Certificates of InsuranceDATE (MMICONYYY)
Rn' CERTIFICATE 4F LIABILITY INSURANCE 07/17/2013
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 WSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If On certificate holder is an ADDITIONAL INSURED, the policy(ies) mud be endorsed. If SUBROGATION IS WAIVED, subod to
the terra and conditions of the pocky, certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsements .
CONTACT
PRODUCER NAME ...
JN Associates / Burnham • Company �_E ml'_-(201) 505-6500 No:_(2.01) 583-6590
A Division of Bus Northeast tbu►r 1-�-
One Bridge Plaza North, suite 445 A ESS tine.hauan@hubinternatlonal.aom
Port Lee NJ 07024 INSURERISI AFFORDING COVERAGE law 6
INSURED
Maverick United Elevator, LtC
10639 NN 122 Street
Hadley, rL 33178
fN3URERA Hartford Underwriters Ins. Co.
Cus11238666 twouR[Re Sentinel Insurance Co.l Ltd
iNIuRmc StarNat Insurance Company -.
�,VYGtV\Vi,V
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR N TYPE OF INSURANCE POLICY NUMBOIAM& UNITS
A
DEW-PALLIABILITY13UZNOJ6267
04/20/2013
04/20/2014
EACH OCCURRENCE
f1,000,000
-
RENTED
pRE"smfEa
X COMMERCIAL GENERAL LIABILITY
$300,,000
CWMS•MADE X OCCUR
MEDE%P (Any omperW
1101000. _
PERSONAL a ADVi RY
fl,000 000
s3,000,000
OEAIERAL AGGREGATE
DENY AGGREGATE LIAY' APPLIES PER
PROOUC7S COMPUOP Apo
.. _..
$3, 000, 000
-.. --. -
PWCY PRO LOC
IFCT
S
B
AUTOMKfee.E L1AINLnY
13UZNOJ6267
04/20/2013
04/20/2014
COIIWMSMOLELIMff
(Eas11�U
.QOQ- -
BODILY INJURY re, Pmwa
$
ANY AUTO
ALLOYMIEO SOCHEDULED
BODILY iNJAW (Par
AUTOS NONMEO
Ix
PROPERTY 0AMGG6
f
HIREOAUT09 XAUTOS
AlJ'OS�•!'ti
I
f
UM SRELLA LIAR OCR
EACH OCCURRENCE
f
EXCESS LAG CLNMS•MAOE
AGGREGATE
f
i OED RETENTION S
I
S
C
WORKERS COMPB/SATKIN
SNUNC0116066
05/11/2013
05/11/2014
IAC S TM'E
AMC EIAKO 0Ins UAeNJTr
ANY FROPRIETOR/PARTNERADECVnVE a
OFRCERIMEMBER EXCLUDED^
NIA
'MRY
C L EACH ACC DENT
$1, 000, 000
(MandaIM In NMI
EL CASEATE EA EMPLOYEd
$1, 000, 000
H'M11''opERAnoNs slow
D�o`scRRr�roN aF
E L DISEASE - POLICY LIMIT
Sl 000 000
DESCRIPTION OF OPERATIONS )LOCATIONSI VEHICLES (Attach ACORO 101. AdWHOAM RwnalMa 300011011, if more •Paaa Is rsqus W)
Ri : Llevator Maintenance
Monroe County SOCC is included as additional insured as their interest may appear ATIMA only with respects to
the work performed by the named insured as par attached endorsements.
A ARO EV Mop"
BY
DATE
W
Monroe County BOCC
1100 Simonton street
Way west, rL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLIC46S BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIM REPRESENTATIVE
eI 121ta-2010 ACOR13 CORPORATION. All dahts reserved.
ACORD 25 (2010103) The ACORD name and logo are registered marks of ACORD
ooc@7051787 Certholder M: 29
MAVER-2 OP ID: TJ
A� Q�
CERTIFICATE OF LIABILITY INSURANCE
E (MM/DD/YYYY)
7041211/2014
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 endorsements .
PRODUCER
The John Gait Insurance Agency
6300 NW 5th Way, Suite 100
Ft. Lauderdale, FL 33309
CONTACT
NAME: Don L Haught
PHONE g54_281-7070 FAX No : 954-281-7090
ac Est
IL
ADDRESS:
INSURERS AFFORDING COVERAGE
NAIC p
Don L Haught
INSURER A:HARTFORD INSURANCE COMPANY
INSURED Maverick United Elevator, LLC
David Alverez
10639 NW 122 Street
Medley, FL 33178
INSURER B :
INSURER C :
INSURER D :
INSURER E
INSURER F :
COVERAGES utlt I IrIL A 1 r- NUMOr-rc: - --- ----
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
L
UB
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DD/YYYY
04/20/2015
LIMITS
EACH OCCURRENCE
$ 1+000+00 111
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 1XI OCCUR
X
13UENOJ6267
04/20/2014
D A
PREMISES Ea occurrence
$ 300,00
MED EXP (Any one person)
$ 100,00
PERSONAL & ADV INJURY
$ 1,000,00
GENERAL AGGREGATE
$ 3,000,00
rGENI'LGGREGATE
PRODUCTS - COMP/OP AGG
$ 3,000,00
13UENOJ6267
04/20/2014
04/20/2015
LIMIT APPLIES PER:LICY PRO LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
X HIRED AUTOS X AUTOS
COMBINED SINGLE LIMIT
Ea accident
$
$ 1,000,00
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
PER ACCIDENT
$
$
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
$
DED RETENTION $
WORKERS COMPENSATION
WC STATU- OTPL
T RY LIMIT51
E.L. EACH ACCIDENT
$
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
OFFICER/MEMBER EXCLUDED?
N /
E.L. DISEASE - EA EMPLOYEE
$
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
Monroe County Board of County Commissioners is listed as additional insured -.
where their interest may appear. APPR EMENT
��► 3
WAIV9RN/A
Monroe County Board of County
Commissioners
1100 Simonton St
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
Don L Haught
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD
MATER-2 OP ID, TJ
A DATE (MMMOJri^lt')
CERTIFICATE OF LIABILITY INSURANCE 0611412014
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(Sb AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the policy(les) must he 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
PRODUCER
The John Gait insurance Agency
6300 NW Sth Way, Suits 100
Ft. Lauderdale, FL 33309
Don L Haught
INSURED Maverick United Elevator, LLC
David Alverez
10639 NW 122 Street
Medley, FL 33178
Don L Haught_
— 964-281-7070
A:HARTFORDINSURANCE COMP+
e CAROLINA CASUALTY IN5 CO.
.......... _ ..._..
D
all IaaQCO-
964-281-
COVERAGES QLKI11-1-AICnumOr—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 __......
... jAtlDl",SU9Ra ..._...... ......... .._POUCYEFf ...POLIGYEkI+ ...... LIMITS
1NSR ..... TYPE OF INSURANCE POLICY NUMBER M
4ENERALLIAe1LrrY EACH OCCURRENCE 1,4QQ,44
i bANAGETO RENTED (.
A X 'I c aMERe AL GeAtERAi IAE#i.ITV: X 13UENOJ6267 0412012014 041201201E a PREMISE _lEa ooanren,a3 $ 300 OQ
CLAIMS -MADE X +:�..CL'R MEC ExP (Any one persiu�)....... S 1 QQ,QQ
I PERSONAL a ADV INJURY i_ _. 1,000,00
_ -............
3,000,00
__. GENERAL AGGREGATE
6EN L AGGREGATE LIMP a PL3Es PER
` PRaMIC �- - COMPIOP AG6 .._ 3,44Q,00
- _ _.-
X : PRO -
POLICY Lec �
AUTOMoen E "I Lu+els lrr b `" L `..1,Q40 OQ
e a d -D ,,.... .-_...... _ _..
ANY AUT 3 ,13UENOJ6267 04/20/2014 04120/2416 BODILY INJURY (Per $ ) s
{ ALLQhNED BODILY s
A.LTt S AUTOS P? QiERTY DAMAG
NON- NED _ ......
X HIRE , AUTOS X RUTOS j
1 I
-', UMBRELLA LIA6 j OCCUR EACHOCCURRENGE. 3 ,,..
�'. EXCESS LIAR.Ai�AS-M+ OE. AGGREGATE : 5
S
'.: DED RE'R-ITION6 �^J - C 5-1 ATU- _ CiH-i
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY _-.
B ANY tAz>r�lE OPIP RIN R CUTiVE YIN gNUINCOt1fi$66 Q51111?Qi4 0511112415 EACH ACCIDENT.. .`.. _._ -. .1,004,Q4
NIA
GffiCERA�IEM&ER ExO�.st3P: � EL DISEASE - EA EMPLOYEE $ 1,000,00
(Mandatory in NMI .. ...... .... ............ .
Y
"es r3ewC be under ' E.L. D(SEASE - P4;,tl3t..Y ;.itdlT ' & 1001000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS I LDCATIONS I VEHICLES (Attach ACORD 401, Additional Renuks Schedule, if more space is required)
Monroe County Board of County COmmissi3Oners is listed as additional insured
where their interest may appear.
VDv IEME�N�Ty/' Ol.iL
AIVER N/A
3 *ilia
Monroe County Board f Co
Commissioners ilM 91 Avw bml
1100 Simonton St
Key west, FL 33040 080038 80j 031u_
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 114
ACCORDANCE WITH THE POLICY PROVISIONS,
AUiHOR(ZED REPRESENTATIVE
[Jon L Haught
fTAlfR 1'.l1[]0lln a Tlllal All s rki- --A
ACORD 26 (2010106) The ACORD name and logo are registered marks of ACORD
MAVER-2 OP 10: JP
.04�C" <>J?f
CERTIFICATE OF LIABILITY INSURANCE
DATE(+M+�
04117/2015
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(ies) trust 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
The John Gait Insurance Agency
6300 NW Sth way, Sulte 1 00
FL Lauderdale, FL 33309
John Gait insurance Agency
NAME: Robert Du
954261-7070 ; 954-281-7D90
A sa,
IMSUTM AFFOROMiG COVERAGE NAX >I
INSURER A - HARTFORD INSURANCE COMPANY
D Maverick United Elevator, LLC
IN u;ER B: Progressive Insurance Co.
David Alvarez
10639 NW 122 Street
INSURER c: CAROLINA CASUALTY INS. CO.
INSURERD:
Medley, FL 33178
INSURER E
INSURER F
COVERAGES CERTIRr-ATE NUMRFR, REVISION NIIMRERr
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDWG ANY REOUIREMENT, 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 SHIN MAYHAVE BEEN REDUCED BY PAID CLAIMS.
LTR
TYPE OF 04URANCE
POLICY OFF
POLICY NUMBER M M
LIMA
A
X COMMERCIAL GENERAL LIABILITY
%K OCCUR
�13UENOJ6267 04/20/2015 420/2096
EACH OCCURRENCE is 11_00�0,
+CLAIMS•MADE
I S fEs ocI—
MEO EXP (Any one arson) S 100.00
PERSONAL s, AV,; IN IURY $ 1,000,
GEN L AGGREGATE LIMIT APPLIES PER
x i PGUC"Y 1 P'OLOC
J jEC
3
�
�E° ERAL AGGREGATE S 3,0W,
PRt�i3UCTS• COMP)OP AGG S 3.000a
0THER
AUTOMOBILE LABILITY
O 9 #eD SINULE E I S
SLY INJURY (Por person, s 101
B
; ANY AUTO
�' ALL OWNED SCHEDULED
AUTOS AUTOS
INON-OWNEDiPROPERTYO
` HiPEO A,1TOS AUTOS
17i 1186-2' 0+6/27/2014 � 06t27/2015
(
BOOILY IN.s,IRY (Per ec dw) i S 20,
MA g
Pw s ttdsnC 1010..
S
�
UMBRELLA L(A.8 [
OCCUR
3 i
EAva €?GCURRENCE S
Ai ELATE S
EXCESS LU18 iCLAMS-MADE
DE ' RETENTION S
$
{
C
AND �1� 0 RS* LIABTION
ILITY
�AWPRO�-RIETOR)PAR=NER)E)(ECUilVE YIN
OF-RCER/MEMSER EXCLUDED?
(Mamht-YIn NH)
G� yy3x�g, d85Uibe Wn
[JESCR<PTitBJ i7P OPERAT13NS lwow
BNUWC0116886 0511112014 05/11/2015
N t d
I ATUTE
E L, EACrI ACCiQENT 1 s 1,000,00(
_.--
E-L. DISEASE- EA EMPI OY S
_---1'0w'
EL. DISEASE- POLICY LIMIT I s 1, r
DESCRIPTION OF OPERATIONS I LOCATIONS ) VEHICLES (ACORD 101, Add€dami Remark* Schsdu€s, may bs atlthsd It Mors spa" is rsquirsd)
Monroe County Hoard of County Commissioners is listed as additional insured
here their interest may appear.
APP M gERIENjDA
WAIVER N/A _ _. L- (-e
SHOULD ANY OF THE ABOVE DESCRIBED POUCIf B BE CANCEILEn SWORE
THE EXPRATION DATE THEREOF, NOTICE 916I.+". BE DELIVIRIM IN
MonroSIty Board of County ACCORDANCE Wr1H THE POLICY PROVISIONS.
Commissioners
REPRESE A
1 f 00 Simonton St OlrHORIZlS� NTATIVE
Key West, FL 33040 1I:.Lv>±t/1
ACORD CORPORATION. AN rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
MAVER-2 OP ID: JP
CERTIFICATE OF LIABILITY INSURANCE
'
THIS CERTIFICATE IS 188UED 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 poilcy(les) must be endorsed. N SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this cartntcate does not confer rights to the
certl8cate holder In lieu of such endorsement(slL
PRODUCER
The John Gait Insurance Agency
6300 NW 5Et Way, Suits 100
Ft Lauderdale, FL 33309
John 00 Insurance Agency
CT
NAME: Robert Duffy
904-281 7070 1 FAX
LAIC No): 964 281.7090 —
INSURE AFFORDN2COVERA6E
NAIL/
INSURER A:HARTFORD INSURANCE COMPANY
NINAM Maverick United Elevator, LLC
David Alvarez
10639 NW 122 Street
Medley, FL 33178
se tmits:CAROUNA CASUALTY INS. CO.
INSMRC;
INSURER D :
INSURER a.
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. NaMITHSTANDNG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OF •�tAHM
POLICY NUMBERfulm
M POL
LIMITS
A
X
COMMERCIAL GENERILL. LIABILITY
EACH OCCURRENCE
E _ 1,000,
CLAIMS -MADE [X] OCCUR
X
113UEMOJ6267
04/20/2015
04/20f2016
PREMISESQtrMVWrr0nce
E _ 300,
MED EXP (My one person)
E 10,
PERSONAL d ADV INJURY
E 1,0W,
GEWL AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
E 3 0w'
PRODUCTS- CDMPf0P AGG
E 3.0W.
X POLICY ❑ JPERO- LOC
E
OTHER
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
WA ecddelt
E 1,000, 5&
BODILY INAM(Perprson)
E
A
ANT AUTO
X
3UENOJ6267
0412WMS
04J2WM6
BODILY INJURY (Pus occident)
E
ALLOWNED SCHEDULED
OS X HIRED P N AUTONON-AS IVNED
(Pei e I MAGE
E
f
LIM RlI U1 LU1a
OCCUR
EACH OCCURRENCE
E
AGGREGATE
E
EXCESS LKS
CLAIMS -MADE
REfEMION
E
B
WORKERS COAU 918M ON
AND EMPLOYIRS'LWrtJTY
�E TRINEIWBER � CUTIVE YI❑N
NUWCD716888
05111f2015
05J11/2016
STATUTE I I ER
EL EACH ACCIDENT
E 1,�,
E.L. DISEASE - EA EMPLOYEE
E 1,Wo.
wry In NN)
NIA
EL gSEASE- POLICY UMR
E 100,DSTcrONuOFOPERATIONS
ibe ndr
low
DESCRIPTION OF OPEtATi0N11 f LOCATIONS I VEHICLES (ACORD 101, AdchlorW Rarrrks SeNWo. nary be etledled r man opus Is muted)
Comny BOCC is listed as additional insured with respects to the
General Liability policy and hired and non -owned only where their interes
Y appear.
W c�.���.'ereP�
Monroe County BOCC 1100 Simonton St V 13 . I h3021 1N11�J NOW
Key West, FL 33040 3 ,1I0 10111
J' L. _A IOU ^ ►IAA -,
SHOULD ANY OF THE ABOVE DPACRBED POL.ICIE= BE CANCELLED BEFORE
THE EXPBIATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVINONE.
AUTHORIZE] REPRESEfrATAIE
a 1BQL2014 ACORD CORPORATION. AN richts
ACORD 25 (2014101) D name a re registered marks of ACORD
M0338 803 03113