Certificates of Insurance A d CERTIFICATE OF LIABILITY INSURANCE EATS 1
THIS CERTIFICATE IS ISSUED AS A MATTER OF gMORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTFICATE HOLDER THIS
CERTFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEPB, EXTEND OR ALTER TIE COVERAGE AFFORDED BY TIE POLICIES
BELOW. THE CERTIFICATE OF MSURANCE DOES NOT COMMUTE A CONIRACT BETWEEN THE MIMING MMINER(S), AUTHORIZED
REPRESENTATWE OR PRODUCE,AND THE CERTFICATE HOLDER.
MIPORTANT: N the oerErAla holder Is an ADDITIONAL INSURED,One policyks)must have ADDITIONAL NWRED pItvYlase or be endorsed.
R SUBROGATION IS WAIVED,subject So Sr Erns and conditions of M policy,coke pelltles may require an endorsement A efbnant on
NY certificate dose not confer fights to the cereals holder In lieu of such egasnrnstEs).
PRODUCER
ACT
Arthur J.Gallagher Risk Management Services, Inc. .weUsBWY FAX
250 Park Avenue,5th Floor Ei, s.sue 212-0B4-7100 IAe 11.t212B94-70E7
New York NY 10177 AWES! t_SYSY0e0./am
INSONEgYAHdrrge0l6rAGE IYN.e
!±enuS'BR.724491 soon A:XL Spedstb Munn Company 37885
MURES
Woods Hole Group Inc. WOODHOSE nnwn•:Transportation Ennnce Comp•ny 20E4
107 Waterhouse Road Nano:Indian Haler BOOM/ICE Cowpony 3E40
Bourne MA 02532 reeve D:Everest National Manna Company 10120
IMPURE:
MUM*F:
COVERAGES CERIFICATE NUMBER:2123151121 REVISION NUIER:
THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE MUSED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY RE J I NT,TERM OR CONDITION OF ANY CONTRACT OR OMER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAR TIE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TIE IERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LBRTS SHOWN MAY HAVE BEEN REDUCED BY PAIDCLAIIMS.
eLTR TRICOTNYmANCEAM veto MUM'NUMMI I V or magaRI1Y1 UNITE
A X alRCIALIBnALLLAtny r UM030eS27MAIA 1/1D021 111/2022 EKE ocoIAIEREE 1,000030
CA Awe'lira n DCCUR B SESEaP wan) WOW
X ARAN UmaY MED EW Wban Pasn) QBOn
NABPNL A NW wow TOWARD
RIBA AGGREGATE LSAT APPLES PER GENERAL AGGREGATE 2,GIO,CW
P .JOY 7JJR.: LOC PROCCTA COPAP AGO 2.000,000
OTHER
B AMTOMalalABLITY r 7012097849 1/1D021 1/1/202 I IFDWa Og
� 11-WIT LOX
X ANY Aura BOCIL.Y IMAAM•(Pr pen)
OWNED —SCHEDULED
AUTOS ONLY ANTIS
Boar aura(PE s+Yu)
HARED NON-OWNED WED PA�
.VRC=ONLY _AUTOS ONLY
Ea
A INEIIEUA LIAM X 000LJR UM00014826MA21A 1/1D021 1/112022
X Qom LW AGGREGATE
fern 10000,000
CLWBYACE AUREATE 10000,000
CFD X RETENTIONS x lm r� OM
O WORKERS
COEATM 9IDDOae00-211 1/1/2021 1l1/1@2 X IFIkuiE ER 'AGE nPLWnF MALAY YIN
ANYPROPREOM RSEJ C)CAO TIVE [El. NIA EL.EACH ACCIDENT 1,030,030
SRN e.vseNory te I$ DIS
EASE EASE-EA deLOYEE 1,01030
OFlDeP11CN OF OPERATIONS Was EL PEASE-PCUCY LAST I,G0,001
C rJAaww N N 0.oea,S Jug 7/3WtO 7/302021 OnYmo 1,003000
WEE FEWa 1,003,030
OnaIEDII OF anA110S/LOCATIONS/YE ENI MCorp III,AWBAE NNBNINERWINA AY'WAWA 1/0401111 Is wiping
Monroe County BOCC Is*deicing fevered regarding General LYbMy and Ado Liability where mogul by mitten coning srbjsd to polo,EMI and
conditions.Nark.Compensation provides avails br the Ate of FL IBI(IMlM ��
ev
oA 7/202i
CERTFICATE HOLDER CANCELLATION wAIN osac��
SHOULD ANY OF EIS ABOVE DUCRME POLICES BE CANCELLED WEE
THE EXPIRATION OA1E THEEOF, NOICM WILL E OHNNIW N
Monroe County BOCC ACOORDANCE WTI THE POLICY PMMIONt.
Insurance Con bane
P 0 Box 100085 FX AunpngmmslnsaATns
Duluth GA 300E
I
01ES4015 ACORD CORPORATION. AM rights moved
ACORD 25(201E 03) 'Me ACORD name and Ingo as registered mugs of ACORD
DATE(MM/DDYYY)
A�" /YCERTIFICATE OF LIABILITY INSURANCE 5i20i2020
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: Liz Steele
ArthurJ. Gallagher Risk Management Services, Inc. HON Ext: 212-994-7100 Fvc,No:212-994-7047
250 Park Avenue, 5th Floor (AMAIL
New York NY 10177 ADDRESS: liz_steele@ajg.com
INSURER(S)AFFORDING COVERAGE NAIC#
License#:BR-724491 INSURERA:XL Specialty Insurance Company 37885
INSURED WOODHOL-05 INSURERB: Everest National Insurance Company 10120
Woods Hole Group, Inc. INSURERC: Indian Harbor Insurance Company 36940
107 Waterhouse Road
Bourne MA 02532 INSURERD:Twin City Fire Insurance Company 29459
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:1145021786 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 UM00044627MA20A 1/1/2020 1/1/2021 EACH OCCURRENCE $1,000,000
CLAIMS-MADE OCCUR DAMAGE TO RENTED
PREMISES Ea occurrence $50,000
MED EXP(Any one person) $5,000
PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY❑ PRO ❑
JECT LOC PRODUCTS-COMP/OP AGG $2,000,000
X
OTHER: $
D AUTOMOBILE LIABILITY Y 16UENHF0816 1/1/2020 1/1/2021 COEaMBINE accidenntSINGLELIMIT $1,000,000
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
X Hired Car X Phys Cam Comp&Coll Deds $1.000
A UMBRELLA LAB X OCCUR UM00044626MA20A 1/1/2020 1/1/2021 EACH OCCURRENCE $10,000,000
X EXCESS LAB CLAIMS-MADE AGGREGATE $10,000,000
DED X RETENTION$ nnn $
B WORKERS COMPENSATION 9700000409-201 1/1/2020 1/1/2021 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
C Professional N N PECO055325 7/30/2019 7/30/2020 Occurrence Limit 1,000,000
Liability Aggregate Limit 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required)
Monroe County BOCC is additional insured as required by written contract 7'
A
y
A 5/20/2020
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS.
Insurance Compliance
P O Box 100085-FX AUTHORIZED REPRESENTATIVE
Duluth GA 30096 .. y
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD