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Certificates of Insurance ® AR o 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 E n Zak ' NAME: rY Lassiter-Ware Insurance of Tampa Bay PHONE 845-8437 FAX (888)883-8680 (A o,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 INSURER A: 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 INSURERE: 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE n OCCUR PREMISES Ea occurrence) $ 100,000 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 0000GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE . $ 20 POLICY In` JPROT ES LOC 00000 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 DED X RETENTION$ 10,000 $ WORKERS COMPENSATION X STATUTE EOTH AND EMPLOYERS'LIABILITY Y1 N 1 D ANY PROPRIETOR/PARTNER/EXECUTIVE NIA WCP1068136 01/01/2020 01/01/2021 E.L.EACH ACCIDENT $ , , OFFICER/MEMBER EXCLUDED? (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: Jackson Square 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 contra By Imek144-NAG DATE " MWAIVER N/Ai /.� I IT . 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 AUTHORIZED REPRESENTATIVE #2-284 Key West FL 33040 ...# 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 ...--"*"1"..) LOC#: AC o® 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 AcoR" ® CERTIFICATE OF LIABILITY INSURANCE D/DD /20 0 / 201717 12 / 2 TMI$ CERTIFICATE IS ISSUED AS A MATTER QF 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. IMPOiiTANTc If`tho certificato-ho oror Is an ADUITIONA NSURED, the policy(ies) must be ondorsod. If SUBROGATION IS WAIVED, subfoct 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). PRODV� R.`ti—„'---r--.-r�—�— Lassiter -Ware Insurance of Jacksonville 1300 N Westshore Blvd CAMNE CT Eryn Zak PHONE (800) 845-8437 AX . (e8e)e83-s600 ' -MAIL ynzolasai - ware.com INSURER(S) AFFORDING COVERAGE NAIC 0 Sui to 110 INSURER A Ameri sure Insurance Company 19488 Tampa FL 33607 INSURED INSURER 8 Ameri sure Partners Insurance 11050 INSURERC:The North River Insurance Cc 21105 Air Mechanical & Service Corp. 2700 Ave Of The Americas INSURERD:SCCttsdale Insurance Cc 41297 INSURER E : INjURERF: Englewood FL 34244 COVERAGES CERTIFICATE NUMBER:18/19 Master REVISION NUMBER: 1 k11S IS TQ CERTIFY THAT THE POLICIES pF INSURfiNCE LISTED `BEW9WI HAj/E BEEN ISSUED TO THE INSURED NAMEb_k"O E FOR THE POLICY PERIOD INDICATED. Np11MTHSTANDING ANY REQUIREMENT, TERM 013 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIT14 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. FNSR LTR + �' "�T -�' TYPE OF INSURANCE DpL INSRWVD S(1©©It ' POLICY NUMBED POLICY EFF MIDDIYYYY POLICY EXp MMfD I LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY A _Ta_R_9N9'0 PREMISE(Ea occurrence) $ A CLAIMS -MADE OCCUR PP2095042 1/1/2018 1/1/2019 MEDEXP(Any one person $ 10,000 X Contractural Liability PERSONAL & ADV INJURY $ 1,000,000 X XCU_Included GENERAL AGGREGATE $ 2,000,000 GENT. AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Faacci pnL 11000,000 X BODILY INJURY (Per person) $ B ANY AUTO BODILY INJURY (Peraecidont) $ X ALL. OWNED SCHEDULED A2095041 1/1/2018 1/1/2019 X AUTO$ AUTOS X NON -OWNED FIR C�PER7 AMKd-F _ $ HIRED AUTOS (Per accident $ X $10,000 PIP X UMBRELLALIAB X OCCUR EACI I OCCURRENCE $ 5,000,000 AGGREGATE $ 10, 000, 000 G, EXCESS LIAR CLAIMS -MA)[ CU2095043 1/1/2018 1/1/2019 DEU lX RETENTION $ ' $ WORKERS COMPENSATION X WC STA1 U• ITOR AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ 11000,000 ANY PROPRIETOR/PAR't'NER/EXECV•TIVE (-1 A OFFICERIMEMBER EXCLUUEU9 I� (Mandatory In NH) N/A C2095044 1/1/2018 1/1/2019 E.L. DISEASE - EA EMPLOYEE $ 1 0 00 , 0 0 0 If yyes, describe undor 17EWiP110NOFOPERATIONSbelow E.L.DISEASE:POLICYLIMIT $ 1,000 000 D Contractors Pollution e RS0003102 1/1/2018 1/1/2019 Claim Limit s 11000,000 Contractors Professional Claims Aggregate 2,000,000 DESCRIPTION OF.OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 107, Additional Remarks Schedule,.If more space Is required) . RE: Jackson Square The Monroe County Board of County Commissioners, its.employees and officials are named as Additional Insureds with respect to General Liability, Automobile Liability and vmbr la ob'lit when required by written contract. OV N EMENTc.� 3AY w WAIV N/A ,.fit' CERTIFICATE HOLDER CANCELLATION AtA40- —PAL-, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANOELLED BEFORE . THE EXPIRATION DATE THEREOF,, NOTICE WILL BE -DELIVERED 1N ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners AUTHORIZED REPRESENTATIVE 1100 Simonton Street #2-284 Key West ,/c0 �`; Lou Mariany/BETSYC ACORD 25 (2010/05)- INSn25 oninnsi m ©1988-2010 ACORD CORPORATION. All rights reserved. Tha Ar`r1Rrl name and Innn are ranlcfararl marlea of Annizi9 COMMENTSIREMARK$ Air Mechanical & Service Corp.. Certificate Notes for Policy Term 1/1/18 to 1/1/19 General Liability:, 1. Blanket Additional. Insureds when required by written contract including Ongoing Operations and Products & Completed Operationo per Form Ct,7048 (10/15), 2. Blanket Additional Insured Form 4fCG7048 (10/15) will convert: to Form IfCG2010 (11/85) when specifically required by written contract. 3. Blanket Waiver of Subrogation when required by written contract per Form C07049 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 4fCA7171 (05/08). 2-- Blanket--t^,aiver of Subrogation when required -by written contract -Per Form ikCA7171 (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 L:iability'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, 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 C00001 (04/13) 3. The certificate notes shown above reference the following policies: CPP2095042, CA2095041, WC,2095044 and 5811099003 ALL COVERAGE IS SUBJECT TO THE POLICY TERMS, CONDITIONS AND EXCLUSIONS. I OFREMARK COPYRIGHT 2000, AMS SERVICES INC. i t • ACCORD D C ERTIFICATE OF LIABILITY INSURANCE iz�2ii2oi6' 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 POUCIES 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(tes) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 CT Betsy Crawford NAM Lassiter — Ware Insurance of Jacksonville ru Fit), (800) 845 - 8437 � n FAX ix N (11110/ 183 8659 Baypine Rd ADDRESS : Setsyc @ lassiter — ware.coa Suite 100 INSURERS) AFFORDING COVERAGE WWI _ Jacksonville FL 32256 essucesAAmerisure Insurance Company 19488 INSURED INSURERS :Amerisure Partners Insurance 11050 Air Mechanical & Service Corp. INSURER C : 2700 Ave of The Americas INSURER D : INSURER E : Englewood FL 34244 INSURER F : COVERAGES CERTIFICATE NUMBER:17 /18 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED 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, L R TYPE OF INSURANCE OMR a POUCY NUMBER 1 =MYt UNITS GENERALUABIUTY EACH OCCURRENCE S 1,000,000 MVOS REMIND X COMMERCIAL T al I s 300,000 A 1 ICLAafs.MADE © OCCUR CPP2095042 1/1/2017 1/1/2018 ME0EXP (Any one Person) S 10,000 X Contraatural Liability PERSONAL BADVINJURY S 1,000,000 X XCU Included GENERAL AGGREGATE _ S 2 , 000, 000 ' G G'ERI.AGGREGAAT LIMIT APPLIES PER PRODUCTS •COMP/OP AGG S 2,000,000 f POLICY t �► I RCT I J LOC S AUTOMOBILE UABIUTY SINGLE LIMIT 1 1.000.000 B X ANY AUTO BODILY INJURY (Pet person) S X ALLO = S .A2095041 1/1/2017 1/1/2018 BODILY INJURY (Pee accident) S X FIRED AUTOS X AUT NON.OWN ED (Pet so RTY DAMAGE S AUT X 510.000 PIP UNisured Melones S 20.000 X UMBRELLA LUAS 1X OcCUR EACH OCCURRENCE S 5,000,000 A EXCESS UM CLAIMS•MAOE .(72095043 1/1/2017 1/1/2018 AGGREGATE $ 5,000,000 DED' X IRETENToNs 10,000 S WORKERS COMPENSATION X 1 Tr C SS I !W- AND EMPLOYERS' UABIUTY ANY PROPRIETORIPARTNER/EXECUTIVE E N 1 A E L EACH ACCIDENT $ 800,000 A OFFICER/MEMBER EXCLUDED? sc2095044 12/31/2016 12/31/2017 (Mammary In NH) EL DISEASE -EA EMPLOYEES 500,000 I ya, d esa@ e under DESCRIPTION OF OPERATIONS bNOw - E DISEASE . POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS !LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N mots spoor b moulted) RE: Jackson Square 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 ability when required by written contract. "?'4' :: as PILIt W , ter a i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL HE DELIVERED IN Monroe County Board of County ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE *2 -284 Key West , FL 33040 ~' - {, Kirk Sraalett /BETSYC "- -- ACORD 25 (2010/05) O 1988 -2010 ACORD CORPORATION. All rights reserved. INS025 rmintrit 01 Ths ARARfl nems snrl Innn am rsnlefnnarl msrtrs of arnRn 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 CO2095043 ALL COVERAGE IS SUBJECT TO THE POLICY TERMS, CONDITIONS AND EXCLUSIONS. OFREMARK COPYRIGHT 2000, ANIS SERVICES INC. A� V CERTIFICATE OF LIAB ILITY INSURANCE DATE(MM/DDIYYYY) 12/27/2013 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 a ADDITION���Ihq- 9olicy(ies) ust be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, ce in policie orsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsem t s . PRODUCER CONTACT NAME: Eidson Insurance,A Marsh6McLennan ency _ 2�1 PHONE FAx 2807 Edgewater Drive JAN [ x (407) 849 -0333 A/CNo:(40 425 -5694 E -MAIL ADDR Orlando FL 32804 MONROE COUNT INSURER A: J eni th 1 INSURED n��t\ inni•nvcrac rich American Insurance Com an 1bS3b Air Mechanical C. Service Corp. INSURER C: American Guarantee 6 Liability I 26247 2700 Avenue of the Americas INSURERD:North River Insurance Company 21105 Englewood FL 34244 INSURER E: IMCI IRFR F COVERAGES CERTIFICATE NUMBER: Cart ID 40775 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. EXP INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDfYYYY M P OLI C Y L TR /YYYY LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,0 DAMAGE TO CLAIMS -MADE 1XI OCCUR GLOSS4331900 1/1/2014 1/1/2015 PREMISES (Ea R occu ante $ 300 MED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2, 000 , 000 POLICY � jE O- LOC PRODUCTS - COMP /OP AGG $ 2 P OTHER $ AUTOMOBILE LIABILITY C OMBINED aa accident LIMIT $ 1,000,000 C X ANY AUTO BAP554332000 1/1/2014 1/1/2015 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident D X UMBRELLALIAB I X I OCCUR 5811024735 1/1/2014 1/1/2015 EACH OCCURRENCE $ 4 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 8,000,000 DED I I RETENTION $ _ $ WORKERS COMPENSATION P A AND EMPLOYERS'LIABILITY YIN 2126413001 12/31/201312/31/201d X STATUTE ER ER ANY PROPRIETORIFARTNER/EXECUTIVE (_ j N / A E.L. EACH ACCIDENT 1$ 500,000 OFFICER/MEMBER EXCLUDED? u 500,000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under 500,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ S $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 701, Additional Remarks Schedule, may be attached if more space is required) N , RE: Jackson Square - Full Maintenance Program, Chiller Systems O Monroe County Board of County Commissions, as Designated Organization, is an Additional Insured a respects General Liability, Auto. 30 Day notice of Cancellation in favor of Additional Insured a$D t rT1 respects General Liability, Auto, Umbrella. Above applies when required by written contract subjesc_- C_ to the terms, conditions and exclusions of the policy. "�� Ic C 4 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES B CANCELLED BE E THE EXPIRATION DATE THEREOF, NOTICE WILL BE DENMRE N ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 ©1988 -2013 ACORD CORPORATION. All rights reserved. ACORD 25 (2013/04) The ACORD name and logo are registered marks of ACORD