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Item D48
DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/17/2015 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). CONTACT Darleen Palmer PRODUCER NAME: FAX PHONE (561)613-6097 Keen Battle Mead & Company (844)847-8679 (A/C, No): (A/C, No, Ext): E-MAIL dpalmer@kbmco.com 7850 Northwest 146th Street ADDRESS: Suite 200 INSURER(S)AFFORDINGCOVERAGENAIC# Miami LakesFL33016 Foremost Signature Insurance INSURER A : INSURED Hartford Underwriters Ins Co30104 INSURER B : Thompson & Youngross Engineering Consultants, LLC Lloyds Underwriters INSURER C : 902 Clint Moore Road INSURER D : Suite 142 INSURER E : Boca RatonFL33487 INSURER F : 15-16 GL,WC 14-15 PL COVERAGESCERTIFICATENUMBER:REVISIONNUMBER: 8,-7-783')68-*=8,%88,)430-'-)73*-2796%2')0-78)(&)03;,%:)&))2-779)(838,)-2796)(2%1)(%&3:)*368,)430-'=4)6-3( -2(-'%8)(238;-8,78%2(-2+%2=6)59-6)1)288)6136'32(-8-323*%2='3286%'83638,)6(3'91)28;-8,6)74)'883;,-',8,-7 ')68-*-'%8)1%=&)-779)(361%=4)68%-28,)-2796%2')%**36()(&=8,)430-'-)7()7'6-&)(,)6)-2-779&.)'883%008,)8)617 )<'097-327%2('32(-8-3273*79',430-'-)70-1-877,3;21%=,%:)&))26)(9')(&=4%-('0%-17 ADDLSUBR INSRPOLICY EFFPOLICY EXP TYPE OF INSURANCELIMITS POLICY NUMBER (MM/DD/YYYY)(MM/DD/YYYY) LTR INSDWVD X COMMERCIAL GENERAL LIABILITY 1,000,000 )%',3''966)2') (%1%+)836)28)( AX '0%-171%()3''96 46)1-7)7 )ESGGYVVIRGI 10,000 PAS019057799/19/20159/19/2016 1)()<4 %R]SRITIVWSR 1,000,000 4)6732%0 %(:-2.96= 2,000,000 +)20%++6)+%8)0-1-8%440-)74)6+)2)6%0%++6)+%8) 463 X 2,000,000 430-'=03'463(9'87'31434%++ .)'8 1,000,000 ,MVIH 38,)6 '31&-2)(7-2+0)0-1-8 AUTOMOBILE LIABILITY 1,000,000 )EEGGMHIRX &3(-0=-2.96= 4IVTIVWSR %2=%983 A %003;2)(7',)(90)( &3(-0=-2.96= 4IVEGGMHIRX PAS019057799/19/20159/19/2016 %9837%9837 2323;2)( 4634)68=(%1%+) XX ,-6)(%9837 4IVEGGMHIRX %9837 XX UMBRELLA LIAB 2,000,000 )%',3''966)2') 3''96 EXCESS LIAB 2,000,000 A '0%-171%()%++6)+%8) X 9/19/2015 PAS019057799/19/2016 10,000 ()(6)8)28-32 4)638, WORKERS COMPENSATION 78%898))6 AND EMPLOYERS' LIABILITY Y / N 500,000 %2=46346-)8364%682)6)<)'98-:) )0)%',%''-()28 N / A 3**-')61)1&)6)<'09()(# B 9/19/2015 21WECDW96559/19/2016 (Mandatory in NH) 500,000 )0(-7)%7))%)1403=)) -J]IWHIWGVMFIYRHIV 500,000 )0(-7)%7)430-'=0-1-8 ()7'6-48-323*34)6%8-327FIPS[ C Architects$1,000,000 PGIARK033150110/27/201410/27/2015 )EGL'PEMQ Professional Liability$1,000,000 %KKVIKEXI DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is listed as additional insured with respects to General Liability only. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Purchasing Office ACCORDANCE WITH THE POLICY PROVISIONS. The Gato Building 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE Robert Battle/DARL ©1988-2014ACORDCORPORATION.Allrightsreserved. ACORD25(2014/01)TheACORDnameandlogoareregisteredmarksofACORD INS025