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Insurance Certificates
CERTIFICATE OF INSURANCE ISSUE DATE IMM/DD/VY) PRODUCER 9�2�2U06 VFIS of Florida THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER"FHISCERI'IFICAIhDOBSNOT AMEND EXTEND OR ALTER THE COVERAGE AFFORD BY THE POLICIES BELOW One S. Ocean Blvd., #310 COMPANIES AFFORDING COVERAGE Boca Raton, FL 33432 COMPANY LETTER A American Alternative lnsuranceCor . 800-995-8554 COMPANY INSURE LETTER B Big Coppitt Volunteer Fire Department, Inc. COMPANY LETTER C P. O. BOX 2292 COMPANY LETTER D Key Wryest, FL 33040 COMPANY COVERAt kS LETTER E THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TIIE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDING 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 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL l'II I: TERMS BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER LTH POLICY FEE. POLICY EXP. GENERAL ],[ABILITY LIMITS DATE (MMMD/YY) DATE(MM/DD/VY) ❑COMM. GENERAL AGGREGAI'I. $ GENERAL LIABILITY PROM-COMP/OP AGC. $ ❑ CLAIMS MADE ❑ OCCUR PERS &ADV. INJIJRV $ ❑OWNER'S& CONTRACT'S PROT. EACH OCCURRENCE ❑- $ FIRE RABAUL(One PIR) $ AUTOMOBILE LIABILITY MED. EXPENSE (One Yer) $ VFIS-CM-1014786-0 ❑ANY 10/7/06 COMBINED SINGLE ]0/7/07 S 1,000,000 AUTO LIMIT ❑ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Percon) $ ❑ IURED AUTOS ❑NON /'� BODI LY INJURY $ -OWNED AUTOS (Per Accident) ❑ GARAGE LIABILITY '�' ///^'''jjjj \(((1-/ - PROPERTY DAMAGE $ EXCESS LIABILITY ❑ UMBRELLA - - ---(—_ ❑ EACH OCC URRENCE $ FORM ❑ OTHER THAN UMBRELLA FORM AGGREGATE $ IYONKERS'COMPENSATION STATUTORY LIMITS L, EACH ACCIDENT AND I . �.� $ EMPLOYER'S LIABILITY D DISEASE POLICY LIMIT $ OTHER DISEASE-EACII FAIR $ Automobile Physical VFIS-CM-1014786-0 Damage $500 Deductible Comprehensive $500 Deductible Collision DESCRIPTION OF OPERATIONSAACATIONS/VEII ICLES/SPECIAL ITEMS 2003 Ford Pickup #1FTRW07633KB27852. n wv Ic Monroe County is an additional insured. ULKI1FICATC f0LDXR Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED PoLICIES BE c/o Risk Management CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL IODAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 502 Whitehead St. 3" Floor TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS, - :'-- AGENTSOR REPRESENTATIVES Key We! t, FL 33040 I: AUTHORIZED REPRE TATIVE 1fI25 S 19D' i'ROI(ICER VF'IS of Florida One S. Ocean Blvd., #310 Boca Raton, FL 33432 Ph: 800-995-8554 Sig Coppitt Volunteer Fire Department, Inc. PO Box 2292 Key West, FL 33040 TRi9 CERTIPII ATr IS lNSUt1) AS A MATTER OF tNt(IRiIAR(IN ONLY ANO CONPF,(tS NO RIGHTS UPON THE CFR'LIF'ICAI E HOLDER. TH/5 CIRllI§CAt'P,. DGF_S NOT AMPND. ESCIFND OR ALTER THE COVrRAOH AFPORI) BY TRR YOI.I(TIiS RDI.O W COMPANIES AFFORDING COVERAGE COMPANY LETTER A American Alternative Insurance Cor . COMPANY I.NUIC]IFp. NOTTEENS'i'ANDMG ANY REQIIIREMFNT,TF.RM OR CON U TfONpFAtF.YCONTRACT OR O)SONUER R NAMED A E IHD I1{FBA PECTo,,C PERIOD CERISE((.YPEMAYHEISSUED OMAYPLRTAIN,'rRFMITSSNCEAFF(1RDED RV THE POLICIES DESCRIBE D HEREIN IS SUBJECT 1'OALLTHETEAMS F,%(LLSRlN5 ANDCONDITIONST10N5 OF SUCH POLICIES. R,RSII'TS.S'I(l1WN MAY DAVE BEEN REDUCED BY PAID CLZiS. CO WIPED INSURANCE POLICY N(IDIHEA li1H� j ❑ GF,NERALAGGREGAI'E $ COMM1LGENERALGIARILITY CLAIMS MADE ❑ p(GDR PkOD-COMPigP AGf.. $, '.. O PENS. &ADY. INJURY $$ OWNER'S & CONTT RACS 1'RpP' ❑ .. --- EACH OCCO RNENC.0 FIRE DAMAGE (Oise Fire) $, AI A'OMOII(f.EMARILIT]' MED. E%PENSEIO..Pep $ VF-CM-1055583-00 ❑ANY 10/7/07 1017/08 COMBINE DSI.NGLE AUTO LIMIT $ 110001000 ALL OWNED AUTOS ®SCHEDULEDAU'I'OS BODILY INJURY -- (Per Pmvu) $ ❑ AIRED AUTOS NON OWNED AUTOS ROD FLY INJURY jPe AeciYeoO ❑ GARAGE LIARILOT PROPERTY DAMAGE $ F.RCESS LIAIHLTYI El UMBRELLA FORM' EAU OCCURRENCE ❑ 0THER MAN (191RRE1 LA FORM : _ _ ❑ AGGREGATE $ WORKERS'( OMPFNSATION -_._ RTAI'U'lORI LIMITS ` 1(S9�j Cb. , iiy„{Ir AND T. / P'ACII ACCIDENT T.MPI.4VER'5 LIABILITY DISEASE W)LtCV LIMB $ oT'aF rt IISEASE. EACD EMP. $ Automobile Physical VF-CM-1055583-00 Ce 1)amuge , $500 Deductible Comprehensive eel. A .... fl _ $500 Deductible Collision RFsCRIP rION OF OPERAI10N$/I.O( ATIONS.'YFJfI('f.F:S/SPE<'IAI 2003 Ford Pickup - #1 FTRW07633KB27852 Monroe County is an additional insured. Monroe County BOCC c/o Risk Management 1100 Simonton Street, Suite 2-268 Key West, FL 33040 nnu.e,u.Ll.B"ED FRLICO:SRECANCELED REM DATNE TDF. }:%0RAY1(1N Np1E THEREOF.TIRE139DMG Cli' NYVYILL ENDEAVOR 1'0 MAIL.JII DAYS N'RTr1't1N TC! TO'LRE C'ERTIFIGATE 1{OLDER NAMED TO THE LEFT, D(II' FAILURE TOMAIL SUCT( NOTICE SHALL IMPOSE NO OBLIGATION OR IJASILTTV OF ANY KIND UPON'IME COMPANY. ITS. AGENTS OR R wP.......-...,.., PROD(JCER VFIS of Florida One S. Ocean Blvd., #310 Roca Raton, FL 33432 Ph: 800-995-8554 Big Coppitt Volunteer Fire Department, .Inc. PO Box. 2292 Key West, FL 33040 It -C COMPANY ER E THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW :HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOMITHSTANDTING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TIff INSURANCE AFFORDFD BY THE POLICIES DESC.R.IBED HEREIN IS SUB3E(.7rTO ALL THETERMS EXCLUSIONS AND CONDITIONS OF SVCH POLICIES. LIMITS SHOWN IMAY HAVE BEEN REDUCED 81'PAI.D CLALN-M.S. I CIO TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. LIMITS L.TR DATE (INIMIDDITY) DATE (M-.,tTD.1YY) GENERAL IJABIIATV GENERAL AGGREGATE COMIM. GENERAL LIABILITY PROD -COMWOP AGG. $ 1:1 CLAUNIISINTADE El OCCUR PERS. &- ADV. INJURY $ OWNER*S & CONTRACT'S PROT. EACH OCCUMRENCE $ 'IRE DAMAGE (One Fire) MED. EXPENSE (One Per) AUTOMOBILE LIABILITY OANY AUTO VFIS-CM-1055683- 01 10/7/08 10/7/09 COMBINED SINGLE LIMITY $ 1,000,000 ALL OVN-*NEDAUTOS BODILY INJURY (.Per Person) SCHEDULED AUTOS HIRED AUTOS �NON-OWNED AUTOS BODILY I - NNJ U. RY (Per Accident) $ GARAGE LIABILITY PROPERTYDANIAGE $ ..................... EXCESS LIABILITY --------------------------- --- EACH OCCURRENCE $ 11 NNIBRELLA FORM FIAGGREGATE OTHER THAN UMBRELLA FORM . ...... .. SO ......... KIM. WORKERS'COMPENSATION C( STATUTORYLIMITS EACH, ACCIDENT AC AND DISEASE POLICY umrr $ EMPLOYER'S LIABILITY DISEASE -EACH EMP, vitir-K Automobile Physical VFIS-CM-1055583-01. Damage DESCR[YrION OF OPERA'I'IC)NSII,OCt:YIONSI'VEtilCI.ES/.SPECtAlI rf&NIS 2003 Ford Pickup - #1 F'TRW07633KB27852 Monroe County is an additional insured. Monroe Count), BOCC c/o Risk Management 1.100 Simonton Street, Suite 2-268 Key West, FL 33040 Cc: $500 Deductible Comprehensive $500 Deductible Collision SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE Tilt. EXPIRATION DATE TH'EREOF,THEtSSUJN-G COMPANY WILL ENDEAVOR TO �4IAIL ,jLDAYS WRITTEN NOTICE TOTUE CF]ITIFICATE HOLDER NAMEDTO THE LEFF, BUT FAILURETOMAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS. AGENTS OR REPRESENTATIVES ------------------------------ -- --- ---- Al,l'lrll(.)RIZFRREPRF-SE,NTATfVE file *811 AUIt IIvIE MWIIDIII CERTIFICATE OF INSURANCE 12,2,10 I I,n .IF 1 S IPI ' ,A, i,luu xii_v, V FIS of Florida II Dn1 Ln.CU. One S.Ocean Rtsd.,4310 COMPANIES AFFORDING COVERAGE Roca Raton,FL 33432 f I,l I-}px�� - L A TAmerlcan Alternative Insurance Corp. Ph: 800-995-8554 I l,-1 1 r I FEB < wA*t' Big Coppitt Volunteer Fire Department, Inc. IL C PO Rox2292 IEETER .D_ . ___. eoRleA,. Key West, FL 33040 I rrrnR E COVERAGES - r^. TII1 IC TO 7 RmsTILATADIAC utanuvM«n RE)O. BEENA ISSCEDT r,I RED OAM rcKP UEUTE . TN ITIittIIDol .Y SmiREMEI OR(ODn'10.'D 1 COMRAIn OR OTHER DOCCM SPISTx , CERTIDIS VlaHAA R1 T11EP111.IC1E DEWRf77 yryy 1Y lSS tlR[ 10 AI -FIRMS ERCL09i0 41 DLL 1 (my, 9t RIEn. RMIOWnMAY LLRREDICL ID(LAOIa CO 1111E10 011 R1AlL Poi u.‘.YLMeee POI III /RP. LIMItS lTR DArr.IA3t:Dwnl DJI.@IMLIDYYI AIn LRAI,11ARILII I 70$11111. .. „aIR S ❑ C AFAHIA. 1 PRor iONLO?ACe $ OMM LLIIDIn D,LAIN,MADE❑in U. IL Ks aeon ln.Il AY ❑O .Lw,a CITTlucr_s PRm. urn ouTnRERcc S — ❑ FIREnmuCE mnr h..I S MED.Exck NSE(On:e..I $ no D.mcu.uuxu.lT% VFISCM-I055583- 10/7/09 10/7/10 'mu ILI.CLR S 1,000,000 Oa, n ro 02 D AI GAINED AI:TOs BODIL10.11H1 Ej17(111011rD Arms ❑71110 D 1 emnr 011111 $ ❑ a n uACT : ❑c lur ( VICOFFRI V 9 NAI AAI $ E �- V�� $ ❑ n .M ❑OTIIER.070711001E1111 ORMV. • -g''x IP T I -AF . 7 AI II .$ Oa ( n .Inrr $ $ r w 0 I MP S OTlIER Automobile Physical VFIS-CM-1055583-02 D D i v /At $500 Deductible Comprehensive Damage S500 Deductible Collision I rtnl, 2003 Ford Pickup-/el FT RW 07633KH27S52- Monroe County is an additional insured. CERTIFICATE HOLDER lr CANCELLATION ". Munroe County 130CC `Dott)AAA Of 110 01041 TO A(HIRED .OR 10 MAIL tee 1111 14Rrnrp 9n c/o Risk Management Ea attO.OnI in..v u. a yoy EI nlre..._Ir. 1100 Simonton Street,Suite 2-268 AVL Is )Ra ErAIA"rcEs All c E4nG ilvE Key West,FL 33040 / j ACORI}2SS i9b}",<".0 . ..,"}-.c S "Y � �l /Ian(P__.., rSmmr�vr.,,.r A`cvrzr�° CERTIFICATE OF LIABILITY INSURANCE ux1e0/18/2012 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 po(icy(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). N Joanne Dedrick PRODUCER HAMS. FA PII N - g�_233-1957 ext. 7967 � No} 8Q0-729-8347 VFIS of Florida 'AiC. No. �.t;.__ ._ ._.w ._ ._.._-._ _ MAiI dedlick vfis.com One S. Ocean Blvd. #310 ADDRESS. 1 @ _._._...__ Boca Raton, FL 33432 INSURER{S AFFORDING COVERAGE I NAIL INSURER A: American Alternative Insurance Corp. 119720 INSURED Big Coppitt Volunteer Fire Department, Inc. PO BOX 2040 Key West, FL 33040 Nst1RER G: :NSURER D. :NSURER E :NSURER F: OVERAGES 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 RF..SPECT 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, R TYPE OF INSURANCE INSR WVD POLICY NUMBER MMtDOIYYYY i {MM1DOtYYYYI LIMITS GENERAL LIABILITY i EATEXP URRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES+Ea oca:rrence ! $ MEny one person) $^ CLAIMS -MADE OCCUR 'R $ GEN'L AGGREGATE LIMIT APPLIES PER: I - PRO- II POLICY JEC! LOC A AUTOMOBILE LIABILITY x VFIS-CM-1055583-05 10/07/12 10/07/13 ANY AUTO ALt..O'vYNEO SCtIEDULED AUTOS AUTOS AUTOS I HIRED AUTO5 n NON -OWNED I UMBRELLA LIAR I EXCESS LIAB I OCCUR CLAIFAS-MADE i . PE B ' _... DFDT RETENTION $ WORKERS COMPENSATION Y i N jWAN AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTtVE❑ OFFICM'MEMBER EXCLUDED? N 1 A (Mandatory in NH) G If yes, describe under + DESCRIPTION OF OPERATIONS below _ G Ci DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is Monroe County is an additional insured per policy from AU1003. GC // sal QiY! Gam= GER I IHUA I t MVLUrM Monroe County Board of County Commissioners c/o Risk Management 1100 Simonton Street, Suite 2-268 Key West, FL 33040 fr AlJ/`FI I ATIt IM PERSCNAL & A— IN.:U Y- - GENERAL AGGREGATE $ PRODUCTS - COMPIOP AGG $ i $ BODILY INJURY (Per person) I $ I BODILY INJURY (Per acc dont)1 $ ':, E.I... EACH ACCIDENT $ i EL. DISEASE -EA EMPLOYEE; $ i El. DISEASE - POLICY LIMI r ; $ 0 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 ACORD 25 (2010105) Uniform Forms'm The ACORD name and logo are registered marks of ACORD C01258- OP ID: JD DATE (MM1ODMYY) �� '� CERTIFICATE OF LIABIL.ITY INSURANCE 10/08/13 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 INSURERS), 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 endorsements . CONTACT PRODUCER 800-233-1957 NAME Joanne Dednck _. VFIS of Florida 800 233-1957 _ _� {AtC, Nfl};_.. PHONE --- _ .._ ___._ , FAX $('jO 729-8347 One South Ocean Blvd, Ste 310 800-729-$347 �a�, Nc, Exti .... _ E-MAIL Boca Raton, FL 33432 ........ . --- Volunteer Fireman's Ins Svcs INSURER(51 AFFORDING COVERAGE NAIC a 157*9 INSURERA: VFIS -American Alternative Ins ,., _ INSURED Big Coppitt Volunteer Fire Dep 28 Emerald Drive Key West, FL 33040 INSURER COVERAGES CERTIFICATE NUMBER: - REVISION NUMBER: TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS !S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN: THE INSURANCE AFFORDED POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _..__.. EXCLUSIONS AND CONDITIONS OF SUCH ------- ._..._.... .._ ............................ ADDLrSU9R..T.---- ILT Ri� POLICY NUMBER Po-LitV EFF POLICY EXP T._ MMPDD/YYYY-MM(DDIYYYY LIMITS LTR TYPE OF INSURANCE i EACH OCCURRENCE $ , ._._...__.............. GENERAL LIABILITY ' 'TaAPn7�GETbIiEfTTFC7 { COMMERCIAL GENERAL LIABILITY I f ......_ . SE5 Ea�,, occ�.rrn co} .._. PEDE M XP (A'sy ene pal z;on}... $ __._ .. .... ... I _ } CI AIMS -MADE OCCUR T---- 1 PERSONAL. & ADV INJURY $ ...... __ ..._ _ i .. ...... _.._.— _-__....... ... .. I GENERAL AGGR.$ ...I ....... .... ..-....._....._....._.. PRODUCTS-COMPiOPAGG 1 $ ! -_ UEN'L AGGREGATE LIMIT APPLIES PER 3 PRO- POLICY LOC COh9RINED SINGi F LIMIT 1 000,00 $ AUTOMOBILE LIABILITY ,...... X ,LEa aacttlrcnt _ __... BODILY INJURY (Pe {w_renn} _ ..... .... 10lfl7t13 t 10/07114 . _ ,VFIS-CM-1055583 A j : ANY AUTO — ALL OWNED SCHEDULED c i BO Y (Por ar arrc} 5 [ltlY I JJUR ..... X AUTOS AUTOS ( NO s PRnPERTY DAMAGE x �per_acc�dt3nt<. _..._.... .... _ __ ..__.. HIRED AUTOS I AUTOS ( i, j( c .... $. EXCESS LCAa 1. i CLAIMS MADF AGGREGATE ......._._ ____ _. DFD , i RETENTION S JYC STATU- 'OTN LIMIT $� i E'.i __..__...... ___..._..__..__.,__ RSCOMPENSATION.......�J+,JRY, PLOYERS' LIABILITY Y / N ANY PR�ETORIPARTNFR1E.krCLiTi`1E_ IME.MBFR FXOt t1DF.D? NIA. , :Ifves ! E.L. EACH ACCIDENT c — . _. _ - E.L. U SEASE EA EMPLOYEE_ '__ .. _ _ _......._. .... oryln NH) j) scribe under _ ... E L. DISEASE -POLICY LIMIT : 3 PI!ON o� oPERATiONs resr:w 'VFIS-CM1055583 10107113 ! 10107i14 ,Comp 500 De A IAutO Physical Dmg (Coll 500 De DESCRIPTION OF OPERATIONS! LOCATIONS 1 VEHICLES {Attach ACORD 101, Additional Remarks Schedule, if more space Is required} e N 2012 FORD F150 FDP 1FTFW1CF9CFC60929 Certificate Holder is an additional insured. R CEMENT TB A.y WAIVTI�-NIA —SO YES CERTIFICATE HOLDER s T� CANCELLATION ANY OF THE ABOVE DESCRIBED POLICIES BE CAIII&LLEOMPEFORE SHOULD THE EXPIRATION DATE THEREOF, NOT(QE WILL Bt-DELIMED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners AUTHORIZED REPRESENTATIVE 1100 Simonton St., Ste. 268 Key West, FL 33040- 1} 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2010106) � M ACORD 25 (2010105) DATE (MM,DDtYYYYI ,�1�fJ't2G► CERTIFICATE OF LIABILITY INSURANCE 1 05115115 IS ...� THIS CERTIFICATE IS ISSUED AS MATTER OR NEGATIVELY AMON END, EXTEND OR ALTER AND CONFERS NO RIGHTS COVERAGE AFF RDEDABY THE POLICTE HOLDER, IES CERTIFICATE DOES NOT ATE OFAFFIRMATIVELY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS}, AUTHORIZE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IS IMPORTANT: If the certificate holder i' a n ADDITIOrtain NAL mayrequire INSUDan endo sthe emenm A statement on this certificate ust be lidorsed. It R*Gdoes not �conferfrightsjto the the terms and conditions of the policy, certificate holder in lieu of such endorsement s}. CONTACT 800-233-1957 NAME: Joanne Dedrick FAX _ g00-729 8347 PRODUCER PHONE AtC, Na ...__ ._... $00-729-8347 (ac N F 800�233-1957 t .. } VFIS of Florida E-MAIL One South Ocean Blvd, Ste 310 _ADDRESS�._dt'dPICk V IS.COm .... .... Boca Raton, FL 33432 NAIC n _ INSURER(S) COVERAGE _.__.. _ „t �72 Volunteer Fireman`s Ins Svcs 1 iNSURERA:VFIS -American Atternative.._I.ns INSURED Big Coppltt Volunteer Fare ep INSURER B: __.__. -.- _... .. .__..�. _— -- 28 Emerald Drive INSURER G Key West, FL 33040 INSURER D : ------ `-- INSURER E : INSURER F � . REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: THE T{ikS IS TO CERTIFYIOD THAAND(NG ANYf RE UEREMENTN TERPA flR CC�N lTIC?N OF ANY COtvTRCE LISTED BEI.G."i VNE BEEN DAC� OR OITHER DDOCUMENT WITH RESPECT TO WHICH LICY RI HIS INDICATED, t7tT�tt(THS ................. _ _........ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE N 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS t iF SUCH POLICIES Llh9iTS Si�iOVu`Pd MAY HAVE BEEN REDUCED YD BY PAID cY eCLAlzR LIMITS MM?DD�^(YYY MWDD'YYYY �ADRL S'UBR; ; POLICY NUMBER LTR TYPE OF INSURANCE EAC ! 'TCCUatR N{, . - ..-. GENERAL LIABILITY ! �': ' 'i')A{{"F".._O Rf NTE1.G , CO 'h E-RCIAL GENERAL LIABILITY `. 1 !. ME.D EXP f nP ('�rs� CLAIMS -MADE OCCUId i PERS JNA;.. a ATIV INJURY;s ... GE.NERA.AGGREGATc PRt�}UU{'TS C Jiv3P,C_P AGG.-I S GENTGENTAGGREGA1 E LIMIT APPt IES PFR' , Ct)T�6SNED SINGLE I -Mil T POtiGY T I.O.ro ;t;a acc,c•�n:' — AUTOMOBILE LIABILITY 10107/14 10107115 i O'�i Y INJURY (Per n MO!') X VFIS-CM-1055583 BODILY INJJRY i er at lent; s-- A ANY AUTO ALL OWNED- SCHEDULED X PR JFERI 7A'v3AGE S AUTtiS t ` AUTOS,'! i., NON -OWNED —! ,Per „c.c.:� e $ HIRED AUIOS i- AIJ7OS EACH BCCUiRENC _ UMBRELLA LIAS OCCUR f1GORtO;tiTE EXCESS LIAR CLAIMS-10AD6' ;. WORKERS COMPENSATION j F t t p.j A{ ,pF4tT.. AND EMPLOYERS" LIABILITY i ... '; A�dl FriC�i?�2iLTC%fill-?:R'NE�'1LXcCU;1VE Y;.... N to s t DISEASE EAEPAPtOYEE $ OFFICERWEMBER EXCLUDED? � � .... (Mandatory in NH) ` F t_- DISEASE - POLIrJY LIMST a If yes. describe under I DESCRIPTION OF OPERATIONS be;of' VFIS-CN11055583 10/07/14 I 10107115 Comp A ;Auto Physical Dmg Coll I DESCRiPT10N OP OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 1:�T)r`W1CrF9CFCb0 92 onal Remarks dole, if more space is re9uirad) 2012 FORE? F150 FDP APPRO GEMENT Cartificate bolder is an additiozzal insured. BY < WAIVER N/A YES _ L G : Na._."pe .1 d1a' 1=6WV 81AN Monroe County Board of County Commission, AUTHORIZED REPRESENTATIVE 1100 Simonton St., Ste. 268 0018 80.E 0311 Key West, FL 33040 G 198g-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THDATE THEEOF, THE POLICY PROVISIONICE S WILL BE DELIVERED IN VM1G_ M11T MW National Flood Insurance Company A Stock Company P.O. Box 33003 St. Petersburg, FL 33733-8003 Customer Service: 1-800-820-3242 Claims: 1-800-725-9472 FLOOD DECLARATIONS PAGE Policy Number NFIP Polio° Number] Product Type: Standard Policy 09 1150208866 05 1150208866 lGeneral PropertY Form FFL 99.001 0314 4175953 12/28/14 2000 11523 FLD RGLR Polier Period I Date of Issue I Agent Code I Prior Policy Number . From: 1 29 15 To: 1 29 16 12:01 am Standard Tim 0f22 2014 I GB7- 109 1150208866 0 Agent (305)294-2542 THE PORTER-ALLEN COMPANY INC 513 SOUTHARD ST KEY WEST FL 33040-6835 t lff J MONROE COUNTY/RISK MANAGEMENT paMa3a'dBIG COPPITT FIRE STATION US NO 1 1100 SIMONTON ST KEY WEST FL 33040-3110 Received Property Location (if other than above) Address may have been changed in accordance vifth I'SPS stand 0 �014 28 EMERALD DR, BIG COPPITT KEY, KEY WEST FL 33040 „�r,l� l�ePta Building Occupancy: Non -Residential Primary Residence: N Number of Floors: One Floor Building Indicator: Elevated Basement/Enclosure/Crawlspace: No Enclosure or Crawlspace Condo Type: N/A Community Name: KEY WEST, CITY OF Community #: 120168 Map Panel/Suffix: 1504 K Community Rating: 10 / 00% Program Status: Regular Grandfathered: No Flood Risk/Rated Zone: AE tion Di CoNerage Deductible Premium DING $500,000 $1,250 $3,613.00 CIENTS $107,500 $1,250 $892.00 ANNUAL SUBTOTAL: $4,505.00 THIS IS NOT A BILLDEDUCTIBLE DISCOUNT/SURCHARGE: $45.00 ICC PREMIUM: $4.00 DEAR MORTGAGEE COMMUNITY RATING DISCOUNT: $.00 The Reform Act of 1994 requires you to notify SUB -TOTAL: $4, 464.00 the WYO company for this police within 60 days of any changes in the sen-icer of this loan. RESERVE FUND ASSESSMENT: $223.00 The aboi-e message applies only when there is a PROBATION SURCHARGE: $ . 00 mortgagee on the insured location. FEDERAL POLICY SERVICE FEE: $44. 00 TOTAL OF PREMIUMS AND FEES: Premium Paid by: $4,731.00 This police covers only one building. If you hare more than one building on your property, please make sure they are all cm-ered. See III. Property Coi-erect within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coi,erage Limitations may apply. Please refer to your Flood Insurance Policy Form for details. Forms and Endorsements: WFL 99.415 0414 0614 FFL 99.310 1012 1010 WFL 99.116 0614 0614 This policy is issued by Wright National Flood Insurance Company A stock company (W 3y Sent To: As indicated on back or additional pages, if any. 00871370911502088661436203 00008 Insured w 01415 �r. DATE €h3M0DfYYYYi gCt�Rf) CERTIFICATE OF LIABILITY INSURANCE 1 05115115 THIS CERTIFICATE I NIS ISSUED MATTER OF IVELY NEGATIVELY INFORMATION AMEND, EXTEND OR ALTER AND CONFERS NO RIGHTS COVERAGE AFFORDED ABY THE POLICES 'ERTIF 600ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S}, AUTHORIZE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If Vecertificate holder is an ADDITIONAL INSURED, the policy0es) mustbe endorsed. if SUBROGATION IS WAIVED, subject to the terms and coons of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holdereu of such endorse ment s). $00 �233957 ncONT CTJoanne Dedrick PRaoucER _ __.VFIS of Florida 80347 P ©rN Exs , 800-233-1967 _ �n`tc., Nal 800-729 $347 One South Ocean Blvd, Ste 310 E-MAIL dedrick efts com Boca Raton, FL 33432 _ADDRESS;_ _ (_ _.- ..... ...._ Valunt2er Fireman's Ins Svcs INSURER(S) APFORC}ING COVERAGE ...._. ____, NAIL it — 17� INSURERA NFIS -American Alternative Ins INSURED Big Coppitt Volunteer Fire Dep 28 Emerald Drive INSURER c -- Key West, FL 33040 INSURER D ; ---� INSURER E OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT TI1E AOL,CsES OF INSURANCE LISTED i3ELO't1 HAVE BEEN ISSUED TO THE INSURED NAMED ENT ABOVE FOR T HE POLICY PERIOD HIS CUM INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR DESCRIBED EDOHEREIN IS�SUB SUBJECT TOTALL THE TERMS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DE8 ....._ --- EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SI iOvvN MAY HAVE BEEN REDUCED� E E3Y P POL1c- Y EXP __ LIMITS -- - iAQOLSUBR_ iR TYPE OP INSURANCE POLICY NUMBER .W7M?DONYYY--Rt M10QlYYY R . EACH 0('CJE R'NC _.— GENERAL LIABILITY -f} 1k N i F0 PREvI Evi17 _ _r,, _. t,C4'h".EHCIRL G;ENEEEAL Ll.A1s0.,f SY tv7Er: EXP :Ant one parS ) CLAIMS -MADE !iiGt;{t.d 'r PEkSt,NA..anDV IN,IUftY :........ — --,--- t _ ... GATE PRO Ur'TS C,,)MPirP A O — -- GEN 4 31RFGAII F LINtkT Ai E t FS PER - { -- j PR �T ' t.0 - LIM1€ POLECY .Faacc� _ AUTOMOBILE LIABILITY 10107114 10107115 P0�4 Y.N. RY+P r;3or z3 ;. X VF1S-CM-1055583 f, A ANY ASJTO I v lIva CRY .x ac �e( ALL OiVNEia I—'' St tit0LILEA) X '. A 4 OS .__ AUR7S `— NON 001NEE7 ; nt1 HIRED AUTOS AU70S j EACr4 i�PrRE NCEn _ _____.__.� -- UMBRELLA LIAB 0^^ I __---- {Gai2LG,tiTE _._...., EXCESS LIAB CLAIMS-1•,4ADE', S RETENTIONS._...._.__._._____.._......e....._. _ EiF > , OT ! C7°f L1r11 c_,,..R_ __.. WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY Y t N .. E 4 t (i A(, 3EiFh7T . .,N .dCJr R;E T^vH7L'.AR'Nt�JEXtG'J - L N 1 A 1 'l S -.A EA EtiPt OY E .'z_ 'FFI ERrN4EMSER EXCLt -EC' (_,_;. I -- _ {Mandatory in NHI ! , L G.acAS�. POLU Y L44.9t E s, UesC(3he uf)de( i li yes DESCRIPTION aP oPERArE �Ns �e ��ri VF1S-CM1055583 10f07i14 10107/15 Comp A Auto Physical Dmg 1 Coll DESCRIPTION OF OPERATIONS i LOCATIONS t VEHICLES (Attach ACORD 101, Additional Remarks Sctrsduts, ii more space is required) 2012 FORD F150 FDP 1FTFW1CF9CFC60929 ertificate Holder is an additional insured. APPRO GEPAENT WW (',fe y li. WAIVER N/A YES_ Monroe County 1 =6 WV 81 AVW S, Board of County Commission 0 j - �O� 03�� 110o Simonton St., Ste. 268 Key West, FL 33040 ACORD 25 (2010105) 1 J 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 G 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD