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AGREEMENT INFORMATION AGREEMENT NUMBER 23872 NAME/TYPE OF AGREEMENT REBUILDING TOGETHER MIAMI-DADE, INC. DESCRIPTION 1ST AMENDMENT TO ANTI -POVERTY INITIATIVE FUNDING AGREEMENT/EXTENSION OF CONTRACT/FILE ID: 8716/R-21- 0127/MATTER ID: 22-699/#29 EFFECTIVE DATE April 20, 2022 ATTESTED BY TODD B. HANNON ATTESTED DATE 4/20/2022 DATE RECEIVED FROM ISSUING DEPT. 4/25/2022 NOTE CITY OF MIAMI DOCUMENT ROUTING FORM ORIGINATING DEPARTMENT: Office of Grants Administration DEPT. CONTACT PERSON: Malissa T. Sutherland EXT. 1005 NAME OF OTHER CONTRACTUAL PARTY/ENTITY: Rebuilding Together Miami -Dade, Inc. IS THIS AGREEMENT A RESULT OF A COMPETITIVE PROCUREMENT PROCESS? ❑ YES ❑ NO TOTAL CONTRACT AMOUNT: S FUNDING INVOLVED? ❑ YES ❑✓ NO TYPE OF AGREEMENT: ❑ MANAGEMENT AGREEMENT ❑ PROFESSIONAL SERVICES AGREEMENT ❑ GRANT AGREEMENT ❑ EXPERT CONSULTANT AGREEMENT ❑ LICENSE AGREEMENT OTHER: (PLEASE SPECIFY) API ❑ PUBLIC WORKS AGREEMENT ❑ MAINTENANCE AGREEMENT ❑ INTER -LOCAL AGREEMENT ❑ LEASE AGREEMENT ❑ PURCHASE OR SALE AGREEMENT PURPOSE OF ITEM (BRIEF SUMMARY)• The attached Amendment is being routed to extend the term of the original agreement. This API allocation from District 2 requires an extension due to a delay in supplies for the project related to shipping dela}s as a result of COVID. COMMISSION APPROVAL DATE: / / FILE ID: ENACTMENT NO.: IF THIS DOES NOT REQUIRE COMMISSION APPROVAL, PLEASE EXPLAIN: ROUTING INFORMATION Date PLEASE PRINT AND SIGN PRINT:LILLIAN BLONDET APPROVAL BY DEPARTMENTAL DIRECTOR 414/22 SIGNATURE: SUBMITTED TO OFFICE OF MANAGEMENT AND PRINT:MARIE GOUIN BUDGET SIGNATURE: PRINT: ANN-MARIE SHA Rr"Ey by SUBMITTED TO RISK MANAGEMENT signed uomeZ, Gomez, Frank 22.04.04 SIGNATURE: Frank Date::0750-04'0' i s:o�:so-oa�oo� 4/15/22 PRINT: VICTORIA MENDEZ SUBMITTED TO CITY ATTORNEY Matter 22-699 �, for D.J.G. SIGNATURE: PRINTTERNANDO CASAMAYOR APPROVAL BY ASSISTANT CITY MANAGER S[GNATUR PRINT: ARTH0tN&JLGA V RECEIVED BY CITY MANAGER I4 ZZ SIGNATURE: PRINT: 1) ONE ORIGINAL TO CITY CLERK, SIGNATURE: 2) ONE COPY TO CITY ATTORNEY'S OFFICE, PRINT: SIGNATURE: 3) REMAINING ORIGINAL(S) TO ORIGINATING DEPARTMENT PRINT: SIGNATURE: PLEASE ATTACH THIS ROUTING FORM TO ALL DOCUMENTS THAT REQUIRE EXECUTION BY THE CITY MANAGER FIRST AMENDMENT TO ANTI -POVERTY INITIATIVE FUNDING AGREEMENT BY AND BETWEEN THE CITY OF MIAMI, FLORIDA AND Rebuilding Together Miami -Dade, Inc. This First Amendment to the Anti -Poverty Initiative Funding Agreement ("First Amendment") by and between the City of Miami, Florida, a municipal corporation of the State of Florida, located at 444 SW 2ndAvenue, Miami, FL 33130 ("CITY"), and Rebuilding Together Miami -Dade, Inc. , a Florida Not for Profit Corporation, located at 3628 Grand Avenue, Miami, F133133 ("RECIPIENT") is entered into as of this 20th day of April , 20 22 . The CITY and RECIPIENT may each be referred to as a "Party" and may collectively be referred to as the "Parties." RECITALS: WHEREAS, the CITY, pursuant to Resolution No. 21-0127 , the City approved providing Anti -Poverty Initiative ("API") Funds to the RECIPIENT in the not to exceed amount of Three Hundred Thousand Dollars ($ 300,000.00 )� and WHEREAS, the CITY and RECIPIENT, on April 2, 2021 , entered into an Anti -Poverty Initiative Funding Agreement ("API Agreement") to set forth the terms and conditions relating to the use of the Funds for the term of April 2, 2021 to April 2, 2022 ; and WHEREAS, the City of Miami ("City") declared a State of Local Emergency on March 12, 2020; and WHEREAS, pursuant to the State of Local Emergency, the City has taken all prudent actions necessary to protect the health, safety, and welfare of the community; and WHEREAS, the aforementioned Recipient has experienced unforeseen delays in their programming created by the COVID-19 pandemic; and WHERAS, the City wishes to extend the term of the agreement for one year, to allow the Recipient time to complete their programming/services per their Scope of Work and terms of the agreement with the City and no additional funds will be allocated; and NOW, THEREFORE, in consideration of the mutual covenants and promises herein, the Parties agree as follows: 1. The recitals are true and correct and are hereby incorporated into and made a part of this First Amendment. 2. Paragraph 2 of the API Agreement entitled Term is amended to continue until October 3, 2022 Page 1, Terms (2), will be updated to reflect the new Term end date. 4. Counterparts and Electronic Signatures. This Agreement may be executed in any number of counterparts, each of which so executed shall be deemed to be an original, and such counterparts shall together constitute but one and the same Agreement. The parties shall be entitled to sign and transmit an electronic signature of this Agreement (whether by facsimile, PDF or other email transmission), which signature shall be binding on the party whose name is contained therein. Any parry providing an electronic signature agrees to promptly execute and deliver to the other parties an original signed Agreement upon request. 5. All other terms and conditions of the API agreement remain in effect and unmodified. IN WITNESS WHEREOF, the Parties hereto have caused this First Amendment to be executed by their respective officials thereunto duly authorized on the date above written. ATTEST: B Todd B. Ha ate City Clerk q I ^4 -V] -_4 APPROVED AS TO LEGAL FORM AND CORRECTNESS: as for Victoria M6ndez City Attorney ATTEST: Date Matter ID: 22-699 D.J.G. Print Name: Martina Spolini Title: Executive Director Date: 3/31/2022 "CITY" CITY OF MIAMI, a municipal corporation of the State of Florida By: mALLL966 41 P22_ Arthur Noriega V Date City Manager APPROVED AS TO INSURANCE REQUIREMENTS: Gomez Digitally signed by Gomez, Frank Frank Date: 2022.04.04 15:08:10-04'00' Ann -Marie Sharpe Date Director Risk Management "RECIPIENT" Rebuilding Together Miami -Dade, Inc. A Florida Not -For -Profit Corporation Print Name: Ashley Snow Title: Development Director Date: 3/31/2022 City of Miami n r ` yti City Hall Legislation 3500 Pan American Drive _.• , r„a Miami, FL 33133 Resolution www.miamigov.com Enactment Number: R-21-0127 File Number: 8716 Final Action Date:312512021 A RESOLUTION OF THE MIAMI CITY COMMISSION, WITH ATTACHMENT(S), PURSUANT TO SECTION 18-85(A) OF THE CODE OF THE CITY OF MIAMI, FLORIDA, AS AMENDED, BY A FOUR FIFTHS (4/5THS) AFFIRMATIVE VOTE, AFTER AN ADVERTISED PUBLIC HEARING, RATIFYING, APPROVING, AND CONFIRMING THE CITY MANAGER'S FINDINGS, ATTACHED AND INCORPORATED AS EXHIBIT "A", THAT COMPETITIVE NEGOTIATION METHODS AND PROCEDURES ARE NOT PRACTICABLE OR ADVANTAGEOUS FOR THE CITY OF MIAMI ("CITY") AND WAIVING THE REQUIREMENTS FOR SAID PROCEDURES; AUTHORIZING THE ALLOCATION OF GRANT FUNDS FROM THE DISTRICT 2 COMMISSIONER'S SHARE OF THE CITY'S ANTI -POVERTY INITIATIVE FUND IN A TOTAL AMOUNT NOT TO EXCEED THREE HUNDRED THOUSAND DOLLARS ($300,000.00) TO REBUILDING TOGETHER MIAMI-DADE, INC., A FLORIDA NOT FOR PROFIT CORPORATION, IN SUPPORT OF THE SAFE AND HEALTHY HOMES IN VILLAGE WEST PROGRAM; FURTHER AUTHORIZING THE CITY MANAGER TO NEGOTIATE AND EXECUTE ANY AND ALL DOCUMENTS NECESSARY, ALL IN FORMS ACCEPTABLE TO THE CITY ATTORNEY, FOR SAID PURPOSE. WHEREAS, the City of Miami ("City") created the Anti -Poverty Initiative ("API") to address poverty based on a strategy of focusing the provision of support towards the City's residents achieving self-sufficiency; and WHEREAS, Rebuilding Together Miami -Dade, Inc., a Florida not for profit corporation ("Rebuilding Together"), is being provided with funds in support of the Safe and Healthy Homes in the Village West program ("Program"); and WHEREAS, the Program, described in further detail in the API Funding Request Form attached and incorporated as Exhibit "B", will aid fifteen (15) low income homeowners over sixty-two (62) years of age; and WHEREAS, the City's District 2 Commissioner ("Commissioner") wishes to provide grant funds from the Commissioner's share of the City's API in an amount not to exceed Three Hundred Thousand Dollars ($300,000.00) ("Funds") for the Program; and WHEREAS, pursuant to Section 18-85(a) of the Code of the City of Miami, Florida, as amended ("City Code"), the City Manager has made a written finding, attached and incorporated as Exhibit "A", that competitive negotiation methods and procedures are not practicable or advantageous for the City's provision of the Funds for the Program; and WHEREAS, the City Manager is requesting authority from the City Commission to negotiate and execute any and all documents necessary, all in forms acceptable to the City Attorney, for the allocation of the Funds for the Program; NOW, THEREFORE, BE IT RESOLVED BY THE COMMISSION OF THE CITY OF MIAMI, FLORIDA: Section 1. The recitals and findings contained in the Preamble of this Resolution are. adopted by reference and incorporated herein as if fully set forth in this Section. Section 2. Pursuant to Section 18-85(a) of the City Code, by a four -fifths (4/5ths) affirmative vote, after an advertised public hearing, the City Manager's written finding, attached and incorporated as Exhibit "A", that competitive negotiation methods and procedures are not practicable or advantageous for the City's provision of the Funds for the Program and waiving the requirements for said procedures, are hereby ratified, approved, and confirmed. Section 3. The City Manager is authorized' to allocate the Funds from the Commissioner's share of the City's API to Rebuilding Together for the Program. Section 4. The City Manager is further authorized' to negotiate and execute any and all documents necessary, all in forms acceptable to the City Attorney, for said purpose. Section 5. This Resolution shall become effective immediately upon its adoption. APPROVED AS TO FORM AND CORRECTNESS: Barnaby,!_: Min, Deputy City Attorney 3/10/2021 ' The herein authorization is further subject to compliance with all legal requirements that may be imposed, including but not limited to, those prescribed by applicable City Charter and City Code provisions. 3131/22, 12:57 PM Detail by Entity Name DiVis3oa OF Co acrzn-tos�s Depatment of State / D!,ss on of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Not For Profit Corporation REBUILDING TOGETHER MIAMI - DADE, INC. Filing Information Document Number N93000003025 FEI/EIN Number 65-0424304 Date Filed 06/28/1993 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 08/20/2009 Event Effective Date NONE Principal Address 3628 GRAND AVE MIAMI, FL 33133 Changed: 02/04/2019 Mailing Address 3628 GRAND AVE MIAMI, FL 33133 Changed: 02/04/2019 Registered Agent Name & Address Rebuilding Together Miami -Dade, Inc. 3628 GRAND AVE MIAMI, FL 33133 Name Changed: 01/09/2020 Address Changed: 04/12/2019 Officer/Director Detail Name & Address Title Executive Director Spolini, Martina https://search.sunbiz.org /Inquiry/CorporationSearch/SearchResultDetai I?i nq uirytype=EntityName&di rectionType= Initial &searchNameOrder=REBUILD INGTO... 1/3 3/31/22, 12:57 PM 3628 GRAND AVE MIAMI, FL 33133 Detail by Entity Name https://s Title President Lenahan, Andrew 31 NW 23rd St. Miami, FL 33127 Title VP Eric, Van Hook 7235 Corporate Center Dr Miami, FL 33126 Title Treasurer Kelly, Benjamin 2525 Ponce de Leon Boulevard Ste 1040 Coral Gables, FL 33134 Title Director Snow, Ashley 3555 William Avenue Miami, FL 33133 Annual Reports Report Year Filed Date 2021 07/28/2021 2022 02/02/2022 2022 03/28/2022 Document Images 03/28/2022 — AMENDED ANNUAL REPORT View image in PDF format 0210212022 — ANNUAL REPORT View image in PDF format 07/28/2021 — ANNUAL REPORT View image in PDF format 01109/20M — ANNUAL REPORT View image in PDF format 04/12/2019 — ANNUAL REPORT View image in PDF format 04/02/2018 — ANNUAL REPORT View image in PDF format 05110/2017 —AMENDED ANNUAL REPORT View image in PDF format 01110/2017 — ANNUAL REPORT Vie,.,,, image in PDF format 01/15/2016 —ANNUAL REPORT View image in PDF format 01?09/2015 —ANNUAL REPORT View image in PDF format 0111012014 —ANNUAL REPORT View image in PDF format 01/25.-2013 —ANNUAL REPORT View image in PDF format 04/11/2012 —ANNUAL REPORT View image in PDF format 01/05/2011 —ANNUAL P,EPORT 3arch.sunbiz.org /Inquiry/CorporationSearch/SearchResu[tDetail?inq ui rytype=EntityN ame&di rectionType= Initial&searchN ameOrder=R EBU ILD IN GTO.. 213 3/31/22, 12:57 PM Detail by Entity Name 02115/2010 — ANNUAL REPORT 08i2012009 — Amendment 01/1612009 — ANNUAL REPORT 01/15/2008 — ANNUAL REPORT 01;07/2008 — Name Charge 01/08/2007 — ANNUAL REPORT 09/2812006 — REINSTATEMEN T 01/1912005 — ANNUAL REPORT 04129/2004 — ANNUAL REPORT 04/20/2003 — ANNUAL REPORT 03119i2002 — ANNUAL REPORT 03/01/2002 — Name Change 01127/2001 — ANNUAL REPORT 10/23/2000 — REINSTATEMENT 07/06i 1999 — ANNUAL. REPORT 07/150998 — REINSTATEMENT 06/17/1996 —ANNUAL REPORT 06/ 1411995 — ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View:mage in PDF format Viewmage in PDF format View image in PDF format View image in PDF format View image in PDF format Vier✓ image in PDF format View image in PDF format View image in PDF format Viev✓ image in PDF format View image in PDF format View image in PDF fcrnat View image in PDF format View image in PDF format View image in PDF format View image in PDF format https://search.sunbiz.org/inquir)#CorporationSearch/SearchResultDetail?inquirytype=Entit Name&directionType=Initial&searchNameOrder=REBUILDINGTO... 3/3 } � Together. Miami -Dade BOARD OF DIRECTORS March 16th, 2022 3628 Grand Ave, Miami, FL 33133 Tel: 305-200-5711 Fax: 305-200-5841 PRESIDENT This letter is to inform that Rebuilding Together Miami -Dade, Inc. does not own any vehicles nor holds auto Andrew Lenahan liability insurance. VICE PRESIDENT Should this change, we will immediately notify you. Eric Van Hook Sincerely SECRETARY Benjamin Kelly TREASURER Benjamin Kelly Chad Musgrove Eddie Garcia Frances Salgado Lonny Schnur Martina Spolini Executive Director Repairing Homes, Revitalizing Communities, Rebuilding Lives '�®> CERTIFICATE OF LIABILITY INSURANCE DAT3/16/202�2 ) 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 SUNZ Insurance Solutions, LLC. ID: (TLR) c/o TLR of Bonita, Inc 700 Central Ave, Suite 500 St. Petersburg, FL 33701 CONTACT NAME: Workers'Comp Department AICNNo OEExt : 727-520-7676 x 3 AIC No): 727-525-3862 E-MAIL ADDRESS: certs encorehr.com INSURER(S) AFFORDING COVERAGE NAIC# INSURERA: SUNZ Insurance Company 34762 INSURED TLR of Bonita, Inc EnterpriseHR INSURER B INSURERC: 700 Central Avenue Suite 500 INSURERD: INSURERE: St. Petersburg FL 33701 INSURER F : COVERAGES CERTIFICATE NUMBER: R77999:3A 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGES(RENTED PREMISES Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYDAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N WC039-00001-021 6/1/2021 6/1/2022 �/ STATUTE ERH ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000.00 OFFICER/MEMBEREXCLUDED? ❑ NIA E.L. DISEASE - EA EMPLOYE $ 1 000 000.0 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 000 000.00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage Provided for all leased employees but not subcontractors of: Rebuiling Together Miami -Dade, Inc. Client Effective: 2/27/2017 CERTIFICATE HOLDER CANCELLATION 682 City of Miami Attn: Malissa Sutherland 444 SW 2nd Ave 9th Floor 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 �- Rick Leonard ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 67222234 1 TLR of Bonita PEO 039 MASTER CERT I Aimee Gray 1 3/16/2022 12:18:54 PM (CDT) I Page 1 of 1 61 . CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/14/2022 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 Arthur J. Gallagher & Co. Insurance Brokers of CA., Inc. 595 Market Street Suite 2100 San Francisco CA 94105 CONTACT NAME: Darby Hughes aIc"N Ext : 415-546-9300 aC No): 415-536 8499 IL ADDARESS: Darby_Hughes@_ajg.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Philadelphia Indemnity Insurance Company 18058 License#- 0726293 INSURED REBUTOG-92 Rebuilding Together, Inc. (Affiliates) Rebuilding Together Miami -Dade INSURER B: TOkio Marine Specialty Ins CO 23850 INSURERC: INSURERD: 999 N. Capitol St., NE, Suite 701 Washington DC 20002 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER:2084476050 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICYNUMBER POLICY EFF MMIDD/YY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY PHPK2389341 3/15/2022 3/15/2023 EACH OCCURRENCE $1,000,000 CLAIMS -MADE — OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY a PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 X OTHER: Slop Gap Liab STP GAP/ND OH WA WY $1,000,000 A AUTOMOBILE LIABILITY PHPK2389341 3/15/2022 3/15/2023 COIvtBINED SINGLE LIMIT Ea accident $1,000,o0o BODILY INJURY (Per person) $ ANY AUTO OWNED X SCHEDULED AUTOS ONLY AUTOS tid P BODILY INJURY (Per accident) ( ) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB X OCCUR PHUB806426 3/15/2022 3/15/2023 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ 1 fl nnn $ WORKERS COMPENSATION OTH- AND EMPLOYERS' LIABILITY Y / N SPER TATUTE I ER E.L. EACH ACCIDENT $ ANYPROP RI ETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B B Contractors Pollution/Prof Liab Commercial Crime (Fidelity) PPK2389330 PSD1699056 3/15/2022 3/15/2022 3/15/2023 3/15/2023 $1,000,000 Limit $25,000 $50,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Miami is included as an Additional Insureds as respect General Liability and Automobile Liability when required by written contract. Coverage includes contingent and contractual liability as required per written contract with the named insured. Certificate serves as evidence of insurance for the named insured. VGRIIr IIiNIC nvLucrc t.AlNt.tLL.A l 1UIV City of Miami Attn: Frank Gomez 444 SW 2nd Ave, 2nd Floor 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 91-4 tf &'�-/ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: PHPK2389341 COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): When Required by Written Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 3 of 3