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HomeMy WebLinkAboutItem Q03 4955 4956 4957 4958 4959 495: 4961 4962 4963 4964 4965 4966 4967 4968 4969 496: 4971 4972 4973 4974 4975 4976 4977 4978 4979 497: 4981 4982 4983 4984 4985 4986 4987 4988 4989 498: 4991 4992 4993 4994 4995 4996 4997 4998 4999 499: 49:1 49:2 49:3 49:4 49:5 49:6 49:7 49:8 49:9 49:: 4:11 4:12 4:13 4:14 4:15 4:16 4:17 4:18 4:19 4:1: 4:21 4:22 4:23 4:24 4:25 4:26 4:27 4:28 4:29 4:2: 4:31 4:32 4:33 4:34 4:35 4:36 4:37 4:38 4:39 4:3: 4:41 4:42 4:43 4:44 4:45 4:46 4:47 4:48 4:49 4:4: 4:51 4:52 4:53 4:54 4:55 4:56 4:57 4:58 4:59 4:5: 4:61 4:62 4:63 4:64 4:65 4:66 4:67 4:68 4:69 4:6: 4:71 4:72 4:73 4:74 4:75 4:76 4:77 4:78 4:79 4:7: 4:81 4:82 4:83 4:84 4:85 4:86 4:87 4:88 4:89 4:8: 4:91 4:92 4:93 4:94 4:95 4:96 4:97 4:98 4:99 4:9: 4::1 4::2 4::3 4::4 4::5 4::6 4::7 4::8 4::9 4::: 5111 5112 5113 PIGEKEY-03BARNESAL DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/25/2025 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 rights to the certificate holder in lieu of such endorsement(s). CONTACT Yvonne Griego PRODUCER NAME: PHONEFAX Insurance Office of America (719)280-0310(719)738-3587 (A/C, No, Ext):(A/C, No): 3535 Grandview Parkway E-MAIL Yvonne.Griego@ioausa.com Suite 400 ADDRESS: Birmingham, AL 35243 INSURER(S) AFFORDING COVERAGENAIC # Alliance of Nonprofits for Insurance, Risk Retention Group, Inc. 10023 INSURER A : INSURED Prime Insurance Company12588 INSURER B : The Pie Insurance Company21857 INSURER C : Pigeon Key Foundation, Inc. 5800 Overseas Hwy Ste 17 INSURER D : Marathon, FL 33050 INSURER E : INSURER F : COVERAGESCERTIFICATE 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. INSRADDLSUBRPOLICY EFFPOLICY EXP TYPE OF INSURANCEPOLICY NUMBERLIMITS LTRINSDWVD(MM/DD/YYYY)(MM/DD/YYYY) 1,000,000 A COMMERCIAL GENERAL LIABILITY X EACH OCCURRENCE$ DAMAGE TO RENTED 500,000 CLAIMS-MADEOCCUR X 02-CP-0061766-01-059/26/20259/26/2026 $ PREMISES (Ea occurrence) XX 20,000 MED EXP (Any one person)$ 1,000,000 PERSONAL & ADV INJURY$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE$ PRO- 2,000,000 X POLICYLOC PRODUCTS - COMP/OP AGG$ JECT LIQUOR1,000,000 OTHER:$ COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO PC250528575/23/20255/23/2026 BODILY INJURY (Per person)$ X OWNEDSCHEDULED X AUTOS ONLYAUTOSBODILY INJURY (Per accident)$ PROPERTY DAMAGE HIREDNON-OWNED XX (Per accident)$ AUTOS ONLYAUTOS ONLY $ 1,000,000 A XX UMBRELLA LIABOCCUR EACH OCCURRENCE$ 02-UB-0061766-01-059/26/20259/26/2026 1,000,000 EXCESS LIABCLAIMS-MADE AGGREGATE$ DEDRETENTION$ $ PEROTH- WORKERS COMPENSATION C X STATUTEER AND EMPLOYERS' LIABILITY Y / N WC PI 1448771-0019/26/20259/26/2026 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A N OFFICER/MEMBER EXCLUDED? 500,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under 500,000 DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ Liquor Liability02-CP-0061766-01-059/26/20259/26/2026 Common Cause1,000,000 A Liquor Liability02-CP-0061766-01-059/26/20259/26/2026 Aggregate1,000,000 A DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Monroe County Board of County Commissioners is included as Additional Insured as required by written contract per General Liability Form No. CG 20 26 12 19.Has been added by endorsement to the Business Auto coverage portion The Umbrella Liability policy includes the above listed General Liability and Employers Liability policies on the Underlying Schedule. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners AUTHORIZED REPRESENTATIVE c/o Risk Management PO Box 1026 Key West, FL 33041 ACORD 25 (2016/03)© 1988-2015 ACORD CORPORATION. All rights reserved. 5114 The ACORD name and logo are registered marks of ACORD