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Certificates of Insurance
CERTIFICATE OF LIABILITY INSURANCE 12111/: Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confe 2739 U.S. Highway 19 N. rights upon the Certificate Haider. This Certificate does not amens Holiday, FL 34691 extend or alter the coverage afforded by the policies below. (727) 938-5562 Insurers Affording Coverage NAIL Insured: South East Personnel Leasing, Inc.& Subsidiaries i r%nan'k Lion Insurance Company 2739 U.S. Highway 19 N. rr 'r'ie B Holiday_. FL 34691 Coverages 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 oentract or othe 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 sL policies. Aggregate limits shown may have been reduced by paid claims. Policy Effective Policy Expiration 1NSR nDDt Type of Insurance Policy Number Date MMIDDIY r"" Date MMIDD111 Limits LTR I"�irog yp y Ei04ERAL LIABILITY Each Occurrence Commercial General Liability Damage to rented premises(EA Claims Made Occur Hoed rer fi occurence,u , Exie Personal Adv Injury f general aggregate limit applies per: General Aggregate : Policy Project LOC Products-CamplOp Agg 't El— AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) d Any Auto Bodily Injury Ali Owned Autos (Per Person) f Scheduled Autos �Hired Autos I Bodily injury 'Non-Owned A (Per Accident) i utos „ « Property Damage 2 19.23 (Per Accident) DA EXCESSIUMBRELLA LIABI Nl AX __ Each Occurrence Occur Claims Made Afire°date �� Deductible A Workers Compensation and WC 71949 01/01/2024 01101/2025 X E41 OTH- Empioyers' Liability ERAny proprietorlpartnerlexecutive officerlmember d.Ea „ ent t.! excluded? NO -1. plsea -Ea If Yes,describe under special provisions below. y E.L,Disease-Polic L'+mits �^�. Other Lion Insurance Company is A.M.Best Compan rated! 'Excellent . AMB # 12f Descriptions of Operations/LocationsNehiclesil lusions added by EndorsementlSpecial Provisions: Client ID: 84-67-0 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company': Sub-Zero,Inc. Coverage only applies to injuries incurred by South East Personnel Leasing,Inc. &Subsidiaries active employee(s) ,while working in FL. Coverage does not apply to statutory employee(s)or Independent contractors)of the Client Company or any other entity. A list of the active employees)leased to the Client Company can be obtained by emailing a request to certificates@lioninsurancecompany.com Project Name: FAX:305-294-1 3 59 1 ISSUE 03-16-12(SS)Reissued 12/10/12(SH)1 Reissued 1219113(SH)I REISSUE 01-06-14(ND)REISSUE 01-07-14(EP)1 REISSUED 01-07-1 (ND) REISSUE 01-04-16(TLD). REISSUE 01-10-18(BP) tmr.Fp'f 1f ATE M:f CANCE9.LATiOh! DUIROE COUNTY gdouh ru a tilv,,rer wellaboendeavor ri mail 34 be cancelled before the expiration date thereof, P policies days written notice to the certificate holder named tc BOARD OF COMMISSIONERS k.0 ri iijilure to do so shall impose no obligation or liability of any kind upon the insurer,lt_ ,900 WHITEHEAD STREET I°resentativas. KEY WEST, FL 33040 A/t,« Date CERTIFICATE OF LIABILITY INSURANCE 12/16/2022 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727) 938-5562 1 Insurers Affording Coverage NAIC# Insured: South East Personnel Leasing, Inc. &Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. InsurerB: Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages 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. Aggregate limits shown may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration Limits LTR INSRD Type of Insurance Policy Number Date(MM/DD/YY) Date(MM/DD/YY) GENERAL LIABILITY Each Occurrence Commercial General Liability Damage to rented premises(EA Claims Made ❑ Occur occurrence) Med Exp Personal Adv Injury General aggregate limit applies per: General Aggregate Policy ❑Project ❑ LOC Products-Comp/Op Agg AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) Any Auto Bodily Injury All Owned Autos �. Scheduled Autos (Per Person) irk Hired Autos � ^' �, Bodily Injury Non-Owned Autos By 71 .14 . 23 (Per Accident) � _ Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur ❑Claims Made Aggregate Deductible A Workers Compensation and x I WC Statu- OTH- Employers'Liability WC 71949 01/01/2023 01/01/2024 tory Limits ER Any proprietor/partner/executive officer/member E.L.Each Accident $1,000,000 excluded? NO E.L.Disease-Ea Employee $1,000,000 If Yes,describe under special provisions below. E.L.Disease-Policy Limits $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A(Excellent). AMB# 12616 Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 84-67-001 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company": Sub-Zero,Inc. Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s) ,while working in: FL. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by emailing a request to ce rtif icates@ lion insurancecompany.corn Project Name: ISSUE 12-16-22(BP) Be in Date:3 5 2012 CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOCC Should any of the above described policies be cancelled before the expiration date thereof,the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left,but failure to do so shall impose no obligation or liability of any kind upon the insurer,its agents or representatives. KEY WEST, FL 33040 ow- Client#: 66055 SUBZE DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 12/14/2022 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 Taylor Markee Acrisure dba Gulfshore Ins-SF PHONE 239 435 7150 FAX 239 213 2803 A/C,No,Ext: (A/C,No): 4100 Goodlette Rd N E-MAIL �g ADDRESS: tmarkee@gulfshoreinsurance.com Naples, FL 34103 INSURER(S)AFFORDING COVERAGE NAIC# 239 261-3646 INSURER A:Southern-Owners Insurance 10190 INSURED INSURER B:Owners Insurance 18988 Sub Zero, Inc. INSURER C 6003 Peninsular Avenue#5 Key West, FL 33040 INSURER D: 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 2023122014477522 12/10/2022 12/10/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISESOEa occur°nce $300,000 MED EXP(Any one person) $10,000 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 B AUTOMOBILE LIABILITY X X 5310466300 12/10/2022 12/10/202 (CEO, identS INGLE LIMIT 1r 000r 000 acc X 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 $ A X UMBRELLA LIAB X OCCUR 5310466301 12/10/2022 12/10/2023 EACH OCCURRENCE $5 OOO 000 EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 DED I X RETENTION$10000 $ W AND EMPLOYERS'LIABILITY ORKERS COMPENSATION '1r4 STATUTE EORH PER Y/N +"„ ANY PROPRIETOR/PARTNER/EXECUTIVE N a "" E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) „. .4 ,. �. E.L.DISEASE-EA EMPLOYEE $ If yes,describe under �' DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ WAW ° . DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County BOCC is listed as additional insured with regards to general liability only as required by written contract on a primary non contributory basis per form 55373 0517 including completed operations per form 55091 0517 and Waiver of Subrogation per form CG2404 0509.Additional Insured with regards to Auto Liability only as required by written contract per form 58504 0115 and Waiver of Subrogation per form 58583 0115. Umbrella follows form. CERTIFICATE HOLDER CANCELLATION Monroe Count BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1895130/M1891464 TKM21 Date CERTIFICATE OF LIABILITY INSURANCE 12/16/2022 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727) 938-5562 Insurers Affording Coverage NAIC# Insured: South East Personnel Leasing, Inc. &Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. Insurer6: Holiday, FL 34691 InsurerC: Insurer D: Insurer E: Coverages 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. Aggregate limits shown may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration Limits LTR INSRD Type of Insurance Policy Number Date(MM/DD/YY) Date(MM/DD/YY) GENERAL LIABILITY Each Occurrence Commercial General Liability Damage to rented premises(EA Claims Made ❑ Occur occurrence) Med Exp Personal Adv Injury General aggregate limit applies per: General Aggregate Policy ❑Project ❑ LOC Products-Comp/Op Agg AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) Any Auto Bodily Injury All Owned Autos �. (Per Person) Scheduled Autos irk Hired Autos Bodily Injury '�' (Per Accident) Non-Owned Autos I � 1 4 .�2 3 _ ,,T,_,�,._,.�, _ Property Damage 4 ,�Il � (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur ❑Claims Made Aggregate Deductible A Workers Compensation and X I WC Statu- OTH- Employers'Liability WC 71949 01/01/2023 01/01/2024 for Limits ER Any proprietor/partner/executive officer/member E.L.Each Accident $1,000,000 excluded? NO E.L.Disease-Ea Employee $1,000,000 If Yes,describe under special provisions below. E.L.Disease-Policy Limits 1 $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A(Excellent). AMB# 12616 Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 84-67-001 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company": Sub-Zero,Inc. Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s) ,while working in: FL. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by emailing a request to ce rtif icates@ lion insurancecompany.com Project Name: ISSUE 12-16-22(BP) Begin Date:3 5 2012 CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOCC Should any of the above described policies be cancelled before the expiration date thereof,the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left,but failure to do so shall impose no obligation or liability of any kind upon the insurer,its agents or representatives. KEY WEST, FL 33040 ow- Approved Risk Management 12-22-21 Date CERTIFICATE OF LIABILITY INSURANCE 12/23/2021 Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no Producer: rights upon the Certificate Holder. This Certificate does not amend, extend 2739 U.S. Highway 19 N. or alter the coverage afforded by the policies below. Holiday, FL 34691 Insurers Affording Coverage (727) 938-5562 NAIC # Insurer A: Lion Insurance Company11075 Insured: South East Personnel Leasing, Inc. & Subsidiaries Insurer B: 2739 U.S. Highway 19 N. Insurer C: Holiday, FL 34691 Insurer D: Insurer E: Coverages 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. Aggregate limits shown may have been reduced by paid claims. Policy Effective Policy Expiration INSR ADDL Limits Type of InsurancePolicy Number Date (MM/DD/YY)Date(MM/DD/YY) LTRINSRD GENERAL LIABILITY Each Occurrence$ Commercial General Liability Damage to rented premises (EA occurrence) Claims MadeOccur $ Med Exp$ $ Personal Adv Injury General aggregate limit applies per: General Aggregate$ PolicyProjectLOC Products - Comp/Op Agg$ Approved Risk Management Combined Single Limit AUTOMOBILE LIABILITY (EA Accident)$ Any Auto Bodily Injury All Owned Autos 12-22-21 (Per Person)$ Scheduled Autos Bodily Injury Hired Autos (Per Accident)$ Non-Owned Autos Property Damage (Per Accident) $ Each Occurrence EXCESS/UMBRELLA LIABILITY OccurClaims MadeAggregate Deductible WC Statu-OTH- X A Workers Compensation and tory LimitsER WC 7194901/01/202201/01/2023 Employers' Liability $1,000,000 E.L. Each Accident Any proprietor/partner/executive officer/member excluded? NO $1,000,000 E.L. Disease - Ea Employee If Yes, describe under special provisions below. $1,000,000 E.L. Disease - Policy Limits Other Lion Insurance Company is A.M. Best Company rated A (Excellent). AMB # 12616 Client ID:84-67-001 Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company": Sub-Zero, Inc. Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working in: FL. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or email certificates@lioninsurancecompany.com Project Name: ISSUE 12-23-21 (KLT) Begin Date:3/5/2012 CERTIFICATE HOLDERCANCELLATION Should any of the above described policies be cancelled before the expiration date thereof, the issuing MONROE COUNTY PUBLIC WORKS insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. 3583 S. ROOSEVELT BLVD. KEY WEST, FL 33040 CERTIFICATE OF LIABILITY INSURANCE I 12/28/2020 Producer: Plymouth Insurance Agenc This Certificate is baled as a matter of Information only and confers no 2739 U.S. Highway 19 N. rights upon the Certiforc Holder. This CertinoM does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the ponder below. (727)938-5562 Insurers Affording Coverage NAIL# Insured: South East Personnel Leasing, Inc. & Subsidiaries Insurer A: Lion Insurance company I1075 2739 U.S. Highway 19 N. Insurer e: Holiday, FL 34691 Insurer C. Insurer D: Insurer E: Coverages The policies of insurance listed below have lean issued to the insured named above for the policy period indicated. Notwilnamndlne any requirement,lent,me n of any contract or other document wire respect m wnicn mid remneate maybe landed or may pertain,the rnsmmice afforded by late policies described herein is°upeot toad me terms,exclusions,and condnions of such policies Aggregate limits shown may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration LTR INSRD Type of Insurance Policy NLlnter Date Dale Limits (MM/DDm') (MM/DDm') GENERAL LIABILITY Eam Occurrence a Commercial General Liability co Claims Made El Occur Approvld Risk Management //,KR..0 L. 5 / Aii Darnel. '°d premises(EArnc ) Med Ere g General aggregate limit applies per. Personal Ativ Injury ; General Agwe ale $ Policy ❑Protect ❑ LOC 2 22_•2021 Products-Comp/op Aim S AUTOMOBILE LIABILITY Combined Single Lim II Any Auto (EA Accident) E All Owned Autos Bodily injury dAmos Boer Pemmq y Hired AutosSootily Injury �Nm-0wned Autos Ion Accident) s Property Damage (Per Accident) r EXCESS/UMBRELLA LIABILITY each Occurrence R Occur El Daims Made Aggregate A Workers Compensation and WC 71949 01/01/2021 01/01/2022 XI WC Stator tadia �OTTH- Employers'Liability Any propretor/patlner/execufve officer/member EL Each Accident SISUe,ppp excluded? NO IfYes.describe under special provisions below. EL.Disease-Fa Employee atpod,opo E.L.Disease-Policy Limits SI.O00.000 Other Lion Insurance Company Is A.M.Best Company rated A(Excellent). AMB#12616 Descriptions of Operations/LocationsNehicles/Excluslons added by Endorsement/Special Provisions: Client ID: 8467-001 Coverage only applies to active employee(s)of South East Personnel Leaving,Inc.&Subsidiaries that are leased to the following"Client Company': Sub-Zero,Inc Coverage only applies to interim incumN by South East Personnel Leasing,Inc.&Subsidlarla active employee(s),while wohing In:FL. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or email mtificatesOlioninsurancecompany.com Prated Nine: ISSUE 12-28-20(SS) CERTIFICATE HOLDER CANCELLATIONsewn Dam:3fa/SOL3 MONROE COUNTY BOCC Should any of the above described policies be cancelled before the e)Oahon date thereof,me issuing INSURANCE COMPLIANCE insurer will endeavor lomul 30 days written notice to the certificate holder named to theq bid failure to do so shall impose no obligation or liability of any kind upon the insurer,ds agents Or repesenatiws P.O.BOX 100085-FX DULUTH, GA 20096 fl „r.,xad- 7 --a--- _ From: sstoll@lioninsurancecompany.com To: SubZeroBrenda@gmail.com SubZeroBrenda@gmail.com CC: monroecountyf@Ebix.com Subject: Lion Certificate of Insurance For: MONROE COUNTY BOCC Date: 12/28/2020 6:34:32 AM Attachment(s): DO NOT REPLY TO THIS EMAIL. REPLY TO AND SEND ALL FUTURE REQUESTS TO CERTIFICATES@LIONINSURANCECOMPANY.COM ONLY. RESPONSES OR CERTIFICATE REQUESTS SENT TO EMAIL ADDRESSES OTHER THAN CERTIFICATES@LIONINSURANCECOMPANY.COM MAY BE DELAYED OR GO UNPROCESSED. This electronic communication is confidential and protected by legal privileges and work product immunities. If you are not the intended recipient, do not use or disseminate the information contained in this electronic communication. Receipt of this electronic communication by anyone other than the intended recipient is not a waiver of attorney-client or work product privileges. If you have received this electronic communication in error, please notify the sender immediately and permanently delete the original and any copies or printouts thereof. Client*:66055 SUBZE ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATEDIHOWTTYTI 12/15/2020 THIS CERTIFICATE IS ISSUED AS 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 AFFOROEO 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:II tin certificate holder ban ADDITIONAL INSURED,IRA policy(in)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the twins and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the cenifcate holder In Bets of such ndornmengs). PRODUCER eta Amanda Lisenbey AElsure dba Ouifshore Ins-SF ZyNE 4100 Goodish.Rd N 6SYaNN eFE:Est 239 6595867 I jAC,xak 239 213.2803 Naples,FL 34103 ADOR aliseisenbeyeguifahoreinsurance.Gom 239261-3846 RISORENiI COVERAGE nuts RO ER A:Southern-Owners Ma,nnar,c. 10190 INSURED Sub Zero,Inc. Daum S:Owners IISNrsna 1B988 6003 Peninsular Avenue$5 INSURER e: Key Weal,FL 33040 INSURER DI INSURER E: WeuRTRr: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TORE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITIONOF N.Y CONTRACTOR OTHER DOCUMENT AWN RESPECT TO WHICH THIS CERTIFICATE ANY BE ISMIEO OR MAY PERTAIN, THE NSURANCE AFFORDED BY THE POLICIES DESCRIED HEREM IS SUBJECT TO ALL THE TERMS. kW AND CONDITIONS OF SUCH POLICIES. WATS SHOWN MAY HAVE BEEN HEOIICED BY PND CLAIMS. [jR TYPE OF WBYMNCF POLICY WHOM POLICY EFS POLICY ESP A X COMYFAGALOEMEA4yAYYtt rN/O/2020OMITTI IMW➢01202YYM WITS X X 20144775 12/102020 12/102021 EACHoccu RENCE 51,000,000 GAINEMwE D DCGIR _ Approved Risk Management '` ��E"I^Pk•�No- 13W.00o 7AA� � 5b&F/•e/C MESONAL& oywm,I 110,000 „L�(�L� FENSS EAwwEE a1,Wo.0Oo aEm ADaEo.E wr erNEs PER: an OFxIAMwc .ip p s2,000,000 POucr❑X AecT ❑Lot 2-22-2021 FRODwre-CWPAIPAFA 12,000,000 I OTEEs B MIIDNCBLE WMry HE X X 5310406300 11/14/202011/14/2021 i ecjart LE UR 0,000,000 X µrMnD ROM.T%WRY CIF Ana) I OWNED SCHEDULED °COLS NARY Pw=Me° FwT qer AUTOS tNOS XNWNEO L AUTOS ONLY PROPERTY DAMAGE PERonn E S A x UMSELLADw X OCCUR 5310466301 12/10202012/10/2021 entroccuurce $5,000,000 ExCEseWB CLUUS4.0ADE DED I XIRETEmwxA000O AGGREGATE iS,000AOO women CONFEMADON VI. f AxppfRMppwp�R�AppapMMIUEIYwYIN PERIne I VF"I LEER fXCL'J eR ❑ x1A EL EACH ACCAFE S _ loolaldIsCRY HMI I% , ot.u,ew EIMSEASE.SAEHROYFE $ DtS IPnbN M OPERATORSOahe EL DISEASE.POUCT MIT S Descasy WM OF OPERATIONI LOCATIONS/VENICUS LACORO 101.AMMW Ramxflsch AW,my Is WONii TOM gmshissINapl Monroe County BOCC is listed as additional Insured with regards to general liability only as required by written contract on a primary non contributory basis per form 55373 0517 including completed operations per form 55091 0517 and Waiver of Subrogation per form CG2404 0509.Additional Insured with regards to Auto Liability only as required by written contract per form 58504 0115 and Waiver of Subrogation per form 58583 0115.Umbrella follows form. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC MtW LD ANY OF THE ABOVE DEBCRIBED POLICIES BE CANCELLED BEFORE PO 100085-FX THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROV1SIONS. Duluth,GA 30096 AUTIO D REPRESENTATIVE I ^b Ws� ACORD 85(201NM) 1 011 The ACORD name and01938-2015 ACORD CORPORATION.All rights reamed *51631217Rd153D727 HOD are registered marks of ACORD AHL18 Date CERTIFICATE OF LIABILITY INSURANCE 6/16/2020 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727) 938-5562 1 Insurers Affording Coverage NAIC# Insured: South East Personnel Leasing, Inc. &Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. InsurerB: Holiday, FL 34691 InsurerC: Insurer D: Insurer E: Coverages 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. Aggregate limits shown may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration Limits LTR INSRD Type of Insurance Policy Number Date Date (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each Occurrence Commercial General Liability Damage to rented premises(EA Claims Made ❑ Occur occurrence) Med Exp Personal Adv Injury General aggregate limit applies per: General Aggregate Policy ❑Project ❑ LOC Products-Comp/Op Agg AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) Any Auto Bodily Injury All Owned Autos (Per Person) Scheduled Autos Hired Autos Bodily Injury Non-Owned Autos (Per Accident) ISM T Property Damage s .w (Per Accident) EXCESS/UMBRELLA LIABILITY DA 6 16�2 Q 2 QQ Each Occurrence Occur ❑Claims Made WAKFI w� Aggregate Deductible A Workers Compensation and WC 71949 01/01/2020 01/01/2021 X I WC Statu- OTH- Employers'Liability tory Limits ER Any proprietor/partner/executive officer/member E.L.Each Accident $1,000,000 excluded? NO E.L.Disease-Ea Employee $1,000,000 If Yes,describe under special provisions below. E.L.Disease-Policy Limits 1 $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A(Excellent). AMB# 12616 Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 84-67-001 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company": Sub-Zero,Inc. Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s;,while working in: FL. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or email certificates@lioninsurancecompany.com Project Name: ISSUE 03-15-16(TLD).REISSUE 03-30-17(KR).REISSUE 01-10-18(BP)REISSUE 01-23-19(AR). REISSUE 06-16-20(PH) Be in Date:3/5/2012 CERTIFICATE HOLDER CANCELLATION MONROE COUNTY Should any of the above described policies be cancelled before the expiration date thereof,the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left,but failure to BOARD OF COUNTY COMMISSIONERS do so shall impose no obligation or liability of any kind upon the insurer,its agents or representatives. 1100 SIMONTON ST KEY WEST, FL 33040 Bc_!af'` r f r3 �-•� �. -. SUBZE-1 op in- jr. ,acoRO CERTIFICATE OF LIABILITY INSURANCE DATE 01/03/2020Y) `—� 01/03/2020 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 endorsements. PRODUCER 305-294-7696 CONTACT NAME: Atlantic Pacific-Key West PHONE 305-294-7696 FAX 305-294-7383 1010 Kennedy Dr,Suite 203 (A/C,No,EXt): (A/C,No): Key West, FL 33040 aDORIL chernandez@apins.com Richard Horan INSURERS AFFORDING COVERAGE NAIC# INSURER A:Allstate 19232 INSURED INSURER B:FCCI Insurance Co. 10178 Sub Zero Inc. 6003 Peninsula Ave#5 INSURER C 7 Key West,FL 33040 INSURER D 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 EFF POLICY EXP INSD POLICY NUMBER LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR GL100034786-01 01/02/2020 01/02/2021 DAMAGE TO RENTED 100,000 X PREMISES Ea occurrence $ MED EXP(Anyoneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT PRO- El ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO X 060486391 11/14/2019 11/14/2020 BODILY INJURY Perperson) $ 1,000,000 X OWNED AUTOS ONLY AUTOS BODILY BODILY INJURY Per accident $ 1,000,000 X AUTOS ONLY X NUON-OTOSONLY PeOraccdenDAMAGE $ 1,000,000 $ UMBRELLA LAB OCCUR AP 1ST EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE 9 h� AGGREGATE $ DED RETENTION$ 6/1/2 O 2 O $ WORKERS COMPENSATION ��--wV�^�°�'^�'— "" �''� AND EMPLOYERS'LIABILITY k ,,,,,,.,,�;,,..,_ STATUTE FPEROR H YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ - k._. -— E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under Approved as to G cSc AL E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below only DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) LIC#cacO49249 CERTIFICATE HOLDER CANCELLATION MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Count THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. Board Of County Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD