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HomeMy WebLinkAboutCOI Expires 01/01/2018Client#: 1049229 CURRISOW ACORD,. CERTIFICATE OF LIABILITY INSURANCE /2017 M/DDIYYYY) s/16DATE (MMIDDA 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 USI Insurance Services, LLC, 1715 N. Westshore Blvd. Suite 700 Tampa, FL 33607 CONTACT NAME: PvHCNN , EXt : 813 321-7500 ac, No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: MSA Insurance Company 11066 INSURED INSURER B : Travelers Casualty and Surety 19038 Currie Sowards Aguila Architects Inc INSURER C : XL Specialty Insurance Company 37885 185 NE 4th Ave Suite 101 Delray Beach, FL 33483 INSURER D INSURER E INSURER F r:AVFROr,FS 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. LTRR TYPE OF INSURANCE ADDLISUBR NSR WVD POLICY NUMBER MM/DDY EFF MM/DD/YYYYYPY LIMITS A X COMMERCIAL GENERAL LIABILITY X BPG98835 8/17/2017 08117/2018 EACH $1 00O 000 �OECCURRENCE PREMISES Eaocccurrence $500,000 CLAIMS -MADE � OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 nPRO- POLICY I JECT LOC $ OTHER: A AUTOMOBILE LIABILITY BPG98835 8/17/2017 08/17/201 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS (Per aPRdT ntDAMAGE $ UMBRELLA LIAB -EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE❑ Y / N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N / A X U65436Y349 1/01/2017 01/01/201 PERT I OTH- X FR E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C Professional DPR9911645 2/27/2017 02/27/2018 $2,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Professional Liability coverage is written on a claims -made basis. RE: Continuing Services Contract; Monroe County is an additional insured with respect to Gene I Liabili and Auto Liability as required by written contract. PPR E AGEMENT DA WAI R N A�Y S_ Monroe Count BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS. Room 2-216 Key Westy FL 33040 AUTHORIZED REPRESENTATIVE �c OZ_� eK Ot9--W.. fit. © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S21316152/M21316098 LXMCW