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HomeMy WebLinkAboutCertificates of InsuranceA�oRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/12/09/2013 Y) 013 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 Aon Risk Services Northeast, Inc. Boston MA Office One Federal Street Boston MA 02110 USA CONTACT NAME: PHONE (A/C. No. Ext): (866) 283-712Z FAX 800-363-0105 C. No.: E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED CDM Smith Inc. ONE CAMBRIDGE PLACE INSURER A: Lloyds Syndicate No. 2623 A.A1128623 INSURER B: ZUrICh American Ins CO 16535 50 HAMPSHIRE STREET CAMBRIDGE MA 021390000 USA INSURERC: ACE Property & Casualty Insurance Co. 20699 INSURER D: INSURER E: CCIVFRArFS INSURER F: ----- - -- RCVIOIVIV IVlIMOCK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested LTR B TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EF MM DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY GLO EACH OCCURRENCE $2 , 000 , 000 X COMMERCIAL GENERAL LIABILITY DAMAGETO RENTED PREMISES Ea occurrence $300 r 000 CLAIMS -MADE X❑ OCCUR MED EXP (Any one person) $10 , 000 PERSONAL& ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GENT AGGREGATE LIMIT APPLIES PER — aMEvv RODUCTS - CO /OP AGG $4 , 000 , 000 POLICY X PRO X LOCJECT B AUTOMOBILE LIABILITY BAP 8376631- 0 014 COMBINED SINGLE LIMIT a accident $ 2 , 000 , 000 BODILY INJURY (Per person) X ANY AUTO V B i ALL OWNED SCHEDULED rN/ BODILY INJURY (Per accident) AUTOS AUTOS ^^ T DDT PROPERTY DAMAGE Per accident) X HIRED AUTOS X NON -OWNED AUTOS WAIVG S____ C X UMBRELLA LIAB X OCCUR XOOG27048456 01/01/2013 01/01/2014 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5 , 000 , 000 DED X IRFTENTION $25,000 B WORKERS COMPENSATION AND wc837663318 Ol/01/2013 01/01/2014 WC STATU- oTH- EMPLOYERS' LIABILITY YIN X TORY LIMITS ER ANY PROPRIETOR / PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $1, 000 , 000 E.L. DISEASE -EA EMPLOYEE $1, 000, 000 (Mandatory in NH) If as, describe under E.L. DISEASE -POLICY LIMIT $1, 000, 000 DESC SION OLGPERATIONS below ' A Archj Eng Qrdof QC1301367 01/01/2013 01/01/2014 each claim $3,000,000 �y aggregate $3,000,000 DESCRIPTION OF OPERATJONS I LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Monroe County Board of County Commissioners is included as Additional Insured in accordance with the policy provisions of the - General Liability and Automobile Liability policies. Lk-e t,!=K I lrlt Pdr. MUF$tK — 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. Monroe County Board Of county AUTHORIZED REPRESENTATIVE Commissioners 1100 Simonton Street ^y/ � Key west FL 33400 USA Jv— �c/612�sGr.Oc/7 1q. r ✓78A `m C Q d O S N V CD O Ln ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 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. E. The additional insured must see to it that: 1. We are notified as soon as practicable of an 'occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or "suit' as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit' will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non-contributory. F. For the coverage provided by this endorsement: 1. The following paragraph is added to Paragraph 4.a. of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is primary insurance as respects our coverage to the additional insured person or organization, where the written contract or written agreement requires that this insurance be primary and non-contributory with respect to any other policy upon which the additional insured is a Named Insured. In that event, we will not seek contribution from any other such insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same 'occurrence", offense, claim or "suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. G. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. All other terms and conditions of this policy remain unchanged. U-GL-1461-B CW (10/11) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. AC �® CERTIFICATE OF LIABILITY INSURANCE DATE(2Mf3/2013 V) 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 terns 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 Aon Risk Services Northeast, Inc. Boston MA Office One Federal Street Boston MA 02110 USA soC08a 01� CONTACT NAME. I. No. Ext): (866) 283-7122 (FAX. 800-363-0105 EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED Off' INSURER A: Zurich American Ins Co 16535 INSURERB: Lloyd's Syndicate No. 2623 AA1128623 CDM Smith Inc. ONE CAMBRIDGE PLACE gp� 50 HAMPSHIRE STREET Cana"- INSURERC: ACE Property & Casualty Insurance Co. 20699 INSURER D: CAMBRIDGE MA 021390000 USA is INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570052211225 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSIR LTR TYPE OF INSURANCE INSADOR VWD POLICY NUMBER MMI MMIDDIYYYY_XP LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY GLO SIR applies per policy terns & condi ions EACH OCCURRENCE $2,000,000 PREMISES Ea occurrence $300,000 MED EXP (Any one person) S10, 000 CLAIMS-MADE X❑ OCCUR PERSONAL & ADV INJURY $2 , 000, 000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4 , 000, 000 POLICY FXPRO- X LOC JECT A AUTOMOBILE LIABILITY BAP 6631-18 01 O1 2014 01 01 2015 COMBINED SINGLE LIMIT Ea accident $2 , 000, 000 BODILY INJURY ( Per person) X ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS M NON -OWNED AUTOS PROPERTY DAMAGE Per accident C X UMBRELLALIAB 1 X 1 OCCUR XOOG27373720 01/01/2014 01/01/2015 EACH OCCURRENCE $5,000,000 EXCESS LU1B CLAIMS -MADE AGGREGATE S5,000,000 DED I X RETENTION$25, 000 A WORKERS COMPENSATION AND LU181UTY N ANY PROPRIETOR / PARTNER / EXECUTIVE YIN wc837663319 01 01 2014 01/01/2015 X I WC LST TU- ORH TORYEMPLOYERS' E.L. EACH ACCIDENT $1, 000 , 000 OFFICER/MEMBER EXCLUOED7 (Mandatory in NH) N I A E.L. DISEASE -EA EMPLOYEE $1, 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S1,000,00 B Archit&Eng Prof QC1401367 01/01/2014 01/01/2015 each claim $3,000,000 SIR applies per policy terns & condi ions aggregate $3,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Monroe County Board of county Commissioners is included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. P 0,Y M ENT D WAIVER N/A ES_ m LO N N N LO 0 n uo O Z 0) t0 v t: m ii CERTIFICATE HOLDER CANCELLATION rm 'X^1t��j�nn03 3�0 N uLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE • 1 'J •��J • 7��• POLICY-UPIATION DATE HEREOF, NOTICE WALL BE DELIVERED IN ACCORDANCE VNTH THE I Monroe County Board of County AUTHORIZED REPRESENTATIVE commissioners 1100 Simonton Street Key West FL 33400 USA C1 .6 Nn V— 3311 NJ � � �e�kr�blela�r��ssa 888538 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD �► CERTIFICATE OF LIABILITY INSURANCE I 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 If the certificate holder s an ADDITIONAL I D, the poi ry(Iss) must be endorsed. SUMMATION IS WAIVED, sub)ect to the terms and conditions of the Polley, certain policies may require an endorsement A statement On this Certificate does not confer rights to the cerdfksts holder In lieu of such andorsement(s). F CERSisk Services Northeast, Inc. (866) 281-T122 B00-363 O30S Ne.Eaon MA Office Federal Street ss: on MA 02110 USA ORDeIOCOVERAOa NAICa CDM Smith Inc. ONE CAMBRIDGE PLACE SO HAMPSHIRE STREET CAMBRIDGE MA o21390000 USA rE MAY BE ISSUED OR IS AND CONDITIONS OF TYPE OF SanRANce MERCALGENERAL LIABILITY Ct'Als. pe XQ OCCUR GE7LAGOREOATELNaTAPPVQPER POLICY �PPAD' X LOC JECT OTHER A f AUMMOBLE LIABILITY 4 ly, ANYAUTO SCHEOULED �°g NNEORAvros NIREDAUTOS AUTOS Laox'""LLAL1M OCCUR EXCEss LIAR CLAIMS -MAN EMPLOYE" LmMUTY ANY PROPPATOII I FARRAR I "ECUM eFFI CEI W EMEER E)MW OEOr BAP Ur9(IRaig8) APP ootNMA: Ins Co Zurich !LE! j4UMRs; Lloyd's Syndicate No. 2623 SMURER C: MURER D: M RER E: rED BELUR nnve OUR" MP--- )R CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO LANCE i4OWN MAY HAVE BEEN REDUCEDES BY DESCRIBED AD CLAIMS�REIN IS SUBJECT yft Tshown ar•Has POLICYNUMelR tlwm -- ---- t7 iREM E MEDt (Aft AMPww) 5301000 PERaoNALaADVIWURY PERSONAL&A — GENERALAGOREGATE 52,000,000 PRODUCTS- Co~ AGO S4,000,000 COMMNEDSSIGLELeaT S2,000,000 eoDILY IWURY (ParP—) O 9MLY IWURV OW so-Offl) w PROPERTY DAMAGE tPv aebdFall C E L EACH ACCIDENT N I A I I I E.L. OISEASE.EA EMPLOYEE per clam aggregate S , DBSCRi;—w OF OPERATCW / LOCATNM I VEHICLES (ACORD 101. AdMIaW rlam r" edndum, may a aeadwd a mma aPaea m mq�a I Re: General yconsultin Engineeering Services at Key west international Airport and The Florida Keys Marathon Airport. Monroe ene a count Boy d ofACouunty Commissioners lity pIsIncsuded as Additional ensured in accords a with ic��visions of the W CERTIFICATE HOLDER CANCELLATION SHOULD ANY EXPIRATION DATE THEREOF. ENO ICES INILL � POLICY PROVISIONS. Monroe county Board of JAUTHOFQAZU�a--"— County Comissioners 1100 Simonton Street aey west FL 33040 USA c jd(pm �,Jr� ✓/�rs�ameres 6191111-2014 ACORD CORPORATION. All rights reaervsd. ACORD 25 (201401) The ACORD name and logo am registered marks of ACORD A4� 1 ® CERTIFICATE OF LIABILITY INSURANCE DATE 2M2 /2015 1 Y) 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 Aon Risk Services Northeast, Inc. Boston MA Office CONTACT NAME: PHONE (866) 283-7122 FAX 800-363-0105 (A/C. No. Ext): (AIC. No.): E-MAIL ADDRESS: One Federal Street Boston MA 02110 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: National Union Fire Ins Co of Pittsburgh 19445 INSURERB: New Hampshire Ins Co 23841 CDM Smith Inc. 75 State Street, Suite 701 Boston MA 02109 USA INSURERC: Lloyd's Syndicate No. 2623 AA1128623 INSURERD: ACE Property & Casualty Insurance Co. 20699 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570060665896 REV151UN NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EF MWDD/YYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL EACH OCCURRENCE $2 , 000 , 000 CLAIMS -MADE X❑ OCCUR ENT DAMA E RENTED nce PREMISES Ea occurrence) $lOO , OOO ' MED EXP (Any one person) $ 5 , 000 PERSONAL & ADV INJURY $2 , 000 , 000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4 , 000 , 000 DUCTS - COMP/OP AGG $4 , 000 , 000 POLICY M PRO FX] LOC JECT OTHER' A AUTOMOBILE LIABILITY CA 9734322 ADS 01/01/2016 01/01/2017BINED SINGLE LIMIT accidentB F(Ea $2 , 000, 000 X ANY AUTO CA 9734321 01/01/2016 01/01/2017ILY INJURY ( Per person) ILY INJURY (Per accident) ALL OWNED SCHEDULED MA AUTOS AUTOS X HIRED AUTOS N NON -OWNED AUTOS PROPERTY DAMAGE Per accident D X UMBRELLA LIAB OCCUR M00981485001 01/01/2016 01/01/2017 EACH OCCURRENCE $5,000,000 AGGREGATE $ 5 , 000 , 000 EXCESS LIAB H CLAIMS -MADE DIEDX RETENTION $10,000 B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N I A WC068022509 wcc068022510 AK,AZ,VA (1/01/2016 01/01/2016 7/01/2017 01/01/2017 X I STATUTE EORH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 i D ec i ry L T E._. ISEA„_-PO-I.,. LIMIT 1 $_,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C Archit&Eng Prof QC1601367 01/01/2016 01/01/2017 per claim aggregate $3,000,000 $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Stormwater Master Plan. Monroe County Board of County Commissioners is added as an Additional Insured with respects to General and Auto Liability. CERTIFICATE HOLDER V 7_, '.r; 1 k.-I1i',-1,1".r, 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. Monroe County Board Aft County Commissioners, �y �� ••/ 9— NV(` plo7 AUTHORIZED REPRESENTATIVE Simonton Street Rm 268 771 ` �/ el ` „�� el Attn: dFLh3364CO iiII KeynWest U5� 60J a311-4 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 10518329 LOC #: ® ADDITIONAL REMARKS SCHEDULE Page _ of AGENCY NAMEDINSURED Aon Risk Services Northeast, Inc. CDM Smith Inc. POLICY NUMBER See Certificate Number: 570060665896 CARRIER NAIC CODE See Certificate Number: 570060665896 1 EFFECTIVE DATE AUUI I IUNAL KLMAKKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD S(BIt NI D POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY LUIITS WORKERS COMPENSATION B N/A wc068O22511 CA 01/01/2016 01/01/2017 B N/A wc068022512 FL 01/01/2016 01/01/2017 B N/A wc068022513 IL, KY, NC, NH, UT 01/01/2016 01/01/2017 B N/A wc068022514 MA, ND, OH, WA, WI, WY 01/01/2016 01/01/2017 ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD C� ® A� o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/24/2015 F 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 Aon Risk Services Northeast, Inc. Boston MA Office CONTACT NAME' (A/C No. Ext): (866) 283-7122 (A No.): 800-363-0105 E-MAIL ADDRESS: One Federal Street Boston MA 02110 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: National Union Fire Ins CO of Pittsburgh 19445 CDM Smith Inc. 75 state street, suite 701 Boston MA 02109 USA INSURER B: New Hampshire Ins Co 23841 C: Lloyds syndicate No. 2623 AA1128623 -INSURER INSURERD: ACE Property & Casualty Insurance Co. 20699 INSURER E: INSURER F: GUVt_KAlit, 1aK11FIL:AI17 NIJMIif•K[ n/1-11-I6UhhhtlJh REVISION NIIMHFR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSIR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL EACH OCCURRENCE $ 2 , 000 , 000 CLAIMS -MADE ❑X OCCUR DAMAGE RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $ 5 ,.000 PERSONAL &ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4 , 000, 000 POLICY � PRO LOC JECT PRODUCTS-COMP/OP AGG $4,000,000 OTHER: _ AUTOMOBILE LIABILITY CA 9734322 ADS 01/01/2016 01/01/2017 COMBINED SINGLE LIMIT Ea accident $2 , 000 , 000 BODILY INJURY ( Per person) B X ANY AUTO CA 9734321 01/01/2016 01/01/2017 ALL OWNED SCHEDULED MA BODILY INJURY (Per accident) AUTOS AUTOS X HIRED AUTOS N NON -OWNED AUTOS PROPERTY DAMAGE Per accident UMBRELLA LIAB X OCCUR M00981485001 01/01/2016 01/01/2017 EACH OCCURRENCE $ 5 , 000 , 000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5 , 000 , 000 DED I X RETENTION 510,000 BPX B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBEREXCLUI � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC068022509 AOS wC068022510 AK, AZ, VA 01/01/2016 01/01/2016 01/01/2017 01/01/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1, 000 , 000 E.L. DISEASE -EA EMPLOYEE $1, 000, 000 E.L. DISEASE -POLICY LIMIT $1, 000 , 000 C Archit&Eng Prof QC1601367 01/01/2016 01/01/2017 per claim $3,000,000 aggregate $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Stormwater Master Plan. Monroe County Board of County Commissioners is added as onal In d with respects to General and Auto Liability. E GEMENT 4BY, /A ES� CERTIFICATE HOLDER 7 r' ) NJ -in CANCELLATION i 1;� I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. `m c0 W co to O r O Z N <t/ V w 4) U Monroe County Board ii �� �— AUTHORIZED REPRESENTATIVE -_ County Commissioners, t m Ntlf� 9I�Z Attn: Simonton Street /!! It � m*e� Rm 268 c/,i(/ Attn: Judith 5. Cla UO� Jt)0 8 110 J 0311.1 suwaaa sa Key west FL 33040 U55'tXi ..77 as a ©1988-2014 ACORD CORPORAT ON. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 10518329 LOC #: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY Aon Risk Services Northeast, Inc. NAMEDINSURED CDM Smith Inc. POLICY NUMBER see Certificate Number: 570060665896 CARRIER See Certificate Number: 570060665896 NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, I FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. [NSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MM/DD LIMITS WORKERS COMPENSATION B N/A WC068022511 CA 01/01/2016 01/01/2017 B N/A wc068022512 FL 01/01/2016 01/01/2017 B N/A WC068022513 IL, KY, NC, NH, UT 01/01/2016 01/01/2017 B N/A wC068022514 MA, NO, OH, WA, WI, WY 01/01/2016 01/01/2017 ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PE CERTIFICATE OF LIABILITY INSURANCE 1 DAT01116 DIYYYY' 111prJ016 CERTIFlCATE 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, dw pol cy(las) must be endorsed. It SUBROOATION18 AIVED, subject to the terms and conditions of it* policy, certain policies may require an endorsement. A statement on this ceRUlcate does not confer rights to the cardfleate holder In lieu of such endorsement(s). CONTACT AonnRRisRk NAME Services Northeast, Inc. (666) 233-7122 iAx 800-363-0105 Boston MA OffiC! e ND.az Mt One Federal Street ADO n: Boston MA 02110 USA INSUREWB) A PPORDNG COVaRAOa NAIL S NSUIlO INGUARRA: Zurich American Ins Co aeai> CDM Smith Inc. EauRERlu Lloyd's Syndicate No. 2623 AA1125623 ONE CAMBRIDGE PLACE SO HAMPSHIRE STREET NEURERC: CAMBRIDGE MA 021390000 USA MUREgy, NSURER E: INSURER P: vTHIS O CERTIFY THAT THEINSURANCE BELOW HAVE ISSUED TO THEOR THE POLICY 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. t nift shown are p MLyaled TYPE OF INSURANCE POLICY NUMBER J a wn FM z a FMOVIM, LIMITS X COMMERCIAL OENEMLLWILRY a 94S--DE XX OCCUR L ! EACHOCCURIENCE S2,000,000 PREMISE s3w.000S MEDEXP(Any aft Person) S10,000 PERSONAL&ADVIIMRY $2,000,000 GENLAGOREGATELMSTAPP PER POLICY QX PRO. X LOC JECT OTHER GENERALAGOREGATE . . PRODUCTS-COMP/OPAOG S4,000,000 A [AIIrOMOaILlLIABnJTY X ANYAUtO ALLOWNEO KHlDrAED AUTOS AUTOS 'X HIREDAUTOS X NOHb�OWED BAP $376631-19 1 01/01/2015'01/01/20161 1 COMBINED SINGLE LOT E�asaYeh< S2,000,000 BODILY INJURY I Per Person) SODILYNJURYIPW800 1M PROPERTYDAINGE aPERTY tweno UMBRELLALUI6 EXCESSLUdI OCCUR CWM84AADE EACH OCCURRENCE AGGREGATE RETENTION A INORKERSCOMPENSAT10NAND EMPLOYEW UABLM ANY PROPRIETOR I PPJM4R I EXECUTIVE N ORICERNEMIEREXCLUDW IMNIft In NH) U = oF'O OF bbw pERATONS NIA 1/ I X PER STATUTES TH E.L EACH ACCIDENT $1,000,0 00 EL.DISEASE•EAEMIKOYEE S1,000.0001 ME E L DISEASE•POUCY LT a Archit&Eng Wof QC1501737 01/01/201=31/2016 per claim aggregate $3,000.000 DESCRIPTION OF OPERATIONS I LoCATKm; vEHX:LEs (ACORD Ill. AdMknal RgnnrM Schedule, my a.IgeMd S morn &Peet I. requlrM) Re: General Consulting Engineering Services at Key west Internation Airport and The Florida Keys Marathon Airport. Monroe County Board of County Commissioners is included as Additio I Insured in accord& a with icy provisions of the General Liability and Automobile Liability policies. EA�1Ji wa fJ CERTIFICATE HOLDER CANCELLATION -1. SHOULD ANY OF THE ASOVE DESCRISED POLICIES BE CANCELLED BEFORE THE EO~TION DATE THEREOF. NOTICE VKL 6E MWERED OfACCORDANCE WITH THE POLICY PROVISIONS. Monroe county Board of AUTHORIZED REPRESENTATIVE County Comissioners Simonton Street Key `J �,u 4 ` ^ JL Key west FL 33040 USA �/ 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD