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Certificates of Insurance
Page 1 of 2 A� " CERTIFICATE OF LIABILITY INSURANCE �i%06izo� 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(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 rights to the certificate holder In lieu of such endorsement(s). PRODUCER Willis of North Carolina, Inc. c/o 26 Century Blvd P.O. Box 305191 CONTACT NAME: PHONE FAX . 1-877-945-7378 A/C No: 1-888-467-2378 &MAIL certificates@willis.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC ff Nashville, TN 372305191 USA INSURERA: Federal Insurance Company 20281 INSURED INSURERB: Chubb Indemnity Insurance Company 12777 Dude Solutions, Inc. 11000 Regency Parkway - Suite 110 INSURERC: INSURER D: Cary, NC 27518 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: W4291099 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 ADDLSUBR POLICYNUMBER MMIDDDYNYri MMND EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE F_x1 OCCUR MA PREMSES EaoNcurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 A PERSONAL BADVINJURY $ 1,000,000 y 35951753 11/09/2017 11/09/2018 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- � LOC JECT PRODUCTS -COMPIOPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS y 99080958 11/09/2017 11/09/2018 BODILY INJURY (Per accident) $ HIRED NON -OWNED X AUTOS ONLY IxAUTOS ONLY PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? No (Mandatory In NH) NIA 71745083 11/09/2017 11/09/2018 X STATUTE F7OETR E.LEACH ACCIDENT $ 1,000,000 E.LDISEASE -EAEMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more Space I ulred Named Insured: p RISK NA ME Dude Solutions, Inc. dba Facilitydude Dude Solutions, Inc. dba Schooldude BY J DATE General Liability: Blanket Additional Insured WAIVER N/q` YES — Monroe County Board,of County Commissioners Project Management Facilities 1100 Simonton Street Key West, FL 33040 G G 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 7'k)"aeQ�J. (Jfi� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 15284752 snTCH: 505032 AGENCY CUSTOMER ID: LOC #: ACORO® ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Willis of North Carolina, Inc. Dude Solutions, Inc. 11000 Regency Parkway - Suite 110 Cary, NC 27518 POLICY NUMBER See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Additional Insured: Monroe County Board of County Commissioners. General Liability policy shall be Primary with any other insurance in force for or which may be purchased by Monroe County Board of County Commissioners. Monroe County Board of County Commissioners is included as an Additional Insured as respects to Auto Liability. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 15284752 BATCH: 565032 cERT: W4291099