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07 ;' 02 / 200 ; 12 : 10 3215375302 PURCHASING PAGE 02 !,03 <br /> CO N • .!. 'KAU it ,UA I A r UJ!UV,tI <br /> ACID NEW CONTRACT N CHANCrE EXISTING CONTRACT DATA ® DELETE CONTRACT FRONt SYSTEM <br /> L Contract tlurnber: 4349 2 . Vendor Naune; Absolute Marie 'Towi.ng.._ T.. <br /> (existing contracts only) vendor Address : POBox 360607 <br /> Melbourne, FL 32936 <br /> Vendor Number: 16824 <br /> 3 . Bus , Area 1700 Cost Center 343010 4 , Plant ` IFt01 <br /> G/L Act. 5340000 Internal Order _ 5 . Storage Location 0590 <br /> 6 , Department Name: Natural Resources Management Offica � - <br /> 7 . Contract Description : Derelict Vessel Removal <br /> 8 , Name of. Contract Monitor: Matt C . Culver — <br /> 9, Office Director (Officer of Primary Responsibilit:•) ' Ernie Brown <br /> 10 , Agency .Type 11 . Original Approval Pate : 06;25/07 12 , Renewal. Approval t <br /> 13 . Contract Aznt. 74 4 AO <br /> a. Payable ( b. Revenue [] c. N/A [� <br /> 14 . Bond Type : N/A — - 15 , Bond t\mount: 0 - — <br /> 16 . Change Order PROJECTiCOMMODITY TITLE <br /> ORIGINAL CONTRACT AMOUNT --- <br /> COST OF CURRENT CHANGE ORDER <br /> 17 , Cornmcnts : Contract anlm_qunt is based on a per item bid, itetns can be .removed or added as the budget allows. <br /> EfTective Expiration <br /> 18 , Contract Term 6/2. 5/2007 — 9/30!2008 <br /> 19 , TYPES OF INSURANCE: * * * * * : DATES "' * * * * * <br /> Effective £aTpiration <br /> A. Commercial Gen , Liabiliry: 06106/20107 06/06/2008 — <br /> Pcndirg Action : -- _ <br /> Ft_ Owners/Contractors 1_iab . : 03,101 /2007 0310112008 <br /> Pending Action : —� <br /> C , Auto Liability, 0610712007 — � 06/071 /2, 008 <br /> Pending Action : <br /> D, Workers ' Compensation : OW06/2(107 — � 06/06/20118 <br /> Pending Action : -- ---- <br /> E. SLIMUS Risk: _ <br /> Pending Action : <br /> F. Professional Liability — <br /> Pcnding Action : — — <br /> 0. Excess Liab. . <br /> Pending Action: L2.,Ll p 7 P 12 4 1 1 N <br /> H . Bonds : <br /> Pcntfing Action :T. Environ. Pollution Liub . : �---��— <br /> Pcading Action :J . Claims Made (Number of Years) <br /> 11 A20 . SUBMITTED BY : DATE: 6,125!07 <br /> )ionone 4 . 633a2016 — <br /> SEND COMPLE'T'ED FORM TO: CONTRACTS ADMINISTRATION <br /> MAIL STOP $3 <br /> HC-20 GN-LME FORM (Revived 015/29120(( 1 ) <br />