5th Amendment 07/21/2021 AMENDMENT 5 TO THE CONTRACT FOR ENGINEERING DESIGN AND PERMITTING SERVICES
BETWEEN MONROE COUNTY BOCC AND WSP USA, INC. FOR THE
SEA LEVEL RISE ROADWAY AND DRAINAGE PILOT PROJECT
(SANDS- BIG PINE KEY)
THIS AMENDMENT 5 to the CONTRACT is entered into this 215t day of July 2021, between Monroe County,
whose address is 1100 Simonton Street, Room 2-216 Key West, Florida 33040, hereafter the"COUNTY"and WSP USA,
Inc., a Corporation of the State of New York, whose address is 7650 Corporate Center Drive, Suite 300, Miami, FL
33126, hereafter referred to as "CONSULTANT".
WHEREAS, on the 20th day of November 2018, the parties executed a contract authorizing the Consultant to
perform Professional Services for the Engineering Design and Permitting Services for the Sea Level Rise Roadway and
Drainage Pilot Project, for an estimated not to exceed amount of$517,518.04; and
WHEREAS, on the 16t" day of October 2019, the parties executed AMENDMENT 1 to the contract for
subconsultant Longitude Surveyors to perform additional topographic and boundary surveying services in the amount of
$7,500.00, due to utilization of the lot purchased by the County to be used for pump station infrastructure; RE Number
00302870-000000, Avenue C and Father Tony Way, Big Pine Key; and revising the estimated not to exceed amount to
$525,018.04; and
WHEREAS, on the 20th day of November 2019, the parties executed AMENDMENT 2 to the contract to add
National Park Service (NPS) permitting requirements in the amount of$20,751.77 due to the Key Largo project right-of-
way encroachment on Everglades National Park lands; and revising the estimated not to exceed amount to$545,769.81;
and
WHEREAS, on the 19t" day of August 2020, the parties executed AMENDMENT 3 to the contract to revise the
contract to add lightning protection design for the electrical equipment associated with the proposed pump stations in
the amount of$18,278.00, and revising the estimated not to exceed amount to $564,047.81; and
WHEREAS, on the 17t" day of March 2021, the parties executed AMENDMENT 4 to the contract to revise the
contract to add Task 1: Evaluate new target elevations (Twin Lakes and Sands); Task 2: Evaluate use of outfall versus
injection wells for disposal method; Task 3: Revise the Sands pump station layout onto two County owned lots; Task 4:
Provide subsurface electrical conduit design for Phase 3 power connection required by FKEC (Twin Lakes); Task 5:
Revise design to incorporate new target elevation (Twin Lakes)Task 6: Revise design to incorporate new target elevation
(Sands) in the estimated not to exceed amount of $467,943.61, revising the total estimated not to exceed amount to
$1,031,991.42; and
NOW THEREFORE, in consideration of the mutual promises contained herein, the COUNTY and CONSULTANT
agree to amend Article II, Scope of Basic Services;Article VII, Compensation, Paragraph 7.1.1 of the contract as follows:
Amend Article II Scope of Basic Services to add environmental assessment for Sands subdivision and
compliance support as required by U.S. Department of Housing and Urban Development's (HUD) Community
Development Block Grant (CDBG) Program grant requirements; per detailed scope outlined in Attachment A.
Amend Article 7.1.1 Compensation as follows:
Task 1.1 Environmental Services: Environmental Assessment and Statutory Checklists
Task 1.2 HUD Exchange Program Requirements
WSP $1,460.37
Bermillo (subconsultant) $14,000.00
Total Amendment 5 $15,460.37
Previous Contract Amount $1,031,991.42
Total Revised Contract Amount $1,047,451.79
The costs are a maximum not to exceed amount based on WSP hourly contract rates and subconsultant
lump sum amounts.
1
This AMENDMENT 5 is effective July 21, 2021.
In all other respects,the Contract approved November 20,2018,BOCC,as amended October 16,2019,November
20, 2019, August 19, 2020, and March 17, 2021 remains in full force and effect.
In WITNESS WHEREOF, each party hereto has caused this contract to be executed by its duly authorized
representative.
BOARD OF COUNTY COMMISSIONERS OF WSP USA, Inc.
MONROE COUNTY, FLORIDA Consultant
BY: Ja a 1 'I,
,11�P/1 way BY:
May. ., - m. Vice President
(1) TITLE: Sr Area Manager
The foregoing instrument was subscribed and
sworn to(or affirmed)be/ore me, by means
of 0physical presence or O online
(SEAL)
Attest: KEVIN MADOK, Clerk this 21 day of June 2021, by
11 '' ��/ ,II qI ��/�1 ^! Ronald M. Colas
BY: r (� �XJ,�` "" ' Who is (X) personally known to me
s Deput Clerk or who ( ) produced a driver's license as
---- - - - ) identification. / \
DATE: 07' df' 4V94
NOTARY PUBLIC, S ATE OF FLORIDA
Print, type of stamp commissioned name of notary
VA
MONROE
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Ca . `,, . ,l Commission R NH 69206 I
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2
ATTACHMENT A
TASK 1 ENVIRONMENTAL SUPPORT
1.1 Environmental services
In response to the most recent Federal Register regulations,Department of Economic
Opportunities(DEO)is now imposing certain requirements for environmental clearance for all
projects seeking assistance under CDBG-DR funds. WSP shall assist Monroe County in
reviewing and submitting the environmental information tie. environmental assessment)and check
lists as requested by DEO to be in compliance with these regulations.
%dlh les
— Environmental Support and Completion of Checklists to procure funding(Financial/grant
assistance)
%dll eiii-sullyIlles dl�lel]muillle
As needed
1.2 HUD Exchange Program Support
WSP shall provide engineering and environmental assistance to Monroe County in support of
compliance with Executive Order 11980 and HUD's regulations as outlined in 24 CFR Part 55
procedures,if FEMA map shows the project is located in a Special Flood Hazard Area and a 8-
Step Process(see Attachment B)and required notices are necessary.
%dh eiii-,IIllroIlles
Environmental Support and Completion of notices
%d h eiii-,I lllflles" dlllellmulllle
As needed.
E,aimuiiuisuied IIVet,
The Maximum-Not-to-Exceed amount for this task is fifteen thousand four hundred and sixty
dollars and thirty-seven cents($15,460.37).The table below indicates the level of effort
associated with Task 1.
1 Environmental Services and HUD Exchange Program
Project Project
Manager Engineer Subconsultant
(Werner (Stacie (Bermello)
Reinefeld) Schotanus)
1.1 Environmenta I Support(Grant Assistance) 4 40
1.2 HUD Exchange Program 4 40
SUB TOTAL(hrs): 8 0 80 TOTAL(hrs): 88
Percent of total: 9% 0% 91%
Project Project
Manager Engineer
Hourly rate: $ 182.55 $ 134.50 $ 175.00
SUB TOTAL($): $ 1,460.37 $ - $ 14,000.00 TOTAL: $ 15,460.37
TOTAL: $ 15,460.37
11 PjMEN To U.S.Department of Housing and Urban
Development
IIIIIIII 451 Seventh Street,SW
Washington, DC 20410
www.hud.gov
espanol.hud.gov
Environmental Assessment
Determinations and Compliance Findings for HUD-assisted Projects
24 CFR Part 58
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Project Information
Project Name:
Responsible Entity:
Grant Recipient(if different than Responsible Entity):
State/Local Identifier:
Preparer:
Certifying Officer Name and Title:
Grant Recipient(if different than Responsible Entity):
Consultant(if applicable):
Direct Comments to:
Project Location:
Description of the Proposed Project [24 CFR 50.12&58.32;40 CFR 1508.25]:
Statement of Purpose and Need for the Proposal [40 CFR 1508.9(b)]:
Existing Conditions and Trends [24 CFR 58.40(a)]:
Funding Information
Grant Number HUD Program Funding Amount
Estimated Total HUD Funded Amount:
Estimated Total Project Cost (HUD and non-HUD funds) [24 CFR 58.32(d)]:
Compliance with 24 CFR 50.4, 58.5, and 58.6 Laws and Authorities
Record below the compliance or conformance determinations for each statute, executive order, or
regulation. Provide credible, traceable, and supportive source documentation for each authority. Where
applicable, complete the necessary reviews or consultations and obtain or note applicable permits of
approvals. Clearly note citations, dates/names/titles of contacts, and page references. Attach additional
documentation as appropriate.
Compliance Factors: Are formal Compliance determinations
Statutes, Executive Orders, compliance
steps or
and Regulations listed at 24 mitigation
CFR §58.5 and §58.6 required?
STATUTES, EXECUTIVE ORDERS, AND REGULATIONS LISTED AT 24 CFR 50.4
and 58.6
Airport Hazards Yes No
24 CFR Part 51 Subpart D ❑ ❑
Coastal Barrier Resources Yes No
Coastal Barrier Resources Act, as ❑ ❑
amended by the Coastal Barrier
Improvement Act of 1990 [16
USC 3501]
Flood Insurance Yes No
Flood Disaster Protection Act of ❑ ❑
1973 and National Flood
Insurance Reform Act of 1994
[42 USC 4001-4128 and 42 USC
5154a]
STATUTES, EXECUTIVE ORDERS, AND REGULATIONS LISTED AT 24 CFR 50.4
& 58.5
Clean Air Yes No
Clean Air Act, as amended, ❑ ❑
particularly section 176(c) & (d);
40 CFR Parts 6, 51, 93
Coastal Zone Management Yes No
Coastal Zone Management Act, ❑ ❑
sections 307 c & d
Contamination and Toxic Yes No
Substances
24 CFR Part 50.3 i & 58.5(1)(2)
Endangered Species Yes No
Endangered Species Act of 1973,
particularly section 7; 50 CFR
Part 402
Explosive and Flammable Yes No
Hazards ❑ ❑
24 CFR Part 51 Subpart C
Farmlands Protection Yes No
Farmland Protection Policy Act ❑ ❑
of 1981,particularly sections
1504(b) and 1541; 7 CFR Part
658
Floodplain Management Yes No
Executive Order 11988, ❑ ❑
particularly section 2(a); 24 CFR
Part 55
Historic Preservation Yes No
National Historic Preservation ❑ ❑
Act of 1966,particularly sections
106 and 110; 36 CFR Part 800
Noise Abatement and Control Yes No
Noise Control Act of 1972, as ❑ ❑
amended by the Quiet
Communities Act of 1978; 24
CFR Part 51 Subpart B
Sole Source Aquifers Yes No
Safe Drinking Water Act of 1974, ❑ ❑
as amended,particularly section
1424(e); 40 CFR Part 149
Wetlands Protection Yes No
Executive Order 11990,
particularly sections 2 and 5
Wild and Scenic Rivers
Yes No
Wild and Scenic Rivers Act of
1968,particularly section 7(b) El El
and c
ENVIRONMENTAL JUSTICE
Environmental Justice Yes No
Executive Order 12898 ❑ ❑
Environmental Assessment Factors [24 CFR 58.40; Ref. 40 CFR 1508.8 &1508.27] Recorded below
is the qualitative and quantitative significance of the effects of the proposal on the character, features and
resources of the project area. Each factor has been evaluated and documented, as appropriate and in
proportion to its relevance to the proposed action. Verifiable source documentation has been provided and
described in support of each determination, as appropriate. Credible, traceable and supportive source
documentation for each authority has been provided. Where applicable, the necessary reviews or
consultations have been completed and applicable permits of approvals have been obtained or noted.
Citations, dates/names/titles of contacts, and page references are clear. Additional documentation is
attached, as appropriate. All conditions, attenuation or mitigation measures have been clearly
identified.
Impact Codes: Use an impact code from the following list to make the determination of impact
for each factor.
(1) Minor beneficial impact
(2) No impact anticipated
(3) Minor Adverse Impact—May require mitigation
(4) Significant or potentially significant impact requiring avoidance or modification which may
require an Environmental Impact Statement
Environmental Impact
Assessment FactorF Code Impact Evaluation
LAND DEVELOPMENT
Conformance with
Plans/Compatible
Land Use and Zoning
/ Scale and Urban
Design
Soil Suitability/
Slope/Erosion/
Drainage/ Storm
Water Runoff
Hazards and
Nuisances
including Site Safety
and Noise
Energy Consumption
Environmental Impact
Assessment Factor Code Impact Evaluation
SOCIOECONOMIC
Employment and
Income Patterns
Demographic
Character Changes,
Displacement
Environmental Impact
Assessment Factor Code Impact Evaluation
COMMUNITY FACILITIES AND SERVICES
Educational and
Cultural Facilities
Commercial
Facilities
Health Care and
Social Services
Solid Waste
Disposal /Recycling
Waste Water/
Sanitary Sewers
Water Supply
Public Safety -
Police, Fire and
Emergency Medical
Parks, Open Space
and Recreation
Transportation and
Accessibility
Environmental Impact
Assessment Factor Code Impact Evaluation
NATURAL FEATURES
Unique Natural
Features,
Water Resources
Vegetation, Wildlife
Other Factors
Additional Studies Performed:
Field Inspection (Date and completed by):
List of Sources, Agencies and Persons Consulted [40 CFR 1508.9(b)]:
List of Permits Obtained:
Public Outreach [24 CFR 50.23 & 58.43]:
Cumulative Impact Analysis [24 CFR 58.32]:
Alternatives [24 CFR 58.40(e); 40 CFR 1508.9]
No Action Alternative [24 CFR 58.40(e)]:
Summary of Findings and Conclusions:
Mitigation Measures and Conditions [40 CFR 1505.2(c)]
Summarize below all mitigation measures adopted by the Responsible Entity to reduce, avoid, or
eliminate adverse environmental impacts and to avoid non-compliance or non-conformance with
the above-listed authorities and factors. These measures/conditions must be incorporated into
project contracts, development agreements, and other relevant documents. The staff responsible
for implementing and monitoring mitigation measures should be clearly identified in the mitigation
plan.
Law, Authority, or Factor Mitigation Measure
Determination:
❑ Finding of No Significant Impact [24 CFR 58.40(g)(1); 40 CFR 1508.27]
The project will not result in a significant impact on the quality of the human environment.
❑ Finding of Significant Impact [24 CFR 58.40(g)(2); 40 CFR 1508.27]
The project may significantly affect the quality of the human environment.
Preparer Signature: Date:
Name/Title/Organization:
Certifying Officer Signature: Date:
Name/Title:
This original, signed document and related supporting material must be retained on file by the
Responsible Entity in an Environmental Review Record (ERR) for the activity/project (ref: 24
CFR Part 58.38) and in accordance with recordkeeping requirements for the HUD program(s).
EIGHT-STEP DECISION-MAKING PROCESS
1. DETERMINE IF PROPOSAL IS IN A FLOODPLAIN OR WETLAND: by using
Flood hazard Boundary Maps, Community Profiles, Army Corps of Engineers Flood
Hazard Inventory (annual), coastal zone maps, and any other relevant information.
2. INVOLVE PUBLIC IN DECISION-MAKING PROCESS (NOTICE): Using the
notice forms attached, notify the public by publishing in a newspaper in communities
which have local newspapers. In all other communities,post the notice on the post
office bulletin board for 15 days including postmarks on the notice to document the
date is was posted and the date it was removed.
3. DETERMINE IF THERE IS A PRACTICABLE ALTERNATIVE: Identify and
evaluate at least three alternatives, including when possible, alternative sites outside the
floodplain or wetland, alternative actions, and the "no action" option.
4. IDENTIFY ADVERSE AND BENEFICIAL IMPACTS: including direct and indirect
support of other floodplain and wetland development that might result from the project.
Analyze the following factors: (1)Natural environment(topography, habitat, hazards);
(2) Social concerns (aesthetics, historic and cultural values, land use patterns); (3)
Economic aspects (costs of construction, transportation and relocation); and (4) Legal
considerations (deeds, leases).
5. MITIGATE ADVERSE IMPACTS: Minimize the impacts identified and restore and
preserve the beneficial values served by floodplains and wetlands.
6. RE-EVALUATE ALTERNATIVES: in light of the information gained to determined if
the proposed action is still practicable. If new construction is to be located in a
floodplain or wetland, apply accepted floodproofing and other measures. To achieve
flood protection, wherever practicable elevate the structures above the flood level rather
than fill in land.
7. ANNOUNCE AND EXPLAIN DECISION TO THE PUBLIC (NOTICES Using the
attached form, again notify the public by publishing in the local newspaper when
possible or posting on the bulletin board for seven days,postmarking the notice at
posting and at removal.
8. IMPLEMENT PROPOSAL WITH APPROPRIATE MITIGATION: Review
during site visits to ensure that mitigation measures are fully implemented.
DOCUMENT EACH OF THE ABOVE STEPS AND
INCLUDE IN THE
ENVIRONMENTAL REVIEW FILE FOR THE PROJECT!
Step 2 of the 8-Step Process Sample Notice for Early Public Review
Step 2 of the 8 - Step Process
Sample
Early Notice and Public Review of a Proposed
Activity in a 100-Year Floodplain
[Note: May also be combined with other notices such as state floodplain or
wetland notices so long as it contains the required information]
To: All interested Agencies [include all Federal, State, and Local], Groups and
Individuals
This is to give notice that [HUD under part SO or Responsible Entity under Part S8]
has conducted an evaluation as required by [Executive Order 11988 and/or 11990], in
accordance with HUD regulations at 24 CFR 55.20 Subpart C Procedures for Making
Determinations on Floodplain Management, to determine the potential affect that its activity
in the floodplain and wetland will have on the human environment for [Program Name]
under [HUD grant or contract number]. [Describe the activity, e.g. purpose, type
of assistance, the size of the site, proposed number of units, size of footprint, type
of floodplain, natural values]. [State the total number of acres of floodplains].
