Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Certificates of Insurance
Client#: 8905 CURRSOW3 PD,. COCERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYI() 11 /25/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ISU Suncoast Insurance Assoc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 22668 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa, FL 33622-2668 813 289-5200 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: MSA Insurance Company 11066 Currie Sowards Aquila Architects Inc INSURER B: Travelers Casualty Si Surety Co 19038 134 NE 1st Avenue INSURER C: XL Specialty Insurance Company 37885 Delray Beach, FL 33444 INSURER D: INSURER E: COVERAGES 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. LTR NDATE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE (MMIDDIYY) POLICY EXPIRATION DATE (MWDDNY) LIMITS A GENERAL LIABILITY BPG98835 08/17/09 08/17/10 EACH OCCURRENCE $1 00Q 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES (Ea occurrence) $500 000 CLAIMS MADE OCCUR MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 QQQ 000 GENERAL AGGREGATE $2 OOQ QQQ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICYF-] PRO- LOC JECT A AUTOMOBILE LIABILITY ANY AUTO BPG98835 08/17/09 08/17/10 COMBINED SINGLE LIMIT (Ea accident) $1 000 000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO WNW T AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND U B5436Y34910 01 /01 /10 01 /01 /11 WC STATU- OTH- X I TORY LIMITS ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1 OO OOO E.L. DISEASE - EA EMPLOYEE $100000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $500,000 C OTHER professional DPR9680953 08/24/09 08/24/10 $1,000,000 per claim Liability $1,000,000 annl aggr. Monroe Countv DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS t Professional Liability is claims made and reported.`' Monroe County is an additional insured with respect to General Liability and Auto Liability.,O 4 09 TIME: RECEIVED BY: %ocR i irmvpi i c nvLUCK GANGELLATION 'i U ua s for Non -Pa ment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ 0 DAYS WRITTEN 1100 Simonton St. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Room 2-216 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West, FL 33040 REPRESENTATIVES. AUTIJORIZED REPRESS TATIVE ACORD 25 (2001/08) 1 of 2 #S222658/M222647 KFR O ACORD CORPORATION 1988 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. AWKU Z5-S (Z007/OS) 2 of 2 #S222658/M222647 E* CBant& ll 0 N ACORD. CERTIFICATE OF LIABILITY INSURANCE 0812W2012 THIS CERTIFICATE 18ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFiRMATMELY OR NE ATIMY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(ft AUTHORIZED REPRESENTATNE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT. if the rm MG—o"Orm is an must be armlarsed. If MORGOATION 18 WAIVED, mulifect to the in.. and oondleane of idle policy, c IM poSdes nay regak+e an srlManiernent. A ebEerrrerR an this P lift I does not corlfu rlpllts to On ar6Scab Holder In Neu of such endoraenanlK PRDOLIIawGUNTAW SunCoast Iauranoe, d r of USI P.O. Box 22868 Tampa, FL 33622 26M 813 289.5200 PHONE 813 ZMF4 00 813 289.4561 so AFFaraEMo covreNtaa MA1C s Gunnel et AveA Aquila Architects Inc letIIIIu 134 NE t vemse Delray Beach, FL 33444 ERA: MBA IrAwranm Compaq 110" eResanta: Trawrs leCau alty li Surety co 31194 a m"m c : XL Spadaly Insurance Company 37865 elasa:RD: sRwRN te: ewlslERF COVERAGES cmrrm1CAT6 mumama! R6VLRIAM MUYaER THNS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIQTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD WOICATED. N TWITHSTANDME�iT Ki ANY RBQIAR. TERM OR CONDITION OF ANY COWRACr OR OTHER OOCUMBYr WITH RESPECT TO WHICH THIS CE3RMFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DEOCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. A. I SIONS AND COMDRIONS OF SUCH POLICE& LBBTS SHOWN MAY HAVE BEEN REDUCED REDUCED BY PACLAIMS, 7YFE OF elaeMAaCE Lame A aaNERALLLABLmi 812898835 W1712012 0OR71M LUMOCC W CE s1 00 00 DMIMAETORIMM md s500Am X COWAM I GENGIAL UNPARM 1PERIONAL&ADVINAM GJNM6#MOE aOCCURSEW 81 GEnHML AOORIMTE amAm OENL AOGRBOATE UST APRIES PER PRODUDrs- COYMOPA03 It POLICY 7 m F7 LOC A mnaLroeasLIA uff BPG98635 W170012 OGM7f201 CO wmE� s ANY AUTO BOOLY INJURY rwP=w) t ALLOMMNEDAUTOS BODLVWURY(Prrcldr�q t , DAMAGE SCHEDULED AUTOB X HIREDAUTOS X NON aMW AUTOS t LINNORI A LMaHCLAMIS-MADE OCCUR EACH OCCURRENCE f AGGREGATE f as ee Lw DEDUCTMLE t _ s RETENTION 11 B WTION _ LIMIL OOFFIC MBSEREMMUDED9 LJ LJ C dwere� ukHr RM X UB5436Y340 1910012 0IM1201 X sTATLL aT+* E.L.PIICHACCOENT t1 E.L. DIeEME - EA Remm $1,0119.411110 E.LMWA-M-POLICY Low 151,000,000 C Professional DPS9702761 12 OL2402013 $1,000,000 per cleNe Liability $1 annl oR OF OPMMATMMM J LOCAMM U VWNCLM HALM AOORD 10T, /IYIW R.wrb &dw& .. s � mPM Y n�rY�q ;110 ro/essional Liability eovei Is written on a elahns-ralls and reported basis. Monroe County is an additbnal Insured with r 1 pact to General Lability and Auto Liability. Monroe County SHOULD ANY OF THE ABOVE DEacasED POLICIES ME CANCELLED tIEFORE 1100 Simonton St THE EVIRATION DATE THEREOF. NOTICE WALL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Room 2—MG Key West, FL 33040 AUTHORI ro HaswEaelrATY! 019884M ACORD CORPORATION. AS rWft raserred. ACORD 25 (2009/09) 1 of 1 The ACORD nanM and lope are npbMred narks of ACORD 83402"I M402843 KEEL C. G. Client#: 8905 CURRSOW3 ACORD. CERTIFICATE OF LIABILITY INSURANCE F D�ti182DNY Y) 012 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 SunCoast Insurance, div of USI 1715 N. Westshore Blvd. #700 CONTACT NAME: PHONE 813 321-7500 X No Ext : (A/C No : 813 321-7525 acAIC Tampa, FL 33607 813 321-7500 ADDRESS: rKUUUUtK CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC 0 INSURED INSURER A: MSA Insurance Company 11066 Currie Sowards Aguila Architects Inc 413 NE 3rd Street Delray Beach, FL 33483 INSURER B , Travelers Casualty & Surety Co 31194 INSURER C : XL Specialty Insurance Company 37885 INSURER D : 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. I R TYPE OF INSURANCE L N POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY BPG98835 8/17/2012 08/17/2013 EACH OCCURRENCE $1,000,000 PREMISES Ea occurrence $500000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR MED EXP (Any one person) $5,000 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- LOC $ A AUTOMOBILE LIABILITY BPG98835 8/17/2012 08/17/2013 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ X SCHEDULED AUTOS HIRED AUTOS AP BY PROPERTY DAMAGE (Per accident) $ X NON -OWNED AUTOS D • .— $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYLIMITS Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N/A X UB5436Y349 1/01/2013 01/01/201 X WC STATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional DPS9702761 8/24/2012 08/24/2013 $1,000,000 per claim Liability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Professional Liability coverage is written on a claims -made and reported basis. Monroe County is an additional insured with respect to General Liability and Auto Liability. Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 11 OO Simonton St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Room 2-216 Key West, FL 33040 AUTHORIZED REPRESENTATIVE pL9:P In Off --Ora- AO- ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S444936/"4918 KEB CC Client#: 8905 CURRSOW3 ACORD,. CERTIFICATE OF LIABILITY INSURANCE D ATE (MMDDN ) 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 SunCoast Insurance, div of USI 1715 N. Westshore Blvd. #700 Tampa, FL 33607 813 321-7500 CONTACT NAME: PHONE 813 321-7500 813 321-7525 Lo Ext : A/C, No -M ADDRESS: CUSTOMER ID M INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: MSA Insurance Company 11066 Currie Sowards Aguila Architects Inc Travelers Casual & Sure Co INSURER B : Casualty Surety 31194 185 NE 4th Ave INSURER C : XL Specialty Insurance Company 37885 Suite 101 Delray Beach, FL 33483 INSURER D : 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. TYPE OF INSURANCE POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY x BPG98835 08/17/2012 08/17/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR DAMAGE(R NTED PREMISESS Ea occurrence) $500,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 FGEINI'LGREGATE GENERAL AGGREGATE $2,000,000 LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY PRO LOC $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS X BPG98835 - APpWGEMENT 08/17/2012 08/17/2013 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X SCHEDULED AUTOS HIRED AUTOS BY DA WAl PROPERTY DAMAGE (Per accident) $ $ X NON -OWNED AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB DEDUCTIBLE $ $ RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A UB5436Y349 01/01/2013 01/01/2014 X I WCSTATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional DPS9702761 08/24/2012 08/24/2013 $1,000,000 per claim Liability $1,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Professional Liability coverage is written on a claims -made and reported basis. Monroe County is an additional insured with respect to General Liability and Auto Liability. ILe1a Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Room 2-216 Key Wet, FL 33040 AUTHORIZED REPRESENTATIVE c.G ' OLA0 fit. 01:9- W- Ala., 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S470857/M453864 KEB Clientlll: 1048220 CURRISOW ACORDOF LIABILITY INSURANCE IrrrIDDIACORD.CERTIFICATE D/►TE (o6/2ono14 THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY MD 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 MUING IN8URER(8), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(Iss) must be endorsed N SUBROGATION 18 WAIVED, subject to the terms and conditions of the policy, certain policies may require an erWbmment. A statement on this certllicate does not confer rights to the certificate holder in lieu of such endoreament(s). PRODUCER USI Insurance Services, LLC, 1715 N. Westshore Blvd. Suite 700 Tampa, FL 33607 NIL813 321-7500 N,, 813 321-7525 VISLIMM AFFORDNocoreRAW Nwe INSURERA: MSA Insurance Company 11080 MUM= Currie Sowards Aguila Architects Inc 185 NE 4th Ave Suite 101 Delray Beach, FL 33483 INsuRal a: Travelers Casualty & Surety Cc 31194 INSURER c : XL Specialty Insurance Company 37885 uSLINERD: INSURER E : NSURERF: 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 CONTRACTOR 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. VL1 TYPE OF INSURANCE AWL SUM POLICY NUr UNITS A GMMAL UmurY COMMERCIAL GENERAL LIABLITY CLAWS -MADE ❑x OCCUR x BPGO8835 0811712014 011/171201 I.EAW OCCURRENCE $1 000 000 U� $50O 0W MED EV a,. 85,000 PERSONAL t ADV INJURY $1 000 000 GENERALAOOREGATE s2,000,000 OENIAGGREGATE UWTAPPLIES PER- POLICY x M 7 LOc PRODUCTS-COMPIOPAGO s2000000 s A AUTOMOBILELIAeWTY ANY AUTO ALL �01SgNFA UTOSDIJ<ED x HIRED AUTOS x ANON-OWNED NUTOS ED BPG98835 8/17/2014 081117/201 1 000 000 BODILY INJURY (Pr pm m) s BODILY INJURY (Pr �oddMR) $ PROPERTY DAMAGE $ $ UMORELLA LIAR Excess LIAR HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION s B WORKERS COMPUSATION AND EMPLOYERS' LIASWTY ANYUT� YIN OfFK:ERIMEli6ER ExCLLDED7 MMr�yb�mlvI ty In NH) (IN DESCRIP� 9 OPERATIONS bW. NIA A X UB5436Y348 1/01/2014 01/01/201 OTH X wcsTATu ER E.L. EACH ACCIDENT $1 000 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE- POLICY Nm S7 000 000 C Professional Liability DPS9719197 0812412014 0812412011 $2,000,000 par claim $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATxNIs I VEHK:IFA (A1fKh ACORD 101, AddidmW Rwnwim schedub. N n sps= Is epulr@M Professional Liability coverage Is written on a claims -made basis. RE: Freeman Justice Center Acoustic Renovation Monroe County is an additional Insured with respect to General Liability and Auto Liability as uiro by written contract p (51 DA w 1 i iil Monroe County BOCC �2�1a �t 1100 Simonton St Room 2-216 77 Keyest, FL 33WY =11 WV sa'�ni bl�i f SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WRH THE POLICY PROVISIONS. AUTHDRUM REPRESENTATIVE al:* -On 0&01- AO-- 0 1238-2010 ACORD CORPORATION. All rlahts reserved. ACORD 25 (201US) 1 of 1 The ACORD name and logo are registered marks of ACORD OS1312877fI/M13128764 KEBEW ClionNh 18AWYM CURRIRAW ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (rasoDlrw� a 14 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(8), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WANED, subject to the trans and conditions of the policy, Corbin policies may require an endorsement. A stetemellt on this csrtMeats does not confer rights to the certMcate holder In lieu of such andora ment(s). PRODIMM USI Insurance Services, LLC, 1715 N. Wasbhore Blvd. Suite 700 Tampa, FL 33607 VJVCT 813 321 7500 fa N,: 813 321-705 E44ML AFFORDING COVERAGE NAIC • PMRSRA: MSA Insurance Company 11086 RMNED Currie Sowards Aquila Architects Inc 185 NE 4th Ave Bulb 101 Delray Beach, FL 33M INBURER a : Travelers Casualty S Surety Co 31194 INSURERC: XL Specialty Insurance Company 37885 WSURE'J1D: INSURERS: INSURER F CnVERAnFA CERTIFICATE NUYRER! REVISION NUMBEIL- 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 CONTRACTOR 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 SEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE AM DUMP POLICY NU=Wt UWTS A 441NI RAL LwaLrtr X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X BPG98835 0811712014 0811712015 EACH OCCURRENCE 511,000,000 EHTED SSW 000 MED FXP wo $5 000 PERSONAL A ADV INJURY $1 000 000 GENERAL s 000 000 GENT AGGREGATE LIMIT APPLIES PER: POLICY 51 P LOC -AGGREGATE PRODUCTS - coMPAOP AGG s2,000,000 s A AUTONOBILELWILI IX Y ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIREDAUT08 XED BPG98835 8/17/2014 M171201 d; 1 000 000 BODILY INJURY (Per prawn) I BODILY INJURY (Pr nocklart) $ S s UIseRELLA LIARHCLAM,4AADE D(CESS LI W OCCUR EACH OCCURRENCE s AGGREGATE $ DEC ?r s EI B VKWda ECOISPENRATION AND MPLOVM LLIAORrt YIN OCMEBA� 9 UD❑ ICY In NH) fl ON OF bNon NIA X USS436Y349 1/01/2014 01/011201 X WWC ORTH IT oTH E.L. EACH S1 00000 E.L. DISEASE - EA EMPLOYEE $1000 000 E.L. DISEASE - POLICY LIMR $1 000 000 C Professional Liability DP39719197 8/24/2014 08124/2011 $2,000,000 per claim $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Aenah ACORD 101. AddMmd Rorke SohndW% I/ mmn npn Is rnqulreM Professional Liability coverage Is written on a claims -made basis. RE: Public Works Offices, Magnolia Street, Monroe County is an additional Insured with respect to General Liability and Auto Liability. VrEMENT B DA WA v ',kiNnui juttmw MOMMonroe County BOCC AN TWETHEREOF, NOTICEDESCRIBEDI EI WILL ES BE CDELIVEREDORINE 1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS. Room 2-216 Key West, FL 33040 q A $V J° ACORD CORPORATION. All rlchte reserved. ACORD 25 (201 OMM 1 of 1 The ACORD name and logo are registered marks of ACORD 0313128780IM13128764 KESEW Client#: 1049229 CIIRRIRnW ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/22/2015 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 1BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED W'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 USI Insurance Services, LLC, 1715 N. Westshore Blvd. Suite 700 Tampa, FL 33607 NACONTACT ME: H/ N o EXt , 813 321-7500 FAX ac' No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: MSA Insurance Company 11666 INSURED INSURER B : Travelers Casualty & Surety CO 19038 Currie Sowards Aguila Architects Inc INSURER C : XL Specialty Insurance Company 37885 185 NE 4th Ave Suite 101 INSURER D : Delray Beach, FL 33483 INSURER E: INSURER F : CUV1HACit' CFH I11-1CATF NUMHFIR, 91FVI-CIf1N NI IMRFR• 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 CONTRACTOR 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. LTRR TYPE OF INSURANCE NSR BR WVD POLICY NUMBER MM/DD Y MM/DDNYYy LIMITS A GENERAL LIABILITY X BPG98835 8/17/2015 08/17/2016 EACH OCCURRENCE $1 000 000 X' COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR PREMISES Ea occurrence $500 OOO MED EXP (Any one person) $5 000 PERSONAL BADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: _POLICY X PRO LOC ._ JECT__ _ _.___ _ PRODUCTS - COMP/OP AGG $ 2,000,000 _. $ _ _ _ 8/17/2015 08/17/201 - COMB INED SINGLE LIMIT Ea accident $1,000,000 AUTOMOBILE LIABILITY BPG98835 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED I SCHEDULED AUTOS AUTOS X HIRED AUTOS �'�1 X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ _ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NTo ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A X UB5436Y349 1/01/2015 01/01/201 X WCSTATU- OTH- Y E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE — $1 00O 000 IIMandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional DPR9722442 2/27/2015 02/27/201 $2,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Professional Liability coverage is written on a claims -made basis. RE: Continuing Services Contract; Monroe County is an additional insured with respect to General Liability and Auto Liability as required by written contract. AY PRO AGEMENT OJ 3()t1HQ1j WAVER A ES_ _ l.C_n I irR.A I e nVLUrri ',J 01-J n 'E;ANGtLLAIION Monroe County BOCC 1100 Simonton St. Room 2-216 Key West, FL 33040 tJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P RATTHEREOF, NOTICE LS :` Wd OS �CAC�ANCEI ON WITHATE THE POLICY P OVISIONS.ILL BE DELIVERED IN 080038 aO J { DREPRESENTATIVE ACORD 25 (2010/05) 1 Of 1 #S15600581/M15600553 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KEBEW