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COI Expires 04/01/2020
„..,..---....11 ® DATE(MM/DD/YYYY) A�o CERTIFICATE OF LIABILITY INSURANCE 10/29/2019 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 iii SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this i certificate does not confer rights to the certificate holder in lieu of such endorsement(s). c a) PRODUCER CONTACT 9 Aon Risk Services South, Inc. PNHONE FAX 1- Atlanta GA Office (A/C.No.Ext): (866) 283-7122 (NC.No): (800) 363-0105 9 3550 Lenox Road NE E-MAIL Suite 1700 ADDRESS: _ Atlanta GA 30326 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Indian Harbor Insurance Company 36940 Coca-Cola Beverages Florida, LLC INSURERS: XL Insurance America Inc 24554 Suite Princess Palm Avenue Suite 100 INSURERC: Greenwich insurance Company 22322 Tampa FL 33610 USA INSURERD: XL Specialty Insurance co 37885 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570079016703 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. Limits shown are as requested INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) 1fMM/DDIYYYY)) LIMITS C X COMMERCIAL GENERAL LIABILITY RGE300120203 10/29/2019 04/01/2020 EACH OCCURRENCE $1,500,000 CLAIMS-MADE X OCCUR SIR applies per policy terns & conditions DAMAGE TO RENTED $500,000 PREMISES(Ea occurrence) MED EXP(Any one person) $5,000 PERSONAL 8 ADV INJURY $1,500,000 O GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,500,000 X POLICY JECT n LOC PRODUCTS-COMP/OPAGG $3,500,000 r OTHER: o r c RAD943781703 10/29/2019 04/01/2020 COMBINED SINGLE LIMIT ID AUTOMOBILE LIABILITY $5,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) 0 OWNED SCHEDULED BODILY INJURY(Per accident) u) AUTOS ONLY AUTOS ' "-' HIRED AUTOS NON-OWNED PROPERTY DAMAGE v ONLY _AUTOS ONLY (Per accident) w, it W D X UMBRELLA LIAB X OCCUR US00071476L119A 10/29/2019 04/01/2020 EACH OCCURRENCE $1,000,000 0 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED X RETENTION$10,000 B WORKERS COMPENSATION AND RWD300120103 10/29/2019 04/01/2020 X PER OTH- EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR I PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under ' - -DESCRIPTION OF OPERATIONS below --- --___ _ ___ _ _ - --.E.L.DISEASE-POLICY LIMIT ---$1,000,000- - A Cyber Liability MTP903697901 05/29/2019 05/29/2020 Aggregate $5,000,000 SIR applies per policy terms & conditions SIR $50,000 111. MR DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may he attached if more space is required) contractual Liability is included for GL in accordance with the policy provisions. Monroe county Board of County Commissioners is included as Additional Insured in accordance with the policy provisions of the General Liability, Automobile Liability and Umbrella Liability policies. GEMENT DATE 7/ 19 WAIVER N A CERTIFICATE HOLDER CANCELLATION d SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE 1 POLICY PROVISIONS. r Monroe County BOCC AUTHORIZED REPRESENTATIVE 1100 Simonton St. Key West FL 33040 USA Or M �f cr—gz M ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYY1� '°`���® CERTIFICATE OF LIABILITY INSURANCE 11/2S/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. L. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on tr.this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). d PRODUCER CONTACT NAME: r- Aon Risk Services South, Inc. PHONE FAX Atlanta GA Office (A/C.No.Ext): (866) 283-7122 (A/c. (800) 363-0105 v 0 3550 Lenox Road NE n-MAIESS: _ Suite 1700 Atlanta GA 30326 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: XL Insurance America Inc 24554 Coca-Cola Beverages Florida, LLC INSURER B: Greenwich Insurance Company 22322 10117 Princess Palm Avenue Suite 100 INSURERC: XL Specialty Insurance Co 37885 Tampa FL 33610 USA —INSURER D: INSURER E: INSURER F: I COVERAGES CERTIFICATE NUMBER: 570079280036 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, Limits shown are as requested INSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR MO POLICY NUMBER (MM/DO/YYYY) (MM/DO/YYYY) LIMITS B X COMMERCIAL GENERAL LIABILITY RGE300120203 10/29/2019 04/01/2020 EACH OCCURRENCE S1,500,000 —I CLAIMS-MADE X OCCUR PREMISES SIR applies per policy terns & condi:ions ETORENTED $500,000 PREMISES occurrence) MED EXP(Any one person) $5,000 PERSONALS ADV INJURY $1,500,000 m GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,500,000 0 X POLICY I I JECT LOC PRODUCTS-COMP/OPAGG $3,500,000 m N. OTHER: o n B AUTOMOBILE LIABILITY RAD943781703 10/29/2019 04/01/2020 COMBINED SINGLE LIMIT Lo (Ea accident) $5,000,000 X ANY AUTO BODILY INJURY(Per person) C SCHEDULED BODILY INJURY(Per accident) Z OWNED AUTOS AUTOS ONLY — « HIRED AUTOS NON-OWNED PROPERTY DAMAGE al (Per accident) ONLY AUTOS ONLY 0 f d • X UMBRELLA LIAB X OCCUR c US00071476L119A 10/29/2019 04/01/2020 EACH OCCURRENCE $1,000,000 r, EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DEO X RETENTION $10,000 A WORKERS COMPENSATION AND RWD300120103 10/29/2019 04/01/2020 X I PER STATUTE I I0ETTH- EMPLOYERS'LIABILITY t/t pv�r t+ /��r-8��-,� ( NN \ pJ r^�O� C:MCnIT ANY PROPRIETOR/PARTNER! I \\fRl//1 E.L.EACH ACCIDENT $1,000,000 EXECUTIVE OFFICER/MEMBER N/A (Mandatory In NH) I�Y a E.L.DISEASE-EA EMPLOYEE $1,000,000 gyy s describe under .1 DESCRIPTION OF OPERATIONS below - .E.L.DISEASE-POLICY LIMIT $1,000,000 DATE i 1fa(-\9 WAIVER N/A* YES _ MI ell- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD tOt,Additional Remarks Schedule,may be attached If more space s required) Contractual Liability.is included for General Liability in accordance with the policy provisions. Monroe County Board of County Commissioners is included as Additional Insured in accordance with the policy provisions of the General Liability, Automobile Liability and Umbrella Liability policies. z Eitl CERTIFICATE HOLDER CANCELLATION M _ _ 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 BOCC AUTHORIZED REPRESENTATIVE 1100 Simonton St. Key West FL 33040 USA (� �/y/� �/ Or eX4a c �Vsl GtO r� e Zer. ID ©1988-2015 ACORD CORPORATION.All rights reserved ACORD 25(2016/03) The ACORD name and logo are registered marks of ACO