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Certificate of Insurance NEWTS -1 OP ID: SP DATE (MM /DD /YYYY) ,A�o CERTIFICATE OF LIABILITY INSURANCE 08/05/2015 CERTIFICATE IFICAT IC DOES N AFF RMATIVELYEOR NEGATIVELY AMEND, E AND CONFERS NO XTEND OR ALTER RIGHTS HE COVERAGE AFFORDED A BY TOE POLICIES BER 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 Vi ctor L. Garraus PRODUCER NAME: Box 4 28 o Ben Ins NGNG (A P cc. N EA 941-484-0681 1 FAX No): 941.485 -3835 P 0 B 428 Venice, FL 34284 E vi ADDRESS: g �g tor arraus iffordheidenins.com Victor L. Garraus INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Southern- Owners Ins Co 10190 INSURED New Tech Construction Corp INSURER B : Rockhill Insurance Company 18988 Mary Sims (Gen Contractor) INSURERC: Owners Insurance Co 1579 Barber Road INSURER D Sarasota, FL 34240 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: PERIOD THIS IS TO THAT THE NDICATED.CNOTWITHSTANDING ANY IREQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE TO 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. LIMITS SUBR POLICY NUMBER (MMIDD /YYYY) (MMIDD /YYYY) 1,000,000 INSR TYPE OF INSURANCE INSD WVD EACH OCCURRENCE $ LTR A X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 2 0587219 04/27/2015 04/27/2016 PREMISE (Ea occurrence) CLAIMS -MADE I X 1 OCCUR X 10/17/2014 10/17/2015 10,000 B X Enviro Liab ENVP006488 -01 MED EXP (Any one person) $ 1,000,000 A X XCU /Contract $5,000,000 EACH OCCUR PERSONAL&ADVINJURY $ 2,000,000 GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: POLICY I X I jEC• I I LOC PRODUCTS - COMP /OP AGG $ 2,000,000 I OTHER: $ COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) AUTOMOBILE LIABILITY C X ANY AUTO 4230376900 04/27/2015 04/27/2016 BODILY INJURY (Per person) BODILY INJURY (Per accident) $ ALL OWNED x SCHEDULED PROPERTY DAMAGE $ AUTOS _ AUTOS X NON -OWNED (Per accident) HIRED AUTOS X A $O X Comp $500 X $ C 5,000,000 C x UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ $ 5,000,000 EXCESS LIAB CL AIMS -MADE 4230376901 04/27 /2015 04/27/2016 AGGREGATE $ DED X RETENTION $ 10,000 WORKERS COMPENSATION I STATUTE I I E AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ ANY PROPRIETOR /PARTNER/EXECUTIVE I 1 N I A E.L. EACH AC - EMPLOYEE $ (Man a datory in NH) ER EXCLUDED? (Mantory in E.L. DISEASE - POLICY LIMIT $ D E S s, de PTI Oe under 300,000 D OF OPERATIONS below 20587219 04/27/2015 04/27/2016 Rent Equi A Equipment Floater 04/27/2015 04/27/2016 2,000,000 A Builders Risk ..20587219 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) g l assm er- robert@ monroecounty- fl. gov/ llopez g iselle @ monroecounty- fl.gov PPRo ED - ISKMA / MEET Monroe County BOCC is addtional insured. fax 1-305-852-7117 BY O -4.10- - DATE a — C WAIVER N/' YES __ V ).7 .,ilr`IIU./ 3UG�NOW I 1 NiJT. CANCELLATION CERTIFICATE HOLDER MONR001 3[y ( SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1 :£ [Id `J d 1 1 f\1 SIN/ THE EX PIRA IO N DA E TE POL C REO N E WILL BE DELIVERED IN Monroe County 9 BOCC PO Box 1026 �i a � );� U D 31 f AUTHORIZED REPRESENTATIVE Key West, FL 33041 / / /CiT -21 l �CC,u.� ( / © 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD