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COI Expires 04/01/2020 DATE(MMIDDIYYYY) ACORD CERTIFICATE-OF LIABILITY INSURANCE • 3/25/2019 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 ih lieu of such endorsement(s). ' - . PRODUCER CONTACT NAME: Hylant Group Inc-Ann Arbor PHONE FAX 24 Frank Lloyd Wright Dr J4100 //vc.No.Eel):734-741-0044 • . . I fA/C.No):734'-741-1850 . •Ann Arbor:Ml'48105 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Continental Insurance Company 35289 INSURED HIGGI-5 INSURER B:Continental Casualty Company • 20443 Douglas N. Higgins, Inc. 3390 Travis Pointe,Suite A INSURER C:Greenwich Insurance Company 22322 Ann Arbor MI 48108 INSURER D:Zurich American Insurance Co 16535 INSURER E: - ., - . _ _ ... . INSURER F:. COVERAGES • • CERTIFICATE NUMBER:1151341663 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 CONTRACTOR 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 TYPEOFINSURANCE • ADbLSUER POLICY EFF POLICY EXP LIMnS LTR 'INSD WVD POLICY NUMBER- SMM/DD/YYYY)'_(MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY. U1061.922047 4/1/2019 4/1/2020 EACH OCCURRENCE $'1,000,000' CLAIMS-MADE X OCCUR PREMISES�a occurrence) PREMISES(Ea occurrence) $500,000 • X 1 In(XCU E GEMENT MED EXP(Any one person) $15,000 X 1-Intl contractual DA PERSONAL&ADV INJURY. $1;000,000 GEN'L AGGREGATE LIMIT APPLIES PER: WAIVER N/ E GENERAL AGGREGATE $2,000,000 POLICY X jEOOT- LOC • PRODUCTS•COMP/OP AGG $2;000,000 OTHER: $ ' A AUTOMOBILE-LIABILITY U1061922033 4/1/2019 4/1/2020 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) B X UMBRELLA LIAB X OCCUR U1061922050 4/1/2019 4/1/2020 'EACHOCCURRENCE $10,000,000 —11 EXCESS LIAB • CLAIMS-MADE AGGREGATE $10;000,000 DED X I RETENTION$n • •$ D: WORKERS COMPENSATION • WC1839680 4/1/2019 4/1/2020 X' STATUTE 10TH R AND EMPLOYERS'LIABILITY Y i N ANYPROPRIETOPJPARTNER/EXECUTIVE N: N/A E.L.EACH ACCIDENT. $1,000,000 OFFICER/MEMBEREXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under E,LDISEASE—I3OLICY-UMIL_ _ DESCRIQTION OF_OPF�iAT10NStbelaiv — ---_—_ 31,000,000__ —. c I Professional/ ' PEC0025095- 4/1/2019 4/1/2020 2,000,000 • Each Claim I Pollution 4,000,000 Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached II-more space is required). Job-'Lake Surprise Roadway.and Drainage Improvement Project,Key Largo,Monroe County,FL . Additional Insured for General Liability and'Automobile Liability, primary and:non-contributory, as required byw ritten contract-Monroe County Board of County Commissioners,its employees,officials,agents and volunteers. A 30 day prior written notice of any insurer initiated cancellation,except-non-payment of premium,will be given. A 10 day prior written notice will be given in the event of-non-payment of premium. 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 Board of Commissioners 102050 Overseas Highway-, Suite 229 AUTHORIZED REPRESENTATIVE Key Largo FL.33037- rtfaZ/11A-y—t' i ©1988=2015:ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks.of ACORD 2 of 2 1079