Certificate of Insurance DATE(MM/DD/YYYY)
ACTOR" CERTIFICATE OF LIABILITY INSURANCE 2/10/2022
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: Jenna Jennings
World Risk Management, LLC a Member of: Ballator Insurance Group PHONE Ext: 4074452414 Fvc,No:407-445-2868
20 N. Orange Ave., (A CE-MAIL
Suite 500 ADDRESS: jennifer.jennings@wrmllc.com
Orlando FL 32801 INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: Public Risk Management of FL
INSURED ISLAMOR-01 INSURER B:
Islamorada, Village of Islands
86800 Overseas Highway INSURERC:
Islamorada FL 33036 INSURERD:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:1283422453 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 POLICY NUMBER MM/DD MM/DD
A X COMMERCIAL GENERAL LIABILITY Y PRM021-008-083 10/1/2021 10/1/2022 EACH OCCURRENCE $2,000,000
CLAIMS-MADE OCCUR DAMAGE TO RENTED
PREMISES Ea occurrence $2,000,000
APPROVED BY RISK MANAGEMEN MED EXP(Any one person) $EXCLUDED
BY PERSONAL&ADV INJURY $2,000,000
(�y�_ �
GEN'L AGGREGATE LIMIT APPLIES PER: DATE02/L3/22 GENERALAGGREGATE $
POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $
JECT WAIVER N/AX YES_
OTHER: $
A AUTOMOBILE LIABILITY PRM021-008-083 10/1/2021 10/1/2022 COMBINED SINGLE LIMIT $2,000,000
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
X APD APD DEDUCTIBLE $1,000
UMBRELLALIAB OCCUR EACH OCCURRENCE $
EXCESS LAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
A WORKERS COMPENSATION PRM021-008-083 10/1/2021 10/1/2022 X PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
OFFICE R/M EMBER EXCLUDED? ❑ 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)
RE: Founders Park Path Replacement Project
With respects to the listed coverage held by the named insured,as evidence of insurance.
Per the Attorney General's Opinion,as Per FL Statute 768.28,governmental entities may not add another party as an additional insured.
CERTIFICATE HOLDER 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.
Monroe County BOCC& Monroe County TDC
1201 White Street, Suite 102 AUTHORIZED REPRESENTATIVE
Key West FL 33040
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