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COI Expires 11/22/2018 • A� ® CERTIFICATE OF LIABILITY INSURANCE DATE 05/3112018 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 NAME CT Thomas Ledwidge THOMAS LEDWIDGE INSURANCE AGENCY PHONE EMt: 3O5- 822 -2424 i FAX N 822 -2558 Sta# F tTa 6177 MIAMI LAKES DRIVE E ADD MAIL Tommy ©Ledwidgeagency.com A MIAMI LAKES, FL 33014 INSURER(S) AFFORDING COVERAGE NAIC A INSURER State Farm Mutual Automobile insurance Company 25178 INSURED OAC ACTION CONSTRUCTION CORP (10260) INSURER B: 11980 SW 144 Ct. Suite 101 INSURER C: MIAMI FL 33186 -6266 INSURERD: INSURER 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL SUBR' I MPA/ODlYYW MMlOD/WYY POLI EFF POLICY EXP LTR TYPE OF INSURANCE SD • POUCYNUMBER LIMITS COMMERCIAL GENERAL LABIUTY EACH OCCURRENCE S ∎. A - - 1 ii .■ CLAIMS -MADE `OCCUR PREMISES Eaoccurronce) $ MED EXP (Any ono person? S II 1 PERSONAL & ADV INJURY $ GEM AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 1 CT LOC i PRODUCTS -COMP/OP AGG $ OTHER: I $ AUTOMOBILE LIAGIUTY Y N 447 7958 E22 - 59F 05/22/2018 11/22/2018 COMBINe SINGLE LIMIT $ Ea accident) ANY AUTO 689 4492 - E22 - 59F 05/22/2018 11/22/2018 BODILY INJURY (Per person) $ 1,000,000 MI AUTOS ALL OWNED X AUTOS SCHEDULED BODILY INJURY (Per accident) $ 1,000,000 MI NON - Oih9VED 927 4908 - E22 - 59D 05/22/2018 11/22/2018 PROPERTY DAMAGE 5 1,000,000 111 HIRED AUTOS , AUTOS 945 4338 - E22 - 59C 05/22/2018 11/22/2018 (Par accident) S I UMBRELLA LUIB OCCUR EACH OCCURRENCE S EXCESS LIAB III CLAIMS-MADE AGGREGATE S f ! OED I RETENTIONS • P' yEJ D B RIS ' NAGE ' ENT $ WORKERS COMPENSATION ' PER { �TH- AND EMPLOYERS' LIABILITY EX I y �/ N BY 1tI - ---1 STATUTE ! ER ANY PROPRIETOR/PARTNER:ECUTIVE I I N I A 1 E.L EACH ACCIDENT $ OFFICER.'MEMBER EXCLUDED? -- ` (Mandatory In NH) DA - / , E.L DISEASE - EA EMPLOYE $ I descIibeunder WAVE NA— YES -. E.L. DISEASE - POLICY LIMIT $ ESCRIPTION OF OPERATIONS below Comp & Coll 5500 deductible DESCRIPTION OF OPERATIONS / LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 2008 CHEVROLET C1500 VIN: 2GCEC13J281158461 2017 ACURA INFINITY QX 680 VIN: 5N1DL0MN9HC543707 2017 CADILLACXT5 VIN: 1GYKNBRSXHZ132209 2011 FORD F250 SD PICKUP VIN: 1FT7W2BT1BEB52505 CGC License #061561 CERTIFICATE HOLDER CANCELLATION Monroe County Board of Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street THE EXPIRATION DATE THEREOF, NOTICE WILL. BE DELIVERED IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. / AUTHORIZED REPRESENTATIVE ti eala e edIZ O 1988 2014 ACORD dORPORATION. All rights reserved, ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 1001486 932649,9 02 -04 -2014 A` o�® CERTIFICATE OF LIABILITY - INSURANCE DATE (MMlDD1YYYY) 09/12/2018 • 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 certificate holder in lieu of such endorsement(s). PRODUCER - NA Ledwidge ' THOMAS LEDWIDGE INSURANCE AGENCY PHONE 305 - 822 -2424 )f rA/c. Na. Exa' FAx No): 822 = 2558 tateFarm 6177 MIAMI LAKES DRIVE E EMAIL '� MIAMI LAKES, FL 33014 ADDRESS: Thomas @LedwidgeAgencq.com ' INSURER(S) AFFORDING COVERAGE NAIC it INSURED INSURER A State Farm Mutual Automobile Insurance Company 25178 OACACTION CONSTRUCTION CORP (10260) INSURER B: 11980 SW 144 Ct. Suite 101 MIAMI FL 33186 -6266 INSURER O: INSURER D 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 W)TH 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. MSR ADDLI5UBRT� INSD WVD I POLICY NUMBER POLICY EFF POLICY EXP I LT TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY I t MM /DD/YYYY) (MM/DDIYYYY) I LIMBS EACH OCCURRENCE S CLAIMS-MADE ( )OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) 5- MED EXP (Any one person) . _ S . GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL & ADV INJURY 5 POLICY 1 EC I I LOC GENERAL AGGREGATE 5 n OTHER: PRODUCTS - COMP/OP AGG, 5 - S A AUTOMOBILE LIABILITY Y C87 0586- E22-59 A 05/22!201$ 11/22/2018 COMBINED SINGLE LIMIT s ANY AUTO (Ea accitlen!) AUTOS NED I X SCHEDULED C87 0587- E22 -59A 05/22/2018 11/22/2018 BODILY INJURY (Per person) 5 1,000,000 Autos G171524 -007 -59 09/07/2018 03/07/2019 BODILY INJURY (Per accident) $ 1,000,000 HIRED AUTOS NON-OWNED AUTOS G17 1522-007-59 09107!201$ 03/07/2019 PROPERTYDAMAGE - $ 1,000,000 • UMBRELLA LIAB OCCU - $ R EXCESS LIAB EACH OCCURRENCE $ CLAIMS -MADE - -LIED RETENTIONS AGGREGATE $ WORKERS COMPENSATION i �•`,,/� ^�-• . i $ AIIIIIIIIk -.sa AND EMPLOYERS' LIABILITY 'W 1 PER OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE . Y / N By � _ -� .. 1 STATUTE ER • ' OFFICER/MEMBER EXCLUDED? N / A DATE rill �� Nw t� E.L. EACH ACCIDENT $ (Mandatory In NH) I WAIV S T If yes, describe under E.L. DISEASE - EA EMPLOYEE S DESCRIPTION OF OPERATIONS'below - E.L. DISEASE - POLICY LIMIT S Comp & Coll $500 deductible DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if moro space Is required) 14 FORD F150 PICKUP VIN: 1 FTFW1CF7EFA90329. 14 FORD F150 PICKUP VIN: 1FTMF1 16 FORD F150 PICKUP VIN: 1 FTMFIC88GKD62163 16 Ford F150 PICK UP VIN: 1FTEWICFXGFB22009 CGC License #061561 CERTIFICATE HOLDER CANCELLATION Additional Insured: Monroe County Board of Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1.100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 i . d 4 Rr 1 AUTHORIZED REPRESENTATIVE r . © 1988-2014 ACORD CORPORATION. All rights reserved - ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014 Gc.. Ae p . C ERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DD/YYYY) I J 09/12/201:8 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 CONTACT Thomas Ledwidge THOMAS LEDWIDGE INSURANCE AGENCY NAME: PHONE 305 - 822 -2424 • :FAx t feFa !)l 6177 MIAMI LAKES DRIVE E (A/C. ,� °' E't Mx, No): 822 =2558 "s MIAMI LAKES, FL 33014 ADDRESS: Tommy ®Ledwidgeagency.com "" �' INSURER IL # S) AFFORDING COVERAGE NA • INSURER A : State Farm Mutual Automobile Insurance Company 25178 INSURED OAC ACTION CONSTRUCTION CORP (10260) INSURER B : 11980 SW 144 Ct. Suite 101 INSURER C: MIAMI FL 33186 -6266 INSURER D INSURER E : COVERAGES . . _ INSURERF: 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN3R jADDLISUBRI LTR TYPE OF INSURANCE I INSD WVD POLICY NUMBER POLICY-EFF POLICY LIMITS COMMERCIAL GENERAL LIABILITY (MM /DONYW) (MMlDD EACH OCCURRENCE s CLAIMS-MADE OCCUR DAMAGE O R NTED • PREMISES (Ea occurrence) S: MED EXP (Any one person) $ GE 'L AGGREGATE LIMIT APPLIES PER: PERSONAL & ADV INJURY $ • POLICY jE00T- ( LOO GENERAL AGGREGATE S OTHER: • PRODUCTS - COMP /OP AGG $ S A AUTOMOBILE LIABILITY Y . 447 7958- E22 -59F 05/22/2018 11/22/2018 COMBINED SINGLE LIMIT ' (Ea accident) ANY AUTO ALL OWNED v SCHEDULED 689 4492- E22 -59F 05/22/2018 11/2212018 BODILY INJURY (Per person) $ 1,000,000 A ^ SCH NON-OWNED 927 4908- E22 -59D 05/22/2018 11/22/2018 BODILY INJURY (Pee accident) $ 1,000,000 HIRED AUTOS AUTOS PROPERTY DAMAGE 945 4338 - E22 -59C 05/22/2018 11/22/2018 (Per accident) $ 1,000,000 UMBRELLA LIAB . OCCUR $ - EXCES$ LIAR EACH OCCURRENCE S CLAIMS -MADE I AGGREGATE S DED 1 RETENTIONS . WORKERS COMPENSATION AI�PRfr �i DS t $ AND EMPLOYERS' LIABILITY MENT I PER (OTH- /PARTNER/EXECUTIVE Y/ N BY _ _ STATUTE ER OFFICER/MEMBER EXCLUDED? I , N / A DATE /�AC�� ►°'t� ANY PROPRIETOR E.L. EACH ACCIDENT $ (Mandatory' In NH) WAIVER I • /(yes, describe under •—•--- E.L. DISEASE - EA EMPLOYEE S DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 S Comp & Coll 5500 deductible ' - 1 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 2008 CHEVROLET C1500 VIN: 2 GCEC13J281158461 2017 ACURA INFINITY QX 680 VIN: 5N1 DLOMN9HC543707 2017 CADILLAC XT5 VIN: IGYKNBRSXHZ132209 2011 FORD F250 SD PICKUP VIN: 1 FT7W2BT1BEB52505 CGC License #061561 , CERTIFICATE HOLDER CANCELLATION: Additions! Insured : Monroe County Board of Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton: Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZ D e� ( REPRESENTATIVE I al" Co, ell 1 © 1988-2014 ACORD COR ORATION. All rights reserved. ACORD 25 (20, The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014