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COI Expires 04/20/2017 AC RD ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 4......-- 02/13/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT HOUSE NAME: Kelly White & Associates Insurance, LLC PHONE 904 880 - 8881 FAX (A/C. No. Fxt): I (A/C. No): P.O. Box 350909 ADDRESS: kelly @kwhiteinsurance.com INSURER(S) AFFORDING COVERAGE NAIC # Jacksonville FL 32235 INSURER A: Colony Insurance Company INSURED INSURER B : Travelers Property & Casualty Company Keys Contracting Services Inc INSURER C : 935 107th Street Gulf INSURER D : Co mmerce & I n d us t ry INSURER E : Marathon FL 33050 INSURER F : COVERAGES CERTIFICATE NUMBER: KEYS17021313074355 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 ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVO POLICY NUMBER (MM /DD/YYYY) (MMIDD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 _ DAMAGE RENTE CLAIMS -MADE X ( OCCUR PREMISES O (Ea occur ence) $ 100,000 MED EXP (Any one person) $ 5,000 A 103 GL 0013693 - 00 04/20/2016 04/20/2017 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO 2,000,000 JECT ILOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 _ (Ea accident) _ X ANY AUTO BODILY INJURY (Per person) $ B ALL OWNED SCHEDULED BA - 2H556465 06/06/2016 06/06/2017 BODILY INJURY (Per accident) $ AUTOS _ AUTOS HIRED AUTOS NON -OWNED PROPERTY DAMAGE $ AUTOS (Per accident) Personal Injury $ 10,000 UMBRELLA LIAB — OCCUR EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS -MADE AGGREGATE _ $ DED RETENTION $ $ WORKERS COMPENSATION X I STATUTE I v I ER H Includes USL &H AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N E.L. EACH ACCIDENT $ 1 ,000,000 D OFFICER/MEMBEREXCLUDED? Y ( /A WC13673871 06/20/2016 06/20/2017 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1 ,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) / / I Certificate Holder is listed as additional insured r' 'U ► : r A9EMENT • DATE — " WAIVER N/A ES 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 Commissioners ACCORDANCE WITH THE POLICY PROVISIONS 500 Whitehead St. AUTHORIZED REPRESENTATIVE Key West FL 33040 r . _ ` \-_„ I © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) / The ACORD name and logo are registered marks of ACORD Ag o CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) ‘.„/ 06/20/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS • CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. • IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT HOUSE NAME: Kelly White & Associates Insurance, LLC PHONE 904 - 880 -8881 FAx (A/C. No. Est)_ I (A/C. No): P.O. Box 350909 MAIL A DDRESS: y� kell kwhiteinsurance.COm ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Jacksonville FL 32235 INSURER A: Colony Insurance Company INSURED INSURER B : Travelers Property & Casualty Company Keys Contracting Services Inc INSURER C : 935 107th Street Gulf INSURER D : Commerce & Industry INSURER E : Marathon FL 33050 INSURER F : . i 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. ) QTR TYPE OF INSURANCE INSD W1D POLICY NUMBER POLICY EFF POLICY EXP (MMIDD/YYY17 (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 _ TO CLAIMS -MADE I X I OCCUR PREMISES (Ea RENTED $ 100,000 MED EXP (Any one person) $ 5,000 A 103 GL 0013693-00 04/20/2016 04 /20/2017 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $ 2,000,000 X POLICY n PRO- ( 2 JECT LOC PRODUCTS - COMP /OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000,000 (Ea accident) X ANY AUTO BODILY INJURY (Per person) $ B ALL OWNED SCHEDULED BA- 2H556465 06/06/2016 06/06/2017 BODILY INJURY (Per accident) $ AUTOS _ AUTOS NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS (Per accident) – Personal Injury $ 10,000 UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ _ EXCESS LAB CLAIMS -MADE AGGREGATE _ $ _ DED 1 I RETENTION $ $ WORKERS COMPENSATION PER 0TH- Includes USL &H AND EMPLOYERS' UABIUTY XI STATUTE I XI ER Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1 ,000,00 D OFFICER/MEMBER EXCLUDED? I Y I N / A WC 13673871 06/20/2016 06/20/2017 — (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1 ,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ • C=> r] o. r DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Z _ rr1 'a (; = {' r p 2 w '- ; : C" 3 n .. ;.c CERTIFICATE HOLDER CANCELLATION - 7.I. CO v SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 500 Whitehead St. AUTHORIZED REPRESENTATIVE Key West FL 33040;�� . 1 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD