Certificates of Insurance DATE(MMIDD/YYYY)
A�" CERTIFICATE OF LIABILITY INSURANCE
07/13/2023
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 rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Alain Bencomo
NAME:
Gil,Garden,Avetrani Insurance Group HCNN. Ext: (305)630-4777 a/c,No): (305)279-3022
10689 N.Kendall Drive E-MAIL abencomo@ggaig.com
ADDRESS:
Suite 208 INSURER(S)AFFORDING COVERAGE NAIC#
Miami FL 33176 INSURERA: XL Insurance ofAmerica 24554
INSURED INSURER B: Greenwich Insurance Company 22322
The Stout Group LLC INSURER C: Richmond National Insurance Company 17103
10850 NW 138TH Street Bay#3 INSURER D: Wesco Insurance Company 25011
INSURER E: Federal Insurance Co. 20281
Hialeah Gardens FL 33018 INSURER F
COVERAGES CERTIFICATE NUMBER: CL2352421051 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 MAYBE 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 POLICY EFF POLICY EXP
LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDreme $ 100'000
MED EXP(Any one person) $ 10,000
A Y NGL-1000327-04 07/14/2023 07/14/2024 PERSONAL&ADV INJURY $ 1,000,000
MOTHER
LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000
JECT: Employee Benefits $ 1,000,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
Ea accident
X ANYAUTO BODILY INJURY(Per person) $
B OWNED SCHEDULED Y NBA-1000328-04 07/14/2023 07/14/2024 BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
Medical payments $ 5,000
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000
C EXCESS LAB CLAIMS-MADE Y RN-7-0326857 07/14/2022 07/14/2023 AGGREGATE $ 4,000,000
DED I I RETENTION $ $
WORKERS COMPENSATION X STATUTE EORH
AND EMPLOYERS'LIABI LI TY Y/N 1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
D OFFICER/MEMBER EXCLUDED? N/A CPW1001559 07/14/2023 07/14/2024
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
Inland Marine Equipment Limit $3,135,885
E 45468715 07/14/2023 07/14/2024 Deductible $5,000
A 6& T,
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) pY ---
Project:Key Deer Boulevard Roadway Repairs Project —
oarl .__7114.2-3._.
--
WAWR N)A,
Monroe County Board of County Commissioners,its employees and officials will be included as"Additional Insured"on all policies,except for Workers'
Compensation.
Waiver of Subrogation is issued on behalf of the Monroe County Board of County Commissioners,its employees and officials for all policies.Not subject to
cancellation,non-renewal,material change or reduction in coverage unless a minimum of thirty(30)days prior notification is given to the County by the
insurer.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS c/o ACCORDANCE WITH THE POLICY PROVISIONS.
PURCHASING DEPARTMENT
AUTHORIZED REPRESENTATIVE
1100 SIMONTON ST.ROOM 2-213
KEY WEST, FL 33040
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
A�" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YVVV)
02/28/2023
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 rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTACT Alain Bencomo
NAME:
Gil,Garden,Avetrani Insurance Group HONE Ext: (305)630-4777 A/� No): (305)279-3022
10689 N.Kendall Drive E-MAIL abencomo@ggaig.com
ADDRESS:
Suite 208 INSURER(S)AFFORDING COVERAGE NAIC#
Miami FL 33176 INSURERA: XL Insurance of America 24554
INSURED INSURER B: Greenwich Insurance Company 22322
The Stout Group LLC INSURER C: National Union Fire Insurance Co of PA 19445
10850 NW 138TH Street Bay#3 INSURER D: Wesco Insurance Company 25011
INSURER E: Federal Insurance Co. 20281
Hialeah Gardens FL 33018 INSURERF:
COVERAGES CERTIFICATE NUMBER: CL2271419543 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 MAYBE 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 POLICY EFF POLICY EXP
LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 100,000
MED EXP(Any one person) $ 10,000
A Y Y NGL-1000327-03 07/14/2022 07/14/2023 PERSONAL&ADV INJURY $ 1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
POLICY PRO 2,000,000
JECT LOC PRODUCTS- $
OTHER: Employee Benefits $ 1,000,000
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000
Ea accident
X ANYAUTO BODILY INJURY(Per person) $
B OWNED SCHEDULED Y Y NBA-1000328-03 07/14/2022 07/14/2023 BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
Medical payments $ 5,000
X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000
C EXCESS LIAB CLAIMS-MADE Y Y RN-7-0324447 07/14/2022 07/14/2023 AGGREGATE $ 4,000,000
DED I I RETENTION $ $
WORKERS COMPENSATION X1
STATUTE EORH
AND EMPLOYERS'LIABILITY y/N 1,000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $
D OFFICER/MEMBER EXCLUDED? NIA Y TWC4004280 07/14/2022 07/14/2023
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000
If yes,describe under 1,000,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
Inland Marine Equipment Limit $2,953,969
E 45468715 07/14/2022 07/14/2023 Deductible $5,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Project:Key Deer Boulevard Roadway Repairs Project
Monroe County Board of County Commissioners,its employees and officials will be included as"Additional Insured"on all policies,except for Workers'
Compensation.
Waiver of Subrogation is issued on behalf of the Monroe County Board of County Commissioners,its employees and officials for all policies.Not subject to
cancellation,non-renewal,material change or reduction in coverage unless a minimum of thirty(30)days prior notification is given to the County by the
insurer.
CERTIFICATE HOLDER CANCELLATION "
SHOULD ANY OF THE ABOI 3 . 6 . 23
THE EXPIRATION DATE THE
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS c/o ACCORDANCE WITH THE P WAMM KtkXy"--
PURCHASING DEPARTMENT
1100 SIMONTON ST.ROOM 2-213 AUTHORIZED REPRESENTATIVE
KEY WEST, FL 33040
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD