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ACCOR" CERTIFICATE OF LIABILITY INSURANCE 8/13/2025
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).
PRODUCER CONTACT
NAME: Alefa Kerry
AWA Insurance Agency PHONE FAX
13700 Six Mile Cypress Pkwy A/C No Ext: 239-418-1100 A/c,No):239-418-1164
E-MSuite 1 ADDRESS: alefa@awainsurance.com
Fort Myers FL 33912 INSURER(S)AFFORDING COVERAGE NAIC#
wsURERA: Southern-Owners Ins Co 10190
INSURED Cw3ENGl-01 INSURERB: National Casualty Company 11991
CW3 Engineering Inc
5783 Bayshore Rd Unit 113 INsuRERc: Progressive Express Ins Company 10193
North Fort Myers FL 33917 INSURERD:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:1082084863 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 EFF POLICY EXP LIMITS
LTR INSD WVD POLICY NUMBER MM/DD MM/DD
A X COMMERCIAL GENERAL LIABILITY Y 20877061 7/10/2025 7/10/2026 EACH OCCURRENCE $1,000,000
CLAIMS-MADE OCCUR DAMAGE TO RENTED
PREMISES Ea occurrence $300,000
MED EXP(Any one person) $10,000
PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY� PE� LOC PRODUCTS-COMP/OP AGG $2,000,000
OTHER: $
C AUTOMOBILE LIABILITY Y 997457884 5/14/2025 5/14/2026 COMBINED SINGLE LIMIT $1,000,000
Ea accident
ANY AUTO BODILY INJURY(Per person) $
OWNED X SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
PIP $10,000
A X UMBRELLALIAB X OCCUR 5607050300 7/10/2025 7/10/2026 EACH OCCURRENCE $1,000,000
EXCESS LAB CLAIMS-MADE AGGREGATE $1,000,000
DED RETENTION$ $
A WORKERS COMPENSATION A106671373 7/10/2025 7/10/2026 X PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
OFFICE R/M EMBER EXCLUDED? FN] 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
B Professional Liability ADP0000745 7/10/2025 7/10/2026 Each Occurrence 2,000,000
Aggregate 2,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
RE: Key Deer Boulevard(north of Watson Blvd.)Monroe County&Monroe County BOCC is listed as additional Insured with respects to General Liability and
Auto Liability per the attached endorsements.
A� 16X T
DATE8.13,,25_ _.._-.... .
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.
Monroe County& Monroe County BOCC
1100 Simonton Street AUTHORIZED REPRESENTATIVE
Key West FL 33040
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
Form 2366 (02/11) M_CL
Blanket Additional Insured Endorsement
This endorsement modifies insurance provided by the Commercial Auto Policy, Motor Truck Cargo Legal
Liability Coverage Endorsement, and/or Commercial General Liability Coverage Endorsement, as appears
on the declarations page.All terms and conditions of the policy apply unless modified by this
endorsement.
If you pay the fee for this Blanket Additional Insured Endorsement, we agree with you that any person
or organization with whom you have executed a written agreement prior to any loss is added as an
additional insured with respect to such liability coverage as is afforded by the policy, but this insurance
applies to such additional insured only as a person or organization liable for your operations and then
only to the extent of that liability.This endorsement does not apply to acts, omissions, products, work,
or operations of the additional insured.
Regardless of the provisions of paragraph a. and b. of the "Other Insurance" clause of this policy, if the
person or organization with whom you have executed a written agreement has other insurance under
which it is the first named insured and that insurance also applies,then this insurance is primary to and
non-contributory with that other insurance when the written contract or agreement between you and
that person or organization, signed and executed by you before the bodily injury or property damage
occurs and in effect during the policy period, requires this insurance to be primary and non-
contributory.
In no way does this endorsement waive the "Other Insurance" clause of the policy, nor make this policy
primary to third parties hired by the insured to perform work for the insured or on the insured's behalf.
ALL OTHER TERMS, LIMITS,AND PROVISIONS OF THE POLICY REMAIN UNCHANGED.
Agency Code 12-0644-00 Policy Number 254612-20877061
55373 (5-17)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
A. Under SECTION II-WHO IS AN INSURED is in whole or in part, by"your work"for that Addi-
amended. The following provision is added. tional Insured by or for you. Other insurance
A person or organization is an Additional Insured, available to the Additional Insured will apply as
only with respect to liability caused, in whole or in excess insurance and not contribute as primary
part, by"your work"for that Additional Insured by or insurance to the insurance provided by this
for you: endorsement.
1. If required in a written contract or agreement; or 2. The following condition is added.
2. If required by an oral contract or agreement only Other Additional Insured Coverage Issued By
if a Certificate of Insurance was issued prior to Us
the loss indicating that the person or organiza- If this policy provides coverage for the same
tion was an Additional Insured. loss to any Additional Insured specifically shown
B. SECTION III - LIMITS OF INSURANCE is as an Additional Insured in another endorsement
amended. The following provision is added. to this policy, our maximum limit of insurance
The limits of liability for the Additional Insured are under this endorsement and any other endorse-
those specified in the written contract or agreement ment shall not exceed the limit of insurance in
between the insured and the owner, lessee or con- the written contract or agreement between the
tractor or those specified in the Certificate of Insur- insured and the owner, lessee or contractor, or
ance, if an oral contract or agreement, not to exceed the limits provided in this policy, whichever is
the limits provided in this policy. These limits are less. Our maximum limit of insurance arising
inclusive of and not in addition to the limits of out of an 'occurrence", shall not exceed the limit
insurance shown in the Declarations. of insurance shown in the Declarations, regard-
C. SECTION IV-COMMERCIAL GENERAL less of the number of insureds or Additional
LIABILITY CONDITIONS is amended. Insureds.
1. The following condition is added to 4.Other
Insurance. All other policy terms and conditions apply.
This insurance is primary for the Additional
Insured, but only with respect to liability caused,
55373 (5-17) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1