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3rd Amendment 01/22/2020 GOUR14 . Kevin Madok, CPA W.ppp.ALAI, 101:t WEE � r•• Clerk of the Circuit Court&Comptroller—Monroe County, Florida DATE: January 31, 2020 TO: Rhonda Haag, Director Sustainability&Projects Lindsey Ballard, Aide to the County Administrator FROM: Pamela G. Hanco.Q' ,jI.C. SUBJECT: January 22"BOCC Meeting Attached is an electronic copy of the following item for your handling: D6 411'Amendment, signed by the County Administrator, to NRCS Grant Agreement NR184209XXXXCO27, providing a 90-day time extension, no new funds, to the Grant Agreement from the United States Department of Agriculture Natural Resources Conservation Service (NRCS) for marine debris removal, administrative and related services totaling$49,716,015.02 (NRCS federal portion: $38,260,712.02). D7 3`d Amendment to Contract with Adventure Environmental, Inc. for a time extension retroactive from July 31, 2019 to April 30, 2020, to allow time for clearing of 76 new canals of marine debris and 2 new canals for sediment removal as approved by NRCS. M2 2 Amendment to Contract with Casa Marina Owner, LLC d/b/a Casa Marina,A Waldorf Astoria Resort, for conference hosting and implementation services for the 11th Annual Southeast Florida Regional Climate Leadership Summit held in Key West on December 3-5, 2019 for an additional amount of$34,402.00. The summit was hosted by Monroe County on behalf of the Southeast Florida Regional Climate Change Compact, a four-county partnership created for the purpose of collaborative planning and implementation of adaptation and mitigation strategies related to climate change. Should you have any questions please feel free to contact me at (305) 292-3550. 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 NO. 3 TO THE AGREEMENT FOR MARINE DEBRIS REMOVAL AS A RESULT OF HURRICANE IRMA ild This Amendment No. 3 is entered into on IVILL .rL , 2020 to that Agreement ("Agreement") made and entered into on July 18, 2018, as subsequently amended, 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" funded by the NRCS Grant Agreement NR184209 (CO27 between the United States Department of Agriculture Natural Resources Conservation Service (NRCS) and Monroe County; and WHEREAS,Paragraph 1.1.1 of the Agreement between the parties stated that the term of the Agreement would run through July 17, 2019 and the County had the option of extending the Agreement for up to two (2) additional years on the same terms as set forth in the Agreement; and WHEREAS,NRCS has approved Amendment 3 to the Grant Agreement to authorize a 135- day time extension of the original agreement to December 31, 2019, to allow time for 76 additional canals to be cleaned; and WHEREAS,the NRCS approved Amendmeent 4 to the Grant Agreement to authorize to authorize a 90-day time extension of the agreement from December 31, 2019 to March 30, 2020,to allow time for 2 additional sediment removal canals to be cleaned; and WHEREAS, the CONTRACTOR has indicated that it is available to perform the additional work under the NRCS Grant Agreement as extended by Amendments 3 and 4. 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.' Pursuant;to paragraph.1.1.1 of Agreement dated July 18, 2018 between the parties,the County)hereby exercises its option to extend the Agreement. The term of the Agreement is z hereby,extended.retroactivelyfrom July 19, 2019 up to and including April 30 ,2020. 2. In all other respects, the terms and conditions set forth in the Agreement, as subsequently amended by Amendments 1 and 2,remain in full force and effect • Amendment 3,Adventure Environmental IN WITNESS WHEREOF, each party has caused this Agreement to be executed by its duly ,,authorized representative on the day and year indicated. to y` . KL ,,ems f�-;,� R( k �°�2 MONROE COUNTY �z...t ��9^1 � .K Attest k cv . Vladok Clerk :2,...'tt "Vi..--,.... 1, ,-;:&61,1,.!!I ' By: , ; ep ty"tl k Date: ZZ, 20 7-0 1 i ADVENTURE ENVIRONMENTAL INC., r By: ,! I/ a u� By: i Print nab e I' CI�'. Print n and title: 0l a vi , j By: l WITNESS I Print name: e,hris )er Co..vuo LLJ = ^>:-. O `3 C---; al C i coCUTE / i FI�i► • Date: .... i i 2 Amendment 3,Adventure Environmental ADVEN-1 OP ID: GB ACORD' DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/21/2020 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 Accessible Marine Insurance Accessible Marine Insurance 1145 Robert E Lee Blvd (A/C. o,Ext):504-486-5411 FAX No):504-482-1475 New Orleans,LA 70124 E-MAIL ail@ami-ins.com Eric S.Green ADDRESS:g INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Capitol Specialty Ins. Company INSURED Adventure Environmental Inc. INSURER B:Great American Ins.Company 22136 Greg Tolpin 160 Georgia Avenue INSURER C:StarNet Insurance Company 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 I A DDL S W UBR POLICY EFF POLICY EXP NSD VD POLICY NUMBER YY(MM/DD/ YY) (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR X X EV20190209-02 01/09/2020 01/09/2021 DAMAGE TO RENTED 50 000 PREMISES(Ea occurrence) $ + MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO-JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 _ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILYINJURY(Perperson) $ — ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ BY NACEMEUT PER OTH- WORKERS COMPENSATION DA STATUTE ER AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WAIVER N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A(Mandatory in NH) i ' 'w�I a r 21 V (j E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1 �S(i DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C M.E.L. X BOUM-A-19-2110 08/15/2019 08/15/2020 M.E.L. 1,000,000 B Hull/P&I Liability OMH841008-08 10/12/2019 10/12/2020 P&I Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate holder shown and Monroe County Board of County Commissioners,as additional insured with waiver of subrogation in their favor as required by written contract as respects insured's operations CERTIFICATE HOLDER CANCELLATION MONRO06 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 4.e./2,612-uoitza....(10 I I ©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'S NAME OP ID: GB Date 01/21/2020 Contractors Pollution Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-01 Policy Period: 01/09/20 - 01/09/2021 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#: EV20190209-01 Policy Period: 01/09/20 - 01/09/2021 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 01/21/2020 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 Contractor's Equipment: Policy No. : IMP 5305782-03 Policy Period: 01/26/2019 to 01/26/2020 - Owned Equipment $432,963 - Leased/Rented Equipment any one item limit $200,000 - Leased/Rented Equipment all items limit $400,000 M.E.L. -Maritime Employers Liability Coverage Form -Transportation, Wages, Maintenance & Cure -Notice of Cancellation: 30 days (except 10 days of nonpayment of premium) -Death on the High Seas Clause -In Rem Liability -Blanket Waiver of Subrogation • • Date CERTIFICATE OF LIABILITY INSURANCE I 1/21/2020 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 Insurer C: Insurer D: Insurer E: Coverages 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. 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 Damage to rented premises(EA Claims Made Occur occurrence) $ Med Exp $ General aggregate limit applies per: Personal Adv Injury $ General Aggregate $ DPolicy ❑Project ❑ LOC Products-Comp/Op Agg $ AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) $ Any Auto Bodily Injury All Owned Autos 11 (Per Person) $ Scheduled Autos _ Hired Autos Bodily Injury Non-Owned Autos ME / (Per Accident) $ 11 6YQRO :7,,VE 0 Property Damage _ DA1E/FR Al , E (Per Accident) $ EXCESS/UMBRELLA LIABILITY Each Occurrence IOccur ❑Claims Made Aggregate Deductible A Workers Compensation and WC 71949 01/01/2020 01/01/2021 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 or 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&CUC1223905 AS QUALIFIER.INCLUDED USL&H.ISSUE 05-21-19(KLR)REISSUE 01-21-20(AR) 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 9.. -,,/r / -----. BUTLER BUCKLEY DEETS PROGRESSIVE° 6161 BLUE LAGOON#420 COMMERCIAL MIAMI,FL 33126 Named insured Policy number: 03515746-9 Underwritten by: Progressive Express Ins Company ADVENTURE ENVIRONMENTAL August 28,2019 INC Policy Period:Jun 11,2019-Jun 11,2020 160 GEORGIA AVE Page 1 of 7 TAVERNIER,FL 33070 prog ressiveag ent.com Online Service Make payments,check billing activity,print policy documents,or check the status of a Commercial Auto claim. 1-305-262-0086 Insurance Coverage Summary BUTLER BUCKLEY DEETS Contact your agent for personalized service. This is your Declarations Page 1-800-444-4487 Your coverage has changed For customer service if your agent is unavailable or to report a claim. Your coverage began on June 11,2019 at 12:01 a.m. This policy expires on June 11,2020 at 12:01 a.m. This coverage summary replaces your prior one.Your insurance policy and any policy endorsements contain a full explanation of your coverage.The policy limits shown for an auto may not be combined with the limits for the same coverage on another auto,unless the policy contract allows the stacking of limits.The policy contract is form 6912(06/10).The contract is modified by forms 2852FL (10/04), 1652FL (08/12),4757FL (01/13), 1890(03/08), 1891 (03/08), 1198(01/04),8610(05/09),4852FL (10/04),4881FL (01/13)and Z228(01/11). The named insured organization type is a corporation. Policy changes effective August 26, 2019 Premium change: -$5,269.00 Changes: The driver information has changed. The history of violations has changed. The changes shown above will not be effective prior to the time the changes were requested. EY P ENT DAT WAIVER N/A YES Continued Form 6489 FL(01/15) Policy number: 03515746-9 ADVENTURE ENVIRONMENTAL Page2 of 7 Outline of coverage Description Limits Deductible Premium Liability To Others $94,216 Bodily Injury and Property Damage Liability $1,000,000 combined single limit Hired Auto Liability To Others 194 Bodily Injury and Property Damage Liability $1,000,000 combined single limit Employer Non-Owned Auto Liability To Others 283 Bodily Injury and Property Damage Liability $1,000,000 combined single limit Uninsured Motorist Non-Stacked $1,000,000 combined single limit 9,002 Basic Personal Injury Protection 2,263 With Work Comp-Named Insured&Relatives $10,000 each person $0 Medical Payments $5,000 each person 432 Comprehensive 3,319 See Auto Coverage Schedule Limit of liability less deductible Collision 11,368 See Auto Coverage Schedule Limit of liability less deductible Subtotal policy premium $121,077 Fees 125 Total 12 month policy premium and fees $121,202 Number of Employees: (11-20) Cost of Hire: $5,000 or less(if any) Rated driver 1. J G TOLPIN 2. PAUL A LAWRY 3. CHRISTOPHER L COLARUSSO 4. CONNER COLARUSSO 5. JERSON RODRIGUEZ 6. CARLOS ROJAS 7. HAYLEY COLARUSSO 8. MARC A COLARUSSO 9. THOMAS A SPATTO 10.CHRISTOPHER GALERA 11.ANTHONY A COLARUSSO III Auto coverage schedule 1. 2011 Chevrolet Suburban C1500/ Actual Cash Value (plus$0.00 Permanently Attached Equip) VIN: 1 GNSKKE31 BR382272 Garaging Zip Code: 33070 Radius:200 Liability Liability UM/UIM BI PIP Premium $4,990 $872 $215 Comp Comp Collision Collision Physical Damage. Deductible Premium Deductible Premium Auto Total Premium $1,000 $226 $1,000 $477 $6,780 Continued Form 6489 FL(01/15) Policy number: 03515746-9 ADVENTURE ENVIRONMENTAL Page3 of 7 2. 2014 Chevrolet Silverado C2500 Actual Cash Value (plus$0.00 Permanently Attached Equip) VIN: 1 GC1 CVCG7EF187484 Garaging Zip Code: 33070 Radius:200 Liability Liability UM/UIM BI PIP Med Pay Premium $6,065 $698 $148 $39 Comp Comp Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium $1,000 $206 $1,000 $509 $7,665 3. 2002 KW T80 VIN: 1 NKDLT9X12J894497 Garaging Zip Code: 33070 Radius:200 Liability Liability UM/UIM BI PIP Med Pay Auto Total Premium $13,605 $558 $153 $20 $14,336 4. 2015 Chevrolet Silverado C2500 Actual Cash Value (plus$0.00 Permanently Attached Equip) VIN: 1 GC2CUEG1 FZ541060 Garaging Zip Code: 33070 Radius:200 Liability Liability UM/UIM BI PIP Med Pay Premium $6,035 $698 $148 $39 Comp Comp Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium $1,000 $184 $1,000 $535 $7,639 5. 2017 Chevrolet Silverado C2500 Actual Cash Value (plus$0.00 Permanently Attached Equip) VIN: 1GC1KXEG3HF104715 Garaging Zip Code: 33070 Radius: 100 Liability Liability UM/UIM BI PIP Med Pay Premium $6,183 $698 $148 $41 Comp Comp Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium $1,000 $234 $1,000 $1,005 $8,309 6. 2017 Chevrolet Silverado C2500 Stated Amount: *$35,000(including Permanently Attached Equip) VIN: 1 GC1 KUEGOHF207993 Garaging Zip Code: 33070 Radius: 100 Liability Liability UM/UIM BI PIP Med Pay Premium $7,374 $698 $215 $37 Comp Comp Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium $1,000 $418 $1,000 $1,133 $9,875 Continued Form 6489 FL(01/15) Policy number: 03515746-9 ADVENTURE ENVIRONMENTAL Page4 of 7 7, 2018 Chevrolet 2500 HD Stated Amount: *$40,000(including Permanently Attached Equip) VIN: 1 GC1 KUEGXJF134539 Garaging Zip Code: 33070 Radius: 100 Liability Liability UM/UIM BI PIP Med Pay Premium $7,374 $698 $215 $37 Comp Comp Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium $1,000 $450 $1,000 $1,215 $9,989 8. 2014 Ptrb 388 Stated Amount: *$202,900(including Permanently Attached Equip) VIN: 1 NPWX4EX5ED226224 Garaging Zip Code: 33070 Radius: 50 Liability Liability UM/UIM BI PIP Med Pay Premium $15,517 $558 $180 $26 Comp Comp Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium $1,000 $643 $1,000 $2,849 $19,773 9. 2006 Intl 740 Stated Amount: *$101,925(including Permanently Attached Equip) VIN: 1 HTWCAAN16J370901 Garaging Zip Code: 33070 Radius: 50 Liability Liability UM/UIM BI PIP Med Pay Premium $5,559 $558 $182 $28 Comp Comp Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium $1,000 $217 $1,000 $774 $7,318 10. 2009 Chevrolet Silverado C3500 Stated Amount: *$14,100(including Permanently Attached Equip) VIN: 1 GBJC74K99E105480 Garaging Zip Code: 33070 Radius: 50 Liability Liability UM/UIM BI PIP Med Pay Premium $5,357 $698 $148 $34 Comp Comp Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium $1,000 $86 $1,000 $269 $6,592 11. 2019 Chevrolet K2500 Stated Amount: *$60,000(including Permanently Attached Equip) VIN: 1 GC1 KTEYOKF112991 Garaging Zip Code:33070 Radius: 50 Liability Liability UM/UIM 61 PIP Med Pay Premium $5,614 $698 $148 $35 Comp Comp Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium $1,000 $216 $1,000 $1,160 $7,871 Continued Form 6489 FL(01/15) Policy number: 03515746-9 ADVENTURE ENVIRONMENTAL Page 5 of 7 12. 2015 Chevrolet Silverado C1500 Actual Cash Value (plus$0.00 Permanently Attached Equip) VIN: 1 GCRCREC1 FZ352661 Garaging Zip Code: 33070 Radius: 50 Liability Liability UM/UIM BI PIP Med Pay Premium $4,978 $698 $148 $36 Comp Comp Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium $1,000 $128 $1,000 $588 $6,576 13. 2019 Chevrolet Suburban C1500/ Actual Cash Value (plus$0.00 Permanently Attached Equip) VIN: 1 GNSKJK16KR262447 Garaging Zip Code: 33070 Radius:300 Liability Liability UM/UIM BI PIP Med Pay Premium $5,565 $872 $215 $60 Comp Comp Collision Collision Physical Damage Deductible Premium Deductible Premium Auto Total Premium $1,000 $311 $1,000 $854 $7,877 *A vehicle's stated amount should indicate its current retail value,including any special or permanently attached equipment. In the event of a total loss,the maximum amount payable is the lesser of the Stated Amount or Actual Cash Value,less deductible. Be sure to check stated amount at every renewal in order to receive the best value from your Progressive Commercial Auto policy. Premium discounts Vehicle 2011 Chevrolet Suburban C1500/ Anti-Lock Brakes,Air Bag and Anti-Theft Device 2 2014 Chevrolet Silverado C2500 Anti-Lock Brakes,Air Bag and Homing Device 2002 KW T80 Anti-Lock Brakes 2015 Chevrolet Silverado C2500 Anti-Lock Brakes,Air Bag and Homing Device 2017 Chevrolet Silverado C2500 Anti-Lock Brakes,Air Bag and Homing Device 2017 Chevrolet Silverado C2500 Anti-Lock Brakes,Air Bag and Homing Device 2018 Chevrolet 2500 HD Anti-Lock Brakes,Air Bag and Homing Device 2014 Ptrb 388 Anti-Lock Brakes and Anti-Theft Device 2 2009 Chevrolet Silverado C3500 Anti-Lock Brakes and Air Bag 2019 Chevrolet K2500 Anti-Lock Brakes and Air Bag 2015 Chevrolet Silverado C1500 Anti-Lock Brakes and Air Bag 2019 Chevrolet Suburban C1500/ Anti-Lock Brakes and Air Bag Loss Payee information 1 . Loss Payee Auto 1 ALLY BANK PO BOX 8143 COCKEYSVILLE,MD 21030 2011 Chevrolet Suburban C1500/(1 GNSKKE31 BR382272) 2. Loss Payee Auto 2 ALLY FINANCIAL PO BOX 8143 COCKEYSVILLE,MD 21030 2014 Chevrolet Silverado C2500(1 GC1 CVCG7EF187484) 3. Loss Payee Auto 4 ALLY FINANCIAL PO BOX 8143 COCKEYSVILLE,MD 21030 2015 Chevrolet Silverado C2500(1 GC2CUEG1 FZ541060) Continued Form 6489 FL(01/15) Policy number: 03515746-9 ADVENTURE ENVIRONMENTAL Page6 of 7 4. Loss Payee Auto 5 ALLY FINANCIAL PO BOX 8143 COCKEYSVILLE,MD 21030 2017 Chevrolet Silverado C2500(1 GC1 KXEG3HF104715) 5. Loss Payee Auto 6 ALLY FINANCIAL PO BOX 8143 COCKEYSVILLE,MD 21030 2017 Chevrolet Silverado C2500(1 GC1 KUEGOHF207993) 6. Loss Payee Auto 7 ALLY FINANCIAL PO BOX 8143 COCKEYSVILLE, MD 21030 2018 Chevrolet 2500 HD(1 GC1 KUEGX1F134539) 7. Loss Payee Auto 9 HANMIBANK ITS SUCCES PO BOX 3547 BELLEVUE,WA 98009 2006 Intl 740(1 HTWCAAN 161370901) 8. Loss Payee Auto 10 ISUZU FINANCE 2500 WESTCHESTER AVE PURCHASE,NY 10577 2009 Chevrolet Silverado C3500(1 GBJC74K99E105480) 9. Loss Payee Auto 12 ALLY FINANCIAL PO BOX 8143 COCKEYSVILLE,MD 21030 2015 Chevrolet Silverado C1500(1 GCRCREC1 FZ352661) 10. Loss Payee Auto 13 GM FINANCIAL PO BOX 1617 MINNEAPOLIS,MN 55440 2019 Chevrolet Suburban C1500/(1 GNSKIKI6KR262447) Additional Insured information 1 . Additional Insured GMAC ITS SUCCESSORS PO BOX 8105 COCKEYSVILLE,MD 21030 2. Additional Insured MIAMI DADE COUNTY 111 NW 1ST ST MIAMI,FL 33128 3. Additional Insured S.FLORIDA MANAGMENT PO BOX 24680 W.PALM BEACH,FL 33416 4. Additional Insured ASHBRITT INC 565 E HILLSBORO DEERFIELD BCH,FL 33441 5. Additional Insured THE CITY OF MIAMI B 1700 CONVENTIO MIAMI BEACH,FL 33139 6. Additional Insured NATL AUTOBONDS SOCI 225 VARICK 7FLR NEW YORK,NY 10014 7. Additional Insured AMEC FOSTER WHEELER 1105 LKWD 300 ALPHARETTA,GA 30009 8. Additional Insured CITY OF MIAMI BEACH PO BOX 4668-ECM NEW YORK,NY 10163 9. Additional Insured MONROE COUNTY BOCC 1100 SIMONTON S KEY WEST,FL 33040 10. Additional Insured HARBOUR CONSTRUCTIO 7340 SW 48TH ST MIAMI,FL 33155 11 . Additional Insured HANMIBANK ITS SUCCE PO BOX 3547 BELLEVUE,WA 98009 12. Additional Insured THE CITY OF MIAMI B 1755 MERIDIAN A MIAMI BEACH,FL 33139 111 Continued Form 6489 FL(01/15) Policy number: 03515746-9 ADVENTURE ENVIRONMENTAL Page 7 of 7 Agent signature Company officers Secretary • Form 6489 FL(01/15) PROGREIF/YE® BUTLER BUCKLEY DEETS COMMERCIAL 6161 BLUE LAGOON#420 MIAMI,FL 33126 1-305-262-0086 Policy number: 03515746-9 Underwritten by: Progressive Express Ins Company July 10,2019 Page 1 of 2 • BY VE 'DATE Certificate of Insurance WAIVER N/A O f � C Certificate Holder MONROE COUNTY BOCC 1100 SIMONTON STREET 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, endorsenients,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 C1500/1GNSKKE31BR382272 Comprehensive $1,000 Ded Collision $1,000 Ded 2014 CHEVROLET SILVERADO C2500 1 GC1 CVCG7EF187484 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 Continued Policy number: 03515746-9 Page 2 of 2 Medical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded 2019 CHEVROLET SUBURBAN C1500/1 GNSKIKJ6KR262447 Medical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded 2002 KW T80 1 NKDLT9X121894497 Medical Payments $5,000 2015 CHEVROLET SILVERADO C2500 1 GC2CUEG1 FZ541060 Medical Payments $5,000 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 1 NPWX4EX5ED226224 Medical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded 2006 INTL 740 1 HTWCAAN161370901 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 Certificate number 19119A10746 Please be advised that the certificate holder will not be notified in the event of a mid-term cancellation. Form 5241(10/02)