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MacVicar_Renewal of Proffesional Services Agreement_2024-2025 ,sf`\,fy aMF's CITY OF OKEECHOBEE Okeechobee City Council Mayor Dowling R. Watford„Jr. •`a`'' F5 SE THIRD AVENUE •.. ;;� Vice Mayor Monica Clark %9 OKEECHOBEE, FL 34974 Noel Chandler ;; ��, Phone: (863)763-3372 Bob Jarriel •:� ��;�,�d� tivw cityofokeechobee.coin David McAuley Office of the City Administrator Direct Line:(863) 763-9812 September 5, 2024 Thomas K. MacVicar. P.E. MacVicar Consulting, Inc. 4524 West Gun Club Road, Suite 201 West Palm Beach, FL 33415 Re: One year renewal of the Professional Services Agreement Dear Mr. MacVicar, The City of Okeechobee wishes to extend the Professional Services Agreement with MacVicar Consulting, Inc. for one additional year, October 1, 2024—September 30, 2025. The terms and fees will remain the same as stated under the original contract fee schedule as $250.00 per month. Your signature below is required to provide agreement/acceptance of this one-year renewal. Please return this back to me as soon as possible. Please feel free to contact me if you have any questions, at the number above. I am looking forward to working with you for another year. Sincerely, ' 7Cary Ritr/ City Administrator • My signature below is evidence of my agreement to renew the Independent Contractor's Agreement with the City for the period and terms stated above. Thomas K. MacVicar, P.E. Date MacVicar Consulting, Inc. AFFIDAVIT OF NON-COERCION FOR LABOR AND SERVICES (FLORIDA STATUTES SECTION 787.06(13)) State of Florida ) )ss. County of i�( e e ) Personally appeared before me,the undersigned authority //j 1i r, "/,A(i 1 J! c/�/� ("Affiant"), who being first duly sworn,deposes and says on oath and under penalty of perjury as follows: I. That they are of legal age,have personal knowledge of the facts herein stated,and are duly authorized to make this affidavit(the"Affidavit")as Authorized Signer on behalf of �(/,. ( ��;�/� ,. ��s �ti� ("the Entity"). II. That to the best of Affiant's knowledge,the Entity does not engage in any of the following activities as part of its employment practices: 1. Using or threatening to use physical force against any person; 2. Restraining,isolating,or confining or threatening to restrain,isolate,or confine any person without lawful authority and against her or his will; 3. Using lending or other credit methods to establish a debt by any person when labor or services are pledged as a security for the debt, if the value of the labor or services as reasonably assessed is not applied toward the liquidation of the debt, the length and nature of the labor or services are not respectively limited and defined; 4. Destroying, concealing, removing,confiscating,withholding,or possessing any actual or purported passport, visa, or other immigration document, or any other actual or purported government identification document,of any person; 5. Causing or threatening to cause financial harm to any person; 6. Enticing or luring any person by fraud or deceit;or 7. Providing a controlled substance to any person for the purpose of exploitation of that person. III. That this Affidavit is being given to evidence compliance with the law. FURTHER AFFIANT SAYETH NOT. C4a/N. Signature r t The foregoing instrument was sworn to and subscribed before me by means of j[physical presence or L] online notarization, this 5 day of 7 i 200,/�byy�A-(Y 1L�a S . M J(Cal, , as -e t (.i(1 1€ of GEC I�r e tsu t h ` 111 C . ,on its behalf,who[✓f is personally known to me or L]has produced a driver's licensas identification. UP* [Notary Seal] Notary Publicatada �In I o r I e ��^ I (� 4 Notary Public State of Florida I Printed Name: IIJ� Y ' li I U 11 1 Danielle wont 'i'I�„„ My Commission HH 570647 I " I�� n Expires 7/12/2028 My Commission Expires: J vc __---...aN MACVCON-01 CTARKOFF ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYY) `—� 9/5/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)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 COONNTACT Plastridge Insurance Agency PHONE FAx 10337 N.Military Trail (A/C,No.Ext):(561)630.4955 (A/C,No):(561)630-4966 Palm Beach Gardens,FL 33410 n pugg;palmbeachdocs@plastridge.com INSURER(S)AFFORDING COVERAGE NAIC S INSURER A:Main Street America Protection Insurance Company 13026 INSURED INSURER B:Old Dominion Insurance Company 40231 MacVicar Consulting,Inc. INSURER C:Associated Industries Ins.Co. 23140 4524 W Gun Club Road,S201 INSURER D:Evanston Insurance Co. 35378 West Palm Beach, FL 33415 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POUCY EFF POUCY EXP UNITS LTR INSD WVD (MM/DD/YYYY) 1MMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X I OCCUR BPG5403E 1/1/2024 1/1/2025 DAMAGE TO RENTED 500,000 • PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 XXX-1 POLICY PRO- JET LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: _1 A AUTOMOBILE UABIUTY ! COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO BPG5403E 1/1/2024 1/1/2025 BODILY INJURY(Per person) j$ -OWNED SCHEDULED AUTOSRE ONLY AUTOS Ep BODILYO INJURYp (Per accident) $ X_AUTOS ONLY .X~AUT S ONLY I (Per accident)AGE $ $ B UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB 1 CLAIMS-MADE CUG5403E 1/1/2024 1/1/2025 AGGREGATE $ DED X RETENTION$ 10,000 $ 1,000,000 C WORKERS COMPENSATION TH- AND EMPLOYERS'LIABILITY Y/N X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE I I AWC1201994 1/1/2024 1/1/2025 500,000 FFICER/MEMBEER EXCLUDED? N/A j E.L.EACH ACCIDENT $ Mandatory In NH) I I E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 D Professional Liabili MKLV2ENV104343 7/19/2024 7/19/2025 PER CLAIM/TOTAL AGG 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) \/ 3 1. 5 6 ?B 9 Q� p\vso C' _. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED Wi L D BEFORE City of Okeechobee THE EXPIRATION DATE THEREOF, NO gaG_'1B LIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 55 SE 3rd Avenue Okeechobee,FL 34974 AUTHORIZED REPRESENTATIVE ...Li:a,C L. C'(,C(o,Lciet. ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD