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HomeMy Public PortalAbout2015 Certificate of Liability Insurance.tifSOUTENG-01 STWIGGS ACORo CERTIFICATE OF LIABILITY INSURANCE `-� °"'�'M"r°°"" ) 5/15/2015 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 POUCIES 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(les) must 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 Collinsworth, Alter, Fowler & French, LLC 8000 Governors Square Blvd Suite 301 Miami Lakes, FL 33016 NSURED Southeastern Engineering Contractors, 12054 NW 98th Avenue Hialeah Gardens, FL 33018 CONTACT NAME: PHONE 305 822-7800 FAX INC NoMAIL' EXt):( ) lArc, Nog (305) 362-2443 ADDRESS. INSURER(S) AFFORDING COVERAGE NAIL S INSURER A:First Mercury Ins. Company 10667 Inc. INSURER 8:Ohio Security Insurance Company 24082 enuRERc: Federal Insurance Company 20281 NSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS INDICATED. CERTIFICATE EXCLUSIONS MA LTR IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPE OF INSURANCE 'LSO Policy NUMBER (MWOCIYYYY) (MWWDDDWY) LIARS A X COMMERCIAL GENERAL LABILITY T occUR X MICGL000005150501 01/31/2015 EACH OCCURRENCE S 1,000,000 I CWMS-MADE 01131/2016 PRDA M arIE D ,,l E 50,000 GEN'L MED EXP (Any one person) S Excluded PERSONAL S ADV INJURY S 1,000,000 AGGREGATE UNIT APPUES PER. POIJCY C] jEd LOC OTHER: GENERAL AGGREGATE S 2,000,000 PRODUCTS- COMP/OP AGG S 2,000,000 E B AUTOS10B11JE X X LIABILITY AN,AUTO ALL OWNED AUTOS HIRED AUTOS X SCHEDULED AUTOS NON -OWNED AUTOS X BA566460090 01/31/2016 01/31/2018 COMBNED SINGLE LIMIT (Ea accident) j 1,000,000 BODILY INJURY (Per parson) S BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) S USBRELLAUAB EXCESS LAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE S DED RETENTIONS E WORKERS COMPENSATION OTH- AND EMPLOYERS' LABILITY YIN ANY PROPRIETORPARTNERIEXECUTNE OFFICER EMBER EXCLUDED? /M (Mandatory In NH) H yea. describe OF O DESCRIPTION OF OPERATIONS below NIA STATUTE ER EL EACH ACCIDENT E.L DISEASE - EA EMPLOYEE S EL DISEASE -POLICY SW E C Leased/Rented 45468421 03/26/2016 03/26/2016 w15000 Ded Applies 300,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlttoml Remade Schedule, may be attached I/ more specs N required) Village of Key Biscayne and Stantec are named as additional insureds CERTIFICATE HOLDER CANCELLATION Village of Key 88 W. Mclintyre Key Biscayne, Biscayne Street FL 33149 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORED REPRESENTATIVE N n ACORD 25 (2014/01) CO 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo a e registered marks of ACORD