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COI Expires 04/01/2018
PARSBRI-01 HEVANS CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFIC3/23/2017 ATE HOLDER. THIS BY THE POLICIES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUR BY 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 JILT Specialty Insurance Services Inc. 5847 San Felipe St. Suite on, Houston, TX 77057 CONTACT NAME: JLT Service Team PHONE (713) 325-7605 A/C No El : FAX No): (713) 789-0415 ADDRESS: Wsppbcertrequest@jltus.com INSURER(S) AFFORDING COVERAGE NAIC # Zurich American Insurance Company Liberty Insurance Corporation 16535INSURED 42404Parsons MMM Brinckerhoff, Inc. 4139 Oregon Pike Ephrata, PA 17522 ttCvIJIUN NUMbhK: 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 A L POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MMIDDIYI'YY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCRRENCE CU$ 2,000,000 CLAIMS -MADE T OCCUR X X GL09835819-04 04/01/2017 04/01/2018 PREMISES Ea occurrence $ 300,000 X Contractual Liab. MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 POLICYLX] JECOT- T LOC PRODUCTS - COMP/OP AGG $ 2,0 00,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2,000,000 B X ANY AUTO X X S7-621-094060-037 04/01/2017 04/01/2018 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR EXCESS LIAB EACH OCCURRENCE AGGREGATE CLAIMS -MADE DIED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' PER OTH- X $ B LIABILITY Ya STATUTE ER E.L. EACH ACCIDENT $ 2,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N /A X WA7-62D-094060-017 04/01/2017 04/01/2018 (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ 2,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 2,000,000 APR Y MANAGEMENT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) A THIRTY (30) DAYS NOTICE OF CANCELLATION WAIVER N/ YE _ Project: 185776; Construction Engineering and Inspection (CEI) Services for the Card Sound Bridge Repair Project. Subject always to policy terms, conditions and exclusions, Certificate Holder is named as Additional Insured (excluding Workers' Compensation and Employers' Liability) but only to the extent of risks and liabilities by assumed the Named Insured in a signed written contract. r FDTICrr Arc Lill, r%on Monroe County BOCC 1100 Simonton Street #2-216 Key West, FL 33040 fION 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 ' 62-- ACORD 25 (2014/01) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD