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Certificates of InsuranceCIIRRHb ORR9 ACORDTe CERTIFICATE OF LIABILITY INSURANCE PRODUCER o4;2yoe°"Y"Y' Starkweather & Shepley THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 294 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Westerly, RI 02891 INSURERS AFFORDING COVERAGE NAIC # INSURED Blue Water Marine Services, Inc wSURERA GREAT AMERICAN POLLUTION INSURER B: 14100 South West 256th Street, Ste 14 1INSURERC: Homestead, FL 33032 INSURER D: NSURER E: Cf1VFRAGFC 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 POLICYNUMBER POLICY EFFECTIVE DATE MMIDDIYY ?DATE( MIDD ION DATE MwOD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR DAMAGE TO RENTED $ $ MED EXP (Any one person) PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- ECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per parson) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PRO ERTY DAMAGE IP tlenp $ GARAGE LIABILITY J� AUT ONLY -EA ACCIDENT $ ANY AUTO "� v N EA ACC $ $ : AGG EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE RRENCE $ E $ DEDUCTIBLE VEMPLOYEE $RETENTION $$WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ATU- OTH- CIDENT $OFFICERMIEMBER ANY PROPRIETOWPARTNER/EXECUTIVE EXCLUDED? -EA EMPLOYEE $ If yes, describe under A SPECIAL PROVISIONS below OTHER POLLUTION 3491214041 04/21108 04121/09 E.L. DISEASE -POLICY LIMIT $ - .¢i99ggg0-.--_,...__.__. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *Except 10 days for non-payment of premium ' 1 Vessels: 1994 26' Silvership, 1998 25' Madison, 1998 25' Silvership, 2000 25' Silvership, MAY 1 1 3 �_,�• 2001 28' Sllvership, 2003 26' Harbor Tug and 2006 25' Metal Shark p (See Attached Descriptions) p,-• ,, .;. ... ,. • reerrnrwrc un, ..cr, __ _.. _ Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 ACORD 25 (2001/08) 1 of 3 #188890 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'tn* 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 LJW 0 ACORD CORPORATION 1999 DESCRIPTIONS (Continued from Page 1) Certificate Holder is included as Additional Insured ATIMA but only with respect to liability for bodily injury, property damage, personal injury or advertising injury caused in whole or in part by the named Insured's acts or omissions or the acts or omissions of those acting on behalf of the named insured. Coverage afforded the additional Insured under the Policy is limited to that provided to the named insured through which it acquired its coverage. ii V R e i �= MAY 13 MON"WiE: CU,=_,7N`�'NIN DfPT. AMS 25.3 (2001/08) 3 of 3 *1AAAon IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ,`,.. t,l MAY 13 2ooe Lin ACORD 25S (2001/08) 2 of i e� vvvon ®Allstate. You're In good hands. CERTIFICATE OF INSURANCE EFFECTIVE DATE OF CERTIFICATE 02/02/09 ALLSTATE INDEMNITY COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is in force: POLICYHOLDER BLUEWATER MARINE SERVICE DBA TOW BOAT US S DADE 14100 SW 256 STE 14 HOMESTEAD, FL 33032-6500 POLICY NUMBER 049828888 BAP The person or organization designated below is described in the policy as: MONROE CNTY RISK. MAN 1100 SIMONTON STREET KEY WEST. FL 33040-3110 Coverages designated are afforded as stated below: LIABILITY: $1,000,000 EACH ACCIDENT AS THEIR INTEREST MAY APPEAR POLICY PERIOD 02/02/09 TO 02/02/10 AT 12:01 A.M. STANDARD TIME LIENHOLDER (Loss Payable Clause) X ADDITIONAL INTERESTED PARTY ADDITIONAL INSURED CERTIFICATE HOLDER 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 PAGE 1 OF 1 (05/06) BU114F-3 C c ' Allstate. You're In good hands. POLICY NUMBER: 049828888 BAP THIS ENDORSEMENT CHANGES THE POLICY COMMERCIAL AUTO CA:.29 01 03 06 PLEASE EAD 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. BLUEWATER MARINE SERVICE DBA TOW BOAT US S DADE Endorsement Effective Date: FEBRUARY 02, 2009 Title: Signature: Date: CA 20 01 03 06 Of Authorized Copyright, ISO Properties, Inc., 2005 Page 1 of 3 BU114R-3 ra SCHEDULE Insurance Company: ALLSTATE INDEMNITY COMPANY Policy Number: 049828888 BAP Effective Date: FEBRUARY 02, 2009 Expiration Date: FEBRUARY 02, 2010 Named Insured: BLUEWATER MARINE SERVICE DBA TOW BOAT US S DADE Address: 14100 SW 256 STE 14 HOMESTEAD, FL 33032-6500 Additional Insured (Lessor): MONROE CNTY RISK MAN Address: 1100 SIMONTON STREET KEY WEST, FL 33040-3110 Designation or Description of "Leased Autos": AS THEIR INTEREST MAY APPEAR f Coverage= 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 Causes Of Loss $ Deductible For Each Covered "Leased Auto" Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Coverage I. 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. 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: a. You; b. Any of your "employees" or agents; or 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 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 B11114R-s Allstate. Y-,e good h-d,. CERTIFICATE OF INSURANCE ALLSTATE INDEMNITY COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER BLUEWATER MARINE SERVICE 049828888 BAP DBA TOW BOAT US S DADE 14100 SW 256 STE 14 HOMESTEAD, FL 33032-6500 The person or organization designated below is described in the policy as: MONROE CNTY RISK MAN 1100 SIMONTON STREET KEY WEST, FL 33040-3110 Coverages designated are afforded as stated below: LIABILITY: $1,000,000 EACH ACCIDENT AS THEIR INTEREST MAY APPEAR To the person or organization stated above: EFFECTIVE DATE OF CERTIFICATE 02/02/11 POLICY PERIOD 02/02/11 TO 02/02/12 AT 12:01 A.M. STANDARD TIME LIENHOLDER (Loss Payable Clause) X ADDITIONAL INTERESTED PARTY ADDITIONAL INSURED CERTIFICATE HOLDER 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. PAGE 1 OF 1 BU114R-3 Allstate. CUSTOMER'"WOMSER: CA049828888 RUN DATE: 12-11-10 SCOTT GORHAM 125 NE 8 STREET HOMESTEAD, FL 33030 A.I -P. (CA) 60 49 828888 !!!IIlI""!tl!'I'11t'I'I't"111Il111fi!!"1111t1'iltl'!il"'lllh MONROE CNTY RISK MAN 1100 SIMONTON ST KEY WEST FL 33040-3110 NS FL BU114R-3 REPRINT KEY: 1473S60 Allstate. You're in good hands. POLICY NUMBER: 049828888 BAP THIS ENDORSEMENT CHANGES THE POL LESSOR - ADDITIONAL IN 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 RECEIVED IERCIAL AUTO CA 20 01 03 06 EFULLY. ,YEE 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: BLUEWATER MARINE SERVICE DBA TOW BOAT US S DADE Endorsement Effective Date: FEBRUARY 02, 2011 Name: Title: Signature: Date: CA 20 01 03 06 nature Of Authorized Copyright, ISO Properties, Inc., 2005 Page 1 of 3 BU114R-3 M Q, 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. 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. CA 20 01 03 06 Copyright, ISO Properties, Inc., 2005 Page 3 of 3 BU114R-3