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11th Amendment 04/17/2024
GVS COURTq° o: A Kevin Madok, CPA - �o ........ � Clerk of the Circuit Court& Comptroller Monroe County, Florida �z cooN DATE: April 23, 2024 TO: Kevin Wilson Acting County Administrator Tina Losacco Senior Engineering Technician ATTN: Suzanne Rubio Project Manager, Administration FROM: Liz Yongue, Deputy Clerk SUBJECT: April 17, 2024 BOCC Meeting The following item has been executed and added to the record: C23 1 lth Amendment to the FKSPCA Key West contract for animal control services providing for a CPI adjustment of$30,196.25 (3.4%) effective May 1, 2024. The annual contract amount($918,321.18) is funded by ad valorem revenues. 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 ELEVENTH AMENDMENT TO AMENDED AND RESTATED AGREEMENT (Operation of the Key West Animal Shelter) THIS ELEVENTH AMENDMENT TO AMENDED AND RESTATED AGREEMENT is entered into this 17th day of April, 2024, between Monroe County Board of County Commissioners (County) and Florida Keys Society for Prevention of Cruelty to Animals, Inc., a Florida not-for-profit corporation (FKSPCA/Contractor), in order to amend the agreement entered into on May 1, 2014, as amended on April 20, 2016 and May 17, 2017 and May 16, 2018 and August 15, 2018 and May 22, 2019 and July 15, 2020 and August 19, 2020 and May 19, 2021 and May 18, 2022 and June 21, 2023 WHEREAS,the parties entered into an Amended and Restated Agreement on May 1,2014 for the FKSPCA to provide long-term animal control services and enforcement and to build a new Key West animal shelter pursuant to the provisions of F.S. 287.05712; and WHEREAS, the FKSPCA has requested a CPI adjustment as allowed under the agreement; and IN CONSIDERATION of the mutual promises contained herein,the parties hereby agree as follows: 1. In accordance with Paragraph 4., RENEWAL the contract amount is hereby adjusted by 3.4% CPI for all urban consumers (CPI-U) for the most recent 12 months ending on December 31, 2023. Effective May 1, 2024, the total compensation paid to the Contractor for its services under this agreement shall be $918,321.18 per annum, an increase of $30,196.25. 2. In all other respects, the remaining terms of the Agreement entered into on May 1, 2014, as amended and as assigned,not inconsistent herewith, shall remain in full force and effect. [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] Page 1 of 2 ELEVENTH AMENDMENT TO AMENDED AND RESTATED AGREEMENT 2014.05.01 (Operation of the Key West Animal Shelter) • ELEVENTH AMENDMENT TO AMENDED AND RESTATED AGREEMENT (Operation of the Key West Animal Shelter) IN WITNESS WHEREOF,the parties have caused these presents to be executed in the z:�..t respective names. c.�, ,s;,F...,�i�'L�fiY1.a . K'. r ,er As.. ,ram�i:r, ,rp '`';''te„���y'� ,,,,,,,„ „,,,,,,,y ,,,,,,, ,, , ' t°5 W ''''S+h `\KEVI1\ 4DOK,CLERK BOARD OF COUNTY COMMISSIONERS -,, ,;,, , ° s,a' � ,°{{ --; OF MON'OE CO Y LORIDA ,,,-- \‘, ,,,, .2., 1--_,,, ,4,,,,,,7-, ,7> ,----,1, 4,t----1\ .@,--,Y t'",,,,,4/, 9-,y,-,:,,,t ,,,,, 1,'--,:.`,\A:;.4.11,.'0 I A, I „.,,` a 1 As,;peputI Clerk Mayor/Chairman "'L„,,,,, Lam.4�',z 31'`,,,.$1. ,-1' Date: '.-I 1 1-1) 7.0V1 ""•<-_e' evco\:ve bcf. Nliiitacss Signature THE FLORIDA KEYS SOCIETY FOR 10t.INAiV‘ e e-- 2. THE PREVENTION OF CRUELTY TO Prin 4 I me 6.,,Da ANIMALS. : , \/) V -,..... / / Mr/ e-.. a iiii,, Witness Sigqature By: /, J' An(dne lit 1r4J iNeAr 3/P4M4 i� . President Print Name DateL..) N Date: ` t( _of\Address: OA— ) 1‘ ,,,CA Ujr),___ \„/ --J --/\,, k(e._ VOi; :t ) 6't-- Y 0 Approved as to.form and legal sufficiency Monroe County Attorney s Office. Christina Cosy,Assistant County Attorney .q: .. . rri C ) • "" y ''9 NO ;11/1 ( `) .a - ► rn - . ....... ,-...., -ii ..,... ' , - Page 2 of 2 ELEVENTH AMENDMENT TO AMENDED AND RESTATED AGREEMENT 2014.05.01 (Operation of the Key West Animal Shelter) 78/3/2023 E(MM/DD/YYYY) ACTOR" CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Key West Insurance PHONE FAX 3152 Northside Drive, Unit 201A&201 B A/C No Ext: 305-294-1096 A/C,No):305-294-8016 Key West FL 33040 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# License#:L100460 INSURERA: Clear Blue Specialty Insurance Company 37745 INSURED FLORKEY-07 INSURER B: Florida Keys S.P.C.A. 5711 College Rd INSURERC: Key West FL 33040 INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:566030864 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y DB01-000101-00 7/20/2023 7/20/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $300,000 MED EXP(Any one person) $0 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑ PRO JECT LOC PRODUCTS-COMP/OP AGG $1,000,000 X OTHER: Special Events $ AUTOMOBILE LIABILITY _„ I COMBINED SINGLE LIMIT $ Ea accident ANY AUTO A" ,-„y� ^�, BODILY INJURY(Per person) $ OWNED SCHEDULED 9 ,P BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS �^�^'^�—""'^"'"` HIRED NON-OWNED �'"""" PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY e zau Per accident T „,,., _tea, UMBRELLALIAB OCCUR WAMM Kik>� -- EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICE R/M EMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Special Event: Parade of Paws-12/9/2023 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County BOCC 1100 Simonton St AUTHORIZED REPRESENTATIVE Key West FL 33040 -- /' ( ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD A�coRo® EVIDENCE OF COMMERCIAL PROPERTY INSURANCE DA03/26/2024 Y) THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW.THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE ADDITIONAL INTEREST. PRODUCER NAME, PHONE COMPANY NAME AND ADDRESS NAIC NO: 13056 CONTACT PERSON AND ADDRESS A/C No Ext: Southernmost Insurance Agency, Inc RLI INS CO 1010 Kennedy Drive 9025 N LINDBERGH DRIVE Suite 300 PEORIA, IL 61615 Key West, FL 33040 FAX E-MAIL IF MULTIPLE COMPANIES,COMPLETE SEPARATE FORM FOR EACH AIC,No: ADDRESS: CODE: SUB CODE: POLICY TYPE AGENCY FL231 21 51 23604223 Commercial Property CUSTOMER ID#: NAMED INSURED AND ADDRESS :A7 � LOAN NUMBER POLICY NUMBER Florida Keys SPCA Lease agreement MPCO101136 5711 College Rd I EFFECTIVE DATE EXPIRATION DATE Key West, FL 33040 Ely 12/28/2023 12/28/2024 TEERMINATEDD IFT IL 4.1.24 CHECKED ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED: I ,.." M WA PROPERTY INFORMATIuIv luse KrivIAllrI i on page Z,it mores ace is required) BUILDING OR VBUSINESS PERSONAL PROPERTY LOCATION/DESCRIPTION 5711 College Rd 1 Key West, FL 33040 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION PERILS INSURED I BASIC BROAD SPECIAL COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $7,500,000 DED: 25,000 YES NO N/A ❑ BUSINESS INCOME ❑ RENTAL VALUE If YES,LIMIT: Actual Loss Sustained,#of months: BLANKET COVERAGE If YES,indicate value(s)reported on property identified above:$ TERRORISM COVERAGE Attach Disclosure Notice/DEC IS THERE A TERRORISM-SPECIFIC EXCLUSION? IS DOMESTIC TERRORISM EXCLUDED? LIMITED FUNGUS COVERAGE If YES,LIMIT: DED: FUNGUS EXCLUSION(If"YES",specify organization's form used) REPLACEMENT COST AGREED VALUE COINSURANCE If YES, 80 % EQUIPMENT BREAKDOWN(If Applicable) If YES,LIMIT: 7,500,000 DED: 25,000.00 ORDINANCE OR LAW -Coverage for loss to undamaged portion of bldg If YES,LIMIT: DED: Demolition Costs If YES,LIMIT: DED: Incr.Cost of Construction If YES,LIMIT: DED: EARTH MOVEMENT(If Applicable) If YES,LIMIT: DED: FLOOD(If Applicable) If YES,LIMIT: DED: WIND/HAIL INCL YES ❑ NO Subject to Different Provisions: If YES,LIMIT: 7,500,000 DED: .05 NAMED STORM INCL V YES ❑ NO Subject to Different Provisions: If YES,LIMIT: 7,500,000 DED: PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE HOLDER PRIOR TO LOSS CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST MORTGAGEE CONTRACT OF SALE LENDER SERVICING AGENT NAME AND ADDRESS LENDERS LOSS PAYABLE Additional Insured& Loss Payee NAME AND ADDRESS Monroe County Board of County Commissioners 1100 Simonton St AUTHORIZED REPRESENTATIVE Key West, FL 33040 Page 1 of 2 ©2003-2014 ACORD CORPORATION. All rights reserved. ACORD 28(2014101) The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) ACTOR" CERTIFICATE OF LIABILITY INSURANCE 3/27/2024 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 NAME: Key West Insurance PHONE FAX 3152 Northside Drive, Unit 201A&201 B A/C No Ext: 305-294-1096 A/C,No):305-294-8016 Key West FL 33040 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# License#:L100460 INSURERA: Burlington Insurance Company 23620 INSURED FLORKEY-07 INSURER B:Arch Insurance Company 11150 Florida Keys S.P.C.A. INSURERC: Progressive Express Insurance Company 10193 5711 College Rd Key West FL 33040 INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:1221778189 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y 53513539868 7/1/2023 7/1/2024 EACH OCCURRENCE $2,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY D PRO � JECT LOC PRODUCTS-COMP/OP AGG $included X OTHER: Professional Liab Professional Liab. $included C AUTOMOBILE LIABILITY Y 06456454 6/30/2023 6/30/2024 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLALIAB OCCUR 16yK ff EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE ,9 " ""'"`^ AGGREGATE $ DED RETENTION$ - ""` $ WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY Y/N I "'""""'" "'"""""'"""" STATUTE ER 28 24, ANYPROPRIETOR/PARTNER/EXECUTIVE p�p #°'k '" E.L.EACH ACCIDENT $ OFFICE R/M EMBER EXCLUDED? ❑ N/A p' C (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Directors/OfficersLiability NFP0125245-06 7/1/2023 7/1/2024 D&O 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County BOCC 1100 Simonton St AUTHORIZED REPRESENTATIVE Key West FL 33040 -- /' ( ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) ACCOR" CERTIFICATE OF PROPERTY INSURANCE 3/27/2024 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. PRODUCER CONTACT NAME: Key West Insurance PHONE FAX 3152 Northside Drive, Unit201A A/c No EXt:305-294-1096 A/C,No:305-294-8016 Key West FL 33040 ADDRESS: PRODUCER FLORKEY-07 CUSTOMER ID: License#:L100460 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Old Dominion Insurance Company 40231 Florida Keys S.P.C.A. 5711 College Rd INsuRER6: Wright National Flood Insurance Company 11523 Key West FL 33040 INSURERC: INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 262103455 REVISION NUMBER: LOCATION OF PREMISES/DESCRIPTION OF PROPERTY (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 5711 College Rd, Key West, FL 33040 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 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION COVERED PROPERTY LIMITS LTR DATE(MM/DD/YYYY) DATE(MM/DD/YYYY) B PROPERTY 091151775622 3/8/2024 3/8/2025 X BUILDING $500,000 CAUSES OF LOSS DEDUCTIBLES X PERSONAL PROPERTY $500,000 BASIC BUILDING BUSINESS INCOME $ 50,000 BROAD CONTENTS EXTRAEXPENSE $ SPECIAL 50,000 NT I RENTALVALUE $ " EARTHQUAKE � � tl '.. BLANKET BUILDING $ WIND B � BLANKET PERS PROP $ 21 X FLOODDATE--_ I, ,„�„,�, BLANKET BLDG&PP $ 'NAW KtkX ,. $ $ INLAND MARINE TYPE OF POLICY $ CAUSES OF LOSS $ NAMED PERILS POLICY NUMBER $ A X CRIME F271572-N 6/26/2023 6/26/2024 $100,000 TYPE OF POLICY $ Employee Dishonesty $ BOILER&MACHINERY/ $ EQUIPMENT BREAKDOWN SPECIAL CONDITIONS/OTHER COVERAGES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County BOCC 1100 Simonton St AUTHORIZED REPRESENTATIVE Key West FL 33040 ©1995-2015 ACORD CORPORATION. All rights reserved. ACORD 24(2016103) The ACORD name and logo are registered marks of ACORD