Loading...
Certificates of Insurance,acoREY CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 11 /2/2012 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 certificate holder in lieu of such endorsements . PRODUCER Brown & Brown Insurance - Clearwater P O Box 2456 Clearwater FL 33757-2456 ACT NAME:Deborah Gale PHONE 7 4 1- A/C IAICNo):727 442-7695 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A:Hartford Fire Insurance Co. 19682 INSURED INSURER B:Hartford CasualtyInsurance Co9424 INSURER C:Continental Casualty Co. 20443 Kisinger Campo & Assoc. Corp. KCCS' Inc 201 N. Franklin Street, Ste. 400 INSURER D : Tampa FL 33602 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1866873471 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 INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY 21UUNAG7547 /1/2012 /1/2013 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR APPR Vt INAGEEMENT DAMAGE TO RENTED PREMISE Ea occurrence $100,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 X Contractual Fly NA X XCU Liability GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 POLICY X PROJECT 7 LOC $ A AUTOMOBILE LIABILITY 21UENNE3246 /1/2012 /1/2013 Ea accident 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS X AUTOS $ B UMBRELLA LIAB X OCCUR 21XHUAG7607 /1/2012 /1/2013 EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $ 10,000 $ A WORKERS COMPENSATION 1 WBNW1033 10/3/2012 0/3/2013 X WC STA .T DER AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYE $500,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $500,000 C Professional Liability EH288295813 11/2/2012 1/2/2013 Per Claim 2,000,000 Claims Made Aggregate 5,000,000 Deductible 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Certificate Holder is an additional insured with respect to general liability, auto liability and umbrella liability. Explosion, collapse and underground hazard included in CGL. . ENGINEERING DESIGN & PERMITTING SERVICES FOR THE NO NAME KEY BRIDGE (#904320) REPAIR PROJECT LOCATED IN MONROE COUNTY, FL. 60-DAYS NOTICE OF CANCELLATION OR NON -RENEWAL PER ATTACHED IH0302 0608 (KCA Project #1201138.01) LtK I II-IUA 1 t MULUtK MONROE COUNTY - BOCC ATTN: TINA LoSACCO, SENIOR ENGINEERING TECH 1100 SIMONTON STREET, ROOM 216 KEY WEST FL 33040-3110 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ACOR& CERTIFICATE OF LIABILITY INSURANCEF8128/2013 DATE(MMIDD/YYY� 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 Brown &Brown Insurance -Clearwater P O Box 2456 Clearwater FL 33757-2456 CO T NAMEA : PHONE FAX -7695 AIC No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A:HartfOrd Fire Insurance CO. 19682 INSURED INSURER B:HartfOrd CasualtyInsurance 4 4 INSURER C:Contunental Casualty Co. 20443 Kisinger Ciampo & Assoc. Corp. INSURER D : KCCS, Inc 201 N. Franklin Street, Ste. 400 Tampa FL 33602 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 83925504 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 IN SUBR WV POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP IIAMIDD OMITS B GENERAL LIABILITY Y 21UUNAG7547 /1/2013 /1/2014 EACH OCCURRENCE $1,000,000 MERCIAL GENERAL LIABILITY AMAG T RENTED PREMI E occurrence)$100,000 MED EXP (An one person $10,000 NX!C:001'r CLAIMS -MADE � OCCUR tractual Ay '•'"" PERSONAL & ADV INJURY $1,000,000 X XCU Liability GENERAL AGGREGATE $2,000,000 W / GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 $ POLICY X PRO- JECT LOC A AUTOMOBILE LIABILITY Y 21UENNE3246 /1/2013 /1/2014 Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS X X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB X OCCUR 21XHUAG7607 /1/2013 /1/2014 EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $10,000 $ A WORKERS COMPENSATION 21WBNW1033 0/3/2013 0/3/2014 X I WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) N 1 A E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 H yes, describe under DESCRIPTION OF OPERATIONS below C Professional Liability Claims Made EH288295813 1/2/2012 1/2/2013 Per Claim 2,000,000 Aggregate 5,000,000 Deductible 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Certificate Holder is an additional insured with respect to general liability, auto liability and umbrella liability. Explosion, collapse and underground hazard included in CGL. . ENGINEERING DESIGN & PERMITTING SERVICES FOR THE NO NAME KEY BRIDGE (#904320) REPAIR PROJECT LOCATED IN MONROE COUNTY, FL. 60-DAYS NOTICE OF CANCELLATION OR NON -RENEWAL PER ATTACHED IH0302 0608 (KCA Project #1201138.01) CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MONROE COUNTY - BOCC ACCORDANCE WITH THE POLICY PROVISIONS. ATTN: TINA LoSACCO, SENIOR ENGINEERING TECH 1100 SIMONTON STREET, ROOM 216 AUTHORIZED REPRESENTATIVE KEY WEST FL 33040-3110 Za.,NL. R. © 1933-2010 ACORD CORPORATION. All ngnts reserVecl. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD DATE (MMMD/YYM �co CERTIFICATE OF LIABILITY INSURANCE 8/28/2013 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 Brown & Brown Insurance - Clearwater FL 33757-2456 INSURED Kisinger Campo & Assoc. Corp. KCCS, Inc 201 N. Franklin Street, Ste 400 Tampa FL 33602 COVERAGES CERTIFICATE NUMBER: E: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES Ut- INbUfwrvUr- 1­101 w o-w— 1 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. R ADDL SUBR POLICY NUMBER MMNDY EFF MMIDD/YYYY LIMITS TYPE OF INSURANCE IN R WVD GENERAL LIABILITY 1UUNAG7547 /1/2013 /112014 EACH OCCURRENCE $1,000,000 DAMA EcOREN^ D....e, $100.000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR Contractual Liab GEN'L AGGREGATE LIMIT APPLIES PER: PRO( POLICY AFC LOC AUTOMOBILE LIABILITY ID SCHEDULED AUTOSNON-OWNEDTOS X AUTOSA LIAB X OCCURIAB CLAIMS -MADE DED I X I RETENTION $10,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNER/EXECUTIVE N / A OFFICERIMEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Professional Liability I Claims Made 21UENNE3246 21XHUAG7607 WBNW1033 3 0/1/2014 0/3/2013 h0/312014 MED ExP (Any one personl PERSONAL & ADV INJURY s IV,... $1,000,001 GENERAL AGGREGATE $2,000,001 PRODUCTS - COMP/OP AGG $2,000,00 COMBINED -91NGL Ea accident 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ EACH OCCURRENCE $3,000,OC AGGREGATE $3,000,0C $ X WC STATU-LIMITSOTH- rR E.L. EACH ACCIDENT i $500,000 E.L. DISEASE - EA EMPLOYE $500,000 E.L. DISEASE - POLICY LIMIT 1 $500,000 1/2/2012 1/2/2013 Per Claim 2,000,000 Aggregate 5,000,000 Deductible 250,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) :,ertificate Holder is an additional insured with respect to general liability ,auto liability and umbrella liability. Endorsements available upon -eauest. Waiver of Subrogation applies to general liability and workers compensation. Explosion,Collapse & Underground hazard included in Engineering Design and Permitting Services for Emergency Repairs to No Name Key Bridge. notice of cancellation or non -renewal per attached IH0302 0608. 'ERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County, Florida ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Ms Judith S Clarke, Dir of Engineering 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ACOR0® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/28/2013 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 Brown & Brown Insurance - Clearwater P O Box 2456 Clearwater FL 33757-2456 CONTACT NAME: Deborah Gale PHONE FAX A/C No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A:Hartford Fire Insurance CO. 9682 INSURED INSURER B:Hartford Casualty Insurance INSURER C KISinger Campo & Assoc. Corp. INSURER D : KCCS, Inc 201 N. Franklin Street, Ste. 400 Tampa FL 33602 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER:1119221375 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 INSR SUER WVD POLICY NUMBER POLICY EFF MMIDD/YYYY) POLICY EXP (MMIDDfYYYYI LIMITS B GENERAL LIABILITY Y 21UUNAG7547 /112013 /1/2014 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR DAMAGE T RENTED PREMISES (Ea occurrence) $100,000 MED EXP (Any one person $10,000 PERSONAL & ADV INJURY $1,000,000 X Contractual WAW X XCU Liability GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 $ POLICY X PRO- JFCT LOC A AUTOMOBILE LIABILITY Y 21UENNE3246 /1/2013 /1/2014 Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS X X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB X OCCUR 21XHUAG7607 /1/2013 /1/2014 EACH OCCURRENCE $3,000,000 AGGREGATE $3,000,000 EXCESS LIAB CLAIMS -MADE 4 DED X I RETENTION $10,000 $ A WORKERS COMPENSATION 1 WBNW1033 10/3/2013 0/3/2014 OTH- X WC STATU- ER AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? N❑ (Mandatory in NH) N 1 A E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 IF yes, describe under DESCRIPTION OF OPERATIONS below C Professional Liability Claims Made EH288295813 1/2/2012 1/2/2013 Per Claim 2,000,000 Aggregate 5,000,000 Deductible 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) Certificate Holder is an additional insured with respect to general liability, auto liability and umbrella liability. Explosion, collapse and underground hazard included in CGL. . ENGINEERING DESIGN AND PERMITTING SERVICES FOR THE NO NAME KEY BRIDGE REPAIR PROJECT LOCATED IN MONROE COUNTY, FL. 60-DAYS NOTICE OF CANCELLATION OR NON -RENEWAL PER ATTACHED IH0302 0608. (KCA Project #1201138.01) GERTIFIGAI E HULUEK t AIM%.ML.L A I IUN MONROE COUNTY, FLORIDA ATTN: MR. CLARK BRIGGS, SENIOR PROJECT MANAGER 1100 SIMONTON STREET, ROOM 216 KEY WEST FL 33040-3110 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 424,1. JR. vi'&+ W 7aSB-z070 AGUKU GUKI-UKAI IUN. An ngnts reservea. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ACORV CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDmYY) 10/31 /2014 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 Brown &Brown Insurance -Clearwater P O Box 2456 Clearwater FL 33757-2456 CONTACT Sara Walcz kiewiCZ =NONE . 727 461-6044 FAX 727 442-7695 E-MAIL . swalczykiewicz@bbpinellas.com INSURERS AFFORDING COVERAGE NAIC N INSURER A: Hartford Fire Insurance CO. 19682 INSURED INSURERS: Hartford Casualty Insurance Co 29424 Kisinger Campo & Assoc. Corp. INSURER C :Admiral Insurance Company 24856 KCCS, Inc. Campo & Associates, PLLC INSURER D 201 N. Franklin Street, Ste. 400 INSURER E 1 INSURER F Tampa FL 33602 COVERAGES CERTIFICATE NUMBER: 512511104 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 INSD WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DDIYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y 21UUNAG7547 /1/2014 /1/2015 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X� OCCUR DAMAGENC RENTED PREMISES Ea occurrence) ccurrence $100,000 X MED EXP (Any one person) $10,000 Contractual X XCU Liability PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY � jE LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: B AUTOMOBILE LIABILITY Y 21UENNE3246 /1/2014 /1/2015 COMBINED SINGLE CgMr— Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS OS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Pe r accident $ B X UMBRELLA LIAB X OCCUR Y 21XHUAG7607 /1/2014 /1/2015 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 EXCESS LIAB CLAIMS -MADE DIEDX RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � N / A 21WBNW1033 0/3/2014 10/3/2015 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $500,000 - —--- E.L. DISEASE - EA EMPLOYE $500,000 (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $500,000 C Professional Liability E000002720501 11/2/2014 11/2/2015 Per Claim 5,000,000 Claims Made Aggregate 5,000,000 Deductible 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate Holder is an additional insured with respect to general liability, auto liability and umbrella liability. Explosion, collapse and underground hazard included in CGL. . ENGINEERING DESIGN AND PERMITTING SERVICES FOR THE NO NAME KEY BRIDGE REPAIR PROJECT LOCATED IN MONROE COUNTY, FL. 60-DAYS NOTICE OF CANCELLATION OR NON -RENEWAL PER ATTACHED IH0302 0608. A Project #1201138.01) APP DEMENT DATE GtK I It-IGA I t MULUtK d 14 -1 1 /diVl't 3nwrw• . GANGtLLA I IUN MONROE COUNTY, FLORIDA ATTN: MR. CLARK BRIGQ$; F��RE$C�GT. MANAGER I,V T, ROOM KEY W SOT FL033040R31100 fjQ0J3N216 8Q J 031iy 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 � +�+ JR."4V 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 10/31/2014 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 Brown & Brown Insurance - Clearwater P O Box 2456 Clearwater FL 33757-2456 CONTNAME: Sara Walcz kiewicz PNONE 727 461-6044 FAX . 727 442-7695 EMAIL . swalczykiewicz@bbpinellas.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Hartford Fire Insurance Co. 19682 INSURED INSURER B: Hartford Casualty Insurance Co 29424 Kisinger Campo & Assoc. Corp. INSURER C :Admiral Insurance Company 24856 KCCS, Inc. Campo & Associates, PLLC INSURER D 201 N. Franklin Street, Ste. 400 INSURER E : INSURER F : Tampa FL 33602 COVERAGES CERTIFICATE NUMBER: 530708224 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 INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS B X COMMERCIALGENERALLIABILITY Y 21UUNAG7547 /1/2014 /1/2015 EACH OCCURRENCE $1,000,000 CLAIMS -MADE ❑X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 X MED EXP (Any one person) $10,000 Contractual X XCU Liability PERSONAL & ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 GEN'L POLICY FX] JECT LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: B AUTOMOBILE LIABILITY Y 21UENNE3246 /1/2014 /1/2015 Ea aaident NGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ XIAUTOS ANY AUTO ALL OS NED SCHEDULED UTOS BODILY INJURY (Per accident) $ X NON -OWNED HIRED AUTOS X PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB X OCCUR Y 21XHUAG7607 /1/2014 /1/2015 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 EXCESS LIAB CLAIMS -MADE DED X I RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE N EC? OFFICERIMEMBER EXCLUD N ! A 21WBNW1033 10/3/2014 10/3/2015 PER OTH- X STATUTE ER E .L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYE • $500,000 (Mandatory In NH) If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $500,000 C Professional Liability E000002720501 11/2/2014 11/2/2015 Per Claim 5,000,000 Claims Made Aggregate 5,000,000 Deductible 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required) Certificate Holder is an additional insured with respect to general liability, auto liability and umbrella liability. Explosion, collapse and underground hazard included in CGL. . ENGINEERING DESIGN & PERMITTING SERVICES FOR THE NO NAME KEY BRIDGE (#904320) REPAIR PROJECT LOCATED IN MONROE COUNTY, FL. 60-DAYS NOTICE OF CANCELLATION OR NON -RENEWAL PER ATTACHED IH0302 0608 (KCA Project #1201138.01) g2ftppRO AGEMENT CERTIFICATE HOLDER tf 14 '1 1 LIAA 1 »1JIVA1-111 CANCELLATION wr11VOC la . MONROE COUNTY - BOCCIE g 1100 SIMONTONASTRff_F �1`I N�n��C�, H KEY WEST FL 33040-3110 (�� �� 00338 80J 03113 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 Z240. JR.14.IOrinv ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD ACORN0 `� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/31/2014 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 Brown & Brown Insurance - Clearwater dgale@bbpinellas.com P O Box 2456 CONTACT CT Sara Walcz kiewiCZ NAME: . 727 461-60ki FAX(AIC 727 442-7695 E-MAIL swalcz kiewicz bb lnellas.com Y @ P INSURERS AFFORDING COVERAGE NAIC N Clearwater FL 33757-2456 INSURER A: Hartford Fire Insurance Co. 19682 INSURED INSURERS: Hartford Casualty Insurance Co 29424 Kisinger Campo & Assoc. Corp. INSURER C :Admiral Insurance Company 24856 KCCS, Inc. Campo & Associates, PLLC INSURER D INSURER E : 201 N. Franklin Street, Ste 400 INSURER F : Tampa FL 33602 COVERAGES CERTIFICATE NUMBER: 1124116863 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 INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 21UUNAG7547 /1/2014 /1/2015 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X� OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 X MED EXP (Any one person) $10,000 Contractual Liab PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ] JECT LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: A AUTOMOBILE LIABILITY 21UENNE3246 /1/2014 /1/2015 Ea accident $1,000,000 XIAUTOS BODILY INJURY (Per person) $ ANY AUTO ALL AUTOS OWNED SCHEDAUTOS HIRED AUTOS X NON -OWNED BODILY BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ B UMBRELLA LIAB X OCCUR 21XHUAG7607 /1/2014 /1/2015 EACH OCCURRENCE $4,000,000 1-1 AGGREGATE $4,000,000 EXCESS LIAR CLAIMS -MADE DIED I X I RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A 21WBNW1033 0/3/2014 10/3/2015 X PER OTH- STATUTE I I ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYE $500,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $500,000 C Professional Liability E000002720501 11/2/2014 11/2/2015 Per Claim 5,000,000 Claims Made Aggregate 5,000,000 Deductible 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more space Is required) Certificate Holder is an additional insured with respect to general liability ,auto liability and umbrella liability. Endorsements available upon request. Waiver of Subrogation applies to general liability and workers compensation. Explosion, Collapse & Underground hazard included in CGL. Project: Engineering Design and Permitting Services for Emergency Repairs to No Name Key Bridge. NA AGE 60 Days notice of cancellation or non -renewal per attached IH0302 0608. g DA WAIVE / Y _ 11 *813 *1111 Monroe County, Florida Attn: Ms Judith S Clarke, Dir of tnp1neteriftg AO� 1100 Simonton Street b M!d Key West FL 33040 08003d 803 0311 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. IORIZED REPRESENTATIVE R. S4� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AC RDl` CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 8/27/2014 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 Brown & Brown Insurance - Clearwater P O Box 2456 Clearwater FL 33757-2456 CONTANAME: CT Deborah Gale P"°NE 727 461-6044 FAX 727 442-7695 E-MAIL AppgEsr,. dgale@bbpinellas.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Hartford Fire Insurance Co. 19682 INSURED INSURER B: Hartford Casualty Insurance Co 29424 INSURER C : Continental Casualty Co. 20443 Kisinger Campo & Assoc. Corp. KCCS, Inc. Campo & Associates, PLLC INSURER D 201 N. Franklin Street, Ste. 400 INSURER E : INSURER F Tampa FL 33602 COVERAGES CERTIFICATE NUMBER: 1585052287 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 INSURANCEADDLSUBK INSD WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY Y 21UUNAG7547 /1/2014 /1/2015 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X� OCCUR DAMAGE PREM SES Ea accu ence $100,000 X MED EXP (Any one person) $10,000 Contractual X XCU Liability PERSONAL & ADV INJURY $1,000,000 AP t M E NT GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 POLICY 7 PRO - POLICY LOC BY $ OTHER: � A AUTOMOBILE LIABILITY Y 21UENNE3246 WAIVER ' /1 'rtd&�.; /1/2015 COMBINED SINGLE LIMIT Ea accident - $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO /"O. `r' ALLOSNED SCHEDULED AUTOS NON -OWNED X HIRED AUTOS E AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB X OCCUR Y 21XHUAG7607 /112014 /1/2015 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 EXCESS LIAB CLAIMS -MADE DED X I RETENTION $10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) H / A 21WBNW1033 0/3/2014 10/3/2015 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 B yes, tlescribe under DESCRIPTION OF OPERATIONS below C Professional Liability Claims Made EH288295813 11/2/2013 11/2/2014 Per Claim 2,000,000 Aggregate 5,000,000 Deductible 250,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certificate Holder is an additional insured with respect to general liability, auto liability and umbrella liability. Explosion, collapse and underground hazard included in CGL. . ENGINEERING DESIGN & PERMITTING SERVICES FOR THE NO NAME KEY BRIDGE (#904320) REPAIR PROJECT LOCATED IN MONROE COUNTY, FL. 60-DAYS NOTICE OF CANCELLATION OR NON -RENEWAL PER ATTACHED IH0302 0608 (KCA Project #1201138.01) GEKTIFIGATE HLILDEK GAnGtLLAI lvn • •-- MONROE COUNTY - BOCC ATTN: TINA LoSACCO, SENIOR ENGINEERING TECH 1100 SIMONTON STREET, ROOM 216 KEY WEST FL 33040-3110 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE ITC ;r %CY6!.0 81JJ10Z AUTHORIZED REPRESENTATIVE v."38 803 0311A ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD / 7 ® ACC>RV CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 8/27/2014 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 Brown & Brown Insurance - Clearwater dgale@bbpinellas.com P O Box 2456 Clearwater FL 33757-2456 CONT NAMEACT Deborah Gale PHONE 727 461-6044 FAx 727 442-7695 E-MAIL dgale@bbpinellas.com INSURERS AFFORDING COVERAGE NAIC # INSURER A :Hartford Fire Insurance Co. 19682 INSURED Kisinger Campo & Assoc. Corp. KCCS, Inc. Campo & Associates, PLLC 201 N. Franklin Street, Ste 400 Tampa FL 33602 INSURER B : Hartford Casualty Insurance Co 29424 INSURER C :Continental Casualty Co. 20443 INSURER D : INSURER E INSURER F �rcr�rrr A-rc urwoco. 471087488 RFVISION NUMBER- VVyr_R/{t.J'C, %IGr\1rrIVA1L V.�.Y.... �. - ___._____ _____-_ 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 INSD WVD POLICY NUMBER POLICY EFF (MMIDDIYYYYI I POLICY EXP. 1MM1DDIYYYYl LIMITS A X COMMERCIAL GENERALLIABILITY 21UUNAG7547 /1/2014 /1/2015 EACH OCCURRENCE $1,000,000 CLAIMS -MADE ❑X OCCUR DAMAGE TO RENTED PREMISES Ea occurtence $100,000 X MED EXP (Any one person) $10,000 Contractual Liab PERSONAL&ADVINJURY $1,000,000 BY q;1!SKGF.MENT GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY jE LOGPRODUCTS - COMP/OP AGG $2,000,000 $ DA511 OTHER: A AUTOMOBILE LIABILITY 21UENNE3246 W#JWR 2d&Y5k JW2015 COMBINEDTTRUEETWIT Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ NED SCHEDULED 7 AUTOS AUTOS NON -OWNED PROPERTY DAMAGE Per accident $ X HIRED AUTOS X AUTOS B UMBRELLA LIAB X OCCUR 21XHUAG7607 /l/2014 /1/2015 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 EXCESS LIAB CLAIMS -MADE DED X I RETENTION $10,000 $ A WORKERS COMPENSATION 21WBNW1033 0/3/2014 10/3/2015 ER X STATUTE EH R E.L. EACH ACCIDENT $500,000 AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N N / A E.L. DISEASE - EA EMPLOYE $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE -POLICY LIMIT 1 $500,000 If yes, describe under DESCRIPTION OF OPERATIONS below C Professional Liability AEH288295813 11/2/2013 11/2/2014 Per Claim 2,000,000 Claims Made Aggregate 5,000,000 Deductible 250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate Holder is an additional insured with respect to general liability ,auto liability and umbrella liability. Endorsements available upon request. Waiver of Subrogation applies to general liability and workers compensation. Explosion, Collapse & Underground hazard included in CGL. Project: Engineering Design and Permitting Services for Emergency Repairs to No Name Key Bridge. 60 Days notice of cancellation or non -renewal per attached IH0302 0608. -- Monroe County, Florida Attn: Ms Judith S Clarke, Dir of Engineering 1100 Simonton Street Key West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE L-$E DELIVERED IN ACCORDANCE WITH THE POL Y �� VIlI (, a I - AUTHORIZED REPRESENTATIVE �01 _O j'.s W IVOO-LV IY PiV vrw vvr�rvw+..v.�. r.....b..w ........ ...... ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD