COI Expires 11/01/2018 ACORO® DATE (MM /DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 08/08/2018
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 CONTACT GEORGE MERONI
NAME:
State Farm T GEORGE MERONI INSURANCE AGENCY INC i N o. Exsl: 305 - 247 -3971 FAX No): 305 - 247 -4065
CI 1801 N KROME AVE E-MAIL GEORGE c@GEORGEMERONI.COM
CYO _ ADDRESS: .
HOMESTEAD, FL 33030 - 3237 INSURER(S) AFFORDING COVERAGE NAIC # _
F - 600 59 - 2704 INSURERA: State Farm Mutual Automobile Insurance Company 25178
INSURED INSURER B :
FLORIDA FENCE CORP INSURERC:
PO BOX 439 INSURER D : _
TAVERNIER, FL 33070 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' POLICY EFF POLICY EXP LIMITS
LTR INSD WVD POLICY NUMBER IMM /DD/YYYY) IMM/DD/YYYY)
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
AMAGE TO
CLAIMS -MADE OCCUR PREM PREMISES (Ea RENTED $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
POLICY PRO JECT LOC PRODUCTS - COMP /OP AGG $
OTHER' $
AUTOMOBILE LIABILITY Y Y 9658846- E01 -59 05/01/2018 11/01 /2018 COMBINED SINGLE LIMIT $
(Ea accident)
ANY AUTO BODILY INJURY (Per person) $ 1,000,000
OWNED SCHEDULED 965 8847- E01 -59 05/01/2018 11/01/2018
A BODILYINJURY(Peraccident) $ 1,000,000
AUTOS
7 HIRED NON -OWNED 966 5754-E01-59 05/01/2018 11/01 /2018 PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Per accident) $ 1 ,000,000
966 5755- E01 -59 05/01/2018 11/01/2018 $
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS UAB CLAIMS -MADE AGGREGATE $
DED RETENTION $ $
WORKERS COMPENSATION
I AND EMPLOYERS' LIABILITY Y / N STATUTE ERH
ANY PROPRIETOR /PARTNER /EXECUTIVE N / A E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(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 / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
14 CHEV C1500 1GCRCREHXEZ239656
17 CHEV C1500 3GCPCTEC3HG352703 APP ' €'e BY IS'IT , E
05 CHEV C3500 1GBJC34U85E224884 BY _ _ � -
05 GMC 3500 1GDJC34UX5E229432 DA _ NER I ! = _ Y a%,
•
PROJECT: Detention Center Fencing
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 ACCORDANCE WITH THE POLICY PROVISIONS.
1100 SIMONTON STREET
KEY WEST, FLORIDA 33040 AUTHORIZED REPRESENTATIVE
1 ro V 7� i' scs
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ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
1001486 132849.12 03-16 -2016