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Certificates of Insurance
_ MAILL-2 OP ID: RA ' °' CERTIFICATE OF LIABILITY INSURANCE 1 DMEWO ni ) THIS CERTIFICATE • ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. RNI CERTIFICATE DOES NOT AFFIRMATIVELY OR NE1ATIVE.Y AMEND, ED(TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF IIIRIRANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATNE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If tls oM9Ieatr holder ht an ADDITIONAL INSURED. Ills poilcy(Ms) muut bs amd.,,u L K SUIROSATION IS wAMVED, WW1*t to the tonne and conditions of the policy, carte* polkNs may require an sndoasmard. A statement on this certifies* doss not corder rights to the osrtifcate holder bleu of such endorsement(s). FROO1 M (141-404 -0501 ca"m" Gifford-Heiden Ina - NGIVG 541 , , , I a NN: PO VV L Germs ewuses IN Arroaeew cosmos hurr • INwIIwh *: Ins Co 10190 mum Na6Momt and Sons Inc. assumes: BridpsfMid Employers Ins Co 1000111th Ave. Dr. Eset1103 IWSSnC: Progressive Commmies 10193 Palmetto, FL 34221 mum a: SWUM R: COVERAGES CERTIFICATE AMBER: REVISION NUMBER: THIS 18 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TILE POLICY PERIOD REPPECT TO IMUCH TIM CERTIFICATE WAY r I8SUED OR MAY INSURANCE AFFORDED BY THE POLICIES DESCRIBED H T TO Nl THE TERMS, EXC.UBIONSNID COMMONS OF SUCH POLICIES. LBWS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. '4 MI oF=MANCE : pOLIN � ' POLICY WANNER re n UNITS ENNORAL immure EACH OCCURRENCE • 1,000.000 A X cohem aamme M. UAIIUTY X 20734723 09129112 CMY2w13 PROM= Wasarasna.m . e 300.000 1 ClAMORAIDE © OCCUR NED or ow ono prom) $ 10,000 X CONTRACTUAL - , 7 i 1 PERSONAL a PEN INJURY $ 1,000.000 W - A O s XCU LIABILITY 1 LM APP • E I l� . — MORAL AGSPEOAIE $ 2.0 TS - CQMPIOP POE $ 2.000.000 Oi'L ODREOATI LarrL1E3 PER 7mowi IUR n um s Q ohrrtoseOLEWET , 1,000,000 AIflp10SaUnitAr .�a� C ANY AUTO X 0441111111111-2 011041maw mum 2 01101113 mum rerp•manl $ OWNED BODILY WN eY(araowrq $ X I AMOS X AMOS r"rr'l"M"et $ s 1.000,001 X tlMellLLA lJIIa ' X occult EACH 0CCURRENCE 3 0•000•00( A =Mee mot 4740075700 09120112 05/211113 A0onnanro s 5 . 00 .E Dm i X I RETerrnONS e WORKERS CO..UI M►TIDN X Norm, i x Mt AND PIJA N•UNNUT► YIN ANY INCLUD 01/03/12 04103113 ELEACHPCCm Nr • 1.000.00[ B O um/ N / A pO FREE WORK MORNS EL DIerAaE -EA EMPLOYEE $ 1,000,0k I r dr.e b,�p• IP •e R{I ePEAA7mOlie LNl EL DISEASE - POLCYT $ 1,000,00( DE A cnni �• 20734723 015211/12 00/2M13 CRAM 100,000 A Equipment Roes 20734723 09129112 06129113 RENT EQUI 230,0001500 DocrePnONCIFOPIRATIONSI LOCATIONS/ NUCLEI IAN ACOs.*. ANINadNoaabaoMOiMrams spew YrA•i.0 Monroe County �Hoard of County Commissioners included as additional insured I . '4. to General Liability Auto Liability additional CERTIFICATE HOLDER CANCELLATION MONR001 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE Monroe Cwrmgl Board t# County A WITH TT EE POUC PROVIlI BE DELIVERED N • Commissioners 1100 Simonton Street AUIROMEND SEPUESENTAIWW Key West, FL 33040 Victor L. Gsrraus I 0 18002010 ACORD CORPORATION. AN sights reserved. ACORD 2L ( 2010100) The ACORD name and Togo ere registered sorb of ACORD • (NOTEPAD: memo MONRD01 s Ma MNous and Sons Inc. Ina MAILL,2 OP ID: RA ow,e 11101112 2 ,r a.lc o� " . Al o • com on. • e i�■N MAILL -2 OP ID: SP A4OR�' 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 CONTACT Gifford- Heiden Ins - NGNG NAME: P 0 Box 428 941- 485 -3835 (AIC. r o, Ext): FAX 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE I SR SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM /DD/YYYY) (MM /DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X 20734723 09/28/12 09/28/13 DAMAGES( PREMISES (Ea RENTED oc currence) $ 300,000 CLAIMS -MADE X OCCUR Ap • • .■ •. tISK • . GEMEMf,S t 4 MED EXP (Any one person) $ 10,000 x CONTRACTUAL BY L AA i? PERSONAL & ADV INJURY $ 1,000,000 X XCU LIABILITY WS�YR• .... GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 7 POLICY X PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 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 X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE $ AUTOS (Per accident) HIREDINONOWNED $ 1,000,000 X UMBRELLA LIAB 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 STATU- X OTH- AND EMPLOYERS' LIABILITY TORY LIMITS ER Y / N B ANY PROPRIETOR /PARTNER/EXECUTIVE 0830- 50663- 0 /USL &H INCLUD 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 $ 1,000,000 If yes. desc+ib? under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT l $ 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 EQUI 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 #2 project. Additional Insured applies to General Liability and Auto Liability. CERTIFICATE HOLDER CANCELLATION MONR001 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 Wes), FL 33040 v,e Qac © 1988-2010 ACORD CORPORATION. All rights reserved. . ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD NOTEPAD. HOLDER CODE MONR001 MAILL -2 PAGE 2 INSURED'S NAME Mailloux and Sons Inc. OP ID: SP DATE 12/17/12 Builders Risk Installation floater included on olicyy 20734723. All Risk, including property at construction premises. 5250 ;000 limit completed value basis. County permitted to occupy building prior to completion. '1 , - - MAILL -2 OP ID: SP A -= RL CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 04/12/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT 941-484-0681 NAME: Gifford - Heiden Ins - NGNG 941- 485 -3835 PHONE FAX P 0 Box 428 INC. No. Ext) (A/C, 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 : 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L R TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MMIDDIYYYY) IMMIDDIYYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X 20734723 09/28/12 09/28/13 DAMAGE ( PREMISES (Ea RENTED occurrence) $ 300,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 X CONTRACTUAL PERSONAL &ADVINJURY $ 1,000,000 X XCU LIABILITY GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY X PRO LOC $ JEGT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 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 X HIRED AUTOS X NON NED PROPERTY DAMAGE ^ $ AUTOS -OW (Per accident) HIRED /NONOWNED $ 1,000,000 X UMBRELLA LIAB 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 C STATU- x 0TH - AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER B ANY PROPRIETOR/PARTNER /EXECUTIVE 0830- 50663- 0 /USL &H INCLUD 04/03/13 04/03/14 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) DRUG FREE WORK PROGRAM E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If 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 EQUI 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 inc • • dditional insured • and loss payee as respects to ADA Compliance, .;., ' 4;J<,project. Additional Insured applies to General Liability and Auto Y. AP "*V' D - r ,� . • y BY d �I DA - rnilE3fp WAI • a, CERTIFICATE HOLDER CANCELLATION MONR001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MONROE COUNTY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DEPT. 2798 OVERSEAS HWY., STE. 300 AUTHORIZED REPRESENTATIVE • MARATHON, FL 33050 ` i (, /Ck gem.4.cci,t4i © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 01p/05) The ACORD name and logo are registered marks of ACORD G NOTEPAD: HOLDER CODE MONR001 MAILL -2 PAGE 2 INSURED'S NAME Mailloux and Sons Inc. OP ID: SP DATE 04/12/13 Builders Risk Installation floater included on olicyY 20734723. All Risk, including propnt s at construction premises. 250, limit completed value basis. GGounty permitted to occupy building prior to completion. • • • •