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1st Amendment 04/19/2023 AMENDMENT Ost AMENDMENT) TO AGREEMENT THIS AMENDMENT to Agreement dated this 19th day of April 2023, is entered into by and between the Board of County Commissioners for Monroe County, on behalf of the Tourist Development Council, and Old Island Restoration Foundation, Inc., a not for profit organized and operating under the laws of the state of Florida (Grantee). WHEREAS, there was an Agreement entered into on October 19, 2022 between the parties, awarding $200,000 to Grantee for the Restore and Improve Oldest House Project ("Agreement"); and WHEREAS, it has become necessary to revise the termination date of the agreement to September 30, 2024 due delays in the construction process; and WHEREAS, it has become necessary to revise Exhibit A of the Agreement outlining the scope of services for the project; and NOW, THEREFORE, in consideration of the mutual covenants contained herein the parties agree to the amend Agreement as follows- 1. Paragraph 1 of the agreement shall be revised to read as follows: This Agreement is for the period of October 19, 2022 to September 30, 2024. This Agreement shall remain in effect for the stated period unless one party gives to the other written notification of termination pursuant to and in compliance with paragraphs 7, 12 or 13 of the original Agreement dated October 19, 2022. 2. Exhibit A of the Agreement shall be revised as attached hereto. 3. Reimbursement request for Segment 1 of the project in an amount of $50,000 must be submitted for reimbursement by September 30, 2023. Reimbursement for Segment 2 of the project in the amount of$150,000 may not be submitted until after October 1, 2023. 4. Any references to termination date and submission of invoices shall be revised to read September 30, 2024. 5. The remaining provisions of the agreement dated October 19, 2022 shall remain in full force and effect. REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK Amendment 41 Oldest House Restore and Improve ID#2882 Q �= 0 o o _ LO X a ° W 0 0 O Ea o V 4O aC 0 0 ------------------------------------------------------------------------------------------------------------------------------------- o y- G ,V O 0- CD CD O o CD F LO a •N ° s CD H Otin � -0 CD •0 O o O UN "u....' 6"I w a' E ry •v� C i " a o o c) Q m O O G vi CD h O O w vXa ' (�-^/ 4 0) E u L 1) " w G_ 0 �� ,rC.. r o oLU N cl w 'ww _ O ZZ Z c) A N . Q O o CD� N m CDN CL X W O O U C) LA oLA .a o o o U s.- 0 70 III O U N O � O O O QN � p <n p D O Q N O — � V 70 0 3 U U p Q - O O a)N X O � O O .� -0 0 N p N O N N 3 N .- O �- O Q <„ O '� O , ( � � .0 O C) N � N O N U = 0 U � � �_ X cn C) O O cn cn Cl) UO O N p X (- O Q N p ° N L O O L Uw O — Q O C) <n O _ O _ U U uO � � O cv O Qp � O k O _ _ •� ry ry in ry C) N DATE(MM/DD/YYYY) ACCOR" CERTIFICATE OF LIABILITY INSURANCE 03/14/2023 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 CONTACTNAME: Heather Lynn Keller Southernmost Insurance Agency, Inc PHONE FAX 1010 Kennedy Drive A/C No Ext: A/C,No): E-MAIL C Suite 300 ADDRESS: heather@southernmostinsurance.com Key West, FL 33040 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Century Surety Insurance Company A0050 INSURED Old Island Restoration Foundation, Inc. INSURERB: Associated Industries Insurance Company A0286 322 Duval St INSURERC: Key West, FL 33040 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A �. COMMERCIAL GENERAL LIABILITY Y CCP1109116 12/11/2022 12/11/2023 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT t �i °^„ Ea accident $ ANY AUTOI w BODILY INJURY(Per person) $ OWNED SCHEDULED ...,. BODILY INJURY(Per accident) $ AUTOS ONLY .AUTOS 3 . 14 . 23 HIRED NON-OWNED "' � „,-------=.'^ PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY N t Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION AWC1182878 06/26/2022 06/26/2023 V/ PER OTH- AND EMPLOYERS'LIABILITY Y STATUTE ER � ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 100,000 OFFICE R/M EMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Monroe County Board of County Commissioners is named as additional insured with regards to the General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. c/o Risk Management P.O. Box 1026 AUTHORIZED REPRESENTATIVE Key West, FL 33040 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1996 Edition MONROE COUNTY, FLORIDA Request For Waiver of Insurance Requirements It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be waived or modified on the follt)wing contract. Contractor: Old Island Restoration Foundation, Inc. Contract for: Oldest use Repair and Improve Oldest House Address of Contractor: 322 Duval to Key West, FIL 33040 Phone: 305-294-9501 Scope of Work: Restore and Renovate Oldest House Reason for Waiver: Waiver of Auto Insurance requirement: Old Island Restoration Foundation, Inc. does not have any automobiles Policies Waiver will apply to: Auto Signature of Contractor Approved YCS Not Approved Risk Management: Date: 7/21/2022 County Administrator Appeal: Approved Not Approved Date: Board of County Commissioners Appeal: Approved Not Approved Meeting Date: Administration instruction #4709.2