Loading...
Certificates of Insurance ACO DATE(MM/DD/YYYY) RO CERTIFICATE OF LIABILITY INSURANCE 12/27/2019(MM L...�" 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 Marsh USA,Inc MARSH USA,INC. NAME: 445 SOUTH STREET (AICNr o.Eat): 1-866-966 4664 (A/C,No): 212-948-0500 MORRISTOWN,NJ 07962-1966 E-MAIL ork.Certs Ne marsh.com Attn:Hertz.certrequest@marsh.com Fax 212-948-0979 ADDRESS: Newyork.Certs@marsh.com INSURER(S)AFFORDING COVERAGE NAIC# CN102051407-STND-MAIN-20-21 DIAZ INSURER A:ACE American Insurance Company 22667 INSURED INSURER B:Indemnity Ins Co Of North America 43575 HERTZ GLOBAL HOLDINGS,INC. (SEE ATTACHED LISTING) INSURER C:ACE Fire Underwriters Insurance Company 20702 8501 WILLIAMS ROAD INSURER D:Self Insured ESTERO,FL 33928 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-009001426-33 REVISION NUMBER: 6 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 W /Y, VD POLICY NUMBER (MM/DDYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY HDOG71236341 01/01/2020 01/01/2021 EACH OCCURRENCE $ 1,000,000 TCLAIMS-MADE X OCCUR PRRENTED PREEMIMI ESESS(RENTED 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 $ 1,000,000 X POLICY PROT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 JEC OTHER: $ D AUTOMOBILE LIABILITY Self-Insured up to$1,000,000 01/01/2020 01/01/2021 COMBINEDt)SINGLE LIMIT $ 1,000,000 X ANY AUTO 'All other States' _ BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED '""See Attached*" PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ B WORKERS COMPENSATION WLR C66041372 (AOS) 01/01/2020 01/01/2021 X PER OTH- A (AZ, MA)AND EMPLOYERS'LIABILITY y/N WLR C66041414 CA, 01/01/2020 01/01/2021 STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? N N/A SCF C66041451 (WI) 01/01/2020 01/01/2021 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) COUNTY OF MONROE BOARD OF COUNTY COMMISSIONERS AND MONROE COUNTY BOCC ARE NAMED AS ADDITIONAL INSURED WITH REGARDS TO GENERAL LIABILITY FOR ALL WORK CONTRACTUALLY OBLIGATED PURSUANT TO THE AGREEMENT. WAIVER OF SUBROGATION APPLIES TO ALL COVERAGES,AND IS APPLICABLE WHERE REQUIRED BY WRITTEN CONTRACT AND ALLOWED BY LAW. / APPR VE • BY AIEVER N/A yE • C �1. CERTIFICATE HOLDER CANCELLATION COUNTY OF MONROE BOARD OF COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE COMMISSIONERS THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MONROE COUNTY RISK MANAGEMENT ACCORDANCE WITH THE POLICY PROVISIONS. 1100 SIMONTON STREET KEY WEST,FL 33040 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee L,;• a u .tz_ ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102051407 LOC#: Morristown ACO ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA,INC. HERTZ GLOBAL HOLDINGS,INC. (SEE ATTACHED LISTING) POLICY NUMBER 8501 WILLIAMS ROAD ESTERO,FL 33928 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance AUTOMOBILE LIABILITY CONTINUED: ACE AMERICAN INSURANCE CO. 01/01/2020-01/01/2021 POLICY#ISA H25288889-HERTZ RAC-MINIMUM FINANCIAL RESPONSIBILITY(MFR)LIMIT PER STATE-AR,CO,HI,ND,NH,NM,OR,RI,SD,WI ACE AMERICAN INSURANCE CO. 10/01/2019-10/01/2020 POLICY#ISA H25289717-MINIMUM FINANCIAL RESPONSIBILITY(MFR)LIMIT FOR NEW YORK ONLY HERTZ GLOBAL HOLDINGS,INC.IS SELF INSURED IN THE FOLLOWING STATES-AL,AK,AZ,CA,CT,DE,DC,FL,GA,ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS, MO,MT,NE,NV,NJ,NC,OH,OK,PA,SC,TN,TX,UT,VT,VA,WA,WV,WY , ADDITIONAL NAMED INSUREDS: THE HERTZ CORPORATION HERTZ VEHICLES,LLC HERTZ LOCAL EDITION(HLE) FIREFLY RENT A CAR LLC ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORO® DATE(MM/DD/YYYY) ��. CERTIFICATE OF LIABILITY INSURANCE 12/27/2019 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 Marsh USA,Inc MARSH USA,INC. NAME: 445 SOUTH STREET (A/C No.Extl: 1-866-966-4664 F(AAX/c,No): 212-948-0500 MORRISTOWN,NJ 07962-1966 E-MAIL SS: Newyork.Certs@marsh.com Attn:Hertz.certrequest@marsh.com Fax 212-948-0979 INSURER(S)AFFORDING COVERAGE NAIC# CN102051407-STND-MAIN-20-21 DRAVI X INSURER A:ACE American Insurance Company 22667 INSURED INSURER B:Indemnity Ins Co Of North America 43575 HERTZ GLOBAL HOLDINGS,INC. (SEE ATTACHED LISTING) INSURER C:ACE Fire Underwriters Insurance Company 20702 8501 WILLIAMS ROAD INSURER D:Self Insured ESTERO,FL 33928 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-009000403-23 REVISION NUMBER: 3 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD 3111VD POLICY NUMBER (MM/DD/YYYY).JMM/DD/YYYY1 LIMITS A X I COMMERCIAL GENERAL LIABILITY HDOG71236341 01/01/2020 01/01/2021 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR G T DAMAGE TO RENTED 1,000,000 APPROVE' Y RIS g. PREMISES(Ea occurrence) $ �Y�'Y 1I 010 j 1 04 )� /�J�MED EXP(Any one person) $ 10,000 �� �j'; PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: DATE_-I - l GENERAL AGGREGATE $ 1,000,000 X POLICY PROT ( NI LOC WAIV `ES.... PRODUCTS-COMP/OP AGG $ 1,000,000 JEC OTHER: $ D AUTOMOBILE LIABILITY Self-Insured up to$1,000,000 01/01/2020 01/01/2021 ' CO aBINEDct)SINGLE LIMIT $ 1,000,000 X ANY AUTO __ ____ _- 'All other States' BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED ' See Attached--- PROPERTY DAMAGE $ AUTOS ONLY — AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WLRC66041372 (AOS) 01/01/2020 01/01/2021 x I PER I IOTH- AND EMPLOYERS'LIABILITY STATUTE ER A ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N WLR C66041414 (AZ,CA,MA) 01/01/2020 01/01/2021 1,000,000 C OFFICER/MEMBER EXCLUDED? n N/A E.L.EAEASE-CH EMENT $ (Mandatory in NH) SCF C66041451 (WI) 01/01/2020 01/01/2021 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) MONROE COUNTY BOARD OF COUNTY COMMISSIONERS,ITS EMPLOYEES AND OFFICIALS ARE NAMED AS ADDITIONAL INSURED WITH REGARDS TO GENERAL LIABILITY FOR ALL WORK CONTRACTUALLY OBLIGATED PURSUANT TO THE AGREEMENT. - CERTIFICATE HOLDER CANCELLATION MONROE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 SIMONTON STREET - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN KEY WEST,FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee .,�4.0:`,,1/4aoDt„.i �i4.+.4te_.-t -e r.. ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • AGENCY CUSTOMER ID: CN1020514.0.7 LOC#: Morristown AC RE, ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA,INC. HERTZ GLOBAL HOLDINGS,INC. (SEE ATTACHED LISTING) POLICY NUMBER 8501 WILLIAMS ROAD ESTERO,FL 33928 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance AUTOMOBILE LIABILITY CONTINUED: ACE AMERICAN INSURANCE CO. 01/01/2020-01/01/2021 POLICY#ISA H25288889-HERTZ RAC-MINIMUM FINANCIAL RESPONSIBILITY(MFR)LIMIT PER STATE-AR,CO,HI,ND,NH,NM,OR,RI,SD,WI ACE AMERICAN INSURANCE CO. 10/01/2019-10/01/2020 POLICY#ISA H25289717-MINIMUM FINANCIAL RESPONSIBILITY(MFR)LIMIT FOR NEW YORK ONLY HERTZ GLOBAL HOLDINGS,INC.IS SELF INSURED IN THE FOLLOWING STATES-AL,AK,AZ,CA,CT,DE,DC,FL,GA,ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS, MO,MT,NE,NV,NJ,NC,OH,OK,PA,SC,TN,TX,UT,VT,VA,WA,WV,WY ADDITIONAL NAMED INSUREDS: THE HERTZ CORPORATION HERTZ VEHICLES,LLC HERTZ LOCAL EDITION(HLE) FIREFLY RENT A CAR LLC • ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD n ATCC: ARAM%nr ACORD,A CERTIFICA . 7 OF LIABILITY . A:O 03/02/2005 PRODUCER Serial # MARSH USA, INC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 44 WHIPPANY ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MORRISTOWN, NJ 07962 INSURERS AFFORDING COVERAGE NAIC# INSURED THE HERTZ CORPORATION. HERTZ VEHICLES LLC, HERTZ INSURER A: SELF INSURED INSURER B: INSURANCE COMPANY OF PA EQUIPMENT RENTAL CORP, HERTZ SERVICE PUMP 8, INSURER C: COMPRESSOR, HERTZ LOCAL EDITION, HERTZ RAC INSURElfD: 225 BRAE BLVD INSURER E: PARK RIDGE, NJ 07656 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH j POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OM ADM NqRr TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE PODATELICY IT. LIMITS A GENERAL LIABILITY X COMMERCIAL GENERALLIABILIiY SELF INSURED UNTIL EACH OCCURRENCE $ 1,000,000 E TO S MED EXP (Anyoneperson) S CLAIMS MADE QX OCCUR CANCELED PERSONAL E ADV INJURY $ X CONTRACTUAL GENERAL AGGREGATE S GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S POLICY F PRO- LOC A AUTOMOBILE X LIABILITY ANY AUTO SELF INSURED SI #3652 UNTIL CANCELED COMBINED SINGLE LIMB S (Ea accident) 1,000,000 X BODILY INJURY $ (Per person) ALL OWNED AUTOS SCHEDULED AUTOS X X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) S APPR Y K ?q GARAGE LIABILITY ANY AUTO _, _ DATE WAIVII . IN/A _..... AUTO ONLY - EA ACCIDENT. S .- .. _. OTHER THAN EA ACC AUTO ONLY:_AGG . .. $ S.N EXCESSMBRELLA LIABILITY X OCCUR CLAIMS MADE EACH OCCURRENCE S AGGREGATE S S S DEDUCTIBLE J S RETENTION $ lam` B WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? 3715131 01/01/05 01/01/06 X TORYSiA OR EL EACH ACCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE S 1,000,000 EL DISEASE - POLICY LIMIT S 1,000,000 M yes describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS THE COUNTY OF MONROE, ITS ELECTED OFFICIALS, EMPLOYEES, AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED WITH REGARDS TO GENERAL AND AUTO LIABILTIYFOR ALL WORK CONTRACUTALLY OBLIGATED THROUGHOUT THE STATE OF FLORIDA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN MONROE COUNTY BOARD OF COMMISSIONERS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL PO BOX 1026 KEY WEST, FL 33040 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS A�S OR REPRESENTATIVES. AUTHORIZED REPRESENTATI V ACORD 25 (2001/08) © ACORD CORPORATION T9t;8 C:\FMPRO\CERTPROS.FP5 DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 03/18/2014 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 MARSH USA, INC. 445 SOUTH STREET MORRISTOWN, NJ 07962-1966 IYAMC: E FAX PHONAICt(A/C,No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC Attn: Hertz.oertrequest@marsh.com Fax 212-948-0979 INSURER A ACE American Insurance Company INSURER B Indemnity Ins Co Of North America 22667 43575 100595-STND-MAIN-13-14 DIAZ INSURED HERTZ GLOBAL HOLDINGS, INC. (SEE ATTACHED LISTING) INSURER C 225 BRAE BOULEVARD INSURER D : INSURER E : PARK RIDGE, NJ 07656-0713 COVERAGES CERTIFICATE NUMBER: _ — NYC;005516798-15^ Tuc IAICI to REVISION NU\MBE R THE POLICY PERIOD THIS INDICATED. CERTIFICATE EXCLUSIONS SR IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY PERTAIN, AND CONDITIONS OF SUCH POLICIES. TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR OF INSURANCE ADDL THE SUBR LIS]to titLUW MAVt: 10=14 TERM OR CONDITION OF ANY INSURANCE AFFORDED BY THE LIMITS SHOWN MAY HAVE BEEN REDUCED POLICY NUMBER IJJVCI.! Iv CONTRACT POLICIES BY POLICY EFF MM/DD 12/3112013 II OR OTHER DOCUMENT DESCRIBED PAID CLAIMS. POLICY EXP MM/DDIYYYY - - - WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMITS 1,000,000 LTR A HDO G27329780 12/31/2014 EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 $ MED EXP (Any one person) $ 0,000 PERSONAL & ADV INJURY 1,0000,000 $ GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X PRO- POLICY LOC AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS Self -Insured up to $1,000,000 All Other States "` See Attached "` 12/3112013 12131/2014 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ $ AGGREGATE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under NIA WLR C47877490 (AOS) WLR C47877489 (AZ, CA, MA) SCF C47877507 (WI) 01/01/2014 01/01/2014 01101/2014 0110112015 01/01/2015 0110112015 X WC STATU- OTH- g A A E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) COUNTY OF MONROE BOARD OF COUNTY COMMISSIONERS AND MONROE COUNTY BOCC ARE NAMED AS ADDITIONAL INSURED WITH REGARDS TO GENERAL LIABILITY FOR ALL WORK CONTRACTUALLY OBLIGATED PURSUANT TO THE AGREEMENT. WAIVER OF SUBROGATION APPLIES TO ALL COVERAGES, AND IS RPPLIC-ABLE WHERE REQUIRED BY WRITTEN CONTRACT AND ALLOWED BY LAW. APP Y AGEMI'NT t A1#'t" 1tQ. t A9rt l - V_wLA r TE COUNTY OF MONROE BOARD OF COUNTY COMMISSIONERS MONROE COUNTY RISK MANAGEMENT 1100 SIMONTON STREET KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 100595 LOC #: Morristown .4 v ADDITIVNAL KtMAKK, st.riCUULM rayO .. AGENCY NAMEDINSURED MARSH USA, INC. HERTZ GLOBAL HOLDINGS, INC. (SEE ATTACHED LISTING) POLICY NUMBER 225 BRAE BOULEVARD PARK RIDGE, NJ 07656-0713 CARRIER NAIC CODE EFFECTIVE DATE: ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD ACCORV CERTIFICATE OF PROPERTY INSURANCE (MMIDDNYY DAT02/2612014 Y) 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. If this certificate is being prepared for a party who has an insurable interest in the property, do not use this form. Use ACORD 27 or ACORD 28. PRODUCER MARSH USA, INC. 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 Attn: Hertz.oe"uest@Marsh.com Fax: 212-948-0979 CONTACT NAME: PHONE FAX ac No E-MAIL PRODUCER CUSTOMER ID: 100595-AII-$20M-13-14 DRAVIN INSURERS AFFORDING COVERAGE NAIC M INSURED HERTZ GLOBAL HOLDINGS, INC. 225 BRAE BOULEVARD PARK RIDGE, NJ 07656 INSURER A : Steadfast Insurance Company 26387 Lexington Insurance Company INSURER B : 9 19437 INSURER C : Ironshore Specialty Insurance Company 25445 INSURER D : Allied World Assurance Company, Ltd. 524298 INSURER E : Zurich American Ins. CO 116535 INSURER F GUVCKA"rO - - ----- - - LOCATION OF PREMISES / DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: ALL FIXED IMPROVEMENTS ON DEMISED PREMISES, FULL INSURABLE VALUE 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDIYYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) COVERED PROPERTY LIMITS A B C D X PROPERTY CAUSES OF LOSS DEDUCTIBLES IPR3792288-03 025031809 000876803 P017857/001 XNA1,GEMEN Mr WAIV / _ CL. 02/28/2013 02/28/2013 0212812013 02/2812013 �� 03/31/2014 03/31/2014 03/31/2014 03/31/2014 X BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE RENTAL VALUE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG & PP $ 20,000,000 X $ Included Above BASIC BUILDING X $ Included Above BROAD X $ Included Above X SPECIAL CONTENTS $ EARTHQUAKE $ WINDAyP� $ FLOOD $ $ $ INLAND MARINE OF LOSS NAMED PERILS TYPE OF POLICY $ CAUSES $ POLICY NUMBER $ $ CRIME TYPE OF POLICY $ $ $ E X BOILER 6 MACHINERY / EQUIPMENT BREAKDOWN BM 353977811 0212812013 0313112014 LIMIT $ 50,000,000 _I $ SPECIAL CONDITIONS / OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE INCLUDED AS LOSS PAYEE WHERE REQUIRED BY WRITTEN CONTRACT. DIRECT PHYSICAL LOSS OR DAMAGE ON A REPLACEMENT COST BASIS. ACTUAL LOSS SUSTAINED AS RESPECTS TIME ELEMENT, ADDITIONAL SUBLIMITS MAY APPLY PER POLICY TERMS AND CONDITIONS. MONROE COUNTY 1100 SIMONTON STREET KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherl'ee ACORD 24 (2009/09) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 100595 LOC III: Morristown ACo & ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA, INC. HERTZ GLOBAL HOLDINGS, INC. 225 BRAE BOULEVARD PARK RIDGE, NJ 07656 POUCY NUMBER CARRIER T AIL CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, I FORM NUMBER: 24 FORM TITLE: Certificate of Property Insurance COMPANY AFFORDING COVERAGE Lexington Insurance Company 25031809 25.00% Ironshon; Specialty Insurance Company 000876803 5.00% Allied World Assurance Company Ltd. P017857/001 10.00% Steadfast Insurance Company (IRP) IPR 3792288-03 60.00% Total: 100.0% COMPANY AFFORDING EQUIPMENT BREAKDOWN COVERAGE POLICY NO. Zurich American Insurance Company BM3539778-11 The Allied World Assurance Company Ltd. Policy was placed by Bowing Marsh (Bermuda) Ltd. Marsh USA Inc. has only acted in the role of a consultant to the client with respect to this placement, which is indicated here for your convenience. ACORD 101 (2008101) V -------- The ACORD name and logo are registered marks of ACORD AC40RO CERTIFICATE OF PROPERTY INSURANCE DATE(MM/04/05120142014 Y) 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. If this certificate is being prepared for a party who has an insurable interest in the property, do not use this form. Use ACORD 27 or ACORD 28. PRODUCER MARSH USA, INC. 1166 AVENUE OF THE AMERICAS NEW YORK, NY 10036 Attn: Hertz.certrequest@Marsh.com Fax: 212-948-0979 CONTACT NAME: PHONE FAX A/C No): EMAIL ADDRESS: PRODUCER 100595-AII$20M-14-15 DRAVIN INSURERS AFFORDING COVERAGE NAIC N INSURED HERTZ GLOBAL HOLDINGS, INC. 225 BRAE BOULEVARD INSURER A: Steadfast Insurance Company 26387 INSURER B : Lexington Insurance Company 19437 INSURER C : Ironshore Specialty Insurance Company 25445 PARK RIDGE, NJ 07656 INSURER D : Allied World Assurance Company, Ltd. 524298 INSURER E : Zurich American Ins. Co 16535 INSURER F : COVERAGES CERTIFICATE NUMBER: NYC-006490292-21 REVISION NUMRFR- 2 LOCATION OF PREMISES / DESCRIPTION OF PROPERTY (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) RE: ALL FIXED IMPROVEMENTS ON DEMISED PREMISES, FULL INSURABLE VALUE 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) COVERED PROPERTY LIMITS A B C D X IPROPERTY OF LOSS DEDUCTIBLES IPR3792288-04 025031809 000876804 P017857/002 03/31/2014 03/31/2014 03/31/2014 03/31/2014 03/31/2015 03/31/2015 03/31/2015 03/31/2015 X BUILDING PERSONAL PROPERTY BUSINESS INCOME EXTRA EXPENSE RENTAL VALUE BLANKET BUILDING BLANKET PERS PROP BLANKET BLDG & PP $ 20,000,000 CAUSES X $ Included Above BASIC BUILDING BROAD $ CONTENTS X SPECIAL $ EARTHQUAKE $ WIND di_ _ rr $ FLOOD-- r v - `, $ $ $ INLAND MARINE OF LOSS NAMED PERILS TYPE OF POLICY IP B WAIVER e $ CAUSES $ POLICY NUMBER $ $ CRIME TYPE OF POLICY $ $ E X BOILER 3 MACHINERY / EQUIPMENT BREAKDOWN BM 3539-RB-12 03/31/2014 03/31/2015 X LIMIT $ 20,000,000 $ SPECIAL CONDITIONS / OTHER COVERAGES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, ITS EMPLOYEES AND OFFICIALS ARE INCLUDED AS LOSS PAYEE WHERE REQUIRED BY WRITTEN CONTRACT. DIRECT PHYSICAL LOSS OR DAMAGE ON A REPLACEMENT COST BASIS. ACTUAL LOSS SUSTAINED AS RESPECTS TIME ELEMENT. ADDITIONAL SUBLIMITS MAY APPLY PER POLICY TERMS AND CONDITIONS. CERTIFICATE HOLDER CANCELLATION MONROE COUNTY 1100 SIMONTON STREET KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukhedee _3Kaupa+1a 01995-2009 ACORD CORPORATION. All rights reserved. ACORD 24 (2009109) The ACORD name and logo are registered marks of ACORD i 4CORD® AGENCY CUSTOMER ID: 100595 LOC #: Morristown AI' nITIt'1AIA1 DERMAOWC ef%u0n111 0 AGENCY NAMED INSURED MARSH USA, INC. HERTZ GLOBAL HOLDINGS, INC. POLICY NUMBER 225 BRAE BOULEVARD PARK RIDGE, NJ 07656 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 24 FORM TITLE: Certificate of Property Insurance COMPANY AFFORDING COVERAGE Lexington Insurance Company 25031809 25.00% Ironshore Specialty Insurance Company 000876804 5.00% Allied World Assurance Company Ltd. P017857I002 10.00% Steadfast Insurance Company (IRP) IPR 3792288-04 60.00% Total: 100.0% COMPANY AFFORDING EQUIPMENT BREAKDOWN COVERAGE POLICY NO. Zurich American Insurance Company BM3539778-12 The Allied World Assurance Company Ltd. Policy was placed by Bowing Marsh (Bermuda) Ltd. Marsh USA Inc. has only acted in the role of a consultant to the client with respect to this placement, which is indicated here for your convenience. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD