1st Amendment 12/13/2023 Kevin Madok, CPA
rJ/I� (Fpri
(clerk of the Circuit Court& Comptroller.-. Monroe County, Florida
DATE: December 1 t3, 202,3
TO: Ju(lit.lr CIark.e, I)E, 17ire'dor•
I.rr,gineering/Roacls& Brie gcs
ATM: '1,0er jackscrn
Project Manager
FROM: I'arncla G. Ilarrcoc .C'.
SUBJECT: December 13" 110C'C, Meeting
Attaclrecl is an electronic copy ol'c:,aclt of tlrc following;items 1,01-your ltanclling•.
CI (lUilicalion of) Amendment 1 to lbe contract between Monroe County and
K.isinger Campo& Associates lot- Engincceriiig Design arrcl Perrrritting;Services fr>r• Mosquito Creek
BrI(Ige, Replaceiricnt 1'rgjccet in the amount of 32,720,42 for aciclitional soil borings anc,1
geotcclrrrical investi�<a ion ol"bridge approaches. Anrcnclnrent I was approval by County
Acbrrirtist:ralor on November 21, 2023.
Cl (13ati1ic:aliorr of) Arncttclrnent I to the cmitract betweeir Monroe Comity and
K.isinger Campo & Associates for 1?11g-inecring Desigir and 1'ertnilting Services for"f"trbby's C"reek
Ericige Replacement Project in the amount of`$132,720.42 f6r aciclitiona.l soil borings and
geotecbnical investigwa icrn ol'briclge approaches. Anrenc3rncent: I was approved by County
Aclrninistratorr on November 21, 20213.
``Should you lravc any cpreslions please heel free to contact me at (305) 292-3550.
cc: County Attorney
1,inancce
laile
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
AMENDMENT 1 TO THE CONTRACT FOR ENGINEERING DESIGN AND PERMITTING SERVICES
BETWEEN MONROE COUNTY BOCC AND KISINGER CAMPCI AN F R H
MOSQUITO CREEK RIDGE REPLACEMENT PROJECT FPN 447770-1-38-01
THIS AMENDMENT 1 to the CONTRACT is entered into this 17th-dave Of Nov ber 023, between Monroe
County, whose address is 1100 Simonton Street, Room 2- 16 Key West, Florida 33040, hereafter the "COUNTY" and
Kisiner Campo and Associates,Corp.,whose address is 201 N. Franklin Street,Suite 400,Tampa, FL 33602, hereafter
referred to a "CONSULTANT",
WHEREAS, on the 15th day of November 2022, the parties executed a contract authorizing the Consultant to
perform Professional Services for the Engineering Design and Permitting Services for the Mosquito Creek Bridge
Replacement Project, for an estimated not to exceed amount of$759,002,22; and
WHEREAS, at the request of the Florida Department of Transportation and conforming to the Soils and
Foundations Handbook (2022), additional soil borings and geotechnical investigation of bridge approaches are
necessary to accommodate additional load of overbuild; and
NOW THEREFORE, in consideration of the mutual promises contained herein,the COUNTY and CONSULTANT
agree to amend Article II, Scope of Basic Services of the contract as follows:
Amend Article If Scope of Basic Services to add Mosquito Creek Bridge Replacement Project scope to include
coordination and completion of additional roadway borings and geotechnical analysis of the supplemental information
for the roadway reconstruction portion of the Mosquito Creek bridge replacement in the estimated not to exceed amount
as set forth in Attachment A of$32,720,42, revising the total estimated not to exceed amount to$791,722.64.
Amendment 1 Task
KCA Project Management $3,687,92
Subconsuitant Tierra South Florida Geotech
TOTAL $32,720.42
'The costs are a maximum not to exceed amount based on KCA hourly contract rates and subconsultant's
lump sum amounts.
This AMENDMENT 1 is effective November 17,2023.
In all other respects,the Contract approved November 15,2022, BOCC, remains in full force and effect.
In WITNESS WHEREOF,each party hereto has caused this contract to be executed by its duly authorized
representative.
BOARD OF COUNTY COMMISSIONERS OF Kissinger Campo and Associates, Corp,
MONROE COUNTY, FLORIDA Consultant
BY, "
....._.�. Mayor%Chairma.n.....m.�a......__..._......._...�... BY: .�.._..��.M._..w....�........._.�:�..
Paul G. Foley, P.E.
TITLE:. CEO/1 rgs�io �nt ......_.... .............. _..,.,.
MONROE COUNTY M.TYOdC.NEY
/'�`ppF" 0.M`T'NY�ti4".E pi M�P Ck YV;bO'& R.
Obq&&HBe"R M 141E N I VvTB IR Y.T,M,ryE,R¢'4'WW4S
DMPF 11121123 _ The foregoing instrument was subscribed and
sworn to(or affirmed) before me, by means
of W physical presence or 11 on fine
(SEAL) 1)�0.t r
Attest: KEVIN MADOK, Clerk this-.-.-day, of o, ���2023„ by
1
VWho to me
isrsonally known .... .a. .
arty C l rk or Who( ) produced a driver's license as
identification.
DATE: n.. � t_1. ,. .� .._...��........�....�_... ._ ,M.�
PJGTA (�UBLkC, STATE C7t l_C)RIDA
Print, type of stamp commissioned name of notary
MC NRC),F,GG TY
_ JOLIE RJ
BY: C�dun "" drain
W Na4s Public,state of-�,c(U ys ratof r Designee
Commission Na GG983774
DATE:—November 21, 2023
' + ,ommissuon Expires 05/OY2024
Ratified by the Board of County Commissioners on December 13 , 2023.
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November 13, 2023
Tyler Jackson
PrQIectMunagur
||00 Simonton Street
Key West,Florida 33040
PrqectDeycdpdon: Mosquito Creek Bridge Replacement P co{(E|ddgc #904984)
Re: Amendment No. | -Additional Roadway E|odngm and []co{cohniou|Analysis
Dear Mr. Jackson:
Kisinger Campo &Associates (KCA) is pleased to submit this Scope of Services and Fee Estimate for the
above referenced prQlect. This amendment will consist ofthe coordination and completion ofadditional
roadway bonings and geotechnical analysis of the supplemental information for the roadway reconstruction
portion of the Mosquito Creek E|ddgu rupiaoeznunL Tasks will include coordination and *co{
management, geo\ ohnicaJroadp/uy6onincy, and additional gco{cohniod unxk/mim. For additional scope
details, see the attached Scope of Services and Fee Sheets.
We have estimated the iuvui of effort required for all engineering mcrviocm described above. Our {o{d
estimated lump sum fee amounts \o $32,72042. This fee includes all KCA efforts and sub-consultant
efforts, coordination, 0&/0C, supervision, ay well auexpenses. The fee estimate im based on hourly rates
which include our overhead. For a detailed description of the lump sum fee see the fee proposals attached.
We sincerely appreciate the opportunity to continue our working relationship with you on this *co{.
Please do not hesitate\o call rnuif you have any questions or need any additional information.
Best Regards,
Jason l.LaBarbera, P.E.
PrQlectMunugcr
File:l2o22.4l(uzA)
SUPPLEMENTAL SCOPE OF SERVICES
Project Description: Mosquito Creek Bridge Replacement
Monroe County,Florida
PURPOSE
The purpose of this Exhibit is to describe additional services (Geotechnical Analysis and
Borings) to the original scope of work agreed to between the COUNTY and the
CONSULTANT and amend the original contract with this supplement.
PROJECT MANAGEMENT AND SUPPORT
Project Management: The CONSULTANT shall provide additional services for the
review, submittal, and subsequent coordination for the geotechnical analysis and results.
This analysis is required by the Florida Department of Transportation District 6 office
and will require further coordination once the analysis is completed. The results of this
analysis will be presented to the COUNTY and FDOT to fulfill comments made during
the Phase II ERC review.
ROADWAY SUPPORT
Roadway Design and Plans: The CONSULTANT shall provide additional services to
implement any changes to the roadway portion of the plans based on the results of the
additional geotechnical analysis.
GEOTECHNICAL SUPPORT
Geotechnical Investigation and Reports: The CONSULTANT through our sub-consultant
Tierra SF, shall provide additional services as specified in the attached scope provided by
Tierra SF.
EXISTING SCOPE AND AMENDMENTS
All other tasks and scope are and will remain in effect for the project duration under the
current Agreement as well as contract language not modified or mentioned in this
amendment.
1
November 13,2023
FEE SUMMARY SHEET
Mosquito Creek Bridge Replacement - SA 1
KCA FEE
Project Management $2,138.76
Roadway $1,549.16
TOTAL $3,687.92
SUBCONSULTANT FEE
Geotech -Tierra South Florida $29,032.50
TOTAL $29,032.50
TOTAL DESIGN FEE
TOTAL DESIGN FEE $32,720.42
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November 8, 2023
Kisinger Campo & Associates (KCA)
201 N. Franklin Street, Suite 400
Tampa, FL 33602
Cell: (813)766-8626
Attn: Mr. Austin Black, P.E., Senior Project Engineer
email: ablackL&kcaen .c�om
RE: Geotechnical Services for Roadway Analysis
Mosquito Creek/Bridge#904987
Monroe County, FL
TSFGeo Proposal No. 2311-741
Dear Austin:
As requested, TSFGeo is pleased to submit this proposal for the above-referenced project. The
proposal is based on information provided to us. 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
All work performed by TSFGeo will be in general accordance with FDOT standards. Our scope
of work will consist of the following:
• Perform a total of six(6) Standard Penetration Test(SPT)borings to a depth of 20 feet below
existing grades on land for the bridge. Perform SPT sampling at 2.5-foot interval.
• Boring locations will be located in the field by TSFGeo personnel by using a hand-held GPS
and measuring distances with a tape from known-reference points. We recommend as-drilled
boring locations be surveyed.
• Prior to drilling, notify the local utility companies and request that underground utilities be
marked.
• Provide MOT as required to perform the field work.
• Perform soil classification and laboratory testing.
• Prepare and submit geotechnical report for the roadway.
2765 Vista Parkway,Suite 10®West Palm Beach,Florida 33411
61-687-8936*"rnatirw'i S 4,cbcr.. o n'a
State ofFInrrrIn Prrrfraccioranl 2RO73
Geotechnical Services for Roadway Analysis
Mosquito Creek/Bridge#904987
Monroe County,FL
TSFGeo Proposal No.2311-741
Page 2
Borings will be performed from the roadway if the side of the roadway is not accessible to our
truck mounted drill rig.
ESTIMATED FEES
It is proposed that the fee for the performance of the services outlined above is determined on a
lump sum price basis and that the work be performed pursuant to TSFGeo's General Conditions
enclosed herewith and incorporated into this proposal. On the basis of the proposed quantities,
our lump sum fee will be$29,032.50.
Our estimate covers the work needed to present our findings and recommendations in a formal
report. Not included are reviews of 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 and after utilities
are cleared. The fieldwork is expected to take about 2 days to complete, weather permitting. The
report can be submitted about 4 weeks after completion of the field exploration.Verbal preliminary
recommendations 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
Esvard J. Janvier Ramakumar Vedula, P.E.
Asst. Staff Engineer Principal Engineer
Attachments:
General Conditions
Site Location
Geotechnical Services for Roadway Analysis
Mosquito Creek/Bridge#904987
Monroe County,FL
TSFGeo Proposal No.2311-741
Page 3
AUTHORIZED BY: INVOICE TO:
Name: Firm:
"Title: Name:
Date: Address:
Phone :
Geotechnical Services for Roadway Analysis
Mosquito Creek/Bridge#904987
Monroe County,FL
TSFGeo Proposal No.2311-741
Page 4
TSFGeo's General Conditions
1. SCOPE OF WORK:Work means the specific geoteclurical,analytical,testing or other service to be performed by Tierra South Florida,Inc.(TSFGeo)as set forth in TSFGeo'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'refers to the person or business entity ordering the work to be done by
TSFGeo.Client shall communicate these General Conditions to each and every third party to whom Client traiusmits 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 any 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. RIGBT-OF-ENTRY-The client will provide right-of-entry for TSFGeo and all necessary equipment in order 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 course 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 and rock samples obtained for geoteclnical 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 the 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 agents.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 and testing by our film shall excuse him in any way for defects discovered in his work.It is
understood that TSFGeo will not be responsible for the Contractor's job 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 inaimer consistent with that level of care and 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 atthe location where borings,surveys or explorations are made by 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 of TSFGeo 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 ainum or at the maximum rate allowed by law from the date of the
invoice until same is paid.
10.1. If the Client fails to make any payment due to TSFGeo for service and/or expenses within 60 days of date of invoice,TSFGeo may,after giving seven days'written notice to Client,suspend services until all
outstanding amounts have been paid to TSFGeo in full.Further,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 returned 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 suits,including
reasonable attorney's fees,including but not limited to the trial and appellate levels.
10.3. 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 not 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 and hold TSFGeo
harmless from all liability including all costs,attorney's fees and expenses of defense for any claims by any other person or corporation which may arise out of the performance or breach of this contract for which
TSFGeo was not solely negligent
13. LIMITATION OF LIABILITY-The Client/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 acts,errors or omissions.
13.1. 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 Clients written request at the time of accepting our proposal provided
that Client agrees to pay an additional consideration of 5 percent of our total fee.The additional charge for the higher liability limits is because of the greater risk assumed and 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 under 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 indemnify and save client harmless from and against any loss,damage or liability arising from any negligent acts by TSFGeo,its 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 clients,its agents,staff and other consultants employed by it
14.2. 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 of termination,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 a 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 TSFGeo in completing such analyses,records and reports.
16. CLIENT'S OBLIGATION TO NOTIFY TSFGeo-Client represents 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 from all claims,suits,losses,costs and expenses,including reasonable attorney's fees as a result of personal injury,death or property damage occurring with respect to TSFGeo's performance of its work and
resulting to or caused by contact with subsurface or Latent objects,structures,lines 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,storer,transporter,treater or disposal facility as those terms appear
within RCRA or within any Federal or State statute or regulation governing the generation,transportation,treatment,storage and disposal of pollutants.
Initial
Geotechnical Services for Roadway Analysis
Mosquito Creek/Bridge#904987
Monroe County,FL
TSFGeo Proposal No.2311-741
Page 5
Site Location
Mosquito Creek
Wi atn sr descrlptim forpu rribp.
.. ur�' rmix• __
DATE(MMIDD/YYYY)
A�" CERTIFICATE OF LIABILITY INSURANCE
09/20/2023
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 CONTACT Vicky Van Wormer
NAME:
Brown&Brown of Florida,Inc. a/cNr o Ext: (727)461-6044 a/c,No): (727)442-7695
140 Fountain Parkway N E-MAIL Vicky.VanWormer@bbrown.com
ADDRESS:
Suite 600 INSURER(S)AFFORDING COVERAGE NAIC#
St.Petersburg FL 33716 INSURERA: The Charter Oak Fire Insurance Company 25615
INSURED INSURER B: The Travelers Indemnity Company of America 25666
Kisinger Campo&Associates,Corp.KCCS,Inc.,DBA:Campo& INSURER C: Travelers Property Casualty Company of America 25674
201 N Franklin St,Suite 400 INSURER D: Travelers Casualty and Surety Company 19038
INSURER E: Admiral Insurance Company 24856
Tampa FL 33602 INSURER F:
COVERAGES CERTIFICATE NUMBER: 23-24 Cert 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 MAYBE 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 POLICY EFF POLICY EXP
LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDreme $ 300,000
MED EXP(Any one person) $ 10,000
A Y Y P-630-8254A604-COF-23 10/01/2023 10/01/2024 PERSONAL&ADV INJURY $ 1,000,000
MOTHER
LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000
JECT: Employee Benefits $ 1,000,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
Ea accident
X ANYAUTO BODILY INJURY(Per person) $
B OWNED SCHEDULED Y 810-5N338364-23-43-G 10/01/2023 10/01/2024 BODI LY I NJ U RY(Pe r accide nt) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
Uninsured motorist $ 1,000,000
UMBRELLA LIAB X 20,000,000
OCCUR EACH OCCURRENCE $
C EXCESS LAB CLAIMS-MADE Y CUP-7J748484-23-43 10/01/2023 10/01/2024 AGGREGATE $ 20,000,000
DED I X1 RETENTION $ 10,000 $
WORKERS COMPENSATION X1
SPER TATUTE EORH
AND EMPLOYERS'LIABI LI TY Y/N SOO,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
D OFFICER/MEMBER EXCLUDED? N/A Y UB-007J070308 10/03/2023 10/03/2024
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000
If yes,describe under 500,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
Professional Liability-Architects& Per Claim 2,000,000
E Engineers E0000027205-09 10/01/2023 10/01/2024 Aggregate 2,000,000
Deductible 250,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Monroe County and FDOT are additional insured with respect to general liability,auto liability and umbrella liability.Endorsements available upon request.
Waiver of Subrogation applies to general liability and workers compensation&employers liability.Explosion,Collapse&Underground hazard included in
CGL.Sixty(60)day notice of cancellation applies,except for non-payment,which is ten(10)days. FOP SK T'
Monroe County—Mosquito Creek Bridge Replacement;KCA Contract#1202241.01 by DATE-1-1 2§—23— ---.
WA X —
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS.
1100 Simonton Street
AUTHORIZED REPRESENTATIVE
Key West FL 33040
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Additional Named Insureds
Other Named Insureds
Campo & Associates, PLLC Doing Business As
Campo & Associtates LLC
Campo & Associtates, PLLC
KCCS, Inc.
OFAPPINF(02/2007) COPYRIGHT 2007,AMS SERVICES INC
ADDITIONAL COVERAGES
Ref# Description Coverage Code Form No. Edition Date
Employee Benefits AGG
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
2,000,000
Ref# Description Coverage Code Form No. Edition Date
Rental Reinbursement
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref# Description Coverage Code Form No. Edition Date
PIP-Basic PIP
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Statutory
Ref# Description Coverage Code Form No. Edition Date
Medical payments MEDPM
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
5,000
Ref# Description Coverage Code Form No. Edition Date
Underinsured motorist combined single limit UNCSL
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
1,000,000
Ref# Description Coverage Code Form No. Edition Date
Experience Mod Factor 1 EXP01
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref# Description Coverage Code Form No. Edition Date
Increased employer's liability INEL
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref# Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref# Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref# Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref# Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
rOFADTLCV Copyright 2001,AMS Services,Inc.