Certificates of Insurance 1ATE(MWDDNYYY)
CERTIFICATE OF LIABILITY INSURANCE 1
03VID12020
THIS CERTIFICATE IS ISSUED S R INFORMATION ONLY AND CONFERS O RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICA DOS 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 INSU (S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT.If the certificate holder Is n ADDITIONAL INSURED,the poll (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 enorsement(s).
PRODUCER I CONTACTm
Aon Risk Services, Inc of Florida E
1001 Brickell Bay Drive `AC,40.
,Etl, (366) 283-7122 N® : ({l00} 363-0i05
suite 1100 E4ML
Miami FL 33131 USAADDRESS: 2
INSURER(S)AFFORDING COVERAGE NAIC
INSURED INSURER A: National union Fire Ins Co of Pittsburgh 19445
University of Miami INSURER&; American Home Assurance Co. 19380
1320 S. DIXIE HIGHWAY,SUITE 1200
Coral Gables FL 33146 USA INSURERC: New Hampshire Insurance Company 23841
INSURERb: old Republic union insurance Company 31143
INSURERE: United Educators Ins, a Reciprocal RRG 10020
INSURER F:
COVERAGES CERTIFICATE NUMBER:57 80873347 REVISION ER:
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. Limits shown are as requested
law 'POLlCYEXP-
LY1E TYPE OF INSURANCE -..__-- tN# IIyYt _ POLICYRUMBER - y�,gy, _ „ LIMITS
X COMMERCIAL GENERAL LIABILITY 641 ^EACH OCCURRENCE 51,50Q,000
SIR applies per policy ter s & conditions
CLAIMS-MADE X OCCUR L Included
I MED EXP(Any one p n) Excluded
'PERSONAL&ADV INJURY Included
GENLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $1,500,000
X POLICY ❑JECT LOC PRODUCTS-COMPIOPAGO Included
OTHER.
r
AAUTOMOBILELIABILITY
____ CA 5320306 10115/2019f10®l.5/2020 COMBINED SINGLE LIMIT
P
Fleet B I `Eee1�: wE $1,500,000
A x ANYAUTO CA 5320305 10/IS/2019',10/15/2020'BODILY INJURY{Per penonl
OWNED .SCHEDULED Fleet ABPhysical Damage BODILY INJURY{Per® ty
PROPERTY �m
AUTOS ONLY AUTOS ........ .... --
'....HIRED NODS NON-OWNED
DAMAGE
.. ONLY AUTOS ONLY ,Per o=W*nt ----. --. ----. I=
F
E-: UMBRELLA -. % ..CUR -_-. I4688Z- �11I<•'1a,a4ri11iT,°15/:02 EACH OCC ENCE 51D,07U 000
% EXCESS LIAR CLAIMS—MADE € AGGREGATE S10,000,000
�DED RETENTION
C.--. WORKERS COMPENSATION AND WC ;515922
.... 1 /1 /2,i `,1 /151`2 020` X PER STATUTE
EMPLOVERS'LIASILITY .. .-- ..
ANY PROPRIETORI NERt E. EA.I YIN ADS i E L EACH ACCIDENT s 1 000,000
o aFFIC EMBEREXC Da N NIA WC017515923 �10,=°'15/20i910/i5/2020 _. _. __ ______ _!.... ..
tMandstoyInNH) AZ IL:; NC Nl, NY PA VA VT U EL.DISEASE-EA E OYEE S1,000,000
D 5CRdIIPTION OF OPERATIONS Iabw E.L DISEASE-POLICY LIMIT 1-,QOQ,000
A Excess WC 7 10,a'15J201s 10/15/2320 EL Each Accident 5 0,0 0—
9 FL EL Disease - Policy S500,000
SIR applies per policy tortes & conditions 'EL Disease - Ea Emp $500,000
DESCRIPTION OF PE RATIONS 1 LOCATK.1NS I VEHICLES(ACGRO 11H,AddWonat Remarks Schedule.maybe allachad It mom space Is required}
certificate Holder is incIt,-ded as Additional Insured in accordance with the policy provisions of the General Liability and Auto
Liability policies.
IA6
rM-...
-
fto
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE C CE ® FD THE
EXPIRATION DATE THEREOF, TICE BE DE E IN ACCORDANCE H THE
POLICY PROVISIONS.
Monroe County AUTHORIZEDREP SENTAT
Board of County Conunissioners
1100 Simonton Street
The Gato Buildingy, Room 2-205
Key West FL 3304U USA IV. et.
1988- 015 ACORD CORPORATION. i rights reserved.
COD 25(20110 ) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER 10. 570000037109
LOC#:
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY NAAIED IMVRE-m
Aon Risk services, inc Of Florida University of Miami
POLICY NUMER
See Certificate Number: 570080873347
CARRIER NAM CODE
see Certificate Number: 570080873347 EFFEcTVE�ATE
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FOR NUMBER: ACORD25 FORM TITLE: CertiricateolUabitity Insurance
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER
INSURER
INSURER
INSURER
ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD
certificate farm for policy limits.
POLICY POLICV
INSH ADDL SURR FOLICYNUMBER EFFECTIVE EXPIRATION LIMITS
LTR 71.PE OF INSURANC E INSD W%'D DATE DATE
WORKERS COMPENSA1,10N
B N/A WC017515921 10/15/2019 10/15/2020
CA
C N/A WC017515924 10—/15/2019 -3:0-T33-/-20-20
MA OH WA
I
ACORD 101(205101) 02000 ACORD CORPORATION.All rights reserved.
The ACORD name and logo are registered marks of ACORD
ACC>RE� CERTIFICATE OF MARINE / ENERGY INSURANCE
gi iMM ,
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS O 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 E THE ISSUING INS (S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the olic (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 ndomement(s).
PRODUC R USA Inc. TA
m.
1AX
e .Suite INQ
N®Ex • F
Sunrise,FL 3B23 E L
PRODUCER
CN10 713—Mann-19-20 INSURERS AFFORDING COVERAGE NAIC0
INSURED University of tAii INSURER A:Liberl utual Insurance Company 2 J43
Depatrerd of Risk Managernent -INSURER 13.Water duali Insurance 5 ndicate M5044
1320 South Dixie Highway INSURER c:
Suite 1
Miami FL 33146 5 INSURER D
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: ATL- 423.04 REVISION NUMBER:3
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 Y PAID CLAIMS.
. __.,_ _ ___
IN8R` AbOL?5lIBR' POLIGY EFF�y��PODGY E%P_I._��'�
LTR TYPE OF INSURANCE I I POUCYNUMBER _LMMrbL7= M.c,7®"s"q�i+'Y UMrrs
A HULL ANDACHiHERY LIUH-0011309 0910112019 09112020 PER SCHEDULE ONFILE
_
a x INSURED VALUE 5 a�aD GM
COLLISION LIABILITY COLLISION(Ea ocxur nee) 5
TOWERS LIABILITY d' TOWERS(Ea occurrence)
S
A PROTECTION AND INDEMNITY UUH-0011) Et 09IQ1.lC+1B ON10211 PER CLUB RULC-0
€°A OGCURRENC E ....._.... t .. ..
.X�.CREW LIABILITY JONESACT X y ,SEG.vL $
COLLISION LIAWLITY B', COLLISION(Ea ox).CSL g 1,
X TOWERS LIA131LITY TOWERS iEa ow).CSL 5 1
REMOVAL OF WRECK
REMOVAL OF WRECK 5
r
IN REM 5....
S
5
B POLLUTION UABILITY
. 0010019 __-09i0u2024 EA OCCURRENCE I5
CPA ea i$ �..
cERCLA 5
NON-OPA i NON-CERCLA 5
X Vessel Pollution s 2,
' MARITIME EMPLOYERS LIABIUTY .. Y ..` .. ANY ONE PERSON
ALTERNATE EMPLOYER 0A ANY ONE ACCIDENT 5
INCLUDES 0 CREW EMPS WAJ
JONES ACT NIA
S
DEATH ON THE HIGH SEAS
i 5
IN REM ENDORSEMENT 5
f5
5
S
CERTIFICATE HOLDER CANCELLATION
Monroe County,Ann.Ms Rhonda Haag SHOULD ANY OF THE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Sustainability&Projects EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE
102050 Overseas Highway,SIe.246 WITH THE POLICY PROVISIONS.
Key Largo,FL 33037
AUTHORIZED REPRESENTATIVE
of Mamh USA Inc.
Manashl Mukherjee UL
Page 1 of 2 d 2012-2016 AC ORD CORPORATION. All rights reserved.
AC RD 31 (2016/03) The ACORD name and logo are registered marks of ACORD
COVERAGES CERTWICATE NUM13ER: ATL.004966023-04
IN R _lN5u_z_vTX_r
TYPE OFINSURANCE NUMBER IMMMONMI (AIMM LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE
MARINE GENERAL LIAERLMY Mfim_d��
-PREMISE.5(En Bmrumml
CLAIMS•MADE El OCCUR MED EXP(Any one Fmw)n)
PERSONAL AADViNJURY
GENERAL AGGREGATE
GENT,AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGG S
POLICY D PRO- [:]LOC
JEST
OTHER: S
ALITOMOBILELIABILITY COMSINEDSINGLE LIMIT
r---I ifilLassidwiL S
ANY AUTO SCHEDULED BODILY INJURY(Per person) S
AUTOS
OWNED NON-OWNEG BODILY INJURY(Par o=ident)
AUTOS ONLY AUTOS ONLY
HIRED PROPERTYDAMAGE
AUTQ�QN1 Y [Ptr Van S
WORKERS COMPENSATION
AND EMPLOYERS LIABILITY YIN
ANYPROPRIETORIPARTNERIENECUTIVE E.L.(Each accident)
OFFICEFLIMEMBEREXCLL
Mandatm In LIH) EL DISEASE(Esomtsoyea)
f yes,des be under DESCRIPTION _!,L DISEASE POUCYLIMIT S
OF OPERATIONS boom NIA
ALTERNATE EMPLOYER $
USLAH ENDORSEMENT S
MARITIME EMPLOYERS LIABKJ rY $
OCSLACT
0-01-95-11 a
PENSATION ACT PER
STATUTE
ALTERNATE EMPLOYER El (Each acdclant) ffi
MARITIME EMPLOYERS LIABILITY NIA E.L.DISEASE(Ea employee)
OCSL ACT E.L DISEASE-ANN AGO
AIRCRAFT LIABILITY rACHOCCURRENCE 5
OWNED AIRCRAFT AGGREGATE S
NON-OWNED AIRCRAFT S
PASSENGER LIABILITY
A UMBRELLA I EXCESS LIAO I HUMBERSHOOT NYA600lGMF_ 00 1 0101/202D EACH OCCURRENCE S
UMBRELLA BUM SERSHOOT AGGREGATE
EXCESS
CLAIMS MADE OCCUR
DED []RETENTION 5
ENERGY DEL,ANY ONE
CONTROL OF WELL I OPERATORS OCCURRENCE S
EXTRAEXPENSE (100%Interest)
:D CARE,CUSTODY AND CONTROL(CCC) ANYONE OCCURRENCE
OFFSHORE OIL AND GAS PROPERTY
PLATFORMS VALUES AS SCHEDULED
PIPELINES VALUES AS SCHEDULED
ONSHORE OIL AND GAS PROPERTY
OIL&GAS PROPERTY VALUES AS SCHEDULED
CONTRACrORS EQUIPMENT VALUES AS SCHEDULED 5
I S
NAMED ININDSTORM
6
COG 01F-R S AGGREGATE
SHOE ON. RE
VESSELJS): I AS PER ATTACHED SCHEDULE AS DETAILED IN THE DESCRIPTION OF OPERNTIONS
DESCRIPT90H OF OPERATIONS I LOCATIONS (ACORG 101,Additional Remarks Schaduk,may be ahachad,It more space In required)
Other CeffiCate hokler-MonMe CountyAflovey AIM.Mt Bob Shillinger,Post Ofte Box 1026,Key West,FL 33041-1026
ACORD 3112016103) Page 2 of 2