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Certificates of Insurance.................. ...U.......R......A..X"...:...... .q .q:. ,; . ................................................................................................. ..........................1... ..............y . ............ .I....... .%.. .. I......N.. .. ::::::::::::::::'::::.DATE (MMD/D/YYt .. . . CA................. ...I ..... ........ . ............02/08/00 .. . .......... ........ ............. XO....i.l....A........C................ ......X................................................ X.. X. ". ........ ....... ...T......E........'......... I .............. PRODUCER BEGAN INSURANCE AGCY 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. 90144 OVERSEAS HWY COMPANIES AFFORDING COVERAGE TAVERNIER FL 33070 COMPANY A NAUTILUS INS CO INSURED COMPANY TAVERNIER VOL FIRE DEPT B COMPANY AMBULANCE CORPS BOX 301 C COMPANY TAVERNIER FL 33070 D . ........ ........................................................ ... ....... ............ ........................................ ........ .... .......... ............ ................................. .. .... ....... ........ ... ........ ... .. .................... .. . . .. ........ ............. ..... ............. . ..... - � .............. X ........................................................ . ....... ........ ..... ...... 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY NC076251 02/20/00 02/20/01 GENERAL AGGREGATE $1,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG sINCLUDED 7 CLAIMS MADE F_V7 OCCUR 1 " I PERSONAL & ADV INJURY $ 500,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 500,000 DAMAGE (Any one fire) $ 50,000 -FIRE MED EXP (Any one person) $ 1,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO Vt "Le R,(��_—p EACH ACCIDENT $ AGGREGATE III EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ RUMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTH- TORYL"'Tj ER EL EACH ACCIDENT $ EL DISEASE -POLICY LIMIT $ THE PROPRIETOR/ INCL PARTNERSIEXECUTIVE FIEXCL EL DISEASE -EA EMPLOYEE $ OFFICERS ARE: OTHER DESCRIPTION OF OPERATIONSA.00ATIOWNEFUCLES/SPECIAL ITEMS CERTIFICATE HOLDER IS SHOWN AS AN ADDITIONAL INSURED ........... ........ ............................ : ............................... A -MmIm" .......................... ........ ..... . .......... .......... . ........ .. ............. ....... ........ ......................... %..% ............ ... ...................................................................................... ......... . ................................... .... ... ..................... .............. . . ............. . . .. ............. . ....... ..... .... .. . . ................... . .. .................... ....... .................................... .......... ... ........ ......... % ..... ..................... .... ...... .......... ............... ................................... ..................................... . . ..................................... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COMM EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ATT:RISK MANAGEMENT 10 DAYS wRrrrEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 COLLEGE RD BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY KEY WEST FL 33 0 OF ANY KIND UPON_JME COMPANY, ITS,,AGENTS OR REPRESENTATIV DATE r 4N LITHORIZED REPRESqffA*E / I PRODUCI GE BM A 1��. ......................... ................ - ...... X: .................. * . . ....... x............... ........ ... . . ...... .... I X.. ..................... ........................ ................. .......... ................. ': ';: .::::: ... ...... . ... ... .. .. ....... .. .................... .... ...... ................................. ...... .. ... ....... 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E(MM/DD/YY) .....::::.......:....... ..... ..... .. ..........::::::::n::•:::::::n•.�:.v:.�:::.::::::n;•:.�:.�::??:.:::::::{.r:ir:•r;•r;{.:�::::::::. •:: "+• :•;•.'{R:�ir�'::;:•}:•}.'•:•r::.}:•}.r•:•r••r:.}:•}:•r:•r:.>::::::::..........:.:.. n{•r:: •n.}.,•r::: .::. �. ::::: n.:::.o. �::::: n.::.:•:::n•:. �:.�::::. �:. �::::::: r•::.:::::: n.:::::::::::::::::.,�::•:.�:. �::: .. �::::: .:::::. :..::::: n..::.•::::::: •:. �.,.... .:::: n•:::. •::.:�. �:. �. 10/05/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTEROFINFORMATION ONLY AND CONFERS NO VFIS of Florida RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORD BY THE POLICIES BELOW. One S. Ocean Blvd., #310 COMPANIES AFFORDING COVERAGE Boca Raton, FL 33432 COMPANY LETTER A American Alternative Insurance Corp. 800-995-8554 COMPANY -� -C• , `m' (''. 7" ti •` 1 t. r tom, < < -� ,_. r, tr i .. e.,,. ✓ ,: ..... '.. .. INSURED LETTER B': ... - '. COMPANY: .. . _. - .. Tavernier Volunteer Fire Dept. &Ambulance Corps, Inc. LETTER C �' P. O. Box 301 COMPANY r r •� ..�tn� L%1, r'Lj LETTER Tavernier, FL 33070 COMPANY E 2-233-s769. LETTER :�:�ti4x.:C f. { ,?ank,+n..,%}.,, +r.;ra:{;%>'{x•: •• dr.{a'< +• a. ar:?..,.,;. r:.. .:Y } fa . �?� M::. .... .,•::: •• ::::.,.•;..... v.. n: V:: •.:. •: • .::•:::.. r:::.v.•.,4 �{• :•r •:..$::.':: rty::•:}:•::.::::. v:+,.:;,.ti:,; •;.+;r{:a:a}:•} :• .............. .....v ...., .....?`, .:........4 ...... I ..:::.,•'var •. {r:. 4b .r. : •.•: 1;. ;:3j� ...., :., , :+.'•:•.; }.v:•: >.•.,v::....:::....:. 3.... :..;,,.; ;..., ...:... r.� v f.F,•:::.; ...... Y. ..:{ ..\ pp v:E ?!,•'iv a:+#:: n}:•:tr'i: n. :. :: }k,% {.; },a, . {n n \, .:F ;,Y,•F•;;..v^, :r.�i•/;. •:{ai.::: }:{ .. rr.. n.: kL n+•n.::: {tr}}};.,::•'�:::: { r::1i:?.;•:. :?•}::+i:x;?rrh+ i:;i. :?:v.:::nv:.v:.v:••tr: ..... . i........ }$: i.isi:;:;:•,:;istC':':•ti+,.::%;}:•t?`,:;:;:;.'•:•'r ::;iir%:;:•:%i: IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LLSTED BELOW HAVE HEEN 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 SUCA POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. LIMITS LTR DATE DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY AGGREGATE $ ❑ COMM. GENERAL LIABILITY PROD -COMP/OP AGG. $ ❑ CLAIMS MADE ❑ OCCUR PERS. & ADV. INJURY $ ❑ OWNER'S & CONTRACT'S PROT. EACH OCCURRENCE $ ❑ _____ FIRE DAMAGE (One Fire) $ MED. EXPENSE (One Per) $ AUTOMOBILE LIABILITYVFIS-CM-1002978-3 10/27/99 10/27/00 COMBINED SINGLE $ 300,000 ANY AUTO LIMIT ❑ ALL OWNED AUTOS BODILY INJURY $ ❑ SCHEDULED AUTOS ®HIRED AUTOS ® NON -OWNED AUTOS : (Per Perron) BODILY INJURY (Per Accident) $ ❑ GARAGE LIABILITY ( PROPERTY DAMAGE $ 111 ❑ EXCESS LIABILITY ❑EACH OCCURRENCE $ ❑ UMBRELLA FORM AGGREGATE $ ❑ OTHER THAN UMBRELLA FORM STATUTORY LIMITS {'•'•:"}?{;::F.:tit:., %%•••++++••++•�•• ••••:::... WORKERS'COMPENSATION EACH ACCIDENT $ AND DISEASE POLICY LIMIT $ EMPLOYER'S LIABILITY DISEASE -EACH EMP. $ OTHER Automobile Physical VFIS-CM-1002978-3 $250 Deductible Comprehensive Damage $250 Deductible Collision DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Certificate Holder is additional insured. {�y�iti}'+ry i?:•:%;'•:;:tr:r{y.{i{'•::;:YY,. •::•}:tia:•:Y:•}:.};;:::. +• rR{7\•.v< .d... ., ...: {%�,�:jv>v.:.:}:t. • .: } ,::•rvr,.; :;{::: .. v:.v r n {?.•.:? :, .; a}.;•}...r::r:{': rirr;: {{:;}• v::: n: r: ��(( v.Y+..... ..try .... x...v;; .. .•w:: .. .. ' . • }: r 4.. , .. v .....:: r}}'tir}:•}'a; ;v;,v•••::.:: r: ::.•..�•.:.::: }.v::.v: .......... ....y\•mrF.{v; }:.v:,.... ...{•$::{ \{•:::%, .. ht .Y .'{ F { � ,.:: r: w:::::;,v :.• M :} F.....:., :{::: }:::: • { ..... }. •: n.. r .:.,+ •:.+.v.•;.;; .; :.... ......•.:.•v{.:n .:. '':+•}::i•}::•}:•r •:i•, .... ......:.::::....................:::.v... ++•,..... r..:}::::::.,:?x::::::; }. r'�v }..::.� ::.: }.S.{Gr:, ... . � ..;; F \;C ��y}yy ..; Y.4....:.:. tr:.::.•}. +r 4; . ;........, . nti +.• r :..»v.vv; ::a::}:: {:•'vi:•:%•:: 4'•.;.�}•..: KiG },.::.•`•X`l'r.4 r.., { �. r•}:>.•\?•}:�•:k.•{$F.::ti Monroe County BOCC v::; ,....•`, :}}$}:•r.•.: �:iF•':{•r:?;•?v}r:r.:ti y+vv{{r,:v: .:.v... ..:: CI +,; SHOULD ANY OF THE ABOVE DESCRIBED POLIES BE CANCELED BEFORE THE EXPIRATION c/o Risk Management :`•:4' DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN k+ NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH DATE NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS. �( 5100 College Road AGENTS OR REPRESENTATIVES *Il T I hL, Key West, FL 33040 '? AUTHORIZED RE SENTATIVE r. .. . :: :• .r.'h.......... .. v:. v:.v •..v.,•: r:trn ...4...: v: •:.. ....v•• ;•::.v •r: t.v::: n.::.v::::.v:.,v.v:{.:.:{{.}• .: :.v.::: rk:'{:{{•rn'{?•:•r}.. .....:v: v:: n:,•: :.:..::: •: n::........... ................. r......... :..rrv.....vn.... }... n:•::::; x.:...... . ........ :: .v:: n;.. . ,....k .. • r:•}rr}: :{......... .... n.. r.....:::: m::::.................::.v:.v:::......................... :::::...::::...:.:::::::::::::::.:.......:.:.....:::..,.:::..::::.:::.:... ..:. .:.:. :.:::::::::::::::::::::::.: DATE IM /D /YY) .. 99 NM AC ::.:� it:i:.>;::.>;::o:.::.:::::::::::::z:::r::::::.::.>:::::iT7 :.::.s:.>:::.::.:>:.>:.:>:.:::.s:.:::.......................................... PRODUCER TIFICATE IS ISSUED AS A MATTER OF INFORMATION ND CONFERS NO RIGHTS UPON THE CERTIFICATE Crump Ins Svc of FL, Inc. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1211 Semoran Boulevard HE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 227 COMPANIES AFFORDING COVERAGE Casselberry FL 32707 NAUTILUS INS. CO. INSURED TAVERNIER VOLUNTEER FIRE DEPT. AND AMBULANCE CORP P.O. BOX 310 TAVERNIER, FL 33070 ._. ..._ __ ........._ ... .. PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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. 7LCT0, POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS TYPE OF INSURANCE DATE (MM/DD/YY) DATE (MM/DD/YY) A GENERAL LIABILITY NC076251 02/20/1999 02/20/2000 GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OP AGG S INCLUDED X I COMMERCIAL GENERAL LIABILITYCLAIMS PERSONAL & ADV INJURY S 500,000 MADE X❑ OCCUR EACH OCCURRENCE 5 500,000 OWNERS & CONTRACTORS PROT FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 1,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO N� $ ALL OWNED AUTOS , BODILY INJURY $ (Per person) SCHEDULED AUTOS �,Y_ ' --- HIRED ALTOS BODILY INJURY $ �i (Per accident) NON -OWNED AUTOS �'? E 4,',rnlip. FS PROPERTY DAMAGE $ f GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: Ct 1' �Q� L�� EACH ACCIDENT $ !!" AGGREGATE $ EACH OCCURRENCE $ EXCESS LIABILITY AGGREGATE $ UMBRELLA FORM Is OTHER THAN UMBRELLA FORM WC STATU- OTH- WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY EL EACH ACCIDENT S THE PROPRIETOR/ INCL EL DISEASE - POLICY LIMIT $ PARTNERS/EXECUTIVE EL DISEASE - EA EMPLOYEE $ OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS SHOWN AS AN ADDITIONAL INSURED THIS CERTIFICATE SUPERCEDES ALL PREVIOUSLY ISSUED CERTIFICATES TO THIS CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COMM. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ATTN: RISK MANAGEMENT 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 COLLEGE RD. �^ BUT FAILURE TO MAIL SUCH NOTICE SHpyLL IMPOSE NO OBLIGATION OR LIABILITY )DAB KEY WEST, FL 33040 i/ OF ANY KIND MPON 4HE COM t I OR REPRESENTATIVES. INITIAL AUTHORIZED REPRO. ENTA E :..::::.....................:::::::::::::::::::...............:.:::..:::::::.........................::::::::::::::.........................:...::..:.:..:::.:::::::::.....................:::::::::.3:ItCARI;?:C�7iii>E�Di'# ti7C�1: #...........: (MM/DDfYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO PRODUCER RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORD BY THE POLICIES BELOW. VFIS of Florida COMPANIES AFFORDING COVERAGE One S. Ocean Blvd., #310 Boca Raton, FL 33432 COMPANY LETTER A American Alternative Insurance Corp. COMPANY 800-995-8554 LETTER B INSURED COMPANY Tavernier Volunteer Fire Dept. & Ambulance Corps, Inc. LETTER C COMPANY P. O. BOX 301 LETTER D COMPANY Tavernier, FL 33070 E ER LETTER NS AM` .f 'vim ^sx'`°�°+"' r sd... $ W s`F�' 3$e"' ':.�`° 3£F ••. ,:`: & :;' OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THEPOLICIES NOTWITHSTANDING ANY REQUIIIEMENT, TERM DR CONDTI'ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. CERTIFICATE MAY EE ISSUED OR M4Y PERTAIN, TAE INSURANCE AFFORDED BY THE POLICIES DESCRHIED HEREIN iS SUBJECT TO ALL THE TERMS CONDITIONS OF SUCH POLICIES. LD1IITS SHOWN MAY HAVE BEEN REDUCED BY PAH) CLAIMS. EXCLUSIONS AND CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ PROD -COMP/OP AGG. $ ❑ COMM. GENERAL LIABILITY PERS. & ADV. INJURY $ ❑ CLAIMS MADE ❑OCCUR EACH OCCURRENCE $ ❑ OWNER'S & CONTRACT'S PROT. FIRE DAMAGE (One Fire) $ ❑ MED. EXPENSE (One Per) $ LIABILITY VFIS-CM-1002978-6 10/27/02 10/27/03 D SINGLE $ 300,000 COMBAUTOMOBILE LIMIT LIMIT ®ANY AUTO BODILY INJURY $ (Per Person) ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS BODILY INJURY $ (Per Accident) ® HIRED AUTOS ® NON -OWNED AUTOS $ PROPERTY DAMAGE ❑ GARAGE LIABILITY '1 �s'y1 1V sA ' A EMENT EXCESS A LIABILITY '8 ❑ EACH OCCURRENCE $ ❑ UMBRELLA FORM }� ATE ❑ AGGREGATE $ k5 -• - STATUTORY LIMITS .. ❑ OTHER THAN UMBRELLA FORM 6/ MVER -+ EACH ACCIDENT $ WORKERS' COMPENSATION AND u DISEASE POLICY LIMIT $ EMPLOYER'S LIABILITY /' Y DISEASE -EACH EMP. $ OTHER Automobile Physical VFIS-CM-1002978-6 $250 Deductible Comprehensive Damage $250 Deductible Collision DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Monroe County is an additional insured. CE17 II la: T#qX D lR GAN1 t AO f SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION Monroe Count BOCC y 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 c/o RISK Management r NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS. 1100 Simonton St. AGENTS OR REPRESENTATIVES £:. AUTHORIZED Key West, FL 33040 �ENTATIVE IWCORO 3 25s�i . GG� PRODUCER VFIS of Florida One S. Ocean Blvd., #310 Boca Raton, FL 33432 800-995-8554 Tavernier Volunteer Fire Dept. & Ambulance Corps, Inc. P. O. Box 301 Tavernier, FL 33070 ISSUE DATE (MM/DDNY) 9/25/2003 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 AFFORD BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY LETTER A American Alternative Insurance Corp. COMPANY LETTER B COMPANY III THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN [SSUED'I'O THE INSURED NAMED ABOVE INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTX* CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN, .IS wk EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. J CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. LTR GENERAL LIABILITY DATE (MM/DDNY) DATE (MM/DD/Y ❑ COMM. GENERAL LIABILITY ❑ CLAIMS MADE ❑ OCCUR ❑ OWNER'S & CONTRACT'S PROT. El AUIUMOBILELIABILITY VFIS-CM-1002978-7 10/27/03 ®ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS ® HIRED AUTOS ® NON -OWNED AUTOS ❑ GARAGE LIABILITY EXCESS LIABILITY ❑ UMBRELLA FORM ❑ OTHER THAN UMBRELLA FORM WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY OTHER Automobile Physical VFIS-CM-1002978-7 Damage DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Monroe County is an additional insured. Monroe County BOCC c/o Risk Management 1100 Simonton St. Key West, FL 33040 10/27/04 LESPECT TO WHICH THIS TO ALL THE TERMS GENERAL AGGREGATE $ PROD -COMP/OP AGG. $ PERS. & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (One Fire) $ MED. EXPENSE (One Per) $ COMBINED SINGLE $ 300, 000 LIMIT BODILY INJURY $ (Per Person) BODILY INJURY $ (Per Accident) PROPERTY DAMAGE $ ❑ EACH OCCURRENCE $ ❑ AGGREGATE $ STATUTORY LIMITS¢+' DISEASE POLICY LIMIT $ $ $ $250 Deductible Comprehensive $250 Deductible Collision SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPI11 RATION 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 REPRESENTATIVE -- 0 CC• CERTYj4CATE 0 .,INSURANCE ISSUE DATE (MM/DD/YY) 10,13�2004 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO VFIS of Florida RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORD BY THE POLICIES BELOW. One S. Ocean Blvd., #310 COMPANIES AFFORDING COVERAGE Boca Raton, FL 33432 COMPANY LETTER A American Alternative Insurance Corp. 800-995-8554 COMPANY LETTER B INSURED COMPANY Tavernier Volunteer Fire Department & Ambulance Corps LETTER C P. O. Box 301 COMPANY LETTER D COMPANY Tavernier, FL 33070 LETTER COVER AOI✓S' 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 1S 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 EFF. POLICY EXP. LIMITS LTR DATE (MM/DD/YV) DATE (MM/DD/VY) GENERAL LIABILITY GENERAL AGGREGATE $ ❑ COMM. GENERAL LIABILITY PROD -COMP/OP AGG. $ ❑ CLAIMS MADE ❑ OCCUR PERS. & ADV. INJURY ❑ OWNER'S & CONTRACT'S PROT. EACH OCCURRENCE $ ❑ FIRE DAMAGE (One Fire) $ MED. EXPENSE (One Per) $ AUTOMOBILE LIABILITY VFIS-CM-1002978-8 10/27/04 10/27/05 COMBINED SINGLE $ 300,000 ❑ANY AUTO LIMIT ❑ ALL OWNED AUTOS BODILY INJURY $ (Per Person) ® SCHEDULED AUTOS ❑ HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per Accident) GARAGE LIABILITY AP (ry^� V ISKLF_�4J!GP'V PROPERTY DAMAGE $ ❑❑ ❑ $ EXCESS LIABILITY ✓ ❑ DATE — EACH OCCURRENCE ❑ AGGREGATE $ UMBRELLA FORM ❑ OTHER THAN UMBRELLA FORM WAIVEF N/A 'R ' \ 1 STATUTORY LIMITS WORKERS' COMPENSATION /�� EACH ACCIDENT $ AND /'� \./ / _ DISEASE POLICY LIMIT l.: $ EMPLOYER'S LIABILITY DISEASE -EACH EMP. $ OTHER Automobile Physical VFIS-CM-1002978-8 $250 Deductible Comprehensive Damage $250 Deductible Collision DESCRIPTION OF OPERATIONS/LOCATIONSNEH►CLES/SPECIAL ITEMS 2000 Ford Pickup - #1FTNW21F7YEE03913 Monroe County is an additional insured. CERTIFICATE BOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN . c/o Risk Management 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, 1100 Simonton Street ITS. AGENTS OR REPRESENTATIVES Key West, FL 33040 - AUTHORIZED REP ENTATIVE ACORD 25-N(7/90) Lam', _ ISSUE DATE (MMND/YY) „ 1011912005 PRODUCER THIS CEMTIFICATE IS ISSUED AS AMArfkR Ot INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CMtTMCATR HOLDER- THUS CJRiTIPWATP. DOES NOT AMEND. EXTeN D VFIS of Florida OR ALTER THB COVEM(E AFFORD DY THE POLICES BELOW One S. Ocean Blvd., #310 COMPANIES AFFORDING COVERAGE COMPANY Boca Raton, FL 33432 LETTER A American Alternative Insurance Corp. 800-995-SM4 COMPANY LETTER B INSURED COMPANY Tavernier Volunteer Fire Department & Ambulance Corps I.En"r.R C P. O. Box 301 COMPANY D C A Tavernier, FL 33070 pp L67'IER b THIS HiTO MATIFYTUATTHR►OLICHNOF INMIMNCE LISTED MOW HAVE PEENISSUED TOTHE INSUREDNAMED ABOVE FORWIN POLICY PERIOD INDICATED NOTWITHSTANDING ANY XWOMEMENT, TERM OR C UNDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY aE MVED OR MAY PEItTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE SEEN RIDUCED BY PAID CLAIMS CO TYPE OF INSURANCI. POLICY NUMBER POLICY EFF. POL/CV rXP. UNITS LLTR DATE(MM/DDNY) DATE(MMIODJYY) GENCRAL LIABILITY GENERAL AGGREGATE ❑ COMM.GENERALLIAB(L11Y PROD-COMPIOPAGG• ❑ CLAIMS MADE ❑ OCCUR MEL &ADV. INJURY El OWNPJ3'S A CONTRACT'S TROT. EACH OCCURRENCE S rl I = DAMAGE (OK Fire) S MEII_LULIENBE(oeerer) $ AUTOMOBILE LIABILITY VFiS-CM-1002978-9 10/27M lOn7/06 COMBINP.DSINGLI S300,0W LIMIT OANY AUTO ❑ ALL OWNED AUTOS BODILY INJURY ® SCHEDULED AUTOS (Per tulee) ❑ HIRED AUTOS BODILY INJURY (PerAnidM) ❑ NON -OWNED AUTOS AP,�,� t f it PROPERTY DAMAGE ❑ GARAGE LIABILITY/ Y� � f'i I �,rj i F Pa I�/a � - EXCESS LIABILITY ---.-._ EACH OCCURRENCE S ❑ UMBRELLA FORM/— AGGREGATE S OTHER THAN UMBRELLA FORMNIA-- ... STATUTORY LIMITS `:" �,•='-_":;':... `L'� - - WORKPJIS' COMPENSATION � EACH ACCIDENT AND ' DISEASE POLICY LIMIT EMPIAYCR'$ LIABILITY DISEASE-CAC11 ENP. OTHER Automobile Physical VFIS-CM-1002978-9 $250 Deductible Comprehensive Damage $250 Deductible Collision DESCRIPTION OF OPEM7YONSaA -&TR)NSMEHICL MPK7AL ITEMS 2000 Ford Pickup - #1FTNW21F7YXE03913. Monroe County is an additional insured. GG ' Monroe County BOCC SHOWW ANY OF THE ADM ONIXTA S IOL40w; RE CANCELED sEFDRr TDE EXTDtATION DATE THEREDF, THE ISSUING COMPANY W WL ENDEAVOR TO MAIL-QDAYS WRrrFCN c!o Risk Management NOTICE TO THRCxR77FWATR ROLDER NAMED TO TIP[ LZ", BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPM NO ODLIGATHHN OR I.IAa1LITY OF ANY KIND UPON THE COMPANY, M. 502 Whitehead Street - 3rd Floor AGENTS OR R17RMSTATIM Key West, FL 33040 AUTHORIZED REt ATIVE - _.. :.o'::'-': ■ R}.�/TIFICATE OF NSURANc v1J1� 1 1' h\I IS.SUEDATE(MNUDDNY) ■\..l_ PRODCCIiR - 10/I6 20 6 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO VFIS Of Florida RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORD BY THE POLICIES BELO W One S. Ocean Blvd., 4310 COMPANIES AFFORDING COVERAGE Boca Raton, FL 33432 COMPANY LETTER A American Alternative Insurance Corp. 800-995-8554 COMPANY INSURED LETTER B Tavernier Volunteer Fire Department & Ambulance Corps COMPANY LETTER C P. O. Box 301 COMPANY LETTER D Tavernier, FL 33070 COMPANY LETTER E COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HA VE BEEN ISSUED TO THE INSURED NAMED AROVE FOR THE POLI('Y PERIOD INDICATED. N'OTW ITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W'II ICH TII IS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A LL I'HF1'ERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICYEXP. LIMITS LTR DATE(MM/DDNV) DATE(MM/DDNY) GENERAL LIABILITY GENERALAGGREGATE $ ❑ COMM, GENERAL LIABILITY PROD-COMP/OPAGG. $ ❑ CLAIMS MADE ❑ OCCUR PERS. &ADV. IN.IURY $ ❑OWNER'S&CONTRACT'S PROT. EACH OCCURRENCE $, ❑ FIRE DAMAGE(One Fire) $ MITI) EXPENSE (One Per) L AUTOMOBILE LIABILITY VFIS-CM-1014626-0 10/27/06 10/27/07 0 COMBINED SINGLE $300'000 ❑ANY AUTO LIMA T ❑ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS Irer rer.nn) ❑ HIRED AUTOS BODI LV INJURY S ❑ NON-0WNCD AIITOs (Per Acd&nt) ❑ GARAGE LIABILITY PROPERTY DAMAGE $ ❑ EXCESS LIABILITY ❑ EACH OCCURRENCE $ ❑ UMBRELLA FORM ❑ AGGREGATE $ ❑ OTHER THAN UMBRELLA FORM Sl'ATUTORY LIMITS $IOry N'ORKERN'COMPENSAT 'P PAC ACCIDENT $ AND DISEASE POLICY LIMIT $ EMPLOYER'S LIABILITY DISEASE -EACH EMR $ OTHER Automobile Physical VFIS-CM-1014626-0 $250 Deductible Comprehensive Damage $250 Deductible Collision DESCRIPTION OF OPERATIONS/LOCP,TIONSNEHICLES/SPECIAL ITEMS 2000 Ford Pickup - #1 FTN W21 F7YEE03913. Monroe County is an additional insured. /M/1, 1 GERTIFICnTENULDER , CANc.ELt,A:"IbN . Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE c/o Risk Management DATE THE EXPIRATION THE ISUING- NOIICEI TO THE CE TIFICATE HOLDERYNAMED TO THEWILLOLEFT, HOTIFAILURE TO MALt,UCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY 502 Whitehead Street -3rd Floor KIND UPON THE COMPANY, ITS. AGENTS OR REPRESENTATIVES Key West, FL 33040 AUTHORIZED REPR NTATIVE , ACORD 25=S(7/90`' CERTIFICATE OF INSURANCE ISSUE DATE (MM111DU Y' 10/16l2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RI GHTS UPON THE CERTIFICATEHOLDER. THIS CERTIFICATE DOGS NOT AMEND. FAT LND VFIS of Florida OR ALTER THE COVERAGE AFFORD BY THE POLICIES BELOW. One S. Ocean Blvd., #310 COMPANIES AFFORDING COVERAGE COMPANV Boca Raton, FL 33432 LETTER A American Alternative Insurance Corp. 800-995-8554 COMPANY LETTER B INSURED COMPANY Tavernier Volunteer Fire Department & Ambulance Corps LETTER C COMPANY P. O. Box 301 LETTER D COMPANY Tavernier, FL 33070 LETTER E COVERAGES% TIIIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTW I'TIISTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TIIIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TOE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF, POLICVEXP. LIMITS CUR DATE(MM/DDNY) INATE(.MM/DD/YY) GEN FRA I, LIABILITY GENERAL AGGREGAT F. ❑ COMM1i. GENERAL LIABILI TV PROD -COM1i PIOY AGf.. $ ❑ CLAIMSMADE ❑ OCCUR PERS. SADV.IN.IURY $ OWNER'S & CONTRP,C I"S PROT, EACH OCCURRENCE $ ❑ FIRE DAMAGE, RUw Fin) $ rvI III), EXPENSE (Oile Per) $ .AUTOMOBILELIABarrY VFIS-CM-1014626-0 10/27/06 10/27/07 COMBINED SINGLE $300,000 IMIT ❑ANY AUTO ❑ALL OWNED AUTOS RODILY INJURY $ ® (Per re�,00) SCHEDULED AUTOS ❑ HIRED AUTOS `/ y ' NSQ BODILY INJURY IIRV $ - (Per Accitlen0 ❑NON-OWNEDAUTOS —\I)-.1r I -- ❑ GARAGE LIABILITY PROPERU' DAMAGE $ ❑ EXCESS LIABILITY ,,.. -. [:]-.EACH OCCURRENCE $ ❑ UMBRELLA FORM ❑ AGGREGAI"E $ ❑O"rI HER THAN UMBRELLA FORM $ -11'ATUTORV LIMITS $: WORKERS' COM11I'EN:iATION C EACH ACCIDENT $ AND DISEASE POLICY LIMIT $ EMPLOYER'S LIABILITY DISEASE -EACH CUP. $ OTHER Automobile Physical VFIS-CM-1014626-0 $250 Deductible Comprehensive Damage $250 Deductible Collision DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS 2000 Ford Pickup - #I FTNW21F7YEE03913. Monroe County is an additional insured. CER"IIFICATE HOLDER :CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE. DESCRIBED POLICIES BE CANCELED 11EFORE THE EXPIRA LION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR 10 MAIL H)DAYSWRITTFN c/o Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMIN) FIT THE LEFT, BIT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON IIIE COMPANY, 1"1'S, 502 Whitehead Street - 3`d Floor AGENTS OR REPRESENTATIVES AUTHORIZED RF.PRESEN ATIVE .- Key West, FL 33040 ACORD 25-S(7/90) '�.. ISSUE DATE (,NIhIiDD(YYi CERTIFICATE OF INSURANCE /4/2009 PRODUCER THIS CERTIFIC'ATF•. IS ISSUED AS A blrATT'ER OF INFORNIATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS C'ERIIF1C'ATF. DOES NO-r,4h11{ND F.x"['END VFIS of Florida OR ALTER THE. COVFRAGE AFFORD B}. TIIF POLICIFS HELOW COMPANIES AFFORDING COVERAGE One S. Ocean Blvd., #310 Boca Raton, FL 33432 Ph: 800-995-8554 to American Alternative Insurance Corp. COhIPANY LETTER B INSURED ��% C O A a � Tavernier Volunteer Fire Department & Ambu ance orp i LEITF,R C PO Box 301 Tavernier, FL 33070 LETTER E COVERAGES THIS IS TO CERTIFY THAT 71IF POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR T1IE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TIIIS CERTIFICATEMAY BE ISSUED OR MAY PERTAIN, 1-11E INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SI IBJE(T TO ALI, TIIF. TERMS EXCLUSIONS AND CONDITIONS OF SI1cII POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Co TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. LIMITS l; rR DATE (NIM/DDA Y) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE ❑ COMhE. GENERAL LIABILITY PROD -COMP/OP AGG. S PERS. & ADV. INJURY S ❑ CLAIMS MADE ❑ OCCUR F:ACH OCCURRENCE S ❑ OWNER'S & CONTRACT'S PRO'r. FIRE DAMAGE; (One Fire) S ❑ MED. EXPENSE (One Per) S AUI'OMOBILF: LIABILITY VFIS-CM-1055585- 10/27/08 10/27/09 COMBINED SINGLE LIMIT $ 300,000 ❑ANY AUTO 01 ❑ ALL OWNED AUTOS BODILY IN,II:RI' (Per Person) $ ® SCHEDULED AUTOS BODILY INJURY (Per Accident) $ ❑ FIIRED AUTOS ❑ NON -OWNED AUTOS ❑ GARAGE LIABILm, PROPERTI' UAhiAGE S EXCESS LIABILITY EACH OCCURRFNCE ❑ UMBRELLA FORM (,�% c ❑ AGGREGATE S $ ❑ OTHER TI(AN UMBRELLA FORM / STATCTORY LIMrrs $ AVORKERS' (`OhIPF.NSATION EACH ACCIDENT $ AND DISEASE POLICYLIMIT $ EMPLOYER'S LIABILI'l l DISEASE -EACH EMP. Q D OTHER Automobile Physical VFIS-CM-1055585-01 /Vj S250 Deductible Comprehensive Damage $250 Deductible Collision DESCRIPTION OFOPERATFONS(LOC'ATIONStVEIIICCLES(SPECIAL ITEMS 2000 Ford Pickup - #1 FTNW21 F7YEE03913. Monroe County is an additional insured. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION' DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL. 10DAYS WRITTEN c/o Risk Management g NO710E 1'0 I'HE CERTIFICA'FE HOLDER NAMED TO THE: LEFT, BUT FAILURF: TO MAII. S11C11 NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE: COMPANY, ITS. 1100 Simonton Street, Suite 268 AGENTS OR REPRESENTATIVES f AUTHORIZED RESE:N1'ATIVE Key West, FL 33040 ACORD 25-S(7/90) GL� • DATE(MMtDD/YYYY) ACCIREY CERTIFICATE OF LIABILITY INSURANCE 06/05/2012 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). • 'RODUCER NAM NAME: Joanne Dedrick JFIS of Florida PHONENo,Ext}: 800-233-1957 ext. 7967 G.No): 800-729-8347 Dne S. Ocean Blvd.,#310 a�DRIESE, jdedrick@vfis.com �_— Boca Raton,FL 33432 • INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: American Alternative Insurance Corp. 19720 NSURED INSURER B: Tavernier Volunteer ,;Department an e 'rri euiariceaorps, Inc-. INSURER C: 'O Box 301 INsuRERn: Tavernier, FL 33070 _._. INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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. 3SR i 746E-CS116R• P6CIGY EFF POLICY EXP .TR II TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ CLAIMS-MADE ri OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ _ • GENERAL AGGREGATE $ GEN'I..AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY I PRO-JEC7 17 LOC $ _.. A AUTOMOBILE LIABILITY x VFIS-CM-1055585-04 10/27/11 10/27/12 COMBINED SINGLE LIMIT (Ea accident) $300,000 ANY AUTO BODILY INJURY(Per person} $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ NAUTOS X AUTOS �_ HIRED AUTOS NON-OWNED uTos B pRQ)Vpp ( NT PROPERTYtDAMAGE $ - $ • UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS MADE 011'n-C . -Pi AGGREGATE__....__.__ __.._$_...___. DED RETENTION$ (� 6.-C $ - WORKERS COMPENSATION WOSTATU- OTM- AND EMPLOYERS'LIABILITY Y./N 1.TORY LIMITS l__... ER ANY PROPRIETORIPARTNER/EXECUTIVE[�� E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N!A ---- (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under I DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ • A Automobile Physical Damage VFIS-CM-1055585-04 10/27/11 10/27/12 $250 Deductible Comprehensive $250 Deductible Collision DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) 2000 Ford Pickup-#1 FTNW21 F7YEE03913 Monroe County is an additional insured per policy provisions. Cop y - 74;14 n ce...-. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC do Risk Management SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street,Suite 268 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE O 19 -2010 ACORD CORPORATION.All rights reserved. .CORD 25(2010105)Uniform Forms."" The ACORD name and logo are registered marks of ACORD T 1*. u, CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD,'YYYY) 11/27/2012 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 VFIS of Florida CT NAME, Joanne Dedrick ......._..._.__ ........... ... ........................................_.......__..............._.........._......................._........_......................._._...._........... ._.._...._.. F,US 1Aic No, Exf: 800-233-1957 ext. 7967 A;c Nn 800-729-8347 ADDRESS jdedrick@vfis.com _...... _....... _..............._......._....._...........__....._ INSURERS AFFORDING COVERAGE ( NAIC # One S. Ocean Blvd., #310 Boca Raton, FL 33432 INSURER A: American Alternative Insurance Corp, 119720 INSURED :NSURER C: I - Tavernier Volunteer Fire Department and Ambulance Corps, Inc. PO Box 301 ;NSURER D. Tavernier, FL 33070 NSURER '.NSURER" F' COVERAGES CERTIFICATE NUMBER: 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. LTR TYPE OF INSURANCE INSR WVO POLICY NUMBER POLICY MM/DDTYYYY) MMiDDIYYYY) LIMITS GENERAL LIABILITY I EACH OCCURRENCE $ . _ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR AMAuE TO ftcNTED i $ PREMISES'Ea cccurrance) ME.D EXP (Any nna person) $ PERSONAL & AUV INJURY $ - - - --� GENERALAGGREGATE S_............. ...... ......................... ............................... :..........................._.... ..... .............. .. HIIN'L AGGREGATE LIMIT APPLIES PER: ! PROD4)C7S - COPAPIOP AGG $ PRQ- I POLICY ! JECI IOC I .__..._.__..___...__.__....__.__..__..._...................-.._......�........_____._.._............ $ A ALITOMOBILELIABILITY X VFIS-CM-1055585-05 10/27/12 , 10/27/13 Ca as cl4jr.t"NGLE LIMIT 000,000 BODILY INJURY (Per persw) $ ._................._........._._.......___........__._.._......................_....._........_..............__..................... BODILY INJURY (Per ac:.:dent)I $ ANY AUTO ALLOWNED -� SCHEDULED AUTOS X AUTOS NON -OWNED j AU? OS APPVV ISK PROPERTY DAMAGE iporacdeonb UMBRELLA LIAR OCCUR DA / EACH OCCURRENCE S t 4............. tI EXCESS LIAR I..__.. CI AIMS-MAADE , I� W �. AG' RELATE $........_. ........... .... ..... ...... DEC { RETENTIONS i ! ` $ I WORKERS COMPENSATION I AND EMPLOYERS' LIABILITY Y1 N'S �_ ANY PROPRIETORIPAR'F'NERiEXECL' TIVEI i OFFICER,'MEMBER EXCLUDED? I I N 1 A L'i., • l+ 1- 'i ......._Ti)ftY.LtM'.'.`'................Efi................._..._...................._................... :...... V ........................... ........ E.L. EACH ACCIDENT' i $ E.L. DISEASE - EA EMPLOYEE,3 $ _...__..__. (Mandatory in NH) If yes, describe under._._.....L_�.__ E.L. DISEASE - Pf.?tJCY LIMIT $ DESCRIPTION OF OPERATIONS benw A Automobile Physical Damage VFIS-CM-1055585-05 10/27/12 10/27/13 $250 Deductible Comprehensive j $250 Deductible Collision DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 2000 Ford Pickup - #1 FTNW21 F7YEE03913 Monroe County is an additional insured per policy provisions. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC c/o Risk Management 1100 Simonton Street, Suite 268 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 1988-201 A%,VMU co tzu Ivival vnlrorm Corms I ne A+,UKLI name ano logo are registerea marKs of AGURLJ C� c. C01351- OP ID: JD CERTIFICATE OF LIABILITY INSURANCE DAT10/2110/21DfYYYY) F /13 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 800-233-1957 CONTACT NAME Joanne Dedrick VFIS of Florida One South Ocean Blvd, Ste 310 800-729-8347 Boca Raton, FL 33432 PHONE FAX ____.._._ 800 233 1957 tAIc.Na.i"�). NoL800-729 8347 .... E-MAILE•MAiI ARDRESS_..jledrick@vfts.com Volunteer Fireman's Ins Svcs INSURERS AFFORDiNG_COYERAGE NA1C If INSURER A; VFIS -American Alternative Ins �91 ........_._....... INSURED Tavernier Volunteer Fire Depa'r P 0 Box 301 Tavernier, FL 33070 ...................................................-................._....__....______ INSURER B _._.__._.._..... _....._._........... _........ INSURER C —_..._..__....__._...._................................. ........ _............__.....__..____-- ....... .............._.............. ........ — INSURER D i INSURER E : INSURER F :. COVERAGES CERTIFICATE NUMBER: 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 TYPE OF INSURANCE $bL�L1$iL� .....__..........._....POLICY NUMBER..............._...._.._.....,._.MMtDAtYYYY MMlDOYV LXR LIMITS GENERAL LIABILITY EACH OCCURRENCEDAMAGE TO RENTED flREM;SES {Ea occur encwJ_. 1 g i COMMERCIAL GENERAL. LIAfl31_!'fY ;CLAIMS -MADE `.J OCCUR I I fvSED EXP (Any one person) 3 $ .- PERSONAL S ADV INJURY $ _._..._-_...................._._._........................_._. . - ... ............... ..._..................... ..._............._..........................-...._....... GENERAL.AGGREGATE S _ GEN L AGGREGATE LIMIT APPLIES PER: _ _ PRODUCTS - COMPIOP AGG $ ..... - - POLICY PRO-JECT LOC I 11 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acc,dont __—...£..._._._........................ 300,00 A ANY AUTO X ;VFIS CM-10555$5 10/27/13 10127/14 BODILY INJURY (Per person) $ ':. AT.f.O'WNED :� —' SCHEDULED }( ..--.... - ...... _.....-- --- BODILY INJURY (Per accident) I $ AUTOS —+ AUTOS I ._.. NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS !........., AUTOS........... ............................. $. i UMBRELLALtAB ! OCCUR EACH OCCURRENCE $ I EXCESSLUl6 CLAIMS -MADE -....$ — _.. _. _..... ..._............................................................... AGGREGATE ..---- _................. DED RETENTION $ WORKERS COMPENSATION NIC STATU OTH AND EMPLOYERS' LIABILITY Y t N R .... RY 1 IjAITS , : ANY PROPRIETOR;PARTNER/EX-CJiIVE I i E L.. EACHACCiDENT $ _ __ ...._ ......__ CFFICER,WEMBER EXCLUDED? N F A jjjj (Mandatory in NH) j Ell U>5EASE - EA EMPLOYCr: $ if yes, describe. under DESCRIPTION OF OPERATIONS below E L. D'SEASE -POLICY LIMIT $ € I I i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) 2000 FORD P/U FDP 1FTNW2IF7YEE03913 S'taf*/A-,IrW Certificate Holder is an additional insured per policy provisions.DAWAIVER_. � /`� •- ' c ` C. CD r*i Monroe County BOCC c/o Risk Management 1100 Simonton St., Ste 288 Key West, FL 33040 W SHOULD ANY OF THE ABOVE DESCRIBED POLtCIE4 BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE: ,-#ALL BE �LIVEWD IN ACCORDANCE WITH THE POLICY PROVISIONS—. -- AUTHORIZED REPRESENTATIVE rr) 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD C01351- OP ID: JD if .A�RLY CERTIFICATE OF LIABILITY INSURANCE DATE IMWDOlYYYY) 11/04/14 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 endomemen s . PRODUCER 800-233-1967 VFIS of Florida One South Ocean Blvd, Ste 310 800-729-8347 Boca Raton, FL 33432 NAME: Joanne Dedrick --7 P6oNE _._.........__._ ,.FAX Eat : 800-233-1957 i (A/c. No): 800-729-$347 A ESS; jdedrick@vfis.com ---- .........................._ __.... Volunteer Fireman's Ins Svcs INSURER(S)_AFFORDING COVERAGE--..-.__..,^t NAIC f _ INSURER, A: VFIS -American Alternative Ins 19720 .__......__.. INSURED Tavernier Volunteer Fire Depar P 0 Box 301 Tavernier, FL 33070 INSURER B :_ -.._._................ . -.,.._....... INSURER C INSURER D INSURER E INSURER F : r+--- 1.n — w,eann. RFVISir]N NIIMRFR'_ VVrv_ M GV vi ..... vr.. r............-... 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. IMSR!...._...... POLI POLICY EX�-P...................... LIMITS LTR ; TYPE OF INSURANCE POLICY NUMBER MMfD MMIDD GENERAL LIABILITY ! EACH OCC.._. •__....... $ i 'COMMERCIAL GENERAL LIABILITY 'CLAIMS -MADE i OCCUR i ' PREMISES LEa occurrer�co}._...._..._.__- MED EXP (Any one pe rson,).... ... $ .._._..._ ._ ! PERSONAL & ADV INJURY S I _........... _ ( GENERAL AGGREGATE _ _ .._. $ _.... _...... .. I ;PRODUCTS t i GEN'L AGGREGATE LIMIT APPLIES PER: I j RO POLICY JP i LOC •COMP/OP AGG . $ ._..._..................... _-- t-- AUTOMOBILE LIABILITY I `COMBINED SINGLE LIMIT j 300,00 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED V SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS X VFIS-CM-1055585 10127/14 10/27l15 BODILY INJURY (Par$ PRTY -....._DAMAGE (Per acc dent} ........ _._...._...__. $ ._......_........... _ j $ i UMBRELLA LIAR EXCESS LIAS OCCUR CLAIMS -MADE i EACH OCCURRENCE $ ._._. }........... AGGREGATE .........................- L:jD7EDi --.......................... - I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORiPARTNER/EX£CUTIVE OFFICERIMEMSER EXCLUDED? jMandatory in NH) I N I A i WC STATU- OTH- _........ E L EACH ACCIDENT $ I E.L. - EA EMPLOYEE _. _- .... .._._............ E.L. DISEASE -POLICY LIMIT _S...-. $ If yea describe under DESCRIPTION OF OPERATIONS below I ( DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space to required) 2000 FORD P/U FDP 1FTNW21F7YEE03913 Certificate Holder is an additional insured per policy provisions. t*aAGEMENT — cc �( .l GERTIFIGATtHULUt la /�li�stvv Jvv��...- vnnvca.v+..vr� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN �Q� ACCORDANCE WITH THE POLICY PROVISIONS. Mo Risk a ni�1tC S_ AON b10Z AUTHORIZED REPRESENTATIVE 1100 Simonton St Ste 268 Keywestimoi9W 803 03113 (V 19St5-ZU1U AGUKU L:UKrVKA I IVr1. AN rlgnta reaerreu. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE C01351- OP ID: JD FDATE (MMlODlYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOMER. 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 VFIS of Florida 800-233-1957 coNTACT NAME: Joanne Dedrick One South Ocean Blvd, Ste 310 800-729-8347 is -co, No E,0:800-233-1957 T Boca Raton, FL 33432 E=MAIL (ac No): 800-729-8347 Volunteer Fireman's Ins Svcs ADDRESS: jdedrick@vfis.com - -- NAIC i INSURED Tavernier Volunteer Fire Depar — INSURER A: Alternative 19720 P O Box 301 INSURER B Tavernier, FL 33070 INSURERC: - _ INSURER D : - —I REVISION NUMBER: I 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. R: --- R TYPE OF INSURANCE POLICY NUMBER —i Iucc POLICY EFF j�POLICY EXP--�"- `— ------ ----- GENERAL LIABILITY I (MM/DDfYYYY) � (MM/DD/YYYYt ! LIMITS COMMERCIAL GENERAL LIABILITY ICLAIMS MADE E OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: I AUTOMOBILE A LIA81LITY ANY AUTO ALL OWNED SCHEDULED AUTOSX AUTOS NON-OWNED HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR I EXCESS LIAB CLAIMS X I IVFIS-CM-1055585 I 10/27/15 I 10/27/16 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y ! N OFFICER,MEMBER EXCLUDED? N / A (Mandatory In NH) If yes, describe under EACH OCCURRENCE _ I $ PREMISES (Ea occurrence} $ MEO EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OPAGG $ $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE — $ Per accident _ S EACH OCCURRENCE $ AGGREGATE $ E.L. EACH ACCIDENT E.L. DISEASE - EA EM E.L. DISEASE - POI Ir' DESCRIPTION OF OPERATIONS ! LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space islrequired) 2000 FORD P/U FDP 1FTNW21F7YEE03913 Certificate Holder is an additional insured per policy provisions. FR NAGEMENT D E WAIV �NlES` Cc 110j 71081tJOW QGt ripe CERTIFICATE HOLDER CANGELLATION �� y'� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 09 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC a ACCORDANCE WITH THE POLICY PROVISIONS. c/o Risk Management }� I 1111 12th Street, 4th Floor v 03�{� A UTHORIZED REPRESENTATIVE Key West, FL 33040 --A-..,.% CD 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD