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04/03/2018
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04/03/2018
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Last modified
1/11/2021 3:07:46 PM
Creation date
4/17/2018 5:18:30 PM
Metadata
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Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
04/03/2018
Meeting Body
Board of County Commissioners
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� <br />ACORD® CERTIFICATE OF LIABILITY INSURANCE <br />`66� 6/30/2018 <br />DATE (MM/DD/YYYY) <br />1 3/14/2018 <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 LOCKTON COMPANIES <br />CON <br />FAX <br />TC No <br />AIC. <br />444 W. 47TH STREET, SUITE 900PHONE <br />KANSAS CITY MO 64112-1906 <br />(816) 960-9000 <br />E-MAIL' <br />ADDRESS: <br />Y <br />N <br />INSURER(SI AFFORDING COVERAGE NAIC it <br />INSURER A: Greenwich Insurance COm an 22322 <br />6/30/2018 <br />INSURED APTIM ENVIRONMENTAL & INFRASTRUCTURE, INC. <br />1430625 A SUBSIDIARY OF APTIM HOLDING CORP. <br />INSURER B: XL Specialty Insurance Compoy 37885 <br />INSURER C: <br />INSURER D: <br />4171 ESSEN LANE <br />BATON ROUGE LA 70809 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 15267R52 REVISION NUMBER: XXXXXXX <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 />?NSR <br />LTR <br />OF INSURANCE <br />ADDLTYPE <br />INSD <br />S VD <br />POLICY NUMBER <br />MMIDDI EFF <br />MMIDo EXP <br />YY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE a OCCUR <br />Y <br />N <br />CGD7409602 <br />6/30/2017 <br />6/30/2018 <br />EACH OCCURRENCE $ 2.000,000 <br />PREMISES Ea occurrence $ 300,000 <br />MED EXP (Arty one person) $ 10,000 <br />X BROAD FORM PD <br />X CONT.LIAB & XCU <br />PERSONAL&ADV INJURY $ 2,000,000 <br />GEMLAGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE $ 4.000.000 <br />POLICY F7, JEEl LOC <br />PRODUCTS -COMP/OPAGG $ 4,000,000 <br />$ <br />OTHER: <br />A <br />AUTOMOBILE LIABILITY <br />Y <br />N <br />CAD7409603 <br />6/30/2017 <br />6/30/2018 <br />COMBINED D SINGLE LIMIT 2,000,000 <br />BODILY INJURY (Per person) $ XXXXXXX <br />ANY AUTO <br />BODILY INJURY (Per accident) $XXXXXXX <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />IX <br />X HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE $ XXXXXXX <br />Per accident <br />$XXXXXXX <br />UMBRELLA LIABOCCUR <br />HCLAIMS-MADE <br />NOT APPLICABLE <br />EACH OCCURRENCE $ XXXXX7 x <br />AGGREGATE $ XXXXXXX <br />EXCESS LIAB <br />DEC) I I RETENTION$ <br />$ XXXXXXX <br />B <br />B <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory In NH) <br />N / A <br />N <br />CWD7409600 (AOS) <br />CWR7409601T(WI) <br />INCLUDES STOPGAP <br />6!3012017 <br />6/30/2017 <br />6/30/2017 <br />6/30!2018 <br />6/30/2018 <br />6/30/2018 <br />PER OTH- <br />%� STATUTE R <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached if more space is required) <br />RE: APTIM CONTRACT NO.: 631235305; CUSTOMER REFERENCE NO.: 2018029; PROJECT LOCATION: INDIAN RIVER COUNTY, FLORIDA; PROJECT <br />DESCRIPTION: CONTINUING COASTAL ENGINEERING & BIOLOGICAL SERVICES FOR SECTOR 5 (CITY OF VERO BEACH) BEACH AND DUNE, <br />RENOURISHMENT PROJECT. / INDIAN RIVER COUNTY IS INCLUDED AS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY AND <br />AUTO LIABILITY COVERAGES, THESE COVERAGES ARE PRIMARY AS REQUIRED BY WRITTEN CONTRACT. 30 DAYS NOTICE OF <br />CANCELLATION APPLIES (EXCEPT FOR NON -PAY). <br />CERTIFICATE HOLDER CANCELLATION <br />15267852 <br />INDIAN RIVER COUNTY <br />1801 27TH STRE <br />STREET <br />VERO BEACH 32960 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESEN7L <br />©1988L2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />261 <br />
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