Certificates of Insurance
A CORD_ CERTIFICATE OF LIABILITY INSURANCI;T~~~ J~ DATE (MM/DDIYY)
-- 06/28/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Key West FL 33045-5548 INSURERS AFFORDING COVERAGE
Phone: 305-294-7696 Fax:305-294-7383
INSURED INSURER A: Allstate Insurance CO.
INSURER B: Penn-American Insurance Co.
Stand up for Animals Inc. INSURER C: Allstate Insurance Co.
29162 Iris Dr INSURER D: CNA
Big Pine Key FL 33043 INSURER E: FWUA
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 TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
'~ft TYPE OF INSURANCE POLICY NUMBER iiXfEIMMlDDlYvj. DATE IMM/DDIYYl LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
- 07/01/02
B X COMMERCIAL GENERAL LIABILITY PAC6231449 07/01/03 FIRE DAMAGE (Anyone fire) $ 100000
I CLAIM~ MADE ~ OCCUR MED EXP (Anyone person) " $ 5000
B X Professional PAC6231449 07/01/02 07/01/03 PERSONAL & ADV INJURY $ 1000000
-
GENERAL AGGREGATE $ 1000000
-
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG $ 1000000
Xl r---l PRO. n
X POLICY i i JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
f- $ 1000000
ANY AUTO (Ea accident)
f--
ALL OWNED AUTOS BODILY INJURY
f- $
C ~ SCHEDULED AUTOS 38217634302 07/01/02 07/01/03 (Per perso,n)
C X HIRED AUTOS BODILY INJURY
f-- $
C ~ NON-OWNED AUTOS (Per accident)
- PROPERTY DAMAGE $
- ",i (Per accident)
--.
GARAGE LIABILITY .~ l~ ~..~ 1 . \ W AUTO ONLY. EA ACCIDENT $
=1 ANY AUTO Al"r,\\. . OTHER THAN EA ACC $
P..'{ 1 Q.J) \ ~ - AUTO ONLY: AGG $
EXCESS LIABILITY OAiE - l ( ~ES- EACH OCCURRENCE $
tJ OCCUR o CLAIMS MADE -
NIp.. AGGREGATE $
WAIVER $
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I TORY LIMITS I IOJ~-
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT $
E.L DISEASE. EA EMPLOYEE $
.. E.L. DISEASE - POLICY LIMIT S
OTHER
A Property Section BINDER#02069 07/01/02 07/01/03 Mar/BPK 92000/95800
D Employee Dishonest 69364925 07/01/02 07/01/03 Dishonest 100000
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
E: Windstorm - #1317511 - 7/1/02-7/1/03 Marathon-$92,000iBPK-$95,800
F:Flood-applied fori 7/1/02-7/1/03 Marathon-$92,000iBPK-$95,800
CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER: y CANCELLATION
MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ..lL DAYS WRITTEN
Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILU;c SO SHALL
Commissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER TS AG~/'lTS OR
1100 Simonton St
Key West FL 33040 REPRESENTATIVES. # .1~/l
AUTHORIZEDREPRE:~ ~
I Horan Insurance (\
ACORD 25-5 (7/97) U @ACORD CORP V N 1988
Jun-2B-02 01:15P R;chard Horan
305 294 7762
P.03
Omaha P&C - Standard Application
National Flood Services. PO Box 2057 - KaJisoell. MT 59903.2057 (800)637.3846
Loan Closing. No Wait Policy Period : 07/01/2002 to 07/01/200]
Renewal Rilling Instructions Insured New Policy
Producer
ATLANTIC PACIFIC INSURANCE
RICHARD LlDINSKY
11382 PROSPERITY FARMS RD #123
PALM BEACH GARDENS, FI. 33410- (05)294-7696
Agent License #
~S Producer # _u
Ist Mort2al!ee 2nd Mort28l!ee
Loan #
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
1100 SIMONTON 51'
KEY WEST. FL 33040-
Insured
STAND UP FOR ANIMALS INe.
29162 IRIS DR
BIG PINE KEY, FL 33043-
Phone #( ) - SSN' 0
3rd Mortl!agee
Buildin2 Infonnation
No
Insured property same as mailing address
279 INDUSTRIAL RD
BIG PINE KEY, FL 33043-
Policy required for Disaster Assistance?
State and CornmWlity numher
Conununity name
Program Type
Building located In an Unincorporated Area?
Flood Zone
Building Occupancy
NDn Residential Description
Bulldmg Type
FOWldauon Type
Condomimum Co\'erage
Property is Pnnl:lpal Residence?
Property have an attached garage?
Da(e of Construction / Substantial Improvement
Elevation Certificate
Diagram Number
No
FL 12.5129
MONROE COUNTY.
Regular
Yes
AE
Non Residential
2 Floors
Elevated. without Enclosure
No
No
No
01/0111990
Yes (LFE 12.0) (BFE 8.0) (LAG 00)
5
Please See Pal!f Two
Jun-2B-02 01:15P Richard Horan
305 294 7762
P.04
Omaha P&C - Standard Application
National Flood Services - PO Box 2057 - KalisDell. MT 59903-2057 (800)637-3846
Elevated Buildinl!: I Garat!e Information
Elevated area enclosed?
Enclosed area constructed wj(h ()pcnings'/
Building Elevation Method
Enclosure Material
Enclosed area size
Enclosure area used for o(her than access,
parking or storage?
Descrihe other use
Enclosure area contams machinery
or equIpment''>
Elevation ditference between reference
level and lower level where machinery
or equipment is located
Garage elevatIOn
Garage constructed with openings?
Garage con(am machmery or equipment?
Machinery or equipment elevated?
Garage used for other than parl..'lng?
No
No
Piers, Posts, Or Piles
o
No
No
o
o
No
No
No
No
Calculation Information
Building Coverage: 595800 (@O, 16/0@) Contents Coverage: SO (@O.OO/OOO)
Annual $153. Expense: $50. Federal Policy Fee: $30,ICC Prem: $6, Probation: $0
Replacement Cost: $95800 Deductibles: $500 /500 Total Premium Due 5239
The above statements are corree( to the besl of my knowledge, The property owner and I understand
that any false Slatcmcnts may be pWlishable by fine or imprisonment Under apphcable federal law.
These rates and premium are subject to verificatlon and/or adjustment by the company.
To complete the p y IS n>ccss, premium m I be received
ate lo-df-1Jo
Agent Signalure
Christine Hernandez
Insured Signature
Payment Check
Mall Agenlcopy ofDeclaralion page.
Application printed on 06/2812002 f2K~'58 Buildll 03/01/2002
Jun-2B-02 01:15P R;chard Horan
305 294 7762
P.OI
Omaha P&C - Standard Aoplication
National Flood Servi(es - PO BOll 20S7 - Kalisoell. MT 59903-2057 lSOO}637.3846
Loan Closmg. No Wait Poltey Period. 07/01/2002 to 0710112003
Renewal Blllmg Inslructions : Insured New Pohcy
Producer
ATLANTIC PACIFIC INSURANCE
RICHARD LIDINSKY
11382 PROSPERITY FARMS RD #123
PALM BEACH GARDENS, FL 33410- (305)294-7696
Agent LIcense #
NF5 Producer #_u
1st Morteaeee 2nd Mortea!'ee
Loan #
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
1100 SIMONTON 5T
KEY WEST, FL 31040-
Insured
STAND UP FOR ANIMALS lNe
29162 IRIS DR
BIG PINE KEY, FL 33043-
Phone # ( ) - SSN - .
3..d Mo."teaeee
Buildine Information
No
Insured property same as mailing address
10550 AVIATION BL VI)
MARA THaN, FL 33050.
Policy required for Disaster Assistance?
State and Community number
CommW1iry name
Program Type
Building IOC8(ed in an Unincorporated Area?
Flood Zone
Building Occupancy
Non ResIdential Description
Building Type
FOIUldation Type
Condominium Coverage
Property is Pnncipal Residence?
Property have an allached garage?
Date ofConsuuction I Substantial Improvement
Elevation Certificate
Diagram Number
No
FL 12-5129- -
MONROE COUNTY.
Regular
No
AE
Non Residential
ANIMAL SHELTER
1 Floor
Elevated - without Enclosure
No
No
No
011011l976
Yes (LFE 10.4) (BFE 7.0) (LAG 0.0)
Please See Pa!!e Two
Jun-2B-02 01:15P Richard Horan
305 294 7762
P.02
Omaha P&C - Standard Application
National Flood Servires - PO Box 2057 - KalispeJl. MT 59903-2057 (800)637-3846
Elevated Buildinl! I Gara2c Information
Elevated area enclosed')
Enclosed area constlUctcd with openings')
Building Ele....ation Method
Enclosure Matenal
Enclosed area size
Enclosure area used for (llher than access,
parking or storage'?
Oescrihe other use:
Enclosure area conlains machinery
or equipmen('J
Elevation difference betw~n reference
level and lower level where machinery
or equipment is located
Garage elc\'ation
Garage constructed with openings?
Garage conlain machinery or equipment?
Machinery or equipment elevated?
Garage used for other than parking?
No
No
Piers, Posts, Or Piles
No
No
No
No
No
No
Calculation Infonnatjon
Building Coverage: $92000 (@O 16/o@) Contents Coverage: $ (@ 0.00/0,00)
Annual $147, Expense $50, Federal Policy Fee: $30, ICe Prem: $6, Probation: $0
Replacement Cost: $92000 Dcductibles $500 1500 Total Premium Due $233
The above statements are correct 10 the best of my knowledge. The property owner and I understand
that any false statements may be punishable by fme or Imprisonment under applicable federsllaw.
These rates and premium are subjcctlo verification and/or adjustment by the company.
To complete the pol' iss roccss, premium m be received.
ate to-.d-~D~
Insured Signature
Patment Check
Mll1l Agent Copy o(Deolantion pqe,
Application printed on: 06/28/2002 f2Kv5a Build# 0]/Ot/2002
JUN-28-2002 04:1)P FRoM:KEYS SHIPPING 3058728930
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ACORDN CERTIFICATE OF LIABILITY INSURANCI;T~~~ J~ DATE (MMIDDNY)
07/02/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Key West FL 33045-5548 INSURERS AFFORDING COVERAGE
Phone: 305-294-7696 Fax:305-294-7383
INSURED INSURER A: Stirling Cooke Ins. Svcs.
INSURER B:
Stand up for Animals Inc. INSURER C:
29162 Iris Dr INSURER D:
Big Pine Key FL 33043 INSURER E:
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 TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
'~f; TYPE OF INSURANCE POLICY NUMBER EOI,~C;J_t=ffEC IY" -Y_L.!9Y.t=~Pl~~ T~?N LIMITS
DATE MM/DDNYJ DATEiMM/DDNY
GENERAL LIABILITY EACH OCCURRENCE $
r--
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $
1-- =:J CLAIMS MADE 0 OCCUR ~-~.__._------ -..-.-.... n_.___.__
MED EXP (Anyone person) $
I--
PERSONAL & ADV INJURY $
r--
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS. COMP/OP AGG $
n nPRO. n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $
ANY AUTO ~M ~~~~ aNT (Ea accident)
- ..AN>!> '( ,
ALL OWNED AUTOS BODILY INJURY
- APP'1\'n T ~ - (Per person) $
SCHEDULED AUTOS
- , lrh.\r0
HIRED AUTOS B'{ -"'V I ' - BODILY INJURY
- (Per accident) $
NON-OWNED AUTOS DATE -
r-- /YES- -
Nil PROPERTY DAMAGE $
I-- WAIVER - (Per accident)
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT $
R ANY AUTO ..-
OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE AGGREGATE $
$
=1 DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I TORY LIMITS I IU~~-
A EMPLOYERS' LIABILITY BINDER #77017837102 07/01/02 07/01/03 $ 100000
E'L, EACH ACCIDENT
E.L DISEASE - EA EMPLOYEE $ 100000
EL DISEASE - POLICY LIMIT $ 500000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN
Monroe County Board of County NOTICE TO T~TIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Commissioners IMPOSE NO 0 I TION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
1100 Simonton St REPR~SENT $.,. ......,. IJ /J -,
Key West FL 33040
r ~ 'i 7S7,7:fljJ 'I$N~V~/A.PP .A
I n J'j
ACORD 25-8 (7197) \.-/ I @ACORDCORPORATION 1988
()
OmilHiI PROPI!ImI
ilno Cil~UilLT!I
A lIlIutIaI.of 0n0IN0 C.......,
STANDARD POLICY
EFFECTIVE AT 12:01 AM 07/01/2002 TO 07/0\12003
NEW POLICY DECLARATIONS
PAYER: INSURED
INSURED PROPERTY ADDRESS:
279 INDUSTRIAL RD
BIG PINE KEY FL 33043
Flood Insurance Program
PO Box 34627 Bethesda, MD 20827-0627
1-800-638-9280
POLICY NUMBER: 3509577023
NAMED INSURED AND MAILING ADDRESS:
STAND UP FOR ANIMALS INC
29162 IRIS DR
BIG PINE KEY FL 33043
cc
r:;"no...r> (€.-
,/3.0
AGENT NAME AND ADDRESS:
ATLANTIC PACIFIC INSURANCE INC
11382 PROSPERITY FARMS STE 123
PALM BCH GARDEN FL 33410
FIRST MORTGAGEE / LENDER NAME:
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
1100 SIMONTON ST
KEY WEST FL 33040
800-745-3745
SECOND MORTGAGEE/LENDER NAME:
LOAN NUMBER:
OTHER MORTGAGEE / LENDER NAME:
LOAN NUMBER:
LOAN NUMBER:
APPR
BY
DATE
WAIVtH
2o~
PROPERTY DESCRIPTION
BUILDING:
TWO FLOORS WITH NO ENCL
NON-RESIDENTIAL NOT SMALL BUSINESS
ELEVATED BUILDING
CONTENTS:
RATING INFORMATION
FIRM ZONE: AE
ELEVATION DIFFERENCE: +4
COMMUNITY NUMBER:
COMM. RATING DISCOUNT:
125129
00%
AMOUNTS OF INSURANCE
BUlLDIN G:
CONTENTS:
BASIC
COVERAGE RATE
$95,800 X 00.16
$0 X 00.00
PREMIUM
$153.00
$0.00
ADDITIONAL
COVERAGE
$0
$0
RATE
X 00.08
X 00.00
PREMIUM
$0.00
$0.00
$
$
TOT AL
PREMIUM
153.00
0.00
$0
$0
SUBTOTAL: $
OPTIONAL DEDUCTIBLE ADJUSTMENT: $
COMMUNITY DISCOUNT: $
PROBATION SURCHARGE: $
EXPENSE CONSTANT: $
INCREASED COST OF COMPLIANCE PREMIUM: $
TOT AL WRITTEN PREMIUM: $
FEDERAL POLICY SERVICE FEE: $
TOTAL PREMIUM PAID: $
153.00
0.00
0.00
0.00
50.00
6.00
209.00
30.00
239.00
BUILDING REPLACEMENT COST:
TOTAL BUILDING COVERAGE:
BUILDING DEDUCTIBLE:
TOTAL CONTENTS COVERAGE:
CONTENTS DEDUCTIBLE:
$95,800
$95,800
$500
PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES
PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE A CURRENT POLICY JACKET
DEe PRINT DATE: 07/09/2002
JDADI41A 3435
WYOISRIF
()
OmilHiI PROPI!RY9
ilnD C iI~UilLT9
.....""'alol(~l"""'"'.)I
STANDARD POLICY
EFFECTIVE AT ]2:0] AM 07/01/2002 TO 07101:2003
NEW POLICY DECLARATIONS
PAYER: INSURED
INSURED PROPERTY ADDRESS:
10550 AVIATION BLVD
MARATHON FL 33050
Flood Insurance Program
PO Box 34627 Bethesda, M D 20827-0627
] -800.638,9280
POLICY NLJMBE,R:3509577031
NAMED INSURED AND MAILING ADDRESS:
STAND UP FOR ANIMALS INC
29162 IRIS DR
BIG PINE KEY FL 33043
cc;
Fr 'n u.. n (. e.....
7/30
AGENT NAME AND ADDRESS:
ATLANTIC PACIFIC INSURANCE INC
11382 PROSPERITY FARMS STE 123
PALM BCH GARDEN FL 33410
FIRST MORTGAGEE / LENDER NAME:
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
1100 SIMONTON ST
KEY WEST FL 33040
800-745-3745
SECOND MORTGAGEE/LENDER NAME:
LOAN NUMBER:
OTHER MORTGAGEE / LENDER NAME:
LOAN NUMBER:
LOAN NUMBER:
AP
MENT
PROPERTY DESCRIPTION
BlJILDlNG:
ONE FLOOR WITH NO ENCL
NON-RESIDENTIAL NOT SMALL BUSINESS
ELEVATED BUILDING
CONTENTS:
DATE
WAIVER
RATING INFORMATION
FIRM ZONE: AE
ELEVATION DIFFERENCE: +3
COMMUNITY NUMBER:
COMM. RATING DISCOUNT:
125129
00%
AMOUNTS OF INSURANCE
BUlLDI~G:
CONTENTS:
BASIC
COVERAGE RATE
$92,000 X 00.16
$0 X 00.00
PREMIUM
$147.00
$0.00
ADDITIONAL
COVERAGE RATE
$0 X 00.08
$0 X 00.00
PREMIUM
$0.00
$0.00
$
$
TOT AL
PREMIUM
147.00
0.00
TOT AL WRITTEN PREMIUM: $
FEDERAL POLICY SERVICE FEE: $
TOTAL PREMIUM PAID: $
147.00
0.00
0.00
0.00
50.00
6.00
203.00
30.00
233.00
BUILDING REPLACEMENT COST:
TOTAL BUILDING COVERAGE:
BUILDING DEDUCTIBLE:
$92,000
$92,000
$500
SUBTOTAL: $
OPTIONAL DEDUCTIBLE ADJUSTMENT: $
COMMUNITY DISCOUNT: $
PROBATION SURCHARGE: $
EXPENSE CONSTANT: $
INCREASED COST OF COMPLIANCE PREMIUM: $
TOTAL CONTENTS COVERAGE:
CONTENTS DEDUCTIBLE:
$0
$0
PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES
PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE A CURRENT POLICY JACKET
~'-...
,~
DEe PRINT DATE: 0711212002
JDAOI41A 2137
WYOISRIF
You're in good hands.
~r0
~AlIstate.
CERTIFICATE OF INSURANCE
EFFECTIVE DATE
OF CERTIFICATE
07/01/02
ALLSTATE INDEMNITY COMPANY
HOME OFFICE - NORTH BROOK, IL 60062
hereby certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER
STAND UP FOR ANIMALS INC 048613925 BAP
POLICY PERIOD
07/01/02 TO 07/01/03
AT 12:01 A.M. STANDARD TIME
29162 IRIS DR
BIG PINE KEY, FL 33043-6000
The person or organization designated below is described in the policy as:
MCBOCC
1100 SIMONTON ST
KEY WEST, FL 33040-3110
~ LIENHOLDER (Loss Payable Clause)
ADDITIONAL INTERESTED PARTY
X ADDITIONAL INSURED
CERTIFICATE HOLDER
Coverages designated are afforded as stated below:
AS THEIR INTEREST MAY APPEAR
AP
BY
DATE
WAIVER
ffit'. (Q)lJ
CC'.~
Gdt6 kJv
To the person or organization stated above:
This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder
named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days
written notice at its last address known to the Company.
Proof of such mailing is deemed sufficient proof of such notice.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy
referred to above.
BU13So-1 ~
e.c:. .' ~
PAGE 1 OF 1
tI
~AlIstate.
You.re in good hands.
POLICY NUMBER 048613925 BAP
COMMERCIAL AUTO
CA 2001 1001
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LESSOR - ADDITIONAL INSURED AND LOSS PAYEE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is in-
dicated below.
Endorsement Effective JU L Y 01, 2003 Countersigned By:
Named Insured:
STAND UP FOR ANIMALS INC
(Authorized Representative)
SCHEDULE
ALLSTATE INSURANCE COMPANY
048613925 BAP
JULY 01,2003
JULY 01, 2004
STAND UP FOR ANIMALS INC
29162 IRIS DR
BIG PINE KEY, FL 33043-6000
Additional Insured (Lessor) MCBOCC
Address 1100 SIMONTON ST
KEY WEST, FL 33040-3110
Designation or Description of "Leased Autos"
AS THEIR INTEREST MAY
Insurance Company
Policy Number
Effective Date
Expiration date
Named Insured
Address
APPEAR
APP
BY
DATE ___"
WAIVER
o...-d.n. ~ 3
",t .j(J YES
~~ ([bfl
(C'- U
~~
CA 20 01 10 01
Copyright, ISO Properties, Inc., 2000
Page 1 of 2
t .
Cc..: ~
II
BU114-2
Coverages Limit Of Insurance
Liability
$1,000,000 EACH" ACCIDENT
Personal Injury
Protection (or equivalent
no-fault coverage) $
Comprehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS:
$ For Each Covered "Leased Auto"
Collision ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS
$ For Each Covered "Leased Auto"
Specified Causes of Loss ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS
$ For Each Covered "Leased Auto"
(If no entry appears above, information required to complete this endorsement will be shown in the Declara-
tions as applicable to this endorsement.)
A. Coverage
1. Any "leased auto" designated or described
in the Schedule or in the Declarations will
be considered a covered "auto" you own
and not a covered "auto" you hire or bor-
row. For a covered "auto" that is a "leased
auto" Who Is An Insured is changed to in-
clude as an "insured" the lessor named in
the Schedule.
3. If we make any payment to the lessor, we
will obtain his or her rights against any
other party.
C. Cancellation
1. If we cancel the policy, we will mail notice
to the lessor in accordance with the Can-
cellation Common Policy Condition.
2. The coverages provided under this
endorsement apply to any "leased auto"
described in the Schedule until the expira-
tion date shown in the Schedule, or when
the lessor or his or her agent takes pos-
session of the "leased auto", whichever
occurs first.
2. If you cancel the policy, we will mail notice
to the lessor.
3. Cancellation ends this agreement.
D. The lessor is not liable for payment of your
premiums.
B. Loss Payable Clause
E. Additional Definition
1. We will pay, as interest may appear, you
and the lessor named in this endorsement
for "loss" to a "leased auto".
As used in this endorsement
2. The insurance covers the interest of the
lessor unless the "loss" results from
fraudulent acts or omissions on your part.
"Leased auto" means an "auto" leased or
rented to you including any substitute, re-
placement or extra "auto" needed to meet
seasonal or other needs, under a leasing or
rental agreement that requires you to provide
direct primary insurance for the lessor.
CA 20 01 10 01
Copyright, ISO Properties, Inc., 2000
Page 2 of 2
:fi) O!v1AHAPROPERTY
~ MUn:;~~o1lk1 . and CASUALTY
Flood Insurance Program
PO Box 34627 Bethesda, M D 20827-0627
1-800-638-9280
POll CY ~UMBER: 3509577023
STANDARD POLICY
EFFECTIVE AT 12:01 AM 07.012003 TO 07/01;2004
RENEWAL DECLARATIONS
PAYER: INSURED
I:\SURED PROPERTY ADDRESS:
279 INDUSTRIAL RD
BIG PINE KEY FL 33043
NAMED I:\SURED A:"tiD MAILING ADDRESS:
STAND UP FOR ANIMALS INC
29162 IRIS DR
BIG PINE KEY FL 33043
AGE:\T :\AME A:"tiD ADDRESS:
ATLANTIC PACIFIC INSURANCE INC
11382 PROSPERITY FARMS STE 123
PALM BCH GARDEN FL 33410
FIRST MORTGAGEE I LE:"tiDER I\A:\1E:
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
1100 SIMONTON ST
KEY WEST FL 33040 3110
800-745-3745
SECO!,;D MORTGAGE. E./LE!,;DER NAME: A~E.MENl
~1l1D~A~
DATE ___la~.
N 'A. ....1, YES ...-
WAIVER ! . ----*,..,,,
LOAi'i NUMBER:
OTH'. "O.T~, f ~",
C(~~
LOAN NUMBER:
LOAN NUMBER:
PROPERTY DESCRIPTION
BUILDI:"IlG:
TWO FLOORS WITH NO ENCL
NON-RESIDENTIAL NOT SMALL BUSINESS
ELEVATED BUILDING
CONTENTS:
RATING INFORMATION
FIRM ZONE: AE
ELEVATION DIFFERENCE: +4
COMMUNITY NUMBER:
COMM. RATING DISCOUNT:
125129
00%
AMOUNTS OF INSURANCE
BUILDING:
CONTENTS:
BASIC
COVERAGE RATE
$95,800 X 00.20
$0 X 00.00
PREMIUM
$192.00
$0.00
ADDITIONAL
COVERAGE RATE
$0 X 00.08
$0 X 00.00
PREMIUM
$0.00
$0.00
s
s
TOTAL
PREMIUM
192.00
0.00
BUILDING REPLACEMENT COST:
TOTAL BUILDING COVERAGE:
BUILDING DEDUCTIBLE:
$95,800
$95,800
$500
SUBTOTAL: S
OPTIONAL DEDUCTIBLE ADJUSTMENT: S
COMMUNITY DISCOUNT: S
PROBATION SURCHARGE: S
EXPENSE CONSTANT: S
IJ'liCREASED COST OF COMPLIANCE PREMIUM: $
192.00
0.00
0.00
0.00
0.00
6.00
TOT AI. CONTENTS COVERAGE:
CONTENTS DEDUCTIBLE:
$0
$0
TOTAL WRITTEl" PRE:\IIUM: S
fEDERAL POLICY SERVICE fEE: S
TOTAL PRE:VIIUM PAlO: S
198.00
30.00
228.00
PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES
PLEASE CONTACT YOUR AGENT IFYOU DO NOT HAVE A CURRENT POLICY JACKET
/ .
t.,c.-'~
nEe PRINT O^TF.: 05/19/2003 JOAOI41A 2960
OMAHA PROPERTY & CASUALTY
FLOOD INSURANCE PROGRAM
PO BOX 34627, BETHESDA, MD 20827-0627
f.......
\ .~
010F01
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
1100 SIMONTON ST
KEY WEST FL 33040 3110
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ CAREFULLY.
STANDARD FLOOD INSURANCE POLICY
ENDORSEMENT
Effective May 1, 2003
c_-
This Endorsement replaces Paragraph 2, Coverage D - Increased Cost of
Compliance, III - Property Covered of the Dwelling, General Property, and Residential
Condominium Building Association Policies with the following paragraph.
2. Limit of Liability
We will pay you up to $30,000 under this Coverage D
-Increased Cost of Compliance. which only applies to
policies with building coverage (Coverage A). Our
payment of claims under Coverage D is in addition to
the amount of coverage which you selected on the
application and which appears on the Declarations Page.
But the maximum you can collect under this
policy for both Coverage A - Building
property and Coverage D - Increased Cost
of Compliance cannot exceed the maximum
permitted under the Act. We do not charge
a separate deductible for a claim under
Coverage D.
.
..
'--
OIPnRI
(i) I O~1AHAPROPERTY
. MuTlloJ~o1Ik1 ! and CASUALTY
Flood Insurance Program
PO Box 34627 Bethesda, MD 20827-0627
1-800-638-9280
POll CY "UMBER: 3509577031
NAMED I:'IiSURED AND MAILI~G ADDRESS:
STAND UP FOR ANIMALS INC
29162 IRIS DR
BIG PINE KEY FL 33043
STANDARD POLICY
EfFECTIVE AT 12:01 AM 07,01'2003 TO 07/01/2004
RENEWAL DECLARATIONS
PAYER: INSURED
INSURED PROPERTY ADDRESS:
10550 AVIATION BLVD
MARATHON FL 33050
AGENT ....AME A:\D ADDRESS:
ATLANTIC PACIFIC INSURANCE INC
11382 PROSPERITY FARMS STE 123
PALM BCH GARDEN FL 33410
FIRST MORTGAGEE I LENDER I\AME:
MONROE COUNTY BOARDOF
COUNTY COMMISSIONERS
1100 SIMONTON ST
KEY WEST FL 33040 3110
800-745-3745 LOAN 1\UMBER:
S>:CO~O MORTGAG"/l'''O'R ~~~ MORTGAGER ~~.~ _
DATE Ct. ~I ~
WAIVER N/A _'::::!... YES - ~ kW
LOAN NUMBER: LOAN NUMBER:
PROPERTY DESCRIPTION
BUILDli'iG:
ONE FLOOR WITH NO ENCL
NON-RESIDENTIAL NOTSMALL BUSINESS
ELEVATED BUILDING
CONTENTS:
RATING INFORMATION
FIRM ZONE: AE
ELEVATION DIFFERENCE: +3
COMMUNITY NUMBER:
COMM. RATING DISCOUNT:
125129
00%
AMOUNTS OF INSURANCE
BUILDING:
CONTENTS:
BASI C
COVERAGE RATE
$92,000 X 00.20
$0 X 00.00
PREMIUM
$184.00
$0.00
ADDITIONAL
COVERAGE RATE
$0 X 00.08
$0 X 00.00
PREMIUM
$0.00
$0.00
s
s
TOTAL
PREMIUM
184.00
0.00
BUILDING REPLACEMENT COST:
TOTAL BUILDING COVERAGE:
BUILDING DEDUCTJRLE:
$92,000
$92,000
$500
SUBTOTAL: $
OPTIONAL DEDUCTIBLE ADJUSTMENT: $
COMMUNITY DISCOUNT: $
PROBATION SURCHARGE: $
EXPENSE CONSTANT: S
INCREASED COST OF COMPLIANCE PREMIUM: $
TOTAL WRITTEN PREMIUM: S
FEDERAL POLICY SERVICE FEE: $
TOTAL PREMIUM PAID: $
184.00
0.00
0.00
0.00
0.00
6.00
190.00
30.00
220.00
TOTAL CONTENTS COVERAGE:
CONTENTS DEDUCTIBLE:
$0
$0
PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES
PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE A CURRENT POLICY JACKET
~
ce..
DF.e PRINT D^TF.: 05/19/2003
JDAOI41A 2961
OMAHA PROPERTY & CASUALTY
FLOOD INSURANCE PROGRAM
PO BOX 34627, BETHESDA, MD 20827-0627
("
010F01
MONROE COUNTY BOARD OF
COUNTY COMMISSIONERS
1100 SIMONTON ST
KEY WEST FL 33040 3110
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ CAREFULLY.
STANDARD FLOOD INSURANCE POLICY
ENDORSEMENT
Effedive May 1, 2003
t
This Endorsement replaces Paragraph 2, Coverage D - Increased Cost of
Compliance, III - Property Covered of the Dwelling, General Property, and Residential
Condominium Building Association Policies with the following paragraph.
2. Limit of Liability
We will pay you up to $30.000 under this Coverage D
-Increased Cost of Compliance, which only applies to
policies with building coverage (Coverage A). Our
payment of claims under Coverage D is in addition to
the amount of coverage which you selected on the
application and which appears on the Declarations Page.
But the maximum you can collect under this
policy for both Coverage A - Building
property and Coverage D - Increased Cost
of Compliance cannot exceed the maximum
permitted under the Act. We do not charge
a separate deductible for a claim under
Coverage D.
\.~
OIPDfll
ACORQ CERTIFICATE OF LIABILITY INSURANCE CSR CH r DATE (MMlDD1YYYY)
STAND-2 06/18/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Key West FL 33045-5548
Phone: 305-294-7696 Fax:305-294-7383 INSURERS AFFORDING COVERAGE NAlC#
INSURED INSURER A: Allstate Insurance Co. 19232
INSURER B: Allstate Insurance Co. 19232
Stand up for Animals Inc. INSURER C: CNA Surety
29162 Iris Dr INSURER D: Penn-American Insurance Co.
Big Pine Key FL 33043 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR[ TYPE OF INSURANCE POLICY NUMBER PD~~~' 'ri~J8~T ~r~':b'"[f'~~N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1000000
- UAMA\;l:
D X X COMMERCIAL GENERAL LIABILITY PAC6306866 07/01/03 07/01/04 PREMISES (Ea occurence) $100000
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $ 5000
PERSONAL & ADV INJURY $ 1.000000
-
GENERAL AGGREGATE $ 1000000
-
GEN'L AGGREGATE LIMIT APnS PER: PRODUCTS - COMP/OP AGG $ 1000000
I n PRO-
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
f- $ 1000000
X ANY AUTO (Ea accident)
f-
ALL OWNED AUTOS BODILY INJURY
f-- $
A X SCHEDULED AUTOS 048613925 07/01/03 07/01/04 (Per person)
-
A ~ HIRED AUTOS 048613925 07/01/03 07/01/04 BODILY INJURY
$
A ...!... NON-OWNED AUTOS 048613925 07/01/03 07/01/04 (Per accident)
PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
q ANY AUTO API' " ^ L"" J" ~Gfkl NJ EA ACC $
'"[~Y'C .M UANA _ OTHER THAN
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY I:SY \I ~ lo<': . LU.JP" Jo
\) y;, ~ ID~ EACH OCCURRENCE $
tJ OCCUR D CLAIMS MADE DATE AGGREGATE $
:f-. YES $
R DEDUCTIBLE WAIVER N/A_ $
RETENTION $ $
WORKERS COMPENSATION AND r VVl;::iIA1.Y.: I F
TORY LIMITS ER
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
~~~~I~tS~~~v~g?6~s below E.L. DISEASE - POLICY LIMIT $
OTHER
B Property Section 049919730 07/01/03 07/01/04 Mrthn/BPK 92000/95800
C Dishonesty Bond 69364925 07/01/03 07/01/04 Bond 100000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
F: WIND- CITIZENS #1317511 7/1/03-7/1/04 - Marathon-$92000/BPK-$96000
G: FLOOD-OMAHA #3509577031 7/1/03-7/1/04 - Marathon-$92000
H: FLOOD-OMAHA #3509577023 7/1/03-7/1/04 - BPK - $95800
CERTIFICATE HOLDER
Monroe County Board of County
Commissioners
1100 Simonton St
Key West FL 33040
CANCELLATION
MCBCCOM 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 N IGATIO ILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
ACORD 25 (2001/08)
ACORDTM CERTIFICATE OF LIABILITY INSURANCE JH~ DATE
R076 06 25 -2 003
PRODUCER THIS CERTIFICATE is ISSUED AS A MATTER OF INFORMATION
PAYCHEX AGENCY, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTiFICATE DOES NOT AMEND, EXTEND OR
210705 P: (877)287-1312 F: () - ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
308 FARMINGTON AVE INSURERS AFFORDING COVERAGE
FARMINGTON CT 06032
INSURED INSURER A: Hartford Underwriters Ins CO
INSURER B:
STAND UP FOR ANIMALS INC INSURER c:
10550 AVIATION BLVD INSURER 0:
MARATHON FL 33050 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER l;?i{''i~JIrJ,gJv'W ~ffl,fl:!~JJ~,), LIMITS
LTR
~ERAL LIABILITY EACH OCCURRENCE $
~MMERCIAL GENERAL LIABILITY FIRE DAMAGE IAny one fire) $
I--
I-- _I CLAIMS MADE n OCCUR MED EXP (Anyone person! $
PERSONAL & ADV INJURY $
I-- GENERAL AGGREGATE $
n'L AGGREn ~MI~ APn PER: PRODUCTS - COM PlOP AGG $
POLICY , J~8T LOC
~OMOBILE UABIUTY COMBINED SINGLE LIMIT $
ANY AUTO lEa accident)
I--
I-- ALL OWNED AUTOS BODILY INJURY
$
SCHEDULED AUTOS (Per person)
I-- ~K M~@E
I-- HIRED AUTOS APT ~r/" ~ ~r BODilY INJURY
~ENT $
NON-DWNED AUTOS (Per accidentl
I--
- ~/I :r- PROPERTY DAMAGE $
BY " . ~~ '" (Per accident)
~iGE LIABIUTY DATE D I ;""iJI U") AUTO ONLY - EA ACCIDENT $
ANY AUTO ~YES OTHER THAN EA ACC $
WAIVER N/A AUTO ONLY: AGG $
~ESS LIABILITY c~.'. CUOJ EACH OCCURRENCE $
1---1 OCCUR 0 CLAIMS MADE CO AGGREGATE $
u~ $
~I DEDUCTIBLE ~1lJo $
RETENTION $ $
WORKERS COMPENSA TION AND X r T"X~JT~J.~~T TOJ.tt-
A EMPLOYERS' LIABILITY 76 WEG KT2968 07/01/03 07/01/04 100,000
E.l. EACH ACCIDENT $
E.L DISEASE - EA EMPLOYEE $ 100,000
E.l. DISEASE - POLICY LIMIT $ 500,000
OTHER
DESCRIPTION OF OPERA TIONSlLOCA TlONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
CERTIFICATE HOLDER I r ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
MONROE COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
BOARD OF COUNTY COMMISSIONERS 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
ATT: RICK MANAGEMENT HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
1100 SEMIONTON STREET,ROOM 268 OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
KEY WEST, FL 33040
~Q~~J:f!~~
ACORD 25-S (7/97)
<0 ACORD CORPORATION 1988
ACORD~ CERTIFICATE OF LIABILITY INSURANCE CSR CH I DATE (MMlDDIYYYY)
STAND-2 06/19/03
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Key West FL 33045-5548
Phone: 305-294-7696 Fax:305-294-7383 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Allstate Insurance Co. 19232
INSURER B: Allstate Insurance Co. 19232
Stand up for Animals Inc. INSURER C: CNA Surety
29162 Iris Dr INSURER D: Penn-American Insurance Co.
Big Pine Key FL 33043 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR[ TYPE OF INSURANCE POLICY NUMBER 'D~~~1ri~D~~E P2~LC:Y(~rXl~~N LIMITS
DATE MMlDD
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
- 07/01/03 07/01/04
D X X COMMERCIAL GENERAL LIABILITY PAC6306866 PREMISES (Ea occurence) $100000
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $ 5000
PERSONAL & ADV INJURY $1000000
r--
GENERAL AGGREGATE $ 1000000
r--
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000
II nPRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $ 1000000
X ANY AUTO (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- $
A ~ SCHEDULED AUTOS 048613925 07/01/03 07/01/04 (Per person)
A r!- HIRED AUTOS 048613925 07/01/03 07/01/04 BODILY INJURY
$
A X NON-OWNED AUTOS 048613925 07/01/03 07/01/04 (Per accident)
r--
f-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY 0..Q..~ e\~ h~1 :'M AUTO ONLY - EA ACCIDENT $
R ANY AUTO '{{It !:~AN~' "11 M5Ni OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY BY \~~ ~ ,__~_ OM_', -...-........<"., EACH OCCURRENCE $
::::::J OCCUR D CLAIMS MADE ~--~_.~~~ )- AGGREGATE $
DATE - A~YE? $
R DEDUCTIBLE WAIVER N ""'--
h/l~..) $
'" I I
RETENTION $ ..,.... , ,/ $
WORKERS COMPENSATION AND U~~. t'fJ f~ I T()~/~I~:f1S I IU~~-
EMPLOYERS' LIABILITY J 1
ANY PROPRIETOR/PARTNER/EXECUTIVE Lv' ~ EL. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? -.--
I '(tJ~ EL. DISEASE - EA EMPLOYEE $
~~~MiS~~'Ov~s?6~s below 1~ ~J EL. DISEASE - POLICY LIMIT $
OTHER "
B Property Section 049919730 07/01/03 07/01/04 Mrthn/BPK 92000/95800
C Dishonesty Bond 69364925 07/01/03 07/01/04 Bond 100000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
F: WIND- CITIZENS #1317511 7/1/03-7/1/04 - Marathon-$92000/BPK-$96000
G: FLOOD-OMAHA #3509577031 7/1/03-7/1/04 - Marathon-$92000
H: FLOOD-OMAHA #3509577023 7/1/03-7/1/04 - BPK - $95800
CERTIFICATE HOLDER
Monroe County Board of County
Commissioners
1100 Simonton St
Key West FL 33040
CANCELLATION
MCBCCOM 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 N OB IGATION OR LIABILI OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Hor
TION 1988
~ Allstate.
You're In good hands.
POLICY NUMBER 048613925 SAP
COMMERCIAL AUTO
CA 2001 1001
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LESSOR - ADDITIONAL INSURED AND LOSS PAYEE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is in-
dicated below.
Endorsement Effective JU L Y 01, 2004 Countersigned By:
Named Insured:
STAND UP FOR ANIMALS INC
(Authorized Representative)
SCHEDULE
ALLSTATE INSURANCE COMPANY
048613925 BAP
JULY 01, 2004
J U L Y 01, 2005
STAND UP FOR ANIMALS INC
29162 IRIS DR
BIG PINE KEY, FL 33043-6000
Additional Insured (Lessor) MCBOCC
Address 1100 SIMONTON ST
KEY WEST, FL 33040-3110
Designation or Description of "Leased Autos"
AS THEIR INTEREST MAY
Insurance Company
Policy Number
Effective Date
Expiration date
Named Insured
Address
APPEAR
W.AIVn, ~\!.'1.
..APPI'I~\
BY ---\}_.t~
DATE _.----.
CA 2001 1001
Copyright, ISO Properties, Inc., 2000
Page 1 of 2
I .
e <: .<~
E
BU114-2
Coverages Limit Of Insurance
Liability
$1,000,000 EACH" ACCIDENT
Personal Injury
Protection (or equivalent
no-fault coverage) $
Comprehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS:
$ For Each Covered "Leased Auto"
Collision ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS
$ For Each Covered "Leased Auto"
Specified Causes of Loss ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS
$ For Each Covered "Leased Auto"
(If no entry appears above, information required to complete this endorsement will be shown in the Declara-
tions as applicable to this endorsement.)
A. Coverage
1. Any "leased auto" designated or described
in the Schedule or in the Declarations will
be considered a covered "auto" you own
and not a covered "auto" you hire or bor-
row. For a covered "auto" that is a "leased
auto" Who Is An Insured is changed to in-
clude as an "insured" the lessor named in
the Schedule.
3. If we make any payment to the lessor, we
will obtain his or her rights against any
other party.
C. Cancellation
1. If we cancel the policy, we will mail notice
to the lessor in accordance with the Can-
cellation Common Policy Condition.
2. The coverages provided under this
endorsement apply to any "leased auto"
described in the Schedule until the expira-
tion date shown in the Schedule, or when
the lessor or his or her agent takes pos-
session of the "leased auto", whichever
occurs first.
2. If you cancel the policy, we will mail notice
to the lessor.
3. Cancellation ends this agreement.
D. The lessor is not liable for payment of your
premiums.
B. Loss Payable Clause
E. Additional Definition
1. We will pay, as interest may appear, you
and the lessor named in this endorsement
for "loss" to a "leased auto".
As used in this endorsement:
2. The insurance covers the interest of the
lessor unless the "loss" results from
fraudulent acts or omissions on your part.
"Leased auto" means an "auto" leased or
rented to you including any substitute, re-
placement or extra "auto" needed to meet
seasonal or other needs, under a leasing or
rental agreement that requires you to provide
direct primary insurance for the lessor.
CA 20 01 10 01
Copyright, ISO Properties, Inc., 2000
I
Page 2 of 2
~AlIstate.
You're in good hands.
CERTIFICATE OF INSURANCE
ALLSTATE INSURANCE COMPANY
HOME OFFICE - NORTH BROOK, IL 60062
hereby certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER
STAND UP FOR ANIMALS INC 048613925 BAP
EFFECTIVE DATE
OF CERTIFICATE
07/01/04
29162 IRIS DR
BIG PINE KEY, FL 33043-6000
The person or organization designated below is described in the policy as:
MCBOCC
1100 SIMONTON ST
KEY WEST, FL 33040-3110
POLICY PERIOD
07/01/04 TO 07/01/05
AT 12:01 A.M. STANDARD TIME
Coverages designated are afforded as stated below:
~ LIENHOLDER (Loss Payable Clause)
X ADDITIONAL INTERESTED PARTY
ADDITIONAL INSURED
CERTIFICATE HOLDER
AS THEIR INTEREST MAY APPEAR
To the person or organization stated above:
This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder
named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days
written notice at its last address known to the Company.
Proof of such mailing is deemed sufficient proof of such notice.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy
referred to above.
BU13SG-1
PAGE 1 OF 1
BU114-2
B:::;:;!
.~
~ .
ACORDN CERTIFICATE OF LIABILITY INSURANCE CSR CH I DATE (MMlDDIYYYY)
STAND-2 06/29/04
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Atlantic Pacific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Key West FL 33045-5548
Phone: 305-294-7696 Fax:305-294-7383 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Allstate Insurance Co. 19232
INSURER B: CNA Surety
Stand up for Animals Inc. INSURER C: Allstate Insurance Co. 19232
10550 Aviation Blvd INSURER D:
Marathon FL 33050
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR[ TYPE OF INSURANCE POLICY NUMBER "D~1-E (MMlDDIYY DATE MMlDD~N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
I-- UAMAl;t:
X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $
I CLAIMS MADE D OCCUR MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
- GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM~OPAGG $
I .nPRO- n
POLICY JECT LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $ 1000000
A X ANY AUTO 048613925 07/01/04 07/01/05 (Ea accident)
-
ALL OWNED AUTOS BODILY INJURY
- $
X SCHEDULED AUTOS (Per person)
-
HIRED AUTOS BODILY INJURY
I-- $
NON-OWNED AUTOS (Per accident)
f--
I-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY ..ii ,~ENT AUTO ONLY - EA ACCIDENT $
~ ANY AUTO APP~ i fj", I , OTHER THAN EA ACC $
...,/ HI AUTO ONLY: AGG $
EXCESs/UMBRELLA LIABILITY .... \ r/6~ 10.../ } -
- CJ1~ EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE DATE --
..".,. t AGGREGATE $
rES_ -
WA\\r M :/ $
~ DEDUCTIBLE ~Qp $
RETENTION $ $
WORKERS COMPENSATION AND ~ ~&~ ---.h9RY LIMITS I 10J~-
EMPLOYERS' LIABILITY ~'-'- -.
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
~p~~lits~~~v~~1c5~s below E.L. DISEASE - POLICY LIMIT $
OTHER
B Bond 69364925 07/01/04 07/01/05 Empl Dis. 100,000
C Property 049919730 07/01/04 07/01/05 BPK/Mrthn 95,000/92k
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECiAl PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
MCBCCOM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10
NOTI
Monroe County Board of County
Commissioners
1100 Simonton St rr,II;\.:FdVj,l)
Key West FL 33040 ,"" .'.. . ~
C~ h'r1a..nc~
ACORD 25 (2001/08)
Ii
@ACORDCORPORATION 1988
Processed by:
Flood Insurance Processinq Center
P.O. Box 2057 Kalispell NT 59903-2057
CURRENT POLICY #: 99020324282004
PREVIOUS POLICY #: 35095770232003
For payment .tatu.. calli (888) 245-7274
FIDELITY NATIONAL INSURANCE COMPANY
FLOOD POLICY DECLARATIONS
JUN 2 2 2004
New Policy
TYPE: GENERAL
POLICY PERIOD: 7/01/2004 to 7/01/2005
These Declarations are effective as of: 7/01/2004 at 12:01 AM
PRODUCER NAME & MAILING ADDRESS
1..11...11..1..1'1.1111'11..11..1..1.111'1.11..1..111'1,1..111
INSURED NAME & ADDRESS
PRODUCER#: 08480-06317-000
ATLANTIC PACIFIC INSURANCE INC
11382 PROSPERITY FARMS STE 123
PALM BEACH GARDENS. FL 33410-3463
STAND UP FOR ANIMALS INC
7932 TUNA DR
MARATHON. FL 33050-2826
POLICY INFORMATION
PREMIUM PAYOR: Insured
COMMUNITY. NAME
MONROE COUNTY*
COMMUNITY NUMBER
1251291536F
INSURED PROPERTY ADDRESS
279 INDUSTRIAL RD
BIG PINE KEY, FL 33043-3407
POLICY TERM: One Year
BUILDING DESCRIPl'ION
Non-Residential
Two Floors
Elevated Building
Coverage Limitations May Apply, Refer
to your Standard Flood Insurance
Policy for details.
CONTENTS LOCATION
N/A
PROGRAM
Regular
FLOOD ZONE
AE
CONSTRUCTION
Post-Firm
Construction
COVERAGE & RATING INFORMATION
BUILDING
CONTENTS
PREMIUM PAID
Coverage:
Deductible:
$95,800
$500
.200/ .080
Coverage: N/A
Deductible: N/A
Premium Subtotal:
Previous Premium Subtotal:
ICC Premium:
CRS Discount:
Expense Constant:
Federal Policy Fee:
Endorsement Amount:
Rates:
Rates:
N/A
THIS IS AN ELEVATED BUILDING, COVERAGE IS LIMITED
BELOW THE LOWEST ELEVATED FLOOR. SEE PROPERTY NOT
COVERED IN STANDARD FLOOD INSURANCE POLICY.
~~" I ~~ NAGEMENT
APP , wl\ I~
(
8 Y , ---" . U
Co ' 2..~O+_.-
D/\T L: - ..--- -
,f. ,j r:,~-.,_.___
J\~.
ii(~
~~
WAIVER
FIRST MORTGAGEE
MONROE COUNTY BOARD OF
1100 SIMONTON ST
KEY WEST. FL 33040-3110
2ND MORTGAGEE
$192.00
$192.00
$6.00
$.00
$.00
$30.00
$.00
$228.00
This Declarations Page. in conjuncion with the policy. constitutes your Flood Insurance Policy.
BL~C: ~ :" HITNESS HHEREOF, " "'~1flr~icph;7= ~~::~::~2~;4PY
~ Fidelity National Insurance Con any 1X
Processed by:
Flood Insurance Processinq Center
P.O. Box 2057 Kalispell NT 59903-2057
CURRENT POLICY #: 99020324212004
PREVIOUS POLICY #: 35095770312003
For payment .tatu., call. (888) 245-7274
FIDELITY NATIONAL INSURANCE COMPANY
FLOOD POLICY DECLARATIONS
TYPE: GENERAL
POLICY PERIOD: 7/01/2004 to 7/01/2005
JUN 2 2 2004
New Policy
These Declarations are effective as of: 7/01/2004 at 12:01 AM
PRODUCER NAME & MAILING ADDRESS
111111111111111111111111111111111111.111111111111,11111,111/11
INSURED NAME & ADDRESS
PRODUCER#: 08480-06317-000
ATLANTIC PACIFIC INSURANCE INC
11382 PROSPERITY FARMS STE 123
PALM BEACH GARDENS, FL 33410-3463
STAND UP FOR ANIMALS INC
7932 TUNA DR
MARATHON, FL 33050-2826
POLICY INFORMATION
PREMIUM PAYOR: Insured
COMMUNITY NAME
MONROE COUNTY*
COMMUNITY NUMBER
1251291581F
INSURED PROPERTY ADDRESS
10550 AVIATION BLVD
MARATHON, FL 33050-2908
POLICY TERM: One Year
BUILDING DESCRIPTION
Non-Residential
One Floor
Elevated Building
Coverage Limitations May Apply, Refer
to your Standard Flood Insurance
Policy for details.
CONTENTS LOCATION
N/A
PROGRAM
Regular
FLOOD ZONE
AE
CONSTRUCTION
Post~Firm
Construction
COVERAGE & RATING INFORMATION
BUILDING
CONTENTS
PREMIUM PAID
Coverage:
Deductible:
$92,000
$500
.200/ .080
Coverage: N/A
Deductible: N/A
Premium Subtotal:
Previous Premium Subtotal:
ICC Premium:
CRS Discount:
Expense Constant:
Federal Policy Fee:
Endorsement Amount:
Rates:
Rates:
N/A
THIS IS AN ELEVATED BUILDING, COVERAGE IS LIMITED
BELOW THE LOWEST ELEVATED FLOOR. SEE PROPERTY NOT
COVERED IN STANDARD FLOOD INSURANCE POLICY.
Total Premium:
OXO" ~
CL~ kitu
2ND MORTGAGEE '
DATE_.
FIRST MORTGAGEE Wi-\i\!!"::q
MONROE COUNTY BOARD OF
1100 SIMONTON ST
KEY WEST, FL 33040-3110
$184.00
$184.00
$6.00
$.00
$.00
$30.00
$.00
$220.00
This Declarations Page. in conjuncion with the policy, constitutes your Flood Insurance Policy.
IN WITNESS WHEREOF, '~~~~c!;;r.h'7= ;~::~~:~2~004PY
Fidelity National Insurance Con Jany IX
BLD
P,lIt 2: TillS AMENDED DECLARA nON PAGE, WITIIPOL!CY PROVISIONS. PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM
A PART THEREOF, COMPLETE TilE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY.
CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY
AUG 1 0 2004
7077 Bonneval Road - Suite ~OO, Jac~sonvlllc. Flonda .\2216-6064
INSURED NAME AND ADDRESS
~CH,I.~~N.~
CHANGE NO. 1T1I1S IS AN AMI<:NDED
STAND UP FOR ANIMALS INC
* 10550 AVIATION BLVD
MARATHON, FL 33050
GENERAL BUSINESS
THIS CHANGE IS EFFECTIVE 7/01/2004
POLICY TERM 7/01/2004 TO 7/01/2005 AT 12: 01 A.M. (EST) CITIZENS POLICY NO. 1317511
INCEPTION DATE EXPIRATION DATE THIS IS YOUR POLICY DECLARA TION PAGE
PAGE 1
Item
No.
$
$
%
$
$
* THIS STATEMENT OF COVERAGE GIVES THE STATUS OF YOUR POLICY AFTER THE RECENT CHANGE{S) .
NO ADDITIONAL OR RETURN PREMIUM RESULTED FROM THIS CHANGE{S)
1
99,000
o
80
2,970
T-85
810
ONE STORY FRAME ANIMAL SHELTER BLDG ON STILTS/PILINGS LOC:
10550 AVIATION BLVD MARATHON, MONROE FL 33050-2908
2
101,000
o
80
3,030
T-85
604
ONE STORY MASONRY ANIMAL SHELTER BLDG LOC:
279 INDUSTRIAL RD BIG PINE KEY, MONROE FL 33043-3407
AP II'
BY
DATE
vcC'
WAIVER NIA ~,"-j--
') -
(~..6.. .. ) .
~v 0 (C'. iL
~~
P - I
1$
I 200,000
SubJect to Form No(s :
I ADDITIONAL INSUREDS LIST ON PAGE
Mortgagee/Loss Payee:
I
Tax. xempt Sur
25.00
Florida Hurricane Cat Fund
$ .00
Reins/Cat Financing
$ 212.00
$
1,414.00
1,651.00
2
I
I
i Agent:
I
!
!
I
ATLANTIC PACIFIC INS 8709
11382 PROSPERITY FARMS RD
SUITE 123
PALM BEACH GARDENS, FL 33410
(56+-+~21-1800
Payor:
INSURED
Date:
7/29/2004
i'T'T'-Wn1. 17/n?'
Q'7f"1Q fT1"-'"::lrn A
T"'In."Tlllr""l.'D r....nnv
7\Uf"\
1 c: Q 1 ~
^J'7,Q
1'~11 2:IIIIS .\,'v1F:\IlFD DECIM{ATJ<):\ 1'.\( iE. WITlI POLICY I'l{{ lVISI()t\iS - I'.'\KT I :\ND I.:NDOKSI:MI:NTS. IF ,\\Y ISSLFD 10 F()Wvl
.\ I'\KI TI IERF< )1', COMPLETE TI IE \lEl.()W NljM\lEKED CITI/.ENS I'KOPIXry INSURANCE C()KI'( )KklJ< IN POI.ICY.
CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY
7077 Ilonn~val Road - S'"Ic')OO, .facksonvlllc. Flonda 3221 (,'(,0(,4
iNSURED NAME AND ADDRESS
~CITIZENS
"'I.'''' lU....,., "~...r..'.~..
CHANGE NO. 1T1IIS IS ,\N AMENDED
STAND UP FOR ANIMALS INC
* 10550 AVIATION BLVD
MARATHON, FL 33050
GENERAL BUSINESS
POLICY TERM 7/01/2004 TO 7/01/2005
rRr~~ EXPIRATION DATE
THIS CHANGE IS EFFECTIVE
AT 12: 01 A.M. (EST) CITIZENS POLICY NO. 1317511
THIS IS YOUR POLICY DECLARATION PAGE
7/01/2004
PAGE 2
Vem I',MUUNT Uf INSU1<ANCr: Percent ot Deductible
o. Buildlng Cbntents xoiysurg9ce Terri tory Premium
pp 1 ca e
i
$ $ % $ $
i
ADDITIONAL NAMED INSUREDS LIST:
1 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
1100 SIMONTON ST
KEY WEST, FL 33040
I
, ['UTA). AMULJN' _J!<' TOTAL
,.
, Florida Hurricane Cat Fund
1$ $
Rei ns/Cat Fi nanci ng $
$
SubJect to Form No (6) :
i CIT CP2 CIT-W06
Mortgagee/Loss Payee:
---
,1'1gen t: Payor:
ATLANTIC PACIFIC INS 8709 INSURED
11382 PROSPERITY FARMS RD
SUITE 123
PALM BEACH GARDENS, FL 33410
Date:
7 ;
- --+E>6l +~-8-O-G----- -----
;29/2004
,-------'--------------~---~~--"--"----_._.__._,--- ----.--~I~------~
ACORD'M CERTIFICATE OF LIABILITY INSURANCE I DATE
'09-02-2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PAYCHEX AGENCY, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
210705 P: (877)287-1312 F: (877)287-1315 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
308 FARMINGTON AVE
FARMINGTON CT 06032 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Hart ford Underwriters Ins Co
STAND UP FOR ANIMALS INC ~flERB:
INSURER C:
C-'-' ._---"----------
10550 AVIATION BLVD INSURER D:
-----.----
MARATHON FL 33050 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER P,fJN.'i~JffJ,gw.f, "gffl,ffM":,~~~N LIMITS
LTR
!!!...NERAL LIABILITY EACH OCCURRENCE $
- nMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $
/--- +-' CLAIMS MADE D OCCUR MED EXP (Anyone person) $
r--- ---. ! PERSONAL & ADV INJURY $
- ---------- [<;ENERAL AGGREGA~. $ --
..s!!,N'L AGGREGATE LIMIT APPLI~ PER: ~DUc:TS - COMPIOP AC;-"- $
.-- c..J. POL!~ j~gT I Iwc +- ._.~t-.
~A.fJTOMOBILE LIABILITY I COMBINED SINGLE LIMIT $
-- ANY AUTO I lEa accidentJ
1------- -.
ALL OWNED AUTOS
- I BODILY INJURY $
SCHEDULED AUTOS (Per person)
- r BODILY INJURY
- HIRED AUTOS
$
NON-OWNED AUTOS (Per accident)
I---
'--- PROPERTY DAMAGE $
(Per accident)
~AGE LIABILITY AUTO ONLY - EA ACCIDENT $
ANY AUTO I OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESS LIABILITY r EACH OCCURRENCE $
.J OCCUR D CLAIMS MADE I AGGREGAT~--' -'-----'-
$ --
r----- $
r--- . --
3.;EDUCTIBLE , $
~.._ RETENTION _ $ I $
---- -~- X I T"X~ii ~~~If6J~-
WORKERS COMPENSA TION AND
A EMPLOYERS' LIABILITY 76 WEG KT2968 07/01/03 07/ 01/ 04 i E.L. EACH ACCIDENT $100,000
E.L. DISEASE - EA EMPLOYEE $100,000
E.L. DISEASE - POLICY LIMIT $500 000
OTHER !
! ".
^ I t,V ,;
;\ ;,ifi(.:;::U'::ldT
DESCRIPTION OF OPERA TIONSlLOCA TlONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS BY rn, "'J"IA~r
Those usual to the Insured's Operations.
(}LV: C~ ., ~.1.I,,_),
Co f i e.<; : ~ ~ -.0.. '" ( e- DATE _~....':"l.:: ~. I
Nj A ~__ YES
C . L WAIVER
( .
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER; ~ANCELLATION
MONROE COUNTY ~lj!J 'I!....nULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
"" . I EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
BOARD OF COUNTY COMMISSIONERS 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
ATT: RISK MANAGEMENT HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO
1100 SIMONTON STREET, ROOM 268 OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
KEY WEST, FL 33040
AUTHORIZED REPRESENT~
'R..Q.~..e..: 6..CI.....
ACORD 25-S (7/971
@ACORD CORPORATION 1988
ACORD7M CERTIFICATE OF LIABILITY INSURANCE
I DAn:
09-02-2004
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PAYCHEX AGENCY, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
210705 P: (877) 287-1312 F: (877)287-1315 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
308 FARMINGTON AVE INSURERS AFFORDING COVERAGE
FARMINGTON CT 06032
INSURED INSURER A: Hartf ord Underwriters Ins CO
INSURER B:
STAND UP FOR ANIMALS INC INSURER c:
10550 AVIATION BLVD INSURER D:
MARATHON FL 33050 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
~ TYPE OF INSURANCE POLICY NUMBER r:l~YM~~gg~E LIMITS
GENERAL LlABIUTY
COMMERCIAL GENERAL liABILITY
CLAIMS MADE U OCCUR
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MED EXP (Anyone person) $
PERSONAL & ADV INJURY I $
GEN'l AGGREGATE LIMIT APPLIES PER:
~~2T lOC
AUTOMOBILE LlABlUTY
ANY AUTO
All OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG $
COMBINED SINGLE LIMIT
(Ee accident)
BODilY INJURY
(Per person)
BODilY INJURY
(Per accident)
A
76 WEG KT2968
PROPERTY DAMAGE
(Per occident)
$
GARAGE LlABlL/TY
ANY AUTO
AUTO ONLY - EA ACCIDENT $
OTHER THAN
AUTO ONLY:
EA ACC $
AGG $
EXCESS LIABIlITY
OCCUR U CLAIMS MADE
EACH OCCURRENCE
AGGREGATE
$
$
DEDUCTIBLE
RETENTION
WORKERS COMPENSATION AND
EMPLOYERS'LlABIUTY
E.l. EACH ACCIDENT $1 0 0 , 0 0 0
E_l. DISEASE - EA EMPLOYEE $1 0 0 , 0 0 0
E.l. DISEASE - POLICY LIMIT $500 I 000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations.
CERTIFICATE HOLDER
I ADDITIONAL INSURED; INSURER LETTER:
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR
REPRESENTATIVES.
MONROE COUNTY
BOARD OF COUNTY COMMISSIONERS
ATT: RISK MANAGEMENT
1100 SIMONTON STREET,ROOM 268
KEY WEST, FL 33040
ACORD 25-S 17/9
c.c..
AUTHORIZED REPRESEN~E
'R....Q.~'G&.~~
e ACORD CORPORATION 1988
10/08/2004 16:22
3057431809
JOHNSONS INS
PAGE 02/02
ACORD.
CEF
..
~TIFICATE OF LIABILITY INSURANCE ~ xc T DoO."'I~
ST -1 10/08/04
'- I S~:iFICATE IS ISSUED AS A MATTER OF INFORMATION
A~~~\~D ~~D ~ NO RIGHTS UPON THE CERTIFICATE
BY 'J,u. ~~LDER. THIS CE IF1CATE DOES NOT AMEND, EXTEND OR
dal Blvd SteW728 COVERAGE ~FORDED BY TIiE pOLICIES BELOW.
:1.. 33308 DATE I '\ hti . .
l. G COVERAGE NAle #
-. WAIVER ~~EIVltC' scottsda1.
~)/A J:nsu~ance Co.
:tnCl. 6)~: (0 rJ J(), INSU~ B;
(ll~ ,Z\.nima18, INSURl!Jlt c:
r;~~d
t:: on 11'V'd. ~,CkL INSURER D:
I, 330 0 I . '" ?
- INMmER E;
[J,. 0 f fir. Lt() 'rfi1
IP __ow HAW IIi&H ISSU1!D TO 1JoIli INSURE!) NIIM1!D MO\I& FOR niE POLICY PERIOD IfIOlCATfD, H01WITlfSTAf<<)lIKO
1[llllOtI OF ANY collTP.ACT OR onER DOCUUIiNTWITH RalPl!CTTOWliICH TlfIS CEI\TIFlCATE! NAV BE lS9UED OR
~.)RDED IlY niE PQLIClI!S DUeRlIliD HEl'le1N IS SUBJECf TO ALL ntl!TElUAS. ElICCLUSION6 ANDCONClrnoNS OF SUOl
"'l/H "'""V Hl'<W 8EEM fISNC&O BV PAID CLAIMS. ~~
..
!!!'lCE I'OLIC'I NUM."- LMr$
eACH QCCuMENCe S 1000000
,. AL LlIoilLIlY CLS1023998 07/01/04 07/01/05 ~1iS IE8 ac:cmnl:l:!\ S 100000
[~ OCCUR MSl exP (My - petSml) S SOOO
PER80NAl. & MN "JURY 11000000
,_. -
GENEAAL. !\GGFlEOATE "2000000
,..
. ,..,.PLIES PER: p..oDUCTS . OO,,",JOI',,\GG S 1000000
.. -n LOC
COMIIlNEI'> SINGLE LIMIT S
1l!8 .Cd~1tlI)
BODlL V \fIJURY $
: l~ "ersonl
BODIL V II'IJURY S
!I (Per lICCIdenll
.. PROPERTY DAMAGE $
lP- lIllC1den1)
..
AlJT"O ON!. V. EA ACCIDENT S
~ER1HAN lOA ACe s
AlITOOII.V; ,I.GG is
. ,
luN EACH OCCUP:REONC&: $
C'!.AIMS ru.0I! AGGReGATE S
S
S
$
II) ITO"IlVLIM1t8 I ~~~
>:EC1Jt1VE e.&.. eACH ACClOENT S
E.L DI&eASE.. E;A EMPLoYEE S
S.L DlS!ASE . pOLICY LIMIT $
iea CUS10U9n 07/01/04 07/01/05
PRODUCER
I Arthur Yanoff
1400 E.Commer
Ft Lauderdale, F
INSUkEO
St~~ trD f
Ioil1cSa GO~t,.
10550 A'Via
uratb.o:n I'
COVERAGES
THe POl.1CII!S OF INSURANCE LIllT
ANt IU!OUNU&NT. "teNol OR cOt
MAY PERTAIN, niE INSURANCE'"
POLICIES. AGGREGATE LIMITS SH(
L.TR HS 01' lli1$UR
GalEJlIIoL UAIIIl1I'Y
A X COMM~IA~ GENE
Cl.A1M8 MADe
GIiN'L AGGREGATE LIMn
POLICY !:€;:
IWfDMOBILE UAllnJTY
At<< AUTO
ALL 0'M0IED AUTOS
SCHetlULED .l,UTOl
HIRED AUTOS
NON-OWNED AUTO
GAllAGE UA8lUTV
AK'( AUTO
EXCUSIU_LLA UAn
oCCUR 0
DeIlC./CTlIll.E
Fll!TEII11ON S
WQRKPS Co........noM AI
IMPLOVERS' LlAllIUTY
ANt PROI'It1ETQRIPARTNEM,
OFFICEM.fEt.tllER EXCLUDEt1
" jIIlI. d8a1be ...ftder
Sf'a:1Al PROVISIONS bl!kIw
OTMER
A Commereial App:J.
DI!SCRII"T1ON DF :fIOIlS 1 u:eATlONS I VEllCLa I EXCLUIlONI ADDEIl 8'1' ENIlOfUIEMENT I SPIC\AL f'IlQ\/I$lONS
Animal Sbelter-2 :1.ocatloDS (Maratllon, 1'1 - Big Pine. 1'1)
Certificate uolde:l; a1..0 a44:lt:lona1 insured.
c.o~~.. f"~ 'f\..o..lI\-t L-
Monroe COlll:Bty DOCC
1100 S~~~Dn Street
~ey West ]~:L 33040
CANCELLATION
KCmRO -15 SHOULD ",,"DIl THII ,..OVE ~ POLre1" BE CANCE/.L!D BEPORI THI! exPIRATIOt
I)I.ft TIlEI'l8lI', THIIISSUlNQ Ifll$UAl!R WILl. ENIleAV'OR TO ""'L !!L- bAYS ~
NOTICE TOTtte CERTlI'lCAT1i HQU)ERNAMEOTO THI!LEl'I'. RUT F.....URE1O DO so SHALl.
IMPO$~ NO OBl.IOATlON OR LJABlLITY OF N<< lGND ul"ON 'THI! 1N81JMR, ITS AGENTS Oft
JIUlItElIIMTAnYES.
o RI!P
RPOR.lTION 1981
CERTlFICATE HOLDER
ACORD 25 (2001108)
T DATE (MMlDDIYY)
- ACORDrM CERTIFICATE OF LIABILITY INSURANCE 10/07/04
PRODUCER 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1175 John Street AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
West Henrietta, NY 14586 INSURERS AFFORDING COVERAGE
INSURED INSURER A: NEW HAMPSHIRE INSURANCE COMPANY
Paychex Business Solutions, Inc.
STAND UP FOR ANIMALS, INC. INSURER B:
INSURER c:
911 Panorama Trail South INSURER D:
Rochester, NY 14625
877-266-6850 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE
INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS
SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iNSR POLICY EFFECTIVE POLICY EXPIRATION
L TR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YY) DATE (MMIDD/YY) LIMITS
~NERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
=~"CLAIMSMADE D OCCUR
-
-
-~r::I::GApr ;;;~'En LOC
f-!!.!!IOMOBILE LIABILITY
ANY AUTO
f---
-
ALL OWNED AUTOS
~ DEDUCTIBLE
I RETENTION S
A ~~:I~~S COMPENSATION AND EMPLOYERS'
WC 0929457-FL
06/01/04
06/01/05
EACH OCCURRENCE S
FIRE DAMAGE (Anyone fire) $
MED EX? (Anyone person) S
PERSONAL & ADV INJURY S
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG S
COMBINED SINGLE LIMIT
(Ea accident) S
BODILY INJURY
(Per person) S
BODILY INJURY
(Per accident) S
PROPERTY DAMAGE
(Per accident) S
AUTO ONLY- EA ACCIDENT S
OTHER THAN AUTO EA ACC S
ONLY: AGG S
EACH OCCURRENCE S
AGGREGATE S
S
S
S
I WC STATU- T 10TH-
X TORY LIMITS ER
E.L. EACH ACCIDENT S 1,000,000
E.L. DISEASE - EA EMPLOYEE S 1,000,000
E.L. DISEASE - POLICY LIMIT $ 1,000,000
nAGE LIABILITY
'-1 ANY AUTO
VVf-\1 ~ ~r
APP~'I~~p'~V~: ~A GE ENT
BY __~J \ .1< 7, ~?- r - -..---
DATE _____ JDt~ D~
I (r" ,\ \ rr "'Ilj~
0V t\ ~ r ~ .r-
I~-~LQ n-
C~ ~QJL.U)
SCHEDULED AUTOS
-
-
-
-
HIRED AUTOS
NON-OWNED AUTOS
~ESS LIABILITY
-.-J OCCUR
o CLAIMS MADE
OTHER
DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECiAl PROVISIONS
WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR D
C-O~:J"
1::-;' Y7 a n (" e-
CERTIFICATE HOLDER
I I ADDmONAL INSURED; INSURER LETTER:
CANCELLATION
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE
THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL J!..!L 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.
ATTN: RISK MANAGEMENT
1100 SIMONTON STREET
ROOM 268
KEY WEST , FL 33040
USA
AUTHORIZED REPRESENTATIVE
p~
ACORD 25-S (7/97)
d ll~
khirsch1
2157159
@ ACORD CORPORATION 1988
I DATE (MMlDDIYY)
-ACDRDrM CERTIFICA TE OF LIABILITY INSURANCE 04/27/05
PRODUCER 1-877-266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1175 John Street AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
West Henrietta, NY 14586 INSURERS AFFORDING COVERAGE
INSURED INSURER A: NEW HAMPSHIRE INSURANCE COMPANY
Paychex Business Solutions. Inc.
STAND UP FOR ANIMALS, INC. INSURER B:
INSURER c:
911 Panorama Trail South INSURER D:
Rochester, NY 14625
877-266-6850 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE
INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS
SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iNSR POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDD/YY) DATE (MMIDDNY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
-
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fre) $
- tJ CLAIMS MADE D OCCUR
MED EXP (Anyone person) $
f--
PERSONAL & ADV INJURY $
f--
GENERAL AGGREGATE $
f--
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $
h nPRO-n
POLICY JECT LOC
~OMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO (Ea accident) $
-
ALL OWNED AUTOS BODILY INJURY
- (P... p...son) $
SCHEDULED AUTOS
-
HIRED AUTOS BODILY INJURY
- (Per accident) $
NON-OWNED AUTOS
- AP !~~Q)i{ D( ~.ISK fll.1tJ: EMENT
- PROPERTY DAMAGE
I~ . , ~ (Per accident) $
RRAGE LIABILITY I:S y ~...11"-'-"" ".".-_.... --" D.."___ AUTO ONLY- EA ACCIDENT $
~.3.:C
ANY AUTO DATE -'-" ._.._.._2 EA ACC $
OTHER THAN AUTO
"'f... "r-C' I,., ONLY: AGG $
EXCESS LIABILITY WAIVl:H -,' ~'i I),i) J EACH OCCURRENCE $
0- OCCUR o CLAIMS MADE < LfJk AGGREGATE $
$
q DEDUCTIBLE ~. ~ $
RETENTION $ , ih'1 ~ $
A WORKERS COMPENSATION AND EMPLOYERS' WC 4170942 06/01/05 06/01/06 I WC STATU- I T OTH-
LIABILITY X TORY LIMITS ER
E,L. EACH ACCIDENT $ 1,000,000
E,L. DISEASE - EA EMPLOYEE $ 1,000,000
E.L. DISEASE - POLICY LIMIT $ 1,000,000
OTHER
$
$
$
DESCRIPTION OF OPERATlONSII.OCATIONSNEHICLESJEXCLUSlONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR
CC..:. ~~ y--.....~"'" c. ~
CERTIFICATE HOLDER I I ADDmONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 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
ATTN: RISK MANAGEMENT
1100 SIMONTON STREET OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
ROOM 268
KEY WEST , FL 33040 AUTHORIZED REPRESENTATIVE ~b.r&..-..;-
USA
D
ACORD 25-S (7/97)
khirsch1
2669739
@ ACORD CORPORATION 1988
L\\~
Fidl'lit:'" :\ationltllnsunutl'l' ('Ompllll:,"'
P.O. Box 33003
St. Pl'b:rsb"I"~, I<'L 33733-8003
1-800-820-32~2
BFL 99.001 0605
0177225
5/25/06
FIDELITY
r
Insured I
STAND UP FOR ANIMALS nlll:
10550 AVIATION BLVD
MARATHON FL 33050-2908;
I
FLOOD DECLARATIONS PAGE
. lie ~m~r
99-02032421-2005 Date of Issue 5/25/06
2000 25180 FLD RGLR
Policy Type
NATIONAL INSURANCE COMPANY'"
(I 'I.Im~t<
09 2510138264 02
Pol
From. 7/01/06 To: 7/01/07
L-."_
Number
.? I MO. OE COUNTY BOARD OF
. 11QO SIMONTON ST
,,:.:.:::.'.:...:;;,;_J KEl WEST FL 33040-3110
..",:'~\'NT.l {Y)'Sf1J........
S-3J
01J'~\~~
~ma.ti<\
. .
'-.-----.........--.
Insured Location (if other than above)
10550 AVIATION BLVD,
Iflatlng 1Il_~1011 .
MARATHON FL 33050-2908
';"i';;;,:;;\:i;:mu :(cii;;HNi!i':m
;:!:ii':li1E"Hi,';;ii;,j;";:
",'.;"y
o.;:::;;ii1;:';;;;;:;';;;;:::':;""
, ~~A'
I
Building Description
# of Floors
Basement/Enclosure
Non-Residential
One Fl oor
None
Community Name MONROE COUNTY
Community # 125129
Commun~y Rating 10 / 00%
Program Status Regular
Risk Zone AE
Condo Type N/ A
# of Un~s 0
Adjacent Grade 0
Elevation Difference 3
Location Description
Contents Location
CoVliraQtl' .
Deductible
Premium
BUILDING
CONTENTS
$92,000
$0
$500
$0
$184.00
$.00
'itHlif.s....OT ,A SILt.: ." . '.: I
ANNUAL SUBTOTAL:
DEDUCTIBLE CREDIT:
ICC PREMIUM:
COMMUNITY DISCOUNT:
$184.00
$.00
$6.00
$.00
DEAR MORTGAGEE
The Reform Act of 1994 requITes you to notify
the WYO company for thIs policy within 60 days
of any changes In the servicer of this loan,
The above message applies only when there is
a mortgagee on the insured location.
TOTAL WRITTEN PREMIUM:
FEDERAL POLICY SERVICE FEE:
t. :iFi~I~I~~r.'."i.,.i
CC : ,." 0.." C-L-
This policy covers only one building. If you have more than one building on your property, please make sure they are all covered, See
III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent. broker. or Insurance company.
Coverage Limitations may apply, Please refer to your Flood Insurance Policy for details.
.".,,,"'..',...,.....,,'
."."""....,
'J""
TOTAL PREMIUM:
Premium paid by:
",C, ,,,,,"",--c"',,b'-",
$190.00
$30.00
$220.00
Insured
,..).;"'..;....'.'..' "
:.1
BFLG99.100 0503 0503
GFLD99.311 0306 0306
',~
BFL 99.116 1003 10
~..nd:Sni:lornlftent.;' ,
GFL 99.0AP 1002 1002
:;:;'::;:'iFi\U;;Umfi\:Hi hi!'!;':('!'::';;:,:,;;::;;:,;;;
J'...,,,....,,,,,;'
'!iii\j':h\'L;;"
This policy is issued by
Fidelity National Insurance Company
Copy Sent To: As indicated on back or additional pages, if any.
DD8D6D3D9251D138264D6145DDDDA
Lender
BFL 99.001 0605
0177225
5/25/06
09 2510138264 02
Agent (561)624-1800
ATLANTIC PACIFIC INS INC
11382 PROSPERITY FARMS RD
STE 123
PALM BEACH GARDENS FL 33410
1st Mortgagee
MONROE COUNTY BOARD OF
1100 SIMONTON ST
KEY WEST FL 33040-3110
0080603092510138264061450000A
Lender
~AlIstate.
You're in good hands.
CERTIFICATE OF INSURANCE
ALLSTATE INSURANCE COMPANY
HOME OFFICE - NORTHBROOK, IL 60062
hereby certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER
STAND UP FOR ANIMALS INC 048613925 SAP
EFFECTIVE DATE
OF CERTIFICATE
07/01/05
10550 AVIATION BLVD
MARATHON, FL 33050-2908
The person or organization designated below is described in the policy as:
MCBOCC
1100 SIMONTON ST
KEY WEST, FL 33040-3110
POLICY PERIOD
07/01/05 TO 07/01/06
AT 12:01 A.M. STANDARD TIME
Coverages designated are afforded as stated below:
~ LIENHOLDER (Loss Payable Clause)
X ADDITIONAL INTERESTED PARTY
ADDITIONAL INSURED
CERTIFICATE HOLDER
AS THEIR INTEREST MAY APPEAR
APPInr) -v DI'-:'"
I ,. ., "l-
BY _ _._~ ......
DATE ______51 · u/ "',=
WAIVER ~~,=,,~~Uy~_
- -."--. ti
. --
%'.....
C1 . 't
~ (rl.fitD
To the person or organization stated above:
This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder
named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days
written notice at its last address known to the Company.
Proof of such mailing is deemed sufficient proof of such notice.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy
referred to above.
BU1380-1
PAGE 1 OF 1
BU114-2
,; .
~c..:~
't\'\
..
~AlIstate.
You're in good hands.
POLICY NUMBER 048613925 BAP
COMMERCIAL AUTO
CA 2001 1001
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LESSOR - ADDITIONAL INSURED AND LOSS PAYEE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is in-
dicated below.
Endorsement Effective JU L Y 01, 2005 Countersigned By:
Named Insured:
STAND UP FOR ANIMALS INC
(Authorized Representative)
SCHEDULE
Insurance Company ALLSTATE INSURANCE COMPANY
Policy Number 048613925 BAP
Effective Date JUL Y 01, 2005
Expiration date JULY 01,2006
Named Insured STAND UP FOR ANIMALS INC
Address 10550 AVIATION BLVD
MARATHON, FL 33050-2908
Additional Insured (Lessor) MCBOCC
Address 1100 SIMONTON ST
KEY WEST, FL 33040-3110
Designation or Description of "Leased Autos"
AS THEIR INTEREST MAY APPEAR
CA 20 01 10 01
Copyright, ISO Properties, Inc., 2000
Page 1 of 2
/ .
c.c.:~
BU114-2
.
Coverages Limit Of Insurance
Liability
$1,000,000 EACH" ACCIDENT
Personal Injury
Protection (or equivalent
no-fault coverage) $
Comprehensive ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS:
$ For Each Covered "Leased Auto"
Collision ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS
$ For Each Covered "Leased Auto"
Specified Causes of Loss ACTUAL CASH VALUE OR COST OF REPAIR WHICHEVER IS LESS; MINUS
$ For Each Covered "Leased Auto"
(If no entry appears above, information required to complete this endorsement will be shown in the Declara-
tions as applicable to this endorsement.)
A. Coverage
1. Any "leased auto" designated or described
in the Schedule or in the Declarations will
be considered a covered "auto" you own
and not a covered "auto" you hire or bor-
row. For a covered "auto" that is a "leased
auto" Who Is An Insured is changed to in-
clude as an "insured" the lessor named in
the Schedule.
2. The coverages provided under this
endorsement apply to any "leased auto"
described in the Schedule until the expira-
tion date shown in the Schedule, or when
the lessor or his or her agent takes pos-
session of the "leased auto", whichever
occu rs fi rst.
B. Loss Payable Clause
1. We will pay, as interest may appear, you
and the lessor named in this endorsement
for "loss" to a "leased auto".
2. The insurance covers the interest of the
lessor unless the "loss" results from
fraudulent acts or omissions on your part.
3. If we make any payment to the lessor, we
will obtain his or her rights against any
other party.
C. Cancellation
1. If we cancel the policy, we will mail notice
to the lessor in accordance with the Can-
cellation Common Policy Condition.
2. If you cancel the policy, we will mail notice
to the lessor.
3. Cancellation ends this agreement.
D. The lessor is not liable for payment of your
premiums.
E. Additional Definition
As used in this endorsement:
"Leased auto" means an "auto" leased or
rented to you including any substitute, re-
placement or extra "auto" needed to meet
seasonal or other needs, under a leasing or
rental agreement that requires you to provide
direct primary insurance for the lessor.
CA 20 01 10 01
Copyright, ISO Properties, Inc., 2000
Page 2 of 2
sc. IlU
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1100 8taoD1Xxl S=eet
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1tCClfU)2$~
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=:=~:=--:.~~~~~~~.; ..'
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~AQORDCOfCPOMl1ON ..
ACORD. CERTIFICATE OF LIABILITY INSURANCE CSR CH I DATE (MMlDDIYYYY)
STAND-2 04/21/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Atlantic Facific-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
F.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Key West F.L 33045-5548
Fhone:305-294-7696 Fax: 305-294-7383 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A. Allstate Insurance Co. 19232
INSURER B
Stand up for An~ls Inc. '''''' ''''''''' C
10550 Aviation Blvd INSURER DUL r 'L nIL 11
Marathon F.L 33050 INS "'''''' ,,' ,,-..,
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ~ OVE FO THE 1I<<E~~~ NOT ITHSTA biNG
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE ECT TO VVHIC E F E IS~ EDOR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJEC o ALL E TERMS, EXCLUSIONS AND CONDITI NSOF~ CH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
LTR NSR[ TYPE OF INSURANCE POLICY NUMBER DATE(MMID~ LIMITS
GENERAL LIABILITY lISt MANAGEMEItt EACH OC RRENCE $
f---
COMMERCIAL GENERAL LIABILITY PREMISES (Ea oeeurenee) $
f--- ~ CLAIMS MADE D OCCUR
MED EXP (Anyone person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $
I n PRO- nLOC
POLICY JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
- $ 1000000
A X ANY AUTO 048613925 07/01/05 07/01/06 (Ea aCCIdent)
-
ALL OWNED AUTOS BODIL Y INJURY
- $
X SCHEDULED AUTOS (Per person)
~
HIRED AUTOS BODIL Y INJURY
- $
NON-OWNED AUTOS (Per aCCl dent)
-
- PROPERTY DAMAGE $
(Per aCCIdent)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN EA ACC $
..... AUTO ONL Y AGG $
EXCESSlUMBRELLA LIABILITY " 'I EACH OCCURRENCE $
~ OCCUR D CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND ~~ ~AJ /I~Yl ITO~'y 'L:~"T't I IU~~-
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE E LEACH ACC I DENT $
OFFiCER/lviEMBER EXCLUDED';' ~-rl4l Dp EL DISEASE - EA EMPLOYEE $
11 yes, describe under
SPECIAL PROVISIONS below E L DISEASE - POLICY LIMIT $
OTHER 11
-
DESCRIPTION OF OPERATIONS / LOCATIONS' VEHICLES' EXCLUSIONS ADDED BY ENDORSEMENT' SPECIAL PROVISIONS Lro'. ~
d , ~
- A. ...f2 A (Yl0Ct~
""" - ( \
CERTIFICATE HOLDER
MCBCCOM
MOnroe County Board of County
Commissioners
FO Box 1026
Key West F.L 33041-1026
ACORD 25 (2001/ml) ,
Cc::: :~
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10
DAYS WRITTEN
E CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAlLL
TION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
@)ACORD CORPORATION 1988
ACf2E1Dr. CERTIFICATE OF LIABILITY INSURANCE I DATE (MWDDIYY)
05/10/06
PRODUCER 1-877~266-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Paychex Agency, Inc. I ~~~ Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
1175 John Street LDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
RECEIVED AL THE COVERAGE AFFORDED BY THE POLICIES BELOW.
West Henrietta, NY 14586 INSURERS AFFORDING COVERAGE
INSURED I URERA NEW HAMPSHIRE INSURANCE COMPANY
psychex Business Solutions, Inc. MAY 1 5 2006
STAND UP FOR ANIMALS, INC. I URERB
r SURERC
911 Panorama Trail South URER 0
Rochester, NY 14625 MONROE COUNTY
877-266-6850 RISK MANAGEMENT INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TEAM 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.
..,. POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE (UMIDOJYY) DATE (MMlPDNY) LIMITS
~ERAL LIABILITY EACH OCCURRENCE .
COMMERCIAl GENERAL LIABILITY FIRE DAMAGE (Any one lire) .
l CLAIMS MADE D OCCUR MED EXP (Any one ptorson) .
L. PERSONAL & ADV INJURY .
-- GENERAL AGGREGATE .
~'lAGGREGAnIT :::IEPl PRODUCTS - COMP/OP AGG .
LOe
POLICY JECT
~OMOBILE LIABILITY 'oY) '. \0,..." COMBINED SINGlE LIMIT
M-IYMJTO fT, (Eeaccident) .
'- ,
- ALL OWNED AUTOS BOD\L Y INJURY
SCHEDUlED AUTOS (Perpe1llon) .
- S-
f- HIRED AUTOS ,,-~ BOD\L Y INJURY
NON-OWNED AUTOS (Peraociden!) .
L. ~
,
'- PROPERTY DAMAGE
(Pefaociden!) .
R~E LlA."TY C I e( k ^-UTO ONLY - EA ACCIDENT .
ANY AUTO 0(5 EA ACC .
OTHER THAN AUTO
^ ~ ONLY: AGO .
L=~r,ss LIABILITY , EACH OCCURRENCE .
OCCUR o ClAIMS MADE C C. ~4 AGGREGATE .
~ d ~j ml .
R ~EDUCTIBLE ~ .
RETENTION . ~ .
A WQflKERS COMPENSATION AND EMPLOYERS' 7656672 06/01/06 06/01/07 X I we STATU., I 10TH.
\.IA.BIUTl TORY LIMITS ER
E.L EACH ACCIDENT . 1,000,000
E.L. DISEASE - EA EMPLOYEE . 1,000,000
E.L DISEASE - POLICY LIMIT . 1,000,000
OTHER
.
.
.
DeSCRIPTION OF OPERATIONSIlOCATIONS/VEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR
CERTIFICATE HOLDER I . T ADDmONAl INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED BEFORE THE EXPIRATION DATE
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS THEREOF, THE ISSUING INSURER WilL ENDEAVOR TO MAil ..2..Q.... DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED TO THE lEFT, BUT FAILURE TO DO SO SHAll IMPOSE NO OBLIGATION
ATTN: RISK MANAGEMENT
1100 SIMONTON STREET OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
ROOM 268
KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE ~~($.
USA ~
D
ACORD 25-$ (7N7) cmgleaso
c:..c....~
@ ACORD CORPORATION 1988
CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDQNY)
~M 05/10/06
PRODUCER l-B77~266-68S0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1175 John Street AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
West Henrietta, NY 14586' INSURERS AFFORDING COVERAGE
INSURED lNSUflEflA: NEW HAMPSHIRE INSURANCE COMPANY
paychex Business Solutions, Inc.
STAND UP FOR ANIMALS, INC. INSURERS"
INSURER C
911 Panorama Trail South INSURER 0:
Rochester, NY 1462$
877-266-6850 INSURERE:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POlleY PEAIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE
INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS
SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iNSR POl.lC'f'EFFECTlVE POLICY EXPIRATION
eTA TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) DATE (MMlDOIYY) LIMITS
..::.NERAL L1ABIUTY EACH OCCURRENCE S
- pMERCIAl GENERAL LIABILITY FIRE DAMAGE (Anyone lire) S
- CLAIMS MADE 0 OCCUR MED EXP \Any one person) S
- PERSONAL & ADV INJURY S
- GENERAL AGGREGATE S
GEN'L AGGAEGATE LIMIT APPliES PER: PRODUCTS _ COMP/OP AGG S
4 POLICY n ~& n LOC
..M[fOMOBILE LIABILITY I COMBINED SINGLE LIMIT I.
ANY AUTO lEo.accident)
-
- ALL OWNED AUTOS I BODilY INJURY
SCHEDULED AUTOS \Porperson) .
- ~fJ'1) <G1~I'~'>f8D' 1_
- HIRED AUTOS BODilY INJURY
NON-oWNED AUTOS (Peraccidoot) .
- =;1-11- ---I
- . .-. -3 ~jOk_ ....1... PROPERTY DAMAGE
, (Perac<:idonI) .
~AGE UABOLrTY -i , Lh,.' !n= AUTO ONLY. EA ACCIDENT .
ANY AUTO ;\('~P 't
OTHER THAN AurO EA ACC .
.-<'\. j. f) ONLY: AGe .
OESSl.lABllITY V~ OJ~ EACH OCCURRENCE .
OCCUR o CLAIMS MADE AGGREGATE S
.\.-1" ICn vYl ct~( s
R DEDUCTIBLE S
RETENTION . "'" ! , S
A WORKERS COMPENSATlON.utD EMPLOYERS' 7656672 06/01/06 06/01/07 I we ST^TU- I I OTH-
LIABILITY X TORY LIMITS ER
E.L. EACH ACCIDENT . 1,000,000
E.L. DISEASE - EA EMPLOYEE . 1,000,000
EL DISEASE - POLICY LIMIT . 1,000,000
OTHER
.
.
.
DeSCRIPTION OF OPERATIONSIlOCATlONSlVEHICLESJEXClUSlONS ADDED BY ENDORSEMENTISPECIAl PROVISIONS
WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR
CERTIFICATE HOLDER I 1 ADOmONAL INSUAED; 1KSUR6R LEfT!Fl: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEllED 8EFORE THE EXPlRAT10N DATE
MONROE COUNTY BOARD OF COUNTY COMMISSONERS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE
CERTifiCATE HOLDER NAMED TO THE LEFT, BUT FA1LURE TO DO SO SHALL IMPOSE NO OBLIGATION
5100 COLLEGE RD OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
KEY WEST . P'L 33040 AUTHORIZED REPRESENTATIVE t:.,.. ~<1,. ~
USA
D
ACORD 25-5 (7/97) cj1lg1easo
, ~466a
cc.~
@ACORDCORPORATlDN 1988
ACORD.
CERTIFICATE OF LIABILITY INSURANCE
CSR CH
STAND-2 06 27 06
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
CERTIFICATE DOES NOT AMEND, EXTEND OR
VERAGE AFFORDED BY THE POLICIES BELOW.
PRODUCER
Stand up for Animals
10550 Aviation Blvd
Marathon FL 33050
Inc
NAIC#
Atlantic Pacific-Key West r-"~-'~'_."" . --'~--'~'
P.O. Box 5548 p}:'(\[1
Key West FL 33045-5548 , ",-\.iLl
Phone: 305-294-7696 Fax: 305-294-\7383r'--
, I'
! . JUN 2 9
,
INSURED
d's of London
state Insurance Co.
19232
20443
MONROE CO
RISK MAN1\G ~!fI'RER E,
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
.. ~~'4~rJ~~d'~~ P8k~CEY/~~b~r}!gN
LTR NSR TYPE OF INSURANCE POLICY NUMBER LIMITS
~ERAL LIABILITY EACH OCCURRENCE . .-
~~~~~~s Ea occurence\ -.,.
COMMERCIAL GENERAL LIABILITY .
- ":=J CLAIMS MADE [J OCCUR -
-- MED EXP (Anyone person) .
- PERSONAL & ADV INJURY .
--
GENERAL AGGREGATE .
- ~_._- i --..
GEN'L AGG:EnE LIMIT APnS PER: ~~CTS - COMP/OP AGG .
I PRO-
POLICY JECT LOC
~TOMOBILE L1ABkITY ,
COMBINED SINGLE LIMIT .1000000
X ANY AUTO (Eaaccident)
- ..-.
ALL OWNED AUTOS 80DIL Y INJURY
- .
B ~ SCHEDULED AUTOS 048613925 07/01/06 07/01/07 (per person)
--
~ HIRED AUTOS BODILY INJURY
.
~ NON-OWNED AUTOS i (Per accident)
.--
- PROPERTY DAMAGE .
(Per accident)
==iAGE LIABILITY AUTO ONLY - EA ACCIDENT .
ANY AUTO -' "'ivi (-" , OTHER THAN EA ACC .
. n AUTO ONLY: ~
AGG .
~ESSJUMBRELLA LIABILITY ,- r:". EACH OCCURRENCE .
OCCUR D CLAIMS MADE Ip- ~ {jjjjH -
- AGGREGATE .
-~
, '"7 ~- . --~
~ DEDUCTIBLE i (L I) .
RETENTION . i\)p , .
WORKERS COMPENSATION AND '7'1' -~ ~- ITORYLlMITS I IUJR-
EMPLOYERS' LIABILITY UJtf.< .1/1 . I EL EACH ACCIDE_~T $
ANY PROPRIETOR/PARTNER/EXECUTIVE L'-(
OFFICER/MEMBER EXCLUDED? r lJ~ ~ .'100 L EL DISEASE - EA EMPLOYEE $
~~EtI1i.S~~~v~s1~~s below I. ;fl..;rt U..D1SEASE POLICY LIMIT $
OTHER 07/01/061 '..1
A Property Section 049919730 07/01/07 Building 188000
C Bond 69364925 07/01/06 07/01/07 Emo1 Dis. 100000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
Monroe County Board of County
Commissioners
1100 Simonton St
Key West FL 33040
MCBCCQM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATlO
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR L1ABIL OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESEN
@ ACORD CORPORATION 1988
ACORD 25 (2~Ol'21) .
c::.c...~
I"id('lit~.. NlttiOllltl Insurant'(- ('omplln~'
P.O. Box 33003
St. Pdt.'rshur~, FL 33733-8003
1-800-820-32~2
BFL 99.001 0605
0177225
5/25/06
FIDELITY
2000 25180 FLD RGLR
Policy Type
NATIONAL INSURANCE COMPANY'.
~om: 7/01/06To: 7/01/07
I
Insured I
STAND UP FOR ANIMALS Irt
10550 AVIATION BLVD
MARATHON FL 33050-29081
I
i
'-..
.. -, Lo Number
o ! MO OE COUNTY BOARD OF
. 11QO SIMONTON ST
''''',' ".~~',;:i J KE] WEST FL 33040-3110
'" "--.' (Y),~Jl---'
5'3J'
LVii, ~ CLhJ.-
r ( J..Jk
~VT/iJ,~
..'-----
Insured Location (if other than above)
10550 AVIATION BLVD, MARATHON FL 33050-2908
.Ratlng hllol'mdon "
:,,'::':;;!::!::>'':'-
,:>,,',:'::::::::::,':":',Y:',:',:,:';';
N"" """""":,,,,,,';;,""
'-":,'::,:.q:;i'iii'iii';;L::;i;i:::"mi':::i":;>
',n'
.j
Building Description
# of Floors
Basement/Enclosure
Non-Residential
One Fl oor
None
Community Name MONROE COUNTY
Community # 125129
Community Rating 10 / 00%
Program Status Regular
Risk Zone AE
Condo Type N/ A
# of Units 0
Adjacent Grade 0
Elevation Difference 3
Location Description
Contents Location
CO_qe"
Dedillillble
. Premium'
BUILDING
CONTENTS
$92,000
$0
$500
$0
$184.00
$.00
'tH1$: ~. 'ROT A SILL . I
ANNUAL SUBTOTAL:
DEDUCTIBLE CREDIT:
ICC PREMIUM:
COMMUNITY DISCOUNT:
$184.00
$.00
$6.00
$.00
DEAR MORTGAGEE
The Reform Act of 1994 reqUires you to notify
the WYO company for thiS poliCY Within 60 days
of any changes In the servicer of this loan,
The above message applies only when there is
a mortgagee on the insured location,
TOTAL WRITTEN PREMIUM:
FEDERAL POLICY SERVICE FEE:
1':::$~!~riI;:':'::'<':''''
c::..C: ,'" c-.... (-L-
This policy covers only one building, If you have more than one building on your property. please make sure they are all covered. See
Ill. Property Covered withIn your Flood polley for the NFIP definition of "bUilding" or contact your agent. broker, or insurance company.
Coverage Limitations may apply, Please refer to your Flood Insurance Polley for details.
TOTAL PREMIUM:
Premium paid by:
$190.00
$30.00
$220.00
Insured
,ti,1ii\ii:!i:1\:ii:i;::Ji!ij:!i::i;."::1;l:Ai:::;1!1:lih;ili::;;':
I
, "i
'!7oflllllland""hCIorlI8mem&; .
GFL 99.0AP 1002 1002
;-",,,,,,,,,';;;';'"
';::;<:i<
"",'
'''-''',;'''.'
,:Y'
;:;;;:\:,,::;:".' ,
., I
BFL 99.116 1003 10
BFLG99.100 0503 0503
GFLD99.311 0306 0306
This poliCY is issued by
Fidelity National Insurance Company
Copy Sent To: As indicated on back or additional pages, if any.
0080603092510138264061450000A
Lender
BFL 99.001 0605
0177225
5/25/06
09 2510138264 02
Agent (561)624-1800
ATLANTIC PACIFIC INS INC
11382 PROSPERITY FARMS RD
STE 123
PALM BEACH GARDENS FL 33410
1st Mortgagee
MONROE COUNTY BOARD OF
1100 SIMONTON ST
KEY WEST FL 33040-3110
0080b030925101382b40b1450000A
Lender
ACORD. CERTIFICATE OF LIABILITY INSURANCE OP 10 K~ DATE (MM/DDIYYYY)
STAND-1 08/21/06
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Yanoff South ~--"----_.._--". 1-- H9JR~..J]:!I~tfERTIFICATE DOES NOT AMEND, EXTEND OR
2400 E. Commercial Blvd. Ste #728, AbTER HE COVERAGE AFFORDED BY THE POLICIES BELOW.
, - .' . :.'
Ft Lauderdale, Fl 33308 ---'-~'-- .... INsURERS AfFORDING COVERAGE
: NAIC#
INSURED i '~URER A Scottsdale Insurance CO.
AUG , IlfsURER 8'
Stand ~ for Animals, Inc. INSURER C
Linda ottwald ,
10550 Aviation Blvd. "-- "\lilml . ---,
Marathon FL 33050 tl,r""'::~:G
m';'~.: ~_;:;, l"~E: ,
--
.COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR TYPE OF INSURANCE POLICY NUMBER r-D~';!~j,;:J.ftWt OATlf~~~N LIMITS
~NERAL L1ABlUTY EACH OCCURRENCE .1000000
A X X COMMERCIAL GENERAL LIABILITY CLS1l35814 07/01/06 07/01/07 PREMISES (E~~~nce) . 50000
I CLAIMS MADE ~ OCCUR MED EXP (Anyone person) .5000
- PERSONAL & ADV INJURY .1000000
- GENERAL AGGREGATE .2000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS. COMP/OP AGG .1000000
"I ,nPRO' n
POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT .
ANY AUTO (Eaaccident)
-
ALL OWNED AUTOS BODILY INJURY
- .
SCHEDULED AUTOS (Per person)
- 1r
- HIRED AUTOS BODILY INJURY
.
NON-OWNED AUTOS .n 'I":. (Per accident)
-
-'.. :
k '~ -' PROPERTY DAMAGE .
I," J l, (Per accident)
GARAGE LIABIL.1TY ~. { rnJ, AUTO ONLY - EA ACCIDENT .
R ANY AUTO 'f- " -. EA ACC $
OTHER THAN
AUTO ONLY: AGG .
pESSlUMBRELLA LIABILITY C l,t6 '. ('\1 EACH OCCURRENCE $
OCCUR D CLAIMS MADE b.... AGGREGATE .
( c. " J ~ $
R DEDUCTISLE .
RETENTION . , ,1 . $
WORKERS COMPENSATION AND '--A" ti..A III O\..M.\. I TORY LIMITS I J U ~~.
EMPLOYERS' LIABILITY r- -'0
ANY PROPRIETORlPARTNERIEXECUTNE E.L EACH ACCIDENT .
OFFICER/MEMBER EXCLUDED? E.l. DISEASE - EA EMPLOYEE S
If yes, describe under
SPECIAL PROVISIONS below E.l. DISEASE - POLICY LIMIT $
OTHER
Commercial Applica
DESCRIPTION OF OPERATIONS f LOCATIONS f VEHICLES f EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISfONS
Animal Shelter Animal Shelter-Marathon (Total 27 dog kennels both locati
0 Animal Shelter-Big Pine Key (Total 27 dog kennels both
CC: h 1"I.C1.f'lCe...-
CERTIFICATE HOLDER
CANCELLATION
Monroe County EOee
1100 Simonton Street
Key West FL 33040
MONRO- 6 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 KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTAnvES.
AUTHORIZED REPRESENTATIVE
ACORD 25 (2001/08)
Q:0 Allstate.
",,,,...,,,,,,),,,,,'1'""0"
CERTIFICATE OF INSURANCE
ALLSTATE INSURANCE COMPANY
HOME OFFICE - NORTH BROOK, IL 60062
hereby certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER
STAND UP FOR ANIMALS INC 048613925 BAP
EFFECTIVE DATE
OF CERTIFICATE
07101107
10550 AVIATION BLVD
MARATHON, FL 33050-2908
The person or organization designated below is described in the policy as:
MCBOCC
1100 SIMONTON ST
KEY WEST, FL 33040-3110
POLICY PERIOD
07/01/07 TO 07/01/08
AT 1201 A.M. STANDARD TIME
~ LIENHOLDER (Loss Payable Clause)
X ADDITIONAL INTERESTED PARTY
ADDITIONAL INSURED
CERTIFICATE HOLDER
Coverages designated are afforded as stated below:
LIABILITY: $1,000,000 EACH ACCIDENT
AS THEIR INTEREST MAY APPEAR
~0\aYrJ1wJ
)i\:710~D -J
).
/\ (1
OY6~
( C . mO, .
~() II p:JA/( Cj
To the person or organization stated above:
This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder
named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days
written notice at its last address known to the Company.
Proof of such mailing is deemed sufficient proof of such notice.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy
referred to above.
BU13SG-1
PAGE 1 OF 1
h .
c.e.'.~~
~
~
BU114-2
~AlIsfate.
Yr",',e"""".II"od,
POLICY NUMBER: 048613925 BAP
COMMERCIAL AUTO
CA 20 01 03 06
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LESSOR - ADDITIONAL INSURED
__- , IVED
r . _..o_..__
! //.''.'. ~ ""'O~7
. ..,. ,~, II I
----- -J
T:'(
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
'T
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is
indicated below.
Named Insured:
STAND UP FOR ANIMALS INC
Endorsement Effective Date: JULY 01,2007
Countersignature Of Authorized Representative
Name:
Title:
Signature:
Date:
CA 20 01 03 06
Copyright, ISO Properties, Inc., 2005
Page 1 of 3
I .
BU114.2 . 4. _ ~
'-c.'~
~
SCHEDULE
Insurance Company: ALLSTATE INSURANCE COMPANY
Policy Number: 048613925 BAP I Effective Date: JULY 01, 2007
Expiration Date: JULY 01,2008
Named Insured: STAND UP FOR ANIMALS INC
Address: 10550 AVIATION BLVD
MARATHON, FL 33050-2908
Additional Insured (Lessor): MCBOCC
Address: 1100 SIMONTON ST
KEY WEST, FL 33040-3110
Designation or Description of "Leased Autos": APPEAR
AS THEIR INTEREST MAY
Coverages Limit Of Insurance
Liability $ 1,000,000 Each "Accident"
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus
Comprehensive $ Deductible For Each Covered "Leased Auto"
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus
Collision $ Deductible For Each Covered "Leased Auto"
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus
Specified $ Deductible For Each Covered "Leased Auto"
Causes Of Loss
Information required to complete this Schedule, if not shown above, will be shown in the Declarations,
A. Coverage
1. Any "Ieased auto" designated or described
in the Schedule will be considered a covered
"auto" you own and not a covered "auto" you
hire or borrow.
a. You;
b. Any of your "employees" or agents; or
2. For a "Ieased auto" designated or described
in the Schedule, Who Is An Insured is
changed to include as an "insured" the les-
sor named in the Schedule. However, the
lessor is an "insured" only for "bodily injury"
or "property damage" resulting from the acts
or omissions by:
c. Any person, except the lessor or any
"employee" or agent of the lessor, oper-
ating a "Ieased auto" with the permis-
sion of any of the above.
3. The coverages provided under this en-
dorsement apply to any "leased auto" de-
scribed in the Schedule until the expiration
date shown in the Schedule, or when the
CA 20 01 03 06
Copyright, ISO Properties, Inc" 2005
Page 2 of 3
(~) Allstate.
Y"u"" ",""'0"."..
lessor or his or her agent takes possession
of the "leased auto", whichever occurs first
B. Loss Payable Clause
1. We will pay, as interest may appear, you and
the lessor named in this endorsement for
"Ioss" to a "Ieased auto",
2. The insurance covers the interest of the les-
sor unless the "Ioss" results from fraudulent
acts or omissions on your part.
3. If we make any payment to the lessor, we
will obtain his or her rights against any other
party.
C. Cancellation
1. If we cancel the policy, we will mail notice to
the lessor in accordance with the Cancella-
tion Common Policy Condition.
CA 20 01 03 06
2. If you cancel the policy, we will mail notice
to the lessor.
3. Cancellation ends this agreement
D. The lessor is not liable for payment of your pre-
miums.
E. Additional Definition
As used in this endorsement:
"Leased auto" means an "auto" leased or rented
to you, including any substitute, replacement or
extra "auto" needed to meet seasonal or other
needs, under a leasing or rental agreement that
requires you to provide direct primary insurance
for the lessor.
Copyright, ISO Properties, Inc... 2005
Page 3 of 3
BU114-2
rn
m
~FIDELlTY
NATIONAL INSURANCE COMPANY-
Fidelity ~ational Insuran('(' CompanJo'
P.O. Box 33003
St. Pl."tersburg, FL 33733-8003
1-800-820-3242
BFL 99.001 0605
0177225
5/21/07
FLOOD DECLARATIONS PAGE
2000
Insured
STAND UP FOR ANIMALS INC
10550 AVIATION BLVD
MARATHON FL 33050-2908
Loan Number
MONROE COUNTY BOARD OF
1100 SIMONTON ST
KEY WEST FL 33040-3110
Yll.~JL
5- (f1-Q )
Insured Location (if other than above)
10550 AVIATION BLVD, MARATHON FL 33050-2908
Building Description Non-Residential
# of Floors One Floor
Basement/Enclosure None
Community Name MONROE COUNTY
Communky # 125129
Community Rating 10 / 00%
Program Status Regular
Risk Zone AE
Condo Type N/A (I.
# of Units O.
Adjacent Grade 0 ~\uIIb~';"'~
Elevation Difference 3 U
Location Description
Contents Location
COVetlilall
'"Deauctible
PremIUm
I
BUILDING
CONTENTS
$92,000
$0
$500
$0
$184.00
$.00
THIS lS.aT"- BILL
ANNUAL SUBTOTAL:
DEDUCTIBLE CREDIT:
ICC PREMIUM:
COMMUNITY DISCOUNT:
$184.00
$.00
$6.00
$.00
DEAR MORTGAGEE
The Relorm Act 01 1994 reqLlires you to notify
the WYO company lor this p"llcy within 60 days
of any changes In the serviCEH of this loan.
The above message applies only when there is
a mortgagee on the insured location,
TOTAL WRITTEN PREMIUM:
FEDERAL POLICY SERVICE FEE:
TOTAL PREMIUM:
Premium paid by:
$190.00
$30.00
$220.00
Insured
This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See
Ifl, Property Covered wrthin your Flood policy for the NFIP defInition of "building" or contact your agent. broker, or Insurance company,
Coverage Lrmitations may apply, Please refer to your Flood Insurance Policy for details,
GFL 99.0AP 1002 1002
BFLG99.100 0503 0503
GFLD99.311 0306 0306
BFL 99.116 1005 lOr
This policy is issued by
Fidelity National Insurance Company
Copy S)'nt To: A" indicated on back or additional pages, if any.
c.c..;~_
008060309251013826407141 00007
Lender
~FIDELlTY
NATIONAL INSURANCE C()MPANY'~
FldelitJ National Insurancl" Compau:r
P.O. Box 33003
St. Petersburg, FL 33733-8003
1-800-820-3242
BFL 99.001 0605
0177225
5/21/07
FLOOD DECLARATIONS PAGE
2000 25180 FLD RGLR
Policy Type
....:\1101
From: 7/01/07 To:
Insured
STAND UP FOR ANIMALS INC
10550 AVIATION BLVD
MARATHON FL 33050-2908
Loan Number
MONROE COUNTY BOARD OF
1100 SIMONTON ST
KEY WEST FL 33040-3110
Insured Location (if other than above)
N\~
\ 1\ Sc71ru7
Building Description Non-Res ident ia1
# of Floors Two Floors
Basement/Enciosure None
Community Name MONROE COUNTY
Commun~y # 125129
Commun~y Rating 10 / 00%
Program Status Regular
Risk Zone AE
Condo Type N/ A
# of Un~s 0
Adjacent Grade 0 Q. ..fJ.A mc%v\
Elevation Difference 4 ~0
Location Description
Contents Location
.Co~e"
............~........I"'I..;
''''\\',\;n';\'};,<>,'' "':':;:'::Hvu~!!!.!Iif' n
';'<;Em1\';
..~
'''c.:/-. . 'n......
""':".', ,:n:.,
''',',.c''",,, ."
'>.'i:iT''':':
.
BUILDING
CONTENTS
$95,800
$0
$500
$0
$192.00
$.00
! : ...: :. ''f'!U'" '''''':.'-I'::Ji ,....d ".::.'.: .'.i:. "....:..:.j
. .;\1<>~"1iiillh~iip,\;;~.W"~i;~'~"<,,1i'>.:,,.....,,:."
ANNUAL SUBTOTAL:
DEDUCTIBLE CREDIT:
ICC PREMIUM:
COMMUNITY DISCOUNT:
$192.00
$.00
$6.00
$.00
DEAR MORTGAGEE
The Relorm Act of 1994 requires you to notify
the WYO company lor this policy w~hin 60 days
of any changes In the servicer of this loan,
The above message applies ,only when there is
a mortgagee on the insured Ic)cation.
TOTAL WRITTEN PREMIUM:
FEDERAL POLICY SERVICE FEE:
$198.00
$30.00
TOTAL PREMIUM:
Premium paid by:
$228.00
Insured
This policy covers only one building, 11 you have more than one building on your property, please make sure they are aU covered. See
Ill. Property Covered within your Flood policy 10r the NFIP de1inition 01 "building" or contact your agent, broker, or insurance company.
Coverage Limitations may apply. Please re1er to your Flood Insurance Policy for details,
GFL 99.0AP 1002 1002
BFLG99.100 0503 0503
GFLD99.311 0306 0306
BFL 99.116 1005 10C
This policy is issued by
Fidelity National Insurance Company
CopY}lent To: As indicated on back or additional pages, if any.
c.c:..~
008060309251013826607141 00009
Lender
ACORD. CERTIFICA ~ OF LIABILITY INSURANCE CSR CH I DATE (WotJDDlYYYYl
STlIHD-2 06/06/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MA TIER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Atlantic paci~ic-Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1010 Kennedy Dr, Suite 203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Key West FL 33040
Phone: 305-294-7696 Fax:305-294-73B3 INSURERS AFFORDING COVERAGE NAlC#
MUllED INSURER A:. ~lstate Insurance CO. 19232
INSURERS
stand ug ~of Animals Inc. INSlJRERC
10550 A 1at on Blvd INSURER 0
Marathon FL 33050
INSURER E:
COVERAGES
TtE POLICIES OF rN~ANCE lISlEO BELOW HAVE BEEN ISSUED TO TIE IIIISl.RED NNVED .ABOVE FOR nE POLICY PERIOD ItDICATEO. NOTWIl'HST.AN)ING
PoNY REQUIREMENT, TERM OR CONDITION OF N4Y CONTRACT OR OTHER DOCL..M:NT WITH RESPECT TO WHICH THIS CERTIFICATE MA.Y BE ISSlJED OR
IMY PERTAIN, n-E I~ AffORDED BY THE POLICIES CESCRIElEO HEREIN 15 6L5JECT TO AlL ltE TERMS, EXCWSIONS PNJ CONDITIC<<S OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MA,Y HAVE BEEN REDUCED BY PAID CLAIMS.
~ lYPE OF MURANCE POlICY NUMBER O~(.:..voofYY) ~Tel {MMlDDM'1 ur.rn;
~ERAL UA8IL1TY EACH OCaJRREta .
COMMERCIAL GE~ERAlllABIUTY PREMISES (Ea OCClrence] .
- =:J CLAIMS MADE 0 OCCUR
- MED EXP (An)' one person) .
PERSONAL & f.DV INJURY .
GEI'ERAL AGGREGATE .
GEN'l AGGREGATE LIMIT APPLIES PER PRODUCTS. COMP/G' AGG .
IP<<.ICY n~g nLOC
~UA8ILITV CO~INED SINGLE LIMIT .1000000
X ANYAlJTO (Eaaccideri)
-
All O\o\'NED AUTOS BODilY INJLJN
- .
A ~ SCHEDLtED NJrOS 048613925 07/01/07 07/01/08 {PerpefSOflJ
..!. HIRED AUTOS BODILY INJlJr(
..!. ~EDAlJT()S (Paraccideri) .
PROPERTY l),/lMO,GE .
{Peraccidel1}
~:.. UABLnY AUTO ONL '1- EAACCIDENT .
ANY AUTO If ~(J .C EAACC .
1/ OTHER THAN
AUTO ONLY. ""0 .
EXCE$8NMMELLA LIA8ILnY I v o~t-o~ EACH OCCURRENCE .
=:J OCCUR [] CLAIMS MADE AGGREGATE .
.
=1 DEDU;TlBLE .
RETENTION . /, .
WORKERS COMPENSAllON AND ()11' (jj )~ hORYlIMI'TS livER
BFLOYERS' LIABLrTY
/lNY PRQPRIETffilPARTNERJEXECUTIVE J I I 00 EL EACH ACCIDENT .
OFFICERlMEMBER EXCLLDED? EL DISEASE - EA EMPlOYEE .
~~I:S~~V~NS below c:: EL DISEASE - POLICY LIMIT .
ontER .~,^{b_ rfI t~Vt
'-
DE8CNPT1ON OF OPERATlONS J LOCATlONS J VEHIC1.E91 EXCLUSIONS ADDED BY EIOJASEMENT J SPECIAL PROVlStONS
2004 Ford F150 PKUP 2FTRF172X4CA56352
CERTIFICATE HOLDER
CANCELLATION
MCBCCOM SHOULD ANt OF THE ABOVE DESCRIBED POLICIES BE CANCElL.B) BEFORE THE EXPIRAllON
DATE THEREOF, TIE !$SUING III~ WLL ENDEAVOR TO MAL 10 DAYO WRIT1B<
Monroe County Board of County -
Commissioners NOlleE TO T1E CERTFICATE HOLDER NAMED TO THE LEFT, BUT FALURE TO DO so SHAU.
1100 Simonton st ..ose NO OBUGAlKlN OR L1ABILrTY OF AN'!' KND UPON THE 1NSlR!t, rrs AGEN1'8 OR
Key West FL 33040 REPRESEN1'ATlVES.
AlJTHORIZ&D R&'l"u:8EHTAnvE
Horan I:naurance Aaencv
ACOR:~7~
@)ACORDCORPORATION 1988
I DATE (MMlDOIYY)
~" CERTIFICATE OF LIABILITY INSURANCE 05/07/07
?RODUCER 1-800-472-0072 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.~~IS CERTIFICATE DOES NOT AMEND, EXTEND OR
150 SawgrasB Dr I --- .--.,.....,-..--...- -- A1:T1!"R THE OVERAGE AFFORDED BY THE POLICIES BELOW.
Rochester, NY 14620 flECEiIJ .lJ I INSURERS AFFORDING COVERAGE
,---.-.-----.-- ,
-""-----"1 ,
INSURED I I INSURER A AME lCAN HOME ASSURANCE COMPANY
Paychex Business SOlutions, Inc. , 4 ' [1tAi}RERB'
I h"';
STAND UP FOR ANIMALS, INC. "'i' t
, .]
INSURERC
911 Panorama Trail South l-___
Rochester, NY 14625 MON~OE COYI iERER E;
877 266 6850
---- ....,
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.
~so POlICY EFFECTIVE POLICY EXPIRATION
lT1l TYPE OF INSURANCE POLICY NUMBER DATE (MMIODIYY) DATE (MMlDDIYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE .
r-
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fira) .
I CLAIMS MAOE o OCCUR MEOEXP (Anyone per$on) .
f- PERSONAL & ADV INJURY .
GENERAl AGGREGATE .
r-
GEN'L AGGREGATE LIMIT APPUErl ~,~, PRODUCTS - COMPIOP AGG .
h n POo- '\ CC\,.'..,'.'!
POLICY JECT CDC
~TOMOBILE LIABILITY , '\ )"" )\...> COMBINED SINGLE LIMIT
~Y AUTO --.. (Eaaccident) .
f- - -- ~.::12=.Q~
f- ALL OWNED AUTOS ~-_..- BODILY INJURY
SCHEDULED AUTOS - .-."" " (Par parson} .
r- ~ ,
HIRED AUTOS 1..---.--- BODILY INJURY
f-
NON.QWNEO AUTOS ()j(\/ ((1) QJ {Per accident) .
f-
f- PROPERTY OAMAGE
(Peracck:l&nl) .
~':"E"AB"ITY ~lY~~ AUTO ONLY. EA ACCIDENT .
ANY AUTO EA ACC .
OTHER THAN AUTO
ONLY: AGG .
5EISSLlABILITY ~fY1~1~q EACH OCCURRENCE .
OCCUR D CLAII~S MADE AGGREGATE .
.
~ ~EDUCTIBlE .
RETENTION . .
A WORKERS COMPENSATION AND EMPLOYERS' 1101953 06/01/07 06/01/08 X T we STATU- T 10TH-
LIABILITY TORY LIMITS ER
EL EACH ACCIDENT $ 1,000,000
E.L DISEASE - EA EMPLOYEE $ 1,000,000
E.L DISEASE- POLICY LIMIT $ 1,000,000
OTHER
$
$
$
DESCRIPTION OF OPERATIONSlLOCATION8/YEHICLESlEXCLUSIONS ADDEO BY ENDORSEMENTISPECIAL PROVISIONS
WORKERS COMPENSATION C'OVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR
C-e; J;: /z.(l.-n.. C fL-
CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE
KARIA SLAVIK THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL J!Q... DAYS WRITTEN NOTICE TO THE
C/O RISK MANAGEMENT CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION
1100 SIMONTON STREET OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
KEYWEST, FL 33040 AUTHORIZED REPRESENTATIVE ~~
USA
D
ACORD 25-S (7/97)
AMJON:E:S
61418~~0
@ACORDCORPORATION 1988
r--
ACORD. CERTIFICATE OF LIABILITY INSURANCE CSR LK I DATE (MMJDDfYYYY)
STAND-1 7/23/07
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Jobnsons Insurance Agency ~?LDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
13361 Overseas Highway GE AFFORDED BY THE POLICIES BELOW.
Marathon FL 33050 REl JJ V I-J
Phone: 305-289-0213 '"'ORDI G COVERAGE NAlC#
INSURED INSURER A: S ott dale Insurance CO.
SEP 'P'!aQRER B~7
Stand Up for Animals, Inc.
Linda Gottwald INSURER c:
10550 Aviation Blvd. INS~RER 0:
Marathon FL 33050 '--
MONf ONSJJlUIIT<<
COVERAGES I'I~,~~'~.
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS S~tOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSR TYPE OF INSURANCE POLICY NUMBER PDAl'~1JMfDE~~E P8Hit,ij~h~~N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
A X ex COMMERCIAL GENERAL LIABILITY CLSl135814 07/01/07 07/01/08 PREMISES (E~'o'C:C;u~~nce) $ 50000
I CLAIMS MADE [!] OCCUR MED EXP (Anyone person) $ 5000
-- PERSONAL & ADV INJURY $ 1000000
- GENERAL AGGREGATE $ 2000000
GEN'l AGGREGATE LIMIT APPLIES PER. PRODUCTS. COMPfOP AGG $ 1000000
I In-PRO. n
POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANY AUTO (Eaaccidenl)
f---
All OWNED AUTOS BODilY INJURY
r--- $
SCHEDULED AUTOS (Per person)
r---
f--- HIRED AUTOS BODilY INJURY
$
NON-QWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY UO),~ AUTO ONLY - EA ACCIDENT ,
=1 ANY AUTO l.)~_ OTHER THAN EA ACC ,
-Q ~ -7)7 AUTO ONLY: AGG $ .-...
pESSlUMBRELLA LIABILITY . EACH OCCURRENCE $ .- ~..
OCCUR 0 CLAIMS MADE I f,J AGGREGATE ,
r:<-~ ,
R DEDUCTIBLE l5U~' L~ $
RETENTION , r ,
WORKERS COMPENSATION AND c~t Jd (J ITC)~/LIMiTS I I'ER
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Wl,,~ ' E.L EACH ACCIDENT ,
OFFICER/MEMBER EXCLUDED? ~~,.." ~ E.l. DISEASE - EA EMPLOYEE $
~~E211ls~WOV~~?O~S below E.l. DISEASE - POLICY LIMIT ,
OTHER
Commercial Applica
DESCRIPTION OF OPERATIONS {LOCATIONS {VEHICLES {EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Animal Shelter-Marathon (Total 27 dog kennels both locatio
Animal Shelter-Big Pine Key (Total 27 dog kennels both
Additional 1ns- Monroe County BOCC
C-C-', t="; 1'\ ~ t..L
CANCELLATION
MONRO - 6 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 KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
CERTIFICATE HOLDER
Monroe County BOCC
1100 Simonton Street
Key West FL 33040
ACORD 25 (2001/08)
Yanoff South
@ACORD CORPORATION 1988
Atlantic Pacific-Key West
1010 Kennedy Dr, Suite 203
Key West FL 33040
Phone:305-294-7696 Fax:305-294- 383
REGEl E
CSR CH DATE (MMIDDIYYYY)
STAND-2 02 01 08
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
NFERS NO RIGHTS UPON THE CERTIFICATE
LDER. THI CERTIFICATE DOES NOT AMEND, EXTEND OR
HE C VERAGE AFFORDED BY THE POLICIES BELOW.
ACORD.
CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
Stand up for Animals Inc
10550 Aviation Blvd
Marathon FL 33050
RDING COVERAGE
Al state Insurance Co.
NAIC#
19232
INSURED
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_ NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
LTR NSR TYPE OF INSURANCE POLICY NUMBER PD~~~YJ~r6oWXt: P~k~~EY/~W,h~J!..~N LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
- PREMISES (E~~~~n~e:L__
COMMERCIAL GENERAL LIABILITY $
_J CLAIMS MADE D OCCUR MED EXP (Anyone person) $
-- -----
PERSONAL & ADV INJURY $
----- -.. -
GENERAL AGGREGATE $
- .-
GEN'L AGGREGATE LIMIT APPLIES PER' PRODUCTS - COMPIOP AGG $
I .nPRO- n
POLICY JECT LOC
~TOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000
X ANY AUTO (Eaaccidenl)
-
ALL OWNED AUTOS BODilY INJURY
$
A .Jt. SCHEDULED AUTOS 048613925 07/01/07 07/01/08 (Per person)
.Jt. HIRED AUTOS BODILY INJURY
$
.Jt. NON-OWNED AUTOS (Per accident)
-
- PROPERTY DAMAGE $
(Peraccidenl)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
~ ANY AUTO --..-- -... _......~---
, EA ACC $
OTHER THAN - -.-- ..~--_...._--_.-
AUTO ONLY AGG $
EXCESs/UMBRELLA LIABILITY ~, Lt,(: EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE if< :;,./l) ~ - $
RETENTION $ $
WORKERS COMPENSATION AND ~.h 1 I TORY LIMITS I I U ~~-
EMPLOYERS' LIABILITY I
ANY PROPRIETOR/PARTNER/EXECUTIVE J( EL EACH ACCIDENT $
-----..---...- -- . _w___.____..__
OFFICER/MEMBER EXCLUDED? EL DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below /l E.L DISEASE ~ POLICY LIMIT $
OTHER 'CC I. Ii Lb
'4,u/1An~q
DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT f S~PROVISIONS
2004 Ford F150 PKUP 2FTRF172X4CA56352
CERTIFICATE HOLDER
CANCELLATION
Monroe County Board of County
Commissioners
1100 Simonton St
Key West FL 33040
MCBCCOM 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 N B GATION OR L1AB ITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
@ACORDCORPORATION 1988
ACORD25(2~1/0~)
GG'~
CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDDIYY)
ACDBDrM 05/16/08
PRODUCER 1-800-472-0072 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
150 Sawgrass Dr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Rochester, NY 14620 INSURERS AFFORDING COVERAGE
INSURED INSUAERA ILLINOIS NATIONAL INSURANCE COMPANY
Paychex Business Solutions, Inc.
STAND UP FOR ANIMALS I INC. INSURER 8:
INSURERC:
911 Panorama Trail South INSURERD:
Rochester, NY 14625
877-266-6850 INSURERE:
COVERAGES
THE POLICIES OF INSURANCE LISTED BElOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE
INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS
SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR POLICY EFFECTIVE POLICY EXPIRATION
LT. TYPE OF INSURANCE< POLICY NUMBER DATE (MMIDDIYY) DATE (MM/DDIVYj LIMITS
~NERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE {Any one lire) $
l CLAIMS MADE o OCCUR MEDEXP(AnyoneperllOn} $
'- PERSONAL & ADV INJURY $
'- GENERAL AGGREGATE $
fr AGGREGAPlIT ;:~IEFl PRODUCTS - COMP/OP AGG $
POLICY JECT LDC
~OMOBILE LIABILITY COMBINED SINGLE LIMIT
ANY AUTO (Eaaccldenl) $
'-
f- AlL OWNED AUTOS BODilY INJURY
SCHEDULED AUTOS ~ ~n, ,~fJ-, (f'efperllOn) $
'- \f\
- HIRED AUTOS BODilY INJURY
(Peraccldenl) $
- NON-OWNED AUTOS ";:
~lZ6
- I fROPERTY DAMAGE
::7 (Peraccldenl) $
~~GE LtA.UTY '" I AUTO ONLY - EA ACCIDENT $
ANY AUTO , rn OTHER THAN AUTO EAACC $
~ J ONLY: AGG $
:5E~ LIABILITY u~' -~~ J; EACH OCCURRENCE $
OCCUR D ClAIMS MADE AGGREGATE $
6=(,:( .\f1I~ $
=i ~EDUCTI.LE $
RETENTION $ $
A WORKERS COMPENSATION AND EMPLOYERS' 2243523 06/01/08 [P6/01/09 X I T~~rtJ.~s I I o~-
LIABILITY
E.L. EACH ACCIDENT $ 1,000,000
E.L DISEASE ~ EA EMPLOYEE $ 1,000,000
E.L. Dlse"'SE - POLICY LIMIT $ 1,000,000
OTHER
$
$
$
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESJEXCLUSlONS ADDED BY ENOQRSEMENT/SPECIAL PROVISIONS
WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR
CERTIFICATE HOLDER I I ADDmONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE
MONROE COUNTY BOARD OF COUNTY COMMISSIONERS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ...iQ... DAYS WRITTEN NOTICE TO THE
CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION
ATTN: RISK MANAGEMENT OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
1100 SIMONTON STREET
ROOM 268
KEY WEST , FL 33040 AUTHOR~DREPAESENTATlVE ~~
USA
D
ACORD ~5-Sf(7/97) . ~~~~~2
c.c.~
@ACORDCORPORATlON 1988
CERTIFICATE OF LIABILITY INSURANCE I DATE (MMfDOIYY)
~" 05/16/08
PRODUCER 1-800-472-0072 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
150 Sawgrass Dr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Rochester, NY 14620 INSURERS AFFORDING COVERAGE
INSURED INSURER A ILLINOIS NATIONAL INSURANCE COMPANY
paychex Business Solutions, Inc.
STAND UP POR ANIMALS I JCNC. INSURER 8'
INSURER c:
911 Panorama Trail Sout.h INSURER 0:
Rochester, NY 14625
877-266-6850 INSURERE:
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_
~'R POLICY EFFECTIVE POLICY EXPIRATION
"" TYPE OF INSURANCE POLICY NUMBER DATE (MMJODIYY) DATE (MMJOOIYY) L..ITS
~NERAL LIABILITY EACH OCCURRENCE .
COMMERCIAL GENERAL LIABILITY FIRE DAMAGE {Any one lll'e) .
I ClAIMS MADE o OCCUR MEDEXP{Anyoneperson) .
PERSONAL &. ADV INJURY .
f- GENERAl AGGREGATE .
f-
GEN-L AGGREGATE LIMIT APPLIES F'ER: PRODUCTS - COM PlOP AGO .
h PQlK;Y n ~g fl LOC
LUTOMOBILE LIABILITY ta,.,52 COMBINED SiNGlE LIMIT
AA!YAUTO (Eaaccldent) .
- 11).(
- ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person} .
- ~-d-~ -O~ I
HIRED AUTOS ~ BODILY INJURY
- (Perarx:ldent) .
- NON-OWNED AUTOS
- 'tfl PROPERTY DAMAGE
/'\ (Pefarx:lclenl) .
~~GE LlA..1TY r~ ~" \I, J AUTO ONLY - EA ACCIDENT .
ANY AUTO ~ OTHER THAN AUTO EAACC .
I. ONLY: AGG .
~E~L1ABILITY ( Ptv~~v() "q EACH OCCURRENCE .
OCCUR D CLAIMS MADE AGGREGATE .
'- .
~ ~DJJCTIBLE .
RETENTION . .
A WORKERS COMPENSATION AND EIlIPLOYERS- 2243523 06/01/08 06/01/09 X I T~~;r~JI~S I I O~:
LIABILITY
EL EACH ACCIDENT . 1,000,000
E.L. OISEASE - EA EMPLOYEE $ 1,000,000
E.L. DISEASE - POLlCY LIMIT . 1,000,000
OTHER
.
$
.
DESCRIPTION OF OPERATlONSIlOCATIONSlVEHICLESlEXCLUSIONS ADDEO BY ENOORSEMENT/SPEClAL PROVISIONS IN8UR In
WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED
CERTIFICATE HOLDER I I AOOmONAL INSURED; INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TI-lE EXPIRATION DATE
MARIA SLAVIK THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE
C/O RISK MANAGEMENT CERTIFICATE HOLOER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION
1100 SIMONTON STREET OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES_
KEYWEST, FL 33040 AUTHORIZED REPRESENTATIVE ~~
U8A
ACORD ~5.S ~97) KROTH1 @ ACORD CORPORATION 1988
878293:3
c..G. '--/.
ACORD.
DATE (MMlDDIYY)
08/29/08
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
l_ll;l%fm!%y,;~
PRODUCER
Atlantic Pacific-Key West
1010 Kennedy Dr. Suite 203
Key West FL 33040
Richard Horan
Phone. 305-294-7696 Fax.305-294-7383
INSURED
COMPANY
A CNA Surety
COMPANY
B
Stand up for Animals
10550 Aviation Blvd
Marathon FL 33050
COMPANY
C
Inc.
COMPANY
D
THIS IS TO CERTIFY THAT THE POLlCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONOITION 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,
EXCLUStONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECllY POUCY EXPIRATlO COVERED PROPERTY UMlTS
LTR DATE (MMlDD/'YY) DATE (MMlDDIVY)
PROPERTY BUilDING $
CAUSES OF LOSS PERSONAL PROPERTY $
BASIC BUSINESS INCOME $
BROAD EXTRA EXPENSE $
SPECIAL BLANKET BUILDING S
EARTHQUAKE BLANKET PERS PROP $
FLOOD BLANKET BLDG & PP $
$
$
INLAND MARINE S
TYPE OF POLICY S
$
CAUSES OF LOSS $
NAMED PERILS $
OTHER S
CRIME S
TYPE OF POLICY S
S
BOILER & MACHINERY S
S
A OTHER 69364925 07/01/08 07/01/09 IIIIrploye_ Dhbcme.ty 100,000
Bond
LOCATION OF PREMtsESlDESCRlPTlON OF PROPERTY
SPECIAL CONDITIONSIOTHER COVERAGES
MCBCCOM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTlFJCATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF AMY KIND UPON THE COMPANY, ITS AIJ N
AUTHORIZED REPRESENTATlVE
Monroe County 80ard of County
COIIIID..issioners
1100 Simonton St
Key West FL 33040
ACORD.
CERTIFICATE 0
~ John.ODs ~AlN:lU1CIe ~cr
13361 Ov.~seaa Highway
_..at_ PL 330'0
Pbona.30'-28s-0213
SEP
HOLDEIt. THIS
ALT!R THE C
3 2CDJ
INSURERSAFF
INIUR~A: S
E OP ID LX DA.TI! (MMlDD1YYYY)
STUID-l os 2'7 08
SUED All A MATTER OF INFORMAnON
ER8 0 RIGHTS UPON THE CERTIFICATE
!RnF ATE DOES NOT AMEND. !XTEND OR
RAG AFFORDED BY THE POUCI!S 1!Ie1.OW.
PRODUCER
INSURED
OVERAGE
1. InllUJ:aDC:e CO.
NAlC.
sr5~ !Zf..f~ AI11mala, :rac. I,
tmo AVr~': 81V1S.
~a_ 1'10 33050
pnf:"
I-IISK i ~eNT
INSUREiR 0:
IN8URERE:
COVERAGES
THE POLICies 01" IN:5URANCE LISTED BeL.OW HAVE BEEN ISSueD TO THI! INSVRED NAMED A6OVr: rOI\THI! POlJCY PERIOD INDICATED. NOTWITHSTANDING
AHY Rl:QUIREiLYENT. TERM OR CONDrrJON OF 1+Nf CONTRACT OR OnteR DOCUUl!NTWIllf fUiiFeCTTO WHICH THIS CEJmFICATE MAY Be I$SUED1JR
MAY PERTAIN. THe INSUfWofCEAFFOROED BVTHI! POlJCEB DESCRIHD HERBIN Ilii SueJECT TO ALL THe TERMS, exCLUSIONS AND CONDITIONS OF SUCH
POLlCIU, AGGREGATE LIMITS SHOWN MAY HAVE 8!l!!N !'EDUceO rt( PND CLAIMS.
F CI! POLICY NUMHIt.
GaNIML LIABILITY
A X X CO~CIAlGENEJltALUASl.rrv CLS149a081
ClAIMS WIDE ~ OCCUR
..
L.MTI
!ACHCGCUftRENCE! 11000aOO
0'7/0110S PA&NIIIiS Eo_ .50000
MED EXP (Any one pelWOR) t 5000
PERSONAL&ADVlNJURY '1000000
GiNERALAGGREGATE s 2000000
PRODuCTS-COMPlOPAGG t 1000000
07/01/08
GEN'L AGGREGATE LlUIT APPLIES PER:
POUCY LOe
AUTCIilD8ILE UA8fUTY
ANY AUTO
ALL OWN~ AUTOS
SCHfDUleDAUTOS
HIRED AlIT05
NON.oWNEO AUTOS
COMBINED SINGLE l.fMrr .
(....c:dd.,l).
800ILYINJURY 0
(PeI'penon)
BODILY rNJUNY 0
(~rlQCldelll)
PROPERTY CAWoGE .
(Pwacchhlnt)
AUTO ONL V . EA ACCIDeNT .
OTHER THAN "ACe 0
AUTO QNLY: .GG 0
EACH OCCURRENCE 0
AGGftI!GATI!! 0
$
0
.
u"""
e,L.. EACH ACCIDENT .
E.L DISEASE - EA EMPLOYE .
E.L.. DISEASE. POLICY LIMIT .
0IOOOC119l;
RJiTENTlON .
WOflKD.I COIIPmMTKlN AND
EMPLOYERS'LJABlLrrY
ANY PROPRI&TORIPARTN&RIEXECIJ'l'M:
OFFlCIFAlJAEMBER exCLUDED?
g~~bIlow
i OTHI!R
DII!8CM'TION 01' O'Il:JtATtONS I LOCAllOM/WHlCLllllXCl.UIIONIADCEO 8Y INDORUMI!NT IlfIecw. NCMIlOHe
AI1iaal Sh.lter.-llara_ (Total 27 40g _1. both locaUClSUl)
1IOlIIRO- G
CANCELLATION
SHOULD AN'( Of"TH!AIIOVIl DI!8CRIHO ,OuellS DS CANCIW.!D 8EFORE"THE EXPIRATION
DATI! THeReO', TN!. I18UINrJi INSURER W1LU./tlDEAYDR TO MAL ~ DAY8\\R'TTEN
tfOTKZ TOTttI:: CMTIPICA'M HOLDI!R""MIa TO THI UlFT, BUT 'A1L.Uf11I! TO DO 10 IHALL
INNJ.. NO OBLlGA11ON OR LlA81UTY OF ANY KIND UPONllIl! 1NSU1eR, ITS AGeNTtI Oft
IWIRII!NrAnvu.
A1mICIUZID IUIPRUEHl
'-,-..).
o ACORD CORPORAnON 1988
CERTIFICATE HOLDER
_001 CCNllty BOCC
lda.-l.. Sl....ik -Risk Kanasremant
1100 StacDton St~..t
Key wast rL 33040
yllDOlff Sou
ACORO 25 (2001108)
~Q.'.
-r:~
CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDIYY)
ACD.BD.TM 05/11/09
PRODUCER 1-800-472-0072 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Paychex Agency, Inc. ONLY AND CONFERS NO RIG H TS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
150 Sawgrass Dr AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Rochester, NY 14620 INSURERS AFFORDING COVERAGE
INSURED INSURER A: ILLINOIS NATIONAL INSURANCE COMPANY
Paychex Business Solutions, Inc.
STAND UP FOR ANIMALS, INC. INSURER B
INSURER C:
911 Panorama Trail South INSURER D
Rochester, NY 14625
877-266-6850 INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY
REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE
INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS
SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
iNSR POLICY EFFECTIVE POLICY EXPIRATION
L TR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) DATE (MM/DDIYY) LIMITS
GENERAL LIABILITY
f--
EACH OCCURRENCE
COMMERCIAL GENERAL LIABILITY
= ~ CLAIMS MADE OCCUR
~
FIRE DAMAGE (Anyone fire)
MED EXP (Anyone person)
PERSONAL & ADV INJURY $
I---
GEN'L AGGREGATE LIMIT APPLIES PER:
n POLICY n j:c?-r n LOC
~OMOBILE LIABILITY
ANY AUTO
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG $
f--
~
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
n
~~~NLl_~'
5. (lj-l>4
'f..
,(\A' n1A'() ~
U,Y)' t.
~v '" ~
~~
I
I
i COMBINED SINGLE LIMIT -----II
(Ea accident) $
~- -
I, BODILY INJURY i $
I (Per person) ~
jBODIL Y INJURY
(Per accident) $
--
I----
-
NON-OWNED AUTOS
-
-
I' PROPERTY DAMAGE
(Per accident)
GARAGE LIABILITY
=1 "" AUW
EXCESS LIABILITY
~ OCCUR D CLAIMS MADE
I AUTO ONL Y - EA ACCIDENT
EACH OCCURRENCE
AGGREGATE
EA ACC $
AGG $
$
$
$
$
$
--
I OTHER THAN AUTO
ONLY:
-~
I DEDUCTIBLE
-1 RETENTION $
WORKERS COMPENSATION AND EMPLOYERS'
A LIABILITY
--
25890435
06/01/09
06/01/10
I WC STATU- I
X TORY LIMITS
EL EACH ACCIDENT
10TH-
ER
EL DISEASE - EA EMPLOYEE
$ 1,000,000
$ 1,000,000
$ 1,000,000
EL DISEASE - POLICY LIMIT
OTHER
DESCRIPTION OF OPERATIONSlLOCATIONSlVEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR D
CERTIFICATE HOLDER
I I ADDITIONAL INSURED; INSURER LETTER:
CANCELLATION
1100 SIMONTON STREET
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 KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
MARIA SLAVIK
C/O RISK MANAGEMENT
KEYWEST, FL 33~0 .
c.c..;~
AUTHORIZED REPRESENTATIVE
ri>>'~ ~~.A
USA
ACORD 25-S (7/97)
DISGRO
11863253
@ ACORD CORPORATION 1988
~ Allstate.
You're in good hands.
CERTIFICATE OF INSURANCE
ALLSTATE INSURANCE COMPANY
HOME OFFICE - NORTHBROOK, IL 60062
hereby certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER
STAND UP FOR ANIMALS INC 048613925 BAP
EFFECTIVE DATE
OF CERTIFICATE
07/01/09
10550 AVIATION BLVD
MARATHON, FL 33050-2908
The person or organization designated below is described in the policy as:
MCBOCC
1100 SIMONTON ST
KEY WEST, FL 33040-3110
POLICY PERIOD
07/01/09 TO 07/01/10
AT 12:01 A.M. STANDARD TIME
Coverages designated are afforded as stated below:
LIABILITY: $1,000,000 EACH ACCIDENT
~ LIENHOLDER (Loss Payable Clause)
X ADDITIONAL INTERESTED PARTY
ADDITIONAL INSURED
CERTlFICA TE HOLDER
AS THEIR INTEREST MAY APPEAR
oY).~ LUl~
s - (Cj ~iJ'J
't
6l%' ~
c~~
To the person or organization stated above:
This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder
named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days, or
whatever longer period of time prescribed by state law.
Proof of such mailing is deemed sufficient proof of such notice.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy
referred to above.
BU1380
(05/06)
PAGE 1 OF 1
BU114R-3 . f,. ~ _ '_
c..c.... ~
Ii
~Allstate,
You're in good hands.
POLICY NUMBER: 048613925 BAP
COMMERCIAL AUTO
CA 20 01 03 06
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LESSOR - ADDITIONAL INSURED AND LOSS PAYEE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is
indicated below.
Named Insured:
STAND UP FOR ANIMALS INC
Endorsement Effective Date: JULY 01,2009
Countersignature Of Authorized Representative
Name:
Title:
Signature:
Date:
CA 20 01 03 06
Copyright, ISO Properties, Inc., 2005
Page 1 of 3
BU114R-3
II
SCHEDULE
Insurance Company: ALLSTATE INSURANCE COMPANY
Policy Number: 048613925 BAP I Effective Date: JULY 01, 2009
Expiration Date: JULY 01,2010
Named Insured: STAND UP FOR ANIMALS INC
Address: 10550 AVIATION BLVD
MARATHON, FL 33050-2908
Additional Insured (Lessor): MCBOCC
Address: 1100 SIMONTON ST
KEY WEST, FL 33040-3110
Designation or Description of "Leased Autos": APPEAR
AS THEIR INTEREST MAY
Coverages Limit Of Insurance
Liability $ 1,000,000 Each "Accident"
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus
Comprehensive $ Deductible For Each Covered "Leased Auto"
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus
Collision $ Deductible For Each Covered "Leased Auto"
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus
Specified $ Deductible For Each Covered "Leased Auto"
Causes Of Loss
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Coverage
1. Any "Ieased auto" designated or described
in the Schedule will be considered a covered
"auto" you own and not a covered "auto" you
hire or borrow.
a. You;
b. Any of your "employees" or agents; or
2. For a "leased auto" designated or described
in the Schedule, Who Is An Insured is
changed to include as an "insured" the les-
sor named in the Schedule. However, the
lessor is an "insured" only for "bodily injury"
or "property damage" resulting from the acts
or omissions by:
c. Any person, except the lessor or any
"employee" or agent of the lessor, oper-
ating a "leased auto" with the permis-
sion of any of the above.
3. The coverages provided under this en-
dorsement apply to any "leased auto" de-
scribed in the Schedule until the expiration
date shown in the Schedule, or when the
CA 20 01 03 06
Copyright, ISO Properties, Inc., 2005
Page 2 of 3
~AlIstate.
You're in good hands.
... lessor or his or her agent takes possession
of the "leased auto", whichever occurs first.
B. Loss Payable Clause
1. We will pay, as interest may appear, you and
the lessor named in this endorsement for
"loss" to a "leased auto".
2. The insurance covers the interest of the les-
sor unless the "loss" results from fraudulent
acts or omissions on your part.
3.
If we make any payment to the lessor, we
will obtain his or her rights against any other
party.
C. Cancellation
1. If we cancel the policy, we will mail notice to
the lessor in accordance with the Cancella-
tion Common Policy Condition.
CA 20 01 03 06
2. If you cancel the policy, we will mail notice
to the lessor.
3. Cancellation ends this agreement.
D. The lessor is not liable for payment of your pre-
miums.
E. Additional Definition
As used in this endorsement:
"Leased auto" means an "auto" leased or rented
to you, including any substitute, replacement or
extra "auto" needed to meet seasonal or other
needs, under a leasing or rental agreement that
requires you to provide direct primary insurance
for the lessor.
Copyright, ISO Properties, Inc., 2005
Page 3 of 3
BU114R-3
m
~
ACORDTM
DATE (MM/DDIYY)
07/06/09
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
_"""ONLY AND CONFE'RS NO RIGHTS UPON THE CERTIFICATE
-------;:... -. rHQL,f:)~R.lWiIS CERTIFjCA TE DOES NOT AMEND, EXTEND OR
l\~. l,AlTER 1IHIt COVERAGE AFFORDED BY THE POLICIES BELOW.
COM PAN ES AFFORDING COVERAGE
COMP~Y
L A~ 20~oYd's of London
PRODUCER
Atlantic Pacific-Key West
1010 Kennedy Dr, Suite 203
Key West FL 33040
Richard Horan
Phone:305-294-7696 Fax:305-294-7383
INSURED
Stand up for Animals Inc.
10550 Aviation Blvd
Marathon FL 33050
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 POLICY EXPlRATIO
DATE (MM/DDIYY) DATE (MM/DDIYY)
COVERED PROPERTY
LIMITS
A X PROPERTY
CAUSES OF LOSS
BASIC
BROAD
SPECIAL
EARTHQUAKE
FLOOD
X SPECIAL
BUF22568
07/01/09
07/01/10
BUILDING $
PERSONAL PROPERTY $
BUSINESS INCOME $
EXTRA EXPENSE $
BLANKET BUILDING $
BLANKET PERS PROP $
BLANKET SLOG & PP $
$
$
$
$
$
$
$
$
$
$
$
$
$
Bldg: Marathon: 92,000
Bldg: Big Pine: 96,000
Deductible Ea: 1000
INLAND MARINE
TYPE OF POLICY
CAUSES OF LOSS
NAMED PERILS
OTHER
CRIME
TYPE OF POLICY
"
BOILER & MACHINERY
OTHER
LOCATION OF PREMISES/DESCRIPTION OF PROPERTY
Monroe County Board of County Commissioners is listed as Loss Payee.
SPECIAL CONDITIONS/OTHER COVERAGES
Monroe County Board of
County Commissioners
1100 Simonton St
Key West FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
, S AGENTS OR REPRESENTATIVES.
-='FIDELlTY
Fidelity National Property and Casualty Insurance Company
P.O. Box 33003
st. Petersburg, FL 33733-8003
1-800-820-3242
FFL 99.001 0608
0177225
6/22/09
NA11ONALPROPERlY & CASUALlY INSURANCECDMi'AHY
FLOOD DECLARATIONS PAGE
2000 00000 FLD RGLR
Policy Type
Insured
STAND UP FOR ANIMALS INC
10550 AVIATION BLVD
MARATHON FL 33050-2908
Loan Number
MONROE COUNTY BOARD OF COUNTY
COMMISSIONERS
1100" SIMONTON ST
KEY WEST'FL 33040-3110
)i)~
0~o,
Insured Location (if other than above)
Building Description Non-Res ident ial
# of Floors Two Floors
Basement/Enclosure None
Community Name MONROE COUNTY
Community # 125129
Community Rating 10 / 00%
Program Status Regular
Risk Zone AE
Condo Type N/ A ~~
Adjacent Grade 9. oC ( :
Elevation Difference ~ ~
Location Description
Contents Location
BUILDING
CONTENTS
$95,800
$0
$500
$0
$192.00
$.00
ANNUAL SUBTOTAL:
DEDUCTIBLE CREDIT:
ICC PREMIUM:
COMMUNITY DISCOUNT:
$192.00
$.00
$6.00
$.00
DEAR MORTGAGEE
The Reform Act of 1994 requires you to notify
the WYO company for this policy within 60 days
of any changes in the servicer of this loan.
The above message applies only when there is
a mortgagee on the insured location.
TOTAL WRITTEN PREMIUM:
FEDERAL POLICY SERVICE FEE:
TOTAL PREMIUM:
Premium paid by:
$198.00
$35.00
$233.00
Insured
~ ~ :
C;' fL ~ c-tL--
This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See
III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company.
Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details.
GFL 99.0AP 1002 1002
BFLG99.100 0503 0503
GFLD99.311 0306 0306
BFL 99.116 1005 1(
This policy is issued by
Fidelity National Property and Casualty
Copy Sent To: As indicated on back or additional pages, if any.
011640709251013826609173
00002
Lender
Atlantic Pacific-Key West
1010' Kennedy Dr, Suite 203
Key West !'L 33040
Richard Horan
305-294-7696 'ax:305- 94-7
THE POLICY PERIOD
IND!CATED, NOTWITHSTMOING;Wi REQUJREIYENT, lERM Cfl C\)IlQITlQN (R /!-NY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 'MilCH THIS
CE."RT1F!CATE MAY FE ISSUEO Ql:l MAY PERTAIN. THE lNSU~f AFFORDED BY THE POliCIES OfSCRI8EO railEl'" is SUBJECT TO ALL TfoE TERMS.
O<CllJSIONS AND CMlITIQNS OF SUCH POLICIES UMITS SHO~ MAY HAve BEEN REttJeEO BY PAID CI.AlMS
CO
lTR
BlJILDIt<<:l
PER<'J)NAL PROPERTY
BUSINESS lNCQtE
EXTRA EXPENSE
BlANl<ET BUILDING
BJ..ANKET PIERS PROP
Bt.AM<ETElLOO&W
POLICY EFf'EC11VE POLleY
DATe (taWDIVY) DAlE (
TYPE OF INSURANCE
POLICVNI.lM8ER
COVl$AEI>PAOPERTi
PROPERTY
BASlC
6ROAD
SPE CIAI..
EAATHOI..lAKE
FLOOD
lIIlI..AlCl.MARlNE
TYPE OF POLlCY
CAUSES OF LOSS
NAMED PERilS
OTHER
A X CAIMe
TYPE OF POliCY
69364925
07/01/09
0'7/01/10
.,1"1-- Di.M1I..ty
80lIJiFt .. MACHlNElW
OflooER
LOCA'nONOF PRIIiII$fM)EteW1'lON OFPAOPERTV
LIMITS
$
$
$
$
$
$
$
......~...._..
$
$
$
$
$
$
$
$
$ 100000
$
$
$
$
Pl _'t 17~.
ci)'~ ~
~
SPlCIAI. CONOITION8IOTHER COVERAGES
Monroe County Board of County
C .ioners
1 Simonton St
Key Weat I'L 33040
~AlIstate.
You're in good hands.
POLICY NUMBER: 048613925 BAP
COMMERCIAL AUTO
CA 20 01 03 06
I
THIS ENDORSEMENT CHANGES THE POLICY. P EASE ~1i~REFUltY.
----..--~-.-,-.,-, ..._.", ' - '~r
LESSOR - ADDITIONAL INSURED A D~~2iA YE
I
\
1
--.----.--,-.'" ....'" ,,- .'._-_._~._". ,.J
M;,r'!~\JE CO!,l['JTY
Pi(~\ "~H;T
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
GARAGE COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
TRUCKERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
This endorsement changes the policy effective on the inceptionH date of the policy unless another date is
indicated below.
Named Insured:
STAND UP FOR ANIMALS INC
Endorsement Effective Date: JULY 01,2010
Countersignature Of Authorized Representative
Name:
Title:
Signature:
Date:
cc:
~rJa. rlC ~
CA 20 01 03 06
Copyright, ISO Properties, Inc., 2005
Page 1 of 3
BU114R-3
II
SCHEDULE
Insurance Company: ALLSTATE INSURANCE COMPANY
Policy Number: 048613925 BAP
I Effective Date: JULY 01,2010
Expiration Date: J U L Y 01, 2011
Named Insured: STAND UP FOR ANIMALS INC
Address: 10550 AVIATION BLVD
MARATHON, FL 33050-2908
Additional Insured (Lessor): MCBOCC
Address: 1100 SIMONTON ST
KEY WEST, FL 33040-3110
Designation or Description of "Leased Autos":
AS THEIR INTEREST MAY
APPEAR
Coverages Limit Of Insurance
Liability $ 1,000,000 Each" Accident"
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus
Comprehensive $ Deductible For Each Covered "Leased Auto"
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus
Collision $ Deductible For Each Covered "Leased Auto"
Actual Cash Value Or Cost Of Repair Whichever Is Less, Minus
Specified $ Deductible For Each Covered "Leased Auto"
Causes Of Loss
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Coverage
1. Any "leased auto" designated or described
in the Schedule will be considered a covered
"auto" you own and not a covered "auto" you
hire or borrow.
a. You;
b. Any of your "employees" or agents; or
2. For a "Ieased auto" designated or described
in the Schedule, Who Is An Insured is
changed to include as an "insured" the les-
sor named in the Schedule. However, the
lessor is an "insured" only for "bodily injury"
or "property damage" resulting from the acts
or omissions by:
c. Any person, except the lessor or any
"employee" or agent of the lessor, oper-
ating a "leased auto" with the permis-
sion of any of the above.
3. The coverages provided under this en-
dorsement apply to any "Ieased auto" de-
scribed in the Schedule until the expiration
date shown in the Schedule, or when the
CA 20 01 03 06
Copyright, ISO Properties, Inc., 2005
Page 2 of 3
~ Allstate.
You're in good hands.
lessor or his or her agent takes possession
of the "leased auto", whichever occurs first.
B. Loss Payable Clause
1. We will pay, as interest may appear, you and
the lessor named in this endorsement for
"loss" to a "leased auto".
2. The insurance covers the interest of the les-
sor unless the "loss" results from fraudulent
acts or omissions on your part.
3. If we make any payment to the lessor, we
will obtain his or her rights against any other
party.
C. Cancellation
1. If we cancel the policy, we will mail notice to
the lessor in accordance with the Cancella-
tion Common Policy Condition.
CA 20 01 03 06
2. If you cancel the policy, we will mail notice
to the lessor.
3. Cancellation ends this agreement.
D. The lessor is not liable for payment of your pre-
miums.
E. Additional Definition
As used in this endorsement:
"Leased auto" means an "auto" leased or rented
to you, including any substitute, replacement or
extra "auto" needed to meet seasonal or other
needs, under a leasing or rental agreement that
requires you to provide direct primary insurance
for the lessor.
Copyright, ISO Properties, Inc., 2005
Page 3 of 3
BU114R-3
II
~ Allstate.
You're in good hands.
CERTIFICATE OF INSURANCE
EFFECTIVE DATE
OF CERTIFICATE
07/01/10
I
ALLSTATE INSURANCE COMPANY
HOME OFFICE - NORTHBROOK, IL 60062
hereby certifies that the following insurance is in force:
POLICYHOLDER POLICY NUMBER
STAND UP FOR ANIMALS INC 048613925 BAP
POLICY PERIOD
07/01/10 TO 07/01/11
AT 12:01 A.M. STANDARD TIME
10550 AVIATION BLVD
MARATHON, FL 33050-2908
The person or organization designated below is described in the policy as:
MCBOCC
1100 SIMONTON ST
KEY WEST, FL 33040-3110
LIENHOLDER (Loss Payable Clause)
X ADDITIONAL INTERESTED PARTY
ADDITIONAL INSURED
CERTtF-ICATEHOlDER
Coverages designated are afforded as stated below:
LIABILITY: $1,000,000 EACH ACCIDENT
AS THEIR INTEREST MAY APPEAR
l1).~uJl~
5-(q- (V
l..
r9'
~~
To the person or organization stated above:
This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder
named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days, or
whatever longer period of time prescribed by state law.
Proof of such mailing is deemed sufficient proof of such notice.
This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy
referred to above.
BU1380
(05/06)
QC' h'r1~n ~
PAGE 1 OF 1
BU114R-3
~
-
DATE(MMD~
08/17/2010
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
CERTIFICATE DOES NOT AMEND, EXTEND OR
ERAGE AFFORDED BY THE POLICIES BELOW.
ACOR~
CERTIFICATE OF LIABILITY INSURANCE
PRODUCER
Paychex In.urance Agency, Inc.
1-877-266-6850
B-.f:Df J
150 Sawgra.. Dr
Roche.tar, NY 14620
AUG t 9
IS NA'fIOKAL DlSURUTCB COMPANY
INSURERS AFFORDING COVERAGE
INalRED
Paydhex au.ine.. So1utions, Inc.
S'fA'HD UP POR ANIMALS
911 Panorama Ifra1.1 South
Roaheater, NY 14625
877-266-6850
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 FtEDUCED BY PAID CLAIMS.
... POLICY IEXPlRAnCN
LTR TYPE OF .NMltANCE POLICY __ DAlE (IMDONY) LMTS
GENEltAL LIMLITY EACH OCCURRENCE
COMMERCIAL GENERAL l.IABILITY
CLAIMS MADE LJ OCCUR
'~
LOC
ALL ONNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-ONNED AUTOS
GMAGI LlA8lJTY
AHY AUTO
IXCEII UABLITY
OCCUR 0 CLAIMS MADE
DEDUCTIBLE
RETENTION S
A ~ COIPINIATION AND ..-L.OVIR.. 012007139
06/01/10
06/01/11
OTHER
FIRE DAMAGe (Mf one"')
MED EXP (My one penon)
PERSONAL & ADV INJURY
GENERAl AGGREGATE
PRODUCTS -COMPIOP AOO
COMBNED SINGLE lIMrr
(Ea acctdent)
BODILY INJJRY
I (Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
AUTO ONLY - EA ACCID~T
omER THAN AUTO
ONLY:
EA N:;C
~
S
S
S
S
S
OTH-
ER
EACH OCCURRENCE
AGGREGATE
x
S 1,000,000
1,000,000
S 1, 000, 000
E.l. DISEASE - EA EMPLOYEE
E.L. DISEASE - POlICY LIMIT
CDaIP1ION '" aflIfRA1IONM.0CA'RCIlIINIHICLIUX~ ADDID!IV lND~t..Jv.KIM. PRCWI....
1fORD:RS COIDBIl1'SATIO. COVBJtAC.JB IS PAOVIDBD TO OJIL Y 'fBOS. JDlPLOYBBS LB.I.8BD TO, Bm HOT SUBCOftRACTORS 01' TO NAIIJID I.S
CERnFlCA TE HOLDER
CANCELLAnON
ADDI11ONAL.....; ___ LET1IR:
II<DTROB COmrrY RISK NARAGBJID1'1'
'HOULD MY OF THIE ABOVE DI.CIlBID POLICIE. BE CANCELLED BEFORE THE EXPIRAnON DATE
THEREOF, THE .SIUING INSURER WR.L ENDEAVOR TO MAIL ..!.Q... DAY' WRITTEN NOnCE TO THE
CERnFlCATI HOLDER NAMED 10 THE LEFT, BUT FAILURE TO DO 10 "ALL 1..08E NO OBLIGATION
OR LIABILITY OF ANY KIND UPON THE ....URER. ITS AGENTS OR REPREIENTAnW..
1100 S IJm1l'1'0. STRBB'J~
KBY WHST, PL 33040
AUTHOIIIIZID ......,..,ATIVE
USA
ACORD 2I-S (7117)
TllPJUtRY
17058699
. i '
C..C- .~~IVC-<-
~~
C ACORD CORPORA nON 1988