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DBPR Interagency AGREEMENT w/ The Department of Business and Professional Regulation , Division of Hotels and restaurants for Delegation Of Statutory Authority to Regulate and Enforce Elevator Safety co12krizis 2a20- 313Qy DBPR INTERAGENCY AGREEMENT BETWEEN THE DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION,DIVISION OF HOTELS AND RESTAURANTS AND CITY OF MIAMI BEACH FOR DELEGATION OF STATUTORY AUTHORITY TO REGULATE AND ENFORCE ELEVATOR SAFETY This Agreement is made and entered into this day of ,2020,by and between the Department of Business and Professional Regulation,Division of Hotels and Restaurants, hereinafter referred to as the DEPARTMENT,and City of Miami Beach,by and through the City of Miami Beach Public Works,Elevator Safety Division,hereinafter referred to as the CONTRACTOR.Pursuant to this Agreement,the CONTRACTOR shall issue elevator construction permits,repair and alteration permits,temporary elevator operation permits and certificates of operation;shall provide and conduct elevator inspections;and,shall enforce the applicable provisions of the Florida Building Code,as required by Chapter 399,Florida Statutes, ("Elevator Safety Act");and Rule Chapter 61C-5,Florida Administrative Code,("Florida Elevator Safety Code")on elevator equipment located in and throughout City of Miami Beach not already subject to a contracted delegation of authority pursuant to the requirements of Chapter 399,and Rule Chapter 61C-5,Florida Administrative Code.In recognition of a jurisdictional Agreement between the Department and City of Miami Beach,the City of Miami Beach Public Works,Elevator Safety Division,will retain contracted jurisdictional authority of equipment located in its own properties owned and/or operated by City of Miami Beach, irrespective of location within City of Miami Beach.Contractual services shall begin, ,or upon full execution of this Agreement,whichever is the earlier date and services shall end on June 30,2030. This Agreement is subject to the following provisions: SPECIAL PROVISIONS 1) INDEPENDENT CONTRACTOR:The CONTRACTOR shall perform and render the agreed upon services herein as an independent contractor and not as an agent,representative, or employee of the'DEPARTMENT,in a proper and satisfactory manner as determined by the DEPARTMENT in its sole discretion. 2) INCORPORATION:This Agreement incorporates in full,as if fully set forth herein,the provisions of the Elevator Safety Act,Florida Elevator Safety Code and Chapters 30 and 35 of the Florida Building Code,as these provisions exist and as they may be amended in the future. 3) COMMUNICATIONS:The DEPARTMENT agrees to have open and direct lines of communication with the CONTRACTOR,by providing DBPR staff telephone numbers to CONTRACTOR designated personnel,and by agreeing to provide advance copies of Industry Bulletins and Technical Advisories to the CONTRACTOR before they are published and released to vendors,elevator contractors,license holders and other industry stakeholders. Wage The CONTRACTOR likewise agrees to have open and direct lines of communication with the DEPARTMENT,by providing City of Miami Beach staff telephone numbers to DEPARTMENT designated personnel,and by agreeing to provide advance copies of Industry Bulletins and Technical Advisories and other key documents to the DEPARTMENT before they are published and released to vendors,elevator contractors,license holders and other industry stakeholders. 4) ASSIGNABILITY:This Agreement is exclusive and personal and may not be assigned by the CONTRACTOR in whole or in part,except that in the event an emergency situation temporarily prevents the CONTRACTOR from performing its obligations hereto,the CONTRACTOR may request written.permission from the DEPARTMENT to solicit assistance from any other municipality or county that hasentered into a similar interagency Agreement with the DEPARTMENT to issue elevator construction permits,repair and alteration permits,temporary elevator operation permits and certificates of operation;provide and conduct elevator inspections;and enforce applicable provisions of the Florida Building Code,as required by the Elevator Safety Act and Florida Elevator Safety Code.Emergency assistance shall not exceed six(6)months without prior approval from the DEPARTMENT. 5) CONSIDERATION FOR SERVICES:Except as otherwise stated herein,in consideration for the services performed pursuant to this Agreement,the CONTRACTOR is entitled to collect and retain those statutorily authorized fees and administrative fines,as provided in the Elevator Safety Act and Florida Elevator Safety Code,associated with the responsibilities and obligations to be performed herein,which fees and administrative fines would otherwise be collected by the DEPARTMENT.This Agreement does not address,prohibit nor endorse, legally or otherwise,any additional fees and administrative fines imposed by the local jurisdiction. 6) CONTRACTOR SERVICES:The CONTRACTOR shall perform the following services: a. The CONTRACTOR shall conduct elevator inspections in accordance with Sections 399.061 and 399.13,Florida Statutes.The CONTRACTOR shall ensure that each inspection is competently performed by the holder of a valid certified elevator inspector credential,issued by the DEPARTMENT,and maintained in good standing.As provided in Section 399.13,Florida Statutes,the certified inspector shall be independent or an employee of the CONTRACTOR.For each inspection performed the inspector shall complete an Elevator Inspection Report, using either of the approved forms,which are attached hereto and incorporated by reference as Attachments"IA"and"IIA".The CONTRACTOR shall assume responsibility for inspector compliance with elevator inspection standards referenced in ASME A17.2,Guide for Inspection of Elevators,Escalators,and Moving Walks and for correcting any deficient performance by inspectors it supervises through employment or contractual relationship.The DEPARTMENT, however,shall retain sole authority for disciplining an inspector's professional credential certification. 21Page b. The CONTRACTOR shall enforce the applicable provisions of the Florida Building Code,as required by the Elevator Safety Act,Florida Elevator Safety Code,and all other applicable and authorized elevator laws,rules and local ordinances,against any elevator owner or other person in violation thereof,except as otherwise provided in this section. "All enforcement activity shall be conducted in accordance with the provisions of Chapters 120, 162 and 399,Florida Statutes, and Chapter 14-City of Miami Beach City Code and applicable Florida Administrative Code." The DEPARTMENT,however,shall retain all authority with respect to professional credentials issued pursuant to Chapter 399,Florida Statutes.The CONTRACTOR shall not issue professional credentials nor shall it enforce the credentialing provisions of Chapter 399,Florida Statutes.The CONTRACTOR may issue local jurisdiction summons and collect administrative fines from credentialed persons or credentialed companies for violating the provisions of the Elevator Safety Act and the Florida Elevator Safety Code.However,the CONTRACTOR shall report to the DEPARTMENT all known or suspected violations of Chapter 399,Florida Statutes,or the Florida Elevator Safety Code, committed by holders of a DEPARTMENT issued professional credential within thirty(30)days of discovery. c. The CONTRACTOR shall provide the DEPARTMENT with a Monthly Activity Report,using either of the approved forms,which are attached hereto and incorporated by reference as Attachments"IB"and"IIB".The Monthly Activity Report shall include the number of elevator permit applications received and issued,the number of elevator inspections and callbacks conducted,complaints and accidents received,inspected and resolved,and the number of actions initiated to enforce the provisions of the Elevator Safety Act and Florida Elevator Safety Code.Such report is due to the DEPARTMENT within thirty(30)days of the end of the month in which activity is reported. d. The Elevator Safety Act requires that an elevator owner or representative report any accident occurring on or in an elevator within five(5)working days of the accident to the DEPARTMENT using an Elevator Owner Accident Report,using either of the approved forms,which are attached hereto and incorporated by reference as Attachments"ID"and"IID".However,if the accident occurs within the City of Miami Beach,a copy of any accident report shall be forwarded to the DEPARTMENT within thirty(30)days. e. The CONTRACTOR shall maintain accurate records and documentation, including copies of all elevator permit applications received and issued,all elevator inspection reports issued and all elevator certificate of operation applications received and issued,pursuant to the requirements of Section 399.13, Florida Statutes. 3IPage f. The CONTRACTOR acknowledges and agrees that all records and reports required by this Agreement,the Elevator Safety Act,or Florida Elevator Safety Code,are subject to inspection by the DEPARTMENT.The CONTRACTOR shall maintain all such records according to the retention schedule employed by the DEPARTMENT'S Bureau of Elevator Safety. g. The CONTRACTOR shall not issue an elevator Certificate of Operation until,the elevator or vertical conveyance passes its initial or final inspection as applicable, the elevator company supervisor signs an Affidavit,using either of the approved certificates and forms,which are attached hereto and incorporated as Attachments "IC"and"IIC",and witnessed by the CONTRACTOR'S inspector,which sets forth that the elevator company supervisor directly supervised construction or installation of the elevator. h. The CONTRACTOR agrees to establish a Quality Assurance Program in consultation with,and approved by,the DEPARTMENT,to conduct quality assurance inspections and to provide the DEPARTMENT with copies of the quality assurance inspection reports.A copy of any quality assurance inspection report shall be forwarded to the DEPARTMENT within sixty(60)days of the quality assurance inspection.The DEPARTMENT will conduct oversight and monitor inspections as necessary. 7) CONTRACTOR RESPONSIBILITIES:The CONTRACTOR shall be responsible for: a. CONTRACTOR agrees to process all certificates and permits it issues,and electronically store data,specified below,related to the regulation of elevators, issuance of permits,certificates of operation,for each item specified in Section 399.13,Florida Statutes until this Agreement terminates. b. CONTRACTOR agrees to provide the electronic data specified below to the DEPARTMENT,not later than sixty(60)days prior to and until termination of this Agreement by either party,in comma-delimited text format that will merge into the DEPARTMENTS'Versa:Regulation'licensing data software,or any successor and then-current licensing data management software,with minimal need for data conversion programming.CONTRACTOR'S failure to provide the specified data in such a format not later than sixty(60)days prior to the termination of this Agreement is a breach of this Agreement.CONTRACTOR will reimburse the DEPARTMENT within sixty(60)days of receipt of an itemized invoice from the DEPARTMENT for all actual and reasonable costs incurred in good faith by the DEPARTMENT to merge the specified data into the DEPARTMENT'S'Versa:Regulation'licensing data software,or any successor and then current licensing data management software, whether such costs are attributable to work performed by the DEPARTMENT or a source external to the DEPARTMENT.If the need arises,in the sole determination by the DEPARTMENT,to undertake data conversion in anticipation of the termination of this Agreement,the Contractor agrees to provide full cooperation and 4oPage unobstructed access to the DEPARTMENT'S staff or any external resource engaged in the conversion work to merge the CONTRACTOR'S data with the DEPARTMENT'S'Versa:Regulation'licensing data software,or any successor and then-current licensing data management software.CONTRACTOR shall abide by the requirements of Department Information Technology Resources and Data Access Security,which is attached hereto and incorporated by reference as Attachment"1V". c. The following specific electronic data is required for conversion at a minimum,for each item specified in section 399.13,Florida Statutes,to include:elevator permit applications,permits issued,and certificates of operation issued,and the following: 1. License information,continually maintained:City of Miami Beach Elevator Certificate Number,prior State Serial Number,Licensee Name,Classification Code(equivalent to state codes current at time of migration),Mailing Street Address,Mailing Address Line 2,Mailing Address Line 3,Location City,Location State Code,Location Zip Code,Location County Code,Location Phone Number,License Status Code(equivalent to state codes current at time of migration),License Secondary Status Code(equivalent to state codes current at time of migration),Original Date of Issue,Expiration Date,Number of Landings,Capacity(in pounds),Travel distance(in feet),Speed Up (feet per minute),Speed Down(feet per minute),and installing Company and date installed.In addition: Service Contract Number and Status:Current;Maintenance Company Name,Address,and License Number;Beginning and Ending Date(of service contract). 2. Inspection information,maintained for the preceding five years:City of Miami Beach Elevator Certificate Number,prior State Serial Number,Inspection Date,Inspection Type Code(equivalent to state codes current at time of migration),Violation Codes,Number of Violations,Certified Elevator Inspector Number. 8) CONTRACTOR may grant variances and waivers to the Florida Elevator Safety Code,as authorized in rule and consistent with the provisions of Chapter 120,Florida Statutes. GENERAL PROVISIONS 1) APPROPRIATION:This is a no-cost Agreement for the DEPARTMENT.The CONTRACTOR is responsible for all costs associated with the performance of this Agreement. 2) CANCELLATION:This Agreement may be terminated by either party by giving one hundred and eighty(180)days written notice of cancellation to the other party;said notice shall be sufficient if it is delivered to the party personally or mailed by certified mail to the mailing address as specified herein.In case of cancellation,only the costs actually accrued Wage for services satisfactorily performed prior to the date of cancellation shall be considered incurred,and all work in progress shall remain the property of the DEPARTMENT and shall be delivered to the DEPARTMENT.The CONTRACTOR shall abide by the electronic data merge and cost reimbursement requirements due the DEPARTMENT within sixty(60)days prior to and until termination of this Agreement. 3) COMPLIANCE:For the purpose of ensuring compliance with the provisions of this Agreement and the provisions of the Elevator Safety Act and Florida Elevator Safety Code, the DEPARTMENT may at any time verify compliance with applicable standards,assess the effectiveness of the CONTRACTOR'S inspection and enforcement activities and verify the accuracy of the inspections performed.The DEPARTMENT will notify the CONTRACTOR in writing of any deficiencies noted and provide appropriate documentation when necessary. The CONTRACTOR shall remedy the deficiencies noted within thirty(30)days of receipt of notice.Upon a finding by the DEPARTMENT that the CONTRACTOR has failed to comply with or enforce the applicable provisions of the Florida Building Code,as required by the Elevator Safety Act and Florida Elevator Safety Code,or has violated the terms of this Agreement,the DEPARTMENT may cancel this Agreement by giving CONTRACTOR immediate written notice of cancellation. 4) ENTIRE AGREEMENT:This Agreement and attachments"IA"(DBPR Elevator Inspection Report)and"IIA"(City of Miami Beach Elevator Inspection Report),"IB"(DBPR Monthly Activity Report)and"IIB"(City of Miami Beach Monthly Activity Report), "IC"(DBPR Construction Supervisor Affidavit signatory form for a Certificate of Operation)and"IIC" (City of Miami Beach Construction Supervisor Affidavit),"ID"(DBPR Elevator Owner Accident Report)and"IID"(City of Miami Beach Elevator Owner Accident Report),and Attachment"IV"Department Information Technology Resources and Data Access Security attached hereto,constitute the entire Agreement of the parties;and no other Agreement or modification,expressed or implied,shall be binding on either party unless same shall be in writing and signed by both parties.This Agreement may not be orally modified.Any modification must be in writing,expressly titled a modification,amendment,or addendum to this Agreement,attached to this Agreement,and signed by both parties. 5) LIABILITY: Pursuant to this Agreement,the CONTRACTOR acts in the place of the DEPARTMENT and not on behalf of the DEPARTMENT as an agent or representative. Each party hereby assumes the acts or omissions of that party or its officers,agents or employees.Nothing herein is intended to serve as a waiver of sovereign immunity by any party to which sovereign immunity may be applicable.Nothing herein shall be construed,as consent by a state agency or political subdivision of the State of Florida to be sued by third parties in any matter arising out of this Agreement or any other contractual agreement.The CONTRACTOR shall be responsible for all costs incurred for performance of the delegated responsibilities herein and to the extent provided by law and subject to the limitations provided in Section 768.28,Florida Statutes,as same may be amended,indemnifies the Department of Business and Professional Regulation,the Division of Hotels And Restaurants,the Bureau of Elevator Safety,their employees and representatives for any action brought as a result of Contractor's acts or failure to act under this Agreement. Wage 6) PUBLIC DOCUMENTS:The CONTRACTOR shall allow the public and DEPARTMENT access to all documentation relating to any action required pursuant to the provisions of this Agreement.Failure to permit such access may result in an action to enforce disclosure pursuant to Chapter 119,Florida Statutes,and the DEPARTMENT canceling this Agreement by giving CONTRACTOR immediate written notice of cancellation. 7) ATTORNEY'S FEES:Except as otherwise provided by law,the parties agree to be responsible for their own attorney's fees incurred in connection with disputes arising under the terms of this Agreement. 8) DISPUTES:This Agreement shall be governed by and construed in accordance with the laws of Florida.The CONTRACTOR agrees that venue to enforce any provision of this Agreement shall be in Leon County,Florida. 9) NOTICE TO CONTRACTOR:The DEPARTMENT shall consider the employment by any contractor of unauthorized aliens a violation of section 274A(e)of the Immigration and Nationalization Act.If CONTRACTOR violates this section,the DEPARTMENT may cancel this Agreement by giving CONTRACTOR immediate written notice of cancellation. 10) RENEWAL:This Agreement may be renewed for one additional ten-year term provided the DEPARTMENT is satisfied with the CONTRACTOR'S performance and provided that the CONTRACTOR notifies the DEPARTMENT in writing at least 180 days prior to expiration of its intent to renew. IN WITNESS WHEREOF,the parties hereto have made and executed this Agreement between the Department of Business and Professional Regulation,Division of Hotels and Restaurants and City of Miami Beach on the respective dates under each signature:City of Miami Beach through its Board of City Commissioners,signing by and through its Chair or Vice Chair,or designee, authorized to execute same by commission action,and the STATE OF FLORIDA,signing by and through its Director,Department of Business and Professional Regulation,Division of Hotels and Restaurants,and Secretary of the Department of Business and Professional Regulation authorized to execute same. 71Page STATE OF FLORIDA STEVEN VON BODUNGEN,DIRECTOR Department of Business and Professional Regulation Division of Hotels and Restaurants 2601 Blair Stone Road Tallahassee,Florida 32399-1011 Date: Approved: HALSEY BESHEARS,SECRETARY Department of Business and Professional Regulation 2601 Blair Stone Road Tallahassee,Florida 32399-0750 Date: Approved: Approved as to Form and substance Attorney Name,General Counsel • 8I Page CONTRACTOR NAME CITY OF MIAMI BEACH, FLORIDA By: Dan Geiber, ayor ATT a d z-s- day of ,2020 Rafae E. Granado,City Clerk t-tli[ORPO ATEO 9IPage APPROVED AS TO FORM&LANGUAGE &FOR EX CUTION 0;it—L'OAS' 16 City Attorney..w Dote ATTACHMENTS I. DBPR Forms "A"—DBPR Elevator Inspection Report(Form HR 5023-003) "B"—DBPR Monthly Activity Report "C"—DBPR Construction Supervisor Affidavit signatory form for Certificate of Operation (see Supervisor of Construction attestation on Attachment A) "D"—DBPR Elevator Owner Accident Report(Form HR 7016) H.City of Miami Beach APPROVED DBPR EQUIVALENT Forms (provided by the CONTRACTOR)- "A"—City of Miami Beach Elevator Inspection Report "B"—City of Miami Beach Monthly Activity Report "C"—City of Miami Beach Construction Supervisor Affidavit (similar to attestation on DBPR Attachment A) "D"—City of Miami Beach Elevator Owner Accident Report III. reserved IV. Department Information Technology Resources and Data Access Security 10IPage CERTIFIED ELEVATOR Slate of Florida Page of SERIAL NUMBER INSPECTION DATE TYPE OF INSPECTION TIME IN ! INSPECTOR(CELT tr r _. i .. , ELEVATOR INSPECTION REPORT f m _ ... J Routine N -: -----1— -----•— --- (_IAlteration Acceptance TIME OUT Inspection Company Name REC# ';a)1'�l]•.1i :01 I'0 LOI m L0, '0'I(o, (01 `l q, r01 (O i(piIr0� Callback '111(1)1(1. 11)1 1` (1,, w f`1 l.1);V L11) L1_;' 1 1 �`1� 1� ;Construction �21i12'I '2� 121 �2 (21 oj 2) Ti 16' !2' 2 1 r2 2, (l Initial Acceptance Building Name g` `-,<N---1.1t I cb 3i;(3; `3 I.., 18' 131! 3'13 Temporary Operating s t 4; �4? L4,I i4j f 4 4 N l_, `) 4.. l_r, L `} ____.._...____.__. At.achment IC �.' la LEi (4'lI '4 '17& 4 (4 (4 14' Inspection `aulydingAddress ---_--.. —.- ----- I.5, -5) rg ••• a = 15}i r.51 C5. C5 I(5DI((.J se DBPRUSE .Ly ____________ _------- ---- :6� l�i :6) t�• l6 E (6'1 16 j (6).I(6)1(6� ( 1 Accident City (7)1'.7 (?J 1T I I�; :7� u_ 17`i ,7. i'-...i.) 7� (7 t 7' 7 )Com faint _ i".,13) ,8 8 8 8% (1-3N; m '8 i_ (8' [22j `81 ! 8 81 j 8 i,)Compliance Monitoring CEI-FL Cert lied Elevator I speclor [ a U P•E R v i a O R OF C O N S T R U C T I O N = � (9)I`9 I (9.9 O 1 ') 9 (13 (9�t 19 I r9 (9 IndustryOversight/Audit CET-FL Certified Elevator Technician I certifythat as rho elevator companysupervisor.1 directly supervised the construction or installation of this elevator. J' - -- 1`- 1 1- `-) `� 9 REC-FL Registered Elevator Company y J _ .--.—.-_..---_—.-.-__._._.J ...- ,- Or sae attachod elovalor Installation artldavlt. r.—._.__..—... w._..._._.— _....._r_._- -__�____.__.__ _ VIOLATIONS --- Sgnamre CES i ` 'ETa_.__.__ FOR VIOLATION CODES,PLEASE GO TO:www.myfloridalicense.comldbprllrrlolevators.html -- Print—Nam-.--- ..._._....-__. .__. ._. ..___.___ .---Phone Number VIOLATION 4 VIOLATION 2 I VIOLATION 3 I VIOLATION 4 VIOLATION 5 I VIOLATION 6 VIOLATION 7 I VIOLATION 8 VIOLATION 7 f f 0 '0) I 0 c'E; Co) i 0'• (l)1 '(1 (6) (0 .'p� 11E' "6-' `0 (0� (E (0 (0 ri) E) r01 ±0) 101 (E 10 0) LB [E `01 {O:i (r0 I i E 0 0` ;0 >- :":121) H) 1 Ti 11 iH{ L1 I 111 1: VH' 11} III tJ H) t1' (�J r1.)J i(tJ CO!JJ i i Irk j ii.j �( lf. IR l�, � r0 Hl .1 11. (j (HSI Li 1 '1, 0.o S) 2), 12; l? i'S: `2) f21 2' ;;sJ I l?_I 1-2'i 1-S ;2` (z'I ,--ii f D l`(` g l2 rs; �22 c J (?; !c C?J (`J (J ii. l2'I (2� ;2) i(�'J t2` -2; (?' . 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COM'MENTS AND BRIEF DESCRIPTION WITH CODE CITATION CERTIFIED ELEVATOR INSPECTOR. _ I certify that I have personally performed or witnessed: i i Routine inspection •• n Periodic tests as prescribed by ASME A17.1 This device ___.. _ _ _ _ _ • '-`,Acceptance inspection of new or __ Complies Wilh — 1 ,---'altered installation as recommended ' by the ASME A17.2 inspectors Manual Does Not Comply With i_. ___-,---_ . .. _. _... . ... __ .__.. ..- -- ___ _ _... ____ _—_-._---. __ I �Violations cited on the previous inspection .,�;Is Exempt From I report have been corrected. Section 399.15.Florida Statutes: i ---------- --------- ----I "-•,Installation meets or exceeds minimum standards i Regional emergency elevator s )of Chapter 399,Florida Statutes,and Chapter 30 of'the I access/fire key requirements. ---_--__ _- -.__ - -------- , Florida Building Code adopted by Rule 98-3.047, • • Florida Administrative Code. Attachment-IA - PERSON RECEIVING THIS REPORT- _ _ - ' Signature -- - -- _ CEI: If violations are cited,this report constitutes an Order to Correct as outlined in s.399.061(4),Florida I •Pass, 'Statutes. Violations must be corrected within 90 days in accordance with s.399.105(4),Florida Statutes. ?-i< Fail Print Name Phone Number - .._------- --- ------ -- --- --- -. — —, Signature Title -, —_ ____..----...__-..._..._ .---__-. -..._.._-.__--.-..I , NOTICE TO CERTIFIED Completed inspecuon repot tinusl Lie r subm tted to the Bureau of Elevator Safety Name Phorta Number j L. .'..,. l r <, I i i,i- ,:1. , .,i .. ;i,L. ELEVATOR INSPECTOR within five(5)working days of inspection. IIIIII1111111IIIII11112I111111III1III I1I111Ill PERIODIC INSPECTION OF HYDRAULIC ELEVATORS 1 I TYPE OF INSPECTION _ � INSPECTION ACTION I I CITY OF MIAMI BEACH Ii Periodic Inspection AP Pass ! Compliance Inspection I PA i Partial Pass ! MIAMI 6 EAC H PUBLIC WORKS i ELEVATOR SAFETY DIVISION I --' REPORT OF ELEVATOR VIOLATIONS 1700 CONVENTION CENTER DRIVE.1ST FLOUR 1; Complaint I i Sealed I MIAMI BEACH FL.13139 Other 1 1 Accident l I TM.305.5734215 i Owner/Agent: Tel.No. Serial No. Received By: Print: EBL No. 1 Building Name: I i Case No. Property Address: Miami Beach,Florida INSPECTION DATE: -- Elevator Company: Inspection Company: Inspector Name: — CEI:No:.. VIOLATIONS:See Reverse Side for Description { Time spent in this unit --i 8.11.3.1.1 Inside the Car j�— J I Start Time: 2 Machine Room1 3 11 8. . . . End Time_. __..._.._—_ 8.11.3.1.3 Top..., NOT-ICE TO ELEVATOR OWNER- ' 8.11.3.1.4 Outside the Hoistway ANY VIOLATIONS NOTED MUST RE CORRECTED 811.34.5 Pit I WITHIN 90 DAYS FROM THE DATE OF THIS 8.11.3 1.6 Firefighters'Service -�- ! INSPECTION.FAILURE BY OWNER 10 COMPLY IS SUBJECT TO AN ADMINISTRATIVE FINE, IN I 8.11.3.17 working Platforms I ADDITION TO ANY 01 HER PENALTY PROVIDED BY LAW. If THIS ELEVATOR IS OPERATING 8.6.5.14 Periodic Test Cat 1 UNDER A FULL SERVICE CONTRACT. NOTIFY I 8.6.5.15 Periodic Test Cat 3 —_. YOUR ELEVATOR COMPANY IMMEDIATELY 8.6.5.16 PeriodicTest Cat S A CERTIFICATE OF OPERATION WILL NOT BE ISSUED UNTIL ANY VIOLATIONS NOTED HAVE 8.6.1 General Requirements BEEN CORRECTED,A CLEAR INSPECTION REPORT 8.6.4 Maintenance HAS REEF)RECEIVED AND THE CERTIFICATE FEES _. —_._.._—. .__.__.___..........._.._.__.._.......____..,...__._._._..._._ I PAID. Additional Violations/CommenIs above violations have been corrected. — -- THIS REPORT MUST BE RECEIVED DY THE CITY Of I hereby CertithatthefYIiMIAMI BEACH WITHIN S BUSINESS DAYS of 1111 Elevator Contractor; Title: Date: INSPECTION DATE Owner/Developer: Title: Date:- A17.1b-2013 WeW.misIHibeachl1.rov. 11 2018 Attachment-IIA i1 WITNESSING OF HYDRAULIC ELEVATORS CATEGORY 1 PERIODIC TESTS TYPE OF INSPECTION INSPECTION ACTION CITY OF MIAMI BEACH I(-Periodic Test" AP Pass - • PUBLIC WORKS ;Compliance Inspection PA Partial Pass _ ELEVATOR SAFETY DIVISION Complaint i Sealed REPORT OF WITNESSING OF TESTS 1700 CONVENTION CENTER DRIVE.1ST FLOOR Accident MIAMI 5.033119 73.7225 Owner/Agent: Tel.No. Serial No. '» Received BY: Print: EBL Na. —�— Building Name: Case No, Property Address: Miami Beach,Florida — ---- --- — Elevator Company: Inspection Company: INSPECTION DATE: Inspector Name: CEI:No: A17.1 b-2013 8.6.5.14 Periodic Test Requirements—Category 1 Time spent in this unit 8.6.5.14.1 Relief Valve Setting and System Pressure Test Passed Failed N/A Start Time: 8.6.5.14.2 Cylinders and Pressure Piping Passed Failed N/A End Time: 8.6.5.14.3(a) Normal and Final Terminal Stopping Devices Passed Failed N/A 8.6.5.14.3(b) Governors Passed Failed N/A NOTICE.TO ELEVATOR OWNER 8.6.5.14.3(c) Safeties Passed Failed N/A 8.6.5.14.3(d) Oil Buffers Passed Failed N/A 8.6.5.14.3(e) Firefighters'Emergency Operation Passed Failed N/A PER CHAPTER GIC-S FLORIDA ELEVATOR 8.6.5,14.3(f) Standby or Emergency Power Operation Passed Failed N/A SAFETY CODE. SERVICE MAINTENANCE 8.6.5.14.3(g) Power Operations of Door System Passed Failed N/A CONTRACT,RULE 61c-6.01312): 8.6.5.14.3(h) Eine/trey Terminal Speed-Limiting Device Passed Failed N/A A SERVICE MAINTENANCE CONTRACT AS DEFINE BY SECTION399.01(10),F.S.,MUST 8.6.5.14.3(h) Emergency Terminal Stopping DevicP. _—__— Passed Failed N/A INCLUDE ROUTINE EXAMINATIONS AND 8.6.5.14.3(i) Low Oil Protection Operation — Passed Failed N/A PERIODIC SAFETY TESTS AND MEET THE 8.6.5.14,4 Flexible Hose and Fitting Assemblies Passed Failed N/A FOLLOWING MINIMUM REQUIREMENTS: 8.6.5.14.5 Pressure Switch — Passed Failed N/A _ (b) ROUTINE EXAMINATIONS SHALL BE No Load(PSI): Full Load(PSI):Relief(PSI): _ PERFORMED AT LEAST ANNUALLY. Additional Comments: CATERORY 1 PERIODIC SAFETY IESTS,AS DEFINED IN ASME A17.1.AS ADOPTED BY Tests performed by: REFERENCE IN RULE 61C-5.001.,SHALL BE Elevator Technician: CC: Date: PERFORMED ANNUALLY. A 1 7.1b-2013wN%w.miatnibeachtl..geyll 20182 Attachment-IIA T • PERIODIC INSPECTION OF ELECTRIC TRACTION ELEVATORS • TYPE OF INSPECTION INSPECTION ACTION CITY OF MIAMI BEACH ---------___—..._-- Periodic Inspection AP Pass PUBLIC WORKS Compliance_Inspection PA Partial Pass „, j ELEVATOR SAFETY DIVISION — Complaint — --Y _ Sealed 1700 CONVENTION CENTER DRIVE,IST FLOOR REPORT OF ELEVATOR VIOLATIONS MIAMI BEACH FL 33139 Other --- Accident Tel.305.673.7225 Owner/Agent: Tel.No. Serial No. Received By: Print: EBL No. Building Name: — Case No. Property Address: INSPECTION DATE: Elevator Company: Inspection Company: Inspector Name: CEI:No: VIOLATIONS:See Reverse Side for Description Time spent in this unit 8.11.2.1 1 Inside the Car __ --.-----._.._--•--._._._._ Start Time: II 8.11.2.1.2 Machine Room ,_—__„_ - i• _ _ End Time: e.11.2.1.3 T000T-car _ •.,•.• _ NOTICE TO ELEVATOR OWNER 811.2.1 11.2.1.4 Outside the Hoistwav ._..._._...___.—__ ANY VIOLATIONS NOTED MUST BE CORRECTED 611.2.3.5 Pit WITHIN SO DAYS FROM THE DATE OF THIS 6.11.2.1.6 Firefighters'Service INSPECTION.FAILURE BY OWNER TO COMPLY IS _ —____.-_—__--_ -------•_•. SUBJECT TO AN ADMINISTRATIVE FINE, IN 8.11.2.1.7 Working Platforms ADDITION TO ANY OTHER PENALTY PROVIDED -...._ ...._.—_—__—.— __....._.._.—.___.___.._•...�._,_.._„„___._. BY LAW. If THIS ELEVATOR IS OPERATING 8.6 4,19 Periodic Test Cat t UNDER A FULL SERVICE CONTRACT, NUM YOUR ELEVATOR COMPANY IMMEDIATELY 8.6.4.20 Periodic Test Cal S _ -•---_ A CERTIFICATE OF OPERATION WILL NOT BE ISSUED UNTIL ANY VIOLATIONS NOTED HAVE 8.6.1 General Requirements BEEN CORRECTED.A CLEAR INSPECTION REPORT 8.6.4 MaintenanceHAS BEEN RECEIVED AND THE CERTIFICATE FEES PAID. Additional Violations/Comments I herebycertifythat the above violations have been corrected. MIAMIRS BEACPORTH MUST BE 5 BUSS RECEIVED BY THE CM OF BEACH WrTHIN 5 BUSINESS DAYS OF THE Elevator Contractor:— __,-!_„—_—_—Title: Date: INSPECTION DATE Owner/Developer: •, ._Title: Date: A17 Ib-3Dt3Hww_tni�mibrat:hll.anv ll 2018 _— — -- —'�"•"•'—_.._.�—__._. ___._ _.^ .. I Attachment-IIA WITNESSING OF EIECTRICTRACTION ELEVATORS CATEGORY 1 PERIODIC TESTS TYPE OF INSPECTION INSPECTION.ACTION I I CITY OF MIAMI BEACH es.-•-•-•--_ .f _ - Periodic Ins ection _AP I Pass I PUBLIC WORKS Compliance Ins•action._ PA Partial Pass MIAMI ••r i. t ELEVATOR SAFETY DIVISION ll Periodic Tests III Sealed I v11 ���I BEACH 1700 CONVENTION CEN MI DRIVE.IST FLOOR REPORT OF WITNESSING OF TESTS MIAMI BEACH EL 33130 11 Other: I j_Other: Tel 3os-673.7225 Owner/Agent: Tel.No. Serial No. Received By: Print: EBL No. Building Name: Case No. Property Address: _ Miami Beach,Florida -_......................_.._ _".--_—.._.... Elevator Company: Inspection Company: INSPECTION DATE: Inspector Name: CEI:No: A17.1b-2013 8.6.4.19 Periodic Teat Requirements—Category 1 1 Time spent in this unit 8.6.4.19.1 Oil Buffers Passed Failed N/A Start Time: e: ___ 8.6.4.19.2 Safeties Passed Failed _ N/A — _. ._.....__.._ __ ____ End Time: 8.6.4.19.3 Governors Passed Failed N/A .R� .. ' �"i` 8.6.4,19,4 _ �~_ _Slack-Rope Devices on Winding Drum Machines Passed _Failed _N/A __ NOTICE 70 ELEVATOR OWNER 8.6.4.19.5 Normal and Final Terminal Stopping Devices Passed Failed NJA 8.6.4.19.6 Firefighters'Emergency Operation Passed Failed N/A 8.6.4.19.7 Standby or Emergency Power Operation Passed Failed N/A PER CHAPTER 61C-S FLORIDA ELEVATOR .._..8.6.4.19,8 Power Operation of Door System Passed Failed N/A SAFETY CODE, SERVICE MAINTENANCE I ._.....__.....__._ ..__ ___._.__.... ___....._....-..__.--- CONTRACT,RULE 61C-5.013(2): 8.6.4.19.9 Broken Rope,Tape,or Chain Switch Passed Failed N/A . —`—.l0E/PS' st""""•-'-- led /' • A SERVICE MAINTENANCE CONTRACT AS 8.6.4.19.10 Writtencheckvutprocndure and E/E/PES test Passed Failed N/A-•-----•••----- —' DEFINE BY SECTION 398,01(501,F.S.,MUST I. 8.6.4.19.11 Ascending Car Overspend Protection and Passed Failed N/A INCLUDE ROUTINE EXAMINATIONS AND Unintended Car Motion Devices _-•_ PERIODIC SAFETY TESTS AND MEET THE Unintended Car Movement Stopping Distance lin): FOLLOWING MINIMUM REQUIREMENTS: Additional Comments: (b) ROUTINE EXAMINATIONS SHALT BE PERFORMED AT LEAST ANNUALLY. CATERORY 1 PERIODIC SAFETY TESTS,AS �_--.__. --__----•-_...__.- _._.._..._..._. . ._.........___....__.--�_.--�--�--- DEFINED IN ASME A17.1,AS ADOPTED BY Tests performed by: REFERENCE IN RULE G1C-5.001.,SHALL BE I Elevator Technician: CC: Date: PERFORMED ANNUALLY. .L A 17.1 b-2013 w 1\tl tgianT11)CUcil t1.giiv 03/2018 Page 2 Attachment-HA t . . WITNESSING OF ELECTRIC TRACTION ELEVATORS CATEGORY 5 PERIODIC TESTS ; • ;r-- k TYPE OF INSPECTION . INSPECTION ACTION . -1— CITY OF MIAMI BEACH I ; Penodic Inspection i I AP . Pass PUBLIC WORKS • ;,: • : •' I Compliance Inspection i , i PA .Partial Pass . ELEVATOR SAFETY DIVISION . • 1 i 1 AtorpNVENIION Cf Ni EA WINE.ist non: Seaed 1. I REPORT OF WITNESSING OF TESTS hur, i NF4C.Ft r1135 , li• . 1' . .: ,1 e!A*. ....1. . 1 !Owner/Agent: Tel.No. Serial No. Received By: Print EBL No. Building Name: I . • Case No. ' Property Address: Miami Beach,Florida ! Elevator Company: Inspection Company: INSPECTION DATE: 1 i Inspector Name: CEI:No: Al7.1b-2013 8,6.4.20 Periodic Test Requirements—Category 5 i I Time spent in this unit ....___..... I I t 111 8.64.20.1 Car and Counterweight Safeties Passed Failed N/A I i....Star Ine.'. 8.6.4.20 2 Governors , Passed Failed N/A1 . • End Time: 8.6.4 20.3 Oil Buffers Passed Failed N/A L.,4—...e...4,..a....,.a..t,g.r......1. ..,-,=,-,—,,.. 864204 Braking System • Passed Failed N/A ' ! NOME taptgVAT0BOWNFR . ' 8.6.4.20.5 Emergency and Standby Power Orration . Passed Failed N/A •PER cnAPTER 61C-5 ROMA ELEVATOR 8.6.4.20.6 Emergency Terminal Stopping and Speed-Limiting Devices Passed Failed N/A .SAFETY CODE, SERVICE MAINTENANCE 8.6.4.20:7 Power Opening of DOCON TRACI,RULE SSC.S.013111:ors Passed Failed N/A ........ . ., .... ... ._ .8.6:4.20.8....._Leveling Zone and Leveling Speed Passed Failed N/A A SERVICE MAINTENANCE CONTRACT AS ,DEFINED BY SECIION 395.01;10). FS., 81.4.26.9 -Inner Landind 2oneFailed I- • Passed F3N/A MUST INCLUDE ROUTINE EXAMINATIONS 8.6.4.20.10 y S Emergenctopping Distance Passed Failed N/A ..... .. ...... .... .... i AND PERIODIC SAFETY TESI AND MEFT , , 8.6.4.20.11 Emergency Brake Passed Failed IN/A I— THE FOLLOWING MINIMUM i Governor Overspeed Switch Sp.eed(ft/min): Governor Tripping Speed(ft/rnin): i REQUIREMENTS i.. ' 1 Governor Ror Pull Thru Force OW Pull Out Force(lbs): i(121 ROUTINE EXAMINATIONS SHALL BE Safety Stopping Distance(in): Unintended Car Movement Stopping Distance(in). 1 PERFORMED AT LEAST ANNUALLY. : .,...—. .._ _... ... I Additional Comments: Contract Speed(ft/min): . I CATEGORY S PERIODIC SAWN TEST.AS - . ........._...._..... ...... ...... I i DEFINED IN ASME 417.1,55 ADOPTED SY ' ' ' REFERENCE IN RULE 61E-5.001. FAC.. I Tests performed by: SHALL BE PERFORMED EVERY FIVE YEARS. i Elevator Technician: CC: Date: i A I 7.111-20 I 3,;.D.3., i 41;i i bc: I 41..;.:R, I 1 201 8 Attachment-HA ESCALATORS/MOVING WALKS INSPECTION TYPE OF INSPECTION INSPECTION ACTION CITY OF MIAMI BEACH Periodic Inspection AP Pass ,•, PUBLIC WORKS • Compliance Inspection PA Partial Pass ;' `,. ELEVATOR SAFETY DIVISION Other: Sealed REPORT OF ESCALATORS/MOVING WALKS 1700 CONVENTION CENTER DRIVE.IST FLOORMIAMI BEACH FL 3333E • Other: VIOLATIONS T%I 305.673.7125 Owner/Agent: Tel.No. —^ — Serial No. Received By: Print: -- EBL No. Building Name: Case No. Property Address: Miami Beach,Florida ---- — — --- INSPECTION DATE: Elevator Company: Inspection Company: Inspector Name: CEI:No: -- — VIOLATIONS:See Reverse Side for Description Time spent in this unit Petiodic Inspection and Test 8.]1.1.3 Start Time: RequiremenlsEscatatorsond Moving Walks: -- _. --—. --- —_-- —_.— 8.6.8.15 Periodic Inspection End Time: lonandTest I RequirementsCategory 1: NOTICE TO ESCALATOR OWNER 8.6 Maintenance ANY VIOLATIONS NOTED MUST BE CORRECTED WITHIN 90 GAYS FROM THE DATE OF THIS 8.6-8 Maintenance Of Escalator '— INSPECTION.FAILURE BY OWNER TO COMPLY IS sumer TO AN ADMINISTRATIVE FINE, IN ADDITION TO ANY OTHER PENALTY PROVIDED 8.6.9 Maintenance of Moving Walks BY LAW.IF THIS ESCALATOR/MOVING WALKS IS OPERATING UNDER A FULL SERVICE tom-incr. A.17.3 Part V Escalators NOTIFY YOUR ELEVATOR COMPANY IMMEDIATELY AI7.3 Part IR Moving Walks A CERTIFICATE OF OPERATION WILL NOT BE ISSUED UNTIL ANY VIOLATIONS NOTED F:AVE Comments BEEN CORRECTED,A CLEAR INSPECTION REPORT HAS BEEN RECEIVED AND THE CERTIFICATE.FEES PAID. I hereby certify that the above violations have been corrected. I THIS REPORT MUST BE RECEIVED BY THE CITY OF Elevator Contractor:-- __Title:_ Date: i MIAMI BEACH WITHIN 5 BUSINESS DAYS OF THE Owner/Developer: INSPECTION DATE Title: Date: A17.1b•2013 www.miamibeachfl.gov 11 2018 PAGE 1 OF 2 • Attachment-IIA • • . ESCALATOR/MOVING WALKS TESTING REPORT F.TYPE OF INSPECTION I TYPE OF UNIT INSPECTION ACTION :"-----..7 Lsralaterpass 1 is,,,,•,,, - II III,....,.:INV: I ieegoa,SaretkErmsten- t — 1 ---.- hest Cat 1 I Moroni;Watt"-. itraroal Past I 10I1se• , 1/00 Como-stare C vow irt.lost•icor . ''ArFNTI.,1/2ka;r1rti ‘"t'lL 'N-FEN24ita-"*''''€` -%FlIkr.- nt...7%-tit$4,4.:9440-erNstt:›f Nitamt Retch,r:33179 — AR nod".nitro tor felon cot prior to soloknoat or torn'will nit ittbrort to retw n 10 return tor compliktion• -.el 301e671/21,5 Owner/AgentI i el No. 1s,,,,al No P. enree Ill _ _ItIont lame:t• --1-- 1E11011 Na. BuiltirnOame {Cote No -4 'pc:petty/kestrels ---- Miami 13ex-h FInnita ilnso earon Erato, . / i.fra Iles:a:or Company, &Isnot:ion Company. ',Strut I tine AM PI/1 'Inspector Name . , CO No: _..11:irl trim., ANI PM V rotations:Soo Reverse Safe ler Gest riot ion ITEMS TO TESTI LOWER UPPER _____ —4- —1 i1 ler li ca I Comb Plato Impost I CO Ii.,s,s..1,,(..,,,i . Value Pats tall N/A I Volue. Pass Fail N/A iif tiJISI.71 Comb Plate Inroad.890 ib/C,Ao(Ce,: Value. ,`.1s, 1.4,1;,1/ii VA . Puss Fail 11/A __— "T' -----i ',!1.4itTlialt-14‘.7411i-%1;",CF444i-sfSChrlr1/40;":16":'--iri;Nrrs-711ENNI.7qc LEFT RIGHT LEFT RIGHT -toriTOntai Comb Plate Impact 400 lb,/m, ---------i ;Val°, P II.NIA V.slos. P I.WA VJ:ut• P,N/A . r , l'eaIrer, I P F Nie • — Iianerail E Mit I oats(al NA 1 P.w,Is.,1 N/A, Pa',I-Ill r',/AI ii-----Pas7-7 a;-7/A--1 --I le oPf..71 MCP Cham StUlt,/, —1--Pat Fal N/A 1_ Pass lit N/e. Pass tall NIA I Pass I oil N/A I SON;I e,e.Twice Pass Fag N/A ,... Pass'Pail NIA Pass/an ri/A I PAM.Fell I./A ___1 -_ ----._.. ..--._.—_ Skrit I./Wm:lion Cro'nco 0,111 Ta-I ta; ' POS5 t if WC. PAs,1 all 1,/A, : P:11S 131 WA ,, , ,,,, I..p IhrtiSS Sw.td: 24Ss Fag IlIA 4. Paas;Alt N/A W t• ;'- ' . -11111L '.,-r.• Itr,2,ml Speen SenlOr ' 4:1.07,4446-.':rtenerg',,e ri:' ' ' t-9,0 Pass F atl Nr`A Pt r'rPrt"4,Nr°.-f'N`ntiZtTa.:› LOWER — UPPER 1 ---t Pit Stop Swath Pass Fail t.111. Pass f'A: NiA —.-, Slots But tan 8 Outirtr Pass (aII(I// Pass Tag'Ma atirkti Tcoaue ZEirr,...411liPtN.,:m'ili.kltS‘,-ntlia;.-.-'.: , (Ciro/Ion Comte Chao..Swath .,. .4FIRtts...- " ''it__-- .,'' :!.$ Pass 1 a NIA _ - I Groken Dove Chatn DovtiO vas;I"ai'OA it.lilin Gear Lockin Bar 4NlgottNittiirts•-- VItiEr. iNN ,1' Pals Fall II/A Missing Stets Otnace Pass Fait N/A Pali I Al Nin . Goiterner Speed SWitcrl ''' _ ''cl`;^ F?Ii:•1/A 'Reversal Stop Sente.... ". 740,,,,,•*%..,* iiass Fgrl N/A Starting Searches Pass fail N/A Pest Fad N/A Missmg Floor Plate Sensor Past tad N/A Pass Fag Niek 1 1 ,..._.7,,, ..6. ,:sn hratect Stir,witch Pas.;tail kVA Motor 0iNpl4cenumt Switch Alirig.,- ' ISM; iii' Pass Hal Sei7k -ii Slort lode., Skirl DettiNstai•Yes Or No Valtie Pail Fail NIA — --------------------------- — Item No: Comments: trade Reference: — , . i LT2ists per larTIII,i 1,7: . ti€,Y.Or To.NhrOCIall. -1(..i IlJile . . , . , . Attachment-IIA / AC :741\ • STATE OF FLORIDA t�Rp! DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ,V�E,0/ MONTHLY CONTRACTED ACTIVITY REPORT TO: Bureau of Elevator Safety-Compliance Section FROM: Reedy Creek Improvement District City of Miami X City of Miami Beach Miami-Dade Broward County SUBJECT: ELEVATOR INSPECTION FOR THE MONTH OF to 1 ROUTINE/PERIODIC INSPECTIONS PERFORMED 2 PERIODIC TESTS PERFORMED Cat.1,3,5 3 INITIAL INSPECTIONS PERFORMED(FINAL) 4 CALLBACK INSPECTIONS PERFORMED 5 ALTERATION INSPECTIONS PERFORMED (FINAL) 6 CONSTRUCTION INSPECTIONS PERFORMED 7 COMPLAINT INSPECTIONS PERFORMED 8 ACCIDENT INSPECTIONS PERFORMED 9 ELEVATORS SEALED FROM PUBLIC USE 10 NEW ELEVATOR/ESCALATOR PERMITS ISSUED 11 ALTERATION PERMITS ISSUED 12 TEMPORARY OPERATION PERMITS ISSUED 13 NUMBER OF ACCIDENTS REPORTED 14 NUMBER OF COMPLAINTS REPORTED 15 NUMBER OF ELEVATORS/ESCALATORS TOTAL INSPECTIONS( 1 THROUGH 8) .CEI# REPRESENTATIVE OF CONTRACTED AGENCY DATE Attachment-IB t1..-,rnq P.11-,i:c CuGscriDt,311S H.Ip Start Dace 12/02/2019 End Date 12/31/2019 `drew Report of 1 I • $2 *tiil }Ili }Jk ESTATE OF FLORIDA �_. DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATIONS 5. MONTHLY CONTRACTED ACTIVITY REPORT TO: Bureau of Elevator Safety -Compliance Section FROM: Reedy Creek Improvement District City of Miami X City of Miami Beach Miami Dade Broward County SUBJECT: ELEVATOR INSPECTION FOR THE MONTH OF December 12/02/2019 to 12131/2019 ITEMS INSPECTION TYPE COUNT 1 ROUTINE/PERIODIC INSPECTIONS PERFORMED 31 2 PERIODIC TESTS PERFORMED cat 1,5 26 3 INITIAL INSPECTIONS PERFORMED(FINAL) 13 4 CALLBACK INSPECTIONS PERFORMED 31 5 ALTERATION INSPECTIONS PERFORMED FINAL 2 6 CONSTRUCTION INSPECTIONS PERFORMED 13 7 COMPLAINTS INSPECTIONS PERFORMED 1 10 NEW ELEVATOR/ESCALATOR PERMITS ISSUED 11 ALTERATION PERMITS ISSUED 4 12 TEMPORARY OPERATION PERMITS ISSUED 5 15 NUMBER OF ELEVATORS/SCALATORS 2402 Printed 1/1312020 2:30:06 PM Page 1 of 1 Attachment-IIB State of Florida Page of INSPECTION DATE CERTIFIED ELEVATOR TYPE OF INSPECTION TIME IN SERIAL NUMBER INSPECTOR(CEI)II _ � ! I-- l✓Routine __. __. -- --- ELEVATOR INSPECTIONREPORT ----T - I -.__f___ m N —_ ...____. ... • __.. .._-:____i_. .._. (J Alteration Acceptance1.()) r a 1 ) TIME OUT Inspection Company Name REC# I 01 0 '0')1;0)Ito k CCi c0! �) `Oilt,?f �OI1gi1(. i1I0J (_)Callback C?,iI(1"111'1 (1)1171 11. 1 ;i, 1 !1�i 15 .- I 1 1 `1' i Construction f - �- (2 w O +2 �� �2j 1(1-6 2 i 2 2 ;2, (^I Initial Acceptance Building Name - + @, 1 " (-1 i o •J C, �.; .� �.)' P 3i1C,'i3� 31I(,3, ISi 0 c%� {3) (3j U L'7 13 L(3) �-s);(31 Temporary Operating -- --._ ............._.. —._. Attachment-IC �4) ;4) L4 I 14 i `4 L4� i o i 4 4 (~8' 4 i 4 I r 4) q Inspection Bul!d rip ndr rl ess r ; i <' rn J ._.� �., C+ l_) lam) l5) ) Y5 5) (5` (?) Cf (5' S C9' S': CO5 15I�BItS c 4�,.. x J L I �.1 ., l_) city------•----_-.—- -------- - --... _. ..___ l;; 16..i 6� psi�lG� -, I E C6-,...„1 i 1 t211 O O 6) (6) c)Accident (7) 7�) 7' ,s.7. 7; 7 i 7 O : II t Imo!I IL 21 7 i i 7) 7 i 71 Com laint ( l' L) �=-, I�'� l=J P - D E F IlifT1 o N S CO �6� 8) 18 6)181 a l8) (8J � (B� I,,,- ,,,-• (131 (6) �.,)Compliance Monitoring 1 CEI•FL Certified Elevator Inspector a U peg v i-soft o f c 0 a a r U ci o N 9 9 �)•1,i(2... (9 op o 191 i_ V 1 C3) 19) (91 191 (9) C)Industry OversighVAudit 1CET•FL Certified Elevator Technician j I certify that as Urn elevator company supervisor.I directly supervised Ma construction or Installation of thin elevator. i •- •� REC-FL Registered Elevator Company Or sou attached elevator Installatiafttdavlt. on CEI lI._.-._- -- CETII'- VIOLATIONS . PIIOI Namo._. __. ._.._. . ._ .-_.___ ....... ._._ ...__. _.__-PTmno Nuiiibei ._...__._.__... FOR VIOLATION CODES,PLEASE GO TO:www.rnyflorldalicense.cornidbpdhriolevators.html 1 I VIOLATION 2 1 VIOLATION 3 I VIOLATION 4 ; VIOLATION 5 1 VIOLATION 6 ( VIOLATION 1 VIOLATION a VIOLATION I 1- g v '61 `01 ':1E) @ (0) I`0) 11`E') t ) (o) 3 �`J l�1 (q)' C) 1i 0� 0 �0'' ;CP 0 I l0 X (�E (0' 0 D I`. 7 ) " a (._, C� ") (-' �� 1 ., ` ) 1... E of lel i-ti 1`E ii? o ,....- i,1-9 o; H r1 1; 1; H) 1 l f' J .' H; 11 1) 1 FI 11l 1`i (1' Hl CO 1 'f� (1 (11 i 1' I1 0..: ;� CO IA !1� !!11 I`1 , ) I i' i ,'j1 o 'J ' ice) �` ,!s): i�l l (2 IS; (2) Lz) (-Ft ,(§1 ivj I?) 21 i ( 12.✓ (✓ (2 lz1 lZJ l2" 1(,- 121 i?J (J ,i 121 Ill 2, i(51 12' '2. 12 W LM, 2 (3, `3) '8 `3) 03) !3_ !Ault 3) (3j i3) ' ti� ,31 3) IO `M) (3; V •MR 13 () I3 4M) iT C9) LSi 11M) i3� (3_� 3; (-fq 3 (3, '3. 1.7 4' `4, 1 i(O% X41 al• l4; i 1,4.J (41 `4 (9J ( () O 4; 141 91 `O (4' (4) 14 1 i O) 14' (4 I OI 14 j 4 L) l0 ;4 4 4 i O (51 'S1 L' U 5, '5'• I 5 L; t5) ! ,51 C1 l5) I Q: 151 5� L5'. �' (5J i 5 I5i 1.5 I i5i (5; iI5 15 5) 5 J J , (-`. (') t Li i . (• @ (- j l Ls, 3 I i — . ' Q ( - • 6 I (61 '6 6 61 IG, 6� ; ) �6� 6 16; 6 6} I (6: �6 `6✓ ! �6; U �� (6 (6` �6� ' 6 i6' 7: 7) ji 7i 71 7i 7� `7' i7) `rJ (7 U C� l7 i.7.) 17J 7) 'i (7, I :7`' 1,7; (7) 7 '7; 7 1- i8 8 8`i r8.i :.8) 8_, • (.5I i8i i4) !• 1,a) (8) 1,$ (88 Q,' C_) 1r8.�! _8 i8) 1 ;8j (.1J c8; LBJ (6) `8; \8; L8 8, U 9 19: lJ (9 i iu-91 ,,9 i 1 ie, 9% i 9 I 9) .9) 9I li ® (9. 1`9) �9✓ 91. �9 (9 j 9 L9; �9• 9' .9s 9 COMMENTS AND BRIEF DESCRIPTION WITH CODE CITATION CERTIFIED'ELEVATOR INSPECTOR _ • I certify that I have personally performed or witPiessed; Routine inspection Periodic tests as prescribed by ASME A17.1 .This device ^,Acceptance inspection of new or -- --.--__...------.._. ..._---_ Complies With altered installation as recommended by the ASME A17.2 Inspectors Manual .`:Does Not Comply With I_-.__-_._- ... .. __.._. _ .. .. .. ..... .. _ .._. .... __ ...... _...__...._-_---- .. .._-.-_..- I J Violations cited on the previous inspection . Is Exempt From • report have been corrected. Section 399.15,Florida Statutes: I " '- - — - --- i"1 Installation meets or exceeds minimum standards Regional emergency elevator • of Chapter 399,Florida Statutes,and Chapter 30 of the i accessdiire key requirements. i-._,-_.- ._... ._-__ --.__.__,. .._...... .....__ ._.... Florida Building Code adopted by Rule 99-3.047, Florida Administrative Code. Attachment-IA : _ PERSON RECEIVING THIS REPORT I Signature CEI is --- If violations are cited,this report constitutes an Order to Correct as outlined in s.399.061(4),Florida r-�, Pass —.- Statutes. Violations must be corrected within 90 days in accordance with s.399.105 4O Florida Statutes. - - u Fail Pam Name Phone Number I Signature Ti!lairi __-_._..--- _ I , NOTICE TO CERTIFIED Completed Inspection repult iiiusr ue Print Name Phonu Numho' 1 submitted to the Bureau of Elevator Safely ;l ELEVATOR INSPECTOR within five(5)working days of inspection. 1 1 1 1 1 1 1 1 1 1 1 1 N 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 • PUBLIC WORKS–Elevator Safety Division 100 Convention Center Drive,1st Fl Miami Beach,Florida 33139 Main Line:305.673-1225 u-e_.-ml_tn iherich),tgoy SUPERVISOR AFFIDAVIT FOR NEW CONSTRUCTION OR ALTERATION (supervisor's name), do hereby attest that (property name) constructed or located at I�I (property address) under Permit Number EVC/EVR?l: --._----. _....---•---D/MB#: __._..--__._...... -.._. , was supervised by me and is in compliance with the applicable provisions of Florida Statutes, Chapter 399, the American Society of Mechanical Engineers (ASME) Standard A 17.I and the Florida Administrative Code, Chapter 61 C-S. I represent —____._....._.._...._____...____ .____.._..._._.,..__.._.. ...—_(elevator company name), as the supervisor of installation. Elevator Certificate of Competency No: - Name of CC holder: Supervisor's Signature(x)_ Date: TI-i15. ORIGINAL SIGNED DOCUMENT fiUS7 Bt RETURNED rc' THt ELEVATOR IN5PECTOP ON !(TE ()AY Or FINAL tri_PECTtON IN ORDER TO ISSUE A CER1IFICAff. OF OPERA TION FOR TFTF ELEVATOR DLsckt L 7 lIERFIN IF NEW CONSTRUCTION OR Al rE,4ATI0,N, THIS OOCUMCN'T 4'rI!I THEN BE RETURNED r{J THE PU(S11C WORKS-.ELEVATOR SAFETY INVIC1ON 9Y INC ftEV.--rt%F.';iISPLC(OR. STATE OF FLORIDA COUNTY OF ... .. . __-- i The foregoing instrument was acknowledged before me this day of , 20 , by _(name of person acknowledging). Personally Known . or Produced Identification Type of Identification Produced Signature of Notary Public, Slate of Florida � � I t � Printed Name of Notary Public, State of Florida i I Rev.April,3019 Attachment-IIC • DBPR HR-7016- Division of Note .nd Restaurants,Bureau of Elevator SI / Elevator Owners Accident Report Florida law requires certificate of operation holders to submit the following form to the division in the event of an elevator accident. Failure to file this report within five workings days of the accident could result in a fine of up to$1,000. SECTION 1-EQUIPMENT LOCATION License I Elevator E Moving Walkway Accident Date (mm/dd/yyy r) Number Escalator E_ Wheelchair Lift Time of Accident Hour Minute AM PM Owner Name Business Name Building Address City County State Zip Code Phone Number SECTION 2- SERVICE MAINTENANCE Is the elevator or escalator under a service maintenance contract? 0 Yes 0 No ❑ Unknown Name of Elevator Maintenance Company Was the elevator service maintenance company notified? Most recent required test performed? Test Date I- I- If yes,indicate date(MM/DD/YYYY) I- 6 I 1 1 3 1 5 Yes No months year years years (mm/dd/yyyy) SECTION 3-ACCIDENT DETAILS Brief Narrative:(attach additional sheets as necessary) PLEASE CHECK ALL THAT APPLY Medical Attention _p Fall _0 Bruises 0 Entrapment ❑Hand 0 Fingers CJ Hair 0 Other Req'd I Y ( N 0 Trip ❑Cuts 0 Arm 0 Leg 0 Knee 0 Foot 0 Toes I ❑Torso Other Factors: ❑Carryon Items/Packages ❑Stroller 0 Safety Issues ❑Mechanical 0 Other Clothing/Footwear Involved: 0 Sleeves 0 Purse 0 Shoes 0 Dress/skirt 0 Pants 0 Coat 0 Other Equipment Involved: 0 Door Open ❑Step-Stair Tread 0 Floor Leveling 0 Esc.Side Wall ❑Esc.Railing Witnessed Activities: 0 Unsafe Rider Behavior 0 Equipment Malfunction 0 Other Post Event Inspection Req'd 1 Y N Performed by: Date (Optional)Unit Cleared for Continued Use: Y —N Cleared By: CEI# Date SECTION 4-REPORTING SIGNATURE Report Submitted by Date Title Current Certificate? (print name) Y I N I_NA Signature Phone Number Contracted Jurisdiction Disclaimer:This report will assist the division in identifying ways to improve rider safety and will not be used to assign blame or liability. Florida law requires the elevator's certificate of operation holder to submit the report to the Bureau of Elevator Safety within 5 days of the accident. You may fill in the online form or Portable Document Format(PDF)version of this report,save it to your hard drive and e-mail it to:dhr.elevators aamvfloridalicense.com,or you may mail the report to: Attachment-ID Department of Business and Professional Regulation, Division of Hotels and Restaurants,Bureau of Elevator Safety, 2601 Blair Stone Road . Tallahassee,FL 32399-1013 Phone:850.487.1395 • I 2009 October 14 www.myfioridalicerise.com/DBPRlelevator-safety/ [3' i Page 1 of 1 1 ' PUBLIC WORKS-Elevator Safety Division 1700 Convention Center Drive.1st Fl. Mtanit Beach,Hairdo 3.33135 Main line 305.873 7225 • ELEVATOR OWNERS ACCIDENT REPORT Florida low requires certificate of operation holders to submit the following form to the division in the event of an elevator accident. Failure to file this report within 5 business days of the occident could result in o fine of uo to 5l•000 00. SECTION 1 -EQUIPMENT LOCATION . license Number — ��] Elevator ' Moy':nq Walkway -- ----.._ -- 0 Escalator - ❑ Wheelchair lift � Accident Dore /20 Time of Accident: Hour Minute 0 AM❑r'M Owner Name. Business Nome Property Address. _ r City: 1 County: Stole' 1Zip Code Phone Number:( ) -1 Email Address: ! SECTION 2-SERVICE MAINTENANCE 1 Is the elevator or escalator under a service maintenance contraclor? ❑Yes ❑Nc 0 Unknown l t Name of Elevotor Matntenonce Company i ! 1-VT/as the elevator service maintenance company notified? Mast recent required test performed? Test Dole: ❑Yes ❑No if yes,indicate dote. / /20 0 b MTH❑ 1 YR❑ 3 YR❑ SYR / /20 -{ SECTION 3-ACCIDENT DETAILS Brief Narrative (attach additional Ousels as necessary) • I + � Please check all that apply: Medical Attention Required? ❑Yes 0 No ❑Fall ❑Bruises e3 Entrapment ❑Hand ®Fingers ❑Hair ❑other 0 Trip ❑Cuts ['Arm ❑leg ❑Knee ©Foot 0 Taus ❑Torso 1 I Other Factors: . ❑ Corry on Items/Pockages ❑Stroller ❑Safety Issues ❑Mechanical ❑Oliter Clothing/Footwear Involved: ® Sleeves ❑ Purse 0 Shoes 0 Dress/Shirt ❑Pants 0 Coal 0 Other Equipment Involved ❑ Door Open0 leveling0 Escalator Side Wall 0step-Stair TreadFloor ❑ Escalator Railing WitnessedActivities: Unsafe Ride Behavior ej Equipment ui ment h1alfvnction 0 Other Post Event Inspection Required: 0 Yes Performed By: Date: / /20 1 - ® No - _ -T - _.......... ......_...-i Unit Cleared for Continued Uss ❑ Yes Cleared By: CEI# l Dole / /20 (Optional} ❑ No I — SECTION 4-REPORTING SIGNATURE Current Carttncate of Operation? ® Yes ❑ No e3 N/A I Contracted Jurisdiction Report Submitted By: Title Date: /20 (Print Name) Signature(X) Phone. i Th;s report will cssret the division in identifying ways to'mprcr.e rider safety and will riot bu used to assign brume or liability Flv:du the elevator's sertilicate ai accretion bolder to submit the recoil;a the City at Maim Beast; Public Works- Etevata,3ut ty Division.wd;n,5 business days of the ace dent Keep a ca{, of tins rr,a I and email it to i aY c_& lstm-. hi.u1vwroil to Ike address above Revised 09/2018 Attachment-IID ATTACHMENT IV DEPARTMENT INFORMATION TECHNOLOGY RESOURCES AND DATA ACCESS SECURITY The Contractor shall comply with Rule 74-2, Florida Administrative Code (F.A.C.), and comply with the following data security requirements in the event the Contractor has access to any Department data systems or software: a. Data Security Officer:The Contractor shall designate an appropriately skilled individual to function as its Data Security Officer.The Data Security Officer shall act as the liaison to the Department's Division of Technology and shall maintain an appropriate level of data security for the information the Contractor is collecting or using in the performance of this contract.An appropriate level of security includes submitting required access request documents for Department approval, and tracking all contractor employees that have access to any Departmental data system or information.The Data Security Officer shall ensure that user access to the data system or information is timely removed for all separated Contractor employees.The Contractor agrees to notify the Department's assigned contract manager in writing within twenty-four(24)hours of employee resignations or layoffs, and immediately for involuntary terminations for staff that have access to the Department's information systems. As applicable,the Contractor shall execute a network connection agreement that shall ensure compliance with Department security policies prior to connection to the Department's internal network as required by Rule 74-2, F.A.C. b. Security Policies and Attestation:All Contractor employees who have access to Departmental information technology systems and/or Department data shall be required to read and comply with all appropriate Department information technology security policies and shall sign and submit to the Department's assigned contract manager an attestation that they have read, understood and agree to comply with each policy. Upon execution of this contract,the Department's assigned contract manager shall provide a copy of all appropriate Department information technology security policies to the Contractor. c. Technology Access:The Department reserves the right, at its sole discretion,to grant permissions for access to Department network, systems, and data. Any staff employed by an entity under contract to the Department must be granted specific permission by the Department for access to the Department's network, systems, and data. The Department reserves the right to unilaterally suspend access for security reasons. Contractor employees shall be granted access to Department information technology resources based on the principles of"least privilege" and"need to know." The Department's assigned contract manager, in conjunction with the Department's Division of Technology, shall conduct quarterly access reviews of the Contractor's employees to ensure that access for separated employees was timely reported and removed. d. Employee Background Screening: Background screening is required for all Contractor employees hired as Information Technology workers with access to information processing facilities, or who have system, database, developer, network,or other administrative capabilities for systems, applications, or servers with risk categorization of moderate or high. The Contractor agrees to conduct Level 2 background screening for such employees as described in s.435.05, F.S., and Rule 74-2,F.A.C., at the Contractor's expense. For other Contractor employees who request access to Department data or Revised 12/15/2016 information technology systems but do not fall into the above category,the Contractor agrees to conduct a Level 1 background screening as described in s. 110.1127 and s. 435.05, F.S., at the Contractor's expense. For each Contractor employee,the Contractor shall sign and submit to the Department's assigned contract manager an attestation, provided by the Department,that verifies the appropriate Level 1 or Level 2 background screening was completed and reviewed by the Contractor;that the screening has not revealed disqualifying information pursuant to ss.435.03(2)and(3), F.S. (for Level 1)or ss.435.04(2)and(3), F.S. (for Level 2),or computer-related crimes pursuant to Chapter 815, F.S.; and that the Contractor assumes responsibility for the employee's use of the Department's data and information resources. e. Employee Security Training:The Contractor shall provide information security awareness training to employees with access to Department information technology resources and data in accordance with Rule 74-2, F.A.C. Initial training shall be provided within 30 days of contract execution or employment start date, and annually thereafter. Employees with access to records that are exempt or confidential and exempt from public records disclosure requirements shall be given specialized training regarding access and use of this information: All information security awareness training materials used by the Contractor shall be submitted to the Department's assigned contract manager upon request. The Contractor shall maintain records of individuals who have completed initial and annual security awareness training and shall make these records available to the Department upon request. f. Data Protection: Vendors, contractors, and providers employed by the Department or acting on behalf of the Department shall comply with the Department's information technology security policies, and employ adequate security measures to protect agency information,applications,data, resources, and services. These measures include protecting technology resources through physical controls such as building security and strategic_placement of computer monitors. If Department data will reside on the Contractor's system, the Department may conduct, or request the Contractor conduct at the Contractor's expense, an annual network penetration test or security audit of the Contractor's system on which Department data resides. No Department data or information shall be stored in, processed in, or shipped to offshore locations or out of the United States of America, regardless of method, except as required by law or expressly agreed to by the Department. g. Data Encryption:The Contractor shall make every effort to protect and avoid unauthorized release of any sensitive,exempt or confidential information by ensuring both data and storage devices are encrypted. If encryption of these devices is not possible,then the Contractor shall assure that unencrypted personal and confidential Departmental data will not be stored on unencrypted storage devices. Remote data access shall be provided via a trusted method such as SSL,TLS, SSH,VPN, IPSec or a comparable protocol approved by the Department. h. Sensitive. Exempt and Confidential Information:Vendors, contractors, and providers • employed by the Department or acting on behalf of the Department shall protect sensitive, exempt and confidential information from unauthorized access and use as required by the Department's information technology security policies. Such information includes, but is not limited to,personal information as described in ss..501.171(g), F.S. Access to sensitive,exempt and confidential data shall be granted to the Contractor and subcontractors by the Department on a need to know basis. Except as required by law or Revised 12/15/2016 legal process and after notice to the Department,the Contractor shall not divulge to third parties any sensitive, exempt or confidential information obtained by the Contractor or its agents,distributors, resellers, subcontractors, officers or employees in the course of performing contractual services. i. Investigation of Breaches:The Department shall have the right to investigate any error attributable to the Contractor relating to access or dissemination of exempt or confidential and exempt records, as well as any instance of lost or missing data. The Department may take appropriate legal action as a result of such investigation. j. Security Breach Notification:The Contractor agrees to notify the Department's assigned contract manager as soon as possible, but no later than 3 business days following the • determination of any breach or potential breach of personal information and/or confidential departmental data. The Contractor shall provide notice to affected parties of a security breach in accordance;with s. 501.171, F.S. k. Equipment Sanitization:The Contractor shall enforce a procedure for sanitizing surplus or transferred equipment to protect any sensitive or confidential Department data that may reside on that equipment. At a minimum,the Contractor shall ensure that sanitization is completed according to acceptable methods described in Rule 74-2, F.A.C., and provide documentation to the Department's Division of Technology, evidencing completion of the equipment sanitization. I. Contract Termination: Upon contract termination or expiration, the Contractor will: Copies: Submit to the Department's assigned contract manager copies of all finished or unfinished documents,data studies,correspondence, reports and other products prepared by or for the Contractor under this contract;submit copies of all Department data to the Department in a format to be designated by the Department in accordance with s. 119.0701, F.S.;shred or erase parts of any retained duplicates containing personal information(as defined by s. 501.171, F.S.); all copies containing personal information must be made unreadable; ii. Originals: Retain its original records such as data required by this contract and maintain(in confidence to the extent required by law)the Contractor's original records in un-redacted form, until the records retention schedule expires according to State of Florida General Records Schedule GS1-SL, and to reasonably protect such documents and data during any pending legal hold, investigation or audit; iii. Both copies and originals: Upon expiration of all retention schedules and legal holds, audits or investigations,with notice to the Department, destroy all Department data from the Contractor's systems, including but not limited to,electronic data and documents containing personal information or other data that is confidential and exempt under Florida public records law. m. Subcontractors:The Contractor shall require that any entities subcontracting with the Contractor who are granted access to Department data or information technology systems comply with the data security requirements stated above. Revised 12/15/2016