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11/22/2000 DV3A2891, 3263, 3396, 3406 1!lannp 1.. llolbagt BRANCH OFFICE 3117 OVERSEAS HIGHWAY MARAlHON, FLORIDA 33OSO TEL. (305) 289-6027 FAX (305) 289-1745 CLERK OF THE CIRCUIT COURT MONROE COUNTY 500 WHITEHEAD STREET KEY WEST, FLORIDA 33040 TEL. (305) 292-3550 FAX (305) 295-3660 BRANCH OFFICE 88820 OVERSEAS HIGHWAY PLANTA nON KEY, FLORIDA 33070 TEL. (305) 852-7145 FAX (305) 852-7146 MEMORANDUM DATE: December 12, 2000 TO: Kim McGee, Coordinator Marine Projects Pamela G. Hanf'~ Deputy Clerk U FROM: At the November 22, 2000, Board of County Commissioners meeting the Board granted approval of the following: v1 Adoption of Resolution No. 493-2000 authorizing an allocation from the Boating Improvement Fund for the emergency removal of DV3A2891, DV3A3263, DV3A3396, and DV3A3406 located off of the Lower Keys, Monroe County and authorized execution of a Contract Agreement between Monroe County and Arnold's Towing for same. . Amendment to Agreement between Monroe County and Blue Water Marine, Inc., for a time extension to complete the project known as Derelict Vessel Removal-Zone n. Enclosed please find a duplicate original of each of the above Agreements and a copy of the subject Resolution for your handling. Amendment to Agreement between Monroe County and Anchor Towing for a time extension to complete the project known as Derelict Vessel Removal-Zone I. Enclosed please find a copy of the above Agreement for your handling. Should you have any questions please feel free to contact our office. Cc: County Administrator w/o documents County Attorney Finance ./File ~ \ "-) CONTRACT AGREEMENT AGREEMENT, MADE THIS 2.l..Jday of /VtJ V 2000, by and between, Arnold's Towing ("Contractor"), and the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, of the County of Monroe, State of Florida ("Board"). The Contractor and the Board, for the consideration named agree as follows: I. The Contractor shall furnish all the materials and perform all the work as required by the Specifications for the emergency removal ofDV3A2891, DV3A3263, DV3A3396, and DV3A3406 for which Florida Marine Patrol Derelict Vessel Reports are attached as Exhibit A. 2. The work to be performed under this contract must be completed by November 30. 2000. 3. The Contractor understands the rules of the Florida Department of Environmental Protection and shall comply with those rules, along with the rules and procedures instituted by the Board to ensure an orderly progress to the project. Both the intent and the requirements of the Specifications, attached as Exhibit B, are understood by the Contractor. 4. The Board shall pay the Contractor $ 4.185.00 for the removal and legal disposal of DV3A2891, DV3A3263, DV3A3396, and DV3A3406. Payment will be upon completion of work by the Contractor and review and approval by the Marine Projects Coordinator. 5. The attached Derelict Vessel Reports, Specifications, and the Monroe County Insurance Requirements together with this Agreement, form the Contract. They are fully a part of this ...."'l " '~.:l..l!'lnO::1 30~NOW Contract as if repeated herein verbatim. 1) .::1 ~IJ ')41::1 3'. VH10H ''''1 ! ~!~H,fa J"\id1\ y eo :6 WV Z, 33000 Q~003~ HO.:l 0311.:1 1 ~ '.) I"'CID':-~ REP:;'~ X.,"RAm.. co,"rN'A;;~RELI CT YES S EL 3 A _ 2891 I · ( EXHIBIT A O~E: II INCIDENT NO. 99-3A-J975 r,~{ REG.tHIN: t.;-."KXO,^~ LENGTH: 20 FT MAKE: t.;-."K~O,^~ HULL MATERIAL: WOODDF IG[&]MET ALDRUBBERD OTHER (SPECIFY) MOTOR YESO NOIXI TYPE: VESSEL NAMEIHOME PORT: "LEISURE" OTHER IDENTIFIERS: CAP OF \ "ESSEL HAS SEPAR.-\ TED A. '\1) LOCATED APPROXL\IA 1EL Y SO YARDS WEST OF mE VESSEL. 2. VESSEL OWNER/CUSTODIAN: UNK~O\VN D.O.B. ADDRESS: CITY/STATEIZIP: TYPE: Rl~ABOUT COLOR: \\'HITE:BLl'E 3. PHYSICAL LOCATION OF DV: SOUTH SIDE OF Pn-."E CH.-\.'1I.'EL FILL UP AG.w.:ST THE ?o.L-\NGRO\"ES LA TITUDElLONGIlUDE (DEGREES, MI~'U1ES, SECO~'DS) 2 4 I 4 0 . 0 4 4 8 1 ' 4. CONDITION: WRECKED [X] JUNKED [X] DISMANTLED[&] ABANDONE AGROUNr:C&J BROKEN up[&] BURNEDc:J CAPSIZED[&] LISTINGCJ SCUTTLED [XJ 5. SUBMERGED:~%DEPTH.2..-FT, ANCHOREDLJ DOCKEDc:J ADRIFTC] IN WETI.ANDsD TIED TO OBJECT (SPECIFY) MARKED WIlli BUOyr::J WASHEDASHORED BELOWM.H.W.L,[X] ABOVEM,H.W.L.D ornER 6. PRIVATE PROPERTY OWNER/ADDRESS: STATE SUBMERGED LAND:[&] FEDERAL PROPERTY:D OTHER: (SPECIFY) 7. PERMIT FOR ABANDONMEN'!': YEsC] NcOO ISSUED BY 1. REASONS FOR ABANDONMENT: 9. THREAT TO NAVIGATION: YEs[X] NeD HOW MAY FLOATL'\'TO ClL4..'I;1Io'EL 10. DANGER TO ENVIRONMENT: YEs[&] NeD HOW t,;-.1(.-':OWN 11. TOWED WllliOUT REPAIR: YESC NdX] UNKNOWl-Q OTHER 12. RECOMMENDED DISPOSITION: LEAVE AS 1sC::J TAKETOLANDFILLj X I RECYCLEMETALc:J HAVE THE OWNER CUSTODIAN REMOVE nC:J TURN OVER TO ANOlHER AGENCY! MARINE HABIT AT/ARTIFICIAL REEFCJ OTHER 13 . NARRATIVE / DILIGENT SEARCH: (EXPLAIN) I WAS UNABLE TO FIND ANY IDEN Ill' fr:RS ON THE VESSEL. IT HAS BEEN AT THIS LOCATION SINCE HURRICANE GEORGES. TIlE HAS BEEN PAINTED WI1H DV NUMBERS AS PER OFC. LOPEZ'S INSmUCTlON. l~, ~OTICE DECAL PLACED ON OV: 4 PHOTOS OF DV INCLUDED: 00 !)'.: { '7":1c:r's Si~:13tur;: >r '.'F,,:CERIS} ?.:pc-r.ing I,picasc printi Officer', Date 'J>t./- J- JOHN BROWN 042 I EY.ISWEDjy: ). I/- T./l/. v. \Gl"'" 6. The Contractor covenants and agrees to indemnifY and hold harmless the 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 the County) and 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, their employees or agents. The purchase of the insurance required in paragraph II does not vitiate this indemnification provision. 7. The Contractor agrees to supply the County with a set of photographs of each vessel in all phases of the removal and disposal process. The Contractor will be responsible for the camera, film, and development costs. 8. The Contractor must inform the County and the Florida Marine Patrol prior to initiation of work. 9. The parties agree that a timely performance of this agreement is essential due to possible damage to the natural resources, hazards to navigation, or threats to human health and welfare. Therefore, the parties agree that the Contractor shall be liable to the Board for $100 per day of liquidated damages for each day after 11-30-00 that the Contractor's obligations under this agreement remain unperformed. The parties agree that such amount is by the way of compensatory damages and does not constitute a penalty. 10. Due to the use of heavy equipment and, at times, dangerous work environment, the Contractor understands and agrees to maintain an alcohol an drug free work environment. II. The Contractor will be responsible for all necessary insurance coverage as indicated by an "X" on the attached forms identified as INSCKLST 1-4, as further detailed on forms VLI, WCI, WCJA, GLl, WLI, & POLl attached as Exhibit C. All policies must list Monroe County as additional insured with the exception of the Worker's Compensation policy. 2 12. The Contractor warrants that it has not employed, retained or otherwise had act on its behalf any former County officer or employee subject to the prohibition of Section 2 of Ordinance No. 010-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 020- 1990. For breach or violation of this provision, the owner 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. 13. 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 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 of the Florida Statutes, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted WITNESS WHEREOF each party hereto have executed this Agreement the day and "=- tten above. BOARD OF COUNTY COMMISSIONERS ~OF ONROE COUNTY, FLORIDA / ~ d y:~,e ~ Mayor/ rrman - .------- .'-'< Wim~s:UC Witness: . _ _ By: 3 ,', '" 'A :\~ _,; .' .I ',~ ;. ......1'11". ,~ ; , .1 " .- ' i; . ~ ; ~ , , 1 , , - ~>, :' . OFFENSE INCIDENT REPORT NARRATIVE CONTINUATION '~E~ORT; .>~;. . ' . , 0\ ~ .:\ -: 'DERELICT VESSEL, # 3A-'2.8 9 , . ~ ~ ~ --'~/ -!."r-.~~.' .,_~'<",', '\" ".- -. ,: t.._ ';' t~~~)f!',r~"""';"('4\"~~..,,~;;"'" " . ".'~;"":"-.;~, .~, 1 :ZONE LOCATION: N e IN Po UN D HAR-r3()1fZ. Ollleorls) RopOlllno Il'lo~rinll ::JC FfN 13R()1AJ,.J --------.-... Rovlowod By: Olli<:ol's Sionllt~ ~ ROl/iowo,'s Siun Ira ';;2-:.III:1-~f1 Dalo Cltolion Numhor -------- Numhor ^"D~IDd OOTS Numhor o o '.YJ~q~~fi~h~~h/9 21 2 3 1'.00 ______ Dr _ ___...._ ,:' I .<"~ .'.'_~ . '. .. ;, .. '" ',' ~.", :~:",' :A nONAL . KE Y , ~3 '1' \J ~~<" 4 DEER";QEFUGE ~. i/:rc:ec:;a areai . f .~ . ~ 1:< 3 :;7~ 4 ~,: _6J~Cl1_; ~.:: c., ~ ..~ ~-.::.. _'~~1 ~- ,~,-..- ( : ,:~~ ~~, ..1>> ~, -----=- ;:;,\ @V_ " ....... .,. ~. "JNCIDE,~T REPORT NARRATIVE CONTINUATION ZONE: ;) '.,. -,- -~.- DERELICT VESSEL 3A-~a(O?J INCIDENT NO~ ~3A-/4,-~ 1. REG.IHlN: r:L ql:!9c9- AP LENGTH: aFT. MAKE: l!.U~Tom TYPE:~'~ HULL MATERIAl-: WOOD _ F/G / METAL(SPECIFY) RUBBER_ OTHER (SPECnty) MOTOR: YES ./ NO TYPE ATTACHED V VESSEL NAME/HOME PORT: '" / A- COLORS: u)~rrE- OTHER IDENTIFIERS: N J.. # . n. <:"' 'ZS-/S-6G 2. VESSELOWNERlCUSTODIAN:-K'fD9~ SIY\IT1:l "-JLA~ D.O.8. UN't:J\'nl1Y\3 ADDRESS:-=:lY ~O ~~P-'/ eo. Cll'Y 1ST ATE/ZIP: f\1A PU::S. J FL. 3. PHYSICALLOCATIONOFDV: J3d-1..! LoGO Pl.,.Uty\ D2. [Y)1Tf2.ATttM\lIFL LATITUDEILONGITUDE (DEGREES, MINUTES, SECONDS) 8,lf 4?'. 1 ~1 ,,~ I . l)O . R7::S 4. CONDITION: WRECKED_ JUNKED----LDISMANTLED_ ABANDONED / AGROUND_ BROKEN UP _ BURNED_ CAPSIZED_ LISTING_ SCUTTLED 5. SUBMERGED: -%- % DEPTH _ FT. ANCHORED --L DOCKED --.J! AFLOAT _ ADRIFT_ IN WETLANDS_ nED TO OBJECT (SPECIFY) f)V ~;:) MARKED WITH BUOY WASHED ASHORE BELOW M.H.W.L. ABOVE M.H.W.L. OTHER ~L.I ~&:.r~ t)eI11ARA~ 6. PRIVATE PROPERTY: / OWNERlADDRESS:_.... J3:1.Li U:JClJ H.un DrL lV\.4:r2JtntOb4-R- STATE SUBMERGED LAND:_ FEDE.l~ PROPERTY:_ OTHER: (SPECIFY) 7. THREATTONAVIGATION: YES_ NO...)L HOW 8. DANGER TO ENVIRONMENT: YES_ NO-2{ HOW 9. TOWED WITHOUT REPAIR: YES_ NO_ UNKNOWN-X OTHER 10. RECOMMENDED DISPOSITION: LEAVEASIS_ TAKE TO LANDFILL ><. RECYCLEMETAL HA VE THE OWNER/CUSTODIAN REMOVE IT_ TURN OVER TO ANOTHER AGENCY MARlNEHABITAT/ARTIFICIALREEF_ OTHER 11. NARRATIVE I DILIGENT SEARCH: (EXPLAIN) VfSS~L IS ATTACHE./) T() DV 30l3;l A-r 1~~4 C!X.O PLorn ~7~f.L APP&.M2S AAAMMNen I IJULClC.KEJ'), Y'V~tL fY1t)T"f ATTAr~.o. A1T9fY\.p~o 11\ PIN1\ A lY)P ~ ~uA- L18r~ ~fP It\t tV'$9I\lft)~ (nOfo,.Yt"4 A:-f\\,f') II$ ~PtE-S. 1:: A8.~D l)I~T~ -m ~? II=" TItFH COO LO rl N'() k NLHn~ ANn LOFltfJ UNABLe....W. O.L. €.)lfJ "3-1S.-oC:> Ii .1 Ii t I: i,1 '3=lD C7J$ lri s-' " I 1 i 12. DV NUMBER PAINTED ON VESSEL: ..; NOTICE DECAL PLACED ON DV:_ 4 DV PHOTOS INCLUDED: v' 7( ~. f ,: "'1 ~. DV Officer's Signature Dale Report Completed OBTS Number Original Supplemenl r f. ~ 5, i DEI' 20-045A (1/99) V.L. Puge I of 3 ~l~ " , 'INCIDENT REPORT NARRATIVE CONTINUATION -- D\! Qto3 I bv - ~ FL 94CfJAP R~;ew..-d By: DV Omcer's Signature Date Report Completed DEI' 20-045A (1/99) V.L. ZONE: ;) fJ V -- 3;2(D I I \)v 8d.~3 ---f:L q y Cl d AP Reviewers Signature Date OBTS NW11bcr Original Supplement Page I of 3 ~ ~IUt:. 0 , -'" ~ ~--- 0', ...-.............., o ~'-, = \18> a:l 'E '" ~ -- '" '? ~ \~ ~ '" ~ .!J Q ." \ ~ ::! = 'E '" V) <;1 ~ '" = '" ~ d ~ m '? o ~~ g g .... '" ~ ... ,r. ... '" '" ~ N .., ~ '" '" '" '" ~'" N N ~ '" '" <3 N N CD \..) ... N La C MLu ... Nt- ",' t . ~ HE", 0..'" ~ -..............~ .... I- '" I- " -r-- :: '" ~- ' '" l- f GJ ~ , / 'M ..... /~ M '" N r~ lil I- '" ~ ( '" M/ - '" k:::...::: '" '" ~ \,)/ '. ~ ';):: '~l:j I-Q.. I- "l PI :;: I- ~ s:! ~ ~-s (.,.. >0- I- (.,.. j!Q) ~~:g l- e oJ:E I- (,,) s => I- .!l!. ~ o <.) '" !::: m 0 N en 0 N en !!. en = m N '? '" '" ... '" :::! VJ'" ~ ~l( ~, ~ t_ ~ ~N " ~.., ~ ~ ~. ; ~ r. ~ ~ / I- , ~ \I\II11\II11II1I.I'Il'lllulllll ;,90 I- 1\\\~\1\1 " N N /////1/111. I- ..,0 ~\\\\ . j 1111t. a: ~",\ " 1IIIt r". ~'!>o" '60 - \ 'I//! ~ ~ ,,,,,,,,,,1... ,,,.I,,, '/"""",/" M I- ~"" C\I ~N \.},.. """1'11' I' ,.,....1.. t '" ",$ \ ~ .,.... \ \' 'd:y ""/ ~ .>"' ,", r') ('\.1', ...., ~l- 'i ....,.~. ~ M ,.,:'. " o~ ,., ' ' .J 'E..! f.' \~ 'h :~'~~ 'tl' M t"'~ :J " JJ ~(~ ~i~) " ri' '!1~:. " - t" .~~v -' f c'. ~~ -'\...~ -:, ,~.."" ~ ~ '.... '" en ~ ::- Y \ \ ">.:', N. ,.'.....1- "...;;;.;~ oq: ',. / I \ " ...... - ~ ,.... '1'1' \"',/ol.-& I- . r\. ~.J """ , I' ,,\' ., Cb/ ~ c;" ....,..../'..:. "I. I . \ . \ ~"\'" ~.. ,., ~ ~ ~~ ,~ I ...,'(..,...,....,.. ~ o /'1,,, _ 0 ,,21/:) ",.::: l"\,l 71/1/. U I .f'\ S 7'1''11// " \s~\,\ t '},.... ? '1/111" I\II\I~ \ . ~ ~ o~~ / 1I11'1IJ,"111'11 I 11111\""\111 . \. : ~ X M I 2~O ' ~ ~ \ \ t ( , \ . '0 ~ ... M '" <D .., ... '" 'D '" \ <3 ~ \ ~ <D '" d ... '" = M '" '" '" en "--- ,....-- ~ it, ~"-~. ~.. E3 ~--------- <30' V) - '" u, <3 9 V') 'E en () '" '" i 8 "> ~ <3 V) o\(<})o/ N '€I INCIDENT REPORT NARRATIVE CONTINUATION ZONE: 3 DERELICT VESSEL 3A- ~3 ~ (p INCIDENT NO. QQ-3A- J (P'1>I~ l. REG.lHlN: NONt.. LENGTH:l1L.FT. MAKE:~ TYPE: HULL MATERIAL: W09D '" F/G_ METAL(SPECIFY) RUBBER_ OTHER(sPECIFY) MOTOR: YES NO -I TYPE ATTACHED VESSEL NAMEIlIOME PORT: COLORS: O'R A~GEHvLL ~LVt c.('i~iiERIDENTlFIERS: .. 2. VESSEL OWNER/CUSTODIAN: tJ 0 JJt ADDRESS: 00':- NOj:l:TH (IJ f\ 3. PHYSICAL LOCATION OF DV: l:dd A }IN E. L Go:!~~ f-tJ10 LATlTUDEILONGITUDE (DEGREES, MINUTES, SECONDS) N J-.L./ 0 4. CONDITION: WRECKED_ JUNKED / gIuS~LED ABANDONED J AGROUND_ BROKEN UP BURNED CAPSiZED ~TlNG SCUTTLED 5. SUBMERGED: ~ % DEPTH _ FT. ANCHORED _ DOCKED _ IJ AFLOAT _ ADRIFT_ IN WETLANDS_ TIED TO OBJECT (SPECIFY) M.AtJ~'RM $"~D WITH BUOY WASHED ASHORE _ BELOW M.H.W.L. _ ' ABOVE M.H.W.L. _ OTHER D.O.B. I I ClTY/STATEJZIP: LOwE:.'Y.. Hflifi.?.o'iJ. k [YS f:llD 10 ~~ .5" WOlllo 41./ . 'g'o l'4ot~ 6. PRIVATE PROPERTY: OWNER/ADDRESS: STATE SUBMERGED LAND:_ FEDERAL PROPERTY: OTHER: (SPECIFY) 7. THREAT TO NAVIGATION: YES ~}lO HOW 8. DANGER TO ENVIRONMENT: YES~ NO_ HOW 9. TOWED WITlIDUT REPAIR: YES_ NO_ UNKNOWN_ OTHER 10. RECOMMENDED DISPOSITION: LEAVE AS IS_ TAKE TO LANDFILL RECYCLE METAL_ HAVE THE OWNER/CUSTODIAN REMOVE IT TURN OVER TO ANOTHER AGENCY MARlNEHABITAT/ARTIFICIALREEF_ OTHER E Me:'RGC'1J<. p "REHOV~L. 11. NARRATIVE I DILIGENT SEARCH: (EXPLAIN)-1H [ A3D"f V E.:sslL W PIS fLOA1'f./Jt:.:;.AJ l' H t G uL,c Or: H EXICo of'F -'/11 ~ Lc) weR HI1R'bo'R. KE.Y. --1'I-IE VE..55EL 15 qD% SLJ'& N6J1.6!7) WI1" 1Hf 'TO? of-' 1'HE RLO! CA13ttJ ASoJc wAiE7<., ::tJJ5IDE .flll! .sU'AMcR6~i) wAS ~Ll/E 1)xv~~ G ~f'D GAS CA1J.5. 111CR.! hJ~ OV1"/AOfrRJ) (JVb1:./J[ I .sUgM(.'RED :IN ~)lc Cfl13:rN, ~:r. WI'S UJJII'HLc 10 o'P..$CAVE flNY NlJ/w/&.?, N() c>-rI-lCH. IJJGIJ1'.LtfNG. vUI1BERS \,JE1U t:>AJ VE~(c..1 MAk1.vb .l--4r J3H2'~VE :II """5 PI V E.:sc..F '- 1=1<01'1 '....LI61JRIVT-S. fH~ Vf:5.s€L \oJRS 5Ecvil.l.D 10 -rile f1111J6iWlE) j:IJ '1PE L'IIR/lJJJEL -fO 1H~ Lot..) A A [ --rI-JE I/Es:5EL .IS Fl ,JrREII"f - iJfIv:z T~O"'; filE E;JIJIi?()H{~/ Uc o.J-r (1)/Vurft.o rJo1' ETIJ~ ^ L{. 'To LOc.ItTL fl!J ~-v l'~. / 12. DV NUMBER PAINTED ON VESSEL: _ NOTICE DECAL PLACED ON DV:_ 4 DV PHOTOS INCLUDED:~ R~ing (please print) 'J'\ AD LD( rp. ::::r 0 Ale 5 om Rc,:\'icwcd By: LT DV Ollicer's Signature DEI' 20-045A (1/99) V.L. Page :1. of 3 INCIDENT REPORT NARRATIVE CONTINUNED ZONE: m DERELICT VESSEL 3A- ..3 3 '1t.p LOCATION: Ofticcn.s) Rcponiq (p1cuc print) 'bRAD Lf Y 'P :::Jo/JE. 5 Rmcwed By Officer's Si I", I I 'O'HORCl35FT V(AT a. 11 FT 'I(' HOA a. 25 FT -mtTa. 8 FT VHOAQ.1In 'STCll" I I , , I '~~ I;~ I ~ II It I' ~1. 3 3 2 W -~.. lNC1J)Y.Nl' REPORT NARRATIVE CONTINUATION e-"'~6~/'k. t D./ WNE: ~ ~ DERELICT VESSEL 3A- 3~()~ INCIDENT NO. 00-3A- I"7QQ 1f I. RJ:G/DOC#: E.l 508'5" ~ LENGTH: 30 FT. MAKE: bt! -",(thE n'PE:..ai"n1. ~.sll HULL MATERIAL: WOODX F/G_ METAt.(SPOCIFY)_ RUBBER_ OTHE.R (SPECIf'Y) COLOR: w#,-nr MOTOR ATTACHED: YES_ NO_ TYPE lLLN.: ,.//~ NAME ON VFSSEL: ~Lllt"J OTHER IDENTIFIERS: ALlEN:_ l. VESSELOWNERlCUSTODIAN: ~1t;J(l5t. '71f"~ALlA ADDRESS: ",.#l4,TW) AfIhlDl. ClTY/STATEJZ1P: D.O.B. ,;) 111 l;'t; """"{j7w,"f jC { 3. PHYSICAL LOCAnON OF DV: JJV'JIdJ.JD JA.f'w'. .stS.lffl ' I'l ~ "ALl' rlA.J,Iet. ~/~ c LATlTIJDEILONGITUDE (DEGREES, MlNUTES. SECONDS)I AOV" -:J<I . "'11l' "J 9'," ~M .s-oq 4. CONDmON: WRECKED_ JUNKED~ DISMANTLED_ ABANDONED-----X. AGROUND_ BROKEN UP _ BURNED_ CAPSlZED.......x... LlSTING_ SCUTTLED s. SUBMERGED: ~% DEPTH:_FT. ANCHORED_ DOCKED_ AFLOAT__ ADRIFT IN WETLANDS_ tIED TO OBJE.CT(sl'ECIFY) MA1U<.ED WITH BUOY WASHED ASHORE_ BELOW M.H.W.L,_ ABOVEMHW.L._OTHER_ 6. CAUSE: UNKL NAnJRALDISAS11lll_ OnmR_ (EXPLAIN) r' 7. PROPERTY OWNER; STATE SUBMERGED LAND ~ FEDERAL PROPERTY_OTHER (SPI!CIFY) OWNER/ADDRESS 8. TlIR.EATTONAVlGA110N: YESL NO_ UNK_ HOW 9. DANGER TO ENVIRONMENT: YES~ NO_ UNK_ HOW 10. TOWEDWITBOUTREPAlR: YES_ NO_ l.1NK..- OTIiER u. RECOMMENDED DISPOSmON: LEAVE AS 15_ TAI{E TO LANDFILL 1..- RECYCLE MET AI..__ HAVE THE OWNE.R/CUSTODIAN REMOVE IT---,- 'l'URN'OVER TO ANOTHER AGENCY MARINE HABITAT/ARTIFICIAL REEF_OTHER 11. NARRAnVE/DILlG~NTSEARCH;{llX1'l.AIN) ~ .".lJD,wl .,:~ .,mlOPL'D ",J ~IW'II#,J,.,~. #" 1:S I%' ..J.(J:Ih<"'" A.<II>...1><'" ..". ~ __ mpP..< "" ~... -- ~~"C. sn- ~ ..:./MII:Zl/l--. At~ -dt~~ 1M"; ~ &;",/:',/ iii" o,J)dslI,,!J o~ "'" #/$ V'~ns. H?1J#5 :"'~i" ~ ;;;;;.~ :rs ##(~ $J~,~/.d>>' ~lM~A'1'IIJ4I. J:l1'J~lJIliJ. 13. REPORTING AGENCY: F.w.c.c.L U.S.C.G._ N.P,S._ U.S.F.W.S._ U.S.B.P._ 5.0._ OTHER 14. DV 1# PAINTED ON VESSEL: )C NonCE DECAL PLACED ON DV:_ .. DV PH01.'OS INCLUDED:_ 311"' ~Si~ /.:c. MLK. Uatc /0'''' s- co OIiaI(s) ReportiDa (p1ca5c prinl) tJ.K 131.1'1.' KI)r, Rcvi&wocl By: 1-t. ~s SiSlJAlDnl "pc .j7r Dale /0 \. DV omca-. Siplun: Datc ftcport CampkIcd OBTS NWI\ber Orip Suppletncnt FWCC 20-04SJ\ (1100) ,,1... PIICloC3 2:0'd 6v:v1 00. S2: +)0 92:~2:-682:-S0~:xe~ lO~l~d 3NI~~ l~ INCIDEJolI' UPOR'J' NARRATIVE CONTINUATION ZONE: DERELICT VESSEL #3A 3'10 C, . ,... --- ., - .~.c..:....~ ..~....:~A!: (SECOND PHOTO) ,~OOil;o;r ( print) orrlllCt$ Sia;na\~ ~tt: DIll" ' /6 ,~..s:.06 RcW=wcd By: Reviewer's Sig1l8tun: DaIc FWCC 20-04 SA (9199) VL I'age 2. of 3 ~O'd OS:tll 00, Sc +30 9c~c-68c-so~:xe~ lO~l~d 3NI~~W l~ INcmENT R2PORT NARRATIVE. CONTINUATiON ZONE; DERELlcr VESSEL #3A 3~C " . ;j,~~~.t:;~~i$~w.: JlIMcwa's Sip\IR , ", -::9>/- ' 'DIIC" ,_...:~, ;~t: DllGi~. ()lJic&r ( pftlIlt) 0Ir.....n SpufO: FWCC 26-04SA (9J99) VI, ~2of3 tlO'd TS:tlT 00. SZ +JO 9Z~Z-68Z-S0~:X~~ lO~l~d 3NI~~W l~ , ~~ .. _ 2 3: 0 ~ .1 \ I ..', I '~ 1: I I i ::""'\.: 3.: I . ; \ 3 i (\ '0 ~ - .L.---1' , -,-- I ~ n: 3 c>~' "'40'(13 ~l\ I , 3 '~. >~:\ 11 ", {'":;.. 2 . t<:V !lEER ReFuGE. ,(.'~~red 0/.0,1'. I · . 2 wO<~ . C "., !i , Z ... '. 20', ..... ' 2.~1 . , .._.."'ll~ __.. . 21 (,1\ 13 SO'd lS:171 00. S<: +JO 9<:~<:-68<:-so~:xe~ lO~l~d 3NI~W l~ . -~ , October 10,2000 I, Francisco Jose Taboada (D.O.B.: 12-16-26) surrender ownership to all my vessels in South Pine Channel, located West of Big Pine Key; south of Pine Channel Fill; and east of Little Torch Key. There are about six vessels involved. The vessels have sunk or are sinking. The F.W.C. Officers have reported most of them as uDerelict Vessels". One vessel (FL 6442 CE) was stolen from me. On May 6,2000, I was struck by a vehicle and was seriously injured. I am disabled and can not take care of any of my ves.sels any longer. The Florida Fish and Wildlife Conservation Commission may dispose of all these vessels. I do not want nor need anymore problems. These are three registration numbers that I know of. They are the following vessels: FL6442CE FL8961FG FL3616AH I do not remember the other numbers. When this is all over, I will not own any vessels, Yours Truly. ~~ ~tUa:V ItnesS 1~.1~ iflP ,,; ~ ........A~ ~a*..,eo.llI' LJtluCCI3ItIJ ~..~ er,Ira_21." 90'd ~S:~T 00. SG +JO 9G~G-68G-SO~:XP~ lO~l~d 3NI~~W l~ FWCC DIVISION OF LAW ENFORCEMENT DISTRICT THREE A 2796 OVERSEAS IDGHWAY SUITE 100 MARATHON, FLORIDA 33050 (305) 289-2320 FAX #: (305) 289-2326 FACSIMILE MESSAGE DATE: /t!J ~';;5-t10 TO:-1(IM tt1lh~,r FROM: ~ZJ,rJ ,.( rJ C:1 NUMBER OF PAGES SENT: C (INCLUDING COVER SHEET) COMMENTS: Should vou not receive all conies. please advise. IH~"'JcJst.1 ~-4!.e PIt:TCJ(l~" 1J€t.E!' -mr<t::,J gt,;r4~t;' t1.0W'l sJt-^,J~ ~,JI/ 'II) ~ 11-11!" H/:e.P. -nh! ._____. ___--u..----u-.~..-,.- -------,--.-------~-------.-----.----.----~.---.---- , <15 7------...----- -..--- 10'd 6v:vl 00. Sc +JO 9c~c-68c-So~:xe~ lO~l~d 3NI~~ l~ EXHIBIT B DERELICT VESSEL REMOVAL CONTRACT SPECIFICATIONS FOR MONROE COUNTY, FLORIDA L INTENT: It is intended that these specifications shall cover all aspects of the work. The purpose of this section is to provide specific conditions applicable to this contract where such coverage is not provided in other portions of the documents. 2. BID FORMAT: A dollar amount per foot must be submitted for the removal of as many derelict vessels on the primary list for which a Florida Marine Patrol Derelict Vessel Report is provided and as funding will allow. Any deviation from this format will result in an unaccented bid. A contract will not be granted on the basis of combined, related, linked, or discounted bids. Not applicable due to emergency removal of one or more derelict vessels for less than $25,000 total. 3. PLANS; There are no plans for this project, but copies of the Florida Marine Patrol Derelict Vessel Report with location sketches have been bound into these documents for the Contractor's use. The Specifications include a section on instructions to bidders, both general and specific, and a copy of each Derelict Vessel Report from the Florida Marine Patrol. Only those derelict vessels for which a report is included and listed on the Bid Response Form are to be bid upon and subsequently removed. The County reserves the right to remove any or all vessels from this contract at any time prior to actual removal from the water and disposaI by the Contractor. The County has a limited amount of money to effect the removal of these derelict vessels. We have established priorities based on public safety, navigational hazard, and environmental considerations. Ifbids exceed the County's resources for removaI based on these considerations, we shall limit vessel removal based on the considerations and cost effectiveness. 4. VESSEL IDENTIFICATION AND LOCATION: Each of the vessels have been given a derelict vessel identification number, which is shown with the location in the Florida Marine Patrol Derelict Vessel Report, included herewith. Each bidder is responsible for his own identification of each derelict vessel as to location, description and condition. If a derelict vessel cannot be (1) located, (2) removed, (3) verified and (4) disposed of, as specified in these procedures, then no payment will be made forthcoming to the Contractor for that vessel. Those four conditions must be met on each derelict vessel along with compliance of all laws for payment to be made. It is understood that the Contractor has, by personal examination and inquiry, if necessary, satisfied himself as to local conditions of each derelict vessel and as to the meaning, requirements and reservations of the specifications; for after contract letting, no deviation will be allowed. In case errors are discovered, they are to be reported by the Contractor to the County. The county assumes no responsibility should there be any discrepancies in what is stated in these documents and what the bidder evaluates. ~ The Contractor should take special care to remove only those derelict vessel's on his Contract and for which he possesses a Florida Marine Patrol Derelict Vessel Report. Other derelict vessels in the area but not under Contract, cannot be molested. It may be possible to replace a derelict vessel of like kind, for the same or less money, when mutual agreement can be reached by the Florida Department of Environmental Protection, Monroe County Administrator of the Derelict Vessel Program, and the Contractor. This will be applicable when a contracted derelict vessel cannot be located. No derelict vessel may be replaced and removed without the tri-party consent noted in this paragraph. A contractor may suggest a possible replacement vessel but he may not remove it without the appropriate consent above. 5. SCOPE OF WORK: The Contractor shall be responsible for providing all permits, supervision, labor, equipment, tools, fees and taxes required to complete this project to the satisfaction of the County. The Contractor's procedure and methods of removal may be of his own selection provided they secure results which satisfy the requirements of the Specifications and any necessary environmental permits. Any vessel which is removed and disposed of shaII be removed from its present site in such a manner as to do the least possible damage to the natural environment. All debris from the vessel shall be removed and the site left in a reasonably clean condition. No oil or fuel shall be permitted to be dumped or spilled into or unto the water or land. All pollutants shall be removed from the derelict vessel prior to removal from the water. The Contractor shall be responsible for making any and all arrangement for access to the vessel to be removed. If private property has to be traversed, then written permission of the owner is necessary. In removing a derelict vessel that may lie on or near grass or sponge flats extreme caution must be used to do the least possible damage, 2 Prior to delivery of derelict vessels to the disposal site, the Contractor must remove all oil, gas and engines. He must dispose of them in any legal manner. Pure used oil will be taken by Monroe County for disposal. Mixture of oil, gas, seawater or any combination of the three must be transported from the County by an approved hazardous waste handler. The names of handlers will be supplied by the Monroe County Solid Waste Department. Metal becomes the property of the Contractor. 6. MA TERlALS AND WORKMANSHIP: The Contractor shall provide the necessary materials and equipment to safely complete the job. The Contractor agrees that all work shall be performed by competent employees who are experienced and qualified to do the work specified, and that all work will be performed in accordance with the best commerciaI practices. A list of equipment to be used and a description of the removal and transporting procedures to be followed must be provided to the County at the pre-work ~conference described below. Precaution shall be exercised at all times for the protection of persons and property. The safety provisions of the Occupational Safety and Health Act of 1970 (Public Law 91-596) and other applicable laws, including building and construction codes shall be observed. Machinery, equipment and other hazards shall be guarded in accordance with safety provisions of the "Manual of Accident Prevention in Construction", published by the Associated General Contractors of America, to the extent that such provisions are not in contradiction of applicable law. If any property is destroyed by any cause or means whatsoever, the Contractor shall repair and replace or not receive payment for the unaccomplished work. The Contractor shaII maintain suitable and sufficient guards and barriers, and at night, suitable and sufficient light or other appropriate security or protection for the prevention of accidents. Use of explosives is prohibited in carrying out the project. 7. ASSIGNMENT OF CONTRACT AND SUBCONTRACTS: It is expressly understood that the Contractor is in all respects an independent Contractor for this work, not withstanding under certain conditions he is bound to follow the directions of the County, and is in no respect an agent, servant, or employee of the County. Neither the Contract, nor any part thereof, nor any Moines due or to become due thereunder, may be assigned by the Contractor without the prior written approval of the County, 3 The Contractor is fully responsible to the County for the acts and omissions of his subcontractors and of persons either directly or indirectly employed by said subcontractor, as he is for the acts and omissions of persons directly employed by him. Nothing contained in the relation between any subcontractors shall abide by the terms, conditions, and requirements ofthis Contract. It is the responsibility of the Contractor to pay all debt obligations incurred with subcontractors in an expedient manner. 8. LEGAL RESTRICTIONS, PERMITS AND TRAFFIC PROVISIONS: The Contractor shall comply with all applicable local, State and Federal requirements pertaining to the terms of this Contract. The Contractor will be responsible for obtaining, at his own expense, any licenses or permits that may be required and should inquire about permit requirements with the appropriate agencies. The Contractor shall comply with all the requirements of the Federal Pollution Control Act. The Contractor shall conduct his operations so that he shall not close any thoroughfare nor interfere in any way with traffic on highways, or on water, without the written consent of the proper authorities. Work shaII be done at any time that shall not interrupt or disturb members of the public. Utilization of off-loading sites located on private property (water to land for transport to the landfill or other disposal site by vehicle) must have written approval of the land owner. The Florida Marine Patrol should be contacted to initiate eviction proceedings for contracted derelict vessels which are inhabited at the time of removal and when another vessel is too close to the contracted derelict vessel to allow safe operations. Direct confrontations with other boaters should be avoided and the Florida Marine Patrol should be contacted immediately if such confrontations results from removal of any contracted derelict vessels. 9. INSURANCE: The Contractor must obtain insurance required by the County and submit proof of same to the County prior to acceptance of bid and contract approval by Board of County Commissioners but no later than five working days after notice of low bidder. All insurance shall be maintained until work has been completed and accepted by the County. The Contractor shall furnish the following certificates of insurance for review by the County's Risk Management Division: Certificate (s) of Insurance which clearly indicates that he has obtained the insurance coverage required in paragraphs a,b,c and d below. 4 The Contractor hereby certifies that no modification or change in insurance shall be made without (10) days written advance notice to MONROE County, c/o the Director of the Risk Management Division. a. Worker's Compensation Insurance per Fl. Statutes b. Federal Jones Act Coverage c. General Liability Insurance on a comprehensive basis, in an amount not less than $300,00.00 per occurrence for Bodily Injury and Property Damage combined, to include contractual liability. c. Pollution Liability Insurance in the Amount of $500,000. d. Water Craft Liability Insurance in the Amount of$500,000. e. Automobile liability insurance covering ail owned, non-owned and hired vehicles used in connection with the work, in an amount not less than $100,000 per occurrence for Bodily Injury and Property and Damaged combined. All insurance policies required above shaII be issued by companies authorized to do business under the laws of the state of Florida. The MONROE County Board of County Commissioners must be listed as "AdditionaI Cnsured" on all policies, except for the Worker's Compensation policy. 10. COMMENCEMENT, DELA YS AND COMPLETION OF WORK: After receiving Board of County Commission approval of the Contract, and after reconciliation of any details or conditions which may directly or indirectly interfere or conflict with work of the Contract, the County will issue a "Notice to Proceed" officially authorizing the Contractor to commence. The Contractor shall commence work within one week from the date on the "Notice to Proceed" letter. If the Contractor should be delayed in the progress of the work included in the Contract by enforceable causes beyond his control, the time for the completion of the work may be extended upon agreement of the County representative. Requests for an extension of time must be submitted in writing to the County representative. Extensions of time cannot legally be approved unless the written request is submitted in the time to permit it to be acted upon before'the Contract expiration date. To allow sufficient time for the administrative procedures required to obtain action by the County Commission, a request for time extension must be received by the County representative at least sixty (60) calendar days prior to the Contract expiration date. 5 Provided further that the Contractor shall within ten (10) days from the beginning of such delay notify the County, in writing, of the causes of the delay. The County representative will ascertain the facts and the extent of the delay and notify the Contractor within a reasonable time of her decision in the matter. If the Contractor fails to complete the work within the time limit, and if the County should nevertheless permit the Contractor to continue and complete the same without official extension of time in writing, such permission shall not modify nor waive any liability of the Contractor for damages arriving non-completion of work within the time limit, but such liabilities shall be subject to continuation in full force against the contractor. 11. CHANGES AND INSPECTION: The vessels herein considered are to be removed for the County by the Contractor in accordance with the specifications. The County may give instructions or directions to supplement the specifications. These shall be binding upon the Contractor and upon all his subcontractors, employees and agents of every kind. All work and every process and operation shaII be subjecf to inspection at all times, and the County and their representatives shall have free access to all aspects of the work. The Contractor shaII remove and make good, as may be directed, without charge, any defective work. Oversight or error of judgment of inspections, or previous acceptance, shall not relieve the Contractor from the obligation to make good any defect whenever discovered. The right is reserved to change the Specifications consistent with regard to the general intention of the contract for any part of the work or materials, either before or after work has begun. Notice of such changes shall be given in writing to the Contractor; such changes are not to be grounds for any claim by the Contractor for damages, nor for the forfeiture of the Contract. It is possible that a Derelict Vessel could disappear between the time of inspection by the contractor and the actuaI effort to remove it. No payment will be forthcoming in event that this occurs. Except when otherwise specified, the expense of all tests requested by the County will be borne by the County. 12. AUDIT RIGHTS: As a provision of the grant from the State of Florida to the County, and if so requested by the State, the successful bidder agrees to provide access to all records and allow the audit of any books, documents and papers related to this project for a period of up to one year and during and after termination of the contract. 13. CONTRACT A WARD: The County reserves the right to evaluate the submitted bids and award a contract to the bidder submitting the lowest per foot bid for the derelict vessels listed in the bid package as one project and for which a 6 Florida Marine Patrol Derelict Vessel Report is included. One bid will be accepted and a Contract issued for the total removal of all listed derelict vessels as one project, up to the limit of available funds. The actual number of vessels to be removed will depend on the accepted per foot bid price and the available funds, 14. PREWORK CONFERENCE: A meeting will be necessary involving a representative of the County, the Contractor and other parties with direct involvement prior to the signing of the Contract. The time and place of this conference will be set by the County representative. At this time the Contractor shall provide the County with a schedule as to the order in which he proposes to remove the vessels awarded to him. 15, CONTRACT SECURITY: The Contractor is expected to act and deliver in good faith all work, at the agreed price, in the allowed time. Failure to do so, could jeopardize the contractor's reputation with the County and potentially influence any future contracts with MONROE County. 16. EXECUTION OF CONTRACT DOCUMENT: Due to the time frame involved with this project, the Contractor upon notification that he is to be awarded the contract documents for execution, shall return said documents properly executed along with insurance within TEN WORKING DA YS. This will assist in acceleration of execution of the contract documents. The Contractor, by virtue of signing the Contract, acknowledges that he and ail his subcontractors have satisfied themselves as to the nature and location of the work, the general and local conditions, including, but not restricted to, those bearing upon transportation, handling, access to the pick-up and disposal sites; and the character of equipment and facilities needed to perform the work. Failure on the part of the Contractor to completely or properly evaluate any factors of his costs prior to bidding shall not form a basis for additionaI compensation if he is awarded the Contract. If for any reasons, not acceptable to the County, the Contractor does not perform, the County shall have the right to levy liquidated damages against the Contractor. Liquidated damages in the amount of $1 00 per day shall be assessed against the Contractor for any bid item awarded to him which is not completed and accepted by the County within the number of calendar days specified in the Contract. Liquidated damages are accumulative, 17. NOTICE TO PROCEED: The Contractor shall commence work upon this project within one week of the date of the Notice to Proceed letter and perform in a continuous manner until completion and acceptance by the County, For Contracts 7 wherein a specified number of days for completion is stated in the Contract, the effective date of the "Notice to Proceed with Contract Work" will establish the "beginning date" of the project. 18. TERMINA TlON OF CONTRACT: This Contract may be terminated by the County, giving up to ten (10) days written notice to the Contractor; said notice shall be sufficient if delivered to the party personaIly or mailed by certified mail to his mailing address as specified on the accepted bid. 19. FINAL CLEAN-UP: Upon completion of the work specified herein and before acceptance and final payment shall be made, the Contractor shall remove from the sites all machinery, equipment, surplus and discarded materials and temporary structures. The disposal of materials, rubbish and debris shall be made at a legal disposal site. 20. DISPOSAL SITES AND FEES: The Contractor is responsible for disposaI of all derelict vessels included in this contract and must make arrangements for legal disposal. It is the responsibility of the Contractor to pay ail disposal fees incurred, and such removal related costs should be considered when bidding on this contract. The Contractor will deliver the derelict vessels to a Florida Department of Environmental Protection permitted disposaI site that has current occupational tax licenses. It is the intent of this contract to remove derelict vessels from their present site and legally dispose of them. Upon receipt of vessels at the landfill, they must be disposed of immediately. There are several Monroe County disposal sites, Cudjoe Landfill, MM 21.5 (vessels must be 26' and under to be delivered in tact, over 26' they must be broken up), Long Key Landfill MM 68, and Card Sound Road AKA SR905 other landfills in neighboring countries or any other location for disposaI as long as the site is a legaIlicensed disposal site. Prior to transportation of vessels out of County the County representative must approve. Vessels being disposed of at County Landfill sites must be free of pollutants and engines. 21. PROOF OF PROPER DISPOSAL AND NOTIFICATION TO MARINE PATROL: Contractor must submit prior to receiving any payment: A receipt for each vessel including the date of disposal, the Florida Marine Patrol Derelict Vessel Number, disposal site location, and the telephone number. Recipient of debris should provide detailed receipt showing type and description of debris received. In addition to the above information, Contractor must submit three pictures of each vessel removed. The first photograph must be of the vessel at the current location prior to removal, the second photograph must be of the vessel after removal but in the same general area preferably while in tow, and the third 8 photograph must be of the vessel at the disposal site with sufficient background to depict disposal (i,e., building or sign identifYing disposal site). The derelict vessel number, when possible, must appear in all photographs. The Contractor will be responsible for the camera, film, and development costs. The photographs should be taken with a Polaroid camera that provides instant photos since this minimizes loss of documentation due to camera malfunction or loss overboard. This photos must be submitted on a vessel by to document the removal and disposal of the contracted vessels final payment can not be assured. The Contractor must notify the Florida Marine Patrol and the County Representative in writing as to the work schedule of removal. This should be done after the pre-work conference with the County representative. Notification is to be made before doing any work on each vessel. This multiparty communication for each Derelict Vessel is a requirement of the contract. 22. PAYMENT: All payments for the removal and disposal of each vessel, shall be for the performance of the work as stipulated in these specifications and associated contractual documents. The unit rate of bid shall be totany inclusive for all phases of the operation. The Contractor may request two partiaI payments by submitting an invoice for the number of vessels removed up to the date of the invoice, providing the Contract agreement does not explicitly prohibit partiaI payments. Photographs, disposal receipts, and signed FDEP Disposition Certification form for the vessels for which payment is being requested. The Contractor understands and agrees that no payment will be forthcoming for the removal and disposal of any derelict vessel (I) not listed on this contract nor (2) for any derelict vessel on this contract for which a written certification verifying the removal of the subject vessel has not been obtained from the Florida Marine Patrol and a Representative of the disposal site at the time of delivery. In addition, property, public or private, if damaged during the work or removed for the convenience of the work, shall be replaced at the expense of the Contractor in a manner acceptable to the County and the Owner, prior to"the final payment for contracted work. 23. NON-COLLISION AFFIDAVIT: Upon entering into the contract, the Contractor agrees to sign and endorse the Non-Collusion Affidavit form. 24, ETHICS CLAUSE: Upon entering into the contract, the Contractor agrees to sign and endorse the Ethics Clause form. 25. DRUG FREE WORK PLACE FORM: Upon entering the contract, Contractor agrees to sign and endorse the Drug Free Work Place form. 9 EXHIBIT C 1996 Edition =! .. l\10NROE COUNTY, FLORIDA INSURANCE CHECKLIST FQR 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 himlher sign it in the place provided. It is also required that the bidder sign the fonn and submit it with each proposal. . \VORKERS' COMPENSATION AND EMPLOYERS' LIABILITY WCl WC2 WC3 WCUSLH X Workers' Compensation x Employers Liability Employers Liability Employers Liability US Longshoremen & Harbor Workers Act X Federal Jones Act Statutory Limits $) 00,000/$500,000/$1 00,000 $300,000/$500,000/$500,000 $1,900,000/$1,000,000/$1,000,000 Same as Employers' Liability Same as Employers' Liability \VClA INSCKLST 1 Administration Instruction 1147092 1996 Edition VEHICLE LIABIU1.'Y. As a minimwn, coverage should extend to liability for: · Owned; Non-owned; and Hired Vehjcles Required Limits: X VL1 VL2 VL3 VL4 BRl MVC PROl PR02 PR03 POLl POL2 POL3 ED1 ED2 GK1 GK2 GK3 WLl x x AdmlnlSlralion Inslruclion 1147092 $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; $1,000,000 per Occurrence $ 100,000 Property Damage or $1,000,000 Combined Single Limit $5,000,000 Combined Single LiI1].it MISCELLANEOUS COVERAGES Builders' Risk Limits equal to the completed project. Motor Truck Cargo Limits equal to the maximum value of anyone shipment. Professional Liability $ 250,000 per Occurrencel$ 500,000 Agg.. $ 500,000 per Occurrencel$I,OOO,OOO Agg. $1,000,000 per Occurrence/$2,000,000 Agg. $ 500,000 per Occurrencel$I,OOO,OOO Agg. $1,000,000 per Occurrencel$2,000,000 Agg. $5,000,000 per Occurrencel$l 0,000,000 Agg. $ 10,000 $100,000 Pollution Liability Employee Dishonesty Garage Keepers $ 300,000 ($ 25,000 per Veh) $ 500,000 ($100,000 per Veh) $1,000,000 ($250,000 per Veh) Watercraft Liability $500,000 INSCKLST 3 1996 Edition INSURANCE AGENT'S ST~TEMENT . . r have reviewed the above requirements with the bidder named below. The following deductibles apply to the corresponding policy. POLICY I I DEDUCTIBLES Liability policies are _ Occurrence _ Claims Made Insurance Agency Signature . BIDDERS STATEMENT I understand the insurance that will be mandatory if awarded the contract and will comply in full with all the requirements. Bidder Signature INSCKLST 4 Administration Instruction 114709.2 1996 Edition 'VORKERS' COMPENOA ilON INSURANCE REQUIREl\1ENTS FOR CONTRACT I BET\VEEN MONROE COUNTY, FLORIDA AND 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 v.ith 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 authori'zed 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 of Insurance, 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. wel Administration Instruction #4709.2 1996 Edition \\'ORKERS' COl\1~N:;A TION INSURANCE REQUIREMENTS FOR CONTRACT I I BET\\'EEN MONROE COUNTY, FLORIDA AND Recognizing that the work governed by this contract involves Maritime Operations, the Contractor's Workers' Compensation Insurance Policy shall include coverage for claims subject to the Federal Jones Act (46 U.S.C.A. subsection 688) with limits not less than those specified for Employer's Liability. The Contractor shall be permitted to provide Jones Act Coverage through a separate Protection and Indemnity Policy, in so far as the coverage provided is no less restrictive than would have been provided by a Workers' Compensation policy. I WCJA Administralion Instruction 1/47092 1996 Edition GENERAL LIABIJ;:.'T',{. INSURANCE REQUIRE~{ENTS FOR CONTRACT , BETWEEN MONROE COUNTY, FLORIDA AND 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: .t. $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 follov.ting 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. GLl Administration Instruction 114709.2 1996 EditiCln VEHICLE LIABILI1~ t. INSU~~CE REQUIREMENTS FOR CONTRACT BETWEEN l\fONROE COUNTY, FLORIDA AND 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: · Owned, Non-Owned, and Hired Vehicles The minimum limits acceptable shall be: $100,000 Combined Single Limit (CSL) . J: If split limits are provided, the minimum limits acceptable sh~l b~: $ 50,000 per Person $100,000 per Occurrence $ 25,000 Property Damage The Monroe County Board of County Commissioners shaIl be named as Additional Insured on all policies issued to satisfy the above requirements. VLl Administration Instruction 1147092 80 1996 Edition POLLUTION LIABILITY INSURANCE REQUIREMENTS FOR CONTRACT BETWEEN MONROE COUNTY, FLORIDA A!\T}) Recognizing that the work governed by this contract involves the storage, treatment, processing, or transporting of hazardous materials (as defmed by the Federal Environmental Protection Agency), the Contractor shall purchase and maintain, throughout the life of the contract, Pollution Liability Insurance which will respond to bodily injury, property damage, and environmental damage caused by a pollution incident. The minimum limits of liability shall be: $500,000 per Occurrence/$l,OOO,OOO Aggregate If coverage is provided on a claims made basis, an extended claims reporting period of four (4) years will be required. POLl Administration Instruction #4709.2 71 ": . ~ -,.-,-, . 1996 Edition 'VATER CRAFT LIA8UJJ]~ INSURANCE REQUIREJ\~N1'S FOR CONTRACT , , BET'VEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract; the Contractor shall obtain Water Craft Liability Insurance with terms no less restrictive than those found in the standard" American Institute Hull Clauses" (June 2, 1977 edition). Coverage shall be maintained throughout the life of the contract and include, as a minimum: · Injury (including death) to any Person · Damage to Fixed or Movable Objects · Costs Associated with the Removal of Wrecked Vessels · Contractual Liability with Respect to this Contract If the policy obtained states that coverage applies for the "Acts.or Omissions of a Vessel", it shall be endorsed to provide coverage for the legal liability of the shipowner. The minimum limits acceptable shall be: $500,000 Combined Single Limit (CSL) Coverage provided by a Protection and Indemnity Club (P8?I) shall be subject to the approval of the County. The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies is~ued to satisfy the above requirements. WLI Administration Instruction #4709,2