Certificates of Insurance
Client#: 11839 99LAWCOMP
ACDBD.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDlYY)
07/13/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Hamilton Dorsey Alston Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4401 Northside Parkway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 400
Atlanta, GA 30327-3057 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Zurich Insurance Company
Law Engineering and Environmental INSURERB: American International Specialty
Services, Inc. INSURER c:
5845 NW 158th Street INSURER D:
Miami takes/ FL 33014 INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER Pgjl.fl,ij~~~~ P'6~iJ ,'i.,X~@~,N LIMITS
LTR
A GENERAL LIABILITY GL0225862803 07/01/00 09/01/01 EACH OCCURRENCE $2 000 000
r--
jl COM M ERCIAL GENERAL L1AB ILlTY XCD Coverage FIRE DAMAGE (Anyone fire) $250,000
=:J CLAIMS MADE [KJ OCCUR MED EXP (Anyone person) $5 000
r--
Jl Blkt. Contract. PERSONAL & ADV INJURY $2 , 0 0 0 , 0 0 0
jlStop-Gap GENERAL AGGREGATE $3 000 000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $3 , 000 , 000
n POLICY !Xl ~~g. n LOC
A AUTOMOBILE LIABILITY BAP225862903 07/01/00 09/01/01 COMBINED SINGLE LIMIT $2/000/000
r--
A eX ANY AUTO TAP283353903 07/01/00 09/01/01 (Ea accident)
ALL OWNED AUTOS BODILY INJURY
- $
SCHEDULED AUTOS (Per person)
-
t HIRED AUTOS BODILY INJURY
APPROVED BY RISK M~ AGEMENT (Per accident) $
NON..QWNED AUTOS
- )', t
- flY 0-, L. hd_~ i( L~,,-, ';:' u "''- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY OATE ~/~/C I AUTO ONLY - EA ACCIDENT $
~ ANY AUTO { OTHER THAN EA ACe $
W~'VFr1. ~'A v--; !'l!l AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE AGGREGATE $
$
==1 DEDUCTIBLE $
RETENTION $ $
A WORKERS COMPENSATION AND WC225863003 07/01/00 09/01/01 X Il;;g.$'T~JU~ I 10~-
A EMPLOYERS' LIABILITY WC283354003 07/01/00 07/01/01 $1/000/000
EL EACH ACCIDENT
EL DISEASE - EA EMPLOYEE $1/000,000
E.L DISEASE - POLICY LIMIT $1,000,000
B OTHER Professional 2679442 06/01/99 06/01/02 $1,000/000 Per Claim
LJiability $2/000/000 Aggregate
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Professional Liability includes Pollution and Asbestos Consulting Services.
Claims Made Form.
Law Job No. 40700-1-2681 / Residential Canal Inventory and Assessment,
Monroe County, FL
(See Attached Descriptions)
CERTIFICATE HOLDER I I AD DmONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
County of Monroe DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3....0...- DAYS WRITTEN
Attn: Colleen Gardner NOnCETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAlLURE TODOSOSHALL
2798 Overseas Highway, Ste. 400 1M POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITSAGENTS OR
Marathon, FL 33050 REPRESENTATIVES.
AUTHORIZED REPRESr,TATIVE lAf-. .1\ l d.J A
I For HDA By: '" J. 1 IJ
ACORD 25-S (7/97) 1 0 f 3
#Sl17668/M92346
JNO @ ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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),
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 2S-S (7/97) 2 of 3 #Sl1766S/M92346
DESCRIPTIONS (Continued from Page 1)
The Monroe County Board of County Commissioners, its employees and
officials are inlcuded as additional insured for General liability and
automobile liability coverage as respects work under contract with the
named insured.
AMS 25.3 (07/97) 3
of 3 #Sl17668/M92346
Client#: 11839 99LAWCOMP
AC.DBD.. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYY)
07/13/01
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Hamilton Dorsey Alston Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
4401 Northside Parkway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
Suite 400
Atlanta, GA 30327-3057 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Zurich Insurance Company
Law Engineering and Environmental INSURERB: American International Specialty
Services, Inc. INSURER c:
5845 NW 158th Street INSURER D:
Miami :yakes, FL 33014 INSURER E:
COVERAGES
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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSR TYPE OF INSURANCE POLICY NUMBER Pgk!fEYI~~5%~~~ P~~il ~~'W~ LIMITS
LTR
A GENERAL LIABILITY GL0225862803 07/01/00 09/01/01 EACH OCCURRENCE $2 , 000, 000
-
X COM M ERCIAL GENERAL L1AB ILlTY XCV Coverage FIRE DAMAGE (Anyone lire) $250 000
I CLAIMS MADE [XJ OCCUR MEO EXP (Anyone person) $5 , 000
X Blkt. Contract. PERSONAL & ADV INJURY $2 , 000 , 0 0 0
XStop-Gap GENERAL AGGREGATE $3 , 000 , 000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $3 , 0 0 0 , 0 0 0
I POLICY !Xl ~~i?T n LOC
A AUTOMOBILE LIABILITY BAP225862903 07/01/00 09/01/01 COMBINED SINGLE LIMIT
- $2, 000, 000
A X ANY AUTO TAP283353903 07/01/00 09/01/01 (Ea accident)
- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
I--
X HIRED AUTOS ~ENT BODILY INJURY
I-- APPROVED BY RISK ~.AGE $
~ NON.OWNED AUTOS , I .....c 1 :~~- (Per accident)
- BY Ct ' Wc" 1.. de ~'-"-. ~ PROPERTY DAMAGE $
v (Per accident)
GARAGE LIABILITY OATE ~ / 3/01 AUTO ONLY - EA ACCIDENT $
=l ANY AUTO / / EA ACe $
~vrs OTHER THAN
WAl"r:~~ N/A AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE AGGREGATE $
$
l DEDUCTIBLE $
RETENTION $ $
A WORKERS COMPENSATION AND WC225863003 07/01/00 09/01/01 X IfX~.;T~JI~i: I 10TH.
-~R
A EMPLOYERS' LIABILITY WC283354003 07/01/00 07/01/01 $1,000,000
E.L EACH ACCIDENT
E.L DISEASE - EA EMPLOYEE $1,000,000
EL DISEASE - POLICY LIMIT $1,000,000
B OTHER Professional 2679442 06/01/99 06/01/02 $1,000,000 Per Claim
!Liability $2,000,000 Aggregate
DESCRIPTION OF OPERATlONSIlOCATlONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Professional Liability includes Pollution and Asbestos Consulting Services.
Claims Made Form.
Law Job No. 40700-1-2681 / Residential Canal Inventory and Assessment,
Monroe County, FL
(See Attached Descriptions)
CERTIFICATE HOLDER I I ADDmONALINSURED;INSURERLElTER: CANCELLATION
SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
County of Monroe DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL3....0...-DAYSWRllTEN
Attn: Colleen Gardner NOTlCETOTHE CERTIFICATE HOLDERNAMED TOTHE LEFT, BUT FAILURE TO DOSOSHALL
2798 Overseas Highway, Ste. 400 1M POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
Marathon, FL 33050 REPRESENTATIVES.
AUTHORIZED REPRE!TATlVE tM-, ,/\ j ;I.J .J\ )
I For HO" By: \. ), J. D
ACQRD 25-S (7/97) 1 0 f 3
#Sl17668/M92346
JNO €l ACORD CORPORATION 1988
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s),
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon,
ACORD 25-S (7/97) 2 of 3 #Sl1766S/M92346
DESCRIPTIONS (Continued from Page 1)
The Monroe County Board of County Commissioners, its employees and
officials are inlcuded as additional insured for General liability and
automobile liability coverage as respects work under contract with the
named insured.
AMS 25.3 (07/97) 3
of 3 #Sl17668/M92346