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Certificates of InsurancecoR CERTIFICATE OF LIABILITY INSURANCE D 13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. HOLDER. THIS BY THE POLICIES INSURER($), AUTHORIZED IMPORTANT: K the certill holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. H SUISROGATIO the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate c certMcats holder in Hsu of such •ndo s . 4 IS WAIVED, subject to Gas not confer rights to the PROOUCVt GMTOWT Hylant Group Inc - Ann Arbor PHONE 734 PAZ - 4 Frank Lloyd Wright Dr J4100 L An n Arbor M148105 INSU AFFORDING COVERAGE NAIL 9 INSURER INSURER A . INSURED INSURER a . -Continental Caaua4 Company 0443 Douglas N. Higgins, Inc. INSURER 3390 Travis Pointe, Suite A INSURER D . -Greemylch Insurance Company Ann Arbor M148108 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 1154663551 REVISION Nt MBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED M INDICATED. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS S EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. VE FOR THE POLICY PERIOD RESPECT TO WHICH THIS EJECT TO ALL THE TERMS, INSR ADUL WON TYPE OF INSURANCE POLICY NUMBER POI.CY LIMITS GENERAL LIABILITY UIOGI922047 2/10/2013 2/10/2014 EACH OCCUIRREI ICE S1.000 X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR MED EXP $200.000 $15,000 PERSONAL • INJURY $1,000,000 GENERAL BATE 82.000.000 GEN L AOAftEOATE LNNIT APPLIES PER PRODUCTS - CO PIOP AGG $2,000,000 POLICY X T& LOC 8 AUTOMOBILE LIAaLITY U1061922033 2/1012013 2110/2014 1 000 000 BODILY INJURY person) S ANY AUTO ALL AUTO ED SCH NON-OWNED HIRED AUTOS AUTOS BODILY INJURY ( occqu4) $ PROPERTY S S B X UMSRELLA LIAR X OCCUR 01081922050 1211012013 2110/2014 EACH OCCURRE ICE $10,000,000 AGGREGATE 810,000,000 EXCESS LIAB CLAR48-MADE DED I X I RETENTION S 10,000 S C VKWJQRS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (M in N a� NIA 181922018 2M 0/2013 2/10/2014 X STATU E.L EACH ACC TM- "N.000 E.L. DISEASE - EMPL 5500 000 E.L. DISEASE - PC LICY LIMB I $1. 0m.000 DESG�RIPTION OF OPERATIONS below D PrDfesdonal Pollution PECO026095 1211012013 1211012014 2,000,000 4,000.000 Each Claim Aggregator DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Anuh ACORD 101, AddMaMl RemMn Sdwdule, N men Spam M nqulnA) Job: Key West International Airport Monroe County Pavement Rehabilitation of Faraldo Circle, Project No. GAKA1154. Additional Insured for General Liability and Automobile Liability as required by written contract- Monroe County Board of County Commissioners, Its employees and officials EI1 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS VALL BE DELIVERED IN 1100 Simonton Street, Room 2 -213 Key West FL. AUnwRIZZIII RWW45 WAYM ®1888 -2010 ACORD CORPO TION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD EVIDENCE OF PROPERTY INSURANCE 12/12/201 1211 `'" 1 2 01 "'""' 3 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERII NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY .734- 741 -0044 COMPANY Hylant - Ann Arbor AGCS Marine Insurance Company 24 Frank Lloyd Wright Dr, Ste J4100 33 West Monroe Street Ann Arbor MI 48105 Chicago IL 60603 - 741 -1850 eti Debbie.Neffehylant.com SUB CODE: W&.D0UGNHI -02 INBUIUED Douglas N. Higgins, Inc. 3390 Travis Pointe, Suite A Ann Arbor MI 48108 LOAN NUMBER NUMBER 026986 EF DATE A110NGATE 12/1o /zo13 1z / 10/2 10 /zo14 caNnNU ®uWnL l TERM IF CHECKED TM3 REPLACES PRIOR EVIDENCE DATED: -� 0. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE LICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH ESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICI S DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUS AND C OF SUCH POLICIES. L IMITS SHOWN MAY HAVE BEEN RED CED BY PAID CLAIMS. Equipment Floater - "Special" cause of lose form, Actual Cash value 11tional Insureds Monroe County Hoard of County Commissioners, its employees and officials. % Key West international Airport Monroe County pavement Rehabilitation of Faraldc Circle, prof SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MORTGAGEE U ADOITIOWIL M;URED Monroe County Hoard of County COMM188ioners LOAN/ 1100 Simonton Street, Room 2 -213 Key West FL AUTHORDMD REPREBENTATRIE A" ACORD 27 (2009H 2) ®1993 -2109 AC( The ACORD name and logo are registered marks of ACORD ,000 No. OMM54 NOTICE WILL BE All rights reserved, ' � EVIDENCE OF PROPERTY INSURANCE THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENI COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY PHONE 734- 741 -0044 COMPANY Hylant Group Inc - Ann Arbor AGCS Marine Insurance Company 24 Frank Lloyd Wright Dr J4100 33 West Monroe Street Ann Arbor MI 48105 Chicago IL 60603 DATE IMMIDDIYYYY) 12/12/2013 NO RIGHTS UPON THE EXTEND OR ALTER THE DNTRACT BETWEEN THE 741 - 1850 1 per: Debbie.Neffshylant.com CusronERinr•HIGGI -5 INSURED Douglas N. Higgins, Inc. 3390 Travis Pointe, Suite A Ann Arbor MI 48108 LOAN NUMBER NUMBER 026986 LOCAIKKGEWMPTION EFFECTIVE DATE EXPIRATION DATE 12/10/2013 12/10/2014 CONTINUED UNTIL n TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE LICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EVIDENCE OF PROPERTY INSURANCE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLI IES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLIC LIMITS SHOWN MAY HAVE BEEN RE UCED BY PAID CLAIMS. COVERAGE I PERILS I FORMS AMOUNT OF INSURANCE DEDUCTIBLE Installation Floater - "Special" cause Of 1088 form, Replacement Cost At Job Site Temporary Storage Location 5300000 5,00,00 5,000 In Transit 340,000 5,000 Flood Sublimit Earthquake Sublimit 1,000,000 25,000 1,000,000 25,000 2% deductible for Florida windstorm subject to $22,500 minimum REMARKS (Including Special Conditions Job: Key West International Airport Monroe County Pavement Rehabilitation of Faraldo Circle, Project No. GAKA154. Additional Insured - Monroe County Board of County Commissioners, its employees and officials SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ann rritimAl IWT e DCQT NOTICE WILL BE NAME AND ADDRESS MORTGAGEE R ADDITIONAL INSURED Monroe County Board of County Commissionere 1100 Simonton Street, Room 2 -213 LOSS PAYEE LOAN# Key West FL . AUTHORIZED REPRESENTATIVE ACORO 77 11nAO14 91 W/ 1990 -AUUM AGUKU LoVKFU I ION. All rights reserved. The ACORD name and logo are registered marks of ACORD 7