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COI Expires 08/17/2019 AR o ® CERTIFICATE OF LIABILITY INSURANCE DATE (M M /DDIYYYY) 10/05/2018 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 Sandra LaRue NAME: Frank H. Furman, Inc. (aHC o, E ■tl: (954) 943 -5050 jn/c, No): ( 942 -6310 1314 East Atlantic Blvd. E sandra @furmaninsurance.com ADDRESS: P. O. Box 1927 INSURER(S) AFFORDING COVERAGE NAIC # Pompano Beach FL 33061 INSURERA: Lloyds of London INSURED INSURER B : Travelers Casualty Ins Co of America 19046 A -1 Property Services Group, Inc INSURER C : 890 SW 69th Ave INSURER D : INSURER E : Miami FL 33144 INSURERF: COVERAGES CERTIFICATE NUMBER: A: 2018 GL /UM /AU 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 AOUL SUHR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER (MM /DD/YYYY) (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED 100000 PREMISES (Ea occurrence) $ , MED EXP (Any one person) S 5,0 00 A Y WCISCGL000209401 09/30/2018 09/30/2019 PERSONAL 8. INJURY S 1 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2 , 000 ,000 POLICY X PRO LOC PRODUCTS - COMP /OPAGG S 2 , 0 00 ,0 00 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) , _ X ANYAUTO BODILY INJURY (Per person) $ g OWNED SCHEDULED Y BA4H629064 08/17/2018 08/17/2019 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per accident) S UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000 A X EXCESS LIAB CLAIMS - MADE WCISCEL000209501 09/30/2018 09/30/2019 AGGREGATE $ 5 DED RETENTION S $ WORKERS COMPENSATION I STATUTE I I ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR /PARTNER /EXECUTIVE NIA AP OVEB'Q,Y RjS NAGE.v4ENT E.L. EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? �\ // (Mandatory in NH) 8Y E.L. DISEASE - EA EMPLOYEE S If yes, describe under DESCRIPTION OF OPERATIONS below .. O. T (S E.L. DISEASE - POLICY LIMIT S DATA WA V R N/4L. yea_ _. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Project: Tavernier Fire Station Reroofing Monroe County Board of County Commissioners is included as Additional Insured for ongoing and completed operations with respects to General Liability and Commercial Automobile Liability as required by written contract with the Named 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 Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 500 Whitehead St AUTHORIZED REPRESENTATIVE /� / Key West FL 33040 42.2 d/ /'f An © 1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (20' 6(20' 6 /0� The ACORD name and logo are registered marks of ACORD Saco® CERTIFICATE OF LIABILITY INSURANCE - DATE(MMIDD"YYY) `...'" 10/05/2018 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 Sandra LaRue NAME: Frank H.Furman,Inc. PHONE Extl: (954)943-5050 FAX No): (954)942-6310 1314 East Atlantic Blvd. E-MAIL sandra@furmaninsurance.com ADDRESS: P.O.Box 1927:. INSURERS)AFFORDING COVERAGE NAIC# Pompano Beach FL 33061 INSURER A: Lloyds of London INSURED INSURER B: Travelers Casualty Ins Co of America 19046 A-1 Property Services Group,Inc INSURER C: 890 SW 69th Ave INSURER D: INSURER E: Miami FL 33144 INSURER F: COVERAGES CERTIFICATE NUMBER: A:2018 GLUM/AU 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 SUER POLICY EFF POLICY EXP INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY \ EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED 100000 PREMISES(Ea occurrence) $ , MED EXP(Any one person) $ 5,000 A Y WCISCGL000209401 09/30/2018 09/30/2019 PERSONAL&ADV INJURY $ 1,000,000 — GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY n JET n LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANYAUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED Y BA4H629064 08/17/2018 08/17/2019 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per accident) $ UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A X EXCESS LAB CLAIMS-MADE WCISCEL000209501 09/30/2018 09/30/2019 AGGREGATE $ 5,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- s. 1 AND EMPLOYERS'LABILITY Y I N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) Apr•• D:Blf RIS 40 'NAGEMENT E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1 F. DESCRIPTION OF OPERATIONS below :Th ' I E.L DISEASE-POLICY LIMIT $ --6-Tr WAIVER tJ/A.4. YES._. DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Project:Tavemier Fire Station Reroofing Monroe County Board of County Commissioners is included as Additional Insured for ongoing and completed operations with respects to General Liability and Commercial Automobile Liability as required by written contract with the Named Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NONCE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 500 Whitehead St AUTHORIZED REPRESENTATIVE n Key West FL 33040 42 Z 40.cll91 1 Q ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD