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11th Change Order 10/19/2020 tY,. Mayor Sylvia J.Murphy,District 5 County of Monroe �� Ss . a� Mayor Pro rem Danny L.Kolhage,District 1 The Florida s Michelle Coldiron,District 2 Heather Carnzthers District 3 David Rice,District 4 s BOARD OF COUNTY COMMISSIONERS Memorandum DATE: 10/16/2020 TO: BOCC Digitally signed by Kevin G.Wilson,P.E. DN:cn=Kevin G.Wilson,P.E.,o—Monroe County,FL FROM: Kevin G. Wilson P.E. (r he Florida Keys,ou,email—wilson- i�. kevin@monroecounty fl.gov,r--US Date:2020.10.1517:53:13 0400' SUBJECT: Proposed Change Order to be Approved Attached is proposed Change Order 911 for the Monroe County Library & Adult Education Marathon Branch project. This change order increases the final contract sum by $11,848.11. The substantial completion date is unchanged. Monroe County Ordinance 027-1998 and subsequent amendments provide authority for the Administrator to approve change orders within specified limits after providing Board of County Commissioners with at least 24 hours to review them and pose any questions or objections that they may have. It is the Administrator's intent to approve the attached change order under that authority. It is the Administrator's intent to approve the attached change order under that authority on October 19, 2020. MONROE CouNTY/ENGMERING/ PROJECT MANAGEMENT CONTRACT CHANGE ORDER PROJECT TITLE: CHANGE ORDER NO: #11 Monroe County Library and Adult Education INITIATION DATE: 1011312020 Center,Marathon Branch CONTRACT DATE: 03121/2019 TO CONTRACTOR: Pedro-Falcon Contractors, Inc. 31160 Avenue C Big Pine Key, FL 33043 The Contract is changed as follows: The original(Contract Sum)(Guaranteed Maximum Price) ...........................................$7,016,385.00 Net change by previously authorized Change Orders.................................................. $ 409,535.72 The(Contract Sum)(Guaranteed Maximum Price)prior to this Change order was .............$7,425,920.72 The(Contract Sum)(Guaranteed Maximum Price)will be (decreased)(unchanged)by this Change Order.............$ 11,848.11 The new(Contract Sum)(Guaranteed Maximum Price)including this Change Order is ..._$ 7,437,768.83 The Contract Time will be(increased)(decreased)(qggbgn_qed)by......................... ...... 0 Days The date of Substantial Completion as of the date of this Change Order is........................ 12/06/2020 Detailed description of change order and justification: During team discussion regarding the planned keystone tile on the building's exterior, it was discovered that a tile sealer was not included in the contract.Applying a sealer to the keystone tile will help prevent moisture penetration to help deter future staining, cracking, fissures, and mold growth. As such,it was discussed with and agreed upon by County staff and the Architect that sealing the building's exterior keystone is an essential preventative measure to reduce long to maintenance expenses. No additional time will be required for this additional work Change order is O.179s' of odginal contract price. Not valid,until sig nedby,Owner Architect if applicabL,4d Contract ARCHITECT: Sy a iilC­9 Date CONTRACTOR: 'Pe'dra-Falcon Contractors, Inc. 134 6a,t4 111510000 DIRECTOR PROJECT MANAGEMENT 4, Ko,�At 1 10 Caq'Knight,Director Date Pr Digitally signed by Kevin G.Wilson,P.E. DN cn—Kevin G.Wilson,P.E.,o—Monroe County,FL(the Florida Keys,o u,e roa it wi I so n-kevi n @rn o n ro eco u nty- COUNTY/ASSISTANT ADMINISTRATOR: Roman Gastes! Date Kevin Wilson Christine Hurley Change Order Attachment per Ordinance No. 004-1999 • Change Order was not included in the original contract specifications. Yes ® No ❑ If Yes, explanation: This change is a result of an owner requested change during construction. • Change Order was included in the original specifications. Yes ❑ No If Yes, explanation of increase in price: • Change Order exceeds $50,000 or 5% of contract price (whichever is greater). Yes ❑ No If Yes, explanation as to why it is not subject for a calling for bids: • Project architect approves the change order. Yes ® No ❑ If no, explanation of why: • Change Order is correcting an error or omission in design document. Yes ❑No Should a claim under the applicable professional liability policy be made? Yes ❑ No Explain: N/A PEDRO FALCON CONTRACTORS, INC. 1113 Avenue C, Bigin , FL - 51 ,1 (30 ) 72-22 -Fax(3 5) 72-2219 EC 13003416/CGC 1507617 m www.pedrofalcon.com Request for Change Order Marathon Library PCO Number: 020 EquipmentDescription: Seal Coral Stone PFC Provided 6o' Boom Lift— 2 Weeks 2 Weeks @ $1,625-00...........................................................................................$3,250.00 Upgrade Insurance for Boom Lift.............................................................................$179-00 Ivan Tile — Seal Coral Stone Prepare and SealExterior Stone with attached Sealer Material...............................................................................$7,500-00 Subtotal Seal Coral Stone Subcontractors&Equipment ...............$10,929.00 ...............................................................$546-45 Sales Tax @ 7.5% of Lift Rental ............................................................. ................................................................ Amount:Total Requestfor Change Order ....................................... Respectfully ie , Ken Bygler Project er Industrial-Commercial-Institutional-Residential-Utility Established 194 Aqua Mix@ Seal &Finish Low Sheen / TDS-162 Aqua Mix@ Seal & Finish Low Sheen 1 Product Namej�.` �E Aqua Mix@ Seal&Finish Low Sheen r 2 Manufacturer Custom Building Products 11 Technical Services 10400 Pioneer Boulevard,Unit 3 j Santa Fe Springs,CA 90670 Customer Support: 800-272-8786 Technical Services: 800-282-8786 Fax: 800-200-7765 s` ! Email: contactus@cbpmail.net � � custombuildingproducts.com 5 Instructions 3 Product Description General Surface Prep A specially formulated water-based blend of acrylic polymers that USE CHEMICAL-RESISTANT GLOVES,such as nitrite,when provides both a stain resistant surface seal and a durable low-sheen handling product. finish eliminating conventional two-step methods utilizing a sealer and finish. May also be used as a pre-grouting sealer.Allows moisture Surface should be dry,clean and free of waxes,sealers,or finishes. vapor transmission and is unaffected by ultra-violet light. Do not apply directly over silicone sealers,oil or wax based finishes. Aqua Mix@ Sealer&Coating Remover will strip the surface and Key Features remove wax or old acrylic finishes. Place a few drops of water on • One step sealer&finish various tiles. If water doesn't penetrate,additional removal is • Excellent stain protection necessary. New installations need to dry at least 48 hours before application.Clay and Saltillo tile may require extended drying time • Low-sheen finish depending on temperature and humidity. Make sure the tiles are Uses completely dry before application.Test product in an inconspicuous area to ensure desirable results. • For clay pavers including Saltillo,terra-cotta and adobe,cement tile, Exterior applications must meet moisture conditions- read CUSTOM quarry,slate and sandstone. Technical Bulletin 49 for details. • Effective for interior and exterior applications. Application of Product Benefits of Product in the Installation Read entire label before using. For new installations,sealer can be • Excellent stain resistance to household contaminants(CTI-072) applied to a dry surface as soon as 48 hours after grouting.Surface • Excellent mar resistance must be clean,dry,and free of existing sealers or coatings.Apply 2-3 coats of sealer with a clean,dense sponge,brush or paint pad Limitations to the Product applicator in thin,even coats.Allow 30 minutes drying time between coats. • Do not allow product to come in contact with any non-recommended Pre-Grouting Application surface. • Not recommended for use on glazed ceramic or porcelain tile. Apply over clean stone or tile a minimum of 2 hours prior to grouting- • Not recommended for use around pools,showers or areas subject to follow application procedures above. standing water. For a high-sheen finish on interior surfaces only,apply Aqua Mix@ • Keep surface clean and dry to reduce possibility of slip-fall accidents. Floor Shine&Hardener over Seal&Finish Low Sheen.Allow a • Not recommended for countertops. minimum of 2 hours drying time before applying Aqua Mix@ finishes. Drying Time 4 Technical Data Ready for surface traffic 6 hours after final coat. Keep area dry for at Technical Chart least 12 hours.Achieves a full cure in 24 hours. Property Test Method Typical Results Cleaning of equipment Stain Resistance CTI-072 Excellent Clean tools with soap and water immediately after use. pH 8-9 Environmental Consideration Complies with all Federal EPA and SCAQMD standards for VOC Published Date: 4/2/2018 -� Aqua Mix@ Seal &Finish Low Sheen / TDS-162 Aqua Mix@ Seal & Finish Low Sheen Storage Expected Wear • Close container tightly after each use • Will vary depending on hardness and texture of surface,type of area, • Store in original container only surface wear,frequency,and type of maintenance products used • Store and use between temperatures of 45OF to 85OF(7°C to 29°C) • Expect more frequent application on exterior areas • Dispose of residue or any unused leftover product in accordance with • Weather conditions,harsh cleaning methods,and high-alkaline,acidic, applicable federal,state,and local requirements or solvent-based cleaners will affect wear Health Precautions • Expected wear of all sealers is dependent on many environmental issues and intended use.Review our technical bulletin,TB84,at our MAY BE HARMFUL IF SWALLOWED. MAY IRRITATE EYES AND SKIN. website for more information. Wear skin and eye protection. Do not breathe vapor or spray.Contains potassium methylsiliconate. If in eyes,flush with water for at least 15 Related Products minutes. If on skin,wash with soap and water. If respiratory tract is irritated,move to fresh air. If irritation persists,seek medical attention. Aqua Mix®Concentrated Stone&Tile Cleaner If swallowed, DO NOT induce vomiting and seek medical attention. Aqua Mix®AquaKleenT" 6 Availability&Cost Aqua Mix®AquaShieldT" Cleaner&Resealer Location Item Code Size Package USA 020552-4 1 qt(946 ml) Bottle USA 020553 1 gallon(3.8 L) Bottle USA 020554* 5 gallon(19 Q Pail Canada CO20552-4 1 qt(946 ml) Bottle Canada CO20553 1 gallon(3.8 L) Bottle Canada CO20554* 5 gallon(19 L) Pail * Indicates a special order item 7 Product Warranty Obtain the applicable LIMITED PRODUCT WARRANTY at www.custombuildingproducts.com/product-warranty or send a written request to Custom Building Products,Inc., Five Concourse Parkway, Atlanta,GA 30328,USA. Manufactured under the authority of Custom Building Products,Inc.©2017 Quikrete International,Inc. 8 Product Maintenance Do not use cleaners containing ammonia,acids or bleach. Use an appropriate TileLab@ or Aqua Mix®neutral cleaner.Tile industry experts recommend periodic testing of sealed surfaces.Apply a few drops of water on the surface. If it soaks in,an additional application will be necessary to maintain peak performance. 9 Technical Services Information For technical assistance,contact Custom technical services at 800-282- 8786 or visit custombuildingproducts.com. 10 Filing System Additional product information is available from the manufacturer upon request. VOC Content Maximum VOCs: 31 grams per liter Published Date: 4/2/2018 -� Aqua Mix@ Seal &Finish Low Sheen / TDS-162 Aqua Mix@ Seal & Finish Low Sheen Coverage Depending on type,porosity and texture of surface,temperature,humidity,and method of application. Size Min Coverage Max Coverage 1 Gallon(3.78 Q 300 ftz(28 Mz) 1,000 ftz(93 Mz) Published Date: 4/2/2018 -� AQ�.t4� MIX STt SmorterProducts. BUILDING PRODUCTS Pro fessionol Results. GENERAL MAINTENANCE GUIDE Daily/Routine Cleaning: Routine cleaning should consist of a regular mop or light scrub with a pH neutral detergent, or Aqua Mix Concentrated Stone &Tile Cleaner at a dilution rate of 1 part product to 80 parts water. Using this product on a regular basis will safely remove soiling and help prevent a stubborn build up without damaging the tile,grout or sealer.This product is a pH Neutral formula and will not harm any other water-safe surfaces. Heavy-Duty/Periodic Cleaning: 1. Pre-wet the floor with Aqua Mix Concentrated Stone &Tile Cleaner at a dilution of 10:1, allow the surface to soak for 3-5 minutes keeping wet. 2. Then agitate the floor using either a rotary floor scrubbing machine or auto scrubber. 3. Extract liquid off of the floor using a wet&dry vacuum cleaner fitted with a squeegee head. 4. Rinse thoroughly with clean potable water.Vacuum (wet& dry) rinse water off floor. All spills should be wiped up immediately to reduce the chances of absorption. Idr?t,sft11,i;Sl,trk(,S,�t 4r Wf+iJ„ r,}},t}}SttSS:.3}IW?"fl raZ~rl/r,£_!E+1'q"tt+ + }?h l�(D},lts'sl°,1{i+\(Stf�,l�4(S�ftri;jrSfSth:S,tibh0`J)\ril,i l.. �$II t tilvr£t+>�,.,6��Ik�Y tt��.rsf..,,+;j�17 £t .A\11117,A�d�tti,,,r�t£tt274UYk /t, t3�U r3�1iU}l+ '��YS � ME,� tP'Jts,�tl��h'�ltiilt$rr nil II E-CHNICALBULLE-FN ' r OJ Aqua Mix Sealers Expected wear Sm r= The expected wear of a sealer is calculated by analyzing a number of different factors the main ones being: Raw material analysis. Raw material suppliers carry out exhaustive f testing including accelerated exposure tests to determine core i`�lttttust++'' »m performance characteristics including life expectancy. oa • In house and independent testing.Tests are carried out on the specific sealer formulations to verify they are consistent with the results of the raw materials. • Stone and Tile Analysis. A library of stone and 'tile physical characteristics is maintained and consulted as these play a huge part in determining how long a sealer will last. For example the hardness of the stone or file. • Experience and Job References.Job references and field tests are continually monitored and analyzed as they not only confirm sealer performance and wear but also assist in determining the formulation of future products. Main factors affecting sealer wear • Physical characteristics of stone or tile. Examples are water absorption, porosity, thermal expansion, chemical composition, and hardness. • Characteristics of sealed area. Examples are interior or exterior, type and amount of surface traffic, climate and specific use of area. • Maintenance.The type of chemicals, procedures and frequency of maintenance. All of these factors influence and determine how long a sealer will last.The bottom line is that you cannot expect a sealer to last a predetermined amount of time regardless of the type of material sealed r area of use. e expected ear is relative t all of these factors and is reflected y the use of the words " " in every Aqua Mix Expected Wear claim. Technical Bulletins are subject to change without notice. For latest revision please contact the company direct.Contact details are available on the web site www.custombuiIdingDroducts.com SUNBELT, Page I of 2 RENTALS SUNBELT RENTALS, INC. PC#. 0300 Salesman: 035201 BICKEL, BRIAN (352 7603 OVERSEAS HWY Typed By: CMEISTER MARATHON, FL 33050 3126 305-743-6000 Job Site: MARATHON PUBLIC LIBRARY RESERVATION 3490 OVERSEAS HWY C/O PFEC MARATHON, FL 33050 2342 Contract #.. 105011120 C#: 305-872-2200 J#: 305-872-2200 Contract dt. 8/28/20 Date out..,. 8/31/30 10:00 AM Customer: 5106520 Est return.. 9/28/30 10:00 AM PEDRO FALCON ELECTRICAL CONTRA Job Loc..... 3490 OVERSEAS HWY, MARATHON 31160 AVENUE C Job No...... 1 - MARATHON PUBLIC BIG PINE KEY, FL 33043 P.O, # ..... WILL ADVISE Ordered By.. BYGLER, KEN NET DUE UPON RECEIPT f'flrtiperaflonsin Florkla.Prima facie evidenceof intent loillefratid:Failure to return rental property or ctitfilliment uporl ea,pinmioo of reolal ricrio(l all(] I'llillfre to pray;all arriolints title(including,costs for claniage to the property.or Equipment)are eVidClICelfilf lLht1lld0Fk111Cot or rcrtj%.nI to r00k er file properiy. ptioisbable in accordance NN itli Sectiott 812.155,Flori(fill Statutes. Created at PC# 0352 for PC# 0300 QTY EQUIPMENT # min Day Week 4 Week Amount 1.00 60' ART MANLIFT W/JIB 645.00 645.00 1625.00 3375.00 3375.00 0580607 EQP MSG Familiarization of the equipment stated on this contract has been offered to the customer. All required manuals are provided with the equipment stated on this contract. OSHA 1926.453 & ANSI Regulation A92 requires All Boom Lift occu- pants to wear Personal Fall Protection connected to the designated platform anchorage points. Personal Fall Protection equipment is available for purchase from Sunbelt Rentals. If the users of this equipment have any questions contact Sunbelt Rentals. WARNING Overheight Hazard! ! The machine you are loading REQUIRES that you check the height of your load. Maximum Legal Height = 13'6" SALES ITEMS: Qty Item number Unit Price 1 DLPKSRCHG EA 38.750 38.75 TRANSPORTATION SURCHARGE I ENVIRONMENTAL EA 54 .000 54.00 ENVIRONMENTAL/HAZMAT FEE 2133XXXOOOO RENTAL PROTECTION PLAN 506.25 CONTINUED .......... your rental experience www.sunbg11rgntEl1s,com1suryev I IF THE EQUIPMENT DOES NOT WORK MULTIPLE SHIFTS OR CUSTOMER IS RESPONSIBLE FOR PROPERLY,NOTIFY THE OFFICE AT ONCE OVERTIME RATES MAY APPLY FlEfUEUNG.DAMAGES AND REPAIRS I the total charges are an estimate based an the estimated rental period and other information provided by Customer. assuma-11 risks associated Ilimant duping the Rental Period,including injury end damage to persons.property and the Equipment. Z. Co less":is responsible for and shall with the Eq 3. Customs hall only permit prop vrty trained,Aulhi Individuals to use the Equipmeni. 4. if the Equipment does not alleviate property,is not suilabla lot Customer's intended use,does not have eptuatiog and safely instructions of Customer has any questions regarding use of the Equipment.Customer shall not rise the Equipment and shall contact Sunbelt immediately.5. ,quipmeril misuse or using damaged or malfunctioning Equipment may recall in serious bodily injury or drath and Customer agrees that Cuitomar lid isizomes all risk associated thereunder,and 44 indemnifies Sunbelt Effliliel for all claims ar damages as a result of misuse or use of damaged or malfunctioning Equipment- 6. Customer has,eceive fil,hread,understands and agrees to the estimated charges and all the term$On this page,plus all sections on the reverse side of this Contract I'SectionsL including Release and ImImmodicitlion in Section 0 avid Envi'artmat,itil "I in Section 16,which.can at"be found at Swcherg.f-..pP4.4ion is available at 7, Customer Friuvi contact Sunbelt to request pickup of Equipment,retain the tick Vir Number given by Sunbelt and will be responsible lot Equipment until actually retrieved by SufthvIl, 0. Customer Waives its Fight to a jury trial in any dispute as set faith in Section 19. 9. At the election of Svmti OF CUSIOFFOF„CUSIOmer agrees to submit every dispute to atbittivilip.And waives any fight to bring a class action as art forth in Section 20. salrars[ ntinued on the next page... www,si,pnbettrentals.coni SUNBELT" Page 2 of 2 RENTALS SUNBELT RENTALS, INC. PC#: 0300 Salesman: 035201 BICKEL, BRIAN (352 7603 OVERSEAS HWY Typed By: CMEISTER MARATHON, FL 33050 3126 305-743-6000 Job Site: MARATHON PUBLIC LIBRARY RESERVATION 3490 OVERSEAS HWY CIO PFEC MARATHON, FL 33050 2342 Contract #.. 105011120 C#:'305-872-2200 J#, 305-872-2200 Contract dt. 8/28/20 Date out ... 8/31/30 10:00 AM Customer: 5106520 Est return.. 9/28130 10:00 AM PEDRO FALCON ELECTRICAL CONTRA Job Lac..... 3490 OVERSEAS HWY, MARATHON 31160 AVENUE C Job No..,... 1 - MARATHON PUBLIC BIG PINE KEY, FL 33043 P.O. #....., WILL ADVISE Ordered By.. BYGLER, KEN NET DUE UPON RECEIPT For operations irt Florida-Prima fliric evidence rtfintent todefrattth hiihirete return rentA propert),ore(Ittilmicitt iipon expirnlion ofretwit period mid 1',iltireto paytilin mott tits title(iocitt(fingcosts for daninge to the ptvperly or orrAtisal to rccidi--or Melwo1wriN, P:,lflshable in actordaime willi Section$12.155,Florida Statutes. Created at PC# 0352 for PC# 0300 QTY EQUIPMENT 4 Min Day Week 4 Week Amount SALES ITEMS: Qty Item number Unit Price DELIVERY CHARGE 155.00 PICKUP CHARGE 155A0 POC WALTER 305-923-6866 Sub—total: 4284.00 Tax: 260.09 Total: 4544 .09 All amounts are in USD 2 Week Additional Rental @ 1 ,625.00 Per Week No Dellivery or Pick-up as Charge is for Rental Extension I Insurance Provided at Lower Cost By Upgrading PFC Policy (see attached', ...............#...................*.................­­ .............— .... ................. ...... Rate your rental o4i?)odrienco www.sunbo1jrenja1s,com/surXgv IF THE EQUIPMENT DOES NOT WORK M U LTI PLE SHI FTS Off CUSTOMER IS RFSPONSIHILE FOR PROPERLY,NOTIFY THE OFFICE AT OVERTIME RATES MAY APPLY REFUELING,DAMAGES AND AFPAARS ONCE I, Th:Intel ChAt00S:T0JW.estimate based an the @&limited rental period and other informalhin ptovithrel by Customer, 2' Cu o �g injury old damage to Persons,property and the EquIpmeml. ,::m:assume a[risks associated with The Equipment during the Rental Period,including 31 cir me is responsible for and stall only permit leropefly Trained.Aulhorued Individuals to use the Eqoipmeml. 4, if the Equipment do"not oparals properly,is not suitable Ire Cuslomm"s intended use,does not have opmAli-g and safety instruclifens of Customer has any questions firgaTifing 1110 01 rho Equipmenl,Customer 0all not use the Equipment and shall cootogt Sunbelt immediately, 5, tquipmbnl misuse of using damaged or mifunclilaring Equipment may result in serious bodily injury or death and Customer 101"s that Customer(it assumes all fish associated Ihmouftelm,and tij)indommins Sunbelt Emili,,for all claims e'T damages as a result of misuse of use at dimagad at me[functioning Equip meat. 13. C.$I ferse,has tixtived.i ead,unde,:1 a ads and ag r @as to I le a estimated c harg as a nd all the I arms an I h i a P Age.p[us a 11 ml ions a a the I me Rise side of This Cc retract J'Smi[onsi,including g Re Rasa and he daum i I i z otion i n Set I i on 8.d f"s i r a meen t AT 'role Sot I is.16,which can also b rsob found At wWV0.Wnb011 r @fttAt1_Cd­r1vfflt4leu alfaCt,*D0iVbFyfPiCkt1P SmClig F go Joe aXpla nation is a Va i h,b[A at wwrw.sunbotl I cut at$,creoulufc hAille. 7. Customer must contact Sombel Itor quest pickup of Equipment,retain the Pick Up Number given by Sunbelt and will be resliMilth!for Equipment OF1111 actually 101fifneed by Sunbelt, 8, Carlo.,w4wes its fight in a jury trial in any dispule as set faith in Section 19, 9. At the ed"tian at Sunbelt of Customer agrees To submit every dispute to arbitration and waives any right to bring 4 class action As sot forth in section 20, Customer is d.ch.mr;Aerial Protection Plan(see leveese side lot retailo (Costa met Imfio to Customer Signature ............. Date Rama Printed Defiwvred gy Dale www.sunboittenials.corm War rp,I.- 9/14/2020 4:06:56 PM THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGES POLICY CHANGE NUMBER: 003 POLICY NUMBER POLICY CHANGES EFFECTIVE COMPANY IM 20929440S02 09/01/2020 AMERISURE MUTUAL INSUR—ANCE COMPANY ACCOUNT NUMBER (POLICY PERIOD GROUP NAME 11228245 11/02/2019 to 11/02/2020 GROUP NUMBER i I NAMED INSURED AUTHORIZED REPRESENTATIVE PEDRO FALCON ELECTRICAL CONTRACT0S INC BOWEN MICLETTE & BRITT OF FLORIDA, LLC 31160 AVENUE C 0845507-15 BIG PINE KEY, FL 33043 1 COVERAGE PARTS AFFECTED � INLAND MARINE CHANGES ❑ Insured' s Name ❑ Insured' s Mailing Address _❑ Policy Number — ❑ Company ❑ Insured' s Legal StaLus Business of insured( Effective/Expiration Date - � ❑ '� g / '� ❑ Payment Plan ❑ Premium Determination ❑ Additional lnteresfed Parties _ T❑ Coverage Forms and En d�rsements I ❑ Limits/Exposures ❑ Deductibles ❑ CoveredProperty/Location Description ❑ Classification/Class Codes F❑ Rates ❑ Underlying Insurance DESCRIPTION OF CHANGE: AMENDING RENTED/LEASED EQUIPMENT LIMIT TO $300,000 AND ADDING LOSS PAYEE. SEE ATTACHED SCHEDULE AND IM 7902 01 12 FOR UPDATES, THE ABOVE AMENDMENTS RESULT IN A CHANGE IN THE PREMIUM AS FOLLOWS: NO CHANGES �� TO BE ADJUSTED ADDITIONAL PREMIUM i RETURN PREMIUM AT AUDIT j This endorsement reflects a net premium change Total Policv Premium: Taxes and Surcharges: Balance. to Minimum: AUTHORIZED REPRESENTATIVE SIGNATURE IL 70 44 07 08 Includes copyrighted material of Insurance Services D9/08/2020 Office, Inc. with its permission. Insurance Services Office, Inc. , 2004 INSURED COPY 9/14/2020 4:06:59 PM Forms and Endorsements Schedule Policy Number: IM 20929440502 Effective Date: 11/02/2019 Named Insured: PEDRO FALCON ELECTRICAL CONTRACTORS INC Farm Number Description GROUP B. FORMS APPLY TO THE FOLLOWING LISTED COVERAGES IM 79 02 01 12 LOSS PAYABLE SCHEDULE IL DS 71 01 09 06 Page 1 of 1 9/14/2020 4:07:00 PM AAIS POLICY NUMBER IM 7902 01 12 Page 1 of 1 IM 20929440502 LOSS PAYABLE SCHEDULE (The entries required to complete this schedule will be shown below or on the "schedule of coverages".) Indicate applicable provision: [X] Loss Payable [ ] Lender's Loss Payable [ ] Contract of Sale SCHEDULE .ocation Covered Narne and Address Jumber Address Property of Loss Payee CONTRACTORS EQUIPMENT SUNBELT RENTALS INC 556S SECOND AVE STOCK ISLAND.FL.33040 IM 7902 01 12 Copyright,American Association of Insurance Services. Inc.,2012 9/14/2020 4:07:00 PM SCHEDULE OF COVERAGES CONTRACTORS' EQUIPMENT SCHEDULED EQUIPMENT {The entries required to complete this schedule will be shown below or on the "schedule of coverages" or Schedule of Equipment.) PROPERTY COVERED (Check one) [X] Scheduled Equipment (Refer to Equipment Schedule) Limit Catastrophe Limit -- The most"we" pay for loss in any one occurrence is: $156,778 COVERAGE EXTENSIONS Additional Debris Removal Expenses $ SUPPLEMENTAL COVERAGES Tools Unscheduled Small Tools Per item $1,000 Per occurrence $10,000 Employee Tools Per item $ Per occurrence $ Equipment Leased or Rented From Others $300,000 Equipment Leased or Rented To Others $ Equipment Borrowed From Others $ Equipment Loaned to Others $ Newly Purchased Equipment (check those that apply) [ ] Annual Audit [ ] Dollar Limit $ Pollutant Cleanup and Removal $ Includes copyrighted material of American Association of Insurance Services, Inc. IM DS 70 29 10 15 Page 1 of 3 9/14/2020 4:07:01 PM Rental Reimbursement -- Reimbursement Limit $ --Waiting Period (24 hour minimum) Reward For Recovery of Stolen Equipment $ Spare Parts and Fuel $ Errors & Omissions $ Waterborne Property $ COINSURANCE (Check one) [ ] 80% [ ] 90% [X] 100% [ ] Other % REPORTING CONDITIONS (Check if applicable) [ ] Equipment Leased or Rented From Others -- Reporting Rate $ -- Deposit Premium $ -- Minimum Premium $ DEDUCTIBLE GENERAL DEDUCTIBLE As shown below, unless specifically scheduled elsewhere in the policy. (Check one) [ ] Flat Deductible Amount $ [ ] Percentage Deductible Maximum Deductible Amount $ Minimum Deductible Amount $ EQUIPMENT LEASED OR RENTED FROM OTHERS If no amount is filled in, the above General $1,000 Deductible applies Includes copyrighted material of American Association of Insurance Services, Inc. IM IDS 70 29 10 15 Page 2 of 3 9/14/2020 4:07:01 PM TOOLS EMPLOYEE TOOLS - If no amount is filled in, $ the above General Deductible applies UNSCHEDULED SMALL TOOLS - If no amount $ 1,000 is filled in, the above General Deductible applies OPTIONAL COVERAGES AND ENDORSEMENTS