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1st Amendment 04/20/2022 Kevin MIadok, cpA Clerk of the Circuit Court& Comptroller-.. Monroe County, Florida DATE: June 6, 2022 TO: Brian Bradley, Risk Management FROM: Liz Yongue, Deputy Clerk SUBJECT: April 20th BOCC Meeting Attached is an electronic copy of the following item for your handling: P3 lst Arnendtnent to Contract with Interisk Corporation to provide Consultant SerN>ices for the Cotmtds Worker's Compensation and Risk Management Programs. Should you have any questions,please feel free to contact me at (305) 292-3550. cc: Comity Attorney_ Finance File KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING 5010 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 305-2891-6027 305-852-7145 305-852-7145 FIRST AMENDMENT TO AGREEMENT MONROE COUNTY CONTRACT FOR INSURANCE CONSULTING SERVICES THIS FIRST AMENDMENT ("Amendment") to the Contract for Consulting Services dated September 18, 2019 ("Agreement") is made and entered into as of the date of execution shown below, by and between MONROE COUNTY ("COUNTY"), a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key West, Florida 33040 and Interisk Corporation ("CONTRACTOR"), whose address is 1101 Red Maple Circle, N.E., St. Petersburg, FL 33703-6318 (collectively, the "Parties"). WHEREAS, the Parties entered into the Agreement on September 18, 2019; and WHEREAS, the Term of the Agreement as stated in Section 4 of the Agreement was for three (3) years beginning on October 1, 2019, but could be renewed, at the mutual agreement of the Parties, for two (2) additional terms of one year each; and WHEREAS, the Parties wish to utilize the first of the two additional one-year extensions; and WHEREAS, the Parties wish to increase the compensation as listed in Section 5 of the Agreement, to compensate the vendor for increased usage of the consulting services by the County; NOW THEREFORE, the Parties agree that the Agreement shall be renewed and amended as follows: 1. Under Section 4 of the Agreement, a new paragraph 4.3 is added, to read as fol lows: 4.3 Pursuant to Paragraph 4.2 of this Agreement, the term of this Agreement is hereby extended, to run from October 1, 2022 through September 30, 2023. 2. The first sentence of Section 5 (Compensation) is revised to read as follows: Compensation to CONTRACTOR shall be fifty-nine thousand four hundred dollars and no cents ($59,400.00) per year, payable in arrears in equal monthly installments and payable upon receipt of invoice. 3. In all other respects, the terms and conditions of the Agreement shall remain in full force and effect and shall be unchanged. 1 DATE(MMIDD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 05/11/2022 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). PRODUCER CONTACT Nolisha Worrell NAME: Northeast Underwriters,Inc. a/cNr o Ext: (727)521-4253 a/c,No): (727)527-9455 4790 1st Street North E-MAIL nworrell@neu-ins.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# St.Petersburg FL 33703 INSURERA: Travelers 0003 INSURED INSURER B: Travelers Indemnity Co.of Am 25666 Interisk Corp INSURER C: 1101 Red Maple Cir NE INSURER D: INSURER E: St Petersburg FL 33703 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2251113374 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDreme $ 100'000 MED EXP(Any one person) $ 5,000 A 1660-3T549797 03/22/2022 03/22/2023 PERSONAL&ADV INJURY $ 1,000,000 MOTHER LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT: Hired/Non-Owned Auto $ Included AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ APPROVED BY RISK MANAGEMENT Ea accident ANYAUTO B,. r�'`.. BODILY INJURY(Per person) $ OWNED SCHEDULED /�""� �' AUTOS ONLY AUTOS DATE S�ZS/ZO22 BODILY INJURY(Per accident) $ HIRED NON-OWNED -_"" '"""""-'" PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY WAVER WA YES Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 B OFFICER/MEMBER EXCLUDED? N/A UB2T9108762242 03/22/2022 03/22/2023 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St AUTHORIZED REPRESENTATIVE Key West FL 33040 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD