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CilentlP 1049229
CURRISOW
ACORD. CERTIFICATE OF LIABILITY INSURANCE
-Moomm
OATS (MaeowYYYY)
12014
THIS CERTIFICATE 18 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(8), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: Nth* certificate holder Is an ADDITIONAL INSURED, the policy(les) must be andorsed. N SUBROGATION IS WAIVED, subject to
the forms and conditions of the policy, certain policies may require an endorsement. A statement on this certillcate does not confer rights to the
certltltsts holder in lieu of such endorsament(s).
PRcenlcce
USI Insurance Services, LLC,
1715 N. Westshore Blvd. Suite 700
Tampa, FL 33607
LWAUT
813 321-7500 N,; 813 321-7525
rNsu AFFaROINo covEaAae
NAIc •
INSUMA: MSA Insurance Company
11086
SOUPED
Currie Sowards Aquila Architects Inc
185 NE 4th Ave
Suite 101
Delray Beads, FL 33483
ImmmR a : Travelers Casualty S Surety Co
31194
INSUMRC: XL Specialty Insurance Company
37885
INSURERO:
INSU ERe
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 CONTRACTOR 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.
L
TYPE' OF INSURANCE
L
BUM
PDL�Y NUMBERAwm
Ulm
A
GENERAL LIANUITY
X
BPGOSS35
0811712014
08/17/201 I.EACH
OCCURRENCE
$1 000 000
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE Fx� OCCUR
RVARA.FfaLcei
f 5OO O00
MED EV arm
$5.000
PERSONAL S AM INJURY
81,000,000
GENERAL AGGREGATE
f2 OOO OOO
GENL AGGREGATE LIMIT APPLES PER:
PRODUCTS-COMPIOP AGO
s2,000,000
POLICY X PRa LOC
i
A
AUTOMOBILE LIABILITY
SPGO8835
8/17/2014
08/17/201
E. SIN LI
1,000,000
BODILY INJURY (Pw pwwm)
_
ANY AUTO
ALL OWN13CHEES LED
BODILY INJURY (Pw aaddw t)
i
IxHIRED AUTOS XS
I
UMBRELLA LIAR
OCCUR
EACH OCCURRENCE
S
AGGREGATE
f
ExCESs LIRE
CLAIMS MADE
DED RETENTION
S
B
vroRNeas COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRRII�ETTpp EIApTTNNERIEXECUTIVE Y / N
OFFTCERIMEMeIER EXCLUDED? �
plw:dob" in NH)
N / A
X
UB5436Y349
0110112014
01/01/201
OTHER
E.L. EACH ACCIDENT
$1 000 000
E L. DISEASE - EA EMPLOYEE
f 1 000 000
I dMc:lha u:da
DESCRIPTION 9 OPERATIONS balew
E.L. DISEASE -POLICY LIMIT
01,000,000
C
Professional
OPS9719197
0812412014
0812412011
$2,000,000 per claim
Liability
$2,000,000 annl aggr.
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atlyeh ACORD 101, Addidonol Rwnwb Baleful., I mom opm I. mq&dr@4
Professional Liability coverage Is Written on a claims -made basis.
RE: Freeman Justice Center Acoustic Renovation
Monroe County is an additional Insured with respect to General Liability and Auto LiatDA
writtencontract. MENT
W
Monroe County BOCC 1, . �� a �,� 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 A,
Key West, FL 33&9 = I I NV S Z 50V b'OZ AUTHORIM REPRESMTATW
(W I r >�031f3
m 1988-2010 ACORD CORPORATION. All rlgfiW4oswv1t1
ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD `,/f
OS1312877MI31287U KEBEW
Client#: 1049229
CIIRRISAW
ACORDTM CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
06/22/2015
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
IFTHIS
PELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
EPRESENTATIVE 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
USI Insurance Services, LLC,
1715 N. Westshore Blvd. Suite 700
Tampa, FL 33607
CONTACT
NAME:
PHONE
o E'd 813 321-7500 A c, No ,
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: MSA Insurance Company 11 O66
INSURED
INSURER B : Travelers Casualty & Surety Co 19038
Currie Sowards Aguila Architects Inc
INSURER C : XL Specialty Insurance Company 37885
185 NE 4th Ave
Suite 101
INSURER D :
Delray Beach, FL 33483
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NIIMRER- RFVICInN NI IMRFR-
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 CONTRACTOR 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
SUBR
WVD
POLICY NUMBER
POLICY EFF POLICY EXP
MM/DD/YYY MM/DD/YYYY
LIMITS
A
GENERAL LIABILITY
X
BPG98835
D8/17/2015'08/17/2016
EACH OCCURRENCE
$1,000,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I Al OCCUR
PREMISES ERENTED
occurrence
$500 000
MED EXP (Any one person)
$5 OOO
PERSONAL & ADV INJURY
$1,000,000
GENERALAGGREGATE
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2,000,000
POLICY X JE4 LOC
------------- -
$
BPG98835
8/17/2015 08/17/201
COMBINED SINGLE LIMIT
Ea accident
-
1,000,000
AUTOMOBILE LIABILITY
BODILY INJURY (Per person)
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident)
$
X', HIRED AUTOS X NON -OWNED
AUTOS
PROPERTY DAMAGE
Per accident
$
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITYER
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBER EXCLUDED?
N / A
X
UB5436Y349
1/01/2015 01/01/201
-
X wcsTATu- OTH-
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$1,000,000
C
Professional
DPR9722442
2/27/201502/27/2016
$2,000,000 per claim
Liability
$2,000,000 annl aggr.
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Professional Liability coverage is written on a claims -made basis. 'YPPROV A GEMENT
RE: Freeman Justice Center Acoustic Renovation
Monroe County is an additional insured with respect to General Liability and Auto Liability as requiredl60NER N/A _
written contract.
Monroe County BOCC
1100 Simonton St.
Room 2-216
Key West, FL 33040
(+ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
LS =+ Wa o£ Nnr InLkCCORDANCEJHE ION WITH PO ICYY PROVISIONS. TE THEREOF, NOTICE ILL BE DELIVERED IN
1160338 M o J a 3112FTHORIZED REPRESENTATIVE
ACORD 25 (2010/05) 1 Of 1
#S15600580/M15600553
01988-2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
KEBEW