FY2023 1st Amendment 04/19/2023 AMENDMENT list AMEN DMENIJ1g_AgRggMgK
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 Isla morada, Village of Islands a Government agency 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 $245,960 to Grantee For the Library Beach Park Inclusive Playground Project
("Agreement"); and
WHEREAS, it has become necessary to revise the completion date of the project due to
supply chain delays; 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 September 30, 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. Any references to termination date and submission of invoices shall be revised to read
September 30, 2024.
3. Reimbursement for this project may not be submitted until after October 1, 2023.
4. 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 4 1
Village of Islarnorada- Library Beach Inclusive Playground
ID#2845
DATE(MM/DD/YYYY)
ACTOR" CERTIFICATE OF LIABILITY INSURANCE 9i20i2022
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 CONTACT
NAME: Jenna Jennings
World Risk Management PHONE FAX
20 N. Orange Ave., A/C No Ext: 4074452414 A/C,No):407-445-2868
E-MSuite 500 ADDRESS: jennifer.jennings@wrmllc.com
Orlando FL 32801 INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: Public Risk Management of FL
INSURED ISLAMOR-01 INSURER B:
Islamorada, Village of Islands
86800 Overseas Highway INSURERC:
Islamorada FL 33036 INSURERD:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:823847795 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 PRM022-009-083 10/1/2022 10/1/2023 EACH OCCURRENCE $2,000,000
CLAIMS-MADE � OCCUR DAMAGE TO RENTED
PREMISES Ea occurrence $2,000,000
MED EXP(Any one person) $EXCLUDED
PERSONAL&ADV INJURY $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $
POLICY❑ PRO-
❑
JECT LOC PRODUCTS-COMP/OP AGG $
OTHER: $
A AUTOMOBILE LIABILITY PRM022-009-083 10/1/2022 10/1/2023 COMBINED SINGLE LIMIT $2,000,000
Ea accident
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
X HIRED X NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
X APD APD DEDUCTIBLE $1,000
UMBRELLALIAB OCCUR EACH OCCURRENCE $
EXCESS LAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
A WORKERS COMPENSATION PRM022-009-083 10/1/2022 10/1/2023 X PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
OFFICE R/M EMBER EXCLUDED? ❑ N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
Project: Library Beach Park Inclusive Playground
Location:81850 Overseas Hwy., Islamorada, FL
With respects to the listed coverage held by the named insured,as evidence of insurance.
Per the Attorney General's Opinion,as Per FL Statute 768.28,governmental entities may not add another party as an additional insured.
A 1' ' ,
e
By-
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CERTIFICATE HOLDER CANCELLATION 2 �G
WAMM
SHOULD ANY OF' RE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Monore County BOCC& Monroe County TDC
1201 White Street, Suite 102 AUTHORIZED REPRESENTATIVE
Key West FL 33040
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ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD