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2012-002R2 Master Services 11/22/2017 KEVIN MADOK, CPA MONROE COUNTY CLERK OF THE CIRCUIT COURT & COMPTROLLER DATE: January 11, 2017 TO: Beth Leto Airport Business Manager FROM: Pamela G. Hanc •40 eputy Clerk SUBJECT: November 22nd BOCC Meeting Enclosed is a duplicate original, of the following item, from the above - mentioned meeting: Item F13 Task Order No. 2012 -002R2 to Master Services Agreement with CDM Smith, Inc. for professional services at the Florida Keys Marathon International Airport, to be completed 100% on or before December 31, 2016. Should you have any questions, please feel free to contact me at ext. 3130. Thank you. cc: County Attorney Fina�ce File TASK ORDER NO. 2012 -002R2 TO MASTER SERVICES AGREEMENT BETWEEN OWNER AND ENGINEER This is Task Order No. 2012 -002R2 dated October 24 , 2016 attached to and made part of the Master Services Agreement dated January 19, 2012, between CDM Smith Inc. (ENGINEER) and Monroe County (OWNER). This Task Order describes the Scope of Services, Time Schedule, Charges, and Payment Conditions for the Task Order known as: Marathon Airport Terminal Sewer Laterals — Construction Administration Services'Cthe' "Project"). • Y a:zi, 1. Scope of Services ENGINEER shall provide for OWNER the following specific Services: Time Extension only of Task Order 2012 -002 2. Time Schedule The time periods for the performance of ENGINEER'S Services are as follows: 100% complete on or before December 31, 2016 3. Compensation and Invoicing Compensation for Services of Engineer described in this Task Order will be on the following basis: See Exhibit `B' in Task Order 2012 -002 4. Terms and Conditions The terms and conditions of the Agreement referred to above shall apply to this Task Order except to the extent expressly modified herein. IN the event of any such modification, the modification shall be set forth below and the Article of the Agreement to be modified shall be specifically references. Modifications included in this Task Order are: N/A 7/2008 Page 1 Task Order — Master Services Agr. Marathon Airport Terminal Sewer Lateral — Construction Administration Services Task Order No. 2012-002R2 October 24 , 2016 Acceptance of the terms of this Task Order is acknowledged by the following authorized signatures of the parties to the Agreement: OWNER A rty—. Z4 Y4 e44rb By: dieraT4"At-, or George Neugent e.. - - CLER • . e. • ° I i 11.1/ ENGINE ( 1 By: f Coop, cc.) t--(Z4 Title: r(60 f .,• "7"': Lt. cz) ASE-31A L.,N It Z 7/2008 Page 2 Task Order — Master Services Agr. Marathon Airport Terminal Sewer Lateral — Construction Administration Services Task Order No 2012-002R2 October 24 , 2016 TASK ORDER NO. 2012 -002R TO MASTER SERVICES AGREEMENT BETWEEN OWNER AND ENGINEER This is Task Order No. 2012 -002R dated October , 2014 attached to and made part of the Master Services Agreement dated January 19, 2012, between CDM Smith Inc. (ENGINEER) and Monroe County (OWNER), This Task Order describes the Scope of Services, Time Schedule, Charges, and Payment Conditions for the Task Order known as: Marathon Airport Tenant Sewer Laterals - Project Design & Construction Services (the "Project'''). 1. Scope of Services ENGINEER shall provide for OWNER the following specific Services: Time Extension only of Task Order 2012 -002 2. Time Schedule The time periods for the performance of ENGINEER'S Services are as follows: 100% complete on or before May 30, 2015 3. Compensation and invoicing Compensation for Services of Engineer described in this Task Order will be on the following basis: See Exhibit 'B' in Task Order 2012 -002 4. Terms and Conditions The terms and conditions of the Agreement referred to above shall apply to this Task Order except to the extent expressly modified herein. IN the event of any such modification, the modification shall be set forth below and the Article of the Agreement to be modified shall be specifically references. Modifications included in this Task Order are: N/A 7/2008 Pape Task Order - Master Services Apr. Marathon Airport Tenant Seaver Lateran - Project Design 8: Construction Services Task Order No 20122 -002R2 October ,2014 Acceptance of the terms of this Task Order is acknowledged by the following authorized signatures of the parties to the Agreement: OWNER /O By: Title: )0 - ENGIN R ral 2911 By: (6 t47 1-17.-4 14 Title: iLLC-O GrA col-4 'NtfH (Pc- 7!2008 Page 2 Task Order Master Services Agr Marathon Airpon Tenant Sewer Laterals - Project Design & Construcnon Services Task Order No 2012-002R2 October _____ 2014 TASK ORDER NO. 2012-002R TO MASTER SERVICES AGREEMENT BETWEEN OWNER AND ENGINEER This is Task Order No. 2012-002R dated January , 2014 attached to and made part of the Master Services Agreement dated January 19, 2012, between CDM Smith Inc. (ENGINEER) and Monroe County (OWNER). This Task Order describes the Scope of Services, Time Schedule, Charges, and Payment Conditions for the Task Order known as: Marathon Airport Tenant Sewer Laterals - Project Design & Construction Services (the "Project "). 1. Scope of Services ENGINEER shall provide for OWNER the following specific Services: Time Extension only of Task Order 2012 -002 2. Time Schedule The time periods for the performance of ENGINEER'S Services are as follows: 100% complete on or before September 30, 2014 3. Compensation and Invoicing Compensation for Services of Engineer described in this Task Order will be on the following basis: See Exhibit `B' in Task Order 2012 -002 4. Terms and Conditions The terms and conditions of the Agreement referred to above shall apply to this Task Order except to the extent expressly modified herein. IN the event of any such modification, the modification shall be set forth below and the Article of the Agreement to be modified shall be specifically references. Modifications included in this Task Order are: N/A 'LIVED i JAN 1 0 2014 7/2008 Paget 1 1 I Y Task Order - Master Services Agr. Marathon Airport Tenant Sewer Laterals Project Design & Construction Services Task Order No. 2012 -002R Acceptance of the terms of this Task Order is acknowledged by the following authorized signatures of the parties to the Agreement: OWNER 1+ By: "°°°1://f7 ( I \ \‘ Title: County Administrator/ Deputy County Administrator Recommended By: MONROE COUNTY DEPARTMENT OF AIRPORTS Date: '4 It . ENGINE R B y: 6 #CtZ t. (-1 14 Title: Atc-004 7/2008 Page 2 Task Order - Master Services Agr. Marathon Airport Tenant Sewer Laterals - Project Design & Construction Services Task Order No. 2012 -002R • TASK ORDER NO. 2012-002 TO MASTER SERVICES AGREEMENT BETWEEN OWNER AND ENGINEER September 21, This is Task Order No. 2012 -002 dated / , 2012 attached to and made part of the Master Services Agreement dated January 19, 2012, between CDM Smith Inc. (ENGINEER) and Monroe County (OWNER). This Task Order describes the Scope of Services, Time Schedule, Charges, and Payment Conditions for the Task Order known as: Marathon Airport Tenant Sewer Laterals - Project Design & Construction Services (the "Project "). 1. Scope of Services ENGINEER shall provide for OWNER the following specific Services: See attached Exhibit 'A' 2. Time Schedule The time periods for the performance of ENGINEER'S Services are as follows: 365 days from Execution of this task order. 3. Compensation and Invoicing Compensation for Services of Engineer described in this Task Order will be on the following basis: Lump sum amount of 5142,205 (see attached Exhibit 'B') 4. Terms and Conditions The terms and conditions of the Agreement referred to above shall apply to this Task Order except to the extent expressly modified herein. IN the event of any such modification, the modification shall be set forth below and the Article of the Agreement to be modified shall be specifically references. Modifications included in this Task Order are: N/A RECEIVED j't,7ED OCT 0320112 AUG 01 2012 7/20011 Pegs 1 Task Order - Master Services Agr Marathon Airport Tenant Sewer laterals - Project Design & Construction Services Task Order No 2012-002 July _ __. 2012 Acceptance of the terms of this Task Order is acknowledged by the following authorized signatures of the parties to the Agreement: OWNER By: Title: �/IIn/ Ree„ �/ry( WVY ` :SEAL) •- - Wl_ •, ,t CterK DEPUTY CLEW ENG • E • A By: I , Title: � •Of G (a t MO yiE OOi, ;Ri - - 1/i.• PEDRO J. RCA DO ASSISTANT CO Date ^ ______ 7/2008 Page 2 Task Order - Master Unites Agr Marathon Airport Tenant Sewer Laterals - Project Design & Construction Services Task Order No 2012-002 *04 oev (q,2012. Exhibit 'A' to Task Order No. 2012 -002 Florida Keys Marathon Airport Tenant Sewer Laterals — Project Design & Construction Services PROJECT BACKGROUND Monroe County has requested that ENGINEER provide engineering consulting service to complete design, bidding and construction supervision of a system to connect up to twelve facilities at the Florida Keys Marathon Airport to the central sewer system. Although wastewater facilities have been constructed in the immediate area, facilities on airport property were not connected to the system due to lack of plans and funding. This project will develop an approach and bid documents in a time frame to take advantage of time - limited funds which have become available for the project. SCOPE OF WORK The following is a description of the services to be provided under this Task Authorization. • Design of up to ten sewer connection systems to City of Marathon sewer system for twelve facilities based on the approved Conceptual Design; • Preparation of technical specifications in coordination with City of Marathon Utility and County specifications and bid requirements; • Permitting of project with FDEP if required; • Assistance with bidding and vendor selection; • Construction management and on -site quality control services, including system start -up • Assistance with project close -out TASK 1- CONCEPTUAL DESIGN Subtask 1.1- Survey ENGINEER will subcontract with a survey firm, to perform surveys of the selected sites including the location of existing septic tanks and elevations of the inlet plumbing and the potential locations for small pump systems and effluent pipe routes. Survey will also include existing wastewater and other utilities in Aviation Boulevard at the County buildings and the frontage road along US Highway 1. Subtask 1.2 - Geotechnical Evaluation ENGINEER will subcontract with a geotechnical firm, to conduct up to three ground borings at selected sites to determine depth to rock and stability of soils for construction. Subtask 1.3 - Flow Generation and Capacity Analysis ENGINEER will calculate anticipated flows, peak and average, from the tenant properties to be connected to City of Marathon sewer. These flows will be checked against current Toads on the systems to verify adequate capacity for current and future uses. Wid th Page 1 of 8 cDMSmithScope- 36629 -92066 6/29/2022 Subtask 1.4 - Preliminary Site Layouts and Equipment Selection Sites and flows will be analyzed to determine if individual systems or grouped systems would be preferable based on construction costs and maintenance needs. A site plan will be prepared for each facility and equipment data sheets will be prepared for each site. A table listing design criteria for the system as a whole with exceptions noted for individual sites will be prepared. Equipment vendors will be contacted to verify availability and location of support facilities. Subtask 13 - Progress Meeting No. 1 A progress meeting will be held to discuss the results of the first four subtasks and to get consensus to proceed to conceptual design. Items to be covered in this meeting include: ■ Summary of preliminary design components, including design criteria; ■ Review of site layouts and equipment alternatives; ■ Preliminary opinion of probable cost; • Summary of permitting requirements; • List of technical specifications; ■ Potential access /tenant concerns during construction Subtask 1.6 - Prepare Draft Conceptual Plans ENGINEER will prepare draft conceptual drawings, which will include selected drawings from the list shown in Task 2.1 below including the proposed limits of temporary construction access. Preliminary Typical Details will be included. Subtask 1.7 - Progress Meeting No. 2 A progress meeting will be held after the County has reviewed the draft Conceptual Plans and provided written comments to ENGINEER. ENGINEER will prepare and distribute a summary of meeting minutes to document items discussed with the parties in attendance. Subtask 1.8 - Final Conceptual Design Based on discussions from Progress Meetings 1 and 2 and written comments received, ENGINEER will prepare the final Design Memo and will incorporate County comments and recommendations for the conceptual design. Three hard copies and one digital copy of the final Conceptual Design will be provided to the County. TASK 2 - PREPARATION OF CONTRACT DOCUMENTS ENGINEER will prepare final design documents suitable for bidding and construction of the project. The final Conceptual Design will be used as the basis for the final design. The following is a description of the design submittals and technical review approach. Subtask 2.1- 90- Percent Design Package ENGINEER will prepare a 90- percent design package that will include design drawings with comments incorporated from the conceptual plan review by the County, project specifications, and an opinion of With Page 2 of 8 COMSmithScope- 36629 -92066 6/29/2012 probable construction cost. The cost will be developed by ENGINEER's cost estimating group and will include an evaluation of recent bid tabulation data and local contractor input for similar projects. Project specifications will be developed using the CSI 16- Division format. The Florida Department of Transportation (FDOT) specifications will be incorporated by reference where appropriate, but ENGINEER's technical specifications specifically prepared for the project will take precedence in the event of a conflict. ENGINEER will use County Contract Forms, General Conditions, and appropriate Supplementary Conditions for the contractual requirements. The entire draft construction contract with all the above- referenced specifications, forms, and conditions will be submitted for review. The design package will include the following: • Cover Sheet with Index (approximately 1 sheet) • General Notes (approximately 1 sheet) • Existing Conditions /Demolition Site Plan (approximately 5 sheets) • Proposed Conditions Site Plan (approximately 5 sheets) • Construction Access Plan (approximately 2 sheets) • Sediment & Erosion Control Plan and Details (approximately 1 sheet) • Demolition plan details (approximately 1 sheet) • Site connection Section and Details sheets (approximately 4 sheets) • Typical Electrical Plan and Details (approximately 1 sheet) • Special Provision Specification Package • Schedule of Quantities • Engineer's Opinion of Probable Construction Cost • Instructions to Bidders and General Conditions • Supplementary General Conditions • Technical Specifications. Three hard copies and one digital copy will be provided to the County for review. The 90- percent design package will be submitted to the permitting agencies, along with a Final Design Memorandum. The Final Design Memorandum will be based upon the PDR and will reflect any updates since the conceptual design phase. Subtask 2.2 - Progress Meeting No. 3 A progress meeting will be held after the County has reviewed the 90- percent design package and provided written comments to ENGINEER. Based on discussions during this meeting, the final design will With Page 3 of 8 CDMsmm,Scope- �z9 -92C66 6/29/2012 incorporate County comments and recommendations. ENGINEER will prepare and distribute a summary of meeting minutes to document items discussed with the parties in attendance. Subtask 2.3 - 100% design package ENGINEER will prepare final design drawings and project manual for a 100- percent final bid package. Four hard copies (one signed and sealed) and one digital copy of the 100 - percent design package will be provided to the County and considered final. Digital files will include PDF files and AutoCADTM files of the design and survey files. TASK 3 - PERMIT APPUCATIONS Subtask 3.1- Permitting Meetings ENGINEER will contact County staff and representatives of the City of Marathon, County Public Works Department, County Health Department and Florida Department of Environmental Protection (FDEP) to discuss the objectives of the overall project and to clarify the level of permitting required for the proposed project. Four call -in meetings are estimated for budgeting purposes. ENGINEER will prepare and distribute a summary of meeting minutes to document items discussed with the parties in attendance. Subtask 3.2 - Permitting Assistance ENGINEER will prepare and submit required permit application documents to the County for signatures and will provide technical support during the permitting process. Two follow -up call -in meetings are estimated for budgeting purposes. ENGINEER will prepare and distribute a summary of meeting minutes to document items discussed with the parties in attendance. TASK 4 - BIDDING SERVICES Subtask 4.1- Pre -Bid Meeting ENGINEER will attend a pre -bid meeting with County staff to discuss the project with prospective bidders and provide a site visit. This meeting may be conducted at County offices with a mandatory field visit which will be held at the construction sites. ENGINEER will prepare and distribute a summary of meeting minutes to document items discussed with the parties in attendance as part of the first addendum. Subtask 4.2 - Prepare Addenda ENGINEER will prepare up to two addenda to the contract documents based upon the pre -bid meeting and questions during bidding. All questions during bidding will be submitted in writing. TASK 5 - ENGINEERING SERVICES DURING CONSTRUCTION ENGINEER will provide engineering services during construction (Post - Design Services) and will contract with a qualified MBE subcontractor to provide resident project representative (RPR) services. The general scope information is included in the following tasks: Page 4 of 8 CDMSmithScope- 36629.92066 6/29/2012 Subtask 5.1- Project Meetings ENGINEER will prepare for and conduct a preconstruction meeting for the project within three weeks of the construction contract being awarded. ENGINEER will prepare for and attend three progress meetings during the estimated six -month project duration. Additionally, ENGINEER will attend special meetings at the request of the OWNER from time to time. An average of one (1) additional meeting per month with the OWNER staff is assumed in this Task Authorization. ENGINEER will prepare and distribute meeting minutes of each meeting as appropriate. Subtask 5.2 - Shop Drawing Review ENGINEER will review the shop drawing submittals for compliance with the requirements of the Contract Documents. Eight (8) shop drawings are budgeted for this project. A single re- submittal of each rejected shop drawing will be counted within the eight shop- drawing budgets for this task. Subtask 5.3 - Construction Quality Review and Requests for Information ENGINEER will provide quality reviews of the project during construction for an anticipated project life of 6 months. These services include: • One (1) site visit by the engineer -of- record; weekly site visits by RPR (up to 25 visits), including testing and start-up observation, final completion walk- through and one additional site visit. • Review of weekly reports from RPR and coordination with the County to resolve construction issues in the field. • Response to five (5) Requests for Information (RFIs) from the contractor. Subtask 5.4 - Project Close -Out ENGINEER will assist the County with the permit close -outs with FDEP for the project. The Contractor shall provide ENGINEER with the record drawings in accordance with the contract documents, using a County- approved surveyor to complete the as -built survey. ENGINEER will review and comment on the record drawings, and forward copies in both hard and digital format to the County. TASK 6 - MEETINGS, PROJECT MANAGEMENT AND QUAUTY CONTROL Activities performed under this task consist of those general functions required to maintain the project on schedule, within budget, and that the quality of the work products defined within this scope is consistent with ENGINEER's standards and OWNER's expectations. Specific activities included are identified below: Subtask 6.1- Project Kick -Off Meeting ENGINEER will prepare for and conduct a kick -off meeting for the project. ENGINEER will prepare and distribute draft and final meeting minutes to all attendees. This task also includes coordinating with the County to develop a list of attendees and potential stakeholders for future project communications. `1a Page 5 of 8 CDMSmithScope -36629 -92066 6/29/2012 Subtask 6.2 - Project Management ENGINEER's project manager will prepare and submit monthly written status reports for an anticipated project life of 17 months. This task also includes monthly project status review management meetings, and periodic progress internal team meetings. Subtask 6.3 - Project Quality Control (QC) Technical Review ENGINEER maintains a QC program on all of your projects. An internal project quality management planning session will be conducted at the start of the project. This action is required by ENGINEER's quality management system (QMS) guidelines. Technical Review Committee (TRC) meetings are budgeted for and will be performed to review various percent complete submittals. OWNER's representatives are invited to attend and participate at the TRC meetings. DATA OR COORDINATION ASSISTANCE TO BE PROVIDED BY THE OWNER 1. Coordination with Airport tenants or representatives. 2. Information about future tenant expansions or additional tenant holdings. ASSUMPTIONS The above described engineering services have been based upon the following assumptions: 1. The OWNER will provide review responses within two weeks of delivery of materials requested to be reviewed. 2. The OWNER will be available for key meetings within two weeks of the requested date. 3. The City of Marathon has provided adequate capacity in the public sewer system to accommodate the new services. This task order does not include assessing or recommending improvements to the public sewer system. DELIVERABLES ENGINEER will provide the following deliverables to the OWNER: • Kickoff meeting minutes to all attendees (e- mailed in Microsoft Word format; final in Adobe PDF) • Three hard copies and one digital copy of the Draft Conceptual Plan with supporting documentation including CADD files for survey and the geotechnical report • Three copies of the Final Concept Design Memo with Concept Plans • Three hard copies and one digital copy of the 90% design documents including Final design memo, opinion of probable cost, draft specifications and 90% plans • Four hard copies (one signed and sealed) and one digital copy of the 100 - percent design package • Permit application forms (two hard copies and one digital copy unless otherwise required by agency) With Page 6 of 8 CDMSmithScope- 36629.92068 6/29/2012 • Permit meeting notes (e- mailed in Microsoft Word" format; final in Adobe' PDF) • Summary of pre -bid meeting minutes (e- mailed in Microsoft Word' format; final in Adobe' PDF) • Addenda, as required (e- mailed in Adobe" PDF) • Preconstruction and project meeting minutes (e- mailed in Microsoft Word' format; final in Adobe' PDF) • Shop drawing review transmittals and responses; up to four stamped copies plus e- mailed in Adobe' PDF • Responses to RFIs (e- mailed in Adobe' PDF) • Copies of RPR Togs and ENGINEER project documentation for close -out • Monthly status reports (e- mailed in Adobe PDF) TIME OF COMPLETION /SCHEDULE ENGINEER shall commence work within 7 calendar days after issuance of a written notice -to- proceed from the OWNER. The kickoff meeting will be scheduled within 7 days of notice to proceed. Survey and geotechnical work will be completed within 30 days of notice to proceed. A project schedule will be submitted to the OWNER at the kickoff meeting and updated monthly. COMPENSATION AND PAYMENT For the Basis Services performed under the Scope of Work, the OWNER agrees to pay the ENGINEER the lump sum fee of $142,205, partial payments to be made on a monthly basis in proportion to the percentage of work completed. For invoice purposes only the value of each task is as shown in Table One. Table One Task Value for Invoice Purpose Only Task No. Description Value 1.0 Conceptual Design $29,235 2.0 Preparation of Contract Documents $32,330 3.0 Permit Applications $3,370 4.0 Bidding Services $3,950 5.0 Engineering Services During Construction $17,380 6.0 Project Management and Quality Control $13,040 R� Page 7 of 8 CD MSmithScope- 36629 -92066 6/29/2012 Outside Professionals $31,000 Other Direct Costs $9,400 TOTAL TASK AUTHORIZATION No. 12-02 (Lump Sum) $142,205 ENGINEER will submit invoices on a monthly basis along with written monthly status reports. W Page 8 of 8 CDMSmitt scope -36529 -92066 6/29/2012 Pam Hancock From: Mercado -Pedro < Mercado - Pedro @MonroeCounty - FL.Gov> Sent: Monday, January 09, 2017 9:53 AM To: Leto -Beth Cc: Pam Hancock Subject: RE: Documents from November BOCC Yes, please go ahead and execute the extension. ORJ 0 <1 Pedro Mercado Assistant County Attorney v 1111 12th Street, Suite 408 � o e Key West, FL 33040 �4'o 04" (305) 292 -3470 CIT Y, Y (305) 292 -3516 (fax) GOVERNMENT LAW From: Leto -Beth Sent: Monday, January 09, 2017 9:45 AM To: Mercado -Pedro Cc: 'phancock @monroe - clerk.com' Subject: FW: Documents from November BOCC Hi Pedro, Pam Hancock has Item F13 to be executed (CDM Task Order Extension), but the referenced Exh. B (compensation) was not attached; however, the original Task Order 2012 -002, does not have an Exh. B: http: / /www. minutes - monroe- clerk.com /weblink8 /0 /doc /226726 /Pagel.aspx Compensation is actually listed on page 8 and 9 of Exh. A. She said if you're okay with that, she will execute. Let us know. Thanks! Beth From: Pam Hancock [mailto:phancock@monroe- clerk.com] Sent: Monday, January 09, 2017 8:53 AM To: Leto -Beth Subject: Documents from November BOCC Beth, Can you please call me regarding F10 & F13? Thanks. Pamela G. Hancock, D.C. Monroe County Clerk's Office 500 Whitehead Street, Suite 101 __ --_1 ® DATE(MM/DD/YYYY) A CERTIFICATE OF LIABILITY INSURANCE 12/24/2015 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 4 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 i certificate holder in lieu of such endorsement(s). .c PRODUCER CONTACT d NAME: Aon Risk Services Northeast, Inc. PHONE (866) 283 - 7122 FAX 800 363 - 0105 d Boston MA Office (A/C. No. Ext): (A/C. No.): One Federal Street E -MAIL Boston MA 02110 USA ADDRESS: _ INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: National Union Fire Ins Co of Pittsburgh 19445 CDM Smith Inc. INSURER B: NeW Hampshire Ins Co 23841 75 State Street, Suite 701 INSURERC: Lloyd's Syndicate No. 2623 AA1128623 Boston MA 02109 USA INSURER D: ACE Property & Casualty Insurance Co. 20699 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570060665896 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. Limits shown are as requested IN - • • . L SUBR POLICY E ' POLICY EXP TYPE OF INSURANCE POLICY NUMBER LIMITS LTR INSD WVD (MM/DD/YYYY1 JJMMIDD/YWY A X COMMERCIAL GENERAL LIABILITY GL2039274 01/01 /2016 01/01/2017 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED CLAIMS -MADE X I OCCUR PREMISES (Ea occurrence) $100 , 000 MED EXP (Any one person) $5,000 PERSONAL 8 ADV INJURY $2,000,000 8 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $4,000,000 m POLICY X JECT X LOC PRODUCTS - COMP /OP AGG $4,000,000 OTHER: oo r e-- AUTOMOBILE LIABILITY CA 9734322 01/01/2016 01/01/2017 COMBINED SINGLE LIMIT AOS (Ea accident) $2,000,000 • B x ANY AUTO CA 9734321 01/01/2016 01/01/2017 BODILY INJURY( Per person) o z - - ALL OWNED - SCHEDULED MA BODILY INJURY (Per accident) 0) AUTOS - AUTOS }' NON -OWNED PROPERTY DAMAGE CO X HIRED AUTOS X AUTOS (Per accident) w 0) D X UMBRELLA LIAB X OCCUR M00981485001 01/01/2016 01/01/2017 EACH OCCURRENCE S5,000,000 , 000 , 000 0 EXCESS LIAB CLAIMS -MADE AGGREGATE S5,000,000 DED X RETENTION $10,000 B WORKERS COMPENSATION AND wC068022509 01/01/2016 01/01/2017 X PER OTH- EMPLOYERS' LIABILITY Y / N AOS STATUTE ER ANY PROPRIETOR 8 OFFICER /MEMBER /EXCRUDED ?EXECUTIVE N NIA WC068022510 01/01/2016 01/01/2017 E. L. EACH ACCIDENT $1,000 (Mandatory in NH) AK , AZ , VA E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE.POL ICY LIMIT $1,000,000 - -m C Archit &Eng Prof QC1601367 01/01/2016 01/01/2017 per claim $3,000,000 — aggregate $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) n Re: Stormwater Master Plan. Monroe County Board of County Commissioners is added as an Addiaional In-4, 110 with respects to General and Auto Liability. APPR■ El I Aillai GEMENT WAI 42 /A _ ES_ N u.• CERTIFICATE HOLDER V ) •A MMO :4 104NOw CANCELLATION M 1 1 . 813 • 41I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 6 EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE .-.1 POLICY PROVISIONS. Monroe County Board pf • 9— � �� 9 �OZ AUTHORIZED REPRESENTATIVE :71 • County Commissioners Wd c 1100 Simonton Street Am 268 I¢ sod t `% �f _ / l� ,(/'� Qi Key sod Q Tf3 •T c sGt�tica eJssa 1111 . ©1988 -2014 ACORD CORPORAT ON. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 10518329 LOC #: °® ADDITIONAL REMARKS SCHEDULE Page _ of AGENCY NAMED INSURED Aon Risk Services Northeast, Inc. CDM Smith Inc. POLICY NUMBER See Certificate Number: 570060665896 Nvii) CARRIER NAIC CODE See certificate Number: 570060665896 EFFECTIVE DATE ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR ADDL SUER EFFECTIVE EXPIRATION LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER LIMITS DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) WORKERS COMPENSATION g N/A wc068022511 01/01/2016 01/01/2017 CA g N/A wc068022512 01/01/2016 01/01/2017 FL g N/A wc068022513 01/01/2016 01/01/2017 IL, KY, NC, NH, UT g N/A wc068022514 01/01/2016 01/01/2017 MA, ND, OH, WA, WI, WY ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD