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Certificates of Insurance
ACCOR"® CERTIFICATE OF LIABILITY INSURANCE D03/25/2022DIYYYY) 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 Marsh Risk&Insurance Services Marsh Risk&Insurance Services NAME: PHONE CA License#0437153 AI CC No Ext: 213-346-5000 A/c,No): 633 W.Fifth Street,Suite 1200 E-MAIL marsh.comA osn eles.CertRe uest Los Angeles,CA 90071 ADDRESS: L g q °� Attn:LosAngeles.CertRequest@Marsh.Com INSURER(S)AFFORDING COVERAGE NAIC# CN 10 1 348564-STND-GAU E-22-23 05 2022 INSURER A:ACE American Insurance Company 22667 INSURED AECOMINSURER B:N/A N/A AECOM Technical Services,Inc. INSURER C:Illinois Union Insurance Cc 27960 3201 W.Commercial Blvd.,Suite 134 INSURER D:SEE ACORD 101 Fort Lauderdale,FL 33309-3427 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: LOS-002167876-12 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 LTR IN SD WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY A X COMMERCIAL GENERAL LIABILITY HDOG72489974 04/01/2022 04/01/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE 1XI OCCUR PREMISES (a occurrDence $ 1,000,000 APPROVED BY RISK MANAGEMENT MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 BYE. ° . 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: DATE 0120/262.2 f GENERAL AGGREGATE $ X POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT WAIVER N/A YES_ OTHER: $ A AUTOMOBILE LIABILITY ISA H25564959 04/01/2022 04/01/2023 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident L $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ D WORKERS COMPENSATION SEE ACORD 101 04/01/2022 04/01/2023 X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C ARCHITECTS&ENG. EON G21654693 005 04/01/2022 04/01/2023 Per Claim/Agg 2,000,000 PROFESSIONAL LIAB. "CLAIMS MADE" Defense Included DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:AECOM Project Na 60586314,Contract for Transportation Planning Services,Monroe County,FL The Monroe County Board of County Commissioners,its employees and officials are named as additional insured for GL&AL coverages,but only as respects work performed by or on behalf of the named insured where required by written contract. Contractual Liability is included in the General Liability coverage. CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn:Risk Management Administrator ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE XMd�rQle &�r�¢cvr ree$ehviee¢ @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101348564 LOC#: Los Angeles ACOOR 0 ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh Risk&Insurance Services AECOM AECOM Technical Services,Inc. POLICY NUMBER 3201 W.Commercial Blvd.,Suite 134 Fort Lauderdale,FL 33309-3427 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation/Employer Liability cont. Policy Number Insurer States Covered WLR C68926361 Indemnity Insurance Company of North America-NAIC#43575 AOS,Including California WLRC68926324 ACE American Insurance Company-NAIC#22667 MA SCF C68926440 ACE Fire Underwriters Insurance Company-NAIC#20702 WI Retro ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 INSURANCEDATE(MMtDD ) 09114/2021 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 IN URER(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 certificate holder in lieu of such endorsement(s), PRODUCER CONTACT Marsh Risk&Insurance Services NAME' CA License#0437153 PHONE FAX 633 W.Fifth Street,Suite 1200 E-MAIL sxt9: ntc No: Los Angeles,CA 90071 ADDRESS: Attn:LosAngeles.CedRequest@Marsh.Com lNSUREFtIS1AFFCITDINGCtYVE GE NAIL# CN101348564-STND-GAVE-21-22 05 2022 INSURER A:ACE American Insurance Company 22667 INSURED AECOM INSURER B:NIA N/A AECOM Technical Services,Inc. INSURER C:Illinois Union Insurance Co 27960 3201 W.Commercial Blvd.,Suite 134 INSURER D:SEE ACORD 101 Fort Lauderdale,FL 33309-3427 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: LOS-002167876-09 REVISION NU MBE 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. lLT TYPE OF INSU DL NCE ANDISUBRI WVO POLICY NUMBER MMIE POLICYEFF MMPDDfYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDO G72486304 04/01/2021 04/0112022 EACo--'OccuRRE cE_ $ 1,000,000 CLAIMS-MADIE X OCCUR DAMAGE TO REN E® PREMISES Ea oc u ence $ 1,000,000 MED EXP(Any one person) $ 5,000 PERSONAL It ADV INJURY 5 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 2,000,000 X POLICY 0 PRO- JECT El LOG PRODUCTS-COMPIcP AGG 5 2,000,000 OTHER: 5 A AUTOMOBILE LIABILITY ISA H25549211 04/0112021 04/01/2022 COMBINED SINGLE UNIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per $ AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY era $ .5 -[ UMBRELLALIAB OCCUR EACH OCCURRENCE 5 EXCESS LIAR CLAIMS-MADE AGGREGATE S DIED RETENTIONS S D WORKERS COMPENSATION SEE ACORD 101 9/0112 222 X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTNERfEXECUTIVE 1,000,000 OFFICERIMEMBEREXCLUDED? N NIA E.L.EACH ACCIDENT S (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 C ARCHITECTS&ENG. EON G21654693 005 04/01/2021 04/01/2022 Per Claim/Agg 2,000,000 PROFESSIONAL LIAR. "CLAIMS MADE" Defense Included DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) Re:AECOM Project No:60586314;Contract for Transportation Planning Services;Monroe County,FL The Monroe County Board of County Commissioners,its employees and officials are named as additional insured for GL 6 AL coverages,but only as respects work performed by or an behalf of the named insured where required by written contract. Contractual Liability is included in the General Liability coverage. AP ISM ENT BY- L« CERTIFICATE HOLDER CANCELLATION 9 . 14 . 2021 Monroe County SHOULD ANY OF TH WA t nt Board of County Commissioners THE EXPIRATION WV�* Attn:Risk Management Administrator ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE I GO 1966-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101348564 LOC#: Los Angeles ACC-310REP ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh Risk&Insurance Services AECOM AECOM Technical Services,Inc POLICY NUMBER 3201 W.Commercial Blvd.,Suite 134 Fort Lauderdale,FL 33309-3427 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO A D FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability InSUranc Workers Compensation/Employer Liability cont. Policy Number Insurer States Covered Wl.R C67806025 Indemnity Insurance Company of North America-NAIC 0 43575 AOS WLR C67805987 ACE American Insurance Company-NAIC#22667 CA,MA SCF C67806104 AGE American Insurance Company-NAIC Of 22667 WI Reno ACC 101 (2008/01) @ 2008 ACC RD CORPORATION. All rights reserved. The A D name and logo are registered marks of ACORD - DATE(MWDDNYYY) CERTIFICATELIABILITY -__.I 05/2012020 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(5), 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 are endorsement. A statement on this certificate does not confer rights to the certificate holder in lied of such endorsement(s), PRODUCER CONTACT i Marsh Risk&Insurance Services NAME _..._ — --- __ rAX CA License#0437153 (c.�i 633 W.Fifth Street,Suite 1200 E-IML Los Anger,CA 90W1 ADDRESS: _ Atln:LosAngeles.CertRequest marsh.Com — -INSURE# INGCOVERAGE_. ��NA3C9 CN3 i1348564 STND-GAVE-20-21 05 2022 INSURER A ACE American insurance Company T2206Ba 4 _ _.__..._ _.,_ _ m . _ P 1�_ _.. A INSURED INSURER B NIA N/A AECOM AECOM Technical Services,Inc, INSURER c-Illinois Union Ins canoe Co _ 27960 3201 W.Commercial Blvd.,Suite 134 INSURER D:SEE ACORD 101 Fort Lauderdale,FL 3,3309-342 _ INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: LOS-WM7876-07 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TC THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR INNER 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.. IAdSR'T--.� TYPE INSURANCE +�if�L 5 .--------- — -- POLICY EFF POLICY EXP Laws i POUCYNUMBER MID M D A X COMMERCIAL GENERAL LIABILITY HDOG7123311A 04101020 04/0112021 F.ACHOCCURRENCE $ 1,000A00' CLAIMS-MADE ��OCCUR BY F3l�rl Pr11y}lLl 1 000,000 L3ATMNSE TO RENTED PREMISES(Ea or�r`�arrencg� _ $ _ 5,000 __----_—.___ _ _ — BY !- -._. £:I_�r... ,✓ .. v `J ,,;.r ` _MED E3tP(Any one person) i` m PERSONAL&ADV INJURY $ 1 000,000 ,000000 e3IN°L AGGREGATE LIMIT APPLIES PER: �+'�.,�.....• r � GENERAL AGGREGATE —Is 2 _ X PRO- POLICY�__. LOC WA (W YEB-�-•+ mPRODUCT3 COMPIOPAGG $, ...mm2,000,� OTHER: $ A AUTOMOSILELIABILITY ISAH253f01730 104101/2020 04/01/2021 CO�MBIINdEDSINGLELIMIT $ 1,000,000 X ANY AUTO f BODILY INJURY(Per pe—) $ �. OWNED -. SCHEDULED k BODILY INJURY(Per accident) $ _ AUTOS ONLY W_ AUTOS HIRED NON-OWNED 6 fPR6PERTYDAMAGE _. AUTOS ONLY AUTOS ONLY I ....(Per accident ____,. .._..._._. -. -...___ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ sa� EXCESS LIAB CLAIMS-MAD I AGGREGATE .-_._.._..---I __. .... .__�.� ...._.__.._._.._...� DED I L-1RETENTION S S D IWORKERScomPENSATION SEE ACORD 101 04 01MM 0410 0221 X PER (}TH- A ND EMPLOYERS'LIABILBY YIN ! STATUTE 1 __. ER ANYPROPRIETOR(PARTNERIEXECU'nVE I I E l-EACH ACCIDENT $ 1�000,000 OFFICERIMEMBEREXCLUDED? NIA _-....... .._w (Mandatory in NH) EL,DISEASE-EA EMPLOYEE $ 1,000,000 it Yes,describe under 1) RIPTION OF OPERATIONS beTaw E.L.DISEASE-POLICY LIMIT $ 1,000,000 C j ARCHITECTS&ENG. EON G21654693 005 04101/2020 OI101/2021 Per ClaimlAgg 2,000.000 PROFESSIONAL LIAR. 'CLAIMS MADE" Defense Included DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) _ Re:AECOM Project No:64586314;Contract for Transportation Planning Services.Monroe County,FL The Monroe County Board of County Commissioners,its employees and officials are named as additional insured for GL&AL coverages,but only as respects work performed by or on behalf of the named insured where required by written contract. Contractual Liability is Included in the General Liability coverage. CERTIFICATE MOLDER - CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE [DELIVERED IN Attn:Risk Management Administrator ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 - AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services James L.Vogel ~� 19 8-2016 ACORD CORPORATION. All rights reserved. ACORN 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CNIO1348564 LOC#: Los Angeles 0 AC(:>RElli ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh Risk&Insurance Services AECOM AECOM Technical Services,Inc. POLICY NUMBER 3201 W.Commercial Blvd.,Suite 134 Fort Lauderdale,FL 33309-3427 CARRIER NAIC CODE EFFECnVE DATE- ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ---25-- FORM TITLE: Certificate of Liability Insurance Workers CompensationlEmployer Liability cont Policy NumWr Insurer States Covered WLR C6692340A Indemnity Insurance Company of North America-NAIC#43575 ACIS WLR C66923320 ACE American Insurance Company-NAIC 9 22667 CA,AZ,MA SCF 066923368 ACE American Insurance Company-NAIG#22667 Wl Retro ACORD 101 (2008/01) ID 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,�coR ® CERTIFICATE OF LIABILITY INSURANCE DATE/2019 /YYYY) `�' 0311812019 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 • Marsh Risk&Insurance Services NAME: PHOFAX CA License#10437153 A/C.NE No.Ext): (A/C,No): 633 W.Fifth Street,Suite 1200 E-MAIL Los Angeles,CA 90071 ADDRESS: Attn:LosAngeles.CertRequest@Marsh.Com INSURER(S)AFFORDING COVERAGE NAIC# CN101348564-STND-GAUE-19-20 127C 04 2019 INSURER A:ACE American Insurance Company 22667 INSURED INSURER B:N/A N/A AECOM URS Corporation Southern,Inc. INSURER C:Illinois Union Insurance Co 27960 7650 NW Corporate Center Drive INSURER D:SEE ACORD 101 Suite 400 Miami,FL 33126 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: LOS-002149629-15 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. INSRT TYPE OF INSURANCE ADDLIN SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYYI (MM/DD/YYYY) _ A X COMMERCIAL GENERAL LABILITY HDO G71234137 04/01/2019 04/01/2020 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 1,000,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA H25280532 04/01/2019 04/01/2020 COMBINED SINGLE LIMIT $ 2,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ D WORKERS COMPENSATION SEE ACORD 101 04/01/2019 04/01/2020 x PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE 2,000,000 OFFICER/MEMBEREXCLUDED? n N/A E.L.EACHACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe under 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C ARCHITECTS&ENG. EON G21654693 005 04/01/2019 04/01/2020 Per Clatm/Agg 1,000,000 PROFESSIONAL LIAB. "CLAIMS MADE" Defense Included DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Re:Professional Services Monroe County is included as Additional Insured as respects the General Liability and Auto Liability policies,where required by written contract. BYPRuV:�V .7. `Iy%,GEMENT DA "AIL is o , WAIVER N/A `!''! CERTIFICATE HOLDER • CANCELLATION Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West,FL 33040 AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services James L.Vogel I ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101348564 LOC#: Los Angeles ACO ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED • Marsh Risk&Insurance Services AECOM URS Corporation Southern,Inc. POLICY NUMBER 7650 NW Corporate Center Drive Suite 400 Miami,FL 33126 CARRIER NAIC CODE EFFECTIVE DATE: 4 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation/Employer Liability cont. Policy Number Insurer States Covered WLR C6589323A Indemnity Insurance Company of North America-NAIC#43575 AOS WLR C65893150 ACE American Insurance Company-NAIC#22667 CA and MA • SCE C65893198 ACE American Insurance Company-NAIC#22667 WI Retro WCU C65893393 ACE American Insurance Company-NAIC#22667 OH,Ohio Qualified Self Insured(QSI)-SIR:$500,000;Only applicable to specific qualified entities self-insured in the state of Ohio Waiver of Subrogation is applicable where required by written contract with respect to WC. If the insurer for the Workers Compensation policy cancels its policy for any reason other than for non-payment of premium,the insurer will provide 30 days notice of cancellation to those Certificate Holders that require it by written contract. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • 72 POLICY NUMBER: ISA H25280532 Endorsement Number: 4 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: AECOM Endorsement Effective Date: SCHEDULE Name Of Person(s)Or Organization(s): Any person or organization whom you have agreed to include as an additional insured under a written contract or provided such contract was executed prior to the date of loss Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured"for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1.of Section II—Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 OO Insurance Services Office, Inc.,2011 Page 1 of 1 2 NOTICE TO OTHERS ENDORSEMENT—SCHEDULE—EMAIL ONLY Named insteetl AECOM Endorsement Number All other terms and conditions of the Policy remain unchanged. t Policy Symbol Policy Number Policy Period Et edctive Data of Endorsemani ISA H25280532 04/011201t9 To 04/01/2020 .......................rnaofInsur...............mp - ---...__.._..........................._.._.._._.. - -._ _ __ Issuetl By{Name of Insurance Company) (ACE American Insurance Company !non Ole pcimy number.The remainder el the Information Is to be cempldedorsy whenitp endoraement:a round eubsowwt to the teeperetitn o/the.racy. Aothotized Representative THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. A. if we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium,we will endeavor,as set out below,to send written notice of cancellation,via such electronic notification as we determine,to the persons or organizations listed in the schedule that you or your representative provide or have provided to us(the"Schedule').You or your representative must provide us with the e-mail address of such persons or organizations,and we will utilize such e-mail address that you or your representative provided to us on such Schedule. B. The Schedule must be initially provided to us within 15 days after. I. The beginning of the Policy period,if this endorsement is effective as of such date;or ii. This endorsement has been added to the Policy, if this endorsement Is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us;and must be accurate. D. Our delivery of the notification as described in Paragraph A.of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the eenati address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is intended only to be a courtesy notification to the person(s) or organization(s)named in the Schedule in the event of a pending cancellation of coverage.We have no legal obligation of any kind to any such person(s)or organization(s). Our failure to provide advance notification of cancellation to the person(s)or organization(s)shown in the Schedule shall impose no obligation or liability of any kind upon us,our agents or representatives,will not extend any Policy cancellation date and will not negate any cancellation of the Policy G. We are not responsible for verifying any information provided to us in any Schedule,nor are we responsible for any incorrect information that you or your representative provide to us, If you or your representative does not provide us with a Schedule,we have no responsibility for taking any action under this endorsement. In addition,if neither you nor your representative provides us with a-mall address information with respect to a particular person or organization,then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule,or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL-32685(01rt 1) Page 1 of 2 ALL-32685(01111) Page 2 of 2 55 POLICY NUMBER.: HD0 G71234137 Endorsement Number. 19 will pay on behalf of the additional insured is the whichever is less. amount of insurance: This endorsement shall not increase the COMMERCIAL GENERAL LIABILITY 1. Required by the contract or agreement;or applicable Limits of Insurance shown in the CG 2010 0413 2, Available under the applicable Limits of Declarations. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Insurance shown in the Declarations; 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 Additional Insured Persons) Or Organization(g....,,__,...._.. Localionfsi Of Covered OFerations..................... Any Owner,Lessee or Contractor whom you have [Ail locations where you are performing ongoing agreed to include as an additional insured under a l operations for such additional Insured pursuant to any written contract,provided such contract was executed ,such written contract. prior to the date of loss. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. Section II—Who Is An Insured is amended to B.With respect to the insurance afforded to these include as an additional insured the personas)or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for"bodily injury","property This insurance does not apply to"bodily injury"or damage" or "personal and advertising injury" 'property damage"occurring after: caused,In whole or In part,by: 1. Your acts or omissions;or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs)to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the locations) location of the covered operations has been designated above, completed;or However. 2. That portion of"your work"out of which the 1. The Insurance afforded to such additional intended or damage arises has been put to its intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law,and engaged in performing operations for a 2. If coverage provIded to the additional insured is principal as a part of the same project. required by a contract or agreement, the C.With respect to the insurance afforded to these insurance afforded to such additional insured additional insureds, the following is added to will not be broader than that which you are Section III—Limits Of Insurance: required by the contract or agreement to If coverage provided to the additional Insured is provide for such additional insured. required by a contract or agreement.the most we CG 2010 0413 0 Insurance Services Office,Inc„2012 Page 1 of 2 Page 2 of 2 ®Insurance Services Office,Inc.,2012 CG 20 10 0413 48 POLICY NUMBER: HDO G71234137 Endorsement Number; 87 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 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 PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed O erations Any person or organization whom you have agreed to All locations where you perform work for such additional include as an additional insured under a written •insured pursuant to any such written contract. contract, provided such contract was executed prior to the date of loss. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II —Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III—Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage"caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations 1. Required by the contract or agreement;or hazard". 2. Available under the applicable Limits of However: Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law; and Limits of Insurance shown in the Declarations. 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured, CG 20 37 0413 0 Insurance Services Office, Inc,,, 2012 Page 1 of 1 3 NOTICE TO OTHERS ENDORSEMENT—SCHEDULE—EMAIL ONLY Named insured AECOM Enaolsemenl Number _• • All other terms and conditions of the Policy remain unchanged. 305 Policy Symbol rPa!1cy Number I Poky Parictl Effective Date of Greorlrement HOO 11371234137 i04101t2019 To 04/D1/2029 Issued By(Name of rrmusnce Cceriparryl ACE American Insurance Company ecornPetrbonlywr..n this enac insert Iirc pokey number.The ransomer or dre irfonnatbn b to be compieedoNywtlen this cnGrxsemeM r9 r!luvl auelMrycnl to 1M pmpeistirrn of me pdiry Authorized Representative THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. A. If we cancel the Policy prior to its expiration date by notice to you or the first Named Insured for any reason other than nonpayment of premium,we will endeavor,as set out below,to send written notice of cancellation,vie such electronic notification as we determine,to the persons or organizations listed in the schedule that you or your representative • provide or have provided to us(the'Schedule").You or your representative must provide us with the e-mail address of such parsons or organizations,and we win utinze such e-mail address that you or your representative provided to us on such Schedule, B. The Schedule must be initially provided to us within 15 days after: I. The beginning of the Policy period,if this endorsement is effective as of such date;or ii. This endorsement has been added to the Policy, if this endorsement is effective after the Policy period commences. C. The Schedule must be in an electronic format that is acceptable to us;and must be accurate. O. Our delivery of the notification as described in Paragraph A.of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. E. We will endeavor to send such notice to the e-mail address corresponding to each person or organization indicated in the Schedule at least 30 days prior to the cancellation date applicable to the Policy. F. The notice referenced in this endorsement is Intended only to be a courtesy notification to the person(s) or organization(s) named in the Schedule in the event of a pending cancellation of coverage.We have no legal obligation of any kind to any such person(s) or organization(s). Our failure to provide advance notification of cancellation to the person(s)or orgenizetiorr(s)shown in the Schedule shall impose no obligation or liability of any kind upon us.our agents or representatives,will not extend any Policy cancellation date and will not negate any • cancellation of the Policy. G. We are not responsible for verifying any information provided to us in any Schedule,nor are we responsible for any incorrect information that you or your representative provide to us. If you or your representative does not provide us with a Schedule,we have no responsibility for taking any action under this endorsement. In addition,if neither you nor your representative provides us with e-mail address information with respect to a particular person or organization,then we shall have no responsibility for taking action with regard to such person or entity under this endorsement. H. We may arrange with your representative to send such notice in the event of any such cancellation. I. You will cooperate with us in providing the Schedule,or in causing your representative to provide the Schedule. J. This endorsement does not apply in the event that you cancel the Policy. ALL-32e85(91y11) • Page 1 of 2 ALL-32685(Oir11) Page 2 of 2 • • •