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Certificates of Insurance REI AW ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 02/27/2019 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 NAIdE: Ayden Phillips Island Insurance Agency,Inc. ((PHONE 305 294-6666 FAX ) 305 294-6668 (A/C,No,Ext): AIC,No): 3229 Flagler Ave#112 E-MADDRESS: islandinsurance@comcast.net INSURER(S)AFFORDING COVERAGE NAIC# Key West FL. 33040 INSURER A: LLOYD'S OF LONDON INSURED INSURER B: Economy Premier Ins Company 38067 GOC,INC. INSURER C: 5020 5TH AVE#1 INSURER D: INSURER E: _ KEY WEST FL. 33040 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 AUUL SUM- LTR TYPE OF INSURANCE INSR MD POLICY NUMBER POLICYEFF POLICY EX� (MM!DD/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY — EACH OCCURRENCE $ 1,000,000 UAMAGt IU KtNIEU L COMMERCIAL GENERAL LIABILITY 100,0010 PREMISES(Ea occurrence) $ CLAIMS-MADE I'/ OCCUR MED EXP(Any one person) $ 500,000 X CIBFL0046176 02/20/2019 02/20/2020 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 .' POLICY I PROT- JEC LOC $ AUTOMOBILE LIABILITY COMBINED S1NtLh LIMI I $ 100,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B ,ii ALL OWNED SCHEDULED •X CA029776P2018 09/07/2018 09/07/2019 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPhRTYDAMAGE HIRED AUTOS AUTOS (Per accident) $ $ UMBRELLA LIAB `I OCCUR EACH OCCURRENCE $ 1 EXCESS LIAB I CLAIMS-MADE AGGREGATE $ 1 DED 11 I RETENTION S II�� $ AND EMPLOYERS'LIABILITY YINWORKERS COMPENSATION f 11 ORY IMIT S II u�R ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? n E.L.EACH ACCIDENT N I 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 (Attach ACORD 101,Additional Remarks Schedule,if more space is required) APPRO E ) f ,:,NAGEMENT BY ...J..i.. DATE' ehri=-'s&jV WAIVER • v° ,Eg *****Certificate holder is additional insured***** CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANC H THE POLICY PROVISIONS. 1100 Simonton Street — AUTHORIZED• P•rill>• �_--- Key West FL. 33040 I 02/27/2019 • ACORD 25(2010/05) ©1988-20 0 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered ks of ACO-.: D j - ACCPRID CERTIFICATE OF LIb''9� ILITY 1NSUR. NCE DATE(MMI ) 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 NAME Ayden Phillips Island Insurance Agency, Inc. ff PHONE , Extl: 305 294 -6666 I t� N 305 294 6668 3229 Fla Ier Ave #112 E islandinsurance@comcast.net 9 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Key West FL. 33040 INSURER A: LLOYD'S OF LONDON INSURED INSURER B : Economy Premier Ins Company 38067 GOC, INC. INSURER C: 5020 5TH AVE #1 INSURER D : INSURER E : KEY WEST FL. 33040 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 AUUL3UBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDD)YYYY) (MMIDD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE g 1,000,000 LIHMAbt 10 I r'm U 100,000 COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ 1 CLAIMS -MADE IV OCCUR MED EXP (Any one person) $ 500,000 A X CIBFL0046176 02/20/2018 02/20/2019 PERSONAL BAOVINJURY $ 1,000,000 [ GENERAL AGGREGATE _ $ 2,000,000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS - COMP/OP AGG $ 2,000,000 VI P OLICY [1 PRO- 1 -- JECT LOC $ AUTOMOBILE LIABILITY CUMI3INbU SINGLE LIMI I $ 100,000 jEa accident) - ANY AUTO BODILY INJURY (Per person) $ ALL B AUTOS OWNED SCHEDULED X CA029776P2018 09/07/2018 09/07/2019 BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED PROPERTYUAMAGb $ AUTOS jPer accident) - . [ ' $ , UMBRELLALIAB • OCCUR EACH OCCURRENCE $ ( EXCESS LIAB CLAIMS -MADE AGGREGATE- $ i DED 11 'I RETENTION $ $ WORKERS COMPENSATION ''II WC STATU- 10TH- AND EMPLOYERS' LIABILITY Y / N 9 TORY LIMITS ER ANY PROPRIETOR/PARTNER /EXECUTIVE I E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N 1 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/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) APP!. RiNA • : `� BY ��t' � T --- P #1.LJ ' . TN' V - . r -- .. p " "Certificate holder is additional insured***** CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED 7E / Key West ; FL. 33040 p 09/12/2018 1 ACORD 25 (2010/05) ©1988 -20 .0 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered ma - .fACOP CC•