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Certificates of Insurance
ae CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �.r 01/13/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Bethany Sellers Sellers Insurance LLC PH°NE .305-517-6452 a/c No:305-735-4018 27223 Overseas Hwy ADDRess: beth@sellersinsurance.net Ramrod Key, FL 33042 INSURERS AFFORDING COVERAGE NAIC# INSURERA: Evanston Insurance Company INSURED INSURERB: Progressive Express Insurance Company All Aspects Inspection Services LLC INSURERC: Evanston Insurance Company 24478 Overseas Hwy INSURERD: Summerland Key, FL 33042 INSURERE: 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 POLICY NUMBER MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $190009000 A CLAIMS-MADE ®OCCUR DAM MISES occurrence)AGE TO RENTED $100 000 X 3AA434960 11/09/2020 11/09/2021 MED EXP(Any oneperson) $5,000 Approved Risk Management wit Attachment PERSONAL&ADV INJURY $Excluded GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $290009000 NPOLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $Included JECT OTHER: 1-21-2021 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $190009000 B ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 01892118-0 03/02/2020 03/02/2021 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS $ UMBRELLA LAB X OCCUR EACH OCCURRENCE $290009000 C X EXCESS LAB CLAIMS-MADE EZXS3037218 11/09/2020 11/09/2021 AGGREGATE $290009000 DED I I RETENTION$ $ WORKERS COMPENSATION PERTUTF OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A None Provided (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Performs building inspections and plan reviews including-structural,electrical, plumbing,and HVAC in regards to building code compliance. See related endorsement relating to Additional Insured status. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St Key est, L 33 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 3AA434960 fiWKW EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Additional Premium: $500 (Check box if fully earned ®) Please refer to each Coverage Form to determine which terms are defined. Words shown in quotations on this endorsement may or may not be defined in all Coverage Forms. A. Who Is An Insured is amended to include as an additional insured any person or entity to whom you are required by valid written contract or agreement to provide such coverage, but only with respect to "bodily injury", "property damage" (including "bodily injury"and "property damage" included in the"products-completed operations hazard"), and"personal and advertising injury" caused, in whole or in part, by the negligent acts or omissions of the Named Insured and only with respect to any coverage not otherwise excluded in the policy. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. The insurance afforded to such additional insured will not be broader than that which you are required by the valid written contract or agreement to provide for such additional insured. Our agreement to accept an additional insured provision in a valid written contract or agreement is not an acceptance of any other provisions of such contract or agreement or the contract or agreement in total. When coverage does not apply for the Named Insured, no coverage or defense will apply for the additional insured. No coverage applies to such additional insured for injury or damage of any type to any"employee"of the Named Insured or to any obligation of the additional insured to indemnify another because of damages arising out of such injury or damage. B. With respect to the insurance afforded to these additional insured, the following is added to limits of insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the valid written contract or agreement; or 2. Available under the applicable limits of insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable limits of insurance shown in the Declarations. All other terms and conditions remain unchanged. MEGL 0009-01 09 18 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. ML 01/15/2021 Policy number: 018921180 Underwritten by:41 -Progressive Express Insurance Co. El Certificate of Insurance Certificate Holder Insured Agent Additional Insured MONROE COUNTY BOCC ALL ASPECTS INSPECTION SELLERS INSURANCE 1100 SIMONTON S SERVICES, LLC 27223 OVERSEAS HWY KEY WEST, FL 33040 24478 OVERSEAS HWY RAMROD KEY FL33042 SUMMERLAND KEY FL 33042 Approved Risk Management 1-15-2021 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the periods)indicated.This certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change,alter,modify,or extend the coverages afforded by the policies listed below.The coverages afforded by the policies listed below are subject to all the terms,exclusions,limitations,endorsements,and conditions of these policies. Policy Effective Date: Policy Expiration Date: 03/02/2020 03/02/2021 Insurance coverage(s) Limits............................. ................................................... RESIDUAL BODILY INJURY $1,000,000 COMBINED SINGLE LIMIT UNINSURED MOTORIST $1,000,000 COMBINED SINGLE LIMIT NON-STACKED HIRED AUTO BODILY INJURY/PROPERTY DAMAGE EMPLOYERS NON OWNED AUTO BIPD $1,000,000 COMBINED SINGLE LIMIT Description of Location/Vehicles/Special Items Scheduled autos only CHEVROLET COLORADO 1GCGSCENOJ1138843 COMPREHENSIVE $500 DED COLLISION $500 DED PERSONAL INJURY PROTECTION $10,000 WJ$0 DED-NI&RELATIVE MEDICAL PAYMENTS $5,000 RENTAL COVERAGE $50 PER DAY$1,500 MAX ROADSIDE ASSISTANCE SELECTED 2019 NISSAN VERSA 3N 1 CN7AP9KL825692 COMPREHENSIVE $500 DED COLLISION $500 DED PERSONAL INJURY PROTECTION $10,000 WI$0 DED-NI&RELATIVE MEDICAL PAYMENTS $5,000 RENTAL COVERAGE $50 PER DAY$1,500 MAX ROADSIDE ASSISTANCE SELECTED 2019 NISSAN ROGUE 5N1AT2MT5KC733640 COMPREHENSIVE $500 DED COLLISION $500 DED PERSONAL INJURY PROTECTION $10,000 W/$0 DED-NI&RELATIVE MEDICAL PAYMENTS $5,000 RENTAL COVERAGE $50 PER DAY$1,500 MAX ROADSIDE ASSISTANCE SELECTED Certificate number 01520EZ01118 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. - _ Form 5241 (10/02) -'� ALLASPE-01 LHAMPTON CERTIFICATE OF LIABILITY INSURANCE DAT/11/2D/Y 1 11/2021 �•� 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: JCJ Insurance Agency, LLC PHONE 2208 Hillcrest Street (A/C,No,Ext): (321)445-1117 (A/C,No):(321)445-1076 Orlando,FL 32803 A DD MAIL INSURERS AFFORDING COVERAGE NAIC# INSURERA:Travelers Indemnity Co. 25658 INSURED INSURER B:Hudson Insurance Company 25054 All Aspects Inspection Service INSURER 7 24478 Overseas Hwy INSURER D: Summerland Key,FL 33042 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MWDD/YYYY MWDD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ Approved Risk Manage ent MED EXP(Any oneperson) $ / PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- El JECT ❑ LOC 1-21-2021 PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N UB1N411151 1/16/2020 1/16/2021 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,UUU If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Professional Liab PRB 06 19 110287 4/20/2020 4/20/2021 Per Claim 2,000,000 B PRB 06 19 110287 4/20/2020 4/20/2021 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ty ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD