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COI Expires 01/01/2021 Client#:4463 DLPORTER ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYW)12/31/2019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Bouchard Insurance,Inc. PHONE 727 447-6481 FAX 727 449-1267 101 N Starcrest Dr. (E MAIL No,Ext): (A/C,No): ADDRESS: certificates@bouchardinsurance.com Clearwater,FL 33765 INSURER(S)AFFORDING COVERAGE NAIC# 727 447-6481 INSURER A:Colony Insurance Co 39993 INSURED INSURER B:Travelers Excess&Surplus Lines Co 29696 D L Porter Constructors,Inc. Amerisure Mutual Insurance Company INSURER C: P Y 23396 6574 Palmer Park Circle Old Dominion Insurance Company INSURER D: P Y 40231 Sarasota,FL 34238-2777 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 EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y Y 103GL001647506 01/01/2020 01/01/2021 EACH OCCURRENCE $1,000,000 D CLAIMS-MADE X OCCUR A AIBIQN PREMISESO(Ea occurrence) B 100,000 X BI/PD Ded:2,500 MED EXP(Any one person) $5,000 BY PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: DATE GENERAL AGGREGATE $2,000,000 POLICY Al JECT X LOC WAIVER N/&. YES, PRODUCTS-COMP/OP AGG $2,000,000 OTHER: 1 $ D AUTOMOBILE LIABILITY Y Y B1T3307V 01/01/2020 01/01/2021 (Esaccident)INGLELIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per accident) B UMBRELLA LIAB OCCUR Y Y ZUP81N0856420NF 01/01/2020 01/01/2021 EACH OCCURRENCE $5,000,000 X EXCESS LIAB X CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$10,000 $ C WORKERS COMPENSATION Y WC208074508 01/01/2020 01/01/2021 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE FR Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? Z/ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 C Leased/Rented IM20593641103 01/01/2020 01/01/2021 $100,000 Equipment Ded:$1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) **Workers Comp Information** Proprietors/Partners/Executive Officers/Members Excluded: • Gary Loer, President Marshall White,Vice-Pres (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION ANY OF Monroe County Board of County Commissioners THELD EXPIRATIONHE DATTE ABOVE DESCRIBED NOTICEIES WIBLL BE E CANCELLED DO IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West,FL 33040-0000 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25.(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #51196015/M1195810 MIKKO ,9►ti DESCRIPTIONS (Continued from Page. 1) Additional insured status with respect to General Liability,Auto Liability&Excess Liability per the attached form(s). Waiver of subrogation applies with respect to General Liability,Auto Liability,Excess Liability&Workers Compensation per the attached form(s). Coverage is primary as respects to General Liability and non-contributory as subject to the terms, conditions and exclusions of your policy. Florida DOT Project Number G0G88-Monroe County DPW Project: GAMD78 Rental Car Wash Facility Florida Keys Marathon International Airport Monroe County,Florida SAGITTA 25.3(2016/03) 2 of 2 #S1196015/M1195810