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2022-20 Commercial Apron Expansion Construction Support_RPR Services �y couayt cpA pKevin Madok, :. ........�;,� Clerk of the Circuit Court& Comptroller— Monroe County, Florida DATE: December 27, 2022 TO: Ricliard Strickland Director ol'Airports A Beth Leto, Deputy Director &Administration Pamela G. Hancoc ,,, C. SMECT: December 7' BOCC Meeting Attaclied is an electronic copy of each of the following items for your liandling: H1 Jacobs Project Management Co.'s Task Order No. 2022-20, in the amount of $1,683,928.00, for Construction ,Support, Resident Project Representative Services, Surveying and Environmental Services for the Commercial Apron Extension& Mitigation Project at Key West International Airport. Tlie PSO) is being funded by FAA Grant 37-72 (90%); FDOT Airfield Improvements Grant G2E62 (.5%); and Airport Operating Fund 404 (5%). 2 Commercial Sponsorsliip Agreement Milli Morale, Welfare & Recreation Department, Naval Air Station (NAS) Key West, in the amount of$25,000.00, in support ol'llre NAS Key West 2023 Southernmost Air Spectacular event to be held at the NAS Boca Cliica Field on April 15 & 16, 2023; to be paid From the Airport Operating Fund 404. Should you have any questions please feel free to contact me at (305) 292-3550. cc: County Attorney Finance File KEY WEST MARATHON PLANTATION KEY 500 Whitehead Street 3117 Overseas Highway 88770 Overseas Highway Key West,Florida 33040 Marathon, Florida 33050 Plantation Key, Florida 33070 MASTER AGREEMENT FOR PROFESSIONAL SERVICES TASK ORDER FORM Effective Date Upon Execution Task Order No. 2022 -20 Client Project No. 404-630223 (37-72) Engineer Project No. EGXM7920 This Task Order is entered into on the effective date noted above pursuant to the "Master Agreement for Professional Services" between Monroe County, Florida ("Client") and JACOBS PROJECT MANAGEMENT CO. ("Consultant"), dated February 16, 2022 ("Agreement"). The Agreement is incorporated herein and forms an integral part of this Task Order. Services Authorized — EYW Commercial Apron Expansion Construction Support and RPR Services Client authorizes Consultant to perform the Services described in Exhibit A attached hereto and incorporated herein, which Exhibit A is marked with the above noted Task Order No. and consists of 4®page(s). Pricing N/A Time and Expense per Agreement and Appendix B to the Agreement. X Firm Fixed Price of$_ 1,683,928-00 N/A Other(Describe): NROE COLRM ArronNEY E FOFVA ce commence on Execution AS NTY ATTORNEY Irv` ease by_1,460_Pgya . Date----J1!ZUZ_ MONROE COUNT Y. BOARD OF EVI N MADOK COUNTY�C ISSIONERS 00 BY: .............. As Deputy Clerk Mayor/Cbairman CONSULTANT: JACOBS PROJECT MANAGEMENT CO Jacqueline By Witness Ross o "1 71-104 0.5 3 V a- Title Director PMCM File: MSTR A PS—Monroe County r Page 1 of 1 Exhibit A—Scope of Work ( 2022-20 ) Monroe County Key West International Airport Commercial Apron Expansion and Mitigation Construction Support and RPR Services SCOPE OF WORK Jacobs Project Management Co. (Jacobs)will provide construction support and resident project representative (RPR) services for the "Commercial Apron Expansion and Mitigation" project at Key West International Airport (EYW). These construction services will provide the following: ASSUMPTIONS Construction phase services are based on an anticipated duration of 600 calendar days of construction in field. In the event the construction duration exceeds the calendar days listed above, Jacobs reserves the right to revise our proposal. +� Jacobs will invoice on a percent complete to compensate the level of effort required for each assignment. • All as-built drawings to be provided to Jacobs in electronic (AutoCad) format and hard copy (printed)format. ■ Construction Support services are based upon the following: 92 shop drawings/product submittals. Our assumption is 80% of submittals will be approved on the first review and 20% will require re-submittal for further review; respond to 45 Contractor RFI's. • This proposal and scope of services does not include transportation to mitigation site 2. • This scope of services and pricing is provided based upon and shall be performed under base agreement"Master Agreement for Professional Services 2/24". The Master Agreement for Professional Services is between Monroe County Florida and Jacobs Project Management Co. with an execution date of February 24, 2022 (together the base agreement Master Agreement for Professional Services 2/24 and any amendments thereto are defined as the "Agreement"). Notwithstanding anything to the contrary contained or referenced in this Scope of Services, the terms and conditions of the Agreement shall govern all staff augmentation under this Scope of Services. ■ Construction is anticipated to start no later than October of 2023. ARTICLE D—CONSTRUCTION ADMINISTRATION SERVICES 1. Prepare and issue conformed drawings for construction. 2. Prepare and issue construction contract to the awarded low bidder. 3. Issue a "Notice to Proceed," on behalf of the Airport, to the Contractor. Page 1 of 4 4. Review the Contractor's construction schedule. 5. Prepare for and attend the Pre-Construction conference. 6. Review all shop drawing submittals for conformance to the plans and specifications and respond to the Contractor and Airport with detailed summary of the applicability and acceptability of the shop drawing. 7. Respond to Contractor's RFI's. 8. Attend site visits and bi-weekly progress meetings. Bi-weekly progress meetings will be attended virtually utilizing Microsoft Teams. Site visits will observe work in progress and provide reports to Owner. Assume 24 site visits throughout the course of the construction project (one per month for the PM/Civil and four additional visits for the (2 visits) Electrical and (2 visits) Drainage Engineer). 9. Prepare construction management plan. 10. Prepare Field Sketches, as necessary. 11. Provide general supervision and administrative support for resident project representative (RPR), 12. Review and approve estimates submitted by the Contractor for progress/final payments. 13. Prepare and negotiate change orders, as necessary. Assume 4 change orders. 14. Attend final inspection meeting. 15. Review Closeout Documentation. 16. Review quality assurance testing results. 17. Obtain as-built data from Contractor, prepare record drawings and provide hardcopies and electronic files to the Airport. 18. Prepare and submit FAA closeout documentation and prepare and process final change order. 19. Coordination with the county to establish conservation easement for both mitigation sites. Services for Article D will be provided under a lump sum basis. AMENDMENT TO ARTICLE E - RESIDENT PROJECT REPRESENTATIVE (RPR) and ENVIRONMENTAL SUPPORT SERVICES 1. Attend pre-construction conference. 2. Coordinate and attend progress meetings with the contractor, Airport, and any other interested parties, as required prior to construction (e.g. Staging area coordination, setting up Contractor's trailer.). Page 2 of 4 3. Provide full-time RPR services for the work associated with the project. The RPR's for the project shall have field experience in the type of work to be performed, be fully qualified to make interpretations, decisions, field computations, and have knowledge of testing requirements and procedures. The RPR shall be responsible for the following: • Checking of construction activities to ensure compliance with the plans and specifications. • Inform the contractor and County of any work that is in non-compliant. • Coordinate quality assurance tests and verify they have been performed at the frequency stated in the specifications. • Review certifications for conformance with the specifications. • Document quantities of materials used on the project by actual measurements and computations in a field notebook or computer printout retained in a folder. • Maintain a set of working drawings on the job site, which can be used to prepare "As-Built" drawings. • Review the test reports and certifications for conformance with the specifications and maintain a file for all reports and certifications. • Inform the County of deficiencies so corrections can be made, and retesting performed. • Jacobs does not have control over or charge of and shall not be responsible for construction means, methods, techniques, sequences or procedures of construction or for safety precautions and programs in connection with the work, since these are solely the Contractor's responsibility under the contract for construction. • Jacobs shall make every reasonable effort to ensure that the Contractor completes the work in accordance with the current approved schedule and carries out the work in accordance with the contract documents. • Review close out documentation,. • Review payment requests and certified payrolls from the contractor. • Maintain a diary, which will contain entries made and signed by the resident engineer. Each entry should include the following, plus any additional pertinent data: a. Date and weather conditions. b. Names of important visitors. C. Construction work in progress and location. d. Size of contractor's work force and equipment in use. e. Number of hours worked per day for contractor and subcontractors. f. Detailed information on testing (if applicable to work activities that day) Page 3 of 4 4. Quality Assurance Testing of Construction Materials will be provided by our subconsultant, Tierra South Florida. 5. O'Neal Surveying and Mapping will provide survey services to support wetland delineation and to set the boundaries for the conservation easements to be established for the mitigation sites. 6. Birkitt Environmental Services, Inc. will provide environmental services to oversee the appropriate creation and maintenance of the mitigation sites. Birkitt will also support the conservation easement process for the mitigation sites. 7. Pre-construction wetland avoidance and nesting Bird Location. a. Review of wetland Staking b. Confirm protection plant count assessment for Monroe County mitigation. c. Identify and stake out Construction Avoidance Areas. 8. Mitigation Site Construction Inspections that include: a. Review Plant Source, Condition and Placement b. Inspection of Mitigation Sites. Assume a total of 12 site visits. c. Provide a mitigation completion inspection site visit and report. 9. Post construction mitigation site inspection for mitigation sites 1 and 2. Assume a total of 2 inspection site visits. 10. Provide 1 year follow up inspection and monitoring of mitigations sites 1 and 2. This work shall be performed prior the expiration of the 1-year warranty period and includes 1 inspection site visit and report, 11. It is anticipated that agency staff (USACE, SFWMD, or Monroe County) will conduct periodic inspections of the construction/impact site at the Airport and/or inspections of the mitigation areas at TBK and Crawl Key. It is assumed that 3 agency coordination site visits cannot be scheduled in conjunction with other tasks, so 3 agency coordination site visits (trips) are included in this task. Miscellaneous coordination with agency staff re: status of construction or compliance with also be provided. 12. Attend final inspection and create punch list. 13.Attend follow up site visit to confirm completion of punch list items. Services for Article E will be provided under a lump sum basis. Page 4 of 4 JACOBS ENGINEERING GROUP JOB HOUR AND FEE ESTIMATE Monroe County Airport: Key West International Airport Project: Commercial Apron Expansion and Mitigation-Construction Support and RPR Services FEE SUMMARY BASIC SERVICES Hours Fee DBE AMOUNT Article D:Construction Phase Services 1,464 $ 226,877 $ Article E:RPR Services 4,344 $ 834,102 $ Dotal Basic Services Lum Sum Fee 6 808 $ 11060,979 $ - SPECIAL,a RVICES Hours Fee DBE AMOUNT Article E: RPR Services O'Neal Surveying and Mapping,Inc.-Survey $ 59,892 $ 59,892 Tierra-Geotechnical $ 281,549 $ 281,549 Birkitt Environmental Services $ 281,508 $ 281,508 Total Special Services Lump Sum Fee 0 $ 62.2,949 $ 6.2,1149 TOTAL LUMP SUM PROJECT FEE 51808 $ 1,603,928 $ 222 4949 N w <Y N F-AL SU RVE"rc"I'N C r: 5 267 John Knox Road, Suite 207 a Tallahassee, Florida 32303 a Office: 850-270-2138 6400 Manatee Ave.W., Suite L-113 ■ Bradenton, Florida 34209 ■ Office:941-375-4470 A Ceftiifiad Woman Owned I inodty/I1..1sadvantaged Su.usuniass June 6, 2022 Ms. Kaly Querioz, PE Airport Project Lead Jacobs RE: Key West Airport Commercial Apron Expansion & Mitigation As-Built Surveys Proposal O'Neal Surveying and Mapping, Inc. (OSM) is pleased to provide you with a scope of services for the Key West Airport Commercial Apron Expansion Project As-Built Surveys in Key West, Florida. The project and services include the following: SCOPE OF SERVICES TASK 1: HORIZONTAL & VERTICAL CONTROL (COMMERCIAL APRON, CRAWL KEY & TARPON BELLY KEY) OSM will verify positions on existing control points previously established by OSM and others. OSM will establish additional new survey control for these project sites as required if on site existing control has been disturbed or destroyed by construction. All survey control will be referenced to North American Datum 1983 (NAD83) (2011 Adjustment) and North American Vertical Datum 1988 (NAVD88). Verify existing or establish new site control. o Locate, verify or establish new horizontal control points o Verify elevations on existing control or establish new vertical control points TASK 2: STAKE AND FLAG JURISDICTIONAL WETLANDS (COMMERCIAL APRON) OSM will stake and flag the jurisdictional wetlands as established by others and located by OSM on the initial design survey for this project site. Original flag designations will be marked on each flag. For a permanent mark, a 5/8" capped iron rod and a 4'wood lath will be set at each wetland point (drilled into ground surface if needed). The cap on the iron rod will be stamped "O'NEAL LB 7713" and can be readily recovered with a magnetic locator.Additional flagging will be tied in trees or vegetation if available above the laths and capped iron rods. SURVEY SCHEDULE (COMMERCIAL APRON) OSM will commence the survey for Task 1 & 2 within 20 working days of Notice to Proceed (NTP). NOTE 1: It is understood and anticipated this will NOT be a pull-back operation. NOTE 2: Jacobs and/or Airport personnel will provide escort for the survey crew. The attached Exhibit depicts the limits of the areas of new construction to be surveyed. Any additions to these limits may require additional fees, to be determined. Total Lump Sum Survey Fee Commercial Apron Tasks 1 & 2: $9,840.00 TASK 3: STAKE AND FLAG JURISDICTIONAL WETLANDS (MITIGATION SITE 1 CRAWL KEY) OSM will stake and flag the jurisdictional wetlands as established by others and located by OSM on the initial design survey for this project site. Original flag designations will be marked on each flag. For a permanent mark, a 5/8" capped iron rod and a 4'wood lath will be set at each wetland point (drilled into ground surface if needed). The cap on the iron rod will be stamped "O'NEAL LB 7713" and can be readily recovered with a magnetic locator.Additional flagging will be tied in trees or vegetation if available above the laths and capped iron rods. TASK 4: TOPOGRAPHIC AS-BUILT SURVEY(MITIGATION SITE 1 CRAWL KEY) A final As-Built survey to verify area, elevation and edge lines (perimeter) of the vegetation planted in the (5) Planting Areas depicted on Plan sheet C-605. Cross sections will be observed on a maximum 50 foot interval along with location of any significant grade break/deviation from plan grade level per Planting Zone. The survey will include location of new signage, concrete bollards, gates and fencing as depicted on attached Plan sheet C-605. SURVEY SCHEDULE (MITIGATION SITE 1 CRAWL KEY): OSM will commence the survey within 20 working days of Notice to Proceed (NTP) for Task(s) 1 & 3 and NTP for Task(s) 1 &4. NOTE 1: This survey will require 2 separate deployments. The 1"deployment will be for Task(s) 1 & 3 prior to construction, with the 2nd deployment being for Task(s) 1 and 4 after construction is complete. The attached Exhibit C-605 depicts the proposed construction limits at Mitigation Site 1. Any significant additions to these limits may require additional fees to be determined. Total Lump Sum Survey Fee Mitigation Site 1 Crawl Key Task(s) 1 & 3: $9,840.00 Total Lump Sum Survey Fee Mitigation Site 1 Crawl Key Task(s) 1 &4: $13,850.00 TASK 5: STAKE AND FLAG JURISDICTIONAL WETLANDS(MITIGATION SITE 2 TARPON BELLY KEY) OSM will stake and flag the jurisdictional wetlands as established by others and located by OSM on the initial design survey for this project site. Original flag designations will be marked on each flag. For a permanent mark, a 5/8" capped iron rod and a 4' wood lath will be set at each wetland point (drilled into ground surface if needed). The cap on the iron rod will be stamped "O'NEAL LB 7713" and can be readily recovered with a magnetic locator.Additional flagging will be tied in trees or vegetation if available above the laths and capped iron rods. TASK 6: TOPOGRAPHIC AS-BUILT SURVEY(MITIGATION SITE 2 TARPON BELLY KEY) A final As-Built survey to verify area, elevation and edge lines (perimeter) of the vegetation planted in the (5) Planting Areas depicted on Plan sheet C-606. Cross sections will be observed on a maximum 50 foot interval along with location of any significant grade break/deviation from plan grade level per Planting Zone. The survey will include location of new signage and photo monitoring stations as depicted on attached Plan sheet C-606. SURVEY SCHEDULE (MITIGATION SITE 2 TARPON BELLY KEY) OSM will commence the survey within 20 working days of Notice to Proceed (NTP) for Task(s) 1 & 5 and NTP for Task(s) 1 & 6. NOTE 1: This survey will require 2 separate deployments. The 1st deployment will be for Task(s) 1 & 5 prior to construction, with the 2°a deployment being for Task(s) 1 and 6 after construction is complete. The attached Exhibit C-605 depicts the proposed construction limits at Mitigation Site 1. Any significant additions to these limits may require additional fees to be determined. Total Lump Sum Survey Fee Mitigation Site 2 Tarpon Belly Key Task(s) 1 & 5: $10,840.00 Total Lump Sum Survey Fee Mitigation Site 2 Tarpon Belly Key Task(s) 1 &6: $16,522.00 Total Lump Sum Survey Fee Tasks 1-6 (5 Surveys/Deployments): $69,892.00 WORK ZONE SAFETY: All work zone and Airport safety, rules and procedures as required by the Key West Airport will be observed and strictly adhered to by OSM. All survey activity will be coordinated with Jacobs staff prior to and during commencement. Any and all vehicles to be utilized in said survey activities will be authorized by and registered as may be required. Said vehicles to have current decal, display company name/identification and maintain proper lighting requirements. QUALITY CONTROL/QUALITY ASSURANCE AND FIELD REVIEW: Verification of the field conditions as related to the collected survey data prior to any topographic survey data submittal. All activities required to supervise and coordinate the survey project will be performed by the OSM project supervisor, a Florida P.S.M. or their delegate. OSM will implement their QA/QC plan to include review, response to comments and any resolution meetings if required, preparation of submittals for reviews, etc. Deliverables will include the ACAD Civil 3D digital files of the topographic survey, Signed and sealed copies of survey as required. Thank you for this opportunity and please do not hesitate to call if you have any questions or concerns Sincerely, Michael O'Neal, PSM, VP O'Neal Surveying & Mapping, Inc. ........... 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V.,in,rc�eM2r.fN'tr,A1'MY 4 LPSPZ202 10,d OMa N 31Y4 NtlId O OUINC +* m`M1tl 0111 a May 13, 2022 Jacobs Attn: Ms. Kaly Queiroz, P.E. email: &<al ,.cLiei[,ozrts),iacobas. oiii Re: Proposal for Geotechnical Services Key West International Airport(EYW) EYW Commercial Apron Expansion and Mitigation Monroe County,Florida TSF Proposal No.: 2205-302 Dear Kaly: As requested,TSFGEO is pleased to submit this proposal for the above-referenced project.Based on information provided by Jacobs, the project will include plant and field inspections for the concrete and asphalt plants, testing of concrete flexure beams for modulus of rupture, concrete cylinders and soil densities for the Commercial Apron Expansion and Mitigation Project at Key West International Airport(EYW),Florida. PROPOSED SCOPE OF WORK The project includes expanding the commercial apron and to construct the mitigation plan. The scope of services was provided by Jacobs and is presented below. 49 Days of concrete paving(flexural beams) -Need to provide a plant and field inspection during paving operations 0 29 Nights of concrete paving(flexural beams) (Includes 1 Night of asphalt paving) - Need to provide a plant and field inspection during paving operations Add an additional day for the test strip Assume the need for 6 Proctors • Assume 6 organic/topsoil tests Assume 6 soil gradations 0 20 days of compaction tests for Commercial Apron area 0 5 days of compaction tests for mitigation site 1 (Crawl Key) a 5 days of compactions tests for mitigation site 2 (Tarpon Belly) • 10 Days for concrete testing and cylinders Please note that our services do not include supervision or direction of the actual work. Job site safety will be the sole responsibility of the contractor. Construction defects not related to structural works, such as water penetration (in roofing, windows, doors, louvers), and building finishings (interior, exterior), stairs (railings, surface finish, tread/riser ratio) are not part of our scope of work. TSFGeo cannot be responsible for non-structural defects that could lead to 2765 Vista Parkway,Suite 10 o West Palm Beach,Florida 33411 561-687-8536*w )Ar:rjF State of Florida Professional Engineers License#28073 Jacobs TSFGEO Proposal:2205-302 Page 2 structural elements failures down the road. ESTIMATED FEE The actual fees for our services will be highly dependent on the construction schedule. We propose to provide our services on a unit rate basis; based on the actual services performed and the unit fees attached to this proposal. Invoices will be submitted monthly for the portion of work completed. On the basis of the proposed quantities, it is estimated that the total fee will be $268,564.00. We appreciate the opportunity to offer our services for your project. Should you have any questions or need additional information, do not hesitate to contact me at(561) 687-8536. We at TSFGEO appreciate the opportunity to submit this proposal and look forward to working with you on this project. If you should have any questions concerning our proposal,please contact our office. Respectfully submitted, TSFGEO Rodolfo "Rudy" Gonzembach, P.E. R. Morgan Dickinson,P.E. Branch Manager Principal Engineer AUTHORIZED BY: INVOICE TO: Name: Firm: Title: Name: Date: Address: June 15, 2022 Jacobs 245 Riverside Avenue, Suite 300 Jacksonville, Florida 32202 Attention: Kaly Queiroz, P.E. Airport Project Lead Re: Proposal for Geotechnical Services EYW Commercial Apron—Light Poles Monroe County,Florida TSF Proposal No.2206-356 Dear Kaly: As requested, TSFGeo is pleased to submit this proposal for the above-referenced project. Based on information provided by Jacobs, proposed construction will consist of light poles for the Commercial Apron at the Key West International Airport. PROPOSED SCOPE OF WORK As requested,we propose to perform the following: Structural Design (Proposed Light Poles) • Four(4) 15 feet deep borings for foundations • Soil Parameters for foundation recommendations for light poles We understand that the borings and test locations will be located in the field by Jacobs. Prior to drilling at the project site,TSFGeo will notify the local utility companies and request that underground utilities be marked. Private utilities and utilities on the air side will be the owner's/Airport's responsibility. Our proposal assumes that utilities within the airport will be cleared by a specialty utility locator. We believe that significant coordination will be required to perform the field operations. We understand that the work will be on the airside, and Jacobs will escort TSFGeo personnel and drill rig to and from the test location. 2765 Vista Parkway,Suite 10•West Palm Beach,Florida 33411 561-687-8536*AwWf%„a& State of Florida Professional Engineers License#28073 Jacobs TSF Proposal:2206-356 Page 2 Upon completion of the field exploration,laboratory testing will be performed on selected samples. A report will be issued that contains the exploration and laboratory data, and soil parameters for Light Pole foundation design. ESTIMATED FEES It is proposed that the fee for the performance of the services outlined above is determined on a unit price basis in accordance with the attached Fee Schedule and that the work be performed pursuant to TSFGeo's General Conditions enclosed herewith and incorporated into this proposal. On the basis of the proposed quantities, it is estimated that the total fee will be approximately $12,985. Our estimate covers the work needed to present the results.Not included are reviews of drawings, preparation of construction specifications, special conferences and any other work requested after submittal of our report. SCHEDULE AND AUTHORIZATION TSFGeo will proceed with the work after receipt of a signed copy of this proposal. With our present schedule, we can commence work within several days of project approval (weather permitting) and fieldwork is expected take about 8 to 10 days to complete. The results can be submitted in about three weeks after completion of the field work. We at TSFGeo appreciate the opportunity to submit this proposal and look forward to working with you on this project. If you should have any questions concerning our proposal,please contact our office. Respectfully submitted, TIERRA SOUTH FLORIDA,INC. Sean Tromans, E.I. Ramakumar Vedula,P.E. Staff Engineer Principal Engineer Jacobs TSF Proposal:2206-356 Page 3 AUTHORIZED BY: INVOICE TO: Name: Firm: Title: Name: Date: Address: BIRKITT ENVIRONMENTAL ' SERVICES, INC. www.birkittcom June 3, 2022 Chris Bowker Jr., P.E. Jacobs 200 W. Forsyth St., Suite 1520 Jacksonville, FL 32202 Project Name/Location: Key West International Airport Commercial Apron Expansion Biological Construction Oversight Support Tasks Dear Mr. Bowker: Birkitt Environmental Services, Inc. (Birkitt) is pleased to submit this proposal to perform environmental services to support construction oversight of the proposed Commercial Apron Expansion project at the Key West International Airport (EYW) pursuant to bid documents and plans dated 3/16/22. See below for the proposed Scope of Services for support for construction of the proposed construction /impact site at EYW and the mitigation sites at Tarpon Belly Keys-2 (TBK-2) Mitigation Site and the Crawl Key Mitigation Site. - Construction/Impact Site at Airport 2.99 ac. permanent wetlands impacts - Mitigation Sites: 0 1.29 ac TBK-2 Crawl Key Mitigation Site Assume 18 month project duration (6 months construction and 12 months follow up) Task 1.0 CONSTRUCTION OVERSIGHT DOCUMENTATION AND MEETING Birkitt will review permit and construction bid requirements to prepare an environmental project task plan and schedule in coordination with Jacobs to provide internal guidance and documentation to Jacobs and contractor. Birkitt will be available to answer standard questions or provide basic guidance re: permit conditions. A kick-off meeting and construction team meeting on site is included for this scope and will include guidance on permit and bid compliance requirements. (2 people). 1 Birkitt Environmental Services, Inc. EYW Commercial Apron Expansion Biological Construction Oversight Support Proposal June 3, 2022 Task 2.0 PRE-CONSTRUCTION REVIEW OF WETLAND MANGROVE and IMPACT LIMITS STAKING AND NESTING BIRD LOCATIONS Birkitt will review contractors' staking of the boundaries of wetlands, impact areas, and planting zones (contractor to stake wetlands based on survey) and recommend adjustments as needed. • Review of Wetland Staking — Impact Site • Review wetland and impact area permanent impact areas • Review of Wetland Staking and Bird Nesting Area Avoidance — Tarpon Belly Keys- 2 Mitigation Site • Review wetland staking, planting zones, and marking of avoidance areas for nesting bird locations provided to contractor by GWHWR. • Review of Wetlands Zone Staking—Crawl Key Mitigation Site • Review surveyors staking of planting zones. In addition, Birkitt will identify areas to be selectively avoided during construction. Task 3.0 MITIGATION SITE CONSTRUCTION OVERSIGHT INSPECTIONS - TARPON BELLY KEYS — 2 AND CRAWL KEY MITIGATION SITE Task 3.1 Review Plant Source, Condition, and Placement Birkitt will review the following: • Review plants source and order to be placed (confirm mangroves are salt water acclimated) • Review plant condition before planting • Review proposed proper placement of plants in appropriate zones. It is assumed that the planting zones will be staked in the field prior to review and as-built surveys of elevations will be provided to Birkitt Task 3.2 Oversight Inspections and Progress Reports Birkitt will work with contractor to identify areas of excavation for Crawl Key prior to initiating construction. Nine (9) site visits to (9 to Crawl Key only with 4 to both Crawl Key and TBK) will be required to provide guidance and oversight for contractor for up to 6 months of mitigation site development due to the complexity of the mitigation plan at Crawl Key. 2 Birkitt Environmental Services, Inc. EYW Commercial Apron Expansion Biological Construction Oversight Support Proposal June 3, 2022 Birkitt will inspect TBK-2 and Crawl Key mitigation areas during construction to review progress and status. Basic progress report forms will be prepared to document inspection conducted and status for three (3) of the site visits. As part of the three (3) progress inspections, Birkitt will review as-builts in the field following initial grading but prior to back-fill to achieve final grading, review appropriateness of suitable soils for backfill. Prior to planting, as-builts will be provided to Birkitt to confirm appropriate final elevation prior to planting. Three (3) additional site visits are included for on-call emergency support during construction of the mitigation areas. Task 3.3 Mitigation Completion Inspection and Report Birkitt will review mitigation sites following completion of mitigation site. construction and planting. It is assumed that the review for the mitigation sites will be conducted in two (2) trips. Birkitt will provide a Mitigation Completion Inspection Report (to Jacobs) for TBK-2 and the Crawl Key Mitigation Sites. Task 4.0 POST CONSTRUCTION MITIGATION SITE INSPECTION TBK--2 AND CRAWL KEY MITIGATION SITE Birkitt will provide two (2) site visits to each of the mitigation areas, TBK-2 and Crawl Key Mitigation Site, over a 12-month period post construction (four site visits total). Two (2) trips are included to cover these site visits. (This task includes boat transportation to TBK-2 for each of the site inspections.) • TBK—2 Mitigation Site • Crawl Key Mitigation Site Task 5.0 MITIGATION SITE INSPECTION/MONITORING AND REPORT— 1 YEAR —TBK— 2 AND CRAWL KEY MITIGATION SITE Birkitt will provide a final follow up inspection and monitoring of the TBK-2 and Crawl Key mitigation areas to document site conditions related to success criteria and permit compliance at one (1) year following completion of the mitigation sites. Boat transportation to TBK-2 included. A report documenting inspection and monitoring results and photo-documentation of the mitigation sites will be prepared. One (1) trip 3 Birkitt Environmental Services, Inc. EYW Commercial Apron Expansion Biological Construction Oversight Support Proposal June 3, 2022 each is assumed for conducting the 1-year monitoring at TBK-2 and Crawl Key Mitigation Site. • TBK-2— 1-year Inspection/Monitoring and Report • Crawl Key — 1-year Inspection/Monitoring and Report Task 6.0 Agency Coordination during Construction It is anticipated that agency staff (USACE, SFWMD, or Monroe County) will conduct periodic inspections of the construction/impact site at the Airport and/ or inspections of the mitigation areas at TBK-2 and the Crawl Key Mitigation Site. Birkitt staff will accompany agency representatives during these inspections. Where possible, these site visits will be scheduled along with other activities. It is assumed that three (3) agency coordination site visits cannot be scheduled in conjunction with other tasks, so three (3) agency coordination site visits (trips) are included in this task. Miscellaneous coordination with agency staff re: status of construction or compliance with also be provided. Boat transportation to TBK-2 will be provided by others. Task 7.0 Project Administration and Coordination Project administration and coordination includes invoice preparation, scheduling, project management coordination and team coordination. Twelve (12) team coordination/status meetings throughout the construction process are assumed to be virtual or during on- site trips scheduled for other tasks. This task also includes team coordination re: scheduling or overall project management. General Assumptions: • Services under this scope will start upon receipt of all permits and initiation of construction services. If additional or unanticipated permit conditions are required in the final permits, additional scope and services may be necessary. • Birkitt will have full access and authorizations to the sites. It is assumed that both mitigation sites (TBK-2 and Crawl Key) will be completed within six (6) months. • Contractors will provide boat transportation to TBK-2 Mitigation Site for a period of six (6) months after initiation of mitigation site construction. Birkitt will provide boat transportation to TBK-2 Mitigation Site for inspections after six (6) months. 4 Birkitt Environmental Services, Inc. EYW Commercial Apron Expansion Biological Construction Oversight Support Proposal June 3, 2022 • Scope for post construction inspections and monitoring (after 6 months) includes boat rental for TBK-2 Mitigation Site. • Birkitt's support in addressing compliance or agency coordination on construction issues other than minor questions or communication with agencies is not included. No travel or time is included for these compliance issues which may arise. • Issue resolution with contractors is not included. Additional scope and fee will be required to address environmental issues with contractors or to conduct associated site visits for issue resolution. • For agency site visits, boat transportation to TBK-2 Mitigation Area will be provided by others. Two (2 days) for each agency review on-site meeting are allocated. • Civil survey, including boundary surveys, wetlands boundary survey, topographic survey before and after soil placement in mitigation areas, and soils surveys for mitigation areas will be provided to Birkitt by others as needed for compliance review. • Project Administration assumes duration of this project is 18 months. Meetings are assumed to be virtual or conducted in conjunction with scheduled site visits. • None of Birkitt's services include addressing issues associated with monitoring wells presence or relocation or potential contamination or concern with study results at the Crawl Key Mitigation Site or issues with other aspects of the mitigation site due to the above matter. • It is assumed that the regulatory agencies will accept Crawl Key Mitigation site as acceptable mitigation for project impacts. • Services not covered under this proposal will require an additional scope and fee. • Trips (travel) to the Florida Keys will be minimized where possible and site visits during trips will be conducted concurrently where possible. • It is assumed that flights will continue to be available a minimum of 5 days per week. • Assumed no additional protected plant species survey required. • No temporary impacts proposed. • Additional scope and fee may be required if project duration exceeds 18 months. Breakdown of Charges: Birkitt proposes to conduct the services outlined in the tasks above on a lump sum basis. Please see the table below for a breakout of the charges per task. 5 Birkitt Environmental Services, Inc. EYW Commercial Apron Expansion Biological Construction Oversight Support Proposal June 3, 2022 Task Subtask Number Task Description Charges Task Charges .. 1.0 Construction - ght Documentation an 'dMeeting $23,283 Pre-Construction Review of Wetland, 2.0 Mangrove, and Impact Limits Staking $20,482 and Nesting Bird Locations (TBK-2 and Crawl Ke 3.0 Mitigation Site Construction Oversight $121,713 Ins ections TBK-2 and Crawl Key) 3.1 Review Plant Source, Condition and $15,683 Placement 3.2 Construction Oversight/Support; Nine $85,701 (9) visits including three (3) Basic Inspection Reports during construction plus three (3) emergency site visits. — total of 12 trips) 3.3 Mitigation Completion Inspection and $20,329 Report— at completion of mitigation areas (assumed to be 6 months from initiation of construction Post-Construction Mitigation Site 4.0 Inspections — (TBK-2 and Crawl Key) — $30,891 2 Inspections (During first year post- construction 1-Year Mitigation Site (1 Event each) @ 12 months post construction 5.0 Inspection/Monitoring and Report $22,817 (TBK-2 and Crawl Key) — post construction 6.0 Agency Coordination during $32,426 Construction 7.0 Project Administration and $29,896 Coordination 18 months TOTAL $281,508 We appreciate the opportunity to provide environmental services for this project. Please feel free to call us at 813-259-1085 or email at ! b itt@Wr i xo� or rt th if you have additional questions regarding this proposal or other services. 6 Birkitt Environmental Services, Inc. EYW Commercial Apron Expansion Biological Construction Oversight Support Proposal June 3, 2022 Sincerely, BeverLu F. 1�,%r�zitt Ro-b-Tof 1�v Beverly F. Birkitt Robert Toth President Technical Services Manager people and C/'luit»J„'re BIRKITT ENVIRONMENTAL SERVICES, INC. 7 AC . CERTIFICATE OF LIABILITY INSURANCE 09/14/20222YY) Il 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 LIC #0437153 1-212-948-1306 CONTACT NAME: Marsh Risk & Insurance Services PHONE FAX CIRTS Support@jacobs.com A/C No Ext: A/C,No: 1-212-948-1306 E-MAIL 633 W. Fifth Street ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Los Angeles, CA 90071 INSURERA: ACE AMER INS CO 22667 INSURED INSURER B: Jacobs Project Management Co. INSURER C C/O Global Risk Management INSURERD: 1000 Wilshire Blvd., Suite 1140 INSURERE: Los Angeles, CA 90017 INSURERF: COVERAGES CERTIFICATE NUMBER: 66569759 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 MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY HDO G72496176 07/01/22 07/01/23 EACH OCCURRENCE $ 1,000,000 � OCCUR DAMAGE TO CLAIMS-MADE PREMISES(Ea occurrence) ccurrence) $ 500,000 X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 1,000,000 X POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 1,000,000 JECT OTHER: $ A AUTOMOBILE LIABILITY ISA H25568230 07/01/22 07/01/23 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO APPROVED BY RISK MANAGEMENT BODILY INJURY(Per person) $ OWNED SCHEDULED ", ,. '' BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS BY"--"`" —' /�rn"' "z'�---; HIRED NON-OWNED DATE 9 �2.n2.2 PROPE accident) AGE $ AUTOS ONLY AUTOS ONLY Per accident WAIVER N/A_YES_ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION SCF C68914619 (WI) 07/01/22 07/01/23 X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N 1,000,000 A ANYICEFUM MBR/PARTNER/EXECUTIVE � N/A WLR C6891453A (AOS) 07/01/22 07/01/23 E.L.EACH ACCIDENT $ OFFICE ory in NH)EXCLUDED? * 07/01/23 1,000,000 A (MandatoryinNH) WCU C68914577 (OH) 07/O1/22 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A PROFESSIONAL LIABILITY EON G21655065 013 07/01/22 07/01/23 PER CLAIM/PER AGG 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) OFFICE LOCATION: Jacksonville, FL 32202. PROJECT MGR: Ryan Forney. CONTRACT MGR: Jack Renton. SENIOR CONTRACT MGR: Christopher Bowker. RE: Monroe County Airports - General Consulting Services Master Agreement with Jacobs Project Management Company for Professional Services at Key West International Airport and The Florida Keys Marathon International Airport. SECTOR: Public. The Monroe County Board of County Commissioners, its employees and officials are added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured's services to cert holder under contract for captioned work. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD nyumdo_newgalexy 66569759 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 09/14/2022 NAME OF INSURED: Jacobs Project Management Co. Additional Description of Operations/Remarks from Page 1: LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* Additional Information: *$2,000,000 SIR FOR STATE OF: OHIO SUPP(05/04) NOTICE TO OTHERS ENDORSEMENT- SCHEDULE - EMAIL ONLY Named Insured Jacobs Engineering Group Endorsement Number Inc. 78 Policy Symbol Policy Number Policy Period Effective Date of Endorsement HDO �G72496176 07/01/2022 To 07/01/2023 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: i. The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL-32685(01/11) Page 1 of 2 All other terms and conditions of the Policy remain unchanged. Authorized Representative ALL-32685(01/11) Page 2 of 2 NOTICE TO OTHERS ENDORSEMENT- SCHEDULE - EMAIL ONLY Named Insured ,Jacobs Engineering Group Inc. Endorsement Number 23 Policy Symbol P5568230 icy Number Policy Period Effective Date of Endorsement ISA 07/01/2022 To 07/01/2023 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: i. The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL-32685(01/11) Page 1 of 2 All other terms and conditions of the Policy remain unchanged. Authorized Representative ALL-32685(01/11) Page 2 of 2 Workers'Compensation and Employers' Liability Policy Named Insured Endorsement Number JACOBS ENGINEERING GROUP INC. 1000 WILSHIRE BLVD, STE 1140 Policy Number LOS ANGELES CA 90017 Symbol: WLR Number:C6891453A Policy Period Effective Date of Endorsement 07-01-2022 TO 07-01-2023 07-01-2022 Issued By(Name of Insurance Company) ACE AMERICAN INSURANCE COMPANY Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. NOTICE TO OTHERS ENDORSEMENT - SCHEDULE - EMAIL ONLY A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: L The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. This Endorsement is not applicable in the states of AZ, FL, ID, ME, NC, NJ, NM,TX and WI. WC 99 03 68(01/11) Page 1 Authorized Representative WC 99 03 68(01/11) Page 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Endorsement Number Jacobs Engineering Group, Inc. 23 Policy Symbol Policy Number Policy Period Effective Date of Endorsement EON G21655065 013 07/01/2022 to 07/01/2023 07/01/2022 Issued By(Name of Insurance Company) ACE American Insurance Company NOTICE TO OTHERS ENDORSEMENT—SCHEDULE A. If We cancel or non-renew the Policy prior to its expiration date by notice to You for any reason other than nonpayment of premium, We will endeavor, as set out below, to send written notice of cancellation or non-renewal via such electronic or other form of notification as We determine, to the persons or organizations listed in the schedule that You or Your representative provide or have provided to Us (the Schedule). You or Your representative must provide Us with both the physical and e-mail address of such persons or organizations, and We will utilize such e-mail address and/or physical address that You or Your representative provided to Us on such Schedule. B. The Schedule must be initially provided to Us within 30 days after: i. The beginning of the Policy Period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy Period commences. C. The Schedule must be in a format that is acceptable to Us and must be accurate. D. Our delivery of the notification as described in Paragraph A of this endorsement will be based on the most recent Schedule in Our records as of the date the notice of cancellation or non-renewal is mailed or delivered to You. E. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation or non-renewal date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation or non- renewal of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation or non-renewal to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon Us, Our agents or representatives, will not extend any Policy cancellation or non-renewal date and will not negate any cancellation or non-renewal of the Policy. G. We are not responsible for verifying any information provided to Us in any Schedule, nor are We responsible for any incorrect information that You or Your representative provide to Us. If You or Your representative does not provide Us with a Schedule, We have no responsibility for taking any action under this endorsement. In addition, if neither You nor Your representative provides Us with e-mail address and/or physical address information with respect to a particular person or organization, then We shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. With respect to this endorsement Our, Us or We means the stock insurance company listed in the Declarations, and You or Your means the insured person or entity listed in Item 1 of the Declarations page. All other terms and conditions of this Policy remain unchanged. MS-36362 (04/19) 9XOHN J.�LUPICA. President Authorized Representative