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Certificates of Insurance DATE(MM/DD/YYYY) ACTOR" CERTIFICATE OF LIABILITY INSURANCE 9i28i2023 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 Hausman Kunkel, Inc. PHONE JaSOn Domnanovich FAX 40 S. Prospect A/C No Ext: 630-894-7802 A/C,No): E-MRoselle IL 60172 ADDRESS: jason@h-kinc.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Navigators Specialty Ins Co 36056 INSURED LPSUTIL-01 INSURER B: Progressive Express 10193 LPS Utilities, Inc DBA LPS Contracting INSURERC:American Longshore Mutual Asso 524126 3509 Lily Pond Road Woodstock IL 60098 INSURERD: Evanston Insurance Company 35378 INSURERE: Markel Insurance Company 38970 INSURER F: COVERAGES CERTIFICATE NUMBER:1598231219 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 POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y NY22MPK15772801 7/2/2023 7/2/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $50,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY� PE� LOC PRODUCTS-COMP/OP AGG $1,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y 03217826 1/27/2023 1/27/2024 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LIAB X OCCUR NY22LIA15772802 7/2/2023 7/2/2024 EACH OCCURRENCE $3,000,000 X EXCESS LAB CLAIMS-MADE AGGREGATE $3,000,000 DED RETENTION$ $ C WORKERS COMPENSATION 1261445Y 7/27/2023 7/27/2024 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Equipment Floater OM 9CD9899-3 7/2/2023 7/2/2024 Limit 437,766 E Equipment Floater IM MKLM3IM0054950 6/28/2023 6/28/2024 Limit 107,440 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project:Culvert Installation Water Quality Improvement Project Canal#259 Big Pine Key, Monroe County, Florida Monroe County Board of County Commissioners are named as Additional Insureds in respect to General Liability and Auto Liability as required by written contract.Workers Compensation includes USL&H Act coverage. 98k � T. Pol requirements met: RSA 9.28, 2(A_&AC-PAy.-�.- ._. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commisioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Ste 2-205 Key West FL 33040 AUTHORIZED REPRESENTATIVE USA @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 710/28/2022 E(MM/DD/YYYY) ACCORD® 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 CONTACT NAME: Hausman Kunkel, Inc. PHONE FAX 40 S. Prospect A/C No Ext: 630-894-7510 A/c,No):630-894-4333 Roselle IL 60172 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Navigators Specialty Ins Co INSURED LPSUTIL-01 INSURER B: Progressive Express 10193 LPS Utilities, Inc DBA LPS Contracting INSURERC:American Longshore Mutual Asso 524126 3509 Lily Pond Road Woodstock IL 60098 INSURERD: Evanston Insurance Company 35378 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:202208143 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 POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y NY19MPK15772801 7/2/2022 7/2/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $50,000 X P&I MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY JECT ❑ LOC PRODUCTS-COMP/OP AGG $1,000,000 X OTHER: $ B AUTOMOBILE LIABILITY Y 03217826-1 1/27/2022 1/27/2023 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LIAB X OCCUR NY19LIA15772802 7/2/2022 7/2/2023 EACH OCCURRENCE $3,000,000 X EXCESS LAB CLAIMS-MADE AGGREGATE $3,000,000 DED RETENTION$ $ C WORKERS COMPENSATION 1261445Y 7/27/2022 7/27/2023 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Equipment Floater 9CD9899-2 7/2/2022 7/2/2023 Limit 437,766 Deductible 2,500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project:Culvert Installation Water Quality Improvement Project Canal#259, Big Pine Key, Monroe County, Florida Monroe County Board of County Commissioners are named as Additional Insureds in respect to General Liability and Auto Liability as required by written contract.Workers Compensation includes USL&H Act coverage. APPROVED BY RISK MANAGEMENT DATE WAIVER N/A YES CERTIFICATE HOLDER CANCELLATION Note:Pol included in umbrella SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commisioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Ste 2-205 Key West FL 33040 AUTHORIZED REPRESENTATIVE USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD