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Client#: 25320
<br />KIMLHORN
<br />ACORD. CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MM/DD/YYYY)
<br />9/09/2016
<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(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />Greyling Ins. Brokerage/EPIC
<br />3780 Mansell Road, Suite 370
<br />Alpharetta, GA 30022
<br />877 908-5619
<br />CONTACT Jerry Noyola
<br />a�NN a,:770-552-4225 AAX
<br />rc No, 866-550-4082
<br />EMAIL
<br />ADDRESS: jerry.noyola@greyling.com
<br />INSURER(S) AFFORDING COVERAGE NAIC p
<br />INSURER A: National Union Fire Ins. Co. 19445
<br />INSURED
<br />Kimley-Horn and Associates, Inc.
<br />P.O. Box 33068
<br />Raleigh, NC 27636
<br />INSURERS: Commerce & Industry Ins. Co. 19410
<br />INSURER c: New Hampshire Ins. Co. 23841
<br />INSURER D: Lloyds of London 085202
<br />5268169
<br />04/01/2016
<br />INSURER E:
<br />INSURER F:
<br />DAMAGE T RENTED
<br />REMISES Ea occurrence$500 OOO
<br />COVERAGES CERTIFICATE NUMBER: 16-17 REVISION NIIMRFR-
<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 CONTRACTOR 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 />�7R
<br />TYPE OF INSURANCE
<br />DLSUBR
<br />INSR
<br />VWVD
<br />POLICY NUMBER
<br />MMIDDY EFF
<br />POLICY EXP
<br />LIMITS
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE a OCCUR
<br />. -. -__-. __-_ _.._OC
<br />5268169
<br />04/01/2016
<br />04/01/2017
<br />EACH OCCURRENCE $1,000,000
<br />DAMAGE T RENTED
<br />REMISES Ea occurrence$500 OOO
<br />-- _
<br />X Contractual Llab.
<br />MED EXP (Any one person) s25,000
<br />PERSONAL 8 ADV INJURY $1,000,000
<br />GEN'LAGGREGATE LIMIT APPLIES PER:
<br />POLICY CT
<br />51 J LOC
<br />GENERAL AGGREGATE $2,000,000
<br />PRODUCTS -COMP/OPAGG $2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LU\BIIJTY
<br />ANY AUTO
<br />4489663
<br />4/01/2016
<br />04/01/2017
<br />COMBINED SINGLE LIMIT
<br />Ea accident 1,000,000
<br />BODILY INJURY (Per person) $
<br />IX
<br />ALL OWNED SCHEDULEDBODILY
<br />AUTOS AUTOS
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />INJURY Per accident $
<br />( )
<br />PROPERTY DAMAGE
<br />(P.,aaadent $
<br />$
<br />B
<br />X
<br />UMBRELLA L1AB
<br />X
<br />I OCCUR
<br />BE013778306
<br />4/01/2016
<br />04/01/20`17
<br />EACH OCCURRENCE s5,000,000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />AGGREGATE $5,000,000
<br />DED I X RETENTION$10000
<br />$
<br />C
<br />A
<br />WORKERS COMPENSATION15893685
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.
<br />OFFICER/MEMBER EXCLUDED? FN
<br />(Mandatory in NH)
<br />If yes, describe under
<br />N / A
<br />AOS
<br />( )
<br />15893686 (CA)
<br />4/01/2016
<br />4/01/2016
<br />04/01/201
<br />04/01/201
<br />X PER OTH-
<br />EACH ACCIDENT $1,000,000
<br />E.L. DISEASE- EA EMPLOYEE $1,000,000
<br />E.L. DISEASE - POLICY LIMIT $1,000,000
<br />DESCRIPTION OF OPERATIONS below
<br />D
<br />Professional Liab
<br />P070831600
<br />4/01/2016
<br />04/01/2017
<br />er Claim $2,000,000
<br />Aggregte $2,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
<br />Re: Annual Professional Surveying and Mapping Services, IRCO Project #1605, Project Mgr - Chris Demeter.
<br />Indian River County is named as an Additional Insured with respects to General 8r Automobile Liability where
<br />required by written contract.
<br />The above referenced liability policies with the exception of professional liability are primary 8r non
<br />(See Attached Descriptions)
<br />Is"
<br />Indian River County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Risk Mgmt ACCORDANCE WITH THE POLICY PROVISIONS.
<br />1801 27th Street
<br />Bldg. A AUTHORIZED REPRESENTATIVE
<br />Vero Beach, FL 32960 -s-_ � ,
<br />©1988-2014 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2014/01) 1 of 2 The ACORD name and logo are registered marks of ACORD
<br />#5553861 /M461305
<br />NLAR1
<br />166
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