4th Amendment 08/19/2020 lonn"
=e/ w ' ''` Kevin Madok, CPA
: y
' '' Clerk of the Circuit Court&Comptroller—Monroe County, Florida
DATE: August 27, 2020
TO: Annie Maulem, Administrative Assistant
Tourist Development Council
I
FROM: Pamela G. Hann 4.C.
SUBJECT: August 19"'BUCC Meeting
Attached is an electronic cop}'of ate Following item For your handling:
El -Illy Amendment to extend .Agreement with the City of Marathon for the Coco
Plum Shoreline Project to December 31, 2020.
Should you have any questions please feel free to contact me at (30 5) 292--3550.
cc: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING
500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road
Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070
305-294-4641 305-289-6027 305-852-7145 305-852-7145
AMENDMENT (4th AMENDMENT) TO AGREEMENT
THIS AMENDMENT to Agreement dated this 19th day of August 2020, is entered into by and
between the Board of County Commissioners for Monroe County, on behalf of the Tourist
Development Council, and The City Marathon a Government agency organized and operating under
the laws of the state of Florida (Grantee).
WHEREAS, there was an Agreement entered into on March 23, 2016 between the parties,
awarding $125,000 to Grantee for the Coco Plum Shoreline Restoration Project ("Agreement");
and
WHEREAS, there was an Amendment to Agreement on June 21, 2017 to revise the
termination date of the Agreement to March 31, 2018 to allow for completion of the project, and
WHEREAS, there was an Amendment to Agreement on June 18, 2018 to revise the
termination date of the Agreement to December 31, 2018 due to delays relating to hurricane Irma;
and
•
WHEREAS, there was an Amendment to Agreement on April 17, 2019 to revise the
termination date of the Agreement to December 31, 2019 due to further delays resulting from
hurricane Irma; and
WHEREAS, it has become necessary to revise the termination date of the Agreement to
December 31, 2020 due to permitting delays and delays resulting from the coronavirus state of
and
NOW, THEREFORE, in consideration of the mutual covenants contained herein the parties
agree to the amend Agreement as follows:
1. Paragraph 1 of the agreement shall be revised to read as follows: This Agreement is for
the period of March 23, 2016 to December 31, 2020. This Agreement shall remain in effect for the
stated period unless one party gives to the other written notification of termination pursuant to and in
compliance with paragraphs 7, 12 or 13 of the original Agreement dated March 23, 2016.
2. Any references to termination date and submission of invoices shall be revised to read
December 31, 2020.
3. The remaining provisions of the agreement dated March 23, 2016 shall remain in full
force and effect.
REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK
Amendment 44
City of Marathon Coco Plum Beach Shoreline Restoration Project
ID# 1659
esi—>.'TNESS WHEREOF, the parties have set their hands and seal on the day and year first
Board of County Commissioners
•_ �r i d J adok, Clerk
.r► 7
of Monroe Cou y
As Deputy Clerk Mayor/Chairman
MONROE COUNTY AncnlgY
C� nSMLIMN BAP.RO
enMmN[LIMBSm-9AYADMS
ASSISTANT M{QI[YTV4 "
DAn �1L/Vl)
The City of Marathon
Attest:
I
B 1N'tU V UJWJ Byre ___.
City iesk Mayor
Diane Clavier Steve Cook
Print Name �,� n Print Name lA� �. �/�
Date:‘) I1 2 anz Date` l l A IUD 20 ?can
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Carl O
Amendment 44
City of Marathon-Coco Plum Beach Shoreline Restoration Project
ID41659
CERTIFICATE OF COVERAGE ISSUED ON: 06/05/2020
COVERAGE PROVIDED BY:PREFERRED GOVERNMENTAL INSURANCE TRUST
PACKAGE AGREEMENT NUMBER: PK FL1 0442900 19-04 COVERAGE PERIOD: 10/01/2019 TO 10/01/2020 12:01 AM
COVERAGES:This is to certify that the agreement below has been issued to the designated member for the c 116K '
requirement,term or condition of any contract or other document with respect to which this certificate may be ii
agreement described herein subject to all the terms,exclusions and conditions of such agreement. °'
Mail to:Certificate Holder Designated Member By
Monroe County BOCC-Insurance Compliance City of Marathon 8/2 6/2 0 2 0
PO Box 100085-FX
9805 Overseas Highway T ° -
Duluth,GA 30096 Marathon,FL 33050 WAW KAX"
LIABILITY COVERAGE WORKERS'COMPENSATION COVERAGE
X Comprehensive General Liability,Bodily Injury,Property Damage WC AGREEMENT NUMBER:
and Personal Injury:
Limit $1,000,000 $0 Deductible
Self Insured Workers'Compensation
X Employee Benefits Liability
Limit $1,000,000 $0 Deductible
X Employment Practices Liability Statutory Workers'Compensation
Limit $1,000,000 $0 Deductible
X Public Officials Liability Employers Liability
$ Each Accident
Limit $1,000,000 $0 Deductible
$ By Disease
Law Enforcement Liability $ Aggregate Disease
Limit Deductible
PROPERTY COVERAGE AUTOMOBILE COVERAGE
X Buildings&Personal Property X Automobile Liability
Limit:Per schedule on file with Trust $1,000 Deductible Limit$1,000,000 $0 Deductible
Note:See coverage agreement for wind,flood,and other deductibles. X All Owned
Rented,Borrowed and Leased Equipment Specifically Described Autos
Limit:$0 TIV See Schedule for Deductible X Hired Autos
X Total All other Inland Marine X Non-Owned Autos
Limit:S 1,940,161 TIV See Schedule for Deductible
X Automobile Physical Damage
CRIME COVERAGE X Comprehensive See Schedule for Deductible
X Employee Dishonesty X Collision See Schedule for Deductible
Limit$500,000 $1,000 Deductible X Hired Auto with limit of$100,000
X Forgery or Alteration
Limit$500,000 $1,000 Deductible Garage Keepers
X Theft Disappearance&Destruction Liability Limit
Limit$500,000 $1,000 Deductible Liability Deductible
X Computer Fraud Comprehensive Deductible
Limit$500,000 $1,000 Deductible Collision Deductible
NOTE:Additional Covered Party status is excluded for non-governmental entities. The most we will pay is further limited by the limitations set forth in Section
768.28(5),Florida Statutes(2010)or the equivalent limitations of successor law which are applicable at the time of loss.
Description of Operations/Locations/Vehicles/Special items-(This section completed by members agent,who hears complete responsibility and liability for its accuracy):
Certificate Holder included as Additional Insured with respect to the City of Marathon Amphitheater Enhancements Grant Funding.Please be advised General
Liability limits are"Per Occurrence".
This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,extend or alter the
coverage afforded by the agreement above.
Administrator CANCELLATIONS
Public Risk Underwriters@ SHOULD ANY OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE
P.O.Box 958455 EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
Lake Mary,FL 32795-8455 COVERAGE AGREEMENT PROVISIONS.
Producer
Public Risk Insurance Advisors
220 South Ridgewood Avenue,Suite 210,
Daytona Beach,FL 32114 AUTHORIZED REPRESENTATIVE
PGIT-CERT(1/19)PRINT FORM 06/05/2020
Print Date:6/5/2020
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CERTIFICATE OF COVERAGE ISSUED ON: 06/05/2020
COVERAGE PROVIDED BY:PREFERRED GOVERNMENTAL INSURANCE TRUST
PACKAGE AGREEMENT NUMBER: PK FL1 0442900 19-04 COVERAGE PERIOD: 10/01/2019 TO 10/01/2020 12:01 AM
COVERAGES:This is to certify that the agreement below has been issued to the designated member for the coverage 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 coverage afforded by the
agreement described herein subject to all the terms,exclusions and conditions of such agreement.
Mail to:Certificate Holder Designated Member
Monroe County Board of County Commissioners-Insurance Compliance City of Marathon
PO Box 100085-FX 9805 Overseas Highway
Duluth,GA 30096 Marathon,FL 33050
LIABILITY COVERAGE WORKERS'COMPENSATION COVERAGE
X Comprehensive General Liability,Bodily Injury,Property Damage WC AGREEMENT NUMBER:
and Personal Injury:
Limit $1,000,000 $0 Deductible
Self Insured Workers'Compensation
X Employee Benefits Liability
Limit $1,000,000 $0 Deductible
X Employment Practices Liability Statutory Workers'Compensation
Limit $1,000,000 $0 Deductible
X Public Officials Liability Employers Liability
$ Each Accident
Limit $1,000,000 $0 Deductible
$ By Disease
Law Enforcement Liability $ Aggregate Disease
Limit Deductible
PROPERTY COVERAGE AUTOMOBILE COVERAGE
X Buildings&Personal Property X Automobile Liability
Limit:Per schedule on file with Trust $1,000 Deductible Limit$1,000,000 $0 Deductible
Note:See coverage agreement for wind,flood,and other deductibles. X All Owned
Rented,Borrowed and Leased Equipment Specifically Described Autos
Limit:$0 TIV See Schedule for Deductible X Hired Autos
X Total All other Inland Marine X Non-Owned Autos
Limit:S 1,940,161 TIV See Schedule for Deductible
X Automobile Physical Damage
CRIME COVERAGE X Comprehensive See Schedule for Deductible
X Employee Dishonesty X Collision See Schedule for Deductible
Limit$500,000 $1,000 Deductible X Hired Auto with limit of$100,000
X Forgery or Alteration
Limit$500,000 $1,000 Deductible Garage Keepers
X Theft Disappearance&Destruction Liability Limit
Limit$500,000 $1,000 Deductible Liability Deductible
X Computer Fraud Comprehensive Deductible
Limit$500,000 $1,000 Deductible Collision Deductible
NOTE:Additional Covered Party status is excluded for non-governmental entities. The most we will pay is further limited by the limitations set forth in Section
768.28(5),Florida Statutes(2010)or the equivalent limitations of successor law which are applicable at the time of loss.
Description of Operations/Locations/Vehicles/Special items-(This section completed by members agent,who hears complete responsibility and liability for its accuracy):
Certificate Holder included as Additional Insured with respect to the maintenance of Sombrero and Coco Plum Beaches.Please be advised that General Liability
limits are"Per Occurrence".
This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,extend or alter the
coverage afforded by the agreement above.
Administrator CANCELLATIONS
Public Risk Underwriters@ SHOULD ANY OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE
P.O.Box 958455 EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
Lake Mary,FL 32795-8455 COVERAGE AGREEMENT PROVISIONS.
Producer
Public Risk Insurance Advisors
220 South Ridgewood Avenue,Suite 210,
Daytona Beach,FL 32114 AUTHORIZED REPRESENTATIVE
PGIT-CERT(1/19)PRINT FORM 06/05/2020
Print Date:6/5/2020
From: Schute@ci.marathon.fl.us
To: monroecountyfl monroecountyfl@Ebix.com
CC: Solisc@ci.marathon.fl.us
Subject: RE: Monroe County Florida Certificate of Insurance Req
Date: 6/5/2020 11:32:13 AM
Attachment(s):
Please see the attached COls as well as the Preferred Governmental Insurance Trust (PGIT) municipality
excess insurance structure. As Carlos Solis previously stated, Florida Insurance Trusts are not subject to
A.M. Best Rating. The City of Marathon has had PGIT for insurance services since 2017. Prior to 2017
the City had the same trust as Monroe County's current insurance carrier, Florida Municipal Insurance
Trust (FMIT) administered by The Florida League of Cities,which is also not subject to A.M. Best Rating.
Please let me know If you have any questions.
Thank you,
ECiza6ethschut, (PE
Risk Management I HR Coordinator
City of Marathon I HR Department
SchutE@ci.marathon.fl.us I www.ci.marathon.fl.us
From: Customer Service<monroecountvfl@ebix.com>
Sent:Wednesday,June 3, 2020 3:31 PM
To:Carlos Solis<Solisc@ci.marathon.fl.us>
Subject: Monroe County Florida Certificate of Insurance Req
��,)''$ ""��;.
The attached notice is being sent to you on behalf of Monroe County Florida by Ebix
RCS. Monroe County Florida has engaged with Ebix to manage insurance compliance
verification on its behalf. You must be properly insured while doing business with
Monroe County Florida and comply with insurance requirements.
As of the date of this notice we have not received proper evidence of insurance
coverage. Please review the attached notice as it includes the information needed
for compliance and where to send your Certificate of Insurance.
Vendor Instructions:The attached notice is being sent to you and your agent, if we
have their email address on file.
Agent Instructions: Please review the attached notice as it includes the information
needed for compliance.
Please send your Certificate of Insurance via email to monroecountyfl@ebix.com; if
you have any questions, please contact Ebix by calling(951) 925-1213; thank you for
your prompt attention to this matter.
EB►X Ebix,lnc. I One Ebix way I Johns Creek, GA 30097 1 Web-
treffe PUBLIC ENTITY
GOVFRNMFNTAI
NMANCFTRUST AUTOMATIC ADDITIONAL COVERED PARTIES
THIS ENDORSEMENT CHANGES THE AGREEMENT. PLEASE READ IT CAREFULLY.
This endorsement modifies coverage provided under the AUTOMOBILE COVERAGE FORM, PGIT MN-300, the
GENERAL LIABILITY COVERAGE FORM, PGIT MN-200 and the PROPERTY AND INLAND MARINE
COVERAGE FORM, PGIT MN-104
Where indicated by(x) below, coverage applies to the person(s)or organization(s) as their interest may appear.
The provisions in this endorsement do not supersede Florida Statute 768.28, Article 10 § 13 of the Florida
Constitution, or any other Statute or law limiting whom a Public Entity can indemnify.
X ADDITIONAL COVERED PARTY- BY CONTRACT, AGREEMENT OR PERMIT
SECTION I -WHO IS A COVERED PARTY is amended to include any person(s)or organization(s)
(hereinafter called Additional Covered Party)with whom the Covered Party agrees in a written
"insured contract"to name as an Additional Covered Party, but only with respect to liability arising, in
whole or in part, out of the Covered Party's operations, "your work" or facilities owned or used by the
Covered Party.
The coverage afforded to the Additional Covered Party does not apply:
(1) Unless the written "insured contract", agreement or permit was executed prior to the "bodily injury,"
"property damage," "personal injury" or"advertising injury;"
(2) To any person(s)or organization(s) included as a Covered Party under this coverage agreement or
by an endorsement made part of this coverage agreement.
X ADDITIONAL COVERED PARTY-OWNERS OF LEASED EQUIPMENT
SECTION II -WHO IS A COVERED PARTY is amended to include any person(s)or organization(s)
(hereinafter called Additional Covered Party)with whom the Covered Party agrees in a written
equipment lease or rental agreement to name as an Additional Covered Party, but only with respect to
liability arising out of the sole negligence of the Covered Party, and only while such equipment is in the
care, custody or control of the Covered Party, or any employee or agent of the Covered Party.
The coverage afforded to the Additional Covered Party does not apply to:
(1) "Bodily injury" or"property damage" occurring after you cease to lease or rent the equipment;
(2) "Bodily injury" or"property damage" arising out of any negligence of the Additional Covered Party;
(3) Structural alterations, new construction or demolition operations performed by or on behalf of the
Additional Covered Party;
(4) Liability assumed by the Additional Covered Party under any contract or agreement;
(5) "Property damage"to:
(a) Property owned, used, occupied by, or rented to the Additional Covered Party;
(b) Property in the care, custody or control of the Additional Covered Party or its employees or
agents, or of which the Additional Covered Party, its employees or agents are for any purpose
exercising physical control.
PUT MN-902(10 13) Page 1
X ADDITIONAL COVERED PARTY- MANAGERS OR LESSORS OF PREMISES
SECTION 11 -WHO IS A COVERED PARTY is amended to include any person(s)or organization(s)
(hereinafter called Additional Covered Party)with whom the Covered Party agrees in a written
agreement to name as an Additional Covered Party, but only with respect to liability arising, in whole or
in part, out of the "premises" leased to the Covered Party by such person(s)or organization(s).
The coverage afforded to the Additional Covered Party does not apply to:
(1) "Bodily injury" or"property damage" occurring after the Covered Party cease to be a tenant in that
"premises";
(2) "Bodily injury" or"property damage" arising out of any negligence of the Additional Covered Party;
(3) Structural alterations, new construction or demolition operations performed by or on behalf of the
Additional Covered Party;
(4) Liability assumed by the Additional Covered Party under any contract or agreement;
(5) "Property damage"to:
(a) Property owned, used, occupied by, or rented to the Additional Covered Party;
(b) Property in the care, custody or control of the Additional Covered Party or its employees or
agents, or of which the Additional Covered Party, its employees or agents are for any purpose
exercising physical control.
Notwithstanding any other provision of this agreement, nothing in this agreement shall
be construed as a waiver of either the Covered Party's or the Additional Covered
Party's sovereign immunity nor shall any provision of this agreement increase the
liability of the Covered Party or the Additional Covered Party, or the sums for which the
covered party may be liable, beyond the limits provided in §768.28, Florida Statutes.
PUT MN-902(10 13) Page 2
treffe PUBLIC ENTITY
GOVFRNMFNTAI
NMANCFTRUST AUTOMATIC ADDITIONAL COVERED PARTIES
THIS ENDORSEMENT CHANGES THE AGREEMENT. PLEASE READ IT CAREFULLY.
This endorsement modifies coverage provided under the AUTOMOBILE COVERAGE FORM, PGIT MN-300, the
GENERAL LIABILITY COVERAGE FORM, PGIT MN-200 and the PROPERTY AND INLAND MARINE
COVERAGE FORM, PGIT MN-104
Where indicated by(x) below, coverage applies to the person(s)or organization(s) as their interest may appear.
The provisions in this endorsement do not supersede Florida Statute 768.28, Article 10 § 13 of the Florida
Constitution, or any other Statute or law limiting whom a Public Entity can indemnify.
X ADDITIONAL COVERED PARTY- BY CONTRACT, AGREEMENT OR PERMIT
SECTION I -WHO IS A COVERED PARTY is amended to include any person(s)or organization(s)
(hereinafter called Additional Covered Party)with whom the Covered Party agrees in a written
"insured contract"to name as an Additional Covered Party, but only with respect to liability arising, in
whole or in part, out of the Covered Party's operations, "your work" or facilities owned or used by the
Covered Party.
The coverage afforded to the Additional Covered Party does not apply:
(1) Unless the written "insured contract", agreement or permit was executed prior to the "bodily injury,"
"property damage," "personal injury" or"advertising injury;"
(2) To any person(s)or organization(s) included as a Covered Party under this coverage agreement or
by an endorsement made part of this coverage agreement.
X ADDITIONAL COVERED PARTY-OWNERS OF LEASED EQUIPMENT
SECTION II -WHO IS A COVERED PARTY is amended to include any person(s)or organization(s)
(hereinafter called Additional Covered Party)with whom the Covered Party agrees in a written
equipment lease or rental agreement to name as an Additional Covered Party, but only with respect to
liability arising out of the sole negligence of the Covered Party, and only while such equipment is in the
care, custody or control of the Covered Party, or any employee or agent of the Covered Party.
The coverage afforded to the Additional Covered Party does not apply to:
(1) "Bodily injury" or"property damage" occurring after you cease to lease or rent the equipment;
(2) "Bodily injury" or"property damage" arising out of any negligence of the Additional Covered Party;
(3) Structural alterations, new construction or demolition operations performed by or on behalf of the
Additional Covered Party;
(4) Liability assumed by the Additional Covered Party under any contract or agreement;
(5) "Property damage"to:
(a) Property owned, used, occupied by, or rented to the Additional Covered Party;
(b) Property in the care, custody or control of the Additional Covered Party or its employees or
agents, or of which the Additional Covered Party, its employees or agents are for any purpose
exercising physical control.
PUT MN-902(10 13) Page 1
X ADDITIONAL COVERED PARTY- MANAGERS OR LESSORS OF PREMISES
SECTION 11 -WHO IS A COVERED PARTY is amended to include any person(s)or organization(s)
(hereinafter called Additional Covered Party)with whom the Covered Party agrees in a written
agreement to name as an Additional Covered Party, but only with respect to liability arising, in whole or
in part, out of the "premises" leased to the Covered Party by such person(s)or organization(s).
The coverage afforded to the Additional Covered Party does not apply to:
(1) "Bodily injury" or"property damage" occurring after the Covered Party cease to be a tenant in that
"premises";
(2) "Bodily injury" or"property damage" arising out of any negligence of the Additional Covered Party;
(3) Structural alterations, new construction or demolition operations performed by or on behalf of the
Additional Covered Party;
(4) Liability assumed by the Additional Covered Party under any contract or agreement;
(5) "Property damage"to:
(a) Property owned, used, occupied by, or rented to the Additional Covered Party;
(b) Property in the care, custody or control of the Additional Covered Party or its employees or
agents, or of which the Additional Covered Party, its employees or agents are for any purpose
exercising physical control.
Notwithstanding any other provision of this agreement, nothing in this agreement shall
be construed as a waiver of either the Covered Party's or the Additional Covered
Party's sovereign immunity nor shall any provision of this agreement increase the
liability of the Covered Party or the Additional Covered Party, or the sums for which the
covered party may be liable, beyond the limits provided in §768.28, Florida Statutes.
PUT MN-902(10 13) Page 2
CERTIFICATE OF COVERAGE ISSUED ON: 06/05/2020
COVERAGE PROVIDED BY:PREFERRED GOVERNMENTAL INSURANCE TRUST
PACKAGE AGREEMENT NUMBER: PK FL1 0442900 19-04 COVERAGE PERIOD: 10/01/2019 TO 10/01/2020 12:01 AM
COVERAGES:This is to certify that the agreement below has been issued to the designated member for the coverage 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 coverage afforded by the
agreement described herein subject to all the terms,exclusions and conditions of such agreement.
Mail to:Certificate Holder Designated Member
Monroe County Board of County Commissioners-Insurance Compliance City of Marathon
PO Box 100085-FX 9805 Overseas Highway
Duluth,GA 30096 Marathon,FL 33050
LIABILITY COVERAGE WORKERS'COMPENSATION COVERAGE
X Comprehensive General Liability,Bodily Injury,Property Damage WC AGREEMENT NUMBER:
and Personal Injury:
Limit $1,000,000 $0 Deductible
Self Insured Workers'Compensation
X Employee Benefits Liability
Limit $1,000,000 $0 Deductible
X Employment Practices Liability Statutory Workers'Compensation
Limit $1,000,000 $0 Deductible
X Public Officials Liability Employers Liability
$ Each Accident
Limit $1,000,000 $0 Deductible
$ By Disease
Law Enforcement Liability $ Aggregate Disease
Limit Deductible
PROPERTY COVERAGE AUTOMOBILE COVERAGE
X Buildings&Personal Property X Automobile Liability
Limit:Per schedule on file with Trust $1,000 Deductible Limit$1,000,000 $0 Deductible
Note:See coverage agreement for wind,flood,and other deductibles. X All Owned
Rented,Borrowed and Leased Equipment Specifically Described Autos
Limit:$0 TIV See Schedule for Deductible X Hired Autos
X Total All other Inland Marine X Non-Owned Autos
Limit:S 1,940,161 TIV See Schedule for Deductible
X Automobile Physical Damage
CRIME COVERAGE X Comprehensive See Schedule for Deductible
X Employee Dishonesty X Collision See Schedule for Deductible
Limit$500,000 $1,000 Deductible X Hired Auto with limit of$100,000
X Forgery or Alteration
Limit$500,000 $1,000 Deductible Garage Keepers
X Theft Disappearance&Destruction Liability Limit
Limit$500,000 $1,000 Deductible Liability Deductible
X Computer Fraud Comprehensive Deductible
Limit$500,000 $1,000 Deductible Collision Deductible
NOTE:Additional Covered Party status is excluded for non-governmental entities. The most we will pay is further limited by the limitations set forth in Section
768.28(5),Florida Statutes(2010)or the equivalent limitations of successor law which are applicable at the time of loss.
Description of Operations/Locations/Vehicles/Special items-(This section completed by members agent,who hears complete responsibility and liability for its accuracy):
Certificate Holder included as Additional Insured with respect Coco Plum Beach Restoration Grant Funding.Please be advised that General Liability limits are"Per
Occurrence".
This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,extend or alter the
coverage afforded by the agreement above.
Administrator CANCELLATIONS
Public Risk Underwriters@ SHOULD ANY OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE
P.O.Box 958455 EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
Lake Mary,FL 32795-8455 COVERAGE AGREEMENT PROVISIONS.
Producer
Public Risk Insurance Advisors
220 South Ridgewood Avenue,Suite 210,
Daytona Beach,FL 32114 AUTHORIZED REPRESENTATIVE
PGIT-CERT(1/19)PRINT FORM 06/05/2020
Print Date:6/5/2020
treffe PUBLIC ENTITY
GOVFRNMFNTAI
NMANCFTRUST AUTOMATIC ADDITIONAL COVERED PARTIES
THIS ENDORSEMENT CHANGES THE AGREEMENT. PLEASE READ IT CAREFULLY.
This endorsement modifies coverage provided under the AUTOMOBILE COVERAGE FORM, PGIT MN-300, the
GENERAL LIABILITY COVERAGE FORM, PGIT MN-200 and the PROPERTY AND INLAND MARINE
COVERAGE FORM, PGIT MN-104
Where indicated by(x) below, coverage applies to the person(s)or organization(s) as their interest may appear.
The provisions in this endorsement do not supersede Florida Statute 768.28, Article 10 § 13 of the Florida
Constitution, or any other Statute or law limiting whom a Public Entity can indemnify.
X ADDITIONAL COVERED PARTY- BY CONTRACT, AGREEMENT OR PERMIT
SECTION I -WHO IS A COVERED PARTY is amended to include any person(s)or organization(s)
(hereinafter called Additional Covered Party)with whom the Covered Party agrees in a written
"insured contract"to name as an Additional Covered Party, but only with respect to liability arising, in
whole or in part, out of the Covered Party's operations, "your work" or facilities owned or used by the
Covered Party.
The coverage afforded to the Additional Covered Party does not apply:
(1) Unless the written "insured contract", agreement or permit was executed prior to the "bodily injury,"
"property damage," "personal injury" or"advertising injury;"
(2) To any person(s)or organization(s) included as a Covered Party under this coverage agreement or
by an endorsement made part of this coverage agreement.
X ADDITIONAL COVERED PARTY-OWNERS OF LEASED EQUIPMENT
SECTION II -WHO IS A COVERED PARTY is amended to include any person(s)or organization(s)
(hereinafter called Additional Covered Party)with whom the Covered Party agrees in a written
equipment lease or rental agreement to name as an Additional Covered Party, but only with respect to
liability arising out of the sole negligence of the Covered Party, and only while such equipment is in the
care, custody or control of the Covered Party, or any employee or agent of the Covered Party.
The coverage afforded to the Additional Covered Party does not apply to:
(1) "Bodily injury" or"property damage" occurring after you cease to lease or rent the equipment;
(2) "Bodily injury" or"property damage" arising out of any negligence of the Additional Covered Party;
(3) Structural alterations, new construction or demolition operations performed by or on behalf of the
Additional Covered Party;
(4) Liability assumed by the Additional Covered Party under any contract or agreement;
(5) "Property damage"to:
(a) Property owned, used, occupied by, or rented to the Additional Covered Party;
(b) Property in the care, custody or control of the Additional Covered Party or its employees or
agents, or of which the Additional Covered Party, its employees or agents are for any purpose
exercising physical control.
PUT MN-902(10 13) Page 1
X ADDITIONAL COVERED PARTY- MANAGERS OR LESSORS OF PREMISES
SECTION 11 -WHO IS A COVERED PARTY is amended to include any person(s)or organization(s)
(hereinafter called Additional Covered Party)with whom the Covered Party agrees in a written
agreement to name as an Additional Covered Party, but only with respect to liability arising, in whole or
in part, out of the "premises" leased to the Covered Party by such person(s)or organization(s).
The coverage afforded to the Additional Covered Party does not apply to:
(1) "Bodily injury" or"property damage" occurring after the Covered Party cease to be a tenant in that
"premises";
(2) "Bodily injury" or"property damage" arising out of any negligence of the Additional Covered Party;
(3) Structural alterations, new construction or demolition operations performed by or on behalf of the
Additional Covered Party;
(4) Liability assumed by the Additional Covered Party under any contract or agreement;
(5) "Property damage"to:
(a) Property owned, used, occupied by, or rented to the Additional Covered Party;
(b) Property in the care, custody or control of the Additional Covered Party or its employees or
agents, or of which the Additional Covered Party, its employees or agents are for any purpose
exercising physical control.
Notwithstanding any other provision of this agreement, nothing in this agreement shall
be construed as a waiver of either the Covered Party's or the Additional Covered
Party's sovereign immunity nor shall any provision of this agreement increase the
liability of the Covered Party or the Additional Covered Party, or the sums for which the
covered party may be liable, beyond the limits provided in §768.28, Florida Statutes.
PUT MN-902(10 13) Page 2
CERTIFICATE OF COVERAGE ISSUED ON: 06/05/2020
COVERAGE PROVIDED BY:PREFERRED GOVERNMENTAL INSURANCE TRUST
PACKAGE AGREEMENT NUMBER: WC FL 0442900 19-03 COVERAGE PERIOD: 10/01/2019 TO 10/01/2020 12:01 AM
COVERAGES:This is to certify that the agreement below has been issued to the designated member for the coverage 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 coverage afforded by the
agreement described herein subject to all the terms,exclusions and conditions of such agreement.
Mail to:Certificate Holder Designated Member
Monroe County Board of County Commissioners-Insurance Compliance City of Marathon
PO Box 100085-FX 9805 Overseas Highway
Duluth,GA 30096 Marathon,FL 33050
LIABILITY COVERAGE WORKERS'COMPENSATION COVERAGE
Comprehensive General Liability,Bodily Injury,Property Damage WC AGREEMENT NUMBER: WC FL 0442900 19-03
and Personal Injury:
Limit Deductible Self Insured Workers'Compensation
Employee Benefits Liability
Limit Deductible
Employment Practices Liability X Statutory Workers'Compensation
Limit Deductible
Public Officials Liability X Employers Liability
$1,000,000 Each Accident
Limit Deductible $1,000,000 By Disease
Law Enforcement Liability $1,000,000 Aggregate Disease
Limit Deductible
PROPERTY COVERAGE AUTOMOBILE COVERAGE
Buildings&Personal Property Automobile Liability
Limit:Per schedule on file with Trust Deductible Limit Deductible
Note:See coverage agreement for wind,flood,and other deductibles. All Owned
Rented,Borrowed and Leased Equipment Specifically Described Autos
Limit:$0 TIV See Schedule for Deductible Hired Autos
Total All other Inland Marine Non-Owned Autos
Limit:S 0 TIV See Schedule for Deductible
Automobile Physical Damage
CRIME COVERAGE Comprehensive See Schedule for Deductible
Employee Dishonesty Collision See Schedule for Deductible
Limit Deductible Hired Auto with limit of
Forgery or Alteration
Limit Deductible Garage Keepers
Theft Disappearance&Destruction Liability Limit
Limit Deductible Liability Deductible
Computer Fraud Comprehensive Deductible
Limit Deductible Collision Deductible
NOTE:Additional Covered Party status is excluded for non-governmental entities. The most we will pay is further limited by the limitations set forth in Section
768.28(5),Florida Statutes(2010)or the equivalent limitations of successor law which are applicable at the time of loss.
Description of Operations/Locations/Vehicles/Special items-(This section completed by members agent,who hears complete responsibility and liability for its accuracy):
Certificate of Insurance issued with respect to the Coco Plum Beach Restoration Grant Funding.
This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,extend or alter the
coverage afforded by the agreement above.
Administrator CANCELLATIONS
Public Risk Underwriters@ SHOULD ANY OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE
P.O.Box 958455 EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
Lake Mary,FL 32795-8455 COVERAGE AGREEMENT PROVISIONS.
Producer
Public Risk Insurance Advisors
220 South Ridgewood Avenue,Suite 210,
Daytona Beach,FL 32114 AUTHORIZED REPRESENTATIVE
PGIT-CERT(1/19)PRINTFORM 06/05/2020
Print Date:6/5/2020
fto.7rred
06/05/2020
Monroe County Board of County Commissioners-Insurance Compliance
PO Box 100085-FX
Duluth , GA , 30096
Re: Coverage Agreement- WC FLI 044290019-03
City of Marathon
Effective Date: 10/01/2019 TO 10/01/2020
To Whom It May Concern:
Preferred Governmental Insurance Trust is unable to name non-governmental entities
as an additional covered party due to Florida Statute 768.28.
Non-governmental entities do not enjoy sovereign immunity protection under Florida
law. Coverage through the Preferred Governmental Insurance Trust is predicated upon
the concept of sovereign immunity among all its members. Accordingly, entities which
are not eligible for sovereign immunity protection under F.S. 768.28 may not be an
additional covered party under the Preferred coverage agreement.
We appreciate your understanding.
Margaret E. Gross, CPCU
Director of Underwriting
"If Additional Covered Party status was not requested on the attached certificate, the provisions in
this letter do not apply.
Administered by PUBLIC RISK UNDERWRITERS
P.O. Box 958455 +Lake Mary, FL 32795-8455 +Phone: 321-832-1450+Fax: 321-832-1489
Print Date:6/5/2020
CERTIFICATE OF COVERAGE ISSUED ON: 06/05/2020
COVERAGE PROVIDED BY:PREFERRED GOVERNMENTAL INSURANCE TRUST
PACKAGE AGREEMENT NUMBER: WC FL 0442900 19-03 COVERAGE PERIOD: 10/01/2019 TO 10/01/2020 12:01 AM
COVERAGES:This is to certify that the agreement below has been issued to the designated member for the coverage 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 coverage afforded by the
agreement described herein subject to all the terms,exclusions and conditions of such agreement.
Mail to:Certificate Holder Designated Member
Monroe County Board of County Commissioners-Insurance Compliance City of Marathon
PO Box 100085-FX 9805 Overseas Highway
Duluth,GA 30096 Marathon,FL 33050
LIABILITY COVERAGE WORKERS'COMPENSATION COVERAGE
Comprehensive General Liability,Bodily Injury,Property Damage WC AGREEMENT NUMBER: WC FL 0442900 19-03
and Personal Injury:
Limit Deductible Self Insured Workers'Compensation
Employee Benefits Liability
Limit Deductible
Employment Practices Liability X Statutory Workers'Compensation
Limit Deductible
Public Officials Liability X Employers Liability
$1,000,000 Each Accident
Limit Deductible $1,000,000 By Disease
Law Enforcement Liability $1,000,000 Aggregate Disease
Limit Deductible
PROPERTY COVERAGE AUTOMOBILE COVERAGE
Buildings&Personal Property Automobile Liability
Limit:Per schedule on file with Trust Deductible Limit Deductible
Note:See coverage agreement for wind,flood,and other deductibles. All Owned
Rented,Borrowed and Leased Equipment Specifically Described Autos
Limit:$0 TIV See Schedule for Deductible Hired Autos
Total All other Inland Marine Non-Owned Autos
Limit:S 0 TIV See Schedule for Deductible
Automobile Physical Damage
CRIME COVERAGE Comprehensive See Schedule for Deductible
Employee Dishonesty Collision See Schedule for Deductible
Limit Deductible Hired Auto with limit of
Forgery or Alteration
Limit Deductible Garage Keepers
Theft Disappearance&Destruction Liability Limit
Limit Deductible Liability Deductible
Computer Fraud Comprehensive Deductible
Limit Deductible Collision Deductible
NOTE:Additional Covered Party status is excluded for non-governmental entities. The most we will pay is further limited by the limitations set forth in Section
768.28(5),Florida Statutes(2010)or the equivalent limitations of successor law which are applicable at the time of loss.
Description of Operations/Locations/Vehicles/Special items-(This section completed by members agent,who hears complete responsibility and liability for its accuracy):
Certificate of Insurance issue with respect to the City of Marathon Amphitheater Enhancements Grant Funding.
This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,extend or alter the
coverage afforded by the agreement above.
Administrator CANCELLATIONS
Public Risk Underwriters@ SHOULD ANY OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE
P.O.Box 958455 EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
Lake Mary,FL 32795-8455 COVERAGE AGREEMENT PROVISIONS.
Producer
Public Risk Insurance Advisors
220 South Ridgewood Avenue,Suite 210,
Daytona Beach,FL 32114 AUTHORIZED REPRESENTATIVE
PGIT-CERT(1/19)PRINTFORM 06/05/2020
Print Date:6/5/2020
fto.7rred
06/05/2020
Monroe County Board of County Commissioners-Insurance Compliance
PO Box 100085-FX
Duluth , GA , 30096
Re: Coverage Agreement- WC FLI 044290019-03
City of Marathon
Effective Date: 10/01/2019 TO 10/01/2020
To Whom It May Concern:
Preferred Governmental Insurance Trust is unable to name non-governmental entities
as an additional covered party due to Florida Statute 768.28.
Non-governmental entities do not enjoy sovereign immunity protection under Florida
law. Coverage through the Preferred Governmental Insurance Trust is predicated upon
the concept of sovereign immunity among all its members. Accordingly, entities which
are not eligible for sovereign immunity protection under F.S. 768.28 may not be an
additional covered party under the Preferred coverage agreement.
We appreciate your understanding.
Margaret E. Gross, CPCU
Director of Underwriting
"If Additional Covered Party status was not requested on the attached certificate, the provisions in
this letter do not apply.
Administered by PUBLIC RISK UNDERWRITERS
P.O. Box 958455 +Lake Mary, FL 32795-8455 +Phone: 321-832-1450+Fax: 321-832-1489
Print Date:6/5/2020
CERTIFICATE OF COVERAGE ISSUED ON: 06/05/2020
COVERAGE PROVIDED BY:PREFERRED GOVERNMENTAL INSURANCE TRUST
PACKAGE AGREEMENT NUMBER: WC FL 0442900 19-03 COVERAGE PERIOD: 10/01/2019 TO 10/01/2020 12:01 AM
COVERAGES:This is to certify that the agreement below has been issued to the designated member for the coverage 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 coverage afforded by the
agreement described herein subject to all the terms,exclusions and conditions of such agreement.
Mail to:Certificate Holder Designated Member
Monroe County Board of County Commissioners-Insurance Compliance City of Marathon
PO Box 100085-FX 9805 Overseas Highway
Duluth,GA 30096 Marathon,FL 33050
LIABILITY COVERAGE WORKERS'COMPENSATION COVERAGE
Comprehensive General Liability,Bodily Injury,Property Damage WC AGREEMENT NUMBER: WC FL 0442900 19-03
and Personal Injury:
Limit Deductible Self Insured Workers'Compensation
Employee Benefits Liability
Limit Deductible
Employment Practices Liability X Statutory Workers'Compensation
Limit Deductible
Public Officials Liability X Employers Liability
$1,000,000 Each Accident
Limit Deductible $1,000,000 By Disease
Law Enforcement Liability $1,000,000 Aggregate Disease
Limit Deductible
PROPERTY COVERAGE AUTOMOBILE COVERAGE
Buildings&Personal Property Automobile Liability
Limit:Per schedule on file with Trust Deductible Limit Deductible
Note:See coverage agreement for wind,flood,and other deductibles. All Owned
Rented,Borrowed and Leased Equipment Specifically Described Autos
Limit:$0 TIV See Schedule for Deductible Hired Autos
Total All other Inland Marine Non-Owned Autos
Limit:S 0 TIV See Schedule for Deductible
Automobile Physical Damage
CRIME COVERAGE Comprehensive See Schedule for Deductible
Employee Dishonesty Collision See Schedule for Deductible
Limit Deductible Hired Auto with limit of
Forgery or Alteration
Limit Deductible Garage Keepers
Theft Disappearance&Destruction Liability Limit
Limit Deductible Liability Deductible
Computer Fraud Comprehensive Deductible
Limit Deductible Collision Deductible
NOTE:Additional Covered Party status is excluded for non-governmental entities. The most we will pay is further limited by the limitations set forth in Section
768.28(5),Florida Statutes(2010)or the equivalent limitations of successor law which are applicable at the time of loss.
Description of Operations/Locations/Vehicles/Special items-(This section completed by members agent,who hears complete responsibility and liability for its accuracy):
Certificate of Insurance issued with respect to the maintenance of Sombrero and Coco Plum Beaches.
This certificate is issued as a matter of information only and confers no rights upon the certificate holder.This certificate does not amend,extend or alter the
coverage afforded by the agreement above.
Administrator CANCELLATIONS
Public Risk Underwriters@ SHOULD ANY OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE
P.O.Box 958455 EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
Lake Mary,FL 32795-8455 COVERAGE AGREEMENT PROVISIONS.
Producer
Public Risk Insurance Advisors
220 South Ridgewood Avenue,Suite 210,
Daytona Beach,FL 32114 AUTHORIZED REPRESENTATIVE
PGIT-CERT(1/19)PRINTFORM 06/05/2020
Print Date:6/5/2020
fto.7rred
06/05/2020
Monroe County Board of County Commissioners-Insurance Compliance
PO Box 100085-FX
Duluth , GA , 30096
Re: Coverage Agreement- WC FLI 044290019-03
City of Marathon
Effective Date: 10/01/2019 TO 10/01/2020
To Whom It May Concern:
Preferred Governmental Insurance Trust is unable to name non-governmental entities
as an additional covered party due to Florida Statute 768.28.
Non-governmental entities do not enjoy sovereign immunity protection under Florida
law. Coverage through the Preferred Governmental Insurance Trust is predicated upon
the concept of sovereign immunity among all its members. Accordingly, entities which
are not eligible for sovereign immunity protection under F.S. 768.28 may not be an
additional covered party under the Preferred coverage agreement.
We appreciate your understanding.
Margaret E. Gross, CPCU
Director of Underwriting
"If Additional Covered Party status was not requested on the attached certificate, the provisions in
this letter do not apply.
Administered by PUBLIC RISK UNDERWRITERS
P.O. Box 958455 +Lake Mary, FL 32795-8455 +Phone: 321-832-1450+Fax: 321-832-1489
Print Date:6/5/2020