The URL can be used to link to this page

Certificates of Insurance A DATE /YYYY) CERTIFICATE OF LIABILITY INSURANCE 12/30/2020/2020 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 Marsh USA,Inc. NAME: PHONE FAX 1166 Avenue of the Americas A/c No Ext: .JC,No): New York,NY 10036 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# CN 101 636071-AJAX-GAWUP-21-22 INSURER A:Arch Insurance Company 11150 INSURED Ajax Building Company,LLC INSURER B:XL Specialty Insurance Company 37885 Global Infrastructure Solutions,Inc. INSURER C:ACE Property and Casualty Insurance Company 20699 1080 Commerce Blvd. INSURER D:Indian Harbor Insurance Co. 36940 Midway,FL 32343 INSURER E:Arch Indemnity Insurance Company 30830 INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-010896550-04 REVISION NUMBER: 6 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICYNUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY 11PKG8914312 01/01/2021 01/01/2022 EACH OCCURRENCE $ 2,250,000 CLAIMS-MADE [XI OCCUR SIR: $750,000-NEW YORK ONLY DAMAGE TO PREM SET Ea RENTED ante $ 300,000 MED EXP(Any one person) $ 10,000 SIR:$500,000-ALL OTHER STATES PERSONAL&ADV INJURY $ 2,250,000 GEN'L AGGREGATE LIMIT APPLIES PER: SEE ACORD 101 FOR LIMITS GENERAL AGGREGATE $ 4,500,000 PRO- Approved Risk Management with attachments POLICY JECT LOC 7k PRODUCTS-COMP/OP AGG $ 4,500,000 OTHER: 2 3-2021 $ A AUTOMOBILE LIABILITY 11PKG8914312 (AOS) 01/01/2021 01/01/2022 COEa aMBINEDINGLELIMIT ccidentS $ 2,000,000 A X ANY AUTO 11CAB8914412 (MA) 01/01/2021 01/01/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED FIR ER DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLALIAB X OCCUR TBD ($10,000,000) 01/01/2021 01/01/2022 EACH OCCURRENCE $ 25,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $ 25,000,000 C DED X RETENTION$10,000 TBD($15,000,000) 01/01/2021 01/01/2022 $ A WORKERS COMPENSATION 11WCI8914212 (AOS) 01/01/2021 01/01/2022 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER E Y/N 14WCI8925112 (CA,IL,MD,NY,PA,TX) 01/01/2021 01/01/2022 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICE R/M EMBER EXCLUDED? ❑N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Professional Liability CE0742018006 01/01/2021 01/01/2022 EACH CLAIM/AGGREGATE 25,000,000 and Pollution (Claims Made) DED:$1M EA CLAIM/$3M A G DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:202011-FL Keys Marathon Airport Non-Aero(EOC),TBD,Marathon,FL The Monroe County Board of County Commissioners,its employees and officials are included as an Additional Insured(except for Workers Compensation and Professional Liability)as required by written contract. The Monroe County Board of County Commissioners,its employees and officials are included as Loss Payee where required by written contract with respect to Automobile Liability. CERTIFICATE HOLDER CANCELLATION Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 500 Whitehead Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West,FL 33040 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Susan C.Ricciardi •4rs& 4P. � �•� ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN101636071 LOC#: New York A`oRo ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED Marsh USA,Inc. Ajax Building Company,LLC Global Infrastructure Solutions,Inc. POLICY NUMBER 1080 Commerce Blvd. Midway,FL 32343 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance GENERAL LIABILITY-ALL OTHER STATES(EXCLUDES NEW YORK)LIMITS: EACH OCCURRENCE-$2,500,000 DAMAGE TO RENTED PREMISIS(EA OCC)-$300,000 MED EXP(ANY ONE PERSON)-$10,000 PERSONAL&ADV INJURY-$2,500,000 GENERAL AGGREGATE-$5,000,000 PRODUCTS-COMP/OPS AGG-$5,000,000 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD