HomeMy WebLinkAboutCertificate of Insurance AC"" CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY)
7/17/2025
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 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: Certificate Department
FAX
DTRT Insurance Group,Inc PHONE 954-772-8232
(A/C,No,Ext): (A/C,No):
12550 W ATLANTIC BLVD ADDRESS: COI@dtrtinsurance.com
INSURER(S)AFFORDING COVERAGE NAIC#
CORAL SPRINGS FL 33071 INSURERA: United States Liability Insurance Co 25895
INSURED
INSURER B
JUST OLDER YOUTH INC INSURER C:
PO BOX 1735 INSURER D:
INSURER E:
Tavernier FL 33070 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
LTR INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ $1,000,000
CLAIMS-MADE � OCCUR PREMISES(Ea occurrence) $ $100,000
IVIED EXP(Any one person) $ $5,000
A Y NPP1612991C 8/2/2025 8/2/2026 PERSONAL&ADV INJURY $ $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ $2,000,000
X POLICY❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ INCLUDED
OTHER: $
AUTOMOBILE LIABILITY (Ea accident) $
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED tXP iA T BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-OWNED pY_._..�.-s ,r„_..m._.....
UAMAUE
HIRED AUTOS AUTOS p�,,T�„�,,,,,�,.7.,7.2 .--._
$ ..-------�---� (Per accident)
UMBRELLA LAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION PER
-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A E.L.EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Social Service
Certificate Holder is 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.
The Monroe County Board of County Commissioners
1100 Simonton Street AUTHORIZED REPRESENTATIVE
Key West FL 33040
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