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Certificates of Insurance
A� " CERTIFICATE OF LIABILITY INSURANCE DATE(MM/on 1o/2s/2017 Y) 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 Corporate Insurance Advisors 1401 E Broward Blvd Suite 103 Ft. Lauderdale FL 33301 CONTACT Wanda Torres NAME: A C, Ext : (954)315-5000 IC No): (954)315-5050 E-MAIL WTorres@ciafl.net ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Bankers Insurance Group 33162 INSURED Thompson & Youngross Engineering Consultants, LLC 902 Clint Moore Rd Suite 142 Boca Raton FL 33487 INSURER 8 : Hartford Insurance CO INSURER C : Liberty Insurance Underwriters, Inc. INSURER D : INSURER E : INSURER F : rnvGraer_cc rFRTIFIrATF NIIMRFR• CL17102620563 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM DDNYYY MM/DD/YYW LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE X OCCUR DAMAGE300,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ Included A Y 090005808439101 09/19/2017 09/19/2018 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS -COMP/OPAGG $ 4,000,000 X POLICY JEo LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 2,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY HAUTOS ONLY 090005808439101 09/19/2017 09/19/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAR DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N /A 21 WECAR9651 09/19/2017 09/19/2018 X PER STATUTE ERH E.L. EACH ACCIDENT 500,000 $ E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below Each Claim $1,000,000 C Professional Liability AEXNYABDWBD001 10/27/2017 10127/2018 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space I equired) P B NAGEM��1T BY - (�� WANE _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Rm 2-216 Key West FL 33040 4 ACORD 25 (2016103) / C. C, U 1983-2015AGUKU UUKYUKAI IUN. All rlgnls reserve0. The ACORD name and logo are registered marks of ACORD COMMENTS/REMARKS Monroe County BOCC is an Additional Insured with respects to the Hired and Non -Owned General Liability Policy when required by written contract. OFREMARK COPYRIGHT 2000, AMS SERVICES INC. A� " CERTIFICATE OF LIABILITY INSURANCE DATE(MMroDmyv) 10/17/2017 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 Corporate Insurance Advisors 1401 E Broward Blvd Suite 103 Ft. Lauderdale FL 33301 CONTACT er Jaclyn Stamper NAME: y p PNCNN Ext: (954) 315-5000 FAIC No: (954)315-5050 E-MAIL ADDRESS: jstanper@ciafl.net INSURERS AFFORDING COVERAGE NAIC 0 INSURERA:First Community Ins Co. INSURED Thompson & Youngross Engineering Consultants, LLC 902 Clint Moore Rd Suite 142 Boca Raton FL 33487 INSURER B :Hartford Insurance Co INSURER C:Liberty Insurance Underwriters INSURER D: INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER:17-18 Master 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. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER PO MM DYEFF NYYY MM/DDYIYYW LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A CLAIMS -MADE 1XI OCCUR DAMAGE TO RETED PREMISES Ea occur ante $ 300,00 MED EXP (Any one person) $ 10,000 X 090005808439101 9/19/2017 9/19/2018 PERSONAL & ADV INJURY $ Included LAGGREGATELIMITAPPLIESPER: GENERAL AGGREGATE $ 4,000,000 POLICYPRO ❑ LOCPRODUCTS-COMP/OPAGG JECT M'OTHER: $ 4,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1, 000, 000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 090005808439101 9/19/2017 9/19/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE cident Per ..,den') $ NON -OWNED X HIRED AUTOS X AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETOR/PARTNER/EXECUTIVE X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,000 B OFFICER/MEMBER EXCLUDED? EI (Mandatory In NH) N / A 21WECAR9651 9/19/2017 9/19/2018 E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT 1 $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below C Professional Liability AEXNYABDWBDO01 10/27/2016 10/27/2017 $1,000,000 Each Claim $1,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Except 10 Day Notice of Cancellation for Non Payment of Premium J4B O IS AEMEN WANERWA-7YE5_.. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC 1100 Simonton Street THE EXPIRATION DATE THEREOF, NOTICE WILL ACCORDANCE WITH THE POLICY PROVISIONS. BE DELIVERED IN Rm 2-216 AUTHORIZED REPRESENTATIVE- Key Westj, FL 33040 �.� Mark Schwartz/JACLYN i A�u�hK"� ACORD 25 (2014/01) N S025 (201401) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMENTS/REMARKS Monroe County BOCC is an Additional Insured with respects to the Hired and Non -Owned General Liability Policy when required by written contract. ' OFREMARK COPYRIGHT 2000, AMS SERVICES INC. '