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Certificates of Insurance
To report a claim,please visit:http://t.uber.com/claims PRCORED/PT COMMERC/AL Progressive P.O.Box 94739 Cleveland,OH 44101 Policy number: 06250110-4 Underwriting Company: Progressive Express Insurance Company Page 1 of 1 Certificate of Insurance Certificate Holder Insured Agent Monroe County BOCC Rasier,LLC PROG COMMERCIAL 1100 Simonton St. Rasier-CA, LLC PO BOX 94739 Key West,FL 33040 Rasier-DC,LLC CLEVELAND,OH 44101 Rasier-PA,LLC Rasier-MT,LLC Hinter-NM,LLC 1455 Market Street,4th Floor A San Francisco,CA 94103 � I8K NAGEman. AIVER prii—ot_peffs This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s)indicated.This Certificate is issued for information purposes only.It confers no rights upon the certificate holder and does not change,alter,modify,or extend the coverages afforded by the policies listed below.The coverages afforded by the policies listed below are subject to all the terms,exclusions,limitations, endorsements,and conditions of these policies. Policy Effective Date:Mar 1,2020 Policy Expiration Date: Sep 1,2020 Insurance coverage(s) Limits Liability To Others Bodily Injury and Property Damage Liability $1,000,000 combined single limit Uninsured Motorist Non-Stacked $20,000 each accident Limits are increased to$250,000 each accident Only while a passenger is on board $20,000 each accident Underinsured Motorist Non-Stacked Limits are increased to$250,000 each accident Only while a passenger is on board Description of Operations/LocationNehicles/Special Items A"TNC driver"is an individual that is operating a motor vehicle in connection with the named insured's"covered TNC operations"and has recorded acceptance in the"ride-share application"of a request to provide"covered TNC operations,"and is either traveling to the pick-up location or traveling from the pick-up location to the drop-off location. If a policy described above is cancelled mid-term, notice will be delivered in accordance with that policy's provisions. Form 5241TNC P23(05/17) - A ® CERTIFICATE OF LIABILITY INSURANCE DATEI(MM/DD 9� 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 NAME: Woodruff-Sawyer&Co. PHONE FAX 50 California Street,Floor 12 INC.No.Extl:415-391-2141 (Arc,No):415-989-9923 San Francisco CA 94111 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC/1 rs INSURER A:Old Republic Insurance Company 24147 INSURED UEC-01 . Rasier-DC,LLC BERT INSURER B: 1455 Market,Floor 4 INSURER C: San Francisco CA 94103 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:169950004 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. INR TYPE OF INSURANCE ADDLISUBR POLICY EFF I POLICY EXP L -INSD1 MD POLICY NUMBER ,(MMIDDIYYYY) (MM/DD/YYYYL LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY313794 7/1/2019 7/1/2020 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $1,000,000, MED EXP(Any one person) $Excluded PERSONAL&ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000,000 X I POLICY 1,1181 LOC A'`i1+,15l EY -I:c+MAN a (ANT PRODUCTS-COMP/OP AGG $2.000,000 OTHER: _ �Y k I y $ AUTOMOBILE LIABILITY BY y COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO DATE -7' ✓L BODILY INJURY(Per person) S OWNED SCHEDULED WAIVER BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY —AUTOS ONLY (Per accident) S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE $ I DED I RETENTION$ $ • WORKERS COMPENSATION I PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED't n 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 I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Issued for Evidence of Insurance purposes only. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN . Monroe County ACCORDANCE WITH THE POLICY PROVISIONS. Director of Airports 3491 S.Roosevelt Blvd. v AUTHORIZED REPRESENTATIVE Key West FL 33040 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD PRO OR' ffigr coliodERC,AL Progressive P.O.Box 94739 Cleveland,OH 44101 Policy number: 06250110-3 Underwriting Company: Progressive Express Insurance Company Page 1 of 1 Certificate of Insurance Certificate Holder Insured Agent Monroe County BOCC (`aasi er,LLC PROG COMMERCIAL 1100 Simonton St. t-Ra'sie?CA, LLC PO BOX 94739 Key West,FL 33040 Rasier-DC,LLC CLEVELAND,OH 44101 Rasier-PA,LLC Rasier-MT,LLC Hinter-NM,LLC 1455 Market Street,4th Floor San Francisco,CA 94103 • This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s)indicated.This Certificate is issued for information purposes only.It confers no rights upon the certificate holder and does not change,alter,modify,or extend the coverages afforded by the policies listed below.The coverages afforded by the policies listed below are subject to all the terms,exclusions,limitations, endorsements,and conditions of these policies. Policy Effective Date:Sep 1,2019 LPolicy Expiration_Date: Mar 1,2020 Insurance coverage(s) Limits Liability To Others Bodily Injury and Property Damage Liability $1,000,00o combined single limit '' -YAI , MANAGEMENT 0, BY70. DATE -``// -- WAIVER N/ram YES— Description of Operations/Location/Vehicles/Special Items A"INC driver"is an individual that is operating a motor vehicle in connection with the named insured's"covered TNC operations"and has recorded acceptance in the"ride-share application"of a request to provide"covered TNC operations,"and is either traveling to the pick-up location or traveling from the pick-up location to the drop-off location. If a policy described above is cancelled mid-term,notice will be delivered in accordance with that policy's provisions. Form 5241TNC P23(05/17) PROBIlEfffir COMMERCIAL Progressive P.O.Box 94739 Cleveland,OH 44101 Policy number: 06250110-2 Underwriting Company: Progressive Express Insurance Company Page 1 of 1 Certificate of Insurance Certificate Holder Insured Agent Monroe County BOCC Rasier,LLC PROG COMMERCIAL 1100 Simonton St. Rasier-CA,LLC PO BOX 94739 Key West,FL 33040 Rasier-DC,LLC CLEVELAND,OH 44101 Rasier-PA,LLC Rasier-MT,LLC Hinter-NM,LLC 1455 Market Street,4th Floor San Francisco,CA 94103 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s)indicated.This Certificate is issued for information purposes only.It confers no rights upon the certificate holder and does not change,alter,modify,or extend the coverages afforded by the policies listed below.The coverages afforded by the policies listed below are subject to all the terms,exclusions,limitations, endorsements,and conditions of these policies. Policy Effective Date:Mar 1,2019 Policy Expiration Date: Sep 1,2019 Insurance coverage(s) Limits Liability To Others Bodily Injury and Property Damage Liability $1,000,000 combined single limit APPRO EMENT BY DATE WAIVER A Description of OperationslLocationNehicles/Special Items A"TNC driver"is an individual that is operating a motor vehicle in connection with the named insured's"covered TNC operations"and has recorded acceptance in the"ride-share application"of a request to provide"covered TNC operations,"and is either traveling to the pick-up location or traveling from the pick-up location to the drop-off location. If a policy described above is cancelled mid-term, notice will be delivered in accordance with that policy's provisions. Form 5241TNC P23(05/17) PROUREITIIIF COMMERCL41 Progressive Policy number: 06250110 -1 P.O. Box 94739 Underwriting Company: Cleveland, OH 44101 Progressive Express Insurance Company Page 1 of 1 Certificate of Insurance Certificate Insured - Agent Holder Monroe County BOCC Rasier, LLC PROG COMMERCIAL 1100 Simonton St. Rasier -CA, LLC PO BOX 94739 Key West, FL 33040 Rasier-DC, LLC CLEVELAND, OH 44101 Rasier-PA, LLC Rasier-MT, LLC Hinter -NM, LLC 1455 Market St., 4th Floor San Francisco, CA 94103 This document certifies thatinsurancepolicies identified bel ow have been issued by the designated insurer to the insured named a bovefor the period(s) indi cated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed bel ow. The coverages afforded by the policies listed below aresubjectto all theterms, exclusi ons, limitations, endorsements, and conditions of these policies. Policy Effective Date: Sep 01,2018 Policy Expiration Date: Mar 01,2019 Insurance Limits coverage(s) ............................................................................................................................... ............................... Li a bilityTo Others Bodilylnjuryand PropertyDamage Liability $1,000,000 combined single limit Description of Operatons/LocationNehicles /Special Items A "TNC driver" is an individual that is operatinga motor vehicle in connection with the named insured's "covered TNC operati ons" and has recorded acceptance in the "ride -s ha re a pplication" of a request to provide "covered TNC operations," and is either traveling to the pick -up location or travel i ng from the pick -up location to the drop -off location. If a policy described above is cancelled mid -term, noti cewill be delivered in accordancewith that policy's provisions. ARf�iVEa BA RISK ` NAGEMENT Form 5241TNC(0517) BY WAIVER P41 YRS. ; GO: '