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Certificates of Insurance
CERTIFICATE OF LIABILITY INSURANCE " °"`"'"°° 2/1/2012 2 THIS CERTIFICATE 13 ISSUED Al 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(Iss) must be endorsed. H SUBROGATION 15 WANED, subject to the terms and conditions of the policy, certain policies may require an endoresmenL A statement on this certificate dose not confer rights to the attllicats holder In Neu of such endorsement(s), PRODUCER gala P. Hager Keys Insurance Services, Inc. t:f Kok (305) 294 -4494 I in s, (ass)143-0512 (105 Peacock Plaza t'rt, . lhagerekeys insurance .cos C '' 'I 0013054 cuelornla Key West PL 33040 INSURWS) AFFORDING COVERAGE RAC II INSURED INSURER A Alt . Kahl ey EKE CONST OF TKO FL 10EY8,d/b /a tNSuAERa Allstate Property & Cas ins. L7230 Rudy Krauss Construction INSURER C: 26351 Old S tate Road INSURER 1: Ramrod Key PL 33042 INSURERS : INSURER P : COVERAGES CERTIFICATE NUMBER:CL122103210 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. NOTVMTHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VNTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN 111 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. JUSOUINW WI_ TYPE OP INSURANCE mail r POUOY MMMIER Tan MDAVn unns GENERAL UAPI JTY EACH OCCURRENCE $ 1,000,000 ]X COI/MERCK GENERAL LIABILITY PROM= Ms I ! 50, 000 A I CLAIM ® OCCUR Np000s00e 1/21/2011 a /21 /2012 m e e lap eve e n s an) 8 5, 000 — PERSONAL aADVINJURY $ 1,000,000 GENERALAOOREOATE $ 2, 000, 000 it GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS Ca0PIOPAO $ 2, 000, 000 POLICY (l fl LOc $ AUTONOMIC LIABILITY CONSU °SINGLE UMIT 5 1, 000, 000 ANY AUTO (Es+aJ�9 H _ ALL OwNEOAUTOS 00/31703/ 1/1 /2012 1/1 /2013 BODILY INJURY (Pr person) ! X SCHEDULE(' AUTOS BODILY INJURY (Par sosldmt) ! X HIRED AUTOS PROPERTY ! X NON -OWNED AUTOS PIP -Ease ! 10 , 000 - Unilsund motorist el .Pa an! ! 10 , 000 UMBRELLA UAa -- OCCUR ' EACH OCCURRENCE $ EXCESS UAa CLAIMS-PAWS '...N \ 6 - \ I \ AGGREGATE $ oloticTULE $ RETENTION $ – c� $ WORKERS COMPENSATION nA I 1°A‘ ANO EMPLOYlRr LU1aeJTY r/ w N I IIWY 1 OF SLU DED �� o N n LL EACNACCOINT 5 (nsndd-ry In NH) �ys-�aa EL MIAMI • IA EMPLOYEE 5 DEBCRI O F OPERATIONS solo. 11. DISEASE • PouCY LIMIT $ DESCRIPTION OP OPIRATIONS 1 LOCATION! 1 VENICUS (A!Kh ACORD 101, *4M0MSy Raman SsMdW, imam spas Is medal ) Certificate bolder ie_aleo added am an additional insured for General Liability OBIp-' CERTIFICATE HOLDER 7 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED ,. $ BE CANCELLED BEFORE THE EXPIRATION DATE ' , WILL BE DELIVERED IN Monroe County Board of County ACCORDANCE WITH THE POU ROVIS ' . Commissioners, Its employees and officials AUTHOR/MID NEPREuENTAMVE # i I 2798 Overseas Say Marathon, PL 33050 P. Hager /LH - -_ - ...,:am y ,,. ACORD 25 (2009/09) 61985.2009 ACORD CORPORATI N. All rights reserved. IN8025(2ooso1) The ACORD name and logo are registered marks of ACORD Z•R DATE (SESDDmr1l) 1 CERTIFICATE OF LIABILITY INSURANCE I 04/02/2012 03:29 PM 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 =floats holder Is an ADDITIONAL INSURED, the pollcy(Ies) must be endorsed. 0 SUBROGATION I8 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 Ileu of such endorssrnent(s). PRODUCER cveTAcTMea4 Highpoint Risk Services LLC Mare wcl0.1 W10)728-0823 Ina Atom (972) 404 - 0380 5510 LHJ Freeway, Suits 1200 ,ee11111k Dallas, TX 75240 INSURERS ArFORDSIOCOVERAGE NAM S INSURER Cavan/ea Property and Casualty In,urwce Company 12157 INSURED: AMS Staff Leasing, Inc. 1 /C /f: INSURER B: copanaan etnperty and Casualty Insurance Coepany 12157 RUDY KRAUSE CONSTRUCTION INSURER C: 26351 OLD STATE RD 9A INSURERD: M RAROD KEY, FL 33042 Phone: (305) 872 -2100 Fax: (305) 872 -1286 INBURERE: • INSURER F: COVERAGES CERTIFICATE NUMBER: AC12 1501492 1109589 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME 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 18 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN riir MAX HAVF RFFN RFMIP.Ff RY PAID r:l AIAAR TYPE OF POW( EEfp ppL�y p INSURANCE S 11 Tr V ol POLICY NUMBER DA TE I MM/DWYY1 DATE 1MM10p/YY1 UBU S GENERAL UASILITY EACH OCCURRENCE S 1 COMMERCIAL GENERAL LIABILITY 1 Mal=Ws wsnwwq _ 0 CLAMS MADE OCCUR El El MED EXP (My one parson) $ PERSONAL A ADV INJURY GENERAL AGGREGATE $ GEN'L AGGREG LMT APPLIES PER: PRODUCTS - COMP/OP AGO $ l TE POLCY ( I Mr4 El L S AUTOMOBILE LIABILITY COMBINE() SINGLE LIMIT — ANY AUTO ' (� accident) S AU. OWNED AUTOS ❑ El APPRO . GODLY INJURY (Per person) $ BY A r`ly SCHEDULED AUTOS DA .a,r pt- - GODLY INURY (Pas �Cddant) $ HIRED AUTOS W 1. , - PROPERTY DAMAGE $ —, NON -OWNED AUTOS (Puecdden0 $ $ — UMBRELLA tJM �CIAM MADE EACH OCCURRENCE $ Excess UM I l OCCUR CI El $ DEDUCTIBLE • RETENTION $ $ WAXERS COMPENSATION AND ammo pT EMPLOYERS W LfiTTY � X 1 TORT L S I I ANY PROPERETOWEXECUTNE MI E.L EACH ACCIDENT $ 1000000 OFFICER.MEMBEREXCLIJOEDT WA DPE2627274 04/01/2012 04/01/2013 A !Mandatory In NN) ❑ E.LDISEABE - EAEMPLI)YEE $ 1000000 N yea, describe under SPECIAL PROVISION below E.L. DISEASE - POUCYLIMIT $ 1000000 B USL&H ❑ DPE2627274 4/1/2012 4/1/2013 Each Accide 1000000 Disease Pol 1000000 DD WIM / ESCRRIPTION OF OPERATLOCATI0NSNEISCLA(AtuaM nna ACORD101, Additional R SoMduIs,11 men woe 1 required 1 1 Ibis t r in ffect, rovrjded the client's account lid n g tandinq with AMS Ye21ed to 8Y g ?bN :Fie tiva 0 /$ PII�g8I1D is FOR e b lteInbVER6E rtinq CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH MONROE COUNTY BOCC 2798 OVERSEAS HIGHWAY THE POLICY PROVISIONS. MARATHON, FL 33050 AUTHORIZED REPRESENTATNE r;d .r(yZ ACORD 25 (20101/05) ©1988 -2010 ACORD CORPORATION. All right reserved CERTIFICATE OF LIABILITY INSURANCE Certificate Number: AC12- 1501492- 1109587 EMPLOYEE ROSTER Attached roster includes employees paid through 03/25/2012. To verify employee's who may have been added since 03/25/2012, please call 1-800-728-0623. * Please note employee roster for this client is updated on a WEEKLY basis. Employee List: DAVERN, PETER EGGERT, BRIAN A. GARCIA, JESSE I GARCIA, LUIS A GEIDE, STEPHEN W GOMEZ, THOMAS R. GONZALEZ, JUAN GUEVARA, GABRIEL HOADLEY, JAMES R. KRAUSE, RUDOLPH G MAGER, JOHN H MEEHAN, WHITNEY E NEVIN, SAMUEL RACKLEY, CHERYL A RUQUET, JAMES D WILSON, KEVIN G 4/2/2012 Page 1 of 1