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Okaloosa County BOCC — June 17, 2014 — reading text
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B. Business Automobile $1 million each occurrence
(Combined Single Limit)
C. Commercial General Insurance $1 million each occurrence
(Combined Single Limit)
D. Professional Liability $1 million each occurrence
(Combined Single Limit)
E. Personal and Advertising Injury $250,000
Owner & Contractor’s Protective Liability
In addition to the liability requirements above, the CONTRACTOR shall, at his
expense, provide an Owner and CONTRACTOR’s Protective Liability insurance policy
issued in the name of the OWNER and ENGINEER. Coverage shall be provided under
this policy for not less than the following amounts:
A. Bodily Injury $1 million each occurrence
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B. Property Damage $1 million each occurrence
Property Insurance
CONTRACTOR shall purchase and maintain property insurance upon the Work at the
site in the amount of the full replacement cost. Any deductible amount is the
responsibility of the CONTRACTOR. This insurance shall (1) include as an insured the
OWNER, CONTRACTOR, ENGINEER and any others who have an insurable interest,
(2) be written on a Builder’s Risk special cause of loss policy form; (3) include expenses
incurred in the repair or replacement of any insured property (including but not limited to
fees and charges of engineers and architects); (4) cover materials and equipment stored
on the site or at another location that was agreed on in writing by the OWNER prior to
being incorporated in the Work; (5) allow for partial utilization of the work by the
OWNER; (6) include testing and startup; and, (7) be maintained in effect until final
payment is made unless otherwise agreed to in writing by the OWNER,
CONTRACTOR and ENGINEER with 30-day written notice to each other entity to
whom a certificate of insurance has been issued.
Notice of Claims or Litigation
The CONTRACTOR agrees to report any incident or claim that results from
performance of this Agreement. The County representative shall receive written notice in
the form of a detailed written report describing the incident or claim within ten (10) days
of the CONTRACTOR’s knowledge. In the event such incident or claim involves injury
and/or property damage to a third party, verbal notification shall be given the same day
the CONTRACTOR becomes aware of the incident or claim followed by a written
detailed report within ten (10) days of verbal notification.
Indemnification and Hold Harmless
To the fullest extent permitted by law, CONTRACTOR shall indemnify and hold
harmless COUNTY, its officers and employees from liabilities, damages, losses, and
costs including but not limited to reasonable attorney fees, to the extent caused by the
negligence, recklessness, or intentional wrongful conduct of the CONTRACTOR and
other persons employed or utilized by the CONTRACTOR in the performance of this
Agreement.
Certificate of Insurance
A. Certificates of insurance, in duplicate, indicating the job site and evidencing all
required coverage must be submitted to and approved by Okaloosa County prior
to the commencement of any of the work. The certificate holder(s) shall be as
follows:
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Okaloosa County
602-C North Pearl Street
Crestview, Florida 32536
B. All policies shall expressly require 30 days written notice to Okaloosa County at
the address set out above, or the cancellations of material alterations of such
policies, and the Certificates of Insurance, shall so provide.
C. All certificates shall be subject to Okaloosa County’s approval of adequacy of
protection and the satisfactory character of the Insurer.
D. The Certificates of Insurance shall disclose any and all deductibles or self-insured
retentions (SIRs). County requests that all deductibles or SIRs be no greater than
$10,000. However, CONTRACTORS having insurance with higher deductibles
may submit a proposal without penalty reflecting the pricing for their deductible
provided that CONTRACTOR also submits a brief company financial statement.
E. In no way will the entities listed as Additional Insured be responsible for, pay for,
be damaged by, or limited to coverage required by this schedule due to the
existence of a deductible or SIR. Specific written approval from Okaloosa
County will only be provided upon demonstration that the CONTRACTOR has
the financial capability and funds necessary to cover the responsibilities incurred
as a result of the deductible or SIR.
F. In the event of failure of the CONTRACTOR to furnish and maintain said
insurance and to furnish satisfactory evidence thereof, Okaloosa County shall
have the right (but not the obligation) to take out and maintain insurance on the
project. All costs for the coverage will be paid by CONTRACTOR upon
presentation of a bill.
General Terms
Any type of insurance or increase of limits of liability not described above which the
CONTRACTOR required for its own protection or on account of statute shall be its own
responsibility and at its own expense.
The carrying of the insurance described shall in no way be interpreted as relieving the
CONTRACTOR of any responsibility under this contract.
Should the CONTRACTOR engage a subcontractor or sub-subcontractor, the same
conditions will apply under this Agreement to each subcontractor and sub-subcontractor.
The CONTRACTOR hereby waives all rights of subrogation against Okaloosa County
and its consultants and other indemnities of the CONTRACTOR under all the foregoing
policies of insurance.
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Umbrella Insurance
The CONTRACTOR shall have the right to meet the liability insurance requirements
with the purchase of an umbrella insurance policy. In all instances, the combination of
primary and umbrella liability coverage must equal or exceed the minimum liability
insurance limits stated in this Agreement.
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INDEMNIFICATION AND HOLD HARMLESS
To the fullest extent permitted by law, CONTRACTOR shall indemnify and hold harmless
COUNTY, its officers and employees from liabilities, damages, losses, and costs including but
not limited to reasonable attorney fees, to the extent caused by the negligence, recklessness, or
intentional wrongful conduct of the CONTRACTOR and other persons employed or utilized by
the CONTRACTOR in the performance of this Agreement.
____________________________ __________________________
Proposer’s Company Name Authorized Signature – Manual
____________________________ __________________________
Physical Address Authorized Signature – Typed
____________________________ __________________________
Mailing Address Title
____________________________ __________________________
Phone Number FAX Number
____________________________ __________________________
Cellular Number After-Hours Number(s)
____________________________
DATE
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CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all proposers, must disclose if any Okaloosa
Board of County Commissioner, employee(s), elected officials(s), or if any of its agencies is also an
owner, corporate officer, agency, employee, etc., of their business.
Indicate either “yes” (a county employee, elected official, or agency is also associated with your
business), or “no”. If yes, give person(s) name(s) and position(s) with your business.
YES______________ NO______________
NAME(S) POSITION(S)
FIRM NAME: _____________________________________
BY (PRINTED): _____________________________________
BY (SIGNATURE): _____________________________________
TITLE: _____________________________________
ADDRESS: _____________________________________
_____________________________________
PHONE NO. _____________________________________
E-MAIL _____________________________________
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DRUG-FREE WORKPLACE CERTIFICATION
THE BELOW SIGNED PROPOER CERTIFIES that it has implemented a drug-free workplace
program. In order to have a drug-free workplace program, a business shall:
1. Publish a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace
and specifying the actions that will be taken against employees for violations of such
prohibition.
2. Inform employees about the dangers of drug abuse in the workplace, the business’s
policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation
and employee assistance programs, and the penalties that may be imposed upon
employees for drug abuse violations.
3. Give each employee engaged in providing the commodities or contractual services that
are under quote a copy of the statement specified in subsection 1.
4. In the statement specified in subsection 1, notify the employees that, as a condition of
working on the commodities or contractual services that are under quote, the employee
will abide by the terms of the statement and will notify the employer of any conviction
of, or plea of guilty or nolo contendere to, any violation of Chapter 893 or of any
controlled substance law of the
