Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
COI Expires 03/01/2018
14 / .coRo® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 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 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 Collinsworth Ina&Risk Mgmt Services inc 464 Glen Way Miami Springs FL 33166 CONTACT Erinn E Collinsworth PHONE FAX (786) 930-4795 A/C No:(786) 930-4794 E-MAIL ADDRESS: erinn@collinsworthinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Twin City Fire Insurance Compa 29459 INSURED (305) 235-5098 Metric Engineering, Inc. INSURER B:Prop & Cas Ins Cc of Hartford 34690 INSURERC:Hartford Casualty Insurance Co 29424 INSURER D: Continental Casualty Company 20443 13940 SW 136th Street Suite 200 Miami FL 33186 INSURERE: INSURER F COVERAGES CERTIFICATE NI1MRFR! Cart In 618 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 SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR Y 21 UUN AN3986 03/01/2017 03/01/2018 AMAGE pR M SESOEa oNcu RETEante $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 11000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 RO- POLICY JECT PRO LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ X OTHER: Location & Project AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO Y 21 UEN ZP2382 03/01/2017 03/01/2018 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS X AUTOS C X UMBRELLA LIAB X OCCUR 21 XHU AN3161 03/01/2017 03/01/2018 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,000 $ I WORKERS COMPENSATION \ND EMPLOYERS'LIABILITY Y/N 'Y PROPRIETOR/PARTNER/EXECUTIVE rOFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) N / A 21 WE AS6260 03/O1/2017 03/O1/2018 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 11000,000 D Professional Liability AEH591907837 03/01/2017 03/01/201BEach Claim $ 11000,000 Claims Made Form 03/01/2017 03/01/2018 Policy Aggregate $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project - Engineering Design and Permitting Services for U.S. 1 Bayside Shared Use Path On -Call Professional Engineering Services When required by written contract, Monroe County is named as additional insured, excluding professional services, on the General and Auto Liability. Issuing companies will �30written notice of cancellation; 10 day for nonpayment. GEMENT DATE WAIVER N/A YES CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St, Rd 216 AUTHORIZED REPRESENTATIVE Key West FL 33040 (Utyvl �WU` ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) GG he ACORD name and logo are registered marks of ACORD