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COI Expires 06/29/2017
■ f �••" OP ID: NF 4 C ROY CERTIFICATE OF LIABILITY INSURANCE I RATE `orroonfw" mains THIS CERTIFICATE 18 ISSUED AS A MATTTBt Of INFORMATION ONLY AND CONFERS NO RIOHTE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, IXTE1ND OR ALTER THE COVIRAGI AFFORDED SY THE POLICES SELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TIM ISSUING INSUREfI($). AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the attlRCeM holder Is an ADDITIONAL INSURED, the policy(Ms) must be endive.& If SUIROGATION 1S WAIVED, subject to the tons and conditions of the policy, certain policies may require an endorsement. A a alsmont on NM csrUflcaN doss not confur *Nis to the MINIM N holder In Hsu of ouch OndOmemordla rsoeuesrt 306.204417? - -;,, • The Fuller', Inc 306 - 292.4841 r : ;r- .,., 1 MIL som 1432 Ksnnsdy Olive Kw West. FL 33040 r Norman Fuller aetMMM11 • =Imam Airoims covemAss NAM r MUNN William Horn IJlemitA:PfO0I SIivs 111 Kay Haven Rd. .Nw_M1a: Kay West, FL 33040 eLeIEIERC: aM.rte: I IRMIRE; COVERAGES CERTIFICATE NUMSIR SUMMON RUNNER: THIS 510 CERTIFY THAT THE POUCMS OF INSURANCE UMW BELOW HAVE SEHN ISOUEO TO THE INSURIO NAAND A/OVE FOR THE POLICY PEN00 INDICATED. NOTWITHSTANDING ANY REOUIMMINT, TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY IN ISSUED OR MY PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN REDUCED SY PAID CEAIMS. TN TIPS Or AN= . �.' yes rmoms jaiffintialgant urns Out gRAL LIANUTY EACH OCCUR ROICE s - — COMMERCIAL mON RM. LNBIJTY � Agill 1 CLA yADE EJ OCR MSOOIP 1 _ PERSONAL l ADV INJURY 1 CAMERAL AGGREGATE e OWL UNIT AP -gown PLIES Pet PnOQVC15 -Co AGO 1 n 1 POLICY i 1 LOC s AUTONoaE MINIM X I SINGLE UNIT • 1,000,006 A ANY 02168318-9 OWING 0112W17 ~ ruRYp•.. moon) 3 _ w ALL OWNED AUTOS 110011.1/ PLJIRY HPr.001M.I 3 X SCHEDULED AUTOS PROPERTY DAWN X HIRED AUTOS IP.r udim9 • NON-OWNED AUTOS • _ , B 1 !.■RLIAUAI OCCUR EACH OCCURRENCE 1 _ DOeae MAO CLAAMMOJX, AOOREOATE 3 DEDUCTIBLE — ±-- )J11[[ffa1 }} { WC TA a - e AN D NF M T UNNLITY en 1,oe,r S Rat t t .e ANY AR Y� NIA E L. EACH ACCIDENT 1 0PFCIRArBMBN SXCLW/Dr Nl rt m w q In NIP EL. DOWN -SA SWIL0Yii e D i.C mON OF OP,RATIWIEIRMr RI- ONIOAII • POLICY UNIT $ i I n 8 euc TIDN OP OP.RAUOIN I LOCATION! I .CLE$ u3 ACORD 1.1. AMYI M R 110/44 m 11e/q min spew M • - - s . ' f - I r P YIN A : 2 . *1 'riIDINl%E W :,• ' ,r. 3. CERTIFICATE HOLDER CANCELLATION MONIIOCC SHOULD ANY OF THE ABOVE 0150 11EAE0 POLICSI OE CANCELLED WORE Monroe County OOCC AACCCORDANCa DAM po NOTICE WILL MR OWNER= in 1100 Simonton it Roy West, FL 33040 ; 0 Roman rimer I • . - s CORPORATION. Al tight. ts.sewd. *CORD 25 (200988) The ACORD nan1. and Togo iwe regteimed • of •• • . • i _ f . OP ID: NF C RO Q' DATE �Mwoonwn '`'�..- CERTIFICATE OF LIABILITY INSURANCE 101006 THIS CERTIFICATE IS ISSUER! AS A MATTINN OP INFORMATION ONLY AND CONFERS NO RIGHTS UPON DM CERTIFICATE HOLDER. TMs CERTIFICATE DOES NOT APFMNIATIVELY OR NEGATIVELY AMINO, I XTIINO OR ALTER TIM COVERAGE AFFOR = EY THE POLICIES BELOW. TINS CU TWICATE OP INSURANCE DOES NOT CONSTITUTE A CONTRACT EITWEEN THE ISSUING INSUIDIR $). AUTHORS= REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder 1e an ADDITIONAL INSURED, the pollcy(les) must be endowed. N BUI ROGATION IS WAIVED, subject to • Me urns and condltlons al the policy, certain policies may require an sndatsmsnt A stMsment on this Petaled does not confer rights to the • oerNSoats holder In lieu of such andolhsNfenl(a> P50OIOaR 305494:1177 :, . The PuNere. Inc 1432 Kennedy Drive 3D5.2921 �k s,„, 1 Key West, FL 83040 adNORNYM j Norman Puller . 001NR1110 AMOROSO comma MC II _ • INIBU tD Willem P Hom Architect PA NSusuRA:First Communstylneursnce Co. 13990 BII Hom IISUMI•; 976 Eaton 8t. SRC: Key West, FL 33040 aNNRIaRD= weep Is , 11111.11•!: NUMUlti ,, a TIFY MOWN Adu�C�ER R11' N1N WED BELOW HAVE it li tiStlsb TO TIM IIMUROD THE MLICY 1'SIIIOD INDICATED. NOTWITHSTANOINO ANY R*OINRIMENT, TERM OR CONDITION OP ANY CONT0AGT OR OTHER 000ISSINT WITH RESPECT TO WHICH TINA CERTIFICATE WAY 9E •WED OR MAY PERTAIN, THE INSURANCE AFFORDED BY 711E POUCIES 131111CR19E0 HEREIN S $US.IECT TO ALL TIM TI MM, EXCLUSIONS AND CONDITIONS OP SUCH POLICIES. LBWS SHOWN MY HAVE BMW REDUCED ET PAD. CIAIMS. ; • IuIIRANOM 1rPa or a ,,.Ir POUeY NtnlalN I I �i1 I�f n i r ant MORAL MUM IACHOCCURRIN1U s 1,000,950 A 1111 COw16RCW oONiRALLIAenrTY X 090004983998812 I 09121I10 ' O9R1/17 V .� $ 50.990 • CLN1rs#MO11 © OCCUR i M11DEI{P Pat meNNW 11 58500 © OushrsseOnnws P*n1ONAL &ADVINJURY S Inc' ■ OMER & AOOREGAT1 S 2,000,000 aern.aeorama U TAPPL*1 PER. rnaoucrs • CarrroP AGO $ 1000099' n we rouGV I t2t C j AuTOYOIaLU11a1nY • COINe1E0 SINGLE OAT N:..WH•• ' ■ ANY AUTO } D A , OOOILY euIIRY (Par PA A OWN X t _ 4 LLI DAUTOS `l1 4(Y ` e SCHEDULED AUTOS ' l I T R *.ML" 1` 4 - SWAY N+IURY (Per radr�ull t •IT! T ,. , r PROPEIITYDAMN III HIRED AUTOS swamps S S NON OWN110AUTOS r II t iNN1U1A UPI . - OCCUR to IrCURR}NCII EMUS MD CMaI54AA011 AooRIOATI ■ DIOUCTlIu ...t. AM ISPIMl% 1 _ 1114; 1 orrlo ' ixcw n i11 N i CUM ]NIA to SAW ANOINT 1 V *Ua M IA N a LOIIIA11U- IA11IPL0'I $ Indy t '.• ir1.. . •.r RA �« ... , •••C•••1014 OT OPERATORS t LOCATIONS /MOWN (AIWA ACORO101, AIMINIMUNISl Ildwarla.1 ma Amu ISN$r4MR , ':-I, 1:1... 1 .!... . —...t. 1.�. { MONRCON SHOULD ANY OF 114E ABOVE DESCRIBED POLICIES BE CANCELLED STORE ' i THE EXPIRATION DAZE TNSMWill. M OF• NOTICE W DENIM ill Monroe County Board or County ACCORDANCE wms TM, Commisslonere 1100 Simonton absst Iwr , Key Weil, FL 39040 Norman Fuller 1 ` • 1 .CORPORATION. AN r(SMS reesrfni. ACORD 28 (20190111) The ACORO sane and logo are moldered • of - , , Client#: 1049512 WILLIP4 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE DILUOOIYYm 8/09/2016 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 holler Is an ADDITIONAL INSURED, the policy(ies) must be endorsed, if SUBROGATION IS WAIVED, subject to the teens 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 Ileu of such endorsement(s). PRODUCER 1.01IICT USI Insurance Services, LLC 1 6 Ea1� 813 321 -7500 I WC. NO: 1715 N. Westshore Blvd. Suite 700 ..6110filifit ,_ Tampa, FL 33807 Nsu RER(!) AFFOtt01N6 COVERAGE ?WC i unERA, Wesco Insurance Company 25011 INSURED INSURER B : William P. Horn, Architect, PA. INSURER C : 915 Eaton Street w5VttER e Key West, FL 33040 DISURlR E : , INSURER F . COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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. OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. n, M ,<:r' ' +' iii/ TYPE OF INSURANCE POLICY NUMBER LaaTB COMMERCIAL GENERAL umuu Y , EACH OCCURRENCE S 11111 W CMS i+iS:M3ESnr uiecwlrar MADE OCCUR ral S 1111 . _- .... __ _� MED EXP (My one person) S PERSONAL L ADV INJURY $ GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S r Fr • PIOP AGG 3 la POLICY I JECT � LOC PRODUCTS COM OTHER; $ cou iiEb SINGLE u 4n AUTOMOBILE LLABItJTY lEa aorldwnl . ANY AUTO BODILY INJURY (Per demon) $ El ALL OWNED SCHEDULED I 000ILY INJURY (Per sodded) $ NaN PROPeNTY DAMAGE ■ HIRED AUTOS p 5 83 [Par =WAD s I S UMBRELLA UAa — OCCUR EACH OCCURRENCE $ , EXCESS LIAR CLAIMS -MADE AGGREGATE S 5 DED I 1 RETENTION 3 $ WORKERS COMPENSATION PER 1 IER AND EMPLOYERS' LIABILITY � Y 00FIGE R EX E CUTI I N 1 A EJ_ .. EACH ACCIDENT , S (Mandatory In NH) • E.L DISEASE - EA EMPLOYEE 5 tl yyr�� d aamM under DESCRIRTa3N OF OPERATIONS below EL DISEASE • POLICY UMIT _ S A `Professional ARAl25557400 08/2012016 0812012017 52,000,000 per claim I Llabillty $2,000,000 annl aggr. OESCIUPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aItacMd Unwell opera 11 required) Professional Liability coverage is written on a claims -made basis. Project: Stock Island Fire Station, Bernstein Park, Annual Contract for Architectural Services / r AP • .t.► . . — DA W''f a CERTIFICATE HOLDER CANCELLATION Monroe County THE EXPIRATION DATTE THREOF. DESCRIBED OTICE WILL CANCELLED ODEUVEREDIN Board of County Commissioners ACCORDANCE WITH THE POUCY PROVISIONS. Attn: Risk Management 1100 Simonton Street AUTHORIZED RrsIwENTAIIVE Key West, FL 33040 OL9�% ,,,s. 061-a1.. 0‘2,.. 1 C 1988-2014 ACORD CORPORATION. AU rights reserved, ACORD 25 (2014101)) 1 of 1 Tho ACORD name and logo are registered marks of ACORD #318387994/M18301806 KEBEW