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Certificates of Insurance CERTIFICATE OF LIABILITY INSURANCE /07/2021 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 LIC #0437153 1-212-948-1306 CONTACT NAME: Marsh Risk & Insurance Services PHONE FAX CIRTS Support@jacobs.com A/C No Ext: A/C,No: 1-212-948-1306 E-MAIL 633 W. Fifth Street ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Los Angeles, CA 90071 INSURERA: ACE AMER INS CO 22667 INSURED INSURER B: Jacobs Project Management Co. INSURER C C/O Global Risk Management 1000 Wilshire Blvd., Suite 2100 INSURER D7 INSURER E: Los Angeles, CA 90017 INSURERF: COVERAGES CERTIFICATE NUMBER: 62390167 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 INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY HDO G72493503 07/01/21 07/01/22 EACH OCCURRENCE $ 1,000,000 � OCCUR DAMAGE TO CLAIMS-MADE PREMISES(Ea occurrence) ccurrence) $ 500,000 X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 1,000,000 X POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 1,000,000 JECT OTHER: $ A AUTOMOBILE LIABILITY ISA H25545631 07/01/21 07/01/22 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO T BODILY INJURY(Per person) $ OWNED SCHEDULED ,: BODILY INJURY(Per accident) $ `l HIRED NON-OWNED PROPERTYDAMAGE t. AUTOS ONLY AUTOS ONLY _ � .. AUTOS ONLY AUTOS I •-- Per accident $ $ 7 . 15 . 2021 W a UMBRELLA LAB h _. OCCUR ""'�`�- EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE -- -_, AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WLR C67817540 (AOS) 07/01/21 07/01/22 X STATUTE EERH AND EMPLOYERS'LIABILITY Y/N 1,000,000 A ANYPROPRIETOR/PARTNER/EXECUTIVE � N/A SCF C6781762A (WI) 07/01/21 07/01/22 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? A (Mandatory in NH) WCU C67817588 (OH)* 07/01/21 07/01/22 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A PROFESSIONAL LIABILITY EON G21655065 012 07/01/21 07/01/22 PER CLAIM/PER AGG 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) OFFICE LOCATION: Jacksonville, FL 32202. PROJECT MGR: Ryan Forney. CONTRACT MGR: Jack Renton. SENIOR CONTRACT MGR: Christopher Bowker. RE: Monroe County Airports - General Consulting Services Master Agreement with Jacobs Project Management Company for Professional Services at Key West International Airport and The Florida Keys Marathon International Airport. CONTRACT END DATE: 02/14/2022. PROJECT NUMBER: E9Y16700. SECTOR: Public. The Monroe County Board of County Commissioners, its employees and officials are added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured's services to cert holder under contract for captioned work. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE r..r Key West, FL 33040 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Cert_Renewal 62390167 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 06/07/2021 NAME OF INSURED: Jacobs Project Management Co. Additional Description of Operations/Remarks from Page 1: EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* Additional Information: *$2,000,000 SIR FOR STATE OF: OHIO SUPP(05/04) NOTICE TO OTHERS ENDORSEMENT - SCHEDULE - EMAIL ONLY Named Insured Jacobs Engineering Group Inc. Endorsement Number 74 Policy Symbol P2493503 cy Number Policy Period Effective Date of Endorsement HDO 07/01/2021 To 07/01/2022 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: i. The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL-32685 (01/11) Page 1 of 2 All other terms and conditions of the Policy remain unchanged. Authorized Representative ALL-32685 (01/11) Page 2 of 2 NOTICE TO OTHERS ENDORSEMENT- SCHEDULE - EMAIL ONLY Named Insured Jacobs Engineering Group Inc. Endorsement Number 44 Policy Symbol P5545631 icy Number Policy Period Effective Date of Endorsement ISA 07/01/2021 To 07/01/2022 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: i. The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL-32685(01/11) Page 1 of 2 All other terms and conditions of the Policy remain unchanged. Authorized Representative ALL-32685(01/11) Page 2 of 2 Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number JACOBS ENGINEERING GROUP INC. 1000 WILSHIRE BOULEVARD SUITE 2100 Policy Number LOS ANGELES CA 90017 Symbol: WLR Number:C67817540 Policy Period Effective Date of Endorsement 07-01-2021 TO 07-01-2022 07-01-2021 Issued By(Name of Insurance Company) ACE AMERICAN INSURANCE COMPANY Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. NOTICE TO OTHERS ENDORSEMENT - SCHEDULE - EMAIL ONLY A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: L The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. This Endorsement is not applicable in the states of AZ, FL, ID, ME, NC, NJ, NM,TX and WI. <5:�_ Authorized Representative WC 99 03 68(01/11) Page 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Endorsement Number Jacobs Engineering Group, Inc. 36 Policy Symbol Policy Number Policy Period Effective Date of Endorsement EON G21655065 012 07/01/2021 to 07/01/2022 07/01/2021 Issued By(Name of Insurance Company) ACE American Insurance Company NOTICE TO OTHERS ENDORSEMENT—SCHEDULE A. If We cancel or non-renew the Policy prior to its expiration date by notice to You for any reason other than nonpayment of premium, We will endeavor, as set out below, to send written notice of cancellation or non-renewal via such electronic or other form of notification as We determine, to the persons or organizations listed in the schedule that You or Your representative provide or have provided to Us (the Schedule). You or Your representative must provide Us with both the physical and e-mail address of such persons or organizations, and We will utilize such e-mail address and/or physical address that You or Your representative provided to Us on such Schedule. B. The Schedule must be initially provided to Us within 30 days after: i. The beginning of the Policy Period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy Period commences. C. The Schedule must be in a format that is acceptable to Us and must be accurate. D. Our delivery of the notification as described in Paragraph A of this endorsement will be based on the most recent Schedule in Our records as of the date the notice of cancellation or non-renewal is mailed or delivered to You. E. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation or non-renewal date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation or non- renewal of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation or non-renewal to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon Us, Our agents or representatives, will not extend any Policy cancellation or non-renewal date and will not negate any cancellation or non-renewal of the Policy. G. We are not responsible for verifying any information provided to Us in any Schedule, nor are We responsible for any incorrect information that You or Your representative provide to Us. If You or Your representative does not provide Us with a Schedule, We have no responsibility for taking any action under this endorsement. In addition, if neither You nor Your representative provides Us with e-mail address and/or physical address information with respect to a particular person or organization, then We shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. With respect to this endorsement Our, Us or We means the stock insurance company listed in the Declarations, and You or Your means the insured person or entity listed in Item 1 of the Declarations page. All other terms and conditions of this Policy remain unchanged. MS-36362(04/19) 9ZJOZHN J.�LUPICA. President Authorized Representative =ADDiTEI YYYY)► E TIFICATE OF LI BILITY INSUR NCE 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 pollcy(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 Merl of such endorsement(s). PRODUCER LFIC 1#0437153 1 21.2-948-1.306 CONTACT NAME: Marsh Risk & insurance Services PHONE FAX CIRIS Support@jacobs,com ( IAINt, xtl (ar Nol I-212-545-I3Q6 633 W. Fifth Street ADDRESS: .. .. ... .. .. ... ... ... ......... „_„_,,,INSURER(S}AFFORDING COVERAGE ....... ....... ....... NAIC#........ Los Angeles, CA 90071 INSURERA: A,CE AMER INS CO 22667 INSURED '...INSLIRER B Jacobs Project Management Co. ''...IN$I}REFt'C C/O Global Risk Management INSURER© 1000 Wilshire Blvd. , .Suite 2100 INSURERS. Leas Angeles, CA 90017 INSURERF. COVERAGES CERTIFICATE NUMBER. 59742119 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. IN'SR ......... ....... ........ ........ .AADL SLIBR.. POLICY EFF , POLICY E%P LTR TYPE OF INSURANCE [NS© WVQ POLICY NUMBER MMiDD1YYYY MM1DDfYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY IHDO G71452694 07/01/20 07/01/21 EACHOOCURRENCE S 1,000,000 CLAIMS• ADE X OCCUR PREMISE"rC REN E[ occurrence-0 S.. 500,000 X CONTRACTUAL LIABILITY MED EXP'(Any one Person! S 5,000 ........ ......... ......... ......... ...PERSONAL&AD+,INJURY S 1,000,000 ... GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE q, 1,000,000 ............ X POLICY. .._..__ PRO- LOG ....PRODUCTS.COMP`OP AGG S.. 1,000,000 ................. JECT OTHER: A AUTOMOBILE LIABILITY ISA H25307306 07/01/20 07/01/21 CONIMNED SINGLE LIMIT S 1,000,000 i s ;_{Ea accWenQ .... .................................... X ANY AUTO .. -- T BODILY INJURY(Per person) S OWNED SCHEDULED 1� ... ...... ....... ......... AUTOS ONLY AUTOS �BODILY'NJURY(Per aubderst( S HIRED NON OWNED ` „ PROPERTY DAMAGE... . Ov_vLTO AUTOS ONLY e_ �• - f ri aGcis3�n91 S 7/-28/2020 S UMBRELLA.LIAB - OCCUR � —,,,�,,*�°m^^—'� EACH OCCURRENCE EXCESS LIAR .. CLAtI�IS-MADE, MIR .n ,. ....,AGGR£G/S;TE ... S ... .... DED RETENTION S S A WORKERS COMPENSATION 'NCU C67460340 (OHT.O Only°07/Q1/2Q 07/01/21 X` ST,ATWE I EORH- AND EMPLOYERS'LIABILITY .. ... A ANYPROPRIEFOR;PARINERrE:XEC,tITIVE NIA 5CE C67460388 (WI) 07/01/20 07/01/21 EL EACH ACCIDENT' S 1,000,000 OFFICERIWFI SEREXC;LUDED� ... ..... .. .... .... A (Mandatory in NH) WLR C67460303 (AOS) 07/01/20 07/01/21 E L DISEASE•Eh EMPLOYEE S 1,000,000 If Yin,rdesr.rlhe under .. .._� ....... y. 1,000,000 ............ DESCRIPTION OF OPERATIONS below E L DISEASE.POLIES'LIMIT A PROFESSIONAL LIABILITY EON G21655065 Oil 07/01/20 07/01/21 PER CLAIM/PER AGE", 1,000,000 ",CLAIMS MARE" AGGREGATE 2,000,000 DEFENSE INCLUDED DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is requiredl OFFICE LOCATION: Jacksonville, FL 32202. PROJECT MGR: Ryan Forney. CONTRACT MGR: Jack Renton. SENIOR CONTRACT MGR: Christopher Bowker. RE: Monroe County Airports - General Consulting Services Master Agreement with Jacobs Project Management Company for Professional Services at Key Nest International Airport and The Florida Heys Marathon International Airport. CONTRACT ENO DATE: 02/14/2022. PROJECT NUMBER,: E9YI6700. SECTOR: Public. *$2,000,000 SIR FOR STATE OF: OHIO. The Monroe County Board of County Commissioners, its employees and officials are added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured®s services to cert holder under contract for captioned work. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Hoard of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISION& 1100 Simonton Street AU THO RIZ E D R E PRESE NTATI VE Key Vest , FL 33040 USA 1988-2015 ACORD CORPORATION.. All rights reserved. ACORD 2 (2016103) The ACORD name and logo are registered marks of ACORD Cert Renewal 597'42II9 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 07/06/20 0 NAME OF INSURED. Jacobs Project management Co, UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* supp(10100) ✓ V '" DATE,JM1,.MA001YYYYI �,. CERTIFICATE OF LIABILITY INSURANCE 07/06/2020 THIS CERTNFIICATE 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 NIE3'T CONSTITUTE A CONTRACT BETWEEN THE (ISSUING UNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT- If the certificate holder is an ADDITIONAL INSURED,the pollcy(i'es)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and condi ions of the policy,certain,policies may IregUire an endorsement A statement on this certificate doses not confer rights to the certificate holder in Neu of such endorsement(s). rRooucER L1C 90437153 1-212-948-1306 CONTACT NAMmE Marsh Risk S Insurance Services. PHONF. .. _. .. _. _. FAX! -212 948 1306 . CIR"T'S Support@ jacohs,comm (AFC,Noa 6r.Imul= (AC,Nn E•M11AI.L 633 W7� Fifth Street ADDRESS;. ..... IINSURERI*S`I.AFFORDING r.OVERAGE... ..._ NAICA._... Los Angeles, CA 90471 INSURER A:ACE AMER INS CO 22667 INSURED IN SURER e: Jacobs Project, Management Co, 'INSURER r C/o Global Risk.. Management INSURER.C'7'" ......... ......... ......... ......... ......... ..... ........... 10690 Wilshire Blvd., Suite 2100 INSURER E: Los Angeles, CA 9001,7 INSURER COVERAGES CERTIFICATE NUMBER:597421.1.9 REVISION NUJINMf3ER,'. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE E LISTED BE;I..C7'"A HAVE BEEN ISSUED TO THE INSURED rVa'""<PwllED dM,FICMVE FOR THE POLICY PERIOD INDICAEED. NOTfiM rl IS rANDIN G ANY REQU)IRENrIEN"T,"rERMt OR rlad'?NM rioN OF ANY CC)NTRAC"I' OR,.F f"HER DC'MC:UMEN"q WITH RE:spEc r TK.1'WI 110 l ti I flS CERTIFICATE MAY BE iSSU,)ED OR MAY PERTAIN', THE IINSURs"ANC E.AFFORDED BY THE POLICIES DESCRIBED HEREIN I*,' SUBJECT TO ALL THE TERMS, EXCLUSION'S AND CONDITIONS OF SUCH P017 CIEFo N.JMiT„m"Et-ECTWN MAY(NAVE BEEN REDUCED BY PAID CLAIMS, ILTR TYPE OF INSURANCE M DIL W FSR: PDLEC'Y EFF P47L.uDAS"E#R LIMITS I.TFA'', R F"DLNti,:M NUMBER MMAPDDNYY'YY MAIMAIpID DdYYYY ',. A It .COMMERCIAL.GENERAL LIASILn'Y HDO G71452'.694 07/01/2I7... 07/01/21 EACH-?CCL)N"FkrENICIE. ',.y 1.,000,00,.0 DAMAGE Plalrl NTI D -- CLAIM65344ADE AC L 0CX.',U1R: PREMISES rev:currmrnes SUDLSUCkr X CONTRACTUAL LIABILITY L. I � AMED EXP YPvly}rie rx rsovl7 ':a 5,000 —... PLI SONAL&ADVN,fljRle 5 1,000,00G7 CiFMm IL A4wdnh,I OWrFi N.Iks:111 PdF^X�I_4"5r^FN: ',. s:P"v,IIC.4tiAL Ati4,+NsriliNmMTf 1,000,CAUU' _ P RC:,. ACT 1.r;1rEl 8 f,d;,9IIT&AG N,. ,daP,rtL 4'Pf"",h,t,.4 F 1,000,00O ISA H2S307306 07/01/20 U7/01/21• +nNMIN-LI rNGIF I MII R1 Ag3Tii7MtLd16kLY?LIAk''nLllrk" It , y 1,000,000 9C ANY AUT<') I a 'T In01MA .r iWO Y rP N r a) (1tMlNIPC SC.P1P I71JN f.D " "w I- AL 4 YPm.IURY dP�o e of r e 1 $ AUTOS ONLY A4 O tl NIRF{;� NC,)md(.WNED W , "..—�, ,a" MROFI4-RI Y Car'MAl,&.. r., A,k:J T'OS 011AY Arts'€(a"ONLY 7 ,�^" .. IL'udr pL rldresuYy — /28/2020 UMIARELL.A.LIAR OCCUR yp�, """"'�,,��.-,.......... k N"M�� „�—gg"ya ✓fiGwi-&a 1 �.:4.&PEPX� ILifiIM:L EXCES$LPAS CLABkA&MtADE. m 7�Ir' m . AGGREGATE @d IT .... 1r& --Ma ? "d : ITITIT ITIT. T................................. ITITITITITITITITITITITITITIT X PER 1rfltiUdhErS COMPENSATION WCU C67460340 (OHIO Cnly)e7/C1/20 07/01/21 kAPUNr LNAND EMPLOY ERS"LIAEILIIY . N * ,hNWIR,0PRbETt1RVl-ARTm8k Yk1EXECUTIVE ; � wF.p, SCIP C6674603'$'8 (WI) 07/01/2tk [k7/01/21 9 I-FACHACrfL'Yf.-W 1,000,000 o 7P mOC FRMr1C nTL 4I Fr F7LC.I INI Mr II'r; 6N.7/D':1/ 1 A (MunIatoryInNH) .. IWLR C6746030�3 CAOSg 07/01/2C1 FI. DISEASE,IEAfMM6LCrYNI, S 1,000,UCU 11 Aa ..... .... III.,,FMITION OF ON RA I Nd.',N6'3S W I DISEASE P'1,)I GY0."01I I'C 1,000,000 * PROFESSIONAL LIABILITY' ', EON' G216550765 Ctll. 07/01/20 07/01/21 PER CLAIM,/PEiR IAGG ', 1,000u ',rIUCt.. v."CL..rA1:.MS 'MADE" ',, AGGREGATE 2,000,000 DEFENSE INCLUDED '.. DESCRIPTION DF OPERATIONS r LOCATIONS I VEHICLES{ACORD MWm„A rI crti anal Ruomtarik5 Soh um lW e,imay I RV am che,0 it more spa m is regviwed,U OFFICE LOCATION: Jacksonville, FL 32202 PROJECT MGR Ryan Forney, CONTRACT MGR ,lack Renton, SENIORCONTRACT MGR: Christopher Bowk,er, RE: Monroe County Airports - General Consulting Services Master Agreement with Jacobs Project. Management Company for Professional. Services at Key West 'International Airport and The Florida. Keys Marathon International. Airport. CONTRACT END DATE: 02/14,/2022, PROTECT NUMBER„ E9YI6700, SECT'C7R. Public, *'$2 000,000 SIR FOR. STATE O1Fn OHIO. The Monxoe County Board: of County Commissioners, its employees and officials are added as an additional insured for general liability S auto liability as respects the negligence of the insured in the performance of ipsured`s services to cent holder under contract for captioned work. *THE "!GERMS, CONDITIONS, AND LIMITS PROVIDED CERTIFICATE HOLDER CANCELLATION( SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE.CANCELLED BEFORE :Monroe. County Board. of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE. DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, 1.1..00 Simonton Street, Au'f'f#a7RIZEDREP'RE;SIENTA'I'1'i+'E: Key West , FL 33040 USA 19988-2E715 ACORD CORPORATION. All rights reserved. ACOR'D 25(2016103) The ACORD nalnse and logo are registered mmsarks of ACORD Ce.rt. Renewal 59742119 DATE SUPPLEMENT TO CERTIFICATE, OF INSURANCE 07/06/2020 NAME OF INSURED: Jacobs Project Management Co. UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* supp(10100) h-oni: Nyat°i.Y'tiiiidot'ii,�,jiicobs.cotii 'I' : nioniroecounlyfl; Rickat,d, Melody moi,iroecotii,ityfl(ii),El)ix,coiii,Nte,lody.Rict(�ll-d(ii�,jflco�bs,col,n C(.': CAKYS S uppol-viij!4cobs.co III Sut�ject: Re: I EX'FERNA 1,1 Moni-oe County U'lloirida Cei-fificate of Insm-ance Req (Rene"ral (101) Date, 7/6/2020 5:19:38 PNII Altachineot(s)- Hi All, Attached is the renewal copy of Certificate of Liability Insurance for your reference. Please confirm, if this is thie certificate you are looking,for. If not,then kindly provide Lis the copy of expired certificate or contract/project number in order to enable us to identify,the certificate. If there are any further questions in regards,to this rnatter, please en-I CIRTS—SLIPPDrt@ja:cobs.com. Regards, Nyad Yurndo Globall Risk Managernent Support Nyari,Yumdo@jacobs,com From.,Customer Service<monroecountyfI@ebix.com> Sent:07 July 2020 01:09 To, Rickard, Melody,<MellodV,Ri;cl<ard@jacobs,coryi>„CIRTS_Support<CIRTS_Suj)port@jacobs.corr> SubjIect: [EXTERINAL)Monroe County Florida Certificate of Insurance IReq I III e att a c hed notice i s be i ng,sent to yc u on beha I f of Mora oe County IF Bo rida by bi x RCS, Monroe County Florida has engaged with Ebix to manage insurance compliance verification on its behall'.You rnust be properly insured while doing business with Monroe County Florida and comply with insurance requirement s. As of the date of i his notice we have not mceived propei evidence of insurance coverage.Please review the attached notice as iit inducles the Wormation needed fcir cornphance and where to send your U'-,itfficate of insurance Vendor Instructions:The attached notice is being sent tO YOU and your agent,if we have their e mail addlre-s�,on file. Agent h'istructions�Please reviiew the attached notice as it mciudes the inforrnation nee cled for compliance, Please send your Certificate of Insm ance via emad to monr�cee("c)tir)tyfR@ebix,c:om if you have any questiom,,please contact Elbix by calling(951)925-1213;thank you for your prompt attention to this rnatter EBV"X' Ebix,inc. I One Ebix way I Jlohns Creek,GA 30097 1 Web 4 NOTICE TO OTHERS ENDORSEMENT—SCHEDULE—EMAIL ONLY ................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................ NarneqJ Insure,,J Jacobs Engirieering Group Inc, tndorsernerit Numjber 15 -Eff-eclive Date o-f-E n-dorsernent I HD( G71452694 07/0112020, TO 07/0112021 ..riI............................................................................................. .................................................................................................................................................................................................................................................................................................... sued By(Nan'ie of Inswanw Company) ACE American Insurance Company ................._._ __ _'_.............................__........... dns]rr the p,ollicy mmAtl er lhf.a re,ti Irtllnder of the Morpnafian IM is be wniple d only WhVl UMS EAVI3I'563rnent I Issul d uAm.qkmN k,llie pmparak.m 0 ffie P'01krV THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A, If we calncel the Polpcy prior to its expiration date by notice to you or the first Namedl Insured for any reason other than nonpayment of prehIjUM,we will endeavor,as set out below,,to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed un the schedule that you or your representative provide or have provided to us (the"Schedule"), You or your'representative must provide us with the e-mail address Of such persons or organizations, and we!will utilize such m ail address that You or your representative provided to us on suich Schedule- & The Schedule must be initially provided to us within 15 days after: Ji, The beginning of the Policy period"if this endorsernient is effective as of such date;or it. This, endorsement has been added to the Policy, if this endorsement is effective after the Policy planed cornmences. C. The Schedule must be in an electronic format that Is acceptable to us,and must be accurate. D. Our delivery of the notification ,is described in; Paragraph A, of this endorsement willl be based on the most recent Schedulle in our records as of the dlate the notice of cancellation is mai4od or delivered to the first Named Insured, E. We will endeavor to send such nobice to the e-rnail address corresponding to each person or organization indicraled in the Schedule!at least 30 days prior to the cancellation date applicalolle to the Policy, F. The notice referenced in this endorsement is untended only to be a COIJrtesy notification to the person(s) or organization(s) warned in the Schedule in the event of a pending cancellation of coverage We have no legal obligation of any kind to any such person(s) or organizalion(s), Our ll to provide adlvance notIficalion of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon use our, agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy, G. We are not responsible for verifying any Information provided to us in any Schedulle, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedupe, we have no responsibility for taking any acti011 under this endorsement. In addition, iif neither you nor your representative provides us with e.-rnail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement, Ha We may arrange with your representative to send Such notice in the event of any such cancellation, 1. You will cooperate with us in providing the Schedule,or in causing your representative to provide the Schedule- J This endorsement does not apply in the event that YOU cancel the Policy, ALL-3,2685(010 1) Page I of 2 AC/ DATE(MM/DD/YYYY) O CERTIFICATE OF LIABILITY INSURANCE 06/06/2019 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 LIC #0437153 1-212-948-1306 CONTACT NAME: Marsh Risk & Insurance Services PHONE FAX CI RTS_Supp or t@j acob s.com (A/C.No.Extl: (A/C,No): 1-212-9 4 8-13 0 6 E-MAIL 633 W. Fifth Street ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Los Angeles, CA 90071 INSURERA: ACE AMER INS CO 22667 INSURED INSURER B: Jacobs Project Management Co. INSURER C: C/O Global Risk Management INSURER D: 1000 Wilshire Blvd., Suite 2100 INSURERE: Los Angeles, CA 90017 INSURERF: COVERAGES CERTIFICATE NUMBER: 56386918 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSDW VD POLICY NUMBER (MM/DDIYYYY) (MM/DDfYYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G71565129 07/01/19 07/01/20 EACH OCCURRENCE $ 1,000,000 DAMAGE RENTED CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence) $ 500,000 X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA H25295511 07/01/19 07/01/20 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS 14 `$Y�il MA MELT HIRED NON-OWNED PROPERTY DAMAGE f $ AUTOS ONLY AUTOS ONLY BY /i 1�(/Q,( Per accident) 141-� �\Y 'C L $ UMBRELLA LIAB _ OCCUR DATE v Vv FACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE WAIVER N/ YES„e AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION SCF C65892327 (WI) 07/01/19 07/01/20 X STATUTE EERH AND EMPLOYERS'LIABILITY - - A ANYPROPRIETOR/PARTNER/EXECUTIVE NN N/A WCUC65892285 (AK,LA,OH,TXOR/01/19 07/01/20 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED7 07/O1/20 1,000,0 00 A (Mandatory in NH) WLR C65892248 (AOS) 07/01/19 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,0 0 0,0 0 0 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A PROFESSIONAL LIABILITY EON G21655065 010 07/01/19 07/01/20 PER CLAIM/PER AGG 1,000,000 "CLAIMS MADE" AGGREGATE 2,000,000 DEFENSE INCLUDED DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) OFFICE LOCATION: Jacksonville, FL 32202. PROJECT MGR: Ryan Forney. CONTRACT MGR: Jack Renton. SENIOR CONTRACT MGR: Christopher Bowker. RE: Monroe County Airports - General Consulting Services Master Agreement with Jacobs Project Management Company for Professional Services at Key West International Airport and The Florida Keys Marathon International Airport. CONTRACT END DATE: 02/14/2022. PROJECT NUMBER: E9Y16700. SECTOR: Public. *$2,250,000 SIR FOR STATES OF: AK, LA, OH, TX. The Monroe County Board of County Commissioners, its employees and officials are added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured's services to cert holder under contract for captioned work. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West , FL 33040 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Cert Renewal 56386918 NOTICE T9 OTHERS ENDORSEMENT— SCHEDULE—EMAIL ONLY Named rresuied Jacobs Engineering Group Inc Enduratimcni.Number 13 'P licy syrnuar Policy Number potty Pictl Effective Dale al Eadarsetltent HDO G71665129 07/011201S To 07. 3112t12a crapanrk- ACZ American Insurance Company reidatifia Otii=i cuebee,The ramraidar et the i+rnrmalkae it tote ouoplalea cad"n hez► e ib Inuad nimeGrrar i 43 Um prtparriHon cr Ole party THIS EN I ORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, A. if we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any meson other altar nonpayment of premium, we will endeavor, as eet out below,to send written notice of cancellation,via such electronic notification as we determine, to the persons or organizations listed In the schedule that you or your representative provide or have;provided to us it he"Schedule"). You or your representative must provide us with the e-mail address . of such persons or organitatIons. and we will utilize such e-mail address that you or your representative provided to ors on each Schedule, B. The Schedule;must be initially provided to us within 15 days fir_ I. The beginning of the Policy period,if this endorsement is effective as of such date;or II. This endorsement has been added to the Policy, if this endorsement is effective atter the Policy E--dad commences. C. The Schedule must be in an alactionloforrrat that is acceptable to us; and must be eoourate. D. Our delivery of the notiFiraliorn as described In Paragraph A.of this endorsement will be based on the nnost recent Schedule in our records es Of e date the notice of cancellation is mailed or delivered to the first Named'Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at beast 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the persongs) or orga► izatioltfs) named in the Schedule in the event of a pendbig cancellation of coverage. We have no legal obligation of any kind to any such +4=rson(s) or organization(e) Our failure to provide advance notification of cancellation to the ,personf$j or olgenizatio+l(s) shown in the Schedule shell impose no cbligatio n or hlebill y of any kind upon us. our agents or 'representatives, will not extend any policy cencanation date and wOl not negate any cancellation of the Policy, C. We are not responsible for verifying any Information provided to us in any Schedule, no r are we responsible for any irtcerradt information that you or your representative provide io us. if you or your representative does not provide us with a Schedule.we have no responsibility for taking any actors under this endorsement, In addition„ if neither you nor your representative provides us with mil address Information with respect to a particular person Or organization, thee we shall have no reSpOnsthility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event deny each cancellation. I. You will cooperate with us In providing the Schedule,or in causing your representative to provide the Schedule, J. This endorsement dog net apply in the event that you cancel the Policy. ALL5 Rini) Page 1 of 2 • Ali other terms and conditions of the Policy remain unchanged. Authclzed R9prew_tgaflve ALL-3 (01.11 1) Page 2 of 2 NOTICE TO OTHERS ENDORSEMENT—SCHEDULE ( 8 . ONLY t,r.3a�rina Jags Engineering Group inc. radar meu[ 1u rnber Porgy ayrnbflt Fiig Number prey Perbd _ algcrive bat+ t;rdorssre®nt 9 ,4 E WZ�S5511': UFf012010 TO 07/0112020 Issued 8y tnc rt►o W rrisuranca C sown y} Aca Atrialican Insurance Company Imrere the perurrumear.The redalto!ate Irgartngoal;h3 canpreted tree;60 d5istndrfsemeat b Id ryetbra8uoM b Iha praparrtian cf Iha d14, THIS ENDORSEMENT CHANGES THO POLICY,PLEASE READ IT CAREFULLY, A. If we cannel the Policy prior to Its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of pierthrm,we bill endeavor.as sell out below,to send wmiten notice of cancellation,vie such efeet►onic notirrcallaat as we determine, to the poisons or Organizations listed in the schedule that y+ou gr your repres provide or have provided to us i;the'S dule', You Of your representatke avast provkle us with the c-mail address of such parsons er organizetaons, and we wt utilize such e-mail address that you or your representativre provided to us on stash Schedule, S. The Schedule must be initially provided to its within 15 days after; i. The beginning of the Policy period, if this endorsement is effective ss of such date; at II. This endorsement has been added to the Policy, if this endorsement Is effective after the Policy period commence& C. The Schedule must be In art electronic frontal that is acceptable to us;and must be act to, D. our delivery of Pia notifcatioa as described in'Paragraph A. of this endorsement will be based on the most reeent Schedule In our records es of the date the notice of cancellation Is mailed or delhered to the firm Marred Insured, E. We 1 endeavor to send such notice to the mall address corresponding to each person or organization i°rtdiceted in the Schedule at least 30 clays prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the pereon(s) or orgenkatlorgs} named in the Schedule In the event of a pending cancellation of coverage. We have no I+.t;al obligation of any triad to any such corsage) of organizetion(s). Our fauna to provide EICiVart.M riViiteig1015 of cancellation lo the person(s) or caglanllatian(s) shown In the Schedule shall impose no obligation or rability of any kind upon Us. our agents or representatives, will not extend any Policy concallativn die and will not negate any cancellation of the Policy. et, We are not responsible for verifying any information provided to us in any Schedule, nor are we respansble for nay Facorrect information that you or your rapresentat prowida to us, If you or your representative does not provi4 us with a Schedule, we have no rssponsibilir1y for taking arty action under this endorsement. In addition. if neither you nor your ropoasenaetCve provides as with 9-mein address information with respect to a particular person or organization, then we shall have no raspafsa:11ity for taking action wih regard to such person or entity under this endorsement, H- We may arrange your representative to send such notice in the event of any such cancellation_ 1. You will cooperate with t►s in providing the Schedule,or le causing your representative to provide the Schadute. J. `this,endorsement does not apply in the event that you cancel the Policy. AlL85(Dirt') Pap 1 cf 2 All other lama and cantrillons of thg,Paw r5rilain unchanged, .1,7r -19 AuMonied itepee&eribbig ALL-32E45 tai itt 1) Page 2 of V oa rrs°Compensation and Em;to t re LIA 1 Policy *moo matted al-4m wort Numoci JACOBS ENGINEERING GROUP INC, 10OO'WILSHIRE BOULEVARD SUITE 1Q00 Polo/No-ntrer LOS ANGELES CA 90O17 Symbol:WLR Number C65092248 ratty Poled `"¢ ireeu Date of Endorsement 07-01-2019 TO 07-01-2020 l 07-0t-2019 rssuocity(r4arms ut insurance camparri} ACE AMERICAN INSURANCE COMPANY lama rrrs pity amber.The arnainrInr al'lhe rr vrrcisl ri is do to etrr a crgittorsialient k is $u4R .nt to ttrs par ► oho Pos `- ��- NOTICE TO OTHERS ENDORSEM T— SCHEDULE —EMAIL ONLY A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium,we MI endeavor, as set out below,to send written notice of cancellation, via such electronic notification es we determine, to the persons or organizations listed in the schedule that you or your representative provide or have pravidad to vs lithe`Schedule). You or your representative moist provkle us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to pus on such Schedule.. B. The Schedule must he initially prvided to us within 15 days after: i, The beginning of the Policy period if this endorsement is effective a of such date;or il, This endorsement has been added to the Policy, if this endorsement Is effective after the Policy period commences. C. The Schedule must be In an elecronic format that is acceptable to us;and must be accurate, D. Our aelrwery of the notification as descril3ed in Paragraph A. of this endorsement will be based on the most recent Schedule In our tr`ourds es of the date the notice of cancellation is nksded or delivered to the first lammed[neured. E, We will endiaavor to sered such notice to the e-mail adkikess corresponding to each person or organization Iodinated in the Sohed Lire at least 3O days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to Ina person(s) or organizations) reamed in the Schedule in the went of a pending cancellation of coverage. We have no legal obligation of any kind to any such pereen(s) or ergslnizatlon(s). Our failure to provide ad earim notification of cancellation to the persons) or organization(s) shown in the Schedule shall Impose no obligation or liaiaik( of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not riegate any cancellation of the Policy. G. We are not responsible for verifying Oily information provided to us in any Schedule, nor are we responsible for any in0orteGt information that you or your representative provide to us. if you or your representative does met provide us wiilh a Schedule. we have no responsiblliry+for taking any action under this endorsement in addition, if neither you rum your representative provides us with e.rnail address information with respect to a particular parson or organization. then we shell have no raspoSsibility for taking action with regard to such person or inlay under this endorsement H. We may arrange with your representative to send such notice in the avant of any such carceltatlon_ I. You will cooperate with us in providing the Schedule,or in causing your representative to provide the Schedule. J. This endorsement does not apply ht the event that you cancel the volley.. All other terms and conditions of this Policy remain unchanged. This Endorsement Is not applicable In the states of AZ, pit ID ME, NC, NJ, NM,TX and WI Authorized Represcriim va WC 99 CM 6 CC01l11a Page 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Endorsement Number Jacobs Engineering Group Inc. 7 Policy Symbol Policy Number Policy Period Effective Date of Endorsement EON G21655065 010 07/01/2019 to 07/01/2020 07/01/2019 Issued By(Name of Insurance Company) ACE American Insurance Company NOTICE TO OTHERS ENDORSEMENT—SCHEDULE F. If We cancel or non-renew the Policy prior to its expiration date by notice to You for any reason other than nonpayment of premium, We will endeavor, as set out below, to send written notice of cancellation or non-renewal via such electronic or other form of notification as We determine, to the persons or organizations listed in the schedule that You or Your representative provide or have provided to Us (the Schedule). You or Your representative must provide Us with both the physical and e-mail address of such persons or organizations, and We will utilize such e-mail address and/or physical address that You or Your representative provided to Us on such Schedule. G. The Schedule must be initially provided to Us within 30 days after: i. The beginning of the Policy Period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy Period commences. H. The Schedule must be in a format that is acceptable to Us and must be accurate. I. Our delivery of the notification as described in Paragraph A of this endorsement will be based on the most recent Schedule in Our records as of the date the notice of cancellation or non-renewal is mailed or delivered to You. J. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation or non-renewal date applicable to the Policy. K. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation or non- renewal of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation or non-renewal to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon Us, Our agents or representatives, will not extend any Policy cancellation or non-renewal date and will not negate any cancellation or non-renewal of the Policy. L. We are not responsible for verifying any information provided to Us in any Schedule, nor are We responsible for any incorrect information that You or Your representative provide to Us. If You or Your representative does not provide Us with a Schedule, We have no responsibility for taking any action under this endorsement. In addition, if neither You nor Your representative provides Us with e-mail address and/or physical address information with respect to a particular person or organization, then We shall have no responsibility for taking action with regard to such person or entity under this endorsement. M. With respect to this endorsement Our, Us or We means the stock insurance company listed in the Declarations, and You or Your means the insured person or entity listed in Item 1 of the Declarations page. All other terms and conditions of this Policy remain unchanged. MS-36362(04/19) J:I L.LURt ; .Rr ajes # Authorized Representative DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 06/06/2019 NAME OF INSURED: Jacobs Project Management Co. UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* SUPP(10/00) ACORD0 CERTIFICATE OF LIABILITY INSURANCE DA6n(7/201 rr1 THIS CERTIFICATE IS ISSUED AS A MATTER OP 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. It SUBROGATION IS WANED,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 AON RISK SERVICES CENTRAL.INC. .1 ic.oNt<o.Eatl: (866)283-7122 FAX (847)953-5390 5600 WEST 83RD STREET.8200 TOWER.SUITE 1100 E-MAILD _ MINNEAPOLIS.MN 55437-1027 INSURERISI AFFORDING COVERAGE NAIC# INSURER A; CONTINENTAL CASUALTY COMPANY 20443 INSURED INSURER B: PV HOLDING CORP./BUDGET TRUCK RENTAL,LLC. _ _ __ 90029_ ___ AVIS BUDGET GROUP,INC.;AVIS BUDGET CAR RENTAL,LLC,ITS INSURER Cs AMERICAN CASUALTY COMPANY OF READING,PA { 20427 SUBSIDIARIES INCLUDING AVIS RENT A CAR SYSTEM,LLC,BUDGET INSURER D: TRANSPORTATION INSURANCE COMPANY 20494 RENT A CAR SYSTEM,INC.AND BUDGET TRUCK RENTAL,LLC. 6 SYLVAN WAY;PARSIPPANY,NJ 07054 INSURER E: ACE PROPERTY&CASUALTY INSURANCE COMPANY I 20699 INSURER F: COVERAGES CERTIFICATE NUMBER: 1219 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO11MTHSTANCtNG 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.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. o15R! ,AO'D'L1SLIBRl`. I POLICYEFF-I PGIPGYExP — ....... "'----- . ,..—,.,.,.,__— LIR TYPE OF INSURANCE itN50 MVO, POLICY NUMBER i(MMoi JYY]YY ;Ste+SODIYYYYI I LIMITS . X 1 CONl4ERCaALGEN9tALLIABILITY I I I I 1 EACH OCCURRENCE 1 S $2,000,000 A GL9001603190 7/1/2019 7/1/2020 i DAmAsE'IaHEWED I _ I I�L°:Ats.1/6:JG X ; C JR ( 1.PREy(5ES LE�ossautearal_I 5 $1,000,000 _H.� MEC EXP(Anyone ne p S $0, . j1XX 1GARAGE LIABILITY I I i PERSONAL 5 AOVINJJNY $._ $2,000,000 I GE-TM AGGREGATE UM IT;APPLIES Pat. GET AL A;r•REGATE 15 $25,000,000 1 x I POLICY• PRO- 1 LOC I I PROODUCTS•COT/F1DPAL,G 15 $2,000,000 I OTHER: 1 1 I 15 1 AUTOMOBILE UABILRY I COMBINED SINGLEIJNJT IS $1,000,000 A BUA7001700830 7/1/2019 i 7/1/2020 1?Ea:,cci�cnt) I X ANY AUTO I EODT.Y It.21LRZ �a• Y(Per pc' n) I S U.VNEO r `�SGHEDULFr) , -* I AI:TOS C;s'tE,Y I AUTOS I EMILY N.;URY(Par a«henpl$ B ;--- HIRED reOtU•C'AT•JED I I SELF INSURED 7/1/2019 • 7/1/2020 =y1Yu.At+�S"c I AIJ OS'ONLY I AUI OS ONLY i (_(Pcr acacerdi 1 5 E I X_ NBRELLALIABX i;f:CUH G28130168004 i = 7/1/2019 7/1/2020 i EJDI OCCURRENCE 15 $4,000,000 j I EXCESS LIAR I I CLAIAIS.I/ADEi j r 1 AGGREGATE 15 $4,000,000 I ICED I X J RETENTION i 10,000 I s WVOgI(ERSCOMPENSATION I i • C IANDETAPLOYES'LIABILITY YIN I I WC4014106301 -DED. 7/1/2019 7/1/2020 _X,- H JW FR I CANYPR CPR IEIORYARIrF_S,:YECJ7ITe n EL EACH ACCIDENT I $1,000,000 CFFlce AEME•ERFXCI,Ur,Er NJ A WC4014106346-CA IIAttldatory In NRl N I EL DISEASE_E4ETOIOYIJ S $1,000,000 D E}-s,descritr unuer I 1 WC4014106265-RETRO j IC£SCRIPT,•_VV OF CFERATICIfS Srk,n- ! i I EL DISEASE-PC•LICY Uh1iT I$� $1,000,000 I 1 I j 1 I EACH OCCURRENCE/ i II AGGREGATE , I I 1 DESCRIPTION OF OPERATIONS J LOCATIONS I VEHICLES(ACORO 101,Add alanal Remarks Schedule,may De attached If more space Is required) See Attached • BY AIS Afd E -,I •L621114 �rVA 6Y DATE WAIVER We* YES..__. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE INSURANCE CERTIFICATE ENCLOSED THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MONROE COUNTY AIRPORT OPERATIONS ACCORDANCE WITH THE POLICY PROVISIONS. AND MAINTENANCE KEY WEST INTERNATIONAL AIRPORT 3491 S.ROOSEVELT BLVD. AUTHORIZED REPRESENTATIVE KEY WEST,FL 33040 Aon Risk Central, Inc. USA • C/O PROPERTY I AIRPORT MANAGER Services �0 9� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Certificate Holder: Cert Number: MONROE COUNTY AIRPORT OPERATIONS 1219 RE:LEASED PREMISES AT KEY WEST INTERNATIONAL AIRPORT,3491 S.ROOSEVELT BLVD.,KEY WEST,FL 33040.THIS CERTIFICATE OF INSURANCE(COI)RELATES TO A POLICY(POLICIES)ISSUED TO THE INCLUDED INSURED AND IS INTENDED TO DEMONSTRATE COVERAGE AS PROVIDED SOLELY TO THE INCLUDED INSURED AND IS FOR INFORMATIONAL PURPOSES ONLY. THE CERTIFICATE HOLDER LISTED ON THIS COI MAY BE INCLUDED AS AN ADDITIONAL INSURED UNDER SUCH POLICY(POLICIES)ONLY TO THE LIMIT THAT SUCH CERTIFICATE HOLDERS INTEREST APPEARS ONLY IF SUCH INCLUSION IS REQUIRED IN WRITING SPECIFICALLY AND EXPRESSLY STATING THAT SUCH CERTIFICATE HOLDER BE INCLUDED AS AN ADDITIONAL INSURED UNDER SUCH POLICY(POLICIES).UMBRELLA COVERAGE MAY BE SUBJECT TO DEDUCTIBLE AND/OR SELF INSURANCE. • • ____..-...1 ® DATE(MMIDDlYYYY) '4� CERTIFICATE OF LIABILITY INSURANCEO6i,6l20,9 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). t CONTACT CDPRODUCER NAME: 9 Aon Risk Services Southwest, Inc. PHONE (g66) 28371 FAX (800)800) 363-0105 `- Dal l as TX Office (NC.No.Eat): - zz (NC.No.): 5005 Lyndon B Johnson Freeway E-MAIL -6 Suite 1500 ADDRESS: M Dallas TX 75244 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Great Lakes insurance SE AA1120697 FedEx Corporation and its subsidiaries INSURER B: Including FedEx Express INSURERc: 3620 Hacks Cross Road Building B, 3rd Floor INSURERD: Memphis TN 38125 USA INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570076900669 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. Limits shown are as requested INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR INSR WVD ((MM/DD/YYYY1 jikiwDDrrnm LIMITS A X COMMERCIAL GENERAL LIABILITY 28294019 07/01/701 07/01/202 EACH OCCURRENCE S5,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) MED EXP(Any one person) PERSONAL&ADV INJURY °) coD GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE o POLICY I I JEC RO- I I LOC PRODUCTS-COMP/OP AGG rO100 OTHER: 0 N- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT in (Ea accident) ANYAUTO BODILY INJURY(Per person) Z0 OWNED SCHEDULED BODILY INJURY(Per accident) y _AUTOS ONLY —AUTOS HIRED AUTOS NON-OWNED P OPERTYDAMAGE ONLY _AUTOS ONLY , :y'Mc '" • _ ,, _ (,r aaident) F. l/ �r N UMBRELLA LIAR OCCUR ��M mu EACH OCCURRENCE 0 - EXCESS LIAR _J CLAIMS-MADE �Y • ' e - AGGREGATE DED RETENTION PANE ��.a. WORKERS COMPENSATION AND WAr PER OTH- EMPLOYERS'LIABILITY YIN STATUTE ER - ANY PROPRIETOR!PARTNER!EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? I I NIA (Mandatory In NH) EL,DISEASE-EA EMPLOYEE It yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT NM a - DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) ..d SEE ATTACHED FOR FULL SCHEDULE OF SUBSCRIBING INSURERS. RE: 3553 S. Roosevelt Blvd. Key West, FL As required by contract, the Insurers agree to waive their rights of subrogation against Monroe County Board of County Commissioners to the same extent Federal Express Corporation has waived its rights of recovery under the terms of the51 agreement. As required by contract, but subject to the terms, conditions and exclusions of the policy, Monroe County Board of 0 County Commissioners is (are) included as additional insured(s) as respects operations performed by or for the named insured. In the event the insurance described on this certificate of insurance is cancelled, non-renewed or there is a reduction in coverage/material change which effects the interest of the certificate holder, or if this insurance is allowed to lapse for CERTIFICATE HOLDER CANCELLATION 41 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE ..,g POLICY PROVISIONS. Monroe County Board of County AUTHORIZED REPRESENTATIVE Commissioners /�y� y//y ATTN: Peter J. Horton �y Matec. r9�e.J r� Key West International Airport t�(4y/olb 1100 Simonton St iG �a Key West FL 33040 USA - illIl C1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 10754120 ACO/�O® LOC#: ADDITIONAL REMARKS SCHEDULE Page _ of AGENCY NAMED INSURED Aon Risk services southwest, Inc. FedEx corporation and its subsidiaries POLICY NUMBER see Certificate Number: 570076900669 CARRIER NAIC CODE see Certificate Number: 570076900669 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Additional Description of Operations/Locations/Vehicles: non-payment of premium, the issuing company will mail thirty (30) days prior written notice to the certificate holder. • ACORD 101(2008/01) @ 2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 10754120 LOC#: '°' ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY -NAMEDINSURED Aon Risk Services Southwest, Inc. FedEx corporation and its subsidiaries POLICY NUMBER See Certificate Number: 570076900669 CARRIER NAIC CODE See Certificate Number: 570076900669 EFFECTNEDATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance SCHEDULE OF SUBSCRIBING INSURERS POLICY TERM: JULY 1, 2019 TO JULY 1, 2020 COVERAGE: Liability Insurance SUBSCRIBING INSURERS FOR 78% PARTICIPATION POLICY NUMBER GLOBAL AEROSPACE 282940/19 GREAT LAKES REINSURANCE (UK) SE - 4.996003% MAPFRE GLOBAL RISKS, COMPAN±A INTERNACIONAL DE SEGUROS Y REASEGUROS, S.A. - 0.999997% NATIONAL FIRE & MARINE INSURANCE COMPANY - 1.838999% MITSUI SUMITOMO INSURANCE COMPANY OF AMERICA - 0.927999% TOKIO MARINE AMERICA INSURANCE COMPANY - 1.237001% VARIOUS INSURERS THROUGH AON GROUP LIMITED, AVIATION AVLON1900983 SCHEDULE OF LLOYD'S SYNDICATES Chaucer Syndicate (CSL 1084) - 2.5% Chubb (GCM 2488) - 5% Catlin Syndicate (XLC 2003) - 5.5% AXA Corporate Solutions Assurance - 2.5% HDI Global Specialty SE - 3.5% Munich RE - 5% ALLIANZ GLOBAL RISKS US INSURANCE COMPANY - 5% AlAL000905019AM COMMERCE & INDUSTRY INSURANCE COMPANY - 12.5% HL 1852310-16 STARR INDEMNITY & LIABILITY COMPANY - 10% 1000189049-02 UNITED STATES AVIATION UNDERWRITERS SIHL2-2560 ACE American Insurance Company - 3.333% Liberty Mutual Insurance Company - 3.333% National Liability & Fire Insurance Company - 1.667% General Reinsurance Corporation - 1.667% XL SPECIALTY INSURANCE COMPANY - 4% UA00001150AV19A OLD REPUBLIC INSURANCE COMPANY - 2.5% RAL00004504 ACORD 101(2008101) ©2008 ACORD CORPORATION.All rights reserve . The ACORD name and logo are registered marks ot ACORD AGENCY CUSTOMER ID: 10754120 LOC#: '4 ADDITIONAL REMARKS SCHEDULE Page _ of AGENCY NAMED INSURED Aon Risk services Southwest, Inc. FedEx corporation and its subsidiaries POUCY NUMBER see Certificate Number: 570076900669 CARRIER NAIC CODE See Certificate Number: 570076900669 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance SCHEDULE OF SUBSCRIBING INSURERS POLICY TERM: JULY 1, 2019 TO JULY 1, 2020 COVERAGE: Liability Insurance SUBSCRIBING INSURERS FOR 22% PARTICIPATION POLICY NUMBER TIGER INTERNATIONAL INSURANCE LIMITED ("TIGER") TIG70119MAIN Coverage is Directly Procured by the PolicyHolder SEVERAL LIABILITY NOTICE The subscribing insurers' obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co-subscribing insurer who for any reason does not satisfy all or part of its obligation. Each of the aforementioned Insurers has authorized Aon Risk Services Southwest, Inc. to issue this certificate on its behalf. Aon Risk Services southwest, Inc. is not an insurer and therefore has no liability under the above policies as an insurer, nor does it have any liability under the policies as an insurer as a result of the issuance of this certificate. TIGER has authorized Aon Insurance Managers (Cayman) Ltd., who in turn have authorized Aon Risk Services Southwest, Inc. to issue certificates of Insurance on TIGER's behalf. Aon Insurance Managers (Cayman) Ltd. is not an insurer and therefore has no liability under the above policies as an insurer, nor does Aon Insurance Managers (cayman) have any liability under the policies as an insurer as a result of issuing this certificate. ACORD 101(200E01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD � 8 CERTIFICATE OF LIABILITY INSURANCE 06/28/2018 Y' A O 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(les) 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 LIC #0437153 1- 212 - 948 -1306 CONTACT NAME: Marsh Risk & Insurance Services PHONE FAX CIRTS Support®jacobs.com (EC (A/c, No, 1- 212 - 948 -1306 633 W. Fifth Street ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Los Angeles, CA 90071 INSURERA: ACE AMER INS CO 22667 INSURED INSURER B Jacobs Project Management Co. INSURER C: C/O Global Risk Management INSURER D : 600 Wilshire Blvd., Suite 1000 INSURERE: Los Angeles, CA 90017 INSURERF: COVERAGES CERTIFICATE NUMBER: 53260578 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 INSD WVD POLICY NUMBER (MMIDDIYYYY) (MM /DDIYYYY) A X COMMERCIAL GENERAL LIABILITY HDO G71096750 07/01/18 07/01/19 EACH OCCURRENCE $ 1,000,000 DAMAGE CLAIMS -MADE X OCCUR PREMISES O(Ea oNED ccurrence) $ 500,000 X CONTRACTUAL LIABILITY MED EXP (Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GENL AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE $ 1,000,000 POLICY PRO- LOC PRODUCTS $ 1,000,000 JECT _ OTHER: $ A AUTOMOBILE LIABILITY ISA H25158684 07/01/18 07/01/19 a accidEent) DSINGLELIMIT $ 1,000,000 (E _ X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY _ AUTOS APPROVED BY RISK MANAGEMENT $ HIRED NON -OWNED / PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY B Y J t (Per accident) �� ' 4 UMBRELLA LIAB OCCUR DATE / �il .. . h `_�. . EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE WAIVER Nfir4,, YES_ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATION WLR C6479033A (AOS) 07/01/18 07/01/19 X STATUTE E ER H AND EMPLOYERS LIABILITY A ANYPROPRIETOR/PARTNER /EXECUTIVE NN N WCU C64789533 (LA, OH, T{ 7101/18 07/01/19 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? 07/01/19 1,000,000 A (Mandatory in NH) SCF C64789570 (WI) 07/01/18 E.L. DISEASE -EA EMPLOYEE $ If yes, describe under 1, 000, 000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A PROFESSIONAL LIABILITY EON G21655065 009 07/01/18 07/01/19 PER CLAIM /PER AGG 1,000,000 "CLAIMS MADE" AGGREGATE 2,000,000 DEFENSE INCLUDED DESCRIPTION OF OPERATIONS/LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) OFFICE LOCATION: Jacksonville, FL 32202. PROJECT MGR: Ryan Forney. CONTRACT MGR: Jack Renton. SENIOR CONTRACT MGR: Christopher Bowker. RE: Monroe County Airports - General Consulting Services Master Agreement with Jacobs Project Management Company for Professional Services at Key West International Airport and The Florida Keys Marathon International Airport. CONTRACT END DATE: 02/14/2022. PROJECT NUMBER: E9Y16700. SECTOR: Public. *$2,250,000 SIR FOR STATES OF: LA, OH, TX. The Monroe County Board of County Commissioners, its employees and officials are added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured's services to cert holder under contract for captioned work. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West , FL 33040 USA C-c- ^,, 0^ ' t,�, © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD nyumdo 53260578 NOTICE TO OTHERS ENDORSEMENT - SCHEDULE - EMAIL ONLY Nerved Insured Jacobs g Group Jacobs En ineerin CafCU Inc. _._. fEndorsementNumber 13 Policy Symbol ,Policy Number r Policy Period Effective Date of Endorsement HDO • G71098750 07/01/2018 To 07/01/2019 tssued By (Name of Insurance Company) 'p"X ACE American Insurance Company Insert the policy number The remainder of the Information is to be completed only when Pis endorsement A issued subsequent to the preparat'ton of the policy THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation. via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the 'Schedule"). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after. i. The beginning of the Policy period, if this endorsement is effective as of such date; or II. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate, D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation Is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of • cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL -32685 (01/11) Page 1 of 2 All other terms and conditions of the Policy remain unchanged Authorized Representative ALL -32685 (01/11) Page 2 of 2 3 NOTICE TO OTHERS ENDORSEMENT - SCHEDULE - EMAIL ONLY Named Insured Jacobs Engineering Group Inc. Endorsement Number 3 Policy Symbol Policy Number Policy Period Effective Date of Endorsement ISA H25158684 07/01/2018 TO 07/01/2019 Issued By (Name of Insurance Company) ACE American Insurance Company Insert the policy number. The remainder of the information is to be completed only when this endorsement is Issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule°). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after. i. The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL -32685 (01/11) Page 1 of 2 All other terms and conditions of the Policy remain unchanged. Authorized Representative ALL-32685 (01/11) Page 2 of 2 Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number JACOBS ENGINEERING GROUP INC. 600 WILSHIRE BOULEVARD, SUITE 1000 Policy Number LOS ANGELES CA 90017 Symbol:WLR Number. C647033A Policy Period Effective Date of Endorsement 07 -01 -2018 TO 07-01 -2019 07 -01 -2018 Issued By (Name of Insurance Company) ACE AMERICAN INSURANCE COMPANY Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. NOTICE TO OTHERS ENDORSEMENT - SCHEDULE - EMAIL ONLY A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule "). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: i. The beginning of the Policy period, if this endorsement is effective as of such date; or H. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. This Endorsement is not applicable in the states of AZ, FL, ID, ME, NC, NJ, NM,TX and WI. Authorized Representative WC 99 03 68 (01/11) Page 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Endorsement Number Jacobs Engineering Group Inc. 86 Policy Symbol Policy Number Policy Period Effective Date of Endorsement EON G21655065 009 07/01/2018 to 07/01/2019 07/01/2018 Issued By (Name of Insurance Company) ACE American Insurance Company NOTICE TO OTHERS ENDORSEMENT — SCHEDULE A. If We cancel or non -renew the Policy prior to its expiration date by notice to You for any reason other than nonpayment of premium, We will endeavor, as set out below, to send written notice of cancellation or non - renewal via such electronic or other form of notification as We determine, to the persons or organizations listed in the schedule that You or Your representative provide or have provided to Us (the Schedule). You or Your representative must provide Us with both the physical and e-mail address of such persons or organizations, and We will utilize such e-mail address and /or physical address that You or Your representative provided to Us on such Schedule. B. The Schedule must be initially provided to Us within 30 days after: i. The beginning of the Policy Period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy Period commences. C. The Schedule must be in a format that is acceptable to Us and must be accurate. D. Our delivery of the notification as described in Paragraph A of this endorsement will be based on the most recent Schedule in Our records as of the date the notice of cancellation or non - renewal is mailed or delivered to You. E. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation or non - renewal date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation or non - renewal of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation or non - renewal to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon Us, Our agents or representatives, will not extend any Policy cancellation or non - renewal date and will not negate any cancellation or non - renewal of the Policy. G. We are not responsible for verifying any information provided to Us in any Schedule, nor are We responsible for any incorrect information that You or Your representative provide to Us. If You or Your representative does not provide Us with a Schedule, We have no responsibility for taking any action under this endorsement. In addition, if neither You nor Your representative provides Us with e-mail address and /or physical address information with respect to a particular person or organization, then We shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. With respect to this endorsement Our, Us or We means the stock insurance company listed in the Declarations, and You or Your means the insured person or entity listed in Item 1 of the Declarations page. All other terms and conditions of this Policy remain unchanged. AP • Authorized Representative MS -36362 (01/15) SUPPLEMENT TO CERTIFICATE OF INSURANCE 06/ DATE 06/28/2018 NAME OF INSURED: Jacobs Project Management Co. UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* • SUPP (10/00) A`� o® CERTIFICATE OF LIABILITY INSURANCE 05/31/201'"' 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 LIC #0437153 1-212-948-1306 Marsh Risk & Insurance Services CIRTS Support@jacobs.com PP 777 S. Figueroa Street CONTACT NAME: PHONE FAX AIC No Ext: A/C No: 1-212-948-1306 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE AMER INS CO 22667 Los Angeles, CA 90017-5822 INSURED INSURER B : Jacobs Project Management Co. INSURER C INSURERD: C/O Global Risk Management INSURERE: 600 Wilshire Blvd., Suite 1000 INSURERF: Los Angeles, CA 90017 COVERAGES CERTIFICATE NUMBER: 49985510 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. FA TYPE OF INSURANCE ADDLSUBRi POLICY NUMBER MMDDY/YYYY MMDD/YYYY LIMITS IX COMMERCIAL GENERAL LIABILITY HDO G27865069 07/01/17 07/01/18 EACH OCCURRENCE $ 1,000,000 �---« CLAIMS -MADE XOCCUR DAMAGE PREM SESOEa oocur ence $ 250,000 MED EXP (Any one person) $ 5,000 X CONTRACTUAL LIABILITY PERSONAL &ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 POLICY ❑ PROJECT D LOC PRODUCTS - COMP/OPAGG $ 1,000,000 $ OTHER: A AUTOMOBILELIABILITY ISA H09055964 07/01/17 07/01/18 LIMIT COMBINED Ea ."dent) a $ 1,000,000 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) ccident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Ap M E Ni $ BY UMBRELLA LIAB OCCUR WAIVER N/A ES._-, EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE a OFFICER/MEMBER EXCLUDED? (MandatoryinNH) NIA WLR C49115581 (AOS) SCF C49115623 (WI) WCU C49115611 (LA, OH, T 07/01/17 07/01/17 OF/01/17 07/01/18 07/01/18 07 /O1/16 PER X STATUTE I I EERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A PROFESSIONAL LIABILITY EON G21655065 008 07/01/17 07/01/18 PER CLAIM/PER AGG 1,000,000 "CLAIMS MADE" AGGREGATE 2,000,000 DEFENSE INCLUDED DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) OFFICE LOCATION: Jacksonville, FL 32202. PROJECT MGR: Ryan Forney. CONTRACT MGR: Jack Renton. SENIOR CONTRACT MGR: Christopher Bowker. RE: Monroe County Airports - General Consulting Services Master Agreement with Jacobs Project Management Company for Professional Services at Key West International Airport and The Florida Keys Marathon International Airport. CONTRACT END DATE: 11/15/14. PROJECT NUMBER: E9Y16700. SECTOR: Public. *$2,250,000 SIR FOR STATES OF: LA, OH, TX. The Monroe County Board of County Commissioners, its employees and officials are added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured's services to cart holder under contract for captioned work. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED CERTIFICATE HOLDER CANCELLATION e County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 <:�; USA G� : ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Cert Renewal 49985510 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 05/31/2017 NAME OF INSURED: Jacobs Project Management Co. UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREEDI TO UNDER THE APPLICABLE CONTRACT.* /��0 CERTIFICATE OF LIABILITY INSURANCE poi p)/" /2016 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: II the CertiflcMe holder Is an ADDITIONAL INSURED,the polkygesl must be endorsed. B SUBROGATION IS WANED,sullied to the arms and condlUons of We policy,certain policies may require an endorsement A statement on this GerUflcstt does not confer rights to the certificate holder In Ileac of such endorsemengU. MOWCER LIC 0007153 1-212-941-1306 AMC Wseb Risk E Inroruea S.rvic.s PHONE 'A'I ga. 1-212-916-1306 CIRTO supporteint.rnal.5 acobt.cos 777 0. Figueroa Street AONnA: IN$URERmMFORDINOCOVlRASE Pimp to Loa Angels, CA 90017-5E22 moan A:ACE AIRR INN CO 22667 INSIM60 INSURER s: Jacobs Project NanagO.Ot CO. INMURMRC: 155 North Lane AV.nu.. 9th Floor INSURES O: INSURER!: Pasadena, CA 91101 INSURER F: COVERAGES CERTIFICATE NUMBER:4704959e 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 ANOCONOITIONS OF SUCH POLICIES.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CIAINS. __ L1X ME OF INSURANCE POLICY RUNUP I nMger/YYr1I 1 I MNm A X coYYesMLoneAALIJMxm B00 03]BSl]66 07/01/16 07/01/17 EACHOCCMMENCE 11.000,000 MwMS°swan IcuIMW 40E X Or-CUR oMUSSES MI b NIANNI I250,000 _.._._ X CONIaaCTUAL LIABILITY MED EW(MN on pram) 15,000 ■ I nueicNµ I AOVIN.RY $ 1.000.000 GENL AGGREGATE UHT APFUES IIER: 'GENERAL AGGREGATE $ 1.000.000 MIPOLICY J IEa _LOC I .PRODUCTS.COMPNg00 11.000,000 andrt I I I A AUTINAORLSMAIIDry ISA 110904239B 07/01/16 07/01/17 critiNID SIREN LINT 11.000.000 X ANY AUTO EM MYINJURY Pet PNFMI $ ALL OWNED _1 SCHEDULEDAUTOS 'AUTOS BODILY INJURY(Per.mmia11 ■HIRED AUTOS �j NON-OWNEDT APP/i e. \le—..`.. NFMM��,�_ _M IP•M-FEETK'YMMG! 1 WAPIE✓h0 roe V uNRnu INB _ =CAR I gion WA .. .''~ EACH OCCURRENCE I Excess/Ks CWNMADCI AGGREGATE I CEO RETENTIONS ( �ssAA $ A WORSEN'aNnxanox SCE C46605291 (WI) 07/01/14 07/01/17 X ETtom : :TRH' AIM ERPUHEREWa9nY YIN: A MJYPROPRIEIOM1TMn1FN:GCNNE OIN IA. NLR N6605251 (ADS) 07/01/16 07/01/17 EL.EACHACCOENT E 1.000,000 A DOIw�dntgyh.NE EXCLUDED? WCO C41605211A ILA, OH. T. 7/01/16 07/01/17 EL DISEASE.EA EMPLOYEE S 1.000.000 IARNTIONQION ELDIYAEE-Po1JCYLMN 11.000,000 OEECmPn PROFESSIONAL IIUTIW6teLw A PROFESSIONAL LIABILITY EON 031655065 007 07/01/16 07/03/37 PER CLAIM/PER AGO 1.000.000 •CLA2M0 WarAOORNGATB 2.000,000 GErmisI INCLUDED DESCRIPTOR OF O'EMTONS/LOCATORS/V WCLES(ACORD III.AddlWnNammitlebNY.nuns SackedE,mn apseISn9oY.E) OFFICE LOCATION: Jacksonville. IL 32202. PROJECT NOR: Ryan FOrn.y. CONTRACT NOR: Jack RWton. SENIOR CONTRACT MGR: Christopher Bo.k.r. RE: Homo. County Airports - General Consulting gevicu Nam ter Agreement with Jacobs Project Management Company for Pro feuional Services at Key Nut International Alrpnrt and The Florida X.y. Marathon International Airport. CONTRACT ENO DAM 11/15/14. PROJECT NGIaSRI E9T16700. SECTOR. Public. •92.250.000 III FOR STATES OF, LA, ON. TX. The Monroe County Board of County commissioners. its Nployees and offiniala Sr. added as an additional insured for general liability a auto liability as respects the negligence of the insured in the partoruOCO of Snsuredv •evicu to cart holder under contract for captioned work. •TSE TERNS. CONDITIONS, AND LIMITS PROVIDED CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Slmntre Street AUTHOSInDMNRSExiATIVE Key Meat . FL 33040 IAA I 0 1 915-2 014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Cart Renewal 470/9596 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE OP/07/I0I6 NAME OF INSURED: Jacobs Project NPnag.RRnt CO. =DOR TRIP CIRYIIICATS Ot INPURANCL MILL NOT TICUD OR BROAD'S IN ANY NAY SIR TERMS. CONDITIONS, AND UNITS AORUD TO ONDIR TEl APPLICABLY CONTRACT.• SUPP 110100) NOTICE TO OTHERS ENDORSEMENT—SCHEDULE—EMAIL ONLY Named/rind Jacobs Engineering Group Inc. endorsement Number 299 Polk?Symbd Policy Number Polley PtIad EffeWOe Dab of Endorsement HDO G27853768 07/01/2018 TO 07/012017 07/012018 Issued By(Mime of Insurance Company) ACE American Insurance Company Met M"sky swot The mmdndw or es MbmYm la bb=Dated say whin M.endwnMb woad.W.nWanhl r W ppMn areapaecy. THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to Its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium,we will endeavor,as set out below,to send written notice of cancellation,via such electronic notification as we determine, to the persona or organizations listed In the schedule that you or your representative provide or have provided to us(the Schedule').You or your representative must provide us with the a-mall address of such persons or organizations,and we WO utilize such e-mail address that you or your representaive provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after; I. The beginning of the Policy period,If this endorsement Is effective as of such date;or ii. This endorsement has been added to the Policy, If this endorsement is effective after the Policy period commences. C. The Schedule must be In an electronic format that is acceptable to us;and must be accurate. D. Our delivery of the notification as described in Paragraph A.of Ws endorsement will be based on the most recent Schedule In our records as of the dale the notice of cancellation Is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the eamali address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced In this endorsement is Intended only to be a courtesy notification to the person(e) or organization(s) named In the Schedule In the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s)or olgenlzation(s)shown In the Schedule shall Impose no obligation or liability of any kind upon us,our agents or representatives, will nal extend any Policy cancellation date and WI! not negate any cancellation of the Policy. G. We are not responsible for verifying any Information provided to us In any Schedule,nor are we responsible for any Incorrect Information that you or your representative provide to us. If you or your representative does not provide us with a Schedule,we have no responsibility for taking any action under this endorsement In addition, if neither you nor your representative provides us with email address information with respect to a particular person or organization, then we shag have no responsibility for taking action with regard to such person or entity under this endorsement H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You wet cooperate with us in providing the Schedule,or in causing your representative to provide the Schedule. J. This endorsement does not apply In the event that you cancel the Policy. ALL•32685(01/11) Page 1 0l2 M other tenor and conditions Cl the Policy remain unchanged. foist; Authorized Re rotative ALL•32885(a1/11) Page 2 ol 2 1 NOTICE TO OTHERS ENDORSEMENT-SCHEDULE- EMAIL ONLY Memel mimed Jacobs Engineering Group Inc. Endmbmnt Number 133 Policy Symbol Policy Number Policy Pedal Effective Date of Endorsement ISA H09042398 07/01/2016 TO 07/0112017 Issued By(Name of Insurance Company) ACE American insurance Company inset poky number.Tin remainder Nme Inlwmailon l m be completed only when Ills u4olunenl is Issued subsequent myn prenudbn of the poky. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expireUon date by notice to you or the first Named Insured for any reason other than nonpayment of premium,we will endeavor,as set out below,to send written notice of cancellation,via such electronic notification as we determine, to the persons or organizations listed In the schedule that you or your representative provide or have provided to us(the"Schedule").You or your representative must provide us with the a-mall address of such persons or organizations, and we will utilize such a-mall address that you or your representative provided to us on such Schedule. B. The Schedule must be Initially provided to us within 15 days after: I. The beginning or the Policy period,If this endorsement Is effective as of such data;or II. This endorsement has been added to the Policy, If this endorsement Is effective after the Policy period commences. C. The Schedule must be In an electronic format that H acceptable to us;and must be accurate. 0. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule In our records as of the date the notice of cancellation Is mailed or delivered to the first Named Insured. E. We will endeavor to sand such notice to the e-mell address corresponding to each person or organization Indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced In this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named In the Schedule In the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s)or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G, We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any Incorrect Information that you or your representative provide to us. If you or your representative does not provide us with a Schedule,we have no responsibility for taking any action under this endorsement In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entily under this endorsement H. We may arrange with your representative to send such notice In the event of any such cancellation. I. You will cooperate with us in providing the Schedule,or In causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL.26e5(01/11) Page 1 of 2 All other terms and conditions of the Policy remain unchanged. Authorized R resentauve ALL-32685(01/11) Page 2 of 2 Workers'Compensation and Employers'Liability Policy Named Insured Endorsement Ember JACOBS ENGINEERING GROUP,INC. 155 NORTH LAKE AVENUE Polley Number PASADENA CA 91101 Symbol WLR Number.C48605254 Policy Paled Effective Date of Endorsement 07-01-2016 TO 07-01-2017 07-01-2016 Issued By(Name or Insurance Company) ACE AMERICAN INSURANCE COMPANY Inserters policy nun6eTTMreniender IXMe intomelbn Is to to vmlxaed o.-Jyot,an iNe endorsement is Issued sub...spent ro pepardon dnw polby. NOTICE TO OTHERS ENDORSEMENT—SCHEDULE—EMAIL ONLY A. It we cancel this Paley prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium,we will endeavor,as set out below,to send written notice of cancellation,via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us(the'Schedule"). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mait address that you or your representative provided to us on such Schedule. B. The Schedule must be Initially provided to us within 15 days after I. The beginning of the Policy period, if this endorsement is effective as of such date;or II. This endorsement has been added to the Policy, If this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us;and must be accurate. D. Out delivery of the notification as described In Paragraph A. of this endorsement will be based on the most recent Schedule In our records as of the dale the notice of cancellation Is mailed or delivered to the first Named Insured. E. We w8 endeavor to send such notice to the e-mail address corresponding to each person or organization Indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced In this endorsement Is intended only to be a courtesy notification to the person(s) or organization(s) named In the Schedule In the event of a pending cancellation of coverage. We have no legal abligatian of any kind to any such person(s) or organization(s), Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall Impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date end will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us In any Schedule, nor are we responsible for any incorrect Information that you or your representative provide to us. If you or your representative does not provide us with a Schedule,we have no responsibility for taking any action under this endorsement. In addition, If neither you nor your representative provides us with a-mall address Information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You WI cooperate with us in providing the Schedule,or in causing your representative to provide the Schedule. J. This endorsement does not apply In the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. This Endorsement Is not applicable In the states of AZ, FL,ID,ME, NC,N),NM,TX and WI. � I � Authorized Representative WC 9903 68(01/1 1) Page 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Inured Endorsement Number Jacobs Engineering Group Inc. s Policy Symbol Policy Number Poky Pedal Effective Bete of EndoreeniM EON G21655065 007 07/01/2016 to 07/01/2017 07/01/2016 Issued By(Name d Instance Comparry) ACE American Insurance Company NOTICE TO OTHERS ENDORSEMENT—SCHEDULE A. If We cancel or non-renew the Policy prior to its expiration dale by notice to You (or any reason other than nonpayment of premium,We will endeavor,as set out below,to send written notice of cancellation or non-renewal via such electronic or other form of notification as We determine, to the persons or organizations listed in the schedule that You or Your representative provide or have provided to Us (the Schedule). You or Your representative must provide Us with both the physical and e-mail address of such persons or organizations, and We will utilize such e-mail address and/or physical address that You or Your representative provided to Us on such Schedule. B. The Schedule must be initially provided to Us within 30 days after. i, The beginning of the Policy Period,if this endorsement is effective as of such date;or ii. This endorsement has been added tc the Policy, if this endorsement is effective after the Policy Period commences. C. The Schedule must be In a format that Is acceptable to Us and must be accurate. D. Our defiyery of the notification as described In Paragraph A of this endorsement will be based on the most recent Schedule in Our records as of the dale the notice of cancellation or non-renewal is mailed or delivered to You. E. We will endeavor to send or deliver such notice to the a-mall address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation or non-renewal date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or arganization(s) named in the Schedule in the event of a pending cancellation or non-renewal of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation or non-renewal to the person(s)or organizations)shown in the Schedule shall impose no obligation or liability of any kind upon Us,Our agents or representatives,will not extend any Policy cancellation or non-renewal date and will not negate any cancellation or non-renewal of the Policy. G. We are not responsible for verifying any information provided to Us in any Schedule, nor are We responsible for any Incorrect Information that You ar Your representative provide to Us. If You or Your representative does not provide Us with a Schedule, We have no responsibility for taking any action under this endorsement. In addition, if neither You nor Your representative provides Us with e-mail address and/or physical address Information with respect to a particular person or organization, then We shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. With respect to this endorsement Our, Us or We means the stock insurance company listed in the Declarations, and You or Your means the Insured person ar entity listed In Item 1 of the Declarations page. All other terms and conditions of this Policy remain unchanged. Authorized Representative MS-36362(01/15)