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COI Expires 01/01/2018Client#: 4463 DLPORTER ACORD CERTIFICATE OF LIABILITY INSURANCE ATE(MMIDDIYYYY) ,T r7/10/2017 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 NAME: Bouchard Insurance (CLW) (A"Ic°NN E, : 727 447-6481 A/C No): 727 449-1267 N StarcreL Dr. E-MAIL certificates@bouchardinsurance.com Clearwater, Clearwater, FL 33765 727 447-6481 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: colony specialty In-m— Ca 36927 INSURED D L Porter Constructors, Inc. INSURER B • Amerisure Wtual Insurance comp 23396 INSURERC; Old pom;n;,n,nsu„nCeCompany 40231 6574 Palmer Park Circle INSURER D : Sarasota, FL 34238-2777 INSURER E : INSURER F : l UV=R UmJ l.rK 1If•II:Y I1- NI IMFf F-h'• OC1/IC1-1 r.111-1— 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 CONTRACTOR 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 SUB WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 7 OCCUR Y Y 103GLOO1647503 01/01/2017 0110112018 EACH OCCURRENCE $1,000,000 PREMISES Eaoccurr nce $100,000 X MED EXP (Any one person) $5,000 BI/PD Ded: 2,500 PERSONAL& ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY � JECOT FX LOC GENERAL AGGREGATE $2,000,000 GEN'L PRODUCTS - COMP/OP AGG $2,000,000 OTHER: $ AUTOMOBILE LIABILITY ANY AUTO Y Y B1T3307V 01/01/2017 0110,12018COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY (Per person) $ IX ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A UMBRELLA LIAB OCCUR Y Y XS171915 01/01/2017 01/0112018 EACH OCCURRENCE $5 000 000 X EXCESS LIAB X CLAIMS -MADE CLAIMS MADE AGGREGATE $5 000 000 DED I X RETENTION$None $ 1 1 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICEWMEMBER EXCLUDED? N I A Y WC208074504 01/01/2017 01/01/2018 X PER OTH- E.L. EACH ACCIDENT $SOO,000 E.L. DISEASE - EA EMPLOYEE $500,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $500,000 B Leased & Rented IM2059364 01/01/2017 11101/201 100,000 Equipment Ded 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) 'Workers Comp Information **Proprietors/Partners/Executive Officers/Members Excluded: Gary Loer, President Marshall White, Vice -President JAVE JK GEMENTRE: Monroe County Department of Juvenile Justice Remodel WAIVE N/YES (See Attached Descriptions) CERTIFICATE Monroe County Board of County Commissioners 500 Whitehead Street 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 ©1988-2014 ACORD CORPORATION. All rights reserved. a ACORD 25 (2014101) 1 of 2 The ACORD name and logo are registered marks of ACORD #S707615/M656332 MARGI 1 ,i DESCRIPTIONS (Continued from Page 1) Certificate holder is additional insured as respects Excess, Auto, & General Liability only if required by ritten contract, and subject to the terms, conditions and limits as specified in the policy. Waiver of subrogation applies in favor of certificate holder as respects to Excess, Auto, & General Liability only if required by written contract, and subject to the terms, conditions and limits as specified in the policy. SAGITTA 26.3 (2014101) 2 of 2 #S707615/M656332 rlicnf:f• AARI fil0Tel -Yr� 7 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 7/10/2017 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 Bouchard Insurance (CLW) 101 N Starcrest Dr. Clearwater, FL 33765 CONTACT NAME: PHONE 727 447-6481 A 727 449-1267 AIC No, Ext : A/C, No E-MAIL DDRESS: certificates@bouchardinsurance.com A INSURER(S) AFFORDING COVERAGE NAIC # 727 447-6481 INSURER A: colony specialty Insurance co 36927 INSURED D L Porter Constructors, Inc. 6574 Palmer Park Circle INSURER B•Ameris reMunraIInsuranceComp 23396 INSURER C :old Dominion Insurance m Copany 40231 Sarasota, FL 34238-2777 INSURER D : 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 CONTRACTOR 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 SUER WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 103GLOO1647503 01/01/2017 01/0112016 EACH OCCURRENCE $1 000,000 CLAIMS -MADE OCCUR PREMISES E...' nce $100000 X MED EXP (Any one person) $5,000 BI/PD Ded: 2,500 PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � JECCT 7 LOC GENERAL AGGREGATE $2,000,000 PRODUCTS-COMPlOPAGG S2,000,OOO S OTHER: AUTOMOBILE LIABILITY Y Y B1T3307V 01/01/2017 01101/201 ED COEa acMBcident d.n,) SINGLELIMIT S1,000,000 BODILY INJURY(Perperson) S X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) S PROPERTY DAMAGE Per. accident $ A UMBRELLA LIAB HOCCUR Y Y XS171915 01/01/2017 01/01/201 EACH OCCURRENCE $5 00O 000 AGGREGATE s5,000,000 X EXCESS LIAB CLAIMS -MADE CLAIMS MADE DED I X RETENTION$NOne $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N / A Y WC208074504 01/01/2017 01/0112018 OTH- X IsPTEARTUTE E.L. EACH ACCIDENT $500OOO E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 If yes, describe under DESCRIPTION OF OPERATIONS below B Leased & Rented IM2059364 01/01/2017 01/01/2018 100,000 Equipment Ded 1,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ** Workers Comp Information **Proprietors/Partners/Executive Officers/Members Excluded: Gary Loer, President Marshall White, Vice -President A R E &MAN-�AGEMENT BATE(�lOIZAA WAIVER A (See Attached Descriptions) Monroe County Board of County Commissioners 500 WHITEHEAD ST KEY WEST, FL 33040-0000 C.Gt 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 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) 1 of 2 The ACORD name and logo are registered marks of ACORD #S707756/M656332 MARGI ---- ----------------- - -.. -- - -- - - ---- --------------- DESCRIPTIONS (Continued from Page 1) Certificate holder is additional insured as respects Excess, Auto, & General Liability only if required by written contract, and subject to the terms, conditions and limits as specified in the policy. Waiver of subrogation applies in favor of certificate holder as respects to Excess, Auto, & General Liability only if required by written contract, and subject to the terms, conditions and limits as specified in the policy. SAGITTA 25.3 (2014/01) 2 of 2 #S707756/M656332