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INDIAN RIVER COUNTY, FLORIDA
GRANT AGREEMENT FWCC NO. 99087
THIS AGREEMENT made and entered into on the 18th day of Apr i 1 , 2000, by and
between nee ccl/etl 5es,l-r_
herein after called the Contractor, and INDIAN RIVER COUNTY, a Political Subdivision of the State of
Florida organized and existing under the Laws of the State of Florida, hereinafter called the County.
WITNESSED:
That the Contractor and the County, for the consideration hereinafter named, agree as follows:
Article 1. SCOPE OF WORK: The Contractor shall furnish all labor, services, equipment and perform
all the work described in the Specifications entitled:
ARTIFICIAL REEF PROJECT
PLANS AND TECHNICAL SPECIFICATIONS
GRANT AGREEMENT FWCC NO. 99087
for Indian River County, Florida and shall do everything required by this Agreement and
Contract Documents. Payment shall be made in accordance with the Itemized Bid
Schedule attached as Exhibit "A" and made a part of this agreement.
Article 2. COMMENCEMENT AND COMPLETION & DAMAGES:
As time is of the essence, the Contractor will be required to commence work immediately
after receipt of the notice -to -proceed and shall complete the project before June 15, 2000.
The time stated for completion shall include final clean-up of the premises. Th( Contractor
agrees to reimburse Indian River County, Florida liquidated damages for each calendar
day elapsing between the date herein specified as the day of full completion and the actual
day of such completion of the Contract work the amount of one hundred dollars ($100) per
calendar day. Not to exceed the total amount of the contract.
Article 3. THE CONTRACT SUM: The County will pay the Contractor for performance of the
Contract, subject to additions and deductions provided therein, in current funds as follows:
Numerical Amount"� �' 1 /
Written Amount � y— � i �Lli11G�'/i f �- o 111 R 5
Article 4. ACCEPTANCE AND PAYMENT: Upon receipt of written notice that the work is ready for
final inspection and acceptance, the County Project Manager will promptly make such
inspection and when he finds the work acceptable under the terms of the Contract and the
Contract fully performed, he will promptly issue a final certificate, over his own signature,
stating that the work provided for in this Contract has been completed, and acceptance by
him under the terms and the conditions thereof is recommended and the entire balance
found to be due the Contractor, will be paid to the Contractor by the County following
County Commission approval of the final Contract payment.
Before issuance of a final certificate, the contractor shall submit evidence satisfactory to
CONTRACT
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the County Project Manager that all payrolls, material bills, and other mdebted,ness
connected with the work have been paid. The making and acceptance of the final payment
shall constitute a waiver of all claims by the County, other than those arising from unsettled
liens, from faulty work appearing after final payment or from requirements of the
Specifications and of all claims by the Contractor, except those previously made arid still
unsettled.
Article 5. INDEMNIFICATION: The Contractor, upon his part, agrees to protect, indemnify, save
harmless, and insure the County from any liability to any persons for injuries to the person.
including loss of life, or damage to property, resulting from the acts or omissions of the
Contractor in performing his obligations under this Contract. The parties expressly
recognize that the relationship between the County and Contractor is that of owner and
independent contractor, and that neither the Contractor nor any of his servants, agents, or
employees shall ever be considered to be an agent, servant or employee of the County.
IN WITNESS WHEREOF, the parties hereto have executed this agreement the day and year first written
above. A��
'p,FlA L. S' —
PP�• ' VAS' •. ( ontractor)
Si ned an'.. ?led by the
z Ci4is�Qr in prase ce of:
'Z•
:t. SUMMERLIN Attest
'••moats•.
INDIAN RIVER COUNTY
By: �6 (.l�/L
Fran B. Adams, Chairman
Dated: Abri 1 18. 2000
PROJECT NO:
Jeffrey K. Barton, Clerk
V
Indian River County Approved Date
Administration
Budget
Legal
Risk Management
Public Works
Coastal Engineering
INDIAN RIVER COUNTY, FLORIDA
APPLICATION FOR PAYMENT NO.__
ACCOUNT NO:
CONTRACT
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MPROJECT: —_
CONTRACTOR NAME/ADDRESS: "'---_
APPLICATION DA
FOR PERIOD ENDIN
STATEMENT OF WORK
Original Contract Price $_ Materials Stored $_
Net Change Orders $ (Attach detailed schedule and paid invoices)
Current Contract Price $� Total Word/Materials to Date $---
Work
_ _-_.Work to Dale: Less 10% Retainage $
Under Original Contract $ Sub Total $
Under Change Order $ Less Prior Payments $
Percent of Work Completed to Date %
BALANCE DUE THIS PAYMENT $
Contractors Certification
The undersigned CONTRACTOR hereby certifies that all items and amounts on the face of this
application for payment are correct; that all work has been performed and/or materials supplied in full
accordance with the terms and conditions of the contract.
The undersigned CONTRACTOR hereby swears under penalty of perjury that (1) all previous
progress payments received from the OWNER on account of work performed under the contract
referred to above have been applied by the undersigned to discharge in full all obligations of the
undersigned incurred in connection with work covered by prior Applications for Payment under said
contract, being Applications for Payment numbered 1 through inclusive; and (2) all materials
and equipment Incorporated in said project or otherwise listed in or covered by this Application for
Payment are free and clear of all liens, claims, security interests and encumbrances.
Dated , 2000
BY:
COUNTY OF INDIAN RIVER
STATE OF FLORIDA
(Contractor)
(Name/Title)
Before me this _ day of 2000, personally appeared
, known to me, who being duly sworn, deposes and says that (s)he is the
of the CONTRACTOR above mentions; that (s)he executed the above Application for
Payment and statement on behalf of said CONTRACTOR; and that all of the statements contained
herein are true, correct and complete.
Notary Public
My Commission Expires
CONTRACT
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GRANT REQUIREMENTS
This project is being funded by a grant from the Federal Aid in Sport Fish Restoration Program
(CFDA No. 15.605) through the Florida Department of Environmental Protection in accordance
with the provisions of Florida Statutes, Section 370.25, and administered under the rules
established by Chapter 62R-9, Florida Administrative Code. In accordance with the grant
agreement between the County and the Florida Department of Environment protection, the Bidder
shall comply with the following conditions and requirements:
1. Chapter 62R-9 (The Comprehensive Artificial Fishing Reef Program Control Code) of the
Florida Administrative Code is expressly made a part of the project specifications and
incorporated herein by reference as if fully set forth. The BIDDER agrees to abide by and
comply with all provisions of said rules.
2. All invoices submitted for payment shall include sufficient detail to perform a proper pre -
audit or post -audit review, as required by the COUNTY and the Florida Department of
Environmental Protection. This may include, but rot be limited to, invoices with costs per
hour or per load defined, canceled checks, bidding documents, etc.
3. The BIDDER agrees to provide access to all records, to allow the audit of any books,
documents and papers relating to this project. All records, documents, and papers relative
to this project should be retained for a period not less than three years from the completion
of the project. All documents, papers, letters, or other material in conjunction with this
project shall be public record and treated in the same manner as other public records
under general law and such records may be audited by the State of Florida Auditor
General.
4. A person or affiliate who has been placed on the convicted vendor list following a
conviction for a public entity crime may not perform work as a grantee, contractor, supplier,
subcontractor, or contractor under a contract with any public entity, and may 1 of transact
business with any public entity in excess of the threshold amount provided in Section
287.017 Florida Statutes, for Category Two for a period of thirty-six (36) months from the
date of being placed on the convicted vendor list.
5. The Contractor shall comply with all applicable federal, state, and local rules and
regulations in providing services to the County under this Agreement. The Contractor
acknowledges that this requirement includes compliance with all applicable federal, state,
and local health and safety rules and regulations.
6. The CONTRACTOR shall be familiar with the enclosed agreement (FWCC No. 99087)
and shall be required to comply with the conditions set -forth.
Insurance Requirements
The Contractor selected w'1!1 be required to furnish evidence of insurance(s) to the County
as set forth below:
In the event any contractor cannot obtain insurance (s) as required herein, he may submit
a letter addressed to the County Coastal Engineer, setting forth all reasons why he cannot
obtain such insurance(s). That letter shall contain alternative insurance levels to be
obtained by the contractor. That letter and its contents shall be considered to be part of
the contractor's response to the Bid. The successful contractor shall provide workers'
compensation insurance as required by law.
GRANT REQUIREMENTS
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A. Worker's Compensation for Employer's Liability Insurance. Statutory requirements
for worker's compensation and employer's liability of $100,000 each accident,
$500,000 disease policy limit, and $100,000 disease each employee.
B. Business Automobile Insurance - This coverage should include owned, hired and
non -owned vehicles at a minimum combined single limit of $500,000 per
occurrence.
C. Commercial General Liability Insurance - Commercial general liability coverage,
including contractual liability and independent contractor, with a minimum combined
single limit of $500,000 per occurrence and personal coverage of $50,000. County
shall be an additional insured.
D. Professional Liability Insurance - Professional liability insurance at a minimum limit
of $500,000.
E. Contractor agrees to provide the insurance required, written by a carrier licensed
to do business in Florida. The insurance company selected shall be rated A+VII or
better, per the Best's Key Rating Guide.
F. Indian River County must be added as an insured on all policies described above.
A certificate of insurance (s) will be provided to the Risk Manager for review and
approval ten (10) days prior to the commencement of any work under the contract.
The certificate shall provide for Indian River County to be named as additionally
insured for Business Automobile Insurance and General Liability Insurance for work
under this contract.
G. The County shall be given thirty days written notifications of their intent to cancel or
modifications of any stipulated insurance. Insurance coverage shall be written on
an occurrence basis with a company licensed to do business in the State of Florida.
H. To the extent of the insurance benefits under the insurance policies required herein,
described in Paragraph D above, whether indemnity payments, defense costs, or
otherwise, the contractor shall indemnify and save the County harmless from the
actions, payments and judgements arising from personal injuries or act or omission
of the contractor, his agents, servants or employees, in execution or guarding of the
work, including any and all expense, legal or otherwise, incurred by thr County or
its representatives in the defense of any claim or suit.
HOLD HARMLESS CLAUSE
The Bid shall provide for the contractor holding harmless the County and representatives
thereof from all suits, actions, or claims of any kind brought on account of any injuries or
damages sustained by any person or property in consequence of any neglect in
safeguarding contract work, or on account of any act or omission by the contractor or its
employees, or from any claims or amounts arising or uncovered under any law, bylaw,
ordinance, regulation or decree.
Contractors FIRM CERTIFICATION
The County of Indian River requires, as a matter of policy, that any Contractor or firm
receiving a contract or award resulting from the Bid issued by the County of Indian River,
Florida, shall make certification as below. Receipt of such certification, under oath, shall
be a prerequisite to the award of contract and payment thereof.
I (we), hereby certify that if the contract is awarded to me, our firm, partnership, or
corporation, that no members of the elected governing body of Indian River County, nor
any professional management, administrative official or employee of the County, nor
members of his or her immediate family, including spouse, parents, or children, nor any
person representing or purporting to represent any members or members of the elected
governing body or other official, has solicited, has received or has been promised, directly
or indirectly, any financial benefit, including but not limited to a fee, commission, finder's
GRANT REQUIREMENTS
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fee, political contribution, goods or services in return for favorable review of any Bid
submitted in response to the Request for Bids or in return for execution of a contract for
performance or provision of services for which Letters of Interest are herein sought.
Handwritten Signature of Authojzed;Principal(s):
NAME OF FIRM/PARTNERSHIP/CORPORATION ►Ve-llcr 144 tl* -e Sarde�f, I,•�,
DATE: `I,/-/ --:LO(9
GRANT REQUIREMENTS
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INFORMATION REQUIRED OF BIDDERS
GENERAL INFORMATION
THE UNDERSIGNED BIDDER GUARANTEES THE TRUTH AND ACCURACY OF ALL
STATEMENTS AND ANSWERS HEREIN CONTAINED. FAILURE TO COMPLY WITH THIS
REQUIREMENT MAY BE CONSIDERED SUFFICIENT JUSTIFICATION TO DISQUALIFY A
BIDDER. ADDITIONAL SHEETS SHALL BE ATTACHED AS REQUIRED.
1. Contractors Name/Address Mdd,44(eg HiARr� Si�ur� •s =w
2 y/ 9 d,-. F"1: ?"14- F/ 3Y4V 5
2. Contractor's Telephone & FAX Numbers: s--11- I/0- G Air?
Fir : S-6 /- 5460 - 9 -0/
3. Contractbrs License:
4. Number of years as a Contractor in construction work of the type involved in this
contract: ✓R f
5. What is the last project of this nature that you have completed?
PIN!L/CS e-0 t4-, FSA•
6. Have you ever failed to complete work awarded to you; if so, where and why?
7. List the names and titles of all officers of Contractors firm:
/1%Ar��ant�if�A✓1 {YI �L�y�/iy %�/'GS/c/w�
8. Name of person who inspected site or proposed work for your firm: Name: Date of
Inspection: ZY'c/i— W. M cru !f• y
NOTE: If requested by the County, the Bidder shall famish a notarized financial statement, references and
other Information, sufficiently comprehensive to permit an appraisal of his cu rent fin ncial condition.
