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Certificates of Insurance FDATE(MMIDD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 12/17/2021 T IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE OLDER. T IS 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), AUT ORIZED 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 Laura Sarif NAME: StateFarM Aprille Shaffer State Farm Insurance PHONE 704 549 9711 FAX WC,No Ext: (A/C,No): 8210 Univ Exec Pk Dr#150 ADDRIESS: Charlotte NC 28262 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: State Farm Fire and Casualty Company 25143 INSURED INSURER B: State Farm Fire and Casualty Company 25143 NEWTON&ASSOCIATES INC INSURER C #200-201 2720 E WT HARRIS BLVD INSURER D CHARLOTTE NC 28213-3929 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 LIMITS LTR NSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 �X OCCUR DAMAGE TO RENTED CLAIMS-MADE PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) $ 5,000 Y 93-134-4140-0 02/01/2021 02/01/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICYEl PRO JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY Y 0421816F2833 12/28/2021 06/28/2022 EOa aMBI.idea sINGLE LIMIT $ ANY AUTO 3364087EO433 11/04/2021 05/04/2022 BODILY INJURY(Per person) $ 1,000,000 OWNED SCHEDULED BODILY INJURY(Per accident) $ 1,000,000 AUTOS ONLY AUTOS HIRED �/ NON-OWNED PROPERTY DAMAGE AUTOS ONLY X AUTOS ONLY Per accident $ 500,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION YIN �/ PER OTH- AND EMPLOYERS'LIABILITY X STATUTE I JER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA 93-CV-J185-6 09/15/2021 09/15/2022 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,ODO,ODO DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VE ICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) APPROVED Y RISK MANAGEMENT Yam'" ATE WAVER MIA X YES CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF T E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County BOCC 1100 Simonton St. AUTHORIZED REPRESENTATIVE Key West FL 33040 1988-2015 ACORD CO ORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 001486 132849.13 04-22-2020 o C"R"I`A CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 09103/2021 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 polley(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rE his to the certificate holder In lieu of such endorsement s. PRODUCER CONTACT Laura Sarif NAME: _ e t' elrtf) Aprilfe Shaffer State Farm Insurance PHONE 704 549 9711 FAX 8210 Unty Exec Pk Dr 0 150 -MAIL ADDAES$._, . . Charlotte NC 28262 W_INSURER S AFFGRDtNG COVERAGE NAIL N INSURER A State Farm Fira and Casualty Company 25143 INSURED INSURER p: State Farm Fire and Casualty Company 25143 NEWTON&ASSOCIATES INC IN5URER_C: -__ 1#200-201 2720 E WT HARRIS BLVR _--------__—_-- - INSURER D CHARLOTTE NC 28213-3929 - — ._ _----------...---------------___ _ ��__.__.m® INSURER J c _ 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. NOTWITHSTANOING 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. ADDLISSUER LTR TYPE.OF INSURANCE POLICY YY POLICY EXP POLfCY NUMBER MMfOp MM{O LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE )(OCCUR PAiACE70EN7E�--- 300,000 1 m PREMISES(Ea occurrence) $ MEDEXP(Any one erson $ 6,00() Y 93-B4-4140-0 02/0112021 02/0112022 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 2,000,066 __[ GENERAL S X POLICY - JE C ( ...j LOC PRODUCTS•COMPIOP AGG $ 2,000,000 OTHER: DUCTS----- -_ - $ AUTOMOBILE LIABILITY Y 0421816F2833 06/28/2021 12/28/2021 COMBINED SINGLE LIMIT $ (Ea occident ____..... ANY AUTO 3364087E0433 05/04/2021 11I0412021 BODILY INJURY(Per person) S 1,000.000 OWNED BODILY INJURY(Per $ 1, 0,0 _-,---- — AUTOS ONLY � AUTOS ( ) fl0D.000 HIRED �/ NON-OWNED PROPS --- ---- _........--- AUTOS ONLY /� PROPERTY DAMAGE— S 500,000 AUTOS ONLY Per arc dent S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLMMS-MADE AGGREGATE S DED RETENTION S --..-_ ._--- WORKERS COMPENSATION __- PER OTH- AND EMPLOYERS'LIABILITY YIN .S7r1TUTE_. _.fi ...__._ ANY PROPRIETOWPARTNER/EXECUTIVE n E.L.EACH ACCIDENT S 1,000.000 OFFICERIMEMSEREXCLUDED? NIA 93-CV-J185.6 09115/2021 09/15/2022 --._._.__....._.._ - - ------._._,. (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 IfSSes,describounder __..— ___ .__._____ ... _......__. DESCRIPTION OF OPERATIONS beiau E.L.DISEASE•POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS r VEHICLES (ACORD 101,Additlanal Remarks Schedule,may be attached if more space Is required) AP ISK ENT BY- 9 . 7 . 2021 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 BOCC 1100 Simonton St. AUTHORIZED REPRESENTATIVE Key West FL 33040 Completed by an authorized State Farm representa ve.If sl,natur Is required,please contact a State Farm ag nt. 01988-2015 ACORD CORPO - ON. Ail g s res Fed. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1001486 132849.13 04-22-2020 0 DATE(MMIDDtYYYY) ACERTIFICATELIABILITY INSURANCE 01126t2021 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(5), 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 Laura Sarif NAME: Stater-armAprille Shaffer State Farm Insurance PHONE E fit: 704-549-9711 8210 UniV Exec Pk Dr#150 E-MAIL Aaalw,' ADDRESS: Charlotte NC 28262 INSURERS AFFORDING COVERAGE NAIC N INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURERS: State Farm Fire and Casualty Company 25143 Newton&Associates,Inc. INSURERC: 2720 E WT Harris Blvd#200-201m.__� .- INSURER D: ; Charlotte NC 28213 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. ILTR R' TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS LT COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 �/ DAMAGE TO RENTED -300,000- _ CLAIMS-MADE /\ OCCUR _PREMISES..(Eaoceurrence� - _._$ Y _ M EXP(Any aria person} s 5 000 ED __- Y 93 B4 4140 0 02/0212021 02/02/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER', GENERAL AGGREGATE s 2,000,000 1-1 PRO- I _.. __ _...,. POLICY .IECT l 1 LOC PRODUCTS-CQMPlQP AGG $ 2,006,000 _... —w .,.,,..... E OTHER: $ AUTOMOBILE.LIABILITY _. -Y 042 1816 F28 33 12128/2020 06/28/2021 COMBINED&NGLE LIMIT -. $ Ea accident - � ANY AUTO BCI ( t prson) $ 1,000,000 336 4087 E04 33 1'1104/2020 05/04/2021 .,- OILY INJURY Pe e _._ OWNED !f SCHEt3ULED BODILY INJURY(Per accident) S 1,000,000 r AUTOS ONLY AUTOS HIRED eo NON-OWNED A roved Risk Maria Management -PROPERTY DAMAGE - - s 600 000 AUTOS ONLY /� AUTOS ONLY pp g {Per accidents --_—_. W"-�/— I UMBRELLA UAB OCCUR _ EACH OCCURRENCE $.- ------- 1-26-2021 EXCESS LIAB CLAIMS-MADE AGGREGATE $ BED RETENTION S - - -- $ WORKERS COMPENSATION STATUTE OERH AND EMPLOYERS'LIABILITY —.._ __.__..._ .._W_._...._.. ANY PROPRIETORIPARTNERIFXECUTIVE YIN E L EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDF1)? � NIA 93 CV J1285 6 09/1512020 09115/2021 iMandatory in NH) E_L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe antler DESCRIPTION OF OPERATIONS below ( E L DISEASE-POLICY LIMIT u 1,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate holder is fisted an additional insured on the General and Auto policies 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 BtOCC 1100 Simonton St, AUTHORIZED REPRESENTATIVE Key West FL 33040 C 1988-2015 AdOAD COR ORATION. All rights reserved.. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD 1001486 132849,13 04-22.2020 ® DATE(MM/DD/YYYY) CERTIFICATEI I INSURANCE 10/28/2020 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 Laura Sarlf NAME: - _ k )iE Four n, Aprille Shaffer State Farm Insurance PHONE 704-549-9711 FAX A/C No,,ExtJ__ _ - _ -___ A/C No): n„ 8210 Univ Exec Pk Dr#150 ADDRESS: Charlotte NC 28262 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A. State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER B: State Farm Fire and Casualty Company 25143 NEWTON&ASSOCIATES INC INSURER C: 1806 ROCKY RIVER RD E INSURER D: CHARLOTTE NC 28213 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 ADDLSU BRPOLICY EFF POLICY EXP - -- LTR TYPE OF INSURANCE POLICY NUMBER _(MM/DD/YYYY) (MM/DPnQDaL LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED - CLAIMS-MADE L^ OCCUR PREMISES(Ea occurrence) $ 300,000 MED EXP(Any one person) I $ 5,000 Y 93 B4 4140 0 02/02/2020 02/02/2021 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 POLICY PRO- �j 2,000,000 JECT 1 LOC PRODUCTS-_C_O_MP/OPAGG $ 1 OTHER: $ AUTOMOBILE LIABILITY Y 042 1816 F28 33 06/28/2020 12/2$/2020 COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ 1,000,000 336 087 E04 33 11/04/2020 05/04/2021 .... _... - OWNED ` SCHEDULED BODILY INJURY(Per accident) $ 1,000,000 .... AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY /` AUTOS ONLY Per accident $ 500,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ O/ $ WORKERS COMPENSATION /� STATUTE _ OERH_ YIN AND EMPLOYERS'LIABILITY — ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A 93 CVJ 1285 6 09l15/2020 09/15/2021 ----------- ------ (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 I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) I By 10/28/2020 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 BOCC 1100 SIMONTON ST AUTHORIZED REPRESENTATIVE KEY WEST FL 33040 Completed by an authorized State Farm representative.If signature is required, please contact a State Farm agent. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849,13 04-22-2020 A CERTIFICATE LIABILITY INSURANCE QATE( D0YYYY) o9/231�r2o2o 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 tl a certificate holder in lieu of such endorsement(s). CONTACTLaura Sarif - PRODUCER NAME:._ t rnq Aprille Shaffer State Farm Insurance PHONE 704-549 9711 FAX G,No _ 8210 Univ.Exec.Pk.Dr.# 150 E-MAIL _ADDRESS_ Charlotte NC 28262 INSURER(S)AFFOI D NG COVERAGE NAIC# _ __... INSURER A: State Farm Mutual Automobile Insurance C ompany 25178 INSURED INSURER B r State Farm Fire and Casualty Company 25143 Newton&Associates, Inc. INSURER c .._--- _...._ _... .. 1806 Rocky River Rd, East INSURER D: -- Charlotte NC 28213 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. - -- - --- —_...- iNSRAI31)LI,SRJBR....-._.-.. _ .._..... POPOLICY EFF POLICYItP LIMITS LTR TYPE OF INSURANCE i a POLICY NUMBER I MMIDDI YYY MMIQDIYYYY _. X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 _ DAMAG—E'rO RENTER_....-_ CLAIMS-MADEOCCUR _ PREMISCS,Eacccurrenc ..S 300,000 MELD)EXP(.Any one person} $ 5,000 Y 93 B4 4140 0 02/02/2020 02102/2021 PERSONAL&ADv INJURY $-1,000,000 GEN'L AGGREGATE LIMIT APPLIES PE GENERAL AGGREGATE $ 2,000,000 R PRODUCTS- $ 2,000,000 POLICY F PIECT LOC HOTHER- $ - COMBkNEI]SINGLE LIMIT $ AUTOMOBILE LIABILITY 1 042 1816 F28 33 06128/2020 12/28/2020 Ea aga dent ..._. — ANY AUTO 336 4087 E04 33 05/04/2020 11l0412020 BODILY INJURY(Per person) k—.$000,000 _ — - OWNED SCHEDULED BODILY INJURY(Peraorldent) .-$ 1 000 000 AUTOS ONLY _ AUTOS HIRED 4,.^ NONd7WNED 'r'ROPERTY CJAMAGE s 600,000 AUTOS ONLY ...,,/� AUTOS ONLY _ __-- UMBRELLA LIAB _ OCCUR -. EACH OCCURRENCE $ . EXCESS LIAR ; CLAIMS-MADE AGGREGATE LIED RETENTION$ HRH_ WORKERS COMPENSATION STATUTE AND EMPLOYERS'LIABILITY Y!N - - E 1,000,000 ANY PROPRIETORIPARTNER/EX'ECUTIVE �;� E L EACH ACCIDENT - $ OPFICERIMEMBER EXCLUDED? L N N±A 93 CV J1285 6 09/15/2020 09115/2021 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ It yes,descr be under 1,000,000 P DESCRIPTION OP OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 3 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLE;"s tACORD 101,Additional Remarks Schedule,may be attached It more space Is required) ISK , - - - 9/23/2020 CERTIFICATE HOLDErc 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 BOCC - — AUTHORIZED REPRESENTATIVE 1100 Simonton St, Key West FL 33040 ) d 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1601466 13,2049.18 04-22-2020 �4CERTIFICATE OF LIABILITY INSURANCE DATE(MMDWYYM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE I+OLOER. THIS CERTIFICATE DOES I',IOT AFFIRMATIVELY OR NEGATIVELY AMEND.. EXTEND CIS ALTER THE COVERAGE AFFORDED BY THE POLICIES RELOW THIN CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE CONTRACT BETWEEN THE ISSUING IN RER(S), AUT140FZVED I REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT- IT 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 rr hts to the certificateholder in Neu of such andoreernen, a La CONTACT Aprille Shaffer' - S;WeF armIllp Ilafldr PHONE O> L (704) f11 .lug 1 B B s 8210 University Executive P Or Ste 150 E-MAIL apHlle.shafFer, statefarm.ccrrn - 1"SUREW51 AFfOPMG COVERAGE � �IAIC , .. 0 Charlotte NC 28262 INSURER State Farm Mutual Automobile Insurance Comfy 25176 Newton&Associates Inc 1Ns-1 R C; CIIallrrttll NC 28213INSURER r: COVERAGES CERTIFICATE NUMSERa - REVISION NUMBER* - -THIS IS TO CERTIFY THAT THE POUCICS OF INSURANCE LISTED LC O HAVE BEEN ISSUE TO THE INSURED NAMED ABOVE FOR THE POLICY P' R IO INDICATED NCFTINITH TANDINC ANY REOUREMENT, TERM CAR CONDITION OF ANY CONTRACT DR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE Ad FORDED BY THE POLICIES DESCRIBED HERE N RB SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONOITIONS OF SUCH POLICIES.LIMITS SKOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE 57F 1 1IrfiA,NC AMIL,U R ----. --__ 'I% F"F A3r 'C FIk IGYTAMBER T r R F13 �commaRcwoewrRALIt,4 v rry ( FAUN OCCURRENCE s wLL �Ct,AMS-MADEC. j OCCUR - ,� - _F�I ,'Yd§V� .. ca'riw^ nlc.�1 f i AI,..IM E>P E t-"N ACCA'EGATF UWT APPLES PER w-. PO ICY IBC Hex S.,_. -- A d LIABILITY 1 N � 336 D T-F ;05)041 I0e Q l l MBINED 6INQLL LIMIT IT s ANY rCi'C8 � BODILY��.x. y.. , I D SCHEDULED BOD7LYIAU OS G r AUT N1URY t aeu I S� 1.{�,0 lr A�� Ud„Y MOWAUTOS ON 1,0 ..., I II II LLATS a CUR Fwryr m 1 r'LWM A0F'1 _ 5/11/2 0 2 0 act ATr s r N RUFWIOH v, �u '� PE-TC «SPAR` EF7d'E7ZC d Ids - CEi" EIS EXCt UDEDI l rl�lra I �5 IF.$('1br Y4F`>t""k1�r"�r1T �'5'ySCPRIP'MT1CjN s 3r.NM)rp�e under 1F OPMAPONS 000w F,L,EXSEA-W--P0LCYLIMIT 5.. I ' I OESCWTION OF OPCRAIMSI'LOCATIONS I EHICLES (ACOAD 101,Adaloona1 RomaAs Scbaduia.' aVAchod fir.- isrequired)-. _ CERTIFICATE HOLDER CANCELLATION H1 OLD ANY OF THE ABOW DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE. THEREOF, NOTICE 'WILL BE DELIVERED IN ACCORDANCE►4iI1'H THE POLICY PROVISJONS. Monroe County BCCC 1100 Simonton St AUTHORIZED REPRESIENTATIVII — k Key West FL 3 371D 1988-2015 ACORD CORPORATION- All rights reserved. ACCRD 2 201 3 The ACORD name and logo are registered marics of ACORI CERTIFICATE OF LIABILITY INSURANCE 1 07/01/2020 THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AIDES CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGA77VELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING Ili SURMS), AUTHMZED PEPREUNTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT- It Vw Certificate holder is an ADDITIONAL INSURED, th policy(tes)must have ADDITIONAL INSURED provisions of be endomod. If SUBROGATION IS WAIVED,subject to the terms and conditions of the p*Ilcy,Certain policies may require an endorsment A statoinerat on this pwrtifipate doev not ponfer rights to the,vertfficaft holder In lieu of such on on, CONTACT Laurs.Sari NAME' StateMm Apn1le Shall State Farm insurance PHQINF_r.,,..-.-7,0,4.--54,9-,571-I ... ... VAX.'J ........... 8210 Univ,Exec,Pk.Dr, 15,0 Charlotte NC 28262 G rIArC rNSURER A State Farm Mutual Automooile Innswance Company 25178 WSUIRER 6 "itat Farm H re ar4 Casualty Company 25143 S, � Newton&Associates Inc INSURER C r 1806 Rocky River Road Last INSURER D Charlotte NC 28213 041WRER F INSURER F, COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURAW,;E LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERKX) INDICATED, NOTWI THSTANDING ANY REQUIREMENT, 7ERM OR CONDI f$ON OF ANY CONTRACT OR OTHER DOCUMENT WITH REBPFCT TO WHICH TH IS CERTIFICATE MAY BE ISSUED OR MAY PER7Al1N, THE INSURANCL At-FORDED BY THE Pt Ln0ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXC XUSIONS AND CONDITIONS OF SUCH POLICIES.LIL41TS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAM& POLICY ELFPOUCY"P POLICY ktamam mmawfm LrR rYPE OF INSURANCE .5 UNIFTS X COMMERCOk GENERAL LWINUTY DAIIAAbt TO i*-r1rM6 i CLAAMS-MADC OCCAA S 3010a000 wm WED EXF vA"ore pwsmj S 5,000 Y 938441400 02J0112020 02M1=1 P MIONAL&ADD INJURY UK= C-ENL AGC;R-qr(-ATE LHA 17 APPIL L-3 Pr-q, qENrRALAGGRrGAT,, Z606A0 , , , --- T- � [ U PC,,_Y [- 1 JECT LOC PROOuCT 3-Comq�cp AGO 1 2,000,000 OTHER AUTOMMLE LVMIUTY y 042 1816 F28 33 Wr2&2020 lZ2&2020 'C1 VINU)SINGLE L9MrT ANY AUTO BODILY NJURY(Per camn) S I�WO�O,DD 33e 4087 E04 33 05104J2020 1110412020 OVO,rED SCHFOULED O DIL MP l) 1GO.000AVTOS ONLY AUTS "Wit" -J04,-a.VNL1D VR60EfttY 6AMA E AUTONO ONLY �IJFI AUTOS ONLY S 1,000,0oo LINORCILLA LJAO CCUR EX"SS LIAR' DED, RETE NTIC04 5 x !TA7!JTE, ITH WORKERS COMPENSATION ER AND EMPLOYCRT UABUTY YIN Any PRKVRCT0RPAATNOW,EXECUT11vt [E OFFICCMAC-MBER,EXCLUDCU? 93 CV'J1 815 6 11 ixo,000 I Maodaftly M NN) 1,000,000 E,L.DISEASE-POL CY LIMT S 1-600,0-60 09SCRIPMON OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Aatfifiwao kw=rks Un"vl%nmy Do maCI r nso"SW.c*M requwwp 7' ISK By_ 7/9/2 DATE_--2,-/ -�-�-(L2-0 -- WAK* WkXyft�- CERTIFICATE HOLDER -ELATION SHOULD ANY OF THE A13OVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE, THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County BOCC AUTHOR1ZED REPRESENTATIVE 1100 Simonton St. Key West, FL 33040 (D 1 OSS-201 5ACOIR6 ORPOR TION. All rights reserved. ACORD 25(2016JD3) The ACORD name and logo are registered marks of ACORD 1CO1485 13250,13 04422-=20 ACC>Rbo CERTIFICATE OF LIABILITY INSURANCE r DATE ON&VOtYYYY) 16..� j 05m 112020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 140 RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTIEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS). AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the cortificate holder is an ADDITIONAL INSURED,tthe policy(ies)must haw ADDITIONAL INSURED Provisions or be eMorsed. If SUBROGATM IS WAIVED,subject to the terms and conditions of the policy, certain polivios may require an endorsement. A statement on this cartificato does not confer rights to the cerfificate holder in lieu of auch and`or"men"3). PRODUCER cONTAc`r Ap4le Shaffer NA State Farm Actume stiaffe-, PHONE (704)54-4-9711, FAX N-Q*W- (704)625-3654 A-_2.EXKL 8210 University Executive Park Or Ste 150 E-MML ap6le,shaffer-c568@statefarm.oDm C& MURER(S)AFFOROINC COVERAGE bwC# Charlotte INC 28262 su,,e,A State Farm Mutual Autornol:Nle insurance Company 2517B INSURED State Farm Fire and Casualty Company 25143 Newton&Associates Inc INSURER C 1806 Rocky River Rd E T INSURFR 0 7 LL INSURFR E Ghatiotte NC 28213 INSURER F- COVERAGES CERTIFICATE NUMBER, REVISION NUMBER- THIS IS TO,CERTIFY TILT THE POLICIES OF INSURANCE LISTED BELOW RAVE,BEEN ISSUED TO THE INSURED WIf-o ABOVE FOR THE POLICY PEPJC0 INDICATED, NOrkraTHSTANDING ANY REQUIREMENT, TERM, OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTtrICATC, MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLtCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CACLUMONS AND CONDITIONS OF SUCH POLICIES.I]MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, 9"SR Jim& '-w Em LTR TyptofiNSURANCE i POUCY exp i INED wvn POLICY NiUMagg LNEII22=1- X I C0110MERCAAL CENERAL UAIMUTY rACH 3g I II IEIAf s 1-000,,000 5�1CLAJMSM C AD OCCUR 300.000 TT MED EXPI?�nj pnoAum�) S 5,ODO B Y IN 93-B4-4140-0 M,0112020 02JO90202' PMS0NAL.4ADVIN,11JRY 9'VL ALGREGATE J Wn!APPI IF S PER- GENE L AGGRr(.Ar, 2,11011,010 PRO- POILCY J1 JrCi jLOC pRoaucT An C. 2,000I 000 OrPIEM AUTOMOBILE LJAflXM Y N 042 1816-F28-33W 121=2M, OW&2020 COMBINED SINGLE LAMAT I I te=#A 4r ANY AUTO 800ILY INJURY(Par p�) A 0 OWNED SCHIMULED � AUIGS 5� BODILY RNUIURY(PW Ac4owl') 3 I ''aw000 AUTOS ONLY -M, I I 1 7' HIRED NON VNED 115K AUTOS ONLY APf 5 AUT06 ONLY By- MOR"LA 41AS CC"R 5/11/2020 I AGGRrrATr WAW KAX"W� WORIKERS COMPKNZATION Ark OTH, AND ROPLOYERS'UAENUTY YIN i STATUTE FLR IANV;>ROPfZLI-TORIPARTNARMXFCV7N�E B ormtki"-BEE Cxa Lm'o'? FW]I N I A N -43-Cl-,M2U-9 ()911&2019 DSV15"2020 100,000 y nrNeurify In NayCL OISCASE-FA FtAPL DYFEI 3 100=0 if rq —1 I ' ll "1 1. � —'- I i D Of�OPERATMS Imiov� ' A:� -K 500,000 r-01�X POUCY LjMrr '6=� DESCRIPTION OF OPERATIONS I LOCAT"S j VEHCUES WORD 101,AWMi 01 Ramarka Sdvoduio,may be Lattadwd d more spne t6 rsqW" CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELmERED IN ACCOROANCC WITH THE POLICY PROVISIONS. Monroe County SOCC 1100 Simonton St AUTHOR=V REPIRESMTATHE Key West FL 33040,3110 0 1,988-2015 ACORD CORPORATION. All rights reservecL ACORD 25(2016103) The ACORD name and logo am registered marks of ACORD 10014a6 13,2849.13 0422-2(120 A` E) CERTIFICATE OF LIABILITY INSURANCE DATE(rG>LDDJYYYO 02/17/2020 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 pollcy(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 endorsemci1t(s). PRODUCER CONTACT Laura Sanf NAME: SCGteFa,n Aprille Shaffer State Farm Insurance PHONE 704 549 979 9 FAX V`.c-NO.Ex$:. (A/C,Nor " i 8210 Univ,Exec.Pk.Dr#150AIL ADDRESS:, - Charlotte NC 28262 _ INSURER(S)AFFORDING COVERAGE I:AIC4 _ INSURER A- State Farm Mutual Automobile Insurance Company 25178 _ INSURED INSURER ,state Farm Fire and Casualty Company 25143 B — -_�_ _. Newton&Associates.Inc. INSURER C: 1806 Rocky River Rd.East INSURER DI l� Charfotte NC 28213 ,,INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THUS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOMITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E 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 SHOVJN MAY HAVE BEEN REDUCED BY PAID CLAIMS. irk- _ —'_!---~R- -'------ INDEX arm;i POLICY EFF POLICYEXP - LTR TYPE OF INSURANCE IMISR,VIVD I POLICY NUMBER (MnuDDIYV(Y1 r(MruOOn YYY1 LIMITS coTLMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 I CLAII.IS4AACE OCCUR I pRE'uLSE S a trpnrn) S '� ,0� _gr.iExP(Apycneper_ail S 5.000, 40 « __ _ . Y a AL 3-B4-4140-0 02/02/2020 02/01/2021 PsasDN a ADV INJURY $ 1,00_0,0 GENLAaGREGAtE LIMIT APPLIES PER: CENERALA(3GREGATE S 2,000,000 X POLICY{-1 O- LCC PRODUCTS-come ZPACG 5-2.000.0a0 JECT OTHER: 5 AUTOMOBILE LIABILITY Y 0421816 F28 33 12/2812019 06/28/2020 COamd D�5ULGLE UNIT S —1 ANY AUTO BODILY INJURY Marpamork) $ 1,000.000 CANNEDEI�IJL>D 335 4087 E04 33 11/04/201S 05/04/2020 -, .------- -_-_-�_- _j Sai AUTOS ONLY AUTOS BOCn Y INJURY(Pcr accWcnt] 5 9,000,000 I HIRED ` NON-O:'!1!E0 PROPERPfDA,MAGE-..-- 5 500,000 Auras ONLY AUTOS Ors_Y LPeracrldenl — �. _.._ S I ULBttEUA UAE3 OCCUR EACH OCCURRENCE 5 ^— ~ (i EXCESS LIAR C M�IADE r„ AGGREGATE .l I DEO 1 RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY .STATUTE,—. FL_ ANY PROPRIETOR/PstiRTNER DIECUTIVE Y!NB El.EACH ACCIDENT 5 10D.000 OFFICER/MEMDER DICWDED? N i N I A 93 CV J 1285 6 09/15/2919 09/15/2020 - Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ 100,000 If res.,daseritn urdar --- OESCRIP1tON OFOPERATIOt,LS b IOx EL.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VE?iICLES(ACORD 101.Additional Remarks Schedule,may be attached ET more space is requiraol APP D Y •ISK AGEMENT Es •C DATE --fff-,.Dam WAIVER N/A)( YES.__ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN Monroe County BDCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. - AUTHORIZED RESENTATP �1 Key West FL 33040 r (a:5 Ca:�_- 1 ©1988-2015 ACORd CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1801403 132849.12 03-18.2016 ACORI? • ® CERTIFICATE OF LIABILITY INSURANCE OATE(s11YD• DIYYYY) l 11104/2019 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 INSURERS), AUTHORIZED REPRESENTATIVE-OR PRODUCER,AND THE CERTIFICATE HOLDER. . IMPORTANT: If the certificate holder is,an ADDITIONAL INSURED;the policy(Ios)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 doeariot confer rights to the certiflcate holder In lieu of Such endorsement(s). .PRODUCER CONTACT Laura Satif NAME: Stitt;Farin ApriilieShafferState.Farm Insurance to •; 704-549-9711 €rc,No)_ 8210 Univ Exec Pk Dr*1,50 AD ss ° Charlotte NC 28262 INSURER'S)AFFORDING COVERAGE I NAIC s ol5URERA: State Farm Mutual Automeb{le Insurance Company 25178 INSURED rNsuRER B: State Farm Fire and Casualty Company 25143 Newton&Associates.Inc. USURER C: 1806 Rocky River Rd.East . e/SURSR b: Charlotte NC 28213 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 MAYBE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH PODU�CII�ES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. 4 TY?E OF INSURANCE )NSDJ IAN. POLICY NU!IEER 4M YY)JDDIYY FMNUDDIYYYY! tAins X COdIMERCUs1.'GENEw.uAsIuTY EAcH 0C0CURREkCEs 1.000.000 alJMS-MACE XI OCCUR R► ISi4FRENTED� l s 3 000 >11t27 DTP 'am6n�on) $ 5,000 � 93484-4140-0 02(0,120,9 02101t2020 PERSON 8ADVruum? 3 1,000.000 GENt AGGREGATE UTAIT APPLIES PER C NERAL AGGREGATE S 2.000.000 POLICY JERC1 n LOC PRODUCTS-CesOMPscG S 2,000,000 OTHER S AurolmalLEUASILJIY • '042 1816 F28-33R 12/28/2019 06128/2020+ -g�°,1 NGLELIMIT S ANY AUTO EODILYRLJURY(Perpea-.an) S 1.000.000 t� sC► DulEo. 336 4087-E04-33E 11/04/2019 05/04/2020 Q ALIoT D AUTO 0ELY S EOCILYINJURY{PCYa a ) S 1,000,000 AR OS ONLY AUTOS ONNONZANNLY PROPm, yDAMAsE s 500.040 S UIUMELIAL3AS OCCUR EACH OCOURftENCE S EXCESS LJAB CLAIMS.AtADE AGGREGATE $ . DEC RETENTIONS S WORKERS COMPENSATION RSR STATUTE I 10TH- AND EMPLOYERS'UAEIUTYi ER ANY FRONRIE CMPARITTER/ CUTNE nYIN E.L�HACCIC=ENT s 100,000 OFFICERf IOVSEREXCLUDEV? 1 1 NIA 93-C�/-J12 6 Off/, �1� 0�/, 020. HINANI torylliNH) E.L.OISEASE-EA EMPLOYEE S 100.000 • Iryet eerertae under DESCsCrs1MON OF OPERAtiONS beIan wE.L DISEASE-EOuc,UNTO s 500,000 , DESCRIPTION OF OPERATIONS I LOCAflONS r VEHICLES(ACORD161.Ad5lteaal Recants Schedule,may be atracbed Ir ream epero h mutate) ' A Y ISK NAGEMENT BY DATE WAIVER N/A YES_ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE • THE EXRFtA-RON DATE THEREOF.'NOTICE WILL BE DELIVERED IN MonroeCounty 60CC ACCORDANCE WITH THE POLICY PROVLSION_S. 1100.SImontvn St. Key West FL 33040 lame -_ ,>E►�TATTVS WCm 1988-2015 ACORD ll rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD •1001488 132$S.f2 03-16>2016 A �� DATEfmmoDrirnio o. CERTIFICATE OF LLAE IL1Tlf INSURANCE 111041201$ 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 endorsemsnt(s). PRODUCER CONTACT Laura Sarif NArl.E: attbFarra Apnlie Shaffer State Farm Insurance PHONE 744-549-9711 _ I r,,,,,,. 8210 Univ.Exec Pk Dr#150 D 1E,SS Charlotte NC 28262 IBSURERS)AFFORDING COVERAGE NAM* tr+suaea A: State Far,Mutvat Automobile Insurance Company ' 25178 .INSURED _ _ .m_.-.. _____ rusuRHR87 State Falco Fire and Casually Company I 25143 Newton 8,ASSociates,Inc, ENSURERG _. .-.__,...-,.., _ .-..�..,.._..-.-�. 1805 Rocky River Rd.East ENSURER D .. . - - . . �_____.� Charlotte NC 28213 _ _ INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT,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 CONID TIONS OF SUCH POLICIES.LIMITS SHOVuN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AI]I L SUER POLICY E-F POLICY EXP r� TYPE OF INSURANCE II NSD WVO POLICY NUMBER j_mtimO?YYYY! IMMIOMlYrn minsCOMMERCIAL GENERAL LIAEILITY EACH omuRRE?CE s 1,000,000 afilivS-MAte [OCCUR PREMISES{Ea eeeurrerce) $ 3,040 1 ta1ED ExP r�ny env Pvrsvnl--s 5,000 i __._ __ 3-84.4140-0 02101I2019 02l0112020'PERSONAL&ADVINJURY S 1,OA0,000 ' GE-N'LAGGRE(G_ATIELIMIT APPLIES PER GENERAL AGGREGATE s 2,�,000 1\ FOLD`___J JGCT [y_,1 LOC PRODUCTS-COMP DP;.CG S 2.0 10,000oN.--_--, OTHER_ 5 AUTOMOBILEL./ABILTY 0421816-F28-33R 12/28/2019 06128/2020 CONEv�1-EDt7SIN3LE°Mrr I5 LaFxidECl ANY AUTO BODILY INJURY(Perpereen) S 1,000,000 336 4087-204.33E 11J04/2019 0510412020 _ yyam�// a'NNED SCHEDULED BODILY INJURY(Peracciderl $ 1,000,000 /'� AUTOS Or�Y AUTaS } HIRED ;SON-OVINED PROPERTY DAMAGE S 500,000 AUTOS ONLY AUTOS ONLY (Pet P UMBRELLA UAB OCCUR EACIIOCC_URREt OCCURRENCE $ EXCESS L7AB CLAIMS-KALE AGGREGATE —. µI$ D D 1- 1 RETENTIONS t r 3 wO:RI{ER5 Gomm N5AITON PER OM- ;..No EMPLOYERS"UABE TY jI STA'e UTE ER _. ANY PROPRIETORIFARTNERJEXEGUTIVE .�'.�N'� E.L.EACH ArJCID9'(T S 100.000 oFricP-anutEER ExCLuoebo �'" 1 NIA 93-CW.11285-fi 09115/2019 09/1512020 --- ---. 0.12ndatary In NH)If iya E.L.DISEASE-EA EMPLOYEES 100,000 DESCIMA'be uDI T RIFnFN OF OPERATIONS bebw E.L DISEASE-POLICY J.LMIT S 500,000 I DESORPTION OF OPERATIONS l LOCATIONS f VEHICLES(ACORD 101,AeE1tIw I Remarks. hedur0,may be alnehed 2fmere epee is,equirdd) APP D B RlS MANAGEMENT BY 1'1, --fCi DATE WAIVER N/A. YES— 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. 1100 Simonton St. Key West FL 33040 AtJTHaRIZEO F�ENTATIVE (D1988-2015 ACORD CORPORATI . All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1010E6 132E49.12 O-16-2018 AGO® CERTIFICATE OF LIABILITY INSURANCE OATE(M`IDD" "�' ' 09/13/2019 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 rights to the certificate holder in Lieu of such endorsement(s), PRODUCER CONTACT Laura Sarif MAW:. Simi rm Apnite Shaffer State Farm Insurance PHONE 704-549-9711 PAX �E-MAIL ___._ ___IM ramR 8210 Univ.Exec.Pk.Dr.#150 E-MAILADDRESS: Charlotte NC 28262 INSURER(S)AFFORDING COVERAGE NAIL e INSURER A:State Farm Mutual Automobile Insurano"e Company 25178 INSURED INSURER e;State Farm Fire and Casualty Company 25143 Newton&Associates INC INSURER C: 1806 Rocky River Rd.East INSURER D,, Charlotte NC 28213 INSURER E: INSURER P: COVERAGES CERTIFICATE NUMBER: l REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAW BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIAIITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 1MTH RESPECT TO tNHICI{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 yy ADOL SUBR r —'___ Iq POLICY EFF POLICY EXP �'�` LTR. TYPE OF INSURANCE e45Q MD POLICY NUMBER NpstwroorYYYY1 r*rw:'DDivvYYJ, LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 'DAVIA E itt eertf` 001 CLAIMSMAEE OCCUR PREMISES iEa ececvrcnte) 3$ p —._ MED EXP(Azc,ie person) f 5 5.000 • 93 134 4140 0 02/01/2019 02I0912020 a wL a ADV I�R IY f s 1,p�,000 GEI:L AGGREGATE 1111IT APPLIES PER: v GENERAL AGGREGATE 5 2,000,00D X POLICY n C f l LOC J PROD1^XTS•COMP10PAGG S 2-000,000 OTHER: $ AUTOVOerLE UAea n'y 042 1816-F28-33R 0612812019 1212812019 COMBVicD sir4LE urar s (Es Pmdenq ANY AUTO BOOBY INJURY(Perpertm) S 1,000.000 336 4087-E04-33E 05/04/2019 11/04/2019 1117 OWNED AUTO ONLY AUTOS SC/IMLED HOMY INJURY(PeraeL darK) $ 1,000,000 HIRED NON-OWNED I PROPERTY DAMAGE S 500,000 . - AUTOS ONLY AUTOS ONLY PPerBccinerI} $ UMBRELLALIAD ossuR _EACH OCCURRENCE -..�_ 5^. `_ r cESs LIAR CLAIMS-MACE AGGREGATE $ DED RETENTION S WORKERS COMPENSATION PER 0TH- ANNDEM-PLOVERS'LIABILITY YIN STATUTE I ER ANY PROPR1ETOIVPAm'NERCXECUTIVE E L EACH ACCIDENT s 100,000 OFRCER/MEMBEREXCLUDED? NIA 93-CV-J185.E 09/1512019 09/15/2020 - Mandatory In NH) E.L DISEASE-EA EMPLOYEE 5 100.000. ❑yet,demobs ui3er ,DESCRIPTION OF OPERATIONS beber EJ-DISEASE-POLICY LIMIT S 500.000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 10i,Add'dleosl Remarks Schedule be atLchedif more apace is required) ' APP D B IBK MA MENT BY DATE WAIVER N/A YES.,,..... ) 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. 1100 SIMONTON ST AUTHORIRI2E�RESENTA ••. KEY WEST FL 33040-3110 � —V l I ©1988-2015 A 3RDRATLON. All rights reserved, + ACORD 25(2016103) The ACORD name and logo aro registered marks of ACORD 1001455 132809.12 03.15 2018 A f0 CERTIFICATE OF LIABILITY INSURANCE DATE zr2alNs THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS.NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRfilATIVELY 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 poticy(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 endoraement(s). PRoouccR Laura Serif StaateFarm Acute Shaffer State Farm Insurance PHONE 704-549-9711 FAX 8210 Univ Exec Ps,Or#150 M.EX1.)1 ..__.____ _�i(NC.No): 0,4'r, ADDRESS:.W.____ Charlotte NC 28262 INSURERS)AFFORDING COVERAGE NAIC d ENSURER A:State Farm Mutual Automobile Insurance Company 25178 INsuRee LNsuRER 6: State Farm Fire and Casualty Company 25143 Newton&Associates.INC. INSURER C 1806 Rocky River Rd.East INSURER D: _ Charlotte NC 28213 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 1MTH 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 BYPOLICYJPAID CLAIMS. IL'R TYPE OF rNsuRANCc 1 LIIje POLFCY NUMBER Jr mmure EFF PP01-I /DYYYY)I _ UMITS ✓` COMMERCIAL GENERAL I./ABILITY EACH OCCURRENCE S 1,000,000 DA AAOETO RENTED 1 cLAr,++s-I:ukce IX OCCUR PREMISES(s,act:a,amrmra) s 3.00000 _ MEDc�(P �e£r«"� S $'000 — ^ rr 93-64 4140.0 02/0112019 0210 U2020 PCRSCNAL SADV MAY s 1.000•000 �nEeut AGGREGATE LIMITAPPLIES PER GMT:RAL AGGREGATE S 2,000,0*0 XIPOUCY[�,m- L ri LOC PRODUCTS-COLIPtOPAGG 3 2,000•000 II OTHER: _S _ COMBINED SINGLEtie,mq UP✓TAUTOMOBILE UP.InUrr 0421816F2833 0 /28/2019 12/28/2019 e $ �f ANY AUTO BOGY NUURY( peMOi) S 1.000.000 o'rrIED SCHECCILEO , Y 3364087E-0433 OS/04/2019 11/04/2019 _.. , AUTOS ONLY 1 SAfrosCHEC + BODILY INJURY(Peroe dent)I$ 1,000.000 HIRED NON-O'/tOIED PROPERTY DAMAGE S 500 000 AUTOS OONLYAUTOS ONLY ;Per a<slcrtl , ,„...,._... . w..__.---_.v_. i S • UMBRELLA meI�R EACH OCCURRENCE ��S ! BXCESS LIAB CLAIMS-MACE AGGREGATE 3 CEO RETENTIONS i S WORKERS COMPENSATION t PEN i GiftA.NOEMPLOYERS'IJABBJTY STATUTE !R �- — ANY PROPRILTORPARTNEtUE•XECUTIVE VI N EL EAt:1iACCIDENT S 100.000 OFFICER/MEMBER EXCLUDED? I:: NIA 93-CV-J185�i 09195I2018 09/15/2019 (rrlandato v N NH) EL.DISEASE•EA EA4PLOYE,,,((S 100,000 Ifyyes.d ibound� �f_�. .. . . DESCRIPTION O:OPERATIONS trrlad EL.asEASE•POLICY LIMIT S 550000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES tACORD i ee,Addttlonet Remente Sche euls,may be Attached If mare apace la required} A RISK AGEMENT BY DATE_ • WAIV We_ 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. 1100 Simonton St. AUI150R12f D RESENrAm2� Key West FL 33040 f`tJj • 01988-2015 ACORD COR ORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 100ut3 13284.12 03.16-2016 !I • OATS(MNDLMIDDIYYYY) A`CORD CERTIFICATE OF LIABILITY INSURANCE •{ Li os>13rzo1s _ 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 AFPOI$DED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A'CONTRACT BETWEEN THE ISSUING INURER(S), AUTHORIZED REPRESENTATIVE.OR PRODUCER,AND THE CERTIFICATE HOLDER. . ; 1 1 . , IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the polit (ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and'conditions of the polcy,certain policies may require an.endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such ondorsentent(s). i,l 1 PRODUCER fia9TCT Laura Serif I, ; I StateFanrl Aprille Shaffer State Farm PHONE 704.549-9711 .t�tlx -uemo.Eatk ._.-_.. 'Nlc Not: t 1r`N 8210 Univ Exec,Pk Or#150 ADDRESS: ;j 9! • - ChadOtte NC 28262 1!; INStiatiniSJ AFFORDING COVERAGE' ! ! NAFC R INSNatRA• State Farm Mutual Automobile lnsuraltoa Company 25178 INSURED 044E00:State Farm Fire and Casualty Comp.tyr 25143 Newton&Associates,INC. INsua8Ic: ;,f I 1806 Rocky River Rd.East Irestde R D, ?,{ , Charlotte NC 28213 V4SNiWER E: .f • INSURER F: �- COVERAGES CERTIFICATE NUMBER: 1f f 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 WTh 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 BEF:N!REDUCED BY.PAID CLAIMS. ;I ;I ' . INSR AOOLISUBR• 'I' POUCY EFF POLICY+EXi' `t--Y-' LTR TYPE OF INSURANCE r S0IWVD POLICY NUMBER 1;4 RIWDOIYYYYI IttiVDOJYYYY), it '§i LlMVTS• X11 COMMERCIAL GENERAL LIABILITY I S 1 EACH OCCURREI4 1 s 1,000,000 'TWINGE TO RELsiT' �, 'CLAIMS-MADE XI OCCUR !a f PREMISES t[OoecJmime) 3 3.000 i� ; PIED EXP(Artf vu c^).. S-5A00 b.---�- s3-B4-4140.0 ill 02/01/2019 02101/2020 PER30NAL8AaJtiV iLRY s 1,ll00.000 GENT.AGGREGATE LIME APPLIES PER: '1 I GENERAL AGGRGCA`IE s 2.000.000• POLICY n 7c LOG ;j PRODUCTS-COiar+ aac�c3 $ 7.000.00D—, OTHER: ; it 1 S. AUTO/40E1E LIABILITY ;?; 12/28/2019 06/28/2019 ( az�I Iy�laG�TIT s 0421t316-F28-33R v_ ANY AUTO f! BODILY IN URY(fir Fler an) S 1,000,000 336 4067-E04733E ' 05/04J2019 11/04/2019 LOMtEO SCHEDULED. I t AUT090,43 s AUTIY8 ,I, HODILYINdURY(LLrieddeld} S 1,000,000 HIRED 3. ,''' /'NON-OANED ! ' PROPERTY[AIM EAUTOS ONLY AUTOS ONLY i4; �_�S 50D,000 UMBRELLA LIAB H OCCUR 'I 1 EACH OCCURRQNGC I s . EXCESS LIAB CLAIMS-MADE 1: AGGREGATE f 1 7{ S BED RETENTION$ 'I 1 'I S WORKERS COMPENSATION, ! i PER OTH. ' AND EMPLOYERS*UABEdTY YIN 1l''E STATUTE ;1I l F.R ANY PROPRIETORiPARMERtI XECUTIVE f f E.L EACH ACcio'L."IT I $ 100.000. OFFICERAIIM ERExcLuDEO� N/A 93-CV-.1185.E 09/15/2018 09115/2019 t (Mandatory In NH) (i; E.L.DISEASE:EA Ett?Loay-a $ 100.000 IDESSI;RIP�TIO OF OPERP.TIOtS talow 'I I E.L DISEASE.Po41Cr UNIT s~ .000 -'"_.__ 1 ;II DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES IACORD 101,Add itlorut Rom,rks Schedule.ma`y.t a attached if more apace la required) (Q?LQ) N+1�P'�). M B 7 DYE ( rilf_H-' DATE, c�'r3 : ' E, 1 —C`✓l Gi(, ja I WAIVER N/A 3AYES___ . �,-;). ., :11 CERTIFICATE HOLDER CANCELLATION '.,L.f {j + f i SalOULD ANY OF THE ABOVE DESCRIBED POLICIElS,BE CANCELLED BEFORE TI-IE EXPIRATION DATE THEREOF, NOTICE; •IMLL BE E •DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS.',I 1100 Simonton St 1' ` I AUTOORIZED R ' .TATIVE , .I Key West FL 33040 '� J� I I .i /I/ Jm- 4: @1988-2015 ACORD COR1T ON. All rights reserved. ACORD 25(2016103) The ACORD name and Vigo are re�Dfstered marks of ACORD i l '. 1091488 132849.12 03-16-2018 • -ram 7 oaTGirRS,vwYYYYI .s# RE► Et T1�tCA►T OiFj LIABILITY INSURANCE 121271201E 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 pelicy(los)must hallo 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 net confer rights to the certificate,holder In lieu of suchm endorseonfgs).. - PRODUCER 1 oT Laura Serif Statr'Farm Aprrlie Shaffer State Farm Insurance J o Lxeh 704- i9-9711 jal`�C Not: 8210 Univ.Exec.Pk.Gt. 150 -. '' ChS totte NC 28262 I mires ys)A�DING Cayt RAGE RAMP IPtsuRZRA:State Farm General insurance Company . 25151 Newton&Associates,INC. INSURER C I 1806 Rocky River Rd.East' INSURER o: ' --- - Charlotte NC 28213 INSURER E:. ., lKStiREi 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. NOTWITHSTANOiNG ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH,RESFECT 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,UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rItIl .. POLICY If? POLICY LSrP LTR TYPE OF LIISURANCE , L UTI POLICY',ma'am totk�Jtrva t,totioorevvri _ tools. ` COMMERCIAL GENERAL LIA /LITY EACH occ Ri3PNce S 1,000.000 CLAILMSSMADEX OCCURf � DAMAGE 1O)tNILi) 3O00000 P i a SfE c t'^"t9 S tozo E,%P IMy ma pawn} $ 5,000 ..,,— A Y 93-B4.4140-0 " e2/01/2G19 C2/01/2020 AiNALaAININJURY S r000.00 „— • OF„N:.AGGRFGA_TELINIT,vPPUESPER: GEtER LAGGREOAa "s 2,000,000 X rPRO- PRODUCTS-COMPQPAGO s 2,000,000 ICY I JE l: ❑LOG s OTHER; 1 fei tAti}tdEDSIFIDLE LIMIT S AUTOMOBILE LIABILITY ' Y 0421816F2833 12/2812018 0512812019 C:aactydc-nq' . 3 ANY AUTO 11104/2018 05t0412019_ °YIN.staRY(Pcr}' cn} $ 1,000,0D0 3364487E0433" OL'4t\ED. SCHECULED ,DOIRLYINJURY(Par acaOmt)!S 1,000.000 B AUTOS ONLY AUTOS -FiiaAMA AUTOAUTOSCNED (frreccict ) s 500,000 AUTOSOh?Y AUTOS ONLY S t UMBRELLA LLB _OCCUR 2AC11 OCCURRENCE S' Ill EXCESS LIAR i-CLAIMS•MARY •AGGCREGATE S _1 D=0 1 1 RGTtN'TI0N S • S - YvORIrSRSCOMPENSATION — �( R (TH' AND EMPLOYERS'LtAerLnY /�I .,TIRE ER ANYPROt*RIETOR1PARTNSREXECUEVE YIN ELEACaACCtDENT S 100,000 A• (UandsA:MEMDE EXCLUDED? NtA 93-CV-d185-6 09115i201a 0411512013 100.0D0 (Mandator In NH) E.I.oissl SE-EA EMPLOYEE B evee,descrdeuxdcr : ... El.GSEASE-POLtCYWtiT S 500,000 DESCRIPTION OF OPERATIONS betas - I i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD141,AtIalllonnalRimesSchadts's;nzybaauertoMrratoraapacetoroqulrad) Non-Owned Auto liability Limits of$IMM/S1MM/S1MM BY ..1-441110 DATE-_ GM): WAIVER /A V Y- CERTIFICATE HOLDER CANCELLATION site-pm A1-W OP-,TtiE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPtRAT101d DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County BOCC 1100 Simontori St. Au moR DRRs- ESENTATIvE Key West FL 33040=3110 !1 •(.LY---�ll 5.- — ., - ©1988-2015 ACORD CORPORA ON. All rights reserved. ACORD 25(2016103) The ACORD name and Logo aro registered marks of ACORD 1001486 13214e,12 03-16-2016 p� CERTIFICATE OF LIABILITY INSURANCE DATEpnuDtNYriY) 4,....---- 12/2712018 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 n this certificate does not confer rights to the certificate holder in liou of such endorsement(s). PRODUCER CONTACT Laura Sarif NAME: Stttehif7t; Aprille Shaffer State Farrn Insurance PHceie 704.549-9711 FAX • INC,NO.EMI: • IA.G,Net- I 8210 Univ,Exec.Pk-Ds-1!150 E-MAIL Charlotte NC 28262 INSURERS'S)AFT_ORAING COVERAGE; NAIL e • __- INsuRER A: State Farm General Insurance Company 25151 INSURER B: Newton&Associates,INC. INSURER C: 1836 Rocky River Rd_East INSURER 0: T y ' Chariotte.NC 28213 E SURER E: �,. _ -, COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THiS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOiWlTHSTANDING 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 DY 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 114SR [aw,seen T -"'''__. p POLFCY LFF I POilCV E7EP LTA TYPE OF INSURANCE Ili 01B MD PCUCY NUd7BDR I rAvmoehvrii I tILLUDnIYYYYI LIMOS D X COMMERCIAL GENERAL UADILITY EACH OCCURRENCE 5 I,000,000 _� I CtAiMS.UACe IX,'C'CUR PRREMj ES rESLcNoa`rnn nt s. 3,000,000 r'IEoEXP(Any one owlo:) 5 55,000 A Y 93.84 41g0 0 0210112018 0210112019 PERSONAL S,ADO INJURY 5 1,000,000 CEN'L AGGREG?.TE LIMIT APPLIES PER: GENERAL AGGREGATE 3 2.000,000 PC(.ICY JEG'E' i t LOC • P?OOUCTS-00MP4r''.ACC 5 2.000,000 IOTHER 5 AUTOMOBILE LIABILITY Y 0421816F2833 12/28/2018 06/2812019 COtigig)Slt43tc Uh llr IEaamiacnq t AtO?AUTO -^--- e 3364087E0433'• 11/04/2018 0510412019 AOOlLYl1r.RIRY(Perpr_Yspt} i3O+JO.000 B B. CANED SCHEDULED _ �__ hUTOS ONLY UTOS BODILY INJURY(Pas la acsonlyi$ 1,400,000 HIRED U.OS'C 5) ' 'i kC/I ERIY DAMAGE r -_._ AUTOS ONLY AUTOSO:NLY j tPnrmcet. ry,( S �0+000 S UUISRELLA LIAO OCCUR EACH OOCURRENCE .- 5 . • EXCESS LUAI3 I CLAIMS-WADE AGGREGATE 5 I CED t IRE'+ENTICP4S ~T--�- f 5 IWORKERS COMPENSATION X/ F5I1 OTH, AND EMPLOYERS'UACILITY Y•tt4 XI STyj c ,Eft _ w_•�,•. A AOFFICER MEE WBUR?CLUDE-_o ECUTR'e E. N N A 93-CV-J185.6 09/151201 a 09/15/2019 e—.-L,EAGx ACCIDENT 5 100,000 (Mandator/In NHI 1.- Et.DISEASE-EA EE/PLOYEL 5 100.000 lr fr ns,deserho uadar . ,._._..-. D(',,CRi?TICrN CP CRERATICNNS arts.- I E.L.OSFASE-PODUCY UNIT- S .530.000 I oesctu 1tON OP OPERATIONS iLOCATIONS!VEa11CLES IACORD-sat,A+ldl(Ional•Ronulrk2 Schedule.may be attached It mare space Is requlrndj - Non Owned Auto Liability Limits ofS1MM/S1MMI$1Mtv1 , APPRO V ED �R S NAGEMENT DATE_ WAIVER / • CERTIFICATE HOLDER - CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES RE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Si. AUTHORIZED REPRESENrAT1VE !) Key%'Nest FL 33040 N .1 f • )CC.,Pv--'�i / —1 Q 1988-2015 ACORD CORPORA ON. All rights reserved, ACORD 25(2016/03) • The ACORD"name and logo are.registered marks of ACORO t P37d$b 112E 13.12 03-18.2a1E .4COtRD ® CERTIFICATE OF LIABILITY INSURANCE DATE iFtll/001YYYY) `.... ' 09/10/2018 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 'en ADDITIONAL INSURED,_ the policy(ies) must have:ADDrONAL INSURED previsions or be ondorscd. . If SUBROGATION IS WAIVED; subject to the terms and conditions of then policy, curtain policies may require an endorseinont. A statement on this Certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Ctk1TACT SARA JUDD Ste €el APRILLEL AGENCY p Fs/1• 704 -549 -9711 { r* .. STATE FARM INSURANCE COMPANY PAWL ADDRESS: SARA©APRILLESHAFFER,COM 8210 UNIVERSITY EXECUTIVE PARK DRIVE, STE 150 INSURERISIAFFORDwcCOVERAoE MC I/ CHARLOTTE NC 28262 alsuRER A : State Farm Fire and Casualty Company 25143 Inseam LvsURER B: State Farm Mutual Automobile insurance Company 25178 INSURER C: NEWTON& ASSOCIATES, INC: INSURER 0: ,.�� - _� . 1806 ROCKY RIVER ROAD EAST rsisURuR E : ^NP CHARLOTTE . NC 28213 -5150 F ... N: .. 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, UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL SUHR POLICY EFF POLICY EXP L ItlsnI min POLICY NUMBER (M.100 /YYWI- (MWDDIYYYY) 1 LIMITS COMMERCIAL GENERAL ILABiLnY 1,000,000 k EACH OCCURRENCE S __ • i \LACE Yb I D Gv nlsatF4E aCCUR hStAN5..ES. tin ma mm a) S. 3. � y AIED EXP (Any cnil p_riFOn S. 5 A Y 93.844140.0 02/01/2018 02/01/2019 PG RSONAL&Am ARV" S 1;000.000 GCNLAGGREGATE uf,1rT APPLIES PER:. GENERA! AGGREGATE $ 2.000.000 _ POKY 1 1 224. ED LOC PRODUCTS - COI.IP./O b .?,000,� -� OTHER: S ~- AUT OttOH4E LIALIILJTY 'y - COMBINED SINGLE LIMIT $ }En accident} ANY AUTO 042 1816 -F28 -335. 06128120.18 12 /28/2018 BODILY DULIRy(P peaLOnj S 1,000,000 T © AUTOS O NLY A IED BODILVCUIRY(Paratddrrt) 'S 1,000,000 HIRED - ° NC I - o�n�'+Ea t 336 40$7 -E04 -332 4087-E04-332" 05/04/2018 11/04/2018 - P(O(=tRTy DAMAGE t . 5aa.0Do AUTOS ONLY AUTOS OILY - _(L'aLeoc :Rots . S UI,taRELLA U116 OCCLR EACH I CCCURREIY..0 . 1 S • • EXCESS LIAR CtJ:N -MADE AGGREGATE 1S _ ....•. i OED, r 1 REiEr +T[ONS I s WORKERS COMPENSATION P I} E ff OT►t . . AND EMPLOYERS' Lt11DIL1TYt'STATlTFE l J. ER_ ,; . �. ANY PROPRIETC PARTIt 2,EXECUTIVE �Y r N EL EACH ACCIDENT S 1!10.000 A OF ICERAIENIIIEREXCWUED? i 1 I N/A 93- CV -J185-6 09115/2618 09/15/2019 (mandatory 012111 - LL DlSeasE F,r,EieLOYEE s 100,000 It es. daacr[Levujrr1or D_SCRiPTION OF OPERATIONS t'A11W - E.A.. CSSEASE POLICY Lear s .500,000 DESCRIPTION OF OPERATIONS $ LOCATIONS.! VEHICLES (ACORD 161, AddI*lrsnat Rapsurks Sr imdatc, may be acachal IT more space to requtredt **THE NON -OWNED, AUTO HAS LIMITS OF SIM / $1M /$1M B 1 PRaVED sY IS DATE - 4-iL�11 S • W AIVER N CERTIFICATE HOLDER .. . CANCELLATION . . .. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCFJ 1 FD BEFORE • . THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WifH THE POLICY PROVISIONS. MONROE COUNTY BOCC - AUT11 a REPRESENTATIVE 1100 SIMONTON STREET KEY WEST FL 3304D-3110 . 1 VVV ' - 0 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name.and logo are registered marks ofACORD 1001486 13284932 179.16 -2015 Cri - c44:1-44.4A.4..4-, ACCIP °I CERTIFICATE OF LIABILITY INSURANCE DATE ,>diMIDD YY) fito,......" I 0612W2018 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT_ If tho 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 tho 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 CO21TAGi NAVE; SARA-4-649-9711 JU_DD StateFarm APRILLE L SHAFFER AGENCY PRONE ___ X Na E.n: 70 I A! Nek 70462536$4 STATE FARM INSURANCE COMPANY SA APRILLESHAFFER -COM 8210 UNIVERSITY EXECUTIVE PARK DR, STE 150 CHARLOTTE NC 28262 URrtt{SiAFFOt:DIlGCOVERAGE ►ia{Ca =MIER A : St _ ate Farm Fire and Casualty Company 25143 INSURED rvsuRFR 9 rm State Fa Mutual AUtornobite Insurance Company 25178 , r461N ON ASSOCIATES, INSURER C: _ 1 806 ROCKY RIVER ROAD EAST c1suAER o : INSURER E: CHARLOTTE NC 28213 -5150 INSURER t : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLCY 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 u _` i`,!tOD 0B LTR TYPE OP INSURANCE 1 trlsn POLICY NUMBER POLICr eT isos Y VY " — 1a1M77t]rvvYtrl I (l:RIIb7D1Yyy) LIMITS CO1dMERCOtL GENERAL lIADlLli1/ EACH OCCURRENCE s 1,000,000 CL:IAISdAATJE OCCUR - 171 { --- _ly?iEMrSFS {En oCCUtnncn} 3 3U0 ,000 ' _ w Y 93- B4d140 0 MED EXP (Any en person) , s 5,000 02101/2018 02/01/2019 PERSONAL 8 ADV INJURY L 1.000,000 GE.h L AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE $ 2.6.0.000 0,000 roucv I7 JEC P1 LOC PROaucrs • Camp,op AGO y 2,000,000 OTHER: -- AUTOLtOetLE LlAFt1LnY s Y cQA1e32. DSWGLeUMIT s ANY AUTO En arndanf 9 Oh•,twp y p 042 1816-F28-33R 05/28/2018 12/281 2018 MO YMARY(Pc s 1,000.000 i.UiO$ OIJLY /arTGS BODIL INJU {Pat accl derk} S 1 A UT O S ONLY AUTOS NON- ONLY 336 4087 -E04 33E" 05/04/2018 11/04/2018 N F� ERTY aiUAGE "' p ccidentl s sou= UMBRELLA LIAR 3 UM � OCCUR _, PXCESS UAII I CIAIVS.LIAOE CtiCH CCCURREhrE s — I - DEO 1 I RETENTIONS AGGREGATE _ 3 WORKERS COMPENSATION - S AND EMPLOYERS' LIA IJTY PkR pT}i ANY PROPRIET0RJPARTNER/W F.CUTIVG Y J N Q_STATUTF j E A OrfCERi,,HLIDL•REXCLUDE-D? N NIA 93- CV- Jt35.6 09/15 /2017 09/15/201$ EL FAC HA N1 ' s 1DD ,t}fl� Mandatory In tai) — It yes, doscrbeunire EL CEASE -En ea1PLOYF 3 100,000 ,� OESCRIPTICN OF OPERATIONS =lo - E.t -DISEASP- MUGS' WAIT s 300.000 Dr_SCRIPTt011 OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101, Additional Rom eta Schedule, may he attached U more spat° U requited) "NON -OWNED AUTO LIABILITY LIMITS OF S1M/S1hU$IM APP ED eglISK MA/i1 EMENT DATE 1,0 j — WAIVER N/A 'A YES. CERTIFICATE HOLDER CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE MATH THE POLICY PROVISIONS. MONROE COUNTY BOCC 1100 SIMONTON ST. nuTHO . } REPRESENTA KEY WEST FL 33040 Ali I © 1988 -20 5 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD GC 10074t3 132549.12 0345-2018 AC O °® CERTIFICATE OF LIABILITY INSURANCE DATE(LEMIDOJYY1fY( `'.----- 10/30/2018 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 he"endorsed. If SUBROGATION IS WAIVED, subject to the torms and conditions of the polity, 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 tCONT CT SARA JUDD StateFarm APRILLE L SHAFFER AGENCY PHONE 7 04 - 549 - 9711 STATE FARM "INSURANCE COMPANY coma Ertl: 704-549-9711 Ea c ° sot: 704. 625 -3684 toms, SARA JaAPRILLESHAFFER.COM 8210 UNIVERSITY EXECUTIVE PARK OR, STE 150 rNSUR S)S) AFFORegNG COVERAGE CHARLOTTE NA1c 3 CH NC 28262 INSURFR A : State Faun Fire and Casualty Company 25143 INSURED misuRfa D: State Farm Mutual Automobile Insurance Company 25178 rNSURER c : NEWTON & ASSOCIATES, INC URER D • 1806 ROCKY RIVER ROAD EAST e CHARLOTTE NC 28213 -5150 s+suRERF: 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 TER1.IS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTSR'R TYPEOFrNSURAIICE ODLSUJR �"P:T91C(EFF POLICY (pm wyD POLICY NUMBER (LI ITVODNYYY) i fmaunTnyyyYt MITTS COrdrERcIAL GENERAL LIABILITY EACH OCCl1RRLTCE s 1.000,000 CLWMSSIADE ®O CUR WC Yo n rtu 3000 PRFLfISES (Le OttIrrencoL S MAED EXP (Awry ono patoA) I s 5,000 A — Y 93-84 -4140-0 02/01/2018 02/01/2019 PERSONAL a ADV INJURY s 1.000,001) OE ` LIMIT APPLIESPEft GENFStALAGGRCGAIE g 2.000,000 `_ � POLICY I - I lRCr t i Loc — PRODL+CTS- C011PlOPA,GG 5 2 .�. OTHER : AUTOUJOBLLE LIABILITY Y COt465(EO SINGLE UTAI I 5 X ANY AUTO ka tt _ 1 OV,NEO Lr ED 042 1816-F28-33R 06/28/2018 12/28/2018 BCC" INJItRY IP" Person} SCh'CD s 1,000,000 B AUTOS ONLY AUTOS moo INJURY (Per =eidcs45 S 1.000,000 HIRED NO .OVNIED 3364087- E04 -33E" 11/04/2018 05104/2019 PR0P1RiyDAMAGE $ 50,E AUTOS ONLY AUTOS ONLY (Par apdd_n!} 8 UMBRELLA LIAR _OCCUR OCCURRENCE 5 EXCESS Ma CLAWS-MADE _EACH - -"`— 1 1 AGGREGATE S DEO 1 1 RETENTIONS �/ i S WORKERS COMPF_NSAITGel -- ENSATIGe1 X sY 1ViE 1 all- AND EMPLOYERS' LIABILITY PR A ANY C R - RCX �` E © NIA 93 - CV - J185-6 09/15/2017 09/15/2018 ' EACH PENT $ 100,000 (Mandatory In NN) 100.000 If yes, dawtte wider EL OfSI ASE -EA Ea(PLOYEE 5 DESCRIPTION OF OPERATIONS telzw E.L. DISEASE - POLICY MIT S 500.000 DESCRIPTION OF OPERATIONS 1 LOCAT)ONS 1 VEHICLES (ACORD 10i, Addtflonal Remarks Schoduto. y Do attached ■ mop > a co b requlrtd) "NON -OWNED AUTO LIABILTY LIMITS OF S1M/$IM'PS1M TED Y`RISK NAGEMENT BY - DATE 1 �I J i l) -- WAIVER N/A YES • - CERTIFICATE HOLDER CANCELLATION SNOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MONROE COUNTY BOCC 1100 SIMONTON STREET AuTH D PR ESENTATIVE KEY WEST FL 33040 ©1988 -2015 ORD CORPORATION- All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 7001438 132240.12 03.10 -22016 '4Ikt.ccwa CERTIFICATE OF LIABILITY INSURANCE DAos(MMIDDYY 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 confor rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT MARIA WHISNANT AME: N _ StateFarm APRILLE L SHAFFER, AGENT PHONE 704549 -9711 a No : 704 62rr3684 ®w STATE FARM INSURANCE E-MAIL mariaa@aprilleshaffer.com 8210 UNIVERSITY EXECUTIVE PARK DRIVE SUTIE 150 INSURERS) A FFORDING COVERAGE NAIL a CHA NC 28262 INSU A: INSURED B: NEWTON & ASSOCIATES INC INSURER C: CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 1806 Rocky River Road East INSURER D: ACCORDANCE WITH THE POLICY PROVISIONS. MONROE COUNTY BOCC INSURER F: AUTHORI 0 REPRESENTATIVE Charlotte NC 28213 -5150 INSURER F: c CnVFRAr.FS rFRTIGIrATG kil IURC17• oetnernu Linaacro. 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, EX CLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE ADOL�SUB POLK:Y NUMBER PO LICY W MMIDDY E — LIMITS ACCORDANCE WITH THE POLICY PROVISIONS. MONROE COUNTY BOCC COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR AUTHORI 0 REPRESENTATIVE 1100 Simonton Street c Key West FL 33040 -3110 EACH OCCURRENCE S 1,000,000 PREMIS Meoccumencel ? S 3,000,000 MED EXP (Any one person) i S 5,000 _ PERSONAL & ADV INJURY I s 1,000,000 Y 93 -84 -4140-0 02/01/2018 02/01/2019 GENIL AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT " LOC GENERAL AGGREGATE . s 2,000,000 - PRODUCTS - COMPIOPAGG S 2,000,000 1 5 OTHER: AUTOMOSa.E LIABILITY ANY AUTO Y 042 1816 F28 33R 12/28/2017 06/28/2018 ICOa aw�dEer°uSINGLE LIMIT I s BODILY INJURY (Per person) IS 1,000,000 BODILY INJURY (Peracadem) E 1,000,000 OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 336 4087 E04 33E 05/04/2018 11/04/2018 PROPERTY DAMAGE Per ecndent $ 500,000 S UMBRELLA LIAR OCCUR E ACH OCCURRENCE § AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTIONS = WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIE'TOWPARTNERrEXECUTIVE YIN N OFFICWMEMSEREXCLUDEC? N (Mandatory In NH) If yes describe der DE un SCRIPTION OF OPERATIONS below NIA 93 CVJ1856 I ( 09/15/2017 09115/2018 PER TH- STATUTE ER E.L. EACH ACCIDENT S 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMITS 500,000 i DESCRIPTION OF OPERATIONS /LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached it more space Is requi It ** The Non -owned auto policy has limits of $1miU$1miI/$1mil PP V BY RISK AGEMENT BY � DATE � - 1 WAIVER WA21 YES CFRTIFI('ATF FInI r]FR rAtJrr-I 1 ATN']M ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03162016 CC F cle SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Additional Insured ACCORDANCE WITH THE POLICY PROVISIONS. MONROE COUNTY BOCC AUTHORI 0 REPRESENTATIVE 1100 Simonton Street c Key West FL 33040 -3110 ©1988 -2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03162016 CC F cle CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDlYYYY) 12111/2017 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 pollCy(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 ri hts to the certificate holder in lieu of such en — PRODUCER rsement(s). Aprille L Shaffer, Agent CONTAC NAME:T Susan Schnell FARM INSURANCE PHONE 704-549-9711 FAX IAICSTATE EX A/C No): 704-625-3684 E--MAIL A D Ess: Susan@AprilleShaffer.com 8219 University Executive Park Dr., Suite 150 Charlotte, NC 28262 INSURERS AFFORDING COVERAGE NAIC H INSURED INSURER A: State Farm Fire and Casualty Company 25143 NEWTON &ASSOCIATES INC. INSURER B: State Farm Mutual Automobile Insurance Company 25178 1806 Rocky River Rd., East INSURER C : Charlotte, NC 28213-5150 INSURER D : INSURER E : COVERAGES CERTIFICATE NUMBER: INSURER F THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED REVISION NUMBER: BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS AFFORDED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, INSR MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL SUER LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP COMMERCIAL GENERAL LIABILITY MM/OD/YYYY MM/ODlYYW LIMITS CLAIMS EACH OCCURRENCE $ 1,000,000 -MADE OCCUR D M ET RENTED 300,000 PREMISES Ea occurrence $ �' 93-B4-4140-0 MED EXP (Any one person) $ 5,000 02-01-2018 02/01/2019 GEN'POLICY GATE LIMIT APPLIES PER: PERSONAL& ADV INJURY $ 1,000,000 POLICY ❑ PRO- JECT LOC GENERALAGGREGATE $ 2,000,000 OTHER: PRODUCTS-COMPIOPAGG $ 2,000,00D AUTOMOBILE LIABILITY Y 042 1816-F28-33R $ 12/28/2017 56/28/2018 COMBINED SINGLE LIMIT ANY AUTO Ea accident $ OWNED SCHEDULED BODILY INJURY (Per person) $ 1,000,000 AUTOOS HIREAUTOD ONLY NOS ON -OWNED 336 4087-E04-33E" AUTOS ONLY BODILY INJURY (Per accident) $ 1,000,000 11 /04/2017 05/04/2018 AUTOS ONLY PROPERTY DAMAGE Per accident $ 500,000 UMBRELLA LIAB OCCUR EXCESS LIAR CLAIMS -MADE EACH OCCURRENCE $ DED RETENTION $ AGGREGATE $ WORKERS COMPENSATION $ AND EMPLOYERS' LIABILITYER Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE SAH STATUTE ER OFFICERIMEMBER EXCLUDED? ❑ NIA (Mandatory In NH) E.L. EACH ACCIDENT $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If "'The Non -owned Auto policy has limits of $1 milli mil/1 mil more space is required) AP B NLLEMENT WAIVE /A E CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Additional Insured: ACCORDANCE WITH THE POLICY PROVISIONS. MONROE COUNTY BOCC 1100 Simonton St. AUTHORIZED REPRESENTATIVE Key West, FL 33040-3110 © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2,016/0,33) The ACORD name and logo are registered marks of ACORD G L 1001486 132M.12 03-16-2016 "'_-, ® ACC?R O CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 01/24/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement($). PRODUCER Aprille L. Shaffer, Agent STATE FARM INSURANCE CONTACT Debbi Overstreet NAME: _ __ PHONE Extia 704-549 9711 AIC Np : 704 625 3664 E-MAIL Debbie@Apd1leShaffer.com ADDRE INSURERS AFFORDING COVERAGE NAIC N 8210 University Executive Park Dr., Ste. 150 INSURERA: State Farm Fire and Casualty Company 25143 Charlotte, NC 28262 INSURED INSURERS: State Farm Mutual Automobile Insurance Company 25178 INSURERC: NEWTON &ASSOCIATES, INC. INSURER D : 1806 Rocky River Rd., East INSURER E : Charlotte, NC 28213-5150 INSURER F : COVERAGES cFRTIFICATF NLIMRFR: 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 LTR TYPE OF INSURANCE ADDL S POLICY NUMBER MMfDDPOLICYIYYYY MMI•DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE ®OCCUR PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 Y 93-134-4140-0 02/01/2018 02/01/2019 PERSONAL &AOV INJURY $ 1.000.000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,DOO,000 PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY ❑ PRO- LOC S OTHER: AUTOMOBILE LIABILITY Y 042 1816-F28-33R 12/28/2017 06/28/2018 COMBINED SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) S 1,000,000 ANY AUTO BODILY INJURY (Per accident) S 1,000,000 OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED ALTOS ONLY AUTOS ONLY 336 4087-E04-33E* 11 /04/2017 05/04/2018 PROPERTY DAMAGE Per accident $ 500,000 $ UMBRELLA LIAB OCCUR. EACH OCCURRENCE $ AGGREGATE S EXCESS LWB Id CLAIMS -MADE DED RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? _N (Mandatory In NH) N/A 93 CVJ185-6 09/15/2017 09/15/2018 _ STATUTE ERH E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYE $ 100,000 E.L. DISEASE -POLICY LIMIT $ 500,000 If yes, describe under DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) **The Non -Owned auto policy has limits of $1mil/$lmil/$lmil r PPR E Y DEMENT Y D WAI ER /A GEKI IFIGA I t MULUtK '- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Additional Insured: ACCORDANCE WITH THE POLICY PROVISIONS. MONROE COUNTY BOCC AUTHORIZED REPRESENTATIVE Simonton Street Key Key West, FL 33040-3110 n 1gR6-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132649.12 03-16-2016 ACoCERTIFICATE OF LIABILITY INSURANCE DATD//15/ 05/15/2017RLY 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 endorsemen s . PRODUCER $1teFafM Aprille L Shaffer, Agent STATE FARM INSURANCE ® 8210 University Executive Park Dr., Suite 150 Charlotte, NC 28262 CONTACT Susan Schnell NAME: PHONE 704-549-9711 1 FAX Noll: 704-625-3684 ADD'DREs : Susan�AprilleShaffer.com INSURE S AFFORDING COVERAGE NAIL 0 INSURER A : State Farm Fire and Casualty Company 25143 INSURED NEWTON & ASSOCIATES 1806 ROCKY RIVER RD E CHARLOTTE, NC 28213-5150 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : rnVCRAl_'CC rFRTIPIrATF NI IMRFR• 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. INSIR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMfDPOLICY EFF MPMMIDD EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE DOCCUR DAMAGE TO RENTE15- PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE E PRODUCTS - COMP/OP AGG $ POLICY ❑ PRO ❑ JECT LOC a OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acadeM $ BODILY INJURY (Per person) E 1,000,000 ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) $ 1,000,000 AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 3364087-E04-33E 05/04/2017 11/04/2017 PROPERTY DAMAGE Per accident $ 1,000,000 a UMBRELLA LIAB OCCUR EACH OCCURRENCE $ H AGGREGATE b EXCESS LIAB CLAIMS -MADE DED I I RETENTION b $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) N / A E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached B more space Is required) This is updated certificate of insurance for the ENOL policy that renewed May 4, 2017. 4APP#AGEUENT N/A II=1:Lal1l81=I:4 Monroe County Board of County Commissioners 1100 Simonton Street Key West, L 33040-3110 mac. 41 - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. a) 198E-2015 ACORD CORPOF[ATION. All rights reserved ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849.12 03-16-2016