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COI Expires 11/23/2016
ACOIR" CERTIFICATE OF LIABILITY INSURANCE ATE D6/24/20 6 ) 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 Keys Insurance Services 5800 Overseas Hwy P.O. Box 500280 Marathon FL 33050 CONTACT Angel zZYarbrou h NAME: g g PHDNE . (305) 743-0494 AIC No: FAX (305)743-0582 ADDIRRESS:ayarbrough@keysinsurance.com INSURERS AFFORDING COVERAGE NAIC III INSURER A:International Ins Co of Hanover SE INSURED Greentech Group Solutions LLC P.O. BOX 504422 Marathon FL 33050 INSURER B JLllstate Insurance INSURER CFlorida Citrus Business & Ind INSURER DAmerican Zurich Ins Company INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER:BR Key Largo Park 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 TR TYPE OF INSURANCE DDL SUBR POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM D LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS4MADE ❑R OCCUR DAMAGE TO RENTED - PREMISES Ea occur ence $ 100,000 MED EXP (Any one person) $ 5,000 IG060003762-01 11 /2015 11/23/2016 PERSONAL & ADV INJURY $ 1,000,000 Ap D Y IS BY EM T GEWL AGGREGATE LIMIT APPLIES PER: X POLICY ❑ JECT LOC GENERAL AGGREGATE $ 2 , 000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: DATE $ AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED HI/R DSAUTOS AUTOS NON -OWNED AUTOS WAIVER N/� 648233553 00 5/2/2016 5/2/2017 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ PIP -Basic $ 10,000 UMBRELLA LIAB EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN STATUTE ERH E.L. EACH ACCIDENT $ 500,000 C OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A 10645259 6/3/2016 6/3/2017 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below D Builders Risk ER09349061 6/27/2016 12/27/2016 i $82,000 $82 , 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Monroe County Board of County Commissioners is an additional insured for General Liability and Automobile Liability when required by written contract, subject to policy terms, conditions and exclusions. r I=0TICir ATr- unI nFR rANIr FI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissione THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE David Sheppard/DSHEP o Q ACORD 25 (2014/01) INS025 oniann ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD