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2nd Addendum 02/16/2022 DATE: March 18, 2022 TO: Kevin G. Wilson, PE Assistant County Administrator ATTN: Suzanne Rubio Executive Administrator FROM: Liz Yongue, Deputy Clerk th SUBJECT: February 16 BOCC Meeting Attached is a copy the following item for your records: C21 2nd Addendum to Lease Agreement between Monroe County, Florida, and Florida Keys Children's Shelter, Inc. to transfer ownership and the maintenance responsibilities of the water tank, pump, and pump housing structure located in a hardwood hammocks area adjacent to the property leased to the Children's Shelter regarding infrastructure on the property. Should you have any questions please feel free to contact me at (305) 292-3550. cc: County Attorney Finance File DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/07/2022 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). CONTACT PRODUCER Bianka Diaz Senan NAME: FAX PHONE Brown & Brown of Florida, Inc.(305) 714-4400(305) 714-4401 (A/C, No): (A/C, No, Ext): E-MAIL 14900 NW 79 Court Suite 200Bianka.Diaz-Senan@Bbrown.com ADDRESS: INSURER(S) AFFORDING COVERAGENAIC # Miami LakesFL33016Harleysville Insurance Company23582 INSURER A : INSURED Nationwide Mutual Insurance Company23787 INSURER B : Florida Keys Children's Shelter, Inc.Ascendant Commercial Insurance Inc13683 INSURER C : 73 Highpoint Rd. INSURER D : INSURER E : TavenierFL33070 INSURER F : 22/23 Master COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY 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. ADDLSUBR INSRPOLICY EFFPOLICY EXP TYPE OF INSURANCELIMITS POLICY NUMBER LTR(MM/DD/YYYY)(MM/DD/YYYY) INSDWVD COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE$ DAMAGE TO RENTED 100,000 CLAIMS-MADEOCCUR$ PREMISES (Ea occurrence) 5,000 MED EXP (Any one person)$ AYGL0000007559BM03/01/202203/01/20231,000,000 PERSONAL & ADV INJURY$ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 3,000,000 POLICYLOCPRODUCTS - COMP/OP AGG$ JECT Employee Benefits2,000,000 $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY 1,000,000 $ (Ea accident) $ ANY AUTOBODILY INJURY (Per person) OWNEDSCHEDULED AYBA0000007558BM03/01/202203/01/2023 $ BODILY INJURY (Per accident) AUTOS ONLYAUTOS HIREDNON-OWNEDPROPERTY DAMAGE $ (Per accident) AUTOS ONLYAUTOS ONLY Medical payments5,000 $ UMBRELLA LIAB OCCUREACH OCCURRENCE$ EXCESS LIAB 14028033 CLAIMS-MADEAGGREGATE$ DEDRETENTION$$ y PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ C N / A WC65365-704/30/202104/30/2022 OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ Aggregate Limit3,000,000 Professional Liability BPL0000007561BM03/01/202203/01/2023Ech Occurrence Limit1,000,000 Claims Made Retro: 3/1/2017 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Locations Insured: 73 High Point Road Tavernier FL 33070 1621 Spalding Ct Units A-B Key West FL 33040 1621 Spalding Ct Units C-D Key West FL 33040 1102 Truman Ave Key West FL 33040 Certificate Holder is listed as Additional Insured with Respects to General Liability and Commercial Auto Liability as required by written contract. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. County of Monroe BOCC PO Box 1026 AUTHORIZED REPRESENTATIVE Key WestFL33040 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD