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Certificates of Insurance
MAILL4 OP ID: RA ACC—CIF/Pe ERTIFICATE OF LIABILITY INSURANCE 1 n" ; ) , THt1 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION OILY AND CONS NO RIGHTS UPON THE CERTIFICATE HOLDER TtNS BY THE POLICIES BELOW. THIS CERTIFICATE INSURANCE NCEE OR � NOT CiONSTIME SETW EN THE A INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CEIRTIRCATE HOLDER. IMPORTANT: N tits csrtMests holds Is an ADDITIONAL INSURED, the poilolAMN must be endorsed. If SUBROGATION IS MAIMED, subject to the terms and conditions of Me policy, asAaln polldss may resets an endorsement A statement on die ontlfk:ste does not caller rights to tit• certificate holder In Sou of such 'indorsements). mom* 941-484-0681 • ' w _ Glf s d Hsldsn Ins - NGOVG sN X85 - S�d em I r mu Verb FL 34284 ,• Victor L Germs NIONIIININ APPONON I C0v.ME IMMO moon A: Ins Co 10190 mum M e n l o u x and Sons Inc. • use s, BddgMNld Empioysrs Ins Co 1500 156 Ave 1 souls e: Progressive Companies 10183 POMO% FL 34221 mums s INSURERS : . , Ne1NMt17. COVERAGES CERTIFICATE WNW: REVISION NUINIER: PERIOD INDICATED. NCiYNTHBTANDSG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 00IER DOCUMENT WRH RESPECT 10 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES. LIMITS SHOWN MAY HAVE BEBI REDUCED BY PAD OUSEL AOUL WNW 441 TEMOFI NNNIANLTt MIMI WW1 POLICY MOM , aim, am % USES oseINIAL LU .ITV EACH ocCuRXENCE • 1,000,000 A X CcesnlnCU A. UMW GENER MW X 25734723 051281/2 OSf25013 PRIMES R• sonnaers1 t 300,000 1 CIAMSwDE © OCCUR MPO IOW On$ m Pawl • 10,000 X CONTRACTUAL �1,L • : �. . • r, _ PERSONAL AACVUAW • 1,0600 X XCU LIABILITY By • .1i` r �: 90 - - 0 WHEW& ADORED/4Th $ 2,000, SEWLMOIMONIE WAR APPLES PER r II if ' — PRODUCTS - COIl5OP • 2,000,000 row' © -4 III Los , , , . • ,wroMOSas Mawr - 1,000,000 C — ANY AIM X 01/04112 01104013 swim saw sof wools • — Ail. OWNED X SCHEDULED BODILY MUST (Pr►.oNer:q • AUTOS Autos • X HIRED AVMS X 26 • 1,000,00E )E U11R IAUAI X � cR EACHOCCUIVIBR1 • 6,000,000 A DIMS • . CiAWAS4ACIE 740575700 09021M2 0502/013 AGONSOATE $ 0.000,000 oED I X I arrurno,$ • WOMEN COMPUSIKDON X I M I X IV AND eIUMIRS'IJIONLJR rN INC .LID 04101N2 04103/13 EL EACHAOCDBrT • +,066,000 B NIA . • MXRO EPROO IRA EL DISEASE - SAEMPLOYEE $ 1.000,000 Onenddiory Is us w ,,, d,eb*.vrr EL .. =,- LICK - POLRRT • + A Crime 20734733 05025/12 05121013 CRIME 100,000 A Equipment Ross 20734723 09112112 05/211/13 RENT EAU I 20,0060600 OSSCIMPHOW OPOPSMTONNLOCATIONS /MU (AYrMB AMID Mi, Add/NM Ib. idudd%Nom spas N esqullee I4onros County Hoard of County Connissioosra iaaludnd as additional insured and loss payee as respects to ADA Ccaplianos, Segment #1 project. Additional insured applies to Cenral Liability and Auto Liability. CERTIFICATE HOLDER CANCELLATION MONR001 SHOULD JAY OF THE ABOVE DESCRIBED POIJCES BE CAI' S D BEFORE Monroe County Board of County ACCORDANCE WITH THE PPROVISIONS. tRALL Dd1YelED a n Commissioners 1100 Stn piton Street AMMO. avNpErrAwa Ksy West, FL 33040 Victor L Garrays 0 1888.2010 ACORD CORPORATION. AM riffs reserved. ACORD 26 (2010106) Ths ACORD name and logo am iebIsrsd &mks of ACORD -- – - ____ ____ MONROOI P I R PAGE 2 NOTEPAD: owooux and sons Inc. OP ID: RA wne 11M112 m , , R1sk Instdadkjatettly onsgr AIG00, i MAILL -2 OP ID: SP AWR CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD/YYYY) 12/17/12 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 endorsement(s). PRODUCER 941 484 - 0681 CONT Gifford - Heiden Ins - NGNG P 0 Box 428 941 - 485 - 3835 (A/CC. o. Ext): FAX No): Venice, FL 34284 E-MAIL Victor L. Garraus ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Southem- Owners Ins Co 10190 INSURED Mailloux and Sons Inc. INSURER B: Bridgefleld Employers Ins Co 1500 15th Ave. Dr. East #103 Progressive Companies Palmetto, FL 34221 INSURER C : 1 0193 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 TYPE OF INSURANCE ADM SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM /DD/YYYY), (MM /DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A © COMMERCIAL GENERAL LIABILITY X 20734723 09/28/12 09/28/13 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 300 _ ■■ CLAIMS -MADE X OCCUR , MED EXP (Any one person) _ $ 10,000 © CONTRACTUAL AP' ' • ► : ' ` MANAGEMENTU/4,0 PERSONAL & ADV INJURY $ 1,000,000 BY Vl II4..ea © XCU LIABILITY DA • IOW" GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: W PRODUCTS - COMP /OP AGG 2,000,000 III POLICY X PR L I LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMI 1,000,000 (Ea accident) $ C ■ ANY AUTO X 04498899 -2 01/04/13 01/04/14 BODILY INJURY (Per person) $ ■ ALL OWNED X SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE AUTOS (Per accident) $ © HIRED AUTOS X HIRED /NONOWNED $ 1,000,000 UMBRELLA X OCCUR EACH OCCURRENCE $ 5,000,000 A ■ EXCESS LIAB ■ CLAIMS -MADE 4740975700 09/28/12 09/28/13 AGGREGATE $ 5,000,000 DED X RETENTION $ $ WORKERS COMPENSATION X WC STAT- X 0TH - AND EMPLOYERS' LIABILITY TORY LIMI ER Y / N 0830-50663-0/USL&H INCLD B ANY PROPRIETOR/PARTNER/EXECUTIVE - - U 04/03/12 04/03/13 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N / A DRUG FREE WORK PROGRAM (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE R 1.000,000. It yes, describe under - - — DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A Crime 20734723 09/28/12 09/28/13 CRIME 100,000 A Equipment Floate 20734723 09/28/12 09/28/13 RENT EOUI 230,000/500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Monroe County Board of County Commissioners included as additional insured and loss payee as respects to ADA Compliance, Segment #1 project. Additional Insured applies to General Liability and Auto Liability. CERTIFICATE HOLDER CANCELLATION MONRO01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY y ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West L 33040 / I G C , <_ `— �.c.c.(� V / dO gazvi.,(4..4,44) © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD , NOTEPAD: HOLDER CODE MONRO01 MAILL -2 PAGE 2 INSURED'S NAME Mailloux and Sons Inc. OP ID: SP DATE 12/17/12 Builders Risk Installation floater included on olicy 20734723. All Risk, including property at construction premises. 450; 00 limit completed value basis. County permitted to occupy building prior to completion. --■'" MAILL -2 OP ID: SP A `� R° � CERTIFICATE OF LIABILITY INSURANCE DATE 03 /25 D/YYYY) 03/25/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUC 941 - 484 - 0681 NAME: Gifford- Heiden Ins - NGNG 9 - 485 - 3835 PHONE FAX P 0 Box 428 tic. No. Ext): (A/C, No): Venice, FL 34284 E -MAIL Victor L. Garraus ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Southern - Owners Ins Co 10190 INSURED Mailloux and Sons Inc. INSURER B : Bridgefield Employers Ins Co 1500 15th Ave. Dr. East #103 INSURER C : Progressive Companies 10193 Palmetto, FL 34221 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, x EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POUCY EFF POLICY EXP LTR !NCR WVD POLICY NUMBER (MM /DD/YYYY) (MM /DD/YYYY) UMITS GENERAL UABIUTY EACH OCCURRENCE $ 1,000,001 DAMAGE TO A X COMMERCIAL GENERAL LIABILITY X 20734723 09/28/12 09/28/13 PREMISE S (Ea RENTED occu rrence) $ 300,00 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,001 X CONTRACTUAL PERSONAL 8 • DV INJURY $ 1,000,001 X XCU LIABILITY l „clerk, , EGATE $ 2,000,001 r.--..., GEN'L AGGREGATE LIMIT APPLIES PER: a 1 UCT - OMP /OP AGG $ 2,000,001 7 POLICY X FS:T LOC , I , — [ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,001 (Ea accident) $ C ANY AUTO X 04498899-2 01/04/1(3` 01/04/14 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED _ AUTOS x AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED PERTY DAMAGE $ AUTOS Per accident HIRED /NONOWNED $ 1,000,001 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,001 A EXCESS LIAB CLAIMS -MADE 4740975700 09/28/12 0 8/13 AGGREGATE $ 5,000,001 � 1 r 7 DED X RETENTION $ V / : 1 $ WORKERS D EMPLOYERS' UABIUTY v X SORY LIMITS X ER B ANY PROPRIETOR/PARTNER /EXECUTIVE Y / N 0830- 50663 -0/USL8:H INCLUD 04/03/13 04/03/14 E.L. EACH ACCIDENT $ 1,000,001 OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) DRUG FREE WORK PROGRAM E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under DESCRIPTION OF und OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,001 A Crime 20734723 09/28/12 09/28/13 CRIME 100,001 A Equipment Floate 20734723 09/28/12 09/28/13 RENT EQUI 230,000/50 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Monroe County Board of County Commissioners included as additional insured and loss payee as respects to ADA Compliance, Segment #1 project. Additional Insured applies to General Liability and Auto Liability. CERTIFICATE HOLDER CANCELLATION MONRO01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ty ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 / - vim ciQivZ ez4A4) C-c = © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD NOTEPAD. HOLDER CODE MONRO01 MAILL -2 PAGE 2 INSURED'S NAME Mailloux and Sons Inc. OP ID: SP DATE 03/25/13 Builders Risk Installation floater included on olicy 20734723. All Risk, including property at construction premises. 50;000 limit completed value basis. County permitted to occupy building prior to completion. • • •