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COI Expires 07/20/2019 AlCORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `...-----' 05/23/2019 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 George A Zellner Co CONTNAIVE' Certificates 4114 Sunbeam Road PHONE PO). (904)356-1492 FAX Nel.(904)354-4328 Suite 101 E-MAIL certificates@zellnerinsurance.com ADDRESS. Jacksonville FL 32257- INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Auto-Owners Insurance Company 18988 INSURED INSURER B:Mapfre Ins.Company of Florida Affordable Asphalt,Inc. INSURER C:Nautilus Insurance Company 94411 Overseas Highway INSURER D:Western World Insurance Co. Tavernier FL 33070- INSURERS: 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 A FFORDED BY THE POLICIES DES CRIBED 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 IYY LIMITS LTR INan wvn POLICY NUMBER IMMIDD/ YYL(MMIDDIYYYYI D X COMMERCIAL GENERAL LIABILITY X NPP8543044 07/20/2018 07/20/2019 EACH OCCURRENCE $ 1,000,000 DAMAGERENTED CLAIMS-MADE X OCCUR PRFM SFSO(Fa occurrence) $ 100,000 APPRC.VE v'j . AGEMEIYT MED EXP(Any one person) $ 1,000 Y _ itlilw•A' I PERSONAL&ADV INJURY $ 1,000,000 DA 1 2,000,000 . GEN'L AGGREGATE LIMIT APPLIES PER: WA ER N/A YES_.,,- �• GENERAL AGGREGATE $ POLICY X PET LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY X COMBINEDSINGLELIMIT $ 1,000,000 5204070000554 07/20/2018 07/20/2019 �Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X, X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) C UMBRELLA LIAB OCCUR AN056917 09/07/2018 09/07/2019 EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE _AGGREGATE $ 2,000,000 DED I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE FR ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Equipment 78554889 12/21/2018 12/21/2019 Limit 140,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Jobside:Big Pine Community Park 31009 Atlantis Drive Big Pine Key,Fl 33043 The certificate holder is listed as additional insured with respects to general liability and auto liability if required by written contract. CERTIFICATE HOLDER CANCELLATION Al 027821 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 500 Whitehead Street ACCORDANCE WITH THE POLICY PROVISIONS. Suite#102 Key West FL 33040- AUTHORIZED REPRESENTATIVE I Fax:( ) - ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD