1st Amendment 07/17/2024 GVS COURTq°
o: A Kevin Madok, CPA
-
�o ........ � Clerk of the Circuit Court& Comptroller Monroe County, Florida
�z cooN
DATE: July 25, 2024
TO: Ammie Machan, Administrative Assistant
Tourist Development Council
Julie Cuneo
Office of Management and Budget
FROM: Liz Yongue, Deputy Clerk
SUBJECT: July 17, 2024 BOCC Meeting
The following item has been executed and added to the record:
D3 1 st Amendment to Agreement with Key West Women's Club, Inc. for the Repair
and Renovation of Hellings House Museum Phase III Project to revise Exhibit A outlining Scope
of Services for the Project.
Should you have any questions please feel free to contact me at(305) 292-3550.
cc: County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY
500 Whitehead Street 3117 Overseas Highway 88770 Overseas Highway
Key West, Florida 33040 Marathon, Florida 33050 Plantation Key, Florida 33070
AMENDMENT Ost AMENDMENT) TO AGREEMENT
THIS AMENDMENT to Agreement dated this 17th day of July 2024, is entered into by
and between the Board of County Commissioners for Monroe County, on behalf of the Tourist
Development Council, and Key West Woman's Club, Inc., a not for profit organized and operating
under the laws of the state of Florida (Grantee).
WHEREAS, there was an Agreement entered into on October 18, 2023 between the parties,
awarding $198,246 to Grantee for the Repair and Renovation of Hellings House Museum Phase
III Project ("Agreement"); and
WHEREAS, it has become necessary to revise Exhibit A of the Agreement outlining the scope
of services for the project; and
NOW, THEREFORE, in consideration of the mutual covenants contained herein the parties
agree to amend the Agreement as follows:
1. Exhibit A of the Agreement shall be revised as attached hereto.
2. The remaining provisions of the agreement dated October 18, 2023 shall remain in full
force and effect.
REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK
Amendment#1
Woman's Club Hellings House Phase III
ID#2987
•.: IN:WITNESS WHEREOF, the ltiarties have set.their hands and seal on: the day and :year first
'above ove written'.
(STEAL} "� Board of County Commissioners •
;Attest: Kevin M,adok, Clerk : of Monroe County •
. : .:,..,,,,r,..:.::: s-,;..-,:,::;,..... ,,,,,,;.;',. :,,,:i ;',,,,..,,,,,...'-'-'-':::::::::::::::;c,.1!,IF,f4, : ' ' ' . • - " '. . •
•
•
• ' !} r .--f T if .- .. .. ..
• • •'''''' ''''•''''''''''''''''-'-''') ''''''''':;.:.' '.:4( '''V)1/1Aq' ' .. • . . ' . i . . . . . . .. . . .
As'Dep,ut „ lerk • • Mayor/Chairman • .
.•Key West W.oman's Club, Inc. .
•
: .
-L •: •
L.
.d/ A... ' ' . .. H. . . " . . : : 1 . • . '''-'..1--.. ' . . ' ' •
.: • . : 1 B y Cavv\. . 1 ..1.-C. . . .6 -'f'-'0- H. ' : : ' ' : .: . ' .. i • : .' 1 i..j . .. l'11:7::(::7; . .•: "tri.. 1.' ..) .. . : : . - :
President : • • 4 ;
•
Print Name • . i i • : • . • . • • .: • : • • • •• . • . r .. 7;,... •:••• : ,0740-.:•.. ..1.;:).."7: i•.... .. • ..
Date:
. 1 : . ..1 7(.i . : .(._) 1 . Pb (2i ".. .RA. ''') H ... . 1 . • . i . :
a L
. : . :(1) •. - • • • 1 : . : • : • : . : • - • : (2). : i , • • : . . • : .: : •. .: . : : :.
: Print Name Print:Name
ate.: - .
Date:
Approved as to form and legal sufficiency::.
ount Attor
ney's y tt onroe A y's ffice 6-24-2024
(1.4,444. ItAig. ' • : ' .:
Amendment#1 .
Woman's Club Hellings House Phase III :
:ID#2987
O O
m N
N O
W a cCL
0 � O
E E
� a O
111116111116 H a
U O Q
0
0
--------------------------------------------------------------------------------------------------------------------------
o a
C •U
O
� a co
a_ Lx,
E r�l
U IN
N C 42 'I
a :N O
aCL
�
° H ..
�` N Uiiiii w
O � N m
E � � (D X
„ E O M O N Q w w
0 Q O Q w
_ ww
�• L
O N
aE } NNE Q � � Q
Q
0 •� a V)O O 3 U N Q w
Q� p � � moo, w
H Q iii U Q 0 0 ( O
- N � O
Z C .0 N 0 `� 0 Q `~ w
m O D . � Q Nw X
O NO QUONV
> w
_ t � �
~ '— .0 c N U — O Q cn N w w
0 0 p C OLU Q O N Q Q O
N > > N •� - J CL 0) Qi � �
Z Z Z ZI _ N w' w'
AFFIDAVIT ATTESTING TO NONCOERCIVE CONDUCT
FOR LABOR OR SERVICES
Entity/Vendor Name: Key West Woman's Club Helling Curry Museum
Vendor FEIN: 59 2126139
Vendor's Authorized Representative: Aundrea Wagner, President
(Name and Title)
Address: 319 Duval Street
City: Key West State: FL Zip: 33040
Phone Number: 3052942039
Email Address: kwwcpresident(cD_gmail.com
As a nongovernmental entity executing, renewing, or extending a contract with
a government entity, Vendor is required to provide an affidavit under penalty of
perjury attesting that Vendor does not use coercion for labor or services in
accordance with Section 787.06, Florida Statutes.
As defined in Section 787.06(2)(a), coercion means:
1. Using or threating to use physical force against any person;
2. Restraining, isolating, or confining or threating to restrain, isolate, or
confine any person without lawful authority and against her or his will;
3. Using lending or other credit methods to establish a debt by any person
when labor or services are pledged as a security for the debt, if the value
of the labor or services as reasonably assessed is not applied toward
the liquidation of the debt, the length and nature of the labor or service
are not respectively limited and defined;
4. Destroying, concealing, removing, confiscating, withholding, or
possessing any actual or purported passport, visa, or other immigration
document, or any other actual or purported government identification
document, of any person;
5. Causing or threating to cause financial harm to any person;
6. Enticing or luring any person by fraud or deceit; or
7. Providing a controlled substance as outlined in Schedule I or Schedule
II of Section 893.03 to any person for the purpose of exploitation of that
person.
As a person authorized to sign on behalf of Vendor, I certify under penalties of
perjury that Vendor does not use coercion for labor or services in accordance
with Section 787.06. Additionally, Vendor has reviewed Section 787.06, Florida
Statutes, and agrees to abide by same.
Certified By: Aundrea Wagner , who is
authorized to sign on behalf of the above referenced company.
Authorized Signature: a,kl" (Lk�
Print Name:Aundrea Wagner
Title:President
ACO® CERTIFICATE OF LIABILITY INSURANCE DATE tMMIDDrr"Y)
1 211 3/2 0 2 3
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 germs 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 endomement(s).
PRODUCER CONTACT Luz Fuentes
NAME:
Porter-Allen Company PHIA,CONE . (305)294-2542 Ne: (305)296-7985
513 Southard Street F-MAIL s: luz@porterallencompany.com
INSURE S)AFFORDING COVERAGE NAIL N
Key West FL 33040 INSURERA: Burlington Insurance Company
INSURED
INSURER B:
Key West Woman's Club,Inc. INSURERC:
PO BOX 2924 INSURER D:
INSURER E:
Key West FL 33045 INSURER F:
COVERAGES CERTIFICATE NUMBER: CL23121310657 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.
I EXP
LTR TYPE OF INSURANCE POLICY NUMBER MMIID MM1D POLICY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE E 1,000,000
CLAIMS MADE ®OCCUR PREMISES Ea occurrence $ 100,000
MEDEXP one person) $ 5,000
Y N 339B193991 12/
A 0812023 12/08/2024 PERSONAL&ADV INJURY $ 1,000,000
P1GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE E 2,000,000
POLICY JECT LOC PRODUCTS-COMP/OPAGG $ INCLUDED
OTHER: S
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E
Ea accident
ANYAUTO BODILY INJURY(Per pemon) $
OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) E
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY per soodent $
E
UMBRELLA LIAR OCCUR T EACH OCCURRENCE E
��
EXCESS LIAR CLAIMS-MADE , AGGREGATE $
DE
D RETENTIONS 4 .,,_..' -� ^° °'°"""""" S
WORKERS COMPENSATION ER _
AND EMPLOYERS'LIABILITY 7 I S 24 STATUTE ERH
ANY PROPRIETORIPARTNERIEXECUTIVE YIN TE___ _-- "— ", �
OFFICERMIEMBER EXCLUDED? ❑ NIA ��y4 ��?p '�"'' E.L.EACH ACCIDENT E
(Mandatory in NH) A��p K C' _ "" E.L.DISEASE-EA EMPLOYEE E
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT E
DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space to required)
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AND MONROE COUNTY TOURIST DEVELOPMENT COUNCIL IS THE CERTIFICATE
HOLDER AND ADDTIONAL INSURED FOR CAPITAL FUNDING
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.
Attn:Brian Bradley
1100 Simonton Street AUTHORIZED REPRESENTATIVE
Key West FL 33040
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
1996 Edition
MONROE COUNTY,FLORIDA
Request For Waiver
of
Insurance Requirements
It is requested that the insurance requirements, as specified in the County's
Schedule of Insurance Requirements, be waived or modified on the following
contract.
Contractor: Key viae iri's Club, inc.
Contract for: HeHhBgs House Museunn Phase H RepMr and
Restoration
Address of Contractor: 319 Duval St
Key West F1 33040
Phone: 306-294-2039
Scope of Work: Repair arrud Resl�torabon
Reason for Waiver:
Waiver of'Auto and cprker& Con p. Irrisurance req1Uirenwnft,, Key
Wonten's Club does not have, any at,i,tomobfts or eirrq�,ADyees
Policies Waiver will
apply to: Aido and Woirkers C n1j)
Signature of Contractor in
V
Approved Not Apirroved
Risk Management:
Date: 9/15./2022
County Administrator Appeal:
Approved Not Approved
Date:
Board of County Commissioners Appeal:
Approved Not Approved
Meeting Date:
Administration Instruction
#4709.2