HomeMy WebLinkAboutCOI Expires 02/27/2019 Client#:1049229 CURRISOW
ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM1pOmYY)12I21I2018
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(les)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 hilj ACT
USI Insurance Services,LLC Part,Eat),813 321-7500 FAX
Nor
2502 N Rocky Point Drive E-MAIL
ADDRESS:
Suite 400 INSURERiS)AFFORDING COVERAGE NAIL N
Tampa,FL 33607 INSURER AMMAlnsuraae.CemPany 11066
INSURED INSURER B:TrasaMn Casualty and Surety Company 19038
Currie Sowards Aguila Architects Inc INSURER C:XIapsciatty legumes Company 37885
185 NE 4th Ave
Suite 101 INSURER D
Delray Beach,FL 33483 INSURERS:
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 J ISUVp POLICY NUMBER PIO pCY EFF POND Y EIiP f LIMITS
(M IVITYYI IM DIYrrra'
A X COMMERCIAL GENERAL LIABIUTY X BPG98835 0811712018 08117/2019 EACH OCCURRENCE s'0001000
iCLAIMS-MADE n OCCUR 1 lig�I�s it aE nr,,r) •5500,000
1 MED EXP(Any one person) S5,000
PERSONAL&ADV INJURY S 1,00 0,000
GENL AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE s2,000,000
1
POLICY[ JECT LOG PRODUCTS-COMP/OP AGG l S 2,0001000
OTHER. S
A X BPG98835 0811712078508117l201 3COMBINEDSINGLEUMIT
AUTOMOBILE LIABILITY t
!Ee exi.mll $1,0 0, 0
ANY AUTO BODILY INJURY(Per person) S
— OWNED SCHEDULED
AUTOS ONLY !AUTOS APPBODILY INJURY(Per accident) S
X RUTS ONLY X AUTOS 0 Lp I r,;,,,,A.E.,,,„T (Mar PROPE RTa tDAMAGES
Y� im t s
UMBRELLA UAB OCCUR DATE f I EACH OCCURRENCE S
EXCESS LIAR
CLAIMS-MADE W� w ' AGGREGATE S
.DEC 1�[RETENTION S�_ I S
B WORKERS COMPENSATION X UB9J073318 01I0112019; siArumE ERR-
AND EMPLOYERS'LIABILITY 1 01i01I2O2O� �^
ANY PROPRIETORIPARTNEWEXECUTIVE Y r N 1 E.L EACH ACCIDENT S1,000,000
OFFICER/MEMBER EXCLUDED? NI A
(Mandatory In NH) t E.L DISEASE-EA EMPLOYEE S1 t000,000
II yes,dasaiba under I
_ DESCRIPTION OF OPERATIONS below t E L DISEASE-POLICY LIMIT s7.000,000
C Professional DPR9922538 02127/2018;02/2712019 $2,000,000 per Claim
Liability 1 $2,000,000 Ann)Aggr.
i
DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace la required)
Professional Liability coverage is written on a claims-made basis.
RE:Plantation Key Judicial Courthouse&Detention Facility;Professional Liability includes Specific
Project Excess with limits$0 per ciaiml$2,000,000 aggregate thereby Increasing total policy limits to
•
62,000,000 per claimlS4,000,000 aggregate for the referenced project.Monroe County is an additional insured
with respect to General Liability and Auto Liability as required by written contract.
CERTIFICATE HOLDER CANCELLATION
Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERER IN
1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS.
Room 2-216
Key West,FL 33040 AUTHORIZED REPRESENTATIVE
Oa"' art. 0tiaLW.40.6." -
CI 1988-2015 ACORD CORPORATION.All rights reserved.
ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD
115245648081M24561804 PYBZP