COI Expires 01/01/2020 ACCP CERTIFICATE OF LIABILITY INSURANCE DATE(MMmDIYYYY)
10/2/2019
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 ENSURED,the poticy(les)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
PR
Risk Strategies Company NAME:
3250 N.29th Ave PHONE
Hollywood, FL 33020 No. ►: s54-ss3-ssss FAX
Noy: 954-963-9776
IL
ADDRESS: aiucertsnrisk-strategies.com
INSURER(S)AFFORDING COVERAGE NAIC S
iNSURERA: Gemini Insurance Company 10833
INSURED INSURERB: Commerce and Industry Insurance 19410
Electrical Contracting Service, Inc.2375 West 77 Street IN
2375 Phoenix Insurance Company 25623
Hialeah FL 33016 INSURER D: American Zurich Insurance Company 40142
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 51606672 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 POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MAILED YYYY)JkWMiDDIYYYYI LIMITS
A ✓ COMMERCIAL GENERAL LIABILITY ✓ ✓ VGGP003035 1/1/2019 1/1/2020 EACH OCCURRENCE $1000000
AMACLAIMS-MADE ❑✓ OCCUR 9 - FIB + T PREMISES RENTED
$50000
/ BI/PD Dt d:5,000 II - / MED DIP(Any one person) $5000
BY pi I OC1' atov2- PERSONAL BADVINJURY $10013000
GEN'L AGGREGATE LIMIT APPLIES PER: DATE ,V ,l GENERAL AGGREGATE $2000000
PRODUCTS-COMP/OP AGG $2000000
POLICY n JECT LOO WAIVER WL\41 YcS_ $
I OTHER:
D AUTOMOBILE LIABILI Y ✓ ✓- BA9053R96719SEL 9/17/2019 9/17/2020 la COMBINED SINGLE LIMIT $1000000
✓ 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)
Personal Iniury Protect $10,000
B UMBREU.ALIAB ✓ OCCUR EBU061213215 3/26/2019 3/26/2020 EACH OCCURRENCE $4000000
,/ EXCESS LIMB CLAIMS-MADE AGGREGATE $4000000
DED RETENTION$ Excess over GL&Auto $
WORKERS COMPENSATION PER
RTIITE OT
AND EMPLOYERS'LIABILITY Y I N
ER
ANYPROPRIETOR/PARTNERIEXECUTIVE l l NIA EL.EACH ACCIDENT $
O FFI C ERIM EM B ER EXCLU DED7
(Mandatory in NH) EL DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $
C Equipment Floater 45471364 1/1/2019 1/1/2020 $392,346 Covered Equip
Rented/Leased Equipment $250,000 Aggregate
Deductibles $1,000 AOP
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required)
Monroe County is an Additional Insured / Charles H.Floyd Jr.-License#EC13005149
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
1100 Simonton Street, Suite#2-216 ACCORDANCE WiTH THE POLICY PROVISIONS.
Key West FL 33040-3110
AUTHORIZED REPRESENTATIVE `
- 5� `�-Z
1 Michael Christian
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
51606672 I ELECO1 12019 Revised Master I Daisy Pascual 110/2/2019 4;05:22 PM (EDII 1 Page 1 of 2
AGENCY CUSTOMER ID: ELECOI
LOC#:
�►�o ADDITIONAL REMARKS SCHEDULE Page of
AGENCY NAMEDINSURED
Risk Strategies Company Electrical
55West Contracting tet"Service,Inc.
POLICY NUMBER Hialeah FL 33016
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(03/16)
HOLDER:Monroe County BOCC
ADDRESS:1100 Simonton Street,Suite#2-216 Key West FL 33040-3110
Certificate Holder is included as Additional Insured under General Liability Policy when
required by written contract per End #CG2010 (04/13) and End #CG2037 (04/13) on a Primary
and Non-Contributory basis per End #CG2001 (04/13) . Blanket Waiver of Subrogation applies
in favor of certificate holder under General Liability Policy as required by written
contract per End #CG2404 (05/09) . Blanket Additional Insured and Waiver of Subrogation
apply to Commercial Auto Policy as required by written contract per End #CAF079 (04/07) .
Excess Liability policy will follow the terms, definitions, conditions and exclusions of
Scheduled Underlying Insurance per Prime Express policy form 90269 (11/09)
30-Day Notice of Cancellation.
ACORD 101(2008/01) 02008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD ATTACHMENT
51606672 I ELECO1 12019 Revised Master 1 Daisy Pascual 110/2/2019 4:05:22 PM (EDT) I Page 2 of 2