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1st Task Order 11/15/2022 GVS COURTq° o: A Kevin Madok, CPA - �o ........ � Clerk of the Circuit Court& Comptroller Monroe County, Florida �z cooN DATE: December 2, 2022 TO: Cary Knight, Director Project Management Breanne Erickson, Contract/Budget Administrator Project Management FROM: Liz Yongue, Deputy Clerk SUBJECT: November 15th BOCC Meeting Attached is the following item, which has been executed and added to the record: F22 Task Order with William Horn, Architect P.A. for the Ellis Building Interior Renovations project. This project is funded by the One Cent Infrastructure Sales Tax. 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 TASK ORDER FOR PROFESSIONAL ARCHITECTURAL AND ENGINEERING SERVICES BETWEEN MONROE COUNTY AND WILLIAM HORN ARCHITECT P.A. FOR ELLIS BUILDING INTERIOR RENOVATIONS In accordance with the Consultant Agreement for Professional Architectural and Engineering Services, made and entered into on December 19, 2018 between MONROE COUNTY, ("County") and WILLIAM HORN ARCHITECT P.A., ("Consultant"), where professional services are allowed if construction costs do not exceed $4,000,000.00, or for study activity if the fee for professional services for each individual study under the contract does not exceed $500,000.00 ("Agreement"), as provided in Subsection 287.055(2)(g), Florida Statutes, as amended by Section 2, Chapter 2020-127, Laws of Florida, pursuant to which Attachment A, Subsection 1.01 of the Agreement is hereby modified,the parties enter into this Task Order. All terms and conditions of the Agreement apply to this Task Order, unless this Task Order amends, adds, or modifies a provision or an Article of the Agreement of which will be specifically referenced in this Task Order and the amendment, addition, or modification shall be precisely described. This Task Order is effective on the 15th day of November 2022. WHEREAS, the new Plantation Key Courthouse and Detention Center was recently completed resulting in the relocation of various tenants from old buildings into the new building; and WHEREAS, the Ellis Building requires interior renovations in order to accommodate new and updated tenants. NOW, THEREFORE, in consideration of the mutual promises and covenants set forth below, the parties agree as follows: 1. In accordance with Article II, SCOPE OF BASIC SERVICES of the Agreement, the Consultant will provide design and support through construction for the renovation of the Ellis Building. The scope of work shall include but not be limited to the following: • Renovation of 1,080 sq. ft. of First Floor including creation of an expanded service area, executive office for the BOCC, and four(4) new unassigned offices. • Renovation of 1,611 sq. ft. of Second Floor including creation of two (2) new offices for Emergency Services, two (2) new offices for Extension Services, and two (2) new offices for Social Services. 2. In accordance with Article VII paragraph 7.1.1 of the Agreement,the County shall pay the Consultant a not-to-exceed total of Fifty-Four Thousand Two-Hundred Thirty-Two and 00/100 dollars($54,232.00)paid on a percent complete basis for the following phases: a. Programming - $3,645.00 lump sum upon document review and approval by the Director of Project Management b. Schematic Design - $7,588.05 lump sum upon document review and approval by the Director of Project Management Page 1 of 2 L b. Design Development- $15,176.10 lump sum upon document review and approval by the Director of Project Management c. Construction Documents - $17,705.45 lump sum upon receipt of permits, document review and approval by the Director of Project Management d.Bidding Services- $2,529.35 lump sum upon bidding completion e. Construction Administration- $7,588.05 lump sum upon project completion All other Terms and Conditions of the Agreement remain unchanged and in full forces and effect. IN WITNESS WHEREOF,each party caused this Task Order to be executed by its duly authorized i mpr-esentative. Y R ` " "° BOARD OF COUNTY COMMISSIONERS � ' ',r VIN MADOK, Clerk OF MONROE COUNTY,FLORIDA o��-=?Fri -.=a�F'-���` v�'a , �,9 -✓ b�. e s• t , ^ 0 By. u"' --'F`�'As D4 (uty�Clle c May hairman Date: I1 l 15 12-0 ZZ MONROE COUNTY ATTORNEYS OFFICE APPROVED AS TO FORM 177 '--___ TANT.COUNT'YATTORNEY DATE: 10-71-7072 CONSULTANT: Consultant's Witness Attest: WILLIAM HO ARCHITECT P.A. By: 9"/ABy: Printed Name:n-°se p�. ,s �,1te Printed Name: 4./ikaAm A 44,Ad Title: e2ry jest "rigN5t,r Title: M/1 4 L �. L (..).- c_.:, :— i.,,_i C) Page 2 of 2 HO -1 DATE INM�DD ) CERTIFICATE LIABILITY I 0311510 1 12022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOSES 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(les) 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 0 -294-6677 cNABoNTACr Norman Fuller :... The Fullers,Inc PHONE FAX 1432 Kennedy Drive tic,Ne, Xtp 05®2 4� 7 IArC,No):305 94®30 Key West,FL 33040 E $ Norman Fuller INSUR R(s),AFFORIIING COVERAGE _... NAICk"111111111111 INS4JREIt A:Retall First Insuranel CPm lany INSURED INSURER 8: William P Horn Architect PA Sill Horn INSURER p: _ 916 Eaton St. INSU ,R D Key West,FL 300 .. ...... INSURER E INSURER F COVERAGES CERTIFICATE ER: REVISIQN 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. IHSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LINTS ��AL UAeILITY EACH KC OCCUR DAMAGE TO RENTED k EW-1S SjEa exc4.r:�vrwr o MED EXF_f„Ar7y one I arsony PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE _ POLICY J f— LCC PRODUCTS-COMPIOPAGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT J a 'vd L.91 ANY AUTO BODILY INJURY(Pergaersanp, ,') OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUO �D i.BODILY INJURY;Per accident]„S AUTOS ONLY I PROPERTY DA GE SON C dPer accidanl) NO N 1 UMBRELLA LIAS OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE', f GGREOATE $ RETENTION$ + A WORKERS COMPENSATION PER O1H- AND EMPLOYERS'LIABILITY Y 0 N ETA;9Imp'P E x EH. 620-40146 01/01/2022 01/0112023 1,000,000 ANY PROPRIETORIPARTNER/EXECUTIVE ❑ E.L.EACH!ACCIDENT $ OFFICERIMEMBER EXCLtlJDEtJ7 NIA; to0,000 IMandatory In NH) E.L.PIS�ASE-EA EMPLOYEE,i$ It yes,describe:under1,000,00® DESCRIPTION OF OPERATION below E L DI EASE-POLICY LIMIT l , i I I I DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES IACORD 101,Additional Remarks Schedule,may be attached If more space is required) APPROVED BY RIM( MANAGEMENT B , 71 v d. DATIE 101311202.2 WAIVER N/A YES CERTIFICATE R MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. Key west'' FL 33040 AUTHORIZED REPRESEN'A IVE Norman Fuller ACORD 25(2016/03) © 9 '- 015 RD CORPORATION. All rights reserved. The ACORD name and logo are registered marks f ACOR HORNWI1 Aar.4r_> EP* DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1012512022 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 ri hts to the certificate holder in lieu of such endorsements'. PRODUCER 305-294-6677 CONTACT Norman Fuller N!!M F ... The Fullers,Inc PHONE 305_294-6677 FAX 305-294-3025 1432 Kennedy Drive (AS No,Extl: (A/C,No): Key West,FL 33040 Norman Fulleres ......... ............. INSURFgR)AFFORDING COVEJ II, ,_„ ....... _,,.............NCr INSLiggg A:Pro 9reE SSIYe INSURED INSURER B: f WilliamHorn ................... .............................. . 161 Key Haven Rd. IwsuRER c Key West,FL 33040 INSURER D __. ............. INSURER F: COVERAGESCERTIF C T BER: REVISION NUMB 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 LTR TYPE OF INSURANCE ADOLTSUBR POLICY NUMBER I POLICY EFF POLICY EXP LIMITS COMMERCU4L GENERAL LIABILITY EACH OCCURRENCE �$ CLAIMS-MADE OCCUR DAMAGE TO RENTED � III NAISLS CL r u J ,_$ ®.... _ MEd EXP„pAny one_aerson) PERSONAL&ADV INJURY I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ %CT POLICY LOC PRODUCTS-COMP/OP AGG .$ ., COMBINED SINGLE LIMIT 11000,000 A AUTOMOBILE LIABILITY tL t fta tti all ANY AUTO X 02158316 05/2912022''05/2912023 I EODILY INJURY IPerp�ersonl _$ OWNED V SCHEDULED AUTOS ONLY ;AUTOS _B4ODILY INJURY€Per accidentl . poT ppWy�/�� pp PROPERTY DAMAGE H AUOSON�Y 4Peraccidentl $A� 5 ONLY I ( r UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE- AGGREGATE $ w... ... . !WORKERS COMPENSATION RETENTION$DED .. PENSATION � � � � PER � OTH- AND EMPLOYERS'LIABILITY Y/N S I;ATU I L LER AANYPROPRIETOR/PARTNERIEXECUTIVE �I E.L.EACH ACCIDENT L..$ (Mandatory in NHj EXCLUDED? I NIA:', E.L.DISEASE-EA EMPLOYEE„$ If es,describe under TI N OF OPERATIQNS below PO ICY T I DESCRIPTION F OPERATIONS LOCATIONS I(ACORD t01 Additional RemarksSchedule, a 6a attached It more space ulmdV 0 0 O S/VEHICLES (AC may p o Is rea APPROVED BY RISK MANAGEMENT r BVf PS�,,� .,. DATE ,1 2 WAIVER N/A.—YES_._­ CERTIFICATE II MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOGC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE PO f Y PROVISIO S. Risk Management 1100 Simonton St. Norman F , K AUTHORIZED idler EN ATp Fuller Key West, FL 33040 a�^ ACORD 26(2016/03) © 88-2 15 ACO CORPORATION. All rights reserved. The ACORD name and logo are registered marks of A ORD Client#: 1049512 WILLIPH01 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/17/2022 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 poiicy(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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Jackie BerrioS USI Insurance Services,LLC mac°No ,�:813 321-7500 FAX 2502 N Rocky Point Drive E-MAIL ac No: 813 321-7525 Suite 400 ADDRESS: JackiL,-Berrios@usi.com INSURER(S)AFFORDING COVERAGE NAIC# Tampa,FL 33607 INSURER A:Aspen American insurance Company 43460 INSURED INSURER B: William P.Horn,Architect,P.A. 915 Eaton Street INSURER C: INSURER D: Key West,FL 33040 INSURER 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDDtYYYY MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE T RENTED CLAIMS-MADE ❑OCCUR PREMISES Ea occurrence_-_$ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE Is PRO- POUCY F—]JECT ❑LOC PRODUCTS-COMPfOPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED I NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N T T TE ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT Is OFFICER/MEMBER EXCLUDED? NIA ---- (Mandatory in NH) E.C.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ A Professional AAAE10004104 0812012022 0812012023 $2,000,000 per claim Liability $3,000,000 annl aggr. DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Professional Liability coverage is written on a claims-made basis. APPROVED BY RISK MANAGEMENT Project:All Projects for Monroe County,FL;Annual Contract for Architectural Services. DATE 2 22 WAIVER NIA YES CERTIFICATE HOLDER CANCELLATION Monroe Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Risk Management 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West,FL 33040 O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S370624801M37062226 HKYZP HOR m1 CERTIFICATE OF ffi LIABILITY z p THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICHOLDER. CERTIFICATE DOES NOT AFFIRMATIVELY C NEGATIVELY AMEND, EXTEND O ALTER T COVERAGE AFFORDED POLICIES BELOW THIS CERTIFICATE O INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUR ( ), REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(i ) must have ADDITIONAL INSURED provisions or 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 n its to the certificate holder in lieu of such endorsement's). PRODUCER 0 ® d677 ACT N an LII er _ The Fullers,Inc PHONE 05 294 6677 _.___ 3 rAX 3 5 2 4-3025 1432 Kennedy Drive ;Arc_NP EeI .... .__. __ _.. __.._._.IArF. P _ I __. ------ Key .._ West,FL 33040 • ...._...._� . Norman Fuller _PE___. . .w, - NAIL#_. __ _.._..._. _..., _INS BER-Ft_Fi g9M;munetV Insurance Co. 13990 INSURED Ie�� 6 F William Horn Arcllictect Pa Inc t „ . ... Architect,PA,Inc. Bill Horn 915 Eaton St, Key West,FL 33040 INSURER E... _._.___. INSURER F T 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 - ._ . n„_ _..w w.._ . ._..._-.m� _ .. ...._ INSR TYPE OF INSURANCE POLICY NU AODL SUBR° POLICY EFF POLICY EXP LIMITS NUMBER A COMMERCIAL GENERAL LIABILITY Cla oec�esaREnsc 2,000,000 CLAIMS-MADE OCCUR i DAMAGE TO RENTED _ ❑ 09 000 962996 S 1 E 09121/2022,09121/202 FF ISI S.t ,s3 rk x l $ 60,000 X Business Owners _.._.._. P onp �a 6,00 onee(s , _ -PERSONAL, Dw NJ�Rv_ 2,000,000 GE,N'L AGGREGATE LIMIT APPLIES PER: 4,000,000 POLICY 71 �cOy ❑ Lo£ 2,000,000 3 pF3UDtJ£TS,£ 4�1'/. P AS3c+ w _...._. AUTOMOBILE LIABILITY £CIMBG�lNED SINGLE LIMIT iGaT ANY AUTOL?!?ILY ItdJURY(Per#erart ._$ . OWNED e SCHEDULED AUTOS ONLY AUTOS SODILYlBV, SURYIPer,akxrdentg,.,, HIRED NOro ED PROPERTY DAMAGE AUTOS ONLY AUTO NLY �fFe( �4�JI,, ...,. _... ... UMBRELLA LIAR OCCUR �' PAO Q£rUlts EKE__, EXCES S CLAIMS-MADE DED RETENTION!$ i WORKERS COMPENSATION YIN ., PERAND OTH- T11 `.ANY PROPRIETORtrPARTNIERMXECUTIVE r (M ..PRIM PABER EXCLUDED? :N i Aa£CIEA EMPLOYE $ (Mandataryoa NH) - E DI$ }$) _._ If yes,describe under ___QEMqR1QMQF 2P T w P LI Y 1 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached N more space is required} architect APPROVED BY RISK MANAGEMENT DATE 10/31/2022 WAIVER N/A YES 1 MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OnrOe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVI 'ONS. Risk Management �'o 1100 Simonton St. AUTHORISED REPRESENTA F Key West, FL_33040 Norman Fuller ��" ACORD 26(2016/03) 019 -20' 5 AC ! CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACRD I "