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Certificates of Insurance .. . QI.ertificaf.e of ~n5uranr.e TO: Certificate Holder MONROE COUNTY BOARD OF COUNTY COMMISSIONS 5100 COLLEGE ROAD, STOCK ISLAND KEY WEST, FL 33040 Insured: SYNAGRO TECHNOLOGIES, INC., INCLUDING ANY & ALL SUBSIDIARIES 1800 BERING DRNE, SUITE 1000 HOUSTON, TX 77057 Aon Risk Services RE: STORM SEWER CLEANING II KEY WEST TO KEY LARGO APPROV~D BY RISK MANAGE~~~ , BYU .l~'a.:r ~~~~~"" DATE 2(.~/ c~ ( .. ( WANER: N/_ V YES This is to certify that the policies of insurance listed below have been effected for the Insured named above for the policy period indicated, notwithstanding any requirement. term. or condition of any contract or oiher 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 Policy Number Co Type of Insurance Policy A General Liability [gICommercial General Liability DClaims Made [gIOccurrence D D General Agg. Limit Applies Per: DPolicy [gIProject DLocation A Automobile Liability [gIAny Auto DAll Owned Autos DScheduled Autos [gIHired Autos [gINon-Owned Autos B Excess Liability [gIOccurrence DClaims-Made GEC000522501 AEC00052260 I OIS AEC000522701 TX BE7393230 Policy Effective Policy Expiration Policy LimitsNalues 11/01100 Each Occurrence Fire Damage-Anyone Fire Med. Exp.-Any one Person Personal & Adv. Injury General Aggregate Products-Comp/Op Agg. $1,000,000 $ 100,000 $ 5,000 $1,000,000 $2,000,000 $2,000,000 $1,000,000 $ $ $ $ 1,000 1,000 $5,000,000 $5,000,000 $ DDeductible $ [gIRetention $ 10,000 C Workers Compensation and WEC0007227 OIS 11101/00 11101101 [gIwc Statutory Limits DOther A Employers Liability WEC0007234 NH E.L. Each Accident $1,000,000 E.L. Disease-Ea Employee $1,000,000 E.L. Disease-Policy Limit $1,000,000 o Pollution & Remediation Legal PEC000565201 11101100 11/01/01 Each Loss $1,000,000 Total All Losses $1,000,000 Retention - each loss $ 50,000 A Professional & Pollution Legal PEC000565101 11/01100 11/01101 Each Claim $5,000,000 General Contractor's Form Aggregate $5,000,000 Retention $ 50,000 E Commercial Property including MXI97800296 11/01100 11/01101 All Risk Building & Contents $10,000,000 Contractors Equipment And Contractors Equipment Loss Limit including Rented & Leased Insurance Company(ies): A) Greenwich Insurance Company B) National Union Fire Insurance Co. ofPA C) X.L. Specialty Insurance Co. D) Indian Harbor Insurance Company E) Fireman's Fund Insurance Company The subscribing insurers' Obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions, The subscribing insurers are not responsible for the subscription of any co-subscribing insurer who for any reason does not satisfy all or part of its obligations. Description of Operations: Certificate Holder is listed as Additional Insured where required by written contract under GUAUUMB/POLL. The insurance afforded to the Additional Insured as described in this Certificate of Insurance for work performed by the Named Insured, is primary and non-contributory to any similar coverage maintained by the Additional Insured. A Waiver of Subrogation is issued in favor of Certificate Holder where required by written contract under the GU AUUMB/WC. Certificate Holder is included as a Loss Payee as their interest may appear for Property and Auto Physical Damage coverage. Cancellation: 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 alter the coverage afforded by the policy(ies) shown hereon. Should any of the above described policies be canceled before the expiration date thereof, this agency, on behalf of the issuing company(ies), will endeavor to mail 30* days written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company(ies) or this agency. *except 10 days notice for non-payment of premium Date: February 1. 2001 By: ] 1101101 11101/00 11101/01 Combined Single Limit Bodily Injury-per person Bodily Injury-per accident Property Damage-per acc. Deductible: Collision & Other than Collision Each Occurrence Aggregate Prod/Comp Ops Agg. 1110]/00 11101101 Aon Risk Services of Texas, Inc. ~J_ t?z-' Authorized Representative AOIl Risk Services, of Texas, Inc. 2000 Bering Drive, Suite 900 Houston, Texas 77057-3790 tel (713)430-6000 fax:(713)430-6570 CERT'~ICATE OF INSURANCE Date: (MMIDDIYY) 10/31/2002 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Insurance Agency of Houston, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Houston, Texas 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED: Insurer A: American International Specialty Lines Synagro of Florida - Anti - Pollution, Inc. Insurer B: Zurich American Insurance 89111 Overseas Hwy. Insurer C: Tavernier, FL 33070 Insurer D: 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 BE EXHAUSTED BY PAID CLAIMS. INSR TYPE OF INSURANCE POliCY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000 X OCCURRENCE EG3779024 11/1/2002 02/01/2004 MED EXP (PER PERSON) $ 5,000 X XCU INCLUDED PERSONAL & ADV INJURY $ 1,000,000 X ISO FORM CG 00 01 1093 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS/COMPo OP. AGG $ 2,000,000 X PROJECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 B X ANY AUTO SAP 2347047-01 (O/S) (EACH ACCIDENT) B ALL OWNED AUTOS TAP 2347048-01 (TX) 11/1/2002 02/01/2003 B SCHEDULED AUTOS MA 2347049-01 (MA) B X HIRED AUTOS BAP 2347050-01 (VA) DEDUCTIBLE: COLLISION & $ 1,000 X NON-OWNED AUTOS OTHER THAN COLLISION $ 1,000 POLLUTION & REMEDIATION EACH LOSS $ 1,000,000 LEGAL A EG3779024 11/1/2002 02/01/2004 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE BE7410130 11/1/2002 02/01/2004 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY B and EMPLOYERS LIABILITY we 2347044-01 (O/S) 11/1/2002 02/01/2003 EL EACH ACCIDENT $ 1,000,000 B we 2347046-01 (MA, WI) EL DISEASE-EA EMPLOYEE $ 1,000,000 EL DISEASE-POLICY LIMIT $ 1,000,000 A PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000 LEGAL. GENERAL eOPS6192166 11/1/2002 02/01/2004 AGGREGATE $ 1,000,000 CONTRACTOR'S FORM RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: CHECK ~ BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRmEN CONTRACT. BOX ~ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. Re: Project Description: Sealed Bid for Operation/Maintenance of Old Mariners Hospital Wastewater Treatment Plant; BID #120-24S-o-2002/LC; Project Location: Key West, FL Additional Insured in favor of The Monroe County Commissioners BOCC. Its Employees and Officials (on all policies except Workers' Compensation/ELl where and to the extent reauired ~ n., , ..." ,,1'" ~ I' CERTIFICATE HOLDER:.....r \'-"'\0r"i ,';.' }:;: CANCELLATION: C o~.Y: ;::'""a.-rJ c.<..-.. tH ....... h n?p HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION '\ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE :;:;..; THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE It 1&>/0 a., DATE Nt A ..."..... YES --.,' SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES. 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. WAIVER AU' IIATIVI::: Monroe County ,\~ Purchasing Office ~--=r~ 1100 Simonton Street, Room 2-213 Key West, FL 33040 U i I alYVn n7 ~ 'I t F CER1._ ICATE OF INSURANCE Date: (MMIDDIYY 10/31/2002 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Insurance Agency of Houston, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Houston, Texas 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED: I nsurer A: American International Specialty Lines Synagro Southwest, Inc. Insurer B: Zurich American Insurance 4512 Srittmoore Houston, TX 77041 Insurer C: Insurer 0: COVERAGES I;HE 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 ICERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS ,EXCLUS!ONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY BE EXHAUSTED BY PAID CLAIMS, INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000 -- X OCCURRENCE EG3779024 11/1/2002 02/01/2004 MED EXP (PER PERSON) $ 5,000 X XCUINCLUDED PERSONAL & ADV INJURY $ 1,000,000 X ISO FORM CG 00 01 10 93 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS/COMP, OP, AGG $ 2,000,000 X PROJECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 B X ANY AUTO SAP 2347047-01 (O/S) (EACH ACCIDENT) B ALL OWNED AUTOS TAP 2347048-01 (TX) 11/1/2002 02/01/2003 B SCHEDULED AUTOS MA 2347049-01 (MA) --- B X HIRED AUTOS SAP 2347050-01 (VA) DEDUCTIBLE: COLLISION & $ 1,000 ._-,--~ X NON.OWNED AUTOS OTHER THAN COLLISION $ 1,000 POLLUTION & REMEDIATION EACH LOSS $ 1,000,000 LEGAL A EG3779024 11/1/2002 02/01/2004 TOTAL ALL LOSSES $ 1,000,000 .~ RETENTION - EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE SE7410130 11/1/2002 02/01/2004 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY B and EMPLOYERS LIABILITY WC 2347044-01 (O/S) 11/1/2002 02/01/2003 EL EACH ACCIDENT $ 1,000,000 B WC 2347046-01 (MA, WI) EL DISEASE-EA EMPLOYEE $ 1,000,000 EL DISEASE-POLICY LIMIT $ 1,000,000 A PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000 LEGAL. GENERAL COPS6192166 11/1/2002 02/01/2004 AGGREGATE $ 1,000,000 CONTRACTOR'S FORM RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: CHECK [gJ BOX BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT, [gJ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSUREO (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. Re;...AKH Contract Co<=. :~ - ^ CERTIFICATE HOLDEBPfV'l\~H~ \< MA, "-';"-J CANCELLATION: 'J3L~~"'" nUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION BY -..... ---1\ ,;.., DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE . O_.~_ TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE DATi;; ... .. \ CQ \......... . SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. County of Monroe WAlVER Y .."--erA .r AUTHORIZED REPRESENTATIVE: . .-- .----,~..~" Attn: Bevette Moore ~-~~ Airports Business Administration ~. ~ 3491 S. Roosevelt Blvd. I. ( Key West, FL 33040 r r:", 1J v..o '-"' f. JvJIl;t1 eA1k. QUNr1 m~ CER" ~ ..=ICA TE OF INSURANCE Date: (MM/DDIYY) 11/1/2001 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Insurance Agency of Houston, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Houston, Texas 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED: Insurer A: American International Specialty Lines Synagro Southwest, Inc. Insurer B: Zurich American Insurance 4512 Brittmoore Insurer C: American Guarantee & Liability Insurance Houston, TX 77041 Insurer 0: 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 BE EXHAUSTED BY PAID CLAIMS, INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANYONE FIRE) $ 1,000,000 X OCCURRENCE EA6192165 11/1/2001 11/1/2002 MED EXP (PER PERSON) $ 5,000 ...... ~ MANAGEN ENT $ x XCU INCLUDED APPRrnD~ PERSONAL & ADV INJURY 1,000,000 X ISO FORM CG 00 0110 93 C'0 - GENERAL AGGREGATE $ 2,000,000 BY -df> 0 ~ $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS/COMP, OP. AGG X PROJECT DATE ~ .-.. AUTOMOBILE LIABILITY WAIVER .,. -" COMBINED SINGLE liMIT $ 2,000,000 B X ANY AUTO BAP 2347047-00 (O/S) (EACH ACCIDENT) C ALL OWNED AUTOS TAP 2347048-00 (TX) 11/1/2001 11/1/2002 B SCHEDULED AUTOS MA 2347049-00 (MA) B x HIRED AUTOS BAP 2347050-00 (yA) DEDUCTIBLE: COLliSION & $ 5,000 X NON.OWNED AUTOS OTHER THAN COLLISION $ 5,000 POLLUTION & REMEDIATION EACH LOSS $ 1,000,000 LEGAL A EA6192165 11/1/2001 11/1/2002 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE BE7413625 11/1/2001 11/1/2002 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY B and EMPLOYERS LIABILITY WC 2347044-00 (O/S) 11/1/2001 '1'1/1/2002 EL EACH ACCIDENT $ 1,000,000 B WC 2347046-00 (MA,WI) EL DISEASE-EA EMPLOYEE $ 1,000,000 EL DISEASE-POliCY liMIT $ 1,000,000 A PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000 LEGAL. GENERAL COPS6192166 11/1/2001 11/1/2002 AGGREGATE $ 1,000,000 CONTRACTOR'S FORM RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: CHECK [8J BOX BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POUCIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. [8J CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. Additional insured In favor of certificate holder (on all policies except workers compensation) where and to the extent as required by written contract. CERTIFICATE HOLDER: CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30" DAYS WRITTEN NOTICE irrr IO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE i;" ""'i;T l'-' r ~t~L IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS , 0, REPRESENTATIVES, "EXCEPT 10 DAYS NOTICE FOR NON.PAYMENT. Monroe County B.O.C.C. NOV o 6 2001 PlUI ~~~ ,,~, TATIVE: 3583 S. Roosevelt Blvd. ! ~-~~ By:/lJ/I/!~,= I Key West, FL 33040 , :J I CER. .FICA TE OF INSURANCE Date: (MM/DDIYY) 11/1/2001 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Insurance Agency of Houston, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Houston, Texas 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. .- .- INSURERS AFFORDING COVERAGE INSURED: APpmer 7U-;;)' nsurer A: American International Specialty Lines Synagro Southwest, Inc. ~Y , . \' \\.1. /,)L Insurer B: Zurich American Insurance 4512 Srittmoore Insurer C: American ~uar~ntee & Liability Insurance Houston, TX 77041 DATE ~Z' WAIVER N/A YES Insurer 0: QL0\. lk ,. .:;;, ^ft 0:;;- ,." "^'" - COVERAGES ("1<" ': ~1 //J IA.o '" Y If n ,I I l,CiYJl 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 BE EXHAUSTED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY FI RE DAMAGE (ANY ONE FIRE) $ 1,000,000 X OCCURRENCE EA6192165 11/1/2001 11/1/2002 MED EXP (PER PERSON) $ 5,000 X XCU INCLUDED PERSONAL & ADV INJURY $ 1,000,000 X ISO FORM CG 00 01 10 93 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS/COMPo op, AGG $ 2,000,000 X PROJECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 B X ANY AUTO SAP 2347047-00 (O/S) (EACH ACCIDENT) C ALL OWNED AUTOS TAP 2347048-00 (TX) 11/1/2001 11/1/2002 B SCHEDULED AUTOS MA 2347049-00 (MA) B X HIRED AUTOS SAP 2347050-00 (VA) DEDUCTIBLE: COLLISION & $ 5,000 X NON-OWNED AUTOS OTHER THAN COLLISION $ 5,000 POLLUTION & REMEDIATION EACH LOSS $ 1,000,000 LEGAL A EA6192165 11/1/2001 11/1/2002 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE SE7413625 11/1/2001 11/1/2002 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY and EMPLOYERS LIABILITY we 2347044-00 (O/S) 11/1/2001 11/1/2002 ------ B EL EACH ACCIDENT $ 1,000,000 B we 2347046-00 (MA,WI) EL DISEASE-EA EMPLOYEE $ 1,000,000 EL DISEASE-POLICY LIMIT $ 1,000,000 A PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000 LEGAL - GENERAL eOPS6192166 11/1/2001 11/1/2002 AGGREGATE $ 1,000,000 CONTRACTOR'S FORM RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATlONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: C~~~K ~ BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. ~ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. Re: AKH Contract CERTIFICATE HOLDER: CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, 'EXCEPT 10 DAYS NOTICE FOR NON.f'AYMENT. County of Monroe ~-~~ Attn: Bevette Moore AUTHORIZED REPRESENTATIVE Airports Business Administration 3491 S. Roosevelt Blvd. Key West, FL 33040 CERTIFICATE OF INSURANCE Date: (MM/DDIYY) 4/26/2001 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 PRODUCER Lockton Insurance A~ency of Houston, Inc. 5847 San Felipe, 1i Floor Houston, Texas 77057 INSURED: Synagro Southeast, Inc. 6220-A Hackers Bend Court Winston-Salem, NC 27103 Insurer A: Insurer B: Insurer C: Insurer D: Greenwich Insurance Company National Union Fire Insurance Co. of PA X.L. Specialty Insurance Company Indian Harbor Insurance Company 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 BE EXHAUSTED BY PAID CLAIMS. EFFECTIVE DATE EXPIRATION DATE INSR LTR TYPE OF INSURANCE GENERAL LIABILITY POLICY NUMBER LIMITS OCCURRENCE GEC000522501 EACH OCCURRENce $ 1,000,000 FIRE DAMAGE (ANY ONE FIRE) $ 100,000 11/1/2000 11/1/2001 MED EXP (PER PERSON) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS/COMPo OP. AGG $ 2,000,000 COMBINED SINGLE LIMIT $ 1,000,000 (EACH ACCIDENT) 11/1/2000 11/1/2001 A X COMMERCIAL GENERAL LIABILITY X X X XCU INCLUDED ISO FORM CG 00 01 1093 GEN'L AGGREGATE LIMIT APPLIES PER: X PROJECT AUTOMOBILE LIABILITY A X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS AEC000522601 (O/S) AEC000522701 (TX) X HIRED AUTOS X NON-OWNED AUTOS POLLUTION & REMEDIATION LEGAL D PEC000565201 11/1/2000 DEDUCTIBLE: COLLISION & $ 1,000 OTHER THAN COLLISION $ 1,000 EACH LOSS $ 1,000,000 11/1/2001 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 50,000 EACH OCCURRENCE $ 5,000,000 11/1/2001 AGGREGATE $ 5,000,000 RETENTION $ 10,000 WORKERS' COMPENSATION STATUTORY 11/1/2001 EL EACH ACCIDENT $ 1,000,000 EL DISEASE-EA EMPLOYEE $ 1,000,000 EL DISEASE-POLICY LIMIT $ 1,000,000 11/1/2001 EACH CLAIM $ 5,000,000 AGGREGATE $ 5,000,000 RETENTION $ 50,000 EXCESS LIABILITY/UMBRELLA B X OCCURRENCE CLAIMS MADE BE7393230 11/1/2000 WORKERS' COMPENSATION C and EMPLOYERS LIABILITY A WEC0007227 (O/S) WEC0007234 (NH) 11/1/2000 A PROFESSIONAL & POLLUTION LEGAL. GENERAL CONTRACTOR'S FORM PEC000565101 11/1/2000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: CHECK BOX [8J BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. [8J CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. Additional insured in favor of certificate holder (on al/ policies except workers compensation) where and to the extent as required by written contract. CERTIFICATE HOLDER: CANCELLATION: Monroe County Boct~fQ~\ 0\.' 3583 S. Roosevelt Blvd. . --- -- .- AUTHORIZED REPRESENTATIVE Key West, FL 33040 .", ;\;,7- C C) ..(\ ~) 1(1 LVO-C (.', ~ . fl Q"rV11 .. ~ . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION : f.. ,,' DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, 'EXCEPT 10 DAYS NOTICE FOR NON.PAYMENT. .----- ~-~~ CERTIFICATE OF INSURANCE Date: (MMlDDIYY) 4/10/2001 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Insurance A~ency of Houston, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5847 San Felipe, 17 Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Houston, Texas 77057 AI T~~ TI-I~ "Ai 1 HI-"'~ RI=I ow ~. , . INSURED: \nl.l~\Jh~ _ Insurer A: Greenwich Insurance Company Synagro Southwest, Inc. Insurer B: National Union Fire Insurance Co. of PA 4512 Brittmoore ~ \Q6lDI___ Insurer C: x.L. Specialty Insurance Company Houston, TX 77041 ., ,~-- :} ,~ Insurer 0: Indian Harbor Insurance Company ,', -- 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 BE EXHAUSTED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANYONE FIRE) $ 100,000 X OCCURRENCE GECOO0522501 11/1/2000 11/1/2001 MED EXP (PER PERSON) $ 5,000 X XCU INCLUDED PERSONAL & ADV INJURY $ 1,000,000 X ISO FORM CG 00 01 1093 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATIE LIMIT APPLIES PER: PRODUCTS/COMPo OP. AGG $ 2,000,000 X PROJECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A X ANY AUTO AEC000522601 (O/S) (EACH ACCIDENT) ALL OWNED AUTOS AEC000522701 (TX) 11/1/2000 11/1/2001 SCHEDULED AUTOS X HIRED AUTOS DEDUCTIBLE: COLLISION & $ 1,000 X NON-OWNED AUTOS OTHER THAN COLLISION $ 1,000 POLLUTION & REMEDIATION EACH LOSS $ 1,000,000 LEGAL 0 PECOO0565201 11/1/2000 11/1/2001 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 50,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 B X OCCURRENCE BE7393230 11/1/2000 1111/2001 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY C and EMPLOYERS LIABILITY WEC0007227 (O/S) 11/1/2000 11/1/2001 EL EACH ACCIDENT $ 1,000,000 A WEC0007234 (NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 EL DISEASE-POLICY LIMIT $ 1,000,000 A PROFESSIONAL & POLLUTION PEC000565101 11/1/2000 11/1/2001 EACH CLAIM $ 5,000,000 LEGAL-GENERAL AGGREGATE $ 5,000,000 CONTRACTOR'S FORM RETENTION $ 50,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: C~~~K I:8J BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POUClES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. I:8J CERTlFICATIE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. Sealed Bid for storm sewer cleaning II Key West to Key Largo. CERTIFICATE HOLDER: CANCELLATION: " '0 SH~IJLD ANY OF THE ABOVE DESCRIBED POLICIES BE CA!l.CELLED BEFORE THE EXPIRATION - DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE -~.- -,.-.--- ~l~ CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE .- ----. , ' IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATNES, 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. ---. - " Monroe County ~ 5100 College Road, Stock Island J,".l ~.UTHORIZED REPRESENTATIVE: ~-~.r::;~-<-r Key West, FL 33040 .,. :.. '..! ,.. ~, CERTIFICATE OF INSURANCE Date: (MM/DDIYY) 4/10/2001 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Insurance A~ency of Houston, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5847 San Felipe, 17 Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Houston, Texas 77057 \. k r'\"" ~^ "" . . :~: J- AI~-~TMI::5~BY RI:It"'lW INSURED: L'V~\ \- )() JJlI\7A Insurer A: Greenwich Insurance Company Synagro Southwest, Inc. · \ \lJ '.. Insurer B: National Union Fire Insurance Co. of PA 4512 Brittmoore D~TE___ ~Qj ,. Insurer C: X.L. Specialty Insurance Company Houston, TX 77041 / v"s \'i."\:["9: . Insurer 0: Indian Harbor Insurance Company ,.~ , . --' , -------- 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 BE EXHAUSTED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANYONE FIRE) $ 100,000 X OCCURRENCE GECOO0522501 11/1/2000 11/1/2001 MED EXP (PER PERSON) $ 5,000 X XCU INCLUDED PERSONAL & ADV INJURY $ 1,000,000 X ISO FORM CG 00 01 1093 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS/COMPo OP. AGG $ 2,000,000 X PROJECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A x ANY AUTO AEC000522601 (0/5) (EACH ACCIDENT) ALL OWNED AUTOS AEC000522701 (TX) 11/1/2000 11/1/2001 SCHEDULED AUTOS X HIRED AUTOS DEDUCTIBLE: COLLISION & $ 1,000 X NON-QWNED AUTOS OTHER THAN COLLISION $ 1,000 POLLUTION & REMEDIATION EACH LOSS $ 1,000,000 LEGAL 0 PECOO0565201 11/1/2000 11/1/2001 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 50,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 B X OCCURRENCE BE7393230 11/1/2000 11/1/2001 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY C and EMPLOYERS LIABILITY WEC0007227 (0/5) 11/1/2000 11/1/2001 EL EACH ACCIDENT $ 1,000,000 A WEC0007234 (NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 EL DISEASE-POLlCY LIMIT $ 1,000,000 A PROFESSIONAL & POLLUTION PEC000565101 11/1/2000 11/1/2001 EACH CLAIM $ 5,000,000 LEGAL-GENERAL AGGREGATE $ 5,000,000 CONTRACTOR'S FORM RETENTION $ 50,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: CHECK ~ BOX BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POUClES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT . ~ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/ELI WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. Storm sewer cleaning II Key West to Key Largo. CERTIFICATE HOLDER: CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAJl~ELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR 1\0 MAIL 30' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT ItAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. Monroe County Board of County Commissions AUTHORIZED REPRESENTATIVE: ~-":}.o~~ 5100 College Road, Stock Island Key West, FL 33040 AofL, Clv~rlificafe of ~nsuranre TO: Certificate Holder MONROE COUNTY 5100 COLLEGE ROAD, STOCK ISLAND KEY WEST, FL 33040 Insured: SYNAGR') TECHNOLOGJES, INC., n,rCLUDING ANY & ALL SUBSIDIARIES 1800 BERING DRIVE, SUITE 1000 HOUSTON, TX 77057 Aon Risk Servi~?f1,J1L _ ~.11- ora- Y RE: SEALED BID FOR STORM SRWE WEST TO KEY LARGO" '(6). [' ':'_.-L+l~ (~ / This is to certify that the policies of insuri/"~e\iis?ed bel/J~' h'"ave berm-rjferfe~ jOr me 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 Policy Number Co Type of Insurance Policy A General Liability [8ICommercial General Liability DClaims Made [8IOccurrence D D General Agg. Limit Applies Per: DPolicy [8IProject DLocation A Automobile Liability [8IAny Auto DAU Owned Autos DScheduled Autos [81 Hired Autos [8INon-Owned Autos B Excess Liability [8IOccurrence DClaims-Made GEC000522501 AEC000522601 O/S AEC000522701 TX BE7393230 Policy Effective Policy Expiration Policy LimitsNalues I 1/01/00 Each Occurrence Fire Damage-Anyone Fire Med. Exp.-Any one Person Personal & Adv. Injury General Aggregate Products-Comp/Op Agg. $1,000,000 $ 100,000 $ 5,000 $1,000,000 $2,000,000 $2,000,000 $1,000,000 $ $ $ $ 1,000 1,000 $5,000,000 $5,000,000 $ DDeductible $ DRetention $ 10,000 C Workers Compensation and WEC0007227 O/S 11/01/00 11/01/01 [8Iwc Statutory Limits DOther A Employers Liability WEC0007234 NH E.L. Each Accident $1,000,000 E.L. Disease-Ea Employee $1,000,000 E.L. Disease-Policy Limit $1,000,000 o Pollution & Remediation Legal PEC000565201 11/01/00 11/01/01 Each Loss $1,000,000 Total AU Losses $1,000,000 Retention - each loss $ 50,000 A Professional & Pollution Legal PEC000565101 11/01/00 11/01/01 Each Claim $5,000,000 General Contractor's Form Aggregate $5,000,000 Retention $ 50,000 E Commercial Property including MXI97800296 11/01/00 11/01/01 AU Risk Building & Contents $10,000,000 Contractors Equipment And Contractors Equipment Loss Limit including Rented & Leased Insurance Company(ies): A) Greenwich Insurance Company B) National Union Fire Insurance Co. ofPA C) X.L. Specialty Insurance Co. D) Indian Harbor Insurance Company E) Fireman's Fund Insurance Company The subscnbing insurers' obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscnbing insurers are not responsible for the subscription of any co-subscnbing insurer who for any reason does not satisfy all or part of its obligations. Description of Operations: Certificate Holder is listed as Additional Insured where required by written contract under GUAUUMBIPOLL. The insurance afforded to the Additional Insured as described in this Certificate of Insurance for work performed by the Named Insured, is primary and non-contributory to any similar coverage maintained by the Additional Insured. A Waiver of Subrogation is issued in favor of Certificate Ho]der where required by written contract under the GU AUUMBIWC. Certificate Holder is included as a Loss Payee as their interest may appear for Property and Auto Physical Damage coverage. Cancellation: 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 alter the coverage afforded by the policy(ies) shown hereon. Should any of the above described policies be canceled before the expiration date thereof, this agency, on behalf of the issuing company(ies), wiU endeavor to mail 30* days written notice to the above named certificate holder, but failure to mail such notice shaU impose no obligation or liability of any kind upon the company(ies) or this agency. *except ]0 days notice for non-payment of premium Date: October 31. 2000 By: 11/01/01 I 1/01/00 11/01/01 Combined Single Limit Bodily Injury-per person Bodily Injury-per accident Property Damage-per ace. Deductible: CoUision & Other than Collision Each Occurrence Aggregate Prod/Comp Ops Agg. ] 1/01/00 11/01/01 Aan Risk Services, afTexas. Inc. 2000 Bering Drive, Suite 900 Houston, Texas 77057-3790 tel (713)430-6000 fax:(713)430-6570 AON Synagro Technologies, Inc. 2000 - 2001 SYNAGRO TECHNOLOGIES, INC. 1800 Bering Drive, Suite 1000 Houston, TX 77057 Synagro Technologies, Inc. ST Interco, Inc. Organi-Gro, Inc. Composting Corporation of America Synagro Midwest, Inc. A&J Cartage, Inc. Synagro of Wisconsin, Inc. National Resource Recovery, Inc. Synagro of Michigan, Inc. Michigan Organic Resources, Inc. Rehbein, Inc. Synagro of Minnesota - Rehbein, Inc. Synagro Northeast, Inc. COR Mid-Atlantic COR Mid-Atlantic - OH Residual Technologies, Limited Partnership Fairhaven Residuals, Limited Partnership NETCO-Waterbury, Limited Partnership NETCO-Residuals Management, Limited Partnership New Haven Residuals, Limited Partnership New England Treatment Company, Inc. Fairhaven Residuals Systems, Inc. NETCO-Connecticut, Inc NETCO-Residuals Management Systems, Inc. NETCO-Waterbury, Inc. NETCO-Waterbury Systems, Inc. New Haven Residuals Systems, Inc. Residual Technologies Systems, Inc. Providence Soils, Limited Liability Company EPIC, Inc. Environmental Protection and Improvement Company, Inc. Synagro Southeast, Inc. Environmental Waste Recycling, Inc. Synagro of North Carolina - EWR, Inc. AMSCO, Inc. Synagro of North Carolina - AMSCO, Inc. Synagro of Florida - A&J, Inc. A&J Cartage Southeast, Inc. Anti-Pollution Associates, Inc. 0&0 Pumping, Inc. Jewell's Sewage Service North, Inc. Synagro of Florida - Anti-Pollution, Inc. Synagro of Florida - Ecosystems, Inc. Ecosystematics, Inc. AON. Synagro Technologies, Inc. 2000 - 2001 Synagro of Florida-Davis Water, Inc. Davis Water Analysis, Inc. AKH Water Management, Inc. Synagro Mid-Atlantic, Inc. Whiteford Construction Co., Inc. Synagro Southwest, Inc. COR Environmental, Inc. Synagro of Texas - COR, Inc. Vital-Cycle, Inc. Synagro of Texas - Vital-Cycle, Inc. Synagro West, Inc. Pima Gro Systems, Inc. Synagro of California, Inc. Recyc, Inc. Synagro Composting Company of California, Inc. Residual Processing, Inc. Future - Tech Environmental Services, Inc. Wheelabrator Water Technologies, Inc. Synagro WWT, Inc. Enviroland, Incorporated Soaring Vista Properties, Inc. NYOFCO Holdings, Inc. New York Organic Fertilizer Company Wheelabrator Clean Water New Jersey, Inc. Synagro - WCWNJ, Inc. Wheelabrator Water Technologies Baltimore L.L.C. Synagro - Baltimore L.L.C JABB II, L.L.C. ~ AGENTSSTA'I'EMENT , : I have reviewed the above requirements with the bidde~ named. below. ~ faDowing deductibIes apply to the corresponding policy. POUCY OroUCIlBlES . . : I : . . . SEE THE ATl'ACHED CERTIFICATE Liability policies are _Occurrence -~ , AON RISK SERVICES OF TEXAS tnsurance Agency Signature I . , BIDDERS Sf A TEMENir I understand the insurance that will be mandatory if awarded the contract and will comply in fun with all the requirements. Signature , , . Bidder INSCKLST . i I . i SUPPLEMENTARY INSURANCE DOCUMENTS 00900-7 M CerLificate of InSUlance TO: Certificate Holder MONROE COUNTY RISK MANAGEMENT 5100 COLLEGE ROAD KEY WEST, FL 33040 Aon Risk Services RE: Corporate Acquisition Effective February 4, 2000 Important: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) DUlSt 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 tenns 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. Disclaimer: The Cert. of Ins. does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the Cer!. holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. The policies of insurance listed be/ow 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 subiect to all the terms, exclusions and conditions of such policies, Limits shown may have been reduced by paid claims. Co Type of Insurance Policy Number Policy Policy Policy Effective Expiration General Liability I8IComrnercial General Liability DClaims Made 18I0ccurrence o o General Agg. Limit Applies Per: DPolicy I8IProject DLocation Automobile Liability I8IAny Auto DAll Owned Autos DScheduled Autos I8IHired Autos I8INon-Owned Autos Excess Liability 18I0ccurrence DClaims-Made WC Statutory Limits E.L Each Accident E.L Disease-Ea Employee E.L Disease-Policy Limit Each Claim Ag~gate All Risk Building & Contents Contractors Equipment including Rented & Leased Insurance Compan(les): A Reliance National Indemnitv Company B Firemen's Fund Insur:mce Comnany C Reliance Ins. Co. of lllinnls Description of Operations/LocationsIV ehicleslExclusions Added by EndorsemenUSpecial Provisions: Certificate Holder is listed as Additional Insured where required by written contract under GU AUUMB. The Insurance afforded to the A.I. as described In this Certificate of Insurance (COI) for work performed by the Named Insured, Is nrlmsrv and non-contrlbutorv to any similar coverage maintained by the A.I. A Waiver of Subrogation is issued in favor of Certificate Holder where required by written contract under the GUAUUMBIWC. Certificate Holder is included as a Loss Payee as their interest may appear for Property and Auto Physical Damage coverage. Cancellation: Cancellation: This certificate is issued as a matter of information only and confers no rights upon the certificate holdec. This certificate does not amend, extend or alter the coverage afforded by the policy(ies) shown hereon. Should any of the above described policies be canceled before the expiration date thereof, this agency, on behalf of the issuing company(ies), will endeavor to mail 30* days written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company(ies) or this agency. Insured: Synagro Southeast, Inc. AKH Water Management, Inc. Box 205 Key Colony Beach, FL 33051 A NGB 172100202 01-26-00 11-01-00 A NKA 163049802 (Other States) 01-26-00 11-01-00 A NUA 163352202 01-26-00 11-01-00 A DDeductible $ Retention $ 10,000 Workers Compensation and Employers Liability 11-01-00 NWAOl5073401 01-26-00 C Professional & Pollution NTU 251115601 01-26-00 11-01-00 B Commercial Property Including Contractors Equipment COPAJI0554 01-26-00 11-01-00 Policy LimitsIValues Each Occurrence Fire Damage-Anyone Fire Med. Exp.-Any one Person Personal & Adv. Injury General Aggregate Products-Comp/Op Agg. Combined Single Limit Bodily Injury-per person Bodily Injury-per accident Property Damage-per acc. Deductible: Collision & Other than Collision Each Occurrence Aggregate ProdlComp Ops Agg. $ $ $ $ $ $ 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000 $ $ $ $ $ 1,000,000 1,000 $ $ $ 5,000,000 5,000,000 5,000,000 $ $ $ $ $ $ Other 1,000,000 1,000,000 1,000,000 10,000,000 10,000,000 5,000,000 Loss Limit *except 10 days notice for non-payment of premium Aon Risk Services of Texas, Inc. ~', C~', ~- fax:(713)430-6570 Date: Febru 9 2000 \! L' l _ Authorized Repres "'lI!,!\'[R: ~..: / vr<' f":.- .~,..) ,ton Risk Services, of Texas, Inc. 2000 Bering Drive, Suite 900 Houston, Texas 77057-3790 tel (713)430-6000 ADM eel ..jficate of Insu... ance Aon Risk Services TO: Certificate Holder RE: ~ffi:~~;L: OF~~,c::,oriCr&l:Eff:I:=4':j~ J [TF_'~-~-ty) __~~o Insured: v.Inmortant: If the certificate holder is an ADDmONAL INSURED, the policy(ies) must be endorsed. i~t;' 't - - l~;j -;tatetncnt on this certificate does not confer rights to the certificate holder in lieu of such endorsetrent(s). If SUBROGATION IS WAIVED, subject to the tenns and conditioos of the policy, certain policies may require an endorsetrent. A statetrent on this certificate does not confer rights to the certificate holder in lieu of such endorsetrent. Disclaimer: The Cert. of Ins, does DOt coostitute a contract between the issuing insurer(s), authorized representative or producer, and the cert. holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 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 cenificate may be issued or may penain. The insurance afforded by the olicies described herein is sub 'ect to all the terms, exclusions and conditions 0 such olicies. limits shown ma hove been reduced b aid claims. Co Type of Insurance Policy Number Policy Policy Policy Effective Expiration General Liability I8IComrnercial General Liability DClaims Made 18I0ccurrence D D General Agg. Limit Applies Per: DPolicy I8IProject DLocation Automobile Liability I8IAny Auto DAIl Owned Autos DScheduled Autos I8lHired Autos I8INon-Owned Autos Excess Liability I8IOccurrence DClaims-Made I8Iwc Statutory Limits E.L. Each Accident E.L. Disease-Ea Employee E.L. Disease-Policy Limit Each Claim Aggregate All Risk Building & Contents Contractors Equipment includinl!; Rented & Leased Insurance Com an les: A Reliance National Indemnit Com an B Firemen's Fund Insurance Com an C Reliance Ins. Co. of Illinois Description of Operations/Locations/V ehicIeslExcIusions Added by Endorsement/Special Provisions: Certificate Holder is listed as Additional Insured where required by written contract under GUAUUMB. Tbe Insurance afforded to tbe A.I. as described In this Certificate ofInsurance (COI) for work performed by tbe Named Insured, Is Drlmarv and non-contrlbutorv to any similar coverage maintained by tbe A.I. A Waiver of Subrogation is issued in favor of Certificate Holder where required by written contract under the GUAUUMBIWC. Certificate Holder is included as a Loss Payee as their interest may appear for Property and Auto Physical Damage coverage. Cancellation: Cancellation: 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 alter the coverage afforded by the policy(ies) shown hereon. Should any of the above described policies be canceled before the expiration date thereof, this agency, on behalf of the issuing company(ies), will endeavor to mail 30* days written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company(ies) or this agency. Aon Risk Services of Texas, Inc. Authorized Represen~ Synagro Southeast, Inc. Ecosystematics, Inc. 203 Apache St. Tavernier, FL 33070 \""".TR: A NGB 172100202 01-26-00 11-01-00 A NKA 163049802 (Other States) 01-26-00 11-01-00 A NUA 163352202 01-26-00 11-01-00 A DDeductible $ Retention $ 10,000 Workers Compensation and Employers Liability 11-01-00 NWA 015073401 01-26-00 C Professional & Pollution NTU 251115601 01-26-00 11-01-00 B Commercial Property including Contractors Equipment COPAJ10554 01-26-00 11-01-00 *except 10 days notice for non-payment of premium Date: February 9, 2000 By: Aon Risk Services, of Texas, Inc. INITI1\l 2000 Bering Drive, Suite 900 Houston, Texas 770 -379 000 fax:(713)430-6570 Policy LimitslValues Each Occurrence Fire Damage-Anyone Fire Med. Exp.-Any one Person Personal & Adv. Injury General Aggregate Products-ComplOp Agg. Combined Single Limit Bodily Injury-per person Bodily Injury-per accident Property Damage-per acc. Deductible: Collision & Other than Collision Each Occurrence Aggregate Prod/Comp Ops Agg. $ $ $ $ $ $ 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000 $ $ $ $ $ 1,000,000 1,000 $ $ $ 5,000,000 5,000,000 5,000,000 $ $ $ $ $ $ Other 1,000,000 1,000,000 1,000,000 10,000,000 10,000,000 5,000,000 Loss Limit ~!~d , ~ CERTIFICATE OF INSURANCE Date: (MM/DDIYY) 1/21/2003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Insurance Agency of Houston, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Houston, Texas 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED: Insurer A: American International Specialty Lines Synagro of Florida - Anti - Pollution, Inc. Insurer B: Zurich American Insurance 89111 Overseas Hwy. Insurer C: Tavernier, FL 33070 Insurer D: 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 BE EXHAUSTED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000 X OCCURRENCE EG3779024 11/1/2002 02101/2004 MED EXP (PER PERSON) $ 5,000 X XCUINCLUDED PERSONAL & ADV INJURY $ 1.000,000 X ISO FORM CG 00 0110 93 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS/COMPo OP. AGG $ 2,000,000 X PROJECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 B X ANY AUTO BAP 2347047-02 (O/S) (EACH ACCIDENT) B ALL OWNED AUTOS TAP 2347048-02 (TX) 02/01/2003 02101/2004 B SCHEDULED AUTOS MA 2347049-02 (MA) B X HIRED AUTOS BAP 2347050-02 (VA) DEDUCTIBLE: COLLISION & $ 1.000 X NON.OWNED AUTOS OTHER THAN COLLISION $ 1,000 POLLUTION & REMEDIATION EACH LOSS $ 1,000,000 LEGAL A EG3779024 11/1/2002 02101/2004 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE BE619 26 61 11/1/2002 02/01/2004 AGGREGATE $ 5,000.,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY B and EMPLOYERS LIABILITY WC 2347044-02 (O/S) 02/01/2003 02/01/2004 EL EACH ACCIDENT $ 1,000,000 B we 2347046-02 (MA, WI) EL DISEASE-EA EMPLOYEE $ 1,000,000 EL DISEASE-POLICY LIMIT $ 1,000,000 A PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000 LEGAL - GENERAL eOPS6192166 11/1/2002 02/01/2004 AGGREGATE $ 1,000,000 CONTRACTOR'S FORM RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: C~~~K [8J BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. [8J CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. Re: Project Description: Sealed Bid for OperationlMaintenance of Old Mariners Hospital Wastewater Treatment Plant; BID #120-245-D-2DD2/LC; Project Location: Key West, FL Additional Insured in favor of The Monroe County Commissioners BOCC, Its Employees and Officials (on all policies except Workers' Compensation/EL) where and to the extent reauired bv written contract. CERTIFICATE HOLDER: CANCELLATION: APP MI"" NY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION BY'~ 1 \ _q.J/J> po Jkd DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE DATE _/t-~=.Q3 POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. Monroe County AUTHORIZED REPRESENT A TIVE: Purchasing Office WAIVER N/A -L..- YES ~-~~ 1100 Simonton Street, Room 2-213 Key West, FL 33040 6\c;,@Jb J Cc. :~{... Cr 'lU~ Ufi 11' :/11 J L ,. a;tt~ t. ~'" i CERTIFICATE OF INSURANCE IDate: (MM/DDNY) 1/21/2003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Insurance Agency of Houston. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Houston, Texas 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED: Insurer A: American International Specialty Lines Synagro of Florida - Anti - Pollution, Inc. Insurer B: Zurich American Insurance 89111 Overseas Hwy. Insurer C: Tavernier, FL 33070 Insurer 0: 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 BE EXHAUSTED BY PAID CLAIMS, INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000 X OCCURRENCE EG3779024 11/1/2002 02/01/2004 MED EXP (PER PERSON) $ 5,000 X XCUINCLUDED PERSONAL & ADV INJURY $ 1,000.000 X ISO FORM CG 00 01 1093 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS/COMPo OP. AGG $ 2,000,000 X PROJECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 B X ANY AUTO BAP 2347047-02 (O/S) (EACH ACCIDENT) B ALL OWNED AUTOS TAP 2347048-02 (TX) 02/01/2003 02101/2004 B SCHEDULED AUTOS MA 2347049-02 (MA) B X HIRED AUTOS BAP 2347050-02 (VA) DEDUCTIBLE: COLLISION & $ 1,000 X NON-OWNED AUTOS OTHER THAN COLLISION $ 1,000 POLLUTION & REMEDIATION EACH LOSS $ 1,000,000 LEGAL A EG3779024 11/1/2002 02/01/2004 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 250.000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE BE619 26 61 11/1/2002 02/01/2004 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY B and EMPLOYERS LIABILITY we 2347044-02 (O/S) 02101/2003 02/01/2004 EL EACH ACCIDENT $ 1,000,000 B WC 2347046-02 (MA, WI) EL DISEASE-EA EMPLOYEE $ 1,000,000 EL DISEASE-POLICY LIMIT $ 1,000,000 A PROFESSIONAL & POLLUTION EACH CLAIM $ 1.000,000 LEGAL - GENERAL eOPS6192166 11/1/2002 02/01/2004 AGGREGATE $ 1,000,000 RETENTION CONTRACTOR'S FORM $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: CHECK rgJ BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRmEN CONTRACT. BOX rgJ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE AND TO THE EXTENT REQUIRED BY WRmEN CONTRACT. Re: Bid #86-279'{)-2002/LC _ Sealed bid for Operation and Maintenance of MGC Wastewater Treatment Plant; Project Location: Key West, FL Additional Insured in favor of The Monroe County Board of County Commissioners (on all policies except Workers' Compensation/ELI where and to the extent required by written contract. CERTIFICATE HOLDER: CANCELLATION: . " D ~~S K ~ OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION EOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE BV ..~~ ,..........: ' Lf: / I '1 TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE ... I . ""1 ., ,ucnSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS ~ In '5':; OR REPRESENTATIVES. 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. DATE Monroe County r IZED REPRESENTATIVE: Purchasing Office WAIVER N/A. ~-~~ 1100 Simonton Street, Room 2-213 - YES ".. Key West, FL 33040 <r' . ( O~( ~ ())~ ' ~---'.f\ <!. e' ~ tJ CC:.'-I J ,t tJ, ,'. ,! <.""'\ ~~~ ~e~ f/ll5~ CERTIFICATE OF INSURANCE Date: (MM/DD/YY) 1/21/2003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lockton Insurance Agency of Houston, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 5847 San Felipe, Suite 320 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Houston, Texas 77057 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED: Insurer A: American International Specialtv Lines Synagro Southwest, Inc. Insurer B: Zurich American Insurance 4512 Srittmoore Insurer C: Houston, TX 77041 Insurer 0: 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 BE EXHAUSTED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000 X OCCURRENCE EG3779024 11/1/2002 02/01/2004 MED EXP (PER PERSON) $ 5,000 X XCU INCLUDED PERSONAL & ADV INJURY $ 1,000,000 x ISO FORM CG 00 01 1093 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS/COMPo OP. AGG $ 2,000,000 X PROJECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 B X ANY AUTO SAP 2347047-02 (O/S) (EACH ACCIDENT) B ALL OWNED AUTOS TAP 2347048-02 (TX) 02101/2003 02101/2004 B SCHEDULED AUTOS MA 2347049-02 (MA) B X HIRED AUTOS SAP 2347050-02 (VA) DEDUCTIBLE: COLLISION & $ 1,000 X NON.OWNED AUTOS OTHER THAN COLLISION $ 1,000 POLLUTION & REMEDIATION EACH LOSS $ 1,000,000 LEGAL A EG3779024 11/1/2002 02101/2004 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE SE619 26 61 11/1/2002 02/01/2004 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY B and EMPLOYERS LIABILITY WC 2347044-02 (O/S) 02101/2003 02101/2004 EL EACH ACCIDENT $ 1,000,000 B WC 2347046-02 (MA, WI) EL DISEASE-EA EMPLOYEE $ 1,000,000 EL DISEASE-POLICY LIMIT $ 1,000,000 A PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000 LEGAL. GENERAL COPS6192166 11/1/2002 02/01/2004 AGGREGATE $ 1,000,000 RETENTION CONTRACTOR'S FORM $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: C~~~K 181 BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE AND TO THE EXTENT REQUIRED BY WRITTEN CONTRACT. I8J c""O'''''O'''''. "'JI1ll'l'l · ~~~"'... CO.'~" WH"""'" '"' 'i ""'""" ,v WRm" COO<YRACY. Re: AKH Contract 1: . T~ ~ 0~ . C8 BY \. ~ 7).i/.. '~ CA.f'" ,db, -. ('..Ll /" - A' It CERTIFICATE HOLDER: UAI t: ./ :ANCELLATION: ('( rl V~IJ .t'tfti.uJYI ~ r WAIVER NIA '-::'-.Y '-'; ULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES, 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. County of Monroe AUTHORIZED REPR"ESENTATIVE: Attention: Airports Business Administration ~-~~ 3491 S. Roosevelt Boulevard Key West, FL 33040 / (!. Co : ~-' . CERTIFICA TE OF INSURANCE Date: (MM/DDIYY) 3/15/2004 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Lockton Companies of Houston, Inc. NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT 5847 San Felipe, Suite 320 AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Houston, Texas 77057 INSURERS AFFORDING COVERAGE This Certificate Voids and Suoercedes any oreviouslv issued certificate, INSURED: Insurer A: American International Specialty Lines Ins. Co. Synagro of Florida - Anti - Pollution, Inc. Insurer B: American Home Assurance Company 89111 Overseas Hwy. Insurer C: Insurance Company of the State of PA Tavernier, FL 33070 Insurer D: Commerce & Industry Insurance Company Insurer E: Lexington Insurance Company 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 BE EXHAUSTED BY PAID CLAIMS, INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000 A X OCCURRENCE EG1955513 02/01/2004 05/01/2005 MED EXP (PER PERSON) $ 10,000 X XCU NOT EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PROJECT PRODUCTS/COMPo OP. AGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 B ANY AUTO CA9798519 (0/5) 02/01/2004 05/01/2005 (EACH ACCIDENT) X B ALL OWNED AUTOS CA9798520 (TX) 02/01/2004 05/01/2005 E X HIRED AUTOS 128-2274 (APD) 02/01/2004 05/01/2005 DEDUCTIBLE: COLLISION & $ 1,000 X NON.OWNED AUTOS OTHER THAN COLLISION $ 1,000 POLLUTION & REMEDIATION EACH LOSS $ 1,000,000 A LEGAL EG1955513 02/01/2004 05/01/2005 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 250,000 EXCESS L1ABILlTY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE BE4892990 02/01/2004 05/01/2005 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 C WORKERS' COMPENSATION 3715501 (AOS) 02/01/2004 05/01/2004 WORKERS' COMPENSATION STATUTORY B and EMPLOYERS LIABILITY 3715502 (CA) 02/01/2004 05/01/2004 EL EACH ACCIDENT $ 1,000,000 D 3715503 (WI) 02/01/2004 05/01/2004 EL DISEASE-EA EMPLOYEE $ 1,000,000 C 05/01/2004 05/01/2005 EL DISEASE-POLICY LIMIT $ 1,000,000 3715504 (AOS) B 3715505 (CA) 05/01/2004 05/01/2005 D 05/01/2004 05/01/2005 ------ -------~.. - _.~-~----- ---.-- - -- --_._---_._~_._- 3715506 (WI) PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000 A LEGAL - GENERAL COPS1956593 02/01/2004 05/01/2005 AGGREGATE $ 1,000,000 CONTRACTOR'S FORM RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: CHECK [gI BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT. BOX [gI CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE REQUIRED BY WRITTEN CONTRACT. Re: Bid #86-279-G-2002lLC - Sealed bid for Operations and Maintenance of MGC Wastewater Treatment Plant Additional Insured In favor of The Monroe County Board of County Commissioners (on all policies except Workers' Compensation/ELl where required by written contract. ,~ ....-.-n-_ . .t:\. CERTIFICATE HOLDER: ..,,, -n r ""u h ...( L .tANCELLATION: - -v-..-r~ ..-- ~ ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATi: . Dc DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE 3.... ,.-j__,. TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE t'JiA~___YES. "':'''~~~IVlPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS Nt. ;\1 f~: ~.f OR REPRESENTATIVES, 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. Monroe County AU ( h~IIAIIVt:: Board of County Commissioners ~ .~ " 1100 Simonton Street, Room 2-213 (0/1 1- -' Key West, FL 33040 ~ " IJ I .J I /'\ / . dJ ~~/) ~ c.c ~-!40 . lJ.. m dlQ, CERTIFICATE OF INSURANCE Date: (MMJDDIYY) 4/30/2005 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Lockton Companies of Hou ston NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT 5847 San Felipe, Suite 320 AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Houston, Texas 77057 INSURERS AFFORDING COVERAGE INSURED: Insurer A: American International Specialty Lines Ins. Co. Synagro of Florida - Anti - Pollution, Inc. Insurer B: Liberty Mutual Fire Insurance Co. 89111 Overseas Hwy. Insurer C: Liberty Insurance Corporation Tavernier, FL 33070 Insurer 0: 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 BE EXHAUSTED BY PAID CLAIMS, INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000 A X OCCURRENCE EG7546806 05/01/2005 08/01/2006 MED EXP (PER PERSON) $ 10,000 X xcu NOT EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PROJECT PRODUCTS/COMPo OP. AGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 B ANY AUTO AS2-691-437721-015 05/01/2005 05/01/2007 (EACH ACCIDENT) X ALL OWNED AUTOS AP~.~d:~SK ~ T~GEMENT x HIRED AUTOS BY .l." , 'All u, DEDUCTIBLE: COLLISION & $ 1,000 ..~-- X NON-OWNED AUTOS DATE ..._.. ,.5Q ~(h OTHER THAN COLLISION $ 1,000 POLLUTION & REMEDIATION WAIVER \{ YES EACH LOSS $ 1,000,000 LEGAL N I A______ A EG7546806 05/01/2005 08/01/2006 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE BE 974-61-68 05/01/2005 08/01/2006 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY C and EMPLOYERS LIABILITY WA7-69D-437721-025 (AOS) 05/01/2005 05/01/2006 EL EACH ACC!DENT $ 1,000,000 C WC7-691-437721-035 (WI) 05/01/2005 05/01/2006 EL DISEASE.EA EMPLOYEE $ 1,000,000 lJ'IcO'. (a()A I. :J El DISEASE.POLlCY LIMIT $ 1,000,000 C( '. i ~~ ' ..IA /Y1 ~ , ~ PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000 LEGAL-GENERAL COPS1956674 05/01/2005 05/01/2007 AGGREGATE $ 1,000,000 A CONTRACTOR'S FORM (l/", I ,,~ \IJ11f) 'i) 0 RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXClUSIONS ADDED BY ENDORSEMENT PROVISIONS: C~6~K C8l BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT. C8l CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE REQUIRED BY WRITTEN CONTRACT. Re: Bid #86-279-0-2002/LC - Sealed bid for Operations and Maintenance of MGC Wastewater Treatment Plant Additional Insured in favor of The Monroe County Board of County commiSSioniMon ~~~IiCies except Workers' Compensation/ELl where required by written contract. r - Iou & CERTIFICATE HOLDER: CANCELLA l1eN: \;" ~ r...c.. V".. (. ~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION c..~v> '\ \L ~ " DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30" DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. "EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. Monroe County IAIIV!:: ~-~~ Board of County Commissioners 1100 Simonton Street, Room 2-213 Key West, FL 33040 07 CERTIFICATE OF INSURANCE Date: (MM/DDIYY) 4/30/2005 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Lockton Companies of Houston NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT 5847 San Felipe, Suite 320 AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Houston, Texas 77057 INSURERS AFFORDING COVERAGE INSURED: Insurer A: American International Specialty Lines Ins. Co. Synagro of Florida - Anti - Pollution, Inc. Insurer B: Liberty Mutual Fire Insurance Co. 89111 Overseas Hwy. Insurer C: Liberty Insurance Corporation Tavernier, FL 33070 Insurer D: 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 BE EXHAUSTED BY PAID CLAIMS, INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000 A X OCCURRENCE EG7546806 05/01/2005 08/01/2006 MED EXP (PER PERSON) $ 10,000 X XCU NOT EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PROJECT PRODUCTS/COMPo op, AGG $ 2,000,000 AUTOMOBILE LIABILITY .f\PF)~(J\./?=rl ;.~ . ,~~1J:~tfO~ II, ~~tr07 COMBINED SINGLE LIMIT $ 2,000,000 B ANY AUTO AS2-691-~l~.~.1-:0.~-~~q (EACH ACCIDENT) x ,.... 4'. . ALL OWNED AUTOS -~ X HIRED AUTOS ~..._~ "'-'-, --"\T~~' ~-Q:5.'. DEDUCTIBLE: COLLISION & $ 1,000 NON.OWNED AUTOS Vl//!,f .' $ 1,000 X '/ '~._.._~_ YEs OTHER THAN COLLISION POLLUTION & REMEDIATION () %,'Jlb.l 11 " EACH LOSS $ 1,000,000 A LEGAL EG7546806 05/01/2005 ~/2006 TOTAL ALL LOSSES $ 1,000,000 re'.. ~ RETENTION - EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE BE 974-61-68 05/01/2005 08/01/2006 AGGREGATE $ 5,000,000 CLAIMS MADE ~ ~c.I? 1="1 RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY C and EMPLOYERS LIABILITY WA7-69D-437721-025 (AOS) 05/01/2005 05/01/2006 EL EACH ACCIDENT $ 1,000,000 C WC7-691-437721-035 (WI) 05/01/2005 05/01/2006 (tv I ,fl 1ti (f)iP-'< EL DISEASE-EA EMPLOYEE $ 1,000,000 EL DISEASE-POLICY LIMIT $ 1,000,000 - PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000 A LEGAL-GENERAL COPS1956674 05/01/2005 05/01/2007 AGGREGATE $ 1,000,000 CONTRACTOR'S FORM RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: C~6~K [8] BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERllFICA TE HOLDER ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT. [8] CERTIFICATE HOLDER IS NAMED AS AN ADDIllONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE REQUIRED BY WRITTEN CONTRACT. Re: Project Description: Sealed Bid for Operation/Maintenance of Old Mariners Hospital Wastewater Treatment Plant; BID #120-245- 0-2002lLC; Project Location: Key West, FL Additional Insured in favor of The Monroe County Commissioners BOCC, its Employees and Officials (on all policies except Workers' Compensation/ELl where required bv written contract. CERTIFICA TE HOLDER: CANCELLATION: C <Dp i e.. s.', \:-~ ~o.. I"\..~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS VVRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. Monroe County AUI IIAIIVe: Purchasing Office ~-~~ 1100 Simonton Street, Room 2-213 Key West, FL 33040 CERTIFICATE OF INSURANCE Date: (MM/DDIYY) 7/6/2005 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Lockton Companies of Houston NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT 5847 San Felipe, Suite 320 AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Houston, Texas 77057 INSURERS AFFORDING COVERAGE INSURED: Insurer A: American International Specialty Lines Ins. Co. Synagro Southeast, Inc. Insurer B: Liberty Mutual Fire Insurance Co. 5198 Overseas Highway Insurer C: Liberty Insurance Corporation Marathon, FL 33050 Insurer D: 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 BE EXHAUSTED BY PAID CLAIMS, INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANYONE FIRE) $ 1,000,000 A X OCCURRENCE EG7546806 05/01/2005 08/01/2006 MED EXP (PER PERSON) $ 10,000 x xcu NOT EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PROJECT PRODUCTS/COMPo op, AGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 B ANY AUTO A82-691-437721-015 05/01/2005 05/01/2007 (EACH ACCIDENT) X ALL OWNED AUTOS X HIRED AUTOS DEDUCTIBLE: COLLISION & $ 1,000 X NON-OWNED AUTOS OTHER THAN COLLISION $ 1,000 POLLUTION & REMEDIATION EACH LOSS $ 1,000,000 A LEGAL EG7546806 05/01/2005 08/01/2006 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE BE 974-61-68 05/01/2005 08/01/2006 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION 8T A TUTORY C and EMPLOYERS LIABILITY WA7-69D-437721-025 (AOS) 05/01/2005 05/01/2006 EL EACH ACCIDENT $ 1,000,000 C WC7-691-437721-035 (WI) 05/01/2005 05/01/2006 EL DISEASE-EA EMPLOYEE $ 1,000,000 - _._-._---,-- EL DISEASE-POLICY LIMIT $ 1,000,000 PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000 A LEGAL-GENERAL COP81956674 05/01/2005 05/01/2007 AGGREGATE $ 1,000,000 CONTRACTOR'S FORM RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: C~~~K ~ BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT. ~ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE REQUIRED BY WRITTEN CONTRACT. Re: Operations & Maintenance Sewage Treatment Plant; Project Location: Marathon Government Center; 4796 Overseas Highway; Marathon, FL 33050 Additional Insured in favor of Monroe County Board of Commissioners (on all policies except Workers' Compensation/EL) where and to the extent reauired bv written contract. CERTIFICATE HOLDER: APPP\~D~ISK ,...,,,....,,- r. .....'CELLA TION: BY _ ~ II ~:~Jl tI () SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION .... -, "" "...-----. ~THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE DATE_._7...- /5.,:-0;5....--___ E CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS .aa..aEPRESENTATIVES, 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. Monroe County WAIVER G~','F~ AUI .--. ,,....IIVt:.: Board of Commissioners ~-~~ Monroe County Risk Management ..... PO Box 1026 Key West, 5- 33041-1026 C C :;:::;,..~- ,. flMAII /LA4,A ~~ .- '.... !' v- 0 v CERTIFICATE OF INSURANCE Date: (MM/DDIYY) 4/26/2006 PRODUCER ,.-- HjlS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS I Lockton Companies of Houston ~ECE'VED NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT 5847 San Felipe, Suite 320 AM ND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Houston, Texas 77057 INSURERS AFFORDING COVERAGE ; INSURED: I i-\T L. LUUD 111 ~urer A: American International Specialty Lines Ins. Co. Synagro South, LLC I Ir ~urer B: Liberty Mutual Fire Insurance Co. I 89111 Overseas Highway 1__- "ONROE COUNTY Ir surer C: Liberty Insurance Corporation Tavernier, FL 33070 .::;K MANAGEMENT III surer 0: ~..". "." 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 BE EXHAUSTED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000 A X OCCURRENCE EG7546806 05/01/2005 08/01/2006 MED EXP (PER PERSON) $ 10,000 X xcu NOT EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PROJECT PRODUCTS/COMPo OP. AGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 B ANY AUTO AS2-691-437721-015 05/01/2005 05/01/2007 (EACH ACCIDENT) X ALL OWNED AUTOS m(~ '114 '.. x HIRED AUTOS ~. DEDUCTIBLE: COLLISION & $ 1,000 X NON-OWNED AUTOS 5-... )-DJ;> OTHER THAN COLLISION $ 1,000 POLLUTION & REMEDIATION 'f EACH LOSS $ 1,000,000 LEGAL , A EG7546806 05/01/2005 08/01/2006 TOTAL ALL LOSSES $ 1,000,000 ~ l,A . ((k.n RETENTION - EACH LOSS $ 250,000 ~. EXCESS LIABILITY/UMBRELLA '-t:. [ '. ~ EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE BE 974-61-68 05/01/2005 08/01/2006 AGGREGATE $ 5,000,000 CLAIMS MADE e:,i~L 0uD RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY C and EMPLOYERS LIABILITY WA7-69D-437721-026 (AOS) 05/01/2006 05/01/2007 EL EACH ACCIDENT $ 1,000,000 C WC7-691-437721-036 (WI) 05/01/2006 05/01/2007 - ~O 0/1 191 Iii A^ EL DISEASE-EA EMPLOYEE $ 1,000,000 / EL DISEASE-POLICY LIMIT $ 1,000,000 PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000 LEGAL-GENERAL COPS1956674 05/01/2005 05/01/2007 AGGREGATE $ 1,000,000 A CONTRACTOR'S FORM RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: C~~~K [gI BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. [gI CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/ELl WHERE REQUIRED BY WRITTEN CONTRACT. Re: Operations & Maintenance Sewage Treatment Plant; Project Location: Marathon Government Center; 4796 Overseas Highway; Marathon, FL 33050 Additional Insured in favor of Monroe County Board of Commissioners (on all policies except Workers' Compensation/ELl where and to the extent reQuired bv written contract. CERTIFICATE HOLDER: CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. Monroe County AU' '''--. IATIVE: ~-~~ Board of Commissioners Monroe County Risk Management PO Box 1026 Key West, ~L 33041-1026 c..c. :~ CERTIFICATE OF INSURANCE Date: (MM/DDIYY) 4/26/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Lockton Companies of Houston NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT 5847 San Felipe, Suite 320 AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Houston, Texas 77057 INSURERS AFFORDING COVERAGE INSURED: Insurer A: American International Specialty Lines Ins. Co. Synagro South, LLC Insurer B: Liberty Mutual Fire Insurance Co. 4512 Brittmoore Insurer C: Liberty Insurance Corporation Houston, TX 77041 Insurer D: 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 BE EXHAUSTED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000 A X OCCURRENCE EG7546806 05/01/2005 08/01/2006 MED EXP (PER PERSON) $ 10,000 X XCU NOT EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PROJECT PRODUCTS/COMPo OP. AGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 B ANY AUTO AS2-691-437721-015 05/01/2005 05/01/2007 (EACH ACCIDENT) X 'n ~ ~OnnH: h ALL OWNED AUTOS J/~ HIRED AUTOS .' DEDUCTIBLE: COLLISION & $ 1,000 x 3'2 -Of x NON-OWNED AUTOS OTHER THAN COLLISION $ 1,000 POLLUTION & REMEDIATION .... r Ej\CH LOSS $ 1,000,000 A LEGAL EG7546806 05/01/2005 08/01/2006 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE BE 974-61-68 05/01/2005 08/01/2006 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY C and EMPLOYERS LIABILITY WA7-69D-437721-026 (AOS) 05/01/2006 05/01/2007 EL EACH ACCIDENT $ 1,000,000 C WC7 -691-43 7721-036 (WI) 05/01/2006 05/01/2007 ~' 100 ()~ , EL DISEASE-EA EMPLOYEE $ 1,000,000 EL DISEASE-POLICY LIMIT $ 1,000,000 -.- -...--..--.-.- .- ,____._ 'Un' --. , "~ 'Oa ------ -"-'-----'" ---- - - - --- -.------.. . . , LEr'':'" ~ ~ },j}-t;. ^ / PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000 A LEGAL - GENERAL COPS1956674 05/01/2005 05/01/2007 AGGREGATE $ 1,000,000 CONTRACTOR'S FORM RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: CHECK [gJ BOX BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. [gJ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/ELI WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER: CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. Monroe County Florida AU IIAIIVl:.: Marathon Airport ~-~~ 9400 O/S Highway, Suite 200 Marathon, ~ Co C-: !RRl --F:IVED MAY - 1 2006 il~Y: CERTIFICATE OF INSURANCE Date: (MMIDDfYY) 5/31/2006 PRODUCER THI.C:: CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION QNL Y AND CONFERS Lockton Companies of Houst~n W:CCW~D NO IGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT 5847 San Felipe, Suite> 320 ! ,<1- L.l ,- AM" D, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Houston, Texas 77057' : ----..! I ' , INSURERS AFFORDING COVERAGE , , INSURED: , j JUL 24 L005 \ Inslirer A: American International Specialty Lines Ins, Co. I Synagro South, LLC I Instlrer B: Liberty Mutual Fire Insurance Co. 4512 Brittmoore Road I L_____________..._._.l InsLlrer C: Liberty Insurance Corporation r."":"'-;:-"(;':":"''/ Houston, TX 77041 r:',,',,"", ",' n.s.Jrer D: Insurer E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWITHSTANDING 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 BE EXHAUSTED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABiliTY FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000 A X OCCURRENCE EG7546806 05/01/2005 08/01/2006 MED EXP (PER PERSON) $ 10,000 X XCU NOT EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X I PROJECT PRODUCTS/COMPo OP. AGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 B ANY AUTO AS2-691-437721-015 05/01/2005 05/01/2006 (EACH ACCIDENT) X B ALL OWNED AUTOS AS2-691-437721-016 05/01/2008 05/01/2007 -- DEDUCTIBLE: COLLISION & $ 1,000 X HIRED AUTOS --- X NON-OWNED AUTDS OTHER THAN COLLISION $ 1,000 POLLUTION & REMEDIATION EACH LOSS $ 1,000,000 A LEGAL ....-- EG7546806 05/01/2005 08/01/2006 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE BE 974-61-68 05/01/2005 08/01/2006 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY C and EMPLOYERS LIABILITY WA7-69D-437721-026 (AOS) 05/01/2006 05/01/2007 EL EACH ACCIDENT $ 1,000,000 C WC7-691-437721-036 (WI) 05/01/2006 05/01/2007 , EL DISEASE-EA EMPLOYEE $ 1,000,000 1----- -- --- $ EL DISEASE-POLICY LIMIT 1,000,000 - PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000 LEGAL-GENERAL COPS1956674 05/01/2005 05/01/2007 AGGREGATE $ 1,000,000 A CONTRACTOR'S FORM RETENTlON $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: C~6~K ~ BLANKET WAIVER DF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. I:gJ CERTIFICATE HOI.DER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/ELI WHERE REQUIRED BY WRITTEN CONTRACT. Project DescriptIon: wastewaterTrea~a:~rathon Airport, Roth BuildIng, Marathon Government Center, Plantation Key Government Center. CERTIFICATE HOLDER: U .-1_ "\l. IjJ to CANCELLATION: I 'f- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ~~TE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE o THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE 61t', ~HALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS '5 REPRESENTATIVES. *EXCEPT 10 DAYS NOTICE FOR NON.PAYMENT. Monroe County Board of County Commissioners AUTHlJRlZED REt'KtoM,NTATIVE: 3583 South RDosevelt Boulevard a~~ ~-,,>-r;<~>- Key West, FL 33040 /. c.c.: "4. . O'''A/\ (. , ,", 7, ~ {6~ ,,-H ^ /%.l~ ;r ()u)~.D 35 CERTIFICATE OF INSURANCE Date: (MM/DDIYY) 7/31/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION QNL Y AND CONFERS Lockton Companies of Houston ;'---"""'~" ~.,,_.._-.,"~._-- ~LRIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT I '.-... "'-f" r'" ,'- 5847 San Felipe, Suite 320 : h:-:'l-il"D AMI=NO, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. Houston, Texas 77057 l L''';,_i 'Ii L : , ,.---------, ! INSURERS AFFORDING COVERAGE INSURED: I AUG 4 :T-; Insurer A: American International Specialty Lines Ins. Co. , , , In:surer B: Liberty Mutual Fire Insurance Co. i :o..----______--.J Synagro South, LLC In surer C: Liberty Insurance Corporation 4512 Brittmoore Road , I MrNRGE COUNTY Houston, TX 77041 l P,1~~~,iMl!1,G~MENT In surer D: nsurer 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 BE EXHAUSTED BY PAID CLAIMS INSR TYPE OF INSURANCE r POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (ANY ONE FIRE) $ 1,000,000 A X OCCURRENCE EG 7040963 08/01/2006 11/01/2007 MED EXP (PER PERSON) $ 10,000 X XCU NOT EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X IPROJECT PRODUCTS/COMPo OP. AGG $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 2,000,000 B ANY AUTO AS2-691-437721-015 05/01/2005 05/01/2006 (EACH ACCIDENT) X B ALL OWNED AUTOS AS2-691-437721-016 05/0112006 05/0112007 X HIRED AUTOS DEDUCTIBLE: COLLISION & $ 1,000 X NON-OWNED AUTOS OTHER THAN COLLISION $ 1,000 POLLUTION & REMEDIATION EACH LOSS $ 1,000,000 A LEGAL EG 7040963 08/01/2006 11/01/2007 TOTAL ALL LOSSES $ 1,000,000 RETENTION - EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE BE 974-62-22 08/0112006 11/01/2007 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY C and EMPLOYERS LIABILITY WA7-69D-437721-026 (AOS) 05/01/2006 05/01/2007 EL EACH ACCIDENT $ 1,000,000 C WC7-691-437721-036 (WI) 05/01/2006 05/01/2007 EL DISEASE-EA EMPLOYEE $ 1,000,000 EL DISEASE-POLICY LIMIT $ 1,000,000 PROFESSIONAL & POLLUTION EACH CLAIM $ 1,000,000 A LEGAL - GENERAL COPS1956674 05/01/2005 05/01/2007 AGGREGATE $ 1,000,000 CONTRACTOR'S FORM RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHIClESfEXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: CHECK ~ "_.. BOX BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE eY LAW, ~ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE REQUIRED BY WRITTEN CONTRACT. Project Description: Wastewater Treatment Plants, Re: 4 Locations: Marathon Airport, Roth Building, Marathon Government Center, Plantation Key Government Center. ,,^ r CERTIFICATE HOLDER: III, \/1.- . fL . CANCELLATION: SJ- 1 -() r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITIEN NOTICE - Te-::rtlE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE 'f SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS q.~REPRESENTATIVES. .EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. Monroe County Board of County Commissioners % ._(Qy~ AU I REPI 'AlIV": 3583 South Roosevelt Boulevard c:5-.--=>-~ Key West, FL 33040 C C 'kJ;k Cc. " ~I't')~"C~ "t-. / CERTIFICATE OF INSURANCE Date: (MM/DDIYY) 4/30/2007 PRODUCER Lockton Companies. LLC 5847 San Felipe, Suite 320 Houston, Texas 77057 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED: Insurer A: Insurer B: Insurer C: Insurer D: Insurer E: INSURERS AFFORDING COVERAGE American International Specialty Lines Ins. Co. Liberty Mutual Fire Insurance Co. Liberty Insurance Corporation Synagro South, LLC 1002 Village Square, Suite C Tomball, TX 77375 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 BE EXHAUSTED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL L1ABILl'rv EACH OCCURRENCE $ 1,000,000 X COMMERCiAL GEN ERAL LIABiliTY FIRE DAMAGE (ANYONE FIRE) $ 1,000,000 A X OCCURRENCE EG 7171054 08/01/2006 11/01/2007 MED EXP (PER PERSON) $ 10,000 X XCU NOT EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X I PROJECT PRODUCTS/COMPo OP. AGG $ 2,000,000 B AUTOMOBILE L1AIlILITY AS2-691-437721-017 05/01/2007 05/01/2008 COMBINED SINGLE LIMIT $ 2,000,000 X ANY AUTO (EACH ACCIDENT) ALL OWNED AUTOS Y'i -~-~k X HIRED AUTOS "_.'. DEDUCTIBLE: COLLISION & $ 1,000 X NON-OWNED AUTOS S-n Q j OTHER THAN COLLISION $ 1,000 '-.- POLLUTION & REMEDIATION T' EACH LOSS $ 1,000,000 A LEGAL -'__u EG 7171054 08/01/2006 11/01/2007 TOTAL ALL lOSSES $ 1,000,000 RETENTION EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X 10CCURRENCE BE 974-62-22 08/01/2006 11/01/2007 AGGREGATE $ 5,000,000 ICLAIMS MADE RETENTION $ 10,000 WORKERS' COMPE,NSATION WORKERS' COMPENSATION STATUTORY C and EMPLOYERS LIABILITY WA7-69D-437721-027 (AOS) 05/01/2007 05/01/2008 El EACH ACCIDENT $ 1,000,000 C WC7-691-437721-Q37 (WI & OR) 05/01/2007 05/01/2008 I EL DISEASE-EA EMPLOYEE $ 1,000.000 I I EL DISEASE-POLICY LIMIT $ i ,000,000 + I PROFESSIONAL & I'OLLUTION EACH CLAIM $ 1,000.000 A LEGAL - GENERAL COPS2334591 05/01/2007 05/01/2009 AGGREGATE $ 1,000,000 CONTRACTOR'S FORM RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/lOCATIONSNEHICLES/EXClUSIONS ADDED BY ENDORSEMENT PROVISIONS: CHECK K7l BOX L::::::::.l BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. k8J CERTIFICATE HOLDIE:R IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE REQUIRED BY WRITTEN CONTRACT. Project Description: Wastewater Treatment Plants. Re: 4 Locations: Marathon Airport, Roth Building, Marathon Govemment Center, Plantation Key Govemment Center. CERTIFICATE HOLDE'R: CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOlDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. -EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. Monroe County Board of County Commissioners 3583 South Roosevelt Boulevard Key West, FL 33040 IAU' """V~: <:5-,- ."..,r-; < <- >-- CERTIFICATE OF INSURANCE Date: (MM/DDIYY) 11/1/2007 PRODUCER THIS CERTIFICATE IS ISSUED AS A MAnER OF INFORMATION ONLY AND CONFERS Lockton Companies, LLC NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT 5847 San Felipe, Suite 320 AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Houston, Texas 77057 INSURERS AFFORDING COVERAGE INSURED: Insurer A: American International Specialty Lines Ins. Co. Synagro South, LLC Insurer B: Liberty Mutual Fire Insurance Co. 1002 Village Square, Suite C Insurer C: Liberty Insurance Corporation Tomball, TX 77375 Insurer 0: 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 SHOIfo.'N MAY BE EXHAUSTED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIREDAMAGE(ANYONEFIRE) $ 1,000,000 A X OCCURRENCE EG 5430756 11/01/2007 05/01/2009 MEDEXP{PERPERSONj $ 10,000 X XCU NOT EXCLUDED PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PROJECT PRODUCTS/COMP.OP.AGG $ 2,000,000 B AUTOMOBILE LIABILITY AS2.69,..3772i1Y\ jJ;:01l20j2 05/01/2008 COMBINED SINGLE LIMIT $ 2,000,000 X ANY AUTO .~ ' ;;'n~ '"' (EACHACCIDENT) ALL OWNED AUTOS (-1'01 x HIRED AUTOS DEDUCTIBLE:COLLlSION& $ 1,000 X NON-OWNED AUTOS . X OTHERTHANCOLUSION $ 1,000 POLLUTION & REMEDIATION EACH LOSS $ 10,000,000 A LEGAL EG 5430756 11/01/2007 05/01/2009 TOTAL ALL LOSSES $ 10,000,000 RETENTION - EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE BE 885.94-32 11/01/2007 05/01/2009 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY C and EMPLOYERS LIABILITY WA7-69D-437721-027 (AOS) 05/01/2007 05/01/2008 $ 1,000,000 WC7 -691-437721-037 (WI & OR) 05/01/2007 05/01/2008 EL EACH ACCIDENT C %1& ,fb; EL DlSEASE-EA EMPLOYEE $ 1.000,000 EL DISEASE-POLICY LIMIT $ 1,000,000 C( , ,0 jf) '1--0 ;T () tel PROFESSIONAL & POLLUTION EACH CLAIM $ 10,000,000 LEGAL-GENERAL COPS2334591 05/01/2007 05/0112009 AGGREGATE $ 10,000,000 A CONTRACTOR'S FORM RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT PROVISIONS: C~g~K -W BLANKET WAIVER OF SUBRooA nON IS GRANTED IN FAVGR OF CERnFICA TE HOLDER ON ALL POLICIES WHERE REQUIRED BY WRJTTEN CONTRACT WHERE PERMISSIBLE BY LAW . [8J CERTIFICATE HOLDER IS NAMED AS AN ADDI110NAL INSURED (EXCEPT FOR WORKERS' COMP/EL) WHERE REQUIRED BY WRITIEN CONTRACT. Additional Insured In favor of Monroe County Board of County Commissioners (on all pOlicies except Workers' Compensatlon/EL) where required by written contract CERTIFICATE HOLDER: CANCELLATION: +=i "- GV"Y\. (I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Q c..: 0 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS 'vVRITTEN NOTICE . TO THE CERTIFICATE HOlDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. Monroe County Division of Public Works IMU "M"V~: Facilities Maintenance Department ~-~~ Roth Building 50 High Point Road Tavernier, Fl 33070-2006 CERTIFICATE OF INSURANCE Date: (MM/DDIYY) 11/1312007 PRODUCER THIS CERTIFICATE IS ISSueD AS A MATTER OF INFORMATION ONLY AND CONFERS Locktan Companies, LLC NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT 5847 San Felipe, Suite 320 , - ~-'. "-" AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Houston, Texas 77057 I --..------ I ! '---'r" INSURERS AFFORDING COVERAGE i ,- INSURED: i -, Insurer A: American International Specialty Lines Ins, Co, I Insurer B: Liberty Mutual Fire Insurance Co, Synagro South, LLC ,'; 1002 Village Square, Suite C Insurer C: Liberty I nsurance Corporation Tomball, TX 77375 '- -. Insurer D: "-.1 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 BE EXHAUSTED BY PAID CLAIMS INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION LIMITS LTR DATE GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIREDAMAGE(ANYONEFIRE) $ 1,000,000 A X OCCURRENCE EG 5430756 11/0112007 05/01/2009 MEDEXPcPERPERSON) $ 10,000 X XCU NOT EXClUDI:.D PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X I PROJECT PRODUCTS/COMP.OP.AGG $ 2,000,000 B AUTOMOBILE L1AllILlTY AS2-691-437721-017 05/01/2007 05/01/2008 COMBINED SINGLE LIMIT $ 2,000,000 X ANY AUTO ,,-Q: (EACHACCIDENT) ALL OWNED AUTOS 'f{\ :0.. X HIRED AUTOS ~->~) DEDUCTIBLE:COLLlSION& $ 1,000 X NON-OWNED AUTOS \1"'<:; OTHERTHANCOLLlSION $ 1,000 POLLUTION & REMEDIATION , -f- EACH LOSS $ 1,000,000 A LEGAL EG 5430756 11/01/2007 05/01/2009 TOTAL ALL LOSSES $ 1,000,000 ~-- RETENTION - EACH LOSS $ 250,000 EXCESS LIABILITY/UMBRELLA EACH OCCURRENCE $ 5,000,000 A X OCCURRENCE BE 885-94-32 11/01/2007 05/01/2009 AGGREGATE $ 5,000,000 CLAIMS MADE RETENTION $ 10,000 WORKERS' COMPENSATION WORKERS' COMPENSATION STATUTORY C and EMPLOYERS LIABILITY WA7-69D-437721-027 (ADS) 05/01/2007 05/01/2008 $ WC7-691-437721-037 (WI & OR) 05/01/2007 05/01/2008 EL EACH ACCIDENT 1,000,000 C ,- : cp,-tJ ;>-- EL DISEASE-EA EMPLOYEE $ 1,000,000 r-- --~---- mx EL DISEASE-POLICY LIMIT $ 1,000,000 -,- ' '"" ~ -- C ' =- - lLl-' PROFESSIONAL & POLLUTION . ~ EACH CLAIM $ 1,000,000 A LEGAL - GENERAL COPS2334591 ~"2:~ 05/01/2009 AGGREGATE $ 1,000,000 CONTRACTOR'S FORM ~-~ RETENTION $ 100,000 REMARKS: DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONSADDED BY ENDORSEMENT PROVISIONS: CHECK ~ BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. BOX ~ CERTIFICATE HOLDIER IS NAMED AS AN ADDITIONAL INSURED (EXCEPT FOR WORKERS' COMP/ELI WHERE REQUIRED BY WRITTEN CONTRACT. Re: Operation and Maintenance-Sewage Treatment Plant, Plantation Key Government Center, Monroe County, FL CERTIFICATE HOLDER CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30. DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, 'EXCEPT 10 DAYS NOTICE FOR NON-PAYMENT. Monroe County Board of County Commissioners IAUIH , K~'" "'" IV,,: c5-.-~,-;,,~ clo Purchasing Department Gato Building Room 1-213 >- 1100 Simonton Street Key West, FL 33040 , . . Cc. :~<-<-c ACORD'M CERTIFICATE OF LIABILITY INSURANCE I DATE CMMJODIYYYY) 5/1/2010 4/30/2009 PRODUCER lOCKTON COMPANIES, LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 5847 SAN FELIPE, SUITE 320 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOUSTON TX 77057 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 866-260-3538 ALTER THE COVERAGE AFFORDED BY THE POliCIES BELOW. INSURERS AFFORDING COVERAGE NAtC# INSURED SYNAGRO SOUTH lLC INSURER A: American Internarional Spec:iahy Lines Insurance Company 26883 ] 30590] 1002 VilLAGE SQUARE INSURER B: Liberty Mutual Fire Insurance Compan)' 23035 SUITE C INSURER c: Liberty Insurance Corporation 42404 TOMBAll TX 77375 INSURER D: Illinois National Insurance Company 23817 I INSURER E : COVERAGES SYNSOOJ AR HIS CERnFICATE OF INSU DOES NOT C~SmuTE A BETWEEN THElSSOIN(l AND TJ.1II THe POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOlWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERnFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONomONS OF SUCH POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClAIMS. INSR ADD\. POLICY EFFECTIVE POLICY EXPIRATION LTR ... lYPE OF INSURANCE POLICY NUMBER DATE CMMlDDIYY) DATE CMMIDD/VY) LIMITS GENERAL UABlLIlY EACH OCCURRENCE $ J 000.000 - ~AMAGE TO ~~~ncal 1 000.000 A X ~ERCIAl GENERAL LlABllIlY EG 18305986 5/112009 11/1/2010 s - CLAIMS MADE ERJ OCCUR 10.000 MED EXP (Any one person) S - ~ XCU NOT EXCLUDED PERSONAL & ADV INJURY S ) 000.000 GENERAL AGGREGATE $ 2.000.000 ~ 2.000.000 GEN'L AGGREr3fJE LIMIT APn: PER: PRODUCTS - COMP/OP AGG $ n X PRO- POLICY JECT LOC B AUTOMOBl..E LIABILITY AS2-691-437721 -019 5/112009 5/1/2010 COMBINED SINGLE LIMIT S 2,000,000 I-- (Ea accident) X ANY AUTO I-- I-- ALL OWNED AUTOS BODILY INJURY S XXXXXXX \\\ ,~.i rW~ (Per person) I-- SCHEDULED AUTOS pJ.1 Q/1 url X HIRED AUTOS BODilY INJURY $ XXXXXXX - (Per accident) X NON-OWNED AUTOS ~ """ : - I X $1,000 OED: PROPERlY DAMAGE XXXXXXX - 'J, s X COMP & COLL (Per accident) , AUTO ONt Y - EA ACCIDENT XXXXXXX GARAGE L1ABlLllY $ q ANY AUTO NOT APPLICABLE ~ '~ (~t/~ EA ACC $ XXXXXXX f\Y OTHER THAN AUTO ONLY: AGG $ XXXXXXX EXCESSlUMBRELLA LIABILITY 5/1/2009 ..., '( l.J 1111/2010 EACH OCCURRENCE $ 5,000.000 D t:BJ. OCCUR 0 CLAIMS MADE BE 268 2125 AGGREGATE 5.000.000 $ 00 UMBRELLA tJ; /lDO; S XXXXXXX ~ OfOUCTIBLE FORM ~ G -y,..PbA (") $ XXXXXXX X RETENTION S J 0.000 $ XXXXXXX C WORKERS COMPENSATION AND W A 7-69D-43772I-029(AOS) 5/J /2009 5/J 12010 X I T~~~r~~ I IOl~- c EMPLOYERS' lIABILITY WC7-691-43772 1-039(WI) 5/112009 51112010 ] ,000,000 AH't PROPRlETORIPARTIERJEXEClfTlVE E.L EACH ACCIDENT $ OFFICERJMEM8ER EXCLUOE07 E.L DISEASE - EA EMPLOYEE S J ,000,000 If ye&. describe UIltMr No ] ,000,000 SPECIAL PROVISIONS IleIow E.L. DISEASE - POLICY lIMIT $ A OTHER COPS 18294567 5/J 12009 5/1120J I EACH CLAIM 510,000,000 PROF/POllUTION AGGREGA TE S20,000.000 LEGAL-GENERAL RETENTION SIOO,ooo CONTRACTOR"SFORM DESCRIPTION OF OPERATIONSIlOCATIONSIVEHlCLESlEXCLU6IONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CANCELLATION: 30 DAYS EXCEPT 10 DAYS FOR NON-PAYMENT. BLANKET WAIVER OF SUBROGATION IS GRANTED IN FAVOR OF CERTIFICATE HOLDER ON ALL POLICIES WHERE REQUIRED BY WRITTEN CONTRACT WHERE PERMISSIBLE BY LAW. CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED WCEPT FOR WORKERS' COMPIEL) WHERE REQUIRED BY WRITTEN CONTRACT. SEE ATTACHED. RE: PROJECT DESCRIPTION: OPERATION AND MAINTENANCE ASTEWATER TREATMENT PLANT: PROJECT LOCATION: KEY WEST FL. ADDITIONAL INSURED IN FAVOR OF MONROE COUNTY BOARD OF COUNTY COMMISSIONERS (ON All POLICIES EXCEPT WORKERS' COMPENSAtIONlEL) WHERE RE~ED BY WRITTEN CONTRACT. THE INSURANCE AFfORDED TO THE ADDITIONAL INSURED AS DESCRIBED IN THIS CERTIFICATE OF INSURANCE FOR WORK fORMED BY THE NAMED INSURED IS PRIMARY AND NON-cONTRIBUTORY TO ANY SIMILAR COVERAGE MAINTAINED BY THE ADDITIONAL INSURED WHERE REQUIRED BY WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION fM4489941 10492080 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRAnoN BOARD OF COUNTY COMMISSIONERS OF DATE THEREOF, THE ISSUING INSURER WIlL ENDEAVOR TO MAIL ~ DAYS WRITTEN MONROE COUNTY, FLORIDA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL PUBLIC FACILITIES MAINTENANCE IMPOSE NO OBLIGATION OR LJABlUlY OF ANY KIND UPON THE INSURER. ITS AGENTS OR 3583 SOUTH ROOSEVELT BOULEVARD KEY WEST FL 33040 REPRESENTAnVE8. AUTHORIZEDREPRESENT~ ry:',~ -~ ,~. I - -L.- ACORD 25 12001/0R\ For ountlons reolll1llno IhIs aIItlfIcate. _ 1M numIIer listed In the 'Produce(' section above and _city the client coct. 'SYN8001'. Cl ACoffo CORPORATION 19M ~ - .' c.~:~ INSURED LETTER A INSURANCE TYPE POLLUTION & REMEDIATION LEGAL POUCY NUMBER EG 18305986 POUCY TERM 05/01/2009 - 11/01/2010 UMn5 EACH LOSS TOTAL ALL lOSSES RETENTION - EACH LOSS $10,000,000 $10,000,000 $ 250,000 Miscellaneous Attachment: M448994 Master ID: 1305901 CERTIFICATE OF INSURANCE llaI8: (MMlDDIYY) 412912008 CER THIS CERTIFICATE IS ISSUED AS A MATTeR OF INFORMATlON ONLY AND CONfERS L.ockIon Cornpenleo, LLC NO RIGHTS UPON THE CERTFICATE HOLDeR. 11-118 CERTtFlCATE DOES NOT '47 s.n FeIpe, Sub 320 AMEND. !XT!ND OR o\LT!R THe: COV!RAGI! AP'I'()ftD!D BY THE POLICII!S 1!I!laN. _. T_ 77OIl7 INSURERS AFFORDING COVERAGE INIURED: Insurer A: Amerlc8n Internationel SpeclllltY Lines Ins. Co. Insurer B: Uberty Mutual Fire Insurance Co. s_ Sout1. LLC Insurer C: Uberty Insurance Corporatlon 1D02111bge~. _ C Tombell, TX 77375 Insurer 0: Insurer E: 11iE POLICIE8 OF I8.JftIlNCE LI8n!D IILOW HAY! BEEN I8IUID TO THe: If8IAID JMM!D AllOY! FOR THE POLICY PERIOD INDICATED. N01WITH8TNONG NI'( REOUIN!MI!!Nr. TERM OR lXJNDmON OF Ntr CONTRACT OR OTH!A DCICUM!NT WITH N8P!CT TO WHICH THIS CIR11FICATe MAY IE 8ItA!D OR MAY PERTAIN. THE I8.IWlICE AFFORDED BY 11E PCUCE8 DESC ~ HER9IIS 8IJBJECf TO AU.. THE TERMS. EXa.uIJICllI8 /IIID COMltlJNS OF SUCH POl.lCES. NJGRe~TE UMlTI Y IV PAIOCU .. i.TR TYPE Of _URANCE POUCY NUMBER IPPICTMI DATI DATE UMITB GEN"...... UMlLITY EACH OCCURRENCE $ 1,000,000 X ~.1I11C1Al GENeRAL lIMLrIY FIREDAMAG-, $ 1,000,000 A x """""""" EG 6ol307118 1110112007 05I0112OOll M-=ua:XPl,._wJ. .01} $ 10,000 X xcu NOTIXCLUCEI> PERSOIW.&ADVtlJURY $ 1,000,000 GIN'L~TI LMT APPLID....: GENERAl AGGREGATE $ 2.000,000 X IPAOJECT PROOUCTSICOMP.ClPAGG $ 2.000,000 B r- ._Cl8ILE ~UTY __..am..()lI 0510'1200I 05I0112OOll COMBINED SINGLE L""IT $ 2,000,000 X ""AUTO L.bDl.\( 11/;> (EACIW:CIlI!Hf) AU OWNI!DAUTOS ) X ....., AUTOS "" I' DEDUCTI_:_lONl $ 1.000 .. . X _AUTOS . ( -I( - j II\' OTIER1HANCOLUlION $ 1,000 POLWTION & _EDlATION . i. EACH LOSS $ 1,000,000 A LEGAL (J'r;7 . EG s.30758 .ll6Ioll:iDOO TOTAl AU. L088ES $ 1,000,000 [il):~:. RETENTION -EACH LOSS $ 250,000 I!XCI!8S UABILlTYIUIIBMLLA U CC , J.<.Xl EACH OCCURRENCE $ 5.000,000 A x 10CCUIUlENCE BE~ 1110112007 If:;~ AGGREGATE $ 5.000,000 ICUlIIIMADE :::Ii) t/lh t RETeNTION $ 10.000 -q'COM_..ON WORKERS' COMPENSATION STATUTORY C .nd EIIPLOYI!Il8 UAIIILITY WA7_m1-<l2ll lAOS) llMl112OO1 05I0.12OOf/ $ 1,000,000 WC7.eG1-43ml.()3B (WI) 0I/0'/2OOB llM)11:iDOO EL EACH ACCIDENT C EL OISEASE-a EMPLOYEE $ 1,000,000 EL DISEASE-POLICY lIMIT $ 1,000,000 PROFEIIlONAI. & POLLUTION EACH CLAIM $ 1.000,000 A LEGAL . GEIIEIIAL CClPS23_ OMJ112OO7 O5IOll:iDOO AGGREGATE $ 1,000,000 CONTRACTClR'S FOIUI RETENTION $ 100 000 ..EMARKB: DESCRPTION OF OPERATIONSILOCATION&NEHICLESIEXCLUSlON8 ADDED 8Y ENDORSEMENT PROIII8I0N8: -iDx...... ~ ~w__ Of IUlJlDClAllOfiI"lIIWITID. 'AVOIIOf'~n HDLDIII ON AlL POUCIDWHIM~... vwurretlCOIrfnW:T....,.........., IIY LAW. ~ CMTIPICATE HOI.DB'. N-.J AI AN ADDn1DIML~ IUCIPT FOIl....... CCJWa.)"'" UCIUIUD.Y WIIfT1UCOIiI'I'MCT. lie: Project Du_ I-'a: 0pef6n .....6.. T' h. .. ,,............... LooIIfon: Mer Wee&, FL. ..........1Mt.tNd In fevorof...... Countr ...... oIc.u.tr ~ (.. II....... .......... C.l........ &).....,..... br.,............ ""......... ~ to....,...... -=--. --.....In....c..-...oI..............~,..,.....,.. bribe ......1..UNCI.."....,....non4...........,.1IO .,.,.I......COWNII,.."....... ....----- CERTIFICATE HOLDER: .lCANCELLATION: :~ _11ON 01\1'2:,....". lH! IIIUING....,. WILL I!ND!AVOft TO MAL 3D"' D\YlWRfTTEN NOTICE TO ntI!! CEllTPlCAn HOLDIA NMEDT01'JoE LEFT. BUTFALUAE TO AWL SUCH NOTICE .w..LIW'08EN00BL.ItM11OMORLlAlNl..n'YOF AHV KJC)LI'ONTHE aJItiIINN,IT8AQENT8 OR RlPfEl&NTATIYD. ......, 'It DAYS IKmCE FOIl........v.NT. - of County Cornm__ at Monroe County, FlorId. -- .. .~..._: ~-"""-:'<:r PublIc F_.. .....,'"-,..._ 31183 South "-t aou_rd KoyWOOL FL 33040