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2nd Amendment 09/20/2023 GVS COURTq° o: A Kevin Madok, CPA - �o ........ � Clerk of the Circuit Court& Comptroller Monroe County, Florida �z cooN DATE: October 5, 2023 TO: John Allen, Director Parks & Beaches Tammy Acevedo Budget& Contract Specialist Erika Nodal Executive Assistant FROM: Liz Yongue, Deputy Clerk SUBJECT: September 20, 2023 BOCC Meeting The attached item has been executed and added to the record: C26 2nd Amendment to the Agreement with PlayCore Wisconsin, Inc. d/b/a GameTime, to add Harry Harris Park to the ADDITIONAL PARKS as defined in the First Amendment, and to amend the composite Exhibit A to add A-9, Harry Harris Park to the agreement. The total estimated not to exceed amount of$338,958.72, will apply to this Phase A- 9 of the Project. Should you have any questions please feel free to contact me at(305) 292-3550. cc: County Attorney Finance 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 PLAYGROUNDSECOND AMENDMENT TO AGREEMENT FOR UBBER SURFACING AT KEYL COMMUNITY PARK, MONROE COUNTY,FLORIDA THIS SECOND AMENDMENT TO AGREEMENT is made and entered into this 20th day of September, 2023, between MONROE COUNTY, FLORIDA ("COUNTY"), a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key West, Florida 33040, and PlayCore Wisconsin, Inc. d/b/a GameTime, a Foreign-for-Profit Corporation, authorized to do business in the State of Florida, whose principal address is 544 Chestnut Street, Chattanooga, Tennessee 37402, its successors and assigns, hereinafter referred to as "GameTime"or "CONTRACTOR"; and together, hereinafter referred to as the"Parties". RECITALS WHEREAS, the parties hereto did on May 18, 2022, enter into an Agreement to replace and install new playground equipment and the accompanying poured rubber surfacing in the Children's Playground area of the Key Largo Community Park (Park), to improve the use and enjoyment of the Park by Monroe County residents and tourists visiting the Key Largo area (hereinafter"Original Agreement"); and WHEREAS, this Agreement will continue utilizing cooperative purchasing and pricing under a competitively bid solicitation by the City of Charlotte, North Carolina, a North Carolina municipal corporation, dated January 25, 2017, for Playground Equipment, Outdoor Fitness Equipment, Surfacing, Site Accessories and Related Products and Services. The City of Charlotte subsequently entered into Contract No. 2017001134, as amended, with PlayCore Wisconsin, Inc., d/b/a GameTime, effective July 1, 2017, to June 30, 2024; and WHEREAS, the City of Charlotte, on behalf of itself and other states, local governments, school districts, and higher education institutions in the United States of America, and other government agencies and non-profit organizations, hereinafter referred to as "Participating Public Agencies," competitively solicited and awarded the Contract to PlayCore Wisconsin, Inc., d/b/a GameTime and entered into Contract No. 2017001134, with the City of Charlotte acting as the "Contracting Agent" for the Participating Public Agencies, hereinafter "City of Charlotte Contract No. 2017001134." GameTime shall then thereafter negotiate and contract with each Participating Public Agency concerning the placement of its own orders, purchase, contracting, payment, and all other matters related to its access to the underlying Contract No. 2017001134 and any subsequent contract entered into between the COUNTY and CONTRACTOR; and WHEREAS, Contract No. 2017001134 between the City of Charlotte and GameTime became effective on July 1, 2017, and was recently renewed in Amendment No. 11, with a current expiration date of June 30, 2024, with one (1) remaining optional extension of an additional two-year term to June 30, 2026; and WHEREAS,the COUNTY as a Participating Public Agency is registered as a participant and assigned Omnia Partners membership number 5322446, which allows it to access the reduced pricing and purchase under City of Charlotte Contract No. 2017001134; and WHEREAS, under said City of Charlotte Contract No. 2017001134, a National Network of Distributors and Installers are assigned to certain sales territories by states as shown on Exhibit C to City of Charlotte Contract No. 2017001134; and WHEREAS, GameTime, through Dominica Recreation Products, Inc., a National Distributor and Installer, is assigned the territories of Florida, Georgia, and Tennessee; and WHEREAS, the Original Agreement ("Agreement") term was for one (1) year to terminate on May 17, 2023; and WHEREAS, on May 17, 2023, the Parties amended the Original Agreement and extended the termination date to June 30, 2024, and added additional scope and services at the following County properties: • Friendship Park • Key Largo Community Park • Old Settlers Park • Blue Heron Park • Big Pine Key Community Park • Big Coppitt Volunteer Fire Department Park • Wilhelmina Harvey Park hereinafter referred to as "ADDITIONAL PARKS" and the additional scope and services as defined in composite Exhibit A of the First Amendment to the Original Agreement; and WHEREAS, the COUNTY owns and maintains the Harry Harris Park located at 50 E. Beach Rd., Tavernier, Florida, hereinafter referred to as "HARRY HARRIS PARK". There is an area of HARRY HARRIS PARK which has been designated as a Children' s Playground area; and WHEREAS, the COUNTY desires to add Harry Harris Park to the ADDITIONAL PARKS as defined in the First Amendment to the Original Agreement and to amend the composite Exhibit A to add A-9, Harry Harris Park; WHEREAS, COUNTY and CONTRACTOR find this Agreement to be mutually beneficial and desire to amend the original contract; NOW, THEREFORE, IN CONSIDERATION of the mutual promises and covenants contained herein, it is agreed as follows: 1. Recitals. The foregoing recitals are true and correct and are hereby incorporated into this Second Amendment by this reference. 2. Paragraph 2.1. Paragraph 2.1 of the Agreement is amended to insert and add the following: A-91 The CONTRACTOR shall commence work on the services provided for in this Agreement promptly upon its receipt of a written notice to proceed from the COUNTY. 3. Paragraph 7.1. Paragraph 7.1 shall be modified by adding new section 7.1.9 as follows: 7.1 COMPENSATION BASED ON SPECIFIED RATES Total Compensation to CONTRACTOR under this agreement for installation of playground equipment, fitness equipment and/or pour-in-place rubberized surface shall not exceed the work herein. The COUNTY shall review and approve the work completed at each Project phase. 7.1.9 The COUNTY shall past e CO T CT in accor ante with Ex iit "A-9" in current funds for the CONTRACTOR' based on the co Total Estimated Not to Exceed Amount of Three Hundred 4. No Further Modification. Except as set forth in this Second Amendment, all the terms and provisions of the Original Agreement, as first amended on May 17, 2023, shall remain unmodified, in full force and effect, ratified and confirmed. In the event of a conflict between the Original Agreement, as amended on May 17, 2023 and this Second Amendment, this Second Amendment shall control. Effective as of the date hereof, all references to the Agreement shall refer to the Original Agreement, as first amended on May 17, 2023, and this Second Amendment. 5. Miscellaneous. This Second Amendment shall be binding upon and inure to the benefit of the Parties, and their respective heirs, personal representatives, agents, successors, and assigns. No additions or modifications of any term or provision of this Second Amendment shall be effective unless set forth in writing, signed by the Parties. 6. Construction. This Second Amendment has been carefully reviewed by each of the parties. Therefore, this Second Amendment is not to be construed against any party on the basis of authorship. 7. Representation of Authority. Each individual executing this Agreement on behalf of a Party hereto hereby represents and warrants that he or she is, on the date he or she signs this Agreement, duly authorized by all necessary and appropriate action to execute this Agreement on behalf of such Party and does so with full legal authority. 8. Counterparts. This Second Amendment may be executed in two or more counterparts each of which shall be an original but all of which shall constitute one instrument. An executed facsimile copy or e-mail delivery of a ".pdf' format data file shall be an acceptable form of acceptance of this First Amendment and shall be considered an original for all purposes. [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] [SIGNATURE PAGE TO FOLLOW] IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and year vr.:.,,4:!rst above written. AP' V 0"?:" v " BOARD OF COUNTY COMMISSIONERS 01Q��j( �' \\ ivm1174 MADOK, CLERK OF MONROE COUNTY, FLORIDA uNry By: As Deputy Clerk ayor Date: q 120) Zo23 APPROVED AS TO FORM&LEGAL SUFFICIENCY Mo c unty Attorney's Office 0 l,U D..) 08/30/2023 thalia Mollies Archer Ass tent County Attorney Witnesses for CONTRACTOR.. CONTRACTOR: PlayCore Wisconsin,Inc.d/b/a GameTime Signature ;g atu of person authorized to legally bind the Corporation Date: VS3./2% Date: 08/31/2023 Rob Dominica Print Name Address: 150 Playcore Drive SE Signature Fort Payne,AL 35968 OCI - 1- 407-331-0101 Date Telephone Number • N 1- rn • :mac; en cp rn anti :71,7 G Exhibit A-9 GameTime 08/23/2023 c/o Dominica Recreation Products,Inc. Quote# P.O.Box 520700 105389-01-08 Longwood,FL 32752-0700 800-432-0162"407-331-0101 Fax:407-331-4720 Harry Harris Park with T Swing & Whirl (Revision 2) OMNIA Breakdown BOCC Monroe County Ship to Zip 33040 Attn:Suzi Rubio 1100 Simonton Street Key West,FL 33040 Phone:305-453-8788 Rubio-Suzanne@MonroeCounty-FL.gov lllllrlllll�l "' �. M I�a�vn i i�'„�r�ir.�isu�rl li:,,:q��arOr.. cr� nll,a„v,,r,i1i Ord ioi,,:'i,nVV°,ctii�ci°r. t�aun,llwnin•ir',i rr^nll�a.�i., Ill:rdln P.a�i /41���w°°�, a °.,,1`ur;li�ai.ai.u°r'iiur�u�u i°u�~i°rman~��V gym:,a°rti M.c.i4:r:i,i���niltiu��;�c:rlC,nNl p�ulrr„.trc un eigw � lin �Ir���'foi,"'flc.+ur31u'R,Vci!;ij �r¢r�ri�,i uutilli4'in r, i1c. ;.,u�,��, �and staging u'uiuuill°ei ient, Sile access and tl:�gurg au:a inust.ll)n Ir)io ided I,„r;r m nei Q1M,e 11::701"`a V',1011 111(,IlUde siiA ia°.nro➢aceiiro nrt 268 Curb GT-Impax-Concrete Curb(In.ft.)- $38.54 $10,328.72 4"Wide-Not Reinforced 4150 Concrete GT-Impax-Concrete Sub-Base(sq.ft.) $8.41 $34,901.50 4150 Poured- GT-Impax-Poured Rubber Surfacing-8'fall height- $27.93 4.40 $26.70 $110,805.00 8 50%Standard Color-Aromatic Binder-3.5"Thick with 1/2"EPDM wear course cap-5-year warranty Includes 100 If Beige/Black Baseball Stitches 1 6372 GameTime-Spin With Me nth Handle) $6,995.00 28.00 $5,036.40 $5,036.40 1 P831 GameTime-TSwing(Painted),31/2"Od $1,563.00 3.00 $1,516.11 $1,516.11 1 SS8910 GameTime-Belt Seat 3 1/2"/8'W/Clevis $413.00 16.00 $346.92 $346.92 1 SS8558 GameTime-3 1/2"Zero-G Chair(5-12)-Stainless $837.00 6.00 $786.78 $786.78 1 Sealed 5-Star Plus-Signed/Sealed FBC 2020 7th Ed Building Code Drawings $1,250.00 $1,250.00 1 INSTALL 5-Star Plus-Five Star Plus Playground Installation Services- $54,600.00 $54,600.00 Performed by a Certified Installer,includes meeting and unloading delivery truck,signed completion forms,site walkthrough,and 3-Year Labor Warranty! 1 INSTALL 5-Star Plus-Building Permits- $6,000.00 $6,000.00 Estimated Costs of Permits plus Time.If actual permit fees are significantly higher or lower,final invoice will be adjusted accordingly. if additional time spent acquiring permits,due to lack of information from owner final invoice to be adjusted. Survey 6 Siteplan are to be provided by the owner for the permit application. Correct legal address will be required. 1 90254 GameTime-5'Leaning Wall Climber $2,481.00 32.25 $1,680.80 $1,680.80 4 10768 GameTime-Toad Stool Seat $627.00 28.00 $451.44 $1,805.76 1 26059 GameTime-4 Way X-Pod Step $2,015.00 32.25 $1,365.10 $1,365.10 tl 26071 GameTime•Symmetric Climbing Wall Attachment $2,123.00 32.25 $1,438.27 $1,438.27 1 26078 GameTime-Arched Loop Ladder Overhead $995.00 32.25 $674.08 $674.08 1 26079 GameTime-Inverted Loop Ladder Overhead $995.00 32.25 $674.08 $674.08 1 26082 GameTime-Trapeze Ring Overhead $1,691.00 32.25 $1,145.60 $1,145.60 QMNIA . AK1rw Q$ Page 1 of 4 ,w.. ;PIN, r GameTime 08/2312023 c/o Dominica Recreation Products, Inc. Quote# P.O.Box 520700 105389-01-08 Longwood,FL 32752-0700 800-432-0162*407-331-0101 Fax:407-331-4720 wN)Y.pNYdrjj!i1.com Harry Harris Park with T Swing & Whirl (Revision 2) OMNIA Breakdown 1 26088 GameTime-Tri Ladder $700.00 32.25 $474.23 $474.23 18 26094 GameTime-Triangular Shroud $93.00 32.25 $63.00 $1,134.09 1 26107 GameTime-Vertical Rock Climber $4,148.00 32.25 $2,810.15 $2,810.15 2 26113 GameTime-Single Rock Upright W/Rock Step $1,036.00 32.25 $701.86 $1,403.72 2 26121 GameTime-90 Deg 3 Way X-Pod Step $1,951.00 32.25 $1,321.74 $2,643.49 1 26143 GameTime-90 Deg 2 Way X-Pod Step $2,064.00 32.25 $1,398.30 $1,398.30 1 26146 GameTime-Cruise Rails $1,434.00 32.25 $971.49 $971.49 1 26152 GameTime-Therapeutic Rings(Link) $2,598.00 32.25 $1,760.07 $1,760.07 1 26167 GameTime-5'-0"Connectscape Climber $1,207.00 32.25 $817.71 $817.71 6 80000 GameTime-49"Sq Punched Steel Deck $1,425.00 32.25 $965.40 $5,792.37 1 81669 GameTime-Hand Cycler $1,072.00 32.25 $726.25 $726.25 1 81670 GameTime-Crunch Bar $144.00 32.25 $97.56 $97.56 1 90106 GameTime-4'-6'75'Schooner Climber $649.00 32.25 $439.68 $439.68 1 90157 GameTime-Triple Slide $6,142.00 32.25 $4,161.02 $4,161.02 2 90266 GameTime 8'Upright,Alum $503.00 32.25 $340.77 $681.54 3 90269 GameTime-11'Upright,Alum $665.00 32.25 $450.52 $1,351.55 4 90270 GameTime-12'Upright,Alum $721.00 32.25 $488.46 $1,953.82 3 90271 GameTime-13'Upright,Alum $773.00 32.25 $523.68 $1,571.05 1 90282 GameTime-6'Quick'S'Tube Slide,Std,30"D $5,017.00 32.25 $3,398.87 $3,398.87 1 90306 GameTime-Climber Archway W/Socket&Barrier $843.00 32.25 $571.11 $571.11 1 90336 GameTime-Climber Offset Archway W/Barrier $648.00 32.25 $439.00 $439.00 1 90366 GameTime-Sloped Funnel Climber W/Barrier $3,286.00 32.25 $2,226.17 $2,226.17 1 90369 GameTime-River Rock Climber $1,721.00 28.00 $1,239.12 $1,239.12 1 90510 GameTime-6'Dueling Wave Zip Slide,Std Dk $4,038.00 32.25 $2,735.63 $2,735.63 1 90574 GameTime-Scramble Up(6-6"&6-0") $1,679.00 32.25 $1,137.47 $1,137.47 1 90639 GameTime-Spiral Climber(5'-0"&5'-6") $1,150.00 32.25 $779.09 $779.09 1 90701 GameTime-Double Entrance Wilderslide li $2,025.00 32.25 $1,371.88 $1,371.88 2 90704 GameTime-Left Curve Section Wilderslide li $863.00 32.25 $584.66 $1,169.31 2 90705 GameTime-Right Curve Section Wilderslide li $863.00 32.25 $584.66 $1,169.31 2 90706 GameTime-Exit Section Wilderslide li $862.00 32.25 $583.98 $1,167.96 2 90709 GameTime-Support Wilderslide li $271.00 32.25 $183.59 $367.19 1 91119 GameTime-Play Port Bridge $6,768.00 32.25 $4,585.12 $4,585.12 4 91209 GameTime•Climber Entryway-Barrier $825.00 32.25 $558.91 $2,235.65 2 91334 GameTime Climber Offset Entryway(Barrier) $611.00 32.25 $413.93 $827.87 AawQMNIA I N S Page 2 of 4 1 U GameTime 08/23/2023 Go Dominica Recreation Products,Inc. Quote# P.O.Box 520700 105389-01-08 Longwood,FL 32752-0700 ft �dr< ti ui b:t � w 800-432-0162'407-331-0101 Fax:407-331-4720 Ww' .III':ml 7 in°pn.ircn°un Harry Harris Park with T Swing & Whirl (Revision 2) OMNIA Breakdown 2 91542 GameTime-15'Square Canopy $10,855.00 16.00 $9,118.20 $18,236.40 1 91682 GameTime-WeaveAround $5,999.00 32.25 $4,064.15 $4,064.15 1 91719 GameTime-Modem Transfer w/Barrier 4'Rise $7,949.00 32.25 $5,385.21 $5,385.21 1 91741 GameTime-Tic-Tac-Toe Panel $2,059.00 32.25 $1,394.91 $1,394.91 1 G90269 GameTime••• 11'Upright,Galy $691.00 32.25 $468.13 $468.13 9 G90270 GameTime-12'Upright,Galy $746.00 32.25 $505.39 $4,548.54 Sub Total $324,061.31 Freight $14,897.41 This quote was prepared by Tina Wilson,Vice President/Senior Project Manager. For questions or to order please call-800-432-0162 ext. 101 giD a a�,g .0 fl.12 2.,c.aam All pricing in accordance with Omnia Partners/U.S.Communities Contract#2017001134. All terms in the Omnia Partners/U.S.Communities Contract take precedence over terms shown below. For more information on the Omnia Partners/U.S.Communities contract please visit.011Trp,tm,•pt;1„_II",;!air,;9;g;taa,•,•,Ifs•umlg�•Il,i-... g ll:�:o uniieTourr;• Permits are not included in cost,unless specifically listed in pricing. If permits are required Signed/Sealed drawings are needed and are also not included unless specifically listed in pricing.Any costs for muncipal permits,paid by installer,will be charged back to the owner.Adding permits to any job will increase the length of completion,expect total time to be about 150 dayq,after receipt of Site Plan from owner/customer(this is not due to manufacturing but rather the permit process at the muncipality level).It is expected that the owner will provide approved site plans of the area for the permit office,and will help and assist in the securing of all required approvals before assembly of equipment can begin.Installer cannot provide site plans. The permit process can not begin until aRpmRriate and current site plans are Rrrovided by owner. If there are no current surveys or site plans available,the owner may be required to obtain a new survey for the permit. This is the responsibility of the owner to obtain. If additional permitting requirements are needed during the process,those will be added and billed accordingly,i.e.soil density test,formed footers, etc. Payment Terms:Governmental Purchase Order. Purchases in excess of$1,000.00 to be supported by your written purchase order made out to GameTime. Net 30 days subject to approval by GameTime Credit Manager.A completed Credit Application and Bank Reference Authorization,must be received with the order.The decision on credit is the sole discretion of GameTime/PlayCore.A 1.5%per month finance charge will be imposed on all past due accounts. Multiple Invoices:Invoices will be generated upon services rendered. When equipment ships it will be invoiced seperately from installation and/or other services. Terms are Net 30 for each individual invoice. This Quotation is subject to policies in the current GameTime Park and Playground Catalog and the following terms and conditions.Our quotation is based on shipment of all items at one time to a single destination,unless noted,and changes are subject to price adjustment. Pricing:Firm for 60 days from date of quotation. Shipment:F.O.B.factory,order shall ship within 120 days after GameTime's receipt and acceptance of your purchase order,color selections, approved submittals,and receipt of payment. Taxes:State and local taxes will be added at time of invoicing,if not already included,unless a tax exempt certificate is provided at the time of order entry. Exclusions:Unless specifically discussed,this quotation excludes all sitework and landscaping;removal of existing equipment;acceptance of equipment and off-loading;lift gate delivery;storage of goods prior to installation;security of equipment(on site and at night);equipment assembly and installation;safety surfacing;borders;drainage;signed/sealed drawings;or permits. - T 9 Y g 9 n g Page 3 of 4 '-; GameTime 08/23/2023 cto Dominica Recreation Products,Inc. Quote# CI�F_BM�Olm�e) P.O.Box 520700 105389-01-08 Longwood,FL 32752-0700 OP E conpi""y 800-432-0162*407-331-0101 Fax:407-331-4720 lyvinmil:ioril Harry Harris Park with T Swing & Whirl (Revision 2) OMNIA Breakdown Installation Terms:Shall be by a Certified Installer.The installer is an independent installer and not part of PlayCore,GameTime,nor Dominica Recreation Products. If playground equipment,installer will be NPSI and Factory Trained and Certified. Unless otherwise noted,installation is based on a standard installation consistent with GameTime installation sheets and in suitable soil with a sub-base that will allow proper playground installation. Drainage is not part of our scope of work unless otherwise noted. Customer shall be responsible for scheduling and coordination with the installer. Site should be level and allow for unrestricted access of trucks and machinery. Customer shall also provide a staging and construction area. It�slaller rin[ respol�F�b Ile�01.&�xj relillaceine i,iit or�Jainaqe to access path and staging aii ea Customer shall be responsible for unknown conditions such as buried utilities,tree stumps,rock,or any concealed materials or conditions that may result in additional labor or material costs. Customer will be billed hourly or per job directly by the installer for any additional costs that were not previously included. Unitary Surfacing Notes:The installer of the Unitary Surfacing(Poured,Bonded,Turf,Tiles)is not the same installer of the playground equipment. However,your certified equipment installer will coordinate the timing of the unitary surfacing installation,but more than likely they will not be on-site at the time.They will continue to be your contact should you have any questions.Security is needed to protect surfacing at night or after installation as the product set.Normally it is not needed or a concern,however in some areas additional security is needed to prevent vandalism.12puft s not Included. Vandalism will be the responsible of the owner. ORDER INFORMATION Bill To:............... Ship To:....................... ........... Contact: Contact: Address: Address: Address: Address: City,State,Zip: City,State,Zip: Tel:, Fax: Tel: Fax: SALES TAX EXEMPTION CERTIFICATE#: (PLEASE PROVIDE A COPY OF CERTIFICATE) Acceptance of guo tion: Accepted By(printed): ......................... P.O.No: Signature: Date: ......................................... Titie: ............. Phone: .................... E-Mail: Purchase Amount:$338,958.72 OMNIA Page 4 of 4 (MMID A�® CERTIFICATE OF LIABILITY INSURANCE D08/03/2023DIYYYY) 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 Brenda Young-Epps MARSH USA,LLC. NAME' Two Alliance Center AICO No, o Ext:NE (404)995 3074 (FAX No): 3560 Lenox Road,Suite 2400 E-MAIL brenda.youngepps@marsh.com Atlanta,GA 30326 ADDRESS: Attn:Atlanta.CertRequest@marsh.com/Fax:212-948-4321 INSURER(S)AFFORDING COVERAGE NAIC# CN 1 02326389-CAS-GAUWX-23-24 INSURER A:Evanston Insurance Company 35378 INSURED PlayCore Wisconsin,Inc. INSURER B:Continental Casualty Company 20443 Dba GameTime INSURER C:American Casualty Company Of Reading,Pa 20427 150 PlayCore Drive SE INSURER D:Transportation Insurance Cc 20494 Fort Payne,AL 35967 19445 INSURER E:National Union Fire Ins Co.of Pittsburgh PA INSURER F:The Continental Insurance Company 35289 COVERAGES CERTIFICATE NUMBER: ATL-005433040-07 REVISION NUMBER: 4 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 IN D WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY A X COMMERCIAL GENERAL LIABILITY X MKLV2PBC002028 08/01/2023 08/01/2024 EACH OCCURRENCE $ 2,000,000 DAMAGE T CLAIMS-MADE 1XI OCCUR PREM SESOEa occurrDence $ 100,000 X SIR$250,000 Per Occ. APPROVED BY RISK MANAGEMENT MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: DATE 8/29/2023 GENERAL AGGREGATE $ 4,000,000 POLICY PE� LOC WAIVER N/A YES PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: POLICY AGGREGATE $ 10,000,000 B AUTOMOBILE LIABILITY BUA7039895527 08/01/2023 08/01/2024 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 Comp./Coll.Ded.:$1,000 $ X UMBRELLA LIAB X OCCUR 7039984806 08/01/2023 08/01/2024 EACH OCCURRENCE $ 10,000,000 EXCESS LAB CLAIMS-MADE RETENTION Umb Catastrophe$25,000 AGGREGATE $ 10,000,000 DED X RETENTION$0 $ C WORKERS COMPENSATION WC 7 39895530 08/01/2023 08/01/2024 X IPER OTH- AND EMPLOYERS'LIABILITY STATUTE ER C YIN WC739895544 08/01/2023 08/01/2024 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ D OFFICER/MEMBER EXCLUDED? NIA WC 39919971 08/01/2023 08/01/2024 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 O If yes,describe under WC 7 39929062 08/01/2023 08/01/2024 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E Excess Umbrella 019356229 08/01/2023 08/01/2024 Each Occurrence 15,000,000 Aggregate 15,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: All Jobs Monroe County BOCC and Monroe County Sheriff's Office are listed as additional insured as their interests may appear,during and until completion of the referenced project,on a primary and non-contributory basis v attached CG 2010,when required by written contract. A Waiver of Subrogation applies in favor of the additional insured on the Workers Compensation policy,when required by written contract. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West,FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA LLC @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102326389 LOC#: Atlanta ACOOR 0 ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA,LLC. PlayCore Wisconsin,Inc. Dba GameTime POLICY NUMBER 150 PlayCore Drive SE Fort Payne,AL 35967 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers'Compensation(Continued): Carrier:Transportation Insurance Company Policy Number:WC 7 39918885 Dates:08/01/2023-08/01/2024 WC 7 39895530-AL,AZ,CA,CO,FL,GA,IL,IN,KY,MI,MN,MO,NV,NY,OK,OR,PA,SC,TN,TX,UT,VA WC739895544 -CA,CO,FL,GA,IL,IN,MI,MN,MO,MT,NC,NM,NV,NY,OK,OR,PA,SC,TN,TX WC 7 39919971-AZ,OR,WI WC 7 39918885-OH,NO,WY,WA ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD