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Okeechobee County Contract from Scott'sITB for Custodial Services for the Judicial Center & Historic Courthouse BOCC Room or Conf. Room 201 County Project No. 2021-16 8/25/202113:00 PM Present : Juan Gutierrez / Bidder's Name & Address Scott's Quailty Cleaning, LLC 2344 Hwy 70 West Okeecllobee, FL 34972 863-763-0902 / Shelli Mitchell / Michelle Dawson Attended Add 1 Pre-Brief Date Yes Yes 8/25/2021 Time 2:49 PM Bid Bond Total Base 13id Yes IHistoric CH: $22,S19.0] Judicial Ctr: $82,155.34 � C C l�-Y}'1.� �l � '� ��ryu.�tr �C ��,� Sr► c�-rl s (s��.��-.L��iz� C��Q.� i �� 1� J� '�� w� �� :� , ., ,: -. -y.�, �' s , �: � ;� �a ' � �.a = ��i - - � ; � �; ■- �_ -� .� �� i `�. �.:, � `� � .�� i►' � ,t� � '� �..aj � ti �'� � . . : .��G I LIT1 ES MAI NTE NA� ��-: ��STODtAL 5��10ES for t�-�:�.: �: :��b�e County Jud�c��l �'��,: �: .:_:: . . �-. ��,�� '�� , . �� : : . _ • :, _ ! ., � .: . ,�, �. � ,� J U LY 28, 2021 OKEECHOBEE COUNTY FACILITY MAINTENANCE KENNETH MURPHY, FACILITIES MAINTENANCE MANAGER 464 HWY 98 NORTH Okeechobee, FL 34972 863-357-7007 KMURPHY@CO.OKEECH013EE.FL.US � n�r�: r�- k; � y�r ,�'r,�=�' :� r2�j'z n' ,�.,�, .i. � . . ..�Ql1A�L31�T�Y�CL�"EA�N,ING� , � � ! l � a a,.es:3'�.�_-��'�� -lc�� { � , , i r r`F � � I I / J • � I � / i f � / � 1 I � August 23, 2021 Scott's Quality Cleaning; LLC 2344 Hwy 70 West Olceechobee, FL 34972 Okeechobee Board of County Commissioners 3 04 N. W. 2nd Street Room 201 Okeechobee, FL 34972 Board of County Commissioners, We would like to thanlc you for the opportunity to submit a proposal for the 2021 cleaning contracts. �w company has provided quality cleaning seivices at several of the county offices since 1999, and we have provided cleaning services at the Judicial Center since opening day. We have also been cleaning the Historical Courthouse since it has re-opened. We are qualified and equipped to expertly handle all the requirements set in the R.F.P. and it would be an honor to continue providing the county with our quality services. Scott's Qualiiy Cleaning is locally owned and operated and we have been servicing Okeechobee since 1993. Honesty, reliability, and customer satisfaction is the foundation of our business. Once again we would like to thank you for considering our company for your cleaning needs. If you have any questions you may contact me personally at (863)763-0902. Sincerely, ,'��'�.��a,� `�J�-�'�-- Michelle Dawson Owner/Manager Cleaning Proposal Comqan : �. ,,� �� ,n�nJ l��.L For: Okeechobee Couniy Pro osed cost: 1, ,' i Locaiion: HIS70RIC COURTHOUSE Siqned:�I'Y1�_,.�.,�/. .,,�,-r�a,—� Address: 304 NW 2ND ST Phone: S�lr:3 71�3-liryC.+� Date: �- 3•� � Building Sq. Foofage: 20,290 Project Manager: Deborah Manzo Based on five (5) cleaninq per week (Mondav - Fridav) Services Required Frequency Services Required Frequency AREA/ITEM W�RK AREA/ITEM WORK DESCRIPTION DESCRIPTION RESTROOMS Entrance Sweep D Toilets-Sinks-Urinals Clean-Sanitize-Polish � Paper-Debris Pick-Up D Trash Containers-All Areas Empty-Line-Clean-Sanitize � Doors-Walls-Partitions- W�pe Down � Dispensers Soap, Fill and Clean D Ledges- Towel,Tissue Entrance Doors (Exterior) Clean � Entrance Doors (Interior} Glass, Mirrors, Chrome Including Steps and Hardware Clean & Polish D Staircases Clean � Floors 5weep-Damp Mop-Sanitiz D Doors-Frames-Walis Spot Clean � Partitions-Doors Damp Wipe & Spot clean {,f�/ Baseboards Dust (� Walls by SinkslUrinals Damp Wipe � Vending Machines Damp Wipe � Floor Drains Seal: Clean � Chairs-Clocks-Pictures Dust-Damp Wipe j�j VCT-Tile-Floor StripandWax Sl� Vents Clean-Vacuum jj� VCT - Tile-Floor Buff andSpray Wax � Upholstered Furniture Vacuum � acuum ic -up OFFICES, MEETING & STORAGE AREAS nnats turn � Cement-Terraao-Tile Sweep 8 Damp Mop � prinking Founlains Clean-Polish-Sanitize D Ceramic /Porcelain Tile- Floor Scrub and Clean S%� Kickplates-Thresholds Ciean-Polish � High Dusting (Ceilings) Clear spiders and webs � Light Switches-Handles Ciean-Polish � Rugs-Carpets Vacuum � Push Piates Carpet Cieaned and Steam Cieaning S� s- es- ion - on y � when occupant clears Shampooed wJpre-spot treatment surface) Dust-Polish ean- rganize- Windows-Exterior (1st FI) Washing �� Janitors Storage Area Restock � Windows-Interior Washing �� Steps and Staircases (8) Dust � SPECIAL INSTRUCTIONSINOTES: The Above cleaning will be perFormed as noted: D) Daily W) Weekly M) Monthty SA) Semi-Annual (Apr. & Oct.) Emergency service required as needed (minimum one (1) hour response) Time in which cleaning is to occur muxt be approved by the building's representative. Cleaning Proposal Comqanv:.S��,+l-� ,S'1,.,�,1, �� l�:•anine� !-.L.0 For: Okeechobee County Pro osed cost: �5_� Location: JUDICIAL CENTER Sipned:•aY1�,i ,,r_6'.�. -�i,-,�,u.��'-L-- Address: 312 iVW 3RQ ST Phone: Si : y= j(�-{ �'ili;�,Date: S'l•� 3•� � Building Sq. Footage: 78,900 Project Manager: Jerry Bryant Based on five(5) cleaninqs per week and TWO FULL TIME ON SiTE EMPLOYEE (Mondav-Fridayj 5ervices Required Frequency Services Required Frequency AREA/ITEM WORK DESCRIPTION AREA/ITEM WORK DESCRIPTION RESTROOMS / KITCHEN ALL AREAS Toilets-Sinks-Urinals Clean-Sanitize-Potish � Entrance paperlDebris p Trash Containers-All Empty-Line-Clean-Sanitize � Floors Sweep-Mop-Vacuum p Dispensers: Soap, Entrance Doors (Exterior) Clean � Towel,Tissue Fill and Clean � Entrance Doors (Interior) Clean �J Glass,Mirrors, Chrome Hardware Clean & Polish � Window Silis Ni Floors Sweep-Damp MopSanitlz � Doors-Walls-Partilions-Ledges- Wipe Down Nj Partitlons-Doors Damp Wipe & Spol clean � Doors-Fcames-Walls Spot Clean jj� Walls by Sinks/Urinals Damp Wipe � Baseboards Dust j�j� Steps and Staircases (South Damp Wipe Hand Fioor Dralns Seal: Clean M Towers - 1 st FI) Rails �/ Steps and Staircases (All Damp Wipe Hand VCT Tile-Floor Strip and Wax $iQ Towers -AII Floors) Rails $/a Cerami orce ain i e weep an op wipe Grout - Floor Scurb/ Clean $� Elevators (6) handrails. � OFFICES, MEETING & STORAGE AREAS Chairs-Clocks-Pictures Dust•Damp Wipe �/ Carpet Cleaned and Steam Cleaning w/pre- Shampooed spot treatmenl SA Vents Ciean-Vacuum M Rugs and Carpets Vacuum � Push Plales Clean and Polish W Windows/Atrium-interior Washing Sl4 Desk-Tables-Phones-(onlywhen Dust-Polish � Mats Vacuum (pick up 1 Turn) � occupant clears surface) Janitors Storage Area Restock SPECIAL INSTRUCTIONS1fVOTES: The Rbove cleaning will be performed as noted: D) Daily W) Weekly M) Monlhly SA) Semi-Annual (Apr. 8 Oct.) Emergency service required as needed (minmum one (1) hour response.) Time in which cleaning is to occur must be approved by the building's representative. Cleaning Personnel and cost per Sq Ft l. Judicial Center No less than 2 Full-Time on Site Employees Casi per sq ft: 1.04 2. Historical Courthouse 2 Employees Cost per sq ft: 1.11 We currently have three full tiine day routes, two full time night routes, and 1 part time night route. The employees that staff these routes are trained on all i•outes so they are familiar with all facilities that we clean. To insure that all buildings are cleaned every night we also have an on call employee and a supervisor that can cover any position. REFERENCES: LISTED BELOW IS A LIST OF OUR CURRENT CONTRACT CLEANING CUSTOMERS, MANY OF VVIIICH HAVE BEEN OUR CUSTOMERS FOR OVER 25 YEARS. WE PROVIDE SERVICE FOR A VARIETY OF COMPANIES FROM SMALL FAMILY OWNED BUSINESSES TO LARGE CORPORATIONS. CALDWELL BANKERS CENTER STATE BANK CITY OF OKEECHOBEE/CITY HALL CITY POLICE DEPA.RTMENT CLARK HOLDINGS (BANK OF AMERICA) DEPARTMENT OF CORRECTIONS/PROBATION DEPARTMENT OF JWEI�TILE JUSTICE EVERGLADES FARM EQUIPMENT FARM CREDIT FIRST BAPTIST CHURCH OF OKEECHOBEE GILBERT FLEET GILBERT FORD GRAVES 1NJURY LAW GROUP MID FLORIDA CREDIT LTNION MURRAY INSIJRANCE OKEECHOBEE COUNTY AIRPORT OKEECHOBEE COUNTY COURTHOUSE OKEECHOBEE COUNTY EMERGENCY MANAGEMENT OKEECHOBEE COUNTY JUDICIAL CENTER OKEECHOBEE COUNTY LIBRARY OKEECHOBEE PATCDL OKEECHOBEE COUNTY PUBLIC WORKS PALIVIDALE OIL COMPANY PRITCHARD AND ASSOCIATES ROCK SOLID CHRISTIAN ACADEMY SEACOAST NATIONAL BANK SOUTH FLORIDA WATER MANAGEMENT WALPOLE, INC. Emergency Services: We offer 24 hour emergency services including water extraction and fire damage restoration. Our carpet technicians are expertly trained and certified. We are equipped to handle any problems which may occur. With knowledge and experience we can restore your damaged area back to its pre-existing condition in a timely manner. Our 24 hour telephone numbers are office (863)763-0902 or cell (863)634-7658. These services will be provided if needed at an additional charge. Subcontracted Services: We do not have the need to subcontract any services. We own a large selection of cleaning equipment and we specialize in carpet cleaning, cei•amic tile cleaning, VCT and LVT floor care, and window cleaning. We are fully equipped to expertly handle all requirements of the contract. Insurance: We carry the following coverage. Workers Coinpensation ....................1,000,000.00 General Liability .............................1,000,000.00 Bond . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50,000.00 Enclosed with the pz•oposal are copies of our insurance coverage. We appreciate the opportunity to submit this proposal to provide professional cleaning seivices, and we hope to continue doing business with you. Thanlc you, Michelle Dawson Owner/Manager "TO ALL BIDDERS" CERTIFICAYION & ELECTIOIV REGARDING LOCAL VENDOR PREFEREIVCE TO BE EXECUTED BY ALL BIDDER'S AIVD SUBMIiTED WITH VOUR BID "The Bidder is requested to select the appropriate boxes and execute the document in full as reauired". I. Please select as appropriate: L� The undersigned hereby certifies that undersigned qualifies as a"Local Vendor" according to the Okeechobee County Procurement Policy, ❑ The undersigned does not qualifir as a"Local Vendor" according to the Okeechobee County Procurement Policy ❑ The undersigned chooses not to match the lowest qualified non-local bid even if undersigned is qualified as a"Local Vendor" according to the Okeechobee County Procurement Policy. II. Please Complete if a Local Vendor wishin� to participate• Applied to purchases less than $100,000: � Bidder agrees that in the event undersigned's bid is within 2% of the lowest non-local qualified bid, the undersigned's proposal/bid shall be awarded to the locaf vendor as referenced in the current Procurement Policy. Applied to purchases between $100,000.01 and $1,000,000.00: Ll Bidder agrees that In the event undersigned's bid is within 2% of the lowest non-local qualified bid, the undersigned will match said bid. Failure to execute and submit this document with your bid shall be considered a waiver of the right to participate in the Loca! Vendor Preference process. Availability of the Local Vendor Preference process is at the sole discretion of the Owner. ... -.,,. r. . - - : .,.,-. _ ,.. _ . ., ,- .. _.:,,, „_, _ _ . : .,_.. . , . ., . - . _ . . .- . ... � . _ , _ . ;,�:. ... . , ..: _ , ..,... Bidder's Signature: �i,��,��,��„��.,,� Bidders Name: �s�� L � t �^ � 5 n.� Company Name: _�� -�--�-�� (�� r �� F 1 l pr� i► � n�� j.�,LC_. Company Address: �_i� N�:�-,:�- v��i � C) W('}((��c�oi� e� � F L �i-i �i� y Date: SS -�?� —'� � Okecchobce County Judicial Center & Historic Courthouse Custodial Seivices BIDDE6Z AG�f�OWLEDGEMEt�I' SUBMIT BIDS/PROPOSALS TO: Okeechobee County 304 NW 2"d Street Okeechobee, FL 34972 (AN EQUAL OPPORTUNITY EMPLOYER) PROPOSAL �OR O�CEECh906E� COUNTY Custodial Services for .ludicial Center � Mis�oric Coue�`.house, BID I�O. 2021-16. MAILING ADDRESS: � 3 y� ��,} ��,j -y D W oi�zec�.vb�� ; FL 3y ��1�( Federal Emplvyer ID or SS#: -75-- 31� 1�-1 ��( Telephone : �(,�3-- 7(�3- C��U�, I certify that this bid is made without prior understanding, agreement or connection with any corporation, firm or person submitting a bid for the same materials, supplies or equipment and is in all respects fair and without collusion or fraud. I agree to abide by all conditions of this bid and certify that I am authorized to sign this bid for the bidder. In submitting a bid to the Okeechobee County, the bidder offers and agrees that if the bid is accepted, the bidder will convey, sell, assign or transfer to the County all rights, title and interest in and to all causes of action it may now or hereafter acquire under the Anti-trust Laws of the United States and the State of Florida for price fixing reiating to the particular commodities or services purchased or acquired by the County. At the County's discretion, such assignment shall be made and become effective at the time the County renders final payment to the bidder. Signature: -�YZ�� :��,;,y�,,,,� Title: M � n �, J �e.f' Type Name: �iYl�e�n�� c�w5o�� Date: `6-�3 - �. t Bidders Acknowledgement Okeechobee County Judicial Center & Historic Courthouse Custodial Services C�UESTIOPJN�11f2E Sec. 11-3. Questionnaire sheet to be filled in by bidder. The undersigned guarantees the truth and accuracy of all statements and answers herein contained: How many years has organization been in business as a general contractor? —�� f � S 2. List any pub�ic works contracts you have performed with any governmentaf agency having a value in excess of $25,000 within the last ten (10) years: --Y1 i� 3. Were all contracts listed in No. 2 above completed within the time period without extensions? � 4. Were liquidated damages incurred by the contractor for non-timely completion and, the extent to which additional time extensions were granted on all contracts that were not so timely completed? 5. Was the Surety on the Public Works Section 255.05 Bond ever notified that the bidder was in default in ihe performance of such contracts; and if such default notice was so given, please indicates in detail haw much claim default was resolved? i1(� Questionnaire Okeechobee County Judicial Center & Historic Courthouse Custodial Services 6. Indicated the number of times in which arbitration or litigation ensued from any said Public Works Contract within the last ten (10) years as well as the result of such arbitration of litigation (i.e. whether the same was settled or resolved by trial and who prevailed between the bidder and the governmental agency involved): �� 7. Please provide a history of similar projects you have completed, other than those listed in No. 2 above, including project name, owner (phone number), value of work performed, percentage completed: ��e _ � ` 1 I �^ P ��rP f Z n <� P � � S �� !'� �r � C3!1 �SM�� 'r�eC'i C_ i� � 1' 6 �'�n. �/` 5 8. What is the lasi project of this nature that you have completed? Provide owner's name and phone. i�_'(� 9. Have you ever failed to complete work awarded to you? If so, where and why? .�1� 10. The following are named as three (3) corporations or individuals for which you have performed work and to which you refer: I ,l � c� T'�.c , �' . i�- v�� i� l� e i� �� h e c= ��;.� �-�. ��-�, �- C', �� n 1 < Questionnaire Okeechobee Couniy Judicial Center & Historic Courthouse Custodial Services 11. Have you personally inspected the proposed work and have you a complete plan for its performance? 12. Will you sublet any part of this worlc? If so, give details: � � . . . . --1 �. 5 Y�� z_ _ � ��'e r� n�' t�.� �- ��.� wt �,� �, r �, n c �._S G.�-- �"�-.P_ .:l�f,r�ic_�c.� i'�n�-ir State the true, exact, correct and complete name of the partnership, corporation or trade name under which you do business, and fhe address of the place of business. (If a corporation, state the name of the president and secretary. If a partnership, state the names of all partners. If a trade name, state the names of the individuals who do business under the trade name). It is absolutely necessary that his information be furnished. ��-�� C'�,��,�;��, CI_��,,.;� LLC_ (Correct name f Bidder) (a) The business is a _�', ,,,, ; � �,,� �', �. �;� ; 1 � �- �, (� �,.ti.n c, n �� (b) The address of principal place of business is: ��I�� `�1-�- ��P �r\ 7�) I,U �IC r��,a� � r I=L 3�f C�7'-/ (c) The names of the corporate officers, or pariners, or individuals doing business under a trade name are as follows: � r r� -�- �- '� �.,-� , � ;L� --f�1,�.1..� 11�, �� .,, n,1 / ' .I.i_.L��,l �� f'.� i/ d r�/1/'/`--1 (Bidder's Signature) (Corporate Seal) Questionnaire Okeechobee Counfy Judicia! Center & Historic Courthouse Custodia! Services SWORN S%4TEi1Id�NT Oi� F'UBLIC EY�1'ITY CRIMES UNDER FLORIDA STl�TUTES CHAPTER 287.133(3)(a). THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER AUTHORIZED TO ADMINISTER OATHS. '1. This sworn statement is submitted with Bid, Proposal or Contract No. 2021 - 16 for Okeechobee Coun Judi�iat Cenier F� Wistoric Cour�house C�astoclial Senric�s. 2. This sworn statement is submitted by .��,�Y�-.� C�,a�t�,��' '.r, ;��! ��.`.(name of entity submifting sworn statement) whose usmess address is :�.'��y 5+� �� R�I �0 i�J and t�1L�,.�-c.4.c,hbe�i FL 3�1�►?�l (if applicable) its Federal Empfoyer ldentification Number (FEIN) is ��•. � i 5 i LI"Icl (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement: .) 3. My name is (Y� ;�,� ,� I I� n c,� �:� 5 r� � and my (Please print name of individual signing) relationship to the entity named above is f�'� rAn c� �.,� f ___ 4. I understand that a"public entity crime" as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or federal !aw 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 a"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 guilt, in any federal or state trial caurt of record relating to charges brotaght 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: A predecessor or successor of a person convicted of a public entity crime: or Sworn Statement on Public Entiry Crimes Okeechobee County Judicial Center & Historic Courthouse Custodia! Services 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" incfudes 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 thirty-six (36) months shall 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 fo 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 been charged with and convicted of a public entity crime subsequent to July 1, 1989, AND (Please 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 hearing officer determined that it was in the public interest to remove the person or affiliate from the convicted vendor list. (Please attach a copy of the final order.) Sworn Statement on Public Entity Crimes Okeechobee County Judicial Center & Historic Courthouse Custodial Services The person (Please describe Services.) �r affiliate has not been placed on the convicted vendor list. any action taken by or pending with the Department of General (Corporate Seal) � STATE OF ��-�z�°L�� COUNTY OF ��cF`�4�,� ) ss. The foregoing instrument was acknowledg�d before me this �``� ��c.�.L�� , 2021 by �'I�ch�', � 1�Q.W S u�-- who is p onally known to !e or who has produced as identification and who did (did not) take an oath. (Signature of Not : � �� fi A � _ c �,`!' ,. ts Uc''i, O�ARj:•!S'y2 �. �m_ E7cP�Fes �:� �. (Print Name of�lofar�p• "" 5�b°' ; Q- ' :,`r,',,9'� . �°UB1;��'•O��t�` .; �� , _�� av — 1; ��1111{t11� END OF SECTION `��' l�l,f/�►��(�--"fl JC��--- (Signature) Title: ��1_� 1 ctc� P__r DATE: �/S "a L�- a 1 day of Sworn Statement on Public Entity Crimes Okeechobee County Ju�licial Center & Historic Courdiouse Custodial Services ACI:f�'IOWLEDGMENT OF CONFORMANCE WIl'H O.S.H.A. STANDARDS TO OKEECHOBEE COUNTY: We, � c' �'r�r�: �°i, :.;1 ��,� �_, �; n��, i....l_ C , hereby acknowledge and (Prime Contractor) agree that as CONTRACTORS for Olceechobee CountV Judicial Center & Historic Courthouse Custodial Services, Okeechobee Countv Project Rlo. 2021-16, as specified have the sole responsibility for compiiance with all the requirements of the Federal Occupationai Safety and Health Act of 1970, and all State and local safety and health regulations, and agree to indemnify and hold harmless Okeechobee Coun4v against any and all liability, claims, damages, losses and expenses they may incur due to the failure of Subcontractor's Names ri.' ir1 �.�1);nnid � L�P�.n�.n�. to compiy with such act or regulation. s��s �u�.�,�y e��.�,�. �J �� (Company Name) BY: � (.d„�.� .. �f��_�h.— Signature (corporate seal) g-�3-at DATE Acknowledgement of Conformance with O.S.H.A. Standards Okeechobee County Judicial Center & Historic Courthouse Custodial Services DRUG-FREE WORKPLACE FORM The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that _��.�c,� (��...�.\��.� C�.��,�;,�.a.� L.LC does: (Name of Business) 1. Publish a statement notifying empioyees that the unlawfui 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 bid 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 bid, 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 1893 or of any controlled substance law of the United State or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. 5. 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 a drug-free workplace through implementation of this section. As a person authorized to sign the statement, I certify that this firm complies fully with the above requirements. � ' 1�.( �(.� �J � l C�A A / .i7/I'%��\ Bidder's Signature � �-�� Date OKEECHOBEE COUNTY INSU�ANCE A�ID BOND REQUIREMENTS Fidelity/Dishonestv Coverage for Entity Fidelity/Dishonesty/Liability Insurance is to be purchased or extended to cover dishonest acts of the Contractor's Employees resulting in loss to the Entity. Employee Dishonesty Bond to be provided. WORKERS' COMPENSATION: Coverage is to apply for all employees for statutory limits in compliance with the applicable state and federal laws. The policy must include Employers' Liability with a limit of $500,000 each accident, $500,000 each employee, $500,000 policy limit for disease. COMMERCIAL GENERAL LIABILITY - OCCURRENCE FORM REQUIRED: (ContractorNendor) shall maintain commercial general liability (CGL) insurance wilh a limit of not less than $300,000 each occurrence. If such CGL insurance contains a general aggregate limit, it shall apply separately to this location/project in the amount of $600,000. CGL insurance shall be written on an occurrence form and shall include bodily injury and property damage liabilify for premises, operations, independent contractors, products and completed operations, contractual liability, broad form property damage and property damage resulting from explosion, collapse or underground (x, c, u) exposures, personal injury and advertising injury. Damage to rented premises shall be included at $10�,OQ0. COMMERCIAL AUTOMOBILE LIABILITY INSURANCE: (ContractorNendor) shall maintain automobile liability insurance with a limit of not less than $300,000 each accident for bodily injury and property damage liability. Such insurance shall cover liability arising out of any auto (including owned, hired and non- owned autos.) The policy shall be endorsed to provide contractual liability coverage. EVIDENCE OF INSURANCE The (ContractorNendor) shall furnish the (Entity) with Certificates of Insurance. The Certificaies are to be signed by a person authorized by that insurer to bind coverage on its behalf. The (Entity) is to be specifically included as an additional insured on a!I policies except Workers' Compensation. In the event the insurance coverage expires prior to the completion of the project, a renewal certificate shall be issued 30-days prior to said expiration date. The policy shall provide a 30-day notification clause in the event of cancellation or modification to the policy. All certificates of insurance must be on file with and approved by the (Entity) before the commencement of any work activities. --� T��. ��4 • - . = ``r�� `�✓'.: ':: �--- s�.::y �: ` p !� = �T�'t tL` t--q r.—�^. n�n��. r,t r✓a ' �� i^": o f � ; �,_ ,, �' ; �, r 4 • �� h• l � "/`�r` ' �:� ��M ti f � ; � . .:-� Y , I �:. .�, a ;; � E; ,:. ;; ;;'-. t � �. ..� ��..... ! � G � �...3 � ��:,_. �. �� . °....� � e � �� w �; � // li JANIi��i.I�L SE�,VI�CE PO1VD P�ond \To. 55608868 In consideration of an agreed premium, «7estern SuretJ- Compan}�, a South Dalcota COl'pOY1t1011, hercUy agrecs to indemnifyScott's nualitV Cleaninq LLC _ of 2394 State Road 70 ��7, OkeechoUee, FL� 39977 (the "Obligee"), against loss of moncy or oCher property, rea] or personal, belono no I;o an}� and all suUscriUers (the "SuUscriber") to its sea•vices, or in which tl�e SubscriUer has z pectiiiiary interest, oi• for .vhicl� tl�e SuUscribei• is legally liable, whicl� Che Subscriber shall sustain as the result of an}� fraudulent or dishonest act, as hereinafter de�ned, oF an �mployee or �mployees of the OUli�ee actino alone or in collusion wiCh others, and for which the OUliaee is ]iaUle, the a�now�t of indeinnity on each of such �mployees Ueinb Fi_fty T ou��ncl and 00/100 DOLLAPS ( S50, 000.00 ). TII� P'OR,LGOII�TG AGP,.��A�I�A'T IS SUBJLCT TO THL l� OLLO�VI\'G CONllITIONS E1ND LI�IITATIONS: •r�rmi or aovD: S�CTION 1. The term of Chis bond 6ogins with thc 29 th day of AUgUS t 2021 � 1t L:00 o'clocic night, �tandnrd Limq a6 thc udciress of thc OUliocc nUovc gi.•en, nnd cnds nt 13:00 o'clocl: night, standard time, on the efCective date of the canceltation of this Uond in its entiretv. DISCOV�IZl P�RIOD: SECl'ION 2. T.oss is covered under this Uond only (a) if sustained throu��h anp act or acCs emnmitted b�� siny Smplo�ree of OUli�ee while this bund is in Corce as to such L'mployee, and (b) iC discovered prior to the expiration or sooner cancellation of this bond in its enCirety as pi•ovided in SecCian 11, or from ics caneellatioii or Cermina�ion in its entirety in any other manner, «�hicliever shall frst ]iappen. DLI'INITION OP' EAIPI,OI L'�: S�CTION 3. The «•ord L•'mployee or Gmplo��ees, as used in tliis Uond, sliall be dcemed to n�can, respectivcly, one or morc of Clic natural persmis (c;xce��C directors or trustees uf the O�lioee, if a corporation, ��ho are not also aCficers or employees thereof in some othcr capacity) �.�hi1e in the resular scrvicc of the Obligee in Cl�c ordinac�� course af thc OUlioee's Uusiness cluring Lhe Lerm of this bm�d, and �ahom the Obli�ee compensates by salary or ��•aaes and has thc right io go��crn and direct in the perfarmance oE such scrvice, for �vhnm a premiwn I�as been paid, aud u•ho are engaged in such secvice ��itl�in any of the Sr.ates of the United States oF tlmerica, or witliin the District of ColumUia, Puerto Rico, the Vu�gin Islands, or elsewhere ior a liinited period, but not to mean Urol:ers, faccors, commission �nercllaitts, consi�nee3, coiiCractors, or other ngent; or representaLi��es oF Clie same �;eneral chnr�eter. P'R:IUDULPNT OR DISI-IONI'sST r1CTo S�Cl'lON 4. A I'RAUDULENT OR DISI-IOVGST AC'P OP' A[�T �:l•IPLOYL•'L OI' TH� 0I3LIG�� SI-IAI.L 114�r1\i :1N t1C'P \VL•[ICI-I I5 PUNISHABLL UI�TD�P 1'FiG CRI\lIN�\L COD� I\T 'PHG JUhISDICT[0\T l'JITF[I\T \VFIICI-I r1C1' OCCURR�D, FOR bVITICH Sr1Ill GA-IPLOYG� IS'fRILD r1�'D CONVIC'PCJ) 13Y:1 COUP.'1' Or 1'I20PrP. JURISDICi'ION. ��ILP.G1:12 OI'� CO\SOLIA:ITIO\�: S�CfIOAT �. IF any nntural pecsons sliall be �al:en iuto tlie regular service of the Oblidee throuah �neroer or coiisoliclltion witii some at(ier conceru, the Oblioee sliall ;i��e the Sw•et�� wi•itlen notice tlizreof and sliall pay an additional premiutn on any iiicre�se in Che number of Lmployees covered uildcr Chis bond as a result of sucli �nerger oi- consolidation com>>tited pro rat� from Chc d�te of suc11 IIICCsCI' OP COI150IICI1t1017 to the end of Che current premium period. I�'ON-ACCU\�IULr1TTON OP' LIAI3ILITY: S1:CTION G. Pegardless of tiie numUer of ycnrs tliis bond sl�all continue in Corce and thc �iumber of premiums �vlticl� sliall 6e pag�aUlc or paid, the liability of the Surety imder this Uond sha11 not Ue cuinulative in amounts from year to year or from periocl Co period. LIl-IIT OF LIABILITl UND�P. TI-IIS T30ND AND PRIOP� II�'SUP.�\NC7�': SCCTION 7. bVith respect to loss or losses caused Uy an rmployee oc �vhich are chargeable to such rmployec as providcd in SecLion �l and which occur partly under this bond and partly uncler other bonds or policies issued Uy the Surety Co Che Oblioee or to any predecessor in interest of tlie Obligee and terminated or cancclled or allo�ved to expire and in �vhich tiie period for cliscovery has not expirecl at tlie time nny such loss or losses tl�ereunder are discovered, the tota] liaUility of tlie Surety uiider tliis bond and under such other baids or policies shall not excecd, in the ao;regaCe, the amounC carried under this bond on such loss or losses or 6he amow�t availaUle to the Obligee under sueh other boitds or policies. as limited Uy the terms and condit.ions tlierco!', for any such loss or lasses, if thc latter amount Ue the larger. DEDUCTII3LL: S�CLION 8. The Suretg shail not be 1ia61e under tl�is bond on account of any loss or Josses through fraudulent or dishonest acts committed by airy ��nplo}�ee of OUligee, unless tl�e amount of such loss or losses, after deductino the net amount of all reimbursement and/or recovery, includina any cash deposit tal.en U�• the Obli�ee, oUtained or made by the OUligee or the Surety on account thereof, prior to pnyment by the Siu•cty of such lass or losses, shall Ue;n escess of ONL I-IUN1)PPll DOLLr1RS (5100.00), and then for such e�cess only, Uut in no event For more than the amount of insurance carried on such Lmployee under this bond. If mare tl�an one �mployce commits tl�e fraudulent oi• dishonest act cesulting in such loss or losses, said dednctible amout�C sliall apply to each �mployee so involved. Form 1375-9-2019 s:�Lv:�ci:: S1'sC"PION 9. If tlie Obli�ee sLal] =iistain an�� loss or losses co�•cred b}• ti�i� oaid �.�iiicii exceeti t;�e amoLtnt of cu��era�e pro�•ided b�� tl�i� bo�id, che Ouli�ee shall be encitled ro all i•eco�•er:es. e�cep� fron: sui•etvsiiin, insurance, reir.stu�a�ice, securit�: or inde�:�ttiC�: ta:;en U�� or tor the benefit of lhe Stiret}�, b�• �cl�omsoevee• inade, on ar_coiin� of sucit loss or io_se� t�iider ci�:s bond until fully reimbur��d, less che ac�.ual cost of efiectin; the sauie; <�nd less the amount of the ueductible carried on the T'smplo�•ce causin� �uch loss or losses; and am� remainder sh�ll be a��plied to the rcimbursanent of the Surety. Cf\NC�LLATION :1S TO e\Ni' �\•IPLOY�I�: SL•'Cl'IOA' 10. 'Chis bmul sliall be cieemed cancelled as to an�� L'mployee: (al iimnediatel}� upcn discovery by the Oblioee, or by any par�ner or officer thereof not in collusion wieh such �mplo��ee, of any fraudulent or dishonest aci. on the p�rt of such �mployee; or (U) at 13:00 o'clocic �iiglit, stlnclai•d time, upon tlie ef'fective date specified in a«•ritten natice served upon the OU]ieee or sent U�� m�il. Sucl� d1te, if the notice be ser��ed, sliall be not less than ten (10) days after such service, or, if seilt b�� mail, not less than fifteen (15) days aftcr the maifing. Thc mailing Uy Surety oC notice, as aforesaid, to thc Obligee at its ��rincipal oClice shall be sufficicnt proof of notice. CANCF.LLATION:IS TO I30\TD IN ITS �1�TIR�TY: S�C1'IOAT 11. Tliis Uond shall bc deemed cancelled in its entirety at 12:00 o'clucl; night, sCandard tinie, upon the effeccive clate specified in a writic�i nol:icc served b3� the Obli;ee upon thc Suret�� or by the Surety upon the Obli;ee, or seut b�� m1i1. Such dae.e, if thc natice Ue scrved by tBe Sw�ety, shall be not less th.ui ten (10) days after such ser�•ice, or iC senC by the SureCy by mail, not less th�n t7fteen (15) days after the daCe oC mailin;. The mailin�* Uy the Surety of notice, as aforesaid, to tl�e OUligee at its principal of(ice sh�iil be suCficia�t proaC oF notice. Tlie Surety sliali refund to the Obli�ee the unenrnecl premium computed pro raca if C6is bond be clncelled �it the instaiice of tlie Surety, or �t shoi•t rates if clncelled or reduced at the inatnitce of �he Obli�ce. PRIOR P'IttlUll, DISEION�S7'Y OR Cr1I�'C�LL:1TI01�': S1;C'1'ION 1?. \'o Gm��loyee. to the best o£ the kno�vled�e oC the Obligec, or of an}� partner or o[ficer thereoC not in collusion �vith such Cmploye�, has cammiCted any fraudulent or cfishonest act in il�e service of the Obli;ee or other�vise. IF prior to the issuance of this bond, any Gdelity insurance in favor of tl�e Obli�ee or any predecessor in intm-est of the OUligee and covering one or more of the OUlisec's Entployees sh�ll ha��e Ueen cancelled as to any oFsuch Pmployees by re�son of (a) the discovecy of any f�:ludulent or dishonect act on thc parL oC sucli rmnlo}•ees, or (b) the �i�•ing oF .oritten notice oF caneellation b�� the ineurer isseiing said Fidelity insurance, whether the Siu�et}� oi� not, aitcl iC such �m��loyccs sha11 not havc bcen reinslatr.d imcic:• i.he coverage oC said Gdcli��• insurancc oi• super=cdino Gdelit�� insurance, the Siirety shall not be liable Luic:er thi= Uond on :+ccount of such L•'mplo}•ees unless the 5uretp sliall a�ree in u�ritin� to include such �mployees ��'1CI1117 tI1C CO\'Cl'0.�C OI Cll15 Uond. LOSS—NOTICI�PP.00I'—L�G:1L PP.00��DI\CS: SCCTION 13. At die carl'test practical moment, a�id at all e��ents not later than Cfteen (15) daps after discovery of any fi•audule�7C or dishonest �ct on the pnrt of any I'smplo��ce b}� the Obli;ea, or Uy nny partner or oCCicer thereof not in collusimi .vitli such �mployee, che Obli�ec sh:i11 give Clie Sucety ��•ritten notice thereof and �vithin four (�}) montlis afCer siicli disco��er�• shall I'ile �vitl� the Sui•ety affrmltivc nrooC of loss, itemi•r.ed and duly swocn lo, and shall upai reque;t of the Sin•e�p renclm• everp assistance, not pecwtiary, to facilitate the investigation und adjusCuicnt of any loss. \To suit Co recover on account af loss under this bond shall be Urou;ht before the espiration of ��o (�) moi�tlis fiom the filing of proof as aCoresaid on account of sucli loss, noi• after tlte e�piration aC twel�-e (13) 111011YI75 froin [lic ciiscovery 1s aCoresaid of tl�e Fraudulent. a� dishonest act causino such loss. IC any limi�ation in tl:i; bond for �i��in� notice, filing claim oc bringino suiC is prohibited ur made voiu Uy any ]aw controllin, the cons�ruciion oi this bond, such II1111L1L10i1 shall be deemed to Ue amaided so as to be equ:�l to the mini�num perioct o; limit8C1011 r7CCIt11CLL'C� �N SLIC�l �a�v. 1'CIIl'OP.t\R] C\'IPLOYLLS: 5LC1`I0�' 14. 1'he Obligce shall not at any Cime u�hile diis bond is in force direct any temporar}� employee(s) to anp subscriber's premises iuiless such pecson(s) is/are accom�anied b}• a Coreman who is :n tho re�ular euiplo�- of tl�e Oblioee. P'or purposes of this restriction, any person who �vorl:s less than thc normal workin� houra est�blished b�- his emplo�•cr or olhenvise fails to mcet the deGnition of "rmployec" above is considcred a tanpor,iry employcc. �tiCLUSIOIVS: S�CTIOi\' 15. Ttiis bond does not apply Co loss Chat is an indirect result of any act or loss caused by or involvin; one (1) or more �mployees, �vhecher Che resLilt of a sin�Ie act or series of acts, covered by this insurance includin„ Uut not limited to, loss resultin� from: a. 'Che Oblipec's inability Co realize income that �vould ha��c been realized h1d there Ueen no loss coi�ered Uy this Uond. b. Yayment of damages of any type for �vhich the OUligee i� le�al]y liable. Com��ensatory damages arisin� directii�� from a covered loss �vill be paid. c. Pa��ment of costs, fees, a• other e�penses incurred by the Obligec in establishin� either the esictence or the amount of loss undee• this bond. This bond does not apply to expenses rel:ited to :tny le�al actioti. OTI-I�R I\SURrINC�: SFCTION 1G. This Uond does not applp to loss recovecaUle or reco�v��u�or other insurance or indemnity. FIawcver, if the li,nic of the othei• insttrance or indemniCy is insufGcienl to cover the entire aqr ;..�ES�j:_;}.';;;� c?;s, this baid �vill apply to that part oC the loss, oCher tltan that falling wiChin any lleducCible rlmou��L, not recoverable or �-;� l� `y;: '.he other insurance or indeinnity, but not Cor more than the amowit of indenuticy as stated above. �,� �D�ppRATE :�`.� t -,"` ,3L1�.L �'� llA1'�D nuqust 2�Ith 2021 `�tis::. �'''�� , ,.`4. /1:�•, ��,> -<. t?i1,`•1� $ � �/�� -_. ��'rS�l' ' i��U1�,�T�' CO��IPANY y � ' '� F! "� ,/ �P� ti'�...-'r� Appointed Agent of Surety �, �,�,_,,-.._. � � r%:-y� ) �..�?i�--�;' Patt11'.:uruflat, Vicc Prc.sident , -, _,�...�L . ....� - o ; • � � `�.: ::.,'> ti�`ti`�` = ; '+ f � ` ,i�`W 1{- •,.t, . y I�" 1"''; if i: :iA;:!'�'Ar •. v'� n �' `� �!�`^ (i�l• r"}; ' i�t?.:;`,, j' �c f. t N'�—�'\. !S _ .. r• � � S . f '�''jl _ i� •• : '.� j �� ' i ',su '' j)' iV � - � `; -� c: r , `I �� 4� �'<.../ l..i �._. c�✓ .. L.+' �:✓ w Ii �'�..1 ' � � 'o�rl �'+r'' � ti :ti ��`.?,- �:✓i.:� li Y � C J. CU� i�C1d�EIZ./S J�SC� IBE?�. �si i�i t IQI�ll3L INSU�.�,I.?� ZIBL�. In the event that the Insurecl's Customer or SuUscriber sliall sustain a direct loss Uy reason of the fraudulent or dislionest act or acts (as definect in the sectioil entitled l�raudulent or llishonesi; Act) committed by the Insured; or any partner of the Iilsurecl, if a partnership; or any memUer of the Insured, if a li�nited liabilitg� cotnp�ny; tllen and only then, tl7e Irisured sllall be considered 1n �inployee �nd i;he CUStOI11Cl' or Subscriber an additional Iizsured, subject l:o all terins ancl conditions thereof. Nothing herein contained shall be held to vary, �lter, �vaive or e�tend an}� of tlie terms, limits or conditions of the bond e�cept as hereinabove set forth. This P�ider Uecoines effective on tlie �` �n_ day of :vuausL , o'clocl: ni�ht, stanclard time. 207_1 , at 12:00 Ati;aclied to ancl forrnina par(; of bond \To. 656088G8 , isstiecl U}� bV�ST�P\T SUPti�TI' COtI�IPAI�R' OT' SIOUl P'ALLS, SOUTIT DEII�OT�1, to Sco�t's c�uGlitv Cleanina,, LLC Signed this 24 th d1y of Auqust , 3;.�. : t=: . - _ � t � _ %?;': � - r�:. .. 2021 �VES'1'�P . �UP�TY COA�IPANY � p�r � � � ��;� J3y G.,_._.i`- � ti...-,.,,.,i*� �'�� 1'aul T. Bruflat, Seniwi��Vice Presidenl; Form F7�J48-4-2008 � SCOTT-2 OP ID: MB '`�� CERI'IFICA►TE OF LfABILIiY INSURANCE DATE�MMIDD/YYYY) �� 08l23/2021 THIS CERTIFICATE IS ISSUE� 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), AUTHORfZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an A�DITIONAL INSURED, the policy(ies) must 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 rfghts to the certificate holder in lieu of such endorsement s. PRODUCER NAME: CT Heath Lawrence ISU Lawrence Insurance Agency PHONE Fnx PO Box 549 ac No Ex� : 863�67-0600 ac No : 863-467-5142 Olceechobee, FL 34973 E•MAIL Heath Lawrence ADDRESS: INSURER S AFFOHDING COVERAGE NAICli ir,suReRa:Ohio Casualty Ins Company 24066 iNsuReo Scotts t.tuanry c:iearnng, 2344 SR 70 West Okeechobee, FL 34972 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 TypE OF INSURANCE POLICY EFP POIICY EXP LIMIT9 LTR POLIGYNUMBER nnnnionmvv MMI�DM/YV A X COMMERCIALGENERALLIABIIITY � EACHOCCURRENCE 5 'I�OOO,OOO CLAIMS-MA�E � OCCUR BKS58632595 02/23/2021 �2/Z3�2�22 pREMISES Ea occurtence 5 2�Or�� MED EXP (Any one person) 5 10,000 PERSONAL 8 AOV INJURY S 'I�OOO,OOO GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S Z,OOO�OOO X POLICY � JEC7 � lOC PRODUCTS - COMP/OP AGG 5 'I �OOO�OOO OTHER: 5 AUTOM091LE LIABILITY COMBINED SINGLE LIMIT 5 Ea accidanl ANY AUTO BODILY INJURY (Per persan) S ALL OWNED SCHEDULED BODILY INJURY (Per accidenl) 5 AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE S AUTOS Per accidvnl $ UMBRELLALIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE 5 OED RETENTIONS 5 WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITV Y/ N STATUTE ER ANYPROPRIETORIPARTNER/EXECUTIVE E.L.EACHACCIDENT 5 OFFICERlMEMBER EXCLUOE�7 � N / A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE 5 It yes, describa under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES (ACORD 701, Addltlonal Romarks Schadulo, may bo attachad if moro spaco Is requlrad) JANITORIAL SERVICES OKEEBOC SHOULD ANY OF THE ABOVE DESCRIBE� POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Okeechobee County Board of ACCORDANCE WITH THE POLICY PROVISIONS. County Commissioners 312 NW 2nd St, Rm 123 AUTHORIZEDREPRESENTATIVE Okeechobee, FL 34972 ��;�c'� �v � O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks ofACORD Dale ��'�'�"��1ii'� �� @�EA�E��'°� g�9�0��C� sizs�zozi Produter: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Hl9hWay 19 N. rights upan the CertiFwte Holder. This Certificate does not amend, extend HOIIdBy, FL 34691 or alter tfie coverage afforded by the policies below. (727) 938-5562 Insurers Affording Coverage NAIC # insured: South East Personnel Leasing, Inc. & Subsidiaries InsurerA: Lion Insurance Company iio�s 2739 U.S. Highway 19 N. msurer s: Holiday, FL 34691 Insurerc: Insurer D: Insurer E: Coverages _ _ _ _ The policias o( fnsurance lisled below hava haon issued to lhe Insured named above for lhe policy period indiraletl. NoRvilhslantling any requirement, tertn or condilion of any conlract or olherdocumenl wi(h respect lo whlch Ihis certifi�te may be Issued or may portaln, the insurance affortled by Ihe pollclos described hereln Is subJecl to all Ihe lerms, exciusions. and cnndltlons of such paticies. Aggregale IIMIs shown may have heen reduced by paltl clalms. INSR ADDL Policy Effective Policy Expiralion Limits LTR INSRO Type of lnsurance Policy Number Date Date (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each occurrenco Commercial General Liability Oamage to rented premises (EA Claims Made � Occur occurrence> Med �p Personal Adv Injury eneral aggregate limit applies per: General Ag�rofl��n Poticy � Profocl � LOC _ Producls - Comp/Op Agg UTOMOBILE LIABILITY Comhined Sing�a �imt� AnyAulo (EAnccident) O All Owned Autos Bodily Injury (Per Porson) 5 Scheduled Autos Hired Autos Bodily injury Non•Owned Autos (Per Accident) Property Damage (Per Accldent) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur � Gaims Made Aggregate Oeductibl3 A Woricers Compensatlon and WC 71949 01/01/2021 01101/20Z2 X WC Statu- oTH- . Employers' Liability io limits ER Any proprielorlparinerlexecutive officeNmember E.L. Each Accident Si.000.000 excluded? p�p E.L. Disease - Ea Employee 51,000,000 IF Yes, deseribe under special provisions below. E.L. Disease - Policy Limits 51.000,000 other lion Insurance Company is A.M. BesY Company rated A(Excelient). AMB # Z2616 Descripfions of OperatlonslLocationsNehicles/Excl�sions added by EndorsemenVSpecial Provisfons: Client ID: 12-57-152 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company": Scott's Qualiiy CleanJng Coverage oniy applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s), while working in FL. Coverage does not apply to statutory employee(s} or independent contractor(s) of the Clfent Company or any other entity. A Iist of the active employee(s) leased to [he Ctient Company can be obrained by faxing a request to (727) 937-2138 or email certiFcates@lioninsurancecompany.tom Project Name: FAX: 863-467-8664/1SSUE OB-22-08 (TD) / RENEWAL 12-17-09 (SH)1 REISSUE 09-07-11 (SD)Reissued 12/10/12 (SH) / Reissued �2/9/13 (SH) REISSUE 08-17-17 (RK). REfSSUE OB-19-17 (KR). REISSUE OB-23-21 (SS) Beqin Data: 10 26 1999 CERTIFICATE HOLDER CANCELLATION OI<EECHOBEE COUNIY BOARD OF Should any ol tha above desctibed pollcies be eancelled before 1he e�plralion date Ihefeof, Ihe iseuing COUNTY COMMISSIONERS insurer will ondeavor to mail 30 days written notice fo tha cerlificato hotder named lo lhe left, but failuro lo do so shall impose no obligetion or liability ot eny kind upon Ihe insurer, ils agents or representatives. 304 NW 2ND STREET OI<EECHOBEE, FL 34972 /_ ),,,,,.,,�i'^ � � .,___--• �"• f State Farm Mutual Automobile Insurance Company PO Box 8888i8 Dunwoady, GA 30356-9814 AT2 A-2602 DAWSON, SCOTT B& L MICNELLE DBA SCOTT'S QUALITY CLEANING 1792 SW 22ND TER OKEECHOBEE FL 34974-5673 � ', � � • . - �_ . �- . . . �� PREMIUM PAID: $735.73 � Yourpremium is billed if►rough ffte State Farm Payment Plan State Farm Payment Plan Number: 0140748219 Policy Number: C75 4594-624•59C Policy Period: August 24, 2021 to February 24, 2022 Vehicle: 2017 NfSSAN NV200 Principal Driver: ANGEL B LEE IMPORTANT NOTICE- Under No-Fauit Coverage, the only medical expenses we will pay are reasonable medical expenses that are payable under the Florida Motor Vehicle No-Fault Law. The most we will pay for such reasonable medical expenses is 80% of the "schedule of maximum charges" found in the Florida Motor Vehicle No-Fault Law and in the Limits section of the Florida Car Policy's No-Fault Coverage. Policy Number: C75 4594-B24-59C Prepared July 1, 2021 Form 1004933 ^�y� . �+ � �,�:: ... � . e � ��~ �� +�'�' J ' ._ :� Your 5tate Farm Agent GRETCHEN ROBERTSON INS AGY INC Office: 863-763-5561 Address: 309 NE 2ND ST OKEECHOBEE, FL 34972-2976 If you hava a new ord'rlferent car, have added anydrivers, orhave moved, pfease contad youragenf. Thank you for choosing State Farm. Based on your driving record, you have our Accident-Free Discount for preferred customers. When you provide a check as payment, you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon (continued on next page) Page number 1 of 5 144211 201 11-01-2015 .�`,��,`;� �� „� ,.� � � "��:��.�°�i :4 ��n �+w�' d .�� jbR�C�� '' � r �� .,,, - .�,�� .,.; :i e� +rw� a � � ",��a T , I t �s � � � � �,.da'Id-aa.....- �� r� �'F JP�� u�'7'� r �,'Y( itt4�..` ', I � � t �� •^;� r �1 P , . �� . � 1 n Pr� �� '� ' ��;; � .� _]�1"Q� j1011�' C�1SCOl.Ifi�� in13�;�1 '. r _� � r . 1 i!I Get a discount just for enrolling. From there, how you drive determines how much you save. If you haven't already, download the app and enroll. Text SAVE to 78836 or contact your agent, Gretchen Robertson Ins Agy Inc, at 863-763-5561. TP41 (� �1 . ,. . : . as the same day we receive your payment, and you will not receive your check back from your financial institution. Review your policy information carefully. If anything is incorrect, or if there are any changes to your vehicle information, please let us know right away. Vehicle Identification Vehicle Description Number (VIN) 2017 NISSAN NV200 3N6CMOKN7HK700092 Ongina! cost of customizafion none or up to $i,000. Other Household Vehicle(sj Your premium may be influenced by other State Farm policies that currently insure the following vehicle(s) in your household: 2016 RAM PRO CITY 2015 CHEVROLET K2500 2004 SUZUKI 246CC 2003 FOREST RIV WINDSONG 2007 CHEVROLET EXPRESS 2014 CHEVROLET C1500 2018 CONTINENTA GANS8520TA 2001 MERCURY GR MARQUIS 2020 INFINITI QX60 Premium Adjustment Each year, we review our medical payments and personal injury protection coverages claim experience to determine the vehicle safety discount that is applied to each make and model. In addition, we review the comprehensive, collision, bodily injury and property damage claim experience , :: Assigned Driver(s) The following driver(s) are assigned to the vehicle(s) on this policy. Name SCOTTBDAWSON MARIAIHERNANDEZ How is this vehicle normally used? fVational average: 12,000 miles driven Who principally drives this vehicle? annually per vehicte ANGEL LEE, a single female, who will be Business. Driven over 12,000 miles age 28 as of August 24, 2021. annually. annually to determine which makes and models have earned decreases or increases from State Farm's standard rates. If any changes result from our reviews, adjustments are reflected in the rates shown on this renewal notice. Marital Gender Status Male Married Female Married Age as o( August 24, 2021 51 49 Polioy Number. C75 4594624-59C Page number 2 of 5 P�epared July 1, 2021 Other Household Driver(s) In addition to the Principai Driver(s) and Assigned Driver(s), your premium may be influenced by the drivers shown below and other individuals permitted to drive your vehicle. This list does not extend or expand coverage beyond that contained in this automobile policy. The drivers listed below are the drivers reported to us that most frequently drive other vehicles in your household. ANGEL J LEE L M DAWSON PYKE BRADLEY DAWSON ROSALINDA R BENITEZ NICHOLAS J DIONNE Principal Driver & Assigned Drivers For each automobile, the Principal Driver is the individual who most frequently drives it. Each driver is designated as an Assigned Driver on the household automobile that they most frequently drive. Your premium may be influenced by the information shown for these drivers. ..�; : . . . � , � State Farm works ha�d to offer you the best combination of price, service, and protection. The amount you pay for automobile insurance is determined by many factors such as the coverages you have, where you live, the kind of car you drive, how your car is used, who drives the car; and information from consumer reports. Your premium was determined by information from consumer repo�ts: Percent of open auto finance accounts to total accounts reported in the last 12 months; 7ime since most recent public record or collection, excluding medical, utility; Number of retail consumer initiated inquiries in the last 24 months; Percent of high credit on bank revolving accounts to high credit on all accounts reported in the last 12 months. Consumer report reference number: 21165071803327 Credit information was obtained on: SCOTT DAWSON You have the right to request, no more than once during your policy term, that your policy be re-rated using a current credit-based insurance score. Re-rating could result in a lower rate, no change in rate, or a higher rate. Please refer to the enclosed insert for additional information. . See your policy for an explanation of these coverages. A Liability Bodily Injury 1,000,000/1,000,000 Property Damage 1,000,000 �416.47 P10 No Fault $54.18 C Medical Payments Emergency Medical 20,000 Not Emergency Medical 1,250 $30.49 D 500 Deductible Camprehensive $42.77 500 Deductible Callision $101.06 H Emergency Road Service $1.99 R1 Car Rental 8� Travel Expense 80% Per Day, $1,000 Max $13.02 (conlinued on next page) Policy Number. C75 4594B24-59C Prepared July 1, 2021 Page number 3 of 5 U3 Uninsured Motor Vehicle Bodily injury 100,000/300,OD0 $75.75 Total Premium 5735.i3 if any coverage you carry is changed to give broader protection with no additional premium charge, we will give you the broader protection without issuing a new policy, starting on the date we adopt the broader protection. IMPORTANT INFORMATION ABOUT UNINSURED MOTOR VEHICLE COVERAGE Now is a good fime to consider either adding Uninsured Motor Vehicle Coverage, or increasing your limits for this coverage. This coverage protects you, your resident family members and your passengers in the event of bodily injury sustained in an accident for which an unidentified, uninsured, or underinsured driver is legally liable. You have the right to choose one of these options: a. select stacking coverage (U) with any available limits up to your bodily injury (iability coverage limits, which means that if more than one Uninsured Motor Vehicle Coverage applies, the limits for the applicable coverages may be added together (Stacking is not available for policies with a named insured that is not a natural person); b. select, at a reduced premium, non-stacking coverage (U3) with any available limits up to your bodily injury liability coverage limits, which means the Uninsured Motor Vehicle Coverage limits are not added together in most circumstances. The non-stacking coverage on this policy is not available to persons injured while occupying a motor vehicle owned by you or a resident family member which is not insured for uninsured motorist coverage by this policy; or c. reject this coverage entirely. Please contact your State Farm agent if you wish to change coverage. IMPOfZTANT INFORMATION ABOUT PREMIUM SAVINGS FOR NO•FAULT COVERAGE (Coverage P- Personal Injury Protection Insurance) For personal injury protection insurance, the named insured may elect a deductible and to exclude coverage for loss of gross income and loss of earning capacity ("lost wages"j. These elections apply to the named insured alone, or to the named insured and all dependent resident relatives. A premium reduction will result from these elections. The named insured is hereby advised not to elect the lost wage exclusion if the named insured or dependent resident relatives are employed, since lost wages will not be payable in the event of an accident. Please contact your agent for information about No-Fault prernium savings. . • �, .� These adjustments have already been applied to your premium. Multiple Line Antilock Brakes Multicar Mtitheft ✓ ✓ ✓ ✓ Vehicle Safety ✓ Accident-Free ✓ Homeownership ✓ Total Discounts $528.50 AUTOMOBILE RATING PLAN - Applies to private Accident-Free Discount - Once your policy has been in passenger cars only. force for at least three years with no chargeable accidents, you may qualify for our Accident-Free Discount. Once you (continued on next page) Policy Number. C75 4594B24-59C Prepared July 1, 2021 Page number 4 of 5 qualify, this discount applies as long as there are na chargeable accidents, and may even increase over time. Good Driving Discount - Newer policyholders who do not yet qualify for our Accident-Free Discount (available after three years with no chargeable accidentsj may already be receiving a Good Driving Discount. This discount continues to apply until your policy qualifies for the Accident-Free Discount as long as there are no chargeable accidents and no new drivers. If you add new drivers, they must also qualify in order for your Good Driving Discount to continue. Chargeable Accidents - For new business rating, an accident is chargeable if it results in $750 or more of damage to any property. For renewal business, an accident is chargeable as of the date State Farm pays at least $750 (for accidents occurring on or after April 1,1999) under property damage liabiliry and collision coverages for an at-fault accident. Surcharges - If there are chargeable accident5, you may lose your Good Driving Discount or Accident-Free Discount and receive accident surcharges. But if the accident is ihe first to become chargeable in nine years and this policy has been in force for at least that long, the Accident-Free Discount will continue and no surcharge will apply. The surcharge for each accident depends upon the number and timing of the accidents, and each accident surcharge wilf remain in effect up to three years. Surcharges will be removed if the cornpany is given satisfactory evidence that the driver involved is no longer a member of the household or will not be driving the car in the future. If that driver is insured on another State Farm policy, his or her driving record will be considered in the rating of the other policy. These discounts and surcharges do not apply io all coverages. For complete details, see your State Farm agent. You are receiving the Homeownership Discount because a resident non-employee driver reported to us owns a residence that they live in at least part of the time. Please contact your ageni if this is no longer accurate. � If any information on this renewal no6ce is incomplete or inaccurate, or if you want to confirm the information we have in our records, please contact your agent. For additional information regarding discounts or coverages, see your State Farm agent or visit statefarm.com0. Endorsement 6910A effective AUG 24 2021. Drive 100 yards while wearing a blindfold? Driving 100 yards while wearing a blindfold is a dangerous idea, but that is essentially what is happening when a driver attempts to send or receive a text message while driving 55 miles per hour. Drivers who manually operate a cell phone while driving have a crash risk that is five times that of drivers who do not engage in secondary tasks while driving. Protect yourself, others on the road and your insurance rates by eliminating distractions where possible while driving. When you buy an additional car or one that replaces a car already on your policy, you need to report the change to your agent �romptiv. Even though the dealership you purchased the car from may offer to notify your agent or insurance company, you, as the named insured, are responsible for reporting all changes to your auto policy. By contacting your agent, you can help: • avoid any complications or lack of coverage in the event of an accident or loss, • avoid insurance verification problems with a lienholder, the police, or the department of motor vehicles, and e ensure that you receive any new discounts you may be entitled to. Your current State Farm policy automatically provides certain coverages for a new or replacement car for up to a specified, limited number of days after you take possession of the car. Please refer to your policy for the number of days that applies in your state. If you have any questions about coverage for a newly acquired car, please contact your State Farm agent. Disclaimer.� This message is provided for info�nationa! purposes only and does nof grant any insurance coverage. The terms and condifions of coverage are sef forth in your Sfate Farm Car Policy booklef, fhe most recenfly issued Declarations Page, and any applicable endorsements. Policy Number: C75 4594-824-59C Page num6er 5 of 5 Prepared July 7, 2021 �oa�°d of County Commi��i�ners Okeechobee County 464 Hwy 98 North, Okeechobee, Florida 34972 863-357-700'7 Fax 863-467-6184 !�►DD�NDUM NO. 1 Project Name: Olceechobee County Project No. 2021-16 Oaceechobee County Faciliiies Maintenance Custodial Senrices for the Okeechobee County Judicial Center & Historic Courthouse Okeechobee County Project No. 2021-17 Okeechobee Couniy Faciliiies Maintenance Custodial Services for the Okeechobee County Public Library & Public Works Facility Date: August 16, 2021 This addendum forms part of the contract documents dated July 28, 2021, for the subject project as prepared by Okeechobee County. Please acknowledge receipt of the addendum in the Bid Proposal Form. ADDITIONS, MODIFICATIONS AND/OR CLARIFICATIONS TO THE PLANS AND SPECIFICATIONS I. INSTRUCTIONS: 1. This Addendum shall be included as part of the original Contract Documents and the work required therein. 2. All work performed under this addendum shall be subject to the requiremeuts of the Specifications and the Drawings for the work of this Project. 3. Submit written acknowledgement of receipt, understanding, and incorporation of all items of this addendum into the bid price along with the bid. Bic�s subniitted withoY�t this wf-itten ackrrowled ernent statement will be considered incomplete and disgualifced. II. RFIOITESTIONS: �-,._.—..:....--:-r--.� �,�.--�-�----.< — - _� r...�.ti: _.�, .__-�__ _ —�-�:.��.�...�...�..,�._ _w. ,.:.�... Addendum No.1 1. It is our suggestion that the window blinds be added to the contract, instead of billing every time we go. We suggest doing them once a year, possibly twice a year. . �� .,_ :i� .. � �' ,._. _ �_;I.�„ . t.. ._. ... �i: , . �..,�. ��. . _ ! _ .. . �i�.. ... . �_ ... 1�1C 5�:11ii: 1l1?i�' Q't; [lli, iii:CiIGi `:i S�il101'i Cl2�lilill`�� i,11 :, 5C;1i11-uil:lil<� Gi:�.l:i. END OF ADD�NIDUM NO. 1 This document must be signed by the bidder's authorized representative and peiznanently attached to the Bidder's Proposal (i.e. stapled) in its entirety. Proposal subrnitted wit�eout Addendurrd aa►d unsi�ned will be incomplete arac� wiIl no� be accepted. Name of Bidder : _� �* ,-,�-�-�_ 5 (� `, L�,, � � ,�, � ; �_ L � Date: �- � 3 , a� BY '�.�.��s �,�„ � ca.t,t �c�l�iY� Title: Addendum No. 1 W v� � � �I � i )� `C � � yl �,� s�` � ;��a � �/,I KNOW ALL MEN BY THESE PRESENTS, that we Scott's Quality Cleaning ,Iic as Principal, hereinafter called Principal, and, FCCI Insurance Company 6300 University Parkway Sarasota, FL 342�80 a corporation duly organized under the laws of the State of as Surety, hereinafter called the Surety, are held and firmly bound unto Okeechobee BOCC 304 NW 2"d Street Room 106 Okeechobee fl 34972 as Obligee, hereinafter called the Obligee, in the sum of 5% of the amount bid DoNars ($ for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for Okeechobee County Project No. 2021-16 NOW THEREFORE, if the obligee shall accept the bid of the princlpal and the principal shall enter into Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in'the prosecution thereof, or in the event of the failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the obligee may in good faith contrect with another party to perform the Work covered by said bid, then this obligation shall be null and void, othenvise to remain in full force and effect. ), Signed and sealed t is 25 day of August , 2021 � � _��,�.�� ` (Prindpa/) (Seal) (Witness) �-�='i r� �f1 (Title) f � f��L rtif�� 1 (Surety) (Seal) (Witness) `--'�/�G � f� �