COI Expires 03/22/2020 _r1 CONTRAOP ID: KE
ACORO" DATE(MM/DDIYYYY)
�---- CERTIFICATE OF LIASILITI( INSURANCE 08/06/2019
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 772-223-0400 5212CT Thomas N.Tardonia
Atlantic Pacific-Stuart PHONE 772-223-0400 I FAX 772-223-1919
620 SE Central Parkway (AIC,No,Ext): (NC,No):
Stuart, FL 34994 Mass:
Thomas N.Tardonla
INSURERS)AFFORDING COVERAGE NAIC B
INSURER A:Bridgefield Employers Ins.Co. 10701
INSURED INSURER B,Gemini Insurance Co
Contracting Specialists,Inc.
4Sosuth Easf INSURER C:progressive Cos.
S.Main Street
Attleboro,MA 02073-6437 INSURERD:Travelers Excess and Surplus
INSURER E:Travelers Insurance Co. 25666
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 IMMIDDIYYYY)
B x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE X OCCUR X VGGP003982 03/2312019 03/23/2020 pREM SES Ea oNcurrDence) $ 100,000
MED EXP(Any one person) $ Excluded
/ I1 PERSONAL&ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT 5' APPLIES PER: 1 GENERAL AGGREGATE $ 2,000,000
POLICY f LOC ,I •RODUCTS-COMP/OP AGG $ 2,000,000
OTHER: _ $
C AUTOMOBILE LIABILITYI
JMBINED SINGLE LIMIT 1,000,000
ca accident) $
— ANY AUTO _ X 06000152-2 03/22/2019 IJ3/2 212 0 20 BODILY_INJURY(Per person)_ $
OWNED SCHEDULED
AUTOS ONLY x AUUTNOSSyy� p BODILY INJURY(Per accident)_ $
—
X AUTODS ONLY X AUTOS ONLY (Perr accident)AMAGE $
$
D X UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ 3,000,000
EXCESS LIAB CLAIMS-MADE ZUP12T543 81-1 9-NF 03/23/2019 03/23/2020 AGGREGATE $ 3,000,000
DED X RETENTION$ 10,000 $
A AND EMPLOYES LIABILITY
PER
ER H
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 0830-48657 08106/2019 08/0612020 E.L.EACH ACCIDENT $ 1,000,000
QFFICERJMEMBER EXCLUDED? N I A
(Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
E Equipment Floater 3H556672 03/22/2019 03/22/2020 Rented& 75,000
Leased
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
Project:West Martello Brick and Mortar Restoration Key West,Florida
Monroe County and Monroe County TDC to be listed as certificate holder and AP YPIS NAGEMENT
additional insured,except on worker's compensation coverage BY
DATA � c2:i
WAIVER ?VAX YES
CERTIFICATE HOLDER CANCELLATION
MONROEI
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Monroe County Board of ACCORDANCE WITH THE POLICY PROVISIONS.
County Commissioners
&Monroe County TDC AUTHORIZED REPRESENTATIVE
500 Whitehead Street
Key West, FL 330414- — -
1
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