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Certificates of Insurance
ACORDrmOF LIABILITY INSURANCE CERTIFICATE DATE(MMIDD/YYYY) 1 27 2010 PRODUCER Phone: 410 - 821- 7766 Fax: 410 - 828 - 0242 PSA Financial Center, Inc. 11311 McCormick Road, Ste 500 Hunt Valley MD 21031-8622 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 Structural Preservation Systems, LLC 7455-T New Ridge Road Baltimore MD 21076 INSURERA: Nat Union Fire Ins Co of Pitts INSURERB:New Hampshire Insurance Co INSURERC:National Union Fire Ins Co Pi 1 445 INSURER D: Cat 1 in Specialty Insurance Co INSURER E: 0.4%1kiIETn w r_Cc vv � ■..�v�v�v 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. j1NSR D' TVPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD= POLICY EXPIRATION DATE (MMIDDIYYI LIMITS C GENERAL LIABILITY 15 9 5 3 4 3 7/ 1/ 2 0 0 9 7/ 1/ 2 010 EACH OCCURRENCE $ 2 0 0 Q 0 0 0 TO RENTED ISES Ea occurence PREMDAMAISES $ 0 0 0 0 7PREMX COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS MADE Fx_1 OCCUR PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000, 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 0 0 Q 0 0 0 7 POLICY X PRO- FXLOC C AUTOMOBILE LIABILITY 1606922 7/1/2009 7/1/2010 COMBINED INGLELIMIT $ 21000, 000 X ANY AUTO � BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ X HIREDAUTOS X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ X Hired PhXs Dam X S1000 Ded Co/Col (Per accident) GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY BE 2 0 2 3 7 6 0 7/ 1/ 2 0 0 9 7/ 1/ 2 010 EACH OCCURRENCE $ 1 Q Q Q Q Q Q AGGREGATE $ 1 Q 0 0 Q 0 0 0 X I OCCUR 17 CLAIMS MADE $ DEDUCTIBLE $ RETENTION $10,000 B WORKERS COMPENSATION AND 1616271 7/ 1/ 2 0 0 9 7/ 1/ 2 010 TH- X TORY LIMITSWC STATU- OER E.L. EACH ACCIDENT $ 11000,000 EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ 1,10001000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE -POLICY LIMIT $ if yes, describe under SPECIAL PROVISIONS below D OTHER CPL9559940710 7/l/2009 7/1/2010 Per Occurrence $5, 000, 000 Professional Liability Per Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS e: Job No. 44326 Geiger Creek Bridge The Monroe County Board of County Commissioners, its employees and officials as additional insured as respects all policies except Workers Compensation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER Monroe County Board of County Commissioners WILL MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER Attn : Judith Clarke NAMED TO THE LEFT. 1100 Simonton Street Room 2-216 Key West FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25 (2001 /08) ©ACORD CORPORATION 1983 ,4� or CERTIFICATE OF LIABILITY INSURANCE16/28/2011YYYY) 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 endprsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). `N• PRODUCER`NTACT Construction Risk Solutions, LLC. 11311 McCormick Road R' Suite 450 ���,/ Hunt Valley MD 21031-8622 AME: Laura Oas PHONE N Ext : - - (FAX, No): 4 4 3 - 7 98 - E-MAIL ADDRESS: certificatesQthecrsteam.com PRODUCER CUSTOMER ID #: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Structural Preservation Systems, LLC 7455-T New Ridge Road INSURER A:New Hampshire Insurance Co 23841 INSURER B: National Union Fire Ins Co Pittsbur 19445 INSURERC:Nat Union Fire Ins Co of Pitts 19445 Baltimore MD 21076 _a 4 INSURERD:Catlin Specialty Insurance Com an 19518 INSURER E : INSURER F ; COVERAGES CERTIFICATE NUMBER: 1670429951 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 TR. TYPE OF INSURANCEADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS B GENERAL LIABILITY Y 2449508 7/1/2011 7/1/2012 EACH OCCURRENCE $2, 000, 000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE . OCCUR DAMA E N D PREMISES Ea occurrence $ 1, 000, 000 MED EXP (Any one person) $5, 000 PERSONAL& ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4 , 000, 000 POLICY X PRO- X LOC $ B AUTOMOBILE LIABILITY ANY AUTO Y 3506359 7/1/2 7/1/2012 COMBINED SINGLE LIMIT (Ea accident) $2, 000, 000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS - s �� ^� X PROPERTY DAMAGE (Per accident) $ NON -OWNED AUTOS $ $ C X UMBRELLA LIAB OCCUR Y BE28360868 7/1/2011 7/1/2012 EACH OCCURRENCE $10, 000, 000 Nx AGGREGATE $10, 000, 000 EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ X $ RETENTION $10,000 p WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A 01588713 7/1/2011 7/1/2012 X WCSTATU- OTH- T RY LIMIT ER E.L. EACH ACCIDENT $1, 000, 000 E.L.DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT 1 $1, 000, 000 DESCRIPTION OF OPERATIONS below D Professional Liability CPL959940712 7/1/2011 7/1/2012 Per Occurrence $5,000,000 Per Aggregate $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Re: Job No. 44326 Geiger Creek Bridge The Monroe County Board of County Commissioners, its employees and officials as additional insured as res ects all policies except Workers Compensation. v V_r% i rrI%PP% r r- nvwV_R_ l.AnI.CLL.AllVN-iU aays/iU ciays TOT non-navment Monroe County Board of County Commissioners Attn: Judith Clarke 1100 Simonton Street Room 2-216 Key West FLj33040 CG� 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 REPRESENTnATIVE, n w ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD