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COI Expires 03/01/20194 KFITAmn-n1 NCHANDUVI CERTIFICATE OF LIABILITY INSURANCE E (MM/D D/YYYY) 0DATE 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 8� Gough Ame Greensboro Drive Suite 980 CONTACT NAME: PHONE (Arc, No, Ext): (703) 827-2277 (Arc, No):(703) 827-2279 all oRlEss: admin@amesgough.com INSURERS AFFORDING COVERAGE NAIC # McLean, VA 22102 INSURER A: National Union Fire Insurance Company 19445 INSURED INSURER B:St. Paul Fire and Marine Insurance Company 24767 INSURER C: National Union Fire Insurance Company of Pittsburgh, PA 19445 Keith and Schnars, P.A. INSURER D:Conti nentalCasualty Company CNA) A XV 20443 6500 North Andrews Avenue Ft. Lauderdale, FL 33309-2132 INSURERE: - INSURER F : lrnvCOA/rCe r`1=0TICIr`ATC nil inaRGR• R1=VICI0KI NIIMRFR- THIS IS TOCERTIFYTHAT 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 SUER WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE [X] OCCUR 5180214 03/01/2018 03/01/2019 DAMAGE TO RENTED PREMISES Ea occu rence $ 300,000 Contractual Liab. X MED EXP An one person)$ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY Fx_1 JECT F—xl LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 21000,000 $ OTHER: A AUTOMOBILE LIABILITY Ee a d.n SINGLE LIMIT $ 1,000,000 BODILY INJURY Perperson) $ X ANY AUTO 2961640 03/01/2018 03/01/2019 BODILY INJURY Per accident $ OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY NON-OWNED ONLY PRPER a. _Z DAMAGE $ $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS -MADE ZUP-15T76430-18-NF 03/01/2018 03/01/2019 AGGREGATE $ 5,000,000 DED I X I RETENTION$ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 012015939 03/01/2018 03/01/2019 X STATUTE OERH 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, descrbeuntler DESCRIPTION OF OPERATIONS below D Professional AEH006091227 03/01/2018 03/01/2019 Per Claim 2,000,000 D Liability AEH006091227 03/01/2018 03/01/2019 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional arks Schedule, may be attached if more space is required) RE: CERTIFICATE HOLDER IS included as additional i red �cA I ral iability Auto Liability, and Umbrella Liability when required by written contract. AP V B Y� BY WAIVER N/A YE6 Monroe County 1100 Simonton Street RM 2-216 Key West, FL 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 ACORD 25 (2016 03) , GG• ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Amendment Of Limits Of Insurance And Other Insurance Clause For Described Persons Or Organizations 1. The following replaces section IV. Definitions J. Insured, Paragraphs 2. and 5., but only with respect to any person or organization listed in the Schedule below: Any person or organization that is listed in the Schedule below is an Insured but only: a. with respect to liability for Bodily Injury or Property Damage caused, in whole or in part, by your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of Your Work to which the written contract requiring insurance applies for such Insured; and b. if such person or organization is included as an Insured under any Scheduled Underlying Insurance or Scheduled Retained Limit. 2. The following is added to section VII. Conditions L. Other Insurance: L. Other Insurance Nor will we apply this provision to any person or organization listed in the Schedule below if: 1. such person or organization qualifies as an Insured under section IV. Definitions J. Insured 2. or 5. of this agreement; 2. you have agreed in a written contract or agreement with such person or organization that this policy will apply before any Other Insurance; and 3. the Scheduled Underlying Insurance or Scheduled Retained Limit applies to such person or organization on a primary and noncontributory basis. If these conditions are met, then this policy will apply to such person or organization before any Other Insurance, but only to the extent that the minimum limits of liability required by such written contract or agreement exceed the applicable limits of such Scheduled Underlying Insurance or Scheduled Retained Limit, subject to the Limits of Insurance stated in Item 3. of the Declarations of this policy. 3. The following is added to section III. Limits of Insurance B.: However, with respect to any person or organization listed below in the Schedule, the most we will pay for all damages covered under Insuring Agreement I. Coverage shall be the lesser of the following to the extent they exceed the applicable limits of the Scheduled Underlying Insurance or Scheduled Retained Limit: 1. the minimum limits of insurance required in the contract or agreement between you and such person or organization; or 2. the limits of insurance stated in Item 3. of the Declarations. Schedule of Described Persons or Organizations ANY PERSON OR ORGANIZATION FOR WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT OR AGREEMENT THAT THIS POLICY SHALL APPLY TO THEM BEFORE ANY OTHER INSURANCE. Schedule of Designated Locations ONLY THOSE LOCATIONS DESIGNATED IN THE WRITTEN CONTRACT OR AGREEMENT REFERENCED DIRECTLY ABOVE. All other terms of your policy remain the same. SU334 Ed. 7-11 0 2011 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 POLICY NUMBER: GL5180214, COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION WHOM YOU BECOME OBLIGATED TO INCLUDE AS AN ADDITIONAL INSURED AS A RESULT OF ANY CONTRACT OR AGREEMENT YOU HAVE ENTERED INTO. PER THE CONTRACT OR AGREEMENT, Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section li - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and Included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured Is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insu- rance shown in the Declarations; whichever is less. 2. If coverage provided to the additional_ This endorsement shall not increase the appli- insured is required by a contract or agree- ment, the insurance afforded to such addi cable Limits of Insurance shown in the Decla- tional Insured will not be broader than that rations. CG 20 37 04 13 0 Insurance Services Office, Inc„ 2012 Page 1 of 1 9 ENDORSEMENT This endorsement, effective 12:01 A.M. 03/01/2018 forms a part of policy No.: CA 296-16-40 issued to KEITH & SCHNARS, P.A. by NATIONAL UNION F 1 RE INSURANCE COMPANY OF P I TTSBURGH , PA THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following. - BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED: ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON OR ORGANIZATIONS LIABILITY ARISING OUT OF THE USE OF A COVERED AUTO. I. SECTION 1I - LIABILITY COVERAGE, A. Coverage, 1. - Who Is Insured, is amended to add: A. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto". However, the insurance provided will not exceed the lesser of: (1) The coverage and/or limits of this policy, or (2) The coverage and/or limits required by said contract or agreement. 87950 (10/05) Adthorized Representative or Countersignature (in States Where Applicable Page 1 of 1 ------ 4 KEITAND-01 NCHANDUVI ACORN DATE (MWDDNYYY) �� CERTIFICATE OF LIABILITY INSURANCE 02123/2018 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 rights to the certificate holder in lieu of such endorsement(s). CQNTACT PRODUCER IN Ames & Gough 8300 Greensboro Drive A/CC, No, Exty (703) 827-2277 jAAixc, No1:(703) 827-2279 Suite 980 { : admini@amesgough.com McLean, VA 22102 IY0110 01 Aarnonur_ MVPQAr:P sate e INSURED Keith and Schnars, P.A. 6500 North Andrews Avenue Ft. Lauderdale, FL 33309-2132 St. Paul Fire and Marine Insurance Company_ National Union Fire Insurance Company of Pittsburgh, PA Continental Casualhf Company_(CNA)LAzXV 11■■can. OCVIQInLi A1111111101=0- . THIS IS TOCERTIFYTHAT 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 ADDLINSD.,SUB WVDPOLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE b 1,000,000 CLAIMS -MADE X OCCUR Contractual Liab• 5180214 03101/2018' 03/01/2018 ETORENTED _ — $10,000 PR 1 a occurrence) _ ; b PREMISES 000 MED EXP A one person)$ _ _ 0' - PERSONAL &ADVINJURY E 1,000,000 X GENERAL AGGREGATE $ 2,000,000 -PRODUCTS =COMPIOPAGG E 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY FX jF& a LOC OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident_ 1,000,000 i X ANY AUTO 2961640 03/01/2018 03/01/2019 BODILY INJURY Per erew i BODILY INJURY Peraoddent BODILY OWNED SCHEDULED AUTOS ONLY AUTOS p AUTOS ONLY AUTO ONLY $ E POPER Yrs AGE E B X UMBRELLA LIAR X OCCUR EXCESS LIAS CLAIMS -MADE P-,iM6430-18-NF 0310112018 03101/2019 EACH OCCURRENCE E S,000,OOO $ 5,000,000 AGGREGATE DED X I RETENTIONS 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN pFFICER/MEMBER EXCLUDED? �_� 'Mandatoryin NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 012015939 03/01/2018 03/01/2019 TH- X PER OEIR T T E ER 1,000,000 $ __ 1,000,000 E _ 1,000,000 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE E.L. DISEASE -POLICY LIMIT D (Professional IAEHOO6091227 03101/20181 03/01/2019 lPer Claim 1,000,000 D Liability AEH006091227 03/01/2018 1 03/01/2019 ,Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) RE: Continuing Contract for On Call Professional Engineering Services Monroe County is included as additional insured with respects to General Liability and Auto Liability when required by written contract. APPR B K GEMENT BY DATE V /'A\IrCI 1 ATIAW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County tY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED TIV E �REPRESENTATIVE IPy�,oERP�RESENTA ACORD 25 (2016103) W 19t$t3-ZU15 AGUKU GUKI'UKA I IUN. Ali rlgn[s reserves. The ACORD name and logo are registered marks of ACORD KEITAND-01 NCHANDUVI ,a�c_o�Ro CERTIFICATE OF LIABILITY INSURANCE DATE ) 10112017(MMIDDIYYY o3rovzal7 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 endorsemen s). PRODUCER C NTACT Ames $ Gough PHONE FAX 8300 Greensboro Drive (AIC, No, Ext): (703) 827.2277 (Alc, No):(703) 827-2279 _ Suite 980 i E-MAfL admin a amesgough.com ADDRESS _ McLean, VA 22102 INSURER(S) AFFORDING COVERAGE NAIC N �19445 INSURER A: National Union Fire Insurance Compan INSURED I INSURER B : St_ Paul Fire and Marine Insurance Company 124767 Keith and Schnars, P.A. i INSURER C : National Union Fire insurance Company of Pittsburgh, PA19445 6500 North Andrews Avenue INsuRER D :Continental Casualty Company (CNA) A, XV 20443 Ft. Lauderdale, FL 33309-2132 i INSURER F COVERAGES CFRTIFICATF NLIMRFR: octnclAKf wtulaco. 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 R ; TYPE OF INSURANCE )ADDLISUBRi POLICY NUMBER ----- POLICY EFF POLICY EXP YY YYY LIMITS — A X I COMMERCIAL GENERAL LIABILITY LAIMS-MADE CCX �, OCCUR I--.—p— 5180214 EACH OCCURRENCE 03/01/2017 03/01/2018 DAMAGE TO RENTED $ 1,000,000 300,00{) 1 � 10,000 _ MEDEXP(Mvon onepers) PERSONAL & ARV INJURY...__-.- 110001000 GEN'L AGGREGATE LIMIT APPLIES PER:'. Xl POUCY �X JET X LOG $ 2,000,000 ;GENERAL AGGREGATE PRODUCTS _COMP/OP AGG $ 2'000'000 . g _ OTHER: • AUTOMOBILE LIABILITY X ANYAUTO _ 12961640 OWNED HEDULED SC AUTOS ONLY AUTOS I COMBINED SINGLE LIMIT i _AEacadentl 10310112017 03/01/201 B ! BODILY INJURY (Per person) I BODILY INJURY Per accident 1 ,QQQ QQQ $ $ $ HIRED NON-pWNEO �— AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident, $ B X UMBRELLA LIAB I OCCUR EXCESS LIAB i CLAIMS -MADE I II''' UP-15T76430-17-NF ! :EACH OCCURRENCE 03/01/2017 03/01/2018':., AGGREGATE S 5,000,DOO 5,000,000i DED , X 1 RETENTION$ 10,000; $ C AND EMPLOYERS' COMPENSATION I - Y 1 N :ANY PROPRIETORIPARTNERIEXECUTIVE N j N f A OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yyBS, daacribe untler 6ESCRIPTION OF OPERATIONS below 012015939 X PERT T ORH- 03101/2017 03I01/2018 E.L. EACH ACCIDENT E.L DISEASE -EA EMPLOYE '', E.L. DISEASE -POLICY LfMfT ' $ 1,000,000 $ 1,000,000 1,000,000 p IProfessiona{ jAEHOO6091227 03/01/2017 03/01/2018 JPer Claim 2,000,000 D �Lllbillty AEH006091227 03/01/201, 03/01/2018 Aggregate i' 4,000,0001 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached If more space is required) RE: k&s#18147.XX RFQ-NON-68-0-2013/EC - ON CALL PROFESSIONAL ENGINEERING SERVICES. CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED WITH THE EXCEPTION OF WORKERS COMPENSATION 8 PROFESSIONAL IIABILiTY. �VE EMW DAT WAI R MONROE COUNTY 1100 SIMONTON STREET KEY WEST, FL 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 AC:UKU L�b/03) ©1988-2015 ACORD CORPORATION. All rights reserved. C. C_ The ACORD name and logo are registered marks of ACORD