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COI Expires 02/02/2019 /....4 AVIR &AS -01 URIBEA .4WRO CERTIFICATE OF LIABILITY INSURANCE DATE DIYYYY) 46.-- s/2/2o1 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 # 0E67768 CONTACT Annie Uribe NAME: Insurance Office of America, Inc. Abacoa Town Center (a " c, No, Ext): (561) 296 - 5966 26059 (ANC, No):(561) 776 - 0670 1200 University Blvd, Suite 200 nooR l Ess: Annie.Uribe @ioausa.com Jupiter, FL 33458 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Hanover Insurance Company 22292 INSURED INSURER B : Allmerica Financial Benefit Insurance Company 41840 Avirom & Associates, Inc. INSURER C : Transportation Insurance Company 20494 50 SW Ave INSURER D: AXIS Insurance Company 37273 Boca Raton, FL 33432 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 ADDL SUBR W POUCY NUMBER M/ POLICY EFF POLICY EXP LIMITS LTR INSR VD (MDDIYYYY) IMMIDO/YYYYI A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS - MADE X OCCUR ZHJD 65672500 08/01/2018 08/01/2019 DAMAGETORENTED 100,000 X X PREMISES (Ea o $ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 X POLICY ' e LOC PRODUCTS - COMP /OP AGG $ 2,000,000 OTHER EMPLOYEE BENEFI $ 1,000,000 COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY (Ea accident) $ X ANY AUTO AWJD65672700 08/01/2018 08/01/2019 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ AUTOS ONLY ANUOTOS ONEDY PROPERTY accdentDAMAGE $ $ A X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESSLIAB CLAIMS -MADE UHJD65672400 08/01/2018 08/01/2019 AGGREGATE $ 4,000,000 DED X RETENTION$ 10,000 $ C WORKERS COMPENSATION X STATUTE OH ER AND EMPLOYERS' LIABILITY Y N 624703484 02/02/2018 02/02/2019 500,000 ANY PROPRIETOR /PARTNER /EXECUTIVE N N E.L. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? (Mandatory in NH) E L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under 500,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ _ _ D Prof Liability AEA000052042018 08/01/2018 08/01/2019 Per Claim 3,000,000 D Prof Liability AEA000052042018 08/01/2018 08/01/2019 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is named as Additional Insured with regards to General Liability insurance as per form 421 -2915 as required by written contract. General Liability insurance is primary and non - contributory as per 421 -2915. Waiver of Subrogation applies to General Liability insurance as per 421 -2915. BY • • GEMENT 4 _. ... N E 0 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Purchasing Office AUTHORIZED REPRESENTATIVE The Gato Building n 1100 Simonton Street - Room 2 -213 DO Key West, FL 33040 IIII a ACORD 25 (2016/03) © 1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD