1st Change Order 07/08/2024 County of Monroe
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The Horid.-I Kelvs BOARD OF COUNTY COMMISSIONERS
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Mir l'dle Lincoln, Di"iris ,
STATE HOUSING INITIATIVE PROGRAM (SHIP)
Change Order
Date: July 8, 2024.
Contractor: Sweetwater Homes, Inc
30051 Pond Lane
Big fine Key, FL 33043
Owner: Sally Abrams Project##: 07- 159-21
26 7"' Ave Change Order#: I
Stock Island, FL 3304()
(305) 587-4634
Original Contract Late: 08✓3112023
YOU are directed to make the following change; to the contract:
See attached invoice
Reason for Change;
Fix leaf: in wall and perform necessary repairs related to water damage
Original Contract Sum ,$25,700.00
Change Order##1: $3,500.00
New Total: $29,20(1.()()
°µ
Sheryl L. Graham Date
C SHIP Administrator
Monroe County SNIP June 17,2024
1100 Simonton Street 26 7th Ave
Key West,FL 33040 Key West„FL 33040
305-292-4419/305-292-4479 fax 305-5g7-4634
Job#:07-9159.21 SNIP Rehab
P
ttrCit7r,; _
We will have to cut the drywall across the ceiling,where it has all the
wet spots in the living roam,There is a drain line that rains through
there towards the left-side of the house„into a fake column,we will
cut out the drVwali and replace whatever is leaking on that drain fine.
There is another leak by the bathroom upstairs,that there is another
wet spot by the living room,that we will have to check and cut the
drywall and fix whatever is leaking.After we coat the drywall,there is
an AC drain that runs around the same location„if that AC drain is
leaking,we will repflace it across the top of the c0ing, $ 950.00 $ 1,360.00
Replace drywall removed due to piumber's repair.Nang,tape,mind,
sand,finish,includes 2 coat of paint on repair patch.Paint may not
math existing, 325.00 $ —865.00
Included
NA
TOTAL UNIT COST'; $ 1,275.00 2,225.00
...w,,�,,,�,��_,�,.�....,._.,..�,.,_,.,�...,.-....�..... ..._.�..__C'iANDTOTAL 3,500.00
Contractor/Company Name:
Sweetwater Homes,Inc.,
Contrdc or Si nature:
Spending limit is$3,500.00 for this project.
Please reply by 06l2412024
Contractors are responsible for taking their own rneaisurernents.
Any deviations from final bid will require a pre-approved Change Order Request
*Scope ofWork has general details.
with descriptions of required measures
SNIP Coordinator: �Mµ
LATE BID ACCEPTED:
� DATE iMMiDDfYYYYI
,�ac�`"R CERTIFICATE 4F LIA ILL Y INSURANCE
6/1812024
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 DOE'S 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 end'orsement('s).
PRODUCER CONTACT
NAME,
Key West Insurance PHONE FAX
3152 NOrtl-hside Drive, Unit 20,1A (AJC,No,Ext): 305 294 109Fa_ (AJC,No):305 294-8016
Key West FL 33040 ADDRIESS[
INSURIERISI,AFFORDING COVERAGE _. NAIC#
Llcensetk;1.1o64iEQ INSURER A::Kinsale Insurance Company 38920
..INSURED SWEETWAT0I....IN!5URER 6;
Sweetwater Homes, Inc _ .
30051 Pond Lane INsuRER
Big Dine Key FL.33043 INSURERD:
INSURER.E:
INSURER F:.
COVERAGES CERTIFICATE NUMBER:21'19070947 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 CONDITION'S OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR! TYPE OF INSURANCE' ADDLISUBR ISO W11 POLICY NUMBER `.�MP9MClX^Ef NPAI1ppYYXX'P"r LIMITS
LTR
A ! X COMMERCIAL GENERAL LIABILITY Y Y 0100241847-1. - 61212,024 - 61212025 Ercl, OCCURRENCE..... !$1,000,000
DAMAGE
....... .........
CLAIMS•MADE I "X OCCUR PREMISES(Ea occurrence) $100,000 ._...
APPROVED BY RISK MANAGEMENT
1AED EXP(Arty one person) $5,000
PERSONAL.&ADV INJURY S 1,000,000
CENT AGGREGATE LIMIT APPLIES PER: DATE 7/29/2024"°_ GENERAL AGGREGATE $2,000,000
POLICY PRO- WAIVER N/A YES ...
JECT LDC — - PRODUCTS-COMPdOP AGG $2,000,000 _..
OTHER:. ....... ... .... .. $
AUTOMOBIILE LIABILITY COMBINED SINGLE LIMIT $
(Ea.accident)
ANY AUTO BODILY INJURY lP(K person) S
OWNED SCHEOULED BODILY INJURY(Per accident) $.. .....
_. AUTOS ONLY AUTOS .........
HIRED ...... NON-OWNED PROPERLY DAMAGE S .....
... AUTOS ONLY _ AUTOS ONLY (Par accident) ....._ ....._
DMBREL..h..ALIAB OCCUR ! '... EACH OCCURRENCE S
_. EXCESSLIAB CLAIMS-MIADE''... AGGREGATE..... ......... .$ ..... ..
.......'CUED ........ RETENTIONS ..... S ........._._
WORKERS COMPENSATION
AND EM.P'LOYERS'LIABI'....LL Y Y/N STATUTE. FR... .
ANYPROPI""ETOR/PARTNER/EXECtJTIVE �"� E.L.EACH ACCIDENT 3
OPFICER/MEMREREXCLUDEW l '� N/A ........ ....... _.
._
(Mandatory in NH) '..., % E.L.DISEASE-EA I:M1f"LCJYEE $ _... _...
11 yes describe under
...... _.. ,
DESCRIPTION OF OPERATIONS below E.L..DISEASE.-POLICY LIMIT S
DESCRIPTION OF OPERATIONS J LOCATIONS/VEHICLES(ACORD 101„Additional Remarks Sclhaduha,maybe artachad If more space is rectu8rod)
Monroe County BOCC is included as an adlditional insured as realutred by Written contract for general ilakallity.
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 Board of County Commissioners
1100 Simonton St AUTHORIZED REPRESENTATIVE
Key 1/!d'eSt FL 33040 �/.'
_ Q 1588-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
r
.�Il�1CC> 0Fr118
DATE(MWDDIYY'YY)
CERTIFICATE T LI II' INSURANCE /2024
THUS 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. THIIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING tNSURER(S), AUTHORIZED'
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE,HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,Subject to the
terms and conditions of the policy, certain policies may requli',re an endorsement„ A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT .
NAME: Xlmena Urrutla
PHO(AJC,, .Exw 772-489-977$ dAIC,Nd)�
Eric F Ellwood Inc. ADDRESS:
mena22 o@allstate.cocn
INSURER(S),AFFORDING COVERAGE NAIL#
INSURER A; National General insurance -........ _..
INSURED INSURER B:
Sweetwater Homes Inc.
30051 Pond Lane INSURER C
Big Pine Key, FL 33043 INSURERD:
INSURER.E:
INSURER F
I
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 PERTAWN, 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 CLAIIMS.
INSR _..... TYPE OF INSURANCE _ WDDN»SUB,It ,, ..POLIO'(Err POLICY E.XP LIMNTS
LTR, POLICY NUMBER MMIDDIYYYY MMIDDIYYYY
GENERAL LIABILITY ': ,. � EACH OCCURRENCE S
_. p�''' DAMAGE TO RENTED
COMMERCIAL _. _.
COMERCIAL GENERAL LIABILITY f^""""',.p"""'^"'.,... Pf�rMisCS(ra occurrenrq}
CLAIMS-MADE OCCUR II II APPROVED BY RISK MANAGEMENT MED EXP(Any one person) S _
ADV
.... .. BY . PERSONAL,: .. ... INJURY
GENERAL AGGREGATE
_ SDAT- � . S
GENT AGGREGATE LIMIT APPLIES PER: ' WAIVER NA YECa..__, PRODUCTS-COM9PIOP AGG S i
POLICY PR'O-' LOC .. .S _.
AUTOMOBILE LIABILITY COMBINED SINGLE LIM4I1'
I "� � (Ea(Ea acciesent) 5 300,000
ANY AUTO BODILY INJURY(Pea person)
ALL OWNED x SCHEDULED BODILY INJURY(Pere accident)
A AUTOS AUTOS
2021386379 01l22/2024 01/2212025
NON-OWNED . PROPERTY DAMAGE
HIRED AUTOS . s
s
UMBRELLA LIAR OCCUR '� EACH OCCURRENCE ._.... S ...
_... EXCESS LIAS CLAIMS-MADE,' '.... AGGREGATE. S ..
.... DED RETENTIONS __ 5
WORKERS COMPENSATION ' WC'STATU- OTH-
AND EMPLOYERS"LIABILITY YIN _._ TORY LIMITS ER
ANY PROr"F�IETORJPAffYTNER+''FXECUTIVE I ...... : E.L.EACH ACCIDENTS
OFFICE IMiEM1BER EXCLUDED? NIA I --- .. ,.... ....... ..._..
(Mandatory In NH) ........ E L,,.DISEASE,-EA EMPLOYEE 5 ...... ....
It yres.,describe underDE ..
E.L.DISEASE-POLICY LIMIT 5
DESCRIPTION OF OPERATIONS I(LOCATIONS I VEHICLES (Attach ACORD 1e1,Additional Remarks Schedule,It more space is required)
CERTIFICATE HOLDER CANCELLATION
Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
A Political Sub-Division,of the State of Florida ACCORDANCE WITH THE POLICY PROVISIONS,
1100 Simonton St.
AUTHORIZED REPRESENTATIVE
Key West, FL 33040
Q 1988-2010 ACORD CORPORATION, AIII rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
DATE(MM0DfYYYY)
ACC>R"� CERTIFICATE OF' LIABILITY INSURANCE
sr18)za24
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 enldorsetment(s).
PRODUCER _... CONTACT NAME: Certificate Department
Five County Insurance Agency, Inc PHONE FAX
14120 Metropolis Ave IlAjcE.M. ,Ext); 239-939-14047 I/UG Me1:239-939-3813.
Fort Myers FL 33912 ADDRESS: certs@fivDcountyinsurance.coryi
INSURER(S).AFFORDING COVERAGE NAIC 0
INSURER A; f3ridgefneld Casualty Insurance 10335
INSURED SWEET-2 INSURER B
Sweetwater Homes Ilnc
30051 Pond Lane INSURER c
Big Pine Key FL 33043 INSURER ci
INSURER E
INSURER F;
COVERAGES CERTIFICATE NUMBER:600651540 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 CLAIM'S.
INSR TYPE OF INSURANCE ADDLSUBR.. 'POLICY'NUMBER M,IM/DDYYYY : IMPOLICY EFF MdDDYYYY LIMITS
L'rRINsp COMMERCiAL GENERAL LIABILITY EACH OCCURRENCE
APPROVED BY RISK MANIAGEMEN'I , DAMAGE TO RENTED
CLAIMS-MADE -. OCCUR PREMOSE5(La occurrence)
MED EXP(Anyone person) 5
.. ...._ _._ DATE.........t� .✓I7( ?- PERSONALSADVINJURY
WAIVER NIIA YES
GEN L AGGREGATE:LIMIT APPLIES PER: GENERAL AGGREGATE $
_... POLICY..,. PRO- LOG FRODIJCTS•COM1PIOPAGG $ __
.,JECT .. ...... ...._. _..... ...
'...OTHER: ........ ....... $
AUTOMOBILE LIABILITY .. COMBINED SINGLELIIWYT S
.. (Ea accidant) _. _.. _...
.....ANY AUTO BODILY INJURY(Per person) $
OWNED _... SCHEDULED : '' �. __. _...
AUTOS ONLY AUTOS .. BODILY INJURY(Per accuderrt) $
HIRED NON-O'VVNEO PROPERTY DAMAGE .... $ .... ...
AU JTOS ONLY ... .AUTOS ONLY '', (Pen accident)..... ...
UMBRELLA LY;Aa OCCUR ] �.... EACH OCCURRENCE 'S
EXCESS LIAEfi CLAIMS-MADE j AGGREGATE
DFb RETENTIONS S
A WORKERS COMPENSATION 019652963 5/1012024 5110/2025 X PER OTw--�
ANDE,MPLOYERS'LIABILITY YVN SIArUTE EIT. _
ANMPIIOPRIETOMPARTNERJEXECUT'IVE N LEACH EACH ACCIDENT $100,00{10
OFFICE RJM,E.Ma ER EXCLUDED ❑,NIA .... .. .........
(Mandatory In NH) E,L DISEASE-EA EMPLOYEE S 1UU,000
If yes,describe under ..... ....... ...... .... ...
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000
DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)
Waiver Of SUbrogation is included with respects to Workers Compensation.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
MONROE COUNTY BOARD OF COUNTY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
COMMISSIONERS ACCORDANCE WITH THE POLICY PROVISIONS.
A POLITICAL SUB-DIVISION OF THE STATE OF
FLORIDA AUTHORIZED(REPRESENTATIVE
11100 SIMONTON STREET, STE. 1-90
KEY WEST FL 33040
1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD