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COI Expires 03/01/2018
• • • ��",,, KEITAND -01 NCHANDUVI A�oRa CERTIFICATE OF LI ABILITY INSURAN DATE(MMIDDIYYYY 03/01/2017 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 have ADDITIONAL INSURED provisions or 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 COTACT I NAM Ames & Gough I PHONE FAX 8300 Greensboro Drive I tom, No. E=t): (703) 827 -2277 I (A/C, No): 827 4279 Suite 980 kiMOfiss: admin @amesgough.co m McLean, VA 22102 I INSURER(S) AFFORDING COVERAGE f NAIC INSURER A : National Union Fire Insurance Company 119445 INSURED i INSURER B : St. Paul Fire and Marine Insurance Company ;24767 _ Keith and Schnars, P.A. [INSURER C : National Union Fire Insurance Company of Pittsburgh, PA11�5 6500 North Andrews Avenue i INSURER o : Continental Casualty Company (CNA) A, XV 120443 Ft. Lauderdale, FL 33309 -2132 INSURER E : _ I i 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 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR? ��ADDL SUBR: I POLICY EFF . POLICY EXP LTR + TYPE OF INSURANCE I INS01 1 WVD I POLICY NUMBER J LMM /DD/YYYY1 (MM/DDIYYYYI . LIMITS ' X � COMMERCIAL GENERAL LIABILITY ) 1,000,000 A EACH OCCURRENCE $ I I CLAIMS -MADE I X I OCCUR :5180214 03/01/2017 03/01/2018 D REMJSE AMAGE S (E TO Ra ENTED nce) $ 300,000 :.....__i I P oc aure i , . MED EXP (Anyone person) $ 10 1--I _ ! I PERSONAL & ADV INJURY _$ 1,000 . GEML AGGREGATE LIMIT APPLIES PER: 2,000,000 GENERAL AGGREGATE _ $ X POLICY I X i J P E Ra T 1 X 1 LOC ( PRODUCTS - COMP/OP AGG $ 2,000,000 • • :1 OTHER: C I i $ i COMBINED SINGLE LIMIT i 1 A ' AUTOMOBILE LIABILITY (Ea dS�[198nU $ X I ANY AUTO 2961640 03101/2017; 03101/2018 BODILYINJURY(Perperson) $ OWNED ! SCHEDULED 1 AUTOS ONLY --•--1 AUTOS 1 BODILY INJURY (Per accident) J $ • • I.�.�, AUTOS ONLY I AUTOS ONL (Per accident) AGE , $ ■ 1 I I I $ B X UMBRELLA LIAB I X i OCC I 5,000, EACH OCCURRENCE $ I EXCESS LIAR : CLAIMS- MADE UP- 15T76430 -17 -NF 03/01/2017 03/01/2018 ' AGGREGATE $ 5,000,000 j DED X RETENTION $ 10,000 I $ C DISEASE - EA EMPLOYEE $ 1 AND WORKERS COMPENSATION LIABIUTY X PER J ER ■ ANY PROPRIETOR /PARTNER/EXECUTIVE YlNN 0 03!0112017 03/01(2018 1,000,000 I OFFICER/MEMBER EXCLUDED ? i N 1 A EL. EACH ACCIDENT $ / (Mandatory in NH) ' I E.L. 1,000, 1 H yes d under j i i ! ' DESCRIPTION OF OPERATIONS below ' 1 j I I E.L. DISEASE - POLICY LIMIT $ 1,000 D 'Professional j AEH006091227 03/01/2017. 03/01/2018 !Per Claim 2,000,000 D , Liability + IAEH006091227 1 03/01/2017 j 03/01/2018 Aggregate 4,000,000 i • DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Re: K &S #17923.XX, Monroe County Comp Plan Update Master Plan. Certificate holder, as Contractor, is an Additional Insured as respects General Liability and Auto Liability when req red by writte i i ii ,, ract subject to the terms, conditions and exclusions of the policy. AP •�i V 1 . � GEMENT BY �A�i . __ \ WAIVER N/A ES _ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. 2798 Overseas Hwy Marathon, FL 33050 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. Ali rights reserved. The ACORD name and logo are registered marks of ACORD