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Certificates of Insurance
UNIFCOR-01 JOHNSONSS ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/1/2013 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 Willis of Massachusetts, Inc. c/o 26 Century Blvd. P.O. Box 305191 Nashville, TN 37230-5191 CONTACT NAME: certificates@willis.com PHONE g77 945-7378 F No : 888 467-2378 WC.No EM : ( )(FAX, ( ) ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Insurance Company of Pittsbu 19445 INSURED UniFirst Corporation and its Subsidiaries 68 Jonspin Road Wilmington, MA 01887-1086 INSURER B: New Hampshire Insurance Company 23841 INSURER C: Insurance Company of the State of Pennsylvania 19429 INSURER D : INSURERE: 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 ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X X 6819381 10/1/2013 10/1/2014 PREMISES Ea occurrence $ 1,000,000 MED FRCP (Any one person) $ 5,000 CLAIMS -MADE F_v_1 OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ POLICY PRO XJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ B X ANY AUTO X X 6403988 10/1/2013 10/1/2014 BODILY INJURY (Per accident) $ 2,000,000 ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED DAMAGE PER $ HIRED AUTOS AUTOS ACCIDENT) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION $ $ WORKERS COMPENSATION X WC STATUS OH - T RY LIMIT ER B AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N X 026020382 10/1/2013 10/1/2014 E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? [:Nl (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYEd $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1 000 000 $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below B Business Auto X X 6403989 10/1/2013 10/1/2014 See Attached C Workers Compensation X 026020377 10/1/2013 10/1/2014 See Attached DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Division/Location: 921 Certificate Holder is an Additional Insured for General Liability and Auto Liability as their interest may appear if required by written contract but only with respect to liability arising out of operations of the Named Insured. It is understood and agreed that the Company waives its right of subrogation against the Additional Insured which m�y arise byeason of a payment of claim under all the policies, if required by written.Contract and asj bylaw. a PP IiItC;EWW County BY—., Additional Insured: Monroe RAT1G4C77��� IN1a:411HILITAlaGLei MIaJa: A' • ���wl3ki4mum 56 :b Hd -ac-**E16z U031? 1 bj 02111 Monroe County Attn: Purchasing Department 1100 Simonton st IKey West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE THE EXPIRATION DATE THEREOF, NOTICE WILL ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE .4 U —f-f v CANCELLED BEFORE BE DELIVERED IN ACORD 25 (2010/05) C 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGE SCHEDULE COVERAGE LIMITS POLICY TYPE: Business Auto Any Auto CARRIER: New Hampshire Insurance Company $2,000,000 Combined Single Limit POLICY TERM: 10/1/2013 to 10/1/2014 POLICY NUMBER: 6403989 POLICY TYPE: Business Auto Any Auto CARRIER: New Hampshire Insurance Company $2,000,000 Combined Single Limit POLICY TERM: 10/1/2013 to 10/1/2014 POLICY NUMBER: 6403990 POLICY TYPE: Workers Compensation and Employers Liability WC - Statutory Limits CARRIER: Insurance Company of the State of Pennsylvania $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2013 to 10/1/2014 $1,000,000 E.L. Disease Policy Limit POLICY NUMBER: 026020377 $1,000,000 E.L. Disease Each Employee POLICY TYPE: Workers Compensation and Employers Liability WC - Statutory Limits CARRIER: National Union Fire Insurance Company of $1,000,000 E.L. Each Accident Pittsburgh $1,000,000 E.L. Disease Policy Limit POLICY TERM: 10/1/2013 to 10/1/2014 $1,000,000 E.L. Disease Each Employee POLICY NUMBER: 6636242 POLICY TYPE: Workers Compensation and Employers Liability WC - Statutory Limits CARRIER: Insurance Company of the State of Pennsylvania $1,000,000 E.L. Each Accident POLICY TERM: 101112013 to 10/1/2014 $1,000,000 E.L. Disease Policy Limit POLICY NUMBER: 026020379 $1,000,000 E.L. Disease Each Employee POLICY TYPE: Workers Compensation and Employers Liability WC - Statutory Limits CARRIER: New Hampshire Insurance Company $1,000,000 E.L. Each Accident POLICY TERM: 1011/2013 to 1011/2014 $1,000,000 E.L. Disease Policy Limit POLICY NUMBER: 026020378 $1,000,000 E.L. Disease Each Employee POLICY TYPE: Workers Compensation and Employers Liability WC - Statutory Limits CARRIER: New Hampshire Insurance Company $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2013 to 10/1/2014 $1,000,000 E.L. Disease Policy Limit POLICY NUMBER: 026020376 $1,000,000 E.L. Disease Each Employee POLICY TYPE: Workers Compensation and Employers Liability WC - Statutory Limits CARRIER: New Hampshire Insurance Company $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2013 to 10/1/2014 $1,000,000 E.L. Disease Policy Limit POLICY NUMBER: 026020380 $1,000,000 E.L. Disease Each Employee POLICY TYPE: Workers Compensation and Employers Liability WC - Statutory Limits CARRIER: New Hampshire Insurance Company $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2013 to 10/1/2014 POLICY NUMBER: 026020381 $1,000,000 E.L. Disease Policy Limit $1,000,000 E.L. Disease Each Employee POLICY TYPE: Workers Compensation and Employers Liability WC - Statutory Limits CARRIER: New Hampshire Insurance Company $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2013 to 10/1/2014 POLICY NUMBER: 026020383 $1,000,000 E.L. Disease Policy Limit $1,000,000 E.L. Disease Each Employee UNIFCOR-01 DIISEAA uA a traaIDOm rri a� R1X CERTIFICATE OF LIABILITY INSURANCE 91301�M4 TIES CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 140 RIGHTS UPON THE CERTIFICATE HOLDERTHIS 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(*), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTInCATE HOLDER. IMPORTANT: If the a srNflcats holder is an ADDITIONAL Subject to INSURED,�n tndolrsenumL Must stint o rtNicadr does not conferOr19� ffm the tin na and conditions of the policy, tie MA potIc may require teRdttests holder in Usti of such 40e30rsatTRe2 a , ccxl ACT certificattra�wtii� com' PRODUCER— WIitis of Massachusetts, tnc 5 (3T7 94ti 737TI .�t k 388 487 23T8 do 26 Century Nashville, TN 37230-6191 ttasut+a�gsZ±�PORatNK3 covFRAc3t iatlG♦ _ _. iNgu�€RA:on�Undon Finis htattrancrs Company of Plttsbur�h;18445 --_.._. .�..................... _ bins: Itlstde�a Com 123841 Lion and ft Subsidiaries a .m UntFlrst Corpora "ImirWon, MA 01887-10ft INSURERS, _ .. _ ._.... ..... MAURER COVERAGES CERTIFICATE NUMBER, REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE -POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR 'CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS, CERTIFICATE MAY SE 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. m LIMITS IN3'h.�. �,w.TYPE OF INSURANCE POLICY NUMBER EACH OCCURRENCE S 1,�:, A X CO GENERAL UA�t1TY ond X crcuR X X �2047672 10dI1f20i4 10t01F201dI 't_....... m 50 CLAir I BADE i . �MED FX I r ADV INJURY 2000,s� - L ,..,_ - � t GENERALAGCR6GAT5 3 GEN`L AGGREGATE LI.WT APPLIES PER: PRO� NO .-. 1 Pla POLICY tStHER: j i tI t 1 2,000,0 EaAGiadarxl} ____r___ m. Z AUTOMotiii s a�Aeam 1010112014.1010112015 i SOLELY INJURY (Par psmon) X. 3814838 11 g ` �( i ANY AUTO BODILY INJURY (PW =400)1 $ - ALL OWNED ... � AUTf; '„ECS AUTO$ � NON-OVVNEa'3 € ? H;R'LDAUTOS i AUTO$ j. UMBRELLA LIJA � Cff OCGURRIE ERCESSLAS ' CLA'iMS-A4ADE 3 � � ' �........,. �....,.._ ....... � -__ __....... GATE DE D tFT TtONi ? X STAT TR WOFWARS CAMPENSA-1`10 t (( O } AND EMPLOYERS* LIABILITY YIN 1 028234664 10101=14 ! 10d031201 S I L Ea cH ACC Nz s S ,ANY PROPiiIETORIPARTNE7RIEXEC THE NIA' X i E L, € AS�,FA EAa'Lt3Y x 1 004 OFFCaERIMF-M$ER EXCLUDED` ' _. . - ' IMatary NNl- tt �99c i4ff u +ierE 1 <GYaEf SE' POLICY LtM! i S 1000100( ktIPTf(kd1010112014' 1010112015 See Attached B taus ss Auto X � X 13814838 � I attattwd If mesa specs nagttirad} DE$CRlpT : or OPWATIONS I LOCATIONS t VEHICLES (ACORD i®t, Adr.At "I Remar" SchodL", may be3a Divisi oca#an; 921' Certificate Holder Is an Additional Insured For General Liability and Auto Liability as their Interest may appear if required by written contract but only with respect to liability arising out Of operations of Lhe Named Insured. it is understood and agreed that the Company waives its right of Subrogittion against the Additional Insured which may arise by reason Of a paYmem of Claim under all tite pulisies, if required by written contract and as permitted by law. )CC AP M, AdditiotTal Insured: Mtonroe County EI CERTIFICATE HOLDER CANCELLATIO SHOULD ANY OF THE AGM ELtED 9E D IN THE EXPIRATION DATE THA IDELIVERED IN ACCORDA14CE VVITH THE POLICY O N Monroe County AUTHORIZED REPRESENTATIVE Attn: Alice Steryou �xl 8Z :6 WV S 1100 bj0Z 303 South Roosevelt Boulevard F 33040 1988-201 j#RMpMTd"j6ghts reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD UNIFCOR-01 DUBEAA CERTIFICATE OF LIABILITY INSURANCE DATE 9/30/2014 (MMIDDffYYY) 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 Willis of Massachusetts, Inc. c/o 26 Century Blvd P.O. Box 306191 Nashville, TN 37230-5191 NAME: CT certificates illis.com PHONE (877) 945-7378 FA/C No): (888) 467-2378 AE-MA/C xt IL ADDRESS: INSURE S AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Insurance Company of Pittsburgh 19445 INSURED UniFirst Corporation and its Subsidiaries 68 Jonspin Road Wilmington, MA 01887-1086 INSURER B: New Hampshire Insurance Company 23841 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 A DL UBR POLICY NUMBER MM/DDY/YYYY EXP MMIDD/YYW LIMPOLICY ITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE Fj( OCCUR X X 2047572 10/01/2014 10/01/2015 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,00 MED EXP (Any one person) $ 5,00 PERSONAL &ADV INJURY $ 1,000,00 L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00POLICY PRODUCTS - COMP/OP AGG $2,000,00JECT PRO � LOC I'OTHER: $ AUTOMOBILE LIABILITY COMBINED accident) E LIMIT $ 2,000,00 BODILY INJURY (Per person) $ B X ANY AUTO X X 3814836 10/01/2014 10/01/2015 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA X 028234654 10/01/2014 10/01/2015 H X STATUTE ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,0 If yes, describe under DESCRIPTION OF OPERATIONS below B Business Auto X X �3814836 10/01/2014 10/01/2015 See Attached DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Division/Location: 921 Certificate Holder is an Additional Insured for General Liability and Auto Liability as their interest may appear if required by written contract but only with respect to liability arising out of operations of the Named Insured. It is understood and agreed that the Company waives its right of Subrogation against the Additional Insured which rise by reason of a pay!nent of claim ,N under all the policies, if required by written contract and as permitted by law. EMENT W14 Additional Insured: Monroe County Monroe County Attn: Purchasing Department 1100 Simonton st SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDA P It E W:�H 11i POff PI;A1(IIt AUTHORIZED REPRESENTATIVE �'i. 80332 UOJ 03113 ©1988-2014'AICOkD'CORPORATION. All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGE SCHEDULE COVERAGE LIMITS POLICY TYPE: Business Auto Any Auto CARRIER: New Hampshire Insurance Company $2,000,000 Combined Single Limit POLICY TERM: 10/1/2014 to 10/1/2015 POLICY NUMBER: 3814836 POLICY TYPE: Business Auto Any Auto CARRIER: New Hampshire Insurance Company $2,000,000 Combined Single Limit POLICY TERM: 10/1/2014 to 10/1/2015 POLICY NUMBER: 3814837 POLICY TYPE: Workers Compensation and Employers Liability WC - Per Statute CARRIER: Insurance Company of the State of Pennsylvania $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2014 to 10/1/2015 $1,000,000 E.L. Disease Policy Limit POLICY NUMBER: 028234659 $1,000,000 E.L. Disease Each Employee POLICY TYPE: Workers Compensation and Employers Liability WC - Per Statute CARRIER: National Union Fire Insurance Company of $1,000,000 E.L. Each Accident Pittsburgh $1,000,000 E.L. Disease Policy Limit POLICY TERM: 10/1/2014 to 10/1/2015 $1,000,000 E.L. Disease Each Employee POLICY NUMBER: 6636328 POLICY TYPE: Workers Compensation and Employers Liability WC - Per Statute CARRIER: Insurance Company of the State of Pennsylvania $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2014 to 10/1/2015 $1,000,000 E.L. Disease Policy Limit POLICY NUMBER: 028234661 $1,000,000 E.L. Disease Each Employee POLICY TYPE: Workers Compensation and Employers Liability WC - Per Statute CARRIER: New Hampshire Insurance Company $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2014 to 10/1/2015 $1,000,000 E.L. Disease Policy Limit POLICY NUMBER: 028234660 $1,000,000 E.L. Disease Each Employee POLICY TYPE: Workers Compensation and Employers Liability WC - Per Statute CARRIER: New Hampshire Insurance Company $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2014 to 10/1/2015 $1,000,000 E.L. Disease Policy Limit POLICY NUMBER: 028234658 $1,000,000 E.L. Disease Each Employee POLICY TYPE: Workers Compensation and Employers Liability WC - Per Statute CARRIER: New Hampshire Insurance Company $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2014 to 10/1/2015 $1,000,000 E.L. Disease Policy Limit POLICY NUMBER: 028234657 $1,000,000 E.L. Disease Each Employee POLICY TYPE: Workers Compensation and Employers Liability CARRIER: New Hampshire Insurance Company POLICY TERM: 10/1/2014 to 10/1/2015 POLICY NUMBER: 028234655 POLICY TYPE: Workers Compensation and Employers Liability CARRIER: New Hampshire Insurance Company POLICY TERM: 10/1/2014 to 10/1/2015 POLICY NUMBER: 028234656 WC - Per Statute $1,000,000 E.L. Each Accident $1,000,000 E.L. Disease Policy Limit $1,000,000 E.L. Disease Each Employee WC - Per Statute $1,000,000 E.L. Each Accident $1,000,000 E.L. Disease Policy Limit $1,000,000 E.L. Disease Each Employee UNIFCOR-01 SEQUEIRARR DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 1011/2015 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 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). CONTACT PRODUCER NAME: Willis Certificate Center Willis of Massachusetts, Inc. ZIC N Ell: (877) 945-7378 AAie No): (888) 467-2378 c/o 26 Century Blvd EMAIL certificates Illis.com P.O. Box 305191 ADDRESS: Nashville, TN 37230-5191 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Union Fire Insurance Company of Pittsburgh 19445 INSURED INSURER B : New Hampshire Insurance Company 23841 UniFirst Corporation and its Subsidiaries INSURERC: 68 Jonspin Road INSURER D : Wilmington, MA 01887-1086 INSURER E : INSURER F : o C%1101rlW 1V 11MRFR• COVERAGES t rm I Irn m 1 C mulnu- LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD MM/DDNYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE [X] OCCUR X X 3333305 10/01/2015 10/0112016 PREMISES Ea occurrence $ 1,00 5,000 MED EXP (Any one person) $ ,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 2,000,000 POLICY ❑ jE T T LOC PRODUCTS -COMP/OP AGG $ OTHER: COMBINED SINGLE LIMIT Ea accident)$ 2,000,000 AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ A X X X 7469899 10/01/2015 10/0112016 BODILY INJURY (Per accident) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE $ NON -OWNED Per accident HIRED AUTOS AUTOS $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ PER OTH- X STATUTE ER WORKERS COMPENSATION E.L. EACH ACCIDENT $ 1,000,000 AND EMPLOYERS' LIABILITY YIN X 67940114 1010112015 10/0112016 B ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F NIA E.L. DISEASE - EA EMPLOYE $ 1,000,000 ,(Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below X X 7469900 10/0112015 10/0112016 See Attached A Business Auto OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) DESCRIPTION THIS VOIDS AND REPLACES PREVIOUSLY ISSUED CERTIFICATE DATED: 10/1/2015 their interest may appear if required by written contract but only with Certificate Holder is an Additional Insured for General Liability and Auto Liability as respect to liability arising out of operations of the Named Insured. It is understood and agreed that the Company Waives its right of Subrogation against the Additional Insured which may arise by re a payment of claim under all the policies, if required by written contract and as permitted by law. NA EME NT AP P SEE ATTACHED ACORD 101 ' r�• G'1 CERTIFICATE HOLDER i 7 11 '�-I'1 CANGtLLAI IUNyvnrv`-' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 8 . I (_(d 8 - 100 igtCCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County C rrj�SS AV� IZED REPRESENTATIVE Attn:3583 Alice S Roosevelt tl lJ 3583 South Roosevelt Boulevard iKey West FL 33040 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ACORO" AGENCY CUSTOMER ID: UNIFCOR-01 LOC #: 1 ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED Willis of Massachusetts, Inc. UniFirst Corporation and its Subsidiaries 68 Jonspin Road POLICY NUMBER Wilmington, MA 01887-1086 EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 ISEE P 1 EFFECTIVE DATE: SEE PAGE 1 AUUI I IUNAL KtMAKKJ THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/LocationsNehicles: Division/Location: 921 Additional Insured: Monroe County Board of County Commissioners SEQUEIRARR Page 1 of 1 ACORD 101 (2008/01) V ZVVti At UKU %,VKP VKAI IVPI. All IICJIIW ICDCI YCU. The ACORD name and logo are registered marks of ACORD ADDITIONAL COVERAGE SCHEDULE COVERAGE LIMITS POLICY TYPE: Business Auto Any Auto CARRIER: National Union Fire Insurance Company of $2,000,000 Combined Single Limit Pittsburgh POLICY TERM: 10/1/2015 to 10/1/2016 POLICY NUMBER: 7469900 POLICY TYPE: Business Auto Any Auto CARRIER: National Union Fire Insurance Company of $2,000,000 Combined Single Limit Pittsburgh POLICY TERM: 10/1/2015 to 10/1 /2016 POLICY NUMBER: 7469901 POLICY TYPE: Workers Compensation and Employers Liability WC - Per Statute CARRIER: National Union Fire Insurance Company of $1,000,000 E.L. Each Accident Pittsburgh $1,000,000 E.L. Disease Each Employee POLICY TERM: 10/1/2015 to 10/1/2016 $1,000,000 E.L. Disease Policy Limit POLICY NUMBER: 1103501 POLICY TYPE: Workers Compensation and Employers Liability WC - Per Statute CARRIER: New Hampshire Insurance Company $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2015 to 10/1/2016 $1,000,000 E.L. Disease Each Employee POLICY NUMBER: 67940115 $1,000,000 E.L. Disease Policy Limit POLICY TYPE: Workers Compensation and Employers Liability WC - Per Statute CARRIER: New Hampshire Insurance Company $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2015 to 10/1/2016 $1,000,000 E.L. Disease Each Employee POLICY NUMBER: 67940116 $1,000,000 E.L. Disease Policy Limit --Per POLICY TYPE: Workers Compensation and Employers Liability WC Statute CARRIER: New Hampshire Insurance Company $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2015 to 10/1/2016 $1,000,000 E.L. Disease Each Employee POLICY NUMBER: 67940117 $1,000,000 E.L. Disease Policy Limit POLICY TYPE: Workers Compensation and Employers Liability WC - Per Statute CARRIER: New Hampshire Insurance Company $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2015 to 10/1/2016 $1,000,000 E.L. Disease Each Employee POLICY NUMBER: 67940118 $1,000,000 E.L. Disease Policy Limit POLICY TYPE: Workers Compensation and Employers Liability WC - Per Statute CARRIER: Insurance Company of the State of Pennsylvania $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2015 to 10/1/2016 $1,000,000 E.L. Disease Each Employee POLICY NUMBER: 67940119 $1,000,000 E.L. Disease Policy Limit POLICY TYPE: Workers Compensation and Employers Liability WC - Per Statute CARRIER: New Hampshire Insurance Company $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2015 to 10/112016 $1,000,000 E.L. Disease Each Employee POLICY NUMBER: 67940120 $1,000,000 E.L. Disease Policy Limit POLICY TYPE: Workers Compensation and Employers Liability WC - Per Statute CARRIER: New Hampshire Insurance Company $1,000,000 E.L. Each Accident POLICY TERM: 10/1/2015 to 10/112016 $1,000,000 E.L. Disease Each Employee POLICY NUMBER: 67940121 $1,000,000 E.L. Disease Policy Limit