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Certificates of Insurance
DATE(MMIDDIYYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 11/1/2021 2/26/2021 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 have ADDITIONAL INSURED provisions or 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 Lockton Companies NAMEACT 444 W.47th Street,Suite 900 PHONE FAX Kansas City MO 64112-1906 E-MAILo Ext: AIC No (816)960-9000 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Zurich American Insurance Company 16535 INSURED T.Y.LIN INTERNATIONAL/H.J.ROSS INSURER B:Travelers Property Casualty Co of America 25674 1481416 345 CALIFORNIA STREET,SUITE 2300 INSURER C:*** SEE ATTACHMENT SAN FRANCISCO CA 94104 INSURER D: INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 17124030 REVISION NUMBER: xxxxxxx 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDD MMIDD A x COMMERCIAL GENERAL LIABILITY Y Y GLO 3843830 3/1/2021 3/1/2022 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR Approved Risk Management PREMISES Ea occurrence $ 1,000,000 x SEVERABILITY , MED EXP(Any one person) $ 25,000 x CLAUSE 175 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY n PECOT- n LOC 6-21-2021 PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y Y BAP 3843831 3/1/2021 3/1/2022 Ea aBINEDtSINGLE LIMIT $ 2,000,000 x ANY AUTO BODILY INJURY(Per person) $ xxxxxxx OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS xxxxxxx x HIRED x NON-OWNED PROPERTY DAMAGE $ xxxxxxx AUTOS ONLY AUTOS ONLY Per accident $ xxxxxxx B UMBRELLA LIAB X OCCUR N N ZUP-61N38002-21-NF 3/1/2021 3/1/2022 EACH OCCURRENCE $ 5000000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DIED RETENTION$ $ xxxxxxx A WORKERSCOMPENSATIONEMPLOYERS' LIABILITY ILIT Y/N I' WC 3843829 3/1/2021 3/1/2022 x STATUTE PEROERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N I A (Mandatory in NH) 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 N N SEE ATTACHMENT 11/1/2020 11/1/2021 $2,000,000 PER CLAIM;$2,000,000 LIABILITY ANNUAL AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:MONROE COUNTY PROFESSIONAL ENGINEERING SERVICES.MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS INCLUDED AS ADDITIONAL INSURED FOR GENERAL AND AUTOMOBILE LIABILITY. CERTIFICATE HOLDER CANCELLATION See Attachment 17124030 MONROE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BOARD OF COUNTY COMMISSIONERS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ATTN: SHANE SMITH ACCORDANCE WITH THE POLICY PROVISIONS. KEY WEST FL 33040-3110 AUTHORIZED REPRESENTATIV ©1988 015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Attachment Code:D584190 Master ID: 1481416,Certificate ID: 17124030 T.Y.LIN INTERNATIONAL,INC. PROFESSIONAL LIABILTY 11/1/2020-11/1/2021 $2,000,000 PER CLAIM/$2,000,000 AGGREGATE PRIMARY PROFESSIONAL LIABILITY $2,000,000 PER CLAIM;$2,000,000 AGGREGATE LLOYD'S OF LONDON 62.50% GLROPR2102165 ASPEN SPECIALTY INSURANCE COMPANY 25% LROOJUH20 STARR SURPLUS LINES INSURANCE CO 12.5% 1000633900202 DATE(MM/DDYYY) A�" CERTIFICATE OF LIABILITY INSURANCE /Y 3/1/2020 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: Nancy Ferrlck Dealey, Renton &Associates PHONE FAX License#0020739 A/C No Ext: 510-465-3090 vc,No):510-452-2193 E-MP. O. Box 12675 ADDRESS: nferrick@dealeyrenton.com Oakland CA 94604-2675 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: National Fire Insurance of Hartford 20478 INSURED TYLININTE1 INSURERB: Continental Insurance Company 35289 T. Y. Lin International 345 California Street, Ste. 2300 INsuRERc:Valley Forge Insurance Company 20508 San Francisco CA 94104 INSURERD:American Casualty Company of Reading, 20427 INSURERS:Aspen Specialty Insurance Company 10717 INSURER F COVERAGES CERTIFICATE NUMBER:32887588 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y Y 6056538518 3/1/2020 3/1/2021 EACH OCCURRENCE $1,000,000 F7�vl TO CLAIMS-MADE OCCUR PREMI ES( RENTED PREMISES Ea occurrence) ccurrence) $1,000,000 X Contractual Liab MED EXP(Any one person) $15,000 X Cross Liab. PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 Fy] PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ C AUTOMOBILE LIABILITY Y Y 6045854867 3/1/2020 3/1/2021 C Ea OMaccidentBINED SINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B UMBRELLA LAB X OCCUR Y Y 6056538549 3/1/2020 3/1/2021 EACH OCCURRENCE $5,000,000 X EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ D WORKERS COMPENSATION Y 6056808508 3/1/2020 3/1/2021 X PER OTH- A AND EMPLOYERS'LIABILITY Y/N 6056809061 3/1/2020 3/1/2021 STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? FN] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 E Professional Liability LRA9P0120 3/1/2020 3/1/2021 $5,000,000 per Claim $5,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:All Operations of the Named Insured. Monroe County Board of County Commissioners and the State of Florida Department of Transportation are named as Additional Insured for General and Automobile Liability as required by written contract or agreement. Insurance is primary and non-contributory per policy form. 1 Y , I a 3/24/2020 ,., CERTIFICATE HOLDER WAMF � - LLATION 30 Days Notice of Cancellation SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County ACCORDANCE WITH THE POLICY PROVISIONS. Board of County Commissioners 1100 Simonton Street#2-216 AUTHORIZED REPRESENTATIVE Key West FL 33040-3110 �U�iktk @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AdWAIA Blanket Additional Insured - Owners, Lessees or Operations Coverage Endorsement_ This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Itia understood and agreed aefollows: |. The VVHQ IS AN INSURED section is amended to add as an Insured any person or organization whom the Named Insured is required by written contract to add as an additional insured on this coverage part, including any such person or organization, if any, specifically set forth on the Schedule attachment to this endorsement. However, such person or organization in an Insured only with respect to such person or orQanization'a liability for: A. unless paragraph B.below applies, Y. bodily injury, property damage, or personal and advertising injury caused in whole or in part by the acts or omissions by or on behalf of the Named Insured and in the performance of such Named lnmured's ongoing operations ea specified in such written contract; or 2. bodily injury or property damage caused in whole or in part by your work and included in the prod uoba-comnp|eted operations hazard, and only if o. the written contract requires the Named Insured to provide the additional insured such coverage; and � | b` this coverage part provides such coverage. � B. bodily injury, property damage, or personal and advertising injury arising out of your work described in � such written contract, but only if: � | 1, this coverage part provides coverage for bodily injury or property damage included within the products completed operations hazard; and | 2. the written contract specifically requires the Named Insured to provide additional insured coverage � under the 11-85or1O-U1 edition ufCG2O10or the 1O-01 edition ofCG2U37 � U. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. |||. The insurance granted by this endorsement tothe additional insured does not apply to bodily irjury, property damage,or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional anohiteutura|, engineering, or surveying oen/inen. including: 1. the pnaporing, opprnxng, or failing to prepare or approve nzapn, shop drawingo, opinione, reports, surveys, field orders, change orders or drawings and specifications; and 3. supervisory, inspection, architectural or engineering activities; nr B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. Ky' Notwithstanding anything to the contrary in the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance, this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or any other basis. However, if this insurance CNA75079>0((1-15) Policy No: 605e53e518 Page 1nf2 Endorsement No: Effective Dute:O3/O1/2O2O Insured Name'. r.v.Lin International WAWA WAWL Blanket Additional Insured - Owners, Lessees or Operations Coverage Endorsement_ is required by written contract to be primary and non-contributory, this insurance will be primary and non- contributory relative solely to insurance on which the additional insured isanamed insured. V. Solely with respect to the insurance granted by this endorsement,the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended aufollows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim orSuit in emended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result inaclaim; 2, except as provided in Paragraph |V, of this endorsement, agree to make available any other insurance the additional insured has for any loss covered under this coverage part; 3. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the inveotigmtiun, defenae, or settlement of the claim; and U 4. tender the defense and indemnity of any claim to any other insurer urself insurer whose policy or � program applies to e |oon that the Insurer covers under this coverage part. Hovw*var, if the written contract requires this insurance tobo primary and non-uonthbutory.this paragraph (4)does not apply to � insurance nn which the additional insured iva named insured. � � The Insurer has no duty to defend or indemnify an additional insured under this endorsementuntil the Insurer � receives written notice ofa claim from the additional insured. � � \A. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: ` Written contract means awritten contract or written agreement that requires the Munned Insured to make a � person or organization an additional insured on this coverage part, provided the contract or agreement: A. io currently in effect orbecomes effective during the term of this policy; and i B. was executed prior to: � 1' the bodily injury or property damage; or ' 2. the offense that caused the personal and advertising injury for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible bylaw. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75879XX(1-15) Policy No: Page 2of2 Endorsement No: Effective Date: Insured Name- Copyright nmxm/mootseenawau. Includes copyrighted material m Insurance Services Office,|mc,.Wm its permission, CNA CNA PARAMOUNT Waiver of Transfer of Rights of Recovery Against Others to the Insurer Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization whom the Named Insured has agreed in writing in a contract or agreement to waive such rights of recovery, but only if such contract or agreement: 1. is in effect or becomes effective during the term of this Coverage Part; and 2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. It is understood and agreed that the condition entitled Transfer Of Rights Of Recovery Against Others To The Insurer is amended by the addition of the following: Solely with respect to the person or organization shown in the Schedule above, the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage arising out of the Named Insured's ongoing operations or your work done under a contract with that person or organization and included in the products-completed operations hazard. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75008XX (1-15) Policy No: 6056538518 National Fire Insurance Co of H Effective Date: 03/01/2020 Insured Name: T.Y.Lin International Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. A CN 6045854867 CNA6335(Ed. 04/12)12) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS EXTENDED COVERAGE ENDORSEMENT - BUSINESS AUTO PLUS - This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. LIABILITY COVERAGE 4. An "employee" of yours is an "insured" while A. Who Is An Insured operating an "auto" hired or rented under a contract or agreement in that "employee's" The following is added to Section II, Paragraph name, with your permission, while performing A.1., Who Is An Insured: duties related to the conduct of your 1. a. Any incorporated entity of which the business. Named Insured owns a majority of the "Policy," as used in this provision A. Who Is An voting stock on the date of inception of Insured, includes those policies that were in this Coverage Form; provided that, force on the inception date of this Coverage Form b. The insurance afforded by this provision but: A.1. does not apply to any such entity 1. Which are no longer in force; or that is an "insured" under any other liability "policy" providing "auto" 2. Whose limits have been exhausted. coverage. B. Bail Bonds and Loss of Earnings 2. Any organization you newly acquire or form, Section II, Paragraphs A.2. (2) and A.2. (4) other than a limited liability company, are revised as follows: partnership or joint venture, and over which 1. In a.(2), the limit for the cost of bail bonds is you maintain majority ownership interest. changed from $2,000 to $5,000; and The insurance afforded by this provision A.2.: 2. In a.(4), the limit for the loss of earnings is a. Is effective on the acquisition or changed from $250 to $500 a day. formation date, and is afforded only until C. Fellow Employee the end of the policy period of this Coverage Form, or the next anniversary Section II, Paragraph B.5 does not apply. of its inception date, whichever is earlier. Such coverage as is afforded by this provision C. b. Does not apply to: is excess over any other collectible insurance. (1) "Bodily injury" or "property damage" II. PHYSICAL DAMAGE COVERAGE caused by an "accident" that occurred before you acquired or A. Glass Breakage — Hitting A Bird Or Animal — formed the organization; or Falling Objects Or Missiles (2) Any such organization that is an The following is added to Section III, "insured" under any other liability Paragraph A.3.: "policy" providing "auto" coverage. With respect to any covered "auto," any 3. Any person or organization that you are deductible shown in the Declarations will not required by a written contract to name as an apply to glass breakage if such glass is repaired, additional insured is an "insured" but only in a manner acceptable to us, rather than with respect to their legal liability for acts or replaced. omissions of a person, who qualifies as an B. Transportation Expenses "insured" under Section II — Who Is An Insured and for whom Liability Coverage is Section III, Paragraph AA.a. is revised, with afforded under this policy. If required by respect to transportation expense incurred by written contract, this insurance will be you, to provide: primary and non-contributory to insurance on a. $60 per day, in lieu of$20; subject to which the additional insured is a Named Insured. b. $1,800 maximum, in lieu of$600. CNA63359XX Copyright,CNA Corporation,2000. Page 1 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. CNA63359XX CNA (Ed. 04/12) C. Loss of Use Expenses Section III, Paragraphs B.4.c and B.4.d. are Section III, Paragraph A.4.16. is revised, with deleted and replaced by the following: respect to loss of use expenses incurred by you, c. Physical Damage Coverage on a covered to provide: "auto" also applies to "loss" to any a. $1,000 maximum, in lieu of$600. permanently installed electronic equipment including its antennas and other D. Hired "Autos" accessories. The following is added to Section III. d. A $100 per occurrence deductible applies to Paragraph A.: the coverage provided by this provision. 5. Hired "Autos" G. Diminution In Value If Physical Damage coverage is provided under The following is added to Section III, this policy, and such coverage does not extend Paragraph B.6.: to Hired Autos, then Physical Damage coverage Subject to the following, the "diminution in value" is extended to: exclusion does not apply to: a. Any covered "auto" you lease, hire, rent a. Any covered "auto" of the private or borrow without a driver; and passenger type you lease, hire, rent or b. Any covered "auto" hired or rented by borrow, without a driver for a period of 30 your"employee" without a driver, under a days or less, while performing duties contract in that individual "employee's" related to the conduct of your business; name, with your permission, while and performing duties related to the conduct b. Any covered "auto" of the private of your business. passenger type hired or rented by your c. The most we will pay for any one "employee" without a driver for a period "accident" or "loss" is the actual cash of 30 days or less, under a contract in value, cost of repair, cost of replacement that individual "employee's" name, with or $75,000, whichever is less, minus a your permission, while performing duties $500 deductible for each covered auto. related to the conduct of your business. No deductible applies to "loss" caused c. Such coverage as is provided by this by fire or lightning. provision is limited to a "diminution in d. The physical damage coverage as is value" loss arising directly out of provided by this provision is equal to the accidental damage and not as a result of physical damage coverage(s) provided the failure to make repairs; faulty or on your owned "autos." incomplete maintenance or repairs; or e. Such physical damage coverage for the installation of substandard parts. hired "autos" will: d. The most we will pay for "loss" to a (1) Include loss of use, provided it is the covered "auto" in any one accident is the consequence of an "accident" for lesser of: which the Named Insured is legally (1) $5,000; or liable, and as a result of which a (2) 20% of the "auto's" actual cash monetary loss is sustained by the value (ACV). leasing or rental concern. (2) Such coverage as is provided by this III. Drive Other Car Coverage — Executive Officers provision will be subject to a limit of The following is added to Sections II and III: $750 per"accident." 1. Any "auto" you don't own, hire or borrow is a E. Airbag Coverage covered "auto" for Liability Coverage while being The following is added to Section III, used by, and for Physical Damage Coverage Paragraph B.3.: while in the care, custody or control of, any of your"executive officers," except: The accidental discharge of an airbag shall not a. An "auto" owned by that "executive officer" be considered mechanical breakdown. or a member of that person's household; or F. Electronic Equipment CNA63359XX Copyright,CNA Corporation,2000. Page 2 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. CNA63359XX CNA (Ed. 04/12) b. An "auto" used by that "executive officer" The following is added to Section IV, while working in a business of selling, Paragraph A.5. Transfer Of Rights Of servicing, repairing or parking "autos." Recovery Against Others To Us: Such Liability and/or Physical Damage Coverage We waive any right of recovery we may have, as is afforded by this provision. because of payments we make for injury or (1) Equal to the greatest of those coverages damage, against any person or organization for afforded any covered "auto"; and whom or which you are required by written contract or agreement to obtain this waiver from (2) Excess over any other collectible us. insurance. This injury or damage must arise out of your 2. For purposes of this provision, "executive officer" activities under a contract with that person or means a person holding any of the officer organization. positions created by your charter, constitution, You must agree to that requirement prior to an by-laws or any other similar governing document, "accident" or"loss." and, while a resident of the same household, includes that person's spouse. C. Concealment, Misrepresentation or Fraud Such "executive officers" are "insureds" while The following is added to Section IV, using a covered "auto" described in this Paragraph B.2.: provision. Your failure to disclose all hazards existing on the IV. BUSINESS AUTO CONDITIONS date of inception of this Coverage Form shall not A. Duties In The Event Of Accident, Claim, Suit prejudice you with respect to the coverage afforded Or Loss provided such failure or omission is not intentional. The following is added to Section IV, D. Other Insurance Paragraph A.2.a.: The following is added to Section IV, (4) Your "employees" may know of an Paragraph B.5.: "accident" or "loss." This will not mean Regardless of the provisions of Paragraphs 5.a. that you have such knowledge, unless and 5.d. above, the coverage provided by this such "accident" or "loss" is known to policy shall be on a primary non-contributory you or if you are not an individual, to any basis. This provision is applicable only when of your executive officers or partners or required by a written contract. That written your insurance manager. contract must have been entered into prior to The following is added to Section IV, "Accident" or"Loss." Paragraph A.2.b.: E. Policy Period, Coverage Territory (6) Your "employees" may know of Section IV, Paragraph B. 7.