COI Expires 01/12/2018---1 ARCHDES-07 KCOLLI
A` �R�O CERTIFICATE OF LIABILITY INSURANCE 0/23120 Y7
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(les) 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
CT
Ames & Gough
8300 Greensboro Drive
Suite 980
PHONE FAX
Erd : (703) 827-2277 Ne :(703) 827-2279
admin@amosgough.com
McLean, VA 22102
INSURE 8 AFFORDING COVERAGE
NAIL M
INSURER A. RLI Insurance Company A+ XI
13056
INSURED
INSURER B : Berkley Design Professional Underwriters
32603
INSURER C :
Architects Design Group / ADG, Inc.
INSURER D :
333 North Knowles Avenue
Winter Park, FL 32789
INSURER E
INSURER F :
COVERAGES CERTIFICATE NUMRER- REVISION Nt1MRER-
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
TYPE OF INSURANCE
ADDL
SUER
POLICY NUMBER
POLICY EFF
POLICY EXPLTR
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
Contract Liab.
PSB00027"
AP
BY
DATE
01/1212017
SK AEMENT
01/12/2018
EACH OCCURRENCE
$ 1'000'000
DAMAGE TSESO RENTEDPREM
= 1,000,000
X
GEN'L
MED EXP one
10,000
s
PERSONAL 8 ADV INJURY
$ Included
AGGREGATE LIMIT APPLIES PER:
POLICY �X JECT X LOC
OTHER:
GENERAL AGGREGATE
$ 2'000'000
PRODUCTS -COMP/OP AGG
E 2r000,000
YES
A
AUTOMOBILE LIABILITY
X ANY AUTO
AU�T�O�S ONLY AU�TNOSyyNLED
AUTOS ONLY AUTO ONLY
PSA0001665
0111212017
01/1212018
C.OMBBIINEEDfSINGLE LIMIT
(Ea
$ 1,000,000
BODILY INJURY Per arson
$
BODILY INJURY Per accident
t
P,)20PERTI', AMAGE
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
PSE0003117
01/12/2017
01/1212018
ErAeCr H OCCURRENCE
$ 4,000,000
AGGREGATE
$ 4,000,000
DED I X RETENTION $
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
N
ANY FlPROPRIETgO�R�IPARTNERIEXECUTIVE YIN
(Mr�MNH) EXCLUDED? X
1M a
If yes, describe under
DESCRIPTION OF OPERATIONS below
N I A
PSW0002368
01/1212017
01/12/2018
X SATLITEER
E.L. EACH ACCIDENT
$ 1'�0'�
E.L. DISEASE - EA EMPLOYEE
$ 1'W0'000
E.L. DISEASE - POLICY LIMIT
i,000,000
B
Professional Liab.
EC-9013001-01
01/12/2017
01112/2018
Per Claim/Aggregate
2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, AddlUonal Remarks Sdredule, may be attached H more space is required)
RE: Marathon Emergency Operations Center (EOC)
County of Monroe is included as additional insured with respects to General Liability and Auto Liability when required by written contract 30-day Notice of
Cancellation will be issued In accordance with policy terms and conditions.
County of Monroe
Facilities Development
1100 Simonton Street
Key West, L 33040
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
Y43z:�—
ACORD 25 (2016103) ®1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD