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2nd Amendment 06/19/2019 4*K MEMORANDUM OFFICE OF THE COUNTY ATTORNEY 1111 12tStreet, Suite 408, Key West, FL 33040 Phone (305) 292-3470/Fax (305) 292-3516 TO: Pam Hancock Deputy Clerk FROM: Abra Campo Executive Administrator DATE: - July 11, 2019 SUBJECT: BOCC Meeting 6/19/19; Approved Agenda Item D7 (5686) D. HURRICANE IRMA RECOVERY -Page 5 D7 SUSTAINABILITY: Ratify Amendment No. 2 to a contract with Adventure Environmental, Inc., for removal of marine debris created by Hurricane Irma from canals in unincorporated Monroe County, City of Marathon and Village of Islamorada; to reduce the hydraulic removal rates for Big Pine Key; as signed by the County Administrator. Enclosed: One (1) executed copy of the Amendment for execution by the Mayor, BOCC records and distribution. Includes updatedinsurance. A)-(1.64-e-rt ?ljyJj€ off; � BOARD OF COUNTY COMMISSIONERS County of Monroe r` Mayor Sylvia J.Murphy,District 5 Mayor Pro Tem Danny L.Kolhage,District 1 The Florida Keys Michelle Coldiron,District 2 . � Heather Carruthers,District 3 David Rice,District 4 Monroe County Board of County Commissioners Office of the County Administrator The Historic Gato Cigar Factory 1100 Simonton Street, Suite.205 Key West,FL 33040 (305)292-4441-Phone (305)292-4544-Fax MEMORANDUM TO: Abra Campo, Executive Administrator FROM: Monica Rodriguez, Executive Assistant DATE: July 8, 2019 SUBJECT: Item approved at 06/19/2019 BOCC Meeting. • Item D-7—Ratify Amendment No. 2 to a contract with Adventure Environmental, Inc.,for removal of.marine debris created by Hurricane Irma from canals in unincorporated Monroe County, City of Marathon and Village of Islamorada; to reduce the hydraulic removal rates for Big Pine Key; as signed by the County Administrator. Thank you, Gin ok e0-4, Monica R. AMENDMENT NO.2 TO THE AGREEMENT FOR MARINE DEBRIS REMOVAL AS A RESULT OF HURRICANE IRMA This Amendment No. 2 is entered into on June 19, 2019 to that Agreement("Agreement") made and entered into on July 18. 2018 and amended August 15, 2018 by and between Monroe County, a political subdivision of the State of Florida, hereinafter referred to as "COUNTY," through the Monroe County Board of County Commissioners ("BOCC"), and Adventure Environmental,Inc., its successors and assigns, hereinafter referred to as"CONTRACTOR", WITNESSETH: WHEREAS, CONTRACTOR has agreed to provide marine debris removal and related services, and dredging and trucking services, which services shall collectively be referred to as the "Project";and WHEREAS,NRCS approved additional canals for sediment removal on Big Pine Key, which are included herein;and WHEREAS,the sediment could be removed by either mechanical or hydraulic removal;and. WHEREAS,the CONTRACTOR prefers the hydraulic removal method;and WHEREAS, the parties agree to reduce the rates of the hydraulic dredging for the 5 canals on Big Pine Key only to match the mechanical removal rate. NOW, THEREFORE, in consideration of the mutual promises, covenants and agreements stated herein, and for other good and valuable consideration, the sufficiency of which is hereby acknowledged,COUNTY and CONTRACTOR agree as follows: 1. This Amendment No.2 is retroactive to June 10,2019. 2. The List of Canals approved for sediment removal on Big Pine Key are 282, 293, 297, 299 and 300. The vendor will perform hydraulic removal in up to 5 of these canals as directed by the County through Task.Order. 1 Paragraph 7.1 of the Agreement, Contract Sum, refers to rates as shown in the Pricing Schedule in Attachment B. For the purposes of canals 282, 293, 297, 299 and 300 only, the rates for hydraulic removal shown in Attachment B, part 2 (Canal Sediment, Silt and Sand Removal), incorporated by reference in in Paragraph 7.1 of the Agreement,shall be as follows: 4 Hydraulic removal and dewatering of accumulated. Cubic Yard 1- 10,000 $150.00 silt/sediment/sand that was deposited as a result of CY hurricane.Transport to TDMA as directed by County. over $150.00. County to provide permit.: 1.0,000 CY 4. In all other respects,the provisions of the Agreement remain unchanged and in full force and effect. IN WITNESS WHEREOF, eachpartyhas caused this Agreement to be executed by its duly authorized representative on the day and year indicated. (SEAL) MONROE COUNTY Attest: Kevin Madok, Clerk By: By: /9 Deputy Clerk cting ounty Administra or Date: . ``� iliaii,,, PO " 1. ADVENTURE ENVIRONMfit rill�y • SAL 6"••••GAY........1 1-:••C��•1 I: tif BA0 BY /�A i` '�/��i�4OR1DPo���\°� WITH ��`` IPMF4alfe_Print name: _ .. ILA _J w 1. Print n , — and title: �( , ! v�" J BY: ,ik. �` � . gy' WITNESS Print name: h-e. IA/ (7 l a .c e { is APPROVAL AS TO FORM: MONROE COUNTY ATTORNEY'S OFFICE i Digitally signed by Cynthia L.Hall r• ", i DN:cn=Cynthia L.Hall, tkgo=Monroe County BOCC,ou, email=hall- cynthia@rnonroecounty-fl.gov, 2 ,c=115.", a rt Date:201906.11 10:42:38-04'00' • -____.......,,N ADVEN-1 OP ID: GB ,d►CO- CERTIFICATE OF LIABILITY INSURANCE OATE(M1'YY) � 02/13/20/2019 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 504-486-5411 CONTACT Gail Boudreaux Accessible Marine Insurance PHONE FAX 1145 Robert E Lee Blvd INC,No,Ext):504-486-5411 (AMC,No):504-482-1475 New Orleans,LA 70124 E-MAIL gail@ami-ins.com Eric S.Green INSURER(S)AFFORDING COVERAGE NAIC it INSURER A:StarNet Insurance Company RERUN INSURER B: vgentUrpe Environmental Inc. G12895 SW187th Ave. INSURER C Miami,FL 33176 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 TYPE OF INSURANCE ADOL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR 1N D WVD 1MM!DDIYYYYI (MMiDD!YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE I X OCCURBOUM-A-18-2110 08/15/2018 08/15/2019 DAMAGETORENTED 50,000 J X x PREMISE$(Fa nc�,Rancv) $ MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JELQT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _ ,..(Fa accide_nt1 _$ _ — ANY AUTO APPR©\ED MEN BODILY INJURY(Per person) $ _ OWNED SCHEDULED BY _ AUTOS ONLY _ AUTOS • BODILY INJURY(Per accident) $ HIRED NON-OWNED DATE e�aa dent AMAGE _AUTOS ONLY —AUTOS ONLY WAIVE / �� 4 $ u t -� r'A- $ . UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTF FR Y N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ FFICERJM�M EXCLUDED? NIA (Mandatory m NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A M.E.L. X BOUM-A-18-2110 08/15/2018 08/15/2019 M.E.L. 1,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate holder shown as additional insured with waiver of subrogation in their favor as required by written contract as respects insured's operations.Waiver of subrogation in favor of certificate holder as respects M.E.L. CERTIFICATE HOLDER CANCELLATION MONR006 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe Couonty BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St Key West,FL 33040 AUTHORIZED REPRESENTATIVE 1 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTEPAD Adventure Environmental Inc. ADVEN-1 PAGE 2 INSURED'S NAME OP ID: GB Date 02/13/2019 Marine General Liability (Diving Operations) : - Marine General Liability Coverage Form - Shipreparier's Liability Endorsement - Traveling Workmen Endorsement - In Rem Endorsement - Combined Single Limit Endorsement - Special Conditions Endorsement for Diving Contractors: (maximum allowable diving depth - 50ft) Maritime Employers Liability: - Maritime Employers Liability Coverage Form - Transportation, Wages, Maintenance & Cure - Notice of Cancellation: 30 days (10 days for non-payment of premium) - Death on the High Seas Clause - In Rem Liability - Blanket Waiver of Subrogation - AIMU Extended Radioactive Contamination Exclusion Clause - AIMU Chemical, Biological, Bio-Chemical, & Electromagnetic Exclusion - AIMU U.S. Economic and Trade Sanctions Clause - AIMU Cyber Exclusion Clause - Terrorism Exclusion and Marine Buyback Endorsement - TRIA Exclusion Endorsement General Condition Endorsements applicable to both MGL and MEL: - Punitive Damages Exclusion - Blanket Additional Insured / Loss Payee / Waiver of Subrogation - Blanket Primary / Non-Contributory - Nuclear Energy Liability Exclusion Endorsement - AIMU Extended Radioactive Contaminiation Exclusion Clause - AIMU Chemical, Biological, Biochemical 6 Electromagnetic Exclusion - AIMU U.S. Economic and Trade Sanctions Clause - AIMU Cyber Exclusion Endorsement - Oil Pollution Act Disclaimer Endorsement - Action Over Indemnity Buyback - Pollution Limitation Endorsement (72 hrs / 30 days) - Terrorism Exclusion and Marine Buybackk Endorsement - TRIA Exclusion Endorsement - Limits and Deductible are inclusive of Defense Costs (Including Legal Fees and Expenses) ADVEN-1 OP ID:GB ,4CORO- CERTIFICATE OF LIABILITY INSURANCE DATE02/13DDm9Y) �-� 2/13/2019 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 be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Marine Insurance Accessible Marine Insurance NAME: 1145 Robert E Lee Blvd PHONE o.Ext):504-486-5411 (n/c,Na):504-482-1475 New Orleans,LA 70124 ADDRESS:gail@ami-ins.com Eric S.Green INSURER(S)AFFORDING COVERAGE NAIC B INSURER A:Capitol Specialty Ins.Company INSURED Adventure Environmental Inc. INSURER B:Great American Ins.Company 22136 Greg Tolpin 160 Georgia Avenue INSURER C: Tavenier,FL 33070 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER LMMIDD/YYYY) ,(MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR X X EV20190209-01 01/09/2019 01/09/2020 pREM SES(Ea oN urrence $ 50,000 MED EXP(Any one person) $ 5,000 _ PERSONAL&ADVINJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) —ANY AUTO .-I-'PI ED`.at � I ENT BODILY INJURY(Per person) $ ALL OWNED SCHEDULED 3Y J �/ BODILY INJURY(Per accident) $ _ AUTOS AUTOS NON OWNED DAT i a7 KM L. PROPERTY DAMAGE _ HIRED AUTOS — AUTOS WAIVER 1,A IT E (Per accident) $ $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION - PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER 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 EL DISEASE-POLICY LIMIT $ B Cont.Equipment IMP 5305782-03 01/26/2019 01/26/2020 Scheduled 432,963 B HuII/P&I Liability OMH841008-07 10/12/2018 10/12/2019 P&l Limit 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Certificate holder shown as additional insured with waiver of subrogation in their favor as requried by written contract as respects insured's operations. CERTIFICATE HOLDER CANCELLATION MONR005 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE • THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. Key West,FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD NOTEPAD Adventure Environmental Inc. ADVEN-1 PAGE 2 INSURED'SNAME OP ID:GB Date 02/13/2019 Contractors Pollution Liability: Insurer: Rockhill Insurance Company Policy#: ENVP007681-05 Policy Period: 01/09/18 - 01/09/2019 Claims Made Aggregate Limit: 2,000,000 Each Contractors Pollution Condition Limit: 2,000,000 Blanket Additional Insured/ Waiver of Subrogation Professional Liability: Insurer: Rockhill Insurance Company Policy#: ENVP007681-05 Policy Period: 01/09/18 - 01/09/2019 Aggregate Limit: 2,000,000 Each Professional Services Incident Limit: 2,000,000 Commercial General Liability Conditions: Deductible Liability Endorsement Exclusion - Testing or Consulting Errors and Omissions Total Pollution Exclusion Endorsement Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Exclusion-Violation of Statutes that Govern Emails, Fax, Phone Calls or Other Methods of Sending Exclusion - Punitive or Exemplary Damages Amended Waiver of Subrogation Exclusion - Engineers, Architects or Surveyors Exclusion - Exterior Insulation and Finish Systems Exclusion - Professional Services Primary/Non-Contributory Coverage-Blanket - When req. by written contract Additional Insured - Managers or Lessors of Premises Toxic Drywall Exclusion Separation of Insureds Independent and/or Subcontractor Restriction Contractors Pollution Liability (Claims-Made) Conditions: Additional Insured - Owners, Lessees or Contractors (Broad Wording) Amended Waiver of Subrogation Toxic Drywall Exclusion • Professional Liability Conditions: War or Terrorism Exclusion Additional Insured - Owners, Lessees or Contractors Hull & Machinery / Protection & Indemnity: Terms and Conditions applicable to All Sections: Severability Terms and Conditions applicable to Hull: A. I. Coastwise and Inland Hull Clauses Deliberage Damage (Pollution Hazard) Engines & Machinery - ACV / Limited Perils Only No Lay Up Warranty No Release to Tower Warranty Seaworthiness Clause Total Loss Hull Premium Earned Clause Vessel Stability Additional Insured as respects P&I NOTEPAD Adventure Environmental Inc. ADVEN-1 PAGE 3 INSURED'S NAME OP ID: GB Date 02/13/2019 Terms and Conditions applicable to P&I: SP-38 Form Collision Clause including Tow & Extended Tower's Liability Collision Liability - P&I Extension Diving & Swimming Exclusion Food & Beverage Exclusion Health Hazard Exclusion Liability Limitation No Release to Tower Warranty P&I Crew Exclusion: Notwithstanding anything contained in the Protection and Indemnity Clauses herein to the contrary, it is understood and agreed that this Company shall not be liable for any loss, expense or claim to employees of the Assured, members of the crew, contractors or subcontractors Punitive/Exemplary Damages Exclusion Special Operations Exclusion Hull & Machinery / 3rd Party Protection & Indemnity (8) Sectional Barges Agreed Value: $60,000 3rd Party P&I: $1,000,000 Policy Number: OMH 4016648-03 Policy Period: 07/02/2018 to 03/29/2019 Terms/Conditions (Hull & Machinery) AI Coastwise and Inland Hull Clauses Boom Clause - Named Perils / Weight Overload Deliberate Damage (Pollution Hazard) No Release to Tower Warranty Seaworthiness Clause Total Loss Hull Premium Earned\Clause Vessel Stability • Additional Insured as respects P&I Terms/Conditions (3rd Party P&I) : SP-38 Collision Liability - P&I Extension Diving & Swimming Exclusion Food & Beverage Exclusion Health Hazard Exclusion Lift Exclusion Liability Limitation No Release to Tower Warranty P&I Crew - Crew is Excluded Punitive / Exemplary Damages Exclusion Special Operations Exclusion AI/LP: Mobro Marine, Inc. P. 0. Box 986 Green Cove Springs, FL 32043 Contractor's Equipment: - Owned Equipment $432,963 - Leased/Rented Equipment any one item limit $200,000 - Leased/Rented Equipment all items limit $400,000 • • Date CERTIFICATE OF LIABILITY INSURANCE I 5/21/2019 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727) 938-5562 Insurers Affording Coverage NAIC# Insured: South East Personnel Leasing, Inc. &Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurer6: Holiday, FL 34691 InsurerC: Insurer D: Insurer E: Coverages The policies urance 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. Aggregate limits shown may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration Limits LTR INSRD Type of Insurance Policy Number Date Date (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each Occurrence $ Commercial General Liability ]=1 Damage to rented premises(EA Claims Made Occur occurrence) $ Med Exp $ General aggregate limit applies per: Personal Adv Injury• $ General Aggregate $ D Policy ❑Project ❑ LOC Products-Comp/Op Agg $ AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) $ Any Auto �nvr,�r�-�r�yy��rr��Y i"i16K 1NfRC�E1ufE1tIT Bodily Injury — All Owned Autos \ j1 Scheduled Autos SY (Per Person) $ Hired Autos DATE__ 7 -I I Bodily Injury (Per Accident) $ Non-Owned Autos A VW-- Property Damage (Per Accident) 1 $ EXCESS/UMBRELLA LIABILITY Each Occurrence Occur ❑Claims Made Aggregate Deductible A Workers Compensation and WC 71949 01/01/2019 01/01/2020 X I WC Statu- I I OTH- Employers'Liability tory Limits ER Any proprietor/partner/executive officer/member E.L.Each Accident $1,000,000 - excluded? NO E.L.Disease-Ea Employee $1,000,000 If Yes,describe under special provisions below. E.L.Disease-Policy Limits $1,000,000 Other Lion Insurance Company is A.M.Best Company rated A(Excellent). AMB#12616 Descriptions of Operations/LocationsNehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 80-65-323 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company": Adventure Environmental,Inc. Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s),while working in:FL. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company of any other entity. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or email certificates@lioninsurancecompany.com Project Name: GREGORY J.TOLPIN,LICENSE NUMBERS CGC1506411 8 CUC1223905 AS QUALIFIER.INCLUDED USL&H.ISSUE 05-21-19(KLR) Begin Date:3/15/2010 CERTIFICATE HOLDER CANCELLATION MONROE COUNTY . Should any of the above described policies be cancelled before the expiration date thereof,the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left,but failure to BOARD OF COUNTY COMMISSIONERS do so shall impose no obligation or liability of any kind upon the insurer,its agents or representatives. 1100 SIMONTON STREET ___ — KEW WEST, FL 33040 ).�r.4J�jr / -----. �-- PROGRESSIVE' BUTLER BUCKLEY DEETS COMMERC/AL 6161 BLUE LAGOON#420 MIAMI,FL 33126 1-305-262-0086 • Policy number: 03515746-9 Underwritten by: Progressive Express Ins Company July 11,2019 Page 1 of 2 A Y RIB NAh EM-NfT BY Certificate of Insurance DATE 7 (-I_ WAI\P 14/A 4 YES, Certificate Holder Additional Insured MONROE COUNTY BOCC 1100 SIMONTON ST KEY WEST,FL 33040 Insured Agent ADVENTURE ENVIRONMENTAL BUTLER BUCKLEY DEETS INC 6161 BLUE LAGOON#420 160 GEORGIA AVE MIAMI,FL 33126 TAVERNIER,FL 33070 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations,endorsements,and conditions of these policies. Policy Effective Date: Jun 11,2019 Policy Expiration Date: Jun 11,2020 Insurance coverage(s) Limits Bodily Injury/Property Damage $1,000,000 Combined Single Limit Uninsured Motorist $1,000,000 CSL Non-Stacked Personal Injury Protection $10,000 w/Workers Comp-Named Insd&Relative Employer's Non-Owned Auto BIPD $1,000,000 Combined Single Limit Hired Auto Bodily Injury/Property Damage $1,000,000 Combined Single Limit Description of LocationNehicles/Special Items Scheduled autos only 2011 CHEVROLET SUBURBAN C1500/1 GNSKKE31 BR382272 Comprehensive $1,000 Ded Collision $1,000 Ded 2014 CHEVROLET SILVERADO C2500 1GC1CVCG7EF187484 Medical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded 2002 KW T80 1NKDLT9X12J894497 Medical Payments $5,000 2015 CHEVROLET SILVERADO C2500 1 GC2CUEG1 FZ541060 Medical Payments $5,000 continued • Policy number: 03515746-9 • Page 2 of 2 Comprehensive $1,000 Ded Collision $1,000 Ded 2017 CHEVROLET SILVERADO C2500 1 GC1 KXEG3HF104715 Medical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded 2017 CHEVROLET SILVERADO C2500 1 GC1 KUEGOHF207993 Medical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded 2018 CHEVROLET 2500 HD 1 GC1 KUEGXJF134539 Medical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded 2014 PTRB 388 1NPWX4EX5ED226224 Medical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded 2006 INTL 740 1 HTWCAAN16J370901 Medical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded 2009 CHEVROLET SILVERADO C3500 1 GBJC74K99E105480 Medical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded 2019 CHEVROLET K2500 1 GC1 KTEYOKF112991 Medical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded 2015 CHEVROLET SILVERADO C1500 1 GCRCREC1 FZ352661 Medical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded 2019 CHEVROLET SUBURBAN C1500/1 GNSKJKJ6KR262447 Medical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded Certificate number 19219A10746 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241(10/02)