMANENT
79 ZZHN0089 1 GRIND RAIL - 1ft 3in X 13ft RECTANGULAR PERMANENT CURVED
Grind BoDe
80 ZZHN4103 1 12in GRIND BOX \MTH COPING
SIadIMbIe T~
81 ZZHN0183 1 SKATEABLE BENCH - 71.inX 24.00in X 15.601n
82 ZZHN0184 1 SKATEABlE TABLE - TALL
IWlngs
ZZHN4012
ZZHN4021
ZZHN4022
ZZHN4025
ZZHN4037
83
84
85
86
87
21 RAIUNG STANDARD
1 4ft~in RAlUNG-ESCALATOR LEFT
1 4ft~in RAlUNG-ESCALATOR RIGHT
6 RAIUNG OUTSIDE CORNER
1 RAIUNG- 1ft RISE lEFT
Anchor KIts
88 ZZHN0904 2 BOX AND RAMP ANCHOR KIT
89 ZZHN0905 2 GRIND BOX AND STAIR ANCHOR KIT
GenenII KIts
90 ZZHN0901 1 SKATE PARK TOOl AND ADDITIONAL PARTS KIT wlAEROSOL
91 ZZHN0903 1 SKATE PARK MAINTENANCE KIT. AEROSOL
92 ZZHNOM 1 OWNER'S MANUAL
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UnIt Total
Unl LIst Total Ust
WeIght PrIce WeIght Price
53.16 265.00 53.16 265.00
90.94 565.00 90.94 565.00
162.13 720.00 162.13 720.00
53.00 225.00 53.00 225.00
38.00 135.00 38.00 135.00
91.00 385.00 91.00 385.00
316.33 1,195.00 316.33 1,195.00
162.62 725.00 162.62 725.00
405.51 1,795.00 405.51 1 ,795.00
47.40 185.00 995.40 3,885.00
99.21 585.00 99.21 585.00
99.21 585.00 99.21 585.00
6.23 28.00 37.38 168.00
53.02 285.00 53.02 285.00
1.90 25.00 3.80 50.00
0.90 20.00 1.80 40.00
8.40 0.00 8.40 0.00
10.50 0.00 10.50 0.00
0.50 0.00 0.50 0.00
GIWId ToIIII: 40,220.46 $175,949.00
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Monroe County
Purchasing Requirements
Florida Statutes Chapter 287.0582, all contracts that bind Monroe County for
the purchase of services or tangible personal property for a period in excess
of one (1) fiscal year must have the following statement included in the
contract. "Monroe County's performance and obligation to pay under
this contract is contingent upon an annual appropriation by the
socc. "
PUBLIC ENTITY CRIME STATEMENT
"A person or affiliate who has been placed on the convicted vendor list
following a conviction for public entity crime may not submit a bid on a
contract to provide any goods or services to a public entity, may not submit
a bid on a contract with a public entity for the construction or repair of a
public building or public work, may not submit bids on leases of real
property to public entity, may not be awarded or perform work as a
contractor, supplier, subcontractor, or consultant under a contract with any
public entity, and may not transact business with any public entity in excess
of the threshold amount provided in Section 287.017, for CA TEGOR Y
TWO for a period of 36 months from the date of being placed on the
convicted vendor list."
LOBBYING AND CONFUCT OF INTEREST CLAUSE
SWORN STATEMENT UNDER ORDINANCE NO. 010-1990
MONROE COUNTY, FLORIDA
ETHICS CLAUSE
__________________________________ warrants that he/it has not employed, retained
or otherwise had act on his/its behalf any former County officer or employee in violation of
Section 2 of Ordinance No. 10-1990 or any County officer or employee in violation of
Section 3 of Ordinance No. 10-1990. For breach or violation of this provision the County
may, in its discretion, terminate this contract without liability and may also, in its discretion,
deduct from the contract or purchase price, or otherwise recover, the full amount of any fee,
commission, percentage, gift, or consideration paid to the former County officer or employee.
(signature)
Date:
STATE OF
COUNTY OF
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
who, after first being sworn by me, affixed his/her
signature (name of individual signing) in the space provided above on this
day of
,20_
NOTARY PUBLIC
My commission expires:
OMB - Mep FORM #4
FROM ': Pl'a':jmore:
05/31/2005 09:42
FAX NO. :9545705475
2397912401 PLAVMORE
J 22 2005 11:01AM P3/10
un.
PAGE 01
- DEPARTMENT OF PARKS, RECREATION AND ENTERTAINMENT
Planning, Research and Grants Division
SC..(J549-03 "Price Agreement Contract for Park and Playground Equipment"
Renewal Agreement '
Date: 3-l~~S-
, Company Name:
Addess:
Playmore Recreational Products and Services
'\
10271 Deer Run Farms Road, Suite 1
Fort Myers, FL 33912
Th.e und~ed authorized representative.of the company above agrees ~OE'S
not agree U to exercise the second of two (2) renewal options of SC-0549-03 f.or the
period of June lr 2005 through May 31, 2006, understanding that no other terms of
the contract change, inducting discount percentages submitted for the original bid,
II. the renewal option is exercised., the undersigned further agrees to maintain
in~r~ coverage as set forth in the original bid and to submit, with this renewal
document, a Workman's Com.pensation insurance certificate showing the city as
additional insured.
Printed Name~ Ll,;K~ /2v,.J~~ L
Signature: ~ p-~
.' \
.\ ,',
,'. .~.I
, ..
, .
" ,to
851 N. Market Street, Jacksonville, Florida 32202
Phone (904) 630-3586 Fax (904) 630~3562 www.coj.net
Recipient o/the 2001 Go'Vern.or 's St~r/il1g A. ward
FROM': P'la':jmore
05/31/2005 09:42
2397912401
FAX NO. :9545705475
PLAVMORE
Jun. 22 2005 11:01AM P4/10
PAGE 02
DEPARTMENT OF PROCUREMENT
NOTJFlCA T'ION OF AWARD AND RELATED ACTI.oNS
DATE: 6/112004
ADDRESS: Pfaymore Recreational Products and Services
Altn: ~yan J. AU.MII
10271 OeerRun Fanns R08d, Suite 1
Fort Myers, Florida 33812
BID# SC-0S49-03
TITLE: PRICE AGREI:MENT CONTRACT FOR PARK AND PLAYGROUND EQUIPMENT
'Ladies/Gentlemen:
_..~' _ You are a successful bidder on the above referenced bid. Bid is accepted
subject to the terms. conditions And stipulatlon~ in our spccitica1.iotlS.
.... Performanoe Bond in. the amount l)f $ _.... '__ (a.v reqll;recl in the.
Q/ofginal bid f)ac;kQ.ge) must he returned within 10 days from I'eceipl or
this notification. (PletltfB inclllde bid numbe,. fJn p<<rforltl(lnr:(! b,,,,d ,.,,,,,lttfJ,,ce)
CONTRACl" DOCUMF.N'1'S OR PURCHASE ORDER TO FOLLOW.
THIS IS NOT AN ORDER.
Awarded as fbl1oWl'l:
1st Renowal OptiOll - JU"t 01, 2004 thru May 31, 2005.
You arc not a succesllful bidder. Bids are available for inspection in the
Department of ProcurC111en t.
Bid security is herewith returned; Cheek # _...
Amount
.......--.--.-..............
'" .
Sincerely,
~
St. .Jamos City HilI, 117 Welll nuvar Street. Slllte 335
Jacloon"Ule, Florld:lll3U01
Ph...c: (904)6.10-1 184 fl'o~: (904)6.10-2 I 51
';OR!\of ('JR-l' n. R""....... . '12003
FROM':Pla':jmore
05/31/2005 09:42
2397912401
FAX NO. :9545705475
PLAYMORE
Jun. 22 2005 11:02AM P5/10
PAGE 03
SUBJECT: PRICE AGREEMENT CONTRACT FOR PARK AND PLAYGROUND EQUIPMENT
BIDlI8C-oU9-03
OPEN DATE: 4123103
~RAL GO~I;8NMENT AWARDS CO"fj'ITEJi
KIND AND BASIS OF CONTRACT:
SUPPLY CONTRACT EFFEC11VE JUNE 1, 2003 THROUGH MAY 31,2004 WITH TWO ~) ONI! (1) -YEAR RIiNEWAL
OPTIONS.
FOR: BECRI!ATlON
BAStS OF AWARD: ILU~npl& AWARD TO ALL QUALIFieD BIDDERS
NUMBER OF BIDS INVITED J! NUMBER RECEIVED D OTHER !
SUMMARY OF BIDS ~D RI!COMMENDED ACTIONS:
TO ALl VENDORS USreD ON THI: ATTACHED BID TABULATION SHeET FOR A SOURCE OF SUPPLY 10 FURNISH,
DELIVER. AND THe INSTALLATION OF PARKS AND PLAYOROUNO eQUIPMENT AS USTED IN THE CATALOGS
SUPPL.IED BY ntE VENDORS AT DISCOUNTS PROVIDED ON BIDS.
ATTACHMeNTS: 1) BID TABUl.ATION
~) MeMO FROM PARKS, RECREATION & I:NTERTAINMENT DIVISION
3) SCOPE
I!J BUYER: ~-~ 4?d'-4.~ RESPECTFUL.L Y SUBMITTED:
tr UNDV ;.. u. "
CONCURRENCE BY: I ON ,.
T
.
(ALL AWARD ACTIONS SUBJECT TO AVAILABILITY OF FUNDS)
ACTION OF AWARDS COMMITTEE ON CPO RECOMMENDATIONS AaQ'6. 2 9 2003
RS APPROVING MEMBERS DISAPPROVING DATE: riA T
OTHER:
AC-rION OF AWARD~UTHORITY
APPROVED I-
OTHER
SIGNATURE OF AUTHENICAT/ON
DATE:
DISAPPROVED
~j
"'II
FOIIlM GB.''', Reviled 4N2DG3
,..,,':;fit.:"~t,
. ~,~ .'.
. "
. .:~~j. .1
t"" ,
FROM.: P1a':jmore
23979124131
FAX NO. :9545705475
PLAVMORE
Jun. 22 2005 11:02AM P6/10
PAGE 134
: 05/31/21305 09:42
PRICE AGREEMENT CONTRACT FOR PARK AND PLAY EQUIPMENT
--........ CONTRAC'T NO. Sc.os49-03
EFFECTIVE 611/03 FOR ONE YEAR, WITH lWO RENEWAL OPTION YEARS
'.......--......
...J
Playmore Recreational Products and Services
10271 Deer Run Farms Road, Suite 1
Fort Myers, FL 33912
239-791-2400
Info@nlaymoreof1l1ne.com
Ryan Russell, Luke Russ~lI, Terry Perkins
Discount Installation:
Allowed from Fixed % of Cost
Manufacturer Product Description MSRP After Discount
All Star Bleaohers Bleachers 10% 35%
Americana Building Shelters 5% Prloed by Project
Products
Apollo sunguard Shade Structures 5% 50"0
Systems. Inc.
Enwood Structures, Sheltel'$ 5% Priced by Project
LLC
FairWeather Site Site Fumlshlngs, 5% 40%
Fumlshlnas Bollards. Bike Raoks
Huna Deslgns- Skateparks 5% 25%
Woodward Ramps
and Rails
Madrax Bike Racks, Lookers, 5% 40%
Sollards
Playworld Systems Play Equipment, Site 10% 95%
Amenities, Bike
Racks
Rain Drop Products, Water Play 0% Priced by ~roject
LLC EQuipment
SofSul1aces, Inc. Plavaround Surfaces 15% 40%
SportsPlay Play Equipment. Site 10% 40%
Equipment. Inc. Amenities, Sports
EQulDment
WebcOat Products Site Amenities 5% 40%
Zeager Hardwood - Playground Surfaces oevo 75%
Woodcarpet Products
~
CERTIFICATE OF LIABILITY INSURANCE
ACORd I DATE IMlWDClYYYV1
~ 11/03/:2005
Pf;ODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Jack Fields Agency ( 407)e70-5534 (407)870-9491 FAX ONLY AND CONFERS NO RIGt-ITS UPON THe CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
10 E Monument St. Al.TER THE COVERAGE AFFORDED BV THE POUCIES BELOW.
Kissimmee, FL 34741
INSURERS AFFO~DING CO"ERAGE NAIC#
INSURED INSUI'lER A: Nationwide Muluallnsurance Company
Playmore Wesllnc. INStJl'lER B:
dba Playmore Recreational Products & Services INSUReR C:
10271 Deer Run Farms Rd. INSURER D:
I Fl. Myers, FL 33912 INSURER 10:
COVERAGES
THE POLICIES OF INSURANCE I.ISTED eeLOW HAVE ElEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE'RIQO INDICATe:O, NOTWITHSTANDING
ANY ReaUIReMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH REspeCT TO WHICH TI~IS ceRTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORoeD ey THe POl.ICIES DeSCRIBED HEREIN IS SUBJECT TO All THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICies, AGGR.EGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR INSR TYPE OF INSURANCE POLICY NUMBER ~ UMlTS
Q ENERAL \.IASII.lTY EACH OCCURRENCE S
:J_ COMMeRCIA.L GENERhL LIABILITV ~a~~l ;:.cc;~~"""'\ S
o CLAIMS MADE 0 OCCUR MED B)(P (Any on9 person, S
B~ . I'E~SONAL & ADV INJURY S
GENERAL AGGREGATE ~
GEN'L AGGREGATE LIMIT APPLIeS PER: PRODUCTS. COMPIOP AGG $
h POLICY n PROJECT n LOC
A AUTOMOBILE LIABILITY 77 SA 396359-3001 07/16/2005 07/16/2006 COMBINED SING~e ~IMIT 1.000.000,00
~ $
ANY hUTO (Ell ",r;dd9nl)
~ ALL OWNED hUTOS BODILY INJURY
7 S
SCHEDULED AUTOS (Per ~.on)
7 HIFUOD AUTOS
~ 600lL Y INJURY S
= NON-OWNED AUTOS lP0r Ila:ldenl)
= PROPERTY DAMAGF. $
I Por llcdllenll
GARAGE l.1AB1l.1TY AUrO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN ~ACC S
AUTO ONLY, AGG S
EXCESSIUMElRE;LLA LIASII.lTY . n-' ,;', ni\~<1",\ljc.1 U~T EACH OCCURRENCE $
=:J OCCUR 0 CLA.IMS MhDE i~ppm:')\'Q "i:~ ----... AGGI'lEGATE 5
aY ..-. -- - ~.. .'<:/ $
=4 DEDuCTIBLE DATE ....-... \\q... $
..--. ". ,~~'
RETENTION S ,j ,':'::: S
~~~R!~MPEN9ATlONAND VVl"\l' .." .~f -----.-.,". 1 TORY LIMIT"S rl ~\r-
l. E LIABILITY
hNV PROPRIETORlf'AFm'lERJexECUTIVE E.L. EACH ^CCIOENT $
OFFICERlMEMIIER EXCl.UDED?
If m de6Crlbe under E.L. DISEASE' EA eMPLOye s
S ECIAL PFlOlIlSrONS below 10.1.. DISEASF. . POI.ICV LIMIT S
OTHER
Additional Insured: Board 01 County Commissioners 01 Monroe County, Key largo Community Park
CERTlFICATE tiOL.PER
Board of County CommissIoners of Monroe County
1100 Simonton Street
Key West, FL 33040
CANCELLATION
SHOUl.O ANV OF THE ABOVE OESCRlIlEf) POUCIES BE CANCELLED BEFORE THE; EXPIRATION
DATE; THEREOF, THE ISSUING INSURI!R WIL.L ENDEAVOR TO MAIL 30 DAYS w~eN
NOTlC!! TO THE CER.1lFICATE HOLDER NA/lIIIOC TO THE LEFT, BUT FAILURE. TO DO SO SHALL
IMPOSE 1110 OElUGATlON OR UABll.ITY OF ANV KIND UPON THE INSURE~. IT'S AI3l'NT8 OR
REPRESENT A 'I1I/I!S.
AUTHORIZED REPRI!SENTATIVE
1I!Illr~nJ:ln rn==I'\=ATI"'''1 4000
ACORD 25 (2001/08l
, ~---
ACORD CERTIFICATE OF LIABILITY INSURANCE ) CATE (MMIDD/VVYV)
1M 09/14/2005
PRODUCER Phono (317) 5:l<l-'l400 .~ 317-972-71A2 THIS CeRTIFICATe IS ISsueD AS A MA"T~ OF INFORMATION
CITY SECURITIES CORP 0.... y AND COfB'~ NO RIGHTS UPON 1'ltI! CERTIFICATE
P.O. BOXU992 MOl..DIOR. THIS CM.TlFICATE DOlC NOT .v.1I;:ND, ~~ND OR
INDIANAPOLIS IN 46244-G992 ALTER THE COVERAGE AFFORDED BV THE POUCI:S BELOW.
INSURERS AFFORDING COVERAGE NAIC II
INSURED INSU~IiR A; United Natlonllllnsunmcll Company
INSURER B:
PLAYMORE WEST INC. ....-,.- . 'N"'.. ....'
DBA PLAYMORE RECREATIONAL INSURER C;
PRODUCTS & SERVICES INSURER C:
.--......-.....,.... ......-.......--
!O~l.!. DEER RUN FARMS ROAD INSURIiR E;
COVERAGES
T"'i POI.ICIf.iS of J>I$IJIl^f\/I:e I.Isrr;,o BF,I.OW H^"I: !'IeEl'llSSVEO TO 'THE iIIlS~D I'l^MED A.eOVE FOR ';HE POLICY PERIOD INDICATED, NOlWTTl-fSTAI'lOI1'lG
^NY Ro;OlJlFlo;~. TERM OR COl\OrTIO/II OF ^~ CONTRACT OR OTI-ER OOCUl.1ENT WITI-! RF,!';PE;l;"1 'l'QWH!(;H THIS CERTlf'ICATE MA.Y BE ISSI.lED OR
Mill' PERT"1N1l Tt'\\: INSUflANCE /I.FORr.F.O F.l'Y THE POLICIES Dt:$CI<Iel:D I-lEHEIN IS SIJBJ!::CT TO ALL THE TERMS, EXCLUSIONS AND CONDmoNS OF SIJCH
POI.IC':II::~ A.G lRl:c,A.'TE U~~ ~HOWN MAV HA.VF.; f;lEEN FlEDUCED Ell( PAID CLAIMS.
lNaR /IOO'L TYPE OF INSlJRI\NCE POLICY NUMIlER I'OUCl' 1!F1'2CTM! !'OLleY n,..ATlCN LIMITS
LTel lNPlO
liIENERAL LIABILITY L7197140 07/18/05 07118106 E^CH OCCUIlRF.;NC," $ 1,000,000
- ~=;~=='~nce
X COIlofv'l'ERCI^L GENERAL LI^BlLllY $ 50,000
I ()..A~~MAI'lF ~ OCClIR MED. EXP (Ntl one peraon) $
A PERSONAL & ADV ~ $ 1,000,000
- .--......-.--
GENERAl.. ^CmflF,;GATF. $ 2,000,000
~t AI;t;IiI::G" 110 UMIT APPIII':!; PE:R PRODLICTS.COMPIOP AC'<;. $ 1,000,000
I iIPRr.,. nLOC --. -
POLICV JECT
AUTOMOBILE LI/I81UTY COMBINED sr-IGLE IJMT
- $
ANV AUTO lEe Mcldenll
-
/ILL OWNED wros BODIl 'I' I~IJLIRY
- (per perlon) $
SCI-II:OI)l)::r) AUTO!;
-
HIRED AUTOS BODILY INJURY
- (Fer ecr.ld(>l1tl $
NQN.O\IIIIIF.1:l AUTOS
-
- ------,......._--- PROPERlY DAMA(;,E $
(pAr P1Ccldclntf
QARAG~ LIAI!IUTY ~ H{ ~ti\il AJ'lJ\l GEMEi'f\ .~.ll1:9-,?NL Y - EA ACaDENT $
R NoN ^UTO ~~PPR(JJ OTHER THAN EA ACe $
\~ y-_. - \._...... ., L ........'/ - AlITO ONLY: AGG $
5SS I UM8REl.LA L.IABILITY DATE .-- .....l 'U ) EACI-! OCCLiRRENCE $
OCCUR 0 CLAIMS MADE '--""'-"-"-'-"" ------- ^~GREGllTE $
Nj A. ....___ ~. Yr:. .-
WAiVER ._- $
==1 DEDI.lCTlBLE $
RETCN'nON $ $
WOllI(~!i eOMP~!lATlON ANCI I ~ m".' T I OTHER
eMP\,OYF.RS'I.IAElll.rrv TORY UMlTS
AIlY"IlIlP'Rli!'lOM'_!ClITM! n. "'/lCH ACCIDENT $
ClFFIllERIMEMIlER EKCUlDED7 0: L. D1SE:^SE.E^ E:MPLOYEF. $
It Y.I, ~.lorI'. un.... $
II'tClAl. P'flOVlI_1 .01_ EL DISEASE PDUCY LMT
OTHER:
DESCRIPTION OF OPERATIONSIlOCATlOIiIS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTI SPEOAL PROVISIONS
ADPITlONAL INSURED: BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY
DESCRIPTION: KEY LARGO COMMUNITY PARK
CERTIFICATE; HOLDER
CANCELLATION
.--....
SHOLILD AN( OF TI-E ^BOVIl D"SCRI~F.D POIIr.IFH AF CANC;I::LI.f.D I:lf.:I-~f.o rHl: I:I"'''A OOI'l
DATE THERi:O., TI-[: ISSUIIIG INSURE~ IMl,t ENOF.AVOR TO M"I_ 3Q DAYS WRrTTEN NOTICE TO
BOARD OF COUNTY COMMISSIONERS OF MONROE CiY THE CERTII'ICATE liOLDG~ NAMED TO Tl-If' I.I;.T. RlITFAI.lIAE TO 00 SO 5H"LLM"OSE Il1O
OIlLIGA1l0N .)R 1.1/l13I..11Y O. /IJN I<Nf) I PON Tl-I: INSURE!<, IT'S AGENTS OR REPRESENTATIVES
1100 SIMONTON STREET
K~ WEST, FL 33040 AU IHORIZED REPRESENTATIVE
~ ~~
Attention: ~ /..J
. steven B. Garraway..
ACORD 25 (2001108)
Cel1ificate #
10155
@ACORD CORPORATlO~ 199a
~
CERTIFICATE OF LIABILITY INSURANCE
ACORd~ I DATE (MMlDDIYYYVI
~ 09/27/2005
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Jack Fields Agency (407)870-5534 (407)870-9491 FAX ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
10 E Monument St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Kissimmee, FL 34741
INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURER A: Florida Worker's Compensation JUA
Playmore West Inc. INSURER B:
dba Playmore Recreational Products & Services INSURER c:
10271 Deer Run Farms Rd. INSURER D:
I Ft. Myers, FL 33912 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
'L'fR' tNSR TYPE OF INSURANCE POLICY NUMBER DA"f~ (MMIDOri'Y) "'b'k\l:T(MMIDDlVYl LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
b_ COMMERCIAL GENERAL LIABILITY ~~~~~H9E~~~Ju~~nce \ $
o CLAIMS MADE 0 OCCUR MED EXP (Anyone pe(son) $
~- PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
I POLICY n PROJECT n LOC
AUTOMOBILE LIABILITY ApPj COMBINED SINGLE LIMIT 1,000.00000
- tm~~~~~~~. $
ANY AUTO ~(t,GEMEN (Ea accident)
= Sy_
ALL OWNED AUTOS BODILY INJURY
= $
SCHEDULED AUTOS DATE -"- -U::~ '" ....,,_._--- (Per person)
= __ 0'5
HIRED AUTOS
= BODILY INJURY $
NON-OWNED AUTOS WAIVI R N!I"",~ - -~..-..__....- (Per accident)
=
= ..-.--- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=1 ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $
~ OCCUR 0 CLAIMS MADE AGGREGATE $
R $
DEDUCTIBLE $
RETENTION $ $
A WORKERS COMPENSATION AND 4216B106 07/16/2005 07/16/2006 l TORY L1MIT-S [ l UE'RH-
EMPLOYERS' LIABILITY
ANY PROPRIETORiPARTi-oiE"iEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE 1,000,000
~~~(;I~tS~~6~IS4gNS below $
E.L. DISEASE - POLICY LIMIT $ 1,000 ,ODD
OTHER
CERTIFICATE HOLDER
CANCELLATION
Monroe County Engineering Dept.
Attn: Judy Steele
1100 Simonton St.
Key West, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08)