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Item J3
J.3 County �� � .�� �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 September 15, 2021 Agenda Item Number: J.3 Agenda Item Summary #9646 BULK ITEM: No DEPARTMENT: Airports TIME APPROXIMATE: STAFF CONTACT: Richard Strickland(305) 809-5200 N/A AGENDA ITEM WORDING: Approval of Jacobs Project Management Co.'s Task Order No. 12/15-B1 in the amount of $985,732.00 for Design and Permitting of the Commercial Apron Expansion project at the Key West International Airport. The project was identified in the Master Plan completed in 2019 due to the need to improve safety and reduce congestion on the commercial apron. The Task Order is being funded by FDOT Airfield Improvements Grant G1007 (50%) and Airport Operating Fund 404 (50%). ITEM BACKGROUND: Services include coordination, design and permitting, along with design of the mitigation areas to offset the impacts of the commercial apron expansion as the airport continues to experience increased need for safe and efficient aircraft apron parking. PREVIOUS RELEVANT BOCC ACTION: Approval of Master Agreement for Professional Services with Jacobs Project Management Company for General Consulting Services for both Monroe County Airports on February 15, 2017. CONTRACT/AGREEMENT CHANGES: new PSO STAFF RECOMMENDATION: Approval. DOCUMENTATION: Jacobs 1215-131 Comm Apron D&P FINANCIAL IMPACT: Effective Date: Upon Execution Expiration Date: 730 days after execution Total Dollar Value of Contract: $985,732.00 Packet Pg. 1433 J.3 Total Cost to County: Current Year Portion: Budgeted: Source of Funds: FDOT Grant G1007 (50%) and Airport Operating Fund 404 (50%) CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: N/A If yes, amount: Grant: County Match: Insurance Required:Yes Additional Details: REVIEWED BY: Beth Leto Completed 08/26/2021 5:26 PM Richard Strickland Completed 08/28/2021 2:22 PM Pedro Mercado Completed 08/28/2021 2:44 PM Purchasing Completed 08/30/2021 8:30 AM Budget and Finance Completed 08/30/2021 11:09 AM Maria Slavik Completed 08/30/2021 11:12 AM Liz Yongue Completed 08/30/2021 3:09 PM Board of County Commissioners Pending 09/15/2021 9:00 AM Packet Pg. 1434 J.3.a MASTER AGREEMENT FOR PROFESSIONAL SERVICES TASK ORDER FORM Effective Date Upon Execution Task Order No. 12/15-B1 Client Project No. 404-630196-GAKD142 Engineer Project No. E9Y379B 1 2 This Task Order is entered into on the effective date noted above pursuant to the -Master Agreement for Professional Services" between Monroe County, Florida ("Client") and JACOBS PROJECT MANAGEMENT CO. ("Consultant"), dated February 15, 2017 ("Agreement"). The Agreement is incorporated herein and forms an integral part of this Task Order. Services Authorized—Commercial Apron Expansion LO Client authorizes Consultant to perform the Services described in Exhibit A attached hereto and incorporated herein,which Exhibit A is marked with the above noted Task Order No. and consists of 11 page(s). CL Pricing N/A Time and Expense per Agreement and Appendix B to the Agreement. i X Firm Fixed Price of$ 985,732.00 N/A Other(Describe): W Digitally signed by Pedro CL �N - Mercado Schedule � F ��DN:cn=Pedro Mercado, 06 `r'=-"w'w o=Monroe County,ou=Counly P Attorneys Office,email-merCado Services may commence on Execution ., pedro@monroetounty-fl.gov, Do-�_______________ C=CIS L. Date:2021.0&25 09..29:04-04'00' Services will cease by 730 days Other (SEAL) BOARD OF COUNTY COMMISSIONERS ATTEST: KEVIN MADOK, CLERK OF MONROE COUNTY, FLORIDA LO T_ cv By By 0 Deputy Clerk Mayor/Chairman CONSULTANT: JACOBS PROJECT MANAGEMENT CO m Jeffrey D. Digitally,signed by Jeffrey D.Acton (, I.ON:cn=Jeffrey D.Acton,a=Jacobs (B QPMCo},ors, Acton email=leffreyActon@Jacobs.com,c=US By Date:2021.04.29 1801:13-04'00' wJt Christopher W. Bher,Irer.�d by CPvotagher W 139 n0ulatopherW ®r,, Witness Bowker Jr em.1. nIr ®a��svb.wR Title S. Region PM/CM Services Group Leader D®te.2T2t 04 39 Oa Ot=WYb' File: MSTR APS Monroe County Page 1 of 1 Packet Pg. 1435 J.3.a Exhibit A — (12/15 — 131) Scope of Services Monroe County Airports Key West International Airport (EYW) Commercial Apron Expansion CL SCOPE OF WORK Jacobs will provide project management,coordination services, design,and permitting for the expansion of the General Aviation Apron at Key West International Airport (EYW) along with the design of the mitigation areas to offset the impacts of the commercial area apron development. LO EXISTING CONDITIONS T- o The 41,000-square-yard existing Commercial Apron is located along the southside of CL Taxiway A and east of Taxiway D. It is adjacent to the passenger terminal building,the Customs and Border Protection (CBP)facility,and the FeclEx facility. The existing Commercial Apron currently experiences congestion during peak periods.Congestion is a result of the number of commercial aircraft and the trend towards larger aircraft serving EYW.The existing Commercial Apron layout was not designed to support the level and type of activity currently occurring at EYW. .� CL In accordance with the Master Plan and Airport Layout Plan,the proposed Commercial06 Apron Expansion would reduce congestion and increase the footprint of the Commercial Apron to the east by approximately 13,200-square-yard. Refer to Figure 1 for the proposed Commercial Apron Expansion, impact limits, and survey limits. 0 LO cv N U Page 1 of 10 Packet Pg. 1436 J.3.a -- � - � - 06 ,Or 1: ly d �St� i) �����n 1 1,tna$rlt�a,r1}J51S1\At�u�t},tV�4}>lt nrt+ �t t�i�, '�J tit ts'4,"fi� ittip�)i !�' r rW5p �y3��? a LO r N a t 1i s igs,v it�4R lyyrt - �11 Eti� U� �� Ylle ����l�ai, N c- i� is�t�� .. �i .,w'tt -� Figure 1:Proposed Commercial Apron Expansion and Survey Limits DESCRIPTION OF WORK The Commercial Apron Expansion project includes the following elements: CL 06 1. Develop a 30%,90%, and bid documents for the proposed Commercial Apron Expansion 2. Develop a 30%,90%, and bid documents for the on-site and off-site mitigation areas 3. Submit a United States Army Corps Engineers (USACE) for the proposed salt pond impacts and mitigation areas. ca 4. Submit a SFWMD environmental resource permit and Monroe County permit. LO T_ GENERAL SCOPE N One construction package will be developed for this project. For this construction package,Jacobs will provide the following services: 1. Management of the project from data collection to bid opening and award of the construction contract. 2. Program verification and site investigations. 3. Coordination with the geotechnical subconsultant,survey subconsultant,and permitting subconsultant. 4. Coordination with Monroe County, USACE,and SFWMD as required. Page 2 of 10 Packet Pg. 1437 J.3.a 5. Preparation of the construction documents and incorporation of Monroe County's frontend contract documents. 6. Preparation of the engineering report, construction cost estimate, and construction schedule. CL 7. Bidding and award assistance. 8. Preparation of minutes of meetings and phone conversations. 2 ASSUMPTIONS/DESIGN PARAMETERS 1. This project will be funded with state and local airport monies. 2. Jacobs will develop plans,design report,and construction cost estimate at a 30% design level for review. LO 3. Jacobs will develop plans,technical specifications,an engineering report, and a construction cost estimate at the 90%design level for review. 4. Jacobs will produce a final contract set of plans,specifications,engineering report, CL construction schedule,and construction cost estimate for bidding purposes. 5. USACE and SFWMD permits are required based on the current scope of the project. 6. A pavement design report is required and will be based on the airport's current i r9 commercial aviation fleet mix. 7. The taxiway/taxilane design criteria will be based on Taxiway Design Group 3. It is assumed that this project will not utilize paved shoulders. CL 8. It is assumed the mitigation areas will be on Tarpon Belly Keys. Data collected from the Tarpon Belly Keys site visit for the PSO 12/15-94 project will be used to identify some mitigation opportunities for the Commercial Apron Expansion.Additional areas on Tarpon Belly Keys will need to be investigated to identify the remaining mitigation opportunities for this project. In addition to Tarpon Belly Keys,there may need to be other mitigation sites for the Commercial Apron Expansion. 9. This scope of work does not include the geotechnical and survey investigation for the mitigation areas.Once the additional mitigation areas are determined by Birkitt, LO Jacobs will submit an amendment for the survey and geotechnical services of the mitigation areas. 10.The design will be in accordance with the most current FAA-AIP Advisory Circulars. 11.This scope of work does not include construction administration, resident project representative nor quality assurance testing. This scope of work also does not include the development of a construction management plan.These services along with a construction management plan will be provided under a separate purchase order. 12.It is assumed that this project does not require the creation of an AGIS project. 13.Any cost estimates provided by Jacobs will be in a basis of experience and judgement. Since consultant has no control over market conditions or bidding procedures,Jacobs Page 3 of 10 Packet Pg. 1438 J.3.a does not warrant that bids or ultimate construction costs will not vary from these cost estimates. ARTICLE A—DATA COLLECTION AND PRELIMINARY DESIGN Data Collection: 06 1. Prepare for and attend project design kick off meeting. 2 2. Coordinate with subconsultants including but not limited to survey,geotechnical,and 0. environmental permitting as wel I as other Project Team members. 0 3. Perform a detailed topographic survey of existing apron, proposed commercial apron expansion footprint, mitigation areas, and wetland delineation as outlined in the LO attached survey scope of work by O'Neal Surveying Company. T_ 4. Perform a geotechnical investigation to assess the existing soil strata classifications in the proposed mitigation areas. Geotechnical investigation will also include CL cores/bores to determine existing pavement thickness,soil strength,estimated 0 ground water level, and estimated seasonal high ground water level table.The geotechnical investigation also includes 60-foot deep borings for high mast light foundations.The geotechnical investigation will be performed as outlined in the attached scope of work by Tierra South Florida. 5. Jacobs to provide full time badged escort for the geotechnical and survey field crew. CL 06 It is assumed that the survey field work will take approximately 10—8 hour shifts to complete. It is assumed that the geotechnical field work will take approximately 10 - 8 hour shifts to complete. 6. Research record drawings for underground utilities. (i.e. sewer,water,electric, gas, communication,etc.). LO 7. Perform site visit to inspect existing electrical circuity for the high mast lights,taxiway edge light,and taxiway sign design.The site visit will also include coordination with N Keys Energy. 8. Perform site walk through survey to locate and note any special site conditions that would affect construction techniques or materials. Take photographs of the site and provide written documentation,sketches, notes, or reports to confirm and record the general conditions of the existing site. Field verify that all existing features in the field were picked up during the topographic survey. 9. Assist Birkitt Environmental Services with preparation and attend Pre-Application meeting with USACE. Page 4 of 10 Packet Pg. 1439 J.3.a 10.Assist Birkitt Environmental Services with preparation and attend Pre-Application meeting with SFWMD. 11.Perform an additional Tarpon Belly Keys visit to evaluate mitigation opportunities for the Commercial Apron Expansion. 12.Identify additional mitigation sites for the Commercial Apron Expansion. 06 13.Perform QA/QC and Document Review. 2 ARTICLE B-30%,90%AND BID DESIGN Based on the information collected under Article A,the 30%, 90%,and final bid design documents will be developed for all elements identified in this scope of work. LO 1. Prepare for and attend two (2) design review meetings (30% and 90%) with the Airport to discuss project progress and review the design submittals. CL 2. Develop technical specifications utilizing FAA's standard specifications for construction (i.e. FAA Specifications P-101, P-152, T-904, P-620, etc.). Submit complete technical specifications at 90%and final. i 3. Coordinate and incorporate Monroe County provided contract document/front- end specifications into the 90% and final contract bid documents. (i.e. Notice to >- Bidders, Invitation to Bidders, Instruction to Bidders, Bid Proposal, Contract, `" CL Contract Articles, General Specifications). 06 4. Develop a construction schedule for use in determining phasing and duration. 5. Prepare for and attend phasing meeting with the Airport to discuss construction phasing and duration. U 6. Prepare pavement design report. All analytical methods, results, and T' ca recommendations will be summarized in a detailed written report. LO cv 7. Develop photometric point by point layout for the high mast light design and location. 8. Perform airfield electrical design. The airfield electrical design will include the installation/relocation of taxiway edge lights. 9. Perform structural calculations and develop calculation report for the high mast light structural design. 10.Develop three (3) pavement marking alternatives for the proposed Commercial Apron Expansion. Page 5 of 10 Packet Pg. 1440 J.3.a 11.Coordinate with Birkitt Environmental Services for the USACE permit and SFWMD permit. 12.Develop and submit Monroe County Building Permit for the bid package. 13.Develop off-site mitigation design and report. The designs, mitigation plans, and reports will be completed as outlined in the attached scope of work by Birkitt CL Environmental Services, Inc. 06 14.Perform a drainage design and the necessary SFWMD permitting.Jacobs will assist Birkitt Environmental Services with the SFWMD environmental permit. Drainage improvements will include connecting existing storm sewer systems to the newly installed injection wells that were installed under a previous project. 15.Develop the following anticipated plans: , LO Commercial Apron Expansion /Mitigation Areas Sheet Name Number of Sheets CL Title Sheet 1 N Index of Drawings and 1 Notes i General Notes 1 Summary of Quantities 1 LU CL General Plan 2 06 Survey Control Plan 3 2 Haul Route and Part 77 1 Surfaces Existing Conditions Plan 6 Geotech/Borings Plan 6 , LO General Phasing Plan 1 Detailed Phasing/Safety 4 0 Plan Safety Notes/Details 1 Demolition/Clearing & 6 Grubbing Plan Geometry Plan 2 Typical Sections 3 Concrete Joint Layout 4 Page 6 of 10 Packet Pg. 1441 J.3.a Concrete Joint Elevation 4 Plan Concrete Joint Details 2 Grading Plan 6 Cross Sections 5 Drainage Plan 2 Drainage Details 8 Landscape Plan 4 Landscape Details 2 Erosion Control/Dewatering 2 Plan L Erosion Control/Dewatering 3 Details CL Pavement Marking Plan 2 0 Pavement Marking Details 2 Electrical Demolition Plan 2 i r9 Electrical and High Mast 2 Light PlanCL ._ Electrical Details 4 High Mast Light Details 3 2 High Mast Structural Details 4 Light Fixture/Sign Schedule 1 Miscellaneous Details 4 Total Sheet Count 105 LO T- cv N 0 16.Develop detailed construction quantities and cost estimate at the 30%, 90%, and at final contract document design levels. 17.Coordinate, distribute and print the following copies of the 30% design drawings (plans and design report) for review by the Airport: Monroe County: 2 copies of plans (1 full size; 1 half size); 2 copies of engineering report; 2 copies of engineer's estimate for each submission. 2 copies of specifications at 90%and final bid submission. Page 7 of 10 Packet Pg. 1442 J.3.a USACE: 2 copies of plans(1 full size; 1 half size); 2 copies of engineering report FDOT: 2 copies of plans (2 half size),and a CD containing the drawings, specifications,engineering report,and engineer's estimate for the 90%submission only. FAA: 2 copies of plans (2 half size),and a CD containing the drawings, specifications,engineering report,and engineer's estimate for the 06 90%submission only. 18.Conduct an in-house QA/QC prior to the 30% design submission. The in-house QA/QC check will involve an experienced independent individual, depending on each discipline, to conduct a comprehensive check on all documents to be submitted (e.g. plans and reports). Time will be required for engineers and CADD technicians/designers to correct items listed under the in-house QA/QC checks. LO 19.Address comments from 30%and 90%design submission. o 20.Prepare and submit electronically FAA form 7460-1 Notice of Proposed CL Construction or Alteration. N 0 21.Prepare and submit a Construction Safety Phasing Plan (CSPP). i Services for Article B will be provided under a lump sum basis. ARTICLE C—BID PHASE SERVICES CL Upon completion of the construction documents and at the request of the Airport, Jacobs will prepare the project documents for bidding.Jacobs will perform bidding support services the following terms will apply: 1. The County appoints Jacobs as its Agent, and Jacobs accepts such appointment to perform bid/procurement services on the County's behalf in connection with the project. LO 2. Such services shall be performed under the County's direction and in accordance to such forms, terms and conditions, or modifications or revisions to same as the N County may in its sole discretion at any time instruct Jacobs to use. All services shall be carried out in accordance with the procedures mutually agreed upon by the County and Jacobs. 3. Jacobs shall not have authority to accept or bind the County in any way to changes, modifications, revisions, alterations, amendments, or supplemental, additional, or different terms and conditions (hereinafter referred to as "deviations") which may be submitted or requested by a vendor or contractor. Jacobs shall immediately submit any deviations from the County's standard terms and conditions to the County for review by the County's Purchasing Manager or their representative and such deviations shall not be accepted by Jacobs unless Page 8 of 10 Packet Pg. 1443 J.3.a Jacobs receives express written approval thereof from the County's Project and/or Purchasing Manager or their representative. 4. All documents issued by Jacobs hereunder shall be signed by Jacobs for the County if so directed. The ownership and title of all items purchased hereunder shall pass directly from the selling party to the County, and Jacobs shall at no time be a party to such transaction other than as agent of the County. The County shall have the unilateral right to have the commitment authority of Jacobs, its06 employee or this limited agency authorization in its entirety revoked and cancelled at any time, with or without cause. The County shall be obligated directly to the selling party for all payments for materials, equipment, supplies and services procured hereunder. 0 5. The County shall hold Jacobs and its employees harmless from any claims, suits or liabilities arising out of any breach or other failure of performance by any ca LO contractor, vendor or supplier under any contract or purchase order issued by Jacobs hereunder. o The following task will be performed as part of the bid phase services: CL N 1. Coordinate with the County Purchasing Department and the Airport to advertise for bids. Provide electronic copies of the bid documents to prospective bidders. 2. Prepare for and attend a project pre-bid conference. 3. Prepare responses to address requests for information (RFI) from prospective bidders. 4. Prepare and coordinate the issuing two (2) addenda with the County purchasing CL department. 06 5. Revise bid documents as necessary for the addendum. 6. Review bids for responsiveness. 7. Prepare a bid tabulation. 8. Make a recommendation for award based on review of the bid information submitted. Services for Article C will be provided under a lump sum basis. LO cv PROJECT SCHEDULE 0 The tentative project schedule from the Notice to Proceed date will be as follows: - m Project Schedule Article A- Data Collection NTP + 30 Calendar Days and Preliminary Design Article B-30%Design NTP + 75 Calendar Da s Article B-Submit USACE NTP + 90 Calendar Days Permit Article B-Submit SFWMD I NTP + 105 Calendar Days Page 9 of 10 Packet Pg. 1444 J.3.a Permit Article B-90% Design NTP + 130 Calendar Days Article B-Bid Submission NTP + 150 Calendar Days Article C-Advertise Bid NTP+ 175 Calendar Days 2 0 LO T- cv CL o 0 CL 06 r9 2 0 LO T- cv N 0 Page 10 of 10 Packet Pg. 1445 J.3.a JACOBS ENGINEERING GROUP JOB HOUR AND FEE ESTIMATE Monroe County Airport: Key West International Airport Project: Commercial Apron Expansion FEE SUMMARY CL 06 BASIC SERVICES Hours Fee DBE AMOUNT 0 Article A:Data Collection and Preliminary Design 430 $ 61,250 Article B:30%,90%,and Bid Design 3,360 $ 391,750 Article C:Bid Phase Services 228 $ 25,952 0 Total Basic Services Lump Sum Fee 4,018 $ 478,952 $ - CJ r SPECIAL SERVICES Hours Fee DBE AMOUNT LO r Article A:Data Collection and Preliminary Design tV O'Neal Surveying and Mapping-Survey(Lump Sum) $ 15,450 $ 15,450 r o Tierra-Geotechnical(Lump Sum) $ 52,813 $ 52,813 Birkitt Environmental Services,Inc.(Lump Sum) $ 123,458 $ 123,458 CL N Article B:30016,90%,and Bid Design Birkitt Environmental Services,Inc.(Lump Sum) $ 287,742 $ 287,742 Article C.•Bid Phase Services I Birkitt Environmental Services,Inc.(Lump Sum) $ 27,317 $ 27,317 M Total Special Services Lump Sum Fee 0 $ 506,780 $ 506,780 TOTAL LUMP SUM PROJECT FEE 4,018 $ 985,732 $ 506,780 06 DBE Percentage 51.41% 0 0 tJ r LO r N r N 0 Packet Pg. 1446 AC o%0l7/zoz.3.a - CERTIFICATE OF LIABILITY INSURANCE 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 endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement of this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LIC #0437153 1-212-948-1306 CONTACT NAME: Marsh Risk & Insurance Services PHONE FAX CIRTS Support@jacobs.com A/C No Ext: A/C,No: 1-212-948-130 E-MAIL 633 W. Fifth Street ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# .�. Los Angeles, CA 90071 INSURERA: ACE AMER INS CO 22667 06 INSURED INSURER B: Jacobs Project Management Co. INSURER C: C/O Global Risk Management 1000 Wilshire Blvd., Suite 2100 INSURER D: ' INSURER E: Los Angeles, CA 90017 INSURERF: COVERAGES CERTIFICATE NUMBER: 62390167 REVISION NUMBER: O THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOI INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI; r CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM LO EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. r INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MM/DD LIMITS T_ A X COMMERCIAL GENERAL LIABILITY HDO G72493503 07/01/21 07/01/22 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE U) CLAIMS-MADE � OCCUR PREMISES (E a occur ence) $ 500,000 CL X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 U GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 1,000,000 X POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OPAGG $ 1,000,000 I OTHER: $ A AUTOMOBILE LIABILITY ISA H25545631 07/01/21 07/01/22 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ,�- X ANY AUTO T BODILY INJURY(Per person) $ W OWNED SCHEDULED ,: ,51 BODILY INJURY(Per accident) $ CL HIRED NON-OWNED PROPERTYDAMAGE t. AUTOS ONLY AUTOS ONLY _ � .. AUTOS ONLY AUTOS I - Per accident $ 7 . 15 . 2021 W a .a ,t ac $ UMBRELLA LAB OCCUR '�' �� ""'�`�- -- EACH OCCURRENCE $ EXCESS LAB0. CLAIMS-MADE -_--`" AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WLR C67817540 (AOS) 07/O1/21 07/01/22 X STATUTE PER OERH O AND EMPLOYERS'LIABILITY Y/N 1,000,000 A OFFICE PREMBR/PARTNER/EXECUTIVE ❑ SCF C6781762A (WI) 07/01/21 07/01/22 E.L.EACH ACCIDENT $ OFFICE ory in NH)EXCLUDED? N N/'�` * 07/01/22 1,000,000 � A (MandatoryinNH) WCU C67817588 (OH) 07/O1/21 E.L.DISEASE-EA EMPLOYEE $ 100 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 LO P' A PROFESSIONAL LIABILITY EON G21655065 012 07/01/21 07/01/22 PER CLAIM/PER AGG 2,000,000 r V) J0 0 U DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) M n OFFICE LOCATION: Jacksonville, FL 32202. PROJECT MGR: Ryan Forney. CONTRACT MGR: Jack Renton. SENIOR CONTRACT MGR: Christopher Bowker. RE: Monroe County Airports - General Consulting Services Master Agreement with Jacobs Project Management Company for Professional Services at Key West International Airport and The Florida Keys Marathon International Airport. CONTRACT END DATE: 02/14/2022. PROJECT NUMBER: E9Y16700. SECTOR: Public. The Monroe County Boi of County Commissioners, its employees and officials are added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured's services to cert holder under ¢ contract for captioned work. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NO'. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORI Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED II ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE r..r Key West, FL 33040 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Cert_Renewal Packet P+g. 1447 62390167 Ila DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 06�07�2022 NAME OF INSURED: Jacobs Project Management Co. Additional Description of Operations/Remarks from Page 1: EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* O O r V3 r N r CL o O CL I M Additional Information: 06 *$2,000,000 SIR FOR STATE OF: OHIO 0 O r V3 r N r N O U M U SUPP(05/04) Packet Pg. 1448 J.3.a NOTICE TO OTHERS ENDORSEMENT — SCHEDULE — EMAIL ONLY Named Insured Jacobs Engineering Group Inc. Endorsement Number 74 Policy Symbol P2493503 cy Number Policy Period Effective Date of Endorsement HDO 07/01/2021 To 07/01/2022 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 06 2 A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the e-mail address c of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. 100 LO B. The Schedule must be initially provided to us within 15 days after: i. The beginning of the Policy period, if this endorsement is effective as of such date; or r ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period CL commences. 0 C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent I Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in >- the Schedule at least 30 days prior to the cancellation date applicable to the Policy. `' CL F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or 06 organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. 0 G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you LO nor your representative provides us with e-mail address information with respect to a particular person or CN organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. 0 H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL-32685 (01/11) Page 1 of 2 Packet Pg. 1449 J.3.a All other terms and conditions of the Policy remain unchanged. CL ®Authorized Representative 06 2 0 CJ r LO r cv r CL o 0 CL 06 M 2 0 tJ r LO r N r N 0 U U ALL-32685 (01/11) Page 2 of 2 Packet Pg. 1450 J.3.a NOTICE TO OTHERS ENDORSEMENT— SCHEDULE — EMAIL ONLY Named Insured Jacobs Engineering Group Inc. Endorsement Number 44 Policy Symbol P5545631 icy Number Policy Period Effective Date of Endorsement ISA 07/01/2021 To 07/01/2022 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 06 0 A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the e-mail address 0 of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. LO B. The Schedule must be initially provided to us within 15 days after: i. The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period 0. commences. N 0 C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent I Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in >- the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. 0 G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you LO nor your representative provides us with e-mail address information with respect to a particular person or CN organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. 0 H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL-32685(01/11) Page 1 of 2 Packet Pg. 1451 J.3.a All other terms and conditions of the Policy remain unchanged. CL Authorized Representative 2 0 CJ r LO r- cv r CL o 0 LU CL 06 M 2 0 tJ r LO r- N r N 0 ALL-32685(01/11) Page 2 of 2 Packet Pg. 1452 J.3.a Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number JACOBS ENGINEERING GROUP INC. 1000 WILSHIRE BOULEVARD SUITE 2100 Policy Number LOS ANGELES CA 90017 Symbol: WLR Number:C67817540 Policy Period Effective Date of Endorsement 07-01-2021 TO 07-01-2022 07-01-2021 Issued By(Name of Insurance Company) ACE AMERICAN INSURANCE COMPANY Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. NOTICE TO OTHERS ENDORSEMENT - SCHEDULE - EMAIL ONLY 06 A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: LO L The beginning of the Policy period, if this endorsement is effective as of such date; or cV ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. CL N C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. I r9 E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or CL W organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or LO organization, then we shall have no responsibility for taking action with regard to such person or entity under this CN endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. This Endorsement is not applicable in the states of AZ, FL, ID, ME, NC, NJ, NM,TX and WI. <5:�_ Authorized Representative WC 99 03 68(01/11) Page 1 Packet Pg. 1453 J.3.a THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Endorsement Number Jacobs Engineering Group, Inc. 36 Policy Symbol Policy Number Policy Period Effective Date of Endorsement EON G21655065 012 07/01/2021 to 07/01/2022 07/01/2021 Issued By(Name of Insurance Company) ACE American Insurance Company 06 NOTICE TO OTHERS ENDORSEMENT—SCHEDULE 2 0. A. If We cancel or non-renew the Policy prior to its expiration date by notice to You for any reason other than nonpayment of premium, We will endeavor, as set out below, to send written notice of cancellation or non-renewal via such electronic or other form of notification as We determine, to the o persons or organizations listed in the schedule that You or Your representative provide or have provided to Us (the Schedule). You or Your representative must provide Us with both the physical and e-mail address of such persons or organizations, and We will utilize such e-mail address and/or LO physical address that You or Your representative provided to Us on such Schedule. B. The Schedule must be initially provided to Us within 30 days after: i. The beginning of the Policy Period, if this endorsement is effective as of such date; or CL N ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy Period commences. C. The Schedule must be in a format that is acceptable to Us and must be accurate. r9 D. Our delivery of the notification as described in Paragraph A of this endorsement will be based on the most recent Schedule in Our records as of the date the notice of cancellation or non-renewal is mailed or delivered to You. CL 06 E. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation or non-renewal date applicable to the Policy. 0. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation or non- renewal of coverage. We have no legal obligation of any kind to any such person(s) or o organization(s). Our failure to provide advance notification of cancellation or non-renewal to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kindLO , upon Us, Our agents or representatives, will not extend any Policy cancellation or non-renewal date and will not negate any cancellation or non-renewal of the Policy. N G. We are not responsible for verifying any information provided to Us in any Schedule, nor are We responsible for any incorrect information that You or Your representative provide to Us. If You or Your representative does not provide Us with a Schedule, We have no responsibility for taking any action under this endorsement. In addition, if neither You nor Your representative provides Us with e-mail address and/or physical address information with respect to a particular person or organization, then We shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. With respect to this endorsement Our, Us or We means the stock insurance company listed in the Declarations, and You or Your means the insured person or entity listed in Item 1 of the Declarations page. All other terms and conditions of this Policy remain unchanged. MS-36362(04/19) 9ZJOZHN J.�LUPICA. President Authorized Representativ Packet Pg. 1454