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Addendum 10/27/1992A D D EN DU M AG R EEM ENT THIS ADDENDUM AGREEMENT made this q1 k day of 0C_ADrj(?i, 1992, to the installation agreement (attached) entered into on October 7, 1992, by and between, REEF RELIEF, INC., A Non Profit Florida Corporation hereinafter called the "Contractor," and the BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA, hereinafter called the "County." WITNESSETH, that the Contractor and the County for the consideration hereinafter named agree as follows: 7. The Contractor Agrees to hold the County harmless from all claims arising from, and in all other respects concerning, installation of U-Bolt mooring buoy anchors. In addition the contractor will defend any and all causes of action or claims stemming from installation of these U-Bolt mooring buoy anchors. 8. Contractor will provide general liability insurance in amount of $ 300, 000 and vessel coverage in the amount of $ 100,000 Contractor shall supply County with current certificate of insurance that reflects required insurance coverage. IN WITNESS WHEREOF the parties hereto have executed this Addendum Agreement the day and year first written above. REEF RELIEF, INC. By President/Represent,ative N (Seal) Attest: BOARD OF COUNTY COMMISSIONERS OF M�E, COUNTY, FLORIDA A -.-mb . _ 0 (Seal) Attest: DANNY 4 KOLHAGE, Clerk dituLr- . Cle&4" rk /Chairman r---)APPR VED As T DL A S g Y A torn y rt� Data 0 r— rTt 0 i PRODUCER CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) 12/16/92 dvo. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE YANOFF SOUTH INC. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 4342 East Tradewinds Ave. POLICIES BELOW. Ft. Lauderdale, Fl. 33308 COMPANIES AFFORDING COVERAGE COMPAN LETTER Y A SCOTTSDALE INSURANCE COMPANY COMPANY B INSURED LETTER REEF RELIEF COMPANY LETTER C' P.O. BOX 430 KEY WEST, MONROE, FLORIDA 33040 COMPANY LETTER D �,�-��Nr iIi•11E�i' COVERAGES 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 300,000. A X COMMERCIAL GENERAL LIABILITY CLS 053386 11/15/92 3/15/93 PRODUCTS-COMP/OPAGG. $ 0 CLAIMS MADE X OCCUR. PERSONAL & ADV. INJURY $ 300000 f OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 300,000. FIRE DAMAGE (Any one fire) $ 50,000. MED. EXPENSE (Any one person) $ EXCLUDED _ AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE $ i EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT $ AND DISEASE —POLICY LIMIT $ EMPLOYERS' LIABILITY . _-_.._., -.-�_ DISEASE —EACH EMPLOYEE $ OTHER ' i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL REPAIR OF BUOYS ITEMS Uf id ��'I*%/U-111 I 0 ra- CERTIFICATE HOLDER MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE ROAD KEY WEST, FL. 33040 ACORD 25-S (7/90) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTAT 090004_ ©ACORD CORPORATION 1990 .,POLICY NUMBER: CLS 053386 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: .COMMERCIAL GENERAL LIABILITY COVERAGE PART. PREMIUM: $50. (FLAT) SCHEDULE Name of Person or Organization: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE ROAD KEY WEST, FL. 33040 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section il) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. CG 20 26 11 8.5 Copyright, Insurance Services Office, Inc., 1984 COMMERCIAL LIABILITY DECLARATIONS Scottsdale Insurance Company NUMBER Co O N -1 Ln "o Item 1. Named Insured and Mailing Address: ti ti ti Agent• •• Item 2. ti Policy at 12:01 A.M. Standard Time at your mailing address 8877 North Gainey Center Drive Scottsdale, Arizona 85258 A STOCK COMPANY cis 0533�6 d M Item 3. Q N 3 Item 4. e 'G C G 14 H a Item 5. N x C1 M -.1 cc m a, $4 c> rn0 �r1.•, co � .r M O �'1 Ln H W Z 4 W 0 REEF RELIEF P.O. BOX 430 KEY WEST, MONROE, FLORIDA 33040 YANOFF SOUTH INC. 4342 East Tradevinds Ave. Ft. Lauderdale, F1. 33308 Retroactive Date: N/A Business Description REPAIR OF RUnYS his insurance is issued pursuant to the Florida Surplus Lines Laws. Persons insured by Surplus Lines Carriers do not have the protection of the Florida I nsuranceGuarant} Act to the extent of any right of recovery forthe obligation of an insolvent unlicensed insurer." Agent No. 090004 In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. This policy consists of the following coverage parts for which a premium is indicated. Where no premium is shown, there is no coverage. This premium may be subject to adjustment. COVERAGE PART(S) COMMERCIAL GENERAL LIABILITY COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART ADDITIONAL. INSURED Endorsements applicable to all Coverage Parts: CLS—J-2; CLS—D—I FORM NO. AND EDITION DATE PREMIUM TOTAL $ 7 50. 00 POLICY FEE: $ 25.00 INS?. FEE: r 30.00 + 57 TAX: S 40.25 (Show numbers.) Z. 4H CLS—SD-1; GLS-94s; iJTS-9g; tITS-13Is; GLS-63 GiS-30; LI'iS-119Q; UTS-74s; GLS-47s; 7 w. - IL0021; CG2135: GLS-58s: _— - H W :? a COUNTERSIGNED 1_1/I6/92 JO/dyo BYr__ --- (Date) (Authorized epresentative) V] H � J xoThis Commercial Liability Declarations and the Supplemental Declarations, together with the common policy conditions, �� coverage form(s) and endorsements complete the above numbered policy. CLS-D-1 (1 1-91) TAXW SOUTH INC. 4342 E TrmUwhxW Avenue r""} Ft. Lauderdale, FL 33303 SCOTTSDALE INSURANCE COMPANYT COMMERCIAL GENERAL LIABILITY COVERAGE PART SUPPLEMENTAL DECLARATIONS These Supplemental Declarations form a part of policy number__ GL.s 053356 LIMITS OF INSURANCE General Aggregate Limit (other than Products/Completed Operations) $ 300,000. Products/Completed Operations Aggregate Limit $ 0 Personal and Advertising Injury Limit $ 300,000. Each Occurrence Limit $ 300,000, Fire Damage Limit $ 50,000. any one fire Medical Expense Limit $ EXCLUDED any one person BUSINESS DESCRIPTION AND LOCATION OF PREMISES Form of business: J Individual J Joint Venture Partnership U Organization (other than Partnership or Joint Venture) NON—PROFIT Business description: REPAIJ2 OF BUOYS IN WATER OFF KEY WEST, FLORIDA Location of all premises you own, rent or occupy: SAME AS MAILING ADDRESS PREMIUM Rate Advance Premium Classification Code No. `Premium Basis PR/Co All Other Pr/Co All Other REPAIR OF BUOYS IN WATER 11111 IF Ar'Y FLAT $ $ 700. OFF KEY WEST, FLORIDA INCL. COMP. OPS./PRODS, FORMS AND ENDORSEMENTS other than applicable forms and endorsements shown elsewhere in thepolicy) Forms and endorsements applying to this Coverage Part and made part of this policy at time of issue: '(a) Area, (c) Total Cost, (m) Admission, (p) Payroll, (s) Gross Sales, (u) Units, (o) Other THIS SUPPLEMENTAL DECLARATIONS AND THE COMMERCIAL LIABILITY DECLARATIONS, TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND ENDORSEMENTS COMPLETE THE ABOVE NUMBERED POLICY. CLS-SD-1 (2-92)