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1st Change 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 19, 2022 TO: Rhonda Haag Chief Resilience Officer FROM: Liz Yongue, Deputy Clerk SUBJECT: November 15th BOCC Meeting The following items have been executed and added to the record: Q14 1st Change Order to the Contract with Adventure Environmental, Inc., not to exceed $229,233.20, for additional fill required for the backfilling of the Canal 25 Restoration Project in Key Largo; funded by Department of Environmental Protection Stewardship Grant No. LPA0249, retroactive to October 31, 2022. Q15 1 st Change Order to the Contract with Adventure Environmental Inc., not to exceed $449,660.44, for additional fill materials for the Canal 28 Backfill Restoration in Key Largo, funded by Department of Environmental Protection Stewardship Grant No. LPA0241, retroactive to October 31, 2022. 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 MONROE COUNTY f ��CONTRACT CHANGE ORDER _`, PROJECT TITLE: Monroe County Canal Restoration CHANGE ORDER NO: 1 •=' - '" Fri Water Quality Improvement -<:`:{ ; Project Canal#28 Key Largo INITIATION DATE: August 1, 202--,2 ` ' TO CONTRACTOR: CONTRACT DATE: June 15, 2022 Adventure Environmental, Inc The Contract is changed as follows: The original (Contract Sum) (Guaranteed Maximum Price) $2,203,456.00 Net change by previously authorized Change Orders $ 0 The (Contract Sum) (Guaranteed Maximum Price) prior to this Change order was $ 2,203,456.00 The (Contract Sum) (Guaranteed Maximum Price) will be (increased) (decreased) (unchanged) by this Change Order $449,660.44 The new(Contract Sum) (Guaranteed Maximum Price) including this Change Order is......$ 2,653,116.44 The Contract Time will be (increased) (decreased) (unchanged) by The date of Substantial Completion as of the date of this CharTge Order is 03/29/2023 Detailed description of change order and justification: Additional fill material needed to bring the canal to proposed elevation to achieve proper flushing. The amount of this change order is "not to exceed", to be verified by back up documentation provided by the Contractor and verified by the Engineer and County. Not valid until signed by Owner, Architect(if applicable), and Contractor �,Digitally signed by Gregory W.Corning ENGINEER: Gregory W. Corn i n g`.o tGrego2.1.Corninn g,07-04'N rro.CcomD l g@w P odp C e,com Date • Digitally signed by Gregory Tolpin G rEig O ry TO I p Tolpin_Date:2022.11.01 15:37:53-04'00' CONTRACTOR: ," Rhonda H a ag Digitally signed byDlh ate Haag SUSTAINABILITY PROGRAM MANAGER: .1 'Date: 2022.11.09 16:53:41 -05'00' /r' .''I - Date BOARD OF COUNTY COMMISSIONERS --KCY, , 'r OF MONROE COUNTY, FLORIDA Q�'e j - ' II 15 2G'ZZ Approved as to form and legal sufficient gal ' 1, , ,Vw, Mayor/Chair Date Monroe County Attorneys Officer W �, s,- e-. Kevin Madok, Clerk +�/,J�'/j/•/ Digitally signed by Cynthia LHalI �n_3 �q "~ �i (V i• �DN:cndynthlaLHal,o=Monroe �� N': / ,v�dN/ i f , Y County aOCC,ou,email=hall- 'y(�:s- 'L J . Cynthia@monroecounty-&go,,c=US q'';� �, wtr.io::.n.oataaose-0soo co , - A epury erk 447QpJN44 Change Order Attachment per Ordinance No. 004-1999 • Change Order was not included in the original contract specifications. Yes ❑ No ■❑ If Yes, explanation: • Change Order was included in the original specifications. Yes ❑ No ❑■ If Yes, explanation of increase in price: • Change Order exceeds $25,000 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: This is a continuation of current project under construction • Project engineer approves the change order. Yes ■❑ No ❑ If no, explanation of why: • Change Order is correcting an error or omission in design document. Yes ❑No ❑■ Should a claim under the applicable professional liability policy be made? Yes ❑ No ❑■ Explain: ADVEN-1 OP ID: GB ACORO CERTIFICATE OF LIABILITY INSURANCE FDATE TE(MM/DD/YYYY) �..-�-'� 11/21/2022 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 504-486-5411 CONTACT Accessible Marine Insurance Accessible Marine Insurance PHONE FAX 1145 Allen Toussaint Blvd (A/C,No,Ext): 504�86-5411 (A/C,No):504�82-1475 New Orleans,LA 70124 E-MAIL Eric S.Green ADDRESS:gail@ami-ins.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Capitol Specialty Ins. Company INSURED INSURER B:Great American Ins.Company 22136 Adventure Environmental Inc. Greg Tolpin INSURERC: an StarNet Insurance Company 40045 160 Georgia Avenue Tavernier,FL 33070 INSURER D: 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 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 DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE Firl OCCUR EV20190209-04 01/09/2022 01/09/2023 DAMAGE TO RENTED 50,000 X X PREMISES Ea occurrence $ APPROVED BY RISK MANAGEMENT MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 BY / �- GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: DATE 11[12/2O PPOLICY L] JECT1:1 LOC WAIVER N/A YES PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C M.E.L. X BOUM-A-22-2110 08/15/2022 08/15/2023 M.E.L. 1,000,000 B Hull/P&I Liability OMH841008-11 10/12/2022 10/12/2023 P&I Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder shown as additional insured with waiver of subrogation in their favor as required by written contract as respects insured's operations. CERTIFICATE HOLDER CANCELLATION MONRO05 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of ACCORDANCE WITH THE POLICY PROVISIONS. County Commissioners 1100 Simonton St.,Ste 408 AUTHORIZED REPRESENTATIVE Key West, FL 33040 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Adventure Environmental Inc. ADVEN-1 PAGE 2 NOTEPAD INSURED'SNAME OP ID: GB Date 11/21/2022 Contractors Pollution Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-04 Policy Period: 01/09/22 - 01/09/2023 Claims Made Aggregate Limit: 2,000,000 Each Contractors Pollution Condition Limit: 2,000,000 Blanket Additional Insured/ Waiver of Subrogation Professional Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-04 Policy Period: 01/09/22 - 01/09/2023 Aggregate Limit: 2,000,000 Each Professional Services Incident Limit: 2,000,000 Commercial General Liability Conditions: Deductible Liability Endorsement Exclusion - Testing or Consulting Errors and Omissions Total Pollution Exclusion Endorsement Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Exclusion-Violation of Statutes that Govern Emails, Fax, Phone Calls or Other Methods of Sending Exclusion - Punitive or Exemplary Damages Amended Waiver of Subrogation Exclusion - Engineers, Architects or Surveyors Exclusion - Exterior Insulation and Finish Systems Exclusion - Professional Services Primary/Non-Contributory Coverage-Blanket - When req. by written contract Additional Insured - Managers or Lessors of Premises Toxic Drywall Exclusion Separation of Insureds Independent and/or Subcontractor Restriction Contractors Pollution Liability (Claims-Made) Conditions: Additional Insured - Owners, Lessees or Contractors (Broad Wording) Amended Waiver of Subrogation Toxic Drywall Exclusion Professional Liability Conditions: War or Terrorism Exclusion Additional Insured - Owners, Lessees or Contractors Hull & Machinery / Protection & Indemnity: Terms and Conditions applicable to All Sections: Severability Terms and Conditions applicable to Hull: A. I. Coastwise and Inland Hull Clauses Deliberage Damage (Pollution Hazard) Engines & Machinery - ACV / Limited Perils Only No Lay Up Warranty No Release to Tower Warranty Seaworthiness Clause Total Loss Hull Premium Earned Clause Vessel Stability Additional Insured as respects P&I Adventure Environmental Inc. ADVEN-1 PAGE 3 NOTEPAD INSURED'SNAME OP ID: GB Date 11/21/2022 Terms and Conditions applicable to P&I: SP-38 Form Collision Clause including Tow & Extended Tower's Liability Collision Liability - P&I Extension Diving & Swimming Exclusion Food & Beverage Exclusion Health Hazard Exclusion Liability Limitation No Release to Tower Warranty P&I Crew Exclusion: Notwithstanding anything contained in the Protection and Indemnity Clauses herein to the contrary, it is understood and agreed that this Company shall not be liable for any loss, expense or claim to employees of the Assured, members of the crew, contractors or subcontractors Punitive/Exemplary Damages Exclusion Special Operations Exclusion Contractor's Equipment: Policy No. : IMP 5305782-06 Policy Period: 01/26/2022 to 01/26/2023 - Owned Equipment $75,000 - Leased/Rented Equipment any one item limit $200,000 - Leased/Rented Equipment all items limit $400,000 Inland Marine Coverage Part Declarations Page Commercial Inland Marine Conditions Contractor's Equipment Declarations Scheduled Form Contractor's Equipment Scheduled Coverage Form Contractor's Equipment Equipment Leased or Rented From Others Coverage Florida Changes - Warranties Florida Changes - Loss Payment Crane Exclusion Endorsement Contractor's Equipment Existing Fire Exclusion Blanket Loss Payable Endorsement Marijuana Exclusion M.E.L. -Maritime Employers Liability Coverage Form -Transportation, Wages, Maintenance & Cure -Notice of Cancellation: 30 days (except 10 days of nonpayment of premium) -Death on the High Seas Clause -In Rem Liability -Blanket Waiver of Subrogation This certificate of insurance neither affirmatively nor negatively alters, amends, or extends the coverage afforded by Policy(ies) issued by the Insurer(s) listed on this certificate. 06/01/2022 Policy number: 03515746 Underwritten by: 41-Progressive Express Insurance Co. NAIC Number: 10193 Certificate of Insurance Certificate Holder Insured Anent Additional Insured Monroe County BOCC Adventure Environmental Inc Butler Buckley Deets Insurance Compliance 160 Georgia Ave 6161 Blue Lagoon#420 PO Box 100085-FX Tavemier, FL 33070 Miami, FL 33126 Deluth,GA 30096 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the periods)indicated.This certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change,alter,modify,or extend the coverages afforded by the policies listed below.The coverages afforded by the policies listed below are subject to all the terms,exclusions,limitations,endorsements,and conditions of these policies. Liability coverage may not apply to all scheduled vehicles. Policy Effective Date: Policy Expiration Date: 06/11/2022 06/11/2023 Insurance coveraae(s) Urnits Bodily Injury Property Damage-Combined Single Limits $1,000,000 per occurrence Hired Auto Liability $1,000,000 per occurrence Employer Non-Owned Auto Liability $1,000,000 per occurrence WAVER NA-YE Description of LocationIVehicleslSpecial Items Scheduled autos only 2014 Chevrolet Silverado C2500 VIN 1GC1 CVCG7EF187484 Comprehensive$1,000 Deduct!ble/Collision$1,000 Deductible 2015 Chevrolet Silverado C2500 VIN 1 GC2CUEG1 FZ541060 Comprehensive$1,000 Deduct!ble/Collision$1,000 Deductible 2017 Chevrolet Silverado C2500 VIN 1GC1 KUEGOHF207993 Comprehensive$1,000 Deductible/Collision$1,000 Deductible 2018 Chevrolet 2500 HD VIN 1GCIKUEGXJF134539 Comprehensive$1,000 Deduct!ble/Collision$1,000 Deductible 2019 Chevrolet K2500 VIN 1GC1KTEYOKF112991 Comprehensive$1,000 Deduct!ble/Collision$1,000 Deductible 2002 KW T80 VIN 1NKDLT9X12J894497 Comprehensive$1,000 Deductible/Collision$1,000 Deductible 2014 PTRB 388 VIN 1NPWX4EX5ED226224 Comprehensive$1,000 Deduct!ble/Collision$1,000 Deductible 2006 INTL 740 VIN 1HTWCAAN16J370901 Comprehensive$1,000 Deduct!ble/Collision$1,000 Deductible 2009 Chevrolet Silverado C3500 VIN 1GBJC74K99E105480 Comprehensive$1,000 Deductible/Collision$1,000 Deductible 2019 Chevrolet Suburban C1500 VIN 1GNSKJKJ6KR262447 Comprehensive$1,000 Deduct!ble/Collision$1,000 Deductible 2020 Chevrolet Silverado C2500 VIN 1 GC4YPEY7LF1 05587 Comprehensive$1,000 Deduct!ble/Collision$1,000 Deductible 2020 Chevrolet Silverado C2500 VIN 1GC4YPEYOLF154498 Comprehensive$1,000 Deduct!ble/Collision$1,000 Deductible Certificate number 15222W2E746 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241(05116) Date CERTIFICATE OF LIABILITY INSURANCE 12/7/2021 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727) 938-5562 Insurers Affording Coverage NAIC# Insured: South East Personnel Leasing, Inc. &Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. InsurerB: Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages 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. Aggregate limits shown may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration Date Limits LTR INSRD Type of Insurance Policy Number Date (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each Occurrence Commercial General Liability Damage to rented premises(EA Claims Made ❑ Occur occurrence) ARPRO'VED ipY RMK MANAGEMENT Med Exp General aggregate limit applies per: fri )' ___ Personal Adv Injury Policy Project LOC WAVER NpA—'YES—' General Aggregate ❑ ❑ Products-Comp/Op Agg AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) Any Auto Bodily Injury All Owned Autos (Per Person) Scheduled Autos Hired Autos Bodily Injury Non-Owned Autos (Per Accident) Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur ❑Claims Made Aggregate Deductible A Workers Compensation and WC 71949 01/01/2022 01/01/2023 x I WC Statu- OTH- Employers'Liability tory Limits ER Any proprietor/partner/executive officer/member E.L.Each Accident $1,000,000 excluded? NO E.L.Disease-Ea Employee $1,000,000 If Yes,describe under special provisions below. E.L.Disease-Policy Limits 1 $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A(Excellent). AMB# 12616 Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 80-65-323 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company": Adventure Environmental,Inc. Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s),while working in: FL. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or email certificates@lioninsurancecompany.com Project Name: INCLUDES USL&H. GREGORY J.TOLPIN,LICENSE#CGC1506411 and#CUC1223905,AS QUALIFIER. WAIVER OF SUBROGATION APPLIES IN FAVOR OF MONROE COUNTY BOCC. ISSUE 06-11-21 (PH) Beclin uate:1 IS Colo CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOCC Should any of the above described policies be cancelled before the expiration date thereof,the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left,but failure to INSURANCE COMPLIANCE do so shall impose no obligation or liability of any kind upon the insurer,its agents or representatives. P.O.BOX 100085-FX DULUTH, GA 30096 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE WC 00 03 13 POLICY (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule MONROE COUNTY BOCC INSURANCE COMPLIANCE P.O. BOX 100085 - FX DULUTH, GA 30096 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Insured: South East Personnel Leasing,Inc. Insurance Company:Lion Insurance Co. Countersigned by: Policy 4:WC 71949 Effective: 01/01/2022-01/01/2023 Client: Adventure Environmental,Inc. WC 00 03 13 (Ed.4-84) ©1983 National Council on Compensation Insurance. Adventure Environmental Inc 160 Georgia Ave Tavernier, FL 33070 APPROWD iQY IIH W MAN AGE ENT jig �R ,CIE NA Y WAIVER OF SUBROGATION ENDORSEMENT This endorsement modifies insurance provided under the following: Commercial Auto Policy Motor Truck Cargo Legal Liability Coverage Endorsement Commercial General Liability Coverage Endorsement We agree to waive any and all subrogation claims against the person or organization designated below. Monroe County BOCC Insurance Compliance PO Box 100085-FX Deluth,GA 30096 This endorsement applies to Policy Number: 03515746 Issued to: Adventure Environmental Inc Endorsement Effective: 06/11/2022 Expiration: 06/11/2023 All other terms,limits and provisions of this policy remain unchanged. Form 8610(02/19)M_CL