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COI Expires 12/01/2017ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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 endorsements . PRODUCER NTA T NAME: Todd Peters FAX PHONE -- A/C No:-- Harden and Associates 501 Riverside Avenue, Suite 1000 Jacksonville FL 32202 E-MA1302 IL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A:Charter Oak Fore Insurance CO 2.5615 INSURED REYNO-1 INSURER B:Tr V l r Indemnity Company INSURER C:Travelers Property/Casualty Co Z5674 RS&H, Inc. 10748 Deerwood Park Blvd S Jacksonville FL 32256 INSURER D:Ph nix Insurance Com n 2 INSURER E:LlOydS of London 2 2 INSURER F:LIOVdS. London COVERAGES CERTIFICATE NUMBER: 1855133951 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 INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DDYYY /Y POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY 630-4711 N755-COF-17 6/28/2017 6/28/2018 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 CLAIMS -MADE li-I OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2,000,000 $ POLICY PRO LOC B AUTOMOBILE LIABILITY 8104621M601-IND-17 6/28/2017 6/28/2018 COMB INE97nTa-FTT9rr- Ea accident $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS X PROPERTY DAMAGE Per accident)$ NON -OWNED HIRED AUTOS H AUTOS Comp/Coll Deductible $1,000/$1,000 C X UMBRELLA LIAB X OCCUR CUP-3J758369-TIL-17 6/28/2017 6/28/2018 EACH OCCURRENCE $10,000,000 AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ 10,000 $ C WORKERS COMPENSATION PJUB915K337416 12/1/2016 12/1/2017 X WCSTATU- OTH- D AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? F N / A PVYCNUB5388B307 12/1/2016 12/1/2017 E.L. EACH ACCIDENT $1,000,000 (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 F E Professional Liability with Contractors Pollution Liab. DR1701772000 DR1701773000 6/28/2017 6/28/2017 6/28/2018 6/28/2018 Per Claim $5,000,000 Aggregate $5,000,000 Claims Made; 1/1/42 Retro Date Retention $50,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: CEI Services for various Monroe County Roadway and Drainage Improvements Projects Holder shall be Additional Insured where required by contract for GL and Auto Liability. JOV RIS AC�EMEM / . Y S,..,. CERTIFICATE HOLDER CANCtLLA I IUN Monroe County, a Political Subdivision 1100 Simonton St., Room 2-216 Key West FL 33040 1 C C', 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD