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Certificates of Insurance
TRANSLPI DATE(MMIDD/YYYY) Ado,Ram CERTIFICATE OF LIABILITY INSURANCE 6/9/2023 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 CONTACT NAME: Tracie Coole Commercial Lines-(404)923-3700 PHONE 470.428.9751 FAX 610.537.1929 A/C No Ext: AIC No USI Insurance Services LLC E-MAIL tracie.coole@usi.com 1 Concourse Parkway NE,Suite 700 INSURER(S)AFFORDING COVERAGE NAIC# Atlanta,GA 30328 INSURER A: Zurich American Insurance Co 16535 INSURED INSURERB: American Guarantee and Liability Insurance Com 26247 TransCore LP American Zurich Insurance Company 40142 INSURER C: p y 150 4th Ave.N,Ste. 1200 INSURER D: Berkley Insurance Company 32603 INSURER E: Endurance American Specialty Insurance Compa 41718 Nashville,TN 37219 INSURER F: COVERAGES CERTIFICATE NUMBER: 15735212 REVISION NUMBER: See below 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 LIMITS LTR INSD WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 3,000,000 A GLO 8118509 01 03/17/2023 03/17/2024 RENTE CLAIMS-MADEFIVI OCCUR PREM IA AGN(Ea o'currDence) $ 1,000,000 X Contractual Liability APPROVED BY RISK MANAGEMENT MED EXP(Any one person) $ 1Q000 BY w„� .' a'' !r,i.,.r: 1,,r PERSONAL&ADV INJURY $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: DATE G 29 2024�' GENERAL AGGREGATE $ 5,000,000 POLICY PRO- El JECT LOC WAIVER N/A YES PRODUCTS-COMP/OP AGG $ 5,000,000 OTHER: $ MBINED A AUTOMOBILE LIABILITY BAP 8118508 01 03/17/2023 03/17/2024 Ea acccidentSINGLE LIMIT $ 2,000,000 x ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident x $25,000 Com x $25,000 Coll $250,000 Liab Deductible $ B X UMBRELLA LIAB x OCCUR AUC 4397204 01 03/17/2023 03/17/2024 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED RETENTION$ $ C WORKERS COMPENSATION WC 8118507 01 03/17/2023 03/17/2024 x STATUTE EORH AND EMPLOYERS'LIABILITY 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? C N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Crime-Employee Dis/Fid Bond BCCR-45004652-23 03/1712023 06/01/2024 $10,000,000 Per Occurrence Crime-Empl Dis-Client Prop Included DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Toll System Maintenance Agreement Monroe County BOCC;Card Sound Toll Authority is included as Additional Insured on a Primary and Noncontributory basis under the General and Auto Liability with respect to liability arising out of the Named Insured's operations when required by written contract subject to policy terms,conditions,and exclusions.Waiver of Subrogation is granted as respects General Liability,Auto Liability,and Workers'Compensation. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Card Sound Toll Authority ACCORDANCE WITH THE POLICY PROVISIONS. 102050 Overseas Highway,Suite 220 Key Largo, FL 33037 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) (This certificate replaces certificate#15715211 issued-4 12 512 0 2 3) Client Code:TRANSLPI SID: 15735212 Certificate of Insurance (Con't) OTHER Coverage INSR TYPE OF INSURANCE ADDL WVD POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMIT LTR INSR SUBR (MM/DD/YY) (MM/DD/YY) E Prof Liab/Tech E&O PR030034049200 03/17/2023 06/01/2024 $5,000,000 Per Claim/Aggregate Certificate Of Insurance-Con't ROPERTF,r4 Ac" CERTIFICATE OF LIABILITY INSURANCE DATE,MMD�,YYYY, 3/31/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DUES 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 CONTACT Nr M Lauren Atkinson Commercial Lines-(404)923-3700 PHONE FAX (AtC,No,Ext) 470.875.0356 _ _ -..(Arc,Not 877.362.9069 USI Insurance Services LLC E-MAIL ADDRESS: lauren.atkinson@usi.com 1 Concourse Parkway NE,Suite 700 INSURER(8)AFFORDING COVERAGE NAIC# Atlanta,CA 30328 INSURER A. Zurich American Insurance Co 16535 INSURED INSURERB: Commerce&Industry Insurance Company 19410 Roper Technologies,Inc-,A Parent Company INSURER c. American Zurich insurance Company 40142 TransCore,LP INSURER D 9440 Carroll Park Dr.,Ste 150INSURER E_... San Diego,CA 92121 INSURER F COVERAGES CERTIFICATE NUMBER: 15342574 REVISION NUMBER: See below 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 CEHIIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 1"0 ALL 'rHE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADDL SUBR ---_ POUCY EFF .._POLICY EXP I _-. LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MM(ODIYYVY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 A GLO 4837823 00 04/01/2021 04/01/2022, DAMAGCLA MSS-MADE X OCCUR (PREMISES S(Iat"ccurr:1 $ t J0C3 f}{k0 PRCh1ISEu(Ea ucLurreuLe} �� -- X Contractual L,9hAY (MEL7 FXP(Any one person, $ 10,000 - Approved Risk Management , PI RSONAL&ADV INJURY _$ -__3,000000 GFNI AGGRtGATL L IMIT APPIlFSPFR GENERAL AGGREGATE f$ 5000 000 Pot ICY X J FG" I,0C: PROOUC"I S C OMPIOP AGG $ f,000 )0 _ 4-15-2021 -- -- "$ --AUTOMOBILE ("C7h4F3kNlD LN -.e":L!"AII A BAP 4#337825 00 04f01 t2021 04f41 i2022 tCa�eld(�as1 z,00u 3too X ANY AUTG BODILY IN uRY;Pn,por;on! $ OWN F0 SOIEDULEGS AUTOS ONLY AUTOS (4TC71JII V INJURY Per arr,dant '& f ) "IRED NON OWNED I mo;itR Y bAMA6'E _.. _ AU*Os ONLY AUTOS ONLY x $25,000 Corn x $25,000 Call B x UMBRELLA LIAB x OCCUR 21335591 04/01/2021 04/01/2022 I ACH©c C;UiRr33 NC] 10 11 0 00 1 0011 0 EXCESS LIAB CLAIMS MA Di, AC 5", 10000000 DED x Rt.:1FNu ON$ S25,000 WORKERS COMPENSATION PI.R OTH C AND EMPLOYERS'LIABILITY YIN WC 4837821 00(AOS) 04/0112021 04/01/2022 x ST,TUTE ER ANYPROPRIETOR,wARTNr.wcXUCVTIVr_ WC 483782'l00 AK,WI 0410 1/2 02.1 04/01/2022(r I IACHACCILDI vT $ 0°oOQ A ri FRrhLl hIE LLYL%CLUE U7 NIA ( ) as urav (Mandatory in NH) F L DISI ASF FA EMP OYFE $ I e s II l lbn ur,fcr I 1 000,IJ00 D SCWPI V)N Of OPERATIONS txilow EL DISEA5r" P1)0CY LIr1'T -$ A Crime-Employee DislFid Bond FID 2874652 21 0410112021 04/01/20221 ioc000,00tt Cnm.-EaSpl Des-Ghent Prop Incloded DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space Is requinmp RE:Re: Card Sound Road SunPass Conversion Monroe County BOCC is included as additional insured on the General and Auto liability with respect to liability arising out of the named insured's operations. Waiver of subrogation is granted as it relates to general and auto liability and workers'comp regarding work performed by the named insured. Umbrella follows form as it relates to additional insureds.The above general and auto liability coverage is primary and non-contributory where required by written contract,subject to the policy terms,conditions,and exclusions. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Insurance Compliance ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 100085-FX Duluth,CA 30096 AUTHORIZED REPRESENTATIVE , n . The ACORD name and logo are registered marks of ACORD 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) Client Cade:ROPERTEC4 SID: 9 5r3425'74 Additional Remarks Schedule (Continued from Page 1) Please see Professional t Cyber Liability coverage evidenced on the attached addendum, Additional Remarks Schedule-Can't USt IIISLII-MlCe SCtA'iC('S 0 Concourse Parkway NE, S"ite 70 MI i A Atl,arita,GA 30:J28 Direct:(404)92�4-3700 Alai orial Coverages Addendum: Professional Liability including Cyber Liability Insurer A-Steadfast Insm-atice Compmy NAIC# 26387 POLICTEM' LINUTS SUBR IIOIANNUMBO� ffi� Efi. AJJ�-------- --------------------iN —---------------------------- cmmzm),�Yy) A 11toft"""Mcmal ------- ------------------- Liabilitv inc),Tech $io,000,000 AgArcyate moats Cyber Liability I From: lawx 'Fo: mmwmroeuommtv0muwnrmeoomntvffiaUbim-oomm Subject: Certificate Of Insurance em behalf oK(Roper KechnoA,uies, Inc; A Parent ('umxpmay ) is attached Date: 3/31/2020 11:43:13 AM Attmcbnmomx(m): Certificate Of Insurance Attached ia your requested certificate nfinsurance. Holder Information: Monroe County BOCC Insurance Compliance PO Box 100085 - FX w Sent By: Lauren Atkinson * Email: |auren.atkinson@usi.conn ° Client Code: R[>PERTEC4 ° SID: 15342574 This certificate was sent to you using [yberSune, DSI Insurance Service's client portal. Thank you. VVe appreciate your business. Sincerely, CyberSure Client Support USI Insurance Services Confidentiality Notice: The information contained in this enna|| message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure ordistribution is prohibited. If you are not the intended recipient and have received this communication in error, please contact the sender by reply enna)| and destroy all copies of the original message. Thank You. ROPERTEC4 DATE(MMIDD/YYYY) Ado,Ram CERTIFICATE OF LIABILITY INSURANCE 4/2/2020 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 CONTACT NAME: Lauren Atkinson Commercial Lines-(404)923-3700 PHONE 470.875.0356 FAX 877.362.9069 A/C No Ext: AIC No USI Insurance Services LLC E-MAIL lauren.atkinson@usi.com 3475 Piedmont Road NE,Suite 800 INSURER(S)AFFORDING COVERAGE NAIC# Atlanta,GA 30305-2886 INSURER A: ACE American Insurance Company 22667 INSURED INSURERB: Greenwich Insurance Company 22322 Roper Technologies, Inc;A Parent Company INSURERC: Commerce&Industry Insurance Company 19410 TransCore, LP INSURER DXL Insurance America, Inc. 24554 9440 Carroll Park Dr., Ste 150 INSURERE: XL Specialty Insurance Company 37885 San Diego,CA 92121 INSURERF: Zurich American Insurance Co 16535 COVERAGES CERTIFICATE NUMBER: 14949269 REVISION NUMBER: See below 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 LIMITS LTR INSD WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A G71109045 003 04/01/2020 04/01/2021 CLAIMS-MADE OCCUR PRERENTE M IA AGN(Ea o'currDence) $ 1,000,000 X Contractual Liability MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 Fv] PRO- POLICY ECT D LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ B AUTOMOBILE LIABILITY RAD943776504 04/01/2020 04/01/2021 Ea acccidentSINGLE LIMIT $ 2,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS x HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident x $25,000 Com x $25,000 Coll $ C X UMBRELLALIAB X OCCUR 51569616 04/01/2020 04/01/2021 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED X RETENTION$ $25,000 S WORKERS COMPENSATION 04/01/2020 04/01/2021 X STATUTE EORH D AND EMPLOYERS'LIABILITY YIN RWD300109704(AOS) ANYPROPRIETOR/PARTNER/EXECUTIVE RWR300109804 AK,WI 04/01/2020 04/01/2021 E.L.EACH ACCIDENT $ 1,000,000 E OFFICER/MEMBER EXCLUDED? C NIA ( ) (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ F Crime-Employee Dis/Fid Bond 1 FID 2874652 20 0410112020 04/01/2021 $10,000,000 Crime-Empl Dis-Client Prop Included DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re: Card Sound Road SunPass Conversion. Monroe County is included as an additional insured under the General and Auto Liability with respect to liability arising the named insured's operations,if required by written contract,subject to policy terms,conditions,and exclusions. Umbrella follows form as it relates to additional insureds.The above GL and AL coverage is primary and non-contributory where required by written contract,subject to policy terms, conditions,and exclusions I CERTIFICATE HOLDER 4 2 2 0 2 0 'ANCELLATION Monroe County BOCC WAMP — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1 100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) (This certificate replaces certificate#14935251 issued on 3/31/2020) USI Insurance Services 3475 Piedmont Road NE Suite 800 MCR Atlanta,GA 30305 Direct:(404)923-3700 Additional Coverages Addendum: Professional Liability including Cyber Liability Insurer -Illinois National Insurance Company NAIC#19445 INSR TYPE OF ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSURANCE INSD WVD (MM DD YY) (MM DD ) A Professional 03-990-93-19 04/01/2020 04/01/2021 $10,000,00o Per Claim Liability incl.Tech $io,000,000 Aggregate E&O and Cyber Liability ROPERTEC4 DATE(MM/DD/YYYY) .4C"1► " EVIDENCE OF PROPERTY INSURANCE ��- 4/2/2020 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW.THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE ADDITIONAL INTEREST. AGENCY PHONE 404-923-3590 COMPANY A/C No Ext Commercial Lines-(404)923-3700 Allianz Global Risks US Insurance Co. USI Insurance Services LLC 3475 Piedmont Road NE,Suite 800 2350 Empire Avenue Atlanta,GA 30305-2886 FAX 877-362-9069 E-MAIL lauren.atkinson@usi.com Burbank, CA 91504 A/C No: ADDRESS: CODE: SUB CODE: AGENCY 35300 CUSTOMER ID#: INSURED LOAN NUMBER POLICY NUMBER Roper Technologies, Inc;A Parent Company USP00017720 TransCore, LP EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL 150 4th Avenue North, Suite 1200 04/01/2020 04/01/2021 TERMINATED IF CHECKED Nashville,TN 37219 THIS REPLACES PRIOR EVIDENCE DATED: SID#1298777 4/2/2020 PROPERTY INFORMATION LOCATION/DESCRIPTION Blanket Coverage 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION PERILS INSURED I I BASIC BROAD SPECIAL COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE Valuable Papers&Records $10,000,000 $100,000 Business Income&Extra Expense Included Included Course of Construction $12,000,000 $100,000 Blanket Building&Business Personal Property $300,000,000 $100,000 Replacement Cost Valuation with the exception of Finished Stock Special Form REMARKS(including Special Conditions RE: Card Sound Road SunPass Conversion { By 4/2/2020 ,,, WAMF NA 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. ADDITIONAL INTEREST NAMEANDADDRESS ADDITIONAL INSURED H LENDER'S LOSS PAYABLE Ll LOSS PAYEE Monroe County BOCC MORTGAGEE 1100 Simonton Street LOAN# Key West, FL 33040 AUTHORIZED REPRESENTATIVE AAi /Ic0d ACORD 27(2016103) The ACORD name and logo are registered marks of ACORD ©1993-2016 ACORD CORPORATION. All rights reserved. 1298781 This evidence replaces evidence#1298777 issued on 4/2/2020 ROPERTEC4 ACORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) ��. 3/28/2019 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). CONTPRODUCER NAME: r Lauren Atkinson NAME: Commercial Lines-(404)923-3700 PHONE 470.875.0356 FAX 877.362.9069 (NC.No.Eat): (A/C,No): USI Insurance Services LLC L ADDRESS: lauren.atkinson@usi.com 3475 Piedmont Road NE,Suite 800 INSURER(S)AFFORDING COVERAGE NAIC S Atlanta,GA 30305-2886 INSURERA: ACE American Insurance Company 22667 INSURED INSURER B: Greenwich Insurance Company 22322 Roper Technologies,Inc;A Parent Company INSURERC: Commerce&Industry Insurance Company 19410 TransCore,LP INSURER D XL Insurance America,Inc. 24554 9440 Carroll Park Dr.,Ste 150 INSURER E: XL Specialty Insurance Company 37885 San Diego,CA 92121 INSURER F: Zurich American Insurance Co 16535 COVERAGES CERTIFICATE NUMBER: 14070796 REVISION NUMBER: See below 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 EFF POLICY EXP w MI LIMITS LTR INSD vD POLICY NUMBER (MDDIYYYY) IMMIDDIYYYY) A X COMMERCIAL GENERAL LIABILITY G71109045 002 04/01/2019 04/01/2020 EACH OCCURRENCE S 2,000,000 DAMAGE TO RENTED CLAIMS-MADE f X OCCUR ,PREMISES Ea occurrence) $ 500,000 X Contractual Liability ��(( MED EXP(Any one person) S 10,000 BP `ryyy((�� NI NAGEMF.N'C PERSONAL&ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: DATE GENERAL AGGREGATE S 5,000,000 POLICY X PRO- WAIVE N/A YES,,,,, JECT LOC ,1/'1}' t^ .,\_ , kt PRODUCTS-COMP/OP AGG S 3,000,000 OTHER: �V►vl 1�1T+t'L f��, B AUTOMOBILE LIABILITY RAD943776503 04/01/2019 04/01/2020 (EaaccdentMINEDSINGLELIMIT S 2,000,000 X ANY AUTO BODILY INJURY(Per person) I$ OWNED SCHEDULED BODILY INJURY(Per accident)15 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY x AUTOS ONLY (Per accident) $ x $25,000 Com X $25,000 Coll $ C x UMBRELLALIAB X OCCUR 28295112 04/01/19 04/01/20 EACH OCCURRENCE $ 10,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE I $ 10,000,000 DED X RETENTIONS $25,000 I$ WORKERS COMPENSATION 04/01/2019 04/01/2020 X PEROTH- I D AND EMPLOYERS'LIABILITY YIN RWD300109703(AOS) STATUTE ER I ANYPROPRIETOR/PARTNER/EXECUTIVE RWR300109803 AK,WI 04/01/2019 04/01/2020 E.L.EACH ACCIDENT S 1,000,000 E OFFICER/MEMBEREXCLUDED? N NIA ( ) (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I S 1,000,000 F Crime-Employee Dis/Fid Bond FID 2874652 19 04/01/2019 04/01/2020 $1o,000,000 Crime-Empl Dis-Client Prop Included DESCRIPTION OF OPERATIONS(LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re: Card Sound Road SunPass Conversion. Monroe County is included as an additional insured under the General and Auto Liability with respect to liability arising the named insured's operations,if required by written contract,subject to policy terms,conditions,and exclusions. Umbrella follows form as it relates to additional insureds.The above GL and AL coverage is primary and non-contributory where required by written contract,subject to policy terms, conditions,and exclusions. • CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Judith S.Clarke,P.E.Director of Engineering Services ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVES " ` a...._ The ACORD name and logo are registered marks of ACORD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) Client Code:ROPERTEC4 SID:14070796 Certificate of Insurance (Con't) OTHER Coverage INSR TYPE OF INSURANCE ADDL WVD POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMIT LTR INSR SUBR (MM/DD/YY) (MM/DD/YY) Professional Liability(E&O) 12843991 04/01/2019 04/01/2020 Monona Claims Made • Certificate Of Insurance-Con't