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Certificates of Insurance AMERUND-01 DEASTMAN ACORO"° 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 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 P - 1 _," 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 =SU-42937 8/30/2022 8/30/2023 Liability 1,000,000 A Pollution 2937 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 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: 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 AUTOSHIRED NON-OWNED r� X AUTOS ONLY X AUTOS NLY : 1{" u, PROPEcRdent) GE $ 71 7, _ UMBRELLA LIAB OCCUR '" EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE ��� �"'"...'^�""„,:,., -tea' AGGREGATE $ DED RETENTION$ kX $ WORKERS COMPENSATION /� STATUTE EORH 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 AVWCFL3105222022 08/08/2022 08/08/2023 (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 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 AUTO$ 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 $ U EXCESS LIAR MBRELLA LIAB OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTIONS I $ WORKERS COMPENSATION " PER OTH- AND EMPLOYERS'LIABILITY — $ ANY PROPRIETORIPARTNERIEXECUTIVE YIN '""' E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ElNIA (Mandatory In NH) .,mm .,, � 22 E.L.DISEASE-EA EMPLOYE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below * .. DESCRIPTION OF OPERATIONS!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 PICKUP,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