Insurance & Bond -. _
Tom's Harbor Channel Bridge Repair BOND NO. 8969432
SECTION 00850
PUBLIC CONSTRUCTION BOND
BY THIS BOND,We American Bridge Company ,as Principal
and Fidelity and Deposit Company of Maryland , a corporation,as Surety,are
bound to Monroe County Board of County Commissioners, FL _,herein called Owner,in
the sum of $1,830,000.00 ,for payment of which
we bind ourselves,our,heirs,personal representatives,successors,and assigns,jointly
and severally.
THE CONDITION OF THIS BOND is that if Principal:
1. Performs the contract dated March 2 I ,20 12 ,between Principal and
Owner for construction of
Tom's Harbor Channel Bridge Repair Project
Duck Key
Monroe County,Florida
The contract being made a part of this bond by reference,at the times and in the manner prescribed in
the contract; and
2. Promptly makes payments to all claimants,as defined in Section 255.05(1),Florida Statutes,
supplying Principal with labor,materials,or supplies,used directly or indirectly by Principal in the
prosecution of the work provided for in the contract;and
3. Pays Owner all losses,damages,expenses,costs,and attomey's fees,including appellate proceedings,
that Owner sustains because of'a default by Principal under the contract;and
4. Performs the guarantee of all work and materials furnished under the contract for the time specified in
the contract,then this bond is void;otherwise it remains in full force.
5. Any action instituted by a claimant under this bond for payment must be in accordance with the notice
and time limitation provisions in Sec.255.05(2)Florida Statues.
Any changes in or under the contract documents and compliance or noncompliance with any formalities
connected with the contract or the changes does not affect Surety's obligation under this bond.
•
Dated March 21 ,2044: 2012
ric ge Company
MAMA 4f"" U.F.
(Nam f rincipal)
B ��c�
(As Attorney in Fact) Colleen A. Locher
Fidelity and Deposit Company of Maryland
(Name of Surety)
END OF SECTION 00850
9/01/2011 PUBLIC CONSTRUCTION BOND 00850-1
1
Power of Attorney
FIDELITY AND DEPOSIT COMPANY OF MARYLAND
KNOW ALL MEN BY THESE PRESENTS:That the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,a
corporation of the State of Maryland,by WILLIAM J.MILLS,Vice President,and ERIC D.BARNES,Assistant Secretary,
in pursuance of authority granted by Article V1,Section 2,of the By-Laws;of said Company, rare set forth on the
reverse side hereof and are hereby certified to be in full force and effect on the date h- e'a as ii4 by nominate,constitute
and appoint Colleen A.LOCHER,Neil H.;BROWN,Barbara L.RU 4. + +V n � a N,.all of Pittsburgh,
Pennsylvania, EACH its true and lawful: agent and Attome - 4` ot `�? ec 4,.E•�, �.. -r,for,and on its
behalf as surety,and as its act and deed. any and • ��'° f 11,7, ert: ,_ + '+T , caution of such bonds or
undertakings in pursuance of these press 1 . +in• +•+ iy a+++ ,as fully and amply,to all intents and
purposes,as if they had been d „a;A + aoft-e l�+ti'h _ larly elected officers of the Company at its office
in Baltimore,Md., + ,�i,+.`. p +- per o ;i �.. attorney revokes that issued on behalf of Mary
GALLAGHER,Ka1'!•'l' . sZ a ' i HER,Donald G.BACKES,Lawrence M. SWEENEY, Scott A.ISLER,
dated October 20,20p
The said Assistant + ,... -y'��y-yy'' does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article VI,
Section 2,of the By-Laws of said Company,and is now in force.
IN WITNESS WHEREOF, the said Vice-President and Assistant Secretary have hereunto subscribed their names and
affixed the Corporate Seal of the said FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 21st day of October,
A.D.2005.
ATTEST: FIDELITY AND DEPOSIT COMPANY OF MARYLAND
'tit DEPos r
o s'
VAA:4_, /-) 4-4-A-r-'181— 1:4'/I/if i/ y t'ut
4'4.
- By:
Eric D.Barnes Assistant Secretary William J. Mills Vice President
State of Maryland 1 ss:
Baltimore County f
On this 21st day of October, A.D. 2005, before the subscriber, a Notary Public of the State of Maryland, duly
commissioned and qualified, came WILLIAM J.MILLS, Vice President, and ERIC D. BARNES, Assistant Secretary of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND, to me personally known to be the individuals and officers
described in and who executed the preceding instrument, and they each acknowledged the execution of the same, and being
by me duly sworn,severally and each for himself deposeth and saith,that they are the said officers of the Company aforesaid,
and that the seal affixed to the preceding instrument is the Corporate Seal of said Company, and that the said Corporate Seal
and their signatures as such officers were duly affixed and subscribed to the said instrument by the authority and direction of
the said Corporation.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my Official Seal the day and year first above
written.
a■
- E
' ti
—;—)—
Dennis R.Hayden Notary Public
My Commission Expires: February 15,2013
POA-F 160-0031
•
EXTRACT FROM BY-LAWS OF FIDELITY AND DEPOSIT COMPANY OF MARYLAND
"Article VI, Section 2. The Chairman of the Board, or the President, or any Executive Vice-President, or any of the Senior
Vice-Presidents or Vice-Presidents specially authorized so to do by the Board of Directors or by the Executive Committee,
shall have power, by and with the concurrence of the Secretary or any one of the Assistant Secretaries, to appoint Resident
Vice-Presidents, Assistant Vice-Presidents and Attorneys-in-Fact as the business of the Company may require, or to
authorize any person or persons to execute on behalf of the Company any bonds, undertaking, recognizances, stipulations,
policies, contracts, agreements, deeds, and releases and assignments of judgements, decrees, mortgages and instruments in
the nature of mortgages,...and to affix the seal of the Company thereto."
CERTIFICATE
I,the undersigned,Assistant Secretary of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify
that the foregoing Power of Attorney is still in full force and effect on the date of this certificate; and I do further certify that
the Vice-President who executed the said Power of Attorney was one of the additional Vice-Presidents specially authorized
by the Board of Directors to appoint any Attorney-in-Fact as provided in Article VI, Section 2, of the By-Laws of the
FIDELITY AND DEPOSIT COMPANY OF MARYLAND.
This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the
Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on
the 10th day of May, 1990.
RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically
reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company, whether made heretofore or
hereafter, wherever appearing upon a certified copy of any power of attorney-issued by the Company, shall be valid and
binding upon the Company with the same force and effect as though manually affixed."
IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seal of the said Company,
this 2 ) day of el) , 02d/
42,1 '7 )42t
Assistant Secretary
AGORAE" CERTIFICATE OF LIABILITY INSURANCE DATE((MM192012
DNYYY)
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 m
the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the 8
certificate holder in lieu of such endorsement(s). E
d
PRODUCER CONTACT
Aon Risk Services Central, Inc. PHONE (g66) 283-7122 FAX (047) 953-5390 9
Pittsburgh PA office (A!C No.Ext): (AC.No.):
Dominion Tower, 10th Floor E-MAIL O
625 Liberty Avenue DDRESS: =
Pittsburgh PA 15 2 2 2-3110 USA INSURERtS)AFFORDING COVERAGE NAIC#
INSURED INSURER A: Zurich American ins co 16535
American Bridge Company INSURERB: National Union Fire Ins Co of Pittsburgh 19445
1000 American Bridge way Coraopolis PA 15108 USA INsut:ERc: Insurance company of the state of PA 19429
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:570045569697 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 Limits shown are as requested
INSR ADDL SUBR POLICY NUMBER (MOMIVDCY EFF POLICY EXP
DIYWY� (MMIDp>Y UMW
TYPE OF INSURANCE INSR WVD O 11 O
A GENERAL IJABIL.ITY GL0832207511 6/01/20 6/01/201 EACH OCCURRENCE $2,000,000
SIR applies per poll terms & conditions UAMAGE IUHtNItu S1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence)
CLAIMS•MADE X❑OCCUR .` TAi'lla EXP(Any one person) S10,000
X Per Project Genl Agg ` ERSONAL 8 ADV INJURY — $2,000,000
` GENERAL AGGREGATE $4,000,000 m
a .:)-
GEN'L AGGREGATE LIMIT APPLIES PER -.-•••-- PRODUCTS-COMP/OP AGG $4,000,000 v
0
POLICY rillLOC Wi
0
A AUTOMOBILE LIABILITY BAP8322120-14 06/01/2011 06/01/2012 COMBINED SINGLE LIMIT S1,000,000
(En accident)
_X ANY AUTO BODILY INJURY(Per person) 0
Z
ALL OWNED —SCHEDULED BODILY INJURY(Per accident) m
AUTOS AUTOS PROPERTY DAMAGE 1
X HIRED AUTOS X NON-MINED (PeraccldeM)— - _C
X S1,000 COMP DED X 11,000 COLL DED T:
06/01/2011 06/01/2012 U
B X UMBRELLA LIAR X OCCUR 8E28360866EACH OCCURRENCE $10,000,000
SIR applies per policy terms & conditions AGGREGATE $10,000,000
EXCESS IJAB CLAIMS-MADE
DED X IRETENTION S10.000
C WORKERS COMPENSATION AND WC006436680 10/01/2011 10/01/2012 x CRY UST ER
EMPLOYERS LIABILITY EL EACH ACCIDENT S1,000,000
ANY PROPRIETOR!PARTNER/EXECUTIVE wC006436681 10/01/2011 10/01/2012
C (Mancha ry NH EXCLUDED? I I N!A EL DISEASE-EA EMPLOYEE S1,000,000
(Mandatory In NH) (CA)
If yes desenbe under
DESCRIPTION OF OPERATIONS below EL DISEASE POLICY LIMIT S1,000,000
—
..
DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(Attach ACORD 101,AdditIonal Remarks Schedule,If more space Is required
RE: Tom's Harbor Channel Bridge Repair, Duck Key, Monroe County, Florida. Contract value Si 830,000. The Monroe County Board
of county.Commissioners, its employees and officials, are included as Additional Insured on all policies except Workers
Compensation. The General Liability policy includes xcu Hazards. The workers Compensation policies shown above include uslddr
Coverage.
'_a R
CERTIFICATE HOLDER CANCELLATION '-L
41
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE ,r
POLICY PROVISIONS. 21
Monroe County Board of AUTHORIZED REPRESENTATIVE
County Commissioners
Attn: Purchasing Department A `Ok�c „b'
1100 Simonton street c,CGYf/O�
Key West FL 33040 USA
I.
01988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010/0S) The ACORD name and logo are registered marks of ACORD
Attachment to ACORD Certificate for American Bridge Company
The terms,conditions and provisions noted below are hereby attached to the captioned certificate as additional description of the coverage
afforded by the insurer(s).This attachment does not contain all terms,conditions,coverages or exclusions contained in the policy.
INSURER
INSURED
American Bridge Company INSURER
1000 American Bridge Way
Coraopolis PA 15108 USA INSURER
INSURER
INSURER
ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD
certificate form for policy limits
INSR ADDL SUBR POLICY NUMBER/ POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSR WYD POLICY DESCRIPTION (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
WORKERS COMPENSATION
N/A WC003725418 10/01/2011 10/01/2012
(FL)
N/A wc014770829 10/01/2011 10/01/2012
(MA)
•
•
Certificate No: 570045569697
Notification to Others of Cancellation, Nonrenewal ZURICH®
or Reduction of Insurance
Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff.Date of End. Producer No. Add'I.Prem Return Prem.
GL0832207511 06/01/11 06/01/12 03/19/12 15939-000
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
Liquor Liability.Coverage Part
Products/Completed Operations Liability Coverage Part
A. If we cancel or non-renew this Coverage Part(s) by written notice to the first Named Insured for any reason other than
nonpayment of premium,we will mail or deliver a copy of such written notice of cancellation or non-renewal:
1. To the name and address corresponding to each person or organization shown in the Schedule below; and
2. At least 10 days prior to the effective date of the cancellation or non-renewal, as advised in our notice to the first
Named Insured, or the longer number of days notice if indicated in the Schedule below.
B. If we cancel this Coverage Part(s) by written notice to the first Named Insured for nonpayment of.premium, we will
mail or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or
organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation;
C. If coverage afforded by this Coverage Part(s) is reduced or restricted, except for any reduction of Limits of Insurance
due to payment of claims, we will mail or deliver notice of such reduction or restriction:
1. To the name and address corresponding to each person or organization shown in the Schedule below; and
2. At least 10 days prior to the effective date of the reduction or restriction, or the longer number of days notice if
indicated in the Schedule below.
D. If notice as described in Paragraphs.A., B. or C. of this endorsement is mailed, proof of mailing will be sufficient proof
of such notice.
SCHEDULE
Name and Address of Other Person(s)I Number of Days Notice:
Organization(s):
Monroe County Board of County Commissioners
1100 Simonton Street, Key West, FL 33040 30 Days
Attn: Purchasing Department
•
All other terms and conditions of this policy remain unchanged.
U-GL-1447-A CW(05/10)
Page 1 of 1
Includes copyrighted material of Insurance Services Office,Inc.,with its permission.
0
Notification to Others of Cancellation, Nonrenewal ZURICH®
or Reduction of Insurance
Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff.Date of End. Producer No. Add'I.Prem' Return Prem.
BAP8322120-14 06/01/11 06/01/12 03/19/12 15939-000
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Commercial Automobile Coverage Part
A. If we cancel or non-renew this Coverage Part by written notice to the first Named Insured for any reason other than
nonpayment of premium, we will mail or deliver a copy of such written notice of cancellation or non-renewal:
1. To the name and address corresponding to each person or organization shown in the Schedule below; and
2. At least 10 days prior to the effective date of the cancellation or non-renewal,,as advised in our notice to the first
Named Insured, or the longer number of days notice if indicated in the Schedule below.
B. If we cancel this Coverage Part by written notice to the first Named Insured for nonpayment of premium, we will mail
or deliver a copy of such written notice of cancellation to the name and address corresponding to each person or
organization shown in the Schedule below at least 10 days prior to the effective date of such cancellation.
C. If coverage afforded by this Coverage Part is reduced or restricted, except for any reduction of Limits of Insurance due
to payment of claims, we will mail or deliver notice of such reduction or restriction:
1. To the name and address corresponding to each person or organization shown in the Schedule below; and
2. At least 10 days prior to the effective date of the reduction or restriction, or the longer number of days notice if
indicated in the Schedule below.
D. If notice as described in Paragraphs A., B. or C. of this endorsement is mailed, proof of mailing will be sufficient proof
of such notice.
SCHEDULE
Name and Address of Other Person(s)/ Number of Days Notice:
Organization(s):
Monroe County Board of County Commissioners
1100 Simonton Street, Key West, FL 33040 30 Days
Attn: Purchasing Department
All other terms and conditions of this policy remain unchanged.
U-CA-811-A CW(05/10)
Page 1 of 1
Includes copyrighted material of Insurance Services Office,Inc.,with its permission.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ENDORSEMENT#
This endorsement, effective 12:01 A.M. 03/19/12 forms a part of
Policy No. WC003725418 issued to American Bridge Company
By: Insurance Company of the State of PA
ADVICE OF CANCELLATION TO ENTITIES OTHER THAN THE NAMED INSURED LIMITED
TO E-MAIL NOTIFICATION
•
This policy is amended as follows:
In the event that the Insurer cancels this policy for any reason other than non payment of
premium, and
1. The cancellation effective date is prior to this policy's expiration date;
2. The First Named Insured is under an existing contractual obligation to notify a
certificate holder when this policy is canceled (hereinafter, the "Certificate
Holder(s)"); and has provided to the Insurer, either directly or through its broker
of record, the email address of the contact at such entity,
and the Insurer received this information after the First Named Insured receives
notice of cancellation of this policy and prior to this policy's cancellation effective
date, via an electronic spreadsheet that is acceptable to the Insurer,
the Insurer will provide advice of cancellation (the "Advice") via e-mail to such Certificate
Holders.
Proof of the Insurer emailing the Advice, using the information provided by the First Named
Insured, will serve as proof that the Insurer has fully satisfied its obligations under this
endorsement.
This endorsement does not affect, in any way, coverage provided under this policy or the
cancellation of this policy or the effective date thereof, nor shall this endorsement invest
any rights in any entity not insured under this policy.
The following Definitions apply to this endorsement:
1. First Named Insured means the Named Insured shown on the Declarations Page of
this policy.
2. Insurer means the insurance company shown in the header on the Declarations Page
of this policy.
\.../All other terms, conditions and exclusions shall remain the same.
AUTHORIZED REPRESENTATIVE
Certificate Holder Email Notification
Monroe County Board of County www.monroecountybids.com
Commissioners
1100 Simonton Street, Key West, FL 33040
Attn: Purchasing Department
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ENDORSEMENT#
This endorsement, effective 12:01 A.M. 03/19/12 forms a
part of
Policy No. BE28360866 issued to American Bridge Holding Company
By: National Union Fire Insurance Company of Pittsburgh, PA:
UIVIITED ADVICE OF CANCELLATION TO SCHEDULED ENTITIES
SCHEDULE
NAME OF PERSON.OR ORGANIZATION E-MAIL OR U.S.POSTAL SERVICEADDRESS
Monroe County Board of County 1100 Simonton Street
Commissioners Key West, FL 33040
Attn: Purchasing Department www.monroecountybids.com
This policy is amended as follows:.
•
In the'event that the Insurer cancels policy:for any reason Other than nert-peymeht of •
' • ar(Ohhilt,000
1. the Cancellation effective data is prior to this policy's Opirtition de*
•
•
:2. the First Mined insured is under an existing confraetUal.Obligation to tiotifY a
cortifiOate(S) holder(s) when thiw policy is'Cangelad (hereinafter, the*Certificate
Holder(sr) and has provided the Insurer, either directly or through its broker of
record, either:
..(a) .the name of the entity shown on the OettifiCate: a Walla name At tit0h
entity end the U.S, PoStal Service mailing addrese-Of each such entity;Or
'itti• the email addrest of a contact at each such entity;and
•
3. prior th the effective date of cancellation, the First Nettled inSured confirms to
the Insurer, either directly or through its broker of *Ord, that the Peltizias or
:organizations set forth in the Schedule above, as Well as their respective
addresses listed, should continue to be a part of the Schedule and, if hot, Ilia
name of the persons or organizations that should be deleted,
the Insurer will provide advice of cancellation (the "AtiVice.) to each such Certificate
Holder(s) confirmed by the First Named Ensured in wnting to be correctly a part of the
Schedule within (30) days after the First Named Insured confirms the accuracy of the
Schedule above with the Insurer; provided, however,that if a specific number of days is not
stated above, then the Advice will be provided to such Certificate Holder(s) as soon as
reasonably practicable after the first Named Insured confirms the accuracy of the Schedule
above With the Insurer.
Proof of the Insurer emailing the Advice, using the information provided and subsequently
confirmed by the First Ilarned Insured in writing, will serve as proof that the Insurer has.
fully satisfied its obligations under this endorsement.
This endorsement does not affect, in any way, coverage provided under this policy or the
cancellation of this policy or the effective date thereof, nor shall this endorsement inve.st
any rights in any entity not insured under this policy.
The following Definitions apply to this endorsement:
1. First Named Insured means the•Named Insured shown on the Declarations.Page of
this policy.
2. Insurer means the insurance company shown in the header on the Declarations Page
of this policy.
All other•terms,sconditions and:exclusions..shall remain IN same.
A �® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/WYi)
03/19/2012
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 g
certificate holder in lieu of such endorsement(s). E
m
CONTACT O
PRODUCER NAME:
Aon Risk Services Central, Inc. PHONE (866) 283-7122 FAX (847) 953-5390 L.
Pittsburgh PA Office (NC.No.Est): INC.No.): ,a
Dominion Tower, 10th Floor EooRLss, _
625 Liberty Avenue
Pittsburgh PA 15222-3110 USA INSURERS)AFFORDING COVERAGE NAIC#
INSURED INSURER A: National union Fire Ins Co of Pittsburgh 19445
American Bridge Company INSURER B:
1000 American Bridge way iNSURERC:
Coraopolis PA 15108 USA
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:570045569700 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. Limits shown are as requested
ILTR TYPE OF INSURANCE �gq INVD POLICY NUMBER OM//ODYP/P M (M JDDIYYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE
—
DAMAGE TO RENTED
COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence)
— CLAIMS-MADE El OCCUR MED EXP(Any one person)
PERSONAL&ADV INJURY c
GENERAL AGGREGATE °)
CD
N
a
GEM-L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG on
coPOLICY n PF T n LOC N
LIMIT
AUTOMOBILE LIABILITY COMBINED SINGLE
�i„pa( (Ea accident) ..
ANY AUTO ! V^^ BODILY INJURY(Per person) 0
—ALLOVYNED —SCHEDULED / y t BODILY INJURY(Per acddent)
_AUTOS — AUTOS a(.,/ 111 PROPERTY DAMAGE v
HIRED AUTOS NON-OWNED J//`f (Per occident) t_
_ AUTOS )l`
m
UMBRELLA UAB OCCUR
..d
EACH OCCURRENCE V
—
EXCESS LIAR CLAIMSMADE AGGREGATE
DEO I (RETENTION
WORKERS COMPENSATION AND TO STATU- ER
EMPLOYERS'UABILITY EL EACH ACCIDENT
ANY PROPRIETOR/PARTNER/EXECUTIVE ElNJA
OFFICER/MEMBER EXCLUDED?(Mandatory in NH) EL DISEASE-EA EMPLOYEE
byes,desmibe under EL DISEASEPOLICY LIMIT
DESCRIPTION OF OPERATIONS below
A Hull & Liab Cvg 051767220 06/01/2011 06/01/2012 Hull
Mach $
1,000,000
VI
DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space Is require4
RE: Tom's Harbor Channel Bridge Repair, Duck Key, Monroe County, Florida. Contract value $1,830,000. The Monroe County Board
of County Commissioners, its employees and officials are included as Additional Insured on Protection & Indemnity with respect N
to the Insured's use of any vessels on this job. Jones Act Coverage is included under the Protection & Indemnity section of
the above policy.
CERTIFICATE HOLDER CANCELLATION ,=
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELNERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
Monroe County Board of AUTHORIZED REPRESENTATIVE
County Commissioners >r
`J2K e95�
Attn: Purchasing Department �
1100 Simonton Street "/,
Key West FL 33040 USA
all
01988-2010 ACORD CORPORATION.All rights reserved.
j ACORD 25(2010/05) The ACORD.name and logo are registered marks of ACORD
•
Certificate of Insurance
To: Monroe County Board of County Reference: Per Policy Schedule
Commissioners
Attn: Purchasing Department
1100 Simonton Street
Key West, FL 33040
ommi
Assured: American Bridge Company Loss Assured or Order
1000 American Bridge Way Payee:
Coraopolis PA 15108
This is to certify that the policies of insurance listed below have been issued to the Assured 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 maybe issued or may pertain. The insurance afforded by the policies described herein is subject to all the tenns,
exclusions and conditions of such policies. Limits shown may have been reduced by paid claims.
Type Of Insurance Policy Number Policy Term Policy Limits/Values
Insurance Company(ies) National Union Fire Ins Co of Pittsburgh
Excess Liability-Marine 051767170 6/1/2011 -6/1/2012 USD 4,000,000 Excess Marine Liab.
per American Institute
Excess Marine Liability
Clauses(01/01/02)Form 8-
A,
Navigation Limits: RE: Tom's Harbor Channel Bridge Repair, Duck Key, Monroe County, Florida. Contract Value
$1,830,000.
Special Conditions: The Monroe County Board of County Commissioners, its employees and officials are included as
Additional Insured with respect to the Insured's use of any vessels on this job.
The subscribing insurers'obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the
extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co-subscribing insurer who for
any reason does not satisfy all or part of its obligations.
• Certificate Number: 1938122389 -1 -
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 policy(ies)shown hereon. Should any of the above described policies be canceled before the
expiration date thereof,notice will be delivered in accordance with the policy provisions.
Aon Risk Services Central, Inc.
Date 03/19/2012 By C `� �✓"a
Certificate Number: 1938122389 -2-