COI Expires 03/05/2020 ,` .." , DATE(MMIDDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE
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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.
IMPOK I AN 1: It the certificate holder is an ADDITIONAL IN —URED,the pelicy(ies)must be trsdorsed. 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 endorscment(s).
PRODUCER
NAME ` Ayden Phillips
Island Insurance Agency,Inc ti(t#E 305 294-6666
N4 305 o_94-6668
3229 Flagler Ave#112 fd
ATaREs Islandinsurance@comcasLnet
INSURIERISf AFFORDING COVERAGE NAIL R
KeyWest
FL- 33040 INSURER A: Security National Ins Cc
INSURED
INSLRER B, National Union Fire Ins Cc of Pittsburgh PA
Check Electric,LLC INSL RER C c
3255 Flagler Ave INSU RER D
Unit#303 INSURER E
Key West FL. 33040
INSURER F .........�,
COVERAGES CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS T;CEP G IFYTH 1"THE I(') CIFS OF INSURANCr LItaTED 8Et,r,)V;I1AVE 0EC q Is'UILD TO THE lN77TM LS N,3 =rF r`vi°3,C aut}9 (}4F >.L1..tC y f3CF�p 3
INDICATED NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CEKf IFICATE MAY Bt 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
LT YGENERAL
TYPE OF INSURANCEIA7wrY.i.`WD _ POLICY NUMBERLIMIT9
LIABILITY
EACHc C C,,1P? 0(L 1,000,000
COMMERCIAL GENERAL LIABILITY r•?Cn € a0 , r 100.000
CLAIMS-MADE D C C U R MED EX )`,.c S 5,000
X SES165533901 05120/2019 05/2012020 PERSONAL dADJ INJURY g 1,000,000
_RY ".
KK. --• --- GENERAL AGGREGATE g 2,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 5 2,000.000
POLICY LOC
AUTOMOBILE LIABILITY "`"'"'� rr-dry •+
ANYAUTO BODILY INJURY(Per perscn) S.
ALL OWNED SCHEDULED
AUTOS AUTOS BODILY INJURY(Per accident) S
HIRED AUTOS NON-OWNED
AUTOS
S
UMBRELLA LIAB
]�O
CCUR � �- _...�
-•m.. EACH OCCURRENCE g 1,000,000
B F.E. 1,000 000
EXCESS LIAB EBU011922070 03r0512C19 03/05/2020 R ATE- 5
RETENTION S � -_
ANYWORKERS
COM E.NSATtON ._..m r.�....... ....®, a
AGG.EG o tJ its
AND EMPLOYERS'LIABILITY k h�Li tFa
WP R'fiIN EXECUTIVE YIN
OFFICERIMEMBER Eh L,L EC? 4 NIA EL-EACH ACCIDENT ff
(Mandatory in NH LJ —
'.If yes,descrbe under EL DISEASE--C r F L+U i LE. 5
DESCRIPTION OF OPERATIONS below EL-DISEASE-POLICY LIMIT $
r
DESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLES(Attach ACORO 101,Additional Remarks Schedule,if more space is required)
ttr at n 4 '� tSiI
BY
DAI
—Certificate Holder is Additional Insured--
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 ACCO DX—NC_R!jf THE POLICY PROVISIONS.
1100 Simonton St. C°
AUfHORIZ
I Key West FL 33040 h 0810612019
ACORD 25(2010f05) 1983 10 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered my rks,ref�1COfiD