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COI Expires 12/09/2018
�....„,11 ADJUS -1 OP ID: DH A�OR CERTIFICATE OF LIABILITY INSURANCE DATE 06 /08 /2018 Y) 06/08/2018 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 315 - 768 -8888 CONTACT NAME: Robert Broccoli Gilroy, Kernan & Gilroy, Inc. PHONE 315 - 768 -8888 FAX 315 - 768 -8600 210 Clinton Road INC, No, Eat): INC, No): P.O. Box 542 E-MAIL ADDRESS: New Hartford, NY 1 341 3 - 0 54 2 Robert Broccoli INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Cincinnati Insurance Co. 10677 — INSURED Adjusters International Inc. INSURER B : Federal Insurance Co. 20281 126 Business Park Drive Westchester Fire Insurance Co 10030 Utica, NY 13502 INSURER C INSURER D : ACE American 22667 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 /Y POLICY EFF POLICY EXP LIMITS 1 TR INSD WVP (MMIDDYYYI (MMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X X CPP5252643 12/09/2017 12/09/2018 DAMAGE TO $ 500,000 MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY Tei LOC PRODUCTS - COMP /OP AGG $ 2,000,000 OTHER $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO X X CPP5252643 12/09/2017 12/09/2018 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X AUTOS ONLY X AUTNOS Vy ONE (PencEciident) p AMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 20,000,000 EXCESS LIAB CLAIMS -MADE X X CPP5252643 12/09/2017 12/09/2018 AGGREGATE 20,000,000 DED X RETENTION $ 10,000 $ B WORKERS COMPENSATION X PER OTH AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE 14089 -01 06/06/2018 06/06/2019 1,000,000 OFFICER/MEMBER EXCLUDED? N I N / A E.L. E A CCIDENT $ (Mandatory In NH) I E.L. DISEASE - EA EMPLOYEE $ 1,000 000' If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below l E.L. DISEASE - POLICY LIMIT $ C E &O G27459298003 06/01/2018 06/01/2019 Ea Occur 5,000,000 D Cyber G46849759 12/18/2017 12/18/2018 Aggregate 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space i required) Certificate holder is included as Additional Insured on a primary/non - p contributory basis as required by written contract. Waiver of Subrogation AP • ; uyE Y • ISK V. Uf� � ' applies. The workers' compensation policy includes coverage in the state of ' GEMEIVT Florida. BY �, ` DA �(� i_l i WAIYEFI N/ 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 ACCORDANCE WITH THE POLICY PROVISIONS. of County Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 (c i Prilav162. v 7 E ACORD 25 (2016/03) © 1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD