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COI Expires 12/11/2020 /- _ A T OG DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/31/2019 11:47 AM 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 INSUREFZS), AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED the policy(ies)must be endorsed.lf SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsementA statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Shelly,Middlebrooks&O'Leary,Inc. Professional Insurance Center NAME: 2003 WEST KENNEDY Blvd (A/CNNo.Ext): 9043547711 (Arc.No): TAMPA,FL 33606 E-MAIL ADDRESS: _ INSURER(S)AFFORDING COVERAGE NAIC B INSURED INSURER A: NATIONAL INDEMNITY COMPANY OF THE 42137 KEYHOPPER TRANSPORTATION INC. • B: SOUTH •9400 OVERSEAS HWY SUITE 103 INSURER C: • MARATHON,FL 33050 INSURER D: INSURER E: • INSURER F: COVERAGES CERTIFICATE NUMBER: 37,357 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 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 ADOL SUBR POUCYEFF POUCY EXP LTR TYPE OF INSURANCE INSD WVD POUCY NUMBER (MM/DDM/YY) (MM/DOIYYYY) UNITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE —OCCUR DAMAGE TO RENTED $ PREMISES(Ea occurrence) MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY —PROJECT ❑LOC PRODUCTS—COMP/OP AGG $ OTHER: $ AUTOMOBILE AUTHORITY COMBINED SINGLE LIMIT $ 300,000 — (Ea accident) ANY AUTO BODILY INJURY(Per Person) $ N/A A ALL OWNED X SCHEDULEDO 74APS090902 12/11/2019 12/11/2020 BODILY INJURY(Per accident) $ N/A _AUTOS _AUTOS Y � > HIRED AUTOS NON-OWNED 12:01 AM 12:01 AM PROPERTY DAMAGE $ N/A — —AUTOS (Per accident) PIP Limit-$10,000 Covered UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE v �+N� ryT AGGREGATE $ I_, DED RETENTION$ AQQ ;A�Uf\'f�` PNa'u °.2 $ WORKERS COMPENSATION $Y -1 ZL PER STATUTE OTH- -AND EMPLOYERS'UABIUTY l/ FR ANY PROPRIETOR/PARTNER/EXECUTIVE N I A - 1J E.L.EACH ACCIDENT' $ —OFFICER/MEMBER EXCLUDED? Y/NI� DATE (Mandatory in NH) I YVAI rR ��A�YES®• E.L.DISEASE—EA EMPLOYEE $ -I/yes,describe under- I VV G�� DESCRIPTIONOFOPERATIONSbelow E.L.DISEASE—POLICY LIMIT $ • $ --- DESCRIP IOI4 OF-OPGR:TIONS/LOCATIONS!VWW.r:I FS(AEach ACORD 101,Additional Remarks Schedule,i/more space is required) Certificate Holder is named an Additional Insured on this policy -- -- Certificate Holder is named as Additional Insured on this policy Camp or Stated Phys.Dam. In-Tow Cargo Year,Make,Model,VIN Collision Saes rails Amount nedurfihln I imit I melt 2018 DODGE GRAND CARAVAN 2C4RDGBG6JR201696 Covered C 14,000 1000N000 2016 NISSAN ALTIMA 1N4AL3AP4GC265088 Covered C 10,000 1000/1000 2015 FORD TRANSIT CONNECT NM0GE9F77F1182174 Covered C 12,000 1000/1000 CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE 1100 SIMONTON STREET POUCY PROVISIONS • KEY WEST,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2014/01) ©1988-2014 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD M-5652(07/2015)