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Certificate of Insurance ACC)17DO CERTIFICATE OF LIABILITY INSURANCE DATE 1a2 23DmW) lllk—� F 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 GeeAnn MIs51 MARSH USA LLC NAME: 400 West Market Street,Suite 700 PHONE 8fi6.966.4664 FAX No 0 212.948 0804 Louisville,KY 40202 E-MAILO Louisville.Cert ues@rnarsh.corn Attn:LouiWIle.certreq t marsh.com RESS INSURERS AFFORDING COVERAGE NAIC# CN101863513-DAA-GAWU-23.24 2826 martin SO INSURER A:Mitsui Sumitomo Insurance USA Inc 22551 INSURED INSURER B:Seri ual Company 2PW Oaikin Applied Alrerleas Inc. 13600 Industrial Park Boulevard INSURER C:Sentry Insurance Company 24988 Minneapolis,MN 55441 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: C 7122144-02 REVISION NUMBER: 70 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. ILTTRR ADDTYPE OF INSURANCE LSUBR POLICY NUMBER POLICY EFF MPOLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY GL2122557 04101/2023 0410112024 EACH OCCURRENCE $ 1,0OO,000 CLAIMS-MADE EPREMISES OCcuR I,'sub(ect 10 self insured retentions Ea occwrence $ 1,000,000 for various perils covered) MEO EXP(Any one person) $ %000 PERSONAL SADVINJURY $ 11000,000 GEN1.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ECT ��LOC PRODUCTS-COMPIOPAGG $ 2,000,000 OTHER:' S A AUTOMOBILE LIABILITY BVR840 2(AOS) 04101/2023 04 112024 COMBINED SINGLEL'+MIT $ 2000000 Ea dent X ANY AUTO BODILY INJURY(Per pa ) S A X OWNED SCHEDULED BV 8803074(MA) 04101/2023 04/0112024 BODILY INJURY(Per acddenq $ AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ x uMBRELULIAB X OCCUR U B5700287 04101I2023 04/012024 EACHOCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTIONS10,000 IS B WORKERS COMPENSATION 90-2021 2(Daikin Ded y 04101024 X PER OTH- C AND EMPLOYERS'LIABILITY 90-20216.003 Daikn etra) 04/0112023 04/01/2024 STATUTE ER ANYPROPAIETORIPARTNEPJEXECUTIVE Y 1 N ( E.L.EACH ACCIDENT $ 11000,000 OFFICERIMEMBEREXCLUDED7 a NIA (Mandatory In NMI E.L.DOSEASE-EAEMPLOYE S 1,000,000 Ir yyeas,describe under 1,000,0 DESCRIPTION00 OF OPERATIONS below E.L,DIS E-POLICY OMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remar%s Schedule,may be attached N more space Is required) Monroe County BOCC Ware included as additional insured where required by written contract and allowed by law with respect to General and Autornoble liability coverages. APPROVED BY RISK WMOOLWENT DATE, " � �, ..�� CERTIFICATE HOLDER CANCELLATION Monroe County BOCC, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West,FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD