Item C07 C.7
County f � .�� ��� BOARD OF COUNTY COMMISSIONERS
Mayor David Rice,District 4
Mayor Pro Tem Craig Cates,District 1
The Florida Keys '
Y � �F' Michelle Coldiron,District 2
Vacant,District 3
--' Holly Merrill Raschein,District 5
County Commission Meeting
February 16, 2022
Agenda Item Number: C.7
Agenda Item Summary #10145
BULK ITEM: Yes DEPARTMENT: Engineering/Roads
TIME APPROXIMATE: STAFF CONTACT: Debra London (305) 453-8754
N/A
AGENDA ITEM WORDING: Approval of Amendment Seven to the contract with WSP USA,
Inc. for engineering design and permitting services for the Sea Level Rise Pilot - Twin Lakes
Subdivision (Key Largo) project to include the Hydrology and Hydraulics (H&H) Study required by
the Hazard Mitigation Grant Program (HMGP). This amendment, in the maximum not to exceed
amount of$15,081.57, will not increase the overall total contract amount due to balances remaining
in other tasks that can be utilized.
ITEM BACKGROUND:
The County has been awarded the Phase 1 of a Hazard Mitigation Grant Program agreement with the
Florida Department of Emergency Management(FDEM), for a portion of the design of Twin Lakes
Subdivision Drainage project. (Project number 4337-525-R (IRMA), Grant Agreement number
H0663). This agreement with FDEM is only for Phase I — engineering, design, plans preparation,
permitting and bidding of the project. A deliverable requirement is a Hydrologic and Hydraulic
(H&H) study. The WSP USA, Inc. engineering design and permitting contract is the basis of the
Phase I grant agreement.
The H&H study will include three scenarios to compare the mitigation effectiveness, hydraulic
effects and any other losses before and after mitigation. The three scenarios address tidal flooding,
commonly referred to as nuisance flooding, based on the NOAA Intermediate High curve for Sea
Level Rise projections as outlined in the 2019 South Florida Climate Compact Report. Days of
flooding shall be provided for the following recurrence intervals:
1. A) Existing conditions using groundwater of the year 2030
B) Proposed improvements using groundwater of the year 2030
2. A) Existing conditions using groundwater of the year 2040
B) Proposed improvements using groundwater of the year 2040
3. A) Existing conditions using groundwater of the year 2070
B) Proposed improvements using groundwater of the year 2070
In addition, the H&H study will include an analysis of rainfall and runoff for three rainfall events
including the 2 year/24 hour, 5 yr/24 hour and 10 year/24 hour storm events. A comparison of pre
and post development maximum staging shall be provided to demonstrate the benefits the proposed
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improvements shall accomplish.
PREVIOUS RELEVANT BOCC ACTION:
December 8, 2021 — The BOCC approved Phase 1 of a Hazard Mitigation Grant Program agreement
with the Florida Department of Emergency Management (FDEM) to provide a portion of design
funding, in the amount of$130,859.36, for the Twin Lakes Subdivision Sea Level Rise Pilot Project,
Key Largo.
September 15, 2021 — The BOCC approved Amendment Six to the contract with WSP USA, Inc. for
Engineering Design and Permitting for the Sea Level Rise Pilot Project, to add adjacent Avenue G to
the project limits in the maximum not to exceed amount of $77,949.58, revising the total contract
amount to $1,125,401.37.
July 21, 2021- The BOCC approved Amendment Five to the contract with WSP USA, Inc. for
Engineering Design and Permitting for the Sea Level Rise Pilot Project, to provide HUD-DEO-
CDBG-DR environmental review/environmental assessment and statutory checklist requirements in
the maximum not to exceed amount of $15,460.37, revising the total contract amount to
$1,047,451.79.
March 17, 2021 — The BOCC approved Amendment 4 to the contract to evaluate and revise the
roadway design criteria to higher target elevations based on more recent sea level rise projection data
for both the Twin Lakes and Sands subdivisions; revised the pump station layout onto two County
owned lots for the Sands design; added three phase power design for the electrical utility tie in for
the pump station in Twin Lakes, and prepared a memorandum to evaluate the feasibility and cost of
the use of outfalls versus injection wells. These revisions are in the maximum not to exceed amount
of$467,943.61, revising the total contract amount to $1,031,991.42.
August 19, 2020 — The BOCC approved Amendment 3 to the contract adding lightning protection
design in the maximum not to exceed amount of $18,278.00, revising the total contract amount to
$564,047.81.
November 20, 2019 — The BOCC approved Amendment 2 to the contract for National Park Service
(NPS) - (Everglades National Park) permitting requirements in the maximum not to exceed amount
of$20,751.77, revising the total contract amount to $545,769.81.
October 16, 2019 — The BOCC approved Amendment 1 to the contract for subconsultant Longitude
Surveyors additional topographic and boundary surveying services in the amount of $7,500.00, due
to utilization of the lot purchased by the County to be used for pump station infrastructure; RE
Number 00302870-000000, Avenue C and Father Tony Way, Big Pine Key, revising the estimated
not to exceed amount to $525,018.04.
June 19, 2019 — The BOCC approved the purchase of lot RE number 00302870-000000 in the Sands
subdivision on Big Pine Key for the installation of drainage system pump station equipment for the
Sea Level Rise Pilot project.
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C.7
November 20, 2018 — The BOCC approved a contract with WSP USA, Inc. in the amount of
$517,518.04 for Engineering Design and Permitting for the Sea Level Rise Pilot Project.
July 18, 2018 — The BOCC approved negotiations with WSP USA, Inc., the highest ranked
respondent for Engineering Design and Permitting for the Sea Level Rise Pilot Project.
January 18, 2017 — The BOCC approved by resolution the final report of the Tidal Flooding Roads
Demonstration Project, which recommends road improvements in two communities (Twin Lakes
subdivision in Key Largo and the Sands Subdivision in Big Pine Key) and to move forward with the
design phase to implement the recommendations.
November 22, 2016 — The BOCC approved Amendment No. 9 to the Sustainability Action
Plan/Climate Change and Energy Savings Initiatives contract to finalize tasks for the Pilot
Roads/Tidal Flooding Roads Demonstration Project for specified roads in the Twin Lakes
subdivision in Key Largo and the Sands Subdivision in Big Pine Key.
CONTRACT/AGREEMENT CHANGES:
Add H&H Study for Twin Lakes HMGP grant in the amount of$15,081.57
STAFF RECOMMENDATION: Approval of Amendment 7 to WSP USA, Inc. Engineering and
Design Sea Level Rise contract.
DOCUMENTATION:
Amendment 7 WSP Design Services Twin Lakes H and H Study-signed(rev)
6 Amendments and original WSP contract
FINANCIAL IMPACT:
Effective Date: February 16, 2022
Expiration Date: 30 days after final construction completion
Total Dollar Value of Contract Amendment 7: $15,081.57.
Total Cost to County: $15,081.57. (Will be funded by balances remaining in other tasks)
Current Year Portion: $15,081.57.
Budgeted: yes
Source of Funds: 102— County Road and Bridge Fund 22562
CPI: N/A
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts: N/A
Revenue Producing: NO If yes, amount:
Grant:
County Match: N/A
Insurance Required: yes -
Additional Details: Amendment 7 in the amount of$15,081.5 will not increase the overall
WSP USA, Inc. SLR design contract amount due to balances available in other tasks.
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C.7
02/16/22 102-22002 - COUNTY ENGINEER R & B $15,081.57
Sea Level Rise Pilot Project
REVIEWED BY:
Judith Clarke Completed 01/28/2022 3:46 PM
Christine Limbert Completed 01/28/2022 4:45 PM
Purchasing Completed 01/28/2022 4:48 PM
Budget and Finance Completed 01/31/2022 10:24 AM
Maria Slavik Completed 01/31/2022 12:02 PM
Liz Yongue Completed 02/01/2022 11:32 AM
Board of County Commissioners Pending 02/16/2022 9:00 AM
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AMENDMENT 7 TO THE CONTRACT FOR ENGINEERING DESIGN AND PERMITTING SERVICES
BETWEEN MONROE COUNTY BOCC AND WSP USA, INC. FOR THE
SEA LEVEL RISE ROADWAY AND DRAINAGE PILOT PROJECT
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THIS AMENDMENT 7 to the CONTRACT is entered into this 16th day of February 2022, between Monroe
County, whose address is 1100 Simonton Street, Room 2-216 Key West, Florida 33040, hereafter the "COUNTY" and
WSP USA, Inc., a Corporation of the State of New York, whose address is 7650 Corporate Center Drive, Suite 300, m
Miami, FL 33126, hereafter referred to as "CONSULTANT".
WHEREAS, on the 20th day of November 2018, the parties executed a contract authorizing the Consultant to
perform Professional Services for the Engineering Design and Permitting Services for the Sea Level Rise Roadway and
Drainage Pilot Project, for an estimated not to exceed amount of$517,518.04; and
WHEREAS, on the 16th day of October 2019, the parties executed AMENDMENT 1 to the contract for
subconsultant Longitude Surveyors to perform additional topographic and boundary surveying services in the amount of
$7,500.00, due to utilization of the lot purchased by the County to be used for pump station infrastructure; RE Number �--
00302870-000000, Avenue C and Father Tony Way, Big Pine Key; and revising the estimated not to exceed amount to
$525,018.04; and
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WHEREAS, on the 20th day of November 2019, the parties executed AMENDMENT 2 to the contract to add
National Park Service (NPS) permitting requirements in the amount of$20,751.77 due to the Key Largo project right-of-
way encroachment on Everglades National Park lands; and revising the estimated not to exceed amount to $545,769.81;
and
WHEREAS, on the 19th day of August 2020, the parties executed AMENDMENT 3 to the contract to revise the
contract to add lightning protection design for the electrical equipment associated with the proposed pump stations in
the amount of$18,278.00, and revising the estimated not to exceed amount to $564,047.81; and N
WHEREAS, on the 17th day of March 2021, the parties executed AMENDMENT 4 to the contract to revise the
contract to add Task 1: Evaluate new target elevations (Twin Lakes and Sands); Task 2: Evaluate use of outfall versus
injection wells for disposal method; Task 3: Revise the Sands pump station layout onto two County owned lots; Task 4:
Provide subsurface electrical conduit design for Phase 3 power connection required by FKEC (Twin Lakes); Task 5:
Revise design to incorporate new target elevation(Twin Lakes)Task 6: Revise design to incorporate new target elevation
(Sands) in the estimated not to exceed amount of$467,943.61, revising the total estimated not to exceed amount to y
$1,031,991.42; and
WHEREAS, on the 21st day of July 2021, the parties executed AMENDMENT 5 to the contract to revise the _
contract to amend Article II Scope of Basic Services to add environmental assessment for Sands subdivision and
compliance support as required by U.S. Department of Housing and Urban Development's (HUD) Community y
Development Block Grant (CDBG) Program grant requirements in the estimated not to exceed amount of$15,460.37,
revising the total estimated not to exceed amount to $1,047,451.79; and
WHEREAS, on the 15th day of September 2021, the parties executed AMENDMENT 6 to the contract to revise
the contract to amend Article II Scope of Basic Services to add Avenue G Sands subdivision Sea Level Rise Pilot project N
scope to include topographic survey, updating drainage model, design of approximately 1000 linear feet or roadway,
design ditches, identify existing utilities and harmonize roadway to existing private property in the estimated not to exceed CL
amount of$77,949.58, revising the total estimated not to exceed amount to $1,125,401.37; and
NOW THEREFORE, in consideration of the mutual promises contained herein, the COUNTY and CONSULTANT
agree to amend Article 11, Scope of Basic Services;Article VII, Compensation, Paragraph 7.1.1 of the contract as follows: m
Amend Article II Scope of Basic Services per Attachment A to add a Hydrologic and Hydraulic (H&H) study
required by the FEMA Hazard Mitigation Grant Program agreement in the estimated not to exceed amount of$15,081.57.
Amendment 7 Task E
WSP Twin Lakes H&H Study $ 15,081.57
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The casts are a maximum not to exceed amount based on WSP hourly contract rates.
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There is no change to the total contract amount limit.Funding for this task will be from existing other task remaining
fund balances and any remaining funds in design tasks may be used post design for bid and construction phase
services.
This AMENDMENT 7 is effective February 16,2022.
In all other respects,the Contract approved November 20,2018,BOCC,as amended October 16,2019,November
20, 2019, August 19, 2020, March 17, 2021, July 21, 2021 and September 15, 2021 , remains in full force and
effect.
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In WITNESS WHEREOF,each party hereto has caused this contract to be executed by its duly authorized 0
representative. g
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BOARD OF COUNTY COMMISSIONERS OF WSP USA,Inc. r
MONROE COUNTY, FLORIDA Consultant
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The foregoing instrument was subscribed and
savor to(or affirmed)before me, by means
of Cphy ical presence or G7online
(SEAL)
Attest: KEVIN MADOK,Clerk this day o 22, by
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MONROE COUNTY ATTORNEY
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ASSISTANT COUNTY ATTORNEY
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Sea Level Rise Pilot Project Design c
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Project No. 193618A
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January 7,2022
Debra London, CPPB,FCCM,MBA 0
Engineering Department—Project Manager
Monroe County 2
Murray Nelson Bldg.
102050 Overseas Hwy, Suite 229
Key Largo,FL 33037 r,
Subject: Sea Level Rise(SLR)Pilot Design Project
Amendment 7 H&H Study-Twin Lakes
Dear Ms.London,
As requested on November 12,2021 the County asked WSP to prepare a scope and fee to prepare a
H&H study for Twin Lakes.According to the requirements of the Hazard Mitigation Grant Program,
the H&H study must"show the engineer's estimate of the pre and post-mitigation effects of the
proposed project and the relationship of the damages to be mitigated[...]."The drainage report and
comparison memo shall be used to develop the H&H study and provide the requested information in
for the FDEM grant award for Twin Lakes. s
As soon as we receive the County's approval,we will commence with this amendment.
Please,do not hesitate to contact me, should you have any question.
Sincerely,
Ronald M. Colas,PE, SI Werner Reinefeld,PE )
Vice President- Senior Area Manager Supervising Engineer
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Scope and
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TASK 1. H&H STUDY - TWIN LAKES0.
Introduction
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According to the requirements of the Hazard Mitigation Grant Program,the H&H study must
"show the engineer's estimate of the pre and post-mitigation effects of the proposed project and E
the relationship of the damages to be mitigated[...]. The H&H study shall contain at least 3
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scenarios,where one represents the level of protection;under each scenario,the sub-recipient must
identify the losses before and after mitigation (structural,content,displacement,road closure
duration,or any other needed to show the improvements after the mitigation project is 6
implemented). This includes,but is not limited to,the existing and proposed hydrology and 2
hydraulics for the level of event being mitigated."The H&H Study that W SP will perform will
demonstrate that the proposed project shall reduce flood levels and thus reduce any damages to
existing roadways.However,an economic benefit-cost analysis shall be performed by the County
corresponding with the findings of the H&H study.
An
Scope
The H&H study will include three scenarios to compare the mitigation effectiveness,hydraulic m
effects and any other losses before and after mitigation.The three scenarios address tidal flooding,
commonly referred to as nuisance flooding,based on the NOAA Intermediate High curve for Sea
Level Rise projections as outlined in the 2019 South Florida Climate Compact Report.Days of
flooding shall be provided for the following recurrence intervals:
1. A)Existing conditions using groundwater of the year 2030
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B)Proposed improvements using groundwater of the year 2030
2. A)Existing conditions using groundwater of the year 2040
B)Proposed improvements using groundwater of the year 2040 y
3. A)Existing conditions using groundwater of the year 2070
B)Proposed improvements using groundwater of the year 2070
In addition,the H&H study will include an analysis of rainfall and runoff for three rainfall events
including the 2 year/24 hour, 5 yr/24 hour and 10 year/24 hour storm events. A comparison of pre
and post development maximum staging shall be provided to demonstrate the benefits the pro-
posed improvements shall accomplish. t)
The H&H Study will include: N
•Water surface elevations for tidal induced flooding at proposed project relative to BFE in tabular
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format. U)
•Rainfall runoff events to be mitigated through a stormwater collection and management system
including the 2 year, 5 year and 10 year events.Nodal maximum stages shall be provided for pre
and post scenarios for these storms in tabular format. -�
•A description of the pre-disaster site conditions, an overview of the damages and a description of m
the proposed installation.
•Identification of the exact location of the site using latitude and longitude and the name of the
roads and neighborhoods,as applicable.
•A description of the methodology used to analyze the area and the input parameters used in the
calculations.
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•A statement indicating why the selected storm frequencies and tide levels was chosen for the 0
analysis. r�
•A summary statement that provides an overview of the analysis and signed/stamped by a
Professional Engineer.
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It is understood that WSP USA,Inc. has anticipated all efforts for this task and any additional
H&H Study requirements not contemplated in this proposal will be at no charge to the County.
D Merabl >
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— H&H Study
NTP+4 weeks c
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I stgff ate(l Fee �
The table below indicates the level of effort associated with this Task >
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7_<:bl . Sffrrrrrt<:sP"Y of Cost Arrie,"lt'rrrent T
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,acoizo® CERTIFICATE OF LIABILITY INSURANCE
10/26/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI:
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE!
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE[
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
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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 oI
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: AJG Service Team �.
Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX
250 Park Avenue, 5th Floor A/C No Ext: 212-981-2485 A/C,No:212-994-7074
New York NY 10177 ADDE-MRESS: GGB.WSPUS.CertRequests@ajg.com E
INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: QBE Specialty Insurance Company 11515
INSURED WSPGLOB-01 INSURER B
WSP USA Inc.
One Penn Plaza INSURER : Q
New York, NY 10119 INSURER D 7
INSURER E: Q
INSURER F:
COVERAGES CERTIFICATE NUMBER:837324437 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOI W
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI: rtl
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM Ir
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICY EFF POLICY EXP 9
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MM/DD LIMITS '>
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES Ea occurrence)
ccurrence $
Approved Risk Management MED EXP(Any one person) $ >
PERSONAL&ADV INJURY $ �...
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICYEl PELT LOC PRODUCTS-COMP/OP AGG $
OTHER:
12-28-2021 $ `h
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
Ea accident
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
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UMBRELLA LAB OCCUR EACH OCCURRENCE $
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DED RETENTION$ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ N
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2
A Professional Liability QPL0022630 11/1/2021 10/31/2022 Per Claim/Aggregate $1,000,000
CLAIMS-MADE 0)
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DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) N
THIRTY(30)DAYS NOTICE OF CANCELLATION
RE: Project#-193618; Project Description-Engineering Design and Permitting for Sea Level Rise Roadway and Drainage Pilot Project
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CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORI
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED II
ACCORDANCE WITH THE POLICY PROVISIONS.
Monroe County BOCC
1100 Simonton Street AUTHORIZED REPRESENTATIVE
Key West FL 33040
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
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A�® CERTIFICATE OF LIABILITY INSURANCE 4/29/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI:
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE.'
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE[
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
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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 oI
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT
NAME: AJG Service Team �.
Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX
250 Park Avenue, 5th Floor A/C No Ext: 212-994-7100 A/C,No:212-994-7047
New York NY 10177 ADDE-MRESS: GGB.WSPUS.CERTREQUESTS@AJG.COM E
INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA:Zurich American Insurance Company 16535
INSURED WSPGLOB-01 INSURER B: Liberty Insurance Corporation 42404
WSP USA Inc.
One Penn Plaza INSURER : O
New York, NY 10119 INSURER D 7
INSURER E: O
INSURER F:
COVERAGES CERTIFICATE NUMBER:1432882618 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOI W
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI: rtl
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM Ir
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL SUBR POLICY EFF POLICY EXP 9
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MM/DD LIMITS '>
A )( COMMERCIAL GENERAL LIABILITY Y GL0983581908 5/1/2021 5/1/2022 EACH OCCURRENCE $3,500,000
CLAIMS-MADE � OCCUR PREMISES DAMAGE TO
PREMISES Ea occurrence)
ccurrence $300,000
X
Contractual Liab MED EXP(Any one person) $7,500 �
PERSONAL&ADV INJURY $3,500,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $7,000,000 0)
POLICY❑ JECT PRO ❑ LOC PRODUCTS-COMP/OP AGG $3,500,000
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OTHER: $
B AUTOMOBILE LIABILITY Y AS7-621-094060-031 5/1/2021 5/1/2022 C EOMBINED SINGLE LIMIT $5,000,000
a accident
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
$
A X UMBRELLA LAB X OCCUR AUC0144386-05 5/1/2021 5/1/2022 EACH OCCURRENCE $1,000,000
EXCESS LAB CLAIMS-MADE AGGREGATE $1,000,000 le
DED RETENTION$ Follow Form $
B WORKERS COMPENSATION WA7-62D-094060-011 5/1/2021 5/1/2022 X PER OTH-
AND EMPLOYERS'LIABILITY STATUTE ER °®
ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $2,000,000
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $2,000,000 N
If yes,describe under 0)
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $2,000,000 U
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) N
THIRTY(30)DAYS NOTICE OF CANCELLATION.
RE: Project#-193618; Project Description-Engineering Design and Permitting for Sea Level Rise Roadway and Drainage Pilot Project Monroe County BOC
is named as Additional Insured as respects General Liability and Auto Liability policies, pursuant to and subject to the policy's terms,definitions,conditions an CL
exclusions.
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6 . 1 .2021
CERTIFICATE HOLDER - - _' .ANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORI
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED II
ACCORDANCE WITH THE POLICY PROVISIONS.
Monroe County BOCC
1100 Simonton Street AUTHORIZED REPRESENTATIVE
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