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COI Expires 04/01/2017
ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 2/24/2016 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 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 rproriro an erdorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CURTrcr NAME: Hylant Group Inc - Ann Arbor 24 Frank Lloyd Wright Dr J4100 PHONE FAX Ext :734-741-0044 A/c No :734-741-1850 EPICNo. ADDRESS: Ann Arbor MI 48105 INSURERS AFFORDING COVERAGE NAIC # INSURER A:Continental Insurancen35289 INSURED HIGGI-5 INSURER B: ontlnental Casualty Company 0443 INSURER C:Valley Fore Insurance Co 20508 Douglas N. Higgins, Inc. 3390 Travis Pointe, Suite A Ann Arbor MI 48108 INSURER D :Greenwich Insurance Company 2322 INSURER E : INSURER F : GUVERAGES CERTIFICATE NUMBER: 7rArrA-i ;A RFVISION NIIMRFR• 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 LTR TYPE OF INSURANCE ADDL INSR UBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP (MMIDDIYYYYI LIMITS A GENERAL LIABILITY U1061922047 4/12 16 4/1/2017 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY D Y M AGE ENT DAMAGE ( RENTED PREMISESS Ea occurrence $500,000 CLAIMS -MADE OCCUR BY MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 X Includes XCU DATE GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: YES_ PRODUCTS - COMP/OP AGG $2,000,000 WAIVER N/A POLICY X PRO-jECT LOC $ A AUTOMOBILE LIABILITY U1061922033 4/1/2016 4/1/2017 INEU, SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB X OCCUR U1061922050 4/1/2016 4/1/2017 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DEC) X I RETENTION$0 $ 1 C WORKERS COMPENSATION WC434990543 4/1/2016 4/1/2017 X T WCSTATU- OTH- R I R AND EMPLOYERS' LIABILITY Y/ N E.L. EACH ACCIDENT $500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYE $500,000 (Mandatory In NH) it yes, describe under E.L. DISEAS OLICY LIMI 1,OoiMO DESCRIPTION OF OPERATIONS below D Professional/ PECO025095 4/1/2016 4/1/2017 2,000000 2 cach dTa m Pollution7 4,000:000 56 `, � gre af'[F! m r- -t t= DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) (� 6 C- Job -Pedestrian Bridge Over Marvin Adams Waterway, Key Largo, Monroe County, FL. Additional Insured for General Liability and Automobile Liability, primary and non-contributory, as required by wriFl ontral�Mort»ae County Board of County Commissioners, its employees and officials. r c^ T1 3 9 tW we+, r wwer� I.AIY \.CLLA 1 IUIY 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 tku 1-ft ©1988-2010 ACORD CORPORATION. All rights reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD