Loading...
COI Expires 02/01/2019 4 DATE (MM/DDIYYYY) ACORD ` CERTIFICATE OF LIABILITY INSURANCE 06/01/2018 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()es) 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 ILE CABRERA - RODRIGUEZ INS. AGENCY NAME: r NAME: INC ( N C " r o . E , d L 305-529-9966 I FAX N o ) ; 305 -529 -2856 StateFarm 192 PONCE DE LEON BLVD. EEADDRESS: QC)., CO GABLES, FL 33134 INSURER(S) AFFORDING COVERAGE NAICft I INSURER A : State Farm Mutual Automobile Insurance Company 25178 INSURED ABC CONSTRUCTION _ INSURER B: 7215 NW 7TH ST INSURER C MIAMI, FL 33126 INSURER II : • 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 TYPE W ADOL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD VD POLICY NUMBER (MMIDDIYYYYI IMMIDDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ . DAMAGE TO RETED CLAIM S-MADE I OCCUR PREMISES Ea occurrence) $ 1 MED EXP (Any one person) $ _ _ PERSONAL&ADVINJURY $ GEM AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY I1 ¶C I LOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY 063 7061- B01 -59J 08/01/2018 02/0112019 COMBINED SINGLE LIMIT $ 1,000,000 (Ea ac ci dent) ANY AUTO 1, 1832531 -B01 -591 08/01/2018 02/01/2019 BODILY INJURY (Per parson) $ ALL OWNED , ' SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS 224 2241098- B01 -59J 08/01/2018 02/01/2019 V PROPERTY DAMAGE _ $ X HIRED AUTOS! s" AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED 1 1 RETENTION $ $ °At WORKERS COMPENSATION 'I' T U , P SK Cd `- ` GOVICKIT _ AND EMPLOYERS' LIABILITY I STATUTE I I ERH OFFICER/MEMBER O R EXCLUDED? ECUTIVE Yn N/A BY - / / �i (( E.L. EACH ACCIDENT — $ — (Mandatory In NH) `� —ies E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DATE DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ WAIVER N/4,.._. Y rte — DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached If more space is required) Key West International Airport 04/16 Monroe County Strengthen /Rehabilitate Commercial Apron Protect No. GAKAP1I45 Certificate Holder is also Addl Insured . CERTIFICATE HOLDER CANCELLATION Monroe County Bocc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton' St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTF(OR E REPRESENTATIVE L I Q 1988- - i '4 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02 -04 -2014 L'. G A`� � ® CERTIFICATE OF LIABILITY INSURANCE D 08 /0/2018 ) 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(les) 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 ILEANA CABRERA - RODRIGUEZ INS. AGENCY PHON CONTACT NONE: INC. tNNCC.. o. Ext) : 305-529-9966 I FAX Ne) ; 305 529 2$56 StateFarm E-MAIL 0 1925 PONCE DE LEON BLVD. ADDRESS: 0'o,,. CORAL GABLES, FL 33134 INSURER(S) AFFORDING COVERAGE NAIC8 INSURER A : St a te Farm Mutual Automobile Insurance Company 25178 INSURED ABC CONSTRUCTION INSURERS: - 7215 NW 7TH ST INSURER C: MIAMI, FL 33126 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 TYPE OF INSURANCE A JNSO WWI POLICY NUMBER (MM DDIIYYYY) tMM D D R r ) LIMITS COMMERCIAL'GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED I CLAIMS.MADE OCCUR PREMISES (Ea occurrence) $ • MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY T7 PRO 'JECT - n LOC PRODUCTS - COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 fEa ac cident) ANY AUTO C65 3744-B01-59D 08/0112018 02/01/2019 BODILY INJURY (Per person) $ ALL OWNED V SCHEDULED BODILY INJURY (Per accident) $ AUTOS N O OWNED 025 6901-B01-59P 08/01/2018 02/01/2019 PROPERTY DAMAGE ( Per accident) $ X HIRFDAUTOSI X AUTOS — $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED 1 !RETENTION $ $ WORKERS COMPENSATION VED (SIC IdAGEMENT ST TUTE 1 I ER AND EMPLOYERS' LIABILITY f N L ANY PROPRIETOR/PARTNER /EXECUTIVE 1 NIA By JJJ E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) / 2 E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DATE__,_ r43 I DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ WAIVER WA YES DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 1D1, Additional Remarks Schedule, may be attached If more space Is required) Key West International Airport 04/16 • Monroe County • Strengthen /Rehabilitate Commercial Apron Project No. GAKAP145 • I Certificate Holder Is also Add( Insured CERTIFICATE HOLDER CANCELLATION Monroe County Bocc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 •ACCORDANCE WITH THE POLICY PROVISIONS. ' AUTHORIL(D REP TENTATIVE _ L � �1� ( ' -� it • O 1988-2014 � z RD CORPORATION. All rights reserved. ACORD 25 9014/01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02 -04 -2014 c a% I • A`� EP CERTIFICATE OF LIABILITY INSURANCE D 08 /01 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 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 lin lieu of such endorsement(s). PRODUCER ILEANA CABRERA - RODRIGUEZ INS. AGENCY NAM NONE: INC: n/c ° . No. Ext): 529 -9966 1 FAX No1 :305- 529 -2856 State Farm E•MA!L 1925 PONCE DE LEON BLVD. ADDRESS: ,: CORAL GABLES, FL 33134 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURER A : State Farm Mutual Automobile Insurance Company 25178 INSURED ABC CONSTRUCTION INSURERS: 7215 NW 7T1-1 ST INSURER C: • MIAMI, FL 33126 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. INS TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP INSD WVD I POLICY NUMBER (MMIDO/YYYY) (MM/OD)YYYY), LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE — DAC E TO RENTED CLAIMS -M I ADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any ono person) $ PERSONAL &ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS- COMP /OPAGG $ _ OTHER: $ AUTOMOBILE LIABILITY 939 7970- B01-59F 08101/2018 02/01/2019 COMBINED SINGLE LIMIT $ (Ea accident) _ ANY AUTO BODILY INJURY (Per person) 5 1,000,000 A CHED OWNED X SCHEDULED - BODILY INJURY (Per accident) 5 1,000,000 X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE $ (Per accident) 1,000,000 AU70 $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ . � DEO 1 RETENTION APP .FcQ B R� N G EMCNT 8 WORKERS COMPENSATION I PE OTH AND EMPLOYERS' LIABILITY — ANY PROPRIETORIPARTNERJEXECUTIVE YfN BY I EL, EACH S OFFICER/MEMBEREXCLUDED? N/A ` — (Mandatory In NH) DATE E.L. DISEASE • EA EMPLOYEE 6 E yes, descrbe under DESCRIPTION OF OPERATIONS below ,, .. •. ► YES E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space Is required) Key West international Airport 04/16 Monroe County Strengthen /Rehabilitate Commercial Apron Project No. GAKAP145 • Certificate Holder is also Addl Insured CERTIFICATE HOLDER CANCELLATION • Monroe County Bocc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHO -- D•E1EPR 11 5ENTATIVE i _� l' (.' mil- �� �• L'� - ©1988.2014 CORD COPORATION. All rights reserved. ACORD 25 (3014/01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02 - 04 - 2014 • AC '» • CERTIFICATE OF LIABILITY INSURANCE D osi f l D Ws ' 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 ILEANA CABRERA - RODRIGUEZ INS. AGENCY NAME: INC. (AM, N . E„MZ 305- 529 -9966 I FAX No): 305-529-2856 State Farm E-MAIL 1925 PONCE DE LEON BLVD. ADDRESS: C) , CORAL GABLES, FL 33134 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A .State Farm Mutual Automobile Insurance Company 25178 INSURED ABC CONSTRUCTION INSURER B: 7215 NW 7TH ST INSURER C : MIAMI, FL 33126 INSURER D: 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. TR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP INSD WVD POLICY NUMBER (MM /DOIYYYYI (MMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE ' _ $ J CLAIMS -MADE u OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ _ MED EXP (Any one person) $ PERSONAL & ADV INJURY _ $ _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY [ I JEOT I ( LOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY 063 7061- B01 -59J 08/0112018 02/01/2019 (CEO eBddeDt) INGLE LIMIT $ 1,000,000 ANY AUTO 1832531- B01.591 08/01/2018 02/01/2019 BODILY INJURY (Per parson) $ — ALL OWNED 7/ SCHEDULED AUTOS ^ AUTOS 224 1098-B01-59J 08101/2018 02/01/2019 BODILY INJURY (Par accident) $ N ED PROPERTY DAMAGE X HIRED AUTOS AUTOS UTOS (Per accident) $ $ UMBRELLALIAB _ OCCUR j EACH OCCURRENCE $ EXCESS UAB CLAIMS -MADE I I J . AGGREGATE $ DED 1 1 RETENTION 8 QV Y 1-44MAG _ _ _ $ WORKERS COMPENSATION ( \� _ - _ O PER OTH- A N D ELOYERS' LIABILITY Y I N BY� U I � a -f� I STATUTE I I ER ANY PROPRIETORIPARTNER/EXECUTIVE 1 X A E.L. EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? n NIA ���� (Mandatory In NH) DATE - 1 E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below WAIVEII N! ��� E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS! LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Key West International Airport 04/16 Monroe County Strengthen /Rehabilitate Commercial Apron Project No. GAKAP145 Certificate Holder is also Addl Insured . • • CERTIFICATE HOLDER CANCELLATION Monroe County Bocc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. / AUT$ OR E REPRESENTATIVE ' /yam ' ""lr�' L 01988 4 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 A D ® CERTIFICATE OF LIABILITY INSURANCE D oE TY (MWDD ) 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(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 ILEANA CABRERA - RODRIGUEZ INS. AGENCY NAME: INC. WO. PHONE exo: -529 -9966 1 FAX No):305- 529 -2856 StateFann EMAIL 1925 PONCE DE LEON BLVD. ADDRESS: CYO, CORAL GABLES, FL 33134 INSURER(S)AFFORDINGCOVERAGE NAIC INSURER A : State Farm Mutual Automobile Insurance Company 25178 INSURED ABC CONSTRUCTION INSURER B: 7215 NW 7TH ST INSURER C: MIAMI, FL 33126 INSURER D: 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. I E TYPE OF INSURANCE ADOL SUER POLICY EFF POLICY EXP INSD WVD POLICY NUMBER IMMIDDIYYYY) (MMIODIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS•MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL BADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ _ POLICY [1' JEC T I LOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILB Y COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO C65 3744- B01.59D 00/01/2018 02/01/2019 BODILY INJURY (Per person) $ ALL OWNED ',/ SCHEDULED AUTOS • AUTOS 025 6901- B01 -59P 08/01/2018 02/01/2019 BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE $ AUTOS (Per accident) _ $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED 1 I RETENTION $ $ WORKERS COMPENSATION STATUTE I I ER AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETOR/PARTNERIEXECUTIVE E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? I N / A (Mandatory In NH) E,L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E,L, DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (ACORD 101, AddlUonal Remarks Schedule, y be attac od If more space Is required) Key West International Airport 04/16 APPRO D B� - ISK ' I. � NAGEMENT • Monroe County • BY .`' - i Strengthen /Rehabilitate Commercial Apron Project No. GAKAP145 I DATE mo w, 1 Certificate Holder is also Add( Insured WAIVER N// YES CERTIFICATE HOLDER CANCELLATION Monroe County Bocc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 • ACCORDANCE WITH THE POLICY PROVISIONS. • AUTHORI/ED REP SENTATIVE © 1988-2014 v RD C All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02 -04 -2014 • A ® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 08101/2018 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 thls certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ILEANA CABRERA - RODRIGUEZ INS. AGENCY CONTACT AM: INC DV! 2. E Mt): 305- 529 -9966 A/CC .No): 305- 529 -2856 StateFarm E -MAIL 1925 PONCE DE LEON BLVD. ADDRESS: o , CORAL GABLES, FL 33134 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A : state Farm Mutual Automobile Insurance Company 25178 INSURED ABC CONSTRUCTION INSURER B: 7215 NW 7TH ST INSURER C: MIAMI, FL 33126 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 AD DL SUER ' - POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) IMM/DDIYVYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 DAMAGE TO RENTED CLAIMS - MADE I OCCUR PREMISES (Ea occurrence) $ _ _ MEO EXP (Any ane person) $ PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMITAPPLIESPER: GENERAL AGGREGATE $ POLICY u PRO [ - L JEC LOC PRODUCTS • COMP/OP AGG $ , OTHER: $ AUTOMOBILE LIABILITY 939 7970- B01-59F 08101(201B 02/0112019 COMBINED a accidenQ SINGLE LIMIT $ (E ANY AUTO BODILY INJURY (Per parson) 5 1,000,000 ALL OWNED X SCHEDULED BODILY INJURY (Per $ 1,000,000 AUTOS AUTOS t X HIRED AUTOS 140N•OWNED PROPERTY DAMAGE AUTOS (Par accident) $ 1,000,000 $ UMBRELLALIAB _ OCCUR �� \ EACH OCCURRENCE $ EXCESS MB CLAIMS -MADE ` V ` O D V Y RIS NAGEMrEiNT AGGREGATE _ $ DED 1 RETENTION $ WORKERS COMPENSATION BY tie_ i S ATUTE ER 1 1 I OTH 5 I N AND EMPLOYERS' LIABILITY Y i / i ANY PROPRIETORMPARTNERIEXECUTIVE DATE K E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A — (Mandatory In NH) WAIVER IW YES E.L. DISEASE • EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if mare space Is required) Key West International Airport 04116 • Monroe County Strengthen /Rehabilitate Commercial Apron Project No. GAKAP145 Certificate Holder is also Addl Insured CERTIFICATE HOLDER CANCELLATION Monroe County Bocc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 ACCORDANCE 11 WITH THE POLICY PROVISIONS. / AUTHO • ED•REPR,pSENTATIVE G ` 47:4 ( -. '"� .- - ©1988.2014h ORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo aro registered marks of ACORD 1001486 132849.9 02- 04-2014