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Certificates of InsuranceACORDru CERTIFICATE CIF LIABILITY INSURANCE DATE(M WDD/YYYY) 10 2 2009 PRODUCER Phone: 757-456-0577 Fax: 757-456-5296 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rutherf oord 222 Central Park Avenue, Suite 1340 Virginia Beach VA 23462 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Quality Enterprises USA Inc & Quality Environment Co. INSURERA:Wausau Business Insurance Com INSURERB:Wausau Underwriters Insurance INSURERC:Iriterstate Fire & Casualty Co 3894 Mannix Drive, Suite 216 INSURERD:American Int' 1 Specialty Line Naples FL 34114-5406 INSURER E: r_nvFRarFc 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMM= POLICY EXPIRATION DATE (MWM= 7/ 1/ 2 010 LIMITS A GENERAL LIABILITY TB KZ 914 4 9 7110 3 9 7/ 1/ 2 0 0 9 EACH OCCURRENCE $ 1 0 0 0 0 0 0 DAMAGE TO REWEEY PREMISES Ea occurence $10 0 0 0 0 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx_]OCCUR MED EXP (Any one person) $ 5 0 0 0 PERSONAL & ADV INJURY $ 1 0 0 0 0 0 0 GENERAL AGGREGATE $ 2 0 0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 2 0 0 0 0 0 0 POLICYF PRO-[_—] JECT LOC AS J Z 914 4 9 711019 7/ 1/ 2 0 0 9 7/ 1/ 2 010 COMBINED SINGLE LIMIT (Ea accident) $ 1, 0 0 0, 0 0 0 B AUTOMOBILE X LIABILITY ANYAUTO BODILYINJURY (PPe") $ ALL OWNED AUTOS SCHEDULED AUTOS , _ X X HIRED AUTOS NON-OWNEDAUTOS BODILY INJURY (Per (Per accident) X $10 0 0 Comp PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG C EXCESS/UMBRELLA LIABILITY X OCCUR D CLAIMS MADE P FX 7 0 0 2 4 8 5 6 7/ 1/ 2 0 0 9 7/ 1/ 2 010 EACH OCCURRENCE $ 10 0 0 0 0 0 0 AGGREGATE $ 10 0 0 0 0 0 0 $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LWBILI'IY WCJ Z 914 4 9 7110 2 9 7/ 1/ 2 0 0 9 7/ 1/ 2 010 X O sT MTIUT- oR- E.L. EACH ACCIDENT $ 5 0 0 0 0 0 ANY PROPRIETOR/PARTNEF:/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ 5 0 0 0 0 0 OFFICER/MEMBER EXCLUDED? if yes, describe under SPECIAL PROVISIONS belo�ni E.L. DISEASE -POLICY LIMIT $ 500,000 D OTHER Pollution Liability CP0025895025 7/1/2009 7/1/2010 2,000,000 each claim 2,0001000 aggregate DESCRIPTION OF OPERATIONS I LOCATION$/ VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROMSIONS Runway Safety Area Improvements Key WEst International Airport AIP No.3-12-0037-033-2007/034-2007 PFC Nos 13 & 14 T item No. 412535-I e Certificate Holde:r,its employees and officials are included as Additional Insured under General Liability as respects on going operations of the named insured as required by written contract for the referenced job and/or ontract.Umbrella follows form.Additional insured under auto per form CA 2048 v�r� �r�vr� c nvLvcR VANVtLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER Monroe County Board of Commissioners WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE Purchasincf Office CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO 1100 Simonton Street, Ste i IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON - 0 INSURER, ITS AGENTS OR REPRESENTATIVES. Hamm ---- D!! D REPRESENTA wit r... ML %C R IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this; certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require% an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AVUKU L* (ZUU11U4$) .4coRD1' CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 6/29/201/2010 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 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 Rutherfoord 222 Central Park Avenue Suite 1340 CONTACT NAME: Rutherfoord PHONE FAX - - A/c No Ext: - - No):757-4S6-5296 ADDRESS:certificates.vabeach@rutherfoord.com Virginia Beach VA 23462 PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Quality Enterprises USA Inc & Quality Environment Co. INSURERA:Wausau Business Insurance Company 26069 INSURERB:Wausau Underwriters Insurance Com a 26042 INSURERC:Chartis Specialty Insurance Company 26883 3894 Mannix Drive, Suite 216 INSURER D: Chartis Property Casualty Com an 19402 Naples FL 34114-5406 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: r,1;41 9944n 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 ADDLSUBR INSR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDD LIMITS A GENERAL LIABILITY TBKZ91449711030 7/1/2010 7/1/2011 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PREMREMDAMAGE T N PISES Ea occurrence $ 100, 000 MED EXP (Any one person) $5, 000 CLAIMS -MADE a OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2, 000 , 000 POLICY PRO-JECT LOC $ B AUTOMOBILE X LIABILITY ANY AUTO ASJZ91449711010 7/ 010 — 7/1/2011 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BOD JURY (Per person) $ ALL OWNED AUTOS INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS �(� ��!Y /V s PROPERTY DAMAGE (Per accident) $ X X $ NON -OWNED AUTOS $ D UMBRELLA LIAS X OCCUR BE28360807 7/1/2010 7/1/2011 EACH OCCURRENCE $15,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $15,000,000 DEDUCTIBLE $ $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NFP ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' N / A WCJZ91449711020 7/l/2010 7/1/2011 X WCSTATU- OTH- E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500, 000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $500, 000 C Pollution Liability CP0025895025 7/1/2010 7/1/2011 2,000,000 each claim 2, 000,000 aggregate DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) REL Runway Safety Area Improvements Key West International Airport AIP No.3-12-0037-033-2007/034-2007 PFC Nos 13 & 14 FDOT item No. 412535-I The Certificate Holder,its employees and officials are included as Additional Insured under General Liability as respects on going operations of the named insured as See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Building Department 2798 Overseas Highway, Suite 300 Marathon FL 33050 AUTHORIZED REPRESENTATIVE APR 1 1 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (20 1141) 201 CORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: ACID V ADDITIONAL REMARKS SCHEDULE Page 1 Of 1 AGENCY NAMED INSURED Rutherfoord Quality Enterprises USA Inc & Quality Environment Co. POLICY NUMBER 3894 Mannix Drive, Suite 216 Naples FL 34114-5406 CARRIER NAIC CODE EFFECTIVE DATE: rcv1n11LOU _i14 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE required by written contract for the referenced job and/or contract.Umbrella follows form. Additional insured under auto per form CA 2048 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AC40 UF8/11/2011®CERTIFICATE OF LIABILITY INSURANCE�"'�`M�°°""�"' 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 certificats holder is an ADDITIONAL INSURED, the pollcy(ies) must 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 endorseme s . CONTACT PRODUCER NAME: Rutherfoord FAX A„t-hcrfnnrd !! E.. 7r.7-Arr-nr,77 (AIC.Nol:757- 22 Central Park Avenue uite 1340 irainia Beach VA 23462 INSURED Quality Enterprises USA Inc & Quality Environment Co. 3894 Mannix Drive, Suite 216 Naples FL 34114-5406 B C RFVISIAN NUMBER: THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE AWISUOR INSR INVD POLICY NUMBER POLICY EFF (MWDDNYYn POLICY EXP im LIMITS GENERAL LIABILITY rBKZ91449711031 /1/2011 /1/2012 EACH OCCURRENCE $1,000,000 DAMA T R E PREMISES a ocamrert'a X 00MMERCIAL GENERAL LIABILITY MED EXP (Any one person) CLAIMS -MADE a OCCUR PERSONAL& ADV INJURY E$2,OOO,000 ( GENERAL AGGREGATE PRODUCTS-COMP/OPAGG GENLAGGREGATELIMITAPPLIESPER: j POLICY X PRO LOC B AUTOMOBILE LIABILITY ASL791449711011 /l/2011 /1/2012 LIMIT EaaccKWrt ,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS ED NON-OWX PROPERTY DAMAGE Per accident $ HIRED AUTOS X AUTOS $ X Comp $1,000 X Coll $1,000 D UMBRELLA LIAB X OCCUR BE28360873 /l/2011 /l/2012 EACH OCCURRENCE $15,000,000 X AGGREGATE $15,000,000 EXCESSIJAB CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION X WC STATU- OR $ B iqCJZ91449711021 /l/2011 /1/2012 E.L. EACH ACCIDENT $l, 000, 000 AND EMPLOYERS LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $1, 000, 000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N /A E.L. DISEASE - POLICY LIMIT $1, 000 , 000 If yes, describe under DESCRIPTION OF OPERATIONS below C Pollution Liability CP0025895025 /1/2011 /1/2012 2,000,000 each claim 2,000,000 aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addhional Remarks ScheduK if more space la required) REL Runway Safety Area Improvements Key West International Airport AIP No.3-12-0037-033-2007 PFC NOs 13 & 14 FDOT item No. 412535-I . The Certificate Holder is included as Additional Insured under General Liability as respects on going operations of the named insured as required by written contract for the referenced job and/or contract. Umbrella follows form. Additional insured under auto per form CA 2048 c e : fl-'flo/Ice Monroe County Board of County Commissioners 3491 S. Roosevelt Boulevard Key West FL 33040 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 J1 ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD