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Certificates of InsuranceRANGER Airport Liability Policy INSURANCE DECLARATIONS --PART TWO RANGER INSURANCE COMPANY A CAPITAL STOCK COMPANY A DELAWARE CORPORATION, INCORPORATED IN 1923 ADMINISTRATIVE OFFICES: P.O. BOX 2807, HOUSTON, TEXAS 77252-2807 This DECLARATIONS -PART TWO and endorsements, if any, with POLICY PROVISIONS -PART ONE completes the policy numbered hereon. YOUR POLICY OBER AP 2 5 3 7 Prior Policy No. AP2155 NAMED INSURED AND ADDRESS YOUR AGENT'S NAME AND ADDRESS g Individual tMES I. BECRWITT AFRO INSURANCE AGENCY 775 107TH STREET OCEAN MARATHON, FL 33 8 0- OF FLORIDA, INC. 6500 SW 60TH gTREET Partnership Corporation MIAMI, FL 33143- Other <! POLICY PERIOD: 12:01 A.M. STANDARD TIME AT 9/27/95 9/27/96 YOUR ABOVE ADDRESS FROM: TO: BUSINESS OF INSURED: HANGAR OWNER LOCAT' OF' PREMI 5' INS D B ' Y B INS ;: S I :. MARATHON AIRPORT, MARATHON, FL. PORTION TENANT �T Y LIMITS OF LIABILITY, COVERAGES PRBMIINIS: The Insurance is only with respect to such and so many of the following coverages, and divisions thereunder, for which a premium charge is shown in the Premium column. Absence of a premium charge means that no Insurance is provided by the policy for that coverage or division. The limit of the Company's liability for each such coverage, and division thereunder, shall be as stated below subject to all the terms of this policy and endorsements, if any, having reference thereto. Ms qF Lllt` CQN$SRiiM BODILY INJURY AND PROPERTY DAMAGE LIABILITY DIVISIONS OF HAZARDS INSURED HEREUNDER by Coverage A but only if so indicated by 'X' below `. $ 1,000,000 Each Occurrence ® Division 1 - AIRPORT - OPERATIONS 1 1,500.00 El DIVISION 2 - PRODUCTS -COMPLETED OPERATIONS (applicable only with respect to the categories $ Aggregate specifically set forth in Item 7 below) ❑ Division 3 - CONSTRUCTION DEMOLITION (applicable only to hazard (subject to Endorsement Form No. 2005) Division 2 & 4) ❑ Division 4 - CONTRACTUAL (subject to Endorsement Form No. 2004) Each Aircraft Each Occurrence HANGAR1038pBR'S LLABILITY ^ : �igmt. & L_ " :untro304 Deductible -Each 14 _ -" ` 5 e c Aircraft -Each Claim tNr.IAi. $ Each Person Aggregate PERSONAL INJURY LIABILITY $ General Aggregate (Subject to Endorsement Form No. 2010) Form Number of Endorsements Attached To and Made A Premium For Endorsement Form No.(s) Part Of This Policy At Inception: Endorsements: i Fortes: 2400 22103LYSI1 1,500.00 PRODUCTS -COLLETED OPERATIONS PREMIUM BASIS RATE (Coverage applicable only with respect to the following categories) (Sales &Receipts) (Per $ 1,000) ADVANCE PREMIUM SEE ENDORSEMENT Form No. 2009 MINIMUM PREMIUM During the past year no insurer has canceled or declined to renew any insurance issued to the Named Insured similar to the insurance afforded hereunder: exception if any - Absence of entry means no exceptions Countersigned this day of , Approved this 20 day of SEPTEMBER 1995 , Authorized Representativ SIGNAL AVIATION UNDERWRITERS INC./Aviation Managers �� SAU 4002 AP(01/91) cc : i3 � '�� AGENTS COPY D22035 A10f 91 10000 AD 10611 � �e ACER CERTIFICATE OF LIABILITY INSURANCE, BM DA02/2DD/YY) CKJUl 02/23/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Falcon Insurance Agency/Fla . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 6220 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lakeland FL 33807-6220 Phone:863-646-9688 Fax:863-644-4047 INSURED Jules I. Beckwitt 775 107th St. Ocean Marathon FL 33050 INSURERS AFFORDING COVERAGE INSURER A: U.S. Specialty 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 PO CY EF CTIVE DATE MM/DD/YY OLICY EXPIRATION DATE MM/DDNY LIMITS GENERAL LIABILITY EACH OCCURRENCE I $ $ 1 r 000 . 000 . A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑ OCCUR UA64951 09/27/00 U9/27/01 FIRE DAMAGE (Anyone fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ $2 r 000 , 000 . GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY Per accident) $ DAMAGE �PROPIIERTY Pprarctl_nt) $ GARAGE LIABILITY ANY AUTO v Li 1 ' AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ s �- �( AUTO ONLY: AGG EXCESS LIABILITY OCCUR E CLAIMS MADE "'.''1,'�Q; �, ;' � � vG t. EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate holder is named as additional insured with respect to the above mentioned policy. �r rvr� r nvw�R Z I AUUI I IUNAL INSURED; INSURER LETTER: GANGtLLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe Board of County Commis. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN (Airport Authority) NOTICE TO THE CERTIFICATE HOLDER NAMED TO THFN T, BUT FAILURE TO DO SO SHALL Risk Management IMPOSE NO OBLIGATION OR LIABILITY ANY t 5100 College Road THE I�URER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. I / Richard C. Mallard v ACORD 25-S (7/97) ©ACORD CORPORATION 1988 ACORD� CERTIFI PRODUCER Boulton Boon 7500 N.W. 25th Street, Ste 200 Miami FL 33122-1700 Robert A. Philpott (Ext. 121) Phone Na 305-592-7770 Fm Na INSURED Dr. Jules I. Beckwitt 775 107th Street, Ocean Marathon FL 33050 DATE (MM/DWYY) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A Ranger Insurance Company COMPANY B COMPANY C COMPANY D (his is ro CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESP CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN SUBJECT T EXCLUSIONS AND CONDITIONS OF SUCH POLZIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIIC D CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/pgryY) DATE (MM/OD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO t CLAIMS MADE 7 OCCUR PERSONAL & ADV INJURY : OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1, 000, 000. X A Al rport Li abi 1 i ty Renewal of #)AP3533 09/27/98 09/27/99 FIRE DAMAGE Wv one M) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT S ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS BODILYINJURY NON -OWNED AUTOS V ' • (P,r mckWM $ V ` PROPERTY DAMAGE $ GARAGE LIABILITY DATE AUTO ONLY -EA ACCIDENT $ ANY AUTO yfS. OTHER THAN AUTO ONLY: WAVER: IN, • • — EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE f UMBRELLA FORM AGGREGATE s OTHER THAN UMBRELLA FORM s WORKERS COMPENSATION AND WC STATU- OTH- EMPLOVERB' LIABILITY P TORY LIMITS ER EL EACH ACCIDENT >i THE PROPRIETORI INCL PARTNERS/EXECUTIVE EL DISEASE - POLICY LIMIT S OFFICERS ARE: EXCL EL DISEASE • EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSMEHICLEWSPECIAL ITEMS Airport Liability Policy ADDITIONAL INSURED: Monroe County, Florida (Airport Authority) MONRO -9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County, Florida ! (Airport Authority) 1O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Monroe County Risk Manag t BUT FAILURE TO MAIL S�!!�R POW NO OBLIGATION OR LIABILITY 5100 College Road OF ANY KIND UPON THEEFR Key West FL 3304§hTE AUTWMIMAW MRMTA _ _ aNIML lRobert A. Phitpott -(Ext. 1211� V Ai RINGER INSURANCE Airport Liability Policy DECLARATIONS --PART TWO RANGER INSURANCE COMPANY A CAPITAL STOCK COMPANY A DELAWARE CORPORATION, INCORPORATED IN 1923 ADMINISTRATIVE OFFICES: P.O. BOX 2807, HOUSTON, TEXAS 77252-2607 This DECLARATIONS -PART TWO and endorsements, if any, with POLICY PROVISIONS -PART ONE completes the policy numbered hereon. YOUR POLICY NUMBER AP 3 0 0 8 Prior Policy No. AP2537 Imo' NAMED INSURED AND ADDRESS YOUR AGENT'S NAME AND ADDRESS x Individual JULES I. BECRWITT AERO INSURANCE AGENCY 775 107TH STREET OCEAN MARATHON, FL 330t0- OF FLORIDA, INC. 6500 SW 60TH STREET Partnership FL 33143 - Corporation other /�► PERIOD: POLICY PERIOD: 12:01 A.M. STANDARD TIME AT YOUR ABOVE ADDRESS FROM: 9/27/96 To: 9/27/97 3j BUSINESS OF INSURED: HANGAR OWNER I,OCAION OF P SRS ,;INSURED'; BY IRIS POLICY PARS OCCUPIED BY INSURRD INSURED' S INTEREST MARATHON AIRPORT, FLt+u7i111� PORTION TENANT AryMARATHON, LIMITS OF LIABILITY, COVERAGES AND PREMIUMS: The Insurance is only with respect to such and so many of the following coverages, and divisions thereunder, for which a premium charge is shown in the Premium column. Absence of a premium charge means that no Insurance is provided by the policy for that coverage or division. The limit of the Company's liability for each such coverage, and division thereunder, shall be as stated below subject to all the terms of this policy and endorsements, if any, having reference thereto. LIMITS OF LIABILITY + COVERAGES PREMIUM BODILY INJURY AND PROPERTY DAMAGE LIABILITY DIVISIONS OF HAZARDS INSURED HEREUNDER by Coverage A but only if so indicated by 'X' below ® Division 1 - AIRPORT - OPERATIONS 1,500.00 $ 1,0001000 Each Occurrence ❑ DIVISION 2 -PRODUCTS-COMPLETED OPERATIONS (applicable only with respect to the categories $ Aggregate specifically set forth in Item 7 below) ❑ Division 3 -CONSTRUCTION DEMOLITION (applicable only to hazard (subject to Endorsement Form No. 2005) Division 2 & 4) El 4 -CONTRACTUAL (subject to Endorsement Form No. 20049PPROVEQ BY RISK tiq01icw,FN'F�!T $ Each Aircraft $ BY o2/c Each Occurrence HANGARAEEPER'S LIABILITY Deductible -Bach Q),TE-- Aircraft-Each Claim w� a,r!IfrN/A $ Each Person Aggregate PERSONAL INJURY LIABILITY $ General Aggregate (Subject to Endorsement Form No. 2010) �i Form Number of Endorsements Attached To and Made A Premium For Endorsement Form No.(s) Part Of This Policy At Inception: Endorsements: 1 TOTAL ICY PIIUM Forma: 2210 2400 1,500.00 7 PRODUCTS -COMPLETED OPERATIONS PREMIUM BASIS RATE ADVANCE (Coverage applicable only with respect to the following categories) (Salsa & Receipts) (Per $ 1,000) PREMIUM SEE ENDORSEMENT Form No. 2009 GC e.(..��//jj MINIMUM PREMIUM L/L.4S tl+S#K^RIAN �'t During the past year no insurer has canceled or declined to renew any insurance issued to the Named In similar to the insurance afforded hereunder: exception if any - Absence of entry means no exceptions Countersigned this 15 da f , �:� Approved this 4 day of SEPTEMBER ► 1996 d Representative SIGNAL AVIATION U SAU 4002 AP(O1/91�thor' AGENTS COPY D22035TA10�91N100001NP1170261agers TBIS BBDOR EMM CHANMS T88 POLICY. FL=1 RUD IT =M"nI.LY. This endorsement is Put of poliaT nmober: AP3008 eadarsss ent aamber: 1 issued tofi (first Waned Insured): effective s for: p�{rm of $ (Zf no eat .7 Wpm" &bon, i.nfamation required to caseplete this endorsement is shown in the Oeclaratimm. � ADDITIORAL INSURED - AIRPORT OpHR&TIONS It is agreed that such insurance as is afforded b this y policy shall also apply to_ MONROE COUNTY, FLORIDA (AIRPORT AUTHORITY) C/O KAY BAHLEDA, RISK MANAGEMENT, MONROE COUNTY 5100 JUNIOR COLLEGE ROAD KEY WEST, FL dbiaaonly with respect to liability for damages because of bodily is 96 insured by this policy which i• caused by the negligence of thsi��ndl/oor property La Ites. 1 of the Declarations -Part Two of the policy and which &rises out of Ownership, s&"tenaace, operation or use of the premises described in Item 4 of the Declarations. The inclusion of the above additional insured shall not operate to increase the limits of the DT's liability as shown in Item S of the Declarations. NOTHING HEREIB COifiTAINBD SHALL BE BZM TO PART, ALTER OR EXTEND Op TBRi+LS, CORDITIOSS OR AGREEMENTS OP TSH POLICY OTSHR THAR AS STATED ABOVE. SAD 2008 Ap(O1/91) AIRPORT LIABILITY CERTIFICATE OF INSURANCE THIS iS TO CERTIFY, that Policy No. AP3008 issued by RAN(' R TNSUgANcg coMpANy was ISSUED TO: NAMED INSURED JULES I. BECKWITT AND 775 107TH STREET, OCEAN ADDRESS MARATHON, FL 33050 AGENT AERO INSURANCE AGENCY AND OF FLORIDA, INC. ADDRESS 6500 SW 06TH STREET MIAMI, FL 33143 This certificate of insurance neither affirmatively or negatively amends, extends or alters the coverage afforded by the Policy described herein. and is in force from 9-27-96 to 9-27-97 . The insurance afforded by the policy is only with respect to the Coverages for which a limit is shown under the Limits of Liability column. GENERAL AGGREGATE LIMIT $ 1,000 .000 PRODUCTS -COMPLETED OPERATIONS AGGREGATE LIMIT $EXCLUDED ,000 PERSONAL & ADVERTISING INJURY LIMIT $EXCLUDED .000 EACH OCCURRENCE LIMIT $ 1,000 1000 FIRE DAMAGE LIMIT (ANY ONE FIRE) $EXCLUDED .000 MEDICAL EXPENSE LIMIT (ANY ONE PERSON) $EXCLUDED .000 In the event of cancellation of the above described Policy, the Company, if possible, will notify the addressee of this Certificate, shown below, 10 days prior to such cancellation. CERTIFICATE ISSUED TO: MONROE COUNTY, FLORIDA (AIRPORT AHTHORITY) Exe ted t is 19TH day of S SEPTEMBER, 19 96 C/O KAY BAHLEDA, RISK MGR. MONROE COUNTY 5100 JUNIOR COLLEGE ROAD By KEY WEST, FL AUTHORIZED SIGNATURE This is a Memorandum of Insurance and not a Policy of Insurance and no action may be brought hereunder. It is furnished only as evidence that t::e Insurance Policy described herein has been issued by this Company. SAU 3011 ACG(1/91) AIRPORT LIABILITY CERTIFICATE OF INSURANCE THIS IS TO CERTIFY, that Policy No.AP4267 was ISSUED TO: r— NAMED JULES I. BECKWITT INSURED 775 107TH STREET, OCEAN AND MARATHON, FL 33050 ADDRESS _ issued by RANGER INSURANCE COMPANY This certificate of inaurance`nein affirmatively or negatively amends, extends or alters the coverage afforded by the Policy described herein. and is in force from 9-27-98 to 9-27-99 The insurance afforded by the policy is only with respect to the Coverages for which a limit is shown under the Limits of Liability column. LIMITS OF LIABILITY COVERAGES A. BODILY INJURY & PROPERTY DAMAGE LIABILITY DIVISION OF HAZARDS INSURED HEREUNDER $ 1,000,000. Each Occurrence by Coverage A where indicated by °X" below X Division 1 AIRPORT OPERATIONS $ Aggregate _ Division 2 PRODUCTS -COMPLETED OPERATIONS (applicable only to Hazard Divisions 2 & 4) _ Division 3 CONSTRUCTION AND DEMOLITION Division 4 CONTRACTUAL $ Each Aircraft $ Each Occurrence B. HANGARREEPER'S LIABILITY Deductible -Each IAircraft -Each Claim Each Persoi1 Aggregate C. PERSONAL INJURY LIABILITY General Aggregate In the event of cancellation of the above described Policy, the Company, if possible, will notify the addressee of this Certificate, shown below, 10 days prior to such cancellation. ADDITIONAL INSURED - SEE POLICY CONDITIONS FOR DETAILS CERTIFICATE ISSUED TO: r— —1 MONROE COUNTY, FLORIDA COMPANY RANGER INSURANCE COMPANY (AIRPORT AUTHORITY) Executed this 1ST day of DECEMBER 1998 C/O KAY BAHLEDA, RISK MANAGEMENT, MONROE COUNTY - 5100 JUNIOR COLLEGE ROAD By I KEY WEST, FL 33040 —� AUTHORIZED SIGNATURE This is a Memorandum of Insurance and not a Policy of Insurance and no action may be brought hereunder. It is furnished only as evidence that the Insurance Policy described herein has been issued by this Company. q� HATE SAU-2011 AP(1/94) AIRPORT LIABILITY CERTIFICATE OF INSURANCE THIS IS TO CERTIFY, that Policy No. AP3533 issued by RANGER INSURANCE COMPANY was ISSUED TO: f NAMED JULES I. BECKWITT This certificate of insurance neither INSURED 775 107TH STREET, OCEAN affirmatively or negatively amends, extends AND MARATHON, FL 33050 or alters the coverage afforded by the ADDRESS Policy described herein. and is in force from 9-27-97 to 9-27-98 . The insurance afforded by the policy is only with respect to the Coverages for which a limit is shown under the Limits of Liability column. LIMITS OF LIABILITY COVERAGES 11 1,000,000. Each Occurrence A. BODILY INJURY & PROPERTY DAMAGE LIABILITY DIVISION OF HAZARDS INSURED HEREUNDER by Coverage A where indicated by "X" below X Division 1 AIRPORT OPERATIONS $ Aggregate (applicable only _ Division 2 PRODUCTS -COMPLETED OPERATIONS _ Division 3 CONSTRUCTION AND DEMOLITION to Hazard Divisions 2 & 4) Division 4 CONTRACTUAL $ Each Aircraft $ Each Occurrence $ Deductible -Each Aircraft -Each Claim B. HANGARREEPER'S LIABILITY �1�P.ROVED 8Y' RISK FIh,NA , �r ��e NT , $ Each Person Aggregate General Aggregate C. PERS014AL INJURY LIABII 2t$ N/4 ✓ YFS _ In the event of cancellation of the above described PolicYp p the Company, y, if possible, will notify the addressee of this Certificate, shown below, 10 days prior to such cancellation. ADDITIONAL INSURED - SEE POLICY CONDITIONS FOR DETAILS CERTIFICATE ISSUED TO: ('-- ---I MONROE COUNTY, FLORIDA COMPANY RANGER INSURANCE. COMTM (AIRPORT AUTHORITY) Exe this ?2Nn day of GFp*r RFR 199z C/O KAY BAHLEDA, RISK MANAGEMENT, MONROE COUNTY 5100 JUNIOR COLLEGE ROAD B KEY WEST, FL Y44 AUTHOR ZW'SfWATURE This is a Memorandum of Insurance and not. Policy of Insurance and no action may be brought hereunder. It is furnished only as evidence t u "nce Policy described herein has been issued by this Company. SAU-2011 AP(1/94) G / PRODUCER THE JOHNSONS INS. AGCY. P.O. BOX 2346 MARATHON SHRS FL 33052 .................................... INSURED JULES I BECKWITT TRUSTEE 775 107TH STREET OCEAN MARATHON FL 33050 ISSUE DATE (MM/DDim +v 9 13 94 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 ,.,,. I-- --- _... COMPANIES AFFORDING COVERAGE ... .......... ..._.... ........... __.......... ...... ........................................ COMPANY A =ER .................................................. COMPANY BANKER �Q cc p ... . �0 �tiSK MANAGEMENT ................_.............................. ') ....................: LETTER B � � ................... ........... C .............__�Y.� �.................. d LETTANY ER DATE r� C COMPANY LETTER...._D ............._........ WAIVFRi._.....Mi� COMPANY V+ .- ................................................... LETTER 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. IIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .................... ........................................................................................ I .......... .............................. CO LT : POLICY EFFECTIVE: POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) : DAIS (MM/DD/YY) LIMITS cENERALLIasILrlY BP09-4902720-00 6/03/94 10/21/94 GENERAL AGGREGATE s2 { OOOr 000 PRODUCT'S COMMERCIAL GENERAL LIABILITY rTY .... ......... -CO CLAIMS MADE: : OCCUR. OWNER'S & CONTRACTOR'S PROT. ....................... MP/OP AGG........ S 2./..0.0.0.r.0.0.0... PERSONAL & ADV. INJURY ......: _ S 2..{_ O O O 0 O O ............. EACH OCCURRENCE S 1 O O O r O O O ...... .......... ........... ..............r.... FIRE DAMAGE (AjW a fue)...... i. s.5 O.r .0.0 0.............. : MED. EXPENSE (Any one penal) s 5 r 000 AUTOMOBILE LIABILITY - - :......... : COMBINED SINGLE ANY AUTO ....._ LIMIT ! $ ALL OWNED AUTOS : '. .... ...............................................I - ................... _ _ .............. BODILY INJURY j SCHEDULED AUTOS ........: (Pet P-n ) s HIREDAUTOS _.._....... .... ............._.........;............... ._....... .............. .......: NON -OWNED AUTOS 1'et'1'^ •�*r� : BODILY INJURY $ ...... Risk ' f 'On hrol : (Pcr aecidem) GARAGE LIABILITY � - . _. ...... .... ....._ - ............... "prZ 3 "! �',- DATE,_.,• q PROPERTY DAMAGE '_ s EXCESS LIABILITY ......� - EACH OCCURRENCE S UMBRELLA FORM _ -.._ ..; _ __._"....-.— - - ... ... .. ....... ..... ....... ........ .....__........ ........ .........: AGGREGATE _ s OTHER THAN UMBRELLA FORM _ WORKER'S COMPENSATION : STATUTORY LIMITS . ... ......... .... .. AND ...........................................:::. : EACH ACCIDENT _................................................ s ...... - EMPLOYERS' LIABILITY DISEASE —POLICY UMrr ................................................................................... _....-.. _........... s DISEASE —EACH EMPLOYEE : s OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEMCLES/SPECIAL ITEMS PROPERTY OWNER / CERTIFICATE HOLDER IS ALSO ADDITIONAL INSURED 25 Ft. Easement leased by the insured from.the additional insured is included. MONROE COUNTY 5100 COLLEGE RD KEY WEST FL 33040 ATTN: RISK MAN AGEMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITPEN 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/THkFOMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE cc i LINDA HOLMES ISSUE DATE (MM/DD/YY) PRODUCER ,. : 9 13 94 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. THE JOHNSONS INS. AGCY. P.O. BOX 2346 COMPAN ES AFFORDING COVERAGE MARATHONSHRS FL 33052 .................................................................................................................................................................. - LETTER Y A .................................BANKERS.... INS CO .................................................................................................... ........................................................................................................................... INSURED JULESI COMPANY LETTER B APPP.OVFD BY SK MANAGEMENT .....__................. .............................. ..... BECKWITT COMPANY TRUSTEE LC BY — 775 107TH STREET OCEAN ....................... ................................................... DACE Y D MARATHON FL 33050 LIETMTER ...................................................... . E WAIVER:.......Hi7b..... YES.... ...... ....................................... COMPANY LEITER 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. .....................................................................: ....................................................................... LTR POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) . DATE (MM/DD/YY) LIMITS :GENERAL LIABILITY 'BP09-4902720-00 6/03/94 6/03/95 �GENERALACGREGATE ;S2 OOO 000 X COMMERCIAL GENERAL LIABLTITY CLAIMS MADE: OCCUR. ....... OWNER'S & CONTRACTOR'S PILOT. AUTOMOBILE LIABILITY ........: ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS .......: HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY OTHER ...-SS col ktrol ,11 I 1 0iil .................................................. PRODUCTS-COMP/OP AGG. .. .. .... ... ... ... .. . ............. I ............... ' E 2' O'. 000 ......... PERSONAL & ADV. INJURY ..... ..... .... . ..0...0... E20 0 0, 000 ................................................. EACH OCCURRENCE 0 0 0 0 0.... .................s1.....0 .FIRE DAMAGE (fm) .............DA.................Arq c ............................ ., E 5 0, 0 0 0 MED. EXPENSE (Any one person) : E 5 s 0 0 0 COMBINED SINGLE E LIMIT BODILY INJURY .............. E (Per person) BODILY INJURY . E (Per accident) PROPERTY DAMAGE : S EACH OCCURRENCE E .................................................... AGGREGATE E 1 I STATUTORY LIMITS ; L! .... .... ......... ....... ..._ EACH ACCIDENT ................................. .......:... DISEASE —POLICY LIMIT $ DISEASE —EACH EMPLOYEE S DESCRIPTION OF OPERATIONS/LOCATIONS/VEIHCLES/SPECIAL ITEMS PROPERTY OWNER / CERTIFICATE HOLDER IS ALSO ADDITIONAL INSURED 25 Ft. Easement leased by the insured from the additional insured is included. MONROE COUNTY 5100 COLLEGE RD KEY WEST FL 33040 ATTN: RISK MAN AGEMENT 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/TH pMPANy, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE GC LINDA HOLMES CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) PRODUCER 1 / 0 5 / 9 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND W CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ! DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. REGAL! INSURANCE AGCY �._~� 90111 OVERSEAS HWY COMPANIES AFFORDING COVERAGE TAVERNIER FL 33070 COMPANY A LETTER COMPANY APPROVED BY RISK MANAGEMENT INSURED LETTER B JUI_ES I DECKWITT TRUSTEE COMPANY LETTER c BY �l 1 775 107 ST OCEAN! BATE MARATHON FL 33050 COMPANY LETTER D wAlvfR: N/A _ YES COMPRNY E - -� --- ITT HARTFORD INS CO COVERAGES 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. F INSURANCE LT TYPE OR POLICY NUMBER GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ COMBINED SINGLE $ LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM $ _ ._. _,_._._..•..,.� OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION STATUTORY LIMITSM. AND EACH ACCIDENT $ EMPLOYERS' LIABILITY DISEASE —POLICY LIMIT $ _-- •— • --- ..-...._,_,v._,.,-__ _ _ DISEASE —EACH EMPLOYEE $ EOTHER 21 Sc AJIF' 1332 5/20/41 5/20/95 LI 1►000,000'.___..."..._..__. BUSINESS OWNER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS UNIT APARTMENT DUIL.DING PETER INCLUDES 25 - EASEMENT Received lbsk N4grnt• r Loss Control DATE J LINDAHL ST MARATHON�� fNETIAL CERTIFICATE HOLDER CANCELLATION - - ----- MONROE COUNTY 1:AORD OF COiMiMISSIONERS/ADDI. INS 5100 COLLEGE RD KEY WEST FL 33010 ACORD 25-S (7/90) G C. I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIONDATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO COUNTY MAIL () (JAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF NY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZ R RESENTATIVE E. E G E, - --- OACORD CORPORATION 1990 ISSUE DATE (MMlDDlYY) CERTIFICATE OF INSURANCE PRODUCER 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. —.�-) II COMPANIES AFFORDING COVERAGE APPROVED BY ISK MANAGEMENT COMPANY LETTER A BY C COMPANY INSURED LETTER B DATE I i pI COMPANY LETTER C WAIVER: N/A YES COMPANY D LETTER COMPANY E LETTERr• COVERAGES 11 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. _T TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION _TR POLICY NUMBER DATE (MM/DD/YY) DATE (MMlDDlYY) LIMITS --ml LINolL I T -_ GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL & ADV. INJURY $ OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ ANY AUTO COMBINED SINGLE t $ Receive-,l LIMIT ALL OWNED AUTOS SCHEDULED AUTOS t�i Risk jyj g""$Q�' & FOBS C011t7.Oj (Per person) $ BODILY INJURY HIRED AUTOS DATE �+ —� 7-- /.3 NON -OWNED AUTOS ��L BODILY INJURY $(Per accident) GARAGE LIABILITY •'-"'—'^^� U� PROPERTY DAMAGE $ UvB � UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS STATUTORY LIMITS EACH ACCIDENT $ DISEASE —POLICY LIMIT $ DISEASE —EACH EMPLOYEE $ 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. AUTHORIZED REPRO -- m v� ;fit st. I ACORD 25-S (7/901 OACORD CORPORATION 1990 a�•OMO. CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) PRODUCER 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. INSURED COMPANIES AFFORDING COVERAGE p COMPANY A LETTER LETTERNY B 9Y RISK MANAGEMENT COMPANY LETTER C BY COMPANY PATE LETTER D vM COMPANY WAIVER' LETTER E- - — COVERAGES 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. _T TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION _TR POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS u-mcm AL LIA[SILI I Y GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL & ADV. INJURY $ OWNER'S &CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE $ ALL OWNED AUTOS Receive,-, LIMIT SCHEDULED AUTOS Risk Mgmt. & Loss Control BODILY INJURY (Per (Per person) HIRED AUTOS DATE - % - f3 NON -OWNED AUTOS IMTIAL ._,//2 - '�� [�C/ BODILY INJURY (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM i WORKER'S COMPENSATION STATUTORY LIMITS AND EACH ACCIDENT $ EMPLOYERS' LIABILITY DISEASE —POLICY LIMIT $ .OTHER DISEASE —EACH EMPLOYEE $ f DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION 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. -: AUTHORIZED REPRESENTA-" E ACQRD 25•S (7/90) ©ACORD CORPORATION 19901 ACORD.. CERTIFICATE OF LIABI L I TY INSURANCE DATE 3/22/2010} PRODUCER Regan Insurance Agency Highway Overseas Hi 90144 g y Tavernier, FL 33070 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 Jules I BeckwittTrustee of the Jules I Beckwitt Revocable Trust 775 107 St Ocean Nlaratho , FL 33050 INSURER A: Burlington Insurance Co INSURER B: INSURER C: INSURER D: INSURER E. \rV r GRMV Q%7 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 BYTHE 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 DDt TYPE OF INSURANCEPOLICY NUMBER POLICY EFFECTIVE DATE (MMIDDNY) POLICY EXPIRATION DATE (MMIDDIY*n LIMITS AGENERAL LIABILITY 535B01$244 3/2112010 3121/2011 EACH OCCURRENCE $ $1,000,000 DAMAGE TO RENTEI:i- PREMISES Ea occurence $ $ 100,000 x COMMERCIAL GENERAL LIABILITY 7 MED EXP (Any one person) $ $ 5,000 CLAIMS MADE � OCCUR PERSONAL & ADV INJURY $ $1,000,000 GENERAL AGGREGATE $ $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG $ Included POLICYF__] PRO--7 JECT F� LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN $ ANY AUTO ` $ AUTO ONLY: AGG EXCESSlUMBRELLA LIABILITY ' �- DL EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE ` $ DEDUCTIBLE RETENTION $ WC STATU- JOTH- WORKERS COMPENSATION ANDST E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERiEXECUTIVE i OFFICER/MEMBER EXCLUDED? If describe under E.L. DISEASE - EA EMPLOYEE $ yes, SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT fVKECIAL PROVISIONS Certificate holder is named as additional insured on this policy. r-G12TII;1r ATE NnI nF:Q CANCELLATION 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE oo ACORD 25 (2001108) U ACUKU C:UKFUKA I IUN I VUU ACORDDS/10/2011 ,M CERTIFICATE OF LIABILITY INSURANCE ATW) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Regan Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 90144 Overseas Highway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tavernier, FL 33070 INSURERS AFFORDING COVERAGE _ NAIC # INSURED INSURER A. Burlington Insurance Co Jules I BeckwittTrustee — 775 107 St Ocean INSURER B. INSURER C. INSURER D Marathon FL 33050 INSURER E THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH E POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADDL INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM! DlYY POLICY EXPIRATION DATE MMfDDfYY LIMITS A GENERAL LIABILITY 535B019503 3l21 /2011 3l21l2012 EACH OCCURRENCE $ $1,000,000 PREMISES Ea occurence $ $ 1�,�0 X COMMERCIAL GENERAL LIABILITY � $ 5,000 CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ $1,000,w0 GENERAL AGGREGATE $ $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG $ Included POLICY 7 PRO- T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) BODILY INJURY HIREDAUTOS NON -OWNED AUTOS (Per aoci dent) $ PROPERTYDAMAGE $ (Per accident) GARAGE LIABILITY L AUTO ONLY - EAACCIDENT $ ANYAUTO X OTHER THAN EA ACC $ $ (_ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ $ DEDUCTIBLE � � RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- TORY FIR EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIErOR1PARTNERlEXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBEREXCLUDED? If yes, describe under E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS ! LOCATIONS ! VEHICLES) EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS Certificate holder is listed as Additional Insured e, Ut.K I I t-IL A I h HULUtK CANCELLATION 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 DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE AGUKU 25 (2UU11U8) © ACORD CORPORATION 1988 DATE (MMIMNYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE I 5/10/2011 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Regan Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 90144 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tavernier, FL 33070 INSURED Jules I BeckwittTrustee 775 107 St Ocean Marathon, FL 33050 COVERAGES INSURERS AFFORDING COVERAGE INSURER A: Burlington insurance Co INSURER B. INSURER C. INSURER D: INSURER E. NAIC # rcn KI^n A/IrUCTAAI( M4I 4 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO I nit INoUMtU NHmtU r+DvvIZ IF— -­1".,— ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 DDL POLICY NUMBER POLICY EFFECTNE POLICY EXPIRAMJDD;TION LIMITS DATE EACH OCCURRENCE $ $1,000'000 /� GENERAL LIABILITY 5358019503 3l21 /2011 3l21 /2012 $ 100 ppp X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ MED EXP (Any one person) $ $ 5,000 CLAIMS MADE OCCUR $1,000 000 PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ $2,000'000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG $ Included PO LOC POLICY PJE AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS G �I PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANYAUTO \ f l7�` AUTOONLY- EAACCIDENT $ OTHERTHAN EAACC AUTO ONLY. AGG $ $ EXCESSIUMBRELLA LIABILITY -- OCCUR CLAIMS MADE -- 1 'l� ° EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLEIs RETENTION $ WORKERS COMPENSATION AND ' ` J OTH- VJC STATU- JMj T EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - POLICY LIMIT $ If yes, descnbe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Certificate holder is listed as Additional Insured :K I I ri%,m I C nvi..wmm SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MonroeCountyBoardofCounty Commissioners DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 1100 Simonton Street NOTICE TO THE CERTIFICATE HOLDERNAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 IALMHORIZED REPRESENTATIVE op ACORD CORPORATION 1 ACORD 25 (200110$) ACORD. CERTIFICATE OF LIABILITY INSURANCE °" ar�r 12 "' PRODUCER Regan Insurance Agency 90144 Overseas Highway Tavernier, FL 33070 RECEIVED MAY 5 .?012 11NURERS HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE OLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR LTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. AFFORDING COVERAGE NAIC # INSURED JUles I BeckwittTrustee775 107 St Ocean MONRGECOUNT1r MANAGEMENT Maratho , FL 33050 RER A:Burlington Insurance CO JIN RER BRISK RER C: INSURER D: INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTH E POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 DL INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATIONLTR LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE T OCCUR 17 535BO20536 3/21 /2012 3/21 /2013 EACH OCCURRENCE $ $1,000,000 PREMISES Ea oCcurence ' AGE To17 $ $ 100,000 MED EXP (Any one person) $ $ 5,000 PERSONAL & ADV INJURY $ $1,000,000 GENERAL AGGREGATE $ $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS- COMP/OP AGG $ Included AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BY V W Y(�.(jj J COMBINED SINGLE LIMIT (Ea accident) $ (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 $ $ EXCESSIUMBRELLA LIABILnY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS CO M PENSATIO N AND EMPLOYERS' LIABILITY ANY PROPRIETORJPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC STALIMTU- OTH- T ER E L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ EL DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Certificate holder is named as additional insured on this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION NlonroeCounty Board ofCounty Commissioners DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TOMAIL 10 DAYS WRITTEN 1100 Simonton Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West, FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE f CG� ACORD 25 (2001108) OO ACORD CORPORATION 1988 " CERTIFICATE OF LIABILITY INSURANCE D/12/ /DD/Y3 _1� 3/12/2013 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 BETWEEN THE ISSUING INSURER(S), AUTHORIZED BELOW. THIS CERTIFICATE OF INSURANCE D p9As REPRESENTATIVE OR PRODUCER, AND THE CER IFICATE JAGO IMPORTANT: If the certificate holder is an ADDITI NAL INS p 1 y lesendorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poll es may require an endorsemeement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER MAR C T Brend PHONE Monroe Regan Insurance Agency (30 FAX 852-3234 (3o5>es2-3703 90144 Overseas Hwy. EMAIL .bmonr @reganinsuranceinc.com 1�OIVROE RISK MAN Tavernier FL 33070 I URER S AFFORDING COVERAGE NAIC # INSURER ton Specialty Insurance INSURED Jules I Beckwitt INSURER B INSURER C : 775 107 St Ocean INSURERD: INSURER E : Marathon FL 33050 INSURERF: — — — -- -- -- KCVIZIUN NUMt3tK: 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 ADD L B POLICY NUMBER -POLICY EFF POLICY LT Y YYPY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X 29974-00 /21/2013 /21/2014 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED PREMISE Ea occurrence $ 100 , 000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X, POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SHEDULED AUTOS ACUTOS HIRED AUTOS NON -OWNED AUTOS AP y GE DA W ENT t C i � l� ,� COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAR OCCUR N / A EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y i N ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below WC STATU- OTH- T $ EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Certificate holder is shown as an additional insured per policy forms, conditions, limitations and exclusions. Monroe County Board of County Commissione 1100 Simonton Street Key West, FL 33040 � Jk. 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 /V'4•r'J C_ 1- At%non -Je iondnine� John Crowell/FTHOM - -- W 1y60-[U1U AGUKO G•UKPOP.ATION. All rights reserved. INS025 (201005).01 The ACURD name and logo are registered marks of ACORD �1 ® DATE (MWDD/r"Y) A� o CERTIFICATE OF LIABILITY INSURANCE 1 3/5/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS BELOW CERTIFICATE THIS OES NOT CERTIFICATE CRT F CATE OFNATIVELY INSURANCERDOES ATIVELY AMEND, NOT CONSTITUTEXTEND A CONTORACTTER THE BETWEEN COVERAGE ISSUINGAFFORDED NSURER(S) TPOLICIES AUT AUTHORIZED REPRESENTATIVE OR PRODUCER, AND IMPORTANT: If the certificate holder is n ADDITI I e policy(i ) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, c ain policies may require an endorse nt. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorse ent(s). CONTAC Brenda Monroe PRODUCER �n1' NAME: Regan Insurance Agency IAIC No- MAR - �` I� !I:Covincrton . (305) 852-3234 FAX (305)852-3703 90144 Overseas Hwy. bmonroe@reganinsuranceinc.com MONROECOUNTY INSURERS AFFORDING COVERAGE NAIC # Tavernier FL 3307 RISK MANAGEMENT Specialty Insurance INSURED INSURER B : Jules I Beckwitt INSURER C : 775 107 St Ocean I INSURERD: Marathon FL 33050 1 INSURER F : COVERAGES CERTIFICATE NUMBER:14-15 GL REVISION NUMBER: IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND CONDITIONS POLICY EFF POLICY EXP LIMITS ILTR TYPE OF INSURANCE POLICY NUMBER MM/D M/ Y 1,000,000 GENERAL LIABILITY EACH OCCURRENCE $ X COMMERCIAL GENERAL LIABILITY PREMISE Ea occurrence $ 100,000 /21/2014 /21/2015 $ 5,000 A CLAIMS -MADE ❑X OCCUR X 92134-00 MED EXP (Any one person) 1,000,000 PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: $ PRO- LOC X POLICY COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident AP I GEM NT BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS B pA - BODILY INJURY (Per accident) $ PROPERTY DAMAGE AUTOS NON -OWNED HIRED AUTOS AUTOS $ WAN R /A� _ /)'�G Per accident C `('( $ , UMBRELLA LIAB OCCUR r EACH OCCURRENCE $ AGGREGATE $ CESS LIAB tED CLAIMS -MADE RETENTION $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) insured per policy forms, conditions, limitations and Certificate holder is shown as an additional exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissione 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 John Crowell/FTHOM ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) ACORD and logo are registered marks of ACORD INS025 (201(X)5).01 The name '4� CERTIFICATE OF LIABILITY ­DATE/18/ /DD/Y5 INSURANCE 3/18/2015 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. IPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to e 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 endorsementrsl_ PRODUCER CONTACT NAME: Brenda Monroe Regan Insurance Agency PHONE (305) 852-3234 FA 90144 Overseas Hwy. X .(305)852-3703 EMAIL ADDREss:bmonroe@reganinsuranceinc.com INSURERS AFFORDING COVERAGE NA Tavernier FL 33070 INSURED INSURER A:Cano ius US Insurance Inc INSURER B Jules I Beckwitt Rev Trust 5/14/1992 INSURERC: 129 Fireside Drive Vlct1urray PA 15317 CnVFRer:FS J%=ft c­__ . KEVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE DL B POLICY NUMBER MOLIC�Y PO DCY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMI E Ea occurrence $ 100,000 A CLAIMS -MADE a OCCUR X US018024011 /21/2015 /21/2016 MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE N'L AGGREGATE LIMB APPLIES PER: PRODUCTS - COMP/OP AGG $ include X POLICY PRO JECT LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NJED AUTOS AUTOS COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident)$ S UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE N / A EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below 1htC STATU- OTH- FR E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Certificate holder is shown as an additional insured per poli forms, condit' ns, limitations and exclusions. P EMENT � WAN N/A s i& / ty, !`.CDTICIO�ATC LIAI rn=s -t h t 1 _ ... " ' ^� Monroe County Board 10 'f1D1L11'__ soNh111"Rne 1100 Simonton Street Key West, FL 33040 J'dUJ38 HJ 031113 U wim 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 ArnRn 94 /'9n4n)naw John Crowell/FTHOM v Iatsa-cUTU ACUKU CORPORATION. All rights reser'red. INS026 (201005).01 The ACORD tiame and !ogo are registered marks of ACORD AC4O CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 3/21/2016 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. PORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to e 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 Brenda Monroe Regan Insurance Agency PHONE (305)852-3234 FAX A/C No Ext : (A/C No): (305) B52-3703 90144 Overseas Hwy. E-MADDRESS:bmonroe@reganinsuranceinc.com INSURUSLAFFORDING COVERAGE NAIC # _ --- - - - - - - -- Tavernier FL 33070 INSURER A :Llojsd' s of London INSURED INSURER B Jules I Beckwitt Rev Trust 5/14/1992 INSURERC: C/O Charlene P . Helba, Trustee INSURER D : 120 Fireside Drive INSURER_E McMurray PA 15317 INSURER F : r-nVFRA('F-R 1^-00TICIf^ATC W1 IMDC0.1 9-1 7 4--- 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 ADDL SUBR - ---- POLICY NUMBER POLICY ! POLICY YYYl - LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR AGGREGATE LIMIT APPLIES PER: PRO- � POLICY j JECT �_ LOC OTHER: X l BOFTL22053 3/21/2016 3/21/2017 EACH OCCURRENCE $ 1,000,000 PREMISES EaEoccurrence $ 000 100, MED EXP (Any one person)$ 5,000 PERSONAL & ADV INJURY ! 1,000,000 GEN'L X� GENERAL AGGREGATE --�-- $ 2,000,000 --- PRODUCTS -COMP/OP AGG $ included Is AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS --' NON -OWNED HIRED AUTOS AUTOS j COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ - BODILY INJURY (Per accident) — -- $ i PROPERTYDAMAGE Per accident) $ _ - UMBRELLA LIAR EXCESS LIAB ! OCCUR I CLAIMS -MADE ;EACH OCCURRENCE Is AGGREGATE t$ is _ _ DED RETENTION $ 1YVOFKERSCOMPENSATION 1 AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE a OFFICER/MEMBER EXCLUDED? (Mandatory in NH as, describe under D DESCRIPTION OF OPERATIONS below N /Ail 1 PER OTH- _ STATUTE-�_--. ' ER _ E.L. FJ1CH ACCIDENT --- -- $ E.L. DISEASE - EA EMPLOYE _ $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Certificate holder is shown as an additional insured per policy orms, con itions, 1' 'tations and exclusions. Monroe County Board of County Commissions 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 Joseph Roth/FTHOM 9-1- O 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)