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Certificates of InsuranceACORN® ��. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 05/24/2017 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 MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 818 Town & Country Blvd, Suite 500 Houston, TX 77024-4549 CONTACT NAME: H No Ext : 713-877-8975 No : 713-877-8974 EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Underwriters At Lloyd's, London 15792 INSURED DRC Emergency Services, LLC INSURER B :United States Fire Insurance Company 21113 INSURER C :Texas Mutual Insurance Company 22945 P.O. Box 17017 Galveston, TX 77552 INSURER D :Ar onaut Insurance Company 19801 INSURER E :Crum & Forster Specialty Insurance Company 44520 INSURER F : COVERAGES CERTIFICATE NUMBER:V58CW6TV RFVISInN NIIMRFR- 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MWDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY B0621 EMSSL000317 05/26/2017 05/26/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE M OCCUR A PREMISES Ea occurrence)$ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 X X GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRI POLICY ECTT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 1337407101 05/26/2017 05/26/2018 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X X BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ A UMBRELLA LIAR X OCCUR B0621 EMSSL000217 05/26/2017 05/26/2018 EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 EXCESS LIAR CLAIMS -MADE X X DED I I RETENTION $ $ D S COMPSAT10N D MPLOYRSENIAB� ITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ N / A X 608 TX C9283184 05/26/2017 05/26/2018 X TATHE ER R E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - CA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 E Contractors lution & Errors & Omissions X X PKC105162 05/26/2017 05/26/2018 Contractor's Pollution Errors & Omissions Policy Aggregate 1,000,000 $ 1,000,000 $ 2,000,000 Is DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Disaster Response and Recovery Services, Monroe County, Florida Monroe County Board of County Commissioners are included as an Additional Insured on the General Liability, Automobile Liability and Excess Liability policies. Waiver of Subrogation applies in favor of Monroe County Board of County Commissioners as respects General Liability, Automobile Liability, Workers' Compensation and Excess Liability. The General Liability Policy includes a Per Project Aggregate. Coverage is primary and non-contributory as respects to General Liability, Automobile Liability and Excess Liability policies. All as required by written contract subject to policy, terms, conditions, and exclusions. ancell on ayment) to the In the event of cancellation by the insurance companies the policies have been endorsed to provide 30 days NoticeI-A Certificate Holder shown below. PRO DR K GEME T . CERTIFICATE HOLDER CANCFI I ATIAN uHlt " v 1 1 FT, 4-11 P, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1§EFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners AUTHORIZED REPRESENTATIVE Simonton Street f Key Key West, FL 33040 r 1. Page 1 of 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORN® ��. CERTIFICATE OF LIABILITY INSURANCE DATE (MWDD/YYYY) 01/26/2017 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 -- -- - —. - _ MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 818 Town &Country Blvd, Suite 500 Houston, TX 77024-4549 CONTACT NAME: PHCNNo Ext : 713-877�975 NC No): f 13-877 8974 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Certain Underwriters @ Lloyds of London INSURED DRC Emergency Services, LLC INSURER B :Libe Mutual Fire Insurance Company 23035 INSURER C :Texas Mutual Insurance Company 22945 P.O. Box 17017 Galveston, TX 77554 INSURER D :Ar onaut Insurance Company 19801 INSURER E :Crum & Forster Specialty Insurance Company 44520 INSURER F : COVERAGES CERTIFICATE NUMBER:9BAAMDK2 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 LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR B0621EMSSL000316 10/07/2016 05/26/2017 EACH OCCURRENCE $ 1,000,000 A A PREMISES Ea occunence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRI POLICY ECTT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY S2-Z91-465841-016 05/26/2016 05/26/2017 COMBINED SINGLE LIMIT Eaaccdent $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS X BODILY INJURY Per accident ( ) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ A UMBRELLA LIAB X OCCUR B0621EMSSL000216 05/26/2016 05/26/2017 EACH OCCURRENCE $ 5,000,000 N AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE X DED I I RETENTION $ $ C D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ElN/A TSF0001307608 TX WC928198471754 01/31/2017 05/26/2017 X I PER oTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe Under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,OOu,G00 E Contractors Pollution & Errors & Omissions PKC-104196 05/26/2016 05/26/2017 Contractor's Pollution Errors & Omissions 1,000,000 $ 1,000,000 Policy Aggregate $ 2,000,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Disaster Response and Recovery Services for Marine Debris and Vessel Removal, Monroe County, Florida. The Certificate Holder is included as Additional Insured (except on Workers Compensation) as required by written contract. r 4APV AGEMENT l N/A Ss 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 The Gato Building AUTHORIZED REPRESENTATIVE 1100 Simonton Street, Room 2-213 Key West, FL 33040 r 1. ;S Page 1 of 1 ©1938-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ® `C) CERTIFICATE OF LIABILITY INSURANCE ACO DATE (MMIDD/YYYY) 05/26/2016 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 MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 818 Town & Country Blvd, Suite 500 Houston, TX 77024-4549 CONTACT NAME: PHONE -877-975 FAX 713-877-8974 A/C No Ext : E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURER A :Evanston Insurance Company 35378 INSURED DRC Emergency Services, LLC P.O. Box 17017 Galveston, TX 77554 INSURER B:Libeq Mutual Insurance Company 23043 INSURER C :Federal Insurance Company 20281 INSURER D :Navl ators Insurance Company 42307 INSURER E :Crum & Forster Special Insurance Company 44520 INSURER F : GOVEKAGtS VCrcllrlliMlC . 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 LTR A TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR ADDL IN D SUBR WV POLICY NUMBER 3C51815 POLICY EFF MMIDD/YYYY 05/26/2016 POLICY EXP MWDDIYYYY 05/26/2017 LIMITS EACH OCCURRENCE $ 1,000,000 AMA N PREMISES Ea occurrence 300,000 $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY El PRO- LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 B OTHER: AUTOMOBILE LIABILITY AS2-Z91-465841-016 05/26/2016 05/26/2017 COMBINED SINGLE LIMIT Ea accident 1,000,000 - BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS M AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ D UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE H016EXC873192ON Follow Form 05/26/2016 05/26/2017 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 X X PER OER STATUTE ER C 004 4727472 01/31I2016 01131/2017 DIED I I RETENTION $ WORKERS COMPENSATION E.L. EACH ACCIDENT 1,000,000 $ E AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOFF��PARTNER/EXECUTIVE OFFIC MEMBWEXCLUDED? Q ❑ (Mend In Ni If yes, ibe u r DESC ION PERAf IONS bt4ow Contra rs PoNetion & J7•• Errors &0miss= t— N / A PKC-104196 OS/26/2016 05/26/2017 E.L. DISEASE - EA EMPLOYEE 1,000,000 $ E.L. DISEASE - POLICY LIMIT Contractor's Pollution Errors &Omissions Policy Aggregate 1,000,000 $ 1,000,000 $ 1,000,000 $ 2,000,000 $ DESCRIPTIO OPERATIONS I LOCAf4eWS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: RFP Di er R4tponse Oiwery Services. Monroe CouQ Boa►f Count missioners is included as Additional Insured (except on Workers Compensatio ) as r quir by ritten contract. The above referenced pbi4y(s) ?Mude a waly f subrogation in favor of the certificate holder. CD APPRO D IS A RAENT ts. N BY lQ Y5 G WAIVE N Y C C. rtl 4_4 GtK I ll-lt.A1 t 11ULUcrc Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE V ` 1'f ATI/1ILI All rays 1 w . v lavv-w .� �............... .. ..... ..._ ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD a cei THE GRAY INSURANCE COMPANY CERTIFICATE OF INSURANCE CERTIFICATE HOLDER Monroe County Board of County Commissioners Public Works Department Attn: Beth Leto 1100 Simonton Street Key West, FL 33040 NAMED INSURED NO 91 REVISED DRC, Inc., DRC Railservices, Inc. 740 Museum Drive Mobile, AL 36608 ® YES ❑ NO Do all policies contain a Waiver of Subrogation in favor of Certificate Holder if required by written contract? ® YES ❑ NO Do all policies except the Workers' Compensation name the Certificate Holder as Additional Insured if required by written contract? ® YES ❑ NO Do policies provide days written notice of cancellation to Certificate Holder? ® YES ❑ NO Is coverage under all insurance carried by Named Insured Primary Insurance if required by written contract? CONFIRMATION OF COVERAGE TYPE OF INSURANCE POLICY NUMBER POLICY PERIOD LEMTS OF LIABILITY IN THOUSANDS (000) WORKERS' COMPENSATION & XSWC-070148 02/25/2002 WORKERS COMPENSATION Statutor EMPLOYERS LIABILITY 03/01/2005 EMPLOYERS LIABILITY ® YES ❑ NO U. S. Longshoremen's and Harbor Workers' Each Accident $ 1,000 Compensation Act Coverage Disease - Policy Limit $ 1,000 ® YES ❑ NO Outer Continental Shelf Land Act Disease - Each Employee $ 1,000 ® YES ❑ NO Jones Act (including Transportation, Wages, Maintenance, and Cure), Death on the High MARITIME EMPLOYERS Seas Act & General Maritime Law LIABILITY $ 1,000 ® YES ❑ NO Voluntary Compensation Endorsement ® YES ❑ NO Other States Insurance ® YES ❑ NO Alternate Employer/Borrowed Servant Endorsement ® YES ❑ NO "In Rem" Endorsement ® YES ❑ NO Gulf of Mexico Territorial Extension GENERAL LIABILITY XSGL-072769 02/25/2002 Form & Edition Date ISO CG 00 01 11/88 03/01/2005 General Aggregate Unlimited Products-Comp/OPS Agg. $ 3,000 ® YES ❑ NO Broad Form Property Damage Liability Personal & Advertising Injury $ 1,000 including X, C, U Each Occurrence $ 1,000 ® YES ❑ NO Products/Completed Operations Fire Damage $ 50 ® YES ❑ NO Contractual Liability (Any one fire) ® YES ❑ NO Sudden and Accidental Pollution Liability Medical Expense $ 5 ® YES ❑ NO Occurrence Form (Any one person) ® YES ❑ NO Personal Injury ® YES ❑ NO "In Rem" Endorsement B R MANA ENT ® YES ❑ NO Cross Liability AP In YES ❑ NO Watercraft exclusion has been modified by the BY , vessels endorsement on scheduled equipment ,YES c�c1,�a-)c-t-)J,c1,cI-)c-t-)cis4, 1,-)ct)ct)J,cJ-7c_1�c1,cl-,cinc1.)ci-)c-t-)cZ-)ct)cl-)cin �mmmmmrnmmrnmmmmmmmmmmmmmmmrnmmrn CONFIRMATION I TYPE OF INSURANCE I POLICY I POLICY I LIMITS OF LOIOABILITY IN I OF COVERAGE NUMBER PERIOD THOUSANDS AUTOMOBILE LIABILITY XSAL-072566 02/25/2002 03/01/2005 ® YES ❑ NO Any Auto Bodily Injury & Property $ 1,000 ® YES ❑ NO All Owned Autos Damage Combined ❑ YES ❑ NO Scheduled Autos IN YES ❑ NO Hired Autos ® YES ❑ NO Non -Owned Autos EXCESS LIABILITY GXS-041473 03/01/2003 IN YES YES ❑ NO Excess Form Each Occurrence $ 4,000 Aggregate $ 4,000 JOB OR PROJECT DESCRIPTION SPECIAL CONDITIONS BUSINESS AUTO COVERAGE INCLUDES PHYSICAL DAMAGE, $250 DED., P/P $500 DED., ALL OTHER VEHICLES; SPECIFIED PERILS, $25 DED. Should the insurance herein described be cancelled, assigned or changed in such a manner as to affect this certificate, THE GRAY INSURANCE COMPANY will endeaver to give thirty ( ) days written notice to the certificate holder, but failure to do so shall impose no obligation or liability upon THE GRAY INSURANCE COMPANY. THE GRAY INSURANCE COMPANY 3601 N. I-10 Service Road West, Metairie, LA 70002 DATE: 03/05/2003 }�FORM NO.1 c c�ct)cj--)cS,ct)ci:' J-)4,cioclncI-)&) CID ri^c1-7c?1c1�c��c�cZ�cS�c�c� THE GRAY INSURANCE COMPANY CERTIFICATE OF INSURANCE CERTIFICATE HOLDER Monroe County Board of County Commissioners Public Works Department Attn: Beth Leto 1100 Simonton Street Key West, FL 33040 NAMED INSURED NO 9 DRC, Inc., DRC Railservices, Inc. 740 Museum Drive Mobile, AL 36608 ® YES ❑ NO Do all policies contain a Waiver of Subrogation in favor of Certificate Holder if required by written contract? ® YES ❑ NO Do all policies except the Workers' Compensation name the Certificate Holder as Additional Insured if required by written contract? ® YES ❑ NO Do policies provide 30 days written notice of cancellation to Certificate Holder? 10 YES ❑ NO Is coverage under all insurance carried by Named Insured Primary Insurance if required by written contract? CONFIRMATION I TYPE OF INSURANCE I POLICY I POLICY I LIMITS OF LIABILITY IN OF COVERAGE NUMBER PERIOD THOUSANDS WORKERS' COMPENSATION & I XSWC-070148 10212112002 I WORKERS COMPENSATION Statutory EMPLOYERS LIABILITY ® YES ❑ NO I U. S. Longshoremen's and Harbor Workers' Compensation Act Coverage ® YES ❑ NO Outer Continental Shelf Land Act ® YES ❑ NO Jones Act (including Transportation, Wages, Maintenance, and Cure), Death on the High Seas Act & General Maritime Law ® YES ❑ NO Voluntary Compensation Endorsement ® YES ❑ NO Other States Insurance IN YES ❑ NO Alternate Employer/Borrowed Servant Endorsement ® YES ❑ NO "In Rem" Endorsement ® YES ❑ NO Gulf of Mexico Territorial Extension GENERAL LIABILITY I XSGL-072769 10212512002 Form & Edition Date ISO CO 00 01 11/88 03/01/2005 ® YES ❑ NO Broad Form Property Damage Liability including X, C, U ® YES ❑ NO Products/Completed Operations IN YES ❑ NO Contractual Liability ® YES ❑ NO Sudden and Accidental Pollution Liability 10 YES ❑ NO Occurrence Form ® YES ❑ NO Personal Injury ® YES ❑ NO "In Rem" Endorsement ® YES ❑ NO Cross Liability ® YES ❑ NO Watercraft exclusion has been modified by the vessels endorsement on scheduled equipment EMPLOYERS LIABILITY Each Accident Disease - Policy Limit Disease - Each Employee MARITIME EMPLOYERS LIABILITY General Aggregate Products-Comp/OPS Agg. Personal & Advertising Injury Each Occurrence Fire Damage (Any one fire) Medical Expense (Any one person) $ 1,000 $ 1,000 $ 1,000 $ 1,000 Unlimited $ 3,000 $ 1,000 $ 1,000 $ 50 $ 5 Coil - ` __ `` ` •• ff /I `` •• • �� ems_�� CSC.��CJ.7C��CJ.�C�C7.�CJ��C.I�CJI�CA7C�7(��7�U-)c`♦ ) CID CID dDci7cl-�,Wd-1Ci�1C-bCA7C1, 311�;� CONFIRMATION POLICY POLICY LIMITS OF LIABILITY IN 'THOUSANDS OF COVERAGE TYPE OF INSURANCE NUMBER PERIOD (000) XSAL-072566 02/25/2002 AUTOMOBILE LIABILITY 03/01/2005 ® YES ❑ NO Any Auto Bodily Injury & Property $ 1,000 ® YES ❑ NO All Owned Autos Damage Combined ❑ YES ❑ NO Scheduled Autos ® YES ❑ NO Hired Autos ® YES ❑ NO Non -Owned Autos EXCESS LIABILITY GXS-041316 02/25/2002 ® YES ❑ NO Excess Form 03J01J2003Each Occurrence $ 4,000 Aggregate $ 4,000 JOB OR PROJECT DESCRIPTION SPECIAL CONDITIONS BUSINESS AUTO COVERAGE INCLUDES PHYSICAL DAMAGE, $250 DED., P/P $500 DED., ALL OTHER VEHICLES; SPECIFIED PERILS, $25 DED. Should the insurance herein described be cancelled, assigned or changed in such a manner as to affect this certificate, THE GRAY INSURANCE COMPANY will endeaver to give thirty ( 30 ) days written notice to the certificate holder, but failure to do so shall impose no obligation or liability upon THE GRAY INSURANCE COMPANY. � BY MENT DATE WAIVER NIA �YES.�- G Y INSURAN OMPANY 3601 N. I-10 Service Road West, Metairie, LA 70002 DATE: 03/04/2002 � FORM NO. 135 REV. 1/01 W�CIDd,C17CJ�� bW&Ia,CtlCID alC11a7C-bal&ICID CJ.7C-bA-1 ct,cl)C13Cl-)C.-7C17 CN, THE GRAY INSURANCE COMPANY OR CERTIFICATE OF INSURANCE NO 47 CERTIFICATE HOLDER NAMED INSURED Monroe County Board of County Commissioners DRC, Inc., DRC Railservi CREW[ Public Works Department 740 Museum Drive Attn: Beth Leto Mobile, AL 36608 1100 Simonton Street - 8 2005 Key West, FL 33040 ® YES ❑ NO Do all policies contain a Waiver of Subrogation in favor of Certificate Holder if required by written contract? ® YES ❑ NO Do all policies except the Workers' Compensation name the Certificate Holder as Additional Insured if required by written contract? ® YES ❑ NO Do policies provide 30 days written notice of cancellation to Certificate Holder? ® YES ❑ NO Is coverage under all insurance carried by Named Insured Primary Insurance if required by written contract? LIMITS OF LIABILITY IN CONFIRMATION TYPE OF INSURANCE POLICY POLICY THOUSANDS OF COVERAGE NUMBER PERIOD (000) WORKERS' COMPENSATION & XSWC-070343 03/01/2005 WORKERS COMPENSATION Statutory EMPLOYERS LIABILITY 03/01/2008 EMPLOYERS LIABILITY ® YES ❑ NO U. S. Longshoremen's and Harbor Workers' Each Accident $ 1,000 Compensation Act Coverage Disease - Policy Limit $ 1,000 IN YES ❑ NO Outer Continental Shelf Land Act Disease - Each Employee $ 1,000 IN YES ❑ NO Jones Act (including Transportation, Wages, Maintenance, and Cure), Death on the High MARITIME EMPLOYERS Seas Act & General Maritime Law LIABILITY $ 1,000 ® YES ❑ NO Voluntary Compensation Endorsement ® YES ❑ NO Other States Insurance ® YES ❑ NO Alternate Employer/Borrowed Servant Endorsement ® YES ❑ NO "In Rem" Endorsement ® YES ❑ NO Gulf of Mexico Territorial Extension GENERAL LIABILITY XSGL-072995 03/01/2005 Form & Edition Date ISO CG 00 01 11/88 03/01/2008 General Aggregate Unlimited Products-Comp/OPS Agg. $ 3,000 IN YES ❑ NO Broad Form Property Damage Liability Personal & Advertising Injury $ 1,000 including X, C, U Each Occurrence $ 1,000 IN YES ❑ NO Products/Completed Operations Fire Damage $ 50 M YES ❑ NO Contractual Liability (Any one fire) ® YES ❑ NO Sudden and Accidental Pollution Liability Medical Expense $ 5 ® YES ❑ NO Occurrence Form (Any one person) ® YES ❑ NO Personal Injury "In ti � � it:, =1J ® YES ❑ NO Rem" Endorsement API IN YES El No Cross Liability By ® YES El NO Watercraft exclusion has been modified by the .�( vessels endorsement on scheduled equipment DATE WAIVE R N Ay F- Malc� c. mmmmmmmmmmCpmmmmmmmmmmmmmmmmmm CONFIRMATION OF COVERAGE I TYPE OF INSURANCE I NUMBER POLICY I PERIOD I LICYLIMITTHOU AN SITY IN AUTOMOBILE LIABILITY XSAL-072793 03/01/2005 03/01 /2008 ® -YES NO Any'Auto, Bodily Injury & Property $ 1,000 EN YES ❑ NO All Owned Autos Damage Combined ❑ YES ❑ NO Scheduled Autos ® YES ❑ NO Hired Autos (N YES El -NO'' Non -Owned Autos EXCESS LIABILITY GXS-041825 03/01/2005 ® YES ❑ NO Excess Form 03/01 /200GEach Occurrence $ 4,000 Aggregate $ 4,000 JOB OR PROJECT DESCRIPTION SPECIAL CONDITIONS BUSINESS AUTO COVERAGE INCLUDES PHYSICAL DAMAGE, $250 DED., P/P $500 DED., ALL OTHER VEHICLES; SPECIFIED PERILS, $25 DED. Should the insurance herein described be cancelled, assigned or changed in such a manner as to affect this certificate, THE GRAY INSURANCE COMPANY will endeaver to give thirty ( 30 ) days written notice to the certificate holder, but failure to do so shall impose no obligation or liability upon THE GRAY INSURANCE COMPANY. [� I THE GRAY INSURANCE OMPANY 3601 N. I-10 Service Road West, Metairie, LA 70002 DATE: 03/03/2005 FORM NO. 135 REV. 1/01 A 291 C-1 C THE GRAY INSURANCE COMPANY CERTIFICATE OF INSURANCE NO 47 REVISED CERTIFICATE HOLDER NAMED INSURED Monroe County Board of County Commissioners DRC, Inc., DRC Emergency Services, LLC Public Works Department 740 Museum Drive Attn: Beth Leto ARD�c,%40ile, AL 36608 1100 Simonton Street Key West, FL 33040 ® YES ❑ NO Do all policies contain a Waiver of Subrogation in favor of Certificate Holder if required by written contract? ® YES ❑ NO Do all policies except the Workers' Compensation name the Certificate Holder as Additional Insured if required by written contract? ® YES ❑ NO Do policies provide 30 days written notice of cancellation to Certificate Holder? ® YES ❑ NO Is coverage under all insurance carried by Named Insured Primary Insurance if required by written contract? .1 LIMITS OF LIABILITY IN CONFIRMATION TYPE OF INSURANCE POLICY POLICY THOUSANDS OF COVERAGE NUMBER PERIOD (000) WORKERS' COMPENSATION & XSWC-070343 03/01/2005 WORKERS COMPENSATION Statutory EMPLOYERS LIABILITY 03/01/2008 ® YES ❑ NO U. S. Longshoremen's and Harbor Workers' EMPLOYERS LIABILITY Compensation Act Coverage Each Accident $ 1,000 ® YES ❑ NO Outer Continental Shelf Land Act Disease - Policy Limit $ 1,000 ® YES ❑ NO Jones Act (including Transportation, Wages, Disease - Each Employee $ 1,000 Maintenance, and Cure), Death on the High MARITIME EMPLOYERS Seas Act & General Maritime Law LIABILITY $ 1,000 ® YES ❑ NO Voluntary Compensation Endorsement ® YES ❑ NO Other States Insurance ® YES ❑ NO Alternate Employer/Borrowed Servant Endorsement ® YES ❑ NO "In Rem" Endorsement ® YES ❑ NO Gulf of Mexico Territorial Extension GENERAL LIABILITY XSGL-072995 03/01/2005 Form & Edition Date ISO CG 00 01 11/88 03/01/2008 General Aggregate Unlimited Products-Comp/OPS Agg. $ 3,000 ® YES ❑ NO Broad Farm Property Damage Liability Personal & Advertising Injury $ 1,000 including X, C, U Each Occurrence $ 1,000 ® YES ❑ NO Products/Completed Operations Fire Damage $ 50 ® YES ❑ NO Contractual Liability (Any one fire) ® YES ❑ NO Sudden and Accidental Pollution Liability Medical Expense $ 5 ® YES ❑ NO Occurrence Form (Any one person) ® YES ❑ NO Personal Injury ® YES ❑ NO "In Rem" Endorsement IN YES ❑ NO Cross Liability ® YES ❑ NO Watercraft exclusion has been modified by the vessels endorsement on scheduled equipment GG. �opcpcpcpcpcpcpcpcpcpcpcpcpq�cpcpcpq--Immmm,mm��m CONFIRMATION POLICY POLICY LIMITS OF LIABILITY IN OF COVERAGE TYPE OF INSURANCE NUMBER PERIOD THOUSANDS (000) XSAL-072793 03/01/2005 AUTOMOBILE LIABILITY 03/01/2008 ® YES ❑ NO Any Auto Bodily Injury & Property $ 1,000 ® YES ❑ NO All Owned Autos Damage Combined ❑ YES ❑ NO Scheduled Autos ® YES ❑ NO Hired Autos ® YES ❑ NO Non -Owned Autos EXCESS LIABILITY GXS-041989 03/01/2006 YES ❑ NO ER YES Excess Form Each Occurrence $ 4,000 Aggregate $ 4,000 JOB OR PROJECT DESCRIPTION .1 SPECIAL CONDITIONS Should the insurance herein described be cancelled, assigned or changed in such a manner as to affect this certificate, THE GRAY INSURANCE COMPANY will endeaver to give thirty ( 30) days written notice to the certificate holder, but failure to do so shall impose no obligation or liability upon THE GRAY INSURANCE COMPANY. THE GRAY INSURANCE tOMPANY 3601 N. I-10 Service Road West, Metairie, LA 70002 DATE: 03/06/2006 1 FORM NO. 135 REV. 1/01 i i 1 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE TM 06/12/2007 PRODUCER BLACKMON AGENCY, INC. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4 HAND AVENUE --- ---4GL9ER- ERTIFICATE DOES NOT AMEND, EXTEND OR _ , I THE CO ERAGE AFFORDED BY THE POLICIES BELOW. BAY MINETTE AL 36507 REP �- IN URERS AFFORDING COVERAGE INSURED uRE A +ERIC}\N INTERNATIONAL SPECIALTY (AIG) -- D R CEMERGENCY SERVICES LL SUN � ._ 740 Museum Drive INSURER e. -_.. INSURER C: Mobile AL �3660 iRS167tFk'D- __ i _ GES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY _ CLAIMS MADE I—] OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ _ GENERAL AGGREGATE '$ GEN'L AGGREGATE POLICY LIMIT APPLIES PER: PRO LOC PRODUCTS - COMP/OP AGO $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Iynl/rn1' 1 I lz2 COMBINED SINGLE LIMIT (Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident $ Y PROPERTRTY DAMAGE PROP $ GARAGE LIABILITY ANY AUTO Y—' \],V�, /I i AUTO ONLY - EA ACCIDENT $ (OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ �l�f,� "" R UU C G EACH OCCURRENCE $ AGGREGATE $ i $ — $ _ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I /'� /� Ppq/c)�E_ilJf/L'1—)Xnl�� WC STATU- OTH-'1 E.L. EACH ACCIDENT $ E.L. DISEASE-EAEMPLOYEE$ E.L. DISEASE -POLICY LIMIT I $ A oTHERCONTRACTORS POLLUTION POLICY U CPL1328289 I03/01/2007 iO3/01/2008 PER OCCURENCE: $ 5,000,000 AGGREGATE: $ 10,000,000 DESCRIPTION OF OPERATIONSILGCATIONSNEHICLES/UCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Monroe County BOCC is listed as additional insured. Art: Dave Parker Fax: 305-295-4321 MONROECOUNTYBOCC 1100 SIMONTON STREET SUITE 2-216 KEY WEST , FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR 25-S (7197) mmmmmmmmmmmmmmmmmmmmmmmmmrnmmm THE GRAY INSURANCE COMPANY CERTIFICATE OF INSURANCE NO 212 CERTIFICATE HOLDER NAMED INSURED MONROE COUNTY BOCC RC, c., DRC Emergency Services, LLC 1100 SIMON'PON STREET 7 0 M seum Drive SUITE 2-21 6 �1�� "' / jobileAL 36608 KEY WEST, FL 33040 � r,N 1 _b,c�n`FP,T ES❑ NO Do all policies contain a Waiver of Subrogation in favor of Certificate Holder if required by written contract? ❑ NO Do all policies except the Workers' Compensation name the Certificate Holder as Additional Insured if required by written contract? !YES ES ❑ NO Do policies provide 30 days written notice of cancellation m Certificate Holder? ES ❑ NO Is coverage under all insurance carried by Named Insured Primary Insurance if required by written contract? LIMITS OF LIABILITY IN CONFIRMATION TYPE OF INSURANCE POLICY POLICY THOUSANDS OF COVERAGE NUMBER PERIOD (000) WORKERS' COMPENSATION & XSWC-070343 03/01/2005 WORKERS COMPENSATION Statutory EMPLOYERS LIABILITY 03/01/2008 ® YES ❑ NO U. S. Longshoremen's and Harbor Workers' EMPLOYERS LIABILITY Each Accident $ 1,000 Compensation Act Coverage Disease - Policy Limit $ 1,000 ® YES ❑ NO Outer Continental Shelf Land Act Disease -Each Employee $ 1,000 ® YES El NO ]ones Act (including Transportation, Wages, Maintenance, and Cure), Death on the High MARITIME EMPLOYERS Seas Act & General Maritime Law LIABILITY $ 1,000 M YES ❑ NO Voluntary Compensation Endorsement ® YES ❑ NO Other States Insurance ® YES ❑ NO Alternate Employer/Borrowed Servant Endorsement ® YES ❑ NO "In Rem" Endorsement ® YES ❑ NO Gulf of Mexico Territorial Extension GENERAL LIABILITY XSGL-072995 03/01/2005 Form & Edition Date ISO CG 00 01 11/88 03/01/2008 General Aggregate Unlimited Products-Camp/OPS Agg. $ 3,000 ® YES ❑ NO Broad Form Property Damage Liability Personal & Advertising Injury $ 1,000 including X, C, U Each Occurrence $ 1,000 ® YES ❑ NO Products/Completed Operations Fire Damage $ 50 ® YES ❑ NO Contractual Liability (Any one fire) M YES ❑ NO Sudden and Accidental Pollution Liability Medical Expense $ 5 M YES ❑ NO Occurrence Form (Any one person) ® YES ❑ NO Personal Injury ® YES ❑ NO "In Rem" Endorsement M YES ❑ NO Cross Liability ® YES ❑ NO Watercraft exclusion has been modified by the vessels endorsement on scheduled equipment W dD W C1-1 C-t') C 1'1 CJl7 cl� CAT CA, Ct-i C-tiU7 ri.) C_,1_) Jlcl) cl-) C-b C t, C-t, C-1 C b CAir t) C-t7 io C� al 01 �. CONFIRMATION TYPE OF INSURANCE POLICY POLICY LIMITS OF LIABILITY IN OF COVERAGE NUMBER PERIOD THOUSANDS (000) AUTOMOBILE LIABILITY XSAL-072793 03/01/2005 03/01/2008 M YES ❑ NO Any Auto Bodily Injury & Property $ 1,000 ® YES ❑ NO All Owned Autos Damage Combined ❑ YES ❑ NO Scheduled Autos IN YES ❑ NO Haired Autos ® YES ❑ NO Non -Owned Autos EXCESS LIABILITY GXS-042140 03/01/2007 M YES ❑ NO Excess Form 03/01/2008 Each Occurrence $ 4,000 Aggregate $ 4,000 JOB OR PROJECT DESCRIPTION SPECIAL CONDITIONS Should the insurance herein described be cancelled, assigned or changed in such a manner as to affect this certificate, THE GRAY INSURANCE COMPANY will endeaver to give thirty ( 30) days written notice to the certificate holder, but failure to do so shall impose no obligation or liability upon THE GRAY INSURANCE COMPANY. THE GRAY INSITRANCE OMPANY 3601 N. I-10 Service Road West, Metairie, LA 70002 DATE: 6-1 2-2007 FORM NO. 135 REV. 1/01 Coco WIN roJ ..l Cai a Cam! THE GRAY INSURANCE COMPANY CERTIFICATE OF INSURANCE NO 181 CERTIFICATE HOLDER NAMED INSURED MONROE COUNTY BOCC DRC, Inc., DRC Emergency Services, LLC 2798 OVERSEAS HIGHWAY 740 Museum Drive SUITE 420 Mobile, AL36608 MARATHON, FL 33050 ATTN: RICH JONES 'I05 289 25�6 ® YES ❑ NO Do all policies contain a Waiver of Subrogation in favor of Certificate Holder if required by written contract'! ® YES ❑ NO Do all policies except the Workers' Compensation name the Certificate Holder as Additional Insured if required by written contract? ® YES ❑ NO Do policies provide 30 days written notice of cancellation to Certificate Holder? IS YES ❑ NO Is coverage under all insurance carried by Named Insured Primary Insurance if required by written contract? LIMITS LIABILITY IN CONFIRMATION TYPE OF INSURANCE POLICY POLICY THOUSANDS OF COVERAGE NUMBER PERIOD (000) WORKERS' COMPENSATION & XSWC-070529 03/01/2008 WORKERS COMPENSATION Statutory EMPLOYERS LIABILITY 03/01/2011 EMPLOYERS LIABILITY ® YES ❑ NO U. S. Longshoremen's and Harbor Workers' Each Accident $ 1,000 Compensation Act Coverage Disease - Policy Limit $ 1,000 ® YES ❑ NO Outer Continental Shelf Land Act Disease - Each Employee $ 1,000 IN YES ❑ NO Jones Act (including Transportation, Wages, Maintenance, and Cure), Death on the High MARITIME EMPLOYERS Seas Act & General Maritime Law LIABILITY $ 1,000 ® YES ❑ NO Voluntary Compensation Endorsement IN YES ❑ NO Other States Insurance IS YES ❑ NO Alternate Employer/Borrowed Servant Endorsement ® YES ❑ NO "In Rem" Endorsement IN YES ❑ NO Gulf of Mexico Territorial Extension GENERAL LIABILITY XSGL-073197 03/01/2008 Form & Edition Date ISO CG 00 01 11/88 03/01/2011 General Aggregate Unlimited Products-Comp/OPS Agg. $ 3,000 IN YES ❑ NO Broad Form Property Damage Liability Personal & Advertising Injury $ 1,000 including X, C, U Each Occurrence $ 1,000 IN YES ❑ NO Products/Completed Operations Fire Damage $ 50 IN YES ❑ NO Contractual Liability (Any one fire) ® YES ❑ NO Sudden and Accidental Pollution Liability Medical Expense $ 5 ® YES ❑ NO Occurrence Form (Any one person) ® YES ❑ NO Personal Injury IS YES ❑ NO "In Rem" Endorsement IN YES ❑ NO Cross Liability IN YES ❑ NO Watercraft exclusion has been modified by the vessels endorsement on scheduled equipment W1 CONFIRMATION TYPE OF INSURANCE POLICY POLICY LIMITS OF LIABILITY IN OF COVERAGE NUMBER PERIOD THOUSANDS (000) AUTOMOBILE LIABILITY XSAL-072995 03/01/2008 03/01/2011 ® YES ❑ NO Any Auto Bodily Injury & Property $ 1,000 ® YES ❑ NO All Owned Autos Damage Combined ❑ YES ❑ NO Scheduled Autos ® YES ❑ NO Hired Autos ® YES ❑ NO Non -Owned Autos EXCESS LIABILITY GXS-042273 03/01/2008 ® YES ❑ NO Excess Form 03/01/2009 Each Occurrence $ 4,000 Aggregate $ 4.000 JOB OR PROJECT DESCRIPTION DEBRIS REMOVAL, REFLOATING AND/OR DEMOLITION & DISPOSAL OF DERELICT VESSELS AND MARTNE DEBRIS SPECIAL CONDITIONS Should the insurance herein described be cancelled, assigned or changed in such a manner as to affect this certificate, THE GRAY INSURANCE COMPANY will endeaver to give thirty ( 30) days written notice to the certificate holder, but failure to do so shall impose no obligation or liability upon THE GRAY INSURANCE COMPANY. THE GRAY INSIJRANCE OMPANY 3001 N. 1-10 Service Road West, Metairie, LA 70002 r^� DATE �l� � / � OU � V FORM NO. 135 REV. 1/01 :� C91 ACORDTN CERTIFICATE OF LIABILITY INSURANCE o4/17/2008 PRODUCER BLACKMON AGENCY, INC. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4 HAND AVENUE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR BAY MINETTE AL 36507 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED D R C EMERGENCY SERVICES LLC INSURER AMERICAN INTERNATIONAL SPECIALTY AIG 740 Museum Drive _INSURER B: Mobile AL 36608 INSURER C _ INSURER D I INSURER E COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IUT,NSR'' TYPE OFINSURANC�— POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS G ENERAL LIABILITY EACH OCCURRENCE $ FIRE DAMAGE lAnv one tire) $ _ COMMERCIAL GENERAL LAR-LITY CLAIMS MADE [ 7 OCCUR J MED EXP (Any one parson $ PERSONAL &ADV INJURY $ — -- -_ GENERAL AGGREGATE $ --j - - ----- ._ PRODUCTS - COMP/OPAGG $ GEN' L AGGREGATE LIMIT APPLIES PER PRO- -� POLICY LOC AUTOMOBILE LIABILITY COMBNED SINGLE LIMIT $ ANY AUTO Ea accident ALL OWNED AUTOS _.' BODILY INJURY $ SCHEDULED AUTOS (perpf (Per person) '- HIRED AUTOS I� - BODILY INJURY $ - NON -OWNED AUTOS (Peraccidenp -- -- _ ----- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY, AUTOONLV-EAACCIDENT $ OTHER THAN EA ACC. _ $ ANY AUTO _- $ AUTO ONLY: AGG EXCESS LIABILITY OCCUR CLAIMS EACH OCCURRENCE $ MADE AGGREGATE $ $ DEDUCTIBLE j $ RETENTION $ WORKERS COMPENSATION AND WCSTATU OTH- EMPLOYERS' LIABILITY ELIi EACH ACCIDEN I $ E.L. DISEASE - EA EMPLOYEE $ E. L. DISEASE - POLICY LIMIT $ — oTHE i ONTRACTORS 'IA PER OCCURENCE: $ 5,000,000 POLLUTION POLICY CPL1328289 03/01/2008 I03/01/2009 AGGREGATE: $ 5,000,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS PROJECT: RFQ FOR REMOVAL, DEMOLITION AND DISPOSAL OF DERELICT VESSELS AND MARINE DEBRIS, MONROE COUNTY BOCC IS LISTED AS ADDITIONAL INSURED WITH RESPECTS TO THE POLLUTION COVERAGE. CERTIFICATE HOLDER ADDITIONAL INSURED, INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROE COUNTY BOCC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 2798 OVERSEAS I HIGHWAY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL MARATHON FL 33050 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE----'� . ' r © ACORD CORPORATION 1988 C� Cam! THE GRAY INSURANCE COMPANY CERTIFICATE OF INSURANCE NO 198 CERTIFICATE HOLDER NAME INSURED VL.,Lri_i V t_� MONROE COUNTY BOARD OF COU TY ON $$IQN RS 1100 SIMONTON STREET JUT--� D C, In ., DRC Emergency Services, LLC KEY WEST, FL 33040 74bMus um Drive L 36608 �l h F NTY ATTN: MONIQUE DIAZ NT FAX: 305-292-4487 IS YES ❑ NO Do all policies contain a Waiver of Subrogation in favor of Certificate Holder if required by written contract? ® YES ❑ NO Do all policies except the Workers' Compensation name the Certificate Holder as Additional Insured if required by written contract? ® YES ❑ NO Do policies provide 30 days written notice of cancellation to Certificate Holder? ® YES ❑ NO Is coverage under all insurance carried by Named Insured Primary Insurance if required by written contract? CONFIRMATION POLICY POLICY LIMITS OF LIABILITY IN OF COVERAGE TYPE OF INSURANCE NUMBER PERIOD THOUSANDS (000) WORKERS' COMPENSATION & XSWC-070529 03/01/2008 WORKERS COMPENSATION Statutory EMPLOYERS LIABILITY 03/01/2011 ® YES ❑ NO U. S. Longshoremen's and Harbor Workers' EMPLOYERS LIABILITY Compensation Act Coverage Each Accident $ 1,000 ® YES ❑ NO Outer Continental Shelf Land Act Disease - Policy Limit $ 1,000 ® YES ❑ NO Jones Act (including Transportation, Wages, Disease - Each Employee $ 1,000 Maintenance, and Cure), Death on the High Seas Act & General Maritime Law MARITIME EMPLOYERS ® YES ❑ NO Voluntary Compensation Endorsement LIABILITY $ 1,000 ® YES ❑ NO Other States Insurance ® YES ❑ NO Alternate Employer/Borrowed Servant Endorsement ® YES ❑ NO "In Rem" Endorsement ® YES ❑ NO Gulf of Mexico Territorial Extension GENERAL LIABILITY XSGL-073197 03/01/2008 Form & Edition Date ISO CG 00 01 11188 03/01/2011 General Aggregate Unlimited IN ❑ NO Broad Form Property Damage Liability Products-Comp/OPS Agg. $ 3,000 Personal & Advertising Injury $ 1,000 including X, C, U Each Occurrence $ I,0 ® YES ❑ NO Pr Products/Completed Operations 50 Fire Damage $ 0 ® YES ❑ NO Contractual Liability (Any one fire) ® YES ❑ NO Sudden and Accidental Pollution Liability Medical Expense $ 5 ® YES ❑ NO Occurrence Form (Any one person) IN YES ❑ NO Personal Injury ® YES ❑ NO "In Rem" Endorsement IN YES ❑ NO Cross Liability M YES ❑ NO Watercraft exclusion has been modified by the vessels endorsement on scheduled equipment Q �0 C� C0! CONFIRMATION POLICY POLICY LIMITS OF LIABILITY IN OF COVERAGE TYPE OF INSURANCE NUMBER PERIOD THOUSANDS (000) XSAL-072995 03/01/2008 AUTOMOBILE LIABILITY 03/01/2011 ® YES ❑ NO Any Auto Bodily Injury & Property $ 1,000 ® YES ❑ NO All Owned Autos Damage Combined ❑ YES ❑ NO Scheduled Autos ® YES ❑ NO Hired Autos ® YES ❑ NO Non -Owned Autos EXCESS LIABILITY GXS-042273 03/01/2008 NO ® YES El NO Excess Form Each Occurrence $ 4,000 Aggregate $ 4,000 JOB OR PROJECT DESCRIPTION DISASTER RESPONSE AND RECOVERY SERVICES SPECIAL CONDITIONS Should the insurance herein described be cancelled, assigned or changed in such a manner as to affect this certificate, THE GRAY INSURANCE COMPANY will endeaver to give thirty ( 30 ) days written notice to the certificate holder, but failure to do so shall impose no obligation or liability upon THE GRAY INSURANCE COMPANY, THE GRAY INSURANCE COMPANY 3601 N. 1-10 Service Road West, Metairie, LA 70002 DATE: 7-23-2008 FORM NO. 135 REV. 1/01 c� c-i 201, C� THE GRAY INSURANCE COMPANY ERTIFICR ff' '1 f 15�( RANGE NO 198 REVISED CERTIFICATE HOLDER MAR O 2� D IN,URED 1:��if�,,`OE �COJ1t� . RC Emergency Services, LLC Monroe County Board of County Commis Toners r��;,; ;'.Fksl�,Rk_RC, Inc., Attn: Monique Diaz i Drive 1100 Simonton Street Mobile, AL 36608 Key West, FL 33040 ® YES ❑ NO Do all policies contain a Waiver of Subrogation in favor of Certificate Holder if required by written contract? ® YES ❑ NO Do all policies except the Workers' Compensation name the Certificate Holder as Additional Insured if required by written contract? ® YES ❑ NO Do policies provide 30 days written notice of cancellation to Certificate Holder? ® YES ❑ NO Is coverage under all insurance carried by Named Insured Primary Insurance if required by written contract? CONFIRMATION POLICY POLICY LIMITS OF LIABILITY IN OF COVERAGE TYPE OF INSURANCE NUMBER PERIOD THOUSANDS (000) WORKERS' COMPENSATION & XSWC-070529 03/01/2008 WORKERS COMPENSATION Statutory EMPLOYERS LIABILITY 03/01/2011 ® YES ❑ NO U. S. Longshoremen's and Harbor Workers' EMPLOYERS LIABILITY Compensation Act Coverage Each Accident $ 1,000 ® YES ❑ NO Outer Continental Shelf Land Act Disease - Policy Limit $ 1,000 ® YES ❑ NO Jones Act (including Transportation, Wages, Disease - Each Employee $ 1,000 Maintenance, and Cure), Death on the High Seas Act & General Maritime Law MARITIME EMPLOYERS ® YES ❑ NO Voluntary Compensation Endorsement LIABILITY $ 1,000 ® YES ❑ NO Other States Insurance ® YES ❑ NO Alternate Employer/Borrowed Servant Endorsement ® YES ❑ NO "In Rem" Endorsement ® YES ❑ NO Gulf of Mexico Territorial Extension GENERAL LIABILITY XSGL-073197 03/01/2008 Form & Edition Date ISO CG 00 01 11/88 03/01/2011 General Aggregate Unlimited Products-Comp/OPS Agg. $ 3,000 ENYES ElNO Broad Form Property Damage Liability Personal &Advertising Injury $ 1,000 including X, C, U Each Occurrence $ 1,000 ENYES ElNO Products/Completed Operations Fire Damage $ 50 ENYES ElNO Contractual Liability (Any one fire) ® YES ElNO Sudden and Accidental Pollution Liability Medical Expense $ 5 ® YES ❑ NO Occurrence Form ® YES ElNO Personal Injury (Any one person) ® YES ❑ NO "In Rem" Endorsement IN YES ❑ NO Cross Liability ® YES ❑ NO Watercraft exclusion has been modified by the vessels endorsement on scheduled equipment r c. c [oil ACORD ERT F CA►TE F INSURANCE ISSUE DATE 03/12/2010 PRODUCER MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 5080 Spectrum Dr., Suite 900E This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. This Certificate does not amend, extend or after the coverage afforded by the policies below. COMPANIES AFFORDING COVERAGE Addison, TX 75001 (469) 232-2100 Company Iron hors Specialty Insurance INSURED DRC Emergency Services, LLC Company Arnerisure Mutual Insurance Company L 740 Museum Drive Mobile, AL 36608-1940 Company C "it Company Company E This is to certify that the policies of insurance described herein have been issued to the Insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of contract or ether document with respect to which this certificate may be issued or may pertain, the insurance afforded by the poiicies described herein is subject to all the terms, conditions and exclusions of such policies. Limits shown may have been reduced by paid claims. Co TYPE OF INSURANCE' POLICY NUMBER EFFECTIVE LIMITS OF LIABILITY LT EXPIRATION A GENERAL LIABILITY 0001179DO 01/213/2010' EACH OCCURRENCE $ 1,000,000 ® Commercial General Liability © Claims Made ® occurrence © Owners' and Contractors` Protection D 07/28/2011 FIRE DAMAGE $ 50,000 MEDICAL EXPENSE $ 0 PERS, AND ADVERTISING INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 0 PRODUCTS AND COMP OPER. AGG, $ 2,000,000' General A negate Limit applies per: ❑ Pricy Proiw [I Location B AUTOMOBILE LIABILITY 112491100 01/20/ 010 COMBINED SINGLE LIMIT $ 11000,000 ® Any Automobile ❑ Ali Owned Automobiles © scheduled Automobiles ICI direct Automobiles 01 /20/201' 1 BODtLY IN P n $ B ILY INJURY (Par mgjAgntj $ PROPEM DAMAGE ll $ COMPREHENSIVE $500 deductible ® Non -owned: Automobiles 0 COLLISION E5 deductible B WORKERS* COMPENSATIoItt AND EMPL+C YERS' LIABILITY WC2067300 01 /20/ 010 01/20/2011 YVC tutoly Limit I X I Other EL EACH ACCIDENT $ 11000,000 EL 13I EA ! e $ 11000,000 EL ICI .°: $ 11000,000 A EXCESS LIABILITY 000118000 U1/28/2010 EACH OCCURRENCE $ 10,000,000:, ® occurrence 00alms Made Follow Form 07/28/2011 AGGREGATE $ 10,000,000' Retenffon/Deductible 10,000 A CONTRACTORS POLLUTION 000108000 01/19/20010 Each Occurrence '' $ 5,000,000 lability During Transportation, fines, penalties, clean up, punitive damage. Occurrence form 01/19/2011 Policy Aggregate $ 5,000,000 Deductible Each Loss $ 10,000 $ $ RE:' RFP Disaster Response 8i Recovery Services The Certificate Holder is included as Additional Insured (except on Woftrs Compensation) as required by written contract subject to policy terms, conditions and exclusions. The above referenced policy(s) include a waiver of subrogation in favor of the certificate holder. t a In CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL IMPOSE NO OBLIGATION''08 LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Monroe County 1100 Simonton Street, Suite 2-21 Frey West, FL 33044 Authorized Representative ., Page 1 of 1 certificate to# J5KF8DZN CERTIFICATE CIF �URA�l � I�,EACORD�, ,o R This certlflcate is wed as e matter ofiNamtaton only and o�xHers no rights . MCORIFF, SQBELS 8 WILLIAMS OF TEXAS, INC. upon the Certicx�eddec� Wte does not amend, xextend or alter the 50dEi 3pscinlm Dr., Suite 900E g° �Wed ft Addison, TX 75001 (469) 232-2100 COMPAMES AFFORDING COVERAGE URED DRC Emergency Services, LLC 740 Museum Drive Mobile, AL 3WW1940 Company Ironshore Specialty Insurance Coma y Amerisure Mutual Insurance Company Company C Company D Company E This Is to cWW t# t the Policies of in IratMce Beet ribad herein helve been issued to the Insured named h for the policy period trldic t l I. #hstBunding or of ct>rrtW ter' � v respect to v**:h Oft ate may toe -issued or potftthe pow" gibed trer is sty to d tlem", cx�rdltho A a and exclusions of such _ t � r,s, lw� � rat a lowaa% end by Co LT lyre V EFFE " L1 A M comawtW Genaw UWW p cu*ns * CC ooc e Ie p owners' add Contn�olots= Pr+o�coon ❑ ❑ GorwalpP%WY t Poesy PM00 000117900 01/28m10 07/28I2011 EACH OCCURRENCE $ 190009000 FIRE DAMAGE !� 509000 IEDICAL EXPENSE 0 PERS. AND 6eMnSING iNJURY $ 100001,000 C�GENERAL- GENERAL AGG E 1`E $ 2,000,000 PRODUCTS AND COMP. OPER. AGG. $ 2,000,000 B AUTOMONLE � AM Aukwn0bft p Am owned p sdwiduled Automobiles Iiid AtAomoblles I$j Non -owned AutomobNes p 112491100 01rdc M10 01/20/2011 COMBINED S GLE LIMIT 1,000,000 acc$ COMPREHENSIVE $ $ $500 deductible COLLISION �500 �b18 B W cm_1 010N AND Ems ' LL49LM 7300 0120010 01 /20/2011 WC urrdtX Other 190001,000 EL EACH AdCIDENT EACH OCCU ENCE 1,000,000 $ 1'�'� A � " S L.tA�lILITY rnmee OCk- ims Made on/Dedue ble 10,000 11 8m Fillow Form 01r2M10 07/28M11 $ 10, ,000 AGGREGATE $ 109000,000 Each Occurrence $ 5,000,000 A CONTRACTORS POLLUTM t.Wbety During T _ fines, penaltlles, dean up, pun*** darnaye. Ooa move form 000108000 01l19V2010 01 /19/2011 P+ORlicy► � 5,000,000 DedudWe Each Loss $ 109000 $ Monrm CountyCOWntYCOrt'1 1 inr, ' ` post terlT s, oorx ors and `° except on Wb*e�rs Compensation) as re�ir�ed by written contract subject to Comr�sskrrlers. s) Include' of subrogation In favor of Monroe City Board of County s r.s +ti 100, ' S CER WICKM HOLDER t° SHOULD ANY OF THE ABOVE DESCRUM POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUNG INFER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NCMICE.TO THE EF TII ME MOLDER NAMED TO THE LEFT, BUT FAILUI "11Q DO S lLL IMPOSE NO OBLJG 'ION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Monroe County Board of County Cornmissioners Authorized Represer re Attn: Rich Jones 2798 Over Hwy ,. . Marathon, FL 33050 1 of 1 Certf ale ID # A �® CERTIFICATE OF LIABILITY INSURANCE DA07/28/2011 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 MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 5080 Spectrum Dr., Suite 900E CONTACT NAME: IX A/C No Ext : (469) 232-2100 C No): E-MAIL ADDRESS: Addison, TX 75001 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:IronshoreSpecialty Insurance INSURED DRC Emergency Services, LLC INSURER B :United States Flre Insurance Company INSURER C :Zurich American Insurance Co 740 Museum Drive Mobile, AL 36608-1940 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:KKF2CBE9 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DDIYYYY LIMITS A GENERAL LIABILITY 001114301 07/28/2011 01/28/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRD OCCUR DAMAGE TO RENTED— PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ U PERSONAL & ADV INJURY $ 1,000,000 X GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PR� LOC $ B AUTOMOBILE LIABILITY 1337305599 01/20/2011 01/20/2012 EO aBIINdE�DtSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X BODILY INJURY (Per accident) $ NON -OWNED X HIRED AUTOS IX AUTOS PROPERTY DAMAGE Per accident $ Comp. $500 deductible Coll. $500 deductible A UMBRELLA LIAB X OCCUR 0o low Form 07/28/2011 01/28/2013 EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE X DED RETENTION $10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A WC4647260-00 Includes USH&L 01/20/2011 01/20/2012 X WC STATU- OTH- TORY LIMITS I ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A CONTRACTORS POLLUTION INCLD. Liability During Transportation, fines, penalties, clean up, punitive damage. Occurrence form 000108001 01/19/2011 01/19/2012 Each Occurrence Policy Aggregate Deductible Each Loss 5,000,000 $ 5,000,000 $ 10,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Rema s Schedu , if mor space is required) ' (V— C. Monroe County Attn: Natileene Cassel 502 Whitehead St. Courthouse Annex, 3rd Floor Rear Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Page 1 of 1 © 1988-2010 ACORD CORPORATION. All rights reserved. Arnon -)c i-)nenrnci Irk- Arnon 4 r,,,.,, .,,,,:-s.. A .. --L,- „a Arnon ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/28/2011 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 ALTERTHE 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 MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 5080 Spectrum Dr., Suite 900E Addison, TX 75001 CONTACT NAME: H No Ext : (469) 232-2100(AIac No EMAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 INSURER A dronshore Specialty Insurance INSURED DRC Emergency Services, LLC INSURER B :United States Fire Insurance Company INSURER C :Zurich American Insurance Co 740 Museum Drive Mobile, AL 36608-1940 INSURER D : INSURER E : INSURER F : r�r�•wrvr• r•�mo�rc: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT THE POLICY PERIOD WITH RESPECT TO CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TERMS, LTR TYPE OF INSURANCE POLICY NUMBER POLI F MM/ POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY 001114301 07 8/20. 1 01/28/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY ^,yf AGE PREMISES Ea occurrence 1 $ 100,000 CLAIMS -MADE X OCCUR ` 1 MED EXP (Any one person) $ 0 X / J �� f 1 I! PERSONAL 8 ADV INJURY $ 11000.000 GENERAL AGGREGATE $ 10.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- 1-1 LOC $ B AUTOMOBILE LIABILITY 1337305599 01/20/2011 01/20/2012 M N IN L LIMIT �((EO accident $ 1,000,000 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED X AUTOS AUTOS 60DILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS P 0PERTY DAMAGE $ (Par accident A Comp. $500 deductible Coll. $500 deductible UMBRELLA LIAR X OCCUR Follow or 07/28/2011 01/28/2013 FOIIOw Form EACH OCCURRENCE $ 10,000,000 X EXCESS LIAR �( CLAIMS -MADE AGGREGATE $ 10,000,000 DED RETENTIONS10.000 C WORKERS COMPENSATION WC4647260-00 01/20/2011 01/20/2012 AND EMPLOYERS' LIABILITY Includes USH&L X WC STATU- OTH- $ Y! N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N 1 A T MI R E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1,000.000 DESCRIPTION OF OPERATIONS below A CONTRACTORS POLLUTION INCLD. 000108001 E.L. DISEASE - POLICY LIMIT $ 1,000,000 01/19/2011 01/19/2012 Liability During Transportation, fines, Each Occurrence 5,000,000 penalties, clean up, punitive damage. X Policy Aggregate $ 5,000,000 Occurrence form Deductible Each Loss $ 10,000 DESCRIPTION OF OPERATIONS !LOCATIONS 1 VEHICLES (Attach ACORD 101, Addltbnal Remarks Schedule, If more space Is requlrad) Project: Marine Debris Removal Monroe County Board of County Commissioners is included as Additional Insured (except on Workers Compensation) as required by written contract. The above referenced policy(s) include a waiver of subrogation in favor of Monroe County Board of County Commissioners. CFRTIFirOTF Hnl nco Monroe County Board of County Commissioners Attn: Rich Jones 2798 Overseas Hwy Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 9 ACORD 25 (2010/05) v I V00-cvlU ACUKUI cUKPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,eyo,-„ ACOCERTIFICATE OF LIABILITY INSURANCE DAT//2011 Y) 07/28/28RB0 011 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 ALTERTHE 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 I t be endo ed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies y require stateme t on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 5080 Spectrum Dr., Suite 900E n Addison, TX 75001 Monroe CoU tY AUG ppClll{feg r)a)VE3E^. + ' ....• CONTACT NAME: NC u (469) 232-21 AX No E-M L ADDRESS: i 7, )AO INSURE S) AFFORDING COVERAGE NAIC # ores Spec I Insurance INSURED — DRC Emergency Services, LLC a es Ire Insurance Company INSURER C :Zurich American Insurance Co 740 Museum Drive "' - Mobile, AL 36608-1940 nIJIE: SCENE Y' INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:PBBUMVVY 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 LTR TYPE OF INSURANCE ADDL I SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY 001114301 07/28/2011 01/28/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FRI OCCUR _ DAMAGE TO RENTSIY___ PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 0 X I 4�GENERAL PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PE OT LOC $ B AUTOMOBILE LIABILITY 1337305599 01/20/ 11 01/20/2012 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO � ; ALL OWNED SCHEDULED AUTOS AUTOS X BODILY INJURY Per accident ( ) $ HIRED AUTOS X NON -OWNED AUTOS 1v X PROPERTY DAMAGE Per accident $ Comp. $500 deductible Coll. $500 deductible A UMBRELLA LIAB X OCCUR 001114401 Follow Form 07/28/2011 01/28/2013 EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS MADE X DIED I I RETENTION $10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A WC4647260-00 Includes USH&L 01/20/2011 01/20/2012 X WCSTATU- I OTH- I TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - E4 EMPLOYEE $ 1,000.000 !Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below A CONTRACTORS POLLUTION INCLD. Liability During Transportation, fines, penalties, clean up, punitive damage. Occurrence form 000108001 01/19/2011 01/19/2012 Each Occurrence Policy Aggregate Deductible Each Loss 5,000,000 $ 5,000,000 $ 10,000 $ $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: RFP Disaster Response & Recovery Services. The Certificate Holder is included as Additional Insured (except on Workers Compensation) as required by written contract. The above referenced policy(s) include a waiver of subrogation in favor of the certificate holder. Cc " ck--- V/11Y1iCLLNI 1Vry 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 I AUTHORIZED REPRESENTATIVE 1100 Simonton Street, Suite 2-216 Key West, FL 33040 Page 1 of 1 OO 1980-2010 ACORD CORPORAII WN. All ngnts reservea. Arson 'M TM.. Arson ..............1 1...... .. ......11- —s Arson AC" CERTIFICATE OF LIABILITY INSURANCE r DATE(MM/DD/YYYY) 01 /19/2012 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 CON MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. NAME: 5080 Spectrum Dr., Suite 900E (A/C, No Ext : (469) 232-2100 A No): Addison, TX 75001 1 E-MAIL INSURED DRC Emergency Services, LLC 740 Museum Drive Mobile, AL 36608-1940 INSURERS) AFFORDING COVERAGE NAIC # _ INSURER A dronshore Specialty Insurance INSURER B :United States Fire Insurance Company INSURER C :Zurich American Insurance Co INSURER D : INSURER E INSURER F COVFRAGFS r:FRTlrH� LTF 0=%11C1nn1 Ail:aRQCM. 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 LTR I TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS A GENERAL LIABILITY 001114301 07/28/2011 01/28/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR V D RI MAIIA PREMISES Ea occurrence $ 100,000 MED EXP An person) (Any erson $ 0 PERSONAL & ADV INJURY $ 1,000,000 X BY DA �� _ GENERAL AGGREGATE $ 10,000,000 W U111 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PEOT- LOC P" /�, s Ct, $ B AUTOMOBILE LIABILITY 1337318334 01/20/2012 01/20/2013 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO rX ALL OWNED SCHEDULED AUTOS AUTOS X BODILY INJURY Per accident ( ) $ HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ Comp. $500 deductible Coll. $500 deductible A UMBRELLA LAB X OCCUR 001114401 Follow Form 07/28/2011 01/28/2013 EACH OCCURRENCE $ 10,000,000 X AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE X DED RETENTION $ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A WC4647260-00 Includes USH&L 01/20/2012 01/20/2013 X WC STATU- OTH-' TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY L!""!r e 1,000,000 DESCRIPT:ON OF OPERATIONS below A CONTRACTORS POLLUTION INCLD. Liability During Transportation, fines, penalties, clean up, punitive damage. Occurrence form 1000108002 01/19/2012 01/19/2013 Each Occurrence Policy Aggregate Deductible Each Loss 5,000,000 $ 5,000,000 $ 10,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: RFP Disaster Response & Recovery Services. Monroe County Board of County Commissioners is included as Additional Insured (except on Workers Compensation) as required by written contract. The above referenced policy(s) include a waiver of subrogation in favor of the certificate holder. i irwrii r- nULLJCM UANUtLLA11UN Monroe County Board of County Commissioners 1100 Simonton Street, Suite 2-216 % Key West, FL 33040 G C - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ") Page 1 of 1 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD A� O® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/30/2012 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 MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 5080 Spectrum Dr., Suite 900E CONTACT NAME: PHC No Ex (469) 232-2100 aC No): E-MAIL ADDRESS: Addison, TX 75001 INSURERS AFFORDING COVERAGE NAIC # INSURER A dronshore Specialty Insurance INSURED DRC Emergency Services, LLC INSURER B :United States Fire Insurance Company INSURER C :Zurich American Insurance Co 740 Museum Drive Mobile, AL 36608-1940 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:Y2T85ZQ6 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. INTSRR TYPE OF INSURANCE A POLICY NUMBER PM/DDY EFF MM/LDID/YYYY LIMITS A GENERAL LIABILITY 00111%301 07/28/2011 01/28/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY_',� CLAIMS -MADE FKOCCUR - PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 0 & ADV INJURY $ 1,000,000 DPERSONAL GENERAL AGGREGATE $ 10,000,000 ' `� ✓' - GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY X PRO- LOC $ B AUTOMOBILE LIABILITY 1337318334 - 01/20/2012 01/20/2013 COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS IAUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE Per accident $ Comp. $500 deductible Coll. $500 deductible A UMBRELLA LIAB X OCCUR 001114401 Follow Form 07/28/2011 01/28/2013 EACH OCCURRENCE $ 10,000,000 X AGGREGATE 10,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION$10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNEWEXECUTIVE F OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A WC4647260-00 Includes USH&L 01/20/2012 01/20/2013 X WCSTAT U- OTH- TO E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A CONTRACTORS POLLUTION INCLD. 000108002 01/19/2012 01/19/2013 Each Occurrence 5,000,000 Liability During Transportation, fines, penalties, clean up, punitive damage. Occurrence form Policy Aggregate Deductible Each Loss $ 5,000,000 $ 10,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Project: Disaster Response and Recovery Services The Certificate Holder is included as Additional Insured (except on Workers Compensation) as required by written contract. The above referenced policy(s) include a waiver of subrogation in favor of the certificate holder. I+CRi iri%,mi C n%JLUCR 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 Government, Board of Commissioners I AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West„ FL 33040 Page 1 of 1 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Orp!b Yr IRONSHORE SPECIALTY INSURANCE COMPANY One State Street Plaza 7th Floor New York, NY 10004 Toll Free: (877) IRON411 This contract is registered and delivered as a surplus line coverage under the Alabama Surplus Lines Insurance e�emDltlA fee Policy Number: 001114301 •••�� Renewal of: 000117900 COMMERCIAL GENERAL LIABILITY DECLARATIONS NAMED INSURED: This contract is registered and delivered as a surplus line coverage under the Alabama DRC Emergency Services, LLC Surplus Line Insurance Law. 740 Museum Drive Ronald B. Giadrosich License: A064443 Mobile, AL 36608 POLICY PERIOD: FROM July 28, 2011 TO January 28, 2013 AT 12:01 A.M. TIME AT YOUR MAILING ADDRESS SHOWN ABOVE. IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. LIMITS OF INSURANCE EACH OCCURRENCE LIMIT $1,000,000 DAMAGE TO PREMISES RENTED TO YOU LIMIT 1,000,000 Any one premises MEDICAL EXPENSE LIMIT Excluded -See CGL.END.040 (0709) Endorsement Attached PERSONAL & ADVERTISING INJURY LIMIT $1,000,000 Any one person or organization GENERAL AGGREGATE LIMIT $2,000,000 PRODUCTS/COMPLETED OPERATIONS AGGREGATE LIMIT $2,000,000 RETROACTIVE DATE (CGL.COV.001 and CGL.COV.002 ONLY) THIS INSURANCE DOES NOT APPLY TO "BODILY INJURY", "PROPERTY DAMAGE" OR "PERSONAL AND ADVERTISING INJURY" WHICH OCCURS BEFORE THE RETROACTIVE DATE, IF ANY, SHOWN BELOW. RETROACTIVE DATE: NONE (ENTER DATE OR "NONE" IF NO RETROACTIVE DATE APPLIES) CLASSIFICATION AND PREMIUM - SEE COMPOSITE RATE ENDORSEMENT ATTACHED CGL.DEC.002 (12/09) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 3 Named Insured: DRC Emergency Services, LLC Policy Number: 001114301 Effective 12:01 AM: July 28, 2011 SCHEDULE OF ENDORSEMENTS Endorsement Number- Form Number— Edition Date —Form Name 1. CGLEND.001 (0509) Common Policy Conditions 2. CGLEND.003 (0509) Earlier Notice of Cancellation Provided By Us 3. CGL.END.008 (0410) Named Insured Endorsement 4. CGL.END.017 (0509) Waiver of Transfer of Right of Recovery Against Otherto Us 5. CGL.END.018 (0509) Employee Benefits Liability Coverage 6. CGLEND.021(0410) Primary Non -Contributory Endorsement 7. CGLEND.022 (0509) Additional Insured Required by Written Contract 8. CGL.END.025 (0609) Claims Notification 9. CGLEND.033 (0709) Professional Liability Exclusion 10. CGL.END.036 (0410) Asbestos Exclusion 11. CGL.END.039 (0410) Lead Contamination 12. CGL.END.040 (0709) Medical Payments Exclusion 13. CGL.END.041(0709) Mold, Fungi or Bacteria 14. CGL.END.042 (0709) Nuclear Energy Liabilty Exclusion Endorsement 15. CGL.END.043 (0709) Silica or Silica Related Dust Exclusion 16. CGL.END.045 (0709) Total Pollution Exclusion Endorsement 17. CGL.END.046A (1209) Emails, Fax, Phone Calls or Other Methods of Sending Material or Information 18. CGL.END.047A (0410) Self -Insured Retention Endorsement 19. CGL.END.049 (0709) Employment Related Practices Exclusion 20. CGL.END.050 (0410) Aggregate Limits of Ins— Per Project Amendment and Overall General Agg Limit 21. CGL,END.053 (1009) Minimum Earned Premium 22. CGL.END.078 (1009) Violation of Economic or Trade Sanctions (OFAC) 23. CGL.END.087 (1209) Composite Rate Endorsement 24. CGL.END.095 (0410) Terrorism Exclusion 25. CGL.MANU.001 Notice to Others of Cancellation CGL.DEC.002 (12/09) Includes copyrighted material of Insurance Services Office, Inc. with its permission. ' Page 3 of 3 Jhynb Jn 1.e d,_1VJ,, 7 -1wed J:nY"n'rhip;� ,/;,;. I RONSHORE yoursafr. harbour+ IRONSHORE SPECIALTY INSURANCE COMPANY One State Street Plaza 7th Floor New York, NY 10004 Toll Free: (877) IRON411 Endorsement q 7 Policy Number: 001114301 Effective Date of Endorsement: July 28, 2011 Insured Name: DRC Emergency Services, LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED REQUIRED BY WRITTEN CONTRACT A. Section II - Who Is An Insured is amended to include any person or organization you are required to include as an additional insured on this policy by a written contract or written agreement in effect during this policy period and executed prior to the "occurrence" of the "bodily injury" or "property damage." B. The insurance provided to the above described additional insured under this endorsement is limited as follows: 1. SECTION I — COVERAGES, COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY only. 2. The person or organization is only an additional insured with respect to liability arising out of "your work" or "your product' for that additional insured, 3. In the event that the Limits of Insurance provided by this policy exceed the limits of Insurance required by the written Contract or written agreement, the insurance provided by this endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance stated in the Declarations pertaining to the coverage provided herein, 4. The insurance provided to such an additional insured does not apply to "bodily injury" or "property damage" arising out of an architect's, engineer's or surveyor's rendering of or failure to render any professional services including: The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifications; and ii. Supervisory, inspection, architectural or engineering activities. 5. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products -completed operations hazard" unless you are required to provide such coverage by written contract or written agreement and then only for the period of time required by the written contract or written agreement and in no event beyond the expiration date of the policy. 6. Any coverage provided by this endorsement to an additional insured shall be excess over any other valid and collectible insurance available to the additional insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary or non-contributory basis. ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. 4 ll A_uxust 11, 2011 Authorized Representative Date 08/16/2011 11:45 AM CGL.END.022 (05/09) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 lA•p,h 1n 1—drrrhip. 'b—ird 11wnnrnb,p;- 1"1 I RONSHORE .),mrSafr harhoir r- IRONSHORE SPECIALTY INSURANCE COMPANY One State Street Plaza 7th Floor New York, NY 10004 Toll Free: (877) IRON411 Endorsement # 4 Policy Number: 001114301 Effective Date of Endorsement: July 28, 2011 Insured Name: DRC Emergency Services, LLC THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided underthe following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: As per written contract on file with company Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and Included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS REMAIN UNCHANGED. ` August 11, 2011 Authorized Representative Date CGL.END.017 (05/09) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 08/16/2011 11:46 AM 0 A�� ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) olilsi2o12 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 MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 5080 Spectrum Dr., Suite 900E Addison, TX 75001 CONTACT NAME: PHONE 469 232-2100 FAX A/C No Ell: ( ) AIC No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Ironshore Specialty Insurance INSURED DRC Emergency Services, LLC 740 Museum Drive Mobile, AL 36608-1940 INSURER B :United States Flre Insurance Company INSURER C :Zurich American Insurance Co INSURER D INSURER E : INSURER F rw�c w1±0e f`CIOTICICATC 1JIIMRFR•FFRTQS7H REVISION NUMBhK: v 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 I LTR TYPE OF INSURANCE ADDLSUBRPOLICY INSIR WVD POLICY NUMBER EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY 001114301 07/28/2011 01/28/2013 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Anyone person) $ 0 CLAIMS -MADE FRI OCCUR PERSONAL 8 ADV INJURY $ 1,000,000 X �� GENERAL AGGREGATE $ 10,000,000 I GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ X POLICY PRO JECTLOC B AUTOMOBILE LIABILITY 1337318334 01/ 0/2012 01/20/2013 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED X AUTOS AUTOS NON -OWNED X N HIRED AUTOSAUTOS I PROPERTY DAMAGE Per accident $ Comp. $500 deductible Coll. $500 deductible A X UMBRELLA LIAB EXCESS LIAB XI OCCUR CLAIMS -MADE X 001114401 Follow Form 07/28/2011 01/28/2013 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DED I I RETENTION$10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE WC4647260-00 Includes USH&L 01/20/2012 01/20/2013 X TORY LAM TS OTH- ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) N / A E.L. DISEASE -POLICY LIMIT $ 1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below A CONTRACTORS POLLUTION INCLD. Liability During Transportation, fines, penalties, clean up, punitive damage. Occurrence form X 000108002 01/19/2012 01/19/2013 Each Occurrence Policy Aggregate Deductible Each Loss 5,000,000 $ 5,000,000 $ 10,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project: Marine Debris Removal Monroe County Board of County Commissioners is included as Additional Insured (except on Workers Compensation) as required by written contract. The above referenced policy(s) include a waiver of subrogation in favor of Monroe County Board of County Commissioners. ftFRTIFIRATF wni r1FR CANCELLATION Monroe County Board of County Commissioners Attn: Rich Jones 2798 Overseas Hwy Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Fade 1 of 1 Oc 19RR-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE DAT/Y) `../ 01 1/29/29/20132013 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 ALTERTHE 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 endomement(s). PRODUCER MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 5080 Spectrum Dr., Suite 900E Addison, TX 75001 CONTACT NAME: A/C NNo Ext : (469) 232-2100 FAX No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A :Starr Surplus Lines Insurance Company 13604 INSURED DRC Emergency Services, LLC INSURER B :Praetorian Insurance Company 37257 INSURER C :Federal Insurance Company 20281 740 Museum Drive Mobile, AL 36608-1940 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:ZQ6K6BSZ RFVISIAN NIJURFR- 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 LTR I TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDDfrYYY LIMITS A GENERAL LIABILITY SLSLEIL72029413 01/31/2013 01/31/2014 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX1 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 X PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: —1 PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC JECT $ B AUTOMOBILE LIABILITY PICH00002236 01/20/20 3 01/20/2014 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS X BODILY INJURY Per accident ( ) $ X NON -OWNED HIRED AUTOS Ix AUTOS PROPERTY DAMAGE Per accident $ Comp. $500 deductible Coll. $500 deductible A UMBRELLA LIAB X OCCUR SLSLXNV73021813 Follow Form 01/31/2013 01/31/2014 EACH OCCURRENCE $ 10,000,000 X EXCESS LIAB CLAIMS -MADE X AGGREGATE $ 10,000,000 DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A 004 4727472 Includes USH&L 01131/2013 01I31I2014 X WC STATU. oTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A CONTRACTORS POLLUTION INCLD. Liability During Transportation, fines, penalties, clean up, punitive damage. Occurrence form SLSLEIL72029413 01/31/2013 01/31/2014 Each Occurrence PolicyAggregate DedutilEach Loss 1,000,000 $ 1,000,000 $ 20,000 $ $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space) ^cs �R e � DA W CC �� 'e Monroe County Attn: Natileene Cassel 502 Whitehead St. Courthouse Annex, 3rd Floor Rear Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. j I AUTHORIZED REPRESENTATIVE GL • � , �t Page 1 of 1 ©1988-2010 ACORD CORPORATION. All rights rasarvad ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD A� " CERTIFICATE OF LIABILITY INSURANCE DAT1129/2013 ) 01 /29/2013 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 BYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANDTHE 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 MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 5080 Spectrum Dr., Suite 900E CONTACT NAME: PHONE 469 232-2100 Fax C...Et: ( ) A/C No): E-MAIL ADDRESS: Addison, TX 75001 INSURERS AFFORDING COVERAGE NAIC # INSURER A :Starr Surplus Lines Insurance Company 13604 INSURED DRC Emergency Services, LLC INSURER B :Praetorian Insurance Company 37257 INSURER C :Federal Insurance Company 20281 740 Museum Drive Mobile, AL 36608-1940 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:VSF48NLN 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 LTR TYPE OF INSURANCE AD L UBR POLICY NUMBER POLICY EFF MM/DD/YY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY SLSLEIL72029413 01/31/2013 01/31/2014 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 50,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ] OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- JECTLOC $ B AUTOMOBILE LIABILITY PICH00002236 01/20/2013 01/20/2014 SINGLE LIMIT CEO MBIBI accident) 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULEDBODILY AUTOSAUTOS IX INJURY(Peraxident) $ PROPERTY DAMAGE$ Per accident NON-0WNED HIRED AUTOS X AUTOS Comp. $500 deductible Coll. $500 deductible A UMBRELLA LIAB N OCCUR SLSLXNV73021813 Follow Form 01/31/2013 01/31/2014 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 X EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE 004 4727472 Includes USH&L 01/31/2013 01/31/2014 X I WC STATU- OTH- T RY LIMITSER E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If es, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A CONTRACTORS POLLUTION INCLD. SLSLEIL72029413 01/31/2013 01/31/2014 Each Occurrence 1,000,000 Liability During Transportation, fines, penalties, clean up, punitive damage. Policy Aggregate Deductible Each Loss $ 1,000,000 $ 20,000 Occurrence form $ $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) Project: Disaster Response and Recovery Services The Certificate Holder is included as Additional Insured (except on Workers Compensation) as required by written contract. The above referenced policy(s) include a waiver of subrogation in favor of the certificate holder. 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 Government, BoardIf Commissioners AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key Key West„ FL 33040 GG Page 1 of 1 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE DAT/) 01/291/29/20132013 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 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 MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 5080 Spectrum Dr., Suite 900E CONTACT NAME: PHONE (469) 232-2100 FAX A/C No Ext : A/C No): Addison, TX 75001 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC If INSURER A :Staff Surplus Lines Insurance Company 13604 INSURED DRC Emergency Services, LLC INSURER B :Praetorian Insurance Company 37257 INSURER C :Federal Insurance Company 20281 740 Museum Drive Mobile, AL 36608-1940 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:2AV4BU24 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. 1�TR TYPE OF INSURANCE J UBR POLICY NUMBER MMO/LDICY EFF MPMUDDNYY LIMITS A GENERAL LIABILITY SLSLEIL72029413 01/31/2013 01/31/2014 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FK OCCUR -11 PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 X GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ B AUTOMOBILE LIABILITY PICH00002236 01/20/2013 01/20/2014 CEO MBIBINdEeD SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X IAUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED PROPERTY DAMAGE Per axident $ Comp. $500 deductible Coll. $500 deductible A UMBRELLA LIAR X OCCUR SLSLXNV73021813 Follow Form 01/31/2013 01/31/2014 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 X EXCESS LIAR CLAIMS -MADE X DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETORMARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (MIf andatory In NH) N/A 004 4727472 Includes USH&L 01/31/2013 01/31/2014 X WC STATU- OTH- T RY LIMITSER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 DEea under SCRIPTIONdescribe OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $ 1,000,000 A CONTRACTORS POLLUTION INCLD. SLSLEIL72029413 01/31/2013 01/31/2014 Each Occurrence $ 1,000,000 Liability During Transportation, fines, penalties, clean up, punitive damage. Occurrence form Policy Aggregate Deductible Each Loss $ 1,000,000 $ 20,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: RFP Disaster Response & Recovery Services. Monroe County Board of County Commissioners is included as Additional Insured (except on Workers Compensation) as required by written contract. The above referenced policy(s) include a waiver of subrogation in favor of the certificate holder. 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 Board of County Commission I AUTHORIZED REPRESENTATIVE 1100 Simonton Street, Suite 2-216 / Key West, FL 33040 LL ACORD 25 (2010/05) Paae 1 of 1 01988-2010 The ACORD name and logo are registered marks of ACORD CORPORATION. All rights reserved ACORV CERTIFICATE OF LIABILITY INSURANCEIDAOI/29/2O113 ��. Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTERTHE 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 MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 5080 Spectrum Dr., Suite 900E Addison, TX 75001 UNTAC NAME' A/C NNu Ext : (469) 232-2100 C No): E-MAIL ADDRESS, INSURERS AFFORDING COVERAGE NAIC # INSURER A :Starr Surplus Lines Insurance Company 13604 INSURED DRC Emergency Services, LLC INSURER B :Praetorian Insurance Company 37257 INSURER C :Federal Insurance Company 20281 740 Museum Drive Mobile, AL 36608-1940 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:PB2JYRNZ 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. 1 TR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER MM/LIDDY� MM/DDY� LIMITS A GENERAL LIABILITY SLSLEIL72029413 01/31/2013 01/31/2014 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 X' PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,0 00 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC X POLICYJFC PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY PICH00002236 01/20/ OW 01/20/2014 M N SIN L LIM Ea accident 1.000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X BODILY INJURY Per accident) $ X NON -OWNED HIRED AUTOS N AUTOS PROPERTY DAMAGE Per accident $ Comp. $500 deductible Coll. $500 deductible A UMBRELLA LIAB X OCCUR SLSLXNV73021813 Follow Form 01/31/2013 01/31/2014 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 X EXCESS LIAB CLAIMS -MADE X DIED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED 9 N / A 004 4727472 Includes USH&L 01/31/2013 01/31/2014 X wC STATu- orH- I TO E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 A CONTRACTORS POLLUTION INCLD. Liability During Transportation, fines, penalties, clean up, punitive damage. Occurrence form X SLSLEIL72029413 01/31/2013 01/31/2014 Each Occurrence Policy Aggregate Deductible Each Loss 1,000,000 $ 1,000,000 $ 20,000 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Project: Marine Debris Removal Monroe County Board of County Commissioners is included as Additional Insured (except on Workers Compensation) as required by written contract. The above referenced policy(s) include a waiver of subrogation in favor of Monroe County Board of County Commissioners. 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 Board of County Commissioners AUTHORIZED REPRESENTATIVE Attn: Rich Jones 2798 Overseas Hwy Marathon, FL 33050 C Page 1 of 1 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD DATE (MM/DDIYYYY) ACOORV CERTIFICATE OF LIABILITY INSURANCE 1 02/10/2014 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 ALTERTHE 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 NAME: MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. PHONE (469) 232-2100 A No 5080 Spectrum Dr., Suite 900E AIC No Ell: E-MAIL Addison, TX 75001 ADDRESS: INSURED DRC Emergency Services, LLC 740 Museum Drive Mobile, AL 36608-1940 INSURER A :Starr Surplus LinE INSURER B :Starr Indemnity & INSURER C :Federal InsuranrA INSURER D : INSURER E : 8 COVERAGES CERTIFICATE NUMBER:GZ9ZCPXG IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID POLICY EFF TYPE OF INSURANCE A D U R POLICY NUMBER MM/DD GENERAL LIABILITY SLSLEIL72029414 01/31/2014 X COMMERCIAL GENERAL LIABILITY EK OCCUR CLAIMS -MADE REVISION NUMBER: INSURED NAMED ABOVE FORTHE POLICY DOCUMENT WITH RESPECT TO WHICH HEREIN IS SUBJECT TO ALL THE CLAIMS. POLICY EXP LIMITS MWOD/YYYY 01/31/2015 EACH OCCURRENCE PREMISES Ea occurrence MED EXP (Any one person) PERSONAL 8 ADV INJURY PERIOD THIS TERMS, THIS INDICATED. CERTIFICATE EXCLUSIONS INSR LTR $ 1,000,000 A $ 50,000 5,000 $ 1,000,000 $ $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC SISIPCA08285214 01/31/2014 AUTOMOBILE LIABILITY 01/31/2015 COMBINED SINGLE LIMIT O accident BODILY INJURY (Per person) $ 1,000,000 B $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident $ $ $ SLSLXNV73021814 01/31/2014 UMBRELLA LIAB X OCCUR Follow Form 01/31/2015 EACH OCCURRENCE AGGREGATE $ 15,000,000 A $ 15,000,000 X EXCESS LIAB CLAIMS -MADE DED RETENTION $ ERS COMPENSATION 004 4727472 01131l2014 AND EMPLOYERS' LIABILITY YIN Includes USH&L ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Contractors Pollution SLSLEIL72029414 01131/2014 A X WC STATU- OTH- 01/31/2015 TORY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT 01/31/2015 Each Occurrence Policy Aggregate Deductible Each Loss 1,000,000 $ 1,000,000 $ 1,000,000 $ 1,000,000 $ $ 1,00,000 0,0000 $ DESCRIPTION OF OPERATIONS (LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: RFP Disaster Response & Recovery Services. Monroe County Board of County Commissioners is included as Additional Insured (except on Workers Compensation) as required by written contract. The above referenced policy(s) include a waiver of subrogationinfavor of the certificate holder. AP WAIV.R A�RjKr� 00_3r'l Oj (. i 11.E Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MW iA� Page 1 of 1 ©1988-2010 ACORD CORPORATION. All rights reserved. AIINCERTIFICATE OF LIABILITY INSURANCE DATE0" 1111Y4 Y) � 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 ALTERTHE 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 pollcy(les) 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 andoreemen s). PRODUCER MCGRIFF, SEIBELS 6 WILLIAMS OF TEXAS, INC. 5080 Spectrum Dr., Suite 900E E` PHONE (489) 232-2100 o• Addison, TX 75001 MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL f INSURER A :Steyr Surplus Lines Insurance Company 13804 INSURED RC DRCEmergency Services, LlC INSURER B :Starr Indemnity8 LiabilityCompany38318 INSURER C :Federal Insurance Company20281 740 Museum Drive Mobile, AL 38508-1940 INSURER D : INSURER E : INSURER F : CWERA0E3 CERTIFICATE NUMBER*FTG4S4EY MOMAInW 16111URC12- 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 SUBJECTTO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY RAID CLAIMS. L R TYPE OF INSURANCE BR POLICY NUMBER POLICY EFF MID EXP Nto LIMtT3 A GENERAL UABIUTY SLUXLMM4 0113IT2014 0 5 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR X To KENTE13 PREMISES oo t 50,000 MED EXP one n S 5.0w PERSONAL 11 AOV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2.000,000 X PRO - POLICY LOC $ B AUTOMOBILE UABILm SISIPCVW8286214 01/31/2014 01/31/201 is N umrr 1 Q00 D00 XANY AUTO BODILY INJURY (Per Person) S ALL SCHEDULED X BODILY INJURY (Per aoddent) SO� AUTOS PROPERTYMEHIREDAUT08 aWda$X Per s UMBRELLA LIAS EXCESS LIAR X DCCUR CLAIMS -MADE X LSL NVFor30 18 4 ra 01/31/2014 01/31=15 EACH OCCURRENCE S 10,000,000 X AGGREGATE S 10,000,000 DED I RETENTIONS S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPNRTNEA/EXECUTIVE OFFICERIMEMBER EXCLUDED? N / A U044727472 Includes USHSL OV31/2014 0t/31/2015 X WC ATU OTH EL EACH ACCIDENT S 1.000,000 E.L DISEASE - EA EMPLOYEE S 1.000,000 (Mandatory in NH) It yea, desu(ba under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 A ContractorsPollution X SLSLEIL72029414 01131/2014 01/31/201b eh Oocurnance Policy Aggregate Deductible Each Loss 1, $1,000,000 S 20,000 S S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addi0orul Remarks Bob*duls. N mon *Pace is nMw'6A Project Marine Debris Removal Monroe County Board of County Commissioners is Included as Additional Insured (except on Workers Compensation) as required by written contract. The above referenced policy(s) include a waiver of subrogabon in favor of Monroe County Board of County Commissioners. g ) GWENT DATE WAIVER Monroe County Board of County Commissioners Attn: Rich Jones 279E Overseas Hwy Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) Page 1 of 1 The ACORD name and logo are registered marks of ACORD CORPORATION. All rose l � ® DATE /Y) A v CERTIFICATE OF LIABILITY INSURANCE 01/23/23/2015 2015 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 terns 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). CONTACT PRODUCER NAME: MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. PHONE (469) 232-2100 A/ No 5080 Spectrum Dr., Suite 900E N Addison, TX 75001 E-MAIL ADDRESS: _ INSURERS AFFORDING INSURER A :Starr Surplus Lines Insurance INSURED INSURER B :Starr Indemnity & Liability Co DRC Emergency Services, LLC 740 Museum Drive INSURER C :Federal Insurance Company Mobile, AL 36608-1940 INSURER D : _ _ ..... 0CVICIr1k1 IUI IIMR9R- E THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE F INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH F CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OR THE POLICY PERIOD ESPECT TO WHICH THIS TO ALL THE TERMS, INTR TYPE OF INSURANCE A L SU POLICY NUMBER POLICY EFF MM/DD POLICY EXP MMIDD/YYYY LIMBS A X COMMERCIALGENERAL LIABILITY CLAIMS -MADE � OCCUR 1000065359151 01/31/2015 01/31/2016 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurre ce $ 50,000 MED EXP (Any one person) $ 5,000 X Professional Liability $1,000,000 PERSONAL & ADV INJI IRY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � JEC LOC GENERAL AGGREGAT $ 2,000,000 PRODUCTS -COMP/O AGG $ 2,000,000 B OTHER: AUTOMOBILE LIABILITY SISIPCA08285215 01/31/2015 01/31/2016 COBINEDtSINGLE LI IT 1,000,000 BODILY INJURY (Per p rson) $ ANY AUTO ALL OWNED SCHEDULED AUTOS NON-OWNEDAUTOS HIRED AUTOS AUTOS rX BODILY INJURY (Per a cident) $ PROPERTY DAMAGE accident $Per $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 1000336333151 Follow Form 01/31/2015 01/31/2016 EACH OCCURRENCE $ 15,000,000 X AGGREGATE $ 15,000,000 DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/ PARTNER/EXECUTIVE ❑ In H) EXCLUDED? (Mandatory in NH) (Mandatory If yes, describe under DESCRIPTION OF OPERATIONS below Contractors Pollution X I PER STAT TE OTH- I ER $ C A NIA 0044727472 Includes USH&L 1000065359151 01/31/2015 01/31/2015 01/31/2016 01/31/2016 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLIC Each Occurrence Policy Aggregate Deductible Each Loss LIMIT $ 1,000,000 1,000,000 $ 1,000,000 $ 20,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: RFP Disaster Response & Recovery Services. Monroe County Board of County Commissioners is included as Additional Insured (except on Workers Compensation) aA required by written c referenced policy(s) include a waiver of subrogation in favor of the certificate holder. ntract. The above AY EMENT IRDATE gA wwv "' �v IL, V 13 7liNnO3 30HNOW CERTIFICATE HOLDER IUN IC:h Nd 6-1315101 Monroe elapWmm O04 otOiluoners 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICI BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE ILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Page 1 of 1 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD A� V CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 01/23/2015 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 endorsements . PRODUCER MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 5080 Spectrum Dr., Suite 900E Addison, TX 75001 CONTACT NAME: PHONE (469) 232-2100 FAX o Ext : AIC No A/C No. E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 8 INSURER A :Starr Surplus Lines Insurance Company 13604 INSURED DRC Emergency Services, LLC 740 Museum Drive INSURER B :Starr indemnity & Liability Company 38318 INSURER C :Federal Insurance Company 20281 Mobile, AL 36608-1940 INSURER D INSURER E : INSURER F : nCILnciehki ki"URFR• COVERAGES CERTIFIGAII_ Numtsrrr:VBJLATvrkA BELOW HAVE -- - - ------ BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS A L UBR POLICY EFF POLICY EXP LIMITS F INSURANCE POLICY NUMBER 1000065359151 MMID MMID 01/31/2015 01/31/2016 EACH OCCURRENCE $ 1,000,000 GENERAL LIABILITY 50,000 ADE OCCUR PREMISES Ea occurrence $ rPr:cykessional 5,000 ME EXP (Any one person) $ Liability $1,000,000RSONAL & ADV INJURY $ 1,000.000 GENERAL AGGREGATE $ 2,000,000 LIMIT APPLIES PER: 2,000,000 POLICY LOC PRODUCTS - COMP/0 P AGG $ ECOT OTHER: SISIPGA08285215 COMBINED SINGLE LIMIT 01/3112015 01131/2016 Ea accident $ 1,000,000 B AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ X ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS PROPERTY DAMAGE $ NANO -OWNED X X Per accident) HIRED AUTOS AUTOS $ UMBRELLA LIAB X OCCUR 1000336333151 01131/2015 01I31I2016 ACH OCCURRENCE $ 15,000,000 A Follow Form �AGGREGATE $ 15,000,000 EXCESS LIAB CLAIMS -MADE X DED RETENTION $ WORKERS COMPENSATION 0044727472 01/31/2015 01/31/2016 X TAT TE OER C E.L. EACH ACCIDENT 1,000,000 $ AND EMPLOYERS' LIABILITY y / N Includes USH&L ANY PROPRIETOR/PARTNER/EXECUTIVE N / A 1,000,000 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below Contractors Pollution 1000065359151 01/31/2015 01/31/2016 Each Occurrence Policy Aggregate 1,000,000 $ 1,000,000 A Deductible Each Loss $ 20,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: RFP Disaster Response & Recovery Services. is included as Additional Insured (except on Workers Compen ) as required by written contract. The above Monroe County Board of County Commissioners referenced policy(s) include a waiver of subrogation in favor of the certificate holder. A rL Y I AA EMENT WAIVER /A 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 Board of County Commissioners AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West, FL 33040 Page 1 of 1 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD A ACID o CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 02/01/2016 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 endorsements). PRODUCER MCGRIFF, SEIBELS & WILLIAMS OF TEXAS, INC. 818 Town & Country Blvd, Suite 500 Houston, TX 77024-4549 CONTACT NAME: PHONE 713-877 8975 FAX 713-877-8974 A/c No Ext : A/C No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Starr Surplus Lines Insurance Company 13604 INSURED DRC Emergency Services, LLC 5851 San Felipe Street, Suite 425 INSURER B :Starr Indemnity & Lia ility Company 38318 INSURER C :Federal Insurance Company 20281 INSURER D : Houston, TX 77057 INSURER E : INSURER F : 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. IN RI TYPE OF INSURANCE ADDL IN D SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FxI OCCUR 1000065359161 01/31/2016 01/31/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE O REN D PREMISES Ea occurrence $ 50,000 MED FRCP (Any one person) $ 5,000 X Professional Liability $1,000,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY ❑X PRO ❑ LOC JECT GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: B AUTOMOBILE LIABILITY SISIPCA08285216 01131/2016 01/31/2017 EOaccINED identSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED X AUTOS AUTOS NON -OWNED X HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE X 1000336333161 Follow Form 01/31/2016 01/31/2017 EACH OCCURRENCE $ 5,000,000 X AGGREGATE 8 5,000,000 DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ElE.L. OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Contractors Pollution PE _ X STATUTE ER $ C A N / A 0044727472 Includes USH&L 1000065359161 01/31/2016 01/31/2016 01/31/2017 01/31/2017 EACH ACCIDENT $ 1,000,000 E.L. DISEASE - E4 EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT Each Occurrence Policy Aggregate Deductible Each Loss $ 1,000,000 $ 1,000,000 $ 1,000,000 $ 20,000 8 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Disaster Response and Recovery Services for Marine Debris and Vessel Removal, Monroe County, Florida. The Certificate Holder is included as Additional Insured (except on Workers Compensation) as required by written ntr ct. PRc c K NAGEMMEENT ' �:; 1f�1lUJ 30�Il�i�1 W /A YES P CERTIFICATE HOLDER Q j l.Hry VCLLf1I IVI 77 4 WV G 183J 910&OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ci�' ��CCORDANCEWITH THE POLICY PROVISIONS. {jjtJJaJ Monroe County BOCC 1�1J The Gato Building AUTHORIZED REPRESENTATIVE 1100 Simonton Street, Room 2-213 Key West, FL 33040 4_1 Page 1 of 1 © 1988-2014 ACORD CORPORATION. All rights reserved. Arnon -2c 1'Jn4Atn4t Y6— Arnnn .....—a.. A —6- —4: At^non