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Certificates of Insurance
DATE(MM/DD/YYYY) ACORO® CERTIFICATE OF LIABILITY INSURANCE 08/15/2024 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 endorsements. PRODUCER CONTACT HOUSE NAME: Kelly White&Associates Insurance, LLC A/CN No, Ext: FAX A/c No): 1622 Hickman Road E-MAIL ADDRESS: kelly@kwhiteinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# Jacksonville FL 32216 INSURER A: Atlantic Specialty Insurance Co INSURED INSURER B: Atlantic Specialty Insurance Co ASAP, Inc. INSURER C: Po Box 804 INSURER D: StarNet Insurance Company INSURER E: Water Quality Insurance Syndicate Tavernier FL 33070 INSURER F: COVERAGES CERTIFICATE NUMBER: ASAP24081509550708 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 Salvors X B5JH26656 08/16/2024 08/16/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑PRO ❑ 1,000,000 JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: Installation Floater $ 50,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED X 710-03-89-25-0005 08/16/2024 08/16/2025 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A 16 PIP $ 10,000 UMBRELLA LIAB OCCUR Y.w.�..�- EACH OCCURRENCE $ []:D�ECI ESS LAB CLAIMS-MADE DATE_ -..8 1 5 24""""-""'... "�" -, AGGREGATE $ RETENTION$ IoN $ WORKERS COMPENSATION XJPER STATUTE X EORH Includes USL&H AND EMPLOYERS'LIABILITY Y/N D ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑N N/A KRM509186230 08/16/2024 08/16/2025 (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 $ Limit for $1,000,000 E Vessel Pollution 57-83714 08/16/2024 08/16/2025 Scheduled vessels DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Certificate holder is an additional insured for General Liability and Auto Liability with respects to insureds operations as required by written contract. 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 Monroe ACCORDANCE WITH THE POLICY PROVISIONS. County Marine Resources AUTHORIZED REPRESENTATIVE 2798 Overseas Highway, Ste 400 Marathon FL 33050 - ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD DATE(M ACC)REY CERTIFICATE OF LIABILITY INSURANCE 08/1012023 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 ACONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the olicy(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 endorsements. PRODUCER CONTACTNAME HOUSE Kelly White&Associates Insurance,LLC PHONE 904-880-8881 AX N® 1622 Hickman Road ADDRESS: kelly kwhileinsurance.co INSURERfSI AFFORDING COVERAGE AMC Jacksonville FL 32216 INSURER A i Atlantic Specialty Insurance Co INSURED INSURERS., Atlantic Specialty Insurance Co ASAP,Inc. INSURERC., Po Box 804 INSURER D c StarNet Insurance Company INSU R E; Water Quality Insurance Syndicate Tavernier FL 33070 COVE ES CERTIFICATE : ASAP23081009292310 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 PA'D CLAIMS. INSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER IM DNYM IMWDP= LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE M OCCUR F13EMISES 1E s 50,000 X Protection 8 Indemnity MEO EXP!Anny one p2monj 5A00 A X Marine Salvors B5JH26656 08/16/2023 08116/2024 PERSONAL a ADV INJURY s 1 0,000 GEN°L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2,000,000 X POLICY JECT OLOC PRODUCTS-cOMPIOP AGG S 1,000,000 OTHER. Installatio Floater S 50, AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1, 0,000 ANYAUTO BOD1Y INAAY(Per personl S B OWNED rMX SCHEDULED X 710.03-89-25-0003 0811612023 0811612i]24 BODILY INJI RY(Per acelder Y) $ AUTOS ONLY AUTOS IX HIRED X NON•OWNED PROPERTY GE s AUTOS ONLY AUTOS ONLY PIP UMBRE OCCUR EACH OCCIJRRENCE S EXCESS Id CLAIM E AGGREGATE $ O£D RETENTION S I $ WORKERS COMPENSATION X PER X OTH- Includes ULBH AND EMPLOYERS'L ILITY 1, 0�000 ANY D OFFICE1'ROPRIETORMARTNERIExECUTIVE YIN NIA A ICEY0137561 08/16/2023 08l1612024 E.L.EACH ACCIDENT s andato+MEMBER EXCLUpED7 E.L.DISEASE..EA EMPLOYEE S 1,000,000 ndatary In NHj byes,des0beunder 1,000„D00 DESCRIPTION OF OPERATIONS below E.L.DIS E,POLICY LIMIT S Limit for $1,000,000 E Vessel Pollution 55- 3714 08116/2023 08116/2024 Scheduled vessels DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if mom space is uired) AP fill T 1 � DATE--""' g.1 WA . SHOULD ANY OF THE ABOVEDESCRIBED POUCIES BE CANCELLED BEFORE E EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners CIO Monroe ACCORDANCE WITH THE POLICY PROVISIONS. County Marine Resources AUTHORIZED REPRESENTATIVE 2798 Overseas Highway,Ste 400 Marathon FL 33050 :., 01 8-2015 ACORD CORPORATION. All rights reserve CO 5( 1610 ) The ACORD name and logo are registered marks of ACORD