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02/11/2021 Agreement Monroe County Purchasing Policy and Procedures ATTACHMENT D.5 COUNTY ADMINISTRATOR CONTRACT SUMMARY FORM FOR CONTRACTS LESS THAN $50,000.00 Contract with: Florida Fence Corporatild Contract# Effective Date: 2/11/2021 Expiration Date: TBD Contract Purpose/Description: Provide and install fencing,damaged by hurricane Irma. Contract is Original Agreement Contract Amendment/Extension Renewal Contract Manager: Sufi Rubio 305-453-8788 Project Mg mt/ Stop #26 (Name) (Ext.) (Department/Stop #) CONTRACT COSTS Total Dollar Value of Contract: $ Current Year Portion: $ (must be less than$50,000) 4,975.00 (If multiyear agreement then 4,975.00 requires BOCC approval,unless the Witil t._ht,h;..�... ..d1.11,Ia11 .�..,5 aklll y`?U t)Otr.t)tr). Budgeted? Yes❑✓ No❑ Account Codes. Grant: $ 4,726.25 _-_-_-_- County Match: $ 248.75 _-_-_-_- ADDITIONAL COSTS Estimated Ongoing Costs: $_/yr For: of included in dollar value above) (e.g.maintenance,utilities,janitorial,salaries,etc.) Insurance Required: YES 0 NO 0 CONTRACT REVIEW Changes Date In Needed Reviewer Date In Department Head Yes❑No0 Cary Knight Digitally by Cary Knight Date:2021.03.02 10:29:23-05'00' County Attorney Yes❑No❑✓ Joseph X. DiNovo Digitallysign3.0317ed by 1447seph-5'00' 3/03/2021 Date:2021.03.03 17:14:47-OS'00' Risk Management Yes❑No0 Maria Slavik Date1202ly 1. 3.0318 .5s9' 5" 3-3-2021 Date:2021.03.03 18:58:59-OS'00' Digi O.M.B./Purchasing Yes❑No0 Julie CuneO Date 1ly 2021.03.04ig,edY083132 n05'00' Comments: Hurricane Tracking#58672 Hurricane Irma funding: 90% FEMA-5%State-5%County Revised BOCC 10/21/2020 Page 83 of 101 Florida Fence Corporation Estimate P. O. Box 227 1, 10rih Tavernier, FL 33070 US o r p o r a t i c o (305) 852-4324 floridafence@aol.com www.floridakeysfencing.com ADDRESS Monroe County Public Works Repair Lower Keys Monroe County Public Works Repair C/O Willie DeSantis 305-797-1250 desantis-william@monroecounty-fl.gov ESTW E DATE 2637 02/03/2021 ACTIVITY QTY RATE AMOUNT Chain Link 1 4,975.00 4,975.00 Provide & Install Chain Link Fencing @ Harry Harris Park next to Restrooms To install approx. 170' of 6' galvanize chain link fence End posts will be 3"sch 40 galvanize Line posts will be 2.5" sch 40 galvanize Top rail will be 15/8"sch 40 galvanize Wire will be 9 gauge hot dip galvanize Includes Take Down and Removal of existing fence (approx. 170') Does Not include survey of fence line Does Not include Permit Fee if Permit needed Add $325.00 To Estimate - Customer is responsible for making known to Florida Fence TOTAL $4,975.00 Corporation the exact location of ANY underground obstructions and/or utilities, if they do exist, before project commences. Digitally signed by Roman Accepted By Roman Gastesi Gastesi Accepted Date Date:2021.03.04 08:51:52 -05'00' CROSSENVI DATE(MMIDD/YYYY) Ado,Ram CERTIFICATE OF LIABILITY INSURANCE 3/8/2021 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 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 CONTNAME: Certificate Department Commercial Lines-(813)321-7500 PHONE g13 639-3000 FAx A/C No Ext: ( ) AIC No USI Insurance Services LLC E-MAIL clw.certre uest usi.com ADDRESS: q 2502 N Rocky Point Dr INSURER(S)AFFORDING COVERAGE NAIC# Tampa, FL 33607 INSURER A: Steadfast Insurance Company 26387 INSURED INSURERB: Zurich American Insurance Co 16535 Cross Environmental Services, Inc. INSURER C P. O. Box 1299 INSURER D INSURER E: Crystal Springs, FL 33524 INSURER F: COVERAGES CERTIFICATE NUMBER: 15312681 REVISION NUMBER: See below 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 POLICY NUMBER MMIDD/YYYY MMIDD/YYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 A X GPL090854302 03/01/2021 03/01/2022 CLAIMS-MADE OCCUR PRERENTE M IA AGN(Ea o'currDence) $ 100,000 X Max.Agg.Per Policy$10,000,000 BI/PD Combined MED EXP(Any one person) $ 10,000 X Contractual Liab $5,000 Ded. Per Claim PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 Fv] PRO- POLICY ECT D LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ B AUTOMOBILE LIABILITY X BAP055127702 03/01/2021 03/01/2022 Ea acccidentSINGLE LIMIT $ 1,000,000 X ANY AUTO includes MCS 90 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS x HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLALIAB X OCCUR X SXS090854202 03/01/2021 03/01/2022 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED X RETENTION$ None S B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WC090854102 03/01/2021 03/01/2022 X STATUTE EORH 1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? C 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 $ A Contractors Pollution Liab X GPL090854302 0310112021 03/01/2022 Occurrence Limit-$2,000,000 Each Occurrence $5,000 Ded. Each Claim DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder&those required by written contract are named as additional insured as it relates to general liability per form STF-ESP-1 01-F CW(04/13) when required by written contract and in accordance with the terms and conditions of the policy. Approved Risk Management with attachments 3-8-2021 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 1 100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) (This certificate replaces certificate#15294977 issued on 2/26/2021) Client Code: CROSSENV1 SID: 15312681 Certificate of Insurance (Con't) OTHER Coverage INSR TYPE OF INSURANCE ADDL WVD POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMIT LTR INSR SUBR (MM/DD/YY) (MM/DD/YY) A Professional Liability GPL090854302 03/01/2021 03/01/2022 Occurrence Limit-$2,000,000 Each Occurrence Ded:$5,000 ea claim &Aggregate included in GL limit Certificate Of Insurance-Con't DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 02/23/2021 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 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 GEORGE MERONI NAME: StateFarm T GEORGE MERONI INSURANCE AGENCY INC HONE Ext: 305-247-3971 FAX No): 305-247-4065 1801 N KROME AVENUE E-MAIL s: GEORGE@GEORGEMERONI.COM HOMESTEAD, FL 33030 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER B FLORIDA FENCE CORP INSURERC: PO BOX 227 INSURER D TAVERNIER, FL 33070-0227 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 INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE1:1 OCCUR Approved Risk Management PREMISES Eaoccurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY Y 966 5756-E01-59 11/01/2020 05/01/2021 COM Eaa BINED identS INGLE LIMIT $ cc ANY AUTO BODILY INJURY(Per person) $ 1,000,000 A OWNED SCHEDULED BODILY INJURY(Per accident) $ 1,000,000 AUTOS ONLY AUTOS 3-9-2021 XHIRED �/ NON-OWNED PROPERTY DAMAGE $ 1,000,000 AUTOS ONLY X AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (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) ENOL Project:Job: Chain Link Fencing @ Harry Harris Park next to restrooms 6028BV Additional Insured: Monroe County, including all of it's divisions,subsidiaries,affiliated companies,officers and directors. 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 1100 Simonton Street AUTHORIZED REPRESENTATIVE Suite 6 Key West, FL 33040 ©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 DATE(MM/DDYYY) A�" /YCERTIFICATE OF LIABILITY INSURANCE 2/16/2021 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 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: GIGA Solutions, Inc. PHONE FAX 101 Plaza Real South A/C No Ext: 888-581-0807 A/C,No): Ste 201 ADDRESS: Boca Raton FL 33432 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:WESCO INS CO 25011 INSURED INSURER B: Integrity Employee Leasing, Inc. L/C/F Florida Fence Corp INSURERC: 128 W. Charlotte Avenue INSURER D7 Punta Gorda FL 33950 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER:68778315 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 INSD WVD POLICY NUMBER MM/DD MM/DD COMMERCIAL GENERAL LIABILITY Approved Risk Managem nt EACH OCCURRENCE $ DA AGE TO RENTED CLAIMS-MADE OCCUR / PRE MIS ES(Ea occurrence) $ •L_• MED EXP(Any one person) $ 3-9-2021 PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WWC3468518 4/1/2020 4/1/2021 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? ❑ N/A (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/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Coverage provided for all leased employees but not subcontractors of Florida Fence Corp Location coverage effective 4/1/2020 Job:Chain Link Fencing @ Harry Harris Park next to restrooms 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 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 02/23/2021 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 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 GEORGE MERONI NAME: StateFarm T GEORGE MERONI INSURANCE AGENCY INC PHONE Ext: 305-247-3971 FAX No): 305-247-4065 1801 N KROME AVENUE ADIDREss: GEORGE@GEORGEMERONI.COM HOMESTEAD, FL 33030 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER B FLORIDA FENCE CORP INSURERC: PO BOX 227 INSURER D TAVERNIER, FL 33070-0227 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 INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY Approved Risk Management EACH OCCURRENCE $ PP DAMAGE TO RENTED CLAIMS-MADE1:1 OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATEPRO- $ POLICY JECT LOC 3-9-2021 PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY Y D56 0824-E08-59 11/08/2020 05/08/2021 COM Eaa BINED identS INGLE LIMIT $ cc ANY AUTO D88 7932-A05-59 01/05/2021 07/05/2021 BODILY INJURY(Per person) $ 1,000,000 A OWNED SCHEDULED BODILY INJURY(Per accident) $ 1,000,000 AUTOS ONLY AUTOS HIRED NON-OWNED E76 6864-E28-59 11/28/2020 05/28/2021 PROPERTY DAMAGE $ 1,000,000 AUTOS ONLY AUTOS ONLY Per accident G78 5250-B28-59 02/28/2021 08/28/2021 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (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) 11 FORD F350 1 FTBF3A60BEA09069 11 CHEV C3500 1GB4CZCL8BF221076 11 FORD F350 1 FD8W3GT4BEB15995 19 CHEV C1500 1GCRWBEH2KZ390582 Project:TJob: Chain Link Fencing @ Harry Harris Park next to restrooms 6028BV Additional Insured: Monroe County, including all of it's divisions,subsidiaries,affiliated companies,officers and directors. 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 1100 Simonton Street AUTHORIZED REPRESENTATIVE Suite 2-216 Key West, FL 33040 $�S ©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 DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 02/23/2021 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 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 GEORGE MERONI NAME: StateFarm T GEORGE MERONI INSURANCE AGENCY INC PHONE Ext: 305-247-3971 FAX No): 305-247-4065 1801 N KROME AVENUE ADIDREss: GEORGE@GEORGEMERONI.COM HOMESTEAD, FL 33030 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER B FLORIDA FENCE CORP INSURERC: PO BOX 227 INSURER D TAVERNIER, FL 33070-0227 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 INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY Approved Risk Management EACH OCCURRENCE $ PP DAMAGE TO RENTED CLAIMS-MADE 1:1OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ECT1:1 LOC 3-9-2021 PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY Y 965 8846-EO1-59 11/01/2020 05/01/2021 COM EaBINEDaccidentS INGLE LIMIT $ ANY AUTO 965 8847-EO1-59 11/01/2020 05/01/2021 BODILY INJURY(Per person) $ 1,000,000 OWNED SCHEDULED A X BODILY INJURY(Per accident) $ 1,000,000 AUTOS ONLY AUTOS X HIRED NON-OWNED 966 5754-EO1-59 11/01/2020 05/01/2021 PROPERTY DAMAGE $ 1,000,000 AUTOS ONLY /� AUTOS ONLY Per accident 966 5755-E01-59 11/01/2020 05/01/2021 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (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) 14 CHEV C1500 1GCRCREHXEZ239656 17 CHEV C1500 3GCPCTEC3HG352703 14 CHEV C3500 1 GB3CZCGOEF1 44268 05 GMC 3500 1GDJC34UX5E229432 Project:Job: Chain Link Fencing @ Harry Harris Park next to restrooms 6028BV Additional Insured: Monroe County, including all of it's divisions,subsidiaries,affiliated companies,officers and directors. 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 1100 Simonton Street AUTHORIZED REPRESENTATIVE Suite 2-216 Key West, FL 33040 $�S ©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