1st Amendment 05/17/2023 d
Kevin Mad* cpA
ty Clerk of the Circuit Court& Comptroller Monroe Coun , Florida
Z'
DATE: Ma}' 22, 2023
TO: Bil'an Cook, Director
Employee Services
ATTN: Natalie Maddox, Sr. Administrator
Employee Benefits
FROM: Panicla G. Hanco(4(-'.
SUBJECT: Ma}' 17" 110(I' Meeting
Attaclicd is an electronic cop}'of'llic following Hem for your liandling:
C7 I" Amendment to the Agi-eenient Nvitli CleartrackHR, Inc. wIncli provides senrice
for flit County's lienclits Administration SofiNvare Systeni. 'Flns sN,sleiii provides electronic
management ol'benelits eliglbllit}', enrollment, data file feeds to camers, Compliance, reporting
and oilier related processes. "Phis aniendnient reflects a price increase 1'roni $ 3.00 per member
per montli to $ 4.00 per nieniber per mondi and an increase in the liotirl},rate 1'()r add-on senices
(not specified in die c( ntract) to $ 150.00 per liour.
Sliould N'ou liave any questions please feel 1'rcc to contact nic at (305) 292-3550.
cc: Count}'Attonicy
Filiance
File
KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING
500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road
Key West,Florida 33040 Marathon,Florida 33050 Plantation Key,Florida 33070 Plantation Key,Florida 33070
305-294-4641 305-289-6027 305-852-7145 305-852-7145
AMENDMENT NO. 1 TO BENEFIT CONSULTING AGREEMENT
THIS AMENDMENT NO. 1 ("Amendment") to the Benefit Consulting Agreement
("Agreement") dated July 15, 2020 by and between ClearTrack HR, LLC ("ClearTrack")
and Monroe County Board of County Commissioners ("County" or"BOCC") (collectively,
the "Parties"), is entered into as of the 17t" day of May 2023, which shall be the
Effective Date for this Amendment.
WHEREAS, on July 15, 2020, ClearTrack HR and the County entered into a Benefit
Consulting Agreement, pursuant to which ClearTrack agreed to provide the services
shown on Exhibit A to the Agreement (ClearTrack HR Scope of Services); and
WHEREAS, Exhibit B to the Agreement, Fee Schedule, set forth the fees that
ClearTrack HR will receive for the services; and
WHEREAS, ClearTrack HR has requested to amend Exhibit B in order to increase the
monthly amount that ClearTrack HR will receive for the online benefit and administration
and enrollment system to increase from $3.00 per employee per month ("PEPM") to
$4.00 PEPM; and
WHEREAS, ClearTrack HR has requested to amend Exhibit B in order to increase the
hourly rate for additional services not otherwise included in the agreement to $ 150.00
per hour; and
WHEREAS, the County is in agreement with the proposed increases.
NOW THEREFORE, in consideration of the mutual promises and covenants contained
herein, the Parties hereby agree as follows:
1. On Exhibit B, Fee Schedule, the monthly amount for online benefit administration
and enrollment system (including technical/software support) is increased from
$3.00 PEPM to $4.00 PEPM.
2. On Exhibit B, Fee Schedule, the hourly rate for additional services not otherwise
include in the agreement will increase to $ 150.00 per hour.
3. The above change shall take effect as of May 17, 2023.
4. In all other respects, the terms and conditions contained in the Agreement
between the Parties remain unchanged, and the Agreement remains in full force
and effect.
IN WITNESS WHEREOF, the parties have caused this Amendment to be executed as
of the dates set forth below.
T hereby agree and consent to the terms and conditions of the Amendment
c ge such by executing the Amendment below.
Monroe County Board of County
PA, Clerk of Courts Commissioner
By By:
As Deputy Clerk Mayor
ClearTrack HR, LLC
By: *Wog��
Heather McFarland, CEO
Approved as to form and legal sufficiency:
Monroe County Attorney's Office 5-17-2023
'2
CD
CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)
.4C�R 04/05/2023
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 be endorsed. If SUBROGATIONIS 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
MCGRIFF INSURANCE SERVICES INCIPHS -
222734;8 PHONE (866)467-8730 FAX
(AIC,No,Ext): (AIC,No):
The Hartford Business Service Center
3600 Wiseman Blvd E-MAIL
San Antonio,TX 78251 ADDRESS
INSURER(S)AFFORDING COVERAGE NAIC#
INSURED tNSURER A: Twin City Fire Insurance Company 29459
CLEAR TRACK HR LLC INSURER B: Hartford Accident and Indemnity Company 22357
PO BOX 69 INSURER C
HARVEST Ai_35749-0069
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 NUMBER POLICY EFF POLICY EXP LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000.000
CLAIMS-MADE OCCUR DAMAGE TO RENTED $1,000,000
X General Liability MED EXP(Any one person) $10,000
A X 22 SBA RS9035 01/12/2023 01/12/2024 PERSONAL S ADV INJURY $2,000,000
GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
POLICY❑PRO- Q LOC PRODUCTS-COMPIOP AGG $4,000,000
JECT
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $2,000,000
ANY AUTO BODILY INJURY(Per person)
A ALL OWNED SCHEDULED 22 SBA RS9035 01/12/2023 01/12/2024 BODILY INJURY(Per accident)
AUTOS AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
X AUTOS X AUTOS (Peracadertt)
UMBRELLA LIAR OCCUR EACH OCCURRENCE
EXCESSLUIB CLAIMS- AGGREGATE
ED RETENTION
WORKERS COMPENSATION X PER OTH.
AND EMPLOYERS'LIABILITY STATUTE R
ANY YIN E.L EACH ACCIDENT $1,000,000
B PROPRIETORIPARTNERIEXECUTIVE NIA 22 WEC AB3KK6 03/12/2023 03/12/2024
OFFICERIMEMSER EXCLUDED? EL DISEASE-EA EMPLOYEE $1,000,000
(Mandatory in NH)
If yes,describe under E.L DISEASE-POLICY LIMIT $1„000,000
PE5QRIPTIQN QE QFERATIONS.below
A EMPLOYMENT PRACTICES 22 SSA RS9035 01/12/2023 01/12/2024 Each Claim Limit $10'000
LIABILITY Aggregate Limit $10,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
Those usual to the Insured's Operations.Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this
policy,
CERTIFICATE MOLDER CANCELLATION
Monroe Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
1100 SIMONTON ST APPROVED BY RISK MANAGEMENT BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED
KEY WEST FL 33040 IN ACCORDANCE WITH THE POLICY PROVISIONS.
17, AUTHORIZED REPRESENTATIVE
DATE 4/2f�/23
WAIVER N/A_YESX
No vehicles-all remote staff d 198-2015 ACORD CORPORATION.All rights reserved.
Additional insured on VL waived
ACORD 25(2016103) The ACCIRD name and logo are registered marks of ACORD
CI ient#:2145969 04C LEARTRAI
[704/13/2023
(MWDDIYYYYI
ACORDTM CERTIFICATE OF LIABILITY INSURANCE
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 any rights to the certificate holder In lieu of such endorsement(s).
PRODUCER NAME: Emer in Client Commercial Client Center
McGriff Insurance Services PHOIC N E,c:888 743-2217 Aic No: 8888279861
7701 Airport Center Dr E-MAIL
ADRESS: l: g ClientSery er@mc iceCent riff.com
ADD
Suite 1800
INSURERS AFFORDING COVERAGE NAIC 0
Greensboro,NC 27409 INSURER A:Twin City Fire Insurance Company 29459
INSURED ClearTINSURER B:Hartford Accident&Indemnity Ins Co 22357
PO Bo 69 HR LLC INSURER C Landmark American Insurance Co 33138
PO Box INSURER D
Harvest,AL 35749 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 CONTRACTOR 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 SUB POLICY EFF POLICY EXP LIMITS
LTR POLICY NUMBER MMIDOIYYYY MM/DDIYYYY
A X COMMERCIAL GENERAL LIABILITY 22SBARS9035 1/12/2023 0111212024 EACHGOCTCURRENCE s2,000,000
CLAIMS-MADE �OCCUR REEiuISS ENTE6 e s 1 000000
MED EXP(Anyone person) $10 DDO
PERSONAL&AOV INJURY s 2,000,D00
GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE s4,000,000
POLICY ET :LOC PRODUCTS-COMPIOPAGG s4,000,000
OTHER: S
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea aideni
ANY AUTO BODILY INJURY(Per pereon) S
OWNED SCHEDULED BODILY INJURY(Per aeddontt S
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE S
AUTOS ONLY AUTOS ONLY Par acraden9
S
UMBRELLA LIAB OCCUR EACH OCCURRENCE[4 S
EXCESS LIAR CLAIMS-MADC", AGGREGATE S
CEO RETENTION S S
B WORKERS COMPENSATION 22WECAB3KK6 3/12/2023 03112/202 X PER° OTH
AND EMPLOYERS'LIABILITY c
Y I N
ANY PROPRIETORYPARTNERIEXECUTIVE E.L.EACH ACCIDENT S1 OOO DOD
OFFICERIMEMBER EXCLUDED? N N d A
(Mandatory In NH) " '� E.L.DISEASE-EA EMPLOYEE S1 OOO OOO
If Yes.describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S1,000,000
C Professional LCY801194 1/31/2023 01131/2024 3,000,000 Aggregate
Liability 1,000,000 Each Claim
5 000 Deductible
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required)
Policy: LCY801194
Professional Services Error:Aggregate 3,000,000 Each Claim$1,000,000 Ded:$5,000 Retro Date:06/28/19
Technology Services Error:Aggregate 3,000,000 Each Claim$1,000,000 Ded:$5,000 Retro Date: 06128/19
Media Activities Error:Aggregate 3,000,000 Each Claim$1,000,000 Ded:$5,000 Retro Date: 06/28/19
Network Security&Privacy Error:Aggregate 3,000,000 Each Claim$1,000,000 Ded: $5,000 Retro Date:
(See Attached Descriptions)
CERTIFICATE HOLDER CANCELLATION
Monroe Count Board f C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
County o County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Commissioners ACCORDANCE WITH THE POLICY PROVISIONS.
1100 Simonton Street
Key West, FL 33040 AUTHORIZED REPRESENTATIVE
C%�UJ*M
1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD
#S319692531M31941009 LRN
DESCRIPTIONS (Continued from Page 1)
06/28/19
Regulatory Matter:Aggregate 3,000,000 Each Claim$1,000,000 Ded: $5,000 Retro pate:06/28119
Privacy Breach:Aggregate 3,000,000 Each Claim$1,000,000 Ded: $5,000 Retro Date: 06/28/19
Data Assets Corruption:Aggregate 3,000,000 Each Claim$1,000,000 Ded: $5,000 Retro Date:06/28119
Cyber Extortion Threat:Aggregate$500,000 Each Claim$500,000 Ded:$5,000
Cyber Crime:Aggregate$100,000 Each Claim$100,000 Ded:$5,000
SAGITTA 25.3(2016/03) 2 of 2
#S319692531M31941009