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1st Change Order 04/17/2019 • MONROE COUNTY/ENGINEERING/ PROJECT MANAGEMENT CONTRACT CHANGE ORDER PROJECT TITLE: Pigeon Key Ramp Rehabilitation Project CHANGE ORDER NO: 1 INITIATION DATE: 4/2/19 TO CONTRACTOR: American Empire Builders, Inc. CONTRACT DATE: 12/19/18 The Contract is changed as follows: The original Contract Sum $1,960,000.00 Net change by previously authorized Change Order $0 The Contract Sum prior to this Change order was $1,960,000.00 The Contract Sum is(increased)by this Change Order#1 $477,103.68 The Revised 1 Contract Sum including this Change Order $2,437,103.68 Pursuant to contract article 7.2.2, the cost or credit to the owner resulting from a change in the Work shall be determined in one or more of the following: 7.2.2.1 mutual acceptance of lump sum properly itemized'and supported by sufficient substantiating data to permit evaluation 7.2.2.2 unit prices stated in the Contract Documents or subsequently agreed upon 7.2.2.3 cost to be determined in a manner agreed upon by the parties and a mutually acceptable fixed or percentage fee The project commencement was February 18, 2019. The Construction Engineering and Inspection Services (CEI) firm for the project,WSP USA INC., discovered a plan error on the bid item 460-1-15 Structural Steel Rehabilitation weight calculation relative to the quantity for piers 1 and 2. Metric Engineering, Inc., the Engineer of Record conducted a site visit and provided a field report with additional work not specified on the bid set plans and corrected steel calculations. American Empire Builder's has provided negotiated line item pricing for these items (refer to attachment) and has requested 45 working days be added to the contract due to added scope of work and an estimated 4 weeks of steel fabrication.The CEI concurs with this change order. The resulting changes to the bid line items/new items in the contract are as follows: Bid Item No. Description Quantity UOM Unit cost $Amount 460-1-15 Structural Steel Rehabilitation 797 LB $75.00 ($59,775.00) (deduct original bid line item) *460-1-15 Structural Steel Rehabilitation 8,799.22 LB $60.75 $534,552.62 (negotiated due to increase quantity) **400-4-5 Concrete Class IV(increase due encasement of 1.60 CY $1453.79 $2,326.06 columns)) Total Increase to Contract Change Order 1 $477,103.68 Notes: *negotiated line item due to economies of scale **additional concrete required for column encasement This Change Order is 24.34%of the original contract price. 4.17.19 AEB CO1 PKR 7 CONTRACTOR , 1"6Z-1_ei �/�J U Date ENGINEERING SERVICES DIRECTOR N' /- Z • 9 Date ASSISTANT COU/FY AD RATO ZZ AIR Qot'i MAYOR ` / ail 201 i e*-*at)q*, Date `_` �it' : • S .• Kevin Madok, Clerk Iiinie *.,--.A. s <, p � ` b ✓f ' Deputy Clerk %,„„ o�.�o��•' e MONROE COUNTY ATTORNEY O AS TO RM: CHRISTINE LIMBERT-BARROWS ASSISTANT C TY AqTTORNEY DATE; A 9 O co -z1 fir, I— `'- fm cDfr C3 f`? -n (D : is FLORIDA DEPARTMENT OF TRANSPORTATION/FHWA Pigeon Key Ramp Bridge#904480 Rehabilitation FPN: 436566-1 Contract: GOW60 Federal Id: D618-030-8 Acknowledgement: Date 4.17.19 AEB CO1 PKR Change Order Attachment per Ordinance No. 004-1999 • Change Order was not included in the original contract specifications. Yes® No❑ If Yes,explanation: Engineer of Record(Metric Engineering, Inc)plan quantity error • Change Order Was included in the original specifications. Yes❑ No El If Yes,explanation of increase in price: •- Change Order exceeds$25,000 or 5%of contract price(whichever is greater). Yes®No❑ If Yes,explanation as to why it is not subject fora calling for bids: Construction in progress. v Project engineer/architect approves the change order. Yes®No❑ if no,explanation of why: • Change Order is correcting an error or omission in design document. Yes No❑ Should a claim under the applicable professional liability policy be made? Yes ❑No 1X1 Explain: If no math error had occurred,,additional steel quantity would have been initially bid. 4.17.19 AEB CO1 PKR 0�n . • . Do <AIMERICAEMPIRE BUILDERS' Pigeon Key Project April 1, 2019 FDOT Financial Project ID Number: 436566-1-58-01 To: WSP USA Contract Number: ATT. Ms.Jessica Miles GOW60 Dear Ms. Miles, Per your request, please see below our proposed prices for the steel rehabilitation according to the new scope which reflects details shown on the project drawings. Also, after evaluating the impact of the new quantities to the project, we request an increase of 45 working days to the project schedule. We reserve the right to claim more time if we do not receive a response on a timely matter on this subject and the quantities increase by request. Item • :: .. . Unit' No: . .: ... . .Descriptions ... . . Unit Quantity Price .. .Amount' 460-1-2 Pier 1&2 Structural Steel LB 8,799.22 60.75 534,552.62 Rehabilitation 400-4-5 Concrete Class IV CY 1.60 1,453.79 2,326.06 Please note that if the quantities change,AEB reserves its rights to reevaluate the quote and resubmit a revised unit price. If you have any further questions, please don't hesitate to call Antonio Gonzalez at(305) 345-5484. Sincerely, Antonio M. Gonzalez President 13775 SW 145'CT,Suite B Miami,FL 33186 305-261-9276 Office americanempirebuilders.com 'I' 29' 1 1 Steel learn .- tier cap('Cl-) 4 1 :x ExG MP gale Steel Pter Eetity C.n xstrRe T-W f iT r: . Y. / ITY• 1 6' c � r 5' . . C! I t y- w.----2'__ ____. ._ BPR BPR BPR 'OR BPR BPR 1'1D p J t PIER I ELEVATION • A Base Plate Rehabs PIER 2 ELEVATION Legend • Red:Column Repair Blue:Base Plate Rehab Purple:New Bracing Members Green:Now(bnrratn Encasements e. PIER LOC.DESC. SIZE LENGTH(LF) WT./FT NO.REQ. WEIGHT(LB) #Bolts PIER 1 BRACING ANGLES L4X4X1/2 42.25 12.8 1 540.8 PIER 1 BRACING ANGLES L4X4X1/2 41.75 12.8 1 534.4 PIER 1 CAP BEAM 4-L3x4x1/2 1-PL6x1/2 20 54.6 2 _ 2184 82 PIER 1 COLUMN SECTION 4-L3x4x1/2 1-PL 6x1/2 10 54.6 2 1092 41 PIER 1 COLUMN SECTION 4-L3x4x1/2 1-PL 6x1/2 6 54.6 2 655.2 26 PIER I PIER 1 COLUMN SECTION 4-L3x4x1/2 1-PL6x1/2 4 54.6 3 655.2 27 PIER 1 COLUMN SECTION 4-L3x4x1/2 1-PL 6x1/2 2 54.6 2 218.4 10 PIER 1 CAP BEAM CONNECTION L6x6x1/2 0.66 19.6 12 155.232 24 PIER 1 BASE PLATE Pt 12x24x3/4 2 61.2 6 734.4 PIER 1 BASE CONNECTION L6x6x1/2 0.66 19.6 12 155.232 24 PIER 1 ANCHOR BOLTS 3/4"DIA 2 1.3 12 31.2 PIER 1 ANCHOR WASHER PL 4x1/2 0.33 2.3 12 9.108 PIER 2 BRACING ANGLES L4X4X1/2 28.23 12.8 2 722.688 PIER 2 COLUM N SECTION 4-L3x4x1/2 1-PL6x1/2 5 54.6 1 273 11 PIER 2 COLUMN SECTION 4-1.3x4x1/2 1-PL6x1/2 2 54.6 2 218.4 10 PIER 2 PIER 2 BASE PLATE PL 12x24x3/4 2 61.2 4 489.6 PIER 2 BASE CONNECTION L6x6x1/2 0.66 19.6 8 103.488 16 PIER 2 ANCHOR BOLTS 3/4•'DIA 2 1.3 8 20.8 PIER 2 ANCHOR WASHER PL 4x1/2 0.33 2.3 8 6.072 WSP SUBTOTAL STEEL'Calculations based on planned repair details and are subject to change. 8799.22 271.00 WSP/AEB AD R•' s, PIER LOCATION LOC.DESC. SIZE LF Vol.(CF) NO.REQ. Total CF PIER 1 CONCRETE (COLUMN 2 ENCASEMENT 11.42 FT X 1.42 FT I 4 8.07 1 I 8.07 PIER 1 CONCRETE COLUMN 3 ENCASEMENT 1.42 FT X 1.42 FT 4 8.07 1 8.07 PIER 1 CONCRETE COLUMN 4 ENCASEMENT 1.42 FT X 1.42 FT 4 8.07 1 8.07 PIER 1 CONCRETE COLUMN 5 ENCASEMENT 1.42 FT X 1.42 FT 4 8.07 1 8.07 PIER 1 CONCRETE COLUMN 6 ENCASEMENT 1.42 FT X 1.42 FT 2 4.03 1 4.03 PIER 2 CONCRETE COLUMN 4 ENCASEMENT 1.42 FT X 1.42 FT 4 8.07 1 8.07 WSP TOTAL CONCRETE 44.4 Cubic Yard Conversion: 1.6 PAY ITEM ANALYSIS PAY ITEM NO. DESCRIPTION UNIT PLAN QTY PROJECTED QTY ADDITIONAL QTY 460-1-2 STRUCTURAL STEEL REHAB LB 797 8799.2 8002.2 400-4-5 CONCRETE CLASS IV SUBSTRUCTURE CY 57 58.6 1.6 FIELD PHOTOS OF STEEL DETERIORATION F i,:p SIP a.as awr L•+ staff H,a. 1 :/ ,,..rrer(ilium) .. ._ 1. r VI II D +' �F* 1 Leiria,' Aril 6 r,Yi r-,,.y-r,. . _ ,E ----.-- � 41• id �. K_; T _ 1 • 2' .._' t' S, BPR BPR BPR 8PR 8PR BPR .111 f=1 P _ i Tl Lra PIER 1 f1El/AT/ON _._ ---- L N lifi Plate Rettabt PR:R 2 ELEVATION 7 l C3/ ies 1;116 Jr i. ait foimia._ .. Figure A:Existing gap at pier cap 1 between columns 3 and 4 This is location Metric has called for a new I-Beam. • A. a• • • ' ` . 0.11160i.minseimaL. * its a. Figure B:Pier 1 cap deterioration Recommend repairing 40 feet of the bottom flange and possibly some web. This is the cap Metric called for a new I-Beam to splice into the existing. Web may not be thick enough to attach to and may need repair prior to installing a new I-Beam splice. Bottom flange has significant visual section loss. 'IL. . _ , i >: „' r: --. .-. • -r•-• t^_? _a 1 t i, �� . ice, t` ��i $ ,,, A. # ; r v - •i ". ,�..S ,� ;.V , r "yip ' e t gyp. 1 {� r yr. �. ./ . - \ ; .,�'x-. Figure C Pier 1 Column 1 Bottom Recommend new base plate and anchor bolts. • I \ Figure D:Pier 1 Column 2 Top Recommend new repair on top of column with new connector. / \ 7. ' '\ . .,. .. . . t y . . . f J£ . ! ° , , \� \ ? K . . y} �_z �\ � � 2\ ¥J�\»^ / \ � z � ���»� \ --#�_ . Jp : _ /_» � - 4 /� ~ \ z / . � > \ J. , ` ~~ . K . . ' \\ ` �� w » y ��: » >y < . . .. < . y, . . _ . «. NI - < § } and , § �/\�« a q w» � \». v . . . /© © , < k - ^} , \\ \ . 4 � 2v Figure E.Per I Column 2 and encasement. Recommend repair column and top of concrete. © * , \ \ - . . ' 2 � ! » . r � �¥� • � � \ \ Figure F.Pier I Column 4 Top Recommend p m due to section loss with new connectors. r • , , 1 , , • 4 l ` 1l1 P , 0 NMI. .. Figure G:Pier 1 Column 4 Bottom Recommend column repair due to section loss. 4 -j ,.1, A 1 New .:. A ) P -41401191 ,17 .,`�,� ` _.." 41 " � - p, Ih -,..-"P .7 til ■..,_ L. I Figure H Pier 1 Column 5 Top Recommend repair steel due to section loss. } Figure I:Pier 1 Column 5 and 6 Bottom Recommend repair steel due to section loss. Remove concrete and repair as needed. New base plates and anchor bolts. { 1114 0411.4 void Figure J. Pier 1 Column 5 and Column 6 concrete encasement spalling at bottom, cracked with rust leaking out the bottom. k 1 7 r _ _ „ .., __. „ ., ... ,„ , :._ , . ifr- .,..., .....a.,._.„ , A........a' .. -- - ft ..,., Figure K Pier 1 Column 6 Bottom Recommend repair steel due to section loss. Remove concrete and repair as needed. -",'... .f.-.„„_;•:..''.--. ,-4,..., . - • •.--., . .-.,-ti,,;.:,..-..--,f.,41:, . .. • .. - •'•-,,-,:i7----.., S. -sai. ,...,,,r,„. •,(,,,.., -, ,-••,- , 1 .,,,-. , ,, . ...... .. ...„....,,t,-..........-. -. , A ._ i , , , -0, ,lot.i.,.! • ./'. " . . i, I. .k.:••,I4-, .-,x7,4,.....„..., . . . . .. - —2 , .-.7 •*---,.-:"••• 'S'A '.=. , ''''..-li- •i_ 7-7"4-•;4`./..:!;., Asf.—4 1., •- •' , .,•••• ••• ... ..,•:00.. .f,...„.,:: 114;,, -../.7;1015...:--'....Q,.;Al,:'. ! :P.' tgo:01- ,I. I. is..,r.,,,g,• .,i ' -.--......1!,..7,.-..- ,PX.r-• . ... N.'..Vt,., •.' ,1 ..tn ,4-' -'11"! --.4. e,-;""..104.• '",•• , i4V,"%kt-14 -t;.-534.,pt-1:4-.•-/- _%0‹. ---- •.--,-.......-q , • ,-;.,,..,.... • ..• ..: ..7, ...,e. ...- ..-.-,....,;.,.,,,,.. - .s.- - • ,Till.t.:flo;',1kY''''•' J.1,'','s,:v5.71L- -',:k- 5!:. . .,. kr,., •-•,,, '.. „., ,,,. .16,..:::4;,. ',.., t .' ---* tz--.,-; -.1s:,t,e4 114,;. z.i.,,... ::.. ,.,..;.. i ir :: '5r,"`'' ': '4 1: ••••• /.. ' . 1 474 7 4 A II4' 4:1-Z '':. , ' ' • 44... • .- •••Iter4a,sielt;. .'11,.1.0.,,,4:14,,,eic...7_,, p1: 'S .Vm' .' ' •irje- '-' • • , ,,,,,*tw,,i , ,.....: ,,y,..,.,.,,•.,.. ...... •,,,... •..t.,,,..... . '1%, ' •),-.4‘1 - _ ,„elb.,...,,..„„, '••sl. , - '''''' ,,.. ail It.,,• ,ift:,..g,r 01, N—.•_,..i;','1.r... ,....,, , .tif'!:t - .•• q ..,, . %...,.. — dog> ,.. ,. ,,.' •--- .:,)10, • ...",,,‘....;.-Ar '., •,,I.1, N-41‘..: ,T qa • , ./E_I yalafs 4,....,,A) • , 's. '1.- - •.4." ,,,-..-ak- 4,,. i 4,, 1 '4 vs, .,..... -.;. t: - • . A 4;:' iii4t •,;-; 4`._€-alii-- , • --74s4 •--. or ' , ,,-, !, .4 mir II"4""l' ' ,,,i ' •.41,-:.. -. ' ,.-. vile ‘,..-•,:o lab. - e.^ • -,. • • , ' •• .4.'- 4 . ,t_.--' - )'It ,1*" - " ' '"• " e_o Jo 4., .ci ..;, 4 -.. '.11 I. -b Zit.' . • II'"t1.. 4 .p 4. • ..r • Ive. 1. .4,los, ''N . , ,,,1110..i',„ -. ,., 4 .4. ,74,41(....e.•:. * ,.X. 4..Ili . • tAel.-. -.4111,10 .• ..% 4 . • /Sy litke...':°' „ .......41\boa 40,'Il•. • 'illialk. ‘",_,.... : • . , '' • %,`" ••• . .11,,. 114,.,, ,,_ i s t 111• •A..," ; - *TIT .1pm-3 , .. - tv - , . ,..,04<, — .f: ^1r .4 ,:- r,••.,A ir .:, .. .4s, , • ,,' t t , Now!. •• . Ye .,, .17.,./p.ow ^. ' ' . ' - ' 4. 1' / ,4,24t4,11..._ v , -41P• , t'0".. ' f'I•- . 1111‘ t II. '41. flo .-. .'• I* _- ,i , ,A.I''' '''' ;,,-•--... .Ilt.':1% i, t7‘.. 174- ,.....' ,- -,; fir'' ; . •• "'"' ;• " - Figure L. Pier 2 Column 1 base plate and anchor bolts Recommend replacing base plate and anchor bolts. ) ,.7.1r,•I: ,:r„;4:.: - !•16 %f t se,.•—•-, . -,c:..t—_, ,- 1.'ft l'' - • ... ... ' LI' :` ,"^:`r.:,--.,..:,-.. . -I_ ----,-. -_, -.,...4s :-,,„-- , 4:,'„ sat , ‘ ' ; - '• i-4- - •.' /I!" . ' ..,...:** .t.- 7.7...4'' ' ' -4 14• ''' • ' •''4.4 i ft • ' A ''''s;• . :,••I ' 'j.• , .01•1.! „,,.,..4.... :"$'16):,'. •:,••• 444C"-:-t• I r . . „ ' ', .. ..,.. :,•; , i, • • • . oK". .... ' 47 •!;.4, if'•- ',. :: ' il, -_, ;_,‘••• "... .t.5-,%::4' . ' •F.,. • 1 "t • *.,1 */To. •.. • ‘• . . f. 3'4':.'. . •• ••4.4'I. ''41140' . : '• . • ‘r. . te.,.•• •1 1' .,A., IP.•• b, • ,"-.4- .,-...s,i .'f' -' 1..-. 02:t ' • t.- . • • et...... ...jillrit T.:',Z1* .-':') dr 4 4 4/.. ' • 0110111 .. 1 t - • • 4P... • It.. ' , ftr ,A, '- t---,, ,*",':.....-' r -• , -,,,,, .-,.,,,, 4., f - — '' - . •,,4' Alk Jt." ni, IA " -•., or• } -; . , • 4, , • 41:i 111110 •-.. ,4 IS , ‘ • A ,,, , •P 1. 4 ' -'-Pf _ . li,,, di 41_ ....„ r , , -, ..., ,.. , . A " '1 . , . .„ 41 :,,, 0. ;4.. , it-i, ... •-.f - , •r—t*.rs 44 „0„,,,, , , r• .• ,ft .s.- . '.,. • • 1.:!, ., ) . %• It • , * .."5:•?••• . 97 1.Ali!, • '•t)14' -.Ia..% :"1.11,-,.. -• ' ' * .,••• . ' .s.... .7 _ , Figure M: Pier 2 Column 2 base plate and anchor bolts. Recommend repairing steel and replacing anchor bolts and base plate. • i I s^� y��t^� r f !• F 4 lig . ',., • 'gyp T R: Y e' '�Y.:y: f' r. • Figure N: Pier 2 Column 3 base plate, anchor bolts Recommend replacing base plates and anchor bolts and repairing steel column. as R R , 4,1 # Alt _.. P,i t';‘. i 1 .. .._ k l (mod ....., :*:',—.:41::- cr -'0-.1— k-k'z' Illalift .0 r a Ili �4 !41i Figure 0:Pier 2 Column 4. Note concrete is cracked from top to bottom with a horizontal crack across the bottom. Recommend removing and replacing concrete, repairing steel and change base plates with anchor bolts. AC o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/26/2019 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 Paulina Huerta NAME: ___ Keen Battle Mead&Company PHONE HO No.Extl: (305)558-1101 Ia XXC,No): (305)822-4722 IA/C7850 Northwest 146th Street E-MAIL phuerta@kbmco.com ADDRESS: Suite 200 INSURER(S)AFFORDING COVERAGE NAIC# Miami Lakes FL 33016 INSURER A: StarNet Insurance Company 40045 INSURED INSURER 8: American Empire Builders,Inc INSURER C: 13775 SW 145th CT INSURER D: Suite B INSURER E: Miami FL 33186 INSURERF: COVERAGES CERTIFICATE NUMBER: 19-20 WC renewal 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 ADDLSUBR POLICYEFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR _PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATEPRO- $ POLICY JEC LOC PRODUCTS-COMP/OP AGG $ OTHER: Employee Benefit iability $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY -(Per accident) $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ _ $ WORKERS COMPENSATION X STATUTE OTH- ER AND EMPLOYERS'LIABILITY Y/N — - ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? N N/A KEY0138563 01/01/2019 01/01/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Each Accident $1,000,000 USL&H A KEY0138563 01/01/2019 01/01/2020 Disease Each Employee $1,000,000 Disease Policy Limit $1,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) R < EM?NT :AMER N/A J CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. - AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West FL 33040 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD