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Certificates of Insurance MARINCON4 DATE(MM/DD/YYYY) ACOR& EVIDENCE OF PROPERTY INSURANCE 1 05/17/2022 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW.THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE ADDITIONAL INTEREST. AGENCY PHONE COMPANY A/c No E.t 352-390-2765 USI Ins Svcs Constr Proj Spec RLI Insurance Company 4600 Touchton Rd 9025 North Lindbergh Drive Building 100,Suite 275 Peoria,IL 61615 Jacksonville,FL 32246 No— ADDRE. SS:aimee.burieson@usi.com CODE: SUB CODE: AGENCY cuSTOMER LD#: 1930344 ---J _ INSURED Marino Construction Group,Inc.& LOAN NUMBER POLICY NUMBER Florida Keys Marathon Airport _ ILM0715224 _ P.O.BOX 1706 EFFECTIVE DATE EXPIRATION DATE CONTINUED UNTIL Key West,FL 33041 05/17/22 06/16/22 TERMINATED IF CHECKED THIS REPLACES PRIOR EVIDENCE DATED: PROPERTY INFORMATION LOCATION/DESCRIPTION Location#1 9400 Overseas Hwy, Marathon, FL 33050 Building#1 Florida Keys Marathon Airport-Rehab project 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION PERILS INSURED I I BASIC BROAD SPECIAL COVERAGE/PERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE BUILDERS RISK COVERAGE INFORMATION��` Job Specific Completed Value: Loc.#1 Bldg.#1 $1,557,064 1' 1 19 . 2 2 WAMM ? , REMARKS(Including Special Conditions) 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. ADDITIONAL INTEREST NAME AND ADDRESS X ADDITIONAL INSURED LENDER'S LOSS PAYABLE X LOSS PAYEE Monroe County BOCC MORTGAGEE 1100 Simonton St LOAN# Key West, FL 33040 AUTHORIZED REPRESENTATIVE ,/f'4 ACORD 27(2016/03) 1 of 1 S 1226519 O 1993-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AXCEQ Client#: 1930344 MARINCON4 ACORDT. CERTIFICATE OF LIABILITY INSURANCE YY) 511312022 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: Jfi6i ­._...._..._..__....___­...__. _.­....._­­.­ ­.......­................... 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 any rights to the certificate holder In lieu of such endorsoment(s), NT T PRODUCER NCRMEA:c Aimee L Burleson USI Insurance Svcs LLC, CL [_L,H N,9,_gxjt 352-390-2745 352-732-0132 4600 Touchton Rd 1 E-MAIL FAX ,!_ADDRESS: Aimee.Burieson@usi.com ........... Building 100,Suite 275 INSURERS)AFFORDING COVERAGE NAIL Jacksonville,FL 32246 INSURER A;Continental Insurance Company 3528-9 ------ INSURED INSURER B:Valley Forge Insurance Company 120508 Marino Construction Group,Inc. P.O. Box 1706 INSURER C: __ Key West,FL 33041 INsU RER_D. -INSURER E-" IINSURER F W 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 CONTRACTOR 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. R ADDLSUBR P&IgMFF PaSCY EXP R TYPE OF INSURANCE POLICY NUMBER MMI LIMITS T �L§A�W yynl........ I! Yp" [A X COMMERCIAL GENERAL LIABILITY 7033831030 D5/0112022 05101/2023 EACH OCCURRENCE 0 e ENTED k�� CLAIMS-MADE EX OCCUR �1? X PD Ded:1,000 MED EXP(Any one person) $151900 PERSONAL&ADV INJURY $1 00'0 000 GEN'L AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE $2,000,000 PRO. LOC POLICY JECT ---------- PRODUCTS-COMP(OPAGG s2,000,000 OTHER: $ ---------- .......... COMBrNED SINGLE LIMIT A AUTOMOBILE LIABILITY 7033831044 05/01/2022 051011202 Easc6dent) X ANY AUTO BODILY INJURY(Per person) $ OWNED S SCHEDULED BODILY$NJURY(Per accident) $UTOS � xAUTOS ONLY A HIRED x NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY X UMBRELLA LIAB X OCCUR 7033831061 05/0112022 051011202�5LCt2.qc I�N,!E EXCESS LIAB CLAIMS-MADE AGGREGATE AMU 000 9- -0 DED X RETENTION$10000 $ B WORKERS COMPENSATION :7033831058 0510112022 05/0,11202 JOTH* AND EMPLOYERS" YIN i L EFI ANY PROPRtETORIPARTNERIEXECUTIVEL-�] E.L.EACH ACCIDENT $1,0Q0,000 N OFFICERIMEMBER EXCLUDED? N NIA ....... 0 (Mandalory In NH) iE.L,DISEASE-EA EMPLOYEE $1 aw U es,describe under DESCRIPTION OF OPERATIONS belowr DISEASE-POLICY LIMIT , 00 ................ E,L $1090�,O DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space Is raquIrad) Certificate Holder Is named as additional insured with respects to General Liability and Auto Liability. A NT ell, 9 . 22 DATE�,_ CERTIFICATE HOLDER CANCELLATION WAMM KtkXy"­ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BO�CC Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Compliance ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 100085-FX Duluth,GA 30096 AUTHORIZED REPRESENTATIVE 0 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of I The ACORD name and logo are registered marks of ACORD #S35955483/M35948402 JZGZP DATE(MM/DD/YYYY) ACoR" CERTIFICATE OF LIABILITY INSURANCE F5J11/2021 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: Stacy COOT( AWA Insurance Agency PHONE FAX 13700 Six Mile Cypress Pkwy WC, /C No Ext: 239-418-1100 (A/C, A/c No):239-418-1164 Suite# 1 ADDRESS: stacy@awainsurance.com Ft.Myers FL 33912 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Mt. Hawley Insurance Company 37974 INSURED MARICON-01 INSURER B:Auto-Owners Insurance Company 18988 Marino Construction Group, Inc. PO BOX 1706 INSURER C: FCCI Insurance Company 10178 KEY WEST FL 33041 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1401254007 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 POLICYNUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY Y 9070583-A 5/12/2021 5/12/2022 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR PREM SESoE a occurrDence $50,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PE LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y 52-830030-00 5/12/2021 5/12/2022 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO 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 UMBRELLA LIAB X OCCUR 9072326-A 5/12/2021 5/12/2022 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ C WORKERS COMPENSATION WC010006223101 11/13/2020 11/13/2021 X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? 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 C Inland Marine-Commercial CM100030408-02 9/26/2020 9/26/2021 Rented/Leased Equip 150,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is named as additional insured with respects to General Liability and Auto Liability. %) [ 4 5 . 18 . 2021 CERTIFICATE HOLDER CANCELL/ A NW NAX- YW- -,- 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 PO Box 100085-FX AUTHORIZED REPRESENTATIVE Duluth GA 30096 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD From: mail-server@csr24.email To: monroecountyfl monroecountyfl@Ebix.com CC: Subject: Proof of Insurance for Marino Construction Group, Inc. Date: 5/11/2021 12:54:29 PM Attachment(s):