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COI Expires 04/01/2018
ACOROa AC� CERTIFICATE OF LIABILITY INSURANCE ATE (MM/DDNYYY) P4/14/2017 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 Prince Associates Inc. 270 Duffy Avenue Suite D Hicksville NY 11801 CONTACT NAME: Linda Godnick PHONE X (516) 822-6550 FAX No: (516)822-6564 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURERA:Travelers Property & Casualty 25674 INSURED Humane Animal Care Coalition, Inc. 283 Saint Thomas Avenue Rey Largo FL 33037 INSURER B :Travelers Casualty Ins. Co of INSURERC:Hartford Underwriters Ins Co. 30104 INSURER D : INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBERMonroe Cnty Board of Comm 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. ILTR TYPE OF INSURANCE INSD WVDSUBR POLICY NUMBER MM/LDDY� MM/DD/YYri LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 I6609146H?62TIL17 4/1/2017 4/1/2018 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GENT X PRO- POLICY ❑ JECT LOC PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COEaMBINED ccident SINGLE LIMIT a $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BA2J74023917SEL 4/1/2017 4/1/2018 BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ Uninsured motorist combined $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN X PER OTH- STATUTE I ER E.L. EACH ACCIDENT $ 100,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 9 yes, describe under NIA 12WECGZ9346 4/1/2017 4/1/2018 E.L. DISEASE - EA EMPLOYEE $ 100,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Certificate Holder is Additional Insured with regard to Animal Control, as agreed by signed written contract. B PR A G EN�gT,,,� Ow-ev � 1 0: WAIVER N/ YES -- CC'-%( 1-C CERTIFICATE HOLDER CANCFI I AT10N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Cnty Board of Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Risk Manager ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonen Street AUTHORIZED REPRESENTATIVE Room 2-2-68 Key West, FL 33040 Linda Godnick/DI ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (20 4 01) The ACORD name and logo are registered marks of ACORD INS025 t201401) ,� A60ROr CERTIFICATE OF LIABILITY INSURANCE DATE ("'BA10Df Y") 4/14/2017 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: It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WANED, subject iD 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 Iieu of such endorsemen s). PRODUCER Prince Associates Inc. 270 Duffy Avenue Suite D Hicksville NY 11801 Linda Godnick ExtPHDNE . (516) 822-6550 NOI. (516)822-6564 E:0 INSURERM AFFORDING COVERAGE NAIC! aISURERA?lravelers Property &Casualty 25674 INSURED Humane Animal Care Coalition, Inc. 283 Saint Thomas Avenue 1Cey Largo R'L 33037 muRER s ?Travelers Casualty Ins. Cc of INsuRERC$artford Underwriters Ina Co. 30104 IMRERD: INSURER E F: COVERAGES CERTIFICATE NUMBERMonroe Cnty Board of Comm 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. 818R TYPE OF INSURANCE POLICY NUMBERPOLICY EFF POLICY EXFIm La1Rs X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE y 1,000,000 A CL ms-mAm ® OCCUR $ 100,000 MED pP one ) $ 5,000 I6609146B762TIL17 4/1/2017 4/1/2018 PERSONAL A ADV INJURY $ 1,000,000 GENE AGGREGATE LUT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS - COMPIOP AGO S 2,000,000 $ OTHER: AUTOMOBILE LfABLffY BINE (ERB aockle $ 1,000,000 BODILY INJURY (Per perms) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOG BA2J74023917SEL 4/1/2017 4/1/2016 BODILY INJURY (Per acelderyt) $ HIREDAUTDS N0144"ED AUTOS PROPERTYDAMAAGE S Uninsured ffwWrM c oftWed S UMBRELLA LIAR IxCUR EACH OCCURRENCE $ AGGREGATE s ExCESSLNB CLAW -MADE RETENrwN $ WOIu09RSCOMPENSATION AND EMIPLOYWW LLLmLnT YIN EAR EXA U IVE ❑ OFFICERIMC "lllenddaryInNH) NIA 22120GZ9346 4/1/2017 4/1/2018 g STA ER El. EACH ACCIDENT $ 100,000 E.L.DISEASE- EAEMPLOYE $ 100,000 under DESCRIPTION OF OPERATKNZ below E.L. DISEASE - POLICY LaMT $ 300,000 DESCRIPTION OF OPERATIONS I LOCATWOf VEHICLES (ACORD 101, Addl l"I Rsmeks Schedule, awy be aUechad V more spice Is ralulred) Certificate Holder is Additional Insured with regard to Animal Control, as agreed by signed written contract. MENT hPPRO D#AY Y WAI N CC - Y-t le, Monroe Cnty Board of Attn: Risk Manager 1100 Simonen Street Room 2-2-68 Key West, FL 33040 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Godnick/DI G�cisdrx t�?irc�liss.=� 0 1 US-2014 ACORD CORPORATION. AN rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INW25 nou n C-c-,