HomeMy WebLinkAbout2004 Service Agreementr
CHANGE ORDER #: 1
CITY OF SEBASTIAN CHANGE ORDER FORM
PURCHASE ORDER#: ~~~
CONTRACTOR: Security 1 Systems
ADDRESS: 7121. Grand National Drive #1.01
Orlando, Florida 32819
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PROJECT NAME: Security System Municipal Complex
PROJECT #: City Hall Municipal Project
PHONE #: 407-354-1119
CONTRACT NAME: Services Agreement
CONTACT DATE: January 30, 2004
By the signature affixed below, both the City and the Contractor agree to the changes as stipulated herein. Upon
proper execution of this document, the Contractor is hereby notified to commence work All changes stated below
are hereby incorporated and made a part of the Contract identified above, and all the terms and conditions of said
Contract are enjoined and in full force while executing the change(s) stipulated as follows:
DESCRIPTION: Relocation of controls for the ezisHna Sally Port roll down doors to the new EOC area, as
per Chief Davis and Robert Fish of Suffolk Construction. This is somethine that has to be done that was
not anticipated or requested in the oril?inal contract with Security I.
A) CONTRACT PRICE PRIOR TO THIS CHANGE 82 87851
NET INCREASE (DECREASE) RESULTING FROM THIS CHANGE 520.00
NEW CONTRACT PRICE INCLUDING THIS CHANGE ORDER 83 398.51
B) CON'T'RACT TIME PRIOR TO THIS CHANGE (NUMBER OF DAYS) N/A days
NET MCREASE (DECREASE) RESULTING FROM THIS CHANGE (NUMBER OF DAYS) N/A days
NE W COMPLETION DATE INCLUDING TH[S CHANGE MO _ DAY _ YR
AGREED:
CONSULTANT:
Datrj~l / ~ Dste:.~JJ/O~
Signature A~ t'a City Mauager ~ /
Anorovals By City of Sebastian Staff
Project Manager
Finance Director ~!`~ as to badger
City Attorney as to legal
General Services Admin. as to cootraetlprocuremen[
ATTEST:
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Sally A. M e , CMC, City Clerk
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PO Number:
7121 Grand National Drive
Suite 101
Odando, FL 32819
Phone: 407-354-1119
Fax: 407-354-1141
Requested By: Rob
Change Order: 4153-1
911 Relocation of existing
Equipment
Salesman: Stsve Cobb
City of Sebastian
1225 Main Street
Sebastian, FL 32958
Quan'
8 Security One Systems-0dando
City of Sebastian
1225 Main Street
Sebastian, FL 32958
Description
Installation Hours
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Date ~2~f~~ C~~
Price
- Ext Price
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E520.00
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The above persons represent thatthey are authorized to sign and execute this change order to project 4153 . This acceptance
indicates understanding that the complete terms and corditions of the original proposal apply to this change order.
Authorize! d CiTy of~s~ reseMative
SERVICES AGREEMENT
THIS AGREEMENT made this ~' day of January, 2004, by and between the CITY
OF SEBASTIAN, a municipal corporation of the State of Florida, 1225 Main Street, Sebastian,
Florida, 32958, ("City") and SECURITY ONE SYSTEMS, INC., ("Contractor."), set forth that
WHEREAS, the City desires to engage a Contractor who has special and unique
competence and experience in installing complex building security systems; and
WHEREAS, the Contractor represents that it has such competence and experience in
providing these services; and
WHEREAS, the City in reliance on such representation has selected the Contractor in
accordance with the requirements of law; and
WHEREAS, the City and the Contractor desire to reduce to writing their understanding
and agreements on such;
IT IS, THEREFORE, AGREED as follows:
` 1. TERM. This Agreement shall commence on the day it is executed by both parties,
and the term of the. Agreement shall extend until the Project is complete.
2. AGREEMENT DOCUMENTS. The Agreement Documents (also called
CONTRACT DOCUMENTS) consist of this Agreement, Supplememal Agreement(s),
Specifications, Work Orders, Change Orders, Addenda if any, any other documents listed in the
Agreement Documents, and written modifications issued after execution of this Agreement, if any.
(a) Intent. The Specifications are an integrated part of the Comract
Documents and as such will not stand alone if used independently. The Specifications establish
minimum standards of quality for this Project. They do not purport to cover all details of
performing the Work. The intent of the Agreement Documents is to set forth requirements of
performance, type of equipment and structures, and standazds of materials and construction. It is
also intended to include all labor and materials, equipment, and transportation necessary for the
proper execution of the Work, to require new material and equipment unless otherwise indicated,
and to require complete performance of the Work in spite of omission of specific reference to auy
minor component part and to include all items necessary for the proper execution and completion
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of the Work by the Contractor. Performance by the Contractor shall be required only to the extent
consistent with the Agreement Documents and reasonably inferable from them as being necessary
to produce the intended results.
(b) Entire and Sole Agreement. Except as specifically stated herein, the Agreement
Documents constitute the entire agreement between the parties and supersede all other
agreements, representations, warranties, statements, promises, and understandings not specifically
set forth in the Agreement Documents. Neither party has in any way relied, nor shall in any way
rely, upon any oral or written agreements, representations, warranties, statements, promises or
understandings not specifically set forth in the Agreement Documents.
(c) Amendments. The parties may modify this Agreement at any time by written
agreement. Neither the Agreement Documents nor. any term thereof may be changed, waived,
discharged or terminated orally, except by an instrument in writing signed by the party against
which enforcement of the change, waiver, discharge or termination is sought.
(d) Construing Terms. This Agreement shall not be construed against the party
who drafted the same, as both parties have obtained experts of their choosing to review the legal
and business adequacy of the same.
3. EMPLOYMENT OF CONTRACTOR The City hereby agrees that it may engage the
Contractor and the Contractor hereby agrees to perform professional services for the City in
installing security systems in the new Sebastian City Hall and the Police Station in accordance
with the Specifications described in Exhibit "A", which are attached hereto and incorporated
herein by this reference.
4. SPECIFICATIONS AND RELATED DATA. The intent of the Specifications,
Work Orders and other Contract Documents is that the Cornractor furnishes all labor and
materials, equipment, supervision and transportation necessary for the proper execution of the
Work unless specifically noted otherwise. The Contractor shall do all the work described in the
Specifications and other Contract Documents and all incidental work considered necessary to
substantially complete the Work ready for use, occupancy, or operation in a manner acceptable to
the City.
Any discrepancies found between the Specifications and site conditions, or any errors or
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omissions in the Specifications, shall be immediately reported to the City. The City shall promptly
determine the validity and seriousness of the claimed condition and correct any such error or
omission in writing, or otherwise direct Contractor. Any work done by the Contractor after his
discovery of such discrepancies, errors or omissions shall be done at the Contractor's risk.
Any correction of errors or omissions in Specifications may be made by the City when
such correction is necessary for the proper fulfillment of their intention as construed by City.
Where said correction of errors or omissions, except as provided in the next paragraph below,
adds to the amount of work to be done by the Contractor, compensation for said additional work
shall be negotiated between the parties and must be issued as a written change order before arty
such additional work is performed or no additional compensation shall be made.
The fact that specific mention of any part of work is omitted in the Specifications, whether
intentionally or otherwise, when the same usually and customarily required to complete fully such
work as is specified herein, will not entitle the Contractor to consideration in the matter of any
claim for. extra compensation, but the said work must be installed or done the same as if called for
by the Specifications. All work and material usual and necessary to make the Work complete in all
its parts, whether or not they are indicated or mentioned in the Specifications, shall be furnished
and executed the same as if they were called for by the Specifications. The Contractor will not be
allowed to take advantage of any errors or omissions in the Plans and Specifications. The City will
provide full information when errors or omissions are discovered.
5. COMPENSATION. The City will pay the Contractor the flat amount of $82878.51
for performance of the Work hereunder. Contractor shall submit requests for progress payments
on a monthly basis, to be reviewed and approved by the Project Manager and submitted to the
City for payment subject to ten percent (10%) retainage.
Claims. Claims arising from changes or revisions made by the Contractor at the City's
request shall be presented to the City before work starts on the changes or revisions. If the
Contractor deems that extra compensation is due for work not covered herein, or in Supplemental
Agreement, the Contractor shall notify the City in writing of its intention to make claim for extra
compensation before work begins on which the claim is based. If such notification is not given and
the City is not afforded by the Contractor a method acceptable to the City for keeping strict
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account of actual cost, then the Contractor hereby waives its request for such extra compensation.
The City is not obligated to pay the Contractor if the City is not notified as described above. The
Contractor may refuse to perfornt additional work requested by the City unt$ an appropriate
agreement is executed by the parties. Such notice by the Contractor and the fact that the City has
kept account of the costs as aforesaid shall not in any way be construed as proving the validity of
the claim.
6. RELEASES. When it is determined, as a result of a joint inspection of the Work by
the Contractor, City, and Project Manager that the Work has been completed in accordance with
the terms of the Contract Documents, the Project Manager shall certify completion of the Work
to the City. At that time, the Contractor may submit the Contractor's final request for payment.
Prior to final payment, the Contractor shall execute and deliver to the City a Contractor's
Affidavit and Release of Claim for all clairns against the City arising under or by virtue of the
work order. Also, each request for payment must have a Claimant's Sworn Statement of Account,
executed by the supplier or subconractor, attached from each supplier or subcontractor who has
notified the City of his right to file a Claim (Notice to City) or who is listed in the Contractor's
Affidavit and Release of Claim as an unpaid potential Claimant.
7. PROJECT SCHEDULES The Contractor shall perform the services outlined under
Paragraph 3 of this Agreement in a timely manner consistent with the assignment schedules as
mutually agreed upon by the City and the Contractor. No extension of time shall be valid unless
given in writing by the City. No monetary compensation shall be given for such delay.
A delay beyond the Contractor's co~rol occasioned by an "Act of God" may entitle the
Contractor to an extension of time in which to complete the Work as det~*~++nPd by the City
provided, however, the Contractor shall immediately give written notice to the City of the cause
of such delay.
The City shall have the authority to suspend the Work wholly or in part, for such periods
as may be deemed necessary and for whatever cause, by serving written notice of suspension to
the Contractor. In the event that the Project Manager shall become aware of any condition that
may be cause for suspension of the Work, the Project Manager shall immediately advise the City
of such condition. The Contractor shall not suspend operations under the provisions of this
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Paragraph without the City's permission. In the event that the City suspends the Work, the
Contractor shall be granted an extension of time to complete the Work for as many calendar days
as the Work was suspended; except, however, that the Contractor will not be granted an
extension of time to complete the Work if the suspension was caused by a fault of the Contractor.
8. TERMINATION OF CONTRACT WITHOUT CAUSE. This Agreement may be
terminated by the City without cause provided at least five (5) days written notice of such
termination shall be given to the Contractor. In the event the City without cause abandons,
terminates or suspends this Agreement for greater than thirty days, the Contractor shall be
compensated for services rendered up to the time of such termination on a quantum meruit basis
and any work done by the Contractor shall remain the property of the City.
9. CITY'S PROJECT MANAGER. City shall designate a Project Manager. All work
done shall be subject to the review of the Project Manager and City. Any and all technical
questions which may arise as to the quality and acceptability of materials fiumished, work
performed, or work to be performed, interpretation of Specifications and all technical questions as
to the acceptable fiulSllment of the Contract on the part of the Contractor shall be referred to the
Project Manager who will resolve such questions.
All materials and each part or detail of the Work shall be subject at all times to
construction review by the Project Manager and the City. Such construction review may include
shop inspection, and any material famished under the Specifications is subject to such inspection.
The Project Manager and the City shall be allowed access to all parts of the Work and shall be
furnished with such information and assistance by the Contractor as is required to make a
complete and detailed review. The City shall not be responsible for the acts or omissions of the
Contractor.
10. CONTRACTOR'S DUTY. Contractor shall supervise and direct the Work, using
Contractor's best skill and attention. Contractor shall be solely responsible for and have control
over means, methods, techniques, sequences and procedures and for coordinating all portions of
the Work under this Contract, unless the Contract Documents give other specific instructions
concerning these matters.
Unless otherwise provided in the Contract Documents, Contractor shall provide and pay
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for labor, materials, equipment, tools, construction equipment and machinery, utilities,
transportation, and other facilities and services necessary for the proper execution and completion
of the Work, whether temporary or permanent and whether or not incorporated or to be
incorporated in the Work.
Unless otherwise provided in the Contract Documents, Contractor shall pay all sales, use
and other similar taxes.
Contractor currently holds and shall maintain at all times during the term of this Contract
all required federal, state and local licenses necessary to perform the Work required under the
Contract Documents.
11. PERSONNEL. The Contractor represents that it will secure at its own expense all
personnel and sub-Contractors required for services which aze necessary to perform this
Agreement. All services required under this Agreement shall be performed by the Contractor or
sub-Contractor and all persons engaged in work under the Agreement shall be qualified to
perform such services and authorized under federal, state and local laws to perform such services.
Personnel who perform services under this Agreement shall not be employees of the City.
All workmen must have sufficient knowledge, skill and experience to perform properly the
work assigned to them. Any foreman or workman employed by the Contractor or subcontractors
who, in the opinion of the City does not perform his work. in a skillful manner, or appears to be
incompetent or to act in a disorderly or intemperate manner shall, at the written request of the
City, be dischazged immediately and shall not be employed again in any portion of the Work
without the approval of the City.
The Contractor shall at all times be responsible for the conduct and discipline of his
employees and/or any subcontractor or persons employed by subcontractors.
12. PROTECTION OF PERSONS AND PROPERTY. The Contractor shall be
responsible for initiating, maintaining and supervising all safety precautions and programs in
connection with the Work in accordance with the U.S. Department of Labor Occupational Safety
and Health Act and the laws of the State of Florida. This Contract requires that the Contractor
and any and all subcontractors hired by the Contractor comply with all relevant standards of the
Occupational Safety and Health Act. Failure to comply with the Act constitutes a failure to
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perform The Contractor agrees to reimburse the City for any fines and/or court costs arising from
penalties charged to the City for violations of OSHA committed by the Contractor or any and all
subcontractors.
The Contractor shall take all reasonable precautions for the safety of, and shall provide all
reasonable protection to prevent damage, injury or loss to, all employees on the Work and all
other persons who may be affected thereby; all the work materials and equipment to be
incorporated therein, whether in storage on or off the project site, under the care, custody or
control of the Contractor or arty of his subcontractors; and other property on the project site or
adjacent thereto, including trees, shrubs, lawns, walks, pavements, roadways, structures and
utilities not designated for removal, relocation or replacement in the course of construction.
The Contractor shall perform any work and shall furnish and install materials and
equipment necessary during an emergency endangering life or property. In all cases, he shall notify
the Project Manager and City of the emergency as soon as practicable, but be shall not wait for
instructions before proceeding to properly protect both life and property.
The Contractor shall be held fully responsible for such safety and protection until .final
written acceptance of the Work.
13. CONTRACTOR'S RESPONSIBILITY FOR WORK. Until acceptance of the Work
by the City, it shall be under the charge and caze of the Contractor, and he shall take every
necessary precaution against injury or damage to the Work by the action of the elements or from
arty other cause whatsoever, whether aiising from the execution or from the non-execution of the
Work. The Contractor shall rebuild, repair, restore and make good, without additional
compensation, all injury or damage to any portion of the Work occasioned by any cause, other
than the sole and active negligence of the City, before its completion and acceptance.
Materials and equipment shall be stored so as to incur the preservation of their quality and
fitness for the Work. When considered necessary, they shall be placed on wooden platforms or
other hard clean surfaces, and not on the ground, and/or they shall be placed under cover. Stored
materials and equipment shall be located so as to facilitate prompt inspection.
14. CLEANING UP. The Cornractor shall at all times keep the premises free from
accumulation of waste materials or rubbish caused by his employees or work. At the completion
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of the Work, he shall remove all his rubbish, tools, scaffolding and surplus materials and shall
leave his work "broom clean" or its equivalent, unless more exactly specified, and shall insure that
all debris and other unsightly objects aze removed and disposed of in a satisfactory manner. At no
additional expense to the City, the Contractor will restore to their original conditions or better, as
neazly as practicable, those portions of the site not designated for aheration and all such property,
structure, ut>7ities, landscaping, etc., disturbed or damaged during the prosecution of the Work.
Final payment will be withheld until such clean up and repairs aze completed
The Work will be considered complete only after all debris and unused material due to or
connected with the Work have been removed and the surrounding area left in a condition
satisfactory to the City. In the event the City finds that the Contractor has not complied in
keeping the job site clean, the City may, after twenty-four (24) hours written notice to the
Contractor to correct the situation, elect to have the job site cleaned by an independent labor
force. The cost of cleaning by said independent labor force shall be deducted from moneys due
the Contractor.
15. SUBCONTRACTS AND ASSIGNABILITY. The Contractor shall not assign
any interest in the work orders or this Agreement and shall not transfer any interest in the same
without the prior written consent of the City. Any sub-contracts or other work which is
performed by persons or firms other than the Contractor under this Agreement or any work
orders shall have prior written approval of the City Manager. Any subcontracts or outside
associates or Contractors requaed by the Contractor in connection with services covered by this
Agreement or any work orders must be specifically approved by the City Manager.
16. INDEMNIFICATION. The Contractor shall indemnify and save harmless the
City, its agents, subcontractors, servants, and employees from and against claims, liability, losses,
or causes of action to the extent arising from any misconduct, negligent act, or omission of the
Corractor, its agents, servants or employees in the performauce of services under this contract.
17. INTERESTS OF CITY OFFICIALS. No officers, members or employees of the
City and no members of its governing body, and no other public official of the governing body of
the locality or localities in which services for the facilities are situated or carried out, who
exercises any functions or responsibilities in the review or approval of the undertaking or carrying
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out of this project, shall participate in any decision relating to this Agreement which affects his
personal interest, or have any personal or pecuniary interest, direct or indirect, in this Agreement
or the proceeds thereof.
18. CERTIFICATION OF RESTRICTIONS ON LOBBYING. The Contractor
agrees that no Federal appropriated funds have been paid or will be paid by or on behalf of the
Contractor to any person for influencing or attempting to influence any officer or employee of any
Federal agency, a member of Congress, an officer or employee of Congress or an employee of a
member of Congress in connection with the awazding of any Federal contract, the making of any
Federal Grarrt, the making of any Federal loan, the entering into of any cooperative agreement and
the extension, continuation, renewal, amendment or modification of any Federal contract, Grant,
loan or cooperative agreement.
If any funds other than Federal appropriated funds have been paid by the Contractor to
any person for influencing or attempting to influence an officer or employee of any Federal
agency, a member of Congress, an officer or employee of Congress or an employee of a member
of Congress in connection with any FDOT Joint Participation Agreement, the undersigned shall
complete and submit Standard Form-LLL "Disclosure Form to Report Lobbying" in accordance
with its instructions.
19. CONFLICT OF INTEREST. The Contractor covenants that he presently has no
interest and shall not acquire any interest, direct or indvect, which shall conflict in any manner or
degree with the performance of services required to be performed under this Agreement. The
Contractor further covenants that in the performance of this Agreement, no person having any
such interest shall be employed. The Contractor shall not undertake any professional work which
conflicts with his duties as the Cit}~s Contractor without the prior written consent of the City
during the term of this Agreement. Auy work where the Contractor can reasonably anticipate that
it may be called to testify as a witness against the City in any litigation or administrative
proceeding will constitute a conflict of interest under this Agreement.
20. COMPLIANCE WITH LAW. The Contractor expressly agrees to comply with all
known laws and regulations relating to providing services under this Agreement. The failure of
the Contractor to adhere to any known law or regulation pertaining to furnishing services under
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this Agreement shall constitute a material breach of this Agreemern.
21. WAIVER The waiver by the City of arty of the Contractor's obligations or duties
under this Agreement shall not constitute a waiver of any other obligation or duty of the
Contractor under this Agreement.
22. PUBLIC ENTITY CRIME The Contractor shall file a sworn statement with the
City which is Attachment I, stating whether a person or affiliate as defined in Section 287.133 (1),
Florida Statutes, has been convicted of a public entity crime subsequent to July 1, 1989, in
accordance with the provisions of Section 287.133 ofthe Florida Statutes.
23. COVENANT AGAINST CONTINGENT FEES. The Contractor warrants that he
has not employed or retained any company or person, other than a bona fide employee working
solely for the Contractor to solicit or secure this Agreement and that he has not paid or agreed to
pay any person, company, corporation, individual or firm, other than a bona fide employee
working solely for the Contractor any fee, commission, percentage, gift or any other consideration
contingent upon or resuhing from the awazd or making of this Agreement. For the breach or
violation of this paragraph, the City shall have the right to terminate the Agreement without
liability and, at its discretion, deduct from the Agreement price, or otherwise recover, the full
amount of such fee, commission, percernage, gift or consideration.
24. DRUG-FREE WORKPLACE. The contract documents also consist of the
"Drug-Free Workplace Form" which is in accordance with Florida Statute 287.089 and must be
signed.
25. GOVERNING LAW. This Agreement shall be governed by the laws of the Stale
of Florida and venue for any action pursuant to the Agreement Documents shall be in Indian River
County, Florida. The parties hereto expressly waive trial by jury in any action to enforce or
otherwise resolve any dispute arising hereunder.
26. INSURANCE. The Contractor agrees to carry insurance, of the types and subject
to the limits as set forth below and maintain said insurance during the life of this agreement:
(a) Workers' Compensation -Contractor shall purchase workers' compensation
insurance as required by law.
(b) Commercial General Liability - Corrtractor shall purchase Commercial General
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Liability insurance with a combined single limit of at least $1,000,000.
(c) Commercial Auto Liability -Contractor shall purchase Commercial Auto Liability
insurance wish a combined single limit of at least $1,000,000.
Further, Contractor shall maintain such insurance as is reasonably required to satisfy its
obligations for the Work paid fvr by the City but not yet accepted.
The insurance company selected shall be A+ or better per the Best's Key Razing Guide.
The Contractor and the insurance company(s) shall agree to furnish the City thirty (30) days
written notice of their intent to cancel or terminate said insurance. It is the full responsibility of the
contractor to insure that all sub-contractors have full insurance coverage as stated above.
The Contractor shall not commence the Work under this contract until he has obtained all
the insurance required under this paragraph and certificates of such insurance have been submitted
to the City, nor shall the Contractor allow any subcontractor to commence work on his
subcontract until all insurance required has been so obtained and approved by the City. The
Contractor shall carry and maintain until acceptance of the Work, insurance as specified herein
and in such form as shall protect him and any subcontractor performing work under this Contract,
or the City, from all claims and liability for damages for bodily injury, including accidental death,
under this Contract, whether by himself or by any subcontractor or by any one directly or
indirectly employed by either of them
The Contractor shall furnish to the City certificates of insurance in duplicate showing
proof of insurance, naming the City as an additional insured party, prior to the start of
construction as provided in the Contract.
27. GUARANTEE. The Contractor shall warrant all equipment furnished and work
performed by him for a period of one (1) year from the date of final written acceptance of the
Work by City. All equipment and material warranties or guararrtees shall be drawn in favor of the
City and the originals thereof furnished to the City for review and acceptance prior to final
payment.
Such guarantee shall in no way limit or re3ieve the Contractor of liability from subsequent
claims of beach of contract due to substandard materials or workmanship, nor shall such warranty
period shorten the statute of limitations for bringing a breach of contract or other action based
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upon any such deficiencies.
Any materials, equipment or work which do not satisfactorily meet the Specifications may
be condemned by the City by giving a written notice to the Contractor. All condemned materials,
equipment or work shaIl be promptly taken out and replaced. Any defective work whether the
result of poor workmanship, use of defective materials, damaged through carelessness or from
other cause shall be removed within ten (10) days after written notice is given by the City, and the
work shall be re-executed by the Contractor. The fact that the City may have previously
overlooked such defective work shall not constitute an acceptance of any part of it. Should the
Contractor fail to remove rejected work or materials within ten (]0) days after written notice to
do so, the City may remove them and may store the materials and equipment.
The making of the final payment by the City to the Contractor shall not relieve the
Contractor of responsibility for faulty materials or workmanship. The City shall promptly give
notice of faulty materials and workmanship and the Contractor shall promptly replace any such
defects discovered within one (1) year from the date of final written acceptance of the Work by
the City.
IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed,
the day and year first above written.
ATTEST (SEAL):
Sally A. Mai , CMC, City Clerk
City Clerk
CITY OF
City'
Approved as to form and legality for
reliance by the City of Sebastian only:
~~~~~,~-
Rich Stringer, City Attorney
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Signed, sealed and delivered
in the presence of:
;.Oti~,p.Y PyB-,,, Jenifer G. Brushwood
_:' `~~Commission#DD2192I5
~~~< ExpicB~~,~2008
~'
~.P,r~,~ ./~3ulQ~P
Name:
CONTRACT K:
SicKa~ Ore. ~-~s~•~.,s
J~
By:
Name: S~-~~e Lras
Title: ~ e s ,
13
DRUG-FREE WORKPLACE FORM
The undersigned Contractor, in acco~rda~n`ce with Florida Statute 287.087 hereby
certifies that ~y f IdbZF'Zf~ Q/U`C .? (~ ~'~ S . ~/U'L~ does:
1. Publish a statement notifying employees that the unlawful manufacture,
distribution, dispensing, possession, or nse 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 drag abuse in the workplace, the
business' policy of maintaining adrug-free workplace, any available drug
connseGng, rehabilitation, 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 contracua)
services a copy of the statement specified in Paragraph 1.
4. In the statement specified in Paragraph 1, notify the employees that, as a
condition of working on the commodities or contractual services that the
employee will abide by the terms of the statement and will notify the employer
of any conviction of; or plea of guilty or polo contendere to any violation of
Chapter 1893 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.
$, Impose a sanction on, or require the satisfactory participation in a drug
abuse assistance or rehabilitation program if such is available in the employee's
community, by any employee who is so convicted.
6. Make a good faith effort to continue to maintain adrug-free workplace
through implementation of Paragraph 1 through 5.
As the person authorized to sign this statement, I certify that this firm complies fully
with the above requirements.
Date: a Jx 6~
Contractor
PUBLIC ENTITY CRIIIZES
Any person submitting a quote, bid, or proposal in response to this invitation or a
contract, must execute the enclosed form PUR 7069, sworn statement under section
287.133(3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES, including proper
check(s), in the space(s) provided, and enclose it with his quote, bid, or proposal )f you are
submitting a quote, bid or proposal on behalf of dealers or suppliers who will ship commodities
and receive payment from the resulting contract, it is your responsibility to see that copy(ies)
of the form are executed by them and are incladed with your quote, bid, or proposal
Corrections to the form will not be allowed after the quote, bid, or proposal opening time and
date. Failure to complete this form in every detail and submit it with your quote, bid, or
proposal may result in immediate disqualification of your bid or proposal
The 1989 Florida Legislature passed Senate Bi11458 creating Sections 287.132 - 133,
Florida Statutes, effective July 1,1989. Section 287.132(3)(d), Florida Statutes, requires the
Florida Department of General Services to maintain and make available to other political
entities a "convicted vendor" list consisting of persons and affiliates who are disqualified from
public contracting and purchasing process because they have been faand guilty of a public
entity crime. A public entity crime is described by Section 287.133, Florida Statutes, as 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 entity in Florida or with an 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 with an agency or
political subdivision and involving antitrust, fraud, theft, bribery, collusion, racketeering,
conspiracy, or material misrepresentation.
By law no public entity shall accept any bid from, award any contract to, or transact
any business in excess of the threshold amount provided in Section 287.017, Florida Statutes,
for category two (currently $10,000) with any person or affiliate on the convicted vendor Est
for a period of 36 months from the date that person or affiliate was placed on the convicted
vendor list unless that person or affiliate has been removed from the list pursuant to Section
287.133(3)(f), Florida Statutes.
Therefore, effective October 1,1990, prior to entering into a contract (formal contract
or purchase order) in excess of the threshold amount of $10,000 to provide goods or services to
THE CTTY OF SEBASTIAN, a person shall file a sworn statement with the wntracting officer
or Purchasing Director, as applicable. The attached statement or affidavitwill be the form to
be utilized and must be properly signed in the presence of a notary public or other officer
authorized to administer oaths and properly executed.
HE INCLUSION OF THE SWORN STATEMENT OR AFFIDAVIT SHALL BE
SUBMITTED CONCURRENTLY WITH YOUR QUOTE OR BID DOCUMENTS. NON-
INCLUSION OF THIS DOCUMENT MAY NECESSITATE REJECTION OF YOUR
QUOTE OR BH).
SWORN STATEMENT UNDER SECTION 287.133(3)(a},
FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES
THIS FORM MU5T BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR
OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS.
1. This sworn statement is submitted with the ~ULIGya. ~P~G ~ Ll~ ~/~'(/fi
Proje tName
BidlContract for THE CITY OF SEBASTIAN.
2. This sworn statement is submitted by ~~7" 2 o N ,( rGmi ., whose
business address is ~7N?~ 4i1LiUS Gv~v'~ and (~ applicable) its Federal
Employer Identification (FEIN) is ~r~c' - 0/~+4~ -s; fr,{
3. My name is ~~~Z CrzSp~ (please print
name individual signing) and my re tionship to the entity named above is
<zsi cI, ~ ~. ,
4. I understand that a "public entity crime" as defined in Paragraph 287.133(1)(8),
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 entity or with an
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. I understand that "convicted" or "conviction" as defined in Paragraph
287.133(1)(b), Florida Statutes, means a finding of guilt or a conviction of a public
entity crime, with or without an adjudication of gain, 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. I understand that an "affiliate" as defined in Paragraph 287.133(1)(a),
Florida Statutes, means:
(1) A predecessor or successor of a person convicted of a public entity crime; or
(2) An entity under the control of any natural person who is active in the
management of the entity and who has been convicted of a public 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 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 36 months
shaIl be considered an affiliate.
7. 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 agents who are
active in management of the entity, or an affiliate of the entity has bcen charged with
and convicted of a pabfic entity crime subsequent to July 1,1989, AND (Phase indicate
which additional statement applies.)
There has been a proceeding concerning the conviction before a hearing
officer 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 bearing 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.)
The 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 Services.)
ign~ )
Date: ~~f} 0`~
STATE OF FLORIDA
COUNTY OF p/'~I''NC~'E-'
The foregoing instrument was acknowledged before me this ~ day of
S P ~r>aay , ~` by .fie u~ C~ e~ o ,
(fide) on ehalf of ~' ~> Q° k a O tw2 Helshe is personally lmown to
me or has produced as identification and did ()did not~'ftake an
.~,~:o'°~ Jenifer G. Brushwood
oath. ''2°' ~ ~ ~' = Commasion #DD279215
`_~~ ~+-`Expires: Jan 06 200&
a~ .;~; s
&i~ ~/~7 c
l" ~4g'B~fl.~q I
Name: ~ C~ (,JOO
My Commission Expires: $
Commission Number: 1~ a
H ~EI~TIr 1vATE VF INJ.~Qf'11Yf',.C CERTIFICATE NUMBER.
.
' l ~ V G NYC-002335062-13
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh USA, InC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1166 Avenue of the Americas POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE.
New York, NY 10036 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Attn: A. HARPER/ 212-948-0500/
NEWYORK.CERTS@MARSH.COM COMPANIES AFFORDING COVERAGE __
_..___ _.- _ __-_
COMPANY
SECUR Y
---- -- --- ~ A ACE AMERICAN INSURANCE COMPANY
-
INSURED -_~COMPANY -- -- - -~_
ELECTRONIC TECHNOLOGIES CORP. USA B LEXINGTON INSURANCE COMPANY
D/B/A INGERSOLL RAND COMPANY
1 1819 N. PENNSYLVANIA STREET i coMPANY
CARMEL, IN 46032 C INDEMNITY INS CO OF N. AMERICA
COMPANY
D N/A
COVERAGES
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WI7H RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LIMITS
DATE (MM/DD1YY) DATEIMM/DD/YY)
A GENERAL LIABILITY HDO 623718091 01/01/07 04/17/08
000
000
$ 2
I GENERAL AGGREGATE ,
,
~X I~ COMMERCIAL GENERAL LIABILITY
hl ~ PRODUCTS -COMP/0P AGG $ 2,000,000
CLAIMS MADE ~ OCCUR PERSONAL 8. ADV INJURY $ 1 ,000,000'
- ~
OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 1 ,000,000
000
000
$ 1
FIRE DAMAGE
(Any one fire) ,
,
_
MED EXP (An one person ~ $ 10,000
A AUT OMOBILE LIABILITY ISA H08228498 01/01/07 04/17/08
X COMBINED SINGLE LIMIT $ 1 ,000,000 '
_ ANY AUTO
X ALL OWNED AUTOS BODILY INJURY
$
X SCHEDULED AUTOS (Per person)
X HIRED AUTOS
BODIL`/INJURY
$
X NON-OWNED AUTOS (Per accident)
X PHYSICAL DAMAGE 'SELF INSURED'
PROPERTY DAMAGE $
GAR AGE LIABILITY
~ AUTO ONLY - EA ACCIDENT I $
ANY AUTO OTHER THAN AUTO ONLY
: __ __,
EACH ACCIDENT $
- ~---
AGGREGATE $
B EXCESSLIABILITY 7412242 01/01/07 04/17/08 EACH OCCURRENCE $ 6,000,000
X UMBRELLA FORM AGGREGATE $ 6,000,000
OTHER THAN UMBRELLA FORM ~ $
C WORKERS COMPENSATION AND
' WLRC44483622 (AOS) 01/01/08 04/17/08 X WcsTATU- orH-
EMPLAYERS
LIABILITY I TORY LIMITS ER
A
SCFC44483749(WI)
0t/01/Og
04/17/08 _
EL EACH ACCIDENT $ 3,000,000`
A THE PROPRIETOR/ ~ INCL
PARTNERS/EXECUTIVE r--1 WLRC44483701 (CA) 01/01/08 04/17/08 EL DISEASE-POLICY LIMIT $ 3,000,000
OFFICERS ARE: EXCL ~ EL DISEASE-EACH EMPLOYEE 006
000.
$ 3
OTHER ,
,
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS
THE INSURANCE POLICIES ABOVE PROVIDE COVERAGE FOR SECURITY ONE SYSTEMS EFFECTIVE 5/12/05. THE CERTIFICATE HOLDER IS
HEREBY NAMED AS AN ADDITIONAL INSURED SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. FOR A COPY OF OUR POLICY
ENDORSEMENT, PLEASE VISIT OUR WEBSITE AT WWW.IRCO.COM. INGERSOLL RAND COMPANY ISSELF-INSURED FOR GENERAL LIABILITY
$10,000,000 EXCESS OF $5,000,000 PRIMARY LIMITS, FOR AUTOMOBILE LIABILITY FOR $13,000,000 EXCESS $2,000,000 PRIMARY, AND FOR
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE MSURER AFFORDING COVERAGE VNLL ENDEAVOR TO MAIL ~Q DAVS NRITTEN NOTICE TO THE
CITY OF SEBASTIAN
ATTN: PAUL WAGNER CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION'OR
1225 MAIN STREET LIABILITY OF ANV KIND UPON THE INSURER AFFORDING COVERAGE, RS AGENTS OR REPRESENTATIVES, OR THE
SEBASTIAN, FL 32958
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: James Sallada --~''-~-=Y`~~~
'
v
MM1(3f02) VAUD AS OF: 12/13/07
~1DD.ITIONAL INFORMATION °ATE~MMI°DIYY)
NYC-002335062-13 12/13/07
PRODUCER COMPANIES AFFORDING COVERAGE
Marsh USA, Inc. _ _
~
1166 Avenue of the Americas COMPANY
New York, NY 10036 E
Attn: A. HARPER/ 212-948-0500/
NEWYORK.CERTS@MARSH.COM
COMPANY
F
SECUR Y
INSURED
ELECTRONIC TECHNOLOGIES CORP. USA
COMPANY
D/B/A INGERSOLL RAND COMPANY G
11819 N. PENNSYLVANIA STREET
CARMEL
IN 46032
,
COMPANY -
H
CONTINUED FROM DESCRIPTION SECTION:
EMPLOYER'S LIABILITY $12,000,000 EXCESS OF $3,000,000 PRIMARY LIMITS.
CITY OF SEBASTIAN
ATTN: PAUL WAGNER
1225 MAIN STREET
SEBASTIAN. FL 32958
MARSH USA iNC. BY
James Sallada --~~~-z~~`"~l
v'
1~-T~ A~ t~IQ1 II] Altl~t CERTIFICATE NUMBER
'
T~F~
'
E
'[ V [f~Iti7k7I~/
R
L
R 11 1 /
v
'tP! G NYC-002335062-10
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh USA Ir1C. NO RIOHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1166 Avenue of the Americas POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVER/1(iE
IVew York, NY 10036 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Attn: A. HARPER/ 212-948-0500/ COMPANIES AFFORDING COVERAGE
NEWYORK.CERTS@MARSH.COM
COMPANY
SECUR Y A ACE AMERICAN INSURANCE COMPANY
INSURED COMPANY
INGERSOLL-RAND CO. B LEXINGTON INSURANCE COMPANY
ELECTRONIC TECHNOLOGIES CORP. USA
SECURITY ONE SYSTEMS, INC. COMPANY
43 MILL STREET C INDEMNITY INS CO OF N. AMERICA
DOVER PLAINS, NY 12522
COMPANY
D N/A
cou~>~s
...
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE
DATE(MMIDDIYY) POLICY EXPIRATION
DATE(MMIDDIYY) LIMITS
A 6EN ERALUABILITY HDOG21713892 01/01/06 01/01/07 GENERAL AGGREGATE $ 2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS -COMP/OP AGG $ 2,000000
CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1 ~~~~~~
OWNER'S 8 CONTRACTOR'S PROT EACH OCCURRENCE $ 1 ,000,OOO
FIRE DAMAGE (An one file) $ 1 ,000,000
MED EXP An one rson $ 10,000
A Aur oMOBILE uaBIUTY ISA H08022094 (AOS) 01/01!06 01/01/07
COMBINED SINGLE LIMIT
$ 1 ,0,000
A X ANY AUTO CAC 394528 (CANADA) 01/01/06 01/01/07
X ALL OWNED AUTOS BODILY INJURY $
X SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY $
(Perawident)
X NON-OWNED AUTOS
X HYSICAL DAMAGE 'SELF INSURED'
PROPERTY DAMAGE
$
iARA(iE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
B EXCESSLIA9IUTY 7412110 01/01/06 O1/O1/O7 EACH OCCURRENCE $ 6,000,00
X UMBRELLA FORM AGGREGATE $ 6,000,000
OTHER THAN UMBRELLA FORM $
C WO R R COMPE SA ION AND
' WLR 044338245 (AOS) 01/01/06 01!01/07 X TORY LIMITS ER _
A UA&LrrY
EMPLOYERS
SCF 044338270 (WI)
01/01/06
01/01/07
EL EACH ACCIDENT
$ 3,000,000
A THE PROPRIETOR/ X INCL WLR 044338257 (CA) ()1/01/()6 01/01/07 EL DISEASE-POLICY LIMIT $ 3,0~,0~
PARTNERS/EXECUTIVE
EACH EMPLOYEE
EL DISEASE
0
000
$ 3
OFFICERS ARE: IXCL - ,
,
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESdSPECIAL ITEMS
THE INSURANCE POLICIES ABOVE PROVIDE COVERAGE FOR SECURITY ONE SYSTEMS EFFECTIVE 5/12/05. THE CERTIFICATE HOLDER IS
HEREBY NAMED AS AN ADDITIONAL INSURED SUBJECT TO TH E TERMS AND CONDITIONS OF THE POLICY. FOR A COPY OF OUR POLICY
ENDORSEMENT, PLEASE VISIT OUR WEBSITE AT WWW.IRCO.COM. INGERSOLL RAND COMPANY ISSELF-INSURED FOR AUTOMOBILE LIABILITY
FOR $14,000,000 EXCESS $1,000,000 PRIMARY, FOR WORKER'S COMPENSATION $12,000,000 EXCESS OF $3,000,000 PRIMARY, AND FOR
`GERT[FICk"fE: F~OC[~Ef( `: _' '' G/iNC€L1.Jk'Fli'~I+I ''
SHOULD ANY OF THE POLICIES DESCRIBED HERENJ BE CANCELLED BEFORE THE E%PIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ~Q DAYS WRITTEN NOTICE TO THE
CITY OF SEBASTIAN CERTIFICATE HOLDER NAMED HEREIN, BUT FAIWRE TO MAIL SUCH NOTICE SHALL MPOSE NO OBLIGATION OR
ATTN: PAUL WAGNER
1225 MAIN STREET LIABILffY OF ANY KIND UPON THE INSURER AFFORDMG COVERAGE, RS AGENTS OR REPRESENTATIVES, OR THE
SEBASTIAN, FL 32958 ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Shannon Brendle ¢~^-^~-"'~
__
MM1(3/9~} VALID AS OF.12/21/05
ADDI710NAL fNFORMATION
PRODUCER t
Marsh USA Inc.
'1166 Avenue of the Americas
New York, NY 10036
Attn: A. HARPER/ 212-948-0500/
N EWYORK.CERTS@MARSH.COM
SECUR Y
INSURED
INGERSOLL-RAND CO.
ELECTRONIC TECHNOLOGIES CORP. USA
SECURITY ONE SYSTEMS, INC.
43 MILL STREET
DOVER PLAINS, NY 12522
- _ _...
DATE (MM/DD(YY)
'' NYC-t10~335Uf 2-~ t~ . 12 / 21 /0 5 .........
_..
COMPANIES AFFORDING COVERAGE
COMPANY
E
COMPANY
F
COMPANY
G
COMPANY
H
~~(T
CONTINUED FROM DESCRIPTION SECTION:
GENERAL LIABILITY $10,000,000 EXCESS OF $5,000,000 PRIMARY LIMITS WITH ACE AMERICAN INSURANCE COMPANY.
CITY OF SEBASTIAN
ATTN: PAUL WAGNER
1225 MAIN STREET
SEBASTIAN, FL 32958
MARSH USA INC. BY
Shannon Brendle ~"'''~"
i?~ge _..
~. CERTIFICATE OF LIABILITY INSURANCE Zii2i oa
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
MICHAEL J. KELLY INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
3463 State Street, #224 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Santa Barbara, CA 93105
805-682-0113 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Twig City Pile In9urance Company
Security One Systems , Inc . INSURER B. sirat Cammarcial xnevrame co.@.ay
5747 North Andrews Way INSURER G Lexington IasTmance Company
Ft. Lauderdale, FL 33309 INSURER D RaztfaM Casualty Easuranoe Ceo~aay
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWRHSTANDING
ANY REQUIREMENT, TERM DR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LW11T5 SHOW N MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Lra anp TYPE OFINSURANCE POLICY NUMBER DATE MMFDOCTIVE DATCEVIX~DATION LIMBS
GENERAL LIABILRY EACH OCCURRENCE $ 1 , OOO , OOO
X COMMERGAL GENERAL LIA81LfN PREMISES caurence $ 3OO OOO
CLAIN9SMADE ^X OCCUR MED IXP(Anyone person) $ 10,000
A X X arm E & O 72 UEN QD4013 Ol-Ol-04 Ol-Ol-05 PERSONALanovwdulzY $ 1,000,000
GENERAL AGGREGATE $ 2 , OOO , OOO
GEN'L AGGREGATE LIMB APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000 OOO
POLICY X PRO LOC
JECT
AUT
X OMOBILE LIABILITY
ANVAUTO COM81NE0 SINGLE LIMB
(Ea accident) $ 1,000,000
X
X ALLOWNED AVTOS
SCHEDULED AUTOS BODILY INJURY
(Per person)
$
A X
X HIRED auTOS
NON-OWNEOAUTOS 72 UEN QD4013 01-01-04 O1-O1-05 BODILY INJURY
(Peraccident)
$
PROPERTY DAMAGE $
(Peraccidant)
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 3
ANYAUTO OTHERTHAN EA ACC $
i AUTOONLY: qGG $
EXCESSIUMBRELLA LIABILIN ~ EACH OCCURRENCE $ 3 , OOO, OOO
X OCCUR ~ CLAIMSMADE ~ AGGREGATE $ 3 , OOO, OOO
72 HHU QD4246 01-01-04 01-01-05 $
D DeoucnBLE $
X RETENTION S lO, OOO $
WORKERS COMPENSATIONANO X TORYLIMRS ER
EMPLOYERS LIA8ILT^(
ARTNERIE%ECWIVE 16509-1 01-01-04 O1-Ol-O5 E.L. EACH ACCIDENT $ 1,000,000
B ItJY PROPRIETORIP
OFFICERIMEMBER IXCLIIpEOi E.L. DISEASE-EA EMPLOYE $ 1,DDD, DDD
Ilyyae dBSGIbE IIndE!
SPECIALPROVISIONS below
E.L. DISEASE-POLICY LIMB
$ 1 OOO OOO
C orHER PROPERTY 5628407 01-01-04 Ol-O1-05 570,000 BLANKET
Equip. 270,000 All Loc
nFfiC RIPTInN nF OPERATIONS/ LOCATIONS I VEHICL ES 1 EXCLUSIOIJS ADDED 8V ENDORSEM ENTI SPEGAL PROVISI ONS
Cer£icate holder is named as an additional insured as respects General
Liability
*10 DAY CA
FOR
OF PREMIUM
SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE IXPIRATIO
Cl ty O£ SebaS tlan DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *3O OAVS WRffTEN
Attn : Paul Wagner NOTICE TD THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
1225 Ma1n Street IMPOSE NO OBLIGATION OR LIABILRV OF ANY KIND UPON THE INSURER, RS AGENTS OR
Sebastian FL 32958 REPRESEMATIVES.
AUTHORIZED REPRESE
/~~~
I ~I +~ -_ _ ~ _- _ _
ACORD25(2001/O8)
.~
City of Sebastian
Project Location:
City of Sebastian
1225 Main Street
Sebastian, FL 32958
Security System Completion Phase
Proposal: 6175-1
08/12/2004
Prepared For:
Paul Wagner
7121 Grand National Drive
Orlando, FL 32819
The data contained in all pages of this proposal has been submitted in confidence and contains trade secrets and/or privileged or
confdential wmmercial or financial information. Such data shall be used or disclosed only for evaluation purposes, provided that rf a
contract is awarded to this proposer as a result of or in connection with the submission of this proposal, the Customer shall have the right
to use or disclose the data herein to the extent provided in the contract. This restriction does not limd the Customer's right [o use or
disclose data obtained without restriction from any source, including the proposer.
. , r!
~'
Systetns°
7121 Grand National Drive
Orlando, FL 32819
August 30, 2004
Paul Wagner
City of Sebastian
1225 Main Street
Sebastian, FL 32958
Re: Access -Proposal
Deaz Mr. Wagner:
www.securityone.com
Thank you for allowing Security One Systems, Inc. the opportunity to present this proposal for
your consideration. This proposal is based on our discussions, meetings, site surveys, and bid
documents created by your organization.
Our company is uniquely qualified to provide the installation and service required for the above
referenced security system. Security One Systems, Inc. has an established track record of
installing and maintaining similar systems as well as meeting strict time schedules and budget
requirements.
Our engineering and project management staff have worked together with me to create this
proposal. This team will be prepared to deliver your installation in an organized and professional
manner. Our installation crews and service technicians will be uniformed, trained, and in
company stocked vehicles.
In addition, upon completion of the installation, our service department staff will be ready to
provide you with same day service utilizing our unique computerized dispatch system.
Finally; although most of the work to be done will be executed by other team members, I will be
committed to monitoring the process and making sure that your system meets or exceeds your
expectations.
Sincerely,
Ross Linville
Security Sales Advisor
Page 2 of 6 6175-1
Scope: Access Control
5ystems°
Computers
Computer #1 Existing
Location: Existing
Desktop
Access Control Softwaze: NexWatch - X-SFW-PWCESW -Pro-Watch CE Server Software
Notes: Customer to furnish own server and client machines. Security One to provide and install
SQL2000 server license.
Customer to furnish and install (as required) all electric, UPS systems, network connections, and
telephone lines to each computer location.
Page 3 of 6 6175-1
Equipment List T;'P; ' ~' r`~lz~~'
5ysiems'~
Head End
Qty Make -Model Price Per Unit Ext. Price
1.00 NexWatch-X-SFW-PWCESW $3,268.77 $3,268.77
Misc
Qty Make -Model Price Per Unit Ext. Price
1.00 NexWatch-SQL2000-5 $2,671.00 $2,671.00
1.00 NexWatch-X-CUP-PWCESWCL5 $5,066.01 $5,066.01
Items in italics are not pad of speciaf pricing agreement.
Page 4 of 6 6175-1
Financial Summary
Systems"
Proposal Number: 6175-1
Billing Address: Project Location:
City of Sebastian Citv of Sebastian
1225 Main Street 1225 Main Street
Sebastian, FL 32958 Sebastian, FL 32958
Access Summary
Equipment
Materials
Labor
Svstem Tota]
Total Summary
Access System
Systems Total
$11,005.78
$660.35
$881.40
$12,547.53
$12,547.53
$12,547.53
System Discount -$1,540.81
Adjustment ($500.00)
Total
$10,506.72
This proposal does not include sales tax
Date PriMetl 08/3012004 6:34:30PM
Page 5 of !I G 175-]
Acceptance
Systems°
For the amount of $10,506.72 for installation.
This proposal is valid until 10!1112004
City o Sebastian, security one systems, Inc.
Authd' d omer Signature Da S ri One Systems, Inc. Signature Date
Terrence R. Moore
Printed Name
City Manager
~twe ~;PS~d
Printed Name
Title
~.59~
PO Number
/4Pn~"
`The above persons represem that they are authorized to sign and execute this binding agreement. This acceptance indicates
understanding of the complete proposal, including clarifications, design, programming, drawings, ownership and software licenses and
?the Warranty Service Plan below. This system proposal is intended to provide the Uient partial protection of the designated premises. Its
rdesign should be understood to represent a compromise between the costs, understood scope of work, and customer feedback.
Accordingly, such a system may not provide ample protection from all possible threats, and Security One Systems, Ina shall not be
responsible in such an event.
Snaps agreement #6802563
Payment Tor Services
Customer agrees to pay Fifty (50 %) percent of [he above pdce as a deposit before work begins. The balance of the installation will be
billed upon substantial completion of the system.
Under no circumstances may Customer make payments directly to any subcontractor, material supplier, laborer, o¢ any ether person
performing work or furnishing ma±edal under the Agreement ~mithout the prior w^?e:; _~oosent of Security One Systems,. Inc..
Service Plan
All terms and conditions of the original agreement are hereby incorporated and made part of the
Security System Completion Phase.
The equipment installed by Security One Systems, Inc. will be covered by a Protection Plan for a period of twelve months following the
date of substantial completion of the system. The system will be considered substantially completed at the time which the customer
receives beneficial use of the system or is able to receive beneficial use of the system. The service plan will cover all parts and labor
during working hours (Monday-Fdday from 8:30AM -S:OOPM excluding holidays. Service can be pertormed on weekends or after hours at
Security One Systems, Ina's standard published m[es.
Page 6 of 6
6175-1