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HomeMy WebLinkAboutCOI Expires 02/27/2017 Client #: 1049229 CURRISOW A CORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DDIYYYY) 12/01/2016 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 require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NpCT USI Insurance Services, LLC, P F 1715 N. Westshore Blvd. Suite 700 .MA L . Ex(); 813 321 -7500 ( NO: Tampa, FL 33607 mss INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: MSA Insurance Company 11066 INSURED INSURER 8 : Travelers Casualty Sr Surety Co 19038 Currie Sowards Aguila Architects Inc INSURER C: XL Specialty Insurance Company 37885 185 NE 4th Ave INSURER D : Suite 101 Delray Beach, FL 33483 INSURERS 1 INSURER F : COVERAGES CERTIFICATE NUMBER: 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 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR µppL� UBFC POLICY EFF POLICY EXP LTR TYPE OF INSURANCE pISR rWVD POLICY NUMBER (MMIDD[YYYY) I(MMIDD/YYYYL LIMITS A X COMMERCIAL GENERAL LIABILITY X BPG98835 08/17/2016 08/17/2017 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE 1 XI OCCUR RalardS e 70 o ) $500,000 1 MED EXP (Any one person) $ 5,000 J PERSONAL & ADV INJURY $1, 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 1 POLICY ( JECT I I LOC PRODUCTS - COMP /OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY X BPG98835 08117/2016 08/17/2017 ma SINr`r E LI MIT 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident $ AUTOS AUTOS ( ) X HIRED AUTOS X NON - OWNED PROPERTY DAMAGE A UTOS (Pg 1 . $ -. $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE S DED 1 ( RETENTION $ $ B WORKERS COMPENSATION X UB5436Y349 01/01/2017 01/01/2014 X PER UTE ER OTH- AND 4NPLOYERS• LU18ILn'Y Y / N STAT ANY ppRR pp�� ORlP ARTNER I EX ECUTIVE E.L EACH ACCIDENT $1000,000 OFFICECI EXCL 1 N / A r (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under _ DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional DPR9802219 02/27/2016 02/27/2017 $2,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Professional Liability coverage is written on a claims -made basis. RE: Public Works Offices, Magnolia Street, Monroe County is an additional insured with re •ect to Gen i Liability and Auto Liability. 1 PPR' ED ' , ► -' i-!� E B NT Y aw • - WAI 1 /A ' S CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS. Room 2 -216 Key West, FL 33040 AUTHORIZED REPRESENTATIVE O6 m. ei&ed....4.----- © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S19359237/M19359217 KEBEW