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04th Amendment 08/15/2018GJ Z COURTS ° o: Kevin Madok, CPA .... Y1 Clerk of the Circuit Court & Comptroller — Monroe Count Florida •R OE COUN DATE: October 25, 2018 TO: Tina LoSacco, Sr. Technician FROM: Pamela G. Hancock, Deputy Clerk SUBJECT: August 15' BOCC Meeting Attached is an electronic copy of Item P5, Fourth Amendment to the Contract with Florida Keys Society for the Prevention of Cruelty to Animals, Inc. (FKSPCA) to add up to $196,696.00 /year to the Lower Keys animal control contract to proxride funding for increased operating expenses for the new animal control building, for your handling. Should you have any questions, please feel free to contact me at (305) 292 -3550. Thank you. cc: County Attorney_ Finance File KEY WEST 500 Whitehead Street Key West, Florida 33040 305 - 294 -4641 MARATHON 3117 Overseas Highway Marathon, Florida 33050 305 - 289 -6027 PLANTATION KEY 88820 Overseas Highway Plantation Key, Florida 33070 305 - 852 -7145 PK/ROTH BUILDING 50 High Point Road Plantation Key, Florida 33070 305 - 852 -7145 FOURTH AMENDMENT TO AMENDED AND RESTATED CONTRACT (Operation of the Key West Animal Shelter) THIS FOURTH TO AMENDMENT TO AMENDED AND RESTATED CONTRACT is entered into this 15`" day of August, 2018, between Monroe County Board of County Commissioners ( "County "), and the Florida Keys Society for Prevention of Cruelty to Animals, Inc., a Florida not-for-profit corporation ( "FKSPCA" or "Contractor "), in order to amend the Amended and Restated Agreement entered into on May 1, 2014, ( "Agreement "), and as amended on April 20, 2016, November 22, 2016, May 17, 2017, and May 16, 2018; and WHEREAS, the parties entered into an Amended and Restated Contract on May 1, 2014, for the FKSPCA to provide long -term animal control services and enforcement and to build a new Key West animal shelter pursuant to the provisions of Fla. Stat. Sec. 287.05712; and WHEREAS, on April 20, 2016, the parties entered into a First Amendment to the Amended and Restated Contract, which provided for a CPI adjustment, revised Paragraph 4 of the agreement with regard to the date for the request for CPI adjustments, and revised Paragraph 9 as to certain insurance requirements; and WHEREAS, the parties entered into an Addendum to the Amended and Restated Contract on November 22, 2016; and WHEREAS, on May 17, 2017, the parties entered into the Second Amendment to the Amended and Restated Contract, which provided for the annual CPI adjustment; and WHEREAS, on May 16, 2018, the parties entered into the Third Amendment to the Amended and Restated Contract, which provided for the annual CPI adjustment; and WHEREAS, the new Key West Animal Shelter Facility ( "Facility ") is completed and a Certificate of Occupancy will be issued forthwith, and the increased size of the new Facility and capacity for more animals, will cause an increase in cost directly related to operation of the new Facility; and WHEREAS, the Amended and Restated Contract provided that upon completion of the new Facility, the County would increase compensation to the Contractor; and WHEREAS, the parties agree to enter into this Fourth Amendment to reflect the projected increased costs for operation of the new Facility; and WHEREAS, the County desires to revise the non - discrimination clause to correct certain scrivener's errors and update current revisions pursuant to County ordinances; and • NOW, THEREFORE, IN CONSIDERATION of the mutual promises contained herein, the parties hereby agree as follows: 1 1. The FKSPCA has built a new and improved Key West Facility pursuant to the terms and conditions of the Amended and Restated Contract and seeks to increase its annual payment amount set forth in Paragraph 2 of the Contract. The Contractor expects to have increased costs to include but not Limited to, electric, water, sewer, insurance, maintenance, and staff. 2. Paragraph 3.B. of the Amended and Restated Contract provides as follows: "Upon completion of the Facility and issuance of a Certificate of Occupancy (CO), the County in consideration of additional cost directly related to operation of the new Facility, i.e. increased staffing, utilities, insurance, repairs and maintenance, will increase compensation, in an amount to be determined, on a reimbursement basis in compliance with the provision for payment as set forth in paragraph 2 above. Additionally, repairs that are estimated to cost over $1,000.00 and are approved by the Director of Public Works, or designee may be paid directly by the County, and shall be in addition to the total compensation amount set forth in paragraph 2." 3. The estimated increase in expenses, based on the current levels as submitted for reimbursement by the FKSPCA in June 2018 and/or quotes obtained by the FKSPCA for certain services, are as follows: A. The current electric utility costs allowable are up to Twelve Thousand Seven Hundred Fifty -six and 00 /100 ($12,756.00) Dollars per year as part of its normal current stipend. The projected maximum allowable annual amount, which are documented and exceed the current amount, will be up to Forty -seven Thousand Two Hundred Forty -four and 00 /100 ($47,244.00) Dollars. B. The current water utility costs allowable are up to Four Thousand Two Hundred Thirty -six and 00/100 ($4,236.00) Dollars per year as part of its normal current stipend. The projected maximum allowable annual amount, which are documented and exceed the current amount, will be up to Two Thousand Sixty - four and 00 /100 ($2,064.00) Dollars. C. The current sewer utility costs allowable are up to Six Thousand Six Hundred Twelve and 00 /100 ($6,612.00) Dollars per year as part of its normal current stipend. The projected maximum allowable annual amount, which are documented and exceed the current amount, will be up to Three Thousand Two Hundred Eighty -eight and 00/100 ($3,288.00) Dollars. D. The current insurance costs allowable are up to Fourteen Thousand and 00 /100 ($14,000.00) Dollars per year as part of its normal current stipend. The projected maximum allowable annual amount, which are documented and exceed the current amount, will be up to Fifty -two Thousand and 00 /100 ($52,000.00) Dollars. E. The current costs for maintenance agreements for HVAC, elevator, generator, fire sprinklers, fire alarms, roofing, irrigation, telephone, janitorial services in public areas, and other similar items will also be increased at the new Facility. The projected maximum allowable annual amount, which are documented and exceed 2 the current amount, will be up to Fifty Thousand One Hundred and 00 /100 ($50,100.00) Dollars. F. The current staffing required for the new Facility will increase due to the increased square footage and the required cleaning procedures, in addition to the increased capacity of housed animals and the additional care that will be required. The projected maximum allowable annual amount, which is documented, will be up to Forty -two Thousand and 00 /00 ($42,000.00) Dollars, which includes salary and benefits, for one additional full -time employee. 4. Paragraph 2 of the Amended and Restated Contract, as thereafter amended, is amended to read as follows: 2. AMOUNT OF AGREEMENT /AVAILABILITY OF FUNDS: The County, in consideration of the Contractor substantially and satisfactorily performing and carrying out the duties of the County as to providing animal control services and enforcement of laws related to animals in Monroe County, Florida, shall pay to the Contractor a not to exceed amount of Seven Hundred Thirty -seven Thousand Three Hundred Eleven and 11/100 ($737,311:11) Dollars per year on a reimbursement basis equal to 1/12 of this amount or Sixty -one Thousand Four Hundred Forty -two and 59 /100 ($61,442.59) Dollars per month, subject to the specific limitations as delineated in paragraph 3 of this Fourth Amendment as to the line item expenses set forth herein. If a reimbursement request is less than the per month reimbursement amount of $61,442.59, the unused balance will be rolled over and available for future reimbursement request. The remaining provisions of Paragraph 2 shall remain unchanged. 5. The "All Risk Property Insurance" provision of Paragraph 9 of the Amended and Restated Contract, as thereafter amended, is amended to add the following as additional language and said provision is amended to read as follows: All Risk Property Insurance "All risk" property insurance, including theft coverage, written at replacement cost value and a replacement cost endorsement insuring CONTRACTOR'S improvements and betterments, fixtures, furnishings, equipment and any other property belonging to CONTRACTOR. The CONTRACTOR shall obtain an appraisal five (5) years from the date of this Fourth Amendment and every five (5) years thereafter to determine the current "replacement cost value" of the CONTRACTOR'S improvements and betterments, fixtures, furnishings, equipment and any other property belonging to CONTRACTOR, and provide the appropriate insurance based on the replacement cost value provided in such appraisal. 3 6. Paragraph 16, NON - DISCRIMINATION. of the Amended and Restated Contract, is hereby amended to correct certain scrivener's errors and update current revisions pursuant to County ordinances and is amended to read as follows: 16. NON - DISCRIMINATION: County and Contractor agree that there will be no discrimination against any person, and it is expressly understood that upon a determination by a court of competent jurisdiction that discrimination has occurred, this Agreement automatically terminates without any further action of the part of any party, effective the date of the court order. County or Contractor agrees to comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to nondiscrimination. This include but are not limited to: 1) Title VII of the Civil Rights Act of 1964 (PL 88 -352) which prohibits discrimination on the basis of race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended (20 USC ss. 1681 -1683, and 1685- 1686), which prohibits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42 USC ss. 6101 -6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92 -255), as amended, relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91 -616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC ss. 690dd -3 and 290ee -3), as amended, relating to confidentiality of alcohol and drug abuse patient records; 8) Title VIII of Civil Rights Act of 1968 (42 USC s. et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with Disabilities Act of I990 (42 USC s. 12101 Note), as may be amended from time to time, relating to nondiscrimination of the basis of disability; 10) Monroe County Code Chapter 14, Article II, which prohibits discrimination on the basis of race, color, sex, religion, national origin, ancestry, sexual orientation, gender identity or expression, familial status or age; 11) Any other nondiscrimination provisions in any Federal or state statutes which may apply to the parties to, or the subject matter of, this Agreement. 7. The provisions of this Fourth Amendment to the Amended and Restated Contract shall become effective as of October 1, 2018, or upon the issuance of a Certificate of Occupancy by the City of Key West to the Contractor, if such Certificate has not been issued as of October 1, 2018, and continue thereafter until revised by the parties hereto. 4 8. In all respects, the remaining terms of the Agreement entered unto on May 1, 2014, and as amended on April 20, 2016, November 22, 2016, May 17, 2017, and May 16, 2018, not inconsistent herewith, shall remain in full force and effect. COI r : + D I 1 1 . ESS WHEREOF, the parties have hereunto set their hands and seal, the day l' ek ' ritten above. Egil E Y �' BOARD OF COUNTY COMMISSIONERS . - --" 1e §t. ,� 1 MADOK, CLERK OF MONROE ,' U f ., FL • : DA Mohr Ar r BY� By: ,e Deputy Clerk Mayor Date: art IC, 2' I S Date: �-� IC; 2 ' 1 ? LA RNi�nesses for 'CONTRACTOR: CONTRACTOR: ° ° c : THE FLORID • S SOCIET FOR a r � THE PRE • . N 0 N OF CRUE . TO In , is J AN y , LS, c' ��� 1 k m ill I , .11,: I ?c0 I + c. ture - Q ' _ • - -:ture of person authorized D • e t , gaily bind Corporation rj:p1la Ka* qp)0116 - -' '1-A1,11 11<-1 c ri.e_ey\AI P nt Name i Dat Print Name Title 6 4_04 4 iiA iii 1 f A dress: 1/40- - 0 _ ir Si j gnatui , . 3 P U 1 n ., ... • , rcl- Print Name Date Telephone Number 7.i , • GABRIELLA WEST MO . OE COUNTY ATTORNEY'S OFFICE MY COMMISSION # GG 209257 PPFp� AST 137.4, �• -� �a� EXPIRES: April 19, 2022 � pp • . ' .4j' ' Bonded Thru Notary Public Underwriters - ATRICIA EABIES - 5 ASSISTANT OU ATTORNEY DATE — - -- .._- RISK MANAGEMENT POLICY AND PROCEDURES CONTRACT ADMINISTRATION MANUAL General Insurance Requirements for Animal Control Contracts As a pre - requisite of the work governed, or the goods supplied under this contract (including the pre - staging of personnel and material), the Contractor shall obtain, at his/her own expense, insurance as specified in any attached schedules, which are made part of this contract. The Contractor will ensure that the insurance obtained will extend protection to all Subcontractors engaged by the Contractor. As an alternative, the Contractor may require all Subcontractors to obtain insurance consistent with the attached schedules. The Contractor will not be permitted to commence work governed by this contract (including