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HomeMy WebLinkAbout12/23/2025 Agreement Ejhjubmmz!tjhofe!cz! Disjtujof Disjtujof!Ivsmfz! Ebuf;!3136/23/34! 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XPSLFST!DPNQFOTBUJPO TUBUVUFFS BOE!FNQMPZFST(!MJBCJMJUZ Z!0!O BOZ!QSPQSJFUPS0QBSUOFS0FYFDVUJWF F/M/!FBDI!BDDJEFOU% O!0!B PGGJDFS0NFNCFS!FYDMVEFE@ )Nboebupsz!jo!OI* F/M/!EJTFBTF!.!FB!FNQMPZFF% Jg!zft-!eftdsjcf!voefs EFTDSJQUJPO!PG!PQFSBUJPOT!cfmpxF/M/!EJTFBTF!.!QPMJDZ!MJNJU% EFTDSJQUJPO!PG!PQFSBUJPOT!0!MPDBUJPOT!0!WFIJDMFT!!)BDPSE!212-!Beejujpobm!Sfnbslt!Tdifevmf-!nbz!cf!buubdife!jg!npsf!tqbdf!jt!sfrvjsfe* DFSUJGJDBUF!IPMEFSDBODFMMBUJPO TIPVME!BOZ!PG!UIF!BCPWF!EFTDSJCFE!QPMJDJFT!CF!DBODFMMFE!CFGPSF UIF!FYQJSBUJPO!EBUF!UIFSFPG-!OPUJDF!XJMM!CF!EFMJWFSFE!JO BDDPSEBODF!XJUI!UIF!QPMJDZ!QSPWJTJPOT/ BVUIPSJ\[FE!SFQSFTFOUBUJWF ª!2:99.3126!BDPSE!DPSQPSBUJPO/!!Bmm!sjhiut!sftfswfe/ BDPSE!36!)3127014*Uif!BDPSE!obnf!boe!mphp!bsf!sfhjtufsfe!nbslt!pg!BDPSE Ebuf 12/7/2024 CERTIFICATE OF LIABILITY INSURANCE Qmznpvui!Jotvsbodf!Bhfodz This Certificate is issued as a matter of information only and confers no Producer: rights upon the Certificate Holder. This Certificate does not amend, extend 384:!V/T/!Ijhixbz!2:!O/ or alter the coverage afforded by the policies below. Ipmjebz-!GM!!457:2 Insurers Affording Coverage )838*:49.6673 NAIC # Jotvsfs!B;! Lion Insurance Company11075 Insured: Tpvui!Fbtu!Qfstpoofm!Mfbtjoh-!Jod/!'!Tvctjejbsjft Jotvsfs!C; 384:!V/T/!Ijhixbz!2:!O/ Jotvsfs!D; Ipmjebz-!GM!!457:2 Jotvsfs!E; Jotvsfs!F; Dpwfsbhft Uif!qpmjdjft!pg!jotvsbodf!mjtufe!cfmpx!ibwf!cffo!jttvfe!up!uif!jotvsfe!obnfe!bcpwf!gps!uif!qpmjdz!qfsjpe!joejdbufe/!!Opuxjuituboejoh!boz!sfrvjsfnfou-!ufsn!ps!dpoejujpo!pg!boz!dpousbdu!ps!puifs!epdvnf ou! xjui!sftqfdu!up!xijdi!uijt!dfsujgjdbuf!nbz!cf!jttvfe!ps!nbz!qfsubjo-!uif!jotvsbodf!bggpsefe!cz!uif!qpmjdjft!eftdsjcfe!ifsfjo!jt!tvckfdu!up!bmm!uif!ufsnt-!fydmvtjpot-!boe!dpoejujpot!pg!tvdi!qpmjdjft/! !Bhhsfhbuf! mjnjut!tipxo!nbz!ibwf!cffo!sfevdfe!cz!qbje!dmbjnt/ Qpmjdz!Fggfdujwf!Qpmjdz!Fyqjsbujpo! JOTS!BEEM! Mjnjut Uzqf!pg!JotvsbodfQpmjdz!Ovncfs Ebuf!Ebuf MUSJOTSE )NN0EE0ZZ*)NN0EE0ZZ* HFOFSBM!MJBCJMJUZ Fbdi!Pddvssfodf% Dpnnfsdjbm!Hfofsbm!Mjbcjmjuz Ebnbhf!up!sfoufe!qsfnjtft!)FB! pddvssfodf* Dmbjnt!NbefPddvs % Nfe!Fyq% % Qfstpobm!Bew!Jokvsz Hfofsbm!bhhsfhbuf!mjnju!bqqmjft!qfs; Hfofsbm!Bhhsfhbuf% QpmjdzQspkfduMPD Qspevdut!.!Dpnq0Pq!Bhh% Dpncjofe!Tjohmf!Mjnju BVUPNPCJMF!MJBCJMJUZ % )FB!Bddjefou* Boz!Bvup Cpejmz!Jokvsz Bmm!Pxofe!Bvupt% Tdifevmfe!Bvupt Cpejmz!Jokvsz % Ijsfe!Bvupt Opo.Pxofe!Bvupt Qspqfsuz!Ebnbhf % Fbdi!Pddvssfodf FYDFTT0VNCSFMMB!MJBCJMJUZ PddvsDmbjnt!NbefBhhsfhbuf Efevdujcmf XD!Tubuv.PUI. Y B Xpslfst!Dpnqfotbujpo!boe! XD!82:5:120120313120120313 upsz!MjnjutFS Fnqmpzfst(!Mjbcjmjuz %2-111-111 F/M/!Fbdi!Bddjefou Boz!qspqsjfups0qbsuofs0fyfdvujwf!pggjdfs0nfncfs! fydmvefe@ NO %2-111-111 F/M/!Ejtfbtf!.!Fb!Fnqmpzff Jg!Zft-!eftdsjcf!voefs!tqfdjbm!qspwjtjpot!cfmpx/ %2-111-111 F/M/!Ejtfbtf!.!Qpmjdz!Mjnjut Puifs Lion Insurance Company is A.M. Best Company rated A (Excellent). AMB # 12616 Eftdsjqujpot!pg!Pqfsbujpot0Mpdbujpot0Wfijdmft0Fydmvtjpot!beefe!cz!Foepstfnfou0Tqfdjbm!Qspwjtjpot;! Client ID:32-03-110 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company": The King's Enterprises Of The Keys, Inc. Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s), while working in: FL. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by certificates@lioninsurancecompany.com NICHOLAS JOHN WIELANDER, LICENSE #CBC059852, AS QUALIFIER. ISSUE 05-05-23 (PH) 10/7/2017 Begin Date: DFSUJGJDBUF!IPMEFSDBODFMMBUJPO Tipvme!boz!pg!uif!bcpwf!eftdsjcfe!qpmjdjft!cf!dbodfmmfe!cfgpsf!uif!fyqjsbujpo!ebuf!uifsfpg-!uif!jttvjoh! MONROE COUNTY BOCC jotvsfs!xjmm!foefbwps!up!nbjm!41!ebzt!xsjuufo!opujdf!up!uif!dfsujgjdbuf!ipmefs!obnfe!up!uif!mfgu-!cvu!gbjmvsf!up! ep!tp!tibmm!jnqptf!op!pcmjhbujpo!ps!mjbcjmjuz!pg!boz!ljoe!vqpo!uif!jotvsfs-!jut!bhfout!ps!sfqsftfoubujwft/ 1100 SIMONTON STREET KEY WEST, FL 33040 EBUF DFSUJGJDBUF!PG!MJBCJMJUZ!JOTVSBODF UIJTDFSUJGJDBUFJTJTTVFEBTBNBUUFSPGJOGPSNBUJPOPOMZBOEDPOGFSTOPSJHIUTVQPOUIFDFSUJGJDBUFIPMEFS/UIJT DFSUJGJDBUFEPFTOPUBGGJSNBUJWFMZPSOFHBUJWFMZBNFOE-FYUFOEPSBMUFSUIFDPWFSBHFBGGPSEFECZUIFQPMJDJFTCFMPX/ UIJTDFSUJGJDBUFPGJOTVSBODFEPFTOPUDPOTUJUVUFBDPOUSBDUCFUXFFOUIFJTTVJOHJOTVSFS)T*-BVUIPSJ\[FESFQSFTFOUBUJWF PS!QSPEVDFS-!BOE!UIF!DFSUJGJDBUF!IPMEFS/ JNQPSUBOU;JguifdfsujgjdbufipmefsjtboBEEJUJPOBMJOTVSFE-uifqpmjdz)jft*nvtuibwfBEEJUJPOBMJOTVSFEqspwjtjpotpscffoepstfe/Jg TVCSPHBUJPOJTXBJWFE-tvckfduupuifufsntboedpoejujpotpguifqpmjdz-dfsubjoqpmjdjftnbzsfrvjsfbofoepstfnfou/Btubufnfoupouijt dfsujgjdbuf!epft!opu!dpogfs!sjhiut!up!uif!dfsujgjdbuf!ipmefs!jo!mjfv!pg!tvdi!foepstfnfou)t*/ DPOUBDU QSPEVDFS OBNF; QIPOFGBY )B0D-!Op-!Fyu*;)B0D-!Op*; FNBJM BEESFTT; JOTVSFS)T*!BGGPSEJOH!DPWFSBHFOBJD$ JOTVSFS!B;JOTVSFS!B; JOTVSFE JOTVSFS!C; JOTVSFS!D; JOTVSFS!E; JOTVSFS!F; JOTVSFS!G; DPWFSBHFTDFSUJGJDBUF!OVNCFS;SFWJTJPO!OVNCFS; UIJTJTUPDFSUJGZUIBUUIFQPMJDJFTPGJOTVSBODFMJTUFECFMPXIBWFCFFOJTTVFEUPUIFJOTVSFEOBNFEBCPWFGPSUIFQPMJDZ QFSJPEJOEJDBUFE/OPUXJUITUBOEJOHBOZSFRVJSFNFOU-UFSNPSDPOEJUJPOPGBOZDPOUSBDUPSPUIFSEPDVNFOUXJUISFTQFDU UPXIJDIUIJTDFSUJGJDBUFNBZCFJTTVFEPSNBZQFSUBJO-UIFJOTVSBODFBGGPSEFECZUIFQPMJDJFTEFTDSJCFEIFSFJOJTTVCKFDU UP!BMM!UIF!UFSNT-!FYDMVTJPOT!BOE!DPOEJUJPOT!PG!TVDI!QPMJDJFT/!MJNJUT!TIPXO!NBZ!IBWF!CFFO!SFEVDFE!CZ!QBJE!DMBJNT/ JOTSJOTSBEEMTVCSQPMJDZ!FGGQPMJDZ!FYQ MUSMUSUZQF!PG!JOTVSBODFJOTEXWEQPMJDZ!OVNCFS)NN0EE0ZZZZ*)NN0EE0ZZZZ*MJNJUT DPNNFSDJBM!HFOFSBM!MJBCJMJUZ FBDI!PDDVSSFODF% EBNBHF!UP!SFOUFE DMBJNT.NBEFPDDVS QSFNJTFT!)Fb!pddvssfodf*% NFE!FYQ!)Boz!pof!qfstpo*% QFSTPOBM!'!BEW!JOKVSZ% HFOFSBM!BHHSFHBUF% HFO(M!BHHSFHBUF!MJNJU!BQQMJFT!QFS; QSP. 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