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Certificates of InsuranceACORDn. CERTIFICATE OF LIABILITY INSURANCE DATE (MM DD YYYY) 01/22/2008 PRODUCER 888�194-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HAROLD MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D/B/A C & C CONSULTANTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O BOX 701340 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ST CLOUD, FL 34770-1340 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA ARCH INSURANCE COMPANY U.S WATER SERVICES CORPORATION INSURER AMERICAN HOME ASSURANCE CO _ 4939 CROSS BAYOU BOULEVARD INSURER C: HUDSON SPECIALTY INSURANCE NEW PORT RICHEY, FL 34652 NSU_R_ERD — INSURERE 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. NSR DD' POLICYEFFECTIVE POLICY EXPIRATION/ EOFIN SURANCEPOLICYNUYBER LIMITS A GENERALLABILIT! X COMCLAIMSLGENERALLIABILITY GWPKG0077202 11/30/07 it/30/OS EACHOCCURRENCE $ 1,000,000 ----- --._ 1_Q0,000_ _.-- CLAIMS MADE [ X J OCCUR PPRREEMISEsETOanNmmnce�_ E _ MEDEXP An one ( Y parson) E _ 10,000 PERSONAL& ADV INJURY _ $ 1,000,000 GENERAL AGGREGATE E 3,000 000 GE_N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS, COMP,OPAGG $ 3,000,000 POLICY LOC '� AUTOMOBILE LIABILITY I A X I ANvauro GWPKG0077202 11/30/07 11/30/08 COMBIN ED SINGLE LIMIT (Ea acb .nq E 1,000,000 IIIV ALLOWNEDAUTOS ----- - - _.1 X SCHEDULED AUTOS HIREDAUTOS � I f BODILY INJURY (Pm Person) E 1I X NON,OWNEDAUTOS BODILY INJURY $ PROPEtlAMAGE E (PeraWent) -GARAGE LABILITY AUTO ONLY, EA ACCIDENT E ANYAUTO OTHER THAN EA ACC f AUTOONLY: AGO E A �.X EX ESSNMBRELIA LABILITY OCCUR ' GWUFP0077202 11/30/07 — - _ E 2,000,000 - -- -: CLAIMS MADE EXCESS OF GENERAL, 11/30/08 �EACHOCCURRENCE AGGREGATE _ _� E 2,000 QQQ - _ AUTO, AND EMPLOYER'S _ $ DEDUCTIBLE LIABILITY _. ---- f RETENTION $ _. _— E B WORKERS COMPENSATION AND EMPLOYERSLMUn WC 759-67-66 5/13/0� 5/13/Q$ WC STATU, .� LOTH TORY LIMIT$ I�_.ER' ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERNEMBER EXCLUDED? 'E. E.L.EACHACCIDENT $ tow000 - — B yyes, describe antler L. DISEASE,EA EMPLOYEE E 1,Q_QQ,000_ SPECIALPROVISIONSbelow OTHER E.L. pISEASE,POLICY LIMIT § 1,000 Q00 C CONTRACTOR'S FEC6112969 5/26/07 5/26/08 $1,000,000 PER CLAIM POLLUTION LIABILITY $1,000,000 AGGREGATE DESORPTION OF OPERATIONS I LOCATIONSI VEMMLESI EXCLUSIONS ADDED BYENDORSEMENTI SPECAL PROVISIONS CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED WITH REGARDS TO GENERAL LIABILITY, CONTRACTOR'S POLLUTION LIABILITY, AND AUTOMOBILE LIABILITY AS THEIR INTERESTS MAY APPEAR. LOCATION: PLANTATION KEY GOVERNMENT CENTER WASTEWATER TREATMENT PLANT CFRTIFICATP Unl nee SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COMMISSIONERS IMPOSE NO OBLIGATI O EASILY' OF ANY KIND UPON ME INSURER ITS AGENTS OR 3583 SOUTH ROOSEVELT BLVD REPRESENTA KEY WEST, FL 33040 .,,,....e.,�.. e� _ ACORD.., CERTIFICATE OF LIABILITY INSURANCE DA11/25/2 08 PRODUCER 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HAROLD MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D/B/A C & C CONSULTANTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O BOX 701340 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ST CLOUD, FL 34770-1340 INSURERS AFFORDING COVERAGE NAIC # INSURED - - - - II INSURERA: ARCH INSURANCE COMPANY U.S WATER SERVICES CORPORATION INSURERS: 4939 CROSS BAYOU BOULEVARD INSURER C: NEW PORT RICHEY, FL 34652 INSURERD: INSURER E: OVERAGES 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 ADD,L ( POLICY EFFECTIVE POLICY EXPIRATION T POLICY NUMBER LIMITS A GENERAL LIABILITY X COMMERCIAL GWPK00077203 11/30/08 ! 11/30/09 EACH OCCURRENCE } $ 1,000,000 FTORENTE� GENE AL LIABILITY CLAIMS MADE X I, OCCUR PREMISES Ea occurence $ 100,00 li MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY + $ 1,000,000 GENERAL AGGREGATE PRODUCTS) GEN'L AGGREGATE LIMIT APPLIES PER: $ 3,000,000 3,000,000 I 11 COM P/OP AGG - - -- - } $ - - ---_ _ POLICY JECT LOC A AUTOMOBILE —_I i X LIABILITY ANY AUTO GW PKGO077203 11 /30/08 ! 11 /30/09 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALLOWNEDAUTOS X SCHEDULEDAUTOS ` HIREDAUTOS BODILY INJURY (Per person) --7 BODILY INJURY $ X 1 NON,OWNEDAUTOS (Per accident) - F $ - it - - PROPERTY DAMAGE_ (Per accident) $ GARAGE LIABILITY i! ANY AUTO AUTO ONLY) EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ A I EXCESS/UMBRELLA LIABILITY l i I GWUFP0077203 X ;OCCUR CLNIMS MADE 11/30/08 11/30/09 EACH OCCURRENCE is 5,000,000 I AGGREGATE -- - $ 5,000,000 -----____ r- is DEDUCTIBLE t $ RETENTION $ _. - -- - -- $ WORKERS COMPENSATION AND WC STATU' OTH> LIMITS 1- X..L.-ER EMPLOYERS' LIABILITY -1TORY --- -- - ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT -- $ -__- If yes, describe under E.L. DISEASE) EA EMPLOYEE $ --- -- SPECIAL PROVISIONS below E.L. DISEASE) POLICY LIMIT $ OTHER j I I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED WITH REGARDS TO GENERAL LIABILITY, AND AUTOMOBILE LIABILITY AS THEIR INTERESTS MAY APPEAR. LOCATION' PLANTATION KEY GOVERNMENTAL CENTER WASTEWATER TREATMENT PLANT -- — V/117VCLLN I IVI9 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE H LDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COMMISSIONERS IMPOSE NO OBLIGATI IA OF ANY KIND UPON THE INSURER, ITS AGENTS OR 3583 SOUTH ROOSEVEL.T BLVD REPRESENTATNES KEY WEST, FL 33040 1 AUTHORIZED REPRUS15tFATIVEZ1117 ACORD 25 (2001108) ' ACORD CORPORATION 1988 ACORDT, CERTIFICATE OF LIABILITY INSURANCE D 1T1/25/2 08 ' PRODUCER 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HAROLD MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D/B/A C & C CONSULTANTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O BOX 701340 ST CLOUD, FL 34770-1340 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: ARCH INSURANCE COMPANY U.S WATER SERVICES CORPORATION INSURER B: 4939 CROSS BAYOU BOULEVARD INSURER C: NEW PORT RICHEY, FL 34652 INSURERD: 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. T POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE 1 $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY GWPK00077203 11 /30/08 1 1 /30/09 - -- $ 100,000 -DAMAGE- PREMISES_(Eaoccurence - - _ I CLAIMS MADE X OCCUR i 1 $ 1 0, 000 � MED EXP (Anyone person) PERSONAL BADVINJURY $ 1,000,000 ! GENERALAGGREGATE $ 3,000,000 PRODUCTS)COMP/OPAGG i GEN'LAGGREGATELIMITAI PLIES PER: _ i 1 1 $ 3,000,000 PRO) POLICY1JECT X LOC ' A AUTOMOBILE LIABILITY ANY AUTO GWPKG0077203 11 /30/08 11 /30/09 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALLOWNEDAUTOS j BODILY INJURY $ SCHEDULED AUTOS i (Per person) X i I X HIREDAUTOS I NON>OWNEDAUTOS ! BODILY INJURY (Per accident) $ j I i PROPERTY DAMAGE $ Per accident i GARAGE ILITY LIABILITY AUTO ONLY) EA ACCIDENT $ R OTHER THAN EAACC -- $ AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY -- EACH OCCURRENCE $ 5,000,00-0 A X OCCUR CL41MS MADE 11/30/08 11/30/09 AGGREGATE --- - $ 5,000 000 -- — - - $ j DEDUCTIBLE - I - - -- ---- _ $ - -- --- - -- - - RETENTION $ $ WORKERS COMPENSATION AND WC STATU> ER TORY LIMIT- ER EMPLOYERS' LIABILITY--- -- - -_ _ E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE 1 $ - - --- OFFICER/MEMBER EXCLUDED? If describe j E.L. DISEASE > EA EMPLOYEE ---- __ — $ yes, under SPECIAL PROVISIONS below E.L. DISEASE) POLICY LIMIT $ OTHER I DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER LISTED AS ADDITIONAL INSURED FOR COMMERCIAL GENERAL LIABILITY AND AUTO LIABILITY AS THEIR INTEREST MAY APPEAR. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN MONROE COUNTY BOCC NOTICE TO THE CERTIFICA HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 3583 SOUTH ROOSEVELT BOULEVARD IMPOSE NO OBLIG O R LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR KEY WEST, FL 33040 REPRESENTA s AUTHORIZED P N VE r+%.vRv'CV JAVU I luo) ,L✓ ' ACORD CORPORATION 1988 ACaRfl,. CERTIFICATE OF LIABILITY INSURANCE OP ID S - - USWAT-1 DATE(MM/DD/YYYY) 05/13 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Stahl & Associates Ins., Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3939 Tampa Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oldsmar FL 34677 Phone : 813-818-5300 Fax : 813-818-5396 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Zenith Insurance Co.-- 132169 INSURER B: Indian Harbor Insurance Co. 1 — INSURER C: U.S. Water Services Corp 4939 Cross Bayou Blvd New Port Richey FL 34652-3434 _ INSURERD: - - 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 POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES (Ea occurence) $ COMMERCIAL GENERAL LIABILITY JN S MAD = F OCCUR I MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT AUTOMOBILE LIABILIT`( COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) BODILY INJURY I$ ALL OWNED AUTOS SCHEDULED AUTOS i � person) — _-_ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ .- PROPERTY DAMAGE (Per accident) $ IGARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO -__—_- $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ JOCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND X T0RY LIMITS ER A EMPLOYERS' LIABILITY M10047 05/13/09 05/13/10 E.L. EACH ACCIDENT $ 1 000, 000 UTIVF OFFICER/MEMBER EXCLUDED? ANe;pdesaRbe LE. DISEASE - EA EMPLOYEE L- - - $ 1 0 0 0 0 0 0 undePARTNFR!!�XF SPECIAL PROVISIONS below -- - - ----- E.L. DISEASE - POLICY LIMIT - - - -- - - 1 $ 1 , 000 , 000 OTHER B Professional & PECO026481 05/26/08 05/26/09 Ea Claim 2,000,000 Pollution I I I Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: Plantation Key Government Center Wastewater Treatment Plant F�IVED Certificate holder is listed as additional insured with regards to pollution liability with regards to written contract, subject to the terns, MAY 1 5 Z009 conditions and exclusions of the policy. CERTIFICATE HOLDER CANCELLATION MONROEB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County Board Of County CommissionersIMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 3583 South Roosevelt Blvd REPRESENTATIVES. Key West FL 33040 AUTH ¢ EQR NyT!)�P7 �..r• _ Amnon 95 ronminsti C.! rr1 At -non t-nonnowrvr%m 4eoo ACORD,� CERTIFICATE OF LIABILITY INSURANCE °";�,2„ neoouceR 888-494-9844 HAROLD MORRISON D/B/A C & C CONSULTANTS O BOX 701340 3T CLOUD, FL 34770-1340 THIS CERTIFICATE 18 ISSUED A8 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # U.S WATER SERVICES CORPORATION 4939 CROSS BAYOU BOULEVARD NEW PORT RICHEY, FL 34652 wsumfut ARCH INSURANCE COMPANY INS1RERB: _ INSURER C: INSURER 0: INSURER E: r_nvvQenvc 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. Numen%mom LIMITS 7MPOLICY A OWERAL.LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FAI OCCUR GWPKGO077204 11 /30/09 11 /30110 EACH OCCURRENCE $ 1,000,Q00 1 DAMAGE TO RENTED $ 100 000 MED EXP ij!nl ale I a 10,000 PERSONAL & ADV INJURY $ 1, 000, 000 GENERAL AGGREGATE t 3,000,000 PRODUCTS - COMPIOP AGO S 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F 1 P F-x LOC A AUTOMON" LIABLITY ANY AUTO GWPKGO077204 11 /30/09 11 /30/10 SINGLE LIMIT (Ea d0�°"a ; 1COMBINEQ ,000,000 X BODILY INJURY (Pw P"w) � ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accklw t) HIRED AUTOS NON -OWNED AUTOS s X PROPERTY DAMAGE (Per acdeern) s G ARAM L.iAONJTY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC AUTO ONLY: AGO i ANY AUTO $ A EXCESS/UMORELLA LIAB{L.ITY :xl OCCUR 0CLAIMS MADE C'WUFP0077204 11 /30/Q9 11 /30/10 EACH OCCURRENCE $ 51000,000 AGGREGATE $ 5,000,000 $ EXCESS OF GENERAL LIABILITY, AUTO $ DEDUCTIBLE LIABILITY $ EMPLOYERS LIABILITY _ RETENTION $ WORKERS COMPENSATION ANO 8TATU-10TH. LJAAN.ITY ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT _..__._ E.L. DISEASE - EA EMPLOYEE $ OFFICERANEMBER EXCLUDED? • ul-OTHER cle�ribe NfKW gPROVISIONS b6ft E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT t SPECIAL PROVISIONS CERTIFICATE HOLDER LISTED AS ADDITIONAL INSURED FOR COMMERCIAL GENERAL LIABILITY AND AUTO LIABILITY AS THEIR INTEREST MAY APPEAR. f It� I GERTIFIGATE HOLDER CANCELLATION MONROE COUNTY BOCC 3583 SOUTH ROOSEVELT BOULEVARD KEY WEST, EL 33040 SHOULD ANY Of TM! ASOYE DESCRIBED POLICIES BE CANCRI.LEo BEFORE THE EXMATION DATE 1MMU OF, THE ISSUING INSURER WNLL ENDEAVOR TO MAH. 30 DAYs WRITTEN NOTICE TO TH9 CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 !!HALL NMPOSE NO OBLIGATION OR LIABLIT'Y OF ANY KIND UPON THE INSURER, ITS AGMTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE / is AJOLIA ACCORD 25 (20011081 0 ACORD CORPORATION 1988 AG"R� CERTIFICATE OF LIABILITY INSURANCE °"M"""MOff'" i18WAT- 09 30 09 PRODUCER - �Oh,l & Associates Ias .. , Inc.. 39 '!wwa Road vldsmsr FL 34677 DLone:813-818-5300 8'ax:813-818-5396 THIS CERTIFICATE 191SSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RMT8 UPON THE C8RTIFICATE HOf.DER, THIS CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. INSURERgpFFORDINOCOVERAGE NAIC# wsu�eo 7Iffatez�3�� 86svisavouas� zp r postsRichay FL 652-3434 Msurmti Smith iasyssaoo Co. 132169 wsuRM a 8t"11 diut Ituuxanoa Co . aGLFtER � Baum D' wsuRM E THE POLICIES OF L40JPAME LISTED BELOW HAVE BM MOM TO THE 900RED RNMED ABtyll'E FOR THE POLICY PERIM NVDICATM NOTWITHSTANDING AMU REWREMENT, 7M OR CONDITION OF ANY CONTRACT OR OTTER DOCUMENT WITH R'EBPECTTO V*#CH THE CERTIFICATE MAY BE ISSM OR MAY PERTAIN. THE WSURANCEAFFOFIDW BY THE POLICIES DESCRIBED HERON IS SUBJECTTO ALL T HE TERMS F.XCLUSON$ AND COHMMM OF SUCH POUCIEL AGMGA'iE LUM SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS pOILICY "UMBpR TDAMMIPff umrm t,ENEPAL LIA8WW COMMERCIAL GENERAL LL489 TY CLAIM= MADE El OCCUR EACH OCCURRENCE i ppmem 000unnc� S MED EV WV am perm) S PERSONAL S ADV NAM � 0EIERALAGGRE(WE S GM AGATE LWr APPLIES PER: 7 POLICY F-1 Z& El Loo PRODUCTS - COMPIOP A®G S AUTOMOBLE LIABILITY ANY AUTO ALL. OA"M A" SCHEMXW AMS HIRM AUT+138 AUM CO LE L1WT BQCJE.Y NUURY flow mam) (=Its IW PROPERTY DAMAGE AtIMt3E 3 GARAGE LUUMUTY ANY AUTO 40 pow, AUTO ONLY -EANCCMENT S tiTHER THAI+I EA ACG At= ONLY AG6 B $ MCC 081 LA I.iA WITY OCCUR CLA " mmw DEDUCTMLE RETENYfON EACH OC;CUItRENCE B AGGREGATE S S _ A V C0MPEEIMTM AHD � �� RMARTHSECUTIVE LUMELffy 0 MHER EXCLUDED? ti.I�w M�.004'? q�i/13/Q9 05/3��.0 VM x TOW LEI ER EL EILCHAGWDI $i 000aoo E.L. DISEASE -EA 2Lo S i 000 A, 000 F.L. DISEASE - 120= !! 1 000 000 13 OTM Professional. & Pollution >?ZC6542361-00 05/26/09 05/26/1.0 Na Claim 21000, OQO ate 21000,000 DESCRrTiQIAI OF OPEIIATIOM I L CMTIONS I VENICLEB I EXtJt.UM148 ADDED BY EMOMEMW i WI I" PROV010618 Plantation RAy Certificate Holdox is listed as an addltionaIL insured as respects Pollution Liability with to written contract (s) , subject to the terms, ronditionmi and exclitsi.ons of the r*licy. Mo=oe County Soazd of County Comissioner a 3583 South Roosevelt Blvd Key west 1% 33040 GANG�L,.t_ATKiN SHOULD ANY OF THE ABOVE DIMGRIDED POLICILS BE CANCELLED dEPORE, THE EaQ A1TICN DATE TMER00F, TM ISSUq * RWLL MWEAVOR TO MM. 10DAYS WWM NOTICE TO IM CERTiFICAT'E HOLDER NAND TO THE LEFT, HUT FAILURE TO DO SQ SMALL. NIAP4S6 NO OKMTION OR LIABILITY OR ANY KNdO UPON THE INSUR&t ITS AGENTS OR REPRESM IATIVEs. AGORD 25 tZ00'1M) 0 ACORD CORPORATION 1998 acoRe CERTIFICATE OF LIABILITY INSURANCE OP ID S DATE(MM/DD/YYYY) USWAT-1 05 12 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Stahl & Associates Ins., Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3939 Tampa Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Oldsmar FL 34677 Phone : 813-818-5300 Fax : 813-818-5396 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Zenith Insurance Co. 132169 INSURER B: Steadfast Insurance Co. INSURER C: U.S. Water Services Corp 4939 Cross Bayou Blvd New Port Richey FL 34652-3434 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITH NDIN Y 1 ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUE OR ` �' 0 i MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS H ; POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.MR OEYL POLICYEXPIRA LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY FFECTIVE DATE MM/DD/YY N GENERAL LIABILITY EACH OCCURRENCE $ PREMISES (Ea occurence) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE F OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: 7POLICYF_� PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS ` BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE �. EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE f� $ RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY r'�►P�Y r..rcfir'..Rit_T4R/Pi,RTNErZ'EXEvi1Ti'dE OFFICER/MEMBER EXCLUDED? If • es, describe under SPECIAL PROVISIONS below M1004702 05/13/10 J 05/13/11 X TORY LIMITS ER E.L. EACH ACCIDENT 1$1.,0001000 E.L. DISEASE - EA EMPLOYEE ` $ 1 0 0 0 0 0 0 E. L. DISEASE - POLICY LIMIT - $ 1 0 0 0 , 0 0 0 OTHER B Professional & PEC6542361-00 05/26/09 05/26/10 Ea Claim 21000,000 Pollution I I I Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: Plantation Key Government Center Wastewater Treatment Plant Certificate holder is listed as additional insured with regards to pollution liability with regards to written contract, subject to the terms, conditions and exclusions of the policy. CERTIFICATE HOLDER CANCELLATION MONROEB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County Board Of County CommissionersIMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 3583 South Roosevelt Blvd REPRESENTATIVES. Key West FL 33040 AUTH EeR N,YTIVV ACORD 25 (20011081 C.001F n ernun rn00n0AT1nu 4eQQ OP ID S ACORD CERTIFICATE OF LIABILITY INSURANCE _ �. USWAT 1 DATE (MMroDIYYYY) 05 27 10 PRODUCER • p,,, 1 & Associate.. Ins. Inc.Stah ' �� 3939 Tampa Road -I&ISSUED AS A MATTER OF INFORMATION CONFERS NO RIGHTS UPON THE CERTIFICATE HIS CERTi ICATE DOES NOT AMEND EXTEND OR �--�--*LTI! t THE ERA E AFFORDED BY THE POLICIES BELOW. r r Oldsmar FL 34677 Phone: 813-818-5301D Fax: 813-818-5396 OSU E q FO DING OVERAGE NAIC # INSURED INSURER A. Zeno thtnsurance Co. 132169 I EL--- . "dfa t Insurance Co. U.S. Water Services Corp 4 939 Cross Bayou Blvd P New Port Richey FL 34652-3434 `�� '- T °'' � ' INSURER E: nnVFRAnFA 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. INUK LTR NSRN TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATON DATE M LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES (Ea occurence) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC F-IJEC1" AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Perf��) $ ALL OWNED AUTOS; SCHEDULED AUTOS> BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ,,, AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 7 OCCUR F-ICLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE RETENTION $ n WORKERS COMPENSATION AND 11ATU- I JIT" X TORY LIMITS ER A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIUE OFFICER/MEMBER EXCLUDED? M10 0 4 7 0 2 0 5/ 13 / 10 0 5/ 13 / 11 E.L. EACH ACCIDENT $ 1, 0 0 0, 0 0 0 E.L. DISEASE - EA EMPLOYEE $ 1 , 0 0 0 , O O O , desenbe under SPECIAL PROVISIONS below SW E.L. DISEASE - POLICY LIMIT $ 110 O O O O 0 OTHER B Professional & PEC6542361-01 05/26/10 05/26/11 Ea Claim 2,000,000 Pollution I I I Aggregate 2,000 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: Plantation Key Government Center Wastewater Treatment Plant Certificate holder is listed as additional insured with regards to pollution liability with regards to written contract, subject to the terms, conditions and exclusions of the policy. GEKTIFIGATE HULD K GANGI"-"LLA1 IUN MONROEB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County Board of IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR County Commissioners 3583 South Roosevelt Blvd REPRESENTATIVES. Key West FIi 33040 AUTH r /f _ .a Af%^CDr% 7C /7nn4/A01 n Ar-nan r_n0Df%DAT1nu 4aftQ DATE (MMIDD/YYYY) A �® CERTIFICATE OF LIABILITY INSURANCE 1 11/18/2010 PRODUCER 888-494-9844 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HAROLD MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ONSULTANTc AI Tco TUC r_nVFRAr.F AFFORDED BY THE POLICIES BELOW. D/6/A C & C C P O BOX 701340 ST CLOUD, FL 34770-1340 INSURED U.S WATER SERVICES CORPORATION 4939 CROSS BAYOU BOULEVARD NEW PORT RICHEY, FL 34652 INSURERS AFFORDING COVERAGE NAIC # INSURERA: ARCH INSURANCE COMPANY INSURER B: �-- — INSURER D GOVERtAUt, 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 DD'pOUCY NUMBER POLICY EFFECTIVE POLICYDATE IMMWDI EXPIRATION LIMITS INSURANCE A Y I TYPE OF GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [XI OCCUR i GWPKG0077205 i 11/30/10 11/30/11 ' EACH OCCURRENCE _ A A�� PREMISES [Ea vccurren�)._ $ 1 ,100.000 $ — - 1 OO.000 S 10,000 $ 1,000,000 MED EXP (Any one Person) _ PERSONAL & ADV INJURY GENERAL AGGREGATE $ 3,000,000 i PRODUCTS - COMP/OP AGG �GEN'LAGGREGATE LIMIT APPLIES PER: $ 3,000,000 POLICY PRO LOC A Y AUTONIOBILEUABILITY �X ANY AUTO GWPKGO077205 11/30/10 j 11/30/11 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per (Per person) -— ALL OWNED AUTOS t-- SCHEDULED AUTOS — X. HIRED AUTOS X 11 NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ �� --------- i GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ _ ANY AUTO --1 $ A EXCESSIUMBRELL_ALIABILITY —I OCCUR CLAIMS MADE I �- - DEDUCTIBLE RETENTION $ GVVUFP0077205 11/30/10 EXCESS OF GENERAL LIABILITY. AUTO LIABILITY & EMPLOYERS LIABI' ITY l^ 1 11/30/11 /1I_ ` L� ,`./ EACH OCCURRENCE S 5,000,000 AGGREGATE $ 5,000,000 __-- $ $ WORKERSCOMPENSATION AND EMPLOYERS' LIABIUTY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandstory In If yes, describe under SPECIAL PROVISIONS below I ' ✓ ' �� I � � VJC T RY I STATIT- UO R` R CH ACCIDENT $ .L. DISEASE - EA EMPLOYEE $ --- E.L. DISEASE -POLICY LIMIT $ OTHER II ram, i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED WITH REGARDS TO GENERAL LIABILITY, AND AUTOMOBILE LIABILITY AS THEIR INTERESTS MAY APPEAR. LOCATION: PLANTATION KEY GOVERNMENTAL CENTER WASTEWATER TREATMENT PLANT MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 3583 SOUTH ROOSEVELT BLVD KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (2009101) W -I woo-fuuv r own. nn 1ov- 10 1 v— The ACORD name and loco are reolstered marks of ACORD A` o%eo OP ID: SG CERT IFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER07/2 . THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 813-818-5300 FADDRRESS: Stahl & Associates Ins., Inc. 3939 Tampa Road 813-818-5396 FAX t : A/C No Oldsmar, FL 34677 Stahl & Associates Insurance ID #: USWAT-1 INSURED U.S. Water Services Corp INSURERS) AFFORDING COVERAGE NAIC # 4939 Cross Bayou Blvd INSURER A: Zenith Insurance Co. 132169 New Port Richey, FL 34652-3434 INsuIxeRB:American Safety Indemnity Co INSURER C : INSURER D : INSURER E : NU THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURLIU AIM D ABOVEB OR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'R R TYPE OF INSURANCE POLICY EFF POLICY EXP GENERAL LIABILITY POLICY NUMBER MM/DD/YYYY MM/DD/YYYY u MITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE [:] OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ � PERSONAL & ADV INJURY $ I GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY $ i ANY AUTO 3—d' COMBINED SINGLE LIMIT JI (Ea accident) $ t ALL OWNED AUTOS )" " BODILY INJURY (Per person) $ SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS PROPERTY DAMAGE NON-OWNEDAUTOS (Per accident) $ UMBRELLA LIAB OCCUR $ EXCESS LIAR CLAIMS -MADE EACH OCCURRENCE $ DEDUCTIBLE AGGREGATE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y! N A ANY PROPRIETOR/PARTNER/EXECUTIVE M1004703 EXCLUDED? ❑ N / A X WC STATU- OTH- $ TORY LIMITS ER 05/13/11 (MandatoryOFFICER/Min H) X (Mandatory in NH) 06/13/12 E.L. EACH ACCIDENT $ 1,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ 1,000, B Professional 8 X X PPL0291-9-'% E.L. DISEASE - POLICY LIMIT $ 1,000, 05/26/11 Pollution 05l26/12 Ea Claim 2,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Aggregate 2,000 RE: Plantation Key Government Center Wastewater Treatment Certificate Plant holder is listed as additional insured with regards to Pollution liability with regards to written contract, subject to the terms, conditions and exclusions of the policy. CERTIFICATE HOLDER CANCELLATION Q� CA-MONROEB THE SHOULD POLICIESE DESCRIBED CANCELLED BEFORE EXPIRATION H Monroe County Board of DATE E THEREOF, NOTIICE WILLL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. County Commissioners 3583 South Roosevelt Blvd AUTHORIZED REPRESENTATIVE Key West, FL 33040 �' a ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered mars of ACORD ,�►co CERTIFICATE OF LIABILITY INSURANCE 7TE(MWDD/YYYY) /01 /2011 PRODUCER 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HAROLD MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D/B/A C & C CONSULTANTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O BOX 701340 ST CLOUD, FL 34770-1340 INSURERS AFFORDING COVERAGE NAIC # INSURED U.S WATER SERVICES CORPORATION 4939 CROSS BAYOU BOULEVARD NEW PORT RICHEY, FL 34652 COVERAGES INSURERA: ARCH INSURANCE COMPANY INSURER B: 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. NSR OD' OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMIMIDDIYYYY POLICY EXPIRATIONTYPE LIMITS A Y GENERALLUIBILITY EACH OCCURRENCE E 1,000,000 DA PREMISES (Eaoccurrencel MED EXP (Any one person) $ 100,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F_x� OCCUR GWPKGO077206 11/30/11 11/30/12 _ E 10,000 PERSONAL & ADV INJURY E 1,000,000 GENERALAGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000 1-1 POLICY PRO LOC A Y AUTOMOBILE UA131LITY ANY AUTO GWPKGO077206 11/30/11 11/30/12 COMBINED SINGLE LIMIT (Ea accident) = 1,000,000 X BODILY INJURY (Per person) = ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS NON -OWNED AUTOS Ap pY gY t�qq C;1 ✓ a BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ DA 1AI /� ( CCo I t Elie — GARAGE LIABILITY AUTO ONLY - EA ACCIDENT E OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY ::Xl OCCUR CLAIMS MADE GWFXS0077201 EXCESS OF GENERAL 11/30/11 11/30/12 EACH OCCURRENCE $ 5,000,000 AGGREGATE t 5,000,000 DEDUCTIBLE LIABILITY, AUTO LIABILITY & EMPLOYERS LIABILITY s $ s RETENTION E WORKERSCOMPENSATION AND EMPLOYERS' LIABILITY Y / N A .'Y PROPRIETORIPARTNERIEXECU ME ❑ OFFICER/MEMBER EXCLUDED? WC STATU- OTH- T FI_ EACH ACCIDENT Is E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 E OTHER N SCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS NONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE LISTED AS ADDITIONAL INSURED ON COMMERCIAL GENERAL -?ABILITY AND AUTOMOBILE LIABILITY AS THEIR INTERESTS MAY APPEAR. -OCATION: WASTEWATER TREATMENT PLANT -PLANTATION KEY GOVERNMENTAL CENTER MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 3583 SOUTH ROOSEVELT BLVD KEY WEST, FL 33040 WORD 25 (20091/1) CG' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL)b)bkKkW(XO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT AUTHORIZED REPRESENTATIVE 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and loao are registered marks of ACORD USWAT-1 OP ID: SG CERTIFICATE OF LIABILITY INSURANCE AT05/10D/YYYY) r5/10/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 813-818-5300 Stahl 8 Associates Ins., Inc. 813-818-5396 3939 Tampa Road(PAC.No Oldsmar, FL 34677 Stahl & Associates Insurance CONTACT NAME: Sue Goodman, CPCU HONE 813-818-5350 PAX No : 813-818-5396 Ext aooRess: sue.goodman@stahlinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Zenith Insurance Co. 13269 INSURED U.S. Water Services Corp INSURER B : Colony Insurance Co. 05719 4939 Cross Bayou Blvd New Port Richey, FL 34652-3434 INSURER C INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE Nt1M13ER: RFVISInN NI IMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSR WVD UB POLICY NUMBER MM/DDPOLICY/YYYY MM/DDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREM—DAMAGE T RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ CLAIMS -MADE F—IOCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC $ AUTOMOBILE LIABILITY APIRO COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 8Y DAIS; W BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS �' Oil . PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR tIrk C., EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) N / A X M1004704 05/13/12 05/13/13 X I WC STATU- OTH- T YLIMITS E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,0001 If y-- -describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 B Professional & X X PKC300752 05/26/12 05/26/13 Per claim 2,000,00 Contracors Polluti Aggregate 2,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) (�(� RE: Plantation Key Government Center Wastewater Treatment Plant Certificate holder is listed as additional insured with regards to pollution liability with regards to written contract, subject to the terms, conditions and exclusions of the policy. MAY 14 2012 By CERTIFICATE HOLDER rANCFI I ATInN MONROEB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of ACCORDANCE WITH THE POLICY PROVISIONS. County Commissioners AUTHORIZED REPRESENTATIVE 3583 South Roosevelt Blvd Key West, FL 33040 Gh ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD D® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 11 /25/2012 PRODUCER 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HAROLD MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D/B/A C & C CONSULTANTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O BOX 701340 ST CLOUD, FL 34770-1340 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: ARCH INSURANCE COMPANY U.S WATER SERVICES CORPORATION INSURERS: 4939 CROSS BAYOU BOULEVARD INSURER C: NEW PORT RICHEY, FL 34652 INSURER D: rnucoecce 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. - POLICY EFFECTIVE DDJ POLICYMM EXPIRATION INSR ' POLICY NUMBER LTR LIMITS DATE MMDYYY D A Y GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 -- ----- DAMAGE To RENTED PREMISES Ea occurrence)- X COMMERCIAL GENERAL LIABILITY GWPKGO077207 11/30/12 11 /30/13 $ 100,000 $ 10,000 _ CLAIMS MADE Lxi OCCUR MED EXP (Any one person) PERSONAL B, ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 ICI_ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000 7PRO- F POLICY LOC , A Y AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO GWPKGO077207 11/30/12 11/30/13 (Ea accident) BODILY INJURY $ ALL OWNED AUTOSI SCHEDULED AUTOS (Per person) $ X HIRED AUTOS �j��M BODILY INJURY X NON -OWNED AUTOS i (Per accident) PROPERTY DAMAGE $ W <<., - -- (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS I UMBRELLA LIABILITY, - EACH OCCURRENCE - $ 5,000,000 X OCCUR L_] CLAIMS MADE GWFXS0077202 11/30/12 11/30/13 AGGREGATE $ 5,000,000 EXCESS OF GENERAL Is LIABILITY, AUTO LIABILITYI - - -- — DEDUCTIBLE & EMPLOYERS LIABILITY -- -- ------------- �' $ RETENTION $ $ WORKERS COMPENSATION WC STAn^TU- OTH- ER ILITY Y/N AND PROPRIETOR/PARTNER/EXECUTIVE E.L. EACHAC_CIDE____ - $ OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE; $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT - $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE LISTED AS ADDITIONAL INSURED ON COMMERCIAL GENERAL LIABILITY AND AUTOMOBILE LIABILITY AS THEIR INTERESTS MAY APPEAR. LOCATION: WASTEWATER TREATMENT PLANT -PLANTATION KEY GOVERNMENTAL CENTER MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST, FL 33040 ACORD 25 (2009101 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL)0tX"XXD MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT>1Qj(04)0(*XX)(0(,$1� il(�(aC(2(�1(�CAEDiafA4B(k(�(�14X➢1�4K�G AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. C. C The ACORD name and loco are reaistered marks of ACORD i DATE (IBIYDDlYYYY) Z' A4C6 O CERTIFICATE OF LIABILITY INSURANCE�� 11 /25/2012 PRODUCER 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HAROLD MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D/B/A C & C CONSULTANTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O BOX 701340 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ST CLOUD, FL 34770-1340 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: ARCH INSURANCE COMPANY U.S WATER SERVICES CORPORATION INSURERB: 4939 CROSS BAYOU BOULEVARD INSURER C: NEW PORT RICHEY, FL 34652 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. *SR JJLINSRD ADD` TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A Y GENERALLIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE F_x� OCCUR GWPKGO077207 11/30/12 11/30/13 PREMISES Ea occurrence E 100,000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 3,000,000 POLICY PRO LOC A Y AUTOMOBILE LIABILITY ANY AUTO GWPKGO077207 11/30/12 11/30/13 COMBINED SINGLE LIMIT (Ea accident) S 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS r APPR E GE" HIRED AUTOS NON -OWNED AUTOS BY DA W X BODILY INJURY (Per accident) $ X Or—• /� - M C..rl « PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY L~ a • AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO E AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMSMADE GWFXS0077202 EXCESS OF GENERAL 11/30/12 11/30/13 EACH OCCURRENCE $ 5,000,000 AGGREGATE E 5,000,000 DEDUCTIBLE LIABILITY, AUTO LIABILITY & EMPLOYERS LIABILITY $ L $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE El EXCLUDED? (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below WC STATU- I OTH- TORY LIMITS E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE E E.L. DISEASE - POLICY LIMIT 1 $ OTHER IESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE LISTED AS ADDITIONAL INSURED ON COMMERCIAL GENERAL -IABILITY AND AUTOMOBILE LIABILITY AS THEIR INTERESTS MAY APPEAR. _OCATION: WASTEWATER TREATMENT PLANT -PLANTATION KEY GOVERNMENTAL CENTER UL.lollIIM MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL(XO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT )W( AUTHORIZED REPRESENTATIVE (CORD 25 (2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and loco are realstered marks of ACORD USWAT-1 OP ID: GO CERTIFICATE OF LIABILITY INSURANCE DAT05/09/09//YYYY) F 13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to kw-palicy,.certain policies may require an endorsement. A statement on this certificate does not confer rights to the the terms and conditions of(t certificate holder in lieu of ch Endorsements . PRODUCER '127-784-8554 Stahl 8 Associates Insurance 3939Tampa Road �, MAY 1 4 2��3 Oldsmar, FL 34677 I, Michael Pagano, AAI �- 27-789-2823 CONTACT NAME: Sue Goodman PHONE 813-818-5350 FAIL No): 813-818-5396 ac No Ext: Ab REss: sue.goodman@stahlinsurance.com a INSURERS AFFORDING COVERAGE NAIC # INSURER A: Zenith Insurance Company INSURED U.S. Water Serftes Corp- - "- T""� INSURER B: Colony Insurance Co. 05719 4939 Cross Bayou Blvd New Port Richey, FL 34652-3434 INSURER C INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR / AP K nANAGE BY EMT _ ` DAMAGES ( RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ ' WAN , PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ — GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY F7 PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? FN_1 (Mandatory in NH) N / A M1004706 05/13/13 05/13/14 X WC STATU- OTH- E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 000 00 $ 1,000,00( B Profession) & PKC300752 05/26/12 05/26113 Per Claim 2,000,00 Contrctr Pollution Aggregate 2,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Plantation Key Certificate Holder is listed as an additional insured as respects Pollution Liability with regards to written contract(s), subject to the terms, conditions and exclusions of the policy. IIa:Lei 0191aGl Monroe County Board of County Commissioners 3583 South Roosevelt Blvd Key West, FL 33040 MONROEB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE GL: ACORD 25 (2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Aco ® CERTIFICATE OF LIABILITY INSURANCE 711/29/2013 E(MWDD/YYYY) `.� PRODUCER 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HAROLD MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D!B/A C & C CONSULTANTS THIS CERTIFICATE DOES NOT AMEND, EXTEND OR x�C ; LTER T E COVERAGE AFFORDED BY THE POLICIES BELOW. P O BOX 701340 ST CLOUD, FL 34770-1340 INSURERS j 6FFORDING COVERAGE NAIC # INSURED _ 0H INSURANCE COMPANY U.S WATER SERVICES CORPO TION EC 4939 CROSS BAYOU BOULEVAR NEW PORT RICHEY, FL 34652 Vn vRor coin 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. NSR _TR ADD' POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YYYY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS A Y GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE I OCCUR GWPKG0077208 11/30/13 11/30/14 AMA E RENTE PREMISES (Ea occurrence $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 3,000,000 LAGGREGATELIMITAPPLIESPER: �7'POLICYF_] PRODUCTS-COMP/OPAGG $ 3,000,000 PRO LOC jECT A Y AUTOMOBILE LIABILITY ANY AUTO GWPKGO077208 11/30/13 11/30/14 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO 1 $ AUTO ONLY: AGG A EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMSMADE GWFXS0077203 EXCESS OF GENERAL 11/30/13 11/30/14 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DEDUCTIBLE LIABILITY, AUTO LIABILITY & EMPLOYERS LIABILITY $ $ $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICEWMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below WC STATU- OTH- TQRY_IMI. _ER_ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ OTHER _T ,ESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS AONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE LISTED AS ADDITIONAL INSURED OV CO MERCIAL GENERAL .IABILITY AND AUTOMOBILE LIABILITY AS THEIR INTERESTS MAY APPEAR. PP RIS NAGEMENT DA 6 .00ATION: WASTEWATER TREATMENT PLANT -PLANTATION KEY GOVERNMENTAL CENTER WAI A CC: A 6-d :ERTIFICATE HOLDER 'A i HI '' t; •I- CANCELLATION U—fat �� • ©� .; ;q _`7 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL KO(aX(XO MAIL 30 DAYS WRITTEN MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT>1ny(0(X Xj[) 0*'cq" COMMISSIONERS , :Z WV 0 l �30 hIOZ''�' 1100 SIMONTON STREET *AMXC0s2CXXXXXXXXXXX KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE a�03�'j _ 10J U1311Ail�n�nuiv" LCORD 25 (2009101) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and loco are registered marks of ACORD USWAT-1 OP ID: GO ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 1 05/08/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Phone: 727-784-8554 CONTACT NAME: Sue Goodman Stahl 8r Associates Insurance Fax: 727-789-2823 3939 Tampa Road()VC,No Oldsmar, FL 34677 Michael Pagano, AAI PHONE 813-818-5350 ac No : 813-818-5396 Ext ADDRESS: sue.goodman@stahiinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Zenith Insurance Company INSURED U.S. Water Services Corp INSURER B : Colony Insurance Co. 05719 4939 Cross Bayou Blvd New Port Richey, FL 34652-3434 INSURER C : INSURER D INSURER E : INSURER F : rnv=oen=¢ rFRTiFireTE NUMBER' REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLISUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ POLICY PRO LOC JEC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DE D RETENTION $ $ WORKERS COMPENSATION X TORY WC LIMIT ER A AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) N / A M1004706 05/13/2014 05/13/2015 E.L. EACH ACCIDENT $ 1,000,000. E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ , , If yes, describe under DESCRIPTION OF OPERATIONS below g Profession) PK6300752 05/26/2014 05/26/2015 Per Claim 2,000,00 B Pollution PKC300752 06/26/2014 05/26/2015 Per Claim 5,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) 1P V M�YE ENTENTWAIV N/A�_ CC. d Act %J aw as .•. MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 9I sq Nd S i JtgW biYWCORDANCE W THDHE POLICY PROVISIONS. ONS NOTICEEXPIRATION ATE THEREOF, WILL BE DELIVERED IN Monroe County, Florida 1100 Simonton St U0338 NO J 03 ORIIZZEDR/REEPRESENTATIVE Key West, FL 33040 `JVVV V U 19BB-Z010 AUUKU GUKFUKAI IUN. Au ngnis reserves. ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) ,4 o® 11 /28/2014 PRODUCER 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HAROLD MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D/B/A C & C CONSULTANTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 BOX 701340 ST CLOUD, FL 34770-1340 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: ARCH INSURANCE COMPANY U.S WATER SERVICES CORPORATION INSURER B: 4939 CROSS BAYOU BOULEVARD INSURER C: NEW PORT RICHEY, FL 34652 1 INSURER D: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' qR TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONIM fYYY) LIMITS A Y GENERAL LIABILITY EACH OCCURRENCE E 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GWPKGO077209 11/30/14 11/30/15 MED EXP (Any one person) E 10,000 PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000 POLICY PRO LOC ECT A Y AUTOMOBILE LIABILITY ANY AUTO GWPKGO077209 11/30/14 11/30/15 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT E OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS / UMBRELLA LIABILITY X OCCUR CLAIMS MADE DEDUCTIBLE GWFXS0077204 EXCESS OF GENERAL LIABILITY, AUTO LIABILITY & EMPLOYERS LIABILITY 11/30/14 11/30/15 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 $ $ RETENTION E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? WC STATU- OTH- T I TS ER E.L. EACH ACCIDENT $ (Mandatory In NH) If yes, describe under SPECIAL PROVISIONS below NACiEMENT E.L. DISEASE - EA EMPLOYEE E E.L. DISEASE -POLICY LIMIT 1 $ OTHER WA N A ES_ cl_ �i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE LISTED AS ADDITIONAL INSURED ON COMMERCIAL GENERAL LIABILITY AND AUTOMOBILE LIABILITY AS THEIR INTERESTS MAY APPEAR. LOCATION: WASTEWATER TREATMENT PLANT -PLANTATION KEY GOVERNMENTAL CENTER MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST, FL 33040 6iiff ARYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION J O DATE � THEREOF, THE ISSUING INSURER WILL WXO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT 10:h Wa AUTHORIZED REPRESENTATIVE 0033d 3 0311A ACORD 25 (2009101) 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and l000 are registered marks of ACORD