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COI Expires 02/26/2018
"' a °� CERTIFICATE OF LIABILITY INSURANCE 1/28/20 ) THIS CERTIFICATEIS 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 1S 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: • P AYCHEX INSURANCE AGENCY INC PHONE FAX , No): (888) 443 - 611 2 (A/c, No Exq: 210705 P: F: (888) 443 -6112 E-MAIL ADDRESS: PO BOX 33015 INSURER(S) AFFORDING COVERAGE NAICN SAN ANTONIO TX 78265 INSURER A: Twin City Fire Ins Co INSURED INSURER B i INSURER C CONCH WASTE WATER INC INSURERD: 89 INDUSTRIAL RD INSURER E: BIG PINE KEY FL 33043 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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. ITISR TYPE OFINSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EAT LIMITS LIR IN.SR WF'D (MM/DDITYY) /VM/DD /ITYYI I COMMERCIAL GENERAL LIABILITY EACH OCCURRENC S CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) S MED EXP (Any one person) $ PERSONAL &ADVINJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PEC0. I LOC PRODUCTS - COMP /OP AGG $ OTHER: S AUTOMOBILE LJABILRY COMBINED SINGLE LIMIT S (Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) S $ UMBRELLA UAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEE RETENTION $ $ WORKERS COMPENSATION X I STATUTE I I OTH AND EMPLOYERS'LLrn /L TY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N E.L. EACH ACCIDENT '100,000 OFFICER/MEMBER EXCLUDED? nu A - A ( M a n d a t o r y i n NH) 76 WEG JX7081 02/26/2017 02/26/2018 E.L. DISEASE -EA EMPLOYEE $ 100, 000 If yes, describe under E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS /LOCATIONS / VEH /C(ABSDRD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual to the Insured's Operations. RE: Operations and Maintenance sewage treatment plant, Monroe County Marathon Airport, Monroe Count Florida. / APP EVE. / ,�i EG MENT DA arAINVIIMII ='- - 11 - 1 - 14° ' Cyi 164 ‘ WAN N/A I ES CG CERTIFICATE HOLDER CANCELLATION ArN( (l — A ( Ill SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE C MONROE COUNTY BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. BOARD OF COUNTY COMMISSIONERS AUTHOR/ZEDREPRESENTATIVE 9400 OVERSEAS HWY STE 200 _ �'� ' i/ __. MARATHON, FL 33050 �'.!".lrtiI%l111 © 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACOR r am r r • o i a e registered marks of ACORD I