COI Expires 04/01/2020 ACCIRD CERTIFICATE OF LIABILITY INSURANCE DATE 2 1DDR 9'
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 le an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
. the teirns 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
NAME Linda Godaick
•
Prince Associates Inc. PAN aor0 (516)822-6550' I f GN.):tsssi1aa-esia
270 Duffy-Avenue
EaYA1L
ADDRESS:
Suite D INSURErt(S)AFFORDING COVERAGE' NAIC$
Hicksville NY 11801
INSURERA:TrBvelers Property i Casualty 25674
INSURED aisr cae:Travelers CES of. Illinois . 19046
Humane Animal Care Coalition, Inc. INSURERc:Hartford Underwriters In Co. 30104
283 Saint Thomas Avenue INSURERD: ..
INSURER E: . •
Flay Largo EL 33037 INSURER F:
COVERAGES .CERTIFICATE NUMBER:Monroe County BOCC 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 BYTHE 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 .. . .TYPEOF(NStURANCE . . . INNso SUER POLICY NUMBER POUCYYY POUCY IDDrYYIP . . E
(MOUCIYEFF PMA)DIYYYYI -
X COMIMERCIALGENERALUABILITY EACH OCCURRENCE . . S . 1,000,000
A CLAIMS-MADEOCCUR DAMAGE TORENTED 100,000
PREMISES(Ea ocau emal - S. .
I6609i466762TIL19 4/1/2019 01/202o pen De(Any ODeppeml) ..S _ 5,000
PER40NAL a ADV INJURY S 1,000,000
.GEN'LAGGREGATE LIMIT APPLIES PEN I I GENERALAGGREGATE $ 2,000,000
X POLICY n!Er' n LOC IYc{\�— PRODUCTS-COMP/OPAGG $ 2,000,900.
OTHER 9 . . .S
AUTOMOmLELtABILflY '. COMBINED SINGLE UMIT s 1,000,000
CL , (Ea aeeldentl
$ X ANY Aux, BODILY INJURY.(Par penal) $
ALL OWNED ^ SCHEDULED- AUTOSst BA.SN604171 4/1/2019 4/1/2020 BODILY INJURY(Per¢cWWent) $
X meth X N N-OWNED PROPERTY DAMAGE. . - S
HIRED AUTOS AUTOS araceldonit
_ TotaIPo4uSonad:Won. - S-- .. ..
UMBRELLA MAR _ OCCUR EACH OCCURRENCE S .
EXCESS LIAR - C AlyyL,^ ADE AGGREGATE: $
CEO I I RETENTION S. S
WORKERS COMPENSATION' - x PER I OTH•
AND ENPLOYERS•LIABILITY YIN STATUTE :
ANYPAOPRfET i://e a"IA EL.EACH ACCIDENT S . 100 000
OFFICER/MENDER MUMMY/
C
(Mandatory In NH) 12RECO29946 4/1/2019 4/1/2020 E,L_DISEASE...EA EMPLOYEE S . .100,000
n yes,desa3e wer ..
. .- DESCRIPTION OF eOPERATIONS b&aw EJ_DISEASE-POLICY LIMIT S See,000
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,AadtOannl Remarks SctnduN,may be attached If mars Wass Is ro4uh,e 0
Nonroe County BOCC is included Additional Insured only as agreed to by a signed written contractor
agreement. APPROVED BY RISK
MENT
BY__4(1\4_c_Qt.t."
DATE 3 _a
WAi
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Monroe County EOCC THE EXPIRATION DATE THEREOF NOTICE WILL BEDELNERED IN
1111 .12t h Street ACCORDANCE WITH THE POLICY PROVISIONS.
Suite 408
Key West, °'FL 3304E AUTHORIZED REPRESENTATIVE
Linda Godnick/LINDA .iiiniR glrl�Iticif
. I
O 1988.2014 ACORD CORPORATION. All rights reserved
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD
INS025(2a1e01)