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Certificates of Insurance
DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 10/04/2023 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 = Q BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED LU REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. a 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 w� p y, 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 'O AOn Risk Services Central, Inc. PHONE FAX Omaha NE Office (AIC.No.Ezt): (402) 697-1400 (A/c.No.): (402) 697-0017 v 17807 Burke Street E-MAIL 2 Suite 401 ADDRESS: Omaha NE 68118 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Travelers Property cas CO Of America 25674 Musco Sports Lighting, LLC INSURERB: Sentry Casualty Company 28460 c/o Musco Corporation 100 1st Ave w INSURERC: Sentry Insurance Company 24988 Oskaloosa IA 52577 USA INSURERD: Indian Harbor insurance Company 36940 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570102085836 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 MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, Limits shown are as requested INSR ADDL SUBR EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (POLICYMM/DD/YYYY) (MM/DD/YYYY) LIMITS c X COMMERCIAL GENERAL LIABILITY 9016877004 07/01/2023 07/01/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE F_.�OCCUR DAMAGE TO RENTED $1,000,000 APPROVED BY RISK MANAGEMENT PREMISES(Ea occurrence) MED EXP(Any one person) $10,000 DATE 10/5/202.3- PERSONAL&ADV INJURY $1,000,000 M N'LAGGREG-E LIMITAPPLIES PER. GENERAL AGGREGATE $10,000,000 06 PRO- WAIVER N/A YES oNo POLICY JECT FX]LOC PRODUCTS-COMP/OPAGG $2,000,000 N 0 OTHER: o c AUTOMOBILE LIABILITY 90 16877 003 07/01/2023 07/01/2024 COMBINED SINGLE LIMIT N (Ea accident) $1,000,000 X ANY AUTO BODILY INJURY(Per person) O OWNED SCHEDULED BODILY INJURY(Per accident) Z AUTOS ONLY AUTOS N HIREDAUTOS NON-OWNED PROPERTY DAMAGE (p ONLY AUTOS ONLY (Peraccident) O t= N A CUP3s63336023NF 07/01/2023 07/01/2024 EACH OCCURRENCE $10,000,000 tl X UMBRELLA LIAB X OCCUR EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED I RETENTION B WORKERS COMPENSATION AND 9016877001 07/01/2023 07/01/2024 X I PER STATUTE OTTH- EMPLOYERS'LIABILITYJER YIN AOS $1,000,000 B ANY EXECUTIVE FFICEPARTNER/ N N/A 9016877002 07/01/2023 07/01/2024 E.L.EACH ACCIDENT EXECUTIVE OFFICER/MEMBER (Mandatory in NH) AZ WI E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Architects & Engineers �CEo742113903 07/01/2023 07/01/2024 Aggregate $5,000,000 Professional Claims-Made SIR $250,000 SIR applies per policy ter s & condi ions Each Claim $5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space m required) RE: Musco Project 164056 - Harry Harris Park. Monroe County Board of County commissioners with its employees and agents are included as Additional insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. General Liability and Automobile Liability policies evidenced herein is Primary and Non-Contributory to other insurance available to Additional Insured, but only in accordance with the policy's provisions. A waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability, Automobile Liability, Umbrella Liability and workers' Compensation policies. LI� CERTIFICATE HOLDER CANCELLATION J 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 Board AUTHORIZED REPRESENTATIVE of county Commissioners 500 Whitehead Street Key west FL 33040 USA - ©1988-2015 ACORD CORPORATION.All rights reserved ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD FOLICY NUMBER' 9016877004 COMMERCIAL GEINERAL LIABILITY CG 20 ,101 112 19, TIHII IENDORSEMENTCHANGES THIE POLICY. PLEASE READ, IT CAREFULLY. ADDITIONAL INSURED 1- OWNERS, LESSEES OR. CONTRACTORS 1- SCHEDULE EIS NI R. ORGIANIZATION This endofsernent modifies insuranice provided under the fol lawi,ng'. 000MMEROCIAL GENERAL LIABILITY CO',1ERAGE,PART SCHEDUILIE Niannie Of Additional linsured Person(sj Or Orgiaflijzalion,(s) Locationi(s) Of'Covered Ope rafl,01116 As required by written contract linfomiation requilred to complete this Schedule, mf not shomi above,will be shomrn uun the Declarations. A. Seeflioni 11 - Who Its An Urns tired uus amended to B,. With respect: to the HISUirance afforded to these, in,CIU,de as ain additional i1nISUired the person(s) or addifianal il'ISUreds, the, fbilomng addifiloinal argaNizati,Dn(s) shown [n the SzhedLfle, but Only excliusions apply: with respect to lial.Alit for "bodily iinfury", This insuranicedoes; not apply to "bodily injury" or "property dai'mage" or "persoin,-1 and adveftisiing "property damage" occurfling after: iIIJUry" ceased, iin whole or in part, I)y. 1. All wor�, including mateh-LAs, parts or 11. Your oftion acts or ssis" or equipmeint furnished mn comiection with such 2.. 'The acts cg- ornissions of those acting on your work, on the project I�,otheir than service, I)ehalf,, mai,ntenan,ce or repairs) to lie performed by or in Me perrormance Of You r ainigoiin,g operations for oin behalf of the additional insuired(s) Lat the the additionial uunusuiredisj Lat Me loci tim(s) location of the covered operations has beeni compl,eted, or desiginated M)ove. I However, 2. That 1portiolnu Of "YOLIF work" out of which the injury or damage arises has Ibe n put to liiits 11. Thee IIIInsuurauluce afforded to such Ladditionai iinlended use Iby any person or organization iinsuired only applies to the extant 1permitted I)y other thim another contractor or law" aind SLI 1),conti-a ctor engaged in performi,ng 2.. If coverage pfovided to the additional iiisured operations for a principal as a part,of the same is required 1:yy a contract or agreement, the, project- iinsuimance afforded to such additional insured wff Ingot be broader than that whilch You are required by the contr- L",ILt or agreernent to provide f(y siuch addiltioinV insured. CG 20, 10 12 19 (D linesui,-Lmce'Services Office, Iiic., 2018 Page I of 2 90 1058,77 31312W2023 sentry Insurance Campanv V 10MG4, MICIMMOM .73,74 C N MBM154ACC4374720-U'984CV MHMSM13 M'hll respect to the iin uriance �T f rri l to these 2. Ave3ilable L1,11deir the appiic ale limfts of Ltd iffolnnallll in Iurehi F the follmiiln u is adder) to ilnsulmnce" Section II1II - Limits Of IIIns uir r ce: whichever is IIIless. If coveirage provided to the additional iinsuireld is This nd r errr•7ent sh'atl not ilno r 'a ,e the required by a contract or agreement, the mmot we applicable lirnits of insurance. will pzi'V oini Ibeba If of the, additional ubsure l is the arnOtI<r1t Of Ilnr ul llC : 1. Required by the cointract or agreement; or Page 2,,of 2 tD IIIn urulu71ce Cervices i ffi, , III ., 2018, CIG 20, 1110 112, 19 Sentry Insurance cwipfamy POLICY NUMBER: 9016877004 COMMERCIAL GENERAL LIABILITY CG20371219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Any person or organization you are required to add as All Locations an additional insured by written contract or agreement See Continuation Page Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III - Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the "products-completed operations hazard". 1. Required by the contract or agreement; or However: 2. Available under the applicable limits of 1. The insurance afforded to such additional insurance; insured only applies to the extent permitted by whichever is less. law; and This endorsement shall not increase the 2. If coverage provided to the additional insured applicable limits of insurance. is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 2 9016877 06/23/2023 Sentry Insurance Company 1 00001 0000000000 23174 0 N 24937384-bf3e-4e60-9a45-647961dcfd3b Continuation Page in effect prior to any loss or damage. Page 2 of 2 © Insurance Services Office, Inc., 2018 CG 20 37 12 19 9016877 06/23/2023 Sentry Insurance Company IL70580214 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION - CERTIFICATE HOLDERS This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM COMMERCIAL AUTOMOBILE COVERAGE PARTS COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PARTS COMMERCIAL EXCESS/UMBRELLA LIABILITY COVERAGE FORM EMPLOYMENT RELATED PRACTICES LIABILITY POLLUTION LIABILITY COVERAGE ERRORS AND OMISSIONS COVERAGE FORM In the event we cancel this policy, we shall endeavor to also mail to the person(s)or organization(s) listed in the Schedule for this endorsement advance written notice of cancellation. This notification of cancellation of the policy is intended as a courtesy only. Our failure to provide such notification to the person(s)or organization(s)shown in the Schedule will not extend any policy cancellation date nor impact or negate any cancellation of the policy. This endorsement does not entitle the person(s) or organization(s)listed or described in the Schedule below to any benefit, rights or protection under this policy. Failure by us to provide this notice of cancellation to the person(s) or organization(s) listed or described in the Schedule below will not impose liability of any kind upon us. Any of these provisions that conflict with a law that controls the notice of cancellation of the insurance in this endorsement is changed by this statement to comply with the law. Schedule Person(s) or Organization(s) including mailing address: Per the listing of certificate holders provided by the Broker upon our request. 30 day notice of cancellation applies. All other terms and conditions of this policy remain unchanged. IL 70 58 02 14 Page 1 of 1 9016877 Sentry Insurance Company 1 00001 0000000000 21179 0 N b48fe660-6afd-4e5f-891f-6873dca09543 Cu MMEIRCIAL AUTO CA 80 07 0618 THIS ENDORSEMENTCHANGES THE POLICY. PLEASE READ IT CAREFULLY., ADDITIONAL IIIIISURED - AUTOMATIC STATUS WHEN REQUIRED BY CONTRACT OR AGREEMENTWITH YOU This endorsement mod ifies ins,uraince provided under the fol lowilng: AUTO DEALERS COVERAGE FORM BUSINESS AUTO,COVERAGE FORM MOTOR C-ARRIER 00,%�ERAGE FORM With respect to caverage provided by this,endorsemeiril, the provisions of tlhie Coverage Form apply unliess modified by this endorsement. A. The Whol Is An Insured provision of Covered Autos LiaMily Coverage !is qmendied to include as an additionall insuired any person of organization fOr WhOM YOU are performing operations when you and suchll person or orgaNzation Ihiave agreed in wdtiing !in a contract or agnaernent that SLICII person or organization lire added as an additionai iiinsured cRii your(policy. The status, of an addifticiial inSUired Laider this, endorserneint einids,when your olperatlions for that additional iinsuired are completed. B. The imost we will pay on behalf of the additional insured uls,the lesser of the a MOL111t payable under the Limit oaf Insurance for Covered Autos Liability Coverage or the arYTOL111t Of insurance required by the coirftaLt or agreement. C. Notwithstanding any requirement, terra or condition of any contract of agreement with respect to which this endorsement Irtm9y peftai!n, the insuraince afforded to the additional HISUred is, subject to Jill the tenns,exc[usions,ainid conditions of the COMMERCIAL AUTO CON)EFZAGE FORM to which this endorsement is attached. CA M,017 061 includes copydghted material of Iiisurance Services Office,, Ilinic., Page,I of 1 9016577 with its,pen7nissilon. MZY202-3 'entry Insurance Company is 000',1 MICIDGE03M 2374�D N POLICY NUMBER: 9016877003 COMMERCIAL AUTO CA76160618 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Musco Corporation Endorsement Effective Date: 07/01/2023 The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to a person(s) or organization(s), but only to the extent that subrogation is waived prior to the "accident" or the 'loss" under a written contract with that person or organization. CA 76 16 06 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 9016877 with its permission. 06/23/2023 Sentry Insurance Company 1 00001 0000000000 23174 0 N e72eff71-a3cb-4426-8f2e-1be3a20eab17 POLICY NUMBER: 9016877004 COMMERCIAL GIENIERAL LIABILITY CG 24 04 12,119 THIS IENDORSEMENTCHANGES T'HIE, POLICY,. PLEASE READ IT CAREFULLY. WAIIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement rnodifiPA ln,,suraince provided under the follbwi,ng: COMMERCIAL GENERAL LIARILITY COVERAGE PART ELECTROMC DATA UADLITY COVERAGE PART LIQUOR LIABILFY I'30VERAGE PART POLLUT1,0tJ LIABlUTY CO'VERAGE PART DESIGNATED SITES, POLLUT10N LIA&IUTY UMITED,COVERAGE PART DESIGNATEDSITES PRODUCT.&COMPLETED,OPERATIONS LIABIUTY COVERAGE PART RAILROAD PROTECT'VE LIABILIT COVERAGE PART UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS SCHlIEDULE Naime Of Personfs)Or Organizati,on(s): Any Ipe i or orgainizalion to Whom you are required to waive your iriiiglhit to recover by a written cointract of agreement executed pdor to(Moss Mformation requi red to complete this,SchedLl le, lif icuoat shown above, MH be shown iin the Declarations. The fol[owiing is added to Paragraph 8. Transfer (X Rights Of Recovery Against Others To Us of Section IV -Conditions: We wd4e any irmg lit of irecovefy agaiinst the peirson(s), or orgiainization(s) shiown Hi the Sch,eddle above because of payni,einks we make under this Coverage Part. Such waiver by LIS applies ontV to the extent that the insUired Ihias mived lita Mght of recovery against such person(s)or orgainization(s)1prior to loss. Thins endorsement applies oi,1�y to the pefso,n(s) or organ ization(s)shown fii the Scheduie above. CIS 24 04,12 19 t IlirmYsurainceSeMces Cffrce, Inc.,2018 Page,1 of 1 91316877 D&23dr=3 Senor Insurance Compamy 1:10H'I WOMMSM 22 174 D N eSb374"-?nbm,4bC-bcFd-eS2ct3SL-fSd WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule Name: Address: AL, AR, CO, CT, FL, GA, IA, ID, IL, IN, KS, LA, MD, MI, MN, MO, MS, NC, NY, OK, OR, PA, RI, SC, TN, VA Description of Waiver: Any person or organization for whom the Named Insured has agreed by written contract executed prior to loss. JobID: This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium Insurance Company Countersigned by WC 00 03 13 (Ed.4-84) ©1983 National Council on Compensation Insurance. Page 1 of 1 9016877001 Sentry Casualty Company 1 00002 0000000000 21179 0 N 85847514-b51d-454o-a68e-be75ff5ffc32 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION-CERTIFICATE HOLDERS WORKERS COMPENSATION The person(s) or organization(s) listed or described in the Schedule below have requested that they receive written notice of cancellation when this policy is cancelled by us. We will mail or deliver to the Person(s) or Organization(s) listed or described in the Schedule a copy of the written notice of cancellation that we sent to you. Such copies of the notice will be mailed as soon as practicable to the address or addresses provided by your broker or agent. This notification of cancellation of the policy is intended as a courtesy only. Our failure to provide such notification to the person(s)or organization(s)shown in the Schedule will not extend any policy cancellation date nor impact or negate any cancellation of the policy. This endorsement does not entitle the person(s) or organization(s) listed or described in the Schedule below to any benefit, rights or protection under this policy. Failure by us to provide this notice of cancellation to the person(s) or organization(s) listed or described in the Schedule below will not impose liability of any kind upon us. Any of these provisions that conflict with a law that controls the notice of cancellation of the insurance in this endorsement is changed by this statement to comply with the law. SCHEDULE Person(s) or Organization(s) including mailing address: Per the listing of certificate holders provided by the Broker upon our request. 30 day notice of cancellation applies All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium: Insurance Company Countersigned by Change effective 07/01/2022 WC 99 06 72 (Ed. 09 11) Page 1 of 1 9016877 09/23/2022 Sentry Casualty Company 1 00001 0000000000 22266 0 N 6af336b5-4e7f-4332-96c0-6cf68a2d7241 POLICY NUMBER: 9016877003 COMMERCIAL AUTO CA 76 01 06 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED - PRIMARY AND NONCONTRIBUTORY - COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s)or organization(s)who are "insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated. Named Insured: Musco Corporation Endorsement Effective Date: 07/01/2023 SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization you are required to add as an additional insured by written contract or agreement See Continuation Page Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Each person or organization shown in the B. Primary And Noncontributory Insurance Schedule is an "insured" for Covered Autos This insurance is primary to and will not seek Liability Coverage, but only to the extent that contribution from any other auto insurance issued person or organization qualifies as an "insured" to the person or organization in the schedule under the Who Is An Insured provision contained under your policy provided that: in: (1) Paragraph A.1. of Section II - Covered Autos (1) The person or organization is a Named Insured Liability Coverage in the Business Auto and under such other insurance; and Motor Carrier Coverage Forms; or (2) Prior to the "accident" you have agreed in (2) Paragraph D.2. of Section I - Covered Autos writing in a contract or agreement that this Coverages of the Auto Dealers Coverage insurance would be primary and would not Form. seek contribution from any other insurance available to the person or organization. CA 76 01 06 15 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 2 9016877 with its permission. 06/23/2023 Sentry Insurance Company 1 00001 0000000000 23174 0 N fae987a2-8397-4b9f-a97e-3f89ffd2f736 Continuation Page in effect prior to any loss or damage. Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., CA 76 01 06 15 9016877 with its permission. 06/23/2023 Sentry Insurance Company COMMEIRCIAL GEINERAL LIABILITY CG 20,01 112 19 THIS IENDORSEMENTCHANGES THE POLICY. PLEASE READ, IT CAREFULLY. PRIMARY AND IIIONCO III TRIBUTGRY OTHER INSURANCE CONDITION This endorsement i7nodifl%. insurance Iproviided undef the followi!ng'. COMMERC,IAL GENERAL LIABILITY CUVERAGE PART LIQUOR LIABIUTYC'OVERAGE PART PRODUCTSICOMPLETED, DPERAT00 LIABILITY 00VERAGE PART The follomng Its added to the Other lbsurainice (2)YOU (have agreed ir1 writing im a contract or Condtbrii and supersedes L-riy praylsion to the agireenlient that this insurance would be contrary: primary and INOUld Inot slee& contilbution Primary And Nonconlrib-tilory Insurance from any other lInsarance available to the TNis insuiraice is pftnay to and MI iniot set* additional HISUred.. C0lItFibLIti0lfll from any other illKlirance available to ain additional HISUrecl under your po[icy provided that (I) The additional iinsuired iiis a Named 111SUred undef such other hsuraince, and CG 20,01 12 119 0D, lbsurance SeTvi,ces Office, Ilnc., 201-8 Page,I of 11 9016877004 D&IZ112,023 Sentry Insurance Company N QMC5 MICIMUMM, 73574,1:1,IN DATE(M ) CERTIFICATE OF LIABILITY INSURANCE I a72019 T ;S 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. IS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU (S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT.If the certificate holder Is an ADDITIONAL INSURED,the policy(les)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 endorsements}. e PRODUCER CONTACTNAME- ` Aon Risk Services Central, Inc. E (402) 697-1400 PAX (4DZ) 697-0017 m Omaha HE office Arc.No.Eat: AIC.No.: 9 17907 Burke street E4AQL Suite 401 ADOREss: Omaha NE 68119 USA INSU ;51 AFFORDING COVERAGE NA10 t INSURED INSURER A.' Sentry Insurance A Mutual Company 24989 Musco sports Liqhtinq, LLC INSURER B' Travelers Property Cas Co of America 25674 c/D Fusco corporation 100 1st Ave W INSURERC; Sentry Casualty Company 28460 Oskaloosa IA 52577 USA INs ERD, Nautilus Insurance Company 17370 INSURER E' (INSURER F: COVERAGES CERTIFICATE :570077183132 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. Limb shown are as requested LTRI_ TYPE GF INSURANCE - -._( _._..-.__POLICY NUMBER M u`Ifx �N y p-.T, y. LIM1TS X COMMERCIAL.GENERAL LABILITY_ '' s'- EACHOCCURRENCE $1,000,000- FY REt CLAIMS-MADE X 5300 000 PREIAISEB;Er occumncrp w, mm b EXP(My one parson¢ 510,000 i PERSONAL A ADV INJURY r SIL,Goo,0d0., GEN°LAGGREGATELIMITAPPLIFSPER GENERAL AGGREGATE ---+ S2,000,000' POLICY X JEGT X LO-"; PRODUCTS-COMPIOPAGO $2,000,000, OTHER. . ___- ......._. _......_ __..._- --_ _.. .... A-. .9D-16 77-03 07'`®l,r 2019-07101?2020 COMBINED SINGLE LIMIT - uy AUTOMOBILE I S1,000,000. A asaT x !ANYAUTO AP 1 I BODILY INJURY(Per parson) C OWNED SCHEDULED �y "` .,, BODILY 04JURY For accident) m AUTOS ONLY AUTOS X '...HIREDAUTOS X NON-OWNED 'Y V ,J,IAs �,,,;-` __ PROPERTYI7 GE u ONLY AUTOS ONLY 'Par accld®rst'' 4 m-__B x UMBRELLA LOX OCcuR 2UP R .1 'I-.:.NF 0/Gil/2b19 0/iaE/1016 CHOCC'URRENCE 25,0:.0,000 EXCESS CLAIM E AGGREGATE S25,000,000j _.. DED'. x RETENTIONSIO,000 I.. c woRlsees COMPENSATION AND 901f,87M /01' Ol MTMM X I PER oTH- EMPLDYERW LIABILITY YIN ADS STATUTE 'I .._... c GFFIc EM ANY PROPRIETOR 7 WA EPARTNER KCL T I EXEC N NIA 901687702 07/41/2019 07/01/2020 El EACHACCIDEFIT 51,000,000' lMandatoryM NN AZ, W1 EL.DtS E-EAEMPLOYEE S1,000,000 II yea,describe under ---------..--.--------- _ DE5CRIPTION OF OPERATIONS betaw I. i E L.DISEASE- L9CY LIMIT Sl,000,00d m= o Archit&Eng Prof Paims-made N100191160719 07/Ol/Ia19 6710112UZO Aggregate 55,g00,L00—» 5YR 5250,D00 R applies per policy ter Ts & conditions Each Claim S5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 4ACORD tOt,Additional Remarks Schadula,may be attached 9 more apace u required) -- Re: Musco Project Svc-414033 - Harry Harris Park and Svc-414624 - Watson Field. Monroe County Board of county commissioners is included as Additional Insured in accordance with the policy provisions of the General Liability and Auto pile Liability policies. CERTIFICATE HOLDER CANCELLATION 5HOULo ANY OF THE ABOVE DE5CRIB.O POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of AUTHORIZEDREPRESENTATIVE County Commissioners 1100 Simonton Street, 2-216 Key West FL 33040 USA - 01988-2015 ACORD CORPORATION.AlI rights reserved. ACORD 26(201103) The ACO RD name and logo are registered marks of ACORD