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Certificates of Insurance 71/3/2023 E(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 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 have ADDITIONAL INSURED provisions or 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: Certificates Wallace Welch &Willingham, Inc. PHONE FAX 300 1 st Ave S, 5th Floor A/C No Ext: 727-522-7777 A/C,No):727-521-2902 E-MSt. Petersburg FL 33701 ADDRESS: certificates@w3ins.com INSURER(S)AFFORDING COVERAGE NAIC# wsURERA:Zurich American Ins. Co. 16535 INSURED BILTCON-01 INSURERB:American Guarantee&Liability Ins. Co. 26247 Biltmore Construction Co., Inc. w 1055 Ponce de Leon Blvd suRERc: North River Ins. Co. 21105 Belleair FL 33756 INSURERD: Illinois Union Ins.Co. 27960 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1362762117 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY GL0008451108 1/1/2023 1/1/2024 EACH OCCURRENCE $2,000,000 CLAIMS-MADE X OCCURw ,"" DAMAGE TO RENTED �I .. PREMISES Ea occurrence $1,000,000 I " ""`^° MED EXP(Any one person) $15,000 51,77S PERSONAL&ADV INJURY $2,000,000 ;� ' _.-. - GENERAL AGGREGATE $4,000,000 GEN'POAGCY X PRO JECT EGATE LIMIT APPLIES POECR: 3 . 2 2 3,,,,,,, N t _ PRODUCTS-COMP/OP AGG $4,000,000 OTHER: . $ A AUTOMOBILE LIABILITY BAP008451208 1/1/2023 1/1/2024 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B X UMBRELLALIAB X OCCUR AUC578165508 1/1/2023 1/1/2024 EACH OCCURRENCE $5,000,000 G 5228119035 1/1/2023 1/1/2024 EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$n Excess Lia Aggregate $15,000,000 B WORKERS COMPENSATION WC008451408 1/1/2023 1/1/2024 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Professional/Pollution Lia CEOG72498963003 1/1/2023 1/1/2024 Per Claim 5,000,000 Retro date 1/1/2015 Aggregate 5,000,000 Deductible 50,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) BCC Project#986; Plantation Key Courthouse and Detention Facility CMAR Services 88870 Overseas Hwy Tavernier FI.33070 Monroe County Board of County Commissioners its employees and officials, Project Owner and Others as required by written contract are additional insured on a primary and non-contributory basis with respect to General Liability if required by written contract subject to terms,conditions,and exclusions of the policy.Monroe County Board of County Commissioners its employees and officials, Project Owner and Others as required by written contract are additional insured on a primary basis with respect to Auto Liability if required by written contract,subject to the terms and conditions and exclusions of the policy.Monroe County Board of County Commissioners its employees and officials, Project Owner and Others as required by written contract are additional insured on the Excess Liability Policy if required by written contract,subject to terms, conditions and exclusions of the policy.A Waiver of Subrogation in favor of Monroe County Board of County Commissioners its employees and officials, Project Owner and Others as required by written contract are applies to General Liability,Auto, Umbrella and See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners its ACCORDANCE WITH THE POLICY PROVISIONS. emplpoyees and offcials 500 Whitehead Street AUTHORIZED REPRESENTATIVE Key West FL 33040-0000 e-, @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: BILTCON-01 LOC#: ACOOR 0 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Wallace Welch&Willingham, Inc. Biltmore Construction Co., Inc. 1055 Ponce de Leon Blvd POLICY NUMBER Belleair FL 33756 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Workers Compensation if required by written contract.The General Liability,Auto, Umbrella and Workers Compensation policy includes an endorsement providing that thirty days'notice of cancellation will be furnished to the Certificate Holder,except for nonpayment of premium,in which case ten days of notice will be given. ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 712/23/2021 E(MM/DD/YYYY) ACCORD® CERTIFICATE OF LIABILITY INSURANCE 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 have ADDITIONAL INSURED provisions or 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: Certificates Wallace Welch &Willingham, Inc. PHONE FAX 300 1 st Ave. So., 5th Floor A/C No Ext: 727-522-7777 A/C,No):727-521-2902 E-MSaint Petersburg FL 33701 ADDRESS: certificates@w3ins.com INSURER(S)AFFORDING COVERAGE NAIC# wsURERA:Zurich American Ins. Co. 16535 INSURED BILTCON-01 INSURERB:American Guarantee&Liability Ins. Co. 26247 Biltmore Construction Co., Inc. MR-1112FRC: North River Ins. Co. 21105 1055 Ponce de Leon Blvd. Belleair FL 33756 1 RD: Illinois Union Ins.Co. 27960 d "" sRF: COVERAGES "" J m - REVISION NUMBER: THIS IS TO CERTIFY THAT TH N ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDI Y CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEC _.. ...... _........, ..._ ...__......__ ... . _..___ _. 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY GL0008451107 1/1/2022 1/1/2023 EACH OCCURRENCE $2,000,000 CLAIMS-MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 X Contractual Liab MED EXP(Any one person) $15,000 X XCU PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 POLICY� PE� LOC PRODUCTS-COMP/OP AGG $4,000,000 OTHER: $ A AUTOMOBILE LIABILITY BAP008451207 1/1/2022 1/1/2023 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B X UMBRELLALIAB X OCCUR AUC578165508 1/1/2022 1/1/2023 EACH OCCURRENCE $5,000,000 G 5228108865 1/1/2022 1/1/2023 X EXCESS LAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$n Excess-Limit/Agg $15,000,000 B WORKERS COMPENSATION WC008451407 1/1/2022 1/1/2023 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? FN] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Professional/Pollution Liability CEOG72498963002 1/1/2022 1/1/2023 Per Claim 5,000,000 Retro date 1/1/2015 Aggregate 5,000,000 Deductible 50,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) BCC Project#986; Plantation Key Courthouse and Detention Facility CMAR Services 88870 Overseas Hwy Tavernier FI.33070 Monroe County Board of County Commissioners its employees and officials, Project Owner and Others as required by written contract are additional insured on a primary and non-contributory basis with respect to General Liability if required by written contract subject to terms,conditions,and exclusions of the policy.Monroe County Board of County Commissioners its employees and officials, Project Owner and Others as required by written contract are additional insured on a primary basis with respect to Auto Liability if required by written contract,subject to the terms and conditions and exclusions of the policy.Monroe County Board of County Commissioners its employees and officials, Project Owner and Others as required by written contract are additional insured on the Excess Liability Policy if required by written contract,subject to terms, conditions and exclusions of the policy.A Waiver of Subrogation in favor of Monroe County Board of County Commissioners its employees and officials, Project Owner and Others as required by written contract are applies to General Liability,Auto, Umbrella and See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners its ACCORDANCE WITH THE POLICY PROVISIONS. emplpoyees and offcials 500 Whitehead Street AUTHORIZED REPRESENTATIVE Key West FL 33040-0000 e-, @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: BILTCON-01 LOC#: ACOOR 0 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Wallace Welch&Willingham, Inc. Biltmore Construction Co., Inc. 1055 Ponce de Leon Blvd. POLICY NUMBER Belleair FL 33756 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Workers Compensation if required by written contract.The General Liability,Auto, Umbrella and Workers Compensation policy includes an endorsement providing that thirty days'notice of cancellation will be furnished to the Certificate Holder,except for nonpayment of premium,in which case ten days of notice will be given. ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,Ac uo oe CERTIFICATE OF LIABILITY INSURANCE °"�'""I°° ' 4/......---- 12/29/2020 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 pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. N 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 Wallace Welch&Willingham, Inc. PHONE Certificates FAX 300 1st Ave.So., 5th Floor we No Fly 727-522-7777 (AID J 727-521-2902 Saint Petersburg FL 33701 EMAIL certdicates@w3ins.com INSURERIS)AFFORDING.COVERAGE NAIL IS INSURER A:Zurich American Ins.Co. 16535 INSURED BILTCON 01 INSURER B:American Guarantee&Liability Ins.Co. 26247 Biltmore Construction Co., Inc. INSURER C:North River Ins,Co. 21105 1055 Ponce de Leon Blvd. Belleair FL 33756 INSURERO:Illinois Union IDS.Co. _ _ 27960 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:101862824 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. LTR TYPE OF INSURANCE WVD R POLICY NUMBER PWDO/MNOLICY F POLICY LIMITS A X COMMERCIAL GENERAL USABILITY INNND021 IY1/1//022 GL0008451106 1/1/2021 1/t 12022 CIAIMS-MADEEACH G TOR E2.000.000 EMED - — IREMISE S aEHTED --X�occU0. PREMISES(Ea occurrence) E1.000,000 X Cmfaclsl Llao MED EXP(My on person) $15,000 X Xcv PERSONAL&ADV INJURY $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE $4,CCDOW POCKY .a,l JRO - — PECT LOC PRODUCTS.COMP/OP AGG $4.000,P^O OTHER' $ A AUTOMOBLEUABILITY BAP006451206 1/1/2021 1/1/2022 COMBINED SINGLE LIMIT(Ea accidenll $1,OW,000 X ANY AUTO BODILY IwuRv(Per Perm/ $ OWNEAUTOS SCHEDULED BODILY INJURY ) $ AUTOS ONLY AUTOS (Per $ X HIRED X AUTOS NE0 PROPERTY DAMAGEGE S AUTOS ONLY AUTOS ONLY Per.cadent) $ S X UMBRELLALIAB I X OCCUR AUC578165507 1/1/2021 1/1/2022 EACH OCCURRENCE $10.000.000 X EXCESS mB 5228082648 1/1/2021111/2022 -- CLAIMS-MADE AGGREGATE 510,000.000 DEO X RETENTION bn EXGSS LYbN1y $10.000.000 R MD EMPLOYRKERS ERS'LIABILITY YIN W0006651406 1/1/2021 1/12022 X SiPTUTE _ _DERµ roROPRIETIXUPARTNER/EXECUTIVE EL.EACH ACCIDENT $1,000,000 FF10ERMEMBER EXCLUDED' N ,NIA (Manstalory In NH) EL.DISEASE-EA EMPLOYEE $1,000,000 Mria4 to under 'DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $1,000,000 0 Profess4onaWolblim Liability CEOG72498963001 1/1/2021 ti1/2022 Per Claim 5,000,000 Repo dale 1112015 Aggregate 5,000,000 Ded role 50.000 DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES(ACORD 101,Additional Remark.Schedule.may MI allrcbd If TOM apace L Pepuircd Monroe County BOCC is additional insured as respects to the General Liability if required by written contract,subject to terms,conditions,and exclusions of the policy Monroe County BOCC is additinnwl inclimH with resnnm In Alen I Willits if rani irwi by written contract,subject to terms,conditions.and exclusions of the policy. 18KhWMC>7 AENT BY - /23/2021 CERTIFICATE HOLDE DATECELLATION WAWA we,_ NILD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. Insurance Compliance PO Box 100085-FX AUTHORIZED REPRESENTATIVE Duluth GA 30096 /17,' --/' I ©1988-2015 ACORD CORPORATION. All right"reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AC(:>RV CERTIFICATE OF LIABILITY INSURANCE DATE(MMroo ) 1 112019 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 olicy(ies)must have ADDITIONAL INSURED provisions or 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 Certificates Walla Welch Willingham, Inc. PHONE FAx 727-522-7777 902 00 1 st Ave.So., 51h Floor c N®:727-521-2 Saint Petersburg FL 33701 A E-MAIL DRE certificates@w3ins.com INSURERS AFFORDING COVERAGE c INSURER A:Zurich American Ins.Co. 16535 INSURED BILTCON-01 INSURER B:American Guarantee&Liabilit Ins.CO. 26247 Biltmore Construction Co.,Inc. 1055 Ponce de Leon Blvd. INSURER c:Indian Harbor Insurance Co. 36940 Belleair FL 33756 INSURER D: INSU RE• INSURER F. COVERAGES CERTIFICATE :1037686975 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 DR 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 Y PAID CLAIMS. �.. .. _ ._. ....,....__. INSR - ADOL sUBR m........... ...._.._ .m.._..®....�........ .POLICY EFF. ..POLICY E%P LTR TYPE OFNt3llRANCE P061CYNUMBER MMIO MMro LIMITS A X COMMERCIAL GENERAL LIABILITY GLOD08451105 11112020 V112021 EACH OCCURRENCE S2000,000 I CLAIMS UE X OCCUR S 1,d00 00d �� Crsrrv.��ualLiab MEElExP mere ,m°, S15,000 �..... �—X_ XC J s A ELSONAL LJ DV INJURY 2RO o0C ..-............... GEN'L AGGREGATE LIMIT APPLIES PER: 9 f GENERAL AGGREGATE 'S 4,000,000 POLICY X JEST m�LOD. AI EA PRODUCTS S4.00d,000 OTH ; ,. S A AUTOMOBILE LIABILITY BAP00 $ 1111 0 1/1/2021 COM..N IN L LIMB 51,000,000 X ANY AUTO BODILY INJURY(Per person) S .. OWNED SCHEDULED .. BODILY INJURY(Per a en4)..5.m. AUTOS ONLY AIJT03 X HIRED X NON-OWNED r PROPERTY DAMAGE�� S -AUTOS ONLY AUTOS ONLY ..51:.� �..,.„,,...�.,w.....�.....�,... .- m,....P>.....�_,.v, s e X UMBRELLA LIAB OCCUR AUG57Bi655O6 11112020 111/2021 _ CHOCCURRENCE S 20,000,000 EXCESS LIAB CLAIMS DE AGGREGATE S 20,,000 000 . m.. DED X RETENTION S _ i s A WORKERSCOMPENSATION WC008451405 t. 11112020 11112021 X PER OTH. I AND EMPLOYERS'LIABILITY Y 8 N `ANYPROPRIET€3 ARTNEWEXFC 7TU'VE. N NIA A, E.L.EACH ACCIDENT �51,000,000 OFFiCEPUMEMBEREXCLttOED7 (Mandatary in NH) E L.,DISEASE EA MPLOVEE S 1,000,000 If as,describe under w .,, D as, OF OPERATIONS bebwe R -C.L.DISIFASE-POLICY LIMIT$1,000,000 C PratessimnaltPriluGmnLiability PECO04BB5103 1A12020 V2021 Per Clain 2,000„000 Apgra9ala 2,000,000 DeducumEa 50,000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) ECC Project 9 986,Plantation Key Courthouse and Detention Facility CMAR SeMces 88870 Overseas Hwy Tavernier FI,33070 Monroe County Board of County Commissioners its employees and officials,Project Owner and Others as required by written contract are additional insured on a primary and non-contributory basis with respect to General Liability subject to terms,conditions„and exclusions of the policy. Monroe County Board of County Commissioners its employees and officials,Project Owner and Others as required by written contract are additional insured on a primary basis with respect to Auto Liability subject to the terms and conditions and exclusions of the policy. See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners its ACCORDANCE WITH THE POLICY PROVISIONS, emplpoyees and officials 500 Whitehead Street AUTHORIZED REPRESENTATIVE Key West FL 33040-0000 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER I BILTCON-01 LOC M. ACC>REP ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Wallace Welch&Willingham,Inc, Biltmore Constructlon Co.,Inc. 1055 Ponce de Leon Blvd. POLICY NUMBER Belleair FL 33756 GAWKIER 7-7 NAIG CODE EFFE E DATE! ADDMONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Monroe County Board of Count Commissioners its employees and officials,Project Owner and Others as required by written contract are additional Insured on the Excess Liability Policy(vs xCess Policy)subject to terms, conditions and exclusions of the policy. A Waiver of Subrogation in favor of Monroe County Board of County Commissioners Its employees and officials,Project Owner and Others as required by written contract are applies to General Liability,Auto,Umbrella and Workers Compensation if required by written contract. 30 day written notice of cancellation,non-renewal,or material change reducing coverage will be given to Certificate Holder by the carrier except for nonpayment of premium which will be ten days. ACORD 101 (2008101) 0 2008 ACORDCORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Y A ACOREP® CERTIFICATE OF LIABILITY INSURANCE DATE(MM(DD/YYYY) 1/3/2019 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 have ADDITIONAL INSURED provisions or 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). CONT PRODUCER NAMEACT Certificates Wallace Welch&Willingham, Inc. PHONE FAX 300 1st Ave. So., 5th Floor INC.No.Extl:727-522-7777 (A/C,No):727-521-2902 Saint Petersburg FL 33701 ADDRESS: certificates@w3ins.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Zurich American Ins.Co. 16535 INSURED BILTCON-01 INSURER B:American Guarantee&Liability Ins.Co. 26247 Biltmore Construction Co., Inc. 1055 Ponce de Leon Blvd. • INSURER C: Indian Harbor Insurance Co. • 36940 Belleair FL 33756 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFI ATE NUMBER:150695585 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 LTR TYPE OF INSURANCE INSO DDL SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MMIDD/YYYY) (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY GL0008451104 1/1/2019 1/1/2020 EACH OCCURRENCE $1,000,000 ' ��� DAMAGE TO RENTED X CLAIMS-MADE X OCCUR APF t1 JED Ant r,� MENT PREMISES(Ea occurrence) S 1,000,000 Contractual Liab DA MED EXP(Any one person) $15,000 X N/A 11 I I �i�I fJ p 'n J PERSONAL 8,ADV INJURY $1,000,000 xcu WAI'/ER hhVll 1 V.vA� GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY X Te- LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY BAP008451204 1/1/2019 1/1/2020 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ B X UMBRELLA LIAB X OCCUR AUC578165505 1/1/2019 1/1/2020 EACH OCCURRENCE $20,000,000 EXCESS LIAB CLAIMS-MADE • AGGREGATE $20,000,000 DED X RETENTION$n $ B WORKERS COMPENSATION WC008451404 1/1/2019 1/1/2020 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Professional/Pollution Liability PEC004885102 1/1/2019 1/1/2020 Per Claim 2,000,000 Aggregate 2,000,000 Deductible 50,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) BCC Project#986;Plantation Key Courthouse and Detention Facility CMAR Services 88870 Overseas Hwy Tavernier Fl.33070 Monroe County Board of County Commissioners its employees and officials,Project Owner and Others as required by written contract are additional insured on a primary and non-contributory basis with respect to General Liability subject to terms,conditions,and exclusions of the policy. Monroe County Board of County Commissioners its employees and officials,Project Owner and Others as required by written contract are additional insured on a primary basis with respect to Auto Liability subject to the terms and conditions and exclusions of the policy. See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners its ACCORDANCE WITH THE POLICY PROVISIONS. emplpoyees and offcials 500 Whitehead Street AUTHORIZED REPRESENTATIVE Key West FL 33040-0000 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD M 0 AGENCY CUSTOMER ID: BILTCON-01 _ LOC#: ACORD® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Wallace Welch&Willingham,Inc. , Biltmore Construction Co.,Inc. 1055 Ponce de Leon Blvd. POLICY NUMBER Belleair FL 33756 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Monroe County Board of County Commissioners its employees and officials,Project Owner and Others as required by written contract are additional insured on the Excess Liability Policy(vs Excess Policy)subject to terms, conditions and exclusions of the policy. A Waiver of Subrogation in favor of Monroe County Board of County Commissioners its employees and officials,Project Owner and Others as required by written contract are applies to eneral Liability,Auto,Umbrella and Workers Compensation if required by written contract. 30 day written notice of cancel) tion,non-renewal,or material change reducing coverage will be given to Certificate Holder by the carrier except for nonpayment of premium which will be ten da s. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORN0 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 4/26/2018 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 have ADDITIONAL INSURED provisions or 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 Cobb Strecker Dunphy & Zimmermann 225 South Sixth Street Suite 1900 CONTACT NAME: Val Hendrickson PHONE 612 - 349 - 2446 ac No E -MAIL ADDRESS: vhenddckson@csdz.com INSURER(S) AFFORDING COVERAGE NAIC# Minneapolis MN 55402 INSURER A: Zurich American Insurance Company 16535 EACH OCCURRENCE INSURED BILTCONI Biltmore Construction Co., Inc. 1055 Ponce De Leon Blvd INSURER B: American Guarantee & Liab Ins Co 26247 INSURER C: Westchester Fire Insurance Comp 10030 INSURER 0: $15,000 Belleair, FL 33756 INSURER E: BY INSURER F: = 6K ED COVERAGES CERTIFICATE NUMBER: 1274257217 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 LTR TYPE OF INSURANCE ADDL.SUBR POLICY NUMBER POLICY EFF MWDD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR GL0008451103 A� By I 1/1/2018 I" 1/112019 T EACH OCCURRENCE $1,000,000 REMISES Ea occurrence $1,000,000 X EXP (Any one person) $15,000 Cony Liab per BY = 6K ED X Policy Fonn/XCU ()a G � PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY P LOC GENERAL AGGREGATE $2,000.000 W e r 1.� Y� PRODUCTS - COMP /OP AGG $ 2,000,000 $ OTHER: 1 A AUTOMOBILE LIABILITY BAP008451203 1/1/2018 1/1!2019 COMBINED SINGLE LIMIT Ea accident $1000000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY X Hired Auto Ph s Dm $ ACV Comp: $1,000 X Coll: $1,000 B X UMBRELLALIAB X OCCUR AUC578165504 1/1/2018 1112019 EACH OCCURRENCE $20,000,000 AGGREGATE $ 20,000,000 EXCESS LIAB CLAIMS -MADE ___ _ F DED X ETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN WCOW51403 1/1/2018 1112019 X STATUTE ER ANYPROPRIETOR /PARTNER/EXECUTIVE FNT] OFFICER /MEMBER EXCLUDED? N /A E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,ODO,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 C Bikt Bldrs Risk/Completed Value 108847253004 1/12018 1/12019 See Below See Below A Leased or Rented Equip /ACV CPP105206803 1/12018 1/12019 $1,000 Deductible $250,000 Per Item Property- Specific/Repl Cost $5,000 Deductible $1,113,918 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) BCC Project #991: Plantation Key Government Center & Roth Building Waste Water Treatment Plant Replacement & Abandonment, 88820 Overseas Hwy, Tavernier, FL 33070 Additional Insured only if required by written contract with respect to General Liability, Automobile Liability and Umbrella /Excess Liability applies on a primary basis and the Insurance of the Additional Insured shall be Non - Contributory: Certificate Holder, Project Owner and Others as required by written contract. Waiver of Subrogation only if required by written contract with respect to General Liability, Automobile Liability, Workers Compensation and Umbrella /Excess Liability applies in favor of: Certificate Holder, Project Owner and Others as required by written contract. See Attached... CERTIFICATE HOLDER CANCELLATION ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Monroe County Board of County Commissioners its ACCORDANCE WITH THE POLICY PROVISIONS. employees and officials ALIT RIZED REPRES ENTATIVE 500 Whitehead Street Key West FL 33040 �p ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE AGENCY CUSTOMER ID: BILTCONI LOC #: AFRO® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Cobb Strecker Dunphy & Zimmermann NAMED INSURED Biltmore Construction Co., Inc. 1055 Ponce De Leon Blvd Belleair, FL 33756 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Builder's Risk Coverage: Named Insured Includes: contractor, owner and subcontractors of every tier as required by written contract Project Limit $783,765, Deductible $10,000 Named Windstorm Limit: $783,765,Deductible $100,000 Flood Limit $783,765, Deductible $100,000 Builder's Risk coverage ceases upon substantial completion or when project is accepted by owner. The following supersedes the cancellation wording: Should any of the above described policies be cancelled before the expiration date, 30 Days written notice (10 Days for Non - Payment) will be delivered to the certificate holder. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserves. The ACORD name and logo are registered marks of ACORD