3rd Amendment 05/20/2009
DANNY L. KOLHAGE
CLERK OF THE CIRCUIT COURT
DATE:
June 2, 2009
TO:
Andrew Trivette, Director
Growth Management Division
A TTN:
FROM:
Mayra Tezanos
Executive Assistan~
Pamela G. Hanco~.C.
At the May 20, 2009, Board of County Commissioner's meeting, the Board granted
approval and authorized execution of Amendment No.3 to Contract between Monroe County
and URS Corporation Southern to increase the compensation cap from $355,000 to $406,000.
Enclosed is a duplicate original of the above-mentioned for your handling. Should you
have any questions please do not hesitate to contact our office.
cc: County Attorney
Finance
Filev
AMENDMENT NO.3 TO CONTRACT DATED JANUARY 19,2005
BETWEEN MONROE COUNTY AND URS CORPORATION SOUTHERN
This Amendment No.3 to the contract (Contract) between Monroe County and URS_ ~orporation
sou~consultant) dated January 19, 2005, is made and entered into this )}{)'l"- day of
, 2009.
WITNESSETH:
Whereas, Monroe County approved a contract for $185,000 with Consultant on January 19,
2005, for transportation planning services including Transportation Planning Assistance and US
Highway 1 Arterial Travel Time and Delay Studies; and
Whereas, Monroe County approved Amendment No.1 to the Contract on September 20,2006,
increasing the compensation available to the Consultant to $355,000; and
Whereas, Monroe County approved Amendment No.2 to the Contract on February 20,2008,
extending the rate schedule to include the years 2008, 2009, and 2010 to reflect a 3% annual
increase in hourly billing rates; and
Whereas, Monroe County and Consultant desire to increase the available compensation to the
Consultant and hereby agree to amend the Contract as follows:
1~~,~~t~~Il4.1 COMPENSATION shall read as follows:
".'F,' <..'>' '\
./.;,:,'j~:>- :~~'~,c:ompensation available to the CONSULTANT under this agreement is $406,000."
'<"'1 ('-~ '-2- ':l U ,-
../.:'<... . '-~ ~ 8 .J f\<",\
!j~/-.:':i~:fr..l -~~~yisions of the Contract between Monroe County Board of County Commissioners
;' If---lJ \, ~. r' _" r.aPfUB,S Corporation Southern shall remain in full force and effect.
~ :~~:~1~;~i1 -~~b;!~~!'
~"-s-,..~ ~., ~ .'! L. Kolhage, Clerk
~-l.,
~Cl..r,.
"\. Cou
BOARD OF COUNTY COMMISSIONERS OF
MO~UNTY, FLORIDA
By: ~~.. >n<l.A4.~e.J-
Mayor/C aIr
WITN~
(I): ( r1(,f
URS Corporation S
By:
Title: 'J lC-.i-
Print Name: ~~ ~fY\.uc..~
Date: Ay~ '- "'Z. 3 r
s:
c::::t
....
i
,
N
Print Name: ,coHN A'R'f<I-ETh
(2) ~fJ~ cj -f-4J0
Print Name: (" J.lIj Y 50s t'I
'✓ CERTIFICAT OF LIABILITY INSURA E Page 1 of 2 0/28 0 9
PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Willis Insurance Services of California, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. O. Box 305191 - -"-
Nashville, TN 37230-5191 • ;INSURERSAFFOI3DINGCOVERAGE NAIL%
INSURED URS Corporation INSURERA. Nation$ Union Fire Ins Co of Pittsburgh 19445-100
600 Montgomery Street, 25th floor INSURERS: Zurich American Insurance Company 16535-100
San Francisco, CA 94111
i is.0 INSURPRC: Insurance Company of the State of PA 19429-100
INSURERD:Lloyd'elof London & British Companies 15792-004
` . IN,IRERE-. Laxingtmn Insurance Company 19437-000
COVERAGES •
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,
ILTP DISRO TYPEOF INSURANCE POLICY NUMBER DATEMIAVDY WWYYYLDATG MWDY DTYYYII LIMITS
A GENERAL LIABILITY GL0919652 5/1/2009 5/1/2010 EACH OCCURRENCE $ 2,000,000
D
X COMMERCIAL GENERAL LIABILITY PREmSES(EsE TOEoccuTEencel $ 1,000,000
I CLAIMS MADE IX I OCCUR MEDEXP(Any one person) $ 10,000
•
X XCO, BFPO PERSONAL&ACV INJURY $ 2,000,000
I X Contractual Liability GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $ 2,000,000
POLICY X JEGT PH LOC
•
B AUTOMOBILE LIABILITY BAP938512500 5/1/2009 5/1/2010 COMBINED SINGLE LIMIT
X ANY AUTO (Es accident) $ 2,000,000
ALL OWNED AUTOS
BODILY INJURY $
SCHEDULED AUTOS (Per person)
I HIRED AUTOS BODILY INJURY
' (Per acciden0 $
NON-OWNED AUTOS
PROPERTY DAMAGE
II ! '�V i\ (Per accmenq $
GAMGELIABILITY 1 1 1�( C / AUTOONLV-EAACCIDENT $
I ANY AUTO v F✓"' e/ OTHER THAN EA ACC $
\-J/ \�V AUTO ONLY: pGG $
EXCESS/UMBRELLAUABILITY EACHOCCURRENCE $
OCCUR CLAIMS MADE 1 , I ` AGGREGATE $
Ll.Jlr$/(/IA�y$Y/_ (//1" $
DEDUCTIBLE $
e• " vo
RETENTION $ LC V^'�aI $
G. WORKERSOOMPEN$aTON WC9990858 SATU-
1/1/2009 1/1/2010 X TORY'MITS OFRR
MID EMPLOYERS'LIABILITY 1./N
A ANY PROPRIETOR/PARTNER/EXECUTIVE N WC4990859 1/1/2009 1/1/2010 E.L.EACH ACCIDENT $ 2,000,000
OFFICER/MEMBER EXCLUDED'
A (Mandato,yinfH) WC4990862 1/1/2009 1/1/2010 EL.DISEASE.EAEMPLOVEE $ 2,000,000
oyes,describe under
C I SPECIAL PROVISIONS below WC4990857 WC4990860 1/1 2009 1/1/2010 E.L.DISEASE.POLICYLIMIT $ 2,000,000
D 'OTHER PE0801821 PE0801657 5/1/2009 5/1/2010
E Professional Liability 6502371 5/ /2009 5/1/2010 21,000,000 Each claim
r/Limited Contractual - // { [�cfr, $1,000,000 Aggregate
Claims Made Policy rl '
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Re: Contract#: 12003958 Project Title: Monroe County Wastewater Collection System Evaluation.
Monroe County A Political Subdivision of the State of Florida is an Additional Insured with
respect to operations performed by or for the Named Insured as respects General and Auto Liability.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIESBECANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Monroe County Board of County Commissioners RE RESENTATIVES.
1100 Simonton Street, Ste 2- 205 U IZEDREPRESE ;OWE \�
Key Wes FL 33040 6��11 A A
ACOR025(2009101) Co11:2684313 Tp1:919436 Cert:124601 0 491988-2009 ACORD CORPORATI .All rights reserved.
The ACORD name and logo are registered marks of ACORD
" CERTIFICAkOF LIABILITY INSURAOE page 1 of 2 04%8/2009
PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Willie Insurance Services of California, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd. _A,_ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. O. Box 305191
Nashville. TN 37230-5191 INSURERS AFFORDING COVERAGE NAIC#
INSURED UPS Corporation INSURER A'. National Union Fire Ins Co of Pittsburgh 19495-100
600 Montgomery Street, 25th Floor INSURER B'. Zurich American Insurance Company16535-100
San Francisco, CA 99111
INSURER Insurance Company of the State of PA 19429-100
INSURERD: Lloyd's of London 5 British Companies 15792-009
I INSURERE'. Lexington Insurance Company 19437-000
COVERAGES
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.
INSH ADD'L R IN$ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
I TRD DATFIIIM (N TDIYYYY1 OATS
A GENERAL LIABILITY GL0919652 5/1/2009 5/1/2010 EACH OCCURRENCE $ 2,000,000
MAE TO
I X COMMERCIAL GENERAL LIABILITY PREMISE51Ee6occerence) $ 1,000,000
CLAIMS MADE X OCCUR MED EXP(Anyone person) $ 10,000
rX 1IXCU, BPPD I PERSONAL BADV INJURY $ 2,000,000
II.Contractual Liability GENERAL AGGREGATE $ 2,000,000__
GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMP/OPAUG $ 2,000,000
PRO. 1
POLICY I]( I JEST LOC
B AUTOMOBILEIABILITY BAP938512500 5/1/2009 5/1/2010 COMBINED SINGLE LIMIT
X ANY AUTO (Ea eccaes° $ 2,000.000
ALL OWNED AUTOS
BODILY INJURY $
I SCHEDULED AUTOS (Pe,
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
I (��,, rI (Pe:nuEenl)
GARAGELIABILITY `�- '�J S u V- r II AUTO ONLY-EA ACCIDENT $
I ZANY AUTO J EA ACC $
MAY - 7 2009 OTHER
AIIiOONLY. AGG $
•
EXCESS/UMBRELLA LIABILITY / EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
`1 BY , $
DEDUCTIBLE $
RETENTION $ $
Q WORKERS COMPENSATOR WC9990858 et STATU-
1/1/2009 1/1/2010 X ORY LIMITS OER
AND EMPLOYERS LIABILITY
A ANYPROPRIETORPARTNER/EXECUTIVE N I WC4990859 1/1/2009 1/1/2010 E.L EACH ACCIDENT S 2,000,000
OFFICEA (Meneemryln NH)R EXCLUDED,
NI WC4990862 1/1/2009 1/1/2010 E.L.DISEASE EA EMPLOYEE $ 2,000,000
II yes,describe under
C SPECIAL PROVISIONS below WC4990857/WC4990860 1/1/2009 1/1/2010 E.L.DISEASE-POLICY LIMIT $ 2,000,000
D OTHER PE0801821 PE0B01657 5/1/2009 5 1 2010
E Professional Liability 6502371 5/1/2009 5/1/2010 51,000,00D Each Claim
w/Limited Contractual - $1,000,000 Aggregate
Claims Made Policy
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT ISPECIL PROVISIONS
RE: Project Title: General Consulting Services.
The Monroe County Board of County Commissioners its Employees and Officials are Additional Insureds
with respect Operations performed by or for the named�Insured respects General & Auto Liability
Waiver of Subrogation applies ( l ^V,,
CERTIFICATE HOLDER , I( 05 CANCELLATION Lagye,Y„('p m(e
SHOULD ANY OF THE ABOVE DESCRIBED POLIOIESBECANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
Q_Q , \A..0 41Kve.., — NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Monroe County
Attn: Mr. Peter Horton R ESENTATIVES.
3491 S. Roosevelt Blvd UT RIZEDREPRES AI ME
Rey West, FL 33040 \:(Al _ 1 L AT1
ACORD 25(2009/01) Coll:2684313 Tp1:919436 Cert:124601 9 01988-2009 A��COORRDCORPORRATI't.All rights reserved.
The ACORD name and logo are registered marks of ACORD
Page 2 of 2
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized
representative or producer, and the certificate holder, nor does it affirmatively or negatively amend,
extend or alter the coverage afforded by the policies listed thereon.
ACORD 25(2009/01) Co11:2684313 Tp1:919436 Cert:12460179
it 11110
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ENDORSEMENT it
This endorsement, effective 12:01 A.M. 5/1/2009 forms a part of Policy No. GL0919652
issued to URS Corporation by National Union Fire Ins Co of Pittsburgh PA
ADDITIONAL INSURED- OWNERS, LESSEES, OR CONTRACTORS—COMPLETED
OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
NAME OF ADDITIONAL INSURED PERSON OR ORGANIZATION:
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ITS EMPLOYEES AND OFFICIALS
LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS:
PROJECT TITLE: GENERAL CONSULTING SERVICES.
ADDITIONAL PREMIUM:
(If No entry appears above, information required to complete this endorsement will be shown in
the Declarations as applicable to the endorsement.)
SECTION II—WHO IS AN INSURED is amended to include as an insured;
The person or organization shown in the Schedule, but only with respect to liability arising out of
"your work"at the location designated and described in the schedule of this endorsement
performed for that additional insured and included in the"products-completed operations hazard".
All other terms and conditions remain unchanged.
AUTHORIZED REPRESENTATIVE
97837 (4/08) Includes copyrighted material of
Insurance Services Office, Inc., with its permission.
•
fir
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ENDORSEMENT it
This endorsement, effective 12:01 A.M. 5/1/2009 forms a part of Policy No. GL0919652
issued to URS Corporation by National Union Fire Ins Co of Pittsburgh PA
ADDITIONAL INSURED- OWNERS, LESSEES, OR CONTRACTORS—COMPLETED
OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
NAME OF ADDITIONAL INSURED PERSON OR ORGANIZATION:
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ITS EMPLOYEES AND OFFICIALS
LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS:
PROJECT TITLE:GENERAL CONSULTING SERVICES.
ADDITIONAL PREMIUM:
(If No entry appears above, information required to complete this endorsement will be shown in
the Declarations as applicable to the endorsement.)
SECTION II—WHO IS AN INSURED is amended to include as an insured;
The person or organization shown in the Schedule, but only with respect to liability arising out of
"your work"at the location designated and described in the schedule of this endorsement
performed for that additional insured and included in the "products-completed operations hazard".
All other terms and conditions remain unchanged.
AUTHORIZED REPRESENTATIVE
97837 (4/08) Includes copyrighted material of
Insurance Services Office, Inc., with its permission.
410 .I
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
• ENDORSEMENTS
This endorsement, effective 12:01 A.M. 5/1/2009 forms a part of Policy No. GL0919652
issued to URS Corporation by National Union Fire Ins Co of Pittsburgh PA
ADDITIONAL INSURED- OWNERS, LESSEES, OR CONTRACTORS—SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
NAME OF PERSON OR ORGANIZATION:
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ITS EMPLOYEES AND OFFICIALS
(If no entry appears above, information required to complete this endorsement will be shown in the
Declarations as applicable to the endorsement.)
A. SECTION II—WHO IS AN INSURED is amended to include as an insured;
The person or organization shown in the schedule, but only with respect to liability arising out
of your ongoing operations performed for that additional insured.
B. With respect to the insurance afforded to these additional insureds, SECTION I -
COVERAGES, COVERAGE A- BODILY INJURY AND PROPERTY DAMAGE LIABILITY,2.
—Exclusions, is amended to include the following additional exclusion;
This insurance does not apply to"bodily injury" or"property damage" occurring alter:
(1) all work, including materials, parts or equipment furnished in connection with such work,
on the project (other than service, maintenance or repairs)to be performed by or on
behalf of the additional insured(s) at the site of the covered operations has been
completed; or,
(2) that portion of"your work"out of which the injury or damage arises has been put to its
intended use by any person or organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the same project.
All other terms and conditions remain unchanged.
AUTHORIZED REPRESENTATIVE
97838 (4/08) Includes copyrighted material of
Insurance Services Office, Inc.,with its permission.
\I► V
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
•
ENDORSEMENT#
This endorsement, effective 12:01 A.M. 5/1/2009 forms a part of Policy No. GL0919652
issued to URS Corporation by National Union Fire Ins Co of Pittsburgh PA
ADDITIONAL INSURED-OWNERS, LESSEES,OR CONTRACTORS—SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
NAME OF PERSON OR ORGANIZATION:
THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ITS EMPLOYEES AND OFFICIALS
(If no entry appears above, information required to complete this endorsement will be shown in the
Declarations as applicable to the endorsement.)
A. SECTION II—WHO IS AN INSURED is amended to include as an insured;
The person or organization shown in the schedule, but only with respect to liability arising out
of your ongoing operations performed for that additional insured.
B. With respect to the insurance afforded to these additional insureds, SECTION I -
COVERAGES, COVERAGE A- BODILY INJURY AND PROPERTY DAMAGE LIABILITY, 2.
—Exclusions, is amended to include the following additional exclusion;
This insurance does not apply to "bodily injury'or"properly damage"occurring after:
(1) all work, including materials, parts or equipment furnished in connection with such work,
on the project(other than service, maintenance or repairs) to be performed by or on
behalf of the additional insured(s) at the site of the covered operations has been
completed; or,
(2) that portion of"your work" out of which the injury or damage arises has been put to its
intended use by any person or organization other than another contractor or subcontractor
engaged in performing operations for a principal as a part of the same project.
All other terms and conditions remain unchanged.
AUTHORIZED REPRESENTATIVE
97838 (4/08) Includes copyrighted material of
Insurance Services Office, Inc.,with its permission.
•
ACORD CERTIFICA* OF LIABILITY INSURA�CE Page 1 of 2 12/23/2008
PRODUCER 877-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Willis HRH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
26 Century Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. 0. Box 305191
Nashville, TN 372305191 INSURERS AFFORDING COVERAGE NAIC#
INSURED CRS Corporation INSURER A.National Union Fire Ins Co of Pittsburgh 19495-100
600 Montgomery Street, 25th Floor INSURER B. New Hampshire Insurance Company 23841-076
San Francisco, CA 99111
INSURER O. Insurance Company of the State of PA 19429-100
INSURER 0:
I NSURERE:
COVERAGES
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.
INSRY EXPIRATION
T n OR'DL TYPE OF INSURANCE POLICY NUMBER DATE DAMNDgffI DAC
R TED:OA/00/YY1 LIMITS
A GENERAL LIABILITY GL1642006 6/30/2008 5/1/2009 EACH OCCURRENCE $ 2,000,000
NTED
X COMMERCIAL GENERAL LIABILITY PFMISES(EaEoccurs:TM $ 1,000,000
CLAIMS MADE X f OCCUR MEDEXP(My ongperson) $ 10,000
X ECU, BPPD PERSONAL a AnV INJURY $ 2,000,000
X Contractual Liability GENERAL AGGREGATE $ 2,000,000
GEN'L AGGRE�GA�TE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000
X 7 POLICY JEGT n LOC
A AUTOMOBILE LIABILITY CA826-3009 5/1/2008 5/1/2009 COMBINEDSINGLELIMIT
B X ANY AUTO CA826-3010 5/1/2008 5/1/2009 (P den0 $ 2,000,000
ex
ALL OWNED AUTOS
BOSCHEDULED AUTOS IDplasm/ILY INJURY
$
HIRED AUTOS
ill BODILY INJURY $
NON OWNED AUTOS �,� �/1 / r eta (Per accident)
y`U}V, I 4 ' L I (Per PROPERTY nccMamiDM1AGE $
GARAGE LIABILITY AUTOONLY-EAACCIDENT $
ANY AUTO EA ACC $
OTHER THAN
AUTO ONLY'. AGG $
EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
$
DEDUCTIBLE $
RETENTION $ $
C WORKERS COMPENSATOR AND WC4990858 WC 1/1/2009 1/1/2010 X TORY LIMITS OTH-
%R
EMPLOYERS:LIABILITY
A ANY PROPRIETOR/PARTNER:EXECUTIVE WC4990859 1/1/2009 1/1/2010 EL EACH ACCIDENT $ 2,000,000
A OFFICER/MEMBER EXCLUDED? WC4990862 1/1/2009 1/1/2010 E.L.DISEASE-EA EMPLOYEE $ 2,000,000
IIym,deserts under
C SPECIAL PROVISIONS below WC4990857/WC4990860 1/1/2009 1/1/2010 EL.DISEASE.POLICY LIMIT $ 2,000,000
OTHER
DESCRIPTION OFOPERATIONSM1OCATONSVEHICLENEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
It is hereby agreed that The Monroe County Board of County Commissioners are included as Additional
Insured under the General Liability and Automobile Liability policies, as required by contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,SLIT FAILURE TO DO SO SHALL
Monroe County Planning IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Marathon Government Center R RF9FMAl1VEa
Attn: Mr. Sore Papa
2798 Overseas Highway U RAZED REPRE9 AEaT TVE
Marathon,hon, FL PL 33050
ACORD 25(2001/08) Co11:2571031 Tp1:871228 Cert:11 19822 re ACORD ORPORATION1988
Page 2 of 2
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25(2001/08) Co11:2571031 Tp1:871228 Cert:11919822