(5).(a). is revised to documents received concerning a claim provide: or "suit." This will not mean that you a. 45 days of coverage in lieu of 30 days. have such knowledge, unless receipt of such documents is known to you or if V. DEFINITIONS you are not an individual, to any of your executive officers or partners or your Section V. Paragraph C. is deleted and replaced insurance manager. by the following: B. Transfer Of Rights Of Recovery Against "Bodily injury" means bodily injury, sickness or Others To Us disease sustained by a person, including mental anguish, mental injury or death resulting from any of these. CNA63359XX Copyright,CNA Corporation,2000. Page 3 of 3 (Ed. 04/12) Includes copyrighted material of the Insurance Services Office used with its permission. CNA POLICY NUMBERS: 6056808508 AND 6056809061 G-19160-B (Ed. 11/97) WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS This endorsement changes the policy to which it is attached. It is agreed that Part One Workers' Compensation Insurance G. Recovery From Others and Part Two Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is G-19160-B Page 1 of 1 (Ed. 11/97) r`1*n +1f- 799 TYLININTEI ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 13/05/2018 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 Dealey, Renton 8r Associates NAME:ACTNancy Ferrick PHONE 510 465-3090 ac No): 510 452-2193 A/C No Ext E-MAIL ADDRESS: nferrick@dealeyrenton.com P. O. Box 12675 Oakland, CA 94604-2675 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: National Fire Insurance Co of H 2O478 510 465-3090 INSURED T. Y. Lin International INSURER B: Continental Insurance Company 35289 INSURERC: Valley Forge Insurance Company 20508 345 California Street, Ste. 2300 INSURER D : p As en American Insurance Co. 43460 San Francisco, CA 94104 INSURER E INSURER F COVFRAGFS 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. LTR TYPE OF INSURANCE A RRL,SII/V POLICY NUMBER MMIDDY EFF POLICYEXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR CONTRACTUAL LIAR. Y Y 6056538518 BY BY �,�,,�p Yt►a��� 3/01/2018 K T 03/01/2019 �N f EACH OCCURRENCE $1 000 000 PREMISES EaEaxurrence $1 000 000 X MED EXP (Any oneperson) $10 000 X CROSS LIABILITY PERSONAL BADVINJURY $1,000,000 GEWL AGGREGATE LIMIT APPLIES PER: RO- POLICY ECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 $ B AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS Y Y 6045854867 3/01/2018 03/01/201 t�MBIND SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY err accident)DAMAGE $ B UMBRELLALIAB cESS LIAB X OCCUR CLAIMS -MADE Y Y 6056538549 3/01/2018 03/01/201 EACH OCCURRENCE s2,000,000 X�DED AGGREGATE $2 000 000 I I RETENTION$ $ A C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 'ANYPP.OPRIETORPARTNER/EXECu-rwE,YIN OFFICER/MEMBER EXCLUDED? N11 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA Y Y 6056808508 (CA) 6056809061 (NON CA) 3/01/2018 3/01/2018 03/01/201 03/01/201 OTH- X PERTUTE ER E.L. EACH ACCIDENT $1 OOOOOO E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT 000 $1,000,000 D ' Professional Liability11 LRA9P0118 3/01/2018 03/01/201 $1,000,000 per Claim $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Re: Monroe County Professional Engineering Services. Monroe County Board of County Commissioners is included as Additional Insured for General and Automobile Liability. Insurance is primary per policy form. Monroe County Board of County Commissioners Attn: Shane Smith 1100 Simonton Street #2-216 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 ACORD 25 (2014/01) 1 of 1 ffC7771 Al 4/M77RRMd © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NMF Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. The WHO IS AN INSURED section is amended to add as an Insured any person or organization whom the Named Insured is required by written contract to add as an additional insured on this coverage part, including any such person or organization, if any, specifically set forth on the Schedule attachment to this endorsement. However, such person or organization is an Insured only with respect to such person or organization's liability for: A. unless paragraph B. below applies, 1. bodily injury, property damage, or personal and advertising injury caused in whole or in part by the acts or omissions by or on behalf of the Named Insured and in the performance of such Named Insured's ongoing operations as specified in such written contract; or 2. bodily injury or property damage caused in whole or in part by your work and included in the products -completed operations hazard, and only if a. the written contract requires the Named Insured to provide the additional insured such coverage; and b. this coverage part provides such coverage. B. bodily injury, property damage, or personal and advertising injury arising out of your work described in such written contract, but only if: 1. this coverage part provides coverage for bodily injury or property damage included within the products completed operations hazard; and 2. the written contract specifically requires the Named Insured to provide additional insured coverage under the 11-85 or 10-01 edition of CG2010 or the 10-01 edition of CG2037. II. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. III. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. IV. Notwithstanding anything to the contrary in the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance, this insurance is excess of all other insurance available to the additional insured whether on a primary, excess, contingent or any other basis. However, if this insurance CNA75079XX (1-15) Page 1 of 2 Policy NO: 6056538518 Endorsement No: Effective Date: 03/01/2018 Insured Name: T. Y. Lin International Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement is required by written contract to be primary and non-contributory, this insurance will be primary and non- contributory relative solely to insurance on which the additional insured is a named insured. V. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. except as provided in Paragraph IV. of this endorsement, agree to make available any other insurance the additional insured has for any loss covered under this coverage part; 3. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 4. tender the defense and indemnity of any claim to any other insurer or self insurer whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph (4) does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition. Written contract means a written contract or written agreement that requires the Named Insured to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX (1-15) Page 2 of 2 Policy No: Endorsement No: Effective Date: Insured Name: Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Client #: 722 TYLININTE1 A CORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 2/27/2017 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 NA, ACT Nancy Ferrick Dealey, Renton & Associates PHONE 510 465 - 3090 FAX 510452-2193 P. O. Box 12675 (&MAI�o, Ext): (A/C, No): ADDRESS: nferrick @dealeyrenton.com Oakland, CA 94604 -2675 510 465 -3090 INSURER(S) AFFORDING COVERAGE NAIL # INSURERA: Hartford Fire Ins. Co. 19682 INSURED INSURER B : Hartford Underwriters Ins. Co. 30104 T. Y. Lin International 345 California Street, Ste. 2300 INSURER C : Aspen American Insurance Co. 43460 San Francisco, CA 94104 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. INSR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MMIDDIYYYY) (MM /DD/YYYY) A X COMMERCIAL GENERAL LIABILITY X X 57CESOF1487 03/01/2017 03/01/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO occurrence) $1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 , GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- - POLICY X JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 '.. 7 OTHER: $ A AUTOMOBILE LIABILITY X X 57UENZC1594 03/01/2017 03/01/2018 E C OMaccidBINED ent) SINGLE LIMIT $1,000,000 ( XI ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE $ AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION X 57WBZU5991 03/01/2017 03/01/2018 X PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N / A (Mandatory in NH) 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 LRA9P0117 03/01/2017 03/01/2018 $1,000,000 per Claim Liability $1,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) General Liability Policy excludes claims arising out of the performance of professional services. 30 Days Notice of Cancellation (10 Days for Non - Payment of Premium). Re: All Operations of the Named Insured. Monroe County Board of County Commissioners is included : - /- Additional Insured for General and Automobile Liability. Insurance is primary per policy form. j 4 i ,� AGEMENT .. + . � . � WAIVER N/' Y/ CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street #2 -216 Key West, 33040 -3110 AUTHORIZED REPRESENTATIVE /T _ , �_ 1 404 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1934542/M1934108 NMF i i Client #: 722 TYLININTE1 A CORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 3/02/2017 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 ACT Nancy Ferrick Dealey, Renton & Associates PHO 510 465 - 3090 FAX 510 452 -2193 (AIC No, Ext): (A/C, No): P. O. Box 12675 ADDRESS: nferrick @dealeyrenton.com Oakland, CA 94604 -2675 510 465 -3090 INSURER(S) AFFORDING COVERAGE NAIL # INSURER A : Hartford Fire Ins. Co. 19682 INSURED INSURER B : American Fire and Casualty Comp 24066 T. Y. Lin International 345 California Street, Ste. 2300 INSURERC: Hartford Underwriters Ins. Co. 30104 San Francisco, CA 94104 INSURER D : Aspen American Insurance Co. 43460 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM /DD/YYYY) (MM /DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X X 57CESOF1487 03/01/2017 03/01/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR PREMISES Ea o ccurr nce $1,000,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY _ $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JEC LOC PRODUCTS - COMP /OP AGG $ 2,000,000 OTHER: $ A UTOMOBILE LIABILITY COMBINED SINGLE LIMIT A X X 57UENZC1594 03/01/2017 03/01/2018 (Ea accident) 81,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS X HIRED AUTOS X =OWN ED PROPERTY DAMAGE $ AUTOS (Per accident) $ B UMBRELLA LIAB X OCCUR EUA1857169563 03/01/2017 03/01/2018 EACH OCCURRENCE $2,000,000 x EXCESS LIAB CLAIMS -MADE AGGREGATE $2,000,000 DED RETENTION $ $ C WORKERS COMPENSATION X 57WBZU5991 03/01/2017 03/01/2018 X PER OTH- AND EMPLOYERS' LIABILITY Y 1 N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N / A ) (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 i D Professional LRA9P0117 03/01/2017 03/01/2018 $1,000,000 per Claim Liability $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) General Liability Policy excludes claims arising out of the performance of professional services. 30 Days Notice of Cancellation (10 Days for Non - Payment of Premium). Re: Monroe County Professional Engineering Services. Monroe County Board of County Commissioner. is in ud : 1 as Additional Insured for General and Automobile Liability. Insurance is primary per policy form. /r �� BY 4,--- • / A • t - 211111/wll�� . W°1 • `A 'S- CERTIFICATE HOLDER CANCELLATION E SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE l Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Shane Smith 1100 Simonton Street #2 -216 AUTHORIZED REPRESENTATIVE Key West L 33040 -3110 /� 1 C4-1 d.1021101._ © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD ) #S1945016/M1944945 NMF ( POLICY NUMBER: 57CESOF1487 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Re: Monroe County Professional Engineering Services. Monroe County Board of County Commissioners Attn: Shane Smith 1100 Simonton Street #2 -216 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or "property damage" occurring after: damage" or "personal and advertising injury" pP y y ry caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. { CG 20 10 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III — Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or } } } R { } } y 3 k 3 Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 0413 POLICY NUMBER: 57CESOF1487 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Monroe County Re: Monroe County Professional Engineering Services. Board of County Commissioners Attn: Shane Smith 1100 Simonton Street #2 -216 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III — Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products- completed operations 1. Required by the contract or agreement; or hazard ". 2. Available under the applicable Limits of However: Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 y. Client#: 722 TYLININTE1 DATE (MMIDDIYY) ACDRD. CERTIFICATE OF LIABILITY INSURANCE 01 /20/10 THIS CERTIFICATE IS ISSUED AS A MATTERONCERTIFICATE OF THE INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS Dealey, Renton & Associates HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 12675 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604-2675 INSURERS AFFORDING COVERAGE 510 465-3090 --- ----- - - - - - INSURED I INSURER A: Hartford Fire Ins. Co. T. Y. Lin International/H.J. Ross INSURER B: Hartford Underwriters ins. Co. _V _ 2 Harrison Street, 5th Floor INSURER C: Liberty Insurance Underwriters, Inc. San Francisco, CA 94105 INSURER D: - - INSURER E: COVERAGES ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE -POLICY EXPIRATION . LIMITS IN8RLTR TYPE OF INSURANCE POLICY NUMBER 57CESOF1487 03/01/09 03/01/10 H OCCURRENCE 1 $1 000OOO EAC... .... A GENERAL LIABILITY - FIRE DAMAGE (Any one fire)`_ 000,000 r _ ___ X COMMERCIAL GENERAL LIABILITY1------- MADE OCCUR ; MED EXP (Any one person) ; $I 0 000 CLAIMS t ^ X Contractual Lia PERSONAL a ADV INJURY ' $1 g000j000 GENERAL AGGREGATE 1 $2,000,000 ^_ XCross Liability GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMPlOP AGG s2 OOO OOO POLICY Fx jEcT FPRO- ]LOC A AUTOMOBILE LIABILITY 57UUNTM3465 03/01/09 03/01/10 COMBINED SINGLE LIMIT ; s1,000,000 X ANY AUTO (Ea acxident) �-_ -------- _..., . -- - -. ALL OWNED AUTOS BODILY INJURY $ ( person i r- -- - - SCHEDULED AUTOS BODILY INJURY X HIRED AUTOS (Per accident)X $ NON -OWNED AUTOS :�,. PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY - AUTO ONLY - EA ACCIDENT ; $ �! ACC s ANY AUTO OTHER THAN _ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE S _ ._ --.�__. �_.- _.... OCCUR CLAIMS MADE AGGREGATE - - - - -- - - -i $- r---- _. $ DEDUCTIBLE -----------------_.__. . RETENTION $ B WORKERS COMPENSATION AND 57WEK08793 03101 /09 03/01110 $ X WC STATU- JOTHER - EMPLOYERS' LIABILITY ` E.L. EACH ACCIDENT j $1 000 000 t E.L. DISEASE -EA EMPLOYEE $1,000 000 E.L. DISEASE - POLICY LIMIT 1 s1 OOO 000 C OTHER professional AEE2003460109 02/27/09 02/27/10 $2,000,000 per Claim $2,000,000 Annl Aggr. Liability DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS General Liability Policy excludes claims arising out of the performance of professional services. Re: All Operations of the Named Insured. Monroe County Board of County Commissioners is included as Additional Insured for General and Automobile Liability. Insurance is primary per policy form. CERTIFICATE HOLDER ADDITIONAL Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 • INSURER LETTER: _ CANCELLATION SHOULD ANYOF TH E ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WIjj;0KjCM= TO MAIL__._. DAYS WRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT REPRESENTATIVE I 1 ....� im Anon NA00f%0ATInU 14A11 ACORD 25-S (7/97)1 of 1 #M248580 "Mr Mw r-- -- ----- --- TYLININTEI Client#: 722 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 3/02/2015 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 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 Dealey, Renton & Associates P. 0. Box 12675 Oakland, CA 94604-2675 510 465-3090 CONACNAME: T Nancy Ferrick PHCONENo Ext 510 465-3090 ac, No): 510 452-2193 A/ E-MAIL ADDRESS: nferrick@dealeyrenton.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hartford Fire Ins. Co. 19682 INSURED T. Y. Lin International 345 California Street, Ste. 2300 San Francisco, CA 94104 INSURER B : National Union Fire Ins Co of P 19445 INSURER CHartford Underwriters Ins. Co. 30104 INSURER D : Pe Pe Aspen Specialty Ins. Co. 10717 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 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. LTR TYPE OF INSURANCE ADDLSUBR NSR WVD POLICY NUMBER MMIDDY EFF M�DY EXP LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR X Contract'I Llab. X X 57CESOF1487 3/01/2015 03/01/2016 EACH OCCURRENCE $1,000,000 PREMISES EaE ance $1,000,000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1,000,000 X Cross Liab. GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PET LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS X X 57UENPV4294 3/01/2015 03/01/201 (CEOaB.I d n SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ B IX UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X X BE011573183 I 3/01/2015 03/0112016 EACH OCCURRENCE s2,000,000 AGGREGATE s2,000,000 DED J I RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A X 57WEK08793 3/01/2015 03/01/201 X I WC TQRYLI IT OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 D Professional Liability LRA9P0115 3/01/2015 03/01/2016 $1,000,000 per Claim $2,00 00 nnl r. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) General Liability Policy excludes claims arising out of the performance of professional services WAIVER /A 30 Days Notice of Cancellation (10 Days for Non -Payment of Premium). Re: Monroe County Professional Engineering Services. Monroe County Board of County Commissioners is included as Additional Insured for General and Automobile Liability. Insurance is primary per policy form. Monroe County Board of County Commissioners Attn: Shane Smith 1100 Simonton Street #2-216 Key West, FL 33040-3110 ACORD 25 (2010105) 1 Of 1 #S1263091/M1263037 S T Wd 118V H033d d0J 0 LeliI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NMF POLICY NUMBER: 57CESOF1487 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations Re: Monroe County Professional Engineering Services. Monroe County Board of County Commissioners Attn: Shane Smith 1100 Simonton Street #2-216 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: 57CESOF1487 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Or Organization(s): Operations Monroe County Re: Monroe County Professional Engineering Services. Board of County Commissioners Attn: Shane Smith 1100 Simonton Street #2-216 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products - completed operations hazard". CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ACORM CERTIFICATE OF LIABILITY INSURANCE oti27/20 3 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dealey, Renton 8r Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P. O. Box 12675 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oakland, CA 94604-2675 510 465-3090 INSURERS AFFORDING COVERAGE INSURED INSURER A: Hartford Fire Ins. Co. T. Y. Lin International INSURER B: National Union Fire Ins Co of P 2 Harrison Street, 5th Floor INSURER c: Hartford Underwriters Ins. Co. San Francisco, CA 94105 INSURER D: Aspen Specialty Insurance Compa INSURER E: Hartford Casualty Insurance Co. r-nvon A r_ ee 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. NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE M D POLICY EXPIRATION DA M D LIMITS A GENERAL LIABILITY 57CESOF1487 03/01/13 03/01/14 EACH OCCURRENCE $1000000 FIRE DAMAGE (Anyone fire) $1000000 X COMM ERCIALGENERAL LIABILITY MED EXP (Any one person) $10 000 CLAIMS MADE Fx-1 OCCUR PERSONAL & ADV INJURY $1,000,000 X ContracIVI Liab. X Cross Liab. GENERAL AGGREGATE s2,000,000 GENLAGGREGATELIMRAPPLIESPER: PRODUCTS -COMP/OPAGG s2,000,000 POLICY J( PRQ LOC E AUTOMOBILE LIABILITY ANY AUTO 57UUNTM3465 - 03/01/13 03/01/14 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS Ap MANA BY DA MENT �( X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS W �. X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ B EXCESS LIABILITY BE011912740 03/01/13 03/01/14 EACH OCCURRENCE s2,000,000 AGGREGATE s2,000,000 X OCCUR CLAIMS MADE a $ DEDUCTIBLE $ ENII&I $ C woi a m c PENSATION AND- EMFG:DYER8tWBIL1TY t-7,:-- LI.J Q -LL 57WEK08793 03/01/13 03/01/14 X WORYC STLIM ATU- EB- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE-POLICYLIMIT $1,000,000 D oTH ProIFlAisional wy ` LRA9P0113 02/27/13 02/27/14 $1,000,000 per Claim ILlability c $2,000,000 Annl Aggr. al __J C-� DESCRIPTIbRbF TIONS/L AISNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS General bil policy exdDdes claims arising out of the performance of professional services. Re: Monism C61hty Professional Engineering Services. Monroe County Board of County Commissioners is included as Additional Insured for General and Automobile Liability. Insurance is primary per policy form. CVD30L 70 '?AtAP Monroe County Board of County Commissioners Attn: Shane Smith, Project Manager 1100 Simonton Street Key West, FL 33040-0000 - /j C SHOULD ANYOF TH E ABOVE DESCRIBED POLICIESSE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLXXFffl8WWWMAIL 30Q_DAYSWRTrrEN NOTICE TO TH E CERTIFICATE HOLDER NAMED TOTH E LEFT, B REPRESENTATIVE ACORD 25S (7197)1 of 1 NMF o ACORD CORPORATION 1988 CORM. CERTIFICATE PRODUCER Dealey, Renton & Associates P. 0. Box 12675 Oakland, CA 94604-2675 510 465-3090 INSURED T. Y. Lin IntemationaUH.J. Ross 2 Harrison Street, 5th Floor San Francisco, CA 94105 DATE (MWDD IABILITY INSURANCE 212512014m) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ccoa NO THE ERTIFICATE FEB 2 HOLDER. TH SO CERTIFICATE 1 DOS NOTNAMEND, EXTEND OR ZO14 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Finance Dept. INSURERS AFFORDING COVERAGE INSURER A Hartford Fire Ins. Co. INSURER B: Hartford Underwriters Ins. Co. j INSURER C: Aspen Spe -lal•, Ins. Co. INSURER D: Twin City Fire Ins. CO. I INSURER E: JVYtKA�aCO - 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. POLICY EFFECTIVE'03101/15 POLK Y EXPIRATION LIMBS VSR TYPE OF INSURANCE POLICY NUMBER A GENERALLIABILrrY 57CESOF1487 03/01/14 EACH OCCURRENCE 000 XCOMMERCIAL GENERAL LIABILITYFIRE DAMAGE (Anyon�7$�1000 $1 000.000 CLAIMS MADE a OCCUR MED EXP (Any one person) $10 000 NAL 8 ADV INJURY $1 000 000 X Contract'[ Liab. PERSO — _— GENERAL AGGREGATE s2 000 000 X Cross Liability GEN'LAGGREGATELIMITAppL1ESPER: PRODUCTS-COMPIOPAGG 52,000,000 I POLICY X PRO LOC D AUTOMOBILE LIABILI Y 57UENPV4294 03/01/14 03101/15 COMBINED SINGLE LIMIT (Ea (Ea accident) X ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per Person) $ SCHEDULED AUTOS . X HIRED AUTOS BODILY INJURY (Peracddent) $ X NON -OWNED AUTOS AP PROPERTY DAMAGE (Per accident) s 8 AUTO ONLY - EA ACCIDENT _ S EA ACC OTHER THAN AUTO ONLY: AGG $ GARAGE LIABILITY ANY AUTO':' WANEiF $ ! EACH OCCURRENCE $ EXCESS LIABILITY OCCUR n CLAIMS MADE AGGREGATE E $ — $ $ DEDUCTIBLE RETENTION $ 57WEK08793 03/01114 03/01/15 WC STATU- OTH- XTOR B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000,00 E.L. DISEASE -EA EMPLOYEE 0,000,00 E.L. DISEASE - POLICY LIMIT 11.000.00 LRA9P0114 02/27/14 03/01/15 $2,000,000 per Claim $2,000,000 Annl Aggr. C I OTHER Professional a :.�Milifv DESCRIPTION OF OPERATIONSILOCATIONWVEHN LESIEXCLUSK)NS ADDED BY ENDORSEMENTISPECIAL PROVISIONS General Liability policy excludes claims arising out of the performance of professional services. Re: Blimp Road Boat Ramp - Cudjoe Key. Monroe County Board of County Commissioners is included as Additional Insured for General and Automobile Liability. Insurance is primary per policy form. ii lC Monroe County ZS :I Wd 0Z 03J UR Board of County Commissioners 1100 Simonton Street Key West, FL 33040-3110 SHOULD ANYOF TH E ABOVE DESCRIBED POLICIESSE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL j0UWNfAjMMAIL30—DAYSWRrrTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BMRO!lNMMRAMA7Q1It7(X A17MXX XXIlfOMM REPRESENTATIVE ACORD 25-S (7197)1 of 1 #S889695/M889690 NMF 0 ACORD CORPORATION 1988 r_lianfd!• 799 TYLININTF1 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYI� 3/05/2015 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 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()es) 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 endomement(s). PRODUCER Dealey, Renton & Associates CONTACT NAME: Nancy Ferrick aa' Et): 510 465-3090 FAX NC No): 510 452-2193 P. O. Box 12675 ADD E-MAIL nferrick@dealeyronton.com Oakland, CA 94604-2675 510 465-3090 INSURER(S) AFFORDING COVERAGE NAIL INSURER A: Hartford Fire Ins. Co. 19682 INSURED T. Y. Lin International/H.J. Ross 345 California Street, Ste. 2300 San Francisco, CA 94104 INSURERB. Hartford Underwriters Ins. Co. 30104 INSURER c : Aspen Specialty Ins. Co. 10717 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 PLAID CLAIMS. LLITSRR TYPE OF INSURANCE IANDSRL UB POLICY NUMBER MLDDDY E MMIDDY EXP LIMBS A GENERAL LIABILITY X X 57CESOF1487 3/01/2015 03101/2016 EDpACH��OEECCCURRENCE $1 000000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR RREMISES Ea om enc. $1 000 000 MED EXP (Any one person) E 10 000 PERSONAL & ADV INJURY $1,000,000 X COntract9 Llab. X Cross Liab. GENERAL AGGREGATE E2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s 2,000,000 L POLICY X PRO LOC A AUTOMOBILE LIABILITY X X 57UENPV4294 3/01/2015 03/01/201 Ea aBlcddentSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BY ISK EMEN ALL OOWNED SCHEDULED AUTX HIRED AUTOS IX NON -OWNED AUTOS Y BODILY INJURY (Per accident) $ ATE PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR WAJVER YES —EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' UABILRY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) N / A X 57WEK08793 /01/2015 03/01/201 X TWC IORYLI U- 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 LRA9P0115 3/01/2015 03/01/201 $2,000,000 per Claim Liability $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Addtdonal Remarks Schedule, if mom space is required) General Liability Policy excludes claims arising out of the performance of professional services. 30 Days Notice of Cancellation (10 Days for Non -Payment of Premium). Re: Blimp Road Launch Ramp - Cudjoe Key / On -Call Professional Engineering Services. Monroe County and its successors and assigns are included as Additional Insured for General and Automobile Liability. Insurance is primary per policy form. Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Its successors and assigns ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Rm. 1-216 Key West, FL 33040 AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION. Ali rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1266163/M1266148 NMF Client#- 722 YA76R"i, ill ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMODNYYY) 1 3/05/2015 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 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 Dealey, Renton & Associates P. O. Box 12675 Oakland, CA 94604-2675 510 465-3090 CONTACT NAME: Nancy Ferrick "E N E# 510 465-3090 ,U No ; 510 452-2193 E-MAIL r@nton.com ADDRESS: nferrick@dealeyrenton.com INSURER($) AFFORDING COVERAGE NAIL S INSURER A: Hartford Fire Ins. Co. 19682 INSURED T. Y. Lin International/H.J. Ross 345 California Street, Ste. 2300 San Francisco, CA 94104 INSURER B : Hartford Underwriters Ins. Co. 30104 INSURERC: Aspen Specialty Ins. Co. 10717 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. IN L TYPE OF INSURANCE ADDL INSR UB WVD POLICY NUMBER POLICY EFF MMIDD POLICY EX MIDD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I OCCUR X COntract9 Llab. X X 57CESOF1487 3/01/2015 03101/2010 EACH OCCURRENCE $1 000 000 PREMISES EaEo EErrren $1 000 000 MED EXP (Any one person) $10 000 PERSONAL & ADV INJURY $1,000,000 X Cross Liab. GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO LOC JECTA PRODUCTS - COMP/OP AGG s 2,000,000 $ r AUTOMOBILE LIABILITYEa X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS X X B 57UENPV4294 AP BY RI �KA NA 3/01/2015 03/01/201 COMBINED SINGLE LIMIT aoaaent 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Par acddent) $ PROPERTY DAMAGE Par.cddam y $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE i EACH OCCURRENCE $ WAIVER N/ YES-- AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOoR/ PARTNER/EXECUTIVE V / N OFFICERIMEMBER EXCLUDED? N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS belowE.L. N I A X 57WEK08793 3/01/2015 03/01/201 X WC STATu OTH- E.L. EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 DISEASE - POLICY LIMIT s1,000,000 C Professional Liability LRA9P0115 3/01/2015 031011/2010 $2,000,000 per Claim $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom space Is nquMed) General Liability Policy excludes claims arising out of the performance of professional services. 30 Days Notice of Cancellation (10 Days for Non -Payment of Premium). Re: Drainage Improvements Projects / On -Call Professional Engineering Services. Monroe County and its successors and assigns are included as Additional Insured for General and Automobile Liability. Insurance is primary per policy form. Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN its successors and assigns ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Rm. 1-216 Key West, FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD f1S1266162/M1266148 NMF POLICY NUMBER: 57CESOF1487 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name Of Additional Insured Person(s) Or Organization(s): Monroe County its successors and assigns 1100 Simonton Street, Rm. 1-216 Key West, FL 33040 SCHEDULE Location(s) Of Covered Operations Re: Drainage Improvements Projects / On -Call Professional Engineering Services. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: I. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 2010 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 Client#: 722 TYLININTEI ACORD,.. CERTIFICATE OF LIABILITY INSURANCE I DATE DIET ") THIS CERTIFICATE I8 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: 11 the certificate holder is an ADOITIONAL INSURED, the policy(Ie.) must be endorsed. If SUBROGATION I8 WAIVED, subject to the terms and conditions of the poilcy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(o). PRODUCER • ? : T Ferrick Donley, Renton & Associates ri ,,4'1;, ,,. 510 485 -3090 t , 510 452.2193 P. O. Box 12675 t ;,_ nferrickedealeyrenton.com Oaldand, CA 94604 -2675 INsURERIst AFFORDING COVERAGE NAIC I 510 465.3090 Raman A Hartford Fire Ins. Co. 19882 IISURSD ,,, 1 American Flre and Casualty Comp 24066 T. Y. Lin International INSuRBRc: Hartford Underwriters Inc. Co. 30104 345 California Street, Ste. 2300 A s en American Insurance Co. + 43460 San Francisco, CA 94104 wauReR o: P INSURER E. , , INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREI.ENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Y TYPE OFINSURANCE 1441. PO NUM ,.1q1uau _ 1. :fLA'" LIMITS A X COMMERCIAL G E N E RA L LINK" X X 57CESOF1487 03/01/2016 03/01/2017 EACH OCCURRENCE 11.000.000 __ J CIA US+MADE 112 OCCUR I i m,al s 1,000 X' Contract'I Uab. 1 ? MED EXP (Any on. Mme) 110,000 X Cross Liability PERSONAL A ACV INJURY s1A0OJ000 GEM. AGGREGATE UNIT APPLIES PER: GENERAL AGGREGATE 52000 _„y POLICY © ma C LOC PRODUCTS- COMPIOPAGO 12,000 .. _._ OTHER: 1 A AUTOMOBILEUABIUTY X X OTHER: * 03/0112016 031011201? COSINGLE UNIT 51,000,000 X ANY AUTO _ BODILY INJURY IPM Peon) $ ALL OWNED SCHEDULED I BODILY INJURY (Per udder* $ X MIRED AUTOS X NON NED PROPERTY � DAMAGE y S EMI 1 _. B UYeREUA wit . 4., occuR X X 1 EUA1757169563 03101/2016 03/0112017' EACH OCCURRENCE 12.000.000 — X EXCESS CL+uwas.MtD1 AGGREGATE 12 ,000 .000 DEP { TRETENTIONS _ _ _. 1 - WORMERS CtIMPEN1aATIDN X S7WEK08793 03/01/2018 0310112017 X l ruts l ir AND EMPLOYERS' MAMMY AN OFPICEWME N IA E. L. EACI4ACC'QENT slam* IMwranrll in NN) E.L. QISEASE • IA EMPLQYRE 51,000,000 M ds. b uadar — J eE!!!!T!�±+ QP orEw►Tloye IM 41. tssEASE . PQUCY LIMIT i 1 D Professional LRA9P0116 03/01/2016 03/0112017 51,000,000 per Claim Liability 4 52,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS 1 LOCATIONS t VEHICLES (ACORD 101. Additional Remake Schedule. May be stlachsd If non apses Is ngWrsd) 11IP General Liability Policy excludes claims arising out of the performance of professional services. .e , i ■ y„ c .1 1 30 Days Notice of Cancellation (10 Days for Non - Payment of Premium). m ' ui ti i Re: Monroe County Professional Engineering Services. Monroe County Board of County Commis '• Included as Additional insured for General and Automobile Liability. Insurance is primary per policy form. F CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WIU. BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Shane Smith 1100 Simonton Street 12-216 AUTHORIZE() REPRESENTATIVE Key West, FL. 33040 -3110 ^ ,��, Gam, 121111111-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) 1 01 1 The ACORD name and logo are registered marks of ACORD N816353301761635274 NMF