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Item D4 D.4 G BOARD OF COUNTY COMMISSIONERS County of Monroe Mayor Sylvia Murphy,District 5 The Florida Keys l'U � � Mayor Pro Tern Danny Kolhage,District 1 �pw° Michelle Coldiron,District 2 Heather Carruthers,District 3 David Rice,District 4 County Commission Meeting August 21, 2019 Agenda Item Number: D.4 Agenda Item Summary #5834 BULK ITEM: Yes DEPARTMENT: Project Management TIME APPROXIMATE: STAFF CONTACT: Matthew Howard(305) 292-4337 n/a AGENDA ITEM WORDING: Approval of First Amendment to the Task Order for Professional Design & Permitting Services with Wood Environment & Infrastructure Solutions, Inc. (Wood) for the Marathon Tax Collector's Building in the amount of$10,000.00 for a total of$74,561.00. These repairs are needed due to damage caused during Hurricane Irma. ITEM BACKGROUND: The Marathon Tax Collector's Office located at 3101 Overseas Highway suffered damage to a portion of the building due to the storm surge from Hurricane Irma. There was substantial damage to the southwest portion of the exterior walls and the slab on grade of the vault room. Design is in progress for permanent repairs. Due to continued deterioration of the affected area, emergency shoring of the structure is needed before final permanent repairs can be completed. This First Amendment for design of emergency shoring is needed to ensure the safety of the public and employees. PREVIOUS RELEVANT BOCC ACTION: 6/22/18 — BOCC approved a Task Order with Wood for a Facilities Condition Assessment, Construction Documents and Construction Services for the repair of the Marathon Tax Collector's building in the amount of$64,561.00. 3/18/15 — BOCC approved a 4-year Continuing Services Agreement with Amec Foster Wheeler Environment& Infrastructure, Inc. n/k/a Wood. CONTRACT/AGREEMENT CHANGES: Additional design needed for emergency shoring of the walls and roof near the vault area of the building STAFF RECOMMENDATION: Approval of First Amendment to Task Order. DOCUMENTATION: Wood First Amend to TO contractor signed Task Order Wood EXEC 6-20-18 Packet Pg. 1244 D.4 FINANCIAL IMPACT: Effective Date: 8/21/19 Expiration Date: Total Dollar Value of Contract: $74,561.00 Total Cost to County: $9,320.13 Current Year Portion: $74,561.00 Budgeted: Hurricane Irma Source of Funds: 125-0459110 IRMONREI CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: no If yes, amount: Grant: Yes County Match: 75% Federal; 12.5% State; 12.5% County Insurance Required: Yes Additional Details: This Amendment 1 is for an additional $10,000.00. Original Task Order was for $64,561.00. 125-0459110-530340-IRMONREI-530340 08/21/19 125-0459110 - HURRICANE IRMA $10,000.00 REVIEWED BY: Cary Knight Completed 07/30/2019 3:55 PM Chris Ambrosio Completed 07/30/2019 4:31 PM Budget and Finance Completed 08/01/2019 11:22 AM Maria Slavik Completed 08/02/2019 11:23 AM Kathy Peters Completed 08/02/2019 12:37 PM Board of County Commissioners Pending 08/21/2019 9:00 AM Packet Pg. 1245 D.4.a I- 0 FIRST AMENDMENT TO TASK ORDER FOR PROFESSIONAL ARCHITECTURAL AND ENGINEERING SERVICES BETWEEN MONROE COUNTY AND U x WOOD ENVIRONMENT&INFRASTRUCTURE SOLUTIONS, INC. FOR FACILITIES CONDITION ASSESSMENT& REPAIRS OF THE 0 MONROE COUNTY MARATHON TAX COLLECTOR'S OFFICE In accordance with the Consultant Agreement for Professional Architectural and Engineering Services ("Agreement"), made and entered on March 18, 2015, and as amended on January 18, 2017, April 19, 2018 and June 20,2018, between MONROE COUNTY,hereinafter referred to as the"County",and WOOD ENVIRONMENT& INFRASTRUCTURE SOLUTIONS, INC., hereinafter referred to as "Consultant", wherein professional services are allowed if construction costs do not exceed $2,000,000.00, or for study activity if the fee for professional services for each individual study under the contract does not exceed $200,000.00. -19 U) All terms and conditions of the Agreement apply to this Task Order, unless the Task Order modifies an 0 0 Article of the Agreement of which will be specifically referenced in this Task Order and the modification shall be precisely described. These additions apply only to the project referenced in this Task Order. This First Amendment to the Task Order is effective on the 21st day of August,2019. A portion of the building located at 3101 Overseas Highway, Marathon, Florida 33050, which houses the Monroe County Tax Collector's office has suffered damage due to Hurricane Irma on September 10,2017. @ A Task Order was issued for an assessment condition report to document the existing damage, and CL CL provide design through construction administration services for the necessary repairs and modifications. _ Further deterioration of the building now requires emergency shoring of the vault area of the building in order to keep occupants safe prior to completion of the permanent repairs. U) The Agreement is amended as follows; 2 Article II Section 2.1 Scope of Work is amended as follows: 0 Design: Consultant will provide design services for emergency shoring of the existing vault concrete slab at the roof level,the perimeter walls at the vault and the west side of building. Deliverables: Consultant will provide County with signed and sealed drawings for the emergency shoring work which conform to all written codes and regulations of the federal government, county, state, municipalities, and agencies, and shall be of such completion as to receive all permits when applied for. 0 0 Article VII, Section 7.1 Payment Sum is amended as follows: The County agrees to pay the Consultant a total lump sum fee amount of Ten Thousand Dollars and 00/100 ($10,000.00) upon completion of the design and receipt of the deliverables as described in the Scope of Work. 1 Packet Pg. 1246 I- 0 All other terms and conditions of the Agreement and Task Order remain unchanged, 0 U IN WITNESS WHEREOF, each party caused this Amendment to be executed by its duly authorized X representative, 0 (SEAL) BOARD OF COUNTY COM, MISSIONERS Attest: KEVIN MADOK, Clerk OF MONROE COUNTY,FLORIDA 0 'a 0 0 By:_ By.— Deputy Clerk Mayor/Chairman CONSULTANT: 0 19 WOOD ENVIRONMENT& INFRASTRUCTURE U) Witnesses to Consultant: SOLUTIONS,INC. i M By: B Y:41 E r X 4�79 C Z E Ell Print Name Date Print Name Date 12 u- 0 Title: Title: —L/12127 -1�e 0 By- CL CL MO ROE GC INTY ATTORNEY Kr /Ah a, -P�PR�A PV AS"�9 FORM,/ Print Name Date r .2) U) 0 Title: 'ffleF 46A14;1A16,--1Z, C A M�5k-- ASSISTANT COUNTY ATTORNEY STATE OF FLORIDA, COUNTY OFI&/ °.—1Dq04L Date: 0 - 0 On this — '2 2-- day of t/ 2011 before me, the undersigned notary public, personally 0 11(X yyt appeared C- known to me to be the person whose name is subscribed above 'a or who produced as identification, and acknow edgecl that(,&/she is the E person who executed the above contract with Monroe County for Marathon Tax Collector Building Repairs for the purposes therein ontain d. 12 u- Notary Public -e Name 0 My commission expires:_ C/ C/ Seal E GiE PROENZA4WOKIS AIGI MWISSO n 22 x & b20, m Ud077o28Mw3: fto 2 Packet Pg. 1247 D.4.b Clerk of the Cir uit Court& Corn ptrolIer Conroe County, Florida 000 22 DATE: Julys 23, 2018 U x TO: Steve Sanders � 0 FROM: Sally M. Abrams, D.C. SUBJECT: June 20th, BOCC Meeting Approved Agenda Item 4- 0 Attached is an electronic copy of the executed agenda item listed below For your handling. D6 Board granted approval and authorized execution of a Task Order with s for a Facilities 3 Condition A5se55ment, Construction Documents, and Construction Services to document � and repair damage caused by Hurricane Irma to the Marathon Tax Collector's Office in the amount of$64,561.00,for Phose 1 & 2. -19 U) 0 Please contact rye at extension 3550 with any questions. cc: CAY a® 4- Finance File > 0 CL CL 00 cv 0 0 19 U) KEY WE T MARATHON PLANTATION KEG' PKJRCTH BUILDING 500 Whitehead Street 3117 overseas Highway 88820 Overseas Highway ay SB High Paint Road KeyWest,Rorida 33040 Marathon,Florida 33050 Plantation Key Florida 33070 Plantati Packet Pg. 1248 330,5-2B4-4S41 305.28 -6027 3 5-852-7145 305-854-1 114D D.4.b TASK ORDER PROFESSIONAL ARCHITECTURAL AND ENGINEERING,SERVICES BETWEEN MONROE COUNTY � AND r.3 AMEC FOSTER WHEELER ENVIRONMENT&INFRASTRUCTURE,INC. N!/IC/A'iPWOOD ENVIRONMENT&INFRASTRUCTURE SOLUTIONS,INC. � FOR FACILITIES CONDITION ASSESSMENT&REPAIRS-IMONIROE COUINTY TAX COLLECTOR'S OFFICE POST HURRICANE I'RI"wltA � 0 in accordance with the Consultant Agreement for Professional Architectural and Engineering Services ("Professional Services Agreement"), made and entered! on March 18, 2015, and as amended on January 18, 2017, and April 19, 2018, between MONROE COUNTY, hereinafter referred to as the "Counte, and A AEC FOSTER WHEELER ENVIRONMENT l3� INFRASTRUCTURE, INC., N/t</A WOOD ENVIRONMENT & INFRASTRUCTURE SOLUTIONS, � INC., hereinafter referred to, as "Consultant!", wherein professional services are allowed if construction costs do not exceed ,0100,000.00,or for study activity if the fee for professional -19 19 services for each Individual study under the contract does not exceed 200,000.00. 1M 0 All terms and conditions of the Professional Services Agreement apply to this Task Order, unless the Task Order modifies an Article of the Agreement of which will be specifically referenced in this Task Order and the modification shall be precisely described. These additions apply only to the project referenced In thiis Task Order. This Task Order Is effective on the day of , 2018. LL 4- 0 A portion of the building, located at 3101 Overseas Highway, Marathon, Florida 33050,which houses the Monroe County Tax Collectors office has suffered damage due to Hurricane Irma CL CL on September 110, 2017. County staff requests an assessment condition report to document _ the existing,damage, and provide design through construction administration services for the 00 necessary repairs and modifications. County also requests an Evaluation Report to determine if a flood-mitigation structure will benefit the Tax Collector building, in the event of another hurricane. w In accordance with Article It,Scope of Basic Services, of the Professional Services Agreement, 0 the Consultant shall provide the following; SCOPE OF WORK—PHASE I 1. Site Visit - Consultant has conducted a preliminary site visit of the Property. An 19 additional site visit would be necessary to take necessary measurements and M document the specific areas of concern. Observations will be made from grade. No material sampling is predicted to be taken at the time of site visit. 1 Packet Pg. 1249 D.4.b 2. Construction Documents — Consultant will produce a set of construction documents 6-3 and, specifications fair the repair of the affected area. Construction drawings will be prepared) in AutoCAp format, delivered thruu electronic format In POUF and will provide five(5)sets In 2 "x3fi".Also, a preliminary cost estimate of the proposed repair will be 0 Included. 3. Permitting,support-Consultant will prepare and submit the building permit application to the local municipality having jurisdiction on behalf of the client. The County will be responsible for providing all permit application fees. Response to agency reviews will be limited to clarification of the previously submitted material and excludes additional engineering or analysis. The fees Include up to two (2) meetings with the building department. Permitting and review of additional aigencies is not anticipated, If' required',additional agency reviews will be covered under a separate proposal. a 4. Ridding Services- Consultant will address request for additional information (BFI's) during the bid Process, as well as review th'e construction bids for reasonableness and 0 provide a recommendation to award based on the lowest bidder being qualified, U) responsive,and the price being competitive in the market.. Consultant will attend one (1) pre-bid meeting. 0 S. Construction Administration-Consultant wwiill provide written responses to Requests fair Information(RFt's)submitted by the selected contractor and will also review submittals related to the disciplines included under this proposal. (luring the constructions phase, Consultant will perform one (1) fields visit, Consultant will submit a field) visit report, Including description of the fiield work observed at the,time,Identification of issues and /or concerns,and photo documentation of the work completed. 0 CL 6. Geotechnical Exploration- Consultant proposes to, perform one (1) Standard CL Penetration Test(5PT)borings located along the west perimeter of the existing building < due to the access constraints along the area facing the channel. The SPT borings wiill be 00 performed to maximum depths of 2.5 feet bellow the existing ground surface, with continuous sampling to 15 feet below existing grade and then 5-foot Intervals from 15 feet to 25 feet below existing grade, in general accordance with ASTliwrl LD 1586; Consultant wilt use a 2.4" sampling device for each SPT sample. Rased on site reconnaissance, the SPT boring locations are currently accessiblie to ai trunk-mounted drill rig equipment. Upon completion, the SPT test boreholes will be backfilled with a o mixture of Portland cement and bentonite grout. In accordance with Article IV of the Professional i Services Agreement,the County shall provide 19 existing record drawings of the building. U) 2 Packet Pg. 1250 D.4.b SCOPE OF SERVICES_PHASE If 1. Consultant will,investigate the possibility of mitigating future,similar hurricane damage to the building with a flood-mitigation structure; and if 'warranted, design the structure, Some hurricane damage cannot be mitigated with structures. 0 x 2. Consultant will conduct a, site visit to take necessary measurements and images, and document the specific areas of concern. Observations will be made from grade. No material sampling is predicted to be taken at the time of the site visit, . Consultant will collect information to, determine whether a flood-hazard mitigation, structure will likely mitigate similar, future damage to the building, due to hurricanes. Consultant will collect and synthesize relevant data from Monroe County, the City of Marathon, the US. Geological Survey, the U.S. Army Corps of Engineers, the Federal _ Emergency Management Agency,. the National Oceanic and Atmospheric Administration,the South Florida Waiter Management District,and the State of Florida, Consultant will use the synthesis to determine whether a structure can mitigate similar 0 damage, and If so, what type of structure. Consultant will describe its synthesis in a U) letter report, If Consultant determines that a flood-m,ltigation structure cannot iM mitigate similar damage, consultant will,explain this determination in the letter report. o If Consultant determines that a flood-mitigation structure can mitigate similar damage, they will describe the structure — conceptually — in the Phase 11 letter report, and estimate the construction cost, 4, If Consultant determines in Phase 11 that a flood-mitigatilon of the existing structure is necessary'and possible, a new proposal for the proposed remediation and design will be given, (Proposal will include remediation,, design, structural plans, assistance with o permit applications, assistance in selection of a construction contractor, oversee @ construction, and will create as-built construction documents that describe the CL constructed structure. CL 00 S. The anticipated time frame for project execution for Phase 11 is lour(4),weeks from a written Nialtice-to-Proceed,with key scheduling assumptions as follows* Site visit within two(2)weeks of Notice to Proceed Phase 11 letter report: Six( )weeks after Notice to Proceed. 0 COMPENSATION o In accordance with, Article VII of the Professional Services Agreement, the County shall pay Consultant in current U.S. funds for the performance of the Task tinder on a, percentage 19 complete basis billed once monthly as follows: Packet Pg. 1251 D.4.b w� • Phase I Facility Repair not to exceed Forty Thousand One Hundred Fifty-Seven 6-3 Dollars and 00/100($40,157.00), • Phase 11 Geotechnical Exploration not to exceed Seven Thousand Five Hundred Fifty. Four and 00/100 Dollars($7,5154.00)» 0 • Phase lI (Evaluation Report for flood-mitigation not to exceed Sixteen Tousand Eight X Hundred Fifty Dollars and 00/100( 15,S,5ti.00). 0 The total cent for phase I and Phase 11 combined is Sixty Four Thousand Five Hundred Sixty- One Dollars and 00/100($64,561.00). � 0 In accordance with Article 7.34 of the Professional Services Agreement,reimbursable expenses are not allowed as part of this Task Order. ADDITIONAL SERVIICES In accordance with the Professional Services Agreement, Articles 3.1 and 7,4.1, any additional services shall be negotiated and agreed to In writing,prior to commencement. -19 U) SCHEDULE o Consultant will (begin work on this project two (2), weeks after receiving written contract authorization and background data required for Consultant to, perform the work. Consultant has prepared)a Preliminary Schedule outlining the major tasks of the proposed work,. The anticipated time frame for proposed facility repair project execution Phase I is eight ('8) E weeks from written Notice-to-Proceed with key scheduling assumptions as follows; u- 4- 0 Site visit within two(2)weeks of Notice to Proceed. > • 0 Construction Drawings for Phase I-four(4)weeks Permitting support-four(4)weeks • Bidding services-four(4)weeks 00 Construction Administrawtlian-four(4)weeks + Geotechnical Exploration-eight(,8)weeks. `14 The anticipated time frame for proposed Evaluation Report for flood-mitigation Phase 11 is four (4)weeks from written Notice-to Proceed with key scheduling assumptions as icwlllowrwws: 0 o Site visit within two(2)weeks of Notice to Proceed. � • Phase 11 letter report;. 6 weeks after Notice to Proceed. 19 U) All other terms and conditions of the Task Order shall be in accordance with the Professional Services Agreement dated March 16, 2015, and as amended on January 16,2017,and April'19, � 2018, 4 Packet Pg. 1252 IN WITNESS WHEREOF, each party has caused this Task Order to be executed by its duty 6-3 authorized!representative on the day and year First above written. (SEAL), BOARD OF COUNTY COMMISSIONERS U Attest: KEVIN MADOK,Clerk OF l' ONROE COUNTY,FLORIDA x r c y: Puty Clerk ��� Mayor/Cha man 0 0 CONSULTANT: c AMEC FOSTER WHEELER ENVIRONMENT INFRASTRUCTURE,INC.,N/NK/A WOOD EINVIRONME'NT'&INFRASTRUCTURE Witnesses to Consultant: SOLUTIONS,INC, 0 { lz 611 Print Name Nate Print Na me !Cate � Title: T'n Title: r R'r*��° LL rF(s of 0: t Fd YI g r l 1 r A K 1)( 0 m �* toy(;cmwq Expaw Mar 20,a109 � 0 k �ar�reuq�i � rr , Print Name Dat ��rrrr: h�hrirC;kir}YM 9�,M"�r ,¢w9zis�r�A � 00 Title: a w %w.._ MONROE COtViNTY ATTOINN"R OFFICE w � 1 AS To � ASSISTANTPATRICIA EA 9LEs �W DATE: u�u�NANTy/� NtNNEY I � . � � 0 0 19 Wd S Packet Pg. 1253 D.4.b CERTIFICATE OF LIABILITY INSURANC r`N29P2111e .4rGC ►d52 Nt1ATEluatlq,ra^w`YYq THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT'S UPON THE CERTIFICATE HOLDER, THIS 6-3 CERTIFICATE DOTES 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 2 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. 191PORTANT,11 the certificate holder Is an TONTINE INSURE the poN cy(laas)Must have ADDITNCINAL INSURED provlslons or be endorsed.It SUBROGATION IIS WAIVED,subject to the terms and conditions of the policy,certain,policies may require an endorsement.A statement on this U certificate does not confer rights to the certiflcals holder In lieu of such endorsement(sl. PRODUCER CITNTACT Aon Risk Services southwest, Inc. NAME" Houston Tx office IAr .Na Eal is6Ey 2s1-7t22 .raa . QSoe) 1E1-atEs 555E San Felipe IleA�„ SuIi1Te 15flll AeAss. raaaus,ton Tx '77115E USA I LNSUACAISIAFFOA0111NraCOVERAGE N=0 � INSURED INSURER A. ACE ArMerican Insurance company 22EII67 � Wool ISrouao uSA, Inc. INSURER a. Agri, General l insurance company 42757 7A PC Foster wheeler 1 ' INSURERC' ACE Fire UndelrwNTriter`s Insurance Coy 2t17112' 1173N5 Park Row Cl Houston Tx 7711114 USA IN'SURERrI'.± AIC Specialty insurance Company 2fwSR3' Cl INSU REP E', Lloyd's syndicate No, 2003 A41128003 WSU PER F COVERAGES CERTIFICATE NUMBER:5170,072104192 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE(INSURED(NAMED ABOVE FOR' HE POLICY I RI)D � INDICATED (NOTWITHSTANDING ANY RECIUIREMENT,TERM OR CONDITION OF.ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THUS � CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, � EACLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS Limits shown are As requested TR TYPE OF INSaylaAr E INSlk wyO AUDI ,.. N'oILtCY IWWVtte,E'A. MMNTT01Y) "w' IA.Mpan1'3o�Y'M'b"Y...POLICY Eff POLICY EXP 1�4I,tl'T'S.. 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TNwork Como- E IL I01EASE EA EMPLO EEE �� S 1„Ir 00 d tllltl CD p2yaa,deacr,Tsa IVwdaa C1,4 ID SCRaPTIONOFOPERATICM''1�SIEaocaw EL DISEASIERCLIiILtr,Ts'T 5�J„CIIDI�..,.�....,.".. 6 Et4ting Prof 0,5 F1,Boo 1, r17/01Y201I1I1GJ1u/2G19 Any One claim .000,4tICt to SIR applies Per policy ter' s NS corldT ions Aggregate (Limit S5,0 U LU gg I11111 DISC RIP services e County is included as an addiparonaaPainsur4wnrai PIION OF OPERATION$I LOCATIONS d WEn'MdCUE''$IACIpRt1 1e11,AddtIl0401 ROMA*$s�ah�uadWe,mom 6a.yam dratll Is Rc; A. 9 CEs rAonro atonal insured in accordance aYitlu the policy provisions of the Ceneral Liability and Automobile Liability policies as required by written contract. SEE ATTA(TIE:o ADDENDUM �I FOR ADOTTIDNAt NAMED INSURED AMEC COMPANIES, I CERTIFICATE,HOLDER CANCELLATION gig U) SHOULD ANYY' OF THE ASOVE. DESCRIBED POLICIES eE CANCELLED aEFCpR,E THE E%PVPI DATE THEREOF„ NONCE W14 BE DEL1VER60 IN ACOORD NCE VATNI T14E POLICY PROVIS.I N9.. Monroe County AUtHORgFEo REPRESENTATIVE � 1100 Simonton l St., Room 216 Key Wiest FL 3304,0 USA al E r.�J yll N AwA�ay.✓rpleE4 M 1958w2015 ACORD CORPORATION.All rights reserved. ACORD 25(201E40 ) The ACORD name and logo are registered marks of ACORD Packet Pg. 1254 AGENCY CUSTOMER 10 S70000021966 LOC M. ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAVE004URED Aon Risk Services southwest. Inc. wood Group USA, Inc, PoUrly NUMBER .2 see Certificate Number: 570072104192 CA,RAlER rrAz CODE 0 See certificate Number: $70072104192 Fif,i—,- Zr:DAI E U ADDITIONAL REMARKS x THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACCORD 25 FORM TITLE Cerfificale of Liability Insurance 0 INSURER(S)AFFORDING COVERAGE NAIC# INSIATit 0 'a INsU1014 0 0 INSIA01t INSIM[K as ADDITIONAL POLICIES 1(vi pofic,,boh)%t dcws nol includc fimiil inl'ortnation.rO r it)lh�corroponding pofic), on 11o:ACORD cmillvaic fibrill For plllic� finlils, 0 U) VFFECTIVE rxl11W"l4).'4 INSI 0%1 L 11%I'E WORKERS COMPENSATION E N/A RWC64785825 05/01/210,18 01/31/YUIT work comp- wi E OTHER D Criv site/Poll COLV456119 05/01/2018 05/01/2019 FaCh LOSS 4- Pollution 0 > AQ 0 g�qgate L- 00 C14 W x W 'a 0 0 0 -19 U) CY ACORD 101(201011401), 0 20010 ACORD CORPORATION.All rights reserved. 'rho AC04RD name anal are reglitarto ma*%of ACORD I Packet Pg. 1255 Ir AGENCY CUSTOMER ID: 570000021966 LOC ADDITIONAL REMARKS SCHEDULE Page of AGENCY N0A8DW$rJAiED Aon Risk Services Southwest, Inc. wood Group USA, Inc, 0 POLICY NUMBER 0 See certificate Number: 570,072104192 .2 CARPIR 0 See Certificate Number-, 5700721014192 EFF eCttvt DAIS U x ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, sm FORM NUMBER: ACORD 25 FORM TITLE- CerVicale of tiabffity Insurance 0 Additional Named Insured & FKA M Named insureds: Amec Foster wheeler 0 AmeC Foster wheeler E&I, Inc. AGRA Pipeline Professionals, Inc, AMEC AES 0 AMEC Civil, LLC 0 AMEC Construction Management, Inc, 3: AMEC IE&I, Inc. AmeC Foster wheeler AES Inc!. (formerly AMEC AES, Inc.) AMEC E&E, P.C. AMEC Earth and Environmental Inc AMEC Engineering and Consulting of Michigan, Inc. ' AMEC Environment & Infrastructure, Inc. Amec Foster wheeler USA Corporation 0 Amec Foster wheeler Programs Inc. -19 U) AmeC Foster wheeler constructors Inc. AmeC Faster Wheeler E&C Services: Inc. (formerly AmEC VC Services,, Inc.) AmeC Foster wheeler E&I, Inc, 0 AmeC Foster wheeler industrial Power Company, Inc. AMEC massachiusetts, Inc. AMec Foster wheeler Martinez Inc. Amec Foster wheeler North America Corp E Amec Foster wheeler ventures, Inc. (formerly National ventures, Inc.) AMEC NNC USA, Inc. AMEC, Nuclear USA Inc. AMEC offshore, Inc. E AmeC Foster wheeler Gil', and Gas, Inc. (formerly AMEC Oil & Gas, Inc,) AMEC Paragon Inc. AMEC PLC AMEC Technologies, Inc, U- Amec Foster wheeler USA Corporation 4- 0 AMEC USA Holding, Inc, Faster wheeler intercontinental Corporation, O,EST ASSoCiateS, Inc. 0 Amec Foster 'wheeler Kamtech, Inc, (formerly AMEC KaMiteCh, Inc.) L- PIACTEC Engineering and Consulting, P.C..CL CL North American Shared Services (NA$$) QED international LLC Rider Hunt International USA, Inc, 00 Terra Nova Technologies. Inc. (TNT) Oil & Gas US, Central & south America cv wood Group USA, Inc. (0 wood' Group Alaska, Inc. U wood Group PSIN, Inc. W A,ltablue, Inc, x Cape Software, Inc, W BMA Solutions, Inc, 'a Global Performance, LLC 0 John wood Group PLC 0 PwG (Repair & overhauls) USA, InC. 3: SgurrEneirgy, Inc, Ingenious, Inc. 4uistang: Proices,s and industrial Mustan International, LP 0 Mitcheyl's Oil Field Serviices, Inc. -19 c.E.,c. controls Company, Inc. U) wood Environment & Infrastructure Solutions Inc. wood EIS, Inc. E 7 2008=90 0AP0111TIag.Afl r1q9tsrasarwa The ACORN}name&no logo are reMstered marks of ACCRO I Packet Pg. 12516 AGENCY CUSTOMER I!D. 570000021966 ADDITIONAL REMARKS SCHEDULE page of AGENCY tAAWNSURED Aon Risk Services southwest,, Inc. wood GrOUP USA,, Inc. POUCY NUNSER 0 See Certificate Number: S70072104192 CARRIER NANC CODE 0 See certificate Niuimbber: 570072104192 EFFECME DATE U ADDITIONAL REMARKS x THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,, FORM NIUMBER: ACORD 25 FORM TITLE: CertifIcate of Liabifty Insurance 0 Additional Named Insured & FKA Formerly KiftOWIM AS: AM EC Foster Wheeler Environment & infrastructure, inc.(formerly AMEC Environmernit infrastructure, Inc,) wood Group Mustang, Inc, 0 4- wood Group Kenny, Inc. 'a wood Group Management services, inc. 0 DDL Inc. 0 Woo� Group Production and Consulting services, Inc, 3: wood Group PSN commissioning Services, Inc, wood Group PSN Lease Maintenance & construction, LLC DISI Deepwater Specialists, Inc. Caliber services LP Infinity construction Services, LP Infinity maintenance Services, LP United Electrical & instrumentation, Ltd. 0 alrazos MIA E Ltd. -19 Elkhorn Holdings, inc. U) Elkhorn construction, inc. Elikho:irn Pipeline services HOAR 0 ProSafe Dyniamic Services E E 4- 0 0 L- 91 00 C14 UJ x UJ 0 0 0 19 U) 161 4601MI) 052004-00RITC MWraRWFrg6t&r#5*rV&cr---- The ACORD name and logo are regIstered ma6s of ACORD I Packet Pg. 1257