The URL can be used to link to this page

COI Expires 05/19/2019 1 ® AR o CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 11/5/2018 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). PRODUCER CONTACT Marsh & McLennan Agency LLC PHONE FAX 9850 N.W. 41st Street (Arc. No, Ext): 305 -591 -0090 (A/c, No): 212 - 948 -5665 Suite 100 ADDRESS: certsmiami @mma -fl.com Miami FL 33178 INSURER(S)AFFORDINGCOVERAGE NAIC INSURER A : Travelers Indemnity Co of America 25666 INSURED CHARLTOPPI INSURER B : Phoenix Insurance Company 25623 Charley or & Sons Inc. INSURERC: Travelers Property Casualty Co of Amer 36161 C Monroe Concrete Products Inc. P.O BOX 787 INSURER D : Travelers Indemnity Company of CT 25682 Key West FL 33041 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 448112767 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDDIYYYY) A X COMMERCIAL GENERAL LIABILITY Y Y DTCO3202M181TIA18 5/19/2018 5/19/2019 EACH OCCURRENCE 52,000,000 CLAIMS -MADE X OCCUR RO '4 ' BY • -1< MANAGEMERT DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300,000 BY 1n , MED EXP (Any one person) S 5,000 • i • PERSONAL &ADVINJURY 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 54,000,000 POLICY X JECT LOC WAWA N/ - -- YES PRODUCTS - COMP /OP AGG S 2,000,000 OTHER: $ D AUTOMOBILELIABILITY Y Y DT8103202M181TCT18 5/19/2018 5/19/2019 COMBINED SINGLE LIMIT 51,000,000 (Ea accident) X ANY AUTO BODILY INJURY (Per person) 5 OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS ONLY AUTOS X HIRED X NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ C X UMBRELLA LIAB X OCCUR Y Y CUP3J65722118 5/19/2018 5/19/2019 EACH OCCURRENCE 510,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE _ 510,000,000 DED X RETENTIONS 1n jnll S B WORKERS COMPENSATION Y UB4K52636618 5/19/2018 5/19/2019 X PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANYPROPRIETOR /PARTNER/EXECUTIVE E.L. EACH ACCIDENT 51,000,000 OFFICER /MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE 51,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) General Liability Aggregate applies per Project if required by written contract. RE: Stock Island I Roadway & Drainage Improvement Project Monroe County Board of County Commissioners, its employees and officials, as Designated Organization, is an Additional Insured as respects General (including Products - Completed Operations), Auto and Umbrella Liability. General Liability is primary and non- contributory. Waiver of subrogation as respects General, Auto, Umbrella Liability and Workers Compensation in favor of Additional Insured. All of the above is applicable when required by written contract subject to the terms, conditions and exclusions of the policy. Umbrella follows form to the underlying policies as respects to Additional Insureds subject to the terms, conditions and exclusions of the policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners (BOCC) 500 Whitehead St AUTHORIZED REPRESENTATIVE Key West FL 33040 G © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25,(2016/03) The ACORD name and logo are registered marks of ACORD C.C' MM/(DATE DD/YYYY) AE® CERTIFICATE OF LIABILITY INSURANCE MM/019 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 CONTACT Marsh&McLennan Agency LLC PHONE FAX 9850 N.W.41st Street INC.No.Ext): 305-591-0090 IA/c,No):212-948-5665 IL Suite 100 ADDARESS: certsmiami@mma-fl.com Miami FL 33178 INSURER(S)AFFORDING COVERAGE _ _ NAIC# INSURERA:Travelers Indemnity Co of America 25666 INSURED CHARLTOPPI INSURER B:Phoenix Insurance Company 25623 Charley Toppino&Sons Inc. INSURERC:Travelers Property Casualty Co of Amer 36161 Monroe Concrete Products Inc. P.O BOX,787 INSURER D:Travelers Indemnity Company of CT 25682 Key West FL 33041 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:744250672 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W LIMITS LTR INSD VD POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY) A X COMMERCIAL GENERAL LIABILITY DTCO3202M181TIA18 5/19/2018 5/19/2019 EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCUR DAMAGE PREMISESM (Ea occurrence) $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $2,000,000 EM GEN'LAGGREGATELIMITAPPLIESPER: EPR- VENT GENERAL AGGREGATE $4,000,000 POLICY X 1,2 LOC bA PRODUCTS-COMP/OP AGG $2,000,000 OTHER: WAIV:R A D AUTOMOBILE LIABILITY DT8103202M181TCT18 5/19/2018 5/19/2019 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) C X UMBRELLA LIAB X OCCUR CUP3J65722118 5/19/2018 5/19/2019 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE S 10,000,000 DED X RETENTIONS 1n nnn $ B WORKERS COMPENSATION UB4K52636618 5/19/2018 5/19/2019 X PER OTH- AND EMPLOYERS'LIABILITY Y I N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A - (Mandatory in NH) • E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) General Liability Aggregate applies per Project if required by written contract. Certificate holder,as Designated Organization,is an Additional Insured as respects General(including Products-Completed Operations),Auto and Umbrella Liability.General Liability is primary and non-contributory.Waiver of subrogation as respects General,Auto,Umbrella Liability and Workers Compensation in favor of Additional Insured.All of the above is applicable when required by written contract subject to the terms,conditions and exclusions of the policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MONROE COUNTY BOARD OF COUNTY ACCORDANCE WITH THE POLICY PROVISIONS. COMMISSIONERS 1100 SIMONTON ST AUTHORIZED REPRESENTATIVE KEY WEST FL 33040 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD