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Insurance
ACORD~ CERTIFICATE OF LIABILITY INSURANCE OP ID lw4 DATE (MMIDONYVY) OVEC9-1 02/15/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BUTLER, BUCKLEY, DEETS INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6161 BLUE LAGOON DR, , STE 420 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. .-..-.-.,..,- MIAMI FL 33126 HtG j~W~s AFFORD Phone: 305-262-0086 NG COVERAGE NAIC# INSURED INSURER A eI Cal-mRCIAL INSURANCE CO. 33472 FEB 1~ edl nd Insurance Comoanv Overholt Construction Corp. orth R: er Insurance Co (C&F) Neal Pocq1,1ette I U 10460 SW 187 TERR INSURER 0 RID EFIELD EMPLOYERS MIAMI FL 33157 E COVERAGES RISK MAI~AGEiA'NT 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR NSR TYPE OF INSURANCE POLlCY NUMBER PD~';!~1:Mj6~>>x---e DATE'IM:,IDfr}!,.~N LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 - 02/01/08 02/01/09 PREMISES (Ea occurence) s100,000 A X COMMERCIAL GENERAL LIABILITY GLOO04775-2 I CLAIMS MADE D OCCUR MED EXP (Any 000 person) $ 5 000 PERSONAL & ADV INJURY S 1,000,000 - $2,000,000 GENERAL AGGREGATE - GEN'l AGG~EnE ~L1MIT APrlS [PER: PRODUCTS - COMPtOP AGG S 2,000,000 II PRO- POLICY JECT LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 ,000,000 B ANY AUTO RICFLOO01058 02/16/08 02/16/09 (Eaacciclent) - - ALL OWNED AUTOS BOOll Y INJURY (Per person) $ ~ SCHEDULED AUTOS ~ HIRED AUTOS BODilY INJURY S ~ NON-OWNED AUTOS {Per accident) f- PROPERTY DAMAGE S (Peraccidenl) GARAGE L1ABIl.ITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EAACC S AUTO ONLY AGG S EXCESSfUMBRELLA LIABILITY EACH OCCURRENCE S 3,000,000 C ~ OCCUR D CLAIMS MADE 553-088332-8 02/01/08 02/01/09 AGGREGATE s 6,000,000 $ R DEOUCTIBLE S RETENTION S $ WORKERS COMPENSATION AND ITOR/lIMITS I IUEir D EMPLOYERS' LIABILITY 830-29850 02/16/08 02/16/09 $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.!.. EACH ACCIDENT OFFICERlMEMBER EXCLUDED? E.!.. DISEASE - EA EMPLOYEE $1,000,000 ~~~~I:s~~'OVISfoNS below E.!.. DISEASE - POLICY LIMIT S 1 ,000,000 OTHER D EQUIPMENT FLOATER QT660-274D0514TIL-06 11/10/07 11/10/08 LIMIT 71,500 DED. 2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *30 DAYS CANCELLATION EXCEPT FOR 10 DAYS NONPAYMENT OF PREMIUM. MONROE COUNTY BOARD OF CONTY COMMISSIONERS IS NAMED AS ADDITIONAL INSURED. c.c: r; ~ <.-L..--- Or'7 k4cllL;od~ ,.., .. -..--' CERTIFICATE HOLDER CANCELLATION .P:L- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WIl.L ENDEAVOR TO MAIL 30* DAYS WRITTEN MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL COMMISSIONERS IMPOSE NO OBUGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON STREET KEY WEST FL 33040 REPRESENTATIVES. '(jRIZE;::::'RES'lJ,TIV'?f tU.... ACORD 25 (2001/08) @ACORD CORPORATION 1988 t /' �,A �' OP ID: MA ACORO" DATE (MM/DD/YYYY) 4......--- CERTIFICATE OF LIABILITY INSURANCE 01/30/12 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(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). PRODUCER CONTACT 305 - 262 -0086 NAME THOMAS C BUTLER BUTLER, BUCKLEY, DEETS INC. 6161 BLUE LAGOON DR., STE 420 INC , No. Ext): 305 - 262 - 4506 FAX No): 305 - 262 -0187 MIAMI, FL 33126 ADDRESS: TBUTLER@BBDINS.COM THOMAS C BUTLER PRODUCER CUSTOMER ID #: OVEC9 -1 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Overholt Construction Corp. INSURER A: National Trust Ins Co 20141 18635 SW 105TH AVENUE MIAMI, FL 33157 INSURER B : Harleysville Mutual Ins Co INSURER C : North River Insurance Co INSURER D: BRIDGEFIELD EMPLOYERS INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER (MM /DD/YYYY) (MM /DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY GL0004775 -7 02/01/12 02/01/13 DAMAGE TO PREMISES (Ea RENTED occurrence) $ 100,000 � CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 p 1 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 € 7 POLICY PRO - 1FCT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 I (Ea accident) B ANY AUTO BA00000098322C 02/16/11 02/16/12 BODILY INJURY (Per person) $ i ALL OWNED AUTOS I BODILY INJURY (Per accident) $ i X SCHEDULED AUTOS PROPERTY DAMAGE $ I X HIRED AUTOS (Per accident) X NON -OWNED AUTOS $ • $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 6,000,000 C 553- 094912 -7 02/01/12 02/01/13 DEDUCTIBLE $ X RETENTION $ 0 $ I WORKERS COMPENSATION WC T SATU F OTH - AND EMPLOYERS' LIABILITY Y/ N X I TORY LIMIT - X I ER D ANY PROPRIETOR /PARTNER/EXECUTIVE 830 -29850 02/16/12 02/16/13 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? I N / A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 a DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101 tl emarks'Schedule, if more space is required) FEB 01 2012 1 i CERTIFICATE HOLDER Finance Dept CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MONROE COUNTY BOARD OF THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. COMMISSIONERS i 500 WHITEHEAD ST. AUTHORIZED REPRESENTATIVE KEY WEST L-33040 r 5 G � Z 1 " G Cr• ( / J , 1 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD (