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COI Expires 12/21/2017A D- R ., CERTIFICATE OF LIABILITY INSURANCE 12/22/2017 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MICHAEL GEE INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 411 S Pinea le Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PP ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Sarasota, FL 34236 (941) 907 -0914 INSURERSAFFORDING COVERAGE NAIC# Ir:S URFD OAC ACTION CONSTRUCTION CORP. INSURERA INSURANCE COMPANY OF THE WEST 19593 11980 SW 144 CT . , STE 101 INSURER B: MIAMI, FL 33186 INSURER C: (305) 256 -6655 INSURER D: INSURER E rnv0oAnEC 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRD KEY WEST, FL 33040 POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS F Vvl Cc • - GENERAL LIABILITY EACH OCCURRENCE $ PREMI ES E ur n e S COMMERCIAL GENERAL LIABILITY MEDEXP(Anyone person) S CLAIMS MADE OCCUR PERSONAL &ADV INJURY S GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S POLICY M PRO LOD AUTOMOBILE LIABILITY A NYA UTO COMBINED SINGLE LIMIT (E a accident) S BODILY INJURY (Per person) S ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY ( Per accident) $ HIRED AUTOS NON -0 W N E D AUTOS PROPERTY DAMAGE (Per accident) S GARAGELIABILITY AUTO ONLY - EA ACCIDENT S OTHERTHAN EA ACC S ANYAUTO S AUTOONLY: AGG EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE S AGGREGATE S OCCUR FI CLAIMSMADE S S DEDUCTIBLE $ RETENTION $ WO RKERS COMPENSATION AND X WC STATU- I OTH- E.L. EACH ACCIDENT $ 1,000 A EMPLOYERS'LIABILITY ANY PROPRIETOR /PARTNER /EXECUTIVE OFFICER/MEMBER EXCLUDED? WFL 5028312 02 WFL 5028312 0 3 12/21/16 12/21/17 12/21/17 12/21/18 E.L. DISEASE - EA EMPLOYEE $ 1 IfyP, SPECIAL PR O VI SION I W E.L. DISEASE - POLICY LIMIT $ — 1,000,000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS GC LICENSE: CGC061561 4EMENT IN/AZ G rAklrCl I ATInKl MONROE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION BOARD OF COUNTY COMMISSIONERS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL3 DAYS WRITTEN 1100 S IMONTON STREET, RM #2-213 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL KEY WEST, FL 33040 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR FX# (305) 292 -4487 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE F Vvl Cc • - ACORD 25 (2001/08) © ACORD CORPORATION 1988