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InsuranceA CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) I 06/14/2016 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 CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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 Aon Risk Services Northeast, Inc. New York NY office 199 water Street New York NY 10038-3551 USA CONTACT NAME: FAX PHONE (866) 283-7122 A/C (800) 363-0105 Ext): (A/C.No.): (A/C. No. ( E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAfC # INSURED Cel l co Partnership dba veri zon wireless 180 Washington valley Road Bedminster NJ 07921 USA INSURER A: National Union Fire Ins Co of Pittsburgh 39445 INSURER B: New Hampshire Ins Co 23841 INSURERC: Illinois National insurance Co 23817 INSURER D: INSURER E: INSURER F: .. .--._-- ..-,,..�,... �....�.,., oCVICIf11J til IMRFR• COVERAGES laK I IriL m i C Nunn Ow n. 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDD POLICY FXP MMIDD LIMITS EACH OCCURRENCE $2 , 000 , 000 A X COMMERCIAL GENERAL LUIBILITY CLAIMS -MADE X❑ OCCUR GLbl=U DAMAGE PREMISES Ea occurrence $2,000,000 MED EXP (Any one person) PERSONAL & ADV INJURY $2,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ PRO ❑ LOC JECT OTHER: PRODUCTS-COMP/OPAGG $2,000,000 A A A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY CA 774-21-38 AOS CA 774-21-39 MA CA 774-21-40 VA 06/30/2016 06/30/2016 06/30/2016 06/30/2017 06/30/2017 06/30/2017 COMBINED SINGLE LIMIT Ea accident S2,000,000 BODILY INJURY ( Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE AGGREGATE DED RETENTION B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WCO20681870 work Comp - AOS wc02O681875 NJ PA 06/30/2016 06/30/2016 06/30/2017 06/30/2017 X LITE STTE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1, 000 , 000 E.L. DISEASE -POLICY LIMIT $1, 000 , 000 i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 62310 Monroe County Tower. Monroe county BOCC is included as Additional Insured with respect to a Generaiabity policy where required by written contract, except for workers' Compensation and Employer's Liability icy. N �7 CERTIFICATE HOLDER Monroe County BOCC 500 Whitehead Street Key west FL 33040 USA CANCELLATION v SHOULD ANY OF THE ABOVE DESCRIBED POLICIESr+BE CANCEL BEF'Q$E THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCONCE H THE POLICY PROVISIONS. JW ('a 'J"t AUTHORIZED REPRESENTATIVE ," ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000035381 LOC #: �-- ADDITIONAL REMARK-R SrNoni ii G AGENCY Aon Risk Services Northeast, Inc. POLICY NUMBER See Certificate Number: 570062538733 CARRIER see Certificate Number: 570062538733 AnnITInAI A I OC11A A ove NAMEDINSURED cellco Partnership dba verizon wireless NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER IA00111VINAL YUL1CIES 11 a pwicy Deiow aoes not include limit intormation, refer to the corresponding policy on the ACORD certificate form for policy limits. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YYYYMM/DD POLICY EXPIRATION DATE LIMITS WORKERS COMPENSATION C N/A WCO20681873 FL 06/30/2016 06/30/2017 B N/A wc02O681871 MN 06/30/2016 06/30/2017 B N/A WCO20681876 MA,ND,OH,WA,WI,WY 06/30/2016 06/30/2017 A N/A WCO20681872 CA 06/30/2016 06/30/2017 B N/A WCO20681874 IME 06/30/2016 06/30/2017 -F LL I ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD