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COI Expires 08/01/2019
____.--', AVIR&AS-01 _ URIBEA '4COROa CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 41.------ 01/17/2019 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 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 License#0E67768 CONTACT Annie Uribe NAME: Insurance Office of America,Inc. PHONE FAX Abacoa Town Center (A/C,No,EXt):(561)296-5966 26059 (AIC,No):(561)776-0670 1200 University Blvd,Suite 200 nooREss:Annie.Uribe©ioausa.com Jupiter,FL 33458 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:The Hanover Insurance Company 22292 INSURED INSURER B:Allmerica Financial Benefit Insurance Company 41840 Avirom&Associates,Inc. INSURER C:Transportation Insurance Company 20494 50 SW Ave INSURERD:AXIS Insurance Company 37273 Boca Raton,FL 33432 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. ILTR R I TYPE OF INSURANCE INSDA WVD POLICY NUMBER IMMIDDmYYI IMMIDDIYYICY XYY)I LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR ZHJD65672500 08/01/2 08/01/2019 DAMAGE TO RENTED 100,000 PREMISES�Ea occurrence) $ :'P•I.VED ISK MA EMENT MED EXP(Any one person) $ 10,000 BY AM ` PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 0 GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC DATED- --v PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: WAIVER id/ YES, ... EMPLOYEE BENEFI $ 1,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (_Ea accident) $ X ANY AUTO AWJD65672700 08/01/2018 08/01/2019 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE UHJD65672400 08/01/2018 08/01/2019 AGGREGATE $ 4,000,000 DED X RETENTION$ 10,000, $ C WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N 624703484 02/02/2019 02/02/2020 X STATUTE ER 500,000 ANY OFFICER/MEMBER EXCLU EDPROPRIETOR/PARTNER/EX?ECUTIVE N N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Prof Liability AEA000052042018 08/01/2018 08/01/2019 Per Claim 3,000,000 D Prof Liability AEA000052042018 08/01/2018 08/01/2019 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County is named as additional insured with regards to General Liability insurance as per form 421-2915 and Auto Liability insurance as per 461-0478 as required by written contact. 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 AUTHORIZED REPRESENTATIVE and Monroe County Board of County Commissioners �I �7 r 1100 Simonton Street L •/C J/ IKey West.FL 33040 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD