1st Amendment 03/16/2022
DATE: March 23, 2022
TO: Ammie Machan, Administrative Assistant
Tourist Development Council
FROM: Liz Yongue, Deputy Clerk
th
SUBJECT: March 16 BOCC Meeting
Attached are electronic copies of the following items for your handling:
E5 1st Amendment to Agreement with the City of Marathon for the Quay Restroom
Project (Public Facilities Category) to extend completion date of project to December 31, 2022.
E6 1st Amendment to Extend Agreement with the Coral Restoration Foundation, Inc.
for the CRF - Coral Restoration - Marathon 2021 project to September 30, 2022.
E7 1st Amendment to Extend Agreement with the City of Key West for the Mallory
Square Sunshades Project (Public Facilities Category) to extend the completion date of the project
to April 30, 2023.
Should you have any questions please feel free to contact me at (305) 292-3550.
cc: County Attorney
Finance
File
2102603132
CERTIFICATE OF COVERAGEISSUED ON:
COVERAGE PROVIDED BY: PREFERRED GOVERNMENTAL INSURANCE TRUST
PACKAGE AGREEMENT NUMBER:XD!GM2!1553:11!32.16 COVERAGE PERIOD: TO 12:01 AM
!2101203132!!UP!!2101203133!!23;12!BN!
COVERAGES:This is to certify that the agreement below has been issued to the designated member for the coverage 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 coverage afforded by the
agreement described herein subject to all the terms, exclusions and conditions of such agreement.
Mail to: Certificate Holder
Designated Member
!Npospf!Dpvouz!Cpbse!pg!Dpvouz!Dpnnjttjpofst-!Npospf!Dpvouz!Upvsjtu!
!Djuz!pg!Nbsbuipo!
Efwfmpqnfou!Dpvodjm!
:916!Pwfstfbt!Ijhixbz
!2312!Xijuf!Tusffu-!Tuf!213!
!Nbsbuipo!-!GM!!!44161!
!Lfz!Xftu!-!GM!!!!44151!
WORKERS' COMPENSATION COVERAGE
LIABILITY COVERAGE
WC AGREEMENT NUMBER:
XD!GM2!1553:11!32.16
Comprehensive General Liability, Bodily Injury, Property Damage
and Personal Injury:
Limit$ Deductible
Self Insured Workers' Compensation
Employee BenefitsLiability
Employee Benefits Liability
Employee Benefits Liability
Limit$ Deductible
Statutory Workers' Compensation
Y
Employment Practices Liability
Limit $ Deductible
Y
Employers Liability
Qvcmjd!Pggjdjbmt!Mjbcjmjuz
Public Officials Liability
$1,000,000 Each Accident
2-111-111
$
Limit $ Deductible
$1,000,000 By Disease
$2-111-111
$1,000,000 Aggregate Disease
$2-111-111
Law Enforcement Liability
Limit $ Deductible
PROPERTY COVERAGEAUTOMOBILE COVERAGE
Buildings & Personal PropertyAutomobile Liability
Limit: Per schedule on file with Trust DeductibleLimit $$Deductible
Note: See coverage agreement for wind, flood, and other deductibles.
All Owned
Specifically Described Autos
Rented, Borrowed and Leased Equipment
Hired Autos
Limit:$ TIV See Schedule for Deductible
1
Non-Owned Autos
Total All other Inland Marine
Limit: $ TIV See Schedule for Deductible
1
Automobile Physical Damage
Comprehensive See Schedule for Deductible
CRIME COVERAGE
Collision See Schedule for Deductible
Employee Dishonesty
Hired Auto with limit of$
Limit Deductible
Forgery or Alteration
Limit Deductible
Garage Keepers
Theft Disappearance & Destruction
Liability Limit
Limit Deductible
Liability Deductible
Computer Fraud
Comprehensive Deductible
Limit Deductible
Collision Deductible
NOTE:Additional Covered Party status is excluded for non-governmental entities. The most we will pay is further limited by the limitations set forth in Section
768.28(5), Florida Statutes (2010) or the equivalent limitations of successor law which are applicable at the time of loss.
Description of Operations/ Locations/ Vehicles/Special items-(This section completed by member's agent, who bears complete responsibility and liability for its accuracy):
Dfsujgjdbuf!pg!Jotvsbodf!jttvfe!xjui!sftqfdu!up!uif!Hsbou!Bhsffnfou!Op/!3598!gps!dpotusvdujpo!pg!b!Sftusppn!bu!uif!Rvbz!Qbsl0Cpbu!Sbnq/
This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the
coverage afforded by the agreement above.
CANCELLATIONS
CANCELLATIONS
Administrator
SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
Public Risk Underwriters® SHOULD ANY OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE
PREFERRED GOVERNMENTAL INSURANCE TRUST WILL ENDEAVOR TO MAIL 60 DAYS WRITTEN NOTICE, OR 10 DAYS
P.O. Box 958455
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
WRITTEN NOTICE FOR NON-PAYMENT OF PREMIUM, TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO
MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PROGRAM, ITS AGENTS OR
COVERAGE AGREEMENT PROVISIONS.
Lake Mary, FL 32795-8455
REPRESENTATIVES.
Producer
Qvcmjd!Sjtl!Jotvsbodf!Bewjtpst
411!Opsui!Cfbdi!Tusffu!-
!Ebzupob!Cfbdi!-!GM!!!43225!
AUTHORIZED REPRESENTATIVE
PGIT-CERT (1/19)PRINT FORM 2102603132
2102603132
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2312!Xijuf!Tusffu-!Tuf!213
!Lfz!Xftu!!-!!GM!!-!!44151!
XDGM21553:1132.16
Djuz!pg!Nbsbuipo
2101203132UP2101203133
Effective Date:
2102603132
CERTIFICATE OF COVERAGEISSUED ON:
COVERAGE PROVIDED BY: PREFERRED GOVERNMENTAL INSURANCE TRUST
PACKAGE AGREEMENT NUMBER:QL!GM2!1553:11!32.17 COVERAGE PERIOD: TO 12:01 AM
!2101203132!!UP!!2101203133!!23;12!BN!
COVERAGES:This is to certify that the agreement below has been issued to the designated member for the coverage 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 coverage afforded by the
agreement described herein subject to all the terms, exclusions and conditions of such agreement.
Mail to: Certificate Holder
Designated Member
!Npospf!Dpvouz!Cpbse!pg!Dpvouz!Dpnnjttjpofst-!Npospf!Dpvouz!Upvsjtu!
!Djuz!pg!Nbsbuipo!
Efwfmpqnfou!Dpvodjm!
:916!Pwfstfbt!Ijhixbz
!2312!Xijuf!Tu!$213!
!Nbsbuipo!-!GM!!!44161!
!Lfz!Xftu!-!GM!!!!44151!
WORKERS' COMPENSATION COVERAGE
LIABILITY COVERAGE
WC AGREEMENT NUMBER:
Comprehensive General Liability, Bodily Injury, Property Damage
Y
and Personal Injury:
Limit$ Deductible
%2-111-111%1
Self Insured Workers' Compensation
Employee BenefitsLiability
Y
Employee Benefits Liability
Employee Benefits Liability
%2-111-111
Limit$ %1 Deductible
Statutory Workers' Compensation
Employment Practices Liability
Y
Limit $%2-111-111 Deductible
%1
Employers Liability
Qvcmjd!Pggjdjbmt!Mjbcjmjuz
Y
Public Officials Liability
$1,000,000 Each Accident
$
%2-111-111
Limit $ %1 Deductible
$1,000,000 By Disease
$
$1,000,000 Aggregate Disease
$
Law Enforcement Liability
Limit $ Deductible
PROPERTY COVERAGEAUTOMOBILE COVERAGE
Buildings & Personal PropertyAutomobile Liability
Y
Y
%2-111%2-111-111
Limit: Per schedule on file with Trust DeductibleLimit $$ %1 Deductible
Y
Note: See coverage agreement for wind, flood, and other deductibles.
All Owned
Specifically Described Autos
Rented, Borrowed and Leased Equipment
Hired Autos
Limit:$ TIV See Schedule for Deductible
1Y
Y Non-Owned Autos
Total All other Inland Marine
Y
2-:67-272
Limit: $ TIV See Schedule for Deductible
Y
Automobile Physical Damage
Comprehensive See Schedule for Deductible
Y
CRIME COVERAGE
Collision See Schedule for Deductible
Y
Y Employee Dishonesty
Hired Auto with limit of$%211-111
Y
%611-111
Limit Deductible
%2-111
Y
Forgery or Alteration
Limit Deductible
%611-111
%2-111
Garage Keepers
Theft Disappearance & Destruction
Y
Liability Limit
Limit Deductible
%611-111
%2-111 Liability Deductible
Y Computer Fraud
Comprehensive Deductible
Limit Deductible
%2-111
%611-111
Collision Deductible
NOTE:Additional Covered Party status is excluded for non-governmental entities. The most we will pay is further limited by the limitations set forth in Section
768.28(5), Florida Statutes (2010) or the equivalent limitations of successor law which are applicable at the time of loss.
Description of Operations/ Locations/ Vehicles/Special items-(This section completed by member's agent, who bears complete responsibility and liability for its accuracy):
Dfsujgjdbuf!Ipmefs!jodmvefe!bt!Beejujpobm!Dpwfsfe!Qbsuz!xjui!sftqfdu!up!uif!Hsbou!Bhsffnfou!Op/!3598!gps!dpotusvdujpo!pg!b!Sftusppn!bu!uif!Rvbz!Qbsl0Cpbu!Sbnq/!
Hfofsbm!Mjbcjmjuz!jt!qfs!pddvssfodf!xjui!op!bhhsfhbuf/
This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend or alter the
coverage afforded by the agreement above.
CANCELLATIONS
CANCELLATIONS
Administrator
SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
Public Risk Underwriters® SHOULD ANY OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE
PREFERRED GOVERNMENTAL INSURANCE TRUST WILL ENDEAVOR TO MAIL 60 DAYS WRITTEN NOTICE, OR 10 DAYS
P.O. Box 958455
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
WRITTEN NOTICE FOR NON-PAYMENT OF PREMIUM, TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO
MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PROGRAM, ITS AGENTS OR
COVERAGE AGREEMENT PROVISIONS.
Lake Mary, FL 32795-8455
REPRESENTATIVES.
Producer
Qvcmjd!Sjtl!Jotvsbodf!Bewjtpst
411!Opsui!Cfbdi!Tusffu!-
!Ebzupob!Cfbdi!-!GM!!!43225!
AUTHORIZED REPRESENTATIVE
PGIT-CERT (1/19)PRINT FORM 2102603132
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