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Certificates of Insurance
METRI-4 OP ID: TLS ACORO DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1 12/30/2013 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 endorsement(s). PRODUCER CONTACT MDW Insurance (North) Phone: 305-444-2324 PH�e Carrie Worley FAX 362 Minorca Ave Fax: 305-444-4980 Arc No Ext:954-616-6408 AIC No: 954-616-6410 Coral Gables, FL 33134 E-MAIL le mdwinsurance.com Craig Weinstein ADDRESS: cworY INSURED Metric Engineering, Inc. 13940 SW 136th Street, #200 Miami, FL 33186 INSURER(S) AFFORDING COVERAGE NAIC A: Hartford Casualty Insurance Co 29424 B:Hartford Fire Ins. Co. c:Hartford Casualty Insurance Co 29424 D:Hartford Insurance Co of SE 38261 E:Lexington Insurance Company 119437 rr1V1=0AC.'FS CFRTIFICATF N111111RFR• REVISION NUMRER- 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 DDL UBR POLICY NUMBER MM/DDY /YYYY MLVDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES Ea occurrence E 300,00 A X COMMERCIAL GENERAL LIABILITY X 21 UUNAN3986 03/01/2013 03/01/2014 CLAIMS -MADE Fx_1 OCCUR MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY S 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 $ POLICY X PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO X 21 UENAN4048 03/01/2013 03/01/2014 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS• NON -OWNED X HIREDAUTOS X AUTOS PROPERTY DAMAGE Per accident $ $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 C EXCESS LIAB CLAIMS -MADE 21XHUAN3161 03/01/2013 03/01/2014 DIED I X I RETENTIONS 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) N/A 21 WBAH4207 03/01/2013 03/01/2014 WC STATU- OTH- X TRY LIMITSR E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT I $ 1,000,00 E Professional Liab 031428218 03/01/2013I 03/01/2014 Ea Claim 1,000,000 Full Prior Acts $100,000 DEDUCTIBLE Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RE: Construction Engineering And Inspection (CEI) Services for the CR 905 Bike Lanes Project PP V ISKjVI�I GE�MEM � D Certificate holder Monroe County BOCC is included as an additional insured V,/q�/ -r; with regard to the General and Auto liability as required by (Continued) o e � C Monroe County BOCC Director of Engineering Svcs Ms. Judith Clarke, P.E. 1100 Simonton Street, #2-216 Key West, FL 33040 L,Ar4k,r LLA 1 IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE Q&NCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL ME DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. t� AUTHORIZED REPRESENTATIVE - © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD