Loading...
HomeMy WebLinkAboutCertificates of Insurance ADVEN-1OP ID: GB DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/05/2026 THISCERTIFICATEISISSUEDASAMATTEROFINFORMATIONONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEHOLDER.THIS CERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTENDORALTERTHECOVERAGEAFFORDEDBYTHEPOLICIES BELOW.THISCERTIFICATEOFINSURANCEDOESNOTCONSTITUTEACONTRACTBETWEENTHEISSUINGINSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT:IfthecertificateholderisanADDITIONALINSURED,thepolicy(ies)musthaveADDITIONALINSUREDprovisionsorbeendorsed. IfSUBROGATIONISWAIVED,subjecttothetermsandconditionsofthepolicy,certainpoliciesmayrequireanendorsement.Astatementon this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT 504-486-5411Accessible Marine Insurance PRODUCER NAME: Accessible Marine Insurance PHONEFAX 504-486-5411504-482-1475 (A/C, No, Ext):(A/C, No): 1145 Allen Toussaint Blvd E-MAIL New Orleans, LA 70124 gail@ami-ins.com ADDRESS: Eric S. Green INSURER(S) AFFORDING COVERAGENAIC # Capitol Specialty Ins. Company INSURER A : Great American Ins. Company22136 INSURED INSURER B : Adventure Environmental Inc. StarNet Insurance Company40045 Greg Tolpin INSURER C : 160 Georgia Avenue INSURER D : Tavernier, FL 33070 INSURER E : INSURER F : COVERAGESCERTIFICATE NUMBER:REVISION NUMBER: THISISTOCERTIFYTHATTHEPOLICIESOFINSURANCELISTEDBELOWHAVEBEENISSUEDTOTHEINSUREDNAMEDABOVEFORTHEPOLICYPERIOD INDICATED.NOTWITHSTANDINGANYREQUIREMENT,TERMORCONDITIONOFANYCONTRACTOROTHERDOCUMENTWITHRESPECTTOWHICHTHIS CERTIFICATEMAYBEISSUEDORMAYPERTAIN,THEINSURANCEAFFORDEDBYTHEPOLICIESDESCRIBEDHEREINISSUBJECTTOALLTHETERMS, 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) 2,000,000 A COMMERCIAL GENERAL LIABILITY X EACH OCCURRENCE$ DAMAGE TO RENTED 50,000 CLAIMS-MADEOCCUR X EV20190209-08 01/09/202601/09/2027 $ PREMISES (Ea occurrence) XX 10,000 MED EXP (Any one person)$ 2,000,000 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 OTHER:$ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ (Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNEDSCHEDULED AUTOS ONLYAUTOSBODILY INJURY (Per accident)$ PROPERTY DAMAGE HIREDNON-OWNED (Per accident)$ AUTOS ONLYAUTOS ONLY $ UMBRELLA LIABOCCUR EACH OCCURRENCE$ EXCESS LIABCLAIMS-MADE AGGREGATE$ DEDRETENTION$ $ PEROTH- WORKERS COMPENSATION STATUTEER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT$ N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE$ If yes, describe under DESCRIPTION OF OPERATIONS belowE.L. DISEASE - POLICY LIMIT$ M.E.L.BOUM-A-25-2110 08/15/202508/15/2026M.E.L.1,000,000 C X Hull/P&I LiabilityOMH841008-14 10/12/202510/12/2026P&I Limit1,000,000 B DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder shown as additional insured with waiver of subrogation in their favor as required by written contract as per Policy Terms and Conditions. RE: Duck Key Breakwater Repair and Living Shoreline Restoration Project CERTIFICATE HOLDERCANCELLATION MONRO05 SHOULDANYOFTHEABOVEDESCRIBEDPOLICIESBECANCELLEDBEFORE THEEXPIRATIONDATETHEREOF,NOTICEWILLBEDELIVEREDIN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners AUTHORIZED REPRESENTATIVE 1100 Simonton St., Ste 408 Key West, FL 33040 ACORD 25 (2016/03)© 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PAGE ADVEN-12 Adventure Environmental Inc. NOTEPAD OP ID: GB01/05/2026 INSURED'S NAMEDate Contractors Pollution Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-08 Policy Period: 01/09/26 - 01/09/2027 Claims Made Aggregate Limit: 5,000,000 Each Contractors Pollution Condition Limit: 5,000,000 Blanket Additional Insured/ Waiver of Subrogation Professional Liability: Insurer: Rockhill Insurance Company Policy#: EV20190209-08 Policy Period: 01/09/26 - 01/09/2027 Aggregate Limit: 2,000,000 Each Professional Services Incident Limit: 2,000,000 Commercial General Liability Conditions: Deductible Liability Endorsement Exclusion - Testing or Consulting Errors and Omissions Total Pollution Exclusion Endorsement Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization Exclusion-Violation of Statutes that Govern Emails, Fax, Phone Calls or Other Methods of Sending Exclusion - Punitive or Exemplary Damages Amended Waiver of Subrogation Exclusion - Engineers, Architects or Surveyors Exclusion - Exterior Insulation and Finish Systems Exclusion - Professional Services Primary/Non-Contributory Coverage-Blanket - When req. by written contract Additional Insured - Managers or Lessors of Premises Toxic Drywall Exclusion Separation of Insureds Independent and/or Subcontractor Restriction Cancellation: 30 days notice (10 days for non-pay) to first named insured Hull & Machinery / Protection & Indemnity: Terms and Conditions applicable to All Sections: Severability Terms and Conditions applicable to Hull: A. I. Coastwise and Inland Hull Clauses Deliberage Damage (Pollution Hazard) Engines & Machinery - ACV / Limited Perils Only No Lay Up Warranty No Release to Tower Warranty Seaworthiness Clause Total Loss Hull Premium Earned Clause Vessel Stability Additional Insured as respects P&I Terms and Conditions applicable to P&I: SP-38 Form Collision Clause including Tow & Extended Tower's Liability Collision Liability - P&I Extension Diving & Swimming Exclusion Food & Beverage Exclusion Health Hazard Exclusion Liability Limitation No Release to Tower Warranty P&I Crew Exclusion: Notwithstanding anything contained in the Protection and Indemnity Clauses herein to the contrary, it is understood and agreed that this Company shall not be liable for any loss, expense or claim to employees of the Assured, members of the crew, contractors or subcontractors Punitive/Exemplary Damages Exclusion Special Operations Exclusion PAGE ADVEN-13 Adventure Environmental Inc. NOTEPAD OP ID: GB01/05/2026 INSURED'S NAMEDate Contractor's Equipment: Carrier - Great American Ins. Co. Policy No.: IMP53057820900 Policy Period: 01/26/2025 to 01/26/2026 - Owned Equipment $75,000 (as of 6/24/2025) - Leased/Rented Equipment any one item limit $200,000 - Leased/Rented Equipment all items limit $400,000 Inland Marine Coverage Part Declarations Page Commercial Inland Marine Conditions; Contractor's Equipment Declarations Scheduled Form; Contractor's Equipment Scheduled Coverage Form Contractor's Equipment Equipment Leased or Rented From Others Coverage Florida Changes - Warranties; Florida Changes - Loss Payment Crane Exclusion Endorsement; Contractor's Equipment Existing Fire Exclusion; Blanket Loss Payable Endorsement; Marijuana Exclusion Eff.6/6/25 Remove 2020 Tandano Crane Eff.6/24/25 Add 2003 Kobelco SK160LC Excavator valued at $30,000 Eff.6/24/25 Add 2017 Caterpillar 259D Compact Loader valued at $45,000 M.E.L. -Maritime Employers Liability Coverage Form -Transportation, Wages, Maintenance & Cure -Notice of Cancellation: 30 days (except 10 days of nonpayment of premium) -Death on the High Seas Clause -In Rem Liability -Blanket Waiver of Subrogation -Cancellation: 30 days notice (10 days for non-pay) to First Named Insured This certificate of insurance neither affirmatively nor negatively alters, amends, or extends the coverage afforded by Policy(ies) issued by the Insurer(s) listed on this certificate. Date 12/8/2025 CERTIFICATE OF LIABILITY INSURANCE Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no Producer: rights upon the Certificate Holder. This Certificate does not amend, extend 2739 U.S. Highway 19 N. or alter the coverage afforded by the policies below. Holiday, FL 34691 Insurers Affording Coverage (727)938-5562 NAIC # Insurer A: Lion Insurance Company11075 Insured: South East Personnel Leasing, Inc. & Subsidiaries Insurer B: 2739 U.S. Highway 19 N. Insurer C: Holiday, FL 34691 Insurer D: Insurer E: Coverages The policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. Policy Effective Policy Expiration INSR ADDL Limits Type of InsurancePolicy Number Date Date LTRINSRD (MM/DD/YY)(MM/DD/YY) GENERAL LIABILITY Each Occurrence$ Commercial General Liability Damage to rented premises (EA occurrence) Claims MadeOccur $ Med Exp$ $ Personal Adv Injury General aggregate limit applies per: General Aggregate$ PolicyProjectLOC Products - Comp/Op Agg$ Combined Single Limit AUTOMOBILE LIABILITY $ (EA Accident) Any Auto Bodily Injury All Owned Autos$ Scheduled Autos Bodily Injury $ Hired Autos Non-Owned Autos Property Damage $ Each Occurrence EXCESS/UMBRELLA LIABILITY OccurClaims MadeAggregate Deductible WC Statu-OTH- X A Workers Compensation and WC 7194901/01/20201/01/202 tory LimitsER Employers' Liability $1,000,000 E.L. Each Accident Any proprietor/partner/executive officer/member excluded? NO $1,000,000 E.L. Disease - Ea Employee If Yes, describe under special provisions below. $1,000,000 E.L. Disease - Policy Limits Other Lion Insurance Company is A.M. Best Company rated A (Excellent). AMB # 12616 Descriptions of Operations/Locations/Vehicles/Exclusions added by Endorsement/Special Provisions: Client ID:80-65-323 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company": Adventure Environmental, 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 ROCK HARBOR BREAKWATER REPAIR SEAWEED BARRIER SYSTEM WATER QUALITY IMPROVEMENT INCLUDES USL&H. WAIVER OF SUBROGATION APPLIES IN FAVOR OF MONROE COUNTY BOARD OF COUNTY COMMISSIONERS. ISSUE 12-02-25 (PH) 3/15/2010 Begin Date: CERTIFICATE HOLDERCANCELLATION Should any of the above described policies be cancelled before the expiration date thereof, the issuing MONROE COUNTY BOARD OF COUNTY COMMISSIONERS insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. 1100 SIMONTON STREET KEY WEST, FL 33040 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE WC 00 03 13 POLICY Zft (Ed. 4-84) WAIVER OF OURRIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover ourpayments from anyone liable for an injury covered by this policy. We will not enforce our right against thepersonororganization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall notoperate directly orindirectly to benefit anyone not named in the Schedule. Schedule MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST, FL 33040 Endorsement This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Insured: South East Personnel Leasing, Inc. Insurance Company: Lion Insurance Co. Countersigned by: Policy#:WC71949 Effective: 01/01/202-01/01/202 Client:Adventure Environmental, Inc. WC 00 0313 (Ed. 4-84) © 1983 National Council on Compensation Insurance. TQMJDPJgpsBEWFOUVSFFOWJSPONFOUBM-JOD/.833662