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Certificates of Insurance
Client#: 54281 RS&H DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 6/26/2020 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 CONTACT Katie Kresner NAME: Greyling Ins. Brokerage/EPIC PHONE 770.552.4225 FAX 866.550.4082 A/C,No,Ext: (A/C,No): 3780 Mansell Road,Suite 370 E-MAIL ADDRESS: Katie.Kresner@greyling.com Alpharetta, GA 30022 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Casualty Insurance Company 29424 INSURED INSURER B:Hartford Casualty Ins.Co. 29424 RS&H, Inc. Lloyds of London INSURER C: Y 10748 Deerwood Park Blvd South INSURER D: Jacksonville, FL 32256 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 20-21 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 CONTRACTOR 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 ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY 2000NOZOO18 06/28/2020 06/28/2021 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISESOEa occur°nce $300,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ._ --- GENERAL AGGREGATE $2,000,000 PRO- POLICY 1 JECT F-1 LOC 76/2020 PRODUCTS-COMP/OPAGG $2,000,000 ,., OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT AW -"_ Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED pproved dS t00 Ci cSc PL BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B X UMBRELLA LIAB X OCCUR 20XHUOZ0019 06/28/2020 06/28/2021 EACH OCCURRENCE $1 O 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1 O 000 000 DED I X RETENTION$10000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Professional Liab B0146LDUSA2004894 06/28/2020 06/28/2021 Per Claim$5,000,000 C Excess Prof Liab B0146LDUSA2004895 06/28/2020 06/28/2021 Aggregate$5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re: 706-0001-XXX. Monroe County is named as an Additional Insured with respects to General Liability where required by written contract. Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof,we will endeavor to provide 30 days'written notice(except 10 days for nonpayment of premium)to the Certificate Holder. CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simoton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S2273292/M2271891 KKRE1 This page has been left blank intentionally. �...4 REYNO-1 OP ID:RA ACOREY CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �� 12/05/2018 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 904-565-1952 CONTACT NAME: Lori Duvall Brown&Brown of Florida,Inc. PHONE 904-565-1952 I FAX 904-565-2440 Building 100,Suite 100 (a/c,No,Eat). (NC,No): 10151 Deerwood Park Blvd a DRESS:Iduvall@bbjax.com Jacksonville,FL 32256 Josh Becksmith INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:The Travelers Indemnity Co 25658 INSURED RS&H,Inc INSURER B:Twin City Fire Ins Co 29459 Reynolds,Smith&Hills Inc INSURER C: Tsiouvaras Simmons Holdemess, Inc INSURER D: 10748 Deerwood Pk Blvd S Jacksonville,FL 32256 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMBS LTR ,INSD YWD, IMM/DDIYYYYI IMMIDDIYYYYI • COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY Spa: LOC PRODUCTS-COMP/OP AGG $ OTHER: $ A AUTOMOBILE LWBILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO y 810-9K669157 06/28/2018 06/28/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED _ AUTOS ONLY AUTOS • BODILY INJURY(Per accident) $ AUTOS ONLY NON-OWNEDUT NLY (Per PROPERTY tDAMAGE $ $ _ — UMBRELLA UAB OCCUR EACH OCCURRENCE $ • EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION X AND EMPLOYERS'UABILITY Y/N 21 WBAC3FFF 12/01/2018 12/01/2019 STATUTE ER H 1,000,000 ANY OFFICERR/MEMBER EXCLUDED7�CUTNE N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Project:706-0001-XXX Monroe County is included as additional insured with respects to the Auto Liability when required by written contract or agreement. I3Y'PR 9 MA ?met j„....,9 DATE WAIVER NIA YES_ CERTIFICATE HOLDER CANCELLATION MONRO02 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 1100 Simoton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE I ACORD 25(2016 D3) ©1988-2015 ACORD CORPORATION. All rights reserved. J444:444.44...., The ACORD name and logo are registered marks of ACORD • GG• NOTEPAD REYNO-1 PAGE 2 INSURED'S NAME RS&H,Inc OP ID: RA Date 12/05/2018 RS&H California, Inc. RS&H Commercial Realty, Inc RS&H Architects- Engineers- Planners Inc. a NC Corp Reynolds Smith and Hills CS incorporated a FL corp Sylva Engineering Corporation Reynolds Smith And Hills Architects- Engineers- Planners, PA RS&H Architect and Engineer, PC, a NY Corp RS&H Arkansas Inc Lemeul Ramos and Assoc Inc RSSH Illinois, Inc RS&H Iowa, P.0 RS&H Michigan, Inc RS&H Mississippi, P.0 RS&H Montana, P.C. RS&H Nevada, Inc. RS&H Ohio, Inc RS&H Oregon, Architects-Engineers-Planners, P.0 RS&H Massachusetts, Inc; RS&H Alabama Inc; RSSH Idaho, P.C. Client#:54281 RS&H ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYY`()1z►o6/2018 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 NCAONTTE CONTACT Katie Kresner Greyling Ins.Brokerage/EPIC -PHONE 770.552.4225 Fi47t (A/c,No,Ext): (ac,Na): 866.550.4082 3780 Mansell Road,Suite 370 E-MAIL SS: �gre Katie.Kresner In com ADDRE y ig• Alpharetta,GA 30022 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Charter Oak Fire Insurance Company 25615 INSURED INSURER B:Travelers Prop Casualty Co of America 25674 RS&H,Inc. Lloyds of London 10748 Deerwood Park Blvd South INSURER C: y Jacksonville,FL 32256 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 18-19 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 INSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS �(MMIDDIYYY`n,(MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY 6309K439038 06/28/2018 06/28/2019 EACH OCCURRENCE $1,000,000 DAMAGETp RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $1,000,000 MED EXP(Any one person) $10,000 PERSONAL 8 ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 RO- XI POLICY JECT X LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) $ — OWNED SCHEDULED BODILY INJURY(Per accident) $ _ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) B x UMBRELLA LIAB X OCCUR CUPOL547366 06/28/2018 06/28/2019 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED X RETENTION$10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A • - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Professional Liab B0146LDUSA1804894 06/28/2018 06/28/2019 Per Claim$5,000,000 C Excess Prof Liab B0146LDUSA1804895 06/28/2018 06/28/2019 Aggregate$5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Re:706-0001-XXX Monroe County is named as an Additional Insured with respects to General Liability where required by written contract. Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof,we will endeavor to provide 30 days'written notice(except 10 days for nonpayment of premium)to (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe CountySHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simoton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West,FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S1314135f,M1113315 KKRE1 DESCRIPTIONS (Continued from Page 1) the Certificate Holder. SAGITTA 25.3(2016/03) 2 of 2 #S1314135/M1113315