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Certificates of Insurance Client#: 705984 DL27 DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 1/11/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Certificate Specialist Marsh&McLennan Agency PHONE 727 447-6481 (A/C 727-449-1267 A/C,No,Ext: (A/C,No): Bouchard Region E-MAIL ADDRESS: certificates@bouchardinsurance.com 101 N Starcrest Dr INSURER(S)AFFORDING COVERAGE NAIC# Clearwater, FL 33765 INSURER A:Mesa Underwriters Specialty Insurance C 36838 INSURED INSURER B:Palomar Excess and Surplus Ins Co 16754 D L Porter Constructors, Inc. Amerisure Mutual Insurance Company 23396 INSURER C: p y 6574 Palmer Park Circle INSURER D:Infinit Assurance Insurance Company 39497 Sarasota, FL 34238-2777 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY Y Y MP0082001007240 01/01/2024 01/01/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISESOEa occur°nce $100,000 X BI/PD Ded:5,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ MBINED D AUTOMOBILE LIABILITY 50000810401 01/01/2024 01/01/202 (CEO, identS INGLE LIMIT 1 r 000r 000 acc X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ B X UMBRELLA LAB X OCCUR Y Y PESXS010861 01/01/2024 01/01/2025 EACH OCCURRENCE $5 000 000 EXCESS LAB CLAIMS-MADE AGGREGATE s5,000,000 DED RETENTION$ $ C WORKERS COMPENSATION Y WC208074512 01/01/2024 01/01/202 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? � N/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 C Leased/Rented IM205936416 01/01/2024 01/01/2025 $250,000 Equipment DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) If required by written contract, Certificate Holder is an additional insured with respect to General Liability(including ongoing and completed operations),Auto Liability,and Umbrella Liability,subject to the terms, Irua conditions and exclusions of the policies. (See Attached Descriptions) T CERTIFICATE HOLDER CANCELLATION WANN Monroe Count Board of count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Room 2-213 AUTHORIZED REPRESENTATIVE Key West, FL 33040-3110 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S13669277/M13609709 RCMXP DESCRIPTIONS (Continued from Page 1) When required by written contract,waiver of subrogation applies in favor of Certificate Holder with respect to General Liability, Umbrella Liability,and Workers Compensation,subject to the terms,conditions and exclusions of the policy. Coverage is primary as respects to General Liability and Umbrella Liability;and non contributory as subject to the terms, conditions and exclusions of your policy. Umbrella follows form. Proprietors/Partners/Executive Officers/Members Excluded: Gary Loer, President SAGITTA 25.3(2016/03) 2 of 2 #S13669277/M13609709 KEMPERAuto Kemper Auto Commercial 11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA 30022 Underwritten by: Infinity Assurance Insurance Company Customer Service: (800)722-3391 Claims Service: (800)334-1661 PRIMARY AND NONCONTRIBUTORY ENDORSEMENT 50000810401 01/01/2025 12:01 a.m. MONROE COUNTY BOARD OF COUNTY COMMISSION 1100 SIMONTON STREET ROOM 2-213 RMUMMMUM KEY WEST, FL 33040 D L Porter Constructors, INC This endorsement is attached to and forms a part of the listed policy. The following endorsement applies only if Form Number 500PNCV01 appears on your Declarations Page. This endorsement modifies the insurance provided under your COMMERCIAL AUTO POLICY. PART A— LIABILITY COVERAGE OTHER INSURANCE—PART A ONLY The following is added to this section: The coverage afforded under your Commercial Auto Policy is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: a. You have agreed in writing in a contractor agreement that the coverage afforded under your Commercial Auto Policy would be primary and would not seek contribution from any other insurance available to such additional insured; and b. Such additional insured is a named insured under such other insurance. ALL OTHER TERMS, LIMITS, CONDITIONS,AND PROVISIONS OF THE POLICY REMAIN UNCHANGED. ADDL INSURED COPY AMEND DATE : 01/01/2024 500PNCV01 ENDORSEMENT : 2-1 Kemper Auto Commercial KEMPERAuto 11700 Great Oaks Way, Suite 450 COMMERCIAL Alpharetta, GA 30022 Underwritten by: Infinity Assurance Insurance Company Customer Service: (800)722-3391 Claims Service: (800)334-1661 ADDITIONAL INSURED/INTEREST ENDORSEMENT 50000810401 01/01/2025 12:01 a.m. MONROE COUNTY BOARD OF COUNTY COMMISSION 1100 SIMONTON STREET ROOM 2-213 KEY WEST, FL 33040 D L Porter Constructors, INC This endorsement is attached to and forms a part of the policy. This endorsement incepts at 12:01 a.m. on the Amend Date listed at the bottom of this form. No changes will be effective prior to the time changes are requested. Additional Insured/Lessor Bl/PD LIMITS MONROE COUNTY BOARD OF COUNTY COMMISSION 1000 CSL 1. Insurance underthe liability coverages apply to each interest listed above except when the vehicle is operated by the additional interest party, their agent, or employee. 2. The additional interest(s) shall not increase our limits of liability. 3. We will pay for damages only if such damages arise out of acts or omissions of: a. You or an insured; or, b. Any other person except as listed in 1. above. All other terms, limits and conditions of this policy remain unchanged. ADDL INSURED COPY AMEND DATE : 01/01/2024 50982AIE01 ENDORSEMENT : 2-1 POLICY NUMBER: D L Porter Constructors, Inc. COMMERCIAL GENERAL LIABILITY NAMED INSURED:MP0082001007240 CG 20 10 07 04 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) Or Organ ization s : Locations Of Covered Operations Where required by Written Contract Where required by Written Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only sions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" ..property damage" occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or equip- 1. Your acts or omissions; or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project(other than service, maintenance behalf; or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed; or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 ❑ NAMED INSURED:D L Porter Constructors, Inc. POLICY NUMBER:MP0082001007240 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization s : Location And Description Of Completed Operations Where required by written contract Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Section II _ 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", CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 ❑ NAMED INSURED:D L Porter Constructors, Inc. POLICY NUMBER:MP0082001007240 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 NAMED INSURED: D L Porter Constructors, Inc. POLICY NUMBER: MP0082001007240 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 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 under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization where required by a written contract that was executed (prior to the occurrence of a loss, (If no entry appears above, information required to complete this endorsement will Ibe shown in the Declarations as applicable to this endorsement) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMER- CIAL GENERAL LIABILITY CONDITIONS)is amended by the addition of the following: We waive any right of recovery we imay have against the person or organization shown in the Schedule above because of payments we imake 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. CG 24 04 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 0 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 NAMED INSURED: D L Porter Constructors, Inc. (Ed. 4-84) POLICY NUMBER:WC208074512 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule "Any person or organization required by written contract or certificate of insurance." "This endorsement is not applicable in California, Kentucky, New Hampshire, New Jersey, Texas and Utah." The endorsement does not apply to policies or exposure in Missouri where the employer is in the construction group of classifications. According to Section 287.150(6) of the Missouri statutes, a contractual provision purporting to waive subrogation rights is against public policy and void where one party to the contract is an employer in the construction group of code classifications. For policies or exposure in Missouri, the following must be included in the Schedule: • Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium $ Insurance Company Countersigned by WC 00 03 13 Hart Forms&Services (Ed. 4-84) Copyright 1983 National Council on Compensation Insurance. Reorder No.14-4888 Client#: 705984 DL27 DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 3/31/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Marsh&McLennan Agency PAHON ,Ext.727 447-6481 FAX No): Bouchard Region E-MAIL ADDRESS: certificates@bouchardinsurance.com 1 N. Dale Mabry Hwy, Suite#450 INSURER(S)AFFORDING COVERAGE NAIC# Tampa, FL 33609 INSURER A:Colony Insurance Company 39993 INSURED INSURER B:Ategrity Specialty Insurance Company 16427 D L Porter Constructors, Inc. Amerisure Mutual Insurance Company 23396 INSURER C: p y 6574 Palmer Park Circle INSURER D:Infinity Auto Insurance Co 11738 Sarasota, FL 34238-2777 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY Y Y 600GLO19200002 01/01/2023 01/01/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISESOEa occur°nce $100,000 X BI/PD Ded:5,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ MBINED D AUTOMOBILE LIABILITY Y 509820082251001 01/01/2023 01/01/202 (CEO, identS INGLE LIMIT 1 r 000r 000 acc X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ B X UMBRELLA LIAB X OCCUR Y Y 01PXLP700023690 01/01/2023 01/01/2024 EACH OCCURRENCE $5000000 EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 DED RETENTION$N/A $ C WORKERS COMPENSATION Y WC208074511 01/01/2023 01/01/202 X PER OTH- ERAND EMPLOYERS'LIABILITY STATUTE Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Leased/Rented IM205936415 01/01/2023 01/01/2024 $600,000 Equipment DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional insured status with respect to General Liability,Auto Liability and Umbrella Liabi ---"- NNT attached form(s). Waiver of subrogation applies with respect to General Liability,Workers Compensation and Umbrella Liability per the attached form(s). DATE_3 . 3 _ ,,,_Sat - (See Attached Descriptions) I I .. - CERTIFICATE HOLDER CANCELLATION Monroe Count Board of Count Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Room 2-213 Key West, FL 33040-3110 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S12617598/M12221761 RCMXP DESCRIPTIONS (Continued from Page 1) Coverage is primary as respects to General Liability and Umbrella Liability;and non contributory as subject to the terms, conditions and exclusions of your policy. Umbrella follows form. Proprietors/Partners/Executive Officers/Members Excluded: Gary Loer, President PROJECT: Public Defender 16th Judicial Curcuit-Key West Offices COMPLETTE CERTIFICATE HOLDER(S)& ADDITIONAL INSURED(S): Monroe County Board of County Commissioners and any other entity as required by written contract or agreement and subject to the terms,conditions and exclusions as specified in the policies. SAGITTA 25.3(2016/03) 2 of 2 #S12617598/M12221761 POLICY NUMBER: D L Porter Constructors, Inc. COMMERCIAL GENERAL LIABILITY NAMED INSURED:600GLO19200002 CG 20 10 07 04 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) Or Organ ization s : Locations Of Covered Operations Where required by Written Contract Where required by Written Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only sions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" ..property damage" occurring after: caused, in whole or in part, by: 1. All work, including materials, parts or equip- 1. Your acts or omissions; or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project(other than service, maintenance behalf; or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed; or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 ❑ NAMED INSURED:D L Porter Constructors, Inc. POLICY NUMBER:6000L019200002 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 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 SCHEDULE Name Of Additional Insured Person(s) Or Organization s : Location And Description Of Completed Operations Where required by written contract Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Section II _ 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", CG 20 37 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 ❑ NAMED INSURED:D L Porter Constructors, Inc. COMMERCIAL GENERAL LIABILITY POLICY NUMBER:6000L019200002 CG 20 01 12 19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1 NAMED INSURED: D L Porter Constructors, Inc. COMMERCIAL GENERAL LIABILITY POLICY NUMBER:6000LO19200002 CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: As Required By Written Contract 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. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 ❑ WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 NAMED INSURED: D L Porter Constructors, Inc. (Ed. 4-84) POLICY NUMBER:WC208074511 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule "Any person or organization required by written contract or certificate of insurance." "This endorsement is not applicable in California, Kentucky, New Hampshire, New Jersey, Texas and Utah." The endorsement does not apply to policies or exposure in Missouri where the employer is in the construction group of classifications. According to Section 287.150(6) of the Missouri statutes, a contractual provision purporting to waive subrogation rights is against public policy and void where one party to the contract is an employer in the construction group of code classifications. For policies or exposure in Missouri, the following must be included in the Schedule: • Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium $ Insurance Company Countersigned by WC 00 03 13 Hart Forms&Services (Ed. 4-84) Copyright 1983 National Council on Compensation Insurance. Reorder No.14-4888 Infinity Commercial Auto 11700 Great Oaks Way, Suite 450 Alpharetta, GA 30022 Underwritten by: Infinity Assurance Insurance Company Customer Service: (800)722-3391 Claims Service: (800)334-1661 ADDITIONAL INSURED/INTEREST ENDORSEMENT 509-82008-2251-001 01/01/2024 12:01 a.m. D L Porter Constructors, INC J 6574 Palmer Park Cir D L Porter Constructors, INC Sarasota, FL 34238-2777 This endorsement is attached to and forms a part of the policy. This endorsement incepts at 12:01 a.m. on the Amend Date listed at the bottom of this form. No changes will be effective prior to the time changes are requested. Monroe County Board Of County Commission 1000 CSL/1000 CSL 1. Insurance under the liability coverages apply to each interest listed above except when the vehicle is operated by the additional interest party, their agent, or employee. 2. The additional interest(s) shall not increase our limits of liability. 3. We will pay for damages only if such damages arise out of acts or omissions of: a. You or an insured; or b. Any other person except as listed in 1. above. All other terms, limits and conditions of this policy remain unchanged. INSURED COPY AMEND DATE: 03/27/2023 50982AIE01 ENDORSEMENT: 1-7 C I ient#: 705984 DL27 DATE(MMIDD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 10/04/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Certificate Specialist Marsh&McLennan Agency LLC PHONE 727 447-6481 FAX 727 449-1267 A/C,No,Ext: A/C,No Bouchard Region -ADDRESS: certificates@bouchardinsurance.com 1 N. Dale Mabry Hwy,Suite#450 INSURER(S)AFFORDING COVERAGE NAIC# Tampa, FL 33609 INSURER A:Colony Insurance Company 39993 INSURED INSURER B:Travelers Excess&Surplus Lines Co. 29696 D L Porter Constructors, Inc. an mer Aisure Mutual Insurance Company 23396 6574 Palmer Park Circle INSURERC: P Y INSURER D:Old Dominion Insurance Company 40231 Sarasota, FL 34238-2777 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY Y Y 600GLO19200001 01/01/2022 01/01/2023 EACH OCCURRENCE $1,000,000 CLAIMS-MADE � OCCUR PREMISES(E.occur°nce) $100,000 X BI/PD Ded:5,000 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 � ECOT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ D AUTOMOBILE LIABILITY Y Y B1T3307V 01/01/2022 01/01/202 COEaMBINED ccidentS INGLELIMIT $1 OOO,OOO a , X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ B X UMBRELLA LIAB X OCCUR Y Y CUPOT21990222NF 01/01/2022 01/01/202 EACH OCCURRENCE $5 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5 000 000 DED X RETENTION$10,000 $ C WORKERS COMPENSATION Y WC208074510 01/01/2022 01/01/202 X PER OTH- AND EMPLOYERS'LIABILITY STAT TE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? [y] 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 C Leased/Rented IM205936414 01/01/2022 01/01/202 $600,000 Equipment DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) PROJECT: Public Defender 16th Judicial Circuit-Key West Offices COMPLETTE CERTIFICATE HOLDER(S)&ADDITIONAL INSURED(S): Monroe County Board of County Commissioners and any other entity as required by written contract Or agreement and subject to the terms,conditions and exclusions as specified in the policies. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe Count Board of Count Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Room 2-213 Key West, FL 33040-3110 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S11857026/M10658895 RCJTF DESCRIPTIONS (Continued from Page 1) Additional insured status with respect to General Liability,Auto Liability,and Umbrella Liability per the attached form(s). Waiver of subrogation applies with respect to General Liability,Auto Liability,Workers Compensation, and Umbrella Liability per the attached form(s). Coverage is primary as respects to General Liability,Automobile Liability, Umbrella Liability; and non contributory as subject to the terms, conditions and exclusions of your policy. Umbrella follows form. Proprietors/Partners/Executive Officers/Members Excluded: Gary Loer, President SAGITTA 25.3(2016/03) 2 of 2 #S11857026/M10658895