Certificates of Insurance 73/2/2023
E(MM/DD/YYYY)
A�" 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
Hausman Kunkel, Inc. PHONE Jason DomnanoVlCh FAX
40 S. Prospect A/C No Ext: 630-894-7802 A/c,No):
Roselle IL 60172 ADMDRESS: jason@h-kinc.com
INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: Navigators Specialty Ins Co 36056
INSURED LPSUTIL-01 INSURERB: Progressive Express 10193
LPS Utilities
3509 Lily Pond Road INsuRERc:American Longshore Mutual Asso 524126
Woodstock IL 60098 INSURERD: Evanston Insurance Company 35378
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:1451380825 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 MMIDD/YYY MMIDD/YYY
A X COMMERCIAL GENERAL LIABILITY Y NY22MPK15772801 7/2/2022 7/2/2023 EACH OCCURRENCE $1,000,000
CLAIMS-MADE OCCUR DAMAGETORENTED
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❑ PRO ❑
JECT LOC PRODUCTS-COMP/OP AGG $1,000,000
X
OTHER: $
B AUTOMOBILE LIABILITY 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 LAB X OCCUR NY22LIA15772802 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
OFFICER/MEMBER 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 9CD9899-3 7/2/2022 7/2/2023 Limit 437,766
Ded 2,500
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
Canal#475 Culvert Restoration
State Contractor License#"CGC1516588"and Monroe County Contractor ID#16557
The Monroe County board of county commissioners are named as additional insureds in respect to general liability as required by written contract.
APPROVED BY RISK MANAGEMENT
DATE 3/2%2�24
WAIVER N/A YES
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Monroe County Building Dept
2798 Overseas Highway, Ste 300 AUTHORIZED REPRESENTATIVE
Marathon FL 33050
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