02/19/2003 Agreement
CONTRACT FOR GOVERNMENT SERVICES ON PROJECTS RELATING TO
EVERGLADES RESTORATION
THIS
CONTRA.CT
,CO
LoJ
entered
into
by MONROE
COUNTY,
a political
.~ubdl'" ISlon vf t... ... nl.'. V' . .v....u 'v'v'hv"'<::p u....ddrp<::s 1<:: tl.he l\.lV1u....rnutl.hV"'n Gv""v7emm.pntl.
:: ../. A '" he S~te "'f P!"':id...., u ~_ AW ~ U ~ ~ u u ~ A ~_u
r'ent",.. ")70Q O""'''CO'''<:ICO l-T,..h"'<:1" l\If<:l..<:Ithon ]:;'lor'd<:l ~~(),,() h"''''''<:Il1-",.. th'" CAunhr
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and Keith and Schnars, P A, 6500 North Andrews Avenue, Ft. Lauderdale, Florida
33309, hereafter CONSULTANT.
Section 1.
Th", "\1,mACO'" n..f thl. '" r'n1\.TTD A r'T lCO to f'nsurf' th:::!t thf' ("OT JlI..JTY'S
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interests are represented more fully with the various Federal, State, and County
<:Io-encies 1.n"01\!"'d in th", 11"nn1"'1'\1",nt<:ltln.n A.f th", r'om......"'h"'ncoi\!'" 1=:"",....-.l<:1..-1",co
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Restor<:ltion P1<:1n fC1=:RP\
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1. The CONSUL TA1'-IT \vill provide:
.A. representation and coordination with the Army Corps of Engineers
T<:I"ksn.n"ill", nicot"l."t Qn.lIth A t1<:1nti" ni"riSin.n <:In..-l IJ",r~..-Irll'<:lrt"'rco ",co it
JU"J: VJ..I.YJ.J..I.,"" ..L.J.1lo.J.....1. v\., UVU\..1.J. .l-"'\......I.Ucl.l.....I....... -LJ.I. .I. .I.V.1..I., U.I..I.Ul."",UU'1\..U...,.1.l."'" iJ UiJ .1.\.
1"",l<:1t",,,, tn. th", fr'1=:DP) <:In..-l A1her CO"PS acti"'1.ti",s that a.f.c"'i"t the Co,.nt),.
.1.v.U..'''''''''rJ v ....1..1........ \ "-"..I.......i~~ u..1..1.u. v... .1. .1. .1..1.,"" .1.1\"",,,,,,... .1. \..I..1.J.\,. ,
B. representation and coordination \vith the Envir0l1.l'11ental Protection
Agency's Regional and Headquarters Offices and other Federal agencies
as it relates to CERP and other activities that affect the County;
FvergladesRest-KS030219
02/11/03 12:24 PM
C. representation and coordination with the Office of the Assistant
Secretary of the Army for Civil Works as it relates to CERP and other
Corps activities that affect the County;
D. representation and coordination with the Congress as it relates to
CERP and other activities that affect the County;
E. representation and coordination with the State of Florida, including
the Department of Environmental Protection, Department of Community
Affairs and the South Florida Water Management District (SFWMD), as
it relates to CERP and other activities that affect the County;
F. representation and coordination with other Counties as it relates to
CERP and other activities that affect the County; and
G. representation and coordination with the South Florida Ecosystem
Restoration Task Force, its \Vorking Group, and the SF\\~ID's Water
D "'''All''''''''' A Au. "A....' r Amm; "sl.on
..L"-'-'uVU-J..V,"","" L :t...U.VJ..iJV..l.J '-""V.l.... .U.rJ .1..
Section 2. In consideration of the services described above, the CONSlJL T A},J"T
('gre"''' tA.
...... ""''''' \,.v.
1 n.."";A,,, mAnthhl ""'port" of' all of ;t" ",,,t;,,;t.,,,,, AA""m",,,t.,,n th'" "o"t",,,t ",,,A
..l. . jJ.1. V V.I.""'..... .1-.1..1.'-'..1 \.J..1...1.J .1. '" iJ.L.1..1. .....iJ """,,,.1. Y..1....1.'"',.;) uV,"",U-.1.1..I."'.1..H....1..1..l5 " .1""" '"" .1..1....""'.I...u... \.1..1...1.,-,"
implication of all meetings attended on behalf of the County during the
previous quarter. Said monthly reports '.vill be for 4 consecutive quarters.
Said monthly reports will be provided to the County through its contract
Contract
02/11/0312:24 PM
""l
.4.
manager listed below and the County Administrator and shall be
accompanied by an invoice documenting the service provided by the
CONSULTANT and the appropriate payment amount.
2. Attend two County Commission meetings at approximately 6 months and
one year to personally update the Board on work to date.
Section 3. Upon receipt of an invoice for any individual month or sum of
months and corresponding monthly report( s) the County agrees to pay an
amount of $4,000 per month per monthly report. Payment will be based on a
complete review and approval of the monthly report by the Project Manager.
In the two months that the CONSULTANT updates to the Board, the
CONSULTANT may invoice an additional $1,000. The County will process
invoices from CONSULTANT within 30 days of receipt.
Section 4. In consideration of all services provided by the CONSULTANT, the
total payment to the CONSULTANT will not exceed $50,000 plus
reimbursable expenses without amendment to this CONTRACT. Reimbursable
expenses shall include airfare, hotels, and auto rentals, not to exceed an
additional $5,000. Without revision or extension, this Contract will terminate
one year after the date that both parties sign the CONTRACT.
Section 5. Either party may terminate this Contract because of the failure of the
other party to perform its obligations under the Contract. If the County
Contract
02/11/03 12:24 PM
3
terminates this Contract because of the CONSULTANT's failure to perform,
then the County must pay the CONSUL T ANT the amount due for all work
satisfactorily completed as determined by the County up to the date of the
CONSULTANT's failure to perform but minus any damages the County
suffered as a result of the CONSULTANT's failure to perform. The damage
amount must be reduced by the amount saved by the County as a result of the
Contract termination. If the amount owed the CONSULTANT by the County
is not enough to compensate the County, then the CONSULTANT is liable for
any additional amount necessary to adequately compensate the County up to
the amount of the Contract price.
Section 6. The CONSULTANT acknowledges and agrees that public use of any
or all reports or other printed materials, videos, audio recordings, films and
photographs produced as part of monthly activities and reports may not be
restricted under the copyright laws of the United States of America.
Section 7. Records of the CONSULTANT's direct personnel payroll and other
costs and expenses pertaining to the Plan and records of the accounts between
the County and the CONSULTANT must be kept on a generally recognized
accounting basis and must be available to the County. The records also must
be in form sufficient to permit a grant specific audit to be performed in
Contract
02/11/03 12:24 PM
4
accordance with the rules of the Auditor General. The CONSULTANT must
keep the records for five years following the completion of the Plan.
Section 8. The CONSUL T ANT acknowledges that all records, data, and
documents created as part of the Plan are public records under Chapter 119,
Florida Statutes. As a result, they must be made available at a reasonable place
and time upon the request of a member of the public. Failure to do so is a
breach of this Contract entitling the County to treat the Contract as terminated
on the date of the violation of Chapter 119, Florida Statutes, with the County's
obligation to pay extending only to work completed as of that date plus
amounts previously retained, if any.
Section 9. In the course of carrying out work under this CONTRACT, the
CONSUL T ANT may not discriminate against any employee because of race,
age, creed, color, sex or national origin. The CONSULTANT will take
affirmative action to ensure that applicants are employed, and that employees
are treated during employment, without regard to their race, age, creed, color,
sex, or national origin. Such action may include, but need not be limited to, the
following: employment upgrading, demotion, or transfer; recruitment or
recruitment advertising; lay-off or termination; rates of payor other forms of
compensation; and selection for training, including apprenticeships. The
CONSULTANT must insert language similar to this Section in any of the
Contract
02/11/03 12:24 PM
5
CONS UL T ANT's subcontracts, if any, funded through this Contract except for
subcontracts for standard commercial supplies and raw materials.
Section 10. In carrying out work under this CONTRACT, the CONSULTANT
must comply with the requirements of the Americans With Disabilities Act and
federal regulations issued under that Act.
Section 11. The CONSULTANT warrants that it has not employed, retained, or
otherwise had act on its behalf any former County officer or employee subject
to the prohibition of Section 2 of Ordinance No. 010-1990 or any County
officer or employee in violation of Section 3 of Ordinance No. 020-1990. For
breach or violation of this provision, the County, in its discretion, may
terminate this Contract without liability and may also, in its discretion, deduct
from the Contract or purchase price, or otherwise recover the full amount of
any fee, commission, percentage gift, or consideration paid to the former
County officer or employee.
Section 12. A person or affiliate who has been placed on the convicted vendor list
following a conviction for public entity crime may not submit a bid on a
contract to provide any goods or services to a public entity, may not submit a
bid on a contract with a public entity for the construction or repair of a public
building or public work, may not perform work as a contractor, supplier,
subcontractor, or CONSULTANT under contract with any public entity, and
Contract
02111/03 12:24 PM
6
may not transact business with any public entity in excess of the threshold
amount provided in Section 287.017 of the Florida Statutes, for the Category
two for a period of 36 months from the date of being placed on the convicted
vendor list.
Section 13. The CONSULTANT agrees to maintain adequate Insurance or
equivalent as provided in Exhibit A.
Section 14. All communication between the parties should be through the
following individuals, the County Administrator, or their designees:
Monroe County
George Garrett, Director
Department of Marine Resources
2798 Overseas Highway, Suite 420
Marathon, FL 33050
Consultant
Michael Davis, Vice President
Keith and Schnars, P A
6500 North Andrews Avenue
Ft. Lauderdale, Florida 33309
Section 15. This Contract is governed by the laws of the State of Florida. Venue
for litigation arising under this contract must be in a court of competent
jurisdiction located in Monroe County, Florida.
Section 16. The effective date of this Contract is upon signature of all parties.
THE REMAINDER OF THE PAGE LEFT INTENTIONALLY BLANK
Contract
02/11103 12:24 PM
7
Section I. IN WITNESS WHEREOF each party hereto has caused this
Agreement to be executed by its duly authorized representative.
(SEAL) .
Attest: DANNY LKOLHAGE, CLERK
BOARD OF COUNTY COMMISSIONERS
OF MONROE COUNTY, FLORIDA
By ~~~. ~~~
Deputy Clerk
Date O~ -\ ~- Oa
BY")';'; >n ~
Mayor/Chairman
(SEAL)
Attest:
KEITH AND SCHNARS, P A
By
Title
Date
APPROVED AS TO FORM AND
LEGAL SEY
~
AITORNE S OFFICE
"'\'3:~fI'",,
If''l.'''!t:, MARLENE PINNOCK
Jj MY COMMISSION' CC 909833
-;i..~l EXPIRES: Febrllll/}' 13 2004
. . Bonded Thtu Nlllaty Public Und.rwrilers
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Contract
02/19/03 8:43 AM
8
EXHIBIT A
Insurance Requirements
Appendix E
02/11103 12:24 PM
WORKERS' COMPENSATION
INSURANCE REQUIREMENTS
FOR
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 the applicable state
statutes.
In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less
than:
$500,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease, policy limits
$500,000 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.
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.
VEHICLE LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract requires the use of vehicles, the Contractor,
prior to the commencement of work, shall obtain Vehicle Liability Insurance. Coverage shall be
maintained throughout the life of the contract and include, as a minimum, liability coverage for:
· Owned, Non-Owned, and Hired Vehicles
The minimum limits acceptable shall be:
$300,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$100,000 per Person
$300,000 per Occurrence
$ 50,000 Property Damage
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
INSURANCE REQUIREMENTS
FOR
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
· Bodily Injury Liability
· Expanded Definition of Property Damage
The minimum limits acceptable shall be:
$500,000 Combined Single Limit (CSL)
If split limits are provided, the minimum limits acceptable shall be:
$250,000 per Person
$500,000 per Occurrence
$ 50,000 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 acceptance of work by the County.
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
1996 Edition
PROFESSIONAL LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT
BETWEEN
MONROE COUNTY, FLORIDA
AND
Recognizing that the work governed by this contract involves the furnishing of advice or services
of a professional nature, the Contractor shall purchase and maintain, throughout the life of the
contract, Professional Liability Insurance which will respond to damages resulting from any
claim arising out of the performance of professional services or any error or omission of the
Contractor arising out of work governed by this contract.
The minimum limits of liability shall be:
$250,000 per Occurrence/$500,000 Aggregate
PROl
Administration Instruction
#4709.3
78
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A CORD :>::::::.:::::::
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.... :.: .. :: :::::::....::: ;;`::::::::::::::::;::';::::::::i:::::::::::::::: :': DATE (MM/DD/YY)
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.:
3/26/03
PRODUCER 954-938-8788
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
SEITLIN
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
6700 N ANDREWS AVENUE #300
COMPANIES AFFORDING COVERAGE
FT LAUDERDALE,FL 33309
COMPANY
A The Travelers Companies
INSURED
Keith and Schnars, P.A.
COMPANY
B ZENITH INSURANCE CO
6500 N. Andrews Ave
Ft. Lauderdale FL 33309
COMPANY
C
COMPANY
D
pR...�a...a�.....:::::::.,...................:::::::::.......................:.::::::::..............................
«.
_:.
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
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY
THE TERMS,
HAVE BEEN REDUCED
BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
-F
DATE (MM/DD/YY)
DATE (MM/DD/YY)
LIMITS
A
GENERAL LIABILITY
X
630193X5294
8/14/02
8/1 4/03
GENERAL AGGREGATE
$ 2000000
COMMERCIAL GENERAL LIABILITY
PRODUCTS - COMP/OPAGG
$ 2000000
CLAIMS MADE � OCCUR
OWNER'S & CONTRACTOR'S PROT
PERSONAL & ADV INJURY
$ 1000000
'
EACH OCCURRENCE
$ 1000000
FIRE DAMAGE (Any one fire)
$ 300000
MED EXP (Any one person)
$ 5000
A
AUTOMOBILE LIABILITY
81029OK8594
8/14/02
8/14/03
X
ANY AUTO
COMBINED SINGLE LIMIT
$
1000000
ALL OWNED AUTOS
SCHEDULED AUTOS
AP�R
B=KAEMENT
BODILY INJURY
IPer person)
S
HIRED AUTOS
-
NON -OWNED AUTOS
BY
BODILY INJURY
(Per accident)
S
DATE
v
-
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
S
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
A
LEXCESSLIABILITY
CUP290K8601
8/14/02
8/14/03
AGGREGATE
$
ORM
EACH OCCURRENCE
S 5000000
UMBRELLA FORM
AGGREGATE
S 5000000
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
Z0190681 01 —
1 2/01 /02
1 2/01 /03
$
X WC STATU- OTH-
TORY LIMITS ER
THE PROPRIETOR/
EL EACH ACCIDENT
$ 500000
PARTNERS/EXECUTIVE
INCL
EL DISEASE - POLICY LIMIT
$ 500000
OFFICERS ARE:
EXCL
OTHER
EL DISEASE - EA EMPLOYEE
$ 500000
DESCRIPTION
OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL
ITEMS
RE:EVERGLADES RESTORATION PROJECT.
CERTIFICATE HOLDER ID ADDITIONAL INSURED ON GENERAL & AUTO LIABILITY
ONLY IF REQUIRED BY A WRITTEN CONTRACT AND WITH IN THE TERMS AND
CONDITIONS OF THE POLICY ATIMA
MONROE COUNTY BOARD O�COUNTY
.............. .
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
COMMISSIONERS
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
2798 OVERSEAS HWY #400
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
MARATHON FL 33050
OF NY U ON TH COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHO RE TIVE
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:::::::::...:::....:.:.:.:..::.:.....Ado
.................
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...........:.:::
DAT::::::::::::...........
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....:w . ... . :' ... .
.. : .::... .
8
PRODUCER 954-938-8788
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
SEITLIN
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
6700 N ANDREWS AVENUE #300
COMPANIES AFFORDING COVERAGE
FT LAUDERDALE,FL 33309
COMPANY
A TRAVELERS INDEMNITY
INSURED
Keith and Schnars, P.A.
COMPANY ZENITH INS CO OF ILLINOIS
B
6500 N. Andrews Ave
Ft. Lauderdale FL 33309
COMPANY
C
COMPANY
D
:..::.T.::..:. _...
... . ....... _. :... .. ..... ......_ ....
HIS 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.
CO
L. R
TYPE OF INSURANCE
POLICY NUMBER
POLICY
EFFECTIVE
POLICY EXPIRATION
DATE (MM/DD!YY)
DATE (MM!DD/YY)
LIMITS
A
GENERAL LIABILITY
X
630193X5294
8/14/03
8/14/04
GENERAL AGGREGATE
$ 2000000
COMMERCIAL GENERAL LIABILITY
PRODUCTS - COMP/OP AGG
$ 2000000
CLAIMS MADE X1 OCCUR
PERSONAL & ADV INJURY
$ 1000000
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$ 1000000
FIRE DAMAGE (Any one fire)
$ 300000
MED EXP (Any one person)
$ 5000
A
AUTOMOBILE LIABILITY
81029OK8594
8/14/03
8/14/04
X
ANY AUTO
COMBINED SINGLE LIMIT
$
1000000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY.
EACH ACCIDENT
$
A
AGGREGATE
$
EXCESS LIABILITY
CUP29OK8601
8/14/03
8/14/04
EACH OCCURRENCE
$ 5000000
X
UMBRELLA FORM
AGGREGATE
$ 5000000
OTHER THAN UMBRELLA FORM
B
WORKERS COMPENSATION AND
Z049068101
12/01 /02
12/01 /03
X WC sTAru- oTH
S
EMPLOYERS' LIABILITY
TORY LIMITS ER
THE PROPRIETOR/
EL EACH ACCIDENT
S 500000
PARTNERS/EXECUTIVE
OFFICERS ARE:
INCL
/1
NAGH
EL DISEASE - POLICY LIMIT
S 500000
EXCL
EL DISEASE - EA EMPLOYEE
S 500000
OTHER
�Y
DATE __..
_.._-...'
- WAIVER
IN A
..
_-YES
DESCRIPTION
OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL
ITEMS
RE:EVERGLADES RESTORATION PROJECT.
MONROE COUNTY BOARD OD COUNTY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
COMMISSIONERS
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
2798 OVERSEAS HWY #400
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
MARATHON FL 33050
LIABILITY
OF tNY U ON THVN COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHOINP RE TIVE
30....................:::.:::::.:...........::::.:.::.;:.;:.;:.;:.;:;.;;:.:.;;:.;:.;:.;:.;:;::.;:::>;::>::>::>:<:
:A 41 C3> 3 FP R 1#i JN A��#8>
***Description of Operations/Locations/Vehicles/Special Items***
CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS TO GENERAL
LIABILITY AND AUTO LIABILITY AS REQUIRED BY WRITTEN CONTRACT OR
WRITTEN AGREEMENT W/ RESPECT TO THE OPERATIONS PERFORMED BY THE
INSURED.
FORM CG D2 52 01 03
FORM CA T3 01 02 99
KEITH & SCHNARS,P.A.
COMMERCIAL AUTO
POLICY NUMBER: P-810-29OK8594-TIL-02 ISSUE DATE: 08-23-02
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
Paragraph c. of the WHO IS AN INSURED provision 1. No liability is assumed by that person or organi-
includes the person or organization indicated below, zation for the payment of any premiums stated in
but only for his, her or its liability because of acts or the policy or earned under the policy.
omissions o an insured" under aragra a. or b. of 2 In the event of cancellation of the policy, written
visions: notice to t e following additional pro notice of cancellation will be mailed by us to that
person or organization.
Person or Organization
ANY PERSON OR ORGANIZATION WITH
WHOM YOU HAVE AGREED IN A WRITTEN
Address
CONTRACT, EXECUTED PRIOR TO LOSS,
TO NAME AS AN ADDITIONAL INSURED
/CA T3 01 02 99
002143
jfl'f;'� %/ap
a'_
A
flA/
Page 1 of 1
f�
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
BLANKET ADDITIONAL INSURED
(CONTRACTORS OPERATIONS)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
COMMERCIAL GENERAL LIABILITY - CONTRACTORS COVERAGE PART
1. WHO IS AN INSURED - (Section II) is amended
c) This insurance does not apply to "bodily in-
to include any person or organization you are re-
jury" or "property damage" caused by "your
quired to include as an additional insured on this
work" included in the "products -completed
policy by a written contract or written agreement
operations hazard".
in effect during this policy period and signed and
d) This insurance does not apply to any person
executed by you prior to the loss for which cover-
or organization for whom you have procured
age is sought. The person or organization does
separate liability insurance while such insur-
not qualify as an additional insured with respect to
ance is in effect, regardless of whether the
the independent acts or omissions of such person
scope or limits of insurance in this policy ex -
or organization. The person or organization is
only an additional insured with respect to liability
ceed those of such other insurance or
caused by "your work" for that additional insured.
whether such other insurance is valid or col -
lectable.
2. The insurance provided to the additional insured
is limited as follows:
3. Subpart (1)(a) of the Pollution exclusion under
Paragraph 2., Exclusions of Bodily Injury and
a) In the event that the limits of liability stated in
Property Damage Liability Coverage (Section I —
the policy exceed the limits of liability required
Coverages) does not apply to you if the "bodily
by a written contract or written agreement in
injury" or "property damage" arises out of "your
effect during this policy period and signed and
work" performed on premises which are owned or
executed by you prior to the loss for which
rented by the additional insured at the time "your
coverage is sought, the insurance provided
work" is performed.
by this endorsement shall be limited to the
limits of liability required by such contract or
4. Any coverage provided by this endorsement to an
agreement. This endorsement shall not in-
additional insured shall be excess over any other
crease the limits stated in Section III - LIMITS
valid and collectible insurance available to the
OF INSURANCE.
additional insured whether primary, excess, con -
tingent or on any other basis.
b) The insurance provided Ito the additional in-
sured does not apply to bodily injury", prop-
5. As a condition of coverage, each additional
erty damage", "personal injury" or "advertising
insured must:
injury" arising out of an architect's, engineer's
a.) Give us prompt written notice of any "occur -
or surveyor's rendering of or failure to render
rence" or offense which may result in a claim
any professional services including:
and prompt written notice of "suit".
1. The preparing, approving or failing to
b.) Immediately forward all legal papers to us,
prepare or approve maps, shop drawings,
cooperate in the investigation or settlement of
opinions, reports, surveys, field orders,
the claim or defense against the "suit," and
change orders, or drawings and specifi-
otherwise comply with policy conditions.
cations; and
c.) Tender the defense and indemnity of any
I1. Supervisory or inspection activities per-
claim or "suit" to any other insurer which also
formed as part of any related architectural
insures against a loss we cover under this
or engineering activities.
endorsement. This includes, but is not limited
to, any insurer which has issued a policy of
insurance in which the additional insured
CG D2 52 01 03 Copyright, The Travelers Indemnity Company, 2003
Page 1 of 2
/M
COMMERCIAL GENERAL LIABILITY
qualifies as an insured. For purposes of this
requirement, the term insures against" refers
to any self-insurance and to any insurer which
Issued a policy of insurance that may provide
coverage for the loss, regardless of whether
the additional insured has actually requested
that the insurer provide the additional insured
with a defense and/or indemnity under that
policy of insurance.
d.) Agree to make available any other insurance
that the additional insured has for a loss we
cover under this endorsement.
Page 2 of 2 Copyright, The Travelers Indemnity Company, 2003 CG D2 52 0103
KEITAND-01 CDIXON
1 DATE (MMMD/YYYYI
AFRO' CERTIFICATE OF LIABILITY INSURANCE F8/14/2014
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
ORDED BY THE POLICIES
BELOW. CERTIFICATE AFFIRMATIVELY
THIS CERT FI ATEOINSURANCE DOES NEGATIVELY NOT CO ST CONSTITUTE ALTERND OR COVERAGE THE
CONTRACT BETWEENTHE SUINGFN URER(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). coNTACT
PRODUCER NAME: -- -
Ames & Gough PHONE 703 827-22T7 FAY No (703) 827-2279
8300 Greensboro Drive E-MAIL
( ) _ -- L� -L--- -
-E-MAIL _
Suite 980 ADDRESS: �-
McLean, VA 22102 INSURER(S) AFFORDING COVERAGE —�— NAIC 11
INSURER A :Travelers Indemnity Company of Connecticut 25682
I-NSURED INSURER B;Travelers Indemnity Company
INSURER__C : Hanover Insurance Company 22292
Keith and Schnars, P.A. Travelers Casualty & Sure Co. of America A+, X 31194
6600 North Andrews Avenue INSURER D ;raSurety
Ft. Lauderdale, FL 33309-2132 INSURER E : Continental Casualty Company (CNA) A(XV) 20443
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.
I-- --�------- - POLI Y EF 0—UCY EXP LIMITS
N§R (
LTR . TYPE OF INSURANCE POLICY NUMBER M 1 YIMMIDDIYYYYI
LT X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00
—i'- I 660-1C229658 08114/2014 08/14/2015 PREM SES jEa ouxurence S 100,00
CLAIMS -MADE ; OCCUR I
ME
i X Contractual Liab. k I
I ME[)EXP (Arty one person)__ $ 5,
— --' ( PERSONAL 8 ADV INJURY — $ 1,000,0
GENERAL AGGREGATE s 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER:
li
PRODUCTS-COMPfOPAGG $ 2,000,00
FX, JECTPRO- [-XI ( LOC $
'• OTHER: coma ED SINGLE LIMIT I $ 1,000,00
AUTOMOBILE LIABILITY I I iEa accident) _
B i X I 810 1175R478 08/14/2014 10811412015 BODILY INJURY (Per person)- $ ANY AUTO
AUTO 1 I I{
t ALL OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS AUTOS PROPERTY DAMAGE
NON -OWNED Per accideniL $
i HIRED AUTOS AUTOS j .. _ ..__—..._..._..___._
1 $
E
MBRELLA UAB I X I i I EACH OCCURRENCE $_ S,000,OO
OCCUR �"" --
CLAIMS-MADE 5 OOO,OO
XCE93 L1A8 UHR-9644021-02 08114/20141 08114/2015 AGGREGATE $
.. r.......10,000 ED X RETENTIONS IIRS COMPENSATION I X__STATUTE 1 ERHPLOYERS' UABIUTY 1,000 OO OPRiETORIPARTNERIE%ECLmVE Y( j) N /A UB-3943T893 08114I2014 08114I2O15 VE.L._FACH ACCIDENT $ +R/MEMBERE%CLUDE09 �J 'E.L.DISEASE-EA EMPLOYEE1+000,00tory In NH) ' I-esuibe under i E.L. DISEASE -POLICY LIMIT $ 1,000,00IPTION OF OPERATIONS below 1,000,00ssional EH 00 60912 27 03/01/2014 03/01/2015 Per Claim
E IlLiability EH 00 60912 27 ! 03/01/2014 03l01/2015 Aggregate 2,000,00
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedale, may be attached If more space Is required)
RE: RFQ-NONE-58-0.2013lec - ON -CALL PROFESSIONAL ENGINEERING SERVICES.
Certificate Holder Is included as additional insured with the exception of workers compensation & professional liability.
AP
GEMENT
BY
DATE
r 1 A 'AiNnO3 30HNOW WA /A
luldi nwwlf�Cl 1 wT1A\I
�01 Na s i SO blot SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
6
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Monroe County ACCORDANCE WITH THE POLICY PROVISIONS.
1100 Simonton Street Key West, FL 33040 080038 8w O31IJ AUTHORIZED REPRESENTATIVE
01988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD