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Certificates of Insurance �... DIONENT-03 KLEE A��� CERTIFICATE OF LIABILITY INSURANCE DAT2/6/2020 Y) 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: Morris&Reynolds Inc. PHONEFAX 14821 South Dixie Highway (NC,No,Eat):(305)238-1000 I (NC,No):(305)255-9643 E-Miami,FL 33176 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC U INSURER A:GuideOne Mutual Insurance Company 15032 INSURED INSURER B:Lloyd's of London Dion Enterprises LLC,Dion Fuels LLC,Dion Transport LLC INSURER C:Bridgefield Casualty Insurance Company 10335 Post Office Box 1209 ' INSURER D: • Key West,FL 33041 INSURER E: -- -- - —- - --- - - 1 INSURER F: ——— - - — - - - — COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYYI (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 62P100724-00 2/8/2020 2/8/2021 DAMA SETO R NT D nce) $ 100,000 r_J MED EXP(Any one person) $ 0 _ - PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY plPE r 1 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Liquor Liab $ 1,000,000 IA AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 _(Ea accident)_ $ ANY AUTO 1____] 62P100724-00 2/8/2020 2/8/2021 BODILY INJURY(Per person) $ X AUTOS ONLY AUTOSSULED BODILY INJURY(Per accident) $ X AUTOS ONLY XAUTOS ONLY PeOPr acciden RERTY t) MAGE pA $ 1 $ B I UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE 20RENMA2000055-10062202 2/8/2020 2/8/2021 AGGREGATE $ 5,000,000 DED X RETENTION$ 0 $ C WORKERS COMPENSATION I X STATUTE OTH- ERAND EMPLOYERS'LIABILITY .';t i u642371 2/8/2020 2/8/2021 _ 1,000,000 ANY-PROPRIETOR/PARTNER/EXECUT!v,.. • i- __. I___ _— _ __ -_____! — _ F.L.EACH ACCIDENT $______.____ OFFICER/MEMBER EXCLUDED? I N7 A' f 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$ If yes,describe under I 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Petroleum Distributor-State of Florida MCS 90*Monroe County Board of County Commissioners,its employees and officials included as Additional Insured with regards to General/Auto Liability with respects to operations of client only. Waiver of Subrogation included on Workers Compensation. RE:B I D#-99-0-2017/I I APPR fs ANAGEMENT BY WAIVER N/ Y CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe CountyBoard of CountyCommissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE (:::;/......41......_.. ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DIONENT -03 IGAM A4C"M cr CERTIFICATE OF LIABILITY INSURANCE D ATE 02 /07 /2018 ) 0 210 712 0 1 8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 ondorsement s . PRODUCER ACT Morris &Reynolds Inc. 14821 South Dixie Highway Miami, FL 33176 _ CO O' J nIC ° ° , No, Ezt (305) 238 -1000 (A /C No ) :(305) 255 -9643 A AIL D INSURER (S) AFFORDING COVERAGE NAIC N _ INSURER A: Plaza Insur Company 30945 INSURED - INSURERS: Ll0 d of London Dion Enterprises LI -C Dion Fuels LLC Dion Transport LLC Mr. Steven Uphoff Post Office Box 1209 INSURER C; Birldcliefield Casualty Insurance Company 10335 NSURER D : Endurance American Special 41718 INSURER E: GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JpC ❑X LCC OTHER: Key West, FL 33041 INSURER F: PRODUCTS - COMP/OP AGG 2,000,000 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Pf7l A I OCCUR PFHRU010525 -00 02/08/2018 02/08/2019 EACH OCCURRENCE 1,000,000 PAEAGETORENTEO 100,000 MED EXP (Any ore arson PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JpC ❑X LCC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG 2,000,000 A AUTOMOBILE JX LIABILITY ANY AUTO OWN ED SCHEDULED AURTEO�S ONLY AUTTOOSyy�.�� AUTOS ONLY X A ONLp PFHRU010525 -00 0210812018 02/0812019 COM8INED SINGLE LIMIT 1,000,000 BODILY INJURY Per p erson ) $ BODILY INJURY Per accident $ f e'. AMAGE $ $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS - MADE 18RENMA170005510176000 0210812018 0210812019 EACH OCCURRENCE 5'000'000 AGGREGATE 510 00,000 DED I I RETENTION$ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PRI V FXCLUDE /EXECUTIVE FICER/MEMgER EXCLUDED? andatory In NN) If y es, describe under DESCRIPTION OF OPERATIONS below NIA 19642371 02108/2018 02/0812019 x PER PER H- E.L. EACFI ACCIDENT 500, E.L. DISEASE - EA EMPLOYEE $ 500'000 E.L. DI E SE - POLICY LIMIT 500,000 D 2nd Layr Excess Liab EXC30000056102 0210812018 02/08/2019 Occurrence /Aggregate 10,000,000 DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more spate is required) Petroleum Distributor - State of Florida MCS 90 *Monroe County Board of County Commissioners, Its employees and officials Included as Additional Insured with regards to General /Auto Liability with respects to operations of client only. Waiver of Subrogation Included on Workers Compensation. R E: S I D # -99 -0- 2017/11 APP V B I K AGEMENT WAIVE N/ f • Tr 'v *Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) ©1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ----"'1 DIONENT OP ID: KL1 A �. R� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 02/07/2017 HIS CERTIFICATE 1S 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 Robert D. Reynolds Morris & Reynolds Inc. PHONE 306 -238 -1000 FAX 14821 South Dixie Highway INC. No. Exn (Arc, No): 305 - 255 -9643 Miami, FL 33176 E -MAIL Robert D. Reynolds ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC X INSURER A : United States Fire Insurance 21113 INSURED Dion Enterprises LLC INSURER B : Brldgefield Casualty Ins. Co. 10335 Dion Fuels LLC Dion Transport LLC INSURER C: Endurance Assurance Corp. 11551 Mr. Steven Uphoff INSURER D : P.O. Box 1209 Key West, FL 33041 INSURERE INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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 AWL SUBR - POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MM /DD/YYYY) (MMIDD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE © OCCUR 5068877778 02/08/2017 02/08/2018 pREM SES (Ee occur ence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE $ 2,000,000 POLICY JE n LOC PRODUCTS - COMP /OP AGG $ 2,000,000 OTHER: Emp Ben. $ 1,000,000 AUTOMOBLE LIABILITY COMBINED SINGLE LIMIT (Ea acdder{I} $ 1,000,0 A ANY AUTO 5068877778 02/08/2017 02/08/2018 BODILY INJURY (Per person) $ X ALL OWNED SCHEDULED BODILY INJURY Peraccdent $ AUTOS _ AUTOS ( ) X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE $ AUTOS (Per accident) • X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAR CLAIMS -MADE 5238055521 02/08/2017 02/08/2018 AGGREGATE $ 5,000,000 DED X I RETENTION $ 0 $ • WORKERS COMPENSATION X STATUTE I OR H AND EMPLOYERS' LIABILITY B ANY PROPRIETOR /PARTNER/EXECUTIVE Yr N 019642371 02/08/2017 02/08/2018 E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBEREXCLUDED7 I I N!A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 500,000 - 1( es.describeunder , �RIPTION O�IIP RATIONS below - - - -- E.L. DISEASE • POLICY LIMIT $ 500,000 C Excess Liability EXC30000056101 02/08/2017 02108/2018 XS Liabi 10,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is requ(red) Petroleum Distributor - State of Florida MCS 90 *Monroe County Board of County Commissioners, its employees and officials • Additional Insured with regards to General /Auto Liability with respects to operations of client only. Waiver of Subrogation APPR•0 DA_ e , EM included on Workers Compensation. RE:BID # -99-0- 2017/11 . !! y e qi s kte4C— DA E •_411 WAIVER N/ • _ . YES_ C te Tea - c-ift CERTIFICATE HOLDER CANCELLATION MONROEB 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 / . 0 7X ( '' --- I (� ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/94) The ACORD name and logo are registered marks of ACORD