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Item I05 1.5 County f � .�� ",�, 1 BOARD OF COUNTY COMMISSIONERS Mayor Craig Cates,District 1 Mayor Pro Tem Holly Merrill Raschein,District 5 The Florida Keys Michelle Lincoln,District 2 James K.Scholl,District 3 David Rice,District 4 County Commission Meeting April 19, 2023 Agenda Item Number: I.5 Agenda Item Summary #11887 BULK ITEM: Yes DEPARTMENT: Airports TIME APPROXIMATE: STAFF CONTACT: Richard Strickland (305) 809-5200 N/A AGENDA ITEM WORDING: Approval of Jacobs Project Management Co.'s Task Order No. 2022-38 in the amount of $213,316.00 for design, bidding, construction administration and resident project representative services for the Runway 9/27 Repair project at the Key West International Airport. The Task Order is being funded by an anticipated EYW FAA Entitlement Grant (90%), FDOT Grant G1007 and/or G2E62 (5%), and Airport Operating Fund 404 (5%). ITEM BACKGROUND: In August of 2022 a portion or Runway 9 pavement was damaged after takeoff of an E-175 aircraft. The final 2 inch of asphalt lift delaminated from the lower asphalt lift, and additional delamination occurred in October of 2022. Emergency repairs were made to both areas, and the FAA has agreed to the Airport's request to fund the 9/27 Runway repair from EYW FAA entitlement funds. PREVIOUS RELEVANT BOCC ACTION: Approval of Master Agreement for Professional Services with Jacobs Project Management Company for General Consulting Services for both Monroe County Airports on February 16, 2022. CONTRACT/AGREEMENT CHANGES: new task order STAFF RECOMMENDATION: Approval DOCUMENTATION: PSO_38 EYW Runway Repair Scope-Fee 2022 09 COI Jacobs PM Signed Exp 7 12023 FINANCIAL IMPACT: Effective Date: Upon Notice to Proceed(NTP) Packet Pg. 1565 1.5 Expiration Date: 365 days after NTP Total Dollar Value of Contract: $213,316.00 Total Cost to County: 0 Current Year Portion: Budgeted: Yes Source of Funds: FAA (90%), FDOT Grant G1007/G2E62 (5%) and Airport Operating Fund 404 (5%) CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: No If yes, amount: Grant: County Match: Insurance Required: Yes Additional Details: 04/19/23 404-63001 - KEY WEST AIRPORT O & M $10,665.80 REVIEWED BY: Beth Leto Completed 04/03/2023 12:42 PM Richard Strickland Completed 04/03/2023 5:02 PM Pedro Mercado Completed 04/03/2023 5:04 PM Purchasing Completed 04/03/2023 5:18 PM Budget and Finance Completed 04/04/2023 8:45 AM Brian Bradley Completed 04/04/2023 8:48 AM Lindsey Ballard Completed 04/04/2023 9:27 AM Board of County Commissioners Pending 04/19/2023 9:00 AM Packet Pg. 1566 1.5.a MASTER AGREEMENT FOR PROFESSIONAL SERVICES TASK ORDER FORM Effective Date ,Upon Execution Task Order No. 2.022 - 3 404-630196(G1007)and/or Client Project No. 404-630224 GH62 Engineer Project No. EGXM7938 This Task Order is entered into on the effective date noted above pursuant to the "Master Agreement for Professional Services" between Monroe County, Florida ("Client") and JACOBS PROJECT MANAGEMENT CO. ("Consultant"), dated February 16, 2022 ("Agreement"). The Agreement is incorporated herein and forms an integral part of this Task Order. Services Authorized —EYW Runway 9-27 Repair 00 Client authorizes Consultant to perform the Services described in Exhibit A attached hereto and `" incorporated herein, which Exhibit A is marked with the above noted Task Order No. and consists of 8 _ page(s). U) 0 c� Pricing N/A Time and Expense per Agreement and Appendix B to the Agreement. LO X,rvry Firm Fixed Price of$n 213,3141)�__., , N/A Other(Describe): I!O _ OE COUNTY ATTORNEY AIPPOVE Schedule - � + Services may commence on Execution +� —_..° 0 AS� TA AY Services will cease by 365 days tsar 3/14/23 CL Other (SEAL) BOARD OF COUNTY COMMISSIONERS ATTEST: KEVIN MADOK, CLERK OF MONROE COUNTY, FLORIDA 00 By y_. Mayor/ ..... ........... E3 Deputy Clerk Chairman CL CONSULTANT: JACOBS PROJECT MANAGEMENT CO c� DigltallY signed by Jacqueline B,F .., ..,.�. .. _... .. ..........,. ....._....... .,,� Jacqueline Ross DN:—Jacqueline Ross,-US.o Witness Rcs =Jacob Engineer g email=uwuu Title a�n r.��,� a�����,I,m Director File: MSTR APS—Monroe County Page 1 of 1 Packet Pg. 1567 1.5.a Exhibit A-(2022-38) Scope of Services Monroe County Airports Key West International Airport CL Runway 9-27 Repair U SCOPE OF WORK Jacobs will provide project management, coordination services, design, bidding, and construction support services for the repair of Runway 9-27 at Key West International Airport (EYW). Refer to Figure 1 for the location of the Runway 9-27 repair. 00 .. CL cis y � "y LO I � L!J Figure 1 Runway 9-27 Repair Area Ur EmSTIN O C3ITIONS CL 0 U LO The single runway at EYW was rehabilitated in 2018.The rehabilitation included increasing the elevation of the runway by milling and overlaying. On August 15" 2022, CL jet blast from a commercial jet departing Runway 27 lifted the asphalt surface in the area of these distresses.The final 2-inch asphalt lift delaminated from the lower asphalt lift over a 60'x3O'area. Emergency repairs were conducted within 12 hours of the pavement failure.The runway was reopened for use the following morning at 7:00 AM. As part of PSO#2022-07,Jacobs examined past construction field notes,conducted LU 00 pavement cores (Tierra SF), evaluated the pavement repair options, and provided a White MI Paper with three (3) repair options.The Airport and the FAA chose to move forward with Option 1, as shown in Figure 1. CL 4i DESCR$Pfl0N OF WORK c� This project includes the project management,coordination services, design, bidding, and construction support services to improve the existing pavement condition on the Runway 27 End.The repair will include milling the existing asphalt to the limits of the first lift and overlaying with hot mix asphalt. Pagel of 8 Packet Pg. 1568 1.5.a General Scope One construction package will be developed for this project. For this construction package,Jacobs will provide the following services: CL 1. Management of the project from data collection, bid opening and award of the U construction contract. 2. Coordination with Monroe County, FAA/FDOT as required. 3. Preparation of minutes of meetings and phone conversations. 2' U) 4. Preparation of the construction documents and incorporation of Monroe County's front-end contract documents. 5. Preparation of the engineering report,construction cost estimate,and construction schedule. 00 6. Bidding and award assistance. M CL Assumptions/Design Parameters U) 0 c� 1. This project is eligible for AIP funding. 2. The Runway 9-27 Repair will utilize the as-built survey from the Rehabilitate Runway LO 9-27 project. No additional survey is required for this project. 3. The Runway 9-27 Repair will utilize the pavement cores obtained for the Runway 9- 27 Investigation (PSO# 2022-07). No additional pavement cores/geotechnical services are required for this project. CL 4. Jacobs will develop plans,technical specifications,an engineering report,and a 0 construction cost estimate at the 90%design level for review. Jacobs will develop the CSPP and 7460 to be submitted to the Airport and FAA for review. CL 5. This scope of work does not include any work associated with the runway edge lights, signs, and airfield lighting vault. � 6. Jacobs will produce a final contract set of plans,specifications,engineering report, construction schedule,and construction cost estimate for bidding purposes. 7. SFWMD, DER and USACE permits are not required based on the current scope of the 00 project. cam, 8. A pavement design report is not required for this project. 9. The design will be in accordance with the most current FAA-AIP Advisory Circulars. CL 10.This scope of work also does include the development of a construction management plan. c� Page 2 Packet Pg. 1569 1.5.a ARTICLE A-DATA COLLECTION Data Collection 1. Prepare for and attend project design kick off meeting. CL 2. Coordinate with Airport, FAA,and Project Team Members. 3. Perform site walk through survey to evaluate the current pavement conditions in the area allotted to be repaired. Note any pavement deficiencies outside of the proposed �s repair area and evaluate extending the limits. Services for Article A will be provided on a lump sum basis. 00 ARTICLE B-DESIGN `" Based on the information collected under Article A,the 90%and final contract U) documents for the construction package will be developed for all elements identified in this scope of work. i 1. Develop technical specifications utilizing FAA's standard specifications for LO construction. (i.e. FAA Specifications.P-101,P-152, T-904, T-901, T-905,P-620, >- ,etc.). Submit complete technical specifications at 90%and Final. 2. Coordinate and incorporate Monroe County provided contract document/front- CL end specifications into the final contract bid documents. (i.e. Notice to Bidders, 0 Invitation to Bidders, Instruction to Bidders, Bid Proposal, Contract, Contract Articles, General Specifications). CL 3. Develop a construction schedule for use in determining phasing and duration. 4. Prepare for and attend one (1) design review meeting (90%) with the Airport to discuss project progress and review the design submittals. 5. Prepare for and attend one (1) meeting at the Airport to discuss construction 00 phasing with Airport staff,ATCT and Tenants. CL 6. Develop detailed construction quantities and cost estimates at the 90% and final contract document design levels. c� 7. Develop the following anticipated plans: Page 3 Packet Pg. 1570 1.5.a Runway 9-27 Re air Sheet Name Number of Sheets Title Sheet 1 Index of Drawings and 1CL Notes Summary of Quantities 1 �? General Plan 1 °2 Survey Control Plan 1 Haul Route and Part 77 1 Surfaces Existinc) Conditions Plan 1 Geotech/Borin s Plan 1 General Phasin Plan 100 M Detailed Phasing/Safety 1 Plan CL Safet Notes Details 1 Demolition Plan 1 Geometr PlanLO 1 i T ical Sections 1 Profiles ................. Gradinq Plans 1 �, Cross Sections 3 Ur Pavement Markinq Plan 1 CL 0 Pavement Markinq Details 1 U Erosion Control PlanCL 1 Erosion Control Details 1 Grooving Plan and Details 1 Miscellaneous Details 1 Total Sheet Count 25 00 8. Develop Engineer's report. M LO 9. Coordinate, distribute and print the following copies of the preliminary CL construction documents for the construction package(plans,specifications,design report, and construction cost estimate) for review by the Airport, FAA, and FDOT: c� Prpliminary Submission ° Final ntra D ument f r each nstr ion package) Page 4 Packet Pg. 1571 1.5.a FAA: 1 half-size copies of plans, 1 hard copy of the specifications, engineer's report and estimate, and a digital copy containing the drawings, specifications, engineering report, and engineer's estimate for the 90%submission. FDOT: 2 half-size copies of plans; and a digital copy containing the CL drawings, specifications, engineering report, and engineer's estimate for the 90%submission only. Monroe County: 2 copies of plans (1 full size; 1 half size); 2 copies of specifications; 2 copies of engineering report;and 2 copies of engineer's estimate for each submission 10.Conduct an in-house QA/QC prior to each submission. The in-house QA/QC check will involve an experienced independent individual,depending on each discipline, 00 to conduct a comprehensive check on all documents to be submitted (e.g. plans, M specifications, estimates, reports). Time will be required for engineers and CADDLO technicians/designers to correct items listed under the in-house QA/QC checks. CL 0 11.Address comments from 90%design submissions. i 12.Prepare and submit electronically FAA form 7460-1 Notice of Proposed LO Construction or Alteration. 13.Prepare and submit a Construction Safety Phasing Plan (CSPP) with the 90% design. CL U Services for Article B will be provided on a lump sum basis. LO M CL Article C—Bid Phase Services Upon completion of the construction documents and at the request of the Airport, Jacobs will prepare the project documents for bidding.Jacobs will perform bidding support services the following terms will apply: 1. The County appoints Jacobs as its Agent,and Jacobs accepts such appointment to 00 perform bid/procurement services on the County's behalf in connection with the ` I project. CL 2. Such services shall be performed under the County's direction and in accordance to such forms, terms and conditions, or modifications or revisions to same as the County may in its sole discretion at any time instruct Jacobs to use. All services shall be carried out in accordance with the procedures mutually agreed upon by the County and Jacobs. Page 5 Packet Pg. 1572 1.5.a 3. Jacobs shall not have authority to acceptor bind the County in anyway to changes, modifications, revisions, alterations, amendments, or supplemental, additional, or different terms and conditions (hereinafter referred to as"deviations") which may be submitted or requested by a vendor or contractor. Jacobs shall immediately submit any deviations from the County's standard terms and conditions to the County for review by the County's Purchasing Manager or their representative and CL such deviations shall not be accepted by Jacobs unless Jacobs receives express written approval thereof from the County's Project and/or Purchasing Manager or their representative. 4. All documents issued by Jacobs hereunder shall be signed by Jacobs for the County if so directed. The ownership and title of all items purchased hereunder shall pass directly from the selling party to the County,and Jacobs shall at no time be a party to such transaction other than as agent of the County. The County shall have the unilateral right to have the commitment authority of Jacobs, its employee or this limited agency authorization in its entirety revoked and cancelled at any time,with 00 or without cause. The County shall be obligated directly to the selling party for all payments for materials,equipment,supplies and services procured hereunder. CL U) 5. The County shall hold Jacobs and its employees harmless from any claims,suits or 0 liabilities arising out of any breach or other failure of performance by any contractor, vendor, or supplier under any contract or purchase order issued byLO Jacobs hereunder. The following task will be performed as part of the bid phase services: 1. Coordinate with the County Purchasing Department and the Airport to advertise for bids. Provide electronic copies of the bid documents to prospective bidders. C 2. Prepare for and attend a project pre-bid conference. U 3. Prepare responses to address requests for information (RFI) from prospective CL bidders. 4. Prepare and coordinate the issuing of two (2) addenda with the County purchasing department. 5. Revise bid documents as necessary for the addendum. 6. Review bids for responsiveness. 7. Prepare a bid tabulation. 8. Make a recommendation for an award based on a review of the bid information 00 submitted. ` I LO CL Services for Article C will be provided on a lump sum basis. 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.. 4. Review the Contractor's construction schedule. 5. Prepare for and attend the Pre-Construction conference. Page 6 Packet Pg. 1573 1.5.a 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.Assume ten (10) shop drawing submittals. 7. Respond to Contractor's RFI's.Assume 3 RFIs. CL 8. Prepare construction management plan. 9. Prepare Field Sketches,as necessary. 10.Provide general supervision and administrative support for resident project representative (RPR). The construction duration is anticipated to be 2 weeks. 11.Review and approve estimates submitted by the Contractor for progress/final payments.Assume two (2) pay applications. 12.Prepare and negotiate change orders,as necessary. Assume one change order. 13.Attend final inspection meeting. M 14.Review Closeout Documentation. 15.Review quality assurance testing results. 00 16.Obtain as-built data from the Contractor, prepare record drawings and provide M hardcopies and electronic files to the Airport. LO 17.Prepare and submit FAA closeout documentation and prepare and process final CL U) change order. 0 c� Services for Article D will be provided under a lump sum basis.: i LO Article E-Resident Project Representative (RPR) 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.).Assume three (3) progress meetings. C 3. Provide full-time RPR services for the work associated with the project. The RPR's U 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 CL knowledge of testing requirements and procedures. The construction duration is anticipated to be two weeks. The RPRs shall be responsible for the following: a. Checking of construction activities to ensure compliance with the plans and specifications. 00 b. Inform the contractor and County of any work,which is in non-compliance. MI c. Coordinate quality assurance tests and verify they have been performed at the frequency stated in the specifications. Review certifications for CL conformance with the specifications. d. Document quantities of materials used on the project by actual measurements and computations in a field notebook or computer printout retained in a folder. e. Maintain a set of working drawings on the job site, which can be used to prepare"As-Built"drawings. Page 7 Packet Pg. 1574 1.5.a f. Review the test reports and certifications for conformance with the specifications and maintain a file for all reports and certifications. g. Inform the County of deficiencies so corrections can be made,and retesting performed. h. Jacobs does not have control over or charge of and shal I not be responsible for construction means, methods, techniques, sequences or procedures of CL 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. - i. 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. j. Review close-out documentation. k. Review payment requests and certified payrolls from the contractor. I. Maintain a diary,which will contain entries made and signed by the resident 00 engineer. Each entry should include the following, plus any additional M pertinent data: CL i. Date and weather conditions. ii. Names of important visitors. 0 iii. Construction work in progress and location. iv. Size of contractor's work force and equipment in use. i v. Number of hours worked per day for contractor and subcontractors. LO 4. Quality Assurance Testing of Construction Materials will be provided by our >_ subconsultant,Tierra South Florida. 5. Monitor final grooving and final pavement marking 30 days after the construction of the asphalt pavement. CL 6. Attend final inspection and create punch list. e 7. Attend follow up site visit to confirm completion of punch list items. CL Services for Article E will be provided under a lump sum basis. PROJECT SCHEDULE: The tentative project schedule from the Notice to Proceed date will be as follows: 00 Pro ect Schedule i Article A-Data Collection NTP + 15 Calendar Days Article B-90%Desi n NTP + 45 Calendar Days ; Article B-Final Design NTP + 65 Calendar Da s Article C-Bid Submission NTP+ 65 Calendar Da s Article C-Advertise Bids L NTP + 75 Calendar Da s Article D& E- NTP Construction + 2 Weeks Construction Page 8 Packet Pg. 1575 1.5.a JOB HOUR AND FEE ESTIMATE .Jacobs. Monroe County Airport: Key West International Airport Project: Runaara R:?LB1j0k CL FEE SUMMARY U BASIC SERVICES Hours Fee DBE AMOUNT Article A:Data Collection 38 $ 6,517 $ Article B:Design 374 $ 49,653 $ Article C:Bid Services 110 $ 15,454 $ Article D:Construction Administration Services 164 S 22,182 >% Article E:Resident Project Representative(RPR) 236 S 49,088 l'otal Basic Services Lum n Sum lire 922 $ 142„893 $ 00 SPECIAL SERVICES Hours Fee DBE Ai4IOUNT 01 LO Article B:Design CL RDM-Desggn Review $ 6,675 $ 6,675 U) a 0 Article D:Construction Administration Services RDM-Submittal&RFI Review $ 7,020 $ 7,020 I Article E:Resident Project Representative(RPR) RDM-RPR&QA $ 32,878 $ 32,878 LO Tierra South Florida-QA Services S 23,850 $ 23,850 >- 'I"otal Special Services 1„um p Su Fee 0 S 70,423 $ 70,423 I"11"1"AL LUMP S1.M PRO JEC"'l'FEE S 213.316 $ 70wt23 DBE Percentage 33,01% U 00 01 I E c' Packet Pg. 1576 1.5.a al Inks lim,I-R�' � RDM International, Engineering Technology Research February 20,2023 CL Proposal for Design and CM Support Services Runway 9-27 Repair Key West International Airport (EYW) Key West, Florida U) Jacobs Project Management Co. (JACOBS)has requested that RDM International, Inc. (RDM)to submit a technical scope and fee proposal to provide design review and construction support services for the Runway 9-27 Repair Project at Key West International Airport(EYW).JACOBS has included RDM in their proposal to assist with plan and specification review during design and on-site monitoring of the construction. 00 The project includes the repair of pavement section(patching), surface milling, and overlay of the Runway 27 end and taxiway connector. The project also includes temporary and permanent pavement markings, and other LO incidentals. U) 0 c� m-ORIGIRAL PA`ANG LO �uI LANE JOII?(LVPi e W .,.. m 0.u� am sc. :�w n.0 n u va�m »,'kt y,«mb m�41WWU"a WO ss.rx"� ,._�, °°° �. —y0J w kl Y#1 A ,,, TE IIfO l .. wh LL l ... J G'xi` W 8 Jglli ( py .....VAVIIM W IE TO ' FROMTRJI AY I C' P � iINESIA'Y� ilE IITO J EX11Ti!.G tly iM NI YrnN pCL ,�Ikrk 8F Figure 1:Project Area Scope of Services TASK 1: Coordination and Meetings 00 RDM will coordinate with Jacobs to meet the allocated items defined in the master scope of services presented to MI EYW and as adjusted below. CL RDM's scope includes: Project Kickoff—RDM project manager and construction manager shall attend virtually. Milestone Review Meetings- RDM shall attend the milestone review meetings and shall discuss any comments that came up during the reviews from Task 2. It is anticipated that these review meetings shall be attended virtually. 14310 Sullyfield Circle,Suite 600,Chantilly,VA 20151-1666 (703)709.2540 Fax(703)709.2535 www.rdrnintlinc.com Packet Pg. 1577 1.5.a EYW Runway 9-27 Repair Page 2 of 3 TASK 2: Design Document Review at 90% RDM will provide input to the project specifications and conduct a constructability review of the completed 90% CL plan set by the RDM PM and CM. The review will provide JACOBS with comments on the Design plans, Specifications, and Engineer's Report to be separate prior to submittal to EYW. These reviews will allow for an independent assessment of the deliverable as the design is provided across all disciplines. Construction Support Services U) The following scope of services for RDM International,Inc. (RDM)to provide assistance during construction includes the following: As part of the JACOBS team,RDM will assist JACOBS to review, evaluate and make recommendations for acceptance or approval of the contractor's construction schedule, field deviations and operational considerations. 00 TASK 3: Submittal Review LO RDM shall assist JACOBS to provide a technical review of shop drawings, contractor's means and methods, CL equipment and other non-design related contractor submittals for understanding of off-peak construction and 0 quality requirements.The JACOBS team shall maintain a log of all contractor information. a) Submittals shall not be used as a vehicle for modifying the Contract Documents or other requirements of i LO the Contract. b) For projects that include sub-consultants of several disciplines,JACOBS shall establish a responsibility >` matrix that defines primary and secondary responsibility for review of submittals by the JACOBS team and JACOBS Design Team or any other Owner Departments including Design/Engineering, Safety, Ur Quality Assurance and Construction. CL U TASK 4: RFI/Clarifications As requested by the JACOBS PM,timely consultation and advice to interpret or clarify the intent of the plans andCL specifications and answer questions that may arise during the construction of the project shall be provided. During the construction period, RDM shall provide consultation time to review potential contractor-requested construction modifications. It is anticipated that the JACOBS Design team will be responsible for preparing change order plans and specifications at the direction of the JACOBS PM. TASK 5: Review QA/QC Testing Observations of Contractor non-conformance with the contract documents by the JACOBS PM or the JACOBS00 team will be evaluated. When requested, RDM will review daily QA/QC testing to evaluate adjustments to the ` I contract price or compliance with the specification,when appropriate,where statistical acceptance procedures are LO specified in the contract documents and make recommendations to the JACOBS PM. CL .. TASK 5: Onsite Support An RDM representative will be on site during the construction. The timing of the project is contingent to an August timeframe starting period.RDM Construction Manager/Representative(CM)shall attend meetings pertaining to the construction project via conference call prior to being on-site(as-requested). RDM's Project manager shall also assist with any pre-paving meetings and potential items arising out of the construction Packet Pg. 1578 1.5.a EYW Runway 9-27 Repair Page 3 of 3 activities.All meetings requiring the RDM PM and/or CM participation will be conducted via on-site or teleconference unless otherwise requested by the JACOBS PM. These meetings are anticipated to be weekly. As noted,RDM shall provide an on-site construction representative for inspection during proposed paving period CL of 2 weeks. 'RDM's construction representative(.)shall be Rick Boyd(CM)with back up supports from Chris Decker(PM)on an as needed basis. When RDM is on-site,we shall provide Continuous monitoring of milling and c, P-401 placement operations during the daily operations. Proper placement will start with mix temperature, consistency, compaction and depth of placement. The paving equipment,tools and crew will be monitored for equipment maintenance,cleanliness of tools,cleaning solutions used during placement, uniform placement, removal of coarse material from the surface of the mat,roller movements along joints and tie-ins as well as the center of the paving lanes and how the material responds to the movement of the rollers during compaction. Check cracking, screed shadows,non-uniform locations and proper tack coating during placement will discussed with the contractor on an as needed basis with the intention to correct prior to placement of the final wearing course. Observation reports will be provided when requested by the JACOBS PM. 00 Statement of Assumptions/Listing of Limitations CL This proposal is submitted on the basis of the following assumptions and requirement that the following terms and U) conditions form an integral part of a subsequent agreement for the services. - The presence or duties of RDM's personnel at a construction site,whether as onsite representatives or otherwise, do not make RDM or RDM's personnel in any way responsible for those duties that belong toLO the JACOBS and/or the Contractor or other entities, and do not relieve the construction contractors or any other entity of their obligations, duties, and responsibilities, including,but not limited to, all construction >_ methods,means,techniques, sequences, and procedures necessary for coordinating and completing all portions of the construction work in accordance with the construction Contract Documents and any health or safety precautions required by such construction work. CL - RDM and RDM's personnel have no authority to exercise any control over any Contractor or other entity or their employees in connection with their work or any health or safety precautions and have no duty for inspecting,noting,observing,correcting, or reporting on health or safety deficiencies of the construction CL contractor(s)or other entity or any other persons at the site except RDM's own personnel. - The presence of RDM's personnel at a construction site is for the purpose of providing to the JACOBS a greater degree of confidence that the completed construction work will conform generally to the construction documents and that the integrity of the design concept as reflected in the construction documents has been implemented and preserved by the Contractor. RDM neither guarantees the performance of the Contractor nor assumes responsibility for Contractor's failure to perform work in accordance with the construction documents. 00 - If the RDM suspects the contractor is having material conformance problems at any time during 1 construction,RDM will notify JACOBS and the JACOBS PM.Additional QA testing may be necessary as a result of the Contractor's non-conformance.However,the type and frequency cannot be quantified at CL this time. c� Packet Pg. 1579 E (L u 00 cv) 0 (n (L U) .0 0 Detailed Cost Breakdown LO Ur 0 u 00 M 0 (0 (L E Packet Pg. 1580 -vo-pm-uffisaaAemuna S£ OSd s oo r®9 MAM aa_q-adooS iiedea Aemuna MA3 SC—OSd o M43 � ca Lo L T n. N T 4 C c CD E a`) p, N 0 n m o N U) d 0 Y N 0 L E o E (D n 0 C O V1 � •N N N 0 O m Y m 3 N 16 N CO 't CO Cl) —r M C7 a+ N Co co M Cl W '� a o o rn 00 co cc Q Cl6 le Cl) � � �... N N U W O coo co LV f0 ai 64 � W LL OL a •- 7 0 cr i0 Q W Cl M cc Z o z N = LO LO (� C E N Co CD O Z O co 3 � a C N EA a 3 4) z ,, ° o � gC, Q O = Co r o0 0 � aD Acm Z T M co n Z 04 w! —Lr) wl CO CO Co CD N 0O O N c0 r.ILEA � o W Y. N CDH rn rn ca ~ ) o m O N CD U U W W C rn LU U. E > U C7 a m u o w Q J W CAS < d H Co E d O J J CL US y cn 0� 0� O m H H � O O O C� u c+i v Sri co U) H H 1.5.a February 28,2023 0- Jacobs c? 245 Riverside Avenue, Suite 300 Jacksonville, Florida 32202 Attention: Ms. Lasa Ennis, PE Project Manager-Aviation Subject: Revised Proposal to Perform Construction Material Testing Services EYW Runway 9-27 Repair 00 Key West International Airport Key West, Florida TSFGeo Proposal No. 2302-094-R 0 Dear Lasa: i As requested, TSFGeo is pleased to submit this proposal to provide Construction Material LO Testing (QA) Services at the above referenced project located in the Key West International Airport in Monroe County, Florida. Our proposal is based on information provided to us. We understand that the project in general Ur consists of milling and repaving approximately 8,470 square yards of asphalt pavement in Runway 9CL - 27. The following scope of services will be required for this project: U • Provide senior engineering technician to assist with asphalt field inspectionsCL and testing during production. • Provide senior engineering technician to assist with asphalt plant inspections during production. TSFGeo will provide experienced technical personnel to perform the necessary testing and inspection services in general accordance with the project specifications. 00 We propose to accomplish the scope of our services on a unit rate basis in accordance with the attached MI rate schedule. TSFGeo's fees will be determined by the actual amount of technical time expended for this project and the amount of laboratory testing performed. We understand that some services will be needed between 10:00PM and 7:OOAM while the runway is closed. We understand some of the activities will be concurrent. TSFGeo's laboratory and personnel fully comply with the standards of ASTM, ACI, AASHTO, AISC, AWS and FAA standards. Our laboratory maintains CMEC and FDOT certification and is staffed by experienced and certified field and laboratory personnel. 16250 MV 50'A,,aims e,Suaiigc 207,N iMaand Lakes,lloa°id a 33011 .:77N5..5,�,�r7-0708 rovanw'I'S��igo.corn 4"t(ete r"rf flaridaa Pa°o/es,a7cana l da:aag7aaa«er,;License#28071 Packet Pg. 1582 1.5.a EYW Runway 9-27 Repair February 28,2023 TSFGeo Proposal No.2302-094 ESTIMATED COST To provide you a budget estimate, we have prepared the attached breakdown fees for our services. We proposed to accomplish the above services with a not to exceed amount of$23,850.00. 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(305) 557-0708. Respectfully submitted, TSFGeo R adolfo "Rudy" Gonzembach, PE/SI Richard Morgan Dickinson, PE/SI 00 Branch Manager Principal Engineer 0 LO CL Attachments: Fees Breakdown U) 0 c� i LO Ur CL 0 U CL 00 CL c� Packet Pg. 1583 1.5.a EYW Runway 9-27 Repair February 28,2023 TSFGeo Proposal No. 2302-094 Fees Breakdown for Construction Materials Testing Services I Construction Services Asphalt Inspection/Testing/Professional Services i) Asphalt Field Inspections, 10 nights @ $9 1 0.00/night........................... $9,100.00 c? Motel and per-diem costs, 10 nights @ $400/night................................$4,000.00 ii) Asphalt Plant Inspections, 10 nights @ $910.00/night...........................$9,100.00 iii) Senior Engineer, PE, 10 hours @ $165.00/hour..................................... $1,650.00 TOTAL CONSTRUCTION MATERIALS TESTING SERVICES.................$23,850.00 00 U) 0 c� i LO Ur c� 00 i c� Packet Pg. 1584 '_j1rroSgoli..th F1.6d.i G.I.-I Crondillom 11 sco P c,OF NNORK work I I tv'"s flit qqwcofic gcowlirical,cut,,dyl I a41,lem I i or ni scivi cc to be ptrilon'tWitid hV I'lC I I J,&Mlloh Flat ula,hic I I sl�p a¢tet fofth oil TSF's pToIxogal,i.14.w pnln"r of the scopo�of wort,and these cmicollt Clyn(blio4is Ari%oirk ordered by Chou w41111 M!'Ah bd%li 90 IbCk Clloletmd Candivoori "Clrvng'irckm io flNe pexwin at bumooss 4wity wdenog the work ti,)th-dorae by TSF Clivig Aidit cognmunic0le INi G�lwlralt rondamm go caich md avcry ihiml p.vr�to wbogio�,hent tuansotlis m�Vail ofTSli urk I'Sif shall have no duly oil ObIgatron f,)Imly tlN"d pi gr�jjer flogirp thig forTh in 04"r, pirolpmol,Chall's 1 ccpwnco of lutgnmal and fliesc i Coii 111C oodering of w�mk rrour ISF or tho tobanco on wiy arrsrs wrrk,yhalp fferfewilt acccplimck,of dw iii of TSF'a plolvial and these General Conditions,regardless of the terms of any subsequently issued document 2. RIGHT-OF-ENTRY-The client will provide right-of-entry for TSF and all necessary equipment in order to complete the work While TSF will take all reasonable precautions to minimize any damage to the property, it is understood by Client that in the normal course of work some damage may occur;the correction of which is not part of this agreement 3, DAMAGE TO EXISTING MAN-MADE OBJECTS-The Client,will provide the location of all underground utilities or obstructions to TSF who,in the prosecution of their work,will take all reasonable precautions CL to avoid damage or injury to any such subterranean structure or utility. The Owner agrees to hold TSF harmless for any damages to subterranean structures which are not called to TSF attention and correctly shown on the plans furnished and will reimburse TSF for any expenses in connection with any claims or suits including reasonable attorney fees at the trial and appellate levels 4. IN-PLACE MATERIALS TESTING-TSF will not be responsible for repair or damage to portions of structures designated for in-place materials testing Repairs can be made for aesthetic reasons if requested in L I) advance of the work to be performed The cost for labor and materials would be charged 5, SAMPLE RETENTION-TSF will retain all soil and rock samples obtained for geotechnical explorations for 30 days Samples subjected to Construction Materials and Laboratory testing are disposed of'subsequent to testing Further storage or transfer of samples can be made at Client's expense upon written authorization. C DEFINITION OF RESPONSIBILITY(OBSERVATION SERVICES)-The presence of our field representative will be for the purpose of providing observation and field testing Our work does not include supervision or direction of the actual work of the contractor,his employees or agents The contractor for this project should be so advised 6 1 The Contractor should also be informed that neither the presence of our Field representative or the observation and testing by our Firm shall excuse him in any way for defects discovered in his work It is >% understood that TSF will not be responsible for the Contractor'sjob or site safety on his project That will be the sole responsibility of the contractor. 7. STANDARD OF CARE-Service performed by TSF under this Agreement will be conducted in a manner consistent with that level of care and skill ordinarily exercised by members of the profession currently practicing under similar conditions No other warranty,expressed or implied,is made 7 1 Client recognizes that subsurface conditions may vary from those encountered at the location where borings,surveys or explorations are made by TSF and that the data,interpretations and recommendations 00 of TSF are based solely on the information available to it TSF shall not be responsible for the interpretation by others of information developed Irv) 8. ORAL AGREEMENTS-No oral agreement,guarantee,promise,representation or warranty shall be binding 0 In 9. OWNERSHIP OF DOCUMENTS-All reports,boring logs,field data and notes,laboratory test data,calculations,estimates and other documents prepared by TSF,as instruments ofservice,shall remain the property of TSFuntil final payment is received and a letter of copyright transfer been executed U) .0 10. BASIS OF PAYMENT-Payment is due within 30 days of date of invoice Payments not made when due shall bear interest at eighteen(18)percent annum or at the maximum rate allowed by law from the date of the 0 invoice until same is paid U M 101 lfthc CNent fall,to auLkeany paymeno door to TSF for wr"ce wi extx-nsvwing 0011"oysofdglld of 1114oicc,fSF onxy.446n giving 5,%cr,dhrrl'mirlen,nouce lo C hono ulxlmnd UnO Al roollimulnog in folI Ily the i sun purr have been,pa o,id"TSF lin fult Funhoi,TSF`may,uri adii lo N01,11holli,wet occq,of ungulAily. vighbOd ropi plarm And 01firg docusnergNs not Inad 1 cfll In rhe ovmn J�si final paynrtunl for aomplelNl wook is not rintile TSF JtAtl v,npuesot that ill oapwltgl,W doctiments,kondl mclor qutontowd to c1pono be drounwili;ti'.I'll n1ronrinti wA a pro;iro plmlOv femoved from pnopect Ul) documents 3: 102 In the event it is necessary to take legal action to effect collection,whether or not litigation is commenced,the Client agrees to reimburse TSF for expenses in connection with any claims or suits,including >_ reasonable attorney's fees,including but not limited to the trial and appellate levels 103 This contract shall be governed by the laws of the State of Florida 11. CONSTRUCTION REVIEW-TSF cannot accept responsibility for any design work unless the work includes services for construction review to determine whether or not the work performed is in substantial LL compliance with TSFs conclusions and recommendations CL 12. INDEMNIFICATION-TSF agrees to hold harmless and indemnify Client from and against liability arising out of TSF's negligent performance of the work.Client agrees to and Anon(w and hold TSF harmless From 0 all liability Andudnoj,Al costs,attorney's fees and expenses of defense for any claims by any other person or corporation which may wise out of the performance or breach of this conlrinar for which TSF was not solely U negligent 13. LIMI rATION Of LIABILITY-The Client/Owner agrees to limit TSF'fiaNidr fivrl4glilgent professional acts,errors or omissions,such that the total aggregate liability of TSF shall not exceed$50,000 or the total fee Fog the.eTvA"K rendered on this project;whichever is greater.The Owner fuvillef 4loet%to require the contractor and his subcontractors a similar limitation of liability suffered by the contractor or the subcontractors CL arising from TSF'negligent professional acts,errors or omissions 13 1 If Client prefers to have higher limits an professional liability,TSF agrees to increase the limits up to a maximum of$1,000,000 upon Client's written request at the time of accepting our proposal provided >% that Client agrees to pay an additional consideration of 5 percent of our total fee. The additional charge for the higher liability limits is because of the greater risk assumed and is not strictly a charge for additional professional liability insurance 14. INSURANCE-TSF represents and warrants that it and its agents,staff and consultants employed by it we protected by Worker's Compensation insurance and Employer's Liability insurance in conformance with applicable state laws TSF has such coverage under public liability and property damage insurance policies that TSF deems to be adequate A Certificate of Insurance can be supplied evidencing such coverage upon request 141 Within the limits and conditions of such insurance,TSF agrees to indemnify and save client harmless from and against any loss,damage or liability arising from any negligent acts by TSF,its agents,staff and >_ consultants employed by it TSF shall not be responsible for any loss,damage or liability beyond the amounts,limits and considerations of'such insurance TSF shall not be responsible for any loss,damage W or liability arising from any acts by clients,its agents,staffand other consultants employed by it 00 M 142 Cost of the above coverage is included in our quoted fees If additional coverage or increased limits of liability we required.TSF will endeavor to obtain the requested insurance and charge separately for costs associated with additional coverage or increased limits 0 In 15. TERMINATION-This agreement may be terminated by either party upon seven days written notice in the event of substantial Failure by the other party it)peoforrin in accordance w4 the terms thereof. Such CL termination shall not be effective if the substantial failure has been remedied before expiration of the period specified in the written notice. In the event ofterminimion,TSF shall be ii lin services performed to the termination notice date plus reasonable termination expenses 15 1 In the event of termination or suspension for nnue dNan three months,prior to completion of all reports contemplated by this Agreement,TSF may complete a report on the services performed to the date of notice of termination or suspension.The gtxjxmqes of termination or suspension shall include all direct costs for TSF in completing such analyses,records and reports. 16. CLIENT1,1SOBLIGAVION, TO NO11i'll'TSF-Chon lqtoosoni%and wanwas that a has ado lewd h Sf ofagiv kaookmi(q su§tk�zud la. ardco*ngawmh;05 ctpndtnonw.ulihm lines wid gvHugerm m any 9.1t m iduch TSF is:oo do work hoeundor,mW ui TSF has%istuned on%roning the w1po"Isanfily of-Voa rtiri pp,substrigi olMecls,oruatics',hoiles or condull'.4,Chem agTka oo Jof mol!Indemnify and mvt rss lvaivnw,,s from all Chums,lumo,hxlwos,cosu And including mamnalAt roos as A Idsuh of perworal iraury,de-wh or lmoi JAMAgo o4clnnnt6,Rih ve�p.,ct go TSF',,pifomilte,c(IN5%*A,and am caused < by contact with subsurface or latent objects,structures,lines or conduits where the actual or potential presence and location thereof were not revealed to TSF by Client 17. HAZARDOUS MATERIALS-This agreement shall not be interpreted as requiring TSF to assume the status ofm owner,operator,generator,storer,transporter,treater or disposal facility as those terms appear within RCR_A or within any Federal or State statute or regulation governing the generation,transportation,treatment,storage and disposal of pollutants. Initial Packet Pg. 1585 1.5.b ACC)RL> CERTIFICATE OF LIABILITY INSURANCE FDATE 09/14/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI: CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIE: BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE[ 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 of 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: 1-212-948-130 E-MAIL LL 633 W. Fifth Street ADDRESS: a INSURER(S)AFFORDING COVERAGE NAIC# Los Angeles, CA 90071 INSURERA: ACE AMER INS CO 22667 L? INSURED INSURER B: Jacobs Project Management Co. a INSURER C L59 C/O Global Risk Management INSURER : U) 1000 Wilshire Blvd., Suite 1140 INSURER E: 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 PERIOI INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI; CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM 00 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ems 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 OL � OCCUR DAMAGE CLAIMS-MADE RENTED PREMISES(Ea occurrence) ccurrence $ 500,000 .0 X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 cy PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 1,000,000 I X POLICY PRO- El JECT LOC PRODUCTS-COMP/OPAGG $ 1,000,000 LO 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"--"`-= -' r "'^' —;� CN HIRED NON-OWNED DATE 9/ �2O22" PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident WAIVER N/A YES $ C UMBRELLALIAB OCCUR EACH OCCURRENCE $ x LU EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION gOT A AND EMPLOYERS'LIABILITY SCF C68914619 (WI) 07/01/22 07/01/23 STATUTE EERH A ANYPROPRIETOR/PARTNER/EXE 1U N/A WLR C6891453A (AOS) 07/01/22 07/01/23 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? * 07/O1/23 A (Mandatory in NH) WCU C68914577 (OH) 07/01/22 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 OL If yes,describe under U) 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 O U DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) L) 0) 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 N Management Company for Professional Services at Key West International Airport and The Florida Keys Marathon N International Airport. SECTOR: Public. The Monroe County Board of County Commissioners, its employees and official; .. are added as an additional insured for general liability & auto liability as respects the negligence of the insured : a the performance of insured's services to cert holder under contract for captioned work. *THE TERMS, CONDITIONS, AND E LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND U CERTIFICATE HOLDER CANCELLATION M SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORI Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED II 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 Packet P . 1586 nyumdo_newgalexy g 66569759 1.5.b DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 0 9/14/2022 NAME OF INSURED: Jacobs Project Management Co. Additional Description of Operations/Remarks from Page 1: LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* CL Y a a L59 U) 0) 00 t% U) O U I gl) CN CN Additional Information: *$2,000,000 SIR FOR STATE OF: OHIO CL x L59 LO U) O U M L) J CN CN CN E U SUPP(05/04) Packet Pg. 1587 1.5.b 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 g' t) 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. 00 B. The Schedule must be initially provided to us within 15 days after: M 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 10) commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. LO 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. N N 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. a H. We may arrange with your representative to send such notice in the event of any such cancellation. s I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. N J. This endorsement does not apply in the event that you cancel the Policy. N c� ALL-32685(01/11) Page 1 of 2 Packet Pg. 1588 1.5.b All other terms and conditions of the Policy remain unchanged. CL Authorized Representative 2M U) 0 00 LO CL U) 0 I LO N CD CL x 29 CL U) 0 U U 0) CD N CD E U ALL-32685(01/11) Page 2 of 2 Packet Pg. 1589 1.5.b 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 g' t) 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. 00 B. The Schedule must be initially provided to us within 15 days after: M 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 10) commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. LO 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. N N 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. U H. We may arrange with your representative to send such notice in the event of any such cancellation. s I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. N J. This endorsement does not apply in the event that you cancel the Policy. N c� ALL-32685(01/11) Page 1 of 2 Packet Pg. 1590 1.5.b All other terms and conditions of the Policy remain unchanged. Authorized Representative 2M U) 0 00 LO CL U) 0 I LO N CD CL x 29 CL U) 0 U U 0) CD N CD E U ALL-32685(01/11) Page 2 of 2 Packet Pg. 1591 1.5.b 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. U NOTICE TO OTHERS ENDORSEMENT - SCHEDULE - EMAIL ONLY U) 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 00 us on such Schedule. M B. The Schedule must be initially provided to us within 15 days after: LO CL 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. i C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. LO 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. W M E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in N the Schedule at least 30 days prior to the cancellation date applicable to the Policy. N T_ F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or CL 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 M 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. U H. We may arrange with your representative to send such notice in the event of any such cancellation. N N I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. N J. This endorsement does not apply in the event that you cancel the Policy. c� 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 Packet Pg. 1592 1.5.b Authorized Representative CL U) 00 LO CL U) 0 U I LO M N CD CL x �9 CL U) 0 U U 0) CD N CD E U WC 99 03 68(01/11) Page 2 Packet Pg. 1593 1.5.b 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 U 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 00 physical address that You or Your representative provided to Us on such Schedule. M B. The Schedule must be initially provided to Us within 30 days after: U) i. The beginning of the Policy Period, if this endorsement is effective as of such date; or 0 U ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy Period commences. LO 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 cn mailed or delivered to You. `N cN 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 CL 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- cr 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 U) upon Us, Our agents or representatives, will not extend any Policy cancellation or non-renewal date 0 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 U Your representative does not provide Us with a Schedule, We have no responsibility for taking any c' action under this endorsement. In addition, if neither You nor Your representative provides Us with CN e-mail address and/or physical address information with respect to a particular person or Q CN 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 Representativ Packet Pg. 1594