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Certificates of Insurance
Date CERTIFICATE OF LIABILITY INSURANCE I 12/11/2019 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727)938-5562 Insurers Affording Coverage NAIC# Insured: South East Personnel Leasing, Inc. &Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurers: Holiday, FL 34691 Insurer c: Insurer D: Insurer E: Coverages . 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.Aggregate limits shown may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration Limits LTRI INSRD Type of Insurance Policy Number Date Date (MM/DD/YY) (MM/DD/(Y) GENERAL LIABILITY Each Occurrence $ Commercial General Liability T Damage to rented premises(EA Claims Made Occur occurrence) $ Med Exp $ • Personal Adv Injury $ General aggregate limit applies per: -- - - DPolicy ❑Project 0 LOC General Aggregate $ Products-Comp/Op Agg $ AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) $ Any Auto Bodily Injury At Owned Autos BY PRO --. ; ! L.,t EMEf"T (Per Person) $ Scheduled Autos DATE Hired Autos WAIVER IV ffwit yy. i Bodily Injury - Non-Owned Autos At }l 1�C (Per Accident) $ �J�I Property Damage (Per Accident) $ /MI. EXCESS/UMBRELLA LIABILITY Each Occurrence ROccur ❑Claims Made Aggregate Deductible A Workers Compensation and WC 71949 01/01/2020 01/01/2021 XI WC Statu- I 1OTH- Employers'Liability tory Limits ER Any proprietor/partner/executive officer/member E.L.Each Accident $1,000,000 excluded? NO E.L.Disease-Ea Employee $1,000,000 If Yes,describe under special provisions below. E.L.Disease-Policy Limits $1,000,000 Other Lion Insurance Company is A.M.Best Company rated A(Excellent). AMB#12616 Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 80-65-323 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company": Adventure Environmental,Inc. Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s),while working in:FL. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or email certificates@lioninsurancecompany.com Project Name: ISSUE 07-31-18(BP).REISSUE 12-11-19(KLR). Begin Date:3/15/2010 CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY COMMISIONERS Should any of the above described policies be cancelled before the expiration date thereof,the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left,but failure to do so shall impose no obligation or liability of any kind upon the insurer,its agents or representatives. 1100 SIMONTON STREET __--— KEY WEST, FL 33040 r PROGREll/UE' BUTLER BUCKLEY DEETS COMMERCIAL 6161 BLUE LAGOON#420 MIAMI,FL 33126 1-305-262-0086 Policy number: 03515746-9 Underwritten by: Progressive Express Ins Company December 16,2019 Page 1 of 2 Certificate of Insurance DAT , 7E1 17 WAIVER N/A f _,4E /i) Certificate Holder Additional Insured MONROE COUNTY BOCC 1100 SIMONTON STREET KEY WEST,FL 33040 Insured Agent/Surplus Lines Broker ADVENTURE ENVIRONMENTAL BUTLER BUCKLEY DEETS INC 6161 BLUE LAGOON#420 160 GEORGIA AVE MIAMI,FL 33126 TAVERNIER,FL 33070 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s)indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change,alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms,exclusions, limitations, endorsements, and conditions of these policies. Policy Effective Date: Jun 11,2019 Policy Expiration Date: Jun 11,2020 Insurance coverage(s) Limits Bodily Injury/Property Damage $1,000,000 Combined Single Limit Uninsured Motorist $1,000,000 CSL Non-Stacked Personal Injury Protection $10,000 w/Workers Comp-Named Insd&Relative Employer's Non-Owned Auto BIPD $1,000,000 Combined Single Limit Hired Auto Bodily Injury/Property Damage $1,000,000 Combined Single Limit Description of LocationNehicles/Special Items Scheduled autos only 2011 CHEVROLET SUBURBAN C1500/1GNSKKE31BR382272 2014 CHEVROLET SILVERADO C2500 1 GC1 CVCG7EF187484 Medical Payments $5,000 2019 CHEVROLET K2500 1 GC1 KTEYOKF112991 Medical Payments $5,000 2019 CHEVROLET SUBURBAN C1500/1 GNSKIKJ6KR262447 Medical Payments $5,000 2020 CHEVROLET SILVERADO C2500 1 GC4YPEY7LF105587 Medical Payments $5,000 2002 KW T80 1 NKDLT9X12J894497j Continued Policy number: 03515746-9 Page 2 of 2 Medical Payments $5,000 2015 CHEVROLET SILVERADO C2500 1 GC2CUEG1 FZ541060 Medical Payments $5,000 2017 CHEVROLET SILVERADO C2500 1 GC1 KXEG3HF104715 Medical Payments $5,000 2017 CHEVROLET SILVERADO C2500 1 GC1 KUEGOHF207993 Medical Payments $5,000 2018 CHEVROLET 2500 HD 1 GC1 KUEGX1F134539 Medical Payments $5,000 2014 PTRB 388 1 NPWX4EX5ED226224 Medical Payments $5,000 2006 INTL 740 1 HTWCAAN16J370901 Medical Payments $5,000 2009 CHEVROLET SILVERADO C3500 1GBJC74K99E105480 Medical Payments $5,000 Certificate number 35019A12746 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241(10/02) ADVEN-1 OP ID: GB ACORO DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/06/2019 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 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 I CONTACT Accessible Marine Insurance Accessible Marine Insurance • NAME: 1145 Robert E Lee Blvd PHONE Ext);504-486-5411 FAX No):504-482-1475 New Orleans,LA 70124 E-MAIL ai1@am i-i ns.com ADDRESS:u Eric S.Green INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Capitol Specialty Ins.Company INSURED Adventure Environmental Inc. INSURER B:Great American Ins.Company 22136 Greg Tolpin 160 Georgia Avenue INSURER C:StarNet Insurance Company Tavenier,FL 33070 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W LIMITS LTR INSD VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR X X EV20190209-01 01/09/2019 01/09/2020 DAMAGE TO REND PREMISE S(Ea occurTErence) $ 50,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ _ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS _ AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C M.E.L. X BOUM-A-19-2110 08/15/2019 08/15/2020 M.E.L. 1,000,000 B Hull/P&I Liability OMH841008-08 10/12/2019 10/12/2020 P&I Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder shown as additional insured with waiver of subrogation in their favor as requried by written contract as respects insured's operations. - APPROVE E WAIVER N A ES CERTIFICATE HOLDER CANCELLATION MONRO05 . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. Key West, FL 33040 AUTHORIZED REPRESENTATIVE I aL ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD NOTEPAD Adventure Environmental Inc. ADVEN-1 PAGE 2 INSURED'SNAME OP ID: GB Date 12/06/2019 Contractors Pollution Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-01 Policy Period: 01/09/19 - 01/09/2020 Claims Made Aggregate Limit: 2,000,000 Each Contractors Pollution Condition Limit: 2,000,000 Blanket Additional Insured/ Waiver of Subrogation Professional Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-01 Policy Period: 01/09/19 - 01/09/2020 Aggregate Limit: 2,000,000 Each Professional Services Incident Limit: 2,000,000 Commercial General Liability Conditions: Deductible Liability Endorsement Exclusion - Testing or Consulting Errors and Omissions Total Pollution Exclusion Endorsement Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Exclusion-Violation of Statutes that Govern Emails, Fax, Phone Calls or Other Methods of Sending Exclusion - Punitive or Exemplary Damages Amended Waiver of Subrogation Exclusion - Engineers, Architects or Surveyors Exclusion - Exterior Insulation and Finish Systems Exclusion - Professional Services Primary/Non-Contributory Coverage-Blanket - When req. by written contract Additional Insured - Managers or Lessors of Premises Toxic Drywall Exclusion Separation of Insureds Independent and/or Subcontractor Restriction Contractors Pollution Liability (Claims-Made) Conditions: Additional Insured - Owners, Lessees or Contractors (Broad Wording) Amended Waiver of Subrogation Toxic Drywall Exclusion Professional Liability Conditions: War or Terrorism Exclusion Additional Insured - Owners, Lessees or Contractors Hull & Machinery / Protection & Indemnity: Terms and-Conditions applicable to All Sections: Severability Terms and Conditions applicable to Hull: - A. I. Coastwise and Inland Hull Clauses Deliberage Damage (Pollution Hazard) Engines & Machinery - ACV / Limited Perils Only No Lay Up Warranty No Release to Tower Warranty Seaworthiness Clause Total Loss Hull Premium Earned Clause Vessel Stability Additional Insured as respects P&I • NOTEPAD Adventure Environmental Inc. ADVEN-1 PAGE 3 INSURED'SNAME OP ID: GB Date 12/06/2019 Terms and Conditions applicable to P&I: SP-38 Form Collision Clause including Tow & Extended Tower's Liability Collision Liability - P&I Extension Diving & Swimming Exclusion Food & Beverage Exclusion Health Hazard Exclusion Liability Limitation No Release to Tower Warranty P&I Crew Exclusion: Notwithstanding anything contained in the Protection and Indemnity Clauses herein to the contrary, it is understood and agreed that this Company shall not be liable for any loss, expense or claim to employees of the Assured, members of the crew, contractors or subcontractors Punitive/Exemplary Damages Exclusion Special Operations Exclusion Contractor's Equipment: Policy No. : IMP 5305782-03 Policy Period: 01/26/2019 to 01/26/2020 - Owned Equipment $432,963 - Leased/Rented Equipment any one item limit $200,000 - Leased/Rented Equipment all items limit $400,000 M.E.L. -Maritime Employers Liability Coverage Form -Transportation, Wages, Maintenance & Cure -Notice of Cancellation: 30 days (except 10 days of nonpayment of premium) -Death on the High Seas Clause -In Rem Liability -Blanket Waiver of Subrogation ADVEN-1 OP ID: GB ACORO` DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/06/2019 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 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 CONTNAME: Accessible Accessible Marine Insurance Accessible Marine Insurance PHONE 504 FAX -486-5411 1145 Robert E Lee Blvd IA/C.No.Ext): (A/C,No):504-482-1475 New Orleans,LA 70124 E-MAIL ADDRESS:gail@ami-ins.com Eric S.Green INSURER(S)AFFORDING COVERAGE NAIC# • INSURER A:Capitol Specialty Ins.Company INSURED Adventure Environmental Inc. INSURER B:Great American Ins.Company 22136 Greg Tolpin 160 Georgia Avenue INSURER C:StarNet Insurance Company Tavenier,FL 33070 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. INsR LTR TYPE OF INSURANCE INSD DL SUBR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS {MMIDD/YYYY) (MMlDDIYYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR X X EV20190209-01 01/09/2019 01/09/2020 DAMAGETORENTED 50,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECOT PR LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ _ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS _ AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS _ AUTOS (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C M.E.L. X BOUM-A-19-2110 08/15/2019 08/15/2020 M.E.L. 1,000,000 B Hull/P&I Liability OMH841008-08 10/12/2019 10/12/2020 P&I Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder shown as additional insured with waiver of subrogation in their favor as requried by written contract as respects insured's operations. BY fit. — ( t1E /A _. f Q ✓1 ' CERTIFICATE HOLDER CANCELLATION ( 1 ` 1 MONRO05 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. Key West,FL 33040 AUTHORIZED REPRESENTATIVE Z ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD NOTEPAD Adventure Environmental Inc. ADVEN-1 PAGE 2 INSURED'S NAME OP ID: GB Date 12/06/2019 Contractors Pollution Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-01 Policy Period: 01/09/19 - 01/09/2020 Claims Made Aggregate Limit: 2,000,000 Each Contractors Pollution Condition Limit: 2,000,000 Blanket Additional Insured/ Waiver of Subrogation Professional Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-01 Policy Period: 01/09/19 - 01/09/2020 Aggregate Limit: 2,000,000 Each Professional Services Incident Limit: 2,000,000 Commercial General Liability Conditions: Deductible Liability Endorsement Exclusion - Testing or Consulting Errors and Omissions Total Pollution Exclusion Endorsement Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Exclusion-Violation of Statutes that Govern Emails, Fax, Phone Calls or Other Methods of Sending Exclusion - Punitive or Exemplary Damages Amended Waiver of Subrogation Exclusion - Engineers, Architects or Surveyors Exclusion - Exterior Insulation and Finish Systems Exclusion - Professional Services Primary/Non-Contributory Coverage-Blanket - When req. by written contract Additional Insured - Managers or Lessors of Premises Toxic Drywall Exclusion Separation of Insureds Independent and/or Subcontractor Restriction Contractors Pollution Liability (Claims-Made) Conditions: Additional Insured - Owners, Lessees or Contractors (Broad Wording) Amended Waiver of Subrogation Toxic Drywall Exclusion Professional Liability Conditions: War or Terrorism Exclusion Additional Insured - Owners, Lessees or Contractors Hull & Machinery / Protection & Indemnity: Terms and Conditions applicable to All Sections: Severability Terms and Conditions applicable to Hull: A. I. Coastwise and Inland Hull Clauses Deliberage Damage (Pollution Hazard) Engines & Machinery - ACV / Limited Perils Only No Lay Up Warranty No Release to Tower Warranty Seaworthiness Clause Total Loss Hull Premium Earned Clause Vessel Stability Additional-Insured as respects P&I ADVEN-1 OP ID:GB ACORO DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 02/13/2019 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 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 Accessible Marine Insurance Accessible Marine Insurance NAME: 1145 Robert E Lee Blvd PHONEAC No. Ex0;504-486-5411 (A/ ,No): 504-482-1475 New Orleans,LA 70124 E-MAIL ail@ami-ins.com Eric S.Green ADDRESS;9 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Capitol Specialty Ins.Company INSURED Adventure Environmental Inc. INSURER B:Great American Ins.Company 22136 Greg Tolpin 160 Georgia Avenue INSURER C: Tavenier,FL 33070 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. INSR LTR TYPE OF INSURANCE INSD SUBRV POLICY NUMBER /YPOLICY EFF POLICY EXP LIMITS (MM/DDYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR X X EV20190209-01 01/09/2019 01/09/2020 DAMAGE TO RENTED 50,000 _PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADVINJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PR PRODUCTS-COMP/OP AGG $ 2,000,000 JECOT LOC OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO -4DR ED Y L ENT BODILY INJURY(Per person) $ - ALL OWNED SCHEDULED AUTOS 3Y BODILY INJURY(Per accident) $ - AUTOS NON OWNED WAIVER /A Paccident)er DAT •E w PROPERTYDAMAGE HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR U01 attl, MILVIr EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Cont.Equipment IMP 5305782-03 01/26/2019 01/26/2020 Scheduled 432,963 B HuII/P&I Liability OMH841008-07 10/12/2018 10/12/2019 P&I Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder shown as additional insured with waiver of subrogation in their favor as requried by written contract as respects insured's operations. CERTIFICATE HOLDER CANCELLATION MONRO05 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. Key West,FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD NOTEPAD Adventure Environmental Inc. ADVEN-1 PAGE 2 INSURED'SNAME OP ID:GB Date 02/13/2019 Contractors Pollution Liability: Insurer: Rockhill Insurance Company Policy#: ENVP007681-05 Policy Period: 01/09/18 - 01/09/2019 Claims Made Aggregate Limit: 2,000,000 Each Contractors Pollution Condition Limit: 2,000,000 Blanket Additional Insured/ Waiver of Subrogation Professional Liability: Insurer: Rockhill Insurance Company Policy#: ENVP007681-05 Policy Period: 01/09/18 - 01/09/2019 Aggregate Limit: 2,000,000 Each Professional Services Incident Limit: 2,000,000 Commercial General Liability Conditions: Deductible Liability Endorsement Exclusion - Testing or Consulting Errors and Omissions Total Pollution Exclusion Endorsement Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Exclusion-Violation of Statutes that Govern Emails, Fax, Phone Calls or Other Methods of Sending Exclusion - Punitive or Exemplary Damages Amended Waiver of Subrogation Exclusion - Engineers, Architects or Surveyors Exclusion - Exterior Insulation and Finish Systems Exclusion - Professional Services Primary/Non-Contributory Coverage-Blanket - When req. by written contract Additional Insured - Managers or Lessors of Premises Toxic Drywall Exclusion Separation of Insureds Independent and/or Subcontractor Restriction Contractors Pollution Liability (Claims-Made) Conditions: Additional Insured - Owners, Lessees or Contractors (Broad Wording) Amended Waiver of Subrogation Toxic Drywall Exclusion Professional Liability Conditions: War or Terrorism Exclusion Additional Insured - Owners, Lessees or Contractors Hull & Machinery / Protection & Indemnity: Terms and Conditions applicable to All Sections: Severability Terms and Conditions applicable to Hull: A. I. Coastwise and Inland Hull Clauses Deliberage Damage (Pollution Hazard) Engines & Machinery - ACV / Limited Perils Only No Lay Up Warranty No Release to Tower Warranty Seaworthiness Clause Total Loss Hull Premium Earned Clause Vessel Stability Additional Insured as respects P&I NOTEPAD Adventure Environmental Inc. ADVEN-1 PAGE 3 INSURED'S NAME OP ID: GB Date 02/13/2019 Terms and Conditions applicable to P&I: SP-38 Form Collision Clause including Tow & Extended Tower's Liability Collision Liability - P&I Extension Diving & Swimming Exclusion Food & Beverage Exclusion Health Hazard Exclusion Liability Limitation No Release to Tower Warranty P&I Crew Exclusion: Notwithstanding anything contained in the Protection and Indemnity Clauses herein to the contrary, it is understood and agreed that this Company shall not be liable for any loss, expense or claim to employees of the Assured, members of the crew, contractors or subcontractors Punitive/Exemplary Damages Exclusion Special Operations Exclusion Hull & Machinery / 3rd Party Protection & Indemnity (8) Sectional Barges Agreed Value: $60,000 3rd Party P&I: $1,000,000 • Policy Number: OMH 4016648-03 Policy Period: 07/02/2018 to 03/29/2019 Terms/Conditions (Hull & Machinery) AI Coastwise and Inland Hull Clauses Boom Clause - Named Perils / Weight Overload Deliberate Damage (Pollution Hazard) No Release to Tower Warranty Seaworthiness Clause Total Loss Hull Premium Earned Clause Vessel Stability Additional Insured as respects P&I Terms/Conditions (3rd Party P&I) : SP-38 Collision Liability - P&I Extension Diving & Swimming Exclusion Food & Beverage Exclusion Health Hazard Exclusion Lift Exclusion Liability Limitation No Release to Tower Warranty P&I Crew - Crew is Excluded Punitive / Exemplary Damages Exclusion Special Operations Exclusion AI/LP: Mobro Marine, Inc. P. 0. Box 986 Green Cove Springs, FL 32043 Contractor's Equipment: - Owned Equipment $432,963 - Leased/Rented Equipment any one item limit $200,000 - Leased/Rented Equipment all items limit $400,000 -�.,N ADVEN-1 OP ID: GB AC'OR'O" CERTIFICATE OF LIABILITY INSURANCE DATE(M �� 02/13/201YY) /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 504-486-5411 CONTACT Gail Boudreaux Accessible Marine Insurance PHONE FAX 1145 Robert E Lee Blvd (A/C,No,Ext):504-486-5411 (A/C,No):504-482-1475 New Orleans,LA 70124 E-MAIL gail@ami-ins.com Eric S.Green INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:StarNet Insurance Company N URED INSURER B: v Greg entuTl�r ppe Environmental Inc. 12895 SW 187th Ave.n INSURER c Miami,FL 33176 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP ' LIMITS LTR INSD WVD IMMIDD/YYYYI IMMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY 1,000,000 ',EACH OCCURRENCE $ CLAIMS-MADE I X i OCCUR BOUM-A-18-2110 08/15/2018 08/15/2019 I DAMAGE TO RENTED 50,000 X X PREMISES(Fa occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY jEteT LOC _PROD_UCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Fa accident) $ — ANY AUTO AppRO\ED MEW BODILY INJURY(Per person) $ _ OWNED SCHEDULED BY _ AUTOS ONLY AUTOS DATE BODILY INJURY(Per accident) $ AIUTOS ONLY NON-OWNED ONLY WAIVE / E ray aCclde^tl AMAGE $ UMBRELLA LIAB — OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ • WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE FR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEiMEE R EXCLUDED? N/A andatory rn ) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A M.E.L. x BOUM-A-18-2110 08/15/2018 08/15/2019 M.E.L. 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Certificate holder shown as additional insured with waiver of subrogation in their favor as required by written contract as respects insured's operations.Waiver of subrogation in favor of certificate holder as respects M.E.L. • CERTIFICATE HOLDER CANCELLATION MONRO06 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe Couonty BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St Key West,FL 33040 AUTHORIZED REPRESENTATIVE 1.1 4 oLES ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTEPAD Adventure Environmental Inc. ADVEN-1 PAGE 2 INSURED'S NAME OP ID: GB Date PAGE Marine General Liability (Diving Operations) : - Marine General Liability Coverage Form - Shipreparier's Liability Endorsement - Traveling Workmen Endorsement - In Rem Endorsement - Combined Single Limit Endorsement - Special Conditions Endorsement for Diving Contractors: (maximum allowable diving depth - 50ft) Maritime Employers Liability: - Maritime Employers Liability Coverage Form - Transportation, Wages, Maintenance & Cure - Notice of Cancellation: 30 days (10 days for non-payment of premium) - Death on the High Seas Clause - In Rem Liability - Blanket Waiver of Subrogation - AIMU Extended Radioactive Contamination Exclusion Clause - AIMU Chemical, Biological, Bio-Chemical, & Electromagnetic Exclusion - AIMU U.S. Economic and Trade Sanctions Clause - AIMU Cyber Exclusion Clause - Terrorism Exclusion and Marine Buyback Endorsement - TRIA Exclusion Endorsement General Condition Endorsements applicable to both MGL and MEL: - Punitive Damages Exclusion - Blanket Additional Insured / Loss Payee / Waiver of Subrogation - Blanket Primary / Non-Contributory - Nuclear Energy Liability Exclusion Endorsement - AIMU Extended Radioactive Contaminiation Exclusion Clause - AIMU Chemical, Biological, Biochemical & Electromagnetic Exclusion - AIMU U.S. Economic and Trade Sanctions Clause - AIMU Cyber Exclusion Endorsement - Oil Pollution Act Disclaimer Endorsement - Action Over Indemnity Buyback - Pollution Limitation Endorsement (72 hrs / 30 days) - Terrorism Exclusion and Marine Buybackk Endorsement - TRIA Exclusion Endorsement - Limits and Deductible are inclusive of Defense Costs (Including • Legal Fees and Expenses)