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Certificates of Insurance ---""� KLEIHOR-02 J1 RKULL '4�`oRoR CERTIFICATE OF LIABILITY INSURANCE DATE(M/ �•.-'--� sr2820212o21 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 Andrew Haugen AssuredPartners Jamison LLC PHONE FAX 20 Commerce Drive (A/C,No,Ext):(212)806-3450 (A/C,No): 2nd Floor ADDRESS:Andrew.Haugen@assuredpartners.com Cranford,NJ 07016 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Allianz Global Risks US Insurance Company 35300 INSURED INSURER B:Greenwich Insurance Company 22322 Klein Hornig LLP 101 Arch Street INSURER C Suite 1101 INSURER D: Boston,MA 02110 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM DD YYYY MM DD Y COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICYPRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO e ," BODILY INJURY Per person) $ l OWNED SCHEDULED K AUTOS ONLY AUTOS I BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY y _�, �. = Per accident $ 9 . 29 . 2021 $ UMBRELLA LIAB OCCUR ,.,,,,,,�.,�� - -- - '" EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE WAW AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECU I IVE ❑ 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 $ A Lawyers Prof Liab USF00753021 7/1/2021 7/1/2022 Per Claim/Annual Agg 5,000,000 B Excess Liability LPE 9043508 00 7/1/2021 7/1/2022 5,000,000 excess of 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Attorneys at Law CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Count BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. 1111 12th Street,Suite 408 Key West,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD From: acorvo@kleinhornig.com To: monroecountyfl monroecountyfl@Ebix.com CC: Subject: Klein Hornig Insurance Certificate Date: 6/29/2021 8:56:07 AM Attachment(s): Hello, Attached you'll find our updated insurance certificate. Our reference number is FX00000193 and our PIN is 12565026. Please let me know if you need any more information. ---""� KLEIHOR-02 J1 RKULL '4�`oRoR CERTIFICATE OF LIABILITY INSURANCE DATE(M/202YYY) �••-�-'' 9l242020 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 Andrew Haugen AssuredPartners Jamison LLC PHONE FAX 20 Commerce Drive (A/C,No,Ext):(212)806-3450 (A/C,No): 2nd Floor ADDRESS:Andrew.Haugen@assuredpartners.com Cranford,NJ 07016 INSURERS AFFORDING COVERAGE NAIC# INSURER A:Allianz Global Risks US Insurance Company 35300 INSURED INSURER B: Klein Hornig LLP 101 Arch Street INSURER C Suite 1101 INSURER D: Boston,MA 02110 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM DD YYYY MM DD Y COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PE LOC " "� '6KI PRODUCTS-COMP/OP AGG $ OTHER: $ ' - - -- COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY _, accident $ ANY AUTO a. 4 30 . 2021 BODILY INJURY Perperson) $ OWNED SCHEDULED .,--.- �"� AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED WAW 5 PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY - - Per accident) ent $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECU I IVE ❑ 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 $ A Lawyers Prof Liab USF00753020 7/1/2020 7/1/2021 Per Claim/Ann Agg 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Attorneys at Law CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Count BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. 1111 12th Street,Suite 408 Key West,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD From: customerservice@certsonline.com From: From: customerservice@certsonline.com Subject: Upload Via Web 09-24- 2020Attachment(s):2020_Certificate_LPL_Lawyers_Professional_Responsibility_Monroe _County_BOCC_.PDF Client Name: Monroe County Florida;Vendor Number: FX00000193;Vendor Name: Klein Hornig LLP;Document Uploaded By: Jaclyn Flatt Risk Management/Certified Paralegal ;Date Uploaded: 9/24/2020 8:12:55 AM ;Comment: Professional liability COI uploaded