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Certificates of InsuranceACORUCERTIFICATE OF LIABILITY INSURANCE DATE 2/19O/YYYY) �✓'' 02/19/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE, HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PNHON u • (305) 501-2801 ac No): (305) 553-9010 Hemisphere Insurance Group E-MpgESSvAIL hemisphereinsgrp@aol.com 11401 SW 40 St Ste 340 INSURE S AFFORDING COVERAGE NAIC # Miami. FL 33165 1 INSURER A : ATLANTIC CASUALTY INS COMP Phone (305) 501-2801 Fax (305) 553-9010 INSURED INSURER B : MERCURY INSURANCE INSURER C : Conch Wastewater, Inc. INSURER D: 89 INDUSTRIAL RD INSURER E : BIG PINE KEY, FL 33043 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 INSR UBR WVD POLICY NUMBER I POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 C COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000.00 MED EXP (Any one person $ 5,000.00 A CLAIMS -MADE d OCCUR ❑ ❑---- LJ L144000691-3 04/18/2014 I 04/18l2015 PERSONAL & ADV INJURY $ 1,000,000.00 GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 1 ,000,000•00 j L_I POLICY E PRO- LOC _ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000 000.00 BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED ❑ AUTOS AUTOS BA09-7952 02/18/2015 02/18/2016 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ d ❑ HIRED AUTOS' NON -OWNED AUTOS $ ❑ 1,000,000 ❑ 1,000,000 ❑ UMBRELLA LIAB ;—OCCUR j EACH OCCURRENCE $ AGGREGATE $ ❑ EXCESS LIAB ` CLAIMS -MADE ❑ DED ❑ RETENTION $ $ i WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ❑ WC STATU- RY LIMITS . O H- E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A --'---- E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below j E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AS ADDITIONAL INSURED. BPPR E DA WAI N/A --� 1 CERTIFICATE HOLDER CANCELLATION 1i �k1HIJOJ 308tNOW MONROE COUNTY1 AWWWWNTY COMMISSIONERS 9400 OVERSEAS HWY SUITE 200 (C;;,� �` �+ MARATHO$,,"�330 d �+Z 83J 5101 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BED LIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. AGORD 25 (2010105) QF I ne AUURU name ana logo are registerea marts or ACUKU ACORU® CERTIFICATE OF LIABILITY INSURANCE DATE (MIW'DD/YYYY) 2/14/2015 THIS CERTIFICATEIS 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 SUBROGATIONIS 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 PAYCHEX INSURANCE AGENCY INC 210705 P: F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NMAE: a°"N .Exp- (AI .No): (888) 443-6112 ADDRL ADDRESS. INSURER(S) AFFORDING COVERAGE NAICk INSURER Twin `',iT' r- ins INSURED CONCH WASTE WATER INC 89 INDUSTRIAL RD BIG PINE KEY FL 33043 INSURER B - INSURER C - INSURER INSURER INSURER 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. IA'SR LTAN' TYPE OF INSURANCE ADD `V� Rey POLICYN13MEIt �� F (MAI/DD11711 POLIG7E,1(P I,IlU7IS COMMERCUU_ GENERAL LUWILITY EACH OCCURRENCE CLAIMS -MADE [IOCCUR DAMAGETO S(RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMP/OP AGG ; POLICY PRO LOC F JECT OTHER AUTOMOBILE LIABILITY _L MEW COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) ANY AUTO �a ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS N �� %�,~ �!'� r f lo ti.�. I /A\ N " �.� BODILY INJURY (Per accident) DAMAGE PROPEer R UMBRELLA LIAM OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE DE RETENTIONS WORLERS COMPFNS4310N .1:�'DF'HPLOPEBSLL980-[3Y ANY PROPRIETORPARTNER[EXECUTIVEY/N x STAPER ERT TUTE ER E.L. EACH ACCIDENT' 10 0 , 000 A OFFICERMEMBEREXCLUDED? ❑ (Mandatory in NH) MA _ NiEI .f'X, E.L. DISEASE -EA EMPLOYEE ` 100, 000 E.L. DISEASE -POLICY LIMIT `50 0 e 000 If yes. describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS I VEHXPKS)RD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations_ RE: Operations and Maintenance sewage treatment plant, Monroe County Marathon Airport, Monroe County, Florida. V 13 "1,MIN 30NNOw .11 '813 *U"11 ur,� nco CANCEL I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 8C1' NV SZ 83J SIOZ BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE MONROE COUNTY DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AU)"HORMEDREPRESENTATNE BOARD OF COUNTY COMMId%P�!�OJ 0311j 9400 OVERSEAS HWY STE_ 74-r— MARATHON, FL 33050 ACORD 25 (2014101) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD C E R i i r i vA It: UI- LIABILITY INSURANCE DATE (MM/DD/YYYY) 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 Hemisphere Insurance Group CONTACT NAME: aoNE (305) 501-2801 E-MAIL ac No : (305) 553 9010 11401 SW 40 St Ste 340 Miami, FL 33165 hem isphereinsg rp@aol.com INSURE S AFFORDING COVERAGE NAIC # Phone (305) 501-2801 Fax (305) 553 9010 INSURER AATLANTIC CASUALTY INS COMP INSURED Conch Wastewater, Inc. INSURER B : MERCURY INSURANCE INSURER C : 89 INDUSTRIAL RD INSURER D : BIG PINE KEY, FL 33043 INSURER E COVERAGES INSURER F : 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 ADDL UBR LTR TYPE OF INSURANCE IN R WVD POLICY NUMBER MM/DD Y MM/DDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 d❑ COMMERCIAL GENERAL LIABILITY DAMAGERENTED PREMSESO a occurrence $ 100,000.00 ❑ ❑ CLAIMS -MADE � OCCUR A L144000691-3 MED EXP one arson ❑ An 04/18/2015 04/18/2016 (Any p $ 5,000.00 ❑ PERSONAL & ADV INJURY $ 1,0100,000.00 ' GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 PRO- PRODUCTS -COMP/OPAGG $ 1,000,000.00 El POLICY El❑ LOC AUTOMOBILE LIABILITY $ ❑ ANY AUTO EOaccidEDtSINGLE LIMIT $ 1,000,000.00 ALL OWNED SCHEDULED BODILY INJURY (Per person) $ B ❑ AUTOS © BA09-7952 AUTOS NON -OWNED 02/18/2015 02/18/2016 BODILY INJURY (Per accident) $ 0 HIREDAUTOS © AUTOS PROPERTY DAMAGE ❑ 1,000,000 ❑ 1,000,000 Per accident $ ❑ UMBRELLA LIAB ❑ OCCUR EXCESS LIAB ❑CLAIMS -MADE EACH OCCURRENCE $ ❑ DED ❑ RETENTION $ AGGREGATE $ WORKERS COMPENSATION $ AND EMPLOYERS' LIABILITY Y / N ❑ WC YTAT T ❑ O RTH- ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ (Mandatory In NH) ❑ If es, describe under E.L. DISEASE - EA EMPLOYE $ DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is requi ) MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AS ADDITIONAL INSURED. gy P E OT' WAIVER N/ C C(_ CERTIFICATE HOLDER !`A►.- -v_' _ J , MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 9400 OVERSEAS HWY SUITE 200 MARATHON, FL 33050 ACORD 25 (2010/05) OF 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 ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 7 a ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/28/2016 THIS CERTIFICATEIS 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 PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. - ORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, subject to the _4C 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 PAYCHEX INSURANCE AGENCY INC 210705 P: F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT , NAME: (AtCC, HONE,Ext): (c,No): (888) 443-6112 ADDRIESS INSURER(S) AFFORDING COVERAGE NAIL# INSURER A: Twin City Fire Ins Co 11VSURED CONCH WASTE WATER INC 89 INDUSTRIAL RD BIG PINE KEY FL 33043 INSURER B : INSURER C : INSURER D: INSURER INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICYNU30ER POLICYEFF POLICYE" LVWM COMMERCU►L GENERAL LIABILrFY EACH OCCURRENCE $ CLAIMS -MADE ❑ OCCUR DAMAGE TO RENTED $ PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PE O- ❑ LOC $ OTHER: AUTOMOBILE LIABILRY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) g ANY AUTO AP Vt NT ALL OWNED SCHEDULED AUTosAUTOS Y LNON-OWNED BODILY INJURY (Per accident) $ AUTOSAUTOS WAIVER t PROPERTY DAMAGEHIRED $ (� (Per accident) $ r' l - UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ DE RETENTION $ $ WOSdEBSCOMPENSATION X PER OTH- STATUTE ER ANDEMPLOTERSLLABILTIT ANY PROPRIETOR/PARTNER/EXECUTIVEY/N E.L. EACH ACCIDENT $10 0 , 0 0 0 A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) WA 76 WEG JX7081 02/26/2016 02/26/2017 E.L. DISEASE -EA EMPLOYEE 1100, 000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ rj 0 0, 0 0 0 DESCRIPTION OF OPERATIONS below DESCR/PTIOMOFOPERATIONS/LOCATIONS/ VE1f/CPMRD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. RE: Operations and Maintenance sewage treatment plant, Monroe County Airport, Monroe County, Florida. lMarathon Y =7 �f`'i t �i i� v y,,� 1 9 VVr I I J 'O�J •� !1 o CERTIFICATE HOLDER CANCELLATION L0 :I Wry 6— 8VW 910SHOULD 1 (Jroe County ANY OF THE ABOVE DESCRIBED POLICIES BE BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BECELLED DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE im,ard of County CommissiQ rj U dOJ 03 11� 110 SIMONTON ST �rv� KEY WEST, FL 33040 ©1988-2014 ACORD CORPORATION. All rights reserved. I ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 14 '°44C CERTIFICATE OF LIABILITY INSURANCEFt4/1MMIDD/YYYY)D � 8/16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 'BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE x : (305) 501-2801 ac Noll: (305) 553-9010 Hemisphere Insurance Group EA -MIL hemisphereinsgrp@aol.com 11401 SW 40 St Ste 340 INSURERS AFFORDING COVERAGE NAIC # Miami, FL 33165 INSURER A: ATLANTIC CASUALTY INS COMP Phone (305) 501-2801 Fax (305) 553-9010 INSURED INSURER B : PROGRESSIVE INSURANCE INSURER C Conch Wastewater, Inc. INSURER D 89 INDUSTRIAL RD INSURER E BIG PINE KEY, FL 33043 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 ADD INSR UBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE 0 OCCUR ❑ L144000691-3 04/18/2016 04/18/2017 EACH OCCURRENCE $ 1,000,000.00 DAMAGE PREM SESOEa oNcurDrence $ 100,000.00 MED EXP (Any one person $ 5,000.00 PERSONAL & ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRO ❑ LOC PRODUCTS - COMP/OP AGG $ 1,000,000.00 $ B AUTOMOBILE LIABILITY ANY AUTO ALL OW NED SCHEDULED ❑ AUTOS ❑ AUTOS HIRED AUTOS NON -OWNED ❑ ❑ AUTOS 02876247 02/17/2016 02/17/2017 (CEO, accident) SINGLE LIMIT 1,000,000.00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $N ❑ UMBRELLA LIAB ❑OCCUR ❑ EXCESS LIAB ❑ CLAIMS -MADE EACH OCCURRE $ Z7! AGGREGATE O f— $ ❑ DED ❑ RETENTION $ $ N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below N / A ❑ WRY LIMIT 2 TH- E.L. EACH ACCIDG • $ PL��+ E.L. DISEASE - EA OYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AS ADDITIONAL INSURED. 9YP VE AGEM�7ENNT" %�(,�L. (b - • `i (J r - — �A�[ .,,_ ir CERTIFICATE HOLDER CANCELLATION 1 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 9400 OVERSEAS HWY SUITE 200 MARATHON, FL 33050 ACORD 25 (2010105) CIF 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 @ 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD a CERTIFICATE OF LIABILITY INSURANCE 172s8//20 ) THIS CERTIFICATEIS 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 PAYCHEX INSURANCE AGENCY INC 210705 P: F: (888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 CONTACT NAME: (A/C,N,Est): (aC.No): (888) 443-6112 IRESS: INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Twin City Fire Ins Co INSURED CONCH WASTE WATER INC 89 INDUSTRIAL RD BIG PINE KEY FL 33043 INSURER B INSURER C : INSURER D: 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. A'19? TYPE OFEVSURANCE ADDL SUBR POLICYNUMBER POLI�� POLICYEXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE ❑ OCCUR DAMAGE TO RENTED $ PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ECO- ❑ LOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE HIRED NON -OWNED AUTOS ONLY AUTOS ONLY (Per accident) $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE g AGGREGATE $ EXCESS LIAB CLAIMS -MADE DE I RETENTION $ $ WORKERS COMPENSA71ON X PER OTH- AND EWLOYERS'L7AB UTY STATUTE ER E.L. EACH ACCIDENT $10 0 , 000 ANY PROPRIETOR/PARTNER/EXECUTIVEY/N A OFFICERIMEMBER EXCLUDED? (Mandatory in NH) ❑ wA 76 WEG JX7081 02/26/2017 02/26/2018 E.LDISEASE- EAEMPLOYEE $100, 000 If yes, describe under E.L. DISEASE -POLICY LIMIT $ 5 0 0 0 0 0 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHIC(AWRD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. RE: Operations and Maintenance sewage treatment plant, Monroe County Marathon Airport, Monro Count Florida. APP VE GEMENT DA 11M WAN N/A ES.__. EGAle Gcr' CERTIFICATE HOLDER MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 9400 OVERSEAS HWY STE 200 MARATHON, FL 33050 CANCELLATION fiml ( — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE C NCELLE BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE rights reserved.; ACORD 25 (2016/03) The ACORD name-4qd lisgq are registered marks of ACORD