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Certificates of InsuranceAo,cC-) -A. P. CERTIFICATE OF LIABILITY INSURANCE OP ID zL DATE (MMIDDIYYYY) PRODUCER EACCO-1 11 17 09 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mahn --Carlin & Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3350 S. Dixie Highway ALTER THE COVERAGE AFFORDED BY THO POLICIES BELOW. Miami FL 33133-9984 Phone : 305--446--2271 Fax : 305-44 8-3127 INSURERS AFFORDING COVERAGE NAIL # INSURED INSURER A: FOCI Insurance Company 10178 INSURER B: LPCCI Insurance Grou EAC Consulting Inc. ;INSURER C: Fireman ' s Fund Ins Co 21873 615 NW 57th Avenue #402 Miami FL 33126 ' wsuRER D: Houston Casualty Conrpany Y j INSURER E: coVERAGEs THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO'11 rrHSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURAMGG AFFDROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT To ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE SEEN REDUCED BY PAID CLAIMS. LTA R TYPE OF INSURANCE POLICY NUMBER GR RMIDp DAEG IDDIYYON LIMITS GENERAL LIABILITY _ EACH OCCURRENCE $ 1, 0 0 0 0 0 0 A X X COMMERCIAL GENERAL LIABILITY CPP 0 0 0 617 9 4 05 / O 1/ 0 9 1 0 5/ O 1/ 10 t PREMISES • omren2e s 300, 000 _LjCLAIMS MADE OCCUR MED EXP (Any one person) 510,000 j PERSONAL 6 ADV INJURY I.S11000,F000 GENERAL AGGREGATE + S 2 r 0 0 0, 0 O O r AGGREGATE LIMIT APPLIES PER: MILPOUCY� 2RCOT ' PRODUCTS - COMPIOP AM6 INCLiTDED Loc - - AUTOMOBILE UA@(LITY � B X X ANY AUTO CA0 013 7 62 0 6/ 21 / 0 9 06121110 COMBINED SINGLE LIMIT (Ea occident} : s 1, 0 0 0, 0 0 0 ALL OWNED AUTOS -' SCHEDULED AUTOS BODILY INJURY (Per person) I s ! I HIRED AUTOS ►"\, NON -OWNED AUTOS i BODILY INJURY • (Per awidenl) $ ' PROPERTY DAMAGE • -'" ; (Per accident) GARAGE LIABILITY ! AUTO ONLY - EA ACCIDENT S HANY AUTO OTHER THAN EA ACC S ; AUTO ONLY: QA G S EXGE8S1UM6RLt.LA LIABILITY EACH OCCURRENCE S 5 D O Q Q O Q C X X! occuR CLAIMS MADE SSE 0 0 0 6 0 7 8 5 7 6 3 0 5/ O l/ 0 9 0 5/ O 1/ 10 AGGREGATC 5 0 1 0 0,000 s I DEDUCTIBLE RETENTION 3 I" ' WORKERS COMPENSATION AND r 1 .' EMPLOYERS, LIABILITY' 0 0 IWCO 9A5 9714 JUTH-' �_ X I ORY LlNl1TS ER PROPRIETQR1PARTNERIEXEC:UTIVE 1 0 4 /2 2 /0 9 0 4/ 22 / 10 E.L. EAt;y ACCIOExt s 1, 4 00 , 000 or-Fl►cERnuEaeER Exct.uoEo� If eS. deacalm under j SPECIAL PROVISIONS below l E.L. DISEASE - EA EMPLOYE S Z , 0 00 , 0Q fl OTHER E.L. DISEASE - POLICY LIMIT 5 1,000r000 + Professional Liab C .1 MADE H70911435 03 17 /09 /. 03/17/10 Ea. Claim $2,0001000 BASIS DZDUCT1j3LE-$5()j 000 8ggre ate $5 000,080 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLU31ONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS [,CLAIMS PROJECT: Professional Engineering Services-EAC Project #09020 . SDO1-00 CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS TO AUTOMOBILE 5 GENERAL LIABILITY CERTIFICATE HOLDER MNRO-1 Monroe County Engineering Services Room #216 1100 Simonton Street Key West FL 33040 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATII DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN r NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO OO 80 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REP ESENTATWE / ACORD 25 (2001/08) 0 ACORD CORPORATION 1988 OP ID CF DATE (MMIDD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE �CCO-1 04 Zo o PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Kahn -Carlin & Company, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR � o n.� n c. ix .. ,. v: ,.ti,...�.. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 5 S. ie ig way Miami FL 33133-9984 Phone:305-446-2271 Fax:305-448-3127 INSURED EAC Consulting Inc. 815 NW 57th Avenue #402 Miami FL 33126 INSURERS AFFORDING COVERAGE NAIC # INSURER A: FCCI Insurance Company 10178 INSURER B: National Trust Insurance Co 20141 INSURER C: Fireman' s Fund Ins Co 21873 INSURER D: FCCI Insurance Company 10178 INSURER E: Catlin Specialty Insurance Co 19518 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. INSIR LTR OWL NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY P LICY EXPIRATION DATE MM/DD/YY LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE: FX7 OCCUR C PPO 0 0 617 9 4 0 4/ 2 2/ 10 0 4/ 2 2/ 11 EACH OCCURRENCE $ 1, 0 0 0, 0 0 0 PREMISES (Ea occurence) $ 3 0 0, 0 0 0 MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $ 1, 0 0 0, 0 0 0 GENERAL AGGREGATE $ 2, 0 0 0, O O O GEN'L AGGREGATE LIMIT APPLIES PER: -7 POLICYF X PR O- [7 LOC PRODUCTS - COMP/OP AGG $ INCLUDED B X AUTOMOBILE LIABILITII' ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA0 013 7 62 '� '- '7 0 4/ 2 2/ 10 0 4/ 2 2/ 11 COMBINED SINGLE LIMIT (Ea accident) $ 1, O O O, O O O X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO lk AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN AUTO ONLY: AGG $ $ C x EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ SSE00060785763 04/22/10 04/22/11 EACH OCCURRENCE $ 5, 0 0 0, 0 0 0 AGGREGATE $ 5, 000, 000 $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE V1-f i '031AEMFER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 0 01WC 0 9A5 9 714 0 4/ 2 2/ 10 0 4/ 2 2/ 11 T X TWC LIMITS ER E.L. EACH ACCIDENT $ 1, 0 0 0, 0 0 0 E.L. DISEASE - EA EMPLOYE $ 1. , O 0 0 , O 0 0 E.L. DISEASE - POLICY LIMIT $ 1 , O O O , 0 O O OTHER E PROFESSIONAL LIAB AED997370311 DEDUCTIBLE-$50,000 03/17/10 I 03/17/11 PerClaim $2,000,000 I Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS PROJECT: Professional Engineering Services-EAC Project #09020.SD01-00 CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS TO AUTOMOBILE & GENE onr�e Cain ty RN6 LIABILITY l n1�.�11. L �Q U====Mond CERTIFICATE HOLDER CANCELLATION�- MONRO-1 SHOULD ANY OF THE ABOVE DESCRIBED POREQNN)OMIldra EXPI O Monroe County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Engineering Services NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Room #216 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street Key West FL 33040 REPRESENTATIVES. AUTHORIZED RERRESENTATWE Y ACORD 25 (2001/08) © ACORD CORPORATION 1988 CERTIFICATE OF LIABILITY INSURANCE OP ID EC DATE (MMIDDIYYYY) F 04 18 12 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 e certificate holder is an ADDITIONAL INSURED, the po cy ies must be endorsed. , 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 Kahn -Carlin & Company, Inc. 3350 S . Dixie Highway Miami FL 33133-9984 Phone:305-446-2271 Fax:305-448-3127 NAME: PHONE FAX JAIC, No, Ezt : (Am. No): ADDRESS: cusToMERios: EACCO-1 INSURER(S) AFFORDING COVERAGE NAIC# INSURED 815 NW sulting Incnue . #402 Miami FL 33126 INSURERA: FCCI Insurance Company 10178 INSURER B : National Trust Insurance co 20141 INSURER : *Fireman's Fund Ins Co 21873 INSURER D : Ironshore Specialty Ins Co 25445 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 LTR TYPE OF INSURANCE INSR POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR X CPPOO110493 I AP MWEMM DAGENERAL W 04/22/12 04/22/13 EACH OCCURRENCE $ 1 , 000 , 000 PREMISES (Ea ocarrerrce) $ 300 , 000 MEDEXP(Artyone person) $ 10,000 PERSONAL & ADV INJURY $1,000,000 AGGREGATE $2,000,OOO GENL AGGREGATE LIMIT APPLIES PER: POLICY RCOT LOC PRODUCTS - COMP/OP AGG $ INCLUDED $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X CA00157203 04/22/12 04/22/13 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accKWA) $ $ C UMBRELLA LIAO EXCESS LAB R OCCUR CLANS -MADE X SSE00057727141 04/22/12 04/22/13 EACH OCCURRENCE $ 5 , 000 , 000 X AGGREGATE $5,000,000 DEDUCTIBLE RETENTION $ $ $ A WORKERSCOMPENSATION AND EMPLOYERS' LIABILITf ANY PROPRIETOR/PARTNER/EXEC YIN OFFICERIMEMBER EXCLUDED? UTIV� (Marrda" in NH) u H yes describe under DESCRIPTION OF OPERATIONS below MIA 00WC1OA59714 04/22/12 04/22/13 X TORYLIMITS ER E.L. EACH ACCIDENT -- $ 1000000 E.L. DISEASE - EA EMPLOYEE $ 1000000 E.L. DISEASE -POLICY LIMIT $ 1000000 D PROFESSIONAL LIAB ___�T000970201 DEDUCTIBLE-$50 000 RETRpACTIVE DATE - 9/6/94 03/1?/1z 01/22/13 PER CLAIM $2 , 000 , 000 AGGREGATE $5 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required PROJECT: Professional Engineering Services-EAC Project #09020.3D011-00 CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS TO AUTOI4DBILE & GENERAL LIABILITY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MONRO-1 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County ACCORDANCE WITH THE POLICY PROVISIONS. Engineering Services Room #216 AUTHOPMED REPRESENTATIVE 1100 Simonton Street Key West FL 33040 AC All rights resery ACORD 25 (2009109) The ACORD name and logo are registered ma of ACORD EACCO-1 OP ID: EC Allk " CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmrYY) 04/18/13 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 endorsements . PRODUCER 305-446-2271 Kahn -Carlin & Company, Inc. 3350 S. Dixie Highway y� 305-448-3127 Miami, FL 33133-9984 CONTACT NAME: a/c°NN E:t :305-446-2271 FAAIC No): 305448-3127 ADMDARESS: processing@kahn-carlin.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:FCCI Insurance Company 10178 INSURED EAC Consulting Inc. 815 NW 57th Avenue #402 Miami, FL 33126 INSURER B : National Trust Insurance Co 20141 INSURER C: Fireman's Fund Insurance Co. INSURER D :Ironshore Specialty Ins Co 25445 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 LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1K OCCUR X CPP00110493 04/22/13 04/22/14 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,00 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ INCLUDE POLICY 7 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00 X BODILY INJURY (Per person) $ B ANY AUTO X CA00157203 04/22/13 04/22/14 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident i ) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 X AGGREGATE $ 5,000,00 EXCESS LIAB CLAIMS -MADE X SSE00057727141 04/22/13 04/22/14 DE I X I RETENTION $ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? N / A 001 WC12AS9714 04/22/13 04/22/14 X I WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 D Professional Liab. 000970201 04/22/13 04/22/14 Per Claim 2,000,00 Deductible-$50,000 RETRO DATE- 9/6/94 Aggregate 5,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) PROJECT: Professional Engineering Services-EAC Project #09020.SD01-00 GEMENi '7� CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS TO AUTOMOBILE & GENE%q. LIABILITY Monroe County Engineering Services Room #216 1100 Simonton Street Key West, FL 33040. MONRO-1 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 C. 0- ) ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EACCO-1 OP ID: AJ ACORO �.- CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 12/12/13 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 305-446-2271 Kahn -Carlin & Company, Inc. CONTACT NAME: PHONE E>n,305-446-2271 IC FAX Ne: 305-448-3127 3350 S. Dixie Highway 305-448-3127 Miami, FL 33133-9984 E-MAIL processing@kahn-carlin.com INSURERS) AFFORDING COVERAGE NAIC # INSURER A:FCCI Insurance Company 10178 INSURED Inc. 815 W 57tConsuAvingenue 815 NW 57th Avenue #402 INSURER B : National Trust Insurance Co 20141 INSURER C: Fireman's Fund Insurance Co. 20141 Miami, FL 33126 INSURER D. Ironshore Specialty Ins Co 25445 INSURER E : INSURER F : --"-"'" "'"— ""'^-'"`• KtVIJIUN NUIMbLh: 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 AIDDL LTR TYPE OF INSURANCE POLICY NUMBER MM DDY/YYYY MMLDDY/YYYY LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X CPP00110493 04/22/13 04/22/14 EACH OCCURRENCE $ 1,0 00,00 PREMISES Ea occurrence $ 00,00 MED EXP (Any one person) $ 10,00 PERSONAL BADVINJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: POLICY JECjPRO LOC PRODUCTS -COMP/OP AGG $ INCLUDE $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNEDPROPERT AUTOS X CA00157203 04/22/13 04/22/14 COMBINED SINGLE LIMIT Ea accident $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $HIREDAUTOS DDAMAGE Per accident $ JX C UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X N / A UMB00165643 001 WC12A59714 000970201 RETRO DATE- 9/6194 04/22/13 04/22/14 04/22/13 04/22/14 04/22/13 04/22/14 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ 5,000,00 DIED I X I RETENTION $ 10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑ in NH)and If If yes, describe under DESCRIPTION OF OPERATIONS below D iProfessional Liab. Deductible-$50,000 WC STATU- OTH- X TORY LIMITS ER $ E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 Per Claim 2,000,00 Aggregate 5,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) PROJECT: Professional Engineering Services - EAC Project #13038.SD01-00 The certificate holder is additional insured as respects General Liability & Auto Liability. AY P Ems,._ WAIVE N/A E t r`coTlnr'A= un, nor, -71. -- Monroe County Engineering Services Room #216 1100 Simonton Street Key West, FL 33040 MONRO-1 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 I v , UOO-ZU"1 U AL UKu GUHPUHATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD