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COI Expires 04/16/2018
SURKCON-01 TGARRIDO ,d►�oRo� CERTIFICATE OF LIABILITY INSURANCE DATE 04/13/2017 ) 04/13/2017 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 Collinsworth, Alter, Fowler & French, LLC 8000 Governors Square Blvd Suite 301 CONTACT Teresa Garrido NAME: A/C No, Ext 305 822-7800 FAx 1 ►• ( ) (A/C, No):(305) 362-2443 E-MAIL ss: tgarrido@caffllc.com Miami Lakes, FL 33016 INSURERS AFFORDING COVERAGE NAIC # INSURERA:TWIn City Fire Insurance Co 29459 INSURED INSURER B: Trumbull Insurance Company 27120 INSURERC: Hartford Casualty 29424 Burke Construction Group Inc INSURER D: Hartford Ins Co of the SE 38261 10145 N.W. 19 Street Doral, FL 33172 INSURER E :Hartford Fire Ins Co 119682 INSURER F COVERAGES CERTIFICATE NUMBER: RFVI.qInN N"MRFR- 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY PODCY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR $5000. PD Ded X 21 UEAHV8478 04/16/2017 04/16/2018 EACH OCCURRENCE $ 1,000,000 (Ea occu RENTED PREM nce) $ 300,000 X -PREMISES MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY FX� JjECT LOC GENERAL AGGREGATE $ 2,000,000 GEN'L PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ ANY AUTO 21UEAHV6986 04/16/2017 04/16/2018 OWNED SCHEDULED AUTOS ONLY AUTOS BODILYBODILY INJURY Per accident $ X PeOr accident DAMAGE $ AUTODS ONLY X AUTO ONL� $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 8,000,000 AGGREGATE $ 8,000,000 EXCESS LIAB CLAIMS -MADE 21 RHAHV7793 04/16/2017 04/16/2018 DED I X I RETENTION $ 10,000 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE QFFICERMIEMBER EXCLUDED? ❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 21 WBAA05781 04/16/2017 04/16/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1'000'000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ E Leased/Rented 21UUMHZ1160 04/16/2017 04/16/2018 w/$5000. Ded 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Project: Redevelopment of Bernstein Park Certificate holder is added as additiona insured as required by written contract for general liability. A OV GEMENT DA WAIVER NlA� YES Monroe County Board of County Commissioners 2798 Overseas Highway Suite #300 Key West 33050 CrC., SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE -4w ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD