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Certificates of Insurance
BARRBUI-01 CJIMENEZ �►co�rv,. CERTIFICATE OF LIABILITY INSURANCE DAT7/2/2 DIYYYY) 024 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 CONTACT NAME: Evergreen Insurance Agency PHONE FAX 683 105th Ave.N Suite 2 (A/C,No,Ext): (561)966-8883 (A/c,No):(561)964-8885 Royal Palm Beach,FL 33411 E-MAIL info@evergreeninsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Evanston Insurance Company 35378 INSURED INSURER B:Progressive Insurance Company 10193 Barracuda Builders of Key West,Inc. INSURER C 6601 3rd Avenue INSURER D Key West,FL 33040 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 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDDIYYYY MMIDDIYYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 3AA749499 2/4/2024 2/4/2025 DAMAGE TO RENTED 100,000 X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 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 COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO X 980378968 4/30/2024 4/30/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ PIP $ 10,000 UMBRELLA LIAB OCCUR )° k EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE ""+� * ' ,,,_,,, AGGREGATE $ DED RETENTION$ „,�.. _,.,� "" $ WORKERS COMPENSATION PER OTH- 2 24 �, STATUTE ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXTE ECUTIVE p❑ � _ E.L.EACH ACCIDENT $ OFFICER/MEMBER n /Min BE EXCLUDED? NIA WAMM Kl C E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: HGGS BEACH RESTROOMS REPLACEMENT Monroe County Board of County Commissioners as additional insured with respect to general liability and auto liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Count Board of Count Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y Y ACCORDANCE WITH THE POLICY PROVISIONS. c/o Purchasing Department 1100 Simonton Street,Room 2-213 Key West,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) 7/3/2024 CERTIFICATE OF LIABILITY INSURANCE ACCt#: 3030479 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 CONTACT AON RISK SERVICES SOUTH,INC NAME: PHONE FAX 3550 LENOX ROAD NORTHEAST,SUITE 1700 (A/C,No,Ext):844-398-0470 (A/C ATLANTA,GA 30326 E-MAILADDRESS: CERTS PEOPLEASE.COM INSURERS AFFORDING COVERAGE NAIC# INSURER A:Indemnity Insurance Co.of North America 43575 INSURED INSURER B: Barracuda Builders of Key West,Inc. 5601 3rd Ave. INSURER C: KEY WEST,FL 33040 INSURER D: 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 NAMEDABOVE FORTHE 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. INSIR LTR TYPE OF INSURANCE DD W BD POLICY EFF) (POLICY EXPMM/DD/YYYY) POLICY NUMBER (MM/DD/YYW L COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS- F1 OCCUR DAMAGE TORENTED $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC OTHER: IFC:T 'I ,T PRODUCTS-COMP/OP AGG $ * $ AUTOMOBILE LIABILITY 0 COMBINED SINGLE LIMIT $ Ea accident ANY AUTO 7.8.24 BODILY INJURY(Per person) $ _ -, OWNED SCHEDULED ",I ,®o.,,.� AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED WANN " .,, PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLYdent) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION x PER OTH- AND EMPLOYERS'LIABILITY Y/N /� STATUTE ER ANY PROPRI ETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA C57196725 12/31/2023 12/31/2024 E.L.EACH ACCIDENT $ 1 000 000 A (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1 000 000 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) CERTIFICATE HOLDER CANCELLATION 3030479 Monroe County Board of County Commissioners c/o Purchasing Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 1100 Simonton Street,Room 2-213 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED Key West,FL 333040 IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD BARRBUI-01 JVEGA ACOR©`° CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 1`41 1/31/2024 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Evergreen Insurance Agency PHONE FAX 583 105th Ave.N Suite 2 (A/C,No,Ext): (561)966-8883 (A/C,No):(561)964-8885 AIL Royal Palm Beach,FL 33411 ADDRESS:info@evergreeninsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Evanston Insurance Company 35378 INSURED INSURER B:Mercury Indemnity Co.of Americ Barracuda Builders of Key West,Inc. INSURER 7 5601 3rd Avenue INSURER D: Key West,FL 33040 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 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 3AA749499 2/4/2024 2/4/2025 DAMAGE TO RENTED 100,000 X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT1:1 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT 1,000,000 Ea accident $ X ANY AUTO X BA090000013868 4/30/2023 4/30/2024 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ PIP $ 10,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION A !� PER OTH- AND EMPLOYERS'LIABILITY "I *u STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ , , 1 ..»�^^*^^"° E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) 7 E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 2 8 24 �„ DESCRIPTION OF OPERATIONS below ""' g�j" _ E.L.DISEASE-POLICY LIMIT $ �1P�""Y� , Ate? —• 7 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE: HIGGS BEACH RESTROOMS REPLACEMENT Monroe County Board of County Commissioners as additional insured with respect to general liability and auto liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ty ACCORDANCE WITH THE POLICY PROVISIONS. c/o Purchasing Department 1100 Simonton Street,Room 2-213 Key West,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD KYMBERLY041770 DATE(,MM,;DDfYYYY) CERTIFICATE, OF LIABILITY INSURANCE 3/14/2023 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 1 OR ALTER THE COVERAGE AFFORDED BY THE POLICIES, BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN' THE ISSUING INI:SUIRER(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 endorsernent(s). CT PRODUCER CONTANAME: Certificates Commercial Lines-(813)321-7500 PHONE I - FAX (NC,No,EMT: (A)C,No); USI Insurance Services LLC I E-MAIL ADDREss: Certificates@kymberlygroup.com 2502 N Rocky Point Dr IINSURERQS)'AFFORDING COVERAGE NAIL# Tampa, FL 33607 INSURER A: Service American Indemnity Company 39152 INSURED INSURER B: Kymberly Group Payroll Solutions, Inc., Barracuda Builders of Key West INSURER C; 1 West Church St INSURER D: INSURER E: Orlando, FL 32801 INSURER F;, COVERAGES CERTIFICATE NUMBER: 15694573 REVISION NUMBER: See below THIS IS "10 CERTIFY FHAT 'I HE POLICIES OF INSURANCE LISTED:BELOW HAVE 13EIEN ISSUED T() THE INSUREE)NAMED ABOVE FOR I HE POLICY PERIOD INDICATED. N07WITHSTANDING ANY REQUIREMENT, 'TERM OR CONDIT0N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THITS CERTIFICATE MAY BE ISSUED; OR MAY PERI'AIN, THE INSURANCE AFFORDED BY rHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE rERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN!MAY HAVE BEEN REDUCE[)BY PAID CLAIMS, tksRl TYPE OF INSURANCE AWCUBRI POLICY EFF, POLICY EXP LIMITS LTR INSD i WVD POLICY NUMBER (MM10MYYYY d0IM1DDfYYYY) COMMERCIAL GENERAL L11ABILITY EA01 OCCURRENCE $ DAMAOr. rokf-mrc) CLAIMS,PJADE OCCUR PRCMISIS $ MFDFXP�Any one pursoifp S1. PERSONAL&ADV INJURY S A T P (;FN'II AGGRFGATF I M17 APPI[UFS PFR G L NE RAE.T S C AG GR E G Al E PRO POLICY LOC il-Cl Ely— RODUC - OMFI/OP A(-,(,-,, i DA 23E-- 4 5 AUTOMOBILE LIAB T ILITY COMBINED SINGLE UM11 ANY AL11 WARN KtA-X 0 BODILY INJURY Wnr ponm)n) OWNED SCHEDULLD BOD11.Y INAH�Y(Pernorml,nntl ii AUTOS OWY AUTOS HIRrD NON OWNED P ROP E PTY DANIAG AUTOSONLY .............. AUTOS ONLY .............................................................. .................................................................................................... UMBRELLA LIAR ,CCUR LACH 0CaJRRLNCL $ EXCESS LIAB CLAIMS MA[k AGGRFGA11 - ---------- RETI.,.NTION$ WORKERS COMPENSATION A AND EMPLOYERS'LTABILITY SAPLWCPE00000200 01/01/2023 01/01/2024 x tUARI U1 E C?R1 ANYPFROPR�ETOR�PA�";"7ha..FVE.XE(,�.1'"10/1'. Y I N 1,000,000 EA. FACIIACCIDLNI IMaindatory in NH) rA DISCASI, -FAFMPIOYFFI� S 1,000,000 v de,"'Cribe unricr I PI EON OF OFIF-RAT[ON S below E,L D L OM,ISEASr-POUCY T 1,000,000 ......................... ................................. DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101,AddifionalJ Remarks Schedule,may be attadiled it more space is required) CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners c/o Purchasing Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN! 1100 Simonton Street, Room 2-213 ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED RE P R E 5 ENIT ATIV E The ACORD name and logo are registered marks of ACORD T), 1988-2015 ACORD CORPORATION, All rights reserved, ACORD 25(20:16103) BARRBUI-01 AORIA �►co�ro,,, CERTIFICATE OF LIABILITY INSURANCE DAT7/6/2 D/YYYY) 023 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 CONTACT NAME: Evergreen Insurance Agency PHONE FAX 583 105th Ave.N Suite 2 (A/C,No,Ext): (561)966-8883 (A/C,No):(561)964-8885 Royal Palm Beach,FL 33411 ADDRIESS:info@evergreeninsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Evanston Insurance Company 35378 INSURED INSURER B:Mercury Indemnity Co.ofAmeric Barracuda Builders of Key West,Inc. INSURER 7 5601 3rd Ave. INSURER D: Key West,FL 33040 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 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 3AA639900 2/4/2023 2/4/2024 DAMAGE TO RENTED 100,000 X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT1:1 LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO X BA090000013868 4/30/2023 4/30/2024 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ PIP $ 10,000 INT UMBRELLA LIAB OCCUR A k EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE ""-'""" AGGREGATE $ DED RETENTION$ 7TR—, $ Z�6,2. WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY pfh ""'""""'"""' "' STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ mx _ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A `" . (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County BOCC is listed as additional insured with respect to General and Automobile liability CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. Insurance Compliance PO Box 100085-FX Duluth,GA 30096 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD