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HomeMy WebLinkAboutItem I01 BOARD OF COUNTY COMMISSIONERS COUNTY of MONROE Mayor Michelle Lincoln,District 2 The Florida. Keys Mayor Pro Tem David Rice,District 4 p Craig Cates,District 1 James K. Scholl,District 3 - Holly Merrill Raschein,District 5 Regular Meeting July 15, 2026 Agenda Item Number: I1 26-323 l 9 BULK ITEM: Yes DEPARTMENT: Airports TIME APPROXIMATE: N/A STAFF CONTACT: Richard Strickland AGENDA ITEM WORDING: Approval of Jacobs Project Management Co.'s Task Order No. 2022-105 in the amount of $144,974.00 for Safety Management System(SMS) Support Supplemental 1 at Key West International Airport. All costs will be paid from Airport Operating Fund 404. ITEM BACKGROUND: A Safety Management System (SMS) is a proactive approach to identifying and reducing risks, ensuring a safe environment for employees,passengers, and the entire airport community. SMS helps recognize potential hazards, take corrective action, and continually improve safety practices. SMS is an integral part of all airport activities with the objective of achieving and maintaining safety standards and performance. PREVIOUS RELEVANT BOCC ACTION: Approval of Jacobs Project Management Master Agreement for Professional Services for both airports on February 16, 2022. INSURANCE REQUIRED: Yes CONTRACT/AGREEMENT CHANGES: New Task Order. STAFF RECOMMENDATION: Approval. DOCUMENTATION: Jacobs PSO 2022-105 EYW SMS Support Supplement 1 FINANCIAL IMPACT: Total Dollar Value of Contract: $144,974.00 Cost to County: $0 Source of Funds: Airport Operating Fund 404 Effective Date: Expiration Date: Total Dollar Value of Contract: $144,974.00 Total Cost to County: $0.00 Current Year Portion: Budgeted: Yes Source of Funds: Airport Operating Fund 404 CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: No If yes, amount: Grant: No County Match: MASTER AGREEMENT FOR FROFESSIONAL SERVICES TASK ORDER FORM Effective Date July 15, 2026 — Task Order No. 2022 - 105 Client Proiect No, 404-63001-530340-SC 00038 Engineer Project Nio, EGXN2405 This Task Order is entered into on the effective date noted above pursuant to the "Master Agreement for Profiessional Services" between Monroe County, Florida ("Client") and JACORS PROJECT MANAGEMENT CO. ("Consultant"), dated February 1 6, 21022 ("Agreement"). The Agreement is incorporated herein and forms an integral part of thisTask Order. Services Authorized - Safety Management System (SMS) Support Supplemental 1 at Key Wiest Internfilional Airport Client authorizes Consultant to perform the 'Services described in Exhibit A attached hereto and incorporated herein, which Exhibit A is marked with the above noted Task Order No. and, consists of---------7 page(s). Pricing N/A 'Time and Expense per Agreement and Appendix B to the Agreement. X Firm Fixed Price of$ 144,974.1010 N/A Other(Describe): I MONROE COUNTY ATTORNEY �Schedule PPROVEJYzA$.?T7 ORM Services may commience on Execution Services will cease by 7.30 Days 0 MERCADO ....... GRfg#4/§-;�5 NT c6b'NW'A Recommended by: DA,E: 7 Executive Director of Airports (SEAL) BOARD OF COUNTY COMMISSIONERS Attest: Kevin Madok,Clerk OF MONROE COUNTY,FLORIDA By By As Deputy Clerk, Mayor/Chairman CONSULTANT: JACOBS PROJEC]"MANAGEMENT CO By_�- Jacqueline Title Senior Vice President P'ile: AIS7RAPS-XfonroeCounty Page 1 of I Exhibit A—Scope of Work(20,22- 105) Monroe!County Key West Internationat Airport Safety Management System (SM,S) Support Suppitemental 1 u►verviewr Safety Management System (SMS)is,a systematic and proactive approach that integrates,safety into airport operations, blusinies,s Practices,and culture. It promotes continual saifety imiprovemients through an established cycle of management and can prevent accidents, Key West International Airplort(EYW')is,advanicinig the development and implementation, of a, Safety Management System(SM,S) in accordance with 14 CFR Part 139,Suibpart E. EYW has established an SMS Implementation Plan and approlved SMS Manual.The SMS Implementation Plan outlines a phased approach to SMS deployment,including olperaitionat integration. This scope builds upon prior efforts and re-,initiaites SMS support services,to advance EYW from its,currenit state toward implemientation, with a focus oni: ,0 Establishing the SM,S foundation (Gap Analysis) 9 Suipplortinig integration of Safety Risk Management(SRM) andl Safety promotion activities Assurngtjon_s • EYW will,provide knowledgeable staff contacts, internal resources,and subject matter experts to support the SMS work,as weU as nieeded access,or data from databases(such as a, Learning Management System)or record togs. • EYW will,identify a single point of contact(referred to in this,document as the SMS Manager)for colordliniation with the Jacobs team, The SMS Manager wM support the gathering of information from existing policy statements, manuals, Standard Olpleratiing Procedlures(Saps),databases, iiniformiation systems,training materials,and other reLevant documents and procedures, • EYW wwill provide responses to, requests for input/feedback via,the established collaborative site within a timeframe agreed upon by EYW'anid Jacobs after thie kick-off meeting to,ensure timely re�ceipt of d1elivierables. • SMS implementation, (execution of piroces,s,es)is the responsibility of EYW. • Deliverabites will be prepared,andl delivered in e!ditable Microsoft Suite format(e.g.,MS Word, Excel,Visio, etc.). Page, 1 of 5 fienerat Scope The,Jacobs team wit(work collaboratively with the EYW SMS,Manager andl olperaitionis staff to: 1. Validate andl build uipoin existing SMS initiatives Z, Develop practical,scalable SMS processes that reflect EYW's staiffing model and operational environment 3, Support transition from pitanningi to implementation,particularly in Safety Risk Management and training This effort is structured in alignment with EYW's SMS deployment strategy and includes,three primary tasks: Task 1 —Gap Analysis This,work includes a structured evaluation of existing safety systems to identify areas of strength and improvement relative to the requirements of US Code of Federal Regulations,(CFR),Title 14 Part 13,9 Subpart E—Airport Safety Mianaglemient System (Feb. 23,, 2023)and the Federal Aviation Administration (FAA),Advisory Circular (AC), 1 50/5200-37A(Feb. 16, 2:023).The Gap Analysis wN establish a baseline for measuring the evolution and maturity of the EYW S,MS. • Task 2 —Safety Promotion and Training Jacobs will support initial implementation, of EYW's Safety Promotion initiatives by developing awareness materials and delivering targeted SMS training,This,includes creation of a Safety Awaireiness Odentation Brochure and conducting instructor-led SMS training for personnel identified in the SMS Manual.These efforts are intended to build foundational understandings of SMS priiniciptes,,roles, aind resporisibilities,and to support consistent Participation in,SMS processes. Task 3-Safety Risk M,aniagieme!nt(SR ),Integration Jacobs will work coittaborativeLy with the SMS Manager and operations staff to operationaLize SRM procedures dlefinied in the SMS Manual,with a,focus on usability, scalability, and alignment with EYW organizationat processes,."this,includes facRitating working sessions,,,applying SMS processes,to real-wor(d scenarios,,and refining toots and workftows based on, user feedback.This,work will position EYW to i nidepeindlenitly sustain S,MS activities through repeatable processes integrated into,existing operational frameworks. Task 1 G@p Ana.-tysis Jacobs will work with the SMS Manager and designated EYW representative(s)to evaluate exusting safety programs, processes, and training activities to establish a baseline understanding Page 2 of 5 Hof icurre!ntcaipabilities relative to the requirements of 14 CFR Part 139 Subpart E—Airport Safety ,Mianagemenit System (Feb. 23, 20123),and FAA Advisory Circular(AC) 150/52010-37A(Fe'b. 1 , 2023). This,effort witi. include a focused review of existing documentation and practices related to,- • Safety organization, roles,,and responsibilities • Airfield inispe�ction, monitoring, and condition reporting processes • Safety communication, promotion,and enfoircemenit practices, • Incident/accident investigation procedures and documentation practices, • Safety risk management activities,including hazard identification and mitigation, practices, • Safety,reporting systems and data, sharing among airport personniet,tenanits,and stakeholders 40 Existing safety andl operational training programs, including Partl 39 inspection training Jacobs will coordlinaite with EYW staff to,validate current practices,and gather relevant information thirough targeted d,iscussioinis and docuiment review.internal workiinig imiater,iaLs will be maintained to support the evatuaition and ensure,traceability of findings. Information gathered through thiiis review will inform the Gap Analysis, comparing EYW's existing systems and practices,to,the requirements and implementation guidance outUned in Part 139 Subpart E and AC 150/52001-37A (including Appendix Q,Jacobs wilt review'the draft Gap Analysis with EYW and incorporate feedlback prior to finalization. ,glelrverabf les A. Draft Gap,Analysis B. Final Gasp,Analysis Task 2 Safety Promotion a_nd Training Jacobs wilt support development of S�MS training and promotion materials aligned with FAA requirements and EYWs,implementation plan.Materiials wN be d,esigned to integrate with, existing FYW training programs and support consistent unders,tanidling of SMS roles, responsibilities, and processes,, Thais task includes development of a,Safety Awareness Orientation brochure andl SMS training for personnel identified in,the SM,S Manual. Page 3 of 5 S&U Awareness Qrigntgtign QrQcht,jrt-- Jacobs gill support EYW in developing a Safety Awareness Orientation brochure initended for all plersons authorized to access,the airport areas regulated under 14 CFR Part 1 (e.g., employees,tenants,,andl stakeholders). The birochiure will.incorporate EYW brand`ingi elements, includingi use of color and graphics to support clarity and usability. At a, minimurn,the brochure will include: • A summary,of the four SMS components,(Policy, Risk Management, Assurance, and Promotion) • EYW Safety Policy Statement • EYW SMS,organiizationaL structure -8 Hazard reporting proceduresi andprocesses, Jaicobs will also, develop, an acknowledgment mechanism to,document distribution and understandling of thie brochure, along with a recommended approach for tracking completion, EYW will ble responsible for printing and administering the Safety Awareness Orientation to the broader airport commiuniity. SMS Training Jacobs WL develop and deliver one in-plerson, inistructor-ted SMS training session for personnel with defined SMS,roles and responsibiilities in the SMS Mianuiail. • Training will'be developed in Microsoft PowerPoint format Session dluration will ble'approiximatety75minutes • One in-person training session will be delivered at EYW The training curriculum may include: 0 5M,S overview amid principles 0 Roles and responsibilities withiiini the EYW SMS 0 Hlazard identification and reporting processes 0 Safety Risk Management(inclu..d..ingl risk aiss,essment and use of the risk matrix) 0 Safety Assurance concepts,,including monitoring andl auditing The trainiingi session will be conducted in ain inte�ractive�, workshop-style format to s,uippo�rt practicail uinderstandiin,g and dlis,cus,sion. Deliverabites. A. Safety Awareness Orientation brochure, B. SMS TraininigPowerPciint C. One in-person SMS training session at EYW Page 4 of 5 Task 3,SRM Integration Jacobs,will,support the development and initial,implementation,of Safety Risk Management (SIRM) processes,with a focus,on practical application,and integration into EYW's existing operations. This work wiR include development of toots,and workRows,to support consistent hazard identification, risk assessment,and documentation,,including: • Hazard identification and reporting workflows • Risk analysis methodology anidl supporting toots, • Development of a, hazard tracking systeirin (risk register)to support ongoing identification,assessment, and monitoring of hazards,aligned with EYW's S 'LS data, collection approach • Mitigation development and tracking processes • Documentation, procedures for SIRM,activities Jlacob5 wilt facRitate working sessions with EYW staff to,apply SRM processes to,actual or representative a!rpoirt haizardls.These sessions are intenided to build internal capability in conducting hazard identification,risk analysils,and mitigation development,while producing initialL, usable SRM docuimenitation,Jacobs,will support and docurrient up to two,virtual risk assessmientsi,conducted colta,boraitilvely with EY'W. DeLivemblies A. Facilitation of up to two virtuial risk ass essme nits, B. Risk Assessment Summaries, including a Hlazard &Risk Table for each facilitated assessment C. SRM toots and tempitates, inctu,dinig hiaizard reporting form, risk assessment worksheet, and, risk register foirmait Estimated ScheduLe Mionth Activity 1 2 S 6 7' 8 9 10 11 12 Task 1 -Gap Analysis Tais�k 2-Safety Promotion,&Traiininig Task 3-SRM,Integration Page 5 of 5 JACOBS ENGINEERING GROUP JOB HOUR AND FEE ESTIMATE Monroe Counity Airports Airport: Key West,International Airport project: Safety Management System(SMS)Support Supplemental 11 FEE SUMMARY BASIC SEP Hiours, Fee Art de A: Safety Maniagiamerd System(SMS)Adimsory 1,040 $ 144,9174 [lratal..Basic Services,Lump Sum Fee 1,040 $ 144,974 $ f1rO-7—AL LUMP SUIVII PROJECT FEE 1,040 $ 144,$74 7ATE(MM/DD/YYYY) '�C . CERTIFICATE OF LIABILITY INSURANCE /28/2026 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 LIC #0437153 1-212-948-1306 CONTACT NAME: Marsh Risk & Insurance Services PHONE FAX CIRTS Su ort@'acobs.com A/c No Ext: A/c No): 1-212-948-1306 pp E-MAIL 633 W. Fifth Street ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Los Angeles, CA 90071 USA INSURERA: ACE AMER INS CO 22667 INSURED INSURER B: INDEMNITY INS CO OF NORTH AMER 43575 Jacobs Project Management Co. INSURER C C/O Global Risk Management INSURER D: 515 South Flower St., Suite 4800 INSURERE: Los Angeles, CA 90071 USA INSURERF: COVERAGES CERTIFICATE NUMBER: 752671592 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 IN SD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY HDO G4938788A 07/01/26 07/01/27 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREM SES Ea oNcur ante $ 500,000 X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY❑ PRO- POLICY ❑ LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA H08891990 07/01/26 07/01/27 COMBINED SINGLE LIMIT $ Ea accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED SX 4IT' BODILY INJURY(Per accident) $ Y AUTOS AUTOS ONL A HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY �Y__ - -- '""'"""- Per accident $ UMBRELLALIAB W WA NA' k— OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERB AND EMPLOYERS' TION WLR C7280918A (AOS) 07/01/26 07/01/27 X STATUTE E� PERORH AND EMPLOYERS'LIABILITY A ANYPROPRIETOR/PARTNER/EXECUTIVE N/A SCF C72809191 (WI) 07/01/26 07/01/27 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? IN I (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A PROFESSIONAL LIABILITY EON G21655065 017 07/01/26 07/01/27 PER CLAIM/PER AGG 2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) OFFICE LOCATION: Jacksonville, FL 32202. PROJECT MGR: Ryan Forney. CONTRACT MGR: Jack Renton. SENIOR CONTRACT MGR: Christopher Bowker. RE: Monroe County Airports - General Consulting Services Master Agreement with Jacobs Project Management Company for Professional Services at Key West International Airport and The Florida Keys Marathon International Airport. SECTOR: Public. The Monroe County Board of County Commissioners, its employees and officials are added as an additional insured for general liability & auto liability as respects the negligence of the insured in the performance of insured's services to cert holder under contract for captioned work. *THE TERMS, CONDITIONS, AND LIMITS PROVIDED UNDER THIS CERTIFICATE OF INSURANCE WILL NOT EXCEED OR BROADEN IN ANY WAY THE TERMS, CONDITIONS, AND 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 ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE •�� Key West, FL 33040 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Cert_Renewal 752671592 DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 05/28/2026 NAME OF INSURED: Jacobs Project Management Co. LIMITS AGREED TO UNDER THE APPLICABLE CONTRACT.* SUPP(10/00) NOTICE TO OTHERS ENDORSEMENT- SCHEDULE - EMAIL ONLY Named Insured ,Jacobs Solutions Inc. Endorsement Number 65 Policy Symbol Policy Number Policy Period Effective Date of Endorsement HDO �G4938788A 07/01/2026 To 07/01/2027 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: L The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL-32685(01/11) Page 1 of 2 All other terms and conditions of the Policy remain unchanged. Authorized Representative ALL-32685(01/11) Page 2 of 2 NOTICE TO OTHERS ENDORSEMENT- SCHEDULE - EMAIL ONLY Named Insured ,Jacobs Solutions Inc. Endorsement Number 42 Policy Symbol P8891990 icy Number Policy Period Effective Date of Endorsement ISA 07/01/2026 To 07/01/2027 Issued By(Name of Insurance Company) ACE American Insurance Company Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: L The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL-32685(01/11) Page 1 of 2 All other terms and conditions of the Policy remain unchanged. µ p' Yww k Authorized Representative ALL-32685(01/11) Page 2 of 2 Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number JACOBS SOLUTIONS INC. 515 S. FLOWER STREET, SUITE 4800 Policy Number LOS ANGELES CA 90071 Symbol: WLR Number: C7280918A Policy Period Effective Date of Endorsement 07-01-2026 TO 07-01-2027 07-01-2026 Issued By(Name of Insurance Company) INDEMNITY INS. CO. OF NORTH AMERICA Insert the policy number.The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. NOTICE TO OTHERS ENDORSEMENT- SCHEDULE - EMAIL ONLY A. If we cancel this Policy prior to its expiration date by notice to you or the first Named insured for any reason other than nonpayment of premium, we will endeavor, as set out below, to send written notice of cancellation, via such electronic notification as we determine, to the persons or organizations listed in the schedule that you or your representative provide or have provided to us (the "Schedule"). You or your representative must provide us with the e-mail address of such persons or organizations, and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after: I. The beginning of the Policy period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us; and must be accurate. D. Our delivery of the notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon us, our agents or representatives, will not extend any Policy cancellation date and will not negate any cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule, nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule, we have no responsibility for taking any action under this endorsement. In addition, if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization, then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule, or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. All other terms and conditions of this Policy remain unchanged. This Endorsement is not applicable in the states of AZ, FL, ID, ME, NC, NJ, NM,TX and WI. WC 99 03 68 (01/11) Page 1 Authorized Representative WC 99 03 68 (01/11) Page 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured Endorsement Number Jacobs Solutions Inc. 19 Policy Symbol Policy Number Policy Period Effective Date of Endorsement EON G21655065 017 07/01/2026 to 07/01/2027 07/01/2026 Issued By(Name of Insurance Company) ACE American Insurance Company NOTICE TO OTHERS ENDORSEMENT—SCHEDULE A. If We cancel or non-renew the Policy prior to its expiration date by notice to You for any reason other than nonpayment of premium, We will endeavor, as set out below, to send written notice of cancellation or non-renewal via such electronic or other form of notification as We determine, to the persons or organizations listed in the schedule that You or Your representative provide or have provided to Us (the Schedule). You or Your representative must provide Us with both the physical and e-mail address of such persons or organizations, and We will utilize such e-mail address and/or physical address that You or Your representative provided to Us on such Schedule. B. The Schedule must be initially provided to Us within 30 days after: i. The beginning of the Policy Period, if this endorsement is effective as of such date; or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy Period commences. C. The Schedule must be in a format that is acceptable to Us and must be accurate. D. Our delivery of the notification as described in Paragraph A of this endorsement will be based on the most recent Schedule in Our records as of the date the notice of cancellation or non-renewal is mailed or delivered to You. E. We will endeavor to send or deliver such notice to the e-mail address or physical address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation or non-renewal date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation or non- renewal of coverage. We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation or non-renewal to the person(s) or organization(s) shown in the Schedule shall impose no obligation or liability of any kind upon Us, Our agents or representatives, will not extend any Policy cancellation or non-renewal date and will not negate any cancellation or non-renewal of the Policy. G. We are not responsible for verifying any information provided to Us in any Schedule, nor are We responsible for any incorrect information that You or Your representative provide to Us. If You or Your representative does not provide Us with a Schedule, We have no responsibility for taking any action under this endorsement. In addition, if neither You nor Your representative provides Us with e-mail address and/or physical address information with respect to a particular person or organization, then We shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. With respect to this endorsement Our, Us or We means the stock insurance company listed in the Declarations, and You or Your means the insured person or entity listed in Item 1 of the Declarations page. All other terms and conditions of this Policy remain unchanged. M� MS-36362 (04/19) Authorized Representative