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HomeMy WebLinkAboutCertificates of Insurance r INNt7EM'IE-01 LH.A: .LIET rkATE CERTIFICATE OF LIABILITY INSURANCE IMMMrGtW""rYYI 2025 - " ................................................................................................................................................................................................................................................................................................................................ 101 .............,.,., THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY DR NEGATIVELY AMEND, EXTENID OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BEILOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INISU'RER( ),AUTHORIZED REPRESENTATIVE OR PRODUCER„AND THE CERTIFICATE HOLDER,. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED„the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed.. If SU'BROGATIO'N 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 rr hts to the certificate holder in lieu)of such endorsement s PRODUCER � r Mari F.IHamlet Atera Group PHIa NiE eur 4131 Parlklake Avenue„Suite 226 UA�I„N , LU. B1B 69. 473 UPI,IN U. 91 467 987 Raleigh,NC 27612 IhamletGtrll°sure aonn ....................................................................................Itu;�;n;�faFB.t�lAftr�Bt%;I �;, cyrrF��cL;....................................................................................., e�IIdA:�� INSURERA Zurich ArnerliCuart Insurance Ga�ITV���h�....................... 1653 INSURED INSURER 0 American Guarantee&(Liability(Insurance Company 26247 .................................................................................................................................................................................................................................................................................................................................. UEIM International,Ilnc. -III" Ialrwdlrl rllerlltT UlrululrIe 8I8 5420 Wade Park Bvd,,Suite 140 INSURER D Axis gMlw In q nae 2ITt a ru+....................... ......... '20 Raleigh,INC 27607 INSURER'E INISIIRER'F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: ............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................. THIS IS TO CERTIFY THAT THE: POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE(INSURED NAMED ABOVE FOR THE POL ICY PERIOD INDICATED. INOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION EIIF ANY CONTRACTOR EITHER DO UIMENT W ITHI RESIP'ECT TO WHICIH THUS CERTIFICATE Ir'JNAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH IP'O ICIIES,LIMITS SHOWN MAY HAVE BEEN IR,E:DDDED BY PAID CLAIMS, .............................................................................................,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,...................,.,.,..,...,.,.,.,.,.,.,.,.,..,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,....,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,.,..........................................,.,.,.,.......................................................,.,.,.,.,............. IINI5Ft. A6rS9L SWIL�IR I I N411NFV&31 R..........................4MPIICI#LIILY f=I EdF.Y.I..I�PIlCfliLdl�ICr�Y Y E I/F L1fl. TYPE OF INSURANCE I5y POLICY ........ ......... ......... A X COMMERCIAL GENERAL LIABILITY . � I%hl9T�i EACH CUCCUIRRENCE S 2"0 0„0010 CgAUMS-MADE OCCUR X CP03108416-00 1I0111262 r 101112026 [3AN1 GE TO RENTED 1 0100 6U710 ..!�1tL11!LUr�.IF: ..I.LaT.Ilr�ll�:511I..... . ...................... MEDEXP m Bane asaan S 10,0010. PEFfiSGNAI.s ADw uNJI:IIRY S 2„13100,00116 GEINI..AGGREGATE I WITAP9 LIES PER: GENERAL AGGREGATE S 4,0100,0010 IPOLIC:Y Pllk V Qa PRODUCTS 4"0MPQP AGG. ......................4 0100 0010 hfli R::.................................................................... . EBL 0100,0010 A AUTOMOBILE ILIABIL.UTY COMBINED SINGLE LIMIT 1 CD13CI 6CVUl ............... ANY AUTO X CP03108416.00 1I01112625 101112026 �CIIaIL�,II�nLIIFaY,t���pa�r����1'... . .................................................. a,T4eV'NED SCHEDULE.b'. AUTOS 4 tNI Y AUTOS 9TCkI IUL�,IU!�LIIRY If�V R�dca 1eglMl . ..................................................... Fr A%��N r ROPSSTY DAMAGE W ONI.."Y G WS4P r Y cpv%1 ..................................................... S 1 X IU.IIMBREI I A V IAB X OCCUR EX H 0CC'URRFNCE.............. . ............... 1I0 0100 0010' ExCESS LIA6 CLAIMS MADE AUC316842'4-00 1101112026 101112026 AUGRL4FwT 110 0100 0010 ..... ................................ .............................. ...................... TI r II�ED RE EN Tl'T?N S S A WORKERS COMPENSATION � PEER GrrR AND ENMPLCIYERV UABILITY' r I N aT TW1T6 EI$ i111C3108'418-010 11011112026 101112026 1 ID13CI 0010 ANY F�RChPRUETFARTNERdEEC4lTUE F L EAC N, CCIrIEUT... ...................... �Fud l w n I LxL LIILIECI N N A 1„0100„6ClUl an csy oln F L IJUEA E EA IFkIPq ChYIF: S III yes,describe under G SGRIPTUGN OE GPEMDQNS Lel w� F L DISEASE (POLICY(LIMIT S 1"����„���� Professlonal1lCyber LCY8711437 11 D1112625 1 UD1112t126 D Excess ESO PII6160'124687302 1101,12026 101112,026 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 1101,Adds ional Remarks Schedulie,nma be aLCached if anode space is mequldedl (Monroe County,Florida Board of County Commissioners are included as additional irnsureds with respects to General ILiability and Automobile Liability if required by written contract. A 30 day notice of cancellation applies. Ads m �� ro w:w tm, 1 a 2F- w.a. *MAP CERTIFICATE HOLDER CANCELLATION ........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Florida THE EXPIRATION DATE THEREOF, NO'nCE WILL BE DELIVERED IN ACCORDANCE NTH THE POLICY PROVISIONS. Attn: Jullie Culneo,Director of Purchasing S Contracts 1100 Simonton Street,,Suite 2-213 Ivey West,FL 33040 AUTHORIZED REPRESENTATIVE' 4. ACOIRD 25(2016103) Cc)1988-241 a ACORD CORPORATION'. Ali rights reserved. The ACORD nalme and logo are registered marks of ACORD INNOEME-01 LHAMLET ACORO"° CERTIFICATE OF LIABILITY INSURANCE DAT/30/2D/YYYY) 025 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 Lori F. Hamlet NAME: Alera Group PHONE FAX 4131 Parklake Avenue,Suite 225 (A/C,No,Ext): (919)469-2473 (A/C,No):(919)467-4987 Raleigh,NC 27612 E-MAIL (hamlet@trisure.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Zurich American Insurance Company 16535 INSURED INSURER B:American Guarantee&Liability Insurance Company 26247 IEM International,Inc. INSURERC:Landmark American Insurance 33138 5420 Wade Park Bvd,Suite 140 INSURERD:AXIs Surplus Insurance Company 26620 Raleigh,NC 27607 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE X OCCUR CP03108416-00 10/1/2025 10/1/2026 DAMAGE TO RENTED 1,000,000 X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY X JECT1:1 LOC PRODUCTS-COMP/OPAGG $ 4,000,000 OTHER: EBL $ 1,000,000 A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO X CP03108416-00 10/1/2025 10/1/2026 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AUC3108424-00 10/1/2025 10/1/2026 AGGREGATE $ 10,000,000 DED X RETENTION$ $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N WC3108418-00 10/1/2025 10/1/2026 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,UUU If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Professional/Cyber LCY870437 10/1/2025 10/1/2026 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Monroe County,Florida Board of County Commissioners are included as additional insureds with respects to General Liability and Automobile Liability if required by written contract. A 30 day notice of cancellation applies. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Florida THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Julie Cuneo,Director of Purchasing&Contracts 1100 Simonton Street,Suite 2-213 Key West,FL 33040 AUTHORIZED REPRESENTATIVE IV EP�RESENTA� _ 4. TIVE- -ar ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD