COI Expires 08/20/2019Client#:1049512
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ACORD.. CERTIFICATE OF LIABILITY INSURANCE DATEIMMIODIYYYY)
1211812018
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 INSURERIS), 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 endorsementis).
PRODUCER NfAWff
USI Insurance Services, LLC PHRE
g13 321-7500
AfC t : A!C No
2502 N Rocky Point Drive EMAIL
ADDRESS:
Suite 400 INSURERS AFFORDING COVERAGE NAIL
Tampa, FL 33607 INSURER A,. «�rpw Amftm Imumm Conww y 143460
INSURED
INSURER 9
William P. Horn, Architect, P.A.
INSURER C ;
916 Eaton Street
INSURER D
Key West, FL 33040
INSURER E :
COVERAGES CERTIFICATE NUMBER: REVISION
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 VOTH 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
POLICY EFF LCYP.
INLR TUMBER �WD&
LIMITS
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COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE„ _ $
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AND EMPLOYERS' LIABILITY E L "tI I1l I
ANY PROPRIETORIPARTNERIEXECUTWE' 1 H d A
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A Professional PERATRONS below AAA El0004100 8/2012018 � 08120 �_E.L. DISEASE POLICY LIMIT S
12019I�µ $2,OOD,000 per Claim
Liability $3,000,000 Anni Aggr.
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Professional Liability coverage is written on a claims -made basis.
Project: All Projects for Monroe County, FL; Annual Contract for Architectural Services.
Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF„ NOTICE WILL BE DELIVERED IN
Board of County Commissioners ACCORDANCE: WITH THE POLICY PROVISIONS.
Attn: Risk Management
1100 Simonton Street AUTHORIZED REPRESENTATIVE
Key West, FL 33040 wov -it 111. Aar
1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S245122201M24511567 JXHEW