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COI Expires 10/01/2019 A ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/10/2019 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 'CONTACT NAME: Frank H.Furman,Inc. PHONE ,EM): (954)943-5050 qlc,No): (954)942-6310 1314 East Atlantic Blvd. E-MAIL jenny@furmaninsurance.com ADDRESS: y@ P.O.Box 1927 INSURER(S)AFFORDING COVERAGE NAIC# Pompano Beach FL 33061 _INSURERA: Berkley Assurance Co 39462 INSURED INSURER B: National Fire Ins Of Hartford 20478 Bob Hilson&Company,Inc. INSURER C: National Union Fire Insurance Co of Pittsburgh,PA 19445 401 NW 14th Ave INSURER D: INSURER E: Homestead FL 33030 INSURER F: COVERAGES CERTIFICATE NUMBER: Apr 19 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 ADOL SUER POLICY EFF POLICY EXP LTRINSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,DAMAGE TO RENTED I 000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) S 100,000 X Contractual MED EXP(Any one person) S 5,000 A Y VUMD0000470 10/01/2018 10/01/2019 PERSONAL&ADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY X PRO LOC PRODUCTS-COMP/OPAGG S 2,000,000 JECT X,OTHER: Ded:$5K Per Occ PD only Policy Aggregate $ 5,000,000 - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED Y 2069003905 04/15/2019 04/15/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X H X NONO- D PROPERTY DAMAGE $ AUTOSIRED ONLY AUTSOWNE ONLY (Per accident) PIP S 10,000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 1,000,000 C X EXCESS LIAB CLAIMS-MADE EB00067936604 XS over GL,AL 10/01/2018 10/01/2019 AGGREGATE S 1,000,000 DED X RETENTION$ zero Prod/Comp OpsAgg $ 1,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N A •.44-..,.r Y K MA Eti.4ENT ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED?(Mandatory in NH) BY ` ,LCJ.q - E.L.DISEASE-EA EMPLOYEE S If yes,describe under + ` '/ r DESCRIPTION OF OPERATIONS below � D Li^s DISEASE-POLICY LIMIT S - E.L. WAIVEll Mite)( Ys-- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Project:BID-PFM-352-13-2007-PUR/CV,Roof Repair-Spottswood Building. Monroe County Board of County Commissioners is included as Additional Insured with respect to General Liability and Automobile Liability where required by written contract per policy terms and conditions for work performed by the Named Insured. .. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street#268 AUTHORIZED REPRESENTATIVE Key West FL 33040 :,2 /2 I . ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD