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Certificates of InsuranceACORD CERTIFICATE OF LIABILITY INSURANCE DATE (MM DD YYVY) 10/20/06 PRODUCER 1 -561- 995 -6706 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher Risk Dlnnagament Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Arthur J. Gallagher I$ Co. (Florida) HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2255 Glades Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 400E Boca Raton, FL 33431 INSURERS AFFORDING COVERAGE NAICri INSURED INSURER 4. Princeton Excess & Surplus Linea Ins 10786 Florida Keys AQneduct Authority Kennedy Dr West , FL 33040 G V V cPINUcm 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 O11.Yi CTIVI POLICY EXPIRATION INSR DD' FE LIMITS POLICYNUMBER A GENERAL LIABILITY Gl- A3-EX- 0000045 -01 0 3/31/06 03/31/07 ENCE $975,000 • COMMERCIAL GENERAL LIABILITY occurence $ CLAIMSMADE � OCCUR ne person)) $ • Excess of $ 25,000 SI R DV INJURY $ MAGGREGATE REGATE $ GEN'L AGGREGATE LIMIT APPLIES PER'. OMP /OPAGG IS POLICY PRO LOC JECT AUTOMOBILE LIABILITY ED SINGLE LIMIT $ ent) ANYAUTO INJURY $ ALLOWNED AUTOS on) SGHEDULEDAUTOS *PROPER� INJURY $ HIREDAUTOS tlen0 NON OWNED AUTOS r TY DAMAGE $ dent) GARAGE LIABILITY - - �� AUTO ONLY EA ACCIDENT IS OTHERTHAN EA ACC $ ANYAUTO rif $ AUTOONLY. AGG EXCESWUMBRELLALIABILITY EACH OCCURRENCE $ AGGREGATE S OCCUR C] CLAIMS MADE $ DEDUCTIBLE $ RETENTION WC STATU- OTH- WORKERS COMPENSATION AND Y R E.L. EACHACCIDENT $ EMPLOYERS'LIABILITY ANY PROPRIETOR /PARTNEM XECUTIVE INC OFFICERIMEMBER EXCLUDED, EXCL E.L. DISEASE EA EMPLOYEE $ E.L. DISEASE POLICY LIMIT I $ It yes describe under SP ECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS RE: Intarlocal Agressent for the Su:mserlend /Cudi oe /Upper Sugarloaf Regional Wastewater System County Board of County Corsaieeioners 1100 Si Son ton Street Room 268 Key West , FL 33040 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER, ITS AGENTS OR i/- — /08)]anglab CERTIFICATE OF COVERAGE Administrator Issue Date 11/06/06 Certificate Holder MONROE COUNTY BOARD OF COMMISSIONERS Florida League of Cities, Inc. Public Risk Services 1100 SIMONTON ST ROOM 268 P.O. Box 530065 KEY WEST FL 33040 Orlando, Florida 32853 -0065 COVERAGES THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE COVERAGE AFFORDED BY THE TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT. COVERAGE PROVIDED BY: FLORIDA MUNICIPAL INSURANCE TRUST AGREEMENT NUMBER: FMrr 0178 COVERAGE PERIOD: FROM 10/1/06 1 COVERAGE PERIOD: TO 10/1/07 12:01 AM STANDARD TIME TYPE OF COVERAGE - LIABILITY TYPE OF COVERAGE - PROPERTY General Liability ❑ Buildings ❑ Miscellaneous E] Basic Form El Inland Marine El Comprehensive General Liability, Bodily Injury, Properly Damage and ❑Special Form ❑Electronic Data Processing Personal Injury ❑ Errors and Omissions Liability ❑ Personal Property ❑ Bond ❑ Supplemental Employment Practice ❑ Basic Form ❑ ❑ Employee Benefits Program Administration Liability ❑ Special Form ❑ Medical Attendants' /Medical Directors' Malpractice Liability ❑ Agreed Amount ❑ Broad Form Property Damage ❑ Deductible N/A ❑ Law Enforcement Liability ' nn ❑ Coinsurance N/A v Y 1 C ❑ Underground, Explosion 8. Collapse Hazard ❑ Blanket ❑ Specific Limits of Liability ❑ Replacement Cost �- $100,000 Each Person/$200,000 Each Occurrence ❑ Actual Cash Value Deductible N/A Limits of Liability on File with Administrator Automobile Liability ❑ All owned Autos (Private Passenger) TYPE OF COVERAGE - WORKERS' COMPENSATION ❑ All owned Autos (Other than Private Passenger) ®Statutory Workers' Compensation ❑ Hired Autos ® Employers Liability $1,000,000 Each Accident ❑ Non -Owned Autos $1,000,000 By Disease $1,000,000 Aggregate By Disease Limits of Liability $100,000 Each Person/$200,000 Each Occurrence ® Deductible $2,500 Deductible N/A ❑ Automobile/Equipment - Deductible ❑ Physical Damage N/A Comprehensive - Auto N/A - Collision - Auto N/A - Miscellaneous Equipment Other Description of Operations /Locations/Vehicles/Special Items RE: Interlocal Agreement (Surnmerland/Cudjoe/Upper Sugarloaf Regional Wastewater System). THIS CERTIFICATE IS ISSUED AS A (NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE AGREEMENT ABOVE. DESIGNATED MEMBER CANCELLATIONS SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL FLORIDA KEYS AQUEDUCT AUTHORITY SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 1100 KENNEDY DRIVE PROGRAM, ITS AGENTS OR REPRESENTATIVES CERTIFICATE OF COV ERAGE Certificate Holder ITIR i i a ry . s ^ Issue Date 09124/09 MONROE COUNTY BOARD OF COMMISSION RS Florida League of Gies, In . 1100 SIMONTON ST ROOM 268 Public Risk Service KEY WEST FL 33040 ¢ Bc 530065 4 Orlando, Florida 32853-0065 COVERAGES THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO T E DESIGNATED MEM�tl ��ssRR�� 1b DICATED NOTWITHSTANDING ANY REQUIREMENT, r TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RES CT TO WHICH THIS FI�AiZ MJUY�UED OR MAY PERTA AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSICPS AND CONDITIONS €,$*HI�IE�4far . THE COVERAGE AFFORDED BY THE COVERAGE PROVIDED BY FLORIDA MUNICIPAL INSURANCE TRUST AGREEMENT NUMBER: FMIT 0178 COVERAGE PERIOD: FROM 10/1/09 COVERAGE PERIOD: TO 10/1/1012:01 AM STANDARD TIME TYPE OF COVERAGE - LIABILITY TYPE OF COVERAGE - PROPERTY General Liability ❑ Buildings ❑ Miscellaneous ❑ Comprehensive General Liability, Bodily Injury, Property Damage and ❑ Basic Form ❑ Inland Marine Personal Injury ❑ Special Form ❑ Electronic Data Processing ❑ Errors and Omissions Liability ❑ Personal Property ❑ Bond ❑ Supplemental Employment Practice ❑ Basic Form ❑ ❑ Employee Benefits Program Administration Liability ❑ Special Form ❑ Medical Attendants' /Medical Directors' Malpractice Liability ❑ Agreed Amount ❑ Broad Form Property Damage ❑ Deductible N/A ❑ Law Enforcement Liability ❑ Coinsurance N/A ❑ Underground, Explosion & Collapse Hazard ❑ Blanket ❑ Specific Limits of Liability ❑ Replacement Cost $100,000 Each Person /$200,000 Each Occurrence ❑ Actual Cash Value Deductible N/A Limits of Liability on File with Administrator Automobile Liability TYPE OF COVERAGE - WORKERS' COMPENSATION u Al: owned Autos (Private Passenger) ❑ All owned Autos (Other than Private Passenger) ❑ Hired Autos ® Statutory Workers' Compensation ❑ Non -Owned Autos ® Employers Liability $1,000,000 Each Accident $1,000,000 By Disease $1,000,000 Aggregate By Disease Limits of Liability $100,000 Each Person /$200,000 Each Occurrence Deductible $2,500 Deductible N/A ❑ Automobile /Equipment - Deductible ❑ Physical Damage N/A - Comprehensive - Auto N/A - Collision - Auto N/A - Miscellaneous Equipment Other Description of Operations /Locations/Vehicles /Special Items RE: Interlocal Agreement (Summedand/Cudjoe/Upper Sugarloaf Regional Wastewater System). THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE AGREEMENT ABOVE. DESIGNATED MEMBER CANCELLATIONS SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS FLORIDA KEYS AQUEDUCT AUTHORITY WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 1100 KENNEDY DRIVE PROGRAM, ITS AGENTS OR REPRESENTATIVES. KEY WEST FL 33040 ! A an AUTHORIZED REPRESENTATIVE FMIT -CERT (10/96) � X 0`7 x M V Ut t' WHAT IS A NOTICE TO OWNER? You have just received a NOTICE TO OWNER. Perhaps you are asking these questions... What i. a Notice to Owner, and why I was sent this document? Those are both good questions. This short summary will attempt to answer them. Florida Law requires that anyone who supplies labor, services, or material to your contractor on your construction job must send you a Notice to Owner. The Notice to Owner is not a lien on your property. It does not mean that your contractor has failed to pay the company who has given this notice. It merely informs you that the company identified in the Notice to Owner is on your job and gives you a general description of the type of materials they are supplying or the type of work they will be performing. Before paying your contractor, you must make sure that the person who has given this Not' a to Ov �g � ,(y �q� a �g On: paid by the contractor. You do this by getting a Written Release from the person identified i the Neti'c�`t25'OJviS (From: name and address). If you have a construction lender and the lender is paying the contractor directly, the len r is respgpi - bl4 O 2�j3 for getting the necessary Written Releases. You may wish to check with your lender to veri they w' 6� 1 managing these documents in connection with each payment to the contractor. This is a very general description of the owner's obligations under the construction lien I If yotr are in doubt as to your rights or duties under the lien law, you should consult an attorney. Project Management 2046351 BATCH:0369191D:MON20 DATE:09 /05/13 RE: LAYNE HEAVY CIVIL 'RML' WARNING! FLORIDA'S CONSTRUCTION LIEN LAW ALLOWS SOME I CONTRACTORS, SUBCONTRACTORS, AND MATERIAL SUPPLIERS TO FILE LIENS AGAINST YOUR PROPERTY EVEN IF YOU HAVE MADE PAYMENT IN FULL. UNDER FLORIDA LAW, YOUR FAILURE TO MAKE SURE THAT WE ARE PAID MAY RESULT IN A LIEN AGAINST YOUR PROPERTY AND YOUR PAYING TWICE TO AVOID A LEN AND PAAVE G TWICE, YOU MUST OBTAN A WRITTEN RELEASE FROM US EVERY TM YOU PAY YOUR CONTRACTOR. LMN90€ CONCRETE .P 'OD'UCTS HIC" 2t 1 3C5)M- -5306 TO: MONROE CO✓AGUEDUCT AUTHORITY 'REMAIL* OWNER: CONSTRUCTION ADMINISTRATION PROJECT MANAGER WO# 2046351 1100 SIMONTON ST BATCH - 036919 IMMON20 DATE:09105M3 KEY WEST FL 3303110 T:RD R :JC S:JC The undersigned hereby informs you that he or she has furnished or is furnishing services or materials as follows: Labor and/or Building Materials. DELIVERY OF READY-MIX CONCRETE For improvement of the real property described as: CUD" KEY REGIONAL WASTEWATER / MATERIAL • 780 BLIMP RD, CUDJOE KEY (iong legal available 8004132 - 1959) PORTION OF LAND MI MONROE COUNTY FL #4052 -12 AKA MM#21 • PROCESSING Under an order given by LAYNE HEA - R (GENERAL CONTRACTO REMAIL NOTICE TO OWNER TO red: 7101 0412 3440 2066 9969 72 -8104 r1175 RTY MUTUAL INSURANCE COMP CLARIFY GC ADDRESS GIANNETTI CONTRACTING OF (954 --US TREASURY RATED" u� C ' Now FLORIDA BERKELEY ST RICK GIANNETTI TON MA 02116 -3350 126 60 NW 15TH CT STE 108 n Senn ! :Z Wd 1 -100 E I Ot To assemble manually, fold A to A then fold B to B SUBCONTRACTORS, AND MATERIAL YOU HAVE MADE PAYMENT E FULL. TO: F KEYS AOIFDW r *AMEND' Finance OepL OWNER: A C ONSTRUCTION aN WO# 2046922 1100 ;MMONTON ST BATCH:037062 IMMON20 DATE:10117/13 K� �W FL 33040-3110 T:RD R:JC S:JC tht he or she has furnished or is furnishing services or materials as The undersigned hereby informs you fOIIOWS: Labor and/or Building Ma"WhAL DEWERY OF READY -MIX CONCRETE For improvement of the real property described as CUDJOE KEY REGIONAL WASTE WATER I MATERIAL • 780 BLIMP RD, CUDJOE KEY (long legal available 600-432 -1959) PORTION OF LAND IN MONROE COUNTY FL #412 -12 AKA UMt21 • PROCESSING Under an Order given by: SINKS & THOM6 ELECTRIICAL *AMD Florida law prescribes the serving of this Notice and ntricts your right to make payments under your contract in accordance with Section 713.06 Florida Statutes. Pursuant to Florida Statute 7136(1) please furnish a copy of your direct contract with the contractor. Responsibility for copy costs is acknowledged. Request for Sworn Stateent of Account must be addressed to: MONROE "CR�TE.ppopUCt�S IN project, C PO 81 %1491 Y IS FL 33041 9 If a paymen on axis s or is is no i e serve as preliminary notice of intention to make claim against any such If a p ). Request for a copy of the bond(s) is hereby mP, with acknowledgment of responsibility for copy costs. Failure to furnish the requested copy may have adverse consequences as descritd in Florida Statutes. IMPORTANT INFORMFION FOR YOUR PROTECTION Under Florida's laws, those who work on your property or provide�aterials and are not paid have a right to enforce their claim for payment F against your property. This claim is known as a construction liens your contractor fails to pay subcontractors or material suppliers or neglects to make other legally required payments, the people who are Ar+.Toney may look to your property for pavment, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN FULL. PROTECT YOURSELF RECOGNIZE that this Notice to Owner may result in a lien against your property unless all those supplying a Notice to Owner have been The undersigned will look to contractors bond for probctllon of the worL paid. _ _ - -4 ;..e t.., r^ntortinn an - -LEARN more about the Construction Lien Law, Chapter 713, Part I, Florida Statutes, attorney or the Florida Department of Business and Professionpl RVgW unt MONROE CONCRETE PRODUCTS INC - OCfnt/gs De., Lienor: PHONE 305- 296 -MM n PO BOX 1149 OCT ,l'� KEY WEST FL 33041 -1149 (/ 2 ' TIME; PECE t By: By: James A. Carmel, Agent [GENERAL CONTRACTOR] GIANNETTI CONTRACTING OF (954072-8104 FLORIDA RICK GIANNETTI 2660 NW 15TH CT STE 108 [SURETY] LIBERTY MUTUAL INSURANCE COMP, 3 , . t� BOND #131253112 1 Cr(� -US TREASUR RA�D� - 1 1 1 5WO NEW KING DR TROY MI 48098-2603 I AMEND NOTICE TO OWNER TO CLARIFY OWNER sl o Nd 8Z 100 0 0 0.1 ]fj x:103 0311J [OWNER] FLORIDA KEYS AQUEDUCT AUTHORITY % CONSTRUCTION ADMINISTRATION 1100 SIMONTON ST KEY WEST FL 33040 -3 SINNS 8 THOMAS ELECTRICAL *AMD OOM96 -" PO BOX 520789 LONGWOOD FL 32752 -OM [SURETY AGENT] GUY HURLEY BLASER & HEUER (248)519 -1400 1080 KIRTS BLVD STE 500 TROY MI 48084 -4882 To assemble manually, fold A to A then fold B to B UNDER YOWP�AYNGa ' YOUR PROPERTT Y TWICE. TO AVOID AA LEN AND AAYNG TWICE, YOU MU O ST BTAN A WRITTEN RELEASE FROM US EVERY 7I ME `- OU PAY YOUR CONTRACTOR. ..nrtoecN — Il�atf3o51296 -b606 OCT 2 2 2013 DATE: 10/16/2013 ACCOUNT: MON20 MONROE CONCRETE PRODUCTS INC ORDER #: 2046922 TO: MONROE CO /AQUEDUCT AUTHORITY CONSTRUCTION ADMINISTRATION PROJECT MANAGER 1100 SIMONTON ST KEY WEST FL 33040 -3110 On The Job Of: MONROE CO /AQUEDUCT AUTHORITY CUDJOE KEY REGIONAL WASTE WATER / MATERIAL Described Property: 780 BLIMP RD CUDJOE KEY PORTION OF LAND IN MONROE COUNTY FL #4052 -12 AKA MM #21 * PROCESSING ra - Tt Under Order Given By: SINNS & THOMAS ELECTRICAL *RML 3 - Co C:) r . * * ** NOTICE TO OWNER SENT IN ERROR 3 t� �3 O To whom it may concern: Please D: you in error. this may have please do not 4 incerely. CSREGARD the above Notice to Owner. It was sent to Please accept our apology for any inconvenience caused you. If you have any furCher questions, hesitate to contact our office. Monroe County *:acllltle3 Development JIM CARMEL Builders Notice Corp OCT 22 2 TIME: RECEIVED BY*