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1st Task Order 08/10/2021 TASK ORDER ONE FOR SURVEY SERVICES BETWEEN MONROE COUNTY AND FLORIDA KEYS LAND SURVEYING, LLC., FOR THE VOLUNTARY HOME BUYOUT PROGRAM FOR TASKS AND DELIVERABLES ASSOCIATED WITH THE FLORIDA DEPARTMENT OF ECONOMIC OPPORTUNITY SUB-RECIPIENT AGREEMENT 10092 In accordance with the contract for Survey Services made and entered on the 9th day of December, 2020, by and between Monroe County hereinafter referred to as the "County" and Florida Keys Land Surveying, LLC., hereinafter referred to as "Consultant"for the Voluntary Home Buyout Program. All terms and conditions of the referenced Contract for Survey Services shall apply to this Task Order, unless the Task Order modifies an Article of the Contract which will be specifically referenced in this Task Order and the amendment, addition or modification shall be precisely described. This Task Order is effective on the 10 day of August , 2021. 1. In accordance with the Survey Services contract, attachment A, Scope of Work and Pricing,the Consultant will perform services as described therein on the following parcels: 1 Del Mar Blvd Big Coppitt Key FI 33040 31374 AVENUE H, BIG PINE KEY 1187 Basque Ln, Cudjoe Key, FI 33042 31479 Avenue H Big Pine Key FI 33043 1561 State Rd 4A Little Torch Key FI 33042 31484 Avenue F Big Pine Key FI 33043 22 ATLANTIC DR KEY LARGO FL 33037 31486 Avenue F Big Pine Key FI 33043 27368 Jamaica Ln Ramrod Key, FI 33043 31685 Warner St Big Pine Key FI 33043 27450 Barbados Ln Summerland Key FI 32860 Bimini Ln No Name Key FI 33043 33042 331 Avenue E Big Coppitt Key FI 33040 3029 Pine Ave Big Pine Key FI 33043 390 W Indies Dr Ramrod Key FI 33042 30372 Palm Dr Big Pine Key FI 33043 3964 Hall Rd Big Pine Key FI 33043 30450 Racoon Run Big Pine Key FI 33043 45 Riviera Dr Big Coppitt Key FI 33040 30458 Coconut Hwy Big Pine Key FI 33043 516 Park Dr Rockland Key FI 33040 30458 Oleander Blvd Big Pine, FI 33043 620 Elma Ave Big Pine Key FI 33043 30466 Poinciana Rd Big Pine Key FI 33043 65914 Overseas Hwy Long Key FI 33001 31324 Avenue G Big Pine Key FI 33043 69 Coral Dr Key Largo FI 33037 Staffing—the Project Manager shall be Matthew Blomberg. Pricing shall be in accordance with the Survey Services contract attachment A, Scope of Work and Pricing. 2. Prior to beginning the work, Individual or grouped requests for surveys on specific parcels will be subject to a Notice to Proceed issued via email from the County to the Consultant. Appraisal Services Task Order One For the Monroe County Voluntary Home Buyout Program Page 1 of 2 3. This Task Order One shall be effective as of August-10th , 2021 and shall remain in effect until such services are no longer required or in accordance with section 9.5 of the contract. 4. All other Terms and Conditions of the Task Order shall remain in accordance with the Contract dated December 9, 2020. IN WITNESS WHEREOF, each party caused the Task Order to be executed by its duly authorized representative. Florida Keys La d Surveying, LLC Witness: r By .. By: Signature n4h,- � Blom6e Signature , Title: Title: MONROE COUNTY COUNTY ADMINISTRATOR M4NRUECi3UW'rl'A'fTQRh"LY County Administrator ASSISTANTCO,7YkT -1J�Y DATE_,_ 71P3121 Title Appraisal Services Task Order One For the Monroe County Voluntary Home Buyout Program Page 2 of 2 (MMIDDIYYY AC"R"® CERTIFICATE OF LIABILITY INSURANCE DA08/12/2021 Y' 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 Pat Cliff Southernmost Insurance Agency, Inc PHONE FAX 1010 Kennedy Dr. vC No Ext: 305-296-5052 VC No): (305)296-5052 STE 300 E-MAIL pat@southernmostinsurance.com ADDRESS: Key West, FL 33040 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Penn-America Insurance Co A0287 INSURED Florida Keys Land Surveying, LLC INSURERB: Progressive A0020 PO Box 1547 Et I C A0083 Key West, FL 33041 INSURER C: Evanston Insurance Company Y INSURER D: Allied World Surplus Lines Ins. Co. A0269 INSURER E: INSURER F: 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 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. I NSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM DDIYYYY MMIDDIYYYY LIMITS A COMMERCIAL GENERAL LIABILITY Y Y PAV0252701 01/03/2021 01/03/2022 EACH OCCURRENCE $ 1,000,000 DA AGE TO RENTED CLAIMS-MADE1:1 OCCUR PRE M IS ES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 2,000,000 POLICY PRO-JECT $LOC PRODUCTS-COMP/OP AGG OTHER: $ B AUTOMOBILE LIABILITY Y 03214398-7 07/05/2021 07/05/2022 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident J 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 C UMBRELLALIAB OCCUR EZXS3045836 03/15/2021 01/03/2022 EACH OCCURRENCE $ 2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Professional Liability 0309661OF 07/19/2021 07/19/2022 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County Board of County Commissioners&State of Florida included as additional insureds in accordance with policy provisions of Gen Liability and Auto Liability policies as required by written contract By- h . 8 . 12 . 2021 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 ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St Key West, FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD