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10/19/2022 Agreement (2) DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 12/9/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Sara Montoya Bowen, Miclette&Britt Insurance Agency, LLC PHONE 713-880-7100 FAX N°:713-880-7166 2800 North Loop West, Suite 1100 A/C No Ext: ML Houston TX 77092 ADDRESS: smontoya@bmbinc.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Admiral Insurance Co 24856 INSURED ARIESBUILD INSURERB:Amerisure Mutual Insurance Company 23396 Aries Building Systems, LLC INSURERC: Gray Surplus Lines Insurance Company 15889 17225 El Camino Real, Ste. 260 Houston TX 77058 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1952198951 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDD/YYY MMIDD/YYY A X COMMERCIAL GENERAL LIABILITY Y Y CA00004373802 11/19/2022 11/19/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR PREMISES DAMAGE TO PREMISES Ea occurrence) ccurrence $300,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY jECT � LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y CA21191900102 11/19/2022 11/19/2023 COMBINED SINGLE LIMIT $ Ea accident 1 000 000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NOTOSWNED Per a RTY DAMAGE $ C UMBRELLA LAB X OCCUR Y Y GSL1000943 11/19/2022 11/19/2023 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ B WORKERS COMPENSATION Y WC21191910102 11/19/2022 11/19/2023 )( PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The following policy provisions and/or endorsements form part of the policies of insurance represented by this certificate of insurance. The terms contained in the policies and/or endorsements supersede the representations made herein. Electronic copies of the policy provisions and/or endorsements listed below are available by emailing the Contact Person as shown above. General Liability: l Blanket additional insured Ongoing Operations per form#CG 20 10 12 19 � Blanket additional insured Completed Operations per form#CG 20 37 12 19 Blanket waiver of subrogation per form#AD 68 93 01 17 12 . 20 �2 2 See Attached... CERTIFICATE HOLDER CANCELLATION WAMP 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 Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: ARIESBUILD LOC#: ACOOR 0 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Bowen, Miclette& Britt Insurance Agency, LLC Aries Building Systems, LLC 17225 El Camino Real, Ste.260 POLICY NUMBER Houston TX 77058 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Blanket primary/non-contributory per form#AD 68 93 01 17 Automobile: Blanket additional insured per form#CA 71 15 11 09 Blanket waiver of subrogation per form#CA 71 15 11 09 Blanket primary/non-contributory per form#CA 71 65 09 11 Worker's Compensation: Waiver of subrogation per form#WC 00 03 13;WC 42 03 04 B Umbrella: Blanket additional insured per form#CX0001 04 13 Blanket waiver of subrogation per form#CX0001 04 13 Blanket primary/non-contributory per form#GS CX 2445 02 21 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CG 20 10 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional insured Person(s) Location(s)Of Covered Operations Or Or Any person or organization that is an owner, lessee or man- All locations at which the Named Insured is performing ager of real property or personal property on which you are ongoing operations. performing ongoing operations, or a contractor on whose behalf you are performing ongoing operations,but only if coverage as an additional insured is required by a written contract or written agreement that is an"insured contract", and provided the"bodily injury"or"property damage"first occurs, or the"personal and advertising injury"offense is first committed, subsequent to the execution of the contract or agreement. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. Section 11—Who Is An Insured is amended to include as an additional insured the person(s)or organization(s)shown in the Schedule,but only with respect to liability for"bodily injury", "property damage"or"personal and advertising injury" caused,in whole or in part,by: 1. Your acts or omissions;or 2. The acts or omissions of those acting on your behalf-, in the performance of your ongoing operations for the additional insured(s)at the location(s)designated above. however: 1. The insurance afforded to such additional insured only applies to the extent permitted by law;and 2. If coverage provided to the additional insured is required by a contract or agreement,the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. R. With respect to the insurance afforded to these additional insureds,the following additional exclusions apply: This insurance does not apply to "bodily injury" or"property damage"occurring after: 1. All work,including materials, parts or equipment furnished in connection with such work,on the project(other than service,maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed;or CG 20 10 12 19 C Insurance Services Office,Inc.,2018 Page I of 2 ❑ 2. That portion of"your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III—Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable I itnits of insurance. CG 20 10 12 19 (C�Insurance Services Office,Inc.,2018 Page 2 of 2 ❑ CG 20 37 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Or Or Completed Operations Any person or organization that is an owner,lessee or All locations except locations where"your work" is or was manager of real property or personal property for whom you related to a job or project involving single-family dwellings, work or have worked,or a contractor on whose behalf you multi-family dwellings(other•than rental apartments in an work or have worked,but only if coverage as an additional apartment building: (a)originally constructed and at all times insured extending to"bodily injury"or"property damage" used for such purpose,or(b)converted from a commercial included in the "products-completed operations hazard"is building),condominiums,townhomes,townhouses,time- required by a written contract or written agreement that is an share units, fractional-ownership units,cooperatives andJor "insured contract"and provided that the"bodily injury"or any other structure or space used or intended to be used as a "property damage"first occurs subsequent to the execution residence. of the contract or agreement. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. Section 11—Who Is An Insured is amended to include as an additional insured the person(s)or organization(s)shown in the Schedule,but only with respect to liability for"bodily injury"or"property damage" caused, in whole or in part,by "your work"at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the"products-completed operations hazard". however: 1. The insurance afforded to such additional insured only applies to the extent permitted by law;and 2. If coverage provided to the additional insured is required by a contract or agreement,the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds,the following is added to Section III—Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 (C�Insurance Services Office,Inc.,2018 Page I of 1 ❑ CG 20 26 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional Insured Person(s)or Organization(s): WHERE REQUIRED BY WRITTEN CONTRACT Information required to complete this Schedule, if not shown above,will be shown in the Declarations A. Section 11—Who Is An Insured is amended to include as an additional insured the person(s)or organization(s)shown in the Schedule,but only with respect to liability for"bodily injury", "property damage"or"personal and advertising injury"caused,in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf. I. In the performance of your ongoing operations;or 2. In connection with your premises owned by or rented to you. however: 1. The insurance afforded to such additional insured only applies to the extent permitted by law;and 2. If coverage provided to the additional insured is required by a contract or agreement,the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds,the following is added to Section III—Litnits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable limits of insurance; Whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 26 12 19 (C�Insurance Services Office,Inc.,2018 Page I of 1 ❑