Loading...
Custom Lifts Inc. Maintenance Agreement (3-25-19 to 3-25-2024)F— EIFTS ®USTOM, March 25, 2019 N,r Custom Lifts, Inc. Specializing in Accessibility Lifts & Residential Elevators Sales, Service, Installation, Maintenance & Repair PLANNED MAINTENANCE AGREEMENT PROPOSAL Mrs. Patty Burnette City of Okeechobee/City Hall 55 SE 31 Avenue Okeechobee, FL 34974 J,Q�( Nie Phone: 863-763-9820 t / Fax: ' 863-763-1686 / Email: pburnette@citycifokeechobee.com RE: City of Okeechobee City Hall — State Serial # 97660, Located at Address: Above We at Custom Lifts, Inc. propose to furnish Planned Maintenance Agreement on the following described lift located at: EQUIPMENT COVERED UNDER THIS AGREEMENT City of Okeechobee City Hall 55 SE 3' Avenue, Okeechobee, FL 34974 Type of Equipment CAPACITY One (1) Vertical Platform Lift 760LBS TYPE & CONDITION OF SERVICE This service shall consist of: *Run platform lift, checking for unusual noise or operation *make necessary adjustments *Check mains voltage *Check lead screw alignment *Check belt(s) & tension, adjust as needed *Check auto lube system *Lubricate chain or lead screw and carriage rollers *Check travel cable and reel *Inspect & dean pit and underneath platform *Check wires for external damage *Check emergency stop/alarm button *Check batteries *Check emergency lowering device, valve or crank *Check hydraulic reservoir for cracks and leaks State #/Vendor# LANDINGS *97660* 2 *Remove Mast cover *Remove controller cover & inspect *Check landing accuracy, adjust as needed *Inspect motor and lead screw pulleys *Check lift nut assembly *Check wear pads or rollers, dean if needed *Inspect & lube upper/ lower bearings lead screw *Check directionallnormal switches, adjust if needed *Check fastening of platform control station wiring *Check all control station buttons and key switches *Check door interlock switches * Check alignment of platform to door *Check the cylinder seal for leaks Florida Accessibility Code, 2012 edition — Under Chapter 410 Platform Lifts - Statue 410.1 — "The ADA and other Federal Civil Rights laws require that the accessible features be maintained in working order so that they are accessible and usable by those people they are intended to benefit. Building owners are reminded that AS ME Al Safety for Platform Lifts and Stairway Chairlifts requires routine maintenance and inspections. Under the Florida Chapter 399 Statutes; maintenance on elevators, escalators, stair chairs and platform rifts must be maintained by a registered elevator company. Each elevator company must annually register with the division and maintain general liability insurance coverage in the minimum amounts set by rule. Custom Lifts, Inc. will come Twice (2x) a year. All work is to be performed during the regular working hours of regular working days of the elevator trade, Monday — Friday 8 am — 5 pm and there will be additional cost for any necessary overtime. Should any parts need to be replaced due to wom mis-used or broken, the owner will be contacted and a (Overtime labor is assessed at time and a Custom Lifts, Inc. 9817 Tower Pine Drive, Winter Garden, FL 34787 Phone 407.654.2670 -- Fax 407.654.8038 info(a),customiliftsine.com normal rate). Custom Lifts, Inc. will charge for any labor, at a rate of $125.00/hour for service with a signed Planned Maintenance Agreement. Travel will be assessed at $50.00 dollars per hour of travel. Warranty does not cover labor charges incurred in the removal, repair or replacement of parts other than PM visits. Custom Lifts, Inc. will not be responsible for rusted items or broken items. All parts will be priced and the customer will be advised by a proposal for replacement, should parts need to be replaced. When you purchase a Planned Maintenance Agreement and regular service is required, a discount on the trip charge might be available if we can perform both the service call and planned maintenance at the same time. Replacement parts, not covered by the manufacturer's original warranty are not covered by this agreement. This warranty does not apply to light bulbs, glase; car cab panels or trim or hydraulic oil seals. If, after making arrangements for a service call and a resulting visit is made by the technician, it is found that due to the customejs circumstances the work cannot be undertaken, Custom Lifts, Inc reserves the right to charge for the service technician's time and traveling expense to and from the customer's premises. Purchaser agrees to provide a safe workplace for our personnel, and to remove any hazardous materials in accordance with applicable laws and regulations. Purchaser agrees to provide Custom Lifts, Inc., unrestricted access to all areas of the building in which any part of the elevators are located and to keep machine rooms and pit areas free from water, stored materials, and excessive debris and to indemnify and hold us harmless from any damage to any or all of our material or work on the premises caused by fire, theft or otherwise unless such damage be occasioned by us or those in our employment. Custom Lifts, Inc., shall not be liable for any loss, damage or detention or delay cause by accidents, strikes, lockouts, material shortages, or by any other cause which is beyond its control, or in any event, for any incidental or consequential damages or any kind regardless of cause. REGULAR SERVICE Custom Lifts, Inc. reserves the right to prioritize service responses according to the nature of the service call before dispatching a service person. Due to weather constraints and workload conditions, Custom Lifts, Inc cannot guarantee when service can be rendered. However, we will endeavor to give prompt and efficient service after notification by the customer of a shutdown. COMMENCEMENTV The service specified herein will be furnished from the - day of M'rtih , 2019, for a period of five (5) years, and continuing thereafter until this agreement is terminated by ninety (90) days notice to that effect given in writing by either of the parties hereto. TERMS: Planned Maintenance Agreement payable at time of service. State registration renew in August. You will receive notification from the State of Florida, this is in addition to the PM Agreement. TOTAL INVESTMENT COST PER YEAR: $600.00 (Six Hundred Dollars & 00/100) Invoiced Semi -Annually, every six (6) months ($300.00) PAYMENTS: Payments are to be made in full upon completion unless otherwise agreed. A late payment !interest charge of 1Y2 percent per month will apply to balances not paid within thirty (30) days of the invoice date. Failure to note this charge on any statement of account or request for payment does not constitute a waiver of the same. All unpaid balances shall be assessed interest at the rate of 18% per annum. This agreement shall be governed in accordance with the laws of the State of Florida, and in the event of any default of the payment provisions herein, purchaser agrees to pay, in addition to any defaulted amount, all attorney fees, collection costs or court costs in connection therewith. The purchaser does hereby waive trial by jury on all matters so -triable and further hereby consents to venue In Lake County, Florida regarding all legal proceedings regarding enforcement, interpretation, and construction of this Contract. Should it become necessary for either party to enforce the terms of this contract in a court of law, by a civil lawsuit, the prevailing party shall be entitled to recover their reasonable attorneys' fees and costs from the non -prevailing party. This shall include any and all attorneys' fees and court costs, whether taxable or non-taxable, incurred in any Custom Lifts, Inc. 9817 Tower Pine Drive, Winter Garden, FL 34787 Phone 407.654.2670 — Fax 407.654.8038 infoe.customliftsine.com civil litigation, alternate dispute resolution proceedings such as arbitration and/or mediation, and any fees or costs incurred in any appellate or bankruptcy proceedings. The planned maintenance price quoted shall be adjusted annually on the first day of each calendar year, or at any time during the year if so dictated by change in state law and/or regulation. The annual adjustment is subject to Custom Lifts, Inc. actual cost to perform this service. The price for the service is subject to annual reconsideration or adjustment, based on the percentage of change to the straight time hourly wage including fringe paid to elevator construction mechanics. Custom Lifts, Inc. reserves the right to discontinue this contract at any time by notification in writing should. the current monihly invoice not be paid within thirty (30) days from the date of invoice. This proposal and your acceptance thereof, shall constitute exclusively and entirely the agreement from the service herein described; and all other prior representations or agreements written or verbal, shall be deemed to be merged herein. No other changes in or additions to this agreement shall be recognized unless made in writing and signed by both parties. This proposal valid for (90) ninety days and subject to the following terms and conditions and when accepted by you and approved by our authorized representatives shall constitute exclusively and entirely, the contract for the equipment described above and all prior representations and agreements relating thereto, whether written or verbal, shall be deemed to be merged herein. No changes in or additions to this agreement will be recognized unless otherwise made in writing and properly executed by both parties. The planned maintenance of the equipment is only good on the date of service. Ac c ptt' � Submitted By r Tim Dietsch By,.r, n;ustom Lifts, Inc ame Title Irm G�%> of a/bPclx-d Q e Approved On ��� 2019 Date 312-rrllo i s By —P S4, -/V --A Name Title Custom Lifts, Inc. 9817 Tower Pine Drive, Winter Garden, FL 34787 Phone 407.654.2670 — IF, 407.654.8038 info(a.eustomliftsine.com Updot-- ACORO®DATE CERTIFICATE OF LIABILITY INSURANCE (MMIDD/YYYY) F02/17/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER First Commercial Insurance Agency P.O. Box 295 Cassadaga FL 32706 CONTACT, Tony Cannizzaro PHONE (386) 775-1781 ac No): (386) 775-3666 E-MAIL nsurance u ADDRESS: i 9 y@cfl.rr.com INSURERS AFFORDING COVERAGE NAIC p INSURER A: GREAT AMERICAN INSURANCE COMPANY 16691 INSURED Custom Lifts Inc 9817 Tower Pine Drive Winter Garden FL 34787-9615 INSURER B: PROGRESSIVE EXPRESS INSURANCE COMPAN 10193 INSURER C: STARNET INSURANCE COMPANY 40045 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE NIOCCUR DAMAGE TO RENTEff- PREMISES Ea occurrence $ 300,000 MED EXP (Any oneperson) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 A X GLP194858602 08/20/2019 08/20/2020 GEN'LAGGREGATE LIMIT APPLIESPER: GENERAL AGGREGATE $ 4,000,000 POLICY ❑X JECT F—]LOC PRODUCTS - COMP/OP AGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY COEaMBINED ccident SINGLE LIMIT $ 2,000,000 a BODILY INJURY (Per person) $ ANY AUTO B 1X OWNED SCHEDULED AUTOS ONLYAUTOS X 01833737-7 09/13/2019 09/13/2020 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident HIRED NON -OWNED AUTOS ONLY NAUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ C WORKERS COMPENSATIONX AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUDED7 (Mandatory In NH) N/A BNUWC0117830 08/20/2019 08/20/2020 STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The Certificate holder is named as an additional insured in regards to the general liability and Auto policy when required by written contract subject to the terms, conditions & exclusions of the policy. f`CDTICW%ATC LIn1 r1CD CAKICFI 1 ATInM ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Okeechobee 55 SE 3rd Avenue AUTHORIZED REPRESENTATIVE Okeechobee, FL 34974 Com- C ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Tax Collector Scott Randolph Local Business Tax Receipt 2019 EXPIRES 9/30/2020 3100 INSTALL WHEELCHAIR LI $30.00 1 EMPLOYEE TOTAL TAX 330.00 SHERMAN SHARON PREVIOUSLY PAID $30.00 TOTAL DUE $0.00 CUSTOM LIFTS INC 9817 TOWER PINE DR WINTER GARDEN FL 34787 1900 HOTEL PLAZA BLVD L -LAKE BUENA VISTA, 32830 Orange County, Florida 3100-1109758 PAID: $30.00 0098-00882245 7/9/2019 Tax Collector Scott Randolph Local Business Tax Receipt Orange County, Florida This local Business Tax Receipt is in addition to and not in lieu of any other tax required by law or municipal ordinance. Businesses are subject to regulation of zoning, health and other lawful authorities. This receipt is valid from October 1 through September 30 of receipt year. Delinquent penalty Is added October 1. 2019 EXPIRES 9130/2020 3100-1109758 3100 INSTALL WHEELCHAIR LI $30.00 1 EMPLOYEE H. TAT TOTAL TAX $30.00 PREVIOUSLY PAID $30.00 ;` SHERMAN SHARON TOTAL DUE $0.00 t 1 CUSTOM LIFTS INC 9817 TOWER PINE DR �'C 1900 HOTEL PLAZA BLVD ��t� WINTER GARDEN FL 34787 1 L - LAKE BUENA VISTA, 32830 PAID: $30.00 0098-00882245 7/9/2019 This receipt is official when validated by the Tax Collector. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION! BUREAU OF ELEVATOR SAFETY 850-487-1395 afi 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-1013 CUSTOM LIFTS INC 9817 TOWER PINE DR WINTER GARDEN FL 34787 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and team more about the Department's initiatives. Our mission at the Department is: License Efficiently; Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! RON DESANTIS, GOVERNOR l g STATE OF FLORIDA DEPARTMENT -OF BUSINESS AND PROFE,"S.fQZ ,ill *R' EGULATION ELC617 :11103/2019 ELEVATOR CO MN �_� CUSTOM LIE ELEVATOR COlfi REQUIRED TO `�VERED BY GENERAL LIABTLI'C E IS REGISTERED under the provisions of Ch -399 FS. E%=azon cwh . DEC 31. ZOV! L?9':t^ GCGC{04 DETACH HERE HALSEY BESHEARS. SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION BUREAU OF ELEVATOR SAFETY ELC617 The ELEVATOR COMPANY ------ Named -`Named below IS REGISTERED Under the provisions of Chapter 399 FS. Expiration date: DEC 31, 2020 - REQUIRED TO CARRY OR BE gOVERED BY GENERAL LIABILITY INSUF CUSTOM LIFTS INC 8817 TOWER PINE DR WINTER GARDEN FI= x ❑ff I[ -.,.&Q :�'•'if '�'T T 13, Foran Request for Taxpayer Give Forth to the (Rev. October 2018) Identification Number and Certification requester. Do not Internal Rev�' STer ry ► Go to www,imgov1ForrnM for instructions and the latest information. send to the IRS, 1 Name (as shown on your income tax retum} Name is require, on this firm, do not leave this One blank. Custom Lifts inc. 2 Business nameldisregarded entity name, 9 different from above i 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the 4 Exemptions (codes apply only to foltovdng seven boxes. certain entities, not individuals; see inshuctlons on page 3): o ❑ Indivkivallsole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate single -member LLC Exempt payee code (f any) N/A it ❑ Limited Ilablk company. Enter the tax cW.Ifu ation (C=C corporation, S=S corporation, P=Partnershlp) ► o Note: Check the appropriate box In the One above for the tax classification of the single -member owner. Do not check Exemption from FATCA reporting LLC If the LLC Is classified as a single -member LLC that Is disregarded from the owner unless the owner of the LLC Is code Of any) 4 another LLC that Is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single mamtser LLC that Is dleregarded from the owner should check the appropriate box for the tax classification of its owner. rp Other (sae lnstnictions) ► fnapoas ib #=u ds n oh w w wttdo ft us r prrj' 6 Address (number, street, and apt or suite no.) See Instructions. Requester's name and address (optionaQ 9817 Tower Pine Dr. e city, state, and ZIP code Winter Garden, FL 34787 z Ust account numbers) here (optional) Taxpayer IdelWleaflon Number Enter your TIN in the appropriate box. The TIN provided must match the name given on line l to avoid I Social security number backup withholding. For individuals, this is generally your social security number (SSN). However, fora _ m resident alien, sole proprietor, or disregarded entity, sea the Instructions for Part (, later. For other entities, It is your employer identification number PN). if you do not have a number, see How to get a 77N, later. or Note: if the account is in more than one name, see the instructions for line 1. Also ase What Name and I Employer Identificatlon number Number To Give the Requesterfor guidelines on whose number to enter. (--r—i `��� 4 5 1 8 6 5 8 2 8 Under penalties of perjury, I certify 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2.1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) i have not been notified by the Internal Revenue Service QRS) that I am subject to backup withholding as a result of a failure to report all Interest or dividends, or (c) the IRS has notified me that t am no longer subject to backup withholding; and 3.1 am a U.S, citizen or other U.S, person (defined below); and 4. The FATCA code(s) entered on this form (If any) indicating that I am exempt from FATCA reporting Is correct. Certification instructions. You must Cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all Interest and dividends on your tax return. For real estate transactions, ftem 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than Interest and dividends, you are not required t"gn the certification, but you must provide your correct TIN. See the Instructions for Part Ii, tater. �rarr signature of Her® I U.S. person ► General instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs gov1FonnW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer Identification number (IM which may be your social security number (SSM) individual taxpayer identification number (MN, adoption taxpayer identification number (ATiM, or employer identification number ON, to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099 -INT (Interest earned or paid) Date► I /./ /a iqo� U • Form 1099 -DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-8 (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 10984 (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Font W-9 only If you are a U.S. person (Including a resident alien), to provide your correct TIN. ff you do not return Form W-9 to the requester with a TlN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev.10-2ol8)