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Certificates of Insurance GRAYROB-01 DKRANTZ ACORO"° CERTIFICATE OF LIABILITY INSURANCE D TE 12/21/2023Y) 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: Hub International Florida PHONE FAX 1560 Orange Avenue (A/C,No,Ext): (407)894-5431 (A/C,No):(407)629-6378 Suite 750 ADDRESS: Winter Park,FL 32789 INSURERS AFFORDING COVERAGE NAIC# INSURERA:Endurance American Specialty Insurance Company 41718 INSURED INSURERB:AS en Specialty Insurance 10717 Gray Robinson,P.A. INSURER C7 301 E.Pine Street,#1400 INSURER D: Orlando,FL 32801 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 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any oneperson) $ " jRk PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: �' GENERAL AGGREGATE $ POLICY PELT LOC FBI g ,��- PRODUCTS-COMP/OPAGG $ OTHER: d�k 1221 _tea, $ 1.23 23 AUTOMOBILE LIABILITY WAMM COMBINED SINGLE LIMIT "Kt 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) ccident $ 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 Professional Liab. LPW30014259902 12/21/2023 12/21/2024 Claim&Aggr. 10,000,000 B Professional Liab. LXOOEYG23 12/21/2023 12/21/2024 Claim&Aggr. 10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Lawyers Professional Liability Layered Program: SIR:$750,000 Primary$10,000,000 Layer: Endurance American Specialty Ins.,12/21/23-24,NAICS#41718,Policy#LPW30014259902 Landmark American Ins.Co.,12/21/23-24,NAICS#33138,Policy#LQS854351 Evanston Ins.Co.,12/21/23-24,NAICS#35378,Policy#MKLV7PL0006199 MSIG Specialty Ins.USA,12/21/23-24,NAICS#34886,Policy#MSTLPL-00089 SEE ATTACHED ACORD 101 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. 1100 Simonton Street 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 AGENCY CUSTOMER ID:GRAYROB-01 DKRANTZ LOC#: A�©� ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Hub International Florida GrayRobinson,P.A. 301 E.Pine Street,#1400 POLICY NUMBER Orlando,FL 32801 SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles: $10M xs$10M Layer: Aspen Specialty Insurance, 12/21/23-24, NAICS#10717, Policy#LXOOEYG23 Ironshore Specialty Co., 12/21/23-24, NAICS#25445, Policy#LPL7NABW7BB005 $5M xs$20M Layer: Landmark American Ins. Co., 12/21/23-24, NAICS#33138, Policy#LQS854404 Allianz Underwriters Ins. Co., 12/21/23-24, NAICS#36420, Policy#U5F00537423 $5M xs$25M Layer: Endurance American Specialty Ins., 12/21/23-24, NAICS#41718, Policy#LXT30014340402 Evanston Ins. Co., 12/21/23-24, NAICS#35378, Policy#MKLV7PL0006206 $10M xs$30M Layer: QBE Insurance Company, 12/21/23-24, NAICS#39217, Policy#100043603 Great American Ins.Co., 12/21/23-24, NAICS#16691, Policy#LAXE558802 $5M xs$40M Layer: Peleus Insurance Company, 12/21/23-24, NAICS#34118, Policy#XPL409857-1 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Client#: 1405411 131 GRAYROB DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 4/18/2023 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Steve W. Holtz MBA McGriff Insurance Services PHONE 407 691-9600 FAX 888-635-4183 PO Box 4927 -MA Lo,Ext: (A/C,No): ADDRESS: sholtz@mcgriff.com Orlando, FL 32802-4927 INSURER(S)AFFORDING COVERAGE NAIC# 407 691-9600 INSURER A:National Fire Insurance Co of Hartford 20478 INSURED INSURER B:Continental Insurance Company 35289 GrayRobinson PA Travelers Casualty&Surety Co of Amer 31194 INSURER C: Y Y P.O. Box 3068 INSURER D: Orlando, FL 32802 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 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. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY PMT6012395102 04/15/2023 04/15/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISESOEa occur°nce $1,000,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ MBINED A AUTOMOBILE LIABILITY BUA6012395133 04/15/2023 04/15/202 (CEO, identS INGLE LIMIT 1r 000r 000 acc ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ B X UMBRELLA LIAB X OCCUR CUE6012395116 04/15/2023 04/15/2024 EACH OCCURRENCE $15 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DED X RETENTION$1 O OOO1 1 $ C WORKERS COMPENSATION UB1 R6308612242 08/09/2022 08/09/202 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED? [N] N/A (Mandatory in NH) *� E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below Foil,, tl ^'^^ E.L.DISEASE-POLICY LIMIT $1,000,000 . . 18 . 23 w/attachm_ RN Nt Mom. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD r................._........., .....,.,_.........._.........._-,---.s required) ***General Liability***Additional Insured status is granted if required by written contract per"Non Contractor's Additional Insured Endorsement"CNA74857XX 01/15 and "General Liability Extension Endorsement" CNA74879XX 1/15. Primary and Non-Contributory status is granted if required by written contract per "General Liability Extension Endorsement"CNA74879XX 1/15). Waiver of Subrogation status is granted if required by written contract per"General Liability Extension Endorsement" CNA74879XX 1/15. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe Count Board of Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE 04 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S31996675/M31995998 PSBE DESCRIPTIONS (Continued from Page 1) ***Auto Liability***Additional Insured status is granted if required by written contract per"Business Auto Coverage Form"CA0001 11/20. Waiver of Subrogation status is granted if required by written contract per form "Waiver of Transfer Rights of Recovery"#CA0444 10/13. ***Workers Compensation***Waiver of Subrogation status is granted if required by written contract per "Waiver of Our Rights to Recover From Others Endorsement"form#WC000313. ***Umbrella***Umbrella is Follow Form providing excess liability over General Liability,Auto Liability and Employer's Liability limits shown. SAGITTA 25.3(2016/03) 2 of 2 #S31996675/M31995998 GRAYROB-01 DSMITH2 DDIYYYY� E CERTIFICATE OF LIABILITY INSURANCE '1 DATE(MM/202'I 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: Hub International Florida PHONE 407 894-543'I FAX 407 629-6378 '1560 Orange Avenue (A/C,No,Ext): 4 � (A/C,No):4 } Suite 750 E-MAIL ESS.Certificates.FLA a@Hubinternational.com Winter Park,FL 32789 INSURER 5 AFFORDING COVERAGE NAIO# INSURERA:Endurance American Specialty Insurance Company 41718 INSURED INSURER B:Aspen American Insurance Company 43460 GrayRobinson,P.A. INSURER C: 301 E.Pine Street,#1400 INSURER D: Orlando,FL 32801 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 MMIDDIYYYY MMIDDIYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE F—] OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ ME❑EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ F-1 PRO F-] - POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT APPROVED BY RISK MANAGEMENT Ea accident $ ANY AUTO 3Y �� BODILY INJURY Perperson) $ OWNE❑ SCHEDULED n nG r�nr�r� AUTOS ONLY AUTOS DATE V 1/06/2022 BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY 'WAIVER NIA X YES Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ ❑E❑ RETENTION$ $ WORKERS COMPENSATION PER STATUTE OERH AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE HN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Prof.Aggr&Occr LPW30014259900 12/21/202'1 12/21/2022 Rtn.$7 50,000 1010001000 B Prof.Aggr&Occr LXOOEYG21 12/21/2021 12/21/2022 Ded.$10,000,000 1010001000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) SIR:$750,000 Claim,$1,500,000 Agg Retention-Endurance American Specialty Insurance,12/21/21-22,NAICS#41718,Policy#LPW30014259900. 11 $'IOMxs'IOM:Aspen American Insurance,12/21/21-22,NAICS#23647,Policy#LXOOEYG21. 11$5Mxs20M: Landmark American Insurance,12/21/21-22,NAICS #33138,Policy#LHZ793419. 11$5Mxs25M:Endurance American Specialty,12/21/21-22,NAICS#41718,Policy#LXT30014340400. 11$1OMxs30M:QBE Insurance Company,12/21/21-22,NAICS#39217,Policy#100043603. 11$5Mxs40M:Starstone Specialty Ins.Co.,12/21/21-22,NAICS#541110,Policy#T8591302APL. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe CountyBoard of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street 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 CIlent#: 1405411 131 GRAYROB ACORDTm CERTIFICATE OF LIABILITY INSURANCE DATE(M MIDDIYYYY) 8/09/2021 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 INSURERS),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 any rights to the certificate holder in lieu of such endorsements). PRODUCER CONTACT NAME: McGriff Insurance Services PHONE 40l 69'I-9600 FAX 888-635�4'I 83 (A/C,No,Ext: (A/C,No}: PO Box 4927 E-MAIL ADDRESS: 333 S Garland Ave 16th FI INSURER(S)AFFORDING COVERAGE NAIC# Orlando, FL 32802-4921 INSURER ANational Fire Insurance Co of Hartford 20478 INSURED INSURER B:Continental Insurance Company 35289 GrayRobi nson PA Travelers Indemnity Company 25658 INSURER C: y p y P.O. Box 3068 American Casualty Co of Reading PA 20427 INSURER D: y 9 Orlando, FL 32802 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 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY A X COMMERCIAL GENERAL LIABILITY X X 60/2395/02 04/15/2021 04/15/2022 EACH OCCURRENCE $1,0 OM0 CLAIMS-MADE [*OCCUR PREMISES(Ea RENTED ) $1 XOM0 ME❑EXP(Any one person) $15X0 PERSONAL&ADV INJURY $1,0 OM0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 F-] PRO- 8-23-2021 POLICY JECT F-xl LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ D AUTOMOBILE LIABILITY X X 60/2395/33 04/15/2021 04/15/2022 COMBINED SINGLE LIMIT .� 000 000 Ea accident $ � � ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED x NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ B X UMBRELLA LIAR X OCCUR CUE6012395116 04/15/2021 04/15/2022 EACH OCCURRENCE sl 5,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE sl 5,000,000 _�❑E❑ X RETENTION$10000 $ C WORKERS COMPENSATION UB'I R63086'I2'142E 0$/09/202'� 0$/09/202 �( PER OTH- AND EMPLOYERS'LIABILITY STATUTE IER ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N E.L.EACH ACCIDENT $1,0 OM0 OFFICER/MEMBER EXCLUDED? I NJ N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,0 OM0 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,0 OM0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Insured status is granted with respects to General Liability if required by written contract per form "Non-Contractor's Additional Insured Endorsement"form#CNA74857XX 01/15 and General Liability Extension Endorsement,form CNA74879XX(l-15).Waiver of Subrogation status is granted with respects to General Liability if required by written contract per form"General Liability Extension Endorsement",form CNA74879XX(l-15). (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1 166 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE OAMA600-- @ 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S285290901M28528642 PSBE -'� GRAYROB-01 DSMITH2 CERTIFICATE OF LIABILITY INSURANCE DATE 12/21/2021Y) �•� 12/21/2021 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: Hub International Florida PHONE FAX 1560 Orange Avenue (A/C,No,Ext): (407) 894-5431 (A/C,No):(407) 629-6378 Suite 750 E-MAIL...DD Certificates.FLA@Hubinternational.com Winter Park,FL 32789 INSURERS AFFORDING COVERAGE NAIC# INSURERA:Endurance American Specialty Insurance Company 41718 INSURED INSURER B:Aspen American Insurance Company 43460 Gray Robinson,P.A. INSURER C7 301 E.Pine Street,#1400 INSURER D: Orlando,FL 32801 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 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 $ POLICYEl JJECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT APPROVED BY RISK MANAGEMENT Ea accident $ ANY AUTO BY f "; BODILY INJURY Perperson) $ OWNOS ONLY AUTOSULED SCHED A DATE 01/06/2022 BODILY INJURY Per accident $ AUTOS ONLY AUOTOS ONLY WAIVER N/A X YES PeOr PERT DAMAGE $ $ 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 Prof.Aggr&Occr LPW30014259900 12/21/2021 12/21/2022 Rtn.$750,000 10,000,000 B Prof.Aggr&Occr LXOOEYG21 12/21/2021 12/21/2022 Ded.$10,000,000 10,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) SIR:$750,000 Claim,$1,500,000 Agg Retention-Endurance American Specialty Insurance,12/21/21-22,NAICS#41718,Policy#LPW30014259900. $10Mxs10M:Aspen American Insurance,12/21/21-22,NAICS#23647,Policy#LXOOEYG21. //$5Mxs2OM: Landmark American Insurance,12/21/21-22,NAICS #33138,Policy#LHZ793419. //$5Mxs25M:Endurance American Specialty,12/21/21-22,NAICS#41718,Policy#LXT30014340400. //$10Mxs3OM:QBE Insurance Company,12/21/21-22,NAICS#39217,Policy#100043603. //$5Mxs4OM:Starstone Specialty Ins.Co.,12/21/21-22,NAICS#541110,Policy#T8591302APL. 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. 1100 Simonton Street 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 Client#: 1405411 131 GRAYROB DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 8/09/2021 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: McGriff Insurance Services PHONE 407 691-9600 FAX 888-635-4183 A/C,No,Ext: (A/C,No): PO Box 4927 E-MAIL ADDRESS: 333 S Garland Ave 16th FI INSURER(S)AFFORDING COVERAGE NAIC# Orlando, FL 32802-4927 INSURER A:National Fire Insurance Co of Hartford 20478 INSURED INSURER B:Continental Insurance Company 35289 GrayRobinson PA Travelers Indemnity Company 25658 INSURER C: Y P Y P.O. Box 3068 American Casualty Co of Reading PA 20427 INSURER D: Y 9 Orlando, FL 32802 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 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. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY X X 6012395102 04/15/2021 04/15/2022 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISES(ERENTED occurrence) $1,000,000 Approved Fri f�l � �r �r�t with ,�tt�c mints MED EXP(Any one person) $15,000 U PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- 8-23-2021 POLICY JECT X LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ D AUTOMOBILE LIABILITY X X 6012395133 04/15/2021 04/15/202 COEaMBINED ccidentS INGLE LIMIT $1r 000r 000 a ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ B X UMBRELLA LIAB X OCCUR CUE6012395116 04/15/2021 04/15/2022 EACH OCCURRENCE $15 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $15,000,000 DED X RETENTION$1 OOOO $ C WORKERS COMPENSATION X UB1R6308612142E 08/09/2021 08/09/202 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N] 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 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Insured status is granted with respects to General Liability if required by written contract per form "Non-Contractor's Additional Insured Endorsement"form#CNA74857XX 01/15 and General Liability Extension Endorsement,form CNA74879XX(1-15).Waiver of Subrogation status is granted with respects to General Liability if required by written contract per form"General Liability Extension Endorsement",form C NA74879XX(1-15). (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S28529090/M28528642 PSBE