09/18/1996 Agreement
.ann!' 'I.. ltoQJagt
BRANCH OFFICE
3117 OVERSEAS HIGHWAY
MARA mON, FLORIDA 33050
TEL. (305) 289~7
FAX (305) 289-1745
CLERK OF THE CIRcurr COURT
MONROE COUNTY
SOO WHITEHEAD STREET
KEY WEST, FLORIDA 33040
TEL. (305) 292-3550
FAX (305) 295-366lk/'. '.
BRANCH 0I'PICll
lllllI20 0VIlRSIlAS HIGHWAY
PLANrATION KEY, FLORIDA 33O'JO
TEL. (305) 852-7145
FAX (305) 852-71t6
MEMORANDUM
TO:
Dent Pierce, Director
Public Works Department
FROM:
Isabel C. DeSantis, ~
Deputy Clerk S, , ' iii .
DATE:
November 6, 1996
At the October 16, 1996 Commissioner's meeting, the Board granted approval of Award of Bid and
authorized execution of a Contract between Monroe County and Diversified Services Co., Inc., to provide
janitorial services for the Key West Library, in the amount of $7,800 per year.
Attached hereto is a duplicate original of the subject contract for return to the Contractor.
Should you have any questions concerning the above, please do not hesitate to call.
Copies: Finance
County Attorney
County Administrator
Risk Management
"File
i
"
~i
SECTION THREE
CONTRACT
THIS AGREEMENT, made and entered into this /$.; ti day of ~1Jf;tj{~
1996, A.D., by and between MONROE COUNTY, FLORIDA, party of the
first part; (hereinafter sometimes called the "Owner"), and
IJ,V~( 2>;Jt:;~(A '.::,"W \ULS, C:J).,:(rvc., party of the second part (herein-
after sometimes called the "Contractor").
WITNESSED: That the parties hereto, for the consideration
hereinafter set forth, mutually agree as follows:
z
'-l5
0\
3.01
SCOPE OF THE WORK
The Contractor shall provide janitorial s~rvfcesii5 in3uding
all necessary supplies and equipment required in ~e perfor-
mance of same, and perform all of the work.qescr~ed c-'in the
Specification entitled: . ~
-0
, ~
Ma~ual 0
- :-7)
Pl
Monroe
County Libraries Specification
Janitorial Service
All Areas
-
and his Bid (Form #1), each attached hereto and incorporated
as part of this contract document. The manual shall serve as
minimum contract standards, and shall be the basis of inspec-
tion and acceptance of all the work. The Contractor shall
insure all exterior doors are locked upon their departure.
3.02
THE CONTRACT SUM
The County shall pay to the Contractor for the faithful per-
formance of said service on a per month in arrears basis on
or before the 30th day of the following month in each of
twelve (12) months. The Contractor shall invoice the County
monthly for janitorial services performed under the Specifica-
tions contained herein. The Contract amount shall be as
stated by the cont~c~o~ ~r~posal as follows:
(a (:z';;),f.LIJ1J per month.
3.03 CONTRACTOR'S ACCEPTANCE OF CONDITIONS
A. The Contractor hereby agrees that he has carefully examined
the sites and has made investigations to fully satisfy him-
self that such sites are correct and suitable ones for this
work and he assumes full responsibility therefore. The provi-
sions of the Contract shall control any inconsistent provi-
sions contained in the specifications. All Specifications
have been read and carefully considered by the Contractor,
3-1
who understands the same and agrees to their sufficiency for
the work to be done. Under no circumstances, conditions, or
situations shall this Contract be more strongly construed
against the Owner than against the Contractor and his Surety.
B.
Any ambiguity or uncertainty in the Specifications
interpreted and construed by the Owner, and his
shall be final and binding upon all parties.
shall be
decision
C.
The pass ing, approval, and/or acceptance of any part of the
work or material by the Owner shall not operate as a waiver
by the Owner of strict compliance with the terms of this
Contract, and Specifications covering said work. Failure on
the part of the Contractor, immediately after Notice to cor-
rect workmanship shall entitle the Owner, if it sees fit, to
correct the same and recover the reasonable cost of such
replacement and/or repair from the Contractor, who shall in
any event be jointly and severally liable to the Owner for
all damage, loss, and expense caused to the Owner by reason
of the Contractor's breach of this Contract and/or his fail-
ure to comply strictly and in all things with this Contract
and with the Specifications.
3.04
TERM OF CONTRACT/RENEWAL
A.
This contract shall be for a period of one (1) year, commenc-
ing on 10// ' 1996 and terminating on CJ;/a-J , 1997.
The Owner shall have the option to renew this agreement after
the first year, and each succeeding year, for two additional
one year periods. The contract amount agreed to herein may
be adjusted annually in accordance with the percentage change
in the Consumer Price Index (CPI) for Wage Earners and Cleri-
cal Workers in the Miami, Florida area index, and shall be
based upon the annual average CPI computation from January 1
through December 31 of the previous year. Increases in the
contract amount during each option year period shall be ex-
tended into the succeeding years.
B.
3.05
HOLD HARMLESS
The CONTRACTOR shall defend, indemnify and hold harmless the
County as outlined on the attached for identified as IND1.
3.06
INDEPENDENT CONTRACTOR
At all times and for all purposes under this agreement the Con-
tractor is an independent contractor and not an employee of the
Board of County Commissioners for Monroe County. No statement
contained in this agreement shall be construed so as to find the
contractor or any of his/her employees, contractors, servants, or
3-2
agents to be employees of the Board of County Commissioners for
Monroe County.
3.07
ASSURANCE AGAINST DISCRIMINATION
The Contractor shall not discriminate against any person en the
basis of race, creed, color, national origin, sex, age, cr any
other characteristic or aspect which is not job related, in its
recruiting, hiring, promoting, terminating, or any other area
affecting employment under this agreement or with the provision
of services or goods under this agreement.
3.08
ASSIGNMENT
The Contractor shall not assign this agreement, except in writing
and with the prior written approval of the Board of County Commis-
sioners for Monroe County and Contractor, which approval shall be
subject to such conditions and provisions as the Board and Con-
tractor may deem necessary. This agreement shall be incorporated
by reference into any assignment and any assignee shall comply
with all of the provisions of this agreement. Unless expressly
provided for therein, such approval shall in no manner or event
be deemed to impose any obligation upon the Board in addition to
the total agreed-upon price of the services/goods of the contrac-
tor.
3.09
COMPLIANCE WITH LAW
In providing all services/goods pursuant to this agreement, the
contractor shall abide by all statutes, ordinances, rules and
regulations pertaining to, or regulating the provisions of, such
services, including those now in effect and hereinafter adopted.
Any violation of said statutes, ordinances, rules and regulations
shall constitute a material breach of this agreement and shall
entitle the Board to terminate this contract immediately upon
delivery of written notice of termination to the contractor. The
Contractor shall possess proper licenses to perform work in accor-
dance with these specifications throughout the term of this con-
tract.
3.10
INSURANCE
Prior to execution of this agreement, the Contractor shall fur-
nish the Owner Certificates of Insurance indicating the minimum
coverage limitations as indicated by an "XU on the attached forms
identified as INSCKLST 4, as futher detailed on forms ED, GL1,
V1, WC1, each attached hereto and incorporated as part of this
contract document, and all other requirements found to be in the
best interest of Monroe County as may be imposed by the Monroe
County Risk Management Department.
3-3
3.11
FUNDING AVAILABILITY
In the event that funds from Monroe County Libraries Contractual
Services are partially reduced or cannot be obtained or cannot be
continued at level sufficient to allow for the purchase of the
services/goods specified herein, this agreement may then be termi
nated immediately at the option of the Board by written notice of
termination delivered in person or by mail to the contractor.
The Board shall not be obligated to pay for any services provided
by the contractor after the contractor has received written no-
tice of termination.
3.12
PROFESSIONAL RESPONSIBILITY
The Contractor warrants that it is authorized by law to engage in
the performance of the activities encompassed by the project
herein described, subject to the terms and conditions set forth
in the County Library Manual entitled "Monroe County Libraries
Specification Manual/Janitorial Service/All Areas", which is
attached hereto and incorporated herein as a part of this con-
tract/agreement. The provider shall at all times exercise inde-
pendent, professional judgement and shall assume professional
responsibility for the services to be provided. Continued fund-
ing by the Board is contingent upon retention of appropriate
local, state, and/or federal certification and/or licensure of
contractor.
3 .13
NOTICE REQUIREMENT
Any notice required or permitted under this agreement shall be in
writing and hand delivered or mailed, postage prepaid, to the
other party by certified mail, returned receipt requested, to the
following:
FOR COUNTY
Monroe County Library
700 Fleming Street
Key West, FL 33040
3.14 CANCELLATION
FOR CONTRACTOR
D:V"C:',!;i<<.J s:"\vi,Q r..D,::I:W".. .
50-';::> \\-'}l>. AI'.
fL-..'S;ZY' IlJfJ) \ , r: i. ~~D4(~
,
A) The County may cancel this contract for cause with seven (7)
days notice to the Contractor. Cause shall constitute a
breach of the obligations of the Contractor to perform the
services enumerated as the Contractor's obligations under
this contract.
B) Either of the parties hereto may cancel this agreement with-
out cause by giving the other party sixty (60) days written
notice of its intention to do so.
3-4
IN WITNESS WHEREOF the parties hereto have executed this Agree-
ment on the day and date first above written in four (4) counter-
parts, each of which shall, without proof or accounting for the
other counterparts, be deemed an original Contract*
Attest:
COUNTY OF MONROE, STATE OF
FLORIDA
B
GE, Clerk
~cJJ.c. ~~
Clerk
h/ye'{L.st.r:;1 y,f!(d.s CD;I1/C.
By <~ffJle1~ ~~--' R'0-
Attest:
(JJy r;:~/A~~
I NESS
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- WITNESS
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L & N DEPENDABLE JANITORIAL, INC.
p.r), BOX 2546
KEY LARGO. PL. 33037-2546
305-248-0626
AU9'tJ.st 23. 1996
Tv whom j t. may <":'(.lflc-e:r n ~
IiECfJVfD~
4lJ(;
2 J I;> .
PURcHASING
Effective t0dav ~~ ~r~ with4~aw!r!G 0U~ ~le (.... the K&y We~t Libr~ry
l.~(:at i'-H"
It Yf,,"Ju h~ve any qU~5tj~~nS ~ieo;;;:~ feel fr~e t,,;. ~~<lll U$ at Qny tlJ!J~,
Thank 1 ng YOI.; in odvenco> for eemS l'i~l-"'~ ion_
P)~ oJ ~.cPft:-
Loui$ & Nora u3ten
L' N Dep"ndable Jan1t0ri~l, Inc,
The Johnsons Insurance Agency
13361 Overseas Highway
Marathon FL 33050
305-289-0213
CSR SG 02 07 96
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
CERTIFICATE OF INSURANCE: DIVER-1
PRODUCER
COMPANIES AFFORDING COVERAGE
COMPANY
A united Businessowners Self Ins
INSURED
Diversified Services Company
D-50 11th Ave Stock Island
ey West FL 33040
COMPANY .. ..
B Progressive'"
____ _ __ _ ____ __________.....__;.::_,.....:_.;.;J"l,;....l.,__.;.,_i_.;."'._.;._..:~..'..~.;.-__________
COMPANY / (/ 0 ( - 7 (,
C \ :'j
..............................;~~........~..._-----------------
COMPANY . . .r .0------ . -
o
> COVERAGES <==================================================================================================================..
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
ALL THE TEPMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_
CO
LTR
TYPE or J NSURM:CE
POLICY NUMBER
POLICY EFF POLICY EXP
DATE (MM/DD/YY) DATE(MM/DD/YY)
LIMITS
GENERAL LIABilITY
[ ] COMMERCIAL GEN LIABILITY
[ ] CLA J MS MADE [ ] oce.
] OWNERS'S & CONTRACTOR'S
PROTECTIVE
]
]
GENERAL AGGREGATE
PROD'COMP/OP AGG.
PERS. & ADV. INJURY
EACH OCCURRENCE
FIRE DAMAGE
(ANY ONE FIRE)
MED. EXPENSE
(ANY ONE PERSON)
AUTOMOBILE LIABiliTY
B [ ] ANY AUTO
[ ] ALL OWNED AUTOS
rX] SCHEDULED AUTOS
[ ] HIRED AUTOS
[ ] NON-OWNED AUTOS
[ ]
[ I
048574570
01/01/96 01/01/97
COMB. SINGLE LIMIT 500,000
BODILY INJURY
(PER PERSON)
BODILY INJURY
(PER ACCIDENT)
PROPERTY DAMAGE
GARAGE LIABILITY
[ ] ANY AUTO
[ J
[ ]
............. .AP'P'~Q~ED Jlt R! ~.Mt.R\GIMENJ._
BY '--- 1.
{)/2.t~
co. 4fTy
AUTO ONLY (EA ACC)
OTHER / AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EXCESS LI AS I LI TY
[ ) UMBRELLA FORM
[ J OTHER THAN UMBREllA FORM
,,""',f)
"J.'\ _
~yrr:
EACH OCCURRENCE
AGGREGATE
\.I0Rr.;:~i\S cc-;.;;:-. ';~;::l n~r. LlAS.
THE PROPRJETOR/PARTNERS/
J\ EXECUTIVE OFFICERS ARE:
[ ] INCl. f ] FXCL.
495173320695
01/01/96 03/01/97
JSTATUTORY lIMITS
EACH ACCIDENT 1100,000
DISEASE-POL. LIMIT 500,000
DISEASE-EACH EMP. 100,000
OTHER
'DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS......-.............................----.-------------.---.-.-.---....
1991 Ford E150 1FTDE14Y7MHB21205
1984 Chevy Cargo IGCEG25D3E7167993
onroe County is named as Additional Insured.
onroe County Risk
Kay Miller
5100 College Road
ey West FL 33040
> CERTIFICATE tlOLDER ~=:==================================> CANCELLATION <=======================================================
MONRO-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILU TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF Y KI PON THE COMPANY,ITS A NTS DR REPRESENTATIVES.
........... ....-.--.. _......~........_----- -- .__.........~......
AUTHORIZE REPRESENT -
Management
_ACORD 25'S (3/93)
PAM C
DATE (MMIDOIYY)
2 - 7 -96
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
PRODUCER
JOHNSONS INS AGENCY INC
P.O. BOX 2346
MARATHON SHORE, FL 33052
305/289-0213
INSURED
COMPANY
B
COMPANY
A SCO'ITSDALE INSURANCE CO OB
DIVERSIFIED SERVICES COMPANY
D50 11TH AVE STOCK ISLAND
COMPANY
C
COMPANY
D
KEY WEST, FL 33040
COMPANY
E
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOr
INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWlTH RESPECT TO WHICH THI1
" CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co
LT"
POUCY EFFEcnvE POUCY EXPlRAnoN
DATE (MMlDDIYY) DATE (MMlDDIYY)
TYPE OF INSURANCE
POUCY NUMBER
GENERAL UABIUTY
COMMERCIAl GENERAL UABIUTY
A [Q]OCCUR CLS320049
OWNER'S & CONTRACTOR'S PROTo
01/01/97
GENERAL AGGREGATE
PROOUCTS - COMPJOP AGG.
PERSONAl&ADV.INJURY
EACH OCCURRENCE
ARE DAMAGE
MED EXPENSE one raon
01/01/96
AUTOMOBILE UASIUTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON..QWNED AUTOS
COMBINED SINGLE UMIT
BODilY INJURY
(per person)
BODilY INJURY
(P8l'accIdent)
PROPERTY DAMAGE
GARAGE UABILITY
ANY AUTO
AUTO ONLY. EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
EXCESS L1ABIUTY
UMBRELLA FOAM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSAnON AND
EMPLOYER'S L1ABIUTY
STATUTORY LIMITS
EACH ACCIDENT
DISEASE-POLICY UMrT
DISEASE-EACH EMPlOYEE
THE PROPR1ETOAI
PAATNER~ECVTIVE
OFFICERS ARE:
INCl
EXeL
OTHER
DESCRIPTlON OF OPERATlONSILOCA nONSIVEHICLES/SPEClAL ITEMS
CERTIFICATE HOLDER IS ADDITIONAL INSURED.
UMrrs
500 000
500 000
500 000
500 000
50 000
$
$
$
MONROE COUNTY RISK MGMT
5100 COLLEGE ROAD
KEY WEST, FL 33040
Attn: Kay Miller
SHOULD ANY OF THE DI!SCRtSI!D POUCII!S BE CANCELLED BI!FORE THE
EXPIRATION DAn THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WR1TTEN NOTlCE TO THE CERTIFICATE HOLDER NAMED TO THE LEfT,
BUT FAILURE TO MAIL SUCH NonCE SHALL IMPOSE NO OBUGATlON OR UABIUi
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
"N"''',W''''''''''''~,~,.~~,.~~o'",o'o'" .m..__~~... _~~.,
~N
8 \AJ W ~~~.
BURNS & WILCOX LTD.
~ ~<<..o,,~:,,!,,~
~".M~.O~'_~_~
CERTIFICATE OF INSURANCE: DIVER 1
PRODUCER
The Johnsons Insurance Agency
13361 Overseas Highway
Mdrathon FL 33050
CSR SG 10 22 96
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMENO, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
305 - 28 9 - 0213 COMPANY
------------------------------------------------------------- A
COMPANIES AFFORDING COVERAGE
INSURED -------------------------------------------------__________________
COMPANY
B United Businessowners Self Ins
Diversified Services Company
D-50 11th Ave Stock Island
Key West FL 33040
COMPANY
C Progressive
COMPANY
D
> COVERAGES <====================================================================================================================
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
ALL THE TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFF POLICY EXP
DATE (MM/DD/YY) DATE(MM/OO/YY)
LIMITS
GENERAL LIABILITY
[ 1 COMMERCIAL GEN LIABILITY
[ 1 CLAIMS MADE [ 1 OCC.
l OWNERS'S & CONTRACTOR'S
PROTECTI VE
l
l
F>'_" th.'{:;:i
GENERAL AGGREGATE
PROD-COMP/OP AGG.
PERS. & AOV. INJURY
EACH OCCURRENCE
FIRE DAMAGE
(ANY ONE FIRE)
MED. EXPENSE
(ANY ONE PERSON)
:',' kfll1Jt" ] lj~':1
;"l'
~UTOMOBILE LIABILITY
C [ l ANY AUTO
[ l ALL OWNED AUTOS
eX l ~CHEDULED AUTOS
[ l HIRED AUTOS
[ l NON-OWNED AUTOS
[ J
[ 1
048574570
01/01/96 01/01/97
COMB. SINGLE LIMIT
BODILY INJURY
(PER PERSON)
500,000
I'
'..I' :!/f ~HcN'T
"",'" ~c
,+.D.
,,>Of- -------------------
AUTO ONLY (EA ACC)
OTHER / AUTO ONLY:
EACH ACCIDENT
AGGREGATE
BODILY INJURY
(PER ACCIDENT)
i<tt(y DAMAGE
-------------------"y-,~-
GARAGE LIABILITY
[ J ANY AUTO
[ J
[ l
DAlE
_ ~ M ~ ~ ~ ~ ~n_________ Y~!~'~!nL _ .N~~__~Yf
EXCESS LIABILITY
[ l UMBRELLA FORM
[ 1 OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
AGGREGATE
WORKERS COMPo ANO EMP. LIAB.
THE PROPRIETOR/PARTNERS/
B EXECUTIVE OFFICERS ARE: 495173320696
[ J INCL. [ l EXCL.
lSTATUTORY LIMITS
EACH ACCIDENT 100, 000
03/01/96 03/01/97 DISEASE-POL. LIMIT 500,000
DISEASE-EACH EMP. 100,000
~~.~-------------------------_. -------------------------~- -______________ ______________ _______________.w__~______________
OTHER
-DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS----------------------------------------------------------------------
janito:rial filervices -,no windows - commercial accounts
only (~e, C~ty Electr~c System
1991 Ford E150 1FTDE14Y7MHB21205
Monroe County
Risk Management
5100 College Road
Key West FL 33040
> CERTIFICATE HOLDER <====================================> CANCELLATION <=======================================================
MONCO-3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION OATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALt2POSE NO OBLIGATION OR
_~~~~~~~~~_~~_~~~_~~~~_~~~~_~~~~~~~:~~.S __.G_~~~~~~~~.~~~..~~~~17
AUTHORIZED REPRESENTATI~ ~lj'71. I ~'Y-/( (j v
The Johnsons Insurance A ec
(0(./&
_ACORD 25-S (3/93)
JOHNSONS INSURANCE AGENCY INC
P.O. BOX 2346
MARATHON SHORE, FL 33052
305/289-0213
DATE (MM/DDNY)
10 - 4 - 96
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
PRODUCER
COMPANY
A SCOTTSDALE INSURANCE CO (OH)
INSURED
DIVERSIFIED SERVICES COMPANY
COMPANY
B
D50 11TH AVE STOCK ISLAND
COMPANY
C
COMPANY
D
11 LJ
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
KEY WEST, FL 33040
CO
LTR
TYPE OF INSURANCE POUCY NUMBER
POUCY EFFECTIVE POUCY EXPiRATION
DATE (MfNDDIVY) DATE (MMlDDIVY)
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION AND
EMPLOYER'S LIABILITY
O/el"
1..18
UMrTS
GENERAL AGGREGATE $ 500 000
PRODUCTS - COMP/OP AGG. 500 000
PERSONAL & ADV. INJURY 500 000
EACH OCCURRENCE $ 500 000
FIRE DAMAGE (An one fire $ 50 000
MED EXPENSE An one "on
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per person)
BQDll Y INJURY
(Peraccidenl)
PROPERTY DAMAGE
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
EACH OCCURRENCE
AGGREGATE
STATUTORY LIMITS
EACH ACCIDENT
DISEASE-POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [!JoeCUR CLS320049
01101196 01101197
A
OWNER'S & CONTRACTOR'S PROTo
AUTOMOBILE LIABIUTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
R~'u ; Vl~~.
'.'.i'.k.J.'1F"j" LO'f '.'
,.- JLJ D LCJ}9
~-::;~.:~~;~ _~__:~_ ;C ,~_:_'_-=
GARAGE UABIUTY
ANY AUTO
INCL
EXCL
, ~ _ ~J A C \
".,Tf
THE PROPRIETOR!
PARTNERSlEXECUTIVE
OFFICERS ARE:
, TR:
OTHER
DESCRIPTION OF OPERAnONSlLOCAnONSlVEHICLESlSPECIAL ITEMS
Replaces certificate issued 2/7/96
CERTIFICATE HOLDER IS NAMED AS ADDITIONA INSURED
~iWi
, J !o' !I
SHOULD ANY OF THE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE TltEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS A NTS OR REPRES NTATlVES.
AUTHORIZED REPRESENTATIVE
BURNS & WILCOX LTD.
!ir~!in Ol!! i
MONROE COUNTY
ATTN: RISK MANAGEMENT
5100 COLLEGE ROAD
KEY WEST, FL 33040
INSURANCE BINDER: DIVER-1 CSR LK 10 02 96
TI:IS BINu~R IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM.
PRODUCER PHONE (AC/NO/EXT) 3 0 5 - 2 8 9 - 0 213
rj.'J
The Johnsons Ins\lrance AgencyI'
13361 Overseas H~ghway
Marathon FL
33050
PAM CURRY
COMPANY
Old Republic Surety Co.
IBINDER l!894
EFFECTIVE
EXPIRATION
DATE
TIME
DATE
TIME
10/02/96
[ lAM
02:07 ~l~ 11/02/96
~ 1 12:01 AM
[ 1 NOON
CODE: SUB CODE:
AGENCY CUSTOMER ID: DIVER-1
INSURED .l~
Diversified Services CompanyVr
[ 1 THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED
COMPANY PER EXPIRING POLICY NO.: BINDER
-DESCRIPTION OF OPERATIONS/VEHICLES/PROPERTY (INCLUDING LOCATION)---------
Employee Dishonesty Bond-$10,000.
D-50 11th Ave Stock Island
Key West FL
33040
> COVERAGES <==========================================================================> LIMITS <================================
TYPE OF INSURANCE I COVERAGE/FORMS I AMOUNT IDEDUCTIBLE I COINS %
----------------------------------------------------------------------------._---------------------------------------------------
I
PROPERTY
[ 1 BASIC
[ 1
[ 1
CAUSES OF LOSS
[ 1 BROAD [ 1 SPECIAL
~nflPO',irD BV RiS~~ M'8:\GH5!}{T
,v ~ ~~ oterc;
r...If/V- ,- '-rl$
- - - - - - - j;~~F -~_=~7o -: -I::'.li~~~~- - - - - - - --
\'-" "TR ~<,':~ ____~. vr~
GENERAL LIABILITY
[ 1 COMMERCIAL GENERAL LIABILITY
[ 1 CLAIMS MADE [l OCC.
[ 1 OWNER'S & CONTRACTOR'S PROTEC.
[ 1
[ 1
RETRO DATE FOR CLAIMS MADE:
GENERAL AGGREGATE $
PRODUCTS-COMP/OPS AGG $
PERSONAL & AOVTG INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (ANY 1 FIRE) $
MED EXP (ANY ONE PERSON) $
AUTOMOBILE LIABILITY
[ 1 ANY AUTO
[ 1 ALL OWNED AUTOS
[ 1 SCHEDULED AUTOS
[ 1 HIRED AUTOS
[ 1 NON-OWNED AUTOS
[ 1
[ 1
)}2;' '7% . "c"
lO~
CSL $
BI (PER PERSON) $
BI (PER ACCID) $
PROPERTY DAMAGE $
MEDICAL PAYMENT $
PERS INJ PROT $
UNINSURED MOTOR $
$
AUTO PHYSICAL DAMAGE
[ 1 COLLISION DED:
[ 1 OTC OED:
[ 1 ALL VEHICLES [ 1 SCHEDULED VEHICLES
[ lACTUAL CASH VALl
[ 1 STATED AMOUNT $
[ lOTHER
GARAGE LIABILITY
[ 1 ANY AUTO
[ 1
[ ]
AUTO ONLY - EA. ACC. $
OTHER THAN AUTO ONLY
EACH ACCIDENT $
AGGREGATE $
-------------._--------------------- ------------------------------------------------- ---.--------------------------------------
EXCESS LIABILITY
[ 1 UMBRELLA FORM
[ 1 OTHER THAN UMBRELLA FORM
RETRO DATE FOR CLAIMS MADE:
/ /
EACH OCCURRENCE 1:$
AGGREGATE
SELF-INSURED RET.
-.---------------------------------- ------------------------------------------------- ------------------------------------------
WORKER'S COMPENSATION AND
EMPLOYER'S LIABILITY
[ lSTATUTORY LIMITS
EACH ACCIDENT $
DISEASE.POLICY LIMIT $
DISEASE-EACH EMPLOYEE $
---------------------------------------------------------------------------------------------------------------------------------
SPECIAL CONDITIONsrOTHER COVERAGES
Employee Dishonesty Bond-$10,000.
Conta~ns Conviction Rider
> NAME & ADDRESS <===============================================================================================================
Monroe County
5100 College Road
Key West FL
[ 1 MORTGAGEE
[ 1 ADD IT 10NAL INSURED
33040
[ 1 LOSS PAYEE [l
LOAN #:
_ACORD 75-S (3/93) Cc: ~
-~~~~~;;~~~-;~;;~;~~~~~;~~------------------_..._-------------
PAM CURRY cd I.
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POWER OF ATTORNEY
.
- - ___n
u.
KNOW ALL MEWBY THE-SE PRE$61fT$. 'Tha(-QW REPUBLICSURETYWMPANY, 'a WiScoftSin-~ insurance corporalion,
does make, constitute'MG appoinl~ .. :'~:_' . .. .-- --. '. _-. _.~.. .
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Mortgage D&fi<:~IlOn!ll!:.~age ..
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raiifioo atldconfirmoo:'ThislJocument js.ool.uiitm~fnie~ rif}=cQrOOK[oacl\ground~~UIIi~([:,TIlls:.appO;l1t~imf;smade-
under and byatJth!ll'ijJ'otp;.sooa(d Ml:IItQ€.~-ar~-!\j'!ElI:w rfi~ ~M~f{faJy:r8,~'98,2,.1!I!S B~FPAAfli'ney-jsSl!Wed:a"cfsealecJ-
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THIS DOCUMENT IS NOT VALID UNLESS PRINTED ON COLORED BACKGROUND AND IS MULTI-COLORED
QRSC 22317=:fX (11-.93l -_-
NON-COLLUS~ AFFIDAVIT
I, J),ve<;s-rS=r~d S~\~~UlS Cn/'^-<;:J1AJ'1",:rIF.- of the city
of k~v I}) ~ ,,+ according to law on my oath, and under
penalty of perjury, depose and say that;
1) lam GiJdvto Cai;\o,(O\ .Res.
Proposal for the project described as follows: .
, the bidder making the
JANITORIAL SERVICES - ALL COUNTY LIBRARIES
2) The prices in this bid have been arrived at independently without collusion,
consultation, communication or agreement for the purpose of restricting competition, as
to any matter relating to such prices with any other bidder or with any competitor;
3) Unless otherwise required by law, the prices which have been quoted in this bid
have not been knowingly disclosed by the bidder and will not knowingly be disclosed by
the bidder prior to bid opening, directly or indirectly, to any other bidder or to any
competitor; and
4) No attempt has been made or will be made by the bidder to induce any other
person, partnership or corporation to submit, or not to submit, a bid for the purpose of
restricting competition;
5) The statements contained in this affidavit are true and correct, and made with
full knowledge that Monroe County relies upon the truth of the statements contained in
this affidavit in awarding contracts for said project." (0 I 'C: Iy -r r
D:V~f>;';;('U Y'~..ti'..~ QM~IJ"o 1+ A.,~
STATEOF 0W./l/da.., JiILddL~ (/,Ah.~~ n'O.
(Si~re of Bidder) .-
COUNTYOF '111!J..I1M-L (J(A~ f /~JCj'&
DATE
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
G-f,(f> ilL: 0 (lo...b;z ele.n who, after first being sworn by me, (name of
individual signing) affixed his/her signature in the space provided above on this
!! 6L day of OD ~/I Ai' , 19~.
~~ .i! ~~ My commission expires:
NOTARY PUBLIC .
OMB - MCP FORM #1
CIA N L
JENNINE L KNOWLES
NCII'.\RY PUBUC STATE OF FLORIDA
COMMISSION NO. CC272203
MY COMMISSION EXP. MAR. 29....'"
DRUG-FREE WORKPLACE FORM
The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that:
.l):rVf;\?:--rf'red S~(VilXS CD..rAlC.
(Name of Business) /
I. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that
will be taken against employees for violations of such prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business's policy of maintaining
a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs,
and the penalties that may be imposed upon employees for drug abuse violations.
3. Give each employee engaged in providing the commodities or contractual services that are under bid a
copy of the statement specified in subsection (1).
4. In the statement specified in subsection (I), notil}' the employees that, as a condition of working on the
commodities or contractual services that are under bid, the employee will abide by the terms of the
statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any
violation of Chapter 893 (Florida Statutes) or of any controlled substance law of the United States or any
state, for a violation occurring in the workplace no later than five (5) days after such conviction.
5. Impose a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation
program ifsuch is available in the employee's community, or any employee who is so convicted.
6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this
section.
As the person authorized to sign the statement, I certify that this firm complies fully with the above
requirements.
h ,(//M.1,-~ ea.JQAl~ - HZ9.S.
Bidder's Signature
8/12/'16
Date
OMB - MCP#5
SWORN STATEMENT UNDER ORDINANCE NO. 10-]990
MONROE CO! TNTY. FLORIDA
ETHICS CLAUSE
nYe\c,\"~iKl S~~V\~ CO.,I:JC
~
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- I 990 or any County officer or employee in violation of
Section 3 of Ordinance No. 10- I 990. 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.
~IJAcj~~ ~ h~) -' F~s .
. (s'!nature
Date: 8/11 q h
STATE OF
~~ drk,
\---f/JJfhUv&
COUNTY OF
PERSON ALL Y APPEARED BEFORE ME, the undersigned authority.
G-u bEL: 0 Oct hr-ef'fj
who. after first being sworn by me, affixed his/her
signature (name of individual signing) in the space provided above on this gtL day of
CL c;fM 1- . 19 Q{o
~f€~gT~~p~i!~
OFFICIAL NOTARY SEAL
JENNINE L KNOWLES
NOr ARY PUBLIC STATE OF FLORIDA
COMMISSION NO. CC272203
MY COMMISSION EXP. MAlt 29,1997
My commission expires:
OMB - MCP FORM #4
j)rVQt5f r leu\
MONROE COl'lTY, FLORIDA
RISK MA.\"AGEMENT
POLICY AND PROCEDURES
CONTRACT ADMINISTRATION
MA.\"UAL
Indemnification and Hold Harmless
for #
Other Contractors and Subcontractors
The Contractor covenants and agrees to indemnify and hold harmless Monroe County Board of
County Commissioners from any and all claims for bodily injury (including death), personal
injury, and property damage (including property owned by Monroe County) and any other losses,
damages, and expenses (including attorney's fees) which arise out of, in connection with, or by
reason of services provided by the Contractor or any of its Subcontractor(s) in any tier,
occasion'ed by the negligence, errors, or other \\Tongful act or omission of The Contractor or its
Subcontractors in any tier, their employees, or agents.
In the event the completion of the project (to include the work of others) is delayed or suspended
as a result of the Contractor's failure to purchase or maintain the required insurance, the
Contractor shall indemnify the County from any and all increased expenses resulting from such
delay.
The first ten dollars ($10.00) of remuneration paid to the Contractor is for the indemnification
provided for above.
The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements
contained elsewhere within this agreement.
res
97
MONROE COr~TY. FLORIDA
INSURANCE CHECKLIST
FOR
VENDORS SUBMITTING PROPOSALS
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 firm. Please review this form with your
insurance agent and have him/her sign it in the place provided. It is also required that the bidder
sign the form and submit it with each proposal.
WORKERS' COMPENSA nON
A. "'ID
~MPLOYERS' LIABILITY
WCl
WC2
WC3
WCUSLH
WCJA
X Workers' Compensation
)( Employers Liability
Employers Liability
Employers Liability
US Longshoremen &
Harbor Workers Act
Federal Jones Act
StatutOI)' Limits
$100,000/$500,000/$100,000
$500,000/$500,000/$500,000
$1,000,000/$1,000,000/$1,000,000
Same as Employers'
Liability
Same as Employers'
Liability
INSCKLST
4
GENERAl lIABILITY
As a minimum, the required general liability coverages will include:
. Premises Operations
. Blanket Contractual
. Expanded DeflIlition
of Property Damage
Products and Completed Operations
Personal Inj ury
.
.
,
.
Required Limits:
GLl
x
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage
or
$300,000 Combined Single Limit
$250,000 per Person; $500,000 per Occurrence
$50,000 Property Damage
or
$500,000 Combined Single Limit
$500,000 per Person; $1,000,000 per Occurrence
$100,000 Property Damage
or
$1,000,000 Combined Single Limit
$5,000,000 Combined Single Limit
GL2
GU
GL4
Required Endorsement:
GLXCU
GLLIQ
GLS
Underground, Explosion and Collapse (XCU)
Liquor Liability
Security Services
All endorsements are required to have the same limits as the basic policy.
INSCKLST
5
VEHlel E I lABILITY
As a minimum, coverage should extend 10 liability for:
. Owned; Non-owned; and Hired Vehicles
Required Limits:
VLI
-x.
VL2
VL3
VL4
BR1
MVC
PR01
PR02
PR03
POll
POL2
POU
EDl
ED2
GKl
GK2
GK3
x
$ 250,000 per Occurrencel$ 500,000 Agg.
$ 500,000 per Occurrencel$l ,000,000 Agg.
$1,000,000 per Occurrence/$2,000,000 Agg.
$ 500,000 per Occurrencel$l,OOO,OOO Agg.
$ J ,000,000 per Occurrencel$2,000,000 Agg.
$5,000,000 per Occurrence/$l 0,000,000 Agg.
$ J 0,000
$100,000
$ 300,000 ($ 25,000 per Veh)
$ 500,000 ($100.000 per Veh)
$1,000,000 ($250,000 per Veh)
INSCKLST
..
$50,000 per Person: $100,000 per Occurrence
$25,000 Property Damage
or
$100,000 Combined Single Limit
$100,000 per Person; $300,000 per Occurrence
$50,000 Property Damage
or
$300,000 Combined Single Limit
$500,000 per Person; $J,OOO,OOO per Occurrence
$100,000 Property Damage
or
$1,000,000 Combined Single Limit
$5,000,000 Combined Single Limit
MISCEILANEOUS COVERAGES
Builders'
Risk
Limits equal to the
completed project.
Limits equal to the maximum
value of anyone shipment.
Motor Truck
Cargo
Professional
Liability
Pollution
Liability
Employee
Dishonesty
Garage
Keepers
6
\1EDI 1\ 1cdical $ 250.000'$ 750.000\gg.
\1ED2 Professional $ 500.000/$ 1.000.000 Agg.
MEQ:; $1.000.000/$ 3.000.000 Agg.
1\1E04 $5.000.000/$10.000.000 Agg.
IF Installation Maximum value of Equipment
Floater Installed
VLPI Hazardous $ 300,000 (Requires MCS-90)
VLP2 Cargo $ 500,000 (Requires MCS-90)
VLP3 Transporter $] ,000,000 (Requires MCS-90)
BLL Bailee Liab. Maximum Value of Property
HKLl H angarkeepers $ 300.000
HKL2 Liability $ 500,000
HKL3 $ ] ,000.000
AIRl Aircraft $ ] ,000,000
AIR2 Liability $ 5,000,000
AIR3 $50,000,000
AEOl Architects Errors $ 250,000 per Occurrence/$ 500,000 Agg.
AE02 & Omissions $ 500,000 per Occurrence/$I,OOO,OOO Agg.
AE03 $ 1,000,000 per Occurrence/$3,OOO,OOO Agg.
EOI Engineers Errors $ 250,000 per Occurrence/$ 500,000 Agg.
E02 & Omissions $ 500,000 per Occurrence/$1 ,000,000 Agg.
E03 $ 1,000.000 per Occurrence/$3,OOO,OOO Agg.
I:\'SCKLST
7
RISK \lA.\"AGP>lENT
POLICY .~"D PROCEDllRES
CONTRACT AD1\l~ISTRA nON
MA1',UAL
General Insurance Requirements
for
Other Contractors and Subcontractors
As a pre-requisite of the work governed, or the goods supplied under this contract (including the
pre-staging of personnel and material), the Contractor shall obtain, at his/her own expense,
insurance as specified in any attached schedules, which are made part of this contract. The
Contractor'wi.lI ensure that the insurance obtained ",ill extend protection to all Subcontractors
engaged by the Contractor. As an alternative, the Contractor may require all Subcontractors to
obtain insurance consistent ",ith the attached schedules.
The Contractor ",ill not be permitted to commence work governed by this contract (including
pre-staging of personnel and material) until satisfactory evidence of the required insurance has
been furnished to the County as specified below. Delays in the commencement of work,
resulting from the failure of the Contractor to provide satisfactory evidence of the required
insurance, shall not ex "tend deadlines specified in this contract and any penalties and failure to
perform assessments shall be imposed as if the work commenced on the specified date and time,
except for the Contractor's failure to provide satisfactory evi.dence.
The Contractor shall maintain the required insurance throughout the entire term of this contract
and any eX1ensions specified in the attached schedules. Failure to comply ",ith this provision
may result in the immediate suspension of all work until the required insurance has been
reinstated or replaced. Delays in the completion of work resulting from the failure of the
Contractor to maintain the required insural1ce shall not ex "tend deadlines specified in this contract
and any penalties and failure to perform assessments shall be imposed as if the work had not
been suspended, except for the Contractor's failure to maintain the required insurance.
The Contractor shall provide, to the County, as satisfactory evidence of the required insurance,
either: .
. Certificate ofInsurance
or
. A Certified copy of the actual insurance policy.
The County, at its sole option, has the right to request a certified copy of any or all insurance
policies required by this contract.
All insurance policies must specify that they are not subject to cancellation, non-renewal,
material change, or reduction in coverage unless a minimum of thirty (30) days prior notification
is given to the County by the insurer.
The acceptance and/or approval of the Contractor's insurance shall not be construed as relieving
the Contractor from any liability or obligation assumed under this contract or imposed by law.
J4
MOl"ROE COl-:'\TV, FLORIDA
Request For Waiver
of
Insurance Requirements
It is requested that the insurance requirements. as specified in the Coun1y's Schedule of Insurance Requirements, be
waived or modified on the following contract.
Contractor:
Contract for:
Address of Contractor:
Phone:
Scope of Work:
Reason for Waiver:
Policies Waiver
will apply to:
SignalUre of Contractor:
Approved
Not Approved
Risk Management
Date
County Administrator appeal:
Approved:
Not Approved:
Date:
Board of County Commissioners appeal:
Approved:
Not Approved:
Meeting Date:
103
E:\IPLOYEE DISHO\ESTY
INSlIRA\CE REQlllREMENTS
fOR
CONTRACT
BETWEEN
MONROE COC~TY, FLORIDA
A.'\"D
The Contractor shall purchase and maintain, throughout the term of the contract, Employee
Dishonesty Insurance which will pay for losses to County property or money caused by the
fraudulent or dishonest acts of the Contractor's employees or its agents, whether acting alone or
in collusion of others.
The minimum limits shall be:
$10,000 per Occurrence
ED!
~~
GEl\ERAL LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
A~D
Prior to the commencement of work governed by this contract, the Contractor shall obtain
General Liability Insurance. Coverage shall be maintained throughout the life of the contract and
include, as a minimum:
. Premises Operations
. Products and Completed Operations
. Blanket Contractual Liability
. Personal Injury Liability
. Expanded Definition of Property Damage
The minimum limits acceptable shall be:
$300,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$100,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its
provisions should include coverage for claims filed on or after the effective date of this contract.
In addition, the period for which claims may be reported should extend for a minimum of twelve
(12) months following the acceptance of work by the County.
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
GLI
54
VEHICLE LIABILITY
INSURAJ\CE REQlJIREMEl'\TS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
A:"\D
Recognizing that the work governed by this contract requires the use of vehicles, the Contractor,
prior to the commencement of work, shall obtain Vehicle Liability Insurance. Coverage shall be
maintained throughout the life of the contract and include, as a minimum, liability coverage for:
. OVlned, Non-OVlned, and Hired Vehicles
The minimum limits acceptable shall be:
$100,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$ 50,000 per Person
$100,000 per Occurrence
$ 25,000 Property Damage
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
YLl
81
WORKERS' CO\1PENSATlON
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COU;.ITY, FLORIDA
A.'\D
Prior to the commencement of work governed by this contract, the Contractor shall obtain
Workers' Compensation Insurance with limits sufficient to respond to Florida Statute 440.
In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less
than:
$100,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$100,000 Bodily Injury by Disease, each employee
Coverage shall be maintained throughout the entire term of the contract.
Coverage shall be provided by a company or companies authorized to transact business in the
state of Florida.
If the Contractor has been approved by the Florida's Department of Labor, as an authorized self-
insurer, the County shall recognize and honor the Contractor's status. The Contractor may be
required to submit a Letter of Authorization issued by the Department of Labor and a Certificate
ofInsurance, providing details on the Contractor's Excess Insurance Program.
If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required.
In addition, the Contractor may be required to submit updated financial statements from the fund
upon request from the County,
wet
88