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COI Expires 05/26/2020
"..---''''mil ® DATE(MM/DD/YYYY) ACCORD CERTIFICATE OF LIABILITY INSURANCE 06/28/2019 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). PRODUCER - -"" - CONTACT Julia Becvar NAME: MCGRIFF,SEIBELS&WILLIAMS OF TEXAS,INC. PHONE 713- - FAX 713-877-8974 8778975 818 Town&Country Blvd,Suite 500 (A/C.No.Ext): (A/C,No): Houston,TX 77024-4549 E-MAIL ecvar me riff.com ADDRESS:/b @ g INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Underwriters At Lloyd's,London 15792 INSURED INSURER B:The Charter Oak Fire Insurance Company 25615 DRC Emergency Services,LLC P.O.Box 17017 INSURER C:Texas Mutual Insurance Company 22945 Galveston,TX 77552 INSURER D Argonaut Insurance Company 19801 INSURER E:Crum&Forster Specialty Insurance Company 44520 INSURER F: COVERAGES CERTIFICATE NUMBER:72N366X4 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 EFF POLICY EXP W LIMITS LTR INSR VD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY B0621 EMSSL000119 06/30/2019 06/30/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE piOCCUR PREMISES(Ea occurrence) $ 300,000 iaPPR ' EMENT MED EXP(Any one person) $ 10,000 X X B PERSONAL&ADVINJURY $ 1,000,000 DA l 2,000,000 GEN'L AGGREGATE LIMIT APPLIESI�-I PER: WAIVER N/A YE GENERAL AGGREGATE $ POLICY X PRO- I I LOC PRODUCTS-COMP/OPAGG $ 2,000,000 JECT 1 1 OTHER: $ B AUTOMOBILE LIABILITY 810-9J994734-19-26-G 05/26/2019 05/26/2020 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 _ X ANY AUTO BODILY INJURY(Per person) $ - OWNED SCHEDULED X X BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) $ A UMBRELLA LIAB X OCCUR B0621 EMSSL000219 06/30/2019 06/30/2020 EACH OCCURRENCE $ 5,000,000 X- EXCESS LIAB CLAIMS-MADE X X AGGREGATE $ 5,000,000 DED RETENTION$ $ C WORKERS COMPENSATION 0001307608 TX 05/26/2019 05/26/2020 X PER OTH- D AND EMPLOYERS'LIABILITY Y/N WC928318471754 STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A X _ (Mandatory in NH) _ _ E.L.DISEASE--EA EMPLOYEE $ 1,00_0,000 `---- It yes;descid,e under - - - - - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 E Contractors Pollution& PKC108645 05/26/2019 05/26/2020 Contractor's Pollution $ 5,000,000 Errors&Omissions Errors&Omissions $ 5,000,000 Policy Aggregate $ 5,000,000 $ $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: Marine Debris Removal and Related Services From 5 Plugged Canals and Other Canals As a Result of Hurricane Irma Monroe County Board of County Commissioners are included as an Additional Insured on the General Liability,Automobile Liability and Excess Liability policies.Waiver of Subrogation applies in favor of Monroe County Board of County Commissioners as respects General Liability,Automobile Liability,Workers'Compensation and Excess Liability.The General Liability Policy includes a Per Project Aggregate.Coverage is primary and non-contributory as respects to General Liability,Automobile Liability and Excess Liability policies. All as required by written contract subject to policy,terms,conditions,and exclusions. In the event of cancellation by the insurance companies the policies have been endorsed to provide 30 days Notice of Cancellation(except for non-payment)to the Certificate Holder shown below. CERTIFICATE HOLDER 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. Monroe County Board of County Commissioners The Gato Building AUTHORIZED REPRESENTATIVE 1100 Simonton Street,Room 2-213 Key West,FL 33040 Yr---- Page 1 of 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD