Loading...
HomeMy WebLinkAboutCERTIFICATE OF LIABILITY INSURANCECERTIFICATE OF LIABILITY INSURANCE 11/14122016 DATE(MMYY) 016 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(tes) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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). PRODUCER Ann Risk Services southwest, Inc. SCANNED Houston TX Office CONTACT NAME (nlc No.4t: (866) 283-7122-c-No.: (800) 363-0105 5555 San Felipe B\/ Suite 1500 Houston TX 77056 USA St. Lucie EJAAIL ADDRESS: County INSURER(s) AFFORDING COVERAGE NAIC0 INSURED INSURERA' steadfast xnsurance Company 26387 ATC Group Services LLC 221 Rue De Jean WSURER B: Zurich American Ins Co 16535 INSURER C: Suite 200 Lafayette LA 70508-3283 USA INSURER D: INSURER E: .SURER F: COVERAGES CERTIFICATE NUMBER: 570064451247 REVISION NUMBER: 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD we POLICYNUMBER fMWDDIYYyT1 IMMIDDININIIUNITS MMERCW.GENERALLIABILITY GPL EACHOCCURRENCE S1,000,000 CUUMS.MADE ❑X OCCUR #—CjO PREMISES Ee armren� 5100, 000 MED EXP(My one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER GENERALAGGREGATE $2,000,000 POLICY EPROECT ❑ LOC J PRODUCTS -COMPIOPAGG $2,000,000 OTHER: a AUTOMOBILE LWBILRY BAP0217109-01 11/13/201611/13/2017 COMBINED SINGLE LIMB E 'Gant $1,000,000 BODILY INJURY(P., pe,mn) X ANYAWO BODILY INJURY (Per ecuden0 OWNED SCHEDULED AUTOS ONLY AUTOS % HIREDADroS X NO"WNED ONLY AUTOS ONLY PROPaERTYDAMAGE UMBRELLALIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIA6 H CLAIMS -MADE OED RETENT B WORXERSCOMPENSATIONAND EMPLOYERS' LUUiILmY YIN ANYPROPRIETORIPARTNERIEXECUTrvE wc021711101 11 13 2016 11 13/3017 X PER STAMM OTH. ER E.L.EACHACCIDENT E1,000,000 FJV OFFICMEMBEI EXCLUDED? (Myaendatory In NH) NIA E.L. DISEASE -EA EMPLOYEE $1,000,000 OESLRBPTION OF OPERATIONS Deb w EL.DISEASE-POLICYLIMIT $1,000,000 A Env Contr Poll G7021708501 11/13/2016 11/13/2017 Policy Aggregate 1,000,000 Each Incident S1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/ VEIBCLES (ACORD 101, Additional Remarks Schedule, may W aftach.d if mom space is required) RE: Client Services Agreement. Evidence of Insurance. Contractual Liability is included under the General Liability policy. CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W ACCORDANCE WITH THE POUCYPROVISIONS. ATC Group Services LLC AUTHORCED REPRESENTATIVE 221 Rue Be Jean, suite 200 Lafayette LA 70508-3283 USA 'Qrn ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 2 r V N en 0 n N AGENCY CUSTOMER ID: 570000067092 LOC N: ® ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMED WSUREO ADD Risk services southwest, Inc. ATC Group services LLC POLICYNUMBER see certificate Number: 570064451247 CARRIER NAICCODE see certificate Number: 570064451247 EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE I NAIC # ADDITIONAL POLICIES If a policy below does not include limit information, refer to the comsponding policy on the ACORD certificate form for policy limits. INSR LrR TYPE OF INSURANCE ADDL INSU SUBR WVD POWCYNUMBER PoLI EFFECrNE DATE (MM/DDNYYY) POLICY EXPIRATION DAZE (M1DN/DDIYYYV) IANITS OTHER A E&O-PL-Primary GPL021708501 11/13/2016 11/13/2017 Policy Aggregate $1,000,000 Each Incident $1,000,000 ® 2008 ACORO CORPORATION. All rights Dreamed, The ACORD name and logo are registered marks of ACORD Fernando M. Carrasco Senior Steel Inspector AWS-CWI PROFESSIONAL SUMMARY After a 20-year career in the U.S. Navy, including 19 years of experience in fabrication, welding, repair and inspection of critical systems on conventional and nuclear powered ships and submarines, Mr. Carrasco entered private industry with ATC in April 1999 and has been the lead structural steel inspector for numerous projects in the southeast. During his inspections, Mr. Carrasco's ensures that all structural steel connections are performed in accordance with project plans and specifications. During his time with ATC, Mr. Carrasco has also gained experience in materials testing and is qualified to perform testing for soils, concrete, masonry, post -tensioning, and threshold inspections. PROJECT EXPERIENCE • New World Symphony, Miami, FL Provided Structural Steel inspections and weld procedures. Visual and non-destructive test inspections of welding and bolting of all structural steel field and shop connections. • 60 Story Jade Signature Building, Sunny Isles Beach, FL Provided Structural Steel inspections and weld procedures. Visual and non-destructive test inspections of welding and bolting of all structural steel field and shop connections • Pompano Park Raceway Casino, Pompano Beach, FL Provided Structural Steel inspections and weld procedures. Visual and non-destructive test inspections of welding and bolting of all structural steel field and shop connections • United States Postal Service Processing Facility, Opa Locka, FL Provided Structural Steel inspections involving review of welder's certification records and weld procedures, visual inspections of welded and bolted connections. • Numerous commercial, residential and industrial projects. Performed materials testing involving Swiss Hammer Testing, Windsor Probe Testing, Ultrasonic Testing, Radiographic Testing, Magnetic Particle Testing, Dye Penetrant Testing, Pachometer Locating and Structural Steel visual inspections. PROFESSIONAL REGISTRATIONS • Welding Inspector, AWS/CWI #99070021 • Journeyman Nondestructive Tester, #15613 TRAINING AND CERTIFICATIONS • American Welding Society -Certified Welding Inspector • Ultrasonic Testing Level II Certified • Level III Examiner Testing -Non -Destructive Testing Metals School, US Navy • Development of Skills and Techniques found to be successful in Leadership and Management, San Diego, California • Theory, Methods and Application of the following inspection processes; Radiographic Film Interpreter • Theory, Methods and Applicatcn of the following inspection processes; Visual and Dimensional, Liquid Penetrant, Magnetic Particle and Radiography • Theory, Methods and Application of the following inspection processes; Ultrasonic testing (thickness and silver braze) • Brazing, MMA, TIG and MIG welding, Oxyacetylene Welding and Cutting, Sheet Metal Fabrication, Plumbing and Piping System Repair, Philadelphia, Pennsylvania ATC hire date: 2004 Alexis E. Paniagua, P.E. s�TC Branch Manager / Principal Engineer PROFESSIONAL SUMMARY Mr. Paniagua is a Senior Geotechnical Engineer and Branch Manager forATC's Miami office. As branch manager, Mr. Paniagua is in charge of overseeing all operations for the Miami Branch. As a professional engineer, Mr. Paniagua is in charge of managing all geotechnical investigations, property condition assessments, special inspections and materials testing operations for the Miami branch, including: client relation and business development, writing technical reports, performing field inspections as well as reviewing and signing all material testing, geotechnical and special inspection reports. Before joining ATC, Mr. Paniagua held positions with geotechnical and development firms were he was involved with the design, management and supervision of the geotechnical and constructions aspects for high rises, commercial and residential projects. PROJECT Geotechnica/— Materials Testina and Inspections • Flagler Station / Medley, FL. (812006 to 5/2016) - Professional engineer in charge of all materials testing, special inspections and supervision of threshold inspections for numerous large warehouses and office buildings within Flagler Station. Testing and inspections include: foundation inspections, soil and concrete field and lab testing, structural steel inspections, fireproofing testing, glassing inspections, floor flatness testing, reinforcing steel inspection, masonry testing, roofing inspections, asphalt placement inspection and testing and threshold inspections. • Wawa / Orlando, FL. (1/2012 to 6/2016) - Professional engineer in charge of all materials testing, special inspections for numerous Wawa stores In Central Florida. Testing and inspections include: foundation inspections, soil and concrete field and lab testing, structural steel inspections, reinforcing steel inspection, masonry testing and inspections, metal deck inspections, asphalt placement inspection and testing. • Buckeye Terminal Ethanol Tank / Port Everglades, Fort Lauderdale, FL. Performed the geotechnical investigation and provided the evaluation and foundation recommendations per API Standard 650 for a new 25 million gallon flat bottom ethanol storage tank. • County Line Phase I, Miami, FL. (312016). Performed the geotechnical investigation and recommendations for a warehouse development project on 110 acres landfill site. The project consisted of construction of twelve large warehouse buildings founded on an existing C&D landfill site. Foundations options included deep foundations and shallow foundations over dynamically improved in -situ materials that would allow for the C&D material to remain on site. • Double Tree Convention Centre / Miami, FL (4/2010 — 7/2010). Project consisted of remodelling the existing structure, imposing additional loads to the existing foundations. Due to no as -built plans and design information available for the existing structure, a geotechnical investigation and survey of the foundations was performed. Using sophisticated finite element analysis software, Mr. Paniagua was able to provide the client the needed information and design recommendations to proceed with the project. • E & H Boat Works Marina — Boat Storage Building / Palm Beach Gardens, FL (3/2008 — 5/2008). Performed geotechnical investigation and design recommendations for this five stories boat storage building with interior crane system. Using a powerful finite element analysis software, Mr. Paniagua was able to provide the client with a shallow foundation design based on soil improvements which greatly reduced the foundation cost. ATC hire date: 08/2006 Branch office: Miami, FL Alexis E. Paniagua, P.E. Page12 • Miami International Airport - North Terminal / Miami, FL (8/2006 — 612008). Professional Engineer in charge of construction materials testing and inspections for this $1.8 billion construction project through 2008. This inspection and testing services included the following: soils testing, concrete testing, non- destructive testing, welding inspections, x-ray, ultrasonic, fireproofing, dye penetrant testing, magnetic particle testing, roofing and asphalt testing and inspections. • One Bal Harbour / 10275 Collins Avenue / Miami, FL (812006 to 8/2008). Professional Engineer in charge of especial inspections and construction materials testing services for a 26-story hotel / condo project including: concrete & soil testing, post tensioning, windows installation and structural steel inspections. Supervised engineer and representative in charge of threshold inspections and provide quality control. Geotechnical Design, Inspections & Materials Testing / University of Miami - Numerous Projects \ Miami, FL (8/2006 — 1212015). As a long term client, Mr. Paniagua has performed numerous geotechnical investigations for new construction within the University of Miami campus. Since joining ATC, Mr. Paniagua has been involved with the geotechnical design, construction inspections and materials testing for the following projects: Alex Rodriguez Baseball Park, Cox Neuroscience Building, New Ambulatory Building, Lakeview Dorm Buildings, Wellness Centre Building Addition, Basketball Practice Building, Fernandez Building, University Village Townhouses as well as roadway improvements and other small additions throughout the campus. • The Miami -Dade Busway / Miami, FL (8/2006 — 8/2008). Professional engineer in charge of construction materials testing including: concrete testing, soil testing, asphalt monitoring and testing and structural steel inspections (bus stops) for the bus way road that extends from SW 220 Street to Florida City. Threshold Inspections, Construction Materials Testing and Geotechnical Inspections / New World Symphony Miami Beach, FL (2/2008 to 11/2010). Geotechnical engineer of record including design recommendations, managed threshold inspections and was the engineer in charge of construction materials testing and special inspections for the complex steel structure that incorporates state-of-the-art communication and acoustic technology, classrooms, performance hall in the heart of Miami Beach. Testing and inspections include: pile installation inspections, soil and concrete field and lab testing, structural steel inspections, fireproofing testing and threshold inspections. • Pennsylvania Parking Garage, Miami Beach, FL. (7/2008 to 8/2010) Geotechnical engineer of record including design recommendations, managed threshold inspections and was the engineer in charge of construction materials testing and special inspections including: concrete and soils field/lab testing, pile foundation inspections, glassing installation inspections (store front area), barrier cable installation inspections and supervised engineer and representative performing the threshold inspections. • Construction Materials Testing / Numerous Commercial and Retail Developments / South Florida (8/2006 — Present). Special inspections and materials testing services for numerous local developers and national clients such as Home Depot and Costco among others. • Geotechnical Investigations and Foundation Design / Numerous High Rises, Commercial, Residential and Communication Facilities throughout South Florida (8/2006 — Present). • Completed numerous Property Conditions Assessments (PCA) for a variety of projects, including: Wynwood Portfolio Miami, Florida; 605 Lincoln Rd., Miami Beach, Florida; 1600 Harbor Place, Miami, Florida; etc. AT C G ro u p 5 e ryi c e s. co m Alexis E. Paniagua, P.E. Page13 PROFESSIONAL REGISTRATIONS • Florida Professional Engineer— License # 62519 EDUCATION • B.S. Studies, Civil Engineering, Florida International University, 1997 TRAINING AND CERTIFICATIONS • Business Finance for Engineers and Architects, Universidad Catblica, Santo Domingo, March 2000 • Construction Cost Estimating ACP, Mercado Media Network, Santo Domingo, November 2000 • Project Administration & Microsoft Projects, Brainstorm, Santo Domingo, March 2004 • Sunshine State One Call of Florida, ITE Training, August 2004 • Hubbell/Chance Power Systems, Helical Pier Foundation & Anchor, April 2005 ` Florida Dept. of Transportation CTQP Asphalt Plant Level 1 • Florida Dept. of Transportation CTQP Asphalt Paving Level 1 • Florida Dept. of Transportation CTQP Asphalt Mix Designer PROFESSIONAL AFFILIATIONS • ASCE Dade County Board Member, 2005-2006 • American Society of Civil Engineers (ASCE) Member ATC G ro u p 5 e ryi ce s. co m Sta 6 Is -licensed as a Profess 'onal-jEnginee 'und Expiration: 2/28/2019 'U jrtl r, Audit No: - 228201914325 R !JE� Ida F„�B„PE IL( II)AH ARD 11 471, Florida Statutes P.E. Lic. No: 62519