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Certificates of Insurance CERTIFICATE OF LIABILITY INSURANCE DATE(MM/4/1/2020 Y) 020 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 NAME: Caroline Abel Frank H. Furman, Inc. a/CNE. Ext: (954)943-5050 A/C,NO: (954)942-6310 1314 East Atlantic Blvd. E-MAIL caroline@£urmaninsurance.com ADDRESS: P. O. Box 1927 INSURER(S) AFFORDING COVERAGE NAIC# Pompano Beach FL 33061 INSURERA:Hudson Excess Insurance Company 14484 INSURED INSURER B:AmGuard Insurance Company 42390 Black Fire Protection Inc INSURER C:Associated Industries Ins Co Inc 23140 1014 SW 19th St. INSURERD: INSURER E: Ft. Lauderdale FL 33315 INSURER F: COVERAGES CERTIFICATE NUMBER:2019 Master 20 Auto 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MWDD/YYYY MWDD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ X FSL00014701 11/12/2019 11/12/2020 MED EXP(Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 LOC PRODUCTS-COMP/OPAGG $POLICY ❑XPRO 2,000,000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED AUTOS X AUTOS X BLAU177542 4/1/2020 4/1/2021 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident) $ Basic PIP $ 10,000 UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE �� N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? i -' i C (Mandatory in NH) AWC1138445 11/12/2019 11/12/2020 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Monroe County BOCC is included as additional insured for General Liability & Auto Liability as required by written contract. ) I DA 4/1/2020 ,., CERTIFICATE HOLDER CANCELLATION Flatt-Jaclyn@MonroeCounty-FL. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE Dirk DeJong/CBA � ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) `../- 10/31/2019 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 CONTACT NAME: Caroline Abel Frank H. Furman, Inc. (AICNo.Extl: (954)943-5050 A) No): (954)942-6310 1314 East Atlantic Blvd. E-MAIL ADDRESS: caroline@furmaninsurance.com P. O. Box 1927 INSURER(S)AFFORDING COVERAGE NAIC# Pompano Beach FL 33061 INSURER A:Hudson Excess Insurance Company 14484 INSURED INSURERB:MAPFRE Ins Co FL 34932 Black Fire Protection Inc INsuRERC:Associated Industries Ins Co Inc 23140 1014 SW 19th St. INSURERD: • INSURER E: Ft. Lauderdale FL 33315 INSURER F: COVERAGES CERTIFICATE NUMBER:2019 Master ALL 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 ADDL SUBR POLICY EFF POLICY EXP W IY LIMITS LTR 1NSD VD POLICY NUMBER (MMIDDYYY) (MMIDDIYYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE RENTED A CLAIMS-MADE X OCCUR PREMSESO(Ea occurrence) $ 100,000 X FS0000140-01 11/12/2019 11/12/2020 MED EXP(Any one person) $ 5,000 I PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 IPOLICY X jE217 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B _ALL OWNED SCHEDULED AUTOS X AUTOS X 5204070002356 4/1/2019 4/1/2020 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per accident) $ FL Basic PIP $ 10,000 UMBRELLA LIAB _ OCCUR _EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION x PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A C (Mandatory in NH) AWC1138445 11/12/2019 11/12/2020 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County BOCC is included as additional insured for General Liability & Auto Liability as required by written contract. � 040 DATE_ N A ��S WAIVE / k CERTIFICATE HOLDER CANCELLATION • Flatt—Jaclyn@MonroeCounty—FL. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS: Key West, FL 33040 AUTHORIZED REPRESENTATIVE Dirk DeJong/CBA 4.2.4'61 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) Ac® CERTIFICATE OF LIABILITY INSURANCE DATE (M IDDI 9`' 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 CONTACT Caroline Abel NAME: Frank H. Furman, Inc. (A/C. Ext1: (954)943-5050 (A/C,No): 1954)942-6310 1314 East Atlantic Blvd. E-MAIL caroline@£urmaninsurance.com ADDRESS: P. O. Box 1927 INSURER(S)AFFORDING COVERAGE NAIC# _ Pompano Beach FL 33061 INSURER A:Underwriters at Lloyds INSURED INSURERB:MAPFRE Ins Co FL 34932 Black Fire Protection Inc INsuRERC:Associated Industries Ins Co Inc 23140 1014 SW 19th St. INSURER D: INSURER E: Ft. Lauderdale FL 33315 INSURER F: COVERAGES • CERTIFICATE NUMBER:2019 Master 18 GL & WC 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD - POLICY NUMBER (MMIDD/YYYY) (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE X OCCUR DAMAGE TO 100,000 PREEMIMISESS ((Ea occurrence) $ X FS000014001 11/12/2018 11/12/2019 MED EXP(Any one person) $ 5,000 PERSONAL 8,ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X M LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) B X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X AUTOS SCHEDULED AUTOS X 5204070002356 4/1/2019 4/1/2020 BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS •- - (Per accident) $ I'I'pO D w' tF -etMF,NT FL Basic PIP $ 10,000 UMBRELLA LIAB OCCUR BY - ��' Q EACH OCCURRENCE $ - -EXCESS LIAB DATE ` �'^ , \1 CLAIMS-MADE WAIVER N/A. AGGREGATE $ _ DED RETENTION$ / _ T- $ WORKERS COMPENSATION x PER AND EMPLOYERS'LIABILITY Y/N STATUTE ERH • I ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 N/A OFFICER/MEMBER EXCLUDED? N - C (Mandatory in NH) AWC1116037 11/12/2018 11/12/2019 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County BOCC is included as additional insured for General Liability & Auto Liability as required by written contract. CERTIFICATE HOLDER CANCELLATION Flatt-Jaclyn@MonroeCounty-FL. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. Key West, FL 33040 AUTHORIZED REPRESENTATIVE r Dirk DeJong/CBA n- /49'..e2,it- I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) ADO o® CERTIFICATE OF LIABILITY INSURANCE DATTE MIDDT 9 YY) 1/20 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 CONTACT Caroline Abel NAME: Frank H. Furman, Inc. (A/C.No.Ext): (954)943-5050 (AC No): 19541942-6310 1314 East Atlantic Blvd. E-MAIL caroline@furmaninsurance.com ADDRESS: _ P. 0. Box 1927 INSURER(S)AFFORDING COVERAGE NAIC# Pompano Beach FL 33061 INSURER A:Underwriters at Lloyds INSURED INSURERB:MAPFRE Ins Co FL 34932 Black Fire Protection Inc INSURERc:Associated Industries Ins Co Inc 23140 1014 SW 19th St. INSURERD: INSURER E: Ft. Lauderdale FL 33315 INSURER F: COVERAGES CERTIFICATE NUMBER:2018 Master 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 ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MMIDD(YYYY) (MMIDD(YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE RENTE A CLAIMS-MADE X OCCUR PREMISESO(Ea o currence) $ 100,000 X FSG00014001 11/12/2018 11/12/2019 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X j CT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea acddent) ANY AUTO BODILY INJURY(Per person) $ B _ALL OWNED SCHEDULED AUTOS X AUTOS X 5204070002356 4/1/2018 4/1/2019 BODILY INJURY(Per acddent) $ NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS (Per acddent) $ FL Basic PIP $ 10,000 /UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A C (Mandatory in NH) AWC1116037 11/12/2018 11/12/2019 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County BOCC is included as additional insured for General Liability & Auto Liability as required by written contract. ; PRO E GEMENT BY DAT WAIVER ES__ CERTIFICATE HOLDER CANCELLATION 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 1100 Simonton St. • ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE• Dirk DeJong/CBA n ,4"12,1, ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) IF A� " CERTIFICATE OF LIABILITY INSURANCE ATE (MMIDDffYYY D3/23/20 8 ) 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 Frank H. Furman, Inc. 1314 East Atlantic Blvd. P. O. BOX 1927 Pompano Beach FL 33061 CONTACT Caroline Abel NAME: Ext: ONE(954) 943-5050 A/C No: (954)942-6310 AIC.No, E-MAIL caroline@furmaninsurance.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURERA:Underwriters at Lloyds INSURED Black Fire Protection Inc 1014 SW 19th St. Ft. Lauderdale FL 33315 INSURERB:MAPFRE Ins Co FL 34932 INSURERC:Associated Industries Ins Co Inc 23140 INSURERD: INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:2018 AUTO 2017 Other 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 I TYPE OF INSURANCE ADDL D SUER WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X❑ OCCUR DAMAGE TO RENTED ccurrence PREMISES Ea occurrence) $ 100, 000 MED EXP (Any one person) $ 5,000 X. FSG00014000 11/12/2017 11/12/2018 PERSONAL &ADV INJURY $ 1, 000, 000 GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY F jE O LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY ED CEa acOMBcidentIdent, SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BH ANY AUTO ALL OWNED SCHEDULED AUTOS X AUTOS X 5204070002356 4/1/2018 4/1/2019 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS X AUTOS FL Basic PIP $ 10,000 UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N X PER OTH- STATUTE I I ER C ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA AWC1092347 11/12/2017 11/12/2018 E.L. EACH ACCIDENT $ 1, 000, 000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Monroe County Board of County Commissioners are included as additional insured with respect to General Liability coverage only arising out of operations performed for them, by or on behalf of contractor, but only to the extent of damages caused by the contractor's negligence except worker's compensation and employer's liability, as per written contract. Monroe County Board of County Commissioners are listed as additional insured with respect to Automobile Liability coverage, as per writt c n AIPPR VE Y Ris GEN61ff 1 Lewinski-Monique@monroecou Monroe County BOCC 1100 Simonton Street Key West, FL 33040 GG �_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Dirk DeJong/CBA e2__�-- <42'el—�— ACORD 25 (2014/01) INS025 (201401) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and -logo are registered marks of ACORD A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/7/2017 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 Frank H. Furman, Inc. 1314 East Atlantic Blvd. P. 0. Box 1927 Pompano Beach FL 33061 CONTACT NAME: Jennifer Martin FAX ac°NN Ext: (954) 943-5050 (A/C. No: (954)942-6310 E-MAIL ADDRESS: }' jenn @furmaninsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Underwriters at Lloyds INSURED Black Fire Protection Inc 1014 SW 19th St. Ft. Lauderdale FL 33315 INSURERB:MAPFRE Ins Co FL 34932 INSURERC:Associated Industries Ins Co Inc 23140 INSURERD: INSURER E : 1 INSURER F: COVERAGES CERTIFICATE NUMBER:2017 All Lines 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 ADDL SUER POLICY NUMBER MM/DIDYIYEYYY MM/DDY� LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE Fx_1 OCCUR DAMAGE T PREM SESOEa occurrDence $ 100,000 MED EXP (Any one person) $ 5,000 X FSG00014000 11/12/2017 11/12/2018 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS - COMP/OPAGG $ 2,000, 000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS X AUTOS X 4150150011387 4/1/2017 4/1/2018 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED X HIRED AUTOS X AUTOS FLORIDA BASIC PIP $ 10,000 UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED F RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N X PER OTH- ISTATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? FN7 (Mandatory in NH) N / A AWC1092347 11/12/2017 11/12/2018 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Monroe County Board of County Commissioners are listed as additional insured with respect to General Liability coverage only arising out of operations performed for them, by or on behalf of contractor, but only to the extent of damages caused by the contractor's negligence except worker's compensation and employer's liability, as per written contract. Monroe County Board of County Commissioners are listed as additional insured with respect to Automobile Liability coverage, as per written c ntract ,,APPRO D ,MENT g Lewinski-Monique@monroecou Monroe County Board of County Commissioners Gato Building Room 2-231 1100 Simonton Street Key West, FL 33040 /- G-L: l•�G\ C l•� 3 � 1IG\ � NJ► SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE irk DeJong/JA 40`-_ _ @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) ACORO0 AC� CERTIFICATE OF LIABILITY INSURANCE ATE (MMIDDNM) P3/29/2017 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 CONTACT Jennifer Martin NAME: Frank H. Furman, Inc. PNONN x (954) 943-5050 Fvc No: (954)942-6310 E-MAIL ADDRESS: enny @furmaninsurance.com 1314 East Atlantic Blvd. INSURERS AFFORDING COVERAGE NAIC # P . O. BOX 1927 INSURERA:ROckhill Insurance Company 28053 Pompano Beach FL 33061 INSURED INSURER B MAPFRE Ins Co FL 34932 INSURERCAssociated Industries Ins Co Inc 23140 Black Fire Protection Inc INSURERD: 3461 NW 75th Terrace INSURER E : 1 INSURER F : Lauderhill FL 33319 COVERAGES CERTIFICATE NUMBER:2017 Auto 16 GL & WC 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. ILTR TYPE OF INSURANCE INSD WVD SUER POLICY NUMBER POLICY MMIDD� LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) ccurrence $ 100,000 MED EXP (Any one person) $ 5,000 X RFSCAK00070500 11/12/2016 11/12/2017 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L POLICY � ECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B ANY AUTO AOSCHEDULED AUUTOSS AUTOS X 4150150011387 4/1/2017 4/1/2018 BODILYINJURY(Peraccident) $ X HIRED AUTOS NON -OWNED AUTOS Ix PROPERTY DAMAGE Per accident $ FLORIDA BASIC PIP $ 10,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? [7N (Mandatory in NH) If yes, describe under NIA AWC1071539 11/12/2016 11/12/2017 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Monroe County Board of County Commissioners are listed as additional insured with respect to General Liability coverage only arising out of operations performed for them, by or on behalf of contractor, but only to the extent of damages caused by the contractor's negligence except worker's compensation and employer's liability, as per written contract. Monroe County Board of County Commissioners are listed as additional insured with respect to Automobile Liability coverage, as per written contract. ",onyd.V."GE NT CERTIFICATE HOLDER CANCELLATION � BY" J��_A C-C J14 1 Lewinski-Monique@monroecou Wql RNA -- DORLT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELL B Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Gato Building Room 2-231 AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West, FL 33040 /j Dirk De Jong/JA .SLR^ -0 •'�-2149e ACORD 25 2014/01) INS025r�n1 � GL ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE li,� DATE(MMIDDNYYY) 11/16/2016 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 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 Jennifer Martin NAME: PNON o xt: (954) 943-5050 AC No; (954)942-6310 Frank H. Furman, Inc. 1314 East Atlantic Blvd. E-MAIL ADDRESS: furmaninsurance.com INSURER(S) AFFORDING COVERAGE NAIC # P . 0. BOX 1927 INSURERARockhill Insurance Company 28053 Pompano Beach FL 33061 INSURED INSURER B MAPFRE Ins Co FL 34 932 INSURER C Associated Industries Ins Co Inc 23140 Black Fire Protection Inc INSURER D : 3461 NW 75th Terrace INSURER E : INSURER F: Lauderhill FL 33319 COVERAGES CERTIFICATE NUMBER:2016 Master 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 ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP 1MM/DDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a EACH OCCURRENCE $ 1,000,000 PREMOCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100, 000 MED EXP (Any one person) $ 5,000 X RFSCAK00070500 11/12/2016 11/12/2017 PERSONAL 8 ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY ECT LOC GENERAL AGGREGATE $ 2,000,000 GEN'L PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B ANY AUTO SCHEDULED ALL OX AUTOS AUUTOSS X 4150150011387 4/1/2016 4/1/2017 BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ FLORIDA BASIC PIP $ 10,000 UMBRELLA LIAR H OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? a (Mandatory In NH) If es, describe under DESCRIPTION OF OPERATIONS below NIA AWC1071539 11/12/2016 11/12/2017 X PER OTH- STATUTE I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Monroe County Board of County Commissioners are listed as additional insured with respect to General Liability coverage only arising out of operations performed for them, by or on behalf of contractor, but only to the extent of damages caused by the contractor's negligence except worker's compensation and employer's liability, as per written contract. Monroe County Board of County Commissioners are listed as additional insured with respect to Automobile Liability coverage, as per written c act. .�cD Y GEMEW CERTIFICATE HOLDER CANCELLATION C: l-P Lewinski-Monique@monroecouVVAdVIrR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Gato Building Room 2-231 AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West, FL 33040 Dirk De Jong/JA ACORD 25 (2014/01) INS025 0014011 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0 DATE (MMiDDIYYYY) AcoRV CERTIFICATE OF LIABILITY INSURANCE 3/28/2014 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 BETWEENTHE 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 andorsed. 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 endorse s . -CONTACT Deborah Dingle PRODUCER NAME: Frank H. Furman, Inc. =NE (954) 943-5050 FAIC,AX o, (954)942-6320 1314 East Atlantic Blvd. ADDRESS; deborah@ fursuminsurance - cam p. O. Box 1927 1 AFFORDING COVERAGE NAIL Pompano Beach FL 33061 INSURERAGotham Insurance Company 5569 INSURED INSURER 8Florida Citrus Business S 10003 Black Fire Protection Inc INSURER CprC ressive Express Ins Co 10193 3461 NW 75 th Terrace INSURER D Lauderhill FL 33319 1 INSURER F : - - -- --- --_ wGVlclnkl kluMFseR' COVERAGES CERTimuAi t Numntrc; -- - - - - HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP LIMITS INSURANCE POLICY NUMBER MM/ MM1DO1YYYY 1,000,000 EACH OCCURRENCE S S DAMAGE 7) RENTED 100,000 ENERAL LIABILITY PREMISES a o= n rACLAIMS.MADE�{ 2013FSC00522 2/16/2013 2/16/2014 MEDEXP(A 0nepers0n S 5,000 a DE OCCUR PERSONAL BADY INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OP AGO $ 2,000,000 GENL ALIMIT APPLIES PER: S IJ3 LOC COMBINEDI I i Xi POLICY M 500,000 AUTOMOBILE LIABILITY Ea and BODILY INJURY (Per person) 3 G, ANY AUTO X AUTOSULEO X 1456973-0 4/01/2014 4/01/2015 BODILY INJURY (Per eccident) S r71NON-OWNED AUTO$�ED A A E S X HIRED AUTOS NAUTOS S 10,000 PIP UMBRELLA LU18 OCCUR P �/ ISM E ENT EACH OCCURRENCE S S EXCESS LUU9 CLAIMS -MADE �� r AGGREGATE DATE , l.. ( 't�1 s DED R TENTKNIS nQ/ X TAT()- OTH- B WORKERS COMPENSATION E L EACH ACCIDENT S 500,000 ,- AND EMPLOYERS' UIBILITY YIN N ANY PROPRIETOR/PARTNERsEXECUTIVE OFFICER:MEMBEREXCLUDED? Q NIA 0650942 11/12/2013 1/12/2014 EL DISEASE - EA EMPLOYE S 500,000 E L DISEASE - POLICY LIMIT S 500 000 (MandatM In NH) II yes tles l ""' DESCRIPTION OF OPERATIONS below DESCRPTIOm OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD let, Addidonal Remarks Sch"ule it ion space is required) listed as additional insured with respect to General Monroe County Board of County Commissioners are but only arising out of operations performed for them, by or on behalf of contractor, Liability coverage negligence except worker's compensation and only to the extent of damages caused by the contractor's Board of County Commissioners are listed as employer's liability, as per written contract. Monroe County additional insured with respect to Automobile Liability coverage, as per written contract. Stone-Bob@MonroeCounty-FL. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County (;0 ;6 In-1 W oRDANCE WITH THE POLICY PROVISIONS. Board of County Commissioners RIZEDREPRESENTATIVE 0. Gato Building Room 2-231 �� 4! , 1100 Simonton Street IJ Key West, FL 33040 Dirk DeJong/DEB n iouu-7nin ACORD CORPORATION. All rights reserved. At:UKU c5 (LUTV/Va) INSn25ontmm ni Th. ar'nion name 9nr1 innn arm mnielared nrarke nF ar non A V e CERTIFICATE OF LIABILITY INSURANCE 3i28/2M 014 `i 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 endorsemen s . PRODUCER Frank H. Furman, Inc. 1314 East Atlantic Blvd. P . 0. Box 1927 Pompano Beach FL 33061 CONTADeborah Dingle PHONE (954)943-5050 1Ax (9e4)942-6310 E w .deborahafurmanInsurance.com INSURE S AFFORDING COVERAGE NAIC N INSURERA,Gotham Insurance Company 5569 INSURED Black Fire Protection Inc 3461 NW 75th Terrace Lauderhill FL 33319 INSURERB:Florlda Citrus Business & 10003 INSURER CPr ressive Express Ins Cc 10193 INSURER0: INSURER E : INSURER F : GUVEKACat`.3 i.crc �rn.n nvmv.-.•. 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 A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR X POLICY NUMBER GL2013TSCO0522 POLICY EFF tmMID01YYYYI, 2/16/201.3 POLICY EXP 2/16/2014 LIMITS EACH OCCURRENCE $ 1,000,000 TED P $ 100,000 MED EXP (Any one person) S 5,000 PERSONAL 3 ADV INJURY S 1,000,000 GENERAL AGGREGATE 5 2, 000, 000 PRODUCTS - COMP/OP AGG S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICv PRo Loc AUTOMOBILE LIABILITY ECOMBINEDLIMIT S S 500,000 BODILY INJURY (Pet persal) S C ANY AUTO AUTOS X SCHEDULED HIREDAUTOS AUTOS X • —L AgaUMBRELLA • 015 HORYINJURY (Per accdnq SLLWNED —PROPERTY (Per odx1) $NONOSWNED PIP S 10,000 B LIAR EXCESS LIAS OCCUR CLAIMS -MADE NIA DAU�1 RANI-R //\ • 0650942 ,_... i/SL %`C`! ' (i 1. ' 1/12/20I3 1 1/12/2014 EACH OCCURRENCE S AGGREGATE $ X STATU- OTH- S DED RETENTIONS WORIERS COMPENSATIONDRYAND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/FXECUTIVE Y r N OFFICERIMEMBER EXCLUDED? a (MaAatory In NH) Ws. describe under CRIPTION OF OPERATIONS below E.L. EACH ACCIDENT S 50.0 000 E.L. DISEASE - EA EMPLOYEE S 500,000 E L DISEASE - POLICY LIMIT S 500,000 --- DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 11I1, Additiomi Remarks Schsdub, I more space is required) Monroe County Board of County Commissioners are listed as additional insured with respect to General Liability coverage only arising out of operations performed for them, by or on behalf of contractor, but only to the extent of damages caused by the contractor's negligence except worker's compensation and employer's liability, as per written contract. Monroe County Board of County Commissioners are listed as additional insured with respect to Automobile Liability Coverage, as per written contract. S tone-B�ob@M(o+nroeCounty-FL . SO :6 W{14 8 fd}{W WZ Monroe County Board of County gsa' Gato Building Room` 1100 Simonton Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Key West, FL 33040 ACORD 25 (201 DeJong/DEB �CLG+ - .� •••'. ©1988-2010 ACORD CORPORATION. All rights reserved. (N9025ontnnr,)nt Tha Af man nwma and lnnn — r nia4`40o&A rnmrlrw ni Ar'nW T .I— 1 ® A� o CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 11/12/2014 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 terns 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). Frank H. Furman, Inc. 1314 East Atlantic Blvd. P . O. Box 1927 Pompano Beach FL 33061 CNTAPRODUCER NAME: Deborah Dingle PHONE , (954) 943-5050 Fax o. (954)942-6310 ADDRESS:deborah@furmaninsurance.com INSURE S AFFORDING COVERAGE NAIC # INSURERA:Gotham Insurance Company 5569 INSURED Black Fire Protection Inc 3461 NW 75th Terrace Lauderhill FL 33319 INSURER B:PrO ressive Express Ins CO 10193 INSURERCAssociated Industries Ins Co 23140 INSURERD: INSURER E : INSURER F : �rIA�TC �11 ��ancnArll 1 /'r A /1 r, % aamrro DFVICInhi hit IURFR' 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 I LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER EFF MM/LDDY/YYYY M/DDIY` YY M LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTEff- PREMISES Ea occurrence $ 100,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5,000 A CLAIMS -MADE FX] OCCUR X GL2013FSCO0522 2/16/2013 2/16/2014 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ riPOLICY X PRO LOC AUTOMOBILE LIABILITY EaMBINdentSINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ B ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED X SCHEDULED X 1456973-0 /1/2014 /1/2015 AUTOS AUTOS X X NON -OWNED PROPERTY DAMAGE Per accident $ HIRED AUTOS AUTOS Uninsured motorist BI split limit 1 $ 100,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAR DED RETENTION $ $ WC STATU- I OTH- C WORKERS COMPENSATION X I E.L. EACH ACCIDENT $ 1,000,000 AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE � E.L. DISEASE - EA EMPLOYE $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA WC1038928 11/12/2014 1/12/2015 E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below BC C ve(C �y FS-1 W DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Monroe County Board of County Commissioners are listed as additional insured with respect to General Liability coverage only arising out of operations performed for them, by or on behalf of contractor, but only to the extent of damages caused by the contractor's negligence except worker's compensation and employer's liability, as per written contract. Monroe County Board of County Commissioners are listed as additional insured with respect to Automobile Liability coverage, as per written contract. 1 C MULutK ' .) OIJ n — Stone-Bob@MonroeCnoulnty-FL + Monroe County •' i : ) Wa Z' AUn h101 Board of County Comm, @,r�o� 03113 Gato Building Room 21�J tt]] 1100 Simonton Street Key West, FL 33040 v^rw�m i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE DeJong/DEB' ACORD 25 (2010105) W TyiiB-LUTU A%.Umu IV". /iu nyrrw raaar INSn25r?mnnFin+ Thu Annul nama nnA Innn am raniatorarl mnrira: of Ad nRn A� v CERTIFICATE OF LIABILITY INSURANCE [__DATE (MM/DD/YYYY) 4/1/2015 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). PRODUCER Frank H. Furman, Inc. 1314 East Atlantic Blvd. P . 0. Box 1927 Pompano Beach FL 33061 CONTACT NAME: Jennifer Moore PHONE , (954) 943-5050 FAX No): (954)942-6310 E-MAIL ADDRESS: y Jenn @furmaninsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Gotham Insurance Company 25569 INSURED Black Fire Protection Inc 3461 NW 75th Terrace Lauderhill FL 33319 INSURER B MAPFRE Florida 34932 INSURER CAssociated Industries Ins Co Inc 23140 INSURERD: INSURER E : 1 INSURER F: rnvrner_cc rFRTIFIrOTF NUMRFR- 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 ADDL UBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE ❑X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 X GL2014FSCO0522 12/16/2014 11/12/2015 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2, 000 , 000 PRODUCTS - COMP/OPAGG $ 2,000,000 POLICY PRO ❑ LOC JECT OTHER: AUTOMOBILE LIABILITY COMBINED Ea a .dentSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED X SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS X 4150150011387 D RISK 4/1 15 M G 4/1/2016 MENT BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident $ P LIMITS $ 10, 000 UMBRELLA LIAB OCCUR Y CH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DATE DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A AWC1038928 11/12/2014 11/12/2015 Ir P STAOTH- TUTE ER E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE- EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT I $ 1 000 000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Monroe County Board of County Commissioners are listed as additional insured with respect to General Liability coverage only arising out of operations performed for them, by or on behalf of contractor, but only to the extent of damages caused by the contractor's negligence except worker's compensation and employer's liability, as per written contract. Monroe County Board of County Commissioners are listed as additional insured with respect to Automobile Liability coverage, as per written contract. Stone-Bob@MonroeCounty-FL. Monroe County Board of County Commissioners Gato Building Room 2-231 1100 Simonton Street Key West, FL 33040 ACORD 25 (2014/01) INS025 OniAnn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Dirk De Jong/DEB V7Jifti'LU74Ah.VRLlIiVRPVRAI1V17. N11fI1�11WrC3C1VCU. The ACORD name and logo are registered marks of ACORD A` O^ o® GATE (MM/00/WYY) CERTIFICATE OP LIABILITY INSURANCE 11/9/2015 THIS CERTIFICATE IS ISSVED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE DOES NOT AFFIRMATIVELY a NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOnnEo BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU RER(S), AVTHORIZEp REPRESENTATIVE OR PROP UCER, ANp THE CERTIFICATE HOLDER_ IMPORTANT_ If the certificate holder is an AppIT1ONAL INSURED, the policy(ias) 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 endorsemant(s). PRODUCER N E: DabOrab Diagla Frai'ak H. Lliirmara, SraC_ PNONE (954) 9Aa_sosO AX (Vo (95a)9a2-6910 1314 East Atlantic H1vd_ oRL _deborab8 £urmaninsurance_c om P. O. Hox 192'1 AFFOROHiG COVERAGE NAIL (11 o pauo Hasch. SL 33061 INSURE S INSURER w:Go tlaam insurance C au as ag 34932 INSUREp INauRER a 39LPH'RS H1ack Sire Prot -_action Snc INSURER c Associated Sndua tries Sns Co inc M3140 3461 Lift -15 th. Terrace � Laudarhi ll FL 33319 COVERAGES CERTIFICATE NUMBER=2015/2016 MASTER REVISION NUMBER - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEp TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATEp. NOTWITHSTANDING ANV REQUIREMENT. TERM OR CONpIT10N 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 ANp CONpIT10NS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE LI Y EFF pOLI EXP - POLICY NUMB R /O IJYTS $ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1 , 000 , 000 A CLAIMS-MApE O OCCUR PR MISS occur S 100,000 $ GL2015FSC00522 11/12/2015 il/13/2016 MEO. (MyPna parson) S 5, 000 PERSONAL6ApV INJURY S 1,000,000 GEN•L AGOREGATE LIMT gPPL1E3 PER: POLICY ® jEo- O LOC GENERAL AGGREGATE j 2r000, 000 PROOl1CT3 - COMP/OP AGG i � . 000 , 000 OTHER- AUTOYOBILE LWBILITY IF aw i 1,000, 000 H ANY AUTO ROPILY IWURY (Par Parson) j ALLOWNEp $ SCHEDULED y/1 /2015 4/1 /2016 BODILY INJURY (Par asddant) i AUTOS AUTOS $ 415015001138"l $ HIRED AUTOS $ NON-0WNEO AUTOS PROPS danl AMAGE j UninsuraU mororlat aI s Ift IImH i 100, 000 UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MApE �/AA1 N � �� �� EACH OCCURRENCE j AGGREGATE j OEp RETENTION WORKERS COMPEMSATON i ANO EYPLOYER3• UABILnY Y / N $ STAT E ANY pROPRIETOR/PARTN ER/EXECUTIVE C OFFICER/MEMBER EXCLUOEOi YO N/q 11/12/2015 11/12/2016 E.L. EACH ACCIpENT j 1 000,000 (Mandatory In NH j 1 000 000 H Ya tlascriba unrlar AiiC1053B00 E.L. OISEA•E - EA EMPLOYE DESCRIPTION OF OPERATIONS below EL pI3 EASE -POLICY LIMIT S 1 000 000 OESCRIPTON OF OPERATIONS / LOCATONS /VEHICLES (ACORO tOt. Atldltlonal RamarKa ScbWula. may ba atfaobaY N more space Is required) Monroe County Hoard o£ Couu ty C.-.......� aaione rn era iiatad as addi tioual iu surad with re apact to General Liabil3 ty cove raga only ariaiug out o£ oparationa par£ormad for them, by or or) behalf o£ contractor, but only to the extant or damages caused by the contractor a negligence except �rorker • a atiou and employer s liability, as par wri ttau contract _ Monroe County Board o£ County C � aaiouaracompausera listed sa additional ivaurad with ra apact to Automobile Liability Coverage , as par writtau�contract . CERTIFICATE HOLDER ZitoELATION La W3nski-Moraiqua @ mor>roacou SHOUL- ANY OF THE ABOVE OESCRIBEO POLICIES BE CANCELLEp BEFORE b±011r0@ COviity S THE EXPIRATION PATE THEREOF. NOTICE WILL BE OELIVEREO IN B00rd O£ COUDGy COmmi881ozlara •� �� O 1 NA!FjM .ANC. WITH K-3r THE POLICY PROVISIONS. Cato Buildiz�g Room 2-231 I ,l �y _ \� ��t/4 S1mOT>COIl $tra@t IJ�L�r,J3� aOJ I.f{Ij IZEO REPRESENTATIVE ay Wastr FL 33040 J II s) ® 1988-2074 ACORp CORPORATION. All rights reserved_ ACORp 25 (2014/O'1) The ACORD name and logo are Pegiste red marks of ACORp IN5025 oninm • ---le A� 0 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 11/9/2015 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). PRODUCER Frank H. Furman, Inc. 1314 East Atlantic Blvd. P . 0. Box 1927 Pompano Beach FL 33061 N EACT Deborah Dingle PHONE (954) 943-5050 No: (954)942-6310 ah@furmaninsurance.com INSURE S AFFORDING COVERAGE NAIC A MINSURERA:GothamInsurance Com an 25569 INSURED Black Fire Protection Inc 3461 NW 75th Terrace Lauderhill FL 33319 RE 34932 ciated Industries Ins Co Inc 23140 INSURER0: INSURER E : 1 INSURERF: %oUvcrcravw _, ...--..-............... - --• - CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRIN TYPE OF INSURANCE ADDD WV R POLICY NUMBER MMIUDDY EFF POLIO YYYY LIMITS $ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 100,000 '�, A CLAIMS -MADE ? OCCUR PREMISES Ea occurrence MED EXP (Any one person) $ 5,000 X GL2015FSCO0522 11/12/2015 11/12/2016 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 ❑ PRO- ❑ POLICY %� JECT LOC $ OTHER: ECOMBINED e accident)SINGLE LIMIT $ 1,000,000 AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED X SCHEDULED X 115(11SO011387 4/1/2015 4/1/2016 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccdent $ AUTOS AUTOS NON OWNED S HIRED AUTOS AUTOS Uninsured motorist BI split limit $ 100,000 UMBRELLA LIAB EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION X STERATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ 1,000,000 C OFFICER/MEMBER EXCLUDED? a (Mandatory in NH) N IA AWC10 53800 11/12/2015 11/12/2016 I E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below APPR / MANA(zEME Y _ DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more spacWN eay A E ----- - Monroe County Board of County Commissioners are listed as additional insured with respect to General Liability coverage only arising out of operations performed for them, by or on behalf of contractor, but only to the extent of damages caused by the contractor's negligence except worker's compensation and employer's liability, as per written contract. Monroe County Board of County Commissioners are listed as additional insured with respect to Automobile Liability coverage, as per written contract. aN1219ma Stone- ty-FL. Monroe County tS� Board of County Contts� rC � f110N S10! Gato Building Room 2-231 1100 Simonton Street. J�� �3 �I Key West, FL 3304dt' (i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Dirk De Jong/DEB ^�-�"' �' -2 _";ie_ Ll 1voo-4u IY ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 ixmann AC� © CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY)4/5/2016 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 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: g Deborah Dingle Frank H. Furman, Inc. PHONE (954) 943-5050 AIC No: (954)942-6310 (AIC1314 East Atlantic Blvd. E-MAIL ADDRESS: deborah@furmaninsurance.com P . 0. Box 1927 INSURERS AFFORDING COVERAGE NAIC # Pompano Beach FL 33061 INSURERA:Gotham Insurance Company 25569 INSURED INSURER B MAPFRE 34 932 Black Fire Protection Inc INSURER CAssociated Industries Ins Co Inc 23140 3461 NW 75th Terrace INSURERD: � 11 INSURER E : t C.7- Lauderhill FL 33319 INSURER IF COVERAGES CFRTIFICATF Nl1MgER2016 Auto 15/16 GL WC RFVISION tMWRFR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AB9VE FORT POLOnt PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W ffMRESPECT TO WQCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS ,!k!gECT TO L T% TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rn INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD(MMIDDIYYYYJ POLICY EXP •-�, ,� LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRE $ 1 ,-900 , 000 A CLAIMS -MADE X OCCUR DAMAGES( Ea RE TED oco'uirence PREMISES $ 0 -1 00,000 IVIED EXP (Any one person) $ 5,000 X GL2015FSCO0522 11/12/2015 11/12/2016 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JE� FX] LOC PRODUCTS -COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO B BODILY INJURY (Per accident) $ ALL OWNED X SCHEDULED AUTOS AUTOS X 4150150011387 4/1/2016 4/1/2017 PROPERTY DAMAGE Per accident $ X X NON -OWNED HIRED AUTOS AUTOS Florida Basic PIP $ 10,000 UMBRELLA LIAB EACH OCCURRENCE $ _ HOCCUR AGGREGATE EXCESS LIAB CLAIMS -MADE $ DIEDRETENTION$ $ WORKERS COMPENSATION D X TH- PER ER STATUTE AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N/A AWC1053800 11/12/2015 11/12/2016 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE- POLICY IMIT $ 1,000,000 APP DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Ce Monroe County Board of County Commissioners are listed as additional insured with respect to General Liability coverage only arising out of operations performed for them, by or on behalf of contractor, but only to the extent of damages caused by the contractor's negligence except worker's compensation and employer's liability, as per written contract. Monroe County Board of County Commissioners are listed as additional insured with respect to Automobile Liability coverage, as per written contract. CERTIFICATE HOLDER LAINLtLLA I IUN Lewinski-Monique@monroecou Monroe County Board of County Commissioners Gato Building Room 2-231 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Dirk DeJong/JA L C © 1988-2014 ACORD LUKPUKA I ION. All rlgntS reserve0. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 oni4m i A CORO® v CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11/12/2014 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 LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED RES*ENTATIVE 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 Frank H. Furman, Inc. 1314 East Atlantic Blvd. P . 0. BOX 1927 Pompano Beach FL 33061 CONTACT Deborah Dingle NAME: g PHONE_,.,,. (954) 943-5050 FAX . (954)942-6310 AMAIL DDRESS:deborah@furmaninsurance.com INSURERS AFFORDING COVERAGE NAIC 0 INSURERA:Gotham Insurance Company 5569 INSURED Black Fire Protection Inc 3461 NW 75th Terrace Lauderhill FL 33319 INSURER B:PrO ressive Express Ins Cc 10193 INSURER CAssociated Industries Ins Co 23140 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:2013/14/15 MASTER 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 ADDLSIJOR POLICY NUMBER MM/DD/YYYY CY EFF MM/DDY� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENT05- PREMISES Ea occurrence $ 100,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5,000 A CLAIMS -MADE ❑X OCCUR X GL2013FSCO0522 12/16/2013 2/16/2014 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ POLICY X PRO-LOC JFCT UTOMOBILE LIABILITY MBINEO Ea a.d.,"I SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ B ANY AUTO SCHEDULED AUTOS ALL OWNED Ix AUTOXHREDSAUTOS NON -OWNED AUTOS X1456973-0 4/1/2014 /1/2015 BODILYINJURY(Peraccident) $ PeOr PERTntDAMAGE $ Uninsured motorist BI split limit $ 100,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ C WORKERS COMPENSATION X WC SORYTATU- OTH- LIMITS ER AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A WC1038926 1/12/2014 1/12/2015 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT I $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I '' B %I,�oC W Y S_ et 1L bob N/ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Monroe County Board of County Commissioners are listed as additional insured with respect to General Liability coverage only arising out of operations performed for them, by or on behalf of contractor, but only to the extent of damages caused by the contractor's negligence except worker's compensation and employer's liability, as per written contract. Monroe County Board County Commissioners are listed as additional insured with respect to Automobile Liability coverage, a per written contract. CERTIFICATE HOLDER ' J dIJ 14 1., cANctL.LAIIUN Stone-Bob@MonroeCounty-FL. h h: l ua Z I AON MCI Monroe County Board of County Commm,. 921 ,q2� O�-II.� Gato Building Room Miav t] 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE irk DeJong/DEB ACORD 25 (2010106) INSn25 roninmS ni ©1988-2010 ACORD CORPORATION. All rights reserved. Thu annRil name 2nel Innn era ranicfararl mnrlra of Ar`nRn AC'40RI:> ® DATE (MM/DD/YYYY) AC� CERTIFICATE OF LIABILITY INSURANCE 4/1/2015 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 "'-PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ORTANT: 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 CONTACT Jennifer Moore NAME: Frank H. Furman, Inc. PHON o xt: (954) 943-5050 A/C No: (954)942-6310 CC,1314 East Atlantic Blvd. E-MAIL ADDRESS: Jenny @furmaninsurance.com P . 0. Box 1927 INSURER(S) AFFORDING COVERAGE NAIC # Pompano Beach FL 33061 INSURERA:Gotham Insurance Company 25569 INSURED INSURER B MAPFRE Florida 34932 Black Fire Protection Inc INSURER CAssociated Industries Ins Co Inc 23140 3461 NW 75th Terrace INSURER D : Lauderhill FL 33319 1 INSURER F : COVERAGES CERTIFICATE NIIMRFR- RGVLRIr%M NI IIUIRPR- 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 ADDL SUBR POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DDNYYY LIMITS A ERCIAL GENERAL LIABILITY 7MCLAIMS-MADE F—xl OCCUR EACH OCCURRENCE ' $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100 , 000 MED EXP (Any one person) $ 5,000 X GL2014FSCO0522 12/16/2014 11/12/2015 LlPERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X JERCOT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED 'SCHEDULED AUTOS X AUTOS X 1 4150150011387 4/1 15 4/1/2016 BODILY INJURY (Per accident) $ EX NON -OWNED HIRED AUTOS X AUTOS V D RISK G MENT 11 PROPERTY DAMAGE Peraccdent $ P LIMITS $ 10,000 UMBRELLA LIAB OCCUR Y CH OCCURRENCE i $ AGGREGATE is EXCESS LIAB CLAIMS -MADE DATE DED RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? y (Mandatory in NH) N / A AWC1038928 11/12/2014 11/12/2015 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 it DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Monroe County Board of County Commissioners are listed as additional insured with respect to General Liability coverage only arising out of operations performed for them, by or on behalf of contractor, but only to the extent of damages caused by the contractor's negligence except worker's compensation and employer's liability, as per written contract. Monroe County Board of County Commissioners are listed as additional insured with respect to Automobile Liability coverage, as per written contract. Stone-Bob@MonroeCounty-FL. Monroe County (Board of County Commissioners W Gato Building Room 2-231 1100 Simonton Street Key West, FL 33040 L;ANt,;tLLA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Dirk De Jong/DEB ^-'C� A!:::2- ^ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 rgm4nn C C / 1 ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 4/5/2016 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 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 Frank H. Furman, Inc. 1314 East Atlantic Blvd. CONTACT Deborah Dingle PH ONN (954) 943-5050 aC No: (954)942-6310 E-MAILDDRESS: deborah@furmaninsurance.com A INSURERS AFFORDING COVERAGE NAIC # P . O. BOX 1927 INSURERA:Gotham Insurance Company 25569 Pompano Beach FL 33061 INSURED INSURER B MAPFRE 34932 INSURER CAssociated Industries Ins Co Inc 23140 Black Fire Protection Inc INSURERD: O 3461 NW 75th Terrace INSURER E : t Cr INSURER F : Lauderhill FL 33319 ^ITM 101P A T=\I1 I RAM CO•"I II I H All t- l ti/-1 IN r�l. W(' FrF VI\II Im IYM1Ml4 FWl _- - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORT POLI:y PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W,�C17RESPE TO Vl7QCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS I!RECT TOAL Tb b TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I LTR TYPE OF INSURANCE ADDL INSID I SUER WVD I POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY .•! ,., LIMITS —� l X COMMERCIAL GENERAL LIABILITY EACH OCCURRED'- $ ,n 1A00 , 000 A CLAIMS -MADE ❑X OCCUR DAMAGE TO a TED PREMISES Ea oco'u7rence $ 00 , 000 MED EXP (Any one person) $ 5,000 X GL2015FSCO0522 11/12/2015 11/12/2016 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 PRO- POLICY i JECT LOC OTHER: AUTOMOBILE LIABILITY (Ea accident) dentINED SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS X AUTOS NON -OWNED X HIRED AUTOS X AUTOS X 4150150011387 4/1/2016 4/1/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ Florida Basic PIP $ 10,000 UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEM ER EXCLUDED? a (Mandatory in NH) N/A AWC1053800 11/12/2015 11/12/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE- POLICYIMIT $ 11000,000 H yes, describe under DESCRIPTION OF OPERATIONS below APP BY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Monroe County Board of County Commissioners are listed as additional insured with respect to General Liability coverage only arising out of operations performed for them, by or on behalf of contractor, but only to the extent of damages caused by the contractor's negligence except worker's compensation and employer's liability, as per written contract. Monroe County Board of County Commissioners are listed as additional insured with respect to Automobile Liability coverage, as per written contract. CERTIFICATE HOLDER UANI:tLLAIIUry Lewinski-Monique@monroecou SHOULD ANY OF THE ABOVE DESCRIBED POLICIES B ANCELLED BEFORE Monroe County THE EXPIRATION DATE THEREOF, NOTICE WI BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Gato Building Room 2-231 I/ 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 Dirk DeJong/JA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 onl4m 1 D ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/9/2015 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 Or 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 CONTACT Deborah Dingle Frank H. Furman, Inc. PHONE (954) 943-5050 1 ac No: (954)942-6310 1314 East Atlantic Blvd. -MAIL ADDRESS: deborah@furmaninsurance.com P . 0. BOX 1927 INSURERS AFFORDING COVERAGE NAIC # INSURERA:Gotham Insurance Company 25569 Pompano Beach FL 33061 INSURED INSURER B MAPFRE 34 932 Black Fire Protection Inc INSURERCAssociated Industries Ins Co Inc 23140 3461 NW 75th Terrace INSURERD: INSURER E : Lauderhill FL 33319 1 INSURERF: =W*A`Ia:I_l C\a M=ran 1=IM•■■=1MN1 AMA n T 1-1 a. 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 ADDL SUBR POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE LX1 OCCUR TO DAMAGE( a occurRENTEDrence)$ PREMISESSE 100,000 MED EXP (Anyone person) $ 5,000 X GL2015FSCO0522 11/12/2015 11/12/2016 PERSONAL BADVINJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L POLICY jE O LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ B ANY AUTO ALL OX SCHEDULED AUUTOSS AUTOS X4150150011387 4/1/2015 4/1/2016 BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ Uninsured motorist BI split limit $ 100,000 UMBRELLA LIAB OCCUR &P111 '/ EACH OCCURRENCE $ E AGGREGATE $ EXCESS LIAB CLAIMS -MADE D A VER N/ $ _ �^�(C (_.{_ 'O"}' (� rv" /` DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? 7 N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 C (Mandatory in NH) AWC1053800 11/12/2015 11/12/2016 M yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Monroe County Board of County Commissioners are listed as additional insured with respect to General Liability coverage only arising out of operations performed for them, by or on behalf of contractor, but only to the extent of damages caused by the contractor's negligence except worker's compensation and employer's liability, as per written contract. Monroe County Board of County Commissioners are listed as additional insured with respect to Automobile Liability coverage, as per written contract. V ]--I Lewinski-Monique@monroecou SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BECANCELLED BEFORE Monroe County (�` 1 fit+ I t� O f THE EXPIRATION DATE THEREOF, NOTICE WI BE DELIVERED IN Board of County Commissioners 1 fi P! NAE/j(�ItDANCE WITH THE POLICY PROVISIONS. Gato Building Room 2-231 1100 Simonton Street 1702 IZED REPRESENTATIVE Key West, FL 33040 v J� Dirk DeJong/DEB ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 r90141711) C+ ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 11/9/2015 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). PRODUCER CONTACT Deborah Dingle NAME: Frank H. Furman, Inc. PHONE (954) 943-5050 IX No: (954)942-6310 1314 East Atlantic Blvd. E-MAIL ADDRESS: deborah@furmaninsurance.com INSURERS AFFORDING COVERAGE NAIC A P . O. BOX 1927 INSURERA:Gotham Insurance Company 25569 Pompano Beach FL 33061 INSURED INSURER B MAPFRE 34932 INSURERCAssociated Industries Ins Co Inc 23140 Black Fire Protection Inc INSURERD: 3461 NW 75th Terrace INSURER E : Lauderhill FL 33319 1 INSURER F : COVERAGES CERTIFICATE NUMBER:2015/2016 MASTER 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 ADDL SUBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 X GL2015FSCO0522 11/12/2015 11/12/2016 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: JPRO- POLICY LOC GENERAL AGGREGATE $ 2,000,000 GEN'L PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1 , 000 , 000 BODILY INJURY (Per person) $ B ANY AUTO AUTOS X SCHEDULED AUTOS AUTOS X 4150150011387 4/1/2015 4/1/2016 BODILY INJURY Per accident ( ) $ HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ Uninsured motorist BI split limit $ 100,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED 1 1 RETENTION$ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y❑ (Mandatory in NH) If yes, describe under N / A AWC1053800 11/12/2015 11/12/2016 X PER DTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1 000 000 E.L. DISEASE - POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS below APPR MANA2EME L DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more spacWA Monroe County Board of County Commissioners are listed as additional insured wi h respect to General Liability coverage only arising out of operations performed for them, by or on behalf of contractor, but only to the extent of damages caused by the contractor's negligence except worker's compensation and employer's liability, as per written contract. Monroe County Board of County Commissioners are listed as additional insured with respect to Automobile Liability coverage, as per written contract. CERTIFICATE HOLDER -t .1 •%„n -. _ CANCELLATION Stone-Bob@M6ilio6Minty-FL . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board Of County Coma-ta rQ3 AON 5101 ACCORDANCE WITH THE POLICY PROVISIONS. Gato Building Room 2-231 1: 1100 Simonton Street # AUTHORIZED REPRESENTATIVE Key West, FL 33041116KW8 dUJ 031i. � Dirk DeJong/DEB ©1988-2014 ACORD CORPORATION All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 n014m i