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Certificates of Insurance
ACOR ,,M CERTIFICATE OF LIABILITY INSURANCE o3iiij2002 PRODUCER (305) 743-0494 FAX (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 500280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 33050-0280 INSURERS AFFORDING COVERAGE INSURED Banana Cabanna Academy, Inc. 22673 Pieces of Eight Road Cudjoe Key, FL 33042 COVERAGES INSURER A: Associated Ind. Insurance Co. INSURER B: INSURER C: INSURER D: INSURER E: 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMlDD/VY POLICY EXPIRATION DATE MMlDDlYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO - JECT PRODUCTS - COMP/OP AGG $ AUTOMOBILE AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS _ AppR D �Y (� ENT COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO DPI YE W P,1VE ( AUTO ONLY - EA ACCIDENT $ OTHER THAEA ACC AUTO ONLYN AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ Cl( EACH OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 2001317404 08�0$�2001 08�08�2002 TORY LIMITS ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Board of County Commissioners 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Monroe County Risk Management BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 Simonton Street OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ft AUTHORIZED REPRESENTATIVE �� plAtItr �jj Key West FL 33040 AI.UKU Lb-J (!ly/) VAL;UKLYGUKF'UKAIWIN TySFS ALLUNES 6AGO RD. MODUCEA KEYS INSURANCE AGENCY P. O. BOX 500280 MARATHON, FL 33050 I*= Sul6cou BANANA CABANNA ACADEMY, INC. 349 AIRPORT DRIVE, N- SUYVERLAND KEY, FL 33042 -T, laqu I DATE ;MAVDD,Yy) E—T OWN 5/2/01 N THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS E HOLDER. THIS CERTIFICATE DOES ?VC-.- AMEND, THE CERTIFICATE NO RIGHTS UPON EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLZIES BELOW 1 COMPANIES AFFORDING COVERAGE COMPANY SCOTTSDAIE INSURANCE CO. LETTER COMPANY ASSOCIATEDASSOCIATEDINDUSTRIES INS. CO Lallif COMPANY c LETTER COMPANY D LETTER COMPANY E LETTER -5Phliv)!131m, M-W5M 'iO ly WIN 111TW . THIS 19 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD -rO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, 11IRM OR CONDITION OF ANY CONTRACT OR OT14ER DOCUMENT WITH RESPECT AFFORDED BY THE POLICIES OESCRiESD HERE14 IS SUBJECT TO ALL HE TERMS. cEFITIF�CATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND CONOrrIONS OF SUCH CY tPRTIVE POLICY EXPIRATION, POLICY 0 TYPE OF INSUAAMM POLICY NuMm DATE (MMIDWY) DATE (VAVODIYY� ALL LIMBS -h2A&M LRY GENERAL AGGREGATE $1,000 TWAL LIABLITY X COMMERCIAL GENERAL LIABILITY CPS0376355 5/17/01 5/17/02 PROIDUCI-S.COMWOn A3614EGATE SINCE CLAWS MADE ' x OCCUR. PEPSONAL 4 ADVERTISING ;%JUfqy 8 1 1 00.0 OWNER'S & CONTIR404TOR's P11101T. EACH OCCURRENCE .1,000 X. PROFESSIOANI, LIA13ILITY RPE DAMAGE (Any one We) S 50--. x SEXUAL & PHYSICAL ABUSE $100,000/$300,000 SUBLIMIT MEDICAL EXPENSE (Any arseperson) 9 C0161 IN ED AUTOMONLI LIABILITY SINGL8E S ANY ALTO LIMIT ALL OWNED AUTOSINJURY SCHfOULFO AU70S fPor person) HIRED AUTCS SONLY NJURY MON-OWNED AUTOS (Pot scoldent) GARAaf LIABILITY PROPERTY S DAMAGE EACH fXCM UAWLITY OCCURRENCE S OTHER THAN UMBRELLA FORM STATUTORY WOFWERIS COMPENSATION 2000317404 8/8/00 8/8/01 1 (EACH ACCIDENT) B' a 500 (DISEASE -POLICY LIMIT) EMPLOYERS' LIABILITY MMS foo ISEASE-ECHOYFil OTHER DESCRIPTION OF, OP" ERA -.ION"OCATHNUMMICLB$fRUTRICTIONSISPECiAL ITEMS CERTIFICATE HOLDER IS LISTED AS AN ADDITIONAL INSURED: LESSOR AT LOCATION #2 LOT 3, BLOCK 8 CUTTHROAT HARBOR ESTATE, CUDJOE KEY, FL MONROE COUNTY BOARD OF COMMISSIONERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 5100 CLOOEGE ROAD MAIL - DAYS WRITTEN NOTICE TO THE CERTIFICATE 'HOLDER NAMED TO THE KEY WEST, FL 33040 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES ATTN: MARIA DEL RIO A ,HTA va io 2 ACCIRI) 25S (3/88) ALL LINES jkt ISSUE DATE (MMICDIYY` .. 6/21/00 k PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS KEYS INSURANCE AGENCY NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, P. O. BOX 500280 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW MARATHON, FL 33050 COMPANIES AFFORDING COVERAGE COMPANY A SCOTTSDALE INSURANCE CO. LETTER CODE BUB-CODE :........ .._.... _. __...... ... _. _.... .. _. .. __ COMPA 'LETTER B INSURED ASSOCIATED INDUSTRIES INC. CO. COMPANY BANANA CABANNA ACADEMY, INC. LETTER C 349 AIRPORT DRIVE, N. COMPANY SUAMlIERLAND KEY, FL 33042 LETTER D COMPANY E LETTER tp 1 . 1; t L. : fox",,u l .. L 1, 4l fiF ti SK-FFA l6k 71J1eWi V, 4'. 1. THIS 1S 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. CO POLICY EFFECTIVE POLICY EXPIRATION' .TFITYPE OF INSURANCE POLICY NUMBER DATE (MM/DDIYY) DATE (MMIDD,'YY) ALL LIMITS 1N THOUSANDS GENERAL LIABILITY GENERAL AGGREGATE S 1,000 X . rOMMERCIAL GENERAL LIABILITY PRODUCTS COMPICPS AGGREGATE S INCLUD A CPS0376351 5/17/00 5/17/01 CLAIMS MADE X.: OCCUR. PERSONAL & ADVERTISING WJURY $ 1,000 OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE 3 1 , O.00 _. X PROFESSIONAL LIABILITY F'RE DAMAGE (Ary one fire) $ 50 -X SEXUAL & PHYSICAL _ ABUSE - 100,,_00.0/$ 300 , 00 SUBLIMIT MEDICAL EXPENSE jAny one person) S 5. AUTOMOBILE LIABILITY COMBINED ANY AUTO SINGLE S LIMIT ALL OWNED AUTOS BODILY •'. , . INJURY 3 SCHEDULED AUTOS (Per person) HIRED AUTOS �,Y _ BODILY RY NON -OWNED AUTOS %r'ecc,der!): $ GARAGE LIABiLITY (?1TE PROPERTY DAMAGE S EXCESS LIABILITY _. .{rlr..l",`Q,.. _.aE ..........'......._��:— _.... ......._ _, ...EACH .AGGREGATE OCCJRRENCF $ S OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY $ 1 00 (EACH ACCIDENT) B AND _., . 992317404 8/8/99 8/8/00 s 500 DISEASE--_..CLICY LIMIT; EMPLOYERS' LIABILITY $ 100 (DISEASE —EACH EMPLOYEE OTHER.. ... _. .. ... ... _... .... .... ..._._ .... _... DESCRIPTION OF OPERATIONSfLOCATIONSIVEMICLES/RESTRICTIONS/SPECIAL ITEMS CERTIFICATE HOLDER IS LISTED AS AN ADDITIONAL INSURED: LESSOR AT LOCATION #2 — LOT 3, BLOCK 8 CUTTHROAT HARBOR ESTATE, SUGARLOAF KEY, FL 33042. MONROE COUNTY BOARD OF COMMISSIONERS 5100 COLLEGE ROAD KEY WEST, FL 33040 MARIA DEL RIO 295-4364 FAX SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. UTNORIy2ED�RjE�PRE/SENT IVE f 2 ACORD 25S (.3/88) ACORD CERTIFICATE OF LIABILITY INSURANCE TM DATE(MM/DD/YY) 06/14/2000 PRODUCER (305) 743-0494 (305) 743-0582 Keys Insurance Agency of Monroe County, Inc. P.O. Box 500280 Marathon, FL 33050-0280 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 POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Banana Ca anna Academy, Inc. 349 Airport Drive North Summerland Key, FL 33042 INSURER A: Nautilus Ins Co INSURERB: Associated Ind. Insurance Co. INSURERC: 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY DATE MMIDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY NC079188 05/17/2000 05/17/2001 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 50,000 CLAIMS MADE U OCCUR MED EXP (Any one person) $ 50 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Excluded PROJECT LOC ri POLICY F1 AUTOMOBILE LIABILITY ANY AUTO ;� �,�n!_ ^ R�� I'P A `�• } COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS i } V �L_ ' - ') BODILY INJURY (Per accident) $ Yr� PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 20002317404 08/08/2000 08/08/2001 WCS'A LIMITS ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ertificateholder is additional insured as their interest may appear (not applicable to work comp) IrGR I Ir1%,P11 C riVLVCR I n I ADDITIONAL INSURED; INSURER LETTER: A %,ANt r_LLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED P IES BE CANCELLED BEFORE THE /(1 EXPIRATION DATE THEREOF, THE 1 MPANY WILL ENDEAVOR TO MAIL Monroe County BOCC U 30 DAYS WRIT EN NOTIC TO E RTIFICATE HOLDER NAMED TO THE LEFT, Attn • Maria Del Rio i)ATE BUT FAILURE TO IL SUC NC ALL IMPOSE NO OBLIGATION OR LIABILITY 5100 College Road 11.T1T' A'- — OF ANY KIND UPO THE I S AGENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESEN E ACORD CERTIFICATE OF LIABILITY INSURANCE TM DATE(MM/DD/YY) 03/31/2000 PRODUCER (305) 743-0494 (305) 743-0582 Keys Insurance Agency of Monroe County, Inc. P.O. Box 500280 Marathon, FL 33050-0280 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 POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Banana Ca anna Academy, Inc. 349 Airport Drive North Summerland Key, FL 33042 INSURER A: Nautilus Insurance Company INSURER B: INSURERC: 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, INSR LTR TYPE OF INSURANCE POLICY NUMBER P LI Y MM/DEM/D IVE DATE D/YY P LI I DATE MMlDD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ® OCCUR X Fees & Tax C079188 05/17/1999 05/17/2000 EACH OCCURRENCE $ 500,000 FIRE DAMAGE (Any one fire) $ 50,0001 MED EXP (Any one person) $ 50 PERSONAL & ADV INJURY $ 500,000 GENERAL AGGREGATE $ S00,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ Excluded AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ^^ rr Y 5 I I — P A T F v 0 / (fir r. naEp: iy,"�,.`YF5 � � - ) COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY At _T$ TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ertificateholder is additional insured as their interest may appear CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISS COMPANY WILL ENDEAVOR TO MAIL lU DAYS WRITTEN T CERTIFICATE HOLDER NAMED TO THE LEFT, Monroe County Board of Commissioners Maria Del Rio / BUT FAILURE T AIL SU E SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 College Road 1 /� OF ANY KIN P N T NY, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 DATE � / v� _ AUTHORIZED PRE TIV ACORD,. CERTIFICATE OF LIABILITY INSURANCE D/ 03/103/10/20032003 PRODUCER (305) 743-0494 FAX (305) 743-0582 Keys Insurance Agency, Inc. P . r, . Box 500280 Marathon, FL 33050-0280 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 POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Banana Cabanna Academy, Inc. 349 Airport Drive North Summerland Key, FL 33042 INSURER A: Scottsdale Ins Co INSURERB: Rockwood Casualty Ins. Co INSURERC: 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MM/DD LIMITS GENERAL LIABILITY CPS0376371 05/17/2002 05/17/2003 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 50,000 CLAIMS MADE Fil OCCUR MED EXP (Any one person) $ 5,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Excluded POLICY PROECT LOC J AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS APA NT ecod)RY ran $ BY TE PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO WAIVER N/AYES OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS LIABILITY OCCUR CLAIMS MADE ` J 1 EACH OCCURRENCE $ AGGREGATE $ $ L $ DEDUCTIBLE RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC0850875 08/08/2002 08/08/2003 1 TDRY LIMITS JOTH ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ S00,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS C oe5 . ��wnc.tr Monroe County Board of County Commissioners 1100 Simonton Street Key West , FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY, OF ANY KIND UPON THE COMPANY, I GENTS OR REPRE§9NI AUTHORIZED REPRESENTATIVE Derek Martin-Veaue _7 FAX: (30S)292-4564 ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE 08/14/D2003) 08/14/2003 PRODUCER (305) 743-0494 FAX (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 500280 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Marathon, FL 33050-0280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Banana Cabanna Academy, Inc. INSURER A: Scottsdale Ins Co 349 Airport Drive North INSURERB: Rockwood Casualty Ins. Co Summerland Key, FL 33042 INSURERC: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN, 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. ILR T D' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION 05/17/2004 LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FRIOCCUR CPS0575365 05/17/2003 EACH OCCURRENCE $ 1,000,00 DAMAGE TO RENTED PREMISES (Ea orri iren_) $ 50,00 MED EXP (Any one person) $5100 PERSONAL & ADV INJURY $ 11000,00 GENERAL AGGREGATE $ 110001,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ Exclude AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS APP Y K AN) + ME BODILYINMRY (Per accideBY $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO DATEAUTO WADER NJA ES ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC0852266 08/08/2003 08/08/2004 1 WC sTATU7 PR E.L. EACH ACCIDENT $ 100,000 B ANY PRCPRIETOPJPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $ 500 1 00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS eretificate holder is additional Insured C_ Monroe County Board of County Commissioners 1100 SImonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION R LIABILITY OF ANY KIND UPON THE INSURER, ITS AGE OR RES AT S. AUTHORIZED REPRESENTATIVE Derek Martin-Ve ue ©ACORD CORPORATION 1988 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW ITHSTANDINI 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. INSR D TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A NAR GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR CPS0575365 05/17/2003 05/17/2004 EACHOCCURRENCE $ 1,000,0U DAMAGE TO RENTED $ 50 00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1 , 000 , OO GENERAL AGGREGATE $ 1,000,00 PRODUCTS - COMP/OP AGG $ Exclude GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTOY\ QATE 7P/ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADEVAE � YES EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC0852266 08/08/2003 08/08/2004 WC STATU- OTH- E.L. EACH ACCIDENT $ 100,00( E.L. DISEASE - EA EMPLOYEE $ 100,00( B A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER and Physical Sexual Abuse CPS0575365 05/17/2003 05/17/2004 E.L. DISEASE - POLICY LIMIT $ 500,000 100,000 300,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ertificate hold is Additional Insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Monroe County Board of County Commissioners BUT FAILURE TO MAIL SUCH OTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 Simonton Street OF ANY KIND UPON THE U ER, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENT n]ArnDn rnRDnRATInN 19RA AGOKD Z5 (-[UUT/US) CC DATE (MMIDD/YYYY) fKeys ORD_M CERTIFICATE OF LIABILITY INSURANCE 05/24/2004 (305)743-0494 FAX (305)743-0582 THIS ONLY AND ICONFERS O RIGHTS UPON THE CERTIFFICATE IS ISSUED AS A MATTER OF ICATE nturance Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Box 500280 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. hon, FL 33050-0280 NAIC # INSURERS AFFORDING COVERAGE INSURED Banana Cabanna Academy, lnc. 349 Airport Drive North Summerland Key, FL 33042 INSURER A: Scottsdale Ins Co INSURER B: INSURER C: INSURER D: INSURER E: VERA E THE POLICIES OF INSURANCE OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEDNT WITH REOSPECT TO WHICH (THIS CEIRTIF LATE MAY BE ISSUED OR DI ANY REQUIRE MAY PERTAIN AGGREGATEINSURANCE L M TS SHOWN BY THE BEEN RPOLICIES EDUCED BY PAID CLAIMS. SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. POLICY EFFECTIVE POLICY EXPIRATION LIMITS SR DD' TYPE OF INSURANCE POLICY NUMBER EACH OCCURRENCE $ 1,000,0 GENERALLIABILITY CPS0575365 05/17/2004 05/17/2005 DAMAGE TO RENTED $ 50,0 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5,0 CLAIMS MADE X❑ OCCUR PERSONAI. & ADV INJURY $ 1,000,C A GENERAL AGGREGATE $ 1,000 PRODUCTS - COMP/OP AGG $ EXcl GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC POLICY I JECT COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) ANY AUTO BODILY INJURY $ ALL OWNED AUTOS (Per person) SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOSEN11 (Per accident) NON -OWNED AUTOS AP � s . - PROPERTY DAMAGE $ (Per accident) 6Y AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY ��� """-"��— _ w. _.,.....w OTHER THAN `ACC $ ANY AUTO �fl�A.l,_,Ir�.�--��.� \l AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESS/UMBRELLA LIABILITY - _ AGGREGATE $ OCCUR F1 CLAIMS MADE f J� $ $ DEDUCTIBLE $ RETENTION $ WC STATU- OTH- WORKERS COMPENSATION AND E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? E.L. DISEASE •POLICY LIMIT $ If yes, describe under SPECIAL PROVISIONS below CP50575365 05/17/2004 05/17/200 100,000 OTHER exual and Physial 300,000 A buse / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS DESCRIPTION OF OPERATIONS ertificate holder is Additional Insured Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TJE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THEBUT FAILURETO MAIL CH OTICE SHALL IMPOSE NO OBLIGATION OR LIABI OF ANY KIND UPON T INS RER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESEN ATIVE Linda an — " c ACORD CORPORATION 1988 ACORD 25 (2001lop) FAX: (305)292-4564 GG ACORDM CERTIFICATE OF LIABILITY INSURANCE 10/19/2 0 ' PRODUCER (305) 743-0494 FAX (305) 743-0582 Keys Insurance Services, Inc. P.O. Box 500280 Marathon, FL 33050-0280 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 POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Banana Cabanna Academy, Inc. 20 Cactus Drive Key West, FL 33040 INSURERA: FL Retail Federation SIF INSURER8: INSURERC: 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. INSR OD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE IMM/DD[YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ApPA E y IS A BY e DATE WAIVER Ala N _ c COMBINED (E accident' ANGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO i AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 520309070000 05/26/2004 05/26/2005 X C WSTATU- OTH- E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE -POLICY LIMIT $ 500,000 OTHER 7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN OTICE TO T E IFICATE HOLDER NAMED TO THE LEFT, Monroe County Board of County Commissioners BUT FAILURE TO MAIL CHNO SHA IMPOSE NO OBLIGATION OR LIABILITY 1100 Simonton Street OF ANY KIND UPON TH INSURE , IT ENTS OR REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENTALIVE ACORD 25 (20011081 / f-IA^ -- ... - L C_L�yLu 21 �-C� ACORDM CERTIFICATE OF LIABILITY INSURANCE olio /2 0 ) PRODUCER (305) 743-0494 FAX (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 500280 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 33050-0280 INSURERS AFFORDING COVERAGE NAIC # INSURED Banana Cabanna Academy, Inc. INSURERA: Mount Vernon Fire Ins. Co. 20 Cactus Drive INSURERB: FL Retail Federation SIF Key West, FL 33040 INSURERC: INSURER D: INSURER E: nnVRPAGFS 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. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONNSR 05/17/2006 LIMITS GENERAL LIABILITY CLS2294227 05/17/2005 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I OCCUR DAMAGE TO RENTED $ 50,00 MED EXP (Any one person) $ 5,00 A X Molestation/abuse PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Include POLICY PROECT LOC J AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS AP OV B K MA G-MEt�i BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BY DATE BODILY INJURY (Per accident) $ WAVER N.1A_ .__Y S PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO / ! L V I ,✓ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE •- J EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 520309070000 05/26/2005 05/26/2006 WC STATU- OTH- B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYEE $ 100,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ertificateholder is additional insured as their interest may appear (not applicable to workers comp) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Monroe County Board of County Commissioners 10 DAYS WRITTEN NOTICE TO THE CERTI E HOLDER NAMED TO THE LEFT, Risk Management BUT FAILURE TO MAIL SUCH NOTICE SHAL M SE NO OBLIGATION OR LIABILITY PO BOX 1026 OF ANY KIND UPON THE INSURER, ITS A EPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) L r r. —� ©ACORD CORPORATION 1988