Certificates of Insurance111FRun
.
...:,:,:::::::::..::::::::::::::::::.::.:::.::.:::::::::::::.::::::::::::.::::::::::::::.::::::::::::::........:............:.......... .
/96
PRODUCER THIS CERTIFICATE IS 199DED AS A MATTER OF INFORMATION
VAN GILDER INSURANCE CORPORATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
700 BROADWAY, SUITE 1000 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
DENVER, COLORADO 80203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
15114-00005 DFB3M DFB A SECURITY INSURANCE CO OF HARTFORD
INSURED
COMPANY
CH2M HILL, INC. B
HILLSBORO EXECUTIVE CENTER NORTH --
800 FAIRWAY DRIVE COMPANY
SUITE 350 C
DEERFIELD BEACH, FL 33441-1831 COMPANY
D
.:........:.:. .
?VERASGR
..::::::.:..::.:... .
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DD/YY) DATE (MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY _r�r j PRODUCTS - COMP/OP AGG $
CLAIMS MADE11 OCCUR qy PERSONAL& ADV INJURY $
OWNER'S &CONTRACTOR'S PROT - -` EACH OCCURRENCE $
INITIAL. _ FIRE DAMAGE (Any one fire) $
MED EXP (Any one person) $
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO
ALL OWNED AUTOS AnvpnV((1 gY RISK MANAGEMENT
BODILY INJURY $
SCHEDULED AUTOS OR !G C GGy'J� (Per person)
HIRED AUTOS RY BODILY INJURY
$
(Per accident)
NON -OWNED AUTOS PATE �� J�'} _ -
/ YE PROPERTY DAMAGE $
WAIIIER' N/A
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND STATUTORY LIMITS
EMPLOYERS' LIABILITY
EACH ACCIDENT $
THE PROPRIETOR/ INCL DISEASE - POLICY LIMIT $
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE $
A OTHER
PROFESSIONAL SPL700455 04/01/96 05/01/97 $3,000,000 EACH CLAIM AN
LIABIL ITY* IN THE AGGREGATE
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS (LIMITS MAYBE SUBJECT TO RETENTIONS)
PROJECT NO. 118009.DF.01. PROJECT MANAGER: KEN WILLIAMS/MIA
PROJECT DESCRIPTION: MONROE COUNTY WASTEWATER FACILITIES PLAN FOR THE MIDDLE FLORIDA KEYS.
*FOR PROFESSIONAL LIABILITY COVERAGE, THE AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY
PERIOD FOR ALL OPERATIONS OF THE INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE.
:::...
.. .
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MONROE COUNTY
ATTN RISK MANAGEMENT EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
5100 COLLEGE ROAD 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
KEY WEST FLORIDA 33040 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON T . COMPANY, ITS AGENTS OR REPRESENTATIVES.
(� -�-- AUTHORIZED REPRESENTATIVE
1................................
/Q`J•/
3................:.:......
.................... .:: .: 11:: :::;:: ;. .. ..;;:: r,}}�.....ri:.:: ;l�:::;::;i:i:i;i:;::;;::::::::;:.:y................:.:� D E (MM/DD/YY)
TINSURANCE
PRODUCER � � �� '� �� � 0/09/96
THIS
ICATE IS RMACATE
LYCANDIFCONFERSSNOED AS A RIGHTSMUPONR OF HECERTIFICATE
JOHNSON & HIGGINS OF COLORADO, INC. FALTER
1225 17TH STREET, SUITE 2100 LDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
DENVER, CO 80202-5534 THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ATTN: PAULA DELEON COMPANIES AFFORDING COVERAGE
15114-00124 DFB DFB COMPANY
A ZURICH INSURANCE COMPANY
INSURED
CH2M HILL, INC.
COMPANY
HILLSBORO EXECUTIVE CENTER NORTH
B AMERICAN GUARANTEE AND LIABILITY INSURANCE CO.
800 FAIRWAY DRIVE
SUITE 350
COMPANY
C
DEERFIELD BEACH, FL 33441-1831
COMPANY
D
VIEifiAES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR
CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE
LTR � POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS
GENERAL LIABILITY
A X COMMERCIAL GENERAL LIABILITY GL08378563
GENERAL AGGREGATE $ 2,000,000
04/01/96
CLAIMS MADE ❑X OCCUR
04/01/97 PRODUCTS - COMP/OP AGG $ 2,000,000
I
OWNER'S &CONTRACTOR'S PROT r
a,1t
Cu vt`A PERSONAL & ADV INJURY $ 750,000
75EC y,
X $250,000 SIR
� ,� i,. EACH OCCURRENCE $ 750,000
t) ` l S ��
q
�� S _ ! FIRE DAMAGE (Any one fire) $ 750,000
AUTOMOBILE LIABILITY
MED EXP (Any one person) $
X ANY AUTO BAP8378516 (AOS)
04101 /96 _ 04/01/97 COMBINED SINGLE LIMIT $ 1,000,000
ALL OWNED AUTOS TAP8378560 (TX)
04/01/96 04/01/97
SCHEDULED AUTOS BAP8378561 VA
( )
BODILY INJURY
04/01/96 04/01/97 (Per person) $
HIRED AUTOS MA8378562 (MA)
04/01/96 04/01/97
NON -OWNED AUTOS
BODILY INJURY $
(Per accident)
V
PROPERTY DAMAGE $
GARAGE LIABILITY
ANY AUTO BY
AUTO ONLY - EA ACCIDENT $
OTHER THAN AUTO ONLY:
DATE A0
y
�S�— jl CGo�Je/f� EACH ACCIDENT $
EXCESS ":.IABILITY
AGGREGATE $
WAIVER: N/A
UMBRELLA FORM
YES EACH OCCURRENCE $
OTHER THAN UMBRELLA FORM
AGGREGATE g
WORKERS COMPENSATION AND
$
A EMPLOYERS' LIABILITY
WC8378566
X STATUTORY LIMITS
A THE PROPRIETOR/ X INCL WC8378565
PARTNERS/EXECUTIVE
04101 /96 04/01 /97 EACH ACCIDENT $ 1,000,000
04/01/96
B OFFICERS ARE: EXCL WC8378564 (CA)
04/01/97 DISEASE -POLICY LIMIT $ 1,000,000
04/01/96
OTHER
04/01 /97 DISEASE -EACH EMPLOYEE $ 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS (LIMITS MAYBE SUBJECT TO RETENTIONS)
PROJECT N0. 118009.DF.01.
PROJECT MANAGER: KEN WILLIAMS/MIA
PROJECT CESCRIPTION: MONROE COUNTY WASTEWATER FACILITIES PLAN
FOR THE MIDDLE FLORIDA KEYS. THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE NAMED AS ADDITIONAL INSURED AS THEIR INTEREST
LIABILITY AND
AS PER BLANKET ENDORSEMENT TO THE GENERAL LIABILITY
MAY APPEAR AS RESPECTS AUTOMOBILE
POLICY.
*t
MONROE COUNTY
ATTN RISK MANAGEMENT
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
5100 COLLEGE ROAD
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
KEY WEST FLORIDA 33040
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILU O MAIL SUCH NOTICE SHALL IMP NO OBLIGATION OR LIABILITY
n -,
CC y✓
OF I UPON CO MPA ITS
A UY H NTS OR R E ENTATIVES.
THOR ZESENT ATIVE
�y
.......... 4"T.
•
0. A�`Iiii:CfiF'tRAt)4N993;;
_ _
........................ATI
......................................................
..............................................................................................
................................................................................................
PRODUCER
VAN GILDER INSURANCE CORPORATION
700 BROADWAY, SUITE 1000
DENVER, COLORADO 80203
15114-00005 DF133M DFB
INSURED
CH2M HILL, INC.
HILLSBORO EXECUTIVE CENTER NORTH
800 FAIRWAY DRIVE
SUITE 350
DEERFIELD BEACH, FL 33441-1831
COMPANY
B
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I CO TYPE OF INSURANCE POLICY NUMBER � POLICY EFFECTIVE I POLICY EXPIRATION
LTR DATE (MM/DD/YY) DATE (MM/DD/YY)
GENERAL LIABILITY
i
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
OW.: LR'S & CONTRACTOR'S PROT
LIMITS
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
PERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MED EXP (Any one person) ; $
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
APPROV Y R
8Y
DATE
K
MENT
COMBINED SINGLE LIMIT
I
i $
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
$
$
PROPERTY DAMAGE
$
GARAGE LIABILITY
ANY AUTO
7
Aj
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
UMBRELLA FORM+
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
STATUTORY LIMITS
EACH ACCIDENT
$
DISEASE - POLICY LIMIT
$
DISEASE - EACH EMPLOYEE
_
$
A
OTHER
PROFESSIONAL
LIABILITY*
SPL701338
05/01/98
05/01/99
$3,000,000 EACH CLAIM AN
IN THE AGGREGATE
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS (LIMITS MAYBE SUBJECT TO RETENTIONS)
PROJECT NO. 118009.DF.01. PROJECT MANAGER: KEN WILLIAMS/KWF
PROJECT DESCRIPTION: MONROE COUNTY WASTEWATER FACILITIES PLAN FOR THE MIDDLE FLORIDA KEYS.
*FOR PROFESSIONAL LIABILITY COVERAGE, THE AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY
PERIOD FOR ALL OPERATIONS OF THE INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE.
MONROE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
ATTN RISK MANAGEMENT EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
5100 COLLEGE ROAD 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
KEY WEST FLORIDA 33040 BUT FAILURE TO MAI UC NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Tp —) OF ANY ND U N E COMPANY, ITS AGENTS OR REPRESENTATIVES.
�^� THORIZED S TATI -
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
—T
COI
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
j
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
_7 CLAIMS MADE ❑X OCCUR
OWNER'S & CONTRACTOR'S PROT
$250,000 SIR
GLO8378563-03
05/01 /98
05/01 /99
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS - COMP/OP AGG
$ 2,000,000
PERSONAL&ADV INJURY
1 $ 750,000
EACH OCCURRENCE
$ 750,000
X
FIRE DAMAGE (Any one fire)
$ 750,000
MED EXP (Any one person)
$
A
AUTOMOQ(LE
X
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BAP8378516-03 (AOS)
TAP8378560-03 (TX)
BAP8378561-03 (VA)
MAP8378562-03 (MA)
I
r,nn�nv R A(;F
05/01 /98
05/01 /98
05/01 /98
05/01 /98
Ft�1T
05/01 /99
05/01 /99
05/01/99
05/01 /99
COMBINED SINGLE LIMIT
$ 1,000,000
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
�
PROPERTY DAMAGE
$
$
GARAGE iABILITY
ANY AUTO
�F V
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
$
$
-
$
EXCESS LIABILITY
UMBRELLA FORM
OTTER THAN UMBRELLA FORM
U; JR: N /A YFS
EACH OCCURRENCE
$
AGGREGATE
$
$
A
A
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR! X INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
WC8378566-04
WC8378565-03
WC8378564-04 (CA)
05/01 /98
05/01 /98
05/01 /98
05/01 /99
05/01 /99
05/01 /99
X STATUTORY LIMITS
EACH ACCIDENT
$ 1,000,000
DISEASE - POLICY LIMIT
$ 1,000,000
DISEASE - EACH EMPLOYEE
_
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAYBE SUBJECT TO RETENTIONS)
PROJECT NO. 118009.DF.01. PROJECT MANAGER: KEN WILLIAMS/KWF
PROJECT DESCRIPTION: MONROE COUNTY WASTEWATER FACILITIES PLAN FOR THE MIDDLE FLORIDA KEYS. THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE NAMED AS ADDITIONAL INSURED AS THEIR INTEREST MAY APPEAR AS RESPECTS AUTOMOBILE
LIABILITY AND AS PER BLANKET ENDORSEMENT TO THE GENERAL LIABILITY POLICY.
MONROE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
ATTN RISK MANAGEMENT EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
!; 1;JO COLLEGE ROAD 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
KEY WEST FLORIDA 33040 BUT FAILURE TT2 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
( OF ANY UPON THE 5RMtSY, ITS A ENTS OR REPRESENTATIVES.
�i AUTHORIZED R SENTAT
DATE.,.....�...�..�: .--
...:..::.::.:.: '':::::.:::::...::.:::;:::. :.:::::::: . .. . ' .. .... ':``: DATE (MM/DD/YY)::..
a i.��®: .: ..:
05
........ ..../26/99
..... .. :::::::::......:::::::::.::::::::.................................... . .........::::.
. .::::::.
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
J&H MARSH & MCLENNAN
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1225 17TH STREET SUITE 2100
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
DENVER CO 80202
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
ATTN PAULA DELEON
COMPANY
15114-00124 DFB DFB
A ZURICH AMERICAN INSURANCE COMPANY
INSURED
CH2M HILL, INC.
COMPANY
B
HILLSBORO EXECUTIVE CENTER NORTH
800 FAIRWAY DRIVE w
SUITE 350
COMPANY
DEERFIELD BEACH, FL 33441-1831
COMPANY
D
COVERAGES :...... .,
. .:.
.::... .;;.:... ...; ...... .. .. ; ;: ...
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW
.
HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DTEA(MM/DD/YY)
LIMITS
GENERALLIABILITY
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS - COMP/OP AGG
$ 2,000,000
A
COMMERCIAL GENERAL LIABILITY
GL08378563-04
05/01 /99
05/01 /00
CLAIMS MADE [:� OCCUR
PERSONAL & ADV INJURY
$ 750,000
EACH OCCURRENCE
$ 750,000
OWNER'S & CONTRACTOR'S PROT
X
FIRE DAMAGE (Any one fire)
$ 750,000
$250,000 SIR
MED EXP (Any one person)
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
BAP8378516-04 (AOS)
05/01 /99
05101100
COMBINED SINGLE LIMIT
$ 1,000,000
)(
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
TAP8378560-04 (TX)
BAP8378561-04 (VA)
05/01 /99
05/01 /99
05/01/00
05/01/00
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
MAP8378562-04 (MA)
05/01 /99
05/01 /00
PROPERTY DAMAGE
$
GARAGE LIABILITY
V
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
['ATE a
U
/ C
C
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
� �"� �� YES
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC8378566-05
05/01/99
05/01/00
Xj STATUTORY LIMITS
EACH ACCIDENT
$ 1,000,000
A
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
WC8378565-04
05/01 /99
05/01 /00
DISEASE - POLICY LIMIT
$ 1,000,000
DISEASE - EACH EMPLOYEE
$ 1,000,000
OFFICERS ARE: EXCL
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS (LIMITS MAYBE SUBJECT TO RETENTIONS)
PROJECT NAME: SANITARY WASTEWATER MASTERPLAN; PROJECT NO:
137483.MP; PROJECT MGR: KEN WILLIAMS; DESC: THIS 2 YEAR PLANNING EFFORT
WILL DEVELOP A SANITARY WASTEWATER MASTER PLAN FOR ALL OF
THE FLORIDA KEYS.
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS NAMED AS ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR AS RESPECTS AUTOMOBILE
LIABILITY AND AS PER BLANKET ENDORSEMENT TO THE GENERAL LIABILITY POLICY.
MONROE COUNTY
......................................................
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
ATTN RISK MANAGEMENT
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL 'ENDEAVOR TO MAIL
5100 COLLEGE ROAD
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
KEY WEST FL 33040 DATE
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
7qk
INITIAL
- OF ANY K UPON THE COMPAY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED R SENTATI)!�
Mlp�(j
::::::::.::::::::::...................................................... ..................
;.: ;•; ::::::.;::.:.:...... ;..;; : �,I:+�.::3>.....:: »,> .. •;:..............:.::...:..........:...:.... DATE MM DD
I�CHOR�t.:::>:�:� �: :��it! IMiii:<:: :::::�: �................................................ 05/26/99
.................................. ALTER OF INFORMATION
PRODUCER • THIS CERTIFICATE •
J&H MARSH & MCLENNAN, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1225 17TH STREET, SUITE 2100 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
DENVER, CO 80202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
ATTN: PAULA DELEON
COMPANY
15114-00124 DFB DFB
A ZURICH AMERICAN INSURANCE COMPANY
INSURED
COMPANY
CH2M HILL, INC.
B
HILLSBORO EXECUTIVE CENTER NORTH
800 FAIRWAY DRIVE
COMPANY
SUITE 350
C
COMPANY
DEERFIELD BEACH, FL 33441-1831
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO I
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
A
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
OWNER'S & CONTRACTOR'S PROT
$250,000 SIR
GL08378563-04
05/01/99
05/01/00
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS - COMP/OP AGG
$ 2,000,000
PERSONAL & ADV INJURY
$ 750,000
EACH OCCURRENCE
$ 750,000
X
FIRE DAMAGE (Any one fire)
$ 750,000
MED EXP (Any one person)
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
BAP8378516-04 (AOS)
TAP8378560-04 (TX)
BAP8378561-04 (VA)
MAP8378562-04 (MA)
05/01/99
05/01/99
05/01/99
05/01/99
05/01/00
05/01/00
05/01/00
05/01/00
COMBINED SINGLE LIMIT
$ 1,000,000
X
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
GARAGE LIABILITY
ANY AUTO
3YOTHER
f1�TE
v
AUTO ONLY - EA ACCIDENT
$
THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
$
$
A
A
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ n INCL
PARTNERS/EXECUTIVE II-1I
OFFICERS ARE: EXCL
WC8378566-05
WC8378565-04
05/01/99
05/01/99
05/01/00
05101 /00
X I STATUTORY LIMITS
EACH ACCIDENT
$ 1,000,000
DISEASE - POLICY LIMIT
$ 1,000,000
I DISEASE -EACH EMPLOYEE
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS (LIMITS MAYBE SUBJECT TO RETENTIONS)
PROJECT NAME: SANITARY WASTEWATER MASTERPLAN; PROJECT NO: 137483.MP; PROJECT MGR: KEN WILLIAMS; DESC: THIS 2 YEAR PLANNING EFFORT
WILL DEVELOP A SANITARY WASTEWATER MASTER PLAN FOR ALL OF THE FLORIDA KEYS.
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS NAMED AS ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR AS RESPECTS AUTOMOBILE
LIABILITY AND AS PER BLANKET ENDORSEMENT TO THE GENERAL LIABILITY POLICY.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MONROE COUNTY
ATTN RISK MANAGEMENT EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
5100 COLLEGE ROAD %%% 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
KEY WEST FL 33040 DATE BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND N THE COMPANY, TS AGENTS OR REPRESENTATIVES.
INITIALLAUTHORIZED REPRE ATIVE _ I A A
MARSH USA INC. CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
SEA-000150566-00
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh USA Inc.
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1225 17th Street
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
Suite 2100
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Denver, CO 80202
COMPANIES AFFORDING COVERAGE
COMPANY
5114-00124-ALL-2000 ORL A ZURICH AMERICAN INSURANCE COMPANY
INSURED
COMPANY
CH2M HILL, INC. ,
225 EAST ROBINSON STREET
B
SUITE 405
COMPANY
ORLANDO, FL 32801-4322 no 0 23
C
COMPANY
D
COVERAGES This cerkificals supersedes and replaces any previously issuedcer0cate. 0
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
co
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATION
DATE (MM/DDIYY)
DATE (MM/DD/YY)
LIMITS
GENERAL
LIABILITY
A
COMMERCIAL GENERAL LIABILITY
GL08378563-04
05/01/99
05/01/00
GENERAL AGGREGATE
$ 2,000,000
X
PRODUCTS - COMP/OPAGG
$ 2,000,000
PERSONAL & ADV INJURY
$ 750,000
CLAIMS MADE I OCCUR
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$ 750,000
X
FIRE DAMAGE (Any one fire)
$ 750,000
MED EXP (Any one erson
$
A
AUTOMOBILE LIABILITY
X ANY AUTO
BAP8378516-04 (AOS)
05/01/99
05/01/00
COMBINED SINGLE LIMIT
$ 1,000,000
ALL OWNED AUTOS
TAP8378560-04(TX)
05/01/99
O5/O1/OO
BODILY INJURY
SCHEDULED AUTOS
BAP8378561-04 (VA)
05/01/99
05/01/00
(Per person)
$
HIRED AUTOS
MAP8378562-04 (MA)
05/01/99
05/01/00
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
PROPERTYDAMAGE
$
GARAGE LIABILITY
My
�OTHER
AUTO ONLY - EA ACCIDENT
$
j
THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
00$
c
— --
EACH OCCURRENCE
UMBRELLA FORM
AGGRE ATE
$
OTHER THAN UMBRELLA FORM
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
STATU- TRH_
X WC TORY LIMITS E
A
WC8378566-05
05/01/99
05/01/00
EL EACH ACCIDENT
$ 1,000,000
A
THE PROPRIETOR/ PARTNERS/EXECUTIVE q
INCL
WC8378565-04
05/01/99
05/01/00
EL DISEASE -POLICY LIMIT
$ 1,000,000
OFFICERS ARE: EXCL
THER
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS)
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER MASTER PLAN. THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS,
ITS EMPLOYEES AND OFFICIALS ARE NAMED AS ADDITIONAL INSURED AS THEIR INTERESTS
AUTOMOBILE
MAY APPEAR AS RESPECTS
LIABILITY AND AS PER BLANKET ENDORSEMENT TO THE GENERAL LIABILITY POLICY.
0ERT11FICATIE OLDE#i CANCELLATION .
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
MONROE COUNTY THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL -1 DAYS WRITTEN NOTICE TO THE
ATTN
RISK MANAGEMENT CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
5100
COLLEGE ROAD
KEY
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES.
WEST, FL 33040
MARSH USA INC.
BY: Ray Leonard����
MM1(9/fl9� VALID"AS OF. 04/14/00
CERTFICATE NUMBFR
,VIAU$ INC. CERT#FI`CATE OF'INSURARE '' '. SEA1000153160-01
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
PRODUCER
VAN GILDER INSURANCE CORPORATION NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN
SUITE 1000 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
700 BROADWAY, S
DENVER COLORA UITE 1 3 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
5114-00005-ALL2M-2000 ORL A SECURITY INSURANCE CO OF HARTFORD
INSURED
CH2M HILL, INC.
COMPANY
B
COMPANY
C
225 EAST ROBINSON STREET
SUITE 405 t `(�
ORLANDO, FL 32801-4322
COMPANY
D
ssu i! certificaw. .
CMRAOES This ceinl icate: supersedes i� repliceony^previously issued
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY
POLICY NUMBER
EFFECTIVE
DATE (MMIDD/YY)
POLICY EXPIRATION
DATE (MM/DDIYY)
LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG
$
COMMERCIAL GENERAL LIABILITY
PERSONAL & ADV INJURY
$
CLAIMS MADE OCCUR
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$
FIRE DAMAGE (Any one fire)
$
MED EXP (Any oneperson)
$
AUTOMOBILE
LIABILITY
I R,- R„ .;
^
COMBINED SINGLE LIMIT
$
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
"Y
` F - ---��V//
_—
I
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
NON -OWNED AUTOS
- �
S
,
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
W TATU-
TORY LIMITS ERR
.
EL EACH ACCIDENT
$
EL DISEASE -POLICY LIMIT
is
THE PROPRIETOR! INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
EL DISEASE -EACH EMPLOYEE
$
AOTHER
PROFESSIONAL
SPL701338 05/01/00
05/01/01
$2,000,000 EACH CLAIM AND
LIABILITY*
IN THE AGGREGATE
DESCRIPTION OF OPERATION SILOCATIONSIVEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS)
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER MASTER PLAN. *FOR PROFESSIONAL LIABILITY COVERAGE, THE
AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY PERIOD FOR ALL OPERATIONS OF THE
INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE.
CERTIFICATE"HQfRAMCE�1±ft1N
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL qQ DAYS WRITTEN NOTICE TO THE
MONROE COUNTY
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
ATTN RISK MANAGEMENT
5100 COLLEGE ROAD
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES.
KEY WEST, FL 33040
MARSH USA INC.
BY: Velma Lane ��jrrrdi
VAUD AS: OF: 04122W
DATE p,�,-,;� � � r _ __
1P41T1A L
y■y■ CERTFCATE
J�SH US A INCr `, '. ,
CERTFICATE NUMBER
�{��_INSURANCE'.,.. SEA1000150566 01
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
PRODUCER
Marsh USA Inc.
1225 17th Street
Suite 2100
Denver, CO 80202
COMPANIES AFFORDING COVERAGE
COMPANY
5114-00124-ALL-2000 ORL
A ZURICH AMERICAN INSURANCE COMPANY
INSURED
CH2M HILL, INC.
COMPANY
B •z, :,; .a■„'., ;h^ s
COMPANY
C
_,_ s
225 EAST ROBINSON STREET
SUITE 405
ORLANDO, FL 32801-4322
COMPANY P!,IF
D
COVtRAGE6 : ' ' This certificate "supersedes and reptanes jRy' preVlousIy Issued 1'lw , , - 0
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER POLICY
EFFECTIVE
DATE (MM/DDIYY)
POLICY EXPIRATION
DATE (MMIDDIYY)
LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OP AGG
$ 2,000,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE [K] OCCUR
OWNER'S & CONTRACTOR'S PROT
X$qrm.onnsig
GL08378563-05 05/01/00
05/01/01
PERSONAL & ADV INJURY
$ 750,000
EACH OCCURRENCE
$ 750,000
FIRE DAMAGE (Any one fire)
$ 750,000
MED EXP (Any oneperson)
$
A
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 1,000,000
ANY AUTO
BAP8378516-05 (AOS) 05/01/00
05/01/01
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULEDAUTOS
TAP8378560-05(TX) 05/01/00
BAP8378561-05 (VA) 05/01/00
05/01/01
05/01/01
BODILY INJURY
(Per accident)
$
HIRED AUTOS
MA8378562-05 (MA) 05/01/00
05/01/01
NON -OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
RUMBRELLA FORM
OTHER THAN UMBRELLA FORM
$
A
COMPENSATION AND
EMPLOYERS' LIABILITY
1,NC8378566-06 05J01/00
05/01/01
TATWORKERS
X ORY L MITS ER
m1,000,000
EL EACH ACCIDENT
$
EL DISEASE -POLICY LIMIT
$ 1,000,000
A
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
WC8378565-05 05/01/00
05/01/01
EL DISEASE -EACH EMPLOYEE
I $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS)
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER MASTER PLAN. THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE NAMED AS ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR AS RESPECTS
AUTOMOBILE LIABILITY AND AS PER BLANKET ENDORSEMENT TO THE GENERAL LIABILITY POLICY.
Eia f tCA 1f C} 8
ANCELLATif *" .
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 1 DAYS WRITTEN NOTICE TO THE
MONROE COUNTY
ATTN RISK MANAGEMENT
5100 COLLEGE ROAD
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES.
KEY WEST, FL 33040
MARSH USA INC.
BY: Ray Leonard�,I�.y p
fiANt"M(fi19 -. ''VAUD-1A$ OF: 04=00
r r ,c €
SHI
.tS..
v111.
PRODUCER
VAN GILDER INSURANCE CORPORATION
700 BROADWAY, SUITE 1000
DENVER COLORAD080203
.... ,; <
OTE RCERTIFICATE NUMBER
UVF�+ -000178403-02�
SEA
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
5114-00005-ALL2M-2000 ORL
A SECURITY INSURANCE CO OF HARTFORD
INSURED
COMPANY
CH2M HILL, INC.
B
225 EAST ROBINSON STREET
SUITE 405
COMPANY
ORLANDO, FL 32801-4322
C
COMPANY
D,
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS
SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
GENERAL
LIABILITY
GENERAL AGGREGATE
COMMERCIAL GENERAL LIABILITY
PRODUCTS - COMP/OP AGG
$
CLAIMS MADE 7 OCCUR
PERSONAL & ADV INJURY
$
EACH OCCURRENCE
$
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$
MED EXP (Any oneperson)
$
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
Y
n e F
__
— -
" �—`— N
N'4
COMBINED SINGLE LIMIT
$
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
ERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLYdy{I3€d¢
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TORY LIMITS ER
EL EACH ACCIDENT
qG
F L '
32
$
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
EL DISEASE -POLICY LIMIT
$
EL DISEASE -EACH EMPLOYEE
$
A
PROFESSIONAL
SPL701338
05/01/01
05/01/02
$2,000,000 EACH CLAIM AND
LIABILITY*
IN THE AGGREGATE
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAY
BE SUBJECT TO DEDUCTIBLES OR RETENTIONS)
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER PASTER PLAN. THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE NAMED AS ADDITIONAL INSUREDS AS THEIR INTEREST MAY APPEAR TO THE
AUTOMOBILE LIABILITY AND AS PER THE BLANKET ENDORSEMENT TO THE GENERAL LIABILITY POLICY.
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SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL _ A DAYS WRITTEN NOTICE TO THE
MONROE COUNTY RISK MANAGEMENT
5100 COLLEGE ROAD
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
KEY WEST, FL 33040
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES.
MARSH USA INC.
BY: Velma Lane
ME-K
»,..
.�>111111,17114
'<,.5n;. .E. ,., ���o ..
tCATNSUR.A.NCE CERTIFICATE NUMBE
. .
..�_, SEA-000150566-03
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
Marsh USA Inc.
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1225 17th Street
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
Suite 2100
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
Denver, CO 80202
COMPANIES AFFORDING COVERAGE
COMPANY
5114-00124-ALL-2000 ORL
A ZURICH AMERICAN INSURANCE COMPANY
INSURED
COMPANY
CH2M HILL, INC.
B
225 EAST ROBINSON STREET
SUITE 405
COMPANY
ORLANDO, FL 32801-4322
C
COMPANY
D
,•� "fk'k y d I +''� ip
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...
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN
HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
GENERAL
LIABILITY
GENERAL AGGREGATE
$ 2,000,000
A
X
COMMERCIAL GENERAL LIABILITY
GL08378563-06
05/01/01
05/01/02
PRODUCTS - COMP/OP AGG
$ 2,000,000
CLAIMS MADE a OCCUR
PERSONAL & ADV INJURY
_
$ 750,000
EACH OCCURRENCE
$ 750,000
OWNER'S & CONTRACTOR'S PROT
X
FIRE DAMAGE (Any one fire)
$ 750,000
MED EXP (Any oneperson)
$
A
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 1,000,000
X
ANY AUTO
BAP8378516-06 (AOS)
05/01/01
05/01/02
BODILY INJURY
$
ALL OWNED AUTOS
TAP8378560-06 (TX)
05/01/01
05/01/02
SCHEDULED AUTOS
BAP8378561-06 (VA)
05/01/01
05/01/02
(Per person)
BODILY INJURY
$
HIRED AUTOS
MA8378562-06(MA)
05/01/01
05/01/02
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE
$
1-1
GARAGE LIABILITY
r r• "^ 'L
i /
, +/IC.
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
1
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--
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$
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$
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UMBRELLA FORMREGATE
_ —�
OCCURRENCE
$
rCH
$
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
X TORY LIMITS ERA
A
WC8378566-07
09f01/01
05/01/02
EL EACH ACCIDENT
$ 1,000,000
A
THE PROPRIETOR/ X INCL
WC8378565-06
05/01/01
05/01/02
EL DISEASE -POLICY LIMIT
$ 1,000,000
PARTNERSIEXECUTIVE
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
OFFICERS ARE: EXCL
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS)
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER MASTER PLAN. THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE NAMED AS ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR AS RESPECTS
AUTOMOBILE LIABILITY AND AS PER BLANKET ENDORSEMENT
TO THE GENERAL LIABILITY POLICY.
1
NNW w"
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL '0 DAYS WRITTEN NOTICE TO THE
MONROE COUNTY
ATTN RISK MANAGEMENT
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
5100 COLLEGE ROAD
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES.
KEY WEST, FL 33040
MARSH USA INC.
BY: Dorothy A. Stevens .d bewo Q
�El''f
3h' :.>.
CERTIFICATE NUMBER
SEA-000153160-07
PRODUCER
MARSH USA INC.
1225 17TH STREET SUITE 2100
DENVER, CO 80202
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
5114-00005-ALL2M-2000 ORL
A STEADFAST INSURANCE COMPANY
INSURED
COMPANY
CH2M HILL, INC.
225 EAST ROBINSON STREET
SUITE 505
ORLANDO, FL 32801-4322
B
COMPANY
C
COMPANY
D
INMN
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MMIDDIYY)
LIMITS
GENERALLIABILITY
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG
$
COMMERCIAL GENERAL LIABILITY
PERSONAL & ADV INJURY
$
CLAIMS MADE OCCUR
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$
FIRE DAMAGE (Any one fire)
$
MED EXP one on
$
AUTOMOBILE
LIABILITY
ANY AUTO
AP ��`
� -
ENT
COMBINED SINGLE LIMIT
$
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BY
DATA ....
YES
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
WAVER fl/A
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TORY LIMITS ER
$
EL EACH ACCIDENT
EL DISEASE -POLICY LIMIT
$
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
EL DISEASE -EACH EMPLOYEE
1 $
A
VINCK
PROFESSIONAL
EEC3864453-00
05/01/02
05/01/03
$2,000,000 EACH CLAIM AND
CONSULTANTS LIABILITY*
TOTAL FOR ALL CLAIMS
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS)
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER MASTER PLAN. *FOR PROFESSIONAL LIABILITY COVERAGE, THE
AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY PERIOD FOR ALL OPERATIONS OF THE
INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE.
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WALL ENDEAVOR TO MAIL An DAYS WRITTEN NOTICE TO THE
MONROE COUNTY
ATTN RISK MANAGEMENT
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
5100 COLLEGE ROAD
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES.
KEY WEST, FL 33040
MARSH USA INC.
BY: Dorothy A. Stevens Aot0wy Q
�'
a
• , '%fEi i... 4';:'` ij_ 11
i r E� fK,"R�F�1r!
PRODUCER
Marsh USA Inc.
1225 17th Street
Suite 2100
a d°'���, °j �'k° S.Sr ks R S c.la •:'. r ,,,,,,, ,;, , ,,,,,,-,,.
I.� CERTIFICATE NUMBER
1 c E API SEA 000150566-06
,..... , m_..2
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
Denver, CO 80202
COMPANY
5114-00124-ALL-2000 ORL
A ZURICH AMERICAN INSURANCE COMPANY
INSURED COMPANY
CH2M HILL, INC. B
225 EAST ROBINSON STREET
SUITE 505 COMPANY
ORLANDO, FL 32801-4322 C
COMPANY
D
yE m"ei t .' '�'' .€ {aa e* r,, p R3
COV I GGS its �'� E 4 Thl ppyy yn� �yy '.I� �`l •, > �iE$ �i tly3 f (Q ..� S�'3, 1 lttr=, ` I%< <R: • SJI� ... . I, Q:.. r GQt il)'.;, '..:.
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER 7DATE
LICY EFFECTIVE
(MM/DD/YY)
POLICY EXPIRATION
DATE(MM/DD/YY)
LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OPAGG
$ 5,000,000
A
X COMMERCIAL GENERAL LIABILITY
' CLAIMS MADE1�1 OCCUR
OWNER'S & CONTRACTOR'S PROT
X annnSIR
GLOB378563-07 05/01/02
05/01/03
PERSONAL & ADV INJURY
$ 750,000
EACH OCCURRENCE
$ 750,000
FIRE DAMAGE (Any one fire)
$ 750,000
MED EXP (Any oneperson)
$
A
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 2,000,000
ANY AUTO
BAP8378516-07 (AOS) 05/01/02
05/01/03
X
BODILY INJURY
(Per Person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
TAP8378560-07 (TX) 05/01/02
BAP8378561-07 (VA) 05/01/02
05/01/03
05/01/03
BODILY INJURY
(Per accident)
$
HIRED AUTOS
MA8378562-07(MA) 05/01/02
05/01/03
NON -OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
p
AP�
AUTO ONLY - EA ACCIDENT
$
THAN AUTO ONLY
ANY AUTO
TBY
BY
EACH ACCIDENT
EACH
$
DATE
AGGREGATE
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WAIVER NiA
YES
'
n ` ^
�� ll�'CJ(�J{n
EACH OCCURRENCE
$
AGGREGATE
$
$
A
WORKERS COMPENSATION AND
EMPLOYERS'UABIUTY
WC8378566-08 05/01/02
05/01l03
XTORY LIMITS ER'
EL EACH ACCIDENT
Is 1,000,000
DISEASE -POLICY LIMIT
$ 1,000,000
A
THE PROPRIETOR/ X INCL
PARTNERSIEXECUTIVE
OFFICERS ARE: EXCL
WC8378565-07 05/01/02
05/01/03
DISEASE -EACH EMPLOYEE
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS)
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER MASTER PLAN. THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE NAMED AS ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR AS RESPECTS
AUTOMOBILE LIABILITY AND AS PER BLANKET ENDORSEMENT TO
GESE/NERAL LIABILITY POLICY.
'3THE
%a y j�.'rv' a'Yi�i "� P �€'a3r`iE E ! E@kl C 'E S�d R �i € EI
V3 `nt'Y HO � 3� �i i„E....._.....
�I'S•4,_N...
"sods
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL _gyp DAYS WRITTEN NOTICE TO THE
MONROE COUNTY
ATTN RISK MANAGEMENT
5100 COLLEGE ROAD
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES.
KEY WEST, FL 33040
MARSH USA INC.
BY: Dorothy A. Stevens 400%/'wy Q
Yj [T
'���� A�nE 3 'n 3dM*'
., ..:: €E tt V
.. a �.�' .:i, • �€ 1•'v vk 3:1Kt� c
wn
Zr S 1 Fib Er „sn< isgi.3 6 d.
MARSHES. f, E F {~iP1MCAT�
E �._.....a F...� ':,, a.. -7: . ••:.. ,,,E ;(� E
t\ AM-
E CERTIFICATE NUMBER
QF3 ��SURAN�
:'E a.:.. �tE II �3 P� SEA-000178402-02
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
VAN GILDER INSURANCE CORPORATION
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
700 BROADWAY, SUITE 1000
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
DENVER COLORADO80203
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
5114-00005-ALL2M-2000 ORL
A SECURITY INSURANCE CO OF HARTFORD
INSURED
COMPANY
CH2M HILL, INC.
B
225 EAST ROBINSON STREET
COMPANY
SUITE 405
ORLANDO, FL 32801-4322
C
COMPANY
D
�7 �a
tA4dt.,5 t E :�4 !N € s.: sn, as 3 Q "$£ v ss3' N h E 3 �a3 a� �a A. I a 6gE E E t
; e�i s t t 9 A '1141 Y t .utlously Issueci,ce. , ... o t#h 'ppllcy. Idd nand b
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. LIMITS SHOWN
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
GENERAL
LIABILITY
GENERAL AGGREGATE
$
Eke L�.
PRODUCTS - COMP/OP AGG
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PERSONAL & ADV INJURY
$
EACH OCCURRENCE
$
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$
MED EXP (Any oneperson)
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
4L__
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
6t
i
_
PROPERTY DAMAGE
$
GARAGE LIABILITY
1 , /1
�(J
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY;;
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
WC STATU-
TORY LIMITS
EL EACH ACCIDENT
$
THE PROPRIETOR/ INCL
PARTNERSlEXECUTIVE
EL DISEASE -POLICY LIMIT
$
EL DISEASE -EACH EMPLOYEE
$
OFFICERS ARE: EXCL
OTHER
A
PROFESSIONAL
SPL701338
05/01/01
05/01/02
0,000EACH CLAIM AND
LIABILITY"
TI$NE AGGREGATE
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS (LIMITS MAY BE SUBJECT TO DEDUCTIBLES OR RETENTIONS)
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER PASTER PLAN. *FOR PROFESSIONAL LIABILITY COVERAGE, THE
AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY PERIOD FOR ALL OPERATIONS OF THE
INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE.
T�,°I. Y.E a?Y <,.� M"`:4x�
. >. .. .... ... x+...< r.:a E�..., „< r'"IMP: rr, kE�;,..a... ��a�.yw_
p U�pr th se�Eftli+Ct't'Vkt @
I,�YnEs.,..,4ex ,r?, t.n.u`�f'a �,
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
MONROE COUNTY RISK MANAGEMENT
5100 COLLEGE ROAD
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL _gyp DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
KEY WEST, FL 33040
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES.
MARSH USA INC.
BY: Velma Lane ��irnvd�
.. .:'as» '.<:,«.:4Y,ti K Itt� H Q N F '"E�"�9
v.«,..... ...3e e «..a. «. �, e a�.u.. «. u.>> .:...., a <.> w�.E„ aw <a« « «.. «......
HI4�j«t,��
,a,t ..«.'.<.«.<x r <..>�' i° 9si�°S Hx
SkIn" Umm" ... F, II
CERTIFICATE NUMBER
_.. ., ,� ....,,. SEA 000153160 10
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA, INC.
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1225 17TH STREET, SUITE 2100
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
DENVER, CO 80202-5534
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
5114-00005-ALL2M- ORL
A ZURICH AMERICAN INSURANCE COMPANY
INSURED
COMPANY
CH2M HILL, INC.
B
225 EAST ROBINSON STREET, SUITE 505
ORLANDO, FL 32801-4322
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED
HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE(MM/DDNY)
POLICY EXPIRATION
DATE(MM/DDNY)
LIMITS
GENERAL
LIABILITY
G-iiERAL AGGREGATE
$
PRODUCTS - COMP/OP AGO
$
COMMERCIAL GENERAL LIABILITY
H_ICLAIMS
MADE OCCUR
PERSONAL & ADV INJURY
$
EACH OCCURRENCE
$
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Anyone fire)
$
MED EXP (Any oneperson)
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
$
HIRED AUTOS
NON•OWNED AUTOS
t�
APr
�K
N � Nl �
PROPERTY DAMAGE
$
BY
_. _
i
GARAGE LIABILITY
ANY AUTO
DATE
WA�VEF1
"'"'
�`.,t A ...�.�
I: ""' '
�-°�
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
_
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
r
ICU"
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
S TAT
TORYLIMITS ER
a
EL EACH ACCIDENT
S
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
EL DISEASE -POLICY LIMIT is
EL DISEASE -EACH EMPLOYEE
—
$
A
PROFESSIONAL LIABILITY'
EOC3829621-01
05/01/03
05/01/04
$2,000,000 EACH CLAIM AND
TOTAL FOR ALL CLAIMS
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER MASTER PLAN. *FOR PROFESSIONAL LIABILITY COVERAGE, THE
AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY PERIOD FOR ALL OPERATIONS OF THE
INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE.
/•/ C••
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL _3,O DAYS WRITTEN NOTICE TO THE
MON ROE COUNTY
ATTN RISK MANAGEMENT
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
5100 COLLEGE ROAD
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
KEY WEST, FL 33040
ISSUER OF THIS CERTIFICATE.
MARSH USA INC. ��,��
eY: Dorothy A. Stevens �04lI* Q �1&
N,
OW-
VALID AS OF :$, ;
s g,v 4 ki E R T IF IC � 1:` �J ` " ' CERTIFICATE NUMBER
klili SEA-000150566-09
V4. -
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1225 17TH STREET, SUITE 2100 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
DENVER, CO 80202-5534 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
5114 -00124-ALL- ORL
A ZURICH AMERICAN INSURANCE COMPANY
INSURED
CH2M HILL, INC.
225 EAST ROBINSON STREET, SUITE 505
ORLANDO, FL 32801-4322
COMPANY
B
COMPANY
C
COMPANY
D
0011ER11QE3 °- 9.1 i(t►d1a1~es �Ipy p,reviouslyjissuf3d Ger146ala �5r#i1:pClty peEld ritd:blOw:., a
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE
$ 2,000,000
PRODUCTS - COMP/OPAGG
$ 5,000,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
OWNER'S & CONTRACTOR'S PROT
X
GLOB378563-08
05/01/03
05/01/04
PERSONAL & ADV INJURY
$ 500,000
EACH OCCURRENCE
$ 500,000
FIRE DAMAGE (Any one fire)
$ 500,000
MED EXP (Anyoneperson)
$
A
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$ 2,000,000
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
BAP8378516-08 (AOS)
TAP8378560-08 (TX)
BAP8378561-08 (VA)
MA8378562-08(MA)
05/01/03
05/01/03
05/01/03
05/01/03
05/01/04
05/01/04
05/01/04
05/01/04
X
BODILY INJURY
(Per person)
$
BODILY INJURY
(Per accident)
$
NON -OWNED AUTOS
PROPERTY DAMAGE
$
AP
GARAGE LIABILITY
ANY AUTO
BY
DATE
_. _
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY.
$
EACH ACCIDENT
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLAFORM
OTHER THAN UMBRELLA FORM
r
$
A
A
WORKERS COMPENSATION AND
EMPLO'iERS'LIASILITY
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
WC8378566-09
WC8378565-08
05/01/03
05/01/03
05/01/04
05/01/04
X I ER
EL EACH ACCIDENT
�-.r..
$ 1,000,000
EL DISEASE -POLICY LIMIT
$ 1,000,000
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
HER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER MASTER PLAN. THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE NAMED AS ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR AS RESPECTS
AUTOMOBILE LIABILITY AND AS PER BLANKET ENDORSEMENT TO THE GENERAL LIABILITY POLICY.
CEAT1F101tT .r„ .... .. ...��Vo
-GA NCEIL�iT10h'.':..a r mow,
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
lF—
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL ___3.0 DAYS WRITTEN NOTICE TO THE
ON ROE COUNTY
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
ATTN RISK MANAGEMENT
5100 COLLEGE ROAD
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
KEY WEST, FL 33040
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.,w��""r��
By: Dorothy A. Stevens #Av Q
f900"
Ifi�h)i' 3lC12 ": ,� ate" VALID AS OF: 04/28/03
}
i�/i �i
` CERTIFICATE NUMBER
CERTIFICATE CaF INSURAI'dCE
SEA-000153160-12
PRODUCER
MARSH USA, INC.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
1225 17TH STREET, SUITE 2100
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
DENVER, CO 80202 5534
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN,
COMPANIES AFFORDING COVERAGE
15114-00005-ALL2M- ORL
COMPANY
A ZURICH AMERICAN INSURANCE COMPANY
INSURED
CH2M HILL, INC.
COMPANY
225 EAST ROBINSON STREET, SUITE 505
B
ORLANDO, FL 32801-4322
COMPANY
C
COMPANY
D
10C31VEF ACvES This certth. ate supersedes and r daces any>prevlously issued certificate I the policy peitod rioted below.
p .
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR 7HE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACTOR
OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.
CO TYPE OF INSURANCE LTR POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
GENERAL AGGREGRATE $
CLAIMS MADE OCCUR
PRODUCTS-COMP/OP AGG S
OWNER'S & CONTRACTOR'S PROT
PERSONAL & ADV INJURY S
EACH OCCURRENCE S
FIRE DAMAGE (Any one fire) $
MED EXP (Any one person) S
AUTOMOBILE LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT S
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
S
HIRED AUTOS
(Per person)
NON -OWNED AUTOS
BODILY INJURY $
(per accident)
APPA
L
� F � �ifq '�7�� ��-�` PROPERTY DAMAGE $
GARAGE LIABILITY r3%_._._
ANY AUTO
AUTO ONLY- EA ACCIDENT S
�
C( OTHER
MATE
—6 THAN AUTO ONLY:
EACH ACCIDENT $
EXCESS LIABILITY
AGGREGATE S
UMBRELLA FORM
EACH OCCURRENCE S
OTHER THAN UMBRELLA FORM
AGGREGATE S
WORKERS COMPENSATION AND
$
EMPLOYERS' LIABILITY
ER
ER
THE PROPRIETOR/
NT S
nDISEAASE-POLICY
PARTNERS/EXECUTIVE INCL
CY LIMIT $
OFFICERS ARE: EXCL
EMPLOYEE $
ONAL LIABILITY` EOC3829621-02
VCONTRACT
05/01/04 05/01/05 S2,000,000 EACH CLAIM AND
TOTAL FOR ALL CLAIMS
PERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
OR THE MONROE COUNTY SANITARY WASTEWATER MASTER
TOTAL
PLAN. 'FOR PROFESSIONAL LIABILITY COVERAGE,
THE AGGREGATE LIMIT IS THE
INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY PERIOD FOR ALL OPERATIONS OF
PAYMENTS OF INDEMNITY AND EXPENSE.
THE INSURED. THE LIMIT WILL BE REDUCED BY
Q /l
CERTIFICATE HO DER
CANC:Ei LAT1 N
MONROE COUNTY
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
ATTN RISK MANAGEMENT
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS
5100 COLLEGE ROAD
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH
KEY WEST, FL 33040
NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS
CERTIFICATE,
MARSH USA
BY: Dorothy A. A. Stevens
11MMt{3/dL VALID AS OF: 04/30/04 �':
CERTIFICATE NUMBER
SEA-000178403.13
PRODUCER
MARSH USA, INC.
1225 17TH STREET, SUITE 2100
DENVER, CO 80202-5534
15114-00005-ALL2M- ORL
INSURED
CH2M HILL, INC.
225 EAST ROBINSON STREET, SUITE 5o5
ORLANDO, FL 32801-4322
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
A ZURICH AMERICAN INSURANCE COMPANY
COMPANY
B
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
EXPIRATION
LTRI TYPE OF INSURANCE I POLICY NUMBER POLICY EFFECTIVI DATE (MM DDNY)E I PDA EY(MM/DD/Y) I LIMITS
GENERAL LIABILITY
I
I
I
GENERAL AGGREGRATE
$
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PRODUCTS-COMP/OP AGG
$
PERSONAL & ADV INJURY
$
EACH OCCURRENCE
$
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$
MED EXP (Any one person)
$
AUTOMOBILE LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
BODILY INJURY
(per accident)
$
NON -OWNED AUTOS
PROPERTY DAMAGE
$
fA
GARAGE LIABILITY
1'�
AP. LED j� S f
r'
AGEMENT
-•
AUTO ONLY- EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
S
DATE
AGGREGATE
$
EXCESSLIABILITY
UMBRELLA FORM
WAIVER. WA
,YES-���,�„
EACH OCCURRENCE
$
AGGREGATE
$
OTHER THAN UMBRELLA FORM
S
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
TATUH-
TORTR
THE PROPRIETOR/
PARTNERS/EXECUTIVE INCL
EL EACH ACCIDENT
S
EL DISEASE -POLICY LIMIT
$
OFFICERS ARE: EXCL
EL DISEASE -EACH EMPLOYEE
$
OTHER
JA I
PROFESSIONAL LIABILITY^
EOC3829621-02
05/01 iO4
05/01 /05
S2,000,000 EACH CLAIM AND
TOTAL FOR ALL CLAIMS
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER PASTER PLAN.
'FOR PROFESSIONAL LIABILITY COVERAGE, THE AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY PERIOD
FOR ALL OPERATIONS OF THE INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE.
C DPq 04/--7 q, "? c e _.
MONROE COUNTY RISK MANAGEMENT
5100 COLLEGE ROAD
KEY WEST, FL 33040
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH
NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS
CERTIFICATE.
MARSH USA
BY: Dorothy A. O
A. Stevens
................................
CERTIFICATE NUMBER
SEA-000150566-11
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1225 17TH STREET, SUITE 2100 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
DENVER, CO 80202-5534 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
15114 -00124-ALL- ORL A ZURICH AMERICAN INSURANCE COMPANY
INSURED COMPANY
CH2M HILL, INC. B
225 EAST ROBINSON STREET, SUITE 505
ORLANDO, FL 32801-4322 COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
GENERAL AGGREGRATE
S 5,000,000
PRODUCTS-COMP/OP AGG
S 5,000,000
A
X COMMERCIAL GENERAL LIABILITY
GL03784726-00
05/01/04
05/01/05
PERSONAL & ADV INJURY
.S 500,000
CLAIMS MADE OX OCCUR
EACH OCCURRENCE
S 500,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$ 500,000
X $500,000 SIR
MED EXP (Any one person)
S
A
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$ 2,000,000
X ANY AUTO
BAP8378516-09(AOS)
05/01/04
05/01/05
BODILY INJURY
(Per person)
S
ALL OWNED AUTOS
TAP8378560-09 (TX)
05/01/04
05/01/05
SCHEDULED AUTOS
BODILY INJURY
(per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
\, i 9'w
�pPmr.)vt+~ "'3
GEMENI
PROPERTY DAMAGE
S
GARAGE LIABILITY
AUTO ONLY- EA ACCIDENT
S
OTHER THAN AUTO ONLY:
ANY AUTO,,.
AiA _--Y
V� +
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
/
'l
,
EACH OCCURRENCE
$
AGGREGATE
S
S
WORKERS COMPENSATION AND.
X WC ST OTH
TORY LIMM,ITS ER
A
EMPLOYERS' LIABILITY
WC8378566-10
05/01/04
05/01/05
EL EACH ACCIDENT
S 1,000,000
EL DISEASE -POLICY LIMIT
$ 1,000,000
A
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
WC8378565-09
05/01/04
05/01/05
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER MASTER PLAN. THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, ITS
EMPLOYEES AND OFFICIALS ARE NAMED AS ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR AS RESPECTS AUTOMOBILE LIABILITY AND AS PER
BLANKET ENDORSEMENT TO THE GENERAL LIABILITY POLICY.
MONROE COUNTY
ATTN RISK MANAGEMENT
5100 COLLEGE ROAD
KEY WEST, FL 33040
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL — DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH
NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS
CERTIFICATE,
CC
MARSH USA A. t
BY: Dorothy A. Stevens
S.
MAR
CERTIFICATE NUMBER '
CERTIFICATEOF INSURANCE SEA-000153160-14
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA, INC.
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1225 17TH STREET, SUITE 2100
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
DENVER, CO 80202-5534
AFFORDED BY THE POLICIES DESCRIBED HEREIN,
COMPANIES AFFORDING COVERAGE
COMPANY
15114-00005-ALL2M- ORL
A ZURICH AMERICAN INSURANCE COMPANY
INSURED
CH2M HILL, INC.
225 EAST ROBINSON STREET, SUITE 505
COMPANY
B
COMPANY
ORLANDO, FL 32801-4322
C
COMPANY
D
GOVERAGE5 This cohi icate supersedes and replaces any previously issued certificate for the policy`period noted below. 2
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT
OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN
IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
GENERAL AGGREGRATE
S
PRODUCTS-COMP/OP AGG
S
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
PERSONAL & ADV INJURY
S
EACH OCCURRENCE
S
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one tire)
$
MED EXP (Any one Person)
S
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
S
ANY AUTO
BODILY INJURY
(Per Person)
S
ALL OWNED AUTOS
SCHEDULED AUTOS
I
HIRED AUTOS
NON -OWNED AUTOS
AP WOVEID
RY
4' . SR
SK, NAGEM
T
BODILY INJURY
(Per accident)
S
F_.. _-s
DATE
PROPERTY DAMAGE
S
GARAGE LIABILITY
WAIVER
N/A
S
AUTO ONLY EA ACCIDENT
S
OTHER THAN AUTO ONLY:
..................
ANY AUTO
EACH ACCIDENT
S
y
1v1
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
S
AGGREGATE
5
UMBRELLA FORM
S
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC STATU- OTH-
TORY LIMITS ER
,;
EL EACH ACCIDENT
S
THE PROPRIETOR/
PARTNERS/EXECUTIVE INCL
EL DISEASE -POLICY LIMIT
S
EL DISEASE -EACH EMPLOYEE
S
OFFICERS ARE: EXCL
OTHER
A
PROFESSIONAL LIABILITY'
EOC3829621-03
05/01/05
05/01/06
S2,000,000 EACH CLAIM AND
I
(
TOTAL FOR ALL CLAIMS
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER MASTER PLAN. 'FOR PROFESSIONAL LIABILITY COVERAGE, THE AGGREGATE LIMIT IS THE
TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY
PERIOD FOR ALL OPERATIONS OF THE INSURED. THE LIMIT WILL BE REDUCED BY
PAYMENTS OF INDEMNITY AND EXPENSE.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
MONROE COUNTY
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS
ATTN RISK MANAGEMENT
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH
5100 COLLEGE ROAD
NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
KEY WEST, FL 33040
AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS
CERTIFICATE.
MARSH USA INC
BY Dorothy A Stevens ,d/,r W4# Q.-41f&W.w
J
p
A r'�-"
MMt(3/Q21 VALIDASOF: 04/26/05 -I
YAk
CERTIFICATE
MA R S' Fi CERTIFICATE OF INSURANCE SEA-000150566-B3R
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1225 17TH STREET, SUITE 2100 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
DENVER, CO 80202-5534 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
15114 -00124-ALL- ORL A ZURICH AMERICAN INSURANCE COMPANY
INSURED
CH2M HILL, INC.
225 EAST ROBINSON STREET, SUITE 505
COMPANY
B AMERICAN ZURICH INSURANCE CO.
COMPANY
ORLANDO, FL 32801-4322
C
COMPANY
D
COVERAGES This ceitrjiieate superser#Qs; and replaces arty p�eviously.lssued cerlillbaW lot the policy: {ieFiod noted below.: .
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAYBE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES.
AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
GENERAL AGGREGRATE
$ 5,000,000
A
X COMMERCIAL GENERAL LIABILITY
GL03784726-01
05/01/05
05/01/06
PRODUCTS-COMP/OP AGG
S 5,000,000
CLAIMS MADE OCCUR
PERSONAL & ADV INJURY
S 500,000
EACH OCCURRENCE
S 500,000
OWNER'S & CONTRACTOR'S PROT
X $500,000 SIR
FIRE DAMAGE (Any one fire)
$ 500,000
MED EXP (Any one person)
$
A
AUTOMOBILE LIABILITY
X
ANY AUTO
BAP8378516-1 0 (AOS)
05/01/05
05/07/06
COMBINED SINGLE LIMIT
$ 2,000,000
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
TAP8378560-10(TX)
05/01/05
05/01/06
HIRED AUTOS
NON-OWNEDAUTOS
BODILY INJURY
(per accident)
$
PROPERTY DAMAGE
S
V Qft
RISK NAG
MEN1
GARAGE LIABILITY
DpAPPR
PY
AUTO ONLY- EA ACCIDENT
S
ANY AUTO
DATE
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
WAIVER/A
..._e_ _YFS
AGGREGATE
$
EXCESS LIABILITY
V
EACH OCCURRENCE
$
UMBRELLA FORM
AGGREGATE
S
OTHER THAN UMBRELLA FORM
°
S
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC8378566-11 AOS
( )
05/01/05
05/01/06
X WC STATU- OTH-
ER
;'.
EL EACH ACCIDENT
ACHAC iDE
$ 1,000,000
A
THE PROPRIETOR/ X PARTNERS/EXECUTIVE INCL
WC8378565-10 (WI & MA)
05/01/05
05/01/06
EL DISEASE -POLICY LIMIT
$ 1,000,000
EL DISEASE -EACH EMPLOYEE
S 1,000,000
A
OFFICERS ARE: EXCL
WC3784761-00 (HI & ID)
05/01/05
05/01/06
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER MASTER PLAN. THE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, ITS
EMPLOYEES AND OFFICIALS ARE NAMED AS ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR AS RESPECTS AUTOMOBILE LIABILITY AND AS PER
BLANKET ENDORSEMENT TO THE GENERAL LIABILITY POLICY.
C o ; e s: v. a
CERTIFICATE HOLDER.
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION
MONROE COUNTY
DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 30 DAYS
ATTN RISK MANAGEMENT
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH
5100 COLLEGE ROAD
NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER
KEY WEST, FL 33040
AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER OF THIS
CERTIFICATE.
MARSH USA
BY: Dorothy A. A. Stevens a
S'
MMt(3ld21--VALID ASOF: 04/28/05 ':
CERTIFICATE NUMBER
OFINSURANCE
!11 r IYr7 itJilrLG SEA-000178403-18
MARSH CERTIFICATE
PRODUCER
MARSH USA, INC.
1225 17TH STREET, SUITE 2100
DENVER, CO 80202-5534
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
5114-00005-ALL2M- ORL
A Z
INSURED
COMPANY
CH2M HILL, INC.
B
225 EAST ROBINSON STREET, SUITE 505
ORLANDO, FL 32801-4322
COMPANY
C
COMPANY
D
COVERAGES This certificate supersedes and replaces any previously iss ed certificate Dd noted be W. 5
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE
BEEN ISSUED TO TH IOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COI
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DDrYY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
�GENERAL LIABILITY
' COMMERCIAL GENERAL LIABILITY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
$
$
PERSONAL & ADV INJURY
$
CLAIMS MADE 71 OCCUR
EACH OCCURRENCE
$
OWNER'S &CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$
MED EXP lAnv one DeMon)
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
{
SCHEDULED AUTOS
HIRED AUTOS
.. , I `
..
�..
I
BODILY INJURY
(Per accident)
$
NON -OWNED AUTOS
v�
PROPERTY DAMAGE
$
---.-
_.
GARAGE LIABILITY
J
n
�/ ;_ ,, �l/I �,
/fi/(f
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
(J
y �I �J
(
EACH ACCIDENT
$
l
AGGREGATE
$
EXCESS LIABILITY
!
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC ATU- OTH-
TORY LIMITS ER
;
EL EACH ACCIDENT
$
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
EL DISEASE -POLICY LIMIT
$
EL DISEASE -EACH EMPLOYEE
$
OTHER
A
PROFESSIONAL LIABILITY'
EOC3829621-04
05/01/06
05/01/07
$2,000,000 EACH CLAIM AND
TOTAL FOR ALL CLAIMS
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER PASTER PLAN.
'FOR PROFESSIONAL LIABILITY COVERAGE, THE AGGREGATE LIMIT
IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN
THE POLICY PERIOD FOR ALL OPERATIONS OF THE INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE.
CERTIFICATE BOLDER ;
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 'An DAYS WRITTEN NOTICE TO THE
MONROE COUNTY RISK MANAGEMENT
5100 COLLEGE ROAD
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
KEY WEST, FL 33040
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OF THIS CERTIFICATE.
MARSH USA INC. �
BY: Dorothy A. Stevens zlo%oftv Q
MM1(3Lop VALID AS OF: 04/18/06
CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
MARSH SEA-000150566-16
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1225 17TH STREET, SUITE 2100 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
DENVER, CO 80202-5534 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
5114-00124-ALL- ORL A ZURICH AMERICAN INSURANCE COMPANY
INSURED
COMPANY
CH2M HILL, INC.
B
225 EAST ROBINSON STREET, SUITE 505
ORLANDO, FL 32801-4322
COMPA
C
Y RECEIVED
COMPAI
IY
D
M Ay 1 2006
COVERAGES This certificate supersedes and replacesany previous
issue I certificate for the policy per od not
d below.
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED
O THE E POLI
Y PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCU
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TH
AENT WITH RESFMeNRgFMTyE CERTIFICATE
TERMS, CONDffjWMAVRft IONS OF SUC
AY BE ISSUED OR MAY
POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COI
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DDIYY)
POLICY EXPIRATION
DATE (MM/DDIYY)
LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE
$ 5,000,000
PRODUCTS - COMP/OP AGG
PERSONAL & ADV INJURY
I $ 5 000,000
$ 1,SOO,000
A
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE ! OCCUR
GL03784726-02
105/01/06
1 05/01/07
EACH OCCURRENCE
$ 1,500,000
OWNER'S & CONTRACTOR'S PROT
I
FIRE DAMAGE (Any one fire)
$ 1,500,000
X
MED EXP (Any oneperson)
I
$
AUTOMOBILE
LIABILITY
j COMBINED SINGLE LIMIT
$ 2,000,000
X
A
ANY AUTO
BAP8378516-11
05/01/06
05/01/07
BODILY INJURY
j (Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
I BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
Vr-,
..
GARAGE LIABILITY
_ .. ..
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
- ---- v -
- --
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
AGGREGATE
$
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
t
i
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC8378566-12 (AOS)
05/01/06
05/01/07
VVC STATU- OTH-
X TORY LIMITS ER
a
I
EL EACH ACCIDENT
$ 1,000,000
A
A
THE PROPRIETOR/ X INCL
PARTNERS/EXECUTIVE �--{{
OFFICERS ARE: IXCL
WC8378565-11 (WI & MA)
y�{C3784761-01 HI & ID
( )
05/01/06
05/01/06
05/01/07
05/01/07
EL DISEASE -POLICY LIMIT
$ 1,000,000
EL DISEASE -EACH EMPLOYEE
$ 1,000,000
OTHER
I
DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER MASTER PLAN. THE MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE NAMED AS ADDITIONAL INSURED AS THEIR INTERESTS MAY APPEAR AS RESPECTS
AUTOMOBILE LIABILITY AND AS PER BLANKET ENDORSEMENT TO THE GENERAL LIABILITY POLICY.
CERTIFICATE BOLDER >'
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL 3 DAYS WRITTEN NOTICE TO THE
MONROE COUNTY
ATTN RISK MANAGEMENT
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
5100 COLLEGE ROAD
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE. ITS AGENTS OR REPRESENTATIVES. OR THE
KEY WEST, FL 33040
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Dorothy A. Stevens jou4*V Q.
;MM1(3102) VAUD AS OF: 04/17/06
MARSH CERTIFICATE /LTC ^C INSURANCE
N Up /t, CE CERTIFICATE NUMBER
R /`1 G �/r 1�1�7 Rf11�1 SEA-000153160-17
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1225 17TH STREET, SUITE 2100 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
DENVER, CO 80202-5534 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
15114-00005-ALL2M- ORL A ZURICH AMERICAN INSURANCE COMPANY
INSURED COMPANY
CH2M HILL, INC. B
225 EAST ROBINSON STREET, SUITE 505
ORLANDO, FL 32801-4322 COMPANY
C
COMPANY
D
COVERAGES This certificate supersedes and replaces any previously iss
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO TH
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT
w. 2
IOD INDICATED.
ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF 71 ICH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO I TYPE OF INSURANCE
LTR
�NERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
F4CLAIMS MADE DI OCCUR
OWNER'S & CONTRACTOR'S PROT
AUTOMOBILE UABIUTY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
I HIRED AUTOS
NON -OWNED AUTOS
RE
EIVED
MAY
d ce
INSURED N
I H RE P CT
ed be
�I�'(J;.���[.uLHE POLICY PE
IO�A��FMEIWde� IFICATE MAY B
POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
DATE(MM/DD/YY) 1 DATE(MM/DD/YY)
LIMITS
GENERAL AGGREGATE
Is
PRODUCTS - COMP/OPAGG
�$
PERSONAL& ADV INJURY
$
EACH OCCURRENCE
$
FIRE DAMAGE (Any one fire)
$
IVIED EXP (Any one person)
,_$_
COMBINED SINGLE LIMIT I $
BODILY INJURY
(Per person)
$
BODILY INJURY
$
(Per accident)
PROPERTY DAMAGE
$
GARAGE
LIABILITY
t
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY:
I ;
EACH ACCIDENT
$
(2 r
AGGREGATE
$
EXCESS LIABILITY
j EACH OCCURRENCE $
AGGREGATE $
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC A U- ER
TORY LIMITS ER
I EL EACH ACCIDENT
Is
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
I EL DI PEASES OLICY LIMIT
$
OFFICERS ARE: EXCL
I EL DISEASE -EACH EMPLOYEE
$
OTHER
i
A
PROFESSIONAL LIABILITY*
EOC3829621-04
05/01/06
05/01/07
$2,000,000 EACH CLAIM AND
ITOTAL FOR ALL CLAIMS
DESCRIPTION OF OPERATIONS/LOCATIONSlVEHICLES/SPECIAL ITEMS
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER MASTER PLAN. *FOR PROFESSIONAL LIABILITY COVERAGE, THE
AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY PERIOD FOR ALL OPERATIONS OF THE
INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE.
CERTIFICATE HOLDER CANCELLATION
MONROE COUNTY
ATTN RISK MANAGEMENT
5100 COLLEGE ROAD
KEY WEST, FL 33040
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAIL —'%A DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Dorothy A. Stevens A/'!ofty
MM I (3<fl2) VALID AS OF: c04/18/06
MARSH CERTIFICATE OF INSURANCE CERTIFICATE NUMBER
i, G irf11 G #Jr 1Y J11�1�/ SEA-000178402-17
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
MARSH USA, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER OTHER THAN THOSE PROVIDED IN THE
1225 17TH STREET, SUITE 2100 POLICY. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE
DENVER, CO 80202-5534 AFFORDED BY THE POLICIES DESCRIBED HEREIN.
COMPANIES AFFORDING COVERAGE
COMPANY
5114-00005-ALL2M- ORL A ZU AMERICAN INSURANCE COMPANY
INSURED
COMPANY
RECEIVED
CH2M HILL, INC.
B
225 EAST ROBINSON STREET, SUITE 505
ORLANDO, FL 32801-4322
COMPANY
C
COMPANY
M AY
D
COVERAGES This certificate supersedes and replaces any previously issu d certificate O fillil*W l Viod noted ties w. 3
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE DESCRIBED HEREIN HAVE BEEN ISSUED TO THEI INSURED NAMMKiWIAG WE POLICY PE OD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT W UHF Ht UEKIRAL ISSUED OR MAY
PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICIES. AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMlDD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
GENERAL LIABILITY
GENERAL AGGREGATE
$
! PRODUCTS - COMP/OP AGG
$
COMMERCIAL GENERAL LIABILITY
I
PERSONAL & ADV INJURY
$
CLAIMS MADE II OCCUR
EACH OCCURRENCE
$
OWNER'S & CONTRACTOR'S PROT
�'i
FIRE DAMAGE (Any one fire)
$
MED EXP (Any oneperson)
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT I''.
$
ANY AUTO
BODILY INJURY
$
ALL OWNED AUTOS
(Per person)
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
_
NON -OWNED AUTOS
PROPERTY DAMAGE
!i
$
- - --
-
GARAGE LIABILITY
-
..� -
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
- -
EACH ACCIDENT
$
f
AGGREGATE
$
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
r
EACH OCCURRENCE
$
AGGREGATE
$
$
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
WC STATU- ER
TORY LIMITS ER
S.
6
EL EACH ACCIDENT
$
THE INCL
EL DISEASE -POLICY LIMIT !
$
PARTN RSR/ XEOCUUTIVE
OFFICERS ARE- XCL
EL DISEASE -EACH EMPLOYEE $
OTHER
A
PROFESSIONAL LIABILITY'
EOC3829621-04
05/01/06
05/01/07
$2,000,000 EACH CLAIM AND
I
TOTAL FOR ALL CLAIMS
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESJSPECIAL ITEMS
RE: CONTRACT FOR THE MONROE COUNTY SANITARY WASTEWATER PASTER PLAN. 'FOR PROFESSIONAL LIABILITY COVERAGE, THE
AGGREGATE LIMIT IS THE TOTAL INSURANCE AVAILABLE FOR CLAIMS PRESENTED WITHIN THE POLICY PERIOD FOR ALL OPERATIONS OF THE
INSURED. THE LIMIT WILL BE REDUCED BY PAYMENTS OF INDEMNITY AND EXPENSE.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE POLICIES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,
THE INSURER AFFORDING COVERAGE WALL ENDEAVOR TO MAIL fQ DAYS WRITTEN NOTICE TO THE
MONROE COUNTY RISK MANAGEMENT
5100 COLLEGE ROAD
CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
KEY WEST, FL 33040
LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, TS AGENTS OR REPRESENTATIVES, OR THE
ISSUER OF THIS CERTIFICATE.
MARSH USA INC.
BY: Dorothy A. Stevens doI4mv Q
MM1 (3102) VAUD AS OF: 04/18/06
Missing or Incorrect Data? Visit zlien.com/fix/ - Reference Number: 331797
NOTICE TO CONTRACTOR
F.S. § 255.05 (2)
331797
NOTICE TO: Notifying Party:
General Contractor Sea Safe Inc.
CH2M Hill Inc 3245 Fayette Ave
6410 5TH STREET SUITE 2-A Birmingham, AL 35208
Key West, Florida 33040
Subcontractor
WHARTON-SMITH INC
125 W INDIANTOWN ROAD, SUITE 201
Jupiter, Florida 33458
Surety / Bonding Co.
GUINGNARD COMPANY
1904 BOOTHE CIRCLE
Longwood, Florida 32750
BROWN & BROWN INSURANCE
2600 LAKE LUCIEN DRIVE SUITE 330
Maitland, Florida 32751
Property Owner / Public Entity
MONROE COUNTY
500 WHITEHEAD ST
Key West, FL 33040-6581
r-
Prime Contractor
CH2M Hill Inc
6410 5TH STREET SUITE 2-A
Key West, Florida 33040
Prime Contractor's Surety
GUINGNARD COMPANY
1904 BOOTHE CIRCLE
Longwood, Florida 32750
BROWN & BROWN INSURANCE
2600 LAKE LUCIEN DRIVE SUITE 330
Maitland, Florida 32751
Public Entity Commissioning Work
MONROE COUNTY
500 WHITEHEAD ST
Key West, FL 33040-6581
Hiring Party
WHARTON-SMITH INC
125 W INDIANTOWN ROAD, SUITE 201
Jupiter, Florida 33458
Services and or Materials Provided: FABRICATED GRATING
(Public Works Project):
Name of Project:
Contract Number (if any):
780 Blimp Road Cudjoe Key, Florida 33042
County: Monroe County
State of Florida
-n
SIGNATURE AND IMPORTANT INFORMATION REQUEST ON REVERSE /
FOLLOWING PAGE
CC F Y,�►-.c e
CM-4
,-/
We are pleased to advise to you that the above -identified Notifying Party has commenced to deliver
materials, supplies, labor and/or provisions, as above -described or otherwise, for the use on the
Public Works Project above -identified. The name of the subcontractor or agent ordering or to whom
the services, labor, materials, supplies and/or provisions are furnished is above -identified as the
Hiring Party.
We take this opportunity to advise you of these facts, as per our policy to keep contractors fully
informed of any delivery of materials, supplies, and/or labor for which it, their surety, and the public
works retainage fund (if any) will be held responsible for payments. Let this serve as notice,
therefore, that the Notifying Party intends to look to any existing bonds for protection.
IMPORTANT: INFORMATION REQUEST PURSUANT TO THE LAWS OF Florida
If the public entity commissioning the work, general contractor, and/or surety are not identified in this
notice, or if any are incorrectly identified, please accept this notice as a formal request to the direct
contractor pursuant to Florida Law to deliver the name and address of the unidentified or
misidentified party(ies) to the Notifying Party.
Further, please accept this as a formal request from the Notifying Party to provide it with a copy of
the payment bond applicable to the herein identified project.
If the Notifying Party did not contract directly with the public entity directly, please provide the
Notifying Party with the completion date of the above -referenced project or work of improvement
within ten (10) days of the project's completion. Any information provided pursuant to the foregoing
requests should be provided to the following address:
BY EMAIL ONLINE BY MAIL
Sea Safe Inc.
fix@zlien.com Go To: c/o zlien
http://wvvw.zlien.com/fix/ 14525 SW Millikan Way, #7790
Beaverton, Oregon 97005-2343
Reference ID: 331797
CLAIMANT Sea Safe Inc.
Signed by Mehegan Morgan
Its duly authorized and disclosed agent
Signed on April 25, 2016