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4th Amendment 10/16/2024 GVS COURTq° o: A Kevin Madok, CPA - �o ........ � Clerk of the Circuit Court& Comptroller Monroe County, Florida �z cooN DATE: November 1, 2024 TO: Ammie Machan, Administrative Assistant Tourist Development Council Julie Cuneo Office of Management and Budget FROM: Liz Yongue, Deputy Clerk SUBJECT: October 16, 2024 BOCC Meeting The following item has been executed and added to the record: D15 4th Amendment to Agreement with Old Island Restoration Foundation, Inc. for the Restore and Improve Oldest House Project to amend language regarding quotes for the proj ect. 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 (4th AMENDMENT) TO AGREEMENT THIS AMENDMENT to Agreement dated this 16th day of October 2024, is entered into by and between the Board of County Commissioners for Monroe County, on behalf of the Tourist Development Council, and Old Island Restoration Foundation, 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 19, 2022 between the parties, awarding $200,000 to Grantee for the Restore and Improve Oldest House Project ("Agreement"); and WHEREAS, there was an Amendment to Agreement entered into on April 19, 2023 to revise the termination date of the Agreement to September 30, 2024 and to revise Exhibit A of the Agreement outlining scope of services for the project and; WHEREAS, there was an Amendment to Agreement entered into on May 15, 2024 to amend the paragraph 2.b(ii) of the Agreement regarding quotes for the project; and WHEREAS, there was and Amendment to Agreement entered into on July 17, 2024 to revise Exhibit A of the Agreement outlining scope of services for the project, and WHEREAS, it has become necessary to amend the paragraph 2.b(ii) of the Agreement regarding procurement for this project; and NOW, THEREFORE, in consideration of the mutual covenants contained herein the parties agree to the amend Agreement as follows- 1. Paragraph 2.b(ii) shall be revised to allow for the Grantee to utilize multiple quotes to break the work into segments to obtain the lowest cost for the entire segment of the project. 2. The remaining provisions of the agreement dated October 19, 2022 and amended on April 19, 2023, May 15, 2024, July 17, 2024 shall remain in full force and effect. REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK Amendment 44 Oldest House Restore and Improve ID#2882 IN WITNESS WHEREOF, the parties have set their hands and s above written. ea on the day andyear first. , ,, ''.1 ..�xiiSE-ALf �H Board of Count r'r.'°L'�� �iA �,St• Y��``n4t�• .. . � .. � County Commissioners 7;;;,,: :' .�r.-.0 4 es ,:Levin MadokClerk ofMonroe. j� .i�, {t..+.,r'.^e.,1 J 1,,,,, ,\ „.... ,.. .� County .. N`a 52!,-of .•."r��,rY �',.,:, pM1 �.r• ��,"t'r 6� Rj�? , A, Vim✓ ," :�,, e , � s DeputyCerk Mayor/Chairman MONROE COUNTY ATTORNEY (ir,, ,PPR V..Ep AS TO I+0 4: Oldtsland Restaratian Foundation, �`no.. ASSISTANT COUNTY ATTORNEY DATE:A Q124/74 M1f `4I KB President , ,, ply 1."'T vt` ,J .�,tl`�.a 4 ti,$... w t j ,�,.I, fX ! �t�-r'.. _ ,),. Print Name 3 �t 1T a r P ➢ J .- Date. En . �r: t. t y.y , . . i M ,' i i i i' ) , /1.46e,-.7 ' A A (2)( alit:/(1‘, CL, - C--- '6. -- (1)40. a ,A... I L4 i .1 .1 - 3, (1) 6 ' (-:51(etkci ey) :• (2) r gilt.' {s.,,ej a .� '' Print Name Pint Name idt) ?-0A ' • ,:3at . '9 Date: � . .Amendment#4 Oldest House Restore and Improve ID#2882 AFFIDAVIT ATTESTING TO NONCOERCIVE CONDUCT FOR LABOR OR TRVICES ir 4 Entity/Vendor Name: C, 1"v kA )ra( D.011, Vendor FEIN: 1)q Vendor's Authorized Representative: 7 Fy )2- Addrels. 39d, MV6d (Name and Title) City: Ml? E�1- � State: zip: Phone Number: '?x I Email Address: y'" C)V) n 6 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 h, same. Certified By: who is authorized to sign on beha f of the above referenced company. Authorized Signature: Print Name: Title: ............ DATE(MM/DD/YYYY) ACCOR" CERTIFICATE OF LIABILITY INSURANCE 07/23/2024 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 NAME: Heather L Keller,CISR,AIAM Southernmost Insurance Agency, Inc PHONE FAX 1010 Kennedy Drive A/c No Ext: 305-296-5052 /C, No): (305)296-5052 E-MAIL C Suite 300 ADDRESS: heather@southernmosrtinsurance.com Key West, FL 33040 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Century Surety Company 36951 INSURED Old Island Restoration Foundation, Inc. INSURERB: Associated Industries Insurance Co 23140 322 Duval St INSURERC: Key West, FL 33040 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 POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A �. COMMERCIAL GENERAL LIABILITY y CCP-1188634 12/11/2023 12/11/2024 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 .POLICY JE� LOC 16K, ff PRODUCTS-COMP/OP AGG $ 2,000,000 ....OTHER: *u $ AUTOMOBILE LIABILITY ,„,,_,,,,,, COMBINEDSINGLELIMIT $ Ea accident ANY AUTO 7.31 24 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY .AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED �,;,, ,.,. PROPERTY DAMAGE $ ,.AUTOS ONLY AUTOS ONLY Per accident UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION AWC1207299 06/26/2024 06/26/2025 V/ PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 OFFICE R/M EMBER EXCLUDED? N❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Monroe County Board of County Commissioners is named as additional insured with regards to the General Liability 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 c/o Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 1026 Key West, FL 33040 AUTHORIZED REPRESENTATIVE 7_ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1"6 Edition MONROE COUNTY, FLORIDA Request F'o r 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 f6l win g contract. Contractor: Old Island Restoration Foundation,, Inc, Contract for: Oldest House Repair and Improve Oldest House Address of Contractor: 322 IlDiuval S'L Key West, FL. 33040 Phone: 305-294-9601 Scope of Work: kistall Fire sprinklersystern and repair/ii,nprove fighting, landscaping and irrigation tiro grounds. Reason for Waiver-. Waiver of Aluto Insurance requirement: 011d Istand Restionation Foundatiori, Inc., does not have any aUtOlMobiles Policies Waiver will apply to: Auto Signature of Contractor: ,Approved Not Approved Risk Management:_Wa4l � Z— Date, 3-16-2021 County Administrator Appeal: Approved Not Approved Date. Board of County Commissioners Appeal: Approved Not Approved Meeting Date: Acirnin,istration instruction #4709.2