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Item J2 } J.2 `, County of Monroe �y,4 ' �, "tr, BOARD OF COUNTY COMMISSIONERS Mayor Michelle Coldiron,District 2 �1 nff `ll Mayor Pro Tem David Rice,District 4 -Ile Florida.Keys Craig Cates,District 1 Eddie Martinez,District 3 w Mike Forster,District 5 County Commission Meeting May 19, 2021 Agenda Item Number: J.2 Agenda Item Summary #8205 BULK ITEM: No DEPARTMENT: Airports TIME APPROXIMATE: STAFF CONTACT: Richard Strickland(305) 809-5200 N/A AGENDA ITEM WORDING: Approval of McFarland Johnson Task Order 2021-03 in the amount of$379,950.00 for construction administration and resident inspection services for the FBO Access Road project at the Key West International Airport; to be funded by Passenger Facility Charge Fund 406 (PFC 417). ITEM BACKGROUND: One bid was received at the project bid opening held on February 17, 2017, and on April 21, 2021, the BOCC awarded the bid and contract to Charley Toppino & Sons. Once construction begins, construction administration and resident inspection services are needed. The objective of this project is to separate FBO traffic from the Airport's passenger traffic to reduce traffic congestion in the terminal area. It will also improve safety by having fuel trucks and other large vehicles use the new access road instead of the main Airport entrance/exit on Faraldo Circle PREVIOUS RELEVANT BOCC ACTION: Approval to apply for PFC Application 417 on May 17, 2017, which included the FBO Access Road project; approval to advertise the bid solicitation for the project on July 17, 2019; and award of bid/contract to Charley Toppino & Sons on April 21, 2021. CONTRACT/AGREEMENT CHANGES: new task order STAFF RECOMMENDATION: Approval. DOCUMENTATION: MJ PSO 2021-03 EYW ACCESS ROAD CA & RPR FINANCIAL IMPACT: Effective Date: Upon Notice to Proceed(NTP) Expiration Date: 365 days after NTP Packet Pg. 1125 J.2 Total Dollar Value of Contract: $379,950.00 Total Cost to County: -0- Current Year Portion: same Budgeted: Yes Source of Funds: PFC Fund 406 (PFC #17) CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: If yes, amount: Grant: County Match: Insurance Required: Yes Additional Details: 05/19/21 406-63603 - PASSNGER FACILITY CHG 40 $379,950.00 REVIEWED BY: Beth Leto Completed 05/01/2021 1:03 PM Richard Strickland Completed 05/03/2021 5:15 PM Pedro Mercado Completed 05/03/2021 5:19 PM Purchasing Completed 05/04/2021 8:13 AM Budget and Finance Completed 05/04/2021 8:14 AM Maria Slavik Completed 05/04/2021 8:33 AM Liz Yongue Completed 05/04/2021 11:21 AM Board of County Commissioners Pending 05/19/2021 9:00 AM Packet Pg. 1126 J.2.a MASTER AGREEMENT FOR PROFESSIONAL SERVICES TASK ORDER FORM Effective Date Upon Execution Task Order No. 2021-03 406-63616 D--- CL Client Project No. GAKAP157-530310 Engineer Project No. _18221.17 U This Task Order is entered into on the effective date noted above pursuant to the "Master Agreement for Professional Services" between Monroe County, Florida ("Client'') and McFarland Johnson Inc. ("Consultant"), dated February 15, 2017("Agreement"). The Agreement is incorporated herein and forms an integral part of this Task Order. Services Authorized: Construction Services for the Key West International Airport Access Road Client authorizes Consultant to perform the Engineering Services described in Exhibit A attached hereto and incorporated herein, which Exhibit A is marked with the above noted Task Order No. and consists of N twelve(12) page(s). CL Pricing N/A Time and Expense per Agreement and Appendix B to the Agreement. X Firm Fixed Price of$379,950.00CL W N/A Other(Describe): gROE COUNTY ATiO NEY 06 A aOVE F� Schedule Services may commence on Execution P;E J. ASS1S ' LINTY ATTORNEY Services will cease by 365 da s `4/30/21 Other U CJ (SEAL) BOARD OF COUNTY COMMISSIONERS ATTEST: KEVIN MADOK, CLERK OF MONROE COUNTY, FLORIDA >- LU By By cv CD Deputy Clerk Mayor/Chairman N CONSULTANT: CL MCFARI.AND JOHNSON INC. By Witness 4--k`, �/(�1� h ! James M. Festa, P.E., C.E.O. Title h�L File: Page 1 of 1 Packet Pg. 1127 J.2.a McFarland s EXHIBIT "A" CL SCOPE OF SERVICES FOR KEY WEST INTERNATIONAL AIRPORT (EYW) COUNTY OF MONROE, FLORIDA CONSTRUCTION OBSERVATION ANDca ADMINISTRATION SERVICES N ACCESS ROAD N TASK ORDER 2021-03 McFarland-Johnson, Inc. (CONSULTANT) shall provide the following professional services to the County of Monroe, Florida (SPONSOR) including administrative and full-time construction observation and construction administration services during the Construction of the above project at Key West International Airport. 0. 06 PROJECT DESCRIPTION The project involves the construction of a new Airport Access road that includes parking areas, drainage, and lighting. Work includes demolition of several small buildings and improved access W to the existing fuel farm. New construction generally consists of approximately 500 feet of two- w lane road and 140 feet of single lane road, 50 parking spaces, 440 feet of 6-inch waterline, and fencing, drainage, storm water controls, and associated electrical service, luminaires and poles, < and all other incidental construction items necessary to complete the project. w • PROJECT BID PHASES: The project construction will be procured in one bid phase and M a construction contract will be awarded to a single contractor. N • PROJECT SCHEDULE: Construction of this PROJECT is anticipated to proceed and be completed according to the following schedule: • Notice to Proceed for Permits is scheduled for May 2021 • Notice to Proceed for Construction is scheduled for July 2021 E The construction contract duration will be 270 calendar days (9 months) from NTP for construction. Key West International Airport Access Road McFarland Johnson Full-Time Construction Administration and Resident Inspection—Scope of Services 1 Packet Pg. 1128 J.2.a McFarland s The Consultant will begin services in July 2021 and substantial construction completion is scheduled by March 2022. Construction close-out is anticipated to be complete in June 2022. CL 06 • PROJECT BUDGET: The PROJECT's total construction cost based on bids received by Monroe County is $3,163,649.67. -6 W • PROJECT TEAM: The PROJECT will be executed by the following firms noting their primary scope of responsibilities: CONSULTANT McFarland Johnson, Inc. Construction Administration McFarland Johnson, Inc. Construction Observation/Inspection N SUBCONSULTANT CL TSF, Inc. Materials Testing It is anticipated that one Resident Project Representative (RPR) with an average of five (5) days per week at 10-hours/day will be required during the duration of the on-site construction activities. c- In addition, support services will be provided to the field staff as necessary by the various design W disciplines included in the project. RESPONSIBILITY OF THE SPONSOR The SPONSOR shall coordinate all efforts of the Airport Staff and Airport Tenants including the LU following tasks: e( • Establishment of project budget, project schedule, and project design criteria. • Engagement of FDOT and other project Stakeholders. LU CD • Coordination, determination and provision of temporary facilities and operations including any equipment. CD N SCOPE OF WORK CL The CONSULTANT shall provide the following professional services including administration and full-time resident construction observation services during the construction of the PROJECT. The CONSULTANT will be supported by efforts from the SUBCONSULTANT as indicated above and throughout this Scope of Work. The proposed PROJECT will be performed and constructed by SPONSOR with grant assistance from the State of Florida Department of Transportation (FDOT). Key West International Airport Access Road McFarland Johnson Full-Time Construction Administration and Resident Inspection—Scope of Services 2 Packet Pg. 1129 J.2.a McFarland s CL A. ADMINISTRATION/PROJECT MANAGEMENT: Services provided for under this phase typically include: .� 1. Consultation: CONSULTANT shall provide advice to the SPONSOR during construction, including the holding of a pre-construction conference and final inspection conference as required. 0 2. Weekly Meetin,-s: For the duration of the PROJECT, a weekly meeting will be conducted by the CONSULTANT with anticipated participation by the SPONSOR, and the construction contractor(CONTRACTOR). Meeting will be held in-person at a location designated by SPONSOR. Other invitees may participate by audio 0 conference. 3. Site Visits: CONSULTANT's Construction Supervisor and/or Project Manager shall make visits to the site at intervals appropriate to the various stages of construction, as CONSULTANT deems necessary,in order to observe the progress and adherence to the Contract Documents of the various aspects of the CONTRACTOR(s)' work. It is anticipated that the Project Manager or 06 Construction Supervisor will visit the site twelve(12)times during construction for a period of two (2) days per visit. �t 4. Shop Drawin,- and Requests for Information (RFIs): CONSULTANT shall review and take other appropriate action with respect to Shop Drawings, RFIs, w Material Submittals, Samples and other data which the CONTRACTOR(s) are required to submit, but only for conformance with the information given in the Contract Documents and compatibility with the design concept of the completed Project as a function of the whole as indicated in the Contract Documents. Such M reviews and approvals or other action shall not extend to means, methods, techniques, sequences, or procedures of construction or to safety precautions and programs incidental thereto. 0 v) TSF, as SUBCONSULTANT will provide Construction Materials Testing and Inspection Services as further described in SUBCONSLTLTANT scope attached as Attachment 1, under the general supervision of CONSULTANT in addition to Section 014533 Code- a Required Special Inspections as identified in the conformed construction contract documents. Key West International Airport Access Road McFarlandJohnson Full-Time Construction Administration and Resident Inspection—Scope of Services 3 Packet Pg. 1130 J.2.a McFarland s B. CONSTRUCTION OBSERVATION: Construction observation services shall be provided by a competent Resident Project CL Representative (RPR), and staff, familiar with airport operations at a facility similar to that 06 of the SPONSOR's. 1. Applications for Payment: Based on 1) CONSULTANT's on-site observations of work progress; 2) information provided by the RPR; 3) review of the CONTRACTOR'S applications for payment by RPR and SUB CONSULTANTS including the accompanying data and schedules: ca a. CONSULTANT shall determine the amounts owing the CONTRACTOR(s) and recommend in writing payments to CONTRACTOR(s) in such amounts. Such recommendations of payment will constitute a representation to the SPONSOR based on such observations and review,that the work has progressed to the point indicated, CL and that, to the best of the CONSULTANT's knowledge, information and belief,the quality of such work is generally in accordance with the Contract Documents (subject to an evaluation of such work as to a functioning whole prior to, or upon, Substantial Completion, to the results of any subsequent CL tests called for in the Contract Documents and to any other qualifications W stated in the recommendation). 06 �t b. By recommending any payment, CONSULTANT will not thereby be deemed to have represented that exhaustive, continuous or detailed reviews W or examination have been made by CONSULTANT to check the quality or quantity of CONTRACTOR(s) work as it is furnished and performed LU beyond the responsibilities specifically assigned to CONSULTANT in the Agreement and the Contract Documents. CONSULTANT agrees that he will exercise reasonable professional judgment in verifying that the LU adherence to the Contract Documents and quantity of the work meets requirements of the Contract Documents for which CONSULTANT is contractually responsible. CONSULTANT's review of CONTRACTOR(s)' work for the purposes of recommending payments will not impose on CONSULTANT responsibility to supervise, direct, or control CL such work or for the means, methods, techniques, sequences, direct, or procedures of construction or safety precautions or programs incident thereto or CONTRACTOR(s) compliance with laws, rules, regulations, E ordinances, codes, or orders applicable to their furnishing and performing the work. It will also not impose responsibility on CONSULTANT to make any examination to ascertain how or for what purpose any CONTRACTOR has used the monies paid on account of the Contract Price, or to determine that title to any of the work, materials, or equipment has passed to Key West International Airport Access Road McFarland Johnson Full-Time Construction Administration and Resident Inspection—Scope of Services 4 Packet Pg. 1131 J.2.a McFarland s SPONSOR free and clear of any lien, claims, security interests, or encumbrances, or that there may not be other matters at issue between SPONSOR and CONTRACTOR(s)that might affect the amount that should CL be paid. C. It is assumed that ten (10) contractor applications for payment will be .� reviewed and recommendations for payment provided during the project. 2. Resident Inspection: Provide technical observation of construction by one (1) Resident Project Representative (RPR) and supporting staff as required on an average of five(days)per week and 9-hours/day during construction,who will also: ca a. Maintain a project record in conformance with the Florida Dept. of Transportation (FDOT) construction record keeping standard forms, as adopted for use on an Airport Project. 0 CL b. Complete, review, and verify requests for monthly and final payments for CONTRACTOR(s). C. Prepare, compile, and negotiate change order documentation and CL supplemental agreements with the CONTRACTOR(s) on behalf of the W SPONSOR. d. Conduct regular project progress meetings on site with all interested parties, and coordinate documentation of these meetings. These meetings will be 0 held on a weekly schedule as the contract work continues on the project. v) v) LU e. The CONSULTANT will employ qualified materials testing firms qualified to perform materials testing and special inspections. The CONSULTANT shall assure that all requirements, as applicable to specified materials, are adhered to. w f. Inspection days and hours may be adjusted to meet the contractor's schedule, emergency work, or other factors that affect the need for inspection during a specific day. If budgeted hours are exceeded due to U) extensions in construction contract time, additional budget hours will be required. 3. Contractor(sY Completion Documents: CONSULTANT shall receive and review maintenance and operating instructions, schedules, guarantees, bonds, and certificates of inspection, test and approvals which are to be assembled by CONTRACTOR(s). Key West International Airport Access Road McFarland Johnson Full-Time Construction Administration and Resident Inspection—Scope of Services 5 Packet Pg. 1132 J.2.a McFarland s 4. Inspections: CONSULTANT shall conduct an inspection to determine if the work is substantially complete and a final inspection to determine if the work is acceptable so that CONSULTANT may recommend, in writing, final payment to CL CONTRACTOR(s) and may give written notice to SPONSOR and the 06 CONTRACTOR(s) that the work is acceptable (subject to any conditions therein expressed), but any such recommendation and notice will be subject to the -� limitations expressed in this Section"B.l.b.". CONSULTANT shall be the Design Professional in Responsible Charge with regards to the Special Inspection Program. As such the CONSULTANT will retain the services of and coordinate with a Special Inspector who will perform the Code ca required Special Inspections. The CONSULTANT will review the inspection and testing reports and will submit interim and final reports to the Building Official. cv 5. Completion Certificates: Issue certificates of completion to the SPONSOR. v) 6. Limitation of Responsibility: CONSULTANT shall not be responsible for the acts or omissions of any CONTRACTOR(s), or of any Subcontractor or supplier, or any of the CONTRACTOR(s)' work, nor shall the CONSULTANT have the Z. responsibility to supervise, direct, or control CONTRACTOR(s)' work or for the means, methods, techniques, sequences, or procedures of construction or for the safety precautions or safety programs of the CONTRACTOR(s). 06 �t 8. Limitations ofAuthority: (RPR, Inspector and On-Site Staff) a. Shall not authorize any deviation from the Contract Documents or substitution of materials or equipment, unless authorized by the CONSULTANT. t� b. Shall not exceed limitations of CONSULTANT's authority as set forth in the agreement or the Construction Contract Documents. C. Shall not undertake any of the responsibilities of CONTRACTOR, subcontractors or CONTRACTOR's superintendent. v) CL d. Shall not advise on, issue directions relative to or assume control over any aspect of the means, methods, techniques, sequences or procedures of the construction unless such advice or directions are specifically required by Contract Documents. E e. Shall not advise on,issue directions regarding or assume control over safety precautions and programs in connection with the work. Key West International Airport Access Road McFarland Johnson Full-Time Construction Administration and Resident Inspection—Scope of Services 6 Packet Pg. 1133 J.2.a McFarland s f. Shall not accept Shop Drawing or sample submittals from anyone other than CONTRACTOR. CL g. Shall not authorize SPONSOR to occupy the Project in whole or in part. 06 �t h. Shall not participate in specialized field or laboratory tests or inspections conducted by others except as specifically authorized by CONSULTANT. 9. Responsibilities/duties of Construction Observation Staff In general, the on-site project representative and staff are responsible for monitoring construction activity on a project and documenting their observations in a formal project record. The a®a formal project record for this project will follow the format and guidelines of the Florida Dept. of Transportation (FDOT) Construction Record Keeping Standard Forms adopted for an airport project. N The formal project record consists of the following entries and duties: CL a. CONSULTANT'S Project Diary b. Inspector's Weekly ReportsCL W C. Summary of Inspector's Weekly Reports 06 d. Prime/Subcontractor Work Summary e. Preparation of Material Acceptance Reports f. Preparation of Certification and Testing Log Book W g. Review Subcontractor approval forms w h. Prepare statement of days charged on a weekly basis i. Conduct project meetings with Owner and Contractors j. Field measure quantities at regular intervals. k. Review and/or preparation of Periodic Payment Requests 1. Record deviations from the contract plans for preparation of Record Drawings U) In. Preparation and review of Change Orders/Force Account Work The Resident Project Representative is also responsible for monitoring construction activity as it relates to airport operations. Days and hours of on-site activity by the Resident Proj ect Representative will average five(5)days per week over the course < of construction but may be utilized as needed during various phases of work. Key West International Airport Access Road McFarland Johnson Full-Time Construction Administration and Resident Inspection—Scope of Services 7 Packet Pg. 1134 J.2.a McFarland s 10. Contract Period: CONSULTANT agrees to provide the services in this phase of the Agreement during the construction contract period, which is estimated to be 365 calendar days during 2021 and 2022, including 30 days prior to on-site CL construction, 270 days during on-site construction, and 65 days thereafter to complete the project records. The fee contained in the Exhibit "B" is based on the stated anticipated hours of effort. If these hours are exceeded, through no fault of the CONSULTANT, the CONSULTANT shall be entitled to additional compensation. C. PROJECT CLOSEOUT: caa M CD 1. Record Plans: Prepare and furnish two (2) copies of the Record Plans for the completed project to the SPONSOR. The record plans must be supplied as a requirement of the contract. These plans will show the completed construction per the inspector's and contractor's records. They are, however, not to be construed as being 100 percent accurate. 2. Construction Testing Report: A Quality Control Testing report is not required for this project, nor included in this scope of work. 3. Airport GIS As-built Survey: An as-built survey in accordance with FAA AC 06 150/5300-18B is not required for this project, nor included in this scope of work. D. ASSUMPTIONS 1. RPR hours are anticipated at 45-hours per week. If additional effort is subsequently LU required by SPONSOR, an amended or separate agreement will be made to cover this additional scope of work. �t 2. Provisions for Hazardous Materials Abatement such as sampling, laboratory testing LU of samples, abatement design, environmental monitoring or reviewing CONTRACTOR submittals pertaining to Hazardous Materials Abatement are not included in this scope or agreement. If such effort is subsequently required by SPONSOR, an amended or separate agreement will be made to cover this additional U) scope of work. E. SCHEDULE The CONSULTANT agrees to complete the work under this phase of the Agreement in a manner satisfactory to the SPONSOR within twelve (12) months after award of a construction contract and receipt of an executed copy of this contract from the SPONSOR accompanied by a resolution Key West International Airport Access Road McFarland Johnson Full-Time Construction Administration and Resident Inspection—Scope of Services 8 Packet Pg. 1135 J.2.a McFarland s from its governing body authorizing said execution or within such extended periods as agreed to by the SPONSOR. CL The CONSULTANT agrees to perform the services during the Construction Observation portion 06 of this agreement for the construction contract portion of the project, and is based on the construction contract period of 270 calendar days assuming 5 working days per week(Mon.-Fri.) .� for a total of 193 working days, estimated to be as follows: ca Pre-Construction: Working Dam N Project Manager 2 @ 8hrs. Resident Project Representative 1 @ 8 hrs. CL Construction Observation: Project Manager 24 @ 8 hrs. '✓ Resident Project Representative 193 @ 9 hrs. CL 06 Post Construction: Project Manager 5 @ 8 hrs. Resident Project Representative 10 @ 8 hrs. v) LU NOTE:THIS TABULATION DOES NOT INCLUDE ALL EXPECTED EFFORT BY t� CONSULTANT. CL N Key West International Airport Access Road McFarlandJohnson Full-Time Construction Administration and Resident Inspection—Scope of Services 9 Packet Pg. 1136 J.2.a Key West International Airport-Access Road CA/RPR Monroe County CL April 2021 06 FEE SUMMARY McFarland Johnson DESIGN/PLANNING y SERVICES 1. DIRECT TECHNICAL LABOR $354,980.00 ca 2. SUBCONSULTANT COSTS $24,970.00 TSF-Construction Materials Testing $24,970 CD 3. TOTAL FEE ESTIMATE $379,950.00 CL 4. TOTAL LUMP SUM FEE FOR ALL SERVICES $379,950 CL 06 CJ CJ CJ r9 r N CD CL Packet Pg. 1137 J.2.a April 7, 2021 McFarland Johnson ate. 49 Court Street 06 06 Binghamton, New York 13901 Attention: Mr. Robert Overby, Aviation Design Manager Subject: Proposal for Construction Material Testing Services Key West International Airport(EYW) Access Road ca Key West, Florida TSF Proposal No. 2104-237 N N Dear Bob: CL As requested, TSF is pleased to submit this proposal for providing Construction Material Testing, services for the above referenced project. Herein, we provide a general discussion of services that we understand will be required for this project,present our Schedule of Fees for such services. CL W PROJECT DESCRIPTION 06 Based on the information provided (Key West International Airport Access Road Bid Plans Dated: November 2020, and Key West International Airport: Monroe County DPW Project: GAKAP 157 Specifications, we understand that the project will consist of the construction of a W v) new access road. Our services will require soils, concrete and asphalt testing during construction. LU c, PROPOSED SCOPE OF SERVICES LU Based on our understanding of the project requirements, we anticipate that the following M inspections and testing services will be required during the design and construction phases of the prod ect. N CONSTRUCTION MATERIAL TESTING SERVICES Sampling and Laboratory Testing • Provide Modified Proctor, embankment, backfill material, as required; E • Provide LBR tests on subgrade and base materials; • Provide Sieve Analysis, Atterberg limit, and Organic Content on backfill material; • Test compressive strength concrete cylinders for sidewalks, curb pads. 2765 Vista Parkway,Suite 10 9 West Palm Beach,Florida 33411 561-687-85:36%wwvw.TSFGeo.com .state of Florida Professional Enyiraeers License#28073 Packet Pg. 1138 J.2.a EYW Access Road TSF Proposal No.2104-237 Construction Materials Testing • Perform In-Place-Density testing on embankment, utility backfill, subgrade and base material as needed; • Conduct slump, and temperature testing on concrete; • Mold compressive strength test cylinders (5 cylinders per set). a. PROFESSIONAL SERVICES 06 • Provide asphalt plant and field inspectors -� • Provide Senior Engineer to review daily reports, coordination and meetings. Please note that our services do not include supervision or direction of the actual work. Job site safety will be the sole responsibility of the contractor. 0 ESTIMATED COST N The actual cost of our services will be based upon services provided as ordered by McFarland N Johnson's Resident Project Representative. We propose to provide our services on a unit cost basis; based on the actual work performed and the unit fees attached to this proposal. Invoices will be submitted monthly for the portion of work completed. An estimate for each proposed task is indicated below: • Construction Material Testing Services $ 24,970.00 06 We appreciate the opportunity to offer our services for your project. Should you have any questions or need additional information, do not hesitate to contact me at(561) 687-8536. W v) Respectfully submitted, TS F ancoisomas P.E. Principal Engineer v) Packet Pg. 1139 MCFAJOH-01 J,2,a '4C�0� Ro CERTIFICATE OF LIABILITY INSURANCE _L D AT 1zr23r2o2o THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THI CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZE 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 endorse If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement c CL this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Michael Burns NAME: 06 Insurance Office of America PHONE FAX 31 Lewis Street (A/C,No,Ext):(607)754-0329 45230 (A/C,No):(607)754-9797 E-MSuite 201 —ADDRESS:Michael.Burns@ioausa.com Binghamton,NY 13901 INSURERS AFFORDING COVERAGE NAIC t INSURER A:National Fire Insurance Co of Hartford 20478 INSURED INSURER B:Continental Insurance Company 35289 McFarland Johnson,Inc. INSURERC:Valley Forge Insurance Company 20508 O 49 Court Street O Suite 240 INSURER D: Binghamton,NY 13901 INSURER E INSURER F: M U. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERT( INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DDIYYYY MM(DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ I'm CL CLAIMS-MADE I X I OCCUR 6056803227 1/1/2021 1/1/2022 DAMAGE TO RENTED 100 X X PREMISES(Ea occurrence) $. MED EXP(Any one person) $ 1 Approved Risk Managem nt 1,000 ' PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: i ...GENERAL AGGREGATE $ _2,000 ,s POLICY I X... JECT I X..I LOG 1-26-2021 PRODUCTS COMPIOPAGO $. 2,000 OTHER: $ CL B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I'm(Ea accident) _ $ 06 X ANY AUTO X X 6056803213 1/1/2021 1/1/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY _(Per accident) $ $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE.. $ 1 O,000 EXCESS LIAB CLAIMS-MADE X X 6056803244 1/1/2021 1/1/2022 AGGREGATE $ 10,000 rA 1-7 DED XRETENTION$ 10,000 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE YNNN/AX WC656803230 1/1/2021 1/1/2022 E L.EACH ACCIDENT $ 1,000 OFFICERIMEMBEREXCLUDED? 1,000 (Mandatory in NH) E L.DISEASE EA EMPLOYEE $If yes,describe under 1,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Val Pprs&Records 6056803227 1/1/2021 1/1/2022 Blanket Limit 1,000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project: Any and all work at Key West and Marathon Airports. Monroe County BOCCand all other parties as required by written contract are additional insured on a primary and noncontributory basis including comple operations in regard to general liability per endorsement numbers CNA74858NY,CNA75079XX,CNA74987XX,in regard to auto per endorsement number CL CNA71627.A Waiver of Subrogation applies in favor of the certificate holder,owner and all other parties as required by written contract in regard to generl liability per endorsement number CNA74858NY,in regard to auto per endorsement,number CA 04 44 10 13,in regard to workers compensation per endorsement WC 00 03 13.The umbrella policy is following form of the underlying policies per endorsement#CNA76604XX. CERTIFICATE HOLDER CANCELLATION O SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOf THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County BOCC AUTHORIZED REPRESENTATIVE Insurance Compliance PO Box 100085-FX Duluth GA 30096 aAk _K ACORD 25(2016/03) ©1988-2015 ACORD CORPORAT The ACORD name and logo are registered marks of ACORD Packet Pg. �4Q