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#03rd Amendment 11/17/2021 GV�T CCURr4C�, Kevin Madok, CPA. 'h so.�: c •.....A: = Clerk of the Circuit Court&Comptroller—Monroe County, Florida 1%T Rceou _- DATE: December 7, 2021 TO: Rhonda Haag Chief Resilience Officer Liz Yongue Executive Assistant FROM: Pamela G. Hanc. . ,/ .C. SUBJECT: November 17th BOCC Meeting Attached is an electronic copy of the following item for your handling: Q10 3rd Amendment to the Contract with HDR, Inc. for the Roads Vulnerability Analysis and Capital Plan for County-maintained Roads and Related Services, to extend the contract from December 21, 2021, to June 24, 2022, at no cost to the County. Should you have any questions please feel free to contact me at(305) 292-3550. cc: 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 AMENDMENT NO. 3 TO THE AGREEMENT FOR SEA LEVEL RISE VULNERABILITY ANALYSIS AND PLANNING FOR COUNTY MAINTAINED ROADS INFRASTRUCTURE ADAPTATION BETWEEN MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AND HDR ENGINEERING INC. This AMENDMENT NO. 3 ("Amendment")made and entered into this 17th day of November 2021, to that Agreement dated May 22, 2019, as amended November 17, 2020 under Amendment No. 1 and April 21, 2021 under Amendment No. 2, by and between Monroe County "COUNTY," and HDR Engineering, Inc "CONSULTANT". WITNESSETH: WHEREAS, the COUNTY recognized the need for immediate, coordinated, and visionary action to address the impacts of a changing climate and ensure the COUNTY provides for resilience for its more than 300 miles of roads infrastructure; and WHEREAS, the recommendation for a Roads Adaptation Plan is Green Keys item 2-14, which specifies that the County shall conduct a County-wide roads analysis to identify near-term roads subjectto inundation risk, including nuisance flooding, and that include related green infrastructure where appropriate; and WHEREAS, the CONSULTANT is successfully providing the professional services under the AGREEMENT; and WHEREAS, due to the re-scheduling of the public meetings anticipated to be conducted in Spring 2022 and required documentation of the public input into the Final Report and Presentation the CONTRACT termination date is being extended by six months at no cost. NOW, THEREFORE, in consideration of the mutual promises, covenants and agreements stated herein, and for other good and valuable consideration, the sufficiency of which is hereby acknowledged, COUNTY and CONSULTANT agree as follows: Section 1. Article 1.1 TERM OF AGREEMENT is amended as follows: ARTICLE 1 1.1 REPRESENTATIONS By executing this Agreement, CONSULTANT/CONSULTANT makes the following express representations to the COUNTY: 1.1.1 The effective date of this AGREEMENT shall be May 22, 2019. The term of the AGREEMENT shall be extended by six months, terminating on June 24, 2022, unless otherwise terminated as provided herein. The COUNTY shall have the option of extending the AGREEMENT for up to two(2) additional years on the same terms and conditions with approval -i- of the COUNTY'S BOCC. Such extension(s) shall be in the form of a written Amendment to the AGREEMENT and shall be executed by both parties. 1.1.2 This Agreement shall consist of this document, including any exhibits or attachments to the document.; the Request for Qualifications issued by the County; and the vendor's response to the RFQ (proposal). This Agreement includes the following exhibits and attachments: Exhibit A-1 Deliverables ARTICLE VII COMPENSATION 7.1 PAYMENTS 7.2.1 For its assumption and performances of the duties, obligations and responsibilities set forth herein, the CONSULTANT shall be paid according to the Revised Deliverable Schedule attached as Exhibit A-1_ and according to the Florida Local Government Prompt Payment Act, Section 218.70, Florida Statutes. Payments will be lump sum or time and materials, as indicated in Exhibit A-1. Partial payments of tasks and deliverables shall be allowed for any item over $5,000. The Provider shall submit to the COUNTY an invoice with supporting documentation in a form acceptable to the Clerk. Acceptability to the Clerk is based on generally accepted accounting principles and such laws, rules and regulations as may govern the Clerk's disbursal of funds. The Sustainability Director will review the request, note her approval on the request and forward it to the Clerk for payment. All other provisions of the AGREEMENT dated the 22"d day of May 2019 not inconsistent herewith, shall remain in full force and effect. THE REMAINDER OF THIS PAGE PURPOSELY LEFT BLANK -2- L . TNESS WHEREOF, each party has caused this Agreement to be executed by its duly rr®.<re ig ut + d representative on the day and year first above written. \\\ xy 44 w,li aa -P1.4 F a05 BOARD OF COUNTY COMMISSIONERS `'may '' VIN MADOK,ClerkIii OF MONROE COUNTY,FLORIDA ge0X1r......*......"‘ By: C>- By: As Deputy Clerk Mayor Date: I1it7 '?—t. 2- l ' • °wP----0 yam •` HDR ENGINEERING,INC. f eD: S z: SEAL, .. = - T ( : — ...... BY: . By: .:; en t r E. unt,, r c-) Title: Elizabeth C.Buell,Assistant Secretary Title: c— —- rn -n P 3J r STATE OF Hillsborough COUNTY OF Florida On this 1st day of November 2021, before me the person whose name is subscribed above, , and who pcedueed lS-lo .V,..as-iderrtifil atizn, acknowledged that that-h&is the person who executed the above Con rt act for the pur os therein contained. Notary Public V Michelle J.Pardo Print Name AV..% MICHELLE J.NARDO My commission expires: September 22,2024 Seal P ,,), * Commission#HH045144 T. c, Expires September 22,2024 �dopn, Bonded Thu Mot Mary Suvkies Approved as to form and legal sufficiency: Monroe County Attomey's Office signe L Hall I V _`.Digitally e,mnoaCynthia • (.Wae kCtmt'{ L,Haio=Mo nme tynUda®munmerounMe.gov,S US Dale.]0213 2.07 I r36M7.05 00 C.. -3- Exhibit A-1 Monroe County Roadway Vulnerability Analysis and Capital Plan Delivery Schedule Revised — October 28, 2021 Required Services Scope of Work(Deliverables) ; Amount Date (Lump Sum) 1.2 Tidal Data: Determine evolving tidal rate to establish a $13,742.10 7/16/19 baseline for projected sea level changes. Information will be documented and used under Task 2.2 King Tide Predictions. 2.1 Sea Level Rise Projections:Technical Memorandum will $17,730.80 8/15/19 include a summary of the evaluation,justification, and recommendation of the Sea Level Rise estimates for 2025, 2030, 2035, 2040, 2045, 2060, and 2100. Sea level rise estimates will also be made available in a format suitable for input into subsequent analysis and modeling step. A review of other potential approaches and climate model datasets for estimating sea level rise will be conducted and evaluated against the Southeast Florida Regional Climate Change Compact. 1.5 Environmental Assessment:Technical Memorandum will $9,264.77 8/27/19 include a summary of the existing available environmental information provided by the county and information gathered through desktop review, and field assessment. Information gathered will be used to map out the environmental areas/ natural resources throughout the County. All collected environmental information and inventory will be available under corresponding GIS layers. 1.1.1 LiDAR Review:Technical Memorandum is to include $17,092.64 9/11/19 description of LiDAR information submitted, including but not limited to coverage and completeness. The verification process and the results obtained for the MBI LiDAR data review will be provided. Should inconsistencies with the data be identified, these inconsistencies will be summarized and submitted to the County for correction by MBI. The scope accounts for one (1) iteration round and for the delivery of one updated LiDAR data set that has addressed all inconsistencies identified. 2.2 King Tide Predictions:Technical Memorandum will include a $33,487.88 9/23/19 summary of the evaluation and recommendation of the Tidal Predictions and an assessment of the effects of wind setup on water levels for normal conditions for 2025, 2030, 2035, 2040, 2045, 2060, and 2100. -4- 1.1.3 Site Assessment and Condition Survey:Technical $124,376.58 10/28/19 Memorandum will include a summary of the criteria established for assessments and a table listing sections assessed with a rating of"poor, fair, and good" based on current condition for all roadway segments identified in Exhibit A. The results of the existing pavement assessment will be presented in tables and also available through GIS maps. Additionally, through predictive modeling and the use of the existing pavement assessment data, a summary of the forecasted year of terminal life for each roadway segment will presented in a table format and graphical presentation of network condition transition by year. 1.1.2 GIS Database setup and Initial Elevation Analysis:Technical $25,898.28 11/8/19 Memorandum will include the description of the screening analysis process for the evaluation of the exiting ground information (LiDAR Data) and the existing mean high water elevations to determine the critical and non-critical roadway segments. A summary of the results will be provided, and a GIS map layer will be developed that will depict all County roadway segments with different colors assigned based on the range of elevations and mean high water elevation clearance they fall under. 1.3 Roadway Data:Technical Memorandum will include a $176,312.58 12/5/19 summary of the existing available information provided by the county that lists specific geotechnical, roadway, and utility data as well as data coverage and specific infrastructure location. The technical memo will also include a summary table for the information gathered through desktop review and field verification of specific roadway characteristics, roadway functional classification, posted speed, typical section description, intersections/side streets, driveway access points, Critical Facilities, and bridges for each roadway segment listed in exhibit A. All collected roadway information and inventory will be available under corresponding GIS layers. 1.4 Stormwater Structures:Technical Memorandum will include a $35,532.18 1/29/20 summary of the existing available information provided by the county that lists specific stormwater data as well as data coverage and specific infrastructure location. The technical memo will also include a summary table for the information gathered through desktop review, survey, and field verification of stormwater facilities for each roadway segment listed in exhibit A. All collected stormwater information and inventory will be available under corresponding GIS layers. 2.3 Storm Surge,Wind Waves,and Extreme Events Analysis: $105,563.96 3/19/20 Technical Memorandum will include a summary of the evaluation and recommendation of the storm surge,wind waves, and extreme events analysis for 2025, 2030, 2035, 2040, 2045, 2060, and 2100. The SLR projections and King Tide Predictions in association with current and future storm scenarios will be -5- referenced in the MIKE21 software to model water surface elevations. Modeling information will be integrated with GIS and simulation video/graphics will be produced for public and stakeholder outreach activities. 2.4 Vulnerability Assessment and Inundation Mapping:Technical $143,894.76 11/30/20 Memorandum will include a summary of the applicability and operation of the GIS model, criticality analysis methodology, the inputs it requires and the outputs it generates, and a vulnerability flood score for the County roadways identified in Exhibit A. Inundation maps that cover all the County roadways identified in Exhibit A will be prepared for 2025, 2030, 2035, 2040, 2045, 2060, and 2100. Inundation analysis data will be available under corresponding GIS layers. 4.2.1 Future Growth: Policy paper on population projections and $4,560.58 3/18/22 growth potential and other current or future policies impacting growth and development.Analyze existing information regarding population projections and growth patterns related to unit allocations, growth policy, land acquisition, and flows of recovery funds from Hurricane Irma. 4.2.2 Roads Liability: Legal memorandum to include overview of $5,293.65 3/18/22 road ownership and responsibility for maintenance upgrades. Include information regarding legal and policy obligations to meet various goals such as ongoing maintenance, reasonable access, and/or consideration of upgrades to address future conditions. Review of case law, statutes and case studies. 4.2.3 Level of Service: Legal memorandum for LOS determinations $4,912.72 3/18/22 that include legal and policy implications of establishing LOS that go beyond the traditional notion of road capacity for traveling vehicles. Includes recommendations and pros/cons for various approaches. 2.5 Prioritization of Roadway Segments based on Vulnerability $51,819.12 11/30/20 Assessment:Technical Memorandum will include a summary of the results and input from the flexible scheme analysis, list of 300 roadway segments recommended to move forward with adaptation improvements, and prioritization schedule. 3.3 Surveying and Mapping: MicroStation (CAD) Right-of-way files $189,669.28 1/21/22 for the 300 roadway segments. 3.2 Environmental and Permitting:Technical Memorandum will $78,135.12 4/6/22 include a summary of the Environmental analysis conducted based on the adaptation improvements. The footprint as well as the anticipated consequences of the adaptation improvements will be evaluated against the desktop survey and field assessment to develop a subset of roadways that have protected resources or locations that could affect the permitting of the proposed strategy. A list of anticipated permits for the proposed improvements along the 300 roadway segments will be provided. -6- Environmental analysis and field assessment information will be made available through corresponding GIS layers. 3.1 Design:Technical Memorandum will include summary of $428,567.414/27/22 design decisions and overview analysis of the recommended improvements for the 300 roadway segments/locations recommended as a result from the Prioritization of Roadway Segments. Concept Plans including roadway typical sections and roadway/stormwater plans will be included. Bridge adaptation improvements will be provided with applicable roadway segments. 3.4 Cost Estimates and Benefit-Cost Analysis:Technical $136,713.52 5/4/22 Memorandum will include summary of the BCA methodology including data sources used, and the analysis results obtained. Conceptual cost estimates for 300 roadway segments and consolidated BCA for a range of 20-30 areas throughout the County will be provided. 4.2.4 Regulatory Issues: Policy memorandum on regulatory $1,999.81 3/18/22 requirements and challenges to permitting. Review of potential rule criteria, statutory and/or Florida Administrative Code or agency-guidelines to determine if policy changes are required to avoid constraint of road adaptation options or delay in road project implementation. 4.2.5 Funding: Policy memorandum for funding structures. Review $20,829.66 3/18/22 of bonding, grants, and other capital planning tools. A list of available grants will be provided and the benefits for corresponding funding opportunities. 4.2.6 Implementation: Prepare draft Ordinance and/or other $4,855.34 3/18/22 policy implementation framework. Work with County Attorney's Office to manage public perceptions and expectations on future LOS that the County may provide. Task 5—Public and Stakeholder Outreach Plan:The consultant $57,252.15 /10/ (End will prepare for and set up all public meetings, prepare press of Public releases for the County to issue, issue email blasts, prepare andMeeting) and manage social media, prepare an manage online survey tools, and 5/13/ (End documentation of meeting minutes/comments. Additionally, the of Project) consultant will prepare Power Point Presentations, Graphics (Boards/images), handouts, and provide GIS support. Two (2) persons at a minimum from the team are to attend Public/Stakeholder outreach activities. A monthly report will be prepared summarizing outreach activities, including the number of stakeholders and members of the public reached through email, the number attending the public meetings, a copy of the outreach materials, and a list of public comments received through any outreach method. If Optional Services are initiated, a separate report will be provided on the activities conducted on a monthly basis. Includes Public Outreach coordination and management, 3 Public Meetings, 3 Deliverable review meetings with the County, Coordination with USACE and FDOT D6, and the production of Public Outreach materials. 6.1 Develop Implementation Plan: Develop a regional, $45,983.51 1/28/22 comprehensive, and integrated roads adaptation plan based on the results and guidance from previous tasks. Determine schedule -7- on when corresponding adaptation improvements are required to be implemented. 6.2 Prepare Final Report and Final Presentation to County: Final $68,264.26 5/4/22 Report that includes Vulnerability Analysis and road adaptation recommendations, GIS Data sets and maps, Engineering Designs/Concept Plans, Policy and regulatory requirements, Summary of Public/stakeholder involvement engagement effort, and Implementation Program. Final presentation to the County (BOCC)outlining the implementation work plan recommendations and lessons learned throughout the study process. Final presentation is to include Visioning graphics and evaluation. Optional Services Scope of Work(Deliverables) ; Amount(Not Date to Exceed) Task 5—Public and Stakeholder Outreach Plan: Upon $189,167.18 To be determined approval from the County, a separate monthly report will be provided on the Optional Services activities conducted. Includes 3 additional public meetings, Briefings to commissioners (A maximum of 15 meetings), Senior Management Meeting Presentations (A maximum of 3 meetings), Commission Workshops (A maximum of 3 workshops), Miscellaneous Outreach Meetings (A max of 1 meeting with the Tourist Development Council, 3 meetings with Realtor Association, 5 meetings with the KL Fed. of HOAs, Political Clubs, Env. Coalition, and TBD, and 5 meetings for Chamber Briefings), and additional coordination support with USACE and FDOT D6 for studies and projects along SR 5/Overseas Highway.Two (2) persons at a minimum from the team are to attend Public/Stakeholder outreach activities. -8- DATE(MMIDDIYYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 6/1/2022 5/10/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the 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 LocktOn Companies NAMEACT 444 W.47th Street,Suite 900 PHONE FAX Kansas City MO 64112-1906 E-MAILo Ext: AIC No (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Lexington Insurance Company 19437 INSURED HDR ENGINEERING,INC. INSURER B 1429676 1917 SOUTH 67TH STREET INSURER C OMAHA,NE 68106 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 15139323 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDD MMIDD COMMERCIAL GENERAL LIABILITY NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ XXXXXXX Approved Risk Management MED EXP(Any one person) $ XXXXXXX �•1, PERSONAL&ADV INJURY $ XXXXXXX J GEN'L AGGREGATE LIMIT APPLIES PER: ) GENERAL AGGREGATE $ XXXXXXX POLICY n PRO- POLICY F-1 LOC PRODUCTS-COMP/OP AGG $ XXXXXXX OTHER: 11-29-2021 $ AUTOMOBILE LIABILITY NOT APPLICABLE COMBINED SINGLE LIMIT $ Ea accident XXXXXXX ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XXXXXXX HIRED NON-OWNED PROPERTY DAMAGE $ XXXXXXX ONLY AUTOS ONLY Per accident $ XXXXXXX UMBRELLA LIAB OCCUR NOT APPLICABLE EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS-MADE AGGREGATE $ XXXXXXX DED I I RETENTION$ $ XXXXXXX WORKERS COMPENSATION NOT APPLICABLE PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ XXXXXXX OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ XXXXXXX If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ XXXXXXX A ARCH&ENG N N 061853691 6/1/2021 6/1/2022 PER CLAIM:$1,000,000 PROFESSIONAL AGGREGATE: $2,000,000 LIABILITY DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) MONROE COUNTY IS IN NEED OF CONSULTING AND ENGINEERING SERVICES FOR VARIOUS INFRASTRUCTURE PROJECTS: TRANSPORTATION ENGINEERING SERVICES;STORMWATER AND DRAINAGE ENGINEERING;ENVIRONMENTAL ENGINEERING SERVICES; STRUCTURAL ENGINEERING SERVICES;GENERAL ENGINEERING SERVICES;COMPREHENSIVE ENGINEERING SERVICES FOR WORK RELATED TO SEA LEVEL RISE ADAPTATION WORK FOR ROADS,FACILITIES,UTILITIES AND HABITAT CERTIFICATE HOLDER CANCELLATION 15139323 Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE IriSUYariCe Compliance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 100085-FX Duluth GA 30096 AUTHORIZED REPRESENTATIV ©1988 015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 2 ATE CERTIFICATE OF LIABILITY INSURANCE D09/16/2021Y) 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 Willis Towers Watson Certificate Center NAME: Willis Towers Watson Midwest, Inc. c/o 26 Century Blvd A/CN No, Ext: 1-677-945-7378 A/C No): 1-888-467-2376 E-MAIL c P.O. Box 305191 ADDRESS: ertificates@willis.com Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Liberty Mutual Fire Insurance Company 23035 INSURED INSURER B: Ohio Casualty Insurance Company 24074 HDR Engineering, Inc. 1917 South 67th Street INSURER C: Liberty Insurance Corporation 42404 Omaha, NE 68106 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W21983665 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR IN SD WVD POLICYNUMBER MM/DD/YYYY MM/DD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE � OCCUR DAMAGE TO RENTED 1,000,000 PREMISES Ea occurrence) $ A X Contractual Liability MED EXP(Any one person) $ 10,000 Y Y TB2-641-444950-031 06/01/2021 06/01/2022 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: Approved RISK Management GENERAL AGGREGATE $ 4,000,000 r t PRODUCTS-COMP/OPAGG $ 4,000,000 X PRO- X POLICY LOC {{ \ OTHER: AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ 2,000,000 11-29-2021 Ea accident X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED Y Y AS2-641-444950-041 06/01/2021 06/01/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 B X EXCESS LIAB CLAIMS-MADE Y Y EUO(22)57919363 06/01/2021 06/01/2022 AGGREGATE $ 5,000,000 DED X RETENTION$ 0 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER 1,000,000 C ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER,MEMBEREXCLUDED? No N/A Y WA7-64D-494950-011 06/O1/2021 06/01/2022 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is named as Additional Insured on General Liability, Automobile Liability and Umbrella/Excess Liability on a Primary, Non-contributory basis where required by written contract. Waiver of Subrogation applies on General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation where required by written contract and as permitted by law. Umbrella/Excess policy is follow form over General Liability, Auto Liability and Employers Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County BOCC AUTHORIZED REPRESENTATIVE 500 Whitehead Street Key West, FL 33040 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 21580773 BATCH: 2237553 AGENCY CUSTOMER ID: LOC#: AC"J?o ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED HDR Engineering, Inc. Willis Towers Watson Midwest, Inc. 1917 South 67th Street POLICY NUMBER Omaha, NE 68106 See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Project: Sea Level Rise Vulnerability Analysis and Planning for County Maintained Roads Infrastructure Adaptation - Monroe County. Additional Insured: County. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 21580773 BATCH: 2237553 CERT: W21983665 Policy Number: TB2-641-444950-031 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED LOCATION(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Location(s): All locations owned by or rented to the Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally b. Claims made or"suits" brought; or obligated to pay as damages caused by "occur- rences" under Section I—Coverage A, and for all c. Persons or organizations making claims or medical expenses caused by accidents under bringing "suits". Section I — Coverage C, which can be attributed 3. Any payments made under Coverage A for only to operations at a single designated "loca- damages or under Coverage C for medical tion" shown in the Schedule above: expenses shall reduce the Designated Loca- tion General Aggregate Limit for that desig- 1. A separate Designated Location General Hated "location". Such payments shall not re- Aggregate Limit applies each designated duce the General Aggregate Limit shown in "location", and that limit t is equal to the the the Declarations nor shall they reduce any amount the General Aggregate Limit other Designated Location General Aggre- gate Limit for any other designated "location" 2. The Designated Location General Aggregate shown in the Schedule above. Limit is the most we will pay for the sum of all 4. The limits shown in the Declarations for Each damages under Coverage A, except damag- Occurrence, Damage To Premises Rented To es because of "bodily injury" or "property You and Medical Expense continue to apply. damage" included in the "products-completed However, instead of being subject to the operations hazard", and for medical expenses General Aggregate Limit shown in the Decla- under Coverage C regardless of the number rations, such limits will be subject to the appli- of: cable Designated Location General Aggre- a. Insureds; gate Limit. CG 25 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 2 B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by 'occur- "products-completed operations hazard" is pro- rences" under Section I—Coverage A, and for all vided, any payments for damages because of medical expenses caused by accidents under "bodily injury" or "property damage" included in Section I — Coverage C, which cannot be at- the "products-completed operations hazard" will tributed only to operations at a single designated reduce the Products-completed Operations Ag- "location" shown in the Schedule above: gregate Limit, and not reduce the General Ag- 1. Any payments made under Coverage A for gregate Limit nor the Designated Location Gen- damages or under Coverage C for medical eral Aggregate Limit. expenses shall reduce the amount available D. For the purposes of this endorsement, the Defi- under the General Aggregate Limit or the nitions Section is amended by the addition of Products-completed Operations Aggregate the following definition: Limit, whichever is applicable; and "Location" means premises involving the same or 2. Such payments shall not reduce any Desig- connecting lots, or premises whose connection is nated Location General Aggregate Limit. interrupted only by a street, roadway, waterway or right-of-way of a railroad. E. The provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 © Insurance Services Office, Inc., 2008 CG 25 04 05 09 Policy Number: TB2-641-444950-031 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): All construction projects not located at premises owned, leased or rented by a Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for obligated to pay as damages caused by 'occur- damages or under Coverage C for medical rences" under Section I—Coverage A, and for all expenses shall reduce the Designated Con- medical expenses caused by accidents under struction Project General Aggregate Limit for Section I — Coverage C, which can be attributed that designated construction project. Such only to ongoing operations at a single designated payments shall not reduce the General Ag- construction project shown in the Schedule gregate Limit shown in the Declarations nor above: shall they reduce any other Designated Con- t. A separate Designated Construction Project struction Project General Aggregate Limit for General Aggregate Limit applies to each des- any other designated construction project ignated construction project, and that limit is shown in the Schedule above. equal to the amount of the General Aggregate 4. The limits shown in the Declarations for Each Limit shown in the Declarations. Occurrence, Damage To Premises Rented To 2. The Designated Construction Project General You and Medical Expense continue to apply. Aggregate Limit is the most we will pay for the However, instead of being subject to the sum of all damages under Coverage A, ex- General Aggregate Limit shown in the Decla- cept damages because of "bodily injury" or rations, such limits will be subject to the appli- "property damage" included in the "products- cable Designated Construction Project Gen- completed operations hazard", and for medi- eral Aggregate Limit. cal expenses under Coverage C regardless of the number of: a. Insureds; b. Claims made or"suits" brought; or c. Persons or organizations making claims or bringing "suits". CG 25 03 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 2 ❑ B. For all sums which the insured becomes legally C. When coverage for liability arising out of the obligated to pay as damages caused by "occur- "products-completed operations hazard" is pro- rences" under Section I—Coverage A, and for all vided, any payments for damages because of medical expenses caused by accidents under "bodily injury" or "property damage" included in Section I — Coverage C, which cannot be at- the "products-completed operations hazard" will tributed only to ongoing operations at a single reduce the Products-completed Operations Ag- designated construction project shown in the gregate Limit, and not reduce the General Ag- Schedule above: gregate Limit nor the Designated Construction 1. Any payments made under Coverage A for Project General Aggregate Limit. damages or under Coverage C for medical D. If the applicable designated construction project expenses shall reduce the amount available has been abandoned, delayed, or abandoned under the General Aggregate Limit or the and then restarted, or if the authorized contract- Products-completed Operations Aggregate ing parties deviate from plans, blueprints, de- Limit, whichever is applicable; and signs, specifications or timetables, the project will 2. Such payments shall not reduce any Desig- still be deemed to be the same construction pro- nated Construction Project General Aggre- ject. gate Limit. E. The provisions of Section III — Limits Of Insur- ance not otherwise modified by this endorsement shall continue to apply as stipulated. Page 2 of 2 © Insurance Services Office, Inc., 2008 CG 25 03 05 09 POLICY NUMBER: TB2-641-444950- COMMERCIAL GENERAL LIABILITY 031 CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A Section II — Who Is An Insured is amended to 1. All work, including materials, parts or include as an additional insured the person(s) or equipment furnished in connection with such organization(s) shown in the Schedule, but only with work, on the project (other than service, respect to liability for "bodily injury", "property maintenance or repairs) to be performed by or damage" or "personal and advertising injury" on behalf of the additional insured(s) at the caused, in whole or in part, by: location of the covered operations has been 1. Your acts or omissions; or completed; or 2. The acts or omissions of those acting on your 2. That portion of "your work" out of which the behalf; injury or damage arises has been put to its in the performance of your ongoing operations for intended use by any person or organization the additional insured(s) at the location(s) other than another contractor or subcontractor designated above. engaged in performing operations for a principal as a part of the same project. However: C. With respect to the insurance afforded to these 1. The insurance afforded to such additional additional insureds, the following is added to insured only applies to the extent permitted by Section III —Limits Of Insurance: law; and If coverage provided to the additional insured is 2. If coverage provided to the additional insured is required by a contract or agreement, the most we required by a contract or agreement, the will pay on behalf of the additional insured is the insurance afforded to such additional insured will amount of insurance: not be broader than that which you are required 1. Required by the contract or agreement;or by the contract or agreement to provide for such additional insured. 2. Available under the applicable limits of B. With respect to the insurance afforded to these insurance; additional insureds, the following additional whichever is less. exclusions apply: This endorsement shall not increase the This insurance does not apply to "bodily injury" or applicable limits of insurance. "property damage" occurring after: SCHEDULE Name Of Additional Insured Person(s) Location(s) Of Covered Operations Or Organization(s): Any person or organization with whom you have agreed All locations as required by a written contract or through written contract, agreement or permit to provide agreement entered into prior to an'occurrence"or additional insured coverage offense Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 POLICY NUMBER: TB2-641-444950- COMMERCIAL GENERAL LIABILITY 031 CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III—Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the"products-completed operations hazard". 1. Required by the contractor agreement; or However: 2. Available under the applicable limits of 1. The insurance afforded to such additional insurance; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the applicable 2. If coverage provided to the additional insured is limits of insurance. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. SCHEDULE Name Of Additional Insured Person(s) OrOrganization(s): Location And Description Of Completed Operations Any person or organization to whom or to which you are Any location where you have agreed,through written, required to provide additional insured status in a written contract, agreement,or permit,to provide additional contract, agreement or permit except where such insured coverage for completed operations contact or agreement is prohibited. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 Policy Number TB2-641-444950-031 Issued by Liberty Mutual Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY— OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to Section IV—Conditions 4. Other Insurance and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed prior to a loss, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. (3) This insurance is excess over any other insurance available to the additional insured for which it is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same 'occurrence", claim or"suit'. LID 24 153 08 16 ©2016 Liberty Mutual Insurance Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. POLICY NUMBER: AS2-641-444950-041 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name Of Person(s) Or Organization(s): As required by written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 Policy Number: AS2-641-444950-041 Issued by: Liberty Mutual Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED- NONCONTRIBUTING This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIERS COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s)or organization(s)who are"insureds"under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage form. Schedule Name of Person(s) or Organizations(s): Any person or organization where the Named Insured has agreed by written contract to include such person or organization Regarding Designated Contract or Project: Any Each person or organization shown in the Schedule of this endorsement is an"insured"for Liability Coverage,but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. The following is added to the Other Insurance Condition: If you have agreed in a written agreement that this policy will be primary and without right of contribution from any insurance in force for an Additional Insured for liability arising out of your operations, and the agreement was executed prior to the "bodily injury" or "property damage", then this insurance will be primary and we will not seek contribution from such insurance. AC 84 23 0811 © 2010, Liberty Mutual Group of Companies. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office,Inc., with its permission. POLICY NUMBER: TB2-641-444950-031 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: As required by written contract or agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done un der a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 1 POLICY NUMBER: AS2-641-444950-041 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. SCHEDULE Name(s) Of Person(s) Or Organization(s): Any person or organization for whom you perform work under a written contract of the contract requires you to obtain this agreement from us but only if the contract is executed prior to the injury or damage occurring. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the 'loss" under a c ontract with that person or organization. CA 04 44 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Where required by contract or written agreement prior to loss. Issued by:Liberty Insurance Corporation For attachment to Policy No WA7-64D-444950-011 Effective Date 06/01/2021 Premium Issued to:HDR Engineering, Inc. WC 00 03 13 © 1983 National Council on Compensation Insurance, Inc. Page 1 of 1 Ed. 4/1/1984 Policy Number TB2-641-444950-031 Issued by Liberty Mutual Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL LIABILITY—UMBRELLA COVERAGE FORM Schedule Name of Other Person(s) / Email Address or mailing address: Number Days Notice: Organization(s): As required by written contract or As required by written contract or 30 written agreement written agreement A. If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. LIM 99 04 03 14 ©2014 Liberty Mutual Insurance.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. Policy Number AS2-641-444950-041 Issued by Liberty Mutual Fire Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION OR MATERIAL REDUCTION IN COVERAGE TO THIRD PARTIES This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE PART MOTOR CARRIER COVERAGE PART GARAGE COVERAGE PART TRUCKERS COVERAGE PART EXCESS AUTOMOBILE LIABILITY INDEMNITY COVERAGE PART SELF-INSURED TRUCKER EXCESS LIABILITY COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART COMMERCIAL LIABILITY—UMBRELLA COVERAGE FORM Schedule Name of Other Person(s) I Email Address or mailing address: Number Days Notice: Organization(s): As required by written contract 30 or written agreement A. If we cancel this policy for any reason other than nonpayment of premium, or make a material reduction in coverage, we will notify the persons or organizations shown in the Schedule above. We will send notice to the email or mailing address listed above at least 10 days, or the number of days listed above, if any, before the cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation or material reduction of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. All other terms and conditions of this policy remain unchanged. LIM 99 04 03 14 ©2014 Liberty Mutual Insurance.All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. NOTICE OF CANCELLATION TO THIRD PARTIES A. If we cancel this policy for any reason other than nonpayment of premium, we will notify the persons or organizations shown in the Schedule below. We will send notice to the email or mailing address listed below at least 10 days, or the number of days listed below, if any, before cancellation becomes effective. In no event does the notice to the third party exceed the notice to the first named insured. B. This advance notification of a pending cancellation of coverage is intended as a courtesy only. Our failure to provide such advance notification will not extend the policy cancellation date nor negate cancellation of the policy. Schedule Name of Other Person(s)/ Email Address or mailing address: Number Days Notice: Organization(s): As required by written 30 contract or agreement All other terms and conditions of this policy remain unchanged. Issued by Liberty Insurance Corporation For attachment to Policy No.WA7-64D-444950-011 Effective Date 06/01/2021 Premium$ Issued to HDR Engineering,Inc. Endorsement No. WC 99 20 75 ©2016 Liberty Mutual Insurance Page 1 of 1 Ed.12/01/2016