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Certificates of Insurance AC R r CERTIFICATE OF LIABILITY INSURANCE 7t112oz2 1912021 °ATE 8/19 1.,,... 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 pollcy(les)must have ADDITIONAL INSURED provisions or 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 ri hts to the certificate holder In lieu of such endorsements. ONTACT PRODUCER Lockton Companies NAMEE: 444 W.47th Street,Suite 900 PHONE FAx _-- dAlC AIC No): Kansas City MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC N INSURER A:Valley Fore Insurance CorWny —-- 20508 INSURED S . E IC INSURER B Travelers Property Casualty Co of America 25674 1492483 - — 1615 EDGE"fATER DRIVE,SUITE 200 INSURERC American Casualty Cornan of}heading,PA- 20427 ORLANDO FL 32804 INSURERm Lexinn Tnsuran_ceCorrlpny ........ - i 19437 INSURER E:National Fire Insurance Co of Hartford 20478 INSURER F: COVERAGES CERTIFICATE NUMBER: 17777737 REVISION NUMBER: xxxxxxx 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. —r - INSR! Ap®6�U�T LIC1P EFF POLY ExP ___.__. ......... LTR 1 OF INSURANCE j POLICY NUMBER MWDDIYYYY . M D LIMITS CLAIMS-MADE lil OCCUR 7t112021 ; 711� 22 G EACH OCCURRENCE x_ _100OOOQ ' aA�E�T R�TE Ncs � - - L X Y N G042S44344 PREMISES dEa occurrence, s 1000,000 COMMERCIAL GENERAL LIABILITY ---._--- _..._---- MED EXP(Any one person) $ 15,000 PERSONAL a AOV INJURY r$ 1,000,000 GEN'L AGGREGATE LIMY APPLIES PER: GENERAL AGGREGATE x 2�_ OOQ 000 PRO- — P ._� LICY ..]JECT Ek Lt ( PRODUCTS-COMPIOP AGG ;s 2�0001000 I OTHER: A AUTOMOBILE LIABILITY C MBINED SINGLE LIMIT Y N BUA 7015194548 711f2021 71112022 p �qu0 ooQ 000 E -- _ p _ X ANY AUTO BODILY INJURY(Per ) 5 XX X OWNED _ SCHEDULED ( BODILYINJURY(Per accident) 5..._ _ AUTOS ONLY AUTOSX X, X _ PROPERTY S-XX XXXAUTOS ONLY AU S OWED Farr t sXXXXXXX B L EXCESS X CUR N N CUP-2S937960-2I-NF 711f2021 7/1t2022 EACH OCCURRENCE s. 5-00000 -- — AGGREGATE �S 5 Q00 OOQ X RETENTION s 10 000 ( _ _--_- -- �.__ t Ms DE' DED i s xxxxxxx WORKERS COMPENSATION PER OTH- ANO EMPLOYERS°L ILRY Y B N WC 7015I54143 71IP2 2I 7t112022 )C sT,�TUTIE !ER ;..._....._ ......... ANY PROPRIETOR PARTNERrcxEcurrrE E.L. ACH ACCIDENT I s 1 000 000 OFFICE EMBER ExCLUC N !NIA ery -- -_- --'- '--- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE!$ 1 000 000 VI yes describe under --- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT ;$ 1 000 000 D PROFESSIONAL N N 031565551 7/1/2021 71I(2022 $5 000,l. PER CLAIM{$5,000,000 LIABII ( AGGREGATE i I DESCRIPTION OF OPERA71ONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space Is required) RE:20141338-ROWELUS WATERFRONT"PARK.MONEROE COUNTY AND MONROE COUNTY BOARD OF COUNTY COMMISSIONERS,ITS OFFICERS ANE EMPLOYEES ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILJTY AND AUTO LIABILITY;IF REQUIRED BY WRITTEN CONTRACT. • 1, I +.,. w . 8 . 23 . 2021 _m. CERTIFICATE HOLDER CANCE 17777737 MON OF COUNTY BOARD OF COI INT Y COMMISSIONEI S SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1 I00 WIMONTON STREET l T THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I�WFST 33 0 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 1988C1015 ACORD CORPORATION. All rights reserved, ACORD 25(2016/03) The ACORD name and logo are registered marks Of ACORD ACORN® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 6/30/2017 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 have ADDITIONAL INSURED provisions or 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 endorsements . PRODUCER BB&T Insurance Services, Inc. 2108 W. Laburnum Ave Suite 300 PO Box 17370 CONTACT Sand Krevonick Sandyrevoni NAMEPHONE . FAX 888-751-3010 (A/c No EMAIL . skrevonick@bbandt.com INSURERS AFFORDING COVERAGE NAIC # Richmond VA 23227 INSURER A:Valley Fore Insurance Company 20508 INSURED 35SMEINC INSURER B: Continental Insurance Company 35289 S&ME Inc. INSURERC:Travelers Property Casualty Co of Amer 25674 1615 Edgewater Drive;Suite 200 Orlando, FL 32804 INSURERD:American Casualty Co of Reading PA 20427 INSURER E :XL Specialty Insurance Company 37885 INSURER F : COVERAGES CFRTIFICATF NIIMRFR- 1009826176 RPVISInNI hI"IMRFR- 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 POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 6042844344 7/1/2017 7/1/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR 'AMA GEENTED S( RMISES Eaoccurrence)$1,000,000 PRE MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 GEN'L POLICY a PECOT- [X]LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: B AUTOMOBILE LIABILITY Y Y 6042844313 7/1/2017 7/1/2018 Ea accident $1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE Per accident $ C X UMBRELLA LIAB X OCCUR ZUP51M6239517 7/1/2017 7/1/2018 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DIED X I RETENTION $10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A Y WC642647965 7/1/2017 7/1/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $1,000,000 E Professional Liability DPR9915178 7/1/2017 7/1/2018 5,000,000 Per Claim 5,000,000 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Umbrella policy extends over General Liability, Automobile Liability and Employers' Liability coverages. In the event the Company cancels the General Liability, Automobile Liability and Employers' Liability policies for any statutorily permitted reason other than non-payment of premium, the Company agrees to provide ninety (90) days' notice of cancellation of the Policy to any entity with whom the NAMED INSURED agreed in a written contract or agreement would be provided with noti of cancaio the Policy. See Attached... VE B REM�EV CERTIFICATE HOLDER CANCELLATION E f l' l I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Room 2-216 Key West FL 33040 AUTHORIZED REPRESENTATIVE � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 35SMEINC AC V Wellff f ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY BB&T Insurance Services, Inc. NAMEDINSURED S&ME Inc. 1615 Edgewater Drive;Suite 200 Orlando, FL 32804 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE In the event that the Companies cancel the Professional Liability policy for any statutorily permitted reason other than non-payment of premium, the Companies agree to provide thirty (30) days' notice of cancellation of the Policies to any entity with whom the NAMED INSURED agreed in a written contract or agreement would be provided with notice of cancellation of the Policies. Project: Big Pine Key Swimming Hole Monroe County BOCC is included as Additional Insured with respect to General Liability and Automobile Liability Coverage. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACOR 7 0 `" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 16/30/2017 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 have ADDITIONAL INSURED provisions or 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 endorsements . PRODUCER BB&T Insurance Services, Inc. 2108 W. Laburnum Ave Suite 300 PO Box 17370 CONT NAMEACT Sandy Krevonick PHONE 804-678-5026 AX . 888-751-3010 E-MAIL skrevonick@bbandt.com INSURER 5 AFFORDING COVERAGE NAIC # Richmond VA 23227 INSURER A:Valley Fore Insurance Company 20508 INSURED 35SMEINC INSURERB:Contlnental Insurance Company 35289 S&ME Inc. INSURER C :Travelers Property Casualty Co of Amer 25674 1615 Edgewater Drive;Suite 200 Orlando, FL 32804 INSURER D :American Casualty Co of Reading PA 20427 INSURER E:XL Specialty Insurance Company 37885 INSURER F : COVERAGES CERTIFICATE NIJMRFR- 1009826176 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. INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MM/DDIYYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 6042844344 7/1/2017 7/1/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X� OCCUR DAMAGES( RENTED PREMISES Ea occurrence) $1,000,000 MED EXP (Any one person) $15,000 PERSONAL & ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 GEN'L PRO - POLICY 7 EIE CT I_I LOC PRODUCTS - COMP/OP AGG $2,000,000 $ OTHER: I B AUTOMOBILE LIABILITY Y Y 6042844313 7/1/2017 7/1/2018 MBINE Ea accident Mrn$1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED NON -OWNED AUTOS ONLY %( AUTOS ONLY PROPERTY DAMAGE Per accident $ C X UMBRELLA LIAB X OCCUR ZUP51M6239517 7/1/2017 7/1/2018 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAB CLAIMS -MADE DIED X I RETENTION $10,000 $ 1 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F_N] N / A y WC642647965 7/1/2017 7/1/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 E Professional Liability DPR9915178 7/1/2017 7/1/2018 5,000,000 Per Claim 5,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) If + ,r l'I v AGE N Umbrella policy extends over General Liability, Automobile Liability and Employers' Liability coverages. BY W N/A In the event the Company cancels the General Liability, Automobile Liability and Employers' Liability policies for any st utorily permitted reason other than non-payment of premium, the Company agrees to provide ninety (90) days' notice of cancellation of the Policy to any entity with whom the NAMED INSURED agreed in a written contract or agreement would be provided with notice of cancellation of the Policy. See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Room 2-216 Key West FL 33040 AUTHORIZED REPRESENTATIVE e_ C_ - J_11� 1�. ak @ 1988-2015 ACORD CORPORATION. All rights reserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 35SMEINC ACO AGENCY BB&T Insurance Services, Inc. POLICY NUMBER CARRIER LOC #: ADDITIONAL REMARKS SCHEDULE NAIC CODE NAMED INSURED S&ME Inc. 1615 Edgewater Drive;Suite 200 Orlando, FL 32804 EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 In the event that the Companies cancel the Professional Liability policy for any statutorily permitted reason other than non-payment of premium, the Companies agree to provide thirty (30) days' notice of cancellation of the Policies to any entity with whom the NAMED INSURED agreed in a written contract or agreement would be provided with notice of cancellation of the Policies. Project: Big Pine Key Swimming Hole Monroe County BOCC is included as Additional Insured with respect to General Liability and Automobile Liability Coverage. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD