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Certificates of Insurance
�.....4, CSAGROU-01 JNEIDLE A�� CERTIFICATE OF LIABILITY INSURANCE EY DA7/23/2019 TE ) 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 endorsement(s). PRODUCER CONTACT NAME: American Global LLC 390 North Broadway ja"c°O,,No,Ext):(516)387-1170 I FAX No): Jericho,NY 11753 ADMDREss:info@americanglobal.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Ins.Co.of the Midwest 37478 INSURED INSURER a:Trumbull Insurance Company 27120 • CSA Holdings,Inc./CSA Central,Inc. INSURER C:Hartford Casualty Insurance Co. 29424 8200 NW 41st Street,Suite 305 INSURER D:Twin City Fire Insurance Company 29459 Doral,FL 33166 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. INSRL TYPE OF INSURANCE AINSD SWVD POLICY NUMBER IMM/DDIIYYICY YYI (MMIDDY�1 . LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 12 UUN BM9482 7/21/2019 7/21/2020 DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIESPER: GENERAL AGGREGATE $ 2,000,000 POLICY To, LOC PRODUCTS-COMP/OP AGG $ — OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO 12 UUN BM9482 7/21/2019 7/21/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X NON-OWNEDUUT N (Per PROPERTY DAMAGE Per accident) $ $ C I X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE 12 XHU BM3213 7/21/2019 7/21/2020 AGGREGATE $ 10,000,000 DED I RETENTION$ $ D WORKERS COMPENSATION X PER SEATUTE OOTH AND EMPLOYERS'LIABILITY ER Y/N 12 WB AS1982 7/21/2019 7/21/2020 1,000,000 ANY OFFICER/MEMBER EXCLUDEDX?ECUTIVE N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may he att.• -, more space is required) Monroe County BOCC is included as Additional Insured on General Liability and Auto Li..ility p.licies as required by written contract.cies • AP 1'1rA'I; BY WAWA 1w/04, Ytet, CERTIFICATE HOLDER CANCELLATION • ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe CountyBOCC/ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Project Management 1100 Simonton Street,Rm 2-216 Key West,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CSAGROU-01 JGALLOZZI '4`OFI ow CERTIFICATE OF LIABILITY INSURANCE DA7/26/2019 TE ) 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 endorsement(s). PRODUCER CONTACT NAME: American Global LLC PHONE I FAX 390 North Broadway (A/C,No,Ext): (516)387-1170 (A/C,No): Jericho,NY 11753 ADDRESS:info@americanglobal.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Ins.Co.of the Midwest 37478 INSURED INSURER B:Trumbull Insurance Company 27120 CSA Holdings,Inc.I CSA Central,Inc. INSURER C:Hartford Casualty Insurance Co. 29424 8200 NW 41st Street,Suite 305 INSURER D:Twin City Fire Insurance Company 29459 Doral,FL 33166 INSURER E:Markel American Insurance Company 28932 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF, POLICY EXP LIMITS LTRINSD WVD (MM/DD/YYYY) (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 12 UUN BM9482 7/21/2019 7/21/2020 DAMAGETORENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECOT- X LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) ANY AUTO 12 UUN BM9482 7/21/2019 7/21/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS p PEBBOODILY INJURY(Per accident) $ X HIRED X NON-OWNED (PeO entp AMAGE AUTOS ONLY AUTOS ONLY $ C X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE 12 XHU BM3213 7/21/2019 7/21/2020 AGGREGATE $ 10,000,000 DED RETENTION$ $ D WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ER 12 WB AS1982 7/21/2019 7/21/2020 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ FFICER/MEMBEF EXCLUDED? N/A Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1'000'000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E Professional Liab MKLM7PL0001775 7/21/2019 7/21/2020 OCC/AGG 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County BOCC is included as Additional Insured on General Liability and Auto Liability policies as required by written contract. APPROV AGEMENT BY DATE `•1 5 WAIVER N/A_ S CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe CountyBOCC/ • THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN • ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Project Management 1100 Simonton Street,Rm 2-216 Key West,FL 33040 AUTHORIZED REPRESENTATIVE c5;42e4e0,0,V cYGyIJCIli a � ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ____..—.....,1 CSAGROU-01 JGALLOZZI ACL RLY CERTIFICATE OF LIABILITY INSURANCE DATE(M � 7/26/201YYY) 2019 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 endorsement(s). PRODUCER CONTACT NAME: American Global LLC PHONE FAX 390 North Broadway (A/c,No,Ext):(516)387-1170 (A/C,No): Jericho,NY 11753 ADDRIESS:info@americanglobal.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Hartford Ins.Co.of the Midwest 37478 INSURED INSURER B:Trumbull Insurance Company 27120 CSA Holdings,Inc./CSA Central,Inc. INSURER C:Hartford Casualty Insurance Co. 29424 8200 NW 41st Street,Suite 305 INSURERD:Twin City Fire Insurance Company 29459 Doral,FL 33166 INSURER E:Markel American Insurance Company 28932 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MMIDDIYYYY) (MMIDDNYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR . 12 UUN BM9482 7/21/2019 7/21/2020 DAMAGE To RENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO 12 UUN BM9482 7/21/2019 7/21/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS Fey INJURYp (Per accident) $ X AUTOS ONLY X NON-OWNEDUUT N (Per accident)SAGE $ $ C X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE 12 XHU BM3213 7/21/2019 7/21/2020 AGGREGATE $ 10,000,000 DED RETENTION$ $ D WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ER 12 B AS1982 7/21/2019 7/21/2020 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y N W E.L.EACH ACCIDENT $ FFICER/MEMBEER EXCLUDED? N/A Aandatory m NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ E Professional Liab MKLM7PL0001775 7/21/2019 7/21/2020 OCC/AGG 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) _ Monroe County BOCC is included as Additional Insured on Gen ral Liability and Auto Liability policies as required by written contract. _,. AO Y M N •EMi ENT WAVER N/A -_, 1 5 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe CountyBOCC/ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Project Management 1100 Simonton Street,Rm 2-216 Key West,FL 33040 AUTHORIZED REPRESENTATIVE e Q 1 �;le sl tTJG �1tAiyVE4 tiV� ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORO® �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 8/1/2017 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 endorsements . PRODUCER Hub International Northeast Limited -NY 1065 Avenue of the Americas/ 5 Bryant Park CONTACT NAME: PHONE 212-338-2000 FA a N : 212-338-2100 E-MAIL info@hubinternational.com INSURERS AFFORDING COVERAGE NAIC # New York NY 10018 INSURER A: Hartford Casualty Insurance Company 29424 INSURED 22.404303 INSURER B: Trumbull Insurance Company 27120 CSA Holdings, Inc. INSURER C :The Hartford CSA Central, Inc. 8200 NW, 41st Street, Suite 305 INSURERD:Markel American Insurance Company 28932 Dora], FL 33166-6207 INSURER E : INSURER F : II nVFRAnFA r:FRTIFIr'ATF N1IMRFR• 636849920 RFVICIrIN 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/DDIYYYY LIMITS A GENERAL LIABILITY 1000NJA0262 7/21/2017 7/21/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X OCCUR ;tCOMMERCIAL DAMAGE TO RENTED PREMISES Ea occurrence $300,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 GEN'L POLICY JECT PRO [X]LOC PRODUCTS - COMP/OPAGG $2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 1000NJA0262 7/21/2017 7/21/2018 MBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALLOWNED X AUTOS BODILY BODILY INJURY (Per accident) $ NON -OWNED X HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ E A X UMBRELLA LIAB X OCCUR 1OXHUHZ8494 7/21/2017 7/21/2018 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DED X I RETENTION $10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE 1OWBAS1982 7/21/2017 7/21/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 D PROFESSIONAL LIABILITY MAXA7PL0001436 7/21/2017 7/21/2018 Limit: $5,000,000 Aggregate: $5,000,000 Retention: $150,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Monroe County BOCC is included as additional insured on General Liability and Auto Liability policies, as required by written contract. t LAPPR ED I NTBY WAI A Ltlaill112Ley-ItIa:Lei Ill 113i Monroe County BOCC Monroe County Project Management 1100 Simonton Street Rm 2-216 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 069/40// ACOR9 25 (2014/01) @ 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD