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COI 06/01/2020 ...-----'"R1 ADJUS-1 OP ID:DIt '41`� CERTIFICATE OF LIABILITY INSURANCE IfY DATE/20/2019Y) 12/20/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION 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 315-768-8888 CONTACT NAME: Robert Broccoli Gilroy,Kernan&Gilroy,Inc. PHONE FAX 210 Clinton Road (NC,No,Ext):315-768-8888 I(NC,No):315-768-8600 P.O.Box 542 E-MAIL New Hartford,NY 13413-0542 ADDRESS: Robert Broccoli INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Cincinnati Insurance Co. 10677 INSURED INSURER B:Federal Insurance Co. 20281 AcI usters International Inc. ACE American 22667 AKA Rising Phoenix Holdings INSURER C: Corp. Westchester Fire Insurance Co 10030 126 Business Park Dr. INSURER D Utica,NY 13502 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD IMM(DD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CPP5252643 12/09/2017 12/09/2020 DAMAGE TO RENTED 1 OO,000 X X PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 APPRO Da -Y RIS MANAGEMENT PERSONAL 8 ADV INJURY $ 1,000,000 (�B GEN'L AGGREGATE LIMIT APPLIES PER: iBY i 1I t ,Q GENERAL AGGREGATE $ 2,000,000 X POLICY JEC LOC PRODUCTS-COMP/OP AGG $ 2,000,000 DATE OTHER: R`3D r�- $ A AUTOMOBILE LIABILITY WAIVER Al/Al_ YES, COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO X X EBA 0490929 12/09/2019 12/09/2020 BODILY INJURY(Per person) $ OWNED SCHEDULED _AUTOS ONLY _ AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X NON-OWNEDUUTS N n. ',c00,0, (PeOa�(2dYtDAMAGE $. $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 20,000,000 EXCESS LIAR CLAIMS-MADE X X CPP5252643 O' 2/09/2017 12/09/2020 AGGREGATE $ 20,000,000 DED X RETENTION$ 10,000 $ B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNERlEXECU7IVE (20)7176-83-24 06/06/2019 06/06/2020 1,000,000 OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 • If yes,describe under • 1,000 000 DESCRIPTION OF OPERATIONS below El.DISEASE-POLICY_LIMIT_-$ D E&O G27459298 006 06/01/2019 06/01/2020 E&O 5M/5M C Cyber F14612439 001 12/18/2019 12/18/2020 Cyber 10M/10M DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate holder is included as Additional Insured on a primary/non- contributory basis as required by written contract.Waiver of Subrogation applies.The workers'compensation policy includes coverage in the state of Florida. CERTIFICATE HOLDER CANCELLATION MONR-07 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe CountyBoard THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. of County Commissioners 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE 6, -tx,,._c_, --7----A i i-,,,,E ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD