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COI Expires 10/28/2018
ACOR 1 0 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 10/30/2017 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 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 Kristin Tuhacek NAME: PHONE (800) 845-8437 AAIC No; (188)883-8680 Lassiter -Ware Insurance of Maitland ADDRESS:KriStinT®1a887ter-Ware.COm 2701 Maitland Center Parkway INSURERS AFFORDING COVERAGE NAIC # Suite 125 INSURERA:Westchester Surplus Lines Insurance 10172 Maitland FL 32751 INSURED INSURERB:Ace American Insurance Company 22667 INSURERC:Llo ds of London Sweetwater Environmental Inc INSURERD: 8025 Associate Blvd. INSURER E : INSURERF: Sebring FL 33876 COVERAGES CERTIFICATE NUMBER:17-18 Sweetwater Master 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 SUBR POLICY NUMBER POLICY EFF M IDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) S 25,000 X G27918918 003 10/28/2017 10/28/2018 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG S 2,000,000 Pollution Liability $ 11000,000 OTHER: AUTOMOBILE LIABILITY Ee eBI EDISINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ALL B ANY AUTO OWNED SCHEDULED AUTOS AUTOS X H08460644 003 10/28/2017 10/28/2018 JX BODILYINJURY(Peraccident )HIRED S AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ PIP $ 10,000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 X AGGREGATE $ 4,000,000 C EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 0 $ PGIXS00493-01 10/28/2017 10/28/2018 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑N OFFICER/MEMBER EXCLUDED? IA PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Pollution Liability G27918918 003 10/28/2017 10/28/2018 Occurrence Limit $1,000,000 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 listed Additional -Insured on premises operations on General Liability and Auto Liability (Excess is follow form) with respec to wor being performed by the insured under the terms and conditions of the policy when required by wr t ct. APPRO D R M GEMENT WAIVER N/ -BY YES CC- � C 9W 111093 -4.111W L"L\ 1-6. PJ MI mI a.I Monroe County Board of C/O Monroe County Risk Attn: Joan Sherry 1100 Simonton Street Room 2-231 Key West, FL 33040 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE County COmmissione THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Management ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Paul Ziccardi/KRISTT���- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) / INS025 (201401) The ACORD name and logo are registered marks of ACORD