Certificates of Insurance CERTIFICATE LIABILITY INSURANCE °ATE(M
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THIS CERTIFICATE IS ISSUED AS A MATTERINFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require n endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement s
PRODUCER N CONTACT Robert J. Ray, CIC,CR ,CPRM
National Risk ManagementAsocial:es, Inc. tPaNc Na} Ex`I ( 07)767- 950 k07� - 117
oert J. Ray, CIC, CRM, CPRM License#A215767 ADDRESS: Robert.Ray@nrmafla.com --
Paco Box 521550 INSURERS}AFFOR 1;43ve GE
Longwood _ FL__. 32752-1550 v _ INSURER A:CUMIS Special Insurance Comfy 12756
INSURED INSURER B:The Princeton Excess&Surplus Lines Ins Co 10876
Vemis&Bowling,et al INSURER C• Executive Risk Indemnit 3 161
1680 Northeast 135th Street INSURER D.
IN :
Miami FL 33181
- SURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
kEXCLUSIONS
I TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
ATED. NOTWITHSTANDING ANY REQUIREMENT,TER OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W RESPECT TO WHICH THIS
IFICATE Y BE ISSUED OR Y PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN Y HAVE BEEN REDUCED BY PAID CLAIMS.
DDL�Uf CY EIFF ICV EXP TYPE OF INSURANCE P CY NUMBER ' M D LIMITS
C MERC GENEy..,L LIABILITY
.r ! EACH OCCURRENCE $
CLAIMS-MADE OCCUR �FUEM SE4_LU- _--rrear } ..,$
-_....-
_ PER 9NAL ADV INJURY S
5 GEN L AGGREGATE LIMITAPPLIES PER: ;GENERAL AGGREGATE
PO
LfCY JECT ..._JLCC PRODUCTS CQMPFOP A S - --
I OTHER:
AUTOMOBILE LIABILITY C AWED SINGLE LIMIT $
ANY AUTO ! i BODILY INJURY(P ) $
I �OWNED —: SCHEDULED
Arr05 ONLY _. AUTOS ( BODILY INJURY accident)�_$
HIRED -PRO �RTYDA GEis—j AUTOS ONLY AUTOS ONLY �(Prat atRza�i�t t}
-- - --Is
UMBRELLA LIAB OCCUR i EACH OCCURRENCE i$
EXCESS LtA CLAIMS-MADE ? AGGREGATE - —
DED I RETENTION $
WORKERS COMPENSATION PER 1 CBTH-
STATLn E ER
D EMPLOYERS,LIABILITY YIN (__ __. -- ---- -----
RNYPROPRIETORtPARTNERlEXECUTIArE N r A I ( I E L EACH ACCIDENT #$
,OFFICERIMEMBEREXCLUDED?
�'(MsndvtoryIn NH) E.L.DISEASE EA EMPLOYEE?$
Ifies
slibe under
OF OPERATIONS belowi E.L.DISEASE-POLICY LIMIT $
A erg Professional Liability ;315362 ! 0212312021 0 22 Linatts c4 Usal City: $5,000,00"51000,000
B I Excess Professional Liability (eG-A3-PX 27-00 o2armi m 22 Um&tacdUablldty: $5,000,0005,wo,000
C !Employment Practices Liability 8255-2665 10(1212020 ! i011=021 Limits atUeattty: $3o000,00043,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS A VEHICLES(ACORD 101,Additioml Remarks Schatfule,mar be affached If mare s to required)
Law Firm
fn
26 .2021
DATE—
CERTIFICATE HOLDER CANCELLATION
Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
1111 1 2th Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Suite 408
ACCORDANCE WITH THE POLICY PROVISIONS.
West,Key FL 33040 AUTHORIZED REPRESENTATIVE
4±�be J. Ray,CIC,CRM,CPRM.
Ce 1989-2015 ACORD CORPORATION, All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD