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Certificates of Insurance ACCORE0 CERTIFICATE OF LIABILITY INSURANCE DATE( DtYYYY) 09/08/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER .TEAS 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. 0 PORTANTe If the certificate ht>Ider is an ADDITIONAL INSURED,the callcy{Ie � ,esLtt be endorsed. If SI� NATIN 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 o the certificate holder In lieu of such endorsernent(s). PRODUCER NAME: Ayden Phillips Island Insurance Agency,Inc. PHONE 305 294-666£ 305 24-666E3 AIC No Ext: AtC,No 3229 Flagler Ave#112 DRESS: islandinsurance@corncast.net INSURER(S)AFFORDING COVE GE NAIC Key West FL. 33040 INSURER A: Western World Ins Co, INSURED INSURER B: Security National Ins Company 38067 GOO,INC. INSURER C 5020 5TH AVE#1 INSURER D INSURER E: KEY WEST FL, 33040 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER. THIS IS TO CERTIFY THAT THE POLICIES OF INSU NCE LISTED BELOW HAVE BEEN ESSUED Tf)THE INSUFdED NAMED ABOVE FOR THE.POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. LTR TYPE OF INSU NCE INSR WVD POLICY NUMBER IMM22= I!MIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL.GENERAL LIABILITY P62EnAlSES Ea accurrenc $ 100,000 CLAIMS-MACE 91OCCUR MED EXP(Any one person) $ 500,000 A - X NPP8776633 02/20/2021 02/20/2022 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: PRODUCTS-COMRIOPAGG $ 2,000,000 PC3LICY �PRG- LC}C — $ AUTOMOBILE LIABILITY — 'a accident) $ 100,000 ANYAUTCJ B ALL OWNED OILY INJURY(Per person) $ SCHEDULED AUTOS SCHEDULED X M00 0022375 00 09/08/2021 09108/2022 BODILY—INJURY(Per accident) $ AUTOS SC HIREDAU'Tt?S NON-OWNED AUTOS Pee ace:Ident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $-- DED RETENTION$ ISK $ WORKERS COMPENSATION I ` VC SfATU- C}TF9- AND EMPLOYER S°LIABILr6Y Y 4 N TC)RY LIMITS ' ER ANY PFROPRIETORIPARTNERIEXECUTIVE ,. :,.. OFFICER(MEMBER EXCLUDED? N f A ,�' E.L.EACH ACCIDENT $ (Mandatory in NH) 9 . 8 . 2021 If yes,describe under u�«, � E.L.DISEASE-EA EMPLOYEE $ - . DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES — CLES (Attach ACORD I01,Additional Rarroarks Schedule,if re space is required) i—L -—Certificate holder is additional insured—- CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street ;registered 7ZED Key West FL, 33040 09/08/2021 ACORD 25(2010105) 01988-2010 CORD CORPORATION. All rights reserved. The ACORD name and logo ar s of ACORD D[ �O3102/2021 E(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 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 SUBROGATIONIS 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 NAME: PAYCHEX INSURANCE AGENCY INC PHONE (877)266-6850 FAX (585)389-7894 76210705 (A/C,No,Ext): (A/C,No): 150 SAWGRASS DRIVE E-MAIL ADDRESS: ROCHESTER NY 14620 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Twin City Fire Insurance Company 29459 INSURED INSURER B: GOC INC D/B/A ISLAND LANDSCAPING AND D/B/A INSURERC: ISLAND FENCE 5020 5TH AVE UNIT 7 INSURERD: KEY WEST FL 33040-5723 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.NOTWTHSTANDING 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 INSR WVD MM/DD/YYYY MM/DD/YYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE Approved Risk Management CLAIMS-MADE OCCUR DAMAGE TO RENTED / PREMISES Ea occurrence �-+ MED EXP(Any one person) PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY❑PRO ❑LOC 3-4-2021 JECT PRODUCTS-COMP/OPAGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) HIRED NON-OWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS- AGGREGATE MADE DED RETENTION$ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY Y/N E.L.EACH ACCIDENT $100,000 A PROPRIETOR/PARTNER/EXECUTIVE N/A 76 WEG K05498 02/11/2021 02/11/2022 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1100 SIMONTON ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED KEY WEST FL 33040-3110 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACCOREA� CERTIFICATE OF LABILITY INSURANCE DATE(Mt�� b 03d0212021 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 INStURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. I PORTAN7; If the certlfic:ate hoVder is an AOV ITIONAL VNSI9RE0,the policy(Ws)must be endorsed. If SUBROGATION 0S 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 NAME: Ayden Phillips PHONE --�------ ......�...�.. Island Insurance Agency,Inc. C Na Est: 305 294-6666 _ C.Na: 305 294-6668 3229 Flagler Ave#112 ADDRESS: islandinsurance@councastnet ..... .......... INSURERS)AFFORDING COVERAGE NAIC tt Key West FL, 33040 INSURERA: Western World Ins Co. INSUREr3 ... ..... ... INSURER B: Economy Premier Ins Company 38067 GOO,INC. INsuRER .............. ...... ..... .. 5020 6TH AVE#1 INSURER D: KEY WEST FL. 33040 IN SU!.ER RER E: ....... ..... ..... .. �.... 1Ns(lRER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED?BELOW HAVE BE ISSt9ED T'O THE INSURED NAMED ABOVE FOR THE PC)LICY PED�IOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY RE 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 RAID?CLAIMS. AMSM ...�...... MMtI712 MMfOD .... ... LTR TYPE OF INSURANCE INSR O Pt_LICY NUMBER NYYY LIMITS N'RAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISEvi Ea 000urrence $ 100,000 CLAIMS-MADE1. OCCUR HED EXP(Any one person) $ 500,000 X NPPB776633 02d20d2021 02d20d2022 PERSONAL$ADVINJURY $ 1,000,000 GENE LAGGREGATE $ 2,000,000 GEN`LAGGREGATE LIMITAPPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY AUTOMOBILE LIABILITY _ ..... ..... ....--...._®...... Ea accident' $ -100,000 I ANYAUTO BODILY INJURY(Per person) $ B A OS AAUTOSSCHEDULED AUTOS AUTOS CA029776P2020 09d07/2020 09/07/2021 BODILY INJURY(Per accident) $ NON-OWNED ----- ------ HIREDAUTOS ( AUTOS Peraooiderrt} $ .. ....� _ — !lMBREL D.IAH OCCUR A rove IS ana errien pp EACH OCCURRENCE $ EXCESS LIAR ......�..... --- ......�..... t.. CLAIMS-MADE $ — AGGREGATE DED RETENTION$ . WORKERS CONAPENSATION WC STATU- OTH- AND EMPLOYERS*LIABILITY ANY PROPRIETC3RiPAriThtERfEXf CUTIVE Y 1 N T'ORY LIMITS ER OFFICE EMBER EXCLUDED? N d A E.L.EACH ACCIDENT (Mandatary in Nth! If yes,descdbe under 1E.L:�.DISIEASE LIEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below -POLICY LIMIT $ 3-4-21 DESCRIPTION OF OPERATIONS#LOCATIONS#VEHICLES (Attach A CORDS 101,Additional Remarks Schedule,if more space Is required) —Certificate holder is additional insured—- CERTIFICATE HOLDER CANCELLATION SHOULD)ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street :AUTH:0:REP Key West FL. 33040 � 03102J2021 ACORO 25(2010t49 ) C)1gu2010A CORGI CORPORATION. All rights reserved. The ACORC name and Ingo are registered a s of ACORD D[ �O3102/2021 E(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 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 SUBROGATIONIS 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 NAME: PAYCHEX INSURANCE AGENCY INC PHONE (877)266-6850 FAX (585)389-7894 76210705 (A/C,No,Ext): (A/C,No): 150 SAWGRASS DRIVE E-MAIL ADDRESS: ROCHESTER NY 14620 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Twin City Fire Insurance Company 29459 INSURED INSURER B: GOC INC D/B/A ISLAND LANDSCAPING AND D/B/A INSURERC: ISLAND FENCE 5020 5TH AVE UNIT 7 INSURERD: KEY WEST FL 33040-5723 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.NOTWTHSTANDING 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 INSR WVD MM/DD/YYYY MM/DD/YYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE Approved Risk Management CLAIMS-MADE OCCUR DAMAGE TO RENTED / PREMISES Ea occurrence �-+ MED EXP(Any one person) PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY❑PRO ❑LOC 3-4-2021 JECT PRODUCTS-COMP/OPAGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) HIRED NON-OWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS- AGGREGATE MADE DED RETENTION$ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY Y/N E.L.EACH ACCIDENT $100,000 A PROPRIETOR/PARTNER/EXECUTIVE N/A 76 WEG K05498 02/11/2021 02/11/2022 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1100 SIMONTON ST BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED KEY WEST FL 33040-3110 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Aco® CERTIFICATE 'OF LIABILITY INSURANCE DATE(MMIDD/YYYY) `..----- 02/11/2020 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 CONTACT NAME: Ayden Phillips Island Insurance Agency,Inc. (E(Etch o,Ext): 305 294-6666 FAX No): 305 294-6668 3229 Flagler Ave#112 ADDRESS: islandinsurance@comcast.net INSURER(S)AFFORDING COVERAGE NAIC# Key West FL, 33040 INSURER A: LLOYD'S OF LONDON INSURED INSURER B: Economy Premier Ins Company 38067 GOC,INC. INSURER C: 5020 5TH AVE#1 INSURER D: INSURER E: KEY WEST FL. 33040 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. TNSR AUUL SUBN LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP (MM/DDIYYYY) (MM/ODIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY UAMAISE Ill I tU PREMISES(Eaa oc occurrence) $ 100,000 CLAIMS-MADE l'it OCCUR MED EXP(Any one person) $ 500,000 A X CIBFL0046176 02/20/2020 02/20/2021 PERSONAL&ADV INJURY $ 1,000,000 • GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: . PRODUCTS-COMP/OPAGG $ 2,000,000 'N/ POLICY F- JECOT- 1 LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMI I $ 100,000 (Ea accident) 'J( ANYAUTO BODILY INJURY(Per person) $ B ` ALL OWNED SCHEDULED X CA029776P2018 09/07/2019 09/07/2020 BODILY INJURY(Per accident) $ AUTOS AUTOS — NON-OWNED HIRED AUTOS PROPER!cadent)DAMAGE $ AUTOS (Per accident) $ UMBRELLA LIAB I OCCUR EACH OCCURRENCE $ EXCESS LIAB 1 ( CLAIMS-MADE AGGREGATE $ DED j RETENTION S • $ 'WORKERSCOMPENSATION / I WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N �� - RISK a,, TORY LIMITS- ER ANY PROPRIETOR/PARTNER/EXECUTIVE fYI�GEjq,�,�T OFFICER/MEMBER EXCLUDED? n N I A BY E.L.EACH ACCIDENT $ (Mandatory in NH) '" E.L.DISEASE-EA EMPLOYEE $ If yes,DESCRIPTION IPTIONe under DATE —L E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below WAIKA Nti DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) • Certificate holder is additional insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED R R Key West FL. 33040 02/11/2020 I ACORD 25(2010/05) ©1988-3010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registeredsms of A_(.RD Ac9R1® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 09/13/2019 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 r CONTACTCO Ayden Phillips Island Insurance Agency,Inc. (Piue PHONE Ext): 305 294-6666 FAX No): 305 294-6668 3229 Flagler Ave#112 ADDRESS: islandinsurance@comcast.net INSURER(S)AFFORDING COVERAGE NAIC# Key West FL. 33040 INSURER A: LLOYD'S OF LONDON INSURED INSURER B: Economy Premier Ins Company 38067 GOC,INC. INSURER C: 5020 5TH AVE#1 INSURER D: INSURER E: KEY WEST FL. 33040 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. ILTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/LDDYIYYYY)SMMIDD�) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 UAMAI,E IU HEN IEU 7 COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 100,000 CLAIMS-MADE 7 OCCUR MED EXP(Any one person) $ 500,000 A X CIBFL0046176 02/20/2019 02/20/2020 PERSONAL&ADV INJURY $ 1,000,000 • GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 _ POLICY Ea LOC $ • AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 100,000 (Ea accident) 7 ANY AUTO BODILY INJURY(Per person) $ B ' ALL OWNED — SCHEDULED X CA029776P2018 09/07/2019 09/07/2020 BODILY INJURY(Per accident) $ _ AUTOS AUTOS HIRED AUTOS AUTOS PROPER tY DAMAGE $ Per accident • UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS-MADE II LY -IS)(PAA - MENr AGGREGATE Y $ ASP' DED RETENTION$ ■ 9 $ WORKERS COMPENSATION SY li / WC STATU- II''OTH- AND EMPLOYERS'LIABILITY j`�, TORY LIMITS N ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y� NIA DATE & )— I y E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? I I a `\// (Mandatory in NH) WAIVER N/�YES_ E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 11 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) • • *****Certificate holder is additional insured***** CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street r;, AUTHORIZ- �r,•TIVE //s Key West FL. 33040 — 09/13/2019 1• ACORD 25(2010/05) ©1988-2 10 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered arks of ACORD