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Certificates of Insurance DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCEF12/05/2023 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 Cristina Mills NAME: STTE11Lfff Cristina Mills A/CNNo Ext: 561-935-9263 a/c No: Av 850 W Indiantown Road Suite B E-MAIL ss: Cristina.mills.vaa32i@statefarm.com INSURER(S)AFFORDING COVERAGE NAIC# Jupiter FL 334587539 INSURERA: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER B: AMERICAN UNDERWATER CONTRACTORS INC. INSURER 7 17536 SE CONCH BAR AVE INSURER D 7 INSURER E: JUPITER FL 334691710 INSURERF: 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 ADD SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYY MM/DD/YYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DA CLAIMS-MADE 1:1OCCUR PREM SESOEa occurDrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 3507191-B12-59C 08/12/2023 02/12/2024 Ea accident $ ANY AUTO BODILY INJURY(Per person) $ 1,000,000 A OWNED SCHEDULED Y N J26 8967-D21-59 10/21/2023 04/21/2024 BODILY INJURY AUTOS ONLY X AUTOS (Per accident) $ 1,000,000 HIRED NON-OWNED D19 2029-D14-59F 10/14/2023 04/14/2024 AUTOS ONLY X AUTOS ONLY Per accident $ 1,000,000 $ UMBRELLA LIAB A �) �' OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE 71 ,� _ ,,,^,,,,,, AGGREGATE $ LLD RETENTION $ � $ WORKERS COMPENSATION 125.2 3 __tea, PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER $ ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N �WAMM ,, ;�,,, 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) Additional Insured: Monroe County BOCC PO Box 30096 Duluth, GA 30096 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. Insurance Compliance AUT RIZED REPRESENTATIVE PO Box 10085-FX ��n/Duluth GA 30096 D�(� This form was system-generated on 12/05/2023 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1001486 2005 155279 205 01-19-2023 AMERUND-01 DEASTMAN �►co�ro,,, CERTIFICATE OF LIABILITY INSURANCE DATE(M/202YYY) 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: Plastridge Insurance Agency PHONE FAX 900 East Ocean Blvd.Ste.D-130 (A/C,No,Ext): (772)287-5532 (A/C,No):(772)287-5572 Stuart,FL 34994 E-MAIL stuartdocs@plastridge.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Great American Insurance Company 16691 INSURED INSURER B: American Underwater Contractors,Inc. INSURER 7 17536 SE Conch Bar Ave. INSURER D: Tequesta,FL 33469 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 OMH 2500959-25 8/30/2023 8/30/2024 DAMAGE TO RENTED 50 000 X PREMISES Ea occurrence $ X Marine Comml Liabili MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PELT LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: SHIP REPAIRERS $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AP'.. T' 7&.2 AGGREGATE $ DEDRETENTION$WORKERS COMPENSATION .23 PER OTH- AND EMPLOYERS'LIABILITY Y/N DAB —°� '— STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE WA X 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 $ A Ship Repair's Legal OMH 2500959-25 8/30/2023 8/30/2024 Liability 1,000,000 A Pollution OMH 2500959-25 8/30/2023 8/30/2024 Liability 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County BOCC is Additional Insured with respects to General Liability and Pollution 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. 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 A�" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/27/2023 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 Cristina Mills NAME: STTE7Lfff Cristina Mills A/CNNo Ext: 561-935-9263 a/c No: 850 W Indiantown Road Suite B AIL ADDRESS: cristina.mills.vaa32i@statefarm.com INSURER(S)AFFORDING COVERAGE NAIC# Jupiter FL 334587539 INSURERA: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER B: AMERICAN UNDERWATER CONTRACTORS INC. INSURER 7 17536 SE CONCH BAR AVE INSURER D 7 INSURER E: JUPITER FL 334691710 INSURERF: 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 ADD SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD/YYY MM/DD/YYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DA CLAIMS-MADE 1:1OCCUR PREM SESOEa occurDrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 8855229-D21-59Z 04/21/2023 10/21/2023 Ea accident $ ANY AUTO BODILY INJURY(Per person) $ 1,000,000 A OWNED SCHEDULED Y N D19 2029-D14-59E 04/14/2023 10/14/2023 BODILY INJURY AUTOS ONLY X AUTOS (Per accident) $ 1,000,000 HIRED NON-OWNED 350 7191-B12-59C 08/12/2023 02/12/2024 AUTOS ONLY X AUTOS ONLY Per accident $ 1,000,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER $ ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A )BBC. `;'f (Mandatory in NH) )�., E.L.DISEASE-EA EMPLOYEE $ E.L.DISEASE-POLICY LIMIT $ If es,describe under y ANY _. .. DESCRIPTION OF OPERATIONS below ,, DA 9 21 3 - b� N*" '. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Policy#885 5229-D21-59Z 2019 GMC Yukon Sport WG)(Policy#350 7191-B12-59C ENOL)(Policy#D19 2029-D14-59E 2018 Ram Pickup) Additional Insured: Monroe County BOCC PO Box 30096 Duluth, GA 30096 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. Insurance Compliance AUTHORIZED REPRESENTATIVE PO Box 10085-FX Duluth GA 30096 This form was system-generated on 09/27/2023 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 1001486 2005 155279 205 01-19-2023 DATE(MM/DD/YYYY) ACORO® CERTIFICATE OF LIABILITY INSURANCE 09/29/2023 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 NAME: Crystal Pounders Kelly White&Associates Insurance, LLC AICN No, Ext: 904-880-8881 A/c NO): 1622 Hickman Road E-MAIL ADDRESS: crystal@kwhiteinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# Jacksonville FL 32216 INSURER A: Atlantic Specialty Insurance Co INSURED INSURERB: Mercury Indemnity Company ofAmerica C-Scape Construction, Inc. INSURER C: 1108 44Th Ave Ne INSURER D: American Interstate Ins Co INSURERE: American Interstate Ins Co Saint Petersburg FL 33703-5242 INSURER F: COVERAGES CERTIFICATE NUMBER: C-SC23092909090559 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 ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE F_X1 OCCUR PREMISES(Ea occurrence) $ 50,000 X Protection& Indemnity MED EXP(Any oneperson) $ 5,000 A X Marine General Liability X B5JH26187 07/08/2023 07/08/2024 PERSONAL&ADV INJURY $ Included GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑PRO ❑ 1,000,000 JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: P&I/Watercraft $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED X BA090000018140 09/26/2023 09/26/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident ) UMBRELLA LIAB OCCUR •^^ -" EACH OCCURRENCE $ CLAIMS-MADE 1w DAT EXCESS LIAB 9 29 23 AGGREGATE $ DED RETENTION$ WAW O,,,,X $ WORKERS COMPENSATION X STATUTE EORH USL&H Included ND EMPLOYERS'LIABILITY Y/N ANY D OFFICER/MEMBERPROPRIETOR/PARTNER/EXECUTIVEEXCLUDED? NIA AVWCFL3192742023 08/08/2023 08/08/2024 E.L.EACH ACCIDENT $ 1,000,000 (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 $ 1,000,000 E Maritime Employer's Liability AVWCFL3192742023 08/08/2023 08/08/2024 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Protection and Indemnity Liability is included under the General Liability Policy(Policy#: B5JH26187)with$1,000,000 limit. Jones Act is included under the Protection and Indemnity coverage. C-Scape Construction Inc. for American Underwater Contractors, Inc. marine projects for Monroe County. Monroe County BOCC is hereby listed as an additional insured with respect to General Liability,Auto Liability, and Pollution Liability as required per written contract.Workers Compensation policy provides coverage in Florida. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. Insurance Compliance AUTHORIZED REPRESENTATIVE PO Box 100085-FX Duluth GA 30096 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD