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COI Expires 03/17/2018
ACe DATE (MMIDDIYYYY) 40 CERTIFICATE OF LIABILITY INSURANCE 5/17/2017 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 endorsemen s). PRODUCER CONTACT NAME• Susan Cherrybon The Johnsons Insurance Agency PHONE fto Do. (305) 872 2888 FAX Noy (305)872-2324 30975 Ave A ADDREADORE SS: Scherry@johnsonsinsure.com INSURER!§) AFFORDING COVERAGE NAIC 9 Big Pine Key FL 33043 INSURERA:Sentinel Insurance Co. Ltd 11000 INSURED INSURER B : Diversified Services Of Key INSURERC: 50d llth Ave INSURER0: INSURER E : Key West FL 33040 INSURERF: COVERAGES CERTIFICATE NUMRFR-CL1751715578 REVISION NL1MFIER- 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. . - 'ADOL,SU9R IN$R POLCY ELF ' POLICY EXP ILTIR TYPE OF INSURANCE POLICY NUMBER LIMITS X 'COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 - _ A CLAIMS -MADE X OCCUR ' UAiGA� REFt1'F0 PREAAISE-$ (F�a gcaurence) $ 1,000,000 X 21SBMBU7181 3/17/2017 3/17/2018 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JJECT LOC PRODUCTS - COMP/OP AGG $ 2 000 , 000 OTHER: FLFIG $ AUTOMOBILE LIABILITY'COMBINED $ .(Ee_e�uaa„ti ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED - AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS fPer accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED { i RETENTION S WORKERS COMPENSATION 'PER OM SITAME ERANY AND EMPLOYERS' LIABILITY YIN • _ ECUTIVE _.I' E.L. EACH ACCIDENT $ '' NIA :O FICERIMEMBER EXCLUDED? (MlratIMM in NH) E L DISEASE EA EMPLOYEE $ N ppes describe under _ . _---_-- E GAfffl N OPERATIONS below E.L DISEASE - POLICY LIMIT ! $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached U more space is required) Janitorial Services CERTFICATE HOLDER IS ADDITIONAL INSURED WITH RESPECT TO WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED AS REQUIRED BY WRITTEN CONTRACT. PLEASE REFER TO THE ADDITIONAL INSURED E RS NT. BY PR D SK FJV AT nl� WAII Y CC Monroe County Board Of County Commissioners 1100 Simonton Street Key West, FL 33040 L SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AZrwft D REPRO ACORD 25 (2014/01) INS025 (201401) C ISOO-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0 F AC<N?V CERTIFICATE OF- LIABILITY INSURANCE DATE(MM10DlYYYY) 5/17/2017 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 Susan Cherrybon ... _-----------... ---._.,- - -------.... __..._......._.__------ The Johnsons Insurance Agency .PHONE Exq (305) 872-288B. - �LL{41C No)- (305)872-2324 - 30975 Ave A E-MAIL Scher @johnsonsinsure.com INSURER S) AFFORDING COVERAGE NAIC 9 Big Pine Key FL 33043 INSURERA:Sentinel Insurance Co. Ltd I11000 INSURED INSURER B _ I Diversified Services Of Key INSURERC: I 50d llth Ave INSURER D INSURER E : Key West FL 33040 INSURERF: rnvr_oer-Gc r_FRTIFI('ATF NI HUIRFR-CL1751715578 RFVISION NIIMRFR- 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. _ - �AODLISIIBRI- - ILTR 1--- - - M — - MM/ _) F; I MM UDmYPY . TYPE OF INSURANCE POLICY NUMBER LIMITS R COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE_ I $ 1,000,000 S ' I{ A i CLAIMS -MADE j OCCUR I 121SBI-MU7181 1 111-DAMiiG`E i �,PREMISES,(Ea fb ME NY D j 1,000,000 occurrences $ -1 _ - _-_ MED EXP (Any one person) $ 10, 000 -_-w _X_� X I- 3/17/2017 3/17/2018 -' -------'- - - -� 1 PERSONAL 8 ADV INJURY $ 1,000,000 I GENERAL AGGREGATE ' $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: 4 I I _ PRODUCTS - COMP/OP AGG 1 $ 2,000,000 _ x) POLICY JECT LOC i , � --- OTHER: t � i FLFIG is I AUTOMOBILE LIABILITY ( ! 1 COMBINED SINGE tMIT ( $ L(Ea accident)- - — --- — -- — j ANY AUTO BODILY INJURY (Per person)- i $— _ ALL OWNED SCHEDULED -� j — ^--- - BODILY INJURY (Per accident) I $ AUTOS _( AUTOS 1 NON -OWNED I PR OPERTY CAMAGE $ _ _ HIRED AUTOS AUTOS i [SPer accident) UMBRELLA LIAR -' OCCUR i I EACH OCCURRENCE $ - I___-____.___------1___-___-- EXCESS LIAR CLAIMS -MADE - - -j - AGGREGATE I, $ - - 1 DED I I RETENTION $ ( IS WORKERS COMPENSATION I I i STATUTE AND EMPLOYERS' LIABILITY YI N I -_I _-ER.-- [ ANY PROPRIETOR/PARTNER/EXECUTIVE �� / A OFFICERNEMBER EXCLUDED? j E.L. EACH ACCIDENT i $ _ i T '�--�.i_-----""' �-----' -- '- tN �(Mandalory in NH) i I i E.L DISEASE - EA EMPLOYEE $ 11Yyes desuiheunder I OESGIRIPTION OF OPERATIONS below I i E.L. DISEASE -POLICY LIMIT ; $ I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Janitorial Services CERTFICATE HOLDER IS ADDITIONAL INSURED WITH RESPECT TO WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED AS REQUIRED BY WRITTEN CONTRACT. PLEASE REFER TO THE ADDITIONAL I SURED E EMENT. APP V B I A WENT n' D TE OY��G/jL WAIVER N A YES _ CC rFRTH:ICATF 1-Ir]I nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board Of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHO ZED REPRESEN TIVE Key West, FL 33040 G.I►: S ,%9ftD RA" ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)