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COI Expires 10/28/2017
qc® 0 F10/28/2016 ATE (MM/DDIYYYY) 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 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 NAME liSl:3tin Tuhacek Lassiter -Ware Insurance of Maitland PHONE (800) 845-8437 FAX No. (SSB►BB3-86B0 2701 Maitland Center Parkway EoodIess:iatinTlassiter-ware.coml Suite 125 INSURERS AFFORDING COVERAGE NAIC N Maitland FL 32751 INSURERAACe American Insurance Cop any 22667 INSURED INSURER B .Underwriters at Llo d' s Landon Sweetwater Environmental, Inc. at al INSURER 8025 Associate Blvd. I INSURERn Sebring FL 33876 IINSURER F: COVERAGES CERTIFICATE NUMBER:16-17 Master Sweetwater 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 REOUIREMENT. 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. TYPE OF INSURANCE _ _ r POLICY NUMBER POLICY EFF, ,...POLICY EXP 411=222U LIMITS X COMMERCIAL GENERAL LIABILITY j I EACH OCCURRENCE I A CLAWS -MADE l X.. OCCUR 1 CETorArWj~orl._ 300,000 1 ? CMIsES fE uc�rarrww!# X iG27918918 002 L$ .. ................_..,. ,.. 10128/2016 10/28/2017MED EXP tAny one Aersun} t S 25,000 $ PERSONAL 3 ADV INJURY _ S 11000,000 N GEWpL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC PRODUCTS-COMPIOPAGG E 2,000,004 OTHER: - S AUTOMOBILE LIABILITY D0,000 CO IN IN LE LIMIT 5 i0 NNN X ANY AUTO A BODILY INJURY (Per person) S AOa SCHEDULED H08460644 002 AUUTOSS AUTO5 X 10/29/2016 10/28/2017 BODILY INJURY (Per accident) 3 S NON -OWNED ; HIRED AUTOS " X AUTOS r,,,uX „e� ......,_. PROPERTY DAMAGE ..,. . ..,. ,,.. ..w ..... PIP 3 101 000 UMBRELLA LIAR , X OCCUR L .... I EACH OCCURRENCE $ 4 , 000 r, 000 _ EXCESSLIABCLAIMS•MADE' $ Xr, �VGIX50049300 AGGREGATES 4,000,000 OED X ,RETENTION 0 - _.. _.. 10/28/2016 10/28/2017 S xWORKERS COMPENSATION ` fPER OTH STISTUTE ER AND EMPLOYERS' LIABILITY s YIN t ....._ _ " nANY PROPRIETORIPARTNERIEXECUTIVE , OFFICER/MEIrIBER EXCLUDED? NIA E L EACH ACCIDENT S --- I(Mandatory Ip NHI E El DISEASE EA EMPLOYES S i H �s. desuibe under . ____., ...... .. ,R1RTI N fIF O?ERA710NS below E.L. DISEASE - POLICY LIMIT S A Pollution Liability IG27918918 002 10/29/2016 10/28/2017 OccurrenceUmt I,000,040 c X i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 14.1. Additional Remarks Schedule" may bpi attached It more space Is required) Monroe County Board of County Commissioners is listed Additional Insured on premises operations on General Liability and Auto Liability (Excess is follow forms) with respect to work being performed by the insured under the terms and conditions of the policy when required by wrIttepIcontra, APPR Y RI NAG BY r CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissione THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN C/O Monroe County Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Joan Sherry 1100 Simonton Street AUTHORIZED REPRESENTATIVE Room 2-231 Key West, FL 33040 Paul Ziceardi/KRISTT ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025I2'v"1mi)