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07/01/2015 to 06/30/2016 / / IC)A Q? i. -. 3 AMY CPA Wig, „ , ': ��\,� j`.;.' -: HEAVILIN, ,f,i yi'° '' 4=��7 CLERK OF CIRCUIT COURT & COMPTROLLER - ;' , �- ; MDNRDE COUNTY,FLORIDA °�,� -;��. :Aii spa% DATE: March 26, 2015, 2015 TO: Don DeGraw, Director of Airports ATTN: Judy Layne, Senior Coordinator Airport Grants and Finance FROM: Lindsey Ballard, D.C\p. At the March 18, 2015, Board of County Commissioner's meeting the Board granted approval and authorized execution of Items C12 a one year Wastewater Treatment Plant Maintenance Renewal Agreement with Conch Waste Water, Inc. for the Florida Keys Marathon Airport at a monthly cost of $603.32. Enclosed is a duplicate originals executed on behalf of Monroe County,for your handling. Should you have any questions,please feel free to contact me. elms ;ate) 3Naa A, cc: County Attorney , ' � '3 b i Finance / File/ 500 Whitehead Street Suite 101,PO Box 1980,Key West,FL 33040 Phone:305-295-3130 Fax:305-295-3663 3117 Overseas Highway,Marathon,FL 33050 Phone:305-289-6027 Fax:305-289-6025 88820 Overseas Highway,Plantation Key,FL 33070 Phone:852-7145 Fax:305-852-7146 , WATEWATER TREATMENT PLANT MAINTENANCE RENEWAL AGREEMENT CONCH WASTEWATER, INC. FLORIDA KEYS MARATHON AIRPORT THIS AGREEMENT made this 18th day of March, 2015 (the "Agreement Date") by and between Conch Wastewater, Inc., also termed herein as "Conch Wastewater" (hereafter "Consultant/Contractor") whose address is 30375 Quail Roost Trail, Big Pine Key, Florida 33043 and Monroe County Board of County Commissioners, whose address is 1100 Simonton Street, Key West, Florida 33050 (hereafter "County"); WHEREAS, on the 20th day of November 2013, the parties entered into a contract for Wastewater Treatment Plant Maintenance with a term that began on July 1, 2013 and terminated on June 30, 2014, hereafter original agreement (Agreement); and WHEREAS, on the 16th day of April 2014 the parties renewed the Agreement with a term that began on July 1, 2014 and will expire on June 30, 2015; and WHEREAS, the County is under mandate to connect the Florida Keys Marathon Airport to a central sewer system and decommission the wastewater treatment plant; and WHEREAS, the connection to the central sewer system is not yet available; and WHEREAS, the County will need to continue to maintain the wastewater treatment plant until such time as the County can connect to the City of Marathon's central sewer system; and WHEREAS, the Wastewater Treatment Plant Maintenance Agreement has been mutually beneficial to both parties; NOW THEREFORE in consideration of the promises, and of the mutual covenants to be legally bound hereby,the parties hereto agree as follows: 1. Paragraph 1 of the original agreement is amended to read: 1. DUTIES OF CONSULTANT A. SCOPE OF WORK Consultant shall provide to the County all Department of Environmental Protection (DEP) requirements stipulated in the Operating Permit (attached Exhibit A) for the Marathon Airport (FLA014709) WWTP in order to operate the facility efficiently and reliably, and to maintain the facility according to the Permit. The Consultant shall invoice the County on a monthly basis at the fee schedule rate of $603.32. These contractual services shall be provided on an annual basis commencing on July 1, 2015 through June 30, 2016. Consultant acknowledges that the County is mandated under law to connect to the City of Marathon central sewer system upon notice to the County by the city of Marathon that the central sewer system is available. Therefore in accordance with the provisions of article 2 of this agreement the County may terminate this agreement without penalty and without any further obligations to Consultant upon 60 days written notice. The County shall not be liable for any costs incurred by Consultant after the effective date of termination. Comply with all conditions specified within the current Permit for this facility. Comply with all DEP rules, and County and Local regulations pertaining to the operations and maintenance of wastewater facilities, systems of treatment and control, and related appurtenances. Notify the County, by written notice, of changes in DEP rules, County and Local regulations, as they apply to the plant permitting or operations Provide Discharge Monitoring Report preparation on a monthly basis as required by the Permit Conditions, DEP regulations, and local and county regulations. Assist the County in interpretation of sample data submitted by the certified laboratory on an as needed and as requested basis. Provide pumping service, including emergency standby pumping service for the facility as needed to maintain the facilities operations and compliance. Pumping Services shall include, but not limited to, emergency pumping and shall be billed to the County directly for payment. Provide emergency standby service for the facility as required by the Permit and DEP regulations Repair minor electrical, plumbing and pump station equipment and controls at the cost of$500.00 or below. For any repairs in excess of $500.00, a proposal of repairs shall be submitted to the County for approval, and scheduled accordingly. NORMAL WORKING HOURS ARE MONDAY THROUGH FRIDAY 8:00AM TO 5:00PM; EXCLUDING ALL HOLIDAYS. B. ESTIMATE OF COST Labor • Principal @ $75.00/hr as requested • DMR Preparation @ $45.00/hr minimum one hour per month • Handling fee for parts required for operations, maintenance, repairs and emergency service @ Costs+20% • Overtime and Holiday hourly rates for staff shall be time and half accordingly. • Pump Out Service provided by Conch Wastewater at $0.37 per gallon, and fuel surcharge if applicable. Material and Reimbursable Costs (as needed) • Costs+20% 2. Except as set forth in paragraph one of this Wastewater Treatment Plant Maintenance Renewal Agreement, in all other respects, the terms and conditions of the original November 20th, 2013 agreement and the April 16th, 2014 renewal agreement not inconsistent herewith remain in full force and effect. IN WITNESS WHEROF,the parties have caused these presents to be executed by their respective is a er or representative thereunto duly authorized the day and year first written above. <h rA'Ci•_ BOARD OF COUNTY COMMISSIONERS ;,` ��+,�. AMY HEAVILIN, CLERK OF MONROE COUNTY, FLORIDA ,,,,, 4u.,„Ai., / , By -eket °°� - = • Clerk Ma h i erson C°`hTY !N TNQ YN 4• W' : ses: CONC WATER, INC. dr By '/ • Print Name M. -'SE COU A ►.RNEY t ..PR ED •'FARM P.ED . ERCADO ASSISTANT OUNTY ATT R EY Date 'SZ/,5 � &taste of ; toriba , r fepurtment of (gnbironmentat firotettion E ii i. ISSUED: 3/8/2013 LICENSE NO.: 0007936 1 r ; THE CLASS WASTEWATER TREATMENT PLANT OPERATOR NAMED BELOW IS i LICENSED UNDER THE PROVISIONS OF CHAPTER 403,FLORIDA STATUTES. ; I 1 - I11 VALID UNTIL: 4/30/2015 I ,- JEFFERY E. SHARP l x I '!, ' • RICK scan- HERSCHEL T.VINYARD,JR i GOVERNOR DISPLAY IS REQUIRED BY LAW SECRETARY 093Ec(Il)N • Charlie Grist Florida Department ofrot Environmental Protection Jeff Kottkamp I,t. Governor FLORg }. South District 1 P.O.Box 2549 Michael W. Sole Fort Myers,Florida 33902-2549 Secretary In the Matter of a Statute regarding r Permits for Wastewater Activities in � w Monroe County. ' //2-7 Z.o t o This revision applies only to those systems which have a valid permit on July 30, 2010,and are located in areas to be connected to central facilities. Monroe County Board of Commissioners Monroe County-DW James R Paros,Director Of Public Safety Marathon Airport Terminal WWTP 9400 Overseas Highway PA File No. FLA014709-003-DWF/MM Suite 200 Keys Basin Marathon,FL 33050 NOTICE OF PERMIT REVISION This letter is in response to the recent passage of Chapter 403.086(10),Florida Statutes.The Statute requires a revision to the above referenced permit.This revision is issued under Section 403.087 of the Florida Statutes,as follows: The expiration date of this permit is December 31,2015. Permit Condition I.A.2. is revised to read the following: By January 1,2016,the facility either cease all discharges to the injection wells or meet effluent limits,on an annual basis,as follows: a. Carbonaceous biochemical oxygen demand(CBOD5)of 10.0 mg/L; b. Total suspended solids(TSS)of 10.0 mg/L; c. Total nitrogen(as N)of 10.0 mg/L; d. Total phosphorus(as P)of 1.0 mg/L. [Chapter 403.086(10), Florida Statutes] All other conditions of the permit shall remain unchanged. This letter must be attached to the referenced permit and becomes a permanent part thereof. The Department's proposed agency action shall become final unless a timely petition for an administrative hearing is filed under Sections 120.569 and 120.57, Florida Statutes,within fourteen days of receipt of notice. The procedures for petitioning for a hearing are set forth below. A person whose substantial interests are affected by the Department's proposed permitting decision may petition for an administrative proceeding(hearing)under Sections 120.569 and 120.57, Florida Statutes. The petition must contain the information set forth below and must be filed(received by the clerk) in the Office of General Counsel of the Department at 3900 Commonwealth Boulevard, Mail Station 35,Tallahassee,Florida 32399-3000. Page 1 of 3 FACILITY: Marathon Airport Tei,,,mal WWTP PA File No.:FLA014709-003 PERMITTEE: Monroe County Board of Commissioners Under Rule 62-1 10.106(4),Florida Administrative Code,a person may request enlargement of the time for filing a petition for an administrative hearing. The request must be filed(received by the clerk)in the Office of General Counsel before the end of the time period for filing a petition for an administrative hearing. Petitions by the applicant or any of the persons listed below must be filed•within fourteen days of receipt of this written notice. Petitions filed by any persons other than those entitled to written notice under Section 120.60(3), Florida Statutes,must be filed within fourteen days of publication of the notice or within fourteen days of receipt of the written notice,whichever occurs first. Under Section 120.60(3),Florida Statutes,however,any person who has asked the Department for notice of agency action may file a petition within fourteen days of receipt of such notice, regardless of the date of publication. The petitioner shall mail a copy of the petition to the applicant at the address indicated above at the time of filing. The failure of any person to file a petition within fourteen days of receipt of notice shall constitute a waiver of that person's right to request an administrative determination(hearing)under Sections 120.569 and 120.57, Florida Statutes. Any subsequent intervention(in a proceeding initiated by another party)will be only at the discretion of the presiding officer upon the filing of a motion in compliance with Rule 28-106.205,Florida Administrative Code. A petition that disputes the material facts on which the Department's action is based must contain the following information: (a)The name,address,and telephone number of each petitioner;the name,address,and telephone number of the petitioner's representative, if any;the Department permit identification number and the county in which the subject matter or activity is located; (b)A statement of how and when each petitioner received notice of the Department action; (c)A statement of how each petitioner's substantial interests are affected by the Department action; (d)A statement of all disputed issues of material fact. If there are none,the petition must so indicate; (e)A statement of facts that the petitioner contends warrant reversal or modification of the Department action; (f)A concise statement of the ultimate facts alleged,as well as the rules and statutes which entitle the petitioner to relief;and (g)A statement of the relief sought by the petitioner,stating precisely the action that the petitioner wants the Department to take. Because the administrative hearing process is designed to formulate final agency action,the filing of a petition means that the Department's final action may be different from the position taken by it in this notice. Persons whose substantial interests will be affected by any such final decision of the Department have the right to petition to become a party to the proceeding, in accordance with the requirements set forth above. Mediation under Section 120.573,Florida Statutes,is not available for this proceeding. This permit action is final and effective on the date filed with the clerk of the Department unless a petition is filed in accordance with the above. Upon the timely filing of a petition this permit will not be effective until further order of the Department. Any party to the permit has the right to seek judicial review of the permit action under Section 120.68,Florida Statutes,by the filing of a notice of appeal under Rules 9.110 and 9.190,Florida Rules of Appellate Procedure,with the clerk of the Department in the Office of General Counsel,Mail Station 35,3900 Commonwealth Boulevard, Tallahassee,Florida,32399-3000;and by filing a copy of the notice of appeal accompanied by the applicable filing fees with the appropriate district court of appeal. The notice of appeal must be tiled within 30 days from the date when this permit action is filed with the clerk of the Department. Page 2 of 3 FACILITY: Marathon Airport Tei.,,mal WWTP PA File No.:FLA014709-003 PERMITTEE: Monroe County Board of Commissioners Executed in Fort Myers,Florida STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION Jon Mt.Igleh t Director of District Management FILING AND ACKNOWLEDGMENT FILED,on this date,under Section 120.52,Florida Statutes,with the designated deputy clerk,receipt of which is hereby acknowledged. �( e Z Z 6 [Clerk] [Date] CERTIFICATE OF SERVICE The undersigned hereby certi Pies hat this NOTICE OF PERMIT REVISION and all copies were mailed before the close of business on Jul . •;,2010,to the listed persons. JMI/NWM/jI Copies furnished to: Steven Johnson Page 3 of 3 ACIORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/01/14 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 CONTACT NAME: Hemisphere Insurance Group A/CNNo.Ext): (305)501-2801 FAX No): (305)553-9010 11401 SW 40 St Ste 340 ADDRESS: hemisphereinsgrp@aol.com Miami,FL 33165 INSURER(S)AFFORDING COVERAGE NAIC P Phone (305)501-2801 Fax (305)553-9010 INSURER A: ATLANTIC CASUALTY INS COMP INSURED INSURER B: Conch Wastewater,Inc. INSURER C: 89 INDUSTRIAL RD INSURER D: BIG PINE KEY,FL 33043 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. INSRL TYPE OF INSURANCE INSR SWVD POLICY NUMBER (UBR MM/DDYIYEYYY) (MMIDDIIYY YYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 d COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000.00 PREMISES(Ea occurrence) $ A ❑❑ ❑ CLAIMS-MADE d❑ OCCUR L144000691-3 04/18/2014 04/18/2015 MED EXP(Any one person $ 5,000.00 PERSONAL&ADVINJURY $ 1,000,Q00.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,Q00.00 ❑ POLICY ❑ 78- ❑ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _ (Ea accident) $ ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ AUTOS NED ❑ SCHEDULED BODILY INJURY(Per accident) $ ❑ HIRED AUTOS NON-OWNED PROPERTY DAMAGE ❑ AUTOS (Per accident) ❑ ❑ $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION ❑ TORY WC LATU- ❑ ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 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 E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) 3 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AS ADDITIONAL INSURED. APPR I K A f/IEN-• WAVER N/A YES_ - o LtQ AA 4-rr CERTIFICATE HOLDER; , CANCELLATION I t s 1., _i t-)i�{{�•J(_) 1 .J "I i.; �'I I '1 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE u.._ MONROE COUNTY BOARD OF COUNTY COMMISSIONERS THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 9400 OVERSEAS HWY ACCORDANCE WITH THE POLICY PROVISIONS. SUITEM :8 1,111 I � /1'0Z AUTHORIZED REPRESENTATIVE MARATHON,FL 33050 L " i1J ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD DATE MM ®ACORN CERTIFICATE OF LIABILITY INSURANCE 2/1(6/2014) THIS CERTIFICATEIS 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 SUBROGATIONIS 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 CONTACT NAME: PAYCHEX INSURANCE AGENCY INC (AC NE (A/C, (NC,No): (888) 443-6112 210705 P: F: (888) 443-6112 E-MAIL ADDRESS: PO BOX 33015 INSURER(S)AFFORDING COVERAGE NAIC# SAN ANTONIO TX 78265 INSURER A: Twin City Fire Ins Co INSURED INSURER B: INSURER C: CONCH WASTE WATER INC INSURERD: 89 INDUSTRIAL RD INSURERE: • BIG PINE KEY FL 33043 INSURERF: 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 TI 1E—- TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I\SR T}7'E OF INSURANCE 'DDLSUBR POLICY NUMBER POLICY EFF POLICY EAP LIMITS LTR IYSR I!'ID 0/3//DD/1111) OLIVDD/11'F1) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED CLAIMS-MADE OCCUR S ) !RI K M E� PREMISES(Ea occurrence) APP MED EXP(Any one person) $ D G PERSONAL&ADV INJURY $ WAIVER N/ YE GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC _ �r� PRODUCTS-COMP/OP AGG•$ JECT v ��'1i�l�� OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea accident) ANY AUTO BODILY INJURY(Per person) $ — ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DEC RETENTION S $ WORKERS COMPENSATION PER oTH- .aND EMPLOYERS'LI.aBILITT X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEY/N E.L.EACH ACCIDENT $1 0 0, 0 0 0 OFFICER/MEMBER EXCLUDED? N/A A (Mandatory in NH) 76 WEG JX7081 02/26/2014 02/26/2015 E.L.DISEASE-EA EMPLOYEE$100, 000 If yes.describe under E.L.DISEASE-POLICY LIMIT 'rj 0 0, 0 0 0 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHIc41SBDRD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations . RE: Operations and Maintenance sewage treatment plant, Monroe County Marathon Airport, Monroe County, Florida. )- ? -M0;:• I10e4,0N .13 '1L CERTIFICATE HOLDER CANCELLATION =`• Sti :b U� �J 11 ilZ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE Monroe County DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Board of C O urftY uothm rs t i OTT AUTHORIZED REPRESENTATIVE 110 SIMONTON ST KEY WEST, FL 33040 7 /_"' ©1988-2014 ACORD CORPORATION.All rights reserve( ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD DST 00071920 icy': CERTIFIC ATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �"'"`A 11/04/13 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 CONTACT NAME: Hemisphere Insurance Group PHONE 305 501-2801 I F'0x (305)553-9010 ATM, Exo: ( ) (AIC,No): 11401 SW 40 St Ste 340 Al2DRES.3; hemIsphereinsgrp@aol.com Miami,FL 33165 INSURER(S)AFFORDING COVERAGE { NAIC# Phone (305)501-2801 Fax (305)553-9010 INSURER A: ATLANTIC CASUALTY INS COMP INSURED INSURER B: Conch Wastewater,Inc. INSURER C: 89 INDUSTRIAL RD INSURER D: BIG PINE KEY,FL 33043 _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. ILTR TYPE OF INSURANCE IN SR WVD POLICY NUMBER JDLSUBR MM/DD/YYYY) (F MM/DONYYY) UMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED R COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence}_ $ 100,000.00 ❑ ❑ CLAIMS-MADE ❑d OCCUR L144000691-2 MED EXP(Any one person $ 5,000.00 A ❑ 03/30/2013 03/30/2014 PERSONAL 8 ADV INJURY $ 1,000,000.00 El GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000.00 ❑ POLICY ❑ pEa ❑ LOC • $ AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT (Ea accident) $ ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ ALL OWNED SCHEDULED TOS ❑ AUTOS BODILY INJURY(Per accident} $ 1-1❑ NON-OWNED PROPERTY DAMAGE $ ❑ HIRED AUTOS (Per accident) ❑ ❑ $ ❑ UMBRELLA LIAR ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ _ ❑ DED ❑ RETENTION$ ~$ WORKERS COMPENSATION ❑PRY NI WS ❑FOR AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE 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 E.L.DISEASE-POLICY LIMIT $ 1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) a MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AS ADDITIONAL INSURED. B PPR S �EMEf� j ''// WAIVER / 6 "",r W Clio.—Ul. it CERTIFICATE HOLDER CANCELLATION i._ 'k .1 ir'I'v'I ir1:I (I).. .i`,,`.t` HOU(.p AALY FTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS-U JTHE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 9400 OVERSEAS HWY ACCORDANCE WITH THE POLICY PROVISIONS. SUITE 200 tt''AU1THORIZED REPRESENTATIVE J��� MARATHON,FL 33050 h I. ;U t9a 0 330 Thu ,� c '��- ��'�"_ 1 E Q j}D 0 -,,1188-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD �1 ® JSM DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE R054 12/20/2013 THIS CERTIFICATEIS 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 SUBROGATIONIS 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 CONTACT NAME: PAYCHEX INSURANCE AGENCY INC PHONE (NC, FAX (NC, (888) 443-6112 210705 P: F: (888) 443-6112 E-MAIL ADDRESS: PO BOX 33015 INSURER(S)AFFORDING COVERAGE NAIL# SAN ANTONIO TX 78265 INSURER A: Twin City Fire Ins Co INSURED INSURER B: INSURER C: CONCH WASTE WATER INC INSURERD: 30375 QUAIL ROOST TRL INSURERE: BIG PINE KEY FL 33043 INSURERF: 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 TYPE OF INSURANCE P ADDL SUBR POLICY EFT POLICY EXP LTR INSR ttgD POLICY (MM/DD/YYYY) (NM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTED $ COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY n PRO-piLOC $ CT COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY DEMENT (Ea accident) ANY AUTO AP ISI� I BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BY LIC/J AUTOS AUTOS A � � BODILY INJURY(Per accident) $ NON-OWNED WAIVER N/r PROPERTY DAMAGE HIRED AUTOS AUTOS , ; Pj (Per accident) JU09,—HAS UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY TORY LIMITS ERS ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $10 0, 0 0 0 OFFICER/MEMBER EXCLUDED? N/A A (MandatorylnNH) 76 WEG JX7081 02/26/2013 02/26/2014 E.L.DISEASE-EA EMPLOYEE $1 0 0, 000 If yes,describe under E.L.DISEASE-POLICY LIMIT $5 0 0, 0 0 0 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(MAX Line Length is 79;Attach ACORD 101,Additional Remarks Schedule,if more space is required) Those usual to the Insured' s Operations. RE: Operations and Maintenance sewage treatment plant, Monroe County Marathon Airport, Monroe County, Florida. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED MONROE COUNTY • BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. BOARD OF COUNTY COMMISSIONERS AUTHORIZED REPRESENTATIVE 9400 OVERSEAS HWY STE 200 MARATHON, FL 33050 ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD MORGAN INS GROUP FROOREIWE 13155 SW 42ND ST MIAMI,FL 33175 1-305-222-9001 Policy number: 07535399-3 Underwritten by: Progressive Express Ins Company October 3,2013 Page 1 of 1 Certificate of Insurance Certificate Holder Insured Agent CONCH WASTEWATER INC CONCH WASTEWATER INC MORGAN INS GROUP 30375 QUAILROOST TRA 30375 QUAILROOST TRA 13155 SW 42ND ST BIG PINE KEY,FL 33043 BIG PINE KEY, FL 33043 MIAMI, FL 33175 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. - - Policy..Effective Date: Aug 2,2013 Policy Expiration Date: Aug 2,2014 Insurance coverage(s) Limits Bodily Injury/Property Damage $1,000,000 Combined Single Limit Uninsured Motorist $1,000,000 CSL Non-Stacked Personal Injury Protection $10,000 w/$0 Ded-Named Insd&Relative Description of LocationNehicles/Special Items Scheduled autos only 1995 FORD F SUPER DUTY 1 FDLF47G9SEA28239 • 1995 MAZDA B2300 4F4CR12A3STM15336 1998 CHRYSLER TOWN&COUNTRY 1 C4GP64L1 WB571236 Certificate number AyPGEbENT27613A08399 WAIVER /A g 0y6 `eelle' 4oitt, Form 5241(10/02)