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ACCOR" CERTIFICATE OF LIABILITY INSURANCE 3/10/2025
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 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: Michelle Rushing
Bowen, Miclette& Britt of Florida, LLC a//C"No Ext: (407)647-1616 a/c No:(407)628-1635
850 Concourse Parkway S (A
AMAIL
Suite#105 ADDRESS: mrushing@bmbinc.com
Maitland FL 32751 INSURER(S)AFFORDING COVERAGE NAIC#
INSURERA:Amerisure Mutual Insurance Company 23396
INSURED PEDROFALCO INSURER B:James River Insurance Co. 12604
Pedro Falcon Electrical Contractors, Inc.
31160 Avenue C INSURERC:
Big Pine Key FL 33043-4516 INSURER D7
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 1088767256 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 MMIDD/YYY MMIDD/YYY
B X COMMERCIAL GENERAL LIABILITY Y Y 00123482-3 11/2/2024 11/2/2025 EACH OCCURRENCE $1,000,000
CLAIMS-MADE � OCCUR PREMISES DAMAGE TO
PREMISES Ea occurrence)
ccurrence $100,000
MED EXP(Any one person) $5,000
PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY jECT RO-
LOC PRODUCTS-COMP/OP AGG $2,000,000
OTHER: $
A AUTOMOBILE LIABILITY Y Y CA20929391002 11/2/2024 11/2/2025 COMBINED SINGLE LIMIT $
Ea accident 1 000 000
X ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE $
HIRED AUTOS AUTOS Per accident
B UMBRELLA LAB X OCCUR Y Y 00138713-2 11/2/2024 11/2/2025 EACH OCCURRENCE $5,000,000
X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
DED RETENTION$ $
A WORKERS COMPENSATION Y WC20945261002 11/2/2024 11/2/2025 )( PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000
OFFICER/MEMBER EXCLUDED? FN] N/A
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
If yes,describe under ISX T
DESCRIPTION OF OPERATIONS below �' •y �,,,,,_ E.L.DISEASE-POLICY LIMIT $1,000,000
Bye_ P
_.1025.,, .._,_ .._._...,,.
WAW KA_X :,.
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
The following policy provisions and/or endorsements form part of the policies of insurance represented by this certificate of insurance. The terms contained in
the policies and/or endorsements supersede the representations made herein. Electronic copies of the policy provisions and/or endorsements listed below are
available by emailing: Contact Name shown above.
When required by written contract,those parties listed in said contract, including the Certificate Holder,are added as additional insureds with respect to the
General Liability including ongoing and completed operations,Auto Liability,and Excess Liability as afforded by the policy and/or endorsements.
When required by written contract,waiver of Subrogation is granted with respect to the General Liability,Auto Liability,Workers Compensation,and Excess
See Attached...
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 Board of County Commissioners
1100 Simonton Street Suite 2-213 AUTHORIZED REPRESENTATIVE
Key West FL 33040
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