pre - staging of personnel and material) until satisfactory evidence of the required insurance has been furnished to the County as specified below. Delays in the commencement of work, resulting from the failure of the Contractor to provide satisfactory evidence of the required insurance, shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work commenced on the specified date and time, except for the Contractor's failure to provide satisfactory evidence. The Contractor shall maintain the required insurance throughout the entire term of this contract and any extensions specified in the attached schedules. Failure to comply with this provision may result in the immediate suspension of all work until the required insurance has been reinstated or replaced. Delays in the completion of work resulting from the failure of the Contractor to maintain the required insurance shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work had not been suspended, except for the Contractor's failure to maintain the required insurance. The Contractor shall provide, to the County, as satisfactory evidence of the required insurance, either: • Certificate of Insurance or • A Certified copy of the actual insurance policy. The County, at its sole option, has the right to request a certified copy of any or all insurance policies required by this contract. All insurance policies must specify that they are not subject to cancellation, non - renewal, material change, or reduction in coverage unless a minimum of thirty (30) days prior notification is given to the County by the insurer. The acceptance and/or approval of the Contractor's insurance shall not be construed as relieving the Contractor from any liability or obligation assumed under this contract or imposed by law. The Monroe County Board of County Commissioners, its employees and officials will be included as "Additional Insured" on all policies, except for Workers' Compensation. Any deviations from these General Insurance Requirements must be requested in writing on the County prepared form entitled "Request for Waiver of Insurance Requirements" and approved by Monroe County Risk Management. EXHIBIT "B" PAGE 1 • • ANIMAL CONTROL ERRORS AND OMISSIONS LIABILITY INSURANCE REQUIREMENTS FOR ANIMAL CONTROL CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain Animal Control Errors and Omissions Liability Insurance. Coverage shall be maintained throughout the life of the contract and include, as a minimum: • False Arrest, Detention or Imprisonment • Malicious Prosecution • Wrongful Entry and Eviction • Assault and Battery • First Aid E &O • False or Improper Service of Process • Violation of Property Rights • Violation of Civil Rights The minimum limits acceptable shall be: $1,000,000 Combined Single Limits (CSL) An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its provisions should include coverage for claims filed on or after the effective date of this contract. In addition, the period for which claims may be reported should extend for a minimum of twelve (12) months following the termination of the contract. The policy shall not exclude claims or have coverage limitations relating to occurrences caused by or related to animals. The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirements. ANIMALE &O PAGE 2 • EMPLOYEE DISHONESTY INSURANCE REQUIREMENTS FOR ANIMAL CONTROL CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND The Contractor shall purchase and maintain, throughout the term of the contract, Employee Dishonesty Insurance which will pay for losses to County property or money caused by the fraudulent or dishonest acts of the Contractor's employees or its agents, whether acting alone or in collusion of others. The minimum limits shall be: $100,000 per Occurrence • ED2 PAGE 3 GENERAL LIABILITY INSURANCE REQUIREMENTS FOR ANIMAL CONTROL CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain General . Liability Insurance. Coverage shall be maintained throughout the life of the contract and include, as a minimum: • Premises Operations • Products and Completed Operations • Blanket Contractual Liability • Personal Injury Liability • Expanded Definition of Property Damage The minimum limits acceptable shall be: $1,000,000 Combined Single Limit (CSL) If split limits are provided, the minimum limits acceptable shall be: • $ 500,000 per Person $1,000,000 per Occurrence $ 100,000 Property Damage An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its provisions should include coverage for claims filed on or after the effective date of this contract. In addition, the period for which claims may be reported should extend for a minimum of twelve (12) months following the termination of the contract. The policy shall not exclude claims or have coverage limitations relating to occurrences caused by or related to animals. The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirements. GLAnimals PAGE 4 • VEHICLE LIABILITY INSURANCE REQUIREMENTS FOR ANIMAL CONTROL CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the Organization taking possession of the vehicles governed by this agreement, the Organization shall purchase Vehicle Liability Insurance and Auto Physical Damage Insurance. Coverage shall be maintained throughout the life of the Agreement and include, as a minimum, liability coverage for: • Owned, Non - Owned, and Hired Vehicles • Physical Damage Protection The minimum limits acceptable shall be: $1,000,000 Combined Single Limit (CSL) ACV for Physical Damage The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirements. In addition, the Monroe County Board of County Commissioners shall be named as "Loss Payee" with respect to the physical damage protection. VI-1 PAGE 5 • WORKERS' COMPENSATION INSURANCE REQUIREMENTS FOR ANIMAL CONTROL CONTRACT BETWEEN MONROE COUNTY, FLORIDA AND Prior to the commencement of work governed by this contract, the Contractor shall obtain Workers' Compensation Insurance with limits sufficient to respond to Florida Statute 440. In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less than: $100,000 Bodily Injury by Accident $500,000 Bodily Injury by Disease, policy limits $100,000 Bodily Injury by Disease, each employee Coverage shall be maintained throughout the entire term of the contract. Coverage shall be provided by a company or companies authorized to transact business in the State of Florida, and the company or companies must maintain a minimum rating of A -VI, as assigned by the AM. Best Company. If the Contractor has been approved by the Florida's Department of Labor, as an authorized self-insurer, the County shall recognize and honor the Contractor's status. The Contractor may be required to submit a Letter of Authorization issued by the Department of Labor and a Certificate of Insurance, providing details on the Contractor's Excess Insurance Program. . If the Contractor participates in a self - insurance fund, a Certificate of Insurance will be required. In addition, the Contractor may be required to submit updated financial statements from the fund upon request from the County. WC1 PAGE 6 ALL RISK PROPERTY INSURANCE REQUIREMENTS FOR ANIMAL CONTROL SHELTERS/ COUNTY -OWNED PROPERTY BETWEEN MONROE COUNTY, FLORIDA AND Prior to the Organization/Individual taking possession of the property governed by this lease /rental agreement, the Organization/Individual shall obtain All Risk Property Insurance (to include the perils of Flood and Wind) with limits no less than the Replacement Cost Value of the property leased or rented. Coverage shall be maintained throughout the life of the Lease/Rental Agreement and include, as a. minimum, liability coverage for: • Fire Lightning Vandalism Sprinkler Leakage Sinkhole Collapse Falling Objects Windstorm Smoke Explosion Civil Commotion Aircraft and Vehicle Damage Flood The Monroe County Board of County Commissioners shall be named as Additional Insured and Loss Payee on all policies issued to satisfy the above requirements. PAGE 7 • MONROE COUNTY, FLORIDA RISK MANAGEMENT POLICY AND PROCEDURES CONTRACT ADMINISTRATION MANUAL Indemnification and Hold Harmless for Animal Control Contracts The Contractor covenants and agrees to indemnify and hold harmless Monroe County Board of County Conunissioners from any and all claims for bodily injury (including death), personal injury, and property damage (including property owned by Monroe County) and any other losses, damages, and expenses (including attorney's fees) which arise out of, in connection with, or by reason of services provided by the Contractor or any of its Subcontractor(s) in any tier, occasioned by the negligence, errors, or other wrongful act or omission of the Contractor or its Subcontractors in any tier, their employees, or agents. In the event the completion of the project (to include the work of others) is delayed or suspended as a result of the Contractor's failure to purchase or maintain the required insurance, the Contractor shall indemnify the County from any and all increased expenses resulting from such delay. The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this agreement. TCS PAGE 8 • MONROE COUNTY, FLORIDA RISK MANAGEMENT POLICY AND PROCEDURES CONTRACT ADMINISTRATION MANUAL WAIVER OF INSURANCE REQUIREMENTS • There will be times when it will be necessary, or in the best interest of the County, to deviate from the standard insurance requirements specified within this manual. Recognizing this potential, and acting on the advice of the County Attorney, the Board of County Commissioners has granted authorization to Risk Management to waive and modify various insurance provisions. Specifically excluded from this authorization is the right to waive: • The County as being named as an Additional Insured - If a letter from the Insurance Company (not the Agent) is presented, stating that they are unable or unwilling to name the County as an Additional Insured, Risk Management has been granted the authority to waive this provision. and • The Indemnification and Hold Harmless provisions Waiving of insurance provisions could expose the County to economic loss. For this reason, every attempt should be made to obtain the standard insurance requirements. If a waiver or a modification is desired, a Request for Waiver of Insurance Requirements form should be completed and submitted for consideration with the proposal. After consideration by Risk Management and if approved, the form will be returned, to the County Attorney who will submit the Waiver with the other contract documents for execution by the Clerk of the Courts. Should Risk Management deny the Waiver Request, the other party may file an appeal with the County Administrator or the Board of County Commissioners, who retains the final decision making authority. PAGE 9 MONROE COUNTY, FLORIDA Request For Waiver of Insurance Requirements It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, . be waived or modified on the following contract. Contractor: Contract for: Address of Contractor: Phone: Scope of Work: Reason for Waiver: Policies Waiver . will apply to: Signature of Contractor: Approved Not Approved Risk Management Date County Administrator appeal: Approved: Not Approved: Date: Board of County Commissioners appeal: Approved: Not Approved: Meeting Date: PAGE 10 �...40 FLOR -46 OP ID: CI{ ,acoRO® CERTIFICATE OF LIABILITY INSURANCE D /DD/YYYY) 4......----- 0 09 /06 9/06/2018 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 have ADDITIONAL INSURED provisions or 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 305 - 294 -7696 CONTACT NAME: Atlantic Pacific -Key West PHONE 305 - 294 -7696 I FAX 305- 294 -7383 1010 Kennedy Dr, Suite 203 (a/c, No, Ext): (n/c, No): Key West, FL 33040 E-MAIL SS: chernandez @apins.com Christine Y. Hernandez INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Mt. Hawley Insurance Co. 37974 INSURED Florida Keys S.P.C.A. INSURER B : 5230 College Rd Key West, FL 33040 INSURER C : INSURER D : 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. INSR T YPE OF INSURANCE ADDL SUER W P OLICY NUMBER POLICY EFF POLICY EXP LIMITS 1 TR INCn VD (MM(DDIYYYYI IMM/OD/YYYY! A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $ 1,000,000 CLAIMS -MADE OCCUR y OPC0001177 11/29/2016 10/01/2018 p occurrence) $ X Owner/Cont Prot. MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $ 2,000,000 POLICY JECT LOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE COMBINED SINGLE LIMIT UTOMOBILE LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED - SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ H RED NON -OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY AP VED D ISK AGEMA JT (Per accident/ $ $ UMBRELLA LIAB OCCUR BY K EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE DATE ( �(,P \ AGGREGATE $ DED RETENTION$ wAIV 11/A i\ YES $ AND EMPLOYERS' COMPENSATION Y / N / PER I FOR H ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) re: 5711 College Rd, Key West, FL 33040 - Monroe County Board of County Commissioners CERTIFICATE HOLDER _ CANCELLATION MCBCCONI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ty ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OP ID: CH AC ■RO® CERTIFICATE OF PROPERTY INSURANCE DATE(MMIDDIYYYY) 09/06/2018 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. PRODUCER CONTACT NAME: Atlantic Pacific -Key West ( A H /c ° , N Ext): 305- 294 -7696 FAX (MC, No): 305-294-7383 1010 Kennedy Dr, Suite 203 E -MAIL Key West, FL 33040 ADDRESS: chernandez @apins.com Richard Horan PRODUCER FLOR -46 CUSTOMER ID: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A : Lloyd's of London Florida Keys S.P.C.A. an Citizens Insurance Company College Rd INSURER B : p Y Key West, FL 33040 INSURER C : Florida Family Insurance INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: LOCATION OF PREMISES / DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 5230 College Rd Key West, FL 33040 Monroe County Board of County Commissioners are listed as additional insured 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 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS LTR DATE (MM/DD/YYYY) DATE (MM /DD/YYYY) A X I PROPERTY L0L013196 07/12/2018 07/12/2019 Y BUILDING s 120,000 CAUSES OF LOSS DEDUCTIBLES Y PERSONAL PROPERTY $ 26,000 BASIC BUILDING 1,000 00023680 07/03/2018 07/03/2019 BUSINESS INCOME $ — — BROAD _CONTENTS EXTRA EXPENSE $ X SPECIAL 1,000 RENTAL VALUE $ EARTHQUAKE BLANKET BUILDING $ B X WIND 4,140 00023680 07/03/2018 07/03/2019 BLANKET PERS PROP $ FLOOD _ BLANKET BLDG & PP $ Y Wind -Bldg $ 138,000 Y Wind -Cts $ 21,000 APP - a e, It , ICI< • ' ►, ;, ^CMCNT INLAND MARINE TYPE OF POLICY . - $ CAUSES OF LOSS BY tzr '� $ — NAMED PERILS POLICY NUMBER DATE ��� . $ WfAWICfi N/A � YIyk_._ $ CRIME $ TYPE OF POLICY $ $ BOILER & MACHINERY / B Wind -Bldg -Cat $ 32,000 EQUIPMENT BREAKDOWN B Wind -Bldg -Dog $ 32,000 Flood 09115047765408 07/01/2018 07/01/2019 Y Flood -Bldg $ 100,300 C Y Flood- Contents $ 21,000 SPECIAL CONDITIONS /OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) (C) -Flood -Cat shelter Bldg- $25,000;Cts- $5,000 Policy #1068818467 $1500 ded. - (C) -Flood -Dog Shelter Bldg- $25,000;Cts- $5,000 Policy #1068818468 $1500 ded. (B) -Wind- Cat +Dog Shelters each Bldg- $32,000; each Cts- $5,000 $1,000 ded.each CERTIFICATE HOLDER CANCELLATION MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 ACORD 24 (2016/03) © 1995-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �..14 FLOR -46 OP ID: CH '4coRO° CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) ki......-- 09/06/2018 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 have ADDITIONAL INSURED provisions or 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 305 - 294 -7696 CONTACT NAME: Atlantic Pacific -Key West PHONE 305 - 294 -7696 I FAX 305- 294 -7383 1010 Kennedy Dr, Suite 203 (a/c, No, Ext): (NC, No): Key West, FL 33040 AI D chernandez @apins.com Christine Y. Hernandez INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: America Insurance Co 32859 INSURED Florida Keys S.P.C.A. INSURER B : Progressive Express 10193 5230 College Rd Evanston Insurance Co. 35378 Key West, FL 33040 INSURER C INSURER D: Old Dominion Insurance Co. 40231 INSURERE: 11150 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. INSR TYPE OF INSURANCE ADDL SUBR P OLICY NUMBER POLICY EFF POLICY EXP LIMITS 1 TR INSD min IMM/DDIYYYYI IMM /DDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X OCCUR Y PAV0161601 07/01/2018 07/01/2019 PREMISESO(Ea RENTED $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT X LOC PRODUCTS - COMP /OPAGG $ included OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) _ $ • ANY AUTO Y 06456454 -6 06/30/2018 06/30/2019 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY (Per accident) $ AUT OS ONLY _AUTOS ONLY �P r ac 1 n t pA MAGE $ 1 $ UMBRELLA LIAB OCCUR �V - Y RI NAGEIV EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ BYE 1 `„; � $ • WORKERS COMPENSATION r r 'E� '� PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER ANY PROPRIETOR /PARTNER /EXECUTIVE Y / N WAIVER N/ - YES E.L. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? N IA (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Equipment Floater IMS40287 08/01/2018 08/01/2019 Vet Equip 31,837 D Bond F271572 06/26/2018 06/26/2019 Empl Dis. 100,000 • DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) (E) Arch Insurance - Directors & Officers- $1,000,000 $5,000 retention 7/1/18- 7/1/19 CERTIFICATE HOLDER CANCELLATION MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 I ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ® AC D ATE (MM(ODNYYT ) �✓ CERTIFICATE OF LIABILITY INSURANCE 10/12/2018 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 have ADDITIONAL INSURED provisions or 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 SUNZ Insurance Solutions, LLC. ID: (Kymberly) Mr" Phil Martina c/o Kymberly Group Payroll Solutions, Inc. PHONE FAX 3218 E. Colonial Drive; Ste F _ IANC. No. Ext): 407- 228 -6428 I WO. Nel: Orlando , FL 32803 E-MAIL S: - 1NSURER(S) AFFORDING COVERAGE - NAIC INSURERA: SUNZ Insurance Company 34762 INSURED INSURER B : Kymberly Group Payroll Solutions, Inc. 3218 E Colonial Drive INSURERC: Suite F INSURERD: Orlando FL 32803 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 44873606 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. LIMIT$ SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I L7R TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS WVD POLICY NUMBER (MM/DDIYYYY) (MMIDDNYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) _ MED EXP (Any one person) $ PERSONAL &ADVINJURY _ $ GEN'LAGGREGATE UM APPLIES PER GENERAL AGGREGATE $ PRO 1 AP.P V b. :Y / RISK NA EMFNT PRODUCTS- COMP /OPAGG $ POLICY JECT LOC rr OTHER R A 4 + ll $ AUTO MOBILE LIABILITY COMBI ED $ ANY AUTO DDATE f� _ BODILY INJURY (Per person) $ OW 14/ COMBINED SINGLE LIMIT NED .. SCHEDULED WAIVER YES BODILY INJURY (Per Peraccidt $ AUTOS ONLY AUTOS ( HIRED NON-OWNED PROPERTY DAMAGE _ AUTOS ONLY AUTOS ONLY (Par accident) $ .- Q $ UMBRELLA LIAB _ OCCUR 01/-1 EACH OCCURRENCE $ _ — EXCESS LIAR CLAIMS•MADE �' AGGREGATE $ DED 1 I RETENTION S $ . ili° , DIM y o` - WCO10- 00001 -018 3/1/2018 3/1/2019 PER 1 1 oT � , m, ,d ✓ 1 S TATUTE ER a `? �. N 'RI' N N A ,1 000 00 , 0 � , ANYPROPRIETORNPA El HACCIDE •r: v ; p OFFICERIMEMBEREXCLUDED? (Mandatory to NH) E DIS .,,EA OY EE e 0°0 0 o If yes. descnbe under DESCRIPTION OF OPERATIONS below ■ I S y; S E - POLICYY a$ yi, "DQO, DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additonal.Remarks Schedule, may be attached If mare space Is required) Coverage provided for all leased .employees but not subcontractors of: Florida Keys Society for the Prevention of Cruelty to Animals, Inc Client Effective: 6/30/2014 Reference site : Monroe County BOCC CERTIFICATE HOLDER CANCELLATION 1 Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS. Key West FL 33040 AUTHORIZED REPRESENTATIVE .....„... d ��� . �„ ' 'r %�'w�_ _(t/1/J I Glen J Distefano ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103). The ACORD name and logo are registered marks of ACORD , 44873606 1-Hymberly Group Payroll PEO 010 MASTER CERT 1 Phil Martina 1 10/12/2018 12:22:30 PM (CDT) 1 Page 1 of 1 i�'"1 FLOR -46 OP ID: CH, AL � `' ®- CERTIFICATE OF LIABILITY INSURANCE I °A 1 D e ) 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on thls certificate does not confer rights to the certificate holder In IIeu of such endorsement(s). PRODUCER 305 W Atlantic Pacific -Key West NE 305 - 2947696 F 305 -294 -7363 1010 Kennedy Dr, Suite 203 � X �} Key West, FL 33040 Ma chernandez @apins.com Christine Y. Hernandez INSURERISI AFFORDING COVERAGE tams INSURER Mt Hawley Insurance Co. 37974 INSURED Florida Keys S.P.C.A. INSURER B: 5230 College Rd Key West, FL 33040 INSURER C: INSURER D : INSURER E : INSURER F : COVERAG G1iRTTF$C/;TE NUM BER: 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EIS* POLICY EFF " POl.1CY EXP TYPE OF INSURANCE �_ r9SD POLICY NUMBER tlAINDO Mri7 , IM WODIYYYYI LIMITS ,lef X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,ODD CLAIMS -MADE OCCUR DAMAGE � n Y OPC0001177 118912018111018018 I'j2FN�:X= sIFeyTtpt taere1 s Eii OwnerlCont Prot. m 1 r,.a4. Mtrilanl_ PERSONAL 6 ADV INJJRY _ S G NI. AGGREGATE UMIT APPLIES PER , GENERAL AGGRF,GATE.. _5 2.000.000 POUCY ❑ Ta ❑ LOC n QDL1 TS_COMPirA06 4 OTHER S AUTOMOBILE LABILITY COMBINED SINGLE LIMIT ANY AUTO I . U LV Fq T.E.v.A.i:Fa!?]_._f AUT ACH AUTOS ONLY AUTOS BODILY INJURY (Per ecdlftrrl S - HPFp NfN.oWN PER D AUTOS ONLY AUTOS 0I er O accronIAMAGE t S OCCUR __... __ EACH 0CCURRENCF S __ CLAIMS -MADE • : B • i3K RI e EE ' T AGGREGATE - f III OED RETENTIONS \ , I /A yyO gCOyp g n N IJMIR "- 'srrJrar�� P ER VTH. AND EMPLOYERS' LI AISkiA ]�� _ v ' , . AN PPROPRI EXCI.0 EVE U N! A � '• � J L. EACH ACCIDENT f ands °�' WAWA $ A -YE$ . E.I.. DiSPASE. EA EMP OYES S WAWA describe under `I OESGRIPTIO`t OF OPERATIONS Mla E L DISEASE . P;+LICV LIMIT $ DESCRFTION OF OPERATIONS /LOCATIONS 1 VEHCLES (ACORD 101, Additional Remulla Schedule, may be attached If mote space Is required) re: 5711 College Rd, Key West, FL 33040 - Monroe County Board of County Commissioners CERTIFICATE HOLDER CANCELLATION MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street AUTIIORIZEDREPRESENTATIVE Key West, FL 33040 N I ACORD 25 (2016103) ® 1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD