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Certificate Of Insurance __.-----■, OP ICI: TG Aco/ro C ERTIFICATE OF LIABILITY INSURANCE I DATE (MM /oorcvvv) 01/08/2015 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 BV THE POLICIES BELOW- THIS CERTIFICATE OF INSURANCE GO 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 honeybee) 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 NAME: Royal Insurance Agency, Inc. pitoNE FAX 510 S. Andrews AVenlle (A/C No Eatl: I (A/C, No): Fort Lauderdale, FL 33301 -2832 E-MAIL - - -- - _ - - - - -- -- Debbie Cannon AooREss: pRODUCER NATIO -1 CUSTOMER ..=, #: -_ INSURER(SLAFFOROING COVERAGE _ NgIC# INSURED NOBS Surveys, Inc INSURER A : T - 31$$ NW 82 Ave, Ste. 201 INSURER B: Miami, FL 33122 -- - -- - -- - - -- INSURER C : INSURER CO INSURER E INSURER F • COVERAGES CERT I A IFCTE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUER TO THE INSURER NAMED ABOVE FOR THE POLICY PERIOD INDICATE.. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUE. OR MAV PERTAIN. THE INSURANCE AFFOR.E. BV THE POLICIES !DESCRIBER HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CON.ITIONS OF SUCH POLICIES- LIMITS SHOWN MAV HAVE BEEN REDUCE. BY PAID CLAIMS. INSR ADM. SUHR - - - -- - - POLICY EFF POLICY m /oDr TT LTR TYPE OF INSURANCE - -- INSR 'AA', NUMBER (MM /OO /YYYY) (M /OO/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL - PREMIISE ( RENTED - - - -- I _PREMISES (Ea occurrence) $ L CLAIMS -MADE _ OCCUR MEU EXP (Any one parson) $ PERSONAL S. AOV INJURY $ GENERAL AGGREGATE $ GEM, AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP A r PR 1 POLICY I O F LOC $ AUTOMOBILE LIABILITY ♦ COMBINE° SINGLE LIMIT A dom. ANY AUTO ( - - ) - AP �_ �__ Ea acudanl $ ALL OWNED AUTOS BY � �' - ..Y ^ j O BODILY INJURY (Par pa rsnn) $ D' J� ` � —� �� BODILY INJURY (Par accitlant) $ SCHEDULEO AUTOS WAIVE �('' - - -- - HIREO AUTOS C r " / � PROPERTY DAMAGE $ NON -OWNED AUTOS I"- A ✓ % r--e-- 7-,C> / (PER ACCIDENT) $ (M V S UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB _ _ CLAIMS -MA°E AGGREGATE _ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION WC STATU- VA' AN EMPLOYERS LIABILITY 1 . / N A TORY I IMI IO X I FR ANY P /ME R/ PARTNER /EXECVTIVE 94642T -2 12/31/2014 12/31/2015 E ,. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLV DED? I 91D46427-2 I N / A (Mandatory In NM) DES EL DISEASE EA_EMPL LIMIT $ 506,606 DESCRIPTION OF OF OPERATIONS b w elo E.L. DISEASE - POLICY LIMIT $ 506,666 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attic. ACORO 101. Atltlltlonal RamarMa Sc M1adula. IT Mora apace la rannIratl) CERTIFICATE HOLDER CANCELLATION MONRO -3 SHOULO ANY OF THE ABOVE OESCRIBEO POLICIES BE CANCELLEO BEFORE Monroe County Board Of County THE EXPIRATION GATE THEREOF, NOTICE WILL BE OELIVEREO IN ty ACCOROANCE WITH THE POLICY PROVISIONS. tCornmissioners Risk Dept. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Debbie Cannon - Key West, FL 3304-0 - .. © 1988 -2009 ACORD CORPORATION. All rights reserved - ACORD 25 (2009/09) The ACORD name and logo are registered marks of ...comm. OPID:TG AC-012G, CERTIFICATE OF LIABILITY INSURANCE DATE 01 /08 /2 YYYY) 01 /08/2016 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 E Ff9�GF� IMPORTANT: If the certificate holder is an A DITIONAlicy(ies) ust be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certai policies may require an a orsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s). PRODUCER CONTACT NAME: Royal Insurance Agency, Inc. t t �.I PHONE I bbie Cannon FAx 510 S. Andrews Avenue 2016 (A/c, No. Ext) ' 54- 764 -1414 {ac, No): 954 - 522 -3882 Fort Lauderdale, FL 33301 -2832 E - MAIL ADDRESS: Debbie Cannon MOr1R0E PRODUCER NATIO -1 CO vIE CUSTOMER #: R ISK � INSURER S AFFORDING COVERAGE NAIC # INSURED NORS Surveys, Inc INS revelers Daniel Clapp INSURER B : 3155 NW 82 Ave, Ste 201 Miami, FL33122 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 TYPE OF INSURANCE INSR SUBR POLICY EFF POLICY EXP POLICY NUMBER LIMITS {MMIDD/YYYY) (MM /DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY 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 $ .IFS.T AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (PER ACCIDENT) NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEDUCTIBLE $ , RETENTION $ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS' LIABILITY TORY LIMITS ER Y / N A ANY PROPRIETOR /PARTNER /EXECUTIVE IHUB09D46427 -2 -15 12/31/2015 12/31/2016 E.L. EACH ACCIDENT $ 500,000 OFFICER /MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 i I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) APPR' V , two ' � •I AC (\/)E(` It E � L►>tl(L"' WAIVE N/A YES (�. va V 1:1 'r�INl J 3OdNOr� � 1 ?, 1'1 !1 "1`' CERTIFICATE HOLDER CANCELLATION MONRO -3 �' `i l `) , AHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE n •] 1 . ) ` 7)UHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County 1 v •` ' v ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners }�(� ' r' 1 Risk Dept. .680',13b �+�✓ -� " AUTH ORIZED REPRESENTATIVE 1100 Simonton Street Debbie Cannon Key West, FL 33040 �� J/ © 1988 - 2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD