COI Expires 03/21/2022 A d CERTIFICATE OF LIABILITY INSURANCE DATEIM.°D2+TY)
n/1/2021 2/26/2021
THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATNELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POI RIPS
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER,
IMPORTANT: If tta certificate holder Is an ADDITIONAL INSURED,the pollcyges)mat hams ADDITIONAL INSURED provisions or be*adores&
I SUBROGATION 18 WAIVED,eugset to the terms end conditions of the policy,certain amides may require an endorsement A statement an
thls certificate does not confer rights to the cotllcete holder in lieu of such andonement(s).
mown Locklon Companies CO 'CT
—.—
444 W.47th Street,Suite 900 PHONE I FAT
Kansas City MO 64112-1906 �� .
(816)960.9000 N5aE11RIAnORIIIIO COVERAGE HAXP
Ream•:Zurich American Insurance Company 16535
wmuo T Y.LIN INTERNATIONAL I Hi.TOSS maw is:Travelers Property Casualty Co of Mama 25674_
1481416 345 CALIFORNIA STREET,SUITE 2300 mum c:•••SEE ATTACHMENT C1e _
SAN FRANCISCO CA 94104 Msuem D:
RN4R E: .
leaven is:
COVERAGES CERTIFICATE NUMBER: 17124030 REVISION NUMBER: XXXXXXX
INS IS TO CERTIFY THAT THE POLICIES DP 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 AU.THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
1Xen Year llavRAxcL '100L OMR — POLICY SFr POLICY elm — UNTO
Olio vetoPOLCY mean IMMODfYYD tMMrynYWYI
A X COMInCAE GENE
RA
—L Tailor. Y ; Y OLO 31143830 :3/1/2021 3112022 _EACH OCCURRENCE $ 2.000,000
ATED
GLARIS-MADE LA OCCURPPRESInSIE.LeC renc0 1 1,000,000
M Approved Riskanagement
X_ SEVERABILITY NCO rep IA„$mo pomp) a 25,000
2( CLAUSE 70/44Aa.L. ,5iamfeg PERSONAL I.AAVINJURY 12,000,000
I GEM.AGGREGATE UMt APPLIES PER !GENERALAoGREAmE E 4.000.000
•POLICY❑LEGr ❑LOC 6-21-2021 PROaucm.coisvP AGO E 4,000,000
OILIER
+LR•+ YPIL==Aa=tD' Y Y BAP]Ba)PJI 1%1/2021 JI1,2022 ��W�O 11tiGLE unit F 20110,000
X A(Y AUTO Emmy INAMr ref wean) ;$)(XX'XXXX
AUTOS ONL$ —1 AUTOS epos NARY m.r.Nd.,R1 $ X XXX XXX
XIREC NCNCWNED • PROPERTY OAMAdt a XXXXXXX
X h1TDS ONLY X AUTOS ONLY P..me.xl ... $ XXXXXXX
B YinkELLA MAB $ OCCUR N N ZUP4IN3a002-26NF 3/1/2021 31112022 Etch OCCURRENCE 3 5,000.000
x FICUSIJAB _ClM.ixaIADE AGGREGATE ___ $ 5,000,0QO _. -
CPO I I RETENTION$ $ XXXXXXX
ua'Ur WORIRMaoMr Y We 3P4J829 3/1/2021 3/11022 X s APIRCE r
A Ala emnaRE•R unary -
NIYPRCPIaeTCWPAm,EWEXECUME N/A EL EACH ACCIDENT $ 1.000,000
GFrICEwEMem EXPLwmT 0 Es.DISEASE.EAnacYEE E 1,000.000
myax.destHarlditho1WIR1
o ESCRIP OPERATIONS below E2.wsu0SE.P°JLY Non $ 1,000.000
C PROFESSIONAL N N SEE ATTACI INTENT II/I2020 II/12021 ITY ANNUAL PER CLAIM;
GAE S2,000,000
I
I
EECMFIIONOPOPEMTK N.RO/LOEATIDMN/VEHICLES 1EERRD I /deRemits . N,sn M NE R. E.Schedule hay space C
COMMISSIONERS RE:MONROE COUNTY PROFESSIONAL ENGINEERING SERVICES.MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS INCLUDED
AS ADDITIONAL INSURED FOR GENERAL AND AUTOMOBILE LIABILITY
CERTIFICATE HOLDER CANCELLATION Sec Attachment
17120030
MONROE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES NE CANCELLED BEFORE
BOARD OF COUNTY COMMISSIONERS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELP/ERGO H
ATTN:SHANE SMITH ACCORDANCE WITH THE POLICY PROVISIONS.
KEY WEST FL 33040-3I10
AUTHORIZED REPRNENTATI ,/ ��
I RD
®HISS 015 ACORD CORPORATION. Ali rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD