11. 10th Amendment 07/17/2024 GVS COURTq c
o: A Kevin Madok, CPA
-
�o ........ � Clerk of the Circuit Court& Comptroller Monroe County, Florida
�z cooN
DATE: July 30, 2024
TO: Ed Koconis, Administrative Director
Building Department
Michelle Yzenas, Executive Assistant
Building Department
FROM: Liz Yongue, Deputy Clerk
SUBJECT: July 17, 2024 BOCC Meeting
The following item has been executed and added to the record:
L1 loth Amendment to Monroe County's Contractor for National Flood Insurance
Program (NFIP), Floodplain Regulations, and Community Rating System (CRS) Professional
Support Services with Lori Lehr, related to projects necessary for maintaining a Community
Rating System Class 3, which yields a 35% discount in the National Flood Insurance Program,
proposing projects with compensation not to exceed $283,500 composed of$84,750 for Fiscal
Year 2025 and $198,750 for Fiscal Year 2026.
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
TENTH AMENDMENT TO MONROE COUNTY'S CONTRACT FOR
National Flood Insurance Program (NFIP),Floodplain Regulations,and Community Rating
System (CRS) Professional Support Services
THIS TENTH AMENDMENT is made and entered into this 17th day of July between
MONROE COUNTY ("COUNTY"), a political subdivision of the State of Florida, and Lori Lehr
("CONTRACTOR").
WITNESSETH:
WHEREAS,the contract between LORI LEHR and the COUNTY was entered into February 18,
2015; and
WHEREAS, the parties executed Amendment No. 1 to the existing Contract for National Flood
Insurance Program (NFIP), Floodplain Regulations, and community Rating System (CRS) Professional
Support Service on September 16,2015; and
WHEREAS, the parties executed Amendment No. 2 to the existing Contract for National Flood
Insurance Program (NFIP), Floodplain Regulations, and Community Rating System (CRS) Professional
Support Service on October 19, 2016; and
WHEREAS, the parties executed Amendment No. 3 to the existing Contract for National Flood
Insurance Program (NFIP), Floodplain Regulations, and Community Rating System (CRS) Professional
Support Service on September 27,2017; and
WHEREAS, the parties executed Amendment No. 4 to the existing Contract for National Flood
Insurance Program (NFIP), Floodplain Regulations, and Community Rating System (CRS) Professional
Support Service on March 21, 2018; and
WHEREAS, the parties executed Amendment No. 5 to the existing Contract for National Flood
Insurance Program (NFIP), Floodplain Regulations, and Community Rating System (CRS) Professional
Support Service on November 20,2019; and
WHEREAS, the parties executed Amendment No. 6 to the existing Contract for National Flood
Insurance Program (NFIP), Floodplain Regulations, and Community Rating System (CRS) Professional
Support Service on September 16,2020; and
WHEREAS, the parties executed Amendment No. 7 to the existing Contract for National Flood
Insurance Program (NFIP), Floodplain Regulations, and Community Rating System (CRS) Professional
Support Service on September 15,2021; and
WHEREAS, the parties executed Amendment No. 8 to the existing Contract for National Flood
Insurance Program (NFIP), Floodplain Regulations, and Community Rating System (CRS) Professional
Support Service on March 15, 2022; and
WHEREAS, the parties executed Amendment No. 9 to the existing Contract for National Flood
Insurance Program (NFIP), Floodplain Regulations, and Community Rating System (CRS) Professional
Support Service on October 19, 2022; and
Page 1 of 8
WHEREAS, the parties seek to amend the Contract to facilitate continued Professional Support
Services provided by Contractor, and it is further necessary to update the terms of the existing Contract to
reflect changes in the law and County policy.
NOW THEREFORE, in consideration of the mutual promises contained herein,the Agreement is
amended as follows:
Section 1. Recitals and Legislative Intent. The foregoing recitals, findings of fact, and
statements of legislative intent are true and correct and are hereby incorporated as if fully stated herein.
Section 2. The Agreement is amended as follows:
Section 1. SCOPE OF SERVICES. Pursuant to Section 1 of the Agreement this Section is amended to
include the following: CONTRACTOR shall do, perform and carry out certain duties as described in the
Monroe County Project Budget FY 24—FY 26—Exhibit A-which is attached hereto and made part of this
Agreement.
Project 8 Damage Assessment—Post Storm Event(s) services include, but are not limited to, completing
all emergency declarations and damage assessment reports, documents and any associated papers related
to or required by any and all federal, state and local government agency programs and insurance companies
related to damage assessment within unincorporated Monroe County.
Section 3. TERM OF AGREEMENT. The Agreement will begin on October 1, 2024 and terminate on
September 30, 2026. The term of this Contract shall be renewable for two additional periods of up to two
(2) years with the same terms upon agreement of both parties. Renewal is subject to satisfactory
performance by CONTRACTOR and the availability of County funds. This Agreement is subject to annual
appropriation by the Board of County Commissioners.
Section 4. COMPENSATION. Compensation to the CONTRACTOR will be as follows ("Contract
Price"): The County, in consideration of the CONTRACTOR substantially and satisfactorily performing
and carrying out the objectives of the County in providing professional support services shall pay the
CONTRACTOR based on invoices submitted by Consultant to the County's Building Department, as
follows:
No claims for reimbursement for expenses will be reimbursed. By entering into this Agreement, the
CONTRACTOR warrants that it understands that the Contract Price represents the full compensation for
all services under this Agreement. CONTRACTOR,as depicted in Exhibit A,may invoice in FY25$84,750
and FY26 $198,750 for a not to exceed amount of$283,500 for the duration of the Agreement,except that
in the event of a County-declared state of emergency, the CONTRACTOR may be authorized through
written correspondence from either the County Administrator or the Building Official,to perform Project
8 Damage Assessment up to an amount of $100,000, per fiscal year, with accompanying written
authorization, after which amount an Amendment to this Contract would be required. There will be no
payment for any additional expenses, including but not limited to telephone, facsimile, postage, mileage,
per diems, or any other travel expenses.
Section 5. PAYMENT TO CONTRACTOR.
1. Invoices will be paid in accordance with the Florida Local Government Prompt Payment Act, F.S.
218.70 et seq. Contractor shall submit invoices to the County with supporting documentation that
is acceptable to the Monroe County Office of the Clerk of Court and Comptroller (hereinafter
referred to as "Clerk"). Acceptability to the Clerk is based on generally accepted accounting
principles and such laws,rules, and regulations as may govern the Clerk's disbursal of funds.
2. Monroe County's performance and obligation to pay under this contract is contingent upon an
Page 2 of 8
annual appropriation by the Board of County Commissioners.
3. The Contractor will submit such invoice monthly for services provided during the preceding month.
4. There are no reimbursable items.
5. After the Clerk examines and approves the request for payment, the County shall reimburse the
Contractor by check.
Section 7. STAFFING
5. The Contractor shall report to the Building Official and the Administrative Director as
necessary. The Building Official has the final authority to approve the decision and work products
of the Contractor related to Floodplain regulation and enforcement. Other work products may be
approved by the Administrative Director.
(The remainder of the terms of Section 7 remain unchanged.)
Section 8. TERMINATION.
A. Either of the parties hereto may cancel this Agreement without cause by giving the other party
thirty(30)days written notice of its intention to do so.
B. Termination for Cause and Remedies: In the event of breach of any contract terms, the
COUNTY retains the right to terminate this Agreement. The COUNTY may also terminate
this agreement for cause with CONTRACTOR should CONTRACTOR fail to perform the
covenants herein contained at the time and in the manner herein provided. In the event of such
termination, prior to termination,the COUNTY shall provide CONTRACTOR with thirty(30)
calendar-days' notice and provide the CONTRACTOR with an opportunity to cure the breach
that has occurred. If the breach is not cured, the Agreement will be terminated for cause. If
the COUNTY terminates this agreement with the CONTRACTOR, COUNTY shall pay
CONTRACTOR the sum due the CONTRACTOR under this agreement prior to termination,
unless the cost of completion to the COUNTY exceeds the funds remaining in the contract;
however, the COUNTY reserves the right to assert and seek an offset for damages caused by
the breach. The maximum amount due to CONTRACTOR shall not in any event exceed the
spending cap in this Agreement. In addition, the COUNTY reserves all rights available to
recoup monies paid under this Agreement, including the right to sue for breach of contract and
including the right to pursue a claim for violation of the COUNTY's False Claims Ordinance,
located at Section 2-721 et at. of the Monroe County Code.
C. Termination for Convenience: The COUNTY may terminate this Agreement for convenience,
at any time, upon 30 days' notice to CONTRACTOR. If the COUNTY terminates this
agreement with the CONTRACTOR, COUNTY shall pay CONTRACTOR the sum due the
CONTRACTOR under this agreement prior to termination, unless the cost of completion to the
COUNTY exceeds the funds remaining in the contract. The maximum amount due to
CONTRACTOR shall not exceed the spending cap in this Agreement.
D. For Contracts of any amount, if the County determines that the Contractor/Consultant has
submitted a false certification under Section 287.135(5),Florida Statutes or has been placed on
the Scrutinized Companies that Boycott Israel List, or is engaged in a boycott of Israel, the
County shall have the option of (1) terminating the Agreement after it has given the
Contractor/Consultant written notice and an opportunity to demonstrate the agency's
determination of false certification was in error pursuant to Section 287.135(5)(a), Florida
Statutes, or (2) maintaining the Agreement if the conditions of Section 287.135(4), Florida
Statutes, are met.
Page 3 of 8
Section 9. RECORDS.
Availability of Records. The records of the parties to this Agreement relating to the Professional Support
Services, which shall include but not be limited to accounting records (hard copy, as well as computer
readable data if it can be made available; subcontract files (including proposals of successful and
unsuccessful bidders,bid recaps,bidding instructions,bidders list,etc.);original estimates;estimating work
sheets;correspondence;change order files(including documentation covering negotiated settlements);back
charge logs and supporting documentation;general ledger entries detailing cash and trade discounts earned,
insurance rebates and dividends; any other supporting evidence deemed necessary by the Clerk to
substantiate charges related to this agreement,and all other agreements, sources of information and matters
that may in County's or the Clerk's reasonable judgment have any bearing on or pertain to any matters,
rights, duties or obligations under or covered by any contract document(all foregoing hereinafter referred
to as "Records") shall be open to inspection and subject to audit and/or reproduction by County's
representative and/or agents or the Clerk. County or Clerk may also conduct verifications such as, but not
limited to, counting employees at the job site, witnessing the distribution of payroll, verifying payroll
computations,overhead computations,observing vendor and supplier payments,miscellaneous allocations,
special charges, verifying information and amounts through interviews and written confirmations with
employees, Subcontractors,suppliers,and contractors' representatives. All records shall be kept for ten(10)
years after Final Completion of the contracted Professional Support Services. The Clerk possesses the
independent authority to conduct an audit of Records, assets, and activities relating to this Agreement. If
any auditor employed by the Monroe County or Clerk determines that monies paid to Contractor pursuant
to this Agreement were spent for purposes not authorized by this Agreement or were wrongfully retained
by the Contractor, the Contractor shall repay the monies together with interest calculated pursuant to
Section 55.03,F.S.,running form the date the monies were paid to Contractor. The right to audit provisions
survives the termination of expiration of this Agreement.
Public Records Compliance. Contractor must comply with Florida public records laws, including but not
limited to Chapter 119,Florida Statutes and Section 24,Article I of the Constitution of Florida. The County
and Contractor shall allow and permit reasonable access to, and inspection of, all documents, records,
papers, letters or other "public record" materials in its possession or under its control subject to the
provisions of Chapter 119, Florida Statutes and made or received by the County and Contractor in
conjunction with this contract and related to contract performance. The County shall have the right to
unilaterally cancel this contract upon violation of this provision by the Contractor.Failure of the Contractor
to abide by the terms of this provision shall be deemed a material breach of this contract and the County
may enforce the terms of this provision in the form of a court proceeding and shall, as a prevailing party,
be entitled to reimbursement of all attorney's fees and costs associated with that proceeding. This provision
shal I survive any termination or expiration of the contract.
The Contractor is encouraged to consult with its advisors about Florida Public Records Law in order to
comply with this provision.
Pursuant to Section 119.0701,Florida Statutes and the terms and conditions of this contract,the Contractor
is required to:
(1) Keep and maintain public records that would be required by the County to perform the service.
(2) Upon receipt from the County's custodian of records, provide the County with a copy of the
requested records or allow the records to be inspected or copied within a reasonable time at a cost
that does not exceed the cost provided in this chapter or as otherwise provided by law.
(3) Ensure that public records that are exempt or confidential and exempt from public records
disclosure requirements are not disclosed except as authorized by law for the duration of the
contractterm and following completion of the contract if the contractor does nottransfer the records
to the County.
Page 4 of 8
(4) Upon completion of the contract,transfer, at no cost,to the County all public records in possession
of the Contractor or keep and maintain public records that would be required by the County to
perform the service.If the Contractor transfers all public records to the County upon completion of
the contract, the Contractor shall destroy any duplicate public records that are exempt or
confidential and exempt from public records disclosure requirements. If the Contractor keeps and
maintains public records upon completion of the contract, the Contractor shall meet all applicable
requirements for retaining public records.All records stored electronically must be provided to the
County, upon request from the County's custodian of records, in a format that is compatible with
the information technology systems of the County.
(5) A request to inspect or copy public records relating to a County contract must be made directly to
the County, but if the County does not possess the requested records,the County shall immediately
notify the Contractor of the request, and the Contractor must provide the records to the County or
allow the records to be inspected or copied within a reasonable time.
If the Contractor does not comply with the County's request for records,the County shall enforce the public
records contract provisions in accordance with the contract,notwithstanding the County's option and right
to unilaterally cancel this contract upon violation of this provision by the Contractor.A Contractor who fails
to provide the public records to the County or pursuant to a valid public records request within a reasonable
time may be subject to penalties under Section 119.10,Florida Statutes.
The Contractor-shall not transfer custody, release, alter, destroy or otherwise dispose of any public records
unless otherwise provided in this provision or as otherwise provided by law.
IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER
119, FLORIDA STATUTES, TO THE CONTRACTOR'S DUTY TO PROVIDE PUBLIC
RECORDS RELATING TO THIS CONTRACT, CONTACT THE CUSTODIAN OF PUBLIC
RECORDS, BRIAN BRADLEY AT PHONE# 305-292-3470 BRADLEY
BRIAN(k,MONROECOUNTY FL.GOV,MONROE COUNTYATTORNEY'S OFFICE, 1111 12TH
Street, SUITE 408,KEY WEST,FL 33040.
Section 15. ADJUDICATION OF DISPUTES OR DISAGREEMENTS
COUNTY and CONTRACTOR agree that all disputes and disagreements shall be attempted to be resolved
by meet and confer sessions between representatives of each of the parties. If the issue or issues are still
not resolved to the satisfaction of the parties,then any party shall have the right to seek such relief or remedy
as may be provided by this Agreement or by Florida law. This Agreement is not subject to arbitration. This
provision does not negate or waive the provisions of Section 8 concerning termination.
Section 16. NONDISCRIMINATION/EQUAL EMPLOYMENT OPPORTUNITY
CONTRACTOR and COUNTY agree that there will be no discrimination against any person, and it is
expressly understood that upon a determination by a court of competent jurisdiction that discrimination has
occurred, this Agreement automatically terminates without any further action on the part of any party,
effective the date of the court order. CONTRACTOR and COUNTY agree to comply with all Federal and
Florida statutes, and all local ordinances, as applicable, relating to nondiscrimination. These include but
are not limited to: 1)Title VII of the Civil Rights Act of 1964 (PL 88-352)which prohibits discrimination
in employment on the basis of race, color, religion, sex, or national origin; 2) Title IX of the Education
Amendment of 1972, as amended(20 USC ss. 1681-1683, and 1685-1686),which prohibits discrimination
on the basis of sex; 3) Section 504 of the Rehabilitation Act of 1973, as amended(20 USC s. 794), which
prohibits discrimination on the basis of disability; 4)The Age Discrimination Act of 1975, as amended(42
USC ss. 6101-6107) which prohibits discrimination on the basis of age; 5) The Drug Abuse Office and
Treatment Act of 1972 (PL 92-255), as amended,relating to nondiscrimination on the basis of drug abuse;
Page 5 of 8
6) The Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of
1970 (PL 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism;
7)The Public Health Service Act of 1912, ss. 523 and 527(42 USC ss. 690dd-3 and 290ee-3),as amended,
relating to confidentiality of alcohol and drug abuse patient records; 8)Title VIII of the Civil Rights Act of
1968 (42 USC s. 3601 et seq.), as amended, relating to nondiscrimination in the sale, rental or financing of
housing;9)The Americans with Disabilities Act of 1990(42 USC s. 12101 Note),as may be amended from
time to time, relating to nondiscrimination on the basis of disability; 10) Monroe County Code Chapter 14,
Article II,which prohibits discrimination on the basis of race, color, sex,religion,national origin, ancestry,
sexual orientation, gender identity or expression, familial status or age; 11) Any other nondiscrimination
provisions in any Federal or state statutes which may apply to the parties to, or the subject matter of, this
Agreement.
During the performance of this Agreement, the CONTRACTOR, in accordance with Equal Employment
Opportunity(30 Fed.Reg. 12319, 12935,3 C.F.R.Part, 1964-1965 Comp.,p. 339),as amended by Executive
Order 11375, Amending Executive Order 11246 Relating to Equal Employment Opportunity, and
implementing regulations at 41C.F.R. Part 60 (Office of Federal Contract Compliance Programs, Equal
Employment Opportunity,Department of Labor), see 2 C.F.R.Part 200, Appendix II,¶C,agrees as follows:
1) The contractor will not discriminate against any employee or applicant for employment
because of race, color, religion, sex, sexual orientation, gender identity, or national
origin. The contractor will take affirmative action to ensure that applicants are
employed, and that employees are treated during employment,without regard to their
race, color, religion, sex, sexual orientation, gender identity, or national origin. Such
action shall include, but not be limited to the following: Employment, upgrading,
demotion, or transfer, recruitment or recruitment advertising; layoff or termination;
rates of pay or other- forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to
employees and applicants for employment, notices to be provided setting forth the
provisions of this nondiscrimination clause.
2) The contractor will, in all solicitations or advertisements for employees placed by or
on behalf of the contractor, state that all qualified applicants will receive consideration
for employment without regard to race, color,religion, sex, sexual orientation, gender
identity, or national origin.
3) The contractor will not discharge or in any other manner discriminate against any
employee or applicant for employment because such employee or applicant has
inquired about, discussed, or disclosed the compensation of the employee or applicant
or another employee or applicant. This provision shall not apply to instances in which
an employee who has access to the compensation information of other employees or
applicants as a part of such employee's essential job functions discloses the
compensation of such other employees or applicants to individuals who do not
otherwise have access to such information, unless such disclosure is in response to a
formal complaint or charge, in furtherance of an investigation,proceeding,hearing, or
action, including an investigation conducted by the employer, or is consistent with the
contractor's legal duty to furnish information.
4) The contractor will send to each labor union or representative of workers with which
it has a collective bargaining agreement or other contract or understanding, a notice to
be provided advising the said labor union or workers' representative of the contractor's
commitments under this section, and shall post copies of the notice in conspicuous
places available to employees and applicants for employment.
5) The contractor will comply with all provisions of Executive Order 11246 of September
24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
6) The contractor will furnish all information and reports required by Executive Order
11246 of September 24, 1965,and by the rules,regulations,and orders of the Secretary
Page 6 of 8
of Labor,or pursuant thereto,and will permit access to his books,records,and accounts
by the administering agency and the Secretary of Labor for purposes of investigation
to ascertain compliance with such rules, regulations, and orders.
7) In the event of the contractor's noncompliance with the nondiscrimination clauses of
this contract or with any of the said rules, regulations, or orders, this contract may be
canceled, terminated or suspended in whole or in part and the contractor may be
declared ineligible for further Government contracts or federally assisted construction
contracts in accordance with procedures authorized in Executive Order 11246 of
September 24, 1965, and such other sanctions may be imposed and remedies invoked
as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation,
or order of the Secretary of Labor, or as otherwise provided by lam-.
8) The Contractor will include the portion of the sentence immediately preceding
paragraph (1)and the provisions of paragraphs (1) through (8)in every subcontract or-
purchase order unless exempted by rules, regulations, or orders of the Secretary of
Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 1965,
so that such provisions will be binding upon each subcontractor or vendor. The
Contractor will take such action with respect to any subcontract or purchase order as
the administering agency may direct as a means of enforcing such provisions, including
sanctions for non-compliance; provided, however, that in the event a contractor
becomes involved in, or is threatened with,litigation with a subcontractor or vendor as
a result of such direction by the administering agency, the contractor may request the
United States to enter- into such litigation to protect the interests of the United States.
Section 21. LEGAL OBLIGATIONS AND RESPONSIBILITIES
(The following is added to Section 21. The language previously included in Section 21 remains unchanged.)
State of Florida E-Verify. Beginning January 1,2021,in accordance with Section 448.095,Florida Statutes,
the Contractor and any subcontractor shall register with and shall utilize the U.S. Department of Homeland
Security's E-Verify system to verify the work authorization status of all new employees hired by the
Contractor during the term of the Contract and shall expressly require any subcontractors performing work
or providing services pursuant to the Contract to likewise utilize the U.S. Department of Homeland
Security's E-Verify system to verify the work authorization status of all new employees hired by the
subcontractor during the Contract term. Any subcontractor shall provide an affidavit stating that the
subcontractor does not employ, contract with, or subcontract with an unauthorized alien. The Contractor
shall comply with and be subject to the provisions of Section 448.095, Florida Statutes.
Section 29. NOTICES.
FOR THE COUNTY:
Monroe County Administrator
1100 Simonton Street
Key West, FL 33040
Monroe County Attorney
1111 121h St. Suite 408
Key West, FL 33041
Monroe County Building Department
c/o Building Official
2798 Overseas Hwy. Suite 300
Marathon, FL 33050
Page 7 of 8
•
: (The remainder of the terms:of Section 29 remain unchanged.) . ' • • ,
The remainder of the terms:and conditions of the Agreement, as:amended, remain unchanged by. : ,
this Amendment,and continue:in full force and effect. • : :
IN WITNESS WHEREOF,each party caused this Amendment to the Agreement to be executed by .
its duly.authorized:representative. : : . : : : : : .
S
- 1fr,- 2..'-.. E� ��,.�- :�, BOARD OF COUNTY COMMIS SIUNERS
. : i',':',..'g ::::/:-.;.':-,,. S Ifff.:;'7,','"-ii
. 1 ' OF MONROE COUNTY,FLORIDA
: ''', t Attest . -VII MADOK,CLERK
:OF.MO:ISTA.• OP:COUNTY,FLORIDA : :
--,:i...::::
By. 4:1111-,;.::::;-.1V
_: By,
`'':.•l' :1G: hAs De-u Clerk : : Mayor Holly Raschein .
: Date: liii:I202L( : • : : H
CONSULTAN.1itnesses A te1st: TANT:Lori:L :. : :
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: : Signature: .,: om. w .. Si ature: UjiL.....-
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APPROVED AS TO FORM: �,,�
. MONROE COUNTY ATTORNEY'S OFFICE. : : . - . . : . . . 4F-...,:,'tr- . . ""` ...-
Digitally signed by Kelly Dugan.
. Kelly Dugati :cn=KellyDugan,o=Monroe.County� kelly@monroecounty_fl.gov.c=US ; ,
• 1 10.37 -04'00'. ,
' Date:•2024.05.1 6
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L DUGAN ,,,,,�
, ASSISTANT COUNTY ATTORNEY : ---
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DATE(MM/DD/YYYY)
ACORD® CERTIFICATE OF LIABILITY INSURANCE
06/27/2024
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:
HISCOXInc. PHONE $$$ 202-3007 FAX
5 Concourse Parkway -MA Lo Ext: ( ) vc No
Suite 2150 ADDRESS: contact@hiscox.com
Atlanta GA, 30328 INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: Hiscox Insurance Company Inc 10200
INSURED
INSURER B
LOCI Lehr Inc. INSURER 7
901 Walden Pond Drive
Plant City, FL 33563 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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 POLICPOLICY NUMBER MM/DDY EFF MM/pY EXP LIMITS
LTR
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
DA
CLAIMS-MADE � OCCUR PREM SESOEa occurrDence $ 100,000
MED EXP(Any one person) $ 5,000
A Y Y P100.226.922.6 04/25/2024 04/25/2025 PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000
X POLICY JE� LOC PRODUCTS-COMP/OP AGG $ S/T Gen.Agg.
OTHER: $
AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $
APPROVED BY RISK MANAGEMENT Ea accident
ANY AUTO BY �, � ,? BODILY INJURY(Per person) $
ALL AUTOS OWNED CHEDAUTOS DATE
DATE 7/1/2024 ww-^" BODILYINJURY(Peraccident) $
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS WAIVER N/A YES Per accident
$
UMBRELLALIAB OCCUR 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 $
A Professional Liability Y P100.226.114.6 04/25/2024 04/25/2025 Each Claim:$2,000,000
Aggregate:$2,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
CERTIFICATE HOLDER CANCELLATION
Monroe County BOCC
1 100 Simonton Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Key West, FL 33040 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE i
yJ
F
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
2018 EdWon
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.
ContractorNendor: Lori Lehr Inc.
Project or Service ' UW95Y Ig .. .... ... .....
ContractorNendor
,eeha,,FL 33922 Address&Phone#• w15175 Strm e ow R #47 Bo ,,,,
S
General Scope of Work: ommunity Rm stem Support Services -------------------------
at
p equirements Reason for Waiver or Exempt from Worker's Compensation R
Modification:
Policies Waiver or
Modification will apply to:
Worker's ompensatton
Signature of ContractorNendor:
Date; Approved .nrrr. Not Approved
�,rrrr�,�rrrrrrrmmrrrrrrrrr.
Risk Management Signature:
Date: 71 .JQ.2�
County Administrator appeal:
Approved: Not Approve&
Date:.
Board of County Commissioners appeal:
Approved Not Approved
Meeting Date:
Administrative Instruction 7500.7
1,04
AFFIDAVIT ATTESTING TO NONCOERCIVE CONDUCT
FOR LABOR OR SERVICES
Entity/Vendor Name: Lori Lehr Inc.
Vendor FEIN: 81-1401221
Lori Lehr
Vendor's Authorized Representative:
(Name and Title)
Address: 15175 Stringfellow Rd,#47
City: Bokeelia State; FL Zip: 33922
Phone Number: 727-235-3875
Email Address: lori@lorilehrinc.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: Lori Lehr , who is
authorized to sign on behalf of the above referenced company.
Authorized Signature: C..
Print Name: Lori Lehr
Title: President