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Certificates of Insurance Client#:720292 AMERIEMPIR DATE(MMIDDIYYYY) ACORD_ CERTIFICATE OF LIABILITY INSURANCE 12/14/2022 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 NA CONTACT Certificate Specialists Marsh&McLennan Agency PHONE 727 447 6481 FAX tA/C,No.Ext) yA1C,N : Bouchard Region ADDRESS' certificates@bouchardinsurance.com 101 N.Starcrest Drive INSURER(S)AFFORDING COVERAGE NAIC# Clearwater, FL 33765 INSURER A:Landmark American Insurance Company 33138 -,.m. INSURED -- � --��-�- INSURER B:StarStone Specialty Insurance Co 6 Company 44776 _ American Empire Builders,Inc. INSURER StarNet Insurance Company 4004. 5 13775 SW 145th CT Allied World Assurance Company 19489 INSURER D C : P Y(U.S.)( ) Suite B INSURER E:Vantapro Specialty Insurance Company 44768 Miami,FL 33186 INSURER F:Charter Oak Fire Insurance Co 25615 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. _ ......... i"k ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE .... INSR WVC7 ......... POLICY.NUMBER......_ _LMMIDDI=lmmmmyyyyj EACH OCCURRENCE $1,000,000 AMA jJTO RENTED ..N .... A +�( COMMERCIAL GENERAL LIABILITY Y Y LHA113621 12/08/2022 12/08/202 f� ��„,, CLAIMS-MADE X OCCUR _f i'ErwIIS'.S tEa occuvv, nrr ,,,..$1 00,000 Y oneµ person) $5,000 ................ ,.., _ ......... PERSONAL&ADV INJURY $1,000,000 ,...... GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE '',$2,000,000 ........., POLICY X JEC"I" LOC PRODUCTS-,COMP/OPAGG $2,000,000 ----........ ...... (Y HER $ ..... --- {...... ....... ......... ......... ........... ........... COMBINED SINGLE t IWT AUTOMOBILE LIABILITY 1,000,000 E Y Y 5087027304 12/08/2022 12/08/2023(E;���m iswntb...... �$ ......._.. Xi ANY AUTO BODILY INJURY(Per person) $ M( ,. ....... .._-"..OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS .1111, HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X.. AUTOS ONLY ..Pqr arvdenC) $._m.. .._._.,.m, ..mn..,. ......s......... '.. --- .4........ .,..__ ....- - EXCESS une B X UMBRELLA LIAB X OCCUR MADE Y Y 89186A222ALI 12/08/2022 12/08/202 AEACH GGREGATE OCCURRENCE m $5 .000 OOO.... m $5 000 000 DED I _, I RETENTION$ $ .... WORKERS COMPENSATION C YN Y KEY0145742 12/08/2022 12/08/2023 X [$TA�T IE " ,� FodERIMinNH) LIABILITY E.L DISEASE-EA EMPLOYEE $1,0001,000 ANY PROPRIETORIPARTNER/EXECUTIVE' E L.EACH ACCIDENT $1 OOO (Ma atory 'OFFICER/MEMBER EXCLUDED N 1 A ' ,000 If yes,describe under RATI P F DESCRIPTION O OEONS below E.L.DISEASE POLICY LIMIT $1,000,000, .,. ........ .......... .......,,.... ......,.„- ...... ,....,....._.mm .. .... D Pollution Liab. Y Y 03128724 12/08/2022 12/08/2023 $2M/$2M Professional Liab Y Y F Rent/Leased Equip QT6608S92240ATIL 12/08/2022 12/08/202 $1 000,000 per item DESCRIPTION OF OPERATIONS I 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,Auto Liability,Professional Liability, Pollution Liability,and Excess Liability,subject to the terms,conditions and exclusions of the policies.Additional insured with respect to General Liability includes ongoing and completed operations.Coverage with respect to General Liability is primary and noncontributory. (See Attached Descriptions) A7s! CERTIFICATE HOLDER CANCELLATION W 12 N5 . 22 SHOULD ANY OF THE AB DATE Monroe CountyBoard of County y THE EXPIRATION DAT Commissioners ACCORDANCE WITH T N 1100 Simonton St Key West,FL 33040-0000 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 #S12094770/M12092801 RCGAD DESCRIPTIONS (Continued from Page 1) When required by written contract,waiver of subrogation applies in favor of Certificate Holder with respect to General Liability,Auto Liability,Workers Comp,Professional Liability,Pollution Liability, and Excess Liability subject to the terms,conditions and exclusions of the policy. There are no exclusions for Jib,Boom and/or Overload on the Rented/Leased Equipment policy. Complete Certificate Holder: Monroe County Board of County Commissioners and FDOT Project: Boca Chica Road Repairs Explosion,Collapse&Underground Hazard(XCU)coverage included in the GL policy.It is agreed by endorsement to the general liability,auto&workers comp policies that this policy shall not be cancelled by the insurance carrier without first giving thirty(30)days prior written notice except for nonpayment of premium. SAGITTA 25.3(2016103) 2 of 2 #S12094770/M12092801