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Certificates of Insurance
CERTIFICATE OF INSURANCE SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER WILL NOT BE CANCELED OR TERMINATED WITHOUT (31V1NG 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF I DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. ~,.,' This certifies that: 181 SlATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois, or o SlATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois has coverage in force for thl> following Named Insured as shown below: Named Insured Address of Named Insured POLICY NUMBER EFFECTIVE DATE OF POLICY DESCRIPTION OF VEHICLE LIABILITY COVERAGE LIMITS OF LIABILITY a. Bodily Injury Each Person a. Bodily Injury Each Accident b. Property Damage c. Bodily Injury & Property Damage Single Lim~ Each Accident PHYSICAL DAMAGE COVERAGES 8. Comprehensive b. Collision EMPLOYER'S NON-OWNERSHIP COVERAGE HIRED CAR COVERAGE I Pedro Falcon Electrical Contractors Inc 0:10 5488 829 59F 0I8J2912006 0023871 F0359D 12/0312006 2000 FORD F350 PICKUP 1 FlSX31FOYE854635 2000 CHEVROLET VAN I'GNDMI9W9YBI90954 I:8!YES NO YES NO $_1,000,000.00 $1,000,000.00 YES DNO $2.000.00 Deductible YES DNO $2.000.00 Deductible I:8!YES DNO $2.000.00 Deductible I:8!YES DNO $2.000.00 Deductible DYES I:8!NO NO AGENT Title Name and Address of Certificate Holder I Monroe County Board of County Commissionl~rs 1100 Simonton St Room 1-213 Key West, FI. 33040 L Cc.: r;'no-c~ V'l\ C I~ st \ '\~lf) '{ liME: RECEIVED 1137113 El0 59E 11/01/2006 2001 FORD FI50 PICKUP lFlZFI72X1NA99417 0077437 D26 59H 10/2612006 2005 HONDA ACCORD 3HGCM56465G713921 YES NO YES NO $100,000.00 $1,000,000.00 YES DNO $2.000.00 Deductible I:8!YES NO $2.000.00 Deductible YES DNO $2000.00 Deductible I:8!YES DNO $2 000.00 Deductible DYES DYES I:8!NO I:8!NO DYES I:8!NO NO 1163 Agent's Code Number 0212212007 Date I Name and Address of Agent I William A. Marti, Agent 2105 N State Road HOllywood, Fl. 33021 954-987-0121 954-987-2215 Fax ~ L --------------------------------------------------------------------------------------------------------------------------------- Check if a penmanent Certmcale of Insurance for liability coverage is needed: 1:8! Check if the Certificate Holder should be added as an Additional Insured: 1:8! Remarks: CERTIFICATE OF INSURANCE SUCH INSURANCE AS RESPECTS THE INTEREST OF THE CERTIFICATE HOLDER WILL NOT BE CANCELED OR OTHERWISE TERMINATED WITHOUT 'GIVING 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, B T N N EVENT SHALL THIS CERTIFICATE BE VALID MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF IN C DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. Pedro Falcon Electrical Contractors Inc. This certifies that: 181 STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANV of Bloomington, Illinois, or o STATE FARM FIRE AND CASUALTY COMPANV of Bloomington, Illinois has coverage in force for the fOllowing Named Insured as shown below: Named Insured Address of Named Insured POLlCV NUMBER EFFECTIVE DATE OF POLlCV DESCRIPTION OF VEHICLE LIABILITY COVERAGE LIMITS OF LIABILITY a. Bodily Injury Each Person a. Bodily Injury Each Accident b. Property Damage c. Bodily Injury & Property Damage Single Limn Each Accident PHVSICAL DAMAGE COVERAGES 8. Com rehensive b. Collision EMPLOVER'S NON-OWNERSHIP COVERAGE HIRED CAR COVERAGE 6511626 E07 59F 11/0712006 1997 ISUZU FLAT BED JALC4B1K0V7010053 [giVES DNO [giVES DNO VES NO VES NO li1,OOO,OOO.00 [giVES NO $2.000.00 Deductible [giVES DNO $2.000.00 Deductible VES DNO Deductible DVES DNO Deductible VES DNO Deductible DVES DVES [gINO [gINO DVES DVES DNO DVES DVES DNO DNO DVES DNO DNO NO VES L AGENT Title 1163 Agenfs Code Number ., 0212212007 Date Signature of Authorized Representative I Name and Address of Certificate Holder Name and Address of Agent ... I , , I I Monroe County Board of County Commission'ers 1100 Simonton St Room 1-213 Key West, FI. 33040 L Cc: h I'l a.71Ce. William A. Marti, Agent 2105 N State Road Hollywood, FI. 33021 954-987-0121 954-987 -2215 Fax ~ ".....,.. OI\c~J L 'f. ----------------------.----------------------------------------------------------------------------------------------- Check if a penmanent Certificate of Insurance for liability coverage is needed: [gI Check if the Certificate Holder should be added as an Additional Insured: [gI Remarks: 158-4430.2 Rev. 9-94 Printed in U.S.A. CERTIFICATE OF INSURANCE SUCH INSURANCE AS R:ESPECTS THE INTEREST OF THE CERTIFICATE HOLDER WILL NOT BE CANCELED OR OT E S TERMINATED WITHOUT 131V1NG 10 DAYS PRIOR WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED BELOW, B T N N EVENT SHALL THIS CERlrlFICATE BE VAUD MORE THAN 30 DAYS FROM THE DATE WRITTEN. THIS CERTIFICATE OF IN C DOES NOT CHANGE THE COVERAGE PROVIDED BY ANY POLICY DESCRIBED BELOW. CY-/J 10 (!/ert.... This certifies that: 181 STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY of Bloomington, Illinois, or ;'./.21)77 /"- o STATE FARM FIRE AND CASUALTY COMPANY of Bloomington, Illinois 7 ROE cOUtll'l ..J \J..J has coverage in force for th,e following Named Insured as shown below: t<lON<s D~lOPt<lamJSl.lJ 0 fACIU1\< Named Insured Pedro Falcon Electrical Contractors Inc I (/ i<<tjJ~ Signature Authorized Representative Address of Named Insured POliCY NUMBER EFFECTIVE DATE OF POLICY DESCRIPTION OF VEHICLE liABIliTY COVERAGE liMITS OF LIABIliTY a. Bodily Injury Each Person a. Bodily Injury Each Accident b. Property Damage c. Bodily Injury & Property Damage Single limit Each Accident PHYSICAL DAMAGE COVERAGES a. Comprehensive b. Collision EMPLOYER'S NON-QWNERSHIP COVERAGE HIRED CAR COVERAGE I fE~ '2 009 4759 C09 59J 09/09/2006 083 8673 028 59E 10/2612006 287638801359 10/1312006 2005 FOR:D THUNDERBIRD lFAHP60A25Yl00982 84S 9389 591 10/09/2006 2003 FORD E350 VAN 1 FTSE34L03HC07638 I8IYES NO 2003 FOR:D F 150 lFTRF17283NB16818 1994 FREIGHT FL80 lFV6JFAB5RL587063 YES NO YES NO YES NO $.1,000,000.00 $1,000,000.00 $1,000,000.00 $1,000,000.00 I8IYES DNO $2.Doo.00 Deductible I8IYES DNO $2.000.00 Deductible YES DNO $2.000.00 Deductible YES NO $2.000.00 Deductible I8IYES $2.000.00 Deductible YES DNO $2.000.00 Deductible YES DNO $2.000.00 Deductible DYES DYES I8INO I8INO DYES DYES DYES DYES I8INO I8INO DYES DYES I8INO I8INO I8INO I8INO Agent Title 1163 Agent's Code Number 0212212007 Date Name and Address of Certificate Holder Name and Address of Agent I I I William A. Marti, Agent 2105 N State Road 7 Hollywood, FI. 33021 954-987-0121 Monroe County Board of County Commissionlers 1100 Simonton St Room 1-213 Key West, FI. 33040 L cc.. f:~tU1C..e.~ N\~~ I 1 ) ~t L 954-987-2215 Fax ~!f/7 -------------~--~-------_._------------------------------------~---------------------------------------------------- ~ Check if a penmanent Certiificate of Insurance for liability coverage is needed: 181 Check if the Certificate Holder should be added as an Additional Insured: 181 Remarks: 158-4430.2 Rev. 9-94 Printed in U.SA ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 PEDRO-2 03 21 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ,_"~__..__". "-'lNL.Y.ANll.C.O~ERS NO RIGHTS UPON THE CERTIFICATE I' f) L"( 'r \ JIllqcp, ER, THIS ERTIFICATE DOES NOT AMEND, EXTEND OR \ L j L V .{~rJR THE CO ,ERAGE AFFORDED BY THE POLICIES BELOW. : r-.-."."- I 07 PRODUCER BUTLER, BUCKLEY, DEI~TS INC. 6161 BLUE LAGOON DR., STE 420 MIAMI FL 33126 Phone: 305-262-0086 INSURERS AFFORiDING COVERAGE NAIC# PEDRO FALCON ELECTRICAL CONTRACTORS, INC. 31160 AVE C BIG PINE KE'~ FL 33043-451 RP AlG INSURED o 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER 'DATE:iMMIODNY DATE MMIDDIVY LIMITS ~NERAL LIABILITY EACH OCCURRENCE .1,000,000 B X X COMMERCIAL GENERAL LIABILITY CPPOOO7150 03/13/07 03/13/08 PREMISES (Ea occurence) .100,000 I CLAIMS MADE [~OCCUR MED EXP (Anyone person) .5,000 - PERSONAL & ADV INJURY .1,000,000 - GENERAL AGGREGATE $2,000,000 ~.~ AGG~EnEILlMIT 'llopr~~rIPER PRODUCTS - COMP/OP AGG .2,000,000 POLICY ~r8i LOC ~TOMOBILE LIABILITY COMBINED SINGLE LIMIT . ANY AUTO 0~.. .t (Ea accident) f- VY) f-- ALL OWNED AUTOS ) BODILY INJURY {per person) $ SCHEDULED AUTOS f-- ?,~{ HIRED AUTOS BODILY INJURY f-- ) . NON..()WNED AUTOS (Per accident) f-- i- f-- PROPERTY DAMAGE . (Peraccidenl) R~GE LIABILITY AUTO ONLY. EA ACCIDENT , ANY AUTO OTHER THAN EAACC , AUTO ONLY: AGG , ~ESSIUMBRELLA LIABIILlTY EACH OCCURRENCE , 4,000,000 B X OCCUR 0 CLAIMS MADE UMBOO05173 03/13/07 03/13/08 AGGREGATE '4,000,000 , ~ DEDUCTIBLE , RETENTION , , WORKERS COMPENSATION ANID 1";,,llIMIT's I IUJ~' A EMPLOYERS' LIABILITY WC1760051 01/01/07 01/01/08 E.L. EACH ACCIDENT , 500000 ANY PROPRIETORlPARTNERlEXECUTIVE OFFICERltulEMl?lfR EXCl.UOEI)? E.L. DISEASE. EA EMPLOYEE ,500000 ~~E(;I~lsp~~v~~?6NS below ~--_._.-~_.__.._.- .-~--- E.L DISEASE - POLICY LIMIT , 500000 OTHER MONROe COUNlY ..~'" DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED MAR 28-1007 ~~MO BY\ 0 ) MONROE COUIITY BOARD OF COUNTY COMMISSIONl~RS 1100 SIMON~roN STREET KEY WEST F]~ 33040 CANCELLATION MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE CERTIFICATE HOLDER William S. Bodenhamer ACORD 25 (2001 ce' lA(...'VI~C' ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID2~ DATE (MMfDDIYYYV) PEDRO 2 03/21/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION iR AND CONFERS NO RIGHTS UPON THE CERTIFICATE BUTLER, BUCKLEY, DEI~TS INC. . RTIFICATE DOES NOT AMEND, EXTEND OR 6161 BLUE LAGOON DR., STE 420 RECE 1\ R THE CO~ RAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33126 Phone: 305-262-0086 INSURERS FFOR ING COVERAGE , NAIC# INSURED MAR 2 ~~ AMER< ~ INTE INSURER B' F.C. C.I.~ ~;;;"1:' ) PEDRO FALCON ELECTRICAL INSURER c: I ~ L.. CONTRACTORS, INC. 31160 AVE C INSURER 0 n/';. 1.2 BIG PINE KEY FL 33043-4516 INSURER E 1/ 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. l'lTR ~SR TYPE OF INSURAI.,.CE POLICY NUMBER t'D~';!~1MM/DD,y.b~ DATE MMfDDtYvT LIMITS ~NERAL LIABILITY EACH OCCURRENCE $1,000,000 B X X COMMERCIAL GENERAL LIABILITY CPPOOO7150 03/13/07 03/13/08 ~=~~~YE~~~~nce) $100,000 I CLAIMS MADE [~OCCUR MED EXP (Anyone person) .5,000 , PERSONAL & ADV INJURY $1,000,000 -.- - - GENERAL AGGREGATE .2,000,000 ~'L AGG~EnE ILlMIT APrlSIPER PRODUCTS - COMP/OP AGG $ 2,000,000 PRO- POLICY JECT LOC ~TOMOBILE LIABILITY nI. VJ... . ( .J..) COMBINED SINGLE LIMIT $ ANY AUTO (Eaaccident) - AlL OWNED AUTOS Dl BODILY INJURY - '7) d-~ $ SCHEDULED AUTOS (Par person) - HIRED AUTOS BODILY INJURY - $ NON-OWNED AUTOS (Peraccidenl) f- f- PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO OTHER THAN EAACC $ AUTO ONLY' AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 4,000,000 B ~ OCCUR D CLAIMS MADE UMBOOOS173 03/13/07 03/13/08 AGGREGATE $ 4,000,000 $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION ANn IT~,\'/~':':f's I IU~~- A EMPLOYERS' LIABILITY WC17600S1 01/01/07 01/01/08 E,L. EACH ACCIDENT $ 500000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERlMEMBER EXCLUDED? E.L. DISEASE ~ EA EMPLOYEE $ 500000 ~~~~,~!Sp~~V~~~~s below E.L. DISEASE. POLICY LIMIT $ 500000 OTHER MONROE COUNTY DESCRIPTION OF OPERATIONS I LOC/mONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS PROJECT: BIG PINE I<EY PARK CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED. MARZS 2007 ~~MDel0) , CERTIFICATE HOLDER CANCELLATION MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAlL ~ DAYS WRITTEN MONROE COmITY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 1100 SIMON~'ON STREET KEY WEST Fl, 33040 REPRESENTATIVES. /\ AUTHORIZED REPRESENTATIVE \ l'j 7 William S. Bodenhamer ACORD 25 2001/ @~ ORD CORPORATION 1988 cc 98l' :~~"1-<--0 ACORp C ERTIFICATE OF LIABILITY INSURANCE f DATE( �, �(�(, 05/21/2007 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 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 370541 -- -- -- ___ALTER COVERAGE AFFORDED BY THE POLICIES BELOW. Key Largo, FL 33037 INSURERS AFFORDING COVERAGE NAIC # INSURED Florida Fence Corp INSURER A: Bankers Insurance Company 33162 PO Box 227 - ,,1MSURER B: Monroe county / FooWtIo3 DeVeIo (rail Key Largo, FL 33037 INSURER C: INSURER D: i • INSURER E: , JUN 5 2007 • COVERAGES — -- i OneF / THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR Ty AERIO INDICATED. NOTWITHSTANDING TII ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO V R S Chit! I- I(;ATE 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 LIMITS LTR INSR� DATE IMM/DWril HATE (MM/Dn/YYI GENERAL LIABILITY 090005331730800 04/01/2007 04/01/2008 EACH OCCURRENCE $ 1 _OOO OOO X COMMERCIAL GENERAL LIABILITY DAMAGE M O RENTED y 100=,000 CLAIMS MADE I X I OCCUR MED EXP (Any one person) $ -. • 2O 000 / A 4/I _ ! PERSONAL & ADV INJURY $ 1, 000 , 000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: / PRODUCTS - COMP /OP AGG $ 1,000,000 7 A POLICY UTOMOBILE � LITY LOC ��G U COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS 141.01". BODILY INJURY SCHEDULED AUTOS ( Per person) $ HIRED AUTOS BODILY INJURY $ - - - - - -- - -- .- -- NON-OWNED AUTOS fre/(414/10‘1./t (Per accident) .1A4e6 Y - W' J PROPERTY DAMAGE (Per accident) $ 'Ft HSTANI;iNG lyi � GARAGELIABIUTY AUTO ONLY -EA ACCIDENT $ ,,_c ;- ;t;l.l ANY AUTO � _ ...__ .. ._ , OTHER THAN EA ACC $ w -5-0 AUTO ONLY: AGG $ _. - ,_ EXCF_SS/UMBRELLALWBILITY EACH OCCURRENCE $ lic)UQ {ot' Y 7 OCCUR I I CLAIMS MADE r` - _ _ , AGGREGATE $ I , a(.3'' $ _ ' a( DEDUCTIBLE _ $ r >s RETENTION $ $ 0 ` WORKERS COMPENSATION AND I Tf1RY I IIMITS I IOFR or EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ -- OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ ,.- OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Re Project Big Pine Key Park Redevelopment _ :ertificate holder is additional insured with respect to liability insurance as their interest -_ • may appear. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ' EXPIRATION DATE THEREOF, THE ISSU G I • URER WILL ENDEAVOR TO MAIL 10 DAYS WRITTE OTICE TO HE C TIFICATE HOLDER NAMED TO THE LEFT, Monroe County Board of County Commissioners BUT FAILURE TO MAI SUCH NO E S , L IMPOSE NO OBLIGATION OR LIABILITY __ 1100 Simonton Street OF ANY KIND UPON T E INSU - R, - AGENTS OR REPRESENTATIVES. Key West, FL 33041 AUTHORIZED REPRESENT ui ACORD 25 (2001/08) ©ACORD CORPORATION _1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 ?.nJ DATE (MMIDDfYYYY) PEDRO-2 09/10/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BUTLER, BUCKLEY, DEETS INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6161 BLUE LAGOON DR. , STE 420 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33126 Phone: 305-262-0086 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: AMERICAN INTERNATIONAL GRP AIG -- INSURER B F.C.C.!. PEDRO FALCON ELECTRICAL .. CONTRACTORS, INC. INSURER C 31160 AVE C INSURER 0 BIG PINE KEY FL 33043-4516 . INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NQT'v\IITHSTANDING 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 NSR TYPE Of INSURANCE PDUCY NUMBER DATE MMIDDIYY DATE MMlDDfYY LIMITS ~NERAL LIABILITY EACH OCCURRENCE '1,000,000 B X ~ pMMERCIAL GENERAL LIABILITY CPPOOO7150 03/13/07 03/13/08 PREMISES (Ea occurence) '100,000 CLAIMS MADE ~ OCCUR MED EXP (Anyone person) $ 5,000 ,- PERSONAl & ADV INJURY '1,000,000 ~N'"AGGREGATE lIM~T APPlIES'PER GENERAL AGGREGATE '2,000,000 PRODUCTS - COMP/OP AGG ,2,000,000 ~ POLICY n ~~g: n lOC -.-- , ~ AUTOMOBILE LIABILITY o~_ <\J J,- ," '* COMBINED SINGLE LIMIT - , ANY AUTO ~-O) (Eaaccidenl) - - ( .,.----. -I-. ALL OWNED AUTOS BODILY INJURY - , SCHEDULED AUTOS I 'f (Per person) -- HIRED AUTOS BODILY INJURY .-- , NON-OWNED AUTOS (Per accident) - - .. PROPERTY DAMAGE , (Peraccidenl) GARAGE UABILlTY ~~TO ONLY - EA ACCIDENT , =1 ANY AUTO i .- OTHER THAN EA ACC , AUTO ONLY' AGG , EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 4,000,000 B .!J OCCUR [] CLAIMS MADE UMBOO05173 03/13/07 03/13/08 AGGREGATE $ 4,000,000 , ---- ~ DEDUCTIBLE , .-- 0--'-_'-" RETENTION . , WORKERS COMPENSATION AND ITg~/~I~Ws I I{)J~- A EMPLOYERS' LIABILITY WC1760051 01/01/07 01/01/08 , 500000 I ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICERIMEMBER EXCLUDED? E,l. DISEASE - EA EMPLOYEE .500000 I If~es, describe under , 500000 S ECIAL PROVISIONS below E.L. DISEASE ~ POLICY LIMIT OlliER A EQUIP FLOATER CPPOOO71531 03/13/07 03/13/08 LIMITS $50,000 "~_...,,, " DESCRIPTION OF OPERA11ONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVIStONS '::'~("i':I:,-_,~ "I ..,'_ -, I" ~1c'>"t'- PROJECT: BIG PINE KEY PARK OY,~.'.0 o~i i~~ CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED. . P 1 ') ,') - I~_ I ~c'. ~\\I\,,~u.. ... i\f;;' -...-.. --_._--- ~:y:;rr:"_'-; '.'. CERTIFICATE HOLDER CANCELLATION I v7 MONROE3 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBUGATlON OR LIABILITY OF ANY KIND UPON lHE INSURER,ITS AGENTS OR ?:i;:J~ @ACORDCORPORATION 1988 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST FL 33040 ACORD 25 (2001/08) ACORD. EVIDENCE OF PROPERTY INaUfltAffCE OPID J'l DATE (MMlDDlYY) 11/07/07 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. PRODUC~'---_.- .1;;~:~, 3~5-262-0~86 I _~ COMPANY B~~, BU~Y, OUTS INC. 6161 BLUE LAGOON DR., STE 420 MIAMI FL 33126 William S. Bodenhamer CODE: - -~-~BCODE: CUSTOMER ID It PEDRO 2 INSURED Citizens Property Ins Corp. 6676 CORPORATE CENTER PARltWAY Jacksonville FL 32216 PEDRO FALCON ELECTRICAL CONTRACTORS, INC. 31160 AVE C BIG PINE KEY FL 33043-4516 EFFECTIVE DATE CONTINUED UNTil TERMINATED IF CHECKED LOAN NUMBER POLICY NUMBER 09/04/07 09/04/0B THIS REPlACES PRIOR EVIDENCE DATEO: LOCATIONIDESCRIPTION 001 31009 ATLANTIS DRIVE BIG PINE KEY FL 33043 COVERAG~ILSIFORMS AMOUNT OF INSURANCE DEDUCTIBLE WIND 1,000,000 30,000 Oll. ~Q',~~ THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. NAME AND ADDRESS MONROE COUNTY BOCC MORTGAGEE X LOSS PAYEE lOAN ## X ADDITIONAL INSURED 1100 SIMONTON STRUT, '2-216 KEY WEST FL 33040 A'()i;J~ ._(lm lIlIA_WIlt I MlGllDIt 411III ACORD. EVIDENCE OF PROPERTY INSURANCE OPlD .n DATE (MMlDDIYY) 11/07/07 THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY. PRODUCER -'l;':;~:~I:~05-262-0086 1 COMPANY B~um, BU~Y, DUTS INC. 6161 BLUE LAGOON DR., STE 420 MIAMI FL 33126 WiJ.J.iam S. Bodenhamer CODE: ~BCODE: CUSTOMER ID#: PEDRO-2 INSURED Assurance Company of America PEDRO FALCON ELECTRICAL CONTRACTORS, INC. 31160 AVE C BIG PINE KEY FL 33043-4516 EFFECTIVE DATE BR66240427 EXPIRATION DATE CONTINUED UNTIL TERMINATED IF CHECKED LOAN NUMBER POLICY NUMBER LOCATIONIDESCRIPTION 001 31009 ATLANTIS DRIVE BIG PINE KEY FL 33043 COVERAOEIPERILSIFORMS AMOUNT OF INSURANCE DEDUCTIBLE BUILDERS RISK 1,032,610 1,500 Ti\.~ ~ r:. ~,. tI){n< r'~'y' . ,) J{ 1.7, c.if:</o // / C2u/ MAc QC'.~~ THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW. MONROE COUNTY BOCC MORTGAGEE X LOSS PAYEE lOAN "# ,.,c.,_" .. .',> NAIIIE AND ADDRESS 1100 SIMONTON STRUT, '2-216 KEY WEST FL 33040 '''G;;:J~~ .. _i~l'r~~.. I ....... ~. ~ STATE FARM INSURANCE COMPANIES@ 7401 Cypress Gardens Boulevard Winter Haven FL 3:l888 19 454A A MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST RM 1-213 KEY WEST FL 33040-3110 1..1111I11.11....1.,11I,11I,11....11,..111111I1111I11,11I1,1,1 ; I I t.. 9 NOV MONROE COUNTY FACILITIES DEVHOPMENT V.." NOV~. . :/001 TIME: ) RECENED BY: ADDITIONAl.. INSURED'S NOTICE OF COVERAQE Slate Farm Mutual Automobile Insurance Company NAMED INSURED: POLICY NO: D094759-C09-59N PEDRO FALCON ELECTRICAL YR/MAKE/MODEL: 2003 FORD PICKUP CONTRACTORS INC VIN/CAMPER: lFTRF172B3NBl6816 31160AVENUEC AGENT NAME: WILLIAM MARTI BIG PINE KEY FL 33043-4516 AGENT PHONE: (954)987-0121 ENDORSEMENT NO: 6028E.5 DATE OF NOTICE: NOV 06 2007 CODE: ,()'7 ,d,..e ry I'~ Or;. I-a t-Ie--((.. /OI--/V!tn NOTE: PLEA~E NOTIFY STATE FARM AT THE ADDRESS LISTED AT THE TOP, LEFT CORNER OF TtIlS PI'oGE REGARDING ANY CHANGE OF ADDRESS INFORMATION.nONROE COUt,-' FACILITIES D ELOPMEN' " ~~ l--v---., NOV 2 ',7 , TIME: RECENED BY ~-~) 1163-F603-U COVERAGE: BI AND PO LIABILITY $1 Mil $2000 OED COMP. $2000 OED. COll. POLICY EFFECTIVE OCT 31 2007 UNTIL TERMINATED ~ ~ POLICY MESSAGES: Thi. policy .hown above .uperoode. policY' D094759-59M, The policy inch.lde. a 1088 payable clause protecting the additional insured'. Interest in the described car to the extent of the insurance . provided and subject to all policy provisions. The addttionaJ insured will be given 10 days notice if the policy ia terminated. Untilauch notice is provided, it shall be presumed that the required renewal premiums have been paid. The additional inaured muat notify ua within 10 days 01 any change of interelt or ownership coming to their attention. Failure to do 80 will render thll policy null and void. ADDITIONAL INSURED'S NOTICE OF COVERAGE Slate Farm Mutual Automobile Insurance Company NAMED INSURED: POLICY NO: D077437-D26-59L PEDRO FALCON ELECTRICAL YR/MAKE/MODEL: 2005 HONDA 4DR CONTRACTORS INC VINICAMPER: 3HGCM56465G713921 31160 AVENUE C AGENT NAME: WILLIAM MARTI BIG PINE KEY FL 33043-4516 AGENT PHONE: (954)987-0121 ENDORSEMENT NO: 6028E,5 1163-F603-U COVERAGE: BI AND PO LIABILITY $1 Mil $2000 OED. COMPo $2000 OED. COlL POLICY EFFECTIVE OCT 31 2007 UNTIL TERMINATED POLICY MESSAGES: Thi. policy .hown above .uperoode. policY' D077437-59K. The polioy includea a losl payable c1au.. protecting the additionaJ insured's interest in the deloribed car to the extent of the insurance provk::led and subjeot to all policy provisionl. The additional insured will be given 10 days notice if the policy il terminated. Untilauch notice Is provided, it Ihall be presumed that the required renewal premiums have been paid. The additional in8ured muat notify ua within 10 days of any change-Of intereat or ownerehlp ooming to their attention. Failure to do 10 will render this policy null and void. AODITIONAl..IJIISURED'S NOTICE OF COVERAGE Slate Farm Mutual Automobile Insuranoe Company NAMED INSURED: POLICY NO: 6459389-D09-59M PEDRO FALCON ELECTRICAL YR/MAKE/MODEL: 2003 FORD VAN CONTRACTORS INC VIN/CAMPER: 1 FTSE34L03HC07638 31160AVENUEC AGENT NAME: WILLIAM MARTI BIG PINE KEY FL 33043-4516 AGENT PHONE: (954)987-0121 ENDORSEMENT NO: 6028E,5 1163-F603-U COVERAGE: BI AND PO LIABILITY $1 Mil 1$ 1 MIll$1 Mil $2000 OED, COMP $2000 OED. COll. POLICY EFFECTIVE OCT 31 2007 UNTIL TERMINATED POLICY MESSAGES: Thi. policy .hown above .uperood.. policY' 6459389-59L. The policy includes a 1088 payable clause protecting the additional inlured'l interest in the de8cribed car to the extent of the inaurance provided and 8ubjeot to all poticy provisions. The additional insured will be given 10 days notice if the policy il terminated. Until auch notice II provided, it Ihall be prelumed that the required renewal prel'9iuma have been paid. The additional insured mUlt notify ua within 10 days of any change of intereltJ/r ownership comln~ to their attention. #ailu.re to do 10 will render this policy null and void. t!.t- IM'I I\:.- IJf CC'."J-- .. . FRT e~1 ~ f'Al L;;J STATE FARM INSURANCE COMPANIES@ 7401 Cypre88 Garden. Boulevard Winter Haven FL 3~i888 DATE OF NOTICE: NOV 20 2007 CODE: 19 1165A A MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON S1 RM 1-213 KEY WEST FL 33040-3110 NOTE: PLEASE NOTIFY STATE FARM AT THE ADDRESS LISTED AT THE TOP, LEFT CORNER OF THIS PAGE REGARDING ANY CHANGE OF ADDRESS INFORMATION. 11111,II,II'1ll111ll11ll1lIll,1I1.III1IllIl,"I1'IllI,I,1 ~ g 9 " IADI)ITIONAI.INSURED'SNOTICE OF COVERAGE Slate Farm Mutual Automobile Insurance Company NAMED INSURED: POLICY NO: 2876388-013-590 3, PEDRO FALCON ELECTRICAL YR/MAKElMODEL: 2005 FORD 2DR Ii: CONTRACTORS INC VIN/CAMPER: 1 FAHP60A25Yl 00982 ~ 31160AVENUEC AGENT NAME: WILUAMMARTI ~ BIG PINE KEY FL 33043-4516 AGENT PHONE: (964)987-0121 '" ENDORSEMENT NO: 6028E.5 1163.F603.U COVERAGE: BI AND PO LIABILITY $100,0001$300,0001$50,000 $500 OED. COMPo $500 OED. COll. I II ill POLICY MESSAGES: ThiB policy Bhown Bbove BupereedeB polic\,# 2876388.590. : The policy includeB a I08B payable clauBe proteotlng the additional inBured'BlntereBtln the deBcribed car to the extent 01 the inBurance provided and subject to all polioy provision.. The additional insured will be given 10 days notice if the policy is terminated. Until luch notice "": i. provided, it shall be pre8umed that the required renewal premium. have been paid. The additional insured mUlt notify UI within 10 days of ~ any change of Intereat or ownerahip coming to their aUention. Failure to do 80 will render this policy null and void. " .. ~ POLICY EFFECTIVE JAN 01 2008 UNTIL TERMINATED ()Y', '1 ok> (!/ L.-r.t... O/re ~ 7 /J h MONROE COUNiY 1< r fACILITIES DEVELOP EN TIME, flECEIVED B . FAT fA) L;;J STATE FARM INSURANCE COMPANIESCI!l 7401 Cypress Gardens Boulevard Winter Haven FL 33l~86 DATE OF NOTICE: NOV 07 2007 CODE: 19 241A A MONROE COUNTY 1l0ARD OF COUNTY COMMISSIONERS 1100 SIMONTON IT RM 1-213 KEY WEST FL 33040-3110 , i NOTE: PLEASE iOT1FY STATE FARM AT THE ADDRESS IiISTE AT THE TOP, LEFT CORNER QF THIS P4GE EGARDING ANY CHANGE OF A'DDRSSS INFOR ATION. I NOV '- , I 1.,11",11,11""1"111"",1,1,,,,11,,.1111,,,11,,,11,,,,\,1,1 __ '." -I . ""(" ".',.r MONROE COLJNlV FACILITIES DEVELOPMEN1 NOVTLlj TIME: RECEIVED B2 Slate Farm Mutual Automobile Insurance Company NAMED INSURED: POLICY NO: 2876388.D13-590 I PEDRO FALCON ELECTRICAL YR/MAKElMODEL: 2005 FORD 2DR ~ CONTRACTORSINC VIN/CAMPER: 1FAHP60A25Y100982 ~ 31160AVENUEC AGENT NAME: WILLIAM MARTI ~ BIG PINE KEY FL 33043-4516 AGENT PHONE: (954)987-0121 _ ENDORSEMENT NO: 6028E.5 .- ;; POLICY MESSAGES: This policy shown above supe...odes policyl2876388-59B. I The policy includes a 1088 payable clause protecting the additional inlured'alnterest in the described car to the extent of the insurance -- provided and subject to all policy provision.. The additional insured will be given 10 days notice if the policy ia terminated. Untilauch notice d 18 provided, it shall be pre8umed that the required renewal premiums have been paid. The additional in8ured mU8t notify U8 within 10 days of !\i any change of interest or ownership coming to their attention. Failure to do so will render thi8 policy null and void. 9 ~ ~ 1163-F603-U COVERAGE: BI AND PD LIABILITY $1oo,000J$300,000J$50,000 $500 OED. COMPo $500 OED. COll I ,. ADDITIONAL INSURED'S NOTICE OF COVERAGE POLICY EFFECTIVE OCT 31 2007 UNTIL TERMINATED I ADD.ITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insurance Company NAMED INSURED: POLICY NO: 6459389-D09-59M PEDRO FALCON ELECTRICAL YRIMAKElMODEL: 2003 FORD VAN CONTRACTORS INC VINICAMPER: 1 FTSE34L03HC07638 31160 AVENUE C AGENT NAME: WILLIAM MARTI BIG PINE KEY FL 33043-4516 AGENT PHONE: (954)987-0121 ENDORSEMENT NO: 6028E.5 1163.F603.U COVERAGE: BI AND PO LIABILITY $1 MIll$1 MIll$1 Mil $2000 OED. COMPo $2000 OED. CCll. POLICY EFFECTIVE OCT 31 2007 UNTIL TERMINATED POLICY MESSAGES: Thil policy shown above supe...odes policyl6459389-59L. The policy includes a IOS8 payable clause protecting the additional insured's interest in the de8cribed car to the extent of the insurance provided and subject to all policy provisions. The additional insured will be given 10 days notice if the policy is terminated. Untilsuoh notice __ is provided, it .hall be presumed that the required renewal premiums have been paid. The additional insured must notify U8 within 10 days of i any change of int.r.st or own....hip coming to their attention. Failure to do 10 will rend.r this policy null and void. ",c,- / /J-nl'/ e~( /'11 On,! ../<> Uu-i- '~sj07 MONROE COUNTY ~E~M~s.~ NOV~OO1 ~ TIME: RECEIVED BY: FAT ~.'" ~ 19 1171A STATE FARM INSURANCE COMPANIESlID r-=J-------------l RECEIVED ,--.-------.------1 . I ; t I A NOV 2 6 2007 i I I 2J. N TE: PLEASE NOTIFY STATE FARM AT THE . J A DRESS LISTED AT THE TOP, LEFT CORNER IIR.'iCiQE Cv.-..'!'~.'TY 0 THIS PAGE REGARDING ANY CHANGE OF C'S, ,.'!>'lfNV!:NT A DRESS INFORMATION. 7401 Cypress Gardens Boulevard Winter Haven FL 3:3888 DATE OF NOTICE: NOV 19 2007 CODE: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST RM 1-213 KEY WEST Fl 53040-3110 1"11",11,1111I,1.,11I"",11""11,,,111I,,,1111I1111I,1,1,' 0/\1. ok Clzvi- /"-jt€' In MONROE COUNTY ~ ~!J!.,ES E PMENi NOV I ~ o ;! w TIME: RECEIVED 8 ADDITIONAL INSURED'S NonCE OF COVERAGE Slate Farm Mutual Automobile Insuranoe Company NAMED INSURED: POLICY NO: 6459389-009.590 I 6~~~~~~~~ I~~CTRICAL ~:~i~~~~DEL: ~~~~~R~3HC~~~38 :: 31160AVENUEC AGENT NAME: WILLIAM MARTI ~ BIG PINE KEY FL 33043.4516 AGENT PHONE: (954)987.0121 II: ENDORSEMENT NO: 6028E.5 POLICY EFFECTIVE . JAN 01 2008 UNTIL TERMINATED ii POLICY MESSAGES: Thll policy Ihown above luperoedel policy# 6459389-69N. i The polley inoludes a 10.. payable ~au.e protecting the additional insured', intereat in the deaoribed car to the extent of the insurance ;: provided and 8ubject to all policy provlllon8. The additional inaured will be given 10 days notice tf the policy 'e terminated. Until.uoh notioe g II provided, it thall be pre8umed that the required renewal premiums have been paid. The addltionallnlured mutt notify UI within 10 days of ~ any change of Intereat or ownerehip coming to their attention. Failure to do 10 will render this policy null and void. .. ~ 1163-F603-U COVERAGE: BI AND PO LIABILITY $1 Mil 1$ 1 Mil 1$ 1 Mil $2000 OED. CaMP. $2000 OED. Call. IS i1!--- J'h,-1 C-!luyf ?JJ "" ~ ~J STATE FARM INSURANCE COMPANIES@ 7401 Cypress Gardens Boulevard Winter Haven FL 33;B88 DATE OF NOTICE: NOV 28 2007 CODE: 19 850A A MONROE COUNTY IIOARD OF COUNTY COMMISSIONERS 1100 SIMONTON 5T RM 1-213 KEY WEST FL 33040-3110 NOTE: PLEASE NOTIFY STATE FARM AT THE ADDRESS LISTED AT THE TOP, LEFT CORNER OF THIS PAGE REGARDING ANY CHANGE OF ADDRESS INFORMATION. 1"11,"11.11,",1,,111,,",1111I,1111I111111I11,"11,11I1,1,1 Or:r; oM> Cfe#-- /ijllI) 1 MONROE COUNlY fACILITIES D~PMENT D~1 tiNEDBV: ~ . ADDITIONAL INSURED'S NOTICE OF COVERAGE Slate Farm Mutual Automobile Insurance Company NAMED INSURED: POLICY NO: 113 7113-E1 0-59J PEDRO FALOONELEOTRIOAL YR/MAKElMODEL: 2001 FORD PIOKUP OONTRAOTORS INO VIN/CAMPER: 1 FTZF172X1 NA99417 31160 AVENUE 0 AGENT NAME: WILUAMMARTI BIG PINE KEY FL 33043-4516 AGENT PHONE: (954)987-0121 ENDORSEMENT NO: 6028E.5 1163-F603-U COVERAGE: Bl AND PO LIABILITY $1 MIL $2000 DED. COMPo $2000 OED. COlL. ~ ~ POLICY MESSAGES: This policy shown sbove supersedes policj4 1137113-591. The polioy include. a 1088 payable clause protecting the additional insured'. interest in the described car to the extent of the insurance provided and lubject to aU policy provision.. The additional insured will be given 10 days notice if the policy is terminated. Until auch notice i. provided, it shall be presumed that the required renewal premiums have been paid. The additional insured must notify U8 within 10 days of any change of interest or owner.hip coming to their attention. Failure to do 80 will render this policy null and void. POLIOY EFFEOTIVE JAN 012008 UNTIL TERMINATED FRT . ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/OONYYY) 12/27/2007 PRODUCER Phone: 305-423-2202 Fax: 786-662-6776 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Allied North America Insurance Brokerage ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR 550 Biltmore Way. PH2 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Coral Gables FL 33134 HE - - ". .- INSURERS AFFORDING COVERAGE NAIC# .-.. - INSURED INSURER A: Marvland Casualtu COID'nanu 9356 Pedro Falcon Electrical Contractors, Inc. INSURER B: 31160 Avenue C JAN , Big Pine Key FL 33043-4516 INSURll~C: INSURER D: " INSURER E: COVERAGES ...... ..-..... . THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN rSSUED"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 ~~EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~ O' 'nI"~^~ POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION LIMITS ~NERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY ~~~i~ Eaoccurence' $ I CLAIMS MADE D OCCUR ~ MED EXP (Anyone person) $ I- D1 r PERSONAL & ADV INJURY $ I- rY' / / GENERAL AGGREGATE $ n'LAGG~EnE LIMIT APn PER: PRODUCTS. COMPIOP AGG $ POLICY ~~9.,: LOC --.~ 06 ~TOMOBILE LIABILITY 'f.. COMBINED SINGLE LIMIT I ANY AUTO (Eaaccident) l- I--- ALL OWNED AUTOS BODILY INJURY (Per person} S I- SCHEDULED AUTOS I--- HIRED AUTOS . BODILY INJURY $ NON-OWNED AUTOS (Per accident) I--- I--- . PROPERTY DAMAGE I I. {Peraccidenl} RAG"IA."ITY ~!_1''' CU~,'-- AUTO ONLY - EA ACCIDENT I ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ DESS/UMBRELLA LIABILITY PlY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ R D'DUCTI.'E $ RETENTION $ $ A WORKERS COMPENSATION AND WC02715904-00 1/1/2008 1/1/2009 X I TVX~~Tf:W-" I IOJ~- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE 1500 000 g~~~I~~jf~VI~~ONS below EL. DISEASE - POLICY LIMIT $ 500 000 OTHER Monro;; County rcg'!:itiei ~!0vebpmen!' OESCRIPTlON OF OPERATIONS / LOCATIONS/VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ,-r~ I{,..v.- "'."..... ~~;. f'" i 'l\..0Jv\ e..Q..... DEe 31 2001 fl.t..__ -.- CERTIFICATE HOLDER Monroe Co. Facilities Develop Roger/Jerry Barnett - Director of Dev. 1100 simonton St., Room 2-216 Key West FL 33040 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 NOTICE TO THE Facilities CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, TS AGENTS OR REPRESENTATIVES. ACORD 25 (2001/08) @ACORDCO ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYVY) 1/24/2008 PRODUCER Phone: 305-.123-2202 Fax: 786-662-6776 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Allied North America Insurance Brokerage ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 550 Biltmore Way, PH2 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Coral Gables FL 33134 I NAIC# INSURERS AFFORDING COVERAGE . " INSURED INSURER A: Ma rv 1 and Casual tv ComDanv 119356 Pedro Falcon Elec::rical Contractors, Inc. ,,~ INSURER B: 31160 Avenue C " i Big Pine Key FL 33043-4516 INSURER c: INSURER D: INSURER E: 11., I '\I' 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 ~~EXCLUSIONS AND ':ONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. II~:: D' "'"",..,.", POL.ICY NUMBER P~.k+~Y:~~~8;W\E 'POi!fYEXPIRATIONf LIMITS nERAL. LIABILITY T EACH OCCURRENCE . COMMERCIAL GENERAL LIABILITY i ~~~~~~~~~~~~nce' , i l CLAIMS MADE: 0 OCCUR MED EXP (Anyone person) $ , I PERSONAL & ADV INJURY $ I GENERAL AGGREGATE $ n'LAGG:EnE LIMIT APrlS PER: PRODUCTS - COMP/OP AGG . POLICY ~~?~,: LOC ~ ~TOMOBIL.E LIABILITY ~ 5,0, '~)yJ- COMBINED SINGL.E LIMIT $ t ANY AUTO (Eaaccidenl) ALL OWNED AUTOS BODILY INJURY I ~ SCHEDULED AUTOS (Perpar5on) " .. , HIRED AUTOS ~3D12. I BODILY INJURY B NON-OWNED AUTOS . (Paraoodent) $ . - ----. PROPERTY DAMAGE . I (Par accident) ~RAGE LIABILITY AUTO ONLY - EAACCIDENT $ , ANY AUTO , OTHER THAN EAACC ,$ AUTO ONLY; , , AGG $ I ~ESS/UMBREL.LA L.IA.BILITY EACH OCCURRENCE $ OCCUR 0 CLAIMS MADE AGGREGATE . . ~ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AI~D WC02715904-00 11/1/2008 '1/1/2009 X I T~~~YfTI~~ I IOJbl- EMPLOYERS'LlABIL.ITY ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT '500 000 OFFICER/MEMBER EXCLUDED~' E.L. DISEASE _ EA EMPLOYEE $500 000 If yes, describe undar SPECIAL PROVISIONS below . E.L. DISEASE - POLICY LIMIT , 500 000 OTHER I i I " DESCRIPTION OF OPERATIONS / LOCATIONS IVEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS MJ '-k (!/e,.., )(. Cl.~: ~ "- CVV'\ E:.t....-- fll "-,- CERTIFICATE HOLDER Monroe County Board of County Commissioners 1100 Simonton Street, Room 2-216 Key West FL 33040 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 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. ACORD 25 (2001/08) TION 1988 rAl l:=:;J STATE FARM INSURANCE COMPANIESQ!) 7401 Cypress Gardens Boulevard Winter Haven FL 33888 DATE OF NOTICE: APR 09 2008 CODE: 182A ATl 19 A 000405 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST RM 1-213 KEY WEST FL 33040-3110 I .----~~-~:-7.:~-;vOfFP[fSE NOTIFY STATE FARM AT THE II r 1)1. :~, LiiDDRESS ISTED AT THE TOP, LEFT CORNER r- .-- "u+, - OF--t'H. IS P GE REGARDING ANY CHANGE OF i ADD~ESS FORMATION. i APR' 1 ?~Og! , I 1"11",11,11'11I1"11I"11I11,",1111I1111,"11,"11""1,1.1 _.._,._ .____..J t.'I, ".r:rr':"'\'" 'I'" " '\\:T A'\\- ADDITIONAL INSURED'S NOTICE OF COVERAGE State Farm Mutual Automobile Insuranoe Company NAMED INSURED: POLICY NO: 838673-D26.59l PEDRO FALCON ELECTRICAL YR/MAKElMODEL: 1994 FREIGHT TRUCK CONTRACTORS INC VIN/CAMPER: 1 FV6JFAB5RL587063 31160 AVENUE C AGENT NAME: WilliAM MARTI BIG PINE KEY Fl 33043-4516 AGENT PHONE: (954)987.0121 ENDORSEMENT NO: 6028E.5 1163-F603.U COVERAGE: 81 AND PO LIABILITY $1 Mil $2000 OED. COMP $2000 OED. COll. ~ ~ I 'I POLICY MESSAGES: Thi. polioy .hown above .up....od.. polioyl 0838673-59K. The policy includH a lOB' payable clause proteoting the additionallnaured'. intereat in the described car to the extent of the insurance ~ provided and 8ubiec1 to all polioy provisions. The additionallnlured will be given 10 days notice if the polioy is terminated. Until Buch notice ia provided, it shall be prelumed that the required renewal premiums have been paid. The additionat inlured muat notify UI within 10 days of any change of intereat or ownership coming to their attention. Failure to do 10 will render thia policy null and void. POLICY EFFECTIVE APR 072008 UNTil TERMINATED I ADDITIONAL INSURED'S NOnCE OF COVERAGE State Farm Mutual Automobile Insurance Company NAMED INSURED: POLICY NO: 2876388-D13-59E PEDRO FALCON ELECTRICAL YR/MAKElMODEL: 2005 FORD 2DR CONTRACTORS INC VIN/CAMPER: 1 FAHP60A25Y1 00982 31160 AVENUE C AGENT NAME: WillIAM MARTI BIG PINE KEY Fl 33043.4516 AGENT PHONE: (954)987.0121 ENDORSEMENT NO: &028E.5 1163.F603-U COVERAGE: BI AND PO LIABILITY $100,0001$300.0001$50,000 $500 OED. COMP $500 OED COll. POLICY EFFECTIVE APR 07 2008 UNTil TERMINATED POLICY MESSAGES: Thi. polioy .hown above .up....od.. polloyl2876388-59D. The policy Includes a 1088 payable c1auae protecting the additional inaured'alntereat in the deacribed oar to the extent of the inlurance provided and aubject to all policy proviliona. The additlonallnaured will be given 10 days notice if the policy il terminated. Until auch notice ; il provided, it ahall be prelumed that the required renewal premiuml have been paid. The additional inaured mUlt notify UI within 10 daya of ~ any change of intereat or ownerahip coming to their attention. Failure to do 10 will render thil polioy null and void. I ~ U_-MfJ19d- ~ t.G:~ ~ . It! . I . -ir- i-cl ~. /tlv~ I! ~ld~~rJ~ 4~ FRT ii "'(T':iGATE OF L1ABILlTYli\jSURANCE CfD iU'; m .... __.__.... ....."',1?'3..C?-2 03 13 ':-;~,~ SL~<:'T;r:':'A-IE:8 ISSUEl', r,>e; ,\ fl.1ATTER OF INFORMATION ,I"H." M~D C()NF-'FRS NO RIGi.r1;". !J:;Yl1\1 .HE CERTIFICATE :'k); ::,':.'-~ '.,..ir~::.r,-rlnCATE ::v,,=:-,..~ NOT AMEND, EXTEND OR CEIVEEJ ."."TH.' "d~'~"'GEAFFC"":': &,'.' THE POLICIES BELOW, l ~-14~f ~.'~.:::::.::':o 16 MONROE COUNUt. . ACOP' '1"' \ PROG.:';::;, " BUTI.ER I 6161 Elm M!i\;:'I_ Pbj.(iEi 0 3~ INSURED I r'r. .~'~,~ D,~ETS INC. j(Ju:n })H.. STE 420 NAIC# -".'.1 t~ r"!~<~"''1''R1C~~ T -t-- 1- r--="_,-",;,,,-uj ---! ~,I,o ",:0, I iY 1'::-:' :~3043- ~. "..~ _' 'c."..; -j C,JVF~U\GE~ ~ ! -,-~:L: :OO~I~,::="~ M ':-l'l"' i ~/',,. I >'-, f'OLlCltS ,,( :,~NSR ik.J[j'~ L TR ;INSRd ,~j;'-'...-,I rl'i)iC~111';:i, ,:: ,. I'Vr-H>1 1,"1: C!:-){il\ll;iHE 1\1I11,'/ (,~" ;',,) ',"':1 . ~ ~l~;:'"ro*"'I:l"'_~ "' (Wi('1-:B_- Ill1lT~I\jI)IJ\lG " .., ff,l1ol--t J diW,'('FbuCH~ ~... ;,'i: 1.1 ; ~ ~2 EELC /,! WE E.EEN ISSUED TO THE INSURED NAMED AIlO\', In:J'~ (If- /"'JY CONTRACT OR OTHER DOCUMENT WITH R':-:Sf--C IhDiL iJ, rlC: POLICIES DESCRIBED HEREIN \S SUBJF.CT-, <','1 "'i,IN Mll,V HIl..\/E BF.EN REDUCED BY PAID CLAIMS. POL.ICY NUMBER -i-pel[ _,("r'....::: _ ___.:'! ~,''',P\l'Ti):''-'-_ 'D.'nE....'~r".=m:yy) D;'c~-E (MMIDDfYY) I .. .., -- ..--,,--,- ------..__..._-----,--,---~--+------_.._._--,-- r:lil'lC,C1CUJRRENCE i --I l'Y~~_O..f_~I\ISl!~~--+_ LIMITS A , ' ~1?)n071332 c /.. ,'I ~ ,. ,,~/ ,g +'1,000,,020 _G~:'~(ellce) __$_l:..9.9, 000 ___.. '5-,-0.00 I ~I\'I,~IJ"DY i~--,-gQ.QJ--9-Q-W ,.::r::c-'f(-;,Hf ' ~ 2 I _Q.90 L_90~_~ 1"""lPIOPP,GG__ ~: 2, o 09_LOO 0 (',EI" .' "lR , VI ", c. ~ ' ',^"\, r:" Derson', 'i.,,-r '.Dr-' :I-":~ "'''~ ,_U'~ t'.' 'fb\. '*'1 :-;IN'-::!_E LiM:T AUT{li;,IOHI,' 'f'o'IUT; M,!V .~; "'vl;I" --I ,. .1....',Jky ___i J;~, ,J.",c' !_--- 'i"'.' ,'.'\', ,. blACC AGG i -I , ,)".'1_ V _ 1='1\ i\_Cr.IDENT '4,000,000 i. -1-- ----- - -----------'.- $ 4,000,000 ! -. ----------.-.1 ;'."(' .!, " ,'T ~I~r: A l' .'I.\';'A;::' ~MlJ)f I UMB0005173 2 0"', 'lOB 03/:1,.3/09 A(;r~'I, r;( , ----I e.er: . ,\I', ., ~~ ,,- "'l -"'':f,,-'" ^">; /,1 C1UfNT : ~"" ,- .;: 1:-',\,';' '_)'Fi=EH/\~I_ \'c ,- 0-.' I ,0",P" - cA EMPLO'r:.E : ye~ ..:,'~u, "P[i:!" .I;"~; - I'il'lr;y LIMIT ):-1---.'0;: PRO,JE ;-.::- -",- Cg;~',"1"'"'~ . 'I S! le( ;).l!C'NS / VEHICLES { EXCLUSIONS ADDED BY ENDORSEME\lT I';""\~_ FHO'/i:;' .l ,.S 'lV '~'<.:y ~~.-:~;?tK S "~'-1F:D AS AN ADDITIONAL INSU V.I DESC/I'.T::'J'! C' O.c;. 'F \ l\.o.M,. CJ-' CER"rIFICATE L,' C..~f~ ~i.U. AliD!'J MONROE3T- ~"",J!I\_~-';~~ -;;-~~~:;',~~-;~:;~;;';;~ -, "0 WI",; Sf. CANCELLED BEFORE THE EXPIRATION, t n ,,',T IHF=flE'nr:.-f''''_l~~"jIW:: INSIJRFI'< II," .~N..,~ill/f)R TO MAIL 10 DAYS WRITTEN , I Ii -,n." TO' THE Ci,R"nFiC,,\T,,:-l(JLOr:i:: "\ C' d' -'-Ht LEFT, BUT F,~tLURE TO DO SO SHALL I ';"~~".: NO (lBIIG~\ i l0N OR L;ABIU'f" ,.,j ~, ~ ,,,,,,,,-r A';-TH-Omm-~ATI'T _: - .>11':- ,'- . -L:;;# -:7-==-==_':": t~:cr,y.(>t ;':Odj:'.~~l'"i' BOARD OF COUN'rY '," ' ~--'. " "j! JUN IHEII''lSURER ITS AGENTS OR "! ~,,~ ',.:':,E'r ,. ", 33040 "ACORD CORPORATION 1988 ACORn -;r:~'