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12/15-C8A EYW TWY A Extension & Mitigation time extension 02/05/2024 MASTER AGREEMENT FOR PROFESSIONAL SERVICES TASK ORDER FORM Effective Date Upon Execution Task Order No. 12/15--CA Client Project No. FAA#37-67 CC 630210 Engineer Project No. E9Y379C8 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 161', 2022 ("Agreement"). The Agreement is incorporated herein and forms an integral part of this Task Order. Services Authorized—EYW TWY A Extension and Mitigation—Construction Support and RPR Services (Time Extension) Time extension of additional 365 days. Pricing N/A Time and Expense per Agreement and Appendix B to the Agreement. X Firm Fixed Price of$— No Additiomd Funding N/A Other(Describe): Schedule Services may commence on Execution ut:ion Services will cease by days 73i9 Days 365 days Recommended by: Approved by: Director of Airports Date: 2.1.2024 A st,/County Adminstrator Date: 02/05/2024 CONSULTANT: JACOBS PROJECT MANAGEMENT CO Byi Jacqueline DN Icnl=Jacquelned lneJRosseo-SUS,. - o-a cobs Englneedng, Witness small=JacquellnamssQJawbs,com Title Director. :11 File: MSTR APS—Monroe County A A P1;10VE FOAM Page 1 of 1 µ „ AtTJMERCA tJ t:'l Cute 2 2/24 a couar Kevin Madok, 'CPA 'Clerk of the Circuit Court& Comptroller Monroe County, Florida. a�cooN DATE: December 7, 2021 TO: Belli Leto;Airports Business Manager, KWIA FROM: Pamela G. Hanco&t. SUBJECT: November 17'BOCC Meeting Attached is an electronic copy of the following item for your liandling: L4 Jacobs Project Management Co.'s Task Order No. 12/15-C8, in the amount of $945,098.00, for Construction Support and Resident Project Representative Services for die Taxiway A Extension Project at Key West International Airport.The Task Order is being funded by FAA Grant 37-67; FDOT Grant G1007; and Airport Operating Fund 404. Should you have any questions please feel free to contact me at(305) 292-3550. cc: County Attorney Finance File KEY WEST MARATHON PLANTATION KEY PK/ROTH BUILDING 500 Whitehead Street 3117 Overseas Highway 88820 Overseas Highway 50 High Point Road Key West,Florida 38040 Marathon,Florida 33050, Plantation Key,Florida 33076 Plantation Key,Florida 33070 305-294-4641 305-289-6027 305-852-7145 305-852-7145 MASTER AGREEMENT FOR PROFESSIONAL SERVICES TASK ORDER FORM Effective Date Upon Execution Task Order No. 12/15-C8 FDOT#G1007 CC 630196 and Client Project No. FAA#37-67 CC 630210 Engineer Project No. E9Y379C8 This Task Order is entered into on the effective date noted above pursuant to the "Master Agreement for Professional Services" between Monroe County, Florida ("Client") and JACOBS PROJECT MANAGEMENT CO. ("Consultant"), dated February 15,,2017 ("Agreement"). The Agreement is incorporated herein and forms an integral part of this Task Order. Services Authorized—EYW TWY A Extension and Mitigation—Construction Support and RPR Services Client authorizes Consultant to perform the Services described in Exhibit A attached hereto and incorporated herein; which Exhibit A is marked with the above noted Task Order No.and consists of 4_page(s). Pricing N/A Time and Expense per Agreement and Appendix B to the Agreement. X Firm Fixed Price of$ 945,098. N/A Other(Describe): Digitally signed by Pedro Mercado . ¢c DN:cn-Pedro Mercado, Schedule sue, =Monroe County, cu=CountyAttomeys ---> vices may commence on_Execution `orrice.email=mgrcpdo. : oxe ,pedropmonroKq.�nty:- n.gov;c=US e, e ill cease by 730 days Date.2021.10.1fj1,1•}33 -04'00' n J s� tlr BOARD OF COUNTY COMM&IONEAS EVIN MADOK, CLERK OF MONROE COUNTY,.FLOODA CD @O N�� 4ehCnnu _�c _ t �•n` C3 !'( By As Deputy Clerk Mayor/Chairman CONSULTANT: JACOBS PROJECT MANAGEMENT CO Jeffrey D. t Digitally signed by Jeffrey D.Acton DN:rnmlefirey D.Acton,o=lacobs IJPMco).ou, e� �1p Dipitnlyaipieloy Jecaugne Rma By Acton :;- tinatl=leffreyActon9Jacobsx=.c=US Jacqueline' DR en4)acq liG.Rog" c-U$ _1 Dale:2021.0927 I725:33.09'07 "Witness Rost" o o E .l Title S. Region PM/CM Services Group Leader File: MSTR APS—Monroe County Page 1 of 1 Exhibit A—Scope of Work ( 12/15-C8 Monroe County Key West International Airport Taxiway A Extension and Mitigation Construction Support and RPR Services SCOPE OF WORK Jacobs Project Management Co. (Jacobs) will provide construction support and resident project representative (RPR) services for the "Taxiway A Extension and Mitigation" project at Key West International Airport(EY". These construction services will provide the following: AssumPTIONS ■ Construction phase services are based on an anticipated duration of 365 calendar days of construction in field. In the event the construction duration exceeds the calendar days listed above, Jacobs reserves the right to revise our proposal. ■ Jacobs will invoice on a percent complete to compensate the level of effort required for each assignment. ■ All as-built drawings to be provided to Jacobs in electronic (AutoCad) format and hard copy (printed) format. ■ Construction Support services are based upon the following: 60 shop drawings/product submittals. Our assumption is 80% of submittals will be approved on the first review and 20%will require re-submittal for further review; respond to 30 Contractor RFI's. ■ This proposal and scope of services does not include transportation to mitigation site 2. ■ This scope of services and pricing is provided based upon and shall be performed under base agreement "Master Agreement for Professional Services 12/15". The Master Agreement for Professional Services is between Monroe County Florida and Jacobs Project Management Co. with an execution date of January 27, 2017 (together the base agreement Master Agreement for Professional Services 12/15 and any amendments thereto are defined as the "Agreement"). Notwithstanding anything to the contrary contained or referenced in this Scope of Services, the terms and conditions of the Agreement shall govern all staff augmentation under this Scope of Services. ■ Construction is anticipated to start in June of 2022. ARTICLE D—CONSTRUCTION ADMINISTRATION SERVICES 1. Prepare and issue conformed drawings for construction. 2. Prepare and issue construction contract to the awarded to bidder. Page I of 4 3. Issue a "Notice to Proceed,"on behalf of the Airport, to the Contractor. 4. Review the Contractors construction schedule. 5. Prepare for and attend the Pre-Construction conference. 6. Review all shop drawing submittals for conformance to the plans and specifications and respond to the CONTRACTOR and Airport with detailed summary of the applicability and acceptability of the shop drawing. 7. Respond to Contractors RFI's. 8. Attend site visits and bi-weekly progress meetings. Bi-weekly progress meetings will be attended virtually utilizing Microsoft Teams. Site visits will observe or in progress and provide reports to Owner. Assume fourteen (14) site visits throughout the course of the construction project (one per of for the PM/Civil and two additional visits for the Electrical Engineer). 9. Prepare construction management plan. 10. Prepare Field Sketches, as necessary. 11. Provide general supervision and administrative support for resident project representative (RPR). 12. Review and approve estimates submitted by the Contractor for progress/final payments. 13. Prepare and negotiate change orders, as necessary. Assume three change orders. 14. Attend final inspection meeting. 15. Review Closeout Documentation. 16. Review quality assurance testing results. 17. Prepare record drawings and provide hardcopies and electronic files to the Airport. 18. Prepare and submit FAA closeout documentation and prepare and process final change order. 19. Obtain as-built data and convert to GIS format. 20. Upload GIS format to FAA's AGIS website. 21. Coordination with the county to establish conservation easement for both two mitigation sites. Services for Article D will be provided under a lump sum basis. AMENDMENT TO ARTICLE E - RESIDENT PROJECT REPRESENTATIVE (RPR)and ENVIRONMENTAL SUPPORT SERVICES 1. Attend pre-construction conference. Page 2 of 4 2. Coordinate and attend progress meetings with the contractor, Airport, and any other interested parties, as required prior to construction (e.g. Staging area coordination, setting up Contractors trailer.). 3. Provide full-time RPR services for the or associated with the project. The RPR's for the project shall have field experience in the type of work to be performed, be fully qualified to make interpretations, decisions, field computations, and have knowledge of testing requirements and procedures. The RPR shall be responsible for the following: • Checking of construction activities to ensure compliance with the plans and specifications. Inform the contractor and County of any work, which is in non-compliance. • Coordinate quality assurance tests and verify they have been performed at the frequency stated in the specifications. • Review certifications for confon-nance with the specifications. • Document quantities of materials used on the project by actual measurements and computations in a field notebook or computer printout retained in a folder. • Maintain a set of working drawings on the job site, which can be used to prepare "As-Built" drawings. • Review the test reports and certifications for conformance with the specifications and maintain a file for all reports and certifications. • Inform the County of deficiencies so corrections can be made, and retesting performed. • Jacobs does not have control over or charge of and shall not be responsible for construction means, methods, techniques, sequences or procedures of construction or for safety precautions and programs in connection with the work, since these are solely the CONTRACTOR'S responsibility under the contract for construction. • Jacobs shall make every reasonable effort to ensure that the CONTRACTOR completes the work in accordance with the current approved schedule and carries out the work in accordance with the contract documents. • Review close out documentation. • Review payment requests and certified payrolls from the contractor. • Maintain a diary, which will contain entries made and signed by the resident engineer. Each entry should include the following, plus any additional pertinent data: a. Date and weather conditions. b. Names of important visitors. c. Construction work in progress and location. d. Size of contractor's work force and equipment in use. e. Number of hours worked per day for contractor and subcontractors. Page 3 of 4 4. Quality Assurance Testing of Construction Materials will be provided by our subconsultant, Tierra South Florida. 5. O'Neal Surveying and Mapping will provide survey services to support the submission for the AGIS and the boundaries for the conservation easements to be established for the mitigation sites. 6. Sightline will provide on-site Quality Control for permanent airfield marking installation and measure reflectivity performance. 7. Perform Wetland Staking for: a. The site for the construction of the Taxiway A Extension and Service Road b. Mitigation Site No.1 c. Mitigation Site No. 2 8. Pre-construction wetland avoidance and nesting Bird Location. a. Confirm protection It count assessment for Monroe County mitigation. b. Identify and stake out Construction Avoidance Areas. 9. Mitigation Site Construction Inspections that include: a. Review Plant Source, Condition and Placement b. Inspection of Mitigation Sites. Assume a total of 3 site visits. c. Provide a mitigation completion inspection report. 10. It is anticipated that agency staff (USACE, SFWMD, or Monroe County) will conduct periodic inspections of the construction/impact site at the Airport and/or inspections of the mitigation areas atTBK and HMS. It is assumed that three(3)agency coordination site visits cannot be scheduled in conjunction with other tasks, so three (3) agency coordination site visits (trips) are included in this task. Miscellaneous coordination with agency staff re: status of construction or compliance with also be provided. 11.Attend final inspection and create punch list. 12.Attend follow up site visit to confirm completion of punch list items. 13. Post construction mitigation site inspection for mitigation sites 1 and 2. Assume a total of 3 site visits. 14. Provide 1 year follow up inspection and monitoring of mitigations sites 1 and 2. This or shall be performed prior the expiration of the 1-year warranty period. Services for Article E will be provided under a lump sum basis. Page 4 of 4 JACOBS ENGINEERING GROUP JOB HOUR AND FEE ESTIMATE Monroe County Airport: Key West International Airport Project: Taxiway A Extension and Mitigation-Construction Support and RPR Services FEE SUMMARY BASIC SERVICES Hours Fee DBEAMOUNT Article D:Construction Phase Services 928 $ 135,297 $ Article E:RPR Services 2,644 $ 462,074 $ Total Basic Services Lump Sum Fee 3,572 597,371 $ - SPECLAL SERVICES Hours Fee DBEAMOUNT Article E: RPR Services O'Neal Surveying and Mapping,Inc.-Survey $ 56,800 $ 56,800 Sightline $ 14,500 $ 14,500 Tierra-Gemechnical $ 105,514 $ 105,514 Birkitt Environmental Services $ 170,913 $ 170,913 Total Special Services Lump Sum Fee 0 $ 347,727 $ 347,27] TOTAL LUMP SUM PROJECT FEE 3,572 $ 945,098 $ 347,727 a a tar I BIRKITT ENVIRONMENTAL SERVICES, INC, wwwt .bvrkstt.com >. July 7, 2021 Chris Bowker Jr., P.E. Jacobs 200 W. Forsyth St., Suite 1520 Jacksonville, FL 32202 Project Name/Location: Key West InteiAirport Taxiwayi Biological Construci r i s bid package) -Corrected Dear Mr. Bowker, irkitt Environmental Services, Inc. ( irkitt) is pleasedto submit this proposal to perform environmental services to support construction oversight of the proposed Taxiway Extension project at the Key West International Airport ( pursuant i documentsn Ins dated 6/10/21. See below for the proposed c a of Services for support for construction of the proposedconstruction /impact site at EYW and the mitigation sites at Tarpon Belly and the Hawk MissileSite: Construction/impact Site at Airport (Temporary er anent Impacts) • 0.38 ac. temporary l impact and 1.98 ac. permanent wetlands impacts Mitigation is c TBK (North South) • 3.26 ac HMS (full site) • Assume 1 year project duration Task 1.0 CONSTRUCTION OVERSIGHT DOCUMENTATION AND MEETING Birkift will review r it and construction bid requirements to pr r n environmental project task I schedule in coordinationi Jacobs to provide internal guidance and documentation Jacobs and contractor. Birkitt will be available to answer standard 126 31d Ave North,Suite 104 Safety Harbor,FL 34695 Tel:( 13)2 1085 Birkitt Environmental Services, Inc. EYW TW A Biological Construction Oversight Support Proposal CORRECTED July 7, 2021 questions or provide basic guidance re: permit conditions. A kick off meeting and construction team meeting on site is included for this scope and will include guidance on permit and bid compliance requirements. (2 people). Task 2.0 PRE-CONSTRUCTION WETLAND and IMPACT LIMITS STAKING AND NESTING BIRD LOCATIONS Birkitt will confirm the boundaries of wetlands and impact areas are staked properly (contractor to stake wetlands based on survey). • Wetland Staking— Impact Site Confirm wetland and impact area staking for temporary and permanent impact areas • Wetland Staking and Bird Nesting Area Avoidance—Tarpon Belly Keys Confirm wetland staking and marking of avoidance areas for nesting it locations provided by GWHWR. • Wetlands Staking — Hawk Missile Site 0 Confirm wetland staking. Task 3.0 PRE-CONSTRUCTION WETLANDS AVOIDANCE AND PROTECTED PLANT SPECIES Prior to construction, Bit ft will confirm the protected plant count assessment for Monroe County. Birkitt will stake areas containing mangroves or other wetlands to be selectively avoided during construction. 0 Protected Species Plant Count— Confirmation Confirm protected plant impact count assessment for Monroe County mitigation. It is assumed that this task will be conducted concurrently with Staking Construction Avoidance Areas for both mitigation sites. * Identify and Stake Construction Avoidance Areas Prior to construction, Bit ft will stake areas containing protected plant species or mangroves to be selectively avoided during construction. It is assumed that this task will be conducted concurrently with the updated Protected Species Plant on for of mitigation sites. 2 Birkift Environmental Services, Inc. EYW TWA Biological Construction Oversight Support Proposal CORRECTED July 7, 2021 Task 4.0 MITIGATION SITE CONSTRUCTION OVERSIGHT INSPECTIONS - TARPON BELLY KEYS AND HAWK MISSILE SITE Task 4.1 Review Plant Source, Condition, and Placement Birkitt will review the following: • Review plants source and order to be placed (confirm mangroves salt acclimated) • Review plant condition before planting • Review proposed proper placement of plants in appropriate zones. It is assumed that the planting zones will be staked in the field prior to review. Task 4.2 Oversight Inspections and Progress Reports Birkitt will inspect TBK and HMS mitigation areas during construction providing periodic site visits to review progress and status. Progress reports will be prepared to document inspection conducted and status. Birkitt will provide oversight for up to 6 months of mitigation site development assuming 3 site visits to each site (3 trips). As part oft inspections, Bit tt will review as-builts for excavation and replacement with suitable soils. It is assumed that the inspections to TBK and HMS will be conducted during the same trip. Task 4.3 Mitigation Completion Inspection and Report it it will review mitigation sites following completion of planting and mitigation site. It is assumed that the review for of mitigation sites will be conducted during the same trip. Bit tt will provide a Mitigation Completion Inspection Report (to Jacobs) for Tarpon Belly Keys and the Hawk Missile Site Mitigation Sites. Task 5.0 POST CONSTRUCTION MITIGATION SITE INSPECTION TARPON BELLY KEYS AND HAWK MISSILE SITE— Birkitt will provide three (3) site visits to each mitigation areas over a 6- month period post construction. It is assumed that site visits will include both TBK and HMS for each trip (3 trips). (This task includes boat transportation to TBK and HMS.) • Tarpon Belly Keys Mitigation Site • Hawk Missile Site Mitigation Site Task 6.0 MITIGATION SITE INSPECTIONIMONITORING AND REPORT— 1 YEAR —TARPON BELLY KEYS AND HAWK MISSILE SITE 3 Birkitt Environmental Services, Inc. EYW TWA Biological Construction Oversight Support Proposal CORRECTED July 7, 2021 Birkitt will provide a follow up inspection and monitoring of the TBK and HMS mitigation areas to document site conditions related to success criteria and permit compliance (includes boat transportation to TBK and HMS) at one (1) year following completion of the mitigation sites. A report documenting inspection and monitoring results and photo- documentation of the mitigation sites will be prepared. One (1) trip each is assumed for conducting monitoring at TBK and HMS. • Tarpon Belly Keys — 1-year Inspection/Monitoring and Report • Hawk Missile Site— 11-year Inspection/Monitoring and Report Task 7.0 Agency Coordination during Construction It is anticipated that agency staff (USACE, SFWMD, or Monroe County) will conduct periodic inspections of the construction/impact site at the Airport and/ or inspections of the mitigation areas at TBK and HMS. Birkitt staff will accompany agency representatives during these inspections. Where possible, these site visits will be scheduled along with other activities. It is assumed that three (3) agency coordination site visits cannot be scheduled in conjunction with other tasks, so three (3) agency coordination site visits (trips) are included in this task. Miscellaneous coordination with agency staff re: status of construction or compliance with also be provided. Boat transportation to TBK and HMS if needed will be provided by others. Task 8.0 PrInlect Administration and Coordination Project administration and coordination includes invoice preparation, scheduling, project management coordination and to coordination. Twelve (12) status meetings throughout the construction process are assumed to be virtual or during on-site trips scheduled for other tasks. This task also includes to coordination re: scheduling or overall project management. General Assumptions: • Services under this scope will start upon receipt of all permits and initiation of construction services. If additional or unanticipated permit conditions are required in the final permits, additional scope and services may be necessary. • Birkitt will have full access and authorizations to the sites. • It is assumed that both mitigation sites (TBK and HMS) will be completed within six (6) months. 4 Birkift Environmental Services, Inc. EYW TWA Biological Construction Oversight Support Proposal CORRECTED July 7, 2021 • Contractors will provide boat transportation to Tarpon Belly Keys and Hawk Missile Site (if needed) for a period of six (6) months after initiation of mitigation site construction. Bit tt will provide boat transportation to Tarpon Belly Keys and Hawk Missile Site for inspections after six (6) months. • One year ins pection/mo nit o ring: Scope includes boat rentals for Tarpon Belly Keys and Hawk Missile Site. • Birkitt's support in addressing compliance or agency coordination on construction issues other than minor questions or communication with agencies is not included. No travel is included fort compliance issues which may arise. • For agency site visits, boat transportation to TBK and HMS if needed will be provided by others. • Civil survey, including boundary surveys, wetlands boundary survey, topographic survey, and soils surveys for mitigation areas will be provided to Birkitt by others as needed for compliance review. • Project Administration assumes duration of this project is 12 months. . Meetings are assumed to be virtual or conducted in conjunction with scheduled site visits. • Services not covered under this proposal will require an additional scope and fee. • Trips (travel) to the Florida Keys will be minimized where possible and site visits during trips will be conducted concurrently where possible. Breakdown of Charges: Birkitt proposes to conduct the services outlined in the tasks above on a lump sum basis. Please see the table to for a breakout oft charges per task. Task Task Description Subtask Task Charges Number Charges 1.0 Construction Oversight i $14,616 Documentation and Meetng Pre-Construction Wetland and Impact 2.0 Limits Staking and Nesting Bird $7,532 Locations (TBK and HMS) Pre-Construction Wetlands Avoidance 3.0 and Protected Plant Locations (TBK $14,308 and HMS) Mitigation Site Construction Oversight 4.0 Inspect ons (TBK and HMS) $45,664 4.1 Review Plant Source, Condition and $ 9,505 Placement 5 Birkitt Environmental Services, Inc. EYW TWA Biological Construction Oversight Support Proposal CORRECTED July 7,2021 Task Task r Description Subtask Task Charges Numbe Charges 4.2 Oversight Inspections $23,669 4.3 Mitigation Completion Inspection Aand $12,490 Report Post-Construction Mitigation Site 5.0 Inspections— (T13K and HMS) ®3 $29,911 Inspect ons 6.0 1-Year Mitigation Site (11 Event) $16,354 Inspect on/Monitoring (TBK and HMS) 7.0 Agency Coordination during $22,109 Construction 8.0 Project Administration and $20,420 Coordination (12 months) I TOTAL $17%913 We appreciate the opportunity to provide environmental services for this project. Please feeI free to call us at 813-259-1085 or it at bbirkittObirkift.co m or AothAbirkift.corn if you have additional questions regarding this proposal or other services. Sincerely, la,evert u f::. la,'bH6tt Beverly F. Bit tt Robert Toth President Technical Services Manager BIRKITT ENVIRONMENTAL SERVICES, INC. 6 0.11-11111 1-m- - June 29, 2021 s. Kaly Queiroz, P.E. Airport Project Lead Jacobs 3300 PGA Blvd, Suite 70 Palm Beach Gardens, FL 33410 Email: kaly.queirozQJacobs.com Phone: 561- 7 -60 Subject: Proposal for Construction Material Testing Services Key West International Airport( ) Taxiway"A" Expansion and Mitigation Key West, Florida TSF Proposal No. 2106-448 Dear aly: TSF is pleased to submit the proposal for providing construction material testing ( A) services for the above referenced project in Key West, Florida. Our proposal is based on information provided to this office. We understand that the project in general consists of extending Taxiway A and construction of mitigation areas at Tarpon Belly Keys. The taxiway improvements will include grading, paving, concrete, and markings at Key West Airport. The following scope of services will be required at this project: • Provide nuclear density tests on structural fill, backfill, subgrade and base materials, along with LBR tests, gradation, Proctor tests, Atterberg Limits. • Provide nuclear density tests on base materials, gradation, Proctor tests, and Atterberg Limits. • Provide senior engineering technician to assist with asphalt field and plant inspections during test strip and production. • Provide senor engineering technician for miscellaneous concrete testing. • Provide Senior Engineer for report review, coordination, sign and seal reports. TSF will provide experienced technical personnel to perform the necessary testing and inspection services in accordance with the project specifications. We propose to accomplish the scope of our services on a unit rate basis in accordance with the attached rate schedule. TS 's fees will be dete fined by the actual amount of technical time expended for this project and the amount o laboratory testing performed. 2765 Vista Parkway,Suite 10•West Palm Beach,Florida 33411 561-687- 536• :tFfaeo.cona State of Florida Professional Engineers License#2073 Key West International Airport Taxiway A Rehabilitation TSF Proposal No. 1904-307 We understand that some services will be needed between 10:OOPM and 7:OOAM while the runway is closed. We understand some of the activities will be concurrent and work will to place during peak travel season of 2022. TSF's laboratory and personnel fully comply with the standards of ASTM,ACI,AASHTO,AISC, AWS and FAA standards. Our laboratory maintains CMEC and FDOT certification and is staffed by experienced and certified field and laboratory personnel. ESTIMATED COST We proposed to accomplish the above services on a rate schedule basis using the attached rates with a not to exceed amount of$105,514. We appreciate the opportunity to offer our services for your project. Should you have any questions or need additional information, do not hesitate to contact me at(561) 687-8536. es R ctfully submitted, es "y TS F ancois Th inas, P.E. rincipal Attachments: Unit Fee Schedule Key West International Airport Taxiway A Rehabilitation TSF Proposal No. 1904-307 Fees Breakdown for Construction Materials Testing Services I Laboratory Testing Services Moisture-Density(Modified Proctor Test), 6 tests @$105.00/each $ 630.00 LBR Tests,2 tests @$250.00/each $ 500.00 Sieve Analysis Test, 6 tests @$104.00/each $ 624.00 Organic Content Tests, 6 tests @$50.00/each $ 300.00 Atterberg Limits Tests, 6 tests @$95.00/each 570.00 SUBTOTAL: $2,624.00 11 Construction Services-Soil Testing Nuclear density tests,20 trips @$1,500.00/trip $30,000.00 Concrete testing, 5 trips @$1,500.00/trip $ 7,500.00 Transportation to Tarpon Belly Keys+Per Diem, 10 trips $1,500.00 $15,000.00 Sample pick-up, 10 trips@$1,500.00/trip 115.0-00.00 SUBTOTAL: $67,500.00 III Construction Services Asphalt Inspection/Testing/Professional Services Asphalt Field Inspection, I night,test strip @$1,500.00/night $ 1,500.00 Asphalt Plant Inspection, I night,test strip @$ 910.00/night $ 910.00 Asphalt Field Inspection, 13 nights @$1,500.00/night $19,500.00 Asphalt Plant Inspection, 13 nights @$9 1 0.00/night $11,830.00 Senior Engineer, RE, 10 hours @$165.00/hOLir $ 1,650.00 SUBTOTAL: $35,390.00 TOTAL CONSTRUCTION MATERIALS TESTING SERVICES: $105,514.00 l tls li IA ` t r -rt rt, + }li) > } { ss! r\+ t ` s \`)+r �{ t r i tr s ,i n } t r ,l 4 Y} `t•s ` r t+ ! rr ` rr Sd' t S( r {.; b } !( r .t t rJ}tti tr tt.t { ,,l iri 11{\r, { l 114 }APO wo�JA ,r ,�;r tt srrr. ! { !, S�, S, } tit r )i I� iS,1}\\ !JS 11i� t t i+ �sI t. ( ` �,i r \,{,�: (f,,. }i`}r s S r?rt> s j �`i{sa 3`Sri`?x tl t �iS srl}Jt t t r s}f`p} r\It,lS,i(i1 jr ;,� rtN t!t'•" t! tl1 {� s y`;> . t t r} t 1 'c,t r ,- i s, d�. „r-. -( Is „\.lS s r,: t i t ,I t !{ t'`S. .,' ,� ., !.�7- t ,, r,.M} , +„J,-r ;):. \,,£' ,, .. t l ,r,�;,, rr , fl,S ,rJ.,, k �,�•S.t}1, rn(„ ,\(r ,it r,�1{t 1 r4J. S Sr 4S-" }t t i r ,.\ „ ry,,, '�i,..y - � i+ ,(rr j1�111\, 3 - '-+r t 1��- 1 ���{fi }t>•+r rir �0.: ssr ,{\t ,% tiJ� ('`h,{ v t ii �}�����}l��}var v�}� ^k ,��r • t l t� — N•x y`4Cx /Ih _ t t rt,s,us ewe �, r Ssghtline,Inc. wwwsighthnems 15483 Enterprise way,Cu peper, A 22701 (540)212-4544 phone/fax July 6, 221 Chris Bowker,Jr, P.E. Jacobs Manager-Aviation 904.636.5432 . 7. 31 Christopher.bowker@jacobs.com Chris, Thank you for the opportunity to submit a proposal to deliver Airfield Marking Quality Control as part of your project, Taxiway Alpha Extension and Mitigation at Key West International Airport ( Y ). I appreciate your confidence in our expertise and am excited about the opportunity to work with Jacobs again to ensure a quality airfield marking project for your client. Please contact me directly in regards to this proposal. Sincerely, Michael W Speidel Vice President Sightline, Inc. 15483 Enterprise Way Culpeper, VA 2271 (5 ) 212-4544 office (5 ) 272-3583 mobile Notice:This r sal is proprietaryin natureand shall not be used to developrequests r qualifications ( ), requests for proposals( ), etc.to solicit alternate pricing. Jacobs I Key West International Airport I Airfield Marking QC&QA Services Introduction Sightline is a Disadvantaged Business Enterprise (DBE Certified) woman-owned consultant specializing in airfield pavement a markings. We do not paint — instead our involvement in your projects will make them better by improving quality and 1c maximizing safety, performance and life-cycle of the markings. Scope of Work One Sihtline technician (Technician) will provide on-site Quality Control (QC)for Jacobs (Client) to oversee permanent airfield marking installation and subsequently measure retroreflectivity performance as part of the project to rehabilitate Taxiway Alpha at Key West International Airport ( Y ). The publishing of Federal Aviation Administration (FAA) Advisory Circular ( C) 150/5370-IOH has introduced several new standards to increase the quality of new construction, including Item P-620 Runway and Taxiway arkin . i tli 's primary function is to support the Client's construction management team by meeting or exceeding the latest FAA standards to include oversight and/or execution of the following tasks on-site: Inventory,verify, and retain sample rials Verifying surface is properly prepared for marking installation Calibrate all striping equipment to be use Produce control strip(s)for removal, surface preparation, application, etc. Validate paint control strip appearance at night for uniformity Verify marking layouts/placement prior to permanent application Routinely verify marking application Routinely calculate material coverage rates Suggest solutions for project challenges Evaluate retro-reflectance per ASTM E1710, or similar final marking performance report will be delivered within 15 days of the Technician's departure from the project site. Jacobs I Key West International Airport I Airfield Marking QC&QA Services Cost Proposal DIKEiRliffl Unit Cost 0 1.1m. Ext. One QC Technician & Equipment lump sum N/A 14,500 TOTAL: i=mm Payment Terms All pricing in US Dollars. Expenses are estimated and may vary. Net 30 days upon receipt of invoice. 100% paid upon delivery of QC Report. An executed contract will be required prior to scheduling Quality Control services. Re,-wirements LA The requirements for this proposal are as follows: 1) Client shall provide a point of contact for logistic support 2) Client shall ultimately be responsible for the enforcement of the project's specifications as they relate to the contractor and its performance 3) Client shall advise the applicators of the Technician's role in the project, and shall ensure cooperation by all parties to the greatest extent possible Jacobs I Key West International Airport I Airfield Marking QC&QA Services Qualifications Sightline, Inc. is a specialty consultant committed to improving airfield marking performance around the world. Owned and operated by Donna J.Speidel,we are based in Culpeper, Virginia. Our experts bring over 50 years of experience to this specialized field. At its core, we are a training organization dedicated to educating the aviation industry about the proper methodology associated with designing and maintaining highly effective airport marking systems. From our knowledge base, we have developed services, including the Airfield Marking Audit, Quality Control, and On-Site Training, to assist airports of every size realize safe, sustainable markings systems. In 2006, we were awarded a research project to author a Best Practices Airfield Marking Handbook for the Innovative Pavement Research Foundation through a Cooperative Research Agreement with the Federal Aviation Administration (FAA). The manual, published in 2008, provides the industry with definitive guidance on the details of applying airfield markings properly. The publishing of the Handbook has positioned us as the recognized authority on the subject. The Handbook is currently used as the course literature in Airfield Marking Symposiums; training courses we present around the world. We have had the honor of training the Part 139 airport safety certification inspectors at the FAA's recurrent training in 2010, and any FAA employees continue to use our experts as a resource for markings. Our clients are airports of every size, some are the busiest airports in the world including ATL, LAX, DFW, DEN, CLT, JFK, SFO, BOS, etc. References to these and other organizations may be available upon request. RS&H KimleyoHorn JACOBS % At6 neO!Z> MC0 0 cLT Dof F V V MAPPINC, IN 5 27 John Knox Road, Suite 207 w Tallahassee, Florida 32303 w Office: 50-270-2138 600 Manateeve.W., Suite L-113 m Bradenton, Florida 34209 m Office: 1-375 70 A 6.+4 y-fi=.t,,,s W%}P`'n an c.,3wned.u'n . ty0,.:..`i.sv ntaCged Bu„`amess July 6, 2021 RE: Key West Airport Eway "A" Extension & MitigationiAs-Built O'Neal i i , Inc. ( ) is pleasedto provide you with a scope of services and proposal for the Key West Airport TaxiExtension Mitigation Sites As Built Survey in Key West, Florida. The project and services include the following: SERVICES:SCOPE OF Topographic As-Built Survey to meet standards as set forth in Chapter J-17, F.A.C.,472.027 FS and FAA AC 1 / 0-1 . • Prepare and submit Survey and Quality Control Plan for FAA approval prior to start o survey (minimum calendar days prior to start of survey). • Prepare and submit to FAA weekly Survey Status Reports for the duration of the project. • Prepare and submit to FAA a final Survey Project Report. VERIFICATION OIVERTICAL CONTROL OSM team will verify positions on published Primary and Secondary Airport Control points and on control points which were previously established by OSMand others. OSM may establish new control as may be required for this survey. All survey control will be referenced to NorthAmerican of 1983, 2011 Adjust ( / 11) and North American Vertical Datum 1 ( ). Verify existing site control as previouslyestablished. • Locate, verify horizontal control points • Verify r establish elevations of control points TOPOGRAPHIC The OSM team will provide a Topographic Survey for the proposed Taxiway "A" Extension Areas and the Mitigation project areas at the Hawk Missileit Tarpon Belly Keys as shown on the attached Exhibit (provided by the client). The attached Exhibit depicts the limits of the areas to surveyed. Any additions to these limits or change in Scope or survey requirements in FAA AC 150-5300/16/17/18 requirements may require additional fees, to be determined. Tasks for Taxiway "A" Extension &Vehicle Service Road Scope (refer to attached Exhibit for Limits) include: • Pavement Elevations measured on a 25-foot grid • Ground Elevations measured on a 50-foot grid • Survey all grade break lines within limits of survey • Vegetation and Tree Lines • Fen lines • Provide location of visible, major structures such as manholes, taxiway edge lights, drainage structures, taxiway signs/foundations, concrete duct markers, pavement markings, aircraft tie downs. • Provide location of visible, major structures such as manholes, drainage structures, signs/foundations, concrete duct markers, etc. • Any drainage within limits will include full data on accessible pipes or culverts including size, apparent condition, invert and bottom of structure elevations. • Edge of Pavement Tasks for Mitigation Areas Topographic As-Built Survey (refer to attached Exhibit for Limits) include: • (2) sites at the former Hawk Missile Base and (2) sites at Tarpon Belly Keys 0 Pavement and Ground Elevations measured on a 5 -foot grid 0 Survey grade break lines within limits of survey • Vegetation lines as defined by graded terrain and planted Salt Marsh and Mangrove Zones as proposed on attached Plans Exhibits. • Tasks for Mitigation Areas (2) Sketch of Description(s) (Refer to attached Exhibit for Limits) include: 0 (2) sites at the former Hawk Missile Base and (3) sites at Tarpon Belly Keys. 0 Utilize As-Built Field survey data (above) to determine contiguous outer limits for (2) separate Mitigation site areas at the former Hawk Missile Base and (3)separate Mitigation Site areas on Tarpon Belly Keys to become recorded Conservation Easement(s). 0 Search/Locate and verify portions of boundary evidence of the overall Hawk Base property and/or other locally accepted monuments for use as commencement points in legal descriptions for the 0 Conservation Easement(s) and (2) Certified Sketch of Descriptions. The Conservation Easement boundaries will be described by metes and bounds (course direction and distance) legal description(s) tied to locally accepted monuments. The boundary corners of the Conservation Easements will not be monumented, however, they will be identified by Florida State Plane Coordinates (NAD83/2011) as depicted on (2) Sketch of Descriptions along with the aforesaid Legal Descriptions for recording purposes. Total Lump Sum Survey Fee $ 56,800.00 Proiect Assumptions • Jacobs or EYW Operations will provide an escort and that the runway will not be closed. • This is a pullback operation. • This is a day and nighttime operation. Any survey within 250' of the RW may be required to be performed at night between 10:00 pm and 7:00 am. • No badging for OSM personnel will be required for this short duration project, either Jacobs or EYW Operations will provide Escort for OSM survey personnel where necessary. • Jacobs will provide CAD files to OSM is include Runway and taxiway alignments and FAA layers and symbology. Jacobs to also provide and construction survey or plan as-built markups as may be available. • Notice to proceed for this survey anticipated after January 2023. or Zone Safety: All work zone and Airport safety, rules and procedures as required by the Key West 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 may be required. Said vehicles to have current decal, display company name/identification and maintain proper lighting requirements. Qualitv 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 3D digital files of the topographic survey, Signed and sealed copies of Final Survey Report and signed and sealed Sketch of Description(s) for the Mitigation Sites for Conservation Easement recording purposes. 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. Ma I�i 6�04 E 'Neal, PSM President ............................................. .......... "—......... ................A W, .. ............... .. ......... q�j . . ... . .. . . /4" en .......... ffi ----I /7 ------------------ GE-CER--TGTEINTOIO� �9H ......... GqTES LEGEND PMT LE i r MIW,T.SLE T— All "MT I-- LUM 0 KEY PLAN JA Z—7.1. ... .W.. A— "'t;,. � �I� rruw:wrrmrers a s--ntu, az.s i�hm I x==,, �, h• -E ��) r�rmamr an:mEiorm:rt6ri a.ds �� ,pp i r� — � s 7 .. t— } �b r f96N:0 osr0o g 1C]WJ iNr+p aseOG ,tiaIX to r G410 C610 d ' ---------------- r : , k , _ n �;-� E rA s i oETA,EON M ,�ETi .. I p '. i NOTE5: ,a Ego, t u 2. E (C ". G U TION t�NVpf Z x Si(`N r. ` WW 5 ME OOu f;tl a N 3 C)TE5" ' y F ARK'L&E.E NUNaF.ivET�ENNc i t^'R^ MnrERa.EORBC:EANO $ : z GP0 O . 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E a PHU(,REwWW)ITHAhE R!EQU H£b'Ia ENSURE pROPOHED GHAD[SARE HE!NG MEI'pN aRTO p:.RwdrvGD 01 �C-6 ^S F �� = .fit �;y�{}t i��h��4ift tj{z, t T IiP Y V �' ,. �I'ME IG CN bI 5 tltl:nrEErEtl 2 ° it i Mnvnn`N-,�vw`,eEisan�saaa�ssu LHH en ro vE t 4 S =• 't f ,is � , j{�t' ,?`(�.,S,�i� „ I ! !a Ta_ n Bell K -Planting SeNedul = ss. sr+a . f�4'j� 1i r # s, cif " ._s Jr ri {jy}v�r - c -f t _I^^' """""' •£r" r xvvs,sEE J� __.......�.,.�...m. .......�.......,.�..w...y.A...,...1, ---. - core o s4Eer Cane) LEGEND MITIGATION LEGEND sauvoYEu ncax„co�+ro.rz i+.a nrEHvpt, z g '�`..tl5.......- root xEU NnxoR com,nuR(0.$'IhTENVAL) hE,HEo trxvct �v_� -___- sx,snw,oav;tlua(rs Yizlvnu 5 a�4erenxum+rrax„ftorx,aex acHEa7 z O o I C[ � m_ vFs is a6ACCEcr h! uumExr:cnr ow KEY PLAN 1 0 E $ m�r an soh�uEv `N� i ;� E v 1 eiy�,q@b+'€nPlunrvaa J�iri♦ ��%a� t�t�_:t �} av � t� �£; ex es.wrn.nmci„u. co - t ° rnEerREo sees_EreeeEEwrun K trrsees + � a,: E��r+ S}4t'+ r� i!} ���` � sa �. ; s ttR•t "' ( i aw.rlk�w�= s i � MWJORpYE APN tP8rittHN s &�e � gn SHORELINE STAPC fZF1t'IgN — �?i, .C`\ti h )i t+_t s°, `kl+ a {l{q ..snw�.u+e srauEvnrwry s & -�og_�€INE s�asl�,}z�,TION NOTES: d k t' {� 1t}1�41{x�1t+�tt�iJt7}i litt � ��'# s�}i�� �}��y �. t � re,rsrr�aiu_uvrmr�c°ro"M1>�vErxek.rrecnnsrrrucriare � n�I� i'...... +, � „ t}i' 77� oz ikaccorecarxe vnr,t s ' + 3�it� 1 t�` tr ..r,.rhascoxoa.,ce F `i;{} ;;tt4 111\iC1711`tlii}t S', Syyiti €j{ "� p l�i�ig'1}ilk` E _ecoo.voxrc�.v�Nr,.e. usr �alXf1� } yea, � @�sn �ge c� '1ti <.ME.—a =Ecnnxeesa E ®_ o aro n mom; r . ! r, - u�°g LEGEND: MITIGATION LEGEND N %�- ..,..- Ekovosm reuou cwrou3tso x:ekvau zoucs aE�sanxcao zcaESl Ct�� o.o.ve Errowes°rainok caysou:x ro.e in.nvml ¢a m k t+c rrrekvut eau,crcrra rukor�s teae ac¢cs7 Z zo o u __ ri �� u rcxwrrckovec tesa ackr:e+ ��q: C pA uv e,rnee.rero aeanoreoaE=tecencnczr KEY PLANS 3 IN 7n, ,,�l,.r t7ft11 Sl1�f+ { t tt a{ ztsl +f alb}t))ttl�Hi+ t+tt}��\V"" tit w i ;f �f14 {i� tt it+ t� 4\('tlltr t k}1Y�oil fits e t=�; m C CERTIFICATE OF LIABILITY INSURANCE DATE 0M/202 W' 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 1000 Wilshire Blvd., Suite 2100 INSURERD: INSURER E: Los Angeles, CA 90017 INSURERF: COVERAGES CERTIFICATE NUMBER: 62390167 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 POLICYNUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY HDO G72493503 07/01/21 07/01/22 EACH OCCURRENCE $ 1,000,000 � OCCUR DAMAGE TO RENTED CLAIMS-MADE PREMISES Ea occurrence $ 500,000 X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 1,000,000 X POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 1,000,000 JECT OTHER: $ A AUTOMOBILE LIABILITY ISA H25545631 07/01/21 07/01/22 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO ,T BODILY INJURY(Per person) $ OWNED SCHEDULED A, BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS ,�^ , HIRED NON-OWNED , PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY ' ,_ ' Per accident 7 . 15 . 2 0 21 W ,t.a_c $ UMBRELLA LIAB TE- ^�'° ' OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WLR C67817540 (AOS) 07/01/21 07/01/22 X STATUTE EERH AND EMPLOYERS'LIABILITY YIN 1,000,000 A ANYPROPRIETOR/PARTNER/EUTIVE � N/A SCF C6781762A (WI) 07/01/21 07/01/22 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED?XEC A (Mandatory in NH) WCU C67817588 (OH)* 07/01/21 07/01/22 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A PROFESSIONAL LIABILITY EON G21655065 012 07/01/21 07/01/22 PER CLAIM/PER AGG 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be 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. CONTRACT END DATE: 02/14/2022. PROJECT NUMBER: E9Y16700. 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 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(2016103) The ACORD name and logo are registered marks of ACORD Cert_Renewal 62390167 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 06/07/2021 NAME OF INSURED: Jacobs Project Management Co. Additional Description of Operations/Remarks from Page 1: EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* Additional Information: *$2,000,000 SIR FOR STATE OF: OHIO SUPP(06/04) NOTICE TO OTHERS ENDORSEMENT- SCHEDULE - EMAIL ONLY Named Insured Jacobs Engineering Group Inc. Endorsement Number 74 Policy Symbol Policy Number Policy Period Effective Date of Endorsement HDO �G72493503 07/01/2021 TO 07/01/2022 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 Engineering Group Inc. Endorsement Number 44 Policy Symbol Policy Number Policy Period Effective Date of Endorsement ISA IH25545631 07/01/2021 To 07/01/2022 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 ENGINEERING GROUP INC. 1000 WILSHIRE BOULEVARD SUITE 2100 Policy Number LOS ANGELES CA 90017 Symbol: WLR Number:C67817540 Policy Period Effective Date of Endorsement 07-01-2021 TO 07-01-2022 07-01-2021 Issued By(Name of Insurance Company) ACE AMERICAN INSURANCE COMPANY Insert the policy number.The remainder of the information is to be oompleted only when this endorsement is issued subsequent to the preparation of the policy. 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 fora 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 organ izati on(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, or are we responsible fora 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 or your representative provides us with e-mail address information with respect to a particular person or organization, the 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. 1. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. I 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;FX and WI. Authorized Representative WC 99 03 66(01/11) Page 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Endorsement Number Jacobs Engineering Group, Inc. 36 Policy Symbol Policy Number Policy Period Effective Date of Endorsement EON G21655065 012 07/01/2021 to 07/01/2022 07/01/2021 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) 9XJOHNJ. LUPICA. Presid,,t Authorized Representative