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Okaloosa County BOCC — March 18, 2014 — reading text
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insurance required shall be written for not less than the following, or greater if
required by law and shall include Employer's liability with limits as prescribed in this
contract:
LIMIT
A. Worker's Compensation
1.) State Statutory
2.) Employer's Liability $1,000,000 each accident
Business Automobile & Commercial $1,000,000 each occurrence
General Liability Insurance (A combined single limit)
C. Personal and Advertising Injury $250,000
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 & 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 contract.
Certificate of Insurance
All insurance shall include the interest of all entities names in and its respective agents,
consultants, servants and employees of each and all other interests as may be
reasonably required by Okaloosa County as Additional Insured. The coverage afforded
the Additional Insured under this policy shall be primary insurance. If the Additional
insured under this policy shall be primary insurance. If the Additional Insured has other
insurance that is applicable to the loss, such other insurance shall be on an excess or
contingent basis. The amount of the company's liability under this policy shall not be
reduced by the existence of such other insurance.
Last Revised- 12/6/13
Page 11
Packet Pg. 366
2. Certificate 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:
Okaloosa County
602-C North Pearl St.
Crestview FL 32536
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.
4. All certificates shall be subject to Okaloosa County's approval adequacy of protection
and the satisfactory character of the Insurer.
5. The Certificates of Insurance shall disclose any and all deductibles or self-insured
retentions (SIRs). Deductibles or SIRs in excess of $10,000 will not be accepted unless
specifically approved in writing by Okaloosa County. All deductibles or SIRs, whether
approved by Okaloosa County or not, shall be the Contractor's full responsibility. In
particular, the Contractor shall afford full coverage as specified herein to entities listed as
Additional Insured.
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.
6. 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 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-contractor, 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.
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.
Last Revised - 12/6/13
Page 12
Packet Pg. 367
"NO CONTACT CLAUSE"
The Okaloosa County Board of County Commissioners have established a solicitation silence
policy (No Contact Clause) that prohibits oral and written communication regarding all formal
solicitations for goods and services (formal bids, Request for Proposals, Requests for
Qualifications) issued by the Board through the County Purchasing Department.
The period commences when the procurement document is received and terminates when the
Board of County Commissioners approves an award.
When the solicitation silence period is in effect, no oral or written communication is allowed
regarding the solicitation between prospective bidders/proposers and members of the Board of
County Commissioners, the County Administrator or members of the Board Approved Review
Committee. All questions or requests for information regarding the solicitation must be directed
to the designated Purchasing Representative listed in the solicitation.
Any information thought to affect the committee or staff recommendation submitted after bids
are due, should be directed to the Purchasing Director or his appointed representative. It shall
be the Purchasing Director's decision whether to consider this information in the decision
process.
Any attempt by a vendor/proposer to influence a member or members of the aforementioned
shall be grounds to disqualify the proposer from consideration during the selection process.
All proposers must agree to comply with this policy by signing the following statement and
including it wi h heir ubmitt I.
I representing F ft S L t
Signature Company tame
Hereby agree to abide by the County's "No Contact Clause" and understand violation of this
policy shall result in disqualification of my proposal/submittal.
Last Revised- 2/6/13
Page 13
Packet Pg. 368
CONFLICT OF INTEREST DISCLOSURE FORM
For purposes of determining any possible conflict of interest, all bidders/proposers, must
disclose if any Okaloosa Board of County Commissioner, employee(s), elected
officials(s), of 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 X
NAME(S) POSITION(S)
FIRM NAME: LL
BY (PRINTED): ; ii R_ et V
BY (SIGNATURE): X~~~
TITLE: C___ () f1 E/"
ADDRESS: 5+
4t- 3Y/
1(_ 54-10 '
PHONE NO.
Last Revised- 12/6/13
Page 14
Packet Pg. 369
DRUG-FREE WORKPLACE CERTIFICATION
THE BELOW SIGNED BIDDER CERTIFIES that it has implemented a drug-free workplace program. In
order to have a drug-free workplace program, a business shall:
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 contender to, any violation of Chapter 893 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, drug abuse assistance
or rehabilitation program if such is available in employee's community, by any employee
who is convicted.
6. Make a good faith effort to continue to maintain a drug-free workplace through
implementation of this section.
As the person authorized to sign this statement, I certify that this firm complies fully with the
above requirements. /
DATE:
COMPANY:
J 7 I LI
P E Pa/ji't c1 L L C,
SIGNATURE:
