Loading...
2023-36 Relocate RWY 7-25, Phase 2 Design Kevin Madok, CPA Clerk of the Circuit Court& Comptroller— Monroe County, Florida DATE: July 25, 2023 TO: Richard Strickland Director of.Airports ATIFN: Beth Leto, Deputy Director Airport Finance & Administration i I FROM: Pamela G. HaiicoAk%C. SUBJECT: July 19' BOCC Meeting Attaclicd is an electronic copy ol'the following item for your liaii(Iling: H I Jacobs Project Management Co.'s Task Order No. 2023-36 in the amount of $766,984.00 for design, permitting and bidding of the MTH Relocate Runway 7/25 project at the Florida Keys Marathon International Airport. The task order is funded by FAA Grant 44-41 (90%), MTH FDOT Grant G I V30 (8%) and MTH Airport Operating Fund 403 (2%). H2 Jacobs Project Management Co.'s Task Order No. 2022-34 in the amount of $174,866.00 to update the Airport Layout Plan (ALP) for the Florida Keys Marathon International Airport. The task order is funded by FAA Grant 44-42 (90%), MTH Planning Studies FDOT Grant G I Q05 (8%) and MTH Airport Operating Fund 403 (2%). H7 Jacobs Project Management Co.'s Task Order No. 2022-44 for the Airport Noise Program Coordinator Services in the amount of$1,542,546.00 for the Key West International Airport Noise Insulation Program Phase I (Final Design of 17 Single Family Homes and Noise Eligibility Testing and Preliminary Design of 43 Single Family Homes). All project costs to be funded with FAA Grant #3 7-77 (90%) and Airport Operating Fund 404 (10%). Should you have any questions please feel 1'ree to contact nie at (305) 292-3550. CC: County Attoniey Filiwicc 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. 2023-36 403-635119 (44-41) Client Project No.493-fi35114JCx1y3W_ Engineer Project No. EGXM7936 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—MTH Relocate RWY 7-25,Phase 2 Design, Permitting and Bidding Services Client authorizes Consultant to perform the Services described in Exhibit A attached hereto and incorporated herein, which Exhibit A is are with the above noted Task Order No.and consists of pagc(s). Pricing N/A Time and Expense per Agreement and Appendix B to the Agreement. X Finn Fixed Price of S_ 766.,984.00 N/A Other(Describe): F -X ornmence on Execution e 4s cn se by 1,095 days MC BOARD OF COUNTY COMMISAbNMS V -"FLOR IN MADOK,CLERK OF MONROE COUNTY, It* B B y— as Deputy Clerk Mayor Pro Tern CONSULTANT: JACOBS PROJECT MANAGEMENT CO Jacqueline rD2 By W DirecLor itness Ross Title File. MSTRAPS-Afonroe Count), Page 1 of 1 Exhibit A Scope of Services Monroe County Airports Florida Keys Marathon International Airport(MTH) MTH Relocate RWY" - 5 —Dgsign. Permitting an idding ,rvices SCOPE. F-WORK Jacobs will provide project management, coordination, design, permitting and bid services for the relocation of RWY 7-25 approximately 40-feet north of its existing Location at Florida Keys Marathon International Airport(MTH).These services will also be employed towards construction of connector TWY AS, at the east end of the airfield as shown on Figures 1 and 2. EXISTING CONDITIONS Currently MTH has a runway design code of B-II.To meet the required runway centerline to taxiway centerline separation to meet FAA's B-II standards a separation distance of 240 feet must be met.Currently that separation is substandard at MTH,where the runway centerline to taxiway centerline separation is 40-feet short.To correct this a 40- foot shift of Runway 7-25 towards the north is planned.The runway relocation project will also include the following: • Grade the Runway Safety Areas(RSA) and Taxiway Safety Areas(TSA) • Construct new blast pads at the relocated runway ends • Relocate TWY C • Reconstruct and modify geometries for TWY B, D and E • Partial removal of TWY E portion north of RWY 7-25 (see Figure No.2) • Construct new connector TWY A5 (see Figure No.2) • Renaming of taxiway connectors from B, C, D, E to 1, 2, 3 and 4 • Modify and/or replace markings and signage • Electrical Airfield Vault Updates • Relocate and/or install new runway edge lights and threshold lights • Relocate and/or install new taxiway edge lights • Relocate and/or install new Runway End Identifier Lights(REIL) • Relocate the Precision Approach Path Indicators(PAPI) • Improve drainage and utilities necessary to support relocated runway • Update the existing area navigation (RNAV) Global Positional System (GPS) instrument approach procedures to reflect the 40-foot lateral shift of Runway 7-25 Page 1 of 10 An enabling project for this work was the clearing of vegetation within the future Runway Object Free Area(ROFA)and threshold siting surface.This was completed under the MTH Relocate RWY 7-25, Phase 1 —Tree Clearing project. , ";��i+°i ,, ✓�.�1� - /i,,.. ;, 1 /, ..� /i��f.FLU;%i a/; /i / � ��l��vi� Figure 1: Proposed Runway 7-25 Relocation AS " Woll, p SACS rF�v i�G�i am TWYE -4.. 'I EXTENDED CENTERLINE,.. x,:,w TWV AS I RV"7-25 Shift v Pz GQ e Figure 2: Proposed TWY A5 Construction, East of RWY 25 End _QESCRIPTION OF MIORK The MTH Relocate RWY 7-25 project includes the following elements: 1. Complete data collection 2. Develop 30%and 90%design documents 3. Develop bid documents 4. Coordinate with FAA S. Submit a SFWMD individual permit GENERALSCOPE One construction package will be developed for this project. For this construction package,Jacobs will provide the following services: 1. Management of the project from data collection to bid opening and award of the construction contract. Page 2 of 10 2. Program verification and site investigations. 3. Coordination with the geotechnical subconsultant and survey subconsultant 4. Coordination with Monroe County, FAA and SFWMD as required. 5. Preparation of the construction documents and incorporation of Monroe County's frontend contract documents. 6. Preparation of the engineering report,construction cost estimate, and construction schedule. 7. Bidding and award assistance. 8. Preparation of minutes of meetings and phone conversations. SSUMP E IGI PARAME-T S 1. This project will be funded with FAA,state and local airport monies. 2. A reimbursable agreement will be required for the relocation of the existing REII-s. 3. A reimbursable agreement will not be required for the relocation of the existing PAPIs. 4. It is assumed that this project does require the creation of an AGIS project. S. Aerial survey data from Masterplan Update to be used for this project. 6. This scope of work does include work associated with the airfield lighting vault, including new CCR's and control panel update. 7. The taxiway/taxiLane design criteria will be based on Taxiway Design Group 2B. The ADG design criteria will be ADG II. It is assumed that this project will not utilize paved shoulders. 8. The design will be in accordance with the most current FAA-AIP Advisory Circulars. 9. Jacobs will develop plans, design report, and construction cost estimate at a 30% design level for review. 10.Jacobs will develop plans,technical specifications,an engineering report,and a construction cost estimate at the 90%design level for review. 11.Jacobs will produce a final contract set of plans, specifications, engineering report, construction schedule, and construction cost estimate for bidding purposes. 12.A SFWMD Individual Permit is required based on the current scope of the project. 13.A pavement design report is required and will be based on the airport's current commercial aviation fleet mix.This report will be part of the Engineer's Report under the 30%,90%and Final submittals. 14.This scope of work does Ogi include construction administration, resident project representative nor quality assurance testing. This scope of work also Oges n�o include the development of a construction management plan.These services along with a construction management plan will be provided under a separate purchase order. 15.Any cost estimates provided by Jacobs will be in a basis of experience and judgement. Since consultant has no control over market conditions or bidding procedures,Jacobs Page 3 of 10 does not warrant that bids or ultimate construction costs will not vary from these cost estimates. 16. In soils,foundation, groundwater, and other subsurface investigations,the actual characteristics may vary significantly between successive test points and sample intervals and at locations other than where observations,exploration,and investigations have been made. Because of the inherent uncertainties in subsurface evaluations, changed or unanticipated underground conditions may occur that could affect total project cost and/or execution.These conditions and cost/execution effects are not the responsibility of Jacobs. 17.Jacobs shall at no time take title, risk of loss or ownership of the hazardous materials or wastes. Client recognizes that Jacobs assumes no risk and/or liability for hazardous materials encountered while performing any services associated with such hazardous waste. 18.Monroe County will provide access to all project areas. 19.Monroe County to pay for all permit fees. 20. Existing airfield lighting vault electrical distribution capacity and backup generator are adequate and do not need replacement. 21.This project does not include updates in aircraft forecasting nor Airport Layout Plan modifications. ARTICLE A—DATA COLLECTION Data Collection: 1. Prepare for and attend project design kick off meeting, 2. Coordinate with subconsultants including but not limited to survey, geotechnical, and environmental permitting as well as other Project Team members. 3. Perform a detailed topographic survey of existing runway, proposed runway footprint, connectors to be relocated,and RSAs/TSAs as outlined in the attached survey scope of work by O'Neal Surveying Company. Surveyor scope will also include geodatic control plan and survey quality control plan related to AGIS project. 4. Perform a geotechnical investigation to assess the existing soil strata classifications. Geotechnical investigation will also include cores/bores to determine existing pavement thickness,soil strength, estimated ground water level, and estimated seasonal high ground water level table.The geotechnical investigation will be performed as outlined in the attached scope of work by Tierra South Florida. 5. Jacobs to provide full time badged escort for the geotechnical and survey field crew. It is assumed that the survey field work will take approximately 7—8 hour shifts to complete. 6. Research record drawings for verification of existing underground utilities. (i.e. FAA, electric,communication, etc.). Page 4 of 10 7. Perform site walk through survey to locate and note any special site conditions that would affect construction techniques or materials. Take photographs of the site and provide written documentation,sketches,notes, or reports to confirm and record the general conditions of the existing site. Field verify that all existing features in the field were picked up during the topographic survey. 8. Prepare and attend Pre-Application meeting with SFWMD. 9. Coordinate with FAA on RA(Reimbursable Agreement)for REILs relocation,and PAPI Siting Study.Attend 2 initial virtual coordination meetings total. 10. Perform QA/QC and Document Review. Services for Article A will be provided under a lump sum basis. ARTICLE B—30%,90%AND BID DESIGN Based on the information collected under Article A,the 30%, 90%, and final bid design documents will be developed for all elements identified in this scope of work. 1. Prepare for and attend two (2) design review meetings (30% and 90%) with the Airport to discuss project progress and review the design submittals. 2. Develop technical specifications utilizing FAA's standard specifications for construction (i.e. FAA Specifications P-101, P-152, T-904, P-620, etc.). Submit complete technical specifications at 90%and final design submittals. 3. Coordinate and incorporate Monroe County provided contract document/front- end specifications into the 90% and final contract bid documents. (i.e. Notice to Bidders, Invitation to Bidders, Instruction to Bidders, Bid Proposal, Contract, Contract Articles, General Specifications). 4. Develop two alternative construction schedules for use in determining phasing, duration and to minimize runway closure. S. Prepare for and attend 2 phasing meetings with the Airport to discuss construction phasing and duration. 6. Prepare pavement design report. All analytical methods, results, and recommendations will be summarized in a detailed written report that will be part of the Engineer's Report. 7. FAA Coordination to finalize RA for REILs relocation and PAPI Siting Study.Attend 2 virtual coordination meetings total. Page 5 of 10 8. Perform airfield electrical design. The airfield electrical design will include the installation/relocation of runway and taxiway edge lights, guidance signage and visual approach aids. 9. Perform a siting study and report for the relocation of both Runway 7 and Runway 25 PAPIs.This will be completed and delivered at the 90%Submittal level. 10. Develop AGIS Project.This task will require the following elements: a. Prepare AGIS Scope of Work b. Initiate AGIS project workflow in ADIP:Safety Critical Data Collection Including Design Data c. Coordinate with local ADO on FAA AGIS Scope of Work d. Upload Scope of Work to ADIP e. Coordinate development of Geodetic Control Plan with Surveyor f. Upload Geodetic Control Plan to AGIS g. Coordinate and upload project Imagery Plan h. Coordinate development of project Survey&Quality Control Plan with Surveyor i. Upload project Survey&Quality Control Plan to ADIP j. Convert Jacobs CADD design files to AGIS acceptable format k. Convert Surveyor's field survey to AGIS acceptable format 11. Develop drainage design and the necessary SFWMD permitting. 12. Develop the following anticipated plans: Tett list for 90%and final Submittal Drawings et Name Number of Sheets Title Sheet 1 Index of Drawings and 1 Notes General Notes 1 Summary of Quantities 1 Survey Control Plan 1 Construction Access and 1 Part 77 Surfaces Page 6 of 10 Existing Conditions Plans 8 Existing Conditions Photos 1 Geotech/Borings Plans 4 General Phasing Plan 1 Detailed Phasing/Safety 16 Plans Safety Notes/Details 6 Demolition Plans 8 Geometry Plans 8 Typical Sections 3 --------------- Paving Plan 8 ........._._.... ....... Grading Plans 8 Cross Sections 20 Drainage Plans 2 Drainage Details 2 Erosion Control/Dewatering 2 Plans Erosion Control/Dewatering 2 Details w Pavement Marking Plans 8 Pavement Marking Details 2 ww. Electrical Demolition Plan 6 Electrical Light Plan 6 Electrical Details 4 Light Fixture/Sign Schedule 1 .......... Lighting Vault Plan 1 Lighting Vault Details 1 Lighting Circuit Plan 3 PAR Plan 1 PAR Details 1 REILs Plan 1 REILs Details 1 Page 7 of 10 E_�--io- 13. Develop detailed construction quantities and cost estimate at the 30%, 90%, and at final contract document design levels. 14.Coordinate, distribute and print the following copies of the final design drawings (plans and design report)for review by the Airport: Monroe County: 2 copies of plans(1 full size; 1 half size); 2 copies of engineering report; 2 copies of engineer's estimate for each submission. 2 copies of specifications at final bid submission. FDOT: 2 copies of plans(2 half size),and a CD containing the drawings, specifications, engineering report, and engineer's estimate for the 90%submission only. FAA: Per recent directive from Krystal Ritchey all contract documents will be submitted electronically to the FAA for review and approval 15.Conduct an in-house QA/QC prior to the 30%, 90% and final design submission. The in-house QA/QC check will involve an experienced independent individual, depending on each discipline, to conduct a comprehensive check on all documents to be submitted (e.g. plans and reports). Time will be required for engineers and CADD technicians/designers to correct items listed under the in- house QA/QC checks. 16.Address comments from 30%and 90%design submissions. 17. Prepare and submit electronically FAA form 7460-1 Notice of Proposed Construction Temporary and Permanent Alteration. 18. Prepare and submit to FAA a Construction Safety Phasing Plan (CSPP). Services for Article B will be provided under a lump sum basis. 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,and the following terms will apply: 1. The County appoints Jacobs as its Agent, and Jacobs accepts such appointment to perform bid/procurement services on the County's behalf in connection with the project. 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 Page 8 of 10 shall be carried out in accordance with the procedures mutually agreed upon by the County and Jacobs. 3. Jacobs shall not have authority to accept or bind the County in any way 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 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 parry to the County, and Jacobs shall at no time be a parry 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 or without cause. The County shall be obligated directly to the selling parry for all payments for materials, equipment, supplies and services procured hereunder. S. The County shall hold Jacobs and its employees harmless from any claims, suits or liabilities arising out of any breach or other failure of performance by any contractor, vendor or supplier under any contract or purchase order issued by 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. 2. Prepare for and attend a project pre-bid conference. 3. Prepare responses to address requests for information (RFI) from prospective bidders. 4. Prepare and coordinate the issuing two (2) addenda with the County purchasing department. S. Revise bid documents as necessary for the addendum. 6. Review bids for responsiveness. 7. Prepare a bid tabulation. 8. Make a recommendation for award based on review of the bid information submitted. Services for Article C will be provided under a lump sum basis. PROJECT SCHEDULE Page 9 of 10 The tentative project schedule from the Notice to Proceed date will be as follows: Pro ect Schedule Article A—Data Collection NTP+ 60 Calendar Days and- Preliminary_ _DLe Article B—3001 6...D...es i n NTP+ 90 Calendar Days Article B—Submit SFWMD NTP+ 150—Calendar Days I Permit I Article B—90%Design NTP+ 180 Calendar Days Article B—Bid Submission NTP+ 210 Calendar Days Article C—Advertise Bid NTP+230 Calendar Days ..........-.......... Page 10of 10 N I O'NEAL SU V'EYING s 6400 Manatee Ave.,Suite L113 Bradenton, FL 34210 Ph.: (941)375-4470 March 16, 2023 RE: Marathon International Airport 7-25 Runway Relocation Survey Proposal O'Neal Surveying and Mapping, Inc. (OSM) is pleased to provide you with a scope of services for the Marathon International Airport Survey in Marathon, Florida. The project and services include the following: SCOPE OF SERVICES HORIZONTAL & VERTICAL CONTROL OSM team will verify positions on published Primary and Secondary Airport Control points and on control points which were previously established by others and OSM. OSM will establish new control as may be required for this survey.All survey control will be referenced to North American Datum 1983 (NAD83) and North American Vertical Datum 1988 (NAVD88). • Verify existing site control as previously established. o Locate, verify or establish horizontal control points o Verify or establish elevations of control points by differential level loop with a digital level. o Verify position of existing runway endpoints. TOPOGRAPHIC SURVEY The OSM team will provide a Topographic Survey for Runway 7-25 (relocation)Taxiway AG (total of 68 acres+/-). Limits of Project/Survey areas as shown on the attached Exhibit"A", provided by the client. The field tasks will be completed with a combination of conventional and GPS survey methods, using an electronic digital level to ensure accuracy of vertical on pavement areas. This survey will comply with FAA Standards (150/5300-18B, 150/5300-17C and 150/5300- 1613) The attached Exhibits (provided to OSM by the client) depict the limits off the areas to surveyed. Any additions to these limits may require additional fees, to be determined. Survey Tasks for this proposal include: • Pavement Elevations measured on a 25-foot grid • Ground Elevations measured on a 50-foot grid • Geodatic Control Plan • Concrete Pavement Elevations measured at four corners at each joint • Edge of pavement • Grade break lines within limits of survey • Vegetation and Tree Lines • Fence lines • Location of visible, major structures such as manholes,taxiway edge lights, drainage • structures, taxiway signs/foundations,NAVAIDS, concrete duct markers, pavement markings, aircraft tie downs • Elevation for light fixtures measured at top of foundations • Elevation for sign foundations measured at four corners • Elevation of structures measured at the center • Drainage structure invert elevations and bottom of structure elevations • Locate top of bank and toe of slope of existing pond/swale areas Total Lump Sum Survey Fee $ 70,000.00 PROJECT ASSUMPTIONS • Jacobs will provide an escort and that the runway will be closed. • This is NOT a pullback operation. • This is projected to be a nighttime operation and with the exception of weather, crews will be allowed to work a minimum of 8 hours per night, excluding weekends. • No background checks, fingerprints or badging will be required. • OSM will not commence this survey on a week that includes a National Holiday. WORK ZONE SAFETY: All work zone and Airport safety, rules and procedures as required by the Marathon International 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 required. Said vehicles to have current decal, display company name/identification and maintain proper lighting requirements. 2 � P a g e 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 31) digital files of the topographic survey, signed and sealed copies of survey. Version of Civil 3D deliverables to be determined by the client.A QA/QC report will included in the deliverables for this project. Thank you for this opportunity and please do not hesitate to call if you have any questions or concerns Sincerely, O'Neal Surveying&Mapping,Inc. i1' Mai L. 'Neal, PSM President 3 1 P a g e February 24, 2023 Jacobs 245 Riverside Avenue, Suite 300 Jacksonville, Florida 32202 Attn: Katy Queiroz, P.E. Airport Project Lead Email: a9tNci��� P: �.�ro RE: Proposal for Geotechnical Services MTH Relocate Runway 7-25,Phase 2 Monroe County,Florida TSFGeo Proposal No. 2302-098 Dear Katy: As requested, TSFGeo is pleased to submit this proposal for the above-referenced project. Based on information provided by Jacobs, the project will consist of relocation of the existing runway. This proposal includes an outline of our proposed scope of work, an estimate of the total fees, and our anticipated schedule for completion of the work. PROPOSED SCOPE OF WORK As requested,the following field testing will be performed: Proposed Field Testing w Location Proposed Services Runway Standard Penetration Test (SPT) Borings - Eleven(11) SPT borings to a depth of 10 feet in the pavement area - Eleven (11) SPT borings to a depth of 10 feet in the grass area Eleven 11 halt Pavement Cores ( )Asphalt Six(6)California Bearing Ratio (CBR) Tests The locations of borings and field tests will be located in the field by Jacobs personnel. Prior to drilling at the project site,TSFGeo will notify the airport and local utility companies and request that underground utilities be marked(Sunshine State One Call).Our experience,however,is that the utility companies will not mark privately owned utilities. Our proposal assumes that airside/private utility lines will be located in the field by others prior to mobilization of the drill rig. TSFGeo can recommend a utility line locating service upon request. 2765 Vista Parkway,Suite 10*West Palm Beach,Florida 33411 561-687-8536 aN . , .State of Florida Professional Engineers License#28073 Jacobs TSFGeo Proposal No.2302-098 Page 2 It is our understanding that Jacobs personnel or others will be present on site to escort TSFGeo personnel to the test locations, and that all field work will be performed at night time. Upon completion of the work, a report will be issued containing the exploration data. ESTIMATED FEES It is proposed that the fee for the performance of the services outlined above is determined on a unit fee basis and that the work be performed pursuant to TSFGeo's General Conditions enclosed herewith and incorporated into this proposal.Our fees for the above scope of work will be$41,265. The above estimate assumes that the site is open and accessible to our truck-mounted drill rig. Our estimate covers the work needed to provide drilling services and geotechnical report.Not included are reports, reviews of foundation 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 a few days of project approval (weather permitting and permit approval) and after utilities have been cleared. The fieldwork is expected to take about 7 days to complete. The test results can be submitted about 3 weeks after completion of the field exploration. Verbal preliminary results can be made to appropriate parties prior to submittal of the written report. 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 Rania ttlnar Vedula, P.E. Sean Tromans, E.I. Principal Engineer Staff Engineer Jacobs TSFGeo Proposal No.2302-098 Page 3 AUTHORIZED BY: INVOICE TO: Name: Firm: Title: Name: Date: Address: Phone : Jacobs TSFGeo Proposal No.2302-098 Page 4 TSFGeo's General Conditions 1. SCOPE OF WORK.Work means the specific geotechnical,analytical,testing or other service to be performed by Tierra South Florida,Inc("TSFGeo)as set forth in TSl Geo's proposal,Client's acceptance of the scope of work and these General Conditions.Additional work ordered by Client shall also be subject to these General Conditions,`Client"ushers to the person or business entity ordering the work to be done by TSFGeo-Client shall communicate these General Conditions to each rid every Third party to whom Client transmits any part of TSFGeo's work.TSFGeo shall have no duty or obligation to any third party greater than that set forth in'TSFGeo's proposal.Client's acceptance of TSFGeo's proposal and these General Conditions.The ordering of work from TSFGeo,or the reliance on cry of TSFGeo's work,shall represent acceptance of the terms of TSFGeo's proposal 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"TSFGeo and all necessary equipment in or to complete the work_While TSFGeo will take all reasonable precautions to minimize any damage to the property,it is understood by Client that in the normal averse 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 TSFGeo who,in the prosecution of their work,will take all reasonable precautions to avoid damage or injury to any such subterranean structure or utility.The Owner agrees to hold"TSFGeo harmless for any damages to subterranean structures which are not called to TSFGeo's attention and correctly shown on the plans furnished and will reimburse TSFGeo 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,-TSFGeo 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 advance of the work to be performed.The cost for labor and materials would be charged. 5. SAMPLE RETENTION-TSFGeo will retain all soil mid 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 Clients expense upon written authorization. 6. DEFINITION OF RESPONSIBILITY(OBSERVATION SERVICES)-The presence of our field representative will be for tie 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 agent.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 aid testing by our inn shall excuse him in any way for defects discovered in his work.It is understood that'rSFGeo 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 TSFGeo under this Agreement will be conducted in a manner consistent with that level of care aid 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 aremadeby TSFGeo and that the data,interpretations and recommendations of"TSFGeo are based solely on the information available to it TSFGeo shall not be responsible for the interpretation by others of information developed - 8. ORAL AGREEMENTS-No oral agreement,guarantee,promise,representation or warranty shall be binding_ 9. OWNERSHIP OF DOCUMENTS-All reports,boring logs,field data and notes,laboratory test data,calculations,estimates and other documents prepared by TSFGeo,as instruments of service,shall remain the property ofTSFGeo until final payment is received and a letter of copyright transfer been executed. 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 invoice until sane is paid. 10.1. If the Client fails to make any payment due to TSFGeo for service mid or expenses within 60 days of date of invoice,TSFGeo may,after giving seven days written notice to Client,suspend sengices until all outstanding amounts have been paid tre TSFGeo in full.Father,TSFGeo may,in addition to withholding services,or singularly,withhold reports,plans and other documents not paid in full by the Client.In the event that final payment for completed work is not made.TSFGeo shall request that all copyrighted documents which were submitted to client be retuned and all information used in project plans be removed from project documents. 10 2. In the event it is necessary to take legal action to effect collection,whether or not litigation is commenced,the Client agrees to reimburse TSFGeo for expenses in connection with any claims or suit's,including reasonable attorneys 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-TSFGeo cannot accept responsibility for any design work unless the work includes services for construction review to determine whether or nor'the work performed is in substantial compliance with'TSFGeo's conclusions and recommendations. 12. INDEMNIFICATION-TSFGeo agrees to hold harmless and indemnify Client from and against liability arising out of TSFGeo's negligent performance of the work.Client agrees to indemnify mid hold TSFGeo harmless from all liability including all cost,attorney's fees and expenses of defense for why claims by any other person or corporation which may wise out of the performance or breach of'this contract for which TSFGeo was not solely negligent 13. LIMITATION OF LIABILITY-The Chent/Owner agrees to limit TSFGeo's liability for negligent professional acts,errors or omissions,such that the total aggregate liability of TSFGeo shall not exceed$50,000 or the total fee for the services rendered on this project,whichever is greater.The Owner further agrees to require the contractor and his subcontractors a similar limitation of liability suffered by the contractor or the subcontractors arising from"TSFGeo's negligent professional act,errors or omissions. 13.I. If Client prefers to have higher limits on professional liability,TSFGeo agrees to increase the limits up to a maximum of$1,000,000 upon Client's written request at the time ofaccepting our proposal prodded that Client agrees to pay an additional consideration of 5 percent of ow total fee.The additional charge for the higher liability limits is because of the greater risk assumed aid is not strictly a charge for additional professional liability insurance. 14. INSURANCE-TSFGeo represents that it and its agents,staff and consultants employed by it are protected by Worker's Compensation insurance and Employer's Liability Insurance in conformance with applicable state laws.TSFGeo has such coverage tinder public liability and property damage insurance policies that TSFGeo deems to be adequate.A Certificate of Insurance can be supplied evidencing such coverage upon request. 14.1. Within the limits and conditions of such insurance,TSFGeo agrees to indertmify and save client harmless from mid against any loss,damage or liability arising from any negligent acts by TSFGeo,it agents, staff and consultants employed by it.TSFGeo shall not be responsible for any loss,damage or liability beyond the amounts,limits and considerations of such insurance.TSFGeo shall not be responsible for any loss,damage or liability arising from any acts by client,it agents,staff and other consultant employed by it. 142. Cost of the above coverage is included in our quoted fees.If additional coverage or increased limits of liability are required,TSFGeo will endeavor to obtain the requested insurance and charge separately for costs associated with additional coverage or increased limits. 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 to perform in accordance with the terms thereof.Such 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 oftermination,TSFGeo shall be paid for services performed to the termination notice date plus reasonable termination expenses. 15.1. In the event of termination or suspension for more than three months,prior to completion of all reports contemplated by this Agreement,TSFGeo may complete it report on the services performed to the date of notice of termination or suspension.The expenses of termination or suspension shall include all direct costs for'I'SFGew in completing such analyses,records and reports. 16. CLIENT'S OBLIGATION'TO NOTIFY TSFGeo-Client represent and warrants that it has advised TSFGeo of any known or suspected hazardous materials or conditions,utility lines and pollutants at any site at which TSFGeo is to do work hereunder,and unless TSFGeo has assumed in writing the responsibility of locating subsurface objects,structures,lines or conduits,Client agrees to defend,indemnify and save TSFGeo harmless froth all claims,suits,losses,cost mid expenses,including reasonable atorney's fees as a result of personal injury,death or property damage occur ring with respect to'TSFGeo's performance of its work and resulting to or caused by contact with substu-face or latent objects,structures,Tines or conduits where the actual or potential presence and location thereof were not revealed to'TSFGeo by Client. 17. HAZARDOUS MATERIALS-This agreement shall not be interpreted as requiring TSFGeo to assume the status of an owner,operator,generator,stoner,transporter,treater or disposal facility as those net appear within RCRA or within any Federal or State statute or regulation governing the generation,transportation,treatment,storage and disposal of pollutants. Initial I i I { a 3 p A J i w fitl» s I t t r y r, 1` {y • �' _ f� m 2 fV 2 ® ( i f� 0 rl 2� f S ® _ � v A �d rTq — r O 1 /, N a N / W E Q �f N ' N h � 0 1 'gg" ff 01, 9 Z Ln � OLIJ Wui hEdOU) r„ r AC � CERTIFICATE OF LIABILITY INSURANCE oii5/2023'") 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 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: 555 South Flower Street, Suite 3200 INSURERE: Los Angeles, CA 90071 INSURERF: COVERAGES CERTIFICATE NUMBER: 68967220 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 G47339273 w 07/01/23 07/01/24 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE � OCCUR �I PREM IS (Ea occur N DAMAGE TO ence $ 500,000 X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: DAT"' _ 15m. 23�„,,,., .-------=w^ GENERALAGGREGATE $ 1,000,000 X POLICY PEA LOC N t _ "" - PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA H10736262 07/01/23 07/01/24 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WLR C50711481 (AOS) 07/01/23 07/01/24 X STATUTE EERH AND EMPLOYERS'LIABILITY Y/N A ANYPROPRIETOR/PARTNER/EXE 1U N/A WCU C50711559 (OH)* 07/01/23 07/01/24 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? 07/O1/24 1,000,000 A (Mandatory in NH) SCF C5071164A (WI) 07/01/23 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 014 07/01/23 07/01/24 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 Cert_Renewal 68967220 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 06/15/2023 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 Solutions Inc. Endorsement Number Policy Symbol Policy Number Policy Period Effective Date of Endorsement H DO �G47339273 07/01/2023 To 07/01/2024 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 Solutions Inc. Endorsement Number Policy Symbol Policy Number Policy Period Effective Date of Endorsement I SA H 10736262 07/01/2023 To 07/01/2024 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 SOLUTIONS INC. 555 SOUTH FLOWER ST, STE 3200 Policy Number LOS ANGELES CA 90071 Symbol:WLR Number: C50711481 Policy Period Effective Date of Endorsement 07-01-2023 TO 07-01-2024 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 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 Solutions Inc. Policy Symbol Policy Number Policy Period Effective Date of Endorsement EON G21655065 014 07/01/2023 to 07/01/2024 07/01/2023 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) 9ZJOZHN J.�LUPICA. President Authorized Representative