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Home My WebLink Aboutcertificate of liabilityMAY-29-01 07:35 FROM:CTE ID:9S44301433 PAGE 2/2 I4ay-23-2101 U4:42asm From-KEYES C3VERALc i 9E4I24IO2i T-BI1 P,O112J0�2 F-468 teL/M1 , totr(t UN LlAtilL! FY INSURANCE 1 DATY(Is1ImDM,, 05/23/2001 (954) 724-7000 FAX (954) 724-7024 THIS CERTIFIcATESSIEST--EDASAMATTEROFINFORMATION Keyes Coverage, Inc. ONLY Aria coNC NO RIGHTS UPON THE CERTIFICATE 1201HOLDEWest Iic!�db Road R. THIS CE RCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES OEtow. Tamarac, Fi,. 3332x immum Consul -Tech Engineering, Inc. 3141 Commerce Parkway Miramar Park of Con*rce MiramDar, FL 330Z5 INSURERS AFFORDiND COVERACE +hsuRERA'. Hartford Insurance Co of the Southeast MOM s: Hartford Casualty insurance Company LxsuRERQ Twin City Fire Insurance Company Wamu:xn: Continental Casualty Company COVERAGES THE POLICIES OF INSURANCE ism BELOW HAVE BEEN ISSUES TO The INSURED NM,ED ABOVE FOR Tlis POI4CY PERIDP INDICATEP. NOTWITHSTANDING ANY PEQUIREMENT, TI;.RM OR CQND(TION OF ANY CONTRACT DR crrHsR DOCUMENT WITH RESPECT TO WF11CM NIS CERTIFICATE MAY BE I$SUEO CR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS Su8JECY TO ALI THE TEAJ45 EXCZUS1ofS AND COW:MONS OF SUCK Pout s. AGGREGATE LUTE SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS. L I1R TYPE OF INSURANCE POLICY Nu11BPR �M000011 DATE yntlale OS/24/2001 05/24/2002 3agrAL UAAWTr X C.:SWAMI& GERETIAL LIAR4.rTY coalswagQ occum SOIL AGGREGATE UNIT APPLES P!}C I`OLJL r A n LOC ALTopn LABILITY X ANY AUTO ALL OWNED AUTOS %MEDIAE° Autos X NIRED AUTOS X NON -OWNED Autos 215BKLAT040 21.UENLH8022 05/24/2001 05/24/2002 QUM sAcsi or-tuARENce. $ 1,000.000 nng Dumow uvn aw 11r•) $ 300.000 MO RP (Any am wean $ 10 , 000 PERSONAL 1 ADV INJURY i 1, 000, 000 GENERAL AGGREGATE s 2,000,000k PRODU fl . coM 1OP ACG 4 2,000,000 4suaG LuwT MovAWw 111DILY INJURY MW Donn 1. 000, 000 Mir peciong $ (Potty museum aARoce UMELITY ANTAUTQ > sORS5LIABRITY LiCGUR E CLAM MADE ono ULT IGT.E RSTENtoosi 21SIK1A7040 05/24/200105/24/2002 UMBRELLA COVERAGE NORS056 COMPENSATION MID LABILITY 2xl8rw094 0 Meets a Engineers Professional Liability AEA1.14034039 05/24/2001 OS/24/2002 1 AUTa0NLY- EA Acemsp T 1 OTEE THAN EA ACC 4 All'ro GNLY. AUG 4 EACi1 QCCURIIENCE s 2,000j11001 AseiremvE ?,000,000 x l T uPL l Nr. ELEACIlAcciPtNT �1 500,000 ru. DISEASE . EA61�IPLOYEA s 500,000 a -POLICY LW T' $ i,000.00d 05/24/2001 0S/24/2002 Limit of Liabi'iity $1,000,000 MSCRPTIoN OF OFSRATION54.0CATION:WENICWNIMUL5IONS ADDED RY ENDOStrziatiTiSPECIAL FROVIS10N4 _ERTIFICATE HOLDER _ j [ AaomC*A. &sumo: w3URFRLATTISt CANCELLATION FOR INFORMATION ONLY!!! (CORD 254 (7/97) HHOULD ANY 4F THE AsoNE De5CrasED POLICIES 9E CANONLLF.a 1EFORE TR4 nsuctoM DATE T$44EoF THE MUM COMPANY wa,. ENDRAVOR TO MALI- 30 Urn mimosa NQnc4 To Trio cZRT(RGATE multi NAMED TO TNR LPFY, Our Miaow To ,we. Coco hand oewt OW= I QOLIGATIQII OR Lamm( OF ANY IOW UPON THE COMPANY, ;Ts A4ENTS OR REPRFa9CNTATIVern otrrODIOZED PSZPROMENTATNE 1••••• Carey KeyesIXEYS7 ale rtelnri rnn nnnw•, ,.. •eo• Carol Cann To: Encumbrance Administrator/CO/FDOT@FOOT 02/26/2002 11:17 AM cc: Subject: encumbc - 41 165813201 & 41 165913201 (Consul -Tech) CORRECTION STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION FORM 350-020-01 ENCUMBRANCE INPUT FORM COMPTROLLER -FIN ADMIN 3/99 RUSH ,—.(Needed by // (date)) Reason for RUSH : r____ Advertise (Letting Date) _ — Award _ LOA Supplemental ____ Renewal XX New Addition Court Order Overrun Termination/Cert of Comp Correction Contract # C8286 Contract Type _CA Method of Procurement _C_ Vendor Name _CONSUL -TECH TRANSPORTATION Vendor ID VF 592197377-008 Has Written/Verbal Approval from a Participating Federal Agency been received Yes _XX No Fed Agmt Amt State Funds Local Funds Beginning date of this Agmt: 02/27/02(Must be after fund approval) Ending date of this Agmt: 02/27/04(Estimate if necessary) Execution date of this Agmt: _// (Only on original agreements) Has work been authorized to begin? Yes _XX No Have standard financial provisions been altered by contract terms? _Yes XX_ No If so, show Revision date: Does this agreement and/or change order include provisions for reimbursement to D.O.T. from other entities? Yes _XX No ****************************************************************** Brief Description of Work/Comments: GENERAL CONSULTANT ENGINEERING SERVICES a l ****************************************************************** ORG-CODE *EO * OBJECT * AMOUNT *FIN PROJ or JOB # *FCT (FISCAL YEAR) (FUND) alpha 55 062020629 *PT * /.i501* $_207,500 _ * 41165813201 *119 (DS) (o1/02) 55 063030643 *PD * 13121 * $ 400,000 * 41165913201 *119 (xx/xx) (xxxx) 55 xxxxxxxxx *xx * xxxxxx * $ (xx/xx) * xxxxxxxxxxx *xxx (xxxx) TOTAL AMOUNT * $ 607,500 Originator:_CAROL CANN DATE SENT:_02/26/02_ PH/SC:_429-5457_ E-mail USERID(s) PM626CC ****************************************************************** TO BE COMPLETED BY OFFICE OF COMPTROLLER BUDGET ENTITY 100100 CATEGORY 088809-02;088849-02 WORK PROGRAM VERIFICATION ALLOTMENT CI NEW 6S LINE FUNDS APPROVED BY FOR ROBIN M. NAITOVE, CPA, OK YEAR DATE CHECKED 0001 0002 Josephine Jones COMPTROLLER DATE: 02/26/2002 Carol Cann To: Encumbrance Administrator/CO!FDOT@FDOT I�� 03l1412002 02:55 PM cc: Subject: encumbc - C6288 (FINAL VERSION) ■ Renuka, This is the final version of this encumbrance. Please correct the object code for the $207,500 encumbered in 01/02 from 790072 to 131501. Also, ('ve been requested to add 6500,00 41 1135813201 in year 01/02 (See below). Thanks. Forwarded by Carol Cann!DB/FDOT on 03/11/2002 11:00 AM MI Carol Cann 02/28/2002 11:17 AM To: Encumbrance Adm(n)etratorICO/FDOT@FDOT cc: bee: Subject: encumbc - C8288 (FINAL VERSION) STATE OW FLORIDA DEPARTMENT OF TRANSPORTATION FORM 350-020-01 ENCUMBRANCE INPUT FORM COMPTROLLER -FIN ADMIN 3/99 RUSH tNeedad by _/_/_ (date)) Reason for RUSH : _ Advertise (Letting bate) _ Termination/Cert of Comp _ Award — LOA _ Supplemental Renewal _XX_ Correction New Addition Court Order Overrun Contract 8 _C82136 Contract Type _CAT Method of Procurement _C Vendor Name _CONSUL -TECH TRANSPORTATION Vendor ID VF 592197377-008_ Has Written/Verbal Approval from a Participating Federal Agency been received Yee _XX No Fed Agmt Amt State Funds Local Funds Beginning date of this Agmt: _N/A_ (Must be after fund approval) Ending date of this Agmt: N/A_ (Estimate if necessary) Execution date of this Agmt: ^/^/_ (Only on original agreements) Has work been authorised to begin? Yea _IXNo Have standard financial provisions been altered by contract terms? Yes XX No If so, show Revision date: Does this agreement and/or change order include provisions for reimbursement to D.O.T. from other entities? _ Yes XX^ No Brief Description of work/Comments: GENERAL CONSULTANT ENGINEERING SERVICES. TOTAL MAXIMUM AMOUNT OF CONTRACT IS $6,457,500,00 ORG-CODE *EO * OBJECT • AMOUNT (FISCAL YEAR) (FUND) alpha *FIN PROJ or J09 44 *FCT 55 062020629 *PT • 131501 * $ 500,000 * 41165813201 *119 (01/02) (DS) 55 062020629 *PT * 131501 • $750,000 * 41165813201 *119 (02/03) IDS) 55 062020629 *PT * 131501 * 8_1,000,000^ * 41165813201 *119 (03/041 (DS) 55 062020629 *PT • 131501 • 8_1,000,000 • 41165813201 *119 (04/05) (DS) 55 063030643 •PD • 131521 * $500,000 * 41165913201 *119 (02/03) IDS) 55 063030643 •PD * 131521 • $ 600,000 • 41165913201 *119 (03/04) (DS) 55 063030643 *P0 * 131521 • 8_1,000,000_ • 41165913201 *119 104/05) (DS) 55 063030643 •P13 • 131521 • $500,000 * 41165913201 *119 (05/06) (DS) TOTAL AMOUNT * $_5,850,000^ • Originator:_CAROL CANN DATE SENT: 03/14/02PH/SC:_429-5457_ E-mail USERID(a) PM626CC TO BE COMPLETED BY OFFICE OF COMPTROLLER BUDGET ENTITY _100100 CATEGORY 008809-02 WORK PROGRAM VERIFICATION OK ALLOTMENT YEAR DATE CHECKED CI _FUTURE YR.ADDED 6S LINE _0001_ FUNDS APPROVED BY Josephine Jones FOR ROBIN M. NAITOVE, CPA, COMPTROLLER DATE: _03/15/2002_