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COI Expires 02/08/2020 i �', DIONENT-03 VROLON ACCPREP CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DD/YYYY) `•� 2I7/2019 , 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 C2 ACT Morris&Reynolds Inc. PHONE FAX 14821 South Dixie Highway (Arc,No,Ext):(305)238-1000 I(A/C,No):(305)255-9643 Miami,FL 33176 ADDRESS:E-MAIL INSURER(S)AFFORDING COVERAGE NAIC U INSURER A:Plaza Insurance Company 30945 • INSURED INSURER B:Lloyd's of London Dion Enterprises LLC Dion Fuels LLC Dion Transport LLC INSURER c:Bridgefield Casualty Insurance Company 10335 Mr.Steven Uphoff Post Office Box 1209 INSURER D: , Key West,FL 33041 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. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD MD POLICY IMMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 • CLAIMS-MADE X OCCUR PFHRU010525-01 2/6/2019 2/8/2020 DAMAGETORENTED 100,000 PREMISES(Ea occurrence) S 0 MED EXP(Any one person) S PERSONAL 8 ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 • OTHER: Liquor Liab. s 1,000,000 A AUTOMOBILE LIABILITY Ea BINEDSINGLELIMIT S 1,000,000 ANY AUTO PFHRU010525-01 2/8/2019 2/8/2020 BODILY INJURY(Per person) S X OWNED SCHEDULED , AUTOS ONLY AUTOS BODILY INJURY(Per accident) S X AMPS ONLY X AUTOS ONLY PPerr acadenlDAMAGE S S B UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000 X EXCESS LIAB CLAIMS-MADE 19RENMA1800055-10124101 2/8/2019 2/8/2020 AGGREGATE S 5,000,000 DED X RETENTIONS 0 S . C WORKERS MOYERS COMPENSATION X STATUTE EERH Y/N 19642371 2/8/2019 2/8/2020 1,000,000 ' ANY YICERO�PMRIIETO )PARTNER)E ECUTIVE N!A E.L.EACH ACCIDENT S (Mandatory In NH) E.L.DISEASE-EA EMPLOYEES 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Petroleum Distributor-State of Florida MCS 90*Monroe County Board of County Commissioners,its employees and officials included as Additional Insured with regards to General/Auto Liability with respects to operations of Ajar 6bS 1 jj��vIttKS ., .1,- ytled on Workers Compensation. , RE:BID#-99-0-2017/II ..1- + , BY , ev_ �� Cif. DATE —(9 WAIVER N/ YES I CC 4` CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe CountyBoard of CountyCommissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN , ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE ,• la-C 1 - ACORD 25(2016/03) ©1968-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD