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bid dots f® CERTIFICATE LIABILITY INSURANCE I DATE (MM/DDNYYY) 1/14/2015 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 POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED - PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. .APORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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). CONTACT PRODUCER Midwest Agencies, Inc. NAME: Traci Sutton 3555 Farnam Street PHONE FAX Omaha, NE 68131 MAIL Ext: AIC No: AnnaFCS• Traci .SuttonCa)MidwestAaencieslnc.com INSURED Kiewit Infrastructure South Co. 450 Dividend Drive Peachtree City GA 30269 INSURER B: INSURER D : r'nVF0An9Q r[PRTIPIr[ATP MIIMRPR• oQnaiQOS RFVISION NIIMRFR. 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. INSR LTR TYPE OF INSURANCE ADD L SUBR POLICY NUMBER MMIDDY EFF MMIDDY EXP LIMITS A �/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR GLO 4641069 3/1/2013 3/1/2016 EACH OCCURRENCE $ 5,000,000 A Al PREM MINES Ea ocau ante ) $ 5,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PET D LOC OTHER: GENERAL AGGREGATE $ 10,000,000 PRODUCTS - COMP/OP AGG $ 10,000,000 $ A 4UTOMOBILE LIABILITY ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED PVANY AUTO HIRED AUTOS AUTOS Hawaii ✓ BAP 4641070 BAP 4641081 3/1/2013 3/1/2013 3/1/2016 3/1/2016 Ea act deD SINGLE LIMIT $ 5,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ B �/ UMBRELLA LIAB EXCESS LIAB / OCCUR CLAIMS -MADE ✓ AUC 9141395 AEC 5965269 3/1/2013 311/2014 3/1/2016 3/1/2015 EACH OCCURRENCE $ 25,000,00 AGGREGATE $ 25,000,000 DED I I RETENTION $ $ C WORKERS COMPENSATION EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA WC 4641067 EWS4641068 3/1/2013 3/1/2013 3/1/2016 3/1/2016 / STATUTE ER AND E.L. EACH ACCIDENT _ __ $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 E.L. DISEASE - POLICY LIMIT $ 2,000,000 D E F Equipment/Property US00063521 CA14A UNS2520066.14 D37400397 003 8/15/2014 8115/2016 $50,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) City of Sunny Isles Mimi"L, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1 Philip G. Dehn ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERT NO.: 23061898 Jamie Cooper 1/14/2015 4:02:58 PM (EST) Page 1 of 6