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Certificates of Insurance
DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE `..,..-� 10/22/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE 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 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: Agency Marketing Services, Inc. (A/C,PHONE EXt): Fvc,No): 9800 4th Street North, Suite 400 ADDRIESS: INSURER(S)AFFORDING COVERAGE NAIC# Saint Petersburg FL 33702 INSURERA: Markel Insurance Company 38970 INSURED INSURER B: Sanchez&Ashby, P.A. INSURER C: 1223 White Street INSURER D: Suite 104 INSURER E: Key West FL 33040 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE CLAIMS-MADE OCCUR PREM SESOEa occurrDence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ M'OTHER: LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ JECTPOLICY❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Peraccident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N S TATUTET I ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? �N (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A PL-Professional Liability $1,000,000 Each Claim LA308952 08/11/2020 08/11/2021 $1,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Retroactive Date:Au g a r 11,2003 % Deductible:$10,000 Annual Aggregate , w 10/23/2020 WAM 'x ft'. CERTIFICATE HOLDER CANCELLATION 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. 1111 12 th Street /UTH IZED EP ESEN TA TIVE Suite 408 f9 Key West FL 33040 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD p y�--.� 0 DATE(MM/DDIYYYY) �`Mt CERTIFICATE I I IT' INSU A 08/02/2019 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 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: FAX Agency Marketing Services, Inc. VnN4N Ext: (AIC,No): 9800 4th Street North,Suite 400 ADDRESS: INSURER(S)AFFORDING COVERAGE NAiC# Saint Petersburg FL 33702 INSURER A; Markel Insurance Company 38970 INSURED INSURER B: Sanchez&Ashby,P.A. INSURER C: 1223 White Street INSURER D: Suite '104 INSURER E: Key West FL 33040 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY .EACH OCCURRENCE $ DAMAGE 1- N :D CLAIMS-MADE OCCUR -PREMISES Ea occurrence) S MED EXP An one person $ PERSONAL&ADV INJURY S GEN'LAGGREGATE'.L.IMIT APPLIES PER: GENERAL AGGREGATE S POLICY❑JEST PRO- LEI LOC PRODUCTS-COMP/OP AGG S OTI-IER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea accident) ANYAU'1'O IF— BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS AMAGE NON-OWNED r'ROPERTY D $ RED AUTOS AUTOS Por acrid Y $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS L1AB CLAIMS-MADE AGGREGATE S DEC) I I RE:'TEN'TION S $ WORKERS COMPENSATION PI;.'.R OTI.I- ER AND EMPLOYERS'LIABILITY Y/N S I.. ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E L. EACH ACCIDENT' S OFFICER/MEMBER EXCLUDED? N -�.�•�. -� (Mandatory in NH) E L. DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L..DISEASE-POLICY LIMIT $ PL-Professional Liability 1,000,000 Each Claim LA307893 08/11/2019 08/11/2020 A 1,000,000 Annual Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101„Additional Remarks Schedule,may be attached if more space is required) Deductible:$10,000 Annual Aggregate Retry Date:Aug. 11,2003 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Sanchez&Ashby, P.A. ACCORDANCE WITH THE POLICY PROVISIONS. 1223 White Street AUTHORIZED REPRESENTATI Suite 104 Key West FL 33040 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD