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1. 1st Amendment & Consent to Assignment 04/17/2019 -,R CCUR,4�111 4pCT5--0-4 Kevin Madok, CPA I lo% Clerk of the — So.'. u ,_ Circuit Court&Comptroller Monroe County, Florida DATE: April 25, 2019 TO: Judith Clarke, PE, Director Engineering/Roads&Bridges ATTN: Nicole Twyman, Executive Assistant Engineering Department/Stop 1 FROM: Pamela G. Hanc•c (1).C. SUBJECT: April 17th BOCC Meeting Enclosed is a duplicate original, of each of the following,for your handling: C5 Task Order with KCI Technologies, Inc. (formerly known as Keith&Sclmars, P.A.) under the On Call Consulting Contract for Construction Engineering and Inspection (CEI) Services associated with the Community Aesthetic Feature-Big Pine Key entrance signs project in the amount of$6,930.00. C7 Contract with Pedro Falcon Contractors, Inc. for fabrication and installation of 2- Florida Department of Transportation approved Community Aesthetic Feature entrance signs on the Right-of-Way of US1 on Big Pine Key,in the amount of$84,705.00, with a contribution to the project of$15,000.00 by the Lower Keys Chamber of Commerce. C27 Amendment and Consent to Assignment to the Agreement for On Call Professional Engineering Services, from Keith and Schnars, P.A. to KCI Teclmologies, Inc. R3 Task Order with RS&H, Inc. for construction engineering and inspection services for construction of the portion of the access road to the Quarry Partners, LLC housing development on Big Coppitt Key that will be dedicated to Monroe County as a county maintained road. This task order is being awarded under the RS&H, Inc. On Call Contract for Professional Engineering Services in the maximum not to exceed amount of$100,708.80. Should you have any questions, please feel free to contact me at (305) 292-3550. Thank you. cc: County Attorney Finance File KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING 500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070 305-294-4641 305-289-6027 305-852-7145 305-852-7145 AMENDMENT AND CONSENT TO ASSIGNMENT This Amendment and Consent to Assignment is entered into this 17th day of April 2019,by and between Monroe County, a political subdivision of the State of Florida, hereafter COUNTY, and Keith and Schnars,P.A.,a Florida Professional Association,hereafter ASSIGNOR,and KCI Technologies,Inc., a Delaware corporation, whose principal address is 4041 Crescent Park Drive, Tampa, FL 33578, hereafter ASSIGNEE. WHEREAS, on January 17,2018,the COUNTY and ASSIGNOR entered into a contract for On Call Professional Engineering Services;and WHEREAS, the COUNTY received notice on March 28, 2019 that ASSIGNOR/ Keith and Schnars, P.A. was acquired through an Asset Purchase Agreement by KCI Technologies, Inc. effective January 1,2019;and WHEREAS, in order to acknowledge the acquisition said agreement will be amended to substitute the name of"Keith and Schnars, P.A." for that of"KCI Technologies, Inc.," and make other necessary changes as set forth below; and WHEREAS, the assets and operations of the ASSIGNOR have now been transferred to the ASSIGNEE; Now therefore, in consideration of the mutual promises of the original agreement as amended herein,the parties agree as follows: 1. The name of Consultant, as stated in the On Call Professional Engineering Services Agreement,shall be amended from"Keith and Schnars,P.A."to"KCI Technologies,Inc." 2. The Assignor assigns to Assignee all the Assignor's rights, title and interest in the original agreement. 3. In consideration for such consent, the Assignee agrees to be bound by all the terms and conditions of the original agreement,as amended. 4. Section 2.3 -Notice requirement shall be updated to reflect the following changes: • KCI Technologies,Inc. Mark Moshier,Practice Leader 6500 North Andrews Avenue Ft Lauderdale,FL 33309 5. Section, 6.1 — Personnel shall be updated to reflect the following changes: The CONSULTANT shall assign only qualified personnel, as demonstrated through resumes submitted at project proposal,to perform any service concerning the project. 6. The remaining provisions of the agreement dated January 17,2018,not inconsistent herewith, remain in full force and effect. K&S/KCI Amendment and Consent to Assignment April 17,2019 F"-7,V� l/i il 4?)..... • 6A - _ • 6•'� °�� BOARD OF C UNTY COMMISSIONERS A OYNty w 1 OK,Clerk OF MONRO O Y ORID By 67 By: Deputy Clerk ayor Chairman (SEAL) Keith and Schnars,P.A. _ (ASSIGNOR) - - ';, '_ - G��`�J . Witness: By: — - - By: 4 (_ Signature o�.� Si ature ‘tro I Jc.- 1`y�, 1 c.E'' ej m b .l 0.C' U►� Printed Name/Title = , Printed me/Title Date: H le HI r - -,a rn Crrn = cD �► LOQ�'''4 rz c-': � h�G.0Ao0A4p % �-, rn .• SEAL _ _ ..; .; . $ 1988 ' ' a` :o r • 10: . _ (SEAL) •�.'.�1-'.'N.AQ;�• � KCI Technologies,Inc. Witness: 4///iiiiitm11��4‘�`` (ASSI E) By. A I(M(,Q '(t By ...," 4 Noe- Signature Sign tune �n inC e(�'oP'fK¢(oi . ( k1tQ ki-x( VP--� Inc c Printed Name/Title PrintedT ame Title, , Z Date: 0 j(1- MONROE COUNTY ATTORNEY acAP JA c CHRISTINE LIMBERT-BARROWS ASSISTANT 0 ATTORNEY DATE: 9 K&S/KCI Amendment and Consent to Assignment April 17,2019 ATTACHMENT C Certification for Disclosure of Lobbying Activities on Federal Aid Contracts Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for Federal Aid Contracts 375-030-33 PROCUREMENT 10/01 CERTIFICATION FOR DISCLOSURE OF LOBBYING ACTIVITIES ON FEDERAL-AID CONTRACTS (Compliance with 49CFR, Section 20.100 (b)) The prospective participant certifies, by signing this certification,that to the best of his or her knowledge and belief: (1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,to any person for influencing or attempting to influence an officer or employee of any federal agency, a Member of Congress, an officer of employee of Congress, or an employee of a Member of Congress in connection with the awarding of any federal contract, the making of any federal grant,the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. (2) If any funds other than federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any federal agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities", in accordance with its instructions. (Standard Form-LLL can be obtained from the Florida Department of Transportation's Professional Services Administrator or Procurement Office.) This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352,Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than$10,000 and not more than $100,000 for each such failure. The prospective participant also agrees by submitting his or her proposal that he or she shall require that the language of this certification be included in all lower tier subcontracts,which exceed $100,000 and that all such subrecipients shall certify and disclose accordingly. Name of 'onsu : KCt Techndo54 % Inc.• B Date: 5 1-z,9 11 I Authorized Signature Title: U P—CF0 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 375-030-32 CERTIFICATION REGARDING DEBARMENT,SUSPENSION, PROCUREMENT 11115 INELIGIBILITY AND VOLUNTARY EXCLUSION- LOWER TIER COVERED TRANSACTIONS FOR FEDERAL AID CONTRACTS (Compliance with 2 CFR Parts 180 and 1200) It is certified that neither the below identified firm nor its principals are presently suspended,proposed for debarment,declared ineligible,or voluntarily excluded from participation in this transaction by any federal department or agency. Name of C s�It/�nt�/,C(o�tractor: By: "v(A41/14? Date: 7g— Title: V f Instructions for Certification Instructions for Certification-Lower Tier Participants: (Applicable to all subcontracts,purchase orders and other lower tier transactions requiring prior FMNA approval or estimated to cost$25,000 or more-2 CFR Parts 180 and 1200) a.By signing and submitting this proposal,the prospective lower tier is providing the certification set out below. b.The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into.If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification,in addition to other remedies available to the Federal Government,the department,or agency with which this transaction originated may pursue available remedies,including suspension and/or debarment. c.The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous by reason of changed circumstances. d.The terms"covered transaction,""debarred,""suspended,""ineligible,""participant,""person,""principal,"and"voluntarily excluded,"as used in this clause,are defined in 2 CFR Parts 180 and 1200.You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations."First Tier Covered Transactions"refers to any covered transaction between a grantee or subgrantee of Federal funds and a participant(such as the prime or general contract)."Lower Tier Covered Transactions"refers to any covered transaction under a First Tier Covered Transaction(such as subcontracts). "First Tier Participant"refers to the participant who has entered into a covered transaction with a grantee or subgrantee of Federal funds(such as the prime or general contractor)."Lower Tier Participant"refers any participant who has entered into a covered transaction with a First Tier Participant or other Lower Tier Participants(such as subcontractors and suppliers). e.The prospective lower tier participant agrees by submitting this proposal that,should the proposed covered transaction be entered into,it shall not knowingly enter into any lower tier covered transaction with a person who is debarred,suspended, declared ineligible,or voluntarily excluded from participation in this covered transaction,unless authorized by the department or agency with which this transaction originated. f.The prospective lower tier participant further agrees by submitting this proposal that it will include this clause titled "Certification Regarding Debarment,Suspension,Ineligibility and Voluntary Exclusion-Lower Tier Covered Transaction,"without modification,in all lower tier covered transactions and in all solicitations for lower tier covered transactions exceeding the $25,000 threshold. g.A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that is not debarred,suspended,ineligible,or voluntarily excluded from the covered transaction,unless it knows that the certification is erroneous.A participant is responsible for ensuring that its principals are not suspended,debarred,or otherwise ineligible to participate in covered transactions.To verify the eligibility of its principals,as well as the eligibility of any lower tier prospective participants,each participant may,but is not required to,check the Excluded Parties List System website (https://www.epls.gov/),which is compiled by the General Services Administration. h.Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause.The knowledge and information of participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. i.Except for transactions authorized under paragraph e of these instructions,if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended,debarred,ineligible,or voluntarily excluded from participation in this transaction,in addition to other remedies available to the Federal Government,the department or agency with which this transaction originated may pursue available remedies,including suspension and/or debarment. STATE OF RORIDA DEPARTMENT OF TRANSPORTATION 375-030-50 CONFLICT OF INTEREST/CONFIDENTIALITY CERTIFICATION PROCUREMENT OGC-03/37 FOR CONSULTANT/CONTRACTORITECHNICAL ADVISORS I certify that I have no present conflict of interest,that I have no knowledge of any conflict of interest that my firm may have,and that I will recuse myself from any capacity of decision making,approval,disapproval,or recommendation on any contract if I have a conflict of interest or a potential conflict of interest. Consultants/Contractors are expected to safeguard their ability to make objective,fair,and impartial decisions when performing work for the Department,and therefore may not accept benefits of any sort under circumstances in which it could be inferred by a reasonable observer that the benefit was intended to influence a pending or future decision of theirs,or to reward a past decision.Consultants performing work for the Department should avoid any conduct(whether in the context of business,financial,or social relationships) which might undermine the public trust,whether or not that conduct is unethical or lends itself to the appearance of ethical impropriety. I will maintain the confidentiality of all information not made public by the Florida Department of Transportation("Department")related to the procurement of the above-referenced(Project")that I gain access to as a result of my involvement with the Project("Procurement Information").I understand that Procurement Information includes,but is not limited to,documents prepared by or for the Department related to procurement of the Project.I also understand that Procurement Information includes,but is not limited to,documents submitted to the Department by entities seeking an award of the Project("Proposers").I understand that Procurement Information may include documents submitted by Proposers related to letters of response/letters of interest,technical proposals,price proposals, financial proposals,and information shared during exempt meetings.I also understand that Procurement Information may also include documents that evaluate or review documents submitted by Proposers,and information regarding Project cost estimates.I also agree not to discuss the Project with anyone who is a member of or acting on behalf of a Proposer. Unless so ordered by a court of competent jurisdiction or an opinion of the Office of the Florida Attorney General,I will not divulge any Procurement Information except to individuals who have executed a Conflict of Interest/Confidentiality Certification which has been approved by the Department("Project Personnel").I understand that a list of Project Personnel will be maintained by Department. If I am contacted by any member of the public or the media with a request for Procurement Information,I will promptly forward such request to the Department's Procurement Office.I will also maintain security and control over all documents containing Procurement Information which are in my custody. I agree not to solicit or accept gratuities,unwarranted privileges or exemptions,favors,or anything of value from any firm under consideration for an agreement associated with the Project,and I recognize that doing so may be contrary to statutes,ordinances,and rules governing or applicable to the Department or may otherwise be a violation of the law. I agree not to engage in bid tampering,pursuant to Section 838.22,Florida Statutes. I realize that violation of the above mentioned standards could result in the termination of my work for the Department. I further realize that violation of the above mentioned statute would be punishable in accordance with Section 838.22,Florida Statutes.. Advertisement No./ Description Financial Project Number(s) Solicitation No RFo-145-o-a.a r&. o- Ca a o fessitmr aL t\Vik Er�9 ineeiri Se,rvr ees C'oni roc+ Each undersigned individual agrees to the terms of this Conflict of Interest/Confidentiality Certification. Printed Names Signatur s Date N119{LIL , . r\ s i.- I CR- • v7/lam/2t,�j ___...—...14,10 KCITECH-01 RVANDEGRIFT ACC) REY CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) `..----- 3/28/2019 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 CONTACT Maureen Martin,AAI NAME_: Lyons Insurance Agency,Inc. PHONE FAX 501 Carr Road,Suite 301 (A/C,No,Eat):(302)472-2914 � (A/C,No): Wilmington,DE 19809 E-MAILDRESS:mmartin@lyonsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:National Union Fire Insurance Company of Pittsburgh,PA 19445 INSURED INSURER B:Great American Insurance Co. 16691 KCI Technologies,Inc. INSURER C:New Hampshire Insurance Company 23841 6500 North Andrews Avenue INSURER D: Fort Lauderdale,FL 33309 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 LTR I TYPE OF INSURANCE IAINSD WVD POLICY NUMBER IMM DDIYYYYI I(MM/DDY/YYYYI EXP I LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I S 1,000,000 CLAIMS-MADE X OCCUR X X 5222413 4/1/2019 4/1/2020 pREML$ES.jEaocc-u ante) $ 500,000 MED EXP(Any one person) $ 25,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: S A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident1 _S X ANY AUTO X X 4489582 4/1/2019 4/1/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS ONLYY PROPERTY P r aEcidTnt DAMAGE S x Comp.Ded.$250. x Coll. Ded.$500 S B X 1 UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 25,000,000 EXCESS LIAB CLAIMS-MADE X X TUU0202925-08 4/1/2019 4/1/2020 AGGREGATE S 25,000,000 DED X I RETENTION$ 10,000 $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y ANY PROPRIETOR/PARTNER/EXECUTIVE N N N/A X WC012016190 ASPD 4/1/2019 4/1/2020 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? RIS NAGEMENT 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under BY 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S ��" DATE 1"i WAIVER N/A , SfES . DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County shall be listed as an Additional Insured under General&Automobile Liability,on a Primary/Non-Contributory basis where required by written contract.Wavier of Subrogation is granted under General&Automobile Liability,&Workers Compensation,where required by written contract&allowable by state law. Umbrella is Following Form with the Underlying.If coverage is cancelled by the company,notice of cancellation will be provided at least 30 days in advance,subject to state specific statutes. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe CountyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street -Key West,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Client#:42475 KCITEC YYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 3/28 DATE(M/2019 NUDDrM/DD/Y 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: CBIZ Insurance Services,Inc. PHONE FAX (A/C,No,Ext): (A/C,No): 9755 Patuxent Woods Drive E-MAIL aecert@cbiz.com Suite 200 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Columbia,MD 21046 INSURER A:XL Specialty Insurance Co. 37885 INSURED INSURER E: KCI Technologies, Inc. INSURER C: 6500 N Andrews Ave. Fort Lauderdale, FL 33309 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. INSRL POLICY EFF POLICY EXP TYPE OF INSURANCE N W SR VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEC S CLAIMS-MADE OCCUR PREMISESO(Ea occu ence) S MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S PRO- APP•,� POLICY JECT LOC � i ��SK••'.AC,EIIAENT PRODUCTS-COMP/OP AGG $ OTHER: BY S AUTOMOBILE LIABILITY ( �(<-��(/ COMBINED SINGLE LIMIT DATE �, J S ANY AUTO BODILY LY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS WAIVER Wr YES BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional DPR9935594 12/15/2018 12/15/2019 $10,000,000 each claim Liability $15,000,000 aggregate $500,000 deductible DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Monroe CountySHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West,FL 33040 AUTHORIZED REPRESENTATIVE ; .+. it ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2068416/M1980450 OPMR