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Certificates of Insurance ACOR" CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYY`0 `16.� 1 05/17/2024 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 Lauren White NAME: StateRmn Cristina Mills Insurance Agency Inc H N FAX Ext: 561-935-9263 FNo 4016k, ADD 850 W Indiantown Rd Ste B E-MAILRESS: //��g Lauren otmills3.com V Jupiter,FL 33458 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER B: American Underwater Contractors Inc INSURERC: 17536 SE Conch Bar Ave INSURER D: Tequesta,FL 33469 INSURER E: ED INSURER F: EEI 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. POLICYINSR L LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TEND CLAIMS-MADE 1:1OCCUR PREM SESOEa occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY1:1 JECOT LOC PRODUCTS-COMPIOP AGG $ OTHER: $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY J268967-D21-59 04/21/2024 10/21/2024 Ea accident $ ANY AUTO BODILY INJURY(Per person) $ 1,000,000 OWNED SCHEDULED 350 7191-B12-59C 02/12/2024 OS/12/2024 X AUTOS ONLY X AUTOS X BODILY INJURY(Per accident) $ 1,000,000 HIRED �/ NON-OWNED D192029-D14-59F 04/14/2024 10/14/2024 AUTOS ONLY X AUTOS ONLY Per accident $ 1,000,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DIED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER $ ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N - `T OFFICER/MEMBER EXCLUDED? ❑ N/A APF1'FfC E.L.EACH ACCIDENT $ (Mandatory in NH) �Y E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below DATEJr.2�•? � E.L.DISEASE-POLICY LIMIT $ _.. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) (Policy#J26 8967-D21-59 2019 GMC Yukon XL)(Policy#350 7191-B12-59C ENOL)(Policy#D19 2029-D14-59F 2018 Ram 3500 Pickup) Additional Insured: Monroe County BOCC PO Box 30096 Duluth,GA 30096 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. Insurance Compliance AUTHORIZED REPRESENTATIVE PO Box 10085-FX Completed by an authorized State Farm representative.If signature Duluth,GA 30096 is required,please contact a State Farm agent. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132849.14 04-13-2022 Ac"+' � CERTIFICATE OF LIABILITY INSURANCE DICE DATE J MADDIYYYYI / 03/0212023 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 POLIICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU'RER(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 d hts to the certificate holder in lieu of such endorsements). PRODUCER CONTACT Lauren WWhite RAM (`tWteFarrn Cristina Mills Insurance Agency IncPHONE g WC,No,Extp: 561-935 9263 850 VW Indiantown Rd Ste B E r1° t siren cz gotmills3 corn i Ju ter,FL 33458 - —.._ .. p INSURER(S)AFFORDING COVERAGE. NAIL 11. _ ..,...._.._ INSURER State Farm Mutual Automobile Insurance Company ...,.._. ..... 25178 INSURE(? -- -___ _.. ............... ..� -._ INSURER B American Underwater"Contractors Inc INSURER C 17536 SE Conch Bar Ave INSURER D Jupiter,FL 33 INSUR'ER'E 469 _......._.. .......... ..__..__._ _ , 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.LIMIT'S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. "Rw _.-__- —_.."'AB --- P"GL1 E'FF""' POLI' E LTR TYPEOFONSURANCE INSD'INVD POLICY MMIDDIYYYY �MPIf.IDDfYYY"Y LIMNS ,,.... COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ICLA.IM9-MADDE t..............1 OCCUR _ pers_.r�rec�.r1 S PERSONAL A ADV INJURY NDEL7 ExI^ An anc+ ) GENT AGGREGATE LIMIT APPLIES PEH, GENERAL.AGGREGATE � c PRO- .....,. ................ ___.. POLICY I.,:�:. JECT � LOC PRODUCTS-C OMPOCPAGG � -- - _._ ...- _............ - - '...OTHER., 5 COMBINED ED SIN SINGLE LIMIT AUTOMOBILE LIABILITY 8855229-D21-59Z 04121/2023 10/21/2023 (Faarcd Il .— — 1 ObY AUTO SCHEDULED D19 202'9-D14-59E, 04/14/2023 10/1412023 -�� e son,I r, 11„000,000 »�/ Br,DrYILY iN��IRv Ir+er ..__..,. AUTOS ONLY +'"�. AUT'OS Y BOD LY IroJURY IHer aorldendl $ 1,000,000 HIRED NON-O'w"UNE:D 350 7191-B12-59C 02/1212023 08/12/2023 PROP1511 I Y DXMACE /"�'.... AUTOS ONLY {, AUTOS ONLY _{L^ep a�.cudent),._ S� 1,000,000..,.. 5 — LAB -._-- ,� AGGREGATE EACH I f CCLIRRENCE 5 � UMBRELLA �L.AI�DS-MADE B * ..--- -.......,�..._ . ....-w .-w., .._ __. EXCESS LIARETDNIION'.. $ W .,._' S� WORKERS COMPENSATION ,gym PER O rH- � AND EMPLOYERS'LIABILITYYIN .. m ..... SIAIJUI E:FZ..— ., OFFICERIM MBERIEACLUDEDXkC 1IVE �— r L.EACHII ACCIDENT ANY PROPRIE PPFICERIMEBv1�HER EXCLUDED' NIA ....�. •. s— (Mandatory NH) I(' E L,DISEASE-EA EMPLOYEE-5 _... If yes describe under j DESCRIPTION OF OPERA."PIONS below E.V.,DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Addhlonal iRemarks Schedule,may be attached If more space is required) (Policy#885 5229-1021-59Z 2019 GMC YUKON XL SPORT VVG)(Policy#350 7191-812-59C FNOL)(Policy#2018 RAM 3500 PICKUP) Additional Insured 6028 Monroe County BOCC P.O.Box,10085-FX Duluth,GA 30096 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, Insurance Compliance AUT RED REPRESENTATIVE P.O.Box'10085-FX -Y Duluth,GA 30096 WJAW 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2015103) The ACORD'name and logo are registered marks of ACORD 1001466 132849,14 04-1,3.2022 Ago CERTIFICATE OF LIABILITY INSURANCE DAIE(MMIDDIYYYY) 1 011 2/202 2 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 endorsements. PRODUCER CONTACT CRISTINA MILLS State&rM CRISTINA MILLS INSURANCE AGENCY INC PHONE 561-935-9263 FA C No. o Ext: AfC No): 850 WEST INDIANTOWN ROAD#2 E-MAIL CRISTINA@GOTMILLS3.COM ` JUPITER,FL 33458 INSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A: State Farm Mutual Automobile insurance Company 25178 INSURED INSURER e: AMERICAN UNDERWATER CONTRACTORS INC INSURER C: 17536 SE CONCH BAR AVE INSURER D: TEQUESTA,FL 33469 INSURER E: ENSURER 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 WVO POLICY NUMBER MMIDDIYYYY MMIDDrNYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DA AGE 70 RENTED I ES Ee occurrence $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMPIOP AGG $ OTHER: $ AUTOMOBILE LIABILITY 885 5229 D21 59Z 10/14/2022 04/14/2023 O awden SINGLE LIMIT $ 1,000,000 ANY AUTO 35p 7191 B1259C 02l1212022 02112/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY Ix AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED D19 2029 D14 59E 04/14/2022 04/14/2023 IxAUTOS ONLY AUTOS ONLY Per a=idenF $ I $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE � AGGREGATE ER DED RETENTION $ 9 $ WORKERS COMPENSATION i Y PER OTH- $ AND EMPLOYERS'LIABILITY — ANY PROPRIETORIPARTNERIEXECUTIVE YIN-1 r N E.L.EACH ACCIDENT $ OFFICEWIVEMBEREXCLUDED? ❑ NIA •TF ^ /1 (Mandatory In NH) 1 —0 -2'""'L/r E.L,DISEASE-EA EMPLOYE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERAroNS!LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) POLICY#8555229D21 59 2019 GMC YUKON XL,POLICY#350 7191 B1259C 2018 DODGE RAM 3500 PICK UP,POLICY#350 7191 B1259 ENOL ADDITIONAL INSURED 6028 MONROE COUNTY BOCC P.O BOX 10085-FX DULUTH,GA 30096 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. INSURANCE COMPLIANCE AUTHORIZED REPRESENTATIVE P.O BOX 1 _ DULUTH,GAA 3009 30096 1988-2015 ACORD CORPORATION. A11 rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1001486 132649.14 04-13-2022 DATE(MM/DD/YYYY) AC"R" CERTIFICATE OF LIABILITY INSURANCE 12/01/2021 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: Crystal Pounders Kelly White&Associates Insurance, LLC AICN No, Ext: FAX A/c No): 1622 Hickman Road E-MAIL ADDRESS: crystal@kwhiteinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# Jacksonville FL 32216 INSURER A: Atlantic Specialty Insurance Co INSURED INSURERB: Progressive Companies C-Scape Construction, Inc. INSURER C: RLI Insurance Co AM Best A+XI 1108 44Th Ave Ne INSURER D: American Interstate Ins Co INSURER E: Water Quality Insurance Syndicate St Petersburg FL 33703 INSURER F: COVERAGES CERTIFICATE NUMBER: C-SC21120108523298 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 ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE F_X1 OCCUR PREMISES(Ea occurrence) $ 50,000 X Protection& Indemnity MED EXP(Any oneperson) $ 5,000 A X Marine General Liability X B5JH26187 07/08/2021 07/08/2022 PERSONAL&ADV INJURY $ Included GEN'L AGGREGATE LIMIT APPLIES PER Approved RISK Managem nt GENERAL AGGREGATE $ 2,000,000 POLICY ❑X PRO ❑ 1,000,000 JECT LOC f- �` t PRODUCTS-COMP/OP AGG $ OTHER: wi �., �. i ` ^ , „„ P&I/Watercraft $ 1,000,000 AUTOMOBILE LIABILITY 12-27-2021 EOa aBINEDtSINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED X 02624682-1 09/26/2021 09/26/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 CE[DECI EXCESS LIAB CLAIMS-MADE MEX0200339 07/14/2021 07/08/2022 AGGREGATE $ 1,000,000 RETENTION$ $ WORKERS COMPENSATION /� STATUTE EORH USL&H Included AND EMPLOYERS'LIABILITY Y/N D OFFICER/MEMBERANY EXC EXCLUDED?PROPRIETOR/PARTNER/EXECUTIVE NIA AVWCFL3010002021 08/08/2021 08/08/2022 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 E Pollution X 52-82736 10/26/2021 10/26/2022 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Protection and Indemnity is included under the Marine Package Policy(Policy#: B5JH26187)with$1,000,000 limit. Jones Act is included under the Protection and Indemnity coverage. C-Scape Construction Inc. for American Underwater Contractors, Inc. marine projects for Monroe County. Monroe County BOCC is hereby listed as an additional insured with respect to liability,auto and pollution as required per written contract. 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. Insurance Compliance AUTHORIZED REPRESENTATIVE PO Box 100085-FX Duluth GA 30096 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD AMERUND-01 DEASTMAN �►co�ro,,, CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE 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: Plastridge Insurance Agency PHONE FAX 900 East Ocean Blvd.Ste.D-130 (A/C,No,Ext): (772)287-5532 (A/C,No):(772)287-5572 Stuart,FL 34994 E-MAIL stuartdocs@plastridge.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Great American Insurance Company 16691 INSURED INSURER B: American Underwater Contractors,Inc. INSURER 7 17536 SE Conch Bar Ave. INSURER D: Tequesta,FL 33469 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 MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR TSU-411594 8/30/2021 8/3U/2022 DAMAGE TO RENTED 50 000 X PREMISES Ea occurrence $ X Marine Comml Liabili MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: Approved Risk Management GENERAL AGGREGATE $ 2,000,000 X POLICY[::] PRO [::] LOCH { r 1,000,000 JECT w -' PRODUCTS-COMP/OPAGG $ OTHER: SHIP REPAIRERS $ 1,000,000 AUTOMOBILE LIABILITY 12-27-2021 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 $ A Ship Repairs TSU-411594 8/30/2021 8/30/2022 Liability 1,000,000 A Pollution TSU-411594 8/30/2021 8/30/2022 Liability 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County BOCC is Additional Insured with respects to General Liability and Pollution Liability Reference Number-FX00000009 Pin Number: 12808322 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ty ACCORDANCE WITH THE POLICY PROVISIONS. Insurance Compliance PO Box 100085-FX Duluth,GA 30096 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AMERUND-01 DEASTMAN �►co�ro,,, CERTIFICATE OF LIABILITY INSURANCE D TE 10/12/2022Y) 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: Plastridge Insurance Agency PHONE FAX 900 East Ocean Blvd.Ste.D-130 (A/C,No,Ext): (772)287-5532 (A/C,No):(772)287-5572 Stuart,FL 34994 E-MAIL stuartdocs@plastridge.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Great American Insurance Company 16691 INSURED INSURER B: American Underwater Contractors,Inc. INSURER 7 17536 SE Conch Bar Ave. INSURER D: Tequesta,FL 33469 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 MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR TSU-412937 8/30/2022 8/30/2023 DAMAGE TO RENTED 50�� X PREMISES Ea occurrence $ X Marine Comml Liabili MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PELT LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: SHIP REPAIRERS $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO °;i 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 $ A Ship Repair's Legal TSU-412937 8/30/2022 8/30/2023 Liability 1,000,000 A Pollution TSU-412937 8/30/2022 8/30/2023 Liability 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County BOCC is Additional Insured with respects to General Liability and Pollution Liability CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ty ACCORDANCE WITH THE POLICY PROVISIONS. Insurance Compliance PO Box 100085-FX Duluth,GA 30096 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) ACORO® CERTIFICATE OF LIABILITY INSURANCE 07/22/2022 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 CONTACT NAME: Crystal Pounders Kelly White&Associates Insurance, LLC AICN No, Ext: 904-880-8881 A/c NO): 1622 Hickman Road E-MAIL ADDRESS: crystal@kwhiteinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# Jacksonville FL 32216 INSURER A: Atlantic Specialty Insurance Co INSURED INSURERB: Progressive Companies C-Scape Construction, Inc. INSURER C: 1108 44Th Ave Ne INSURER D: American Interstate Ins Co INSURERE: American Interstate Ins Co St Petersburg FL 33703 INSURER F: COVERAGES CERTIFICATE NUMBER: C-SC22072212574150 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 ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE F_X1 OCCUR PREMISES(Ea occurrence) $ 50,000 X Protection& Indemnity MED EXP(Any oneperson) $ 5,000 A X Marine General Liability X B5JH26187 07/08/2022 07/08/2023 PERSONAL&ADV INJURY $ Included GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑PRO ❑ 1,000,000 JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: P&I/Watercraft $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED X 02624682-1 09/26/2021 09/26/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED AUTOS ONLY X AUOTO ONLY : �I' T PROPERTY DAMAGE $ $UMBRELLA LIAB � ��-� ""I � OCCUR B ' EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE I .8. 2,2_022-^^-�""-"-"""—'"" AGGREGATE $ DED RETENTION$ fl N� t — �/ $ WORKERS COMPENSATION X STATUTE ORH USL&H Included AND EMPLOYERS'LIABILITY Y/N D OFFICER/MEMBERANY EXC EXCLUDED?PROPRIETOR/PARTNER/EXECUTIVE NIA AVWCFL3105222022 08/08/2022 08/08/2023 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 E Maritime Employer's Liability AVWCFL3105222022 08/08/2022 08/08/2023 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Protection and Indemnity Liability is included under the General Liability Policy(Policy#: B5JH26187)with$1,000,000 limit. Jones Act is included under the Protection and Indemnity coverage. C-Scape Construction Inc. for American Underwater Contractors, Inc. marine projects for Monroe County. Monroe County BOCC is hereby listed as an additional insured with respect to General Liability,Auto Liability, and Pollution Liability as required per written contract.Workers Compensation policy provides coverage in Florida. 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. Insurance Compliance AUTHORIZED REPRESENTATIVE PO Box 100085-FX Duluth GA 30096 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD AMERUND-01 DEASTMAN ACORO"° CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE 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: Plastridge Insurance Agency PHONE FAX 900 East Ocean Blvd.Ste.D-130 (A/C,No,Ext): (772)287-5532 (A/C,No):(772)287-5572 Stuart,FL 34994 E-MAIL stuartdocs@plastridge.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Great American Insurance Company 16691 INSURED INSURER B: American Underwater Contractors,Inc. INSURER 7 17536 SE Conch Bar Ave. INSURER D: Tequesta,FL 33469 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 MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR TSU-411594 8/30/2021 8/30/2022 DAMAGE TO RENTED 50 000 X PREMISES Ea occurrence $ X Marine Comml Liabili MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: Approved Risk Management GENERAL AGGREGATE $ 2,000,000 X POLICY[::] PRO [::] LOC H a 1,000,000 JECT PRODUCTS-COMP/OPAGG $ OTHER: l t SHIP REPAIRERS $ 1,000,000 AUTOMOBILE LIABILITY 12-27-2021 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 $ A Ship Repairs TSU-411594 8/30/2021 8/30/2022 Liability 1,000,000 A Pollution TSU-411594 8/30/2021 8/30/2022 Liability 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County BOCC is Additional Insured with respects to General Liability and Pollution Liability Reference Number-FX00000009 Pin Number: 12808322 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ty ACCORDANCE WITH THE POLICY PROVISIONS. Insurance Compliance PO Box 100085-FX Duluth,GA 30096 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) ACOR" CERTIFICATE OF LIABILITY INSURANCE 12/01/2021 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 endorsements. PRODUCER CONTACT Crystal Pounders Kelly White&Associates Insurance, LLC AICN No, Ext: FAX A/c No): 1622 Hickman Road E-MAIL ADDRESS: crystal@kwhiteinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# Jacksonville FL 32216 INSURER A: Atlantic Specialty Insurance Co INSURED INSURERB: Progressive Companies C-Scape Construction, Inc. INSURER C: RLI Insurance Co AM Best A+XI 1108 44Th Ave Ne INSURER D: American Interstate Ins Co INSURER E: Water Quality Insurance Syndicate St Petersburg FL 33703 INSURER F: COVERAGES CERTIFICATE NUMBER: C-SC21120108523298 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 ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE F_X1 OCCUR PREMISES(Ea occurrence) $ 50,000 X Protection& Indemnity MED EXP(Any oneperson) $ 5,000 A X Marine General Liability X B5JH26187 07/08/2021 07/08/2022 PERSONAL&ADV INJURY $ Included ML AGGREGATE LIMIT APPLIES PER Approved RISK Managem nt GENERAL AGGREGATE $ 2,000,000 POLICY PRO ❑ 1,000,000 JECT LOC _ (� f PRODUCTS-COMP/OP AGG $ OTHER: T P&I/Watercraft $ 1,000,000 AUTOMOBILE LIABILITY 12-27-2021 EOa aBINEDtSINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED X 02624682-1 09/26/2021 09/26/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 CE[DECI EXCESS LIAB CLAIMS-MADE MEX0200339 07/14/2021 07/08/2022 AGGREGATE $ 1,000,000 RETENTION$ $ WORKERS COMPENSATION /� STATUTE ER USL&H Included AND EMPLOYERS'LIABILITY Y/N D ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑Y NIA AVWCFL3010002021 08/08/2021 08/08/2022 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 E Pollution X 52-82736 10/26/2021 10/26/2022 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Protection and Indemnity is included under the Marine Package Policy(Policy#: B5JH26187)with$1,000,000 limit. Jones Act is included under the Protection and Indemnity coverage. C-Scape Construction Inc. for American Underwater Contractors, Inc. marine projects for Monroe County. Monroe County BOCC is hereby listed as an additional insured with respect to liability,auto and pollution as required per written contract. 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. Insurance Compliance AUTHORIZED REPRESENTATIVE PO Box 100085-FX Duluth GA 30096 - ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD -'� AMERUND-01 DEASTMAN CERTIFICATE OF LIABILITY INSURANCE DATE 9/272021/2021 �•� 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: Plastridge Insurance Agency PHONE FAX 900 East Ocean Blvd.Ste.D-130 (A/C,No,Ext): (772)287-5532 (A/C,No):(772)287-5572 Stuart,FL 34994 E-MAIL-ADDRESS:stuartdocs@plastridge.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Great American Insurance Company 16691 INSURED INSURER B: American Underwater Contractors,Inc. INSURER 7 17536 SE Conch Bar Ave. INSURER D: Tequesta,FL 33469 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 MWDD/YYYY MWDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE Xrl OCCUR TSU-411594 8/30/2021 8/30/2022 DAMAGE TO RENTED 50,000 X PREMISES Ea occurrence $ X Marine Comml Liabili MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: Approved Risk Management GENERAL AGGREGATE $ 2,000,000 X POLICY❑ PRO ❑ LOC ? PRODUCTS-COMP/OPAGG $ 1, OTHER $ 000,000 JECT ._ �� SHIP REPAIRERS 1000000 (' AUTOMOBILE LIABILITY 12-27-2021 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 $ A Ship Repairs TSU-411594 8/30/2021 8/30/2022 Liability 1,000,000 A Pollution TSU-411594 8/30/2021 8/30/2022 Liability 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County BOCC is Additional Insured with respects to General Liability and Pollution Liability Reference Number-FX00000009 Pin Number: 12808322 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ty ACCORDANCE WITH THE POLICY PROVISIONS. Insurance Compliance PO Box 100085-FX Duluth,GA 30096 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 12/01/2021 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: Crystal Pounders Kelly White&Associates Insurance, LLC AICN No, Ext: FAX A/c No): 1622 Hickman Road E-MAIL ADDRESS: crystal@kwhiteinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# Jacksonville FL 32216 INSURER A: Atlantic Specialty Insurance Co INSURED INSURERB: Progressive Companies C-Scape Construction, Inc. INSURER C: RLI Insurance Co AM Best A+XI 1108 44Th Ave Ne INSURER D: American Interstate Ins Co INSURER E: Water Quality Insurance Syndicate St Petersburg FL 33703 INSURER F: COVERAGES CERTIFICATE NUMBER: C-SC21120108523298 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 ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE F_X1 OCCUR PREMISES(Ea occurrence) $ 50,000 X Protection& Indemnity MED EXP(Any oneperson) $ 5,000 A X Marine General Liability X B5JH26187 07/08/2021 07/08/2022 PERSONAL&ADV INJURY $ Included MOTHER L AGGREGATE LIMIT APPLIES PER: pproved RISK Managem nt GENERAL AGGREGATE $ 2,000,000 �/ PRO- t PRODUCTS-COMP/OP AGG $ 1,000,000 POLICY X JECT LOC ,� i r, ': �J P&I/Watercraft $ 1,000,000 AUTOMOBILE LIABILITY 2-27-2021 EOa aB t INEDSINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED X 02624682-1 09/26/2021 09/26/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 CE[DECI EXCESS LIAB CLAIMS-MADE MEX0200339 07/14/2021 07/08/2022 AGGREGATE $ 1,000,000 RETENTION$ $ WORKERS COMPENSATION /� STATUTE EORH USL&H Included AND EMPLOYERS'LIABILITY Y/N D OFFICER/MEMBERANY EXC EXCLUDED?PROPRIETOR/PARTNER/EXECUTIVE NIA AVWCFL3010002021 08/08/2021 08/08/2022 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 E Pollution X 52-82736 10/26/2021 10/26/2022 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Protection and Indemnity is included under the Marine Package Policy(Policy#: B5JH26187)with$1,000,000 limit. Jones Act is included under the Protection and Indemnity coverage. C-Scape Construction Inc. for American Underwater Contractors, Inc. marine projects for Monroe County. Monroe County BOCC is hereby listed as an additional insured with respect to liability,auto and pollution as required per written contract. 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. Insurance Compliance AUTHORIZED REPRESENTATIVE PO Box 100085-FX Duluth GA 30096 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD