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1st Amendment 06/16/2021 ;a--w` '', Kevin Madok, CPA IClerk of the Circuit Court&Comptroller— Monroe County, Florida DATE: June 22, 2021 TO: Alison Smith, Executive Assistant Planning & Environmental Resources FROM: Sally M. Abrams, D.C. SUBJECT: June 16th BOCC Meeting Attached, for your handling, is item J8, Contract Amendment with Arnold's Auto & Marine Repair, Inc. for a 2-Year Extension to the contract for the removal, refloating and/or demolition and disposal of derelict vessels, floating structures, and marine debris. Should you have any questions, please feel free to contact me at extension 3550. cc: County Attorney Finance File KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING 500Whitehead 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 TO CONTRACT BETWEEN ARNOLD'S AUTO& MARINE REPAIR,INC. AND MONROE COUNTY,FLORIDA THIS AMENDMENT TO CONTRACT is made and entered into this 16th day of June, 2021 between Monroe County Board of County Commissioners and Amold's Auto&Marine Repair, Inc. WITNESSETH: WHEREAS, on July 18, 2018, the parties entered into a non-exclusive Contract (Contract) for the removal,refloating and/or demolition and disposal of derelict vessels,floating structures,and marine debris; and WHEREAS, said Contract is due to terminate on June 30,2021; and WHEREAS,Section 1.1.8 of said Contract provides for,upon the mutual written consent of the parties,one additional two(2)year term under the same terms and conditions; and WHEREAS,the undersigned parties desire to enter into this Amendment extending said Contract;and WHEREAS, extension of said Contract is deemed in the best interest of the health, safety, and welfare of the citizens of Monroe County and the general public; NOW,THEREFORE,IN CONSIDERATION of the mutual covenants contained herein the parties agree to as follows: I. The Contract shall be extended for the period July 1, 2021,through June 30,2023. 2. Section 6.6 of the July 18,2018 agreement is hereby amended to read: FROM: Local Government Prompt Payment Act. Payment will be made according to the Local Government Prompt Payment Act. Any request for payment must be in a form satisfactory to the Monroe County Clerk of Court. The request must describe in detail the services performed,the payment amount requested,and supporting documentation, including copies of receipts from the transfer station. TO: Local Government Prompt Payment Act. Payment will be made according to the Local Government Prompt Payment Act.Any request for payment must be in a form satisfactory to the Monroe County Clerk of Court. Acceptability to the Clerk is based on generally accepted accounting principles and such laws,rules,and regulations as may govern the Clerk's disbursal of funds.The request must describe in detail the services performed,the payment amount requested, and supporting documentation,including copies of receipts from the transfer station. 3. Section 7.1.6 of the July 18, 2018 agreement is hereby amended to read: 1 of 5 FROM: The Monroe County Board of County Commissioners shall be named as Additional Insured on all of the CONTRACTOR's insurance policies issued to satisfy this Contract's requirements, except for Workers' Compensation. TO: The Monroe County Board of County Commissioners shall be named as Additional Insured on the CONTRACTOR's Commercial General Liability and Business Automobile Liability insurance policies issued to satisfy this Contact's requirements,except for Workers' Compensation. 4. Section 7.5 of the July 18,2018 agreement is hereby amended to read: FROM: 7.5.0 Jones Actor Watercraft Coverage is Required TO: 7.5.0 Jones Act,Longshoremen and Watercraft Coverage is Required FROM: 7.5.1 Jones Act Coverage.Recognizing that the work governed by this contract involves Maritime Operations,the CONTRACTOR's Workers' Compensation Insurance Policy shall include coverage for claims subject to the Federal Jones Act(46 U.S.C.A. subsection 688) with limits not less than$1 million. TO: 7.5.1 Jones Act,Longshoremen and Watercraft Coverage. Recognizing that the work governed by this Agreement involves Maritime Operations,the CONTRACTOR's Workers' Compensation Insurance Policy shall include coverage for claims subject to the Federal Jones Act (46 U.S.C.A.subsection 688)and the United States Longshoremen and Harbor Workers(USL&H) Act(33 USC sections 901-950)with limits not less than $1 million. Watercraft coverage shall also be included with limits not less than $1 million. 5. Section 9 of the July 18,2018 agreement is hereby amended to read: FROM: Maintenance of Records. CONTRACTOR shall maintain all books, records,and documents directly pertinent to performance under this Contract in accordance with generally accepted accounting principles consistently applied. Records shall be retained for a period of 7- years from the termination of this Contract or for a period of 3 years from the date of submission of the final expenditure report in accordance with 2 CFR§200.333,whichever is greater.Each party to this Contract or its authorized representatives shall have reasonable and timely access to such records of each other party to this Contract for public records purposes during the term of the Contract and for four years following the termination of this Contract. If an auditor employed by the COUNTY or Monroe County Clerk of Court determines that monies paid to CONTRACTOR pursuant to this Contractor were spent for purposes not authorized by this Contractor,or were wrongfully retained by the CONTRACTOR, the CONTRACTOR shall repay the monies together with interest calculated pursuant to Sec. 55.03,of the Florida Statutes,running from the date the monies were paid by the COUNTY. TO: Maintenance of Records.CONTRACTOR shall maintain all books,records, and documents directly pertinent to performance under this Contract in accordance with generally accepted accounting principles consistently applied. Records shall be retained for a period of 7- years from the termination of this Contractor for a period of 5 years from the date of submission of the final expenditure report in accordance with 2 CFR §200.333,whichever is greater. Each party to this Contract or its authorized representatives shall have reasonable and timely access to such records of each other party to this Contract for public records purposes during the term of the 2 of 5 Contract and for four years following the termination of this Contract. If an auditor employed by the COUNTY or Monroe County Clerk of Court determines that monies paid to CONTRACTOR pursuant to this Contractor were spent for purposes not authorized by this Contractor,or were wrongfully retained by the CONTRACTOR,the CONTRACTOR shall repay the monies together with interest calculated pursuant to Sec. 55.03,of the Florida Statutes,running from the date the monies were paid by the COUNTY. 6. Section 11.2.9 of the July 18,2018 agreement is hereby amended to read: FROM: Procurement of recovered materials as set forth in 2 CFR§ 200.322. TO: Compliance with Procurement of recovered materials as set forth in 2 CFR § 200.322. CONTRACTOR must comply with section 6002 of the Solid Waste Disposal Act,as amended,by the Resource Conservation and Recovery Act.The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency (EPA)at 40 CFR part 247 that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of competition,where the purchase price of the item exceeds$10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000; procuring solid waste management services in a manner that maximizes energy and resource recovery; and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. 7. Section 11.3 of the July 18, 2018 agreement is hereby amended to add the following provisions: 11.3.5 Access to Records:Contractor/Consultant and their successors,transferees,assignees,and subcontractors acknowledge and agree to comply with applicable provisions governing the Department of Homeland Security(DI-IS)and the Federal Emergency Management Agency's (FEMA) access to records, accounts,documents, information, facilities, and staff. Contractors/Consultants must 1.cooperate with any compliance review or complaint investigation conducted by DHS 2. Give DHS access to and the right to examine and copy records, accounts,and other documents and sources of information related to the grant and permit access to facilities, personnel,and other individuals and information as may be necessary,as required by DHS regulations and other applicable laws or program guidance. 3.Submit timely, complete,and accurate reports to the appropriate DHS officials and maintain appropriate backup documentation to support the reports. 11.3.6 DHS Seal, Logo and Flags: Contractor shall not use the Department of Homeland Security seal(s), logos, crests,or reproduction of flags or likeness of DHS agency officials without specific FEMA approval. 11.3.7 Changes to Contract: The Contractor understands and agrees that any cost resulting from a change or modification,change order, or constructive change of the agreement must be within the scope of any Federal grant or cooperative agreement that may fund this Project and be reasonable for the completion of the Project. Any contract change or modification,change order or constructive change must be approved in writing by both the COUNTY and Contractor. 11.3.8 Compliance with Federal Law, Regulations,and Executive Orders.This is an acknowledgement that FEMA financial assistance may be used to fund all or a portion of the 3 of 5 contract.The contractor will comply will all applicable federal law,regulations,executive orders, FEMA policies,procedures, and directives. 11.3.9 No Obligation by Federal Government.The Federal Government is not a party to this contract and is not subject to any obligations or liabilities to the COUNTY/non-Federal entity, contractor,or any other party pertaining to any matter resulting from the contract. 11.3.10 Program Fraud and False or Fraudulent Statements or Related Acts. The contractor acknowledges that 31 U.S.C. Chap. 38(Administrative Remedies for False Claims and Statements) applies to the contractor's actions pertaining to this contract. 11.3.11 Prohibition on certain telecommunications and video surveillance services or equipment as set forth in 2 CFR§200.216. Recipients and subrecipients and their contractors and subcontractors may not obligate or expend any federal funds to (1)Procure or obtain; (2) Extend or renew a contract to procure or obtain;or(3) Enter into a contract(or extend or renew a contract)to procure or obtain equipment, services,or systems that uses covered telecommunications equipment or services as a substantial or essential component of any system,or as critical technology as part of any system.As described in Public Law 115-232,section 889,covered telecommunications equipment is telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation(or any subsidiary or affiliate of such entities). (i)For the purpose of public safety,security of government facilities, physical security surveillance of critical infrastructure,and other national security purposes,video surveillance and telecommunications equipment produced by Hytera Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company(or any subsidiary or affiliate of such entities). (ii)Telecommunications or video surveillance services provided by such entities or using such equipment. (iii)Telecommunications or video surveillance equipment or services produced or provided by an entity that the Secretary of Defense, in consultation with the Director of the National Intelligence or the Director of the Federal Bureau of Investigation,reasonably believes to be an entity owned or controlled by,or otherwise connected to, the government of a covered foreign country. 11.3.12 Domestic preference for procurements as set forth in 2 CFR§200.322.The COUNTY and CONTRACTOR should,to the great extent practicable,provide a preference for the purchase, acquisition,or use of goods,products,or materials produced in the United States(including but not limited to iron,aluminum,steel,cement, and other manufactured products).These requirements of this section must be included in all subawards including contracts and purchase orders for work or products under federal award. For purposes of this section: (1)"Produced in the United States"means,for iron and steel products,that all manufacturing processes,from the initial melting stage through the application of coatings,occurred in the United States. (2)"Manufactured products"means items and construction materials composed in whole or in part of non-ferrous metals such as aluminum; plastics and polymer-based products such as polyvinyl chloride pipe; aggregates such as concrete; glass, including optical fiber; and lumber. 11.3.13 The Contractor is bound by any terms and conditions of the Federally-Funded Subaward and Grant Agreement between County and the Florida Division of Emergency Management. 4 of5 11.3.14 The CONTRACTOR shall hold the Division and COUNTY harmless against all claims of whatever nature arising out of the CONTRACTOR's performance of work under this Agreement, to the extent allowed and required by law. 8. All of the other terms,covenants,conditions,and provisions of said original Contract,except those expressly modified and rendered inconsistent by this Amendment,remain in full force and effect and binding upon the parties. 9. Each party agrees that they have authority to execute this Amendment on behalf of each party and represents and warrants that such person has the full right and authority to fully bind such party to the terms and obligations of this Amendment. 10. This Amendment is binding on the successors and assigns of the parties. 151� ,, NESS WHEREOF, the parties have executed this Contract as indicated below. ...Cr': —� s ' 7 . DOK,CLERK BOARD OF COUNTY COMMISSIONERS �, OF MONRO Teputy 1 rk Ma$Sr Mic e e of ron' 1 WITN. SSES: Amold's uto& Marine Repair,Inc. if 1. to t bt'•II4 By: ql4 te��nNi]YL Print Name: Fe�f,(J`er-ito _�Bla//r�e�!) Print Name: DOn s /�K• ArnoldriT 2.c/v`IC, d 'tygttiC.1,,/ Title: c(e$t/A�Ti Print Name:L{S& Di cktiYIIlleI MONROE COUNTY ATTORNEY Florida /_ roFORM STATE OF r l ort GIa Date: `oe'�— ry COUNTY OF IUD iron The foregoing instrument wa�sg ac owledged and attested before me this r9-I day of -� - maid 2021,by Dais K. Q& ,who is personally known to me or produced" �� as proof IE identification and did take an oath. �i�ntifi.,. MELCommletloDA Gn AI GGG 363336 Expiree September 16,2023 Notary tic Sea "' ' eoMM lem r1N FN Neuerce W0-304019 5 of 5 A� CERTIFICATE OF LIABILITY INSURANCE DATEIMMm"YYTYI 4/28/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Gretchen Hapney NAME- American Transportation Insurance Group at (407)472-9600 uc No): I roc l^"`°' 801 west Mineral Avenue lim„:Gretehen@atiginc.com suite 200 INSURERO AFFORDING COVERAGE Cr Littleton CO 80120 INSURERA:Benchmark Insurance Company 41394 INSURED INSURER Arnold's Auto & Marine Repair, Inc INSURERC: DEA: Arnold's Towing INSURER D: 5540 3rd Avenue INSURERE. Key west FL 33040 INSURERF: COVERAGES CERTIFICATE NUMBER:21-22 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL SSU R POLICY EFF POLICY ESP LIMITS TYPE OF INSURANCE POLICY NUMBER IMMIODMIYYI IMT:00MIYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 MAGh TO RENTED A CLAIMS-MADE El OCCURPREMISFS IEF occurrence) 100,000 X -eE-00 - 4/20/2021 4/29/2022 MED EXP(Any one Po'son) 5,000 Approved Risk/ Management PERSONAL A ADV INJURY 1,000,000 GEENN'L AGGREGATE LIMIT APPLIES PER 1Tn L Sea-WAGENERALAGGREGATE 3,000,000 POLICY LOC PRODUCTS-COMPIOP AGO 3,000,000 OTHER. AUTOMO_._LIABILITY b-11-2021 CO BIocci ED SINGLE LIMIT 1,000,000 rEeBODILY INJURY Per panel) A ANY AUTO K SCHEDULED ilc-w9-006e6-0o 4/2e/2021 4/2B/2022 BODILY INJURY(Per ercden0 NON-OWNED PROPERTY DAMAGE -HIRED AUTOS 4' AUTOS (Per¢aden0 — PERSONALINJURY PROT{IP) 10,000 UMBRELLA We OCCUR EACH OCCURRENCE — EXCESS LIAB C -M IMSADE AGGREGATE DEO j RETENTION 6 S WORKERS COMPENSATION STATUTEPER ER AND EMPLOYERS'LIABILITY In ANY PRRM IETOMPAR NER/EUDED?ECUTIVE n N IA E L EACH ACCIDENTOFFIC 5 IMendero.y In NH) E.L DISEASE.EA EMPLOYEE 5 If yes.describe under DESCRIPPON OF OPERATIONS below E.L.DISEASE.POLICY LIMIT A ON HOOK BIC-xB-0060 WOO 1@9/2021 4/29/2022 n00.000W 53500 DEO A GARAGE KEEPERS BIC-uS-006S6-00 1/28/2021 4/28/2022 5250000 W E50D12500 DED LEGAL LIAB DESCRIPTION OF OPERATIONS;LOCATIONSIVEHICLES(ACORD hitAdditional Remarks Schedule may M attached it more space N required) CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION hitching-celia@monroecounty-f SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MONROE COUNTY BOCC THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURANCE COMPLIANCE PO BOX 100085 - EX AUTHORIZED REPRESENTATIVE DULUTH, GA 30096 C Thomps On/GRETCH I ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201101) ATE A� CERTIFICATE OF LIABILITY INSURANCE n T/OTnoYY THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT Gretchen Hapney PRODUCER „AME' American Transportation Insurance Group mat Fa, (407)472-9600 FAX Nnl, a 1l4n-54O 9565 S. Kingston C0. AOPRESS Gretchen@origins eom Suite 110 INSURER(6f AFFORDING COVERAGE Englewood CO 80112 musses.Aspen American Insurance Company 43460 INSURED INSURERS:Water Quality Insurance Syndicate Arnold's Auto 4 Marine Repair, Inc INBURERC: DBA: Arnold's Towing; Florida Heys Recovery INSURER0: 5540 3rd Avenue INSURERE: Key West FL 33040 INsuRERF. COVERAGES CERTIFICATE NUMBER:20-21 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL< SSllyp POLICY EFF POLICY ESP mart TYPE OF INSURANCE POLICY NUMBER IM OOrrYYYI IMMIDDWVYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 I� DAMAGE TO RENTED 25°,°00 A CLAIMS-MACE (OCCUR ONOGHOF20 MED EAR (Ee ocwmnCel X 7/2/2020 7/2/2021 ME°EAR pip one peva 25,000 PERSONALS ADV INJURY 1,000,000 GENNLAGGREIGA�TE LIMIT APPLIES PER.. Approved/� � Risk Management GENERAL AGGREGATE 2,000,000 POLICY' IPE6 �LOC 7LC L JCS PRODUCTS-COMP/OPAGG 2,000,000 OTHER COMBINED SINGLE LIMIT AUTOMOBILE U*21LiV 5-11-2021 (Ea accident) ANYAUTBODILY INJURY(Per WSW/l0 Pe, — OWNED —SCHEDULED BODILY INJURY(Pei.rae.M) AUTOS AUTOS NO -O Et) PROPERTY DAMAGE HIRED AUTOS AUTOS (Per uroden9 — UMBRELLAMAD OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAWS-WOE AGGREGATE RETENTIONDEO N S WORKERS COMPENSATION PER 01-Hr STATUTE ER AND EMPLOYERS'PRIET0LIABNItt VIN OFFICER/MEMBER EXCLUDED%ECUTIVE E L EACH ACCIDENT 5 CEEryin NW EXCLUDED? n NIA iM es,am amber under E L DISEASE-EA EMPLOYEE f if DESCRIPTION OF E.L DISEASE.POLICY Or f OF OPERATIONS below A IMRINE PACKAGE POLICY OHOORDF20 7/2/2020 7/2/2021 PSI$I W0000 B VESSEL POLLUTION 54-B3252 7/2/2020 7/2/2021 $1X07O00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101,Additional Remora schedule may coached it more space Is required) Maritime Employers Liability: $1,000,000 Limit. Jones Act is provided. Protection 4 Indemnity is proof of Jones Act coverage required by law. Certificate holder is additional insured as respects general lieblity ae per form GAI2298 101/01) Vessels: 1996 Parker 26'; 2008 Wel lcraft 30'; 2018 Carolina Skiff 30'; PAI, USL, 4 N coverage is provided CERTIFICATE HOLDER CANCELLATION Jones-Rich@MonroriCounty-FL.Gc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MONROE COUNTY BOCC THE EXPIRATION DATE THEREOF,NOTICE WILL SE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURANCE COMPLIANCE PO BOX 100085 - FX AUTHORIZED REPRESENTATIVE DULUTH, GA 30096 qqo� { C Thompson/GRETCH GV "' I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD IN50251201401) ACCPRI3 CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDIYYY" 5/10/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policytles)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen(s). PRODUCER CONTACT Rachel Uhler Assurance,a Marsh&McLennan Agency LLC company PAHOO xryp FXI (312)625-5933 FAX No):(Bd])440-9126 20 N Martingale Road E-MAIL Suite 100 Aooasss, ruhlarOassuranceagency,com Schaumburg IL 60173 INSURER(S)AFFORDING COVERAGE NAION INSURER A Prescient National Insurance C INSURED IMPAST401 INSURER e: Impact Staff Leasing, LLC INSURER c: 1315 W. Indiantown Road, 2nd Floor Jupiter FL 33458 INSURER INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:287939760 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADCL =R POUCY EFF POLICY EXP LIMITS LW TYPE OF INSURANCE INSn n POLICY NUMBER IMMIODIYYYYI IMMIDOIYYYYI COMMERCIAL GENERAL LIABILITY Approved Risk Management EACH OCCURRENCE PP 9 DAMAGE TO RENTED CLAIMS-MADE OCCUR —yA / c 5 PREMISES{Ea occurrence) /AU/fLC✓ �—• % MED E%P(Any one person) PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER 5-11-2021 GENERAL AGGREGATE POLICY[ I¢OT LOC PRODUCTS-COMPIP AGG OTHER: AUTDkOBILELIABILITY E BINeEDLSINGLE LIMIT ANV AUTO BODILY INJURY(Per perm) OWNED SCHEDULED BODILY INJURY(Per accident) AUTOS ONLY AUTOS PROPERTY DAMAGE AUTOS HIRED NON-OWNED (erecREent) AUTOS ONLY TOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS.MADE AGGREGATE DEC RETENTIONS A WORKERSCOMPENSATION W0003000001120 B/15/2020 8/15/2021 X STATUTE ER AND EMPLOYERS'LIABILITY YIN ANYPROPRIETORPARTNERIEXECUTIVE ^ XIA E L EACH ACCIDENT 1.000,000 Mandatory In N H�E%C W DE O'1 ry ELDISEASE-EA EMPLOYEE 1,000,000 DESCSPTION OFOPERATIONS below EL DISEASE POLICY LIMIT 1,000000 DESCRIPTION OF OPERATIONS ILOCATIONSI VEHICLES(AGGRO 101.Additional Remarks schedule.may be aXscMd If mere space Is requlnd) Workers Compensation and Employers'Liability:Any Proprietor/Partner/Executive Officer/Member,as listed on the policy,is excluded. Proof.Dlloslvance_ __ Coverage is extended to the co-employees of Arnold's Auto and Marine Repair,Inc.dba Arnold's Towing CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC, Insurance Compliance ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 100085-FX 309 US 27 South AUTHORIFDREPRESENTATIVE Duluth GA 30096 ` J�. '$ - - © 988-2 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD