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COI Expires 07/01/2019 Paged of 1 CORL CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYV) 11/19/2018 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(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 rights to;the cértlficateholder In lieu of such endorsement(s). . PRODUCER CONTACT . Willis of Massachusetts, Inc. . NAME. "- c/o 26 Century Blvd (A/C.No.EMI: 1 877-945-7378 . ; (A/C,No): 1-888-467-2378 E-MAIL P.O. Box 305191 ADDRESS: certificates@willis.com Nashville, TN 372305191 USA __- i -_INSURER(S).AFFORDING COVERAGE NAIC#' INSURER A: Allied'World Assurance Company US Inc 19489 INSURED INSURERS: Zurich. American 'Insurance Company' ', 16535 GHD Services Inc. 2055 Niagara Falls Blvd., Suite 3 INSURER C: Niagara Falls, NY 14304 USA 'INSURER D: INSURER E: . INSURER F: COVERAGES CERTIFICATE.NUMBER:W8915854 . 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 INSURANCE ADDL SUBRI —� POLICY EFF POLICY EXP LIMBS LTR INSD_WVD POLICY NUMBER I(MM/DD/YYYY)' (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE. $ 1,000,000 DAMAGETO RENTED _�.CLAIMS-MADE' X OCCUR P EMISES(Ea occurren el $ 1,000,000 A — - MED EXP(Any one person) $ 25,000 e Y 0310-4497 12/01/2018 12/01/2019 1,000,000 _- -- PERSONAL.&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE -4.$ 2,000,000 POLICY •X 1 ___I LOC 2,000 000 PRODUCTS-COMP/OPAGG .$, OTHER: - AUTOMOBILE LIA6ILITY COMBINED SINGLE LIMIT $ 1,000,000 _(EO_auske 1 _ X ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED BAP 3757423-03 07/01/2018 07/01/2019. BODILY.INJURY(Peraccident) $ ' AUTOS ONLY AUTOS _ X HHII'RToCG r1N�y X NON-OWNED PROPERTY DAMAGE - $ doll Oe�:-SSoc--aaU, §AI 8250 X X AppD� RI NT Hired Physical Damag.$ '100000 UMBRELLA LIAB Y OCCUR PATE EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE WAIVER N E+Sarr AGGREGATE — $ DED RETENTION$: _ WORKERS.COMPENSATION„ ..X, STATUTE I ORH AND EMPLOYERS:LIABILITY ' Y./N - "— B ANYPROPRIETORIPARTNER/EXECUTIVE EL.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? No 'N/A WC 0380936-03 07/01/2018 07•/01'/2019 -- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE'$ . 1,000,000 If•yyes,describe under -� 1,;000,00a DESCRIPTION OF.OPERATIONS below _ E.L.DISEASE-.POLICY LIMIT .$' DESCRIPTIONOF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional.Remarks Schedule,may be attached If more space is required) • GHD Project no.: 11122167, Access Agreement, 151 Marine Avenue, Tavernier, Florida. ' Board of County Commissioners of Monroe County is included as an Additional Insured as respects to General Liability where required by contract or agreement. 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. Board of County Commissioners of Monroe County Monroe County Engineering AUTHORIZED REPRESENTATIVE 1100 Simonton Street, 2-216 9tzl n' f/3_ Key West, FL 33040 ci ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 17064068 BATCH: 960005 2 of 3 12107 POLICY NUMBER: 0310-4497. COMMERCIAL GENERAL LIABILITY CG-2010 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED OWNERS, LESSEES OR CONTRACTORS :SCHEDULED PERSON OR • 'ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL.LIABILITY COVERAGE.PART SCHEDULE Name of Person or Organization:' Where required by written contract (If no entry appears above, information required to complete this endorsement will tie shown in the Declarations as applicable to this endorsement.). A. Section II Who Is An Insured .is amended to, (1) All work, including :materials, parts or include as an insured the person or organization equipment furnished in connection with shown in,the Schedule, but only with respect to' such work, 'on the ,project (other than liability arising out of your ongoing operations per- service, maintenance or repairs) to be formed for that insured. performed by or on behalf of the add- at. With respect to the insurance afforded to these tional insured(s) at the site of the cov additional 'insureds, the following exclusion is ered operations has been completed; added: or 2. Exclusions (2).That portion of "your work out of which the injury or damage arises has been This insurance does not apply to "bodily inju- put to its intended use by any person or ry or"property damage"occurring after: organization other than another Cori- ' tractor or subcontractor engaged::in performing'operations for a principal as a part of:the same project. CG 20 10 10 01 ©ISO Properties, Inc., 2000 Page 1 of 1 '. ❑ POLICY NUMBER: 0310-4497 COMMERCIAL GENERAL LIABILITY CG 20 37 10.01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -.OWNERS,. LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE . Name of Person or Organization: Where required by written contract Location And Description of Completed Operations: Where required by written contract Additional.Premium: N/A (If no entry appears above, information required.to complete this endorsement will be.shown in the Declarations as applicable to this endorsement.) Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of"your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products-completed operations haz- ard". CG 20 37 10 01 ©ISO Properties, Inc., 2000 Page 1 of'1 CI 3 of 3 12107 WILLIS TOWERS WATSON 26 CENTURY BLVD. 6TH FL NASHVILLE,TN 37214 12107 1 AB 0.405 IIuII.IIIIIIIIIIIui.IuiilllllnlulIlllllill'lllll'll'lll'lllllll BOARD OF COUNTY COMMISSIONERS•OF MONROE COId-g 1100 SIMONTON ST 2-216 MONROE COUNTY ENGINEERING KEY WEST, FL 33040-3110 ****NOTICE**** In order to expedite'distribution of certificates to Certificate Holders,we would like to begin using electronic distribution for future issuances.Also, we would like to remove any certificates that are no longer needed. If you would like to receive electronic copies in the future or no longer require a certificate for this Insured, please note as such below. Please complete this form and submit with a copy of your current certificate to the contact information below: Do you wish to receive renewal certificates: Yes [ ] No [ ] Require a hard copy be mailed: Yes [ ] No [ ] . Email Address or Fax Number: . SR ID: 17064068 If you require additional information or have further questions, please feel free to contact: Willis Towers Watson Global Certificate Center . Email: EDPCERTS@willistowerswatson.com Fax: 888-467-2378 Phone: 877-945-7378 Please note that it is your responsibility to provide up-to-date contact information to assure correct distribution of any future renewal certificates. 1of3 12107