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Certificates of Insurance Client #: 292136 80SMEINC DATE (MMlODIYYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 9/1112015 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 15 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). C N TA CT PRODUCER N�ME Sandy Krevonick BBBT insurance Services, Inc , tom, N En], 804478 -5026 i ■ FAX No) 888. 751 -3010 3318 West Friendly Ave., E-MAIL RESS: Ste. 400 INSURER(S) AFFORDING COVERAGE NAIL 0 Greensboro, NC 27410 INSURER A: XL Specialty insurance Company 37885 INSURED INSURER e : Littlejohn Engineering Associates Inc. INSURER C: 1935 21st Ave. South INSURER D : Nashville TN 37212 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THS IS TO CETIFY ND CATED NO NG ANY C REOUIREMENT, TERM OR OR CONDO O OF CONTRACT OR OTHER DOCUMENT WITH RESPECT POLICY PERIOD TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - . DDL -SUBR, POUCY NUMBER M POUCY EFF ( POLICY LIMITS W R .. TYPE OF INSURANCE 1f _ _. EACH OCCURRENCE t GENERAL LIABILITY I p TTQ RENTED COMMERCIAL GENERAL LIABILITY i PREMISES I te OCCMrenr.w; $ . � J CLAIMS -MADE _ OCCUR I MED EXP (Any one parlor; $ _ PERSONAL & ADV INJURY S I GENERAL AGGREGATE $ I GEN' . AGGREGATE LIMIT APP LIES PER LPRODUCTS • COMP/OP AGG 1 $ iPOLICY r' a • LOC tCMDIN D SINGLE LIMIT AUTOMOBILE uaeIL11Y PPRO D ` � f EMENi , Xs amdert / s ,._. T 1i BODILY INJURY (Per person) $ IANYaura • , _ ___� ' ALL OWNED SCHEDULED DA i ih 11 BODILY INJURY (Per =War* S _ AUTOS t..._... AUTOS WAIV ' . } �rADAMAGE " S i HIRED AUTOS _....J AUTOS } S UMBRELLA LIAB I I OCCUR + 1 I EACH OCCURRENCE i 1 EXCESS LIAB CLAIMS -MADE i AGGREGATE '• S ``S DED RETENTIONS _ . _.- ._ WCSTATU iOTH•I AND WORKE EM S COMPENSATION i TORT -NM - N OT i AND EMPLOYERS' LIABILITY E L. EACH ACCIDENT _L$ ANY PROPRIETQpPJPARTNERJEX£CUTIVE Y/ N N 1 A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 1 E L. DISEASE • EA EMPLOYEE 5 . Tt Mnyess de under , E.L. DISEASE - POUGtI LIMIT 5 _ _, DESCRIPTION OF OPERATIONS bellow A Professional DPR9724643 07101(2015 0710112016 $5,000,000 Psrt � J•r Claim rn Uability $5,000,000 Aggregate p p $250,000 De. a_ ble " DESCRIPTION OF OPERATIONS! LOCATIONS !VEHICLES (Attach ACORO 101, Additional Remarks Schedule, It more apace M moulted) ,'7' Cn :x..) When required by written contract, thirty days notice of cancellation of this policy will be provided to ? --10 certificate holder for any reason other than non - payment of premium. _.i r r> Project: Big Pine Key Swimming Hole -e Project Manager. Keith Oropeza .? t� Project #: 20141338 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Ann Riger ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. Key West, FL 33040 AUTHORIZED REPRESENTATIVE 1 (D 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD JBB #S147891701M14436132 i ACCD D CERTIFICATE OF LIABILITY INSURANCE I DATEtNUIDO/Yren 1 46....E 1 8130/2016 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 POUCHES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(5), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the artiflats holder Is en ADDITIONAL INSURED, the pollcy(les) must bs endorsed H SUBROGATION I8 WAIVED, subJect to the terms end conditions of the polky, certain poldss may require an endorsement. A statement on this eertlfkate does not confer rights to the certificate holder In IIeu of such endorsement(;). FSCOU:ER T Sandy Krevanlck BEAT Insurance Services, Inc. 6046784026 1 ri"'� 888 -751 -3010 2108 W. Laburnum Ave Suite 300 ' aO� PO Box 17370 eI . skrevonick(bbandi.com Richmond VA 23227 puentaers) AFFORDING COVERAGE SAC P INSURER A :Valley Forge Insurance Company 20508 IN *URDLD 35SMEINC INSURER a :Continental insurance Company 35289 Utthjohn Engineering Associates Inc. mum c : Travelere Property Casually Co of A 25674 1936 21st Ave South IxMIRERD 'American Casually Co of Readi_g PA 20427 Nashville, TN 37212 INeune .XL Specialty Insurance Company 37885 , INSURER P : COVERAGES CERTIFICATE NUMBER: 383770752 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 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.. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WIC SUMMAR- 1 tA1MlROrYYYYI op AllllpD/riYlry m tr palsy ��p LTR TYPE OF DIEURANCe 'NW MIO POLICY NUMBER LOUTS A x COMMERCNL CAMERAL UAIRnY Y Y PMT6042644344 7 /1/2016 7/1/2017 EACH OCCURRENCE 11,000.000 DAMAGE CLANS-YAM © OCCUR fi,1'EB IEi oen esda 11,000.000 , MEDEXP(Any one parson) /15,000 PERSONAL 5 AM IIUURY 51,000.000 GENE AGGREGATE MT APPLIES PER: GENERAL AGGREGATE *2,000.000 ll POLICY © ACT n LOC PRODUCTS • COMP/OP AGG *2.000,000 _ - OTHER 1 a AUTOMOBILEUA5ILm Y Y BUA6042644313 7/1/2016 ( 7/1/2017 COMHWED'3eiI�KE *1,000.000 tea sop4r11 _ X ANY AUTO BODILY DUVET (Pa Person( * `—" M — EULED BODILY INJURY (Peracdded) S ��� X FIRED AVMS X AUTOS PR0FIR I) DAMAGe 1 1 C X UMIRILLA LIAe o ccut Y Y ZUP51M EACH OCCURRENCE *5 .000.000 8239518 71112016 7/112017 # EXCESSLIAO iL( C AIM6 AGGREGATE *6.000,000 DEO IX 1 RETENTION S10.000 $ D wORNHISCOLMEISATNIN y WC8042647965 711/2010 7/1/2017 ,XjEA 1 1 ` AND EMPLOYERS' UAEIUTY Y 1U ANY PROPRIETORIPAIMEIVEXECUTNE ©N 1 A EL EACH ACCIDENT J 1, 000 . 000 OFFICER'S:USER OLCLIx1EDT — - Dpndatdry Y NN) 8.t. DISEASE - EA EMPLOYEE S1,000,000 g pm aewlbe under E5CRIPTIONOF OPERATIONS Salvo EL. DISEASE- POUCYLMIT *1.000,000 E ProluabnMLiaWEly DPR0800337 7/1 /2010 7/112017 5.000.000 Perctafm 5.000,000 Aggregate 1 DESCRIPTION OF OPERATIONS !LOCATIONS / VEHICLES (ACORD 401, AdBtlenal Remarks Schedule, may be attached If more apace b required) Umbrella policy extends over General Liability, Automobile Liability and Employers' Liability coverages. In the event the Company cancels the General Liability, Automobile Liab4itfr and Em fo ' Liability policies for any statutorily permitted reason other than non - payment of premium, the Company agrees to provide ninety (90) days' notice of cancellation of 1 e ' oNcy to any entity with whom the NAMED INSURED agreed In a written contract or agreement would be provided with , • lice .1 ..: n of the Policy. See Attached. • • e /!- , ,: 71 CERTIFICATE HOLDER CANCELLATION {+ V ' r 5• W — Monroe County BOCC !SHOULD ANY OF THE ABOVE DESCRIBED POUCHES BE CANCELLED BEFORE TIM 1100 Simonton Street CCORDANCE THE POUCYPROVISIO WILL BE DELIVERED M Room 2 -216 Key West FL 33040 AUTHORIZEDA*PREIDITATNE 1 i. (010811-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORN name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 35SMEINC LOC #: AC RIJ ADDITIONAL REMARKS SCHEDULE Page 1 of Amer NAMIO INSURED BB&T Insurance Services, Inc. Utdelohn Engineering Associates Inc. -1935 21st Ave South rOUCTNNMelR Nashville, TN 37212 CAMIZR Win CODs EFFECTIVE DATEc ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFIC OF LIABILITY INS URAN CE ., In the event that the Companies cancel the Professional Liability polcy for any statutorily permitted reason other than non-payment of premium, the Companies agree to provide thirty (30) days' notice of cancetlatlon of the Policies to any entity with whom the NAMED INSURED agreed in a written contract or agreement would be provided with notice of cancellation of the Policies. RE: Monroe C ounttyy Project Management Monroe County BOCC is Included as Additional Insured with respect to General Liability Coverage, ACORD 101 (2000101) *2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo 11111 registered marks of ACORD