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Certificates of Insurance
A� o ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /OD/YYYY) 6/26/2018 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 Linda Mitchell CIC NAME: Sutter, McLellan, & Gilbreath, Inc. PHON ,Ex1): (770)246 -8300 FAX (678)802 -3971 1424 North Brown Road E -MAIL : lmitchell @smginsurance.com Suite 300 INSURER(S) AFFORDING COVERAGE NAIC # Lawrenceville GA 30043 -8107 INSURER A :Travelers Indemnity Co. 25658 INSURED Cox Corrections X LLC; Judicial Corrections INSURER B :Evanston Services, LLC; NE GA Probation Services, Inc. INSURERC:QBE Insurance Corporation 39217 Professional Probation Inc. INSURER D:Crum & Forster 1770 Indian Trail Road Suite 350 INSURERE: Norcross GA 30093 INSURERF: COVERAGES CERTIFICATE NUMBER:2018 - 2019 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD wvn POLICY NUMBER (MM /DD/YYYY) (MMIDD /YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE RENTE A CLAIMS -MADE X OCCUR PREMSES (Ea occurence) , $ 300,000 X I6608F078876IND18 6/24/2018 6/24/2019 MEDEXP(Anyoneperson) $ 5,000 PERSONAL & ADV INJURY $ Excluded GEN'L AGGREGATE LIMIT APPLIES PER APP V II MANAGEMENT GENERAL AGGREGATE $ 2,000,000 X POLICY JECT BY PRO- LO C BY n PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: 047 $ COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY ( ac ANY AUTO WAIVER Nhea Yea BODILY INJURY (Per person) $ A ALL OWNED SCHEDULED AUTOS AUTOS I6608F078876IND18 6/24/2018 6/24/2019 BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED Per TY DAMAGE $ AUTOS (Per ) , $ X UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ 1,000,000 B EXCESSLIAB CLAIMS -MADE AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 XOBW7193017 6/24/2018 6/24/2019 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE _ ER ANY PROPRIETOR /PARTNER /EXECUTIVE N / A E.L. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Errors & Omissions QPL0240710 7/8/2017 7/8/2018 Per Claim /Aggregaqte 2,000,000 D Employee Dishonesty Policy Limit 100,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Monroe County Board of County Commissioners is an additional insured as defined by the policy as respects General Liability when required by written contract. Cancellation clause cannot be amended. CERTIFICATE HOLDER CANCELLATION Limbert- Christine @MonroeCo 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 1111 12th Street, Suite 408 ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE D D Gilbreath, CIC /LIND ( i --- , --- -) - <-)1.-_(9--,4 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) 7 0 ACOR CC CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 7/10/2017 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 Sutter, McLellan, & Gilbreath, Inc. 1424 North Brown Road Suite 300 Lawrenceville GA 30043 - 8107 CONTACT Linda Mitchell CIC NAME: A/ °N N Ext). (770)246 -8300 iac, No►: (678)802 - 3971 A D DRE ,lmitchell @smginsurance.com INSURER( AFFORDING COVERAGE NAICif INSURERA:Travelers Indeirmity Co. 25658 INSURED Cox Corrections X LLC Georgia Probation Management 1770 Indian Trail Road Suite 350 Norcross GA 30093 INSURER B :Evanston COMMERCIAL GENERAL LIABILITY INSURERC:QBE Insurance Corporation 39217 INSURERD:CrUBI & Forster INSURERE: E ACH O INSURER F: A COVERAGES CERTIFICATE NUMBER:2017 -2018 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 LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDD MMIDD LIMITS X COMMERCIAL GENERAL LIABILITY M Jaynes CSP /LINDAM E ACH O 5 1,000,000 A CLAIMS -MADE ❑X OCCUR PREMISES SES ( a occurrence) S 300,000 MED EXP (Any one person) $ 5,000 X I6608FO78876IND17 6/24/2017 6/24/2018 PERSONAL & ADV INJURY $ Excluded AP V ( RI MAN GEMENT GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT F-1 LOC OTHER: BY DAT PRODUCTS- PRODUCTS 5 2,000,000 / I s AUTOMOBILE LIABILITY WAIVER WA�_ YES.._... COMBINED SINGLE LIMIT Eaaccident I $ 1,000,000 BODILY INJURY (Per person) S A ANY AUTO A O SCHEDULED AUTOS AUTOS 16608FO78876IND17 6/24/2017 6/24/2018 BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident $ NON -OWNED X HIRED AUTOS X AUTOS S X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 1,000,000 AGGREGATE S 1,000,000 B EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,000 $ XOBW6628916 6/24/2017 6/24/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE STAT H UTE ER E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED7 (Mandatory in NH) NIA E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT I S If yes, describe under DESCRIPTION OF OPERATIONS below C Errors & Omissions QPL0240710 7/8/2017 7/8/2018 Per Claim & Aggregate $2,000,000 D Employee Dishonesty 626- 035805 -1 9/1/2017 9/1/2018 Policy Llmit $100,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Monroe County, Board of County Commissioners is an additional insured as defined by the policy as respects General•Liability when required by written contract. Cancellation clause cannot be amended. CFRTIFICATF Hni _nFR CANCELLATION Limbert- Christine@MonroeCo 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 1111 12th Street, Suite 408 ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE . M Jaynes CSP /LINDAM ACORD 25 (2014/01) INS025 (201401) @ 1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD® �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 7/10/2017 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 Linda Mitchell CIC NAME: _ A/�Nro Ext: (770) 246-8300 FA/C No: (678)802-3971 Sutter, McLellan, & Gilbreath, Inc. AIL ADDRESS,lmitchell@smginsurance.com 1424 North Brown Road INSURERS AFFORDING COVERAGE NAIC # Suite 300 INSURERA:Travelers Indemnity Co. 25658 Lawrenceville GA 30043-8107 INSURED INSURER B :Evanston INSURERC: BE Insurance Corporation 39217 Cox Corrections X LLC; Professional Probation INSURERD:Crum & Forster Services; Judicial Corrections Services, LLC INSURERE: 1770 Indian Trail Road Suite 350 INSURERF: Norcross GA 30093 COVERAGES CERTIFICATE NUMBER:20 '7-2018 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 LTR TYPE OF INSURANCE INSD WVD SUER POLICY NUMBER MMIDDPOLICY/YYYY MM/ DNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE 7 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300, 000 MED EXP (Any one person) $ 51000 X I6608FO78876IND17 6/24/2017 6/24/2018 PERSONAL & ADV INJURY $ Excluded GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X PRO POLICY JECT PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 11000,000 BODILY INJURY (Per person) $ A ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS I6608FO78876IND17 6/24/2017 6/24/2018 X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB XCLAIMS-MADE OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 B EXCESS LIAB DED I X I RETENTION$ 10,000 $ XOBW6628916 6/24/2017 6/24/2018 WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C Errors & Omissions QPL0240710 7/8/2017 7/8/2018 Per Claim&Aggregate $2,000,000 D Employee Dishonesty 626-035805-1 9/1/2016 9/1/2017 Policy Limit $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Monroe County Board of County Commissioners is an additional insured as defined by the policy as respects General Liability when required by written contract. APPROVE YRIS NAGEMENT Cancellation clause cannot be amended. BY DATE-' WAIVE�N/ YE8�. VCRI IrR.AI r- r1VLUC11 UANULLLAI IUN Limbert-Christine@MonroeCo Monroe County Board of County Commissions 1111 12th Street, Suite 408 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 Jaynes CSP/LINDAM �� C ACORD 25 (2014/01) INS025 (201401) ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACOR To �i CERTIFICATE OF LIABILITY INSURANCE DATE (MWDWYYYY) 6/26/2017 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 endorseme s . PRODUCER Sutter, McLellan, &Gilbreath, Inc. 1424 North Brown Road Suite 300 Lawrenceville GA 30043-8107 CONTACT NAME, Linda Mitchell CIC PHONE (770)246-8300 A No:(67d)e02-3971 ADDRESS: lmi tchellosmginsurance. com INSURE 8 AFFORDING COVERAGE NAICM INSURERA:Travelers Indemnity Co. 25658 INSURED Cox Corrections X LLC; Professional Probation Services; Judicial Corrections Services, LLC 1770 Indian Trail Road Suite 350 Norcross GA 30093 INSURER B :Evanston INSURERC: BS Insurance Corporation 39217 INSURERD:Crum & Forster INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:2017-2018 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 LT TYPE OF INSURANCE POLICY NUMBER EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A CLAIMS -MADE I xJ OCCUR DAMA ET RENTED PREMISEStEaocc_umen� $ 300,000 - MED EXP (Any one person) $ 5,000 X I6608FO78876IND17 An:,�ANAGEMENTk/F . Y RIS t 6/24/2017 6/24/2018 PERSONAL & ADV INJURY $ Excluded AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L R X POLICY n PRO- JECT D LOC OTHER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY .— COMBINED SINGLE LIMIT Ea acdden�._ $ BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS I6608FO78876IND17 6/24/2017 6/24/2018 ''AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS NON -OWNED X AUTOS _ $ PROPERTY DAMAGE Per soddenl $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 B EXCESS LIAR CLAIMS -MADE DEDJ X RETENTIONS 10,000 $ XOBW6628916 6/24/2017 6/24/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE D OFFICERIMEMBER EXCLUDED? NIA I OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE — $ (MandatM In NH) If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT _-- - $ C Errors & Omissions QPL0240710 7/8/2016 7/8/2017 Per Claim & Aggregate $2,000,000 D Employee Dishonesty 626-035805-1 9/1/2016 9/1/2017 Policy Limit $100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Scheduls, may be attached If more space Is required) Monroe County Board of County Commissioners is an additional insured as defined by the policy as respects General Liability when required by written contract. Cancellation clause cannot be amended. Limbert-Christine®MonroeCo Monroe County Board of County Commissione 1111 12th Street, Suite 408 Rey West, FL 33040 GL L@f:.0 Lh a q m_t 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 Jaynes CSP/LINDAM 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (2ol401)