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COI Expires 02/02/2020 ,�...141 AVIR&AS-01 URIBEA ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 411.....-------- 7/31/2019 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 License#0E67768 CONTACT Annie Uribe NAME: Insurance Office of America,Inc. PHONE FAX Abacoa Town Center (A/c,No,E:t):(561)296-5966 26059 I WC,No):(561)776-0670 1200 University Blvd,Suite 200 nI oRliss:Annie.Uribe@ioausa.com Jupiter,FL 33458 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:The Hanover Insurance Company 22292 INSURED _INSURER B:Allmerica Financial Benefit Insurance Company 41840 Avirom&Associates,Inc. INSURER C:Transportation Insurance Company 20494 50 SW Ave INSURER D:AXIS Insurance Company 37273 Boca Raton,FL 33432 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 CONTRACTOR 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 W POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD VD (MM/DDIYYYY) IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR ZHJD65672501 8/1/2019 8/1/2020 DAMAGETORENTED 900,000 PREMISES fEa occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JE8-1, LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO AWJD65672701 8/1/2019 8/1/2020 BODILYINJURY(Perperson) $ OWNED SCHEDULED _ AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE - AUTOS ONLY _AUTOS ONLY (Per accident) $ _ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE UHJD65672401 8/1/2019 8/1/2020 AGGREGATE $ 5,000,000 DED X RETENTIONS 0 $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N 624703484 2/2/2019 2/2/2020 STATUTE ER 500,000 ANY OFFICER/MEMBER EXCLUDEDPROPRIETOR/PARTNER/EX?ECUTIVE N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Prof Liability I AEA000052-05-2019 8/1/2019 8/1/2020 ,Per Claim 3,000,000 D Prof Liability AEA000052-05-2019 8/1/2019 8/1/2020 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County is named as additional insured with regards to General Liability insurance as per form 421-2915 and Auto Liability insurance as per 461-0478 as required by written contact. AFF V• ,� ), .>/.G;f ENT BY _ 11M• V/ DATE � WAIVER N/A ! Y a - Fil 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 AUTHORIZED REPRESENTATIVE and Monroe County Board of County Commissioners 1100 Simonton Street betbadie IKey West,FL 33040 C ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AVIR&AS-01 URIBEA ,acoRo' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `.� 7/31/2019 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 License#0E67768 CONTACT Annie Uribe Insurance Office of America,Inc. PHONE FAx Abacoa Town Center (A/c,No,Ext):(561)296-5966 26059 �(A/c,No):(561)776-0670 D E-MAIL Annie.Uribe@ioausa.com• 1200 University Blvd,Suite 200 ADRESS: Jupiter,FL 33458 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:The Hanover Insurance Company 22292 INSURED INSURER B:Allmerica Financial Benefit Insurance Company 41840 Avirom&Associates,Inc. INSURER C:Transportation Insurance Company 20494 50 SW Ave INSURERD:AXIS Insurance Company 37273 Boca Raton,FL 33432 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 POLICY EFF POLICY EXP LIMITS LTRINSD WVD ,.(MM/DD/YYYY) IMMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR ZHJD65672501 8/1/2019 8/1/2020 DAMAGETORENTED 100,000 X X PREMISES(Ea occur encel $ MED EXP(Any one person) S 10,000 _ PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JE LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED Ba acc dEDtSINGLE LIMIT $ 1,000,000 X ANY AUTO AWJD65672701 8/1/2019 8/1/2020 BODILYINJURY(Perperson) $ - OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE - AUTOS ONLY - AUTOS ONLY (Per accident) $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE UHJD65672401 8/1/2019 8/1/2020 AGGREGATE $ 5,000,000 DED X RETENTIONS 0 $ C WORKERS COMPENSATION X STATUTE OTH- ER AND EMPLOYERS'LIABILITY YIN 624703484 2/2/2019 2/2/2020 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVEXCLUDE E.L.EACH ACCIDENT $ OFFICER/MEMBER in NH)EXCLUDED? N/A E.L.DISEASE-EA EMPLOYEE S 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Prof Liability AEA000052-05-2019 8/1/2019 8/1/2020 Per Claim 3,000,000 D Prof Liability AEA000052-05-2019 8/1/2019 8/1/2020 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is named as Additional Insured with regards to General Liability insurance as per form 421-2915 as required by written contract.General Liability insurance is primary and non-contributory as per 421-2915.Waiver of Subrogation applies to General Liability insurance as per 421-2915. Certificate Holder is named as Additional( su ed 1 h regards Automobile Liability insurance as per form 461-0478 when required by written contract. BY E A Y I Rom_ DA WAI /Ai Y S� 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 Purchasing Office AUTHORIZED REPRESENTATIVE The Gato Building 1100 Simonton Street-Room 2-213 b '"Key West,FL 33040 0 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • �....N AVIR&AS-01 URIBEA ACORO' DATE(MM/DD/YYYY) `� CERTIFICATE OF LIABILITY INSURANCE 7/31/2019 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 License#0E67768 CONTACT Annie Uribe Insurance Office of America,Inc. Abacoa Town Center WCC, o,Ext):(561)296-5966 26059 rn/c,No):(561)776-0670 1200 University Blvd,Suite 200 aoDRIEss:Annie.Uribe@ioausa.com Jupiter,FL 33458 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:The Hanover Insurance Company 22292 INSURED INSURER a:Allmerica Financial Benefit Insurance Company 41840 _ Avirom&Associates,Inc. INSURER C:Transportation Insurance Company 20494 50 SW Ave INSURER D:AXIS Insurance Company 37273 Boca Raton,FL 33432 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 POLICY EFF POLICY EXP LIMITS LTR_ INSD WVD (MM/DDIYYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR ZHJD65672501 8/1/2019 8/1/2020 DAMAGE TO RENTED 100,000 PREMISES(Ea occurtence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JEt° LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: S B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) S _ _ ___ X ANY AUTO AWJD65672701 8/1/2019 8/1/2020 BODILY INJURY(Perperson) $ - OWNED SCHEDULED , AUTOS ONLY _ AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE - AUTOS ONLY AUTOS ONLY (Per accident) $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAR CLAIMS-MADE UHJD65672401 8/1/2019 8/1/2020 AGGREGATE $ 5,000,000 DED X RETENTIONS 0 $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER 624703484 2/2/2019 2/2/2020 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S D Prof Liability AEA000052-05-2019 8/1/2019 8/1/2020 Per Claim 3,000,000 D Prof Liability AEA000052-05-2019 8/1/2019 8/1/2020 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Monroe County is named as additional insured with regards to General Liability insurance as per form 421-2915 and Auto Liability insurance as per 461-0478 as required by written contact. APP 0 GEMENT BY WAAIVER /A") i� 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 AUTHORIZED REPRESENTATIVE and Monroe County Board of County Commissioners coi 1100 Simonton Streetyt;Uj._ P !Key West.FL 33040 0 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AVIR&AS-01 URIBEA ACORLY CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) `-..----- 7/31/2019 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 License#0E67768 CONTACT Annie Uribe NAME: Insurance Office of America,Inc. PHONE FAX Abacoa Town Center (A/C,No,Ext):(561)296-5966 260591(A/C,No):(561)776-0670 1200 University Blvd,Suite 200 AODRIItss:Annie.Uribe@ioausa.com Jupiter,FL 33458 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:The Hanover Insurance Company 22292 INSURED INSURER B:Allmerica Financial Benefit Insurance Company 41840 Avirom&Associates,Inc. INSURER C:Transportation Insurance Company 20494 50 SW Ave INSURER D:AXIS Insurance Company 37273 Boca Raton,FL 33432 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 POLICY EFF POLICY EXP LIMITS LTR INSD,WVD IMM/DD/YYYY1 (MM/DD/YYYY1 A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X OCCUR ZHJD65672501 8/1/2019 8/1/2020 DAMAGETORENTED 100,000 X X PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X jECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ X ANY AUTO AWJD65672701 8/1/2019 8/1/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED • AUTOS ONLY _AUTOS BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY - AUTOS ONLY (Per accident) $ S A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE UHJD65672401 8/1/2019 8/1/2020 AGGREGATE $ 5,000,000 DED X RETENTIONS 0 S C WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N 624703484 2/2/2019 2/2/2020 X STATUTE ER 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ Mandatory in NH)EXCLUDED? N/A 500,000 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Prof Liability AEA000052-05-2019 8/1/2019 8/1/2020 Per Claim 3,000,000 D Prof Liability AEA000052-05-2019 8/1/2019 8/1/2020 Aggregate 3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is named as Additional Insured with regards to General Liability insurance as per form 421-2915 as required by written contract.General Liability insurance is primary and non-contributory as per 421-2915.Waiver of Subrogation applies to General Liability insurance as per 421-2915. Certificate Holder is named as Additional Insured with regards to Automobile Liability insurance as per form 461-0478 when required by written contract. APPRO\D FilV1ENT BY WAIDAVER / S `\� 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 Purchasing Office AUTHORIZED REPRESENTATIVE • The Gato Building 1100 Simonton Street-Room 2-213 /1� 'Key West.FL 33040 O ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD