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Certificates of Insurance GENEASP-01 �►coRa CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDnYYY) 12/18/2019 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(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 NAME: Collinsworth,Alter,Fowler 8r French,LLC PHONE FAX 8000 Governors Square Blvd JA/c,No,Ext/c(305)822-7800 (ac,No):(305)362-2443 Suite 301iss; Miami Lakes,FL 33016 INSURER(S)AFFORDING COVERAGE ,,,,,,,,, NAIC# INSURERA:Charter Oak Fire Ins Co 25615 INSURED INSURER B:Phoenix Insurance Co 25623 General Asphalt Company Inc. INSURER C:Great American Insurance 16691, , P O Box 522306 INSURER D Miami,FL 33166 INSURER E _ INSURER F: COVERAGES CERTIFICATE NUMBER: � mm 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. INBR _„ , ADDL SUBR POLICY EFF POLICY EXF TYPE OF INSURANCE POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR C08063M46619 1/1/2020 1/1/2021 DAMAGE TO RENTED 300,000 X X P.RF-MLSES Me pmrteme) $ _ X 11 $5000.11 PD De 11 d 5,000 MED EXP(Any one person) �$ BY _,,. Y AI PERSONAL&ADV INJURY $ 2,000,000 j R $ ,.,.1 JET .� ... ..�,.... .�. GEN'L AGGREGATE LIMIT APPLIES PER:I� GENERAL AGGREGATE) POLICY _X LOC 4000,000 PRODUCTS-COMP/OP AGG $ 4000,000 CAT , m �, ". ...... OTHER: $ AUTOMOBILE LIABILITY WAI N COMBINED SINGLE LIMIT 2,000,0001 X ANY AUTO X 8109NS8602519 1/1/2020 1/1/2021 BODI IN.1y"erperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ XI E N pyy p � „ AUTOS ONLY X,. AUTOS ONLY gPeOapcEdRde tpAMAGE $ C X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 9,000,000 EXCESS LIAB AGGREGATE $ - CLAIMS-MADE T00025052408 1/1/2020 1I1I2021 9,000,000 DED X RETENTION$ 10,000 WORKERS COMPENSATION PER � OTH- , AND EMPLOYERS'LIABILITY YIN N STATUTE ER OFFICEWMEIETOR EXC NER/EDED?ECUTIVE I N/A E L,EACH ACCIDENT I$ (Mandatory n H) E.L.DISEASE,-EAEMPLOYEE $ I es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Leased/Rented 7QT6308M397964 1/1/2020 1/1/2021 w/$5000.Ded500,000 B Schedule Equip Blkt T6308M397964 1/1/2020 1/1/2021 w/$5000.Ded 12,097,865 ...... ........,_.. _.._....__._,,._. .. ...., ._,._ ..... ............... -------------------------- ............... _-. .... ..._ ___ __ - _ . ....-,.. _..........,_. .........._....... DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more apace is required) Project:Rehabilitate Taxiway A Project No.GAKAP159 Monroe County BOCC,Its employees and officials are included as additional Insured with respect to general liability and auto liablity on a primary and non-contributory basis when required by written contract. Waiver of subrogation applies in favor of the additional insured with respect to general liability when required by written contract. . ._.........-_............. CERTIFICATE HOLDER . �� CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 — ---.....— AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYY1() A�o® CERTIFICATE OF LIABILITY INSURANCE 12/20/2019 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((es)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 1-800-247-7756 CONTACT NAME: Holmes Murphy 6 Assoc - WDM PHONE FAX fA/C.No.Ext1: ._._.. .......,, ,,,a-................................ ....... laC_Ne1.. _ ... .... E-MAIL PO Box 9207 ADDRESS: INSURERJSj AFFORDING COVERAGE NAIC 0 Des Moines, IA 50306-9207 INSURERA: ZURICH AMER INS CO 16535 INSURED INSURERS: General Asphalt Company, Inc. ... ...... INSURER C 4850 NW 72nd Avenue INSURERD: INSURER E: Miami, FL 33166 INSURER F COVERAGES CERTIFICATE NUMBER:58053780 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 LTR POLICY NUMBER MO DI DffnM Y EFF Mh01/D LDI EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES_jEa,occurrencem,,,, S .,,... MED EXP An one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: � GENERAL AGGREGATE $ PRO- POLICY E I JECT I ,,,,,I LOC PRODUCTS-COMP/OP AGG $ "Vwwo ..,.. . .,...,._, OTHER: BY 1111184 $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Y gym.: Ea accident $ BODILY INJURY(Per person) $ OWNED O SCHEDULED DATE , . BODILY INJURY(Per accadent) $ AUTOS ONLY AUTOS HIRED NON-OWNED WAI WA S PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY IPer accidenl� $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ .. ......-, _...-_-_. _....__..,, _.. ....... ......,. ........ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION '..WC3757135 11./01/19 11/01/20 X STATUTE ERH AND EMPLOYERS'LIABILITY ...... ANYPROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ 1,000,000 _ .... _._ .... m OFFICER/MEMBER EXCLUDED? """' ` (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 $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project GAKAP159, Project Rehabilitate Taxiway A Monroe County BOCC. Waiver of subrogation in favor of Monroe County BOCC and all contractors and subcontractors as required by written contract per policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD chellmanwdsm 58053780 .---"II GENEASP-01 TGARRIDO . ACOREY DATE(MMIDDIYYYY) `,,� CERTIFICATE OF LIABILITY INSURANCE 08r06/2019 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 Teresa Garrido NAME: Collinsworth,Alter,Fowler&French,LLC (AICNNo,Ext):(305)822-7800 (Arc,No}:(30b)362-2443 8000 Governors Square Blvd RAAAss,tgarrido@cafflIc.com 301 ADDREss:tgarrido@cafflIc.com Miami Lakes,FL 33016 INSURERISI AFFORDING COVERAGE NAIL II INSURER A:Charter Oak Fire Ins Co 25615 INSURED INSURER B:Phoenix Insurance Co 25623 General Asphalt Company Inc. INSURER c:Travelers Indemnity Company 25658 P 0 Box 522306 INSURER D Miami,FL 33166 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRINSO WVD IMMIOD!YYYYI IMMIDDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR C08063M466C0F19 01/01/2019 01/0112020 DAMAGETORENTED 300,000 X XPREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT I 1 I LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ B COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY (Ea accident) $ X ANY AUTO X DT8108063M466PHX19 01/01/2019 01/01/2020 BODILYINJURY(Perperson) $ OWNED SCHEDULED AUTOS ONLYAUTOS� BODILY INJURY(Per acddentl $ X A(JTOSONLY X AUTO ONLOY (PerracadentDAMAGE $ $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE CUP9G417301 01/01/2019 01/01/2020 AGGREGATE $ 1,000,000 DEO X RETENTION S 0 $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN STATUTEE ERH ANY MEMBER EXCLUDED?ECUTIVE N I A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Leased/Rented QT6308M397964TIL19 01/01/2019 01/01/2020 w/$5000.Ded 500,000 B Equipment Floater QT6308M397964TIL19 01/01/2019 01/01/2020 Schedule Equip Bikt 12,416,999 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If mare space Is required) Project:Rehabilitate Taxiway A Project No.GAKA163.Certificate holder and The Monroe County Board of County Commissioners,its employees and officials are added as additional insured as required by written contract for the general IIa ili and a tomolbiillee ol'ales.Waiver of subrogation is included for general liability and workers compensation policies SY \t DATE - — WAIVER WA 'K.YES CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West,FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I .412/44, ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AccoRD® 9/9/20 8 Y) CERTIFICATE OF LIABILITY INSURANCE 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 1-800-247-7756 CONTACT NAME: Holmes Murphy & Assoc - WDM PHONE FAX fA/C.No.Eld): (A/C,No): E-MAIL PO Box 9207 ADDRESS: INSURERS)AFFORDING COVERAGE NAIC II Des Moines, IA 50306-9207 INSURER A: ZURICH AMER INS CO 16535 INSURED INSURER B: General Asphalt Company, Inc. INSURER C 4850 NW 72nd Avenue INSURER D: INSURER E: Miami, FL 33166 INSURERF: COVERAGES CERTIFICATE NUMBER:54014207 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 ADDL SUER POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER IMM(DD/YYYY1 (MM1DD1YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO $ _ CLAIMS-MADE . OCCUR PREM SEA a occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ����\'��'�J � GENERAL AGGREGATE $ POLICY PRO- I I LOC JECT AQF �' B} \1 1FC MA EMENT PRODUCTS-COMP/OP AGG $ OTHER: rY , AUTOMOBILE LIABILITY TC 3_ t.OMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO dhi r y }�� ! - -BODILY INJURY(Per person) $ OWNED — SCHEDULED AUTOS ONLY AUTOS WAIVER W/ BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per ambient) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATIONX WC3757135 10/01/1s 11/01/19 X STATUTE EERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECt1TIVE Y(N N(A El,EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (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 $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) The work comp includes a waiver of subrogation in favor of the certificate holder and all contractors and subcontractors as required by written contract; per policy terms and conditions. PROJECT; PROJECT GAKA163 , REHABILITATE TAXIWAY A; KEY WEST INTERNATIONAL AIRPORT, MONROE COUNTY , FLORIDA CERTIFICATE HOLDER CANCELLATION KEY WEST INTERNATIONAL AIRPORT MONROE COUNTY 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 I USA Nk1�Cau� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD WMarcumwdsm 54014207