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HomeMy WebLinkAboutCOI Expires 08/17/2019 Client#: 1049229 CURRISOW ACORD,. CERTIFICATE OF LIABILITY INSURANCE z/zs DATE(MMIDD/YYYY) M/DDN /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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: USI Insurance Services,LLC PHONE 813 321-7500 FAX _(A/C,No,Ext): (A/C,No): 2502 N Rocky Point Drive E-MAIL ADDRESS: Suite 400 INSURER(S)AFFORDING COVERAGE NAIC# Tampa,FL 33607 INSURER AInsurance MSACompany 11066 INSURED INSURER B.Travelers Casualty and Surety Company 19038 Currie Sowards Aguila Architects Inc INSURER C xL Specialty Insurance Company 37885 185 NE 4th Ave INSURER D: Suite 101 INSURER E: Delray Beach,FL 33483 - 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTRINSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY X BPG98835 08/17/2018 08/17/2019 EACH OCCURRENCE $1,000,000 D CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence) $500,000 MED EXP(Any one person) $5,000 PERSONAL BADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JEC PROT- I_ LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY X BPG98835 08/17/2018 08/17/2019 (Ee aocldeD SINGLE LIMIT $1,000,000 BODILY INJURY(Per person) $ ANY AUTO A I • Y RI• NAGEMENT OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED BY , yr PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY -- (Per accident) nATE UMBRELLA LIAB OCCUR ``�� EACH OCCURRENCE _ $ EXCESS LIAB ��1Y51'1 �, — CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION X UB9J073318 01/01/2019 01/01/2020 X PER ERH- AND EMPLOYERS'LIABILITY STATUTE ER Y N ANY PROPRIETOR/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 $1,000,000 C Professional DPR9938943 02/27/2019 02/27/202 $2,000,000 per Claim Liability $2,000,000 Annl Aggr. DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Professional Liability coverage is written on a claims-made basis. RE:Eontinuing_Services Contract; Monroe County is an additional insured with respect to General Liability and Auto Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION Monroe CountyBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS. Room 2-216 Key West, FL 33040 AUTHORIZED REPRESENTATIVE i ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S25101450/M25101143 NSNZP