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Certificate of InsurancePEDRO-2 OP ID: NR CERTIFICATE OF LIABILITY INSURANCE DATE(M 08/03/1YYY) 3/12 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 endorsements . PRODUCER BUTLER, BUCKLEY, DEETS INC. 305-262-0086 6161 BLUE LAGOON DR., STE 420 MIAMWilliam FL Bode William S. Bodenhamer CONTACT NAME; WILLIAM BODENHAMER (PA N Ell: 786 216 1764 ac No): 305 2620086 ADDRESS: BBODENHAMER BBDINS.COM INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: FCCI Commercial Insurance Co INSURED PEDRO FALCON ELECTRICAL CONTRACTORS, INC. INSURER B : 31160 AVE C INSURER C : INSURER D : BIG PINE KEY, FL 33043-4516 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 LTR rypE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM DD POLICY EXP M DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X GL 0008235 4 03/13/12 03/13/13 DAMAGE PREMISESS ( RENTED Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,000 A AMAGENEW PERSONAL &ADV INJURY $ 1,000,00 DAGENERAL AGGREGATE $ 2,000,00 GEITL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4,000,00 A EXCESS LIAB CLAIMS -MADE UMB0005173 6 03113/12 03/13/13 AGGREGATE $ 4,000,00 DED I X I RETENTION$ 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERMIEMBER EXCLUDED? FN (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 001-WC11A-65512 11/02/11 11/02/12 X WC STATU- OTH- T RY LIMIT ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 E.L. DISEASE - POLICY LIMIT $ 500,000 A INSTALLATION FLTR CM0004409-4 03/13/12 03/13/13 RENTAL *SEE NOTE EQUIPMENT JOBSITE BLANKET *SEE NOTE LEASED *SEE NOTE DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 Additional Remarks Schedule, if mores ace is required) *30 DAYS NOTICE OF CANCELLATION EXCEPT NON PAYMENT OF PREMIUM 10 DAYS. Project: ADA Compliance Segment #3, Monroe Co., FL, Facilities Interior Public Access Areas. Additional Insured Monroe County Board of County Commissioners with regard to General Liability policy. VL 1billm1G SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Room 2-216 1100 Simonton Street, Rm 2-216 AUTHORIZED REPRESENTATIVE Key West, FL 33040 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ACCORD® �./ CERTIFICATE OF LIABILITY INSURANCE WIYYM DATE (M1 /2012 o8iov2o12 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 Ellie Mills State Farm Insurance Agency 20330 Old Cutler Road Cutler Bay FL 33189 O T CT NAME: Janice ROwton PHONE ees - 305-238-gaC No): 305-238-8608 ADDRESS: janice.rowton.i b statefaml.com INSURE S AFFORDING COVERAGE NAIL # INSURER A: State Farm Mutual Automobile Insurance Company 2517 INSURED Pedro Falcon Electrical Contractors, Inc. 31160 Avenue C Big Pine Key FL 33043 INSURERS: INSURER C : INSURERD: 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. I LTR LT TYPE OF INSURANCE ADOLSUBR POLICY NUMBER POLICY EFF MR POLICY EXP V MITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR ❑ EACH OCCURRENCE ED $ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ NEWL AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNED X HIRED AUTOS LAUTOS � ❑ 898 3933-A08-59 07/07/2012 01/07/2013 COMBINED IN LE LI Ea acci $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accid" $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? ❑ (Mandalay In NH) If yes, describe under RIPTION OF nPFRATK:)NS below NIA ❑ x 04� M WC KIMIT ER T RY LIMIT E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ I E.L. DISEASE -POLICY LIMIT $ 7 El El 7 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) aCf//}� 01111jj/ Project: ADA Compliance Segment #3, Monroe Co., FI, Facilities Interior Public Access Areas Monroe County Board of County Commissioners as Additional Insured r (U�'y�n_"y^%�►e/1 TIME: r U 1b RECE"p qy—� •� i CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners ty SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe Cty Administration Dept, Project Mgmt Dept ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Room 2-216 Key West FL 33040 AUTHORIZED !�( Q �/tti(i �G��T�CLGLL� Z- C 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (20405) The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15-2010 G.C� AC 40R�® v CERTIFICATE OF LIABILITY INSURANCE DATE (M1/201YYIf) osio1i2o12 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 endorsemerlt(s). PRODUCER Ellie Mills State Farm Insurance Agency 20330 Old Cutler Road O Cutler Bay FL 33189 NAME: Janice Rowton • 305-238-8688 (FAX No): 305-238-8608 nDOR�ESS:'anice.rowton.i b statefann.com INSURE S AFFORDING COVERAGE NAIL 11 INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED Pedro Falcon Electrical Contractors, Inc. 31160 Avenue C Big Pine Key FL 33043 INSURER8: INSURER C : INSURERD: 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 TR TYPE OF INSURANCEADDLSUBR POLICY NUMBER POLICY EFF MW POLICY EXP MMI LIMITS GENERAL LIABILITY ❑ EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE1:1 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ RO LOC FI POLICY PEC A AUTOMOBILE LIABILITY El083 8673-D26-59 04126=12 I 26/2012 COINED E.MB.d.) LE LIMIT $ 1,000,000 ANY AUTO 113 7113-E10-59 05/10/2012 11/10/2012 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS 1826-E07-59 646 9389-D09-59 05/07/2012 04109/2012 11/07/2012 10/09/2012 PROPERTY DAMAGE PROPERTY Per acp $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICE/MEMBER EXCLUDED? (Mandatory In NH) NIA ❑ _- - _. 8 a ` - WC STATU- OTH- T RY MIT R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ ffyes,desmteunder DESCRIPTION OF OPERATIONS below d �El DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space Is required) FGCM'eS DeV@IOPmenf Project: ADA Compliance Segment #3, Monroe Co., FL, Facilities Interior Public Access Areas Monroe County Board of County Commissioners as Additional Insured 2012 TIME: RECENE Monroe County Board of County Commissioners Monroe Cty Administration Dept, Project Mgmt Dept 1100 Simonton Street, Room 2-216 Key West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED SENTATIVEiq ff&*4 "GZG'N,(i w n 1988-201a ACORD CORPORATION- All rights reserved ACORD 25 (20)i0/05), The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15-2010 Cc- ; A`40R "® CERTIFICATE OF LIABILITY INSURANCE 08/01/2 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 Ellie Mills State Farm Insurance Agency 20330 Old Cutler Road Cutler Bay FL 33189 O CONTACT NAME: Janice Rowton PHONE IC No): 305-2 8-8608 • 305-23 A E-MAIL ADDRESS: janice.rowton.i b statefarm.com INSURE S AFFORDING COVERAGE NAIL # INSURER A: State Fart Mutual Automobile Insuranoe Company 25178 INSURED Pedro Falcon Electrical Contractors, Inc. 31160 Avenue C Big Pine Key FL 33043 INSURERB: INSURERC: INSURER0: 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MW POLICY EXP MI LIMITS GENERAL LIABILITY El EACH OCCURRENCE E COMMERCIAL GENERAL LIABILITY CLAIMS -MADE E OCCUR A PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY E GENERAL AGGREGATE $ GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG E PRO- LOC POUCYFI $ A AUTOMOBILE LIABILITY Y 0223871-F03-59 O6/03/2012 1?J03/2012 COMBINED I LE LIMIT Eaacadent E 1,000,000 ANY AUTO D09 4759-009-59 03/09/2012 09/09/2012 BODILY INJURY (Per person) y BODILY INJURY (Per accident) y ALL AUTOS OWNED x SCHEDULED NON -OWNED AUTOS HIRED AUTOS AUTOS D07 7437-D26-59 030 5488-B29-59 04/26/2012 02/29/2012 10/26/2012 08/29/2012 PROPERTY DAMAGE Per accident $ 5 UMBRELLA LIAB OCCUR El El EACH OCCURRENCE $ EXCESS LWB CLAIMS -MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? N / A WC STATU- OTH- TORIMIT R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) - - E.L. DISEASE - POLICY LIMIT E If yes, describe under DESCRIPTION OF OPERATIONS below ❑❑ (\ ... - F )M0nroe F u DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space Is required) prilenf Project: ADA Compliance Segment #3, Monroe Co., FL, Facilities Interior Public Access Areas �- 8 Monroe County Board of County Commissioners as Additional Insured AUG17 8 TAME: RECE .D g! Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe Cty Administraton Dept, Project Mgmt Dept ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Room 2-216 AUTHORIZEDR'& ' VE Key West FL 33040 J-�" Z' ✓1 zV &-x�_ � 9)1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (201.$/05) , The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15-2010 G �- Nielson, Hoover &Associates Bond Department Public Works Bond In compliance with Florida Statutes 255.o5(i)(a) Bond No. Contractor Address Phone No. Surety Company Address Phone No. Owner Name Address Phone Number Contract/Project No. Project Name 105795471 Pedro Falcon Electrical Contractors, Inc. 31i6o Avenue C Big Pine Key, FL 33043 (305) 872-2200 Travelers Casualty and Surety Company of America One Tower Square Hartford Connecticut o6183 (860) 277-0111 Monroe County Board of County Commissioners 500 Whitehead Street Key West, FL 33040 (305) 292-3440 ADA Compliance Segment #3 Project Location Key West, FL Legal Description and/or Various Street Address Description of Work ADA Compliance Front Page All other bond page(s) are deemed subsequent to this page regardless of any page number(s) that may be preprinted thereon. , ADA COMPLIANCE SEGMENT # 3 Bond No. 105795471 SECTION 00501 PUBLIC CONSTRUCTION BOND BY THIS BOND, We PEDRO FALCON ELECTRICAL CONTRACTORS, INC. , as Principal and Travelers Casualty and Surety Company of America a corporation, as Surety, are bound to Monroe County Board of County Commissioenrs herein called Owner, in the sum of $ 259,833.36 for payment of which we bind ourselves, or heirs, personal representatives, successors, and assigns, jointly and severally. THE CONDITION OF THIS BOND is that if Principal: 1. Performs the contract dated August 15 between Principal and Owner for construction of ADA Compliance Segment #3 the contract being made a part of this bond by reference, at the times and in the manner prescribed in the contract; and 2012 , 2. Promptly makes payment to all claimants, as defined in Section 255.05(1), Florida Statutes, supplying Principal with labor, materials, or supplies, used directly or indirectly by Principal in the prosecution of the work provided for in the contract and; 3. Pays Owner all losses, damages, including damages for delay, expenses, costs, and attorney's fees, including appellate proceedings, that Owner sustains because of a default by Principal under the contract; and 4. Performs the guarantee of all work and materials furnished under the contract for the time specified in the contract, then this bond is void; otherwise it remains in full force. Any action instituted by a claimant under this bond for payment must be in accordance with the notice and time limitation provisions in Section 255.05 (2), Florida Statutes. Any changes in or under the contract documents and compliance with any formalities connected with the contract or the changes does not affect Surety's obligation under this bond. DATED ON August 24 20 12. Pedro Falcon Electrical Contractors, Inc. (NAME OF PRINCIPAL) BY ristian Brisson, as --President Tra ler2ao/J,?y d Suret&.1Compary4fAmerica A OF SURETY) BY N Charles J. Nielson, Attorney In Fact CONSTRUCTION BID BOND 00501-1 WARNING: THIS POWER OF ATTORNEY IS INVALID 4. POWER OF ATTORNEY TRAVELERSJ� Farmington Casualty Company St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company Attorney -In Fact No. 222181 Certificate No. 004930081 KNOW ALL MEN BY THESE PRESENTS: That St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company and St. Paul Mercury Insurance Company are corporations duly organized under the laws of the State of Minnesota, that Farmington Casualty Company, Travelers Casualty and Surety Company, and Travelers Casualty and Surety Company of America are corporations duly organized under the laws of the State of Connecticut, that United States Fidelity and Guaranty Company is a corporation duly organized under the laws of the State of Maryland, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Charles D. Nielson, Charles J. Nielson, Mary C. Aceves, David R. Hoover, Gicelle Pajon, Olga Iglesias, Gloria McClure, and Arthur Colley of the City of Miami Lakes , State of Florida , their true and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons, guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESSJuneWHEREOF, the Comp �Ol�have caused this instrument to be signed and their corporate seals to be hereto affixed, this day of Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company 20th St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company GAS Uq� per•• FtRE6 ��,N •!NS•G 't 1NSUq JP,TY ANQ �p�,opPOMrfi o � �` NCdIP01tATEt1 " , "- �coavryNA�++y Q°: `• N- � � �r e;m ,.•�oavoagTf.,.� 19 8 2 0 z f °= `0 HARTFORD, fpRrfoR0. •�` 1977 y° Ss; 1951 m �.SEALiod �`%SBif.L.j- CONH. o br r+ c's� Ec° ; •. a!f ............ O 61 •Na � 'mil AIN� State of Connecticut City of Hartford ss. By: Georg Thompson, enior ice President 20th June 2012 On this the day of before me personally appeared George W. Thompson, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. In Witness Whereof, I hereunto set my hand and official seal.xeo � WMy Commission expires the 30th day of June, 2016. Marie C. Tetreault, Notary Public 58440-6-11Printed in U.S.A. WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, Fidelity, ' and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attomeys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatory in the nature of a bond, recognizance, or conditional undertaking, and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it is FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company, provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys -in -Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any Senior Vice President, any Vice President, any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys -in -Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. I, Kevin E. Hughes, the undersigned, Assistant Secretary, of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seals of said Companies this lath day of August 20 12 . 4o✓'� I . Kevin E. Hughes, Assistant Sec tary G0.SU,AC yFl0.E 6 �0.N.�NS t 1NSU �tY Ah0 Y ? rL � •'.� QO:%.....G,P JP, 'P9 gJa a �17p�j, Mti . ° • a HARTFORDFVIR1F6t101� 1951 SEAL o3 �: 'o bey �''� Atiso c o........: � L ! o.•.. .......... �P a bt FP+ ANt To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or contact us at www.travelersbond.com. Please refer to the Attorney -In -Fact number, the above -named individuals and the details of the bond to which the power is attached. IS INVALID WITHOUT THE RED BORDER u PEDRO-2 OP ID: NR A� RLY CERTIFICATE OF LIABILITY INSURANCE[_7ATE11/01D/YYYY) 11/01/12 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 endorsemen s . PRODUCER BUTLER, BUCKLEY, DEETS INC. 305-262-0086 6161 BLUE LAGOON DR., STE 420 MIAMI, FL 33126 William S. Bodenhamer CONTACT NAME: WILLIAM BODENHAMER a/coNo xt :786 216 1764 A/c No : 305 2620086 E-MAIL BBODENHAMER BBDINS.COM ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC t INSURER A: FCC[ Commercial Insurance Co INSURED PEDRO FALCON ELECTRICAL CONTRACTORS, INC. INSURER B 31160 AVE C INSURER C INSURER D : BIG PINE KEY, FL 33043-4516 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 LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MM/DD/YYYYI POLICY EXP (MMfDkNYYY1 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X GL 0008235 4 OY13/12 03/13/13 DAMAGE TO RENTED PREMISES Ea occurrence S 100,00 MED EXP (Any one person) $ 5,00 PERSONAL BADVINJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 NlonroOCounr: KTCIiit16S �V®b �r - GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- PRODUCTS - COMP/OP AGG $ 2,000,00 (LOC $ AUTOMOBILE LIABILITY � {j j'�' COMBINED SINGLE LIMIT Ea accdent BODILY INJURY (Per person) $ ANY AUTO OL1 b� i NOV ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS 1IMk .._, . aE �Iv Ci �y -- — id P BODILY INJURY (Per accent ( ) $ PROPERTY DAMAGE PeracdZ $ $ X UMBRELLA LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ 4,000,00 AGGREGATE $ 4,000,00 A EXCESS LIAB UMB00051736 03/13/12 03/13/13 DED I X I RETENTIONS 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 001-WC'11A-65512 11/02/12 11/02/13 WC STATU- OTH- X I _ E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE t 500,00 E.L. DISEASE - POLICY LIMIT $ 500,00 A INSTALLATION FLTR CM0004409-4 03/13/12 03/13/13 RENTAL 'SEE NOTE EQUIPMENT JOBSITE BLANKET "SEE NOTE LEASED *SEE NOTE DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 Additional Remarks Schedule, M more s ce Is required) `30 DAYS NOTICE OF CANCELLATION EXCEPT NON PAYMENT OF PREMIUM 10 DA1�S. Project: ADA Compliance Segment #3, Monroe Co., FL, Facilities Interior Public Access Areas. Additional Insured Monroe County Board of County AP GEWIENT Commissioners with regard to General Liability policy. DA W �IL .... e.2zuuy�ze■-� Monroe County Board of County Commissioners Room 2-216 1100 Simonton Street, Rm 2-216 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD A`C40R" CERTI ATE OF LIABILITY IN NCE DATE (MM/DD/YYYY) 11/02/2012 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 Ellie Mills Inusrance Agency, Inc. CONTACT NAME: Janice Rowton 20330 Old Cutler Road . 305-238-8688 FAX No : 305-2388-608 E-MAIL ADDREss:'anice. rowton.i b statefarm.com O Cutler Bay, FL 33189 INSURERS AFFORDING COVERAGE NAIC # INSURER A: State Farm Mutual Automobile Insurance Company 25178 t INSURED Pedro Falcon Electrical Contractors, Inc. INSURERB: INSURER C : 31160 Avenue C INSURERD: Big Pine Key, FL 33043 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 LTR TYPE OF INSURANCE ADDL SUBR P 61aAi Iwnty POLICY EFF MM/DD/YYYY) POLICY EXP (MMIDD/YYYYI LIMITS GENERAL LIABILITY ❑ ❑ ,3clllfles DeVPlopmen EACH OCCURRENCE $ PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR r FVU� 05 MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ �RECIIFVED 8Y f GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 17 POLICY PE LOC $ A AUTOMOBILE LIABILITY a ElD09 47 CO 09/09/2012 03/0912013 ED acIcidentsiNGLE LIMIT $ 1,000,000 ANY AUTO 030 5488 B29 59 08/29/2012 02/28/2013 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $AUTOS ALL SCHEDULED AUTOS NED PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOSAUTOS I $ UMBRELLA LIAB OCCUR1-1 E EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DIED I I RETENTION $ $ APP& GO IM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE El OFFICE/MEMBER EXCLUDED? N / A ❑ DA WAIVE IMIT EERR SLIMIT T WCY LIMITS E.L. EACH ACCIDENT $ (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under FRATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Project Name: ADA Segment # 3 Monroe County Board of County Commissioners as additional insurers The listed insurance policy (s) may not be cancelled on less than 30 days written notice by the insurer to Monroe County Board of County Commissioners CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners Monroe Cty Administration Dept., Project Mgmt Dept 1100 Simonton Street, Room 2-216 Key West, FL 33044 GL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0) 19RS-2010 ACORD CORPO'RNTION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 F-. ,a► n� ATE OF LIABILITY IN RANCE °11/2MCERTI /02201 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 Mills Inusrance Agency, Inc. 20330 Old Cutler Road O Cutler Bay, FL 33189 t CONTAEllie NAME: Janice ROwton tPA NE . 305-238-8688 A/c No): 305-2388-608 ADDRESS: 'Ian ice.rowton.i b statefarm.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED Pedro Falcon Electrical Contractors, Inc. 31160 Avenue C Big Pine Key, FL 33043 INSURERB: INSURERC: INSURERD: 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 Hq REDUCED BY PAID CLAIMS. I LA TYPE OF INSURANCE I DL UBR POLICY P.�O EFF iMMroDY/YYYY MM UY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR is; `0� s G S EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECTLOC PRODUCTS - COMP/OP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO ALL AUTOS I AUTOSULEDBODILY NON -OWNED AUTOSAUTOS � ❑ 113 7113 E10 59 651 1826 E07 59 645 9389 D09 59 022 3871 F03 59 11/10/2012 11/07/2012 10/0912012 06/03/2012 05/10/2013 06/07/2013 04/09/2013 12/03/2012 Ea accident) IN LE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ INJURY (Per accident) $ PROPERTY DAMAGEHIRED Per accident)$ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? El (Mandatory In NH) If yes, describe under N / A ❑ AP �/ BY (�/� D WIC STATU- OTH- T RY I IT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Project Name: ADA Segment # 3 Monroe County Board of County Commissioners as additional insurers The listed insurance policy (s) may not be cancelled on less than 30 days written notice by the insurer to Monroe County Board of County Commissioners CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners Monroe Cty Administration Dept., Project Mgmt Dept 1100 Simonton Street, Room 2-216 Key West, FL 33040 i G0- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE � "KW3 ACORD 25 (2010/05) ©1988-2010 TION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 A`C>R a CERTIFICATE OF LIABILITY INSURANCE DATE /06/20° 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 endomement(s). Ellie Mills Inusrance Agency, Inc. PRODUCER 20330 Old Cutler Road D Cutler Bay, FL 33189 t CONTACT NAME: Janice Rowton PHON o 305-238 8688 FAXNo): 305-2388-608 E-MAtL ADDREss: janice.rowton.ioqb@stateftrm.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: State Farm Mutual Automobile Insurance Company 2617 INSURED Pedro Falcon Electrical Contractors, Inc. 31160 Avenue C Big Pine Key, FL 33043 INSURERB: INSURERC: INSURERD: 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 LT TYPE OF INSURANCE AD L UBR POLICY NUMBER POLICY EFF (MMID POLICY EXP MM/DDIYYY LIMITS GENERAL LIABILITY ❑ El EACHOCCURRENCE $ PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY IS)C A EMEM CLAIMS-MADE1-1 OCCUR B f MED EXP (Any one person) $ w%�V� PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- JECT D LOC $ A AUTOMOBILE LIABILITY Y ❑ D07 7437 D26 59 O 2 04/26/2013 Ea aeccident INGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS HIRED AUTOS AUTOS ED �A�oe C+` 1 Q aC'\\ V ry BODILY INJURY Per accident) $ Pe�PROPERTYDAMAGE $ $ UMBRELLA LIA HCLAIMS-MADE OCCUR0 El EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DIED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? N / A ❑ Q TORWC STATU- OTH- Y LIMIT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under IONS below E.L. DISEASE - POLICY LIMIT $ El 0 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addilonal Remarks Schedule, If more space is required) Project Name: ADA Segment #3 Monroe County Board of County Commissioners as additional insurers The listed insurance policy (s) may not be cancelled on less than 30 days written notice by the insurer to Monroe County Board of County Commissioners VCR r Irv%,m 1 C r7VLUCR LoANtrtLLA I IUN Monroe County Board of County Commissioners Monroe Cty Administration Dept., Project Mgmt Dept 1100 Simonton Street, Room 2-216 Key West, FL 33040 CL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE UIU, ffWAD ACORD 25 (2010105) 01988-2010 ACORD All rights reserved The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 `� d CERTIFICATE OF LIABILITY INSURANCE °'12 THIS CENTIMATE Is IUUED AS A MATTER OF BNFORMATION ONLY AND CONFERS NO MOM UPON THE CERTIFICATE HOLDER THIS CERI-OvATE DOES HOT AM M TIVIRY OR UNAT)11@LY AMEND, EXTEND OR ALT9t THE COVERAGE AFFORDED BY THE POWES BELOW. TI*S CE UVMTE Of INSURANCE DOES NOT CONSTITUTE A COMTRACT BETWEEN THE ISSUNW IMMRERM), AUTHOROM REPRESENTAWA OR PRODUCER, AND THE CERTIFICATE.lIOLOBIL WFORTANT: Nth* out9fats holder is inADDITIONAL INSURED. go Pak -Ales) a wst be endorsed. tf SUBR0GA7I0N IS WAIVED. etlq Ie the borers amtl e A sdifions Of flte , 410 "1 oertem PotiOW INGY m4mbe an eradweefnent A sb*emwk on Vft oattlileats dens not eaidw #vim to no drtNletis holds in New arsueh endonwne nnpeatsa Eft M ft lnusrence Agency, Inc Rowwn 20330 Old Cutler Road QCutler Bay. FL 33189 aovduaos wuce A: Mauna Pedro Falcon Ehmtrieai Contractors, trots wautttlee. 311W Avenue C wdumet Big Pine Key. FL 33043lemom a.- ItDICATt'D. NOTTV►THBTAND1Nti ANY RE41JIRt i1FJ4% Tt3�t OR COND(r10N OR MIY COfRRAiCT DOCUMENT W H S OR 07MR AEOWT TO VOICHH 7 C OMFrATE MAY 9E ISSUED OR MAY PERTAIN, THE INNS URANM AFFORDED BY THE POLKM MCRM HEAENt IS St)&=T TO ALL IM TERMS. EXCLUSIONS AM CONOMNS OFSUCH POLK= U TS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. NOM iTPE OP 01QNN1AlICi ( ------ --- 1imml GMfERAL LNwLnY I AA EAcnGcctafw®+cE s COMMUCK GENEW L AetUTY-- CLAM -MAAX �OCCLlR � . j.. MEOE7fPIM}aOMpInCB► S, -- -j y PERaONAt aLAW MlXLW 3 I ^gallows S 6ET(LA4t76Gt4NWfAPPLl"KR Pi000uiS.00111PYOpAGB S �� • LOC S A AaroarowLXLL%MTT YJ d W23MF03 IZVNMX 04*M13 s ta00.000 ANTAasTD SCORY NJUM(PP p/gvot i -- XED AAV -- - Dee SLY NAaIY(Fn d.ddadj S W HafBDAttrOs A -s T s uANAAGUAU&M clCcuR MWARetAM 11e� -y.� �. // EA[J1 oCLt!(OiBICE S ftMY3-LPOE� AIAC>alFG1Ti nEa METINT(Oni _ W�gseet OOMEreA7104 AND eMKaVww LtA IL"T Y t e ANY Pn�eCOTWE CFF&CGlMK#A M EXCJJ0hD9 ❑ 1 " -- -• - ,�.�•— _..._. El. iAdl ACCgHIt (Menem"wltl ffvmdpwdtlr dw 1 EL WSFA3E•d►EMPLOYE i DO W"dMON OF ONMAT,OMB f LOCATH MS/ Ve"CLU WAN* AC011D W. AdetiNa nwds aeLrAtdr- f � �s b /wPi Q PtopM ADA Segue it E 3 Monroe County Board at County Cornntimoners as add;tonal insured The bated insurattas pdacy may not a C KcNlaf on Wa than 30 days written no0ce by Ina W Maar Manroe Cmutga Beath of COealy Commissioners Monroe County Board of County Commissioners Monroe Cty Administration Dept, Project Mgmt Dept 1100 Simonton Street, Room 2-216 Kay West FL 33040 wwmw &;I Lav;urual SHOULD ANY OF THE ABOVE OEMMOM POUCIES BE CANCIRLED KMRE THE EMRATOO DATE THERVW. NOTICE WILL BE DaEUVERED N ACCORIyWCE WRH UKPOUCYrlwwstoNa AN r ne Acotw mono ems kno are registered marks o<fACORD 1001486 1321349.7 03-012012 GG '°`� �® CERTIFICATE OF LIABILITY INSURANCE ATE D01/04/2013 ) 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(les) 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 Ellie Mills Inusrance Agency, Inc. CONTACT NAME: Janice Rowton 20330 Old Cutler Road O Cutler Bay, FL 33189 PHONNo,E Ext): 305-238-8688 AIIC No): 30-238-8608 ADDRESS: 'an ice. rowton.ic b statefarm.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: State !A ex- ." c Com an 25178 t INSURED Pedro Falcon Electrical Contractors, Inc. ._.. _ '...-s . __, ..._ .,r h- _ — INSURER B INSURER C 31160 Avenue C INSURER D : Big Pine Key, FL 33043 INSURER E : INSURER F : e 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 LTR TYPE OF INSURANCE A L SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DDIYYY LIMITS GENERAL LIABILITY ❑ ❑ EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUDA / s R PREMISES Ea occurrence cc $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PEOT F LOC $ A AUTOMOBILE LIABILITY FYI El898 3933 A08 59 01/08/2013 07/08/2013 Ea acciden SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOSNON-OW BODILY INJURY (Per accident) $ X ROPER Parr a cen dDAMAGE $ HIRED AUTOS Ix AUTOS NED UMBRELLA LIAB OCCUR ❑ ❑ EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE Mwroo FOCUffleSC?. County BIO AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/❑N OFFICEIMEMBER EXCLUDED? N / A ❑ g �JAt 0 PC �� WC STATU- I OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ (Mandatory In NH) If yes, describe under E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Project: ADA Segment # 3 Monroe County Board of County Commissioners as additional insured The listed insurance policy may not a cancelled on less than 30 days written notice by the insurer Monroe County Board of County Commissioners Monroe County Board of County Commissioners Monroe Cty Administration Dept, Project Mgmt Dept 1100 Simonton Street, Room 2-216 Key West FL 330,40 I e-e-I ;41� VANV ,rLLA 1 IUIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE . L ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 ACOR" CERTIFICATE OF LIABILITY INSURANCE °02/27/20`13 ' 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 Ellie Mills Inusrance Agency, Inc. 20330 Old Cutler Road Bay, FL 33189 Li CONTACT NAME: Janice Rowton o EXt : 305-238-8688 ac No): 305-2388-608 IAIC,PHO No, nDORIEss: janice.rowton.icqb@statefarm.com INSURERS AFFORDING COVERAGE NAIC I< INSURER INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED Pedro Falcon Electrical Contractors, Inc. INSURERB: INSURER C : 31160 Avenue C INSURER D : Big Pine Key, FL 33043 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MOL pY EFF MM/DDPOLICIY YY LIMITS GENERAL LIABILITY ❑ ❑ EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR AP V / R •M G DA MEW TE6 PREMISES Ea occurrence $ MED EXP (Any one person) $ W i PERSONAL 6 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ POLICY F jR' 7 LOC A AUTOMOBILE LIABILITY FYIEl 7437 D26 59 10/26/2012 04/26/2013 CMNED Ee a..den SINGLE LIMIT $ 1,000,000 ANY AUTO D09 4759 C09 59 09/09/2012 03/09/2013 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS 022 3871 F03 59 030 5488 B29 59 12/03/2012 02/28/2013 06/03/2013 08/31/2013 PROPERTY DAMAGE Per accident $ UMBRELLA LIAB HCLAIMS-MADE OCCUR ❑ ❑ d r tat �r_ a C�L1 EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? (Mandatory In NH) OF OPERATIONS hPlowRECEIVED If yes, describeIPTION under NIA ❑ TIME.- ,,,:.. BY: % WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ El El DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project Name: ADA Segment # 3 Monroe County Board of County Commissioners as additional Insurers The listed insurance policy (s) may not be cancelled on less than 30 days written notice by the insurer to Monroe County Board of County commissioner CERTIFICATE HOLDER LANI.tLLA I IUN Monroe County Board of county Commissioners Monroe Cty Administration Dept., Project Mgmt Dept 1100 Simonton Street, Room 2-216 Key West, FI 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED n 1988-2010 ACORD CORFO'RATION. All rights ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 ACORO® CERTIFICATE OF LIABILITY INSURANCE ATE D03/12/20 3Y) 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 Ellie Mills Inusrance Agency, Inc. CONTACT NAME: Janice Rowton 20330 Old Cutler Road O Cutler Bay, FL 33189 PHCNNo Xt : 305-238-8688 A/C No): 305-2388 608 E-MAIL ADDRESS: janice.rowton.icqb@statefarm.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED Pedro Falcon Electrical Contractors, Inc. INSURERB: INSURER C : 31160 Avenue C INSURER D : Big Pine Key, FL 33043 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 LTR OF INSURANCE ADDLTYPE INSR SUER POLICY NUMBER MM/DPOLI D/YY CY EFF YY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR ❑ fOnroe C (I!i!isar OevePmenf EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ A� 1 It f I GENERAL AGGREGATE $ TIDE. - �_. GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PROJECT LOC RECEIVED Y: $ A AUTOMOBILE LIABILITY FYI o D07 7437 D26 59 1 2 04/26/2013 INED Ee aBciden SINGLE LIMIT $ 1,000,000 ANY AUTO D09 4759 C09 59 03/09/2013 09/09/2013 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED rSCHEDULED AUTOSAUTOS HIRED AUTOS NON -OWNED AUTOS 022 3871 F03 59 030 5488 B29 59 12/03/2012 02/28/2013 06/03/2013 08/31/2013 PER PerOaccidenlDAMAGE $ UMBRELLA LIAB OCCUR ❑ ❑ EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE APTtt DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� OFFICE/MEMBER EXCLUDED? (Mandatory in NH) N / A ❑ WAI �- TWOSTATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Project Name:ADA Segment # 3 Monroe County Board of County Commissioners as additional Insurers The listed insurance policy (s) may not be cancelled on less than 30 days written notice by the insurer to Monroe County Board of County commissioner V Monroe County Board of county Commissioners Monroe Cty Administration Dept., Project Mgmt Dept 1100 Simonton Street, Room 2-216 Key West, FI 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. A4THORIZED REPRE�EpTATIVE n i9RR.9n1n 4CnRD rhIZ00114ATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 CG/6/A/441,/C A�� " CERTIFICATE OF LIABILITY INSURANCE °04/09/2013 ' 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 Ellie Mills Inusrance Agency, Inc. 20330 Old Cutler Road Cutler Bay, FL 33189 OINSURERS CONTACT NAME: Janice Rowton PWC.HONNo,E Exti& 305-238-8688 a No): 305-2388-608 EMAIL ADDREss: 'an ice.rowton.ic b statefarm.com AFFORDING COVERAGE NAIC # INSURER A: State Farm Mutual Automobile Insurance Company 25178 ` INSURED Pedro Falcon Electrical Contractors, Inc. INSURERB: INSURER C : 31160 Avenue C INSURER D : Big Pine Key, FL 33043 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. IR LT LTR TYPE OF INSURANCE I L UBR POLICY NUMBER POLICY EFF LICY EXP MM DD/YYYY LIMITS GENERAL LIABILITY ❑ El EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY 11 'RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ CLAIMS -MADE OCCUR PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ POLICY PRO LOC A AUTOMOBILE LIABILITY �Y 645 9389 D09 59 04l09/2013 10/09/2013 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS DAMAGE Peraccident) PROPERTY $ UMBRELLA LIAB HOCCUR ❑ B R MEM EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE D DED RETENTION $ $ WAIVE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICE/MEMBER EXCLUDED? (Mandatory In NH) N / A ❑ WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ If yes, describe under El El DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project: ADA segment #3 Monroe County Board of County Commissioners as additional insurers The listed insurance policy (s) may not be cancelled on less than 30 days written notice by the insurer to Monroe County Board of County Commissioners ILLATION ELLED Monroe County Board of County Commissioners THEULD EXANY OFPIRATIIONHDATBE VT THEREOF, NOTICE E DESCRIBEDPOLICI ES WILL BE CBE CDELVERED BEFOREIN Monroe Cty Administration Dept., Project Mgmt Dept ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Room 2-216 AUTHORIZED REPRESENTATIVE ' '� �� Key West, FL 33040 aw— i 1 %l�X� J 'k��Tm L9 ©1988-2010 ACORD COkPORAMON. All rights reserved. ACORD 25 (24 /Oa) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 CG AC<:>R/D® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYI'YY) 04/22/2013 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 Ellie Mills Inusrance Agency,Inc. CONTACT NAME: Janice ROWton 20330 Old Cutler Road Cutler Bay, FL 33189 PNONE . 305-238-8688 FAX, No): 305 2388 608 E-MAIL ADDRESS: 'anice.rowton.ic b statefarm.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: State Farm Mutual Automobile Insurance Company 25178 ` INSURED Pedro Falcon Electrical Contractors, Inc. INSURER B : INSURER C : 31160 Avenue C INSURERD: Big Pine Key, FL 33043 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 LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY EDMENT A PREMISES Ea occurrence $ CLAIMS -MADE OCCUR JAV_ MED EXP (Any one person) $ W R PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC $ A AUTOMOBILE LIABILITY FYI ElD07 7437 D26 59 04/26/2013 10/26/2013 CM Ea acc dent)nt SINGLE LIMIT $ 1,000,000 AUTO BODILY INJURY (Per person) $ ALL 1ANY AUTOS OWNED )( SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS Fact onroe COU Ries Development BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB ❑ ❑ p 2 2 -13 EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE El OFFICEIMEMBER EXCLUDED? N / A ❑ RECEIVED B WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ If yes, describe under DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project Name:ADA Segment #3 Monroe County Board of County Commissioners as additional Insurers The listed insurance policy (s) may not be cancelled on less than 30 days written notice by the insurer to Monroe County Board of County commissioner GtK I ItIGA I t NULUrK Monroe County Board of county Commissioners Monroe Cty Administration Dept., Project Mgmt Dept 1100 Simonton Street, Room 2-216 Key West, FI 33040/ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. (0 19US-2010 AGORD GURPORATIUN. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 ACC)RDFCERTIFICATE OF LIABILITY INSURANCE °051132 3"' 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(les) 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 endorsemerlt(s). PRODUCER Ellie Mills Inusrance Agency, Inc. 20330 Old Cuter Road Cutler Bay, FL 33189 OINSU NAME Janice Rowton PHONE t C No.- AD�ORESS: 'anice.rowton b statefann.com S AFFORDING COVERAGE "MCI INSURER A: State Farm Mutual Autorrobile Insurance Comoany INSURED Pedro Falcon Electrical Contractors, Inc. 31 160 Avenue C Big Pine Key, FL 33043 INSURER B : INSURER C : INSURER0: INSURER E : INSURER F : 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 REOUIREUENT, 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. INSA LTR TYPE OF INSURANCE POLICYNUMBER POLICY EFF M POLICYEXP LIMITS OENERAL LIABILITY COMMERCIAL GENERAL UA81LnY CLAIMS-6MOE OCCUR v f\F' AG DA WAIV EACH OCCURRENCE S Ct T Es o I S MEDEXP(Anyone Ptrson) S PERSONAL tl AOV UN.XXRY It GENERALAGGREGATE S GENL AGGREGATE LIMIT APPLIES PER: POLICY11 PRO• LOc PRODUCTS . COMPIOP AGG S $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED x SCHEDULED NONowNED HIRED AUTOS AUTOS Y 6511826 E07 59 113 7113E10 59 05/0712013 06/10/2013 11/07/2013 11N012013 f a soladerLL tJMI s 1,OD0,000 BODILY INJURY (Psr person) S BODILY INJURY (Par WZMSM) S PROPERTY DAMAGE r soddw) S S UMARELI.A LJAB EXCESSLIAB OCCUR09 CLNMS-MAOE m— �. �M1r0e C, lllflf.r E?F,.vO (O { :" �tre' EACH OCCURRENCE S AGGREGATE S OED I I RETENTKON $ WORKERS COMPENSATION � PROPRIETORPARtMER11EXeCUTNE YIN OFFICEIMEM M EX UDED1 I1 Is 09 Utdbr NIA 4 77ME _ RECE1VE1D1..." BY • I WC STA OTH EL EACH ACCIDENT S E.L. DISEASE • EA EMPLOYE S E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. AddLSonal Remarks Sdudole. I men space Is rwpdmd) Project: ADA Segment #3 Morroe County Board of County Commissioners as additional insurers The listed insurance policy (s) may not be cancelled on less than 30 days written notice by the insurer to Monroe County Board of County Commissioners Monroe County Board of County Commissioners Monroe Cty Administration Dept., Project Mgmt Dept 1100 Simonton Street, Room 2 216 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. A. All rights reserved. ACORD 25 (2010)05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 A� �® CERTIFICATE OF LIABILITY INSURANCE ATE D05/31/2013 ) 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 Ellie Mills Inusrance Agency, Inc. Old Cutler Road Cutler Bay, FL 33189 4 CONTACT NAME: Janice Rowton PHO20330 WC. N Ext)& 305-238-8688 ac No): 30-238-8608 E-MAIL ADDRESS: 'lanice.rowton.icqb@statefarm.com INSURERS AFFORDING COVERAGE NAIC p INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED Pedro Falcon Electrical Contractors, Inc. 31160 Avenue C Big Pine Key, FL 33043 INSURERB: INSURER C: 1INSURERD: 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. ILTR TYPE OF INSURANCE L UBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY ` EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY 4BY E" PREMISES Ea occurrence $ CLAIMS -MADE OCCUR s . MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC $ A AUTOMOBILE LIABILITY FYI ❑ 022 3871 F03 59 06/03/2013 12/03/2013 Ea ac.d.n SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ Ix ALL AUTOS OWNED )( AUTOS BODILY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED AUTOS NON -OWNED AUTOS $ UMBRELLA LIAB HCLAIMS-MADE OCCUR El ❑ EACH OCCURRENCE $ EXCESS LIAR AGGREGATE $ DED I I RETENTION $ $ r; our' .v WORKERS COMPENSATION Y / N AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEIMEMBER EXCLUDED? (Mandatory In NH) N / A ❑ QC",t1eS it,` A 6 { ORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - E4 EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under n;:Ar.P1PT1()N OF OPERATIONS helow \�q ❑ ❑ 011 T1M�� G>�jED BY DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Project: ADA Segment #3 Monroe County Board of Commissioner as additional insured The listed insurance policy(s) may not be cancelled on less than 30 days written notice by the insurer to Monroe County Board of County Commissioners CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners Monroe Cty Administration Dept, Project Mgt Dept 1100 Simonton Street, Room 2-216 Key West, FL 33040 ACORD 25 (27010105) C C_. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED I I 1 REPRESENTATIVE biJ-t � ©1988-2010 ACORD The ACORD name and logo are registered marks of ACORD �ATION. All rights reserved. 1001486 132849.7 03-01-2012 A� Rom® CERTIFICATE OF LIABILITY INSURANCE °07/02/2013 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 Ellie Mills Inusrance Agency, Inc. 20330 Old Cutler Road Cutler Bay, FL 33189 CONTACT NAME: Janice Rowton PNONE . 305-238-8688 a/c No): 30-238-8608 ADDREE-MO SS: 'Ian ice.rowton.i b statefarm.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: State Farm Mutual Automobile Insurance Companv 1 25178 INSURED Pedro Falcon Electrical Contractors, Inc. 31160 Avenue C Big Pine Key, FL 33043 INSURERB: INSURER C : INSURERD: 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 LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP IMMIDD/YYYYI LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1-1 OCCUR ❑ ❑ /M D •�� EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ WAl — PERSONAL 8 ADV INJURY $ PGEN'L GENERAL AGGREGATE $ AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY jECT PRO LOC $ A AUTOMOBILE LIABILITY a 1-1898 3933 A08 59 07/08/2013 01/08/2014 Ea accl den SIN LE LI IT $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON-OHIRED AUTOS Ix AUTOS�ED RPER PeOr accidentDAMAGE $ UMBRELLA LIAB OCCUR F7H EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N OFFICE/MEMBER EXCLUDED? N / A ❑ T Y I IT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe underQF:.qrR1PT'QN OF OPFRATIONA below E.L. DISEASE - POLICY LIMIT $ ❑ ❑ Monroe C(Y,i 4 �CtCpltles Devfyi ��n�=' 6-. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mom apace is required) IUL Project: ADA Segment # 3 Monroe County Board of Commissioner as additional insured *Counyymissioners The listed insurance policy(s) may not be cancelled on less than 30 days written notice by the insurer to Monroe County Board CERTIFICATE HOLDER Monroe County Board of County Commissioners Monroe Cty Administration Dept, Project Mgt Dept 1100 Simonton Street, Room 2-216 Key West, FL 33040 G. C- - 'zpfitn.4 ACORD 25 (2010/05) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE uj_J mVw ©1988-2010 ACORD The ACORD name and logo are registered marks of ACORD Vv_,Ap 5 uATION. All rights reserved. 1001486 132849.7 03-01-2012 A`C � DATE(MMMDNY j - CERTIFICATE OF LIABILITY INSURANCE 10/28/2013 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(les) 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 Ileu of such endorsement(s). PRODUCER Ellie Mills Inusrance Agency, Inc. 20330 Old Cutter Road Cutler Bay, FL 33189 A CONTACT NAME. Janice Rowton IAIC. No. PHONE . 305-238-8688 AIC me): 305-2388-608 Eoo L s: 'anice.rowton.I b stateNrm.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: State FarM Mutual Automobile Insurance Company 2517 INSURED Pedro Falcon Electrical Contractors, Inc. 31160 Avenue C Big Pine Key, FL 33043 INSURERS: INSURER C : INSURER 0: 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MIDD PO MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR PREMISES a occurrence $ MED EXP (Any one person) S PERSONAL & ADV INJURY S I GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S POLICY PRO- LQC S A AUTOMOBILE LIABILITY IF—] I ! — 1 I 4 I ! D07 7437 D26 59 10126/2013 0412612014 Ee aecotderdN LE I S 1,000,000 ANY AUTO t_J — BODILY INJURY (Per person) $ ALL TOX SCHEDULED BODILY INJURY (Per accident) S PROPERTYDAMA Par accident $ HIRED AUTOS NON -OWNED AUTOS S UMBRELLA LIAII HOCCUR EACH OCCURRENCE $ EXCESS LUIB CLAIMS -MADE f AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WG STAI.TU- OTH- T. AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YINN!A OFFICEIMEMBER EXCLUDED? E.L EACH ACCIDENT $ (Mandatory In NH) i E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ If yes, describe under El El' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is req dy r Project: ADA Compliance Segmenpe�C� t #3 p CG t'NIIM 11 W /� o -Ts _ r - rJ ua - = Z r T1 - p -04 CERTIFICATE HOLDER CANCELLATION - m CD Monroe County Board Of GOUn CorelmiSSlOn ty County SHOULD ANY OF THE ABOVE DESCRIBED POU.CIES BE Q!ICELaD BEFORE THE EXPIRATION DATE THEREOF, NOTICE, WILL 49 DEUVERED IN 1100 Simonton Street RM 2-216 ACCORDANCE WITH THE POLICY PROVISIONS: Q Key West, FL 33040 AUTHORIZED REPRESENTATIVE !!! ®'i888-2010ACORD'CORPORATION. All rights reserved. ACORD 25 (20.0i0a) ti ue ACORD name and logo are registered marice of ACORD 1001486 13284$.7 03-01-2012 PEDRO-2 OP ID: NR CERTIFICATE OF LIABILITY INSURANCE �T10/25DIYYYY) 0f25/13 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(les) 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 eartiftcate holder in lieu of such endorsement(s). PRODUCER SUTLER, BUCKLEY, DEETS INC. 5161 BLUE LAGOON DR., STE 420 IAIAMI, FL 33126 Nfillam S. Bodenhamer CONTACT NAME: WILLIAM BODENHAMER fAn' M F,,.786 2161764 I tA/C No): 305 2620086 Commercial Insurance Co 72 INsuRw PEDRO FALCON ELECTRICAL INSURERB: CONTRACTORS, INC. INSURERC: 31160 AVE C BIG PINE KEY, FL 33043-4516 INSURER n INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: _ _.._._ __ _..s ...._ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED Iv HE iNSURED NAMED ABU— rvn 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. TYPE OF INSURANCE MOT SUFR POLICY NUMBER PO EFF MWDD POLICY EXP MWDDGENERAL 03/13114 LIMITS OCCURRENCE $ 1,000,000 rA LIABILITYEACH X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxK OCCUR X GL 0008235 4 03113/13 PREMISES Ea occurrence $ 100,o00 MED EXP (Any oneperson) S 5,000 PERSONAL & ADV INJURY S 11000,006, GENERAL AGGREGATE $ 2,000,000 I PRODUCTS - COMPIOP AGG $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY FXI PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Es accident $ BODILY INJURY (Par person) $ e ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURY (Per accident) $ pROPERTY DAMAGE P er accident $ $ A X. UMBRELLA LIAR EXCESS LIAS OCCUR CLAIMS -MADE UMB0005173 6 03/13/13 03113/14 EACH OCCURRENCE $ 4,000,00 AGGREGATE $ 4,000,00 X WC STATU- OTH• $ DED X RETENTION $ 1 000 WORKERS COMPENSATION E.LEACHACCIOENT $ 500,00 A A AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECLRIVE YIN OFFICERIMEMBEREXCLUDED7 ® (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below INSTALLATION FLTR EQUIPMENT JOBSITE NIA 001-WC11A-65512 CM0004409-4 (BLANKET *SEE NOTE 11/02113 03113/13 11102114 03/13114 E.L.DISEASE - EA EMPLOYEE $ 600100( E"L. DISEASE -POLICY LIMIT S 500,00 RENTAL :SEE NOTE LEASED *SEE NOTE DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES `Attach ACORD 101, AddHlortal Remarks Schedule, if more apace Is required) EXCEPT NON PAYMENT OF PREMIUM 10 DAYS. •30 DAYS NOTICE OF CANCELLATION 19 Project: ADA Compliance Segment 43, Monroe Co., FL, Facilities interior Public Access Areas. Additional insured Monroe County Board of County -T j Commissioners with regard to General Liability policy. yy o CA; �. O IV Monroe County Board of County Commissioners Room 2-216 1100 Simonton Street, Rm 2-216 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBEDklt IC1ES B�&NC»IIIlED BEFORE THE EXPIRATION DATE THEREOF, fftOTE VYIL<�E ©IVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TIVE CORPORATION. All rights reserved. ACORD 25 (20101M The ACORD ramei and iog0 are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE ° 11/08/ 013 11108/1013 THIS CERTIFICATE 19 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT'S UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES 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 cerlillgbe holder b an ADDITIONAL INSURED, the policy(ies) must be endorsed. N SUBROGATION IS WAIVED. subJsct to the bens and conditions of the policy, rsein n Policies may require an endorsement. A stabment on this certMale doss not confer rights to the cerdticaoe Calder In Ilse of such ems). P1ODucm Ellie Mills Inusrance Agency, Inc. • Janice Rowton 20330 Old Cutler Road 1M1011111 P ®Cutler Bay, FL 33189 AptiRaw lanice.rowton.lotbebstateftmoom I!MLWJM AFFORDING COVERAGE NAIL N INWRPJL A : Mutual INSURED Pedro Faloon Electrical Contractors, Inc. I BWMB: 31180 Avenue C BISUREILc: Big Pine Key, FL 33043 INSURER0: 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. tLlgl>a1AL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS-mADE OCCUR -- usm EACH OCCURRENCE I � I MED EXP air S PERSONAL a ADV INJURY S LIH?LAGGREGATE LarITAPPLIES PER: POLICY LOC AUTOMOBILE UANUM GENERAL AGGREGATE S PRODUCTS - COMP/oP AM 0 N A ANY AUTO ALL OWNED e SCHEDULED HIREDAUTOB Y 113 7133 E10 59 e51182e E07 99 11107U2013 1lrorrml3 0IM712014 otlro7rmu LIMIT = BODILY INJURYAUTOS (Pv pecan) _ BODILY INJURY (Pw aoddwl) - i AND EMPLOYERS' LIABILITY Y / N ANYVE OFFKIJrtEMBEq EXCWDE0? Nu dr NIA A -AM E.L. EACH ACCIDENT = E.L. DISEASE -EA EMPLOYEE S E L DISEASE - POLICY Leaf I DBSCISPTION OF OPERATIONS I LOCATIONS I VMCLES (AUNM ADM 101. AddNiwW Rrlprb WHOJ4, N nary opus b ►ownpQ -. Project ADA Segment f3 CD Policy In ellbct until 30 day cancellation notice = Ma — !'*Z o - -c W Monroe County Board of County Commission SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE BEFORE 1100 Simonton Street RM 2-21 B cow E wtrn n Pou TE RovLal NOTICETION WLL DEL DIN Key West, F133o40 AUTHORIZED A"W Ar-^on ea ianaemor. m All .-- -----. I ne „wnv name ante Ingo are registered marks of ACORD 100148e 132849.7 03-01-2012