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Certificates of Insurance GRAYROB-01 DKRANTZ ACORO"° CERTIFICATE OF LIABILITY INSURANCE D TE 12/21/2023Y) 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: Hub International Florida PHONE FAX 1560 Orange Avenue (A/C,No,Ext): (407)894-5431 (A/C,No):(407)629-6378 Suite 750 ADDRESS: Winter Park,FL 32789 INSURERS AFFORDING COVERAGE NAIC# INSURERA:Endurance American Specialty Insurance Company 41718 INSURED INSURERB:AS en Specialty Insurance 10717 Gray Robinson,P.A. INSURER C7 301 E.Pine Street,#1400 INSURER D: Orlando,FL 32801 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any oneperson) $ " jRk PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: �' GENERAL AGGREGATE $ POLICY PELT LOC FBI g ,��- PRODUCTS-COMP/OPAGG $ OTHER: d�k 1221 _tea, $ 1.23 23 AUTOMOBILE LIABILITY WAMM COMBINED SINGLE LIMIT "Kt Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liab. LPW30014259902 12/21/2023 12/21/2024 Claim&Aggr. 10,000,000 B Professional Liab. LXOOEYG23 12/21/2023 12/21/2024 Claim&Aggr. 10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Lawyers Professional Liability Layered Program: SIR:$750,000 Primary$10,000,000 Layer: Endurance American Specialty Ins.,12/21/23-24,NAICS#41718,Policy#LPW30014259902 Landmark American Ins.Co.,12/21/23-24,NAICS#33138,Policy#LQS854351 Evanston Ins.Co.,12/21/23-24,NAICS#35378,Policy#MKLV7PL0006199 MSIG Specialty Ins.USA,12/21/23-24,NAICS#34886,Policy#MSTLPL-00089 SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ty ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:GRAYROB-01 DKRANTZ LOC#: A�©� ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Hub International Florida GrayRobinson,P.A. 301 E.Pine Street,#1400 POLICY NUMBER Orlando,FL 32801 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles: $10M xs$10M Layer: Aspen Specialty Insurance, 12/21/23-24, NAICS#10717, Policy#LXOOEYG23 Ironshore Specialty Co., 12/21/23-24, NAICS#25445, Policy#LPL7NABW7BB005 $5M xs$20M Layer: Landmark American Ins. Co., 12/21/23-24, NAICS#33138, Policy#LQS854404 Allianz Underwriters Ins. Co., 12/21/23-24, NAICS#36420, Policy#U5F00537423 $5M xs$25M Layer: Endurance American Specialty Ins., 12/21/23-24, NAICS#41718, Policy#LXT30014340402 Evanston Ins. Co., 12/21/23-24, NAICS#35378, Policy#MKLV7PL0006206 $10M xs$30M Layer: QBE Insurance Company, 12/21/23-24, NAICS#39217, Policy#100043603 Great American Ins.Co., 12/21/23-24, NAICS#16691, Policy#LAXE558802 $5M xs$40M Layer: Peleus Insurance Company, 12/21/23-24, NAICS#34118, Policy#XPL409857-1 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Client#: 1405411 131 GRAYROB DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 4/18/2023 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Steve W. Holtz MBA McGriff Insurance Services PHONE 407 691-9600 FAX 888-635-4183 PO Box 4927 -MA Lo,Ext: (A/C,No): ADDRESS: sholtz@mcgriff.com Orlando, FL 32802-4927 INSURER(S)AFFORDING COVERAGE NAIC# 407 691-9600 INSURER A:National Fire Insurance Co of Hartford 20478 INSURED INSURER B:Continental Insurance Company 35289 GrayRobinson PA Travelers Casualty&Surety Co of Amer 31194 INSURER C: Y Y P.O. Box 3068 INSURER D: Orlando, FL 32802 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 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 TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY PMT6012395102 04/15/2023 04/15/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISESOEa occur°nce $1,000,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ MBINED A AUTOMOBILE LIABILITY BUA6012395133 04/15/2023 04/15/202 (CEO, identS INGLE LIMIT 1r 000r 000 acc ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ B X UMBRELLA LIAB X OCCUR CUE6012395116 04/15/2023 04/15/2024 EACH OCCURRENCE $15 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DED X RETENTION$1 O OOO1 1 $ C WORKERS COMPENSATION UB1 R6308612242 08/09/2022 08/09/202 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? [N] N/A (Mandatory in NH) *� E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below Foil,, tl ^'^^ E.L.DISEASE-POLICY LIMIT $1,000,000 . . 18 . 23 w/attachm_ RN Nt Mom. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD r................._........., .....,.,_.........._.........._-,---.s required) ***General Liability***Additional Insured status is granted if required by written contract per"Non Contractor's Additional Insured Endorsement"CNA74857XX 01/15 and "General Liability Extension Endorsement" CNA74879XX 1/15. Primary and Non-Contributory status is granted if required by written contract per "General Liability Extension Endorsement"CNA74879XX 1/15). Waiver of Subrogation status is granted if required by written contract per"General Liability Extension Endorsement" CNA74879XX 1/15. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe Count Board of Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE 04 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S31996675/M31995998 PSBE DESCRIPTIONS (Continued from Page 1) ***Auto Liability***Additional Insured status is granted if required by written contract per"Business Auto Coverage Form"CA0001 11/20. Waiver of Subrogation status is granted if required by written contract per form "Waiver of Transfer Rights of Recovery"#CA0444 10/13. ***Workers Compensation***Waiver of Subrogation status is granted if required by written contract per "Waiver of Our Rights to Recover From Others Endorsement"form#WC000313. ***Umbrella***Umbrella is Follow Form providing excess liability over General Liability,Auto Liability and Employer's Liability limits shown. SAGITTA 25.3(2016/03) 2 of 2 #S31996675/M31995998 GRAYROB-01 DSMITH2 �►co�ro,,, CERTIFICATE OF LIABILITY INSURANCE D TE 12/21/2022Y) 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 Dawn Knight Hub International Florida PHONE FAX 1560 Orange Avenue (A/C,No,Ext): (407)893-3875 (A/C,No): Suite 750 ADDRIESS:dawn.knight@hubinternational.com Winter Park,FL 32789 INSURERS AFFORDING COVERAGE NAIC# INSURERA:Endurance American Specialty Insurance Company 41718 INSURED INSURERB:AS en Specialty Insurance 10717 Gray Robinson,P.A. INSURER C7 301 E.Pine Street,#1400 INSURER D: Orlando,FL 32801 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICYEl JJECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY ,9 "'s^N Per accident) ccident $ UMBRELLA LIAB OCCUR 1 21--�'^'^^2 EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE • „,,.,, _tea, 2 A I � AGGREGATE $ DED RETENTION$ WAMM Kt .m $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Prof Liab/$30k Ded. LPW30014259901 12/21/2022 12/21/2023 Both Claim&Aggr 10,000,000 B Prof Liab/ded$30k LXOOEYG22 12/21/2022 12/21/2023 Both Claim&Aggr 10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) SIR:$750,000 Claim,$1,500,000 Agg Retention-Endurance American Specialty Insurance,12/21/22-23,NAICS#41718,Policy#LPW30014259901//$10M xs10M:Aspen American Insurance,12/21/22-23,NAICS#23647,Policy#LXOOEYG22//$5M xs$20M: Landmark American Insurance,12/21/22-23,NAICS #33138,Policy#LQS800235//$5M xs$25M:Endurance American Specialty,12/21/22-23,NAICS#41718,Policy#LXT30014340401// $10M xs$30M:QBE Insurance Company,12/21/21-22-23,NAICS#39217,Policy#100043603//$5M xs$40M:Starstone Specialty Ins.Co.,12/21/22-23,NAICS #541110,Policy#T8591302APL CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ty ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD GRAYROB-01DSMITH2 DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/21/2021 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). CONTACT PRODUCER NAME: PHONEFAX Hub International Florida (407) 894-5431(407) 629-6378 (A/C, No, Ext):(A/C, No): 1560 Orange Avenue E-MAIL Certificates.FLA@HubInternational.com Suite 750 ADDRESS: Winter Park, FL 32789 INSURER(S) AFFORDING COVERAGENAIC # Endurance American Specialty Insurance Company 41718 INSURER A : INSURED Aspen American Insurance Company43460 INSURER B : INSURER C : GrayRobinson, P.A. 301 E. Pine Street, #1400 INSURER D : Orlando, FL 32801 INSURER E : INSURER F : COVERAGESCERTIFICATE 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. INSRADDLSUBRPOLICY EFFPOLICY EXP TYPE OF INSURANCEPOLICY NUMBERLIMITS LTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE$ DAMAGE TO RENTED CLAIMS-MADEOCCUR $ PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY$ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- POLICYLOC PRODUCTS - COMP/OP AGG$ JECT OTHER:$ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNEDSCHEDULED AUTOS ONLYAUTOSBODILY INJURY (Per accident)$ 1201703133 PROPERTY DAMAGE HIREDNON-OWNED (Per accident)$ AUTOS ONLYAUTOS ONLY y $ UMBRELLA LIABOCCUR EACH OCCURRENCE$ EXCESS LIABCLAIMS-MADE AGGREGATE$ DEDRETENTION$ $ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ Prof. Aggr & OccrLPW3001425990012/21/202112/21/2022 Rtn. $750,00010,000,000 A Prof. Aggr & OccrLX00EYG2112/21/202112/21/2022 Ded. $10,000,00010,000,000 B DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) SIR: $750,000 Claim, $1,500,000 Agg Retention-Endurance American Specialty Insurance, 12/21/21-22, NAICS #41718, Policy # LPW30014259900. // $10Mxs10M: Aspen American Insurance, 12/21/21-22, NAICS #23647, Policy # LX00EYG21. //$5Mxs20M: Landmark American Insurance, 12/21/21-22, NAICS #33138, Policy # LHZ793419. // $5Mxs25M: Endurance American Specialty, 12/21/21-22, NAICS #41718, Policy # LXT30014340400. //$10Mxs30M: QBE Insurance Company, 12/21/21-22, NAICS #39217, Policy #100043603. //$5Mxs40M: Starstone Specialty Ins. Co., 12/21/21-22, NAICS #541110, Policy #T8591302APL. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03)© 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Client#: 1405411 131 GRAYROB DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 8/09/2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: McGriff Insurance Services PHONE 407 691-9600 FAX 888-635-4183 A/C,No,Ext: (A/C,No): PO Box 4927 E-MAIL ADDRESS: 333 S Garland Ave 16th FI INSURER(S)AFFORDING COVERAGE NAIC# Orlando, FL 32802-4927 INSURER A:National Fire Insurance Co of Hartford 20478 INSURED INSURER B:Continental Insurance Company 35289 GrayRobinson PA Travelers Indemnity Company 25658 INSURER C: Y P Y P.O. Box 3068 American Casualty Co of Reading PA 20427 INSURER D: Y 9 Orlando, FL 32802 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 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 TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY X X 6012395102 04/15/2021 04/15/2022 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISES(ERENTED occurrence) $1,000,000 Approved Fri f�l � �r �r�t with ,�tt�c mints MED EXP(Any one person) $15,000 U PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- 8-23-2021 POLICY JECT X LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ D AUTOMOBILE LIABILITY X X 6012395133 04/15/2021 04/15/202 COEaMBINED ccidentS INGLE LIMIT $1r 000r 000 a ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ B X UMBRELLA LIAB X OCCUR CUE6012395116 04/15/2021 04/15/2022 EACH OCCURRENCE $15 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DED X RETENTION$1 OOOO $ C WORKERS COMPENSATION X UB1R6308612142E 08/09/2021 08/09/202 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Insured status is granted with respects to General Liability if required by written contract per form "Non-Contractor's Additional Insured Endorsement"form#CNA74857XX 01/15 and General Liability Extension Endorsement,form CNA74879XX(1-15).Waiver of Subrogation status is granted with respects to General Liability if required by written contract per form"General Liability Extension Endorsement",form C NA74879XX(1-15). (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S28529090/M28528642 PSBE DESCRIPTIONS (Continued from Page 1) Additional Insured -Primary and Non-Contributory status is granted with respects to General Liability if required by written contract per form "General Liability Extension Endorsement",form CNA74879XX(1-15). Additional Insured status is granted with respects to Auto Liability as it pertains to Non-Owned&Hired Auto Liability coverage if required by written contract per form "Business Auto Coverage Form",form #CA0001 10/13. Waiver of Subrogation status is granted with respects to Auto Liability as it pertains to Non-Owned& Hired Auto Liability coverage if required by written contract per form "Waiver of Transfer Rights of Recovery",form#CA0444 03/10. Waiver of Subrogation status is granted with respects to Workers Compensation if required by written contract per form "Waiver of Our Rights to Recover From Others Endorsement"form#WC000313. Umbrella is Follow Form providing excess liability over General Liability,Automobile Liability,and Employer's Liability limits shown. SAGITTA 25.3(2016/03) 2 of 2 #S28529090/M28528642 -'� GRAYROB-01 DSMITH2 ,d►CORO" CERTIFICATE OF LIABILITY INSURANCE D 1TE 2/21//20YYYY) �•� 2/21 20 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: Hub International Florida PHONE FAX 1560 Orange Avenue (A/C,No,Ext): (A/C,No): Suite 750 E-MAIL Certificates.FLA@Hubinternational.com Winter Park, FL 32789 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Endurance American Specialty Insurance Company 41718 INSURED INSURERB:AS en American Insurance Company 43460 GrayRobinson, P.A. INSURER C: 301 E.Pine Street,#1400 INSURER D: Orlando,FL 32801 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY Approved Risk ManageM nt EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR DAMAGE TO RENTED / PREMISES Ea occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: 8-23-2021 GENERAL AGGREGATE $ POLICY JE� LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ 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 PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liab. LPL 0239 0616 12/21/2020 12/21/2021 Rtn.$750,000 10,000,000 B Prof Liab 10x10 LXOOEYG20 12/21/2020 12/21/2021 Rtn.$10,000,000 10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) SIR: $750,000 Claim,$1,500,000 Agg Retention -Endurance American Specialty Insurance,12/21/20-21,NAICS#41718,Policy#LPL10010845602.//$10M Limit xs$10M:Aspen American Insurance,12/21/20-21,NAICS#23647,Policy#LXOOEYGI9. //$5M Limit xs$20M:Landmark American Insurance,12/21/19-20, NAICS#33138,Policy#LHZ779920. //$5M Limit xs$25M:Endurance American Specialty,12/21/20-21,NAICS#41718,Policy#LPX10010846202. //$10M Limit xs$30M:QBE Insurance Company,12/21/20-21,NAICS#39217,Policy#QPL0015445//$5M xs$40M:Starstone Specialty Ins.Co.,12/21/20-21,NAICS# 541110,Policy#T85913190APL CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Board of Count Commissions of Monroe Count Florida THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y Y ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MM/DDYYY) A�" /YCERTIFICATE OF LIABILITY INSURANCE 8/18/2021 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 NAME: Graham Demont Demont Insurance Agency, Inc. PHONE FAX 3375-1 Capital Circle NE A/C No Ext: 850-942-7760 A/C,No:850-942-7758 Tallahassee FL 32308 ADDE-MRESS: documents@demontinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Depositors Ins. Co. 42587 INSURED PEEBSMI-01 INSURERB:Allied Property and Casualty Ins. Co. 42579 Peebles, Smith &Matthews, Inc. INSURERC: RetailFirst Insurance Company 10700 PO Box 10930 Tallahassee FL 32302-2930 INSURERD: Berkley Insurance Company 32603 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:987048281 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 MM/DD A X COMMERCIAL GENERAL LIABILITY Y Y ACPBPOD5914386397 5/12/2021 5/12/2022 EACH OCCURRENCE $1,000,000 F7�vl DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES (E.occurrence) ccurrrence) $ Approved Risk Management MED EXP(Any one person) $5,000 y 1ld,/_ 1:3 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY❑ PRO- ❑ JECT LOC 8-23-2021 PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y ACPBPOD5914386397 5/12/2021 5/12/2022 COMBINED SINGLE LIMIT $1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident B X UMBRELLA LAB X OCCUR ACPCAP5914386397 5/12/2021 5/12/2022 EACH OCCURRENCE $1,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $1,000,000 DED RETENTION$ $ C WORKERS COMPENSATION 520-58181 8/12/2021 8/12/2022 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? ❑ N/A (Mandatory in NH) 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 Professional Liability PLP1818177P2 1/17/2021 1/17/2022 Limit of Liability 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is listed as an additional insured with respect to the general liability and auto liability policy when required by written contract.Waiver of subrogation applies in favor of certificate holder with respect to general liability when required by written contract. CERTIFICATE HOLDER CANCELLATION 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 of County Commissioners 1100 Simonton Street, Suite 2-205 AUTHORIZED REPRESENTATIVE Key West FL 33040 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Client#: 1405411 131 GRAYROB DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 4/14/2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: McGriff Insurance Services PHONE 407 691-9600 FAX 888-635-4183 A/C,No,Ext: (A/C,No): PO Box 4927 E-MAIL ADDRESS: 333 S Garland Ave 16th FI INSURER(S)AFFORDING COVERAGE NAIC# Orlando, FL 32802-4927 INSURER A:National Fire Insurance Co of Hartford 20478 INSURED INSURER B:Continental Insurance Company 35289 GrayRobinson PA Travelers Indemnity Company 25658 INSURER C: Y P Y P.O. Box 3068 American Casualty Co of Reading PA 20427 INSURER D: Y 9 Orlando, FL 32802 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 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 TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY X X 6012395102 04/15/2021 04/15/2022 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence $1,000,000 Approved Risk Mganag�em nt MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY� PR - POLICY X LOC 4-15-2021 PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ D AUTOMOBILE LIABILITY X X 6012395133 04/15/2021 04/15/202 COEaMBINED ccidentS INGLE LIMIT $1r 000r 000 a ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ B X UMBRELLA LIAB X OCCUR CUE6012395116 04/15/2021 04/15/2022 EACH OCCURRENCE $15 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DED X RETENTION$1 OOOO $ C WORKERS COMPENSATION X UB1 R630861 08/09/2020 08/09/2021 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Insured status is granted with respects to General Liability if required by written contract per form "Non-Contractor's Additional Insured Endorsement"form#CNA74857XX 01/15 and General Liability Extension Endorsement,form CNA74879XX(1-15).Waiver of Subrogation status is granted with respects to General Liability if required by written contract per form"General Liability Extension Endorsement",form C NA74879XX(1-15). (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S27772192/M27771985 PSBE DESCRIPTIONS (Continued from Page 1) Additional Insured -Primary and Non-Contributory status is granted with respects to General Liability if required by written contract per form "General Liability Extension Endorsement",form CNA74879XX(1-15). Additional Insured status is granted with respects to Auto Liability as it pertains to Non-Owned&Hired Auto Liability coverage if required by written contract per form "Business Auto Coverage Form",form #CA0001 10/13. Waiver of Subrogation status is granted with respects to Auto Liability as it pertains to Non-Owned& Hired Auto Liability coverage if required by written contract per form "Waiver of Transfer Rights of Recovery",form#CA0444 03/10. Waiver of Subrogation status is granted with respects to Workers Compensation if required by written contract per form "Waiver of Our Rights to Recover From Others Endorsement"form#WC000313. Umbrella is Follow Form providing excess liability over General Liability,Automobile Liability,and Employer's Liability limits shown. SAGITTA 25.3(2016/03) 2 of 2 #S27772192/M27771985 -'� GRAYROB-01 DSMITH2 CERTIFICATE OF LIABILITY INSURANCE DATE 12/21/2020Y) �•� 12/21/2020 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 NAME: Hub International Florida PHONE FAX 1560 Orange Avenue (A/C,No,Ext): (A/C,No): Suite 750 E-MAIL...DD Certificates.FLA@Hubinternational.Com Winter Park,FL 32789 INSURERS AFFORDING COVERAGE NAIC# INSURERA:Endurance American Specialty Insurance Company 41718 INSURED INSURER B:Aspen American Insurance Company 43460 Gray Robinson,P.A. INSURER C7 301 E.Pine Street,#1400 INSURER D: Orlando,FL 32801 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MWDD/YYYY MWDD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR DAMAGETO RENTED PREMISES Ea occurrence $ MED EXP(Any oneperson) $ g� I _ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: �A I ! ''I -- GENERAL AGGREGATE $ PRO- POLICY JECT LOC ? - -" PRODUCTS-COMP/OPAGG $ OTHER: DA71 /,2 8_Z 2 .O COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY Ea accident $ ANY AUTO N ,_ BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS Professional liability only BODILY INJURY Per accident $ 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 PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional Liab. LPL 0239 0616 12/21/2020 12/21/2021 Rtn.$750,000 10,000,000 B Prof Liab 10x10 LXOOEYG20 12/21/2020 12/21/2021 Rtn.$10,000,000 10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) SIR: $750,000 Claim,$1,500,000 Agg Retention -Endurance American Specialty Insurance,12/21/20-21,NAICS#41718,Policy#LPL10010845602.//$10M Limit xs$10M:Aspen American Insurance,12/21/20-21,NAICS#23647,Policy#LXOOEYG19. //$5M Limit xs$20M: Landmark American Insurance,12/21/19-20, NAICS#33138,Policy#LHZ779920. //$5M Limit xs$25M: Endurance American Specialty,12/21/20-21,NAICS#41718,Policy#LPX10010846202. //$10M Limit xs$30M:QBE Insurance Company,12/21/20-21,NAICS#39217,Policy#QPLOO15445//$5M xs$40M:Starstone Specialty Ins.Co.,12/21/20-21,NAICS# 541110,Policy#T85913190APL CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ty ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD -------Th PEEBSMI-01 SVOLZ .4�R� CERTIFICATE OF LIABILITY INSURANCE °ATEIMM2Y, +zrvz02YY2D 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 License#LOOOSW CONTACT Graham Demont NAME. Demon Insurance Agency,Inc. PHONE FAX 2400 Mahan Dr INO,No,Eat):(850)942-7760 jNlc.No(850)942-7758 Tallahassee,FL 32308 Miss.documents@demontinsurance.com INSURER(S)AFFORDING COVERAGE NAIC/ INSURER A Depositors Ins.Co. 42587 INSURED INSURER B Allied Property and Casualty Ins.Co. 42579 Peebles,Smith 8 Matthews,Inc. INSURER n RetailFirst Insurance Company 10700 PO Box 10930 INSURER D:Berkley Insurance Company 32603 Tallahassee,FL 32302-2930 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. NSR TYPE .ADDO OFINSURANCE SUER POLICY EFF POLICY EXP TRIINSO MD POLICY NUMBER IMMNDOIYYYYI IMMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ CLAIMS-MADE X OCCUR • X ' X ACPBPOD5904386397 5/12/2020 5/12/2021 PREMISES° TlEee"cwEance) a 300,000 MED EXP Any one parson) $ 5,000 PERSONAL a ADV INJURY $ 1,000,000 GENII AGGREGATE LIMIT APPLIES PER • L,GENERAL AGGREGATE s 2,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMPIOP AGG 5 2,000,000 OTHER 1 _ ,. A AUTOMOBILE LIABILITY (Ewa acccidenSlrvoLE umrt nt) $ 1,000,000 'ANY AUTO X ACPBP005904386397 5/12/2020 5/12/2021 BODILY INJURY(Per person) _$ OWNED SCHEDULED I p AUTOS� ONLY AUTO S SODILY INJURY(peravNanl). $ FIUTp OS ONLY X NON ONLY oi OWNED PROPERTY DAMAGE IPereeclaeml a $ B X UMBRELLA LIAR X I OCCUR II EACH OCCURRENCE 15 +,DDD,DDD EXCESS LIAR I CLAIMS-MADE ACPCAP5904388397 5/1212020 5/12/2021 AGGREGATES 1,000,000 DED I RETENTIONS is C AND EMPLOYERS'COMPENSATION YIN X I STATUTE OTH- ApNpYPROpPRpIETORIPARTNERIEXECUTIVE 52O"5818+ 8/12/2020 8/12/2021 E L EACH.ACCIDENT s +r900,000 OFFICE 1 la��'EXCLUDED/ NIA - es describe under EL DISEASE-EA EMPLOYEE $ 1,000.000 _ EL DISEASE- 1,000,000 DESCRIPTION of OPERATIONS below POLICYuun s D Professional Llabili PLP-1818177-PI - i 1/17/2020 1/17/2021 Limit of Liability 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101,Additional Remarks Schedule.may be attached If more space is requlredl Certificate Holder is listed as an additional insured with respect to the general liability and auto liability policy when required by written contract.Waiver of subrogation applies in favor of certificate holder with respect to general liability when required by written contract. BY �nn am 2/2/2020 CERTIFICATE HOLDER WAM11 NCELLATION _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street,Suite 2-205 ACCORDANCE WITH THE POLICY PROVISIONS. Key West,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Client#: 1405411 131GRAYROB ACORD... CERTIFICATE OF LIABILITY INSURANCE DATEiMMIDD"rn) 8/07/2020 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 policylies)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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER wnTACT McGriff Insurance Services PHONE FAx WC.No Ent):407 691-9600 (AEC.No): 888-835<783 PO Box 4927 EMAIL Orlando, FL 32802-0927 ADDRESS: INSURERIBI AFFORDING COVERAGE NAICe 407 691-9600 INSURER A:National Fire Insurance CO of Hartford 20478 INSURED GrayRobinson PA INSURER a:Continental Insurance Company 35289 P.O.Box 3068 INSURER C:Travelers Indemnity Company 25658 Orlando, FL 32802 INSURER o: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 20-21 MSTR BAIWS WC 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 SUB ' POUCY EFF POLICY E) LTRINSR WVD POLICY NUMBER (MMIDDARYY) (MWODIYYVY) E LIMITS A X COMMERCIAL GENERAL LIABILITY X X 6012395102 04/15/2020 04/15/2021 EACC,HHOO[CiCpURRENCE 51,000,000 _ - CLAIMS-MADE I o XI OCCUR PFEMISE51Ea occurrence] 51,000,000 MED EXP(Any one person) 515,000 PPROVED RISK MANAGEMENT with attach vents PERSONALS ACV INJURY $1,000,000 GENT AGGREGATE LIMIT APPLIES PER //LPL 3 A GENERAL AGGREGATE s2,000,000 POLICY JECT LX,I LOC I PRODUCTS-COMPIOP AOG s2,000,000 OTHER. 8-10-2020 5 A AUTOMOBILELIABILrY - X X 6012395133 04/15/2020 04/15/20211E0MBraeDSINGLe LIMIT st000,000 ANY AUTO BODILY INJURY(Per person} S OWNED —SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Pere¢tlern $ X HIREDT ONLY X AUTONON-OWNED O ONLY IPerauode,DAMAGE 5 S B x UMBRELLA LIAR X OCCUR CUE6012395116 04/15/2020 04/15/2021 EACH OCCURRENCE s15,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $15,000,000 DED X RETENTION 510000 '. 5 C WORKERS COMPENSABON X UB1 R630861 08/09/2020 08/09/2021 X PER OTH. AND EMPLOYERS'UABILRY T.IN EACHAE__. ER ANY PROPRIETORDARTNEWEXECUTIVE"" E L.EACH ACCIDENT 0.000000 DFFICEWMEMBER EXCLUDED'? r NIA (Mandatory En NH) E.L.DISEASE-EA EMPLOYEE 51,ODO,DOg If yes deepRe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT 51,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remeha Schedule.may be attached if more apace is nquiMl Additional Insured status is granted with respects to General Liability if required by written contract per form"Non-Contractor's Additional Insured Endorsement'form#CNA74857XX 01/15 and General Liability Extension Endorsement,form CNA74879XX(1-15). Waiver of Subrogation status is granted with respects to General Liability if required by written contract (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 ALIThR__ORED REPRESENTATIVE ` p4 CIMISar ©1988.2015 ACORD CORPORATION.All rights reserved. ACORD 25(201E/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #526299676/M26298429 PSBE DESCRIPTIONS (Continued from Page 1) per form"General Liability Extension Endorsement",form CNA74879XX(1-15). Additional Insured-Primary and Non-Contributory status is granted with respects to General Liability if required by written contract per form"General Liability Extension Endorsement",form CNA74879XX(1-15). Additional Insured status is granted with respects to Auto Liability as it pertains to Non-Owned&Hired Auto Liability coverage if required by written contract per form"Business Auto Coverage Form',form #CA0001 10/13. Waiver of Subrogation status is granted with respects to Auto Liability as it pertains to Non-Owned& Hired Auto Liability coverage if required by written contract per form"Waiver of Transfer Rights of Recovery",form#CA0444 03/10. Waiver of Subrogation status Is granted with respects to Workers Compensation if required by written contract per form"Waiver of Our Rights to Recover From Others Endorsement"form#WC000313. Umbrella is Follow Form providing excess liability over General Liability,Automobile Liability,and Employer's Liability limits shown. SAGITTA 25.3(2016/03) 2 of 2 #526299676/M26298429 Client#: 1405411 131 GPAYROB DATE(MM/DD/YYYY) ACORD.,,, CERTIFICATE OF LIABILITY INSURANCE 8/07/2020 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: McGriff Insurance Services PHONE 407 691-9600 FAX 888-635-4183 A/C,No,Ext: (A/C,No): PO Box 4927 E-MAIL ADDRESS: Orlando, FL 32802-4927 INSURER(S)AFFORDING COVERAGE NAIC# 407 691-9600 INSURER A:National Fire Insurance Co of Hartford 20478 INSURED INSURER B:Continental Insurance Company 35289 GrayRobinson PA Travelers Indemnity Company 25658 INSURER C: Y P Y P.O. Box 3068 Orlando, FL 32802 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 20-21 MSTR BAIWS WC 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 TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY X X 6012395102 0411512020 04/15/2021 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISES(ERENTED nte) $1,000,000 MED EXP(Any one person) $15,000 APPROVED RISK MANA/GEME Twith attach ents PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PPOLICY JECTPRO- X LOC PRO- PRODUCTS-COMP/OPAGG $2,000,000 OTHER: 8-10-2020 $ A AUTOMOBILE LIABILITY X X 6012395133 04/15/2020 04/15/2021 COEaMBINED ccidentS INGLE LIMIT 1>000>000 a ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ B X UMBRELLA LIAB X OCCUR CUE6012395116 0411512020 04/15/2021 EACH OCCURRENCE s15,0001000 EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DED I X RETENTION$10000 $ C WORKERS COMPENSATION X UB1 R630861 08/09/2020 08/09/2021 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Insured status is granted with respects to General Liability if required by written contract perform "Non-Contractor's Additional Insured Endorsement"form#CNA74857XX 01/15 and General Liability Extension Endorsement,form CNA74879XX(1-15). Waiver of Subrogation status is granted with respects to General Liability if required by written contract (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S26299676/M26298429 PSBE DESCRIPTIONS (Continued from Page 1) perform "General Liability Extension Endorsement",form CNA74879XX(1-15). Additional Insured -Primary and Non-Contributory status is granted with respects to General Liability if required by written contract per form "General Liability Extension Endorsement", form CNA74879XX(1-15). Additional Insured status is granted with respects to Auto Liability as it pertains to Non-Owned & Hired Auto Liability coverage if required by written contract per form "Business Auto Coverage Form", form #CA0001 10/13. Waiver of Subrogation status is granted with respects to Auto Liability as it pertains to Non-Owned & Hired Auto Liability coverage if required by written contract per form "Waiver of Transfer Rights of Recovery",form#CA0444 03/10. Waiver of Subrogation status is granted with respects to Workers Compensation if required by written contract per form "Waiver of Our Rights to Recover From Others Endorsement"form#WC000313. Umbrella is Follow Form providing excess liability over General Liability, Automobile Liability, and Employer's Liability limits shown. SAGITTA 25.3(2016/03) 2 of 2 #S26299676/M26298429 Client#: 1405411 131 GRAYROB DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 4/13/2020 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: McGriff Insurance Services PHONE 407 691-9600 FAX 888-635-4183 A/C,No,Ext: (A/C,No): PO Box 4927 E-MAIL ADDRESS: Orlando, FL 32802-4927 INSURER(S)AFFORDING COVERAGE NAIC# 407 691-9600 INSURER A:National Fire Insurance Co of Hartford 20478 INSURED INSURER B:Continental Insurance Company 35289 GrayRobinson PA Twin City Fire Insurance Company 29459 INSURER C: Y P Y P.O. Box 3068 INSURER D: Orlando, FL 32802 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 20-21 Master BAI BWS 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. ADDLSUBR LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY X X 6012395102 04/15/2020 04/15/2021 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISESOEa occur°nce $1,000,000 0 Deductible MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY X X 6012395133 04/15/2020 04/15/2021 (CEO,accc S iden INGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ B X UMBRELLA LAB X occuR CUE6012395116 04/15/2020 04/15/2021 EACH OCCURRENCE s15,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE s15,000,000 DED X RETENTION$10000 $ C WORKERS COMPENSATION x 21 WBAF3508 08/09/2019 08/09/202 X STATUTE EORH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Insured status is granted with respects to General Liability if required by written contract per form "Non-Contractor's Additional Insured Endorsement"form#CNA74857XX 01/15 and General Liability Extension Endorsement,form CNA74879XX(1-15). Waiver of Subrogation status is granted with respects to General Liability if required by written contract (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S25568896/M25567979 PSBE DESCRIPTIONS (Continued from Page 1) perform "General Liability Extension Endorsement",form CNA74879XX(1-15). Additional Insured -Primary and Non-Contributory status is granted with respects to General Liability if required by written contract per form "General Liability Extension Endorsement",form CNA74879XX(1-15). Additional Insured status is granted with respects to Auto Liability as it pertains to Non-Owned&Hired Auto Liability coverage if required by written contract per form "Business Auto Coverage Form",form #CA0001 10/13. Waiver of Subrogation status is granted with respects to Auto Liability as it pertains to Non-Owned& Hired Auto Liability coverage if required by written contract per form "Waiver of Transfer Rights of Recovery",form#CA0444 03/10. Waiver of Subrogation status is granted with respects to Workers Compensation if required by written contract per form "Waiver of Our Rights to Recover From Others Endorsement"form#WC000313. Umbrella is Follow Form providing excess liability over General Liability,Automobile Liability,and Employer's Liability limits shown. APPROVED RISK MANAGEMENT 04-14-2020 SAGITTA 25.3(2016/03) 2 of 2 #S25568896/M25567979 Client#: 1405411 131 GRAYROB ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)7/31/2019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: McGriff Insurance Services .PHONE 407 691-9600 FAX 888-635-4183 PO Box 4927 (AMA No,Ext): (A/C,No): E-ADDRESS: Orlando,FL 32802-4927 407 691-9600 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:National Fire Insurance Co of Hartford 20478 INSURED INSURER B:Continental Insurance Company 35289 GrayRobinson PA Twin CityFire Insurance Company 29459 P.O.Box 3068 INSURER C: P Y Orlando, FL 32802 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 19-20 Master BAI BWS 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. T INSR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MMIDD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY * * 6012395102 04/15/2019 04/15/2020 EACH OCCURRENCE $1,000,000 D CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $1,000,000 X $0 Deductible MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY * * C6012395133 04/15/2019 04/15/2020 COMBINED NGLE LIMIT (Ea accident)SI $1,000,000 ANY AUTO BODILY INJURY(Per person) $ _ OWNED SCHEDULED BODILY INJURY(Per accident) $ _ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY accident) X AUTOS ONLY X AUTOS ONLY $ $ B X UMBRELLA LIAB X OCCUR CUE601239511 04/15/2019 04/15/2020 EACH OCCURRENCE $15,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DED X RETENTION$10000 _ $ C WORKERS COMPENSATION * 21WBAF3508 08/09/2019 08/09/2020 X TUTE ERH STA AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under 11• AGEMENT DESCRIPTION OF OPERATIONS below 1 OMB E.L.DISEASE-POLICY LIMIT $1,000,000 WAIVER N/, ES-._. vim!C - G0 h nnOlt- DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) *Additional Insured status is granted with respects to General Liability if required by written contract per form"Non-Contractor's Additional Insured Endorsement"form#CNA74857XX 01/15 and General Liability ' Extension Endorsement,form CNA74879XX(1-15). *Waiver of Subrogation status is granted with respects to General Liability if required by written contract (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S24092457/M24091896 PSBE DESCRIPTIONS (Continued from Page 1) per form"General Liability Extension Endorsement",form CNA74879XX(1-15). *Additional Insured-Primary and Non-Contributory status is granted with respects to General Liability if required by written contract per form"General Liability Extension Endorsement",form CNA74879XX(1-15). *Additional Insured status is granted with respects to Auto Liability as it pertains to Non-Owned&Hired Auto Liability coverage if required by written contract per form"Business Auto Coverage Form",form #CA0001 10/13. *Waiver of Subrogation status is granted with respects to Auto Liability as it pertains to Non-Owned& Hired Auto Liability coverage if required by written contract per form"Waiver of Transfer Rights of Recovery",form#CA0444 03/10. *Waiver of Subrogation status is granted with respects to Workers Compensation if required by written contract per form"Waiver of Our Rights to Recover From Others Endorsement"form#WC000313. Umbrella is Follow Form providing excess liability over General Liability,Automobile Liability,and Employer's Liability limits shown. SAGITTA 25.3(2016/03) 2 of 2 #S24092457/M24091896