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Certificates of InsuranceCERTIFICP', _ OF LIABILITY INSUP %NCFR JG DATE(MM/DD/YY) ACORD CRE-1 09/17/0, PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P J K INSURANCE, INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR . . . 2500 NORTH POWERLINE ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POMPANO BEACH FL 33069 INSURERS AFFORDING COVERAGE Phone:954-979-5855 INSURED INSURER A: STEADFAST INSURERB: ASSURANCE CO OF AMERICA Recreational Design & INSURERC: AMCOMP PREFERRED INSURANCE CO. Construction, Inc. 3990 Powerline Rd INSURERD: OHIO CASUALTY INSURANCE CO Oakland Park FL 33309 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. LTR TYPE OF INSURANCE POLICY NUMBER DATE MWDD DATE MMlDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 FIRE DAMAGE (Any one fire) $50,000 A X COMMERCIAL GENERAL LIABILITY SC0522743800 03/15/01 03/15/02 MED EXP (Any one person) $ 5 , 000 CLAIMS MADE FX7 OCCUR PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1 , 000 , 00 0 POLICY PRO LOC JECT B AUTOMOBILE LIABILITY ANY AUTO 037733871 03/12/01 03/12/02 COMBINED SINGLE LIMIT (Ea accident) $ 1 , 000 , 000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ 10 , 000 , 000 AGGREGATE $ D OCCUR CLAIMSMADE BX052822732 03/16/01 03/16/02 $ DEDUCTIBLE $ X RETENTION $ 10, 000 COMPENSATION AND TORY LIMITS X ER E.L. EACH ACCIDENT $ 1000000 C [WORKERS EIPLOYERS'LIABILITY WCV4077749 12/01/00 12/01/01 E.L. DISEASE - EA EMPLOYE $ 1000000 E.L. DISEASE -POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/ 1 � �,JtOVISIONS I T BY / DATE WAIVER N/A _EYES GEKTII-IGAItHULUtK Y ADDITIONAL INSURED; IN5URERLETTEK: FL 11v11 MONROEI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROE COUNTY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN BOARD OF COUNTY COMMISSIONERS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL AND TDC IMPOSE NO OBLIGATION OR LIA F ANY KIND UPON THE INSURER, ITS AGENTS OR 1201 WHITESTREET, SUITE 102 KEY WEST FL 33041 REPRESENTATIVES. Elaine ACORD 25-S (7 I� I I �iI:::::.:::. ..:.:.:::.. .: DATE (MM/DD/YY) .... ._. PRODUCER / 3 / 0 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION REGAN INSURANCE AGCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 90144 OVER HWY COMPANIES AFFORDING COVERAGE TAVERNI ER FL 33070 COMPANY INSURED A WESTERN WORLD INS CO UPPER KEYS COMMUNITY POOL INC COMPANY B C/O JAMES BOILINI P O BOX 1994 COMPANY C KEY LARGO FL 33037 COMPANY D HIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 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 LTA TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DDNY) LIMITS GENERAL LUIBIL►Ttt NP P 7 8 8 4 5 9 10 / 0 3/ 0 2 10 / 0 3/ 0 3 GENERAL AGGREGATE X COMMERCIAL GENERAL LIABILITY $ 2 r 0 0 0 r 0 0 0 CLAIMS MADE � OCCUR PRODUCTS - COMP/OP AGG $INCLUDED OWNER'S &CONTRACTOR'S PROT PERSONAL & ADV INJURY $1 , 0 0 0 r 0 0 0 EACH OCCURRENCE $1 r 0 0 0 r 0 0 0 FIRE DAMAGE (Any one fire) $ 50,000 AUTOMOBILE LIABILITY MED EXP (Any one person) $EXCLUDED ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS EEREN BODILY INJURY (Per person) $ HIRED AUTOS AP Q ^( �, NON -OWNED AUTOS BODILY INJURY $ BY Cl� (Per accident) ATE „� , ,.... PROPERTY DAMAGE $ GARAGE LIABSITY _ (Z�• IVAIV'EP AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM / AGGREGATE $ WORKERS COMPENSATION AND —. — W U- $ EMPLOYERS' LIABILITY TORY LIMITS ER THE PROPRIETOR/ INCL EL EACH ACCIDENT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE -POLICY LIMIT $ OTHER EL DISEASE -EA EMPLOYEE $ DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS SHOWN AS AN ADDITIONAL INSURED C o +O t- r it CI rl e- Q, ............................ MONROE COUNTY BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE & TDC EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1100 S IMONTON STREET 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, KEY WEST FL 33040 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND ON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHOR M ED R AT1VE a :::.:.::::::...:::...:.:..:::...::::.:.::...::::..:::::.:..:..::::.................... ::.....:.:.::::::::::::....::::::::::: rod " t (iii . ACOR TT. CERTIFICATE OF LIABILITY INSURANCE 10/03/2002 PRODUCER (305)453-1445 FAX (305)453-1438 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 PO Box 370541 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key Largo, FL 33037 INSURERS AFFORDING COVERAGE INSURED Upper Keys Community Pool DBA: Jacobs Aquatic Center PO Box 1994 Key Largo, FL 33037 COVERAGES INSURER A: Clarendon National Ins 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 MM/DD/YY POLICY EXPIRATION DATE MWDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE1-1 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PROECT LOC J AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS qpp D SKiUI AQ MENT HIRED AUTOS NON -OWNED AUTOS BY DATE BODILY INJURY (Per accident) $ ;1/ WAIVER N YES PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ !v1 t AUTO ONLY: AGG EXCESS LIABILITY C EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY BINDER 10/03/2002 10/03/2003 1 TORY LIMITS ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYE $ 100,000 E.L. DISEASE - POLICY LIMIT 1 $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ~UI I IUNA IKAUKCU; INOUKCK LC I I CK: VAIN V GLLl1I KOM SHOULD ANY OF THE ABOVE ESCRIB POLICIES BE CANCELLED BEFORE THE EXPIRATION E THERE , THE ISSUIN COMPANY WILL ENDEAVOR TO MAIL Monroe County Board of County Commissioners & 10 DAYS RITTEN OTICETOTHE ERTIFICATE HOLDER NAMED TO THE LEFT, TDC BUT FAILURE T L UCH NOTICE ALL IMPOSE NO OBLIGATION OR LIABILITY 1100 Simonton Street OF ANY KIND UPON T Y, ITS AGENTS OR REPRESENTATIVES. Key West, FL 33040 1 AUTHORIZE DREPRESE AT (7/97) CG TION 1988 SEP-13-02 10:04 FR0M:MC1'UC ID:30S29607BB PAGE 2/2 19" t3AMWA (t is.gNuestcd tlwtst the imil wdvcd or Tnddirwd On dw MONUOE COUNTY, FLEA Request Fo>r WAber of Inscsrancc RcquircuM10 RECRIV?D SEP 3 0 ZOOZ Ttsquitmrots. as sprcifial iu the Ccnamt7' s 541mduic of laxntanco Rophwwds+ be wine cgects" v ^-7 `),-I" A/ r r, coasacmr. — _ , ConavLa ra< o x 9 cq MOM of Catltradar. �� © � °g Cz u ii' f� � J �• O �. Scapa of .,,Zm for Waiver �C J o e / c t1 t N policies 1ltaivew win apply to: ! .� sj ppmm of coettrraw. Appm at A ppmvvd c:mmty A mIni*Wff Ap�oyad. �� Nvt wppravod: t7ata: . Board of C:auaty �� Mat Approved: � _ — A,pp(oved; �.- ----- t MeesinB C1ate. I — — -� to] Adncio AMian iasa M'10n; PRODUCER INSURED REGAN INSURANCE AGCY 90144 OVERSEAS HWY TAVERNIER FL 33070 UPPER KEYS COMMUNITY POOL INC C/O JAMES BOILINI P O BOX 1994 KEY LARGO FL 33037 DAT E ( MM/DD/Y .. ..;10 3 0 0 2 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. COMPANIES AFFORDING COVERAGE COMPANY A WESTERN WORLD INS CO COMPANY B COMPANY C COMPANY D 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MWDD/YY) DATE (MWDD/YY) GENERAL LIABILITY NP P 7 8 8 4 5 9 10 / 0 3/ 0 2 10 0 3/ 0 3 GENERAL AGGREGATE s2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $INCLUDED CLAIMS MADE FX] OCCUR PERSONAL & ADV INJURY $1 , 000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $1 , 0 0 0 , 0 0 0 FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $EXCLUDED AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AP R BY V D B RI AN EMEN7 BODILY INJURY (Per person) $ BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO DATE WAIV AUTO ONLY - EA ACCIDENT $ R NIA YES OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY ' EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND ` ORY LIMITS ER EMPLOYERS' LIABILITY EL EACH ACCIDENT $ THE PROPRIETOR/ INCL Tt C EL DISEASE -POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE -EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS SHOWN AS AN ADDITIONAL INSURED MONROE COUNTY BOCC & TDC 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, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED FITPENTATIVE PRn TF NG.�GBN , BM A tq% EdMwA it is rcgvestcd titlt the insu waived or modified on the . Contract+or: - Coons for: Addnns of contractor. rtmae: scope of Work: VSsoa lbr Waiver. poiicim waiver wal apply to: side of Conaucw. Risk MaMgerne"t 1 bait Cowety AdmkdstnMw at DAW 9ond of County Comm! Meeting Date: Adminivustion tn"mclieet . tt.{yU9.2 I MONROE c.ouNTY, FLORIDA (tcquiest For Wv&v r of Insurance 1ge=ireomut, "m:e eogetircmcnes, as spa6Gcd in the CunoWs gdbbdulc 1 Of ULUUanee Reqaife eflmM be nUawicr� eoQet7sci. L4 7a 60K l qq T —�� ._...,._ tj .f- A-M oved Not Approved Z!/f<0 AppmVC& — - . Not AP VW* .�.........� ClyOrie3"� : Approved: Not Appeovod: i tas AC M. PRODUCER REGAN INSURANCE AGCY 90144 OVERSEAS HWY TAVERNIER FL 33070 INSURED UPPER KEYS COMMUNITY POOL INC C/O JAMES BOILINI P O BOX 1994 KEY LARGO FL 33037 DATE (MMIDONY) 10/03/02 THIS CERTIFICATE IS ISSUED A 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 WESTERN WORLD INS CO COMPANY B COMPANY C COMPANY D PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY RACT OR OTHER DOCUMENT WITH RESPECT TO INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTWHICH THIS BJECT TO ALL CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVEJPOLICY EXPKIATIONwm LIMITS CO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DDIYY) LTR L— GENERAL LIABILITY NP P 7 8 8 4 5 9 10 / 0 3/ 0 2 10 / 0 3/ 0 3GREGATE s2,000,000 COMP/OP AGG $INCLUDED X COMMERCIAL GENERAL LIABILITY ADV INJURY $1 � 000, 000 CLAIMS MADE � OCCUR RENCE $1 � 0 0 0� 0 0 0 OWNER'S & CONTRACTOR'S PROT E (Arty one fire) $ 50,000 y one person) $EXCLUDED AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY I ANY AUTO EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL OTHER APPF BY — DATE DESCRIPTION OF OPERATIONS/LOCA'nOMNEHICLESISPECULL ITEMS CERTIFICATE HOLDER IS SHOWN AS AN ADDITIONAL INSURED COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ 4THER EA ACCIDENT $ AUTO ONLY: CH ACCIDENT $ AGGREGATE $ RENCE $ $ �TO=RYLIMITS ERECH ACCIDENT $ EL DISEASE -POLICY LIMIT $ EL DISEASE -EA EMPLOYEE 9 IG;.:.:..:..:....:.:;;:;:i>::>::ii:::<:;;::.::.;:;.;:.::.;;:<.;:,::::::::::::::::::.::................... D BEFORE THE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEI I F :.:.............................................................................................................. MONROE COUNTY BOCC E��XPIIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MALL & TDC 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1100 S IMONTON STREET BUT FAILURE TO MALL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY KEY WEST FL 33040 OF ANY KIND UPON TH COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENT nr�ducina ntf' L' YBM:::A.... DATE (MWDDIYY) RTIFICATE OF LIABILITY INSURANCEMATTEROFINFORMATION002 A_ C�DTM �E ISSUED AS PRODUCER (305)453-1445 FAX (305)453-1438 THIS CERTIFICATE ISONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Keys Insurance Agency, Inc • HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 370141 INSURERS AFFORDING COVERAGE Key Largo, FL 33037 onal Ins Co Pool Inc IIJsuRERA: Clarendon Nati INSURED Upper Keys COn1f11unity INSURERS: DBA: Jacobs Aquatic Center INSURERC: PO BOX 1994 INSURER D: Key Largo, FL 33037 INSURERE: COVERAGES NDING ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO ALL TOE TEIRMS, EXCLUSIONS USIONS AND CONDITIONS OOSUCH THE POLICIES OF INSURANCE LISTED BELO F HAVE BEEN ISSUED TO THE INSURED NAMED BOVE FOR THE POLICY PERIOD INDICATED. E ISSUED HST R ANY REQUIREMENT, TERM OR CONDITION O;CRIBED HEREIN IS PMAY PERTAIN THE INSURANCE OLICIES. AGGREGATE LIMITS SHOWN DMAY HAVE BEEN RED BY THE IEDUCED BY PAID CLAIMS. SUBJECT LIMITS POLICY EFFECTIVE POLICY EXPIRATION INSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MMIDD/YY EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ GENERAL LIABILITY $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER PRO- LOC POLICY JECT AUTOMOBILE LIABILITY ANY AUTO ,AP ALL OWNED AUTOS 13Y SCHEDULED AUTOS HIRED AUTOS `�P, NON -OWNED AUTOS 'RI&A A GARAGE LIABILITY -1 ANY AUTO EXCESS LIABILITY OCCUR El CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER NIA 10/0 YF-s DDORSEMENTISPECIAL PROVISIONS DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESIEXCLUSIONS ADED BY EN CERTIFICATE HOLDER I ADDITIONAL INSURED; INSURER LETTER: Monroe County Board of County Commissioners & TDC 1100 Simonton Street Key West, FL 33040 CANCELLATION SHOULD ANY OF THE ABOVE EXPIRATION DATE THEREOF 10 DAYS ITTEN N T BUT FAILURE O MAIL CH OF ANY KIND U O AUTHORIZED REPRESEN ATIV COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE $ $ E.L. EACH ACCIDENT $ 100 E.L. DISEASE - EA EMPLOYE $ 100 E.L. DISEASE - POLICY LIMIT $ 500 SCR ED POLICIES BE CANCELLED BEFORE THE E ISS ING COMPANY WILL ENDEAVOR TO MAIL TO E CERTIFICATE HOLDER NAMED TO THE LEFT, CE SHALL IMPOSE NO OBLIGATION OR LIABILITY NY. ITS AGENTS OR REPRESENTATIVES. ACORIDM CERTIFICATE OF LIABILITY INSURANCE 05/11/2 0 ) PRODUCER (305)453-1445 FAX (305)453-1438 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 370541 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key Largo, FL 33037 INSURERS AFFORDING COVERAGE NAIC # INSURED Upper Keys Community Pool Inc INSURERA: Everest National Ins Co. DBA: Jacobs Aquatic Center INSURERB: PO Box 1994 INSURER C: Key Largo, FL 33037 INSURERD: INSURER E: rnvcoAncc 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 ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY PIRATIONATE DATE (MM/DDIYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: POLICY PROECT LOC J PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO A�� ALL OWNED AUTOS BY SCHEDULED AUTOS HIRED AUTOS DATE NON -OWNED AUTOS WAIVE I K MA .A EM COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 1 • �'�) O BODILY INJURY (Per accident) $ _�� I`I!A .YES PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO / AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESWUMBRELLA LIABILITY OCCUR CLAIMS MADE 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 2700010261031 10/03/2003 10/03/2004 WC STATU• PR 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 SHOULD ANY OF THE !ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INS WILL ENDEAVOR TO MAIL 10 DAYS WRITTt N NOTICE TO THE CE IFICA E HOLDER NAMED TO THE LEFT, Monroe County Board of County Commissioners Risk Management BUT FAILURE TO MA14 SUCH OTICE SHA IM E NO OBLIGATION OR LIABILITY 1100 Simonton Street' OF ANY KIND UPON TOE INS ER, ITS A OR REPRESENTATIVES. Key West , FL 33040 AUTHORIZED REPRESENTATIVE /\ ACORD 25 (2001/0,�8}1 ©ACORD CORPORATION 1988 Al RQ CERTIFICATE OF LIABILITY INSURANCE DATE ii2 0 PRODUCER (305 852-3234 FAX (305)852-3703 Regan Insurance Agency, Inc. 90144 Overseas Y • Tavernier, FL 33070 Bonnie Rausch 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 X INSURED Upper Keys Community Pool Inc C/o lames Boilini P 0 BOX 1994 Key Largo, FL 33037 INSURER A: Western World INSURERB: INSURER C: INSURER D: INSURER E: reieATI A -7TeT3. 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 D TYPE OF INSURANCE POLICY NUMBER POLIOY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY NPP829195 10/03/2003 20/63/2004 EACH OCCURRENCE $ 1000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 500001 CLAIMS MADE FX OCCUR MED EXP (Any one person) $ EXCI ud A PERSONAL & ADV INJURY $ 10000091 GENERAL AGGREGATE $ 2 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ EXCqud POLICY JET LOC 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) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO APP %�` -K MA EM NT AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ By_AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE �� `" '" "° '""" EACH OCCURRENCE $ _.�� "' AGGREGATE $ `�IVFP i!?A _.._'DES-_ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU OTH- EMPLOYERS' LIABILITY i E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE C% l._. � OFFICER/MEMBER EXCLUDED? If yes describe under SPECIAL PROVISIONS below '�_ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS Certificate Holder is also named as Additional Insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of County Commissioners EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL Tourist Devel opement 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Risk Management BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 Simonton St OF ANY KIND UPON THE INSURER, ITS S OR REPRIESENVOOVES, Key West, FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25 (2001M) FAX: 000-0000 CACO ORPORATION 1988 Gc.: �1-4 y /'' ACORD,n, CERTIFICAI- OF LIABILITY INSURAI , DATE(MM/DD/YYYY) 06/17/04 PRonucER 1-561-995-6706 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher & Co. - Boca Raton ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2255 Glades Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 400E Boca Raton, FL 33431 INSURERS AFFORDING COVERAGE NAIC # INSURED YMCA of Greater Miami INSURER A: Westchester Fire Ins Co 21121 INSURER B: Property & Cas Ins Co Of Hartford 34690 1200 NW 78th Avenue, Suite 200 INSURER C:Hartford Fire In Co 19682 INSURERD:Usf&G Specialty Ins Co 10182 Miami„ FL 33126 INSURER E: CAVFRAAFS 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 Do' NSRD POLICY NUMBER POLICY EFFECTIVE DATE M DD POLICY EXPIRATION DATE M D Y LIMITS C X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FxI OCCUR 83ENOBS231 12/01/03 12/01/04 EACH OCCURRENCE $1,000,000 DA AG -To RENTED P EMSES Eaoccurence $ 100,000 MED PCP (Any one person) $ 5, 000 PERSONAL& ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2, 000, 000 GEN'LAGGREGATE LIMIT APPLIES PER: X I POLICY PE OT LOC PRODUCTS-COMP/OPAGG $2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALLOWNEDAUTOS SCHEDULED AUTOS HIREDAUTOS NON-OWNEDAUTOS Comp Ded 250 83UENOB5379 A , E RISK BY DATE WAIVER NIA 12/01/03 N GENIENT o YES 12/01/04 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X gODILYINJURY (Per person) $ X BODILY INJURY (Per accident) $ X X PROPERTYDAMAGE (Per accident) $ X Coll Ded 500 GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTOONLY: AGG $ $ * EXCESSIUMBRELLA LIABILITY X OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ 10,000 CUW 7741030 /1� 9 - (lam 12/01/03 °' v 12/01/04 EACH OCCURRENCE $ 1,000,000 AGGREGATE $1,000,000 $ $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE INC OFFICER/MEMBEREXCLUDED? EXCL If yyes, describe under SPECIALPROVISIONS below D216W00118 OS/19/04 OS/19/OS X WCSTATU• OTH- T Y LI TS ER E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 - - -- -- - - E.L. DISEASE -POLICY LIMIT —' - - $500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Certificate holder is listed as additional insured as respects the YMCA of Greater Miami and all of it's branches but only as respects loss or damage arising out of negligent acts or omissions of the YMCA of Greater Miami, its members, participants, guests, volunteers and employees. GEHTIFIGATE MOLDER County Board of County Commissioners Maria Slavik 1100 Simonton Street West , FL 33040 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE�� ACORD 25 (20f11/0$) starmei ©ACORD CORPORATION 1988 e-%� 1885506 C � 4-t4: mac. Powered ByCertificateslVowrm DATE (MM/DD/YYYY) ACORIk CERTIFICATE OF LIABILITY INSURANCE 1 10/12/2004 PRODUCER (305)453-1445 FAX (305)453-1438 THIS ON Y ANDCERTIFICATE IS CONFERS NO ISSUED AS A MATTER OF RIGHTS UPON HE CERTIFICATE ION Keys Insurance Services, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 370541 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key Largo, FL 33037 INSURERS AFFORDING COVERAGE NAIC # al Ins Co. Upper Keys Community Pool Inc URED DBA: Jacobs Aquatic Center r JINSURERA: PO BOX 1994 Key Largo, FL 33037 C VERA ESTHE POLICY POLICIES OF INSURANCE LISTED B WITH RESPECT ELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE OTO WHICH THIS CERTIF CATE MAY BE ISSIUED OR DIN THE ANY REQUIREMENT, ERM CONDITION OF ANY CONTRACT OR OTHER DOCUMENT AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, THE INSURANCE SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICIES. AGGREGATE LIMITS ICY EFFECTIVE POLICY EXPIRATION LIMITS DO' TYPE OF INSURANCE POLICY NUMBER EACH OCCURRENCE $ GENERAL LIABILITY DAMAGE TO RENTED $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS MADE ❑ OCCUR PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OPAGG $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO POLICY LOC JECT COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) ANY AUTO EMEND ALL OWNED AUTOS f g BODILY INJURY $ (Per person) pppp SCHEDULED AF SR H HIRED AUTOSIBY BODILY INJURY $ (Per accident) NON -OWNED A6N t DAMAGE 'YES PROPERTY $ wAl n AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY EA ACC $ OTHER THAN ANY AUTO AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESSIUMBRELLA LIABILITY AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ 27000lOZG1O41 10/03/2004 10/03/2005 WC STATU- OTH- WORKERS COMPENSATION AND E.L. EACH ACCIDENT $ 100,00 EMPLOYERS' LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ 100,001 OFFICER/MEMBER EXCLUDED? E.L. DISEASE - POLICY LIMIT It yes, describe under SPECIAL PROVISIONS below OTHER OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS DESCRIPTION r-ANCFLLATION Monroe County Board of County Commissioners Risk Management 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCI EXPIRATION DATE THEREOF, THE I: 10 DAYS WRITTEN NOTICE TO BUT FAILURE TO MAIL SU H NOTIC OF ANY KIND UPON THE I URER, AUTHORIZED REPRESENTATIVE BE CANCELLED BEFORE THE i WILL ENDEAVOR TO MAIL ,TE HOLDER NAMED TO THE LEFT, E NO OBLIGATION OR LIABILITY REPRESENTATIVES. OACORD CORPORATION 1988 ACORD 25 (2001/0 GG % ACORDM CERTIFICATE OF LIABILITY INSURANCE 1o/12/20 a) PRODUCER (305)247-5121 FAX (305)248-8543 T.R. Jones & Company 1780 North Krome Avenue Homestead, FL 33030 Patti Spires 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. 14ORS AFFORDING COVERAGE NAIC # INSURED Upper Keys Community Pool, Inc DBA: Jacobs Aquatic Center P.O. Box 1994 Key Largo, FL 33037 000 S RERA: Admiral Insurance Co INSURERB: INSURERC: INSURERD: INSURER E: COVERAGES 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. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MMIDO/YY) 10/03/2005 LIMITS GENERAL LIABILITY GLBINDER 10/03/2004 EACH OCCURRENCE $ 1,000,000. MERCIAL GENERAL LIABILITY DAMAGE TO RENTED $5000i •-CLAIMS MADE UOCCUR MED EXP (Any one person) $ excludeA k PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00( GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ include POLICY JECT PRO LOC AUTOMOBILE LIABILITY GLBINDER 10/03/2004 10/03/2005 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) 1,000,00 BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ A BODILY INJURY $ HIRED AUTOS X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE P m, AGGREGATE $ $ DEDUCTIBLE y P $ RETENTION $'-.;1 $ WORKERS COMPENSATION AND WC STATU-LIMITS I OTH- EMPLOYERS' LIABILITY -.. „ E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? &6A) ' "- a E.L. DISEASE - EA EMPLOYE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES ! EXCLUSIONS ADD D BY ENDORSEMENT / SPECIAL PROVISIONS ommunity Swimming Pool ertificate Holder Included as additional insured on the General Liability but only in regards to perations of the insured Monroe County Board of County Commissioners & Tourist Development Council 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 OR LIABILITY OF ANY KIND UPON THE INSURER, ITS A AUTHORIZED REPRESENTATIVE Deborah McAfee, Agent of ACORD 25 (2001/?8). cc.I..a.c,c. ©ACORD CORPORATION 1988 ACORDM CERTIFICATE OF LIABILITY INSURANCE 10/ij20o PRODUCER (305)247-5121 FAX (305)248-8543 T.R. Jones & Company 1780 North Krome Avenue Homestead, FL 33030 Patti Spires 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 Upper Keys Community Pool, Inc DBA: Jacobs Aquatic Center P.O. Box 1994 Key Largo, FL 33037 INSURERA: Admiral Insurance Co INSURERB: INSURERC: INSURERD: INSURER E: COVERAGES 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. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION MMIDDIYYI LIMITS GENERAL LIABILITY GLBINDER 10/03/2004 10/03/2005 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50, 00 01 CLAIMS MADE M OCCUR MED EXP (Any one person) $ excl udeco A PERSONAL & ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ i ncl ude POLICY PROECT LOC J AUTOMOBILE LIABILITY ANY AUTO GLBINDER 10/03/2004 10/03/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ I GARAGE LIABILITY ANY AUTO EOTHER BY DATE C AUTO ONLY - EA ACCIDENT $ THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE WAIVER) sk --- � EACH OCCURRENCE $ AGGREGATE $ y $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- I I OTH- TORY LIMITS EMPLOYERS* LIABILITY E.L. EACH ACCIDENT $ ANY PP.OPRIETOR/PARTNER/EXE! UTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT S OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS omm uni ty Swimming Pool Certificate Holder Included as additional insured on the General Liability but only in regards to perations of the insured C © ` L3 ', C\ V_0.YLC8_ Monroe County Board of County Commissioners & Tourist Development Council 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 OR LIABILITY OF ANY KIND UPON THE INSURER, II&AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Deborah McAfee, Age t of Record ACORD 25 (2001/08) 3`111' ©ACORD CORPORATION 1988 DATE (MWDD/YYYY) _ ACORD� CERTIFICATE OF LIABILITY INSURANCE 05/20/05 1-561-995-6706 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION VRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Arthur J. Gallagher & Co. -Boca Raton HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2255 Glades Road Suite 400E Boca Raton, FL 33431 INSURERS AFFORDING COVERAGE NAIC# INSURER A: Westchester Surplus Lines Ins Co 10172 INSURED YMCA of Greater Miami INSURERB:Usf&G Specialty Ins Co 10182 1200 NW 78th Avenue, Suite 200 INSURER C: Discover Prop & Cas Ina Co 36463 INSURER D: Miami„ FL 33126 INSURERE: COVERAGES FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR OF SUCH OF ANY ANY REQUIREMENT, TERM OR CONDITION OF THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS MAY PERTAIN, THE INSURANCE AFFORDED LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICIES. AGGREGATE cYEFFECTIVE POLICY EXPIRATION LIMITS INSR DD' R TYPE OF INS POLICY NUMBER 12/01/04 12/01/05 EACHOCCURRENCE $1,000,000 C X GENERAL LIABILITY D216P00343 DAM T $ 100,000 PREMISES Ea occurence X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 5 , 0 0 0 CLAIMS MADE lxl OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERALAGGREGATE $2,000,000 PRODUCTS -COMP/OPAGG $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC D216AO0387 12/01/04 12/01/05 COMBINED SINGLE LIMIT $1,000,000 C AUTOMOBILE LIABILITY (Ea accident) ANY AUTO X ALL OWNED AUTOS BODILY INJURY $ GE11 V ' (Per person) SCHEDULEDAUTOS X HIRED AUTOS p X NON-OWNEDAUTOS BODILY INJURY '""' (Per accident) $ - X Comp Ded 250 PROPERTY DAMAGE $ (Per accident) X Coll Ded 500 T AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY \N �} :,l y;��-. EA ACC $ ANY AUTO OTHER THAN AUTO ONLY: AGG $ CUW 7854450 12/01/04 12/01/05 EACH OCCURRENCE $1,000,000 A EXCESS/UMBRELLALIABILITY MADE AGGREGATE $ 1, 000, 000 X OCCUR CLAIMS $ J DEDUCTIBLE X RETENTION $ 10,000 D216WO0416 OS/19/06 X WCSTATU- OTH- 05/19/05 T RYLIMIT R B WORKERS COMPENSATION AND E.L. EACH ACCIDENT $500,000 EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE INC E.L. DISEASE - EA EMPLOYEE $500,000 OFFICER/MEMBER EXCLUDED? EXCL E.L. DISEASE -POLICY LIMIT $500,000 If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS YMCA of Greater Miami 1200 NW 78th Ave Certificate holder is listed as additional insured as respects the respects loss or damage arising out of Suite 200 Miami, FL 33126 and all of it's branches but only as of the YMCA of Greater Miami, its memebers, participants, guests, volunteers negligent acts or omissions and employees. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Monroe County Board of County Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SMALL Maria Slavik IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street REPRESENTATIVES. Rey West, FL 33126 USA AUTHORIZED REPRESENTATIVE �%�� © ACORD CORPORATION 1988 ACORD 25 (2001104) stacbie / 1859663 C C � Powered ByCertificatesNowTM ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/17/2006 PRODUCER (305)247-5121 FAX (305)248-8543 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION T.R. Jones & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1780 North Krome Avenue HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Homestead, FL 33030 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Patti Spires INSURERS AFFORDING COVERAGE NAIC # INSURED Upper Keys Community Poo , Inc DBA: Jacobs Aquatic Center P.O. Box 1994 Key Largo, FL 33037 INSURERA: Admiral Ins Co INSURERB: INSURER C: INSURERD: 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. INSR A DD'I.TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 10/03/2005 POLICY EXPIRATION 10/03/2006 LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE M OCCUR CA000005809-02 EACH OCCURRENCE $ 1,000,0001 DAMAGE TO RENTED MED EXP (Any one person) $ 50,000 $ exclude PERSONAL & ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ included A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA000005809-02 10/03/2005 10/03/2006 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGELIABILITY_r_--- ANY AUTO ' "' AUTO ONLY . EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ CL EACH OCCURRENCE $ AGGREGATE $ S $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS onroe County Board of County Commissioners included as additional insured in regards to general liability but only in repsects to operation of named insured. 9%0151rl Mld%Arc u^. --- Monroe County Risk Managment P.O. Box 1026 Key West, FL 33040 A Nf%E2 ee CAY. 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 OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE A� c , ,� Deborah McAfee, Agent o Record J"�( &/1 ©ACORD CORPORATION 1988 ACORDM CERTIFICATE OF LIABILITY INSURANCE os/os/z sl PRODUCER (305)453-1445 FAX (305)453-1438 Keys Insurance Services, Inc. P.O. Box 370541 Key Largo, FL 33037 ` i ; (" E "` EI v� 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 R.T,HE COVERAGE AFFORDED BY THE POLICIES BELOW. 1 AISVRER$ AFFORDING COVERAGE NAIC # INSURED Upper Keys Community Pool nc DBA: Jacobs Aquatic Center I,/n�! 1 O PO Box 1994 In iil r - Key Largo, FL 33037 MONROE COUNTI INSUTERA: Verest National Ins Co. INSU ER B: INSU ERQ 1 0 ER 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, ITIN—SR ADD' NAR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE IS COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED g CLAIMS MADE ❑OCCUR MED EXP(Any one person) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ POLICY PRO ECT M LOG AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT Ca accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY it �� AUTO ONLY - EA ACCIDENT $ ACC $ ANY AUTO I $ AGG EXCESS/UMBRELLA LIABILITY $ OCCUR CLAIMS MADE $ ED $DEDUCTIBLE C n (,�y.$RETENTION $WORKERS $ COMPENSATION AND 2700010261051 10/03/2005 10/03/2006GTH- A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE El EACH ACCIDENT $ 100,00 E.L. DISEASE - EA EMPLOYE $ 100,000 OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ SQQ, OQ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Monroe County Board of County Commissioners Attn: Risk Management Dept 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 CERTiIP6 E HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL OF ANY KIND UPON TH AUTHORIZED REPRESENTI NO OBLIGATION OR LIABILITY AGVKU ZD JZUUT/ tl) CG' wGG ©ACORD CORPORATION 1988 ILc ACORD CERTIFICATE OF LIABILITY INSURANCE TE 055/08/2 0 ) PRODUCER (305)453-1445 FAX (305)453-1438 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. P.O. Box 370541 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key Largo, FL 33037 RECEIVED INSURER AFFORDING COVERAGE NAIC # INSURED Upper Keys Community Pool Lnc INS ERA: Everest National Ins Co. DBA: Jacobs Aquatic Centern PO BOX 1994 MAY 2 2 LCO INs INS ER B: ER C: Key Largo, FL 33037 INs ERD: ERE'. COVERAGES RISK MdNAf.FMGNi 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 ADDI TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPMMi Inn RATION LIMBS 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 UMIT APPLIES PER: POLICYF_j PRO- JECT LOG PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS �' '� `..J ' \ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accitlenQ $ [IOPERTY DAMAGE (Pereccide, $ GARAGE LIABILITY ANYAUTO ��'`' '1 AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR 1:1CLAIMS MADE DEDUCTIBLE RETENTION $ ly f 1 EACH OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNEWEXECUTI'VE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 2700010261051 10/03/2005 10/03/2006 1we srATu- OTH- E.LEACHACCIDENT S 100,QQ E.L. DISEASE - EA EMPLOYEE $ 100,00 E.L. DISEASE - POLICY LIMIT $ S0010010 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Monroe County Board of Attn: Risk Management 1100 Simonton Street Key West, FL 33040 County Commissioners Dept 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 IMP SE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INFSURER, IT SH $ OR REPRESENTATIVES. AUTHORIZED REPRESENTATIV ACORD 25 (2001108) G C nwrnen rnennewr,ru .nee ACORD, CERTIFICATE OF LIABILITY INSURANCE oS1 9i2 6Y) PRODUCER (305)247-5121 FAX (305)248-8543 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION T.R. Jones III Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1780 North Krome Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Homestead, FL 33030 Patti Spires r...__,___._._._.._ INSURERS AFFORDING COVERAGE NAIC # l�JURER A: Admi ra DBA: Jacobs Aquatic Center P.O. Box 1994 INSURER Key Largo, FL 33037 j j i' -, 2 INBy1RER CC THE POLICIES OF INSURANCE LISTED BELOW HA, OJ7fED NAMED A OVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN ANY REQUIREMENT, TERM OR CONDITION OF AN CONTRACT Ql?9RAH�R 'ENT WITH P. SPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TH TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' rypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY CAOOOOOS809-02 10/03/2005 10/03/2006 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ 50,000 X COMMERCIAL GENERAL LIABILITY LED EXP (Any one person) $ exclude CLAIMS MADE M OCCUR PERSONAL S ADV INJURY $ 1,000,000 A GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ included POLICY JE& LOC AUTOMOBILE LIABILITY CA000005809-02 10/03/2005 10/03/2006 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 ANY AUTO BODILY INJURY $ ALL OWNED AUTOS (Per person) SCHEDULED AUTOS A HIRED AUTOS BODILY INJURY $ NON-OWNEDAUTOS (Per accident) X PROPERTY DAMAG $ (Per ide GARAGE LIABILITY �. AUTO ZINLY-EAACCIDENT $ OTHER THAN EA ACC $ ANY AUTO �I_ $ �� AUTO ONLY: AGG E%CESS/UMBRELLA LIABILITY ,r EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ / WCSTATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ! ,r„�TORY (V'��X� LIM-'�J LIMITS PR E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. DISEASE - EA EMPLOYE 8 OFFICERIMEMBER EXCLUDED? E.L. DISEASE - POLICY LIMIT S If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ommunity Swimming Pool ertificate Holder Included as additional insured on the General Liability but only in regards to perations of the insured Monroe County Board of County Commissioners & Tourist Development Council 1100 Simonton Street Key West, FL 33040 wrnon oc loom mm L 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 OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE of Record ©ACORD CORPORATION 7988 A -CORD, CERTIFICATE OF LIABILITY INSURANCE oiizajzo06 PRODUCER (305)247-5121 FAX (305)248-8543 T.R. Jones & Company 1780 North Krome Avenue Homestead, FL 33030 Patti Spires t ( ��j i!1 i Ll3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AONFERS NO RIGHTS UPON THE CERTIFICATE OLDER IS CERTIFICATE DOES NOT AMEND, EXTEND OR LTER TH COVERAGE AFFORDED BY THE POLICIES BELOW. INSUR RS A11FORDING COVERAGE NAIC # INSURED Upper Keys Community Pool, Inc „ , , I DBA: Jacobs Aquatic Center P.O. Box 1994 Key Largo, FL 33037 r ;, c , ^ Rlsuasar(ti�l INSURERA: Admiral Ins Co NSURER B: INSUBER CI l URER D 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 ROW1 TYPE OF INSURANCE POLICY NUMBER POLICY DATE EFFECTNE POLICY EXPIRATION LIMITS GENERAL LIABILITY CA0000OS809-02 - 10/03/200S 10/03/2006 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED /Fw nrni nw $ 50,000 CLAIMS MADE [Jy] OCCUR :111S $ exclude MED EXP (Any one person) A PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2 , 000, DD GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGO $ include POLICY PRO - JECT LOG AUTOMOBILE LIABILITY ANY AUTO CAOOOOOSS09-02 10/03/200S 10/03/2006 COMBINED SINGLE LIMIT (Es accident) $ 1,000,00 BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Peraccident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE UABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO �j `� \ OTHER THAN EA ACC $ $ ' 1' AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F-1 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND f A WC STATU- OTH- EMPLOYERS' LINBIUTY ANY PROPRIETOWPARTNER/EXECUTIVE - 1. _ IjYs"('1-'/V(" E.L. EACH ACCIDENT $ F. L. DISEASE - EA EMPIDVEE $ OFFICER/MEMBER EXCLUDED? R ye9, d89RILle finder '-- E.L. DISEASE - POLICY LIMIT --- $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS omm$nity Swimming Pool ertificate Holder Included as additional insured on the General Liability and non -owned automobile liability but only in regards tooperations of the insured Monroe County Board of & Tourist Development 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 County Commissioners 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Council BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRES TATIVES. AUTHORIZED REPRESENTATIVE A ACORD 25 (2001/08) GG=tip, CACORD ACQRa CERTIFICATE OF LIABILITY INSURANCE 07/28 T.R. Jones & Company 1790 North Krome Avenue Homestead, FL 33031) Patti Spires upper ROY5 ..."X DBA: Jacobs Aquatic Center P.O. Box 1994 Key Largo, FL 33037 INSURERS AFFORDING COVERAGE NAIL 0 go THE POUCIFS OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUBtEMEMT. 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 CLAW. TYPEOPSWRANCE FOUL.'INLHEeN BIIRInWIN LMM A ERAL OBNLVIBLDY X OOIEACVLGEHERALLNBILRY CLAW LADE OOCCUR CAOOOOOS809-02 10/03/2005 10/03/2006 EACH OCCURRENCE f 11000,00( -BREMMEHIAMAGELCEao IED NED EXP (AM wPN+o^I f so, f excl WIN PLREONAL SAOV w.ERY f 1 000 GENERAL AGGREGATE f 2 000 OERL AGGREGATE LUITAPPLES PER: Poucw Loc PRO TS- f included A AUTDMceas LIAfurr ANYAUTo ALL OWNED AUTO& SCHEDULEDAUTOB HIRED AUTOS NONOWIED AUTOS CAOOOOOSB09-02 10/03/2005 10/03 006 COMBINED �ISINGE UHaf f 000.000 BODILYINAIRY (PatTN,YN,) f BODILY f X PROPERTY DAMAGE ITAYAIYMen) S GARAGE LIABILITY AHYAUTO _ AUTO ONLY-EAACCDMo f OTHER THAN EA AGO AUTOONLM. AGO f f EXCEBSkUMRELL LIABILITY OCCUR EICHAAHB MADE DEDUCTIBLE RETENTION f _ _ ,. ..._....... 1 - EACH OCCURREME f AGGREGATE S f WORK6R6 COMPeMATONAND EMPLAYatirUAmRY ANY PROPRETORPARTNENIEXECUi WE OFFICENR6MER EXCLUDED? � P�ROWINOMI WON � , .-II STATLL OTH- E.LEACHACCIDENT S EL DISEASE -EA EMPLOYEE S ELL WEAK -POLICY LINT f OTHER ty OPEPATIQNS/I VBSCUMI EXCLUMONS ADM BY ENDORSEMENT I SPECIAL MIOVMWW SSeHol�MMNjiT�LOCAlIQ1e ificatder Included as additional insured on the C,aneral Liability and non -owned automobile liability but only in regards tooperations of the insured /YOT. AT UM ME= T:AwY g I AT SHOULD ANY OF THE ABOVE DESCRIBED POUCES BIE CANCELLED BEFORE THE EXPRATON DATE THEREOF. Tim MUNG E0RTBI1 WILL ENDEAVOR TO MAIL Monroe County Board of County Commissioners 10 DAYSWRITTBI NOTICE TO THE CERTIFCATE"MM ILALLEDTO THE LEFT, & Tourist Development Council BUT FAILIAIE TO NAIL SUCH VOICE BWILY mFOW NO OBLIGATION OR UANNIT' 1100 Simonton Street OF ANY BIND UPON THE IMUFA3L ITS AGENTS OR EMMIMM AUMORRI 0 REPRpEYTATFA Key West, FL 33M Deborah McAfee t of Record ACORD 25 (2001M) CACORD CORP64TION 1 c c 014p DATE (MMIDDIYYYY) ACORD,M CERTIFICATE OF LIABILITY INSURANCE 1 12/06/2006 PRODUCER (305)247-S121 FAX (305)248-8S43 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION T.R. Jones of KL ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1780 North Krome Avenue __.__. _.____ ALIER.THE_ ERAGE AFFORDED BY THE POLICIES BELOW. Homestead, FL 33030 '` }- ;INS�ERS FFO DING COVERAGE NAIC # Patti Spires_. -_--- INSURED Upper Keys Community Pool, Inc INSURER A'. mir 1 Ins Co DBA: Jacobs Aquatic Center I FEB *SU, P.O. Box 1994 7Ns c. Key Largo, FL 33037 ! wsuRERD C VERAGES I -- "' THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENTTERM 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. rA DD' NM TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR POLICY NUMBER CA000005809-03 POLICY EFFECTIVE 10/03/2006 POLICY EXPIRATION 10/03/2007 LIMITS EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED $ SO, DD MED EXP(Any one person) $ excluded PEkSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMPIOP AGG $ include GEN'L AGGREGATE LIMIT APPLIES PER PRO- LOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ AUTO OWNED AUTOS BODILY INJURY (Per person) $ EDULED AUTOS JHIREDAUTOS -OWNED AUTOS , BODILY INJURY (Per accitlent) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO _, V .- k -"'"'" AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE J EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WC STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E. L. DISEASE - EA EMPLOYEE $ ANY PROPRIETORIPARTNER/EXECUTIVE OFP IC'eMMEMBER EXCLUDED? E.L. DISEASE - POLICY LIMIT 1 $ If yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Community Swimming Pool Certificate Holder Included as additional insured on the General Liability and non -owned automobile iability but only in regards to operations of the insured G G , iI / )'-c ;)L'2— Monroe County Board of County Commissioners & Tourist Development Council 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 OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 26 (2001108) ACORD CERTIFICATE OF LIABILITY PRODUCER (305)247-5121, Pax (305)248-8543 T.R. Jones Of KL DATE (man"YYYYY) INSURANCE s 23 2007 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. 1780 North Krouse Avenue Homestead, PL 33030 Patti Spires INSURED INSURERS AFFORDING COVERAGE INSURERA:Adsirral Ins CO NAIC # Vp"r Keys Coms,,nity POOL, Inc INSURER B: DBA: Jacobs Aquatic Center INSURERc: P.O. Box 1994 INSURER D: Rey Largo PL 33037 INSURER E. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN 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. USSR A L TYPE OF INSURANCE GENERAL LumuTY 8 COMMERCIAL GENERAL LIABILITY CLAIMS MADE ® OCCUR POLICY NUMBER GDooOoseo9-09 POLICYEFFECTNEPOLICYEXWRATION DATE MIM 10/03/2006 DATE Y 10/O3/2007 LIMITS EN:H OCCURRE $ 1,000,00C DAMAGE TO RENTED PREMISES Ea�_nanW MED EXP An' ale e,R» $ 50,000 $ exclude PERSONAL$ADV INJ BY $ 1,000,000 GENERALA REGATE $ 2,000,000 PRODUCTS -GO P/OPAGG $ included GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO .IECT LOC AUTOMOBILE LIABILITY ANY AUTO CAGO0005809-3 10/03/06 10/03/07 COMBINED SINGLE LIMIT (Ea am1ded) $ 1000000 A ALL OWNED AUTOS BODILY INJURY IPwpersonl $ SCHEDULEDAUTOS HIRED AUTOS BODILY INJURY (Pw acddeat) $ X NON-OMMEDAUTOS PROPERTY DAMAGE (Pw acd w) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN AUTO ONLY: A $ ANY AUTO, $ EXCESSIUMBRELUL LIABILITY Sp2 $ AGGREGATE $ OCCUR []CLAIMS MADE 1-b " ' E S DEDUCTIBLE , RETENTION v O Twm WORKERS COMPENMA C.WAND E.L. ACCIDENT $ EMPLOYERS' LIABILITY IEX ANY PROPRIETORIPARTNERECUTNE � OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ . SE -POLILIMB E.LDIS $ S Yee, des ands SPEJAL PROMSI NS ENcw OTHER DESCRIPTION OF OPERAPONILOCATIONSNEIMCLESIEXCLUSION3 ADDED BY ENDORSEMENTISPECIAL PROWSONS Cossunity swimming (Pool. Certificate Holder Included as additional insured On the General Liability and non -owned automobile liability but only in regards to operations of the insured Monroe County Board of County Commission 5 Tourist Developumat Council 1100 Siniont.on Street Key Nest, PL 33040 ACORD 25 (2001108) INCMG m,no, �. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ESPIRATION DATE THEREOF, THE ISSIRNG INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BIR FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY MUD UPON THE AUTHORQED REPRESENTATNE ��jj Deborah McAfee/PS—U N`d� CORPORATION 1988 Pwna 1 M? ACORD CERTIFIC PRODUCER (305) 247-5121 FA%: T.R. Jones 6 Company 1780 N Krome Avenue )248-8543 INSURED Upper Keys Community Pool, Inc, DBA: Jacobs P.O. Box 1994 rL 33037 (INSURER E: E Ins IN RF..._., nAMAGE TO RENTED c $O A I I I j CLAIMS MADE rSCHEDULED GATE LIMIT P PRO.E T LIABILITYOANED AUTOSULED AUTOSUTOSNED AUTOS GARAGE LIABILITY ANY AUTO EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE R TI N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL oOV cnNSb — OTHER GLBINDER 10/3/2008 110/3/2009 COMBINED SINGLE LIMIT Is (Ea accident) GLSINDER 10/3/2008 10/3/2009 BODILY INJURY $ (Per person) BODILY INJURY a (Per amident) PROPERTY DAMAGE (Per. accident) OTHER THAN AUTO ONLY: 1,000 2.000 1,000, DESCRIPTION OF OPERATIONSILOCATONSNEHICLES/E%CLUSIONS DORSEMENT/SPECIAL PROVISIONS the General Liability and non-o ADDED BV EN Cos®unity Swinming Pool. Certificate Holder Included as additional insured on wned tions of the insured automobile liability but only in regards to opera CANCELLATION THE slavik-marxaumonrvecuu„,. Monroe County Board of County Commissione c/o Risk Management P.O. Box 1026 Key West, rL 33041 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SMALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURE ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE (�'-\ Deborah McAfee/PS @:Ja7.t"'� C AGURL) GUKrUMA1 iur. Iav� ACORD 25 (2001/08) IMCMC m.nm no_ •/�CQ�Q� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYlf) 1/25/2010 (3 0 5) 2 4 7 - 5121 FAX: (3 0 5) 2 4 8 - 8 5 4 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IPRODUCER T.R. Jones & Company 1780 N Krome Avenue ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 0- V E FORDED BY THE POLICIES BELOW. ;IjV F 0 COV RAGE NAIC # Homestead FL 33030 INSURED INSURER A Admiral 148 C Upper Keys Community Pool, Inc, DBA: Jac" 8OM R t N do al Insurance Co INSURER C: P.O. Box 1994 RER D: L-LN& Key Largo FL 3 3 0 3 7 INI nnVFRAaFm I.-- 11TOR I 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 OPSUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADDI. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A rx-1 COMMERCIAL GENERAL LIABILITY I CLAIMS MADE FxIOCCUR 0 0 0 0 0 5 8 0 9 0 6 10 / 3/ 2 0 0 9 10 / 3/ 2 010 DAMAGE TO RENTED PREMISES a occurrence) $ soil 000 MED EXP (Any one person) $ excluded PERSONAL & ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ included X I POLICY PRO- LOC JECT F AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 11000,000 BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS 000005809-05 10/3/2008 10/3/2009 BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO �. / $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ e, B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE a OFFICER/MEMBER EXCLUDED? WC STATU- I JOTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 100,0001 E.L. DISEASE - EA EMPLOYE $ 10 0 , 0 0 0 (Mandatory in NH)2700010261091 If yes, describe under SPECIAL PROVISIONS below 10 3 / 2 0 0 1 / 3 / 10 0 E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Community Swimming Pool. Monroe County Board of County Commissioners a Monroe County TDC are Included as additional insured on the General Liability and non -owned automobile liability but only in regards to operations of the insured *10 days notice of cancellation for non payment of premium. %.cry i iri%.H i c nvLucm GANGELLATION Monroe County Board of County Commissione c/o Risk Management P.O. BOX 1026 Key West, FL 33041 coz, V\.a. Y1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 3 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 Deborah McAfee / CER /o1VVMU LD (LVUVIU-1j 01988-2009 ACORD CORPORATION. All rights reserved. INS025 (200901) The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. okwimu'do t4cumul I N S025 (200901 r s Additional Named Insureds Other Named Insureds Jacobs Aquatic Center Doing Business As I OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC I •� S r ADDITIONAL COVERAGES Ref # Description Liquor Liability Coverage Code LIQUR Form No. Edition Date Limit 1 10000,000 Limit 2 10000,000 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Employers NON -Owned auto Coverage Code Form No. Edition Date Limit 1 19000,000 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Expense constant Coverage Code EXCNT Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium $200.00 Ref # Description Premium discount Coverage Code PDIS Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Experience Mod Factor 1 Coverage Code EXP01 Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium -$998.00 Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium OFADTLCV Copyright 2001, AMS Services, Inc. A� EP CERTIFICATE OF LIABILITY INSURANCE i0/18/220 0' 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 ACONTRACT_ BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CE TIFICATE � IMPORTANT: If the certificate holder is an ADDITIONAL the terms and conditions of the policy, certain po certificate holder In lieu of such endorsements . INS I s) must be icies rd401f&'9M endor 6mdrff.1A slat ndorsed. If SUBROGATION IS WAIVED, subject to ment on this certificate does not confer rights to the PRODUCER T.R. Jones 6 Company 1780 N Rrome Ave Homestead FL 33030 �' N Pa ti S iron, CIC PHONE 305) 47-5121 FAX N No: (305)248-8543 DLSS: Pn irss trj ones . com 001 ,^^' I INS 783 ER S AFFORDING COVERAGE NAIC0 INSURED Upper Keys Community Pool, Inc, DBA: Jacobs P.O. Box 1994 Ray Largo PL 33037 INSURER A Adm3.ral Ins CO INSURER B $lorlda Retail Federation SIP INSURERC: INSURERD: INSURER E : INSURER F: nOn-nernwre aNIUI2W0* D Master REVISION NUMBER: TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING 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 WestPOLICY POLICY EFF MOUCY XP LIMITS LTR TYPE OF INSURANCE NUMB R GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE15 PREMISES Es axurrenoe $ 50,000 B COMMERCIAL GENERAL LIABILITY7 MEDEXP oneperson) $ excluded A CLAIMS•MADE ® OCCUR OO000580907 0/3/2010 O/3/2011 PERSONAL t1 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ included $ $ POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 (Ea accident) BODILY INJURY (Per person) $ ANY AUTO 00000g80907 0/3/2010 0/3/2011 BODILY INJURY (Per acddeM) $ A ALL OWNED AUTOS T} PROPERTY DAMAGE $ SCHEDULED AUTOS - 4 HIRED AUTOS ) (Per accident) $ x NON -OWNED AUTOS $ - UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE 1 AGGREGATE $ DEDUCTIBLE $ $ RETENTION $ B WORKERS COMPENSATION WC LIMITSTH STATU ER E.L. EACH ACCIDENT $ 100 000 AND EMPLOYERS' LIABILITY ANY PROPRIEfORMARTNERIEXECUTIVE YINN E.L. DISEASE - EA EMPLOYE $ 100 )00 OFFICEWMEMBER EXCLUDED? (Mandatory in NH) NIA g20-40062-0 O/3/2030 0/3/2011 E.L. DISEASE - POLICY LIMIT $ 500,600 11 yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Add Itlael Remarks Schedule, If more "see Is required) Community Swimming Pool. Monroe County Board of County Commissioners aMonroe County TDC are Included as additional insured on the General Liability and non -owned automobile liability but only in regards to operations of the insured •10 days notice of cancellation for non payment of premiusa. Monroe County Board c/o Risk Management P.O. Box 1026 Key West, FL 33041 ACORD 25 (2009/09► INS025 poosoe) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. of County Commission AUTHORIZED REPRESENTATIVE Deborah McAfee ®1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACoRV® CERTIFICATE OF LIABILITY INSURANCE iii3i2011 ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Brown 6 Brown of Florida, Inc. dba T.R. Jones & Co. 1780 N Krome Ave Homestead FL 33030 NAME: CONTACT Patti Spires, CIC PHONE (305)247-5121 FAX (305)248-8543 ft ADDRESS: pspires@bbhomestead.com INSURER 3 AFFORDING COVERAGE NAIC N INSURER AAdmiral Insurance Company 4856 INSURED Upper Keys Community Pool, Inc, DBA: Jacobs P.O. BOX 1994 IKey Largo FL 33037 INSURERB:Florida Retail Federation SIF INSURERC: INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:11 GL, WC REVISION NUMBER! THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 POLICY EFF MMIDD POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 50,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx_1 OCCUR CAO00000580908 0/3/2011 0/3/2012 MED EXP (Any one person) $ exclude PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED Ea and entSIN LE LIMIT 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS CAOO0000580908 10/3/2011 0/3/2012 BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A 0520-40062-0 10/3/2011 0/3/2012 X WC STATU- OTH- Pp E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYE $ 100,000 f yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is requited) Monroe County Board of County Commissioners & Monroe County TDC included as additilnal i sur d in regards to general liability but only in repsects to operation of named insured:.' l�L3i111a1sL• 11�:i�1 � a� a:1 (305)295-3179 maria@monroeCounty-FL.gov Monroe County Risk Managment P.O. Box 1026 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 McAfee/CER ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INR025 r9mnnFi ni The A! non nmma nnrl Innn era rcnictarori mnrira of Arnpn A`40RV® CERTIFICATE OF LIABILITY INSURANCE lli3i2o i ) THIS CtRTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Brown & Brown of Florida, Inc. dba T.R. Jones & Co. 1780 N Krome Ave Homestead FL 33030 CONTACT Patti Spires, CIC PHONE (305)247-5121 FAX (305)248-0543 _AppgESS.pspires@bbhomestead.com INSURE S AFFORDING COVERAGE NAIC N INSURER AAdmiral Insurance Company 4856 INSURED Upper Keys Community Pool, Inc, DBA: Jacobs P.O. BOX 1994 Key Largo FL 33037 INSURERB:Florida Retail Federation SIF INSURERC: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:11 GL, WC REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 UB POLICY NUMBER MMIDD EFF POLICY MID YD� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 50,000 X COMMERCIAL GENERAL LIABILITY A CLAIMS -MADE 7 OCCUR CA000000580908 10/3/2011 0/3/2012 MED EXP (Any one person) $ exclude PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ X1 POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS „" 000000580908 _ 0/3/2011 0/3/2012 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X NON -OWNED HIRED AUTOS AUTOS $ UMBRELLA LIAB EXCESS LIAB CLAIMS -MADE l EACH OCCURRENCE $ HOCCUR AGGREGATE $ DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE F X WC STATU- OTH- E.L. EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 0520-40062-0 0/3/2011 0/3/2012 E.L. DISEASE - EA EMPLOYE $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Monroe County Board of County Commissioners & Monroe County TDC included as additional insured in regards to general liability but only in repsects to operation of named insured. (305)295-3179 maria@monroeCounty-FL.gov Monroe County Risk Managment P.O. Box 1026 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 McAfee/CER ACORD 25 (2010/05) C 1988-2010 ACORD CORPORATION. All rights reserved. INS025 mmnne) ni Tha ArllOn n2ma 2nrl Innn era ranieforarl mnrlre of Arf)12n ACORO.0 AC� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 10/11/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Brown & Brown of Florida, Inc. dba T.R. Jones & Co. 1780 N Krome Ave Homestead FL 33030 CONTACT Patti Spires, CIC NAME: P PNGNE (305)247-5121 FgAjX (305)248-8543 A"MRiL .pspires@bbhomestead.com INSURERS AFFORDING COVERAGE NAIC A INSURER AAdmiral Insurance Company 4856 INSURED Upper Keys Community Pool, Inc, DBA: Jacobs P.O. BOX 1994 Key Largo FL 33037 INSURERB-AetailFirst Insurance Company 10700 INSURERC: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER:12 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 OF INSURANCE ADDLSUBTYPE R POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 A CLAIMS -MADE F_x1 OCCUR CA00000580909 0/3/2012 0/3/2013 MED EXP (Any one person) $ exclude PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ x POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS CA00000580909 0/3/201 3/2013 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS + UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE t,;�+` _�..,. _- - - � - " EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ _ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE F---1 };r.. _. - • ' "' WC STATU-LIMITS OTH- ER E.L. EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA 0520-40062-0 0/3/2012 0/3/2013 E.L. DISEASE - EA EMPLOYE $ 100,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Monroe County Board of County Commissioners & Monroe County TDC are Included as additional insured on the General Liability and non -owned automobile liability but only in regards to operations of the insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC &Monroe County TDC ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Maria Slavik 1100 Simonton St AUTHORIZED REPRESENTATIVE Key West, FL 33040 C G Deborah McAfee/PS ACORD 25 (2010/051 ©1988-2010 ACORD CORPORATION. All rights reserved INIR11125 rgmnnri m Tha Ar1)12n nnma 2nei innn nra ranictararl mnrirc of A( r1Rr1 / . ® ACORV CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/12/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Brown & Brown Of Florida, Inc. dba T.R. Jones & Co. CONTACT Patti Spires, CIC NAME: PHONE (3O5) 247-5121 FAX N (305)248-6543 EA -MAIL apspires@bbhomestead.com INSURERS AFFORDING COVERAGE NAIC q 1780 N Krome Ave Homestead FL 33030 INSURERA:Admiral Insurance Company 24856 INSURED INSURER B:Retai1First Insurance Com an 10700 INSURERC: Upper Keys Community Pool, Inc, DBA: Jacobs P.O. BOX 1994 INSURER D : INSURER E INSURER F : Key Largo FL 33037 COVERAGES ur-milrli.Hlr.lvuino�rx.—-- -- 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 A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR ADDL SUBR POLICY NUMBER 00000580909 POLICY EFF MMIDD YYY 10/3/2012 POLICY EXP MMIDDIYYYY 0/3/2013 LIMITS EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 VIEDEXP(Any one person) $ exclude PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1000000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS A00000580909 10/3/2012 0/3/2013 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident)$ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB HCLAIMS-MADE $ DED RETENTION $ WC STATU- 07R B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROP RI ETD R/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 0520-40062-0 10/3/2012 0/3/2013 E.L. EACH ACCIDENT $ 1OO OOO E.L. DISEASE - EA EMPLOYE $ lO0 OOO E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Monroe County Board of County Commissioners included as additional insured for general liability & non -owned auto for the operations of named insured. �i� 'r'E B GEhAENT fr ` L L- '00 /�lGZ7? Go uaillia•Iai (305)292-4487 diaz-monique@monroecounty- Monroe County Board of County Commissione Attn: Moniquez Diaz 1100 SimontonSt 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 Deborah McAfee/PS °^ nn�n Ar•non r'n0Dr)0ATInNI All rinhtg rpgprvpd ACORD 25 (2010/05) INS025 (201005).01 The ACORD name and logo are registered marks of ACORD �1 '`' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/12/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Brown & Brown of Florida, Inc. 178 T.R. Jones & Co. 1780 N Krome Ave NAME: Patti Spires, CIC PHONE (305) Z47-5121 FAXdba (305)248-8543 EMAIL :pspires@bbhomestead.com Homestead FL 33030 INSURED Upper Keys Community Pool, Inc, DBA: Jacobs P.O. BOX 1994 INSURERS AFFORDING COVERAGE NAIC # INSURERA:Admiral Insurance Company INSURER B:Retai1First Insurance Company 4856 10700 INSURERC: INSURER D : INSURER E : ,Key Largo FL 33037 INSURERF: -- - - - _� . -- ------ KCv!. IUN NUMt$hK: 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 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES RESPECT TO WHICH THIS DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY HEREIN IS SUBJECT TO ALL THE TERMS, PAID CLAIMS. INSR ADDL SUBR POLICY EFF LTR TYPE OF INSURANCE POLICY NUMBER POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY A CLAIMS F_x1 10/3/2012 DAAUr= 75 RENTED PREMISES Ea occurrence) $ 50,000 -MADE OCCUR CA00000580909 0/3/2013 MED EXP (Any one person) $ exclude PERSONAL 8 ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,0001000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY C MBINED SINGLE LIMIT Ea accident 1000000 A ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS CA00000580909 10/3/2012 0/3/2013 BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ Per a ide $ UMBRELLA LIAB OCCUR HCLAIMS-MADE EACH OCCURRENCE $ EXCESS LIAR AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. EACH ACCIDENT $ 100 000 (Mandatory in NH) 0520-40062-0 10/3/2012 0/3/2013 If yes, describe under DESCRIPTION E.L. DISEASE - EA EMPLOYE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 OF OPERATIONS below --IT I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Monroe County Board of County Commissioners included as additional insured for general liability & non -owned auto for the operations of named insured. By a V GEAAEM DA r`CQTICIr•ATr uni non (305)292-4487 diaz-monique@monroecounty- Monroe County Board of County Commissione Attn: Moniquez Diaz 1100 SimontonSt 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 McAfee/PS ACARn 2419ninmat v 1voo."_1u AL UKU GUKNUKATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD =:I A �br CERTIFICATE OF LIABILITY INSURANCE aA11/2(MM 011YY Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns 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 endolsement(s). PRODUCER Brown & Brown Of Florida, Inc. dba T.R. Jones & Co.E-MAILAWRESS 1780 N Krome Ave Homestead FL 33030 MT T Pahl Spires, CIC PHONE (305)247-5121 FAX (305)248-e513 papireaftbhomestead.com INSURE AFFORDING COVERAGE NAIC# INSURER AAdmi.ral Insurance Company 4856 INSURM Upper Keys Community Pool, Inc, DBA: Jacobs P.O. BOX 1994 Key Largo FL 33037 INSURERS .RetailFirst Insurance Company 0700 INSURERC: INSURER D : INSURER E : INSURER F: COVERAGES CERTIFICATE NUMBER:12 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES (Es occurre $ 50,000 X COMMERCIAL GENERAL LIABILITY A CLAIMS -MADE Fx_1 OCCUR =AOOOOOS80909 0/3/2012 0/3/2013 MED EXP (Any one person) $ excluded PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO-LOC E AUTOMOBILE LIABILITY COMBINED aaccident) IN LE LIMI 1000000 BODILY INJURY (Per Person) t A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS CMOOOOS80909 0/ 2012 0/3/2013 BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAS OCCUR EACH OCCURRENCE $ EXCESSLWB CLAIMS -MADE �'� AGGREGATE $ DED I I RETENTION E B WORKERS COMPENSATION STATU TH- AND EMPLOYERS' LIABILITY Y I N ER E.L. EACH ACCIDENT $ lOO OOO ANY PROPRIETORIPARTNERIEXECUTNE (Mandatory In ER EXCLUDED? (Mandatory M NH) NIA 520-40062-0 0/3/2012 0/3/2013 E.L. DISEASE - EA EMPL YEE. $ 100,000 If yes, describe under E.L. DISEASE - POLICY LIMB I E 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Monroe County Board of County Camtmissioners & Monroe County TDC are Included as additional insured on the General Liability and non -owned automobile liability but only in regards to operations of the insured SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC & Monroe County TDC ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Maria Slavi.k 1100 Simonton St AUTHORIZED REPRESENTATIVE Key West, FL 33040 Deborah McAfee/PS �' V AWKU Z5 (ZUT WU5) INS025 (2o1oo5).o1 ®1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A� �® CERTIFICATE OF LIABILITY INSURANCE ioiai20 3 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF NF S NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY EGAT� TEND OR LTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURAN DOES M�I UTJE A CONT T BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THECERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an A DITIONAL INSURED, th ��{{��Icy(ies) mu t be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certai policies melY�l'�quire`anWorsement. tatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement . ll ^^ PRODUCER Brown & Brown of Florida, Inc. dba T.R. Jones & Co. 1780 N Krome Ave Homestead FL 33030 MONROECO RISK MANAGE CONTANAME: Patt Spires, CIC E (3 5)247-5121 IAIC.FAx No,, (305)245-8543 es@bbhomestead.com INSURE S AFFORDING COVERAGE NAIC 0 INSURERA:Admiral Insurance Company 4856 INSURED Upper Keys Community Pool, Inc, P.O. BOX 1994 ,Key Largo FL 33037 DBA: Jacobs --- INSURERB:RetailFirst Insurance Company 10700 INSURER C : INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: CL1310403867 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 LTRWVD TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM DDY EFF MIOLICOY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO ED PREMISES ENT E rrence $ 50,000 MED EXP (Any one person) $ exclude A CLAIMS -MADE FXI OCCUR 000005809-10 0/3/2013 0/3/2014 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ X1 POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS 8 W /1" �7r . (/ Op� , �i! BODILY INJURY (Per accident) $ PERT ntDAMAGE PROPERTY $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) NIA 1328.09 0/3/2013 0/3/2014 E.L. DISEASE - POLICY LIMIT $ 11000,00 If Dyes St; PTION OF OPERATIONS below � r ► DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, ff more space is required) -'� i Monroe County Board of County Commissioners included as additional insured for gen`e�al liabA itYr* non -owned auto for the operations of named insured. - I CD C7� "L7 7-17 3 CD CtK I ll'ICA i t HULUtK %i FkN%.CLLA I IUN (305)292-4487 diaz-monique@monroecounty- Monroe County Board of County Commissione Attn: Moniquez Diaz 1100 SimontonSt Key West, FL 33040 ACORD 25 (2010/05) INS025 (201005).01 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 Lane/LLANE © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE 10/,itlfalworrrvrt THiS'CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND C014FERS No RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE CRIES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER T14E COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER - IMPORTANT: if the cwdflcs% hokhr is an ADDITIONAL INSURED. the polk.y{los}_must be endorsed. If SUBROGATM IS WAIVED, subject to the terms and conditions of the policy, certain Policies may require an endorsement. A statement on this certificate doss not corner rights to the ca rtilicate holder in Neu of such endormeman s . PEER Brown & Brown of Florida, Inc. dba T.R. Jones & CO. 1780 X Krome Ave Homestead FL 33030 Patti Spires. CSC P (30S)247-S121 TP- 13051244-6343 papireafthhomest:ead.com INSURMIRAFFORDINSCOVERAGS NAH29 INSURERA:Admiral Insurance CoMany 24856 INSURED Upper Keys Community Fool, Inc, DBA: Jacobs P.O. Box 1994 Key Largo FL 33037 INsu Ita:RetaiIFirst Insurance Company 0700 INSURER C: INSURINO: INSURER E : IMPERF: 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• TYPE OF INSURANCE LIMITS GENERAL LIABILITY EACH E S 11000,000 gqg; $ 50,000 A a COMWROAL GENERAL LIABILITY CLAIMS -MADE ®OCCUR 00060S809-10 0/3/2013 0/3/2014 MEOEXPAPYOn* per6on $ exclude.. PERSONAL 6 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 , ; , '� � GEWL AGGREGATE LIMIT APPLIES PEN: x POLICY U LOC PRODUCTS • COMPIOP AGG $ 2,000,000 $ AUTOMOBILE LIABILITYfom.=�,`NGIE UWT BODILY'"MY{Perpareanl S ANY�ADO OWNED SC LED OS NOWOWN HIRED AUTOS AUTOS ` BODILY INJURY {Pa, dent) $ $ x uMaRE" LIAR EACH OCCURRENCE $ HO=R AGGREGATE $ EXCESS LIAS CLAIMS -MADE DED ETENTJONYU FRS COMPENSATION AND EWtOYEKS' LIABILITY ANY PROPPJETOWPAR7NEW�XECUTIVE [YlN OFFICER1fdEA ER EXCLUDED? L__..i {Mpldaldry M NNI YYC S ATU O R S B NIA 1328.09 D/3/2013 0/3/2014 E.L EACH ACCIDENT $-- 11000, 000 E.L.DISE.ASE-EA EMPLOYE• $ 1,000 000 E.L. DISEASE • POLICY LIMIT S 11000,000 H y DESCRIPTION OF OPERATIONS below DESCIo'11tN1 OF OPERATIONS t LOCATIONS I VENiCLEI! tAftch ACORD 104, Addift" Remerke $011NIWe, N more ePeoe Is MgW*di Monroe County Hoard of County CoaceissiOnors & Monroe County TDC are included a* additional insured on the Oaneral Liability and non -owned automobile liability but only in regard* to operatlons of tbo ia4tAEred 0 --I � 'Tl - C7 Monroe County BOCC & Monroe County 'IDC Attn: Maria Slavik 1100 Simonton St Rey Went, Fir 33040 3 ITT SHOULD ANY OF THE ABOVE DESCRIBED PEES SE COACELt" 8EFORE THE EXPIRATION DATE T"eaoF, NOTICE' WILL 9W DEkMRED IN ACCORDANCE WITH THE POLICY PROVISIONS. =- Aj AUTHORIZED REPRESENTATWE 25 2010105) Laurie Lane/LLANS u INS025 {x0100e1.01 The ACORD name and logo are registered marks of ACORD All rights reserved. CER IFICATE OF L IAB�IL.ITY INSURANCE DATE (M*VWYYY1 10%4/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLM. 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(8), AUTHORIZED REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED, the po"Ies) must be andorssd. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certiticats does not confer rights to the cerdflcsu holder in Iieu of such andorseaw s . PRODUCER Brown a Brown of Florida, Inc. dba T.R. Jones a Co. 1780 N Krome Ave Homestead FL 33030 CONTACTPatti Spires, CIC P (305)247-S121 ART t305)24I-0543 ADORES&pspir*x4bbhomstead.com APFORDwa COVVt4" NAIL 0 IHRERA Admiral Insurance qompaRy 24856 INSURED Upper Keys Community Pool, Inc, DBA: Jacobs P.O. Box 1994 lKey Largo FL 33037MWWRP; INSURER $ Retail First Insurance C 0700 INSURER INSURER 0. INSURE E COVERAGES CERTIFICATE NLRABER-CL1310403$67 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEDBELOW HAVE BEEN ISSUED TO THE INURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTM14STANDING 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. W TYPE OF INSURANCE ADM SWIR POUCYNUMBU P 0/3/2015 0/3/2014 UNM EACHOCCURRENCE' $ 11000,000 A OMRALUABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE t i l OCCUR OOOODS909-10 $ 501000 MEDEXP Ar are sea, t„ excluded PERSONAL &ADV %WRY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER X POLICY El P� LOCCOMMWED PRODUCTS - COMPIOP AGG S 2,000,000 S AUTOMOBILE LIABILITY ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS HIRED AUTOS AUTOS \ (V VVPROPERTY j F.' _---W.... SINGLE LIMIT SOOAI.Y i iLRY (PW person) S BODILY IN acc ideirt) ._ r S DAMAGE $ >i UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE ' EACH OCCURRENCE $ AGGREGATE $ DE S B WORREASCOMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOMPARTNERIEXECUTNE ❑ OFFICERMEMEEREXCLUDED7 (Mouto ry In NH} tt ya McSWU urK r DESCRIPTION OF OPERATIONS b410w NIA I338»09 2013 3 O// 013j2014 YICSTATI}, H- S E LL, EACH ACCIDENT _.............._., ,,, S 11000,000 E.L. DISEASE . EAEMPLOYFE S 1, 000 000 E.L.TX8El+SE - POLICY LIMIT S 11000,000 DESCRIPTION OF OPERATIONS ► LOCATIONS I XEHICLES (AVACh ACDIBI 901, A+AdwlounlM Rsmrrks Behrd4rt0. i! mere apses is 'Vaal Monroe County Hoard of County Comamissiansrs included as additional insured for general liability & non -owned auto for the operations of rammed insured. (305)292-4487 diam-monique6monroecounty- Monroe County Board of County Commissions Attn: Moniquez Diaz 1100.Simontonst Key Went, 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. AUTHORRED REPRESENTATIVE ACORN 29120101091 e LanalLLANH! INS025 (2woos).ai The ACORD name and logo are registered' marks of ACORD rights reserved. AO® c.. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/Y 10/2/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Regan Insurance Agency 90144 Overseas Hwy. Tavernier FL 33070 CONT NAME: ACT Brenda Monroe PNONE , (305) 852-3234 FAX . (305)852-3703 E-MAIL .bmonroe@reganinsuranceinc.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:National Fire & Marine Ins CO 20079 INSURED Upper Keys Community Pool Inc, DBA: Jacobs PO BOX 1994 Key Largo FL 33037 INSURER B : INSURERC: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER•2014-2015 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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. ILTR TYPE OF INSURANCE POLICY NUMBER PM DCY EFF MPOLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISE Ea occurrence $ 100,000 X COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ 1,000 A CLAIMS -MADE FZ OCCUR 72LPS021225 0/3/2014 0/3/2015 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Include $ }I POLICY PRO LOC AUTOMOBILE LIABILITY ANY AUTO B P G ENT COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS D W R ' li✓ I� , PROPERTY DAMAGE Par accident $ $ j''I�/'v' UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE F—FDED I I RETENTION $ $ WORKERS COMPENSATION OTH- VJR STATLIMITS AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE -POLICY LIMIT $ H yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Community Pool Certificate holder is shown as an additional insured per policy forms, conditions, limitations and exclusions. V 1i 'AiNA00 JONNOW Monroe County Board of County Commissione Tourist Dev Council - Attn: Risk Mana 1100 Simonton Street Key West, FL 33040 ACORD 25 (2010/05) INS025 poiompi SHOULD ANY OF THE DESCRIBEDPOLICIES BE CANCELLED BEFORE THE IETO PRO}}VIBlO15E' LL BE DELIVERED IN ACCORDANCEWIT THTM AUTHORIZED John Crowell/BMONRO V T:188-LV7V AVVf%U VVRr-VR/111V11. nn nynw ...—.--. The ACORD name and logo are registered marks of ACORD DATE (MMIDDIYYYY) A`o CERTIFICATE OF LIABILITY INSURANCE 10/6/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . CONTA r PRODUCER NAME: IVette Jimenez PHONE (305) 247-$121 IAIC.FAX NII: (305)248-8543 Brown & Brown of Florida, Inc. EMAIL i'imenez@bbinsfl.com dba T.R. Jones & CO. NAIC # 1780 N Krome Ave INSURERS AFFORDING COVERAGE Homestead FL 33030 INSURERA:RetailFirst Insurance Com an 10700 INSURED INSURER B : Upper Keys Community Pool, Inc, DBA: Jacobs INSURERC: P.O. BOX 1994 INSURERD: ey Largo FL 33037 INSURER F : OVERAGES CERTIFICATE NUMBER:2014 WC Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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 CY AIMS TADDLISU13R LIMITS fR TYPE OF INSURANCE POLICY NUMBER EACH OCCURRENCE $ GENERAL LIABILITY DAMA N ED PREMISES E occurr nc $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ ENL AGGREGATE $ rPRDD!UCTS-COMP/OPAGG $ GEN'L AGGREGATE LIMIT APPLIES PER: $ PRO- POLICY LOC C MBINED SINGLE LIMIT AUTOMOBILE LIABILITY PPW '•It'=' Ea accident BODILY INJURY (Per person) $ ANY AUTO D /V1,Y BODILY INJURY (Per accident) $ ALL OWNED AUTOS SCHEDULED AUTOS WANE /A /' � `r/ PROPERTY DAMAGE $ HIRED AUTOS NON -OWNED AUTOS /JY�II VVV��•- (,(� $ EACH OCCURRENCE $ UMBRELLA LIAR OCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE P A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N E.L. EACH ACCIDENT $ 1,000 ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA 10/3/2014 0/3/2015 OFFICER/MEMBER EXCLUDED? 0520-40062 E.L. DISEASE - EA EMPLOYE $ 1 000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS County of Monroe ' The Florida Keys AUTHORIZED REPRESENTATIVE Monroe County Risk Management �ry� 03113 1100 Simonton Street Krey West, FL 33040 L M. Lane, AAI,CRIS,M t• ACORD 25 (2010/05) 01988-2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD DATE (MM/DDIYYYY) ,acoR CERTIFICATE OF LIABILITY INSURANCE 10/5/2015 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Brenda Monroe _ - PHONE (305) 852-3234 FAX (305)852-3703 Regan Insurance Agency A/C No Ext: (A/C No): E-MAIL bmonroe@reganinsuranceinc.com 90144 Overseas Hwy. ADDRESS: ..._.._- --,.,n_ rnvcoer_c NAIC # Tavernier FL 33070 INSURERA:National Fire & Marine Ins Co 20079 INSURED INSURE RB: Upper Keys Community Pool Inc, DBA: Jacobs Aquatic INSURERC: -_ - PO Box 1994 INSURER D : INSURER E : Key Largo FL 33037 INSURER F: COVERAGES CERTIFICATE NUMBER:15-16 term REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH 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, REDUCED BY PAID CLAIMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REPOLICY EFF POLICY EXP IN SIR - - - ADDL�SUBR LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MM/DDIYYYY EACH OCCURRENCE $ 1,000,000 g COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100, 000 PREMISES Ea occurrence $ A CLAIMS -MADE X OCCUR j{ 72LPS024170 10/3/2015 10/3/2016 MED EXP (Any one person) $ 1, 000 — - - I NJURY I $ 1000000 8 ADV _PERSONAL GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS - COMP/OP AGG $ Included PRO- X POLICY JECT LOC - _ -- $ - OTHER APPR ED SK MA GEMENT COMBINED SINGLE LIMIT $ (Ea acadenU AUTOMOBILE LIABILITY _ BODILY INJURY (Per person) $ ANY AUTO BY r BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED / AUTOS $ — NON --OWNED DAAUTOS TE____. (per accidenRROPERTY t) — HIRED AUTOS AUTOS WAIVER N/A YES $ — EACH OCCURRENCE _$ UMBRELLA LIAB _OCCUR AGGREGATE $ EXCESS LIAB L CLAIMS=MADE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If ves. describe under E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Community Pool Certificate holder is shown as an additional insured per policy forms, conditions, limitations and exclusions. CERTIFICATE HOLDER - Ni ;j CANCELLATION l; Monroe County Board o J n y Commissione Tourist Dev Coun6J4,z _ At J4: Risk Mana 1100 Simonton Street`J,iU 01i 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 Key West, FL lJohn Crowell/FTHOM © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACORD 25 (2014/01) I NS025 , 2o' 401 ) ACORV CERTIFICATE OF LIABILITY INSURANCE lik� DATE (MMMONYYY) 10/14/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Regan Insurance Agency 90144 Overseas Hwy. Tavernier FL 33070 CONTAME:ACT NBrenda Monroe PHONE (305) 852-3234 FAX No): (305)852-3703 ADDRL :bmonroe@reganinsuranceinc.com INSURERS AFFORDING COVERAGE NAIC # INSURER A:R@ ubllc Vanguard Ins Co INSURED Upper Keys Community Pool Inc, DBA: Jacobs PO BOX 1994 Key Largo FL 33037 INSURER B : INSURERC: INSURER D : INSURER E 1 INSURER F f'nVFDAGCc CFRTIFICATF NI IMRFR-non owned auto RF_VIRION Nt]MRFR! 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 ADDLISUBRI POLICY NUMBER POLICY EFF MM/DD POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RffPTffU-- PREMISES Ea occurrent $ MED EXP (Any one person) $ CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ $ POLICY PRO LOC AUTOMOBILE LIABILITY Ea COMBINEDINGLE LIMIT 11000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X NON -OWNED HIRED AUTOS AUTOS X 0555044600 10/7/2014 10/7/2015 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peracci n $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION TATU$ SL'M'T O R ITOCRYS AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN %DA A EMENTE.L. COIL EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A / J /> `G f E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I 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. GtKIIFIGAIh NULUtK VAIYtrCLLAIIVIV V l 1 11 tF4t1uJ . %F—*I-- lewinski-monique@monroecou Monroe County Board of County Commissions c/o Risk Management 1100 Simonton St Key West, FL 33040 SHOULD ANY OF THE ABOVE DESC IBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ' - John Crowell/BMONRO ACORD 25120101051 ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 t9n1nnFl m Tho ARnRn nnmo and Innn 2ro ronie4ororl m2r4e of Arnan ._-"Ill e, ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 10/19/2015 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Brown & Brown of Florida, Inc . dba T.R. Jones & Co. CONT A'Ey Nanc Munoz NAME: a ONN (305) 247-5121 AA/C No : (305)248-8543 E-MAIL nmunoz@bbinsfl.com ADDRESS: SS: INSURERS AFFORDING COVERAGE NAIC 0 1780 N Krome Ave INSURERA:RetailFlrst Insurance Company 10700 Homestead FL 33030 INSURED INSURER 8 : INSURERC: upper Keys Community Pool, Inc, DBA: Jacobs Aquatic INSURER D : P.O. BOX 1994 INSURER E : INSURER F : Rey Largo FL 33037 GOVEKAUL5 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 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR ADDL SUER POLICY NUMBER POLICY EFF MM POLICY EXP MM DIYYYY LIMITS EACH OCCURRENCE $ _ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ _ PERSONAL & ADV INJURY $ GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO ❑ LOC JECT $ $ PRODUCTS - COMP/OP AGG OTHER: AUTOMOBILE LIABILITY cc den SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS $ $ BODILY INJURY (Per accident) PROPERTY DAMAGE per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS -MADE AGGREGATE $ PER OTH- STATUTE I I ER $ DED RETENTION $ WORKERS COMPENSATION E.L. EACH ACCIDENT $ 1,000,000 DUD AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE P E.L. DISEASE - EA EMLOYE $ 1,000,000 A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) H yes, describe under DESCRIPTION OF OPERATIONS below N / A 0520-40062 10/3/2015 10/3/2016 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if moreW t APPRIEMENT BYQ✓yq-.�� vY Iv WAI/C/� �� /` le' I t MULUtK ;4 �1 County of Monroe The Florida Keys if t Z 1�Q S��Z Monroe County Risk Mats M 51 4100 Simonton Street Krey West, FL 33040 t,C}�� 0 03113 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 M. Lane, AAI,CRIS,M f1A AT ^kl All ...n`I ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025,2,"14C1) 1 a DATE (MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE �/. 10/14/2015 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME CT Brenda Monroe Regan Insurance Agency x : (305) 852-3234 FAX No: (305)852-3703 PHC NNo 90144 Overseas Hwy. ADDRESS: bmonroeoreganinsuranceinc.com INSURERISI AFFORDING COVERAGE NAIC # Tavernier FL 33070 INSURER A:Re ublic Vanguard Ins Cc INSURED INSURER B : Upper Keys Community Pool Inc, DBA: Jacobs Aquatic INSURERC: PO Box 1994 INSURER D : Rey Largo FL 33037 1 INSURERF• I I .u.■■e�s.I ni c_13ni r; RFVIRInN NI IMRFR- I1VYCR/Y%7GJ '-- 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. INTRR TYPE OF INSURANCE ADDL itign SUBR wyo POLICY NUMBER POLICY EFF MM/DD POLICY EXP M DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGETO RENTED PREMISES Ea occurrence $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ POLICY PRO ❑ LOC JECT OTHER: AUTOMOBILE LIABILITY Ee OMacciden SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS JX AUTOS X CN0555044601 10/7/2015 10/7/2016 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ 'UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAR DED I I RETENTION $ WORKERS COMPENSATION PER OTH- STATUTE ER $ E.L. EACH ACCIDENT AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE $ E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA. E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below 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 forms, conditions, limitations and exclusions. ppRO NAGfWEENT ey WAIVE /A � YES _ CC = (� RIIFILAItMULL/thc lewinski-md ue@monroecou Monroe County (�qar#� g County Commissione c/o Risk Manageme t S 11,_ 1100 Simonton St S10 Z Key West, FL "-'33.6,4IE6 60J 0_31 r rj 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/BMONRO W I VOO-GV Izl ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401 ® DATE (MM/DDIYYYY) AC"J? V CERTIFICATE OF LIABILITY INSURANCE 10/5/2015 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Brenda Monroe Regan Insurance Agency PHC No Ext� ONE (305) 852-3234 FAX No): (305) 852-3703 ' 90144 Overseas Hwy. E-MAIL ADDRESS:bmonr0@@r@QaninBuranCeinC.COm _ INSURER(S) AFFORDING COVERAGE NAIC M ' Tavernier FL 33070 INSURERA:Nati.Onal Fire & Marine Ins Co 20079 INSURED INSURER Upper Keys Community Pool Inc, DBA: Jacobs Aquatic INSURERC: PO BOX 1994 INSURER D : INSURER E Key Largo FL 33037 INSURER F I+CmTICl/+A TC uI Iaamcm."Ir,_11 R 4--- RFVISInN NI IMRFR- vTHIS•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 1 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS MM/DDfYYYY1 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 $ 100,000 A CLAIMS -MADE u OCCUR �72LPS024170 DAMAGE TO RENT PREMISES (Ea occurrence $ 1,000 X 10/3/2015 10/3/2016 j MEDEXPMEDEXP �oneperson) $ 1000000 — I PERSONAL & ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: $ 2000000 $ Included POLICY L_J JECT ] PRO LOC PRODUCTS - COMPlOPAGG --- OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY (Per person) $ ALLOWNED SCHEDULED A NON-OWNED HIRED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident a UMBRELLA uA6 OCCUR EACH OCCURRENCE $ $ EXCESS LIAB CLAIMS -MADE AGGREGATE DED RETENTION $ $ WORKERS COMPENSATION STATUTE ERH i- E.L. EACH ACCIDENT E.L. Di ISEASE - EA EMPLOYE $ $ '.AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUI Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A DA _ WAI NIA ( / ��Y E.L. DISEASE - POLICY LIMIT H yes, describe under DESCRIPTION OF OPERATIONS below 1 I $ DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Community Pool Certificate holder is shown as an additional insured per policy forms, conditions, limitations and exclusions. CERTIFICATE HOLDEK Monroe County Board of County Co M,5 Q Tourist Dev Council - Attn:k 1100 Simonton Street Key West, FL 33040 e1�J3� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN i AfSQfl�pttE WITH THE POLICY PROVISIONS. (AiJTtMif REPRESENTATIVE ,7 Johnn Crowell/FTHOM � a V IUZSIJ-ZU-14 ALUM^( 1_,UMr'VRH I IVIY. Hn nyIIM ICDCI VCU. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) Additional Named Insureds Other Named Insureds Jacobs Aquatic Center Doing Business As oj 30dx0w ' '?{f3 -�,VVI SS :Z Wd S 1100 q6Z UdUJ38 80J 03-11,3 I OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC I