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Certificates of InsuranceA`OREP CERTIFICATE OF LIABILITY INSURANCE 09/11/20°° 2M THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NFN Q� ALTER THE COVERAGE AFFORDED BY THE POLICIES REPRESENTIS CERTIFICATE OF INSURANCE DO NOT ATIVE OR PRODUCER, AND THE CERT��L EN THE ISSUING INSURER(S), AUTHORIZED IMPORTANT: If the certificate holder is an ADDITIOe policy(ies) mustJed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policieendorsement A this certficate does not confer rights to the certificate holder in lieu of such endorsement(s).PRODUCEREllie Mills State Farm Insurance AgenCOffrACr Old Cutler Road Cutler Bay FL 33189 RO K MAN NAME: Janice20330 30A No : 305-238 08 anicestatefarm.com G FFORDING COVERAGE INSURER A: State Farm Mutual Automobile Insurance Company NAIC s 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 PER IOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS WI 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 LLTR TYPE OF INSURANCE A POLICY NUMBER MDDLSUBIR MI� EFF MD POLICY EXP LIMITS GENERAL LIABILITY FJ+CH OCCURRENCE $ PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY V ( II�p1NA a GIG MED EXP (Any one person) $ CLAIMS-MADE1:1 OCCUR B PERSONAL & ADV INJURY $ W - GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ POLICY PRO-ECT LOC A AUTOMOBILE LIABILITY FYI 1-1M 083 8673-D26-59 04J26/2012 10/26/2012 SINGLE LIMIT1,000,000 Ea accident $ BODILY INJURY (Per person) $ ANY AUTO 113 7113-E10-59 05/10/2012 11/10/2012 BODILY INJURY (Per accident) $ AALL UTOS OWNED x SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS 6511826-E07-59 645 9389-D09-59 05/07/2012 04/09/2012 11/07/2012 19/2012 0/0 PPRPROPERTYDAMAGE er accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVEarEl OFFICEMEMBER EXCLUDED? (Mdafory In NH)) N / A ❑ W R Y III STATU- OTH- T RR E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DI POLICY LIMIT $ If yes, describe under DFSCRIPrION OF OPERATIONS belowEl 0 ';001"e$ DevelO Pment DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Aftech ACORD 101, Addlflonal Remarks Schedule, If more space Is required) LU It Project: Renovation of the Monroe County Courthouse (Marathon) TIME: s n - Monroe County Board of County Commissioners as Additional Insured RECEIVEDIVED Pp The listed insurance policy (s) may not be cancelled on less than 30 days written notice by the insurer to Monroe County ElLof County Commissioners 1a:Ls1l1I13:i 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 REPRESENTATIVE ,TION. All rights reserved. 01988-2010 ACORD 25 (20 /05) The ACORD name and logo are registerea marKs Or ACUKU TUU I4ao Toco4a.0 I ]-Ia-cv ry CG DATE (MDDIYYYY) A� o® MI CERTIFICATE OF LIABILITY INSURANCE 09/11/2012 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 C IMPORTANT: If the certificate holder is an ADD] ONAL IN ) must endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poll ' may require an endorsement A s ment on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PROD1 Ellie Mills State Farm Insurance A ICT cy SEP . Janice owton 20330 Old Cutler Road VVIONE ; 305 38$� FAIC No): 305-238-8608 E-MAIL Cutler Bay FL 33189 AODREss:'anice. wton.i b statefarm.com O MONROB SURE S AFFORDING COVERAGE NAIC a RISK MANAG rm Mutual Automobile Insurance Company 25178 INSURED Pedro Falcon Electrical Contractors, Inc. INSURERB: 31160 Avenue C INSURER C: Big Pine Key FL 33043 INSURERD: INSURER E : INSURER F : ncorrcrrwrc w rurseo• RFVI--SInM MIIMRFR- vTHIS 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 INSURANCE POLICY NUMBER MIRY EFF MWDDI UCY EXP LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR ElEl A WGEh*NT W EACH OCCURRENCE $ PREMISETO SE ET occurrence)$ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-ECT LOC PRODUCTS - COMPIOP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS y❑ ❑ 898 3933-A08-59 07ro7/2012 01ro7/2013 I L LIMIT (Eaaccident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per acddent) $ PROPERTYDAMAGE PeracddeM $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE ❑ EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y OFFICE/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A ❑ WC STATUS OTH- T R I IT E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ El Morlrc=- . Fames DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) 4 2012 Project: Renovation of the Monroe County Courthouse (Marathon) TIME: ,f Monroe County Board of County Commissioners as Additional Insured RECENED The listed insurance policy (s) may not be cancelled on less than 30 days written notice by the insurer to Monroe County and of C o ioners GER71rIGA 1 t MULUtK I -v- 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 REPRESENTATIVE 01988-2010 AddRb CORPORATION. All rights reserved. ACORD 25 (2010d 5) • The ACORD name and logo are registered marks of ACORD 1001486 132849.6 11-15-2010 C_ C_ ACC> " 0 CERTIFICATE OF LIABILITY INSURANCE 09/11/2�012m 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL . If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies mal require azorLneristatement this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). 1 V t+ PRODUCER Ellie Mills State Farm Insurance Agency NAME: Janice Rowton PHONE 20330 Old Cutler Road (W- N o5-238 FAX No : 305-238-8608 SEP n MSS' Cutler Bay FL 33189 a rowton.i b statefarm.com O INSURE AFFORDING COVERAGE NAICUON # Farm Mu al Automobile Insurance Company 25178 INSURED Pedro Falcon Electrical Contractors, Inc. RISK 31160 Avenue C INSURERC: Big Pine Key FL 33043 INSURERD: INSURER E : INSURER F : ncft @@M '•ATM uI Ia1oG0. RFVI_Clnrd idiIURI=R- vTHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TMEER INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT T EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER MNV� EFF LAY EXP POLICY LIMIT GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR ❑ Aim B • I� B W i. EACH OCCURRENCE TO RENTED ­ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ $ POLICY PRO- LOC A AUTOMOBILE LIABILITY Y ❑ 022 3871-F03-59 06/03/2012 1M12 210 SINGLE LIMIT Ea accidJECT COMBINent $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO D09 4759-009-59 09/09/2012 03/09/2013 BODILY INJURY (Per accident) $ AALL UTOS OWNED x SCHEDULED NON -OWNED HIRED HIRED AUTOS AUTOS D07 7437-D26-59 030 5488-B29.59 OM26/2012 08I29/2012 10/26/2012 02/28/2013 PROPERTY DAMAGE - (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ MgW(ERSCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECLITIVE YIN OFFICEIMEMBER EXCLUDED? (Mandatory in NH) N / A ❑ WCSLIMIT OTH- T RYLMT R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEA Y IMIT $ If yes, describe under IPTION OF OPERATIONS below::T E7 ❑ OCIIIfl"s Oevelo Pnlen' I I SEP DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) TIME: � Project: Renovation of the Monroe County Courthouse (Marathon) RECEIVED BY. - Monroe County Board of County Commissioners 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 Bo of County Commissioners LLM Monroe County Board of County Commissioners Monroe Cty Administraton 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 REPRESENTATIVE ©1988-2010 ,TION. All rights reserved. ACORD 25 (204 /05r The ACORD name and logo are registered marks Of AL;UKU Ivu l400 IJ1C09V.0 I I-IA-Lv ru EVIDENCE OF PROPERTY INSURANCEwmpwmwmm TMa UVEMEMPUR Or FNOF@RT MMUNAMM W 95MME AD A MTTEI OF Nl0MATI0N UNIT AND C0NP9RB NO IMMTS UPON THE ADDITIONAL BETBRE3T NAKEDBMLOK THIS EVIDENCE OF PROPERTY BMLBMNCE DOW N07AIOD, EXTEM OR ALTER THE COVERAGE AOW LM BUTTER.1IMM", DEETS, INC. Bill OLLIE LAGOON OR STE 420 MAML FL 33129 2M dam PEDRO FALCON ELECTRICAL CONTRACTORS INC 311W AVE C NO PINE KEY, FL 33043.4516 3117 OVERSEAS HWY MARATHON, FL 33M0 Anmbm Z wkh kmm as CamMny ER713om wqacm aAlm � Wm I 08MI 12 OB11112013 r"l TMMMW IFCHmmsmmxMM aga THE POLICES OF INSMANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSLI REO NAMED ABOVE FOR THE POLICY P0RIOD INDICATED. NOTWTHSTANDNO ANY iEOLNREMIINT, TEMA OR CONDITION OF ANY CONTRACT OR amER D0CUMEdT VMITH REWWr TO VYR#CH THIB EY138 CE OF PR0PE RTY INSURANCE MAY BE MISM OR MAY PEITAN, THE MIRANCE AFFORDED BY THE POLICES DE SCRiBeD Ft� E WLECT TO ALL THETERMS, ExCUJSIONS MIN CONDITIONS OF SUCH P0LK3ES, LMIS SHOYMIi MAY HAVE FE$R REDUCED BY PAID CLAMS. Go AM �TO GOWW WPNNIF0aa1 BWM RM Cmawpa Fans $1,100 RNrotialm and hnprwm. nts SMUM0 M Cmmul Mopoty at d Laratla» Sl71A00 *Excluding windstom/hail ItHLouLDA YOFTHEABOVEoeseHaBBoPOLICEiSECANClL1FDBE�aIRETHE:WMATEONDAISn IZIMOF,TH!OMMMMINERMELLSWMVORTO 1 NSAM1, NRFALtl1ETUMALSUCHOMME /HALLIIOSBNOOBLLA MM ORLMUffOFAWKMtWMTMNMMMrrgAMWMM IIE7B!HIEffATWEI AD WMMAL IMTE • m 13 ' • K 1 .' 1 �,1 fik� A-4— AUW1W 3T P DOSR7I • ACOM TION 11/3-200/. AN rl�a n a t, TEr ACORD now and kW and rrBNlrrfad o/ACORD A� �® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/2012 Y) 10/09/2012 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 Mills State Farm Insurance Agency 20330 Old Cutler Road O Cutler Bay FL 33189 CONTAEllie NAME: CT Janice ROwton PNONE 305-238-8688 FAX No): 305-238-8608 E-MAIL ADDRESS: •anice.rowton.i b statefarm.com 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 POLICY NUMBER MM DDPOLICY/YYYY MM /DD/YYYY LIMITS GENERAL LIABILITY El❑ EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE1:1 OCCUR AP DYA - eEl DAMAGE PREMISES Ea occurrence $ MED EXP (Any one person) $ WM,gI PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ POLICY JEPRO LOC A AUTOMOBILE LIABILITY FYI El645 9389 D09 59 10/09/2012 04/09/2013 EGaccIidentND SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED x SCHEDULED AUTOS AUTOS 1 PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS / Irk $ UMBRELLA LIAB OCCUR��/ EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED F I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICE/MEMBER EXCLUDED? (Mandatory In NH) N / A ❑ D 8 y, TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ If yes, describe under DFRCRIPTIONOFOPERATIONS below El El DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Project: Renovation of the Monroe County Courthouse (Marathon) Monroe County Board of County Commissioners 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE tY ty 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 AUTHORIZED REPRESENTATIVE Key West FL 33040 / �& w ;✓c�,cvv �riC. ©1988-2010 ACO CO PORAT N. All ri is reserved. ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD 1041486 132849.6 11-15-2010 y4t PEDRO-2 OP ID: NR '441. � CERTIFICATE OF LIABILITY INSURANCE DAT11/01/12 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 endorsements . PRODUCER 305-262-0086 BUTLER, BUCKLEY, DEETS INC. 6161 BLUE LAGOON DR., STE 420 MIAMI, FL 33126 William S. Bodenhamer CONTACT NAME: WILLIAM BODENHAMER ac°No ,d :786 2161764 a/c N.: 305 2620086 E-MAIL ADDRESS: BBODENHAMER BBDINS.COM INSURER(S) AFFORDING COVERAGE NAIC I INSURER A: FCCI Commercial Insurance CO INSURED PEDRO FALCON ELECTRICAL CONTRACTORS, INC. INSURER B : 31160 AVE C INSURER C : INSURERD: 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 ADDLrUBR 1FJqR W n POLICY NUMBER POUCY EFF MWDD POLICY EXP MWDD LIMITS GENERAL LIABILITY EACH OCCURRENCE E 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X GL 0008235 4 1100V 8 03/13/12 03/13/13 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL &ADV INJURY E 1,000,00 GENERAL AGGREGATE E 2,000,00 GEN'IAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 & POLICY X I PRO LOC 1�), l E AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accdent E BODILY INJURY (Per person) $ ANY AUTO ALL AUTOS OWNEDSCHEDULED AUTOS Y RECENEO i BODILY INJURY (Per accident) E HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident E E X UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE E 4,000,00 AGGREGATE E 4,000,00 A EXCESS LIAB UMB0005173 6 03/13/12 03/13/13 DED I X I RETENTIONS 10,000 E 1 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVEY/N OFFICERAIEMBER EXCLUDED? a N / A 001-WC11A-65512 11/02/12 11/02/13 W>✓ STATU- TH- X *RY LIMITS E.L. EACH ACCIDENT E 500,00 E.L. DISEASE - EA EMPLOYEE E 500,00 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ 500,00 A FLTR CM0004409-4 03/13/12 03/13/13 RENTAL 'SEE NOTE JINSTALLATION EQUIPMENT JOBSITE BLANKET *SEE NOTE LEASED 'SEE NOTE DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AddhionaI Remarks Schedule if mores ce is re abed ADDITIONAL INSURED MONROE COUNTY BOARD OF COUNTY COMMISSIONtRS-MSNRO' CO NTY BOCC. E Y I MENT PROJECT: RENOVATION OF THE MONROE COUNTY COURTHOUSE(MARATHON)'30 DA NOTICE OF CANCELLATION EXCEPT NON PAYMENT OF PREMIUM 10 DAYS W ._. MONRIE COUNTY BOCC 1100 SIMONTON ST,ROOM 2-216 KEY WEST, L 33040 C_ C .. %,AfV 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. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD L41 0 PEDRO-2 OP ID: NR CERTIFICATE OF LIABILITY INSURANCE DATE11101D/YYYY) 1 1/01/12 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 endorsements . PRODUCER 305-262-0086 BUTLER, BUCKLEY, DEETS INC. 6161 BLUE LAGOON DR., STE 420 MIAMWillial, FL Bode William S. Bodenhamer CONTACT NAME: WILLIAM BODENHAMER ni No ,t •786 216 1764 a/c No : 305 2620086 ADDRESS: BBODENHAMER BBDINS.COM INSURER(S) AFFORDING COVERAGE NAIC i INSURER A:FCCI Commercial Insurance Co INSURED PEDRO FALCON ELECTRICAL CONTRACTORS, INC. INSURERB: 31160 AVE C INSURER C : INSURERD: 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 POLICY NUMBER POLICY EFF MWDD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR X GL 0008235 4 i :Ctia��•` kV�Ot�ttW� ;,,u;Y?Hn 03/13/12 03/13/13 PREMISES Ea occurrence t 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,00 V c.P - C $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) E ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOSNON-OWNED HIRED AUTOS AUTOS �EG��t, BODILY INJURY (Per accident) $ P808Ec.ZDAMAGE $ $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4,000,00 AGGREGATE $ 4,000,00 A EXCESS LIAB CLAIMS -MADE UMB00051736 03/13/12 03/13/13 DED I X I RETENTIONS 10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 001-WC11A-65512 11/02/12 11/02/13 X WC STATUITORY - OTH- E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 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 a CERTIFICATE HOLDER MONROE/COUNTY( BOARD OF000UNTY COMMISSIONERS ISwLISTEOIAS ADDITIONAL INSURANCE AND LOSS PAYEE (� property 2798 Overseas Hwy Marathon FI. 33050 *30 DAYS NOTICE OF CANCELLATION EXCEPT NON PAYMENT OF PREMIUM 10 MENT DAYS """."G" D W MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET Key West, FL 33040 CG, 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. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD /A`CQRO® `..� CERTI ATE OF LIABILITY IN ANCE DATE 02/2012 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. 20330 Old Cutler Road O Cutler Bay, FL 33189 CONTACT NAME: Janice Rowton PNONE No): 305-2388-608 : 305-238-8688 ac E-MAIL ADDREss: 'anice.rowton.i b 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 TYPE OF INSURANCE ADDL UBR POLICY NUMBER MM/DDYn� LICY EXP MM DD/YYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ❑ ❑ Monfoe COU i?2CiiNleS { EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS -MADE OCCUR `j ,yi N ( 1 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1ti�Jiic. - " " "'`s POLICY PRoJEC LOC ECENCOMBER gv" $ A AUTOMOBILE LIABILITY FYI ElD09 4759 C09 5 09/09/2012 03/09/2013 deD INGLE LIMIT Ea accident) $ 1,000,000 ANY AUTO 030 5488 B29 59 08/29/2012 02/28/2013 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED X SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR H EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE AGGREGATE $ f20�tY DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICEIMEMBER EXCLUDED? (Mandatory In NH) N / A ❑ D W� , / WC STATU- OTH- T RY LIMIT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT I $ If yes, describe under DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Project Name: Marathon Courthouse 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 f`FRTIFICATF Hnl nFR CANCELLATION Monroe Count Board of County Commissioners y 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 CC,.' AUTHORIZED REPRESENTATIVE � ' p ; Diu— D u-- I"�� ©1988-2010 ACORQ.COgPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 s ACOROf CERTIATE OF LIABILITY IN RANCE DATE 11/02/20 2n 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). PRODUCECONTACT R Ellie Mills Inusrance Agency, Inc. 20330 Old Cutler Road O Cutler Bay, FL 33189 NAME: Janice Rowton PNONE . 305-238-8688 n/c No): 305-2388-608 E-MAIL AD DRESS:'anice.rowton.i b statefarm.com INSURERS AFFORDING COVERAGE NAIC i 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 : 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. ILSrnR TYPE OF INSURANCE ADDL UBR - POLICYN �'r7<,_, ... P DDY POLICY/YEXP YYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR ❑ ❑ ?OCQhtes �OV 1� E E SNEJ% g� - EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG $ $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS FY El113 7113 E10 59 651 1826 E07 59 645 9389 D09 59 022 3871 F03 59 11/10/2012 11/07/2012 10/09/2012 06/03/2012 05/10/2013 05/07/2013 04/09/2013 12/03/2012 Eaaccc�ideDISIN LE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under N / A ❑ , W ..� WC STATI% OTH- T RY LIMIT 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: Marathon Courthouse 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 GtK 111-IGA It MULUtK GANULLLATION Monroe County Board of County Commissioners Monroe Cty Administration Dept., Project Mgmt Dept 1100 Simonton Street, Room 2-216 Key West, FL 33040 GG� 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 tv'_� nwil—) 01988-2010 ACORD CO TION. All rights reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 '``� b® CERTIFICATE OF LIABILITY INSURANCE D11/06/20D12� 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). PRODUCER Ellie Mills Inusrance Agency, Inc. 20330 Old Cutler Road O Cutler Bay, FL 33189 NAME: Janice Rowton PHONE : 305-238-8688 AIC Noy 305-2388-608 E-MAIL ADDREss: 'anice. rowton.i b statefarm.com INSURERS AFFORDING COVERAGE NAIC S 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 : 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. INSR L I TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF M DIYYYYI POLICY EXP (MMIDDIYYYY1 LIMITS GENERAL LIABILITY ❑ EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR A V D YRENTEn- PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ W GENERAL AGGREGATE $ GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC $ A A AUTOMOBILE LIABILITY ❑y D07 7437 D26 59 10/26/2012 04/26/2013 Ea accident) IN LE LI WIT — 1,000,000 BODILY INJURY (Per person) $ ANY AUTO MOI1fOH county ALL OWNED X SCHEDULED _:CICllRles D vP,IOpment BODILY INJURY (Per accident) $ HIRED AUTOS AUTOS 0 (PRar a dentDAMAGE $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESSLIAB CLAIMS -MADE - DED RETENTION $ $ En/ED WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICE/MEMBER EXCLUDED? ❑ Ni A ❑ T RY I IT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under E.L. DISEASE -POLICY LIMIT I $ 7- El El DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Project Name: Marathon Courthouse 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 Monroe County Board of County Commissioners Monroe Cty Administration Dept., Project Mgmt Dept 1100 Simonton Street, Room 2-216 Key West, FL 33940 Gam' I11sji 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 Vk�./i/ J j ' r� U(" - 01988-2010 ACORD CWPbRATION. All riahts reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 ^� " CERTIFICATE OF LIABILITY INSURANCE °l avagm THIS CERTIFICATE IS ISSUED AS A MATUR of INFORMATION ONLY AND CoNFERB NO RId1ITf! UPON THE CERTEICATE HOLDOL THIS CERTIFICATE DOW NOT APFIRMATTUELT OR NEGATMILY AMEND, EXTEND OR ALTER TM COVERAGE AFFORDED BY THE paUeME BEL*W. TIWs CORTV'CATE OF "SURANCE DOES Nor OON5rnW9 A COMMAGT SE"MEEN THE ISSWMA 9ISUItE040. Au7NOROM REPRESENTATIVE OR PRODUCER, AND THE CERTOWAWE HOLDER. tNPORTANT. IT MIs a1 WIDOW III~ Is an AOOfI1DNAL INWR W. the peftypay Am" be etdensd IrSUSINMT10N 1S WAIYEO. to the sa on nt7a d ooedpone of t11a PAN!►. nIft-6 PGIIOI09 ntsy roquM an endwsemeM A sisblRsnt an le nir--m does net on *A6,20 the CSRIReats holt>ar in s m of such Md *RC1Racia EftNbbmnnm Agency, Inc. 20330 Old Cuffer Road' QCutler Bay, FL 33189 VINIMIA4 Sisk FIND, mlaw � RAIC a x'a1MgiD Pedro Falcon Electrical Cu actors, Inc. mwtpmis: 311W Avenue C &9 Phle Km FL 33043 INDICATED NOIWITHSTANWAIG ANY REOLIFtEMENT TERM OR CONOMN OF ANY CONTR#= OR OTHER DOCUMENT WITH RESPECT To WHICH THIS CERTIFICATE MAY BE MUE0 OR MAY PERTAK THE INSURANCE AFFORDED By 114E POUCE3 01MROM na tN 13 suejECT To ALL THE MWAS. EXCLUSIONS AND CONDMONS OF SUCH PQJCE& UMIr8 SH(MIH MAY HAVH BEEN REDUCED BY PAID OLASM amN9"L Uhso YY L POGNIEGlUs taxi APPL ES PEA A OMO UANUIV Y ,1 �� 0223871 F0359 t2101G91t 06A3rA13 s 1.000.000 ANYAUrp 5000.Y VIA®RV lbpomm" s AL SC'�U'� mm"' x 'apOILV1NAJgYp.. „q MREOALITO6 ^n� xsa 4PRt _ Per t �i tImmAALIM 0=ulm Excrn LIA6 CLAIIs-MwF EACHOCCUVtftXE S ---- -- - _..1 _ ---FW ~l]GRC�.ATE— ocn ! eex.nrw e 1 ANY In NIA 5 • EA DAPLOrE� onsaNarmwora tltATAMMrLOCAToxa I VBNgjf t+ur.r AroND 1M,1�rdarolRnwMls sasM�. dawn.re. 1. 1 PFOJCCL Renovation of the Monroe County Courthouse (Marathon) Monroe Coungr Bond of Cotody Cvmmiasronem as add tionat Rmjmd The Istod mn"ance po1cy moy not a ounceW on less than 30 dot's written rwtiae by the Insurer Monroe County Hoard of County Cornwmjonem Monroe County Board of County Commissiorwa SHOULD ANY OF THE AIM* DINT CROM PMJCMS BE CANC4-LW SBtapRE Motnroe C AdminisfratlOn 7RE eWWATOM BITE TH VMW. MTCE vatL NE DaMMM W ty Dept. F'ngW Mgft Dept ACCOR7AMNWIRTHTNmPosaevPROVafONa- 1100 Simonton Street, Room 2-214 Key West FL. 33040 AunKMp an V 019MI.2010 ACORD CORPORATION. AN tights rived, ACORD 25 (2010" "a ACORD rwrrw and k ge wa ►a %WW narks of ACORD 1001490 132US.7 03-01 2012 �® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01/04/2013 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(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 Or.Cutler Bay, FL 33189 CONTACT NAME: Janke ROWfon PHON o xt • 305-238-8688 AIC No): 30-238-8608 E-MAIL ADDRESS: 'an ice.rowton.ic b statefarm.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: State Farm MwWaL&tQ. O 1 rance Company 25178 INSURED Pedro Falcon Electrical Contractors, Inc. INSURER B: _'!1 -' V Ur I INSURER C 31160 Avenue C Big Pine Key, FL 33043 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. INSR LTR TYPE OF INSURANCE DDL SUBR POLICY NUMBER MM/DD/YY POLICY EFF YY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY COMDAMAGE MERCIAL GENERAL LIABILITY ❑ K AP 0 G NEW EACH OCCURRENCE $ TO RFRTEff- PREMISES Ea occurrence $ CLAIMS -MADE OCCUR By DA MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ WAl GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ riPOLICY JE O-- LOC A AUTOMOBILE LIABILITY FYI El898 3933 A08 59 01/08/2013 07/08/2013 Ea acccidentSINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident $ X HIRED AUTOS X NON -OWNED AUTOS UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE a ❑ 11 wroe C �QCIIIN@b r�F+v9�� my EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE A I WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICE/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A ❑ TIME: -- ":�4 RECENED BY: E.L. DISEASE -POLICY LIMIT $ I El D DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Project: Renovation of the Monroe County Courthouse (Marathon) 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 t tK I Irl%,A I t MULUrK l.AryIiCLLA I Ivry Monroe County Board of County Commissioners Monroe Cty Administration Dept, Project Mgmt Dept 1100 Simonton Street, Room 2-216 Key West FL 3304S1 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. d \� _ © 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 ACORO® CERTIFICATE OF LIABILITY INSURANCE F ATE D02/27/2O 3YY) 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 O Cutler Bay, FL 33189 CONTACT NAME: Janke ROWtOn PHONNo,E 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 Big Pine Key, FL 33043 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. INSR LTR TYPE OF INSURANCE A DL SUBR POLICY NUMBER POLICY MM/DD EFF MMIDD% YYY LIMITS GENERAL LIABILITY ❑ ❑ EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR BYWK PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ DGEM W GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ POLICY PRCOT LOG A AUTOMOBILE LIABILITY � ❑ D07 7437 D26 59 10/26/2012 04/26/2013 COMBINED SINGLE LIMIT Ea accident $ 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 PerOa cdentPERTY DAMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUROU OCCUR CLAIMS -MADE El El 5 acllNles l7evelopment EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ 2. WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? (Mandatory In NH) N / A ❑ RECENED BY: WC STATU- OTH- TICLIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below 1:1 El DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project Name:Renovation of the Monroe County Courthouse (Marathon) 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 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. AUT ORIZ�SENTATI� ©1988-2010 ACORD Q'OkkQRATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 . 1%. RI CERTIFICATE OF LIABILITY INSURANCE _DATE 03/12/20 3YY) 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: Janke ROwton 20330 Old Cutler Road PHO No, EXt • 305-238-8688 ac No): 305-2388-608 ADDRESS: janice.rowton.icqb@statefarm.com Bay, FL 33189 LiINSURER 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 =a BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN DUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE L S B POLICY NUMBER ICY EFF MM/DD POLICY EXP MM/DDIYYYY LIMITS GENERAL LIABILITY ❑ ❑ �/ A q 7 i r. I•'A 28 3 EACH OCCURRENCE $ PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY 1 CLAIMS -MADE F—IOCCUR +a) , MED EXP (Any one person) $ PERSONAL & ADV INJURY $ RECEIVED BY: GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT $ A AUTOMOBILE LIABILITY FYI D07 7437 D26 59 10/26/2012 04/26/2013 BINE Ea .ideDISINGLE 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 SCHEDULED AUTOS X 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 ❑ ❑ • EACH OCCURRENCE $ _ EXCESS LIAR AP V Y GEMENT AGGREGATE $ DED I RETENTION $ $ BY WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y� OFFICE/MEMBER EXCLUDED? (Mandatory In NH) NIA ❑ yyAl WCTORLIMITS OT ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ If yes, describe under ERATIONS below El El DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project Name:Renovation of the Monroe County Courthouse (Marathon) 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 GtKIltIGAIt_ MULUtK liAIVIiCLLAIIVIN 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 REPRESENTATIVE ©1988-2010 Lq TION. 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 (MM/DD D04/09/2013 ) 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 INCutler Bay, FL 33189 CONTACT NAME: Janice ROWfOn PMIC.HONNo,E Extis 305-238-8688 ac No): 305-2388-608 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 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 ADDTYPE WAIL SUER POLICY NUMBER EFF MM DDPOLICY/YYYY POLICY M/YYYY LIMITS GENERAL LIABILITY ❑ ❑ EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY N PREMISES Ea occurrence $ CLAIMS -MADE OCCUR 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 Z ❑ 645 9389 D09 59 04/09/2013 10/09/2013 Ea accl dent SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB HCLAIMS-MADE OCCUR El El By GEAAENi EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DA WB DIED RETENTION$ is WORKERS COMPENSATION ANDEMPLOYERS' 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 DESCRIPTION OF OPERATIONS below El El DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project: Renovation of the Monroe County Courthouse (Marathon) 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 (_ERTIEIr_ATE NOI DEIR CANCELLATION Monroe County Board of County Commissioners BE ES CBE CDELIVERED BEFORE SHOULDDESCRIBEDPOLICI ELLED OFPIRATIIONHDATE VT XANY THE THEREOF, NOTICE WILL IN Monroe Cty Administration Dept., Project Mgmt Dept ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Room 2-216 Key West, FL 33040 AUTHORIZED REPRESENTATIVE Ulxn�wo �Olk�- � I l U 19St5-ZU1U AGUKU`:dUKI-W1A I IUIV. All rlgnrs reserveo. ACORD 2y 05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 ,a`oRo® CERTIFICATE OF LIABILITY INSURANCE F°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. 20330 Old Cutler Road 17171.Cutler Bay, FL 33189 CONTACT NAME: Janice ROwton PHONNo.E Ext): 305-238-8688 A//C 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. 31160 Avenue C Big Pine Key, FL 33043 INSURER B : 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 B POLICY NUMBER MM/DPOLICDY EFF MM/ POLICYEXP LIMITS GENERAL LIABILITY ❑ ❑ ` EACH OCCURRENCE $ PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR V BY DA NT MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ Nf GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY JEPRO LOC $ A AUTOMOBILE LIABILITY FYI ElD07 7437 D26 59 04/26/2013 10/26/2013 Ea .BcdeDt81NGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS X AUTOS NON -OWNED HIRED AUTOS AUTOS Monroe FaGIIflIeS DeelOprTlenl ,,l�� 0�=�^7 -'—' BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR ❑ pp � `PR 2 ' ` �� � EACH OCCURRENCE $ _ AGGREGATE $ \ DIED I I RETENTION $ $ WORKERS COMPENSATION 'Fl lam"--`°'- - WCSTATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? N / A ❑ RECEIVED BY: TORY LIMITS I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OP ATIQN.1, h.1— E.L. DISEASE - POLICY LIMIT 1 $ El El DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project Name:Marathon Courthouse 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 Monroe County Board of county Commissioners Monroe Cty Administration Dept., Project Mgmt Dept 1100 Simonton Street, Room 2-216 Key West, FI 330 I G L • cw�-c-�� L711asl4gL•iILei `I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ra ATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 A b® CERTIFICATE OF LIABILITY INSURANCE ATE D05/312013 ) 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 Li CONTACT NAME: Janice ROwton PNONE . 305-238-8688 FAX No): 30-238-8608 E-MAIL ADDRESS: 'an ice. rowton.ic 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 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. INSR LTR TYPE OF INSURANCE AD L BR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS GENERAL LIABILITY AP AG MENT EACH OCCURRENCE $ PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR BY WAI a MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO jECT LOC $ A AUTOMOBILE LIABILITY FYI El022 3871 F03 59 06/03/2013 12/03/2013(CEO, accciden SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE El Eltj\ 0 kA%O0 ('- a e\O� Or\eSQ� ry '°? EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICE/MEMBER EXCLUDED? N / A ❑ `A\ _ \ �`+ J Y `- ORY IMITJOTH- S ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under ism, E.L. DISEASE - POLICY LIMIT $ El ❑ R0 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project: Marathon Courthouse 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 Monroe County Board of County Commissioners Monroe Cty Administration Dept, Project Mgt Dept 1100 Simonton Street, Room 2-216 Key West, FL 33040 k;ANt;tLLA I 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. AUTHORIZED REPRESENTATIVE ©1988-2010 ACOR"00P113RATION. All rights reserved. ACORD 25 (2010/Ofi) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 CG ACO1 CERTIFICATE OF LIABILITY INSURANCE ATE D07/02/2013 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 O Cutler Bay, FL 33189 t NAME: CONTACT Janice ROwton IPA , N Ext): 305-238-8688 n/c No : 30-238-8608 nAREss: 'a nice. rowton. ib statefarm.corn 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: 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 LTR TYPE OF INSURANCE A DL UBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY ❑ ❑ EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE E OCCUR P PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ DA WAI GENERAL AGGREGATE $ _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LJECTOC $ A AUTOMOBILE LIABILITY ❑ 898 3933 A08 59 07/08/2013 01/08/2014 Ea accident IN LE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS Ix AUTOS NON-OWNED PerOacEadentDAMAGE $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ EXCESS LIAB AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICE/MEMBER EXCLUDED? N / A ❑ WC STATU- OTH- T RY LIMITS E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ ❑ ❑ Monroe Cotes erg` DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) 13 Project: Marathon Courthouse 1 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 Co `t g0go of lint ommissioners CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners Monroe Cty Administration Dept, Project Mgt Dept 1100 Simonton Street, Room 2-216 Key West, f L 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 � � J " mkw L 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 A� o CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 08/13/2013 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 ONE T NAME: Janke Rowton PHONE t . 305-238-8688 (A/C No)- 305-2388-608 E-MAIL ADDRESS:janice.rowton.icqb@statefarm.com INSURERS AFFORDING COVERAGE NAIC # A: State Farm Mutual Automobile Insurance Company 25178 LiINSURER INSURED Pedro Falcon Electrical Contractors, Inc. INSURERB: INSURER C : 31160 Avenue C Big Pine Key, FL 33043 INSURERD: INSURER E : INSURER F : ur uanoo. COVERAGt5 Lor-m r rrmom r v. rwr.rcar-- 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 INSURANCEINSR ADDL UBR WVQ POLICY NUMBER POLICY EFF MM/DD ENT 09/09/2013 08/29/2013 POLICY EXP MM/DD/YYYY LIMITS 03/09/2014 02/28/2014 EACH OCCURRENCE $ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR ❑ ❑ �,,�,,�,,,�( ACrISl4/ /EWRGI` BB rMED WAIV R D09 4759 C09 59 030 6488 B29 59 PREMISES Ea occurrence $ � EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE O LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS Ea acciden SINGLE LIMIT $ $ 1,000,000 A BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE r11viE, floe �O"/f!e,co(� f lJ(°j 7 � 1 e/0 end O EACH OCCURRENCE $ $ N / A AGGREGATE WC STATU- OTH- T RY LIMIT ER DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N OFFICE/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ nFqr.RIPTION QF OPERATIONS below Pt DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Project Name: Conch Key Fire Station Monroe County Board of County Commissioners as additional insured The listed insurance policy (s) may not be canceled on less than 30 days written notice by the insurer Monroe County Board of County Commissioners Monroe County Board of County Commissioners 1100 Simonton Street RM2-216 Key West, FL 33040 TION 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 ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ION. All rights reserved. 1001486 132849.7 03-01-2012 ACOOR�® ���.....v CERTIFICATE OF LIABILITY INSURANCE DATE(M1/ 013 1aol�zo�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(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). PRODUCER Ellie Mills Inusrance Agency, Inc. 20330 Old Cutler Road Cutler Say, FL 33189 a NAME Janice Rowton PAICH ONE Extie 305- 38-8688 (A/CC NO: 305-2386&08 E-MAIL •ianice.rowton.i statefarm.com INSURERS AFFORDING COVERAGE NAIC / INSURER A: State Farm Mutual Automobile Insurance Company 6 INSURED Pedro Falcon Electrical Contractors, Inc. INSURERB: INSURER C : 31160 Avenue C Big Pine Key, FL 33043 INSURER 0: INSURER E : INSURER F : rrnvFlaaer_�c [`RRTIFICATF NUMBER* REVISION NUMBER: vTHIS 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 hum OURN POLICY NUMBERlacy%LIMITS GENERAL LIABILITY ❑ EACH OCCURRENCE 3 ES omranca = COMMERCIAL GENERAL LIABILITY MED EXP P" am Person) _ �M CLAIMSADE OCCUR PERSONAL B ADV INJURY S GENERAL AGGREGATE i GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG s s ri MOT LOC A AUTOMOBILE LIABILITYY 645 9389 D09 59 1010902013 0410W2014 Et aoddard $ 1,000.000 GODLY INJURY (Pr pin) $ ANY AUTO BODILY S1J w (Pat seoidanl) s ALAL� ED x �DSULED i HIRED AUTOS AUTOS S UMBRELLA UAB EACH OCCURRENCE s HOCCUR AGGREGATE $ EXCESS LIAB CLANYIB hV1DE DED I RETENTION s $ WORKERS COMPENSATION VWC ATU- OTH AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNENEXECUTIVE YINN OFFICEIMEMBER EXCLUDED? (Mandalery In NN) / A E.L. EACH ACCIDENT i E.L DISEASE - EA EMPLOYE S E.L. MEASE - POLICY Larrr I s N yes. dsaWbe under 17 P19 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (A[soh ACORD 101. Addkkmal Remarks Schedule, U man space Is "NP*sd) 1( I N �! ADA Compliance Segment 1114 v Monroe County Board of County Comrnissloners as additional Insurers The listed policy (s) may not be canceled on less than 30 days written notice by the insurer to Monro County Board of Corrurtllers Monroe County Board of County Commission 1100 Simonton Street RM 2-216 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE t CELt .0 BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL IIIE' DERED IN ACCORDANCE WITH THE POLICY PROVISIONS, J REPRES7 J ti 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 ALC40R�® V CERTIFICATE OF LIABILITY INSURANCE DATE (01 /20131ry 1ao1/2o�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 pollcy(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 endorsemengs). PRODUCER Elite Mills Inusrance Agency, Inc. 20330 Old Cutler Road D Cutler Bay, FL 33189 CT eiAUNiE. Janice Rowton FAX PHONE 5--88 4 AIC No: -2 08 MAI aL RESS:'anice.rowton.i b statefarm.com INSURERS AFFORDING COVERAGE NAIC t INSURER A: State Fame Mutual Automobile Insurance Company 26178 INSURED Pedro Falcon Electrical Contractors, Inc. INSURERB: INSURER C : 31160 Avenue C Big Pine Key, FL 33043 INSURER D : INSURER E : INSURER F : nnaeown_ee 1%=CTICICeTE KIIIMBER• 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. LTR TYPE OF INBURANM ImPOLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ Eaaxueems $ COMMERCIAL GENERAL LIABILITY MED EXP Any arm coon) $ cL%%mADE OCCUR PERSONAL & AOV INJURY S GENERAL AGGREGATE $ GEN'L AGGREGATE LWTAPPL ES PER. PRODUCTS - COMPIOP AGO S i PRO- LAC JECT A AUTOMOBILE LIABILITY ANY AUTO Y 645 9389 D09 59 10M91M5 0+10lf2014 LIMIT .xde.nt s111 t,000,000 BODLY INJURY (Per perron) _ BODIY INJURY (PerHIRED ALL OWNED SCHEDULED S aaldar adAUTO S lIgAIlED AUTOSAUTOS n s UMBRELLA LIA OCCUR EACH OCCURRENCE S Excess LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTIONS WORKERS COMPENSATION VyC ATU O R = AND ELPLOYERS'LMBLITY I / ANY PROPRIEfORIPARTT1VE Ya OFFICEIMEMBER EXCLUDED? (Mandatory is NHQ NIA E.L. EACH ACCIDENT i E.L. 018EASE -EA EMPLOYEE f If ym. descrbeu E.L. DISEASE - POLICY LIMIT S RISK DEBCRIPTICN OP OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD IOI. Addiff"I Remarks Schedule, N more spsoe N relimmUl W -.. Key West Intemational Airport Customs Security Enhancements PH I Monroe County Board of County Commissioners as additional insurers The listed policy (s) may not be canceled on less than 30 days written notice by the insurer to Monro County Board of Comrt toners r Monroe County Board of County Commission 1100 Simonton Street RM 2-216 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE GGNCELf D BEFORE THE EXPIRATION DATE THEREOF, N6TIG0 WILL DO IERED IN ACCORDANCE WITH THE POLICY PROVISIONS.— ti CORPORATION. All rights ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 ACC>RzjCERTIFICATE OF LIABILITY INSURANCE °"�'""`°°^^� THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLLDER THIS 1/2013 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND NF ALTER THE COVERAGE AFFORDED T THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING AFFORDED R(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlfcate holder is an ADDITIONAL INSURED, the poilcy((es) must be endorsed. If SUBROGATION IS WAIVED, subJect to the terms and older in lieu 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 Cutler Road NAME: Janice --- -- PHwONE � -. am ........__ r. GKCutler Bay, FL 33189 INSURED Pedro Falcon Electrical Contractors, Inc. 31160 Avenue C Big Pine Key, FL 33043 THIS 13 TO CERTIFY THAT TREVISION HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED T1) THE INSURED NAMEp NABOVE FOR THE POLICY PERIOD INDICATED. N0 MAY 133E ISSUE l3 ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MATH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPB OF INSURANCE POLICY N BEM GENERAL LIABILITY .ItllQQn m� IMMIDOrYwm MERCUIL GENERAL LIABILITY CLAIMS -MADE OCCUR one ciE7LAGGREGATE LIMITAPPLIES PER GENERALAGGREGATE POUCY PRO LOC PRODUCTS-COMP/OPAGG "�� Y 645 9389 D09 59 1=94013 04A8✓2014 SINGLEISir AUTOS MED x SCHEDULED AUTOS BODILY BIJURY (Pa Pr+rwn) THIREDAUTOS AUTOSDBODILY INJURY (Pa► uck a) PrLIAR OCCUR B EACHnmmeFurG AND EMPLOYERS' LIABILITY ANY FROPRIETORIPARTNERIEXECUTIVE YIN OFFICENEMBER EXCLUDED? E-11M (Mudratory In NN) M yM, daft wdr DESCRIPTION OF OPERATIONS r LocATH>.Ms / V611CI reMIX s (Aeadr ACORD 101, AddRbrel Rwwrks achodub, B mom %Mco 1s ADA Compliance Segment 4 3 W K _ Monroe County Board of County Commissioners as additional Insurers The listed policy (s) may not be canceled on less than 30 days written notice by the Insurer to Monro County Board of CommisgiorIers C= �. C:) rn CERTIFICATE HOLDER CANCELLATION 7,1 -T. ---► DO r, Monroe County Board of County Commission SHOULD ANY OF THE ABOVE OESCRIBEOPQLICIES B6j6,ANCEW)ED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL�E 4ECIVERED IN 1100 Simonton Street RM 2-216 ACCORDANCE WITH THE POLICY PROVISIONS, C') Key West, FL 33040 co AUTHO R RES ATIVE 1 ACORD 25 (2010/05) The ACORD name and logo are registered marks o ACORD RD CORPORATION. All rig8-2010 hts reserved. 1001486 132849.7 03-01-2012 PEDRO-2 OP ID: NR A�13 DATE /25/ /YYYY) CERTIFICATE O LIABILITY CONY INSURANCE NO RIGHTS UPON THE CERTIFICATE HOLDER THIS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 r artlflcato holder In lieu of such endorsemen s . PRODUCER BUTLER, BUCKLEY, DEETS INC. 5161 BLUE LAGOON DR, STE 420 MIAMI, FL 33126 William S. Bodenhamer INSURED PEDRO FALCON ELECTRICAL CONTRACTORS, INC. 31160 AVE C BIG PINE KEY, FL 33043-4616 CNAMONTACTE• WILLIAM BODENHAMER PHONE (SIC FMB 786 216 1764 Wc, No): 305 2620086 A:FCCI Commercial Insurance Co C: NAIC 0 72 COVERAGES CERTIFICATE NUMBER: M" _. ^ --- 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. NSR POLICY EFF CY EXP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMID GENERAL LIABILITY EACH OCCURRENCE S i,uu0,( GL 0008235 4 03M 3113 031 33/14 PREMI ES Ea oar nce $ 100,( A X COMMERCIAL GENERAL LIABILITY X 5,( CLAIMS -MADE t i X— OCCUR �I MED EXP (Any one arson) E PERSONAL & ADV INJURY E 1,000,( GEN'L AGGREGATE LIMIT APPLIES PER: —1 POUCY I X 1 JF OT I I LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS 11 SCHEDULED NO-OOS WNED HIRED AUTOS AUTOS X UMBRELLA WAS OCCUR A EXCESS LIAB CLAIMS DED X 1 RETENTION f 1( WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) n yes dsacrlbe under DESCRIPTION u0 OPERATIONS below A (INSTALLATION FLTR (EQUIPMENT JOBSITE 736 1 03/13113 1 03113/14 YIN NIA( lool-WCIIA-65512 I 11/02113 I 11IO2/14 `SEE NOTE 03/13113 1 03113/14 -COMPIOPAGG $ $ BODILY INJURY (Per person) I S BODILY INJURY (Per accident) S PROPERTY DAMAGE $ Par aceldert S EACH OCCURRENCE S E.L. AL F OPERATIONS I LOCATIONS I VEHICLES (Aftch ACORD 101, Additional Remarks Schedule, H more space Is required) L INSURED MONROE COUNTY BOARD OF COUNTY COMMISSIONERS-MONROE COUNTY RENOVATION OF THE MONROE COUNTY COURTHOUSE(MARATHON)"30 DAYS q (M CANCELLATION EXCEPT NON PAYMENT OF PREMIUM 10 DAYS pA WAIM NIAM-- MONRIE COUNTY BOCC 1100 SIMONTON ST,ROOM 2-216 KEY WEST, FL 33040 s a *SEE *SEE SHOULD ANY OF THE ABOVE DESCRIBED PQUCIES BE 4CEL21) BEFORE THE EXPIRATION DATE THEREOF, NOtiOlr WILL 4E DECNERED IN ACCORDANCE WITH THE POLICY PROVISRM.' Will 0IM-2010 ACORD GURFUKAI IUN. ACORD 26 (2010106) The ACORD name and logo are registered marks of ACORD V iW' .. CD PEDRO-2 OP in- MR CERTIFICATE OF LIABILITY INSURANCE F�T101z 11°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 endorsemen s . PRODUCER 305-262-008 BUTLER, BUCKLEY, DEETS INC. 6161 BLUE LAGOON DR., STE 420 MIAMI, FL 33126 William S. Bodenhamer NAME' WILLIAM BODENHAMER PNONE 786 216 1764 FAX A� o Arc No): 305 2620086 E' o^i` . BBODENHAMER BBDINS.COM INSURE AFFORDING COVERAGE NAIC N INSURER A: FCCI Commercial Insurance Co 33472 INSURED PEDRO FALCON ELECTRICAL CONTRACTORS, INC. 31160 AVE C INSURERS: InsurtER c : BIG PINE KEY, FL 33043-4516 INSURER D : INSURER E : WOURERF- 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. LTR TYPE OF INSURANCE ADDL BUSH iffin POLICY NUMBER POLICY MMID EFF P MIDDNYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 PREMISES Me occurrence $ 100,000 A X COMMERCIAL GENERAL LIABILITY X GL 0006235 4 03113113 03/13/14 CLAIMS -MADE F—x1 OCCUR MED EXP one n i 6,000 PERSONAL 3 AW INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,00 : POLICY FXI PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) S ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS NOOS ON-O NWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident 8 S X UMBRELLA LIAR EACH OCCURRENCE $ 4,000,00 HOCCUR AGGREGATE $ _ 4,000,00 A EXCESS LIAB CLAIMS -MADE UMB0005173 6 03/13/13 03/13/14 DEC) I X I RETENTION t 10,000 li A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y[7 OFFICERIMEMBER EXCLUDED? N (Mandatory In NH) NIA 001-WC11A-65512 11/02/13 11102Y14 X WC STATULIM - OTH- ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 600,00 E.L. DISEASE - POLICY LIMIT 1 $ 500,00 tf yes, describe under DESCRIPTION OF OPERATIONS below A INSTALLATION FLTR CM0004409-4 03/13/13 03/13/14 RENTAL 'SEE NOTES EQUIPMENT JOBSITE BLANKET *SEE NOTE LEASED *SEE NOTE DESCRIPTION OF OPERATIONS / LOCATIONS r VEHICLES (Attach ACORD 101. Additional Remarks Schedule. It mom space Is required) C-77 •30 DAYS NOTICE OF CANCELLATION EXCEPT NON PAYMENT OF PREMIUM 10 DAYS. Project: ADA Compliance Segment 93, Monroe Co., FL, Facilities Interior Public Access Areas. Additional Insured Monroe County Board of County p r-":) Commissioners with regard to General Liability policy. f� —' -� m 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 CANWEC41FORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE LIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 0fUg-2010 ACORD CORPORATION. All riahts reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE �to/M288/20° 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 pOncy(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 endorsements) PRODUCER Ellie Mills Inusrance Agency, Inc. danrca RUWLUri PHONE 05-238 NIC No : 5-2388 608 20330 Old Cutler Road MAIL Cutler Bay, FL 33189 anice.rowton.i b tefarm.com INSURE S AFFORDING COVERAGE NAIL 0 INSURER A: State Farm Mutual Automobile Insurance Company2 INSURED Pedro Falcon Electrical Contractors, Inc. INSURER8: 31160 Avenue C INSURER C : Big Pine Key, FL 33043 INSURER a mu roco . REVISION NUMBER: COVERAGES CERTIFICATE NUMBER. BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRR TYPE OF INSURANCE POLICY NUMBER MID F EXP PMID LIMITS EACH OCCURRENCE 3 GENERAL LIABILITY PREMISES JEo ocwnence S COMMERM GENERAL LIABILITY CLAIMS -MADE DOCCUR MED EXP (Any one person) S PERSONAL 6 AOV INJURY S GENERAL AGGREGATE 5 PRODUCTS -COMP/OP AGG S GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I 150 LOC AUTOMOBILE LIABILITY D07 7437 D26 59 10I28►2013 04/2812014 COMBINED SINGLE (Ea eetJdant S S 1,000,000 Y BODILY INJURY (Par person) i A BODILY INJURY (Par accident) s ANY AUTO ALL OWNED x SCHEDULED PROPERTY DAMAG Per accident i AUTOS NON -OWNED F1 HIRED AUTOS AUTOS S UMBRELLA LIAB OCCUR EACH OCCURRENCE S S EXCESS LIAR CLAIMS -MADE AGGREGATE S DED RETENTION= WCSTATU- OTH- WORKERS COMPENSATION EACH ACCIDENT $ AND EMPLOYERS' LIABILITY YINE.L.E. ANY PROPRIETORIPARTNERIEXECUTIVE OFFICEIMEMBER EXCLUDED? ❑ N I A E.L. DISEASE - EA EMPLOYE i (Mandatory In NH) t{yea, deartibe under RATIONS b-1— E.L. DISEASE - POLICY LIMIT O El DESCRIPTION OF OPERATIONS! LOCATIONS /VEHICLES (Attach ACORD 101, Addhbrwl Ramarka Schedule, If more apace Is ra4'�'adl _T1p 1 Project: ADA Compliance Segment #3 1 pq IF W — m (-) .. o o u Monroe County Board of County Commission 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 All lights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001485 132"9.7 03.01-2D12 ACERTIFICATE OF LIABILITY INSURANCE °10rze`M013"' THIS CERTIFICATE M ISSUED AS A MIATTI9t 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: K the cerIlflab holder Is an ADDITIONAL INSURED, the poQcypes) must be endorsed. If SUBROGATION IS WAIVED, SUDjoat TG nia terms and cordltlons of the poilcy, cwbdn poilcles may require an endorsement A statement on this cerUftate doss not confer rights to the certificate holder In ilw of such endorsement(s). PRwucER Ellie Mills Inusranoe Agency, Inc. -- - � Jan)os ROwton 20330 Old Cutler Road 14ML Cutler Bay, FL 33189 ADDR2211t anioe.rowton. s nn corn Q N AFFORDING COVERAGE NAIC t INSURER A: State Farm MutuN Aubmobile insurance 1Ne"""O Pedro Falcon Electrical Contractors, Inc. 31160 Avenue C Big Pine Key, FL 33043 COVERAGES CERTIFICATE NUMBER: REVISION Nam' CY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLI INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MTN 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 WDLIIIIIIIIII CY 111UNSER POLICY EFF INDUCT Ow L"d'IS GENERAL LIABILITY EACH OCCURRENCE f RENTbu PREMISES Ea aoawrwaa f COMMERCIAL GENERAL LIABILITY MED EXP one pemol f CLARIS.MADE OCCUR PERSONAL & ADV INJURY f GENERAL AGGREGATE f GEM AGGREGATE L LWT APPLIES PER: PRODUCTS - COMPIOP AGO f f POLICY LOC A AUTOMOBILE LIABe.ITY ANY AUTO ALL OWNED rSCHEDULED AUTOS HIREDAUTOSAUTO$ Y D07 T43T DZS 59 10/281Y017 tl4/28/201s = f 1,000,000 BODILY (Par person) INJURY f BODILY INxw (Permddwd)AUTS f f UMBRELtJ1DAB HOCCUR EACH OCCURRENCE f AGGREGATE f EXCEeB LIAR CLAIMIi MHDE 87A - O R f DED I 1,RMWnM$ WOruG COMPENSATION E L EACH ACCIDENT f AND EMPLOYERS' LIABILITY APROPRIETORPARTNERIEXECLMVE YIN E.L DISEASE - EA EMPLOYE f DENY �FICEAIEMBER EXCLUD? (Mandatory In It yes, daealbe urtlw hw— N I A E.L DISEASE . POLICY LNAIT f QERCRIEIM OF OPERATIONS DESCRIPTION OF OPERATIONS l LOCATIONS I VEHICLES (AMM ACORD 101, AddRroMl Rwnw" ft"WWe. N more 9"Ce is re"rem A O -n Project ADA Compliance Segment #E4 By F N D rri - W KIN I � CD Monroe County Board of County Commission 1100 Simonton Street RM 2-216 Key West, FL 33040 SHOULD ANY OF THE ABOVE DIESCRISED, POLICIES BGANCMED BEFORE THE EXPIRATION DATE THEREOF, -NOTICE WILIUE RED IN ACCORDANCE WRH THE POLICY PROVISIONS. AUTHORED REPRiBBNTATIVE 3 ACORD 25 (2010106) The ACORD name and logo are registered marks of ACORD LSAS ATiON. All rights reserved. 100148E 13280.7 03-01-2012 PEDRO-2 OP ID. N DATE (MMmorcyyy) CERTIFICATE OF LIABILITY INSURANCE I 10125/13 ATTTE HOLDER. THIS THIS CERTIFICATE E IS ISSUED AS A M NOT AFFIRMATIVELY EOR NEGAR OF OTtVELY1OAMEND,rEXTEND OR ALTER THE COVERAGE AFFORDED AND CONFERS NO RIGHTS UPON THE ABY THE POLICIES CERTIFICATE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS}, AUTHORIZE 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 pollcy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the . roficafn holder In lieu of such endorsements . cnwrn�7 ,- , , ■a enno►1LJ AtUFR PRODUCER 3UO-L04-V%J0W NAMr: •-•-- --- Not: 3052620086 BUTLER, BUCKLEY, DEETS INC. PHONE .786 216 1764 8161 BLUE LAGOON DR., STE 420 E-MAIL MIAM[, FL 33126 ADDREss: BBODENHAMER BBDINS.COM Wiliam S. Bodenhamer INSURE S AFFORDING COVERAGE 2 INSURERA:FCCI Commercial Insurance Co 33472 INSURED PEDRO FALCON ELECTRICAL INsuRERe: CONTRACTORS, INC. INSURERC: 31160 AVE C INSURER D : BIG PINE KEY, FL 33043-4616 INSURER E: OVERAGES CERTIFICATE NUMBER:NCE LISTED — - INDICATED, CATED.CN07WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OFHAVE BANY CONTRACT OR OTHER DOEEN ISSUED To THE INSURED CUMENT WITH RESPECT TOLWHICH THIS CERTIFICATE MAY IT 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 rF ^YAK' LIMMS LTR I TYPE OF INSURANCE EACH OCCURRENCE $ GENERAL LIABILITY j( GL 0008235 4 03H 3/13 03/13/14 PREMISES Ea ocra,rrence $ A X COMMERCIAL GENERAL LIABILITY MED EXP (Any one arson) $ CLAIMS -MADE F OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG S GEN-L AGGREGATE LIMIT APPLIES PER: $ RO LOC POLICY X PRO- COMBINED SINGLE LIMIT Ea accident -- AUTOMOBILE LIABIUTY BODILY INJURY (Per person) S BODILY INJURY (Per accident) I $ ANY AUTO ALLOWNED F— SCHEDULED AUTOS PROPERTY DAMAGE g AUTOS NED Per accident $ HIREDAUTOS AUTOS EACH OCCURRENCE $ X UMBRELLAUAB OCCUR UMB00051T36 03N3/13 03113i14 AGGREGATE $ A EXCESS CLAIMS -MADE $ DED X RETENTION $ 10 coo X WC STATU- OTH- WORK£RS COMPENSATION AND EMPLOYERS' LIABILITY ODi WC11A-65512 111D2113 11/02/14 YIN E.L EACH ACCIDENT $ A ANY pRRopRIMBERIPAR ECUTIVE j NIA E.L. DISEASE - EA EMPLOYE S UDER EXCD7 OFFIN S (Mandatory in NH) E.L. DISEASE - POLICY LIMIT It yea, describe under DESCRIPTION OF OPERATIONS below 03/13113 03f13/14 RENTAL A INSTALLATION FLTR CM0004409-4 LEASED BLANKET *SEE NOTE EQUIPMENT JOBSITE DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach AORRD 101, Additional Remarks Schedule, If more space is required) COUNTY COMMISSIONERS-MONROE COUNTY ADDITIONAL INSURED MONROE COUNTY BOARD OF BOCC. RENOVATION OF THE MONROE COUNTY COURTHOUSE(MARATHON}*30 DAY DAYS A PROJECT. EXCEPT NON PAYMENT OF PREMIUM 10 D NOTICE OF CANCELLATION WA --- MONRIE COUNTY BOCC NTON ST ROOM 2-216 1 *SEE `SEE SHOULD ANY OF THE ABOVE DESCRIBEQ§I I WI$E MNC �IVERED RN THE EXPIRATION DATE HEREOF, tt "T1 ACCORDANCE WITH THE POLICY PROVIM . CD 1100 SIMO I--- - KEY WEST, FL 33040 AUTHO E PRESENTATIVE Will' {ttltff5r 0 1388-2010 ACORD CORPORATION. AC ORD 26 (20101061 The A CORD name and logo are registered marks of A-rORD O o CD ."j J 7-D reserved. Received DEC 18 2913 Finance Dept. CERTIFICATE OF LIABILITY INSURANCE I 1IMM'13" THIMI OfflTr CATS 4 OWED AS A MATTER OF IMIOM ATION OILY AND COWM NO MBIiTTI UPON THE CERTIFlCATE HOLOWL TiRS CMITMATT1, DO= WT APIMM MILY OR MWATMLY AfAM EXI OR ALTER THE COVERAM AFFOROW BY TM POLiCJES BELOW. TIII6 CWTIFICATE OF PISURAMM DOES NOT COMSTITUTM A CONTRACT BBTWEEN TM MISUING EISIIRER(q. AUTHORWO R ITATTIIE OR PRODUCIM% AND THE CERTIRCATE MOLDER. BIPORTANn N owa—m E bolder is sn amom NOMA rm iak!►MN m od b6 sadomed. If T ION IS MfAN®. sut1w ip the tares and o m Mloes sf #W p&y. rwtW pdkMs wmg Psgkm snowlerammonLA-1010M l os 1lds owdGM s daps not WdOr rW110 W tM owdfk** hokbr In Ism of such smdsls�nrld(e P11001fCElt Eft MMb Inuwmm Agency► Ina. 20330 Old Cutler Road QCutler Bay, FL 33189 pOWND Pedro Faloon Ebcdical Contractors, Inc. 31180 Avenue C Big Pine Key, FL 33043 �...� wm�wr►ass �rJua. RE1I1lt01m Ml1MBERt THI8 Mf TO CERTm:Y THAT THS POLICME OF WMMANCE LISTED ORDW HAVE B88N TO TILE MOVED NAMED ASOVH FOR M POLICY PERIOD INDICAT®. Nor#jM BTANDW ANY REOUBaeT, TM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMMIT VM RESPECT TO W18CH THIS CsRnFICows MAY eE 18 RAW OR MAY PERTAIN. THE IN81J WWE AFFORDIM 8Y 7HE POLICIES DSECRMIED MMM M WBMCT TO ALL THE TERMS, EXCLUSIONS AND CONDiTIOM OF SUCH POLK09L LIMITS 8MOIM/ MAY HAVE MKII REDUCED SY PAID CLAMe. 1YPaOPalammANOE Lem ammEa�LIJAMEI>Y ee1r16mINL mLYlEMd1Y C A OWAA [ Q OCCUR IOCCIMmIarC6 i IAlDSMP Die w i PmmsomasAornAJar s A80RmC1►TE a& llLawrAPP "POW Mmom Loo PJOCOUCTS•COYrJoPAGO f A AVICK16WUMMM AiIYAUiO AYmmSO x aCilD{A[O IMRO AIfTOt AU1Dt Y on3W1 F03 E 1=Nf1M13 OO101M4 RI t 1,000000 eme I nuum "ps"q EOORYMNIIIYO"wAWwO i i i umome"U" EMesmm um Hasomm" OCCmm EACH i #Aura" m • WamNMa Ai1D NA 11Y J I doleftswAK RIA mLUMACCIMT i .� mLOP"-POLICVLWr i OdGMFMQmaFOlmfRlblq{fIQCATgMmJVmIMCtls pmNP OCONO191, rt�IMwM�INWRMww�nl gl/wlq Reaorffilon dthe Mofmos Canty CaiaMiolfss (IAmtaBan) PPR WA! � r C7 r m ry Co Monroe County Board of County COnVRhWd8rI0m 110D Simonton Street. Room 2416 Key Wait FL. 33040 *IOULD ANY OF THS ABOVE DMCMW POUGM Of F QOAM MWORE THE EIIPMMTIOII OA= THEREOP. NOTICE WILL. OR E OMWIED IN ACCORDANCE WRH THE POLICY PROVMIOWL .V- O 19M 0ACOWCOMORATIOILANtIgIvisiveerrsd ACORD 26 (201&W The ACORD namTs and logo an n Abred mub of ACORD 1WI480 132849.7 03-014M ` ® DATE(/n A CERTIFICATE OF LIABILITY INSURANCE ovo202/20142o14 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). CT PRODUCER Ellie Mills Inusrance Agency, Inc. NAME: Janice Rowton PNONE-305-238-8688 FAX No:305-2388-608 20330 Old Cutler Road E-MAIL Cutler Bay, FL 33189 ADDRESS: 'anice.rowton.i b statefarm.com INSURE S AFFORDING COVERAGE NAIC S INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED Pedro Falcon Electrical Contractors, Inc. INSURER B : 31160 Avenue C INSURERC: Big Pine Key, FL 33043 INSURERD: INSURER E : INSURER F : i2imnclnN MI1118Ftr COVERAGES VCR 1 Irrvr%r c revmva- 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. INS TYPE OL. F INSURANCE AD L U POLICY NUMBER POLICY EFF IMMMOPWOO P6UCY EXP LIMITS GENERAL LIABILITY ❑ EACH OCCURRENCE $ _ Ea rrence $ COMMERCIAL GENERAL LIABILITY BDAMAGETORENTM— Y P ENT PREMISES oc MED EXP (Any one person) $ PERSONAL & ADV INJURY $ CLAIMS -MADE OCCUR WA A -� GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG $ A 646 9389 D09 59 113 7113 E10 59 D09 4759 C09 59 10/26/2013 11/10/2013 09/09/2013 04/26/2014 05113/2014 03/09/2014 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO_ RO1-1 ECTLOCCOMBINED AUTOMOBILE LIABILITY ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS Ea accident IN L L MI $ $ 1,000,000 Y BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAG Per accident $ BRELLA LIAB OCCUR EACH OCCURRENCE $ 7EXCESSLIAR CLAIMS MADE AGGREGATE $ $ D RETENTION $ WORKERS COMPENSATION VJC STAT% OTH- TRY LI IT E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICE/MEMBER EXCLUDED? N / A 0 E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ QFRrRIPTIQN OF OPERATIONS below ✓ii�;Bru:� t�UU.r� f n rpu re DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is qulrod) CPrT1Gn Renovation of the Monroe County Courthouse (Marathon) 1/hi U jti TltVit. _RECUIVED Y., TE Monroe County Board of County Commissioners 1100 Simonton Street, room 2-216 Key West, FL 33040 CANGELLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE ONCE D BEFORE THE EXPIRATION DATE THEREOF, NOVICE WILL AE D@9VERED IN ACCORDANCE WITH THE POLICY PROVISIO w inn AUTHORIZED REPRESENTATIVE 01998-2010 ACORD R TION. I rig is �reS20d. 25 (2010105) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012 A� CERTIFICATE OF LIABILITY INSURANCE °o;/oti20° 4"' A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFICATE IS ISSUED AS 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 PNONE Ext): 305-238-8688 Z No : 30 238 8608 20330 Old Cutler Road EMAIL ADDRESS:'anice.rowton.i b statefarm.com Cutler Bay, FL 33189 INSURE S AFFORDING COVERAGE NAIC 0 INSURER A : State Farm Mutual Automobile Insurance Company 2517 O INSURED Pedro Falcon Electrical Contractors, Inc. INSURER B : INSURER C : 31160 Avenue C Big Pine Key, FL 33043 INSURER D -. INSURER E : INSURER F : COVERAUES %omf%t trRIP-L I c mwmw�m. — - - 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 POLICY NUMBER 1 POLICY EFF M POLICY EXP MMID IYYYY LIMITS EACH OCCURRENCE $ GENERAL LIABILITY ❑ PREMISES (Ea occurrence $ COMMERCIAL GENERAL LIABILITY OCCUR AP IS MED EXP (Any one Person) $ PERSONAL & ADV INJURY $ CLAIMS -MADE W GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: INGL LIMI (Ea accident $ $ 1,000,000 A POLICY M PRO LOC AUTOMOBILE UABIUTY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON-OWNEDPROPERTY HIRED AUTOS H AUTOS 898 3933 A08 59 01/0812014 07/08/2014 �y BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ DAMAGE Per accident) $ $ UMBRELLA LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB WC STATUS OTH- TRY LIMIT R $ _ DED I I RETENTION $ WDRKERS COMPENSATION E.L. EACH ACCIDENT $ AND EMPLOYERS' UABIUTY ANY PROPRIETORIPARTNERIEXECUTIVE Y / N OFFICEIMEMBER EXCLUDED? NIA ❑ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under balm E.L. DISEASE - POLICY LIMIT $ nFSQRIPTIQN OF PFRATIONS .410f1fC E? t Ourlly tacltities ncav'IOwnenl DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is mquired) Ih1(at� i Li� 1 F= Renovation of the Monroe County Courthouse (Marathon),- :2ECEIVED+By, I Monroe County Board of County Commissioners 1100 Simonton Street, room 2-216 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED -POLICIES BE CANCEiijED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL (4* DMIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2010 ACO PORATION. All rights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD 1UU14t35 1sZ04y.1 us-U l-tU rZ l ® A� o CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01/02/2014 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 t NT NAME: Janice ROwton FAX Ext)PHONE . 305-238-8688 JAIC, No): 305-2388-608 E-MAIL ADDRESS: 'anice.rowton.i b statefarm.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: State Farm Mutual Automobile Insurance. Company 25170 INSURED Pedro Falcon Electrical Contractors, Inc. 31160 Avenue C Big Pine Key, FL 33043 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F CQVI=KAtjt* a.rRI Ir1%I/11G 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. INRIAD TYPE OF INSURANCE GENERAL LIABILITY L ❑ ❑ POLICY NUMBER POLICY EFF 1MMIDDIYYYY1 POLICY EXP IUMIDOIYYYY) LIMITS EACH OCCURRENCE $ PREMISES Ea rrence $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR P D NT MED EXP (Any one person) $ PERSONAL & ADV INJURY $ D WAN R N/A _ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ GENT AGGREGATE LIMIT APPLIES PER: Ea identSINGLE LI $ $ 1,000,000 A PRO- LOC POLICYM AUTOMOBILE LIABILITY ANY AUTO X S AUTONED AUTOS NON -OWNED HIRED AUTOS AUTOS 022 3871 F03 59 D07 7437 D26 59W 651 1826 E07 59T 030 5488 B29 590 12103/2013 10/26/2013 11113/2013 08/29/2013 06/03/2014 04/2612014 06/07/2014 02/28/2014 ❑Y BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LU18 OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE WC STATU- OTH- T RY I IT R $ DIED RETENTION $ WORKERS COMPENSATION E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICEIMEMBER EXCLUDED? N 1 A E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ EA �T' N �' Iroe COu c — DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Renovation of the Monroe County Courthouse (Marathon) JAW C ju 14 � CD kDic TIME. _ _ :2ECEIVED BY: i9p uq Monroe County Board of County Commissioners 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 REPRESENTATIVE tu"yk)h t'71 L911� 0 1999-2010 TION. All rights reserved. ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD 1001486 132849.7 03-01-2012