Loading...
HomeMy WebLinkAboutCertificates of Insurance Client#: 2006693 KEARNSCO DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 4/14/2026 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Katie Lambert NAME: USI Insurance Services, LLC PHONE FAX (AC,No,Ext:504-355-5059 (A/C No): 610-537-4152 3850 N. Causeway Blvd., Suite 1200 E-MAIL ADDRESS: katie.lambert@usi.com Metairie, LA 70002 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Mitsui Sumitomo Insurance USA Inc. 22551 INSURED INSURER B:Navigators Insurance Company 42307 Kearns Construction Company, Inc. INSURER CManufacturers Alliance 36897 2550 S Bayshore Drive, Suite 206B INSURER D:American Long shore Mutual Assn Ltd. 71025 Coconut Grove, FL 33133 Great American Insurance Com 16691 Florida DBPR LICENSE#CGC060194 INSURER E: Pan Y INSURER F: Nautilus Insurance Company 17370 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 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. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY X X OHM4510326 03/29/2026 03/29/2027 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMI6ESOEa oNcurrDence $100,000 X Marine GL MED EXP(Any one person) $10,000 X Hull/P&I/MEL PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ G AUTOMOBILE LIABILITY X X 73APBO13929 03/29/2026 03/29/202 COEaMBINED identS INGLE LIMIT 1r 000r 000 acc H ANY AUTO R136555C2959A 03/29/2026 03/29/2027 BODILY INJURY(Per person) $ OWNED AUTOS ONLY X SCHEDULED BODILY INJURY(Per accident) $ AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ A X UMBRELLA LAB X OCCUR X X OLM2510616 03/29/2026 03/29/2027 EACH OCCURRENCE $1 O 000 000 B X EXCESS LAB CLAIMS-MADE X X H026LIAZOPEBA01 03/29/2026 03/29/2027 AGGREGATE $1 O 000 000 DED RETENTION$ $ C WORKERS COMPENSATION X 1600808Y 03/29/2026 03/29/202 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER D ANY PROPRIETOR/PARTNER/EXECUTIVE X ALMA02282508484702 03/29/2026 03/29/202 E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? nJ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 E Vessel Pollution X OMP5608841 03/29/2026 03/29/2027 $5,000,000 OPA/CERCLA F Contractors Poll X CPL202668317 07/10/2025 07/10/202 $2,000,000 Each Occ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is included as Additional Insured where indicated below and as outlined in the policy forms.Additional Insured status is not applicable to Workers' Compensation. AP" r6K T WA I _ _ (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 4 The ACORD name and logo are registered marks of ACORD #S53750863/M53495702 KXLHM DESCRIPTIONS (Continued from Page 1) Marine General Liability: 75%Lead Mitsui Sumitomo Ins USA 25%Imperium Insurance Company MCL CGL Coverage Form -MUS MCL 0015 Rev 05.21 Per Project Aggregate-MUS MCL 0137 Rev 12.20 Additional Insured &Waiver of Subrogation (Blanket)-MUS MCL 0110 Rev 08.16 Primary Non-Contributory-MUS GEN 0117 Rev 09.16 Additional Insured -State or Governmental Agency or Subdivision or Political Subdivision-Permits or Authorization-MUS GEN 0021 Rev 08.16 Additional Insured -Owners, Lessee's or Contractors-w/Completed Operations-MUS GEN 0022 Rev 08.16 Insured Contract Amendment(Railroad)-MUS MCL 0160 Rev 02.23 Ship Repairers Liability Coverage Form -MUS MCL 0510 Rev 05.21 Riggers Liability Coverage Form -MUS MCL 0525 Rev 05.21 Traveling Workmen Endorsement-MUS MCL 0515 Rev 08.16 Marine Contractors Liability Coverage Form -MUS MCL 0610 Rev 07.20 Action Over Indemnity Buyback-MUS MCL 0150 Rev 08.16 Limited Pollution Buyback(Time Element 72-30)-MUS MCL 0310 Rev 10.20 Cross Liabilities-MUS GEN 0215 Rev 08.16 XCU Included Diving included 30 Day Notice of Cancellation, Except 10 Days for Nonpayment-MUS GEN 0115 Rev 10.20 Hull & Machinery/Protection& Indemnity: 75%Lead-Mitsui Sumitomo Ins USA 25%Follow-Imperium Insurance Company Hull Limit: TIV as per Vessel Schedule P&I: $1,000,000 Each Occurrence-Combined Single Limit American Institute Hull Clauses(September 29,2009)-MUS HUL 0015 Rev 08.16 AIMU P&I Clauses(2 Jun 1983)(23)-MUS PNI 0015 Rev 08.16 American Institute Pollution Exclusion(P&I)&Buyback A(9 May 2011)-MUS PNI 0045 Rev 08.16 Collision And Towers Liability Clause-MUS PNI 0048 Rev 08.16 Contractual Liability Clause Amendment(P&I)-MUS PNI 0050 Rev 08.16 In Personam Liability Clause-MUS PNI 0051 Rev 10.20 Additional Assured(Blanket)-MUS GEN 0116 Rev 10.20 Primary and Noncontributory-MUS GEN 0117 Rev 09.16 Waiver of Subrogation(Blanket)-MUS GEN 0114 Rev 10.20 Other Than Owner Clause-MUS HPI 0031 Rev 10.20 Automatic Acquisition Clauses -MUS HPI 0005 Rev 10.20 Privilege to Charter-MUS HPI 0025 Rev 08.16 Jones Act coverage provided by MEL below. No stated number of Crew Limitation. XCU Included 30 Day Notice of Cancellation, Except 10 Days for Nonpayment-MUS GEN 0115 Rev 10.20 Maritime Employers Liability: 75%Lead Mitsui Sumitomo Ins USA 25%Imperium Insurance Company Limit: $1,000,000 Any One Person/$1,000,000 Any One Accident or Disease-Combined Single Limit Primary Employers Liability Insurance Form LSW 675A(04.09)-MUS MEL 0015 Rev 08.16 Delete Exclusion J (Alternate Employer)(MEL)-MUS MEL 0220 Rev 08.16 Delete Exclusion A(Owned or Operated Watercraft)-MUS MEL 0030 Rev 08.16 Delete Exclusion H(Divers or Divers Assistants)-MUS MEL 0035 Rev 08.16 Additional Assured(Blanket)-MUS GEN 0116 Rev 10.20 Primary and Noncontributory-MUS GEN 0117 Rev 09.16 Waiver of Subrogation(Blanket)-MUS GEN 0114 Rev 10.20 Jones Act coverage provided. No stated number of Crew Limitation. Death on the High Seas Act(MEL)-MUS MEL 0225 Rev 10.20 Geographic Limits: Inland and coastal waters of the United States not to exceed 10 miles offshore. SAGITTA 25.3(2016/03) 2 of 4 #S53750863/M53495702 DESCRIPTIONS (Continued from Page 1) Auto Liability(Owned Autos): Insurer G: National Liability& Fire Insurance Company Policy#73APB013929 Additional Insured (Blanket)included Waiver of Subrogation-when scheduled Physical Damage Deductibles: $1,000 Comprehensive/$1,000 Collision Auto Liability(Hired and Non-Owned): Insurer H: State Farm Mutual Automobile Insurance Company Policy#R136555C2959A Additional Insured (Blanket)included Waiver of Subrogation-when scheduled Excess Auto Liability: National Fire&Marine Insurance Company Policy#72XAB012343 Policy Term: 03/29/2026-03/29/2027 $1,000,000 Excess of Underlying Auto Liability Follows Form of underlying Auto policy Workers'Compensation(State Act): Blanket Alternate Employer Endorsement per written contract Blanket Waiver of Subrogation per written contract Workers'Compensation(USL&H): United States Longshore and Harbor Workers'Compensation Act Coverage Blanket Alternate Employer Endorsement Blanket Waiver of Subrogation Endorsement 1st Layer Excess ($5M excess of Underlying Primary): 65%Lead-Mitsui Sumitomo Ins USA 35%Follow-Imperium Insurance Company Additional Ass ured-Waiver-N OC-Pri mary(Blanket)-MUS BST 0110 Rev 08.16 Blanket Waiver of Subrogation(Follow Form)-M-513 $5,000,000 Excess of Underlying Policies: MGL,Auto, Excess Auto, EL, P&I, MEL,Vessel Pollution 2nd Layer Excess($5M excess of$5M Excess of Underlying Primary): 50%Lead-Navigators Insurance Company 50%Follow-Imperium Insurance Company AIMU Following Form XS Marine Liabilities 8A(January 1,2002) Blanket Assured/Waiver of Subrogation (Blanket) $5,000,000 Excess of Underlying Policies: $5M Excess, MGL,Auto, Excess Auto, EL, P&I, MEL,Vessel Pollution Total Excess Liability Limit: $10,000,000 Vessel Pollution: $5,000,000 OPA/CERCLA Limit for Scheduled Vessels Blanket Additional Insured -GAI 2445 Blanket Waiver of Subrogation-GAI 2053 Contractor's Pollution Liability: Insurer G: Nautilus Insurance Company Blanket Additional Insured Including Primary Non-Contributory and Completed Ops when required by written contract-CPLO 4038 03 18 Waiver of Subrogation when required by written contract-ENV 2004 06 18 General Aggregate Limit: $2,000,000 Contractors Pollution Occurrence-Each Pollution Condition Limit: $2,000,000 SAGITTA 25.3(2016/03) 3 of 4 #S53750863/M53495702 DESCRIPTIONS (Continued from Page 1) Each Pollution Condition Retention: $5,000 Inland Marine: Carrier: Mitsui Sumitomo Ins Co of America(NAIC: 22551) Policy#: CIM4113066 Policy Term: 03/29/2026-03/29/2027 Leased or Rented Equipment from Others Limit: $500,000 CONTRACTORS' EQUIPMENT COVERAGE-IM 7000 04-04 WATERBORNE ENDORSEMENT-IM 7019 01-12 EARTHQUAKE&FLOOD COVERAGE ENDORSEMENT-IM 7857 07-08 "All Risk"subject to policy terms,exclusions,and conditions. Monroe County Board of County Commissioners is included as Additional Insured as required by written contract.Waiver of Subrogation is granted in favor of Monroe County Board of County Commissioners as required by written contract. Policies are primary and non-contributory and include 30-Day Notice of Cancellation. SAGITTA 25.3(2016/03) 4 of 4 #S53750863/M53495702 Client#: 2006693KEARNSCO DATE (MM/DD/YYYY) ACORD TM CERTIFICATE OF LIABILITY INSURANCE 3/26/2025 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 any rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Katie Lambert NAME: FAX PHONE USI Southwest 504-355-5039610-537-4152 (A/C, No, Ext):(A/C, No): E-MAIL 3850 N. Causeway Blvd., Suite 1200 katie.lambert@usi.com ADDRESS: Metairie, LA 70002 INSURER(S) AFFORDING COVERAGENAIC # Mitsui Sumitomo Insurance USA Inc.22551 INSURER A : INSURED Aspen American Insurance Company 43460 INSURER B : KEARNS CONSTRUCTION COMPANY, INC Manufacturers Alliance 36897 INSURER C : 2550 S BAYSHORE DR STE 206B American Longshore Mutual Assn Ltd. INSURER D : Coconut Grove, FL 33133 Great American Insurance Company 16691 INSURER E : Florida DBPR LICENSE # CGC060194 National Liability & Fire Insurance Co.20052 INSURER F : COVERAGESCERTIFICATE 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. INSRADDLSUBRPOLICY EFFPOLICY EXP TYPE OF INSURANCELIMITS POLICY NUMBER LTR(MM/DD/YYYY)(MM/DD/YYYY) INSRWVD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE$ AXXXOHM451032603/29/202503/29/20261,000,000 DAMAGE TO RENTED $ X100,000 CLAIMS-MADEOCCURPREMISES (Ea occurrence) MED EXP (Any one person)$ XMarine GL10,000 XHull/P&I PERSONAL & ADV INJURY$1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE$2,000,000 PRO- X PRODUCTS - COMP/OP AGG$2,000,000 POLICYJECTLOC $ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY FXX74APB00833803/29/202503/29/20261,000,000 (Ea accident)$ BODILY INJURY (Per person)$ APP2357639203/29/202503/29/2026 ANY AUTO OWNEDSCHEDULED BODILY INJURY (Per accident)$ X AUTOS ONLY AUTOS HIREDNON-OWNED PROPERTY DAMAGE $ XX AUTOS ONLY (Per accident) AUTOS ONLY $ UMBRELLA LIAB AXX EACH OCCURRENCE$ XX OCCUR OLM251061603/29/202503/29/202610,000,000 EXCESS LIAB B CLAIMS-MADEAGGREGATE$ XOM010PV2503/29/202503/29/202610,000,000 $ X25,000 DEDRETENTION$ PEROTH- WORKERS COMPENSATION CX1600808Y03/29/202503/29/2026X STATUTEER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE DALMA0228250848470103/29/202503/29/2026 E.L. EACH ACCIDENT$1,000,000 N / A OFFICER/MEMBER EXCLUDED? N (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$1,000,000 If yes, describe under 1,000,000 E.L. DISEASE - POLICY LIMIT$ DESCRIPTION OF OPERATIONS below EVessel PollutionXXOMP560884103/29/202503/29/2026$5,000,000 OPA/CERCLA Contractors PollXXCPL20266831607/10/202407/10/2025$2,000,000 Each Occ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate Holder is included as Additional Insured where indicated below and as outlined in the policy forms. Additional Insured status is not applicable to Workers' Compensation. (See Attached Descriptions) CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street 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 1of 3 #S48627969/M48624957RAKZR DESCRIPTIONS (Continued from Page 1) Marine General Liability: 75% Lead Mitsui Sumitomo Ins USA 25% Imperium Insurance Company Per Project Aggregate - MUS MCL 0137 Rev 12.20 Additional Insured & Waiver of Subrogation (Blanket) - MUS MCL 0110 Rev 08.16 Primary Non-Contributory - MUS GEN 0117 Rev 09.16 Additional Insured - State or Governmental Agency or Subdivision or Political Subdivision - Permits or Authorization - MUS GEN 0021 Rev 08.16 Additional Insured - Owners, Lessee's or Contractors - w/Completed Operations - MUS GEN 0022 Rev 08.16 Insured Contract Amendment (Railroad) - MUS MCL 0160 Rev 02.23 Riggers Liability Coverage Form - MUS MCL 0525 Rev 05.21 Cross Liabilities - MUS GEN 0215 Rev 08.16 XCU Included Diving included 30 Day Notice of Cancellation, Except 10 Days for Nonpayment - MUS GEN 0115 Rev 10.20 Auto Liability (Owned Autos): Additional Insured (Blanket) included Waiver of Subrogation - when scheduled Physical Damage Deductibles: $1,000 Comprehensive / $1,000 Collision Auto Liability (Hired and Non-Owned): Additional Insured (Blanket) included Waiver of Subrogation - when scheduled Excess Auto: Upland Specialty Insurance Company Policy #USXTL0590924 Policy Term: 03/29/2025 - 03/29/2026 $1,000,000 Excess of Underlying Auto Liability Workers' Compensation (State Act): Blanket Alternate Employer Endorsement per written contract Blanket Waiver of Subrogation per written contract Workers' Compensation (USL&H): United States Longshore and Harbor Workers' Compensation Act Coverage Blanket Alternate Employer Endorsement Blanket Waiver of Subrogation Endorsement Protection & Indemnity / Hull & Machinery/Maritime Employers Liability: 75% Lead - Mitsui Sumitomo Ins USA, Policy #OHM4510326 25% Follow - Imperium Insurance Company, Policy #TSOM25010500 P&I: $1,000,000 Each Occurrence - Combined Single Limit MEL Limit: $1,000,000 Any One Person / $1,000,000 Any One Accident or Disease - Combined Single Limit Automatic Acquisition Clauses - MUS HPI 0005 Rev 10.20 Privilege to Charter - MUS HPI 0025 Rev 08.16 Jones Act coverage provided. No stated number of Crew Limitation. XCU Included 30 Day Notice of Cancellation, Except 10 Days for Nonpayment - MUS GEN 0115 Rev 10.20 1st Layer Excess ($5M excess of Underlying Primary): 65% Lead - Mitsui Sumitomo Ins USA, Policy #OLM2510616 35% Follow - Imperium Insurance Company, Policy #TSOM25010600 Additional Assured-Waiver-NOC-Primary (Blanket) - MUS BST 0110 Rev 08.16 Blanket Waiver of Subrogation (Follow Form) - M-5B $5,000,000 Excess of Underlying Policies: MGL, Auto, Excess Auto, EL, P&I, MEL, Vessel Pollution SAGITTA 25.3 (2016/03) 2of 3 #S48627969/M48624957 DESCRIPTIONS (Continued from Page 1) 2nd Layer Excess ($5M excess of $5M Excess of Underlying Primary): 50% Lead - Aspen Mitsui Sumitomo Ins USA, Policy #OM010PV25 50% Follow - Imperium Insurance Company, Policy #OMS2400160901 Follow Form $5,000,000 Excess of Underlying Policies: 1st Layer Excess, MGL, Auto, Excess Auto, EL, P&I, MEL, Vessel Pollution Total Excess Liability Limit: $10,000,000 Vessel Pollution: $5,000,000 OPA/CERCLA Limit for Scheduled Vessels Blanket Additional Insured - GAI 2445 Blanket Waiver of Subrogation - GAI 2053 Contractor's Pollution Liability: Blanket Additional Insured Including Primary Non-Contributory and Completed Ops when required by written contract - CPLO 4038 03 18 Waiver of Subrogation when required by written contract - ENV 2004 06 18 General Aggregate Limit: $2,000,000 Contractors Pollution Occurrence - Each Pollution Condition Limit: $2,000,000 Each Pollution Condition Retention: $5,000 Inland Marine: Carrier: Mitsui Sumitomo Ins Co of America (NAIC: 22551) Policy #: CIM4113066 Policy Term: 03/29/2025 - 03/29/2026 Leased or Rented Equipment from Others Limit: $500,000 Crane Deductible: $25,000 "All Risk" subject to policy terms, exclusions, and conditions. Contractors Professional Liability: Carrier: Ironshore Specialty Insurance Company Policy #DCP7NACYNF4002 Policy Term: 01/16/2025 - 07/16/2025 Limit: $1,000,000 Each Claim Limit: $2,000,000 Aggregate Retention: $100,000 Each Claim Subject to all of the terms, conditions, exclusions and definitions of the above referenced policies as issued by the carrier(s). Monroe County Board of County Commissioners is included as Additional Insured as required by written contract. Waiver of Subrogation is granted in favor of Monroe County Board of County Commissioners as required by written contract. Policies are primary and non-contributory and include 30-Day Notice of Cancellation. SAGITTA 25.3 (2016/03) 3of 3 #S48627969/M48624957 Client#: 2006693 KEARNSCO DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 7/29/2024 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Katie Lambert NAME: USI Insurance Services LLC/CL PHONE 504-355-5059 FAX 610-537-4152 A/C,No,Ext: (A/C,No): 5100 Poplar Avenue,#1200 E-MAIL ADDRESS: Katie.Lambert@usi.com Memphis,TN 38137 INSURER(S)AFFORDING COVERAGE NAIC# 901 766-5990 INSURER A:Mitsui Sumitomo Insurance USA Inc. 22551 INSURED INSURER B:StarNet Insurance Company 40045 KEARNS CONSTRUCTION COMPANY, INC Safe Harbor Insurance Company 12563 INSURER C: p y 2550 S BAYSHORE DR STE 206B Nautilus Insurance Company 17370 INSURER D: p y Coconut Grove, FL 33133 Ih Specialty Insurance Co 25445 Florida DBPR LICENSE#CGC060194 INSURER E: ronsore P Y INSURER F: National Indemnity Company 120087 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 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. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY X X OHM4510326 03/29/2024 03/29/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [X OCCUR PREMISESOEa occur°nce $100,000 X MARINE GL MED EXP(Any one person) $10,000 X P&I/HULL PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ MBINED F AUTOMOBILE LIABILITY X X 74APBOO8338 03/29/2024 03/29/202 (CEO, identS INGLE LIMIT 1r 000r 000 acc ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS ONLY X SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR X X OLM2510616 03/29/2024 03/29/2025 EACH OCCURRENCE $See Descri tl X EXCESS LIAB CLAIMS-MADE OM0109V24 03/29/2024 03/29/2025 AGGREGATE $of Operations DED X RETENTION$25 OOO TOTAL $1 O OOO OOO B WORKERS COMPENSATION X KEY0146941 03/29/2024 03/29/202 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Vessel Pollution X X 5608841 03/29/2024 03/29/202 See Description D Contractor Pollut X X CPL202668316 07/10/2024 07/10/202 of Operations E Professional I X DCP7NACYNF4001 01/16/2024 01/16/202 for Coverages DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is included as Additional Insured where indicated below and as outlined in the policy forms.Additional Insured status is not applicable to Workers' Compensation. 6 AP .p 7. 24 w7attachments DA (See Attached Descriptions) WAMP A- CERTIFICATE HOLDER CANCELLATION Monroe Count BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040-0000 AUTHORIZED REPRESENTATIVE r ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 3 The ACORD name and logo are registered marks of ACORD #S45689405/M45168594 KXLHM DESCRIPTIONS (Continued from Page 1) MARINE GENERAL LIABILITY: -Quota Share-75% Lead Mitsui Sumitomo Ins USA,followed by 25% United Fire&Casualty Co -Per Project Aggregate-MUS MCL 0137 Rev 12.20 -Additional Insured &Waiver of Subrogation (Blanket)-MUS MCL 0110 Rev 08.16 -Primary Non Contributory-MUS GEN 0117 Rev 09.16 -Additional Insured -State or Governmental Agency or Subdivision or Political Subdivision-Permits or Authorization-MUS GEN 0021 Rev 08.16 -Additional Insured -Owners, Lessee's or Contractors-w/Completed Operations-MUS GEN 0022 Rev 08.16 -Insured Contract Amendment(Railroad)-MUS MCL 0160 Rev 02.23 -Rigger's Legal Liability-MUS GEN 0023 Rev 08.16 -Cross Liabilities-MUS GEN 0215 Rev 08.16 -XCU Included -Diving included -30 Day Notice of Cancellation, Except 10 Days for NonPayment-MUS GEN 0115 Rev 10.20 AUTOMOBILE LIABILITY: -Additional Insured (Blanket) included -Waiver of Subrogation-when scheduled -Hired and Non Owned Included -Physical damage deductible: $1,000 Comp/$1,000 Collision WORKERS COMPENSATION: -Statutory and United States Longshore and Harbor Workers'Compensation Act Coverage -Waiver of Subrogation-Blanket per written contract -Alternate Employer: Blanket per written contract PROTECTION&INDEMNITY/HULL: -Protection &Indemnity-$1,000,000 CSL Per Occurrence -Maritime Employer Liability-$1,000,000 CSL Per Occurrence -Automatic Acquisition Clauses -MUS HPI 0005 Rev 10.20 -Privelege to Charter-MUS HPI 0025 Rev 08.16 -Jones Act coverage provided. No stated number of Crew Limitation. -XCU Included -30 Day Notice of Cancellation, Except 10 Days for NonPayment-MUS GEN 0115 Rev 10.20 1st LAYER EXCESS(5x1): -Quota Share-65% Lead Mitsui Sumitomo Ins USA,followed by 35% United Fire&Casualty Co -Additional Assured-Waiver-NOC-Primary(Blanket)-MUS BST 0110 Rev 08.16 -Blanket Waiver of Subrogation(Follow Form)-M-513 -5,000,000 Limit over GL,Auto, EL, P&I, MEL,Vessel Pollution 2nd LAYER EXCESS(5x6): -Quota Share-50% Lead Aspen,followed by 50% United Fire&Casualty Co -Policy#: OM0109V24 -Policy Term: 03/29/2024, Exp Date: 03/29/2025 -Follow Form -5,000,000 Limit over 1st Layer Excess, GL,Auto, EL, P&I, MEL,Vessel Pollution (TOTAL EXCESS LIMIT AVAILABLE$10,000,000) POLLUTION LIABILITY SAGITTA 25.3(2016/03) 2 of 3 #S45689405/M45168594 DESCRIPTIONS (Continued from Page 1) -Policy#: CPL202668316 -Policy Term: 7/10/2024-2025: -Blanket Additional Insured Including Primary Non Contributory and Completed Ops when required by written contract-CPLO 4038 03 18 -Waiver of Subrogation when required by written contract-ENV 2004 06 18 -General Aggregate-$2,000,000 -Contractors Pollution Occurrence-Each Pollution Condition -$2,000,000 -Each Pollution Condition-Retention$5,000 VESSEL POLLUTION -Policy#: OMH 5608841 -Policy Term: 03/29/2024-03/29/2025: -5,000,000 Limit for Scheduled Vessels -Blanket Additional Insured-GAI 2445. -Blanket Waiver of Subrogation-GAI 2053 PROFESSIONAL LIABILITY -Policy#: DCP7NACYNF4001 -Policy Term: 1/16/2024-2025 -Carrier: Ironshore Specialty Insurance Co, NAIC 25445 -Limit: $1,000,000 Each Claim -Limit: $2,000,000 Aggregate -Retention: $100,000 Each Claim -Waiver of Subrogation included when required by written contract BUILDERS RISK/INLAND MAINE: -Policy#: CIM4113066 -Policy Term: 3/29/2024-2025 -Carrier: Mitsui Sumitomo Ins Co of America, NAIC 22551 -Leased or Rented Equipment from Others Limit: $500,000, Deductible: $10,000, Crane Deductible -Open Reporting Builders Risk Limit: $500,000 -"All Risk"subject to policy terms,exclusions,and conditions. Subject to all of the terms, conditions,exclusions and definitions of the above referenced policies as issued by the carrier(s). Monroe County Board of County Commissioners is included as additional insured with waiver of subrogation on a primary non-contributory basis when required by written contract as outlined above. SAGITTA 25.3(2016/03) 3 of 3 #S45689405/M45168594 This page has been left blank intentionally. Client#: 2006693 KEARNSCO DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 3/31/2023 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Bethany Linton USI Insurance Services LLC/CL PHONE FAX 5 Poplar Avenue #1200 MA No,Ext: - (A/c,No): 100 Po p -ADDRESS: Bethany.Linton@usi.com Memphis,TN 38137 INSURER(S)AFFORDING COVERAGE NAIC# 901 766-5990 INSURER A:New York Marine and General Ins Co 16608 INSURED INSURER B:US Specialty Insurance Company 29599 KEARNS CONSTRUCTION COMPANY, INC StarNet Insurance Company 40045 INSURER C: p y 2550 S BAYSHORE DR STE 206B National Indemnity Company 20087 INSURER D: Y P y Coconut Grove, FL 33133 INSURER E Florida DBPR LICENSE#CGC060194 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 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. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY X X ML202300002452 03/29/2023 03/29/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISESOEa occur°nce $250,000 X Marine GL MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY X JECT LOC PRODUCTS-COMP/OP AGG $1,000,000 OTHER: $ MBINED D AUTOMOBILE LIABILITY X X 74APBOO6301 03/29/2023 03/29/202 (CEO, identS INGLE LIMIT 1r 000r 000 acc ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS ONLY X SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR X X ML202300002453 03/29/2023 03/29/2024 EACH OCCURRENCE $5 000 000 B EXCESS LIAB CLAIMS-MADE CXS12155033 03/29/2023 03/29/202 AGGREGATE $5 OOO 000 DED X RETENTION$25 OOO $ C WORKERS COMPENSATION X KEY0146941 03/29/2023 03/29/202 X IPER STATUTE X EORH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A P&I/Hull/MEL X X ML202300002452 03/29/2023 03/29/2024 See Description of Ops DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is included as Additional Insured where indicated below and as outlined in the policy forms.Additional Insured status is not applicable to Workers' Compensation. As respects Marine General Liability: -" - -Additional Insured -Owners, Lesees or Contractors-w/Completed 3 . 31 . 23 (See Attached Descriptions) DATi CERTIFICATE HOLDER CANCELLATION Monroe Count BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040-0000 AUTHORIZED REPRESENTATIVE r ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S39617907/M39605057 BXLEP DESCRIPTIONS (Continued from Page 1) Operations -when required by written contract -Additional Insured -State or Governmental Agency or Subdivision or Political Subdivision-Permits or Authorization-when required by written contract -Additional Insured -when required by written contract -Waiver of Subrogation-when required by written contract -Primary Non Contributory -when required by written contract -Diving operations by Named Insured Employees are included up to 45ft -Railroad Protective Liability Extension Clause -Rigger's Legal Liability -30 Day Notice of Cancellation, Except 10 Days for NonPayment As respects Automobile Liability: -Additional Insured -when scheduled only -Waiver of Subrogation-when scheduled only As respects Workers'Compensation: -Statutory and United States Longshore and Harbor Workers' Compensation Act Coverage -Waiver of Subrogation-when required by written contract -30 Day Notice of Cancellation, Except 10 Days for NonPayment As respects Protection&Indemnity&Hull: -Protection &Indemnity-$1,000,000 CSL Per Occurrence -Maritime Employer Liability-$1,000,000 CSL Per Occurrence -Blanket Loss Payee-when required by written contract -Blanket Waiver of Subrogation-when required by written contract -Automatic Vessel/Equipment Acquisition Clauses-OM DS 01 1120 -Bareboat Charter Clause -Non-Owned Vessel -MEL Extension Clause -Jones Act coverage provided. No stated number of Crew Limitation. -30 Day Notice of Cancellation, Except 10 Days for NonPayment As respects Bumbershoot: -Quota Share-50% Lead New York&Marine,followed by 50%Continental -Blanket Additional Insured(Follow Form)-M-413 -Blanket Waiver of Subrogation(Follow Form)-M-513 -30 Day Notice of Cancellation, Except 10 Days for NonPayment Subject to all of the terms, conditions,exclusions and definitions of the above referenced policies as issued by the carrier(s). Monroe County Board of County Commissioners is included as additional insured with waiver of subrogation on a primary non-contributory basis when required by written contract as outlined above. SAGITTA 25.3(2016/03) 2 of 2 #S39617907/M39605057 Client#: 2006693 KEARNSCO DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 3/31/2023 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Bethany Linton USI Insurance Services LLC/CL PHONE FAX 5100 Poplar Avenue,#1200E-MAIL No,Ext: - (A/c,No): ADDRESS: Bethany.Linton@usi.com Memphis,TN 38137 INSURER(S)AFFORDING COVERAGE NAIC# 901 766-5990 INSURER A:New York Marine and General Ins Co 16608 INSURED INSURER B:US Specialty Insurance Company 29599 KEARNS CONSTRUCTION COMPANY, INC StarNet Insurance Company 40045 INSURER C: p y 2550 S BAYSHORE DR STE 206B National Indemnity Company 20087 INSURER D: Y P y Coconut Grove, FL 33133 INSURER E Florida DBPR LICENSE#CGC060194 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 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. ADDLSUBR LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY X X ML202300002452 03/29/2023 03/29/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISESOEa occur°nce $250,000 X Marine GL MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY X JECT LOC PRODUCTS-COMP/OP AGG $1,000,000 OTHER: $ D AUTOMOBILE LIABILITY X X 74APB006301 03/29/2023 03/29/202 (CEO,aBc,de INGLE LIMIT n S $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS ONLY X SCHEDULED BODILY INJURY(Per accident) $ AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ A X UMBRELLA LAB X OCCUR X X ML202300002453 03/29/2023 03/29/2024 EACH OCCURRENCE $5 000 000 B EXCESS LAB CLAIMS-MADE CXS12155033 03/29/2023 03/29/202 AGGREGATE $5 000 000 DED X RETENTION$25 000 $ C WORKERS COMPENSATION X KEY0146941 03/29/2023 03/29/202 X STATUTE X EORH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A P&I/Hull/MEL X X ML202300002452 03/29/2023 03/29/2024 See Description of Ops DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is included as Additional Insured where indicated below and as outlined in the policy forms.Additional Insured status is not applicable to Workers' Compensation. As respects Marine General Liability: -Additional Insured -Owners, Lesees or Contractors-w/Completed (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Permit Dept ACCORDANCE WITH THE POLICY PROVISIONS. Marathon Government Center 2798 Overseas Hwy, Suite 300 AUTHORIZED REPRESENTATIVE Marathon, FL 33050-0000 /""" �- ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S39617908/M39605057 BXLEP DESCRIPTIONS (Continued from Page 1) Operations -when required by written contract -Additional Insured -State or Governmental Agency or Subdivision or Political Subdivision-Permits or Authorization-when required by written contract -Additional Insured -when required by written contract -Waiver of Subrogation-when required by written contract -Primary Non Contributory -when required by written contract -Diving operations by Named Insured Employees are included up to 45ft -Railroad Protective Liability Extension Clause -Rigger's Legal Liability -30 Day Notice of Cancellation, Except 10 Days for NonPayment As respects Automobile Liability: -Additional Insured -when scheduled only -Waiver of Subrogation-when scheduled only As respects Workers'Compensation: -Statutory and United States Longshore and Harbor Workers' Compensation Act Coverage -Waiver of Subrogation-when required by written contract -30 Day Notice of Cancellation, Except 10 Days for NonPayment As respects Protection&Indemnity&Hull: -Protection &Indemnity-$1,000,000 CSL Per Occurrence -Maritime Employer Liability-$1,000,000 CSL Per Occurrence -Blanket Loss Payee-when required by written contract -Blanket Waiver of Subrogation-when required by written contract -Automatic Vessel/Equipment Acquisition Clauses-OM DS 01 1120 -Bareboat Charter Clause -Non-Owned Vessel -MEL Extension Clause -Jones Act coverage provided. No stated number of Crew Limitation. -30 Day Notice of Cancellation, Except 10 Days for NonPayment As respects Bumbershoot: -Quota Share-50% Lead New York&Marine,followed by 50%Continental -Blanket Additional Insured(Follow Form)-M-413 -Blanket Waiver of Subrogation(Follow Form)-M-513 -30 Day Notice of Cancellation, Except 10 Days for NonPayment Subject to all of the terms, conditions,exclusions and definitions of the above referenced policies as issued by the carrier(s). Monroe County is included as additional insured with waiver of subrogation on a primary non-contributory basis when required by written contract as outlined above. SAGITTA 25.3(2016/03) 2 of 2 #S39617908/M39605057 Client#: 2006693 KEARNSCO DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 4/02/2024 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Bethany Linton USI Insurance Services LLC/CL PHONE FAX 5100 Po lar Avenue #1200 MA No,Ext: - (A/c,No): p ADDRESS: Bethany.Linton@usi.com Memphis,TN 38137 INSURER(S)AFFORDING COVERAGE NAIC# 901 766-5990 INSURER A:Mitsui Sumitomo Insurance USA Inc. 22551 INSURED INSURER B:StarNet Insurance Company 40045 KEARNS CONSTRUCTION COMPANY, INC INSURER CSafe Harbor Pollution Insurance NONAIC 2550 S BAYSHORE DR STE 206B Nautilus Insurance Company 17370 INSURER D: p y Coconut Grove, FL 33133 INSURER E: ronsore Ih Specialty Insurance Co 125445 INSURER F: National Indemnity Company 20087 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 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. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY X X OHM4510326 03/29/2024 03/29/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [X OCCUR PREMISESOEa occur°nce $100,000 X Marine GL MED EXP(Any one person) $10,000 X P&I/Hull PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY X JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ MBINED F AUTOMOBILE LIABILITY X X 74APBOO8338 03/29/2024 03/29/202 (CEO, identS INGLE LIMIT 1r 000r 000 acc ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS ONLY X SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR X X OLM2510616 03/29/2024 03/29/2025 EACH OCCURRENCE $See Descri tl X EXCESS LIAB CLAIMS-MADE OM0109V24 03/29/2024 03/29/2025 AGGREGATE $of Operations DED X RETENTION$25 OOO TOTAL $1 O OOO OOO B WORKERS COMPENSATION X KEY0146941 03/29/2024 03/29/202 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Vessel Pollution X X OMH5608841 03/29/2024 03/29/2025 See Description D Contractor Pollut X X CPL202668315 07/10/2023 07/10/2024 of Operations E Professional I X DCP7NACYNF4001 01/16/2024 01/16/2025 for Coverages DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is included as Additional Insured where indicated below and as outlined in the policy forms.Additional Insured status is not applicable to Workers' Compensation. y , 'T ,fro" (See Attached Descriptions) DAT 4 3.244wwi attaonnnents CERTIFICATE HOLDER CANCELLATION WAMM Monroe Count BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040-0000 AUTHORIZED REPRESENTATIVE r ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 3 The ACORD name and logo are registered marks of ACORD #S44297808/M44295108 SHPZR DESCRIPTIONS (Continued from Page 1) MARINE GENERAL LIABILITY: -Quota Share-75% Lead Mitsui Sumitomo Ins USA,followed by 25% United Fire&Casualty Co -Per Project Aggregate-MUS MCL 0137 Rev 12.20 -Additional Insured &Waiver of Subrogation (Blanket)-MUS MCL 0110 Rev 08.16 -Primary Non Contributory-MUS GEN 0117 Rev 09.16 -Additional Insured -State or Governmental Agency or Subdivision or Political Subdivision-Permits or Authorization-MUS GEN 0021 Rev 08.16 -Additional Insured -Owners, Lessee's or Contractors-w/Completed Operations-MUS GEN 0022 Rev 08.16 -Insured Contract Amendment(Railroad)-MUS MCL 0160 Rev 02.23 -Rigger's Legal Liability-MUS GEN 0023 Rev 08.16 -Cross Liabilities-MUS GEN 0215 Rev 08.16 -XCU Included -Diving included -30 Day Notice of Cancellation, Except 10 Days for NonPayment-MUS GEN 0115 Rev 10.20 AUTOMOBILE LIABILITY: -Additional Insured (Blanket) included -Waiver of Subrogation-when scheduled -Hired and Non Owned Included -Physical damage deductible: $1,000 Comp/$1,000 Collision WORKERS COMPENSATION: -Statutory and United States Longshore and Harbor Workers'Compensation Act Coverage -Waiver of Subrogation-Blanket per written contract -Alternate Employer: Blanket per written contract PROTECTION&INDEMNITY/HULL: -Protection &Indemnity-$1,000,000 CSL Per Occurrence -Maritime Employer Liability-$1,000,000 CSL Per Occurrence -Automatic Acquisition Clauses -MUS HPI 0005 Rev 10.20 -Privelege to Charter-MUS HPI 0025 Rev 08.16 -Jones Act coverage provided. No stated number of Crew Limitation. -XCU Included -30 Day Notice of Cancellation, Except 10 Days for NonPayment-MUS GEN 0115 Rev 10.20 1st LAYER EXCESS(5x1): -Quota Share-65% Lead Mitsui Sumitomo Ins USA,followed by 35% United Fire&Casualty Co -Additional Assured-Waiver-NOC-Primary(Blanket)-MUS BST 0110 Rev 08.16 -Blanket Waiver of Subrogation(Follow Form)-M-513 -5,000,000 Limit over GL,Auto, EL, P&I, MEL,Vessel Pollution 2nd LAYER EXCESS(5x6): -Quota Share-50% Lead Aspen,followed by 50% United Fire&Casualty Co -Policy#: OM0109V24 -Policy Term: 03/29/2024, Exp Date: 03/29/2025 -Follow Form -5,000,000 Limit over 1st Layer Excess, GL,Auto, EL, P&I, MEL,Vessel Pollution (TOTAL EXCESS LIMIT AVAILABLE$10,000,000) POLLUTION LIABILITY SAGITTA 25.3(2016/03) 2 of 3 #S44297808/M44295108 DESCRIPTIONS (Continued from Page 1) -Policy#: CPL202668315 -Policy Term: 7/10/2023-2024: -Blanket Additional Insured Including Primary Non Contributory and Completed Ops when required by written contract-CPLO 4038 03 18 -Waiver of Subrogation when required by written contract-ENV 2004 06 18 -General Aggregate-$2,000,000 -Contractors Pollution Occurrence-Each Pollution Condition -$2,000,000 -Each Pollution Condition-Retention$5,000 VESSEL POLLUTION -Policy#: OMH 5608841 -Policy Term: 03/29/2024-03/29/2025: -5,000,000 Limit for Scheduled Vessels -Blanket Additional Insured-GAI 2445. -Blanket Waiver of Subrogation-GAI 2053 PROFESSIONAL LIABILITY -Policy#: DCP7NACYNF4001 -Policy Term: 1/16/2024-2025 -Carrier: Ironshore Specialty Insurance Co, NAIC 25445 -Limit: $1,000,000 Each Claim -Limit: $2,000,000 Aggregate -Retention: $100,000 Each Claim -Waiver of Subrogation included when required by written contract BUILDERS RISK/INLAND MAINE: -Policy#: CIM4113066 -Policy Term: 3/29/2024-2025 -Carrier: Mitsui Sumitomo Ins Co of America, NAIC 22551 -Leased or Rented Equipment from Others Limit: $500,000, Deductible: $10,000, Crane Deductible -Open Reporting Builders Risk Limit: $500,000 -"All Risk"subject to policy terms,exclusions,and conditions. Subject to all of the terms, conditions,exclusions and definitions of the above referenced policies as issued by the carrier(s). Monroe County Board of County Commissioners is included as additional insured with waiver of subrogation on a primary non-contributory basis when required by written contract as outlined above. SAGITTA 25.3(2016/03) 3 of 3 #S44297808/M44295108 This page has been left blank intentionally. Client#: 2006693 KEARNSCO DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 3/31/2023 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Bethany Linton USI Insurance Services LLC/CL PHONE FAX 5 Poplar Avenue #1200 MA No,Ext: - (A/c,No): 100 Po p -ADDRESS: Bethany.Linton@usi.com Memphis,TN 38137 INSURER(S)AFFORDING COVERAGE NAIC# 901 766-5990 INSURER A:New York Marine and General Ins Co 16608 INSURED INSURER B:US Specialty Insurance Company 29599 KEARNS CONSTRUCTION COMPANY, INC StarNet Insurance Company 40045 INSURER C: p y 2550 S BAYSHORE DR STE 206B National Indemnity Company 20087 INSURER D: Y P y Coconut Grove, FL 33133 INSURER E Florida DBPR LICENSE#CGC060194 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 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. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY X X ML202300002452 03/29/2023 03/29/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISESOEa occur°nce $250,000 X Marine GL MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY X JECT LOC PRODUCTS-COMP/OP AGG $1,000,000 OTHER: $ MBINED D AUTOMOBILE LIABILITY X X 74APBOO6301 03/29/2023 03/29/202 (CEO, identS INGLE LIMIT 1r 000r 000 acc ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS ONLY X SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR X X ML202300002453 03/29/2023 03/29/2024 EACH OCCURRENCE $5 000 000 B EXCESS LIAB CLAIMS-MADE CXS12155033 03/29/2023 03/29/202 AGGREGATE $5 OOO 000 DED X RETENTION$25 OOO $ C WORKERS COMPENSATION X KEY0146941 03/29/2023 03/29/202 X IPER STATUTE X EORH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A P&I/Hull/MEL X X ML202300002452 03/29/2023 03/29/2024 See Description of Ops DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is included as Additional Insured where indicated below and as outlined in the policy forms.Additional Insured status is not applicable to Workers' Compensation. As respects Marine General Liability: -" - -Additional Insured -Owners, Lesees or Contractors-w/Completed 3 . 31 . 23 (See Attached Descriptions) DATi CERTIFICATE HOLDER CANCELLATION Monroe Count BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St. ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040-0000 AUTHORIZED REPRESENTATIVE r ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S39617907/M39605057 BXLEP DESCRIPTIONS (Continued from Page 1) Operations -when required by written contract -Additional Insured -State or Governmental Agency or Subdivision or Political Subdivision-Permits or Authorization-when required by written contract -Additional Insured -when required by written contract -Waiver of Subrogation-when required by written contract -Primary Non Contributory -when required by written contract -Diving operations by Named Insured Employees are included up to 45ft -Railroad Protective Liability Extension Clause -Rigger's Legal Liability -30 Day Notice of Cancellation, Except 10 Days for NonPayment As respects Automobile Liability: -Additional Insured -when scheduled only -Waiver of Subrogation-when scheduled only As respects Workers'Compensation: -Statutory and United States Longshore and Harbor Workers' Compensation Act Coverage -Waiver of Subrogation-when required by written contract -30 Day Notice of Cancellation, Except 10 Days for NonPayment As respects Protection&Indemnity&Hull: -Protection &Indemnity-$1,000,000 CSL Per Occurrence -Maritime Employer Liability-$1,000,000 CSL Per Occurrence -Blanket Loss Payee-when required by written contract -Blanket Waiver of Subrogation-when required by written contract -Automatic Vessel/Equipment Acquisition Clauses-OM DS 01 1120 -Bareboat Charter Clause -Non-Owned Vessel -MEL Extension Clause -Jones Act coverage provided. No stated number of Crew Limitation. -30 Day Notice of Cancellation, Except 10 Days for NonPayment As respects Bumbershoot: -Quota Share-50% Lead New York&Marine,followed by 50%Continental -Blanket Additional Insured(Follow Form)-M-413 -Blanket Waiver of Subrogation(Follow Form)-M-513 -30 Day Notice of Cancellation, Except 10 Days for NonPayment Subject to all of the terms, conditions,exclusions and definitions of the above referenced policies as issued by the carrier(s). Monroe County Board of County Commissioners is included as additional insured with waiver of subrogation on a primary non-contributory basis when required by written contract as outlined above. SAGITTA 25.3(2016/03) 2 of 2 #S39617907/M39605057 Client#: 2006693 KEARNSCO DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 3/31/2023 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Bethany Linton USI Insurance Services LLC/CL PHONE FAX 5100 Poplar Avenue,#1200E-MAIL No,Ext: - (A/c,No): ADDRESS: Bethany.Linton@usi.com Memphis,TN 38137 INSURER(S)AFFORDING COVERAGE NAIC# 901 766-5990 INSURER A:New York Marine and General Ins Co 16608 INSURED INSURER B:US Specialty Insurance Company 29599 KEARNS CONSTRUCTION COMPANY, INC StarNet Insurance Company 40045 INSURER C: p y 2550 S BAYSHORE DR STE 206B National Indemnity Company 20087 INSURER D: Y P y Coconut Grove, FL 33133 INSURER E Florida DBPR LICENSE#CGC060194 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 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. ADDLSUBR LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY X X ML202300002452 03/29/2023 03/29/2024 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISESOEa occur°nce $250,000 X Marine GL MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLICY X JECT LOC PRODUCTS-COMP/OP AGG $1,000,000 OTHER: $ D AUTOMOBILE LIABILITY X X 74APB006301 03/29/2023 03/29/202 (CEO,aBc,de INGLE LIMIT n S $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS ONLY X SCHEDULED BODILY INJURY(Per accident) $ AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ A X UMBRELLA LAB X OCCUR X X ML202300002453 03/29/2023 03/29/2024 EACH OCCURRENCE $5 000 000 B EXCESS LAB CLAIMS-MADE CXS12155033 03/29/2023 03/29/202 AGGREGATE $5 000 000 DED X RETENTION$25 000 $ C WORKERS COMPENSATION X KEY0146941 03/29/2023 03/29/202 X STATUTE X EORH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A P&I/Hull/MEL X X ML202300002452 03/29/2023 03/29/2024 See Description of Ops DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Certificate Holder is included as Additional Insured where indicated below and as outlined in the policy forms.Additional Insured status is not applicable to Workers' Compensation. As respects Marine General Liability: -Additional Insured -Owners, Lesees or Contractors-w/Completed (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Monroe Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Permit Dept ACCORDANCE WITH THE POLICY PROVISIONS. Marathon Government Center 2798 Overseas Hwy, Suite 300 AUTHORIZED REPRESENTATIVE Marathon, FL 33050-0000 /""" �- ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S39617908/M39605057 BXLEP DESCRIPTIONS (Continued from Page 1) Operations -when required by written contract -Additional Insured -State or Governmental Agency or Subdivision or Political Subdivision-Permits or Authorization-when required by written contract -Additional Insured -when required by written contract -Waiver of Subrogation-when required by written contract -Primary Non Contributory -when required by written contract -Diving operations by Named Insured Employees are included up to 45ft -Railroad Protective Liability Extension Clause -Rigger's Legal Liability -30 Day Notice of Cancellation, Except 10 Days for NonPayment As respects Automobile Liability: -Additional Insured -when scheduled only -Waiver of Subrogation-when scheduled only As respects Workers'Compensation: -Statutory and United States Longshore and Harbor Workers' Compensation Act Coverage -Waiver of Subrogation-when required by written contract -30 Day Notice of Cancellation, Except 10 Days for NonPayment As respects Protection&Indemnity&Hull: -Protection &Indemnity-$1,000,000 CSL Per Occurrence -Maritime Employer Liability-$1,000,000 CSL Per Occurrence -Blanket Loss Payee-when required by written contract -Blanket Waiver of Subrogation-when required by written contract -Automatic Vessel/Equipment Acquisition Clauses-OM DS 01 1120 -Bareboat Charter Clause -Non-Owned Vessel -MEL Extension Clause -Jones Act coverage provided. No stated number of Crew Limitation. -30 Day Notice of Cancellation, Except 10 Days for NonPayment As respects Bumbershoot: -Quota Share-50% Lead New York&Marine,followed by 50%Continental -Blanket Additional Insured(Follow Form)-M-413 -Blanket Waiver of Subrogation(Follow Form)-M-513 -30 Day Notice of Cancellation, Except 10 Days for NonPayment Subject to all of the terms, conditions,exclusions and definitions of the above referenced policies as issued by the carrier(s). Monroe County is included as additional insured with waiver of subrogation on a primary non-contributory basis when required by written contract as outlined above. SAGITTA 25.3(2016/03) 2 of 2 #S39617908/M39605057