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2nd Amendment 11/22/2016 KEVIN MADOK, CPA MONROE COUNTY CLERK OF THE CIRCUIT COURT & COMPTROLLER DATE: January 30, 2017 TO: Lindsey Ballard, Aide to County Administrator FROM: Pamela G. Hanc.fl)eputy Clerk SUBJECT: November 22nd BOCC Meeting Enclosed is a duplicate original of Item S12 second Amendment extending Professional Services Agreement with Van Scoyoc Associates, Inc. for federal lobbying services for one year, retroactive to October 1, 2016. Should you have any questions, please feel free to contact me at ext. 3130. Thank you. cc: County Attorney Finance File v1 } SECOND AMENDMENT TO AGREEMENT FOR CONSULTING SERVICES Between MONROE COUNTY BOARD OF COUNTY COMMISSIONERS And VAN SCOYOC ASSOCIATES, INC. This Amendment ( "Amendment ") made and entered into this 22 " day of November, 2016, is an amendment to the Agreement dated September 17 2014 by and between Monroe County, a political subdivision of the State of Florida, and whose address is 1100 Simonton Street, Key West, Florida, 33040, its successors and assigns, hereinafter referred to as "COUNTY," through the Monroe County Board of County Commissioners ( "BOCC "), and Van Scoyoc Associates Inc. is a corporation authorized to do business in the State of Florida, and whose address is 101 Constitution Avenue NW, Washington DC 20001; its successors and assigns, hereinafter referred to as "LOBBYIST"; and WHEREAS, the COUNTY desires to employ the professional services of LOBBYIST, Van Scoyoc Associates, Inc. for federal legislative and lobbying services assigned by the County Administrator and Legislative Affairs Director and agreed to by LOBBYIST; and WHEREAS, LOBBYIST has agreed to provide professional services for federal legislative and lobbying services as assigned by the County Administrator and agreed to by LOBBYIST; and WHEREAS, the Florida Legislature has updated the public records language in chapter 119, Florida Statutes, to require new language in all service contracts with public entities. NOW, THEREFORE in consideration of the mutual promises and covenants of this Agreement, the parties agree as follows: 1. The Parties agree to continue the services of LOBBYIST for an extended period of time beginning October 1, 2016 and terminating on September 30, 2017. 2. All insurance required under the original agreement shall be required under this amendment and coverage shall be immediately extended so that coverage shall be continuous through September 30, 2017. 3. This Amendment shall automatically terminate on September 30, 2017; however, either party hereto may terminate this Amendment and the underlying agreement with or without cause upon Thirty (30) days written notice to the other. If the COUNTY utilizes this provision the termination shall supersede any other payment obligation Termination expenses shall be paid and shall include any COUNTY approved reimbursement up to the date of notice of termination subject to audit for verification. 4. All of the terms and conditions of the September 17, 2014 Agreement shall remain in full force and effect during the term of this Amendment; and all time frames shall be adjusted automatically to conform to the time frame of the Amendment, with exception of the following: A) The Contract Sum is changed. The new total contract price shall not exceed $80,000. B) The following condition is added. CONFLICT OF INTEREST. LOBBYIST agrees it shall not contract for or accept employment for the performance of any work or service with any individual, business corporation, or government unit that would create a conflict of interest in the performance of its obligations under this Agreement. LOBBYISTS further agrees it will neither take any action nor engage in any conduct that would cause any County employee or official to violate the provisions of Chapter 112, Florida Statutes, relating to ethics in government. No LOBBYIST under contract with the county shall engage in any employment or contractual relationship with any entity, which employment or contractual relationship would or could be adverse to the COUNTY or which would or could interfere with the LOBBYIST's work on behalf of the COUNTY. Such relationship includes, but is not limited to, representing a client whose interest is currently in opposition to the interest of the COUNTY; serving as a consulting or testifying expert witness in litigation against the county; representing persons or entities before any board or agency of the county; or any other contractual relationship of whatever kind or nature in which the consultant uses his professional expertise or provides professional services in such a manner that a different person or entity benefits at the expense of the COUNTY in a given transaction between other person or entity in the county. A position in opposition to a County position may take the form of an adverse policy position or fiscal impact on the County, either direct or indirect. A position in opposition to a County position is not limited to a position that conflicts with an express provision of the legislative package adopted by the Board of County Commissioners. It may also arise in other areas. Not every County interest can be anticipated or enumerated in the County's legislative package, and issues arise and change over the course of the legislative process. It is incumbent on the LOBBYIST to remain mindful of the County policy and fiscal interests and positions vis -a- vis other clients. If actual or perceived conflict arises, the LOBBYIST must advise the County Administrator immediately in writing, provide sufficient information concerning the conflict, and seek a waiver of the conflict. The County Administrator shall report the conflict to the Board of County Commissioners. Once a conflict waiver request has been received by the County, the County Administrator, in consultation with the County Attorney may take any action regarding the waiver request, including by not limited to the following: 1) allow a waiver and allow the LOBBYIST to continue to represent both the County and the other party; 2) disallow a waiver and require the LOBBYIST to choose between representing the County or the other party, or to discontinue representing the other party; 3) allow a limited waiver and require the LOBBYIST to continue to represent both the County and the other party under whatever limitations or restrictions the County Administrator, in consultation with the County Attorney, determines to be appropriate. Any such actions by the County Administrator shall only be effective until the Board of County Commissioners has considered the conflict action. The Board of County Commissioners may take any action necessary, such as termination or waiver or partial waiver, to address the conflict of interest disclosed by the LOBBYIST. Waiver of any conflict of interest or termination of this Agreement is expressly reserved to the Board. C) The titled and contents of Paragraph 26 of the original contract, entitled "PUBLIC ACCESS" is stricken in its entirety and the following language is substituted in its place: PUBLIC RECORDS COMPLIANCE. Contractor must comply with Florida public records laws, including but not limited to Chapter 119, Florida Statutes and Section 24 of the Article I of the Constitution of Florida. The County and the Contractor shall allow and permit reasonable access to, and inspection of, all documents, records, papers, letters or other "public record" materials in its possession or under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received by the County and Contractor in conjunction with this contract and related contract performance. The County shall have the right to unilaterally cancel this contract upon violation of this provision by the Contractor. Failure of the Contractor to abide by the terms of this provision shall be deemed a material breach of this contract and the County may enforce the terms of this provision in the form of a court proceeding and shall, as a prevailing party, be entitled to reimbursement of all attorney's fees and costs associated with that proceeding. This provision shall survive any termination or expiration of the contract. The Contractor is encouraged to consult with the advisors about Florida Public Records Law in order to comply with this provision. Pursuant to F.S. 119.0701 and the terms and conditions of this contract, the Contractor is required to: 1. Keep and maintain public records that would be required by the County to perform the service. 2. Upon receipt from the County's custodian of records, provide the County with a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. 3. Ensure that the public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law for the duration of the contract term and following completion of the contract if the contractor does not transfer the records to the County. 4. Upon completion of the contract, transfer, at no cost, to the County all public records in possession of the Contractor or keep and maintain public records that would be required by the County to perform the service. If the Contractor transfers all public records to the County upon completion of the contract, the Contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the Contractor keeps and maintains public records upon completion of the contract, the Contractor shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to the County, upon request from the County's custodian of records, in a format that is compatible with the information technology systems of the County. 5. A request to inspect or copy public records relating to a County contract must be made directly to the County, but if the County does not possess the requested records, the County shall immediately notify the Contractor of the request, and the Contractor must provide the records to the County or allow the records to be inspected or copied within a reasonable time. If the Contractor does not comply with the County's request for records, the County shall enforce the public records contract provisions in accordance with the contract, notwithstanding the County's option and right to unilaterally cancel this contract upon violation of this provision by the Contractor. A Contractor who fails to provide the public records to the County or pursuant to a valid public records request within a reasonable amount of time may be subject to penalties under section 119.10, Florida Statutes. The Contractor shall not transfer custody, release, alter, destroy or otherwise dispose of any public records unless otherwise provided in this provision or as otherwise provided by law. IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS, BRIAN BRADLEY AT PHONE # 305- 292 -3470 BRADLEY - BRIAN @MONROECOUNTY - FL.GOV, MONROE COUNTY ATTORNEY'S OFFICE 1111 12 STREET, SUITE 408, KEY WEST, FL 33040. 5. This Amendment is effective upon execution by LOBBYIST and acceptance and approval by COUNTY in accordance with COUNTY'S policies, ordinances, or governing statutes. 6. This Amendment may be executed in any number of counterparts, each of which shall be regarded as an original, all of which taken together shall constitute one and the same instrument and any of the parties hereto may execute this Agreement by signing any such counterpart. c '(.>i, '�' . ' ';AI'''''t. WH, each h th :+ ' by its duly EREOF authorized party representatias caused veis Amendment to the September 17, 2014 Agreement . �l, a BOARD OF COUNTY COMMISSIONERS OF ° - ' MADOK Clerk of Courts MONROE COUNTY, FLORIDA n-3 • ;-«. y ii By: i r _ T - "Deputy Cler Mayor /Chairman ' , Date: 11 / 2 212 P l 6 -, • N3 - f? <__ LO -J Witness for Consultant: LOBBYIST: - �j air... / BY: e G.. 1C � By /` Print Name: Brian K. Robinson Print Name: H. Stewart Van S yoc Date: 1/18/2017 Title: President N1Y A�,cv Date: 1/18/2017 ApPRoVE R ATTEY ' • 4COR CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) �� 6/27/2016 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; Karen Everhart independent Insurance Center AIiGNNa•Em: (703)777 -7774 1 wa. N01 (707)777 - 7156 19465 Deerfield Ave. " AIL keverharteiic£iremark.com ADDRESS: Suite 210 INSURERS) AFFORDING COVERAGE NAIL 8 Lansdowne VA 20176 INSURER A:TraVelere Inc CO NSURED INSURER B : Van Scoyoc Associates, Inc. INSURERC: 101 Constitution Ave NW $ 600 INSURER 0: INSURER E : Washington DC 20001 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1662701573 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. 'ISR ADDL SUBR POLICY EFF POLICY EXP - TR TYPE OF INSURANCE I R4SI1 WVO POLICY NUMBER 11AM(DD/YYYYI IMMFD01YYYYI LIMITS X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE S 1, 000, 000 A I CLAIMS-MADE e OCCUR P (Ea occ rrence) S 300,000 X 63088399167 7/1/2016 7/1/2017 MED EXP (Any one person) 1 10,000 PERSONAL & ADV INJURY $ 1,000,000 GE- AGGREGATE UMR APPLIES PER: OENERAL AGGREGATE $ 2,000,000 Xi POLICY n jECT LOC PRODUCTS - COMP/OP AGG $ 2.000, 000 OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT $ 1,000,000 1E6 accident) A X ANY AUTO BODILY INJURY {Per person) $ AUTOS AUTOSULED X 5A88399367 7/1/2016 7/1/2017 BODILY INJURY (Per accident) $ NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per — Uninsured motorist co1nbYxd $ 1,000,000 X UMBRELLA LIAR _ OCCUR - EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000,000 DED 1 1 RETENTION$ CDP88399167 7/1/2016 7/1/2017 $ WORKERS COMPENSATION 1 STATUTE I I ER AND EMPLOYERS' LIABIUTY Y / N ANY PROPRIETORIPARTNERIEXECUTIVE ( � N (A A E.L. EACH ACCIDENT 8 500, 000 O In NH) 0588399167 7/1/2016 7/1/2017 E. EXCLUDED? I I (Mandatory In NH) L. DISEASE • EA EMPLOYEE $ 500, 000 DES u 0F OPERATIONS below E.L. DISEASE • POLICY LIMIT 8 500, 000 • DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H man space Is required) TEE FOLLOWING APPLIES WHEN REQUIRED IN A WRITTEN CONTRACT OR AGREEMENT: The Monroe County Board of County Commissioners is additional insured under general liability per form CGD246 8 /05- Blanket Additional Insured (Contractors) and under auto liability per CAT474 2 /12- Blanket Additio al Insure.- - rimary and Non - Contributory with Other Insurance. Subject to policy limits, terms, condi Lons ex4�•na. APPRs ED�f' : GEI ENT D • i[1►j-j CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POUCY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE Richard Simmons /KEE ®1988.2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) 4Ct » CERTIFICATE OF LIABILITY INSURANCE DATE(NIWDDnYYY) I 6/28/2016 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 Karen Everhart Independent Insurance Center PHONE o. Ertl: 74 (703)777 -77 N I (A No): (707)777 - 7156 19465 Deerfield Ave. "al keverhartfiicfiremark.co ADDRESS: Suite 210 INSURERS) AFFORDING COVERAGE NAIC 5 Lansdowne VA 20176 INSURER A :RPS - Chubb Insurance Group INSURED INSURER B : Van Scoyoc Associates, Inc, INSURER C: 101 Constitution Ave NW # 600 INSURER D: INSURER E : Washington DC 20001 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1662801583 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. NOTWTHSTANDING 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, NSR ADOL SUBR QTR TYPE OF INSURANCE !NMI wvn POLICY NUMBER IMM (MWDONYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS -MADE 0 OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) S '— MED EXP (My one person) S PERSONAL & ADV INJURY S GEM(. AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S n POLICY JEC I I LOC OTHER: PRODUCTS - COMP/OP AGG $ $ AUTOMOSILE UAeIUTY C SINGLE LIMIT S — ANY AUTO BODILY INJURY (Per parson) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Par sodden° S ` HIRED AUTOS — A uros D PROPERTY DAMAGE - $ T . $ UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS -MADE AGGREGATE S DEO 1 I RETENTIONS 5 WORKERS COMPENSATION I STATUTE 1 1 ER R AND EMPLOYERS' UABIUTY Y / N ANY PROPRIETOR /PARTNER/EXECUTIVE Ei E,L. EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N/A (Mandatary in NH) E.L. DISEASE - EA EMPLOYEE S Ryes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 5 A Errors It Omissions 68026775 7/1/2016 7/1/2027 $50,000ded $2,000,000 A95rsgate 42,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space le required) 4 OW APP BY MENT .s, Amewram WAI ER N/A '` CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS, Rey Weat, FL 33040 AUTHORiZEO REPRESENTATIVE Richard Simmons / KEE ®1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (tot +Di) 4`ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 6/27/2016 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 pollcy(les) 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 IIeu of such endorsement(s). PRODUCER CONTACT Karen Everhart NAME; Independent Insurance Center NIMEnb (703)777 -7774 I r.No)I (707)777 - 715c 19465 Deerfield Ave. EMAIL keverhartliicfiremark.com ADDRESS: Suite 210 INSURERS) AFFORDING COVERAGE NA1C 8 Lansdowne VA 20176 INSURERA:Travelers Ina CO NSURED INSURER B : Van Scoyoc Associates, Inc. INSURER C: 101 Constitution Ave NW # 600 INSURER D: INSURER E : Washington DC 20001 INSURERF COVERAGES CERTIFICATE NUMBER:CL1662701573 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, NSR TYPE OF INSURANCE AODL SUBR POUCY EFF POLICY EXP en vAn3 POLICY NUMBER IMM/DD/YYVYt 1MM/DDIYYYYI OMITS © COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1, 000, 000 DAMAGE TO RENTED A e■ CLAIMS -MADE e OCCUR PREMISES (Ea occurrence} S 300, 000 • X 63088399167 7/1/2016 7/1/2017 MED EXP (My one person) S 10,000 ■ PERSONAL S ADVINJURY $ 1,000,000 GEM. AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 © POLICY n PRO- n PRODUCTS - COMP/OP AGG S JECT ` LOC 2,000,000 OTHER: Employee Benefits S 1,000,000 AUTOMOBILE UABIUTY COMBINED (� INGLE LIMIT 8 1,000, 000 (Es A © ANY AUTO BODILY INJURY (Per person) S ALL WAVED SCHEDULED AUTOS AUTOS X BA88399167 7/1/2016 7/1/2017 BODILY INJURY (Per aceident) S U II. HIRED AUTOS AUTOS PROPERTY Pe accident) DAMAGE S IIC Uninsured mobfst combined $ 1,000,000 UMBRELLA UAB OCCUR EACH OCCURRENCE S 5,000,000 A 1111 EXCESS LIAB ■ CLAIMS -MADE AGGREGATE S 5,000,000 DED RETENTIONS CUPS8399167 7/1/2016 7/1/2017 S WORKERS COMPENSATION l STAXITE I I ER AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN EACH ACCIDENT S 500,000 E.L. A ( H .ndd aRAy I n NH' EXCLUDED? n N/A UB011399167 7/1/2016 7/1/2017 E ( tory E.L. DISEASE • EA EMPLOYEE S 500,000 Ifyyees desaiW u nder DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 500, 000 • DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H man space Is required) THE HOLLOWING APPLIES WHEN REQUIRED IN A WRITTEN CONTRACT OR AGREEMENT: The Monroe County Board of County Commissioners is additional insured under general liability per form CGD246 8 /05- Blanket Additional Insured (Contractors) and under auto liability per CAT474 2 /12- Blanket Additio al Insure.- - rimary and Non- Contributory with Other Insurance. Subject to policy limits, terms, condi 'ona exI • • - . APPRs ED G E NT �)ma WAI / I/A 1' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE Richard Simmons /KEE • ® 1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and Togo are registered marks of ACORD 1NS025 (201401) • A �� � CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDiyYYY) CE I 6/28/2016 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 POUCIES 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 Karen Everhart NAME: Independent Insurance Center PHONE (703)777 - 7774 1 �1fC.No,Esti: �� No) (707)777 - 7156 19465 Deerfield Ave. EMAIL keverhartaiicfiremark.com ADDRESS: Suite 210 INSURERIS) AFFORDING COVERAGE NAIC 8 Lansdowne VA 20176 INSURER A :RPS - Chubb Insurance Group INSURED INSURER B : Van Scoyoc Associates, Inc. INSURER C: 101 Constitution Ave NW # 600 INSURER D: INSURER E : Washington DC 20001 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1662801583 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. NSR AOOLISUBR POLICY EFF POLICY EXP PR TYPE OF INSURANCE Bran wvn POLICY NUMBER IMWDO/YYVYI IMMIDOrYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s CLAIMS -MADE 0 OCCUR DAMAGE TO RENTED PREMISES Ma occurrence) S "— MED EXP (Any one person) S PERSONAL & ADV INJURY S _ GENII AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S -] POLICY n JECT I 1 LOC PRODUCTS - COMP/OP AGG S OTHER: S AUTOMOBILE UABIUTY CCOMBINED SINGLE LIMIT 8 (Ee eeeldsM — ANY AUTO BODILY INJURY (Per person) S ALL OWNED SCHEDULED _ _ AUTOS AUTOS BODILY INJURY (Per accident) S HIRED AUTOS NON -OWNED _ AUTOS PROPERTY ,$ DAMAGE S , S UMBRELLA UAB OCCUR EACH OCCURRENCE 8 EXCESS UAB CLAIMS-MADE, AGGREGATE 5 DED I 1 RETENTIONS $ WORKERS COMPENSATION II 1 AND EMPLOYERS' UABIUTY Y / N l STAME 1 ERH ANY PROPRIETOR/PARTNER/EXECUTIVE El OFFICERIMEMBER EXCLUDED? N!A E.L. EACH ACCIDENT 5 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE 8 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 5 A Errors 1. Omissions 68026778 7/1/2016 7/1/2017 S50,000dsd $2,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached limns space le required) APP ��- BY �ji _. M ENT WAIVER N/� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE Richard Simmons /KEE ,.+ ®1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201 401)