(Bi der)
QUESTIONNAIRE
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LIST OF SUBCONTRACTORS
The Bidder WILL list below the name and address of each Sub -Contractor who will perform
work under this Contract in excess of one-half percent of the total bid price, and WILL also
list the portion of the work which will be done by such Sub -Contractor. After the opening
of Proposals, changes or substitutions will be allowed with written approval of Indian River
County. Sub -Contractors must be properly licensed and hold a valid Certificate of
Competency.
Work to be Performed Sub-Contractors's Name/Address
1.
2.
3.
4.
5.
6.
7.
Note: Attached additional sheets if required.
QUESTIONNAIRE
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STATEMENT OF PUBLIC ENTITY CRIMES
This form is a sworn statement under Section 287.133(3)(a), Florida Statutes, on
public entity crimes and must be signed in the presence of a notary public or other
officer authorized to administer oaths.
9. This sworn statement is submitted with Bid, Proposal or Contact No. 26 `fid
for 11AT, Elam Xer5- eto,.-.,
2. This sworn statement is submitted by
(name of entity submitting swom Statement)
whose business address is 2-y/9 Lif-4,e l p- F7• A "-", F/ 3fc9VV
and applicable) its Federal Employer Identification Number (FEIN) is _Q7-
0 V6 75-1
Q-
0V67.5-! 9 . (If the entity has no FEIN include the Social Security Number of
the individual signing this sworn statement: )
3. My name is 3-0 X, w /n leC, (I., x and my
(please print name of individual signing)
relationship to the entity named above is, !Jf d e d/-1
4. 1 understand that a "Public Entity Crime" as defined in Paragraph 287.133(1)(g),
Florida Statutes, means a violation of any State or Federal law by a person with
respect to and directly related to the transaction of business with any public E ntity
or with any agency or political subdivision of any other State or with the United
States, including, but not limited to, any bid or contract for goods or services to be
provided to any public entity or an agency or political subdivision of any other state
or of the United States and involving antitrust, fraud, theft, bribery, collusion,
racketeering, conspiracy, or material misrepresentation.
5. 1 understand that "convicted" or "conviction" as defined in Paragraph 286.133(1)(b),
Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with
or without an adjudication of guilt, in any Federal or State trial court of record
relating to charges brought by indictment or information after July 1, 1989, as a
result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere.
6. 1 understand that an "affiliate" as defined in Paragraph 287.133(1)(a),Florida
Statutes, means:
a. A predecessor or successor of a person convicted of a public entity crime;
or,
b. An entity under the control of a natural person who is active in the
management of the entity and who has been convicted of a pubiic entity
crime. The term "affiliate" includes those officers, directors, executives,
partners, shareholders, employees, members, and agents who are active in
the management of an affiliate. The ownership by one person of shares
constituting a controlling interest in another person, or a pooling of
STATEMENT OF PUBLIC ENTITY CRIMES
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equipment or income among persons when not for fair market value under
an arm's length agreement, shall be a prima facie case that one person
controls another person. A person who knowingly enters into a joint venture
with a person who has been convicted of a public entity crime in Florida
during the preceding thirty-six (36) months shall be considered an affiliate.
I understand that a "person" as defined in Paragraph 287.133(1)(e),Florida Statutes,
means any natural person or entity organized under the laws of any state or of the
United States with the legal power to enter into a binding contract and which bids
or applies to bid on contracts for the provision of goods or services let by a public
entity, or which otherwise transacts or applies to transact business with a public
entity. The term "person" includes those officers, directors, executives, partners,
shareholders, employees, members, and agents who are active in management of
an entity.
8. Based on information and belief, the statement which I have marked below is true
in relation to the entity submitting this sworn statement. (Please indicate which
statement applies.)
_✓ Neither the entity submitting this sworn statement, nor any officers, directors,
executives, partners, shareholders, employees, members, or agents who are active
in management of the entity, nor any affiliate of the entity have been charged with
and convicted of a public entity crime subsequent to July 1, 1989.
The entity submitting this sworn statement, or one or more of the officers, directors,
executives, partners, shareholders, employees, members, or agent who are active
in management of the entity, or an affiliate of the entity have been charged with and
convicted of a public entity crime subsequent to July 1, 1989, (Please indicate which
additional statement applies.)
There has been a proceeding concerning the conviction before a hearing of cer of
the State of Florida, Division of Administrative Hearings. The final order entered by
the hearing officer did not place the person or affiliate on the convicted vendor list.
(Please attach a copy of the final order.)
The person or affiliate was placed on the convicted vendor list. There has been a
subsequent proceeding before a hearing officer of the State of Florida, Division of
Administrative Hearings. The final order entered by the hearing officer determined
that it was in the public interest to remove the person or affiliate from the convicted
vendor list. (Please attach a copy of the final order.)
There person or affiliate has not been placed on the convicted vendor list. (Please
describe any action taken by or pending with the Department of General
eral Services.)
4
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Signature)
L l Cj
date
STATEMENT OF PUBLIC ENTITY CRIMES
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STATE OF
COUNTY OF S7-
PERSONALLY APPEARED BEFORE ME, the undersigned authority, who.
-10 N W MY <« i I n afterfirst being (name of individual signing)swom
by me, affixed his/her signature in the space provided above on this / 2_
day of
c' N '';NOTARY PUBLIC
o! I 'r r
' G6`.•. _ � mss;, rr �•
<
iCSTAiEOnmissionexpires:
BARBARA L. amsfERLIN
STATEMENT OF PUBLIC ENTITY CRIMES
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5/ 11 /95(doc/d sclose.00c)blf
SWORN STATEMENT UNDER SECTION 105 08
INDIAN RIVER COUNTY CODE
ON DISCLOSURE OF RELATIONSHIPS
THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER
OFFICER AUTHORIZED TO ADMINISTER OATHS.
1. This sworn statement is submitted with Bid, Proposal or Contract No..2o qP for
2. This sworn statement is submitted by:
w- �, rd e-6 , _7-- , whose
business address is:
/'r �. and (if applicable)its Federal
Employer Identification umberr (rrI Si�-o vG psi 9 . (If the entity
has no FEIN, include the Social Security Number of the individual signing this sworn
statement )
3. My name is S AW'. and my relationship
to the entity named above is iA,e e - go -e std. --
4. 1 understand that an "affiliate" as defined in Section 105.08, Indian River County
Code, means:
The term "affiliate' Includes those officers, directors, executives, partners,
shareholders, employees, members, and agents who are active In the management
of the entity.
5. 1 understand that the relationship with a County Commissioner or County employee
that must be disclosed is as follows:
Father, mother, son, daughter, brother, sister, uncle, aunt, first cousin, nephew,
niece, husband, wife, father-in-law, mother-in-law, daughter-in-law, son-in-law,
brother-in-law, sister-in-law, stepfather, stepmother, stepson, stepdaughter,
stepbrother, stepsister, half brother, half sister, grandparent or grandchild.
5. Based on information and belief, the statement which I have marked below is true
in relation to the entity submitting this sworn statement. [Please indicate which
statement applies.]
Neither the entity submitting this sworn statement, nor any officers, directors,
executives, partners, shareholders, employees, members, or agents who are active
in management of the entity, have any relationships as defined in Section 105.08,
Indian River County Code, with any County Commissioner or County employee.
The entity submitting this sworn statement, or one or more of the officers, directors,
executives, partners, shareholders, employees, members, or agents who are active
in management of the entity have the following relationships with a County
Commissioner or County employee:
STATEMENT ON DISCLOSURE
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Name of Affiliatq Name of County Commissioner Relationship
r Entity or emviovee
t:
(V, A�&
si nature)
1 no
date
STATE OF Glnr,/-4
COUNTY OF -S-7-
The
•T
The foregoing instrument was acknowledged before me this 1-2- day of
-,2000,by J, L W who is personally known to me orwho has
produced ape I—Nn dk, o,,oj as identification.
NOTARY PUBLIC
•: OPPgARA C 'S•..
n; fomrr':!
to Florida at
�•. ``B�a ygfnmissioner
'• STATE OF F�O�
STATEMENT ON DISCLOSURE
SS - 2
ARTIFICIAL REEF PROJECT
GRANT AGREEMENT FWCC No. 99087
It BID SCHEDULE EXHIBIT
"A" TO
CONTRACT]
1 Load and transport materiel from donoro(FEC)
2000
on
yard to the waterfront staging area.
and r b yard re Ft Ptera rrt n dedal loading asrvioea
and rad box, care b transport malarial b Mre waterfront
�
flW9419 ared.
V
Load material from waterfront staging area to
2000
Ton
j �
—2
bargo
- ^ I �D
"j0, ow
3
Transport and deploy material (500 ton/sile) at
2000
Ton
r
four (4) designated artiftlal reef sites.
i
TOTAL. BASE BID
vm
wlpyo
McCulley Marine Services Inc
2419 Tamarind Drive
FI. pierce, FL 34949.1544
HID SCHEDULE
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