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Certificates of InsuranceCERTIFICATE OF COVERAGE Certificate Holder Administrator Issue Date 11/1/06 CITY OF KEY WEST THE CITY MANAGERS OFFICE PO BOX 1409 M N1 j ANGELA STREET KEY WEST FL 33040 - M Florida eague of Cities, Inc. _P lic isk Services P. . Bo 530065 Or ando Florida 32853-0065 COVERAGES THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT. COVERAGE PROVIDED BY: AGREEMENT NUMBER: FMIT 0386 TYPE OF COVERAGE - LIABILITY General Liability FLORIDA MUNICIPAL INSURANCE TRUST COVERAGE PERIOD: FROM 10/1/06 COVERAGE PERIOD: TO 10/1/07 12:01 AM Standard Time ® Comprehensive General Liability, Bodily Injury, Property Damage and Personal Injury ® Errors and Omissions Liability ® Supplemental Employment Practice ® Employee Benefits Program Administration Liability ® Medical Attendants'/Medical Directors' Malpractice Liability ® Broad Form Property Damage ❑ Law Enforcement Liability ® Underground, Explosion & Collapse Hazard Limits of Liability ' Combined Single Limit Deductible N/A Automobile Liability ❑ All owned Autos (Private Passenger) ❑ All owned Autos (Other than Private Passenger) ❑ Hired Autos ❑ Non -Owned Autos Limits of Liability Combined Single Limit Deductible N/A Automobile/Equipment - Deductible TYPE OF COVERAGE - PROPERTY ❑ Buildings ❑ Basic Form ❑ Special Form ❑ Personal Property ❑ Basic Form ❑ Special Form ❑ Agreed Amount ❑ Deductible N/A ❑ Coinsurance N/A ❑ Blanket ❑ Specific ❑ Replacement Cost ❑ Actual Cash Value ❑ Miscellaneous ❑ Inland Marine ❑ Electronic Data Processing ❑ Bond 1-1 Limits of Liability on File with Administrator TYPE OF COVERAGE - WORKERS' COMPENSATION ❑ Statutory Workers' Compensation ❑ Employers Liability $1,000,000 Each Accident $1,000,000 By Disease $1,000,000 Aggregate By Disease ❑ Deductible N/A ❑ Physical Damage N/A - Comprehensive - Auto N/A - Collision - Auto N/A - Miscellaneous Equipment Other + The limit of liability is $5,000,000 (combined single limit) bodily injury and/or property damage each occurrence in excess of a self -insured retention of $ 100,000, This limit is solely for any liability resulting from entry of a claims bill pursuant to Section 768.28 (5) Florida Statutes or liability imposed pursuant to Federal Law or actions outside the State of Florida. Description of Operations/Locations/Vehicles/Special Items RE: Florida Keys Tropical Fruit Fiesta to be held as scheduled for 06/07. The certificate holder is hereby added as an additional insured, as respects the member's liability regarding the above described event. 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 AGREEMENT ABOVE. DESIGNATED MEMBER MONROE COUNTY BOARD OF COUNTY COMMISSIONERS COURTHOUSE ANNEX 3RD FLOOR 502 WHITEHEAD STREET KEY WEST FL 33040 CANCELLATIONS SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PROGRAM, ITS AGENTS OR REPRESENTATIVES. � �, a-,_, �w 0 " �_ AUTHORIZED REPRESENTATIVE FMIT-CERT (10/96) CERTIFICATE OF COVERAGE Certificate Holder Administrator Issue Date 2/22/08 ATTN MONIQUE DIAZ Florida League of Cities, Inc. MONROE COUNTY BOARD OF COUNTY Public Risk Services COMMISSIONERS P.O. Box 530065 Orlando, Florida 32853-0005 1100 SIMONTON ST KEY WEST FL 33040 COVERAGES THIS IBM CERTIFY THAT THE AGREIEM ENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT. COVERAGE PROVIDED BY: FLORIDA MUNICIPAL INSURANCE TRUST AGREEMENT NUMBER: FMIT 0303 1 COVERAGE PERIOD: FROM 10/1107 COVERAGE PERIOD: TO 10/1/08 12:01 AM STANDARD TIME TYPE OF COVERAGE - LIABIL.LTY TYPE OF COVERAGE - PROPERTY General Liability ❑ Buildings ❑ Miscellaneous ❑ Basic Form ❑ Inland Marine ® Comprehensive General Liability, Bodily Injury, Property Damage and Personal Injury ❑ Special Form ❑ Electronic Data Processing ❑ Errors and OmiBaiona Liability ❑ Personal Property ❑ Bond ❑ Supplemental Employment Practice ❑ Basic Form ❑ ❑ Employee Benefits Program Administration Liability ❑ Special Form IS Medical Attendanta'/Medical Directors' Malpractice Liability ❑ Agreed Amount ® Broad Form Property Damage ❑ Deductible N/A ❑ Law Enforcement Liability ❑ Coinsurance N/A ® Underground, Explosion & Collapse Hazard ❑ Blanket ❑ Specific Limits of Liability ❑ Replacement Coat I Combined Single Limit ❑ Actual Cash Value Deductible $5.000 Limits of Liability on File with Administrator Automobile Liability TYPE OF COVERAGE - WORKERS' COMPENSATION ❑ All owned Autos (Private, Passenger) ❑ All owned Autos (Other than Private Passenger) ❑ Hired Autos ❑ Statutory Workers' Compensation ❑ Non -Owned Autos ❑ Employers Liability $1,000,000 Each Accident $1,000,000 By Disease $ 1,000,000 Aggregate By Disease Limits of Liability a ❑ Deductible N/A Combined Single Limit Deductible N/A ❑ Automobile/Equipment - Deductible ❑ Physical Damage N/A - Comprehensive - Auto N/A - Collision - Auto N/A - Miscellaneous Equipment Other The limit of liability is B 100,000 Bodily Injury and/or Property Damage per person or $200,000 Bodily Injury and/or Property Damage per occurrence. These specific limits of liability are increased to $ 1,000,000 (combined single limit) per occurrence, solely for any liability resulting from entry of a claims bill pursuant to Section 768.28 (5) Florida Statutes or liability imposed pursuant to Federal Law or actions outside the State of Florida. Description of Operation/LomtioneNehiclea/Special Items Re: Street Light Maintenance. The Certificate Holder it, hereby added as additional insured, as respects the member's liability regarding the above described item. 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 AGREEMENT ABOVE. DESIGNATED MEMBER CANCELLATIONS SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS UTILITY BOARD OF THE CITY OF KEY WEST WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PO DRAWER 6100 PROGRAM, ITS AGENTS OR REPRESENTATIVES, KEY WEST FL 33041 6100 AUTHORIZED REPRESENTATIVE FMIT-CE9T(10/98) CERTIFICATE OF COVERAGE Certificate Holder Administrator Issue Date 12/15/08 ATTN MONIQUE DIAZ Florida League of Cities, Inc. MONROE COUNTY BOARD OF COUNTY Public Risk Services COMMISSIONERS P.O. Box 530065 1100 SIMONTON ST Orlando, Florida 32853-0065 KEY WEST FL 33040 COVERAGES THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS :SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT. COVERAGE PROVIDED BY: FLORIDA MUNICIPAL INSURANCE TRUST AGREEMENT NUMBER: FMIT 0303 COVERAGE PERIOD: FROM 10/1 /08 COVERAGE PERIOD: TO 10/1 /09 12:01 AM STANDARD TIME TYPE OF COVERAGE - LIABILITY TYPE OF COVERAGE - PROPERTY General Liability ❑ Buildings ❑ Miscellaneous ® Comprehensive General Liability, Bodily Injury, Property Damage and ❑ Basic Form ❑ Inland Marine Personal Injury ❑ Special Form ❑ Electronic Data Processing ❑ Errors and Omissions Liability ❑ Personal Property ❑ Bond ❑ Supplemental Employment Practice ❑ Basic Form ❑ ❑ Employee Benefits Program Administration Liability ❑ Special Form ® Medical Attendants'/Meclical Directors' Malpractice Liability ❑ Agreed Amount ® Broad Form Property Damage ❑ Deductible N/A ❑ Law Enforcement Liability ❑ Coinsurance N/A ® Underground, Explosion IA Collapse Hazard ❑ Blanket ❑ Specific Limits of Liability Replacement Cost * Combined Single Limit ❑ Actual Cash Value Deductible $5,000 Automobile Liability Limits of Liability on File with Administrator ❑ All owned Autos (Private Passenger) TYPE OF COVERAGE - WORKERS' COMPENSATION ❑ All owned Autos (Other than Private Passenger) ❑ Hired Autos ❑ Statutory Workers' Compensation ❑ Non -Owned Autos ❑ Employers Liability $1,000,000 Each Accident $1,000,000 By Disease $1,000,000 Aggregate By Disease Limits of Liability " Combined Single Limit ❑ Deductible N/A Deductible N/A ❑ Automobile/Equipment - Deductible ❑ Physical Damage N/A - Comprehensive - Auto N/A - Collision - Auto N/A - Miscellaneous Equipment Other The limit of liability is $100,000 Bodily Injury and/or Property Damage per person or $200,000 Bodily Injury and/or Property Damage per occurrence. These specific limits of liability are increased to $1,000,000 (combined single limit) per occurrence, solely for any liability resulting from entry of a claims bill pursuant to Section 768.28 (5) Florida Statutes or liability imposed pursuant to Federal Law or actions outside the State of Florida. Description of Operations/Locations/Vehicles/Special hems Re: Street Light Maintenance:. The Certificate Holder is hereby added as additional insured, as respects the member's liability regarding the above described item. 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 AGREEMENT ABOVE. DESIGNATED MEMBER CANCELLATIONS SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS UTILITY BOARD OF THE CITY OF KEY WEST WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PO DRAWER 6100 PROGRAM, ITS AGENTS OR REPRESENTATIVES. KEY WEST FL 33041 6100 AUTHORIZED REPRESENTATIVE w FMIT-CERT (10/96) CERTIFICATE OF COVERAGE Certificate Holder ❑ Non -Owned Autos Limits of Liability CITY MANAGER CITY OF KEY WEST P.O. BOX 1409 KEY WEST, FL 33041 Administrator Florida League of cities, Inc. Department of Insurance and Financial Services P.O. Box 530065 Orlando, Florida 32853-0065 Issue Date 717111 COVERAGES THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT COVERAGE PROVIDED BY: FLORIDA MUNICIPAL INSURANCE TRUST AGREEMENT NUMBER: 1: 0385 COVERAGE PERIOD: FROM 10/1/10 COVERAGE PERIOD: TO 10/1/11 12:01 AM STANDARD TIME TYPE OF COVERAGE - LIABILITY TYPE OF COVERAGE - PROPERTY General Liability ❑ Buildings Q Comprehensive ❑ Miscellaneous General Liability, Bodily Injury, Property Damage and Personal Injury El Basic Form ❑ Inland Marine ❑X Errors and Omissions Liability El Form ❑ Electronic Data Processing © Supplemental Employment Practice ❑ Personal Properly ❑ Bond Q Employee Benefits Program Administration Liability ❑ Basic Form Q Medical Attendants'/Medical Directors' Malpractice Liability ❑ Special Form © Broad Form Property Damage ❑ Agreed Amount ❑ Law Enforcement Liability ❑ Deductible N/A 0 Underground, Explosion &Collapse Hazard ❑ Coinsurance N/A ❑ Blanket Limits of Liability ❑ Specific * Combined Single Limit ❑ Replacement Cost Deductible N/A ❑ Actual Cash Value Automobile Liability ❑ All owned Autos (Private Passenger) ❑ All owned Autos (Other than Private Passenger) ❑ Hired Autos `4 Limits of Liability on File with Administrator TYPE OF COVERAGE - WORKERS' COMPENSATION ❑ Statutory Workers' Compensation ❑ Employers Liability $1,000,000 Each Accident $1,000,000 By Disease $1,000,000 Aggregate By Disease ❑ Deductible N/A ❑ SIR Deductible N/A Automobile/Equipment - Deductible ❑ Physical Damage NA - Comprehensive - Auto NA -Collision -Auto NA -Miscellaneous Equipment Other The limit of liability is $5,000,000 (combined single limit) bodily injury and/or property damage each occurrence in excess of a self -insured retention of $100,000. been This fm is solely for any liability resulting from entry of a claims bill pursuant to Scction 758.2E (5) Florida Statutes or !'ability/settlement for which no claims hi!I has filed or liability imposed pursuant to Federal Law or actions outside the State of Florida. Description of Operations/Locations/Vehicles/Special Items RE: New Inter local Agreement regarding use of Douglas Community Center The certificate holder is hereby added as an additional insured as respects the member's liability for the above described event. 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 AGREEMENT ABOVE. Designated Member Ca7an SHOULD SHOULD BE CANCELED BEFORE THE Monroe County Board of County Commissioners EXPIEOF, TF THE OHEEISSUING COMPANY WILL ENDER OR TO MAIL 45 DAYS 1100 Simonton Street, Room 2-268 WRITE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL SUCHOSE NO OBLIGATION OR LIABILITY OF ANY IQND UPON THE Key West FL 33040 PROGRAM, ITS AGENTS OR REPRESENATIVES. FMIT-CERT (4/2010) AUTHORIZED REPRESENATIVE CERTIFICATE OF COVERAGE Certificate Holder Administrator Issue Date 9/21/12 MONROE COUNTY BOARD OF COUNTY Florida League of Cities, Inc. 1100 SIMONTON ST Department of Insurance and Financial Services P.O. Box 530065 KEY WEST, FL 33040 Orlando, Florida 32853-0065 COVERAGES THIS IS TO CERTIFY THAT THE AGREEMENT BELOW HAS BEEN ISSUED TO THE DESIGNATED MEMBER FOR THE COVERAGE 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 COVERAGE AFFORDED BY THE AGREEMENT DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH AGREEMENT COVERAGE PROVIDED BY: FLORIDA MUNICIPAL INSURANCE TRUST AGREEMENT NUMBER: FMIT 0303 COVERAGE PERIOD: FROM 10/1/12 COVERAGE PERIOD: TO 10/1/13 12:01 AM STANDARD TIME TYPE OF COVERAGE - LIABILITY TYPE OF COVERAGE - PROPERTY General Liability ® Buildings ® Miscellaneous Injury, Property Damage, ® Comprehensive General Liability, Bodily Injury, Form ® Inland Marine Personal Injury and Advertising Injury ® Special Form ® Electronic Data Processing ® Errors and Omissions Liability ® personal Property Bond ® Employment Practices Liability Basic Form ® Employee Benefits Program Administration Liability ® Special Form ® Medical Attendants'/Medical Directors' Malpractice Liability ❑ Agri Amount ® Broad Form Property Damage ® Deductible $1,000 Law Enforcement Liability ® Coinsurance 100% tB ® Underground, Explosion & Collapse Hazard BlanketDA Limits of Liability ® Specific Or : C('e.✓t�- * Combined Single Limit ® Replacement Cost Deductible $5,000 Actual Cash Value Automobile Liability Limits of Liability on File with Administrator ® AN owned Autos (Private Passenger) TYPE OF COVERAGE - WORKERS' COMPENSATION ® AN owned Autos (Other than Private Passenger) Statutory Workers' Compensation ®® Hired Autos ® Employers Liability $1,000,000 Each Accident ® Non -Owned Autos $1,000,000 By Disease $1,000,000 Aggregate By Disease Limits of Liability O Deductible N/A * Combined Single Limit ❑ SIR Deductible N/A Deductible N/A Automobile/Equipment - Deductible ® Physical Damage Per Schedule - Comprehensive - Auto Per Schedule - Collision - Auto Per Schedule - Miscellaneous Equipment Other * The limit of liability is $200,000 Bodily Injury and/or Property Damage per person or $300,000 Bodily Injury and/or Property Damage per occurrence. These specific limits of liability are increased to $5,000,000 for General Liability and $1,000,000 for Automobile Liability (combined single limit) per occurrence, solely for any liability resulting from entry of a claims bill pursuant to Section 768.28 (5) Florida Statutes or liability/settlement for which no claims bill has been filed or liability imposed pursuant to Federal Law or actions outside the State of Florida. Description of Operations/Locations/Vehicles/Special Items RE: Street Light Maintenance RE: Events, activities, elections and functions authorized by the certificate holder involving the designated member while being held upon the premises of the certificate holder. The certificate holder is hereby added as an additional insured, except for Workers' Compensation and Employers Liability, as respects the member's liability for the above described event. 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 AGREEMENT ABOVE. Designated Member Cancellations Utility Board of the City of Key West SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED ABOVE, BUT FAILURE TO MAIL P.O. Drawer 6100 SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE Key West FL 33041-6100 PROGRAM, ITS AGENTS OR REPRESENTATIVES. C, G AUTHORIZED REPRESENTATIVE FMIi{ERT (10/2011) CERTIFICATE OF COVERAGE ISSUED ON: 10/1/2013 COVERAGE PROVIDED BY: PREFERRED GOVERNMENTAL INSURANCE TRUST PACKAGE AGREEMENT NUMBER:PX FLI 0442001 13-05 COVERAGE PERIOD: 10/1/2013 TO 10/1/201412:01 AM COVERAGES:This is to certify that the agreement below has been issued to the designated member for the coverage 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 coverage afforded by the agreement described herein subject to all the terms, exclusions and conditions of such agreement. Mail to: Certificate Holder Designated Member Monroe County BOCC City of Key West Monroe County TDC Attn Risk Management 1201 White Street P.O. Box 1409 Key West, FL 33040 Key West FL 330411409 LIABILITY COVERAGE WORKERS' COMPENSATION COVERAGE X Comprehensive General Liability, Bodily Injury, Property Damage and Personal Injury Limit $1,000,000 $100,000 SIR X Public Officials Liability X Self Insured Workers' Compensation $325,000 Self Insured Retention Limit $1,000,000 $100,000 SIR X Statutory Workers' Compensation X Employment Practices Liability Limit $1,000,000 $100,000 SIR X Employers Liability X Employee Benefits Liability $1,000,000 Each Accident Limit $1,000,000 $100,000 SIR $1,000,000 By Disease X Law Enforcement Liability $1,000,000 Aggregate Disease Limit $1,000,000 $100,000 SIR PROPERTY COVERAGE AUTOMOBILE COVERAGE X Buildings & Personal Property t Automobile Liability Per schedule on file with $25,000 Deductible Limit $1,000,000 $100,000 SIR TrustLimit X All Owned Note: See coverage agreement for details on wind, flood, and other Specifically Described Autos , deductibles. X Hired Autos Rented, Borrowed and Leased Equipment Limit X Non -Owned Autos X All other Inland Marine Automobile Physical Damage Limit $4,066,631 TIV See Schedule for Deductible Comprehensive Collision Hired Auto with limit of Garage Keepers U Liability Limit Liability Deductible �\ Comprehensive Deductible Collision Deductible NOTE:The most we will pay is further limited by the limitations set forth in Section 768.28(5), Florida Statutes (2010) or the equivalent limitations of successor law which are applicable at the time of the loss. Description of Operations/ Locations/ Vehicles/Special items: Truman Waterfront Project l This section completed by member's agent, who bears complete responsibility and liability for its accuracy. 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 agreement above. Administrator Public Risk Underwriters® CANCELLATIONS SHOULD ANY PART OF THE ABOVE DESCRIBED AGREEMENT BE CANCELLED BEFORE THE EXPIRATION DATE P.O. Box 958455 THEREOF, PREFERRED GOVERNMENTAL INSURANCE TRUST WILL ENDEAVOR TO MAIL 60 DAYS WRITTEN NOTICE, OR 10 DAYS WRITTEN NOTICE FOR NON-PAYMENT OF PREMIUM, TO THE CERTIFICATE HOLDER Lake Mary, FL 32795-8455 NAMED ABOVE, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE PROGRAM, ITS AGENTS OR REPRESENTATIVES. Producer [ Public Risk Insurance Agency P. O. Box 2416 Daytona Beach, FL32115 _.... .e w..�e e... __.. _.. __�.. _ _...w._ a........ . AUTHORIZED REPRESENTATIVE PGIT-CERT (11/09)PRINT FORM 10/1/2013