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COI Expires 03/07/2019 AC018 �® CERTIFICATE OF LIABILITY INSURANCE DATE iosDDPN • ITHIS 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 -tEPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) 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 CONTACTThomBS LBdWidge NAME: ---_ THOMAS LEDWIDGE INSURANCE AGENCY PHONE 305.822 2424 FAX 35 • (9lc.Hs.Est1:__.—__ --__ ...--"-. _�(ANC,No);305 822-2558 St teFalt a MIAMI LAKES DRIVE E E•MAILAODRE Thomas L ;"`_ MIAMI LAKES, FL 33014 AnDRess:___-_ edwidgPAgency.com :;_ INSURER(S)AFFORDING COVERAGE NAM 0 INSURED OAC ACTION CONSTRUCTION CORP(10260) INSURERA;State Farm Mutual Automobile Insurance Company 25178 INSURER B; 11980 SW 144 Ct.Suite 101 INSURERC____._ MIAMI FL 33186-6266 INSURER D: INSURER E: 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. SITSR POLICY EFY POLICY EXP - - ""'_ '. 'LTR TYPE OF INSURANCE INSD WVO POLICY NUMBER (MMIDDIYYYY) IMMIDDII'YYYI LIMITS COMMERCIAL GENERAL UABILRY I EACH OCCURRENCE $ CLAI!.IS MADE i !OCCUR I bALiAO€fdR€NFEU — PREMISES(En orcurrenrn $ -- MED EXP(Any one person) 5 — - • I PERSONAL 8 ADV INJURY 5 ______ GEN•L AGGREGATE LIM;T APP.IESPER I IGENERAL AGGREGATE 5 PU!ICY I WA LOC PRODUCTS-COMP/OP AGG S I OTHER -- _ ...- AUTOMOBILE LIABILITY CLIMBINEU SINGLE E IMI1 1$ Y G17 1523 C07 59 09/07/2018 03/07/2019 (Fn nrridont) ` ANY AUTO --—'- EE94 2855-D26-69 10/26/2018 06/26/2019 BODILY INJURY(Per person) $ 1,000,000 ALL OWNED SCHEDULED ------------- - " . XiAUTOS ^;AllT05 BODILY INJURY(Per acritlonl) 5 1,000,000 HIREDAUTOS NCH-OWNED 5^ 1,000,000 I (Per roirTY DAMAGE � 1 AUTOS �(Prr acdrlrm), _ _." _ S I UMBRELLA(JAB OCCUR gpp(301.rEpt3Y RISfKN1�ENAiGiEflRF7 1 EACH OCCURRENCE $ LIA 1 EXCESS B 1 Cl AIAIS•;.(ADF. \ \ � ; ', - , AGGREGATE $ ,-- DEO 1 I RETENTIONS J — EiY-' �,- , ' , I ( t 1s WORKERS COMPENSATION DATE____..__.... \,-- I. I- I., • - PER UTH- AND EMPLOYERS'LIABILITY YIN 1 SiATI1TE ' PR ANY PROPRIETOR'PARTNFPoEXECUTIVP WAIV l N/&.I_' i F.: FACT]ACCIDENT $ (Manda'to'ry In EXCLUDED? L_J NIA (Mandatory In NH) E L.DISEASE-EA EMPLOYEE S tf yes.dew:ha under ]_ .... DESCRIPTION OF OPERATIONS benw } E L DISEASE•POLICY LIMIT 15 Comp 8,Coll 5500 deductible ENOL Y 9481859 E22 59B 11/22/2018 05/22/2019 i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD]01,Additional Remarks Schedule,may be attached if more space Is required) 16 FORD F150 Pickup VIN:1FTMF1C83GKD92199 18 Ford F150 Pickup VIN:1FTMFICB8JKC01847 CGC License#081561 • CERTIFICATE HOLDER CANCELLATION Additional Insured: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS, -,ey West,FL 33040 AUTHORIZED REPRESENTATIVE ,G K-f 6( To LA t 4 ., 01988-2014 ACORD C• PORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014 AC®® CERTIFICATE OF LIABILITY INSURANCE DATE(MMI0DWYYf) 11/08/2018 ITHIS 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 6ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED i IEPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. - IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) 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 CONTACTTIIOma5 Ledwidge 9e THOMAS LEDWIDGE INSURANCE AGENCY PHONE 305-822-2424 i F^x oi,305 ' jg1C•No.Exit — __-- LAL NoJ:305 822-2558 St[teFarm 6177 MIAMI LAKES DRIVE E E*te(a Thomas@LedwidgeAgency.com @LedwidgeAgeney.com 2), MIAMI LAKES, FL 33014 -- �:"„ INSURERS AFFORDING COVERAGE —---------------- ---- --- INSURER A State Farm Mutual Automobile Insurance Company 25178 INSURED OAC ACTION CONSTRUCTION CORP (10260) — — —— —'— INSURER B 11980 SW 144 Ct. Suite 101 INSURER C MIAMI FL 33186-6266 INSURER D: ,INSURER E: 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. INSRI .- ---75BUSUBR----.. - ----- --- ---- LTR TYPE OF INSURANCE MSD INA00 POLICY NUMBER POLICY EFF POLICY EI(P I IMANDD1YYYv) {IRd/DDlYYYY) LIMITS COMMERCIAL GENERAL LIABILITY IEACH OCCURRENCE 5 Ct l l OCCUR i •-6AA ETOPlaiTEo ' -. PREAtI.SFSjFaorrugrencn)• 5__ i MED EXP(Any ono person) S - -- I PERSONAL&ADV INJURY 5 PRO-T GFJV'L AGGREGATE UMIT APPLIES PER 1 j GENERAL AGGREGATE ,S POLICY f I IJM [ i IOC i -- 1 PRODU 1 CTS•COMP/OP AGG 5 OTHER ' i 5 AUTOMOBILE LIABILITY Y I C87 0586-E22.59 A 11/22/2018 05/22/2019 ('OAIBINEO SINGLE LIMIT 's jEa ncradeni] ANY AUTO C87 0587-E22-59A 11/22/2018 05/22/2019 BODILY INJURY(Pm person) 5 1,000,000 ALL O'A'NED j X i SCHEDULED — AUTOS .-J AUTOS 617 1524-CO7-59 09107/2018 03/07/2019 BODILY INJURY(Per accident) $ 1,000,000 NON-OWNED "PROPERTY DAMAGE S 1,000,000 HIRED AUTOS 4 AUTOS G17 1522-007-59 09/07/2018 03/0712019 (Pn ercidnnr)I 5 UMBRELLA LIAR I J OCCUR I • EACH OCCURRENCE I S EXCESS LIAB CI AIMS-MADE c• I I APPCI ED GY RISK l'1 4GE1uEN1 AGGREGATE S I DED I RETENTIONS I •(�I�, \/'; 1 S WORKERS COMPENSATION isY '� .- ----- PER I 1OTH- ANDEMPLOYERS•LIABILITY YIN 1 l,".I--• rl STATUTE I ER _ AIYPROPRIETOR/PARTNERIEXECUTIVc I - 111 OFFICER/MEMBER EXCLUDED? r JI N I A, i i?ATE,_____y_...a - — E.L.EACH ACCIDENT S (Mandatory In NH) j WAi �- - -- --- ----- If yea.describe undo NIA___ YES. _. E L DISEASE•EA EMPLOYEE S DESCRIPTION OF OPERATIONS below I E L.DISEASE•POLICY LIMIT S jComp&Coll 5500 deductaale I I I ' DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES(ACORD 101,Additional Romarkc Schodule,may bo attached If more apace Is required) 14 FORD F150 PICKUP VIN:1FTFW1CF7EFA90329 14 FORD F150 PICKUP VIN:1FTMF1CM7EFB57405 16 FORD F150 PICKUP VIN:1FTMF1C88GKD62163 16 Ford F150 PICK UP VIM:1FTEW1CFXGFB22009 CGC License#061561 CERTIFICATE HOLDER CANCELLATION Additional Insured: ANY OFBE Monroe County Board of Commissioners THE SHOULD E EXPIRATIION H DATE E VT THEREOF,DESCRIBENOTIICE D 1 WILL BE CANCELLEDES NOTICEREIN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. 'ey West,FL 33040 / AUTHORIZED REPRESENTATIVE C,C.. •414-4A-r..w--ti...... -1--r PSC 1 C4. -CA/J‘ ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014 Acco® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDPIYYY) �� 11/08/2018 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 ( .EPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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 Ileu of such endorsement(s). PRODUCER CONTACT Thomas Ledwidge THOMAS LEDWIDGE INSURANCE AGENCY PHGNE 305-822-2424 j ' (AL4.iY,Ext/: ---_.._._-_-- --- �.(A/C.No1;305 822-2558 StateFarm 6177 MIAMI LAKES DRIVE E .aooriEss_Thomaslo@LedwidgeAgency.com MIAMI LAKES, FL 33014 --- r ti ) INSURERIS)AFFORDING COVERAGE NAIL# INSURER A State Farm Mutual Automobile Insurance Company 25178 INSURED OAC ACTION CONSTRUCTION CORP(10260) INSURER B 11980 SW 144 Ct. Suite 101 — .. INSURER C: MIAMI FL 33186-6266 I INSURER D INSURER E: INSURER F: I 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. LTR. TYPE OF INSURANCE I.INSD 1 WYD I POLICY NUMBER i IMM DDNYYY}I IM POLICY IYYYY1 I LIMITS I COMMERCIAL GENERAL LIABILITY I I I i I 1 1 I ETiA1TAGETbitENTEB SACH OCCURRENCE I __I CI AR,1S-!JADE. f--_I OCCUR i I" ! I PREMISES(En rxruneenrel 5 -- - - - I I 1 MED EXP(Any are person) 5 '•--I I PERSONAL F.ADV INJURY S I G_ENLAGGRF.GATELIh11T APPLIES PER: j GENERA! AGGREGATE. I I • PRO- ! I -------- S ----- --�POL ICY I I JECT t .I LOC i ---_----- ------ -- ----- -- I PRODUCTS-COMP/OP AGG S i OTHER j f I S AUTOMOBILE LIABILITY i -CU\tbNl:D SINGLE 1 Ih11T Y C87 0586-E22.59 A 11/22/2018 ' 05l2212019 Spa ac,_dnll S '. ! I ANY AUTO I j C87 0587-E22-59A 11/22/2018 05122/2019 1 BODILY INJURY(Per person) 5 1,000,000 ALL OWNED )- " SCHEDII:ED __ AUTOS ' AUTOS I f BODILY INJURY(Per accident) S 1,000,000 NON.OWNED I , G171524-CO7-59 09/07/2018, 03/07/2019 HIRED AUTOS AUTOS I 'PROPER IY DAMAGE S 1,000,000 • - I i G17 1522-007-59 09/0712018 03107/2019 I4"accidrnq S UMBRELLA LIAB OCCUR I I - FA CH OCCURRENCE S EXCESS LIAB CIA_IMS'MADE - - ----_ I i AGGREGATE S DED I I RETENTIONS T App I+ED 43Y RioKNAfsErrIL-P1 s WORKERS COMPENSATION \ '�/} I I PER UTH ; ANDEMPLOYERS'LIABIL(TY `,�`�(,(. - / STATUTE I ..I-ER Y/N By •-- —r - - ANYPHOPRIETORIPARTNEWEXF•CUTIVL C'• � ttt�� � , / r /1 -' OFFICERIR!E!JBEHEXCLQDED? NIA ._S.-.L---- . +- I '‘)1/4 1 EL EACH ACCIDENT 15 (Mandatory In NH) ! DATE -- F..L.DISEASE.•EA EGIPLOY1 S u'//es.describe under Y@8—.. IS _. M ---_ FS(:R:PTION OF OPERATIONS hc:u:r WAI �— E.L.DISEASE-POLICY LIMIT,S D Comp&CeE$500 deductible l . DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached IT more space is required) 14 FORD F150 PICKUP VIN:1FTFW1CF7EFA90329 14 FORD F150 PICKUP VIN:1FTMF1CM7EFB57405 16 FORD F150 PICKUP VIN:1FTMF1C88GKD62163 16 Ford F150 PICK UP VIN:1FTEW1CFXGFB22009 CGC License#061561 - CERTIFICATE HOLDER CANCELLATION ' Additional Insured: ANY OFE Monroe County Board of Commissioners THEULD EXPIRATIONHE DATBE VE THEREOF, NOTICE DESCRIBEDPOLICI ES WILL CBE CDEL VEREDO IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. r -ey West, FL 33040 AUTHORIZED REPRESENTATIVE I • I LC- Tr(Pi'r Ta-- ©1988-2014 ACORD CO PORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 1001486 132849.9 02-04-2014