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Craig A. Smith
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(18-08-01) Consulting Engineering Services for Golden Shores Utility Undergrounding and Roadway Improvements
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Craig A. Smith
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9/6/2018 11:25:21 AM
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9/6/2018 11:16:12 AM
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fiC®IR®® CERTIFICATE OF LIABILITY INSURANCE <br />FDATE(MMIDDIYYYY) <br />04/05/2018 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: Debbie Adametz <br />At%CNIJo Ext: 561-210-8715 Fqc No: 561-210-8716 <br />Sena & Whitney LLC <br />190 Glades Rd Suite C <br />ADDRESS: dadametz@thesenagroup.com <br />_ _ - _ INSURER(S)AFFORDING COVERAGE NAICIf <br />Boca Raton, FL 33432 <br />INSURERA: Travelers/Phoenix Insurance Co <br />12/01/2017 <br />INSURED <br />INSURER B: AIG Specialty Insurance Company <br />INSURERC: Hiscox Insurance Company, Inc. <br />CRAIG A. SMITH & ASSOCIATES <br />INSURERD: <br />7777 GLADES ROAD SUITE 410 <br />INSURER E: <br />BOCA RATON, FL 33434 <br />INSURER F <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ 100,000 <br />COVERAGES CERTIFICATE NUMBER: 00000000-1231557 REVISION NUMBER: 44 <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />R <br />OF INSURANCE <br />ADDLITYPE <br />INSD <br />SUER <br />POLICY NUMBER <br />LTEFF <br />MMIDDY <br />POLICY EXP <br />MMIDDNYYY <br />LIMITS <br />A <br />X COMMERCIALGENERALLIABILITY <br />Y <br />X660505M2249-PHX-17 <br />12/01/2017 <br />12/01/2018 <br />EACH OCCURRENCE $ 1,000,000 <br />CLAIMS -MADE X OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence $ 100,000 <br />MED EXP (Any one person) $ 5,000 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ 2,000,000 <br />POLICY n i JECT EILOC <br />PRODUCTS - COMP/OP AGG $ 2,000,000 <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />HIRED k NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />$ <br />B <br />UMBRELLA LIAB <br />X <br />OCCUR <br />BE 011535567 <br />12/01/2017 <br />12/01/2018 <br />EACH OCCURRENCE $ 5,000,000 <br />AGGREGATE $ 5,000,000 <br />X <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? <br />N I A <br />(Mandatory in NH) <br />E.L DISEASE- EA EMPLOYE $ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ <br />C <br />PROFESSIONAL E&O <br />ANE1201537-18 <br />04/01/2018 <br />04/01/2019 <br />PER CLAIM 1,000,000 <br />C <br />PROFESSIONAL E&O <br />ANE1201537-18 <br />04/01/2018 <br />04/01/2019 <br />AGGREGATE 2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />BLANKET ADDITIONAL INSURED APPLIES TO GENERAL LIABILITY AS PER WRITTEN CONTRACT. <br />CERTIFICATE HOLDER CANCELLATION <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Printed by DEA on April 05, 2018 at 08:38AM <br />294 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />PROOF OF INSURANCE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />DEA <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Printed by DEA on April 05, 2018 at 08:38AM <br />294 <br />
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