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COI Expires 04/15/2019
ACO CERTIFICATE OF LIABILITY INSURANCE DATE ) 4/19/2018 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 Baldwin Krystyn Sherman PHONE FAX 4010 W Boy Scout Blvd (A/C. No. Ext): 813- 984 -3200 (Alc, No): 813- 984 -3201 Suite 200 AD D RE SS: certificates@bks- partners.com Tampa FL 33607 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURER A : Liberty Mutual Insurance Co. 23043 INSURED 1SPECPRO INSURER B: First Liberty Insurance Corporation 33588 Specialized Property Services, Inc. 9605 E. Hwy 92 INSURER C: Tampa FL 33610 INSURER D : - INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 860125714 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS IMM /DD/YYW) (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y Y TB7Z91462399018 4/15/2018 4/15/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED AP BY RI$ M ANAGE MIENT PREMISES (Ea occurrence) $100,000 BY \ I� I�7� MED EXP (Any one person) $ 10,000 — ii 1 PERSONAL & ADV INJURY 01,000,000 GEN'LAGGREGATELIMITAPPLIESPER: DATE 5 '( - GENERAL AGGREGATE $2,000,000 X POLICY X JECT LOC WAIVER WA4, YES_ PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY AS6Z91462399068 4/15/2018 4/15/2019 COMBINED SINGLE LIMIT $ (Ea accident) 1.000.000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS x HIRED X N -OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) - $ A X UMBRELLA LIAB X OCCUR Y TH7Z91462399028 4/15/2018 4/15/2019 EACH OCCURRENCE _ $ 5,000,000 _ EXCESS LIAB CLAIMS -MADE AGGREGATE $5,000,000 DED X RETENTION $ 10 0n0 Retention $ $10,000 g WORKERS COMPENSATION Y WC6Z91462399058 4/15/2018 4/15/2019 X STATUTE OTH- ER AND EMPLOYERS' LIABILITY Y / N - - - - - -- ANYPROPRIETOR/PARTNER /EXECUTIVE - N /A E.L. EACH ACCIDENT - $1,000,000 - -- — -- -- -- OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Blanket Additional Insured applies to General Liability and Umbrella subject to terms, conditions, and exclusions of the policies.. Blanket Waiver of Subrogation applies to General Liability and Workers Compensation subject to terms, conditions, and exclusions of the policy. Coverage is provided on a Primary/Non- Contributory basis. 30 day notice of cancellation of applies, except 10 day notice for nonpayment of premium per Florida Statute. RE: East Martello Brick and Mortar Restoration The Monre County Board of County Commissioners, its employees, and officials are Additional Insured with respect to General Liability and Auto Liability, where required by written contract. 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 Board of County Commissioners 1100 Simonton Street Key West FL 33040 AU REPRESENTATIVE I/ // © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (201,6/03) The ACORD name and logo are registered marks of ACORD • C G ;