Certificates of Insurance
ACORD,. CERTIFICATE OF LIABILITY INSURANCE I OATE(MIMJDJYYYY)
10/20/06
PRODUCER 1_561_995_6706 TIllS CERTIFlCA TE IS ISSUED AS A MA TIER OF INFORMATION
Arthur J. Gallagher Risk lIanag..-nt servic.. ONLY AND CONFERS NO RIGHTS UPON TIlE CERllFlCA TE
Arthur J. Gallaghar &: Co. (Florida) HOLDER. TIllS CERllFlCATE DOES NOT AMEND, EXTEND OR
2255 Glad.. Road ALTER TIlE COVERAGE AFFORDED BY TIlE POLICIES BELOW.
Suit. 400B
Boea Raton, PL 33431 INSURERS AFFORDING COVERAGE NAIC.
...URED INSURER A: priDceton _xc... &: Surplus Lin.. :Ins 10786
plorida Keys Aqueduct Authority
INSURERS:
1100 Kennedy Dr INSURERC:
Kay W..t , PL 33040 INSURER 0:
INSURERE:
n1E POLICIES OF INSURAtolCE 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 INSURM4CE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE liMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~ DO,:) POLICYHUllBER POLICY EFFECTIVE POLICY EXPIRAllON l.IMrTS
A ~NERAL LIABILITY GI_AJ_BX_0000045_01 03/31/06 03/31/07 EACH OCCURRENCE $975.000
X CQMAoERCIALGI:NERALUABlUTY PREMISES Eaoccurence\ .
I ClAIMSMA:DE ~ OCCUR MEDEXP{AnyooepelSOl'l) .
~ &xce.. of $25.000 SIR PERSONAL&ADVINJURY .
- GENERAl...AGGREGATE .
~L~nLl~TAWn~ER PRODUCTS _CQMPIOPAGG .
POLICY ~~ LOC
~OIIOBILE LIABILIITY COMBINED SINGLE UMrr .
- ANY AUTO (Eaaccidenl)
f-- ALLOWNEDAUTOS BODLYIN.A.lRY
SCHEDULEDAtJlTOS {Per person) .
~
- HIRED AUTOS
BOOIL Y INJURY .
- NON-Q'NNED AUTOS (Peraccidenl)
f-- PROP8UY DAMAGE .
(Peraccidenl)
RRAGELIABILfJY AUTO ONLY - EAACCI)ENT .
ANY AUTO EAACe .
.:;;:.w- OTHER THAN
." , "''' AUTO ONLY: AGO .
..
~ESS/UMBRELLA LIABLITY .10l c- \1. u EACH OCCURRENCE .
OCCUR [J CLAIMS MADE
I (u::D,tL AGGREGATE .
..- ---.-.~ -.- _.-,-. c .
~ ~OUCllBlE "- .
RETENllON . . .
WORKERS COIIPENSATlQMAHD we STA1\J- IOJ~-
EMPLOYERS'LIA8lL[1'Y
ANY PROf'RlETORIPARTNE:RJEXECUTNE ~~ E.L EACH ACCIDENT .
OFACERfMEMBER EXCLU()ED? E_L DISEASE - EA EMPLOYEE S
~~~ONSbeklW E..L Dt5EASE - POLICY UMfT .
""'ER
DESCRIPTION OF OPERATIONS I' L0CA11ON8/YEHlCLESI EXCLUSIONBADDED BY ENOORS~HT ISPECIAL PROYISIONS
J"h Interlocal Ag~tement for the COnch ~ey/Duck x.y Regional Wa.t..ater Sy.t..
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXl"fiAllON
~Droe COunty Board of county C~..iOD.rll DATE THEREOF, THE ISIUW1G INSURER WLL ENDEAVOR TO MAIL ~ DAYS WRITTEN
NOllCE TO THE CERllFtCATE HOLDER NAMED TO THE LEFT. BUT FALURE TO DO 80 SHALl.
1100 sbaonton Str..t _POSE NO OBLIGATION OR LIABILITY Of' ANY KIND UPON THE IN&URER, ITS AGENTS OR
Roca 268 REPRESENTATIVES.
hy ...t I PL 33040 AUTHORIZED REPRESENTATIVE t1~
USA
CERllFlCA TE HOLDEFt
CANCELLATION
COVERAGES
ACORD 25 (2001108) j ""glob
5(182530
@l ACORD CORPORATION 1988
CERTIFICATE OF COVERAGE
Certificate Holder Administrator Issue Date 11/06/06
MONROE COUNTY BOARD OF COMMISSIONERS Florida League of Cities, Inc.
1100 SIMONTON ST ROOM 268 Public Risk Services
KEY WEST FL :33040 P.O. Box 530065
Orlando, Florida 32853-0065
COVERAGES
THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,
TERM OR CONDITION OF ANY CONTFlACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE COVERAGE AFFORDED BY THE
AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT
COVERAGE PROVIDED BY: FLORIDA MUNICIPAL INSURANCE TRUST
AGREEMENT NUMBER: FMIT 0176 I COVERAGE PERIOD: FROM 10/1/06 I COVERAGE PERIOD: TO 10/1/0712:01 AM STANDARD TIME
TYPE OF COVERAGE - LIABILITY TYPE OF COVERAGE - PROPERTY
General Liability 0 Buildings 0 Miscellaneous
0 Comprehensive General Liability, Bodily Injury, Property Damage and o Basic Form 0 Inland Marine
Personal Injury o Special Form 0 Electronic Data Processing
0 Errors and Omissions Liability 0 Personal Property 0 Bond
0 Supplemental Employment Practice o Basic Form 0
0 Employee Benefits Program Administration Liability o Special Form
0 Medical Attendants'/Medical Directors' Malpractice Liability D Agreed Amount
0 Broad Form Property Damage 0 Deductible N/ A nlSOu<.<JD
0 Law Enforcement Liability o Coinsurance N/ A 11-(0-00
0 Underground, Explosion ~l Collapse Hazard D Blanket
0 Specific "f-.
Limits of Liability 0 Replacement Cost
$100,000 Each Person/$200,000 Each Occurrence
o Actual Cash Value
Deductible N/A
Automobile Liability Limits of Liability on File with Administrator
0 All owned Autos (Private Passenger) TYPE OF COVERAGE - WORKERS' COMPENSATION
0 All owned Autos (Other than Private Passenger)
0 Hired Autos [81 Statutory Workers' Compensation
0 Non-Owned Autos [81 Employers Liability $1,000,000 Each Accident
$1,000,000 By Disease
limits of Liability $1,000,000 Aggregate By Disease
$100,000 Each Person/$200,OOO Each Occurrence [81 Deductible $2,500
Deductible N/A 0
Automobile/Equipment. Deductible
D Physical Damage NJA .. Comprehensive. Auto N/A - Collision - Auto N/A - Miscellaneous Equipment
Other
Description of OperationsILc)CatlonsIVehicleslSpeclalltems
RE: Interlocal Agreement (Counch Key/Duck Key Regional Wastewater Project).
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
ALTER THE COVERAGE AFFORDED BY THE AGREEMENT ABOVE.
DESIGNATED MEMBER CANCELLATIONS
SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS
FLORIDA KEYS AQUEDUCT AUTHORITY WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL
SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
1100 KENNEDY DRIVE PROGRAM, ITS AGENTS OR REPRESENTATIVES
.,....'1.......,............. ................. II
'---._~-- . ,.-' ---.-.-.... ~.._".~._..___'.'-:r..,'___."..__.,,__, "',. _...
f} t:J"~i~ : ~~ f' !
C~,,.. .,'~~ , t.~. t) i
e--.. ._._~~:.~; J~:~~~~ties~ Inc.
S >op ~~~t~e:: ~2853~~065
CERTIFICATE OF COVERAGE
,...-,
Certificate Holder
MONROE COUNTY BOARD OF COMMISSI( tNERS
1100 SIMONTON ST ROOM 268
KEY WEST FL 33040
Issue Date 09/24/09
~~I~~~~~E~ERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED T THE DESI<;;;;EDJ M-- i.~R~, :. ..... .~,......~..~~I~.. AGE PERtD INDICA~ED. NOTWITHSTANDING ANY REQUIREMENT,
TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH R SPECT TO WHICH T 1:5~~r~A1!"j~A"I~ ISSUED OR MAY PE T AIN, THE COVERAGE AFFORDED BY THE
AGREEMENT DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, EXCLl SIONS AND CONDITI ~F\sO~dR~~T.
COVERAGE PROVIDED BY: FLORIDA MUNICIPAL INSURANCE TRUST
AGREEMENT NUMBER: FMIT 0178 I COVERAGE PERIOD: FROM 10/1/09 I COVERAGE PERIOD: TO 10/1/10 12:01 AM STANDARD TIME
TYPE OF COVERAGE - LIABILITY TYPE OF COVERAGE - PROPERTY
General Liability
o Comprehensive General Liability, Bodily Injury, Property Damage and
Personal I njury
o Errors and Omissions Liability
o Supplemental Employment Practice
o Employee Benefits Program Administration Liability
o Medical Attendants'/Medical Directors' Malpractice Liability
o Broad Form Property Damage
o Law Enforcement Liability
o Underground, Explosion & Collapse Hazard
Limits of Liability
$100,000 Each Person/$200,ooo Each Occurrence
Deductible N/A
Automobile Liability
o All owned Autos (Private Passenger)
o All owned Autos (Other than Private Passenger)
o Hired Autos
o Non-Owned Autos
Lim its of Liability
$100,000 Each Person/$200,ooo Each Occurrence
Deductible N/A
Automobile/Equipment - Deductible
o Buildings
o Basic Form
o Special Form
o Personal Property
o Basic Form
o Special Form
o Agreed Amount
o Deductible N/A
o Coinsurance N/A
o Blanket
o Specific
o Replacement Cost
o Actual Cash Value
o Miscellaneous
o Inland Marine
o Electronic Data Processing
o Bond
o
Limits of Liability on File with Administrator
TYPE OF COVERAGE - WORKERS' COMPENSATION
[8J Statutory Workers' Compensation
[8J Employers Liability $1,000,000 Each Accident
$1,000,000 By Disease
$1,000,000 Aggregate By Disease
[8J Deductible $2,500
o
o Physical Damage N/A - Comprehensive - Auto N/A - CoUision - Auto N/A - Miscellaneous Equipment
Other
Description of Operations/LocationsNehicles/Specialltems
RE: Intenocal Agreement (Counch Key/Duck Key Regional Wastewater Project).
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
ALTER THE COVERAGE AFFORDED BY THE AGREEMENT ABOVE.
DESIGNATED MEMBER
FLORIDA KEYS AQUEDUCT AUTHORITY
1100 KENNEDY DRIVE
KEY WEST FL 33040
(! (! "
(1), 1111 cL-
FMIT-CERT (10/96)
CANCELLA nONS
SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL
SUCH NOTICE SHAlL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
PROGRAM, ITS AGENTS OR REPRESENTATIVES.
~~~~
AUTHORIZED REPRESENTATIVE
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