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COI Expires 03/07/2018- - -`� L;CK i IFICATE OF LIABILITY INSURANCE DATE(MM'DDiYYYY) 11(30/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS DED T THE POLICIES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOR BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN DEED S), AUTHORIZED B 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 N THOMAS LEDWIDGE INSURANCE AGENCY PHONE 3058222424 -22 -242 FAX 6177 MIAMI LAKES DRIVE E - I L E a1r I (AJC.No1:305 -822 -2558 E- 119AIL ---- MIAMI LAKES, FL 33014 ADDRESS: Thomas@LedwidgeAgen INSURER( S) AFFORDING COVE RAGE NAIC# --- " _- - _ INSURER A State Farm M utua l Autom Insu C 25178 INSURED OAC ACTION CONSTRUCTION CORP ( INS - 11980 SW 144 Ct. Suite 101 RER B: MIAMI FL 33186 -6266 INSURER C: - INS URER D IN SURER 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 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 CONDI OF SUCH POLICIES. LI MITS SHOW MAY HAVE B EEN RED BY PAID CLAI MS. ILT ADDL R - R TYPE OF INSURANCE ! SUBR POLICY NUMBER MM ODlYYYY MM DDlYYYY LIMITS COMMERCIAL GENERAL LIABILITY �AMAUE OCCURRENCE S CLAIMS -MADE OCCUR TO N ED — — I PREMISES IF a occurrence)S MED EXP (Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER PERSONAL 8 ADV I NJURY $ . ( - -- P AUTOMOBILE PRO_ �� GENERAL AGGREGATE S POLI JECT LOC PRODUCTS- COMP /OPAGG S OTHER. A . LIABILtiY Y N G17 1523 C07 59 09/07/2017 03/07/2018 COMBINED SINGLE LIMIT ANY AUTO ; fie acciden $ ALL OWNED !— i I BODILY INJURY (Per person) S 1 , 000,000 AUTOS X � SCHEDULED AUTOS BODILY INJURY (Per accident) G $ 1,000 ,000 HIREDAUTOS NON -OWNED I AUTOS I I PROPERTY DAMAE Per accident) $ 1.000,000 $ B f--- UMBRELLA LIA OCCUR E XCE EACH OC CURRENCE _ SS LIAB ! $ CLAIMS -MAD N /A E AGGREGATE $ I DED RETENTION COMPENSATION $ AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETORIPARTNERrF�CECUTIVE OFF EXCLUDED? ❑ E.L. EACH ACCIDENT $ (Mandatory In NH) If yes, aesalbe under E.L. DISEASE - EA EMP LOYE 5 DESCRIPTION OF OPERATIONS below -- - -- E.L. DISEASE - POLICY Y LIMIT $ ENOL 948 1859 E22 59B 11/22/2017 i 05/22/2018 1 DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 16 FORD F150 Pickup VINIFTMF1C83GKD92199 BYp VMB AGEMENI CGC License #061561 WAN ES _ CERTIFICATE HOI nFR Monroe County Board of County Commisioners 1100 Simonton Street Key West, FL 33040 CC I I�'tn ACORD 25 (2014101) L,ANGtLLAI I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRFSENTATIVE me and logo are registered marks of ACORD 'L&C)L� L The ACORD na 1988 2014 ACORD CORPORATION, All reserved, 10014861328499 02042014 . 6,. o nW CERTIFICATE OF LIABILITY INSURANCE DATE (MM:DDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 11/30/2017 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 THOMAS LEDWIDGE INSURANCE AGENCY tcsicd/eY3 6177 MIAMI LAKES DRIVE E MIAMI LAKES, FL 33014 wsuREO OAC ACTION CONSTRUCTION CORP 0 11980 SW 144 Ct. Suite 101 MIAMI FL 33186 -6266 Thomas Led AD: 305-822-2424 A ; Sta te Farm Mu Automobile Insura Cc IN SURER B. INSURER C: NAIL N 2517a INSURER E —� COVERAGES INSURER F 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 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 CONDITI OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BE RED UCED BY PAID CLAIMS. 4SR _ ADDL SUER _ JR TYPE OF INSURANCE POLICY EFF POLICY EXP COMMERCIAL GENERAL LIABILITY -- POLICY NUMBER 7DD/YYYY) DD/YY LIMITS EACH OC $ CLAIMS -MADE Ell OCCUR AMAZE TO RENT D — — I PREMISES (Ea occur S MED EXP (Am we—nn) A GEN'L AGGREGATE LIMIT APPLIES PER _ POLICY PRO- (� JECT LOC OTHER. AUTOMOBILE !LABILITY j ANY AUTO ALL AUTOS NED Hxx SCHEDULED AUTOS D HIRE AUTOS NON - OWNED AUTOS Y t N C87 0586- E22 -59 A C87 0587 - E22 -59A i G17 1524 -007 -59 G171522- C07 -59 11/22/2017 11122/2017 09/0712017 09107/2017 05/22/2018 05122/2018 ! 03 /07/2018 03/0712018 P ERSONAL 8 ADV INJURY GENERAL AGGREGATE $ 5____ PRODUCT - COMP /OP AGG -- 5 COMBINED SINGLE LIMIT Ea accident 5 5 BODILY INJURY (Per person) S 1,000,000 $ 1 ,000,000 �' "ILYINJUR Y(P e raccident) PROPERTY DAMAGE Pe raccfdenn _ S 1,000,000 -- UMBRELLA UAB EXCESS LIAR OCCUR �i ----- - - - - -- i EACH OCCURRE S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERlEXECUTIVE Y / N OFFICERlMEMBER EXCLUDED? !N/A (Mandatory in NH) Ives. decrnhc „one. TE EACH E.L. DISEASE - EA EMP S DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached if more space is required) 14 FORD F150 PICKUP VIN: 1 FTFW1CF7EFA90329 14 FORD F150 PICKUP VIN: 1 FTMF1CM7EFB57405 16 FORD F150 PICKUP VIN I FTMF1 C88GKD62163 16 Ford F150 PICK UP VIN: 1 FTEWlCFXGFB22009 B Y APP V B AGEMENT CGC License #061561 E WAIL E N/A s,� YES _ CERTIFICATE HOLDER Monroe County Board of County Commissioners 1100 Simonton Street Key West, FI 33040 CANCELLATION 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 C c , avt cli I �OA( -S iQ )w ACORD 25 (2014101) The ACORD name and logo are registered marksBofACORD ACORD CORPORATION. All right reserved . 1001486 1328499 02 -04 -2014