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1st Amendment 11/17/2021 ,t(;cOtigra 4 °4 A Kevin Madok, CPA .=1�� Clerk of the Circuit Court&Comptroller—Monroe County, Florida ROE coc� DATE: December 1, 2021 TO: Alice Steryou Contract Monitor FROM: Pamela G. Hanc•441.C. SUBJECT: November 17th BOCC Meeting Attached is an electronic copy of the following item for your handling El 1st Amendment to Agreement with Maverick United Elevator, LLC,for complete Elevator and Lift Service, Maintenance and Repairs, to exercise the first optional one-year renewal, provide for a 1.4% CPI-U increase, and update or add Federal Provisions. Funding is Ad Valorem. Should you have any questions please feel free to contact me at(305) 292-3550. cc: Facilities Supervisor County Attorney Finance File KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING 500 Whitehead 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 FIRST AMENDMENT TO AGREEMENT FOR COMPLETE ELEVATOR AND LIFT SERVICE, MAINTENANCE,AND REPAIRS KEYS WIDE MONROE COUNTY, FLORIDA This First Amendment to Agreement is made and entered into this 17th day of November, 2021, between MONROE COUNTY, FLORIDA ("COUNTY"), a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key West, Florida 33040, and MAVERICK UNITED ELEVATOR, LLC ("CONTRACTOR" or "MAVERICK"), a Florida Limited Liability Company, whose address is 10639 NW 122nd Street, Medley, Florida 33178. WHEREAS, on November 20, 2019, the COUNTY and MAVERICK entered into an Agreement for Complete Elevator and Lift Service,Maintenance, and Repairs for County facilities (hereinafter"Original Agreement"); and WHEREAS, the Original Agreement provided that the services were for an initial two- year term commencing December 1, 2019, and ending November 30, 2021, unless terminated earlier under the terms of the Agreement; and WHEREAS, this First Amendment is to amend the Original Agreement to increase payment amounts by the annual CPI-U increase adjustment and to renew the Agreement for the first of three (3) optional, one (1)year renewals pursuant to the terms of the Original Agreement; and WHEREAS, the County desires to include additional Federal Contract provisions in its contracts and/or agreements and to update and/or add current revisions pursuant to its ordinances and/or Federal required contract provisions and such revisions are required to update the Original Agreement; and WHEREAS, the CONTRACTOR agrees and consents to such revisions in its Original Agreement as to renewal of its term of the agreement, to increase the payment amounts, and to revise the Federal contract provisions; and WHEREAS,the parties have found the Original Agreement to be mutually beneficial; and WHEREAS,the parties find it would be mutually beneficial to amend its Agreement and enter into this First Amendment; NOW, THEREFORE, IN CONSIDERATION of the mutual promises and covenants contained herein, the parties agree as follows: 1. In accordance with Paragraph 6, TERM OF AGREEMENT, of the Original Agreement, the COUNTY exercises its option to renew the term of the Original Agreement for the first of the additional three(3) one-year periods. This one-year renewal term of the Original Agreement shall commence on December 1, 2021, and ends upon November 30, 2022, unless terminated earlier under paragraph 20 of this Agreement. i 2. In accordance with Paragraph 6, TERM OF AGREEMENT, of the Original Agreement, the Contract amount may be adjusted annually in accordance with the percentage change in the U.S. Department of Commerce Consumer Price Index for all Urban Consumers (CPI-U) as reported by the U.S. Bureau of Labor Statistics and shall be based upon the CPI-U computation at December 31 of the previous year. The CPI-U on December 31, 2020, was 1.4%. 3. In accordance with Paragraph 5 D., PAYMENTS TO CONTRACTOR, of the Original Agreement, the monthly and annual inspection fees for the Monroe County Elevators and Lifts in the buildings listed below and the Additional Service Rates for Labor for normal working hours and the overtime rate shall be increased pursuant to the CPI-U increase of 1.4%, effective as of December 1, 2021, and Paragraph 5.D. is hereby amended as follows: 5. D. The cost of labor used by the Contractor to fulfill the obligation of the Contract will be calculated using the unit prices set forth in the Contractor's bid as follows: Monroe County Elevators and Lifts to be serviced include, but are not limited to, the following: BUILDING Serial Landings Monthly Annual LOCATION Number inspection Certification Monroe County 502 Whitehead St., Key 37419 4 $ 91.26 $ 210.91 Courthouse Annex West Plantation Key U.S.1/High Point Rd., 37641 2 $ 91.26 $ 210.91 Courthouse Plantation Key J. Lancelot Lester 530 Whitehead St., Key 39503 3 $ 91.26 $ 210.91 Justice Building West Plantation Key Ellis 88800 Overseas Hwy., 40616 2 $ 91.26 $ 210.91 Building Plantation Key Marathon 2798 Overseas Hwy., 46473 2 $ 91.26 $ 210.91 Government Center Marathon Monroe County 502 Whitehead St., Key 46502 3 $ 91.26 $ 210.91 Courthouse Annex West Monroe County 5501 College Rd., 46899 3 $ 91.26 $ 210.91 Detention Center 46 Stock Island Monroe County 5501 College Rd., 46900 3 $ 91.26 $ 210.91 Detention Center 47 Stock Island Records Storage 530 Whitehead St., Key 46945 3 $ 91.26 $ 210.91 Facility West Monroe County 5501 College Rd., 47143 2 $ 91.26 $ 210.91 Detention Center 44 Stock Island Monroe County 5501 College Rd., 47144 2 $ 91.26 $ 210.91 Detention Center 45 Stock Island Monroe County 5501 College Rd., 47274 2 $ 91.26 $ 210.91 Detention Center 43 1 Stock Island 2 BUILDING Serial Landings Monthly Annual LOCATION Number ins ection Certification Monroe County 5501 College Rd., 47275 2 $ 91.26 $ 210.91 Detention Center 41 Stock Island Monroe County 5501 College Rd., 47276 2 $ 91.26 $ 210.91 Detention Center 42 Stock Island Marathon Airport 9400 Overseas Hwy., 47834 2 $ 91.26 $ 210.91 Marathon Sheriff's 5525 College Rd., 50030 3 $ 91.26 $ 210.91 Administration Stock Island Building Sheriff's 5525 College Rd., 50031 3 $ 91.26 $ 210.91 Administration Stock Island Building Harvey Government 1200 Truman Ave., Key 51768 3 $ 91.26 $ 210.91 Center West Plantation Key 52 High Point Rd., 56110 2 $ 91.26 $ 210.91 Detention Center Plantation Key Key West 500 Whitehead St., Key 56216 3 $ 50.70 $ 210.91 Courthouse West Dumbwaiter Monroe County 500 Whitehead St., Key 56691 4 $ 91.26 $ 210.91 Courthouse West Gato Building 1100 Simonton St., Key 60239 2 $ 91.26 $ 210.91 West Department of 5503 College Rd., 61607 3 $ 91.26 $ 210.91 Juvenile Justice 41 Stock island Department of 5503 College Rd., 61608 3 $ 91.26 $ 210.91 Juvenile Justice 42 Stock Island Sheriff's Aviation 10100 Overseas Hwy., 74025 2 $ 91.26 $ 210.91 Hanger Marathon Freeman Justice 302 Fleming St., Key West 88432 2 $ 91.26 $ 210.91 Center 41 Freeman Justice 302 Fleming St., Key West 88433 2 $ 91.26 $ 210.91 Center 42 Freeman Justice 302 Fleming St., Key West 88434 2 $ 91.26 $ 210.91 Center 43 Freeman Justice 302 Fleming St., Key West 88435 3 $ 91.26 $ 210.91 Center 44 Freeman Justice 302 Fleming St., Key West 88436 2 $ 91.26 $ 210.91 Center 45 Freeman Justice 302 Fleming St., Key West 88437 2 $ 91.26 $ 210.91 Center 46 Big Pine Key Park 31009 Atlantis, Big Pine 94425 2 $ 91.26 $ 210.91 Community Bldg. Key 3 BUILDING Serial Landings Monthly Annual LOCATION Number ins ection Certification Murray E. Nelson 102050 Overseas Hwy., 94927 2 $ 91.26 $ 210.91 Government and Key Largo Cultural Center Big Pine Key Fire 390 Key Deer Blvd., 97137 2 $ 91.26 $ 210.91 Station 4 13 Big Pine Key Stock Island Fire 5655 MacDonald Ave., 100380 2 $ 91.26 $ 210.91 Station 4 8 Stock Island Key West Lighthouse 938 Whitehead St., 102966 2 $ 50.70 $ 210.91 Wheelchair Lift Key West Bernstein 6751 5th St., 105236 2 $ 91.26 $ 210.91 Community Park Stock Island East Martello 3501 S. Roosevelt Blvd. 104642 2 $ 50.70 $ 210.91 Wheelchair Lift Key West Additional Service Rates: Labor—Normal working hours of 8:00 a.m. to 5:00 p.m., Monday through Friday, excluding holidays: $ 76.05 per hour, mechanic $113.57 per hour, mechanic plus helper Overtime rate for hours other than the normal working hours as stated above, including holidays: $91.26 per hour, mechanic $152.10 per hour, mechanic plus helper Parts Cost Plus: Twenty percent(20 %) of mark up on manufacturer's invoice cost of parts and materials (excluding freight, equipment rental, tax amounts,permits, and services supplied by others). Such costs must be documented for each repair and/or maintenance job and included with all Applications for Payment. Contractor shall submit itemized invoices in writing. There are no additional costs for travel, mileage, meals, or lodging. 4 4. Paragraph 13, NONDISCRIMINATION, of the Original Agreement, is hereby amended to delete the current paragraph 13 as set forth in the Original Agreement, and replace it in its entirety with the following paragraph: 13. NONDISCRIMINATION/EQUAL EMPLOYMENT OPPORTUNITY CONTRACTOR and COUNTY agree that there will be no discrimination against any person, and it is expressly understood that upon a determination by a court of competent jurisdiction that discrimination has occurred, this Agreement automatically terminates without any further action of the part of any parry, effective the date of the court order. CONTRACTOR or COUNTY agrees to comply with all Federal and Florida statutes, and all local ordinances, as applicable,relating to nondiscrimination. This include but are not limited to: 1) Title VII of the Civil Rights Act of 1964 (PL 88-352) which prohibits discrimination on the basis of race, color or national origin; 2) Title IX of the Education Amendment of 1972, as amended(20 USC ss. 1681-1683, and 1685- 1686), which prohibits discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as amended (20 USC s. 794), which prohibits discrimination on the basis of handicaps; 4) The Age Discrimination Act of 1975, as amended (42 USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92- 255), as amended, relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, ss. 523 and 527 (42 USC ss. 690dd-3 and 290ee- 3), as amended, relating to confidentiality of alcohol and drug abuse patient records; 8) Title VIII of Civil Rights Act of 1968 (42 USC s. et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with Disabilities Act of 1990 (42 USC s. 12101 Note), as may be amended from time to time, relating to nondiscrimination of the basis of disability; 10) Monroe County Code Chapter 14, Article II, which prohibits discrimination on the basis of race,color, sex,religion,national origin, ancestry, sexual orientation, gender identity or expression, familial status or age; 11)Any other nondiscrimination provisions in any Federal or state statutes which may apply to the parties to, or the subject matter of, this Agreement. During the performance of this Agreement, the CONTRACTOR, in accordance with Equal Employment Opportunity (30 Fed. Reg. 12319, 12935, 3 C.F.R. Part, 1964-1965 Comp., p. 339) as amended by Executive Order 11375,Amending Executive Order 11246 Relating to Equal Employment Opportunity, and implementing regulations at 41 C.F.R. Part 60 (Office of Federal Contract Compliance Programs, Equal Employment Opportunity, 5 Department of Labor), see 2 C.F.R. Part 200, Appendix 11, ¶ C, agrees as follows: 1) The CONTRACTOR will not discriminate against any employee or applicant for employment because of race, color,religion, sex, sexual orientation, gender identity, or national origin. The CONTRACTOR will take affirmative action to ensure that applicants are employed, and that employees are treated equally during employment, without regard to their race, color, religion, sex, sexual orientation, gender identity, or national origin. Such action shall include, but not be limited to the following: Employment,upgrading, demotion, or transfer, recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The CONTRACTOR agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this nondiscrimination clause. 2) The CONTRACTOR will, in all solicitations or advertisements for employees placed by or on behalf of the CONTRACTOR,state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. 3) The CONTRACTOR will not discharge or in any other manner discriminate against any employee or applicant for employment because such employee or applicant has inquired about, discussed, or disclosed the compensation of the employee or applicant or another employee or applicant. This provision shall not apply to instances in which an employee, who has access to the compensation information of other employees or applicants as a part of such employee's essential job functions, discloses the compensation of such other employees or applicants to individuals who do not otherwise have access to such information,unless such disclosure is in response to a formal complaint or charge, in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or is consistent with the CONTRACTOR'S legal duty to furnish information. 4) The CONTRACTOR will send to each labor union or representative of workers with which it has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers' representative of the CONTRACTOR'S commitments under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment. 5) The CONTRACTOR will comply with all provisions of Executive Order 11246 of September 24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor. 6) The CONTRACTOR will furnish all information and reports required by Executive Order 11246 of September 24, 1965, and by the rules, regulations, 6 and orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the administering agency and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders. 7) In the event of the CONTRACTOR'S non-compliance with the nondiscrimination clauses of this contract or with any of the said rules, regulations, or orders, this contract may be canceled, terminated, or suspended in whole or in part and the CONTRACTOR may be declared ineligible for further Government contracts or federally assisted construction contracts in accordance with procedures authorized in Executive Order 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation, or order of the Secretary of Labor, or as otherwise provided by law. 8) The CONTRACTOR will include the portion of the sentence immediately preceding paragraph(1)and the provision of paragraphs(1)through(8)in every subcontract or purchase order unless exempted by rules, regulations, or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 1965,so that such provisions will be binding upon each subcontractor or vendor. The CONTRACTOR will take such action with respect to any subcontract or purchase order as the administering agency may direct as a means of enforcing such provisions, including sanctions for non- compliance;provided,however,that in the event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such direction by the administering agency the CONTRACTOR may request the United States to enter into such litigation to protect the interests of the United States. 5. Paragraph 37, PUBLIC ENTITY CRIME INFORMATION STATEMENT, of the Original Agreement, is hereby amended to delete the current paragraph 37 as set forth in the Original Agreement, and replace it in its entirety with the following paragraph: 37. PUBLIC ENTITY CRIME INFORMATION STATEMENT. "A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity crime may not submit a bid, proposal, or reply on a contract to provide any goods or services to a public entity, may not submit a bid, proposal, or reply on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of the threshold amount provided in Section 287.017, Florida Statutes, for CATEGORY TWO for a period of thirty- six (36) months from the date of being placed on the convicted vendor list." 7 6. Paragraph 44.1, Davis-Bacon Act, as amended (40 U.S.C. §§3141-3148), of the Original Agreement, is hereby amended to delete the current paragraph 44.1, as set forth in the Original Agreement, and replace it in its entirety with the following paragraph: 44.1 Davis-Bacon Act, as amended (40 U.S.C. §§3141-3148). When required by Federal program legislation, which includes Emergency Management Preparedness Grant Program, Homeland Security Grant Program, Nonprofit Security Grant Program, Tribal Homeland Security Grant Program, Port Security Grant Program and Transit Security Grant Program, all prime construction contracts in excess of$2,000, for the construction, alteration, or repair (including painting and decorating) of public buildings or public works, awarded by non- Federal entities must comply with the Davis-Bacon Act(40 U.S.C. 3141-3144 and 3146-3148) as supplemented by Department of Labor regulations (29 CFR Part 5, "Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction"). In accordance with the statute, CONTRACTORS must be required to pay wages to laborers and mechanics at a rate not less than the prevailing wages specified in a wage determination made by the Secretary of Labor. In addition, CONTRACTORS must be required to pay wages not less than once a week. If applicable,the COUNTY must place a copy of the current prevailing wage determination issued by the Department of Labor in each solicitation (attached hereto as Exhibit"B"to Original Agreement and made a part hereof). The decision to award a contract or subcontract must be conditioned upon the acceptance of the wage determination. The COUNTY must report all suspected or reported violations to the Federal awarding agency. When required by Federal program legislation, which includes Emergency Management Preparedness Grant Program, Homeland Security Grant Program, Nonprofit Security Grant Program, Tribal Homeland Security Grant Program, Port Security Grant Program and Transit Security Grant Program (it does not apply to other FEMA grant and cooperative agreement programs, including the Public Assistance Program), the CONTRACTORS, in contracts for construction or repair work above $2,000 in situations where the Davis-Bacon also applies, must also comply with the Copeland"Anti-Kickback"Act(40 U.S.C. 3145),as supplemented by Department of Labor regulations (29 CFR Part 3, "Contractors and Subcontractors on Public Building or Public Work Financed in Whole or in Part by Loans or Grants from the United States"). As required by the Act, each CONTRACTOR or subrecipient is prohibited from inducing, by any means, any person employed in the construction, completion, or repair of public work, to give up any part of the compensation to which he or she is otherwise entitled. The COUNTY must report all suspected or reported violations to the Federal awarding agency. The CONTRACTOR shall comply with 18 U.S.C. § 874,40 U.S.C. § 3145, and the requirements of 29 C.F.R. pt. 3 as may be applicable, which are incorporated by reference into this contract. 8 i) Contractor. The CONTRACTOR shall comply with 18 U.S.C. §874, 40 U.S.C. § 3145, and the requirements of 29 C.F.R. Part 3 as may be applicable, which are incorporated by reference into this contract. ii) Subcontracts. The CONTRACTOR or subcontractor shall insert in any subcontracts the clause above and such other clauses as FEMA may by appropriate instructions require, and also a clause requiring the subcontractors to include these clauses in any lower tier subcontracts. The prime CONTRACTOR shall be responsible for the compliance by any subcontractor or lower tier subcontractor with all of these contract clauses. iii) Breach. A breach of the contract clauses above may be grounds for termination of the contract, and for debarment as a contractor and subcontractor as provided in 29 C.F.R. § 5.12. Additionally, in accordance with the regulation, each contractor and subcontractor must furnish each week a statement with respect to the wages paid each of its employees engaged in work covered by the Copeland Anti-Kickback Act and the Davis Bacon Act during the preceding weekly payroll period. The report shall be delivered by the contractor or subcontractor, within seven days after the regular payment date of the payroll period, to a representative of a Federal or State agency in charge at the site of the building or work. 7. Paragraph 44.2, Contract Work Hours and Safety Standards Act(40 U.S.C. §§3701-3708), of the Original Agreement, is hereby amended to delete the current paragraph 44.2, as set forth in the Original Agreement, and replace it in its entirety with the following paragraph: 44.2 Contract Work Hours and Safety Standards Act(40 U.S.C. §§3701-3708). Where applicable, which includes all FEMA grant and cooperative agreement programs, all contracts awarded by the COUNTY in excess of $100,000 that involve the employment of mechanics or laborers must comply with 40 U.S.C. �3702 and 3704, as supplemented by Department of Labor regulations (29 CFR Part 5). Under 40 U.S.C. 3702 of the Act, each CONTRACTOR must compute the wages of every mechanic and laborer on the basis of a standard work week of forty (40) hours. Work in excess of the standard work week is permissible provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all hours worked in excess of forty(40)hours in the work week. The requirements of 40 U.S.C. 3704 are applicable to construction work and provide that no laborer or mechanic must be required to work in surroundings or under working conditions which are unsanitary, hazardous, or dangerous. These requirements do not apply to the purchases of supplies or materials or articles ordinarily available on the open market, or contracts for transportation or transmission of intelligence. Compliance with the Contract Work Hours and Safety Standards Act. (1) Overtime requirements. No contractor or subcontractor contracting for any part of the contract work which may require or involve the employment of laborers or mechanics shall require or permit any such laborer or mechanic in any workweek in which he or she is employed on such work to work in excess 9 of forty hours in such workweek unless such laborer or mechanic receives compensation at a rate not less than one and one-half times the basic rate of pay for all hours worked in excess of forty hours in such workweek. (2) Violation; liability for unpaid wages; liquidated damages. In the event of any violation of the clause set forth in paragraph(b)(1) of 29 C.F.R. §5.5, the contractor and any subcontractor responsible therefor shall be liable for the unpaid wages. In addition, such contractor and subcontractor shall be liable to the United States (in the case of work done under contract for the District of Columbia or a territory, to such District or to such territory), for liquidated damages. Such liquidated damages shall be computed with respect to each individual laborer or mechanic, including watchmen and guards, employed in violation of the clause set forth in paragraph 29 C.F.R. 5.5(b)(1), in the sum of $27 for each calendar day on which such individual was required or permitted to work in excess of the standard workweek of forty hours without payment of the overtime wages required by the clause set forth in paragraph (b)(1) of 29 C.F.R. §5.5. (3) Withholding for unpaid wages and liquidated damages. The Federal agency shall upon its own action or upon written request of an authorized representative of the Department of Labor withhold or cause to be withheld, from any moneys payable on account of work performed by the contractor or subcontractor under any such contract or any other Federal contract with the same prime contractor, or any other federally-assisted contract subject to the Contract Work Hours and Safety Standards Act, which is held by the same prime contractor, such sums as may be determined to be necessary to satisfy any liabilities of such contractor or subcontractor for unpaid wages and liquidated damages as provided in the clause set forth in paragraph 29 C.F.R. 5.5 (b)(2). (4)Subcontracts. The contractor or subcontractor shall insert in any subcontracts the clauses set forth in paragraph 29 C.F.R. 5.5 (b)(1)through (4) and also a clause requiring the subcontractors to include these clauses in any lower tier subcontracts. The prime contractor shall be responsible for compliance by any subcontractor or lower tier subcontractor with the clauses set forth in paragraphs 29 C.F.R. 5.5 (1)through(4). 8. Paragraph 44.4, Clean Air Act(42 U.S.C. §§7401-7671q.)and the Federal Water Pollution Control Act(33 U.S.C. §§1251-1387, as amended), of the Original Agreement, is hereby amended to delete the current paragraph 44.4 as set forth in the Original Agreement, and replace it in its entirety with the following paragraph: 44.4 Clean Air Act (42 U.S.C. §§7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. §§1251-1387, as amended). Contractor agrees to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air Act, as amended(42 U.S.C. §§7401-7671q)and the Federal Water Pollution Control Act, as amended (33 U.S.C. §§1251-1387) and will report violations to FEMA/Federal Agency and the appropriate Regional Office of the Environmental Protection Agency (EPA). The Clean Air Act(42 U.S.C. §§7401-7671q.) and the Federal Water Pollution Control 10 Act (33 U.S.C. §§1251-1387), as amended, applies to Contracts and subgrants of amounts in excess of$150,000. The contractor agrees to include these requirements in each subcontract exceeding$150,000 financed in whole or in part with Federal assistance provided by FEMA/Federal agency. The Contractor agrees to report each violation to the COUNTY,understands, and agrees that the COUNTY will, in turn, report each violation as required to assure notification to FEMA/Federal Agency and the appropriate EPA Regional Office. 9. Paragraph 44.5, Debarment and Suspension (Executive Orders 12549 and 12689), of the Original Agreement, is hereby amended to delete the current paragraph 44.5, as set forth in the Original Agreement, and replace it in its entirety with the following paragraph: 44.5 Debarment and Suspension (Executive Orders 12549 and 12689). A contract award under a "covered transaction" (see 2 C.F.R. §180.220) must not be made to parties listed on the government wide exclusions in the System for Award Management(SAM), in accordance with the OMB guidelines at 2 C.F.R. Part 180 that implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235), "Debarment and Suspension" and the Department of Homeland Security's regulations at 2 C.F.R. Part 3000 (Nonprocurement Debarment and Suspension). SAM Exclusions contains the names of parties debarred, suspended, or otherwise excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive Order 12549. SAM exclusions can be accessed at www.saiu.uov. Contractor is required to verify that none of the contractor's principals (defined at 2 C.F.R. §180.935) or its affiliates (defined at 2 C.F.R. §180.905) are excluded (defined at 2 C.F.R. §180.940) or disqualified (defined at 2 C.F.R. §180.935). The contractor must comply with 2 C.F.R. pt. 180, subpart C and 2 C.F.R. pt. 3000, subpart C, and must include a requirement to comply with these regulations in any lower tier covered transaction it enters into. This certification is a material representation of fact relied upon by the COUNTY. If it is later determined that the contractor did not comply with 2 C.F.R. pt. 180, subpart C and 2 C.F.R. pt. 3000, subpart C, in addition to remedies available to the COUNTY, the Federal Government may pursue available remedies, including but not limited to suspension and/or debarment. Bidders or Proposers agree to comply with the requirements of 2 C.F.R. pt. 180, subpart C and 2 C.F.R. pt. 3000, subpart C while this offer is valid and throughout the period of any contract that may arise from this offer. The Bidder or Proposer further agrees to include a provision requiring such compliance in its lower tier covered transactions. 10. Paragraph 44.6, Byrd Anti-Lobbying Amendment (31 U.S.C. §1352), of the Original Agreement, is hereby amended to delete the current paragraph 44.6, as set forth in the Original Agreement, and replace it in its entirety with the following paragraph: 44.6 Byrd Anti-Lobbying Amendment (31 U.S.C. §1352). CONTRACTORS that apply or bid for an award exceeding $100,000 must file the required certification. Each tier certifies to the tier above that it will not and has not used 11 Federal appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any Federal contract, grant, or any other award covered by 31 U.S.C. §1352. Each tier must also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up to the recipient who in turn will forward the certification(s) to the awarding agency. If award exceeds $100,000, the certification, attached hereto as Exhibit"C"to Original Agreement and made a part hereof, must be signed and submitted by the Contractor to the County. 11. Paragraph 44.7, Compliance with Procurement of Recovered Materials as set forth in 2 CFR § 200.322, of the Original Agreement, is hereby amended to delete the current paragraph 44.7, as set forth in the Original Agreement, and replace it in its entirety with the following paragraph: 44.7 Compliance with Procurement of Recovered Materials as set forth in 2 C.F.R. §200.322. CONTRACTOR must comply with Section 6002 of the Solid Waste disposal Act, as amendment by the Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring only items designed in guidelines of the Environmental Protection Agency (EPA) at 40 C.F.R. 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. In the performance of this contract, the Contractor shall make maximum use of products containing recovered materials that are EPA- designated items unless the product cannot be acquired 1. Competitively within a timeframe providing for compliance with the contract performance schedule; 2. Meeting contract performance requirements; or 3. At a reasonable price. Information about this requirement, along with the list of EPA-designated items, is available at EPA's Comprehensive Procurement Guidelines web site, https://www.epa.gov/smm/comprehensive-procurement-guideline-cpg-program. The Contractor also agrees to comply with all other applicable requirements of Section 6002 of the Solid Waste Disposal Act. 12. The Original Agreement is hereby amended to add the following as Paragraph 44.13, Prohibition on Certain Telecommunications and Video Surveillance Services or Equipment as set forth in 2 C.F.R. § 200.216, and shall read as follows: 44.13 Prohibition on Certain Telecommunications and Video Surveillance Services or Equipment as set forth in 2 C.F.R. § 200.216. Recipients and subrecipients and their contractors and subcontractors may not obligate or expend 12 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. 13. The Original Agreement is hereby amended to add the following as Paragraph 44.14, Domestic Preference for Procurements as set forth in 2 C.F.R. §200.322, and shall read as follows: 44.14 Domestic Preference for Procurements as set forth in 2 C.F.R. §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. 14. The Original Agreement is hereby amended to add the following as Paragraph 44.15, Access to Records, and shall read as follows: 44.15 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(DHS) and the Federal Emergency Management Agency's (FEMA) access to records, accounts, documents, information, facilities, and staff. Contractors/Consultants must: (1) 13 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; and (3) Submit timely, complete, and accurate reports to the appropriate DHS officials and maintain appropriate backup documentation to support the reports. 15. The Original Agreement is hereby amended to add the following as Paragraph 44.16, DHS Seal, Logo, and Flags and shall read as follows: 44.16 DHS Seal, Logo, and Flags. Contractor shall not use the Department of Homeland Security seal(s), logos, crests, or reproduction of flags or likenesses of DHS agency officials without specific FEMA pre-approval. The Contractor shall include this provision in any subcontracts. 16. The Original Agreement is hereby amended to add the following as Paragraph 44.17, Changes to Contract, and shall read as follows: 44.17 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. 17. The Original Agreement is hereby amended to add the following as Paragraph 44.18, Compliance with Federal Law, Regulations, and Executive Order, and shall read as follows: 44.18 Compliance with Federal Law, Regulations, and Executive Order. This is an acknowledgement that FEMA financial assistance may be used to fund all or a portion of the contract. The contractor will comply will all applicable federal law, regulations, executive orders, FEMA policies,procedures, and directives. 18. The Original Agreement is hereby amended to add the following as Paragraph 44.19, No Obligation by Federal Government, and shall read as follows: 44.19 No Obligation by Federal Government. The Federal Government is not a parry to this contract and is not subject to any obligations or liabilities to the COUNTY/non-Federal entity, contractor, or any other parry pertaining to any matter resulting from the contract. 19. The Original Agreement is hereby amended to add the following as Paragraph 44.20, Program Fraud and False or Fraudulent Statements or Related Acts, and shall read as follows: 14 44.20 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. 20. The Original Agreement is hereby amended to add the following as Paragraph 45, E- VERIFY SYSTEM, and shall read as follows: 45. E-VERIFY SYSTEM. Beginning January 1,2021,in accordance with Fla. Stat. Sec. 448.095, the Contractor and any subcontractor shall register with and shall utilize the U.S. Department of Homeland Security's E-Verify system to verify the work authorization status of all new employees hired by the Contractor during the term of the Contract and shall expressly require any subcontractors performing work or providing services pursuant to the Contract to likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the work authorization status of all new employees hired by the subcontractor during the Contract term. Any subcontractor shall provide an affidavit stating that the subcontractor does not employ, contract with, or subcontract with an unauthorized alien. The Contractor shall comply with and be subject to the provisions of Fla. Stat. Sec. 448.095. 21. All other terms and conditions of the Original Agreement, dated November 20, 2019, as amended herein, not inconsistent herewith, shall remain in full force and effect. [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] [SIGNATURE PAGE TO FOLLOW] 15 IN WITNESS WHEREOF, COUNTY and CONTRACTOR hereto have executed this ment to Agreement on the day and date first above written. 1. s, ca .�nv'r n ° I BOARD OF COUNTY COMMISSIONERS DOK, CLERK OF MONROE COUN Y, FLORIDA •off' C J By: 'li • By: .Ass'Deputy Clerk Ma or V Date: t Witnesses for CONTRACTOR: CONTRACTOR: MAVERICK UNITED ELEVATOR, LLC, A Florida Limited Liability Company Signature of person authorized to Signature legally bind CONTRACTOR Date: IOJIZ//Z I • D Print Name Print ame and Title kA2 (/ 1 ,• •; T Address: OLDSCI DUO 10 nd Signature wcl I eq , fI 331 g" IOiI.2_062► çbULO t Orr iILC ��-I - $aa - 1(S-10 Date Print Name Telephone Number Ck J i ` f® LLi MONROE COUNTY ATTORNEY'S OFFICE _ fSOOM U o- PATRICIA EABLES ASSIST T C TrORNEY DATE: . iO/u O • 16 EXHIBIT "B" DAVIS-BACON WAGES STATEMENT 17 EXHIBIT "B" DAVIS-BACON WAGES STATEMENT "General Decision Number : FL20210022 09/10/2021 Superseded General Decision Number : FL20200022 State : Florida Construction Type : Building County: Monroe County in Florida . BUILDING CONSTRUCTION PROJECTS (does not include single family homes or apartments up to and including 4 stories) . Note : Under Executive Order (EO) 13658, an hourly minimum wage of $10 . 95 for calendar year 2021 applies to all contracts subject to the Davis-Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1 , 2015 . If this contract is covered by the EO, the contractor must pay all workers in any classification listed on this wage determination at least $10 . 95 per hour (or the applicable wage rate listed on this wage determination, if it is higher) for all hours spent performing on the contract in calendar year 2021 . If this contract is covered by the EO and a classification considered necessary for performance of work on the contract does not appear on this wage determination, the contractor must pay workers in that classification at least the wage rate determined through the conformance process set forth in 29 CFR 5 . 5 (a) (1) (ii) (or the EO minimum wage rate, if it is higher than the conformed wage rate) . The EO minimum wage rate will be adjusted annually . Please note that this EO applies to the above-mentioned types of contracts entered into by the federal government that are subject to the Davis-Bacon Act itself, but it does not apply to contracts subject only to the Davis-Bacon Related Acts, including those set forth at 29 CFR 5 . 1 (a) (2) - ( 60 ) . Additional information on contractor requirements and worker protections under the EO is available at www. dol . gov/whd/govcontracts . 18 Modification Number Publication Date 0 01/01/2021 1 01/22/2021 2 06/18/2021 3 07/09/2021 4 09/10/2021 * ELEC0349-003 09/01/2021 Rates Fringes ELECTRICIAN . . . . . . . . . . . . . . . . . . . . . . $ 37 . 61 11 . 72 ---------------------------------------------------------- ENG10487-004 07/01/2013 Rates Fringes OPERATOR: Crane All Cranes Over 15 Ton Capacity. . . . . . . . . . . . . . . . . . . . $ 29 . 00 8 . 80 Yard Crane, Hydraulic Crane, Capacity 15 Ton and Under . . . . . . . . . . . . . . . . . . . . . . . $ 22 . 00 8 . 80 ----------------------------------------------------------- IRON0272-004 10/01/2020 Rates Fringes IRONWORKER, STRUCTURAL AND REINFORCING . . . . . . . . . . . . . . . . . . . . . . $ 25 . 79 13 . 34 ----------------------------------------------------------- PAIN0365-004 06/01/2021 Rates Fringes PAINTER: Brush Only. . . . . . . . . . . . . $ 20 . 21 12 . 38 ----------------------------------------------------------- SFFL0821-001 07/01/2021 Rates Fringes SPRINKLER FITTER (Fire Sprinklers) . . . . . . . . . . . . . . . . . . . . . . $ 30 . 63 20 . 55 ----------------------------------------------------------- 19 SHEE0032-003 12/01/2013 Rates Fringes SHEETMETAL WORKER (HVAC Duct Installation) . . . . . . . . . . . . . . . . . . . . $ 23 . 50 12 . 18 ----------------------------------------------------------- SUFL2009-059 05/22/2009 Rates Fringes CARPENTER. . . . . . . . . . . . . . . . . . . . . . . . $ 15 . 08 5 . 07 CEMENT MASON/CONCRETE FINISHER. . . $ 12 . 45 0 . 00 FENCE ERECTOR. . . . . . . . . . . . . . . . . . . . $ 9 . 94 0 . 00 LABORER: Common or General . . . . . . $ 8 . 62 0 . 00 LABORER: Pipelayer . . . . . . . . . . . . . . $ 10 . 45 0 . 00 OPERATOR: Backhoe/Excavator . . . . . $ 16 . 98 0 . 00 OPERATOR: Paver (Asphalt, Aggregate, and Concrete) . . . . . . . . . $ 9 . 58 0 . 00 OPERATOR: Pump . . . . . . . . . . . . . . . . . . $ 11 . 00 0 . 00 PAINTER: Roller and Spray. . . . . . . $ 11 . 21 0 . 00 PLUMBER. . . . . . . . . . . . . . . . . . . . . . . . . . $ 12 . 27 3 . 33 ROOFER: Built Up, Composition, Hot Tar and Single Ply . . . . . . . . . . . . . . . . . . . . . . . $ 14 . 33 0 . 00 SHEET METAL WORKER, Excludes HVAC Duct Installation . . . . . . . . . . . $ 14 . 41 3 . 61 TRUCK DRIVER, Includes Dump and 10 Yard Haul Away . . . . . . . . . . . . $ 8 . 00 0 . 15 ---------------------------------------------------------- WELDERS - Receive rate prescribed for craft performing 20 operation to which welding is incidental . ----------------------------------------------------------- Note : Executive Order (EO) 13706, Establishing Paid Sick Leave for Federal Contractors applies to all contracts subject to the Davis-Bacon Act for which the contract is awarded (and any solicitation was issued) on or after January 1 , 2017 . If this contract is covered by the EO, the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work, up to 56 hours of paid sick leave each year . Employees must be permitted to use paid sick leave for their own illness, injury or other health-related needs, including preventive care; to assist a family member (or person who is like family to the employee) who is ill, injured, or has other health-related needs, including preventive care; or for reasons resulting from, or to assist a family member (or person who is like family to the employee) who is a victim of, domestic violence, sexual assault, or stalking. Additional information on contractor requirements and worker protections under the EO is available at www . dol . gov/whd/govcontracts . Unlisted classifications needed for work not included within the scope of the classifications listed may be added after award only as provided in the labor standards contract clauses (29CFR 5 . 5 (a) (1 ) (ii) ) . ----------------------------------------------------------- The body of each wage determination lists the classification and wage rates that have been found to be prevailing for the cited type (s) of construction in the area covered by the wage determination . The classifications are listed in alphabetical order of ""identifiers" " that indicate whether the particular rate is a union rate (current union negotiated rate for local) , a survey rate (weighted average rate) or a union average rate (weighted union average rate) . Union Rate Identifiers 21 A four letter classification abbreviation identifier enclosed in dotted lines beginning with characters other than ""SU"" or " "UAVG" " denotes that the union classification and rate were prevailing for that classification in the survey. Example : PLUM0198-005 07/01/2014 . PLUM is an abbreviation identifier of the union which prevailed in the survey for this classification, which in this example would be Plumbers . 0198 indicates the local union number or district council number where applicable, i . e . , Plumbers Local 0198 . The next number, 005 in the example, is an internal number used in processing the wage determination . 07/01/2014 is the effective date of the most current negotiated rate, which in this example is July 1 , 2014 . Union prevailing wage rates are updated to reflect all rate changes in the collective bargaining agreement (CBA) governing this classification and rate . Survey Rate Identifiers Classifications listed under the ""SU"" identifier indicate that no one rate prevailed for this classification in the survey and the published rate is derived by computing a weighted average rate based on all the rates reported in the survey for that classification . As this weighted average rate includes all rates reported in the survey, it may include both union and non-union rates . Example : SULA2012-007 5/13/2014 . SU indicates the rates are survey rates based on a weighted average calculation of rates and are not majority rates . LA indicates the State of Louisiana . 2012 is the year of survey on which these classifications and rates are based. The next number, 007 in the example, is an internal number used in producing the wage determination . 5/13/2014 indicates the survey completion date for the classifications and rates under that identifier . Survey wage rates are not updated and remain in effect until a new survey is conducted. Union Average Rate Identifiers 22 Classifications) listed under the UAVG identifier indicate that no single majority rate prevailed for those classifications; however, 1000 of the data reported for the classifications was union data . EXAMPLE : UAVG-OH-0010 08/29/2014 . UAVG indicates that the rate is a weighted union average rate . OH indicates the state . The next number, 0010 in the example, is an internal number used in producing the wage determination . 08/29/2014 indicates the survey completion date for the classifications and rates under that identifier . A UAVG rate will be updated once a year, usually in January of each year, to reflect a weighted average of the current negotiated/CBA rate of the union locals from which the rate is based. ----------------------------------------------------------- WAGE DETERMINATION APPEALS PROCESS 1 . ) Has there been an initial decision in the matter? This can be . * an existing published wage determination * a survey underlying a wage determination * a Wage and Hour Division letter setting forth a position on a wage determination matter * a conformance (additional classification and rate) ruling On survey related matters, initial contact, including requests for summaries of surveys, should be with the Wage and Hour Regional Office for the area in which the survey was conducted because those Regional Offices have responsibility for the Davis-Bacon survey program. If the response from this initial contact is not satisfactory, then the process described in 2 . ) and 3 . ) should be followed. With regard to any other matter not yet ripe for the formal process described here, initial contact should be with the Branch of Construction Wage Determinations . Write to : 23 Branch of Construction Wage Determinations Wage and Hour Division U . S . Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 2 . ) If the answer to the question in 1 . ) is yes, then an interested party (those affected by the action) can request review and reconsideration from the Wage and Hour Administrator (See 29 CFR Part 1 . 8 and 29 CFR Part 7) . Write to : Wage and Hour Administrator U . S . Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 The request should be accompanied by a full statement of the interested party ' s position and by any information (wage payment data, project description, area practice material, etc . ) that the requestor considers relevant to the issue . 3 . ) If the decision of the Administrator is not favorable, an interested party may appeal directly to the Administrative Review Board (formerly the Wage Appeals Board) . Write to : Administrative Review Board U . S . Department of Labor 200 Constitution Avenue, N.W. Washington, DC 20210 4 . ) All decisions by the Administrative Review Board are final . ----------------------------------------------------------- END OF GENERAL DECISION" 24 EXHIBIT "C" CERTIFICATION REGARDING LOBBYING 25 APPENDIX A, 44 C.F.R. PART 18 - CERTIFICATION REGARDING LOBBYING (To be submitted with each bid or offer exceeding $100,000) Certification for Contracts, Grants, Loans, and Cooperative Agreements The undersigned certifies, to the best of his or her knowledge and belief, that: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant, the malting of any Federal loan,the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The Contractor, certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. Chap. 38, Administrative Remedies for False Claims and Statements, apply to this certification and disclosure, if any. Signature of Contractor's Authorized Official Name and Title of Contractor's Authorized Official Date 26 DISCLOSURE OF LOBEYLNG ACM-ITTES, C046PI 7 7= D' � KE L07 NG ,PURSU�ANT To 3"U S C '13 5 2 1. Type of Fed,errd Ac m�fio 1. Status of Federal Actim:o 3. Report Type: a.Cor-tracr ❑a.b'-d'o ffer"app I ic alio m ❑❑ a.imr al b, g mt b, mAia'awmd b, maiffia]charge agreimew c. posi-07mi A -'OM Far Material Champ Only: E. loan pxuawlee Vaal � czar E I Om imsm='a of Ent-ft-pan 4. Name and Address afRepi-fivig Emily 1. If Reps rtingEntihimNo�.4i,!Subamardee, Tkma —T-Subawwdee Eiatex Name,a",Addrem of Prime: ❑ F Tier If1mumm C oingTes si aimi a]DistnipM if Lwm Comgremimmall District iftnoTm 6, Federal D ep art miubAgenxv: 7. Federal Propum Naima,Descripdau: CTDA Number,if Wpp 1"k a b L-- s- Federal Actium Numbt-r,ift-nowr: P. --&ward Amoumt.,ift-mosm: 10. a. Nmme amdAddresi of Lobby Emfiry b. Indkwidivals Perfarmaing Semces (mcluib.-z (7fuA-n-id,aa-1,In5l time,:fit name—MT1, a d d.Te s s if Lffffr ent from No. 10 a) n 57.MMe,Ent 3UM'A,,M'1� (adach C mrmumfion Sheec( ifneces�uy) 11. Amoutit at Payment(chwk aU that apply) 13. Type of Payment(rhicL all that apply) ❑a OU31 F-1 F,,,--d F-1 a, retainer F-1 b. one-dme fee 12. FGrmDf Pay-memt(Cherk all that spply):: C. co i Sjan F-1 a- C-aill d. F—] b, in-ka d.. mpecLfV: name e deferred. -ua*,'ue f other spe-- , I.I. Brief Descripbou,of Services PErf3TMed ot to he performed aud Date(s)of Serwice.,ii2rIujjmg afficer(s),em3p]Gr*,s),Gr member(()camitmted,for PaFmemt Iiadiratid 11: (aliach Car-tinuatm Sheetfs)iftecessary) 13. Coubmuatiam Sheets)attached. Yes El -%-a El 16, -Jiirik=i'vc-iam-zad by 716P E U S.C.Sgcm-am L312 rhn.d--w.1'a.WQ C.kbblmm Sipam-ze: %Tm&,mm&a-&ntwzd mim. Mu di?xlamm is mqLimA Phut Name. PU-17UMf DD 3-.U S.C.1351 Thew iuf=tma wil.]bi vw'xDgd m C Caw1w.S Qamiuumumt v amd WU bs availatfla for W-10 EL Lripd d-,66Dsw,-j iHaZ bg zm��w-c m m,.cixilpzma-77y DEmat Lv�i�hmm Teicbme No.: Dim: Amhonzed fw Local R-epi-adw-nom IFt-d'eral 1"s'e-Only- S,tambzd.Farm-LLL, 2-6c PART Z'COUNTY 27 INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient,at the initiation or receipt of covered Federal action or a material change to previous filing pursuant to title 31 U.S.C.section 1352. The filing of a form is required for such payment or agreement to make payment to lobbying entity for influencing or attempting to influence an officer or employee of any agency,a Member of Congress an officer or employee of Congress or an employee of a Member of Congress in connection with a covered Federal action. Attach a continuation sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information. 1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence,the outcome of a covered Federal action. 2. Identify the status of the covered Federal action. 3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last, previously submitted report bythis reporting entity for this covered Federal action. 4. Enter the full name,address,city,state and zip code of the reporting entity. Include Congressional District if known. Check the appropriate classification of the reporting entity that designates if it is or expects to be a prime or subaward recipient. Identify the tier of the subawardee,e.g.,the first subawardee of the prime is the first tier. Subawards include but are not limited to subcontracts,subgrants and contract awards under grants. 5. If the organization filing the report in Item 4 checks"Subawardee"then enter the full name,address,city,state and zip code of the prime Federal recipient. Include Congressional District,if known. 6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organization level below agency name,if known. For example,Department of Transportation,United States Coast Guard. 7. Enter the Federal program name or description for the covered Federal action(item 1). If known,enter the full Catalog of Federal Domestic Assistance(CFDA)number for grants,cooperative agreements,loans and loan commitments. 8. Enter the most appropriate Federal identifying number available for the Federal action identification in item 1(e.g., Request for Proposal(RFP)number,Invitation for Bid(IFB)number,grant announcement number,the contract grant.or loan award number, the application/proposal control number assigned by the Federal agency). Include prefixes,e.g., 'RFP-DE-90-001." 9. For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the award/loan commitments for the prime entity identified in item 4 or 5. 10. (a)Enter the full name,address,city,state and zip code of the lobbying entity engaged by the reporting entity identified in item 4 to influence the covered Federal action. (b)Enter the full names of the individual(s)performing services and include full address if different from 10(a). Enter Last Name,First Name and Middle Initial(MI). 11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity(item 4)to the lobbying entity (item 10). Indicate whether the payment has been made(actual)or will be made(planned). Check all boxes that apply. If this is a material change report,enter the cumulative amount of payment made or planned to be made. 12. Check the appropriate box. Check all boxes that apply. If payment is made through an in-kind contribution,specify the nature and value of the in-kind payment. 13. Check the appropriate box. Check all boxes that apply. If other,specify nature. 14. Provide a specific and detailed description of the services that the lobbyist has performed or will be expected to perform and the date(s)of any services rendered. Include all preparatory and related activity not just time spent in actual contact with Federal officials. Identify the Federal officer(s)or employee(s)contacted or the officer(s)employee(s)or Member(s) of Congress that were contacted. 15. Check whether or not a continuation sheet(s)is attached. 16. The certifying official shall sign and date the form,print his/her name,title,and telephone number. Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing instruction, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,to the Office of Management and Budget,Paperwork Reduction Project (0348-0046),Washington,D.C.20503. SF-LLL-Instructions Rev.06-04- 90«ENDIF» 2-6d PART 2/COUNTY 28 BATE(MMIDDIYYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE ll%.�' 07/26/2021 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: Arlene AIOnSO FIB Insurance (AIC r a:_Ext): (305)253-4424 FAX No): (305)441-8632 12001 SW 128 Court ADDRESS: aalonso@fibinsurance.com Suite 105 INSURER(S)AFFORDING COVERAGE NAIC#____ _ Miami FL 33186 INSURER A; Infinity Assurance Insurance Company 11738 INSURED INSURER B: Maverick United Elevator LLC INSURER C: 10639 NW 122 ST INSURER D: INSURER E: Miami FL 33178 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 INDICA"I'ED. 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 `ADbL SUBR I POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDDIYYYY MM/bDIYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ l Approved Risk Management DAMAGE To RENTED CLAIMS-MADE I OCCUR r PREMISE;_tEa occurrence) T � et,` v `�„ f �, MED EXP(Any pno person) $ 11-22-2021 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ POLICY PRO- J LOG PRODUCTS COMP(OP AGG $ JEGT OTHER: — $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ----- ----- ------ ANY AUTO BODILY INJURY(Per person) $ A �/ AUTOS X SCHEDULED 509$20048445001 07l02/2021 07/02/2022 BODILY INJURY(Per accident), $ /�,AU'TC)S ONLY AUTOS _ HIRED NON-OWNED PROPERTY DAMAGE $ AU'TC)S ONLY j ALTOS ONLY (Per accident) UMBRELLA LIAB I OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAItAS-MADE', AGGREGATE '.. $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- ;AND EMPLOYERS'LIABILITY -- YIN STATUTE ER ANY PROPRIETOR)PARTNEP,'EXECU'rIVE E L.EACH ACCIDENT $ OFFiCERWEMBER EXCLUDED? ❑ N f A (Mandatory in NH) E-L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT ', $ DESCRIPTION OF OPERATIONS i LOCATIONS d VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is included as additional insured 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. Insurance Compliance AUTHORIZED REPRESENTATIVE PO BOX 100085 DULUTH GA 300961C�~ @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD From: etistomerservice�certsonline.com To: monroecountyfl(q�,ebixxom CC: Subject: Upload Via Web Date: 07-26-2021 Attachment(s):CERTIFICATE OF LIABILITY INSURANCE 2021 Auto.pdf Client Name: Monroe County FloridaVendor Number: FX000003)0 1,Vendor Name: -Document Uploaded By: Date Uploaded: 7/26/2021 8:06:15 AM -Comment: N/A MAVER-1 ACUJ2Q. F04/22/2021 ATE(MM/DD/YYYY) CERTIFICATE 4F LIABILITY INSURANCE 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 endorsements . PRODUCER 954-251-3312 CONTACT Rick Rolls NAME Rolfs Insurance Services PHONE 954-251�3312 FAx 954-241-6772 10011 Pines Blvd#201 (A/c,No,EXt): (A/c,No): Pembroke Pines,FL 33024 E-MAIL rrolfs@rolfsinsurance.com Rick Rolfs ADDRESS. INSURER(S)AFFORDING COVERAGE NAIC# INSURER_A:Great American E&S Ins Co 37532 lTaverlck United Elevator LLC INSURER B 10639 NW 122nd St INSURER_C: Medley,FL 33178 INSURER D 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 REOUIREMEN"r, TERM OR CONDITION OF ANY CON"TRACT OR O"C"HER DOCUMENT WIT`H RESPEC"r 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 ADOL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR LIMITS A X COMMERCIAL GENERAL LIABILITY . 1,000,000 EACH OCCURRENCE CLAIMS-MADE X OCCUR Y y PL 3288999-01 04/20/2021 04/20/2022 DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) y MED EXP tAny one person2 $ _ 5,000 Approved Risk Management PERSONAL a Abv INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: s I + GENERAL_AGGREGATE $ 2,000,000 2,000,000 _ POLICY X -Cl LOC 7 r T,� .�,�.I -, p fed t.,, PRODUCTS COMPIOPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT IEa accident) ---- - ---- ------ ANY AUTO _ BODILY_INJURY'Perperson) _$- OWNED SCHEDULED AUTOS ONLY AUTOSBODILY INJURY P€rr_aci.Senti'_$ HIRED NON-OWNED PROPERTY pAMAGE AUTOS ONLY AUTOS ONLY Per arcs tend $ $ /4 UMBRELLA LIAR X I OCCUR EACH OCCURRENCE $ 5,000,000 X Excess ua6 CLAIMS MADE XS 3289000-01 04/20/2021 04/20/2022 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y 1 N STATUTE TE ER Ap}NY PROPRIETOEERIPARTNERJEXECUTEVE E.L.EACH ACCIDENT $ QFF1da w t,% EXCLUDED) N!A in E.L.DISEASE-EA EMPLOYEE $ If es,deserihe under DESCRIPTION OF OPERATIONS WOW E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS i LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is included as Additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Count BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Insurance Compliance PO Box 100085-FX Duluth, GA 30096 AUTHORIZED REPRESENTATIVE f ACORD 25(2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD From: rrolls(&rollsinsurance.com To: monroecountyfl monroecountyfl(a Ebixxom CC: paula.jaramillora,,mavelevator.com Subject: RE: Monroe County Florida Certificate of Insurance Req Date: 4/22/2021 12:42:04 PM Attachment(s): Attached please find an updated certificate for Maverick United Elevator. Best Regards, Ryan Rolfs,CIC,AU,ASLI Rolfs Insurance Services, Inc. 10011 Pines Blvd. #201 Pembroke Pines, FL 33024 Phone: (954) 251-3312 Fax: (954) 241-6772 Email: rrolfserolfsinsurance.com www.Rolfslnsurance.com X 400!J X '**PLEASE NO'E*** This E-rnad/telefax message and any documents accompanying this transmission may contain privileged and/or confidential information and is intended solely for the addres5ee(s) named above. if you are not the intended addressee/recipient, you are hereby notified that any use,disclosure,copying,distribution,or reliance on the contents of this E-mail/telefax information is strictly prohibited and may result in legal action against you, Please reply to the sender advising of the error in transmission and immediately delete/destroy the message and any accompanying documents. Thank you. From:Customer Service <monroecountyfl@ebix.com> Sent:Thursday, April 22, 20213:40 PM To: Ryan Rolfs<r-rolfs@r-olfsinsurance.com> Subject: Monroe County Florida Certificate of Insurance Req a The attached notice is being sent to you on behalf of Monroe County Florida by Ebix RCS, Monroe County Florida has engaged with Ebix to manage insurance compliance verification on its behalf. You must be properly insured while doing business with Monroe County Florida and comply with insurance requirements. As of the date of this notice we have not received proper evidence of insurance coverage. Please review the attached notice as it includes the information needed for compliance and where to send your Certificate of Insurance. Vendor Instructions: Fhe attached notice is being sent to you and your agent, if we have their email address on file. Agent Instructions: Please review the attached notice as it includes the information needed for compliance. Please send your Certificate of Insurance via email to monroecountyfleebix.com; if you have any questions, please contact Ebix by calling(951) 925--1213; thank you for your prompt attention to this matter. r---. EB►X Ebix,inc. I One Ebix way ( Johns Creek, GA 30097 1 Web- 0 DATE(MMIDDIYYYY) AC"RD CERTIFICATE OF LIABILITY INSURANCE 105/18/2021 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: Paychex Insurance Agency Inc PAYCHEX INSURANCE AGENCY, INC. PHONE FAX (A/C,No,Ext): 87 t-2E t f 356 (A/C,No): 585-389 7428 150 SAWGRASS DRIVE E-MAIL ROCHESTER, NY 14620 ADDRESS: �etpayCtexcon, INSURER(S)AFFORDING COVERAGE NAIC#____ INSURER A: Insurance Company of the West INSURED INSURER B: Maverick United Elevator LLC INSURERC: 10639 NW 122nd St INSURER0: INSURE Medley, FL 33178 RF 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. NO1WITHSTANDING 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 POI..ICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DL AD SUSR POLICY-EFF IPOLICY EXP -_- LTR TYPE OF INSURANCE POLICY NUMBER MMIDDlYYYY MM/D WIPY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE I OCCUR _DAMAGE TO RENTED CLAIMS-MADE __.__- PREMISES(Ea occurr€rnce) $ Approved Risk Management MED EXP(Any one person) $ -- - -- -- -PERSONAL&ADV INJURY $ - -- GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ r t.t. t POLICY JPRO- LOG PRODUCTS-COMPIOP AGO $ - - - OTHER: 1-22-2021 AUTOMOBILE - OMOBILELIABILITY COMBINED SINGLE LIMIT $ tEa_accidenll ANY AUTO '', '', BODILY INJURY(Per person) $ OWNED SCHEDULED -- --- --- AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED r PROPERTY DAMAGE $ _AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLALU\B OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE; AGGREGATE $ DIED 1 RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER y` ANYPROf'R[EYOFYiPARTNERrEXECUTItrE YIN E.L.EACH ACCIDENT $ 1,000,000 A GFFICERtMEMBEREXCLUDED� 0 N/A WM0505546300.05/11/2021:05/11/2022 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE', $ 1,000,000 11 yes doscribe under 1,000,000 DESCRIPTION OF OPERATIONS below E_L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS t LOCATIONS t VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space is required) CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Insurance Compliance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 10008 - FX ACCORDANCE WITH THE POLICY PROVISIONS. Duluth, GA 30096 AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD From: monroec<ountyfl a ebix.com To: certs@)paychex.com Sent: Thu, May I', 2021, 04:12 PM EDT Subject: Monroe County Florida Certificate of Insurance Red Warning: This email is from outside the company. Be careful clicking links or attachments. The attached notice is being sent to you on behalf of Monroe County Florida by Ebix RCS. Monroe County Florida has engaged with Ebix to manage insurance compliance verification on its behalf. You must be properly insured while doing business with Monroe County Florida and comply with insurance requirements. As of the date of this notice we have not received proper evidence of insurance coverage. Please review the attached notice as it includes the information needed for compliance and where to send your Certificate of Insurance, Vendor Instructions:The attached notice is being sent to you and your agent, if we have their email address on file. Agent Instructions: Please review the attached notice as it includes the information needed for compliance. Please send your Certificate of Insurance via email to monroecountyfl@ebix.com; if you have any questions, please contact Ebix by calling(951) 925-1213; thank you for your prompt attention to this matter. FOX Ebix,Inc. I One Ebix way ( Johns Creek, GA 30097 1 Web- The information contained in this message may be privileged, confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communucation in error, please notify your representative immediately and delete this message from your computer. Thank you. From: certs('&paychex.com To: monroecountyfl monroecountyfl(a Ebix.com CC: Subject: Re: Fwd: Monroe County Florida Certificate of Insurance Req Date: 5/18/20216:08:53 AM Attachment(s): Hello, Please see the attached certificate as requested. For all future certificate requests please send to a�payclex.cam Thank you! Geoffrey tort PIA P&C Support Specialist III Paychex Insurance Agency,Inc. 150 Dii%,: Rod,A,:i.NY I t610 Phone: 877-266-6,00 :DIIIIIIIIIC I DID YOU KNOW? • For Certificates o' Insurance req iests,we are now enhne' Follow the link hftps://www.paychex.com/business-insurance/proof-of-insurance • Reach us via email For q.ies,,ions regarding Property and C:)S.131*y InSLIrance with Paychex Atiency piapc cnstornerjervice L@paychex.ccrn. Response-,irne is 24 ho�irs. How are we doing'?Let my manager know! Supervisor,Andrew Ohl 800-472-0072 ext. 529060S Groh/ ",Pqvchex.c0 in