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Certificates of Insurance AD • CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/11/2012 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 LIC #0437153 1- 212 - 948 -1306 CONTACT NAME: Marsh Risk & Insurance Services PHONE FAX CIRTS_Support@internal.jacobs.com (A/C. No. Ext}: (NC. No): 777 S. Figueroa Street ADDRESS: PRODUCER Los Angeles, CA 90017 - 5822 CUSTOMER ID #: Fax to: 1 - 212 - 948 - 1306 p K..{.� INSURERS AFFORDING COVERAGE NAIC # INSURED y WC IVED INSURERA: ACE AMER INS CO 22667 Jacobs Project Management Co. INSURER B: 1111 S. Arroyo Parkway DEC 12 2012 INSURER C : INSURER D : Pasadena, CA 91105 V B 1 : LAC -4 ? ---- INSURER E : - INSURER F : COVERAGES CERTIFICATE NUMBER: 30603554 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM /DDYYY) (MM/DDIYYYY) A GENERAL LIABILITY HDO G25529030 07/01/12 07/01/13 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ 250,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 X CONTRACTUAL LIABILITY PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY , -- LOC $ A AUTOMOBILE LIABILITY ISA H08635651 07 /01 /12 07/01/13 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS ^ Y/1' Aecadent) PERTY DAMAGE HIRED AUTOS D / d. i , I y / NON -OWNED AUTOS J If i t ' 1 j� f $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE - AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION WLR C46785770 (AOS) 07 /01 /1s' 07/01/13 x TORY LIMITS OTF AND EMPLOYERS' LIABILITY A ANY PROPRIETOR/PARTNER /EXECUTIVE Y/N SCF C46785812 (ME, WI) 07/01/1 07/01/13 E.L. EACH ACCIDENT $ 1,000,000 A (mandatory in I NIA WCU C46785976 (LA, OH, TX)1)7 01 /1s" 07/01/1 (Mandatory In NH) / E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes. describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A PROFESSIONAL LIABILITY EON G21655065 003 07/01/1: 07/01/13 PER CLAIM /PER 1,000,000 "CLAIMS MADE" AGGREGATE 2,000,000 DEFENSE INCLUDED DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) OFFICE LOCATION: Jacksonville, FL 32202. PROJECT MGR: Ryan Forney. CONTRACT MGR: Jack Renton. SENIOR CONTRACT MGR: Christopher Bowker. RE: Monroe County Airports - General Consulting Services Master Agreement with Jacobs Project Management Company for Professional Services at Key West International Airport and The Florida Keys Marathon International Airport. CONTRACT END DATE: 11/15/14. PROJECT NUMBER: E9Y16700. SECTOR: Public. *$2,000,000 SIR FOR STATES OF: LA, OH, TX. The Monroe County Board of County Commissioners, its employees and officials are added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured's services to cert holder under contract for captioned work. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West , FL 33040 �# USA % ✓�_ nyumdo © 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 30603554 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 12,11,2012 NAMEOFINSURED: Jacobs Project Management Co. UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* SUPP (10/00) POLICY NUMBER: HDO G25529030 ENDT. #51 NOTICE TO OTHERS ENDORSEMENT - SCHEDULE - EMAIL ONLY Named Insured Endorsement Number Jacobs Engineering Group, Inc. 51 Policy Symbol Policy Number Policy Period Effective Date of Endorsement HDO G25529030 07/01/2012 to 07/01/2013 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule "). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: i. The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. 1 ALL -32685 (01/11) Page 1 of 2 I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy, All other terms and conditions of the Policy remain unchanged . „,if. "1"2/11 Authorized Representative ALL -32685 (01111) Page 2 of 2 POLICY NUMBER: ISA H08635651 ENDT. #50 NOTICE TO OTHERS ENDORSEMENT - SCHEDULE - EMAIL ONLY Named Insured Endorsement Number Jacobs Engineering Group, Inc. 50 Policy Symbol Policy Number Policy Period Effective Date of Endorsement ISA H08635651 07/01/2012 to 07/01/2013 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule "). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: i. The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy, G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. ALL -32685 (01 /11) Page 1 of 2 1. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of the Policy remain unchanged Authorized Representative ALL -32685 (01/11) Page 2 of 2 Workers' Compensation and Employers' Liability Policy Named Insured ` Endorsement Number JACOBS ENGINEERING GROUP INC. 1111 SOUTH ARROYO PARKWAY Policy Number PASADENA CA 91105 Symbol: WLR Number: C46785770 Policy Period Effective Date of Endorsement 07 -01 -2012 TO 07 -01 -2013 07 -01 -2012 Issued By (Name of Insurance Company) ACE AMERICAN INSURANCE COMPANY Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. NOTICE TO OTHERS ENDORSEMENT - SCHEDULE - EMAIL ONLY A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule "). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: i. The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. o Authorized Representative WC 99 03 68 (01/11) Page 1 of 1 2109 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Nomad Insured Endorsement Number Jacobs Engineering Group, Inc SO Policy symbol Pdncy Number - Policy Period Effective Date of Edorsemeni EON 621666066 003 07101/2001 to 07101/2011 04/06/2011 i Issued Sy (Name or Insurance Company) ACE American Insurance Company TERMINATION AMENDED ENDORSEMENT A. If the Insurer cancels the Policy prior to its expiration date by notice to the Named Insured for any reason other than nonpayment of premium, the Insurer will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as the Insurer determines, to the persons or organizations listed In the schedule that the Named Insured or the Named Insured's representative provide or have provided to the insurer (the Schedule). The Named Insured or the Named Insured's representative must provide the Insurer with the e-mail address of such persons or organizations, and the Insurer will utilize such e-mail address that the Named Insured or the Named Insured's representative provided to the Insurer on such Schedule. B. The Schedule must be initially provided to the Insurer within 15 days after: I. The beginning of the Polley period, if this endorsement is effective as of such date; or II. This endorsement has been added to the Polley, if this endorsement Is effective after the Polioy Period commences. C. The Schedule must be in an electronic format that is acceptable to the Insurer, and must be accurate. D. The Insurer's delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Sohedule in the Insurer's records as of the date the notice of cancellation is mailed or delivered to the Named Insured. E. The Insurer will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. The Insurer has no legal obligation of any kind to any such person(s) or organization(s). The Insurer's failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or Liability of any kind upon the Insurer, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Polley. G. The Insurer is not responsible for verifying any information provided to the Insurer in any Schedule, nor is the Insurer responsible for any incorrect information that the Named Insured or the Named Insured's representative provide to the Insurer. If the Named Insured or the Named Insured's representative does not provide the Insurer with a Schedule, the Insurer has no responsibility for taking any action under this endorsement. In addition, if neither the Named Insured nor the Named Insured's representative provides the Insurer with e-mail address information with respect to a particular person or organization, then the Insurer shall have no responsibility for taking action with regard to such person or entity under this endorsement. CC -1e15 (03/11) ® 2011 Page 1 of 2 H. The Insurer may arrange with the Named Insured's representative to send such notice in the event of any such cancellation. I. The Named Insured will cooperate with the Insurer in providing the Schedule, or in causing the Named Insured's representative to provide the Schedule. J. This endorsement does not apply in the event that the Named Insured cancels the Policy. All other terms and conditions of the Policy remain unchanged. JOHN J, LUPICA, President Authorized Representative CC-1e15 (03/11) 0 201111 Page 2 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Endorsement Number Jacobs Engineering Group, Inc. 84 Policy Symbol Policy Number Policy Period Effective Date of Endorsement EON G21655065 003 07/01/2006 to 07/01/2013 07/01/2012 issued By (Name of Insurance Company) ACE American Insurance Company Policy Period Amended Endorsement In consideration of the additional premium of , it is agreed that Item 2 of the Declarations is deleted in its entirety and the following is inserted: Item 2. Policy Period: From 12:01 a.m. 07/01/2006 To 12:01 a.m. 07/01/2013 (Local time at the address shown in Item 1) All other terms and conditions of this Policy remain unchanged. 4 10 1. JOHN J. LUPICA. President Authorized Representative PF -14509 (03/03) AE, CP '4R • CERTIFICATE OF LIABILITY INSURANCE 6/07/2 Y) 0 06/07/2 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), PRooucER LIC 80437153 1- 212 - 948 -1306 CONTACT Marsh Risk & Insurance Services NAME; ( P A H 1 ONE � CIRTB _eupperteinearaal,jaeobs.com E o.ExO: 1 Uk a t No }; 1 - 212 948 - 1306 777 8. Figueroa Street ,ADDRESS; INSURERS) AFFORDING COVERAGE NAJC 1 Los Angeles, CA 90017 -5822 INSURER A; ACE AMEA INS CO 22667 INSURED INSURERS: Jacobs Project Management Co. INSURER C ; 155 North Lake Avenue, 9th Floor INSURER D; _INSURER E Pasadena, CA 91101 INSURERF: COVERAGES CERTIFICATE NUMBER: 47049598 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. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, NSR P01 E F 01. . LTR TYPE OF INSURANCE N MB +6 VNIk POLICY NUMBER Dr ; , , . . UNITS - .,` " . A X COMMERCIAL GENERAL UAa1L1TY BDO 027853766 07/01/16 07/01/17 EACH OCCURRENCE $ 1,000,000 CLAIMS MADE I X I OCCUR PREMISES/Ea mcurrow l - s 250 X CONTRACTUAL LIABILITY MEDEXPyuw one person) $ 5,000 ,PERSONAL a ADV INJURY $ 1,000.000 GEM AGGREGATE WATT APPLIES PER: GENERAL AOOREOATE :1,000,000 POLICY E EC E LOC -- PRODUCTS- COMP/OP AGG 8 T' 1,000,000 OTHER: A AUTOMORILEUABIL IBA 909042398 SINGLE L S 07/01/16 07/02/17 . COMBINED LIMIT $ 1,000.000 OTf opdardi X ANY AUTO - - - AUTOWNEDpDULEO BODILY INJURY (Per person) $ _ HIRED AUTOS NON -OWNED BODILY INJURY )Per accident, S AUTOS O 4 1yO }} PROPERTY D G E i APP + • t'!a. AGEME(�iT4F [Per.�.r) $ UMBRELLA UAE OCCUR 11 I — Ilk wit LUU1 WA ~' " • 1° CH OCCURRENCE $ CLAIMS.MADE p - AGGREGATE $ $ 0 RETENTIONS ^^ WORKERS COMPENSATION A AND EMPLOYERS'LIABSJTY YIN SCF C48605291 (WI) 07/01/16 07/01/17 X 1 AT UTE 1 ] FN TH ' A ANYEETORPARTIJERlExECUTIVE © R C48605254 (A09) 07/01/16 07/01/17 E L. EACH ACCIDENT $ 1,000,000 OFFI (M CERIMCER/MEM8EREXCLUDE07 , NlA' rrL A rld.Wgrin NCO C4960528A (LA, OE, TUT /01/16 07/01/11 E.L.DISEASE•EAEMPLOYEE $ 2,000,000 E yoa. dsaoiWwd v DEBCIUPTION OF OPERATIONS below I EL. DISEASE • POLICY Limn' 5 1.000, 000 A I PROFEBSIONAL LIABILITY EON 021655065 007 07/01/16 07/01/17 PER CLAIM /PER A00 1,000,000 pCLAIM9 MADE* AGGREGATE 2,000,000 DEFENSE INCLUDED DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may M attached B more apace Is required) OFFICE LOCATION: Jacksonville, FL 32202. PROJECT MORt Ryan Forney. CONTRACT MGR: Jack Renton. SENIOR CONTRACT MGR: Christopher Bowker, RE; Monroe County Airports - General Consulting Services Master Agreement with Jacobs Project Management Company for Professional Services at Kay Nest International Airport and The Florida Keys Marathon International Airport. CONTRACT END DATE: 11/15/14. PROJECT NUMBER: E9Y1670O. SECTOR: Public. *$2,250,000 SIR POR STATES OP: LA, 0E, TX. The Monroe County Board of County Commissioners, its employees and officials are added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured'+ services to cart holder under contract for captioned work. *TEE TERMS, CONDITIONS, AND LIMITS PROVIDED CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Co�is+ionar+ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key Nest , PL 33040 USA ®1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Cart Renewal 47049598 SUPPLEMENT TO CERTIFICATE OF INSURANCE °A 06/67/2016 NAME OF INSURED: Jacobs Project Management Co. UNDER THIS CERTIPICATE O! INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.. SUPP (10100) NOTICE TO OTHERS ENDORSEMENT- SCHEDULE - EMAIL ONLY Named Insured Jacobs Engineering Group Inc. Endorsement Number 299 Policy Symbol I Poky Number ( Period HDO 627853766 J 07/01/2018 TO 07/01/2017 Effective Date of Endorsement 07/01/2018 issued By (Name of insurance Company) ACE American Insurance Company Inert the poky nurser. The Armando ortiss Infonsedon Is to be completed only when this endorsamenl Is Issued subsequent to the preps/1110n of er pogcy. THiS ENDORSEMENT CHANGES THE POLICY. PLEASE READ iT CAREFULLY. A. If we cancel the Policy prior to Its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persona or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule "). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be Initially provided to us within 15 days after. 1, The beginning of the Policy period, if this endorsement Is effective as or such date; or if. This endorsement has been added to the Policy, If this endorsement is effective after the Policy period commences. C. The Schedule must be In an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date appNcable to the Policy. F. The notice referenced In this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named In the Schedule In the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organizations) shown in the Schedule shall Impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any Information provided to us in any Schedule, nor are we responsible for any Incorrect Information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking acdon with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation, I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Polley. ALL -32685 (01/11) Page 1 of 2 AN other terms and conditions of the PoNcy remain unchanged. l...., Authorized Re sentadve ALL - 928135 (01111) Page 2 of 2 NOTICE TO OTHERS ENDORSEMENT — SCHEDULE — EMAIL ONLY 1 Named Insured Jacobs Engineering Group Inc. Endorsement Number 133 Policy Symbol I Policy Number Policy Period Effective Date of Endorsomont ISA H09042398 1 07/01 /2016 TO 07/01/2017 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the Information 1s to be completed only when Ws endorsement is Issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule "). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: I. The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, If this endorsement Is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation Is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated In the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced In this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule In the event of a pending cancefation of coverage. We have no legal obligation of any kind to any such person(s) or organizatlon(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown In the Schedule shall Impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate airy cancellation of the Policy. • G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect Information that you or your representative provide to us. If you or your representative does not provide us • • with a Schedule, we have no responsibility for taking any action under this endorsement, In addition, If neither you nor your representative provides us with a -mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this • endorsement. H. We may arrange with your representative to send such notice In the event of any such cancellation. I, You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL -32688 (01/11) Page 1 of 2 All other terms and conditions of the Policy remain unchanged. 6 Authorized R resentative ALL -32685 (01/11) Page 2 of 2 Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number JACOBS ENGINEERING GROUP, INC. 155 NORTH LAKE AVENUE Policy Number PASADENA CA 91101 Symbol: WLR Number. C48605254 Poiiry Pe 1od Effective Date of Endorsement 07 -01 -2016 TO 07 -01 -2017 Issued By (Name of Insurance Company) 07-01-2016 ACE AMERICAN INSURANCE COMPANY Insert the policy numbs% The remainder of the information is to be completed only when this endorsement Is Issued subsequent to the preparation of the policy. NOTICE TO OTHERS ENDORSEMENT - SCHEDULE - EMAIL ONLY A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we w>li endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative • provide or have provided to us (the *Schedule "). You or your representative must provide us with the e-mail address • of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: I. The beginning of the Policy period, if this endorsement is effective as of such date; or 11. This endorsement has been added to the Policy, if this endorsement Is effective after the Policy period commences. C. The Schedule must be In an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced In this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s), Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shalt impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us In any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You wilt cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule, J. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. This Endorsement Is not applicable In the states of AZ, FL, ID, ME, NC, N3, NM,TX and WI. Authorized Representative WC 99 03 68 (01/11) Page 1 { THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Jacobs Engineering Group Inc. Endorsement Number Policy Symbol EON Y 621655065 007 1 07 0112016 to 07/01/2017 Effective Date of Endorsement Issued By (Name of Insurance Company) 07/01/2016 ACE American Insurance Company NOTICE TO OTHERS ENDORSEMENT — SCHEDULE A. If We cancel or non -renew the Policy prior to its expiration date by notice to You for any reason other than nonpayment of premium, We will endeavor, as set out below, to send written notice of cancellation or non - renewal via such electronic or other form of notification as We determine, to the persons or organizations listed in the schedule that You or Your representative provide or have provided to Us (the Schedule). You or Your representative must provide Us with both the physical and e-mail address of such persons or organizations, and We will utilize such e-mail address and/or physical address that You or Your representative provided to Us on such Schedule. B. The Schedule must be initially provided to Us within 30 days after: i. The beginning of the Policy Period, if this endorsement is effective as of such date; or ti. This endorsement has been added to the Policy, if this endorsement is effective after the Policy Period commences. C. The Schedule must be in a format that is acceptable to Us and must be accurate. D. Our delivery of the notification as described in Paragraph A of this endorsement will be based on the most recent Schedule in Our records as of the date the notice of cancellation or non - renewal is mailed or delivered to You. E. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation or non - renewal date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation or non - renewal of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation or non - renewal to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon Us, Our agents or representatives, will not extend any Policy cancellation or non - renewal date and will not negate any cancellation or non - renewal of the Policy. G. We are not responsible for verifying any information provided to Us in any Schedule, nor are We responsible for any incorrect information that You or Your representative provide to Us. If You or Your representative does not provide Us with a Schedule, We have no responsibility for taking any action under this endorsement. In addition, if neither You nor Your representative provides Us with e-mail address and/or physical address information with respect to a particular person or organization, then We shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. With respect to this endorsement Our, Us or We means the stock insurance company listed in the Declarations, and You or Your means the insured person or entity listed In Item 1 of the Declarations page. Ali other terms and conditions of this Policy remain unchanged. 111,0 MS -36362 (01/15) Authorized Representative