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Certificate of Insurance SEATE -1 OP ID: CH GATE (MMIDDIYYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 41 1.1!"..... '' 11 109 / 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 INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policyi;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 an thls certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Atlantic Pacific -Key West PHONE FAX No) 305- 294 -7383 1010 Kennedy Dr, Suite 203 oiC No, E ' 305 - 294 - 7696 Key West FL 33040 ADDRESS bhoranaapins.com Rebecca N. Horan INSURERIS) AFFORDING COVERAGE NAiC INSURER Maxum Indemnity Company INSURED Sea Tech of the Fl Keys, Inc. INSURER a Travelers Insurance Co. 25666 PO Box 420529 INSURER C Summerland Key, FL 33042 INSURER 0 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS '5 TO CERTIFY THAT THE POL CIES 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 , S SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDIT ONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS WSR+ T YPE OF INSURANCE ADOL SUER POLICY EFF POLICY EXP i LIMITS LTR I INSD �YIYD POLICY NUMBER IMWDOrYYW} IMMIDOIYYYYI I A X COMMERCIAL GENERALLIABILJTY EACH OCCURRENCE 1,000, AIMS - MADE X _J OCL.uR X GLP600255311 03/01/2015 03/0112016 PREaS (e1 c 50,000 MED VP (My one person) t PERSONAL &ADVINJURY S 1,000,000 GErtL AGGREGATE UMIT APPLIES PER GENERAL AGGREGATE f Z000,000 R P U C JEC CY Pao T El OC PRODUCTS- COMP AGG f 1,000,000 o'HEP Emp Ben t 1,000,000 AUTOMOBILE LABILITY 1 mat:bp siN(;Lt L M* f 1,000, 000 B X ANY AUTO X BA2B788033 03101/2015 03/01/2016 3ODILY INJURY iP0rper$cn) f - ALL OWNED SCHEDULED BODILY INJURY (Per ac' dens: f AUTOS AUTOS WNEr PROPERTY DAMAGE f X HIRED aUTOS X AUTOS jper arch:N ti _ UMBRELLA LIAR OCCUR - EACH OCCURRENCE f EXCESS LIAR 1 CLAMS -MACE AGGREGATE $ OITG 1 I PETFr; . T Ftrr f WORKERS COMPENSATION I STATUTE 1 Ie y M. AND EMPLOYERS LIABIL TY A, - AR E: E XSCU11VE r N NIA ? L EACH ACCICEhJ C' EnCCLUDED'+ �. (Mandatory M NH) E L DISEASE . EA EMPL i I yes describe under DEScRLOTSONOF OPERATIONS below i - DISEASE POLICILIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101 Additional Remarks Schsdui e, may be attached I Ran apace is requhed) Project: HARVEY GOVERNMENT BUILDING EXTERIOR PAINTING AND REPAIRS . Not subject to cancellation, nonrenewal, material change or reduction in • ••re / E1. Flo, AGEMENT coverage unless a minimum of thirty (30) days prior notification is given to . a rc � the County by the insurer. WANd 1 .. $. CERTIFICATE HOLDER CANCELLATION MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN Monroe County Board of County ACCORDANCE WITH THE POLICY PROVISIONS. Comm issioners 500 Whitehead St AUTHORIZED RE PRESENTA TNE Key West, FL 33040 .Ii . f 1 s 1988-2014 ACORD CORPORATION. All rights reserved ACORD 25 (201401) The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE X03 Y om; 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 ADDRIONAL 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 _NAME. Applied Risk Services, Inc. PHONE (87 7)234 44 10825 Old Mill Rd (Am,No,Esti 24 1(AIC,Ne►: (8771234 -4421 Omaha, NE 68154 EMAIL ADDRESS: PRODUCER (877)234 -4420 CUSTOMER IDA INSURERS) AFFORDING COVERAGE 'WC 0 INSURED mmAmRA Continental Indemnity Co. 28258 INSURER B Sea Tech of the Florida Keys, Inc. ' PO Box 420529 INSURER Sugarloaf Key, FL 33042 -0529 INSURER 0' , INSURER E CTL 1273 1095224 ' INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 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. per ------ -- ADDLSUBR — _.. __ - - POUCYEFF POLICIE /I __. LTR TYPE OF INSURANCE INSR WVO POLICY NUMBER N INiin,'Yrrn IMAVDOrvYYn I LIENS GENERAL LIABILITY 5 .1.0.0 OCCURRENCE I C GENERAL UPJ3ILITY LA ---1 P REK_ G SE5.Ea N S t — — CNAS MADE ] OCCUR Mt 'J 0XP Mary Twgnl in _ $ .. - - PEa54►$ _IAOV IN,URY 5 . WIERALMSWErglat S - GEN L AGGREGATE LIMIT APPLIES PER Pam PROOUCULSOMBM AVa S POLICY , =lT L =.: t ■ S AUTOMOBILE LIABILITY O#BISINGLE LMT ANY AUTO O S ALL OWNED AUTOS - ' SCHEDULED AUTOS � .AGGL1geIl+efaP'l icudr li. i 5 -- - - � - HIRED AUTOS 1 ;Per acadenq S NON -OWNED AUTOS S 1 5 UMBRELLA UAB OCCUR rACH OCCURRENCE 5 _ — EXCESS LiAB C AIMS MADE 1 AGGREGATE 5 .. OEDUCTIBLE ∎ I - 5 RETENTION 5 t S WORKERS COMPENSATION I ' X ' T i ATU. n .. AND EMPLOYERS' UABILrTY Y1NI _ - ANY PROPRIETORlPArnNERlEXECUTNE �T N I A 4 6- 8 8 5 7 9 2- 0 1- 0 2 03/01/2015 03/01/2016 E.L EACH ACCIDENT T S 1,000,000 OFFICER/MEMBEREXCLUDED? ' j A - - (Mondatory InNH) E DISEASE -EA EMPLOYEE S 1,000,000 I yes desrn under S PECIAL PROVISIONS below E L DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach Acord 101, Additional Remit. Schedule llmore space Is required) ' 1-"fl0 � 13 iNF'Abti ENT Protect HARVEY GOVERNMENT BUO.DI NG EXTERIOR PAINT NG AND REPAIRS s ,i . WA Not w nr blect to cancellation. material d m change or reduction .n coverage nle mum 1t rty i illiPi~-721i: W ' $' f ... p,.or notitcatbn N given en to the county by the CERTIFICATE HOLDER CANCELLATION Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED M BEFORE THE WILL E EXPIRATION DATETHEREOF, NOTICE LL BE DELIVERED o nroe C o County 500 Whitehead Street IN ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE e......■• L039971 ACORD 25 (2009109) ':1988 -2009 ORO CORPORATION. All rights reserved