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Certificates of Insurance DATE(MMIDD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 07/11/2024 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Benny Cabrera NAME: GGA Insurance Group PHONEo (305)630-4777 FAX N Exf: C,No (305)279-3022 A/C A/ 10689 N.Kendall Drive E-MAIL bcabrera@ggaig.com ADDRESS: Suite 208 INSURER(S)AFFORDING COVERAGE NAIC# Miami FL 33176 INSURERA: Charter Oak Fire Insurance Company 25615 INSURED INSURER B: Travelers Prop Casualty Company of America 25674 Anfield Consulting Group Inc. INSURER C: Lloyd's of London N/A 201 WPARK AVE INSURER D: SUITE 100 INSURER E Tallahassee FL 32301 INSURER F: COVERAGES CERTIFICATE NUMBER: CL242522225 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 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. INSR TYPE OF INSURANCEAUULbUBK POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDreme $ 300,000 MED EXP(Any one person) $ 5,000 A Y 6605933X673COF24 02/18/2024 02/18/2025 PERSONAL&ADV INJURY $ 1,000,000 MOTHER LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- qr 2,000,000 POLICY JECT LOC AI� " ,II PRODUCTS-COMP/OP AGG $ : i �" ,,,,., Hired&Non-owned Auto $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO 7.11.2.1 44 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accide nt) $ AUTOS ONLY AUTOS ��pp�g� HIRED NON-OWNED N N'r'`_,, X�-- PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ X UMBRELLALIAB OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LAB HCLAIMS-MADE CUP6P953409 02/18/2024 02/18/2025 AGGREGATE $ 2,000,000 DED I X1 RETENTION $ 5,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability Each Claim $2,000,000 C PSM0039781142 10/01/2023 10/01/2024 Aggregate $2,000,000 Deductible $1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County Board of County Commissioners,a Political subdivision of the State of Florida,its Officers,Employees and Agents are listed as additional insureds with respect to all listed Policies. 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 REPRESENTATIVE Key West FL 33040 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Who Is An Insured—Unnamed Subsidiaries G. Blanket Additional Insured —Mortgagees, B. Who Is An Insured—Employees And Volunteer Assignees, Successors Or Receivers Workers—Bodily Injury To Co-Employees And H. Blanket Additional Insured —Governmental Co-Volunteer Workers Entities— Permits Or Authorizations Relating To C. Who Is An Insured—Newly Acquired Or Formed Premises Limited Liability Companies I. Blanket Additional Insured—Governmental D. Blanket Additional Insured—Persons Or Entities— Permits Or Authorizations Relating To Organizations For Your Ongoing Operations As Operations Required By Written Contract Or Agreement J. Blanket Additional Insured—Grantors Of E. Blanket Additional Insured —Broad Form Franchises Vendors K. Incidental Medical Malpractice F. Blanket Additional Insured —Controlling Interest L. Blanket Waiver Of Subrogation PROVISIONS For purposes of Paragraph 1. of Section II—Who A. WHO IS AN INSURED — UNNAMED Is An Insured, each such subsidiary will be SUBSIDIARIES deemed to be designated in the Declarations as: The following is added to SECTION II —WHO IS a, A limited liability company; AN INSURED: Any of your subsidiaries, other than a partnership b. An organization other than a partnership,joint or joint venture, that is not shown as a Named venture or limited liability company;or Insured in the Declarations is a Named Insured if: c. A trust; a. You are the sole owner of, or maintain an as indicated in its name or the documents that ownership interest of more than 50% in, such govern its structure. subsidiary on the first day of the policy period; B. WHO IS AN INSURED — EMPLOYEES AND and VOLUNTEER WORKERS—BODILY INJURY TO b. Such subsidiary is not an insured under CO-EMPLOYEES AND CO-VOLUNTEER similar other insurance. WORKERS No such subsidiary is an insured for"bodily injury" The following is added to Paragraph 2.a.(1) of or "property damage" that occurred, or "personal SECTION II—WHO IS AN INSURED: and advertising injury" caused by an offense Paragraphs (1)(a), (b) and (c) above do not apply committed: to "bodily injury" to a co-"employee" while in the a. Before you maintained an ownership interest course of the co-"employee's" employment by you of more than 50% in such subsidiary; or or performing duties related to the conduct of your b. After the date, if any, during the policy period business, or to "bodily injury' to your other that you no longer maintain an ownership "volunteer workers" while performing duties interest of more than 50% in such subsidiary. related to the conduct of your business. CG D1 86 02 19 C 2017 The Travelers Indemnity Company.All rights reserved. Page 1 of 5 Includes copyrighted material of Insurance Services Office.Inc.with its permission. COMMERCIAL GENERAL LIABILITY C. WHO IS AN INSURED — NEWLY ACQUIRED E. BLANKET ADDITIONAL INSURED — BROAD OR FORMED LIMITED LIABILITY COMPANIES FORM VENDORS 1. The following replaces the first sentence of The following is added to SECTION II —WHO IS Paragraph 3. of SECTION II — WHO IS AN AN INSURED: INSURED: Any person or organization that is a vendor and Any organization you newly acquire or form, that you have agreed in a written contract or other than a partnership or joint venture, and agreement to include as an additional insured on of which you are the sole owner or in which this Coverage Part is an insured, but only with you maintain an ownership interest of more respect to liability for "bodily injury" or "property than 50%, will qualify as a Named Insured if damage" that: there is no other similar insurance available to a. Occurs subsequent to the signing of that that organization. contract or agreement;and 2. The following replaces the last sentence of b. Arises out of "your products" that are Paragraph 3. of SECTION II — WHO IS AN distributed or sold in the regular course of INSURED: such vendor's business. For the purposes of Paragraph 1. of Section II The insurance provided to such vendor is subject —Who Is An Insured, each such organization to the following provisions: will be deemed to be designated in the Declarations as: a. The limits of insurance provided to such vendor will be the minimum limits that you a. A limited liability company; agreed to provide in the written contract or b. An organization other than a partnership, agreement, or the limits shown in the joint venture or limited liability company; Declarations,whichever are less. or b. The insurance provided to such vendor does c. A trust; not apply to: as indicated in its name or the documentsAny express that govern its structure. (1) you or any dsMbut not us orized b onorale for a D. BLANKET ADDITIONAL INSURED— PERSONS purpose not authorized by you; OR ORGANIZATIONS FOR YOUR ONGOING (2) Any change in "your products" made by OPERATIONS AS REQUIRED BY WRITTEN such vendor; CONTRACT OR AGREEMENT The following is added to SECTION II —WHO IS (3) Repackaging, unless unpacked solely for AN INSURED: the purpose of inspection, demonstration, testing, or the substitution of parts under Any person or organization that is not otherwise instructions from the manufacturer, and an insured under this Coverage Part and that you then repackaged in the original container; have agreed in a written contract or agreement to (4) Any failure to make such inspections, include as an additional insured on this Coverage adjustments, tests or servicing as Part is an insured, but only with respect to liability vendors agree to perform or normally for bodily injury or property damage that: undertake to perform in the regular a. Occurs subsequent to the signing of that course of business, in connection with the contract or agreement; and distribution or sale of"your products"; b. Is caused, in whole or in part, by your acts or omissions in the performance of our ongoing (5) Demonstration, installation, servicing or p Y 9 g repair operations, except such operations operations to which that contract or performed at such vendor's premises in agreement applies or the acts or omissions of connection with the sale of "your any person or organization performing such products";or operations on your behalf. (6) "Your products" that, after distribution or The limits of insurance provided to such insured sale by you, have been labeled or will be the minimum limits that you agreed to relabeled or used as a container, part or provide in the written contract or agreement, or ingredient of any other thing or substance the limits shown in the Declarations, whichever by or on behalf of such vendor. are less. Page 2 of 5 ®2017 The Travelers Indemnity Company.All rights reserved. CG D1 86 02 19 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. COMMERCIAL GENERAL LIABILITY Coverage under thi s provision does not apply to: b. Arises out of the ownership, maintenance or a. Any person or organization from whom you use of the premises for which that mortgagee, have acquired "your products", or any assignee, successor or receiver is required ingredient, part or container entering into, under that contract or agreement to be accompanying or containing such products; included as an additional insured on this or Coverage Part. b. Any vendor for which coverage as an The insurance provided to such mortgagee, additional insured specifically is scheduled by assignee, successor or receiver is subject to the endorsement. following provisions: F. BLANKET ADDITIONAL INSURED — a. The limits of insurance provided to such CONTROLLING INTEREST mortgagee, assignee, successor or receiver will be the minimum limits that you agreed to 1. The following is added to SECTION II —WHO provide in the written contract or agreement, IS AN INSURED: or the limits shown in the Declarations, Any person or organization that has financial whichever are less. control of you is an insured with respect to b. The insurance provided to such person or liability for "bodily injury", "property damage" organization does not apply to: or"personal and advertising injury"that arises (1) Any "bodily injury' or "property damage" out of. that occurs, or any "personal and a. Such financial control; or advertising injury' caused by an offense b. Such person's or organization's that is committed, after such contract or ownership, maintenance or use of agreement is no longer in effect; or premises leased to or occupied by you. (2) Any "bodily injury', "property damage" or The insurance provided to such person or "personal and advertising injury" arising organization does not apply to structural out of any structural alterations, new alterations, new construction or demolition construction or demolition operations operations performed by or on behalf of such performed by or on behalf of such person or organization. mortgagee, assignee, successor or 2. The following is added to Paragraph 4. of receiver. SECTION II—WHO IS AN INSURED: H. BLANKET ADDITIONAL INSURED — This paragraph does not apply to any GOVERNMENTAL ENTITIES — PERMITS OR premises owner, manager or lessor that has AUTHORIZATIONS RELATING TO PREMISES financial control of you. The following is added to SECTION II —WHO IS G. BLANKET ADDITIONAL INSURED — AN INSURED: MORTGAGEES, ASSIGNEES, SUCCESSORS Any governmental entity that has issued a permit OR RECEIVERS or authorization with respect to premises owned The following is added to SECTION II —WHO IS or occupied by, or rented or loaned to, you and AN INSURED: that you are required by any ordinance, law, Any person or organization that is a mortgagee, building code or written contract or agreement to assignee, successor or receiver and that you include as an additional insured on this Coverage have agreed in a written contract or agreement to Part is an insured, but only with respect to liability include as an additional insured on this Coverage for"bodily injury", "property damage" or"personal Part is an insured, but only with respect to its and advertising injury" arising out of the liability as mortgagee, assignee, successor or existence, ownership, use, maintenance, repair, receiver for "bodily injury', "property damage" or construction, erection or removal of any of the "personal and advertising injury"that: following for which that governmental entity has a. Is "bodily injury' or "property damage" that issued such permit or authorization: advertising occurs, or is "personal and advertising injury" signs, awnings, canopies, cellar entrances, coal caused by an offense that is committed, holes, driveways, manholes, marquees, hoist subsequent to the signing of that contract or away openings, sidewalk vaults, elevators, street agreement; and banners or decorations. CG D1 86 02 19 C 2017 The Travelers Indemnity Company.All rights reserved. Page 3 of 5 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY I. BLANKET ADDITIONAL INSURED — 2. The following replaces the last paragraph of GOVERNMENTAL ENTITIES — PERMITS OR Paragraph 2.a.(1) of SECTION II — WHO IS AUTHORIZATIONS RELATING TO OPERATIONS AN INSURED: The following is added to SECTION II —WHO IS Unless you are in the business or occupation AN INSURED: of providing professional health care services, Any governmental entity that has issued a permit Paragraphs (1)(a), (b), (c) and (d) above do or authorization with respect to operations not apply to "bodily injury" arising out of performed by you or on your behalf and that you providing or failing to provide: are required by any ordinance, law, building code (a) "Incidental medical services" by any of or written contract or agreement to include as an your "employees" who is a nurse, nurse additional insured on this Coverage Part is an assistant, emergency medical technician, insured, but only with respect to liability for"bodily paramedic, athletic trainer, audiologist, injury", "property damage" or "personal and dietician, nutritionist, occupational advertising injury"arising out of such operations. therapist or occupational therapy The insurance provided to such governmental assistant, physical therapist or speech- entity does not apply to: language pathologist; or a. Any "bodily injury', "property damage" or (b) First aid or"Good Samaritan services" by "personal and advertising injury" arising out of any of your "employees" or "volunteer operations performed for the governmental workers", other than an employed or entity; or volunteer doctor. Any such "employees" b. Any "bodily injury' or "property damage" or "volunteer workers" providing or failing included in the "products-completed to provide first aid or "Good Samaritan operations hazard". services" during their work hours for you J. BLANKET ADDITIONAL INSURED — will be deemed to be acting within the GRANTORS OF FRANCHISES scope of their employment by you or The following is added to SECTION II —WHO IS performing duties related to the conduct AN INSURED: of your bus iness. Any person or organization that grants a franchise 3. The following replaces the last sentence of to you is an insured, but only with respect to Paragraph S. of SECTION III — LIMITS OF liability for "bodily injury', "property damage" or INSURANCE: "personal and advertising injury" arising out of For the purposes of determining the your operations in the franchise granted by that applicable Each Occurrence Limit, all related person or organization. acts or omissions committed in providing or If a written contract or agreement exists between failing to provide "incidental medical you and such additional insured, the limits of services", first aid or "Good Samaritan insurance provided to such insured will be the services"to any one person will be deemed to minimum limits that you agreed to provide in the be one "occurrence". written contract or agreement, or the limits shown in the Declarations,whichever are less. 4. The following exclusion is added to K. INCIDENTAL MEDICAL MALPRACTICE Paragraph 2., Exclusions, of SECTION I — COVERAGES — COVERAGE A — BODILY 1. The following replaces Paragraph b. of the INJURY AND PROPERTY DAMAGE definition of "occurrence" in the LIABILITY: DEFINITIONS Section: b. An act or omission committed in providing Sale Of Pharmaceuticals or failing to provide "incidental medical "Bodily injury' or "property damage" arising services", first aid or "Good Samaritan out of the violation of a penal statute or services" to a person, unless you are in ordinance relating to the sale of the business or occupation of providing pharmaceuticals committed by, or with the professional health care services. knowledge or consent of, the insured. Page 4 of 5 ®2017 The Travelers Indemnity Company.All rights reserved. CG D1 86 02 19 Includes copyrighted material of Insurance Services Office.Inc.,with its permission. COMMERCIAL GENERAL LIABILITY 5. The following is added to the DEFINITIONS to any person to the extent not subject to Section: Paragraph 2.a.(1) of Section II — Who Is An "Incidental medical services" means: Insured. a. Medical, surgical, dental, laboratory, x-ray L. BLANKET WAIVER OF SUBROGATION or nursing service or treatment, advice or The following is added to Paragraph S., Transfer instruction, or the related furnishing of Of Rights Of Recovery Against Others To Us, food or beverages; or of SECTION IV — COMMERCIAL GENERAL b. The furnishing or dispensing of drugs or LIABILITY CONDITIONS: medical, dental, or surgical supplies or If the insured has agreed in a contract or appliances. agreement to waive that insured's right of 6. The following is added to Paragraph 4.b., recovery against any person or organization, we Excess Insurance, of SECTION IV — waive our right of recovery against such person or COMMERCIAL GENERAL LIABILITY organization, but only for payments we make CONDITIONS: because of: This insurance is excess over any valid and a. "Bodily injury" or "property damage" that collectible other insurance, whether primary, occurs; or excess, contingent or on any other basis, that b. "Personal and advertising injury" caused by is available to any of your "employees" for an offense that is committed; "bodily injury" that arises out of providing or subsequent to the execution of the contract or failing to provide "incidental medical services" agreement. CG D1 86 02 19 C 2017 The Travelers Indemnity Company.All rights reserved. Page 5 of 5 Includes copyrighted material of Insurance Services Office,Inc.with its permission. DATE(MMIDD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 10/20/2023 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Benny Cabrera NAME: Gil,Garden,Avetrani Insurance Group HCNN. Ext: (305)630-4777 a/c,No): (305)279-3022 10689 N.Kendall Drive E-MAIL bcabrera@ggaig.com ADDRESS: Suite 208 INSURER(S)AFFORDING COVERAGE NAIC# Miami FL 33176 INSURERA: Charter Oak Fire Ins Co 25615 INSURED INSURER B: Travelers Prop Cas Co of Ameri 25674 Anfield Consulting Group Inc. INSURER C: RLI Insurance Company 13056 201 WPARK AVE INSURER D: SUITE 100 INSURER E Tallahassee FL 32301 INSURER F: COVERAGES CERTIFICATE NUMBER: CL22 92 71 9964 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 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. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDreme $ 300,000 MED EXP(Any one person) $ 5,000 A Y 6605933X673COF22 02/18/2023 02/18/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $POLICY El PRO 2,000,000P1 OTHER: Hired&Non-owned Auto $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ APPROVED BY RISK MANAGEMENT Ea accident ANYAUTO --. ',/� BODILY INJURY(Per person) $ BY... ��:�;. ,t �.. :r. ierT-;�;�� , OWN ED AUTOS ONLY AUTOS SCHEDULED DATE 10/24�2023 BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY WAIVER N/A_YES� Per accident WC AND AL $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LAB HCLAIMS-MADE CUP6P953409 02/18/2023 02/18/2024 AGGREGATE $ 2,000,000 DED I X1 RETENTION $ 5,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability Each Claim $2,000,000 C RTP0027104 10/01/2023 10/01/2024 Aggregate $2,000,000 Deductible(per Claim) $1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County Board of County Commissioners,a Political subdivision of the State of Florida,its Officers,Employees and Agents are listed as additional insureds with respect to all listed Policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD A ir"�)i f*1 e d [' C 0 N S U LT1 N G October 17, 2022 Risk Administratoin Monroe County Board of County Commissioners 1111 121h Street, Suite 408 Key West, FL 33040 To whom it may concern, For your records, please be advised that Anfield Consulting Group, Inc. does not own any vehicles, and that the total number of corporate officers is less than five (5). Thank you. KheBAalid , A Managing Partner 201 West Park Avenue •Suite 100 •Tallahassee, FL 32301 DATE(MM/DD/YYYY) AC "R" �, CERTIFICATE OF LIABILITY INSURANCE 11/22/2023 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Doug Jones(for Paychex) HONE Ext: (888)627-4735 a/c No c/o Artex Risk Solutions, Inc. E-MAIL P.O. Box 13838 ADDRESS: PEO_WorkComp@paychex.com Scottsdale,AZ 85267 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: American Zurich Insurance Company 40142 INSURED INSURER B: Paychex PEO Holdings LLC Alt.Emp:Anfield Consulting Group Inc 911 Panorama Trail South INSURER C: Rochester,NY 14625 INSURER D 7 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:23FLO951019369 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 INSD WVD POLICY NUMBER MM/DD/YWY MM/DD/YWY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO CLAIMS-MADE OCCUR PREMISES Ea oND currence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO �� " BODILY INJURY(Per person) $ OWNED SCHEDULED ry'y *u BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS 9 HIRED NON-OWNED �rv ^^^'" PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY � �'" Per accident $ AT 11.27 23 a, $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ �l EXCESS LIAB CLAIMS-MADE WAMM m> AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 2,000,000 A OFFICER/MEMBER EXCLUDED? N/A WC 12-68-329-03 06/01/2023 06/01/2024 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 Location Coverage Period: 06/01/2023 06/01/2024 Client# 20004488-FL DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Coverage is provided for Anfield Consulting Group Inc only those co-employees 201 W Park Ave Ste 100 of,but not subcontractors Tallahassee, FL 32301 to: CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and loao are reaistered marks of ACORD DATE(MMIDD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 08/03/2023 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Benny Cabrera NAME: Gil,Garden,Avetrani Insurance Group HCNN. Ext: (305)630-4777 a/c,No): (305)279-3022 10689 N.Kendall Drive E-MAIL bcabrera@ggaig.com ADDRESS: Suite 208 INSURER(S)AFFORDING COVERAGE NAIC# Miami FL 33176 INSURERA: Charter Oak Fire Ins Co 25615 INSURED INSURER B: Travelers Prop Cas Co of Ameri 25674 Anfield Consulting Group Inc. INSURER C: RLI Insurance Company 13056 201 WPARK AVE INSURER D: SUITE 100 INSURER E Tallahassee FL 32301 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2311720433 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 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. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDreme $ 300,000 MED EXP(Any one person) $ 5,000 A Y Y 6605933X673COF23 02/18/2023 02/18/2024 PERSONAL&ADV INJURY $ 1,000,000 MOTHER LAGGREGATE LIMITAPPLIES PER: APPROVED BY RISK MANAGEMENT GENERAL AGGREGATE $ 2,000,000 PRO- 2,000,000 POLICY ❑ ❑ LOC BY,,, �- "..� -.. �, w" ",.`"' "" PRODUCTS-COMP/OP AGG $!� '"' Hired&Non-owned Auto $ 1,000,000 CIE : DATE R3.2023� AUTOMOBILE LIABILITY WAIVER N/A YES EOa aBcideDt SINGLE LIMIT $ ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accide nt) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LAB HCLAIMS-MADE CUP6P953409 02/18/2023 02/18/2024 AGGREGATE $ 2,000,000 DED I X1 RETENTION $ 51000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability Each Claim $2,000,000 C RTP0027104 10/01/2022 10/01/2023 Aggregate $2,000,000 Deductible(Per Claim) $1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County Board of Commissioners,a Political subdivision of the State of Florida,its Office rs,employees and Agents are listed as additional insureds with respect to all listed Policies. CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Key West, FL 33040 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 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Who Is An Insured—Unnamed Subsidiaries G. Blanket Additional Insured—Mortgagees, B. Who Is An Insured—Employees And Volunteer Assignees, Successors Or Receivers Workers—Bodily Injury To Co-Employees And H. Blanket Additional Insured—Governmental Co-Volunteer Workers Entities—Permits Or Authorizations Relating To C. Who Is An Insured—Newly Acquired Or Formed Premises Limited Liabil ity Companies I. Blanket Additional Insured—Governmental D. Blanket Additional Insured—Persons Or Entities—Permits Or Authorizations Relating To Organizations For Your Ongoing Operations As Operations Required By Written Contract Or Agreement J. Blanket Additional Insured—Grantors Of E. Blanket Additional Insured —Broad Form Franchises Vendors K. Incidental Medical Malpractice F. Blanket Additional Insured—Controlling Interest L. Blanket Waiver Of Subrogation PROVISIONS For purposes of Paragraph 1. of Section 11—Who A. WHO IS AN INSURED — UNNAMED Is An Insured, each such subsidiary will be SUBSIDIARIES deemed to be designated in the Declarations as: The following is added to SECTION 11—WHO IS a. A limited liability company; AN INSURED: Any of your subsidiaries, other than a partnership b. An organization other than a partnership,joint or joint venture, that is not shown as a Named venture or limited liability company-,or Insured in the Declarations is a Named Insured if: c. A trust; a. You are the sole owner of, or maintain an as indicated in its name or the documents that ownership interest of more than 50% in, such govern its structure. subsidiary on the first day of the policy period; B. WHO IS AN INSURED — EMPLOYEES AND and VOLUNTEER WORKERS—BODILY INJURY TO b. Such subsidiary is not an insured under CO-EMPLOYEES AND CO-VOLUNTEER similar other insurance. WORKERS No such subsidiary is an insured for"bodily injury' The following is added to Paragraph 2.a.(1) of or "property damage" that occurred, or "personal SECTION 11—WHO IS AN INSURED: and advertising injury" caused by an offense Paragraphs (1)(a), (b) and (c)above do not apply committed: to "bodily injury" to a co-"employee" while in the a. Before you maintained an ownership interest course of the co-"employee's" employment by you of more than 50% in such subsidiary; or or performing duties related to the conduct of your b. After the date, if any, during the policy period business, or to "bodily injury" to your other that you no longer maintain an ownership "volunteer workers" while performing duties interest of more than 50% in such subsidiary. related to the conduct of your business. CG D1 86 02 19 0 2017 The Travelers indemnity Company.Al rights reserved. Page 1 of 5 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY C. WHO IS AN INSURED — NEWLY ACQUIRED E. BLANKET ADDITIONAL INSURED — BROAD OR FORMED LIMITED LIABILITY COMPANIES FORM VENDORS 1. The following replaces the first sentence of The following is added to SECTION 11—WHO IS Paragraph 3. of SECTION 11 — WHO IS AN AN INSURED: INSURED: Any person or organization that is a vendor and Any organization you newly acquire or form, that you have agreed in a written contract or other than a partnership or joint venture, and agreement to include as an additional insured on of which you are the sole owner or in which this Coverage Part is an insured, but only with you maintain an ownership interest of more respect to liability for "bodily injury" or "property than SO%, will qualify as a Named Insured if damage"that: there is no other similar insurance available to a. Occurs subsequent to the signing of that that organization. contract or agreement,and 2. The following replaces the last sentence of b. Arises out of "your products" that are Paragraph 3. of SECTION 11 — WHO IS AN distributed or sold in the regular course of INSURED: such vendor's business. For the purposes of Paragraph 1.of Section 11 The insurance provided to such vendor is subject —Who Is An Insured, each such organization to the following provisions: will be deemed to be designated in the Declarations as: a. The limits of insurance provided to such a. A limited liability company; vendor will be the minimum limits that you agreed to provide in the written contract or b. An organization other than a partnership, agreement or the limits shown in the joint venture or limited liability company; Declarations,whichever are less. or b. The insurance provided to such vendor does c. A trust; not apply to: as indicated in its name or the documents (1) Any express warranty not authorized by that govern its structure. you or any distribution or sale for a D. BLANKET ADDITIONAL INSURED—PERSONS purpose not authorized by you; OR ORGANIZATIONS FOR YOUR ONGOING OPERATIONS AS REQUIRED BY WRITTEN (2) Any change in "your products" made by CONTRACT OR AGREEMENT such vendor; The following is added to SECTION 11 —WHO IS (3) Repackaging, unless unpacked solely for AN INSURED: the purpose of inspection, demonstration, testing, or the substitution of parts under Any person or organization that is not otherwise instructions from the manufacturer, and an insured under this Coverage Part and that you then repackaged in the original container; have agreed in a written contract or agreement to (4) Any failure to make such inspections, include as an additional insured on this Coverage adjustments, tests or servicing as Part is an insured, but only with respect to liability vendors agree to perform or normally for"bodily injury" or"property damage"that: undertake to perform in the regular a. Occurs subsequent to the signing of that course of business,in connection with the contract or agreement;and distribution or sale of"your products"; b. Is caused, in whole or in part, by your acts or (S) Demonstration, installation, servicing or omissions in the performance of your ongoing repair operations, except such operations operations to which that contract or performed at such vendor's premises in agreement applies or the acts or omissions of connection with the sale of "your any person or organization performing such products";or operations on your behalf. (6) 'Your products" that, after distribution or The limits of insurance provided to such insured sale by you, have been labeled or will be the minimum limits that you agreed to relabeled or used as a container, part or provide in the written contract or agreement, or ingredient of any other thing or substance the limits shown in the Declarations, whichever by or on behalf of such vendor. are less. Page 2 of 5 0 2017 The Travelers Indemnity Company.All rights reserved. CG D1 86 02 19 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. COMMERCIAL GENERAL LIABILITY Coverage under thi s provision does not apply to: b. Arises out of the ownership, maintenance or a. Any person or organization from whom you use of the premises for which that mortgagee, have acquired "your products", or any assignee, successor or receiver is required ingredient, part or container entering into, under that contract or agreement to be accompanying or containing such products; included as an additional insured on this or Coverage Part. b. Any vendor for which coverage as an The insurance provided to such mortgagee, additional insured specifically is scheduled by assignee, successor or receiver is subject to the endorsement following provisions: F. BLANKET ADDITIONAL INSURED — a. The limits of insurance provided to such CONTROLLING INTEREST mortgagee, assignee, successor or receiver will be the minimum limits that you agreed to 1. The following is added to SECTION 11—WHO provide in the written contract or agreement, IS AN INSURED: or the limits shown in the Declarations, Any person or organization that has financial whichever are less. control of you is an insured with respect to b. The insurance provided to such person or liability for "bodily injury", "property damage" organization does not apply to: or"personal and advertising injury"that arises (1) Any "bodily injury" or "property damage!' out of: that occurs, or any "personal and a. Such financial control; or advertising injury' caused by an offense b. Such person's or organization's that is committed, after such contract or ownership, maintenance or use of agreement is no longer in effect;or premises leased to or occupied by you. (2) Any "bodily injury", "property damage" or The insurance provided to such person or "personal and advertising injury" arising organization does not apply to structural out of any structural alterations, new alterations, new construction or demolition construction or demolition operations operations performed by or on behalf of such performed by or on behalf of such person or organization. mortgagee, assignee, successor or 2. The following is added to Paragraph 4. of receiver. SECTION 11—WHO IS AN INSURED: H. BLANKET ADDITIONAL INSURED This paragraph does not apply to any GOVERNMENTAL ENTITIES — PERMITS OR premises owner, manager or lessor that has AUTHORIZATIONS RELATING TO PREMISES financial control of you. The following is added to SECTION 11— WHO IS G. BLANKET ADDITIONAL INSURED — AN INSURED: MORTGAGEES, ASSIGNEES, SUCCESSORS Any governmental entity that has issued a permit OR RECEIVERS or authorization with respect to premises owned The following is added to SECTION 11 —WHO IS or occupied by, or rented or loaned to, you and AN INSURED: that you are required by any ordinance, law, Any person or organization that is a mortgagee, building code or written contract or agreement to assignee, successor or receiver and that you include as an additional insured on this Coverage have agreed in a written contract or agreement to Part is an insured,but only with respect to liability include as an additional insured on this Coverage for"bodily injury", "property damage!' or"personal Part is an insured, but only with respect to its and advertising injury" arising out of the liability as mortgagee, assignee, successor or existence, ownership, use, maintenance, repair, receiver for "bodily injury", "property damage" or construction, erection or removal of any of the "personal and advertising injury"that: following for which that governmental entity has a. Is "bodily injury" or "property damage" that issued such permit or authorization: advertising occurs, or is "personal and advertising injury" signs, awnings, canopies, cellar entrances, coal caused by an offense that is committed, holes, driveways, manholes, marquees, hoist subsequent to the signing of that contract or away openings, sidewalk vaults, elevators, street agreement; and banners or decorations. CG D1 86 02 19 0 2017 The Travelers indemnity Company.All rights reserved. Page 3 of 5 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL GENERAL LIABILITY I. BLANKET ADDITIONAL INSURED 2. The following replaces the last paragraph of GOVERNMENTAL ENTITIES — PERMITS OR Paragraph 2.a.(1) of SECTION 11 — WHO IS AUTHORIZATIONS RELATING TO OPERATIONS AN INSURED: The following is added to SECTION 11—WHO IS Unless you are in the business or occupation AN INSURED: of providing professional health care services, Any governmental entity that has issued a permit Paragraphs (1)(a), (b), (c) and (d) above do or authorization with respect to operations not apply to "bodily injury" arising out of performed by you or on your behalf and that you providing or failing to provide: are required by any ordinance, law, building code (a) "Incidental medical services" by any of or written contract or agreement to include as an your "employees" who is a nurse, nurse additional insured on this Coverage Part is an assistant, emergency medical technician, insured,but only with respect to liability for"bodily paramedic, athletic trainer, audiologist, injury", "property damage!' or "personal and dietician, nutritionist, occupational advertising injury"arising out of such operations. therapist or occupational therapy The insurance provided to such governmental assistant, physical therapist or speech- entity does not apply to: language pathologist; or a. Any "bodily injury', "property damage" or (b) First aid or"Good Samaritan services" by "personal and advertising injury"arising out of any of your "employees" or "volunteer operations performed for the governmental workers", other than an employed or entity; or volunteer doctor. Any such "employees" b. Any "bodily injury' or "property damage" or "volunteer workers" providing or failing included in the "products-completed to provide first aid or "Good Samaritan operations hazard". services" during their work hours for you J. BLANKET ADDITIONAL INSURED — will be deemed to be acting within the GRANTORS OF FRANCHISES scope of their employment by you or The following is added to SECTION 11 —WHO IS performing duties related to the conduct AN INSURED: of your business. Any person or organization that grants a franchise 3. The following replaces the last sentence of to you is an insured, but only with respect to Paragraph S. of SECTION III — LIMITS OF liability for "bodily injury", "property damage" or INSURANCE: "personal and advertising injury" arising out of For the purposes of determining the your operations in the franchise granted by that applicable Each Occurrence Limit, all related person or organization. acts or omissions committed in providing or If a written contract or agreement exists between failing to provide "incidental medical you and such additional insured, the limits of services", first aid or "Good Samaritan insurance provided to such insured will be the services"to any one person will be deemed to minimum limits that you agreed to provide in the be one"occurrence". written contract or agreement, or the limits shown in the Declarations,whichever are less. 4. The following exclusion is added to K. INCIDENTAL MEDICAL MALPRACTICE Paragraph 2., Exclusions, of SECTION I — COVERAGES — COVERAGE A — BODILY 1. The following replaces Paragraph b. of the INJURY AND PROPERTY DAMAGE definition of "occurrence" in the LIABILITY: DEFINITIONS Section: b. An act or omission committed in providing Sale Of Pharmaceuticals or failing to provide "incidental medical "Bodily injury' or "property damage" arising services", first aid or "Good Samaritan out of the violation of a penal statute or services" to a person, unless you are in ordinance relating to the sale of the business or occupation of providing pharmaceuticals committed by, or with the professional health care services. knowledge or consent of,the insured. Page 4 of 5 0 2017 The Travelers Indemnity Company.All rights reserved. CG D1 86 02 19 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. COMMERCIAL GENERAL LIABILITY S. The following is added to the DEFINITIONS to any person to the extent not subject to Section: Paragraph 2.a.(I) of Section 11 — Who Is An "Incidental medical services" means: Insured. a. Medical, surgical, dental, laboratory,x-ray L. BLANKET WAIVER OF SUBROGATION or nursing service or treatment, advice or The following is added to Paragraph S., Transfer instruction, or the related furnishing of Of Rights Of Recovery Against Others To Us, food or beverages;or of SECTION IV — COMMERCIAL GENERAL b. The furnishing or dispensing of drugs or LIABILITY CONDITIONS: medical, dental, or surgical supplies or If the insured has agreed in a contract or appliances. agreement to waive that insured's right of 6. The following is added to Paragraph 4.b., recovery against any person or organization, we Excess Insurance, of SECTION IV — waive our right of recovery against such person or COMMERCIAL GENERAL LIABILITY organization, but only for payments we make CONDITIONS: because of: This insurance is excess over any valid and a. "Bodily injury" or "property damage" that collectible other insurance, whether primary, occurs; or excess,contingent or on any other basis, that b. "Personal and advertising injury" caused by is available to any of your "employees" for an offense that is committed; "bodily injury" that arises out of providing or subsequent to the execution of the contract or failing to provide"incidental medical services" agreement. CG D1 86 02 19 0 2017 The Travelers indemnity Company.All rights reserved. Page 5 of 5 Includes copyrighted material of Insurance Services Office,Inc.with its permission. DATE(MMIDD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 0/17/2022 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Benny Cabrera NAME: Gil,Garden,Avetrani Insurance Group HCNN. Ext: (305)630-4777 a/c,No): (305)279-3022 10689 N.Kendall Drive E-MAIL bcabrera@ggaig.com ADDRESS: Suite 208 INSURER(S)AFFORDING COVERAGE NAIC# Miami FL 33176 INSURERA: Charter Oak Fire Ins Co 25615 INSURED INSURER B: Travelers Prop Cas Co of Ameri 25674 Anfield Consulting Group Inc. INSURER C: RLI Insurance Company 13056 201 WPARK AVE INSURER D: SUITE 100 INSURER E Tallahassee FL 32301 INSURER F: COVERAGES CERTIFICATE NUMBER: CL22 92 71 9964 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 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. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDreme $ 300,000 MED EXP(Any one person) $ 5,000 A Y 6605933X673COF22 02/18/2022 02/18/2023 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $POLICY El PRO 2,000,000P1 OTHER: Hired&Non-owned Auto $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accide nt) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LAB HCLAIMS-MADE CUP6P953409 02/18/2022 02/18/2023 AGGREGATE $ 2,000,000 DED I X1 RETENTION $ 5,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability Each Claim $2,000,000 C RTP0027104 10/01/2022 10/01/2023 Aggregate $2,000,000 Deductible(per Claim) $1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County Board of County Commissioners,a Political subdivision of the State of Florida,its Officers,Employees and Agents are listed as additional insureds with respect to all listed Policies. APPROVED BY RISK MANAGEMENT DATE 10/31/2022 WAIVER N/A YES CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) AC "R" CERTIFICATE OF LIABILITY INSURANCE 10/17/2022 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Mary Storti PHONE 877 266-6850 FAX c/o Paychex Insurance Agency, Inc. (A/C, MA Lo Ext: ( ) A/c No 150 Sawgrass Drive ADDRESS: pbscerts@paychex.com Rochester, NY 14620 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: American Zurich Insurance Company 40142 INSURED INSURER B: Paychex Business Solutions,LLC Alt.Emp:Anfield Consulting Group Inc 911 Panorama Trail South INSURER C: Rochester,NY 14625 INSURER D 7 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:22FLO951019369 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 INSD WVD POLICY NUMBER MM/DD/YWY MM/DD/YWY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAM CLAIMS-MADE1:1 OCCUR P R E M SES OERa oNcurrDence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident 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 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 2,000,000 A OFFICER/MEMBER EXCLUDED? N/A X WC 12-68-329-02 06/01/2022 06/01/2023 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 2,000,000 Location Coverage Period: 06/01/2022 06/01/2023 Client# 20004488-FL DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Coverage is provided for only those co-employees of,but not subcontractors to: Endorsements:Waiver of Subrogation CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and loao are reaistered marks of ACORD A ir"�)i f*1 e d [' C 0 N S U LT1 N G October 17, 2022 Risk Administratoin Monroe County Board of County Commissioners 1111 121h Street, Suite 408 Key West, FL 33040 To whom it may concern, For your records, please be advised that Anfield Consulting Group, Inc. does not own any vehicles, and that the total number of corporate officers is less than five (5). Thank you. Kind egar , Abe Bald Managing Partner 201 West Park Avenue *Suite 100 *Tallahassee, FL 32301 -�--�. DATE(MM/ Y) CERTIFICATE OF LIABILITY INSURANCE 10/26/20212021 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Benny Cabrera NAME: Gil,Garden,Avetrani Insurance Group PHONE Ext: (305)630-4777 a/c,No: (305)279-3022 10689 N.Kendall Drive E-MAIL bcabrera@ggaig.com ADDRESS: Suite 208 INSURER(S)AFFORDING COVERAGE NAIC# Miami FL 33176 INSURERA: Charter Oak Fire Ins Co 25615 INSURED INSURER B: Travelers Prop Cas Co of Ameri 25674 Anfield Consulting Group Inc. INSURER C: RLI Insurance Company 13056 201 W PARK AVE INSURER D: SUITE 100 INSURER E Tallahassee FL 32301 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2193018347 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 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. INSR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAG CLAIMS-MADE OCCUR PREMSES EaoccurrDence $ 300,000 MED EXP(Any one person) $ 5,000 A Y 6605933X673COF21 02/18/2021 02/18/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 JECT LOC PRODUCTS- $POLICY PRO Ad Rik M t 2,000,000P1 OTHER: , Hired&Non-owned Auto $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 10-27-2021 accident 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 X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LIAB CLAIMS-MADE CUP6P9534092142 02/18/2021 02/18/2022 AGGREGATE $ 2,000,000 DED I X1 RETENTION $ 51000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE El E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability Each Claim $2,000,000 C RTP0022515 10/01/2021 10/01/2022 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Monroe County Board of County Commissioners,a Political subdivision of the State of Florida,its Officers,Employees and Agents are listed as additional insureds with respect to all listed Policies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MONROE COUNTY THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 1100 SIMONTON STREET ACCORDANCE WITH THE POLICY PROVISIONS. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE 110/26/2021 YYYY) 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Paychex Insurance Agency Inc PAYCHEX INSURANCE AGENCY, INC. PHONE FAX 150 SAWGRASS DRIVE (A/C,NO.EXT): 877-266-6850 (A/C,No): 585-389-7426 ROCHESTER, NY 14620 E-MAIL Certs@paychex.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: AMERICAN ZURICH INSURANCE COMPANY 40142 Paychex Business Solutions LLC INSURER B: Anfield Consulting Group Inc 911 PANORAMA TRAIL SOUTH INSURER C: ROCHESTER,NY 14626-0397 INSURER D: 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 ADDLSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD (MMIDD/YYYY) (MMIDD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES(Fa occurrence) $ CLAIMS-MADE[:::]OCCUR MED EXP(Any one person) PERSONAL&ADV INJURY $ Approved Risk Management GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ POLICY =PROJECT=LOC _ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY ALL OSMED F AUTOS 10-27-2021 (Per person) $ HIRED AUTOS AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND X WC STATU- OTH- EMPLOYERS'LIABILITY WC 12-68-329-01 06/01/2021 06/01/2022 TORY LIMITS ER E.L.EACH ACCIDENT $ 1,000,000.00 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y/N E.L.DISEASE-EA EMPLOYEE $ 1,000,000.00 (Mandatory in NH) NN N/A E.L.DISEASE-POLICY LIMIT $ 1,000,000.00 If yes,describe under DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Worker's Compensation coverage is provided to only those employees leased to,but not subcontractors of the named insured. CERTIFICATE HOLDER CANCELLATION Proof of Coverage 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 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 t ACORD 25(2016/03) @1988-2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD -------------------M- EE-MM- - October 26, 2021 Risk Administratoin Monroe County Board of County Commissioners 1111 12t' Street, Suite 408 Key West, FL 33040 To whom it may concern, For your records, please be advised that Anfield Consulting Group, Inc. does not own any vehicles, and that the total number of corporate officers is less than five (5). Thank you. Kind 4Balid Ae Managing Partner 201 West Park Avenue *Suite 100 *Tallahassee, FL 32301 2018 Edition MONROE COUNTY, FLORIDA REQUEST FOR WAIVER OF INSURANCE REQUIREMENTS It is requested that the insurance requirements, as specified in the Comity's Schedule of Insurance Requirements,be waived or modified on the following contract. Cod tractorNendor: ANFIELD CONSULTING GROUP, INC. .................. Project or Service: LOBBYIST .......... —------ ContractorNendor Address&Phone#- 201 WEST PARK AVENUE,STE 100,TALLAHASSEE, FL 32301 .1............... -—------------------------------------ .................. 305-297-2102 General Scope of or . GOVERNMENTAL- 1 .. . . . -- - I..,CONSULTING/LOBBYING - 1 I I I I - - I-11 1-11 11 11 11-1- ................ -——---------- ......................................... Reason for Waiver or ANFIELD CONSULTING DOES NOT OWN ANY VEHICLES ------------------—------------------ ----------------.......... ................ Modificatiom- ............... .............. ..................................... Policies Waiver or Modification will apply to: .,-..ANFIELD..CONSULTING GROUP INC II.I.I�ll,� ................ Signatureof ContractorNeodor� ....................... ............111111111-....................... .........................11.11................... Date: 10/27/21 Approved _X, Not Approved Risk Management Signature:_ 'W' 44"u"21" ............... ............... ................................................................ Date.-10/27/2021 County Administrator appeal: Approved. __a.® .............. Not Approved: Late . ...................................................................................... ............................ Board of County Commissioners appeaL Approved ... .... Not Approved: Mceting Date: .................... Administrative Instruction 7500.7 104 DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 02/22/2021 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Benny Cabrera NAME: Gil,Garden,Avetrani Insurance Group HCONN. Ext: (305)630-4777 a/c,No): (305)279-3022 10689 N.Kendall Drive E-MAIL bcabrera@ggaig.com ADDRESS: Suite 208 INSURER(S)AFFORDING COVERAGE NAIC# Miami FL 33176 INSURERA: Charter Oak Fire Ins Co 25615 INSURED INSURER B: Nautilus Insurance Co. Anfield Consulting Group Inc INSURER C: 201 W PARK AVE INSURER D: SUITE 100 INSURER E Tallahassee FL 32301 INSURER F: COVERAGES CERTIFICATE NUMBER: CL19101814867 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 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. INSR TYPE OF INSURANCEAUULbUbK POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDrence $ 100'000 MED EXP(Any one person) $ 5,000 A Y Y 660-5933X673 02/18/2021 02/18/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 JECT Loc PRODUCTS-COMP/OP AGG $POLICY El PRO Approved Risk Management ent 2,000,000P1 OTHER: Hired&Non-owned Auto $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWN ED AUTOS ONLY AUTOSULED 2-23-2021 SCHEDBODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LAB CLAIMS-MADE AN076506 11/04/2020 11/04/2021 AGGREGATE $ 2,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability Each Claim 2,000,000 B NN851389 10/01/2020 10/01/2021 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County Board of County Commissioners, a Political subdivision of the State of Florida, its Officers, Employees and Agents are listed as additional insureds with respect to all listed Policies. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Key West,FL 33040 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 DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 10/06/2020 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 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 Benny Cabrera NAME: Gil,Garden,Avetrani Insurance Group HCONN. Ext: (305)630-4777 a/c,No): (305)279-3022 10689 N.Kendall Drive E-MAIL bcabrera@ggaig.com ADDRESS: Suite 208 INSURER(S)AFFORDING COVERAGE NAIC# Miami FL 33176 INSURERA: Charter Oak Fire Ins Co 25615 INSURED INSURER B: Nautilus Insurance Co. Anfield Consulting Group Inc INSURER C: 201 W PARK AVE INSURER D: SUITE 100 INSURER E Tallahassee FL 32301 INSURER F: COVERAGES CERTIFICATE NUMBER: CL19101814867 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 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. INSR TYPE OF INSURANCEAUULbUbK POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDrence $ 100'000 MED EXP(Any one person) $ 5,000 A Y Y 660-5933X673 02/18/2020 02/18/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $POLICY El PRO 2,000,000P1 OTHER: Hired&Non-owned Auto $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accide nt) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LAB CLAIMS-MADE AN076506 11/04/2019 11/04/2020 AGGREGATE $ 2,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability Each Claim 2,000,000 B NN851389 10/01/2020 10/01/2021 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County Board of County Commissioners, a Political subdivision of the State of Florida, its Officers, Employees and Agents are listed as additional insureds with respect to all listed Policies. ISK T g , I , l2/3/2020DA CERTIFICATE HOLDER CANCELLATION s �,. Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Key West,FL 33040 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 ® I DATE(MiDDIYYYY) II LIABILITY INSURANCE 05i27i2020 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 rights to the certificate holder In lieu of such endorsement(s). PRODUCER CON I ACT NAME: Mary Storti PHONE FAx - c/o Paychex Insurance Agency, Inc. IENA�o EXty (877)266 6850 (ac-f✓ol -........ 150 Sawgrass Drive ADDREss pbscertspaychex com -- — Rochester,NY 14620 INSURER(S)AFFORDING COVERAGE NAIC a .... ..... �. ,..�...... ___---_. .. ..-__...._.. ----------------------------- INSURER A Company American Zurich Insurance C 40142 INSURED - _,,,,,,,,,,,,,, INSURER B: Paychex Business Solutions,LLC Alt.Emp:Anfield Consulting Group Inc 911 Panorama Trail South INSURER C: Rochester.NY 14625 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:20FLO951 0 1 9369 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. ........ ADDL ...... LTR TYPE OF INSURANCE r ocn •UR POLICYEF'F POLICYEP V POLICY NUMBER (MM/DDIYYYY) ( M,1)DIYYYY)+, LIMITS COMMERCIAL GENERAL LIABILITY r EACH OCCURRENCE ,5, 0 4AGETORENTTEb CLAIMS MADE OCCUR PREMISES JFqoccurrencej,. C$ ........ -. _.. MED ESP(Arry one person) PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO-POLICY � L.00 JECT PRODUCTS COMPrOP AGO $ EC L— OTHER: I COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY ., � � T i tEa aca�dant� $ ANY AUTO BODILY INJURY"(Per person) $ OWNED SCHEDULED BODILY INJURY(Per S AUTOS ONLY AUTOS y , °° - _ - HIRED NON-OWNED PROPERTY bAMAGE a . AUTOS ONLY AUTOS ONLY 12/3/2 0 2 0 � JE&r accidenl) ... _ $ UMBRELLA LIABWAW' CUR Wk_ -z EACH 01 ,CCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ DEB RETENTION$ [ 5 WORKERS COMPENSATION X r PER OTH_ AND EMPLOYERS'LIABILITY YIN "_STATUTE_ ER-- - ANYPROPRIETORJPARTNER)EXECUTIVE E L EACH ACCIDENT $ 1,000.00( A OFFICERrMEMBEREXCLUDED? NIA WC 12-68-329-00 06/01/2020 06/01/2021 (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE S 1,000,00( IJ RIP ION OF OPERATIONSbe6ow ...-. ! � _. —.. -..- _ I - E.L.DISEASE,POLICY LIMIT $ f, 00,_00t �Location Coverage Period- 06/01/2020 06/01/2021 Client# 20004488-FL DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) Coverage is provided for Anfield Consulting Group Inc only those -employees 201 W Park Ave Ste 100 of,but not subcontractors Tallahassee,FL 32301 to: CERTIFICATE HOLDER CANCELLATION Monroe Count CC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1111 12th Street, STE 408 ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE 11j,y I', < a1u ©1988-2015 ACORD CORPORATION. All rights reserves ACORD 25(2016/03) The ACORD name and loco are registered marks of ACORD 2"of2 17 a I DATE(M iDDNYYY) II LIABILITY INSURANCE 05i27i2020 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 rights to the certificate holder In lieu of such endorsement(s). PRODUCER CON I ACT NAME: Mary Storti PHONE FAx - c/o Paychex Insurance Agency, Inc. IENA�o EXty (877)266 6850 (ac Nod 150 Sawgrass Drive ADDREss pbscertspaychex com -- — Rochester,NY 14620 INSURER(S)AFFORDING COVERAGE NAIC a INSURER A American Zurich Insurance Company 40142 - _,,,,,,,,,,,,,, INSURED ._,_,_..__......,... INSURER B: Paychex Business Solutions,LLC Alt.Emp:Anfield Consulting Group Inc 911 Panorama Trail South INSURER C: Rochester.NY 14625 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:20FLO951 0 1 9369 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` ------_.._,.,._.,.,.,_.-. ........ ADDLUR P®LICYEF'F POLICYEP LTR TYPE OF INSURANCE r ocn •V I POLICY NUMBER ( MlDD/YYYY) ( ,1)DIYVYYI+, LIMITS COMMERCIAL GENERAL LIABILITY i , EACH OCCURRENCE 5 0-1 AGE TORENTTE1) ( CIAIMSMADE OCCUR !?!REMISES jEa currerrcV}... 4$ ........ -. _.. MED EXP(Arty one person) $, PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO-POLICY � I..0 JECT PRODUCTS COMPrOP AGO $ EC �_ OTHER: AUTOMOBILE LIABILITY T COMBINED SINGLE LIMIT $ � -, i tEa aca�dant� ANY AUTO I g ,.., � BODILY INJURY(Perpersorrl g OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) S HIRED NON-OWNED 1 0/8/2 0 2 0 _ PROPERTY bAMAGE ......AUTOS ONLY AUTOS ONLY -$— JPgr accideng) ... _ WOM -- $ UMBRELLA LIAB tCG.!li EACH OCCURRENCE $ , EXCESS LIAB CLAiMSWADE AGGREGATE $ DED RETENTION$ [ 5 WORKERS COMPENSATION X r PER OTH- AND EMPLOYERS'LIABILITY YIN "_STATUTE_ ER-- - ANYPROPRIETORJPARTNER)EXECUTIVE E L EACH ACCIDENT $ 1,000.00( A OFFICERrMEMBEREXCLUDED? N!A WC 12-68-329-00 06/01/2020 06/01/2021 (Mandatory In NH) E.L.DISEASE•EA EMPLOYEE S 1,000,00( ICE RIP ION OF OPERATIONS be6owr ...- ! � _. —.. -..- _ I E.L.DISEASE,POLICY LIMIT $ f, 00A( �Location Coverage Period- 06/01/2020 06/01/2021 Client# 20004488-FL DESCRIPTION OF OPERATIONS?LOCATIONS t VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) Coverage is provided for Anfield Consulting Group Inc only those -employees 201 W Park Ave Ste 100 of,but not subcontractors Tallahassee,FL 32301 to: CERTIFICATE HOLDER CANCELLATION Monroe Count CC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1111 12th Street, STE 408 ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE , I', < a1u ©1988-2015 ACORD CORPORATION. All rights reserves ACORD 25(2016/03) The ACORD name and loco are registered marks of ACORD 2"of2 17 DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 10/06/2020 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 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 Benny Cabrera NAME: Gil,Garden,Avetrani Insurance Group HCONN. Ext: (305)630-4777 a/c,No): (305)279-3022 10689 N.Kendall Drive E-MAIL bcabrera@ggaig.com ADDRESS: Suite 208 INSURER(S)AFFORDING COVERAGE NAIC# Miami FL 33176 INSURERA: Charter Oak Fire Ins Co 25615 INSURED INSURER B: Nautilus Insurance Co. Anfield Consulting Group Inc INSURER C: 201 W PARK AVE INSURER D: SUITE 100 INSURER E Tallahassee FL 32301 INSURER F: COVERAGES CERTIFICATE NUMBER: CL19101814867 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 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. INSR TYPE OF INSURANCEAUULbUbK POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDrence $ 100'000 MED EXP(Any one person) $ 5,000 A Y Y 660-5933X673 02/18/2020 02/18/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO- 2,000,000 X OTHER POLICY JECT LOC I+ PRODUCTS-COMP/OP AGG $ I Hired&Non-owned Auto $ : ,a AUTOMOBILE LIABILITY q. _, COMBINED SINGLE LIMIT $ 7! - Ea accident ANYAUTO /8/2 0 2 0 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED ��. PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident GL & Profession l lia ility $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LABCLAIMS-MADE AN076506 11/04/2019 11/04/2020 AGGREGATE $ 2,000,000 DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Professional Liability Each Claim 2,000,000 B NN851389 10/01/2020 10/01/2021 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County Board of County Commissioners, a Political subdivision of the State of Florida, its Officers, Employees and Agents are listed as additional insureds with respect to all listed Policies. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Key West,FL 33040 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 A�® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 01/03/2020 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 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). I PRODUCER CONTACT Benny Cabrera NAME: Gil,Garden,Avetrani Insurance Group PHOO,N,Ext): (305)630-4777 FAX X,No): (305)279-3022 (Arc10689 N.Kendall Drive E-MAIL bcabrera@ggaig.com ADDRESS: Suite 208 INSURER(S)AFFORDING COVERAGE NAIC# Miami FL 33176 INSURER A: Charter Oak Fire Ins Co 25615 INSURED INSURER B: Nautilus Insurance Co. Anfield Consulting Group Inc INSURER C: ' 201 W PARK AVE INSURER D: SUITE 100 INSURER E: Tallahassee FL 32301 INSURER F: COVERAGES CERTIFICATE NUMBER: CL19101814867 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 ADDL SUBR' POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD I POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAGE TO rtNTeD CLAIMS-MADE X OCCUR PREMISES SES Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y Y 660-5933X673 02/18/2019 02/18/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY EC LOC I PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Hired&Non-owned Auto $ AUTOMOBILE LIABILITY A NoRI, Y NSF(PRANAGEWN I COMBIccidenNEDt)SINGLE LIMIT $ _ ,tea a ANY AUTO BY BODILY INJURY(Per person) $ OWNED SCHEDULED c JJJ'"""'"'"'""""" AUTOS ONLY AUTOS 6 CJ �1 BODILY INJURY(Per accident) $ HIRED NON-OWNED DATE 'L0-CT.C/ PROPERTY DAMAGE $ _ AUTOS ONLY _ AUTOS ONLY WAIVER (�Ii�/` YES__ (Per accident) ( $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LIAB CLAIMS-MADE AN076506 11/04/2019 11/04/2020 AGGREGATE $ 2,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Each Claim 2,000,000 Professional Liability B NN851389 10/01/2019 10/01/2020 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County Board of Commissioners,a Political subdivision of the State of Florida,its Officers, Employees and Agents are listed as additional insureds with respect to all listed Policies. CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Key West,FL 33040 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