Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
COI Expires 01/01/2020
DATE(MM/DD/YYYY) ,a►��® CERTIFICATE OF LIABILITY INSURANCE 12/28/2018 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 d 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). c PRODUCER CONTACT - d) - NAME: Aon Risk Services Northeast, Inc. PHONE (866) 283-7122 FAX 800-363-0105 II Boston MA Office (A/C.No.Ext): (NC.No.): .D 53 State Street - E-MAIL -0- Suite 2201 ADDRESS: _ Boston MA 02109 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Liberty Mutual Fire Ins Co 23035 CDM smith Inc. INSURERB: Liberty Insurance Corporation 42404 75 State street, Suite 701 Boston MA 02109 USA INSURERC: LM Insurance Corporation 33600 INSURER D: Ll oyd's syndicate No. 623 AA1126623 INSURERE: ACE Property & Casualty Insurance Co. 20699 INSURER F: • COVERAGES CERTIFICATE NUMBER: 570074498906 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. Limits shown are as requested INSR ADDL SUER POLICY EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER LIMITS LTR INSD WVD {{MM/DD (fMM/DD/YYYY B X COMMERCIAL GENERAL LIABILITY TB7611B8T8Z6049 01/O1/201 01/01/2020 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED CLAIMS-MADE I X I OCCUR PREMISES(Ea occurrence)A $500,000 BY PPRO ED I ISE {p)r MED EXP(Any one person) $10,000 DATE PERSONAL 8.ADV INJURY $2,000,000 0 WANER A GEN'LAGGREGATELIMITAPPLIESPER: E$ GENERALAGGREGATE $4,000,000 rn POLICY X PRO- I I LOC JECT I I PRODUCTS-COMP/OPAGG $4,000,000 ti OTHER: p N- A A52-611-B8T8Z6-069 01/01/2019 01/01/2020 COMBINED SINGLE LIMIT N AUTOMOBILE LIABILITY $2,000,000 (Ea accident) X ANYAUTO BODILY INJURY(Per person) 0 OWNED SCHEDULED BODILY INJURY(Per accident) y AUTOS ONLY AUTOS +-' HIRED AUTOS NON-OWNED PROPERTY DAMAGE t9 V ONLY _AUTOS ONLY (Per accident) F t a) E X UMBRELLA LIAB X OCCUR G28194687003 01/01/2019 01/01/2020 EACH OCCURRENCE $5,000,000 0 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION C WORKERS COMP NATION AND Y/N WAAO561DB8T8Z6019 01/01/2019 01/01/2020 X I PEA STATUTE I I0TH R ANY PROPRIETOR/PARTNER I EXECUTIVE E.L.EACH ACCIDENT $1,000,000 C OFFICER/MEMBER EXCLUDED? N N/A wc5611B8T8Z6029 01/01/2019 01/01/2020 (Mandatory in NH) WI E.L.DISEASE-EA EMPLOYEE $1,000,000 -If yes,describe under - - - -- - ---- --- - - -— _- - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000— D Archit&Eng Prof PSOEF1900033 01/01/2019 01/01/2020 Each Claim $3,000,000 Professional/Claims Made Aggregate $3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 50- Re: stormwater Master Plan. Monroe County Board of County Commissioners is added as an Additional Insured with respects to General and Auto Liability. N i I_}_I.-� CERTIFICATE HOLDER CANCELLATION �S 4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 5" EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE �� POLICY PROVISIONS. •-Ft Monroe County Board of AUTHORIZED REPRESENTATIVE M County Commissioners 1100 Simonton Street rk Rm 268 n/J ��j�f_ O� if/', e �i Attn: ,Judith S. Clark, P.E. eXXon :rG1ceeDc/iatt>�ra You; Key West FL 33040 USA = IIII ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 10518329 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of AGENCY NAMED INSURED Aon Risk Services Northeast, Inc. CDM Smith Inc. POLICY NUMBER See Certificate Number: 570074498906 CARRIER NAIC CODE See certificate Number: 570074498906 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S)AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER EFFECTIVE EXPIRATION LIMITS LTR INSD WVD DATE DATE (MM/DD/YYYY) (MM/DD/YYYY) WORKERS COMPENSATION B N/A WA761DB8T8z6039 01/01/2019 01/01/2020 MA & PR ACORD 101(2008/01) 02008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD