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Certificates of Insurance 71/30/2023 E(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT NAME: Yarltza Soto Baldwin Krystyn Sherman Partners LLC PHONE FAx 4211 W Boy Scout Blvd A/C No Ext: 239-931-3021 A/C,No):239-931-5604 E-MSuite 800 ADDRESS: yaritza.soto@bks-partners.com Tampa FL 33607 INSURER(S)AFFORDING COVERAGE NAIC# License#:L002281 INSURERA:Zenith Insurance Co 13269 INSURED AIRMECH-01 INSURER B:The Continental Insurance Co 35289 Air Mechanical&Service Corp. INSURERC: National Fire Insurance of Har 20478 4311 W Ida St. Tampa FL 33614 wsURERD: CNA Insurance Co 35289 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1969738007 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 MM/DD MM/DD B X COMMERCIAL GENERAL LIABILITY Y Y 7036334667 1/1/2023 1/1/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑ PRO ❑ JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 X OTHER: $ C AUTOMOBILE LIABILITY Y Y 7036363120 1/1/2023 1/1/2024 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B X UMBRELLALIAB X OCCUR 7036371301 1/1/2023 1/1/2024 EACH OCCURRENCE $5,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$1 n nnn $ A WORKERS COMPENSATION Y Z139757801 1/1/2023 1/1/2024 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? FN] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Leased&Rented Equipment 7036363263 1/1/2023 1/1/2024 Limit per occurence $350,000 Limit per item $100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is included as Additional Insured with respect to General Liability and Auto Liability if required by written contract and subject to terms, conditions and exclusions of the policy.A Waiver of Subrogation applies to the general liability,auto liability,&workers compensation policies if required by written contract,and subject to terms, conditions,and exclusions of the policy. I'Sr' ., my 31 2 3 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 '12Vtozi, @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 71/30/2023 E(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT NAME: Yarltza Soto Baldwin Krystyn Sherman Partners LLC PHONE FAx 4211 W Boy Scout Blvd A/C No Ext: 239-931-3021 A/C,No):239-931-5604 E-MSuite 800 ADDRESS: yaritza.soto@bks-partners.com Tampa FL 33607 INSURER(S)AFFORDING COVERAGE NAIC# License#:L002281 INSURERA:Zenith Insurance Co 13269 INSURED AIRMECH-01 INSURER B:The Continental Insurance Co 35289 Air Mechanical&Service Corp. INSURERC: National Fire Insurance of Har 20478 4311 W Ida St. Tampa FL 33614 wsURERD: CNA Insurance Co 35289 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1969738007 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 MM/DD MM/DD B X COMMERCIAL GENERAL LIABILITY Y Y 7036334667 1/1/2023 1/1/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑ PRO ❑ JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 X OTHER: $ C AUTOMOBILE LIABILITY Y Y 7036363120 1/1/2023 1/1/2024 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B X UMBRELLALIAB X OCCUR 7036371301 1/1/2023 1/1/2024 EACH OCCURRENCE $5,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$1 n nnn $ A WORKERS COMPENSATION Y Z139757801 1/1/2023 1/1/2024 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? FN] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Leased&Rented Equipment 7036363263 1/1/2023 1/1/2024 Limit per occurence $350,000 Limit per item $100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is included as Additional Insured with respect to General Liability and Auto Liability if required by written contract and subject to terms, conditions and exclusions of the policy.A Waiver of Subrogation applies to the general liability,auto liability,&workers compensation policies if required by written contract,and subject to terms, conditions,and exclusions of the policy. I'Sr' ., my 31 2 3 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 '12Vtozi, @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 71/30/2023 E(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT NAME: Yarltza Soto Baldwin Krystyn Sherman Partners LLC PHONE FAx 4211 W Boy Scout Blvd A/C No Ext: 239-931-3021 A/C,No):239-931-5604 E-MSuite 800 ADDRESS: yaritza.soto@bks-partners.com Tampa FL 33607 INSURER(S)AFFORDING COVERAGE NAIC# License#:L002281 INSURERA:Zenith Insurance Co 13269 INSURED AIRMECH-01 INSURER B:The Continental Insurance Co 35289 Air Mechanical&Service Corp. INSURERC: National Fire Insurance of Har 20478 4311 W Ida St. Tampa FL 33614 wsURERD: CNA Insurance Co 35289 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1969738007 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 MM/DD MM/DD B X COMMERCIAL GENERAL LIABILITY Y Y 7036334667 1/1/2023 1/1/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑ PRO ❑ JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 X OTHER: $ C AUTOMOBILE LIABILITY Y Y 7036363120 1/1/2023 1/1/2024 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B X UMBRELLALIAB X OCCUR 7036371301 1/1/2023 1/1/2024 EACH OCCURRENCE $5,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$1 n nnn $ A WORKERS COMPENSATION Y Z139757801 1/1/2023 1/1/2024 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? FN] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Leased&Rented Equipment 7036363263 1/1/2023 1/1/2024 Limit per occurence $350,000 Limit per item $100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is included as Additional Insured with respect to General Liability and Auto Liability if required by written contract and subject to terms, conditions and exclusions of the policy.A Waiver of Subrogation applies to the general liability,auto liability,&workers compensation policies if required by written contract,and subject to terms, conditions,and exclusions of the policy. I'Sr' ., my 31 2 3 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 '12Vtozi, @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/17/2021 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). CONTACT PRODUCER Eryn Zak NAME: FAX PHONE Lassiter-Ware Insurance(800) 845-8437(888) 883-8680 (A/C, No): (A/C, No, Ext): E-MAIL 1300 N. Westshore BlvdErynZ@lassiterware.com ADDRESS: Suite 110 INSURER(S) AFFORDING COVERAGENAIC # TampaFL33607The Continental Insurance Company35289 INSURER A : INSURED National Fire Insurance Company of Hartford20478 INSURER B : Air Mechanical & Service Corp.Builders Mutual Insurance Company10844 INSURER C : 4311 W. Ida St.Scottsdale Insurance Company41297 INSURER D : INSURER E : TampaFL33614-7665 INSURER F : 22-23 Master COVERAGESCERTIFICATE NUMBER: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. ADDLSUBR INSRPOLICY EFFPOLICY EXP TYPE OF INSURANCELIMITS POLICY NUMBER LTR(MM/DD/YYYY)(MM/DD/YYYY) INSDWVD COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE$ DAMAGE TO RENTED 100,000 CLAIMS-MADEOCCUR$ PREMISES (Ea occurrence) Contractual Liability15,000 MED EXP (Any one person)$ AXCU IncludedY607939199501/01/202201/01/20231,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ Approved Risk Management PRO- 2,000,000 POLICYLOCPRODUCTS - COMP/OP AGG$ JECT $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY 1,000,000 $ (Ea accident) ANY AUTO 12-22-2021 BODILY INJURY (Per person)$ OWNEDSCHEDULED BY607939201501/01/202201/01/2023 BODILY INJURY (Per accident)$ AUTOS ONLYAUTOS HIREDNON-OWNEDPROPERTY DAMAGE $ (Per accident) AUTOS ONLYAUTOS ONLY PIP - Basic10,000 $ UMBRELLA LIAB 5,000,000 OCCUREACH OCCURRENCE$ A EXCESS LIAB Y607939203201/01/202201/01/20235,000,000 CLAIMS-MADEAGGREGATE$ 10,000 DEDRETENTION$$ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ CN N / A WCP10681360201/01/202201/01/2023 OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ CLAIM LIMIT1,000,000 CONTRACTORS POLLUTION DVRS000563101/01/202201/01/2023GENERAL AGGREGATE2,000,000 CONTRACTORS PROFESSIONAL DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Chillers All supporting endorsement(s) and policy form(s) attached, if any, comprise the Certificate of Liability Insurance in its entirety. Please review these endorsement(s) and policy form(s) as certain coverage provided by them may only apply when a written contract or agreement between the parties requires such coverage be provided. Monroe County Board of County Commissioners, is included as additional insured under the terms and conditions of the General Liability and Auto Liability policies, only when additional insured status is required by written contract. Umbrella Liability extends over the underlying General Liability, Automobile Liability and Employers’ Liability Policies. The attached page(s) noting additional terms, conditions, coverage and/or comments applies CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners 2798 Overseas Highway, AUTHORIZED REPRESENTATIVE Suite 300 MarathonFL33050 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: Pageof ADDITIONAL REMARKS SCHEDULE AGENCYNAMED INSURED Air Mechanical & Service Corp. Lassiter-Ware Insurance POLICY NUMBER CARRIERNAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, 25Certificate of Liability Insurance: Notes FORM NUMBER:FORM TITLE: Air Mechanical & Service Corp. Certificate Notes for Policy Term 1/1/2022 to 1/1/2023 All supporting endorsement(s) and policy form(s) attached, if any, comprise the Certificate of Liability Insurance in its entirety. Please review these endorsement(s) and policy form(s) as certain coverage provided by them may only apply when a written contract or agreement between the parties requires such coverage be provided. General Liability: 1. Blanket Additional Insured applies only when required by written contract including Ongoing Operations and Products & Completed Operations per Form #CNA75079 (10/16). 2. Blanket Waiver of Subrogation applies only when required by written contract per Form #CNA74705 (01/15). 3. Primary & Non-Contributory only when required by written contract per Form #CNA75079 (10/16). 4. General Aggregate Limit Applies Per Project per Form #CNA74705 (01/15). Automobile Liability: 1. Blanket Additional Insured and primary non-contributory wording applies only when required by written contract per Form #CNA63356 (04/12). 2. Blanket Waiver of Subrogation applies only when required by written contract per Form #CNA63359 (04/12). Workers’ Compensation: 1. Blanket Waiver of Subrogation applies only when required by written contract per Form #WC000313. 2. Worker’s Compensation is a statutory coverage mandated by State Law. As such, coverage is primary and non-contributory. Umbrella: 1. General Liability, Automobile and Employers Liability are listed in the underlying schedule on the Umbrella policy. 2. Follow form to the underlying, Additional Insured by written contract, Primary & Non-Contributory wording, and Waiver of Subrogation. General Information: 1. The General Liability policy contains no specific residential exclusions 2. The certificate notes shown above reference the following policies: 6079391995, 6079392015, WCP106813602 and 6079392032 ALL COVERAGE IS SUBJECT TO THE POLICY TERMS, CONDITIONS AND EXCLUSIONS. ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. 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Vt; Xf!xbjwf!boz!sjhiu!pg!sfdpwfsz!xf!nbz!ibwf-!cfdbvtf!pg!qbznfout!xf!nblf!gps!jokvsz!ps!ebnbhf-! bhbjotu!boz!qfstpo!ps!pshboj{bujpo!gps!xipn!ps!xijdi!zpv!bsf!sfrvjsfe!cz!xsjuufo!dpousbdu!ps! bhsffnfou!up!pcubjo!uijt!xbjwfs!gspn!vt/ Uijt!jokvsz!ps!ebnbhf!nvtu!bsjtf!pvu!pg!zpvs!bdujwjujft!voefs!b!dpousbdu!xjui!uibu!qfstpo!ps! pshboj{bujpo/ Zpv!nvtu!bhsff!up!uibu!sfrvjsfnfou!qsjps!up!bo!bddjefou!ps!mptt/ D/Dpodfbmnfou-!Njtsfqsftfoubujpo!ps!Gsbve Uif!gpmmpxjoh!jt!beefe!up!Tfdujpo!JW-!Qbsbhsbqi!C/3/; Zpvs!gbjmvsf!up!ejtdmptf!bmm!ib{bset!fyjtujoh!po!uif!ebuf!pg!jodfqujpo!pg!uijt!Dpwfsbhf!Gpsn!tibmm!opu! qsfkvejdf!zpv!xjui!sftqfdu!up!uif!dpwfsbhf!bggpsefe!qspwjefe!tvdi!gbjmvsf!ps!pnjttjpo!jt!opu!joufoujpobm/ E/Puifs!Jotvsbodf Uif!gpmmpxjoh!jt!beefe!up!Tfdujpo!JW-!Qbsbhsbqi!C/6/; Sfhbsemftt!pg!uif!qspwjtjpot!pg!Qbsbhsbqit!6/b/!boe!6/e/!bcpwf-!uif!dpwfsbhf!qspwjefe!cz!uijt!qpmjdz! tibmm!cf!po!b!qsjnbsz!opo.dpousjcvupsz!cbtjt/!Uijt!qspwjtjpo!jt!bqqmjdbcmf!pomz!xifo!sfrvjsfe!cz!b! xsjuufo!dpousbdu/ Uibu!xsjuufo!dpousbdu!nvtu!ibwf!cffo!foufsfe!joup!qsjps!up!Bddjefou!ps!Mptt/ F/Qpmjdz!Qfsjpe-!Dpwfsbhf!Ufssjupsz Tfdujpo!JW-!Qbsbhsbqi!C/!8/)6*/)b*/!jt!sfwjtfe!up!qspwjef; b/56!ebzt!pg!dpwfsbhf!jo!mjfv!pg!41!ebzt/ W/EFGJOJUJPOT Tfdujpo!W/!qbsbhsbqi!D/!jt!efmfufe!boe!sfqmbdfe!cz!uif!gpmmpxjoh; Cpejmz!jokvsz!nfbot!cpejmz!jokvsz-!tjdloftt!ps!ejtfbtf!tvtubjofe!cz!b!qfstpo-!jodmvejoh!nfoubm!bohvjti-! nfoubm!jokvsz!ps!efbui!sftvmujoh!gspn!boz!pg!uiftf/! Gpsn!Op;!DOB7446:YY!)15.3123*Qpmjdz!Op;!CVB!718:9::155 Foepstfnfou!Fggfdujwf!Ebuf;!Foepstfnfou!Fyqjsbujpo!Ebuf;!Qpmjdz!Fggfdujwf!Ebuf;!1201203131 Qpmjdz!Qbhf;!88!pg!246 Foepstfnfou!Op;!21<!Qbhf;!5!pg!5 Voefsxsjujoh!Dpnqboz;!!Uif!Dpoujofoubm!Jotvsbodf!Dpnqboz-!262!O!Gsbolmjo!Tu-!Dijdbhp-!JM!71717 ª!Dpqzsjhiu!DOB!Bmm!Sjhiut!Sftfswfe/!Jodmveft!dpqzsjhiufe!nbufsjbm!pg!uif! Jotvsbodf!Tfswjdft!Pggjdf-!Jod/-!vtfe!xjui!jut!qfsnjttjpo/ DATE(MMtDDIYYYY) AC40Rv CERTIFICATE OF LIABILITY INSURANCE 1212Ht2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MOLDER,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 CONT: Eryn Zak Lassiter-Ware Insurance of Tampa Say PworlE (800)845.8437 FAX (888)883-8680 A3C No.E:t: A C No): 1300 N,Westshore'}Blvd E-MAIL Er r12 Iasgiterware,com ADDRESS: Y Suite 110 INSURER(S)AFFORDING COVERAGE NAIL p Tampa FL 33607 INSURERA: Valley Forge Insurance Company 20608 .................. INSURED INSURER B National Fire Insurance Company of Hartford 20478 Air Mechanical A Service Corp. INSURER C. Continental Insurance Company 35289 2700 Ave of the Americas INSURER D. Builders Mutual Insurance Company 10,844 ........ ..._MMM. INSURER E Scottsdale insurance Company 41297 Englewood FL 34244 INSURER F: COVERAGES CERTIFICATE NUMBER: 21/22 Master REVISION NUMBER: THIS IS T J CERTIf Y THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO T) INSURED NAMED ABOVE FORTHE 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 SUBJEC"f TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TN-SR A POLICY Err POLICY EXP LTR TYPE OF INSURANCEgq 1114 ,Y ----------------- NUMBER aaaaaaaaaaaaaaa.a(#elMJC1Cl/YYYY� jMtwt/DC7rY'Yvy�._. _aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaLIMIT5q gggqqqqqqqq x COMMERCIAL GENERAL LIABILITYp EACH OCCURRENCE OCCUR $$ 1,000,000 CLAIP,.IS-MaaCSE I . 100,000 PId Mh3 ; �txrnerr�ai;e X CONTRACTUAL LIABILITY HIED EXP(hnJ on.Dersoo) $ 15.000 A x XCU INCLUDED Y 6079391995 01,101/2021 01/01/2022 PERSONAL&ADV INJURY $ 1,000.000 GEN'L ACOkEGATE UM11 APPLIES PER AppRk�Ma�na ement with Attachrrents GENERAL AGGREGATE $ 2,000,000 �P2Gw 2,000,000+CkICV PRODUCIS,rcnlPrGP ArID $ O`tHER $ AUTOMOBILE LIABILITY 4-27-2021 e'OP`tR`NED Slm]U,�E LINT $ 1,Q00,000 Ea as NED X ANY AUTO BODILY INJURY fl`er m4m.nl $ B OWNED SCHEDULED Y 60793920/5 01/01/2021 01/0112022 BOI)It.Y IN.tUkY fPoreucrid,,ntl $ AUTOS ONLY AUTOS HIRED NON OWNED PROPERTY DAMAGE All l OS ONLY AUTOS ON[ Lp�r�r ti t d S! ...... �, ......... ................. PIP-BASIC 10,000 X UMSPE.LLA LIAR � C»C:4.PY2 ElaC;li C"sC'CU4ZHEt�ICE.. $ 2,000,000 C REXCESS LIAB CLAIMS MADE 6079392032 01/01/2021 01/01/2022 AGGREGATE $ 2,000,000 DED I X1 RETENNOR$ 1"OQ $ WORKERS COMPENSATION X1 PER PTA JTL O 3H AND EMPLOYERS'LIABILITY Y/N b nANYl=tzc�PRr Er(,),PI;yARINFR�,EXEEun EI EACH LrEN1'VE 1,000,000 D OFFICERWEPABEREXCLUDED" � N/A WCP106813601 01/01/2021 01,O112022 (NMndatnry in NH) E L DISEASE PA EMPLOYEE $ 1,000,000 tf,Ns dvsr,,flbeunder 1,Q0C),OOC) DESCRIPT ION OF OPERb'SrIONS below E L DISEASE POLICY LIMIT CONTRACTORS POLLUTION CLAIM LIMIT $1,000,000 E CONTRACTORS PROFESSIONAL VRS0004934 01/01/2021 01/0112022 GENERAL AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD iOl,Additional Remarks Schadute,.may be attached it m(re space 1s required) Monroe COUnty BOCC Is Included as additional insured under the terms and conditions of the General Liability and Auto Liability policies,only when additional insured status is required by written contract,The attached page noting additional terms,conditions,and comments applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS, PCB Box 10085-FX AUTHORIZED REPRESENTATIVE Duluth CA 30096 �I CO 19W2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: HOC#: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Lassiter-Ware Insurance of Tarnpa Bay Air Mechanical&Service Corp. POLICY NUMBER CARRIER NAIL CE7DE EFFECIIVf DATE:..... ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability insurance:Notes Air Mechanical&Service Corp, Certificate Notes for Policy'rerm Ill 12021 to 1/1 i2022 General Liability: 1,Blanket Addittonal Insured applies only when required by written contract inClUding Ongoing Operations and Products&Completed Operations per Form #CNA75079(10/16). 2,Blanket Waiver of Subrogation applies only when required by written contract per Form#CNA74705(01/15) 3,Primary&Non-Contributory only when required by written contract per Form#CNA75079(10116) 4.General Aggregate Limit Applies Per Project per Form#CNA74705(01/15). Automobile Liability 1,Blanket Additional Insured and primary non-contributory wording applies only when required by written contract per Form#CNA63356(04,112) 2 Blanket Waiver of Subrogation applies only when required by written contract per Form#CNA63359(04/12), Workers Compensation: 1.Blanket Waiver of Subrogation applies only when required by written contract per Form#WC000313 2.Worker's Compensation is a statutory coverage mandated by State Law. As such,coverage is primary and non-contributory. Umbrella: 1.General Liability,Automobile and Employers Liability are listed in the underlying schedule on the Umbrella policy. 2.Follow form to the underlying.Additional Insured by written contract,Primary&Non-Contributory wording,and Waiver of Subrogation. General Information: 1.The General Liability policy contains no specific residential exclusions 2.The certificate notes shown above reference the following poficios: 6079391995,6079392015,WCP10668113601 and 6079392032 ALL COVERAGE IS SUBJECT f0 THE POLICY TERMS,CONDITIONS AND EXCLUSIONS ACORD 101 (2008101) Q 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD From: MellissaS6Wlassiterware.com To: monroecountyfl nioitroecotiiityflr,4,),Ebix.coni CC: Subject: FW: Monroe County Florida Certificate of Insurance Req Date: 12/28/2020 5:56:33 AM Attachment(s): Good morning, Please see the attached insurance certificate & corresponding endorsements. Thanks, Sincerely, Melissa Milyo Smith I Assistant Business Account Manager 1: 800.845.8437 ext 508 1 Fax:888,883,8680 My Office Hours are M-F,7:30 am—4:00 pm EST I Your satisfaction is our#1 goal! Click to let us know how we're doing From: Eryn Zak<erynz@lassiterware.com> Sent:Wednesday, December 23, 2020 3:27 PM To: Melissa Smith <MelissaS@Iassiterware,com> Subject: FW: Monroe County Florida Certificate of Insurance Req From:Customer Service<monroecountyfI@ebix.com> Sent:Wednesday, December 23, 2020 3:25 PM To: Eryn Zak<e,ry,nz@I,a,ss,iterware.com> Subject: Monroe County Florida Certificate of Insurance Reel The attached notice is being sent to you on behalf of Monroe County Florida by Fbix RCS. Monroe County Florida has engaged with Fbix to manage insurance compliance verification on its behalf. You rnust be properly insured while doing business with Monroe County Florida and comply with insurance requirements. As of the date of this notice we have not received proper evidence of insurance coverage. Please review the attached notice as it includes the information needed for compliance and where to send your Certificate of Insurance. Vendor Instructions:The attached notice is being sent to you and your agent, if we have their email address on file. Agent Instructions: Please review the attached notice as it includes the information needed for compliance. Please send your Certificate of insurance via email to monroecountyfl@ebix.com; if you have any questions, please contact Ebix by calling(951) 925-1213; thank you for your prompt attention to this matter, C BllX Ebix,lnc. I One Ebix way I Johns Creek, GA 30097 1 Web- This e-mail, including attachments, may include confidential and/or proprietary information, and may be used only by the person or entity to which it is addressed, If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-rnail is prohibited, If you have received this e- mail in error, please notify the sender by replying to this message and delete this e-mail immediately, Policy Number: 6079391995 Effective: 1/1/2021 Form No: CNA74705 (1-15) ................... CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows. If any other endorsement attached to this policy amends any provision also amended by this endorsement, then that other endorsement controls with respect to such provision, and the changes made by this endorsement with respect to such provision do not apply. TABLE OF CONTENTS 1. Additional Insureds 2. Additional Insured - Primary And Non-Contributory To Additional Insured's Insurance 3. Bodily Injury—Expanded Definition 4. Broad Knowledge of Occurrence/ Notice of Occurrence 5. Broad Named Insured 6. Broadened Liability Coverage For Damage To Your Product And Your Work 7. Contractual Liability-Railroads 8. Electronic Data Liability 9. Estates, Legal Representatives and Spouses 10. Expected Or Intended Injury—Exception for Reasonable Force 11. General Aggregate Limits of Insurance—Per Project 112. In Rem Actions 13. Incidental Health Care Malpractice Coverage 14. Joint Ventures/Partnership/Limited Liability Companies 15. Legal Liability — Damage To Premises Alienated Premises Property In The Named Insured's Care, Custody or Control 16. Liquor Liability 17. Medical Payments 18. Non-owned Aircraft Coverage 119. Non-owned Watercraft 20. Personal And Advertising Injury—Discrimination or Humiliation 21. Personal And Advertising Injury-Contractual Liability 22. Property Damage- Elevators 23. Supplementary Payments 24. Unintentional Failure To Disclose Hazards 25. Waiver of Subrogation—Blanket ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 26. Wrap-Up Extension: OCIP CLIP, or Consolidated (Wrap-Up) Insurance Programs Copyrighl CNA Ali Rights Reserved CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement 1. ADDITIONAL INSUREDS a. WHO IS AN INSURED is amended to include as an Insured any person or organization described in paragraphs A. through H. below whom a Named Insured is required to add as an additional insured on this Overage Part under a written contract or written agreement, provided such contract or agreement: (1) is currently in effect or becomes effective during the term of this Coverage Part; and (2) was executed prior to: (a) the bodily injury or property damage; or (b) the offense that caused the personal and advertising injury, for which such additional insured seeks coverage. b. However, subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: (1) a higher limit of insurance than required by such contract or agreement; or (2) coverage broader than required by such contract or agreement, and in no event broader than that described by the applicable paragraph A. through H. below. Any coverage granted by this endorsement shall apply only to the extent permissible by law. A. Controlling Interest Any person or organization with a controlling interest in a Named Insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury arising out of: 1. such person or organization's financial control of a Named Insured:or 2. premises such person or organization owns, maintains or controls while a Named Insured leases or occupies such premises; provided that the coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by,on behalf of, or for such additional insured. B. Co-owner of Insured Premises A co-owner of a premises co-owned by a Named Insured and covered under this insurance but only with respect to such co-owner's liability for bodily injury, property damage or personal and advertising injury as co-owner of such premises. C. Lessor of Equipment Any person or organization from whom a Named Insured leases equipment„ but only with respect to liability for bodily injury, property damage or personal and advertising injury caused, in whole or in part, by the Named Insured"s maintenance, operation or use of such equipment, provided that the occurrence giving rise to such bodily injury„ property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease. D. Lessor of Land Any person or organization from whom a Named Insured leases land but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such land, provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease. The Cuttyrighl CNA All Rights Roserved Includes a0pynghted material euf Iris,ur r,cse Services Office,Cats..,wrth its porrnissartn, Contractors' General Liability Extension Endorsement coverage granted by this paragraph does not apply to structural aUeraduns, new construction or demolition operations performed by, on behalf of, ur for such additional insured, E. Lessor#fPremises An owner or lessor of premises leased to the Named Insured, or such owner or lessors real estate manager, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the m*nen;hip, maintenance or use of such part of the premises leased to the Named Insured, and provided that the occurrence giving rise to such bodily injury or property damage, or the offense giving rise to such personal and advertising |njury, takes place prior to the termination of such lease. The coverage granted by this paragraph does not apply to structural e|terationa, new construction or demolition operations performed by, on behalf of, or for such additional insured. F. Mortgagee, Assignee orReceiver A modgegee, assignee or receiver ofpremises but only with respect to such mudgageV, assignee or receiver's liability for bodily |n|ury, property damage or personal and advertising injury arising out of the Named }nsured's ownership, maintenance, or use ofm premises byo Named Insured. The coverage granted by this paragraph does not apply tostructural o|te/aUona, new construction or demolition operations performed by, on behalf of, or for such additional insured. G. State or Governmental Agency or Subdivision orPolitical Subd|v|simns—Permnits A state or governmental agency or subdivision or political subdivision that has issued a permit or authorization but only with respect to such state or governmental agency o/subdivision or political subdivision's liability for bodily injury, property damage or personal and advertising injury arising out of: 1. the following hazards in connection with premises Named Insured owns, ranbo, or controls and to which this insurance applies: a. the existence, mointenanoa, repa|r, cona(rud8on, erection, or removal o/ advertising aigna, awn|ngs, canopies, cellar entrances, coal ho/eo, drivmwayo, manholes, marqoeem. Moietav*ayopeningo. sidewalk vaults, street banners, or decorations and similar exposures; or b. the construction, erection, ur removal o[elevators; or c. the ownership, maintenance or use of any elevators covered by this insurance; or 2. the permitted or authorized operations performed by a Named Insured or on a Named Insured's behalf, The coverage granted hy this paragraph does not apply to: � a. Bodily injury, property damage or personal and advertising injury arising out of operations performed for the state or governmental agency or subdivision or political subdivision; or b. Bodily injury or property damage included within the prod ucts-corn pleted operations hazard, With respect tothis provieion'o requirement that additional insured status must be requested under a written contract or agreement, the Insurer will treat as a written contract any governmental permit that requires the Named Insured tu add the governmental entity as an additional insured. H. Trade Show Event Lessor 1. With respect hma Named |mmuned'm participation in trade show event as an exhibitor, presenter mrdisplayer, --- any person or organization whom the Named Insured im required tuinclude aman additional insured, but only with respect to such person ororganizadmn's liability for bodily (n|ory, property damage or personal and advertising injury caused by� copy*omcmA Ali Rights Reserved /nm�m��p ^mmmo��w��/nmv,m^umsmmu�mVmum mn �*/*w�m�mmvn CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement a. the Named Insured's acts or omissions; or b. the acts or omissions of these acting on the Named Insured's behalf, in the performance of the Named Insured's ongoing operations at the trade show event premises during the trade show event. 2.. The coverage granted by this paragraph does not apply to bodily injury or property damage included within the products-completed operations hazard. 2. ADDITIONAL INSURED. PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSUREDS INSURANCE The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended to add the following paragraph: if the Named Insured has agreed in writing in a contract or agreement that this insurance is primary and non- contributory relative to an additional insureds own insurance, then this insurance is primary, and the Insurer will not seek contribution from that other insurance. For the purpose of this Provision 2., the additional insureds own insurance means insurance on which the additional insured is a named insured. Otherwise, and notwithstanding anything to the contrary elsewhere in this Condition, the insurance provided to such person or organization is excess of any other insurance available to such person or organization. 3. BODILY INJURY—EXPANDED DEFINITION Under DEFINITIONS, the definition of bodily injury is deleted and replaced by the following: Bodily injury means physical injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury sustained by that person at any time which results as a consequence of the physical injury, sickness or disease. 4. BROAD KNOWLEDGE OF OCCURRENCE/ NOTICE OF OCCURRENCE Under CONDITIONS, the condition entitled Duties in The Event of Occurrence, Offense, Claim or Suit is amended to add the following provisions: A. BROAD KNOWLEDGE OF OCCURRENCE The Named Insured must give the Insurer or the Insurer's authorized representative notice of an occurrence, offense or claim only when the occurrence, offense or claim is known to a natural person Named Insured, to a partner, executive officer, manager or member of a Named Insured, or an employee designated by any of the above to give such notice. B. NOTICE OF OCCURRENCE The Named Insured's rights under this Coverage Part will not be prejudiced if the Named Insured fails to give the Insurer notice of an occurrence, offense or claim and that failure is solely due to the Named Insured's reasonable belief that the bodily injury or property damage is not covered under this Coverage Part. However, the Named Insured shall give written notice of such occurrence, offense or claim to the Insurer as soon as the Named Insured is aware that this insurance may apply to such occurrence,offense or claim. 5. BROAD NAMED INSURED WHO IS AN INSURED is amended to delete its Paragraph 3. in its entirety and replace it with the following: 3. Pursuant to the limitations described in Paragraph 4. below, any organization in which a Named Insured has management control: a. on the effective date of this Coverage Part; or Cuttyrighl CNA All Rights Roserved Includes c0pyr ghted material eur Iris,ur r,cse Services Office,rats..,wrth its porrnissartn, CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement b. by reason of a Named Insured creating or acquiring the organization during the policy period, qualifies as a Named Insured, provided that there is no other similar liability insurance, whether primary, contributory, excess, contingent or otherwise, which provides coverage to such organization, or which would have provided coverage but for the exhaustion of its limit, and without regard to whether its coverage is broader or narrower than that provided by this insurance. But this BROAD NAMED INSURED provision does not apply to: (a) any partnership, limited liability company or joint venture: or (b) any organization for which coverage is excluded by another endorsement attached to this Coverage Part, For the purpose of this provision, management control means: A. owning interests representing more than 50% of the voting, appointment or designation power for the selection of a majority of the Board of Directors of a corporation; or B. having the right, pursuant to a written trust agreement, to protect, control the use of, encumber or transfer or sell property held by a trust. 4. With respect to organizations which qualify as Named Insureds by virtue of Paragraph 3. above, this insurance does not apply to: a. bodily injury or property damage that first occurred prior to the date of management control, or that first occurs after management control ceases: nor b. personal or advertising injury caused by an offense that first occurred prior to the date of management control or that first occurs after management control ceases. 5. The insurance provided by this Coverage Part applies to Named Insureds when trading under their own names or under such other trading names or doing-business-as names (dba) as any Named Insured should choose to employ. 6. BROADENED LIABILITY COVERAGE FOR DAMAGE TO YOUR PRODUCT AND YOUR WORK A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusions k.and 1. and replace them with the following: This insurance does not apply to: k. Damage to Your Product Property damage to your product arising out of it, or any part of it except when caused by or resulting from: (1) fire; (2) smoke; (3) collapse; or (4) explosion. 1. Damage to Your Work Property damage to your work arising out of it, or any part of it and included in the products-completed operations hazard. This exclusion does not apply: (1) If the damaged work, or the work out of which the damage arises, was performed on the Named Insured's behalf by a subcontractor; or Copyrighl CNA Ali Rights Reserved CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement (2) If the cause of loss to the damaged work arises as a result of: (a) fire; (b) smoke; (c) collapse; or (d) explosion. B. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, $100,000 is the most the Insurer will pay under Coverage A for the sum of damages arising out of any one occurrence because of property damage to your product and your work that is caused by fire, smoke, collapsed or explosion and is included within the product-completed operations hazard. This sublimit does not apply to property damage to your work if the damaged work, or the work out of which the damage arises, was performed on the Named Insured's behalf by a subcontractor. C. This Broadened Liability Coverage For Damage To Your Product And Your Work Provision does not apply if an endorsement of the same name is attached to this policy. 7. CONTRACTUAL LIABILITY—RAILROADS With respect to operations performed within 50 feet of railroad property, the definition of insured contract is replaced by the following: Insured Contract means: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire to premises while rented to a Named Insured or temporarily occupied by a Named Insured with permission of the owner is not an insured contract; b. A sidetrack agreement; c. Any easement or license agreement; d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to the Named Insured's business (including an indemnification of a municipality in connection with work performed for a municipality) under which the Named Insured assumes the tort liability of another party to pay for bodily injury or property damage to a third person or organization. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f.does not include that part of any contract or agreement: (1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage;. (2) Under which the Insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (1) above and supervisory, inspection, architectural or engineering activities. 8. ELECTRONIC DATA LIABILITY Curtyrighl CNA All Rights Reserved Includes a0pynghted material euf Irts,ur r,cse Services Office,Cats..,wrth its porrnissartn, CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusion p. Electronic Data and replace it with the following: This insurance does riot apply to: p. Access Or Disclosure Of Confidential Or Personal Information And Data-related Liability Damages arising out of: (1) any access to or disclosure of any person's or organization's confidential or personal information, including patents, trade secrets, processing methods, customer lists, financial information, credit card information, health information or any other type of nonpublic information; or (2) the loss of, loss Of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data that does not result from physical injury to tangible property. However, unless Paragraph (1) above applies, this exclusion does not apply to damages because of bodily injury. This exclusion applies even if damages are claimed for notification costs, credit monitoring expenses, forensic expenses, public relation expenses or any other loss, cost or expense incurred by the Named Insured or others arising out of that which is described in Paragraph (1)or(2) above. B. The following paragraph is added to LIMITS OF INSURANCE: Subject to 5. above, $100,000 is the most the Insurer will pay under Coverage A for all damages arising out of any one occurrence because of property damage that results from physical injury to tangible property and arises out of electronic data. C. The following definition is added to DEFINITIONS: Electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software (including systems and applications software), hard or floppy disks, CD-ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. D. For the purpose of the coverage provided by this ELECTRONIC DATA LIABILITY Provision, the definition of property damage in DEFINITIONS is replaced by the following: Property damage means: a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it; b. Loss of use of tangible property that is riot physically injured. All such loss of use shall be deemed to occur at the time of the occurrence that caused it; or c. Loss of, loss of use of, damage to, corruption of, inability to access, or inability to properly manipulate electronic data, resulting from physical injury to tangible property. All such loss of electronic data shall be deemed to occur at the time of the occurrence that caused it, ERE For the purposes of this insurance, electronic data is not tangible property. E. If Electronic Data Liability is provided at a higher limit by another endorsement attached to this policy, then the $100,000 limit provided by this ELECTRONIC DATA LIABILITY Provision is part of, and not in addition to, that higher limit, 9. ESTATES, LEGAL REPRESENTATIVES, AND SPOUSES The estates, heirs, legal representatives and spouses of any natural person Insured shall also be insured under this policy; provided, however, coverage is afforded to such estates, heirs, legal representatives, and spouses only for Copyrighl CNA Ali Rights Reserved CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement claims arising solely out of their capacity or status as such and, in the case of a spouse, where such claim seeks damages from marital community property, jointly held property or property transferred from such natural person Insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal representative, or spouse outside the scope of such person's capacity or status as such, provided however that the spouse of a natural person Named Insured and the spouses of members or partners of joint venture or partnership Named Insureds are Insureds with respect to such spouses" acts, errors or omissions in the conduct of the Named Insured"s business. 10. EXPECTED OR INTENDED INJURY—EXCEPTION FOR REASONABLE FORCE Under COVERAGES, Coverage A -- Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Expected or Intended Injury and replace it with the following: This insurance does not apply to: Expected or Intended Injury Bodily injury or property damage expected or intended frorn the standpoint of the Insured. This exclusion does not apply to bodily injury or property damage resulting from the use of reasonable force to protect persons or property. 11. GENERAL AGGREGATE LIMITS OF INSURANCE- PER PROJECT A. For each construction project away from premises the Named Insured owns or rents, a separate Construction Project General Aggregate Limit, equal to the amount of the General Aggregate Limit shown in the Declarations, is the most the Insurer will pay for the sum of: 1. All damages under Coverage A, except damages because of bodily injury or property damage included in the products-completed operations hazard; and 2. All medical expenses under Coverage C, that arise from occurrences or accidents which can be attributed solely to ongoing operations at that construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations, nor the Construction Project General Aggregate Limit of any other construction project, B. All: 1. Damages under Coverage B, regardless of the number of locations or construction projects involved; 2. Damages under Coverage A, caused by occurrences which cannot be attributed solely to ongoing operations at a single construction project, except damages because of bodily injury or property damage included in the products-completed operations hazard; and 3. Medical expenses under Coverage C caused by accidents which cannot be attributed solely to ongoing operations at a single construction project, will reduce the General Aggregate Limit shown in the Declarations. C. The limits shown in the Declarations for Each Occurrence, for Damage To Premises Rented To You and for Medical Expense continue to apply, but will be subject to either the Construction Project General Aggregate Limit or the General Aggregate Limit shown in the Declarations, depending on whether the occurrence can be attributed solely to ongoing operations at a particular construction project. D. When coverage for liability arising out of the products-completed operations hazard is provided, any payments for damages because of bodily injury or property damage included in the products-completed operations hazard will reduce the Products-Completed Operations Aggregate Limit shown in the Declarations, regardless of the number of projects involved. Cuttyrighl CNA All Rights Roserved Includes a0pynghted material euf Iris,ur r,cse Services Office,Cats..,wrth its porrnissartn, Contractors' General Liability Extension Endorsement E. If single construction project away from premises owned by or rented to the Insured has been abandoned and then restarted, orif the authorized contracting parties deviate from plans, tduepdnks, designa, specifications or timetables, the project will still be deemed tobethe same construction project. F. The provisions oy LIMITS (]F INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. 12. |N REM ACTIONS A quasi in rem action against any vessel owned or operated by or for the Named |nsure6, or chartered by or for the Named Insured, will be treated in the same manner as though the action were in personam against the Named Insured, 13. INCIDENTAL HEALTH CARE MALPRACTICE COVERAGE Solely with respect to hmd||y injury that arises out ofa health nmmn incident: A. Under COVERAGES, Coverage A — Bodily Injury and PmmpwMm Damage L|ab||ity, the paragraph entitled Insuring Agreement ie amended tmreplace Paragraphs 1.b.(1) and 1.b.(2)with the following: b. This insurance applies to bodily injury provided that the professional health care services are incidental to the Named |nsunmd^s primary business purpose, and only if: (1) such bodily injury is caused by an occurrence that takes place in the coverage territory. (2) the bodily injury first occurs during the policy period. All bodily injury arising from an occurrence will be deemed to have occurred at the time of the first act, enor, or omission that is part of the occurrenm and B. Under COVERAGES. Coverage /4 — Bodily Injury and Property Damage L|mb||ity, the paragraph entitled Exclusions is amended to: L add the following hothe Employers Liability exclusion: This exclusion applies only if the bodily injury arising from a health care incident is covered by other liability insurance available to the Insured (or which would have been available but for exhaustion of its Unnba). i|. delete the exclusion entitled Contractual Liability and replace it with the following: This insurance does not apply to: Contractual Liability � the |nmured"s actual or alleged liability under any oral or written contract or agreement, including but not limited to express warranties orguarantees. Hi add the following additional exclusions: This insurance does not apply to: Discrimination any actual or alleged discrimination, humiliation or harassment, including but not limited to claims based on an individua|'s naca, creed, co|or, age, gmnder, national ohQin, religion, disability, marital status or sexual --- orientation, Dishonesty orCrime Any actual or alleged dishonest, criminal or malicious act, error or omission. Medicare/Medicaid Fraud copy*omcmA Ali Rights Reserved /nm�m��p ^mmmo��w��/nmv,m^umsmmu�mVmum mn �*/*w�m�mmvn CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement any actual or alleged violation of law with respect to Medicare, Medicaid, Tricare or any similar federal, state or local governmental program. Services Excluded by Endorsement Any health care incident for which coverage is excluded by endorsement. C. DEFINITIONS is amended to: I. add the following definitions: Wealth care incident means an act, error or omission by the Named Insured's employees or volunteer workers in the rendering of: a. professional health care services on behalf of the Named Insured or b. Good Samaritan services rendered in an emergency and for which no payment is demanded or received. Professional health care services means any health care services or the related furnishing of food, beverages, medical supplies or appliances by the following providers in their capacity as such but solely to the extent they are duly licensed as required: a. Physician; b. Nurse; c. Nurse practitioner; d. Emergency medical technician; e. Paramedic; f. Dentist; g. Physical therapist; h. Psychologist; I. Speech therapist; j. Other allied health professional; or Professional health care services does not include any services rendered in connection with human clinical trials or product testing. it. delete the definition of occurrence and replace it with the following: Occurrence means a health care incident. All acts, errors or omissions that are logically connected by any common fact, circumstance, situation, transaction, event, advice or decision will be considered to constitute a single occurrence; iii. amend the definition of Insured to: a. add the following: the Named Insured's employees are Insureds with respect to: (1) bodily injury to a co-employee while in the course of the co-employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; and Cuttyrighl CNA All Rights Reserved Includes a0pynghted material euf Iris,ur r,cse Services Office,Cats..,wrth its porrnissartn, CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement (2) bodily injury to a volunteer worker while performing duties related to the conduct of the Named Insured's business; when such bodily injury arises out of a health care incident. the Named Insured's volunteer workers are Insureds with respect to: (1) bodily injury to a co-volunteer worker while performing duties related to the conduct of the Named Insured's business; and (2) bodily injury to an employee while in the course of the employee's employment by the Named Insured or while performing duties related to the conduct of the Named Insured's business; when such bodily injury arises out of a health care incident. b. delete Subparagraphs (a), (b), (c)and (d)of Paragraph 2.a.(1)of WHO IS AN INSURED, D. The Other Insurance condition is amended to delete Paragraph b.(1) in its entirety and replace it with the following: Other Insurance b. Excess Insurance (1) To the extent this insurance applies, it is excess over any other insurance, self insurance or risk transfer instrument, whether primary, excess, contingent or on any other basis, except for insurance purchased specifically by the Named Insured to be excess of this coverage. 14. JOINT VENTURES/ PARTNERSHIP/ LIMITED LIABILITY COMPANIES WHO IS AN INSURED is amended to delete its last paragraph and replace it with the following: No person or organization is an Insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations, except that if the Named Insured was a joint venturer, partner, or member of a limited liability company and such joint venture, partnership or limited liability company terminated prior to or during the policy period, such Named Insured is an Insured with respect to its interest in such joint venture, partnership or limited liability company but only to the extent that: a. any offense giving rise to personal and advertising injury occurred prior to such termination date, and the personal and advertising injury arising out of such offense first occurred after such termination date; b. the bodily injury or property damage first occurred after such termination date; and c. there is no other valid and collectible insurance purchased specifically to insure the partnership, joint venture or CJ limited liability company; and If the joint venture, partnership or limited liability company is or was insured under a consolidated (wrap-up) insurance program, then such insurance will always be considered valid and collectible for the purpose of paragraph c. above. But this provision will not serve to exclude bodily injury, property damage or personal and advertising injury that would otherwise be covered under the Contractors General Liability Extension Endorsement provision entitled WRAP-UP EXTENSION: OCIP, CLIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS. Please see that provision for the definition of consolidated (wrap-up) insurance program. 15. LEGAL LIABILITY — DAMAGE TO PREMISES / ALIENATED PREMISES / PROPERTY IN THE NAMED INSURED'S CARE, CUSTODY OR CONTROL MM A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete exclusion J. Damage to Property in its entirety and replace it with the following: This insurance does not apply to: Copyrighl CNA Ali Rights Reserved CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement J. Damage to Property Property damage to: (1) Property the Named Insured owns, rents, or occupies, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; (2) Premises the Named Insured sells, gives away or abandons, if the property damage arises out of any part of those premises; (3) Property loaned to the Named Insured; (4) Personal property in the care, custody or control of the Insured; (5) That particular part of real property on which the Named Insured or any contractors or subcontractors working directly or indirectly on the Named Insured's behalf are performing operations, if the property damage arises out of those operations; or (6) That particular part of any property that must be restored, repaired or replaced because your work was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to property damage (other than damage by fire) to premises rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner, nor to the contents of premises rented to the Named Insured for a period of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented 'to You as described in LIMITS OF INSURANCE. Paragraph (2)of this exclusion does not apply if the premises are your work. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph (6) of this exclusion does not apply to property damage included in the products completed operations hazard. Paragraphs (3)and (4)of this exclusion do not apply to property damage to: L tools, or equipment the Named Insured borrows from others, nor ii. other personal property of others in the Named Insured's care, custody or control while being used in the Named Insured's operations away from any Named Insured's premises. However, the coverage granted by this exception to Paragraphs(3) and (4)does not apply to: a. property at a job site awaiting or during such property's installation, fabrication, or erection; b. property that is mobile equipment leased by an Insured; c. property that is an auto, aircraft or watercraft; d. property in transit; or e. any portion of property damage for which the Insured has available other valid and collectible insurance, or would have such insurance but for exhaustion of its limits, or but for application of one of its exclusions. A separate limit of insurance and deductible apply to such property of others. See LIMITS OF INSURANCE as amended below. Cuttyrighl CNA All Rights Reserved Includes a0pynghted material euf Iris,ur r,cse Services Office,Cats..,wrth its porrnissartn, Contractors' General Liability Extension Endorsement B. Under COVERAGES, Coverage A — Bodily |njury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete its last paragraph and replace h with the following: Exclusions c. through n. do not apply to damage by finm to premises while nmnbyd to e Named Insured or temporarily occupied by Named Insured with permission of the owner, nor to damage to the contents of premises rented toa Named Insured for a period of7or fewer consecutive days. A separate limit of insurance applies to this coverage as described in LIMITS OF INSURANCE. C. The following paragraph |s added to LIMITS 0F INSURANCE: Subject to 5. above, $25,000 is the most the Insurer will pay under Coverage A for damages arising out ofany one occurrence because of the sum of all property dmrnmBm to borrowed tools or equipment, and to other personal property o( others in the Named |msunmoys oave, custody or control, while being used in the Named |nsured's operations away from any Named insured`s premises. The Insurer's obligation ho pay such property damage does not apply until the amount of such property damage exceeds $1,000. The Insurer has the right but not the duty to pay any portion of this $1.000 in order to effect settlement. If the Insurer exercises that night, the Named Insured will promptly reimburse the Insurer for any such amount. D. Paragraph 6.. Damage To Premises Rented To You Limit, o/LIMITS OF INSURANCE |s deleted and replaced by the following: $. Subject to Paragraph 5. above. (the Each Occurrence Limh), the Damage To Premises Rented ToYou Limit is the most the Insurer will pay under Coverage Afor damages because of property damage to any one premises while rented to the Named Insured or temporarily occupied by the Named Insured with the permission of the owner. including contents of such premises rented to the Named Insured for a period of 7 or fewer consecutive days. The Damage To Premises Rented To You Limit is the greater of: a. $500.0Wor b. The Damage To Premises Rented To You Limit shown in the Declarations. E. Paragraph 4.b.U\(a)(ii)of the Other Insurance Condition is deleted and replaced by the following: (||) That }s property insurance for premises rented to the Named Insured, for premises temporarily occupied by the Named Insured with the permission of the owner; or for personal property of others in the Named Insured's oone. custody nrcontrol; 1$. LIQUOR LIABILITY Under COVERAGES, Coverage /4 — Bodily Injury and Property Damage Liahf||ty, the paragraph entitled Exclusions is amended im delete the exclusion entitled Liquor Liability. � This LIQUOR LIABILITY provision does not apply to any person or organization who otherwise qualifies as an additional insured onthis Coverage Part. 17. MEDICAL PAYMENTS A. LIMITS <]FINSURANCE is amended to delete Paragraph 7. (the Medical Expense Limit) and replace it with the following: 7. Subject to Paragraph 5. above (the Each Occurrence Limit), the Medical Expense Um|1 is the most the Insurer will pay under Coverage C — &0ed|na| Payments for all medical expenses because o/ bodily injury sustained by any one person. The Medical Expense Limit|m the greater of: (l) $1b.0OO unless edifferent amount im shown here: $N.MNW,NNN.NNN; or (2) the amount shown in the Declarations for Medical Expense Limit. copy*omcmA Ali Rights Reserved /nm�m��p ^mmmo��w��/nmv,m^umsmmu�mVmum mn �*/*w�m�mmvn CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement B. Under COVERAGES, the Insuring Agreement of Coverage C — Medical Payments is amended to replace Paragraph 1.a.(3)(b)with the following: (b) The expenses are incurred and reported to the Insurer within three years of the date of the accident; and 18. NON-OWNED AIRCRAFT Under COVERAGES, Coverage A — Bodily injury and Property Damage Liability, the paragraph entitled Exclusions is amended as follows: The exclusion entitled Aircraft, Auto or Watercraft is amended to add the following: This exclusion does not apply to an aircraft not owned by any Named Insured, provided that: 1. the pilot in command holds a currently effective certificate issued by the duly constituted authority of the United States of America or Canada, designating that person as a commercial or airline transport pilot; 2. the aircraft is rented with a trained, paid crew to the Named insured;and 3. the aircraft is not being used to carry persons or property for a charge. 19. NON-OWNED WATERCRAFT Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended to delete Subparagraph (2) of the exclusion entitled Aircraft, Auto or Watercraft, and replace it with the following. This exclusion does not apply to. (2) a watercraft that is not owned by any Named Insured, provided the watercraft is: (a) less than 75 feet long; and (b) not being used to carry persons or property for a charge. 20. PERSONAL AND ADVERTISING INJURY—DISCRIMINATION OR HUMILIATION A. Under DEFINITIONS, the definition of personal and advertising injury is amended to add the following tort: Discrimination or humiliation that results in injury to the feelings or reputation of a natural person. B. Under COVERAGES, Coverage B — Personal and Advertising Injury Liability. the paragraph entitled Exclusions is amended to: 1. delete the Exclusion entitled Knowing Violation Of Rights Of Another and replace it with the following: This insurance does not apply to: Knowing Violation of Rights of Another Personal and advertising injury caused by or at the direction of the Insured with the Knowledge that the act would violate the rights of another and would inflict personal and advertising injury. This exclusion shall not apply to discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only if such discrimination or humiliation is not done intentionally by or at the direction of'. (a) the Named Insured; or (b) any executive officer, director, stockholder, partner, member or manager (if the Named Insured is a limited liability company)of the Named Insured. 2. add the following exclusions: Cuttyrighl CNA All Rights Ro erved Includes a0pynghted material euf Iris,ur r,cse Services Office,Cats..,wrth its porrnissartn, CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement This insurance does not apply to: Employment Related Discrimination Discrimination or humiliation directly or indirectly related to the employment, prospective employment, past employment or termination of employment of any person by any Insured. Promises Related Discrimination discrimination or humiliation arising out of the sale, rental, lease or sub-lease or prospective sale, rental, lease or sub-lease of any room, dwelling or premises by or at the direction of any Insured. Notwithstanding the above, there is no coverage for fines or penalties levied or imposed by a governmental entity because of discrimination. The coverage provided by this PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization whose status as an Insured derives solely from Provision 1. ADDITIONAL INSURED of this endorsement; or attachment of an additional insured endorsement to this Coverage Part. This PERSONAL AND ADVERTISING INJURY —DISCRIMINATION OR HUMILIATION Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part, 21. PERSONAL AND ADVERTISING INJURY-CONTRACTUAL LIABILITY A. Under COVERAGES, Coverage 8 —Personal and Advertising Injury Liability, the paragraph entitled Exclusions is amended to delete the exclusion entitled Contractual Liability. B. Solely for the purpose of the coverage provided by this PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY provision, the following changes are made to the section entitled SUPPLEMENTARY PAYMENTS—COVERAGES A AND B: 1. Paragraph 2.d. is replaced by the following: d. The allegations in the suit and the information the Insurer knows about the offense alleged in such suit are such that no conflict appears to exist between the interests of the Insured and the interests of the indemnitee; 2. The first unnumbered paragraph beneath Paragraph 21(2)(b) is deleted and replaced by the following: So long as the above conditions are met, attorneys fees incurred by the Insurer in the defense of that indemnitee, necessary litigation expenses incurred by the Insurer, and necessary litigation expenses incurred by the indemnitee at the Insurer's request will be paid as defense costs. Such payments will not be deemed to be damages for personal and advertising injury and will not reduce the limits of insurance, C. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply if Coverage B —Personal and Advertising Injury Liability is excluded by another endorsement attached to this Coverage Part. This PERSONAL AND ADVERTISING INJURY - CONTRACTUAL LIABILITY Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Part. 22. PROPERTY DAMAGE—ELEVATORS A. Under COVERAGES, Coverage A — Bodily Injury and Property Damage Liability, the paragraph entitled Exclusions is amended such that the Damage to Your Product Exclusion and subparagraphs (3), (4) and (6) of the Damage to Property Exclusion do not apply to property damage that results from the use of elevators. Copyrighl CNA Ali Rights Reserved CNA CNA PARAMOUNT Contractors' General Liability Extension Endorsement B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision, the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators. 23. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS—COVERAGES A AND B is amended as follows: A. Paragraph 1.b. is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000. limit; and B. Paragraph 1.d. is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a $1,000. limit. 24. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named Insured's Coverage Part, the Insurer will not deny coverage under this Coverage Part because of such failure. 25. WAIVER OF SUBROGATION -BLANKET Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to add the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1. the Named Insured's ongoing operations: or 2. your work included in the products-completed operations hazard. However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in a written contract or written agreement, and only if such contract or agreement: 1. is in effect or becomes effective during the term of this Coverage Part; and 2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. 26. WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Note: The following provision does not apply to any public construction project in the state of Oklahoma, nor to any construction project in the state of Alaska, that is not permitted to be insured under a consolidated (wrap-up) insurance program by applicable state statute or regulation. If the endorsement EXCLUSION — CONSTRUCTION WRAP-UP is attached to this policy, or another exclusionary endorsement pertaining to Owner Controlled Insurance Programs (O.C.I.P.) or Contractor Controlled Insurance Programs (C.C.I.P.) is attached, then the following changes apply: A. The following wording is added to the above-referenced endorsement: With respect to a consolidated (wrap-up) insurance program project in which the Named Insured is or was involved, this exclusion does not apply to those sums the Named Insured become legally obligated to pay as damages because of: 1. Bodily injury, property damage, or personal or advertising injury that occurs during the Named Insured's ongoing operations at the project, or during such operations of anyone acting on the Named Insured's behalf: nor Cuttyrighl CNA All Rights Roserved Includes a0pynghted material euf Iris,ur r,cse Services Office,Cats..,wrth its porrnissartn, Contractors' General Liability Extension Endorsement 2. Bodily injury or property damage included within the products~connpketed operations hazard that ahVns out 0/those portions o[the project that are not residential structures. B. Condition 4. Other Insurance is amended to add the following subparagraph 4.b.(1)(c): This insurance ia excess over: (o) Any of the other insurance whether primary, excess, contingent or any other basis that is insurance available to the Named |naonmd as a result ofthe Named Insured being a participant in a consolidated (wrap-up) insurance program, but only as respects the Named Insured's involvement in that consolidated (wrap-up) insurance program, C. DEFINITIONS im amended to add the following definitions: Consolidated (wrap-up) insurance program means a construction, erection or demolition projectfor which the prime contractor/project manager o/ owner of the construction project has secured general liability insurance covering some or all of the contractors or subcontractors involved in the project, such as an Owner Controlled Insurance Program ((}.C.|.P.)or Contractor Controlled Insurance Program (CC |.P.), Residential structure means any structure where 30% or more of the square foot area is used or is intended to be used for human residency, including but not limited to: 1. single or nnu|Ub*mi|y houainQ, apmnmants, oondominiums, bownhousem, co-operatives or planned unit developments; and 2. the common areas and structures appurtenant to the structures in paragraph 1. (including pmo|o, hot tubs, detached garages, guest houses or any similar etmcturem). Hmmeve,, when there is no individual ownership o/units, residential structure doom not include military housing, college/university housing or dormitories, long term care fac|}hies, hotels or motels, Residential structure also does not include hospitals orprisons, This WRAP-UP EXTENSION: OC|P^ CC|p^ OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Provision does not apply to any person or organization who otherwise qualifies as an additional insured on this Coverage Pan. All other terms and conditions oy the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy, copy*omcmA Ali Rights Reserved /nm�m��p ^mmmo��w��/nmv,m^umsmmu�mVmum mn �*/*w�m�mmvn Policy Number* 6079391995 Effective: 1/1/2021 Form No: CNA75079 (10-16) CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: 1, WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. in the performance of your ongoing operations subject to such written contract; or B. in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products-completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and 2. this coverage part provides such coverage, 11. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10- 01 edition of CG2037; or B. additional insured coverage with "arising out of language; or C. additional insured coverage to the greatest extent permissible by law; then paragraph 1.above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract, Ill. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract-, or B. a higher limit of insurance than required by the written contract, CJ IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: BE 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or MM B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to add the following,which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: Copyrighl CNA Ali Rights Reserved CNA CNA PARAMOUNT Blanket Additional Insured - Owners, Lessees or Contractors - with Products-Completed Operations Coverage Endorsement Primary and Noncontributory Insurance With respect to other Insurance available to the additional insured under which the additional insured is a named insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to b : 1. primary and non-contributing with other insurance available to the additional insured, or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured, VI. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows:. The Condition entitled Duties In The Event of Occurrence, Offense, Claim or suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim,or any occurrence or offense which may result in a claim; 2. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim;and 3. make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or self-insurer,whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. Curtyrighl CNA All Rights Roserved Includes a0pynghted material euf Irts,ur r,cse Services Office,Cats..,wrth its porrnissartn, Policy Number: 6079392015 Effective: 1/1/2021 Form No: CNA63359 (04-2012) CNABusiness Auto Policy Policy Endorsernent C11111111141111 III, I Milli,III,,,IIIii Mili =1111111110,11111 IIIIi, III Mil,111iii, =01111111ilill, IIiii,Mill 111, 11 C11111 III,,,I i1111111 III Mill,ill i 11,11, i Mill, III III,C1111,1111 1111111 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM 1. LIABILITY COVERAGE A. Who Is An Insured The following is added to Section 11, Paragraph A.1., Who Is An Insured: 1. a. Any incorporated entity of which the Named Insured owns a majority of the voting stock on the date of inception of this Coverage Form; provided that, b. The insurance afforded by this provision A.1. does not apply to any such entity that is an insured under any other liability "policy" providing auto coverage, 2. Any organization you newly acquire or form, other than a limited liability company, partnership or joint venture, and over which you maintain majority ownership interest. The insurance afforded by this provision A.2.: a. Is effective on the acquisition or formation date, and is afforded only until the end of the policy period of this Coverage Form, or the next anniversary of its inception date, whichever is earlier, b. Does not apply to: (1) Bodily injury or property damage caused by an accident that occurred before you acquired or formed the organization; or (2) Any such organization that is an insured tinder any other liability "policy" providing auto coverage. 3. Any person or organization that you are required by a written contract to name as an additional insured is an insured but only with respect to their legal liability for acts or omissions of a person, who qualifies as an insured under SECTION 11 - WHO IS AN INSURED and for whom Liability Coverage is afforded under this policy. If required by written contract, this insurance will be primary and non-contributory to insurance on which the additional insured is a Named Insured. 4. An employee of yours is an insured while operating an auto hired or rented under a contract or agreement in that employee's name, with your permission, while performing duties related to the conduct of your business. "Policy", as used in this provision A. Who Is An Insured, includes those policies that were in force on the inception date of this Coverage Form but. 1. Which are no longer in force; or 2. Whose limits have been exhausted. B. Bail Bonds and Loss of Earnings Section 11, Paragraphs A.2. (2) and A.2. (4) are revised as follows: 1. In a.(2), the limit for the cost of bail bonds is changed from $2,000 to $5,000; and 2. In a.(4), the limit for the loss of earnings is changed from $250 to $500 a day, Copyright CNN All Rights Reserved. Includes copyrighted rnatorial of the Insurance Services Office, Inc- used with its permission. Business Auto Policy CNA Poky Endorsernent C. Fellow Employee Section 11, Paragraph B.5 does not apply. Such coverage as is afforded by this provision C. is excess over any other collectible insurance. 11. PHYSICAL DAMAGE COVERAGE A. Glass Breakage - Hitting A Bird Or Animal - Failing Objects Or Missiles The following is added to Section III, Paragraph A.3.: With respect to any covered auto, any deductible shown in the Declarations will not apply to glass breakage if Such glass is repaired, in a manner acceptable to us, rather than replaced. B. Transportation Expenses Section III, Paragraph A.4.a. is revised, with respect to transportation expense incurred by YOU, to provide: a, $60 per day, in lieu of $20; subject to b. $1,800 maximum, in lieu of $600, C. Loss of Use Expenses Section 111, Paragraph A.4.b. is revised, with respect to loss of use expenses incurred by you, to provide: a. $1,000 maximurn, in lieu of $600. D. Hired "Autos" The following is added to Section 111. Paragraph A.: 5. Hired "Autos" If Physical Damage coverage is provided under this policy, and Such coverage does not extend to Hired Autos, then Physical Damage coverage is extended to: a. Any covered auto you lease, hire, rent or borrow without a driver; and b. Any covered auto hired or rented by your employee without a driver, under a contract in that individual employee's name, with your permission, while performing duties related to the conduct of your business. c. The most we will pay for any one accident or loss is the actual cash value, cost of repair, cost of replacement or $75,000, whichever is less, minus a $500 deductible for each covered auto. No deductible applies to loss caused by fire or lightning. d. The physical damage coverage as is provided by this provision is equal to the physical damage coverage(s) provided on your owned autos. e. Such physical damage coverage for hired autos will: (1) Include loss of use, provided it is the consequence of an accident for which the Named Insured is legally liable, and as a result of which a monetary loss is sustained by the leasing or rental concern, (2) Such coverage as is provided by this provision will be subject to a limit of $750 per accident, E. Airbag Coverage The following is added to Section III, Paragraph B.3.: The accidental discharge of an airbag shall riot be considered mechanical breakdown. Copyright CPA All Rights Reserved. Includes copyrighted rnatorial of the Insurance Services Office, Inc_ used with its permission. Business Auto Policy CNA Policy Endorsernent F. Electronic Equipment Section III, Paragraphs B.4.c and B.4.d. are deleted and replaced by the following: c. Physical Damage Coverage on a covered auto also applies to loss to any permanently installed electronic equipment including its antennas and other accessories d. A $100 per occurrence deductible applies to the coverage provided by this provision. G. Diminution In Value The following is added to Section III, Paragraph B.6.: Subject to the following, the diminution in value exclusion does not apply to: a. Any covered auto of the private passenger type you lease, hire, rent or borrow, without a driver for a period of 30 days or less, while performing duties related to the conduct of your business; and b. Any covered auto of the private passenger type hired or rented by your employee without a driver for a period of 30 days or less, under a contract in that individual employee's name, with your permission, while performing duties related to the conduct of your business. c. Such coverage as is provided by this provision is limited to a diminution in value loss arising directly out of accidental damage and not as a result of the failure to make repairs; faulty or incomplete maintenance or repairs; or the installation of substandard parts. d. The most we will pay for loss to a covered auto in any one accident is the lesser of: (1) $5,000; or (2) 20% of the auto's actual cash value (ACV). 111. Drive Other Car Coverage ® Executive Officers The following is added to Sections 11 and III: 1. Any auto you don't own, hire or borrow is a covered auto for Liability Coverage while being used by, and for Physical Damage Coverage while in the care, custody or control of, any of your "executive officers", except: a. An auto owned by that "executive officer" or a member of that person's household; or b. An auto used by that "executive officer" while working in a business of selling, servicing, repairing or parking autos. Such Liability and/or Physical Damage Coverage as is afforded by this provision, (1) Equal to the greatest of those coverages afforded any covered auto; and (2) Excess over any other collectible insurance, 2. For purposes of this provision, "executive officer" means a person holding any of the officer positions created by your charter, constitution, by-laws or any other similar governing docurnent, and, while a resident of the same household, includes that person's spouse. Such "executive officers" are insureds while using a covered auto described in this provision. IV. BUSINESS AUTO CONDITIONS A. Duties In The Event Of Accident, Claim, Suit Or Loss The following is added to Section IV, Paragraph A.2.a.: Copyright CNN All Rights Reserved. Includes copyrighted rnatorial of the Insurance Services Office, Inc- used with its permission. Business Auto Policy CNA Poky Endorsernent (4) Your employees may know of an accident or loss. This will not mean that you have such knowledge, unless such accident or loss is known to you or if you are not an individual, to any of your executive officers or partners or your insurance manager. The following is added to Section IV, Paragraph A.2.b.: (6) Your employees may know of documents received concerning a claim or suit. This will not mean that you have such knowledge, unless receipt of such documents is known to you or if you are riot an individual, to any of your executive officers or partners or your insurance manager, B. Transfer Of Rights Of Recovery Against Others To Us The following is added to Section IV, Paragraph A.5. Transfer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have, because of payments we make for injury or damage, against any person or organization for whom or which you are required by written contract or agreement to obtain this waiver from us. This injury or damage must arise Out Of Your activities under a contract with that person or organization. You must agree to that requirement prior to an accident or loss. C. Concealment, Misrepresentation or Fraud The following is added to Section IV, Paragraph B.2.: Your failure to disclose all hazards existing on the date of inception of this Coverage Form shall not prejudice you with respect to the coverage afforded provided such failure or omission is not intentional, D. Other Insurance The following is added to Section IV, Paragraph 8.5.: Regardless of the provisions of Paragraphs 5.a. and 5.d. above, the coverage provided by this policy shall be on a primary non-contributory basis. This provision is applicable only when required by a written contract. That written contract must have been entered into prior to Accident or Loss. E. Policy Period, Coverage Territory Section IV, Paragraph B. 7.(5).(a). is revised to provide: a. 45 days of coverage in lieu of 30 days. V. DEFINITIONS Section V. paragraph C. is deleted and replaced by the following: Bodily injury means bodily injury, sickness or disease sustained by a person, including mental anguish, mental injury or death resulting from any of these. Copyright CNN All Rights Reserved. Includes copyrighted rnatorial of the Insurance Services Office, Inc- used with its permission. AIR ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/23/2019 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 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 CONTACT Eryn Zak . NAME: rY Lassiter-Ware Insurance of Tampa Bay PHONE (800)845-8437 FAX (888)883-8680 (A/C,No,Ext): (A/C,No): 1300 N.Westshore Blvd E-MAIL E nZ lassiterware.com ADDRESS: ry Suite 110 INSURER(S)AFFORDING COVERAGE NAIC# Tampa FL 33607 INSURERA: National Fire Insurance Company of Hartford 20478 INSURED INSURER B: Transportation Insurance Company 20494 Air Mechanical&Service Corp. INSURER C: Continental Insurance Company 35289 2700 Ave of the Americas INSURER D: Builders Mutual Insurance Company 10844 INSURER E: Scottsdale Insurance Company 41297 Englewood FL 34244 INSURER F: COVERAGES CERTIFICATE NUMBER: 20-21 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE n OCCUR DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 A X XCU INCLUDED Y 6079391995 01/01/2020 01/01/2021 PERSONAL BADVINJURY $ 1,000,000 • GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PROT n LOC PRODUCTS-COMP/OPAGG $ 2,000,000 JEC OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ B - OWNED SCHEDULED Y 6079392015 01/01/2020 01/01/2021 BODILY INJURY(Per accident) $ - AUTOS ONLY _ AUTOS HIRED NON OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) PIP-BASIC $ 10,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 C - EXCESS LIAB CLAIMS-MADE 6079392032 01/01/2020 01/01/2021 AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION X STATUTE OTH - ER AND EMPLOYERS'LIABILITY YIN 1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ , , D OFFICER/MEMBER EXCLUDED? - n N/A WCP1068136 01/01/2020 01/01/2021 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , CLAIM LIMIT $2,000,000 CONTRACTORS POLLUTION E CONTRACTORS PROFESSIONAL VRS0004279 01/01/2020 01/01/2021 GENERAL AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if mom space Is required) RE:RFP-30-0-2015 MW,Medical Examiner's Office Chiller Replacement,Crawl Key,FL APP O DATE EMENT WARIER N/A YE 07/, 9 _ . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Gato Bldg,Room 2-213 AUTHORIZED REPRESENTATIVE Key West FL 33040JK I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 00053185 LOC#: ACORD ADDITIONAL REMARKS SCHEDULE Page of AGENCY • NAMED INSURED Lassiter-Ware Insurance of Tampa Bay Air Mechanical-Englewood POLICY NUMBER • CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS • THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance:Notes Air Mechanical&Service Corp. Certificate Notes for Policy Term 1/1/2020 to 1/1/2021 General Liability: 1.Blanket Additional Insureds when required by written contract including Ongoing Operations and Products&Completed Operations per Form#CNA75079 (10/16). 2.Blanket Waiver of Subrogation when required by written contract per Form#CNA74705(01/15). 3.Primary&Non-Contributory when required by written contract per Form#CNA74705(01/15). 4.General Aggregate Limit Applies Per Project per Form#CNA74705(01/15). Automobile Liability: 1.Blanket Additional Insureds when required by written contract per Form#CNA63359(04/12).2.Blanket Waiver of Subrogation when required by written contract per Form#CNA63359(04/12). 3.Automobile is a statutory coverage mandated by State Law. As such,coverage is primary and non-contributory. Workers'Compensation: 1.Blanket Waiver of Subrogation when required by written contract per Form#WC000313. 2.Worker's Compensation is a statutory coverage mandated by State Law. As such,coverage is primary and non-contributory. Umbrella: 1.General Liability,Automobile and Employers Liability are listed in the underlying schedule on the Umbrella policy. 2.Follow form to the underlying,Additional Insured by written contract,Primary&Non-Contributory wording,and Waiver of Subrogation. General Information: 1.The General Liability policy contains no specific residential exclusions 2.The certificate notes shown above reference the following policies: 6079391995,6079392015,WCP1068136 and 60079392032 ALL COVERAGE IS SUBJECT TO THE POLICY TERMS,CONDITIONS AND EXCLUSIONS. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/23/2019 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 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 CONTACT Eryn Zak NAME: rY Lassiter-Ware Insurance of Tampa Bay PHONEN Ext): (800)845-8437 FAX No): (888)883-8680 (A/1300 N.Westshore Blvd E-MAIL E nZ lassiteare.com ADDRESS: rY nv Suite 110 INSURER(S)AFFORDING COVERAGE NAIC# Tampa FL 33607 INSURERA: National Fire Insurance Company of Hartford 20478 INSURED INSURER B: Transportation Insurance Company 20494 Air Mechanical&Service Corp. INSURER C: Continental Insurance Company 35289 2700 Ave of the Americas INSURER D: Builders Mutual Insurance Company 10844 INSURER E: Scottsdale Insurance Company 41297 Englewood FL 34244 INSURER F: COVERAGES CERTIFICATE NUMBER: 20-21 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE n OCCUR DAMAGEiOHLNfE 100,000 PREMISES(Ea occurrence) $ X CONTRACTUAL LIABILITY MED EXP(Any one person) $ 5,000 A X XCU INCLUDED N 6079391995 01/01/2020 01/01/2021 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PROT n LOC PRODUCTS-COMP/OPAGG $ 2,000,000 JEC OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ — B OWNED SCHEDULED N 6079392015 01/01/2020 01/01/2021 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) PIP-BASIC $ 10,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 C EXCESS LIAB CLAIMS-MADE 6079392032 01/01/2020 01/01/2021 AGGREGATE $ 5,000,000 DEC X RETENTION$ 10,000 $ WORKERS COMPENSATION �//� STATUTE OTH- ER AND EMPLOYERS'LIABILITY D ANY PROPRIETOR/PARTNER/EXECUTIVE YNN NIA WCP1068136 01/01/2020 01/01/2021 1,000,000 OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , CONTRACTORS POLLUTION CLAIM LIMIT $2,000,000 E CONTRACTORS PROFESSIONAL VRS0004279 01/01/2020 01/01/2021 GENERAL AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Stock Island Jail Complex-HVAC Systems Improvements The Monroe County Board of County Commissioners,its employees and officials are named as Additional Insureds with respect to General Liability, Automobile Liability and Umbrella Liability when required by written contract. nPPr, v b / emelyl DA'TEQ 19 WAIVER N CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Gato Bldg,Room 2-213 AUTHORIZED REPRESENTATIVE 4/1 Key West FL 33040 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 00053185 AC ORE) ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED Lassiter-Ware Insurance of Tampa Bay Air Mechanical-Englewood POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance:Notes Air Mechanical&Service Corp. Certificate Notes for Policy Term 1/1/2020 to 1/1/2021 General Liability: 1.Blanket Additional Insureds when required by written-contract including Ongoing Operations and Products&Completed Operations per Form#CNA75079 (10/16). 2.Blanket Waiver of Subrogation when required by written contract per Form#CNA74705(01/15). 3.Primary&Non-Contributory when required by written contract per Form#CNA74705(01/15). 4.General Aggregate Limit Applies Per Project per Form#CNA74705(01/15). Automobile Liability: 1.Blanket Additional Insureds when required by written contract per Form#CNA63359(04/12).2.Blanket Waiver of Subrogation when required by written contract per Form#CNA63359(04/12). 3.Automobile is a statutory coverage mandated by State Law. As such,coverage is primary and non-contributory. Workers'Compensation: 1.Blanket VVaiver of Subrogation when required by written contract per Form#WC000313. 2.Worker's Compensation is a statutory coverage mandated by State Law. As such,coverage is primary and non-contributory. Umbrella: 1.General Liability,Automobile and Employers Liability are listed in the underlying schedule on the Umbrella policy. 2.Follow form to the underlying,Additional Insured by written contract,Primary&Non-Contributory wording,and VVaiver of Subrogation. General Information: 1.The General Liability policy contains no specific residential exclusions 2.The certificate notes shown above reference the following policies: 6079391995,6079392015,WCP1068136 and 60079392032 ALL COVERAGE IS SUBJECT TO THE POLICY TERMS,CONDITIONS AND EXCLUSIONS. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A D CERTIFICATE OF LIABILITY INSURANCE DATE (MM/D o ) 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 Betsy Crawford Lassiter -Ware Insurance of Jacksonville PHONE (800) 845 -8437 1 A/C. Noi, (888)883 -8680 IA/C xn.Fzti• 8659 Baypine Rd ma Bet sycelasaiter -ware. com Suite 100 INSURER(S) AFFORDING COVERAGE NAIC 8 Jacksonville FL 32256 INsuRERA:Amerisure Insurance Company 19488 INSURED INSURERB:Amerisure Partners Insurance 11050 Air Mechanical & Service Corp. INSURERC: 2700 Ave of The Americas INSURER °: INSURER E : Englewood FL 34244 INSURERF: COVERAGES CERTIFICATE NUMBER:17 / 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 I INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DCCUMENT V,1TH 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. ADDL SUBR POLICY EFF POLICY EXP ILTR TYPE OF INSURANCE (NCR wvn POLICY NUMBER (MM/DO/YYYY) (MM/DD/YYYYI UMITS GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300,000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ A (CLAIMS -MADE © OCCUR CPP2095042 1/1/2017 1/1/2018 MED EXP (Any one person) $ 10,000 X Contractural Liability PERSONAL & ADV INJURY $ 1,000,000 X XCII Included GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 7 POLICY 11 1 lF? T7 LOC $ AUTOMOBILE LIABILITY Ea accideMSINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ B ALL OWNED SCHEDULED CA2095041 1/ 1/1/2018 BODILY INJURY (Per accident) S X AUTOS AUTOS — X X NON0SWNED (PPer accident) t DAMAGE y _ HIRED AUTOS _AUTOS — X $10,000 PIP UNisured Motorists $ 20,000 X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS UAB CLAIMS -MADE CU2095043 1/1/2017 1/1/2018 AGGREGATE s 5,000,000 DED 1 X I RETENTION $ 10, 000 $ WORKERS COMPENSATION X I _WC STATU- I I C FR AND EMPLOYERS' UABIUTY ORY LIMITS ANY PROPRIETOR/PARTNER /EXECUTIVE Y/N E.L. EACH ACCIDENT $ 500, 000, OFFICER/MEMBER EXCLUDED? I I N / A 12/31/201612/31 /2017 A (Mandatory In NH) WC2095044 E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 i DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) RE: Stock Island Jail Complex - HVAC Systems Improvements The Monroe County Board of County Commissioners, its employees and officials are named as Additional Insureds with respect to General Liability, Automobile Liability and Umb• lla Li -ity when required by written contract. APP fa VE� �(ii• NAGEMENTit9�f1.� ,>f'N"14T BY r o1 VI > '✓1 — WAIV d A dr ...... CC CERTIFICATE HOLDER CANCELLATION J2Alif.00 - I<ai SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners AUTHORIZED REPRESENTATIVE 1100 Simonton Street Gato Bldg, Room 2 -213 Key West , FL 33040 _ Kirk Bramlett /BETSYC - .6.— �r.— C.t;. FsV1QN%tit. ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005) 01 The ACORD name and logo are registered marks of ACORD COMMENTS /REMARKS Air Mechanical & Service Corp.. Certificate Notes for Policy Term 12/31/16- 12/31/17(WC) and 1/1/17 to 1/1/18 General Liability: 1. Blanket Additional Insureds when required by written contract including Ongoing Operations and Products & Completed Operations per Form CG7048 (10/15). 2. Blanket Additional Insured Form #CG7048 (10/15) will convert to Form #CG2010 (11/85) when specifically required by written contract. 3. Blanket Waiver of Subrogation when required by written contract per Form CG7049 (11//09). 4. Primary & Non - Contributory when required by written contract per Form CG7048 (10/15). 5. General Aggregate Limit Applies Per Project per Form # CG7049 (11/09). Automobile Liability: 1. Blanket Additional Insureds when required by written contract Per Form #CA7171 (05/08). 2. Blanket Waiver of Subrogation when required by written contract Per Form #CA7171 (05/08). 3. Automobile is a statutory coverage mandated by State Law. As such, coverage is primary and non - contributory. Workers' Compensation: 1. Blanket Waiver of Subrogation when required by written contract, Form #WC000313. 2. Workers' Compensation provides coverage for the Workers' Compensation benefits of the State where the project is located. 3. Worker's Compensation is a statutory coverage mandated by State Law. As such, coverage is primary and non - contributory. Umbrella: 1. General Liability, Automobile and Employers Liability are listed in the underlying schedule on the Umbrella policy. 2. The Umbrella policy contains its own terms and conditions, however, the following endorsements have been added: a. Umbrella Policy per Project Aggregate per form CU7212 (08/07). b. Primary & Non Contributory when required by written contract per form CU7467 (08/10). 3. Transfer of Rights of Recovery if prior to loss. General Information: 1. The General Liability, Automobile and Umbrella policies all contain a Severability of Interest Provision. 2. The General Liability policy contains no specific residential exclusions and is subject to ISO Form CG0001 (04/13) 3. The certificate notes shown above reference the following policies: CPP2095042, CA2095041, WC2095044 and CU2095043 ALL COVERAGE IS SUBJECT TO THE POLICY TERMS, CONDITIONS AND EXCLUSIONS. OFREMARK COPYRIGHT 2000, AMS SERVICES INC.