The URL can be used to link to this page

Certificates of InsuranceINSURANCE SERVICING AND B F C C I ADJUSTING COMPANY INC COMPANY 9690 N W 41 ST C MIAMI FL 33178-2968 COMPANY D 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. ISOCO TYPE TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABWTY COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR OWNER'S & CONTRACTOR'S PROT 5035189824 3/ 01 / 9 6 3/ 01 / 9 7 GENERAL AGGREGATE s2,000,000 X PRODUCTS - COMP/OP AGG $2 0 0 0 , 000 PERSONAL & ADV INJURY $1 , 0 0 0 , 000 EACH OCCURRENCE $1 , 0 0 0 , 0 0 0 FIRE DAMAGE (Any one fire) $ 50, 000 MED EXP (Any one person) $ 5, 000 AUTOMOSILELIABILITY X ANY AUTO 1336230324 3/01/96 3/01/97 COMBINED SINGLE LIMIT 1,000,000 $ ALL OWNED AUTOS APPROV9 BY RISK ANAGEM�NT BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BY /P.lG ILY INJU X NON -OWNED AUTOS G� (PeDacciden'RY $ DATE .S �L PROPERTY DAMAGE $ i„r GARAGE LU NUM" Received AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO C t EACH ACCIDENT $ r �/q - � / AGGREGATE S 3 [ )AT; , ^ - __ 6 f� _ EXCESS LIABILITY i(V1 T iflL EACH OCCURRENCE $ AGGREGATE UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AIM! 0 01 WC 9 6A2 4 7 7 8 01 / 01 / 9 6 0 1/ 0 1/ 9 7 X STATUTORY LIMITS EMPLOYERS' LIABILITY EACH ACCIDENT $ 100,000 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE DISEASE - POLICY LIMIT $ 5 0 0 0 0 0 i DISEASE - EACH EMPLOYEE $ 100,000 OFFICERS ARE: EXCL OTHER 6260122962 05/01/95 05/01/96 SEE BELOW CRIME DESCRIPTION OF OPERATIONS/LOCATIONMEHICLE&SPECIAITEMS EMPLOYEE DISHONESTY - $1,000,000 LIMIT WITH A $10,000 DEDUCTIBLE MONROE COUNTY FORIDA; PUBLIC SERVICE BLDG; ATTN: N. COHEN 5100 COLLEGE RD; STOCK ISLAND KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF AW\ KIND L4l%W--THE C,OMp/JNY, ITS AGENTS OR REPRESENTATIVES. LC I LIAR 2 81996 .. >: .................. G;:::i::::::::;:::::ss:;:::::<::::::::::::::::::: DATE M /D 1 3 0 Rib 9 6 PRODUCER FTHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE KEEN BATTLE MEAD & CO HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. P O BOX 171870 COMPANIES AFFORDING COVERAGE MIAMI LAKES FL 3 3 017 -18 7 0 COMPANY A CRUM & FORSTER INSURANCE INSURED INSURANCE SERVICING & COMPANY B ADJUSTING COMPANY 9690 N W 41 ST C 8 COMPANY MIAMI FL 3 317 8- 2 9 6 D >><>>>>><<><>>><<<<>>>>€'<<»><<>>>>:<:<::>:>::>:::>:>:>:>::<:<::>:>::<:>:: <<>><>><>><<<>>>>>>`>::>::>::: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO un CLTnO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDNY) POLICY EXPIRATION DATE (MM/DDNY) LIMITS GENERAL LUU3ILITY COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS -COMP/OP AGG $ PERSONAL & ADV INJURY $ CLAIMS MADE OCCUR OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY APPROVED BY RISK 1ANAG,F!4ENT COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BY [y f, T F ---- � CGHR� BODILY INJURY (Per person) $ _.--- �-- ---"-- BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND STATUTORY LIMITS EACH ACCIDENT $ EMPLOYERS' LIABILITY DISEASE - POLICY LIMIT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL DISEASE -EACH EMPLOYEE $ OTHER 6260122962 05/01/96 05/01/97 SEE BELOW CRIME POLICY DESCRIPTION OF OPERATIONSA.00ATIONSNEHICLES/SPECIAL ITEMS (n EMPLOYEE DISHONESTY $1,000,000 LIMIT $10,000 DEDUCTIBLE --I Q] CC ; NANCY C0&6Fkf N!iTIA, ._ .. .................:..: ...:::...:.....:...:.......................:::::::::.::.:..:::::::.:::::::.:. GERTIFI�4 TE.::.HOLDER...............:::.:::::::::::..:::: . C14i�1................................:.::::::::::::::::. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE COUNTY OF MONROE; BOARD OF EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAL COUNTY COMMISSIONERS; RISK MGT 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 COLLEGE ROAD BUT FAILURE TO UCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY KEY WEST FL 33040 OF ANY 1 D PON OMPANY, ITS A ENTS OR REPRESENTATIVES. AUTHORDMD Ben t LC I XX itCi7 ION... i8 l4CORD.;:.�-5.;:.: 1„cLi:1y Reyes 1;5: 26) Page 2 of 2 .. :. OAl♦iSSWOOIY :. ;. n FReNNN m 03/25/96 THIS C 1RYIFICA I! IS INUED All A MATTER OF INFORMATION KEEN BATTLE ?MEAD Ii CO ONLY AND OOWCU NO am* UPON—THE-VERTN40ATE HOLDER. I- OfI1TIP)CATE DON -- NOT AMEND, Evan OR ALTER THE OOVERAOE AMOM M BY THE POLICES BELOW. P 0 BOX 171870 - COMPANIES APPO WNa COVERAaE MIAMI LAKES FL 33017-1870 wimmv _ _._ _ -" A CRUM COMMERCIAL INS e+MURLD -FORSTER INSURANCE SERVICING ANDS F C C I ADJUSTING COMPANY INC- 9690 N W 41 ST MIAMI FL 33179-2968`"'--"-- :;:: THIS IB O CE I THAT ..._ THE POLICIES •. .<:n.: OF . .. HA NSU EL.T• C RED •BELOW HAVE BEEN ISSUED Tp•THE.INSURED .NAMED AB.. '•F NWCATED, NOTWITHSTANDING ANY PIOUIREMENT, TERM OR CONWOON OF ANY CONTRACT ONSPEC? TOO W THIS OR OTHER DOCUMENT WITH R M CM CERTIFIDATE MAY BE ISSUED OR MAY PERTAIN, Te+E NSURANOE AFFORDED BY THE POLICIES OEOMMO HERFN N SUBJECT TO AIL THE TERMS, _ FXCLUSIONS AND CONDITIONS Of SUCH POLICIES: LIMITS SHOWN MAY HAVE BEEN REOUOED BY PAID MAMAS. — 00 Tym OF MOYIIANCI IRICr Numm YIi9Wrrj OAUC (UP tAMM LAY! cim"L IJmm 5035189024 X ODLfeaftfsiWKUuLwf 9 3 Q FROOUM COLfhOrAo Q00 000 pARAs YAa X °0n'" MWOONAL L ADY MURY sl , 0 0 0 0 0 0 owlsura a coNTRAarorra F1IO► ace am"Imam A l-A0 0 0 0 00 LIm W $My as M.MI s 5,000 Jf"mcou Lamm 1336230524 O 1 / O l 9COMOWD X IANY AUro � uwr 1' • 0 ALL. OWWO AM$ -- SONOILSD AUTOS X NMDNIM APPROVED BY RI X S h7ARAGENIT fOOI.r tNXSIY P�+a1 S r NJURr NMOIINW A�JYDt � weo.Ym DAMA06 t a 7 ^ �� P l SARAON LNm Lbr ANY AUTO AU TO ONLr • fA AOOMLYT iFR: N/A YES ✓ r. ::: . -- L. -._._ - -- -- a fIIDLi! Lwlunr sAOK � _jUhILNUA FORM RAT• _.— i IOIHOI T+.AN IkABRCIA FOIW � oor L aNArs N0014JC96Ai4778 O1%1%96 C 797 X YLW 100, 000 I,Hc ; rouDr um : 500 000 N§RW QU FAR' AMM+e^'f } om1 6260122962 O1 05 95 05/01 96I sw SEE is"ON 10 000 I CRIME fNpY/IION OF 0MATIOWA.00AT*NVnWCLa"WAAL R�Yi EMPLOYEE DISHONESTY - $1,000,000 LIMIT WITH A $10,000 DEDUCTIBLE ..................,................................................ .......: MONROE COUNTY FORIDA; PUBLIC AYr or M ASM mmm a Maus° W=g ra f7?M11ON OATf MRIW, Tie "UIYD CWAW W" S14SAYOII TO YAfI SERVICE BLDG; ATTN: N. COHEN 1Q naarlmmm"01Ioe�neeeRmcAaleoLesRHAIIfDTOTeIe 5100 COLLEGE RD; STOCK ISLAND OW FMAM TO Mie1L SUCm ROM AM" MOM No ODUMATIM ON LPAU Y KEY WEST FL 33040 --2L ANY IefeD N M er Nf -�-- oRilfrRs�ifNrATna. isLB tBVRt1NfA inrs Don Bn e J A1n'it 22. 1193 INLpS UftE ((b ,sI Pri1�li11g M..A. lRSi' �7p9.1 June 22, 1993 MONROE COUNTY, FLORIDA %Wf Retivcst >For Waiver or Insurance Requirement% It is requested that the insrtra Lice requiretnct, as speei(ied in the Cot►illy's schedule or Insurance Requirements, be %v awed or modified on the fotlolviltb contract. Contractor: Insurance Servicing & Adjusting Company __._ _ . Contract for: Workers' Compensation Claims Admi Address of Contractor: 151 Wymore Road Altamonte pri nas . FL,,2Z1.4 Phono: (4Q71_6$? 19(10 or 1-800-237-6617 _ - Scope of Work: Workers' Com�egnsati orb Claims Admi.nistr i in-SPrv; ces \.r Reason for Waiver: Insurancearri er wi 11 not name Monroe County as an Additional Named Insured on the General Liability or bileability Lire_ Sibnaturc of comm. ctor: Approved ^Not Approved Risk Managcn►cnt Date County Adminisimtor nppeal: Approved: Not Approved: Dale: hoard of County Commissioners appeal: Approved: --- Not Approved: V Meeting Date: WAIVER ADI RD. PRODUCER KEEN BATTLE MEAD & CO P 0 BOX 171870 MIAMI LAKES FL 33017-181 INSURED INSURANCE SERVICING & 1Z) ADJUSTING COMPANY a 234 WESTMONTE DRIVE #101 ALTAMONTE SPRINGS FL 32714 ..... ...... DATE (MM/DD/YY) 9 7 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 POLICES BELOW. COMPANIES AFFORDING COVERAGE U COMPANY A CRUM & FORSTER COMMERCIAL INS COMPANY B CRUM & FORSTER COMMERCIAL INS COMPANY C CRUM & FORSTER COMMERCIAL INS COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DDY) PONLICY EXPIRATION DATE (MMMDNY) LIMITS GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [X] OCCUR OWNER'S & CONTRACTOR'S PROT 5031533664 3/ 01 / 9 7 3/ 01 / 9 8 GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP/OP AGG s2,000, 000 PERSONAL & ADV INJURY $1 , 0 0 0 , 000 EACH OCCURRENCE $1 , 0 0 0 , 000 FIRE DAMAGE (Any one fire) $ 50, 000 MED EXP (Any one person) $ 5, 000 AUTOMOBILE LIABILITY 1336368699 3/Ol/97 3/Ol/98 COMBINED SINGLE LIMIT 1,00 0, 000 $ X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY $ (Per person) �S WAGEMENT BODILY INJURY $ ppPR(OV�ED �`� (Per accident) \1 \ PROPERTY DAMAGE $ GARAGE LIABILITY �� % L AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO DATE EACH ACCIDENT $ 1pJAl�!FR: N JA �� YES ...�+�"" AGGREGATE $ EXCESS LIABILITY % II EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM �� $ OTHER THAN UMBRELLA FORM 01 WORKERS COMPENSATION AND CAM STATUTORY LIMITS EMPLOYERS' LIABILITY n('ov �.�T� M EACH ACCIDENT $ DISEASE - POLICY LIMIT $ THE PROPRIETOR/ INCL DISEASE -EACH EMPLOYEE $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL OTHER 6260122962 5/01/97 05/01/98 SEE BELOW CRIME POLICY DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIIL ITEMS EMPLOYEE DISHONESTY $1,000,000 ; DEPOSITORS FORGERY $500,000 DEDUCTIBLE $10,000 COUNTY OF MONROE; BOARD OF COUNTY COMMISSIONERS 5100 COLLEGE ROAD KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAY RITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILUR T MAIL S H OTICE S IMPOSE NO OBLIGATION OR LIABILITY OF ANY K U OM ANITS AGENTS OR REPRESENTATIVES. >::::.............................. .................................... PR..OD..UCER (INSURED z1v KEEN BATTLE MEAD & CO ....DATE i ) ...... 0MM/DD/YY (2/05/97 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 POLICES BELOW. COMPANIES AFFORDING COVERAGE FL 3 3 017 -18 7 0 COMPANY A RELIANCE INSURANCE COMPANY COMPANY I , INSURANCE SERVICING & B ADJUSTING COMPANY, INC. COMPANY 9690 N W 41 ST C MIAMI FL 3 317 8- 2 9 6 8 COMPANY D P 0 BOX 171870 MIAMI LAKES 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. ISO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY APT)P!„.Fn RY a n+-•�.•.'i,tt:r,,? -- PRODUCTS -COMP/OP AGG $ CLAIMS MADE 71 OCCUR PERSONAL OWNER'S &CONTRACTOR'S PROT BY & ADV INJURY $ EACH OCCURRENCE $ -� DATE 5 . 1 f} �C /" FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY 14rAIVER: N/A YES _�,,. ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ 11 GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNLRS/EXECUTIVE INCL OFFICERS ARE: EXCL OTHER NWA2 5 4 016 8 - 0 0 01 / 01 / 9 7 01 / 01 / 9 8 X I STATUTORY LIMITS EACH ACCIDENT $ 100,000 DISEASE - POLICY LIMIT $ 500,000 DISEASE - EACH EMPLOYEE $ 100,000 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS; MARIA DEL RIO 5100 COLLEGE ROAD KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ESL_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BU�ILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF Y KIND I&PN THE COINpANY ITS AGENTS OR REPRESENTATIVES. LC I .................. ................................................................................................... .........................................x.......... ... .. ACORD, C.r..Tl...... ... ;;..:..:.:.:.............. ..... ...... ... X.: .....DA./....M........ ............ I NCS....... ls. . ... ............. u ........................................a...............f............... ....F..........:. .................................................................___..................... 0TE(M/DD/YY) . IRA........ ........A.............. ...............IN... 1/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION KEEN BATTLE MEAD & CO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 BOX 171870 COMPANIES AFFORDING COVERAGE MIAMI LAKES FL 33017-1870 COMPANY A RELIANCE INSURANCE COMPANY INSURED COMPANY INSURANCE SERVICE AND B ADJUSTING COMPANY COMPANY 9690 N W 41 ST C MIAMI FL 33178-2968 COMPANY I i D ............................... ....... : ............................................................ ............ .... 6100 ....... .... ...................................................... ................................................. I ....... ............... ............................ ................... .......... ..................... ................................ ..................................................... ........ ................................... .. .. .. .. .. .. . . ..... .. .. .. .. .. . ............................... :::: :: - " * * * ` .. .. .. .. .. .. .. .. ........ ....... . ........................ ....... ........... ...................................... .. .......... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YY) POLICY EXPIRATION DATE (MM/00/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE [—] OCCUR PERSONAL & ADV INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT APPROVED Y M MEN T FIRE DAMAGE (Any one fir*) $ 1 1 MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO BY — COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS DATE WAIIVER: BODILY INJURY (Per person) $ — — BODILY INJURY (Per accident) $ — PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO •OTHER AUTO ONLY - EA ACCIDENT $ THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ HUMBRELLA FORM $ OTHER THAN UMBRELLA FORM AL WORKERS COMPENSATION AND EMPLOYERS' LIABILITY NWA14 2 5 7 3 6- 0 0 1/01/98 1/01/99 XjTwoCTW I QER - EL EACH ACCIDENT $ 100,000 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE -POLICY LIMIT I$ 500,000 EL DISEASE -EA EMPLOYEE $ 100,000 OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS REF: THIRD PARTY ADMINISTRATION OF WORKERS COMPENSATION PROGRAM ............................. ..c . T T.E:'. OLDER ............... .............. .......... . ..... ... . . * ........ ........... ....... ....... ....... ...... ................... ........... N .......... ....... ........ ....... .... .............. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE COUNTY OF MONROE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL RISK MANAGEMENT DEPARTMENT 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 COLLEGE RD BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY KEY WEST FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED _WkRESqfmw� Ben lkaJw I ... ......... AGOR.. Q. ..P. ..... A ......... ACORDTM PRODUCER Aon Risk Svcs Inc of No. Cal. One Market Spear Street Tower Ste. 2100 San Francisco, CA 94105 415-543-9360 INSURED HG Holding, Corporation JLT Holdings, Inc. 13 Cornell Road Latham, NY 12110 .. { DATE (MMlDDlYV). [ 8/19/99 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A Nat'l Union Fire Ins Co of Pi COMPANY B COMPANY C COMPANY D ......... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YV) DATE (MM/DD/YY) GENERAL LIABILITY A X COMMERCIAL GENERALLIABILITY 3596563 CLAIMS MADE OCCUR OWNER'S &CONTRACTOR'S PROT 7/01/99 1 7/01/00 GENERAL AGGREGATE $ 5000000 PRODUCTS - COMP/OPAGG $ 5000000 PERSONAL &ADV INJURY $ 5000000 EACH OCCURRENCE $ 5000000 FIRE DAMAGE (Any one fire) $ 5000000 MED EXP (Any one person) $ 10000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS �' Y .r PATE COMBINED SINGLE LIMIT S BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO )'� EQ: , •� YF AUTO ONLY - EA ACCIDENT $ �_ Q& OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM �( Q40q EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL WC STATU- OH - TORY LIMITS ER EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Re: TPA contract with ISAC. Certificate holder is to be named as Additional Insured but only as respects liability arising from operations of the Named Insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Commissioners 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road '1"'///III OR LIABILITY Key West, FL 33040 OF ANY KIND UPON THE COMPANY, I NTS OR REPRESENTATIVES. ALI I V005591000 ACCORD CERTIFICATE OF LIABILITY INSURANCE TM D/ 06/OS6/05/2002000 PRODUCER (305) 558-1101 (305)822-4722 Keen Battle Mead & Company 7850 Northwest 146 Street Suite 200 Miami Lakes, FL 33016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Insurance Servicing & Adjusting Co. 234 Westmore Dr., #101 Altamonte Springs, FL 32714 INSURER A: Hartford Casualty Ins Co INSURERB: Hartford Ins Co of the SE INSURERC: 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. IN LTR TYPE OF INSURANCE POLICY NUMBER L DATE MM/DDlYY POLICY MM/DDIEXPIRATIONLIMITS DATE MM/DD/YY GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PROJECT LOC POLICY 7 PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS lUUNLK6288 03/01/2000 03/01/2001 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO Zvi AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR FICLAIMS MADE DEDUCTIBLE RETENTION $ U& �C} ' 1 i EACH OCCURRENCE $ AGGREGATE $ $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 21WBDX7114 03/01/2000 03/01/2001 X T C LIMITS ER E.L. EACH ACCIDENT _ $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT 1 $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: Board of County Commissioners Monroe County Attn: Maria Del Rio 5100 College Road��L -- f Key West, FL 3304 INITIAL CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Beniamin Battle/]ANE CORPORATION 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. DATE (MM/DD/YY) ACOR ,. CERTIFICATE OF LIABILITY INSURANCE o7/zo/z000 PRODUCER (305,) 5S8-1101 (305)822-4722 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Keen Bi ttl a Mead & Company HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 7850 Northwest 146 Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Suite 200 INSURERS AFFORDING COVERAGE Miami Lakes, FL 33016 INSURED INSURER A: Hartford Casualty Ins Co JILT Services Company INSURERB: 700 W Hillsboro Blvd INSURER C: Bldg 3, Ste 206-207 INSURER D: De rfield Beach, FL 33441 INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN LI Y EF TI POLICY EXPIRATIONLIMITS LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY PERIOD INDICATED. NOTWITHSTANDING CERTIFICATE MAY BE ISSUED OR AND CONDITIONS OF SUCH EACH OCCURRENCE $ GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fl OCCUR FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OPAGG $ GEN'L AGGREGATE LIMIT APPLIES PER: COMBINED SINGLE LIMIT (Ea accident) $ 1,000 , 00 PRO- FPOLICY jE LOC AUTOMOBILE LIABILITY ARTFORD/TBD/AUTO 06/20/2000 03/01/2001 X ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ A SCHEDULED AUTOS HIRED AUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS MQ �., PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY ANY AUTO C 1TE OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE �+ rr;• Y, " �— ' EACH OCCURRENCE $ AGGREGATE $ $ $ DEDUCTIBLE RETENTION $ LQ�'`•�'` CAL . $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY �J�� t��.,C�"J� TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ L/ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ertifificate Holder is included as an additional insured. GtK I IrII.A I C AVLUCR I I AUUI IIVRAL IRIYRGu n-- 1 . Monroe County Board of County Commissioners Attn: Maria Del Rio 5100 College Road Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Michael Battle/MIKE 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. ACORDr! PRODUCER Aon Risk Svcs Inc of No. Cal. One Market Spear Street Tower Ste. 2100 San Francisco, CA 94105 415-543-9360 INSURED JLT Holdings, Inc. 13 Cornell Road Latham, NY 12110 COMPANY B COMPANY C Nat'l Union Fire Ins Co of Pi COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS I LTR DATE IMM/DDNY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 5000000 C x COMMERCIAL GENERAL LIABILITY 3596563 7/01/00 7/01/01 PRODUCTS - COMP/OPAGG $ 5000000 CLAIMS MADE OCCUR PERSONAL &ADV INJURY $ 5000000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 5000000 FIRE DAMAGE (Any one fire) $ 5000000 MED EXP (Anv one person) $ 10000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT I $ BODILY INJURY $ ,� n (Per person) �(//�� J'{(�A1/,1 t_1�^�'r►�� BODILY INJURY $ (Per accident) lu __ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO '�. (� -- !� - ': i. �'•�( i - �� AUTO ONLY - EA ACCIDENT $ HER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL WSTATU- OTH- TOCRY LIMITS ER EL EACH ACCIDENT $ EL DISEASE- POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Re: TPA contract with ISAC. Certificate holder is to be named as Additional Insured but only as respects liability arising from operations of the Named Insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL MAIL Commissioners 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road Key West, FL 33040 AUTHORIZED REPRE T VE 005591000 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS T GENERAL LIABILITY GENERAL AGGREGATE $ 5000000 x PRODUCTS - COMP/OP AGG $ 5000000 A COMMERCIAL GENERAL LIABILITY 3596563 7/01/00 7/01/01 PERSONAL & ADV INJURY $ 5000000 CLAIMS MADE X❑ OCCUR EACH OCCURRENCE $ 5000000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 5000000 41. MED EXP (Any one person) $ 10000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT S BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE S GARAGE LIABILITY ANY AUTO `. AUTO ONLY - EA ACCIDENT S OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE S I$ WORKERS COMPENSATION ANDa:cd' EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL INITIAi T '�"-� ORY L MITS OTH ER EL EACH ACCIDENT S EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Certificate Holder to be named as additional insured re TPA Contract with ISAC with respects to liability from operations of the Named Insured. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of County EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Commissioners 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Atn: Maria Del Rio BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 College Road OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Key west, FL 33040 AUTHORIZED REPRESEN I A 005591000 ')- Client# : 16700 JL'i'riUL M CERTIFICATE OF LIABILITY INSURANCE 08/0 /01 �q,ODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Hobbs Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 225 Wyman Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 9049 Waltham, MA 0 2 2 5 4- 9 0 4 9 INSURERS AFFORDING COVERAGE INSURED - INSURER A:American International Cos . JLT Holdings, Inc. INSURER B: 13 Cornell Road INSURER C: Latham NY 12110 -- - - -- _ -- - --- -- -- , INSURER D: INSURER E: C:V V tHAUI=b LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING THE POLICIES OF INSURANCE OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -- - - -- -- — - -_ - - - POLICY EFFECTIVE' -- --- - - POLICY EXPIRATION ILTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/Y ' DATE MM/DD/ LIMITS A GENERAL LIABILITY 13956563 07/01/01 107/01/02 EACHOCCURRENCE $51 000, 000 X y COMMERCIAL GENERAL LIABILITY Renewal of FIRE DAMAGE (Any one fire) $5 , 000 , 000 - CLAIMS MADE I OCCUR policy. _- A$10., 000 - PERSONAL ADV INJURY_' $5 , 0-0 0, 0 0 0 GENERAL AGGREGATE '$ GE_N'LAGGREGATE LIMIT APPLIES PER: . PRODUCTS-COMPIOPAGG, $ _ -- —.. _ RO� PPOLICY! LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ - (Ea accident) ANY AUTO - - I ALL OWNED AUTOS BODILY INJURY $ - (Per person) SCHEDULED AUTOS - ------ - HIRED AUTOS .�n,,� (?�d "Y' ,.I/�„]�,i;'!"�}' BODILY INJURY (Per accident) $ - ` PROPERTY DAMAGE $ pit di IN I (NON-OWNEDAUTOS Per accident) GARAGE LIABILITY rr' F �;./� AUTO ONLY- EAACCIDENT $ _ ANY AUTO / CS� OTHER THAN EA ACC $ AUTO ONLY: - AGG $ EXCESS LIABILITY U EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ - _ $ RETENTION $ WCSTATU- OTH- WORKERS COMPENSATION AND H -' S' EMPLOYERLIABILITY E.L.IMMS- EACHACCIDENT $ E.L.DISEASE-EA EMPLOYEE', $ E.L. DISEASE -POLICY LIMIT, $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder to be named as additional insured re: TPA Contract with ISAC with respects to liability of operations of the Named Insured." LEI IEK Monroe County Broward of County Commissioners Attn: Maria DelRio 5100 College Road Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THEISSUING INSURER WILL ENDEAVOR TOMAILOL- DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITSAGENTS OR REPRESENTATIVES. AUTHORIZED PRESENTA\T,IIV-E ib0 �vn ►' �' 1 � �� ACORD25-S(7/97)1 of 2 #149709 5YV 170o 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. ACORD 2S- S (7/97)2 o f 7 4 -1 n a -7 n a C:iienc : in /uv ACORM CERTIFICATE OF LIABILITY PRODUCER Hobbs Group, LLC 15 Broad Street DATE (MM/DD/YY) INSURANCE 07/18/02 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 7th Floor INSURERS AFFORDING COVERAGE Boston, MA 02109 INSURED ]LT Holdings, Inc. — INSURERA: Ace American Insurance Company INSURER B: INSURERc ---- 13 Cornell Road /' Latham, NY 12110 /_ "� !3 L 12— C i 30 INSURER D: — — INSURER E: COVERAGES THE ANY MAY POLICIES. POLICIES OF INSURANCE LISTED REQUIREMENT, TERM OR CONDITION PERTAIN, THE INSURANCE AFFORDED AGGREGATE LIMITS SHOWN TYPE OF INSURANCE BELOW HAVE BEEN ISSUED TO THE INSURED OF ANY CONTRACT OR OTHER BY THE POLICIES DESCRIBED HEREIN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY POLICY NUMBER NAMED ABOVE DOCUMENT WITH IS SUBJECT EFFECTIVE POLICY DATE MM/DD/YY FOR THE POLICY RESPECT TO WHICH TO ALL THE TERMS, EXPIRATION DATE M/DD/YY PERIOD INDICATED. THIS CERTIFICATE MAY EXCLUSIONS AND CONDITIONS LIMITS NOTWITHSTANDING BE ISSUED OR OF SUCH LTR A j GENERAL LIABILITY COM M ERCIAL GENERAL LIABILITY CLAIMS MADE n OCCUR OGLG154 2 7 0 3 6 0 7/ 01 / 0 2 0 7/ 01 / 0 3 EACH OCCURRENCE $1 000 000 FIRE DAMAGE (Any one tire) $ 5 O 000 MED EXP (Any one person) $ 5 000 = PERSONAL & ADV INJURY $ _L 000,000 GENERAL AGGREGATE $2 000 000 PRODUCTS -COMP/OP AGG $2 000,000 = GEN'L AGGREGATE LIM IT APPLIES PER: POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AP E 3MAN BY MENT BODILY INJURY (Per accident) $ -- - DATE PROPERTY DAMAGE (Per accident) $ — -- WAIVER N/A YES AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ EACH OCCURRENCE $ AGGREGATE $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WC STATU- OTH- TORY LIMITS ER _--.— WORKERS COMPENSATION AND EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder to be named as additional insured re: TPA Contract with ISAC with respects to liability of operations of the Named Insured." CERTIFICATE HOLDER AD DITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANYOFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Broward of Country Commissioners Atten: Maria DeIRIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3jQ__DAYS WRITTEN NOTICE TOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUT FAILURE TO DOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURERJTS AGENTS OR 5100 College Road Key West, FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Lto—,", ACORD 25-S (7/97)1 of 2 #M 18 6 2 9 6 l DCO 0 A ORD C RPO8 G�.1►:C�.1► ACORD- OF INSURANCE CERTIFICATE 07/23/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BROWN & BROWN INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 220 SOUTH RIDGEWOOD AVENUE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O BOX 2412 COMPANIES AFFORDING COVERAGE DAYTONA BEACH, FL 32115 COMPANY ACNA INS. CO. INSURED BROWN & BROWN INC ETAL COMPANY B P O BOX 2412 DAYTONA BEACH, FL 32115 1 �� 0" COMPANY NY COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER OLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY TOP P 10 7 3 6 8 6 2 7 5 0 7/ 19 / 0 2 0 7/ 19 / 0 3 GENERAL AGGREGATE $2 0 0 0,000 X PRODUCTS-COMP/OP AGG $1 0 0 0 000 COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR PERSONAL & ADV INJURY $1 0 0 0 000 EACH OCCURRENCE $1 0 0 0 000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $5 0 0 0 0 MED EXP (Any one person) $5 000 A AUTOMOBILE LIABILITY BUA1015 012 2 0 3 0 7/ 19 / 0 2 0 7/ 19 / 0 3 1 ANY AUTO COMBINED SINGLE LIMIT $1, 0 0 0, 0 0 0 I X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APP ' E B J MANA E NT X BODILY INJURY Per accident) $ X PROPERTY DAMAGE $ DATE P TV GARAGE LIABILITY ANY AUTO / i ' AUTO ONLY -EA ACCIDENT $ R THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ A EXCESS LIABILITY X UMBRELLA FORM CUP 10 15 0 12 2 0 0 7/ 19 / 0 2 0 7/ 19 / 0 3 EACH OCCURRENCE $5 0 0 0 0 0 0 0 AGGREGATE $5 0 0 0 0 0 0 0 $ OTHER THAN UMBRELLA FORM A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WCC 115 0 12 2 17 WC 17 3 6 5 2 2 41 ( CA) 0 7 / 19 / 0 2 0 7/ 19 / 0 2 0 7 / 19 / 0 3 0 7/ 19 / 0 3 X STATUTORY LIMITS 'EACH ACCIDENT $5 0 0, 0 0 0 DISEASE -POLICY LIMIT $5 0 0 0 0 0 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL D ISEASE- EACH EM PLOYEE s500, 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS RE: BROWN & BROWN, INC. DBA: PREFERRED GOVERNMENTAL CLAIM SOLUTIONS CG CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BCC EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL NANCY COHEN , RISK MANAGEMENT 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 1100 S IMONTON S T . BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY KEY WEST, FL 33040 OF ANY UPON THE COMPA61Y, JrS AGENTS OR REPRESENTATIVES. AUTHO EPRESENT ACORD 25-S (3/93)1 of 1S 117 3 4 M'l i 7 8 2 8 DEH © ACOR RIPORATION 1993 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DDNYYY) BROWN-3 05 02 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Daytona Beach Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2412 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Daytona Beach FL 32115-2412 Phone:386-252-9601 Fax:386-239-5729 INSURED BROWN & BROWN INC ETAL P O BOX 2412 DAYTONA BEACH FL 32115 INSURERS AFFORDING COVERAGE I NAIC # INSURER A: Continental Casualty Co INSURER B: INSURER C: INSURER D: INSURER E: 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 INSRE TYPE OF INSURANCE POLICY NUMBER POLICY EFFEC IVE DATE MM/DD/YY P LIC ATI N DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑OCCUR TED- PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY DPRO- LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BY k.+ MAN E E BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ` DATE .` / PROPERTY DAMAGE (Per accident) $ - GARAGE LIABILITY WAIVEHN/A YES AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE t EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE - --- -- $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ If yes, describe under E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER A EMPLOYEE DIS- 267870238 04/28/03 04/28/04 BLANKET $15,000,000 HONESTY/FIDELITY I EMPL DISH DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS REQUIRED BY CONTRACT CERTIFICATE HOLDER CANCELLATION MOCOU01 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 COUNTY OF MONROE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON ST REPRESENTATIVES. KEY WEST FL 33040 1 AUTHORIZEJZjtEPReSWTATIVE �J N1 9av, ( ACORD, CERTIFICATE OF LIABILITY INSURANCE OP ID P 13ROWN-3 DATE(MMIDD/YYYY) 07/24/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION Brown & Brown, Inc. ONLY AND CONFERS NO RIGHTSUPON THE CERTIFICATE Daytona Beach Office HOLDER. THISCERTIFICATE DOESNOT AMEND, EXTEND OR P.O. Box 2412 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Daytona Beach FL 32115-2412 Phone: 386-252-9601 Fax: 386-239-5729 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: CNA INSURANCE CO 34622 INSURER B: INSURER C: BROWN & BROWN INC ETAL P 0 BOX 2412 DAYTONA BEACH FL 32115 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERALLIABILITY X COMMERCIALGENERAL LIABILITY CLAIMS MADE [X:] OCCUR TCP1073686275 07/19/03 07/19/04 EACH OCCURRENCE $1,000,000 PREMISES(Eaoccurence) $50,000 MED FXP (Any nna Perm,.) s5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2, 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT Fj LOC PRODUCTS - COMP/OP AGG $ 1,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BUA1015012203 SAP2049341275 (MA) AP /'.lS -;, pj'; kl'A 4 ! ndiA DATF 07/19/03 07/19/03 EMENT -- 07/19/04 07/19/04 J � COMBINED SINGLE LIMIT (Ea accident) $ 1� 000 000 i X BODILY INJURY (Per person) $ X I BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ I GARAGE LIABILITY - ANY AUTO F I YES ,_......_.......�..__, AUTO ONLY - NT Y EA ACCIDENT $ ----- OTHER THAN EA ACC UTO ONLY: AGG $ $ A EXCESS/UMBRELLA LIABILITY OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ C115012220 07/19/03 07/19/04 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10, 000, 000 $ $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER!MEMBEREXCLUDED? S yes, ECIdescribe under AL PROVISIONS below SP WC257333301 WC257333329 (CA) 19 07/ /03 07/19/03 07/19/04 07/19/04 X TORY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ 500,000 $500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS REQUIRED BY CONTRACT CERTIFICATE HOLDER CANCELLATION COUNMO 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE T( DO SO SHALL COUNTY OF MONROE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON ST REPRESENTATIVES. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE h +s C ACORD 25 (2001/08) 0 AmRn mrzPnPATInN IORA c ,o ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID H DATE(MM/DD/YYYY) BROWN-3 04 30/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION Brown & Brown, Inc. ONLY AND CONFERS NO RIGHTSUPON THE CERTIFICATE Daytona Beach Office HOLDER. THIS CERTIFICATE DOESNOT AMEND, EXTEND OR P.O. Box 2412 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Daytona Beach FL 32115-2412 Phone:386-252-9601 Fax:386-239-5729 INSURED BROWN & BROWN INC ETAL P 0 BOX 2412 DAYTONA BEACH FL 32115 ^^%I/ MA- INSURERS AFFORDING COVERAGE I NAIC # INSURER A: Fidelity and Deposit Ins Co INSURER B: INSURER C: INSURER D: INSURER E: 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. IMIR DDN LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PRO- JECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APPM BY ,AN MENT BODILY INJURY (Per (Per person) BODILY INJURY (Per accident) $ BY-r....._ J _ I)ATE(Per PROPERTY DAMAGE accident) $ GARAGE LIABILITY ANY AUTO vl.�,1 �) ER NIA YES AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE r EACH OCCURRENCE $ AGGREGATE $ f $ DEDUCTIBLE V $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS I ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. EACH ACCIDENT $ If yes, describe under SPECIAL PROVISIONS below OTHER E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A EMPLOYEE DIS- 9090 04/28/04 04/28/05 HONESTY/FIDELITY I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CANCELLATION: EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUM BLANKET EMPL DISH $20,000,000 NAMED INSURED: PREFERRED GOVERNMENTAL CLAIM SOLUTIONS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS REQUIRED BY CONTRACT CFRTIFICOTF Flnl nFo vI11I6 L_M I I%Jly MOCOU01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO 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 MONROE COUNTY BCC IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON ST REPRESENTATIVES. KEY WEST FL 33040 1 AUTHORIZERREPRESENTATIVE ACORD 25 (2001/08) / © ACORD CORPORATION 1988 GG� ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID �DTE(MM/DD/YYYY) PRODUCER BROWN-3 07 26/04 Brown & Brown, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION ONLY AND CONFERS NO RIGHTSUPON THE CERTIFICATE Daytona Beach Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2412 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Da tons B h F y eac L 32115-2412 Phone: 386-252-9601 Fax: 386-239-5729 INSURED INSURERS AFFORDING COVERAGE NAIC # BROWN & BROWN INC ETAL P 0 BOX 2412 DAYTONA BEACH FL 32115 INSURERA: CNA Insurance Co. 34622 INSURER B: Fireman r s Fund Ins Co 21873 INSURERC: Amer Cas Co of Reading, PA 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER E ATE EFFECTIVE POLICYDATE EXPIRATION N LIMITS EACH OCCURRENCE $ 1 , 000 , 000 -PREMISES A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1XI OCCUR TCP1073686275 07/19/04 07/19/05 S(�Eaoocc rence) $ 50, 000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY D PRO- JECT LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BUA1015012203 SAP2049341275 (MA) ARP \/r - - 07/19/04 07/19/04 ;-prl1-q 07/19/05 07/19/05 X NGLE LIMIT COMBINED (Ea accident) $1,000,000 BODILY INJURY (Per person) $ X X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO DATE WAIVER )`Ili _.___ 1 AUTO ONLY - EA ACCIDENT $ '�/ r- C, OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMSMADE 1-1 DEDUCTIBLE RETENTION $ XYM97546378 07/19/04 07/19/05 EACH OCCURRENCE $ 10 , 000 , 000 AGGREGATE $ 10,000,000 $ C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTiVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC257333301 WC257333329 (CA) 07/19/04 07/19/04 07/19/05 07/19/05 _ X TORY LIMITS ER E.L. EACH ACCIDENT $ 1 , 000 . 000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER DESCRIPTION CANCELLATION: RE: CONTRACT OF OPERATIONS / LOCATIONS / VEHICLES EXCEPT 10 DAYS CERTIFICATE HOLDER IS / EXCLUSIONS ADDED BY ENDORSEMENT FOR NON-PAYMENT OF NAMED AS ADDITIONAL / SPECIAL PROVISIONS PREMIUM INSURED AS REQUIRED BY CERTIFICATE HOLDER C-Amr =1 1 ATinLl COUNTY OF MONROE 1100 SIMONTON ST KEY WEST FL 33040 COUNM01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC 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 REPRESENTATIVES. S,ENTATIVE ACORD 25 (21)01/P8) eC © ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DDM-YY) BROWN-3 05 05 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION Brown & Brown, Inc. ONLY AND CONFERS NO RIGHTSUPON THE CERTIFICATE Daytona Beach Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2412 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Daytona Beach FL 32115-2412 Phone:386-252-9601 Fax:386-239-5729 INSURED BROWN 6 BROWN INC ETAL P O BOX 2412 DAYTONA BEACH FL 32115 INSURERS AFFORDING COVERAGE INSURER A: Fidelity and De INSURER B: INSURER C: INSURER D: INSURER E: it Ins Co NAIC # 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 P Y E /D IVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE n OCCUR EACH OCCURRENCE $ PREMISES (Ea occurence) $ MED EXP (Any one person) PERSONAL & ADV INJURY $ $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON- OWNED AUTOS AP ) I I f E EN-! COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ - BODILY INJURY (Per accident) $ PROPERTY eOaede DAMAGE t $ ---- - GARAGE 1 LIABILITYUL.BY ANY AUTO DATE ,. .� lC) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY �— OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WAIVER .,�� y _..-... '-" _ EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A OTHER EMPLOYEE DIS- HONESTY/FIDELITY 9090 04/28/04 04/28/07 BLANKET $20,000,000 EMPL DISH DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CANCELLATION: EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUM CERTIFICATE HOLDER IS INCLUDED AS ADDTIONAL INSURED AS REQUIRED IN CONTRACT. FAX TO: 305-295-3179 !`CDTICU-ATC LIlll M'Y MONRC07 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 ATTN : RISK MANAGEMENT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PO BOX 1026 REPRESENTA4YES. KEY WEST FL 33041-1026 T!JPRIZED REftSENTAT#t, ACORD 25 (2001 /08) G L �� cy ` — © ACORD CORPORATION 1988 OP ID DATE (MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE BROWN-3 07/21 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown &Brown , Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Daytona Beach Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 2412 Daytona Beach FL 32115-2412 Phone:386-252-9601 Fax:386-239-5729 INSURED BROWN & BROWN INC ETAL P O BOX 2412 DAYTONA BEACH FL 32115 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURER A: CNA Insurance Co. 34 622 INSURER B: Fireman' s Fund Ins Co 21873 INSURER C: Amer Cas Co of Reading, PA INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVt FUR I nt VULK,T rnmui 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 TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR POLICY NUMBER TCP1073686275 DATE MM/DD 07/19/05 DATE MM/DD 07/19/06 LIMBS EACH OCCURRENCE $ 1 , OOO , OOO rA PREMISES(Eaoccurence) $ 50,000 MED EXP (Any one person) $ 5 , 000 PERSONAL &ADV INJURY $ 1 , OOO , OOO GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP/OP AGG $ 1 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECT X LOC A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BUA1015012203 SAP2049341275 (MA) APPA B'' 7' DATE— 07/19/05 07/19/05 IMA GEMEN 07/19/06 07/19/06 COMBINED SINGLE LIMIT (Ea accident) $ 1 , 000 , 000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X X _ PROPERTY DAMAGE (Per accident) $ _ GARAGE LIABILITY ANY AUTO WAIVE N/A.— __ Y I_,q t AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESSIUMBRELLA LIABILITY }{ OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ XYMB7058764 07/19/05 07/19/06 EACH OCCURRENCE $ 10 , 000 , 000 AGGREGATE $ 10,000,000 C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBFREXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC257333301 WC257333329 (CA) 07/19/05 07/19/05 07/19/06 07/19/06 _ X TORY LIMITS ER E.L. EACH ACCIDENT $1,000.000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $ 1 , 000 , 000 OTHER RECEIVED DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS IO CANCELLATION: EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUM 'JUL'2 6 2005 MONROE COUNTY ATTORNEY RE: CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS REQUIRED BY CONTRACT CANCFLLATION COUNMOI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WALL 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 COUNTY OF MONROE 1100 SIMONTON ST REPRESENTATIVES. KEY WEST FL 33040 Aurllo7,R�� © ACORD CORPORATION 1988 ACORD 25 (2001/08) LC.� A ORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE (MM/DD/YYYY) BROWN-3 07 24/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown 6 Brown , Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Daytona Beach Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2412 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Daytona Beach FL 32.115-2412 Phone: 386-252-9601 Fax: 386-35-572�'; ;� AFFORDING COVERAGE NAIC # INsuREu ' �L. 4 �, INsuRER A'. St Paul Travelers INSU ERD National Surety Corporation _ 21881 BROWN 6 BROWN INC ETAL INsu. ER } Amer Cas Co o£ Reading, PA _ P O BOX 241.2 j [i I- 2 8 ;INSURER D DAYTONA BEACH FL 32115 --,� INSU ER E L— - -_. ..---+ 7 VVYCMVGV THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE'INSURERNAMEP1 BOVE FOR THE OLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRRDT-efi ER DOCUMENY VI t' R ICH THIS CERTIFICATE MAYBE 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 DAT�TE MMDEDNY DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 _ PREMISES Ea occueence) $ 5D,000 - A X COMMERCIAL GENERAL LIABILITY 6305355C241 07/19/06 07/19/07 MED EXP (My one person) s5,000 CIAIMS MADE 1K OCCUR PERSONAL A ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG $ 1 , 000 , 000 POLICY L JECOT X LOG A AUTOMOBILE LIABILITY ANY AUTO BA6854C200 07/19/06 07/19/07 COMBINED SINGLE LIMIT (Es accident) $ 1, 000 , 000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS ,;. j '^ I ' X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ I $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $10,000,000 AGGREGATE $ 10,000,000 B XX� OCCUR CLAIMSMADE SU000077411809 07/19/06 07/19/07 DEDUCTIBLE $ _ $ RETENTION $ L WORKERS COMPENSATION AND X TORV LIMITS I IJUEIR EL EACH ACCIDENT $1, 000.000 C C EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIE%ECU'TIVE OFFICER/MEMBER EXCLUDED' WC257333301 WC257333329 (CA) 07/19/06 07/19/06 07/19/07 07/19/07 EL.DISEASE - EA EMPLOYEE$ 1, 000, 000 E.L. DISEASE - POLICY LIMIT _ $1, 000, 000 If yes, describe PROVISIONS below SPECIAL PRO OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROWSIONS CANCELLATION: EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUM RE: CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS REQUIRED BY CONTRACT ,`=0TICIPATC Y/ll nFC CANCELLATION COUNM01 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 COUNTY OF MONROE 1100 SIMONTON ST REPRESENTATIVES. our PR rnE „s KEY WEST FL 33040 ACORD 25(2001108) Lc '• tLTt44.* e.UC. vHa,VrtV raoo AcoRo CERTIFICATE OF LIABILITY INSURANCE OP PRODUCER I - BROWN Brown S Brown of Florida, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Daytona Beach Office ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 2412 HOLDER.- CERTIFICATE DOES NOT AMEND, EXTEND OR Daytona Beach FL 32115-2412 (- tl�L ' - -- TER THE VERAGE AFFORDED BY THE POLICIES BELOW. r — . l Phone:386-252-9601 Fax:386-239 5729 INSURED -- -- - INSURE S AFF RDING COVERAGE NAIC # - - --- -- i. -_ wSURERA T avelers Prop S Cas of Amer25674 JUL 2 5' ERB N tional Surety Corporation 21881 BROWN 6 BROWN INC ETAL IINSURERC Ch rter_ Oak Fire Insurance P O BOX 2412 D _ DAYTONA BEACH FL 32115 Co_ �r.�ROE C - rlui�r.... �.. 61LM11GI .R11 e - - 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 DO LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTNE POLICYE%PIRA770N' ---- - --- - --- --_-.. _ DATE MM/DD/YY DATE MM/DD/VY LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE$1, 000, 000 _ 6305355C242 OACHOCCURENCE - 07/19/07 07/19/OB P(Eaecc encel $50,000 J CLAIMS MADE X� OCCUR REMISES _ _.. _ --_-- - MET EXPAn, o person) $ 5 000 -- J PERSONAL B ADV INJURY $]- 000 000 �GEN'L AGGREGATE LIMIT APPLIES PER: Ir GENERAL AGGREGATE_ $1, QQQ, 000_ rr POLICY PRO EClX LOC PRODUCTS-COMP/OPAGG $1, 000,000 ' AUTOMOBILE LIABILITY A ANYAUTO COMBINED SINGLE LIMIT — HA6854C201 07/19/07 07/19/08 (Ea acclUenU $1, 000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY - — — — — $ XHIRED AUTOS (Per person) X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY Cl ANY AUTO AUTO ONLY -EA ACCIDENT $ c OTHER THAN NEA ACC $ '. $ - — EXCESSMBRELLA LIABILITY_ AUTO ONLYAGO B XOCCUR �I CLgIMSMADE $jJQQQQ99366957 EACH OCCURRENCE $ 25, 000, OOQ L- 07/19/07 07/19/08 AGGREGATE �1 l _ $25, 000, 00.0 DEDUCTIBLE RETENTION $ �� _ g WORKERS COMPENSATION AND g C, EMPLOYERS' LIABILITY X TORY LIMIT B _ ER ANY PROPRIETOR/PARTNER/EXE'.CUTIVE 9517B580-7 Q7 19 07 -- A OFFICER/MEMBER EXCLUDED9 / / 07/19/08 EL EACHACCIDENT __Is1 0Q0, 000 If yes. tloc' DI under I `r5I>6Ts1-ootn ru oe vp �, EL DISCASE EA EMPLOY[Li51 QQQ QQQ SPECIAL PROVISIONS E Ir S - - OTHER 4 -0 E.L DISEASE POLICY LIMIT I $ 1, 0QQ � QQQ n I inns I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PI CANCELLATION: EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUM RE: BROWN S BROWN, INC. DBA: PREFERRED GOVERNMENTAL CLAIM SOLUTIONS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS AN ADDITIONAL INSURED AS CFGTIFII`AT. u�r r — MONRCO2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TM MAIL 3O DAYS WRITTEN MONROE COUNTY BOARD OF NOTICE TOT CERTFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COUNTY COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON ST REPRESENTATIVES. KEY WEST FL 33040 1 ACORo. CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MMIDDNYYY) IDUCER BROWN-3 07/20 /nv Brown 6 Brown of Florida, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Daytona Beach Office ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 2412 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Daytona Beach FL 32115-2412 _ RAGE AFFORDED BY THE POLICIES BELOW. Phone:386-252-9601 Ij Fax:386-239-57t � �I,1 ril INSURED �'j'--IUk S AFFOR I, G COVERAGE NAIC# INSUREI<A Travelers Prop 6 Cas of Amer 25674 BROWN S BROWN INC ETAL INSURER B National Surety Corporation 21881 INSURER P O BOX 2,112 I C. Charter Oak Fire Insurance Co - _. DAYTONA BEACH FL 32115 INSURER D. THE POLICIES OE INSURANCE LI5TED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PCLICY 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 IIE REIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SiOWN MAY HAVE BEEN REDUCED By PAID CLAIMS 4SR-TR NSR TYPE OF INSURANCE POLICY NUMBER POLIDV EFFECTIVE ' POLICY EXPIRATION' GATE MM/OD/Y1' DATE MM/pD/YY LIMITS GENERAL LIABILITY A I X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 81,000,000 6305355C242 07/19 07 DAMAGE- TO RENTED— 4 / 07/19/08 PREMISES(Ea000urence) $50,000 CLAIMS MADE X J OCCUR I I - A B GENE AGGREGATE LIMIT APPLIES PER'. —_.. POLICY 1 PRO- JECT X LOG AUTOMOBILE LIABILITY ANY AUTO BA6854C201 ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO MED ESP (Arty one person) j $ 5,000 PERSONAL B ADV INJURY 1 OOO $OOO GENERAL AGGREGATE I$ 2 000, 000 —.- PRODUCTS-COMP/OPAGG $1, 000, 000 $1,000,000 07/19/07 07/19/08 COMBINED SINGLE LIMIT — BOOILV INJURY (Per Person) $ BODILY INJURY (Per accident) $ EXCESS/UMBRELLA LIABILITY { OCCUR I ] CLMNISMADE tSUOOOO99366957 07 DEDUCTIBLTIE RETENON S WORKERS COMPENSATION AND `, EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNER/EXI-CUTIVE A OFFICER/MEMBER EXCLUDED? PROPERTY DAMAGE _ (Per accident) $ AUTO ONLY_ EA ACCIDENT $ - OTHER THAN EA ACC $ AUTO ONLY: AGO $ EACH OCCURRENCE $29 '0Jp,7 07/19/08 AGGREGATE - $ 25 ). $ 0,000 0,000 9517B580-7 JTGRY LIMITS 1 ER I 07/19/07 07/19/08 EL EACHACCIDENT Hh oa L rs 1, 000 000 sc navel-m lns yi) 11 EDISEASE EA EMFLOYEtf$ 1 000 000 EL DISEASE -POLICY LIMIT 1 $ 1 , 000.O0n T/ SPECIAL PI CANCELLATION: EXCEPT 10 DAYS FORNON-PAYMENTOF NPREMIUM RE: CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS REQUIRED BY CONTRACT COUNMOILY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATO OF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3O DAYS WRITTEN HE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COUNTY OF MONROE OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON ST ATIVES. KEY WEST FL 33040 �so�«...�...� _ 25 (2001 988 ACORQ, CERTIFICATE OF LIABILITY INSURANCE OF ID DATE(MM/DD/YYYY) BROWN-3 07/20/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown 6 Brown of Florida, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Daytona Beach Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2412 RAGE AFFORDED BY THE POLICIES BELOW. Daytona Beach FL 32115-2412 XO Phone: 386-252-9601 Fax:386-239-57 Uk $AFFOR I,GCOVERAGE NAIC# - INsuRED - I INSURER A. Travelers Prop 6 Cas of Amex 25674 INSURER B. National Surety Corporation 21881 BROWN S BROWN INC ETAL INSURERC Charter Oak Fire Insurance Co P D BOX 2412 BEACH INSURERO DAYTONA BBEACH FL 32115 �' �` rnvaaerac 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 AF FORDED 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. DO' -- -. __- --.. _. _. - -..-- POLICY-E—FFECTIVE LTR NSR TYPE OF INSURANCE POLICY NUMBER POLTLY EXPIRA71 N DATE MM/DD/YY 1 DATE MMIDD/Y1' LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 PREMISES a amurence) (E A X COMMERCIAL GENERALLIABILITYDAMAGETQRENTED- C AIM$MADE � OCCUR 6305355C242 07/19/07 07/19/08 s50,000 MED EXP(Any oneperson) PERSONAL B ADV INJURY $ 5,000 $1,000,000 i GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $1,000,000 POLICY ECT X LOG AUTOMOBILE LIABILITY A - ANY AUTO BA6854C201 07/19/07 07/19/08 CO LIMIT (Ed accidenp $1,000,000 ALL OWNED AUTOS - _- -- - BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILYINJURY $ X NON -OWNED AUTOS (Parraccident) accident) PROPERTY DAMAGE $ -' -- — -- - (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT _ _-- $ ANY AUTO ._ - _ ._. _..... THAN EA ACC _. -- $ A AUTO ON AUTO ONLY'. AGO $ EXCESS/UMBRELLALIABILITY EACH OCCURRENCE $25,000,000 B X-] OCCUR L7CLAIMSMADE SU000099366957 07/19/07 07/19/08 AGGREGATE $25,000,000 DEDUCTIBLE /� �,)[(!- - - -- RETENTION $ $ - WORKERS COMPENSATION AND X TOftY LIMITS TH ER C EMPLOYERS' LIABILITY EL EACH ACCIDENT $1,000,000 ANYPROPRIETOR/PARTNERIEXECUTIVE 9517B580-7 07/19/07 07/19/08 A OFFICERIMEMBER EXCLUDED? If yes, describe under 9517R761-01(1z RA ox wx) EL. DISEASE EAEMPLOYEE $ 1, 000, 000 E. L. DISEASE -POLICY LIMIT $1,000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CANCELLATION: EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUM iiG i f—' I ✓1 CvY7 C G__ RE: CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS REQUIRED BY CONTRACT rveTmrn Arm . 1 .. �., COUNM01 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 COUNTY OF MONROE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON ST REPRESENTATIVES. KEY WEST FL 33040 AU"VRIZEDIWRESEPJ�ATVE/_ - 25 (2001I08) © ACORD CORPORATION IORR ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID BROWN-3 DATE(MMIODNYYY) 07/20/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown of Florida, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Daytona Beach P.O. Box 2412 Daytona Beach Office r---` FL 32115-2412 _ r� Rk,.� HOLD,ER,_IH CERTIFICATE DOES NOT AMEND, EXTEND OR - TER THE OVERAGE AFFORDED BY THE POLICIES BELOW. Phone:386-252-9601 Fax:386-239 5729 INSURE SAFF RDING COVERAGE NAIC# INSURED JUL 2 5 ws ERA: T velers Prop & Cas of 25674 21881 -Amer 049ERR N Tonal Surety Corporation -- - INSURER Ch rter.Oak Fire Insurance Cc ---- BROWN & BROWN INC ETAL P O BOX 2412 DAYTONA BEACH FL 32115 y,ONRQE C RD --- --- - - MfWER 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. - TODCTEFFECTIVE-; POLICYEXPIRATION LTR NSRE TYPE OF INSURANCE POLICY NUMBER DATE MMIDDM DATE MMIDOM LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY 6305355C242 07/19/07 07/19/08 PREMI�GAMASES U KENI r�ence�j $50,000 41 CLAIMS MADE rOCCUR MED EXP tAyo person) $5,000 PERSONAL B ADV INJURY $1,000 QQQ s2,000,000 GENERAL AGGREGATE GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $ 1 , 000, 000 POLICY JECT X LOC A AUTOMOBILE LIABILITY ANY AUTO BA6854C201 07/19/07 07/19/08 COMBINED SINGLE LIMIT (Ea acmtlenp $ 1 0QQ QQQ $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) _ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITYkov ANY AUTO / ., jl(ow, AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ AUTO ONLY'. AGO EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE s25,000,000 B X�OCCUR CCLAIMSMADE SU000099366957 07/19/07 07/19/08 AGGREGATE $25,000,000 DEDUCTIBLE �i ^. $ $ $ RETENTION $ C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED9 If yes, describe under SPECIAL PROVISIONS below 9517B580-7 9517R7" -07JAZ HA oa WI) 07/19/07 '- 07/19/08 X TORV LIMITS ER --- EL EACH ACCIDENT _ --- $1,000,000 _ _ $1, QQQ,QQQ EL.DISEASE-EAEMPLOYEE - - EL.DISEASE - POLICY LIMIT 1 — $1, 000, 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CANCELLATION:, 10 DAYS FOR NON-PAYMENT OF PREMIUM EXCEPT G G : a"r7cc— RE: BROWN & BROWN, INC. DBA: PREFERRED GOVERNMENTAL CLAIM SOLUTIONS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS AN ADDITIONAL INSURED AS MONRCO2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO$ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN MONROE COUNTY BOARD OF NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COUNTY COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR 1100 SIMONTON ST REPRESENTATIVES. KEY WEST FL 33040 AUTNPRQED`R64RESWA1DVV ACORD 25 (2001/08) 0 ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE OPID DATE (MMIDD/YYYY) BROWN-3 1 02 11 OB PRODUCER THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION Brown & Brown of Florida, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Daytona Beach Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2412 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Daytona Beach FL 32115-2412 Phone: 386-252-9601 Fax:386-239-5729 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Travelers Prot) & Cas of Amei 25674 PRO BOX BROWN2412 INC ETAL DAYTONA BEACH FL 32115 INSURER C: Charter Oak Fire Insurance C$O INSURER D: XL Specialty Ins CO 37885 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 RESPECTTO 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 PC DATE MMIO 1 DATE MMIDDfIY N LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR 6305355C242 07/19/07 07/19/08 EACH OCCURRENCE $ 1 000 000 PREMISES (Fa amrence s300,000 MED EXP(Any one person) $ 5 000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT X LOC PRODUCTS-COMP/OP AGG 52,000,000 A ' AUTOMOBILE LIABILITY MY AUTO ALLOWNEDAUTOS SCHEDULEDAUTOS HIRED AUTOS NON -OWNED AUTOS BA6854C201 q. 1 07/19/67 ��✓ 07/19/08 _ _„ V-� LIMIT C�eBIt COMBINEDSINGLE$1, 0Q0, Q00INGLE BODILY INJURY (Par person) $ X BODILY INJURY IP iEent) $ X PROPERTY DAMAGE (Per sca0ent) $ GARAGE LIABILITY..,_ MY AUTO .. AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGO $ S B EXCESSIUMBRELLALIABILITY R OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ SU000099366957 �07/194/0e7 LI /, 14 a 07/19/08 EACH OCCURRENCE $ 10 000,000 AGGREGATE $ 10 000 000 $ $ $ C A WORKERS COMPENSATION AND ANYPROPRIETOR/PARTNER/EXECUTNE EMPLOYERS' ANY PRAR OFFICERIMEMBER EXCLUDED? Use describe mk,r SPECIAL PROVISIONS UaIaw 9517BBSO-07 9517B761-07 07/19/07 07/19/07 07/19/08 07/19/08 R I TORY LIMITS I I ER E.L. EACH ACCIDENT $1 000 000 E.L.DISEASE•EAEMPLOYEE$ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1 000 000 D E OTHER INS AGENTS E&O EMP DIS/FIDELITY ELU0999217-07 CCP0061089 - $250,000 DED 08/23/07 04/28/07 08/23/08 04/28/10 EACH LOSS $5,000,000 BLANKET $25 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CANCELLATION: EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUM NAMED INSURED: PREFERRED GOVERNMENT CLAIM SOLUTIONS, INC. MONRCO2 SHOULDANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURERVVILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY MNO UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON ST STE 2-268 REPRESENTATIVES. KEY WEST FL 33040 AD*'QRIZEff7M4RESETATW/_ ACORD 26 (2001108) L IWW— ACORv CERTIFICATE OF LIABILITY INSURANCE nnO IID,A DAT'E(MM/DD/YYYY) PRODUCER Brown & Brown of Florida, Inc. Daytona Beach Office P.O. Box 2412 Daytona Beach FL 32115-2412 Phone:386-252-9601 Fax:386-2 BROWN & BROWN INC ETAS P O BOX 2412 DAYTONA BEACH FL 3211! :Karia:T_�hx.7 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR E COVERAGE AFFORDED BY THE POLICIES BELOW. 9-5 RECEIVE ERS FE8 14 INSU R A: S R B INSU R C: INS RD' MONROE COUNTY INSURER E 1FFORDING COVERAGE NAIC # Travelers Prop & Cas of Ame 25674 National Suretv CorDorationl 21881 37885 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 INSRN TYPE OF INSURANCE POLICY NUMBER DATE MM/DEDCO ATE MM/DDNY LIMITS A GENERAL LIABILITY X COMMERCIALGENER�ALLIABILITY CLAIMS MADE Ln l OCCUR 6305355C242 07/19/07 07/19/08 EACH OCCURRENCE $1,000 000 PREMISES (Ea occurence s300,000 MED EXP (Any one person) s5,000 PERSONAL &ADV INJURY $11000 000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY JECf X LOC PRODUCTS - COMP/OP AGG $2,000,000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BA6854C201 �('y\ 07/19/07 07/19/08 ((},IY/'', CO (EaCOMBINED SINGLE LIMIT accident) $1r r 000 000 BODILY INJURY (Per person) $ X a01aLV INJURY $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGO $ $ B EXCESS/UMBRELLA LIABILITY X I OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ SU000099366957 07/19 , 1 \ 07/19/08 I EACH OCCURRENCE $10 , 000 000 AGGREGATE $10,000 000 $ $ C, A WORKERS COMPENSATION AND EMPLOYERIETORKITV ANY PROPRIETOR/ EXCLUDED? OFFICERIMEMBEREXCLUDED? Use, describe under SPECIAL PROVISIONS below 9517B580-07 9517B761-07 07/19/07 07/19/07 07/19/08 07/19/08 X I TORV LIMITS ER E.L. EACH ACCIDENT _ $1 OQO 000 r E.L.DISEASE -EAEMPLOYEE $1,000,000 E. L. DISEASE -POLICY LIMIT $1 00Q 000 D E OTHER INS AGENTS E&O ENP DIS/FIDELITY ELU0999217-07 CCP0061089 - $250,000 DED 08/23/07 04/28/07 1 08/23/08 04/28/10 EACH LOSS $5,000,000 BLANKET $25 000 000 DESCRIPTION OF OPERATIONSI LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISI NS CANCELLATION: EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUM NAMED INSURED: PREFERRED GOVERNMENT CLAIM SOLUTIONS, INC. GAINI LLLAII IUR MONRC+02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO 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 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONCON ST STE 2-268 REPRESENTATIVESI KEY WEST FL 33040 ADWRRIZEIMRR EWATIVE/_ V RLI LO tArI Nat Cr- _____ ACORD CERTIFICATE OF LIABILITY INSURANCE OP I3 DATE7(MM1/DDMW) PRODUCER BROWN0B0808 Brown S Brown Of Florida, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Daytona Beach Office ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. Box 2412 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR -- -'- _ Daytona Beach FL 32115-2412 itLTER THE- OVERAGE AFFORDED BY THE POLICIES BELOW. L1 Phone: 386-252-9601 Fax: 386-239r5729'-- - INSURS AFFORDING COVERAGE INSURED NAIC # E�R ravelers Prop a Cas of rimer25674 JUL L 1 ational Surety Corporation 2-5881BROWN S 13ROWN INC ETAL arter oak sire mavramca coDAYTONA BEACH FL 32115 � -` - L S ecialt Ins Co37885 belit aria De sit xna co 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. .TR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDM' A GENERAL LABILITYDATE X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7XOCCUR GENT AGGREGATE LIMIT APPLIES PER: POLICY JH'OT X LOC 6305355C241 07/19/08 MM/DD/YY 07/19/09 LIMITS EACH OCCURRENCE $1,000,000 PREMISES Eaoccurence) $ 300-000 MED EXP (Any one person) $ 5 , 000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 AUTOMOBILE LIABIL17Y A ANVAUTO BA6854C201 07/ CON07/19/09 Ea IBI,NEDl'INGLE LIMIT $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY (Per person) $ X NON -OWNED AUTOS .� ^ 10 BODILY (Pera=INJURY y P PROPERTY DAMAGE $ GARAGE LIABILITY (Per accident) ANYAUTO TOO NLY-EA ACCIDENT $ OTHER THAN EAACC $ 1 AUTO O NLY: EXCESS/UMBRELLA LIABILITY , AGG $ B X OCCUR CLAIMSMADE SU0000981071037 07/19/08 07/19/09 EACH OCCURRENCE AGGREGATE $ 10, 000, 000 $10,000,000 DEDUCTIBLE — $ RETENTION $ / yl/l�•(^ $ WORKERS COMPENSATION AND ll $ C EMPLOYERS' LIABILITY X TORV LIMITS ER A OFFICER/MEMBEREXCLUOEDCUTIVE ANVPROPRIETOR/PARTNDEDI '? 9517B580-08 07/19/08 07/19/09 E. L. EACH ACCIDENT $ I 000,000 Ifyes, describe under SPECIAL PROVISIONS below 9517B761-08 07/19/08 07/19/09 E.L. DISEASE- EA EMPLOYEE$ 1, 000, 000 OTHER E.I. DISEASE -POLICY LIMIT $1 OOO OOO D INS AGENTS ESO ELU0999217-07 08/23/07 08/23/08 E EMP DIS/FIDELITY EACH LOSS $25,00, 00 DD DED DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL CS/EXCLU - EXCLUSIONS 04/26/07 04/26/10 BLANKET $2S OOO, OOO CANCELLATION: EXCEPT 10 DAYS FOR NON-PAYMENT PROVISIONS OF PREMIUM NAMED INSURED: PREFERRED GOVERNMENT CLAIM SOLUTIONS, INC. MONRCO2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN MONROE COUNTY BOARD OF NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COUNTY COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR 1100 SIMONTON ST STE 2-268 REPRESENTATIVES. KEY WEST FL 33040 AITNOR¢FTiasoaeeeux.....� CC CERTIFICATE OF LIABILITY INSURANCE O DATE (MM/DD/08 ACORD BROWN-3 07 18 OB PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown of Florida, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Daytona Beach Office HOLDER. THIS CERTIFICATE DOES NOT )WEND, EXTEND OR P.O. Box 2412 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELON. Daytona Beach FL 32115-2412 Phone: 386-252-960:1 Fax:386-239-5729 INSURERS AFFORDING COVERAGE NAIC It INSURED INSURER A'. Travelers Prop E Gas of Amer 25674 INSURER B: National Surety corporation 21881 BROWN & BROWN INC ETAL P O BOX 2412 DAYTONA BEACH FL 32115 INSURER Charter oak Fire Insurance co INSURER D: INSURER E. COVEPAGES 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 OLICY EFFECTIVE DATE MM/DDMY LI TI N DATE MMIDID" LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 PREMISES (Ea occurence) $300,000 A AGENERAL LIABILITY 6305355C241 07/19/0S 07/19/09 MED EXP (Any one person) $ 5,000 CLMS MADE: OCCUR PERSONAL B ADV INJURY $1,000,000 TCOMMERC1L GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGG $2,000,000 POLICY PELT X LOC A AUTOMOBILE LIABILITY ANY AUTO BA6854C201 07/19/08 07/19/09 COMBINED SINGLE LIMIT (Ea Student) $ 1 , 000 , 000 BODILY INJURY (Per person) $ ALLOWNEDAUTCS SCHEDULED AUTOS X BODILY INJURY (Per accident)t $ HIRED AUTOS NON -OWNED AUTOS IyL�/� ---f L� 1 ff//////(((n////jjj X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO -- - AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESSIUMBRELLALIABILITY EACH OCCURRENCE $25,000,000 AGGREGATE $25,000,000 B X OCCUR C]CLAIMSMADE SU000081071037 07/19/08 07/19/09 $ DEDUCTIBLE $ RETENTION WORKERS COMPENSATION AND X TORY LIMITS ER E. L. EACH ACCIDENT $1,000,000 C A EMPLOYERS' LIABILITY ANY OFFICER)MEM ER EXCLUDErEXECUTIVE 9517B580-08 9517B761-08(AZ MA DR NI) 07/19/08 07/19/08 07/19/09 07/19/09 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 It yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I L1 CAMONSI VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS CANCELLATION: EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUM RE: CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS REQUIRED BY CONTRACT L C. ; V-7\ V� avl C0UNM01 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 COUNTY OF MONROE 1100 SIMONTON ST REPRESENTATIVES. AUT1iQRIZ RESE 1'N KEY WEST FL 33040 ADDED 25 (2001/0e) CERTIFICATE OF LIABILITY INSURANCE OP ID Jw DATE(MM/DD/YYYY) �i BROWN 3 07 20 09 R THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown of Florida, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Daytona Beach Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2412 GE AFFORDED BY THE POLICIES BELOW. Daytona Beach FL 32115-2412 REC''-IVLU Ph0 ne: 386-252-9601 Fax: 386-239-572 ORD G COVERAGE NAIC # INSURED INSURER A: T aveler Prop & Cas of Amer 25674 N tional Surety Corporation 21881 JUL I R BROWN & BROWN INC ETAL INSURER C: Carter ak Fire Insurance Co P O BOX 2412 INSI DAYTONA BEACH FL 32115 MONR v 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/YYYY POLICY EXPIRATION DATE MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR 6305355C241 07/19/09 07/19/10 EACH OCCURRENCE $ 1 , 000 , 000 PREMISES(Eaoccurence) $ 300,000 MED EXP (Any one person) s5,000 PERSONAL &ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRO -POLICY ECT X LOC JECT PRODUCTS - COMP/OP AGG $ 2 , 0 0 0 , 0 0 0 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BA6854C201 07/19/09 07/19/10 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO �( (" AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS / UMBRELLA LIABILITY X OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ SU000070384227 07/19/09 I Cc j r 01/01/11 & EACH OCCURRENCE s25,000,000 AGGREGATE $ 25,000,000 $ $ $ C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIV ILI OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below 9517B580-09 9517B761-09(Az MA OR WI) 07/19/09 07/19/09 01/01/11 01/01/11 - X TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CANCELLATION: EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUM RE: CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS REQUIRED BY CONTRACT f`CDTIC1f`ATC unl n=o CANCFLI_ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION COUNMOI 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 COUNTY OF MONROE REPRESENTATIVES. A� EPR ENT IV 1100 S IMONTON ST IKEY WEST FL 33040 ACORD 25 (2009`09) r+u numb rvSvv vvu. C G ; The ACORD name and logo are registered marks of ACORD '4`40RL)p® CERTIFICATE OF LIABILITY INSURANCE OP ID ,Ty,T DATE (MM/ODlYYYY) DDUCER Brown & Brown of Florida, Inc. THIS CERTIFICATE IS ISSUED AS A MATOT R OF INFORMAT ON7/10 Daytona Beach Office rp S NO RIGHTS UPON THE CERTIFICATE P . 0. Box 2412 EC R. THIS CE TIFICATE DOES NOT AMEND, EXTEND OR Daytona Beach FL 32115-2412 THE COVE AGE AFFORDED BY THE POLICIES BELOW. Phone:386-252-9601 Fax:386-239-5� -------- - --- ---- INSURED - -_._._.------_._.__.---------------- BROWN & BROWN INC ETAL P 0 BOX 2412 DAYTONA BEACH FL 32115 COVERAGES THE POLICIES OF INSURANCE LISTFD RFI n1,V uev❑ o«., I SURERS A FORA NG COVERAGE "I_.�. ten_ raV lers Indemnit, INSURER a Ir rav lers_Indemnit, - ty Corporation Oak Fire Ins D & Can oP A. Of CT. NAIC # -25658 25682 21881 2561_5 25674 PERIOD INDICATED NOPiVITH ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUM ENT W TH RESPECTCTO WHICCH HIS STANDING MAY PERTAIN, THE INSURANCE AFFORDED BY CERTIFICATE MAY BE ISSUED OR 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. D LTR NSR TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY DATE MMlDD DATE MMIDD� LIMITS A X COMMERCIAL GENERAL LIABILITY 6305902PS1711NDJO 01/01/10 EACH OCCURRENCE $ 1 , 000, OOO CLAIMS MADE OCCURPREMISES L � 01/01/11 (Ea occurence $ 300, 000 MED EXP (Any one person) $ 5 000 i PERSONAL SADVINJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , OOO OOO POLICY F X LOC JECT , PRODUCTS - COMP/OPAGG $ 2, 000, OOO AUTOMOBILE LIABILITY — B ANY AUTO BA5902P81710CAG ALL OWNED AUTOS O1/O1/10 COMBINED SINGLE LIMIT Oj/Oj/11 (Ea accident) $ 1,000,000 SCHEDULED AUTOS BODILY INJURY X HIRED AUTOS (Per person) $ X NON -OWNED AUTOS ) BODILY INJURY (Per accident) $ j PROPERTY DAMAGE GARAGE LIABILITY (Per accident) $ ANY AUTO AUTO ONLY - EA ACCIDENT $ —~ 1 OTHER THAN EA ACC $ EXCESS / UMBRELLA LIABILITY AUTO ONLY. AGG $ $ C X OCCUR ❑CLAIMS MADE SU000070384227 07/19/09 EACH OCCURRENCE $ lO, OOO, OOO O1/O1/jj AGGREGATE $ 10, 000, 000 DEDUCTIBLE RETENTION 1 $ $ V $ -- WORKERS COMPENSATION AND EMPLOYERS' LIAEft.;TY D Y / N $ ANY PROPRIETOWPARTNER/EXECUTIV OFFICEWMEMBEREXCLUDED? TC20UB9517B8010 E 07/19/09 X TORY LI_bIITR _ ER (MandaloryinNH' If yes, describe under TR`TUB95j8B76110 07 19/09 01/01/jj EL EACH ACCIDENT _ $1,000,000 SPECIAL PROVISIONS below ,/ OTHER 01/01/jj E.L DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY L!M17 $ 1 000 0O0 F INS AGENTS E&O ELU113052-09 G I 0 D 08/23/00 O1 , IS/FIDELITY 82220236 /O1/11 EACH LOSS $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT, SPECBIAL PROVIS100NS / 01 / 12 BLANKET CANCELLATION: EXCEPT 10 DAYS FOR NON-PAYMENT OF PREMIUM $25 000 000 COMPANY F - XL SPECIALTY INS CO; COMPANY G - EXECUTIVE RISK INDEMNITY INC. NAMED INSURED: PREFERRED GOVERNMENT CLAIM SOLUTIONS, INC. MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS ADDITIONAL INSURED CERTIFICATE HOLDER �C CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONRCO2 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 MONROE COUNTY BOARD OF IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR COUNTY COMMISSIONERS REPRESENTATIVES. 1100 SIMONTON ST S`j'E 2-268 A THORI REPRESENT IVE KE Y WEST FL 33040 ACORD 25 (2009101) The ACORD name and logo are registered marks of ACORpORD CORPORATION. All rights reserved. OP ID: JW '4��..�� o► CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/29/10 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 386-252-9601 CONTACT NAME: Brown & Brown of Florida, Inc. 386-2 19=5729 NF IFAX Daytona Beach Office A/c No: P.O. Box 2412 REC INSURED BROWN & BROWN OF FLORIDA INI P0BOX 2412 DAYTONA BEACH, FL 32115 E s><t: URER S AFFORDING COVERAGE NAI rs Prop & Cas of Amer 25674 1 Surety Corporation 21881 Oak Fire Ins 25615 ;ialty Ins Co 37885 ve Risk Indemnity 35181 COVFRAGFS CPDTIFICATF kit IMRCD• ow,crnu u, name. 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 UB POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR TC2JGLSA9527B874-11 01/01/11 01/01/12 EACH OCCURRENCE $ 1,000,00 E o R NTED PREMDAMAurrence PREMISES Ea occ $ 1,000,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO - PRODUCTS - COMP/OP AGG $ 2,000,00 $ A AUTOMOBILE AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS TC=AP9527B86 1 � � l 01/01/11 01/01/12 � COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X $ $ B UMBRELLA LIAB EXCESS LIAB I OCCUR CLAIMS -MADE S0000031754039 01/01/11 ` 01/01/12 EACH OCCURRENCE $ 10,000,00 X AGGREGATE $ 10,000,00 DEDUCTIBLE RETENTION $ $ $ C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE F— OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A TC20UB9517B58011 TRJUB9518B76111 01/01/11 01/01/11 01/01/12 01/01/12 WC STATU- OTH- X T T ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E L. DISEASE - POLICY LIMIT $ 1,000,00 D JINS E AGENTS E&O EMP DIS/FIDELITY ELU119910-11 82220236 01/01/11 04/28/10 01/01/12 01/01/12 EACH LOSS 5,000,00 BLANKET 25,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER IS ADDITIONAL INSURED N THE GENERAL LIABILITY AS RESPECTS TO OPERATIONS OF THE NAMED INSURED. v a-r� r ,rw�, c nvLVCR t,;ANGtLLA I IUN MONRCO2 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 1100 SIMONTON ST AUTHORIZED REPRESENTATIVE KEY WEST, FL 33040 U 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD GC%' OP ID: JW AcoRt''r CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 01106/11 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 386-252-9601 Brown & Brown of Florida, Inc. 386-239-5729 Daytona Beach Office P.O. Box 2412 Daytona Beach, FL 32115-2412 CONTACT NAME: FAx a°NN Ext : A/C No ADDRESS: PRODER BROWN-3 CUSTOMUCERID#: INSURERS AFFORDING COVERAGE NAIC # INSURED BROWN & BROWN INC ETAL P O BOX 2412 DAYTONA BEACH, FL 32115 INSURER A: Travelers Pro 8r Cas of Amer 25674 INSURER B : National Sure Corporation 21881 INSURER c:Charter Oak Fire Ins 25615 INSURER D : INSURER E : INSURER F : GUVtKAUtb a.crcIIFI%, %r�Iwmu1-.. - — 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 INSR SUB WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE C.-1 OCCUR TC2JGLSA9527B874-11 01/01/11 01/01/12 EACH OCCURRENCE $ 1,000,00 DAMAGE T RENTED PREMISES Ea occurrence $ 1 000,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 PRODUCTS -COMP/OP AGG $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: $ PRO- RO LOC X1 POLICY I A AUTOMOBILE LIABILITY ANY AUTO TC2JCAP9527B862-11 JD1/01/11 01/01/12 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ ALL OWNED AUTOS " BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS •��, - X X g UMBRELLA LIAR EXCESS LIAB )( OCCUR CLAIMS -MADE S0000031754039 01/01/11 01/01/12 '� EACH OCCURRENCE $ 25,000,00 AGGREGATE $ 26,000,00 DEDUCTIBLE $ ------------ X T WC STATU- OTH- RY IMITI ER $ C A RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/" OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A TC20UB9517B58011 TRJUB951BB76111 01/01/11 01/01/11 01/01/12 01/01/12 E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000 OO r E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mok sp ce is required) RE: CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED AS REQUIRED BY C NTRACT [y21:il COUNTY OF MONROE 1100 SIMON'TON ST KEY WEST, FL 33040 COUNM01 I 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 lJ 7yiSa-LVV� AI.VRu a.vrcrvrcr+r rvr�. hn nynw �cac�.cu. ACORD 26 (2009/09) The ACORD name and logo are registered marks of ACORD OP ID: JW q__ppc ' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/30/11 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 INSURAN CT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ERTIFIC IMPORTANT: If the certificate holder is an A the terms and conditions of the policy, certai certificate holder in lieu of such endorsemen ust be endorsed. If SUBROGATION IS WAIVED, subject to policies may require an endA statement on this certificate does not confer rights to the DITIONA , t e poJDARIESSS PRODUCER 3 6-252-9 4 Brown &Brown of Florida, Inc. 386-239-5729 Daona Beach Office P. Box 2412Ekauskas Daytona Beach, FL 32115-2412 MONROE CO M. Decker Youngman RISK MANAGEM NDRA RAKAUSKAS P86-239-5750 FAX a: ac No :386-323-9134 bda ona.com : BROWN-3 INSURERS AFFORDING COVERAGE NAIC p INSURED BROWN & BROWN INC ETAL P O BOX 2412 DAYTONA BEACH, FL 32115 INSURER A: Travelers Prop & Cas of Amer 25674 INSURER B. National Surety Corporation 21881 INSURERC: Charter Oak Fire Ins 25615 INSURER D : INSURER E : INSURER F : 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 INSURANCEIM ADDL SUM _MD POLICY NUMBER MM DCD/YYYY MM DDY� LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR C2JGLSA9527B874-12 01/01/1Z 01/01/13 EACH OCCURRENCE $ 1,000,00 DAMAGE REN PREMISES Ea occurrence $ 1,000,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 [GEKL AGGREGATE LIMIT APPLIES PER: PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,00POLICY $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS T.� N BY 01/01/12 01/01/13 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS DA W — il'iC -, `��, Xr PROPERTY DAMAGE (Per accident) $ X $ NON-OWNEDAUTOS' UMBRELLA LWB [�X OCCUR EACH OCCURRENCE $ 25,000,00 AGGREGATE $ 25,000,00 B EXCESS LIAB CLAIMS -MADE S0000048558399 01/01/12 01/01/13 DEDUCTIBLE $ RETENTION $ C A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A C20UB9517B58012 RJUB9518B76112 01/01/12 01/01/12 01/01/13 01/01/13 WC STATU- OTH- X I E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: BROWN & BROWN INC. DBA: PREFERRED GOVERNMENTAL CLAIM SOLUTIONS M R E COUNTY 13ARD OF COUNTY COMMISSIONERS IS AN ADDITIONAL INSURED A I.AIYI.CLLA I IUN MONRCO2 cc , ! ✓! -Q-� 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 1100 SIMONTON ST AUTHORIZED REPRESENTATIVE KEY WEST, FL 33040 1_ _ v 1983-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD l ® DATE (MM/DDIY A `..' CERTIFICATE OF LIABILITY INSURANCE 12/4/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS BELOW CERTIFICATE AFFIRMATIVELY THIS CERTIF CATE OFINSURANCERNEGATIVELY HE DO SNOT CONST TUTE A CONTCOVERAGE CONTRACT BETWEEN THE RISAFFORDED SUINGNSURER(S),TAUTHOR ZIED 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). ONTA T Kathy Nlcotra PRODUCER NAME: Brown &Brown of Florida, Inc. PHONE (305) 247-5121 (FAIC. No): (305)248-8543 dba T.R. Jones & Co. -MRIL .knicotra@bbhomestead.com 1780 N Krome Ave INSURERS AFFORDING COVERAGE NAIC 0 Homestead FL 33030 INSURER A:Philadel hia Indemnity Ins Cc 18058 INSURED The Young Men's Christian Assoc of INSURERB:RetailFirst Insurance Company 10700 Greater Miami, Inc. DBA YMCA of Greater Miami INSURERC: 730 NW 107 Ave Ste. 200 INSURER D Miami FL 33172 1 INSURER F COVERAGES CERTIFICATE NUMBER-CL1312304100 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. POLICY EFF POLICY UP LIMITS INSR TYPE OF INSURANCE POLICY NUMBER MMIDD MMIDD LTR 1,000,000 GENERAL LIABILITY MPR.DUCTSCDO RENCE $ N 1,000,000 X COMMERCIAL GENERAL LIABILITY a urr nc $ A CLAIMS -MADE � OCCUR X HPK1105893 12/1/2013 2/1/2014 one person) $ 20,000 ADV INJURY $ 1,000,000 X Abuse &Molestation X Corporal Punishment GREGATE $ 3,000,000 COMPIOP AGG $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- Is X POLICY LOG COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident 1 000 000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED X HPK1105893 12/1/2013 2/1/2014 BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON -OWNED (Par a iden X HIRED AUTOS X AUTOS $ X UMBRELLA LIABHx OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS -MADE AGGREGATE $ HuB442191 12/1/2013 2/1/2014 $ DED RETENTION WC STATU- OTH- B WORKERS COMPENSATION TORY LIMITS AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ 500,000 ANY PROPRIETORIPARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N NIA 520-42191 5/19/2013 /19/2014 E.L. DISEASE - EA EMPLOYEE $ 500,000 (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below A D&O/EPLI HSD827698 t4/15/2013 /15/2014 D&O 5,000,000 EPLI 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Certificate holder included as additional insured as respects general liability where required by written contract. This form is subject to policy terms, conditions, and W.W�ENMEWDA�� CERTIFICATE HOLDER CANCELLATION c� r r SHOULD ANY OF THE ABOVE DESCRIBED F IIICIES BE C ELL@D BEFORE THE EXPIRATION DATE THEREOF, NOT _WILL DEL4&RED IN ACCORDANCE WITH THE POLICY PROVISION!$ Monroe County Board of County Commissione 1100 Simonton Street AUTHORIZED REPRESENTATIVE -- - " Key West, FL 33040 w f• IC-) Hamilton Jones/KN p ©1988-2010 ACORD CORPORATION` JII ri s reserved. ACORD 25 (2010I05) INS025 rgninmi m Tho ar_npn name anti Innn aro ronieforael marlr¢ of Ar r1Rrl