Certificates of Insurance EACCONS-01 KSANCHZ
DATE(MM1DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 7/29/2020
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 endorsements.
PRODUCER Me CT
Ames&Gough PHONE FAX
8300 Greensboro Drive (A C No,Ext) (703)827-2277 (AIC,Noi:(703)827-2279
Suite 980 napRis.,admin@"'Sa amesgough.com
McLean,VA 22102
INSURER(S)AFFORDING COVERAGE NAIC Is
INSURER A;Hartford Underwriters Insurance Company A+(XV)3g104
INSURED INSURER B,Trumbull Insurance Company A+(XV) 27120
EAC Consulting,Inc. _INSURER C:Hartford Casualty Insurance Company A+(XV) 29424
6969 Blue Lagoon Drive
Suite 410 INSURER D:Twin City Fire Insurance Company A+(XV) 29459
Miami,FL 33126 INSURER F:Travelers Casualty&Surety Co.of America A++,XV 31194
......... ......... ......... ......... .._INSURER F
w QYERAG S _________ _________ CERTIFICATE NUMBER:___________________________________________________________________________ R VISION,hIUMBER.________________________________________
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
CER HFICATE MAY BE ISSUED OR MAY PLR PAIN. I"HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEROIN IS SUBJLC r TO ALL I HIL I ERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
INSR ADDL SUBR POLICY Err POLICY EXP
TYPE OF INSURANCE POLICY NUMBER LIMITS
LTFI_�, __--"-- ---`--" ---"-' --"-`--w INSD,WYIJ� --`--" ----..-. --..-_-- .,IMtt11DUtYYYY1-LMh1t6rJ1YYYY1
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $. 1,000,000
CLAIa S'MADF X OCCUR 42UUNOL5044 7/1/2020 7/1/2021 DAMAGE TO RENTED 300,000
PREMISE„(Ea occUf n)c ) _S _
X Contractual Liab. MED EXP tAny one portoW, S 10,000
PER OVAL a aDv INJURY g --1,000,00U
-- ---- -------- Approved Risk Management 1,000,000
GLN L AGGREGATE L.IMI I APPLIES PER GHNERAI AUt RFGAIF �
POLICV X LOG PRODUCTS COMf"e6P AGO Si -2,000,OOt0
4-12-202.1___
B AUTOMOBILE LIABILITY COM61NED SINGLE LIMIT 1,000,000
X ANY AUTO 42UUNOL5044 711/2020 7/1/2021 BODILY INJURY(P.,pe'Ssr{,) ,S
OWNED SCHEDULED
AUTOS ONLY AUTOS '., BODILY INJURY(Pof acurfenp,_5
MIN L NON,2,WNEL PROPERTY accident)L DA DAMAGE $
AU:t7S ONLY AUTOS ONL
.......
CX UMBRELLA LIAR wX t>cculd EACH OCCURRENCE g 5,000,000
EXCESS LLAS CLAIMS-MADE 42XHUOL5046 7/1/2020 7/112021 AGGREGATE If 5,000,000
DFD X RET'ENTION$ 10,000 — ----
D WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY X STATUTE ERN _.
YIN 42WEOL6H10 7/112020 7i112021 1,000,000
HC55't2KTOrtlI7AFrT PVF WFXEC;UiIVti FL,hAM�ACCu.LI-NI _°-�_` _
CP7dR-',',Rlk6F�fidg E.H FXL, 4l IJt;lY' Y N 1 A
andatary in NHI E-.L DISEASE EA EMPI OYES $ 1,000,000
If yr, l.�troo,de 1,000,000
...........».UESCi�IP"rI41N(7#-C7PE,H,4TI(JPl5_Irelvvr ........-».. M .......b,......_._,....____......., ... ......... ,._._.__..._........_..._.m...._._,.........,., .�_Ft IJ1$FASF PCJt;;IGYIIMI L..-.$ ......... ...._..._,_..
E Professional Llab. 107279653 7t1/2020 7111202I_.._ War Claim/Aggregate 2,000,000
DESCRIPTION OF OPERATIONS t LOCATIONS t VEHICLES(ACGRO 101,Additional Remarks Schedule,ma be attached it more space is required)
Monroe County BOCC is included as additional insured with respects to General Us and Auto Liability when required by written contract.General
Liability and Automobile Liability are primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the
named insured and when required by written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Monroe Gaunt BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Y ACCORDANCE WITH THE POLICY PROVISIONS.
Insurance Compliance
PO Box 100085-FX
Duluth,GA 30096 AUTHORIZED REPRESENTATIVE
ACORD 25(2016103) 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
From: ksanchezr,4).amesgough.com
To: monroecountyfl monroecountyfl(q)Ebix.com
CC: ksanchez(a),amesgough.com
Subject: Revised C011s
Date: 7/29/2020 11:37:51 AM
Attachments):
Greetings.
"Bank you for\,our cinail. Please see the attached revised COls per\,our request, Please let nic know if
ariv additional revisions are needed or if I can help N\Ith anything else.
Tliank \0U.
Kelfie R.Sanchez
Account AcInnnistrator
8300 Greensboro Drive. Suite 980
Mcl-can, VA 22102
P: 703-927-2277/F: 703-827-2279
ksaiicliez/ii,aiilcsilotigli.cone
Certificate requests: 4dnnn:cr,,�arnesgQqg i.com
2d
As insurers understand many individuals and businesses are facing a significant financial
burden due to COVID-19, to varying degrees,many have offered to waive late fees andlor
suspend cancellations and non-renewals of coverage due to nonpayment of premiums.For
direct bill clients,we ask that you reach out to your carrier directly for further information on
relief plans that are available.For agency-bill clients,please contact your Account Manager for
details on how we may be able to assistyou.
On behalf of Ames&Gough,I hope you and your family and your teammates are safe and
secure. We would like to reassure you that we are open and ready to assist.I am working
remotely from home. Our main office line is still open at 703-827-2277 andyou will eitherget a
livegreeting or perhaps an auto-attendant Ifyou receive an auto-attendant,feet free to dial
my extension at 703-827-2277 ext 243.Our office hours remain the same during this time from
8:30 AM to 5:30 PM.I look forwardto connecting with you virtually to help you with any ofyour
certificate needs.Stay sale.
Ames&Gough is a specialty insurance broker serving law firms,design professionals and not-for-
profitslassociations from three offices in Washington,DC,Boston,and Philadelphia.Please check out our
websiteat www.amesgough.com
This conununication,mcluding attachments,is confidential,may he wbject to egal privileges,and is intended for the sole use of the addressee.
Any use,duplication,disclosure or&5sernirkation of this communication,other than by the addressee,is prohibited.If you have received this
communication irk error,pease notify the sender immediately and delete or destroy this communication and all copies.
From:Customer Service<monroecountyfl@ebix.com>
Sent:Tuesday,July 28, 2020 319 PM
To:Katie Godwin<admin@ amen gough,com>
Subject: Monroe County Florida Certificate of Insurance Req
Caution: Exterrial enwil.
- X I
The attached notice is being sent to you on behalf of Monroe County Florida by Ebix
RCS. Monroe County Florida has engaged with Ebix to manage insurance compliance
verification on its behalf,You must be properly insured while doing business with
Monroe County Florida and comply with Insurance requirements.
As of the date of this notice we have not received proper evidence of insurance
coverage. Please review the attached notice as it includes the information needed
for compliance and where to send your Certificate of Insurance,
Vendor Instructions:The attached notice is being sent to you and your agent,if we
have their email address on file.
Agent Instructions: Please review the attached notice as it includes the information
needed for compliance.
Please send your Certificate of Insurance via entail to monroecountyfleebix.com; if
you have any questions, please contact Ebix by calling(951)925-1213; thank you for
Your prompt attention to this matter.
�J Ebix,Inc. I One Ebix way I Johns Creek, GA 30097 1 Web=
Insurance Compliance
PO Box 100085-FX
i Duluth,GA 30096
t `
July 28, 2020 Reference Number-FX00000218
Pin Number: 11631542
EAC Consulting, Inc.
5959 Blue Lagoon Drive
Suite 410
Miami,FL 33126
USA
SECOND NOTIFICATION
SUBJECT: DEFICIENT FOR CERTIFICATE OF INSURANCE REQUIREMENTS
We previously notified you that you must provide us with evidence of insurance coverage meeting our requirements while
doing business with Monroe County Florida. According to our records,the evidence of your insurance coverage we received
from Ames&Gough, issued on 7/14/2020 does not comply with our certificate requirements for the following reason(s):
Deficiency Date Policy
"General Liability-General Aggregate coverage does not meet required minimum. 07/01/2021 42UUNOL5044
Included on the back of this notice is information about our certificate requirements. Please contact your insurance
agent or broker and ask them to provide us with a current Certificate of Insurance using one of the following
methods:
A. By uploading directly to our website: tfti .11svk i rta, ,;r:
using your reference number and pin number shown at the top right of this notice.
B. By email to monroecountyflebix.com
C. By fax to(770)325-5717
After using one of these methods, please do not send us the certificate by mail.
We should receive your Certificate of Insurance within 15 days of the date of this notice in order to avoid further notices
and possible interruption of your activities with Monroe County Florida.
If you have questions about this notice or the correct coverage required you may call us at(951)925-1213.
Sincerely,
Insurance Compliance Department
Incomplete Coverage 2(IC21
CERTIFICATE OF LIABILITY INSURANCE Drd.:MMtDD/YY
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 ISSIL)IND THORIZED REPRESENTATIVE OR PRODUCER,AND THE c RTIFIC TE[N$URER($,),.AV ,E A HOLDER,
TAN L r:It the certificate holde;is an ADDITIONAL INSURED,the pollcyo SUBROGATION
es)must be endor"A.If IS WAIVED,subject to the terns and conditions of the Policy,
ic11M11P1U1111Il*hcJo"'may require an Furdorsernont,A statement on this cedificate does not confor right's to the cortificato holder in lieu of such rindorserrienus).
PRODUCER Phone: CONTACT NAME:
Fax: PHONE FAX
Name&Address of Producer (AAC,No,Ext): (AUC,No)�
E-MAIL
ADDRESS:
PRODUCER
CUS rOMER ID
INSURER(S)AFFORDING COVERAGE NAIL
INSURED INSURER& AM Best Rating A-, Or Better p id
INSURER B: AM Best Rating A-, Or Better rovi
Name&Address of Insured INSURER C! AM Best Rating A-, Or getter pro e
INSURER D: AM Best Rating A-, Or Better vide
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS fOCH'ITIFY'll-Ar THE POLICIF,SOF INSURANCE LISTEI)BELOW HAVE BEEN iSSUEO tO THEr fNSURFD NAMEDABOVE.'FOR THE POLICY PERIOD DI(AfFD NO]WIT HSTAWNG ANY
REQUIREMENT,TERM OR CONDITION(Jr:ANY CONTRACTOR OTHER DOCUMENT VVITHRESPEC-1 TO WHICH MAY BE ISSUED`OR MA ERTAIN THE INSURANCE
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALA.THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID
ADDL SIUBR'i POLICY EFF IPOLICY EXP
TP TYPE OF INSURANCE INSR VD POLICY NUMBER DATE(MM/DDIYY) (MMJDD1YYYY) it-IMITS,
GENERAL LIABILITY T 10
A EACH OlfICURRENCE $2,000,000
X, COMMERCIAL GENERAL LIABILITY Y
D, GE'TO RENTED
CLAIMS MADE X OCCUR 'k—PKEMISES(Ea occurrence)
I MED EXP(Any one person)
-------------------------------------------------------------------------------- I, PERSONAL&ADV INJURY
GENERAL AGO,LIABILITY APPLIES PE F GENERAL AGGREGATE $5,000,000
POLICY PROJECT LOC I PRODUCT 8-COMP/C)P AGG,
$2.000,000
B AUTOMOBILE LIABILITY u. COMBINED SINGLE LIMIT $2000000
ANY AUTO HIRED AUTOS
y I Fa accident)
ALL OWNED AUTOS
BODILY INJURY (Per Person)
SCHEDULED AUTOS
BODILY INJURY (Per accident)
.......... NON-OWNED AU T'OS PROPERTY DAMAGE(Per accident}
UMBRELLA LIAB occUR
EXCESS LIAR C DES
AGGREGATE EACH OCCURRENCE
DEDUCTIBLE
RETENTION WED F,
................. ......................................................................
WORKERS COM NISATION AND
EMPLOYER'S I-Ir"i'LITY I X WC STATUTORY LIMITS O1HE.R
ANY PROPmETOR/PARTNER/ E L.EACH ACCIDENT $2,000,000
EXECUTIVE OFFICERI�AWStR IN
EXCLUDED?— E1 DISEASE-EA EMPLOYEE $2,000,000
(MOtlealofy,f)NH)
if Pas,do"'�)try all", 2 1 E.L DISEASE POLICY LIMIT $2,000,000
DESCRIPT ON OF OPERATI below
Professional Liability: Each Occurrence $2,000,000
Builders Risk: Aggregate $2,000,000
Real Replacement Value Proof Of
Coverage
DESCRIPTION OF OPERATIONS/LOCATIONS i VEHICLES (Attach ACORD 101,Additional Remarks Schedule,It more space is required)
-Required Additional Insured Language for General Liability and Auto Liability Monroe County BOCC.
-Workers Compensation: Must provide coverage for the following State(s): FL
CERTIFICATE HOLDER CANCELLATION
Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
Insurance Compliance POLICY PROVISIONS.
PO Box 100085-FX l AUTHORIZED REPRESENTATIVE
Duluth,GA 30096 Certificate Must be Signed
Monroe tttv Qo-u Florida Certift ateR irements
-- Florida
Please note that the certificate requirements appearing in this notice are for certificate tracking purposes only,and do
not alter your insurance obligations under our agreement in any way.
The certificate must include:
• Coverage must be placed with carrier rated not less than A-, and show complete insurance carrier names as it
appears in AM Best Property&Casualty Guide(or include NAIC#or AMBest#).
• Binders are not acceptable.
• Required Certificate Holder Language: Monroe County BOCC.
Additional Requirements:
• Required Additional Insured Language for General Liability and Auto Liability Monroe County BOCC.
• Workers Compensation: Must provide coverage for the following State(s): FL
If appropriate, please complete the following section and return this form to the address shown on the front of this notice.
Reference Number FX00000218 EAC Consulting, Inc.
My Company is no longer doing business with Monroe County Florida.
Automobile-No company owned autos.
Workers'Compensation-I certify that my company has no employees that fall within the jurisdiction of any state(s)
Workers'Compensation Laws in which work is to be performed.
Authorized Signature Date
Printed Name Title Phone Number
Contact Information
If any of the information shown below is a)missing or b)incorrect,please complete or correct It and return it
along with your certificate.
Your Email Address: madeife@eacconsult.com Your Agent's Email Address:admin@amesgough,com
Your Telephone 4:(305)265-5400 Your Agent's Telephone#: (703)827-2277
Your Fax#: Your Agent's Fax#: (703)827-2279
CCS-01
l`Ik� CERTIFICATE OF DA iMMA)O YI
_ 4/1012019
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 INSU ER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(iesl 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 ri hts to the certificate holder In Iieu of such endorsements.
PRODUCER C CT
URI
Ames&Gough PHONE Fax
8300 Greensboro Drive lAJC,No,Est: 703 827-2277 ILE No 703 827.2279
Suite 980 %§NESS,.admin@!!mesgough.com
McLean,VA 22102 _
INSU R 5 AFFO o G COVER
OE AIC d
INS A R A,Hartford Underwriters Insurance Com an A+ XV 30104
INSURED -INSURER5:Trumbull Insurance Com an A+I V11 27120
C Consulting,Inc. INSURER C:Hartford,Casualty,Insurance Cam an A+ XV 29424
5959 Blue Lagoon Drive
Suite 410 INSURERD:RLI Insurance Cam an A+ XI 13056
Miami,FL 33126 INSURER E Lexington Insurance Company A V 19437
11 9 N IN51/RER F
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.
ff__, __ _. .0 _ _e..�_. _._- _.:_.. ..
INSR ADDL 6UBR POLICY EFF�Y' POLICY E%P
TYPE DFINSURANCE � � _ POLICY NUMBER _ � 4 �J�.Im,Y � LIMITS
A 1 X COMMERCIAL GENERAL LIABILITY 1,000,000
000
CLAIMS-MADE XOCCUR 42UU 12075 4122/2019 4122/2020 DAMAGE.TO RENTED 300,000
P,rm �S IL"®n`�JJ c �
,..
X Contractual Llab.a
�, v" PEA s HA s IL !r 1, T 1,000 000
1IILAGGRE uMITAPP 1 s PER �N �.;��e��- 2,000,000.
Paucv X agT LOC :; r 2,000,000'
WAVE P� T a "_ .� .._._ _. _.
r7tw"w- � 1
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT... 1,000,000.-
X ANY AUTO 42UU N12075 412212019 4122/2020 BCrD.LY iN LLRY�Per parvm1 ' s
OWNED '., .... SCHEDULED ._....� .._
�'.. AUTOS ONLY AUTOS _PE?R 2 cV °!ttj'3 A'PMAP C;
orr idR� S ONLY Ap pp
...
C X UMBRELLA UAB....... X-OCCUR ..._ _ .. : '�,I i�aZP:�f E ........ 2,000,000
_..
EXCESS tlAe CLAIMS MA r A2XHUNI0417 4122/2019 4122/2020 A,-,� ELATE
2 000,000
DED 1 X;RETENTIONS .�:... .
_..�_. "
D WORKERS COMPENSATION _ _.. PER OTH
AND EMPLOYERS'LIABILITY Y 1 N X„ T 'J r
ApNpY PROPREIETORIPARTHERIEXECUTIVE PS 0003090 4/2212019 4l22I2020 �IDEi,r 1,000,000
.11g MgEp EXCLUDED? ® N8A .__.;_AC
A.r..
pNa ,9nNHI 1;OOOP000
I ,�,L,„ll F,.k41�-EAEMP��.vc��_.
II as de 'be under 1
� r,IPT.I .F 1,ATI N5b« rLLi EArF 1,000,000,
E ,Professional Llab. 27015056 241 21 02 19 71112020 Per Claim/Aggregate 5,000,000
i
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES IACORD Ial.Additional Remarks Schedule,may be attached If mom apace Is rsquhed}
Professional Engineering Services- AC Project 1303B.SD01-00
Certificate Holder is Included as additional insured with respects to General Liability,Auto Liability,and Umbrella Liability when required by written contract.
CERTIELCA19h9LORR 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
i
ACORD 25(2016/03) _ 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD