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Certificates of Insurance
Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 46...../-- 02/14/2019 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 CONTACT NAME: Collinsworth Ins&Risk Mgmt Services Inc PHONE Erinn E Collinsworth FAX. P.O. Box 661628 (A/C.No.Eat): (786) 930-4795 (A/C,No): E-MAIL Miami Springs FL 33266 ADDRESS: Erinn@Collinsworthinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:The Phoenix Insurance Company 25623 INSURED (305) 293-9440 INSURER B:Travelers Cas & Surety Co 19038 Perez Engineering & Development, Inc. INSURERC:Beazley Insurance Company Inc. 37540 1010 Kennedy Drive INSURER D: Suite 202 Key West FL 33040 (INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER:Cert ID 2603 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 EFF POLICY EXP LIMITS LTRW INSD VD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR Y 660-4K759893 02/16/2019 02/16/2020 PREMISES(Ea occurrence) $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PRO- POLICY LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) A ANY AUTO Y 660-4K759893 02/16/2019 02/16/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED A PROPERTY DAMAGE $ % AUTOS ONLY % AUTOS ONLY Y RISK A{ MENT (Per accident) • _ BY - 1---1- $ UMBRELLA LIAB OCCUR DATE EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE ~ '�`- �� AGGREGATE $ DED RETENTIONS WAIVt F( N/);-.--GYES,_. $ B WORKERSND EMPLOYERS' Y/N UB-3L257670 02/16/2019 02/16/2020 X STATUTE E PER ERH AND EMPLOYERS'LIABILITY -ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,0 00,0 00 C Professional Liability V21F77190201 02/16/2019 02/16/2020Each Claim $ 2,000,000 Claims-Made Basis Policy Aggregate $ 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County Professional Engineering and Surveying Continuing Services Contract If required by written agreement; Certificate Holders is listed as additional insured, excluding Professional Services, on the General & Auto Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE • THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 (Jti AJ11 M+�UN/` I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1 ACORD� DATE (MMIDDNM) �� CERTIFICATE OF LIABILITY INSURANCE 11/20/2018 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 CONTACT Collinsworth Ins&Risk Mgmt Services Inc PHONE Erinn E Collinsworth FAX P.O. Box 661628 A/C No Ext: (786) 930-4795 AIC No: (786) 930-4794 E-MAIL Miami Springs FL 33266 ADDRESS: erinn@collinsworthinsurance.com INSURERA:Travelers Cas & Surety Cc 19 INSURED (305) 293-9440 INSURER B: BeazleyInsurance Company Inc. 37 Perez Engineering & Development, Inc. INSURER c:The Phoenix Insurance Company 25 1010 Kennedy Drive INSURERD: Suite 202 Key West FL 330401 INSURERE: COVERAGES I CERTIFICATE NLIMRER- Cert ID 250E I RFVISION NIIMRFR- 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 LTR TYPE OF INSURANCE ADDL D SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYYI POLICY EXP (MMIDDIYYYYI LIMITS C X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE � OCCUR Y 660-4K759893 12/25/2018 02/16/2019 DAMAGE TO RENTED PREMISES Eaoccurrence $ 1,000,000 MED EXP (Any one person) S 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEMLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑X PRO - ❑ LOC PRODUCTS - COMP/OPAGG $ 2,000,000 S OTHER: OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ C ANY AUTO Y 660-4K759893 12/25/2018 02/16/2019 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Ix PROPERTY DAMAGE Per accident S $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAB CLAIMS -MADE DED I I RETENTION S $ WORKERA AND AND EMPLOYERS' LIABILITY YERS'LSATIONILIT Y/N UB-3L257670 09/25/2018 02/16/2019 X STATUTE EERH E.L. EACH ACCIDENT $ 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED7 ❑N NIA E.L. DISEASE - EA EMPLOYEE S 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 B Professional Liability V21F77180101 02/16/2018 02/16/2019 Each Claim S 2,000,000 Claims Made Form Annual Aggregate $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Monroe County Professional Engineering and Surveying Continuing Services Contract If required by written agreement; Certificate Holders is listed as additional insured, excluding Professional Services, on the General & Auto Liability. AP BY RIS N+4GIEMERjT BY DATE GtK I II-IGA I h HULUtK GANGELLATIUN - - _7 _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 jJltwv`M4i1W` ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Page 1 of 1 AC"R" CERTIFICATE OF LIABILITY INSURANCE IL-� DATE (MM/DD/YYYY) 1 02/15/2.018 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 Collinsworth Ins&Risk Mgmt Services Inc P.O. Box 661628 CONTACT Erinn E Collinsworth PHONE FAX A/C No Ext: (786) 930-4795 A/C No: E-MAIL Erinn@Collinsworthinsurance.com ADDRESS: Miami Springs FL 33266 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: The Phoenix Insurance Company 25623 INSURED (305) 293-9440 Perez Engineering & Development, Inc. INSURERS: Travelers Cas & Surety Cc 19038 INSURER C: Beazley Insurance Company Inc. 37540 INSURERD: 1010 Kennedy Drive Suite 201 Key West FL 33040 INSURERE: INSURER F : CnVFRAnFS CFRTIFIrATF NIIMRFR- Cert ID 2115 REVISION NIIMRFR- 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 MAYBE 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 LTR TYPE OF INSURANCE ADDL SD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS C X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR y 660-4R7S�9E p ISK iit'1� E 12/25/2018 DAMAGE TO RENTED PREMISES Eaoccurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 BY ✓r GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 pA I — PRODUCTS -COMP/OPAGG $ 2,000,000 POLICY X PRO- LOC JECT POTHER WAIVER W YES._. $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ C ANY AUTO Y 660-4K759893 12/25/201712/25/2018 OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ HIRED NON -OWNED X X AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION UB-7J763402 09/25/2017 09/25/2018 X STATUTE ER AND EMPLOYERS' LIABILITY Y/N E.L. EACH ACCIDENT $ 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? I Ni (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 C Errors and Omissions V21F77180101 02/16/201812116/2019Each Claim $ 2,000,000 Claims Made Form Annual Aggregate $ 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Monroe County Professional Engineering and Surveying Continuing Services Contract If required by written agreement; Certificate Holders is listed as additional insured, excluding Professional Services, on the General & Auto Liability. 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. Monroe County 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 (t ., ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1 �® ACC> �V//� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYY 0$/30i2018 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 polic ,(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 Collinsworth Ins & Risk Mgmt Services In P.O. Box 661628(Alc CONTACT Erinn E Collinsworth PHONE FAX No Ext: (786) 930-4795 A/C No: (786) 930-4794 E-MAIL erinnOcollinsworthinsurance.com ADDRESS: Miami Springs FL 33266 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: The Phoenix Insurance Company 25623 INSURED (305) 293-9440 Perez Engineering & Development, Inc. INSURERS:Beazley Insurance Company Inc. 37540 INSURER c: Travelers Cas & Surety Co 1903E INSURERD: 1010 Kennedy Drive Suite 201 Key West FL 33040 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: Cert ID 2392 REVISION NUMBFR: 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICYNUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR Y 660-4K759893 12/25/2017 12/25/2018 DAMAGE TO RENTED PREMISES Ea occurrence S 1,000,000 MED EXP (Any one person) S 10,000 PERSONAL& ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S 1,000,000 BODILY INJURY (Per person) S A ANY AUTO Y 660-4K759893 12/25/2017 12/25/2018 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) S X PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY S UMBRELLALIAB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ S WORKERC AND AND EMPLOYERS' LIABILITY YERS'LIAILITTION Y/N UB-3L257670 09/25/2018 02/16/201.9 X STATUTE EERPER H ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? I Ni N/A E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S I,000,000 B Errors and Omissions V21F77180101 02/16/2018 02/16/2019Each Claim S 2,000,000 Claims Made Form Annual Aggregate $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Monroe County Professional Engineering and Surveying Continuing Services Contr If required by written agreement; Certificate Holders is listed as additional i ured, excluding Professional Services, on the General & Auto Liability. AP V RlS AGEk"T BY _ RA r L;LK 1 It -ILA I t HULUtK L;ANC:tLLTANVtM rV F%_ X TC�'t..— Monroe County 1100 Simonton Street Key West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE L1.k ACORD 25 ((2016/03) ©1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Page 1 of 1 AC40RD CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/13/2017 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 endorsements . PRODUCER GEICO CONT/CT GEICO NIME: PHONE 1^��9 A/C, No, Ea : FAX Alc Not One GEICO Boulevard Fredericksburg, VA 22412 Email Address: R100MIIEND@GEICO.COM INSURERS AFFORDING COVERAGE NAIC # INSURERA:GOVERNMENT EMPLOYEES INSURANCE COMPANY 22063 INSURED INSURER B: PEREZ ENGINEERING AND DEVELOPM 6 EVERGREEN AVE INSURERC: INSURERD: KEY WEST FL 33040 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. INS'R LTR TYPE OF INSURANCE ADD'L INSRD SUBR WVD POLICY NUMBER POUCY EFF MM/DDI POLICY EXP MM/DD/ LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurence $ MED. EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE $ POLICY ❑ PROJECT ❑ LOC PRODUCTS —COMPIOP AGG. $ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ 100,000 A ANY AUTO X 9100176966 00 11/7/2017 11/7/2018 OWNED SCHEDULED AUTOS ONLYAUTOS XBODILY INJURY (Per accident) $ 300,000 PROPERTY DAMAGE (Per accident) $ 50,000 HIRED NON -OWNED AUTOS ONLYAUTOS ONLY I X UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS -MADE AP g I K G MENT AGGREGATE $ DED RETENTION $ $ WORKERS' COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N / A ( 1 L DATE 1 STATUTE ER EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) WAIVER N YES EL DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPI'IONOF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, AddltionaFtemarksSchedule, may be attachedlfmore space Is required) MONROE COUNTY IS NAMED AS ADDITIONAL INSURED. MONROE COUNTY 1100 SIMONTON ST KEY GUEST, FL/33040-3110 L" C. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD / A`oR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 09/20/2017 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 terns 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 Collinsworth Ins & Risk Mgmt Services In P.O. Box 661628 Miami Springs FL 33266 CONTACT NAME: Erinn E Collinsworth PHON E FAX N E ; (786) 930-4795 A/C No:(786) 930-4794 E-MAIL ADDRESS: erinnWcollinsworthinsurance.com INSURERS AFFORDING COVERAGE NAIC q INSURERA: Colony Specialty Insurance Co. 36927 INSURED (305) 293-9440 INSURER B: Travelers Cas & Surety Cc 19038 Perez Engineering & Development, Inc. INSURER C : INSURERD: 1010 Kennedy Drive INSURERE: Key West FL 33040 INSURER F f'nvCOAGCC CFRTIFIPATF NIIMRFR• core Tn 1 q1 A RFVI.RIAN NIIMRFR- 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. INSRPOLICY LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER EFF MMDDIIYYYY POLICY EXP MM DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE 71 OCCUR DAMAGE TO PREMISES EaENTEoccur ante $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ POLICY PRO JECT ❑ LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTYDAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNEWEXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH) N/A UB-7J763402 09/25/2017 09/25/2018 K STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 Res, describe under SCRIPTION OF OPERATIONS below A Professional Liability IAE134410 02/16/2017 02/16/201SEach Claim $ 2,000,000 Claims Made Form Policy Aggregate $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Monroe County Professional Engineering and Surveying Continuing Services Con act APPt VED SK MA ENT BY W N/ , S 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 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 1 21LL"l;L4 ©1988-2015 ACORD CORPORATION. All rights reserved. T e ACORD 25 (2016/03) L� ACORD name and logo are registered marks of ACORD Page 1 of 1 ACORN® `" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1/4/2018 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 Collinsworth Ins&Risk Mgmt Services Inc P.O. Box 661628 CONTACT NAME:Erinn E Collinsworth PHONE FAX A/C No Ext: (786) 930-4795 AIC No: E-MAIL ADDRESS: erinn@collinsworthinsurance.com Miami Springs FL 33266 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:The Phoenix Insurance Company 25623 INSURED (305) 293-9440 Perez Engineering & Development, Inc. INSURER B: Travelers Cas & Surety Cc 19038 INSURERC:Colony Specialty Insurance Co. 36927 INSURERD: 1010 Kennedy Drive Suite 201 Key West FL 33040 INSURERE: INSURER F : COVFRAGFS CFRTIFICATF NIIMRFR-Cert ID 2062 RFVISION MIIMRFR- 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. ILTR TYPE OF INSURANCE IINSD SWVD POLICY NUMBER MM% IDYL EXP MM/DDYIYYYY LIMITS C X COMMERCIAL GENERAL LIABILITY . EACHOCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR y 660-4K759893 12/25/2017 12/25/2018 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY Fx1PRO ❑ LOC JECT PRODUCTS - COMP/OPAGG $ 2,000,000 Is OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ C ANY AUTO y 660-4K759893 12/25/2017 12/25/2018 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIABFOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB LAIMS-MADE DED I I RETENTION$ $ WORKERB AND AND EMPLOYERS' LIABILITY YERS'LSAILIT YIN UB-7J763402 9/25/2017 9/25/2018 X STATUTE EERH ANYPROPRIETORIPARTNER/EXECUTWE OFF] CER/MEMBEREXCLUDED? � NIA E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Professional Liability IAE134410 2/16/2017 2/16/2018 Each Claim S 2,000,000 Claims -Made Basis Policy Aggregate $ 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Monroe County Professional Engineering and Surveying Continuing Services Contract If required by written agreement; Certificate Holders is listed as additional insur ex lu g Professional Services, on the General & Auto Liability. PPR E A MENT BY WAVE N. A ES_ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street / AUTHORIZED REPRESENTATIVE p} Key West FL 33040 ") (� l tY www I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1 ACORbr CERTIFICATE OF LIABILITY INSURANCEF11/27/2017 `� DATE(MMIDD/YYYY) 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 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 The Porter Allen Company, Inc. 513 Southard Street Key West FL 33040 CONTACT PHONE , (305) 294-2542 FAXAIC , (305)296-7985 EffiL .maria@porterallencompany,com INSURERS AFFORDING COVERAGE NAIC 0 INSURERA:Scottsdale Insurance Company INSURED Perez Engineering & Development, Inc. Attn . Allen Perez 1010 Kennedy Drive #200 lKey West FL 33040 INSURER B INSURERC: INSURER D : INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER:CL17112707521 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 LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERALUABIUTY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X N PS2582838 11/25/2016 2/22/2017 A NTE c $ 100,000 MEDEXP oneperson) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL' AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ EXCLUDED X POLICY PRO - FLOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a n ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ HIRED AUTOS NON-OWNEDU PRO OPERTY DAMAGE $ $ UMBRELLA UAS HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR DED I I RETENTION $ WORKERS COMPENSATION WC STATU. OTH- AND EMPLOYERS' LIABILITY _ Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space is required) ENGINEER OR ARCHIECTS - CONSULTING - NOT ENGAGE IN ACTUAL CONSTRUCTION EXTENDING POLICY PERIOD: 11/25/2017 TO 12/22/2017 BAP�VE YR G>;Mi;�Y CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED /a1�7- �� .5,.,,, "Monroe County Professional Engineering and Surveying Continuing Services Contract" rE (305)295-4321 Monroe County BOCC 1100 Simonton Street. Key West FL 33040 GG' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZ PRESENT E ACORD 25 (2010105) INS025 (201OD5).0t ©1988-T.A10 AC"D CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i COR �® A `«....../ IrJ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/Y 5/17/2017 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 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 The Porter Allen Company, Inc. 513 Southard Street Key West FL 33040 CONTACT Dianne Castillo NAME: PHOFAX IAICN Not, (305)296-7985 EMAILADDRiss,dionne@porterallencompany.com INSURE 3 AFFORDING COVERAGE NAIC S INSURER A:PrO ressive Companies INSURED Perez Engineering & Development, Inc. Attn . Allen Perez 1010 Kennedy Drive #200 Key West FL 33040 INSURER B : INSURERC: INSURER D : INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER:CL1751707235 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. IL LTR TYPE OF INSURANCE POLICY NUMBER PO LIO/YYY Y M LICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO E15 PREMISESE occurrence)$ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS -MADE 7 OCCUR PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ $ POLICY I PRO LOG AUTOMOBILE LIABILITY COMBfNED SINGLE LIMIT nl�1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOSAUTOS X N 6650482-9 /3/2017 1/3/2017 BODILY INJURY (Per accident) $ PPeOPE4dent) AGE $ WNED X HIRED X AUTOS Uninsured Motorist Combined $ 1,000,000 UMBRELLA LIAR EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAR CLAIMS -MADE DIED I I RETENTION $ $ WORKERS COMPENSATION WC STATU• OTH- ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If as, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AddMonal Remarks Schedule, If more space Is required) CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED PPRO D4B11! EMENDWAI NE _ (305)295-4321 Mytnik-Ann@MonroeCounty-FL Monroe County BOCC 1100 Simonton Street Key West, FL 33040 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. Q_ ACORD 26 (2010105) 01988-2010 A ORD CORPORATION. All rights reserved. INS025(201005).01 / The ACORD name and logo are registered marks of ACORD C C_ -