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Item C18
C.18 Coty f � ,�� ,' BOARD OF COUNTY COMMISSIONERS �� Mayor David Rice,District 4 The Florida Keys � Mayor Pro Tem Craig Cates,District I y Michelle Coldiron,District 2 James K.Scholl,District 3 Ij Holly Merrill Raschein,District 5 County Commission Meeting August 17, 2022 Agenda Item Number: C.18 Agenda Item Summary #10921 BULK ITEM: Yes DEPARTMENT: Project Management TIME APPROXIMATE: STAFF CONTACT: Rob Tudor(305) 292-4416 N/A AGENDA ITEM WORDING: Approval of Second Change Order for contract with Triple M Roofing Corp. for $360,487.82. This Change Order will add additional layers of Tremco fluid- applied roofing to the entire East Martello roof increasing the warranty from 20 to 30-years. Additionally, a lightning protect system will be added. Funding is provided through the existing TDC Grant. ITEM BACKGROUND: On September 16, 2020, the Tourist Development Council approved a project to replace the south portion of the roof at the East Martello. On February 22, 2022, County staff opened four (4) proposals. The lowest, responsive, and responsible bidder was Triple M Roofing Corp at$539,950.00 for the base bid and $17,500.00 for Alternate 41 which was included in the contract for$557,450.00. In July 2022, a decision was made by the county to add additional work that will extend the warranty from 20 to 30-years. Additionally, a lightning protect system will be added. PREVIOUS RELEVANT BOCC ACTION: 9/16/2020 BOCC approved the TDC budget that funded the grant used for the East Martello Roofing project. 3/16/2022 BOCC approved contract with Triple M Roofing Corp to replace portions of the East Martello roof. CONTRACT/AGREEMENT CHANGES: N/A STAFF RECOMMENDATION: Approval DOCUMENTATION: Triple M_EMartello Change Order 42_07.25.22 Signed by Contractor Packet Pg. 828 C.18 EMartello Roof Phase II_C041_time shortened from RFP_05.12.22 EXEC E Martello Roof Phase II Contract_EXE 2022 5 COI Tripple M Roofing Signed exp 5 123 FINANCIAL IMPACT: Effective Date: 8/17/2022 Expiration Date: 9/30/2022 Total Dollar Value of Contract: $917,937.82 Total Cost to County: $917,937.82 Current Year Portion: $917,937.82 Budgeted: Yes Source of Funds: 117 Funds 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: TDC County Match: N/A Insurance Required: Yes Additional Details: 117-77011-530340-T217M88X-530340 08/17/22 NEW COST CENTER ADDED $360,487.82 T217M88X REVIEWED BY: Cary Knight Completed 08/02/2022 11:44 AM Kevin Wilson Completed 08/02/2022 11:53 AM Joseph DiNovo Completed 08/02/2022 12:15 PM Purchasing Completed 08/02/2022 12:29 PM Budget and Finance Completed 08/02/2022 12:31 PM Brian Bradley Completed 08/02/2022 2:01 PM Lindsey Ballard Completed 08/02/2022 2:39 PM Board of County Commissioners Pending 08/17/2022 9:00 AM Packet Pg. 829 C.18.a MONROE COUNTY/ENGINEERING/ PROJECT MANAGEMENT CONTRACT CHANGE ORDER E PROJECT TITLE: East Martello Roof Phase II CHANGE ORDER NO:02 BOCC APPROVAL DATE: 08/17/2022 CONTRACT DATE: 03/16/2022 '0 TO CONTRACTOR: 0 Triple M Roofing Corp. o 914 NW 19th Avenue Fort Lauderdale, FL 33311 The original(Contract Sum)(Guaranteed Maximum Price) .............................................$557,450.00 W Net change by previously authorized Change Orders.....................................................$ 0.00 The Contract Sum)(Guaranteed Maximum Price)prior to this Change order was ...............$557,450.00 The Contract Sum)(Guaranteed Maximum Price)will be increased)(decreased)(unchanged)by this Change Order................$360,487.82 The new Contract Sum)(Guaranteed Maximum Price)including this Change Order is..........$917,937.82 The Contract Time will be(increased)(decreased)(unchanged)by................................. 18 Days The date of Substantial Completion as of the date of this Change Order is.........'............... 8/31/2022 U Detailed description of change order and justification: This Change Order will add additional layers of Tremco fluid-applied roofing system to the entire East Martello roof(both North and South sides)while also increasing the warranty from 20 to 30 years. Additionally, a lightning protect system will be added as a safety measure. Funding is provided through 0 the existing TDC Grant U The prior Substantial Completion date was 8113122. The contractor has requested 18 days to be added to the project for the additional work. The new date of Substantial Completion is Wednesday,August 31, 202Z Chan a order is 65%of on iris!contract rice. OF..Lo N LO cN Not valid until signed b Owner Architect if a licable and Contr °p� J r p CN ARCHITECT: .............. .. 1122 Bender ssociates s Date w CONTRACTOR: Triple M Roofin Corp. °" Date U BOARD OF COUNTY COMMISSIONERS (SEAL) OF MONROE COUNTY, FLORIDA ATTEST: KEVIN MADOK,CLERK By: By: i Mayor/Chairperson As Deputy Clerk MONROE COUNTY ATTORNEY'S OFF)CE APPROVED AS TO FORM E TANT COUNTY ATTORNEY * DATE: R-01-2027 Packet Pg. 830 C.18.a Change Order Attachment per Ordinance No. 024-2015 U) E Change Order was not included in the original contract specifications. Yes ® No❑ CL C If Yes, explanation: Additional work to increase the roof warranty to 30 years for both the north and south roofs and also add li htnin o g g protection to both roofs. o 0 Change Order was included in the original specifications. Yes❑ No If Yes,explanation of increase in price: M 0 a Change Order exceeds$50,000 or 5%of contract price(whichever is greater). Yes® No❑ If Yes, explanation as to why it is not subject for a calling for bids: Contractor is currently on site, has Tremco Certification to install this type of rooting and can have this additional work installed before the TDC grant expires. U 0 Project architect approves the change order. Yes® No❑ If no, explanation of why: 0 t3 Change Order is correcting an error or omission in design document. Yes ❑No _.._._ P --- Should a claim under the applicable professiapal-liability policy be made? Yes ❑ No N cN Explain: ..............— ------ LO N t3 0 c� Packet Pg. 831 C.18.a og $ o $ g§$ s,§ Msg s�� ' rz asp 8 8 S F N N N N N N N j n N N N N N fin/F a^N M H p M Q N in M yLnj N O N � N G2 U) CL B o CL N c 4 t 0 c to Ix Z. 2 g IN ww f 1D i O � M M s p Oat Q % VN•1 � N pp. M In O 0 G2 LU C g $ sgg �' asa ssg s8 g .Nig� �: g �9 W M V N O 1f1 N N N Pa1 N MOB ',. N m N M N N N'i N OI m a � Ln P 4 Q � W a W NN 1.� N p pp pQ p ppO �O�{{ s N O p O ppO p 8 O S O O O pa O O p N O O N 8 8 8 8 0 N N S Rb W 00 CO m N O eN1 1/~f 1� a N S s Y IW� // % N N N 1 1�` V~F Np KV N N N N N N V!V L V f y`O j O 1 0 6 N N y p� W O pp Z .� I^LU m cN LO 13 _ V a vv c I- $ o. E � � Inn v � ? CI / r la r a 0 i P r o m 8 i o a` o ° d2 3 Y n n E m m t w h�o E 10 A m m 3 d c E E = r m l z i � a m a u u t � , 5 E _ fIF O `o o` iC: / - o � E E u m omi I,Li a a B °' p d 'go o `0 8 0 E E 5. E . d 02 � cI� �o oo `o o `00000 mXuF-� �" 8 8 o 0 o LL ,� o o S o o 0 o o 0 o 0 0 _ a n E ij p m m m s z c g z z p oe ¢ C c ¢ oc z ae K oc C m m O O ac+ t «n 3 « rtr L t L L L L L i'L Q W N y m o o 0 0 o o C f r Y Y Y r r Y r r Y o o f `a.a W� p p o r Off = C N N N N N N N VOf N S O O O O O O O O O O O O 0 � zzzzzzzzzzzz � Cm° Hbn � (q qp N 1� Q 171 O 0 aR O g C Q d 0 Lo m h O Q W V Packet Pg. 832 TRIPLE M ROOFING CORP. C.18.a 914 Northwest 19th Avenue,Fort Lauderdale,Florida 33311 Phone No.(954)524-7000 Fax No.(954)524-0248 Web Site Address:mmmTant�f ,,,,ro,,, Subm .. -. r County Public Works&En" ...I Date 7 27-2'w ...�`�.."".-`�"""..--"`_"."_"`"" U) —.... ( ) 022 revisedit—ted to 1005 -�....__...onromontoa Street1 -(3eWest Florida 33040Pro eM Name East Martello RofPhCL Phone/FaxNoAddress K05)850-8124 - - _,�_ _Location 3501 SRoosevelt Blvd "-io 1 `,Wd- Ke Westl Florida 33040 .-.. Attention Rob Tudor/David Salay . .... � , Change Order Proposal #1 Total Request: $360,487.82 As requested we hereby submit the following items for your consideration: Item#1:South Roof-Provide a Thirty(30)years Warranty for the newly completed roofing system.(Total of t0 crew days) CL • Re-prime the top coat with Tremco Geogard Primer at rate of 4OO SF/Gal. • Provide additional layer of Alphaguard Bio Top Coat at rate of 1 Gal./Sq. 4- Provide Full Time Tremco inspection as required for 30 years warranty. O _ (a crew day:5 mans Cost Break Apply additional @ 760.00 per day) Labe . Diem to O Labor-Apply primer to Topcoat La 1 tional layer of Alphaguard Bio Top Coat-1 gal 9 crew s $3,800.00 $ 3,800.00 Labor-Per Y $3,800.00 $34,200.00 Lodging 10 crew days $200.00 $ 2,000.00 Materials-Tremco Geogard Primer 10 crew days $1,000.00 $10,000.00 Materials-Tremco Alphaguard 8 Pails $704(no tax) $ 5,632.00 + p guard Bio Top Coat Miso-30 years Tremco Warranty 47 Pails $470(no tax) $22 11360 SF 090.00 O) � Misc-Full time Tremco inspection $ 0.24/SF $ 2,727AO Misc-Freight 10 Days $1,500.00 $15,000.00 Lump Sums $3,000.00 S3,000.00 O $ 98,448.40 5%Overhead $ 4,922.42 5%Profit $ 4,922.42 Sales Tax 1 940.54 Total $110,233.78 Item#2:North Roof-Provide a Thirty(30)years Warranty for the existing roofing system.(Total of 16 crew days) • Power wash existing roof surface with min 2000 psi pressure washer, t'O • Re prime the top coat with Tremco Geogard Primer at rate of 400 SF/Gal. • Repair any deformities with Alphaguard Bio Base Coat and Permafab re-inforcement. U • Provide additional layer of Alphaguard Bio Top Coat at rate of 3 Gal./Sq. • Provide Full Time Tremco inspection as required for 30 years warranty. O Cost Breakdown: (a crew day:5 mans @ 760.00 per day) Labor-Pressure Clean&Roof Repairs Rate Labor-Apply Primer to Topcoat 3 crew days $3,800.00 $11,400.00 1 crew day $3,800.00 O Labor-Apply additional layer of Alphaguard Bio Top Coat-3 gals 12 crew da S 3,800.00 U Labor-Per Diem days $3,800.00 $45,600.00 Lodging 16 crew days $200.00 $ 3,200.00 Materials-Tremco Permafab Fabric 16 crew days $1,000.00 $16,000.00 Materials-Tremco Alphaguard 5 Rolls $158(no tax) S 790.00 p guard Bio Base Coat for Repairs 5 Pails $5l8(no tax) $ 2,790.00 Materials-Tremco Geogard primer 10 Pails l�9 ---Materials-Tremco Alphaguard Bio Top Coat $704(no tax) $ 7,040.00 —*isc-30 years Tremco Warranty 100 Pails ---$490 fnotax)-- $47,000.00 Misc-Full time Tremco Inspection 9,688 SF -----",24/SF $ 2,325.12 CN —Mist-Freight 16 Days $1.500.00 $24,00000 C11 Lump Sum 13,500.00 S 3,500.00 N $167,245.12 5%Overhead $ 8,362.26 5%Profit $ 8,362.26 Sales Tax CN 4,019. Total S187,989.04 Item#3:Provide Lighting Protection for North and South Roof per attached proposal by Bonded Lightning. Price: $ 59,300.00 5%Management Fee 965.011 Total S 62,265.00 l�9 We hereeby propose to furnish labor and materials-complete in accordance with the above specifications,for the sum of: S above dollars ($ )with payment to be made as follows: A wo U All material o is above specification�to be as specified.All work to be completed iu a wo onlymanlike manner according t s will ma practices.Any alteration or q) standard ten orders, me an extra charge over and 1� above the estimate.All arre agreemen s contingent upon strikes accidents or delays beyond our ontrol.dOwner will carry fire,tomado and other necessary insurance.Our workers are fully covered by Workmen's Compensation Insurance. Authorized Signature " s " +„� I Samuel Y.Lee. t"hief Estimator Acceptance of Proposal In the event of your default with respect to any payment due Triple M Roofing Corporation or your default with respect to any other obligation under this agreement.You hereby agree to reimburse Triple M Roofing Corp.for any and all costs,expenses and reasonable attorey's fees incurred as a result of or made necessary by the institution of any lawsuit or proceeding to enforce any breach of any of the terms or conditions of this agreement.Reasonable attorneys,fees are hereby deemed to be 20%of the amount claimed in any lawsuit or proceeding.The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as outlined above. cy Accepted by: Date:_ Packet Pg. 833 Corporate Office: C.18.a 3ONDEDTampa Office: Tallahassee office 2080 West Indiantown Rd. 251 South 78th Street 1505 Capital Circle Ste 100 rcle p NW Jupiter, FL 33458 Tampa, FL 33619 Unit B Tallahassee, FL 33619 a� Protecting People, Property&Assets P:561.746.4336 F:561.747.8233 mail@bondedlightning.com bondedlightning.com CL QUOTE#: 22-53610-74140 E Date: 07/20/2022 Expires: 09/18/2022 Ref Specs: U Project: East Martello Tower Roof Replacement CL Location: 3501 Roosevelt Blvd Key West,FL 33040 - United States of America o g n M Roofing Estimate Total: South°Roof-LI htni $ ,300.00 Customer: Triple p North Roof-Lightning Protection "°"' �,.. g Protection 526,9o0.ao m w 0 Scope of Proposal 1) Price is based on utilizing class 1 copper lightning protection materials 2) Proposal includes all labor,materials,shipping,and shop drawings unless noted below 3) The lightning protection system will be installed per UL96A,LPI 175, and NFPA 780 lightning protection 4) Upon completion of the project,a Lightning Protection Institute(LPI-IP)Master Certificate will be prov dedtandards U 5) Any connected structure must meet LPI-175, NFPA-780 and UL96A to certify the entire system Notes c� The Citadel is excluded. 0 Exclusions U 1) All cutting,removal and patching of concrete and/or asphalt is by others,if required 2) Any removal and repair of landscaping,including irrigation,is by others,if required. —_3) Price is based on adhering directly to the roof membrane and does not include furnishing and installingan sacrificial roofing pavers,membrane strips,etc.If required by the roofi y g V s- O 4) Roofing contractor to furnish and install all flashing andsealing for all roof penetratilons are required _...... � 5) Surge Protection is excluded ~ LO cat I ro U ACCEPTANCE OF BID The above specifications,terms and contract are satisfactory and we hereby authorize the performance of this work. I Signed: Date: Patrick C.Dillon, President Print Name: _ BONDED LIGHTNING PROTECTION SYSTEMS,INC. Company: .� Bonded Lightning Protection Systems,Inc.Standard Terms and Conditions of sale,dated 08/07/2015 a E poly and are incorporated by reference as part of this quotation and any work resulting from this quotation. Should you need a copy please call 561-746-4336 or visit our webslte at www.bondedlightning.com/terms U ro Electrical License: EC13008770 Page 1 of 1 Packet Pg. 834 MONROE COUNTYANGINEERING/ PROJECT MANAGEMENT E CONTRACT CHANGE ORDER CL PROJECT TITLE: East Martello Roof Phase 11 CHANGE ORDER NO: 01 4- 0 INITIATION DATE: 05/1212022 0 CONTRACT DATE: 03/1612022 0 TO CONTRACTOR: Triple M Roofing Corp, Attn: Tom Milanese 914 NW 19th Ave U) Ft Lauderdale, FL, 33311 M W 1- 0 The original (gontract Sum)(Guaranteed Maximum Price) -.1557,450.00 Net change by previously authorized Change Orders.... ....... .... .. 0.00 The (gontrqqt_qurr1) (Guaranteed Maximum Price) prior to this Change order was ...............$ 557,450.00 0 The (Contract Sure) (Guaranteed Maximum Price)will be(increased) (decreased) (unchanged) by this Change Order ....................$0.00 The new(Contract Sum) (Guaranteed Maximum Price) including this Change Order is $ 557,450.00 U The Contract Time will be(increased) (unchanged) by...... 2 Days U The date of Substantial Completion as of the date of this Change Order is. ...... 8/15/2022 W X W Detailed description of change order and justification: N The RFP erroneously states a 90-day period between Substantial Completion and Final Completion. CN Additionally, the Notice to Proceed lists 92 days to Substantial Completion. A revision to the NTP will be LO issued, stating 90 days to Substantial Completion). Correcting the duration between Substantial Q I Completion and Final Completion to 30 days leaves Final Completion on Monday, September 12, 2022. U- The Contractor agrees the 90 days specified to reach Substantial Completion and the additional 30 days W E to Final Completion are correct. 0 L- 4— The new date of Substantial Completion is Saturday, August 13, 2022, and the new Final Completion on Monday, September 12, 2022. 0 Change order is 0%of original contract ,.mice. a U) OFF 0 ........ E Not valid until slaned by Owner,Architect_LI ...ppplicable), and Contr- t 0 ARCHITECT: Davrd & a 5/13/22 U a Bender& soc' fy Cts Date U) CONTRACTOR TnpleA! Roofing Corp. Date CL 4— Digtally signed by Judith Clarke, 0 DEPARTMENT DIRECTOR: Judith Clarke,P.E. Datei 2022.05.13 15 58 24-04'00'RE 0 .. ............. W Cary Knight Date 0 Kevin G.Wilson,P.E. 2022.05.16 08:05:15-04'00' COUNTY/ASSISTANT ADMINISTRATOR: Roman Gastesi Date W Kevin Wilson E Packet Pg. 835 0 U) Change Order Attachment per Ordica nance No. 024-2016 E Change Order was not included in the original contract specifications. Yes E No EJ 4- 0 0 If Yes, explanation: The Substantial Completion Date was specified incorrectly W .2 Change Order was included in the original specifications. Yes El No E U) If Yes, explanation of increase in price: M W 0 0 Change Order exceeds$50,000 or 5% of contract price (whichever is greater). Yes El No Z 0 If Yes, explanation as to why it is not subject for a calling for bids: U U W 0 Project architect approves the change order, Yes No X W C14 If no, explanation of why: N 17 LO Q I 0 Change Order is correcting an error or omission in design document. Yes No [9 CL LL W Should a claim under the applicable professional liability policy be made? Yes No E 0 L- Explain: 4- 0 .a U) 0 E 0 U U) 4- 0 0 W .2 W E Packet Pg. 836 C.18.c 0 0 Agreement Between Owner and Contractor Where the basis of payment is a STIPULATED SUM 0 U AGREEMENT U) Made as of the 16th Day of March 2022 BETWEEN the Owner: Monroe County Board of County Commissioners 500 Whitehead Street Key West, Florida 33040 And the Contractor: Triple M Roofing Corp. - 914 NW 19th Avenue c Ft. Lauderdale, FL 33311 c For the following Project: EAST MARTELLO ROOF PHASE II U) M L- The Contractor is required to provide a complete job as contemplated by the drawings and 0 specifications, which are a part of this bid package. The Contractor shall furnish all labor, supervision, materials, power, tools, equipment, supplies, permits and any other means of construction necessary or proper for performing and completing the Scope of Work, unless otherwise specifically stated. 1. The intent of the Drawings and Specifications is to describe the materials and methods U of construction required for the performance of the work. In general, it is intended that W the drawings shall delineate the detailed extent of the work. Drawings, Specifications, Wi and Contract documents are complimentary, and what is required by one shall be as binding as if required by all. 0 2. The Scope of Work shall include, but not be limited to, all work shown and listed in the c) Project Drawings and Specifications. U) As per drawings, carefully remove existing roofing materials, execute repairs and install new roofing materials. - 0 3. Alternates as listed may be selected at the desire of Monroe County. o 4. If necessary, equipment access to the interior Courtyard via Sally port is limited by Page 1 of 19 ; c� Packet Pg. 837 C.18.c height and width. 0 5. Contractor to provide one 3-ring Binder with all original device specifications, warranties, maintenance schedules, shop drawings, permits, repair and maintenance contacts, and any other information necessary for the proper function and maintenance of the new roof system and one (1) digital copy in PDF format on a flash drive. c� 6. Dispose of all debris off site in a timely and legal manner. U All areas impacted by the construction must be returned to original condition. There may be other construction projects under way at the Fort, as well as public functions at the Fort and in the adjacent open event field. The Contractor shall coordinate with Museum staff, other Contractors, and Monroe County to establish a staging location. The jobsite is adjacent to the Key West Airport. If cranes or similar high equipment are used that are higher than the Citadel, the Contractor shall be responsible for obtaining the CL required clearances from the FAA. Clearances shall be obtained prior to work. 4- 0 *'THE EAST MARTELLO PROPERTY IS A SENSITIVE ARCHAELOGICAL AREA. 0 SIGNIFICANT EXCAVATION WILL BE REQUIRED FOR THIS WORK WITHIN THE 2 FORT. WHEN EXCAVATION TAKES PLACE ONSITE, CONTRACTOR MUST NOTIFY MONROE COUNTY PROJECT MANAGER PRIOR TO EXCAVATION." � L- ARTICLE 1 0 The Contract Documents The Contract Documents consist of this Agreement, Conditions of the Contract (General, Supplementary and other Conditions), Drawings, Specifications, Proposal Documents, Addenda issued prior to execution of this Agreement, together with the response to RFP and all required insurance documentation, and Modifications issued after execution of this Agreement. The U Contract represents the entire and integrated agreement between the parties hereto and supersedes prior negotiations, representations or agreements, either written or oral. An W enumeration of the Contract Documents, other than Modifications, appears in Article 9. In the event of a discrepancy between the documents, precedence shall be determined by the order of the documents as just listed. U ARTICLE 2 The Work of this Contract The Contractor shall execute the entire Work described in the Contract Documents, except to the - extent specifically indicated in the Contract Documents to be the responsibility of others, or as 0 follows: N/A 0 Page 2 of 19 c� Packet Pg. 838 C.18.c 0 0 ARTICLE 3 Date of Commencement and Substantial Completion 3.1 The date of commencement is the date to be fixed in a notice to proceed issued by the Owner. The Contractor shall achieve Substantial Completion of the entire Work not later than Ninety (90) calendar days after the date of commencement or issuance of a Notice to Proceed. The time or times stipulated in the contract for completion of the work of the U contract or of specified phases of the contract shall be the calendar date or dates listed in the milestone schedule. U) Liquidated damages will be based on the Substantial Completion Date for all work, , modified by all approved extensions in time as set forth by the Director of Project Management's signature of approval on the Certificate of Substantial Completion. The liquidated damages table below shall be utilized to determine the amount of liquidated damages. FIRST SECOND 31ST DAY& CONTRACT AMOUNT 15 DAYS 15 DAYS THEREAFTER 0 Under$50,000.00 $50.00/Day $100.00/Day $250.00/Day c $50,000.00-99,999.00 100.00/Day 200.00/Day 750.00/Day $100,000.00-499,999.00 200.00/Day 500.00/Day 2,000.00/Day $500,000.00 and Up 500.00/Day 1,000.00/Day 3,500.00/Day U) M The Contractor's recoverv,of dama es and sole remedv for any delay caused by the Owner L- shall be an extension of time on the Contract. Uncontrollable Circumstance. Any delay or failure of either Party to perform its obligations under this Agreement will be excused to the extent that the delay or failure was caused directly by an event beyond such Party's control, without such Party's fault or negligence and that by its nature could not have been foreseen by such Party or, if it could have been foreseen, was unavoidable: (a) acts of God; (b) flood, fire, earthquake, explosion, tropical storm, hurricane or U other declared emergency in the geographic area of the Project; (c) war, invasion, hostilities (whether war is declared or not),terrorist threats or acts, riot, or other civil unrest in the geographic X area of the Project; (d) government order or law in the geographic area of the Project; (e)actions, �i embargoes, or blockades in effect on or after the date of this Agreement; (f) action by any governmental authority prohibiting work in the geographic area of the Project; (each, a "Uncontrollable Circumstance"). Contractor's financial inability to perform, changes in cost or U availability of materials, components, or services, market conditions, or supplier actions or contract disputes will not excuse performance by Contractor under this Section. Contractor shall U) give County written notice within seven (7) days of any event or circumstance that is reasonably likely to result in an Uncontrollable Circumstance, and the anticipated duration of such Uncontrollable Circumstance. Contractor shall use all diligent efforts to end the Uncontrollable 0 Circumstance, ensure that the effects of any Uncontrollable Circumstance are minimized and resume full performance under this Agreement. The County will not pay additional cost as a result 2 of an Uncontrollable Circumstance. The Contractor may only seek additional time at no cost to the County as the Owner's Representative may determine. Page 3 of 19 c� Packet Pg. 839 C.18.c ARTICLE 4 0 Contract Sum 4.1 The owner shall pay the Contractor in current funds for the Contractor's performance of the Contract the Contract Sum of Five Hundred Fifty-Seven Thousand, Four Hundred Fifty/100 Dollars ($557,450.00), subject to additions and deductions as provided in the Contract Documents. c� 4.2 The Contract Sum is based upon the following alternates, if any, which are described in the Contract Documents and are hereby accepted by the Owner: 0 U Alternate #1 — List the additional price to provide and install copper gutters and downspouts in lieu of the painted aluminum gutters and downspouts listed in the base bid. $ Seventeen Thousand Five Hundred and 00/100 Dollars (Alternate#1-words) $17,500.00 Dollars - 0 (Alternate#1—numbers) 0 ARTICLE 5 Progress Payments 5.1 Based upon Applications for Payment submitted by the Contractor to the Director of Project Management, and upon approval for payment issued by the Director of Project Management and Architect, the Owner shall make progress payments on account of the Contract Sum to the contractor as provided below and elsewhere in the Contract Documents. 5.2 The period covered by each Application for payment shall be one (1) calendar month ending on the last day of the month. X 5.3 Payment will be made by the Owner, upon receipt of a proper invoice from the Contractor, in accordance with the Florida Local Government Prompt Payment Act, Section 218.735, Florida Statutes and Monroe County Code. The Contractor is to submit to the Owner invoices with supporting documentation that are acceptable to the Monroe County Office U of Clerk and Comptroller (Clerk). Acceptability to the Clerk is based upon generally accepted accounting principles and such laws, rules and regulations as may govern the disbursal of funds by the Clerk. The Owner is exempt from sales and use taxes. A copy of the tax exemption certificate will be provided by the Owner upon request. 0 0 5.4 Each Application for Payment shall be based upon the Schedule of Values submitted by c the Contractor in accordance with the Contract Documents. The Schedule of Values shall allocate the entire Contract Sum among the various portions of the Work and be prepared in such form and supported by such data to substantiate its accuracy as the Director of Page 4 of 19 c� Packet Pg. 840 C.18.c 0 Project Management may require. This schedule, unless objected to by the Director of c Project Management, shall be used as a basis for reviewing the Contractor's Applications for Payment. 5.5 Applications for Payment shall indicate the percentage of completion of each portion of the Work as of the end of the period covered by the Application for Payment. 5.6 Subject to the provisions of the Contract Documents, the amount of each progress payment shall be computed as follows: 0 U 5.6.1 Take that portion of the Contract Sum properly allocable to completed Work as determined by multiplying the percentage completion of each portion of the Work by the share of the U) total Contract Sum allocated to that portion of the Work in the Schedule of Values, less retainage of five percent(5%). Pending final determination of cost to the Owner of changes in the Work, amounts not in dispute may be included in Applications for Payment. The amount of credit to be allowed by the Contractor to the Owner for a deletion or change E which results in a net decrease in the Contract Sum shall be the net cost to the Owner, less Overhead, Profit and Documented Costs incurred prior to the change Request, as CL indicated in the corresponding line item in the Approved Schedule of Values for that line item as confirmed by the Director of Project Management.When both additions and credits covering related Work or substitutions are involved in a change, the allowance for overhead and profit shall be figured on the basis of net increase, if any, with respect to 2 that change. 5.6.2 Add that portion of the Contract Sum properly allocable to materials and equipment delivered and suitably stored at the site for subsequent incorporation in the completed construction (or, if approved in advance by the Owner, suitably stored off the site at a L- location agreed upon in writing), less retainage; 5.6.3 Subtract the aggregate of previous payments made by the Owner; and 5.6.4 Subtract amounts, if any, for which the Director of Project Management has withheld or nullified a Certificate for Payment as provided in Paragraph 9.5 of the General Conditions. 5.7 Retainage of five percent(5%)will be withheld in accordance with Section 218.735 (8)(a), W Florida Statutes. i c� ARTICLE 6 Final Payment 0 U Final payment, constituting the entire unpaid balance of the Contract Sum, shall be made by the Owner to the Contractor when (1) the Contract has been fully performed by the Contractor and the work has been accepted by the Owner except for the Contractor's responsibility to correct nonconforming Work as provided in Subparagraph 12.2.2 of the General Conditions and to satisfy 0 other requirements, if any, which necessarily survive final payment, and (2) a final approval for c payment has been issued by the Director of Project Management. Such final payment shall be c made by the Owner not more than twenty (20) days after the issuance of the final approval for Page 5 of 19 c� Packet Pg. 841 C.18.c 0 payment. The following documents (samples in section 01027, Application for Payment) are o required for Final Payment: (1)Application and Certificate for Payment (2) Continuation Sheet (3) Certificate of Substantial Completion (4) Contractor's Affidavit of Debts and Claims (5) Contractor's Affidavit of Release of Liens (6) Final Release of Lien (7) Contractor shall provide two (2) hard copies in tabulated divided binders and U one (1) saved electronically tabbed and indexed in Adobe Acrobat file (.PDF) format delivered on a common form (i.e. flash drive) of all the following, but U) not limited to: A. Project Record Documents (As Built Documents). B. Operating and maintenance data, instructions to the Owner's personnel. C. Warranties, bond and guarantees. 4- 0 D. Keys and keying schedule. o 0 E. Spare parts and maintenance materials. F. Electronic copies of approved submittals. U) M G. Evidence of payment and final release of liens and consent of surety to final release (includes final release from all utilities and utility companies). 0 H. Copies of either a Certificate of Completion or Certificate of Occupancy issued by the City of Key West Building Department and any other permitting or regulatory agencies, as applicable. U X i c� ARTICLE 7 Miscellaneous Provisions 0 U 7.1 Where reference is made in this Agreement to a provision of the General Conditions or another Contract Document, the reference refers to that provision as amended or supplemented by other provisions of the Contract Documents. 4- 0 7.2 Payment shall be made according to the Florida Local Government Prompt Payment Act o and Monroe County Code. o Page 6 of 19 E c� Packet Pg. 842 C.18.c 0 7.3 Temporary facilities and services:As described in Section 01500, Temporary Facilities, of c the General Conditions. 7.4 Annual Appropriation. Monroe County's performance and obligation to pay under this contract is contingent upon an annual appropriation by the Board of County Commissioners. In the event that the County funds on which this Agreement is dependent are withdrawn, this Agreement is terminated and the County has no further obligation under the terms of this Agreement to the Contractor beyond that already incurred by the termination date. 0 7.5 A person or affiliate who has been placed on the convicted vendor list following a conviction for public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid, proposal, or reply on a contract to supply any goods or services to a public entity, may not submit a bid, proposal, or reply on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of CL the threshold amount provided in Section 287.017, for CATEGORY TWO for a period of thirty-six(36) months from the date of being placed on the convicted vendor list. 0 0 7.6 The following items are included in this contract: c a) Maintenance of Records. Contractor shall maintain all books, records, and documents directly pertinent to performance under this Agreement in accordance with generally accepted accounting principles consistently applied. Records shall be retained for a period of seven(7)years from the termination of this Agreement or five (5)years from the submission of the final expenditure report as per 2 CFR §200.333, if applicable, 0 whichever is greater. Each party to this Agreement or their authorized representatives shall have reasonable and timely access to such records of each other party to this Agreement for public records purposes during the term of the Agreement and for seven (7) years following the termination of this Agreement. If an auditor employed by the County or Clerk determines that monies paid to Contractor pursuant to this Agreement were spent for purposes not authorized by this Agreement, or were U wrongfully retained by the Contractor, the Contractor shall repay the monies together W with interest calculated pursuant to Sec. 55.03, Florida Statutes, running from the date the monies were paid by the Owner. Right to Audit_ Availability of Records. The records of the parties to this Agreement relating to the U Project, which shall include but not be limited to accounting records (hard copy, as well as computer readable data if it can be made available; subcontract files(including proposals of successful and unsuccessful bidders, bid recaps, bidding instructions, bidders list, etc); original estimates; estimating work sheets; correspondence; change - order files (including documentation covering negotiated settlements); backcharge c logs and supporting documentation; general ledger entries detailing cash and trade c discounts earned, insurance rebates and dividends; any other supporting evidence deemed necessary by Owner or by the Monroe County Office of the Clerk of Court Page 7 of 19 c� Packet Pg. 843 C.18.c 0 and Comptroller (hereinafter referred to as "County Clerk") to substantiate charges c related to this Agreement, and all other agreements, sources of information and matters that may in Owner's or the County Clerk's reasonable judgment have any bearing on or pertain to any matters, rights, duties or obligations under or covered by any contract document (all foregoing hereinafter referred to as "Records") shall be open to inspection and subject to audit and/or reproduction by Owner's representative and/or agents of Owner or the County Clerk. Owner or County Clerk may also conduct verifications such as, but not limited to, counting employees at the job site, witnessing the distribution of payroll; verifying payroll computations, overhead computations, observing vendor and supplier payments, miscellaneous allocations, special charges, c c, verifying information and amounts through interviews and written confirmations with employees, Subcontractors, suppliers, and contractors' representatives. All records U) shall be kept for ten(10)years after Final Completion of the Project. The County Clerk possesses the independent authority to conduct an audit of records, assets, and activities relating to this Project. If an auditor employed by the County or Clerk determines that monies paid to Contractor pursuant to this Agreement were spent for E purposes not authorized by this Agreement, or were wrongfully retained by the Contractor, the Contractor shall repay the monies together with interest calculated CL pursuant to Sec. 55.03, Florida Statutes, running from the date the monies were paid to Contractor. The Right to Audit provisions survive the termination or expiration of this Agreement. 0 b) Governing Law, Venue, Interpretation, Costs, and Fees: This Agreement shall be governed by and construed in accordance with the laws of the State of Florida applicable to contracts made and to be performed entirely in the State. In the event that any cause of action or administrative proceeding is instituted for the enforcement or interpretation of this Agreement, the County and Contractor agree that venue shall lie in the appropriate court or before the appropriate administrative body in Monroe 0 County, Florida. The Parties waive their rights to trial by jury. The County and Contractor agree that, in the event of conflicting interpretations of the terms or a term of this Agreement by or between any of them the issue shall be submitted to mediation prior to the institution of any other administrative or legal proceeding. c) Severability. If any term, covenant, condition or provision of this Agreement (or the U application thereof to any circumstance or person) shall be declared invalid or W unenforceable to any extent by a court of competent jurisdiction, the remaining terms, Wi covenants, conditions and provisions of this Agreement, shall not be affected thereby; and each remaining term, covenant, condition and provision of this Agreement shall be valid and shall be enforceable to the fullest extent permitted by law unless the 0 enforcement of the remaining terms, covenants, conditions and provisions of this U Agreement would prevent the accomplishment of the original intent of this Agreement. The County and Contractor agree to reform the Agreement to replace any stricken provision with a valid provision that comes as close as possible to the intent of the stricken provision. - 0 d) Attorney's Fees and Costs. The County and Contractor agree that, in the event any c cause of action or administrative proceeding is initiated or defended by any party relative to the enforcement or interpretation of this Agreement, the prevailing party Page 8 of 19 c� Packet Pg. 844 C.18.c 0 shall be entitled to reasonable attorney's fees and court costs as an award against the c non-prevailing party, and shall include attorney's fees and court costs in appellate proceedings. e) Binding Effect. The terms, covenants, conditions, and provisions of this Agreement shall bind and inure to the benefit of the County and Contractor and their respective legal representatives, successors, and assigns. c� f) Authority. Each party represents and warrants to the other that the execution,delivery and performance of this Agreement have been duly authorized by all necessary U County and corporate action, as required by law. Each party agrees that it has had ample opportunity to submit this Contract to legal counsel of its choice and enters into U) this agreement freely, voluntarily and with advice of counsel. g) Claims for Federal or State Aid. Contractor and County agree that each shall be, and is, empowered to apply for, seek, and obtain federal and state funds to further the purpose of this Agreement. Any conditions imposed as a result of the funding that affect the Project will be provided to each party. CL h) Adjudication of Disputes or Disagreements. County and Contractor agree that all disputes and disagreements shall be attempted to be resolved by meet and confer sessions between representatives of each of the parties. If the issue or issues are still 2 not resolved to the satisfaction of the parties, then any party shall have the right to seek such relief or remedy as may be provided by this Agreement or by Florida law. This Agreement is not subject to arbitration. This provision does not negate or waive the provisions of Section 7.4, Section 7.6 or Article 8 concerning termination or M cancellation. 0 i) Cooperation. In the event any administrative or legal proceeding is instituted against either party relating to the formation, execution, performance, or breach of this Agreement, County and Contractor agree to participate, to the extent required by the other party, in all proceedings, hearings, processes, meetings, and other activities related to the substance of this Agreement or provision of the services under this Agreement. County and Contractor specifically agree that no party to this Agreement U shall be required to enter into any arbitration proceedings related to this Agreement. X Nondiscrimination/Equal ual Employment J) qOpportunity. The parties agree that there will c� be no discrimination against any person, and it is expressly understood that upon a determination by a court of competent jurisdiction that discrimination has occurred, t0 this Agreement automatically terminates without any further action on the part of any party, effective the date of the court order. The parties agree to comply with all Federal and Florida statutes, and all local ordinances, as applicable, relating to nondiscrimination. These include but are not limited to: 1)Title VII of the Civil Rights Act of 1964 (PL 88-352), which prohibit discrimination in employment on the basis of race, color, religion, sex, and national origin; 2) Title IX of the Education Amendment of 1972, as amended (20 USC §§ 1681-1683, and 1685-1686), which prohibits 2 discrimination on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as amended(20 USC§ 794), which prohibits discrimination on the basis of handicaps;4) Page 9 of 19 c� Packet Pg. 845 C.18.c 0 The Age Discrimination Act of 1975, as amended (42 USC §§6101-6107), which c prohibits discrimination on the basis of age; 5) The Drug Abuse Office and Treatment Act of 1972 (PL 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; 6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; 7) The Public Health Service Act of 1912, §§ 523 and 527(42 USC§§690dd-3 and 290ee-3), as amended, relating to confidentiality of alcohol and drug abuse patent records; 8) Title VIII of the Civil Rights Act of 1968 (42 USC §§ 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of housing; 9) The Americans with c c, Disabilities Act of 1990 (42 USC §§ 12101 Note), as may be amended from time to time, relating to nondiscrimination in employment on the basis of disability; 10) Monroe U) County Code Chapter 14, Article 11, which prohibits discrimination on the basis of race, color, sex, religion, national origin, ancestry, sexual orientation, gender identity or expression, familial status or age; and 11) any other nondiscrimination provisions in any federal or state statutes which may apply to the parties to, or the subject matter E of, this Agreement. CL k) Covenant of No Interest. County and Contractor covenant that neither presently has any interest, and shall not acquire any interest, which would conflict in any manner or degree with its performance under this Agreement, and that only interest of each is to perform and receive benefits as recited in this Agreement. c 1) Code of Ethics. County agrees that officers and employees of the County recognize and will be required to comply with the standards of conduct for public officers and employees as delineated in Section 112.313, Florida Statutes, regarding, but not limited to, solicitation or acceptance of gifts; doing business with one's agency; L- unauthorized compensation; misuse of public position, conflicting employment or contractual relationship; and disclosure or use of certain information. m) No Solicitation/Payment. The County and Contractor warrant that, in respect to itself, it has neither employed nor retained any company or person, other than a bona fide employee working solely for it, to solicit or secure this Agreement and that it has not paid or agreed to pay any person, company, corporation, individual, or firm, other than U a bona fide employee working solely for it, any fee, commission, percentage, gift, or W other consideration contingent upon or resulting from the award or making of this Wi Agreement. For the breach or violation of the provision, the Contractor agrees that the County shall have the right to terminate this Agreement without liability and, at its discretion, to offset from monies owed, or otherwise recover, the full amount of such 0 fee, commission, percentage, gift, or consideration. U n) Employment or Retention of Former County Officers or Employees. Contractor warrants that it has not employed, retained or otherwise had act on its behalf any former County officer or employee subject to the prohibition of Section 2 of Monroe 0 County Ordinance No. 010-1990 or any County officer or employee in violation of c Section 3 of Monroe County Ordinance No. 020-1990. For breach or violation of this c provision the County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct from the contract or purchase price, or otherwise Page 10 of 19 E c� Packet Pg. 846 C.18.c 0 recover the full amount of any fee, commission, percentage, gift, or consideration paid c to the former County officer or employee. o) Public Records Compliance. Contractor must comply with Florida public records laws, including but not limited to Chapter 119, Florida Statutes and Section 24 of article I of the Constitution of Florida. The County and Contractor shall allow and permit reasonable access to, and inspection of, all documents, records, papers, letters or , other "public record" materials in its possession or under its control subject to the provisions of Chapter 119, Florida Statutes, and made or received by the County and Contractor in conjunction with this contract and related to contract performance. The c U County shall have the right to unilaterally cancel this contract upon violation of this provision by the Contractor. Failure of the Contractor to abide by the terms of this provision shall be deemed a material breach of this contract and the County may enforce the terms of this provision in the form of a court proceeding and shall, as a , prevailing party, be entitled to reimbursement of all attorney's fees and costs associated with that proceeding. This provision shall survive any termination or expiration of the contract. CL The Contractor is encouraged to consult with its advisors about Florida Public Records Law in order to comply with this provision. - 0 Pursuant to Fla. Stat., Sec. 119.0701 and the terms and conditions of this contract, the c Contractor is required to: (1) Keep and maintain public records that would be required by the County to perform the service. M L- (2) Upon receipt from the County's custodian of records, provide the County with 0 a copy of the requested records or allow the records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. (3) Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as L- authorized by law for the duration of the contract term and following W completion of the contract if the contractor does not transfer the records to Wi the County. (4) Upon completion of the contract, transfer, at no cost, to the County all public 0 records in possession of the Contractor or keep and maintain public records c) that would be required by the County to perform the service. If the Contractor transfers all public records to the County upon completion of the contract, the Contractor shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If the 0 Contractor keeps and maintains public records upon completion of the o contract, the Contractor shall meet all applicable requirements for retaining c public records. All records stored electronically must be provided to the Page 11 of 19 ; c� Packet Pg. 847 C.18.c 0 County, upon request from the County's custodian of records, in a format that c is compatible with the information technology systems of the County. (5) A request to inspect or copy public records relating to a County contract must be made directly to the County, but if the County does not possess the requested records, the County shall immediately notify the Contractor of the request, and the Contractor must provide the records to the County or allow , the records to be inspected or copied within a reasonable time. If the Contractor does not comply with the County's request for records, the c U County shall enforce the public records contract provisions in accordance with the contract, notwithstanding the County's option and right to unilaterally cancel this contract upon violation of this provision by the Contractor. A Contractor who fails to provide the public records to the County or pursuant to a valid public records request within a reasonable time may be subject to penalties under Section 119.10, Florida Statutes. c� The Contractor shall not transfer custody, release, alter, destroy or otherwise CL dispose of any public records unless or otherwise provided in this provision or as otherwise provided by law. 0 0 IF THE CONTRACTOR HAS QUESTIONS REGARDING 2 THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS, BRIAN BRADLEY AT PHONE# 305-292-3470 BRADLEY-BRIAN@MONROECOUNTY-FL.GOV, MONROE COUNTY ATTORNEY'S OFFICE, 1111 12TH Street, SUITE 408, KEY WEST, FL 33040. U p) Non-Waiver of Immunity. Notwithstanding the provisions of Sec. 768.28, Florida W Statutes, the participation of the Contractor and the County in this Agreement and the X acquisition of any commercial liability insurance coverage, self-insurance coverage, or WI local government liability insurance pool coverage shall not be deemed a waiver of immunity to the extent of liability coverage, nor shall any contract entered into by the County be required to contain any provision for waiver. c U q) Privileges and Immunities. All of the privileges and immunities from liability, exemptions from laws, ordinances, and rules and pensions and relief, disability, workers' compensation, and other benefits which apply to the activity of officers, agents, or employees of any public agents or employees of the County, when 0 performing their respective functions under this Agreement within the territorial limits of the County shall apply to the same degree and extent to the performance of such 2 functions and duties of such officers, agents, volunteers, or employees outside the territorial limits of the County. Page 12 of 19 c� Packet Pg. 848 C.18.c 0 0 r) Legal Obligations and Responsibilities: Non-Delegation of Constitutional or Statutory Duties. This Agreement is not intended to, nor shall it be construed as, relieving any participating entity from any obligation or responsibility imposed upon the entity by law except to the extent of actual and timely performance thereof by any participating entity, in which case the performance may be offered in satisfaction of the obligation or responsibility. Further, this Agreement is not intended to, nor shall it be construed , as, authorizing the delegation of the constitutional or statutory duties of the County, except to the extent permitted by the Florida constitution, state statute, and case law. 0 U s) Non-Reliance by Non-Parties. No person or entity shall be entitled to rely upon the terms, or any of them, of this Agreement to enforce or attempt to enforce any third- party claim or entitlement to or benefit of any service or program contemplated hereunder, and the County and the Contractor agree that neither the County nor the Contractor or any agent, officer, or employee of either shall have the authority to inform, counsel, or otherwise indicate that any particular individual or group of individuals, entity or entities, have entitlements or benefits under this Agreement separate and apart, inferior to, or superior to the community in general or for the purposes contemplated in this Agreement. 4- 0 t) Attestations. Contractor agrees to execute such documents as the County may c reasonably require, to include a Public Entity Crime Statement, an Ethics Statement, 2 and a Drug-Free Workplace Statement. u) No Personal Liability. No covenant or agreement contained herein shall be deemed to be a covenant or agreement of any member, officer, agent or employee of Monroe County in his or her individual capacity, and no member, officer, agent or employee of Monroe County shall be liable personally on this Agreement or be subject to any 0 personal liability or accountability by reason of the execution of this Agreement. v) Execution in Counterparts. This Agreement may be executed in any number of counterparts, each of which shall be regarded as an original, all of which taken together shall constitute one and the same instrument and any of the parties hereto may execute this Agreement by signing any such counterpart. U w) Hold Harmless, Indemnification, and Defense. Notwithstanding any minimum X insurance requirements prescribed elsewhere in this Agreement, Contractor shall defend, indemnify and hold the COUNTY and the COUNTY's elected and appointed officers and employees harmless from and against(i) any claims, actions or causes of 0 action, (ii) any litigation, administrative proceedings, appellate proceedings, or other U proceedings relating to any type of injury(including death), loss, damage,fine, penalty or business interruption, and (iii) any costs or expenses that may be asserted against, initiated with respect to, or sustained by, any indemnified party by reason of, or in connection with, (A) any activity of Contractor or any of its employees, agents, 0 contractors or other invitees during the term of this Agreement, (B)the negligence or c recklessness, intentional wrongful misconduct, errors or other wrongful act or omission c of Contractor or any of its employees, agents, sub-contractors or other invitees, or(C) Contractor's default in respect of any of the obligations that it undertakes under the Page 13 of 19 c� Packet Pg. 849 C.18.c 0 terms of this Agreement, except to the extent the claims, actions, causes of action, c litigation, proceedings, costs or expenses arise from the intentional or sole negligent acts or omissions of the COUNTY or any of its employees, agents, contractors or invitees (other than Contractor). The monetary limitation of liability under this contract shall be not less than $1 million per occurrence pursuant to Fla. Stat., Sec. 725.06. Insofar as the claims, actions, causes of action, litigation, proceedings, costs or expenses relate to events or circumstances that occur during the term of this Agreement, this section will survive the expiration of the term of this Agreement or any earlier termination of this Agreement. 0 c, In the event that the completion of the project(to include the work of others) is delayed or suspended as a result of the Contractor's failure to purchase or maintain the required insurance, the Contractor shall indemnify the County from any and all increased expenses resulting from such delay. Should any claims be asserted against the County by virtue of any deficiency or ambiguity in the plans and specifications provided by the Contractor, the Contractor agrees and warrants that the Contractor E shall hold the County harmless and shall indemnify it from all losses occurring thereby and shall further defend any claim or action on the County's behalf. CL The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this Agreement. 0 x) Section Headings. Section headings have been inserted in this Agreement as a matter of convenience of reference only, and it is agreed that such section headings are not a part of this Agreement and will not be used in the interpretation of any provision of this Agreement. M 1- y) Disadvantaged Business Enterprise(DBE) Policy and Obligation. It is the policy of the 0 County that DBE's, as defined in C.F.R. Part 26, as amended, shall have the opportunity to participate in the performance of contracts financed in whole or in part with County funds under this agreement. The DBE requirements of applicable federal and state laws and regulations apply to this Agreement.The County and its Contractor agree to ensure that DBE's have the opportunity to participate in the performance of the Agreement. In this regard, all recipients and contractors shall take all necessary and reasonable steps in accordance with applicable federal and state laws and W regulations to ensure that DBE's have the opportunity to compete and perform Wi contracts. The County and Contractor and subcontractors shall not discriminate on the basis of race, color, national origin or sex in award and performance of contracts, entered pursuant to this Agreement. c, z) Agreements with Subcontractors. In the event that the Contractor subcontracts any or all of the work in this project to any third party, the Contractor specifically agrees to identify the COUNTY as an additional insured on all insurance policies required by the County. In addition, the Contractor specifically agrees that all agreements or contracts 0 of any nature with his subcontractors shall include the COUNTY as additional insured. o 0 aa)Florida Green Building Coalition Standards. Monroe County requires its buildings to conform to Florida Green Building Coalition standards. Page 14 of 19 E c� Packet Pg. 850 C.18.c 0 0 Special Conditions, if any, are detailed in Section 00100 of the Project Manual for this Project. bb) Independent Contractor. At all times and for all purposes under this Agreement, Contractor is an independent contractor and not an employee of the Board of County Commissioners of Monroe County. No statement contained in this Agreement shall be construed so as to find Contractor or any of its employees, subcontractors, servants, or agents to be employees of the Board of County Commissioners of Monroe County. U cc) E-Verify System. Beginning January 1, 2021, in accordance with Fla. Stat. Sec. 448.095, the Contractor and any subcontractor shall register with and shall utilize the U) U.S. Department of Homeland Security's E-Verify system to verify the work authorization status of all new employees hired by the Contractor during the term of the Contract and shall expressly require any subcontractors performing work or providing services pursuant to the Contract to likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the work authorization status of all new employees hired by the subcontractor during the Contract term. Any subcontractor CL shall provide an affidavit stating that the subcontractor does not employ, contract with, or subcontract with an unauthorized alien. The Contractor shall comply with and be 0 0 subject to the provisions of Section 448.095, Florida Statutes. c dd)Entire Agreement. This writing embodies the entire agreement and understanding between the parties hereto, and there are no other agreements and understandings, oral or written, with reference to the subject matter hereof that are not merged herein and superseded hereby. Any amendment to this Agreement shall be in writing, M approved by the Board of County Commissioners, and signed by both parties before L_ it becomes effective. 7.7 Any written notices or correspondence given pursuant to this contract shall be sent by United States Mail, certified, return receipt requested, postage prepaid, or by courier with proof of delivery. The place of giving Notice shall remain the same as set forth herein until changed in writing in the manner provided in this paragraph. Notice is deemed received cam,' by Contractor when hand delivered by national courier with proof of delivery or by U.S. W Mail upon verified receipt or upon the date of refusal or non-acceptance of delivery. X Notice shall be sent to the following persons: W c� For Contractor: Thomas J. Milanese President Triple M RoofD Corp. 0 914 NW 19th Avenue , Ft. Lauderdale FL 33311 4- 0 0 c Page 15 of 19 a� c� Packet Pg. 851 C.18.c 0 For Owner: Director of Project Mgnqjement Assistant County Administrator PW& E o 1100 Simonton St. Room 2-216 1100 Simonton St. KeyWest Florida 33040 Ke West Florida 33040 �' Count Attorne 1111 12th Street, Suite 408 Key West, Florida 33040 ARTICLE 8 0 Termination or Suspension U 8.1 The Contract may be terminated by the Owner as provided in Article 14 of the General Conditions. 8.2 In the event that the Contractor shall be found to be negligent in any aspect of service, the County shall have the right to terminate this Agreement after five(5)calendar days'written notification to the Contractor. 8.3 Either of the parties hereto may cancel this Agreement without cause by giving the other party sixty (60) days'written notice of its intention to do so. 0 8.4 Termination for Cause and Remedies: In the event of breach of any contract terms, the 2 County retains the right to terminate this Agreement. The County may also terminate this Agreement for cause with Contractor should Contractor fail to perform the covenants herein contained at the time and in the manner herein provided. In the event of such termination, prior to termination,the County shall provide Contractor with seventy-two(72) hours' written notice and provide the Contractor with an opportunity to cure the breach that has occurred. If the breach is not cured, the Agreement will be terminated for cause. If the County terminates this Agreement with the Contractor, County shall pay Contractor the sum due the Contractor under this Agreement prior to termination, unless the cost of completion to the County exceeds the funds remaining in the contract; however, the County reserves the right to assert and seek an offset for damages caused by the breach. The maximum amount due to Contractor shall not in any event exceed the spending cap in this Agreement. In addition, the County reserves all rights available to recoup monies X paid under this Agreement, including the right to sue for breach of contract and including WI the right to pursue a claim for violation of the County's False Claims Ordinance, located at Section 2-721 et al. of the Monroe County Code. 0 8.5 Termination for Convenience: The County may terminate this Agreement for convenience, at any time, upon thirty(30) days'written notice to Contractor. If the County terminates this Agreement with the Contractor, County shall pay Contractor the sum due the Contractor under this Agreement prior to termination, unless the cost of completion to the County exceeds the funds remaining in the contract. The maximum amount due to 0 Contractor shall not exceed the spending cap in this Agreement. c 8.6 For Contracts of any amount, if the County determines that the Contractor/Consultant has submitted a false certification under Section 287.135(5), Florida Statutes or has been Page 16 of 19 c� Packet Pg. 852 C.18.c 0 placed on the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott o of Israel, the County shall have the option of (1) terminating the Agreement after it has given the Contractor/Consultant written notice and an opportunity to demonstrate the agency's determination of false certification was in error pursuant to Section 287.135(5)(a), Florida Statutes, or (2) maintaining the Agreement if the conditions of Section 287.135(4), Florida Statutes, are met. 8.7 For Contracts of $1,000,000 or more, if the County determines that the Contractor/Consultant submitted a false certification under Section 287.135(5), Florida Statutes, or if the Contractor/Consultant has been placed on the Scrutinized Companies U with Activities in the Sudan List, the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List or been engaged in business operations in Cuba or Syria, the County shall have the option of (1) terminating the Agreement after it has given the Contractor/Consultant written notice and an opportunity to demonstrate the agency's determination of false certification was in error pursuant to Section 287.135(5)(a), Florida E Statutes, or(2) maintaining the Agreement if the conditions of Section 287.135(4), Florida Statutes, are met. ARTICLE 9 Enumeration of Contract Documents 0 0 9.1 The Contract Documents, except for Modifications issued after execution of this Agreement, are enumerated as follows: a) Drawings: Bender&Associates, Architects- construction drawings document& specifications document. 0 4- b) Project Manual: N/A 9.1.1 The Agreement is this executed Standard Form of Agreement Between Owner and Contractor. 9.1.2 The General Conditions are the General Conditions of the Contract for Construction. U X 9.1.3 The Supplementary and other Conditions of the Contract are those contained in the Wi Project Manual dated: N/A c, 9.1.4 The Addenda, if any, are as follows: 0 U Number Date Page 1 1/7/2022 1 2 1/31/2022 1 3 2/1/2022 1 0 4 2/9/2022 2 0 This Agreement is entered into as of the day and year first written above and is executed in at least one (1) original copy. Page 17 of 19 E c� Packet Pg. 853 C.18.c 0 0 Execution by the Contractor must be by a person with authority to bind the entity. ® NATURE OF THE PERSON EXECUTING THE DOCUMENT MUST BE NOTARIZED. i as ($ ) BOARD OF COUNTY COMMISSIONERS s Kevin Madok, Clerk OF MONROE COUNTY, FLORIDA 0 U s, r By: �``'.,�o .M• As Dep Clerk airman ate 2�i7i MONROE CO ATTORNEl/5 OFFICE _ APF'ROVE�/.�TO FOF7A11 (SE) L) DJ\T6: _2-25-2Q22 E CONTRACTOR'S Witnesses Attest: CONTRACTOR:-TRIPLE M ROOFING CORP. Contractor must provide two witnesses L��. signatures Signature•_ c ll,,,, 0 Signature: Print Name:7r0 �o'"r RANEE 0 �i Print Name: (r �1C� 41d��;3�9 Title: � Date: ��Z o��' Date: -2 oL-;L" L- and 0 Signature: �,, Print Name:, `�11� Date: C1� J-- U STATE OF R-6 e�t,Dr , COUNTY OF 'b)?4cvf-9-b -T-i On this day ofl.'A—�2— , 20Z-2- before me, the undersi ed notary public_; b�,means of physical resence or ❑ online, personal) appeare a . ( ame of affiant) known to me to be the person whose name is subscribed above or who produced as identification, and acknowledged that he/she is the erson who executed the above contract with Monroe County for EAST MARTELLO F O HAS II for purposes therein contained. 0 Notary Public o �/_ /� �✓ """ PAMELA SHURAK I�LUI��6� .b���P°°l Print Name �-Notary Public-State of Florida .2 Commission#HH 2O0617 My commission expires: My Commission Expires December 28, 2025 rc Page 18 of 19 E c� Packet Pg. 854 C.18.c GENERAL REQUIREMENTS 0 Where Project Management is Not a Constructor Section 00750 General Conditions Section 00970 Project Safety and Health Plan Section 00980 Contractor Quality Control Plan Section 01015 Contractor's Use of the Premises c, Section 01027 Application for Payment Section 01030 Alternates Section 01040 Project Coordination Section 01045 Cutting and Patching Section 01050 Field Engineering E Section 01200 Project Meetings Section 01301 Submittals Section 01310 Progress Schedules Section 01370 Schedule of Values 0 0 Section 01385 Daily Construction Reports Section 01395 Request for Information— (RFI) 2 Section 01410 Testing Laboratory Services Section 01421 Reference Standards and Definitions Section 01500 Temporary Facilities Section 01520 Construction Aids Section 01550 Access Roads and Parking Areas Section 01560 Temporary Controls Section 01590 Field Offices and Sheds Section 01595 Construction Cleaning Section 01600 Material and Equipment Section 01630 Post-Proposal Substitutions Section 01640 Product Handling L Section 01700 Contract Closeout x Section 01710 Final Cleaning wi Section 01720 Project Record Documents Section 01730 Operation and Maintenance Data Section 01740 Warranties o c, U) 4- 0 0 0 Page 19 of 19 ; E c� Packet Pg. 855 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 0 Proposer, states by his/her check mark in the blank beside the form and by his/her signature that he/she has provided the following requirements (located in Section 00120): 1. Proposal Form 2. Proposal Security (Bid Bond) 3. Non-Collusion Affidavit "s 0 4. Lobbying and Conflict of Interest Clause U 5. Drug-Free Workplace Form 6. Local Preference Form and requirements (if applicable) 7. Public Entity Crime Statement 8. Vendor Certification Regarding Scrutinized Companies Lists E 9. Subcontractor List Form 10. Proposer's Insurance and Indemnification Statement 0 0 11. Insurance Agents Statement(signed by agent) 0 12. Answered Required Questions 13. Provided three (3) Customer References and three (3) Credit References V Provided three (3) years of Financial Statements in separate email marked U) 14. «CONFIDENTIAL" LU 15. Certified copy of Valid Florida Contractor's License - 16. Current Monroe County Occupational License Business Name: Triple M Roofing Corp. DBA: Same Business 11-1986288 U EIN# Business Mailing LU yU Address: 914 NW 19th Avenue Address: Same LU State,zipFt. Lauderdale, FL 33311 City,State,zip Same 0 Phone: 954-524-7000 954-524-7000 U Local Phone: _ U) The physical business address must be registered as its principal place of business with the Florida Department of State for at least one (1)year prior to the notice of request for bid or proposal. 4- Februar 22 2022 � �� P Date Signed: � .el . 0 Printed: Thomas J. Milanese Title: President LU PROPOSAL FORM 00120- Page 28 of 219 c� Packet Pg. 856 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 0 n SECTION 00120 PROPOSALFORM c� PROPOSAL TO: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS c/o PURCHASING DEPARTMENT 1100 SIMONTON STREET ROOM 2-213 KEY WEST, FLORIDA 33040 PROPOSAL FROM: Triple M Roofin . Cor . c� The undersigned, having carefully examined the Work and reference Drawings, Specifications, Proposal, and Addenda thereto and other Contract Documents for the construction of: 0 EAST MARTELLO ROOF PHASE II and having carefully examined the site where the Work is to be performed,having become familiar with all local conditions including labor affecting the cost thereof, and having familiarized himself/herself with material availability, Federal, State, and Local laws, ordinances, rules and regulations affecting performance of the Work, does hereby propose to furnish all labor, 0 mechanics, superintendents, tools, material, equipment, transportation services, and all incidentals necessary to perform and complete said Work and work incidental hereto, in a workman-like manner, in conformance with said Drawings, Specifications, and other Contract Documents including Addenda issued thereto. The undersigned further certifies that he/she has personally inspected the actual location of where U the Work is to be performed, togetherwith the local sources of supply and that he/she understands the conditions under which the Work is to be performed. The successful proposer shall assume X the risk of any and all costs and delays arising from the existence of any subsurface or other latent Wi physical condition which could be reasonably anticipated by reference to documentary information provided and made available, and from inspection and examination of the site. The Base Proposal shall be furnished below in words and numbers. If there is an U inconsistency between the two, the Proposal in words shall control. U) Five Hundred Thirty Nine Thousand Nine Hundred Fifty and 00/100 Dollars - (Total Base Proposal-words) 0 0 $ 539,950.00 Dollars (Total Base Proposal— numbers) PROPOSAL FORM 00120- Page 26 of 219 E c� Packet Pg. 857 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 1 acknowledge Alternates as follows: 0 Alternate #1 — List the additional price to provide and install copper gutters and downspouts in lieu of the painted aluminum gutters and downspouts listed in the base bid. $ Seventeen Thousand Five Hundred and 00/100 Dollars (Alternate#1-words) $_ 17,500.00 Dollars c0 (Alternate#1—numbers) Alternate#2— List the deduction in price to deduct the new equipment stands and non- skid equipment access walkways from the roof. (Base bid shall include equipment stands and non-skid equipment access walkways.) c� $ Twenty Eight Thousand and 00/100 Dollars CL (Alternate#2 -words) 4- 0 $ 28,000.00 Dollars c (Alternate#2—numbers) 2 Unit prices, if any, are as follows: N/A L_ 0 I acknowledge receipt of Addenda No.(s) No. 1 Dated 1/7/22 No. 2 Dated 1/31/22 No. 3 Dated 2/1/22 U No. 4 Dated 2/9/22 x i c� 0 U 4- 0 0 c PROPOSAL FORM 00120- Page 27 of 219 c� Packet Pg. 858 EAST MARTELLO ROOF PHASE II 4- 0 0 Witness: BID (PROPOSAL) BOND KNOW ALL MEN BY THESE PRESENTS, that we Triple M Roofing Corp. 914 NW 19th Avenue, Fort Lauderdale, FL 33311 (Here insert name and address or legal title of Contractor) as Principal, hereinafter called the Principal, and Harco National Insurance Company 702 Oberlin Road, Raleigh, NC 27605 0 (Here insert full name and address or legal title of Surety) L) a corporation duly organized under the laws of the State of Illinois as Surety, hereinafter called the Surety, are held and firmly bound unto Monroe County Board of County Commissioners 13. 1100 Simonton Street, Key West, FL 33040 (Here insert full name and address or legal title of Owner) as Obligee, hereinafter called the Obligee, in the sum of l of amount bid) Dollars for the payment of which sum well and truly to be made, the said Principal and the said Surety, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the Principal has submitted a bid for EAST MARTELLO ROOF PHASE II 0 3501 S. Roosevelt Blvd., Key West, FL 33040 BID DATE: 02/22/22 (Here insert full name, address and description of project) NOW, THEREFORE, if the Obligee shall accept the bid of the Principal shall enter into a Contract with the Obligee in accordance with the terms of such bid, and give such bond or bonds as may be specified in the M bidding or Contract Documents with good and sufficient surety for the faithful performance of such Contract and for the prompt payment of labor and material furnished in the prosecution thereof, or in the event of the 4- failure of the Principal to enter such Contract and give such bond or bonds, if the Principal shall pay to the Obligee the difference not to exceed the penalty hereof between the amount specified in said bid and such larger amount for which the Obligee may in good faith contract with another party to perform the Work covered by said bid, then this obligation shall be null and void, otherwise to remain in full force and effect. Any action instituted by a claimant under this bond must be in accordance with the notice and time limitations provisions in Section 255.05(2), Florida Statutes. u X TRIPLE M ROOFING CORP. i (Principal) (Seal) ww ( . w., as CL HARCO NATIONAL INSURANCE COMPANY - 7 (Surety) (Seal) 0 .,, .. 0 ditness) a� lie) Mimi Rubeno ff,Attorg y-in-Fact W .. PROPOSAL FORM " 00120-Page 29 of 219 c� Packet Pg. 859 mm C.18.c Individual Acknowledgment State of County of O W On this m day of m" .. before me personally came as ------------_ and known to me to be the individual described in and who executed the foregoing instrument,and acknowledge to me that he executed the same. My conunission expires: ,,...______ „ Notary Public ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Firm Acknowledgment U State of County of U) CL On this day of........ before me personally came to me known and known to me 0 to be a member of the firm of eu described in and who executed the foregoing instrument,and he thereupon acknowledged to me that he executed the same as and for the act and deed of said firm. 4- My commission expires: 0 Notary Public O Corporation Acknowledgment State of �'i i �I.... U)_ aF' County of LSh ` ..... cc rsii� des of before me personally came ,- y m � � " m wh�e� b s dul om,did depose and say that he is the n �� � to kno : � �^ the corporation described in and which executed the above instrument; that he the seal r of " rp 1 of said corporation;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Boar 4 s name th Ito like order. PAMELA S9U, y p' 1 <Notary Public Stat l" t - . .---------------------------------------------- t3 r My Commission Expires # D M commission expires: t rrrr co p ,�.0 01 _ _-- Notary Public X mbar 26,2025 Surety Acknowledgment cal State of New York _.m.... _. . ........ » O County of Nassau L3 On February, 15,2022,before me personally came Mmi_Rubenoff to me known,who,being by me duly sworn,did depose and say that he/she is an Attomey-in-Fact of HARCO NATIONAL INSURANCE COMPANY CL the corporation described in and which executed the within instrument;that he/she knows the corporate seal of said corporation; that the seal affixed to the within instrument is such corporate seal,and that he/she signed the said instrument and affixed the said seal as Attomey-in-Fact by authority of the Board of O Directors of said corporation and by authority of this office under the Standing Resolutions thereof. O ANGELA CHIODO NOTARY PUBLIC,STATE OF NEW YORK My commission expires: ID No.01CH6117874 �� ��.•-� � _ QUALIFIED IN NASSAU COUNTY Notary Public COMMISSION EXPIRES 11/01/2024 E U Packet Pg. 860 n C.18.c HARCO NATIONAL INSURANCE COMPANY 1701 GOLF ROAD,SUITE 1-600,ROLLING MEADOWS,IL 60008 STATEMENT OF ASSETS,LIABILITIES,SURPLUS AND OTHER FUNDS 0 AT DECEMBER 31,2020 c ASSETS Bonds(Amortized Value) .. . . . . . . . . . . . . . . . . . . . . . . . $97,647,952 Stocks(Preferred Stocks) . . . .. . . . . . . . . . . . . . . . . . . . . „ . . . . . 4,687,175 Stocks(Common Stocks) . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . 817,906,534 Cash,Bank Deposits&Short Term Investments . . . . . . . .. . . . . . . 47,123,738 Other Invested Assets . . . . . . . .. . . . . . . . . . . . . . . .. . .. . . . . . . . 15,101,626 Unpaid Premiums&Assumed Balances . . . . . . . . . . . . . . . . . . . . . . . .. 1.75,152,948 0 Deferred Premiums,Agents Balances&Installments booked . . . .. . . . . 30,894,886 U Reinsurance Recoverable from Reinsurers. . . . . . . . . . . . . . . . . .. . . .. 45,151,643 Reinsurance-Funds Held by or deposited with reinsured companies 6,874,534 Current Federal&Foreign Income Tax Recoverable&Interest . . 0 CL Investment Income Due and Accrued . . . . . . . . . . . . . . . . . . . . . . . . . 1,137,118 Receivables from Parent Subsidiaries&Affiliates . . . . . . ... . . .. . . . . 9,477,956 Other Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . 3,203,261 TOTAL ASSETS . . . . . . . . . . . . . . . . . . . „ . . . . . . , . . . . . $ 254 359,371 CL LIABILITIES,SURPLUS„&OTHER FUNDS Losses(Reported Losses Net as to Reinsurance Ceded and 0 Incurred But Not Reported Losses) . . . . . . . . . . . . . . . . . .. . . . . . . . . . $143,768,470 Reinsurance payable on paid losses&loss adjustment expense . ,. . . .. 13,625,897 2 Loss Adjustment Expenses. . . . . .. . . . . . . . . . . . . .. . . .. . . . .. . . . . 33,948,777 Commissions Payable,Contingent Commissions&Other Similar Charges 8,362,981 Other Expenses(Excluding Taxes,Licenses and Fees) . . . .. . . . . .. 615,501 Taxes,Licenses&Fees(Excluding Federal Income Tax) . . . . . . . . . . . . . 2,999,990 Current federal and foreign income taxes .. . . ,. . . . . . 625,084 Net Deferred Tax Liability . .. . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . . 9,247,541 L_ Unearned Premiums . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. 115,882,069 "- Advance Premium. . . .. . . .. .. . . . . . . . . . „ . , 296,536 Ceded Reinsurance Premiums Payable . . . . . . . . . . . . . . . . . . . . . . . . 88,051,007 Funds held by Company under reinsurance treaties. . . .. . . . . . . . . . > 13,600,566 Amounts Withheld by Company for Account of Others . . . . . . . . . . . . . 45,835,854 Payable to Parent Subsidiaries&Affiliates . . . . . . . . . . . . . . . . . . . . . . 4,231,049 Other Liabilities. . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . _, 77,841 tea TOTAL LIABILITIES . . . . . . . . . . . X Common Capital Stock . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,500,004 Gross Paid-in&Contributed Surplus . . . . . . . . . . . . . ... . . . . . . . . . . 670,781,834 Unassigned Funds(Surplus) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92,537,882 Surplus as Regards Policyholders . . . . . . .. . . . . . . . $766.819 720 0 TOTAL LIABILITIES,SURPLUS&OTHER FUNDS . . . . .$j_247_% $$4._ U _.._ _...._ e) I,John Mruk,TreasnniR RCO NATIONAL INSURANCE COMPANY,certify that the foregoing is a fair statement CL of Assets,Liab2� u# 1� 14G]yOther Funds of this Company,at the close of business,December 31,2020,as reflected ,- by its books r rr prted in its statement on file with the Insurance Department of the State of Illinois. 0 IN TESTIMONY WHEREOF,I have set my hand and affixed the 0 �Y Comm.Fop, z s seal of the Company,this 26th day of February,2021. ���January 15 �025 HARCO NATIONAL INSURANCE COMPANY pl ` ...__.«....ems. _�'_____.......�.... SIGNED AND SW t�efore me on this 9 R day of I v.... .....° ,20 ,,,.. I cis NOTARY PUBLIC,STATE" r - Packet Pg. 861 POWER OF ATTORNEY Bond# N/A A C.18.c HARCO NATIONAL INSURANCE COMPANY INTERNATIONAL FIDELITY INSURANCE COMPANY Member companies of IAT Insurance Group,Headquartered: 702 Oberlin Road, Raleigh,North Carolina 27605 4- 0 O KNOW ALL MEN BY THESE PRESENTS:That HARCO NATIONAL INSURANCE COMPANY,a corporation organized and existing under the laws of the State of Illinois,and INTERNATIONAL FIDELITY INSURANCE COMPANY,a corporation organized and existing under the laws of the State of NewCL Jersey,and having their principal offices located respectively in the cities of Rolling Meadows, Illinois and Newark,New Jersey,do hereby constitute and appoint MIMI RUBENOFF, JOHN D. FILICE c� New York, NY their true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof,which are or may be allowed,required or permitted by law,statute,rule,regulation,contract to or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY,as fully and amply,to all intents and purposes,as if the same had 0 been duly executed and acknowledged by their regularly elected officers at their principal offices. This Power of Attorney is executed,and may be revoked,pursuant to and by authority of the By-Laws of HARCO NATIONAL INSURANCE COMPANY CL and INTERNATIONAL FIDELITY INSURANCE COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 13th day of December,2018 and by the Board of Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting held on the 13th day of December,2018. 0 "RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint,and to revoke the appointments of,Attorneys-in-Fact or agents with power and authority as defined or limited CL in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances,contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2)any such Officers of the Corporation may appoint and revoke the appointments of joint-control custodians, agents for acceptance of process, and Attorneys-in-fact with authority to execute waivers and consents on behalf of the Corporation;and(3)the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond,undertaking,recognizance,contract of indemnity or other written O obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the .- Corporation as the original signature of such officer and the original seal of the Corporation,to be valid and binding upon the Corporation with the same force and effect as though manually affixed." co IN WITNESS WHEREOF,HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY have each executed and attested these presents on this 31st day of December,2019 «�+.+,,, T I& ✓� STATE OF NEW JERSEY STATE OF ILLINOIS ;QOk"OPOQ ,�'+,n': q4� y County of Essex County of Cook - • n SEA4 SAL ,0. �- 1904 rs _ y9a,4 r y� JE $ Kenneth Chapman «° V Executive Vice President,Harco National Insurance Company F�''"•x„+�',. and International Fidelity Insurance Company U On this 31st day of December,2019 before me came the individual who executed the preceding instrument,to me personally known,and, X being by me duly sworn,said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and I INTERNATIONAL FIDELITY INSURANCE COMPANY;that the seals affixed to said instrument are the Corporate Seals of said Companies;that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. 1, IN TESTIMONY WHEREOF,I have hereunto set my hand affixed my Official Seal,at the City of Newark, t0 ...A:. New Jersey the day and year first above written. Q •'' E.P.0 • . ............... wmm JERS ��' Shirelle A.Outle a No Public of New Jersey 0 ` My Commission xpires April 4,2023 W CERTIFICATION O I,the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit,and the copy of the Sections of the By-Laws of said Companies as set forth in said Power of Attorney,with the originals on file in the home office of said companies,and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF,I have hereunto set my hand on this day, February 15,2022 B35915 - � Irene Martins,AssistantSecretary � Packet Pg. 862 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 SECTION 00120 0 NON-COLLUSION AFFIDAVIT 1, Thomas J. Milanese of the city Fort Lauderdale according to law on my oath, and under penalty of perjury, depose and say that: 1. 1 am President of the firm of Triple M Roofing Corp. the proposer making the Proposal for the project described in the notice for calling for U proposals for: East Martello Roof Phase II and that I executed the said proposal with full authority to do so; 2. The prices in this proposal have been arrived at independently without collusion, consultation, communication or agreement for the purpose of restricting competition, as to any matter relating to such prices with any other proposer or with any competitor; and CL 3. Unless otherwise required by law, the prices which have been quoted in this proposal - have not been knowingly disclosed by the proposer and will not knowingly be disclosed o by the proposer prior to proposal opening, directly or indirectly, to any other proposer or o to any competitor; and 4. No attempt has been made or will be made by the proposer to induce any other person, partnership or corporation to submit, or not to submit, a proposal for the purpose of restricting competition; and 0 5. The statements contained in this affidavit are true and correct, and made with full knowledge-of said project„ Fehruary 22„ 2022 all of Pro user) (Date) U STATE OF: W i COUNTY OF: Broward Subscribed and sworn to (or affirmed) before me, by means of IX physical presence or❑ online 0 U notarization, on Februa 22, 2022 (date) , by Tho mas J. Milanese (name of affiant). He/She is personally n f identification) as 0 own to me or has roduced (type o 0 ry U c- S to o fo NOTARY �;�Notary Public-State of Florida � � *= Commission#HH 2O0617 PUBLIC My Commission Expires ''fill`'` December 28,2025 My commission expires: 12/28/25 PROPOSAL FORM 00120-Page 30 of 219 �E c� Packet Pg. 863 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 LOBBYING AND CONFLICT OF INTEREST CLAUSE o SWORN STATEMENT UNDER ORDINANCE NO. 010-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE c� „ Triple M Roofing Corp. o U (Company) U) warrants that he/it has not employed, retained or otherwise had act on his/its behalf any former County officer or employee in violation of Section 2 of Ordinance No. 010-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 010-1990. For breach or violation of this provision the County may, in its discretion, terminate this contract without liability CL and may also, in its discretion, deduct from the contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former 0 County officer or employee". o 4 �w (Signature) Tho as J. M1179nese, President M Date: Februa 22, 2022 STATE OF: Florida U COUNTY OF: Broward W X Subscribed and sworn to (or affirmed) before me, by means of IX physical presence or ❑ online WI c� notarization, on Februa 22, 2022 (date) 0 Thomas J. Milanese v- U by (name of affiant). He/She is° """e""""rso„n„a k .w.......... ' n to meor has produced (type of identification) as identification -w o ._ PAMELA SH YPr'II ^'' `Zo4� �A��`Notary Public-State of Florida •= Commission N HH 2O0617 My Commission Expires OTARY PUBLIC OF,,,`�` December 28, 2025 � SEAL) My commission expires: 12/28/25 .. PROPOSAL FORM 00120-Page 31 of 219 E c� Packet Pg. 864 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 DRUG-FREE WORKPLACE FORM 0 The undersigned vendor in accordance with Florida Statute 287.087 hereby certifies that: Triple M Roofin Cor . (Name of Business) 1. Publishes a statement notifying employees that the unlawful manufacture,distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition, 2. Informs employees about the dangers of drug abuse in the workplace, the business's policy of u maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Gives each employee engaged in providing the commodities or contractual services that are under proposal a copy of the statement specified in subsection (1). c� 4. In the statement specified in subsection (1), notifies the employees that, as a condition of working CL on the commodities or contractual services that are under proposal,the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo - contendere to,any violation of Chapter 893(Florida Statutes)or of any controlled substance law of o the United States or any state, for a violation occurring in the workplace no later than five(5)days 0 after such conviction. 5. Imposes a sanction on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, or any employee who is so convicted. M 6. Makes a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this firm complies fully with the above requirements. ,� � ......... IIII Propot osma "iie u, 'a�3 MI anese, President February 22 2022 W Date STATE OF: Florida 0 COUNTY OF: Broward U) Subscribed and sworn to(or affirmed) before me, by means of Xphysical presence or❑ online notarization, on 2/22/22 (date)by Thomas J. Milanese (name of affiant). He/She is erso 0 as I n ow, or has produced� (type of identification) 0 son ally kn to me ot.�YP-1; AMELA SHURAK ,x j��Notary Publio-State of Florida ,a ate. Commission#HH 2O0617 December Expires NOTARY PUBLIC (S M ecember 28, 2025 My commission expires: 12/28/25 . .. .. ce PROPOSAL FORM 00120-Page 32 of 219 E c� Packet Pg. 865 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 LOCAL PREFERENCE FORM 0 A. Vendors claiming a local preference according to Ordinance 023-2009, as amended by Ordinance No. 004-2015 and 025-2015, must complete this form. Name of Bidder/Responder Tri le M Roofin Cor Date: February, 222022 1. Does the vendor have a valid receipt for the business tax paid to the Monroe County Tax Collector dated at least one(1)year prior to the notice of request for bids or proposals? No (Please furnish copy.) 2. Does the vendor have a physical business address located within Monroe County from which the vendor 0 operates or performs business on a day to day basis that is a substantial component of the goods or U services being offered to Monroe County? No U) (The physical business address must be registered as its principal place of business with the Florida Department of State for at least one (1)year prior to the notice of request for bid or proposal.) List Address: E Telephone Number: B. Does the vendor/prime contractor intend to subcontract 50%or more of the goods, services or construction to local businesses meeting the criteria above as to licensing and location? 0 0 If yes, please provide: 0 1. Copy of Receipt of the business tax paid to the Monroe County Tax Collector by the subcontractor dated at least one(1)year prior to the notice or request for bid or proposal. 2.Subcontractor's physical business address within Monroe County from which the subcontractor operates: (The physical business address must be registered as its principal place of business with the Florida 0 Department of State for at least one(1)year prior to the notice of request for bids or proposals) 77-1 'm 4 Tel.Number 5, Address 1 3 YY/ ;eo Si nature and Print Name: .o,n l :I .� g T of Authorized Signatory for �. Bidder/Responder W STATE OF: Florida COUNTY OF: Broward t0 Subscribed and sworn to(or affirmed) before me, by means of 29 physical presence or❑ online notarization, on February 22, 2022 (date) by Thomas J. Milanese (name of affiant . He/She is<' llyk - ,o YP'�% f LA SHURAK (Y identification)as 'ent ication. 0 or h t f identific � 0 � — _;` ���,Notary Public-State of Florida ' "�•= Commission I HH 2O0817 �� ' % � ��ec My Commission Ex Tres ''�����"'' December 28, 2 25 "NA RY PUBLIC (SEAL) My commission expires:, 12/28/25 PROPOSAL FORM 00120-Page 33 of 219 E c� Packet Pg. 866 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 PUBLIC ENTITY CRIME STATEMENT o "A person or affiliate who has been placed on the convicted vendor list following a conviction for public entity crime may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or CONTRACTOR under a contract with any public entity, and may not transact business with any public entity in excess t0 of the threshold amount provided in Section 287.017, Florida Statutes, for CATEGORY TWO for a period of 36 months from the date of being placed on the convicted vendor list." U) I have read the above and state that neither Thomas J. Milanese (Proposer's name) nor any Affiliate has been placed on the convicted vendor list within the last thirty-six (36) months. c� (Signature) 00 Date: Februar 22, 2022 2 U) M L_ 0 STATE OF: Florida COUNTY OF: Broward Subscribed and sworn to (or affirmed) before me, by means of IN physical presence or ❑ online U notarization, on February 22, 2022 (date) W X by Thomas J. Milanese (name of affiant). He/She i&persona � i known to nie'w has produced (type of identification) as U identification. PAMELA SHURAK � �NYPv i =0 4,NotaryPublic-State of Florid f4OTARY PUBLIC commission#HH 2O0617 0 My commission Expires 0 �) Decemberr228,2025 My commission expires: 12/28/25 0 PROPOSAL FORM 00120-Page 34 of 219 c� Packet Pg. 867 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 VENDOR CERTIFICATION REGARDING SCRUTINIZED COMPANIES LISTS o Project Description(s): East Martello Roof Phase II Respondent Vendor Name: Triple M Roofing Corp Vendor FEIN: 11-1986288 c� Vendor's Authorized Representative Name and Title: Thomas J. Milanese. President Address: 914 NW 19th Avenue City: Ft. Lauderdale State: FL zip: 33311 c) Phone Number 954-524-7000 Email Address: tom tri lemroofin .com .Section 287.135, Florida Statutes prohibits a company from bidding on, submitting a proposal for, or entering into or renewing a contract for goods or services of any amount if, at the time of contracting or renewal,the company is on the Scrutinized Companies that Boycott Israel List, created pursuant to Section 215.4725, Florida Statutes, or is engaged in a Boycott of Israel. Section 287.135, Florida Statutes, also prohibits a company from bidding on, submitting a proposal for, or entering into or renewing a contract for 4- goods or services of$1,000,000 or more, that are on either the Scrutinized Companies with Activities in o 0 Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector Lists which were created pursuant to s. 215.473, Florida Statutes, or is engaged in business operations in Cuba or 2 Syria. As the person authorized to sign on behalf of Respondent, I hereby certify that the company identified , above in the Section entitled "Respondent Vendor Name" is not listed on the Scrutinized Companies that Boycott Israel List or engaged in a boycott of Israel and for Projects of$1,000,000 or more is not listed on either the Scrutinized Companies with Activities in Sudan List, the Scrutinized Companies with Activities in 0 the Iran Petroleum Energy Sector List, or engaged in business operations in Cuba or Syria. understand that pursuant to Section 287.135, Florida Statutes, the submission of a false certification may subject company to civil penalties, attorney's fees, and/or costs. I further understand that any contract with the County may be terminated, at the option of the County, if the company is found to have submitted a false certification or has been placed on the Scrutinized Companies that Boycott Israel List or engaged in L) a boycott of Israel or placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List or been engaged in business operations x in Cuba or Syria. Wi c� Certified BY Thomas o Milanese Th J. Mil 0 who is authorized t,3 to sign on behalf of the above referenced company. Authorized Signature: Print Name: Thomas J. Milanese 4- 0 Title: President o 0 Note:The List are available at the following Department of Management Services Site: htti //www.dms-myflor„ida.com/business olerations/state is urchasing vendor information/convictedMmmsusl,� ended discnminatoryd complaints vendor enlists PROPOSAL FORM 00120-Page 35 of 219 E c� Packet Pg. 868 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 SUBCONTRACTOR LISTING FORM c Division Subcontractor Contact Person Ph#w/area code Fax: Cell: Address NONE c� 0 U CL c� CL 4- 0 0 c L- 0 U X i c� 0 U CL 4- 0 0 c PROPOSAL FORM 00120- Page 36 of 219 c� Packet Pg. 869 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 0 SECTION 00130 INSURANCE REQUIREMENTS AND FORMS MONROE COUNTY, FLORIDA RISK MANAGEMENT POLICY AND PROCEDURES General Insurance Requirements for Construction Contractors and Subcontractors 0 U Prior to the commencement of work governed by this contract (including the pre-staging of personnel and material), the Contractor shall obtain, at his/her own expense, insurance as specified in the attached schedules, which are made part of this contract. The Contractor will ensure that the insurance obtained will extend protection to all Sub-Contractors engaged by the Contractor. As an alternative, the Contractor may require all Subcontractors to obtain insurance consistent with the attached schedules. c� The Contractor will not be permitted to commence work governed by this contract (including pre- staging of personnel and material) until satisfactory evidence of the required insurance has been furnished to the County as specified below. Delays in the commencement of work, resulting from 0 the failure of the Contractor to provide satisfactory evidence of the required insurance, shall not extend deadliness specified in this contract and an 2 p y penalties and failure to perform assessments shall be imposed as if the work commenced on the specified date and time, except for the Contractor's failure to provide satisfactory evidence. U) The Contractor shall maintain the required insurance throughout the entire term of this contract W and any extensions specified in any attached schedules. Failure to comply with this provision may 0 result in the immediate suspension of all work until the required insurance has been reinstated or replaced. Delays in the completion of work resulting from the failure of the Contractor to maintain the required insurance shall not extend deadlines specified in this contract and any penalties and failure to perform assessments shall be imposed as if the work had not been suspended, except for the Contractor's failure to maintain the required insurance. The Contractor will be held responsible for all deductibles and self-insured retentions that may be U contained in the Contractor's Insurance policies. The Contractor shall provide, to the County, as satisfactory evidence of the required insurance, X either: Wi c� Certificate of Insurance or A Certified copy of the actual insurance policy. 0 However, the Contractor shall provide to County Project Management a valid Certificate of U Insurance and a certified complete copy of any and all Builder's Risk Insurance Policies and policies covering County-owned property with all endorsements, amendments, exclusions and notice of changes to the policy. 4- On any and all Builder's Risk Insurance Policies and policies covering County-owned 0 property, the Monroe County Board of County Commissioners will be named as a named insured, additional insured and loss payee. 2 The County, at its sole option, has the right to request a certified copy of any or all insurance policies required by this contract. INSURANCE REQUIREMENTS AND FORMS 00130-Page 37 of 219 c� Packet Pg. 870 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 All insurance policies must specify that they are not subject to cancellation, non-renewal, material 0 change, or reduction in coverage unless a minimum of thirty (30) days prior notification is given to the County by the insurer. The acceptance and/or approval of the Contractor's insurance shall not be construed as relieving the Contractor from any liability or obligation assumed under this contract or imposed by law. The Monroe County Board of County Commissioners, its employees and officials will be included as "Additional Insured" on all policies, except for Workers' Compensation. 0 Any deviations from these General Insurance Requirements must be requested in writing on the U County prepared form entitled"Request for Waiver of Insurance Requirements"and approved by Monroe County Risk Management. c� CL 4- 0 0 0 U) M 1- 0 U X i c� 0 U U) 4- 0 0 0 INSURANCE REQUIREMENTS AND FORMS 00130-Page 38 of 219 c� Packet Pg. 871 C.18.c EAST MARTELLO ROOF PHASE II 4- WORKERS' COMPENSATION 0 INSURANCE REQUIREMENTS FOR EAST MARTELLO ROOF PHASE II BETWEEN MONROE COUNTY, FLORIDA AND Triple M Roofing Corp. 0 U Prior to the commencement of work governed by this contract, the Contractor shall obtain Workers'Compensation Insurance with limits sufficient to respond to the applicable state statutes and the requirements of Florida Statutes, Chapter 440. In addition, the Contractor shall obtain Employers' Liability Insurance with limits of not less than: $1,000,000 Bodily Injury by Accident $1,000,000 Bodily Injury by Disease, policy limits - $1,000,000 Bodily Injury by Disease, each employee c c Coverage shall be maintained throughout the entire term of the contract. Coverage shall be provided by a company or companies authorized to transact business in the state of Florida. U) M If the Contractor has been approved by the Florida's Department of Labor, as an authorized self- insurer, the County shall recognize and honor the Contractor's status. The Contractor may be 0 required to submit a Letter of Authorization issued by the Department of Labor and a Certificate of Insurance, providing details on the Contractor's Excess Insurance Program. If the Contractor participates in a self-insurance fund, a Certificate of Insurance will be required. In addition, the Contractor may be required to submit updated financial statements from the fund upon request from the County. U X i c� 0 U U) 4- 0 0 c INSURANCE REQUIREMENTS AND FORMS 00130-Page 39 of 219 E c� Packet Pg. 872 C.18.c EAST MARTELLO ROOF PHASE II 4- GENERAL LIABILITY 0 INSURANCE REQUIREMENTS FOR EAST MARTELLO ROOF PHASE II BETWEEN MONROE COUNTY, FLORIDA AND Triple M Roofing Corp. 0 U U) Prior to the commencement of work governed by this contract,the Contractor shall obtain General , Liability Insurance. Coverage shall be maintained throughout the life of the contract and include, as a minimum: E c� • Premises Operations CL • Products and Completed Operations • Blanket Contractual Liability 0 0 • Personal Injury Liability 0 The minimum limits acceptable shall be: $1,000,000 Combined Single Limit 1- 0 An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its provisions should include coverage for claims filed on or after the effective date of this contract. In addition, the period for which claims may be reported should extend for a minimum of twelve (12) months following the acceptance of work by the County. The Monroe County Board of County Commissioners shall be named as Additional Insured on all U policies issued to satisfy the above requirements. W i c� 0 U U) 4- 0 0 0 INSURANCE REQUIREMENTS AND FORMS 00130-Page 40 of 219 E c� Packet Pg. 873 C.18.c EAST MARTELLO ROOF PHASE II 4- VEHICLE LIABILITY 0 INSURANCE REQUIREMENTS FOR EAST MARTELLO ROOF PHASE II BETWEEN MONROE COUNTY, FLORIDA AND c� Triple M Roofing Corp. 0 U U) Recognizing that the work governed by this contract requires the use of vehicles, the Contractor, prior to the commencement of work, shall obtain Vehicle Liability Insurance. Coverage shall be maintained throughout the life of the contract and include, as a minimum, liability coverage for: E • Owned, Non-Owned, and Hired Vehicles The minimum limits acceptable shall be: 4- 0 $1,000,000 Combined Single Limit (CSL) 0 If split limits are provided, the minimum limits acceptable shall be: $500,000 per Person $1,000,000 per Occurrence $100,000 Property Damage W 1- 0 The Monroe County Board of County Commissioners shall be named as Additional Insured on all policies issued to satisfy the above requirements. U x i c� 0 U U) 4- 0 0 0 INSURANCE REQUIREMENTS AND FORMS 00130-Page 41 of 219 c� Packet Pg. 874 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 0 PROPOSER'S INSURANCE AND INDEMNIFICATION STATEMENT INSURANCE REQUIREMENTS Worker's Compensation Statutory Limits Employers Liability $1,000,000 Bodily Injury by Accident $1,000,000 Bodily Injury by Disease Policy Limits $1,000,000 Bodily Injury by Disease, 0 each employee U General Liability, including $1,000,000 Combined Single Limit Premises Operations Products and Completed Operations Blanket Contractual Liability Personal Injury Liability Vehicle Liability (Owned, non-owned, and hired vehicles) $1,000,000 Combined Single Limit 4- 0 If split limits are preferred: o $500,000 per Person 2 $1,000,000 per Occurrence $100,000 Property Damage U) M Builder's Risk: Not Required L_ 0 The contract shall require a Public Construction bond equal to the contract cost. The bond must be issued by an A rated surety company doing business in the State of Florida. The Contractor shall provide a certified copy of the recorded payment and/or performance bond to the Owner pursuant to Fla. Stat. Sec. 255.05. U Hold Harmless, Indemnification, and Defense. Notwithstanding any minimum insurance W requirements prescribed elsewhere in this Agreement, Contractor shall defend, indemnify and X hold the COUNTY and the COUNTY's elected and appointed officers and employees harmless from and against (i) any claims, actions or causes of action, (ii) any litigation, administrative proceedings, appellate proceedings, or other proceedings relating to any type of injury(including death), loss, damage, fine, penalty or business interruption, and (iii) any costs or expenses that U may be asserted against, initiated with respect to, or sustained by, any indemnified party by reason of, or in connection with, (A) any activity of Contractor or any of its employees, agents, contractors or other invitees during the term of this Agreement, (B) the negligence or recklessness, intentional wrongful misconduct, errors or other wrongful act or omission of - Contractor or any of its employees, agents, sub-contractors or other invitees, or(C) Contractor's o default in respect of any of the obligations that it undertakes under the terms of this Agreement, o except to the extent the claims, actions, causes of action, litigation, proceedings, costs or expenses arise from the intentional or sole negligent acts or omissions of the COUNTY or any of its employees, agents, contractors or invitees (other than Contractor). The monetary limitation of liability under this contract shall be not less than $1 million per occurrence pursuant to Fla. Stat., INSURANCE REQUIREMENTS AND FORMS 00130-Page 42 of 219 c� Packet Pg. 875 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 Sec. 725.06. Insofar as the claims, actions, causes of action, litigation, proceedings, costs or c expenses relate to events or circumstances that occur during the term of this Agreement, this section will survive the expiration of the term of this Agreement or any earlier termination of this Agreement. In the event that the completion of the project (to include the work of others) is delayed or suspended as a result of the Contractors failure to purchase or maintain the required insurance, the Contractor shall indemnify the County from any and all increased expenses resulting from such delay. Should any claims be asserted against the County by virtue of any deficiency or ambiguity in the plans and specifications provided by the Contractor, the Contractor agrees and U warrants that the Contractor shall hold the County harmless and shall indemnify it from all losses occurring thereby and shall further defend any claim or action on the County's behalf. U) The first ten dollars ($10.00) of remuneration paid to the Contractor is for the indemnification provided for the above. 0 The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements contained elsewhere within this AGREEMENT. CL PROPOSER'S STATEMENT 0 0 I understand the insurance that will be mandatory if awarded the contract and will comply in full 2 with all of the requirements herein. I fully accept the indemnification and hold harmless and duty to defend as set out in this proposal. U) M L Triple M Roofin Cor � � � 1�� � �� o .. Signature Thomas'J Milanese, ap PROPOSER . se, President U X i c� 0 U 0) U) 4- 0 0 c 0) INSURANCE REQUIREMENTS AND FORMS 00130-Page 43 of 219 c� Packet Pg. 876 C.18.c EAST MARTELLO ROOF PHASE II 0 n INSURANCE AGENT'S STATEMENT c� I have reviewed the above requirements with the proposer named above. The following deductibles apply to the corresponding policy. L, POLICY DEDUCTIBLES Commercial General Liability $10,000 c� CL 4- 0 0 c Liability policies are X Occurrence Claims Made U) n M 0 Frank H. Furman, Inc. 2/15/2022 Insurance Agency � ..._ Signature L, x i c� 0 L, U) 4- 0 0 c End of Section 00130 ....._. _ INSURANCE REQUIREMENTS AND FORMS 00130-Page 44 of 219 c� Packet Pg. 877 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 0 SECTION 00120 PROPOSAL FORM The Proposal shall be submitted on the forms included in this section of the Proposal Documents as previously instructed herein. Item Description U 1. Proposal Form 2. Bid Bond (Proposal Security) 3. Non-Collusion Affidavit 4. Lobbying and Conflict of Interest Clause 5. Drug-Free Workplace Form 6. Local Preference Form 7. Public Entity Crime Statement 8. Vendor Certification Regarding Scrutinized Companies List o 9. Subcontractor Listing Form 10. Insurance Requirements and Policy and Procedures , 11.Workers Compensation and Employers' Liability W 12. General Liability 0 13.Vehicle Liability 14. Proposer's Insurance and Indemnification Statement 15. Insurance Agent's Statement 16. Contractor License: U A Current Copy to be submitted with Proposal. x Subcontractor Licenses to be Submitted Prior to i Award of Notice to Proceed. 0 U INFORMATION REQUIRED TO BE PROVIDED U) 1. In order to determine if the persons or entity submitting proposals are responsible, all Proposals for contracts to be awarded under this section must contain the following - information: o 0 A. A list of the entity's shareholders with five percent (5%) or more of the stock or, if a general partnership, a list of the general partners; or, if a limited liability company, a list of its members; if a solely owned proprietorship, names(s) of owner(s). A PROPOSAL FORM 00120-Page 23 of 219 c� Packet Pg. 878 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 0 copy of documentation demonstrating that the entity is a legally viable entity shall be attached. B. A list of the officers and directors of the entity. See Attached C. Relevant Experience: The number of years the person or entity has been operating and, if different, the number of years it has been providing the service, goods, or construction services called for in the proposal specifications (include a list of E similar projects). 61 c U D. The number of years the person or entity has operated under its present name and any prior names. 61 CL E. Answers to the following questions regarding claims and suits: a. Has the person or entity ever failed to complete work or provide the goods for which it has contracted? (If yes, provide details of the job, including where the job was located and the name of the owner.) CL YES ❑ NO x❑ c b. Are there any judgments, claims, arbitration proceeding or suits pending or outstanding against the person, principal of the entity, or entity, or its officers, directors, or general partners(this specifically includes any present or prior entities in which the person, principal, entity, officer, director or general partner of the proposing entity has been involved as a person, principal, entity, officer, director or general partner in the last five (5) years)?). If es( yes, details, include enough information about the judgment, claim, arbitration or suit so that the Owner will able to obtain a copy of the judgment or claim or locate the suit by location and case number.) YES M NO x0 U X i C. Has the person, principal of the entity, entity, or its officers, major shareholders or directors within the last five (5) years, been a party to any lawsuits or arbitrations with regard to a contract for services, goods or c U construction services similar to those requested in the specifications with private or public entities? This specifically includes any present or prior U) entities in which the person, principal, entity, officer, director or general partner of the proposing entity has been involved as a person, principal, - entity, officer, director or general partner in the last five (5) years. (If yes, c provide details, include enough information about the judgment, claim, c arbitration or suit so that the Owner will able to obtain a copy of the judgment or claim or locate the suit by location and case number.) YES NO �x PROPOSAL FORM 00120- Page 24 of 219 c� Packet Pg. 879 C.18.c EAST MARTELLO ROOF PHASE II 4- 0 0 d. Has the person, principal of the entity, or its officers, owners, partners, major shareholders or directors, ever initiated litigation against Monroe County or been sued by Monroe County in connection with a contract to provide services, goods or construction services?This specifically includes any present or prior entities in which the person, principal, entity, officer, director or general partner of the proposing entity has been involved as a person, principal, entity, officer, director or general partner. (If yes, provide details, include enough information about the judgment, claim, arbitration or suit so that the Owner will able to obtain a copy of the judgment or claim t0 or locate the suit by location and case number.) U) YES NO 0 e. Whether, within the last five (5) years, the Owner, an officer, general partner, controlling shareholder or major creditor of the person or entity was an officer, general partner, controlling shareholder or major creditor of any CL other entity that failed to perform services or furnish goods similar to those sought in the request for bids. (If yes, provide details and information about the failure to perform services or furnish goods that will enable the Owner to thoroughly consider the matter.) 2 YES NO Q U) f. Customer references (minimum of three), including name, current address and current telephone number. Credit References (minimum of three), including name, current address and current telephone number. g. Financial statements for the prior three (3) years. Please provide in a ,separate email for the Contractor's confidentiality, and clearly label the email as "CONFIDENTIAL". U ("Any financial statement that an agency requires a prospective bidder to submit in order to prequalify for bidding or for responding to a bid for a road X or any other public works project is exempt from F.S. 119.07(1)and s.24(a), Wi Art. 1 of the State Constitution.") However, any financial information the Contractor includes in the proposal packet, which is not marked as "Confidential", may be disclosed in any public records request and will not t0 be treated as "Confidential." The County shall incur no liability for inadvertent disclosure of financial records that are not properly marked. 4- 0 0 c PROPOSAL FORM 00120- Page 25 of 219 E c� Packet Pg. 880 TRiPLE 4- 0 0 0 u LIST OF SHAREHOLDERS/OFFICERS U) CL E Richard Milanese, CEO CL 4- Thomas J. Milanese, President 0 0 w Peter Milanese, vice President/Secretary .2 Jeffrey Milanese, Vice President 2 U) M w L- 0 0 u w x w 0 u U) (L 4- 0 0 w .2 w E ..................... .......... ............----- ................... gi,4 IsIM, 19th Avemu: - Fort I aiuiderdale, Florida 33311 Phcmu (954) 51:1 7000 III ax: (954) 52,1 02,'18 W'W f 11� � W tll w plenoo Irip"Coln Packet Pg. 881 C.18.c mimi�iuiiumuuuuiuuuuuuuuuuuuuuuuuuooum��mNiN�mpuimuimoimrumuuuomiomiomioum�rm ��i�omimmuuouuumiuuuuuuuuuuuuuuuuu�m�� � @ 'R OOFING CORR 0 Similar Projects n Contract Title Company Name Contact Value/Description Monroe County 0 Michael DeAngelis C3 GATO Building Monroe County Board of deangelis-michael@monroecounty-fl.gov $803,600 County Commissioners Re-roofing of GATO Key West, FL Monroe County Project Management Department Key West, FL Building 305-570-9188 CL Monroe County Johnnie Yongue CL Monroe County Monroe County Board of Yongue-Johnnie@ Mon roeCounty-FI.Gov $238,500 Sheriffs Office County Commissioners Re-roofing of Monroe ,- Key West, FL Key West, FL Monroe County Public Works&Engineering Division 0 (305)292-4429 County Sherrif's Office 0 URS Group, Inc. Michelle Garland Naval Air Station Naval Air Station michelle.garland@aecom.com Over$3 million in U) M Key West, FL Key West, FL PO Box 2010088 Re-roof projects Austin,TX 78720-1088 0 (512)419-6827 JR Bowman Const.Co AT&T Facilities AT&T Chris Witt Florida,S.Carolina M North Carolina& ' 754 Peachtree NE chriswitt@jrbowman.com Over$20 million in Atlanta,GA 30308 1605 South Zack Hinton Pkwy Re-roof projects Georgia McDonough,Ga. 30253 (678)628-3349 W I REI Engineers, Inc. Wells Faro Wells Fargo Bank Rich Britt g Association rbritt@reiengineers.com Over 3.5 million in U Facilities Florida 1524 US Highway 1 1927 JN Pease Place,Suite 201 Re-Roof projects Sebastian FL 32958 Charlotte, N Carolina 28262 (704)215-3019 CL 0 0 �..... �,.�._ �......... ..ew. o v. . o �. ..... ....... � c� h011111 : (1954) 5 ?4 ,'000 - IIFax: )9 4�) 2 i 0248 ul;ulll II;;;�II,N� u;, °��.�rua�)��.��m.m°�a������ua��,�:������� Packet Pg. 882 C.18.c � TluPLE M r� IIIIIWOW@gIUUVVIVIVIGUIUIIIIIIIIIIIIIIIIIlONI0NI0NI0�I10110101010111NIIINIINIINIIPIIBI�V�M9NpNpgpgpVIVIVIVIVIWIVI�IVV �P�WUIUIGUIGUIUIpVIpVIVIVIP. .- IRoOF . .fir 0 n REFERENCES U U) CL Les Knopf KNOPF &ASSOCIATES, INC. E 3965 Investment Lane CL Riviera Beach, FL 33404 (561) 582-7700 0 0 0 Chris Witt JR BOWMAN CONSTRUCTION CO 1605 S. Zack Hinton Parkway McDonnough, GA 30253 (678) 628-3349 0 Gary Mitchell ARNOLD &ASSOCIATES 14275 Midway Road U Addison, TX 75001 x (469) 585-4152 i c� 0 Rich Britt U REI ENGINEERS, INC. 1927 JN Pease Place, Suite 201 Charlotte, NC 28262 - (704) 596-0331 0 0 ......_...................... ................ c� 9:i o Oth Avenues Fort Taw,l cdAc„ Flou'1da ' 3 3 (9 II) 521 70010 * l �x: (954) 524 02,18 Packet Pg. 883 C.18.c TR,iPLEM oiit r� ,RoOFING CORP. iNV@II@IIIWWOUNWN011111VVNVVVWWNINWIgIWCVPJIUIUIUIIWIIIiVIVVIIVVIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIhIMGMIVVmIBIINpVpIGVVVVVUVIVVIVViidiiuuomomoumioinuumioumii .- n BUSINESS TRADE REFERENCES 0 U) GULFEAGLE SUPPLY Contact: Todd Fowler 3101 SW 13 Drive Office: (954) 426-6698 Deerfield Beach, FL 33442 Fax: (954) 426-6675 4- 0 0 JGA,BEACON Contact: Dave McMillion 1150 SW 32 Wa Office: 2 y (954) 969-8000 Deerfield Beach, FL 33442 Fax: (954) 969-0904 U) M SIPLAST Contact: Rodney Prewitt L- 1000 E. Rochelle Blvd. Office: (469) 995-2200 Irving, TX 75062 Fax: (469) 995-2205 ABC SUPPLY Contact: Jeff Gould U 7392 Haverhill Road Office: (561) 863-8600 W West Palm Beach, FL 33407 Fax: (561) 848-0174 X i c� R M TEL FASTENERS Contact: Sanjay Bhogayta t0 1000 SW 12th Avenue (Andrews Ave) Office: (954) 561-8181 Pompano Beach, FL 33069 Fax: (954) 563-3023 4- 0 0 SEAMANS FIBERTITE Contact: Mario Ibanez c P.O. Box 73210 Office: (954) 253-1532 Cleveland, OH 44194 Fax: (330) 263-6950 .,m. 914 II''qX1, 19di r vcntte Fcm III audcuda(e:, Ffoi°�i( i 331311 Packet Pg. 884 C.18.c 0 0 " �._.. ..... ...........— cs Raafi�3s�Sv�a�k'E�,�..rgU�:P"1°9C��� Cj �r y I..�;,�I�a y C:3wx �ue ars "aecra:(��ey � M W n � db STATE OF FLORIDA DEPARTMENT OF BUSINESS I PROFESSIONAL REGULATION E E c� CONSTRUCTION INDL15TRYLICENSING BOARD CL THE ROOFING ONTi ;Tc I II REIN IS CERTIFIED 'I~UNDER THE - PROVISIONS OF CH T 4 '9, FIL R IDA STATUTES UTFS o 2 U) M LAN ES'E' TMS AY w TIII?I l U'~�I iFII ;, f? 0 ` - b ,C a� I USE I UI" ER': 8 544 m�.�. � PI TI N DAT AU GU�UST 31,20 x Always verify ftenses orflime at MyRoridalLicensexom c� o not alter"this docurn nt in any fearrn. o t3 This is your license. It is unlawful for anyone other than the licensee to arse this docurne.nt, r U) CL 4- 0 0 0 c� Packet Pg. 885 P p° C.18.c QQ ��m;�I���}�llt„A,��mi �ho�0 N Ir F°t I CT P R I C���n LSY PAYMENT BOND HARCO NATIONAL INSURANCE COMPANY 0 0 Doc#n71519 Bk#3168 P9#136 Recorded 4/19/2022 I1.46 AEI Page 1 of 7 Filed and Recorded in official °Mrds Of AMIC,CPA Bond No.: 0814852 MONROE COUNTY lEVIN CONTRACTOR: SURETY: (Name,legal status and address) (Name,legal status and principal place of business) TRIPLE M ROOFING CORP. HARCO NATIONAL INSURANCE COMPANY U 914 NW 19TH AVENUE 702 OBERLIN ROAD FORT LAUDERDALE,FL 33311 RALEIGH,NC 27605 OWNER: CL (Name,legal status and address) MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 500 WHITEHEAD STREET KEY WEST,FL 33040 CL CONSTRUCTION CONTRACT Date: March 16,202 0 Amount: $557,450.00---FIVE HUNDRED FIFTY SEVEN THOUSAND FOUR HUNDRED FIFTY&N0/100 DOLLARS w Description: EAST MARTELLO ROOF PHASE II 2 (Name and location)3501 SOUTH ROOSEVELT BLVD.,KEY WEST,FL BOND Date: March 21,2022 (Not earlier than Construction Contract Date) Amount: $557,450.00---FIVE HUNDRED FIFTY SEVEN THOUSAND FOUR HUNDRED FIFTY&N0/100 DOLLARS Modifications to this Bond: None � See Section 18 O CONTRACTOR AS PRINCIPAL SURETY Company: TRIPLE M ROOFING CORP. Company: HARCO NATIONAL INSURANCE (Corporate Seal) CpOMPANY(Cola gate Seal) U w� w Signature: o' 11P, gnature: ��w � — Name and T;Aak.R Name and Mimi Rwenoi" Title: Title: Attorney-in-Fact, ,� (Any additional signatures appear on the last page of this Payment Bond.) 0 U (FOR INFORMATION ONLY—Name, address and telephone) AGENT or BROKER: OWNER'S REPRESENTATIVE: (Architect,Engineer or other party:) FLEETWOOD AGENCY,INC. N/A 1 BIRCHWOOD COURT, SUITE I L 0 P.O. BOX 749 MINEOLA,NY 11501 2 (212)968-9100 The Company executing this bond vouches that this document conforms to American Institute of Architects Document A312, 2010 edition Packet Pg. 886 ,x, ,• P" C.18.c § 1 The Contractor and Surety,jointly and severally,bind themselves,their heirs, executors, administrators, successors and assigns to the Owner to pay for labor,materials and equipment furnished for use in the performance of the Construction Contract,which is incorporated herein by reference, subject to the following terms. 0 0 § 2 If the Contractor promptly makes payment of all sums due to Claimants, and defends, indemnifies and holds harmless the Owner from claims, demands, liens or suits by any person or entity seeking payment for labor, materials or equipment furnished for use in the performance of the Construction Contract,then the Surety and the Contractor shall have no obligation under this Bond. § 3 If there is no Owner Default under the Construction Contract,the Surety's obligation to the Owner under this Bond shall arise after the Owner has promptly notified the Contractor and the Surety(at the address described in Section 13) of claims, demands, liens or suits against the Owner or the Owner's property by any person or entity 0 seeking payment for labor,materials or equipment furnished for use in the performance of the Construction U Contract and tendered defense of such claims,demands, liens or suits to the Contractor and the Surety. U) § 4 When the Owner has satisfied the conditions in Section 3, the Surety shall promptly and at the Surety's CL expense defend, indemnify and hold harmless the Owner against a duly tendered claim, demand, lien or suit. § 5 The Surety's obligations to a Claimant under this Bond shall arise after the following: CL § 5.1 Claimants, who do not have a direct contract with the Contractor, 1 have furnished a written notice of non-payment to the Contractor, stating with substantial accuracy the 0 amount claimed and the name of the party to whom the materials were, or equipment was, furnished or supplied c or for whom the labor was done or performed,within ninety(90)days after having last performed labor or last c furnished materials or equipment included in the Claim; and .2 have sent a Claim to the Surety(at the address described in Section 13). § 5.2 Claimants,who are employed by or have a direct contract with the Contractor, have sent a Claim to the LU Surety(at the address described in Section 13). L_ 0 § 6 If a notice of non-payment required by Section 5.1.1 is given by the Owner to the Contractor, that is sufficient to satisfy a Claimant's obligation to furnish a written notice of non-payment under Section 5.1.1. § 7 When a Claimant has satisfied the conditions of Sections 5.1 or 5.2,whichever is applicable,the Surety shall promptly and at the Surety's expense take the following actions: U LU § 7.1 Send an answer to the Claimant,with a copy to the Owner,within sixty(60) days after receipt of the Claim, X stating the amounts that are undisputed and the basis for challenging any amounts that are disputed;and LU c� § 7.2 Pay or arrange for payment of any undisputed amounts. U § 7.3 The Surety's failure to discharge its obligations under Section 7.1 or Section 7.2 shall not be deemed to constitute a waiver of defenses the Surety or Contractor may have or acquire as to a Claim,except as to undisputed amounts for which the Surety and Claimant have reached agreement. If,however,the Surety fails to CL discharge its obligations under Section 7.1 or Section 7.2, the Surety shall indemnify the Claimant for the - reasonable attorney's fees the Claimant incurs thereafter to recover any sums found to be due and owing to the c Claimant. c § 8 The Surety's total obligation shall not exceed the amount of this Bond,plus the amount of reasonable attorney's fees provided under Section 7.3, and the amount of this Bond shall be credited for any payments made LU in good faith by the Surety. E ._ ...... cs The Company executing this bond vouches that this document conforms to American Institute of Architects Document A312, 2010 edition Packet Pg. 887 §'9 Amounts owed by the Owner to the Contractor under the Construction Contract shall be used for the performance of the Construction Contract and to satisfy claims, if any,under any construction performance bond. By the Contractor furnishing and the Owner accepting this Bond,they agree that all funds earned by the Contractor-in the performance of the Construction Contract are dedicated to satisfy obligations of the Contractor 4- and Surety under this Bond, subject to the Owner's priority to use the funds for the completion of the work. 0 0 W § 10'rhe Surety shall not be liable to the Owner, Claimants or others for obligations of the Contractor that are 2 unrelated to the Construction Contract. The Owner shall not be liable for the payment of any costs or expenses of .2 any Claimant under this Bond, and shall have under this Bond no obligation to make payments to, or give notice on behalf of, Claimants or otherwise have any obligations to Claimants under this Bond, § 11. The Surety hereby waives notice of any change,including changes of time,to the Construction Contract or to related subcontracts,purchase orders and other obligations. 0 § 12 No suit or action shall be commenced by a C laimant under this Bond other than in a court of competent L) jurisdiction in the state in which the project that is the subject of the Construction Contract is located or after the 0) j U) expiration of one year from the date(1)on which the Claimant sent a Claim to the Surety pursuant to Section 5 a 1.2 or 5.2, or(2) on which the last labor or service was performed by anyone or the last materials or equipment CL were furnished by anyone under the Construction Contract, whichever of(1) or(2)first occurs. If the provisions of this Paragraph are void or prohibited by law,the minimum period of limitation available to sureties as a E defense in the jurisdiction of the suit shall be applicable. § 13 Notice and Claims to the Surety,the Owner or the Contractor shall be mailed or delivered to the address CL shown on the page on which their signature appears. Actual receipt of notice or Claims,however accomplished, 4- shall be sufficient compliance as of the date received, 0 0 W § 14 When this Bond has been furnished to comply with a statutory or other legal requirement in the location .2 where the construction was to be performed, any provision in this Bond conflicting with said statutory or legal. requirement shall be deemed deleted herefroin and provisions confonning to such statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. W L- 0 § 15 Upon request by any person or entity appearing to be a potential beneficiary of this Bond, the Contractor and Owner shall promptly furnish a copy of this Bond or shall permit a copy to be made. 0 § 16 Definitions § 16.1 Claim. A written statement by the Claimant including at a minimum: I the name of the Claimant; U .2 the name of the person for whom the labor was done, or materials or equipment famished; W .3 a copy of the agreement or purchase order pursuant to which labor,materials or equipment was furnished X W for use in the performance of the Construction Contract; A a brief description of the labor,materials or equipment furnished; ,5 the date on which.the Claimant last performed labor or last furnished materials or equipment for use in the a 0 performance of the Construction Contract; U .6 the total amount earned by the Claimant for labor,materials or equipment famished as of the date of the Claim- U) .7 the total amount of previous payments received by the Claimant; and .8 the total amount due and unpaid to the Claimant for labor,materials or equipment furnished as of the date 4- 0 of the Claim, 0W .2 § 16,2 Claimant. An individual or entity having a direct contract with the Contractor or with a subcontractor of the Contractor to furnish labor,materials or equipment for use in the performance of the Construction Contract. The to Claimant also includes any individual or entity that has rightfully asserted a claim under an applicable W mechanic's lien or similar statute against the real property upon which the Project is located. The intent of this Bond shall be to include without limitation in the terms"labor,materials or equipment"that part of water, gas, 0 E The Company executing this on vouches that this document conforms to American Institute of Architects Document A312, 2010 edition Packet Pg. 888 C.18.c pdwer, light, heat, oil, gasoline,telephone service or rental equipment used in the Construction Contract, architectural and engineering services required for performance of the work of the Contractor and the Contractor's subcontractors, and all other items for which a mechanic's lien may be asserted in the jurisdiction where the labor, materials or equipment were furnished. 4- 0 0 § 16.3 Construction Contract. The agreement between the Owner and Contractor identified on the cover page, including all Contract Documents and all changes made to the agreement and the Contract Documents. § 16.4 Owner Default. Failure of the Owner,which has not been remedied or waived, to pay the Contractor as required under the Construction Contract or to perform and complete or comply with the other material terms of the Construction Contract. c� § 16.5 Contract Documents. All the documents that comprise the agreement between the Owner and Contractor. 0 § 17 If this Bond is issued for an agreement between a Contractor and subcontractor,the term Contractor in this cI Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. § 18 Modifications to this bond are as follows: CL 1. This bond is given to comply with Section 255.05 Florida Statutes, and any action instituted by a claimant under this bond for payment must be in accordance with the notice and time provisions in Section 255.05(2), Florida Statutes. CL (Space is provided below for additional signatures of added parties, other than those appearing on the cover page.) CONTRACTOR AS PRINCIPAL SURETY 2 Company: (Corporate Seal) Company: (Corporate Seal) Signature: Signature: U) --_.._ .... _.. _ Name and Name and w L- Title: Title: 0 Address: Address: U X i c� 0 U U) CL 4- 0 0 _..... _.. _ _ ........... e Company executing is bond vouches that this document conforms to American stt to of Architects Document A3 2, 2010 edition Packet Pg. 889 Individual Acknowledgment State of County of 0 ....... .. On this .-- day of before me personally came and known to me to be the individual described in and who executed the foregoing instrument,and acknowledge to me that he executed the same My commission expires: _ . e Notary Public j ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Firm Acknowledgment 0 U State of ......... ------- County of _,u U) ...----- . —_.....- CL On this day of,,,,_ ,,, .... ,before me personally came ° ..... ...... ...... ...... t.r be a axresxnhe to me known and known to me ds r cal the in�rn of qEs described in and who executed the frnrr;.,going instrument,and he thereupon acknowledged to erne that he executed the same as and flor the act and dead of said M firm. 4- My commission expires: 0 0 Notary Public 0 __________________________________________________________________________________________________________________________________________________________________________________________ �. Corporation Acknowledgment State of U) County of �r M w : , this of th to na k awn b before xxue personally canna On t.„ y a rho b ^ng e m r Fx F c duty v✓ot a,did depose and say that he is the m"t �, a of U� i' aF� 1,ul �1 t. p t„.�,t* J s the corporation describer)in and which executed the above instrument;that he knows the seal of said corporation;that the scat affixed to said instrument is 0 rp ar affixed by order oCth�e EI Pew. Notary INrVie_ tat of OanUu �^ :;d hrs name r t3 such corporate seal; it was s thereto y r c T rr er. VS M commission ',M,a coinrills ' H � w � ., y 1 n �, �a .,�aon y Cornrroraauoutxprr a W Notary Public rasuuaaaw December 28, 2025 X Surety Acknowledgment j State of New York � County of Nassau U On March 21,2022,before me personally came Mimi Rube,noff.r. to me known,who,beingb me duly sworn,dial depose arid say that he/she is an Attorney-in-Fact col`IIARCO NATIONAL,INSURANCE COMPANY � y Y p Y y the corporation described in and which executed the within instrument;that tie/she knows the corporate seal of said corporation.; that the seal.affixed to the 8- within instrument is such corporate seal.,and that he/she signed the said instrument anal affixed the said seal as Attorney-in-Fact by authority of the Board of 0 Directors of said corporation and by authority of this office under the Standing:kesolut:ions thereof. 0 ANG]@"L A CHIODO NOTARY PUBLIC,STATE OF NEW YO B My commission expires, II9Nn.017t,`II�1Il7S"T4 r � : . QUALIFIED IN NA.SSAU COUNTY Notary Public COMMISSION EXPIRES tl/01l2024 c� Packet Pg. 890 HARCO NATIONAL INSURANCE COMPANY 1701 GOLF ROAD,SUITE 1-600,ROLLING MEADOWS,IL 60008 STATEMENT OF ASSETS,LIABILITIES,SURPLUS AND OTHER FUNDS AT DECEMBER 31,2020 c ASSETS CL Bonds(Amortized Value). . . . . . . . . . . . . . . . . .. . . . . . . . „ , . . . $97,647,952 Stocks(Preferred Stocks) . „ , . . . . , . . . . . .o. . . . . . . . . 4,687,175 Stocks(Common Stocks) . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . 817,906,534 Cash,Bank Deposits&Short Term Investments 47,123,738 Other Invested Assets . . . . . . . . . .. . . . . . . . . . . .. . . . e. . . . . . . . . . 15,101,626 Unpaid Premiums&Assumed Balances . . . . . . „ . . . . . . . . . . . . . . . . 175,152,948 0 Deferred Premiums,Agents Balances&Installments booked . . . .. .. . , 30,894,896 U Reinsurance Recoverable from Reinsurers. . . . . . . . . . . . . . . . . . . . . . 45,151,643 Reinsurance-Funds Held by or deposited with reinsured companies 6,874,534 Current Federal&Foreign Income Tax Recoverable&Interest . ,. . . . . 0 CL Investment•Income Due and Accrued . . . . . . . . . . . . . . . . . . . . .. . . . . 1,137,118 Receivables from Parent Subsidiaries&Affiliates . . . . . . .. . . . .. . . „ . 9,477,956 Other Assets . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . 3,203,261 TOTAL ASSETS . . . . . . . . . . . . . . . . . . . . . . . . . CL LIA,BILITTES,SURPLUS&OTHER FUNDS 4- Losses(Reported Losses Net as to Reinsurance Ceded and 0 Incurred But Not Reported Losses). . . . . . . . . . . . . . . . . . . . . . . . . . . . $143,768,470 Reinsurance payable on paid losses&loss adjustment expense . . . . . 13,625,897 2 Loss Adjustment Expenses. . . . . .. .. . . . . . . . . . . . . . . .. . . . . . . . . . 33,948,777 Commissions Payable,Contingent Commissions&Other Similar Charges 8,362,981 Other Expenses(Excluding Taxes,Licenses and Fees) . . . . . . . . . . . . . . 615,501. Taxes,Licenses&Fees(Excluding Federal Income Tax) . . . . . . . . . . . . . 2,999,990 Current federal and foreign income taxes . . . . . . .. . . .. .. . . .. . . . . . 625,084 Net Deferred Tax Liability . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 9,247,541 0 Unearned Premiums . . . . . .. . . . . . . . .. . . . . . . . .. . . .. . . . . . . . .. 115,882,069 Advance Premium. . . . . . . . . .. . . . . . . . . . . . . . .. . . .. . . . . . . . . e 296,536 Ceded Reinsurance Premiums Payable . . . . . . . . . . .. . . . . . . .. . . . . . 88,051,007 Funds held by Company under reinsurance treaties. . . . . . . . . .. . .. . 13,600,566 Amounts Withheld by Company for Account of Others „ . . , . . . . . . . . . 45,835,854 Payable to Parent Subsidiaries&Affiliates . . . . . . . . . .. . . . . . . . .. . . 4,231,049 Other Liabilities. . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . 77,841 U TOTAL LIABILITIES . . . . . . . . . . . . . . . $487.169,164 X Common Capital Stock . . . . . . . . . . . . , . . , . ., , . . . „ , .. , n . . $3,500,004 Gross Paid-in&Contributed Surplus . . . . . . . . . . . . . . « . . . . , . . , , „ , 670,781,834 Unassigned Funds(Surplus) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92,537,882 Surplus as Regards Policyholders . . . . . . .. . . . . . . . . . 5766 819,7.20 --TOTAL LIABILITIES,SURPLUS&OTHER FUNDS . . . . 247,9M, 84 U _.....__. ...... - _.._....... _...... . e) 1,John Mruk,Tre,s nafQRCO NATIONAL INSURANCE COMPANY,certify that the foregoing is a fair statement of Assets,Liabuf191{��Other Funds of this Company,at the close of business,December 31,2020,as reflected by its books tee' -rted in its statement on file with the Insurance Department of the State of Illinois. 0 ` ly IN TESTIMONY WHEREOF,I have set my hand and affixed the 2 _ Ja uao 1 rnrn.Exp. X a seal of the Company,this 26'h day of February,2021. s ry 15,2025 3 HARCO NATIONAL INSURANCE COMPANY � 's'AAl o r.. U�� zr �llki ., pp`` SIGNED AND SOffW11 fore.me on this 4-7 day of 1--b i J Ot r`-1,20 2.1I, NOTARY PUBLIC,STATE F AAfg,&I roll Packet Pg. 891 w C 18.c POWER OF ATTORNEY Bond# 0814852 HARCO NATIONAL INSURANCE COMPANY INTERNATIONAL FIDELITY INSURANCE COMPANY Member companies of IAT Insurance Group,Headquartered: 702 Oberlin Road, Raleigh, North Carolina 27605 O KNOW ALL MEN BY THESE PRESENTS:That HARCO NATIONAL INSURANCE COMPANY,a corporation organized and existing under the laws of the State of Illinois,and INTERNATIONAL FIDELITY INSURANCE COMPANY,a corporation organized and existing under the laws of the State of New Jersey,and having their principal offices located respectively in the cities of Rolling Meadows,Illinois and Newark,New Jersey,do hereby constitute and appoint MIMI RUBENOFF, JOHN D. FILICE c� New York, NY their true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of f0 indemnity and other writings obligatory in the nature thereof,which are or may be allowed, required or permitted by law, statute,rule, regulation,contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY,as fully and amply,to all intents and purposes,as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices. This Power of Attorney is executed,and may be revoked,pursuant to and by authority of the By-Laws of HARCO NATIONAL INSURANCE COMPANY CIL and INTERNATIONAL FIDELITY INSURANCE COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 13th day of December,2018 and by the Board of Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting held on the 13th day of December,2018. "RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the Corporation shall have the power to appoint,and to revoke the appointments of,Attorneys-in-Fact or agents with power and authority as defined or limited CL in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances,contracts of indemnity and other written obligations in the nature thereof or related thereto; and(2)any such Officers of the Corporation 4- may appoint and revoke the appointments of joint-control custodians, agents for acceptance of process, and Attorneys-in-fact with authority to execute O waivers and consents on behalf of the Corporation;and(3)the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond,undertaking,recognizance,contract of indemnity or other written O obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation,to be valid and binding upon the Corporation with the same 1� force and effect as though manually affixed." IN WITNESS WHEREOF,HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY have each executed and attested these presents on this 31st day of December,2019 ,,,.,,, 0 STATE OF NEW JERSEY STATE OF ILLINOIS County of Essex County of Cook say SEAL t r 1911b4�a, � --- Kenneth =u �tt tsNp Chapman k ,"... �, '# f Executive Vice President,Harco National Insurance Company U and International Fidelity Insurance Company X On this 31 st day of December,2019 before me came the individual who executed the preceding instrument,to me personally known,and, being by me duly sworn,said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and l INTERNATIONAL FIDELITY INSURANCE COMPANY;that the seals affixed to said instrument are the Corporate Seals of said Companies;that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. O ,`""lit, �,, IN TESTIMONY WHEREOF,I have hereunto set my hand affixed my Official Seal,at the City of Newark, U A•dVj�. New Jersey the day and year first above written. �Q':6'.Exp•oa•••.<TA 881 �c o CIL wusu sooT .......... O `�.`` Shirelle A.Outley a Notary lic of Newmm �'. 5 �` Jersey O My Commission Expires April 4,2023 CERTIFICATION I,the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit,and the copy of the Sections of the By-Laws of said Companies as set forth in said Power of Attorney,with the originals on file in the home office of said companies,and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. ; IN TESTIMONY WHEREOF,I have hereunto set my hand on this day, March 21,2022 B35915 Irene Martins,Assistant Secrets Packet Pg. 892 PERFORMANCE HARCO NATIONAL INSURANCE COMPANY BOND 0 BOND PREMIUM 13ASED OR Bond No.: 0814852 FINAL CONTRACT PRICE i CONTRACTOR: SURETY: (Name, legal status and address) (Name, legal status and principal place of business) TRIPLE M ROOFING CORP. HARCO NATIONAL INSURANCE COMPANY , 914 NW 19TH AVENUE 702 OBERLIN ROAD FORT LAUDERDALE,FL 33311 RALEIGH,NC 27605 0 U OWNER: (Name, legal status and address) U) MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 500 WHITEHEAD STREET CL KEY WEST,FL 33040 CONSTRUCTION CONTRACT Date:March 16,2022 CL Amount: $557,450.00---FIVE HUNDRED FIFTY SEVEN THOUSAND FOUR HUNDRED FIFTY&N0/100 DOLLARS Description: EAST MARTELLO ROOF PHASE II (Name and location) 3501 SOUTH ROOSEVELT BLVD.,KEY WEST,FL 0 0 BOND Date: March 21,2022 (Not earlier than Construction Contract Date) Amount: $557,450.00---FIVE HUNDRED FIFTY SEVEN THOUSAND FOUR HUNDRED FIFTY&N0/100 DOLLARS Modifications to this Bond: 0 None See Section 16 0 CONTRACTOR AS PRINCIPAL SURETY Company: TRIPLE M ROOFING CORP. (Corporate Company: HARCO NATIO AL INSURANCE COMPANY Seal) (Corporate Sea — - cu Signature: Signature: k- ,,A U Name & !r�'`� ` V u Name & Mimi Rubenof X ` Title: f� �� f1/� Title: Attorney-in-Fa t wi (Any additional signatures appear on the last page of this Performance Bond.) -(FOR-INFORMATION ONLY—Name, address and telephone) U AGENT or BROKER: OWNER'S REPRESENTATIVE: (Architect, Engineer or other party:) CL FLEETWOOD AGENCY, INC. N/A 4- 1 BIRCHWOOD COURT, SUITE 1 L 0 P.O. BOX 749 MINEOLA,NY 11501 2 (212)968-9100 Doc#2374077 Bk#3171 Pg#2183 Recorded 5/4/2022 3:38 PM Page 1 of 7 Filed and Recorded in Official Records of MONROE COUNTY KEVLN MADOK.CPA The Company executing this bond vouches that this document conforms to American Institute of Architects Document A312, 2010 edition 1 Packet Pg. 893 r C.18.c § 1 The Contractor and Surety, jointly and severally, bind themselves, their heirs, executors, administrators, successors and assigns to the Owner for the performance of the Construction Contract, which is incorporated herein by reference. 0 § 2 If the Contractor performs the Construction Contract, the Surety and the Contractor shall have no obligation under this Bond, except when applicable to participate in a conference as provided in Section 3. § 3 If there is no Owner Default under the Construction Contract, the Surety's obligation under this Bond shall arise after .1 the Owner first provides notice to the Contractor and the Surety that the Owner is considering declaring a Contractor Default. Such notice shall indicate whether the Owner is U requesting a conference among the Owner, Contractor and Surety to discuss the Contractor's performance. If the Owner does not request a conference, the Surety may, within five (5) business days after receipt of the Owner's notice, request such a conference. If the Surety timely requests a conference, the Owner shall attend. Unless the Owner agrees otherwise, any conference requested under this Section 3.1 shall be held within ten (10) business days of the Surety's receipt of the Owner's notice. If the Owner, the Contractor and the Surety agree, the Contractor shall be allowed a reasonable time to perform the CL Construction Contract, but such an agreement shall not waive the Owner's right, if any, ,- subsequently to declare a Contractor Default; 0 .2 the Owner declares a Contractor Default, terminates the Construction Contract and notifies c the Surety; and .3 the Owner has agreed to pay the Balance of the Contract Price in accordance with the terms of the Construction Contract to the Surety or to a contractor selected to perform the Construction Contract. M L- 0 § 4 Failure on the part of the Owner to comply with the notice requirement in Section 3.1 shall not constitute a failure to comply with a condition precedent to the Surety's obligations, or release the Surety from its obligations, except to the extent the Surety demonstrates actual prejudice. § 5 When the Owner has satisfied the conditions of Section 3, the Surety shall promptly and at the Surety's expense take one of the following actions: U X § 5.1 Arrange for the Contractor, with the consent of the Owner, to perform and complete the Wi Construction Contract; § 5.2 Undertake to perform and complete the Construction Contract itself, through its agents or U independent contractors; U) § 5.3 Obtain bids or negotiated proposals from qualified contractors acceptable to the Owner for a contract for performance and completion of the Construction Contract, arrange for a contract to be prepared for execution by the Owner and a contractor selected with the Owner's concurrence, to be secured with performance and payment bonds executed by a qualified surety equivalent to the bonds 2 issued on the Construction Contract, and pay to the Owner the amount of damages as described in Section 7 in excess of the Balance of the Contract Price incurred by the Owner as a result of the Contractor Default; or c� The Company executing this bond vouches that this document conforms to American Institute of Architects Document A312, 2010 edition 2 Packet Pg. 894 • C.18.c § S.4 Waive its right to perform and complete, arrange for completion, or obtain a new contractor anu with reasonable promptness under the circumstances: .1 After investigation, determine the amount for which it may be liable to the Owner and, as soon as practicable after the amount is determined, make payment to the Owner; or .2 Deny liability in whole or in part and notify the Owner, citing the reasons for denial. c § 6 If the Surety does not proceed as provided in Section 5 with reasonable promptness, the Surety shall be deemed to be in default on this Bond seven days after receipt of an additional written notice from the Owner to the Surety demanding that the Surety perform its obligations under this Bond, and the Owner shall be entitled to enforce any remedy available to the Owner. If the Surety proceeds as provided in Section 5.4, and the Owner refuses the payment or the Surety has denied liability, in whole or in part, without further notice the Owner shall be entitled to enforce any remedy available to the Owner. 0 U § 7 If the Surety elects to act under Section 5.1, 5.2 or 5.3, then the responsibilities of the Surety to the Owner shall not be greater than those of the Contractor under the Construction Contract, and the responsibilities of the Owner to the Surety shall not be greater than those of the Owner under the Construction Contract. Subject to the commitment by the Owner to pay the Balance of the Contract Price, the Surety is obligated, without duplication, for .1 the responsibilities of the Contractor for correction of defective work and completion of the Construction Contract; CL .2 additional legal, design professional and delay costs resulting from the Contractor's Default, ,- and resulting from the actions or failure to act of the Surety under Section 5; and 0 .3 liquidated damages, or if no liquidated damages are specified in the Construction Contract, c actual damages caused by delayed performance or non-performance of the Contractor. , § 8 If the Surety elects to act under Section 5.1, 5.3 or 5.4, the Surety's liability is limited to the amount of this Bond. L_ 0 § 9 The Surety shall not be liable to the Owner or others for obligations of the Contractor that are unrelated to the Construction Contract, and the Balance of the Contract Price shall not be reduced or set off on account of any such unrelated obligations. No right of action shall accrue on this Bond to any person or entity other than the Owner or its heirs, executors, administrators, successors and assigns. § 10 The Surety hereby waives notice of any change, including changes of time, to the Construction U Contract or to related subcontracts, purchase orders and other obligations. X i § 11 Any proceeding, legal or equitable, under this Bond may be instituted in any court of competent jurisdiction in the location in which the work or part of the work is located and shall be instituted within two years after a declaration of Contractor Default or within two years after the Contractor ceased U working or within two years after the Surety refuses or fails to perform its obligations under this Bond, whichever occurs first. If the provisions of this Paragraph are void or prohibited by law, the minimum period of limitation available to sureties as a defense in the jurisdiction of the suit shall be applicable. 4- 0 0 § 12 Notice to the Surety, the Owner or the Contractor shall be mailed or delivered to the address shown on the page on which their signature appears. 2 § 13 When this Bond has been furnished to comply with a statutory or other legal requirement in the location where the construction was to be performed, any provision in this Bond conflicting with said .. statutory or legal requirement shall be deemed deleted herefrom and provisions conforming to such c� The Company executing this bond vouches that this document conforms to American Institute of Architects Document A312, 2010 edition 3 Packet Pg. 895 1 C.18.c statutory or other legal requirement shall be deemed incorporated herein. When so furnished, the intent is that this Bond shall be construed as a statutory bond and not as a common law bond. § 14 Definitions § 14.1 Balance of the Contract Price. The total amount payable by the Owner to the Contractor under c the Construction Contract after all proper adjustments have been made, including allowance to the Contractor of any amounts received or to be received by the Owner in settlement of insurance or other claims for damages to which the Contractor is entitled, reduced by all valid and proper payments made to or on behalf of the Contractor under the Construction Contract. § 14.2 Construction Contract. The agreement between the Owner and Contractor identified on the cover page, including all Contract Documents and changes made to the agreement and the Contract Documents. U § 14.3 Contractor Default. Failure of the Contractor, which has not been remedied or waived, to perform or otherwise to comply with a material term of the Construction Contract. § 14.4 Owner Default. Failure of the Owner, which has not been remedied or waived, to pay the Contractor as required under the Construction Contract or to perform and complete or comply with the other material terms of the Construction Contract. CL 4- § 14.5 Contract Documents. All the documents that comprise the agreement between the Owner and 0 Contractor. c § 15 If this Bond is issued for an agreement between a Contractor and subcontractor, the term Contractor in this Bond shall be deemed to be Subcontractor and the term Owner shall be deemed to be Contractor. M § 16 Modifications to this bond are as follows: 0 (Space is provided below for additional signatures of added parties, other than those appearing on the cover page.) CONTRACTOR AS PRINCIPAL SURETY U Company: (Corporate Seal) Company: (Corporate Seal) W i Signature: Signature: Name and Name and Title: Title: U Address: Address: CL 4- 0 0 c c� The Company executing this bond vouches that this document conforms to American Institute of Architects Document A312, 2010 edition 4 Packet Pg. 896 • C.18.c Individual Acknowledgment State of O County of O On this day of before me personally came and known to me to be the individual described in and who executed the foregoing instrument,and acknowledge to the that he executed the same. My commission expires: Notary Public ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Firm Acknowledgment f0 State of U) County of CL On this day of before me personally came to me known and known to me to be a member of the firm of described in and who executed the foregoing instrument,and he thereupon acknowledged to me that he executed the same as and for the act and deed of said CL firm. 4- 0 My commission expires: O Notary Public O ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Corporation Acknowledgment State of � dw U) M County of W On this C.��� day of ,before me personally came /'1-4 4V_E4_(v to me known ho bejT%g by me duulwo ,d' depose and say that he is the 2FsL d'5_-f7/77 of j O the corporation described in and which executed the above instrument; that he knows the seal of said co ation;that the seal affixed to said instrument is cm such corporate seal;that it was so affixed by order of ard of Directors of said corporation,and th a signed his name thereto by like order. PAMELA SH � _ �C c� c� =��rsy °4,�N U R ' n� Ote My commission expires: - _ ry Public-State of y Commission#HH NotaryPublic X M Co :' , > �A Y Commission ;= ;:; P �'uEL �p,n,�-- ---DeCemb�i e- - :, T.`-1 ii' iC S aH11� �---- ------- -- ,I ---�+�w..,. :;;_,:, d °mmission#He°f Florida Surety Acknowledgmentp,lilt;�. MY Commission EX00617 December 28, 2025eS 0 State of New York t3 County of Nassau U) On March 21,2022,before me personally came Mimi Rubenoff to me known,who,being by me duly sworn,did depose and say that he/she is an Attorney-in-Fact of HARCO NATIONAL INSURANCE COMPANY the corporation described in and which executed the within instrument; that he/she knows the corporate seal of said corporation; that the seal affixed to the 0 within instrument is such corporate seal,and that he/she signed the said instrument and affixed the said seal as Attorney-in-Fact by authority of the Board o: Directors of said corporation and by authority of this office under the Standing Resolutions thereof. 2 ANGELA CHIODO NOTARY PUBLIC,STATE OF NEW YORK My commission expires: ID No.01CH6117874 QUALIFIED IN NASSAU COUNTY Notary Public , COMMISSION EXPIRES 11/01/2024 E U Packet Pg. 897 HARCO NATIONAL INSURANCE COMPANY 1701 GOLF ROAD,SUITE 1-600,ROLLING MEADOWS,IL 60008 STATEMENT OF ASSETS,LIABILITIES,SURPLUS AND OTHER FUNDS AT DECEMBER 31,2020 - -- .........._.. —---— ASSETS Bonds(Amortized Value). . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . $97,647,952 Stocks(Preferred Stocks) . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 4,687,175 Stocks(Common Stocks) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 817,906,534 j Cash,Bank Deposits&Short Term Investments . . . . . . . . . . . . . . . . . . 47,123,738 Other Invested Assets . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 15,101,626 Unpaid Premiums&Assumed Balances . . . . . . . . . . . . . . . . . . . . . . . . 175,152,948 L) Deferred Premiums,Agents Balances&Installments booked . . . . . . . . . 30,894,886 Reinsurance Recoverable from Reinsurers. . . . . . . . . . . . . . . . . . 45,151,643 U) Reinsurance-Funds Held by or deposited with reinsured companies . . 6,874,534 Current Federal&Foreign Income Tax Recoverable&Interest . .. . . . . 0 CL Investment Income Due and Accrued . . . . . . . . . .. . . . . . . . . . . . . . . . 1,137,118 Receivables from Parent Subsidiaries&Affiliates . . . . . . . . . . . . . . . . . 9,477,956 Other Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,203,261 TOTAL ASSETS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -�-1.254. 559,371 CL LIABILITIES,SURPLUS&OTHER FUNDS 4- 0 Losses(Reported Losses Net as to Reinsurance Ceded and 0 Incurred But Not Reported Losses) . . . . . . . . . . . . . . . . . . . . . . . . . . . . $143,768,470 0 Reinsurance payable on paid losses&loss adjustment expense 13,625,897 Loss Adjustment Expenses. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 33,948,777 1 Commissions Payable,Contingent Commissions&Other Similar Charges 8,362,981 Other Expenses(Excluding Taxes,Licenses and Fees) . . . .. . . . . . . . . . 615,501 Taxes,Licenses&Fees(Excluding Federal Income Tax) . . . . . . . . . . . . . 2,999,990 M Current federal and foreign income taxes . . . . . . . . . . . . .. . . . . . . . . . 625,084 Net Deferred Tax Liability . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 9,247,541 0 Unearned Premiums . . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . 115,882,069 Advance Premium. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . 296,536 Ceded Reinsurance Premiums Payable . . . . . .. . . . . . . . . . . . . . . . 88,051,007 Funds held by Company under reinsurance treaties. . . . . . . . . . . . . . . . 13,600,566 Amounts Withheld by Company for Account of Others . . .. . . . . . . . . . 45,835,854 Payable to Parent Subsidiaries&Affiliates . . . ... . . . . . . . . . .. . . . . . . 4,231,049 Other Liabilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . 77,841 U TOTAL LIABILITIES . . . . . . . . . . . . . . . . . . . . . . . . . . 9i481,1b9,164 X Common Capital Stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $3,500,004 Gross Paid-in&Contributed Surplus . . . . . . . . . . . . . . . . . . . . . . . . . . 670,781,834 Unassigned Funds(Surplus) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92,537,882 ° Surplus as Regards Policyholders . . . . . . . . . . . . . . . . . $766,819,720 t0 TOTAL LIABILITIES,SURPLUS&OTHER FUNDS . . . . 51 247_8 am _ U) _ — I,John Mruk,Treas aaf r1QRCO NATIONAL INSURANCE COMPANY,certify that the foregoing is a fair statement of Assets,Liabb. 2� _%.Other Funds of this Company,at the close of business,December 31,2020,as reflected 0 by its books, rted in its statement on file with the Insurance Department of the State of Illinois. G.°'�• -•..may o 0 ® My Comm.Ex ' s IN TESTIMONY WHEREOF,I have set my hand and affixed the 'January P : = seal of the Company,this 26th day of February,2021. 1i i ry 15,2025? �sL,. ,' I- C a HARCO NATIONAL INSURANCE COMPANY •'lk B,Av .''�V�`,�°` --Icy` f r l✓ 1J .. SIGNED AND SW�f� before me on this day of rtl'f v a ,20 2-11 . NOTARY PUBLIC,STATE OF Or r0l I AA Packet Pg. 898 ' 9 POWER OF ATTORNEY Bond# 0814852 HARCO NATIONAL INSURANCE COMPANY INTERNATIONAL FIDELITY INSURANCE COMPANY Member companies of IAT Insurance Group,Headquartered: 702 Oberlin Road, Raleigh, North Carolina 27605 O KNOW ALL MEN BY THESE PRESENTS:That HARCO NATIONAL INSURANCE COMPANY,a corporation organized and existing under the laws of the State of Illinois,and INTERNATIONAL FIDELITY INSURANCE COMPANY,a corporation organized and existing under the laws of the State of New CL Jersey,and having their principal offices located respectively in the cities of Rolling Meadows,Illinois and Newark,New Jersey,do hereby constitute and appoint MIMI RUBENOFF, JOHN D. FILICE c� New York, NY their true and lawful attorney(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of U indemnity and other writings obligatory in the nature thereof,which are or may be allowed, required or permitted by law,statute, rule,regulation,contract or otherwise, and the execution of such instrument(s) in pursuance of these presents, shall be as binding upon the said HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY, as fully and amply,to all intents and purposes,as if the same had been duly executed and acknowledged by their regularly elected officers at their principal offices. CL This Power of Attorney is executed,and may be revoked,pursuant to and by authority of the By-Laws of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY and is granted under and by authority of the following resolution adopted by the Board of Directors of INTERNATIONAL FIDELITY INSURANCE COMPANY at a meeting duly held on the 13th day of December,2018 and by the Board of Directors of HARCO NATIONAL INSURANCE COMPANY at a meeting held on the 13th day of December,2018. "RESOLVED, that (1) the Chief Executive Officer, President, Executive Vice President, Senior Vice President, Vice President, or Secretary of the CL Corporation shall have the power to appoint,and to revoke the appointments of,Attorneys-in-Fact or agents with power and authority as defined or limited in their respective powers of attorney, and to execute on behalf of the Corporation and affix the Corporation's seal thereto, bonds, undertakings, recognizances, contracts of indemnity and other written obligations in the nature thereof or related thereto; and (2) any such Officers of the Corporation - may appoint and revoke the appointments of joint-control custodians, agents for acceptance of process, and Attorneys-in-fact with authority to execute O waivers and consents on behalf of the Corporation;and(3)the signature of any such Officer of the Corporation and the Corporation's seal may be affixed by facsimile to any power of attorney or certification given for the execution of any bond, undertaking, recognizance,contract of indemnity or other written 2 obligation in the nature thereof or related thereto, such signature and seals when so used whether heretofore or hereafter, being hereby adopted by the Corporation as the original signature of such officer and the original seal of the Corporation,to be valid and binding upon the Corporation with the same � force and effect as though manually affixed." U) IN WITNESS WHEREOF,HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL W FIDELITY INSURANCE COMPANY have each executed and attested these presents on this 31st day of December,2019 O ,,..fii.illl, ITY �OF 't'SG STATE OF NEW JERSEY STATE OF ILLINOIS 4�•'pPOR ` ,r,-• R40Rq `� Count of Essex `' O ! y Y County of Cook ; c V SEAL `� z SEAL :o Y 1904�, cy _ _ O`-. 15ffd'. yd� a Kenneth Chapman ; ' Executive Vice President,Harco National Insurance Company " "' _ U and International Fidelity Insurance Company X On this 31st day of December,2019 before me came the individual who executed the preceding instrument,to me personally known,and, being by me duly sworn,said he is the therein described and authorized officer of HARCO NATIONAL INSURANCE COMPANY and cs INTERNATIONAL FIDELITY INSURANCE COMPANY;that the seals affixed to said instrument are the Corporate Seals of said Companies;that the said Corporate Seals and his signature were duly affixed by order of the Boards of Directors of said Companies. O "Will A`,`� IN TESTIMONY WHEREOF,I have hereunto set my hand affixed my Official Seal,at the City of Newark, t3 �0• Lj'� New Jersey the day and year first above written. �0.gym.a:P.oo,q•. U) TA 7CL W JER6 \0 Shirelle A.Outley a Notary Public of New Jersey F ,� �''ti���W My Commission Expires April 4,2023 O CERTIFICATION I,the undersigned officer of HARCO NATIONAL INSURANCE COMPANY and INTERNATIONAL FIDELITY INSURANCE COMPANY do hereby certify that I have compared the foregoing copy of the Power of Attorney and affidavit,and the copy of the Sections of the By-Laws of said Companies as set forth in said Power of Attorney,with the originals on file in the home office of said companies,and that the same are correct transcripts thereof,and of the whole of the said originals,and that the said Power of Attorney has not been revoked and is now in full force and effect. IN TESTIMONY WHEREOF,I have hereunto set my hand on this day, March 21,2022 B35915 / -�'� Irene Martins,Assistant Secret Packet Pg. 899 �1 ® C.18.c ,4��fl CERTIFICATE OF LIABILITY INSURANCE DATE( 4/28/2022 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 4- REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. O O IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must 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). ds PRODUCER NAME: y Frank H. Furman, Inc. a/c No Ext: (954)943-5050 a/c,NO: (959)992-6310 1314 East Atlantic Blvd. E-MAIL ADDRESS: ®" P. O. BOX 1927 INSURER(S) AFFORDING COVERAGE NAIC# Pompano Beach FL 33061 INSURERA:Houston Specialty Insurance Company 12936 INSURED INSURER B:Imperium Insurance Company 35408 Triple M Roofing Corp INSURERC:FRSA SIF/Evanston Insurance Company 35378 f0 914 NW 19th Avenue INSURER D: INSURER E: (B1 Ft Lauderdale FL 33311 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: CL 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. U INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,( DAMAA CLAIMS-MADE ❑X OCCUR PREMISES (E.occurrence)RENTED 100,( '0 PREMISES Ea occurrence $ 0 X Contractual Included X Y CONHSGL000013100 5/1/2022 5/1/2023 MED EXP(Any one person) $ 5,( O APPROVED BY RISK MANAGEMENT 1,000, X XCU Included PERSONAL &ADV INJURY $ 0 GEN'L AGGREGATE LIMIT APPLIES PER: BY"' .+1 GENERAL AGGREGATE $ 2,000,( POLICY FX I PRO- ❑ LOC DAIE----- ���� PRODUCTS-COMP/OP AGG $ 2,000,( OTHER: WAVER WA—YES $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000, Ea accident M B X ANYAUTO BODILY INJURY(Per person) $ UJI ALL OWNED SCHEDULED X Y CONIICCA000012600 5/1/2022 5/1/2023 BODILY INJURY(Per accident) $ — AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident) $ Personal Injury Protection $ 10,( UMBRELLA LAB X OCCUR CONHSCX000010200 5/1/2022 5/1/2023 EACH OCCURRENCE $ 5,000,( A X EXCESS LAB CLAIMS-MADE Coverage is Excess of the AGGREGATE $ 5,000,( DED RETENTION $ GL AL and EL $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 1,000, OFFICER/MEMBER EXCLUDED? X C (Mandatory in NH) y 870040140 1/1/2022 1/1/2023 E.L.DISEASE-EA EMPLOYEE $ 1,000,( If yes,describe under DESCRIPTION OF OPERATIONS below I I I E.L.DISEASE-POLICY LIMIT $ 1,000,( O U DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Monroe County Board of County Commissioners, their elected and appointed officers and employees are known as Additional Insureds with respect to General Liability and Automobile Liability as required by written M contract or agreement and subject to policy terms and conditions. Waiver of Subrogation in favor of the CL Additional Insureds for General Liability, Automobolie Liability and Workers Compensation as required by ,- written contract or agreement and subject to policy terms and conditions. O O O CERTIFICATE HOLDER CANCELLATION Thompson-Stan@MonroeCounty-FI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN aU Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE Dirk DeJong/JC ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Packet P 900 INS025(201401) g' C.18.c COMMENTS/REMARKS conditions. Additional Insured Lessor of Leased Equipment is included under the GL as per 0 O CG2028 (12/19) ------------------------------------------------------------------ The Auto includes blanket additional insured as per CA2048 (10/13) , PNC as per CA0449 (11/16) and WOS as per CA0444 (10/13) as required by written contract or agreement and _ subject policy terms and conditions. ------------------------------------------------------------------ WC WOS is available as per WC000313 (4/14) (without additional charge) as required by written contract or agreement and subject to policy terms and conditions If the cert , holder wants a copy of the WOS endorsement please advise CSR as they must be issued specific to each entity that wants one **All WC Certs must be forwarded to the FRSA for their file** O t3 Loss Payee is available under the Scheduled Contractors Equipment &/or Leased Rented Equipment - Please give COI to CSR to order the endorsement Deductible is $1,000 AOP and Wind/Hail CL c5 4- 0 O O U) M L- O U x I c5 O U U) CL 4- 0 O O 4i E c5 OFREMARK COPYRIGHT 2000, AMS SERVICES INC. Packet Pg. 901 C.18.c POLICY NUMBER: CONHSGL000013100 COMMERCIAL GENERAL LIABILITY 0 CG20101219 E 4- 0 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR n CONTRACTORS — SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: 0 U COMMERCIAL GENERAL LIABILITY COVERAGE PART U) SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations Any person or organization in which the Named As per written contract or written agreement Insured has agreed in a written contract or written executed prior to loss agreement executed prior to loss 4- 0 0 c Information required to complete this Schedule, if not shown above, will be shown in the Declarations. U) A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodilyinjury" or damage" or "personal and advertising injury" "property damage" occurring after: in t y caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such U 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or X in the performance of your ongoing operations for on behalf of the additional insured(s) at the i the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the t0 injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a CL 2. If coverage provided to the additional insured is principal as a part of the same project. - required by a contract or agreement, the c insurance afforded to such additional insured c will not be broader than that which you are required by the contract or agreement to provide for such additional insured. c� CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Packet Pg. 902 C.18.c C. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following is added to insurance; c Section III —Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable limits of insurance. will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or c� 0 U U) c� 4- 0 0 c U) M LU - 0 U LU LU c� 0 U U) 4- 0 0 c LU 4i E c� Page 2 of 2 © Insurance Services Office, Inc., 2018 CG packet Pg. 903 C.18.c POLICY NUMBER: CONHSGL000013100 COMMERCIAL GENERAL LIABILITY 0 CG 20 37 12 19 E 4- 0 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR n CONTRACTORS — COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: c� COMMERCIAL GENERAL LIABILITY COVERAGE PART 0 PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART L) U) SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization in which the Named As per written contract or written agreement Insured has agreed in a written contract or written executed prior to loss agreement executed prior to loss 4- 0 0 c U) M L- 0 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these U include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III —Limits Of Insurance: X with respect to liability for "bodily injury" or If coverage provided to the additional insured is i "property damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included U in the "products-completed operations hazard". 1. Required by the contract or agreement; or However: 2. Available under the applicable limits of insurance; 1. The insurance afforded to such additional insured only applies to the extent permitted by whichever is less. - law; and This endorsement shall not increase the c 2. If coverage provided to the additional insured is applicable limits of insurance. c required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. E c� CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Packet Pg. 904 C.18.c Policy Number: CONHSGL000013100 COMMERCIAL GENERAL LIABILITY CG20011219 0 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY — n OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART c t3 LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to - an additional insured under your policy provided c that: c (1) The additional insured is a Named Insured under such other insurance; and U) M L- 0 t3 x c� 0 t3 U) CL 4- 0 0 c 4i c� CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Packet Pg. 905 C.18.c POLICY NUMBER: CONHSGL000013100 COMMERCIAL GENERAL LIABILITY 0 CG 24 04 12 19 E 4- 0 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY n AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART c t3 ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHEDULE 4- Name Of Person(s) Or Organization(s): 0 Any person or organization in which the Named Insured has agreed in a written contract or written agreement c excuted prior to loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. M L- The following is added to Paragraph 8. Transfer Of 0 Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that t3 the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This X endorsement applies only to the person(s) or Wi organization(s)shown in the Schedule above. 0 t3 U) CL 4- 0 0 c c� CG 24 04 12 19 © Insurance Services Office, Inc., 2018 Packet Pg. 906 C.18.c Policy Number: CONHSGL000013100 HIIG CG 20 07 10 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 4- 0 0 CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT ENDORSEMENT n This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule c t3 Coverage Limit of Insurance Single Construction Project General Aggregate Limit Equal to General Aggregate Limit Cap For All Damages from All Ongoing Construction Projects $5,000,000 c� A. For all sums which the insured becomes legally obligated to pay as damages caused by 'occurrences" under 2 CL SECTION I —COVERAGES, COVERAGE A—BODILY INJURY AND PROPERTY DAMAGE LIABILITY, and for all medical expenses caused by accidents under SECTION I — COVERAGES, COVERAGE C — MEDICAL - PAYMENTS, which can be attributed only to ongoing operations at construction projects away from premises c owned by or rented to the insured: c 1. The most we will pay will be capped at the Cap For All Damages from All Ongoing Construction Projects limit shown in the Schedule above, regardless of the number of: a. "Occurrences"; b. Insureds; W C. Claims made or"suits" brought; 0 d. Persons or organizations making claims or bringing "suits"; or e. Separate construction projects. 2. Subject to Paragraph A.1. above: A separate Single Construction Project General Aggregate Limit applies to each construction project away a from premises owned by or rented to the insured, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. W 3. The Single Construction Project General Aggregate Limit is the most we will pay for the sum of all Wi damages under SECTION I - COVERAGE A, except damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard", and for medical expenses under SECTION I -COVERAGE C regardless of the number of: t0 a. Insureds; b. Claims made or"suits" brought; or C. Persons or organizations making claims or bringing "suits". 4- 4. Any payments made under SECTION I - COVERAGE A for damages or under SECTION I - COVERAGE 0 C for medical expenses shall reduce the Single Construction Project General Aggregate Limit for that c construction project away from premises owned by or rented to the insured. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Single Construction Project General Aggregate Limit for any other separate construction project away from premises owned by or rented to the insured. 5. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit E c� HIIG CG 20 07 10 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 2 with its permission. Packet Pg. 907 C.18.c shown in the Declarations, such limits will be subject to the applicable Single Construction Project General Aggregate Limit. 4- 0 0 B. For all sums which the insured becomes legally obligated to pay as damages caused by 'occurrences" under SECTION I - COVERAGE A, and for all medical expenses caused by accidents under SECTION I - COVERAGE C, which cannot be attributed only to ongoing operations at a single construction project away from premises owned by or rented to the insured: 1. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-Completed Operations Aggregate Limit, whichever is applicable; and 2. Subject to Paragraph A.1. above, such payments shall not reduce any Single Construction Project General Aggregate Limit. U C. When coverage for liability arising out of the "products-completed operations hazard" is provided, any U) payments for damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Single Construction Project General Aggregate Limit. 0 D. If a single construction project away from premises owned by or rented to the insured has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. 0 0 E. If endorsement CG 25 03, Designated Construction Project(s) General Aggregate Limit [or a similar c construction project(s) aggregate endorsement] is also a part of this policy or coverage part, the most we will pay for all sums which the insured becomes legally obligated to pay as damages caused by 'occurrences" under SECTION I - COVERAGE A and all medical expenses caused by accidents under SECTION I - COVERAGE C, which can be attributed only to ongoing operations at: 1. Any construction project(s) designated in such CG 25 03 endorsement [or in a similar such construction L- project(s)aggregate endorsement]; '- 2. Any construction project(s)to which the provisions of this endorsement apply; and/or 3. Any construction project(s) to which the provisions of this endorsement and the provisions of such CG 25 03 endorsement [or a similar such construction project(s)aggregate endorsement] both apply; will be subject to Paragraph A.1. above. U F. The provisions of SECTION III - LIMITS OF INSURANCE not otherwise modified by this endorsement shall X continue to apply as stipulated. WI c� 0 t3 U) 4- 0 0 c I E c� HIIG CG 20 07 10 18 Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 2 with its permission. Packet Pg. 908 C.18.c POLICY NUMBER: CONHSGL000013100 COMMERCIAL GENERAL LIABILITY 0 CG 20 28 12 19 E 4- 0 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — LESSOR OF n LEASED EQUIPMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 0 SCHEDULE _ U) Name Of Additional Insured Person(s) Or Organization(s): Any person or organization in which the Named Insured has agreed in a written contract or agreement executed prior to loss c� 4- 0 0 c Information required to complete this Schedule, if not shown above, will be shown in the Declarations. L- 0 A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, this insurance does not apply organization(s) shown in the Schedule, but only to any 'occurrence" which takes place after the with respect to liability for "bodily injury", "property equipment lease expires. damage" or "personal and advertising injury" C. With respect to the insurance afforded to these caused, in whole or in part, by your maintenance, additional insureds, the following is added to operation or use of equipment leased to you by Section III— Limits Of Insurance: U such person(s)or organization(s). If coverage provided to the additional insured is X However: required by a contract or agreement, the most we 1. The insurance afforded to such additional will pay on behalf of the additional insured is the insured only applies to the extent permitted by amount of insurance: law; and 1. Required by the contract or agreement; or t0 2. If coverage provided to the additional insured is 2. Available under the applicable limits of required by a contract or agreement, the insurance; 0 insurance afforded to such additional insured will not be broader than that which you are whichever is less. required by the contract or agreement to This endorsement shall not increase the - provide for such additional insured. applicable limits of insurance. c c c� CG 20 28 12 19 © Insurance Services Office, Inc., 2018 Packet Pg. 909 C.18.c POLICY NUMBER: CONIICCA000012600 COMMERCIAL AUTO 0 CA 20 48 10 13 E 4- 0 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR n COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: 0 AUTO DEALERS COVERAGE FORM t3 BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM U) With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. E This endorsement identifies person(s)or organization(s)who are "insureds" for Covered Autos Liability Coverage 08 under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage CL provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated - below. c c Named Insured: Triple M Roofing Corp Endorsement Effective Date: 5/01/2022 cu SCHEDULE 0 Name Of Person(s) Or Organization(s): Any person or organization in which the Named Insured has agreed in a written contract or written agreement executed prior to a loss Information required to complete this Schedule, if not shown above, will be shown in the Declarations. t3 Each person or organization shown in the Schedule is W an "insured" for Covered Autos Liability Coverage, but Wi only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business c) Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. 4- 0 0 c E c� CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Packet Pg. 910 C.18.c Policy Number: CONIICCA000012600 COMMERCIAL AUTO CA 04 49 11 16 E 4- 0 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY — n OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM c t3 BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. c� A. The following is added to the Other Insurance B. The following is added to the Other Insurance 2 Condition in the Business Auto Coverage Form Condition in the Auto Dealers Coverage Form and and the Other Insurance — Primary And Excess supersedes any provision to the contrary: Insurance Provisions in the Motor Carrier This Coverage Form's Covered Autos Liability Coverage Form and supersedes any provision to Coverage and General Liability Coverages are the contrary: primary to and will not seek contribution from any This Coverage Form's Covered Autos Liability other insurance available to an "insured" under Coverage is primary to and will not seek your policy provided that: contribution from any other insurance available to 1. Such "insured" is a Named Insured under such ° an "insured" under your policy provided that: other insurance; and M 1. Such "insured" is a Named Insured under such 2. You have agreed in writing in a contract or other insurance; and agreement that this insurance would be 2. You have agreed in writing in a contract or primary and would not seek contribution from agreement that this insurance would be any other insurance available to such primary and would not seek contribution from "insured". any other insurance available to such "insured". t3 X c� 0 t3 U) 4- 0 0 c E c� CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Packet Pg. 911 C.18.c POLICY NUMBER: CONIICCA000012600 COMMERCIAL AUTO 0 CA 04 44 10 13 E 4- 0 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY n AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: c� AUTO DEALERS COVERAGE FORM 0 BUSINESS AUTO COVERAGE FORM L) MOTOR CARRIER COVERAGE FORM U) With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Triple M Roofing Corp 4- 0 Endorsement Effective Date: 5/01/2022 c c SCHEDULE Name(s) Of Person(s) Or Organization(s): U) M Any person or organization in which the Named Insured has agreed in a written contract or written agreement L- executed prior to a loss 0 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against L) Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, X but only to the extent that subrogation is waived prior i to the "accident" or the "loss" under a contract with that person or organization. 0 t3 U) CL 4- 0 0 c E c� CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Packet Pg. 912 �1 ® C.18.d ,4��fl CERTIFICATE OF LIABILITY INSURANCE DATE( 4/28/2022 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 (D REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. a IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must 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 NAME: Frank H. Furman, Inc. A/CONNo Ext: (954)943-5050 Air No: (954)942-6310 1314 East Atlantic Blvd. E-MAIL ADDRESS: P. O. BOX 1927 INSURER(S) AFFORDING COVERAGE NAIC# Pompano Beach FL 33061 INSURERA:Houston Specialty Insurance Company 12936 (D INSURED INSURER B:Imperium Insurance Company 35408 Triple M Roofing Corp INSURERC:FRSA SIF/Evanston Insurance Company 35378 914 NW 19th Avenue INSURERD: INSURER E: (D Ft Lauderdale FL 33311 INSURERF: (D COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: _ris THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD qb INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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. O INSR ADDL SUBR POLICY EFF POLICY EXP O LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,( REMISESS A CLAIMS-MADE ❑X OCCUR PE (RENTEDEa ccurrence $ 100,( PREMI o X Contractual Included X Y CONHSGL000013100 5/1/2022 5/1/2023 MED EXP(Any one person) $ 5,( APPROVED BY RISK MANAGEMENT 1,000,( X XCU Included ,� PERSONAL&ADV INJURY $ :. r r• GEN'LAGGREGATE LIMITAPPLIES PER: Y,. """'"' �"' — GENERAL AGGREGATE $ 2,000,( UU POLICY � PRO ❑ LOC DATE ----- PRODUCTS-COMP/OP AGG $ 2,000,( OTHER WAVER NA—YES— $ : AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,( (D Ea accident B X ANYAUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED X Y CONIICCA000012600 5/1/2022 5/1/2023 BODILY INJURY(Per accident) $ (D AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ Personal Injury Protection $ 10,( UMBRELLA LIAB X OCCUR CONHSCX000010200 5/1/2022 5/1/2023 EACH OCCURRENCE $ 5,000,( A X EXCESS LIAB CLAIMS-MADE Coverage is Excess o£ the AGGREGATE $ 5,000,( DED RETENTION $ GL AL and EL $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY 1,/N STATUTEI ER CL ANY PROPRIETOR/PARTNER/EXECUTIVE � N/A E.L.EACH ACCIDENT $ 1,000,( (D OFFICER/MEMBER EXCLUDED? i N i C (Mandatory in NH) y 870040140 1/1/2022 1/1/2023 E.L.DISEASE-EA EMPLOYEE $ 1,000,( If yes,describe under (D DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,( O DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) O Monroe County Board of County Commissioners, their elected and appointed officers and employees are known as Additional Insureds with respect to General Liability and Automobile Liability as required by written contract or agreement and subject to policy terms and conditions. Waiver of Subrogation in favor of the qb Additional Insureds for General Liability, Automobolie Liability and Workers Compensation as required by CL written contract or agreement and subject to policy terms and conditions. CL 70 CERTIFICATE HOLDER CANCELLATION Thompson-Stan@MonroeCounty-FI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CD Monroe County Board of County THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. (D 1100 Simonton Street E Key West, FL 33040 AUTHORIZED REPRESENTATIVE n Dirk DeJong/JCA'�?zv- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) Packet Pg. 913 C.18.d COMMENTS/REMARKS conditions. Additional Insured Lessor of Leased Equipment is included under the GL as per _ CG2028 (12/19) ------------------------------------------------------------------ The Auto includes blanket additional insured as per CA2048 (10/13) , PNC as per CA0449 (11/16) and WOS as per CA0444 (10/13) as required by written contract or agreement and , subject policy terms and conditions. ------------------------------------------------------------------ WC WOS is available as per WC000313 (4/14) (without additional charge) as required by 0 written contract or agreement and subject to policy terms and conditions If the cert U holder wants a copy of the WOS endorsement please advise CSR as they must be issued specific to each entity that wants one **All WC Certs must be forwarded to the FRSA for their file** CL Loss Payee is available under the Scheduled Contractors Equipment &/or Leased Rented Equipment - Please give COI to CSR to order the endorsement Deductible is $1,000 AOP and Wind/Hail c5 4- 0 O O U) M L- O 0 U cN T- LO CL x O O CL 55 LO CN cN cN 4i E c5 OFREMARK COPYRIGHT 2000, AMS SERVICES INC. Packet Pg. 914 C.18.d POLICY NUMBER: CONHSGL000013100 COMMERCIAL GENERAL LIABILITY CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations 0 Any person or organization in which the Named As per written contract or written agreement 0 Insured has agreed in a written contract or written executed prior to loss 0 agreement executed prior to loss U) M 0 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property t3 This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" property damage occurring after: M caused, in whole or in part, by: CN 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such CL 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been completed; or designated above. However: 2. That portion of "your work" out of which the 1. The insurance afforded to such additional injury or damage arises has been put to its 0 0 intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a CL 2. If coverage provided to the additional insured is principal as a part of the same project. CL required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are U required by the contract or agreement to LO provide for such additional insured. N N c� CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Packet Pg. 915 C.18.d C. With respect to the insurance afforded to these 2. Available under the applicable limits of additional insureds, the following is added to insurance; Section III —Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable limits of insurance. will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or U U) c� CL 4- 0 0 0 U) M L- 0 U M cN V- LO CL x 2M 4- 0 0 CL U LO CN cN CD cN E c� Page 2 of 2 © Insurance Services Office, Inc., 2018 CG packet Pg. 916 C.18.d POLICY NUMBER: CONHSGL000013100 COMMERCIAL GENERAL LIABILITY CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS 0 This endorsement modifies insurance provided under the following: U) COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART , SCHEDULE E c� Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations 4- Any person or organization in which the Named As per written contract or written agreement 0 Insured has agreed in a written contract or written executed prior to loss agreement executed prior to loss 2 U) M 1- 0 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. U M N V- A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these LO CL include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III —Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we g' "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the"products-completed operations hazard". 1. Required by the contract or agreement; or 0 However: 2. Available under the applicable limits of insurance; 1. The insurance afforded to such additional insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the 2. If coverage provided to the additional insured is applicable limits of insurance. required by a contract or agreement, the U insurance afforded to such additional insured ` N will not be broader than that which you are N required by the contract or agreement to N provide for such additional insured. c� CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Packet Pg. 917 C.18.d Policy Number: CONHSGL000013100 COMMERCIAL GENERAL LIABILITY CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION 0 This endorsement modifies insurance provided under the following: U) COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART c� The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution - Primary And Noncontributory Insurance from any other insurance available to the o additional insured. This insurance is primary to and will not seek 2 contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and 0 4- U M N T- LO CL x 2M 4- 0 0 CL U LO N N N c� CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Packet Pg. 918 C.18.d POLICY NUMBER: CONHSGL000013100 COMMERCIAL GENERAL LIABILITY CG 24 04 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) 0 This endorsement modifies insurance provided under the following: U) COMMERCIAL GENERAL LIABILITY COVERAGE PART ELECTRONIC DATA LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART RAILROAD PROTECTIVE LIABILITY COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS - 0 SCHEDULE 0 Name Of Person(s) Or Organization(s): Any person or organization in which the Named Insured has agreed in a written contract or written agreement , excuted prior to loss cu 1- 0 4- Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: t3 We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above N because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that ` CL the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above. 4- 0 0 CL t3 LO N N N c� CG 24 04 12 19 © Insurance Services Office, Inc., 2018 Packet Pg. 919 C.18.d Policy Number: CONHSGL000013100 HIIG CG 20 07 10 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT ENDORSEMENT This endorsement modifies insurance provided under the following: t0 COMMERCIAL GENERAL LIABILITY COVERAGE PART U) Schedule Coverage Limit of Insurance Single Construction Project General Aggregate Limit Equal to General Aggregate Limit 11 Cap For All Damages from All Ongoing Construction Projects $5,000,000 CL 4- 0 A. For all sums which the insured becomes legally obligated to pay as damages caused by 'occurrences" under 0 SECTION I —COVERAGES, COVERAGE A—BODILY INJURY AND PROPERTY DAMAGE LIABILITY, and o for all medical expenses caused by accidents under SECTION I — COVERAGES, COVERAGE C — MEDICAL PAYMENTS, which can be attributed only to ongoing operations at construction projects away from premises owned by or rented to the insured: , U) 1. The most we will pay will be capped at the Cap For All Damages from All Ongoing Construction Projects M limit shown in the Schedule above, regardless of the number of: L- 4- a. "Occurrences"; b. Insureds; C. Claims made or"suits" brought; d. Persons or organizations making claims or bringing "suits"; or e. Separate construction projects. U 2. Subject to Paragraph A.1. above: N A separate Single Construction Project General Aggregate Limit applies to each construction project away LO from premises owned by or rented to the insured, and that limit is equal to the amount of the General 0. Aggregate Limit shown in the Declarations. 3. The Single Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under SECTION I - COVERAGE A, except damages because of "bodily injury" or "property g' damage" included in the "products-completed operations hazard", and for medical expenses under SECTION I -COVERAGE C regardless of the number of: S 4- 0 a. Insureds; o b. Claims made or"suits" brought; or C. Persons or organizations making claims or bringing "suits". 4. Any payments made under SECTION I - COVERAGE A for damages or under SECTION I - COVERAGE C for medical expenses shall reduce the Single Construction Project General Aggregate Limit for that construction project away from premises owned by or rented to the insured. Such payments shall not U reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Single LO Construction Project General Aggregate Limit for any other separate construction project away from N premises owned by or rented to the insured. N 5. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit E HIIG CG 20 07 10 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 2 with its permission. Packet Pg. 920 C.18.d shown in the Declarations, such limits will be subject to the applicable Single Construction Project General Aggregate Limit. B. For all sums which the insured becomes legally obligated to pay as damages caused by 'occurrences" under SECTION I - COVERAGE A, and for all medical expenses caused by accidents under SECTION I - COVERAGE C, which cannot be attributed only to ongoing operations at a single construction project away from premises owned by or rented to the insured: 1. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-Completed U Operations Aggregate Limit, whichever is applicable; and 2. Subject to Paragraph A.1. above, such payments shall not reduce any Single Construction Project General Aggregate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-Completed Operations Aggregate Limit, and not reduce the 2 CL General Aggregate Limit nor the Single Construction Project General Aggregate Limit. 4- D. If a single construction project away from premises owned by or rented to the insured has been abandoned, 0 delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction 2 project. E. If endorsement CG 25 03, Designated Construction Project(s) General Aggregate Limit [or a similar construction project(s) aggregate endorsement] is also a part of this policy or coverage part, the most we will W pay for all sums which the insured becomes legally obligated to pay as damages caused by 'occurrences" L- under SECTION I - COVERAGE A and all medical expenses caused by accidents under SECTION I - COVERAGE C, which can be attributed only to ongoing operations at: 1. Any construction project(s) designated in such CG 25 03 endorsement [or in a similar such construction project(s)aggregate endorsement]; 2. Any construction project(s)to which the provisions of this endorsement apply; and/or U 3. Any construction project(s) to which the provisions of this endorsement and the provisions of such CG 25 03 endorsement [or a similar such construction project(s)aggregate endorsement] both apply; CN T- will be subject to Paragraph A.1. above. LO CL X 0 F. The provisions of SECTION III - LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. 2M 4- 0 0 CL U LO N I N c� HIIG CG 20 07 10 18 Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 2 with its permission. Packet Pg. 921 C.18.d POLICY NUMBER: CONHSGL000013100 COMMERCIAL GENERAL LIABILITY CG 20 28 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT 0 This endorsement modifies insurance provided under the following: U COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Any person or organization in which the Named Insured has agreed in a written contract or agreement executed prior to loss 4- 0 0 0 U) M 1- 0 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, this insurance does not apply organization(s) shown in the Schedule, but only to any 'occurrence" which takes place after the U with respect to liability for "bodily injury", "property equipment lease expires. damage" or "personal and advertising injury" C. With respect to the insurance afforded to these N caused, in whole or in part, by your maintenance, additional insureds, the following is added to LO operation or use of equipment leased to you by Section III— Limits Of Insurance: 0. such person(s)or organization(s). If coverage provided to the additional insured is However: required by a contract or agreement, the most we 1. The insurance afforded to such additional will pay on behalf of the additional insured is the insured only applies to the extent permitted by amount of insurance: law; and 1. Required by the contract or agreement; or S 2. If coverage provided to the additional insured is 2. Available under the applicable limits of 0 required by a contract or agreement, the insurance; insurance afforded to such additional insured will not be broader than that which you are whichever is less. required by the contract or agreement to This endorsement shall not increase the CL provide for such additional insured. applicable limits of insurance. U LO N N N c� CG 20 28 12 19 © Insurance Services Office, Inc., 2018 Packet Pg. 922 C.18.d POLICY NUMBER: CONIICCA000012600 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE 0 This endorsement modifies insurance provided under the following: U) AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM c� With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. 4- This endorsement identifies person(s)or organization(s)who are "insureds" for Covered Autos Liability Coverage 0 under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. 2 This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. U) M Named Insured: Triple M Roofing Corp 1- 0 Endorsement Effective Date: 5/01/2022 SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization in which the Named Insured has agreed in a written contract or written L) agreement executed prior to a loss N T- Information required to complete this Schedule, if not shown above, will be shown in the Declarations. LO 0. X Each person or organization shown in the Schedule is an "insured"for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and o Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CL U LO N N N c� CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Packet Pg. 923 C.18.d Policy Number: CONIICCA000012600 COMMERCIAL AUTO CA 04 49 11 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION 0 This endorsement modifies insurance provided under the following: U) AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM c� With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless 2 modified by the endorsement. 4- 0 A. The following is added to the Other Insurance B. The following is added to the Other Insurance 0 Condition in the Business Auto Coverage Form Condition in the Auto Dealers Coverage Form and 0 and the Other Insurance — Primary And Excess supersedes any provision to the contrary: Insurance Provisions in the Motor Carrier This Coverage Form's Covered Autos Liability Coverage Form and supersedes any provision to Coverage and General Liability Coverages are the contrary: primary to and will not seek contribution from any This Coverage Form's Covered Autos Liability other insurance available to an "insured" under Coverage is primary to and will not seek your policy provided that: contribution from any other insurance available to 1. Such "insured" is a Named Insured under such an "insured" under your policy provided that: other insurance; and 1. Such "insured" is a Named Insured under such 2. You have agreed in writing in a contract or other insurance; and agreement that this insurance would be 2. You have agreed in writing in a contract or primary and would not seek contribution from agreement that this insurance would be any other insurance available to such U primary and would not seek contribution from "insured". M any other insurance available to such N "insured". LO CL X 2M 4- 0 0 CL U LO N N N c� CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Packet Pg. 924 C.18.d POLICY NUMBER: CONIICCA000012600 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) 0 This endorsement modifies insurance provided under the following: U) AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM , MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Triple M Roofing Corp 2 Endorsement Effective Date: 5/01/2022 U) M SCHEDULE 1- 0 Name(s) Of Person(s) Or Organization(s): Any person or organization in which the Named Insured has agreed in a written contract or written agreement executed prior to a loss t3 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. M N T- LO The Transfer Of Rights Of Recovery Against CL Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident' or the "loss" under a contract with g' that person or organization. 4- 0 0 CL t3 LO N N N E c� CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Packet Pg. 925