Certificates of InsuranceACORO
CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD"YM
`� 1 12/01/2011
PRODUCER 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HAROLD MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
D/B/A C & C CONSULTANTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O BOX 701340
ST CLOUD, FL 34770-1340 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURERA: ARCH INSURANCE COMPANY
U.S WATER SERVICES CORPORATION INSURERB:
4939 CROSS BAYOU BOULEVARD INSURER C:
NEW PORT RICHEY, FL 34652 INSURER D:
I INSURER E:
COVERAGES
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.
NSR
DD'
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE IMMIDDIYYYYI
POLICY EXPIRATION
LIMITS
A
Y
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
rED
PREMISES Ea occurrence
$ 100,000
X COMMERCIAL GENERAL LIABILITY
—XI
GWPKGO077206
11/30/11
11/30/12
CLAIMS MADE I OCCUR
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
E 1,000,000
GENERALAGGREGATE
E 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMP/OP AGG
$ 3,000,000
PRO X LOC
POLICY JECT
A
Y
AUTOMOBILELIABILITY
COMBINED SINGLE LIMIT
$ 1,000,000
X
ANY AUTO
GWPKGO077206
11/30/11
11/30/12
(Ea accident)
BODILY INJURY
$
ALL OWNED AUTOS
SCHEDULED AUTOS
AP p BY
(Per person)
X
BODILY INJURY
HIRED AUTOS
BY
V
X
NON -OWNED AUTOS
W
/�n1�n" "
(Per accident)
_
ll �j
PROPERTY DAMAGE
$
(Per accident)
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
A
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
E 5,000,000
AGGREGATE
y 5,000,000
X OCCUR CLAIMS MADE
GWFXS0077201
11/30/11
11/30/12
EXCESS OF GENERAL
LIABILITY, AUTO LIABILITY
a
$
DEDUCTIBLE
& EMPLOYERS LIABILITY
$
RETENTION $
WORKERS COMPENSATION
WC STATU- OTH-
AHD EMPLOYERS' LIABILITY Y / N
TORY MIT
E.L. EACH ACCIDENT
E
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
E.L. DISEASE - EA EMPLOYEE
E
(Mandatory in NH)
If yes, describe under
E.L. DISEASE - POLICY LIMIT
E
SPECIAL PROVISIONS below
OTHER
)ESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER LISTED AS ADDITIONAL INSURED FOR COMMERCIAL GENERAL LIABILITY AND AUTO LIABILITY AS THEIR
NTEREST MAY APPEAR.
:ERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
MON ROE COUNTY BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
3583 SOUTH ROOSEVELT BOULEVARD IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
KEY WEST, FL 33040 REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE 10 LOSA
CORD 25 (2009101) 01988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and loco are rea)stered marks of ACORD
6 C,
AcoR ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YIYY)
�� 11 /28/2014
PRODUCER 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HAROLD MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
D/B/A C & C CONSULTANTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O BOX 701340
ST CLOUD, FL 34770-1340 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURERA: ARCH INSURANCE COMPANY
U.S WATER SERVICES CORPORATION INSURER B:
4939 CROSS BAYOU BOULEVARD INSURER C:
NEW PORT RICHEY, FL 34652 INSURER D:
I INSURER E:
[daPl � 7Tci:9
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.
INSR
DD'
OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY EXPIRATIONTYPE
LIMITS
A
Y
GENERALLIABILITY
EACH OCCURRENCE
s 1,000,000
PREMISES Ea occurrence
E 100,000
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE 5XI OCCUR
GWPKGO077209
11/30/14
11/30/15
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERALAGGREGATE
$ 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 3,000,000
POLICY PRO X LOC
A
Y
AUTOMOBILELIABILITY
ANY AUTO
GWPKGO077209
11/30/14
11/30/15
COMBINED SINGLE LIMIT
(Ea accident)
$ 1,000,000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
S
AUTO ONLY: AGG
A
EXCESS/UMBRELLA LIABILITY
X OCCUR CLAIMS
DEDUCTIBLE
GWFXS0077204
EXCESS OF GENERAL
LIABILITY, AUTO LIABILITY
& EMPLOYERS LIABILITY
11/30/14
11/30/15
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
S 5,000,000
$
$
$
RETENTION $
WORKERS COMPENSATION IA
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBER EXCLUDED?
WC STATU- OTH-
Y
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
(Mandatory In NH)
ff yea describe under
SPECIAL PROVISIONS below
4AP
#Y_!
E.L. DISEASE - POLICY LIMIT
$
OTHER
N/A
CC
1G
lk
4 -
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE LISTED AS ADDITIONAL INSURED FOR COMMERCIAL GENERAL
LIABILITY AND AUTO LIABILITY AS THEIR INTEREST MAY APPEAR.
MONROE COUNTY ROW
1100 SIMONTOIJ+ �30 �iQl
KEY WEST, FL 33040
080338 dOA 03113
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILLf]XXO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
25 (2009101) 01988-2009 ACORD CORPORATION. All rights reserved.
The ACORD name and loao are reaistered marks of ACORD
DATE JMWODNYYY)
RQ� CERTIFICATE OF LIABILITY INSURANCE I 0612812016
PRODUCER 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
LOUTS MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
LOUTS J. MORRISON C & C CONSULTANTS ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P 0 BOX 701340
ST CLOUD, FL 34770-1340 INSURERS AFFORDING COVERAGE NAIC #
INSURED INSURERA: ARCH INSURANCE COMPANY
U.S WATER SERVICES CORPORATION INSURER s: ALLIED WORLD ASSURANCE COMPANY
4939 CROSS BAYOU BOULEVARD € INSURER c
NEW PORT RICHEY, FL 34652 INSURER D: —
COVERAGES
TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED
OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT
HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLN;Y NUMBER
POLK:Y EFFECTIVE
POLICY ?ION
LIMITS
EACH OCCURRENCE
$ 1,000,000
LIABILITY
100,000
sLAIMS
ERCIAL GENERALLIABILITY
GWPKG0077210
11/30/15
11/30/16
ERkMISE&_tEEsrocel--
MED EXP An ona erso
S10,000
MADE 1 OCCUR
1,000,000
PERSONAL&ADVINJURY
S
- -GENERALAGGREGATE
S 3000,000
PRODUCTS _COMP/OP AGG____3,000,000
7ALL
REGATE LIMIT APPLIES PER:
Y--LOC—---
I ELIgpIUTY
COMBINED SINGLE LIMIT
a accident)AUTO
S 1,000,000
GWPKGO077210
11/30115
11/30/16
WNED AUTOS
BODILY INJURY
(Per person)
S
SCHEDULED AUTOS
X HIRED AUTOS
BODILY it
(Per accident)
S
X NON -OWNED AUTOS
.. _.____.._.._ .-_—._. __-._.._........
_. .._
PROPERTY DAMAGE
$
(Per accident)
AUTO ONLY - EA ACCIDENTANY
ARAGBLUI&UTY
JEXCESS
AUTO
OTHER THAN EAACC
S
AUTO ONLY: AGG
S
A
IUMBRELLALIABILITYS,00000O
-
X ] OCCUR CLAIMS MADE
GWFXS0077205
11 /30/15
11 /30/16
AGGREGATE
S_ 5,000,000..
__z
L _
EXCESS OF GENERAL
s
LIABILITY, AUTO LIABILITY
DEDUCTIBLE
& EMPLOYERS LIABILITY
-
RETENTION S
WC STATU-
WORKERB COMPENSATION_-___
SDRYllOAIIS
AND EMPLOYERS' LIABILITY Y IFN
E.L. EACH ACCIDENfi�
$ i%
ANY PROPRIETORIPARTNERIEXECUTIVE
'�
OFFICERIMEMBER EXCLUDED?
E.L. DISEASE- EA EMPL=E
S
(Mandatory In NH)
It n, OescriDe urMer
--v
E,L. DISEASE - POU IT S
E U1L PR t I. N low
OTHER
5/26/16
5/26/17
�
$5,000,OOOLIMIrTl$5,000,OO�AG
B
CONTRACTORS POLLUTION LIABILITY
0310A627
$2,000,000 LIMIT/$5,000,060-AGO
PROFESSIONAL LIABILITY
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
OF COUNTY COMMISSIONERS ARE LISTED AS ADDITIONAL INSURED ON COMMERCIAL GENERAL
MONROE COUNTY BOARD
LIABILITY, AND CONTRACTORS POLLUTION LIABILITY AS THEIR INTERESTS MAY APPEAR.
LIABILITY, AUTOMOBILE
:;ERTIPlGAlt n L.LJCM — ---- -
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. THE ISSUING INSURER NIILL�KXP MAIL _30 _ DAYS WRITTEN
MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT)*U($0(XWX)(040W=
COMMISSIONERS AA K
3583 SOUTH ROOSEVELT BLVD yAuddillou im XXXXXXXXXXX
KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE
alr+pusn
ACORD 28 (2009/01) (01988-2009 ACORD CORPO TIO AI hts served.
The ACORD name and l000 are realstered marks of ACORD
dV PR E I K
D IVER N/A Y
G `, ,
a,A L