HomeMy WebLinkAboutCertificates of Insurance 710/1/2025
E(MM/DD/YYYY)
A�" CERTIFICATE OF LIABILITY INSURANCE
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:
Marsh &McLennan Agency LLC PHONE FAX
250 Pehle Avenue, Suite 400 A/C No,Ext: A/C,ND:
E-MSaddle Brook NJ 07663 ADDRESS: jennifer.juarez@marshmma.com
INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA: Continental Insurance Co of NJ 42625
INSURED SHIINTER1 INSURERB: Chubb National Insurance Company 10052
SHI International Corp.
100 North Tampa Street INsuRERc: Federal Insurance Company 20281
Suite 3620 INSURERD:ACE Insurance Company of the Midwest 26417
Tampa FL 33602 INSURERE:
INSURER F:
COVERAGES CERTIFICATE NUMBER:1073134470 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
B X COMMERCIAL GENERAL LIABILITY 36094214 9/30/2025 9/30/2026 EACH OCCURRENCE $1,000,000
CLAIMS-MADE OCCUR DAMAGE TO RENTED
PREMISES Ea occurrence $1,000,000
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� PRO- � LOC PRODUCTS-COMP/OP AGG $1,000,000
OTHER: $
C AUTOMOBILE LIABILITY 73655160 9/30/2025 9/30/2026 COMBINED SINGLE LIMIT $1,000,000
Ea accident
X ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
X HIRED X NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
C X UMBRELLA LIAB X OCCUR 56731160 9/30/2025 9/30/2026 EACH OCCURRENCE $15,000,000
EXCESS LAB CLAIMS-MADE AGGREGATE $15,000,000
DED X RETENTION$1 n nnn $
D WORKERS COMPENSATION 71845092 9/30/2025 9/30/2026 X PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTEI 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
A Error&Omission/ 596831142 9/30/2025 9/30/2026 $ Occ/Agg
Cyber Liability claims made
no retro date
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Monroe County BOCC is included as Additional Insured when required by written contract,agreement or permit,but only with respect to the General Liability
insurance and subject to the provisions and limitations of the policy.
APPROVED BY RISK MANAGEMENT
9Y Cda¢E¢rn
CERTIFICATE HOLDER BY ins/as CANCELLATION
WAIVER N/A-)L YES
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 BOCC
1100 Simonton St. AUTHORIZED REPRESENTATIVE
Key West FL 33040
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