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COI Expires 09/01/2019
• AC® CERTIFICATE OF LIABILITY INSURANCE °05,2;2019°"p"' 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 Marsh USA Inc. NAME: PHOFAX 701 Market Street,Suite 1100 (NC.NE No.Extl: (A/C,No): St.Louis,MO 63101 E-MAIL Attn:StLouis.CertRequest@Marsh.com;Phone:866-966-4664 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# CN101321765-$5M-GAWU-18-19 ,INSURER A:The Travelers Indemnity Company of Connecticut 25682 INSURED INSURER B:American Guarantee and Liability Insurance Company 26247 Enterprise Holdings,Inc. and its subsidiaries INSURER C:Travelers Property Casualty Company of America 25674 600 Corporate Park Drive INSURER D St.Louis,MO 63105 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: CHI-009281754-01 REVISION NUMBER: 3 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 LIMITS LTR -INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY HC2E-GLSA-474M7351-TCT-18 09/01/2018 09/01/2019 EACH OCCURRENCE $ 3,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 1,000,000 X Fire Damage(Any One Fire) MED EXP(Any one person) $ 10,000 AGEMEN� t3PR Y + 3,000,000 I. PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: pA Y� GENERAL AGGREGATE $AIVER 15,000,000 X POLICY PRCT O LOC W,_l1U 1N�A PRODUCTS-COMP/OP AGG $ 3,000,000 JE OTHER: $ A AUTOMOBILE LIABILITY HEEAP-474M7302-TCT-18 09/01/2018 09/01/2019 COMBINED SINGLE LIMIT $ 3,000,000 (Ea accident) 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 SIR 2,000,000 $ B X UMBRELLA LIAB X OCCUR AUC 3781903-18 09/01/2018 09/01/2019 5,000,000 EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ _ $ C WORKERS COMPENSATION HRJUB-474M7062-18(WI) 09/01/2018 09/01/2019 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER C ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N HWXJUB-474M7074-18(OH) 09/01/2018 09/01/2019 5,000,000 O OFFICER/MEMBEREXCLUDED7 N N/A E.L.EACH ACCIDENT $ (Mandatory in NH) HC2JUB-474M7050-18(AOS) 09/01/2018 09/01/2019 E.L.DISEASE-Fes,EMPLOYEE $ 5,000,000 If yes,describe under *SEE ATTACHED* 5,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) GPBR:4186,Location:9400 Oversas Hwy,Mararthon,FL 33050 Monroe County Board of County Commissioners is/are added as an additional insured(except Workers Compensation)where required by written contract. Auto coverage insures any Auto owned or leased by the named insured while operated by employees of the named insured. No coverage provided to renters under this policy. CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn:April Pearson ACCORDANCE WITH THE POLICY PROVISIONS. 1111 12th Street,Suite 408 Key West,FL 33040 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee ' t..a.ua,r>►.;. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: ON 101321765 LOC#: St.Louis • AC R ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA Inc. Enterprise Holdings,Inc. and its subsidiaries POLICY NUMBER 600 Corporate Park Drive St.Louis,MO 63105 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Workers Compensation coverage for employees in Puerto Rico and in the States of North_Dakota,Washington and Wyoming is provided through the Monopolistic State programs. Workers Compensation coverage for employees in Ohio is self-insured.Workers Compensation policy#HC2JUB-474M7050-18 provides Employers Liability for all States with the exception of Wisconsin.Policy#HRJUB-474M7062-18 provides Employers Liability for Wisconsin. • Umbrella Retained Limits U.S.Automobile Liability$15,000,000 Combined Single Limit. • • ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD