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3rd Amendment 12/11/2024 GVS COURTq° o: A Kevin Madok, CPA - �o ........ � Clerk of the Circuit Court& Comptroller Monroe County, Florida �z cooN DATE: December 20, 2024 TO: William DeSantis, Director Facilities Maintenance Chrissy Collins Executive Administrator Alice Steryou Contract Monitor FROM: Liz Yongue, Deputy Clerk SUBJECT: December 11, 2024 BOCC Meeting The following items have been executed and added to the record: C4 3rd Amendment to Agreement with Miami Dade Pump & Supply Company for Lift Station Maintenance and Cleaning, Upper Keys, to amend certain provisions of the Original Agreement and renew the Agreement for the first of(3) three optional (1) one-year renewals with an effective date of January 1, 2025. This Contract is paid from funds 001 and 147. C5 Lease Agreement with Florida House Representative, James ("Jim") Mooney, Jr., for office space, Room 2-235, at the Murray E. Nelson Government& Cultural Center in Key Largo, at no charge. 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 THIRD AMENDMENT TO AGREEMENT FOR LIFT STATIONS MAINTENANCE AND CLEANING - UPPER KEYS MONROE COUNTY, FLORIDA This Third Amendment to Agreement is made and entered into this 1.1 th day of December, 2024, between MONROE COUNTY, FLORIDA ("COUNTY"), a political subdivision of the State of Florida, whose address is 1100 Simonton Street, Key West, Florida 33040, and MIAMI DADE PUMP& SUPPLY COMPANY,a Florida Profit Corporation,authorized to do business in the State of Florida, ("CONTRACTOR"), whose principal address is 7870 NW 62 n1 Street., Miami, Florida 33166. WHEREAS,the parties hereto did on January 18,2023,enter into an Agreement for Upper Keys Lift Stations Maintenance and Cleaning("Original Agreement"); and WHEREAS, on October 18, 2023, the Board of County Commissioners ("BOCC") approved a First Amendment to Agreement to add and/or update provisions to allow for the option of requesting a proposal/quote from the Contractor only for Equipment Replacement and Installation in accordance with the current Monroe County Purchasing Policy as approved by the Board of County Commissioners; and WHEREAS, on February 21, 2024, the BOCC approved a Second Amendment to Agreement to amend the Original Agreement to increase payment amounts by the annual CPI-U adjustment of three percent(3%), effective retroactive to January 1,2024; and WHEREAS,Paragraph 6 of the Original Agreement provides that the Agreement may be renewed for an additional three (3) optional one-year,periods on terms mutually agreeable to the parties; and WHEREAS,this Third Amendment to Agreement is to amend the Original Agreement to renew the agreement for the first of(3)three optional (1)one year renewals with an effective date of January 1, 2025, and to update and/or amend other provisions of the Original Agreement; and WHEREAS, the parties, have found the Original Agreement, as amended, to be mutually beneficial; and WHEREAS, the parties find that it would be mutually beneficial to enter into this Third Amendment to Agreement to renew the agreement for an additional one-year period and to update and/or amend other provisions of the Original Agreement, as amended, to bring them current, which also includes additional forms for the Contractor to execute. NOW THEREFORE,IN CONSIDERATION of the mutual promises and covenants set forth below,the parties agree to amend the Original Agreement as follows: 1. In accordance with Paragraph 6, TERM OF AGREEMENT, of the Original Agreement, as amended, the County exercises its option to renew the Agreement for the first of(3) three optional one-year periods. This renewal shall commence on January 1, 2025, and ends on December 31, 2025, unless terminated earlier under another paragraph of this Agreement. 