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HomeMy WebLinkAboutCOI Expires 03/17/2018Client#: 1049229 ASION&IO-VA ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/Y YYY) 3/01/2018 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 any 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 813 321-7500 CONTACT NAME: PHONE FAX AIc No, EXt : 813 321-7500 AIC. No : E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: MSA Insurance Company 11066 INSURED Currie Sowards Aguila Architects Inc 185 NE 4th Ave INSURER B : Travelers Casualty and Surety Company 19038 INSURER C XL Specialty Insurance Company 37885 Suite 101 INSURER D : Delray Beach, FL 33483 INSURER E : 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. LTR TYPE OF INSURANCE ADDLSUBR NSR WVD POLICY NUMBER MMIDD�YY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X BPG98835 08/17/2017 08/17/2018 EACH OCCURRENCE $1 00O 000 PREMISES (ERENTED nce) S500000 MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: nPRO- POLICY FI JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $2,000,000 S A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X AUTOS ONLY X NON -OWNED AUTOS ONLY BPG98835 D BY IS B�( r 08/17/2017 NAG M 08/17/201 T NED SINGLE LIMIT COEaMBIccident a 1r 000r 000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) 5 PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE WAIVER N/A.__(1=S_ EACH OCCURRENCE $ H AG AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYATUTE ANY PROPRIETOR/PARTNERIEXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A X UB5436Y349 01/0112018 01/01/201 X PTR OTH- E.L. EACH ACCIDENT S1,000,000 E.L. DISEASE- EA EMPLOYEE $1,000 000 E.L. DISEASE - POLICY LIMIT $1,000,000 C Professional Liability DPR9922538 02/27/2018 02/27/2019 $2,000,000 per Claim $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS I LOCATIONS I 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 General Liability and Auto Liability as required by written contract. Monroe County BOCC 1100 Simonton St. Room 2-216 Key Weft, FL 33040 C' C" "t.4_ 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 V_%s ' mot. 0&-w. A0.— --. ACORD 25 (2016/03) 1 of 1 #S22622875/M22622089 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AHMZP