Certificate of Insurance DIONENT-,03
A OC"R", DA�E�MMIDD�YYYY)
CERTIFICA"rE OF LIABILITY INSURANCE 21312023
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 IINSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
.............
IMPORTANT: It the certificate holder is an ADDITIONAL INSURED,the pollicy(irts)must have ADDITIONAL INSURED provisions or be endorsed,
If SUBROGATION IS WAIVED, Subject to the term-,and conditions of the policy,certain poH6es,may recluire an endorsement. A stateitnenton
this certificate does not confer rights to the certificate holder In lieu of such endorsemen
.................... ..................
PRODUCER CONTACT
Morris and Re nollds InSUrance PHONE FAX
14821 S Dixie Cy JAIC,iuo,ExD (305)--238-1000 (A/C,Na)
Miarni,FL EM
33176 AIL --- ------ ---------- -
ADDRESS.:.
INSURER S),AFFORMNG COVERAGE� NAIC#
_ A ide m um �GqQne In C surance rampant's
INSURED Ir,URE Li;[_Loyos
of London 1579
Dion Enterprises LLC,D on Fuels LLC, Dion Transport LLC INSLIRER c:Clear Spring Property and Cas a I Com any_]15563
-hy P_ I ..................... ...
Post Off'Ice Box 1209 INSURER D
Key West,FL 33041
COVERAGES.--- CERTIFICATE NUMBER: ............... REVISION NUMBER:
THIS, IS TO CERTF-Y I"HAT THE POLICIES OF INSWRANCE LISTED BELOW I 1AVE BEEN ISSUED,TO THE INSLJRED NAMED ABOVE FOR1 HE POUCY PEMOD
INIDR,ATED. N0jrrWj1r n-ISTANDING ANY REa,IIREMENT, TERM OIR CONM FICIN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WF10 I THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTMIA, THE INSURANCE AFFORDED BY "THE POLICIES DESCRMED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCIAJS�ONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MiAY HAVE BEEN REDUCED BY PAID CLAIMxP
... P6-T ..............—-----
LC F rr
TYPE OF INSUR ADDL SUBR
ANC, POLICY NUMBER LAPAITS
— L____ ..............
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCZ 1,000,000
CLAWS MADE [_�G] 0CC UR x 62PID0724.03 202023 2/812024 DAMAGE 10 RENI E ... .D 100,000
........
...... ...................... 0-
----- -------------------------------- Apy Ih4 41RY 1,000p,000
AGGF1,EGA1'ELIhAI I APPUES PER: ..GE..NE.RA.t,._.AC.G.1.Z E.G. N.1'.E..............FL____.____.___2,000,000
POLICY LOCI $ 2 —0,0 66
).uza LIQUOR LIAB1lLI ___, I,0 00job 0
_2L 1-1—-1-1 1,.,.,.,., 1............... .........
A AUTOMOBILE UABILITY COMBINED S�NGLE UMI $ 1,000,000
.......... .. . ..... ............... ......
OWNED ScIriEDULED
X AIJ7i0S ONLY ANTOS BODILY INJURY UVJLrAL_(PeLi
X HIRED NC)NQWNED P�OPERTY UAMA13E
AUT?5S ONLY AUTOS ONLY
.................. _10 0 0_10 0 0
B UMBRELLALIAB X C t,.�,U R Hr 0C C U R R E N C E .5
X EXCESS LME; CLAIIMS-NIADE 231JKPCB2!20002530009404 218/2023 218/2024 AGGREGATE S
RE TENT�ON$ 0
AIImAggregatety00,000
WORKERS COMPENSATION 5�rl-
AND EMPLOYERS'LIABILITY ............
YIN C�S-WC-012104-01 2/8/2023 2/812024, E L 11,000,000
ANY PROP RI ETO RiPAR r NErb EXEC U 7 VC WA
WrRQEMBER E
-1,11Le;atory In NHIraisE.aso- cEwrLGvrc 1,000,000
If yrjs, ondm
�F�2E0'�LQ 45Y�E DISEASE-POLICY LIMII S 1,000,000
................ ...................
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AC ORD 101,Ad dMona I Remarks Schedule„may be attached Jf rnore space Is required
Petrole'LID-1 Distributor-State of Florida MCS 90'Monroe County BOCO,its employees and officials Included as Additlonal Insured with regards to,
General/Auto[-!ability with respects to operat0ons of client only. Waiver of Subrogation Included on Workers Compensation.RE:BID#
Poillution Liability-Broadened Coverage-BLISIDess Auto and Motor Carrier Coverage applies subject to a$1,000,000 limit.
T t 11 T
Z-I
CERTIFICATE HOLDER CANCELLATION . 6 . 23
DAT E__
SHOULD ANY OF THE A
THE EXPIRA1nON D,
Monroe County Board of County Commissioners ACCORDANCE WI
POI ICY PROVISIONS.
1100 Simonton Street
Key West, Fl.33040 ..................
AUTHORIZED REPRESENTATWE
................................................................................................................................................................ ..........
ACO. RD 25(2016103) CAI 1988-2015 ACORD CORPORATION All rights,reserverl,
The ACORD name and logo are registered marks of ACORD