COI Expires 04/22/2017EACCONS-nl KCnI I INS
,�►coRO" CERTIFICATE OF LIABILITY INSURANCE
D 12/21/2017Y)
12/21/2017
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
Ames 8r Gough
8300 Greensboro Drive
Suite 980
CONTACT
NAME:
PHONE
(A/C,No, Et): (703) 827-2277 FAXNo):(703) 827-2279
ADMDRESS: admin@amesgough.com
McLean, VA 22102
INSURERS AFFORDING COVERAGE
NAIC #
INSURER A:The Hartford
22357
INSURED
INSURER B : Hartford Casualty Insurance Company XV A+
29424
EAC Consulting, Inc.
5959 Blue Lagoon Drive
Suite 410
INSURER C : RLI Insurance Company A+ XI
13056
INSURER D :ACE American Insurance Company
22667
INSURER E :
Miami, FL 33126
INSURER F
COVERAGES 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.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM DD
POLICY EXP
MM DD
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
-
42UUNN12075
04/22/2017
04/2212018
EACH OCCURRENCE
$ 1,000,000
PREM SE TO RENTED
$ 300,000
X
MED EXP (Any oneperson)
$ 10,000
Contractual Liab.
PERSONAL & AOV INJURY
$ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
X POLICYFI Ypp LOC
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
1,000,000
$
BODILY INJURY Perperson)
$
X
ANYAUTO
42UUNN12075
04/22/2017
04/22/2018
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY Per accident
$
PROPERTY DAMAGE
Per accident
$
HIRED L NON -OWNED
AUTOS ONLY AUTOS ONLY
I
B
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$ 2,000,000
AGGREGATE
$ 2,000,000
EXCESS LIAB
CLAIMS -MADE
42XHUNI0417
04/22/2017
04/22/2018
DED X RETENTION$ 10,000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
Mandatory in NE) EXCLUDED? N
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
PSW0003090
04122/2017
04/22/2018
X PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
1,000,000
$
E.L. DISEASE - EA EMPLOYE
1,000,000
$
E.L. DISEASE - POLICY LIMIT
1,000,000
$
D
Professional Liab.
G2554285A 002
04/22/2017
04/22/2018
Per Claim/Aggregate
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: EAC Project #16020.HW01-00
Monroe County 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.
,APPRWIAS—
r-FRTIFIrATF
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Monroe Count y
1100 Simonton Street
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Key West, FL 33040
AUTHORIZED REPRESENTATIVE
P,'„`
C.C.'
ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved.
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