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HomeMy WebLinkAboutCertificates of Insurance Client#: 1930344 MARINCON4 DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 7/21/2025 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). PRODUCER CONTACT Amanda Starcher NAME: USI Insurance Services, LLC PHONE 352-390-2768 FAX 352-732-0132 A/C,No,Ext: (A/C,No): 4600 Touchton Rd E-MAIL ADDRESS: Amanda.Starcher@usi.com Building 100, Suite 275 INSURER(S)AFFORDING COVERAGE NAIC# Jacksonville, FL 32246 INSURER A:Security National Insurance Company 19879 INSURED INSURER B:Insurance Company of the West 27847 Marino Construction Group, Inc. Ohio Casualty Insurance Company 24074 INSURER C: Y P y P.O. Box 1706 Progressive Express Insurance Company 10193 INSURER D: 9 P P Y Key West, FL 33041 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 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 SES1814945 07/12/2025 07/12/2026 EACH OCCURRENCE $1,000,000 CLAIMS-MADE [*OCCUR PREMISESOEa occur°nce $100,000 X BI/PD Ded:5,000 MED EXP(Any one person) $10,000 AP 16r, - T PERSONAL&ADV INJURY $1,000,000 pY_�-'L,.p — .�._. GEN'L AGGREGATE LIMIT APPLIES PER: DATE_— .,25 ._..._�._. GENERAL AGGREGATE $2,000,000 � PRO- WYN PWM�X+. POLICY 1 JECT F LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ MBINED D AUTOMOBILE LIABILITY 997807642 05/22/2025 05/22/202 (CEO, identS INGLE LIMIT 1r 000r 000 acc ANY AUTO X SCHEDULED BODILY INJURY(Per person) $ OWNEDAUTOS ONLY BODILY INJURY(Per accident) $ AUTOS HIRED NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY Per accident $ A X UMBRELLA LIAB X OCCUR EXS1809701 07/12/2025 07/12/2026 EACH OCCURRENCE s5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE s5,000,000 DED X RETENTION$1 OOOO $ B WORKERS COMPENSATION WFL507889701 07/12/2025 07/12/202 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER 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 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) REFF: KWIA Noise Insulation Program Single Family Homes Group 1 Certificate Holder is included as an additional insured when required per written contractual agreement with respects to the General Liability and Automobile Liability policies. CERTIFICATE HOLDER CANCELLATION Monroe Count Board of Count SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St Key West, FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S50171001/M50087225 RYEZP