2nd Amendment 08/17/2022 GV�S COURTq c
o: A Kevin Madok, CPA
-
�o ........ � Clerk of the Circuit Court& Comptroller Monroe County, Florida
�z cooN
DATE: September 8, 2022
TO: William DeSantis, Director
Facilities Maintenance
Chrissv Collins
Executive Administrator
Alice Stervou
Contract Monitor
FROM: Liz Yongue, Deputy Clerk
SUBJECT: August l7th BOCC Meeting
The following item has been executed and added to the record:
C28 2nd Arnendrnent to an Agreement with Maverick United Elevator, LLC,for
complete Elevator and Lift Service, Maintenance and Repairs, to add the Marathon Library and
delete the old Plantation Key Detention Center. Ftunduig is Ad Valorem.
Should you have any questions please feel free to contact me at(305) 292-3550.
cc: County Attorney_
Finance
File
KEY WEST MARATHON PLANTATION KEY
500 Whitehead Street 3117 Overseas Highway 88770 Overseas Highway
Key West, Florida 33040 Marathon, Florida 33050 Plantation Key, Florida 33070
SECOND AMENDMENT TO AGREEMENT FOR COMPLETE ELEVATOR AND LIFT
SERVICE,MAINTENANCE, AND REPAIRS
KEYS WIDE
MONROE COUNTY, FLORIDA
This Second Amendment to Agreement is made and entered into this 17th day of August,
2022, between MONROE COUNTY, FLORIDA ("COUNTY"), a political subdivision of the
State of Florida, whose address is 1100 Simonton Street, Key West, Florida 33040, and
MAVERICK UNITED ELEVATOR, LLC ("CONTRACTOR" or "MAVERICK"), a Florida
Lin filed Liability Company, whose address is 10639 NW 122" Street, Medley, Florida 33178.
WHEREAS, on November 20, 2019, the COUNTY and MAVERICK entered into an
Agreement for Complete Elevator and Lift Service,Maintenance,and Repairs for County facilities
(hereinafter"Original Agreement"); and
WHEREAS, the Original Agreement provided that the services were for an initial two-
year term commencing December 1, 2019, and ending November 30, 2021, unless terminated
earlier under the terms of the Agreement; and
WHEREAS, on November 17, 2021, the Board of County Commissioners ("BOCC*')
approved the First Amendment to Agreement to increase payment amounts by the annual CPI-U
increase adjustment of 1.4%, renew the Agreement for the first of three (3) optional, one (1) year
renewals, and to update and/or add current revisions pursuant to its ordinances and/or Federal
required contract provisions; and
WHEREAS,the County desires to include the Marathon Library as an additional location
and delete the Plantation Key Detention Center location and therefore update and amend the
Agreement to reflect these changes; and
WHEREAS, the County desires to update its address for the Notice requirement and to
add an additional provision for the Federal required contract provisions; and
WHEREAS, the parties have found the Original Agreement as amended to be mutually
beneficial; and
WHEREAS, the parties find it would be mutually beneficial to amend its Original
Agreement, as amended, and enter into this Second Amendment;
NOW, THEREFORE, IN CONSIDERATION of the mutual promises and covenants
contained herein, the parties agree as follows:
1. Paragraph 5 D., PAYMENTS TO CONTRACTOR, of the Original Agreement, as
amended, is hereby amended to add another location for service at the newly constructed Marathon
I.Jbrary and delete the Plantation Key Detention Center location, at the monthly and annual
inspection fees for the Monroe County Elevators and Lifts as shown in the amended buildings list
as follows:
5. D. The cost of labor used by the Contractor to fulfill the obligation of the Contract
will be calculated using the unit prices set forth in the Contractor's bid as follows:
Monroe County Elevators and Lifts to be serviced
include, but are not limited to, the following:
BUILDING Serial Landings Monthly Annual
LOCATION Number inspection Certification
Monroe County 502 Whitehead St., Key 37419 4 $ 91.26 $ 210.91
Courthouse Annex West
Plantation Key U.S.I/High Point Rd., 37641 2 $ 91.26 $ 210.91
Courthouse Plantation Key
J. Lancelot Lester 530 Whitehead St., Key 39503 3 $ 91.26 $ 210.91
Justice Buildin West
Plantation Key Ellis 88800 Overseas Hwy., 40616 2 $ 91.26 $ 210.91
-Building Plantation Key
Marathon 2798 Overseas Hwy., 46473 2 $ 91.26 $ 210,91
Government Center Marathon
Monroe County 502 Whitehead St., Key 46502 3 $ 91.26 $ 210.91
Courthouse Annex West
Monroe County 5501 College Rd., 46899 3 $ 91.26 $ 210.91
Detention Center 46 Stock Island
Monroe County 5501 College Rd., 46900 3 $ 91.26 $ 210.91
Detention Center 47 Stock Island
Records Storage 530 Whitehead St., Key 46945 3 $ 91.26 $ 210.91
Facility West
Monroe County 5501 College Rd., 47143 2 $ 91.26 $ 210.91
Detention Center#4 Stock Island
Monroe County 5501 College Rd., 47144 2 $ 91.26 $ 210.91
Detention Center#5 Stock Island
Monroe County 5501 College Rd., 47274 2 $ 91.26 $ 210.91
Detention Center 43 Stock Island
Monroe County 5501 College Rd., 47275 2 $ 91.26 $ 210.91
Detention Center#1 Stock Island
Monroe County 5501 College Rd., 47276 2 $ 91.26 $ 210.91
Detention Center#2 Stock Island
Marathon Airport 9400 Overseas Hwy., 47834 2 $ 91,26 $ 210.91
Marathon
Sheriffs 210.91
S 5525 College Rd., 50030 3 $ 91.26
Administration Stock Island
Building
Sheriff's 5525 College Rd., 50031 3 $ 91.26 $ 210.91
Administration Stock Island
Building
2
BUILDING Serial Landings Monthly Annual
LOCATION Number insDection Certification
Harvey Government 1200 Truman Ave., Key 51768 3 $ 91.26 $ 210.91
Center West
Key West 500 Whitehead St., Key 56216 3 $ 50.70 $ 210.91
Courthouse West
Dumbwaiter
Monroe County 500 Whitehead St., Key 56691 4 $ 91.26 $ 210.91
Courthouse West
Cato Building 1100 Simonton St., Key 60239 2 $ 91.26 $ 210.91
West
Department of 5503 College Rd., 61607 3 $ 91.26 $ 210.91
Juvenile Justice #1 Stock island
Department of 5503 College Rd., 61608 3 $ 91.26 $ 210.91
Juvenile Justice #2 Stock Island
Sheriff's Aviation 10 100 Overseas Hwy., 74025 2 $ 91.26 $ 210.91
Flanger Marathon
Freeman Justice 302 Fleming St., Key West 88432 2 $ 91.26 $ 210.91
Center#1
Freeman Justice 302 Fleming St., Key West 88433 2 $ 91.26 $ 210.91
Center#2
Freeman Justice 302 Fleming St., Key West 88434 2 $ 91.26 $ 210.91
Center#3
Freeman Justice 302 Fleming St., Key West 88435 3 $ 91.26 $ 210.91
('enter 44
Freeman Justice 302 Fleming St., Key West 88436 2 $ 91.26 $ 210.91
Center#5
Freeman Justice 302 Fleming St., Key West 88437 2 $ 91.26 $ 210.91
Center#6
l3ig Pine Key Park 31.009 Atlantis, Big Pine 94425 2 $ 91,26 $ 210.91
Community Bldg. Key
Murray E. Nelson 102050 Overseas Hwy., 94927 2 $ 91.26 $ 210.91
Government and Key Largo
Cultural Center
Big Pine Key Fire 390 Key Deer Blvd., 97137 2 $ 91.26 $ 210.91
Station # 13 Big Pine Key
Stock Island Fire 5655 MacDonald Ave., 100380 2 $ 91.26 $ 210.91
Station # 8 Stock Island
Key West Lighthouse 938 Whitehead St., 102966 2 $ 50.70 $ 210.91
Wheelchair Lift K.ey West
Bernstein 6751 St�., 10523-6 2 $-91-.2-"6--- $ 210.91
Community Park Stock Island
East Martello 3501 S. Roosevelt Blvd. 104642 2 $ 50.70 $ 210,91
Wheelchair Lift Ke West
Marathon I,,ibrary 3490 Overseas Highway, 110102 2 $ 91.26 $ 210.91
Marathon I 1 1
3
Additional Service Rates:
Labor—Normal working hours of 8:00 a.m. to 5:00 p.m., Monday through Friday,
excluding holidays:
S 76.05 per hour, mechanic
$113.57 per hour, mechanic plus helper
Overtime rate for hours other than the normal working hours as stated above,
including holidays:
$ 91.26 per hour, mechanic
$152.10 per hour, mechanic plus helper
Parts Cost Plus:
Twenty percent(20 %) of mark Lip on manufacturer's invoice cost of parts
and materials (excluding freight, equipment rental, tax amounts, permits,
and services supplied by others).
Such costs must be documented for each repair and/or maintenance job
and included with all Applications for Payment.
Contractor shall submit itemized invoices in writing.
There are no additional costs for travel, mileage, meals, or lodging.
2. Paragraph 18, NOTICE REQUIREMENT, of the Original Agreement, as amended, is
hereby amended to delete the current Paragraph 18, as set forth in the Original Agreement, and
replace it in its entirety with the following paragraph:
18. NOTICE REQUIREMENT
All written correspondence to the COUNTY shall be dated and signed by an
authorized representative of the CONTRACTOR. Any written notices or
correspondence required or permitted under this Agreement shall be sent by United
States Mail, certified, return receipt requested, postage pre-paid, 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 by CONTRACTOR when hand delivered by national courier with
proof of delivery or by U.S. Mail LIP011 verified receipt or LIP011 the date of refusal
or non-acceptance of delivery. Notice shall be sent to the following persons:
FOR COUNTY: FOR CONTRACTOR:
Monroe County Maverick United Elevator,
Facilities Maintenance Department LLC
4
123 Overseas Highway—Rockland Key 10639 N W 122"' Street
Key West, FL 33040 Medley, Fl, 33178
Attention: Managing Member
and
Monroe County Attorney
1111 12 1h Street, Suite 408
Key West, FL 33040
3. The Original Agreement, as amended, is hereby amended to include the following
identified as Paragraph 44, FEDERAL CONTRACT REQUIREMENTS, to include the
following Federal Required Contract Provision, as Paragraph 44.21, if applicable:
44.21 Energy Efficiency. CONTRACTOR will comply with the Energy Policy
and Conservation Act (P.L. 94-163; 42 U.S.C. §6201-6422) and with all mandatory
standards and policies relating to energy efficiency and the provisions of the state
Energy Conservation Plan adopted pursuant thereto.
4. All other terms and conditions of the Original Agreement, dated November 20, 2019, as
amended herein, not inconsistent herewith, shall remain in full force and effect.
[REMAINDER OF PAGE INTENTIONALLY LEFT BLANK]
[SIGNATURE PAGE TO FOLLOW]
5
IN WITNESS WHEREOF, COUNTY and CONTRACTOR hereto have executed this
Second Amendment to Agreement on the day and date first above written.
I : •
Q BOARD OF COUNTY COMMISSIONERS
VIN MADOK, CLERK OF MONROE COUNTY,FLORIDA
DO�y 0 �i'
t
zQ � `* �i U By:q �S�
gLoe6 k...,“
As Deputy C1 rk I il,
.>0
Date: tjl1117ra
Witnesses for CONTRACTOR: CONTRACTOR:
MAVERICK UNITED ELEVATOR, LLC,
A Florida Limited Liability Company
7\4 -,, L------
Signat e-ofprson authorized to
Signature legally bind CONTRACTOR
Date: 513) gO�2-----
f 3/z t JDcv 4 tdvWC 1-1.' a(At i e cw✓Cict %-twlO-Esi,
Dat ' t Name I Print Name and Title 14 cab trar
•
Address: ]()(.03 M() daitcl
Signature ^l� 1 oA
V' ' ^ /// II Yr V') I r! 3-8I -)----
$L3) 22 %uto, .Sc.,farr i I I fj SS- 4-8 - 'SCi at
Date Print Name Telephone Number
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coES c� MONROE COUNTY ATTORNEY'S OFFICE
4.-U '" - PATRICIA EAGLES
v) _^ ASSISTAh1T ORNEY
DATE:
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cam:
6
ACOR" CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY)
08/03/2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT NAME: Arlene Alonso
OE
FIB Insurance A/CNNo Ext: (305)253-4424 FAX No: (305)441-8632
ML
12001 SW 128 Court ADDRESS: aalonso@fibinsurance.com
Suite 105 INSURER(S)AFFORDING COVERAGE NAIC#
Miami FL 33186 INSURERA: Infinity Assurance Insurance Company 11738
INSURED
INSURER B
Maverick United Elevator LLC INSURER 7
10639 NW 122 ST INSURER D:
INSURER E:
Miami FL 33178 INSURERF:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSD WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAM
CLAIMS-MADE 1:1OCCUR P R E MA SESOEa occurDrence $
MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $
JECT
OTHER: $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
Ea accident
ANY AUTO BODILY INJURY(Per person) $
A x OWNED �/ SCHEDULED X X 509820048445001 07/02/2022 07/02/2023 BODILY INJURY(Per accident) $
/� AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE '�� * AGGREGATE $
DED RETENTION$ W i � $
WORKERS COMPENSATION BY, "' PER OTH-
ANDEMPLOYERS'LIABILITY Y gd��II,,q ,,, 8 3 . 2 0 2 2 STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ �^'N I! ,';, „ ._' ""°""""" � E.L.EACH ACCIDENT $
(Mandatory
EMBER EXCLUDED? N/A A t
(Mandatory in NH) • E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS.
Insurance Compliance AUTHORIZED REPRESENTATIVE
PO BOX 100085
DULUTH GA 30096
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
--AIliCeta-C-WI E? CERTIFICATE OF LIABILITY INSURANCE
BATE l�na�d¢aerrwYY9
05/1 i 0
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 'HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT. if the certificate holder Is an ADDITIONAL INSURED,the poliCT(les) must have ADDITIONAL INSURED provisions or be endorsed.
It SUBROGATIONI 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 ernd r merit s.
PRODUCER. NAME Payclaex Insurance Agency Inc
PAYCHEX INSURANCE AGENCY, INC, PHONE a", R56850 i FAX 585 389-7426
150 SAW SS DRIVE �tCn nd®,Eaq' _ _ 4ArCs rnol. _.
BAIL rens@paychex.com
ROCHESTER, NY14620 ADDRESS:
INSURER_@)AFFORDING COVERAGE . NAIC#
INSURER A Insurance Company of the West
_....--- _......._ .........
INSURED I&�SURER F
g
Maverick United Elevator n...&.0 INSURER _
10 122nd St IN URER D
Sly, FL 33178IhIS)Jwf�..E
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS To CERTIFY THAT THE POLICIES OF INSURANCE LISTED(BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS..
ILN$ .. TYPE OF INSURANCr' .,.,, .AjaU:DL SUER --.. POLICY NID�rUER. �nPOLICY
ILCk6 YY P�1T56�1°Y�. � F
LICT
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
j DAMAGE 7O RENTEp"
I CLAJMS-MADE .... OCCUR � PFZEMISES[Ea occurrence) �, .._
! ...IUED3 EXP IAny one 1 parson) $'
_ _.
PERSONAL&ALV INJURY
. $
i
LIMITPRO-
P P'ER: ENERALACiREG,®TE
CEN`EAEREOATEUECT APPLIES PFXfJCSIICTS-CCn�PdtP fGG OLICY ....... LOC i
OTHER:
OMS N, L ,L �
......; .,, (Ea a �lenll
lw.,._.,_.p I
AUTOMOBILE LIABILITY � •� i BCaDILY9hY,lkJRYIF+ararxxdernlD DAWNED n SCHEDULED ,� ;. � -.�_..._._ �
ANY AIDT`C � ECir3ItM INJURY Per arson i
AUTOS CTNLI' .._._.a AV3TOS $ ..
HIRED NON-OWNED 0 2 2 r'�IO ER'r`JLAMAGE �
6 .
Ave NLY AUTOS ONLY (Per accai�antp_. ._.__
�....... UMBRELLA LIAR $
1 . 00CUR i _ EACH OCCURRENCE �_$
_....
EXCESS LIAR 1 CL,raDMS-MADE] j AGGREGATE-AGGREGATE
.._
�DED RETENTIONS .', '
WORKERS COMPENSATION X PER G)TH 1...
05111/2022 05/1112023,
FeO�DFMPROYFR 0�$ARII IT EXECUTIVE Y/N � � STATUTE � ER
ANYPR PRIE ORE PA CP ERrE" Y' N r A j E.L,EACH ACCIDENT $ 1,000,0001--
I asridakarD irr NH,I E.I,DISEASE-EA EMPLOYEE'',_$ 1,000,,000
H yred,describe under
I3ESCRIPTION.OF OPERATIONS"low � I E.L.DISEASE.-POLICY LIMIT " $. 1,000,000
j
I)ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES JACORID 101„Additional Remarks Schedule,maybe attached if more space is required)
CERTIFICATE FOLDER CANCELLATION
C rime County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED7SE-FOEInsura c C7ITii lla ce THE EXPIRATION BA THEREOF, NOTICE BILL BE CDEUV
PO Box 1000 — FX ACCORDANCE BITH THE POLICY PROVISIONS.
r�
ulut , 300 AUTHORIZED REPRESENTATIVE ffj
C 1968-2016 ACORN CORPORATION All rights reserved.
ACORN'2 (20161 5) The ACORO name and,logo are registered mar,ks of ACORN
"ER-1
DATE(dWIA7THIS
CERTIFICATE OF LIABILITY INSURANCE 0411
THIS CERTIFICATE IS ISSUED AS A MATTER F INFORMATION ONLY AND FIFERS NO RIGHTS UPON THE CERTIFICATE HOLDCERTIFICATE DOES NOT AFFIRMATIVELY OR NIE ATIVELY AMEN7D, E TENd OR ALTER THE COVE CE AIFFO'RDECD BY THE BELOW'. THIS CERTIFICATE OF INISU'RA ACE DOES N OT CONISTIT'UTE A CONT CT SE EENI THE ISSUINk INSURER(S), A UT
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL AL INSURED,the pDelic (les)must have ADDITIONAL INSURED(provisions or be endorsed.
If SUBRO AaTION1 IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does notconfer ri hts to tine certificate holder in lieu of such endorsements.
PRODUCER 904-2 1-3312 ACT ick Rolfs
Relfs Insurance Services PHONE 904 21a3312..._.. -.._.,.._, _ I=At 241-5772
10011 'Pines Blvd 201 IAIC,Nao„ 1 IAAc Ext_
rNal 94
Pembroke Pines,FL 33024 E-nnAIL rrol s rol sirnsurance.com
Ryan Rolfs �r rsrt 5 _.. .._
__. � stl o Is A.rrca tnlr�c COvERkgE __ ...... _ Iw�#c .....__...
Larndmark American Insurance CO 33138
I INSURER B:Kinsale Insurance Company 38920
NFla,,sURrick United Elevator LLC _ _._,....... _._....._..__.
10639 NSW 122nd St -INSURER C:
Medley„FL 33175
INSqRER D
INSURER E:
INSURER P:
COVERAGES CERTIFICATE NUMBER: � REVISION(NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
....__. _....., .._..,...,.. POLICY EPH POLICY EXP
INSR
TYPE OF INSURANCEI361L„IIBR POLICY NUMBER POLICY
umn
COMMERCIAL GENERAL LIABILITY EAGI9 agOgRRIENCE 1,00 ,000
...... DAMAGE TO RENTED 50,000
CLAIMS-MADE OCCUR' LFIA113135 11/04'12021 11/04/2022—PRE MIGE$ Eaaccurrance _6.
MED EXP(Any one_persan $ „� Q
PERSONAL&ADV INJURY $ 1,000,0'00
GENT AGGREGATE LIMIT APPLIES PER: GEN �'Al AgGgEGAa.TE $ 2,000,000
POLICY a PRE .�_.^.LOC PRODUCTS-CO 1r AaGG $ 2,000,000
OTHER:
COMBINED SINGLE LIMH�
AUTa3MOBILELIABILITY
ANY AUTO BODILY INJURY(F�eEpersart. $
OWNED -^. SCHEDULED
AUTOS ONLY AUTCE '.,.BOCPILY INJURY(Per acc#deny...... $
-.....
HIRE
S ONLY NON-OWNED PROPERTY DAMAGE
._..) AUTOS'ONLY �Per.acctiden& .. ..... .._._.. $
I
UMBRELLA LIAR OCCUR FAGGREGATE
H OCCURRENCE $ 5,000, 00
-- .._
EXCESS LIAR CLAIMS-MADE 0100"103S00-0 11104/2021 111041202 ,000,000
DED RETENTION
AND EMPLOYERS'LIABILITY YIN,.'P9 MIA
{�' STATUTE _ EORTH ._ ...,
W QRKERS COMPENSATION
ANY PROPRIETORIPARTNEMEXEDUTIVE 9 E.L.EACH ACCIDENT_.._ $ ._.
OFE#GEPJMEMBEREXCLUDED. _ .....
FMandatery in NH) E L DISEASE-EA EMPLOYEE',$.._..
If yes,describe under
DESCRIPTION OF OPERATIONS belDw E.L.Dl EASE..POLICY LIMIT
i Schedule,may be attached)it more ace is required)
I LOCATIONS P VEHICLES AC47�RID 161 AcIdlllana Rpnaa�rlcs Sc DESCRIPTION oD•••�OPERATIONS r LCaC a� s 1 x p � )
Certificate bolder is included as Additional Insured. l ''~By
I �
6 . 1 . 22
DAT „ .
d
ERTIF'I AT HOLDER AN ELLATION
SHOULD,ANY OF THE ABOVE DESCRIBED POLICIES BE,CANCELLED BEFORE
Monroe $DnDnt THE, EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Insurance Compliance
PO Box 100085-F
A
Duluth, 30096AUTHORIZED REPRESENTATIVE
ACORN 25(2016/03)_ 1988-2015 ACOIBO CORPORATION. Atlll rights reserved.
The ACORN name and logo are registered marks of,ACORO