COI Expires 06/14/2017TINSL-1 OP ID: NR
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CERTIFICATE OF LIABILITY INSURANCE03/2712017
ATE (MMIDDIYYYv)
r
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
BUTLER, BUCKLEY, DEETS INC.
6161 BLUE LAGOON DR., STE 420
MIAMI, FL 33126
Elliott McKiever & Stowe
CONTACT
NAME:
PHONE FAx
A/C No Ext : AIC, No
E-MAIL
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAIL #
INSURER A: Mapfre Ins Co of Florida
INSURED Tinsley Advertising Marketing,
Inc'
2000 S Dixie Hwy ,Ste 201
Miami, FL 33133
INSURER B : STARR INDEMNITY & LIABILITY CO
38318
INSURER C : AXIS Insurance Company (ADM)
INSURER D: HARTFORD FIRE INS CO
INSURER E
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.
INYEXP
SR
LTR
TypE OF INSURANCE
D
WVD BR
POLICY NUMBER
YEFF
MM/DIDIIYYYY
MM DIYYYY
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
DAMAGE
PREMISES Ea occurrence
$ 300,000
B
X COMMERCIAL GENERAL LIABILITY
X
1000370321171
03/25/2017
03/25/2018
MED EXP (Any one person)
$ 10,000
CLAIMS -MADE � OCCUR
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
POLICY PRO JECTLOC
AUTOMOBILE LIABILITY
INED
EOa aBcidentSINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
A
ANY AUTO
X
4150130008458
06/14/2016
06/14/2017
BODILY INJURY (Per accident)
$
ALL OWNED X SCHEDULED
AUTOS AUTOS
X HIRED AUTOS X NON -OWNED
AUTOS
PROPERTY DAMAGE
PER ACCIDENT
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION$
$
D
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
21WECDR1406
01/01/2017
01/01/2018
X I WC STATU- OTH-
TORY LIMITS ER
E.L. EACH ACCIDENT
$ 500,000
E.L. DISEASE - EA EMPLOYE
$ 500,000
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
N / A
E.L. DISEASE -POLICY LIMIT
$ 500,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
C
PROFESSIONAL LIAB
MCN000095101701
02/1112017
02/11/2018
LIMIT 1,000,000
RETENTION $15000
OCCURENCE FORM
EAC LOSS 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required)
ONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS ADDITIONAL INSURED WITH
REGARD TO COMMERCIAL AUTO.
E GEMENT
IWAN �p YES
CERTIFICATE HULUEK liAlY 6rGLLA 1 "19
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
U 191513-2010 ACUKU GUKIIUKA I IUN. Ali rlgnxs reserves.
ACORD 25 (200 The ACORD name and logo are registered marks of ACORD
CG