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1st Amendment 02/15/2017
KEVIN MADOK, CPA MONROE COUNTY CLERK OF THE CIRCUIT COURT & COMPTROLLER DATE: March 2, 2017 TO: Ann Mytnik Contract Administrator VIA: Tammy Sweeting Administrative Assistant FROM: Pamela G. Hanco(cj SUBJECT: February 15di BOCC Meeting Enclosed is a duplicate original of Item C6, first amendment to the Consultant Agreement for Professional Architectural and Engineering Services with William P. Horn Architect, P.A., dated January 21, 2015, to amend Article 9.22 and add revised public records language, for your handling. Should you have any questions, please feel free to contact me at ext. 3130. Thank you. cc: County Attorney Finance File FIRST AMENDMENT TO THE CONSULTANT AGREEMENT FOR PROFESSIONAL ARCHITECTURAL AND ENGINEERING SERVICES _ This First Amendment ( "Amendment ") made and entered into this I'l h- day of Januafy 2017, by and between Monroe County, a political subdivision of the State of Florida, 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 William P. Horn Architect, P.A., whose address is 915 Eaton Street, Key West, Florida 33040, its successors and assigns, hereinafter referred to as "Consultant" or "Contractor ", WITNESSETH: WHEREAS, on the 21S day of January 2015, the parties entered into a Consultant Agreement for Professional Architectural and Engineering Services pursuant to Florida Statute Sec. 287.055 (2) (g) to provide professional services for miscellaneous projects in which construction costs do not exceed Two Million and 00 /100 Dollars ($2,000,000.00) or for study activity if the fee for professional services for each individual study under the contract does not exceed Two Hundred Thousand and 00 /100 Dollars ($200,000.00); and WHEREAS, County desires to revise language in its contracts and/or agreements for Public Records compliance in accordance with Chapter 119 of the Florida Statutes pursuant to legislative revisions to § 119.0701 which became effective March 8, 2016, and any subsequent changes thereto; and WHEREAS, Consultant agrees and consents to such revisions in its Agreement dated January 21, 2015, to ensure Public Records compliance; and WHEREAS, the parties find it mutually beneficial to amend its Agreement as to the revised language for Public Records compliance; and NOW, THEREFORE, IN CONSIDERATION of the mutual promises and covenants set forth below, the parties agree as follows: 1) Article 9.22, PUBLIC ACCESS, of the Consultant Agreement for Professional Architectural and Engineering Services dated January 21, 2015, shall be revised as follows with the aforementioned Consultant referred to herein also as "Contractor" for this provision only: 1 '_ Public Records Compliance. Contractor must comply with Florida public records laws, including but not limited to Chapter 119, Florida Statutes and Section 24 of article I of the Constitution of Florida. The County and 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 to 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 its 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 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 2 or 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 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 or 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 -7 COUNTY ATTORNEY'S OFFICE 1111 12 Street. SUITE 408, KEY WESt FL 33040. Cr u- 2 All other terms and conditions of this Amendment shall remain in accordance with the w ConjW�ant Agreement for Professional Architectural and Engineering Services dated " y J � anua� 21, 2015. WHEREOF, each party has caused this Agreement to be executed by its duly I-sentative on the day and year first above written. l: MADOK, Clerk By: Deputy Clerk Date: 6 2 °I ? BOARD OF COUNTY COMMISSIONERS OF MONROE COUNTY, FLORIDA Mayor /Chairman Date: z o1 7 MONROE COUNTY ATTORNEY'S OFFICE 1 �/ —MAW T F 3 _ PATRICIA EAGLES ASSISTANT COUNTY ATTORNEY DATE: — AL - l 1 — 1 (2_ A ";Irl- Je- (SEAL) Attest: Witnesses to Cons taut: f-ye-GiA< MEDrAJA 01-:24- 7- Print Name Date Title: Ofrl GZ — A ,4AJA4C , I m , i CONSULTANT: WILLIAM P. HORN P.A. By: Gu�G Print Name Ilate Title: � l ,e j V L- 4 Print Name Date "saff1 ACQRQ OP ID: NF CERTIFICATE OF LIABILITY INSURANCE DATE(MWI)D/YYYY) 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 ce rtificate holder in lieu of such andorswmwnrfael PRODUCER 305-294 -6677 The Fullers, Inc 305- 292 -4641 1432 Kennedy Drive Key West, FL 33040 Norman Fuller INSURED William Horn 151 Key Haven Rd. Key West, FL 33040 B: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT T141= ani irirc ne iuca swum HAVE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, INSR TYPE OF INSURANCE POLICY NUMBER MMIDOIYYYY MM/OOIYYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS EACH OCCURRENCE S A D PREMISES Ee.Lrrsnce S -MADE OCCUR MED EXP (Any one person) : PERSONAL 3 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E POLICY PRO- LOC PRODUCTS - COMP /OP AGG S S A AUTOMOBILE LIABILITY ANY AUTO x 02158316 -9 05/29116 06129117 COMBINED SINGLE LIMIT (Ea accidenQ : 1,000,00 BODILY INJURY (Per person) S ALL OWNED AUTOS X BODILY INJURY (Peraccident) $ SCHEDULED AUTOS X HIRED AUTOS PROPERTY DAMAGE (Per accident) $ NON -OWNED AUTOS S $ UMBRELLA u AB EXCESS LIAR OCCUR CLAIMS-MADE EACH OCCURRENCE E AGGREGATE $ DEDUCTIBLE RETENTION i WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) NIA S WC STATU• OTH- E.L. EACH ACCIDENT S $ EL. DISEASE - EA EMPLOYEE $ I es, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remark, Schedule, If more space Is n pAred) A1PPRO A MINT D WAN R N/A ES_ CERTIFICATE HOLDER CANCELLATION MONBOCC Monroe County BOCC 1100 Simonton St. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY P OVISIONS. Key West, FL 33040 AUTHORIZED REPRESENT "E Norman Fuller W 7)MO- fO 9 AC#RD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered mark t f AC TD OP ID: NF CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDD/YYYY) 1 o/041. 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: H the cartffleats holder Is an ADDITIONAL INSURED, the policy(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 lieu of such endorsemen s . PRODUCER 305- 294 -6677 CONTACT The Fullers, Inc NAME: 305 - 292.4641 PHONE 1432 Kennedy Drive A1C No): Key West, FL 33040 ADD ES : PRODUC Norman Fuller ER ID m . , HORNW -1 WWRE E AFFORDING COVERAGE NAIL INSURED William P Horn Architect PA INSURER A ;FIrst Communl Insurance Co. 13990 Bill Horn 915 Eaton St. INSURER a Key West, FL 33040 INSURER C: INSURER 0: INSURER E: INSU 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. ILSR TYPE OF INSURANCE POLICY NUMBER NV Y LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 A COMMERCIAL GENERAL LIABILITY X 090004962995812 09/21/16 09121/17 PREMISES Me 00aarenoe $ 60,00 CLAIMS -MADE a OCCUR X Business Owners MED EXP (Any one person) $ 6,00 PERSONAL & ADV INJURY $ Inc GENERAL AGGREGATE S 2,000,00 GEN'LAGGREGATELIMITAPPLIESPER. PRODUCTS - COMP/OP AGG f 1000000 X POLICY PRO- LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Es accident) S ALL OWNED AUTOS BODILY INJURY (Per person) i SCHEDULED AUTOS BODILY INJURY (Per accident) S PROPERTY DAMAGE HIREDAU70S (Per Occident) S NON -OWNEDAUTOS $ S UMBRELLA LIAR H OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS -MADE AGGREGATE S DEDUCTIBLE S RETENTION S $ WORKERS COMPENSATION WC STATV- OTH- AND EMPLOYERS' LIAINUTq ANY PROPRIETORIPARTNERIEXECUTrVE Y / N OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT S (Mandatory In NH) If a, dea dbe undo, E.L. DISEASE - EA EMPLOYEE S DE RIFTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Addhlonal Remarks Schedule, N more spas b req 1 AP VED GEMEM architect A TE WAIV N A CERTIFICATE HOLDER CANCELLATION MONRCON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE LILY PR SIGNS. 1100 Simonton Street AUTHORIZED Fuller DREPRESENT ' Key West, FL 33040 W Norman 01988 - 0 D CORPORATION. All rights reserved. ACORD 26 (2009109) The ACORD name and logo are registered ma of AC D Client#: 1049512 WILLIP4 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/09/2016 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 PRO 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 UUNIAtwT NAME: USI Insurance Services, LLC H cN No 813 321.7500 1715 N. Westshore Blvd. Suite 700 E -MAIL No Tampa, FL 33607 ADDRESS: INSURER($) AFFORDING COVERAGE NAIC N INSURER A: WeSCO Insurance Company 25011 INSURED William P. Horn, Architect, P.A. 915 Eaton Street Key West, FL 33040 INSURER C; INSURER D; INSURER E: COVFRAGFR CERTIFICATE NIIMRFR• ocvtcrno wruoco. 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 CONTRACTOR 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, EXCL AND CONDIT OF SUCH POLICIES. LIMITS S HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUB WVD POLICY NUMBER POLICY EFF J MWDDNYYY POLICY EXP MM/DD LIMITS EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES Ea ocw $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO - GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ POLICY D JECT LOC P OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) _ $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ HIRED AVTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ j EXCESS LIAB CLAIMS -MADE DIE RETENTIO $ $ WORKERS COMPENSATION _ PER OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N/A R E.L. EACH ACCIDE $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) It yes, describe under E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS below _ A Professional ARAl25557400 8/20/2016 08/2012017 $2,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Professional Liability coverage is written on a claims -made basis. Project: Stock Island Fire Station, Bernstein Park, Annual Contract for Architectural Servi AP VE IS M GEMENT DATE WAI N A I•JA- L.Id /J.1.� -0 Sr.1 ■.Id• v■TIdiR1i�T Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Risk Management AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West, FL 33040 VA P ' 06-W- A92-- ACORD 25 (2014101) 1 of 1 #S78387994/M18301806 ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KEBEW AC �� OP ID: NF CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) THIS CERTIFICATE IS IN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. SSUED AS A MATTER OF INFORMATIO 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 Hghts to the certificate holder In lieu of such andomamant(al PRODUCER 305 - 2944677 The Fullers Inc 1432 Kennedy Drive 305 - 282 -4641 Key West, FL 33040 � �` PRONE ADD RESS: Norman Fuller pl. INSURED William P Hom Architect PA Bill Hom I INSURERA : Retail 915 Eaton St. INSURER B INSURER C Key West, FL 33040 INSURER D: CLAIMS -MADE OCCUR INSURER E: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INS URANCE 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, L R TYPE OF INSBRANCE POLICY NUMBER I MWD LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR PREMISES Ea occurrence) 2 MED EXP (Any one person) _ PERSONAL 3 ADV INJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRO PRODUCTS- COMP/OPAGG $ POLICY LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Es .1dent) BODILY INJURY (Par person) S ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON -OWNED AUTOS S S UMBRELLA LU18 OCCUR EXCESS LIAR EACH OCCURRENCE S CLAIMS -MADE AGGREGATE S DEDUCTIBLE S RETENTION S WORKERS COMPENSATION S AND EMPLOYERS' UAwuTy WC STATU- X OTH- A OFFICERIMEMBER EXCLUDED? PROPRIET Y� NIA 520-40146 01101117 01101118 E.L. EACH ACCIDENT S 1,000,00 (Mandatory M NH) I sa, descrf0e under E.L. DIS EA EMPLOYEE S 1,000,00 DE RIPTION OF OPERATIONS below E.L. - POLICY I 1,000,0 A V SII� EMENT DESCRIPTION Of OPERATIONS ! LOCATIONS VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, Ir more space Is required) DA CERTIFICATE HOLDER CANCELLATION MONRCON SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE Monroe County Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRES ATNVE Norman Fuller ®1 i08 C D CORPORATION, All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks f AC D