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Certificate of Insurance ACORDTM CERTIFICATE OF LIABILITY INSURANCE 06/01/2004 ~A;/;~~~~~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AL TE TH E TH P LI I PRODUCER Lockton Companies 444 W, 47th Street, Suite 900 Kansas City Mo 64112-1906 (816) 960-9000 INSURERS AFFORDING COVERAGE INSURED 1013472 HDR ENGINEERING, INC, ATTN: LOUIS J. PACHMAN 8404 INDIAN HILLS DRIVE OMAHA, NE 68114-4049 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, I~~~ Pn~';!~Y EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER LIMITS ~NERAL LIABILITY EACH OCCURRENCE $ 1 000 000 A X COMMERCIAL GENERAL LIABILITY GL03504583 06/01/2003 06/01/2004 FIRE DAMAGE IAnv one fire\ $ 1 000 000 I-- o CLAIMS MADE ~ OCCUR MED EXP (Anv one DersDnl $ 5000 PERSONAL & ADV INJURY $ 1 000 000 GENERAL AGGREGATE $ 1 000 000 ~'L AGGRE~ LIMIT AP~ PER: PRODUCTS - COMP/OP AGG $ 1 000 000 POLICY X ~~gT X LOC ~OMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 B ~ ANY AUTO BAP3504584 06/01/2003 06/01/2004 (Ea accident) - ALL OWNED AUTOS BAP3504585 Ap..... .L'l ~'K M~1 ~MENT BODILY INJURY $ XXXXXXX SCHEDULED AUTOS TAP3504586 (Per person) I---- (\~ ./ #A (1 If ~ HIRED AUTOS BY BODILY INJURY $ XXXXXXX ~ NON-OWNED AUTOS V , ( j)) (Per accident) DATE . I V .," PROPERTY DAMAGE $ XXXXXXX ..,. 1\ ._~ .". ,,,- (Per accident) ~GE LIABILITY "T AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EAACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000 E 0' OCCUR D CLAIMS MADE BX052852174 06/0 I /2003 06/01/2004 AGGREGATE $ 1 000.000 R CKI UMBRELLA (EXCLUDES PROF, LlAB) $ XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ $ XXXXXXX C WORKERS COMPENSATION AND 90-14910-0 I 06/0 I /2003 06/01/2004 X [WC STATU- .1 12JH- EMPLOYERS' LIABILITY I 000 000 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ 1 000 000 E.L. DISEASE - POLICY LIMIT $ 1 000 000 D OTHER PLNl13978408 06/01/2003 06/01/2004 PER CLAlM: $1,000,000. AGG: ARCHS & ENGS PROFESSIONAL $1,000,000, LIABILITY DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS NAMED AS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY, AUTO LIABILITY, AND EXCESS LIABILITY COVERAGES, RE: TECHNICAL AND MANAGEMENT ASSISTANCE TO THE GROWTH MANAGEMENT DIVISION, MONROE COUNTY, FLORIDA. CERTIFICATE HOLDER I I ADDITIONAL INSURED' INSURER LETTER: CANCELLATION 1780830 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS DATE THEREOF, THE ISSUING INSURER WILL ENOP"OR TO MAIL.lQ... DAYS WRITTEN MONROE COUNTY PLANNING DEPARTMENT ATTN: PLANNING DIRECTOR NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT F'IlLURIi TO gO SO liH^LL 2798 OVERSEAS HIGHWAY IMPOSE NO OBLIGATION OR LII'BILFrY OF ANY Kltlg UPQtI THE ItISURER, ITS AGE'ITS OR SUITE 140 REPRESE'IT!'TI"ES, MARATHON FL 33050 AUTHORIZED REPRESENTATIVE /Y p/.-/" I ACORD 25-5 (7/97) @ ACORD CORPORATION 1988 COVERAGES SB PRODUCER , Lockton Compames 444 W. 47th Street, Suite 900 Kansas City Mo 64112-1906 (816) 960-9000 ACORD", CERTIFICATE OF LIABILITY INSURANCE 06/01/2005 D;;~~~;;;;) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR A TER THE V E AF 0 0 B T PIE B L W INSURERS AFFORDING COVERAGE INSURED 1013472 HDR ENGINEERING, INC, A TTN: LOUIS J. PACHMAN 8404 INDIAN HILLS DRIVE OMAHA, NE 68114-4049 RICARDO CAL vorr AMPA INSURER A: ZURICH AMERICAN INS CO - O.P. KS INSURER B: AMERICAN GUARANTEE & LlAB ZURICH INSURER : SENTRY INSURANCE COMPANY , CONTINENTAL CAS V.O. SCHINNERER COVERAGES HDRINOI SA 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 ~~~r';~k>~~ PD~~l,;~Jri~,liPN LTR TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 - A X COMMERCIAL GENERAL LIABILITY GL03504583 06/01/2004 06/01/2005 FIRE DAMAGE (Anv one fire\ $ 1 000 000 I CLAIMS MADE rn OCCUR MED EXP (Anv one oerson) $ 5000 f-- PERSONAL & ADV INJURY $ 1 000 000 f-- GENERAL AGGREGATE $ 2 000 000 n'L AGGRErilllMIT AP~ PER: PRODUCTS - COMP/OP AGG $ 2.000000 POLICY X ~r8i X LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT - $ 1,000,000 B l ANY AUTO BAP3504584 06/01/2004 06/01/2005 (Ea accident) B - ALL OWNED AUTOS TAP3504586 06/01/2004 06/01/2005 BODILY INJURY APmEe::a.b RISK 1J,A( EMCNl $ XXXXXXX SCHEDULED AUTOS (Per person) - l HIRED AUTOS " />-~.I.... BODILY INJURY ~:TE _~~Qt $ xxxxxxx l NON-OWNED AUTOS (Per accident) ~,.._-' , ,- PROPERTY DAMAGE $ XXXXXXX .. ..-~, ., ^ Vr-~ (Per accident) ~AGE LIABILITY HI"\' '-' XXXXXXX AUTO ONLY - EA ACCIDENT $ ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESS LIABILITY EACH OCCURRENCE $ 1,000,000 B :KJ OCCUR D CLAIMS MADE AUC3808400-00 06/01/2004 06/01/2005 AGGREGATE $ 1 000,000 ==j [RJ UMBRELLA (EXCLUDES PROF. LIAB) $ XXXXXXX DEDUCTIBLE FORM ~ XXXXXXX RETENTION $ $ XXXXXXX C WORKERS COMPENSATION AND 90-14910-01 06/01/2004 06/01/2005 X 1~~",~T,~r.~TC: I I~JH- EMPLOYERS' LIABILITY 1 000 000 E.L. EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ 1 000 000 E.L. DISEASE - POLICY LIMIT $ 1 000 000 D OTHER PLNI13978408 06/01/2004 06/01/2005 PER CLAIM: $1,000,000, AGG: $],000,000, ARCHS & ENGS PROFESS]ONAL LIABILITY DESCRIPTION OF OPERATlONSlLOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE: TECHNICAL AND MANAGEMENT ASSISTANCE TO THE GROWTH MANAGEMENT DIVISION, MONROE COUNTY, FLORIDA, MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS NAMED AS ADDITIONALlNSURED AS RESPECTS GENERAL LIABILITY, AUTO LIABILITY, AND EXCESS LIABILITYCOVERAGES, CERTIFICATE HOLDER I I ADDITIONAL INSURED' INSURER LETTER: CANCELLATION 1780830 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS DATE THEREOF, THE ISSUING INSURER WILL ENDE'WOR TO MAIL ~ DAYS WRITTEN MONROE COUNTY PLANNING DEPARTMENT A TTN: PLANNING DIRECTOR NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAilURE TO DO SO SHAll 2798 OVERSEAS HIGHWAY IMPOSE NO OBlIOATION OR LIABILITY OF ANY KIND UPON THE It/SURER, ITS AGE~ITS OR SUITE::Me( '4 I 0 REPRESENP TI"ES. MARATHON FL 33050 AUTHORIZED REPRESENTATIVE ~ #~ I ACORD 25-S (7/97) For questions regarding this certificate. contact the number listed in the 'Producer' section above and specify the client code "HDR'N01'. @ ACORD c(rRPORA TION 1988