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Certificates of InsurancePart 2: THIS DECLARATION PAGF —TTH POLICY PROVISIONS - PART 1 AND ENDORSF' -4TS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE T1 BELOW NUMBERED FLORIDA WINDSTORM UNDE:, . ,KITING ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSUREI7,S NAME AND ADDRESS q4ov THIS IS A THE PIGEON KEY FOUNDATION MONROE COUNTY GENERAL BUSINESS RISK MANAGEMENT P.O. BOX 500130 MARATHON, FL 33050 POLICY TERM 9/17/1999 TO 9/17/2000 AT 12:01 A.M. (EST) POLICY NO. 492344 INCEPTION DATE EXPIRATION DATE THIS IS YOUR POLICY DECLARATION PAGE - This is not a Bill nn n_c I t DEDFICTI6LES Bdn ul 09IacP. ae hu . 1 ONE STORY FRAME MEETING ROOMS/CLASSROOM ON STILTS/PILINGS K/A SECT GANG QUATERS #10 C/ID #46 PIGEON KEY/7-MILE BRIDGE PIGEON KEY, MONROE FL 33050 184,000 90 5,520 T-85 1,430 CONTENTS OF ABOVE 15,000 90 1,000 T-85 117 2 ONE STORY FRAME MUSEUM ON STILTS/PILINGS K/A ASS'T BRIDGE TENDER HSE #19 CTY ID 47 56,000 90 1,680 T-85 435 CONTENTS OF ABOVE 51,000 90 1,530 T-85 396 3 ONE STORY FRAME OFFICE ON STILTS/PILINGS K/A ASST PAINT FOREMAN'S HSE #15 CTY ID #48 52,000 0 90 1,560 T-85 404 4 ONE STORY FRAME (1) UNIT DORMITORY ON STILTS/PILINGS K/A BRIDGE WORKER'S DORM #13 CTY ID #49 84,000 0 90 2,520 T-85 266 5 ONE STORY FRAME (3) UNITS DORMITORY ON STILTS/PILINGS K/A BRIDGE TENDER'S HSE #16 CTY ID #50 84,000 0 90 2,520 T-85 266 ` e CGIL -6 TOTAL AMOUNT OF COVERAGE ACTUAL PREMIUM PREMIUM TOTAL PREMIUM Florida Hurricane Cat Fund DO NOT PAY $ f 7 $ Reinsurance f Subject to Form No(s): Mortgagee/Loss Payee MONROE COUNTY BOARD OF CTY COMM. C/O MONROE CTY RISK MNGMT 5100 COLLEGE RD KEY WEST, FL 33040 D—A-- JOHNSONS INS AGY 0004 P O BOX 2346 MARATHON SHORES, FL 33052 MONROE COUNTY BOARD OF CTY COMM. C/O MONROE CTY RISK MNGMT 5100 COLLEGE RD KEY WEST, FL 33040 9/20/1999 FWUA 03 (08/98) 0004 MAH MORTGAGEE COPY Date: R 40111 1226 Part 2: THIS DECLARATION PAGF --'ITH POLICY PROVISIONS - PART 1 AND ENDORSF- NTS, IF ANY ISSUED TO FORM APART THEREOF, COMPLETE Ti- BELOW NUMBERED FLORIDA WINDSTORM UNDE...rRITING ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED'S NAME AND ADDRESS THIS IS A THE PIGEON KEY FOUNDATION MONROE COUNTY GENERAL BUSINESS RISK MANAGEMENT P.O. BOX 500130 MARATHON, FL 33050 POLICY TERM 9/17/1999 TO 9/17/2000 AT 12:01 A.M. (EST) POLICY NO. 492344 INCEPTION DATE EXPIRATION DATE THIS IS YOUR POLICY DECLARATION PAGE - This is not a Bill PAGE 2 6 ONE STORY FRAME LABORATORY ON STILTS/PILINGS K/A BRIDGE FOREMAN'S HSE #17 CTY ID #51 50,000 0 90 1,500 7 ONE STORY FRAME CLASSROOMS ON STILTS/PILINGS K/A NEGRO QUARTERS #11 CTY ID #53 30,000 0 90 1,000 T-85 389 T-85 233 P I TOTAL AMOUNT OF COVERAGE ACTUAL PREMIUM PREMIUM TOTAL PREMIUM Florida Hurricane Cat Fund DO NOT PAY $ $ 3,936.00 $ .00 1998 Hurricane Reinsurance $ 606,000 $ 94.00 $ 590.00 4,620.00 Subject to Form No(s): CP2 08/98 FWUA 06 (08/98) FWUA 1791 Mortgagee/Loss Payee MONROE COUNTY BOARD OF CTY COMM. C/O MONROE CTY RISK MNGMT 5100 COLLEGE RD KEY WEST, FL 33040 JOHNSONS INS AGY 0004 P O BOX 2346 MARATHON SHORES, FL 33052 MONROE COUNTY BOARD OF CTY COMM. C/O MONROE CTY RISK MNGMT 5100 COLLEGE RD KEY WEST, FL 33040 9/20/1999 FWUA 03 (08/98) 0004 MAH MORTGAGEE COPY Date: R 40111 1227 Part 2: THIS DECLARATION PAGE — ITH POLICY PROVISIONS - PART 1 AND ENDORSE' 'JTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE Th- BELOW NUMBERED FLORIDA WINDSTORM UNDER.., RITING ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED'S NAME AND ADDRESS THIS IS A THE PIGEON KEY FOUNDATION MONROE DWELLING COUNTY RISK MANAGEMENT P.O. BOX 500130 MARATHON, FL 33050 POLICY TERM 9/17/1999 TO 9/17/2000 AT 12:01 A.M. (EST) POLICY NO. 491767 INCEPTION DATE EXPIRATION DATE THIS IS YOUR POLICY DECLARATION PAGE - This is not a Bill PAGE 1 1 TENANT OCCUPIED ONE STORY FRAME 1 UNIT DWELLING LOC: PIGEON KEY/OFF 7-MILE BRIDGE PIGEON KEY, MONROE FL 33050 16,000 0 500/500 T-85 74 P - M TOTAL AMOUNT OF COVERAGE ACTUAL PREMIUM PREMIUM TOTAL PREMIUM Florida Hurricane Cat Fund DO NOT PAY $ $ 74.00 $ .00 $ 1998 Hurricane Reinsurance 16,000 s 2.00 $ 11.00 87.00 Subject to Form No(s): DW2 08/98 FWUA 05 (08/98) FWUA 1790 Mortgagee/Loss Payee MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, C/O RISK MGMNT 5100 COLLEGE RD KEY WEST, FL 33040 Producer: Payor: JOHNSONS INS AGY 0004 MONROE COUNTY BOARD OF COUNTY P 0 BOX 2346 COMMISSIONERS, C/O RISK MGMNT MARATHON SHORES, FL 33052 5100 COLLEGE RD KEY WEST, FL 33040 9/20/1999 FWUA 03 (08/98) 0004 MAH MORTGAGEE COPY Date: R 40111 1223 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE HEAD IT CAREFULLY. CG 20 11 01 96 ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ..11 ,.,.,.,n +k- o#crthin nn tho innantinn riatp of the nnliry unless another date is indicated below. Endorsement effective Policy No. 08/23/2000 12:01 A.M. standard time CLP0015689 Named Insured Countersigned b PIGEON KEY FOUNDATION SCHEDULE 1. Designation of Premises (Part Leased to You): PIGEON KEY,MONROE CO,FL33155 2. Name of Person or Organization (Additional Insured): MONROE COUNTY BOARD OF COUNTY COMMISSIONERS % RISK MANAGEMENT 5100 COLLEGE ROAD KEY WEST FL 33040 3. Additional Premium: 100.00 (if no entry appears above, the information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any 'occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or organiza- tion shown in the Schedule. CG 20 11 01 96 Page 1 of 1 Copyright, Insurance Services Office, Inc., 1994 9 ACORD CERTIFICA' _ OF LIABILITY INSUf,,,.-4NC4R SH DATE(MM/DD/YY) GEO-1 10/30/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30975 Avenue A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key FL 33043 Phone:305-872-2888 INSURERS AFFORDING COVERAGE INSURED INSURER A: National Indemnity Co. of S. INSURER B: St. Paul Reinsurance Co of LTD The Pigeon Kej� Foundation INSURER C: F C C I Mutual P.O. BOX 500130 INSURERD: Marathon FL 33050 INSURER E: V V V r_KAl9tJ 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. INSTYPE LTR OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX] OCCUR CLP0015689 08/23/00 08/23/01 EACH OCCURRENCE $1 , 000 , 000 FIRE DAMAGE (Any one fire) $100,000 MED EXP (Any one person) $5 r 000 PERSONAL & ADV INJURY $1 , 000 , 000 GENERAL AGGREGATE 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG s2,000, OO 0 Emp Ben. 0 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 74APE668109 /,- K('1�,� �'Y 03/13/00 - 03/13/01 , }S ( COMBINED SINGLE LIMIT (Ea accident) $1 ,000,000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO h �! F AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR El CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 001WC99A39015 08/23/00 08/23/01 TAT TH_ X TORY LIMITS ER E.L. EACH ACCIDENT $100000 E.L. DISEASE - EA EMPLOYE $ 100000 E.L. DISEASE -POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Historical Park - Tram provides transportation to Pigeon Key from Knights Key for visitors to park year round Non-profit orgnaization - museum - historical park Add'1 insured - GL only Revised to correct worker comp effective dates Monroe County Board of County Commissioners 5100 College Rd Key West FL 33040 MONRO15 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN -NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF #AY KIND UPON THE INSURER, ITS AGENTS OR RE ENTATIVES. ACORD CORPORATION 1 ACORD CERTIFICA , c OF LIABILITY INSUKANCI�sR SH DATE(MWDDNY) GEO-1 1 10/23/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30975 Avenue A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key FL 33043 Phone: 305-872-2888 INSURERS AFFORDING COVERAGE INSURED INSURER A: National Indemnity Co. of S . INSURER B: The Pigeon Key Foundation INSURER C: P.O. BOX 5001.30 INSURERD: Marathon FL 33050 INSURER E: L;UVtKAUtl THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVEPOLICY DATE MM/DD/YY EXPIRATION I DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ POLICY PRO. LOC JECT A AUTOMOBILE LIABILITY ANY AUTO 74APE673410 03/13/01 03/13/02 COMBINED SINGLE LIMIT [Ea (Ea accident) 1 000 000 r r ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ ` AGEMENT PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT $ $ GARAGE LIABILITY ANY AUTO 1 7! EA ACC OTHER THAN $ $ AUTO ONLY: AGG EXCESS LIABILITY OCCUR CLAIMS MADE WAIVER VES N/A EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE r $ RETENTION $ $ WORKERSOTH- COMPENSATION AND EMPLOYERS' LIABILITY WC STATU. TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ OTHER A Commercial Applica 74APE673410 03/13/01 03/13/02 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Monroe County Board of County Commissioners is also additional insured 1974 Jeep & 1995 Jeep Tram & 1990 Ford Club Wagon crIVLVGrc JIN AUUIIIUNALINSURED;INSURERLETTER: GANGtLLA 1IUN MONRO-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO Monroe County Risk Management DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Commissioners 5100 College Road POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPR ATIVES. Suzi M. Hucrhes 25-S (7/97)j @ACORD COR TION 1988 (D, 0fltdild PROPPRT9 dn0 CdsuaLT9 Flood Insurance Program PO Box 34627, Bethesda, MD 20827-0627 Policy Number: 3-0074-8976-2 Insured Property Location: PIEGON KEY/PUBLIC RESTROOM BLDG 20 PIEGON KEY FL 33050 Amount of Insurance Coverage Under Expiring Policy: Building: $ 9,600 Contents: $ Deductible: S 1,000 Deductible: $ 0 0 Flood Insurance 'Ypiration Notice Standard Policy Insured's Name and Mailing Address: THE PIGEON KEY FOUNDATION POD 500130 MARATHON FL 33050 The total premium due is for a one year policy term. You may renew with the current coverage amount or you may choose the inflation option which allows you to select a higher amount of insurance to keep pace with the potentially increasing value of your property. Coverage Options Building: Contents: Current Coverage 91600 0 S Inflation Option 10,600 0 S Maximum Available 500,000 500,000 Total Premium Due Premium includes a Federal Policy Service Fee. 231.00 239.00 Premium includes coverage for /CC as of June 1, 1997. Reference SFIP Article 4. Please note, the amounts of insurance offered in this notice may not be sufficient to fully insure the value of your property. The maximum insurance available is noted above. Increasing the amount of insurance may provide replacement cost coverage in the event of a flood loss (see item 2 on the reverse side). Please contact your agent if you wish to inquire about your eligibility to purchase additional insurance protection or if you have any questions. Agent/Broker's Name and Mailing Address: THE JOHNSONS INSURANCE AGENCY 13361 OVERSEAS HWY PO BOX 2346 MARATHON SHR FL 33052 2346 TEL.# 305-289-0213 Payer's Name and Mailing Address: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 Please contact your agent if any inforiniation in this nutice is i.)cotrcct. JDASS't2uiU93000/00021 .................................................................................................................................................................................................................................. Detach here and retain upper portion for your records. To ensure proper credit, mail bottom portion with your payment to the address indicated below. Standard Policy Policy Number: 3-0074-8976-2 Your premium is due by 09/20/00 Please remit your check or money order payment to the address supplied below. If paying by credit card complete the information on the back of this notice. Make y biehto k► OMAHA PROPERTY AND CASUALTY Mail to F 11111111111IIIIIIIII1111I IIIIIIIIIIIIIIIIIIIII'l 11 i1111111111 FLOOD INSURANCE PROGRAM PO BOX 70301 CHARLOTTE NC 28272-0301 Insured's Name and Mailing Address: THE PIGEON KEY FOUNDATION POB 500130 MARATHON FL 33050 Amount Enclosed To renew your policy by check or money order, return this portion to OPAC. Make payment for the exact amount of the coverage option you have selected. Write your policy number on your check or money order. Allow sufficient mailing time to reach us by the date due. Make sure OPAC's address shows through the window of the return envelope. 00120920004 3007489762 0023100002390000000000000000 CERTIFICk ,'E OF INSURANCE UATE(MM,DDYY) 9 - 8 - 2000 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOHNSONS INSURANCE AGENCY INC P.O. BOX 2346 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 13361 OVERSEAS HIGHWAY MARATHON SHORES, FL 33052 COMPANIES AFFORDING COVERAGE 305-289-0213 COMPANY A SUBSCRIPTION-LONDON COMPANIES INSURED COMPANY PIGEON KEY FOUNDATION B P O BOX 500130 COMPANY C MARATHON, FL 33050 COMPANY D COMPANY E COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH 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/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X PRODUCTS - COMP/OP AGG. $ 2,000,000 COMMERCIAL GENERAL LIABILITY A CLAIMS MADE ❑OCCUR CLP0015689 08/23/2000 08/23/2001 ': PERSONAL& ADV. INJURY $ 1,000,000 EACH OCCURRENCE $ 1,000,000 OWNER'S& CONTRACTOR'SPROT. FIRE DAMAGE (Any one fire) $ 100,000 MED EXPENSE (Anyone person $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS - -. n�; , .,. - 1. , -- — PROPERTY DAMAGE $ �' — GARAGE LIABILITY n 1 E ---- AUTO ONLY - EA ACCIDENT $ ANY AUTO / r (1. OTHER THAN AUTO ONLY: I( - EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND STATUTORY LIMITS EMPLOYER'S LIABILITY EACH ACCIDENT $ THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL I DISEASE -POLICY LIMIT $ DISEASE -EACH EMPLOYEE $ OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED. CERTIFICATE HOLDEN CANCELLATION MONROE CO BOARD OF COUNTY COMMISSIONERS SHOULD ANY OF THE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL % RISK MANAGEMENT 10 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 OF ANY KIND UPON THE COMPANY, IT"GEW OR REPRESENTATIVES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE O BURNS & WILCOX, LTD Company N- I NATIONAL INDEMNITY CO. CERTIFICATE OF INSURANCE -1 o- Jj t 3024 Harney Street, Omaha, Nebraska 68131-3580 This certificate of insurance is NOT an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. 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 desribed herein is subject to all the terms, exclusions and conditions of such policies which may substantially limit coverage. Where reference is made to an Aggregate Limit, those limits are Company's maximum liability under the Policy for the entire policy period regardless of the number of insureds, claimants or occurences. Date 06/28/00 NAME OF INSURED THE PIGEON KEY FOUNDATION P.O. ADDRESS PO BOX500130 MARATHON FL 33050 POLICY NUMBER KINDS OF INSURANCE LIMITS EFFECTIVE EXPIRES COMMERCIAL GENERAL LIABILITY ❑ Occurrence Form ❑ Claims -Made Form Coverages ❑ Premises -Operations ElProducts/Completed Operations DA — tU El Other (Specify) DATE YFS General Aggregate Limit $ Products -Completed Operations Aggregate Limit $ Personal &Advertising Injury Limit $ Each Occurence limit $ ` CC. Fire Damage Limit (Any One Fire). $ Medical Expense Limit (Any One Person) $ Aggregate Limit on Claims Expenses $ 74APE668109 AUTOMOBILE. LIABILITY 03/13/00 03/13/01 Bodily Injury Each Person $ Each Accident $ Property Damage Each Accident $ Bodily Injury and Property Damage Combined Single Limit $ 1,000.000 GARAGE LIABILITY Bodily Injury and Property Damage Auto Only Other Than Auto Combined Single Limit $ $ Aggregate Limit $ Garagekeepers Insurance ❑ Legal Liability $ ❑ Direct Access $ ❑ Direct Primary $ EXCESS LIABILITY ❑ Automobile ❑ General Liability Name of Primary Insurer: Primary Limits $ Excess Limits $ General Aggregate Limit $ ❑ Aggregate Limit inclusive of Claims Expenses Other DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES 1974 JEEP CUSTOM #DJSC411233, 1995 TRAM TRLR, 1990 FORD VAN #1 FBJS31 HMAA83418 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS AN ADDITIONAL INSURED. in me event or any material change in or cancellation of said policies, the COMPANY intends to, but is not obligated to, notify the party to whom this Certificate is addressed of such change or cancellation, and COMPANY undertakes no responsibility by reason of any failure to do so. This Certificate is issued to: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS By Shelly, Middlebrooks & O'Leary Inc. 5100 COLLEGE RD. I KEY WEST, FL 33040 Title Daniel f O'Leary / M-1001(4/91) NOTE TO AGENT - Mail Copy to Home Office Immediately PM ACORD CERTIFICA-E OF LIABILITY INSUf XNCFR SH DATE(MM/DD/YY) GEO-1 06/09/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The, Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30975 Avenue A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key FL 33043 Phone: 305-872-2888 INSURERS AFFORDING COVERAGE INSURED INSURER A: National Indemnity Co. of S . INSURER B: The Pigeon Key Foundation INSURER C: P.O. BOX 500130 Marathon FL 33050 `' INSURERD: INSURER E: f%^%1Mn A nce. 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 R -nVE LTR TYPE OF INSURANCE POLICY NUMBER POLICY E FE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY A ANY AUTO 74APE668109 03/13/00 03/13/01 COMBINED SINGLE LIMIT (Eaaocident) $ 1 r 000 r 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO vY OTHER THAN EA ACC $ - `-' AUTO ONLY: AGG $ EXCESS LIABILITY OCCUR El CLAIMS MADE t' " r E _ - EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND IAIU - EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER A Commercial Applica 74APE668109 03/13/00 03/13/01 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS 1974 Jeep Custom #DJSC411233 1995 Tram Trailer 1990 Ford Van #iFBJS31H8MAA83418 **Monroe County Board of County Commissioners is an additional insured** Monroe County Board of County Commissioners 5100 College Rd Key West FL 33040 / 1DATE 25-S (7l97) MONROI5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THEE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN THE 6�TiFICATE ER TO E LEFT, BUT FAILURE TO DO SO PTICE T O OBLIGATION OR LIABILITY OF ANDY KIND HSHALL UPON THE INSURER, ITS AGENTS OR ✓� TION 1988 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 25-S POLICY NUMBER: COMMERCIAL AUTO CA 20 48 07 87 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifias insurance provided under the foilawin, 81-151NESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement, This endorsement identifies Person(s) or organization(s) who are "insureds" under the Who Is An Insured provision of the Ccveraga Form This endorsement does not niter coverage provided in the Coverage Form This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: Countersi ne 3-13-n Named Insured /p� Fit;EO1 KEY FUiJ'1D,1TTp`(, A 252 q�, ,zed Representative) SCHEDULE Name of Person(s) or Organization(s); Morlr6e Coruit,v Boai°d of Cotint.v Commissioners 5100 College Rd., Key hlest, FL 33040 (If no entry appears above information required to comolete this enciorserent will be shown in the Declarations or above Schedule as applicable to'the endorsement ) Each person or organization indicated above is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who is An insured provision contained in SECTION 11 of the Coverage Form, CA 20 48 07 97 Copyright, Insurance Serv[ces (-_)ffice Inc, 1996 Page 1 of 1 E: CERTIFIC♦ _ rE OF INSURANCE DATE(MM/D 6-1212-2001 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOHNSONS INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. BOX 2346 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 13361 OVERSEAS HIGHWAY MARATHON SHORES, FL 33052 COMPANIES AFFORDING COVERAGE 305-289-0213 COMPANY A SUBSCRIPTION-LONDON COMPANIES INSURED PIGEON KEY FOUNDATION P O BOX 500130 COMPANY e COMPANY C MARATHON, FL 33050 COMPANY D COMPANY E COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH 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/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X PRODUCTS - COMP/OP AGG. $ 2,000,000 COMMERCIAL GENERAL LIABILITY A CLAIMS MADE ❑X OCCUR CLP0015689 08/23/2000 08/23/2001 PERSONAL BADV. INJURY $ 11000,000 EACH OCCURRENCE $ 11000,000 OWNER'S & CONTRACTOR'S PROT. FIRE DAMAGE (Any one fire) $ 100,000 MED EXPENSE (Any one person $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY \j �- AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO V _ EACH ACCIDENT $ _ / AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND STATUTORY LIMITS EMPLOYER'S LIABILITY EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERSIEXECUTI VE REXCIL DISEASE -POLICY LIMIT Is DISEASE -EACH EMPLOYEE $ OFFICERS ARE: OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED BUT ONLY WITH RESPEC TO LIABILITY ARISING OUT OF THE OWNERSHIP, MAINTENANCE OR USE OF THAT PART OF THE PREMISES LEASED TO PIGEON KEY FOUNDATION. SEE ATTACHED POLICY ENDORSEMENT FOR ACTUAL TERMS AND CONDITIONS. CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY SHOULD ANY OF THE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COMMISSIONERS 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 COLLDGE ROAD BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS GENTS OR REPRESENTATIVES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE ajLQ�, BURNS & WILCOX, LTD.OQ _oiu;vl 11:+L:L� �l IU:1DVDiH�l1.OU7 Hui 6l �_Ompany, Lnc.Nage:vuL, ILL-'�aqq .......... i DATEIMMIDDrYY) - ACORD,N CERTIF`IC T 0: LI BlLITIf - INSURANCE 8/27/2001 - PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOHNSONS INS. AGCY (MARATHON) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 13361 Overseas Highway HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR P O Box 2346 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 33052 COMPANIES AFFORDING COVERAGE C41APANV A SCOTTSDALE INSURED Pigeon Key Foundation. Inc. a�MgArJY P.O. Box 500130 GOMPANY Marathon, FL 33050 C COMPANY ------ -- - D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLJC v FERIOD 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 'LTR POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE(MMIDDIYY) DATE(MM/DDIYY) GENERAL LIABILITY GENERAL AGGREGATE .£ 2000000 !� GOIvVv1ERCIAL GENERAL LIABILITY PRODUCTS- GOMROP AGr, 2000000- GLAIIvIS "ADF �l OCCUR CPSO458188 8/23/2001 8/23/2002 _ PERSONAL 6 ADV INJURY s 1000000 OWNER'S, CONTRAGIOR-SPROI � EACH OCCURRENCE t 1000000 HHE DAMAC;E'.Any ono 1ir 1 - 50000 MED EXP (Any one erson; 5000 AUTOMOBILE LIABILITY -- 1Al IV AUTO COMBINED SHIGLELIMIT EXCLUDED ALL OWNED AUTOS 'K ^ R r ,.� ;.r�• ,� BODILY IPLIURV EXCLUDED SCHEDULED AI ITOS iPer parson) j HIH ED AIJI�JS y i —_� 130DlLIIrJ.IUR'I EXt_,l_UDED . n��n-�J- WHI.DAUTO-1 � I � P,.r .r,ll - -- I - - PROPERrf DAMAOE EXCLUDED � GARAGE LIABILITY lrR; (� :' VrC AU1001JLY-EAAGGIDEHI EX��I-U CJED ` AIJYALIIU i� 01HER IHANAUTOUFJL'f EACI-IACCIDEIIT 4 EXCLUDED AGGREGATE a EXCLUDED EXCESS LIABILITY LI MBRELLA FORM �j / l•- - EACH OCCURRENCE f EXCLUDED $ EXCLUDED AGGREGATE 01 HER THAN UMBRELLA FORM _- EXCLUDED WORKERS COMPENSATION AND WC STATIl OTH EMPLOYERS' LIABILITY _ TORT LIMITS ER EL EACH ACCIDEIJT E X C L U DED THE PROPRIETOR: INCL PARIFIERSFxEGLIIIVE _____ .._... EL DISEASE - F'OLIC;r Lllvlll EXCLUDED ! OI-I-IGERS AHE EXGL _ _ EL DISEASE - EA EMPLOYEE c EXCLUDED OTHER I i DESCRIPTION OF OPERATIONS%LOCATIONS!/EHICLES!SPECIAL ITEMS -- ---- - CEPTIFICATf= HOL sm CANCELLATION — MONROE CTY BOARD OF CTY COMMISSIONERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE C/O RISK MGMT EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 5100 COLLEGE RD 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. KEY WEST, FL 33040- BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. is Warned as additional insured AUTHORIZED REPRESENTATIVE •„ !_ _ _ l,/ � j � n� 4CORD 25 S (1t45) Q ACORD CORPORATION ,gas Omaha PROPOW9 a00 CaS0aLT9 Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3509239343 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCE AGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEE/LENDER NAME: 01 LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOT SMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: AMOUNTS OF INSURANCE BASIC COVERAGE RATE BUILDING: $60,000 X 00.79 CONTENTS: $6,000 X 01.58 BUILDING REPLACEMENT COST: TOTAL BUILDING COVERAGE: BUILDING DEDUCTIBLE: TOTAL CONTENTS COVERAGE: CONTENTS DEDUCTIBLE: STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22/2001 TO 05/22/2002 NEW POLICY DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: US HIGHWAY 1 OFF 7 MILE BRIDGE MARATHON FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: OTHER MORTGAGEE / LENDER NAME: cc LOAN NUMBER: CONTENTS: NON-RESIDENTIAL CONTENTS LOCATED ON FIRST FLOOR ONLY COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% ADDITIONAL PREMIUM COVERAGE RATE PREMIUM _ $474.00 $0 X 00.41 = $0.00 $ _ $95.00 $0 X 00.35 = $0.00 $ $0 SUBTOTAL: $ $60,000 OPTIONAL DEDUCTIBLE ADJUSTMENT: $ $1,000 COMMUNITY DISCOUNT: $ PROBATION SURCHARGE: $ $6,000 EXPENSE CONSTANT: $ $1,000 INCREASED COST OF COMPLIANCE PREMIUM: 'S TOTAL WRITTEN PREMIUM: $ FEDERAL POLICY SERVICE FEE: $ TOTAL PREMIUM PAID: $ PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE A CURRENT POLICY JACKET TOTAL PREMIUM 474.00 95.00 569.00 0.00 0.00 0.00 50.00 75.00 694.00 30.00 724.00 DEC PRINT DATE: 08/14/2001 JDAO141A 3510 WYOISRIF Q 0MdHd PROPQRi9 000 Cd50dLT9 A DWI of tMaFa I. y Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754197 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCE AGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGE/1-ENDER NAME: LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOT SMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: AMOUNTS OF INSURANCE BASIC COVERAGE RATE BUILDING: $81,800 X 00.79 CONTENTS: $0 X 01.58 BUILDING REPLACEMENT COST: TOTAL BUILDING COVERAGE: BUILDING DEDUCTIBLE: TOTAL, CONTENTS COVERAGE: CONTENTS DEDUCTIBLE: STANDARD POLICY EFFECI'IVF. AT 12:01 AM 05/22/2001 TO 05%22/2002 NEW POLICY DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: BRIDGE WORKERS DORM 13 ID #49 PIGEON KEY FL 33040 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: y ( /� OTIIER MORTGAGEE J LENDER NAME: (k� ,(uyl LOAN NUMBER: CONTENTS: COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% ADDITIONAL PREMIUM COVERAGE RATE PREMIUM _ $646.00 $0 X 00.41 = $0.00 $ _ $0.00 $0 X 00.35 = $0.00 $ $0 SUBTOTAL: $ $81,800 OPTIONAL DEDUCTIBLE ADJUSTMENT: $ $1,000 COMMUNITY DISCOUNT: $ PROBATION SURCHARGE: $ $0 EXPENSE CONSTANT: $ $0 INCREASED COST OF COMPLIANCE PREMIUM: $ TOTAL WRITTEN PREMIUM: $ FEDERAL POLICY SERVICE FEE: $ TOTAL, PREMIUM PAID: $ PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE A CURRENT POLICY JACKET TOTAL PREMIUM 646.00 0.00 646.00 0.00 0.00 0.00 50.00 75.00 771.00 30.00 801.00 DEC PRINT DATE: 07/03/2001 JDA0141A 2979 WYOISRIF ACORD CERTIFICA _ E OF LIABILITY INSUI _�NC�R SH DATE(MM/DD/YY) GEO-1 06/12/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30975 Avenue A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key FL 33043 Phone : 305-872-2888 INSURERS AFFORDING COVERAGE The Pigeon Key Foundation P.O. Box 500130 Marathon FL 33050 INSURER A: National Indemnity Co. of S . 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. INSLTR TYPE OF INSURANCE POLICY NUMBER POLICY —EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROECT LOC J PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY A ANY AUTO 74APE673410 03/13/01 03/13/02 COMB ccident)ident)NED NGLE LIMIT (Ea a $ 1 r 000r 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ v ---- A AUTO ONLY: AGG EACH OCCURRENCE $ $ EXCESS LIABILITY OCCUR CLAIMS MADE -r �_.._ - AGGREGATE $ DEDUCTIBLE RETENTION $ nq $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY IAIU - TORY LIMITS ER E.L. EACH ACCIDENT $ ,r7 E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ i OTHER A Commercial Applica 74APE673410 03/13/01 03/13/02 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Monroe County Board of County Commissioners is also additional insured 1974 Jeep & 1995 Jeep Tram & 1990 Ford Club Wagon Monroe County Risk Management Monroe County Board of County Commissioners Kay Miller 5100 College Road Key West FL 33040 MONRO-2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION D THEREOFti THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CER71FISATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL POSE NO OBLIW1N OR LIABIL17 OF ( NY KIND UPON THE INSURER, ITS AGENTS OR 25-S (7/97) IS ACORD CORPORATION 1988 Q OMaHa PROPLRT9 a00 Ca50aLT9 Aclof 11-Co Y Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754221 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCE AGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22/2001 TO 05/22/2002 NEW POLICY DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: MUSEUM AST BRIDGE TENDER HSE #19 PIGEON KEY FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: SECOND MORTGAGEE/LENDER NAME: OTtWLk M(�RTGAGEE / LENDER NAME: LOAN NUMBER: �.�,f�«p.," YFS LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: CONTENTS: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL CONTENTS LOCATED NON-RESIDENTIAL NOT SMALL BUSINESS ON FIRST FLOOR ONLY NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE COMMUNITY NUMBER: 125129 ELEVATION DIFFERENCE: COMM. RATING DISCOUNT: 00% AMOUNTS OF INSURANCE BASIC ADDITIONAL ToTA 1, COVERAGE RATE PREMIUM COVERAGE RATE PREMIUM PREMIUM BUILDING: $54,200 X 00.79 = $428.00 $0 X 00.41 = $0.00 S 428.00 CONTENTS: $50,000 X 01.58 = $790.00 $0 X 00.35 = $0.00 S 790.00 BUILDING REPLACEMENT COST: $0 SUBTOTAL,: S 11218.00 TOTAL BUILDING COVERAGE: $54,200 OPTIONAL DEDUCTIBLE ADJUSTMENT- S 0.00 BUILDING DEDUCTIBLE: $1,000 COMMUNITY DISCOUNT: S 0.00 PROBATION SURCHARGE: S 0.00 TOTAL, CONTENTS COVERAGE: $50,000 EXPENSE CONSTANT: S -90.00 CONTENTS DEDUCTIBLE: $1,000 INCREASED COST OF COMPLIANCE PREMIUM: $ '15.00 TOTAL WRITTEN PREMIUM: S FEDERAL POLICY SERVICE FEE: $ TOTAL PREMIUM PAID: S PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE A CURRENT POLICY JACKET 1,343.00 30.00 1,373.00 DEC PRINT DATE: 07/03/2001 JDA0141A 2980 WYOISRIF 0 OmdHd PRDPPRT9 dnD CdSUdLT9 Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754239 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCE AGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEEi LENDER NAME: LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOT SMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM 'LONE: AE ELEVATION DIFFERENCE: AMOUNTS OF INSURANCE STANDARD POLICY L,FFECTIVF, AT 12:01 AM 05/22/2001 TO 05/22/2002 NEW POLICY DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: PIGEON KEY/SEC GANG QTRS ID #46 PIGEON KEY FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: OTHER M9RTG G E / LENDER NAME: LOAN NUMBER: CONTENTS: NON-RESIDENTIAL CONTENTS LOCATED ON FIRST FLOOR ONLY COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% BASIC ADDITIONAL TOTAL COVERAGE: RATE PREMIUM COVERAGE RATE; PREMIUM PREMIUM BUILDING: $150,000 X 00.79 = $1,185.00 $27,800 X 00.41 = $114.00 $ 11299.00 CONTENTS: $15,000 X 01.58 = $237.00 $0 X 00.35 = $0.00 $ 237.00 BUILDING REPLACEMENT COST: $0 SUBTOTAL: $ 1,536.00 TOTAL BUILDING COVERAGE: $177,800 OPTIONAL DEDUCTIBLE ADJUSTMENT: $ 0.00 BUILDING DEDUCTIBLE: $1,000 COMMUNITY DISCOUNT: $ 0.00 PROBATION SURCHARGE: $ 0.00 TO'FAI. CONTENTS COVERAGE: $15,000 EXPENSE CONSTANT: $ 50.00 CONTENTS DEDUCTIBLE:: $1,000 INCREASED COST OF COMPLIANCE PREMIUM: $ 75.00 TOTAL WRITTEN PREMIUM: $ FEDERAL, POLICY SERVICE FEE: $ TOTAL, PREMIUM PAID: $ PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE A CURRENT POLICY JACKET 1,661.00 30.00 1,691.00 DEC PRINT DATE: 07/03/2001 JDA0141A 2981 WYOISRIF G UOIaHiI PROPPRT9 d00 CasuaT9 Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754189 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCE AGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 STANDARD POLICY EFFECTIVE AT 12:01 AM 05 22/2001 TO 05/22'2002 NEW POLICY DECLARATIONS PA W'ER: INSURED INSURED PROPERTY ADDRESS: OFFICE/ASST PAINT FOREMAN HSE #15 PIGEON KEY FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: SECOND MORTGAGEE/LENDER NAME: OT"E�RMORTGAGEE / LENDER NAME: LOAN NUMBER: ;...... /,,, LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOT SMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: AMOUN'I'S OF INSURANCE BASIC COVERAGE RATE. BUILDING: $51,000 X 00.79 CONTENTS: $0 X 01.58 BUILDING REPLACEMENT COST: TOTAL BUILDING COVERAGE: BUILDING DEDUCTIBLE: TOTAL CONTENTS COVERAGE: CONTENTS DEDUCTIBLE: CONTENTS: COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% ADDITIONAL PREMIUM COVERAGE RATE PREMIUM _ $403.00 $0 X 00.41 = $0.00 $ = $0.00 $0 X 00.35 = $0.00 $ $0 SUBTOTAL: $ $51,000 OPTIONAL DEDUCTIBLE, ADJIUSTMFNT: $ $1,000 COMMUNITY DISCOUNT: $ PROBATION SURCHARGE: $ $0 EXPENSE CONSTANT: $ $0 INCREASED COST OF COMPLIANCE PREMIUM: $ TOTAL WRITTEN PREMIUM: $ FEDERAL POLICY SERVICE FEE,: $ TOTAL PREMIUM PAID: $ PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE A CURRENT POLICY JACKET TOTAL PREMIUM 403.00 0.00 403.00 0.00 0.00 0.00 50.00 75.00 528.00 30.00 558.00 DEC PRINT DATE: 07/03/2001 JDA0141A 2978 WYOISRIF 0 0MUNa PROPPRry ano Casuawl Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754114 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCE AGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEE/LENDER N LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOT SMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: AMOUNTS OF INSURANCE BASIC COVERAGE RATE BUILDING: $482800 X 00.79 CONTENTS: $0 X 01.58 BUILDING REPLACEMENT COST: TOTAL BUILDING COVERAGE: BUILDING DEDUCTIBLE: TOTAL CONTENTS COVERAGE: CONTENTS DEDUCTIBLE: STANDARD POLICY EFFECTIVE AT 12:01 AM 05?22/2001 TO 05/22/2002 NEW POLICY DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: BRIDGE FOREMANS HOUSE 17 ID #51 PIGEON KEY FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: OT MORTGAGEE / LENDER NAME: LOAN NUMBER: CONTENTS: COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% ADDITIONAL PREMIUM COVERAGE RATE PREMIUM = $386.00 $0 X 00.41 = $0.00 $ = $0.00 $0 X 00.35 = $0.00 $ S0 SUBTOTAL: $ $48,800 OPTIONAL DEDUCTIBLE ADJUSTMENT: $ $1,000 COMMUNITY DISCOUNT: S PROBATION SURCHARGE: $ $O EXPENSE CONSTANT: S $0 INCREASED COST OF COMPLIANCE: PREMIUM: S TOTAL WRITTEN PREMIUM: S FEDERAL POLICY SERVICE FEE: S TOTAL PREMIUM PAID: S PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE A CURRENT POLICY JACKET TOTAL, PREMIUM 386.00 0.00 386.00 0.00 0.00 0.00 50.00 75.00 511.00 30.00 541.00 DEC PRINT DATE: 07/03/2001 JDA0141A 2976 WYOISRIF Q OIIIdNd PROPPRT9 Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754049 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCE AGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEE/L D A STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22/2001 TO 05/221/2002 NEW POLICY DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: NEGRO QTR 11 / ID #53 PIGEON KEY FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: OTI-j. MOIRTGAGEE / LENDER NAME: LOAN NUMBER: LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: CONTENTS: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOT SMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: AiYiuUN 1S OF INSURANCE COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% BASIC ADDITIONAL TOTAL COVERAGE RATE PREMIUM COVERAGE RATE PREMIUM PREMIUM BUILDING: $29,100 X 00.79 = $230.00 $0 X 00.41 = $0.00 S 230.00 CONTENTS: $0 X 01.58 = $0.00 $0 X 00.35 = $0.00 S 0.00 BUILDING REPLACEMENT COST: TOTAL BUILDING COVERAGE: BUILDING DEDUCTIBLE,: TOTAL CONTENTS COVERAGE: CONTENTS DEDUCTIBLE: $0 SUBTOTAL,: S $29,100 OPTIONAL DEDUCTIBLE ADJUSTMENT: S $1,000 COMMUNITY DISCOUNT: S PROBATION SURCHARGE: S $0 EXPENSE CONSTANT: S $0 INCREASED COST OF COMPLIANCE PREMIUM: S TOTAL WRITTEN PREMIUM: S FEDERAL POLICY SERVICE; FE[:: S TOTAL PREMIUM PAIL.): S PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE A CURRENT POLICY JACKET 230.00 0.00 0.00 0.00 50.00 75.00 355.00 30.00 385.00 DEC PRINT DATE: 07/03/2001 JOA0141A 2974 WYOISRIF Q OMdHd PROPPR19 d00 CasudLT9 Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754080 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCE AGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22/2001 TO 05/22/2002 NEW POLICY DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: HONEYMOON COTTAGE 12/ ID #52 PIGEON KEY FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: SECOND MORTGAGEE/LENDER NAME: OTHER erMORTGAGEE / LENDER NAME: LOAN NUMBER: /'-"; ._ LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOT SMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: AMOUNTS OF INSURANCE CONTENTS: COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% BASIC ADDITIONAL TOTAL COVERAGE RATE PREMIUM COVERAGE RATE PREMIUM PREMIUM BUILDING: $15,300 X 00.79 = $121.00 $0 X 00.41 = $0.00 S 121.00 CONTENTS: $0 X 01.58 = $0.00 $0 X 00.35 = $0.00 $ 0.00 BUILDING REPLACEMENT COST: $0 SUBTOTAL: S 121.00 TOTAL BUILDING COVERAGE: $15,300 OPTIONAL DEDUCTIBLE ADJUSTMENT: S 0.00 BUILDING DEDUCTIBLE: $1,000 COMMUNITY DISCOUNT: S 0.00 PROBATION SURCHARGE: S 0.00 TOTAL, CONTENTS COVERAGE: $0 EXPENSE CONSTANT: S 50.00 CONTENTS DEDUCTIBLE:: $0 INCREASED COST OF COMPLIANCE PREMIUM: $ 75.00 TOTAL WRITTEN PREMIUM: S FEDERAL, POLICY SERVICE FEE: $ TOTAL PREMIUM PAID: S PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE A CURRENT POLICY JACKET 246.00 30.00 276.00 DEC PRINT DATE: 07/03/2001 JDA0141A 2975 WYOISRIF 01118Nd PROPPR19 d00 Casudam w Murv.uI.W Aa i .,.pa.y Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754148 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCE AGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEE/LENDER NAME: I.OAN NUMBER: -- --- PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOT SMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM 'LONE: AE ELEVATION DIFFERENCE: AMOUNTS OF INSURANCE STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22','2001 TO 05/22/2002 NEW POLICY DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: BRIDGE TENDERS HOUSE 16 ID #50 PIGEON KEY FL 33050 FIRST MORTGAGEE. / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 I.OAN NUMBER: OT'11ER MORTGAGEE / LENDER NAME: Cc LOAN NUMBER: CONTENTS: COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% BASIC ADDITIONAL TOTAL COVERAGE RATE PREMIUM COVERAGE RATE PREMIUM PREMIUM BUILDING: $81,800 X 00.79 = $646.00 $0 X 00.41 = $0.00 $ 646.00 CONTENTS: $0 X 01.58 = $0.00 $0 X 00.35 = $0.00 $ 0.00 BUILDING REPLACEMENT COST: $0 SUBTOTAL,: $ 646.00 TOTAL BUILDING COVERAGE: $81,800 OPTIONAL DEDUCTIBLE ADJUSTMENT: $ 0.00 BUILDING DEDUCTIBLE: $1,000 COMMUNITY DISCOUNT: $ 0.00 PROBATION SURCHARGE: $ 0.00 TOTAL CONTENTS COVERAGE: $0 EXPENSE CONSTANT: $ 50.00 CONTENTS DEDUCTIBLE: $0 INCREASED COST OF COMPLIANCE PREMIUM: $ 75.00 TOTAL WRITTEN PREMIUM: $ FEDERAL POLICY SERVICE FEE: $ TOTAI, PREMIUM PAID: $ PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE A CURRENT POLICY JACKET 771.00 30.00 801.00 DEC PRINT DATE: 07/03/2001 JDA0141A 2977 WYOISRIF Part 2: THIS AMENDED DECLARATION 'E, WITH POLICY PROVISIONS - PART 1 AND END EMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE TI1z BELOW NUMBERED FLORIDA WINDSTORM UNDEkvVRITING ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED' S NAME AND ADDRESS CHANGE NO. 1 THIS IS AN AMENDED PIGEON KEY FOUNDATION C/O MONROE COUNTY 7NA MANAGEMENT GENERAL BUSINESS PO BOX 500130 MARATHON, FL 33050 THIS CHANGE IS EFFECTIVE 7/10/2001 POLICY TERM 7/10/2001 TO 7/10/2002 AT 12:01 A.M. (EST) POLICY NO. 1233045 INCEPTION DA EXPIRATION DATE' THIS IS YOUR POLICY DECLARATION PAGE PAGE 1 * THIS STATEMENT OF COVERAGE GIVES THE STATUS OF YOUR POLICY AFTER THE RECENT CHANGE(S). A RETURN PREMIUM OF $ 943- RESULTED FROM THIS CHANGE(S) ( 820- PREMIUM + 123-SURCHARGE) 1 194,000 90 5,820 T-85 1,508 16,000 90 11000 T-85 124 ONE STORY FRAME MEETING ROOMS/CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/1D #46 7 MILE BRIDGE PIGEON KEY, MONROE FL 33050 2 * 59,'000 90 1,770 T-85 458 29,500 90 1,000 T-85 229 ONE STORY FRAME MUSEUM BUILDING ON STILTS/PILINGS LOC: C/ID #47 3 * 55,000 0 90 1,650 T-85 427 ONE STORY FRAME OFFICE BUILDING ON STILTS/PILINGS LOC: C/ID #48 4 * 89,000 0 90 2,670 T-85 282 ONE STORY FRAME (1) UNIT DORMITORY BUILDING (1.000 P) n ON STILTS/PILINGS LOC: C/ID #49 APR 6 R MINT BY DATE WAIVER N/A AYES - Fioriaa Hurricane Cat Fund $ S Reinsurance $ S S ect to Form No s MONROE COUNTY BOARD OF CTY COMM 5100 COLLEGE RD KEY WEST, FL 33040 Producer: JOHNSONS INS AGY 0004 P O BOX 2346 MARATHON SHORES, FL 33052 FWUA 03 (01/97) 0004 Team 3 Payor: INSURED Date: 9/20/2001 MORTGAGEE COPY TEM 35923 903 Part 2: THIS AMENDED DECLARATION 7E, WITH POLICY PROVISIONS - PART 1 AND END EMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE Thz BELOW NUMBERED FLORIDA WINDSTORM UNDEKwRITING ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED' S NAME AND ADDRESS CHANGE NO. 1 THIS IS AN AMENDED PIGEON KEY FOUNDATION C/O MONROE COUNTY 70t MANAGEMENT GENERAL BUSINESS PO BOX 500130 MARATHON, FL 33050 THIS CHANGE IS EFFECTIVE 7/10/2001 POLICY TERM 7/10/2001 TO 7/10/2002 AT 12:01 A.M. (EST) POLICY NO. 1233045 INCEPTION DA EXPIRATION DATE THIS IS YOUR POLICY DECLARATION PAGE PAGE 2 5 * 89,000 0 90 2,670 T-85 (1.000 P) ONE STORY FRAME 3 UNIT BRIDGE K/A TENDERS HOUSE ON STILTS/PILINGS LOC: C/ID #50 6 * 53,000 0 90 1,590 T-85 ONE STORY FRAME LABORATORY BUILDING ON STILTS/PILINGS LOC: C/ID #51 7 * 32,000 0 90 1,000 T-85 ONE STORY FRAME CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/ID #53 282 412 249 P - I Florida Hurricane Cat Fund $ f .00 $ Reinsurance 616,500 3,971.00 i 596.00 4,567.00 Subject to Form No s CP2 07/00 FWUA 06 (07/00) Mortgagee Loss Payee MONROE COUNTY BOARD OF CTY COMM 5100 COLLEGE RD KEY WEST, FL 33040 Producer: Payor: JOHNSONS INS AGY 0004 INSURED P O BOX 2346 MARATHON SHORES, FL 33052 Date: 9/20/2001 FWUA 03 (01/97) 0004 Team 3 MORTGAGEE COPY TEM 35923 904 ACORD CERTIFICA ; OF LIABILITY INSU� ,NC R SH DADD/ GEO-1 03/003/06/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30975 Avenue A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key FL 33043 Phone:305-872-2888 INSURERS AFFORDING COVERAGE INSURED INSURER A: F C C I Mutual INSURER B: The Pigeon Kejy� Foundation INSURER C: P.O. Box 500130 INSURERD: Marathon FL 33050 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY DATE MM/DD EFFECTIVE POLICYLTR DATE MWDD I LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR 1 APPR 3K BY DATE MENT —a _ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL BADVINJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER 1-1 POLICY jECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-0WNED AUTOS WAIVER N�A Y i ! S COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE E S $ E A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 001WCOlA39015 08/23/01 08/23/02 WC 5 LIMITS ER. TORY E.L.EACHACCIDENT $ 100000 E.L. DISEASE - EA EMPLOYE $ 100000 E.L. DISEASE -POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ICR: VP11\LrGLLI1 11V17 MONRO_2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Kay Miller IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5100 College Road Key West FL 33040 REPRESENTATIVES. ACORD ©ACORD CORPORATION RECEIVE-[) NO ._ 8 20 ACORD�, DATE (MM/DD/YY) 11/5/2002 PRODUCER - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOHNSONS INS. AGCY (MARATHON) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13361 Overseas Highway ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 2346 Marathon, FL 33052 COMPANIES AFFORDING COVERAGE COMPANY A Scottsdale Insurance Company INSURED COMPANY Pigeon Key Foundation, Inc. B P.O. Box 500130 Marathon, FL 33050 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000• X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ 2,000,000. A ` CLAIMS MADE N OCCUR CPS0520836 8/23/2002 8/23/2003 PERSONAL & ADV INJURY $ 1,000,000. OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000. FIRE DAMAGE (Any one fire) $ 50,000. MED EXP (Any one person) $ 5,000. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ EXCLUDED ANY AUTO ALL OWNED AUTOS BODILY INJURY $ EXCLUDED SCHEDULED AUTOS (Per person) HIRED AUTOS NT BODILY INJURY $ EXCLUDED NON -OWNED AUTOS �`' MANA , (Per accident) PP PIPPIN � PROPERTY DAMAGE $ EXCLUDED GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ EXCLUDED ANY AUTO QATE YES OTHER THAN AUTO ONLY: �rypIVER N�A EACH ACCIDENT $ EXCLUDED AGGREGATE $ EXCLUDED EXCESS LIABILITY cl EACH OCCURRENCE $ EXCLUDED UMBRELLA FORM AGGREGATE $ EXCLUDED OTHER THAN UMBRELLA FORM $ EXCLUDED WC STATU- OTH- WORKERS COMPENSATION AND TORY LIMIT ETR EMPLOYERS' LIABILITY EL EACH ACCIDENT $ EXCLUDED THE PROPRIETOR/ INCL EL DISEASE - POLICY LIMIT $ EXCLUDED PARTNERS/EXECUTIVE OFFICERS ARE, EXCL EL DISEASE - EA EMPLOYEE $ EXCLUDED OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS MONROE COUNTY BOARD OF COUNTY COMMISSIONER IS NAMED AS ADDITIONAL INSURED e Monroe County Board of Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE c/o Monroe County Risk Management EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1100 Simonton St. �� 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 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. is named as additional insured AUTHORIZED REPRESENTATIVE (^�/^(�[�s ,. DATE ioo9i f PRODUCER (305)294-2542 FAX (305) 296-7985 The Porter Allen Company 513 Southard Street Key West, FL 33040 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 PIGEON KEY FOUNDATIONS, INC P.O. BOX 500130 MARATHON,, FL 33040 INSURER A: SUMMIT CONSULTING, INC. INSURERB: 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS 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: POLICYF_j JECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PPR AY BY DATE �..a--r- WAIVER N/A OMANA'ET COMBINED SINGLE LIMB (Ea accident) $ BODILY INJURY (Per person) $ YES BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO � AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY D520 - 25679 08/23/2002 08/23/2003 TORY LIMITS I ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYE4 $ 100, 000 E.L. DISEASE - POLICY LIMIT 1 $ 500,0001 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER I X I ADDITIONAL INSURED: INSURER LETTER CANCELLATION MONROE COUNTY RISK MGT. MARIA SLAVIK 1100 SIMONTON STREET KEY WEST, FL/33040 G. C . 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 ANY KIND UPON THE COMPANY, I!NACI15,4TS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE W • L TE ACORD CERTIFICA' _ OF LIABILITY INSUF MC4SR SC IGEO-1 09/1DA09/1DD/6/0 02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30975 Avenue A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key FL 33043 Phone • 305-872-2888 INSURERS AFFORDING COVERAGE INSURED INSURER A: Scottsdale Insurance Co. INSURER B: The Pigeon Ke Foundation Renee Shain �ffice Mger INSURERC: P.O. BOX 506130 INSURERD: Marathon FL 33050 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CPS0520836 08/23/02 08/23/03 FIRE DAMAGE (Any one fire) $ 50,000 CLAIMS MADE Fx_] OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2, 000, 000 POLICY PRO LOC SEC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APP != B nAN BY °=�FNi BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ DATE _---- — GARAGE LIABILITY WAIVER AUTO ONLY- EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ " AUTO ONLY: AGG EXCESS LIABILITY OCCUR CLAIMS MADE w EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS I I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS museums - 10 bldgs not for profit only/include prod/comp opr5 GCK I Ir16A I C MULUCK y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONRO20 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of County NOTICE TO E CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Commissioners 5100 College Road IMPOSE 001 LIGATION OR IABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPR ENTATIVES. ACORD 26S (7/97) Z:-t__ Irl /VC_ Lois] N091:7_vtu•]a` Q Omaxa PImPeR 9 ano Casua� Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754049 NAMED INSURED AND MAILING ADDRESS THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCEAGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEE/LENDER NAME: LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOTSMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22/2002 TO 05/22/2003 RENEWAL DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: NEGROQTR 11 / ID#53 PIGEON KEY FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OFCTY 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: OTHER MORTGAGEE / LENDER NAME: LOAN NUMBER: Ry ' " I "DATE � WAIVER N/. ISK M AGEMENT CONTENTS: j / / S CL / COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% AMOUNTS OF INSURANCE BASIC ADDITIONAL TOTAL COVERAGE RATE PREMIUM COVERAGE RATE PREMIUM PREMIUM BUILDING: $29,100 X 00.79 = $230.00 $0 X 00.45 = $0.00 S 230.00 CONTENTS: $0 X 01.58 = $0.00 $0 X 00.39 = $0.00 S 0.00 BUILDING REPLACEMENT COST: $0 SUBTOTAL: S 230.00 TOTAL BUILDING COVERAGE: $29,100 OPTIONAL DEDUCTIBLE ADJUSTMENT: S 0.00 BUILDING DEDUCTIBLE: $1,000 COMMUNITY DISCOUNT: S 0.00 PROBATION SURCHARGE: S 0.00 TOTAL CONTENTS COVERAGE: $0 EXPENSE CONSTANT: S 50.00 CONTENTS DEDUCTIBLE: 90 INCREASED COST OF COMPLIANCE PREMIUM: S 75.00 TOTAL WRITTEN PREMIUM: S 355.00 FEDERAL POLICY SERVICE FEE: S 30.00 TOTAL PREMIUM PAID: S 385.00 PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE A CURRENT POLICY JACKET c c •' DEC PRINT DATE: 05/22/2002 JDA0141A 2339 QVYOISRIF 0. Oowxi Pleorert j iIIIIIIII) CawacM Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754080 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 _ AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCEAGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEE/LENDER NAME: LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOTSMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: AMOUNTS OF INSURANCE BASIC COVERAGE RATE BUILDING: $15,300 X 00.79 CONTENTS: $0 X 01.58 BUILDING REPLACEMENT COST: TOTAL BUILDING COVERAGE: BUILDING DEDUCTIBLE: TOTAL CONTENTS COVERAGE: CONTENTS DEDUCTIBLE: STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22/2002 TO 05/22/2003 RENEWAL DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: HONEYMOON COTTAGE 121 ID#52 PIGEON KEY FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: OTHER MORTGAGEE / LENDER NAME: �;s.r �;j`i-JTIu1ENT LOAN NUMBER: WAN P YES -- CONTENTS: i r r COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% ADDITIONAL PREMIUM COVERAGE RATE PREMIUM = $121.00 $0 X 00.45 = $0.00 $ _ $0.00 $0 X 00.39 $0.00 $ $0 SUBTOTAL: S $15,300 OPTIONAL DEDUCTIBLE ADJUSTMENT: S $1,000 COMMUNITY DISCOUNT: $ PROBATION SURCHARGE: S $0 EXPENSE CONSTANT: $ $0 INCREASED COST OF COMPLIANCE PREMIUM: S TOTAL WRITTEN PREMIUM: $ FEDERAL POLICY SERVICE FEE: S TOTAL PREMIUM PAID- $ PLEASE REFER TO THE GENERAL POLICY JACKET FORA FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IFYOU DO NOT HAVE A CURRENT POLICY JACKET TOTAL PREMIUM 121.00 0.00 121.00 0.00 0.00 0.00 50.00 75.00 246.00 30.00 276.00 DEC PRINT DATE: 05/22/2002 JDA0141A 2340 WYOISRIF Q Oma�w ReoreRTs am Caws AYW�INOM.Cv� Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754114 NAMED INSURED AND MAILING ADDRESS THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCEAGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEE/LENDER NAME: LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOTSMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: AMOUNTS OF INSURANCE BASIC COVERAGE RATE BUILDING: $48,800 X 00.79 CONTENTS: $0 X 01.58 BUILDING REPLACEMENT COST: TOTAL BUILDING COVERAGE: BUILDING DEDUCTIBLE: TOTAL CONTENTS COVERAGE: CONTENTS DEDUCTIBLE: STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22/2002 TO 05/22/2003 RENEWAL DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: BRIDGE FOREMANS HOUSE 17 ID#51 PIGEON KEY FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: OTHER MORTGAGEE / LENDER NAME: APtP.gtAN 9 ENT BY LOAN NUMBER: �_T,,�r WAIVER CONTENTS: , v i COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% ADDITIONAL PREMIUM COVERAGE RATE PREMIUM _ $386.00 $0 X 00.45 = $0.00 S _ $0.00 $0 X 00.39 = $0.00 S $0 SUBTOTAL: S $48,800 OPTIONAL DEDUCTIBLE ADJUSTMENT: S $1,000 COMMUNITY DISCOUNT: S PROBATION SURCHARGE: S $0 EXPENSE CONSTANT: S $0 INCREASED COST OF COMPLIANCE PREMIUM: S TOTAL WRITTEN PREMIUM: S FEDERAL POLICY SERVICE FEE: S TOTAL PREMIUM PAID- S PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE CURRENT POLICY JACKET TOTAL PREMIUM 386.00 0.00 386.00 0.00 0.00 0.00 50.00 75.00 511.00 30.00 541.00 DEC PRINT DATE: 05/22/2002 JDA0141A 2341 WYOISRIF 0. [T~naxa Reorelos ano Casuoug Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754148 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCEAGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEE/LENDER NAME: LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOTSMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: AMOUNTS OF INSURANCE BASIC COVERAGE RATE BUILDING: $81.1800 X 00.79 CONTENTS: $0 X 01.58 BUILDING REPLACEMENT COST: TOTAL BUILDING COVERAGE: BUILDING DEDUCTIBLE: TOTAL CONTENTS COVERAGE: CONTENTS DEDUCTIBLE: STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22/2002 TO 05/22/2003 RENEWAL DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: BRIDGETENDERS HOUSE 16 I D #50 PIGEON KEY FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: OTHER MORTGAGEE / LENDER NAME: AP E f+a;a A EMENT BY DATE —..-.- LOAN NUMBERMAIVER N'"F ._ T YE�-fl- CONTENTS: ( Li✓ COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% ADDITIONAL PREMIUM COVERAGE RATE PREMIUM _ $646.00 $0 X 00.45 $0.00 S _ $0.00 $0 X 00.39 = $0.00 S $0 SUBTOTAL: S $81,800 OPTIONAL DEDUCTIBLE ADJUSTMENT: S $1,000 COMMUNITY DISCOUNT: S PROBATION SURCHARGE: S $0 EXPENSE CONSTANT: S $0 INCREASED COST OF COMPLIANCE PREMIUM: S TOTAL WRITTEN PREMIUM: S FEDERAL POLICY SERVICE FEE: S TOTAL PREMIUM PAID: S PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE CURRENT POLICY JACKET TOTAL PREMIUM 646.00 0.00 646.00 0.00 0.00 0.00 50.00 75.00 771.00 30.00 801.00 DEC PRINT DATE: 05/22/2002 JDA0141A 2342 WYOISRIF 0. Omaxa Reo�eRrl am Chair wrwrrdr.c�.q Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 I-800-638-9280 POLICY NUMBER: 3009754189 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCE AGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEE/LENDER NAME: LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOTSMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: AMOUNTS OF INSURANCE BASIC COVERAGE RATE BUILDING: $51,000 X 00.79 CONTENTS: $0 X 01.58 BUILDING REPLACEMENT COST: TOTAL BUILDING COVERAGE: BUILDING DEDUCTIBLE: TOTAL CONTENTS COVERAGE: CONTENTS DEDUCTIBLE: STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22/2002 TO 05/22/2003 RENEWAL DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: OFFICE/ASST PAINT FOREMAN HSE #15 PIGEON KEY FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: OTHER MORTGAGEE / LENDER NAME: AP E rf :� ANT BY LOAN NUMBER: DATE WAIVE s r o c CONTENTS: COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% ADDITIONAL PREMIUM COVERAGE RATE PREMIUM $403.00 $0 X 00.45 $0.00 $0.00 $0 X 00.39 $0.00 TOTAL PREMIUM $ 403.00 $ 0.00 $0 SUBTOTAL: $ $51,000 OPTIONAL DEDUCTIBLE ADJUSTMENT: $ $1,000 COMMUNITY DISCOUNT: $ PROBATION SURCHARGE: $ $0 EXPENSE CONSTANT: $ $0 INCREASED COST OF COMPLIANCE PREMIUM: $ TOTAL WRITTEN PREMIUM: $ FEDERAL POLICY SERVICE FEE: $ TOTAL PREMIUM PAID: $ PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE CURRENT POLICY JACKET 403.00 0.00 0.00 0.00 50.00 75.00 528.00 30.00 558.00 DEC PRINT DATE: 05/22/2002 JDA0141A 2343 WYOISRIF Q On"M PROPLRi9 anDCi9oa n A�elOrhec� Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754197 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCEAGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEE/LENDER NAME: LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOTSMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: AMOUNTS OF INSURANCE BASIC COVERAGE RATE BUILDING: $81,800 X 00.79 CONTENTS: $0 X 01.58 BUILDING REPLACEMENT COST: TOTAL BUILDING COVERAGE: BUILDING DEDUCTIBLE: TOTAL CONTENTS COVERAGE: CONTENTS DEDUCTIBLE: STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22/2002 TO 05/22/2003 RENEWAL DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: BRIDGE WORKERS DORM 13 ID#49 PIGEON KEY FL 33040 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: OTHER MORTGAGEE / LENDER NAME: APP B RISK ki.A 0FMENT BY DATE � LOAN NUMBER: WAIVEF �i//{ I _3 CONTENTS: COMMUNITY NUMBER: COMM. RATING DISCOUNT: ADDITIONAL PREMIUM COVERAGE RATE PREMIUM $646.00 $0 X 00.45 = $0.00 _ $0.00 $0 X 00.39 = $0.00 125129 00 % TOTAL PREMIUM $ 646.00 $ 0.00 $0 SUBTOTAL: $ $81,800 OPTIONAL DEDUCTIBLE ADJUSTMENT: $ $1,000 COMMUNITY DISCOUNT: $ PROBATION SURCHARGE: $ $O EXPENSE CONSTANT: $ $p INCREASED COST OF COMPLIANCE PREMIUM: $ TOTAL WRITTEN PREMIUM: $ FEDERAL POLICY SERVICE FEE: $ TOTAL PREMIUM PAID: $ PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE CURRENT POLICY JACKET 646.00 0.00 0.00 0.00 50.00 75.00 771.00 30.00 801.00 DEC PRINT DATE: 05/22/2002 JDA0141A 2344 WYOISRIF 0. Onwea Pleorel99 aoo Cassawl A..n aN cry.., Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754221 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCE AGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEE/LENDER NAME: STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22/2002 TO 05/22/2003 RENEWAL DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: MUSEUM AST BRIDGETENDER HSE #19 PIGEON KEY FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: OTHER MORTGAGEE / LENDER NAME: AP &I, " AGEMENT BY DATE LOAN NUMBER: LOAN NUMBER: WAVER; p, -AYES PROPERTY DESCRIPTION BUILDING: CONTENTS: ( ` ONE FLOORWITH NO BASEMENT NON-RESIDENTIAL CONTENTS LOCATED NON-RESIDENTIAL NOTSMALL BUSINESS ON FIRST FLOOR ONLY NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% AMOUNTS OF INSURANCE BASIC ADDITIONAL TOTAL COVERAGE RATE PREMIUM COVERAGE RATE PREMIUM PREMIUM BUILDING: $54,200 X 00.79 = $428.00 $0 X 00.45 = $0.00 S 428.00 CONTENTS: $50,000 X 01.58 = $790.00 $0 X 00.39 = $0.00 S 790.00 BUILDING REPLACEMENT COST: $0 SUBTOTAL: S 1,218.00 TOTAL BUILDING COVERAGE: $54,200 OPTIONAL DEDUCTIBLE ADJUSTMENT: S 0.00 BUILDING DEDUCTIBLE: $1,000 COMMUNITY DISCOUNT: S 0.00 PROBATION SURCHARGE: S 0.00 TOTAL CONTENTS COVERAGE: $50,000 EXPENSE CONSTANT: S 50.00 CONTENTS DEDUCTIBLE: $1,000 INCREASED COST OF COMPLIANCE PREMIUM: S 75.00 TOTAL WRITTEN PREMIUM: S 1,343.00 FEDERAL POLICY SERVICE FEE: S 30.00 TOTAL PREMIUM PAID: S 1,373.00 PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IFYOU DO NOT HAVE A CURRENT POLICY JACKET DEC PRINT DATE: 05/22/2002 JDA044IA 2345 WYOISRIF Q Ommil PROP8RI9 MO Casrb-Uy A� Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3009754239 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCEAGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEE/LENDER NAME: LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOTSMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22/2002 TO 05/22/2003 RENEWAL DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: PIGEON KEY/SEC GANG QTRS I D #46 PIGEON KEY FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OFCTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: OTHER MORTGAGEE / LENDER NAME: LOAN NUMBER: CONTENTS: WAIVER N/A -.!::7�_YES NON-RESIDENTIAL CONTENTS LOCATED ON FIRST FLOOR ONLY CL " COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% AMOUNTS OF INSURANCE BASIC ADDITIONAL TOTAL COVERAGE RATE PREMIUM COVERAGE RATE PREMIUM PREMIUM BUILDING: $150,000 X 00.79 = $1,185.00 $27,800 X 00.45 = $125.00 $ 1,310.00 CONTENTS: $15,000 X 01.58 $237.00 $0 X 00.39 = $0.00 $ 237.00 BUILDING REPLACEMENT COST: $0 SUBTOTAL: $ 1,547.00 TOTAL BUILDING COVERAGE: $177,800 OPTIONAL DEDUCTIBLE ADJUSTMENT: $ 0.00 BUILDING DEDUCTIBLE: $1,000 COMMUNITY DISCOUNT: $ 0.00 PROBATION SURCHARGE: $ 0.00 TOTAL CONTENTS COVERAGE: $15,800 EXPENSE CONSTANT: $ 50.00 CONTENTS DEDUCTIBLE: $1, 000 INCREASED COST OF COMPLIANCE PREMIUM: $ 75.00 TOTAL WRITTEN PREMIUM: $ 1,672.00 FEDERAL POLICY SERVICE FEE: $ 30.00 TOTAL PREMIUM PAID: $ 1,702.00 PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IFYOU DO NOT HAVE CURRENT POLICY JACKET DEC PRINT DATE: 05/22/2002 JDA0141A 2346 WYOISRIF 0 Omaha Reora99 am Casoa�ra A WIuItl O.i.C�� Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3509239343 NAMED INSURED AND MAILING ADDRESS THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON IL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCEAGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEE/LENDER NAME: LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOTSMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: AE ELEVATION DIFFERENCE: STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22/2002 TO 05/22/2003 RENEWAL DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: US HIGHWAY 1 OFF 7 MILE BRIDGE GARAGE BLDG 16 MARATHON FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: OTHER MORTGAGEE / LENDER NAME: AP V SK M (a ME BY LOAN NUMBER: DATE CONTENTS: ` 1 NON-RESIDENTIAL CONTENTS LOCATED ON FIRST FLOOR ONLY C� COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00% AMOUNTS OF INSURANCE BASIC ADDITIONAL TOTAL COVERAGE RATE PREMIUM COVERAGE RATE PREMIUM PREMIUM BUILDING: $60,000 X 00.79 = $474.00 $0 X 00.45 = $0.00 $ 474.00 CONTENTS: $6,000 X 01.58 — $95.00 $0 X 00.39 = $0.00 $ 95.00 BUILDING REPLACEMENT COST: $0 SUBTOTAL: $ 569.00 TOTAL BUILDING COVERAGE: $60,000 OPTIONAL DEDUCTIBLE ADJUSTMENT: $ 0.00 BUILDING DEDUCTIBLE: $1,000 COMMUNITY DISCOUNT: $ 0.00 PROBATION SURCHARGE: $ 0.00 TOTAL CONTENTS COVERAGE: $6,000 EXPENSE CONSTANT: $ 50.00 CONTENTS DEDUCTIBLE: $1, 000 INCREASED COST OF COMPLIANCE PREMIUM: $ 75.00 TOTAL WRITTEN PREMIUM: $ 694.00 FEDERAL POLICY SERVICE FEE: $ 30.00 TOTAL PREMIUM PAID- $ 724.00 PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE CURRENT POLICY JACKET DEC PRINT DATE: 05/22/2002 JDA0141A 2348 WYOISRIF 0. Omaha PROPeRT9 11M GiVARL79 Flood Insurance Program PO Box 34627 Bethesda, MD 20827-0627 1-800-638-9280 POLICY NUMBER: 3509239335 NAMED INSURED AND MAILING ADDRESS: THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050 AGENT NAME AND ADDRESS: THE JOHNSONS INSURANCEAGENCY PO BOX 2346 MARATHON SHR FL 33052 2346 305-289-0213 SECOND MORTGAGEE/LENDER NAME: LOAN NUMBER: PROPERTY DESCRIPTION BUILDING: ONE FLOOR WITH NO BASEMENT NON-RESIDENTIAL NOTSMALL BUSINESS NON ELEVATED BUILDING RATING INFORMATION FIRM ZONE: VE ELEVATION DIFFERENCE: STANDARD POLICY EFFECTIVE AT 12:01 AM 05/22/2002 TO 05/22/2003 RENEWAL DECLARATIONS PAYER: INSURED INSURED PROPERTY ADDRESS: GENERATOR BLDG #14 / ID #54 PIGEON KEY FL 33050 FIRST MORTGAGEE / LENDER NAME: MONROE COUNTY BOARD OF CTY COMMIS C/O RISK MGT 5100 COLLEGE RD KEY WEST FL 33040 LOAN NUMBER: OTHER MORTGAGEE / LENDER NAME: LOAN NUMBER: CONTENTS: APPR Y ENT BY DATE - aCl,�Qr WAIVER N/A-_ E COMMUNITY NUMBER: 125129 COMM. RATING DISCOUNT: 00%l Q AMOUNTS OF INSURANCE BASIC ADDITIONAL TOTAL COVERAGE RATE PREMIUM COVERAGE RATE PREMIUM PREMIUM BUILDING: $23,700 X 01.06 = $251.00 $0 X 01.32 = $0.00 $ 251.00 CONTENTS: $0 X 00.00 $0.00 $0 X 00.00 $0.00 $ 0.00 BUILDING REPLACEMENT COST: $0 SUBTOTAL: $ 251.00 TOTAL BUILDING COVERAGE: $23,700 OPTIONAL DEDUCTIBLE ADJUSTMENT: $ 0.00 BUILDING DEDUCTIBLE: $1,000 COMMUNITY DISCOUNT: $ 0.00 PROBATION SURCHARGE: $ 0.00 TOTAL CONTENTS COVERAGE: $: EXPENSE CONSTANT: $ 50.00 CONTENTS DEDUCTIBLE: $ INCREASED COST OF COMPLIANCE PREMIUM: $ 7S.00 TOTAL WRITTEN PREMIUM: $ 376.00 FEDERAL POLICY SERVICE FEE: $ 30.00 TOTAL PREMIUM PAID- $ 406.00 PLEASE REFER TO THE GENERAL POLICY JACKET FOR A FULL EXPLANATION OF COVERAGES PLEASE CONTACT YOUR AGENT IF YOU DO NOT HAVE CURRENT POLICY JACKET DEC PRINT DATE: 05/22/2002 JDA0141A 2347 WYOISRIF a Part 2: THIS DECLARATION PAUz, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FOlm A PART THEREOF, COMPLETE THE BELOW NUMBERED FLORIDA WINDSTORM UNDERWRITING ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bonneval Rood - Suite 500, Jacksonville, Florida 32216-6064 INSURED'S NAME AND ADDRESS THIS IS A PIGEON KEY FOUNDATION C/O MONROE COUNTY 71k GENERAL BUSINESS MANAGEMENT PO BOX 500130 MARATHON, FL 33050 POLICY TERM 7/10/2002 TO 7/10/2003 AT 12:01 A.M. (EST) POLICY NO. 1233045 UPIRATIaR illiT>; THIS IS YOUR POLICY DECLARATION PAGE - This is not a Bill PAGE 1 .$ if3i�� %•`•�ii�: �:r<>:::::;:s%;:i'ri>.?';:�!};'�� ••••:'''' `' �' "r'6�.' ' ;::'> � �:::�'�t�3''r::::;i;i:�� ' - iti'ii i#.. ..il#�? i41i)71itk�ii` 1 194,000 90 5,820 T-85 1,508 16,000 90 1,000 T-85 124 ONE STORY FRAME MEETING ROOMS/CLASSROOMS BUILDING ON STILTS/PILINGS IOC: C/1D #46 7 MILE BRIDGE PIGEON KEY, MONROE FL 33050 2 59,000 90 1,770 T-85 458 30,000 90 11000 T-85 233 ONE STORY FRAME MUSEUM BUILDING ON STILTS/PILINGS LOC: C/ID #47 3 55,000 0 90 1,650 T-85 427 ONE STORY FRAME OFFICE BUILDING ON STILTS/PILINGS LOC: C/ID #48 4 89,000 0 90 2,670 T-85 282 ONE STORY FRAME (1) UNIT DORMITORY BUILDING ON STILTS/PILINGS LOC: C/ID #49 5 89,000 0 90--• 2,670 T-85 282 ONE STORY FRAME 3 UNIT BRIDGE K/A TENDERS HOUSE ON STILTS/PILINGS LOC: C/ID #50 AP RIS AN •' � BY DATE WAIVER N/A —YES "_..- Hurricane Cat Fund DO N fFlorida $ Reinsurance S Sub3ect to Forrn o s : Mortgagee Loss Payee rLVLL�y61 JOHNSONS INS AGY 0004 P O BOX 2346 MARATHON SHORES, FL 33052 (305) 289-0213 FVNA 03 (08/98) 0004 Team 3 ray ui : INSURED Date: 6/20/2002 PRODUCER COPY R. 40112 2489 . } Part 2: THIS DECLARATION PAGz, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED FLORIDA WINDSTORM UNDERWRITING ASSOCIATION POLICY. FLORIDA WINDSTORM UNDERWRITING ASSOCIATION 7077 Bmawal Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED'S NAME AND ADDRESS THIS IS A PIGEON KEY FOUNDATION C/O MONROE COUNTY 764N, GENERAL BUSINESS MANAGEMENT PO BOX 500130 MARATHON, FL 33050 POLICY TERM 7/10/2002 TO 7/10/2003 AT 12:01 A.M. (EST) POLICY NO. 1233045 IflMMT1W DATE MMMIUM aRrZ THIS IS YOUR POLICY DECLARATION PAGE - This Is not a Bill PAGE 2 :•x•: �`��: i K''�::::; >:•:::•::•: �; r?E i�`��:t•: s:•: :� i::;: �>:,;�:�: <: � ::;':'::>'; ::?.> t' ��' 6 53,000 0 90 11590 T-85 412 ONE STORY FRAME LABORATORY BUILDING ON STILTS/PILINGS LOC: C/ID #51 7 32,000 0 90 1,000 T-85 249 ONE STORY FRAME CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/ID #53 P - I Florida Hurricane Gat Fund 00 NOT PAY # 3,975.00 f .00 # Reinsurance 617,000 Tax-Exopt Sur 70.00 596.00 4,'641.00 suloject to Form o a : R CP2 07/00 FWUA 06 (07/00) Mortgagee Loss Payee MONROE COUNTY BOARD OF CTY COMM 5100 COLLEGE RD KEY WEST, FL 33040 rc ucauc:ni JOHNSONS INS AGY 0004 P O BOX 2346 MARATHON SHORES, FL 33052 (305) 289-0213 FWUA 03 (08/98) 0004 Team 3 rare . INSURED Date: 6/20/2002 PRODUCER COPY R 40111 2490 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED NAME AND ADDRESS <"CITIZENS THIS IS A PIGEON KEY FOUNDATION C/O MONROE COUNTY RISK MANAGEMENT P.O. BOX 500130 MARATHON, FL 33050 DWELLING POLICY TERM 7/10/2003 TO 7/10/2004 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1233480 INCEPTION DA EXPiRATION DATE THIS IS YOUR POLICY DECLARATION PAGE - This is not a Bill PAaR I •, ; ...: ..........................................................::..•::.:::::::. : ::•::..:..:::..:.,::...:..::::•::•::•...•.•::..::•::::.::::.:.:• ....................i:: i:::< : iii :.:.. .:;::::•::•.:::::: >::::: >::2 ::>:::s::::::::: is is : •.:.:..::.:::<:i::::: i::::::::::......:'..::..::...::::: : i...... ::: :::: i : >: ii: i::::::<::::::::::::::::::::::::::::::::::;::::;::>::::: .... `:;':::2 :::::: • •::::: •::::::::.. •::...........•.......::.:: ; .....::: ..; ...; ....:...•....... ::.::.•.•::::. r• ;;:;:.;;:..::.:.•.•:.•.:.:. :::. ::.•::.:::: z:z::;::::U.iirkSS#urriArX�r.,c3.::::::::::::.:::.::: 43r'.:::.:::::::::.................................. C>r.P•1 ..•.•::::::. ........... .i ,•:::::::.•:.•::.•.•::.•:::::::::....:........................................:•::::.:::::.::::.::::.•::.•::::::::::::::::.•..::.•:::::. .................. �..................... .................. :::•:.:.,..,,,.....::..:• •:: •:.::•.:• ::::..,::,: • :•..:.:•::•:.•.:........::•.:•:.•.•.•.•.:::::.,..:: 1 17,000 0 500/500 T-90 134 .638 The premium for this item is based on the housing characteristics listed below: TENANT OCCUPIED ONE STORY FRAME 1 UNIT DWELLING LOC: HONEYMOON COTTAGE PIGEON KEY OFF 7 MILE BRIDGE PIGEON KEY, MONROE FL 33050 One story, frame, gable roof, shingle covering, standard sheathing attachment, no attached garage, no sliding glass doors and attached porch If the above characteristics do not accurately describe your dwelling, contact your agent. AP (] A-rEN BY IT. GATE ,NAIVF'P N�lA 4— YES P - I Non -Hurricane 2 .00 Florida Hurricane Cat Fund DO NOT PAY $ Hurricane 132.00 $ .00 $ Policy Fee 2 3 .00 Reins/Cat Financing 17,000 Tax -Exempt Sur 3.00 i 24.00 184.00 Subject to Form No s : CIT DW2 CIT-W05 CIT-WO494 Mortgagee/Loss Payee: MONROE COUNTY BOCC 5100 COLLEGE RD KEY WEST, FL 33040 j GC� HARRIS JOHNSON CORP 0004 THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 (305) 289-0213 CIT-WO3 (7/02) 0004 Team 3 INSURED Date: 7/08/2003 MORTGAGEE COPY R 40111 2818 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED NAME AND ADDRESS �"CITIZENS THIS IS A PIGEON KEY FOUNDATION C/O MONROE COUNTY RISK MANAGEMENT PO BOX 500130 MARATHON, FL 33050 GENERAL BUSINESS POLICY TERM 7/10/2003 TO 7/10/2004 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1233045 T=7r0= EXPIRATION DATE THIS IS YOUR POLICY DECLARATION PAGE - This is not a Bill PAGE 1 :. lEa.:.•.:.:::::::::. .:.:.•::•:::>::>.:••• : 2:<':::22::::::: ;: • .,:..; ..,.::... • . :.•.•:::::::::::::::::::::::. • . ;:.;:;.;:.;: ;: ;:. .:::::::::::::::::::.::., ...cazs>...::::. : :.:.:.:..: .:.:::•:. ::::•::::•:::5:2:::::::::2 :::::::..•::::::::::..:....... :x3':..:.:.::.:.; .:::::::.::.: � ?a3t� ..::.:.:::::::::::.•.•:::::::: 1 194,000 90 5,820 T-85 1,508 16,000 90 1,000 T-85 124 ONE STORY FRAME MEETING ROOMS/CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/1D #46 7 MILE BRIDGE PIGEON KEY, MONROE FL 33050 2 59,000 90 1,770 T-85 458 30,000 90 11000 T-85 233 ONE STORY FRAME MUSEUM BUILDING ON STILTS/PILINGS LOC: C/ID #47 3 55,000 0 90 1,650 T-85 427 ONE STORY FRAME OFFICE BUILDING ON STILTS/PILINGS LOC: C/ID #48 4 89,000 0 90 2,670 T-85 282 ONE STORY FRAME (1) UNIT DORMITORY BUILDING ON STILTS/PILINGS LOC: C/ID #49 5 89,000 0 90 2,670 T-85 282 ONE STORY FRAME 3 UNIT BRIDGE K/A TENDERS HOUSE ON NA STILTS/PILINGS LOC: C/ID #50 AP RISK D.Y. DATE WAIVER �I/A YES .1'UTAIi AMOUNT OF COVERAGE PREMIUM SURCHARGES T 1 L Florida Hurricane Cat Fund DO NOT PAY $ E $ Reins/Cat Financing S Subject to Form No(s): Mortgagee/Loss Payee: MONROE COUNTY BOARD OF CTY COMM 5100 COLLEGE RD r� KEY WEST, FL 33040 HARRIS JOHNSON CORP 0004 THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 Sul vi. INSURED (305) 289-0213 CIT-WO3 (7/02) 0004 Team 3 Date: 7/08/2003 MORTGAGEE COPY R 40111 2815 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED NAME AND ADDRESS <"61nZENS THIS IS A PIGEON KEY FOUNDATION C/O MONROE COUNTY RISK GENERAL BUSINESS MANAGEMENT PO BOX 500130 MARATHON, FL 33050 -`- POLICY TERM 7/10/2003 TO 7/10/2004 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1233045 INCEPTION DATE =1= DATE THIS IS YOUR POLICY DECLARATION PAGE - This is not a Bill PAGE 2 6 53,000 0 90 1,590 T-85 ONE STORY FRAME LABORATORY BUILDING ON STILTS/PILINGS LOC: C/ID #51 7 32,000 0 90 1,000 T-85 ONE STORY FRAME CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/ID #53 $ P - I 412 249 Florida Hurricane Cat Fund DO NOT PAY $ 3,975.00 E .00 $ Reins/Cat Financing - 617,000 Tax Exempt Sur 70.00 E 596.00 4,641.00 Subject to Form No(s): RETAINED CIT CP2 CIT-W06 Mortgagee/Loss Payee: MONROE COUNTY BOARD OF CTY COMM 5100 COLLEGE RD KEY WEST, FL 33040 ,gent: HARRIS JOHNSON CORP 0004 THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 (305) 289-0213 CIT-WO3 (7/02) 0004 Team 3 INSURED Date: 7/08/2003 MORTGAGEE COPY R 40111 2816 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CGrOORATION, WIND ONLY POLICY 7077 Bonneval Road - Suite 500, Jacksonville, Florida 32216-6064 INSURED NAME AND ADDRESS <"CITIZENS THIS IS A PIGEON KEY FOUNDATION C/O MONROE COUNTY RISK GENERAL BUSINESS MANAGEMENT PO BOX 500130 MARATHON, FL 33050 POLICY TERM 7/10/2003 TO 7/10/2004 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1233045 THIS IS YOUR POLICY DECLARATION PAGE - This is not a Bill PAGE 2 6 53,000 0 90 1,590 T-85 412 ONE STORY FRAME LABORATORY BUILDING ON STILTS/PILINGS LOC: C/ID #51 7 32,000 0 90 1,000 T-85 249 ONE STORY FRAME CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/ID #53 ANP i� Y�J*MA E ENT DATE 'WAIVER N/A YES P - I Fioriaa Hurricane bat Funa 0U N01 PAY $ 3,975.00 $ .00 $ Reins/Cat Financing 617,000 Tax Exempt Sur 70.00 i 596.00 4,641.00 Subject to Form No (s) : RETAINED CIT CP2 CIT-W06 Mortgagee/Loss Payee: MONROE COUNTY BOARD OF CTY COMM 5100 COLLEGE RD KEY WEST, FL 33040 CG gent: HARRIS JOHNSON CORP 0004 THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 (305) 289-0213 CIT-W03 (7/02) 0004 Team 3 INSURED Date: 7/08/2003 AGENT COPY R 40111 2814 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CIT;"ENS�'ROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CG "ORATION, WIND ONLY POLICY 7077 Bonneval Road - Suite500, Jacksonville, Florida 32216-6064 INSURED NAME AND ADDRESS 49 61nZENS THIS IS A PIGEON KEY FOUNDATION C/O MONROE COUNTY RISK "013=i�'INESS MANAGEMENT PO BOX 500130 MARATHON, FL 33050 POLICY TERM 7/10/2003 TO 7/10/2004 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1233045 INCEPTION DATE Mr=ON DATE THIS IS YOUR POLICY DECLARATION PAGE - This is not a Bill PAGE 1 1 194,000 90 5,820 T-85 16,000 90 1,000 T-85 ONE STORY FRAME MEETING ROOMS/CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/1D #46 7 MILE BRIDGE PIGEON KEY, MONROE FL 33050 2 59,000 90 1,770 T-85 30,000 90 1,000 T-85 ONE STORY FRAME MUSEUM BUILDING ON STILTS/PILINGS LOC: C/ID #47 3 55,000 0 90 1,650 ONE STORY FRAME OFFICE BUILDING ON STILTS/PILINGS LOC: C/ID #48 4 89,000 0 90 2,670 ONE STORY FRAME (1) UNIT DORMITORY BUILDING ON STILTS/PILINGS LOC: C/ID #49 5 89,000 0 90 2,670 ONE STORY FRAME 3 UNIT BRIDGE K/A TENDERS HOUSE ON STILTS/PILINGS LOC: C/ID #50 T-85 T-85 T-85 1,508 124 458 233 427 282 282 APPT Y KM A N MENT BY -- DATE ~ WAIVER N/A ES fIoriaa Hurricane cat tuna Uu nul FAT E $ $ Reins/Cat Financing E ect to Form No(s): tgagee/Loss Payee: G C. gent: HARRIS JOHNSON CORP 0004 THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 (305) 289-0213 CIT-W03 (7/02) 0004 Team 3 INSURED Date: 7/08/2003 AGENT COPY R 40111 2813 ACORD CERTIFICATE OF LIABILITY INSURANCE CSR SC DATE(MM/DD/YYYY) PRODUCER PIGEO-1 09 17 03 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER.THIS CERTIFI ACONFERS NOTE DOES NOT AMEND, EXTEND OR 30975 Avenue A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key FL 33043 Phone: 305-872-2888 INSURED AFFORDING COVERAGE Scottsdale Insurance Co. !URER RNAIC# The Pigeon Keg Foundation Renee Shain ffice Mger P.O. Box 506130 Marathon FL 33050 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 DATE M11M/DD/YY DATE MMlDD/YY GENERAL LIABILITY LIMITS A $ COMMERCIAL GENERAL LIABILITY CPS0588501 EACH OCCURRENCE $ 1 OOO r OOO 08/23/03 08/23/04 CLAIMS MADE [K OCCUR PREMISES (Ea occurence) $50,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1 r OOO r OOO GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 r 000 r 000 POLICY E� LOC PRODUCTS - COMP/OPAGG $ 2 r 000 r 000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ( Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS 'ri�yQ�, BY S M NA ENT (Per person) NON -OWNED AUTOS BODILY INJURY $ - (Per accident) PROPERTY DAMAGE Per accident) $ ( GARAGE LIABILITY ` V'A V ` "( NIA ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ EXCESS/UMBRELLA LIABILITY AUTO ONLY: AGG $ OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND $ EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ OTHER E.L. DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL museums - 10 bldgs not for profit only/include PROVISIONS prod/comp opus. the limits of coverage on this certificate apply for all jobs & locations. **CERTIFICATE HOLDER IS ALSO ADDITIONAL INSURED** 7r2) CERTIFICATE HOLDER CANCELLATION 14O�0— 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 Simonton Street Key West FL 33040 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSUR ITS AGENTS OR REPRESENTATIVES. ALITHO D REPRESE V ACORD 25 (2001/08) _ san J. Cher r �"��"©A RD CORPORATION 1988 09/29/03 14:25:36 From: (727)577-5775 To: 13058729263 HU11 & company, Inc.Page:002/2 INSURED Pigeon Key Foundation, Inc. P.O. Box 500130 Marathon, FL 33050 COMPANY A Scottsdale Insurance Company 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. LTR TYPE OF INSURANCE POUCYNUMBER POLICYEFFECTNE POUCYEXPIRATION LIMITS DATEWMD/YY) GENERAL UANUTY GENERAL AGGREGATE $ $2,000,000. X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP,OOP AGO $ $2,000,000. A I CLAIMS MADE ❑X OCCUR CPS0588501 8/23/2003 8/23/2004 PERSONAL a ADV INJURY $ $1,000,000. OWNER'S 8 CONTRACTOR'S PROT $1 000 000 EACH OCCURRENCE $ 1 1 • FIRE DAMAGE (Any one fire) $ $50,000. MED EXP (Any one awn $ $5,000. AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLEUMIT $ EXCLUDED ALL OWNED AUTOS SCHEDULEDAUTOS BODILYINJURY (Per person) $ EXCLUDED HIRED AUTOS NON-OMINEDAUTOS BODILY INJURY (Peraocdent) EXCLUDED $ j K M �`� 11 ENT ` PROPERTY DAMAGE $ EXCLUDED GARAGELUBIU7Y AUTO ONLY - EA ACCIDENT $ EXCLUDED ANY AUTO OTHER THAN AUTO ONLY - ES7 EAGHACCIDENT $ EXCLUDED AGGREGATE `•� $ EXCLUDED EXCESS LIABILITY EACH OCCURRENCE $ EXCLUDED UMBRELLA FORM $ EXCLUDED AGGREGATE OTHER THAN UMBRELLA FORM EXCLUDED $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABI UTY ( T V 17_ .: THE PROPRIETOR/ EL EACH ACCIDENT $ EXCLUDED- PARTNERS/EXECUTIVE INCL EL DISEASE - POLICY LIMIT $ EXCLUDED OFFICERS ARE: EXCL EL DISEASE• EAEMPLOYEE $ EXCLUDED OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEMCLEISPECIAL ITEMS Monroe County Board of County Commissionerss 1 100 Simonton St. Key West, FL 33040- is named as additional insured 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 ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE .:... -.::.............................. Cl I WFSi! t ; tM LLK i� 89015 OVERSEAS HIGHWAY TAVERNIER, FL 33070 We respect your privacy, U RANCE 30975 AVENUE A BIG PINE KEY, FL 33043 PRIVACY NOTICE 13361 OVERSEAS HIGHWAY MARATHON SHORES, FL 33050 To serve you best, we do need current information about you from the following sources in order to place insurance for you: • Applications and insurance forms you complete with personal information, including name, address, s,)cial security n.lmber, etc. • Transactions you complete with The Johnsons Insurance Agency. These may include payment histories, past I- remiums and claim processing data. • Outside sources, ncluding, but not limited to, law enforcement and state motor vehicle departments. • Consumer reporti:-ig agencies. • Other insurance ,!gencies o cot �panies you have dealt with. All information about you remains personal and confidential — the onlyp are the employees w )rking to serve you, the insurance companies, managing who see it agencies that The Johnsons Insurance Agency uses to place insurance for you, eneral The Johnsons Insurance Agency is f)roud of the electronic security and internal procedures set up to protect you. We do riot disclose any personal information about our customers or former customers to anyone, except as permitted by law unless you have given us your consent. If in the future, you request a quotation for additi a policy or quotation of insurance. onal types of insurance, we will use the information in our possession and provide same to the necessary parties to obtain If your insurance policy has been cancelled or nonrenewed, this Privacy Notice does not reinstate that policy and this Privacy Notice should not be accepted by anyone as evidence that insurance coverage is in force. Rev. 2/22/02 "YOLK FLQk/DA KE YS INSUNANCE CENTER" TAVERNIER MARATHON BIG PINE KEY WEST MM 89 • MM 54 • 852-9247 289-0213 P•31 • ( Location) 872-2-2888 29 294-5248 ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1DATE (MMIDONY) 0/29/2003 PRODUCER (305)294-2542 FAX (305)296-7985 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Porter Allen Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 513 Southard Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West, FL 33040 INSURED I P.O. BOX 500130 ., MARATHON„ FL 33040 COVERAGES INSURERS AFFORDING COVERAGE INSURER A: SUMMIT CONSUL 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. INSR T TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE AT MIDfYYI POLICY EXPIRATION DATEM LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR AP!:!,,! Y BY T DATL _ _ R SK M 9 fir# C.N? „_ EACH OCCURRENCE S FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS •COMP/OP AGG S AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Ot C ;:(4 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per peen) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ S EXCESS LIABILITY OCCUR F CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE S $ $ S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER 520 - 25679 0000 08/23/2003 08/23/2004 TORYLIMIT S ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE . EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT S SOO , OOO DESCRIPTION OF OPERATIONS/LOCATIONSiVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: X CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL MONROE COUNTY RISK MGT. 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MARIA SLAVIK BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 SIMONTON STREET OF ANY KIND UPON THE COMPANY, ITS e2ENTS OR REPRESENTATIVES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE nr_nwn 'Ja_e 171071 WILLIAM A. FREEMAN/ t CG: ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MM/DO/YYYY) PIGEO-1 1 12 16 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30975 Avenue A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key FL 33043 Phone: 305-872-2888 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: GMAC 09273 INSURER B: The Pigeon Ke Foundation Renee Shain �ffice Mger INSURERC: P.O. BOX 506130 Marathon FL 33050 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMlDD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS FLC450141700 08/01/03 08/01/04 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 1 O OOO r X BODILY INJURY (Per accident) $ 2O OOO r PROPERTY DAMAGE (Per accident) $ lO OOO r GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ 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 $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS ***Holder is additional insured**** ,,ERT iFiCA I E HOLDER CANCELLATION MONRO— 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 Simonton Street Monroe County IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Susan J. Cher b'�� / ACORD 25 (2001108)/ / ©. ORD CARP, TION 1988 ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/17/2005 PRODUCER (305)294-2542 FAX (305)296-7985 The Porter Allen Company 513 Southard Street Key West, FL 33040 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 NAIC # INSURED Pigeon Key Foundations Inc PO BOX 500130 Marathon, FL 33040 INSURERA: Florida Retail Federation SIF INSURER B: INSURERC: INSURER D INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID INSR DD' TYPE OF INSURANCE POLICY NUMBER INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED S (Ea am wence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: 71 POLICY PRO_ JECT LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY $ ANY AUTO COMBINED SINGLE LIMIT (Ea accident) ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS ApP �� B BY ~1C MAN BODILY INJURY (Per (Per person) BODILY INJURY (Per accident) $ NON -OWNED AUTOS DATE '� YES PROPERTY (jDAMAGE $ WAIVER N/ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY $ OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND TBA EMPLOYERS' LIABILITY $ 02/01/2005 02/O1/2006 WC STATU- OTH- Y LIMITS ER A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER ER EXCLUDED? ?If E.L. EACH ACCIDENT $ ]•00 �� yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ 500,000 OTHER E.L. DISEASE -POLICY LIMIT $ 100,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER ,....,,�..._.__. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL MONROE COUNTY RISK MANAGEMENT 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, ATTN ; MARIA SLAVIK BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1100 SIMONTON STREET OF ANY KIND UPON THE INSU ER, ITS AGENTS OR REPRESENTATIVES. KEY WEST FLU 33040 AUTHORIZED REPRESENTATIVE WILLIAM A. FREEMAN 88 ACORD 25 (2001/08) FAX: 295-3179 ©ACORD CORP ON 1988 ACORD . CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MM/DD/YYYY) PIGEO-1 El 02 17 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Johnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30975 Avenue A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Big Pine Key FL 33043 Phone : 305-872-2888 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: National Indemnity Co. of S . INSURER B: The Pigeon Key Foundation INSURER C: Sherri Hitz P.O. BOX 500130 INSURERD: Marathon FL 33050 INSURER E: L:UVLKAULb 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. IN5K LTR ALAYN INSR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATEYMM/DD/YY POLICY DATE MM/DD/YY EXPIRATION 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 PRO- JECT LOC PRODUCTS - COMP/OP AGG $ A AUTOMOBILE LIABILITY ANY AUTO 74ARN253225 03/13/04 03/13/05 COMBINED SINGLE LIMIT (Ea (Ea accident) 1r 000r 000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AP �rrr�ri� g x;h?, 'GE E, -) x%f.ola AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO}{ S1 AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY OCCUR El CLAIMS MADE DEDUCTIBLE DATE WAIN47f-t V ' EACH OCCURRENCE $ AGGREGATE $ $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY l,' TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS 1974 Jeep Custom DJSC411233 ***HOLDER IS ALSO ADDITIONAL INSURED*** 1995 Jeep Tram FLT10086HH 1995 Ford ClubWagon 1FBJS31H3SHA52154 1997 Ford Club Wagon 1FBJS31L4VHB0789 '— — — I+AM r_LLA I IUN MONRO— 6 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County StreBOCCet iREPeREZATIVES. OSBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street Key Test FL 33040 DR PRELNrTA�E �o ACORD 25 (2001/08) ©AtQft CORPORATION 1988 Certificate of insurance NATIONAL INDEMNITY COMPANY OF THE SOUTH 3024 Harney Street + Omaha, Nebraska 68131-3580 This certificate of insurance is not an insurance policy and does not amend. extend or alter the coverage afforded by the policies listed herein. 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 which may substantially limit coverage Where reference is made to an Aggregate Limit, those limits are Company's maximum liability under the Policy for the entire policy period regardless of the number of insureds. claimants or occurrences Name of Insured PIGEON REY FOUNDATION PO BOX 500130 MAP.ATHON, FL 33050 Policy Number 74 APN 323417 Effective Dates 03/13/2005 12:01 AM to 03/13/2006 12:01 AM Automobile Liability Bodily Injury Each Person $ Each Accident S Property Damage Each Accident $ Bodily Injury and Property DamageCombined Single Limit S 1, 000, 000 Year, Make, Model VIN 1974JEEP CUSTOM DJSC411233 1995JEEP TRAM ELT10086HR 1995FORD CLUB WAGON 1FBJS31H3SHA52154 1997FORD CLUB WAGON 1FBJS1L4VHB07896 9 Certificate Holder is also listed as Additional Insured ( See Attached) In the event of any material change in or cancellation of said policies, the COMPANY intends to, but is not obligated to. notify the party to whom this Certificate is addressed of such change or cancellation, and COMPANY undertakes no responsibility by reason of any failure to do so. This Certificate issued to: MO14POE COU14TY BOARD OF COUNTY COMMISSIONERS PO BOX 1026 KEY WEST, FL 33C41-1D26 M-4579 (2/95) f c� 1 By F General A mov L RE(-TIVED JUL tA 2W5 POLICY NUMBER: 74APN323417 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by this endorsement This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi- sion of the Coverage Form This endorsement does not alter coverage provided in the Coverage Form This endorsement changes the policy effective on the inception date of the policy unless another date is Indicated below. Endorsement Effective: 6/29105 12:50 PM Countersigned By: Named Insured: PIGEON KEY FOUNDATION, THE ! SCHEDULE Name of Person(s) or Organization(s): MONROE COUNTY BOARD OF COUNTY COMMISSIONERS PO BOX 1026 KEY WEST, FL 33041-1026 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section 11 of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑ RECEIVED JUL. L 5 2005 Fidelity Nati.nal Insuranee mmp~ P.O. Box 33003 St. Petersburg, pLs3r33'x""* /'800'820'3241 8yL 99,001 0005 0176839 5/03/06 2000 25180 FO) BGLK IATIONAL INSURANCE COMPANY" FLOOD RATIONS PAGE Policy 77 From: 5/22/06Tn: 5/22/07 Insured THE PIGEON KEYyOUNDAT PO DD8 500130 8&DAT000 FL 33050-0130 12:01um10084877 Number 08 COUNTY BOARD OF CTY COLLEGE DD uror r/ �xo�o-�xlu ^ ^^ ^^"`" -^^' � � \ (305)289-021 ��- Insured Location (if other than above) � N2GD0 O?D ll / ID #53, 9IGD00 KEY FL 38050-0000 Community Name UD0R0C COUNTY Building Description Non -Residential Conlnnunkv# 125129 Condo Type N/& #ofFloors One Floor Community Rating 10 / 0O% #cfUnits O Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone &O Elevation Difference 0/& Location Description Contents Location BUILDING $29'100 CONTENTS $0 slo u' Y7 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location $1,000 $242.00 $0 $,00 &N0D&L SUBTOTAL: $242^00 DEDUCTIBLE CREDIT: $,00 ICC PREMIUM: $75^00 COmMUnIIY DISCOUNT: $^00 TOTAL WRITTEN PREMIUM: $317^00 yCDDD&L POLICY SERVICE FEE: $30^00 TOTAL PREMIUM: $347,00 Premium paid by; Insured This policy covers only one building If you have more than one building on your property, please make sure they are all covered See 111. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company Coverage Lirrictations may apply. Please refer to your Flood Insurance Policy for details, This policy missued by Fidelity National Insurance Company Copy Set To: As indicated on back or additional pages, if any. 00846770925101]19820612]00005 Lender Fidelity National 1.sUrancr Company P.O. Box 33003 St, Petetshurg, FL 33733-8003 1-800-820-3242 BFL 99.001 0605 0176839 5/03/06 FIDELITY NArsONA+!MSURANCc COMPANY 2000 25180 FLO RGLR _...._ ...__.. ..__ __.......-. ri vvL i,n� ir�naiivlva rnac Policy Type 09 2510131983 02 1 99-02015907-2005 Date of issue 5/03/06 General Property Form From: 5/22/06 To: 5/22/07 12:01 am Standard Time I I Insured THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130 5/22/04 12:01aml0084677 1 (305) Loan Number MONROE COUNTY BOARD OF CTY ,}( 5100 COLLEGE RD KEY WEST FL 33040-4319 Insured Location (if other than above) OFFICE/ASST PAINT FOREMAN HSE, PIGEON KEY FL 33050-0000 fig,+:+ .: ,." 7 Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / 00% # of Units 0 Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description #15 Contents Location ,. 1a BUILDING $51,000 $1,000 $423.00 CONTENTS $0 $0 $.00 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location ANNUAL SUBTOTAL: $423.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $498.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM: $528.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are a)) covered, See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply Please refer to your Flood Insurance Policy for details. GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1003 li This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 00846770925101319830612300006 Lender m««or National Insurance Company BFL 99^001 0605 1~. Box ``'03 — Ol76839 *�Pet ersburg, o K}�aa73o^^m 1'8m/'828'3242 5/03/06 &FIDELITY 2000 25180 FLD DGLO NATIONAL INSURANCE COMPANY" FLOOD DECLARATIONS PAGE Policy Type General Pr doil .0" 1111111b M. Insured Loan Number ~~ THE PIGEON KEY FOUNDATION 0Q0D0C COUNTY BOARD OF [IY /(` PO BOX 500130 5100 COLLEGE 8D — - MARATHON FL 33850-0130 KEY WEST FL 38040-43 �\|— Insured L"oonon(if other than above) Y° BRIDGE WORKERS DORM 13, PIGEON KEY FL 33040-0000 to Community Name M00DUD COUNTY Building Description Non —Residential Community # 125129 Condo Type 0/& #<fFloors One Floor Community Rating 10 / 00% #ofUnits 0 Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone &8 Elevation Difference NIA Location Description ID #49 Contents Location BUILDING $81,800 C0NIE0I3 $0 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loanr The above message applies only when there is a mortgagee on the insured location, $1,000 ¢679,00 $0 $,O0 ANNUAL SUBTOTAL: $079.00 DEDUCTIBLE CREDIT: $^OU ICC PREMIUM: $75^00 COMMUNITY DISCOUNT: $^00 TOTAL WRITTEN PREMIUM: $754,00 FEDERAL POLICY SERVICE FEE: $30^00 TOTAL PREMIUM: $784,00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See Ill. Property Covered within your Flood policy for the NFIP definition of "building'' or contact your agent, broker, or insurance company Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details, This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on bank or additional pages, if any. 0084677092510131984061E300007 Lender Fidelity National Insunmce Company P.O. Box 33003 St. Petersburg, FL 33733-8003 1-800-820-3242 BFL 99.001 0605 0176839 5/03/06 2000 25180 FLD RGLR IATIONAL INSURANCE COMPANY" FLOOD DECLARATIONS PAGE Policy Type .ii t { , 09 2510131985 02 99-02015909-2005 Date of Issue 5/03/06 1 General Property Form From: 5/22/06 To: 5/22/07 12:01 am Standard Time I 1 yr(s)I 5/22/04 12:01am 10084677 I (305) 289- Insured Loan Number THE PIGEON KEY FOUNDATION MONROE COUNTY BOARD OF CTY cc PO BOX 500130 5100 COLLEGE RD MARATHON FL 33050-0130 KEY WEST FL 33040-4319 rfl" ger� —q, p Insured Location (if other than above) i MUSEUM AST BRIDGE TENDER HSE #, PIGEON KEY FL 33050-0000 \. Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / 00% # of Units 0 Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description Contents Location Lowest Floor Only Above Ground Level f y yy Iiiet�tilc7ti/.8 ... .{ .. , BUILDING $54,200 CONTENTS $50,000 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of an changes in the servicer of this loan. Th b lies onl when there is $1,000 $450.00 $1,000 $810.00 ANNUAL SUBTOTAL: $1,260.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $1,335.00 FEDERAL POLICY SERVICE FEE: $30.00 e a ove message app y 365.00 a mortgagee on the insured location. TOTAL PREMIUM: $1 , Premium paid by: Insured This policy covers only one building, If you have more than one building on your property, please make sure they are all covered, See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. 73,k.iJ i GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1003 if This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 00846770925101319850612300008 Lender Fidelity National Insurance Company P.O. Box 33003 St. Petersburg, FL 33733-8003 1-800-820-3242 BFL 99.001 0605 0176839 5/03/06 2000 25180 FLD RGLR IAT10 NAL INSURANCE COMPANY" FLOOD DECLARATIONS PAGE Policy Type 09 2510131986 02 1 99-02015910-2005 Date oflssue 5/03/06 General Property Form From: 5/22/06 To: 5/22/07 12:01 am Standard Time 1 yr(s) 5/22/04 12:01am 0084677 (305)289-0213 Insured Loan Number THE PIGEON KEY FOUNDATION MONROE COUNTY BOARD OF CTY v v PO BOX 500130 5100 COLLEGE RD u MARATHON FL 33050-0130 KEY WEST FL 33040-4319 Insured Location (if other than above) HONEYMOON COTTAGE 12/ ID #52, PIGEON KEY FL 33050-0000 Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / 00% # of Units 0 Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description Contents Location BUILDING $15,300 CONTENTS $0 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the VWO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location $1,000 $127.00 $0 $.00 ANNUAL SUBTOTAL: $127.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $202.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM: $232.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition of''building'' or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. 011. .:l:.? 1�i:l�Il .;,i :; �;. ;iLl(',.t,t4•oi, GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1003 1 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 00846770925101319860612300009 Lender Fidelity National Insurance Company BFL 99.001 0605 P.O. Bos33003 0176839 St. Petersburg, F'L 33733-8003 1.800-820-3242 5 / 03 / 06 FIDELITY 2000 25180 PLO RGLR NATIONAL INSURANCE COMPANY" FLOOD DECLARATIONS PAGE Policy Type : 09 2510131987 02 99-02015911-2005 1 Date of Issue 5/03/06 General Propertv Form Mr,;Rii;&i: From: 5/22/06 To: 5/22/07 12:01 am Standard Time 1 yr(s) 5/22/04 12:01am 0084677 (305) 289-0213 Insured Loan Number THE PIGEON KEY FOUNDATION MONROE COUNTY BOARD OF CTY PO BOX 500130 5100 COLLEGE RD MARATHON FL 33050-0130 KEY WEST FL 33040-4 19 Insured Location (if other than above) Y PIGEON KEYy/.S�E(C GANG QTRS ID #4, PIGEON KEY FL 33050-0000 777777 Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / 00% # of Units 0 Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description Contents Location Lowest Floor Only Above Ground Level /y p BUILDING $177,800 CONTENTS $15,000 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan, The above message applies only when there is a mortgagee on the insured location $1,000 $1,442.00 $1,000 $243.00 ANNUAL SUBTOTAL: $1,685.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $1,760.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM: $1,790.00 Premium paid by: Insured This policy covers only one building, If you have more than one building on your property, please make sure they are all covered See III, Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details, GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1003 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 0084677092510131987061230000A Lender Fidelity National Insurance Company P.O. Box 33003 St. Petersburg, FL 33733-0003 1-800-820-3242 BFL 99.001 0605 0176839 5/03/06 FIDELITY NATIONAL INSURANCE COMPANY" FLOOD DECLARATIONS PAGE 2000 25180 FLD RGLR Policy Type ' .ii u G ^: ,. .... �t =,.•:., ,;� 3 ,t.. " .r .�: r;1.It: , 09 2510131988 02 1 99-02015912-2005 Date of Issue 5/03/06 General Property Form From: 5/22/06 To: 5/22/07 12:01 am Standard Time I 1 Insured THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130 5 / 22 / 04 12:01 am J 0084677 Loan Number MONROE COUNTY BOARD OF CTY 5100 COLLEGE RD KEY WEST FL 33040-4319 0 (305)289-021 �G Insured Location (if other than above) BRIDGE FOREMANS HOUSE 17, ID #51, PIGEON KEY FL 33050-0000 Ifttt 17 Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / 00% # of Units 0 Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description Contents Location BUILDING $48,800 CONTENTS $0 F AR MORTGAGEEeform Act of 1994 requires you fo notifyYO company for this policy wthin60 days y changes in the servicer of this loan, The above message applies only when there is a mortgagee on the insured location, $1,000 $405.00 $0 $.00 ANNUAL SUBTOTAL: $405.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $480.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM: $510.00 Premium paid by: Insured This policy covers only one building, If you have more than one building on your property, please make sure they are all covered. See III, Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company, Coverage Limitations may apply Please refer to your Flood Insurance Policy for details. i. tf ......,u:w4 ttiE , I (, d �.... }� .. 3 3 , i ?. 3 ! ...(� 4:. ..., it.:.:, LJ.hI: d.E;;, •... `•, : � t GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1003 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 0084677092510131988061230000B Lender ZIL FIDELITY Y ATIf�AlAI fA/flfO�ll!'f .' Fidelity National Insurance Company P.O. Box 33903 3t. Petersimra, F1.33733-8003 1-800-820-3242 BFL 99.001 0605 0176839 5/03/06 2000 25180 FLO RGLR _...,_..._ .. ..__ _ .... .., r>.wu JUMULAxvuvlvZ) rAUZ Policy Type ,:':fl j.- "KI 09 2510131989 02 99-02015913-2005 Date of Issue 5/03/06 General Property Form From: 5/22/06 To: 5/22/07 12 01 am Standard Time 1 1 yr(s) 5/22/04 12:01am 0084677 (305) 289-0213 Insured Loan Number THE PIGEON KEY FOUNDATION MONROE COUNTY BOARD OF CTY `-"'7iu ; �(•F1 PO BOX 500130 5100 COLLEGE RD MARATHON FL 33050-0130 KEY WEST FL 33040-4319 :.ACLtrll1eJ�.//y� Insured Location (if other than above) 1 `l� BRIDGE TENDERS HOUSE 16 ID #50, PIGEON KEY FL 33050-0000 Mt#iCNtlif#ik ,, , ,: ,( Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors one Floor Community Rating 10 / 00% # of Units 0 Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description Contents Location P![�tfs BUILDING $31,500 CONTENTS $0 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan, The above message applies only when there is a mortgagee on the insured location. $1,000 $261.00 $0 $.00 ANNUAL SUBTOTAL: $261.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $336.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM: $366.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III, Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. 7777 GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1003 1 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 0084677092510131989061230000C Lender Fidelity National Insumnee Company P.O. Box 33003 St. Petersburg, Fl, 33733-8003 1-800-820-3242 BFL 99.001 0605 0176839 5/03/06 FIDELITY NATIONAL INSURANCE COMPANY" FLOOD DECLARATIONS PAGE 2000 25180 FLD RGLR Policv Tvoe ,� 09 2510131990 02 1 99-02015914-2005 Date of Issue 5/03/06 lGeneral Pro art Form From: 5/22/06 To: 5/22/07 12:01 am Standard Time I 1 yr(s)l 5/22/04 12:01am 10084677 l (305) 289-021 Insured Loan Number 6,5 , THE PIGEON KEY FOUNDATION MONROE COUNTY BOARD OF CTY l� PO BOX 500130 5100 COLLEGE RD MARATHON FL 33050-0130 KEY WEST FL 33040-4319 M. 'S�l Insured Location (if other than above) /— GENERATOR BLDG #14 / ID #54, PIGEON KEY FL 33050-0000 � Community Name MONROE COUNTY Building Description Non -Residential Community # 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / 00% # of Units 0 Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone VE Elevation Difference N/A Location Description Contents Location In.I::,. BUILDING $23,700 CONTENTS $0 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan, The above message applies only when there is a mortgagee on the insured location $1,000 $261.00 $0 $.00 ANNUAL SUBTOTAL: $261.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $336.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM: $366.00 Premium paid bv: Insured This policy covers only one building, If you have more than one building on your property, please make sure they are all covered. See III, Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company, Coverage Limitations may apply, Please refer to your Flood Insurance Policy for details. GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1003 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 00846770925101319900612300004 Lender FidelityNational hrxumnce('ompnm P.O. Box 33003 St. Petersburg, FL 33733-8003 1-81[81-8201 3242 BFL 99.001 0605 0176839 5/03/06 FIDELITY 2000 25180 FLO RGLR ^•"'^A"""'^^^"`COMPANY rLVVU 11L,GLAKA11V1Nb rAar Policy Type 09 2510131991 02 99-02015915-2005 Date of Issue 5/03/06 General Property Form From: 5/22/06 To: 5/22/07 12:01 am Standard Time 1 1 yr(s)I 5/22/04 12:01am I0084677 1 (3 Insured Loan Number THE PIGEON KEY FOUNDATION MONROE COUNTY BOARD OF CTY PO BOX 500130 5100 COLLEGE RD MARATHON FL 33050-0130 KEY WEST FL 33040-4319 Insured Location (if other than above) US HIGHWAY 1 OFF 7 MILE BRIDGE, MARATHON FL 33050-0000 �.. „ Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / 00% # of Units 0 Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description GARAGE BLDG 16 Contents Location Lowest Floor Only Above Ground Level BUILDING $60,000 $1,000 $498.00 CONTENTS $6,000 $1,000 $97.00 ANNUAL SUBTOTAL: $595.00 DEDUCTIBLE CREDIT: $.00 "i j I1 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 F EAR MORTGAGEE Reform Act of 1994 requires you to notify WYO company for this policy within 60 days ny changes in the servicer of this loan, The above message applies only when there is a mortgagee on the insured location. TOTAL WRITTEN PREMIUM: $670.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM: $700.00 Premium paid bV: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. ., .. .. ..,... ,i GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1003 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 00846770925101319910612300005 Lender cORn DATE /YY) /200 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOHNSONS INS. AGCY(MARATHON) 13361 Overseas Highway P.O- Box 2346 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 _^ Marathon, FL33052 p EIV'D 11COMPMY A Scottsdale Insurance Company tEr l.�i 1 :... INSURED i Pigeon Key Foundation, Inc. AUG 2 1 P.O. Box 500130 , Marathon, FL 33050 ., (- - } COMPANY B 'rCOMPANV I C RCOMPANY .._.�_..._-_� D _THIS IS 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(MWDD/YY) POLICY EXPIRATION DATE(MWDD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000.00 X PRODUCTS-COMP/OP AGG A COMMERCIAL GENERAL LIABILITY CLAIMS MADE FXIOCCUR CPS0732826 8/27/2005 8/27/2006 $ 2,000,000.00 $ 1,000,000.00 PERSONAL SADVINJURY OWNER'S S CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000,00 FIRE DAMAGE (Any one tire) $ 50,000.00 MED EXP (Any one person) $j,000.00 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ EXCLUDED BODILYPerso (Perrperson)n) $ EXCLUDED ALL OWNED AUTOS SCHEDULED AUTOS BODILYINJURY eccideM) (Perraccident) $ EXCLUDED HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ EXCLUDED _ GARAGE LIABILITY _ AUTO ONLY - EA ACCIDENT $ EXCLUDED ANY AUTO '� 1 w OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCLUDED AGGREGATE $ EXCLUDED EXCESS LIABILITY <.� EACH OCCURRENCE $ EXCLUDED AGGREGATE UMBRELLA FORM U $ EXCLUDED OTHER THAN UMBRELLA FORM $ EXCLUDED WORKERS COMPENSATION AND EMPLOYERS' LIABILITY T WC STATU- OTH-=:"" TORV LIMIT ER EL EACH ACCIDENT $ EXCLUDED THE PROPRIETOR W INCL PARTNE S(EXERIETCUTVE $ EXCLUDED EL DISEASE - POLICY LIMIT EL DISEASE - EA EMPLOYEE OFFICERS ARE: EXCL $ EXCLUDED OTHER DESCRIPTION OF OPERAMONSILOCATIONS/VEHICLES)SPECIAL ITEMS Monroe County Risk Management SHOULD ANY OF THE ABOVE DESCRIBED POUCHES BE CANCELLED BEFORE THE 1100 Simonton St. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Key West, FL 33040- 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 ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE is named as additional insured c � �rwc- ACORD�TY.I� G OATE._(MM/DDNY) =— __.. -- _- - sisizoos PRODUCER THIS TE IS ISSUED AS A MATTER OF INFORMATION JOHNSONS INS. AGCY (MARATHON) ONLYNFERS NO RIGHTS UPON THE CERTIFICATE 13361 Overseas Highway P.O. Box 2346 HOLDCERTIFICATE DOES NOT AMEND, EXTEND OR 7THE ALTEERAGE AFFORDED BY THE POLICIES BELOW. MPANIES AFFORDING COVERAGE Marathon, FL 33052 RECEIVED RECEIVED CON Y Scottsdalelnsuran_ceCo. INSURED Pigeon Key Foundation, Inc. P.O. Box 500130 SEP 11 �,'�'n COMF kNY COMF kNY Marathon, FL 33050 14ONROE COUNTY — COM NY RISK MANAGEMENT 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(MWDDNY) POLICY EXPIRATION DATE(MWDDNY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 X PRODUCTS - COMP/OPAGG A COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR CLS1275182 8/28/2006 8/28/2007 $ Included $ 1,000,000 PERSONAL SADVINJURY OWNER'S S CONTRACTORS PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE(Anyone tire) $ 50,000 MILD EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ EXCLUDED BODILY INJURY (Per parson) $ EXCLUDED ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ EXCLUDED HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ EXCLUDED GARAGE LIABILITY i /� - AUTO ONLY - EA ACCIDENT $ EXCLUDED OTHER THAN AUTO ONLY: MY AUTO I{t( 11 � - EACH ACCIDENT $ EXCLUDED AGGREGATE $ EXCLUDED EXCESS LIABILITY " - EACH OCCURRENCE $ EXCLUDED AGGREGATE UMBRELLA FORM \ $ EXCLUDED OTHER THAN UMBRELLA FORM /' U $ EXCLUDED WORKERS COMPENSATION AND EMPLOYERS'LIABIDTV /' WCRV STATULIM- OERTH- TO� ITS EL EACH ACCIDENT Is EXCLUDED L/ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE $ EXCLUDED EL DISEASE -POLICY LIMIT EL DISEASE EA EMPLOYEE OFFICERS ARE EXCL $ EXCLUDED OTHER DESCRIPTION OF OPERATIONWLOCAI'IONSNEHICLES/SPECIAL ITEMS The Certificate Holder is listed as additional insured. GG'.t-tr+ae)Cf, ., _ __ CANCEL1 kTIORkANK Monroe County Risk Management SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 1100 Simonton Street EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Key West, FL 33040- _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 ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. named as addltlonal Insured su AUTHORIZED REPRESENTATIVEis - _m Certificate of Insurance NATIONAL LIABILITY & FIRE INSURANCE COMPANY 3024 Harney Street • Omaha, Nebraska 681313580 This certificate of insurance is not an insurance policy and does not amend, extend or attar the coverage afforded by the policies listed herein. Notwithstanding arty requirement, tens or condition of any contract or 61h& tTocumerR with respeet towhichIds tettificate may be issued or may pertain; the insurance afforded by the policies described herein is subject to 0 the terns, Watoh's, 0U0+Aob itions of such policies which may substantially limit coverage. Where reference is made to an Aggregate Limit, those li its are �omp r4?s_MaximJlri-Ii illy under the Policy for the entire policy period regardless of the number of insureds, claimants or occurrences. p Name of Insured PIGEON KEY FOUNDATION SEP p PO BOX 500130 MARATHON, FL 33050 + + Policy Number 73 APN 404382 Effective Dates 08/15/2006 04:42 P.M. to 03/13/2007 12:01 AM Automobile Liability Bodily Injury Each Person $ Each Accident $ Property Damage Each Accident $ Bodily Injury and Property DamageCombined Single Limit $ 1,000,000 Year Make MoriPl iIN 1974JEEP CUSTOM DJSC411233 1995JEEP TRAM FLT10086HH 1995FORD CLUB WAGON 1FBJS31H3SHA52154 1997FORD CLUB WAGON 1FBJS31L4VHB07896 11"u CERTIFICATE HOLDER IS NAMED AS DESIGNATED INSURED n the event of any malenal change in or cancellation of said policies, the COMPANY i en s o, l to, notify the parry to Wfionn t is Certificate is addressed of such change or cancellation, and COMPANY undertakes no responsibility by reason of any failure to do so. This Certificate issued to: MONROE COUNTY RISK MANAGEMENT 1100 SIMONTON ST. KEY WEST, FL 33040 General AAgentt/COC//OMPany Copy - FL 222.4.18 09/05/20 AMH Pan 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART I AND ENDORSEMENTS. IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE TIIE BELOW NUMBERED CITIZENS PROPERTY INSORANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY ,6676 Co�poca(p.Crntet�kway . ac �-,( Me-, TIouda 32'216-0973 _ . �< TI2 S INSURED NAME AND ADDRESS i ..o., _ ..... ."' I THIS IS A PIGEON KEY FOUNDATION SEP 5 GENERAL BUSINESS C/O MONROE COUNTY RISK MANAGEMENT PO BOX 500130 MARATHON, FL 33050 POLICY TERM 8/16/2006 TO 8/16/2007.' %+T ,^-,(?:I pa,<,'�A1#tplrRpT) CITIZENS POLICY NO. 1233045 INCEPTION DATE EXPIRATION DATE 'Hjs-IS'y 'ARATION PAGE - This is not a Bill PAGE 1 Item N`v. eu,ld'r ears-«nr, of Contests .4x�zn airs once' '.,ppla ca bye DEDUCTIBLES S Te5n;hazy YYe,R14m 1 258,000 90 7,740 T-85 2,005 19,000 90 1, 000 T-85 148 ONE STORY FRAME MEETING ROOMS/CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/11) #46 7 MILE BRIDGE PIGEON KEY, MONROE FL 33050 2 78,000 90 2,340 T-85 606 36,000 90 1,080 T-85 280 ONE STORY FRAME MUSEUM BUILDING ON STILTS/PILINGS LOC: C/ID #47 3 73,000 0 90 2,190 T-85 567 ONE STORY FRAME OFFICE BUILDING ON STILTS/PILINGS LOC: C/ID #48 4 118,000 0 90 3,540 T-85 373 ONE STORY FRAME (1) UNIT DORMITORY BUILDING ON STILTS/PILINGS LOC: C/ID #49 5 118,000 0 90 3,540 T-85 373 ONE STORY FRAME 3 UNIT BRIDGE K/A TENDERS STILTS/PILINGS LOC: C/ID #50 HOUSE ON - 'M - f /�f �! C,. rRRac Flozida Hurcicare Caz Fond DO NOT PX1 $ �kerra/Cat $ FinancinP Subject to Form No(s): Mortgagee/Lose Payee: MONROE COUNTY BOARD OF CTY COMM 1100 SIMONTON ST KEY WEST, FL 33040 GC Agent: HARRIS JOHNSON CORP 0004 INSURED THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 (305) 289-0213 Datei 8/30/2006 CIT-Wo3 (7/02) 00048 Team 3 MORTGAGEE COPY -01 QSY R 40111 2672 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSFMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-0973 INSURED NAME AND ADDRESS C171ZEN5 THIS IS A PIGEON KEY FOUNDATION CIO MONROE COUNTY RISK MANAGEMENT PO BOX 500130 MARATHON, FL 33050 GENERAL BUSINESS POLICY TERM 8/16/2006 TO 8/16/2007 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1233045 INcePTION DATE: EXPIRATION DATE THIS IS YOUR POLICY DECLARATION PAGE - This is not a Bill PAGE 2 ice m - Pe reane of ornsn ranee : DEDUCTIBLES TeYLitoay PYem$luh No, 6vrlclinq C011C C1ttB A lrcabFp $ $ & $ $ $ 6 70,000 0 90 2,100 T-85 544 ONE STORY FRAME LABORATORY BUILDING ON STILTS/PILINGS LOC: C/ID #51 7 42,000 0 90 1,260 T-85 326 ONE STORY FRAME CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/ID #53 8 19,000 0 90 1,000 T-85 60 ONE STORY FRAME (1) UNIT STAFF DORMITORY LOC: P - I b`lo rirla Hurricane Cae Fund IA NOT PAY $ 5,282.00 .00 $ Market Eq Sur 361.00 Reinsicac Pinandng 831 000 Tax -Exempt Sur 92.00 s 792.00 6 527.00 Subject to Porm No(e): ($100 RETAINED) CIT CP2 CIT-W06 Mortgagee/L... Payee: MONROE COUNTY BOARD OF CTY COMM 1100 SIMONTON ST KEY WEST, FL 33040 Agent: HARRIS JOHNSON CORP 0004 THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 (305) 289-0213 CIT-Wo3 (7/02) 00048 Team 3 Payo r: INSURED Date: B/30/2006 MORTGAGEE CdPY -01 QSY R 40111 2673 RECEIVED 2 TTAL+NDEMNITYCOMPANY OFTHE SOUTH Certificate of Insurance APR 2 5 4 acne Street • Omaha, Nebraska 68131-3580 This certificate of insurance is not an insurance pfficy and does HdN08fe6AJ hftnd or alter th4 coverage afforded by the policies listed herein. Notwithstanding any requirement, tern or condili � „ r anv nt iW&AWEfd6k0ment with re pert to which this certificate may be issued or may pertain; the insurance afforded by the policies described herein is sublecl to a usions, and conditions of such policies which may substantially limit coverage. Where reference Is made to an Aggregate (knit, those limits are Company's maximum liability under the Policy for the entire policy period regardless of the number of insureds, claimants or occurrences. Name of Insured THE PIGEON KEY FOUNDATION P.O. BOX 500130 MARATHON, FL 33050 Policy Number 74 APS 005107 Effective Dates 04/04/2007 4:10 PM Year, Make, Model 1974JEEP CUSTOM 1995JEEP TRAM 1995 FORD CLUBWAGON 1997FORD CLUBWAGON 1999FORD CLUBWAGON Automobile Liability Bodily Injury to 03/13/2008 12:01 AM Each Person $ Each Accident $ Property Damage Each Accident $ Bodily Injury and Property DamageCombined Single Limit $ VIN DJSC411233 FLT10086HH 1FJS31H3SHA52154 1FSJS31L4VHB07596 1FBSS31L3X4B16550 1,000,000 VJG LC CERTIFICATE HOLDER IS NAMED AS DESIGNATED INSURED In the event of any material change in or cancellation of said policies, the COMPANY intends to, but Is not obligated to, notify the party to whom this Certificate is addressed of such change or cancellation, and COMPANY undertakes no responsibility by reason of any failure to do so. This Certificate issued to: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS KEY EST, TONFL 3 STREET ' .(J�•�-^` KEY WEST, FL 33640 P/Y(yA By Da el C D'Lea/ , III A19S668 M-0579 t2l95) MS - 04/1312007 POLICY NUMBER: 74 APS 005107 COMMERCIAL AUTO Endorsement # 2 CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: Countersigned By: 04/04/2007 4:10 PM Named Insured: THE PIGEON KEY FOUNDATION (Authorized Representative) SCHEDULE Name of Person(s) or Organlzation(S): MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON STREET KEY WEST, FL 33040 it no entry appears a ove, In orma Ion l(dquirea 10 Complete tllls MIUUIsWllerlt. Will e s own In the1jeclarationsas applicable to the endorspment i Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 MS • 04/13/2007 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 ❑ Part 2:'IIIIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART I AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSipNQE.C()RPOR-A-TION, WIND ONLY POLICY 6676 C ` C Cvshwr Pzjj way, Jacksonville, Flaida 32216-0973 INSURED NAME AND ADDRESS 111LE1111S THIS IS A III PIGEON KEY FOUNDATION - C/O MONROE COUNTY RISK MANAGEMENT GENERAL BUSINESS PO BOX 500130 MARATHON, FL 33050 POLICY TERM 8/16/2007 TO 8/16/2008 AT 12:01 A:M. (ESTi---"i CITIZENS POLICY NO, 123304S INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY I h. aaC NC. IPexc+.nr, of Eh,aLhng COnYenbe -�u xuab, ahsm'. .__.. ......;APD lxc.hla DEDUCTIBLES LE.� Te EY£LQ1'y ; ?'CCItrYam S S E S S S 1 282,000 90 8,460 T-85 2,191 19,000 90 1,000 T-85 148 ONE STORY FRAME MEETING ROOMS/CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/1D #46 7 MILE BRIDGE PIGEON KEY, MONROE FL 330SO 2 85,000 90 2,550 T-85 661 36,000 90 1,080 T-85 280 ONE STORY FRAME MUSEUM BUILDING ON STILTS/PILINGS LOC: C/ID #47 3 80,000 0 90 2,400 T-85 622 ONE STORY FRAME OFFICE BUILDING ON STILTS/PILINGS LOC: C/ID #48 4 129,000 0 90 3,870 T-85 408 ONE STORY FRAME (1) UNIT DORMITORY BUILDING ON STILTS/PILINGS LOC: C/ID #49 i`_ '��'11hh11 llaGx7' lSd1.CY� —_ Total Coverage amount: Total Premium amount: Subject to Poxm Noel: Mortgagee/Loee Payee: MONROE COUNTY BOARD OF CTY COMM 1100 SIMONTON ST n �1 KEY WEST, FL 33040 HARRIS JOHNSON CORP 0004 THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 (305) 289-0213 CIT-WO3 07 07 00048 Team 3 rnyvu INSURED Date: 7/09/2007 MORTGAGEE COPY -01 QSY R 40111 3S92 Part 2: THIS DECLARATION PACE, WITH POLICY PROVISIONS - PART I AND ENDORSEMENTS. IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 6676 Corptuate Center Parkway, Jacksonville, Florida 32216-0973 INSURED NAME AND ADDRESS 4*f-r(CITIZENS THIS IS A PIGEON KEY FOUNDATION C/O MONROE COUNTY RISK MANAGEMENT PO BOX 500130 MARATHON, FL 33050 GENERAL BUSINESS POLICY TERM 8/16/2007 TO 8/16/2008 AT 12:01 A - (EST) CITIZENS POLICY NO. 1233045 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY PA(1R 9 It eni Ne. -:UT OF INSURANCE tYaild f4i Cbrteat9 Prs r+xr+ar. »f :t,`a ih.�nr anve cah15 D$1:JiiCTiBLE$- TerxiL6ry rvotiLmh $ $ It $ $ $ 5 129,000 0 90 3,870 T-85 408 ONE STORY FRAME 3 UNIT BRIDGE K/A TENDERS HOUSE ON STILTS/PILINGS LOC: C/ID #50 6 77,000 0 90 2,310 T-85 598 ONE STORY FRAME LABORATORY BUILDING ON STILTS/PILINGS LOC: C/ID #51 7 46,000 0 90 1,380 T-85 357 ONE STORY FRAME CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/ID #53 8 21,000 0 90 1,000 T-85 66 ONE STORY FRAME (1) UNIT STAFF DORMITORY LOC: +... ..41,..._�; Total Coverage amount: $904 000 Total Premium amount: $6 956 Premium Amount $5, 719 2005 Florida Hurricane Catastrophe Fund Emergency Assessment $57 Tax Exempt Surcharge $100 Catastrophe Reinsurance Surcharge $861 2005 Citizens Emergency Assessment $90 2005 Market Equalization Surcharge $119 Subject to Form No(s): CIT CP2 CIT-WO6 Mortgagee/Lose Payee: MONROE COUNTY BOARD OF CTY COMM 1100 SIMONTON ST KEY WEST, FL 33040 HARRIS JOHNSON CORP 0004 THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 INSURED (305) 289-0213 CIT-WO3 07 09 00048 Team 3 Date: 7/09/2007 MORTGAGEE COPY -01 QSY R 40111 3593 ACORD� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIWNYYY) os�z3rzao7 PRODUCER JOHNSONS INS. AGC:Y(MARATHON) 13361 Overseas Highway 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 P.O. Box 2346 .------------._ ;- ': " ALTER -THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 33052 INSURERS AFFORDING COVERAGE NAIC# INSURED I Pigeon Key Foundation, Inc. INSURER A. Scottsdale Insurance Co 'NSURERB: P.O. Box500130 p_ INSURERC: Marathon, FL 33050 INSU__RER D. L..... INSURERS I _ COVERAGES THE POLICIES OF INSURANCE LISTED BELOWHAVE 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. N R LTR D'i POLCYNUMBER FOLCYEFFECTNE POLICY EJ{PMTION LNNS GENERALLIANLRI' EACH OCCURRENCE $ 1,000,000 X COMAERCIAL GENERAL LWBILITV DAM ET REND PREMISES fee orcwanml $ SO,000 CIAIMa MADE OCCUR CPS0874500 828/2007 8282008 MED E%P(A,y I, .) $ 5,OD0 PERSONAL AAw INJURY $ 1,000,000 Owners & ContractorsA GENERALAGGREGATE i$ 2,000,000 _ GEN'L-AGGREGATE LIMITAPPUES PER. PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY PRP LOC AUTOMOBLE LIABALIIY COM131FEDSINGLE LIMN $ ANYAUTO IEe eaitlaM) ALLOWWDAUTOS BODILYINJURY $ SCHEDULED AUTOS (Perperson) HIREDAUrOS BODILY INJURY ;,$ NON -OWNED AUT09 _.. _ (Per acctlen) PROPERTYOAMAGE $ i (ParacctlenQ GARAGE LABILITY AUTOONLY- OTHER THAN EAACC $ ANVAlRO _._. $ AUTO ONLY. AGO EJICE861UMBREIIA LIABILNY EACH OCCURRENCE $ OCCUR [] CLgIMSMADE 1 { AGGREGATE $ DEDUCTIBLE $ $ $ RETENTION $ WORRENSCOMPENSATIONAND STATH- OC RYMEMPLOYEWIJAEOTY TS R E.L.EACHACCIDENT $ ANY PNCPRIEIORPARrNEHLE%EWTIVf OFFICEd'MEMBEREXCLUL£D? Ifyes, tlssc under EL DISEASE - EA EMPLOYEE $ E.L. DISEASE - PODCYLIMIT $ SPECIALPROVISICNSbebw OTHER DESCRIPDON OF OPERATIONS I LOCATIONS VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Monrm County Board of County Commissioners 1100 Simonton Street Key West, FL, 33040- is named as additional insdred ACORD 2! CC SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING NSMER PALL ENDEAVOR TO NAL 1_ DAYS WRITTEN NOTCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAWRE TO DO SO SHALL IMPOSE NO 081-I13ATON OR LNBLRY OF ANY WHO UPON THE INSURER ITS AGENTS OR Fidelity National Insurance Company P.O. Bos 33003 St. Petersburg, Fl, 33733-8003 1-800-820-3242 FIDELITY NATIONAL INSURANCE COMPANY' FLOOD DECLARATIONS PAGE 1989 02 BFL 99.001 0605 0084677 5/18/07 2000 25180 FLD RGLR e rid T40rim tit n• Giht Phane From: 5/22/07 To: 5/22/08 12:01 am Standard Time 1 yr(s) 5/22/04 12:01am U98- - (305) 289-0213 Agent (305)289-0213 THE JOHNSONS INSURANCE AGENCY 13361 OVERSEAS HWY MARATHON FL 33050 THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130 Insured Location (if other than above) BRIDGE TENDERS HOUSE 16 ID #50, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 Community Name MONROE COUNTY Building Description Non -Residential Community # 125129 Condo Type N/A # of Floors one Floor Community Rating 10 / 00% # of Units 0 Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description Contents Location BUILDING $31,500 CONTENTS $0 DEAR MORTGAGEE The Reform Act of 1994 requires you to not the WYO company for this policy within 60 days of any changes in the servicer of this loan, The above message applies only when there is a mortgagee on the insured location. $1,000 $261.00 $0 $.00 ANNUAL SUBTOTAL: $261.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $336.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM: $366.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered See III, Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details #tr1NF aiml-�ldktlArMi9:;i . . GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198907138 00003 J Company rr�1 1 FIDELITY NATIONAL INSURANCE! COMPANY'" 09 Fidelity National Insurance Company P.O. Box 33003 St. Petersburg, FI, 33733-8003 1-800-820-3242 FLOOD DECLARATIONS PAGE BFL 99.001 0605 0084677 5/18/07 2000 25180 FLD RGLR arAod Tor*!' Inter.. i D61te:: From: 5/22/07 To: 5/22/08 12:01 am Standard Time 1 yr(s) 5/22/04 12:01am U98- - (305) 289-0213 Agent (305)289-0213 THE JOHNSONS INSURANCE AGENCY 13361 OVERSEAS HWY MARATHON FL 33050 THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130 Insured Location (if other than abovs) BRIDGE FOREMANS HOUSE 17, ID #51, PIGEON KEY FL 33050-0000 Location Description Contents Location BUILDING $48,800 $1,000 $405.00 CONTENTS $0 $0 $.00 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy will 60 days of any changes in the servicer of the loan. The above message applies only when there is a mortgagee on the insured location. ANNUAL SUBTOTAL: $405.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: FEDERAL POLICY SERVICE FEE: TOTAL PREMIUM: Premium paid bV: $480.00 $30.00 $510.00 Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply Please refer to your Flood Insurance Policy for details Rb1M16 I'E#1prariY#t . GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198807138 00002 Company 1 Fidelity N t n Unma33n Company (,-�' I f IBFL 99.001 0605 P O. Bux 0 3 St. Petersburg, F1,33733-8003 �i 0084677 1-800-820-3242 5/18/07 FIDELITY 2000 25180 FLD RGLR NATIONAL INSURANCE COMPANY" FLOOD DECLARATIONS PAGE Policy Type PGi PNxl Term lir `itlit jutili Code PW1I From: 5/22/07To: 5/22/08 12:01 am Standard Time 1 yr(a) 5/22/04 12:Otam U98- - (305)289-0213 Agent (305)289-0213 THE JOHNSONS INSURANCE AGENCY 13361 OVERSEAS HWY MARATHON FL 33050 THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130 Insured Location (if other than above) BRIDGE FOREMANS HOUSE 17, ID #51, PIGEON KEY FL 33050-0000 Community Name MONROE COUNTY Building Description Non -Residential Community # 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / 00% # of Units 0 Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description Contents Location BUILDING $48,800 CONTENTS $0 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location $1,000 $405.00 $0 $.00 ANNUAL SUBTOTAL: $405.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $480.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM: $510.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker. or insurance company Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198807138 00002 Company - 71 Fidelity National Insurance ('ompany P.O. Box 3'3003 St. Petersburg, F1,33733-8003 1-800-820-3242 FIDELITY NATIONAL INSURANCE COMPANY" FLOOD DECLARATIONS PAGE BFL 99.001 0605 0084677 5/18/07 2000 25180 FLD RGLR Rsail)d 1', Term ] Ind ii .: 1 , From: 5/22/07 To: 5/22/08 12:01 am Standard Time 1 yr(s) 5/22/04 12:01am U98- - (305) 289-0213 Agent (305)289-0213 THE JOHNSONS INSURANCE AGENCY 13361 OVERSEAS HNY MARATHON FL 33050 THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130 Insured Location (iother than above) NEGRO QTR 11 / ID #53, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 Community Name MONROE COUNTY Building Description Non -Residential Community # 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / oo`!; # of Units 0 Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AS Elevation Difference N/A Location Description Contents Location BUILDING $29,100 CONTENTS $0 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there Is $1,000 $242.00 $0 $.00 ANNUAL SUBTOTAL: $242.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $317.00 FEDERAL POLICY SERVICE FEE: $30.00 a mortgagee on the insured location. TOTAL PREMIUM: $347 . 00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198207138 OOOOC Company Fide iry �'ational Inxuranrc Cam pant' P.O. Box tiaYefers6urg, F1, 1, 337 33733811113 I-RU0.820-3242 FIDELITY NATIONAL INSURANCE COMPANYFLOOD DECLARATIONS PAGE BFL 99.001 0605 0084677 5/18/07 2000 25180 FLU RGLR 06 bliIIIIII From: 5/22/07 To:" 5/22/08 12:01 am Standard Tlme 1 yr(a)I 5/22/04 12:01am IU98- - I (305) 289-0213 Agent (305)289-0213 THE JOHNSONS INSURANCE AGENCY 13361 OVERSEAS HWY MARATHON FL 33050 THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130 Inaurod Location (R other than above) GENERATOR BLDG #14 / ID #54, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 BUILDING $23,700 CONTENTS $25,000 FVVYO ORTGAGEE Act of 1994 requires you to notify ompany for this policy within60days nges in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location. $1,000 $261.00 $1,000 $535.00 ANNUAL SUBTOTAL: $796.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $871.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM: $901.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered See III. Property Covered within your Flood policy for the NFIP definition ofbuilding" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. i' GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013199007138 OOOOB Company Fidelify( otional Immance Company �al(1-0 P.O.gFI,Box 303 1 Rt. Petersburg,, M'L 3733-81103 -�( 1-900-820-3242 FIDELITY NATIONAL INSURANCE COMPANY" FLOOD DECLARATIONS PAGE BPL 99.001 0605 0084677 5/18/07 2000 25180 FLD RGLR p' . ,a T@r(!i I4 11 Cxiit' np..:,. From: 5/22/07 To: 5/22/08 12:01 am Standard Time 1 yr(s) 5/22/04 12:01am U98- - (305)289-0213 Agent (305)289-0213 THE JOHNSONS INSURANCE AGENCY 13361 OVERSEAS HWY MARATHON PL 33050 THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130 Insured Location (if other than above) US HIGHWAY 1 OFF 7 MILE BRIDGE, GENERAL DELIVERY, MARATHON FL 33050-0000 BUILDING $60,000 CONTENTS $6,000 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days o} any changes in the servicer of this ban. The above message applies only when there is a mortgagee on the insured location. $1,000 $498.00 $1,000 $97.00 ANNUAL SUBTOTAL: $595.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00., COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $670.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM: $700.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered See III. Property Covered within your Flood policy for the NFIP definition ofbuilding" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013199107138 OOOOC Company 09 2510131991 03 Agent (305)289-0213 THE JOHNSONS INSURANCE AGENCY 13361 OVERSEAS HWY MARATHON FL 33050 008467709251013199107138 0000C BFL 99.001 0605 0084677 5/18/07 let Mortgagee MONROE COUNTY BOARD OF CTY 5100 COLLEGE RD KEY WEST FL 33040-4319 Company I I �Pzc r ',0C1CLt`RWJ Fidelity Yatianal Inauranee fmoPany - . P.O. Box 33003 } 8t. Petershurg, 11, 33733-8003 -- - 1-800-820-3242 FIDELITY NATIONAL INSURANCE COMPANY' FLOOD DECLARATIONS PAGE IKRILAi. l dAr:11itimilirairmrirnhar I it""ai I Il BFL 99.001 0605 0084677 5/18/07 2000 25180 FLD RGLR 09 2510131987 03 1 09 2510131987 02 1Date Of Issue 5/18/07 I General Property Form I pr+ffek 1�§ilrrd Terre L.' :..: _e .. . ... ... CW4 a ::' From: 5/22/07 To: 5/22/08 12:01 am Standard Time 1 yr(s) 5/22/04 12:01am`U98- - I (305)289-0213 Agent (305)289-0213 THE JOHNSONS INSURANCE AGENCY THE PIGEON KEY FOUNDATION 13361 OVERSEAS HWY PO BOX 500130 MARATHON FL 33050 MARATHON FL 33050-0130 Insured L tion (if otter than above) PIGEON KEY/SEC GANG QTRS ID #4, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 Community Name MONROE COUNTY Building Description Non -Residential Community # 125129 Condo Type N/A # Of Floors One Floor Community Rating 10 / 00% # of Units 0 Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description Contents Location Lowest Floor Only Above Ground Level BUILDING $177,800 CONTENTS $15,000 DEAR MORTGAGEE The Reform Act of 1994 requires you to notfij the WYO company for this policy within 60 days of any changes in the servicer of this ban The above message applies only when there is a mortgagee on the insured location. $1,000 $1,000 ANNUAL SUBTOTAL: DEDUCTIBLE CREDIT: ICC PREMIUM: COMMUNITY DISCOUNT: TOTAL WRITTEN PREMIUM: FEDERAL POLICY SERVICE FEE: TOTAL PREMIUM: Premium paid by: $1,492.00 $243.00 $1,735.00 $.00 $75.00 $.00 $1,810.00 $30.00 $1,840.00 Insured This policy covers only one building, if you have more than one building on your property, please make sure they are all covered, See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company, Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198707138 00001 Company FIDELITY NATIONAL INSURANCE COMPANY" 09 .Fidelity National tnsumnee Company P.O. Box 33003 St. Petersburg, Ff.33733-8003 1-800-820-3242 EFFECTIVE: 5/22/07 FLOOD DECLARATIONS PAGE Date BFL 99.001 0605 0084677 7/09/07 2000 25180 PLO RGLR PoibS' �'arldld Term In bit: ''� '; CIdA` From: 5/22/07 70: 5/22/08 12:01 am Standard Time 1 yr(s( 5/22/04 12:01am U98- - (305) 289-0213 Agent (305)289-0213 THE JOHNSONS INSURANCE AGENCY THE PIGEON KEY FOUNDATION 13361 OVERSEAS HNY PO BOX 500130 MARATHON FL 33050 MARATHON FL 33050-0130 Insured Location fit omw than above) MUSEUM AST BRIDGE TENDER ESE #, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 M BUILDING $54,200 CONTENTS $5,000 Wit: . T i1i l d1:I: DEA�TGAGEE The Reform Act of 1994 requires you to nohty the WYO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location. $1,000 $450.00 $1,000 $81.00 ANNUAL SUBTOTAL: $531.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 FEDERAL POLICY SERVICE FEE: $30.00 PREVIOUSLY PAID PREMIUM: $1,365.00 PREMIUM ADJUSTMENT: $729.00 ENDORSED TOTAL PREMIUM: $.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition ofbuilding" or contact your agent, broker. or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. f Foritire and �tNdI °s ,, 1 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 1003 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198507190 OOOOD Company Fidelity National Ineumn" Company P.O. Box 33003 St. Petersburg, FL33733-8003 1-80R-8211-3242 FIDELITY NATIONAL INSURANCE COMPANY' FLOOD DECLARATIONS PAGE BFL 99.001 0605 0084677 5/18/07 2000 25180 FLD RGLR Policy Type From: 5/22/07 To: 5/22/08 12:01 am Standard Tlme 1 yr(s) 5/22/04 12:01am U98- - (305)289-0213 Agent (305)289-0213 THE JOHNSONS INSURANCE AGENCY 13361 OVERSEAS HWY MARATHON FL 33050 THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130 Insured Loeation (d other then above) OFFICE/ASST PAINT FOREMAN HSE, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 Location Description #15 Contents Location BUILDING $51,000 CONTENTS $0 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan The above message applies only when there is a mortgagee on the insured location. $1,000 $0 ANNUAL SUBTOTAL: DEDUCTIBLE CREDIT: ICC PREMIUM: COMMUNITY DISCOUNT: TOTAL WRITTEN PREMIUM: FEDERAL POLICY SERVICE FEE: TOTAL PREMIUM: Premium paid bV: $423.00 $.00 $423.00 $.00 $75.00 $.00 $498.00 $30.00 $528.00 Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III, Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198307138 OOOOD Company FIDELITY NATIONAL INSURANCE COMPANY x Fidelity National Insurance Company P.O. Box 33003 St. Petersburg, F1,33733-8003 1-800-820-3242 FLOOD DECLARATIONS PAGE 1 Issue 5 BFL 99.001 0605 0084677 5/18/07 2000 25180 FLD RGLR PolltsY C 8) M6d - Tim '! IttJMCAGtlt! RYiGrYp From: 5/22/07 To: 5/22/08 12:01 am Standard Time 1 yr(s)I 5/22/04 12:Otem IU98- - I (305)289-0213 Agent (305)289-0213 THE JOHNSONS INSURANCE AGENCY 13361 OVERSEAS HWY MARATHON PL 33050 THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130 Insured Lowban (if other then above) BRIDGE WORKERS DORM 13, GENERAL DELIVERY, PIGEON KEY FL 33040-0000 Community Name MONROE COUNTY Building Description Non -Residential Community # 125129 Condo Type N/A # of Floors one Floor Community Rating to / 00% # of Units 0 Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description ID #49 Contents Location I BUILDING $81,800 CONTENTS $0 F MORTGAGEEeform Act of 1994 requires you to notfij YO company for this policy within 60 days changes in the servicer of the loan. The above message applies only when there is a mortgagee on the insured location. $1,000 $679.00 $0 $•00 ANNUAL SUBTOTAL: $679.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $754.00 FEDERAL POLICY SERVICE FEE: $30.00 TOTAL PREMIUM: $784.00 Premium paid by: Insured This policy covers only one building, if you have more than one building on your property, please make sure they are all covered See III, Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198407138 0000E Company Fidelity national Insurance Company P.O. Box 33003 St. Petersburg, FL 33733-8003 1-800-820-3242 BFL 99.001 0605 0177225 4/30/08 FIDELITY NATIONAL INSURANCE COMPANY From: 5/22/08 To: 5/22/09 Insured THE PIGEON KEY FOUNDAT PO BOX 500130 MARATHON FL 33050-0130 FLOOD DECLARATIONS PAGE 2000 25180 MAY O ZOOS MONROE COUNTY BOARD OF JJOC SIMONTON ST MONROE COUNTY KEY WEST FL 33040-3110 RISK MANAGEMENT Insured Location (if other than above) PIGEON KEY/SEC GANG QTRS ID #4, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 RGLR (305)289-0213 Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / 00% # of Units Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description Contents Location Lowest Floor Only Above Ground Level BUILDING $177,800 CONTENTS $15,000 DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan, The above message applies only when there is a mortgagee on the insured location. $1,000 $1,542.00 $1,000 $243.00 ANNUAL SUBTOTAL: $1,785.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $1,860.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $1,895.00 Premium paid by: Insured C)!w nj._ This policy covers only one building. If you have more than one building on your property, please make sure they are all covered See 111. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 This policy is issued by Fidelity National Insurance Company Copy S'nt To: As indicated on back or additional pages, if any. G C. 008467709251013198708121 OOOOA Additional Interest FIDELITY NATIONAL INSURANCE COMPANY - Fidelity Nmional Insurance Company P.O. Box 33003 St. PrMrsbur8, FL33733-8003 1-800-820-3242 FLOOD DECLARATIONS PAGE BFL 99.001 0605 0084677 I 6116 4/30/,08-, Uti 2000 25180 FLO RGLR Pollcv Period Term Inception Date Code Phone From: 5/22/08 To: 5/22/09 12:01 am Standard Time 1 yr(s) 5/22/04 12:018m 98- - (305) 289-0213 Insured THE PIGEON KEY FOUNDAT %40 PO BOX 500130 MARATHON FL 33050-0130IV �K Inwred Looafion (if other than above) OFFICE/ASST PAINT FOREMAN HSE, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 Rating Information THE JOHNSONS INSURANCE AGENCY 13361 OVERSEAS HWY MARATHON FL 33050 (L Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / 00% # of Units BasemenVEnclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description #15 Contents Location Coverage Deductible Premium BUILDING $51,000 CONTENTS $0 THIS IS NOT A BILL DEAR MORTGAGE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location. I Provisions: $1,000 $423.00 $0 $.00 ANNUAL SUBTOTAL: $423.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $498.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $533.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III, Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. j Forms and Endorsements: I GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 006467709251013198308121 00006 Agent rmL— FIDELITY NATIONAL INSURANCE COMPANY - Fidelity National insurance C'ompam' P.O. Box 33003 SL Petersburg, FL 33733-8003 1-800-820-3242 FLOOD DECLARATIONS PAGE BFL 99.001 0605 0084677 4�/30�T/08 ®2 Cg F�6�GM&P 'AOicY Type GLR Policy Number I Prior Policy Number R n w 1 I FLO RGLR 09 2510131985 04 1 09 2510131985 03 1 Date OflSsue 4 30 08 General PrORer7tT Form Polic Period I Term I Inception Date I Code I Phone From: 5/22/08 To: .5/22/09 12:01 am Standard Tlme 1 yr(s) 5/22/04 12:01am 98- - 005) 289-0213 Insured THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130 I'1',,Ijj1 AJ n✓ 1 Insured Location (0 otlter than shoes) THE JOHNSONS INSURANCE 13361 OVERSEAS HWY 'v _MARATHON FL 33050 h AGENCY MUSEUM AST BRIDGE TENDER HSE #, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 Rating Information Community Name MONROE COUNTY Building Description Non -Residential Community # 125129 Condo Type N/A # of Floors one Floor Community Rating 10 / 00% # of Units Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation DlfferenceN/A Location Description Contents Location Lowest Floor Only Above Ground Level Coverage Deductible Premium BUILDING $54,200 CONTENTS $5,000 THIS IS NOT A BILL DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servioer of this loan. The above message applies only when there is a mortgagee on the insured location. $1,000 $450.00 $1,000 $81.00 ANNUAL SUBTOTAL: $531.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $606.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $641.00 Premium paid by: Insured This policy covers only one building. 11 you have more than one building on your property, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition of 'building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. j Forms and Endorsements: I GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 1 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013196506121 00008 Agent FIDELITY NATIONAL INSURANCE COMPANY" Fidelity' National Insurance Company P.O. Box 33003 St Petersburg, Fl, 33733-8003 1-8(11"20-3242 FLOOD DECLARATIONS PAGE BFL 99.001 0605 0084677 RJ: 6c4r2rOAQg 0 5 20 2000 25180 FLO RGLR Policy Type Pollcv Number I Prior Policy Number I Renewal FLD RGLR 09 2510131989 04 09 2510131989 03 Date of Issue 4 30 08 General Pro ert Form Policy Period I Term I Inception Date I Code I Phone From: 5/22/08 To: 5/22/09 12:01 am Standard Time 1 1 Yr(a) 5/22/04 12:41am 98- - (305) 289-0213 Insured THE PIGEON KEY FOUNDATION THE JOHNSONS INSURANCE AGENCY PO BOX 500130 13361 OVERSEAS HWY MARATHON FL 33050-013 MARATHON FL 33050 Insured Location of otharltan above) y BRIDGE TENDERS HOUSE 16 ID #50, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 Rating Information I Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors one Floor Community Rating 10 / 00% # of Units Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description Contents Location Coverage Deductible Premium BUILDING $31,500 CONTENTS $0 THIS IS NOT A BILL DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location. Provisions: $1,000 $261.00 $0 $.00 ANNUAL SUBTOTAL: $261.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $336.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $371.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. Forms and Endorsements: I GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 1 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198908121 0000( Agent Fldeli" National htsumnre Company BFL 99.001 0605 P.O. Box 33003 kq St. Petersburg, FL33733-8003 0084677, l-811IM20-3242 4/30/085 !? FIDELITY 2000 25180 FLO RGLR NATIONAL INSURANCE COMPANY" FLOOD DECLARATIONS PAGE Policy Type Pollcv Number I Prior Policy Number I Renewal FLD RGLR 09 2510131986 04 09 2510131986 03 Date of Issue 4 30 08 General Pro art Form Pollcv Period I Term I Inception Date I Code I Phone From: 5/22/08 To: 5/22/09 12:01 am Standard Time I 1 yr(s) 5/22/04 12:01am 98- - (305) 289-0213 Insured THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130 THE INSURANCE AGENCY 13361 OVERSEAS HWY MARATHON FL 3305050 C� r� Insured Location (d othler then above) HONEYMOON COTTAGE 12/ ID #52, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 Rating Information I Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / OOZ # of Units Basement/Enclosure None Program Status Regular Adjacent Grade 0 Rlsk Zone AE Elevation DlfferenCON/A Location Description Contents Location Lowest Floor Only Above Ground Level BUILDING $15,300 CONTENTS $5,000 THIS IS NOT A BILL DEAR MORTGAGEE The Reform Act of 1994 requires you to nolily the WYO company for this policy within 60 days of any changes in the servicer of this Ivan. The above message applies only when there is a mortgagee on the insured location. $1,000 $127.00 $1,000 $81.00 ANNUAL SUBTOTAL: $208.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $283.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $318.00 Premium paid by: Insured This policy covers only one building. It you have more than one building on your property, please make sure they are all covered, See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details, j Forms and Endorsements: j GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198608121 00009 Agent Fidelity National lnturunce CaroI any P.O. Box 331103 St. Petersburg, FL 33733-8003 1.800-820.3242 BFL 99.001 0605 Tr�yl [i, 0084677 ,4/30/08 FIDELITY NATIONAL INSURANCE COMPANY - FLOOD DECLARATIONS PAGE 2000 25180 FLD RGLR Policy Type Policy Number LPrior POIiC Number Renewal FLD RGL 09 2510131987 04 09 2510131987 03 Date oflssue 4 30 OS General Prove t7Form Polic Period Term Inca ton Date Code Phone crom: 5/22/08 To: 5/22/09 12:01amStandard Tim e 1 Wfal 5/22/04 12:Otam 9$- - (305)289-0213 Insured THE PIGEON KEY FOUNDATION THE 70HNSONS INSURANCE AGENCY PO BOX 500130-2 13361 OVERSEAS HWY MARATHON FL 33050-0130 MARATHON FL 33050 insurod Location (d oMxlhon above) PIGEON KEY/SEC GANG QTRS ID #4, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 Rating Information Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / 00% # Of Units Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description Contents Location Lowest Floor Only Above Ground Level Coverage Deductible Premium BUILDING $177,800 CONTENTS $15,000 THIS IS NOT A BILL DEAR MORTGAGE The Reform Act of 1994 requires you to notify the VJYO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location. $1,000 $1,542.00 $1,000 $243.00 ANNUAL SUBTOTAL: $1,785.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $1,860.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $1,895.00 Premium Paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition of "building" at contact your agent. broker, or insurance company, Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. Forms and Endorsements: I GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 1 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 0084677092510131987DA121 0000A Agent 01311011 FIDELITY NATIONAL INSURANCE COMPANY" Fiddiry' National Insurnuee Company P.O. Box 33003 St. Petersburg, FL 33733-8003 1.800-820-3242 FLOOD DECLARATIONS PAGE BFL 99.001 0605 0084677 2000 25180 FLD RGLR Policy Type Policy Number I Prior Policy Number Renewal iELL)RGLR 09 2510131990 04 09 2510131990 03 Date of Issue 4 30 08 General Pro ert Form Folic Period I Term I Inception Date I Code I Phone From: 5/22/08 To: 5/22/09 12:01 am Standard Time 1 1 Yra) 5/22/04 12:01am 98- - (305) 289-0213 Insured THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130 Insured Location (if other than above) THE 10VINSURANCE AGENCY OVERSEAS 13361 OVERSEAS 0Y , MARATHON FL 33050 � n X Lc.d� GENERATOR BLDG #14 / ID #54, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 Rating Information 7771 Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / 00% # of Units Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone VE Elevation Difference N/A Location Descrlptlon Contents Location Lowest Floor Only Above Ground Level Coverage Deductible Premium BUILDING $23,700 CONTENTS $25,000 THIS IS NOT A BILL DEAR MORTGAGE The Reform Act of 1994 requires you to notify the VJYO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location. $1,000 $261.00 $1,000 $535.00 ANNUAL SUBTOTAL: $796.00 DEDUCIIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $871.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $906.00 Premium paid bV: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent. broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. Forms and Endorsements: GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 1 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013199008121 00004 Agent 9FIDELITY NATIONAL INSURANCE COMPANY- Rldelily National birumnee Compam' P.O. Hax 33003 St. Petersburg, FL 33733-8003 1-8e0-H20-3242 FLOOD DECLARATIONS PAGE r�rrIIBFL 99.001 0605 '_Nu� '36 0 MAY 0 2000 25180 FLD RGLR Policy Type Pollcv Number Prior Policy Number Renewal FLD RGLR 09 2510131991 04 1 09 2510131991 03 Date of Issue 4 30 08 General Property ro err Form Policy Period I Term I Inception Date I Code I Phone Prom: 5/22/08 To: 5/22/09 12:01 am Standard Time 1 Yr(s) 5/22/04 12:01am 98- - (305) 289-0213 Insured THE PIGEON KEY FOUNDATION THE ]OHNSONS INSURANCE AGENCY� �2 PO BOX 500130 13361 OVERSEAS HWY MARATHON FL 33050-0130 MARATHON FL 33050 � t J, Of Insumd Location (IF other than above) US HIGHWAY 1 OFF 7 MILE BRIDGE, GENERAL DELIVERY, MARATHON FL 33050-0000 Rating Information Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors one Floor Community Rating 10 / 00%. # of Units Basement/Enclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation Difference N/A Location Description GARAGE BLDG 16 Contents Location Lowest Floor Only Above Ground Level coverage Deductible Premium BUILDING $60,000 CONTENTS $6,000 THIS IS NOT A BILL DEAR MORTGAGE The Reform Act of 1994 requires you to notify the WYO company for this policy within BO days of any changes in the servicer of this loan. $1,000 $498.00 $1,000 $97.00 ANNUAL SUBTOTAL: $595.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $670.00 FEDERAL POLICY SERVICE FEE: $35.00 The above message applies only when there is a mortgagee on the insured location. TOTAL PREMIUM: $705.00 Premium paid by: Insured special Provisions: This policy covers only one building. If you have more than one building on your properly, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. Forms and Endorsements: GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 1 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013199108121 0000S Agent ItLFIDELITY NATIONAL INSURANCE COMPANY' Fidelity National Invumnee Company' P.O. Box 33003 St. Pete"hurg, FI.33733-8003 1-800-820-3242 FLOOD DECLARATIONS PAGE BFL 99.001 0605 0077 �3Q/08? t� 2000 25180 FLD RGLR Policy Type Policy Number Prior Policy Number genewai FLD RG R 09 2510131984 04 09 2510131984 03 Date of issue 4 30 08 General Property Form -Poncy Period I Term I Inception Date I Code I Phone From: 5/22/08 To: 5/22/09 12:01 am Standard Time I I yr(s) 5/22/04 12:01am 98- - (305) 289-0213 Insured THE PIGEON KEY FOUNDATION PO Box 500130 MARATHON FL 33050-0130 Insured Location lit other than above) ,,,,% 7 .,,,Q THE JOHNSONS INSURANCE 13361 OVERSEAS HWY MARATHON FL 33050 BRIDGE WORKERS DORM 13, GENERAL DELIVERY, PIGEON KEY FL 33040-0000 Rating Information AGENCY �V Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / OOX # of Units BasemenVEnclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation DffferenceN/A Location Description ID #49 Contents Location Coverage Deductible Premium BUILDING $81,800 CONTENTS $0 THIS IS NOT A BILL DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan. $1,000 $679.00 $0 $.00 ANNUAL SUBTOTAL: $679.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $754.00 FEDERAL POLICY SERVICE FEE: $35.00 The above message applies only when there is a mortgagee on the insured location, TOTAL PREMIUM: $789.00 Premium paid by: Insured Special Provisions: This policy covers only one building. If you have more than one building on your properly, please make sure they are all covered, See III, Property Covered within your Flood policy for the NFIP definition of 'building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your flood Insurance Policy for details. Forms and Endorsements: I GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 1 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 006467709251013198408121 00007 Agent PUFIDELITY NATIONAL INSURANCE COMPANY` Fidelity' National Insunmce Companry P.O. aos 33003 St. Petersburg. FL 33733-8003 1-800-820.3242 FLOOD DECLARATIONS PAGE BFL 99.001 0605 0084677 4/30/08 2000 25180 FLO RGLR Policy Type Pollcv Number I Prior Policy Number I Renewal FLD RGLR 09 2510131988 04 09 2510131988 03 Date of Issue 4 30 08 General Pro art Form Policy Period I Term I inception Date I Code I Phone From: 5/22/08 To: 5/22/09 12:01 am standard Time I 1 yr(s) 5/22/04 12:01am 98- - (305)289-0213 Insured THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130-41 NJ^ THE INSURANCE AGENCY 13361OVERSEAS AS HWY MARATHON FL 33050 t-° Cc Insured Location lit other than above) BRIDGE FOREMANS HOUSE 17, ID #51, PIGEON KEY, FL 33050-0000 Rating Information Community Name MONROE COUNTY Building Description Non -Residential Community# 125129 Condo Type N/A # of Floors One Floor Community Rating 10 / 00% # of Units BasemenVEnclosure None Program Status Regular Adjacent Grade 0 Risk Zone AE Elevation DlfferenceN/A Location Description Contents Location Coveralae Deductible Premium BUILDING $48,800 CONTENTS $0 THIS IS NOT A BILL DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan. The above messa e a lies onl when there is $1,000 $405.00 $0 $.00 ANNUAL SUBTOTAL: $405.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $480.00 FEDERAL POLICY SERVICE FEE: $35.00 g PP y TOTAL PREMIUM: $515.00 a mortgagee on the insured location. Premium paid by: Insured special Provisions: This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent. broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. Forms and Endorsements: J GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 This policy is issued by Fidelity National Insurance Company Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198808121 00008 Agent FIDELITY NATIONAL INSURANCE COMPANY' Fiddlth Nv O°Box "a'am Campanr 33003 St. Petersburg, FL 33733-8003 1-800-820.3242 FLOOD DECLARATIONS PAGE BFL 99.001 0605 0084677 4/30/08 `G' rC(� F ; r 2000 25180 FLO RGLR Policv Period leant c ir�� /nor 12 clam 98- - I i305) 289-0213 From 5/22/08 To 5/22/09 1201 am Standard Ti 1 , 2 n Insured HE JOHNSONS INSURANCE AGENCY THE PIGEON KEY FOUNDATION 3361 OVERSEAS HWY PO BOX 500130 MARATHON FL 33050 MARATHON FL 33050-0130 ter_ tll�V'� Insured Location (d other than above) NEGRO QTR 11 / ID #53, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 Community Name MONROE COUNTY Condo Type N/A Building Description Non -Residential Community# Community 125129 Rating 10 / 00% #of Units # of Floors one Floor Basement/Enclosure None Program Status Regular Adjacent Grade 0 Elevation DlfferenceN/A Risk Zone AE Location Description Contents Location BUILDING $29,100 CONTENTS S0 THIS IS NOT AA BIL— L I DEAR MORTGAGEE The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicet of this loan. The above message applies only when there is a mortgagee on the insured location. $1,000 $242.00 $0 $.00 ANNUAL SUBTOTAL: $242.00 $.00 DEDUCTIBLE CREDIT: $75.00 ICC PREMIUM: $.00 COMMUNITY DISCOUNT: TOTAL WRITTEN PREMIUM: $317.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $352.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See IC. property Covered over edwithin may pply.Flood polefer to the NFlood definition of Policy g" or details. contact your agent. broker, or insurance company. GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 Copy Sent To: As indicated on back or additional GFLD99.311 0306 0306 BFL 99.116 1005 This policy is issued by Fidelity National Insurance Company pages, if any. 008467709251013198208121 00005 Agent ACORD CERTIFICATE OF LIABILITY INSURANCE 09/23/ 008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO AUTOMATIC DATA PROC INS AGCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT 1 ADP BLVD MS 325 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND O ROSELAND, NJ 07068 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (877)677-0428 XV769 70A INSURED INSURERS AFFORD— PIGEON KEY FOUNDATION INSURER A:TRAVELERS CASUALTY AND SURETY COMPANY PO BOX 500130 INSURER e: MARATHON, FL 33050 INSURER C: INSURER D: LHE 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. Sfl ADD' LIABIITY MADE I IOCCUR GEN'L AGGREGATE LIMIT APPLIES PER: T $ POLICY D PRO- JECT LOG PR DUCTS -COMP/OPA G $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accidenp $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ - PROPERTY DAMAGE (Per awident) $ GARAGE LIABILITY ANY AUTO I- �� AUTO ONLV - EA ACCIDENT $ EXCESS/UMBRELLA LIABILITY ] OCCUR CLAIMS MADE DEDUCTIBLE aa RETENTION N A WORKERS COMPENSATION AND ANY PROPRIETOR/PARTNERrEXECUTIVE OFFICERIMEMBER EXCLUDED? UB-9993C684-08 U OTHER THAN AUTO ONLY: \� EACH OCCURI � i AGGREGATE 02/10/2008 02/10/2009 X TWO L( E.L. EACH ACC I EL DISEASF. DESCRIPTION OF OPERA TONS/LOCATIONS/VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL —PROVISIONS IN THE EVENT OF NON-PAYMENT OF PREMIUM, ONLY TEN(10) DAYS NOTICE OF CANCELLATION SHALL BE GIVEN. C� 'L li� \ EOM- C_C- MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: MARIA SLAVIK 1100 SIMONTON STREET KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO IIALL IMPOSE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08) CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE ° 10/0s 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOHNSONS INS. AGCY(MARATHON) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 13361 Overseas Highway HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2346 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marathon, FL 33052 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Scottsdale Insurance CO Pigeon Key Foundation, Inc. P.O. Box 500130 INSURERS: Marathon, FL 33050 INSURERC: INSURERD: r_nvPRAr:PR 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. WSR RDO'L POLICY NUMBER POLICYEFFECTIVE POLICYEXPIRATION LIMBS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES Eaoxurence $ 50,000 X COMMERCIALGENERALLIABILITY CLAIMS MADE � OCCUR MEDEXP(AnyonePelson) $ 5,000 A CLS1531476 9/26/2008 9/26/Y009 PERSONAL &ADV INJURY $ 1,000,000 Owners & Contractors GENERALAGGREGATE $ 2.000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOPAGG $ 2,000,000 POLICY PRO- LOC ECTAUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E ANY AUTO (Ea axident) BODILY INJURY $ ALLOWNEDAUTOS SCHEDULEDAUTOS (Per person) BODILY INJURY $ HIREDAUTOS NON-0WNEDAUTOS (Peracddent) PROPERTY DAMAGE $ (Perexidant) GARAGE LIABILITY "V../ AUTO ONLY -EAACCIDENT $ OTHERTHAN EAACC $ ANYAUTO $ AUTOONLY: AGO EXCESSIUMBRELLALIABILRY EACHOCCURRENCE $ OCCUR El CLAIMS MADE Y 1 1 AGGREGATE $ $ U $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATUS OTH- DRY LIMEMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTNE E.L. DISEASE -EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? IMdesanundALPROVISIONS W. I E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Monroe County Board of Commissioners is listed as Additional Insured. County Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Board of County Commissioners \ DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TMAIL DAYS H 1100 Simonton Street U/, NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,, BUT FAILURE E TO DO SO0 SHALL Key West, FL 33040- IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR is named as additional insured Hull & Co., Inc. - Tampa Bay 1988 From: 5/22/09 To: 5/22/10 12: Insured THE PIGEON KEY FOUNDATION PO BOX 500131) MARATHON FL 33050-0130 BUILDING $177,800 CONTENTS $15,000 The above message applies only when there is a mortgagee on the insured location, FFL 99.001 0608 0177225 4/27/09 2000 00000 FLD RGLR Policy Type General Property Form Titer I 1 Yr(wt5/12/64 12:01am I U98- MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST FL 33040-3110 1 (305) 289-0213 $1,000 $1,542.00 $1,000 $243.00 ANNUAL SUBTOTAL: $1,785.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $1,860.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $1,895.00 Premium paid by: Insured This policy covers only one building, If you have more than one building on your property, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company, Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 100 This policy is issued by Fidelity National Property and Casualty Copy dent To: As indicated on back or additional pages, if any. 008467709251013198709117 00000 Add'l Interest FIDELITY ►Anowu PROPERTY a CASUALTY INRRANCECOMPANY 09 2510131985 05 From: 5/22/09 To: 5/22/10 12:01 ar�i Standard Tjf6o' V' t VO)f 5/22/04 12:01am I U98- FFL 99.001 0608 0176839 4/27/09 2000 00000 FLD RGLR Policy Type General Property Form - 1(305)289-0213 Insured Loao Number THE PIGEON KEY FOUNDATION MAY `,- CCSONkOE BOUNTY BOARD OF COUNTY PO BOX 500130 COMMISSIONERS MARATHON FL 33050-0130 OOJWHIZEHEAD ST ` KEY WEST FL 33040-6581 Insured Location (if other than above) MUSEUM AST BRIDGE TENDER HSE #, GENERAL DELIVERY, PIGEON KEY FL 33050-0000 Location Description Contents Location Lowest Floor Only Above Ground Level DeM BUILDING $54,200 CONTENTS $5,000 DEAR MORTGAGEE The Reform Act of 1994 i,requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan, The above message applies only when there is $1,000 $450.00 $1,000 $81.00 ANNUAL SUBTOTAL: $531.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $606.00 FEDERAL POLICY SERVICE FEE: $35.00 a mortgagee on the insured location, TOTAL PREMIUM: $641.00 Premium paid by: Insured k This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details, s,S. GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 10 This policy is issued by Fidelity National Property and Casualty Copy Sent To: As indicated on back or additional pages, if any. 00846??0925101319850911? 0000E Lender eaRDELITY NATIONAL. PROPERTY & CASUALTY NeURANCE COMPANY 09 2510131986 05 From: 5/22/09 To: 5/22/10 12: 1 am Standard':Time 1 YrtS) 5/22�04 12:01am U98- FFL 99.001 0608 0176839 4/27/09 2000 00000 FLD RGLR Policy Type General Property Form Insured�r Loan ,Number THE PIGEON KEY FOUNDATION; '�1` MONROE COUNTY PO BOX 500130 BOARD OF COUNTY _- COMMISSIONERS MARATHON FL 33050-0130 500 WHITEHEAD ST KEY WEST FL 33040-6581 BUILDING $15,300 CONTENTS $5,000 The above message applies only when there is a mortgagee on the insured location. 1 (305) 289-0213 $1,000 $127.00 $1,000 $81.00 ANNUAL SUBTOTAL: $208.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $283.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $318.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III, Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. FL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99 116 1005/100 This policy is issued by Fidelity National Property and Casualty Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198609117 OOOOF Lender e4FIDELITY NATIO L PROPERTY & CASUALTY U6URANCE COWANv 09 2510131988 05 From: 5/22/09 To: 5/22/10 2:01 am Sta"dard'Time 1 yr(s) 5/22/04 12:01am U98- Insured THE PIGEON KEY FOUNDATION v A B tJz� PO BOX 500130 MARATHON FL 33050-0130' BUILDING $48,800 CONTENTS $0 The above message applies only when there is a mortgagee on the insured location, FFL 99.001 0608 0176839 4/27/09 2000 00000 FLD RGLR Policy Type General Property Form Loam Number MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 500 WHITEHEAD ST KEY; WEST FL 33040-6581 $1,000 $0 ANNUAL SUBTOTAL: DEDUCTIBLE CREDIT: ICC PREMIUM: COMMUNITY DISCOUNT: TOTAL WRITTEN PREMIUM: FEDERAL POLICY SERVICE FEE: TOTAL PREMIUM: Premium paid by: Condo Type 1(305)289-0213 N/A Adjacent Grade 0 Elevation Difference N/A $405.00 $.00 $405.00 $.00 $75.00 $.00 $480.00 $35.00 $515.00 Insured This policy covers only one building, If you have more than one building on your property, please make sure they are all covered. See lll. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details, FL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.1111 6 1005 100 This policy is issued by Fidelity National Property and Casualty Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198809117 00001 Lender BUILDING $31,500 CONTENTS $0 The above message applies only when there is a mortgagee on the insured location, $1,000 $261.00 $0 $.00 ANNUAL SUBTOTAL: $261.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $336.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $371.00 Premium paid by: Insured This policy covers only one building, If you have more than one building on your property, please make sure they are all covered. See lll, Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company, Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details, GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 100 This policy is issued by Fidelity National Property and Casualty Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198909117 00002 Lender FIDELITY NATIONAL PROPERTY & CASUALTY INSURANCE COWANY 09 2510131990 05 From: 5/22/09 To: 5/22/10 12:01 am -Standard Time 1 y*]) 5/22/04 12:01am U98- FFL 99.001 0608 0176839 4/27/09 2000 00000 FLD RGLR Policy Type General Property Form Insured Loan Number THE PIGEON KEY FOUNDATION MONROE COUNTY BOARD OF COUNTY PO BOX 500130 - COMMISSIONERS MARATHON FL 33050-0130 500 WHITEHEAD ST BUILDING $23,700 CONTENTS $25,000 The above message applies only when there is a mortgagee on the insured location. KEY WEST FL 33040-6581 1(305)289-0213 $1,000 $261.00 $1,000 $535.00 ANNUAL SUBTOTAL: $796.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $871.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $906.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered, See Ill. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 100 This policy is issued by Fidelity National Property and Casualty Copy Sent To: As indicated on back or additional pages, if any. 008467709251013199009117 OOOOA Lender FIDELITY ► ATIONu►LPROPExTYaCASUALTY coWAwv 09 2510131991 05 From: 5/22/09 To: 5/22/10 12:01 am ttancm0whime 1= �'"� s} 5/22/�04 12:01am U98- FFL 99.001 0608 0176839 4/27/09 2000 00000 FLD RGLR Policy Type General Property Form Insured Loan Number THE PIGEON KEY FOUNDATION MONROE COUNTY BOARD OF COUNTY PO BOX 500130 COMMISSIONERS MARATHON FL 33050-0130 500 WHITEHEAD ST KEY WEST FL 33040-6581 BUILDING $60,000 CONTENTS $6,000 The above message applies only when there is a mortgagee on the insured location, 1 (305) 289-0213 $1,000 $498.00 $1,000 $97.00 ANNUAL SUBTOTAL: $595.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $670.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $705.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered, See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company, Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 100 This policy is issued by Fidelity National Property and Casualty Copy Sent To: .As indicated on back or additional pages, if any. 008467709251013199109117 Lender BUILDING $81,800 CONTENTS $0 The above message applies only when there is a mortgagee on the insured location. $1,000 $679.00 $0 $.00 ANNUAL SUBTOTAL: $679.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $754.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $789.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered, See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company, Coverage Limitations may apply, Please refer to your Flood Insurance Policy for details. GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 100 This policy is issued by Fidelity National Property and Casualty Copy Sent To: As indicated on back or additional pages, if any. 00846??0925101:319840911? OOOOD Lender FIDELITY NATIONAL PROPERTY & cAwALTY MWjRANa cORWAwY 09 2510131982 05 Fidelity National Property and Casualty Insurance Company P.O. Box 33003 St. Petersburg, FL 33733-8003 1-800-820-3242 FLOOD DECLARATIONS PAGE 09 2510131982 04 1 Date of Issue 4/27/09 From: 5/22/09 To: 5/22/10 12:01 Insured THE PIGEON KEY FOUNDATION PO BOX 500130 MARATHON FL 33050-0130 BUILDING $29,100 CONTENTS $0 The above message applies only when there is a mortgagee on the insured location. i Stan ardTim9 ..1 — yr(s) 5/2 /04. 12:01am I U98- FFL 99.001 0608 0176839 4/27/09 2000 00000 FLD RGLR Policy Type General Property Form MAT 1 2001oai Number MON OE COUNTY BOARD OF COUNTY -OMMISS ONERS i<I;; Fl"rli 500 WHI EHEAD ST KEY WEST FL 33040-6581 (305) 289-0213 $1,000 $242.00 $0 $.00 ANNUAL SUBTOTAL: $242.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $317.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $352.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See III, Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. L 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005 100 This policy is issued by Fidelity National Property and Casualty Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198209117 00008 Lender KRI From: 5 22/09 To: 5/22/10 12:01 a Stan and Time 1 yr(s) 5/22/04 12:01am U98— — (305) 289-0213 Insured MAY 1 ?Loan N tuber THE PIGEON KEY FOUNDATION MONROE 4 ICOUNTY BOARD OF COUNTY PO BOX 500130 �_ COMMIS IONERS MARATHON FL 33050-0130 __._... 500 WHITEHEAD ST KEY WEST FL 33040-6581 BUILDING $51,000 CONTENTS $0 The above message applies only when there is a mortgagee on the insured location. $1,000 $423.00 $0 $.00 ANNUAL SUBTOTAL: $423.00 DEDUCTIBLE CREDIT: $.00 ICC PREMIUM: $75.00 COMMUNITY DISCOUNT: $.00 TOTAL WRITTEN PREMIUM: $498.00 FEDERAL POLICY SERVICE FEE: $35.00 TOTAL PREMIUM: $533.00 Premium paid by: Insured This policy covers only one building. If you have more than one building on your property, please make sure they are all covered, See III. Property Covered within your Flood policy for the NFIP definition of building or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. GFL 99.OAP 1002 1002 BFLG99.100 0503 0503 GFLD99.311 0306 0306 BFL 99.116 1005100 This policy is issued by Fidelity National Property and Casualty Copy Sent To: As indicated on back or additional pages, if any. 008467709251013198309117 0000C Lender Pat 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM $ $ g $ $ $ 1 310, 000 90 9, 300 T-85 2,701 190,000 90 1, 000 T-85 162 ONE STORY FRAME MEETING ROOMS/CLASSROOMS BUILDING ON STILTS/PILINGS IOC: C/1D #46 7 MILE BRIDGE PIGEON KEY, MONROE FL 33050 2 93,000 90 2,790 T-85 810 36,000 90 1,080 T-85 308 ONE STORY FRAME MUSEUM BUILDING ON STILTS/PILINGS LOC: C/ID #47 3 88,000 0 90 2,640 T-85 767 ONE STORY FRAME OFFICE BUILDING ON STILTS/PILINGS LOC: C/ID #48 4 142,000 0 90 4,260 T-85 539 ONE STORY FRAME (1) UNIT DORMITORY BUILDING ON STILTS/PILINGS LOC: C/ID #49 N O N O 0 a0 01 ` -q O C ► � Subject to Form No (a) e� e� Mortgagee/Loas Payee: .Agent: Payor: HARRIS JOHNSON CORP 0004 INSURED p THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 p (305) 289-0213 Date: 7/27/2009 CIT NO3-CNR 01 08 00048 Team 3 MORTGAGEE COPY -01 OSY R 40111 42 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART I AND ENDORSEMENTS, IF ANY ISSUED TO FORM $ $ % $ $ $ 5 142,000 0 90 4,260 T-85 539 ONE STORY FRAME 3 UNIT BRIDGE K/A TENDERS HOUSE ON STILTS/PILINGS LOC: C/ID #50 6 85,000 0 90 2,550 T-85 741 ONE STORY FRAME LABORATORY BUILDING ON STILTS/PILINGS LOC: C/ID #51 7 51,000 0 90 1,530 T-85 444 ONE STORY FRAME CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/ID #53 8 23,000 ONE STORY 0 90 FRAME (1) UNIT STAFF DORMITORY 1, 000 T-85 87 LOC: r C :r In Total Cover e: 5989 000 Pa ewt Plaar Full Ps Told Premlam: S8 08 Premium Amount Tau Exempt Surcharge 2005 Citizens Emergency Assessment $ 7 , 0 9 8 $12 4 $ 9 9 2005 Florida Hurricane Catashnphe Fund Emergency Assessment $ 71 Catashophe Reinsurance Surcharge $1, 0 65 2007 Florida Insurance Guaranty Association Regular Assessment $ 51 Subject to Form No(a): CIT CP2 CIT-W06 Mortgagee/Loss Payee: MONROE COUNTY 1100 SIMONTON KEY WEST, FL BOARD OF CTY ST 33040 COMM Agent: HARRIS JOHNSON CORP 0004 THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 (305) 289-0213 CIT R03-CNR 01 08 00048 Team 3 Payor: INSURED p Date: 7/27/2009 MORTGAGEE COPY -01 QSY R 40111 43 This Certificate is issued as a matter the coverage afforded by the policies Name and Address of Agency Null and Company, Inc. 800 Carillon Parkway, Suite 150 St. Petersburg, FL 33716 Name and Address of Insured Pigeon Key Foundation, Inc. P.O. Box 500130 Marathon, FL 33050 CERTIFICATE OF INSURANCE S information n (r.. P rights upon 9 aow: j 1 omp4m j I'.i--...1.�.�-/.--------_...letter Letter Letter C Letter D ISSUE DATE 09/24/2009 certificate holder. This certificate does not amend, extend or after es Affording Coverage Scottsdale Insurance Company This is to certify that 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 of 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. The limits shown may have been reduced by paid claims. Co. Type of Ltr. Insurance Policy Number Policy Policy Effective Expiration ------GENERAL LIABILITY ---------------------------------------------------------------------------------- A X Commercial General Liability CPS1078214 09/26/09 09/26110 X Occurrence Form Owner's & Contractors Protective Limits of Liability ----------------------------------------------------------------- General Aggregate $2,0009000 Products-Comp/Ops Aggregate $29000,000 Personal & Advertising Injury $190009000 Each Occurrence $190002000 Fire Damage (Any one fire) $1002000 Medical Expense(Any one Person) $59000 -------AUTOMOBILE LIABILITY------------------------------------------ ------ ------------------------------------------------------------------------------------------------- Any Auto Combined Single Limit $ All Owned Autos Bodily Injury (Per person) $ Scheduled Autos Bodily Injury (Per accident) $ Hired Autos Property Damage $ Non -Owned Autos Garage Liability -------EXCESS LIABILITY --------------------------------------------- ------------- ----- -------------------------------------------------------------------------------------- Umbrella Form Each Occurrence $ Other than Umbrella Form Aggregate $ -------WORKERS COMPENSATION------------------------------- -- ------ --- -- ---------------------------------------------------------------------------------------- Worker's Compensation STATUTORY LIMITS and Each Accident $ Employers! Liability Disease -Policy Limit $ Disease -Each Employee $ -------OTHER ------------------------------------------------------------------------ -------------------------------------------------------------------------------------------------- Limit $ ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Description of Operations/LocationsNehicles/Restrictions/Special Items ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- CANCELLATION: 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 below, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. Certificate Holder Monroe County Board of County Commissioners 1100 Simonton Street 7; Key West, FL 33040 Is Named as Additional Insured Cert (10/93) el 0 '(2 -d � / lI CtiY% C' 2_ Surplus Line #A305417 FAHI A CORD ,M CERTIFICATE OF LIABILITY INSURANCE P1DC1 01-13AT2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PAYCHEX AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 210705 P : () - F : (8 8 8) 443 - 6112 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 33015 SAN ANTONIO TX 78265 INSURED PIGEON KEY FOUNDATION INC 5800 OVERSEAS HWY STE6 KEY WEST FL 33040 COVERAGES INSURERS AFFORDING COVERAGE INSURER A: Twin City Fire 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. INSR L TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DA TE MM/DO/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY c{ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ COMMERCIAL GENERAL LIABILITY i MED EXP (Any one person) $ i CLAIMS MADE FIOCCUR PERSONAL & ADV INJURY $ I GENERAL AGGREGATE $ i GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- JECT F-1 AUTOMOBILE LIABILITY ANY AUTO i COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS r ( PROPERTY DAMAGE (Per accident)gt AUTO ONLY - EA ACCIDENT $ $ GARAGE LIABILITY ANY AUTO OTHER THAN EA ACC $ E $ AUTO ONLY: AGG EXCESS LIABILITY i OCCUR CLAIMS MADE t J EACH OCCURRENCE $ AGGREGATE $ $ $ DEDUCTIBLE -- $ RETENTION $ I A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY 76 WEG L P 7 4 7 7 0 8/ 0 7/ 0 9! 0 8/ 0 7 10 X TORY LIMITSWC STATU- OTH- R E.L. EACH ACCIDENT S1001 000 E.L. DISEASE - EA EMPLOYEE $1 0 0 , 0 0 0 E.L. DISEASE - POLICY LIMIT $ 5 0 0, 0 0 0 l _ OTHER i i DESCRIPTION OF OPERATIONS/LOCATIONS/VEH/CLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. U C M 1 1 r-1 U H It: 11 U L U t h U ADDITIONAL INSURED; INSURER LETTER. MONROE COUNTY BOARD OF COUNTY 'COMMISSIONERS IATTN MONIQUE DIAZ 1100 SIMONTON ST STE 2-268 KEY WEST, FL 33040 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORO 25-S 971 GG © ACORD CORPORATION 1988 ACORDT. CERTIFICATE OF LIABILITY INSURANCE FAH DC P1DC DATE 01-13-2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PAYCHEX AGENCY INC 210705 P : (} - F : (8 8 8) 4 4 3 - 112 ECEIVERALTER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1 )rEHIS CERTIFICATE DOESAMEND, EXTEND OR N E COVERAGE A FORDED BYO THE POLICIES BE OW PO BOX 33015 SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE INSURED JAN 3 201( INSU R A: T in City Fire Ins Co INSU qER B: PIGEON KEY FOUNDATION I C .�.._4� INSU qER C: 5800 OVERSEAS HWY STE6 KEY WEST FL 33040 __ �s' ` ?-Er�F CnLli�,jy `�.N ;�,''`�,`') r'� 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM DD1Y Y POLICY EXPIRATION DATE (MMADDIM LIMITS GENERAL LIABILITY EACH OCCURRENCE S FIRE DAMAGE (Any one fire) $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS MADE 7OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICYF_� PEOT - [7 LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS � BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS - • PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY ' P EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND X WC STATU- OTH- LIMITS I ER A EMPLOYERS' LIABILITY 76 WEG`TORY L P7 4 7 7 0 8/ 0 7/ 0 9 0 8/ 0 7/ 10 E.L. EACH ACCIDENT $10 0 0 0 0 E.L. DISEASE - EA EMPLOYEE $10 0 , 0 0 0 E.L. DISEASE - POLICY LIMIT S 5 0 0, 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN MONIQUE DIAZ 1100 SIMONTON ST STE 2-268 KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. um A TIVE ACORD 25-S (7/97) 0 ACORD CORPORATION 1988 coRe E #tT IINSURANCE C FICATE OF LIABILITY OP ID JW oaYE (MMIODiYYYY) PxGZO-1 01/13/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Jobnsons Insurance Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 30975 Avenue A, ALTER THE COVERAGE AFFORDED. BY THE POLICIES BELOW. Big Pine Key FL 33043 Pbcme: 305-872-2888 OVERAGE NAIC 0 INSURED � ._._ ogres s i Commercial INSURER B: ._ The Piww%= KW Foundation Uf ER C: f Crmwge stejamtZ j P. 0. BOX 5301 0 V Marathm F1 3 050 '1 URER D: INSURER E: COVERAGES�----�-��-- THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TH RED NICY PERIOD IN ICATED. NOTWITHSTANDING AMER ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUM IIj�ERT H THIS CIFI TE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE N AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAILOIiS. LTIR TYPE OF INSURANCE POLICY NUMBER DATEVMIDDrfYYY1 DATE LIMITS i�ENEIiAL LIABILITY EACH OCCURRENCE $ PREMISES Ea occusnas $ COMMERCIAL GENERAL LABILITY CLAIMS MADE 71OCCUR MED EXP (Any one person) $ PERSONAL S ADV INJURY S GENERAL AGGREGATE $ PRODUCTS - COUP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY O- LOC F-1 A X AUTOMOBILE LIABILITY ANY AUTO 053017380 02/1.3/09 02/13/10 COMBINED SINGLE LIMIT ESacd (Ea �cidvnt) ( $ ALL OWNED AUTOS X SCHEDULED AUTOS O (Per rsINJURY $100 0 0 HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) S Z 00 0 0 PROPERTY DAMAGE (Per accident) $ 10 0 0 0 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY ]OCCUR FICLAIMS MADE Az EACH OCCURRENCE $ AGGREGATE $ S DEDUCTIBLE RETENTION $ WKWKERS COMPENSATION WC STATU- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVISO OFFICERIAAEIMBER EXCLUDED? r TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S (Mandatory in NH) If yyeess, describe under E.L, DISEASE - POLICY LIMIT S SPECIAL PROVISIONS below OTHER CaeomliIliiitrcial Applica DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION 94OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA F� — S DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Conroe County aOCC IMPOSE NO OKMATION OR LIABILITY OF ANY NAND UPON THE INSURER. ITS AG4NTB OR 1100 Si ton Street tIPARmENTArIvEs. ey West FL 33040 T It �IREs: l 1h7,11,1 ACORD 28 (2009101) "'' 0198E-2009 ACORD CORPORATI9V All rights reserved. The ACORD name and logo are reWstered marks of ACORD JOHNSONS INS AGCY 13361 OVERSEAS HWY RECENED MARATift, FL 33054 v_ ._....-1 30S-289-0213 J A N 2010 „ ,f Certificate of Insurance Poky au Wr. 0M n -1 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY January 21, 2010 Page 1 of 2 CeMkoft Holder lrmmd Aqua .• . .............................................. I ....................................... .tm.e...... .............. I,.. .1 .• . ......eee.t................... . .. Mhonai Insured THE PIGEON KEY FOUNDATION JOHNSONS INS AGCY MONROE COUNTY BOCC 5800 OVERSEAS HWY#6 13361 OVERSEAS HWY 1100 SIMONTON S MARATHON, FL 33050 MARATHON, FL 33050 KEY WEST, FL 33040 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the periods) indicated. This Certificate is issued fior information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies fisted below. The coverages afforded by the policies fisted below are suNect to all the terms, exclusions, limitations, endorsements, and conditions of these pal icies . .......... ..................... .me.4.................,..... .......... •.................. I.... .................................. .... . ... Policy Effective Data: Feb 13, 2010 Policy E�iration Date. Feb 13, 2011 ............... ... Faroe Uoft ate) ......... ...................... .................. ..................................................... ............... BODILY INJURY/PROPERTY DAMAGE $10,0001S20,0001$10,000 ........... ... . . . U NINSt11�f D MOTORIST $10,Op01$ 200000 o N0IV-STAdKEi3 ................, ... ......... ..... ........... .. ...... ..... . ..... •.......esm.t............................ PERSONAL INJURY PROTECTION $10,000 W/SO DED - NAMED INSD & RELATIVE DomApdca of MdesfSpedal fens Scheduled autos only ......................._.....................................................................,..................................................................... 1997 FORD CLUB WAGON SUPR 1 FBJS31 L4VH807896 ....... MEDICAL PAYMENTS $ 5,000 ........................................................................................ 1995 FORD CLUB WAGON SUPR 1 FBJS31 H3SHA52154 MEDICAL, PAYMENTS $5,000 ............,............... ...... ... ,....................................................... ............................................... ..stem....... 1989 DODGE W-150 1 B7HM16YXICS 196823 ............... ME"CAL PAYMENTS $5,000 Policy number: 05301738-1 Page 2 of 2 Cordfitme number 0211ONET738 Please be advised that additional insureds and loss payees will be notified in the event of a mid -tern cancellation. FOM 5241(10102) ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE '06-14-2010 PRODUCER --'-{`"�'�tGATE IS ISSUED AS A MATTER OF INFORMATION PAYCHEX INSURANCE AGENCY IN R �l l_ I �!&Y"ZD C NFERS NO RIGHTS UPON THE CERTIFICATE DE�t THISCERTIFICATE DOES NOT AMEND, EXTEND OR 210705 P ' O - F ' (8 8 8) 44 3 - 6 11 ALTER ffHE C VERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 33015 INSURERS AFFORDING COVERAGE SAN ANTONIO TX 78265 JUJ 5 2010 INSURED INSURERA:IrWir. City Fire Ins Co PIGEON KEY FOUNDATION INC"' rC fneER C: 5800 OVERSEAS HWY STE 6 INSURER D: MARATHON FL 33050 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING j 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. INSR1 TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YY) !. GENERAL LIABILITY !, ! EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) '�. $ CLAIMS MADE OCCUR MED EXP (Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: ~ POLICY PRO- ! JECT ! LOC �. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS III HIRED AUTOS NON -OWNED AUTOS PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY $ (Per person) BODILY INJURY $ ��. (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY j\ AUTO ONLY - EA ACCIDENT '�. $ I ANY AUTO V OTHER THAN EA ACC '., $ ! e n AUTO ONLY: AGG $ I,L EXCESS LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ $ ''.. X WC STATU- I OTH-. !, A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY !I 7 6 WEG L P 74 7 7 0 8/ 0 7/ 10 0 8/ 0 7/ 11 _ TORY LIMITS I I ER E.L. EACH ACCIDENT $10 0, 0 0 0 E.L. DISEASE - EA EMPLOYEE I, $1 0 0, 000 '.. E.L. DISEASE - POLICY LIMIT S5 O O , 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Those usual to the Insured's Operations. �C i /7Cl/l CC% ADDITIONAL INSURED; INSURER LETTER: 'MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN MONIQUE DIAZ 1100 SIMONTON ST STE 2-268 jKEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25-S (7/97) "' ACORD CORPORATION 1988 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART i AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-0973 `INSURED NAME AND ADDRESS CITIZENS THIS IS A PIGEON KEY FOUNDATION C/O MONROE COUNTY RISK MANAGEMENT PO BOX 500130 MARATHON, FL 33050 GENERAL BUSINESS POLICY TERM 8/16/2010 TO 8/16/2011 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1233045 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY PDrF ') Item No. AMOUNT Building OF Percent of Contents Coinsurance Applicable DEDUCTIBLES Territory Premium 5 142,000 0 90 4,260 T-85 593 ONE STORY FRAME 3 UNIT BRIDGE K/A TENDERS HOUSE ON STILTS/PILINGS LOC: C/ID #50 6 85,000 0 90 2,550 T-85 815 ONE STORY FRAME LABORATORY BUILDING ON STILTS/PILINGS LOC: C/ID #51 7 51,000 0 90 1,530 T-85 489 ONE STORY FRAME CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/ID #53 8 23,000 0 90 1,000 T-85 96 ONE STORY FRAME (1) UNIT STAFF DORMITORY LOC: Total Coverage: $989 000 Payment Plan: Onarterl Total Premium: $9 413 Premium Amount $ 7 , 8 0 8 2005 Citizens Property Insurance Corporation Emergency Assessment $10 9 Tax Exempt Surcharge $137 2005 Florida Hurricane Catastrophe Fund (FHCF) Emergency Assessment $ 7 8 Catastrophe Reinsurance Surcharge $1, 171 2007 Florida Insurance Guaranty Association Regular Assessment $ 3 3 2009 Florida Insurance Guaranty Association Regular Assessment $ 7 7 Subject to Form No(s): CIT CP2 01 10 CNRW 01 10 01 10 Mortgagee/Loss Payee: MONROE COUNTY BOARD OF CTY COMM 1100 SIMONTON ST KEY WESST,n FLJ 33040 V � HARRIS JOHNSON CORP 0004 Payor: INSURED THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 Date: •--��• �� - � 6/29/2010 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-0973 INSURED NAME AND ADDRESS 449'61ms THIS IS A PIGEON KEY FOUNDATION C/O MONROE COUNTY RISK MANAGEMENT PO BOX 500130 MARATHON, FL 33050 GENERAL BUSINESS POLICY TERM 8/16/2010 TO 8/16/2011 AT 12:01 A.M. (EST) CITIZENS POLICY No. 1233045 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY nr�c Item No. AMOUNT OF INOMCE Building Percent of DEDUCTIBLES Contents Coinsurance Applicable Territory Premium 1 310,000 90 9,300 T-85 2,971 19,000 90 1,000 T-85 179 ONE STORY FRAME MEETING ROOMS/CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/1D #46 7 MILE BRIDGE PIGEON KEY, MONROE FL 33050 2 93,000 90 2,790 T-85 891 36,000 90 1,080 T-85 338 ONE STORY FRAME MUSEUM BUILDING ON STILTS/PILINGS LOC: C/ID #47 3 88,000 0 90 2,640 T-85 843 ONE STORY FRAME OFFICE BUILDING ON STILTS/PILINGS LOC: C/ID #48 4 142,000 0 90 4,260 T-85 593 ONE STORY FRAME (1) UNIT DORMITORY BUILDING ON STILTS/PILINGS LOC: C/ID #49 Total Coverage: Payment Plan: Total Premium: S Subject to Form No(s): i cuv i Mortgagee/Loss Payee: i G � A— t - i Payor: HARRIS JOHNSON CORP 0004 INSURED THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 N O N O 00 O 00 M lug Date: 6/29/2010 Part 2: THIS AMEINDED DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND 1 NDORSEM1:NTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETETHE BFILOW NUM131;RED FLORIDA WINDSTORM UNDi RWRITING ASSOCIATION POLICY. CI'I'IZE:NS PROPERTY INSURANCE CORPORATION, WIND ONLY -on in Corplorale ;uJacksonville,', Florida 32216-8091 PA 4._. INSURED ' S NAME AND ADDRESS..._. HANGS NO . 1THIS IS AN AMENDED C O{ ITIZE S PIGEON KEY F OUNDA _C ION t , aanrrtliw4 ,,f• C / O MONROE COUNTY RISK MANAGE ENT ` ' �' GENER AL BUSINESS PO BOX 5001- 30 k MARATHON, FL 3 3 0 `5 0 THIS CHANGE IS EFFECTIVE 7/15/2010 POLICY TERM 8/1.6/2009 TO 8/16/2010 AT 2z0,1fti!ktT) POLICY NO. 1233045 • • INCEtTION DATE EXtIRATION DATE r-P ey ciaratlon Page -This is not aBill - DO NOT PAY D A /-N V CIT W0'3-CNR 01 08 00048 Team 3 MORTGAGEE COPY -01 JLE 17203 173 Part 2: Tl-IIS AMI;Nl)l:h DI'CLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED V) NORM A PA.R r I'Hl:Kla)F, COMPLETETFIF, BELOW NUMBERED FLORIDA WINDSTORM UNDERWRITING ASSOCIATION POLICY. ClrI'IZE''gS PROPERTY INSURANCE CORPORATION, WIND ONLY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-8091 INSURED' S NAME ANIi END F:ESS CHANGE NO. 1THIS IS AN AMENDED P CITIZENS� PIGEON KEY FOtJNDA7_ ION .an.;o,,.,pSSIAW1^„".1,'� C/O MONROE COUNTY F:ISK MANAGEMENT GENERAL BUSINESS PO BOX 500130 MARATHON, FL 3305C THIS CHANGE IS EFFECTIVE C IVE 7/15/2010 POLICY TERM 8/16/2009 TO 8/16/2010 AT 12:01 A.M. (EST) POLICY NO. 1233045 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY cV O (") O O O O O T- O O O „Lj UUU4d Team J MORTGAGEE COPY -01 JLE 17203 174 Part 2: THIS AMEiND1,;D I)1 CLARATION PA(iI:, WITH POLICY PROVISIONS - PART 1 AND INDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE; THE: BELOW NUMI3ERI:I) FLORIDA WINDSTORM UNDERWRITING ASSOCIATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-8091 INSURED'S NAME AND ADDRESS PIGEON KEY FOUNDATION C/O MONROE COUNTY RISK MANAGEMENT PO BOX 500130 MARATHON FL 3 3 0 Ci 0 IrCHANGE NO. 1THIS IS AN AMENDED CITIZENS [Nsl GENERAL BUSINESS THIS CHANGE IS EFFECTIVE 7/15/2010 POLICY TERM 8/16/2.009 T'' 8/16/2010 AT 12:01 A.M. (EST) POLICY NO. 1233045 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY D A (- V 1� T' O (M O O O O O O O O CI T W0 3-CNR 01 08 00048 Team 3 MORTGAGEE COPY - 01 JLE 17203 175 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/17/2010 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 endorsement(s). PRODUCER Hull & Company, Inc. C NTACT NAME: 800 Carillon Parkway, Suite 150 O.N ; E>R . 305 289-0213 A,� No): 305 743-1810 E-MSt. Petersburg FL 33716 ADDRESS: sche ohnsonsinsure.com PRODUCER g6438 r ll';TnUFR In e• INSURED Pigeon Key Foundation, Inc.; George Steinmetz P.O. Box 500130 INSURER C Marathon FL 33050 1 INSURER D : INSURER(S) AFFORDING COVERAGE NAIC S Scottsdale Insurance Company 141297 t^_nVFRA(.FC PCGTIOrf%AT= ur 111aft . ------ --------------'-• ��rL�IVI� nUmocrc: 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 SUBR WVIDPOLICY NUMBER POLICY EFF MM/DD/YYYYI POLICY EXP (MMIDDrYYYYI LIMITS GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE T RENTED PREMISES Ea occurrence $ 1OO,000 MED EXP (Any one person) $ 5,000 A CLAIMS -MADE OCCUR X CPS1239986 09/26/10 09/26/11 PERSONAL 8,ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE (Per accident) $ HIRED AUTOS NON -OWNED AUTOS ('0 $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE i Y EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED?DED?❑ (Mandatory in NH) If yes, describe under N / A r% „ , Ij /'/�, V !!! WC STATUIMIT- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ DESCRIPTION OF OPERATIONS below ��YCCYYY E.L. DISEASE- POLICY LIMIT $ (nj A4 t DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedu , if more space is required) C �I �1 C�-7 7 C_-�� Monroe County Board of County Commissioners 1100 Simonton Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Key West, FL 33040 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Is Named as Additional Insured AUTHORIZED REPRESENTATIVE i 4 /f A i Surplus Lines Agent #A305417 W Iaoo-cuva AGUKU L;URPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD Part 2: THIS AMENDED DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED FLORIDA WINDSTORM UND ,,RWRITING ASSOCIATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-8091 INSURED'S NAME AND ADDRESS \16 CHANGE NO. 1THIS IS AN AMENDED PIGEON KEY FOUNDATION CITIZENS C/O MONROE COUNTY RISK MANAGEMENT GENERAL BUSINESS PO BOX 500130 MARATHON, FL 33050 THIS CHANGE IS EFFECTIVE 8/16/2010 POLICY TERM 8/16/2010 TO 8/16/2011 AT 12:01 A.M. (EST) POLICY NO. 1233045 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY AM UNTF :N URAN E PAGE 1 LNL-... Percent of Deductible Builcing Contents Coinsurance Amount Territory Premium Applicable * THIS STATEMENT OF COVERAGE GIVES THE STATUS OF YOUR POLICY AFTER THE RECENT CHANGE(S). AN ADDITIONAL PREMIUM OF $ 248RESULTED FROM THIS CHANGE(S) ( 206 PREMIUM + 42 SURCHARGE) 1 310,000 90 9,300 T-85 2,971 19,000 90 11000 T-85 179 ONE STORY FRAME MEETING ROOMS/CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/1D #46 7 MILE BRIDGE PIGEON KEY, MONROE FL 33050 2 93,000 T-85 90 2,790 36,000 90 1,080 T-85 ONE STORY FRAME MUSEUM BUILDING ON STILTS/PILINGS LOC: C/ID #47 88,000 0 90 2,640 ONE STORY FRAME OFFICE BUILDING ON STILTS/PILINGS LOC: C/ID #48 ect to Form No(s): (Mortgagee/Loss Payee Producer: HARRIS JOHNSON CORP 0004 THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 Payor: INSURED mm 891 338 843 m 0 M 0 Co 0 U) 0 0 0 0 (305) 89-0 13 Date: 11/19/2010 CIT W03-CNR 01 08 00 04 8 Team 3 MORTGAGEE COPY -01 JLE 20614 51 b0000 SVOEEZI HOVDIxOW JP MORGAN CHASE BANK NA ISAOA ATIMA PO BOX 9005 COPPELL TX 75019-9005 ZSOEE 'I3 'SaHOHS NOHIV'd W 96EZ XOfl '0'd 1CONaDV SNI SNOSNHOP HH1 b000 dIdOD NOSNHOP SIddVH Part 2: THIS AMENDED DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED FLORIDA WINDSTORM UNDERWRITING ASSOCIATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-8091 INSURED' S NAME AND ADDRESS ' CHANGE � N0. THIS IS AN AMENDED 1 PIGEON KEY FOUNDATION C/O MONROE COUNTY RISK MANAGEMENT GENERAL BUSINESS PO BOX 500130 NOV r1,/ D MARATHON, FL 33050 `�uY 2'l`fiHIS CHANGE IS EFFECTIVE 8/16/2010 POLICY TERM 8/16/2010 TO 8/16/2011 AT 12 01 A.M. -(EST) P;ICY N0. 1233045 our INCEPTION DATE EXPIRATION DATE This 1 Poll } y a9r�,A��>ttap�n Page - T is is not a Bill - DO NOT PAY Item AMOUNT OF INSURANCE Percent Or. ... .... ... Deductbl`e`--�'"-•"'-"'_""- AVIi G �o• Building Contents Coinsurance _ Applicable Amount Territory Premium 4 142,000 0 90 4,260 T-85 593 ONE STORY FRAME (1) UNIT DORMITORY BUILDING ON STILTS/PILINGS LOC: C/ID #49 5 142,000 0 90 4,260 T-85 593 ONE STORY FRAME 3 UNIT BRIDGE K/A TENDERS HOUSE ON STILTS/PILINGS LOC: C/ID #50 6 85,000 0 90 2,550 T-85 815 ONE STORY FRAME LABORATORY BUILDING ON STILTS/PILINGS LOC: C/ID #51 7 * 51,000 0 90 1,530 T-85 489 ONE STORY FRAME CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/ID #53 8 23,000 0 90 1,000 T-85 96 ONE STORY FRAME (1) UNIT STAFF DORMITORY LOC: Total Coverage amount: Total Premium amount: Subject to Form No(s): i Mortgagee/Loss Payee = i i Producer: HARRIS JOHNSON CORP 0004 Payor: THE JOHNSONS INS AGENCY INSURED P.O. BOX 2346 = MARATHON SHORES, FL 33052 Date: FA — 11/19/2010 = ry 0 Cl) 0 0 0 Ln 0 0 0 0 — .rum-1— ui ua UUU48 Team 3 MORTGAGEE COPY -01 JLE 20614 52 b0000 Sv0££ZZ 39VEMlow JP MORGAN CHASE BANK NA ISAOA ATIMA PO BOX 9005 COPPELL TX 75019-9005 ZSO££ `I3 'S3'dOHS NOHIV'dVW 9b£Z XOS 'O'd TON3OV SNI SNOSNHOP 3HZ b000 d'dO0 NOSNHOP SIdUVH POLICY TERM 8 / 16 / 2 010 TO INCEPTION DATE Part 2: THIS AMENDED DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED FLORIDA WINDSTORM UNDERWRITING ASSOCIATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-8091 INSURED'S NAME AND ADDRESS PIGEON KEY FOUNDATION C/O MONROE COUNTY RISK MANAGEMENT PO BOX 500130 MARATHON, FL 33050 THIS CHANGE IS EFFECTIVE 8/16/2010 8/16/2011 AT 12:01 A.M. (EST) POLICY No. 1233045 EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY \,01- CHANGE NO. 1THIS IS AN AMENDED CITIZENS GENERAL BUSINESS Item AMOUNT OF !NSURANCE Percent of Deductible PAGr No. Building Contents Coinsurance Applicable Amount Territory Premium 9 0 30,000 90 1,000 T-85 206 (1.000 P) CONTENTS OF A ONE STORY MASONRY GENERATOR BUILDING LOC: Total Coverage amount: $1,019,000 Total Premium amount: $9 661 Premium Amount $8, 014 2005 Citizens Property Insurance Corporation Emergency Assessment $112 Tax Exempt Surcharge $14 0 2005 Florida Hurricane Catastrophe Fund (FHCF) Emergency Assessment $ tl 0 Catastrophe Reinsurance Surcharge $1, 2 02 2007 Florida Insurance Guaranty Association Regular Assessment $34 2009 Florida Insurance Guaranty Association Regul—,4issessment $79 Subject to Form No(s): CIT CP2 01 10 CNRW 01 10 01 10 CIT 18 18 01 10 Mortgagee/Loss Payee MONROE COUNTY BOARD OF CTY COMM 1100 SIMONTON ST = KEY WEST, FL 33040 R Producer: HARRIS JOHNSON CORP 0004 Payor: THE JOHNSONS INS AGENCY INSURED P.O. BOX 2346 - MARATHON SHORES, FL 33052 Date: - - 11/19/2010 = CIT W03-CNR Ul U8 00048 Team 3 MORTGAGEE COPY -01 JLE 20614 53 60000 SbOEEZT aoaosxow 51 MONROE COUNTY BOARD OF CTY COMM 1100 SIMONTON ST KEY WEST, FL 33040 Z90CE d 'SH23OHS NOHIV'H W 9VEZ XOg -O-d )CDNg9K SNI SNOSNHOr HHZ 6000 d-dOD NOSNHOP SIdUVH CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DD/ 06-13-201011 THIS CERTIFICATEIS 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 CERT IMPORTANT: If the certificate holder is an ADDITI ALINSU ) must be ndorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain polici may require an endorsement. A sta ment on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER PAYCHEX INSURANCE AGENCY INC JUL H X 210705 P : () - F : (8 8 8) 4 4 3 - 6112 (A/C No Ext): (A/C, No): (8 8 8) 4 4 3 - 611 PO BOX 33015 ADDRESS: WvvSAN ANTONI O TX 78265 MONROE , D #: INSURED PIGEON KEY FOUNDATION INC 5800 OVERSEAS HWY STE 6 MARATHON FL 33050 INSURER A : Twin C INSURER B INSURER C INSURER D INSURER E INSURER F AFFORDING COVERAGE COVERAGES CERTIFICATE IYUMRFR• RCVICInM IUI IMRCD- NAI C # 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY _ PREMISES IEa occurrence) $ CLAIMS -MADE u OCCUR MED EXP (Any one person) $ PERSONAL& ADV INJURY 1 $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY a PRCT u LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS \ , $ �1/� UMBRELLA LIAR U OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEDUCTIBLE $ % $ RETENTION $ ' A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/ N OFFCRIM EMBER EXCLUDED? —N/A If yes, describe under DESCRIPTION OF OPERATIONS below 76 WEG LP7477 08/07/2011 08/07/2012 X ORY IMITS OER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $5 0 0 , 0 0 0 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED COMMISSIONERS BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE ATTN MONIQUE DIAZ DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 S IMONTON ST STE 2— 2 6 8 AUTHORIZE PRESENTATIVE KEY WEST, FL 33040 ® 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE: CORPORATION POLICY. CITIZENS PROPERTY INSURANCE r.�r1 F 4 Y POLICY 6676 Corporate Center arkway, J e, 216-0973 INSURED NAME AND ADDRESS ,IT�Z J THIS IS A -. ` '� PIGEON KEY FOUNDATION ENERAL BUSINESS C/O MONROE COUNTY RISK MANAGEMENT PO BOX 500130 MONROECOUNTY MARATHON, FL 33050 RISK MANAGEMENT POLICY TERM 8/16/2011 TO 8/16/2012 AT 12:01 A.M. (EST) CITIZENS FULIU1 NU. 1233045 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY PAGE 1 Item AMOUNT F INSURANCE Percent ofCoinu DEDUCTIBLES Territory Premium No. Building Contents plicablee PP 1 310,000 90 9,300 T-85 3,268 19,000 90 1,000 T-85 196 ONE STORY FRAME MEETING ROOMS/CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/1D #46 7 MILE BRIDGE PIGEON KEY, MONROE FL 33050 2 93,000 90 2,790 T-85 980 36,000 90 1,080 T-85 372 ONE STORY FRAME MUSEUM BUILDING ON STILTS/PILINGS LOC: C/ID #47 3 88,000 0 90 2,640 T-85 928 ONE STORY FRAME OFFICE BUILDING ON STILTS/PILINGS LOC: C/ID #48' 4 142,000 0 90 4,260 T-85 652 ONE STORY FRAME (1) UNIT DORMITORY BUILDING 1 ON STILTS/PILINGS LOC: C/ID #49 L Total Coverage: Payment Plan: Total Premium: Z-�Q-" V7. \ Y�'-0—r,C Q— Subject to Form No(s): Mortgagee/Loss Payee: Agent: HARRIS JOHNSON CORP 0004 THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 (305) 289-0213 CIT W03-CNR 01 10 00048 Team 3 rayor: INSURED Date: 7/19/2011 MORTGAGEE COPY -01 QSY R 40111 51 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART I ANC ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPER—Y INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 6676 Corporate Center Parkway, Jacksonville Florida 32216-0973 INSURED NAME AND ADDRESS 4��"!'CITIZENS THIS IS A PIGEON KEY FOUNDATION C/O MONROE COUNTY RISK MANAGEMENT PO BOX 500130 MARATHON, FL 33050 GENERAL BUSINESS POLICY TERM 8/16/2011 TO 8/16/2012 AT 12:01 A.M. (EST) C:TIZENS POLICY NO. 1233045 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY PAGE 2 Item AMOUNT OF INSURANCE Percent of Coinsurance DEDUCTIBLESNo• Territory Premium 8uil ding Conten tS Applicable 5 142,000 0 90 4,260 T-85 652 ONE STORY FRAME 3 UNIT BRIDGE K/A TENDERS HOUSE ON STILTS/PILINGS LOC: C/ID #50 6 85,000 0 90 2,550 T-85 896 ONE STORY FRAME LABORATORY BUILDING ON STILTS/PILINGS LOC: C/ID #51 7 51,000 0 90 1,530 T-85 538 ONE STORY FRAME CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/ID #53 8 23,000 0 90 1,000 T-85 106 ONE STORY FRAME (1) UNIT STAFF DORMITORY LOC: 9 0 30,000 90 1,000 T-85 227 CONTENTS OF A ONE STORY MASONRY GENERATOR BUILDING LOC: Total Coverage: $1 019 000 Payment Plan: ua terly Total premium: $10,494 Premium Amount $ 8 , 815 2005 Citizens Prc perty Insurance Corporation Emergency Assessment $ 8 8 Tax Exempt Surcharge $15 4 2005 Florida Hur-icane Catastrophe Fund (FHCF) Emergency Assessment $115 Catastrophe Rein Durance Surcharge $1, 3 2 2 Subject to Form No(s): CIT CP2 01 10 CNRW 01 10 01 10 CIT 18 18 01 10 Mortgagee/Loss Payee: MONROE COUNTY BOARD OF CTY COMM 1100 SIMONTON ST KEY WEST, FL 33040 s+gen c HARRIS JOHNSON CORP 0004 THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 (305) 289-0213 CIT w03-CNR 01 10 00048 Team 3 rayon: INSURED Date: 7/19/2011 MORTGAGEE COPY -01 QSY R 40111 52 JOHNSONS INS AGCY 13361 OVERSEAS HWY MARATHON, FL 33050 305-289-0213 Certificate of Insurance Certificate Holder Insured ..IST ............................................................. MONROE COUNTY TOUR THE PIGEON KEY FOU NDATION DEVELOPMENT COUNCIL 5800 OVERSEAS HWY#6 1201 WHITE ST MARATHON, FL 33050 KEY WEST, FL 33040 PRVEREMW Policy number: 05301738-2 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY July 29, 2011 Page 1 of 1 Agent ........................................................................... JOHNSON5INSAGCY 13361 OVERSEAS HWY MARATHON, FL 33050 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated, This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditionsofthese policies. PolicY Effective ate: ...DFeb 13, 2011PolicyExpiration DateFeb 132012 ..........................................................012........................,,,.,.,.,.,.................. : , Insurance coverage(s) umits BODILY INJURYlPROPERTY DAMAGE ,.$10.000/520,000/$10,000.................................................................. .........................$10...., ..000/.........20..,..000.........S.... TAC....K.ED... ......................................................... PERSONAL UNINSURED MOTORIST $NO....N- ....................................... ............. $'10,000 W/S0 DED NAMED INSD & RELAT..IVE................................'.......... INJURY PROTECTION Description of Location/Vehicles/Special Items Scheduled autos only 1991 FORD CLUB WAGON S U P R 1 F6 1S31 L4VHBO7896 MEDICAL PAYMENTS $5,000 ............................................................................................................................................... 1995 FORD CLUB WAGON SUPR 1FBJS31 H3SHA52154 MEDICAL PAYMENTS $5,000 989 1DODGE W-150 1 B7 H M 1 6 YX KS 1 96 8 23 MEDICAL PAYMENTS $5,000 Certificate number 2101 1N ET738 Please be advised that the certificate holder will not be notified in the event of a mid-term cancellation Form 5241 (10y) a co cs.� ACCIR0 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDMYYY) 0912ZOI1 THIS CERTIFICATE 19 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 poiicy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain polic Cement on this certificate does not confer rights to the certificate holder In lieu of such andomeme s . PRODUCER Hull & Company, Inc. — -, 800 Carlton Parkway, Suite 150 St. Petersburg FL 3� 4D PHONE AIC No): E-MAIL INSURS S AFFORDING COVERAGE NAIC e INSURER A : Scottsdale Insurance Company 41297 INSURED Pigeon Key Foundation, Inc.; George Stei ' etz P.O. Box 500130 Marathon FL 33050 INSURER 8 : ' T- INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L TYPE OF INSURANCE ADDL SUBS! POLICY NUMBER PoLICYEFF POLICY EXP MM/D LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED a rre $ 100,000 J< CCMMERCIAL GENERAL LIABIUTY CLAIMS -MADE F_x1 OCCUR MED EXP (Any one n) $ 6,000 PERSONAL & ADV INJURY S 1,000,000 A x CPS1463051 09/26/11 09/26/12 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,0 0,000 $ 1-1 POLICY 71 PRO- LOG AUTOMOBILE LIABILITY COMBINED IN GLE LIMIT Ea accidsn BODILY INJURY (Per Pelson) $ ANY AUTO BODILY INJURY (Per accident) S ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AU70S AUTOS PROPERTY DAMAGE Per accident S $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAR CLAIMS -MADE DELI I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE I WCSTALIMTU- OTH- R ER `E-L. EACH ACCIDENT $ OFFICERIMEM13ER EXCLUDED? ❑ (Mandatory In NH) N / A E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT S li yyeea deacnbe under DESCRIPTION OF OPERATIONS Wow l r' DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, IT mo ape is re Irate Certificate Holder is listed as an Additional insured.) `ham r e__ w....r. CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners 1100 Simonton St Key West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE is listed as an Additional Insured V4 j� Surplus Lines Agent OA305417 01988-2010 ACORD CORPORATION, All rights reserved. ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSU N �1;'�'Il ONLY POLICY 6676 Corpora Center a , , orida 322 -0973 INSURED NAME AND ADDRESS THIS IS A �]� ff��fe� PIGEON KEY FOUNDATION ttt777SSS7TTi (J+[ GENERAL BUSINESS C/O MONROE COUNTY RISK MANAGEMENT PO BOX 500130 �+ MARATHON, FL 33050 RIS &MOVAENT POLICY TERM 8/16/2012 TO 8/16/2013 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1233045 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY PAGE 1 1 314,000 90 9,420 T-85 3,641 19,000 90 1,000 T-85 216 ONE STORY FRAME MEETING ROOMS/CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/1D #46 7 MILE BRIDGE PIGEON KEY, MONROE FL 33050 2 94,000 90 2,820 T-85 1,090 36,000 90 1,080 T-85 410 ONE STORY FRAME MUSEUM BUILDING ON STILTS/PILINGS LOC: C/ID #47 3 89,000 0 90 2,670 T-85 1,032 ONE STORY FRAME OFFICE BUILDING ON STILTS/PILINGS LOC: C/ID #48 4 144,000 0 90 4,320 T-85 727 ONE STORY FRAME (1) UNIT DORMITORY BUILDING ON STILTS/PILINGS LOC: C/•ID #49 ject to Form No(s): Loss Payee: jv : fipan C,Q _ Agent: HARRIS JOHNSON CORP 0004 THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 (305) 289-0213 CIT W03-CNR 01 10 00048 Team 3• Payor: �1. a • 4<1QIitK , r , INSURED Date: 7/24/2012 MORTGAGEE COPY -01 QSY R 40111 103 HARRIS JOHNSON CORP 0004 THE JOHNSONS INS AGENCY P.O. BOX 2346 MARATHON SHORES, FL 33052 S CMA k./ .....�..:•xM�hRSu.mvx�-..,c,. �.: �n,,:uw�w.,..-r MORTGAGE 1233045 00004 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-0973 INSURED NAME AND ADDRESS 4V"'f6T1ZENS THIS IS A PIGEON KEY FOUNDATION GENERAL BUSINESS C/O MONROE COUNTY RISK MANAGEMENT PO BOX 500130 MARATHON, FL 33050 POLICY TERM 8/16/2012 TO 8/16/2013 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1233045 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY P 5 144,000 0 90 4,320 T-85 727 ONE STORY FRAME 3 UNIT BRIDGE K/A TENDERS HOUSE ON STILTS/PILINGS LOC: C/ID #50 6 86,000 0 90 2,580 T-85 997 ONE STORY FRAME LABORATORY BUILDING ON STILTS/PILINGS LOC: C/ID #51 7 52,000 0 90 1,560 T-85 603 ONE STORY FRAME CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/ID #53 8 23,000 0 90 1,000 T-85 116 ONE STORY FRAME (1) UNIT STAFF DORMITORY LOC: 9 0 30,000 90 1,000 T-85 249 CONTENTS OF A ONE STORY MASONRY GENERATOR BUILDING LOC: PA Total Cove $1 031 000 Payment Plan: Quarterl Total Premium: $11 689 Premium Amount $ 9 , 8 0 8 2005 Citizens Property Insurance Corporation Emergency Assessment $ 9 8 Tax Exempt Surcharge $17 2 2005 Florida Hurricane Catastrophe Fund (FHCF) Emergency Assessment $12 8 Catastrophe Reinsurance Surcharge $1, 4 71 2009 Florida Insurance Guaranty Association Regular Assessment $12 =t i Subject to Form No(s): = i CIT CP2 02 12 CNRW 01 10 01 10 Mortgagee/Loss Payee: MONROE COUNTY BOARD OF CTY COMM 1100 SIMONTON ST KEY WEST, FL 33040 s Agent: Payor: HARRIS JOHNSON CORP 0004 INSURED THE JOHNSONS INS AGENCY i P.O. BOX 2346 MARATHON SHORES, FL 33052 (305) 289-0213 Date: 7/24/2012 CIT W03-CNR 01 10 00048 Team 3 MORTGAGEE COPY -01 QSY R 40111 104 P0000 S60££ZT $Oe911dow 71 MONROE COUNTY BOARD OF CTY COMM 1100 SIMONTON ST KEY WEST, FL 33040 ZSO££ as 'SaHOHS NOHI HVW 96£Z XOs 'O'd )CDNaDV SNI SNOSNHOP SHZ 6000 dHOO NOSNHOP SIHHKH A!-'17Q. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07-26-2012 THIS CERTIFICATEIS 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 ACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED BELOW. THIS CERTIFICATEOF INSURANCE DOES NOT CDee REPRESENTATIVE OR PRODUCER, AND TH IMPORTANT: If the certificate holder is an A DITIONA he st be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certai policies may require an enstatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement s►. PRODUCER '� AU,a/c, PAYCHEX INSURANCE AGENCY NC No): i8 8 8) 4 4 3 - 6112 210705 P:()- F:(888)443-6 12 PO BOX 33015 MONItOE COINSURERS) SAN ANTONIO TX 78265 AFFORDING COVERAGE NAIC rYRISKMANAGEin Cit Fire Ins Co INSURED INSURER B INSURER C PIGEON KEY FOUNDATION INC 5800 OVERSEAS HWY STE 6 INSURER D MARATHON FL 33050 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT R! LTR �, TYPE OF INSURANCE �INSR WVD'. POLICY NUMBER CY (MM/OD/YVYY) (MMIDD/YVYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ CLAIMS -MADE L__� OCCUR MED EXP (Any one person) $ u u, PERSONAL & ADV INJURY 1 $ GENERAL AGGREGATE CI$ PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: U PECT $ _ POLICY LOC AUTOMOBILE LIABILITY AP ! COMBINED SINGLE LIMIT $ BY (Ea accident) BODILY INJURY (Per person) $ ANY AUTO �A WA BODILY INJURY (Per accident) I $ ALL OWNED SCHEDULED AUTOS u I� I� i11r�1' W PROPERTY DAMAGE S ._. AUTOS HIRED AUTOS II II NON -OWNED w' "�I �`� (Per accident) u AUTOS $ UMBRELLA LIABLJ ! 'OCCUR EACH OCCURRENCE $ '�. EXCESS LIAB CLAIMS -MADE u u AGGREGATE $ DEDi I RETENTION $ $ WORKERS COMPENSATION WC STATU- F H- AND EMPLOYERS' LIABILITY Y/NX ! TORY LIMITS ER E.L. EACH ACCIDENT i $ 1QQ QQQ A OFFICER/MEMBER ANY R EXCRLUDEDiXECUTIVE� N/A j I �'i 76 WEG LP7477 08/07/2012�I!! 08/07/2013 E.L. DISEASE - EA EMPLOYEFI $ 100, 000 (Mandatory in NH) LJ 1 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 LI u! DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED COMMISSIONERS BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE ATTN MONIQUE DIAZ DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE PRESENTATIVE 1100 S IMONTON ST STE 2- 2 6 8 KEY WEST, FL 33040 ® 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD PAYCHEX INSURANCE AGENCY INC PO BOX 33015 SAN ANTONIO TX, 78265 05789 MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN MONIQUE DIAZ 1100 SIMONTON ST STE 2-268 KEY WEST, FL 33040 ACORD 25 (2010/05) /_" ACORI CERTIFICATE OF LIABILITY INSURANCE 07�E26/o20112 THIS CERTIFICATEIS 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 SUBROGATIONIS 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 endorsernent(s). PRODUCER PAYCHEX INSURANCE AGENCY INC 210705 P:()- F:(888)443-6112 GUNIACI NAME: PHONE No Ext : (A/C,No): 8 88) 4 4 3 - 611 ADDRESS: PO BOX 33015 INSURERS) AFFORDING COVERAGE NAIC Y SAN ANTONI O TX 78265 INSURER A : Twin City Fire Ins Co INSURED INSURER B: INSURER C PIGEON KEY FOUNDATION INC 5800 OVERSEAS HWY STE 6 INSURER D INSURER E MARATHON FL 33050 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR• 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. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DO/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ UAMAGE PREMISES O REN accurrencel S COMMERCIAL GENERAL LIABILITY CLAIMS -MADE u OCCUR _ _ MED EXP IAny one Person) S II II LJ I I U PERSONAL 6 ADV INJURY $ GENERAL AGGREGATE $ GE 'L AGGREGATE LIMIT APPLIES PER: POLICY U PRO- U LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED I I SCHEDULED AUTOS U AUTOS HIRED AUTOS NON -OWNED U AUTOS _ u _ u v `, �'(` BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) $ S UMBRELLA UAB U OCCUR EXCESS LIAB CLAIMS -MADE _ L__I _ U r - EACH OCCURRENCE 8 AGGREGATE S DE RETENTION $ y A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N OFFICER/MEMBER ANY OPRIETRIPARUDER/ XECUTIVE— (Mandatory In NH) u If ee, describe under DESCRIPTION OF OPERATIONS below N/ A U 76 WEG LP7477 08/07/2012 08 07/2013 WC STATU- OTH- X TORY LI ITS E.L. EACH ACCIDENT S 100.000 E.L. DISEASE - EA EMPLOYE S 100000 E.L. DISEASE - POLICY LIMIT Is 500, 000 uu DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 701, Addltlond Rernarlu Schedule, If more space In requlred) y • .--� 1 �- - i--. Those usual to the Insured' s Operations. JUL 31 2012 CFR I IFK:A f E HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED COMMISSIONERS BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE ATTN MONIQUE DIAZ DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 SIMONTON ST STE 2-268 AUTHORIZE PRESENTATIVE KEY WEST, FL 33040 /A-r— 7A4114� -I Vt5V-[1U-I U AGURU CLIRPORATION. All rights reserved. ACORD 25 ( 10/OS) The ACORD name and logo are registered marks of ACORD C C_ THE JOHNSONS INS AGC 13361 OVERSEAS HWY MARATHON, FL 33050 1-305-289-0213 Z%. 'RECEIVED JAN - ;. 2013 MOMOE COUNTY Certificate of Insurance PROGR,Fff1Y ' Policy number. 05301738-3 Underwritten by. PROGRESSIVE EXPRESS INS COMPANY December 27, 2012 Page 1 of 1 Certificate Holder Insured Agent ................................................................................................................................................................................................... Additional Insured THE PIGEON KEY FOUNDATION THE JOHNSONS INS AGC MONROE COUNTY TDC 5800 OVERSEAS HWY#6 13361 OVERSEAS HWY 1100 SIMONTON ST MARATHON, FL 33050 MARATHON, FL 33050 KEY WEST, FL 33040 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured (lamed above for the period(s) indicated. This Certificate is issued for information purposes only. it confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. ............................................................................................................................................................................ Policy Effective Date: Feb 13, 2012 Policy Expiration Date: Feb 13, 2013 Insurance coverage(s) Limits ............................................................................................................................................................................. BODILY IFIJURY/PROPERTY DAMAGE $10,000/$20,000/$10, 000 ............................................................................................................................................................................. UNINSURED MOTORIST f 10,000/$20,000 NON STACKED PERSONAL INJURY PROTECTION $10,000 W/$0 DED - NAMED INSD & RELATIVE Description of Location/Vehides/Special Items Scheduled autos only ............................................................................................................................................................................. 1997 FORD CLUB WAGON SUPR 1 FBJS31 L4VHB07896 MEDICAL PAYMENTS $5,000 Certificate number 36212NET738 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. By DA JW:� G(' Fam 5241 (10102) W C C � CG r THE JOHNSONS INS AGC 13361 OVERSEAS HWY MARATHON, FL 33050 1-305-289-0213 RECEIVED JAN - 2013 MONROE COUNTY Certificate of Insurance PROGREII/UE" Policy number: 05301738-3 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY December 28, 2012 Page i of 1 certificate Holder Insured Agent ................................................................................................................................................................................................... Additional Insured THE PIGEON KEY FOUNDATION THE JOHNSONS INS AGC MONROE COUNTY BOCC 5800 OVERSEAS HWY#6 13361 OVERSEAS HWY 1100 SIMONTON S MARATHON, FL 33050 MARATHON, FL 33050 KEY WEST, FL 33040 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. ........................................................................................................................................................................... Policy Effective Date: Feb 13, 2012 Policy Expiration Date: Feb 13, 2013 Insurance coverage(s) Limits ......................................................................................................................................................................... . BODILY INJURYIPROPERTY DAMAGE $10,000/$20,0001$10,000 .................................... ..................................................................................................................................... UNINSURED M070RlST $10,000/$20,000 NON STACKED ............................................................................................................................................................................. PERSONAL INJURY PROTECTION $10,000 W/$0 DED - NAMED INSD & RELATIVE Description of Location/Vehides/Spedal Items Scheduled autos only ............................................................................................................................................................................. 1997 FORD CLUB WAGON SUPR 1 FBJS31 L4VHB07896 MEDICAL PAYMENTS $5,000 GG Certificate number 36312NET738 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241 (10/02) A'Jw gDA r'1oL PIGEO-1 OP ID: SC . l.. R CERTIFICATE OF LIABILITY INSURANCE �-� DAT10126(MWDO/2 1 a2sn z 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 DOE LITEA CONTRACT BETWEEN THE ISSUING iNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTI ATE HOL IMPORTANT: if the certificate holder is an ADDITIO the terms and conditions of the policy, certain policl certificate holder in lieu of such endorsemen s . L INURR ( ust be enflorsed. If SUBROGATION IS WAIVED, subject to may require an endorsement A state m nt on this certificate does not confer rights to the Bt Pine Ph 30975 Avenue A Big Pine Key, FL 33043 Susan J. Cherrybon e:305-88 Fax: MONRO RISK MA FAx , E>R , aI, No): E-MAIL : cotymy INSU S AFFORDING COVERAGE NAIC K $cottsda Insurance Co. INSURED The Pigeon Key Foundation Jason Koler P.O. Box 500130 Marathon, FL 33050 INSURER B: INSURER C INSURER O: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MM/0 Y EXP MM(DWYYYY LIMITS A GENERAL LIABILITY ]!17MERCLAL GENERAL LIABILITY CLAIMS -MADE I —XI OCCUR X CPS1642913 09126/12 09/26/13 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 X Sexual/Phys Abuse GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROiEcT LOC PRODUCTS - COMP/OP AGG $ 2,000,00 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED NON -OWNED HIRED AUTOS AUTOS BAY R (�` DA W wee(,. I g COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $AUTOS PROPERTY DAMAGE APer accident _. $ $ UMBRELLA UAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION S $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNEWEXECUTIVE OFFICERMIEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below N I A WC STATU- OTH- TO E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEEI $ E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Rernarks Schedule, If morn space Is requlrsd) museums,camps. gift shop **HOLDER IS ALSO ADDITIONAL INSURED** MONRO36 Monroe County TDC & BOCC P O Box 1026 Key West, FL 33040 i GL 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 Susan J. Surplus Lines Agent #A30S41 7 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD TIM JOHNSONS INS AGC 13361 OVERSEAS HWY MARATHON, FL 33050 1-30S-289-0213 RECEIVED JA?1 - 21113 MONROB cOUN'IY RISK MANAGEIMIENT Certificate of Insurance PROOREWYE Policy number. OS301730-3 Underwdaen by: PROGRESSIVE EXPRESS INS COMPANY December 27, 2012 Page 1 of 1 [utMCI" Mohr limrad ................................. Additional insured THE PIGEON KEY FOUNDATION Agent THE JOHN50NS INS AGC MONROE COUNTY TDC 5800 OVERSEAS HWY#►6 13361 OVERSEAS HWY 1100 SIMONTON ST MARATHON, FL 33050 MARATHON, FL 33050 KEY WEST, fl 33040 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured flamed above for the period(s) indicated. This Certificate is issued for information purposes only. it confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below, The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. Po..li...................................... .....................Ex I. ty..Eflecd..ve Date: kb..13, 2012......Pol' rauon Date: kb 13, 2013-," ��•�� Irmwann rawraeeN LIMIU BODILY INJURY/PROPERTY DAMAGE S 10,000/520,.................. .................. ....... 000/510,000 ... UNINSUREDMOTORIST ..................... ..... ..................................... ....................... f 10,000/520,0.. NON -STACKED PERSONAL INJURY PROTECTION ..... ... S 10,000 tN/SO DED - NAMED INSD 6 RELATNE Description of Location/Vehides/Spedal Items Scheduled autos only 1997 FORD CLUB WAGON SUPR 1F81531L4VH807896 '"""""."""""""" "" MEDICAL PAYMENTS $5,000 Certificate number 36212NET738 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. ramSM (1=2) 77 (Policy Provisions: WC 00 00 00 H) 74 LP INFORMATION PAGE WEG WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY INSURER: TWIN CITY FIRE INSURANCE COMPANY HARTFORD PLAZA, HARTFORD, CONNECTICUT 06115 NCCI Company Number: 14974 Company Code: 7 THE HARTFORD Suffix LARS RENEWAL POLICY NUMBER: 76 WEG LP7477 _ -1 03 Previous Policy Number: 176 WEG LP7477 HOUSING CODE. 76 1. Named Insured and Mailing Address. PIGEON KEY FOUNDATION INC (No., Street, Town, Slate, Zip Code) FEIN Number: 650379003 State Identification Number(s): UIN: 5800 OVERSEAS HWY STE 6 MARATHON, FL 33050 The Named Insured is: CORPORATION Business of Named Insured: LEARNING CENTER - READING Other workplaces not shown above: 5800 OVERSEAS HIGHWAY KEY WEST FL 33040 2. Policy Period: From 08/07/12 To 08/07/13 12:01 a.m., Standard time at the insured's mailing address. Producer's Name: PAYCHEX INSURANCE AGENCY INC PO BOX 33015 SAN ANTONIO, TX 78265 Producer's Code: 210705 Issuing Office: THE HARTFORD 55 FARMINGTON AVE., SUITE 301 HARTFORD CT 06115 (877) 287-1312 Total Estimated Annual Premium: $837 Deposit Premium: N/A Policy Minimum Premium: $239 FL Audit Period: ANNUAL Installment Term: The policy is not minding unless countersigned by ourauthorizedrepresentative. Countersigned by t/ 06/16/12 Authorized Representative Date Form WC 00 00 01 A (1) Printed in U.S.A. Page 1 (Continued on next page Process Date: 06/16/12 Policy Expiration Date: 08/07, 13 G C, I C JSi�wLe� INFORMATION PAGE (Continued) Policy Number: 76 WEG LP7477 3. A. Workers Compensation Insurance: Part one of the policy applies M the Workers Compensation Law of the states fisted here: FL B. Employers Liability insurance: Part Two of the policy applies to work in each state listed in Item 3.A. The limits of our liability under Part Two are: Bodily injury by Accident $100, 000 each accident Bodily injury by Disease 4500, 000 policy limit Bodily Injury by Disease 0100, 000 each employee C. Other States Insurance: Part Three of the policy applies to the states, If any, listed here: ALL STATES EXCEPT ND, OH, WA, WY, AND STATES DESIGNATED IN ITEM 3.A. OF TIM INFORMATION PAGE. D. This policy Includes these endorsements and schedule: 02240 3201 WC 00 03 08 WC 00 04 21C WC 00 04 22A WC 09 04 02 WC 09 04 03A WC 00 04 14 WC 00 04 19 WC 09 03 03 WC 09 06 06 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information reaulred below Is subiectto verification and chance by audit. Premium Basis Classifications Total Estimated Rates Per Estimated Code Number and Annual $100 of Annual Description Remuneration Remuneratlon Premium 8868 122,600 .52 638 SCHOOL - PROFESSIONAL, EMPLOYEES & CLERRICAL TOTAL PREMIUM SUBJECT TO EXPERIENCE MODIFICATION 638 FL - INTRA EXPERIENCE MODIFICATION 097662630 (CONTINGENT) .960 PREMIUM ADJUSTED BY APPLICATION OF EXPERIENCE MODIFICATION 612 TOTAL ESTIMATED ANNUAL STANDARD PREMIUM 612 EXPENSE CONSTANT (0900) 200 TERRORISM (9740) 122,600 .020 25 TOTAL ESTIMATED ANNUAL PREMIUM 837 Total Estimated Annual Premium: $837 Deposit Premium: N/A Policy Minimum Premium: $239 FL InterstateAntrastate identification Number: Labor Contractors Policy Number: Form WC 00 00 01 A (1) Printed in U.S.A. Process Date: 06 / 16 /12 / 097662630 NAILS: 611699 SIC: 8299 UIN: NO. OF EMP; 000004 Page 2 Policy Expiration Date: 08/07/13 CERTIFICATE OF LIABILITY INSURANCE 1 07-24-2013 THIS CERTIFICATEIS 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 SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ON A NAME: PAYCHEX INSURANCE AGENCY INC PHONE FAX (AMA No, Ext): (A/c, N°): (8 8 8) 4 4 3- 6112 210705 P: O- F: (8 8 8) 4 4 3- 6112 IL PO BOX 33015 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # SAN ANTONI O TX 78265 INSURER A : Twin City Fire Ins Co INSURED INSURER B INSURER C PIGEON KEY FOUNDATION INC 5800 OVERSEAS HWY STE 6 INSURER D MARATHON FL 33050 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER_ REVISION NUMRER- 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. ILTHR TYPE OF INSURANCE INSR WVDI POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MMIDD/YYYY) LIMITS GENERAL LIABILITY CE $ E�rrence) ILU COMMERCIAL GENERAL LIABILITY AP BY$ GEMENT P CLAIMS-MADE " OCCUR _ _ BY ti cq% I MED EXP (Any one person) $ L L J W A / u. 1 V PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ J PRO- U $ POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED I I SCHEDULED _ u _ u PROPERTY DAMAGE $ AUTOS I� AUTOS HIRED AUTOS II II NON -OWNED (Per accident) LJ AUTOS $ UMBRELLA LIAB U OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE IJ u DEDI I RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- X AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER E.L. EACH ACCIDENT $ 100,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE— OFFICER/MEMBER EXCLUDED? u N/A I I H 76 WEG LP7477 08/07/2013 08/07/2014 E.L. DISEASE - EA EMPLOYEE $ 100,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 uu DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Monroe County Board Of County BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Commissioners DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 S IMONTON ST STE 2— 2 6 8 AUTHORIZE REPRESENTATIVE KEY WEST, FL 33040 ® 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERT �i ON, WIND ONLY POLICY 6676 Corpora a er a way, Jacksonv' , Florida 32216-0973 4SURED NAME AND ADDRESS SEp 0 ^.-IZENS THIS IS A PIGEON KEY FOUNDATION GENERAL BUSINESS C/O MONROE COUNTY RISK MANAGE NT PO BOX 500130 MONROECOUNTY MARATHON, FL 33050 RISK MANAGEMENT :)LICY TERM 8/16/2013 TO 8/16/2014 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1233045 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY PAGE 1 Item No. AMOUNT OF INSURANCE Percent of D$DUCTIBLES Building Contents Applicablee Territory Premium PP S S $ S S 1 0 19,000 90 1,000 T-85 238 ONE STORY FRAME MEETING ROOMS/CLASSROOMS BUILDING ON STILTS/PILINGS LOC: C/11) #46 7 MILE BRIDGE PIGEON KEY, MONROE FL 33050 2 0 36,000 90 1,080 T-85 450 ONE STORY FRAME MUSEUM BUILDING ON STILTS/PILINGS LOC: C/ID #47 3 0 30,000 90 1,000 T-85 274 0 CONTENTS OF A ONE STORY MASONRY GENERATOR BUILDING LOC: 0 o r- 04 / C'EMEM DA O r a rn mg a Total Coverage: $85 000 Payment Plan: Full Pa Total Premium: $1 156 Premium Amount $ 962 2005 Citizens Property Insurance Corporation Emergency Assessment $10 Tax Exempt Surcharge $17 2005 Florida Hurricane Catastrophe Fund (FHCF) Emergency Asseg*Cnt -TI $13 Catastrophe Reinsurance Surcharge w r - $14 4 2009 Florida Insurance Guaranty Association Regul"Cassment C $1 rn 2012 Florida Insurance Guaranty Association RegubwAssessment —0 $ 9 =_ Subject to Form No(s): CD CIT CP2 02 13 CNRW 01 10 01 10 Mortgagee/Loss Payee: -- MONROE COUNTY BOARD OF CTY COMM 1100 SIMONTON ST ,�„ Q KEY WEST, FL 33040 Agent: EAGLE AMERICAN INSURANCE 1030 AGENCY LLC 13361 OVERSEAS HIGHWAY MARATHON, FL 33050 (305) 289-0213 CIT W03-CNR 01 10 10300 Team 3 Payor: INSURED Date: 8/29/2013 MORTGAGEE COPY -01 QSY R 40111 7 Client#: 1669747 132PIGEOKEY ACORD. CERTIFICATE OF LIABILITY INSURANCE r DATE(MMMD/YYYY) 9/26/2013 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: BB&T-Oswald Trippe and Company PHONE 954 389-1289 86 Ext : A/c No : 6$02$684 2200 N Commerce Pkwy, Ste 204 E-MAIL Weston, FL 33326 ADDRESS: 954 389-1289 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Covington Specialty Insurance C 13027 INSURED Pigeon Key Foundation, Inc. INSURER B : 5800 Overseas Highway, #6 INSURER C: Marathon, FL 33050 INSURER D : INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: REVISION Nt1NIF1FR- 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 CONTRACTOR 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. INS LTR TYPE OF INSURANCE ADDL UBR D POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY X 11290907 9/26/2013 09/26/201 EACH OCCURRENCE $1 000 000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR [:X DAM gqGE TO RENTED PREMISES Ea occurrence $100 000 MED EXP An one person) s5,000 PERSONAL & ADV INJURY $1 000 000 BI/PD Ded: GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $1,000,000 POLICY PRO- EJECTLOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accdent BODILY INJURY (Per person) $ H ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS / BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS r l v PROPERTY DAMAGE Per acddent $ $ UMBRELLA LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED RETENTION $ $ WORKERS COMPENSATION WC STATU- I OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If es, descr be under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is additional insured with respects to general liability, per written contract. Loc# 1 - Old 7 Mile Bridge; Marathon, FL Loc# 2 - Knight's Key; Marathon, FL Monroe County Board of County Commissioners 1100 Simonton Street, Room 268 Key West, FL 33040 ACORD 25 (2010/05) 1 of 1 #S 11132299/M 11129608 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 C 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LIGO A r';=4 AT.v CERTIFICATE OF LIABILITY INSURANCE Root DATE 09-12-201)3 THIS CERTIFICATEIS 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 SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PAYCHEX INSURANCE AGENCY INC HONE Ext : A/C, Na: (888) 443 - 6112 210705 P: ()- F: (888)443-6112 E-MAIL PO BOX 33015 ADDRESS: SAN ANTONIO TX 78265 INSURER(S) AFFORDING COVERAGE NAIC a INSURER A : Twin City Fire Ins Co 29459 INSURED INSURER B INSURER C PIGEON KEY FOUNDATION INC 5800 OVERSEAS HWY STE 6 INSURER D MARATHON FL 33050 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /NSR LTR TYPE OF INSURANCE JNSR WVD POLICY NUMBER POLICY /MM/DD/YYYYI LI Y F P /MM/DD/YYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES (Ea occurrence) $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ ��-� , ^. '�\ GEN'L AGGREGATE LIMIT APPLIES PER: 71 POLICY 7 PRO- n LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ,,e - COMBINED SINGLE LIMIT (Ea accident) S BODILY INJURY (Per person) S ANY AUTO f BODILY INJURY (Per accident) S ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS a El�,. PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAR i OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS -MADE AGGREGATE $ DEDI I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY OFFICERMEMB RREXCLUDEDTXECUTIVE❑ N/A ❑ 76 WEG LP7477 08/07/2013 08/07/2014 WC STATUOTH- X TORY LIMIT- ER E.L. EACH ACCIDENT S 100 000 E.L. DISEASE - EA EMPLOYEE $ 100,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S500, 000 11 El DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks SChedu/e, /1 more space is repu"d) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Monroe County Board Of County BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Commissioners DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 S IMONTON ST STE 2- 2 6 8 AUTHORIZED REPRESENTATIVE KEY WEST, FL 33040 7a_ Q 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 1996 Edition MONROE COUNTY, FLORIDA Request For Waiver of Insurance Requirements It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be waived or modified on the following contract. Contractor: Pigeon Key Foundation, Inc. Contract for: Pigeon Key TDC Capital Projects Address of Contractor: Pigeon Key, Marathon Phone: 305-509-0345 Scope of Work: Saltwater Pool Gate project, and or Solar Hot Water project Reason for Waiver: Waiver of Auto Insurance requirement: Pigeon Key does not have any automobiles Policies Waiver will apply to: auto Signature of Contractor: Risk Management: r � Date: ? __ _ �D County Administrator Appeal: Approved Date: Board of County Commissioners Appeal: Approved Meeting Date: Not Approved Not Approved Not Approved Administration Instruction #4709.2 Client#: 1669747 132PIGEOKEY ACORD. CERTIFICATE OF LIABILITY INSURANCE r9/26/2013ATE(N�OD"n'n 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(les) 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). PRODUCERCT BB&T-Oswald Trippe and Company 2200 N Commerce Pkwy, Ste 204 Weston, FL 33326 ` NNAFAX ,o E : 9u 389-1289 A,c N„ 866.802.8684 E MAIL A DORESSe INSURERS AFFORDING COVERAGE NAIL e 954 389-1289 INSURER A: Covington Specialty Insurance C 13027 INSURED Pigeon Key Foundation, Inc. INSURER s : INSURER C : 5800 Overseas Highway, #6 INSURER D : Marathon, FL 33050 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 CONTRACTOR 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. LTR TYPE OF INSURANCE ADDL Ue POLICY NUMBER MPS Y E M UCCYY EYYXPY LIMBS A GENERAL LIABILITY X 11290907 9/26/2013 09/26/2014 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F—IOCCUR BI/PD Ded: PR 1 O RENTED Dn $100 000 MED EXP one non f 5 000 X PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT f7 LOC �� PRODUCTS - COMP/OP AGG $1 000 000 $ AUTOMOBILE LIAIKITY COMBINED SINGLE LIMIT Ea acddnt ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS AUTOS i BODILY INJURY (Par person) f BODILY INJURY (Per accident) S DAMAGE eracciderM S S UMBRELLA WB EXCESS LIAe OCCUR CLAIMS -MADE EACH OCCURRENCE f AGGREGATE S DIED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ Y / N (Mandatory in Ifnder DEes, daecnbe under OF OPERATIONS below N I A - - I WC STATU- I OTH- IER $ E.L. EACH ACCIDENT f E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 107, Additional Remarks Schedule, if more space is required) Certificate holder is additional insured with respects to general liability, per written contract. Loc# 1 - Old 7 Mile Bridge; Marathon, FL Loc# 2 - Knight's Key; Marathon, FL rcoTlctreTc unr nrn Monroe County Board of County Commissioners 1100 Simonton Street, Room 268 Key West, FL 33040 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 —M "Ad-LI lils. 4Af ACORD 25 (2010105) 1 of 1 #S 11132299/M 11129608 W Taee-zuTu ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD [Ktle] ACORE® CERTIFICATE OF LIABILITY INSURANCE 7/2`6/2014 THIS CERTIFICATEIS 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 SUBROGATIONIS 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). PRODUM PAYCHEX INSURANCE AGENCY INC CONTACT NAME: PHONE No. Ext): (A/C.No): (888) 443-6112 210705 P: F: (888) 443-6112 ADDRESS: PO BOX 33015 INSURERS) AFFORDING COVERAGE NAICM SAN ANTONIO TX 78265 INSURER A: Twin City Fire Ins Co IMSURED INSURER B INSURER C : PIGEON KEY FOUNDATION INC INSURER D: 5800 OVERSEAS HWY STE 6 INSURER E: MARATHON FL 33050 INSURER F: VVvCR WCJ l.rK rFrl:Y rF rYlIMKFK• �GXllwlr wr errflmn=O. 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. IWSR L7W TYPE OF INSURANCE ADDI SUBA POLICYNUMBER POLICYEFF POLICYEAP Iyl7S COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑ OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence) S MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: POLICY JE ❑ LOC PRODUCTS - COMP/OP AGG $ OTHER $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS f FLr� I Y W �� q ,� COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILVINJURY(PeraccdeM ) $ PROPERTY DAMAGE (Per accident) $ S I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LWB CLAIMS -MADE DE RETENTION 8 $ WORlEL4 ENSjI/Iq AA'D X PER OTH- STATUTE ER E.L. EACH ACCIDENT $10 0 , 0 0 0 A ANY PR ETO PARTNER/EXEWnVEY/N OFFICE MBE CIf yes, dM LUDED?,N- ( ��II1 ❑ DESCRIP'Ri7N 0 ERATIO ~ AA 76 WEG LP7477 08/07/2014 08/07/2015 E.L. DISEASE -EA EMPLOYEE $100r 000 E.L. DISEASE - POLICY LIMIT S 5 0 0 r 00 U— t �W DESCRIPTION W � S/ S/ VEHACPMRD 101, Additional Remarks Schedule, may be attached H more spars is required) Those u%dialwto th(ginsured's Operations. La. P x VGRI IrIVF►IG nVLVCR I:AN(:t:LLA 11UN Monroe County Board Of County Commissioners 1100 SIMONTON ST STE 2-268 KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE resery AGUKU LO (LUl4/U1) The ACORD name and logo are registered marks of ACORD 1996 Edition MONROE COUNTY, FLORIDA Request For Waiver of Insurance Requirements It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be waived or modified on the following contract. Contractor: Pigeon Key Foundation, Inc, Contract for: Pigeon Key TDC Capital Projects Address of Contractor: Pigeon Key, Marathon �C) Phone: 305-509-0346 low Scope of Work: Window and Bathroorn Repair project Reason for Waiver: Waiver of Auto Insurance requirement: Pigeon Key does not have any aworriobiIA-3 Policies Waiver will apply to: Auto Signature of Contractor: I Risk Management: U Datc: - County Administrator Appeal: Approved Date: Board Of County Commissioners Appeal: Approved Meeting Date: Administration Instruction #4709.2 Not Approved Not Approved Not Approved '29 C AN no^-0r%W0V VrrOrIYl. IYYYI �• _ _—_ ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYY`t) 10/2012014 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 endomement(s). PRODUCER BS&T-Oswald Trippe and Company 2400 N Commerce Pkwy, Ste 204: Weston, FL 33326 954 389-1289 CONTACT NAME; PHONN Eat ; 954 389-1289 No : 866-802.8684 WSURE AFFORDING COVERAGE NAIC • INSURER A: Covington Specialty Insurance C 13027 INSURED Pigeon Key Foundation Inc. 5800 Overseas Highway, #6 Marathon, FL 33050 INSURER B : INSURERC: INSURER D : INSURERE: INSURER F : TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING 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. LTR TYPE OF INSURANCE B POLICY NUMBER POUL�CYEFF MMID POLNW M VAS A GENERALLIILBILITY 11223279 W26/2014 09126=1 EACHOCCURRENCE$1 000000 PREMIS Ea oonriance $ 1 Oil 000 X COMMERCIAL GENERAL LIABILITY 7E2 MED EXP (My are raon =O CLAIMS -MADE OCCUR PERSONAL 3 ADV INJURY $1 000 000 BIRD Ded' GENERAL AGGREGATE 52,000 000 GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s O COMBINED SINGLE LIMB $ POLICY PRO- LOC AUTOMOBILE LLABaJIY(Es acddent BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per aoddeM) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED PROPERTY DAMAGE ac6derd 9 HIRED AUTOS HAUTOS : UMBRELLA LIAR OCCUR EACH OCCURRENCE _ AGGREGATE $ EXCESS LULB CLAIMS -MADE $ DED I I RETENTION WC STI WORKERS COMPENSATION NIT Ell E.L. EACH ACCIDENT $ AND EMPLOYERS' UAIKUY ANY PROPRIETORIPARTNERIEXECUTIVE Y / N E.L. DISEASE - EA EMPLOYE $ OFFICERMEMBER EXCLUDED? ❑ N / A (Mandatory In NH) E.L. DISEASE -POLICY LIMIT li K yyeea, d'gbe older DESCRIPTON OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ALLaeh RCORD 101, AddNbml RonmM SoheduM, I mom apau is requ-d) Certificate holder is additional Insured with respects to general liability, per written contract. ) PPR I - y ANAIGEMENT WTE a'It, Af AIVER / Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ty ty THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners and ACCORDANCE WITH THE POLICY PROVISIONS. Monroe CountyTourist Development ; - Council (.. r ! AUTHORIZED REPRESENTATIVE 1100 Simonton Street, Room 268 �� _ _ /•�� F - i ! ,o 19e8-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are reglstered marks of ACORD #S13267053IM13153924 LIGO DATE (MM/DD/YYYY) ►coRv® CERTIFICATE OF LIABILITY INSURANCE 7/25/2015 THIS CERTIFICATEIS 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 SUBROGATIONIS 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). PAYCHEX INSURANCE AGENCY INC (A/CNNo.Ext): Wc.No): (888) 443-6112 210705 P: F: (888) 443-6112 E-MAIL ADDRESS: PO BOX 33015 INSURER(S) AFFORDING COVERAGE NMCN SAN ANTONIO TX 78265 INSURERA: Twin City Fire Ins Co INSURED INSURER B : INSURER C : PIGEON KEY FOUNDATION INC INSURER D: 5800 OVERSEAS HWY STE 6 INSURER E: MARATHON FL 33050 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. JNSR TYPE OF INSURANCE ADDL SUBR POLICYNUADIER POLICYEFF POLICYEXP LAf77S EACH OCCURRENCE g COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ MED EXP (Any one person) S PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: POLICY I PRO ❑ LOC PRODUCTS -COMP/OP AGG $ $ JECT OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) S ANY AUTO BODILY INJURY (Per accident) S ALL OWNED SCHEDULED PROPERTY DAMAGE (Per accident) S AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS S UMBRELLALJAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE $ DE RETENTIONS WORKERS COMPEHSA7TON AHD EMPLOYERS LL48xnT ANY PROPRIETOR/PARTNER/EXECUTNEY/N OFFICEoryinNH) EREXCLUDED? F]wA (Mandatory in N If yes, describe under 76 WEG LP7477 08/07/2015 08/07/2016 PER OTH- i I STATUTE I ER A E.L. EACH ACCIDENT $10 0 r 000 E.L. DISEASE- EA EMPLOYEE S100r000 E.L. DISEASE - POLICY LIMIT $ 5 0 0 r 0 0 0 DESCRIPTION OFQPERATI&4S below DESCR/PTTOIIIOF SQ ATTONSD R]�RD 101, Additional Remarks Schedule, may be attached if more s ace is required Those usuaot tohe $-6.ired's Operations. 'APPRO RISK N EMENT U- CV) L, WAIVER N/ � I � qz-- 6y tG -j� C C _r " o 4. o` CERTIFICATE HOLDER CANCELLATION r�irc oc rnwlr•rI I cn b I1UULU NIV T yr 1 nF- muw- vw�., .,..�... .��.-•--- -- -- --- BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Monroe County BOCC 1100 SIMONTON ST STE 2-268 KEY WEST. FL 33040 ACORD 25 (2014/01) ©1988-2014 ACO The ACORD name and logo are registered marks of ACORD rights reserved. 1/7 D I f_CrlLe CV ACORD., CERTIFICATE OF LIABILITY INSURANCE DATE1217I201507/2015 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 endorsement(s). PRODUCER BB&T-Oswald Trippe and Company CONTACT NAME: PHONE 954 389-1289 A No: 866-802-8684 A/C, No Ezt E-MAIL ADDRESS: 2400 N Commerce Pkwy, Ste 204 INSURER(S) AFFORDING COVERAGE NAIC# Weston, FL 33326 954 389-1289 INSURERA: Nautilus Insurance Company 17370 INSURED Pigeon Key Foundation Inc. 5800 Overseas Highway, #6 Marathon, FL 33050 INSURER B : INSURER C INSURER D INSURER E INSURER F : 1-UV CMIA V CJ v�� v.-...-,...,....�... 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 CONTRACTOR 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. LTR TYPE OF INSURANCE ADDL INSR SUER WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR y N N495213 9/26/2015 09/26/201E EACH OCCURRENCE $1 000 000 PREMISES Ea occurrence $100,000 MED EXP (Anyone person) $ BI/PD Ded: X PERSONAL B ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ PRO- POLICY JECT LOC OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$T WORKERS COMPENSATION PER OTH- STATUTE IER $ E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY ANY PROP RI ETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is additional insured with respects to general liability, per written contract. ...APPR E EMENT r �"'"p 7� L WAIV R N/A S, ,r GILKI It-ILAIt nULUCK .• — — SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners and Monroe County ACCORDANCE WITH THE POLICY PROVISIONS. Tourist Development Council Oh :4 bid 6- 1100 Simonton Street, Room 268 AUTHORI ED REPRESENTATIVE Key West, FL 33040 � ii_1J�'� d0 J L 31Z;1Lt,_ _ i lJ I U00-GO I I. .-. ... ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S15191525/M14858862 LIGO