01/19/2011 Task OrderDANNY L. KOLHA GE
CLERK OF THE CIRCUIT COURT
DATE: January 27, 2011
TO: Judy Clarke, Engineering
Public Works Division
ATTN.• Clarke Briggs
FROM: Pamela G. Hanc ck, . C.
At January 19, 2011, Board of County Commissioner's meeting, the Board granted
approval and authorized execution of Item C27 Task Order between Monroe County and ADA
Engineering, Inc. for engineering design and permitting services for the Tom's Harbor Channel
Bridge Repair project. The task order is being awarded under the On Call Professional
Engineering Services contract with ADA Engineering, Inc.
Enclosed is a duplicate original of the above - mentioned for your handling. Should you
have any questions please do not hesitate to contact this office.
cc: County Attorney
Finance
File,/
TASK ORDER FOR ON CALL PROFESSIONAL ENGINEERING SERVICES
BETWEEN MONROE COUNTY AND ADA ENGINEERING
FOR
BRIDGE #904600 TOM'S HARBOR CHANNEL BRIDGE REPAIR DESIGN
In accordance with the Continuing Contract for On Call Professional Engineering Services made
and entered on the 16 day of December 2009 between Monroe County hereinafter referred to
as the "County" and ADA Engineering, hereinafter referred to as "Consultant" where design
services are allowed if construction costs do not exceed $2,000,000.
All terms and conditions of the referenced Contract for On Call Professional Engineering
Services apply to the Task Order, unless the Task Order modifies an Article of the Agreement of
which will be specifically referenced in this Task Order and the modification shall be precisely
described.
This Task Order is effective on the 19 Day of January 2011.
Article II Scope of Basic Services, Paragraph 2.1.1 is amended as follows:
The scope of services for the Tom's Harbor Channel Bridge Repair Project will include
completion of design for construction, permit applications and support during the bid and
construction phases of the project, as described below:
The Design for Construction shall include, but shall not necessarily be limited to, plans and
specifications which describe all systems, elements, details, components, materials, equipment,
and other information necessary for construction. The Design for Construction shall be accurate,
coordinated and in all respects adequate for construction and shall be in conformity, and
comply, with all applicable law, codes, permits, and regulations. Products, equipment and
materials specified for use shall be readily available unless written authorization to the contrary
is given by the County.
1.0 DESIGN DEVELOPMENT
1.1 The Engineer shall review the FDOT bridge inspection reports, physically perform an
inspection of the bridge, prioritize the bridge deficiencies and make recommendations as to the
necessary repairs.
1.2 The Engineer shall prepare a Design Development Letter Report for the County's
approval. The Design Development Report shall consist of a written document that establishes
and describes the size and character of the proposed Repair Project as to engineering and
structural systems, materials and such other elements as may be appropriate.
2.0 CONSTRUCTION DOCUMENTS PHASE
2.1 Based on the approved Design Development Documents and any further adjustments
authorized by the County in the scope or quality of the Project, the Engineer shall prepare, for
approval by the County, Construction Documents consisting of Drawings and Specifications
setting forth in detail the requirements for the construction of the project. Construction
documents shall conform to the standards contained in the following:
Florida Department of Transportation Roadway Plans Preparation Manuals
http: / /www. dot. state .fl.us /rddesign/PPMManual/PPM.shtm
2. Florida Department of Transportation Design Standards
http: / /www. dot. state. fl. us/ rddesign /DesignStandards /Standards.shtm
Florida Department of Transportation Structures Manual
http: / /www. dot. state.fl.us /structures /manlib.shtm
4. MUTCD
http://mutcd.ffiwa.dot.gov/
5. American Disabilities Act
http: / /www2.dot. state. fl.us /proceduraldocuments /procedures /bin /625020015.pdf
6. Florida Statutes
http: / /www.leg. state. fl.us/ Statutes /index.cfm? Mode = View %20Statutes &Submenu = l &Ta
b= statutes &CFID= 14677574 &CFTOKEN = 80981948
2.2. The Engineer shall provide Drawings and applicable Technical Special Provisions for the
County's review (the Florida Department of Transportation Standard Specifications will be
incorporated by reference).
2.3 Upon completion of the Construction Documents Phase, the Engineer shall provide
Construction Documents for the County's approval. Upon approval by the County the Engineer
shall provide the County up to 5 sets of Construction Documents that have been signed and
sealed by the Engineer. The Engineer shall also provide an electronic version of the
construction documents. The Engineer shall provide an estimate of anticipated construction cost
in accordance with the construction development phase.
2.4 The Engineer shall assist the County in the preparation of the necessary bidding
information for the production of bidding forms, the Conditions of the Contracts, and the forms of
Agreements between the County and the Contractors by providing supporting information as to
the projects scope, bid items, estimated quantities and construction duration. The County shall
prepare all Bidding Forms, Conditions of the Contract, and Forms of Agreement.
2.5 The Engineer's construction documents (plans, specifications, etc) will conform to all
codes and regulations of the federal government, county, state, municipalities, agencies and
state departments, in effect at the date of this Agreement, and shall be of such completion as to
be acceptable for review and ruling by said agencies when permits are applied for. The
Engineer shall use due care in determining permit requirements and shall meet with regulatory
agencies as necessary to coordinate specific permit requirements. The Engineer shall
document all meetings and conversations with said regulatory agencies. If permits are denied
for incompleteness or for lack of following said codes or regulations, or permit requirements,
then the Engineer will conform the construction documents in such manner to receive permits
upon such plans. Work required by the Engineer to conform documents to federal, state, city,
county, or agency specifications to allow them to be approved shall be completed at no charge
or cost to the County, unless said requirements are changed during the course of the project.
2.6 The Engineer shall file (through the County) all documents required for the approval of
governmental authorities having jurisdiction over the project. The Engineer shall file (through the
County) the necessary documents to obtain Environmental Resource Permits and all other
permits required for construction. The County shall be responsible for the timely submittal of all
permit application fees.
2.7 At intervals mutually agreeable to the County and Engineer, the Engineer shall provide
drawings and other documents which depict the current status of design for the County's review
and information. The Engineer shall provide an estimate of anticipated construction costs.
2.8 As needed by the County, the Engineer will provide clarification and answers to
questions from prospective bidders during the construction bid process. Answers will be
provided in a timely manner in order to facilitate bidding.
3.0 CONSTRUCTION DOCUMENTS PHASE REQUIREMENTS
To satisfactorily perform the Construction Documents phase requirement, the Engineer
must complete the tasks set forth in paragraphs 3.1 through 3.9.
3.1 Plan View — This consists of general plans and overall coordinating plans explaining
repair work, and plan enlargements for important and special areas, General Notes and
Environmental Notes.
3.2 General Elevations
3.3 Sections
Overall Sections — Overall bridge longitudinal and transverse "explanation" type.
Detail Sections — Full sections conveying basic configurations and proposed repair
work.
3.4 Details — As required. Indicate key conditions.
a. Details to adequately indicate structural system.
b. Details of major unique conditions that impact the proposed repair.
3.5 Schedules — Prepare an estimate of the Construction Time.
3.6 Bid Items and Estimated Bid Quantities
3.7 Specifications — For general specifications, FDOT Specifications will be incorporated.
Comprehensive, abbreviated methods, materials and systems descriptions in tune with the
drawings will be developed as necessary with Technical Special Provisions.
3.8 Estimate of Construction Cost — Estimate of anticipated cost in accordance with the
Design Development/Construction Documents.
3.9 Other Consultants' Design Development Sets — As appropriate to the Project.
4.0 CONSTRUCTION PHASE
4.1 The Engineer shall review and approve or take other appropriate action upon
Contractor's Shop Drawings submittals for prefabricated elements to be placed permanently in
the structure but only for the limited purpose of checking for conformance with information given
and the design concept expressed in the Contract Documents. The Engineer's action shall be
taken with such reasonable promptness as to cause no delay in the Contractor's Work or in
construction by the County's own forces, while allowing sufficient time in the Engineer's
professional judgment to permit adequate review. In general, said review and action shall be
completed in 10 working days from receipt of a shop drawing submittal, excluding resubmittals.
Review of such submittals is not conducted for the purpose of determining the accuracy and
completeness of other details such as dimensions and quantities or for substantiating
instructions for installation or performance of equipment or systems designed by the
Contractors, all of which remain the responsibility of the Contractors to the extent required by
the Contract Documents. The Engineer's review shall not constitute approval of safety
precautions or, unless otherwise specifically stated by the Engineer, of construction means,
methods, techniques, sequences, or procedures.
4.2 The Engineer shall, without additional compensation, promptly correct any errors,
omissions, deficiencies, or conflicts in the work product of the Engineer or its consultants or
both.
4.3 The Engineer must reimburse the County for any added costs paid by the County during
construction that were incurred as the result of any error, omission, deficiency, or conflict in the
work product of the Engineer, its consultants, or both. This added expense is defined as the
difference in cost from that which the County would have paid if the work was included in the
bid, and the actual cost presented by the Contractor. The Engineer shall not be held responsible
for additional deficiencies found due to a delay in the construction of the project or for those
hidden deficiencies that could not reasonably be determined through a review of the FDOT
Bridge Inspection Reports or physical inspection of the bridge by the Engineer.
5.0 CONSTRUCTION COST
Contemporaneously with the submission of the Design, the Engineer shall submit to the County
in writing its final estimate of the contractor's anticipated bid price for constructing the Project.
Once submitted, the final anticipated price estimate shall be adjusted by the Engineer to reflect
any increase or decrease in anticipated price resulting from a change in Design.
5.1 The Construction Cost shall be the total estimated bid cost to the County of all elements
of the Project designed or specified by the Engineer.
5.2 The Construction Cost shall include the cost at current market rates of labor and
materials and Equipment designed, specified, selected or specially provided for by the
Engineer, plus a reasonable allowance for Contractor's overhead and profit.
5.3 Construction cost does not include the compensation of the Engineer and the Engineer's
consultants, the costs of land, rights -of -way, financing or other costs which are the responsibility
of the County.
5.4 The Engineer agrees that, should the bid for construction of the project exceed its
estimate by ten percent (10 %) or more, it will redesign, redraw or rebid, at no additional cost or
expense to the County, until the bids are within the stated limits.
Article VII Payments, Paragraph 7.1 is amended to include the following:
The Consultant shall be paid monthly; the following not to exceed amounts will apply for each
phase of the project:
Design Development $ 30,953.18
Construction Documents /Bid Phase Services $159,645.83
Construction Phase Services $ 14,090.40
Total Lump Sum Fee $204,689.41
Article IX Miscellaneous, Paragraph 9.29 Federal Highway Administration
Requirements do not apply to this project.
All requirements shall be completed no later than December 31. 2012 for total lump sum fee of
$204,689.41 (Two Hundred Four Thousand Six Hundred Eighty Nine Dollars and Forty One
Cents).
IN WITNESS WHEREOF, each party caused the Task Order to be executed by its duly
authorized representative.
Consultant
ADA Engineering, Inc.
6�� - IZ 3, "
Sig Date
{SEAL) . a
KOLHAGE, Clerk
By
Deputy Clerk
Date: /9 ,2 - -11
Witness
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Sig a re Date
N
BOARD OF COUNTY COMMI8$ibi4ERSN
OF MONROE COUNTY, FLORIDA' ' ra
By:
Mayor /Ch . ma
PfOa nOt:e _UN.7Y ATTO'NE`.
APPROVED AS TO FORM:
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HRIS "r6NE M. 1_1FASERT- BARROWS
ASS1STANT ATTORNEY
DatzL�
ADA Engineering, Inc.
Fee Proposal for Tom's Harbor Channel Bridge Repair Design Project
r - - J
October 27, 2010 (Revised December 3, 2010)(Revised December 17, 2010)
Ms. Judith S. Clarke, PE
Director of Engineering Services
1100 Simonton Street, 1 -213
Key West, Florida 33040
Corporate Office
8550 NW 33 "' Street, Suite 101
Uurat. Florida .13122
F 305.551,4608
F 305.551.8977
s,vww. ache nguieenng. corn
Reference: FEE PROPOSAL FOR TOM'S HARBOR CHANNEL BRIDGE REPAIR DESIGN PROJECT
Dear Ms. Clarke:
A.D.A. Engineering, Inc. (ADA) is pleased to submit for your review and consideration our revised fee proposal
for the above referenced project. We have included in our proposal the Scope of Services that was provided to
us without the previous modification on item 5.4, our manhour breakdown as well as those of our
subconsultants, and a preliminary schedule. These have been included as attachments A -C respectively. Please
note that we have added the additional fee for the turnarounds but for these we have assumed that the existing
beams will be able to handle the additional loads. Additional services would be requested if a redesign of the
beam is required.
We feel that we can perform the repair design based on the Field Reports and therefore have not included any
surveying or geotechnicai work in this proposal. After the Design Development phase we will notify you in
writing if we feel that survey and geotechnical work is necessary to complete the design and prepare the
construction documents. We also did not include any public relations type services.
We have condensed the Scope of Services to three main tasks for this fee proposal. They are shown below with
their corresponding fee. We have slightly modified the fee for Task 2.0 so that we can have round fee of
$195,000 instead of $195,009.41.
Task 1.0 Design Development $ 30,953.18
Task 2.0 Construction Documents Phase $ 159,645.83
Task 3.0 Construction Phase Services $ 14,090.40
The total lump sum fee is $204,689.41 (Two Hundred Four Thousand Six Hundred Eighty Nine Dollars and Forty
One Cents).
Please let us know if you have any questions or need additional information. We look forward to working with
you on this project.
Best Regards,
A.D.A. Engineering, Inc.
Alberto D. Ar udin, PE, CGC, LEED AP
ATTACHMENT "A"
Proposal Format for Scope of Services
ADA has modified the format for the scope of services to condense the required services into three general
tasks. These include Design Development, Construction Documents Phase, and Construction Phase Services.
The following shows all the Tasks and a short description of the work to be performed for each one:
Task 1.0 Design Development
Task 1.1- Data Gathering and Bridge Inspection
ADA will obtain readily available inspection reports, previous repair plans, as -built drawings, calculations,
geotechnical data, surveys, etc. from Monroe County (County) and /or the Florida Department of Transportation
(FDOT) for the existing bridge. ADA and EAC Consulting, Inc. (EAC) engineers will review the obtained data to
prepare an assessment of the bridge. In addition, ADA and EAC engineers will provide up to two site visits.
Marlin Engineering, Inc. (Marlin) will provide a field inspection and field inspection report for the existing bridge
in compliance with County and FDOT requirements.
Task 1.2 - Design Development Letter Report
After reviewing the data, the ADA Team will prepare a letter report outlining its findings and recommendations.
Any additional services such as surveying, geotechnical, and testing will also be identified. Conceptual cost
estimates will be prepared in an effort to evaluate the feasibility of the repairs.
Task 2.0 Construction Documents Phase
Task 2.1- Construction Documents
Construction documents will be prepared to address superstructure and substructure repairs. These will include
plan and elevation, details, notes, and cover sheet. See EAC's manhour estimate in Attachment "B" for a more
detailed list of drawings. The plans will conform with the requirements of Section 2.1 of the Scope of Services
provided by the County. See County provided Scope of Services also in Attachment "A ". Technical provisions
and special specifications will be provided on the plans. FDOT Standard Specifications will be incorporated by
reference as indicated in section 2.2 of the Scope of Services provided by the County. We are proposing to
submit plans at the 90% and 100% submittal stages of the project. ADA and EAC engineers will attend a review
meeting with the County after the 90% submittal.
Task 2.2 - Cost Estimate and Schedule
Prepare construction estimates at each submittal. ADA Will also prepare a project schedule at each submittal. A
conceptual schedule for the project is submitted with this proposal and is included in Attachment "C ". For the
conceptual schedule we assumed a Notice to Proceed for our work of January 10, 2011. We also assumed three
months for permitting and a construction time of nine months.
Task 2.3 - Permitting
ADA will prepare all required permit applications and permit sketches. The County shall be responsible for
paying all permit fees. Up to two rounds of Requests for Additional Information (RAls) will be provided as part
of this task.
Task 2.4 - Bidding Phase
As part of this task ADA will provide assistance to the County in preparing the bid packages and will respond to
questions from prospective bidders. It also includes attendance to a Pre -Bid meeting.
Task 3.0 Construction Phase Services
Task 3.1- Pre - Construction Meeting
Attend the Pre - Construction meeting.
Task 3.2 - Services During Construction
The services to be provided include review of shop drawings and response to Requests for Information (RFIs).
Any attendance for construction meetings and inspections shall be considered additional services.
ATTACHMENT "B"
IN
.........
..... ....
..........
.....
. . . .
.
Tom's Harbor Channel Bridge Repair Date: Oct. 25, 2010 (Revised December 17, 2010)
EAC's Estimated Manhours
Component
Task
Units
No. of
Units
Hours/
Unit
No. of
Sheets
Total
Hours
Comments
General
Review Bridge Inspection Report
LS
1
LS
6
Review Existing Bridge Plans
LS
1
LS
4
Review Previous Repairs Plans
LS
1
LS
4
Deck repairs, Pile Jacket details
2 Field Visits
LS
1
LS
32
2 Visits x 2 Persons x 8 Hours/Person/Visit
Prepare Design Development Report
LS
1
LS
40
Size and character of proposed repairs, structural
systems and materials. Need to compare bridge repair
with bridge replacement and include cost estimates for both.
Common
Sheets
Index of Sheets
Sheet
1
6
1
6
Include Existing Bridge Plans
General Notes
Sheet
2
16
2
32
Bearings Replacement Details
Sheet
2
24
2
48
Expansion Joint Replacement Details
Sheet
1
24
1
24
Superstructure
Plan and elevation
Sheet
1
32
1
32
Bridge Repairs Staging Sequence
Sheet
2
16
2
32
Bridge Maintenance of Traffic during Repairs
Existing Prestressed Beams Repair Details
Sheet
2
24
2
48
Prestressed Beam
EA
0
8
0
Prestressed Beam Schedules
Sheet
0
12
0
0
Load Rating
Per
Beam
2
10
1
20
2 existing
Finish Grade Elevation (FGE) Calculation
LS
1
16
16
Finish Grade Elevations
Sheet
1
16
1
16
Bridge Deck Design
EA
1
24
24
Traditional Design Method (Stage Construction)
Bridge Deck Reinforcing and Quantities
EA
1
8
8
Deck Reinforcing and Concrete Quantities
Diaphragm Design/ Jacking Loads
EA
0
24
0
Superstructure Plan
Sheet
2
20
2
40
Stage Construction
Superstructure Section
Sheet
1
24
1
24
Stage Construction
Miscellaneous Superstructure Details
Sheet
1
60
1
60
Including concrete diaphragm Sections & reinforcement
around deck appurtenances &turnarounds
Foundation Layout
Sheet
0
24
0
0
End Bent Geometry
EA
0
8
0
Wingwall Design and Geometry
EA
0
16
0
End Bent Structural Design
EA
0
16
0
End Bent Plan and Elevation
Sheet
0
24
0
0
End Bent Details
Sheet
0
20
0
0
Substructure
Existing End Bents Repair Details
Sheet
2
20
2
40
2 End Bents ( Caps, Cheekwalls & Header)
Intermediate Bents Geometry
EA
0
8
0
Bent Structural Design
EA
0
24
0
Bent Plan and Elevation
Sheet
0
16
0
0
Bent Details
Sheet
0
18
0
0
Existing Bents Repair Details
Sheet
2
20
2
40
4Intermediate Bents
Pile Jacket Repair Details
Sheet
1
24
1
24
Existing Pile Repair Details
Sheet
1
24
1
24
Spalls /De laminations
Reinforcing Bar Lists
Sheet
1
10
1
10
Miscellaneous
Utility hanger details
Sheet
1
24
1
24
Develop details to maintain existing utilities during repairs
Slope Protection Restoration at Abutments
Sheet
1
24
1
24
Sub -Total
26
702
Quality Assurance/ Quality Control
LS
1
4Y
35
Supervision
LS
1 1
3%
35
Coordination
LS
1
"'
21
Review Meetings
EA
2
8
16
2 Meetings x (2 Personsx4Hours /Person /Meeting)
Assemble Computation Book & Quantities
LS
1
16
16
Single bridge
Cost Estimate
LS
0
12
0
Including updates as necessary
Technical Special Provisions
LS
1
24
24
Extremely Aggressive Environment /Severe Corrosion
iota) I Lb 1 849
Notes:
Based on our review of the Bridge Inspection Report dated 2/18/2010, the following observations should be noted:
a) The exposed deck slab bottom reinforcing steel has reached a critical corrosion level that the deck slab
structural integrity to carry the loads is in question.
b) The steel bearing assemblies have advanced corrosion with up to 100 %, section loss. Jacking the superstructure
to replace the bearings will be required.
Our manhour estimate is based on the following assumptions:
1. Complete bridge deck replacement.
2. No widening of the bridge is considered except for a 1' wide by 5' long section for the wheel chair turnaround in the sidewalk
September 6, 2010
To: Alberto D. Argudin, PE, CGC, LEED AP
A.D.A. Engineering, Inc.
8550 NW 33 Street, Suite 101
Doral, FL 33122
From: Eduardo Vazquez, E.I. C.B.I.
Marlin Engineering, Inc.
Re: Tom's Harbor Channel Bridge - County Bridge 904600
Dear Mr. Argudin:
MARLI
ENGINEERING
Per your request please find our scope of service and cost estimate for the structural
inspection at the above mentioned bridge.
Scope of Service:
1- Structural inspection of the super and substructure components of the bridge.
2- Deliverables will consist of a comprehensive bridge report with inventory photos of
the site, detailed description of deficiencies found with measurements, photos,
sketches and video log if necessary of every deficient area, as well
recommendations for repairs where necessary.
3- The inspection team will consist of a 3 men team (as per OSHA regulations for the
underwater portion of the inspection), all diving equipment necessary for 3 divers
including dive boat and digital camera with video capabilities. Team leader will be a
Florida Department of Transportation Certified Bridge Inspector.
Lump Sum Fee for inspection: $ 7,978.12 (See attached for details)
We forth see a turn around of 5 days from beginning of the inspection to submittal of the
report and can begin work as soon as needed.
We appreciate the opportunity of submitting this estimate to you and I look forward to working
with you on this project. Should you have any questions please contact us at your
convenience.
Sincerely,
Marlin
Edua o a ez, E.I. CB.I.
Brid Insp ctions Manager
2191 NW 97 Avenue Miami, Florida 3 31 72 -2 31 3 Tel. 13051 477 -7575 Fax (305) 477 -7590
www.mariinengineering.com
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RV CERTIF ICATE OF LIABILIT INSURANCE OP ID BH I DATE(MM/DD/YYYI)
01/24/11
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
ACEC /MARSH
701 Market St., Ste. 1100
St. Louis MO 63101
Phone 338 -1 391 Fax: -6 -3173
INSURED
A.D.A. Engineering, Inc.
Att• Ivet a Argudin
8550 NW 33 St., Suite 101
Miami FL 33122
CUSTOMER ID #:
ADAEN-1
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
INSURER(S) AFFORDING COVERAGE
INSURER A:
Hartford Accident & Indemnity
INSURER B:
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSURER C:
1100 Simonton St, RM 216
INSURER D:
LIMITS
INSURER E:
EACH OCCURRENCE
INSURER F:
A X COMMERCIAL GENERAL LIABILITY 84SBWCG2118 11 /01 /10 11 /01 /11
CLAIMS -MADE I OCCUR
NAIC S
22357
COVERAGES CERTIFICATE NUMBER: Dwlctnu All lucoD•
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL
THE TERMS,
Monroe County BOCC
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
AUTHORIZED REPRESENTATIVE
1100 Simonton St, RM 216
LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY)
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A X COMMERCIAL GENERAL LIABILITY 84SBWCG2118 11 /01 /10 11 /01 /11
CLAIMS -MADE I OCCUR
PREMISES (Ea occurrence)
MED EXP (Any one person)
$1,000,000
$ 10,000
• XCU
PERSONAL & ADV INJURY
$1,000,000
• CONTRACTUAL LIAR PROFESSIONAL LIAR EACL
GENERAL AGGREGATE
s2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY -X] PRO LOC
JECT
PRODUCTS - COMP /OP AGG
s2,000,000
$
A
AUTOMOBILE
X
LIABILITY
ANY AUTO
ALL OWNED AUTOS
84UEGPQ2064
11 /01 /10
11 /O1 /11
COMBINED SINGLE LIMIT
accident)
$ 1,000,000
BODIL Y NJ INJ
BODILY (Per person)
$
SCHEDULED AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
X
HIRED AUTOS
X
NON -OWNED AUTOS
$
IX
Uninsured Motorst
$
A
UMBRELLA LIAB
X
OCCUR
84SBWCG2118
11 /01 /10
11 /01 /11
EACH OCCURRENCE
$3,000,000
EXCESS LWB
CLAIMS -MADE
AGGREGATE
s3,000,000
DEDUCTIBLE
X I
RETENTION $ 10,000
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIV
OFFICERIMEMBEREXCLUDED? �
/A
84WEGLA3854
1 /01 /10
11 /01 /11
X W A U- H-
TORY LIMITS ER
E.L. EACH ACCIDENT
$ 1
1
E.L. DISEASE - EA EMPLOYEE
$1,000,000
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
-
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is re wired)
Re: Monroe County BOCC is included as additional insured for move
except WC as required by written contract.
coverages
I cmIIri{. 1C m"Lunm r'Amr 1 ATIflm
- --v I=6rzUV:rntrvKU 6:URPt7RARU71V-P01 rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
MONROE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Monroe County BOCC
AUTHORIZED REPRESENTATIVE
1100 Simonton St, RM 216
Key West FL 33040
- --v I=6rzUV:rntrvKU 6:URPt7RARU71V-P01 rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
Mean #Ar- 71na
AnAFNnin
ACORD. CERTIFICATE OF LIABILITY INSURANCE
F D 10/ 9/2012
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
SunCoast Insurance, div of USI
CONTA
NAME:
PHONE $13 321 -7500 N 813 321 -7525
C No El
1715 N. Westshore Blvd., Suite 700
Tampa, FL 33607
813 321 -7500
ADDRESS:
CUSTOMER ID #:
INSURERS AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: BeaZley Insurance Company Inc.
37540
A.D.A. Engineering, Inc.
8550 NW 33rd St, Suite 101
Doral, FL 33122
INSURER B
$
INSURER C
COMMERCIAL GENERAL LIABILITY
INSURER D
INSURER E:
INSURER F:
$
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD POM CY EFF POLI EXP
LM
TYPE OF INSURANCE
POLICY NUMBER
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$
COMMERCIAL GENERAL LIABILITY
RENTED
PREMISES O occurrence
$
CLAIMS -MADE I--] OCCUR
A E
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
W
GENERALAGGREGATE
$
GEML AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP /OP AGG
$
$
POLICY F PRO-
I CT LOC
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
(Ea accident)
$
ANY AUTO
BODILY INJURY (Per person)
$
ALL OWNED AUTOS
BODILY INJURY (Per accident)
$
SCHEDULED AUTOS
HIRED AUTOS
PROPERTY DAMAGE
(Per accident)
$
$
NON-OWNED AUTOS
UMBRELLA LIAB
H OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DEDUCTIBLE
$
$
RETENTION $
WORKERS COMPENSATION
T WO STATU- OTH-
ORY
AND EMPLOYERS' UABILITY Y / N
ANY PROPRIETORAPARTNER/EXECUTIV�
E.L. EACH ACCIDENT
$
OFFICER(MEMBER EXCLUDED?
N/A
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYE
$
If yes, describe under
DESCRIPTION OF OPERATIONS below
I
I
E.L. DISEASE - POLICY LIMIT
$
A
Professional
V15WC7120401
10/18/2012
10/18/201
$2,000,000 per claim
Liability
$2,000,000 annl aggr.
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Professional Liability coverage is written on a claims -made and reported basis.
Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Engineering Services;Attn: Judy Clark P.E. ACCORDANCE WITH THE POLICY PROVISIONS.
1100 Simonton Street
Room 216 AUTHORIZED REPRESENTATIVE
Key We FL- 33040 V—�:A IX 06--0.1- Aa—
01988 -2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S424448/M417907 KEB