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Certificates of Insurance
WVXERaW O610112022 Policy number. 03515746 AP P ISK Underwritten by: 41-Progressive Expmu Insurance Co. ©r NAIC Number iom WAWWW Certificate of Insurance Cergflabo Helder Irwried ._ Arent Addttlonei Insured Monroe county BOCC Adventure Envimnmental Inc Butler Buoldey Deets Insurance Compliance 160 Georgia Ave 61SS Blue Lagoon#420 PO Box 100085-FX Tavernier,FL 33070 Miami, FL 33126 Deluth,GA 30096 Tide doarnard carlifles that insurance policies iderdifled below have bean issued by the designated insurer to the insured named above for the perlod(s)indicated.This certificate Is issued for information purposes only.it confers no dghts 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 gated below are subject to all the terms,exclusions,limitations,endorsements,and conditions of these policies.Liability coverage may not apply to all scheduled vehicles. Policy Efllacilve Date: Policy Expiration Date: 06/11/2022 O6/1112023 Bodily Injury Property Damage4ombined Single Limlts $1,000.000 peroocumance Hired Auto Liability $1,000,000 per occurrence Employer Non-Owned Auto Liability $1,000,000 per occurrence Description of Location/Vehicies/Special hems Scheduled autos only 2014 Chevrolet Sllverado C2500 VIN 1 GC1 CVCGTEF1 ST484 Comprehensive$1,000 Deductible/Coilislon$1,000 Deductible 2015 Chevrolet Sllverado C2500 VIN 1 GC2CUEG1 FZ541060 Comprehensive$1,000 Deductible/Cdlislon$1,000 Deductible 2017 Chevrolet Sihrerado C2500 VIN 1GCIKUEGOHF207993 Comprehensive$1,000 DeductiblelCollision$1,000 Deductible 2018 Chevrolet 2500 HD VIN IGCIKUEGXJF1345M Comprehensive$1,000 DeductiblelColllslon$1,000 Deductible 2019 Chevrolet K2500 VIN 1GCIKTEYOKF112991 Comprehensive$1,000 DeductiblelCdlislon$1,000 Deductible 2002 KW TBO VIN 1NKDLTDX12JB94497 Comprehensive$1,000 DeductiblelCollislon$1,000 Deductible 2014 PTRB 388 VIN 1NPWMEMED225224 Comprehensive$1,000 DeductiblelCollision$1,000 Deductible 2006 INTL 740 VIN 1 HTWCAAN16J370901 Comprehensive$1,000 DeductiblerCallision$1,000 Deductible 2009 Chevrolet SilvenWe C3500 VIN 1GBJC74KMI05480 Comprehensive$1,000 Deduc6blelCdtision$1,000 Deductible 2019 Chevrolet Suburban C1500 VIN 1GNSKJKJSKR282447 Comprehensive$1,000 DeductibkCdlWon$1,000 Deductible 2020 Chevrolet Sllverado C2500 VIN 1GC4YPEY7LF105587 Comprehensive$1,000 Deductible/Cdllsion$1,000 Deductible 2020 Chevrolet Silverado C2500 VIN'IGC4YPEYOLF154498 Comprehensive$1,000 Dedudible/Cdlision$1,000 Deductible Certificate number 15222W2E746 Posse be advised that additional hwureds and loss payees yell be n*dW in the event of a mid-term cancellation. i f , Foam 5241(Ord18) ADVEN-1 OP ID: GB ACORO CERTIFICATE OF LIABILITY INSURANCE FDATE TE(MM/DD/YYYY) `..-� 12/20/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 504-486-5411 CONTACT Accessible Marine Insurance Accessible Marine Insurance PHONE FAX 1145 Allen Toussaint Blvd (A/C,No,Ext): 504�86-5411 (A/C,No):504�82-1475 New Orleans,LA 70124 E-MAIL Eric S.Green ADDRESS:gail@ami-ins.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Capitol Specialty Ins. Company INSURED INSURER B:Great American Ins.Company 22136 Adventure Environmental Inc. Greg Tolpin INSURERC: an StarNet Insurance Company 40045 160 Georgia Avenue Tavernier,FL 33070 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE Firl OCCUR EV20190209-05 01/09/2023 01/09/2024 DAMAGE TO RENTED 50,000 X X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY� jECT1:1 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) $ ANY AUTO W ,,,�--� � BODILY INJURY Perperson) $ OWNED SCHEDULED - AUTOS ONLY AUTOS mm 2 BODILY INJURY Per accident $ HIRED NON-OWNED 12 . 2 1 2 ,,, -- "'"",.„'"".."'_" `""". PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ N $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB 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 $ C M.E.L. X BOUM-A-22-2110 08/15/2022 08/15/2023 M.E.L. 1,000,000 B Hull/P&I Liability OMH841008-11 10/12/2022 10/12/2023 P&I Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder shown as additional insured with waiver of subrogation in their favor as required by written contract as respects insured's operations. State of FL CGC: 1506411 State of FL CUC: 1223905 CERTIFICATE HOLDER CANCELLATION MONRO05 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. Marine Resources Office 2798 Overseas Hwy,#420 AUTHORIZED REPRESENTATIVE Marathon, FL 33050 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Adventure Environmental Inc. ADVEN-1 PAGE 2 NOTEPAD INSURED'SNAME OP ID: GB Date 12/20/2022 Contractors Pollution Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-04 Policy Period: 01/09/22 - 01/09/2023 Claims Made Aggregate Limit: 2,000,000 Each Contractors Pollution Condition Limit: 2,000,000 Blanket Additional Insured/ Waiver of Subrogation Professional Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-04 Policy Period: 01/09/22 - 01/09/2023 Aggregate Limit: 2,000,000 Each Professional Services Incident Limit: 2,000,000 Commercial General Liability Conditions: Deductible Liability Endorsement Exclusion - Testing or Consulting Errors and Omissions Total Pollution Exclusion Endorsement Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Exclusion-Violation of Statutes that Govern Emails, Fax, Phone Calls or Other Methods of Sending Exclusion - Punitive or Exemplary Damages Amended Waiver of Subrogation Exclusion - Engineers, Architects or Surveyors Exclusion - Exterior Insulation and Finish Systems Exclusion - Professional Services Primary/Non-Contributory Coverage-Blanket - When req. by written contract Additional Insured - Managers or Lessors of Premises Toxic Drywall Exclusion Separation of Insureds Independent and/or Subcontractor Restriction Contractors Pollution Liability (Claims-Made) Conditions: Additional Insured - Owners, Lessees or Contractors (Broad Wording) Amended Waiver of Subrogation Toxic Drywall Exclusion Professional Liability Conditions: War or Terrorism Exclusion Additional Insured - Owners, Lessees or Contractors Hull & Machinery / Protection & Indemnity: Terms and Conditions applicable to All Sections: Severability Terms and Conditions applicable to Hull: A. I. Coastwise and Inland Hull Clauses Deliberage Damage (Pollution Hazard) Engines & Machinery - ACV / Limited Perils Only No Lay Up Warranty No Release to Tower Warranty Seaworthiness Clause Total Loss Hull Premium Earned Clause Vessel Stability Additional Insured as respects P&I Adventure Environmental Inc. ADVEN-1 PAGE 3 NOTEPAD INSURED'SNAME OP ID: GB Date 12/20/2022 Terms and Conditions applicable to P&I: SP-38 Form Collision Clause including Tow & Extended Tower's Liability Collision Liability - P&I Extension Diving & Swimming Exclusion Food & Beverage Exclusion Health Hazard Exclusion Liability Limitation No Release to Tower Warranty P&I Crew Exclusion: Notwithstanding anything contained in the Protection and Indemnity Clauses herein to the contrary, it is understood and agreed that this Company shall not be liable for any loss, expense or claim to employees of the Assured, members of the crew, contractors or subcontractors Punitive/Exemplary Damages Exclusion Special Operations Exclusion Contractor's Equipment: Policy No. : IMP 5305782-06 Policy Period: 01/26/2022 to 01/26/2023 - Owned Equipment $75,000 - Leased/Rented Equipment any one item limit $200,000 - Leased/Rented Equipment all items limit $400,000 Inland Marine Coverage Part Declarations Page Commercial Inland Marine Conditions Contractor's Equipment Declarations Scheduled Form Contractor's Equipment Scheduled Coverage Form Contractor's Equipment Equipment Leased or Rented From Others Coverage Florida Changes - Warranties Florida Changes - Loss Payment Crane Exclusion Endorsement Contractor's Equipment Existing Fire Exclusion Blanket Loss Payable Endorsement Marijuana Exclusion M.E.L. -Maritime Employers Liability Coverage Form -Transportation, Wages, Maintenance & Cure -Notice of Cancellation: 30 days (except 10 days of nonpayment of premium) -Death on the High Seas Clause -In Rem Liability -Blanket Waiver of Subrogation This certificate of insurance neither affirmatively nor negatively alters, amends, or extends the coverage afforded by Policy(ies) issued by the Insurer(s) listed on this certificate. Date CERTIFICATE OF LIABILITY INSURANCE 12/20/2022 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727) 938-5562 1 Insurers Affording Coverage NAIL# Insured: South East Personnel Leasing, Inc. &Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. InsurerB: Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages The policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement,term or condition of any contract or other document with respect to which this certificate may be issued or may pertain,the insurance afforded by the policies described herein is subject to all the terms,exclusions,and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration Limits LTR INSRD Type of Insurance Policy Number Date(MM/DD/YY) Date(MM/DD/YY) GENERAL LIABILITY Each Occurrence Commercial General Liability Damage to rented premises(EA Claims Made ❑ Occur occurrence) Med Exp Personal Adv Injury General aggregate limit applies per: General Aggregate Policy ❑Project ❑ LOC Products-Comp/Op Agg AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) Any Auto Bodily Injury All Owned Autos (Per Person) Scheduled Autos Hired Autos Bodily Injury Non-Owned Autos u - (Per Accident) Property Damage 1 . 22 (Per Accident) ., EXCESS/UMBRELLA LIABILITY WAMM KtkX _— Each Occurrence Occur ❑Claims Made Aggregate Deductible A Workers Compensation and x I WC Statu- OTH- Employers'Liability WC 71949 01/01/2023 01/01/2024 tory Limits ER Any proprietor/partner/executive officer/member E.L.Each Accident $1,000,000 excluded? NO E.L.Disease-Ea Employee $1,000,000 If Yes,describe under special provisions below. E.L.Disease-Policy Limits 1 $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A(Excellent). AMB# 12616 Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 80-65-323 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company": Adventure Environmental,Inc. Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s) ,while working in: FL. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by emailing a request to certificates@Iioninsurancecompany.com Project Name: INCLUDES USL&H.GREGORY J.TOLPIN,LICENSE NUMBERS CGC1506411&CUC1223905 AS QUALIFIER.ISSUE 06-27-17(RK).REISSUE 01-22-18(SS).REISSUE 07- 09-18(BP). REISSUE 12-20-22(PH) Be in Date:3 15 2010 CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY COMMISIONERS Should any of the above described policies be cancelled before the expiration date thereof,the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left,but failure to ATTN:MARINE RESOURCES OFFICE do so shall impose no obligation or liability of any kind upon the insurer,its agents or representatives. 2798 OVERSEAS HIGHWAY#420 ^^ MARATHON, FL 33030 � , Date CERTIFICATE OF LIABILITY INSURANCE 12/7/2021 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727) 938-5562 Insurers Affording Coverage NAIC# Insured: South East Personnel Leasing, Inc. &Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. InsurerB: Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages The policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement,term or condition of any contract or other document with respect to which this certificate may be issued or may pertain,the insurance afforded by the policies described herein is subject to all the terms,exclusions,and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration Date Limits LTR INSRD Type of Insurance Policy Number Date (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each Occurrence Commercial General Liability A rov d Risk Mana a ant Damage to rented premises(EA Claims Made � Occur �,p � g occurrence) 'j „'�`"! ,." Med Exp General aggregate limit applies per: 12 13-2021 Personal Adv Injury General Aggregate Policy ❑Project ❑ LOC Products-Comp/Op Agg AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) Any Auto Bodily Injury All Owned Autos (Per Person) Scheduled Autos Hired Autos Bodily Injury Non-Owned Autos (Per Accident) Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur ❑Claims Made Aggregate Deductible A Workers Compensation and WC 71949 01/01/2022 01/01/2023 x I WC Statu- OTH- Employers'Liability tory Limits ER Any proprietor/partner/executive officer/member E.L.Each Accident $1,000,000 excluded? NO E.L.Disease-Ea Employee $1,000,000 If Yes,describe under special provisions below. E.L.Disease-Policy Limits 1 $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A(Excellent). AMB# 12616 Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 80-65-323 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company": Adventure Environmental,Inc. Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s),while working in: FL. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or email certificates@Iioninsurancecompany.com Project Name: INCLUDES USL&H. GREGORY J.TOLPIN,LICENSE#CGC1506411 and#CUC1223905,AS QUALIFIER. WAIVER OF SUBROGATION APPLIES IN FAVOR OF MONROE COUNTY BOCC. ISSUE 06-11-21 (PH) Beclin Oate:1 IS Colo CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOCC Should any of the above described policies be cancelled before the expiration date thereof,the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left,but failure to INSURANCE COMPLIANCE do so shall impose no obligation or liability of any kind upon the insurer,its agents or representatives. P.O.BOX 100085-FX DULUTH, GA 30096 " dl„ WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE WC 00 03 13 POLICY (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule MONROE COUNTY BOCC INSURANCE COMPLIANCE P.O. BOX 100085 - FX DULUTH, GA 30096 This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Insured: South East Personnel Leasing,Inc. Insurance Company:Lion Insurance Co. Countersigned by: Policy 4:WC 71949 Effective: 01/01/2022-01/01/2023 Client: Adventure Environmental,Inc. WC 00 03 13 (Ed.4-84) ©1983 National Council on Compensation Insurance. ADVEN-1 OP ID: GB ,4coRo',, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `.�• 10/12/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 504-486-5411 CONTACT Accessible Marine Insurance Accessible Marine Insurance PHONE FAX 1145 Allen Toussaint Blvd (A/C,No,Ext): 504�86-5411 (A/C,No):504�82-1475 New Orleans,LA 70124 E-MAIL Eric S.Green ADDRESS:gail@ami-ins.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Capitol Specialty Ins. Company INSURED INSURER B:Great American Ins.Company 22136 Adventure Environmental Inc. Greg Tolpin INSURERC: an StarNet Insurance Company 40045 160 Georgia Avenue Tavernier,FL 33070 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE Firl OCCUR EV20190209-04 01/09/2022 01/09/2023 DAMAGE TO RENTED 50,000 X X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PPOLICY�X JECT LOC �I,„ PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER ,_ 0 $ ,, �rvry COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ ANY AUTO ,I �^^-�'-(!'" "' '"G BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS WANN tk::, BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB 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 $ C M.E.L. X BOUM-A-22-2110 08/15/2022 08/15/2023 M.E.L. 1,000,000 B Hull/P&I Liability OMH841008-11 10/12/2022 10/12/2023 P&I Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder shown as additional insured with waiver of subrogation in their favor as required by written contract as respects insured's operations. State of FL CGC: 1506411 State of FL CUC: 1223905 CERTIFICATE HOLDER CANCELLATION MONRO05 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. Marine Resources Office 2798 Overseas Hwy,#420 AUTHORIZED REPRESENTATIVE Marathon, FL 33050 _/� „ 11!9,/{ ACORD 25(2016/03) ©199888--2001155 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Adventure Environmental Inc. ADVEN-1 PAGE 2 NOTEPAD INSURED'SNAME OP ID: GB Date 10/12/2022 Contractors Pollution Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-04 Policy Period: 01/09/22 - 01/09/2023 Claims Made Aggregate Limit: 2,000,000 Each Contractors Pollution Condition Limit: 2,000,000 Blanket Additional Insured/ Waiver of Subrogation Professional Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-04 Policy Period: 01/09/22 - 01/09/2023 Aggregate Limit: 2,000,000 Each Professional Services Incident Limit: 2,000,000 Commercial General Liability Conditions: Deductible Liability Endorsement Exclusion - Testing or Consulting Errors and Omissions Total Pollution Exclusion Endorsement Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Exclusion-Violation of Statutes that Govern Emails, Fax, Phone Calls or Other Methods of Sending Exclusion - Punitive or Exemplary Damages Amended Waiver of Subrogation Exclusion - Engineers, Architects or Surveyors Exclusion - Exterior Insulation and Finish Systems Exclusion - Professional Services Primary/Non-Contributory Coverage-Blanket - When req. by written contract Additional Insured - Managers or Lessors of Premises Toxic Drywall Exclusion Separation of Insureds Independent and/or Subcontractor Restriction Contractors Pollution Liability (Claims-Made) Conditions: Additional Insured - Owners, Lessees or Contractors (Broad Wording) Amended Waiver of Subrogation Toxic Drywall Exclusion Professional Liability Conditions: War or Terrorism Exclusion Additional Insured - Owners, Lessees or Contractors Hull & Machinery / Protection & Indemnity: Terms and Conditions applicable to All Sections: Severability Terms and Conditions applicable to Hull: A. I. Coastwise and Inland Hull Clauses Deliberage Damage (Pollution Hazard) Engines & Machinery - ACV / Limited Perils Only No Lay Up Warranty No Release to Tower Warranty Seaworthiness Clause Total Loss Hull Premium Earned Clause Vessel Stability Additional Insured as respects P&I Adventure Environmental Inc. ADVEN-1 PAGE 3 NOTEPAD INSURED'SNAME OP ID: GB Date 10/12/2022 Terms and Conditions applicable to P&I: SP-38 Form Collision Clause including Tow & Extended Tower's Liability Collision Liability - P&I Extension Diving & Swimming Exclusion Food & Beverage Exclusion Health Hazard Exclusion Liability Limitation No Release to Tower Warranty P&I Crew Exclusion: Notwithstanding anything contained in the Protection and Indemnity Clauses herein to the contrary, it is understood and agreed that this Company shall not be liable for any loss, expense or claim to employees of the Assured, members of the crew, contractors or subcontractors Punitive/Exemplary Damages Exclusion Special Operations Exclusion Contractor's Equipment: Policy No. : IMP 5305782-06 Policy Period: 01/26/2022 to 01/26/2023 - Owned Equipment $75,000 - Leased/Rented Equipment any one item limit $200,000 - Leased/Rented Equipment all items limit $400,000 Inland Marine Coverage Part Declarations Page Commercial Inland Marine Conditions Contractor's Equipment Declarations Scheduled Form Contractor's Equipment Scheduled Coverage Form Contractor's Equipment Equipment Leased or Rented From Others Coverage Florida Changes - Warranties Florida Changes - Loss Payment Crane Exclusion Endorsement Contractor's Equipment Existing Fire Exclusion Blanket Loss Payable Endorsement Marijuana Exclusion M.E.L. -Maritime Employers Liability Coverage Form -Transportation, Wages, Maintenance & Cure -Notice of Cancellation: 30 days (except 10 days of nonpayment of premium) -Death on the High Seas Clause -In Rem Liability -Blanket Waiver of Subrogation This certificate of insurance neither affirmatively nor negatively alters, amends, or extends the coverage afforded by Policy(ies) issued by the Insurer(s) listed on this certificate. ADVEN-1 OP ID: GB ,4coRo,, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `.�• 01/07/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 504-486-5411 CONTACT Accessible Marine Insurance Accessible Marine Insurance PHONE FAX 1145 Robert E Lee Blvd (A/C,No,Ext): 504�86-5411 (A/C,No):504�82-1475 New Orleans,LA 70124 E-MAIL Eric S.Green ADDRESS:gail@ami-ins.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Capitol Specialty Ins. Company INSURED INSURER B:Great American Ins.Company 22136 Adventure Environmental Inc. Greg Tolpin INSURERC: an StarNet Insurance Company 40045 160 Georgia Avenue Tavernier,FL 33070 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE Xrl OCCUR EV20190209-04 01/09/2022 01/09/2023 DAMAGE TO RENTED 50,000 X PREMISES Ea occurrence $ MED EXP An one person $ 5,000 APPROVED BY RISK MANAGEMENT PERSONAL&ADV INJURY $ 2,000,000 BYx 2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: ��^ GENERAL AGGREGATE $ ' ❑ PRO- ❑ DATE I L L 4[= 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 'WAVE'R.N/A YES_ 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 LAB 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 $ C M.E.L. BOOM-A-21-2110 08/15/2021 08/15/2022 M.E.L. 1,000,000 B Hull/P&I Liability OMH841008-10 10/12/2021 10/12/2022 P&I Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County and Florida Department of Environmental Protection,3900 Commonwealth Blvd.Tallahassee, FL 32399 shown as additional insured as respects liabilities hereunder. CERTIFICATE HOLDER CANCELLATION MONRO05 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. Insurance Compliance P. O. Box 100085-FX AUTHORIZED REPRESENTATIVE Duluth,GA 30096 _/y „ 11�9/� ACORD 25(2016/03) ©1988°-'20�15'ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Adventure Environmental Inc. ADVEN-1 PAGE 2 NOTEPAD INSURED'SNAME OP ID: GB Date 01/07/2022 Contractors Pollution Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-04 Policy Period: 01/09/22 - 01/09/2023 Claims Made Aggregate Limit: 2,000,000 Each Contractors Pollution Condition Limit: 2,000,000 Blanket Additional Insured/ Waiver of Subrogation Professional Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-04 Policy Period: 01/09/22 - 01/09/2023 Aggregate Limit: 2,000,000 Each Professional Services Incident Limit: 2,000,000 Commercial General Liability Conditions: Deductible Liability Endorsement Exclusion - Testing or Consulting Errors and Omissions Total Pollution Exclusion Endorsement Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Exclusion-Violation of Statutes that Govern Emails, Fax, Phone Calls or Other Methods of Sending Exclusion - Punitive or Exemplary Damages Amended Waiver of Subrogation Exclusion - Engineers, Architects or Surveyors Exclusion - Exterior Insulation and Finish Systems Exclusion - Professional Services Primary/Non-Contributory Coverage-Blanket - When req. by written contract Additional Insured - Managers or Lessors of Premises Toxic Drywall Exclusion Separation of Insureds Independent and/or Subcontractor Restriction Contractors Pollution Liability (Claims-Made) Conditions: Additional Insured - Owners, Lessees or Contractors (Broad Wording) Amended Waiver of Subrogation Toxic Drywall Exclusion Professional Liability Conditions: War or Terrorism Exclusion Additional Insured - Owners, Lessees or Contractors Hull & Machinery / Protection & Indemnity: Terms and Conditions applicable to All Sections: Severability Terms and Conditions applicable to Hull: A. I. Coastwise and Inland Hull Clauses Deliberage Damage (Pollution Hazard) Engines & Machinery - ACV / Limited Perils Only No Lay Up Warranty No Release to Tower Warranty Seaworthiness Clause Total Loss Hull Premium Earned Clause Vessel Stability Additional Insured as respects P&I Adventure Environmental Inc. ADVEN-1 PAGE 3 NOTEPAD INSURED'SNAME OP ID: GB Date 01/07/2022 Terms and Conditions applicable to P&I: SP-38 Form Collision Clause including Tow & Extended Tower's Liability Collision Liability - P&I Extension Diving & Swimming Exclusion Food & Beverage Exclusion Health Hazard Exclusion Liability Limitation No Release to Tower Warranty P&I Crew Exclusion: Notwithstanding anything contained in the Protection and Indemnity Clauses herein to the contrary, it is understood and agreed that this Company shall not be liable for any loss, expense or claim to employees of the Assured, members of the crew, contractors or subcontractors Punitive/Exemplary Damages Exclusion Special Operations Exclusion Contractor's Equipment: Policy No. : IMP 5305782-05 Policy Period: 01/26/2021 to 01/26/2022 - Owned Equipment $75,000 - Leased/Rented Equipment any one item limit $200,000 - Leased/Rented Equipment all items limit $400,000 M.E.L. -Maritime Employers Liability Coverage Form -Transportation, Wages, Maintenance & Cure -Notice of Cancellation: 30 days (except 10 days of nonpayment of premium) -Death on the High Seas Clause -In Rem Liability -Blanket Waiver of Subrogation This certificate of insurance neither affirmatively nor negatively alters, amends, or extends the coverage afforded by Policy(ies) issued by the Insurer(s) listed on this certificate. -", ADVEN-1 OP ID: GB '4coiRo. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �•� 01/07/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 504-486-5411 CONTACT Accessible Marine Insurance Accessible Marine Insurance PHONE FAX 1145 Robert E Lee Blvd (A/C,No,Ext): 504�86-5411 (A/C,No):504-482-1475 New Orleans,LA 70124 E-MAIL Eric S.Green ADDRESS:gail@ami-ins.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Capitol Specialty Ins. Company INSURED INSURER B:Great American Ins.Company 22136 Adventure Environmental Inc. GregStarNet Insurance Company40045 160 Tolpin INSURER eorgia Avenue Tavernier,FL 33070 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MWDD/YYYY MWDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE Xrl OCCUR EV20190209-04 01/09/2022 01/09/2023 DAMAGE TO RENTED 50,000 X PREMISES Ea occurrence $ MED EXP An one person $ 5,000 APPROVED BY RISK MANAGEMENT BY, _ PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - -'" GENERAL AGGREGATE $ 2,000,000 X PRO DATE /14/9. 9. POLICY❑ JECT ❑ LOC wAVERNA YES PRODUCTS-COMP/OPAGG $ 2,000,000 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$ $ 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 $ C M.E.L. BOOM-A-21-2110 08/15/2021 08/15/2022 M.E.L. 1,000,000 B Hull/P&I Liability OMH841008-10 10/12/2021 10/12/2022 P&I Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County and Florida Department of Environmental Protection,3900 Commonwealth Blvd.Tallahassee, FL 32399 shown as additional insured as respects liabilities hereunder. CERTIFICATE HOLDER CANCELLATION MONRO05 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. Insurance Compliance P. O. Box 100085-FX AUTHORIZED REPRESENTATIVE Duluth,GA 30096 _/y „ 11�9/� ACORD 25(2016/03) ©1988°-'20�15'ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Adventure Environmental Inc. ADVEN-1 PAGE 2 NOTEPAD INSURED'SNAME OP ID: GB Date 01/07/2022 Contractors Pollution Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-04 Policy Period: 01/09/22 - 01/09/2023 Claims Made Aggregate Limit: 2,000,000 Each Contractors Pollution Condition Limit: 2,000,000 Blanket Additional Insured/ Waiver of Subrogation Professional Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-04 Policy Period: 01/09/22 - 01/09/2023 Aggregate Limit: 2,000,000 Each Professional Services Incident Limit: 2,000,000 Commercial General Liability Conditions: Deductible Liability Endorsement Exclusion - Testing or Consulting Errors and Omissions Total Pollution Exclusion Endorsement Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Exclusion-Violation of Statutes that Govern Emails, Fax, Phone Calls or Other Methods of Sending Exclusion - Punitive or Exemplary Damages Amended Waiver of Subrogation Exclusion - Engineers, Architects or Surveyors Exclusion - Exterior Insulation and Finish Systems Exclusion - Professional Services Primary/Non-Contributory Coverage-Blanket - When req. by written contract Additional Insured - Managers or Lessors of Premises Toxic Drywall Exclusion Separation of Insureds Independent and/or Subcontractor Restriction Contractors Pollution Liability (Claims-Made) Conditions: Additional Insured - Owners, Lessees or Contractors (Broad Wording) Amended Waiver of Subrogation Toxic Drywall Exclusion Professional Liability Conditions: War or Terrorism Exclusion Additional Insured - Owners, Lessees or Contractors Hull & Machinery / Protection & Indemnity: Terms and Conditions applicable to All Sections: Severability Terms and Conditions applicable to Hull: A. I. Coastwise and Inland Hull Clauses Deliberage Damage (Pollution Hazard) Engines & Machinery - ACV / Limited Perils Only No Lay Up Warranty No Release to Tower Warranty Seaworthiness Clause Total Loss Hull Premium Earned Clause Vessel Stability Additional Insured as respects P&I Adventure Environmental Inc. ADVEN-1 PAGE 3 NOTEPAD INSURED'SNAME OP ID: GB Date 01/07/2022 Terms and Conditions applicable to P&I: SP-38 Form Collision Clause including Tow & Extended Tower's Liability Collision Liability - P&I Extension Diving & Swimming Exclusion Food & Beverage Exclusion Health Hazard Exclusion Liability Limitation No Release to Tower Warranty P&I Crew Exclusion: Notwithstanding anything contained in the Protection and Indemnity Clauses herein to the contrary, it is understood and agreed that this Company shall not be liable for any loss, expense or claim to employees of the Assured, members of the crew, contractors or subcontractors Punitive/Exemplary Damages Exclusion Special Operations Exclusion Contractor's Equipment: Policy No. : IMP 5305782-05 Policy Period: 01/26/2021 to 01/26/2022 - Owned Equipment $75,000 - Leased/Rented Equipment any one item limit $200,000 - Leased/Rented Equipment all items limit $400,000 M.E.L. -Maritime Employers Liability Coverage Form -Transportation, Wages, Maintenance & Cure -Notice of Cancellation: 30 days (except 10 days of nonpayment of premium) -Death on the High Seas Clause -In Rem Liability -Blanket Waiver of Subrogation This certificate of insurance neither affirmatively nor negatively alters, amends, or extends the coverage afforded by Policy(ies) issued by the Insurer(s) listed on this certificate. " ADVEN-1 OP In.P- A`O O DATE iMMIDDM"WI CERTIFICATE OF LIABILITY INSURANCE 01/07/2021 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 INSURERI51, AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policyjles)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(e). PRODUCER 504-486-5411 CONTACT Accessible Marine Insurance FAX 504-482-1475 Accessible Marine insurance PHONE 506-086-5411 I(A15 Noy. 1145 Robert E Lee Blvd INC,No,Edg New Orleans,LA 70124 E MreILss',gall@ami-Ins.com Eric S.Green INSURERISI AFFORDING COVERAGE NAI01 INSURER A.Capitol Specialty Ins.Company 22136 INSURER a:Great American Ins.Company G"r%Toire Environmental Inc. INSURER c,BtarNel Insurance Company Grog eoign 1av rnogiFAvenue INSURER o: Tavernier,FL 33070 INSURER E'. INSURER F'. COVFRAGFS CFRTIFICATE NUMBER' REVISION NUMBFR' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD CERTIFICATE FICATENMAYMBE ISSUED OR MAYTANDING ANY ERTTEMENT,AIN. THETERM OR CONDITION OF ANY NSURANCEE AFFORDED BY THEONTRACT OR OTHER POLICIES DESCRIBED HEREIN IS SUBT WITHECTPTOTALL HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS DBL�Bp POLICY EFF POLICY EXP ITR TYPE OF INSURANCE �N POLICY NUMBER .�nIyYYYY1 MIMIMIYYYY 2,DgD,Dgg A X COMMERCIAL GENERAL LIABILITY _•1 EACH OCCURRENCE CLAIMS-MADE I X I OCCUR X x EV20190209-03 01/09/2021 01/0912022 POFMISFS(f o".TJErreo el 50,000 MED EXP IAn one person) 5.000 Approved Risk Managem Ent with attE chments PERSONAL a ADV INJURY 2,000,000 • GENERAL AGGREGATE 2,000,000 GENT AGGREGATE LIMIT APPLIES PER. / - 2,000,000 7yla� [ X POLICY PRO-ECT I I LOC PRODUCTS•COMPRJP AGO OTHER COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea snt'd nrl 3-2-2021 ANY AUTO BODILY INJURY(Per Person) —OWNED '— SCHEDULED BODILYp INJURY(Per accident) — H AUTOS ONLY IONAUT MT Le 19ewdrentr AGE AUTOS ONLY UTO V UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS UPS CLAIMS-MADE AGGREGATE DEO I I RETENTION bDON STPiniE OFRH OREMPL EMPLOYERS' LIAILI AND EMPLOVER$'LIABILITV YIN EL ACCIDENT A#YPANY PEOPaflEIaEITqO�NpPEXCLUDED?ECUTIVE NIP OwIn HNl EL.EACHDISEASE.ACCEA EMPLOYEE Ilyes,ddesonlbne under eL OISFASE.PaIcr LIMIT IM.E.L.PnoN OF OPERATIONS below BOUM-A-20-2110 08115/2020 08/1512021 M.E.L. 1,000,000 C M.E.L. x 1,000,000 B MGIIIP51 Liability OMH041000-09 1011212020 10/1212021 P&I Limit DESCRIPTION OF OPERATIONSI LOCATIONS VEHICLES IACORO 101.Additional Remarks Schedule,may be attached II more spat•is required} Certificate holder shown as additional Insured with waiver of subrogation in their favor as requded by written contract as respects insured's operations.._--- - CERTIFICATE HOLDER CANCELLATION MONRO05 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 Insurance Compliance AUTHORIZED REPRESENTATIVE P.O.lu Box, 100085-FX pa 2 ,J 6 -_"'n Duluth,GA 30096 YoL","-'�0 �]p1AaLna" r ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NOTEPAD IX SVRED'S NAME ADVEN-1 PAGE 2 Adventure Environmental Inc. OP ID:GB D.w 01/07I2021 Contractors Pollution Liability: Insurer: Rockhill Insurance Company Policy0; EV20190209-03 Policy Period: 01/09/21 - 01/09/2022 Claims Made Aggregate Limit: 2,000,000 Each Contractors Pollution Condition Limit: 2,000,000 Blanket Additional Insured/ Waiver of Subrogation Professional Liability: Insurer: Rockhill Insurance Company Policyf: EV20190209-03 Policy Period: 01/09/21 - 01/09/2022 Aggregate Limit: 2,000,000 Each Professional Services Incident Limit: 2,000,000 Commercial General Liability Conditions: Deductible Liability Endorsement Exclusion - Testing or Consulting Errors and Omissions Total Pollution Exclusion Endorsement Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Fax, Phone Calls or Exclusion-Violation of Statutes that Govern Emails, Other Methods of Sending Exclusion - Punitive or Exemplary Damages Amended Waiver of Subrogation tiotects or Surveyors Exclusion - Engineers, Exclusion - Exterior Insulation and Finish Systems Exclusion - Professional Services Primary/Non-Contributory Coverage-Blanket - When req. by written contract Additional Insured - Managers or Lessors of Premises Toxic Drywall Exclusion Separation of Insureds Independent and/or Subcontractor Restriction Contractors Pollution Liability (Claims-Made) Conditions: Additional Insured - Owners, Lessees or Contractors (Broad Wording) Amended Waiver of Subrogation Toxic Drywall Exclusion Professional Liability Conditions: War or Terrorism Exclusion Additional Insured - Owners, Lessees or Contractors Hull 6 Machinery / Protection 6 Indemnity: Terms and Conditions applicable to All Sections: Severability Terms and Conditions applicable to Hull: A. I. Coastwise and Inland Hull Clauses Deliberage Damage (Pollution Hazard) Engines 6 Machinery - ACV / Limited Perils Only No Lay Up Warranty No Release to Tower Warranty Seaworthiness Clause Total Loss Hull Premium Earned Clause Vessel Stability Additional Insured as respects P6I P ID:G PAGE 3 NOTEPAD ixsuREGs xAmE Adventure Environmental Inc. AD I ID:GB m.. 0110 7/2 0 21 Terms and Conditions applicable to P6I: SP-38 Form Collision Clause including Tow 6 Extended Tower's Liability Collision Liability - P6I Extension Divitl 6 Beverage Exclusiong Food Health Hazard Exclusion Liability Limitation No Release to Tower Warranty P6I Crew Exclusion: Notwithstanding anything contained in the Protection and Indemnity Clauses herein to the contrary, it is understood and agreed that this of the l not be Assured, liable embersfor of the crew, contractors nse or claim to cto y o or subcontractors Specials Operatns Exclusion Damages Special Operations Contractor's Equipment: Policy No. : IMP 5305782-03 policy Period: 01/26/2020 to 01/26/2021 - Owned Equipment $75,000 Equipment em it 00, -- Leased/Rented Equipment all i t temslimit m 2$400,000 000 M.E.L. -Maritime Employers Liability Coverage Form -Transportation, Wages, Maintenance 6 Cure of premium) -Notice of Cancellation: 30 days (except 10 days of nonpayment -Death on the High Seas Clause -In Rem Liability -Blanket Waiver of Subrogation Date CERTIFICATE OF LIABILITY INSURANCE I 3/1/2021 Producer: Plymouth Insurance Agency This Certificate Is Issued as a matter of Information only and confers no 2739 U.S. Highway dghts upon the Certificate Holder. This Certificate does not amend,extend g y 19 N. or alter the coverage afforded by the policies below, Holiday, FL 34691 (727)938-5562 Insurers Affording Coverage NAIL# (727) Insurer A. Lion Insurance Company ems Insured: South East Personnel Leasing, Inc. &Subsidiaries insurer B-. 2739 U.S. Highway 19 N. Insurer C Holiday, FL 34691 Insurer D: Insurer E: Coverages The h respect to whNh Dais car fio�below a issued issued may the t e insuranceeaafNfordednbpolicy lmle pouo.e indicated esme d herein s asubect tg o any requirement.tr ,exclusions, nd condilons conned f such policies potties document limits shown may have been reduced by paid Harms. Policy Effective Policy Expiration Date Limits I LTR ryoeRD Type of Insurance Policy Number Date LTR l (MM/OD/YY) (MM/DDIYY) Eat Occurrence e GENERAL LIABILITY Commercial General Liability13 Claims Made El Occur " ° Pro " ` ° " r ' ` e a 3a o = . e it v //44:a" Damage to rented premises LEA �' - aJ�2Of� Med EW E Personal Ativ Injury t 3-2-2021 General aggregate limit applies per: General Aggregate s DPaliry OP". ElLOC Produce-comwop Ago E Combined Single Limit AUTOMOBILE LIABILITY LEA Wading s 7 My Auto Soddy Injury All pmM Autos (Per Person) E Scheduled Autos Bodily injury sided Amos (Per Accident) Non owned Autos PropertyDamage (par Accident) E Each Occurrence BRELLA LIABILITY Aggregate Deductible El Claims Made A Workers Compensation and WC 71949 01/01/2021 01/01/2022 XI WCOmifs I I0ER TH- Employers'Liability E L.Each Ac idem st ow000 Any Nuprietorlpannedexecuijve officer/member E.L.Disease-Ea Employee ft000.wo excluded? NO II Yes,describe under special provisions below. E L.Disease-Policy Limits at oon.wo Other Lion Insurance Company is A.M.Best Company rated A(Excellent). AMB#12616 Descriptions of OperationslLocatlonsNehicles/Exclusions added by EndorementapeClal Provisions: Client ID: 8065-323 Coverage on applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company': Adventure Environmental,Inc Coverage(wiry applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s),while working in:FL. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entry. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-213e or email certicates@honinsurarcecompany.com Project Name: INCLUDES USL&H.ISSUE 03-01-21(KLT) Begin pm:3/15R011.0 CERTIFICATE HOLDER CANCELLATWN MONROE COUNTY BOCC Should any of be above described polices be cancelled before he expiration date thereof,Pe issuing insurer will endeavor to mail 30 days wrlaennodm to me oenamte holder named to the lea,but failure to INSURANCE COMPLIANCE do so shall mpose no obligation or liability of any kind upon the insurer,its agents or represamalives. P.O.BOX 1000BS-F% � � ,y—�,_ _-- DULUTH. GA 30096 PROGRESSIVE' COMMERC/AL BUTLER BUCKLEY DEETS 6161 BLUE LAGOON#420 MIAMI,FL 33126 1-305-262-0086 Policy number: 03515746-7 Underwritten by. Approved Risk Management Progressive Express Ins Company him Zw. Secrowg lune 3,2021 Page 1 of 2 6-7-2021 Certificate of Insurance Certificate Holder Additional Insured MONROE COUNTY BOCC,INSURANCE INSURANCE COMPLIANCE PO BOX 100085-FX DELUTH,GA 30096 ed Agent/Surplus tines Broker Insu ADVENTURE ENVIRONMENTAL BUTLER BUCKLEY DEETS A 6161 BLUE LAGOON#420 INC MIAMI,FL 33126 160 GEORGIA AVE TAVERNIER,EL 33070 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for th periorffs) only. It co no upon s ghts the certificate holder and doesindicated. Certificate issued for purposes not change,alter, modify,orexte extend the coverages affordedby the policiesrlistedrlbelow. 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: lun 11,2021 Policy Expiration Date: tun 11,2022 Insurance coverage(s) Limits Bodily Injury/Property Damage $1,000,000 Combined Single Limit Uninsured Motorist $1,000,000 CSL Non-Stacked Personal Injury Protection $10,000 wm vorkers Comp-Named Insd&Relative $1 000,000 Combined Single Limit Employees Non-Owned Auto 1,000,000 Combined Single Limit Hired Auto Bodily Injury/Property y/Propertrtyy Damage $ Description of Location/Vehicles/Special Items Scheduled autos only 2011 CHEVROLET SUBURBAN C1500/1GN5KKE31BR382272 Comprehensive $1,000 Ded Collision $1,000 Ded 2014 CHEVROLET SILVERADO C2500 1 GC1 CVCG7EF1 7484 Medical Payments $5,000 000 Ded Comprehensive $1,000 Ded Collision 2019 CHEVROLET SUBURBAN C1500/1 GNSKIKI6KR2624 7 Medical Payments $5,000 Ded Comprehensive $1M00 Ded Collision Continued Policy number: 03515746-7 Paget of 2 2020 CHEVROLET SILVERADO C25001GC4YPEY7LF1055 7 Medical Payments $1,000 Ded 00 Comprehensive $1,000 Ded Collision 2020 CHEVROLET SILVERADO C25001GC4YPEY0LF154$4 8 Medical Payments $1,000 Ded 5,000 Comprehensive $1,000 Ded Collision 2002 MN T80 1NKDLT9X121894497 85,000 Medical Payments 2015 CHEVROLET SILVERADO C25001GC2CUEG1FZ5 1 600 Medical Payments $5,000 Ded Comprehensive $1,000 Ded Collision 2017 CHEVROLET SILVERADO C250016C1KUEG0HF2 7993 Medical Payments $5,000 ,000 Ded Comprehensive $1,000 Ded Collision 2018 CHEVROLET 2500 HD 1GC1 KUEGXJF134539 $5,000 Medical Payments $5,000 Ded Comprehensive $1,000 Ded Collision 2014 PTRB 3881NPWX4EX5ED226224 g5,000 Medical Payments $5,000 Ded Comprehensive $1,000 Ded Collision 2006 INTL 740 1HTWCAAN161370901 g5,000 Medical Payments $5,000 Ded Comprehensive $1,000 Ded Collision 2009 CHEVROLET SILVERADO C3500 1 GB1C74K99EI OS4S$5,000 Medical Payments $1,000 Ded Comprehensive $1,000 Ded Collision 2019 CHEVROLET K25001GC1KTEYOKF112991 $5,000 Medical Payments $ ,000 Ded Comprehensive $1,000 Ded Collision Certificate number 15421A11746 Please he advised that additional insureds and loss payees will he notified in the event of a mid-term cancellation. . .arm 5241 na021 -", ADVEN-1 OP ID: GB '4coiRo. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �•� 01/07/2021 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 504-486-5411 CONTACT Accessible Marine Insurance Accessible Marine Insurance PHONE FAX 1145 Robert E Lee Blvd (A/C,No,Ext): 504�86-5411 (A/C,No):504-482-1475 New Orleans,LA 70124 E-MAIL Eric S.Green ADDRESS:gail@ami-ins.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Capitol Specialty Ins. Company INSURED INSURER B:Great American Ins.Company 22136 Adventure Environmental Inc.GregStarNet Insurance Company 160 an Tolpin INSURER Peorgia Avenue Tavernier,FL 33070 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MWDD/YYYY MWDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE Xrl OCCUR EV20190209-03 01/09/2021 01/09/2022 DAMAGE TO RENTED 50,000 X X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 Approved Risk Management with att chments PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: �-+ GENERAL AGGREGATE $ 2,000,000 X POLICY jECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO 3-2-2021 BODILY dINJURY 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 LAB 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 $ C M.E.L. X BOUM-A-20-2110 08/15/2020 08/15/2021 M.E.L. 1,000,000 B Hull/P&I Liability OMH841008-09 10/12/2020 10/12/2021 P&I Limit 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder shown as additional insured with waiver of subrogation in their favor as requried by written contract as respects insured's operations. CERTIFICATE HOLDER CANCELLATION MONRO05 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. Insurance Compliance P. O. Box 100085-FX AUTHORIZED REPRESENTATIVE Duluth,GA 30096 _/y „ 11�9/� ACORD 25(2016/03) ©1988°-'20�15'ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Adventure Environmental Inc. ADVEN-1 PAGE 2 NOTEPAD INSURED'SNAME OP ID: GB Date 01/07/2021 Contractors Pollution Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-03 Policy Period: 01/09/21 - 01/09/2022 Claims Made Aggregate Limit: 2,000,000 Each Contractors Pollution Condition Limit: 2,000,000 Blanket Additional Insured/ Waiver of Subrogation Professional Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-03 Policy Period: 01/09/21 - 01/09/2022 Aggregate Limit: 2,000,000 Each Professional Services Incident Limit: 2,000,000 Commercial General Liability Conditions: Deductible Liability Endorsement Exclusion - Testing or Consulting Errors and Omissions Total Pollution Exclusion Endorsement Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Exclusion-Violation of Statutes that Govern Emails, Fax, Phone Calls or Other Methods of Sending Exclusion - Punitive or Exemplary Damages Amended Waiver of Subrogation Exclusion - Engineers, Architects or Surveyors Exclusion - Exterior Insulation and Finish Systems Exclusion - Professional Services Primary/Non-Contributory Coverage-Blanket - When req. by written contract Additional Insured - Managers or Lessors of Premises Toxic Drywall Exclusion Separation of Insureds Independent and/or Subcontractor Restriction Contractors Pollution Liability (Claims-Made) Conditions: Additional Insured - Owners, Lessees or Contractors (Broad Wording) Amended Waiver of Subrogation Toxic Drywall Exclusion Professional Liability Conditions: War or Terrorism Exclusion Additional Insured - Owners, Lessees or Contractors Hull & Machinery / Protection & Indemnity: Terms and Conditions applicable to All Sections: Severability Terms and Conditions applicable to Hull: A. I. Coastwise and Inland Hull Clauses Deliberage Damage (Pollution Hazard) Engines & Machinery - ACV / Limited Perils Only No Lay Up Warranty No Release to Tower Warranty Seaworthiness Clause Total Loss Hull Premium Earned Clause Vessel Stability Additional Insured as respects P&I Adventure Environmental Inc. ADVEN-1 PAGE 3 NOTEPAD INSURED'SNAME OP ID: GB Date 01/07/2021 Terms and Conditions applicable to P&I: SP-38 Form Collision Clause including Tow & Extended Tower's Liability Collision Liability - P&I Extension Diving & Swimming Exclusion Food & Beverage Exclusion Health Hazard Exclusion Liability Limitation No Release to Tower Warranty P&I Crew Exclusion: Notwithstanding anything contained in the Protection and Indemnity Clauses herein to the contrary, it is understood and agreed that this Company shall not be liable for any loss, expense or claim to employees of the Assured, members of the crew, contractors or subcontractors Punitive/Exemplary Damages Exclusion Special Operations Exclusion Contractor's Equipment: Policy No. : IMP 5305782-03 Policy Period: 01/26/2020 to 01/26/2021 - Owned Equipment $75,000 - Leased/Rented Equipment any one item limit $200,000 - Leased/Rented Equipment all items limit $400,000 M.E.L. -Maritime Employers Liability Coverage Form -Transportation, Wages, Maintenance & Cure -Notice of Cancellation: 30 days (except 10 days of nonpayment of premium) -Death on the High Seas Clause -In Rem Liability -Blanket Waiver of Subrogation ' 'AWWREWYE BUTLER BUULE`i'DEETS C'CIONFRO1,41 6161 BLUFF LAGOON 4420 ti11A111,FL 33126 1-305-262-0036 Policy number. 03515746-6 Underwr'sten by P rQq ressive'6r,press Ins Comp rry Jere 16,2020 Page 1 of 3 Ce-r-tificate of Insurance Certificate Holder ................................................................................................................................................................................................... Additional Insured fv10NROE COUIIBOCC IIASURANCE COIv1PLIANCE PO BOX 100085-FX DELUTH,GA 30096 insured Agent/Surplus Lines Broker ................................................................................................................................................................................................... ADVENTURE E N'VI RO N II BUTLER BUCKLEY D E ETS 111 6161 BLUE LAGOON 4420 160 GEOPGIA.4VE 1,114,11,FL 33126 TAVERNIER.,FL 33070 This document certifies that insurance policies identified belo,,,v have been issued by the designated insurer to the insured named above for the period(sl indicated. This Certlfi Cate 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 beloved. The coverages afforded by the policies listed belovr are subject to all the terms,exclusions, limitations,endorsements,and conditions of these policies. ............................................................................................................................................................................. Paling Effective Date: Jun 11:2020 Policy Expiration Date: Jun 11,2021 Insurance coverages) Limits Bodily lnjury/Property Damage $ ,000,000 Combined Single Limit ............................................................................................................................................................................. Uninsured 11 $1,000,000 CSL Nan-Stacked ............................................................................................................................................................................. Pelsoral Irjuryj Protection $10,000 w;',fvorkers Comp-Named Insd&Relative ............................................................................................................................................................................. Emplover`s Nan-&Nned Auto BIPD $1 000,000 Combined Single Linnit .............................................................-........................................................................................................ ...... Hired,Auto Bodily Injury/property Damage $1�;000,000 Combined Single Limit Description of Location/Vehicies/Special items Scheduled autos only ............................................................................................................................................................................. 2011 CHEUROLETSUBURBAN C1500I 1GNSKKE31BR382272 Comprehensive $1:000 Ded Collision $''',000 Ded ............................................................................................................................................................................. 2014 CHEVROLET SILVERADO C2500 1GC1CVCG7EF187484 Medical Pa;merts $5,000 Comprehensive $1:000 Ded Collision $1,000 Ded ............................................................................................................................................................................. 2002[""O)T80 11vJKDLT9X12J894497 Medical Pa,,merts $5,000 ..............:.............................................................................................................................................................. 2015 CHEVROLET SILiIERf;DO C2500 1GC2CUEG1F2541060 Medical Pa merts $5,000 Approved Risk Management with attachments ontalud LJ, 3-2-2021 Policy number. 03515746-6 Page 2 of 3 Comprehensive $"��,00O Ded Collision $1,000 Ded ............................................................................................................................................................................. 2017 CHEVROLETSILVERADO C'2500 1GCIKXEOHF104 15 Paedical Payrnerlts $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded ............................................................................................................................................................................. 2017 CHEVROLET SILVERADO C2500 1GCIKUEGOHF207993 kledical Payrnerts $5,000 Comprehensive $1,000 Ded Collision $ ,000 Ded 2018 CHEVR0LET 2500 HD IGCIKUEGXJF134539 h4edical Paumerts $5,000 Cornprehensive $1,000 Ded Collision $ ,000 Ded ............................................................................................................................................................................. 2014PTRB 388 INP,,VX4EX5ED226224 I Iedical Pauments $5,000 Comprehensive $1,000 Ded Collision $ ,000 Ded ............................................................................................................................................................................. 2006 INTL 740 1 HTVVC4Ald 161370901 I Iedical Pauments $5,000 Comprehensive $1,000 Ded Collision $11,000 Ded ............................................................................................................................................................................. 2009 CHEVROLET SILVERADO C3500 1GBJC74V99E105480 1,1edical Pavmerts $5,000 Comprehensive $",000 Ded Collision $1,000 Ded ............................................................................................................................................................................. 2019 CHEVROLET K2500 IGCIKTEYOKF112991 I,Aedical Pavnerts $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded ............................................................................................................................................................................. 2019 CHEVROLET SUBURi3AIA C150011GNSKJKJCKR262_447 kledical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded ............................................................................................................................................................................. 20220 CHEVROLET SILVER4.DO C2500 IGC4YPEYr LF1O5587 kledical Payments $5,000 Comprehensive $1,000 Ded Collision $1,000 Ded ............................................................................................................................................................................. 2020 CHEVROLET SILVERADO C2500 1GC4YPEYOLF154498 Medical Payments $5,000 Comprehensive $",000 Ded Collision 000 Ded It ;:o�, wed Policy number. 03515746-6 Page 3 of 3 Certificate number 16820A12746 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. I Qirn 5241(1 M2� Date CERTIFICATE OF LIABILITY INSURANCE 3/1/2021 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. rights upon the Certificate Holder. This Certificate does not amend,extend Holiday, FL 34691 or alter the coverage afforded by the policies below. (727) 938-5562 Insurers Affording Coverage NAIC# Insured: South East Personnel Leasing, Inc. &Subsidiaries Insurer A: Lion Insurance Company 11075 2739 U.S. Highway 19 N. InsurerB: Holiday, FL 34691 InsurerC: Insurer D: Insurer E: Coverages The policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement,term or condition of any contract or other document with respect to which this certificate may be issued or may pertain,the insurance afforded by the policies described herein is subject to all the terms,exclusions,and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. INSR ADDL Policy Effective Policy Expiration Date Limits LTR INSRD Type of Insurance Policy Number Date (MM/DD/YY) (MM/DD/YY) GENERAL LIABILITY Each Occurrence Commercial General Liability A p p r o v E d R i S k M a n a g e m e n t Damage to rented premises(EA Claims Made ❑ Occur occurrence) WaA Med Exp General aggregate limit applies per: 3-2-2021 Personal Adv Injury General Aggregate Policy ❑Project ❑ LOC Products-Comp/Op Agg AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) Any Auto Bodily Injury All Owned Autos (Per Person) Scheduled Autos Hired Autos Bodily Injury Non-Owned Autos (Per Accident) Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Occur ❑Claims Made Aggregate Deductible A Workers Compensation and WC 71949 01/01/2021 01/01/2022 X I WC Statu- OTH- Employers'Liability tory Limits ER Any proprietor/partner/executive officer/member E.L.Each Accident $1,000,000 excluded? NO E.L.Disease-Ea Employee $1,000,000 If Yes,describe under special provisions below. E.L.Disease-Policy Limits 1 $1,000,000 Other Lion Insurance Company is A.M. Best Company rated A(Excellent). AMB# 12616 Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 80-65-323 Coverage only applies to active employee(s)of South East Personnel Leasing,Inc.&Subsidiaries that are leased to the following"Client Company": Adventure Environmental,Inc. Coverage only applies to injuries incurred by South East Personnel Leasing,Inc.&Subsidiaries active employee(s),while working in:FL. Coverage does not apply to statutory employee(s)or independent contractor(s)of the Client Company or any other entity. A list of the active employee(s)leased to the Client Company can be obtained by faxing a request to(727)937-2138 or email certificates@Iioninsurancecompany.com Project Name: INCLUDES USL&H.ISSUE 03-01-21 (KILT) Be in Date:3/15/2010 CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOCC Should any of the above described policies be cancelled before the expiration date thereof,the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left,but failure to INSURANCE COMPLIANCE do so shall impose no obligation or liability of any kind upon the insurer,its agents or representatives. P.O.BOX 100085-FX -- 3 DULUTH, GA 30096 .r -