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HomeMy WebLinkAbout23025AGREEMENT INFORMATION AGREEMENT NUMBER 23025 NAME/TYPE OF AGREEMENT MIAMI BRIDGE YOUTH SERVICES DESCRIPTION LICENSE AGREEMENT / TRANSFERRING USE FEE INCOME DIRECTLY TO A CAPITAL EXPENSES ACCOUNT / MATTER ID:17-657 / #151 EFFECTIVE DATE ATTESTED BY TODD B. HANNON ATTESTED DATE 2/14/2020 DATE RECEIVED FROM ISSUING DEPT. 2/27/2020 % NOTE CITY OF MIAMI � ���� DOCUMENT ROUTING FORM M-A17 (Q5r7 ORIGINATING DEPARTMENT: DREAM DEPT. CONTACT PERSON: Erick Hurtado EXT. 1461 - NAME OF OTHER CONTRACTUAL PARTY/ENTITY: Miami Bridge Youth Services I; IS THIS AGREEMENT A RESULT OF A COMPETITIVE PROCUREMENT PROCESS? ❑r YES TOTAL CONTRACT AMOUNT: $ 7,200.00/ year FUNDING INVOLVED? ❑ YES ® NOc - TYPE OF AGREEMENT: ❑ MANAGEMENT AGREEMENT ❑ PROFESSIONAL SERVICES AGREEMENT ❑ GRANT AGREEMENT ❑ EXPERT CONSULTANT AGREEMENT ® LICENSE AGREEMENT OTHER: (PLEASE SPECIFY) ❑ PUBLIC WORKS AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ INTER -LOCAL AGREEMENT ❑ LEASE AGREEMENT ❑ PURCHASE OR SALE AGREEMENT (-a PURPOSE OF ITEM (BRIEF SUMMARY): Amendment #1 for Miami Bridge Youth Services, transferring Use Fee income directly to a Capital Expenses account, managed by Miami Bridge and monitored by DREAM on a quarterly basis. COMMISSION APPROVAL DATE: 10 / 10/ 2019 FILE ID: 6406 ENACTMENT NO.: R-19-0379 IF THIS DOES NOT REQUIRE COMMISSION APPROVAL, PLEASE EXPLAIN: ROUTING INFORMATION Date PLEASE PRINT AND ,, APPROVAL BY DEPARTMENTAL DIRECTOR 1 t{jI t F I t Y PRINT: trc SIGNAT SUBMITTED TO RISK MANAGEMENT / PR1N/�c/ SIGNATURE: PRINT.'���`��`i//`72' kr- 1CyC7r7' Ci ,�1 SIGNAT • j ` e f� SUBMITTED TO CITY ATTORNEY ��y__'' II 1�` 'C� 1^? -' �P J`�t 72'ep �U APPROVAL BY ASSISTANT CITY MANAGER l PRINT: F Sc SIGNATURE: APPROVAL BY DEPUTY CITY MANAGER �, tlljZ2 _) PRINT: / SIGNATURE: t/ /V,CJ Li RECEIVED BY CITY MANAGER PRINT: SIGNATURE: 1) ONE ORIGINAL TO CITY CLERK, PRINT: SIGNATURE: PRINT: SIGNATURE: PRINT: SIGNATURE: 2) ONE COPY TO CITY ATTORNEY'S OFFICE, 3) REMAINING ORIGINAL(S) TO ORIGINATING DEPARTMENT PLEASE ATTACH THIS ROUTING FORM TO ALL DOCUMENTS THAT REQUIRE EXECUTION BY THE CITY MANAGER AMENDMENT NO. 1 MONTH -TO -MONTH REVOCABLE LICENSE AGREEMENT BETWEEN THE CITY OF MIAMI AND MIAMI BRIDGE YOUTH AND FAMILY SERVICES, INC. FOR USE OF THE PROPERTY LOCATED AT 2810, 2910, & 2016 NW SOUTH RIVER DRIVE, MIAMI, FLORIDA This Amendment No. 1 (the "Amendment") to the Revocable License Agreement (the "Agreement") is entered into this 14 day of ruor. , 20310.(Amendment Effective Date), by and between the City of Miami, a municipal corporation of the State of Florida (hereinafter the "City" or "Licensor"), and Miami Bridge Youth and Family Services, Inc., a Florida not for profit corporation (hereinafter "Miami Bridge" or "Licensee") for the purpose of amending that certain Agreement between the Licensor and Licensee dated October 7, 2010; and WHEREAS, the City and Miami Bridge ("the Parties") entered into the Agreement for use of City -owned Property located at 2916 NW South River Drive and the state-owned lands located at 2810 NW South River Drive and 2910 NW South River Drive, Miami, Florida (collectively the "Property"); and WHEREAS, the Licensee's primary mission acts as a 24-hour/7-day a week emergency youth shelter for minor children ages ten (10) to seventeen (17), who are in crisis, removed from their homes or on the streets, ungovernable, truants, chronic runaways,, awaiting court disposition and/or long-term placement and additionally provide non-residential family crisis intervention counseling; and WHEREAS, the Initial Term commenced on October 7, 2010 and was for seven (7) years with the option to renew for two (2) additional five-year Terms at the City's discretion for a maximum period of seventeen (17) years or until the first to occur of the following: a) Cancellation pursuant to Section 23 of the Agreement; or b) Automatic Termination with cause subject to the notice provisions of Section 24 of the Agreement; or c) Automatic Termination subject to the notice provisions of Section 24 of the Agreement should Licensee not maintain an active status as a 501(c)(3) not for profit corporation; and WHEREAS, the City and Licensee wish to remove any and all fix terms, therefore making the Revocable License Agreement term Month to Month; and WHEREAS, the Use Fee of this Agreement is Five Hundred Fifty-one Dollars and Twenty Five cents ($551.25) per month; and WHEREAS, the Licensor and Licensee desire to amend the Monthly Use Fee from Five Hundred Fifty-one Dollars and Twenty Five cents ($551.25) to One Hundred Dollars and Zero cents ($100.00) due annually each and every June 1st in order to fund capital improvements of the Property; and WHEREAS, Licensee will establish a Capital Reserve account to fund future Capital Improvements to the Property ("Reserve Account") and WHEREAS, the Licensee will submit a quarterly report (the "Report") with certain details regarding capital expenditures; and WHEREAS, the Licensee will track Capital Improvements and submit a Report each quarter to the Department of Real Estate and Asset Management which states the following; capital expenditures, proof of invoices and payments regarding all capital expenditures used for capital improvements during each quarter, Reserve Account balance, which must reconcile with stated capital expenditures for each quarter directly from the bank in which the Reserve Account is located and said expenditures will net zero and balance against current Reserve Account balance as submitted each quarter; and WHEREAS, the Reserve Account shall be used for the sole purpose of maintaining and upgrading the Property as needed. NOW THEREFORE, in consideration of the mutual covenants hereinafter set forth and such other valuable consideration, the parties hereby covenant and agree as follows: 1. Section 5 entitled "Occupancy and Term" is amended in its entirety and replaced as follows: The terms and conditions set herein this Amendment shall inaugurate on the Amendment Effective Date and the Term of the Agreement shall remain on a month -to - month basis or until the following occur: a) Cancellation pursuant to Section 23 herein; or b) Pursuant to Section 24 Automatic Termination by City Manager for Cause. 2. Section 7 entitled "Fees" is amended in its entirety and renamed as follows: Section 7 is hereby titled "Annual Use Fee and Reporting". 3. Section 7 (A.) is hereby amended as follows: Section 7 (A) is hereby titled Annual Use Fee, Reporting and reads as follows; Commencing on the Amendment Effective Date, the Annual Use Fee for the use of the Property shall be One Hundred Dollars and Zero cents ($100.00), due annually each and every June 1st. Additionally, commencing on the Amendment Effective Date the Licensee shall begin to deposit Six Hundred Dollars ($600.00) a month, equal to a total of Seven Thousand Two Hundred Dollars ($7,200.00) per calendar year, into the Reserve Funds for Capital Improvements to be used for maintaining and upgrading the subject Property. Licensee will track Capital Improvements and submit a Report each quarter to the Department of Real Estate and Asset Management which states the following; capital expenditures, proof of invoices and payments regarding all capital expenditures used for capital improvements during each quarter, Reserve Account balance, which must reconcile with stated capital expenditures for each quarter directly from the bank and or institution in which the Reserve Account is located and said expenditures will net zero and balance against current Reserve Account balance as submitted each quarter and notification is to be provided to the Department of Real Estate and Asset Management if said account switches banks, or placement of deposit(s) regardless of entity. 4. Section 7(B) entitled "Manner of Payment" is amended in its entirety and replaced as follows: Commencing on the Amendment Effective Date the Licensee shall begin payment to the City the Annual Use Fee, plus State of Florida Use Tax, if applicable, for the use of the Property and shall send said payment to the following address: City of Miami Department of Real Estate and Asset Management 444 SW 2 Avenue, 3rd Floor Miami, Florida 33130 Additionally, commencing on the Amendment Effective Date, and on the first day of every month thereafter, Licensee shall deposit into the Reserve Fund Account for Capital Improvements Six Hundred Dollars and Zero cents ($600.00) to be used for maintaining and upgrading the subject Property. 5. Section 7 (D) is added as follows, titled "Reserve Funds for Capital Improvements Redistribution to City" Licensee agrees that if the Revocable License Agreement is terminated for any cause by City or Licensee for any reason whatsoever, said Reserve Funds shall be immediately be transferred to the City (via DREAM) upon cancellation or termination of the Agreement within 30 days of cancellation or revocation by either party. Cancellation or revocation of this Agreement by either party is detailed in Sections 23. and 24. of the Revocable License Agreement. 6. Section 15 "Alterations, Additions or Replacements" is amended as follows: Licensee shall not make or permit to be made any construction, repairs, alterations, additions, partitions or changes to the Property (hereinafter collectively called "Alterations") unless the detailed plans and specifications' or the proposed Alterations: (A) Are first submitted to the Director of DREAM for presentation, review and approval by all departments and offices of the City with jurisdiction thereof, and (B) Are approved by the City Manager which approval shall not be unreasonably delayed or denied; and (C) Are in compliance with all statutes, laws, ordinances and regulations of the State, Dade County, the City and any other agency that may have jurisdiction over the Property as they presently exist and as they may be amended hereafter. Licensee also hereby agrees to pay for and obtain the necessary and applicable permits in compliance with all State, Dade County and City laws, rules and regulations in connection with any Alterations made by Licensee to the Property; and (D) Upon completion of any Alterations, the paid invoices, receipts, canceled checks and other such documents shall be submitted to the Licensor and shall be incorporated herein and attached hereto as part of the reporting requirements to the Reserve Fund. Licensee shall have the right to remove any movable personal property that it places in or on the Property. All Alterations must be in conformance with the provisions of Section 6.2. If any part of the Property is in any way damaged by the removal of such items, said damage shall be repaired by Licensee at its sole cost and expense. Should Licensee fail to repair any damage caused to the Property within thirty (30) days after receipt of written notice from Licensor directing the required repairs, Licensor shall cause the Property to be repaired at the sole cost and expense of Licensee. Licensee shall pay Licensor the full cost of such repairs within thirty (30) days of receipt of an invoice(s) indicating the cost of such required repairs. Failure to pay such invoice(s) shall constitute a default of this Agreement as provided in Section 23. Notwithstanding the above, this Agreement may be terminated as provided in Section 23 and or Section 24. due to Licensee's failure to repair the Property as directed without the necessity of Licensor repairing the Property. Except as specifically provided herein, all of the terms and provisions of the Agreement shall remain in effect. IN WITNESS WHEREOF, the parties hereto have executed this Amendment as of the day and year first above written. ATTEST: Todd B. Ha City Clerk APPROVED CORREC A Si FORM AND ez City •,rrney i?-4517 ure / Q)03,(a us\- C \ait? Print Name and Title LICENSOR: CITY OF MIAMI, a municipal corporation of the State of Florida E ' io T. Gonzalez, C y Manager API ROVED REAUIRE A. OI U NTS: 1 Ann-M . ' Sharpe Risk M. agement Director LICENSEE: Miami Bridge Youth and Family Services, Inc., a Florida not for profit corporation ii40;tb \)41*.) • eke( cilificc Pcboh46%) Print Name and Title City of Miami Legislation Resolution: R-19-0379 City Hall 3500 Pan American Drive Miami, FL 33133 www.miamigov.com File Number: 6406 Final Action Date: 10/10/2019 A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), AUTHORIZING THE CITY MANAGER TO EXECUTE AMENDMENT NO. 1 TO THE MIAMI BRIDGE REVOCABLE LICENSE AGREEMENT, IN SUBSTANTIALLY THE ATTACHED FORM, BETWEEN THE CITY OF MIAMI ("CITY") AND MIAMI BRIDGE YOUTH AND FAMILY SERVICES, INC., A FLORIDA NOT FOR PROFIT CORPORATION, IN ORDER TO DEFER THE MONTHLY USE FEE INTO A CAPITAL RESERVE FUND FOR THE PURPOSE OF UPKEEP AND MAINTENANCE OF THE CITY -OWNED PROPERTY LOCATED AT 2916 NORTHWEST SOUTH RIVER DRIVE, MIAMI, FLORIDA, AND THE STATE-OWNED LANDS LOCATED AT 2810 NORTHWEST SOUTH RIVER DRIVE AND 2910 NORTHWEST SOUTH RIVER DRIVE, MIAMI, FLORI DA. WHEREAS, the City of Miami ("City") and Miami Bridge Youth Family Services, a Florida not for profit corporation ("Licensee"), entered into a Revocable License Agreement ("Agreement") for use of the City -owned property located at 2916 Northwest South River Drive, Miami, Florida, and the state-owned lands located at 2810 Northwest South River Drive and 2910 Northwest South River Drive, Miami, Florida (collectively, "Property"); and WHEREAS, the Licensee's primary mission acts as a 24-hour/7-day a week emergency youth shelter for minor children ages ten (10) to seventeen (17), who are in crisis, removed from their homes or on the streets, ungovernable, truants, chronic runaways, awaiting court disposition and/or Tong -term placement and additionally provide non-residential family crisis intervention counseling; and WHEREAS, the initial term of the Agreement commenced on October 7, 2010 and was for seven (7) years, with the option to renew for two (2) additional five (5) year terms at the City's discretion, for a maximum period of seventeen (17) years, or until the first of the following to occur: a) cancellation pursuant to Section 23 of the Agreement; or b) automatic termination with cause, subject to the notice provisions of Section 24 of the Agreement; or c) automatic termination, subject to the notice provisions of Section 24 of the Agreement should Licensee not maintain an active status as a 501(c)(3) not for profit corporation; and WHEREAS, the City and Licensee wish to remove any and all fixed terms, therefore making the Agreement term, month to month; and WHEREAS, the use fee of this Agreement is five hundred fifty-one dollars and twenty- five cents ($551.25) per month; and WHEREAS, the City and Licensee desire to amend the monthly use fee from five hundred fifty-one dollars and twenty-five cents ($551.25) to one hundred dollars and zero cents ($100.00), due annually each and every June 1st in order to fund capital improvements of the Property; and City of Miami Page 1 of 2 File ID: 6406 (Revision:) Printed On: 11/18/2019 File ID: 6406 Enactment Number: R-19-0379 WHEREAS, Licensee will establish a Capital Reserve Account ("Reserve Account") to fund future capital improvements to the Property; and WHEREAS, the Licensee will submit a quarterly report ("Report") with certain details regarding capital expenditures; and WHEREAS, the Licensee will track capital improvements and submit a Report each quarter to the Department of Real Estate and Asset Management which states the following: capital expenditures, proof of invoices and payments regarding all capital expenditures used for 'capital improvements during each quarter, Reserve Account balance, which must reconcile with stated capital expenditures for each quarter directly from the bank in which the Reserve Account is located, and said expenditures will net zero and balance against current Reserve Account balance as submitted each quarter; and WHEREAS, the Reserve Account shall be used for the sole purpose of maintaining and upgrading the Property as needed; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. The recitals and findings contained in the Preamble to this Resolution are adopted by reference and incorporated as fully set forth in this Section. Section 2. The City Manager is authorized' execute Amendment No.1 to the Agreement, in substantially the attached form, between the City and Licensee in order to defer the Monthly Use Fee into a Capital Reserve Account for the purpose of upkeep and maintenance of Property. Section 3. This Resolution shall become effective immediately upon adoption and signature of the Mayor.2 APPROVED AS TO FORM AND CORRECTNESS: 1 The herein authorization is further subject to compliance with all requirements that may be imposed by the City Attorney, including but not limited to, those prescribed by applicable City Charter and City Code provisions. 2 If the Mayor does not sign this Resolution, it shall become effective at the end of ten (10) calendar days from the date it was passed and adopted. If the Mayor vetoes this Resolution, it shall become effective immediately upon override of the veto by the City Commission. City of Miami Page 2 of 2 File ID: 6406 (Revision:) Printed on: 11/18/2019 1 ® A` i o CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 12/18/2019 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 Brown & Brown of Florida, Inc. 14900 NW 79 Court Suite 200 Miami Lakes FL 33016 CONTACT Andrea Dexter -Gaston ACSR NAME: PHONE (305) 714-4400 FAX (305) 714-4401 (A/C, No, Ext): (A/C, No): EMAIL agaston©bbmia.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Philadelphia Indemnity Insurance Company 18058 INSURED Miami Bridge Youth & Family Services, Inc 2810 NW South River Drive Miami FL 33125 INSURER B : New York Marine And General Insurance Company INSURER C : Arch Insurance Company INSURER D : INSURER E : INSURER F : • 18-19 MASTER C01 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 POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y PHPK1922188 O �� j��\ \'J ? 1 12/27/2018 D� 12/ / / 'EACH OCCURRENCE $ 1,000,000 E TO RENTED DAMA SES (Ea occurrence) $ 1,000,000 CLAIMS -MADE X OCCUR D EXP (Any one person) $ 20,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE 3,000,000 $ GEN'LAGGREGATE X POLICY OTHER: LIMIT APPLIES JECT PER: LOC PRODUCTS-COMP/OPAGG $ 3,000,000 $ A AUTOMOBILE XHAIREDUTOS LIABILITY ANY AUTO OWNED V ' X SCHEDULED AUTOS AUTONON-OWNED S ONLY Y P r PHPK1922188 f �� 12/27/2018 t 12/27/2019 COMBINED SINGLE LIMIT Nnt) (EaBODILY $ 1,000,000 BODILY INJURY (Per person) ILc $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ PIP -Basic $ A X UMBRELLALIAB EXCESSLIAB OCCUR CLAIMS -MADE PHUB659230 12/27/2018 12/27/2019 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ DED X RETENTION $ 0 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N Y N /A Y WC201800018603 12/27/2018 12/27/2019 PER STATUTE OTH- ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT 500,000 $ C Management Liab. D&O / EPLI NFP013268401 01/01/2019 01/01/2020 Limit Aggregate 1,000,000 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Insurer A: Philadelphia Ins Co. Policy #PHPK1922188 Effective Date 12/27/2018 to 12/27/2019 Professional Liability Coverage: Each Professional Incident Limit: $1,000,000 Aggregate Limit: $3,000,000 CERTIFICATE HOLDER CANCELLATION City of Miami 444 SW 2nsAvenue Miami FL 33130 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 00221986 ACR LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY Brown & Brown of Florida, Inc. NAMED INSURED Miami Bridge Youth & Family Services, Inc POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance: Notes City of Miami,The State of Florida Department of Environmental Protection and The Board of Trustees for Internal Improvements Trust Fund of the State of Florida are additional insured with respects to Auto Liability when required by written contract. City of Miami,The State of Florida Department of Environmental Protection and The Board of Trustees for Internal Improvements Trust Fund of the State of Florida are additional insured on a Primary & Non Contributory basis with respects to General Liability when required by written contract. Waiver of subrogation applies in favor of the certificate holder with regards to Workers Compensation coverage when required by written contract. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD® CERTIFICATE OF PROPERTY INSURANCE DATE (MMIDD/YYYY) 12/09/2019 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. PRODUCER BROWN & BROWN OF FLORIDA, INC. 14900 NW 79th Court Suite#200 Miami Lakes, FL 33125 CONTACT Broderick Ureel NAME: PHONE (305) 714-4400 (A/C, No, Ext): E-MAIL BUreel@bbmia.com ADDRESS: FAX X, No): (305) 714-4401 PRODUCER CUSTOMER ID: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Miami Bridge Youth & Family Services. Inc. 2810 NW South River Drive Miami, FL 33125 INSURERA: Philadelphia Indemnity Ins Co 18058 INSURER B : Westchester Surplus Lines Ins 10172 INSURER C : INSURER D : INSURER E : INSURER F : CERTIFICATE NUMBER: 18-19 PROP & WIND -HOME REVISION NUMBER: LOCATION OF PREMISES / DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Loc 2) 326 NW 3rd Ave, Homestead FL 33030 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AB 99 E FOR POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT V 1TH RE>SP T TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS ${{{{JJ11BJE 1` O ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRDATE TYPEOFINSURANCE POLICY NUMBER POLICY EFFECTIVE (MM/DD/YYW) POLICY EXPIRATI TE (MM/DD COVEREDOPERTY LIMITS A XI PROPERTY CAUSES OF LOSS DEDUCTIBLES PHPK1922188 IN? D O ��O 12/27/2018 ���, mil' 12/27/2019 X X X DING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE RENTAL VALUE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG & PP BI Deductible $ 978,600 $ 185,000 $ 486,000 BASIC BUILDING 1,000 $ BROAD CONTENTS 1,000 $ X SPECIAL $ EARTHQUAKE $ X WIND $ FLOOD $ 72 Hours $ CAUSES INLAND MARINE OF LOSS NAMED PERILS TYPE OF POLICY $ $ $ POLICY NUMBER $ TYPE CRIME OF POLICY $ $ BOILER & MACHINERY / EQUIPMENT BREAKDOWN $ $ $ S SPECIAL CONDITIONS / OTHER COVERAGES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Windstorm or Hail: Westchester Surplus Lines Ins. Policy #D39203765002 Eff 12/27/18-19 Locations: Loc 1) 2810 NW South River Dr, Miami, FL 33125 Loc 2) 326 NW 3rd Ave, Homestead FL 33030 TIV $4,555,700 Valuation: Property: Replacement Cost Business Income: 1/6th Monthly Limit of Indemnity Co -Insurance - Nil Deductible All Other Wind/Hail: $25,000 Per Occurrence All Other Wind/Hail except 72 Hours lime Element Waiting Period Deductible Named Windstorm: 3% Per Building/Structure of the sum of all values listed in the most recent Schedule of Values on file with CERTIFICATE HOLDER CANCELLATION City of Miami 444 SW 2nd Ave Miami FL 33130 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 24 (2016/03) ©1995-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 00221986 ACC LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY Brown and Brown NAMED INSURED (` POLICY NUMBER CARRIER - NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 24 FORM TITLE: Certificate of Property Insurance City of Miami is a loss payee with respects to property coverage when requited by written contract. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY BROWN & BROWN OF FLORIDA, INC. NAMED INSURED Miami Bridge Youth & Family POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 24 FORM TITLE: Certificate of Property Insurance: Remarks the Company for each separately identifiable building or structure that has sustained a loss or damage and for which a claim is being made under this policy; subject to the minimum deductible of $50,000 per occurrence. 1 13 ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 4 Policy Number:87025931322019 ASSURANT® Type: Renewal Policy Period: 02/02/2019 To 02/02/2020 Original New Business Effective Date: 02/02/2012 Reinstatement Date: Form: General Property FLOOD POLICY DECLARATIONS American Bankers Insurance Company of Florida Scottsdale, AZ 85261-4337 Standard Policy For payment status, call: (800) 423-4403 These Declarations are effective as of: 02/02/2019at 12:01 AM Address Info Property Info Producer Name and Mailing Address: ROE INSURANCE INC 9851 STATE ROAD 54 NEW PORT RICHEY, FL 34655-2143 NFIP Policy Number: 8702593132 Agent/Agency ##: 68500-00609-000 Reference #: Phone#: (727)376-0030 Property Location: 2810 NW SOUTH RIVER DR BLDG 1 MIAMI, FL 33125-1120 Primary Residence: N Premium Payor: Insured Flood Risk/Rated Zone: AE Current Zone: AE Community Number:12 0650 0180 J Community Name: MIAMI, CITY OF Grandfathered: Yes Pre -Firm Construction Program Type: Regular Insured Name and Mailing Address: MIAMI BRIDGE INC 2810 NW SOUTH RIVER DR BLDG 1 MIAMI, FL 33125-1120 umber: 10111 cessed by: ood Service Center P.O. Box 8695 Kalispell MT 59904-8695 ilding Description: Non -Res. Business One Floor Slab On Grade Main House Newly Mapped into SFHA: Elev Dif£ 1 Elevated Building: N Includes Addition(s) and Extension(s) Replacement Cost: $500, 000 Number of Units: 1 Coverage & Rating Type Coverage Rates Deduct Discount Sub Total Premium Calculation Building. 500,000 .810 / .290 1,250 24- 2,337.00 Premium Subtotal: 3,102.00 Contents: 269,500 .420 / .120 1,250 8- 765.00 Multiplier: Contents Location: Lowest Floor Only Above Ground Level ICC Premium: 5.00 CRS Discount: 466.00 Coverage Limitations May Apply. See Your Policy Form for Details. Reserve Fund Assrat: 396.00 HFIAA Surcharge: 250.00 Federal PolicyFee: 50.00 Probation Surcharge: .00 Endorsement Amount: .00 Total Premium Paid: 3,337.00 First Mortgage: CITY OF MIAMI DEPT OF PLANNING 444 SW 2ND.AVE FL 2 MIAMI, FL 33130-1910 Second Mortgage: Loss Payee. Disaster Agency: cn-llP ar_m ip. nvo nnnnni 17RaaS IMPORTANT INFORMATION ABOUT THE NATIONAL FLOOD INSURANCE PROGRAM Federal law requires insurance companies that participate in the National Flood Insurance Program to provide you with the enclosed Sununary of Coverage. It's important to understand that the Summary of Coverage provides only a general overview of the coverage afforded under your policy. You will need to review your flood insurance policy, Declarations Page, and any applicable endorsements for a complete description of your coverage. The enclosed Declarations Page indicates the coverage you purchased, your policy limits, and the amount of your deductible. You will soon receive additional information about the National FIood Insurance Program. This information will include a Claims Handbook, a history of flood losses that have occurred on your property, as contained in FEMA's database, and an acknowledgement letter. If you have any questions about your flood insurance policy, please contact your agent (refer to your Declarations Page on the reverse side). ll® Policy Number:87025931242019 ASSURANT9 Type: Renewal Policy Period: 02/02/2019 To 02/02/2020 Original New Business Effective Date: 02/02/2012 Reinstatement Date: Form: General Property FLOOD POLICY DECLARATIONS American Bankers Insurance Company of Florida Scottsdale, AZ 85261-4337 Standard Policy For payment status, call: (800) 423-4403 These Declarations are effective as of: 02/02/2019at 12:01 AM xr; Producer Name and Mailing Address: ROE INSURANCE INC 9851 STATE ROAD 54 NEW PORT RICHEY, FL 34655-2143 c NFIP Policy Number: 8702593124 Agent/Agency #: 68500-00604-000 Reference #: Phone #: (727) 376-0030 Insured Name and Mailing Address: MIAMI BRIDGE INC 2810 NTV SOUTA RIVER DR BLDG MIAMI, FL 33125-1120 NAIC Number: loin Processed by: Flood Service Center P.D. Box 8695 Kalispell MT 59904-8695 Property Location: 2810 NW SOUTH RIVER DR BLDG 2 MIAMI, FL 33125-1120 Primary Residence: N Premium Payor: Insured Flood Risk/Rated Zone: AE Current Zone: AE Community Number: 12 0650 0180 J Community Name: MIAMI, CITY OF Grandfathered: Yes Pre -Firm Construction Program Type: Regular Building Description: Non -Res. Business One Floor Slab On Grade NON RESIDENTIAL BLDG Newly Mapped into SFHA: Elev Diff: 1 Elevated Building: N Includes Addition(s) and Extension(s) Replacement Cost: Number of Units: 1 $145,200 Type Coverage Rates Deduct Discount Sub Total Premium Calculation Building: 455,700 .810 / .290 1,250 22- 2,210.00 Premium Subtotal: 2,797.00 Contents: 141,300 .420 / .120 1,250 6- 587.00 Multiplier: Contents Location: Lowest Floor Only Above Ground Level ICC Premium: 6.00 CRS Discount: 420.00 Coverage Limitations May Apply. See Your Policy Form for Details. Reserve Fund Assmt: 357.00 HFIAA Surcharge: 250.00 Federal Policy Fee: 50.00 Probation Surcharge: . 00 Endorsement Amount: . 00 Total Premium Paid: 3,040.00 Mortgage Info First Mortgage: CITY OF MIAMI DEPT 0 PLANNING 444 SW 2ND AVE FL 2 MIAM_, FL 33130-1910 Second Mortgage: Loss Payee: Disaster Agency: ACnr.n(: Arm 1R OXP 000001378444 IMPORTANT INFORMATION ABOUT THE NATIONAL FLOOD INSURANCE PROGRAM Federal law requires insurance companies that participate in the National Flood Insurance Program to provide you with the enclosed Summary of Coverage. It's important to understand that the Summary of Coverage provides only a general overview of the coverage afforded under your policy. You will need to review your flood insurance policy, Declarations Page, and any applicable endorsements for a complete description of your coverage. The enclosed Declarations Page indicates the coverage you purchased, your policy limits, and the amount of your deductible. You will soon receive additional information about the National Flood Insurance Program. This information will include a Claims Handbook, a history of flood losses that have occurred on your property, as contained in FEMA's database, and an acknowledgement letter. If you have any questions about your flood insurance policy, please contact your agent (refer to your Declarations Page on the reverse side). Policy Number: 87026739552019 FLOOD POLICY DECLARATIONS A S S U R A N T® American Bankers Insurance Company of Florida Scottsdale, AZ 85261-4337 Standard Policy Type: Renewal Policy Period: 02/02/2019 To 02/02/2020 Original New Business Effective Date: 02/02/2012 Reinstatement Date: Form: General Property For payment status, call: .(800) 423-4403 These Declarations are effective as of: 02/02/2019 at 12:01 AM Address Info Producer Name and Mailing Address: ROE INSURANCE INC 9851 STATE ROAD 54 NEW PORT RICHEY, FL 34655-2143 NFIP Policy Number: 8702673955 Agent/Agency #: 68500-00604-000 Reference #: Phone*: (727)376-0030 err Insured Name and Mailing Address: MIAMI BRIDGE INC 2810 NW SOUTH RIVER DR BLDG 1 MIAMI, FL 33125-1120 NAIC Number: Processed by: Flood Service Center P.O. Box 8695 Kalispell MT 59904-8695 Property Info Property Location: 2810 NW SOUTH RIVER DR BLDG 3 MIAMI, FL 33125-1120 Primary Residence: N Premium Payor: Insured Flood Risk/Rated Zone: AE Current Zone: AE Community Number: 12 0650 Oi80 J Community Name: MIAMI, CITY OF Grandfathered: Yes Pre -Firm Construction Program Type: Regular Building Description: Non -Res. Business One Floor Slab On Grade NON RESIDENTIAL BLDG Newly Mapped into SFHA: Elev Diff 1 Elevated Building: N Includes Addition(s) and Extension(s) Replacement Cost: $104, 800 Number of Units: 1 Type Coverage Rates Deduct Discount Sub Total Premium Calculation Building: 329,100 .810 / .290 1,250 19- 1,846.00 Premium Subtotal: 2,003.00 Contents: 37,800 .420 / .120 1,250 2- 157.00 Multiplier: Contents Location: Lowest Floor Only Above Ground Level ICC Premium: 6.00 CRS Discount: 301.00 Coverage Limitations May Apply. See Your Policy Form for Details. Reserve Fund Assnit: 256.00 HFIAA Surcharge: 250.00 Federal PolicyFee:. 50.00 Probation Surcharge: .00 Endorsement Amount: .00 Total Premium Paid: 2,264.00 tO 813 t First Mortgage: Loss Payee: CITY OF MIAMI DEPT OF PLANNING 444 SW 2ND AVE FL 2 MIAMI, FL 33130-1910 Second Mortgage: Disaster Agency: IMPORTANT INFORMATION ABOUT THE NATIONAL FLOOD INSURANCE PROGRAM Federal law requires insurance companies that participate in the National Flood Insurance Program to provide you with the enclosed Summary of Coverage. It's important to understand that the Summary of Coverage provides only a general overview of the coverage afforded under your policy. You will need to review your flood insurance policy, Declarations Page, and any applicable endorsements for a complete description of your coverage. The enclosed Declarations Page indicates the coverage you purchased, your policy limits, and the amount of your deductible. You will soon receive additional information about the National Flood Insurance Program. This information will include a Claims Handbook, a history of flood losses that have occurred on your property, as contained in FEMA's database, and an acknowledgement letter. If you have any questions about your flood insurance policy, please contact your agent (refer to your Declarations Page on the reverse side).