COI Expires 09/09/2018ECOSGA OP ID: AP
.acoMIX CERTIFICATE OF LIABILITY INSURANCE
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DATE 0911412lY7
0911412017
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
The Hilb Group of Florida LLC
3438 Colwell Avenue
Tampa, FL 33614
Tom Burgess
CONTACT Pee les
_Audrey
PHONE g13-636�000 .A No : 813-281-1086
a Ne Ext
ADDRESS:
INSURER(S) AFFORDING COVERAGE
NAiC p
INSURER A: Arch Speciality Insurance
11150
INSURED EE&G CONSTRUCTION & ELECTRICAL
LLC
INSURER a: Arch insurance Company
INSURER C : Hanover Insurance Company
01386
5751 Miami Lakes Dr. East
Miami Lakes, FL 33014
INSURER D
INSURER E :
INSURER F :
GOVEHAUL5 VCR 1 irtum i C PrurvlUGrx-
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.
ILTR
A
TYPE OF INSURANCE
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 0 occuR
X Pollution Liab
POLICY NUMBER
12EMP43870 11
12EMP43870 11
MM/D EFF
09/19l2017
09/19/2017
MM/D
09/19I2018
09/19/2018
LIMITS
EACH OCCURRENCE
$ 2,000,00
PREMISES DAMAGE ToEaoaurrence
$ 50,00
MED EXP (Any one person)
$ 5,00
PERSONAL & ADV INJURY
$ 2,000,00
Claims Made
GENERAL AGGREGATE
$ 2,000,00
GEITL AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
a JECT LOG
PRODUCTS -COMP/OP AGG
$ 2,000,00
$
OTHER:
AUTOMOBILE LIABILITY
(Ea accidentSINGLE LIMIT
$ 1,000,00
BODILY INJURY (Per person)
$
B
ANY AUTO
ALL OWNED IxSCHEDULED
AUTOS AUTOS
NON-OWNEDHIRED AUTOS AUTOS
I
11 CABS8239 10
09119/2017
09/19/2018
BODILY INJURY (Per accident)
$
PPROPEERY DAMAGE
$
$
B
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
12EMX43769 12
09/19/2017
09/1912018
EACH OCCURRENCE
$ 3,000,00
X
AGGREGATE
$ 3,000,00
ER TH
$
DEO I X RETENTION $ none
WORKERS COMPENSATION
X I STATUTE I J ER
E.L. EACH ACCIDENT
$ 1,000,00
B
A
C
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNERIEXECUTNE
OFnCER/MEMSEREXCLUDED?
(Mandatory in NH)
(Mandatory
atory in raider
DESCRIPTION OF OPERATIONS below
Professional Liab
Lease/Rented Equip
N/A
EBWCC00007 09
12EMP4387011
RHJ8174753
09/19/2017
09/1912017
06/30/2017
09/19/2018
09/19/2018
06/30/2018
E.L DISEASE - EA EMPLOYE
$ 1,000,00
E.L DISEASE - POLICY LIMIT $ • 1000100
Ciaim/AGG 2,000,00
Limit 828,00
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schadula, may bs attached if more space Is "fired)
Monroe County Board of County Commissioners are named as Additional Insured
with respect to General Liability and Automobile Liability. 4APPD p�.p���"' D: CW(,
/A JrEME4T
cc; -,j' it
AtA4 -0
Monroe County Board of
County Commisioners
1100 Simonton St 2-216
Key West FL 33040
C.G -
MONRCNT I
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
w TIA\I All -... U_ -----A
ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD