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HomeMy WebLinkAboutCertificate of Insurance DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/26/2026 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 ,_' � p y, 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 'a NAME: AOn Risk services Northeast, Inc. PHONE O FAX W New York NY Office (A/C.No.Ext): (866) 283-7122 (A/C.No.): (800) 363-0105 'O One Liberty Plaza E-MAIL 2 165 Broadway, suite 3201 ADDRESS: New York NY 10006 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Trumbull Insurance company 27120 Bermello, Ajamil & Partners, LLc INSURERB: Hartford Fire Insurance co. 19682 4711 S Le3uene Road coral Gables FL 33146-5437 USA INSURERC: Twin city Fire Insurance company 29459 INSURERD: Hartford casualty Insurance co 29424 INSURERE: Underwriters at Lloyds 32727 INSURER F: COVERAGES CERTIFICATE NUMBER: 570118803355 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. Limits shown are as requested INSR ADDL SUB R POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/OD/YYYY) (MM/OD/YYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY 1000NBZ4DXW 0370172026 03 01 2027 EACHOCCURRENCE $1,000,000 CLAIMS-MADE �OCCUR PREMISEUAIVAULS(Ea occurrence) $1,000,000 X Contractual Liability MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 U, P'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,000,000 M POLICY �PE F"LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: o r A 1OUENBZ4DYN 03/01/2026 03/01/2027 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $1,000,000(Ea accident) X ANYAUTO BODILY INJURY(Per person) 0 O OWNED SCHEDULED BODILY INJURY(Per accident) Z AUTOS ONLY AUTOS HI RED AUTOS NON-OWNED PROPERTY DAMAGE W 2 ONLY AUTOS ONLY (Per accident) U i" W D X UMBRELLA LIAB X OCCUR 1OXHUBZ6FYY 03/01/2026 03/01/2027 EACH OCCURRENCE $2,000,000 U LEXCESS LIAB CLAIMS-MADE I AGGREGATE $2,000,000 IDED I X RETENTION $10,000 C WORKERS COMPENSATION AND 1OWBBZ9NVN 03/01/2026 03/01/2027 X I PER STATUTE ORTH- EMPLOYERS'LIABILITY Y/N JE A PROPRIETOR r PARTNER r ExEcurivE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED' N NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 E IDfyes,describe under $1,000,000 SCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT E E&O - Professional Liability PSDEF2601124 03/01/2026 03/01/2027 Per claim/Aggregate $5,000,000 Primary clms Md - Prof/Pollution Deductible $750,000 =_ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Project: Engineering Design and Permitting Services conch Key Road Elevation and Stormwater, Location: Monroe county, Florida. Monroe county Board of commissioners and FDEP are included as Additional Insured in accordance with the policy provisions of the General Liability policy. T, 5.13.26 Zi WAMMNfA_ CERTIFICATE HOLDER CANCELLATION a SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION T— DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Z� �I Monroe county Board Of commissioners AUTHORIZED REPRESENTATIVE --a 1100 Simonton street 7 Key West FL 33040 USA zae M ©1988-2015 ACORD CORPORATION.All rights reserved ACORD 25(2016/03) The ACORD name and logo are registered marks ofACORD AGENCY CUSTOMER ID: 570000074145 LOC#: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Services Northeast, Inc. Bermello, Ajamil & Partners, LLC POLICY NUMBER See Certificate Number: 570118803355 CARRIER I NAIC CODE See Certificate Number: 570118803355 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S)AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD certificate form for policy limits. POLICY POLICY INSR ADDL SUBR POLICYNUNIBER LLIIITS TYPE OF LVSURANCE EFFECTIVE EXPIRATION DATE FIR LNSD wVD DATE (MM/DD/YYYY) bE1I/DD/YYYY OTHER B Business Auto Physical Dama 10 LEN Ds9516 03/01/2026 03/01/2027 comprehensive $1,000 Coverage Auto Liability (AK) Deduct collision $1,000 Deductible ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000074145 LOC#: ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED INSURED Aon Risk Services Northeast, Inc. Bermello, Ajamil & Partners, LLC POLICY NUMBER See Certificate Number: 570118803355 CARRIER I NAIC CODE See Certificate Number: 570118803355 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance workers Compensation UW Cos by State Hartford Insurance Company of Illinois: AL, Az, CO, VA Twin City Fire Insurance Company: AK, AR, CT, DE, DC, FL, ID, IA, KS, ME, MA, MS, MT, NE, NV, NH, NJ, NM, NY, OH, OK, OR, RI, UT, WA, WV, WY sentinel Insurance Company Ltd: CA, MI, NC, SC, TN Hartford Insurance Company of the Midwest: GA, MO Hartford underwriters Insurance Company: HI, SD Hartford Fire Insurance Company: IL, LA, MN Hartford Insurance Company of the southeast: IN, Tx Hartford Casualty Insurance Company: KY, WI Property and Casualty Insurance Company of Hartford: MD Hartford Accident and Indemnity Company: PA ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 05/21/2025 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� p y, 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 'a NAME: Aon Risk services Northeast, Inc. PHONE O FAX W New York NY Office (A/C.No.Ext): (866) 283-7122 (A/C.No.): (800) 363-0105 'a One Liberty Plaza E-MAIL 2 165 Broadway, suite 3201 ADDRESS: New York NY 10006 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: Underwriters at Lloyds 32727 Bermello, Ajamil & Partners, LLc INSURERB: The charter oak Fire Insurance company 25615 4711 S Le3uene Road coral Gables FL 33146-5437 USA INSURER C: The Phoenix Insurance company 25623 INSURER D: Travelers Property cas co of America 25674 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570112648256 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. Limits shown are as requested INSR ADDL SUB R POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/OD/WYY) (MM/DD/YYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY P630OR56138000F25 03/01/2025 03/01/2026 EACH OCCURRENCE $1,000,000 CLAIMS-MADE F77T OCCUR PREMISES(Ea occurrence) $1,000,000 *PPI T MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 P'LAGGREGATE LIMITAPPLIES PER: DA-r, ^,. .?Z.ZS „� _......--»---, GENERAL AGGREGATE $2,000,000 POLICY �PEO X❑LOC 'rA'AKO A ' PRODUCTS-COMP/OP AGG $2,000,000 N OTHER: o r C AUTOMOBILE LIABILITY 810-2W206561-25-43-G 03/01/2025 03/01/2026 COMBINED SINGLE LIMIT $1'000'000 `O (Ea accident) X ANYAUTO BODILY INJURY(Per person) 0 O OWNED SCHEDULED BODILY INJURY(Per accident) Z AUTOS ONLY AUTOS HI RED AUTOS NON-OWNED PROPERTY DAMAGE W E ONLY AUTOS ONLY (Per acciden t) U i W D X UMBRELLA LIAB X OCCUR cUP2W73426525NF 03/01/2025 03/01/2026 EACH OCCURRENCE $2,000,007 U LEXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000 IDED I X RETENTION $10,000 C WORKERS COMPENSATION AND UB4W7689952543E 03/01/2025 03/01/2026 X PER STATUTE ORTH- EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERMEMBER EXCLUDED' N NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 E IDfyes,describe under $1,000,000 SCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT A E&O - Professional Liability PSDEF2501124 03/01/2025 03/01/2026 Per claim/Aggregate $5,000,000 Primary elms Md - Prof/Pollution Deductible $750,000 =_ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Project: Engineering Design and Permitting Services conch Key Road Elevation and Stormwater, Location: Monroe county, 2? Florida. Monroe county Board of commissioners and FDEP are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. ®.e CERTIFICATE HOLDER CANCELLATION 3 a SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION T- DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1 Z� Monroe county Board of commissioners AUTHORIZED REPRESENTATIVE "® 1100 Simonton street Key West FL 33040 USA IV. zae M ©1988-2015 ACORD CORPORATION.All rights reserved ACORD 25(2016/03) The ACORD name and logo are registered marks ofACORD