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COI Expires 12/10/2015
® DATE (MM/DDIYYYY) ACC. RO CERTIFICATE OF LIABILITY INSURANCE 11/13/2015 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 CONTACT NAME: Hylant Group Inc Ann Arbor %/C N o. Ext):734- 741 -0044 FAX No):734- 741 -1850 24 Frank Lloyd Wright Dr J4100 E -MAIL Ann Arbor MI 48105 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Continental Insurance Company 35289 INSURED HIGGI -5 INSURER B :Continental Casualty Company 20443 Douglas N. Higgins, Inc. INSURER c :Valley Forge Insurance Co 20508 3390 Travis Pointe, Suite A INSURER D :Greenwich Insurance Company 22322 Ann Arbor MI 48108 INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER: 291696384 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 (MMIDD/YYYY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY U1061922047 4/1/2015 4/1/2016 EACH OCCURRENCE $1,000,000 X DAMAGE TO RENTED $500,000 COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) CLAIMS -MADE X OCCUR MED EXP (Any one person) $15,000 X Includes XCU PERSONAL 8 ADV INJURY $1,000,000 1 GENERAL AGGREGATE $2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000 $ POLICY X P F T. LOC 4/1/2015 4/1/2016 COMBINED SINGLE LIMIT A AUTOMOBILE LIABILITY U1061922033 (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ B X UMBRELLA LIAB X OCCUR U1061922050 4/1/2015 4/1/2016 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $10,000,000' DED X RETENTION SO $ C WORKERS COMPENSATION WC434990543 4/1/2015 4/1/2016 X T ORY LIMITS IO R AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Y IN N / A E.L. EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? N (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 D Professional/ PEC0025095 12/10/2014 12/10/2015 2,000,000 Each Claim Pollution 4,000,000 Aggregate DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Pedestrian Bridge Over Marvin Adams Waterway, Key Largo, Monroe County, FL Additional Insured for general liability and automobile liability as required by written contract- Monroe County Board of County i Commissioners, its employees and officials and Florida Department of Transportation APPR• , E : • •' AGEMEN1 - BY A A Ib WAI r 9A� ' ES CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Room 2 -213 Key West FL 33040 AUTHORIZED REPRESENTATIVE m ai f I ] © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD