HomeMy WebLinkAboutCertificate of Insurance ACoR 03/25/2025" CERTIFICATE OF LIABILITY INSURANCE DATE /YYYY)
/2025
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Marsh U.S.Operations
Marsh Risk&Insurance Services NAME:
CA License#0437153 A/CC No,
o Ext: 866-966-4664 HONE p FAX C No: 212-948-0533
633 W.Fifth Street,Suite 1200 E-MAIL LosAn eles.Ce tRe uest marsh.com
Los Angeles,CA 90071 ADDRESS: 9 q @
Attn:LosAngeles.CertRequest@Marsh.Com INSURER(S)AFFORDING COVERAGE NAIC#
CN 101 348564-STND-GAU E-25-26 03 2027 wsURERA: ACE American Insurance Company 22667
INSURED AECOM INSURER B: N/A N/A
AECOM Technical Services,Inc. INSURER C: Illinois Union Insurance Cc 27960
110 East Broward Boulevard INSURER D:
Suite 700
Fort Lauderdale,FL 33301 INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: LOS-002671337-03 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSD WVD POLICY NUMBER MM/DD MM/DD
A X COMMERCIAL GENERAL LIABILITY HDOG48971714 04/01/2025 04/01/2026 EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE X� PREMIS
OCCUR DAMAGEES Ea ocS( RENcurreTED
nce $ 1,000,000
MED EXP(Any one person) $ 5,000
PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 1,000,000
X POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ 1,000,000
OTHER: $
A AUTOMOBILE LIABILITY ISAH11370494 04/01/2025 04/01/2026 COEaMBINED ident SINGLE LIMIT $ 1,O1,000,000acc
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
UMBRELLALIAB OCCUR EACH OCCURRENCE $
EXCESS LAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
A WORKERS COMPENSATION WLR C72792300(AOS) 04/01/2025 04/01/2026 X PER oTH-
AND EMPLOYERS'LIABILITY STATUTE ER
A Y/N 04/01/2025 04/01/2026
ANYPROPRIETOR/PARTN ER/EXECUTIVE N/A SCFC72792312(WIRetro) E.L.EACH ACCIDENT $ 1,000,000
OFFICE R/M EMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under 1,000,000DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
C ARCHITECTS&ENG. EON G21654693 005 04/01/2025 04/01/2026 Per Claim/Agg 2,000,000
PROFESSIONAL LIAB. "CLAIMS MADE" Defense Included
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
RE: Transportation Planning Professional Services for Monroe County
Monroe County Board of Commissioners,its employees,officials and officers are named as additional insured for GL&AL coverages,but only as respects work performed by or on behalf of the named insured and
where required by written contract.
CERTIFICATE HOLDER CANCELLATION
Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Attn:Risk Management Administrator ACCORDANCE WITH THE POLICY PROVISIONS.
1100 Simonton Street
Key West,FL 33040
AUTHORIZED REPRESENTATIVE
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