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Home My WebLink AboutCertificates of Insurance AC"RO CERTIFICATE OF LIABILITY INSURANCE F- 0 DATE(MMIODIYYYY) 06118/2025 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 INSiURER(a), 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 re;Iulre an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s). PRODUCER iCONTACT' NAME: 'f torann MATTHEWW F.CARLUCCI STATE FARM INS. PHON o 904-399-5544 ,No), 904-399-1536 3707 HENDRICKS AVE. �-MAIL M�7RGAN MATTCARLUCCLCOM ryw �a�y �ADORERS: � JACKSOMALLE,FL 32207 INOURC S AFFORDING COVERAGE RAW N INSURERA: State Farm,Fire and Casualty Company 25143 INSURED INSURERS: State Farm Florida Insurance Company 10739 LANGTON ASSOCIATES INC. INSURER d: State Farm Mutual Automobile Insurance Company 25178 4830 ATLANTIC BOULEVARD,SUITE#4 INSURER D JACKSONVILLE,FL 32207 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. S'R TYPE OF INSURANCE AD- SUBfi, POLICY NUMBER MPY OLIC E=FF MM1 POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED 00,,00t) PREMISES(Eaccu orrence MED EXP(Any one person) $ 5,000 A Y 98-BE-V958-9B 06125/2025 06/25/2026 PERSONAL&ADV INJURY $ 1,000.000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO- JECT 171 LOC PRODUCTS-COMPPOP AGG S 2,000,000 OTHER: HIRED/NON-OWNED $ 1,000,000' AUTOMOBILE',LIAENUTY *( COMBINED SINGLE LIMIT $ 1,000,000' Ea accident) ANY AUTO .492 9683-F10-59V 1211012024 12/10/2'025 BODILY INJURY(Per parson) $ B OWNED SCHEDULED BODILY INJURY(Per aecident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accideni UMBRELLA UAB OCCUR EACH OCCURRENCE $ 1,000,000 B EXCESSLIA® HCLAIMS-MADEY 98-BG-D739-8 B 11/11/2024 11/1112025 AGGREGATE DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERW LIABILITY STATUTE1XJ ER A OFFICER/M MBEREXCLUDED LcurovL Y� NIA 98-EQ-Y034-1 F 05121/2025 0512112026 E.L.EACHACCIDENY $ 1,000,000 (Mandatm In NH) E.L.DISEASE-EA.EMPLOYEE $ 1,000,000 If yes,describe Linder 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ EMPLOYERS NON-OWNEDAUTC7 C &HIRER AUTO Y C40 6097-B12-59 08/1212024 08/12/2025 CSL $500,000 DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be aftachsd If more space Is required) Monroe County 130CG has been added as an additional insured for services provided under the Terra Contract for Grant Consultant Services. A IT BY DATL,. - I.T� " 6 2 WAMW 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. 1100 Simonton Street AUTHQRL'.ED REPRE NTA Key West,Florida 33040 ao r w C�71988-2015 ACORD CORPORATION,. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 1001486 132649.12 03-16-2016 AC(:> CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) v I 10/15/2024 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 endorsement(s). PRODUCER CONTACT NAME; TiffanyPeterson GHG Insurance PHONE 1000 Riverside Ave.,Suite 500 A/cEt).904 421 8600_ AcNo) 904-421 8601 L .. . Jacksonville FL 32204 ADDRESS: tpeterson-@ghqins com INSURERS AFFORDING COVERAGE NAIC# — .-.._ _..�® wsURER Travelers Casualty&Surety Company of America 31194 ....... A ._... INSURED LANGASS-01 INSURER B: Langton Associates Inc 1 - "' 5627 Atlantic Boulevard,Suite 4 INSURER c Jacksonville FL 32207 INSURER D: INSURERE: INSURER F COVERAGES CERTIFICATE NUMBER:1865974443 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 VVITH 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 SUBRh "- (POLICY N^ EFF- POLICY EXP LIMITS LTR IN SD /D! POLICY NUMBER MM/DD/YYYYl MM/DD/YYYY COMMERCIAL GENERAL LIABILITY � $EACH OCCURRENCE __ � DA MAGE TO RENTED_ CLAIMS-MADE OCCUR PREMISES,fEaoccurrence), J$ MED EXP(Any one person) I$ _.....-....,_----. ......-----.-................ ....................._...—... -- PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO J ECT' ❑ LOC ( PRODUCTS-COMP/OP AGG $ OTHER: f $ AUTOMOBILE LIABILITY COMBINED SIN LE LIMIT .......— ..d_Ea accidenlL........ ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED it �_ .. .. ..... .... ,..'. .,......... AUTOS ONLY (_____ AUTOS iorr:: � BODILY INJURY(Peracadent)�$ Ir HIRED NON-OWNED °�+, PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY :74 2.3 2s $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB ]--fr _ _ ;i� AGGREGATE $ CLAIMS-MADE I DED I RETENTION$ t _ $ WORKERS COMPENSATION I I PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE .E.L_EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A, ------ --------- --- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below {' E.L.DISEASE-POLICY LIMIT $ A Professional �107165087 10/15/2019 10/15/2025 Aggregate 1,000,000 R afro Date 10/15/19 Each Claim 1,000,000 Ded$5,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) The insurer will mail notice to the County at least thirty(30)days priorto any material changes in the provisions or cancellation of the policy. 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. 1100 Simonton Street '4) Key West, Florida Street AUf/ IZEDREPRESENTA I O 1988-201 CO CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of AC 0 -DATE(MMrDDrYYYY) AC CERTIFICATE F LIABILITY INSURANCE CE 02/03/2025 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 IN'SURER(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 doe's not confer rights to the certificate holder In lieu of such endorsement s PRODUCER..... CONTACT NAME: State,,Fa rn IUI'ATTHEW F.CARLUCCI STATE FARM INS. C o PEt�_ �kl 904'399-55�44 ___.. �a�c Nsr�.M..:904 399..1536 3707 HENDRICKS AVE. E-MAIL ADDRESS: MC7RGAN MATTCARLUCCI.COM 40111 _._ JACKSONVI'LLE,FL 32207 ....... _._...�NSDRERtS)AFFORDINra CBIWE IAC' _._. NABC t, .,._w INSUtErt!?: State Farm Fire and Casualty Company 25143 INSURED INSURER B State Farm Florida Insurance'.Company 10739 LANGTON ASSOCIATES INC. INSURERC: State Farm Mutual Automobile Insurance Company 25178 4830 ATLANTIC BOULEVARD,SUITE#4 INSURER D: JACKSONVILLE,FL 32207 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 ..-^ __m.m. ADDL 9UeR _ ._.......__._._, ..POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER, tMM1DD1YyJyJ (MMIgplyYy I LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAUP'TO RENTED 3 1 00,00I7 FgENfl19S_(Ea arcurranca) ME D EX,P(Any one person) $ 5,000 A FI - Y 98-BE-V958-9 B 06/25/2024 06125/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN`LAGGREmGATE LIMIT APPLIES PER° NERAAg, DArk _.......$_ 2,0_0_0,.000 PRC- I . ............ POLICY_J ,ECT u LOC PRODUCTS-C7MP/3P AGa $ 2,000,000 OTHER; HIRED/NON-OWNED $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea aceiderlt ANY AUTO 492 9683-F10-59V 12/1012024 06/10/2025 BODILY INJURY(Par person) $ B OWNED SCHEDULED AUTOS ONLY AUTOS Y BODILY INJURY(Pei'accident) HIRED NON-OWNED PRCSPFRTY rDAMAO �m.m $ AUTOS ONLY AUTOS ONLY ((Per accident rx $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 1,000,000 B EXCESS LIAB CLAIMS-MADE Y 98-BG-D739-8B 1111112024 11/11/2025 AGGREGATE DEE) RETENTION $ N1dORNCERR COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY N STATUTE ER ANY PROPRIETOPJPARTNERIEXEOUTIVE EL EACH ACCIDENT $ 1,000,000' A OFFICER/MEMBER EXCLUDED? N J A 98-MS-D812-4 05/21/20 4 05/2112025 -. --- -- (Mandatory in NFII E L DISEASE-EA EMPLOYEE $ 1,000,000' if yes describe under _. DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 1,000,I700 EMPLOYERS NON-OWNED AUTO C &HIRED AUTO Y C40 6097-812-59 08/12/2024 08/12/2025 CSL $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional'Remarks Schedule,may be attached it more space is required) T 113111, W 2.3.25 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. 1100 Simonton Street Key West, FL 33040 AUTHORIZED REPRESENTATIVE 1988-2016 ACORN CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD 10014E8S 132849.12 03-16-2016