Loading...
COI Expires 07/21/2020 ,— CSAGROU-01 JGALLOZZI • ACORLY CERTIFICATE OF LIABILITY INSURANCE DATE(MNI/DD/YYYY) �� 7/26/2019 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: American Global LLC PHONE FAX 390 North Broadway (A/C,No,Ext):(516)387-1170 (A/C,No): Jericho,NY 11753 UDAhss:info@americanglobal.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Ins.Co.of the Midwest 37478 INSURED INSURER B:Trumbull Insurance Company 27120 CSA Holdings,Inc./CSA Central,Inc. INSURER C:Hartford Casualty Insurance Co. 29424 8200 NW 41st Street,Suite 305 INSURER D:Twin City Fire Insurance Company 29459 Doral,FL 33166 INSURER E:Markel American Insurance Company .28932 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 W POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR VD (MM/DD/YYYYI 4MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 12 UUN BM9482 7/21/2019 7/21/2020 RIVE u Dnce) _ $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Fa accident) $ ANY AUTO 12 UUN BM9482 7/21/2019 7/21/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY - AUTOS ONLY (Per accident) $ $ C X UMBRELLA LIAB X OCCUR I EACH OCCURRENCE $ 10,000,000 EXCESS LIAR CLAIMS-MADE 12 XHU BM3213 7/21/2019 7/21/2020 AGGREGATE $ 10,000,000 DED RETENTION$ $ D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y N 12 WB AS1982 7/21/2019 7/21/2020 .E.L.EACH ACCIDENT $ FFICER/MEMBER EXCLUDED? N/A (Mandatory m 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 $ E Professional Liab MKLM7PL0001775 7/21/2019 7/21/2020 OCC/AGG 5,000,000 • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is quired) Engineering Design and Permitting Services for the Florida Keys Overseas Heritage Trai re l Connection at Cudjoe Gardens Project The Monroe County BOCC and FDOT are included as Additional Insured under General Liability,Auto and Umbrella/Excess Liability for work performed by the named insured as required by written contract. Sixty(60)days write ' I e ,U days for non-payment of premium. Employer's Liability is included on Workers Compensation. BY DA WAN- i/A S..s` l CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MONROE COUNTY Board of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. County Commissioners(BOCC) 1100 Simonton Street . -- Key West,FL 33040 AUTHORIZED REPRESENTATIVE jZgL.e4ealG.f^v WfirA'(i ��y V/ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD