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FY2017 1st Amendment - Masonry RestorationAMENDMENT (1st AMENDMENT) TO AGREEMENT This Amendment to Agreement dated thi day of IY , 2017, is entered into by and between MONROE COUNTY, a political subdivision of the State of Florida (County or Grantor) and Key West Art and Historical Society, Inc. a not for profit organized and operating under the laws of the state of Florida (Grantee). WHEREAS, there was an Agreement entered into on October 19, 2016 between the parties, awarding $127,310 to Grantee for the Key West Custom House Masonry Restoration Project; and WHEREAS, it has become necessary to revise the termination date of the Agreement to June 30, 2018 due to a delay in obtaining historically accurate materials to complete the project, and NOW, THEREFORE, in consideration of the mutual covenants contained herein the parties agree to the amended Agreement as follows: 1. Paragraph 1 of the agreement shall be revised to read as follows: This agreement is for the period of October 19, 2016 to June 30, 2018. This agreement shall remain in effect for the stated period unless one party gives to the other written notification of termination pursuant to and in compliance with paragraphs 7, 12 or 13 of the original agreement dated October 19, 2016. 2. Any references to the termination date and submission of invoices shall be revised to read June 30, 2018. 3. The remaining provisions of the agreement dated October 19, 2016 shall remain in full force and effect. THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK Amendment #1 KWAHS, Inc. Custom House Masonry Restoration ID# 1777 IN WITNESS WHEREOF, the parties have set their hands and seal on the day and year first Board of County Commissioners K� ok, Clerk of Monroe County ` d ap Deputy Clerk Mayor /Chairman Key West Art and Historical Society, Inc. Bye'4vv,"OA President S"k RP CE L T-- -k0k E`.-s Print Name Date: 3 • 2� AND TWO WITNESSES (1 (1 A Amendment #1 KWAHS, Inc. Custom House Masonry Restoration ID# 1777 c2► (2) µ t c �+at't✓ F. t �oA :_ Print Name o z m 0 Dates: 3 3 l —7 M. z. D MONROE COUNTY ATTORNEY PPRO` EC F�,� TO CORM: CH I gip. Llt.�? ERT- BARROWS ASSISTANT �UIL'T`' TTORNEY Date F M x � z rn r C) tv .g:- O Date: 0?• . X-1 1 6 ACORO0 AC� CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 5/19/2017 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: Jolene Allen The JOhn 30II8 Insurance Agency PHON N Ex t) (305) 289 -0213 aC Nu: ( 305)743 -1810 ADD RE @johnsonsinsure.com 13361 Overseas Highway INSURERS AFFORDING COVERAGE NAIC # FA.CH OCCURRENCE INSURERA:Travelers Marathon FL 33050 INSURED INSURER B: MED EXP (Any one person) INSURER C: Key West Art & Historical 281 Front Street INSURER D: GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PRO ❑ LOC JECT OTHER: INSURER E $ 2,000,000 PRODUCTS - COMP /OPAGG INSURER F: Key West FL 33040 COVERAGES CERTIFICATE NUMBER:CL1751915636 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. 1 �7R TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM POLICY EFF DDNYYY I ICY EXP (MMIDD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR Monroe County Bocc is additional 16607396HO97PHX16 11/19/2016 11/19/2017 FA.CH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100, 000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PRO ❑ LOC JECT OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS NON-OWNED HIRED AUTOS AUTOS BY PR D Y K G ENT COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY Per accident $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE DA WAIVER N EACH OCCURRENCE $ YES_ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A @ S PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION mgieda @kwahs.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Cty Brd of Cty Comm THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St, Rm 216 ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTI QRIZE RES 1' TIVE Monroe County Bocc is additional Insure ©1988 -2014 AC CORPORATION. All rights AA<rved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401)