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Item C04 D/5 BOARD OF COUNTY COMMISSIONERS C ounty of M onroe Mayor David Rice, District 4 Mayor Pro Tem Craig Cates, District 1 The Florida Keys Michelle Coldiron, District 2 Vacant, District 3 Holly Merrill Raschein, District 5 County Commission Meeting March 16, 2022 Agenda Item Number: C.4 Agenda Item Summary #10095 BULK ITEM: Yes DEPARTMENT: Facilities Maintenance TIME APPROXIMATE: STAFF CONTACT: Alice Steryou (305) 292-4549 None AGENDA ITEM WORDING: Approval of a Third Amendment to Agreement with Sub-Zero, Inc., for Lower Keys HVAC Maintenance & Service, for a one-year renewal, a 7% CPI-U increase, and changes to contract provisions. Funding is Ad Valorem. ITEM BACKGROUND: On March 21, 2019, the BOCC approved a RFP Bid Award Agreement for Lower Keys HVAC Maintenance & Services with Sub-Zero Inc. There is an initial three (3) year term beginning April 1, 2019, which terminates on March 31, 2022. The County has an option to renew for an additional two (2) one-year periods. On May 20, 2020, the BOCC approved aFirst Amendment to revise the contract maintenance of records provision, non-discrimination, and termination clauses, and to update and/or add current revisions pursuant to its ordinances and/or Federal Required Contract Provisions. 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 at December 31 of the previous year. Due to COVID-19 resulting in County reduced revenues, there was not an annual CPI-U increase in 2020. In this Third Amendment, staff is requesting an annual CPI-U increase reflecting the CPI-U on December 31, 2021, of 7%. Sub-regular hourly rates, during normal working hours of 8:00 am to 5:00 pm, Monday through Friday, excluding holidays, shall increase for a mechanic from $89.23 to $95.48 and for a mechanic plus helper from $130.81 to $139.97. The overtime labor rates, for hours not stated above, including holidays, shall increase for a mechanic from $106.47 to $113.92 and for a mechanic plus helper from $141.96 to $151.90. The Third Amendment also renews the agreement term for an additional year with the new term to commence on April 1, 2022, and terminate on March 31, 2023. Additionally, this Amendment adds or modifies certain contract provisions to comply with County ordinances or policies, Florida statutes, and Federal required contract provisions. PREVIOUS RELEVANT BOCC ACTION: March 17, 2021 BOCC approved a Second Amendment to Agreement to revise the contract maintenance of records provision, non-discrimination, and termination clauses, and to update and/or add current revisions pursuant to Qbdlfu!Qh/!379 D/5 its ordinances and/or Federal Required Contract Provisions and the CPI-U on December 31, 2021 increase of 1.4%. May 20, 2020 BOCC approved a First Amendment to Agreement to revise the contract maintenance of records provision, non-discrimination, and termination clauses, and to update and/or add current revisions pursuant to its ordinances and/or Federal Required Contract Provisions. Due to COVID- 19 resulting in County reduced revenues. there was not an annual CPI-U increase in 2020. March 21, 2019 BOCC approved a RFP Bid Award agreement for Lower Keys HVAC Maintenance & Services with Sub-Zero Inc. with an initial three (3) year term beginning April 1, 2019, and terminating on March 31, 2022. The County shall have an option to renew for an additional two (2) one-year periods. CONTRACT/AGREEMENT CHANGES: Third Amendment to Sub-Zero Agreement for a CPI-U increase of 7%, renewal of one-year term, and add or modify contract provisions. STAFF RECOMMENDATION: Approval DOCUMENTATION: 03-16-2022_3rd Amendment Agreement_SubZero (final legal stamped)wExhibits-Partial Exec 03-17-2021_C-9_MT 7886_2nd Amendment_Sub Zero_Executed 1st Amendment 05/20/2020 03/21/2019 Agreement COI-GL-Auto-12-10-2022-Sub Zero-Exec COI-WC-01-01-2023-Sub Zero-Exec FINANCIAL IMPACT: Effective Date: 4/01/2022 Expiration Date: 3/31/2023 Total Dollar Value of Contract: $120,000.00/year annual CPI-U increase of $8,400.00 Total Cost to County: Annual CPI-U increase of $8,400.00 Current Year Portion: $4,200.00 Budgeted: Yes Source of Funds: Ad Valorem CPI: Yes Indirect Costs: N/A Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: No If yes, amount: Qbdlfu!Qh/!37: D/5 Grant: No County Match: N/A Insurance Required: Yes Additional Details: Three (3) year agreement with two (2) optional, one-year renewals. The Third Amendment includes the first optional one year renewal and the CPI-U for December 31, 2021,is 7% . The new one-year renewal will commence on 4-1-22 and terminate on 3-31-23. Other revisions will update certain contract provisions to be in compliance with County, State, and Federal laws. 03/21/19 001-20501 · FACILITIES MAINTENANCE $6,300.00 03/21/19 101-20505 · CORRECTION FACILITIES $1,400.00 03/21/19 147-20503 · UNINC PARKS & BEACHES $700.00 Total: $8,400.00 REVIEWED BY: Patricia Eables Completed 03/01/2022 4:29 PM William DeSantis Completed 03/01/2022 4:36 PM Purchasing Completed 03/01/2022 5:01 PM Budget and Finance Completed 03/01/2022 5:03 PM Maria Slavik Completed 03/01/2022 5:23 PM Lindsey Ballard Completed 03/01/2022 5:26 PM Board of County Commissioners Pending 03/16/2022 9:00 AM Qbdlfu!Qh/!381 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!382 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!383 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!384 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!385 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!386 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!387 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!388 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!389 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!38: D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!391 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!392 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!393 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!394 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!395 D/5/b EXHIBIT “A –REVISED DAVIS BACON WAGE STATEMENT Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt 15 Qbdlfu!Qh/!396 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!397 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!398 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!399 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!39: D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Qbdlfu!Qh/!3:1 D/5/b EXHIBIT “B” BYRD ANTI-LOBBYING CERTIFICATION Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt 16 Qbdlfu!Qh/!3:2 D/5/b 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 making 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, 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. Authorized Official Date Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Page 102 of 106 Qbdlfu!Qh/!3:3 D/5/b Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Page 103 of 106 Qbdlfu!Qh/!3:4 D/5/b 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 by this 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 influenced 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 (Ml). 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» PART 2/COUNTY 2-6d Buubdinfou;!14.27.3133`4se!Bnfoenfou!Bhsffnfou`Tvc\[fsp!)gjobm!mfhbm!tubnqfe*xFyijcjut.Qbsujbm!Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt Page 104 of 106 Qbdlfu!Qh/!3:5 D/5/c Buubdinfou;!14.28.3132`D.:`NU!8997`3oe!Bnfoenfou`Tvc!\[fsp`Fyfdvufe!!)Uijse!Bnfoenfou.Mpxfs!Lfzt!IWBD!Nbjoufobodf!'!Tfswjdf.Tvc Qbdlfu!Qh/!3:6 D/5/c Buubdinfou;!14.28.3132`D.:`NU!8997`3oe!Bnfoenfou`Tvc!\[fsp`Fyfdvufe!!)Uijse!Bnfoenfou.Mpxfs!Lfzt!IWBD!Nbjoufobodf!'!Tfswjdf.Tvc Qbdlfu!Qh/!3:7 D/5/c Buubdinfou;!14.28.3132`D.:`NU!8997`3oe!Bnfoenfou`Tvc!\[fsp`Fyfdvufe!!)Uijse!Bnfoenfou.Mpxfs!Lfzt!IWBD!Nbjoufobodf!'!Tfswjdf.Tvc Qbdlfu!Qh/!3:8 D/5/c Buubdinfou;!14.28.3132`D.:`NU!8997`3oe!Bnfoenfou`Tvc!\[fsp`Fyfdvufe!!)Uijse!Bnfoenfou.Mpxfs!Lfzt!IWBD!Nbjoufobodf!'!Tfswjdf.Tvc Qbdlfu!Qh/!3:9 D/5/c Buubdinfou;!14.28.3132`D.:`NU!8997`3oe!Bnfoenfou`Tvc!\[fsp`Fyfdvufe!!)Uijse!Bnfoenfou.Mpxfs!Lfzt!IWBD!Nbjoufobodf!'!Tfswjdf.Tvc Qbdlfu!Qh/!3:: D/5/c 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Buubdinfou;!140320312:!Bhsffnfou!!)Uijse!Bnfoenfou.Mpxfs!Lfzt!IWBD!Nbjoufobodf!'!Tfswjdf.Tvc!\[fsp* Qbdlfu!Qh/!458 D/5/e Buubdinfou;!140320312:!Bhsffnfou!!)Uijse!Bnfoenfou.Mpxfs!Lfzt!IWBD!Nbjoufobodf!'!Tfswjdf.Tvc!\[fsp* Qbdlfu!Qh/!459 D/5/f Approved Risk Management 12-22-21 Qbdlfu!Qh/!45: D/5/f Buubdinfou;!DPJ.HM.Bvup.23.21.3133.Tvc!\[fsp.Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt!IWBD!Nbjoufobodf!'!Tfswjdf.Tvc Qbdlfu!Qh/!461 D/5/f Buubdinfou;!DPJ.HM.Bvup.23.21.3133.Tvc!\[fsp.Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt!IWBD!Nbjoufobodf!'!Tfswjdf.Tvc Qbdlfu!Qh/!462 D/5/f Buubdinfou;!DPJ.HM.Bvup.23.21.3133.Tvc!\[fsp.Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt!IWBD!Nbjoufobodf!'!Tfswjdf.Tvc Qbdlfu!Qh/!463 D/5/f Buubdinfou;!DPJ.HM.Bvup.23.21.3133.Tvc!\[fsp.Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt!IWBD!Nbjoufobodf!'!Tfswjdf.Tvc Qbdlfu!Qh/!464 D/5/f Buubdinfou;!DPJ.HM.Bvup.23.21.3133.Tvc!\[fsp.Fyfd!!)Uijse!Bnfoenfou.Mpxfs!Lfzt!IWBD!Nbjoufobodf!'!Tfswjdf.Tvc Qbdlfu!Qh/!465 Date D/5/g CERTIFICATE OF LIABILITY INSURANCE 12/23/2021 Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no Producer: rights upon the Certificate Holder. This Certificate does not amend, extend 2739 U.S. Highway 19 N. or alter the coverage afforded by the policies below. Holiday, FL 34691 Insurers Affording Coverage (727) 938-5562 NAIC # Insurer A: Lion Insurance Company11075 Insured: South East Personnel Leasing, Inc. & Subsidiaries Insurer B: 2739 U.S. Highway 19 N. Insurer C: Holiday, FL 34691 Insurer D: Insurer E: Dpwfsbhft 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. Aggregate limits shown may have been reduced by paid claims. Policy Effective Policy Expiration INSR ADDL Limits Type of InsurancePolicy Number Date (MM/DD/YY)Date(MM/DD/YY) LTRINSRD HFOFSBM!MJBCJMJUZ Each Occurrence$ Commercial General Liability Damage to rented premises (EA occurrence) Claims MadeOccur $ Med Exp$ $ Personal Adv Injury General aggregate limit applies per: General Aggregate$ PolicyProjectLOC Products - Comp/Op Agg$ Approved Risk Management Combined Single Limit BVUPNPCJMF!MJBCJMJUZ (EA Accident)$ Any Auto Bodily Injury All Owned Autos 12-22-21 (Per Person)$ Scheduled Autos Bodily Injury Hired Autos (Per Accident)$ Non-Owned Autos Property Damage (Per Accident) $ Each Occurrence FYDFTT0VNCSFMMB!MJBCJMJUZ OccurClaims MadeAggregate Deductible WC Statu-OTH- Y A Xpslfst!Dpnqfotbujpo!boe! tory LimitsER WC 7194901/01/202201/01/2023 Fnqmpzfst(!Mjbcjmjuz $1,000,000 E.L. Each Accident Any proprietor/partner/executive officer/member excluded? NO $1,000,000 E.L. Disease - Ea Employee If Yes, describe under special provisions below. $1,000,000 E.L. Disease - Policy Limits Puifs Lion Insurance Company is A.M. Best Company rated A (Excellent). AMB # 12616 Client ID:84-67-001 Eftdsjqujpot!pg!Pqfsbujpot0Mpdbujpot0Wfijdmft0Fydmvtjpot!beefe!cz!Foepstfnfou0Tqfdjbm!Qspwjtjpot;! Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company": Sub-Zero, Inc. Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working in: FL. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or email certificates@lioninsurancecompany.com Project Name: ISSUE 12-23-21 (KLT) Begin Date:3/5/2012 DFSUJGJDBUF!IPMEFSDBODFMMBUJPO Should any of the above described policies be cancelled before the expiration date thereof, the issuing MONROE COUNTY PUBLIC WORKS insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. 3583 S. ROOSEVELT BLVD. KEY WEST, FL 33040 Qbdlfu!Qh/!466