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HomeMy WebLinkAboutCertificates of Insurance FLORFEN-05 RIDERL ACORO"° CERTIFICATE OF LIABILITY INSURANCE D TE 12/20/2024Y) 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: Insurance Office of America PHONE FAX 13361 Overseas Highway (A/C,No,Ext): (305)289-0213 (A/C,No):(305)743-1810 Marathon,FL 33060 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Evanston Insurance Company 35378 INSURED INSURER B Florida Fence Corporation INSURER C PO BOX 227 INSURER D Tavernier,FL 33070 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 MM/DD/YYYY MM/DD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 3AA766644 4/1/2024 4/1/2025 DAMAGE TO RENTED 700,000 X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X JECT LOC +�w 1,000,000 - 16K PRODUCTS-COMP/OP AGG $ OTHER: ,� '�`^^^ $ AUTOMOBILE LIABILITY „� ��� '��"""""'"' COMBINED SINGLE LIMIT ».„, Ea accident $ ANY AUTO I... 1226.24 ,. �.�,.� BODILY INJURY Per person) $ OWNED SCHEDULED ^�""°....,,....,, AUTOS ONLY AUTOS "' BODILY INJURY Per accident $ �' = "" PROPERTY DAMAGE HIRED NON-OWNED Per accident $ AUTOS ONLY AUTOS ONLY A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 X EXCESS LIAB CLAIMS-MADE EZXS3160848 4/1/2024 4/1/2025 AGGREGATE $ DED I I RETENTION$ Agg. Limit $ 3,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ 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 Contractor Pollution CPLMOL117286 6/22/2023 6/22/2024 $10,000 Deductible 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Contractors'Licsense Number: CGC1518122 Contractor's License#CGC1518122 - Monroe County Board of County Commissioners is named as Additional Insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Monroe County Board of County Commissioners 1100 Simonton Street w - e iKey West FL 33041 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A�" CERTIFICATE OF LIABIL TY I SURANCE DATE(MM/DD/YYYY) 12/ 9/2024 TH S CERTIFICATE IS SSUED AS A MATTER OF INFORMAT O ONLY AND CONFERS O RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIF CATE 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 BETWEE THE ISSU G NSURER(S), AUTHORIZED REPRESE TATIVE OR PRODUCER,A D THE CERTIFICATE HOLDER. MPORTA T: f the certificate holder is an ADDITIONAL NSURED,the policy(ies) must have ADDITIO AL INSURED provisions or be endorsed. f SUBROGATION S 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 George Meroni NAME:HON g n u� Mri George Meroni PAIL,No, o Ext, 305 24 -39 1 FAX No): E-MAIL 1801 N Krome Avenue ADDRESS: george.meroni.cp6e@statefarm.com INSURER(S)AFFORDING COVERAGE NAIC# Homestead FL 330303237 INSURER A: State Farm Mutual Automobile Insurance Company 25178 INSURED INSURER B: FLORIDA FENCE CORP INSURER C: PO BOX 227 INSURER D: INSURER E: TAVERNIER FL 330 00227 INSURERF: COVERAGES CERT FICATE 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. SR TYPE OF INSURA CE ADD SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM/DD MM/DD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DA AGE TENTED CLAIMS-MADE 1:1OCCUR 'REM SES Ea occurrence) $ MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY J Q LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY J73 4386E 7-59 a�NdEBD SINGLE LIMIT $ ANY AUTO 11/1 /2024 05/1 /2025 OWNED �/ SCHEDULED 9658846E01 59J 11/0 /2024 05/0 /2025 BODILY INJURY(Per person) $ 1,000,000 A Y AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ 1,000,000 HIRED NON-OWNED 965 8847 E01 59L 11/0 /2024 05/0 /2025 AUTOS ONLY AUTOS ONLY Per accident $ 1,000,000 966 5754 E01 59H 11/0 /2024 05/0 /2025 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION ' PER OTH- AND EMPLOYERS'LIABILITY A �° 4 TAT TE ER $ ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N 7�7 *° , OFFICER/MEMBER EXCLUDED? ❑ N/A �IA�', E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below "� mow, — m E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 6028BV Additional Insured:Monroe County BOCC,including all of it's divisions,subsidiaries,affiliated companies,officers and directors. 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. 1200 Simonton St AUTHORIZED REPRESENTATIVE Key West FL 33040 This form was system-generated on 12/19/2024 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 2016/03) The ACORD name and logo are registered marks of ACORD 001486 2005 155279 205 01 2023