The URL can be used to link to this page

COI Expires 01/05/2019Client #: 4463 DLPORTER DATE (MM /DD/YYYY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 1/05/2018 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 certif holder in lieu of such end orsement(s). PRODUCER CONTACT NAME: Bouchard Insurance Bouchard Insurance (CLW) PHONE 727 447.6481 727 449 -1267 A/C No Ut : A/C No 101 N Starcrest Dr. AUDRIESS: Certificates @Bouchardlnsurance.com Clearwater, 33765 INSURER(S) AFFORDING COVERAGE NAIC0 727 447 -6481 1 INSURER A: Colony Inaunnca Co 39993 INSURED INS U RER B • Colony Specialty Insurance Co 36927 D L Porter Constructors, Inc. 6574 Palmer Park Circle Sarasota, FL 34238 -2777 INSURER C : Amerisure Mutual Insurance Company 23396 INSURER D : Old Dominion Insurance Company 40231 F: rnVFRAnFR CFRTIFICATF NIIMRFR• 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. LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER MMIDD MMIDDY EXP LIMITS A GENERAL LIABILJTY Y Y 103GLOO1647504 1/01/2018 01/0112019 O $1, 000,000 X COMMERCIAL GENERAL LIABILITY pEAACMHH PREMISES Ea occu ence $100000 MED EXP (Any one person) 000 0 , 000 CLAIMS -MADE F_x� OCCUR PERSONAL BADVINJURY $1,000,000 W XBI)PD Ded:2 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP /OPAGG $2,000,000 $ POLICY X PRO - X LOC D AUTOMOBILE LIABILITY Y Y B1T3307V 1/01/2018 01/01/201 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED I X ANY AUTOS NON -OWNED HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ B UMBRELLALIAB OCCUR Y Y XS171915 1/01/2018 01/011201 EACH OCCURRENCE $5000000 AGGREGATE s5, 000,000 X EXCESS LIAB X CLAIMS -MADE DED I X RETENTION $0 $ _ WC208074506 __. 1101/2018 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? a (Mandatory In NH) NIA Y 01/01/201 X ITORYLIM OTH- S ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $500,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) ** Workers Comp Information ** Proprietors /Partners /Executive Officers /Members Excluded: ` Gary Loer, President Ma APPRO #11 EMENT shall White, Vice -Pres WAN (See Attached Descriptions) Monroe Count Board of Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE County y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 500 Whitehead Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #S792539/M792477 KELHO DESCRIPTIONS (Continued from Page 1) Certificate holder is additional insured as respects General Liability, Auto and Excess Liability only if required by written contract, and subject to the terms, conditions and exclusions as specified in the policy. Waiver of subrogation applies in favor of certificate holder as respects General Liability, Auto, Excess Liability and Workers Compensation only if required by written contract, and subject to the terms, conditions and exclusions as specified in the policy. Coverage is primary as respects to General Liability and non - contributory as subject to the terms, conditions and exclusions of your policy. It is agreed by endorsement to the Workers Compensation policy that this policy shall not be cancelled by the insurance carrier without first giving sixty (60) days prior written notice except for nonpayment of premium or if the first named insured elects to non renew. SAGITTA 25.3 (2010/05) 2 of 2 #S792539/M792477