2. Paragraph 19, NOTICE REQUIREMENT, of the Original Agreement, as amended, is hereby amended to correct the address of the Contractor only as follows: FOR CONRACTOR: Miami Dade Pump& Supply Company 7870 NW 62 d Street Miami, FL 33166 All other provisions of Paragraph 19 remain the same. 3. Paragraph 45,Florida E-'Verify System,of the Original Agreement,as amended,is hereby amended to delete Paragraph 45 in its entirety and replace it with the following paragraph: 45. Florida E-Verify System -Beginning January 1, 2021, in accordance with Section 448.095, Florida Statutes, as may be amended from time to time, 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 maintain a copy of such affidavit for the duration of the contract. The Contractor shall comply with and be subject to the provisions of Section 448.095, Florida Statutes. Pursuant to Section 448.095: 1. A public agency, Bidder, or subcontractor who has a good faith belief that a person or an entity with which it is contracting has knowingly violated s.448.09(l) shall terminate the contract with the person or entity. 2. A public agency that has a good faith belief that a subcontractor knowingly violated this subsection, but the Bidder otherwise complied with this subsection, shall promptly notify the Bidder and order the Bidder to immediately terminate the contract with the subcontractor. 3. A contract terminated under this paragraph is not a breach of contract and may not be considered as such. If a public agency terminates a contract with a Bidder under this paragraph, the Bidder may not be awarded a public contract for at least 2 .................. one(1) year after the date on which the contract was terminated. A Bidder is liable for any additional costs incurred by a public agency as a result of the termination of a contract. 3. Except as set forth in Paragraphs 1 through 3 of this Third Amendment to Agreement, in all other respects,the terms and conditions set forth in the Original Agreement,as amended, remain in full force and effect. [REMAINDER OF PAGE INTENTIONALLY LEFT BLANK] [SIGNATURE PAGE TO FOLLOW] 3 1�» . . :ITN WITNESS:VWHEREOF, the parties hereto have.executed this,Agreement:on the d'ay.. ... . :.:: . .- : : :..• .'. . .. and year• irst'written above.. : • • : ' • • • • ti* ,. *•. : •:H .....::: . • • :BOARD:CIF•COUNTY'COMMISSIONERS•:::•:.• : :.: • • ••. :.•.:•.:.‘.,.. --: *--i ?Ilt4 •. ...: ::.;;-;. .7::('...i.::•:.;,:,..::..• . -*..,.,,,,•...', '1.-\,IN•MADOK,CLERK. . : :r CF•.MONROE:COUNTY, FLORIDA '. : . -:.••••:. •••••‘. .-------:----:.-.':',:k-7.77-•',1,•:•--7,-%.... .''''*--*:-'1*-:•:•711',.-.. . ::' 1.... .•'. i..' .1.;. .. . ....: ...... ...: '.... ..... • ••.: :• ....:..• •Mk/LH .',01-•.:-.--..,•...,-...,',. .:•.•:'.',......* :.:..:..• ••.•,,":,::....,-..H,..•is ••'11.-:• .•. ..' ::•''. .......•r. .i..:••;• ‘;:.: :::?. .'".?,..i‘:: . •`. .110.q()10:qi-1: •••.:-.. i•-•-1 i. ;•: .1.. :' Hi33i.', i'ill.: i.: . . ..i .• .. - .. 1 • .!' .11!:'.;:. :.- :-.. '. .‘ H- .'-.. :.• ...: .1 H.. .. r.. :. /Ct • .,,, U �; As Deputy clerk.: • : •• . • : .. : .Mayor'..: : . • . : - . Date:; 2 1 I l.:2 . : • :' C t R MIAMI:FADE'PUMP.: : : •' itriesses•:for-CONTRACTOR:. '•. • �NTRACT� . ' • SUP L:Y••CC7M:PA.NY• . . . ,�,. • . •. . ' • . .: :-Signature:.of person:authorized to.'.:. . ' . .. igna re : • . ' .: : - • : legally bind CONTRACTOR • : .. . • .• • .Date: •. . - IfI1 2 .. . • :. :.- ..• : . .• . ••I- :• 1,1/0../i,;(4' ..: ' : ..1171.Cnie:icei.4.T.:, :1;k:',I.,,,r... :-: .. •.i .- : :..'•- r....S.-6:4.... .:1 9.*:,i,,,,....4 ).- •..: .- :• :*...- 0. -....1--vL.:•. i.•.'.: :.. .: : -,i • :•. :.•..•: :,.• • • i . i• :• •• :.. • • • Date ••: ..Print.'Name- Print.Name and(Tit_e- . . C". Address . ' • H • . .. . . : . . Signature: : .� . . • • . • • TelephoneNum er•. . . :"-.. • • : ::: . ' . .111/1.9.). .....- H :-.."4-.. j..V.: . .i . ..1.:`. ... . ....: :': .,-.• : .... .. : 1.:„. :..... H i ; . ...: ,:.: .... . :,: : . .•..: :-: •. • . H: :..- ... i-:. •. ... H :-..• .. : Date • :.. . • : : Print Name-: :. -. .. MOB Ut' '• ' 1 "S OFFICE: . . .• •.. '•• . i' ...; :•• - . - : .-.1 j' .. : - . .• •.- :...-: : ••. -..' : . '. :...' :• ...• •. -. : .-. j. '-. :•• . •.• :'.,. ,.,.•..0pgig,q,..:.•:)Ipor"..8710. .0,-.11ilt •... .• ,. .... . : 4: .- .. : r• •: • :' '•.'1 ' •.: .•• :•- - - • •' ' • • • ' • ••.1 1• ••.: : .-• ''..-.. •- :-.' A WC!A L • ' : • . ' • 1 • : .' • ' - • •' • ' :•• .. -...A$OISTANT COUNTY AT.TQF.1NEY . .... . •.i f :x ... ..• ',,, . • .. • • • • • • • . • • • ' FOREIGN ENTITIES AFFIDAVIT F.S. 287.138 L L of the city of according to law on my oath and under penalty of perjury,depose and say that: a. | am »� of the firm of ("Entity"), the bidder onnNng the Proposal for the project described in the Request for Proposals for L N— k'h +Vu` [ and that executed the said proposal with h^U authority to do so; b. The Entity is not owned by the government of a foreign country of concern as defined in Section 287.138, Florida Statutes.(Source: §287.13&(2)(a),Florida Statutes); C. The government of foreign country of concern does not have a controlling interest in Entity. (Source:§2D7.130(J)(b), Florida Statutes); d. Entity is not owned or controlled by the government of a foreign country of concern,as defined in Section 68Z.20l,Florida Statutes.(Souoa: §28&OO7(Z), Florida Statuteo); e. Entity is not a partnership,association,corporation,organization,or other combination of persons organized under the laws of or having its principal place of business in a foreign country of concern, as defined in Section 6gZ2Ol,Florida Statutes,ora subsidiary of such entity.(Snurce:@288.0O7(2), Florida Statutes); f. Entity is not a foreign principal, as defined in Section 692201, Florida Statutes. (Source: # 692.202(5)(a)(1), Florida Statutes); 9. Entity is in compliance with all applicable requirements of Sections 692.202,692.203 andG9I.2O4 Florida Statutes. h. (Only applicable if purchasing real property) Entity is not a foreign principal prohibited from purchasing the subject real property.Entity is either(a)not a person or entity described in Section 692.204(l)(m)' Florida Statutes, or (b) authorized under Section 692.204(2)' Florida Statutes, to purchase the subject property. Entity is in compliance with the requirements of Section 692.204, Florida Statutes.(Source: h§692.20](6)<a>,692.204(0)(a)' Florida Statutes) i. The statements contained in this affidavit are true and correct,and made with full knowledge that Monroe County relies upon the truth of the state f0d vitin awarding contracts for said project. (Signature) Date: 2- STATE OF: COUNTY OF: Subscribed and sworn to(or affirmed)before me, by means of 2/physical presence or 0 online notarization,an (name of affiant). He/,ze­is personally known to me or has produced (type of identification)as identification. MY COMMISSION#HH528397 EXPIRES:MAY 16,2029 NOTARY PUBLIC 4� My Commission Expires: \\° ')0� � S y� AFFIDAVIT ATTESTING TO NONCOERCIVE CONDUCT FOR LABOR OR SERYICES Entity/Vendor Nam kcL.1,1 k 1)C L2 P(11 12 cld 5 uP�� Vendor FEIN: ;-)o-T6 Lf g-5-1 t> Vendor's Authorized Representative: uevpL-" � Address: 2 (Name and Title) -2.9 70 City: NW-,4-k, State: Zip: Phone Number: s-t Email Address: v-P C-0-r-t 5: 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: �11 kl 4'6-�t , who is authorized to sign on behalf of the above referenced company. Authorized Signature: Print Name: Title: 6 .................. .................... 711/22/2024 E(MM/DDYYY) ACCORD® /Y 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 ACT NAME: STEPHEN M. DENKERT Butler, Buckley, Deets, Inc. PHONE FAX 7205 Corporate Center Dr Suite 310 A/C No Ext: (305-262-0086 A/C,No:305-262-0187 Miami FL 33126 ADDE-MRESS: MARIANA@BBDINS.COM INSURER(S)AFFORDING COVERAGE NAIC# wsURERA: MONROE GUARANTY INS. CO. 32506 INSURED MIAMDAD-01 INSURERB: FCCI INSURANCE COMPANY 10178 MIAMI DADE PUMP&SUPPLY Co. DBA MIAMI PUMP&SUPPLY INSURERC: MIAMI PUMP DEVELOPMENT INSURERD: 7870 NW 62ND STREET INSURERE: MIAMI FL 33166-3539 INSURER F COVERAGES CERTIFICATE NUMBER:1727751271 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 GL100042418-06 5/1/2024 5/1/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 X XCU APPROVED BY RISK MANAGEMENTMED EXP(Any one person) $5,000 BY__ PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: DATE 11�22�2OG4 � GENERAL AGGREGATE $2,000,000 POLICY PE� LOC WAIVER N/A YES PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B X UMBRELLALIAB X OCCUR UMB100023933-07 5/1/2024 5/1/2025 EACH OCCURRENCE $5,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$1 n nnn $ 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) When required by written contract or agreement,certificate holder is indicated as an additional insured with respect to General Liability 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 (BOCC) 1100 Simonton Street 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) A�" CERTIFICATE OF LIABILITY INSURANCEF11/19/2024 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 Mann Morin NAME: y tote Mein Manny Morin PHONE Ext: 305-598-5821 FAX f E-MAIL 10651 North Kendall Drive Suite 111 ADDRESS: manny.morin.lr8t@statefarm.com INSURER(S)AFFORDING COVERAGE NAIC# Miami FL 33176 INSURERA: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER B: MIAMI-DADE PUMP&SUPPLY CO INSURER 7 7870 NW 62ND ST INSURER 7 INSURER E: MIAMI FL 331663539 INSURERF: 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 ADD SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYY MM/DD/YYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DA CLAIMS-MADE 1:1OCCUR PREM SESOEa occurDrence $ APPROVED BY RISK MANAGEMENT MED EXP(Any one person) $ PERSONAL&ADV INJURY $ BY GEN'L AGGREGATE LIMIT APPLIES PER: DATE 11�22�202 - GENERAL AGGREGATE $ PRO- POLICY JECT LOC WAIVER NIA YES PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY K59 4923-B04-59R Ea accident) LIMIT $ 1,000,000 O8/04/2024 02/04/2025 ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED Y Y BODILY INJURY AUTOS ONLY AUTOS (Per accident) $ X HIRED NON-OWNED AUTOS ONLY X AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED FTRETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER $ ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER 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,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 Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 R G This form was system-generated on 11/19/2024 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1001486 2005 155279 205 01-19-2023 AC'C)R" CERTIFICATE OF LIABILITY INSURANCE DATE (MM 11/19/2024 YYW) 24 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 Marsh Affinity y PHONE Marsh Affinity (A/C, o,Ext): 8007438130 FAX No): a division of Marsh USA LLC. E-MAIL ADPTotalSource@marsh.com PO BOX 14404 ADDRESS: Des Moines,IA 50306-9686 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Illinois National Ins Co 23817 INSURED INSURER B: ADP TotalSource CO XXI,Inc. INSURER C: 5800 Windward Parkway INSURER D: Alpharetta,GA 30005 Alternate Employer: INSURER E: Miami Dade Pump&Supply Company INSURER F: 7870 NW 62ND ST Miami,FL 331660000 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 TYPEOFINSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYW) (MM/DD/YYW) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑OCCUR DAMAGE TO RENTED $ PREMISES Ea occurrence APPROVED BY RISK MANAGEMENT MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: DATE J22J264 GENERAL AGGREGATE $ POLICY PELT LOC WAIVER N/A YES PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N X STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 2,000,000 OFFICER/MEMBER EXCLUDED? � N/A WC 088407048 FL 07/01/2024 07/01/2025 A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 f yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) All worksite employees working for Miami Dade Pump&Supply Company paid under ADP TOTALSOURCE, INC.'s payroll,are covered under the above stated policy.Miami Dade Pump&Supply Company is an alternate employer under this policy.Proprietor/Partner/Executive Officer/Member are not excluded as long as they are in the ADPTS payroll or have completed the SEI Participation Addendum. CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOCC 1100 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 O ACORD 25(2016/03) ©1988-2015 ACORD CORPOP6XION.All rights reserved. The ACORD name and logo are registered marks of ACORD