The proposed project(s) is located [at addresses) in [Name of City], [Name of
County].
There are three primary purposes for this notice. First, people who may be affected by
activities in floodplains and those who have an interest in the protection of the natural
environment should be given an opportunity to express their concerns and provide
information about these areas. Second, an adequate public notice program can be an
important public educational tool. The dissemination of information about floodplains can
facilitate and enhance Federal efforts to reduce the risks associated with the occupancy and
modification of these special areas. Third, as a matter of fairness, when the Federal
government determines it will participate in actions taking place in floodplains, it must
inform those who may be put at greater or continued risk.
Written comments must be received by [HUD or Responsible Entity] at the following
address on or before [month, day, year] [a minimum IS calendar day comment
period will begin the day after the publication and end on the 16th day after the
publication]: [HUD or Responsible Entity], [Address] and [phone number],
Attention: [Name of Certifying Officer], [Title], during the hours of 9:00 AM to 5:00
PM. Comments may also be submitted via email at [email address].
Date:
NOTE:According to 24 CRR 55,section 55.2(b)(1),the notice must be bilingual if the affected public
is largely non-English speaking. In addition,the notice must be dispersed to federal,state and local
public agencies,organizations,and individuals know to be interested in the proposed project.
Step 7 of the 8-Step Process Sample Notice & Public Explanation
Step 7 of the 8 - Step Process
Sample
Final Notice and Public Explanation of a Proposed
Activity in a 100-Year Floodplain
To: All interested Agencies [include all Federal, State, and Local], Groups and
Individuals
This is to give notice that the [HUD under part SO or Responsible Entity under Part
S8] has conducted an evaluation as required by [Executive Order 11988 and/or
11990], in accordance with HUD regulations at 24 CFR 55.20 Subpart C Procedures for
Making Determinations on Floodplain Management, to determine the potential affect that its
activity in the floodplain and wetland will have on the human environment for [Program
Name] under [HUD grant or contract number]. The proposed project(s) is located [at
addresses) in [Name of City], [Name of County]. [Describe the activity, e.g.
purpose, type of assistance, the size of the site, proposed number of units, size of
footprint, type of floodplain, natural values]. [State the total number of acres of
floodplains involved].
[HUD or Responsible Entity] has considered the following alternatives and mitigation
measures to be taken to minimize adverse impacts and to restore and preserve natural and
beneficial values: [and reasons (quantitatively based if possible) for non-selection,
(iii) all mitigation measures to be taken to minimize adverse impacts and to
restore and preserve natural and beneficial values] [Cite the date of any final or
conditional LOMR's or LOMA's from FEMA where applicable] [Acknowledge
compliance with state and local floodplain protection procedures]
[HUD or Responsible Entity] has reevaluated the alternatives to building in the floodplain
and has determined that it has no practicable alternative. Environmental files that
document compliance with steps 3 through 6 of [Executive Order 11988 and/or
11990], are available for public inspection, review and copying upon request at the times
and location delineated in the last paragraph of this notice for receipt of comments. This
activity will have no significant impact on the environment for the following reasons:
[Give reasons why there is no significant impact]
There are three primary purposes for this notice. First, people who may be affected by
activities in floodplains and those who have an interest in the protection of the natural
environment should be given an opportunity to express their concerns and provide
information about these areas. Second, an adequate public notice program can be an
important public educational tool. The dissemination of information about floodplains can
facilitate and enhance Federal efforts to reduce the risks associated with the occupancy and
modification of these special areas. Third, as a matter of fairness, when the Federal
government determines it will participate in actions taking place in floodplains, it must
inform those who may be put at greater or continued risk.
Written comments must be received by the [HUD or Responsible Entity] at the following
address on or before [month, day, year] [a minimum 7 calendar day comment period
will begin the day after the publication and end on the 8th day after the
publication]: [Name of Administrator], [Address] and [phone number], Attention:
[Name of Certifying Officer], [Title], during the hours of 9:00 AM to 5:00 PM.
Comments may also be submitted via email at [email address].
Date:
NOTE: According to 24 CRR 55, section 55.2(b)(1),the notice must be
bilingual if the affected public is largely non-English speaking. In addition,
the notice must be dispersed to federal, state and local public agencies,
organizations, and individuals know to be interested in the proposed project.
*Wetland Protection (executive Order 11990- Section 2(b) of the Executive
Order, implemented by 24 CFR 55.20(b), requires similar notification when
construction is proposed in designated wetland areas.
DATE(MM/DD/YYYY)
A�" CERTIFICATE OF LIABILITY INSURANCE 11/1/2020
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: AJG Service Team
ArthurJ. Gallagher Risk Management Services, Inc. HON Ext: 212-981-2485 A/c,Noy 212-994-7074
250 Park Avenue, 5th Floor (A
AMAIL
New York NY 10177 ADDRESS: GGB.WSPUS.CertRequests@ajg.com
INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: QBE Specialty Insurance Company 11515
INSURED WSPGLOB-01 INSURER B:
WSP USA Inc.
One Penn Plaza INSURERC:
New York, NY 10119 INSURER D 7
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:1481901235 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSD WVD POLICY NUMBER MMIDD/YYY MMIDD/YYY
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE OCCUR A roved Risk Management DAMAGETORENTED
ppPREMISES Ea occurrence $
MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY JJECT LOC 1-28-2021 PRODUCTS-COMP/OP AGG $
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
Ea accident
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
UMBRELLA LAB OCCUR EACH OCCURRENCE $
EXCESS LAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? ❑ N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
A ProfessionalLiability QPL0022630 11/1/2020 10/31/2021 Per Claim/Aggregate $1,000,000
CLAIMS-MADE
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
THIRTY(30)DAYS NOTICE OF CANCELLATION
RE: Project#-193618; Project Description-Engineering Design and Permitting for Sea Level Rise Roadway and Drainage Pilot Project
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Monroe County BOCC
1100 Simonton Street AUTHORIZED REPRESENTATIVE
Key West FL 33040
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
DATE(MM/DD/YYYY)
ACCOR" CERTIFICATE OF LIABILITY INSURANCE 4/29/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: AJG Service Team
ArthurJ. Gallagher Risk Management Services, Inc. HON Ext: 212-994-7100 A/c,Noy 212-994-7047
250 Park Avenue, 5th Floor (A
AMAIL
New York NY 10177 ADDRESS: GGB.WSPUS.CERTREQUESTS@AJG.COM
INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA:Zurich American Insurance Company 16535
INSURED WSPGLOB-01 INSURER B: Liberty Insurance Corporation 42404
WSP USA Inc.
One Penn Plaza INSURERC:
New York, NY 10119 INSURER D 7
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:1432882618 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSD WVD POLICY NUMBER MMIDD/YYY MMIDD/YYY
A X COMMERCIAL GENERAL LIABILITY Y GL0983581908 5/1/2021 5/1/2022 EACH OCCURRENCE $3,500,000
CLAIMS-MADE OCCUR DAMAGETORENTED
PREMISES Ea occurrence $300,000
X Contractual Liab MED EXP(Any one person) $7,500
PERSONAL&ADV INJURY $3,500,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $7,000,000
POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $3,500,000
X JECT
OTHER: $
B AUTOMOBILE LIABILITY Y AS7-621-094060-031 5/1/2021 5/1/2022 COMBINED SINGLE LIMIT $5,000,000
Ea accident
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
A X UMBRELLA LAB X OCCUR AUC0144386-05 5/1/2021 5/1/2022 EACH OCCURRENCE $1,000,000
EXCESS LAB CLAIMS-MADE AGGREGATE $1,000,000
DED RETENTION$ Follow Form $
B WORKERS COMPENSATION WA7-62D-094060-011 5/1/2021 5/1/2022 X PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $2,000,000
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $2,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
THIRTY(30)DAYS NOTICE OF CANCELLATION.
RE: Project#-193618; Project Description-Engineering Design and Permitting for Sea Level Rise Roadway and Drainage Pilot Project Monroe County BOCC
is named as Additional Insured as respects General Liability and Auto Liability policies, pursuant to and subject to the policy's terms,definitions,conditions and
exclusions.
:A7, SN
iN
612021
CERTIFICATE HOLDER M ^ ANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Monroe County BOCC
1100 Simonton Street AUTHORIZED REPRESENTATIVE
Key West FL 33040
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