COI Expires 11/30/2016CERTIFICATE OF LIABILITY INSURANCE DATE(MMI DI sn
PRODUCER 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
LOUIS MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
LOUIS J. MORRISON C & C CONSULTANTS ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O BOX 701340
ST CLOUD, FL 34770-1340 INSURERS AFFORDING COVERAGE NAIC #
INSURED _ INSURER A: ARCH INSURANCE COMPANY
U.S WATER SERVICES CORPORATION INSURER e: ALLIED WORLD ASSURANCE COMPANY _
4939 CROSS BAYOU BOULEVARD INSURER C: _
NEW PORT RICHEY, FL 34652 INSURER D:
COVERAGES
LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
THE POLICIES OF INSURANCE
OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
ANY REQUIREMENT, TERM
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
MAY PERTAIN, THE INSURANCE
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR D - � POLICY NUMBER POUCYEFPBOTWN ti7WIRATON LIMITS
OF INSEACH
fim
— TYPE
OCCURRENCE
a 1,000,000
A
Y
BENOMIJABILITY5WERF96-000
100+
X- COMMERCIAL GENERAL LIABILITY
GWPKGO077210
11/30/15
11/30/16
PREMMS(Ee:9—firrInce1-_
$
$ 10,000
CLAIMS MADE iv I L n OCCUR
MED EXP (Any oneperson)
PERSONALdADVINJURY
$ 1,000,000
l
S 3,000,000
GENERAL AGGREGATE
_.
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS-COMPIOP AGG
S. 3,000, 000
POLICY LOC
A
Y
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
y 1,000,000
_X_
ANYAUTO
GWPKGO077210
11/30/15
11/30/16
(Eaaecident)
ALL OWNED AUTOS
BODILY INJURY
$
_
(Per person)
SCHEOULEDAUTOS
..___..-_..._.........._,- _. ._....
..,
X
HIRED AUTOS
BODILY INJURY
S
(Per accident)
X
NON -OWNED AUTOS
PROPERTY DAMAGE
S
(Per accident)
GARAGE LLAIRLITY
AUTO ONLY - EA ACC T
S N -
- —
OTHER THAN E;TCC
S ---------------
ANY AUTO
AUTO ONLY:
$
EACH OCCURREN_C_EM �
0
_ EXCESS I UMBRELLA LIABILITY
X_ OCCUR CLAIMS MADE
GWFXS0077205
11 /30115
11 /30116
AGGREGATE c�
.S _r-S
_ —5,00g00
$ ,_____-
�'��
$
- .
EXCESS OF GENERAL
LIABILITY, AUTO LIABILITY"'
DEDUCTIBLE
& EMPLOYERS LIABILITY
-
s----
RETENTION S
,..�_..
WC STATU- -t;
w :7
WORKERSCOMPENBATION
. _.....TO&Y_1JwTfi -p R_'
AND EMPLOYERS' LIABILRY
ANY PROPRIETORIPARTNER/EXECUTIVE
E.L EACH ACCIDENa
$
E.L. DISEASE - EA EMPLOYEE
S
OFFICERIMEMBER EXCLUDED? Q
(Mandatory In NH)
E.L DISEASE -POLICY LIMIT
S
If yes, describe under
SPEC R 1 I below
B
OTHER
CONTRACTORS POLLUTION LIABILITY
0310-1627
5/26/16
5/26117
$5,000,000 LIMIT/$5,000,000 AGG
$2,000,000 LIMIT/$5,000,000 AGG
PROFESSIONAL LIABILITY
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE LISTED AS ADDITIONAL INSURED ON COMMERCIAL GENERAL
LIABILITY, AUTOMOBILE LIABILITY, AND CONTRACTORS POLLUTION LIABILITY AS THEIR INTERESTS MAY APPEAR.
LOCATION: PLANTATION KEY GOVERNMENTAL CENTER
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF. THE tSSMING INSURER WR.L '(IR6X)4D MAIL -31- DAYS WRITTEN
MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THELFFT)0
COMMISSIONERS
3583 SOUTH ROOSEVELT BLVD VVVVVYVVY
KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE
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0 19RR.2Dn9 ACORD CORPORATION. All dahts reserved.
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The ACORD name and loco are registered marks of ACORD
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