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COI Expires 06/04/2019OACACTI-01 FONTANI CERTIFICATE OF LIABILITY INSURANCE DATE D/YYYY) 6/4/2 s/a/2o1 s 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 License # OE67768 CONTACT Jacqueline Fontanez NAME: Insurance Office of America, Inc. PHONE Fax 1150 NW 72nd Avenue (A/C, No, Ext): (954) 556-2760 (Arc, No):(954) 318-1383 Suite 530 ADDESS: Jacqueline.Fontanez@ioausa.com Miami, FL 33126 INSURER(S) AFFORDING COVERAGE NAIC q INSURERA:Colony Specialty Insurance Company 36927 INSURED INSURER B: Colony Insurance Company 39993 OAC Action Construction Corp INSURERC: 11980 SW 144 Ct Suite 101 INSURER D :_ Miami, FL 33186 INSURER E : 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 TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 1,000,000 CLAIMS -MADE X OCCUR X 103 GL 0024016-00 06/04/2018 06/04/2019 DAMAGE TORoNccTE®nce) 5 100,000 MED EXP. (Any one person) S _ 5,000 --- PERSONAL & ADV INJURY S 1,000,000 GEN'LAGGREGATE LIMITAPPLIESPER_ AGEMENT RISK GENERAL AGGREGATE S 2,000,000 R POLICY X. ECp T LOC .. PRODUCTS - COMP/OP AGG 5_.. 2,000,000 OTHER: gY PER PROJECT AGG S 5,000,000 AUTOMOBILE LIABILITY DATE — COMBINED SINGLE LIMIT (Ea accident) 5 ANY AUTO W Nl Y BODILY INJURY (Per person) 5 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY BODILY INJURY (Per accident)_ S AUTOS ONLY AUTOS ONLY (PeOr accRd ntDAMAGE $ S B UMBRELLA LIAB OCCUR _ EACH OCCURRENCE S _ 1,000,000 X EXCESS LIAB X CLAIMS -MADE XS173414 06/04/2018 06/04/2019 AGGREGATE S 1,000,000. X DED RETENTION S 0 - S �- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER STATUTE H_ TUTE ER Y / N ANY PROPRIIETBOERR/PARTNER/EXECUTiVE NIA E.L. EACH ACCIDENT_ S EXCLUDED? iAFandatory In NH) E.L.DISEASE - EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) General Contractor License#CGC061561 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 Monroe County Board of County Commissioners UT 100 Simonton Street ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD