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COI Expires 04/01/2016 . DATE (MIWDDIYYYY) A GR0® CERTIFICATE OF LIABILITY INSURANCE 1I6i2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS U 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). CONTACT PRODUCER NAME: Hylant Group Inc Ann Arbor PHONE wc No):734 -741 -1850 i (AIC. No. Ext1:734- 741 -OQ44 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 o :Greenwich Insurance Company 22322 Ann Arbor MI 48108 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: 1387590143 REVISION NUMBER: THIS IS TO NDICATED.0 POLICIES NOTVVITHSTANDING ANYREQUIREMENT, TERM OR CONDIT THE RESPECT O CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH TO LIWHICH THIS S 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 LIMITS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) A GENERAL LIABILITY U1061922047 4/1/2015 4/1/2016 EACH OCCURRENCE $1.000.000 DAMAGE TO RENTED $500,000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) CLAIMS -MADE X OCCUR rA ED '\ `�' K M `EMEN MED EXP (Any one person) $15,000 X Includes XCU BY * PERSONAL 8 ADV INJURY $1.000 DATE 1 I L" GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP /OP AGG $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'. $ 7 POLICY X 7 LOC WAIVER N/f . YES__,,. INED INtU SINGLE LIMIT A AUTOMOBILE LIABILITY U1061922033 4/1/2015 4/1/2016 COMB aB) $1 000, BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE $ (Per accident) HIRED AUTOS AUTOS $ B X UMBRELLA LIAR X OCCUR U1061922050 4/1/2015 4/1/2016 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE $ DED X RETENTION $0 W CSTATU- OTH- C WORKERS COMPENSATION WC434990543 4/1/2015 4/1/2016 X I TORYLIMITSI I ER AND EMPLOYERS' LIABILITY y 1 N E.L. EACH ACCIDENT $500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N / A OFFICER/MEMBER EXCLUDED? N E.L. DISEASE - EA EMPLOYEE $500,000 (Mandatory in NH) If yes. describe under E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below Each Claim D Professional/ PEC0025095 12/10/2014 4/1/2016 2,000,000 9 Pollution 4,000,000 Aggregate DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Job: CULVERT INSTALLATION, WATER QUALITY IMPROVEMENT PROJECT, CANAL #277 TROPICAL BAY ESTATES, BIG PINE KEY, MONROE COUNTY, FL • Additional Insured for General Liability and Automobile Liability on a primary/non- contributory basis as required by written contract- Monroe County Board of County Commissioners, its employees, officials, agents and volunteers 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 Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St The Gato Building, Room 2 -205 AUTHORIZED REPRESENTATIVE Key West FL 33040 tV (Qt- © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD