Certificates of InsuranceQ#4
PRODUCER
Marsh USA Inc.
333 South 7th Street, Suite 1600
Minneapolis, MN 55402-2400
CC5448-ACO-FIB-
INSURED
WELLS FARGO & COMPANY AND ITS AFFILIATES
INCLUDING ACO BROKERAGE HOLDINGS CORP.
ACO ACQUISTION CORP. & SUBSIDIARIES
WELLS FARGO CENTER - (MAC N9305-144)
SIXTH & MARQUETTE
MINNEAPOLIS, MN 55479
Ir.....' 08/19/02
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A SUPERIOR GUARANTY INSURANCE COMPANY OF VERMONT
COMPANY
B (REINSURED BY LLOYDS OF LONDON)
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 (MM/DDNY)
POLICY EXPIRATION
DATE (MM/DDNY)
LIMITS
GENERAL
LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
OWNER'S & CONTRACTOR'S PROT
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG
$
PERSONAL & ADV INJURY
$
EACH OCCURRENCE
$
FIRE DAMAGE (Any one fire)
$
MED EXP (Any one person)
$
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
BODILY INJURY
$
ALL OWNED AUTOS
SCHEDULED AUTOS
HIREDAUTOS
NON -OWNED AUTOS
APTa4
13EM_
t` ( 1 tl'�
NT
(Per person)
BODILY INJURY
(Per accident)
$
BY
�(
v
PROPERTY DAMAGE
$
GARAGE LIABILITY
..,. ��?
AUTO ONLY -EA ACCIDENT
$
OTHER THAN AUTO ONLY:
ANY AUTO
EACH ACCIDENT
$
AGGREGATE
$
•
EXCESS LIABILITY
UMBRELLA FORM
EACH OCCURRENCE
$
AGGREGATE
$
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
STATUTORY LIMITSis'i+=Ft
EACH ACCIDENT
$
DISEASE - POLICY LIMIT
$
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
DISEASE - EACH EMPLOYEE
$
OFFICERS ARE: EXCL
OTHER
A
FINANCIAL
404-1FLC102
11/02/98
04/01/03
$50,000,000 Per OCC/Agg
B
INSTITUTIONS BOND
SNEHICLES/SPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTIBLES OR
C C
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MONROE COUNTY BOCC EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
RISK MANAGEMENT 30 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 OF
100 SIMONTON STREET
KEY WEST, FL 33040 ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
wxNrnOZEXBBeNmDVI3Z r .N
Timothy J. Wicker �GW �•�
it, A04111=ill.
PRODUCER
Marsh USA Inc.
333 South 7th Street, Suite 1600
Minneapolis, MN 55402-2400
CC5448-ACO-PL-
INSURED
WELLS FARGO & COMPANY AND ITS AFFILIATES
INCLUDING ACO BROKERAGE HOLDINGS CORP.
ACO ACQUISTION CORP. & SUBSIDIARIES
WELLS FARGO CENTER - (MAC N9305-144)
SIXTH & MARQUETTE
MINNEAPOLIS, MN 55479
>..s...
REVDATE (MM/DD/YY)
08/19/02
THIS CERTIFICATEISISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A SUPERIOR GUARANTY INSURANCE COMPANY OF VERMONT
COMPANY
B (REINSURED BY LLOYDS OF LONDON)
COMPANY
C
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DDNY)
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $
CLAIMS MADE OCCUR PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MED EXP (Any one person) $
)MOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per person)
SCHEDULED AUTOS
BODILY INJURY $
HIRED AUTOS
(Per accident)
NON -OWNED AUTOS
PROPERTY DAMAGE 1 $
GARAGE LIABILITY
ANY AUTO
APP Y I
K MAtit EME
T
AUTO ONLY - EA ACCIDENT
$
OTHER THAN AUTO ONLY:
BY
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
WAIVER. N/A -
---YES
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS'LIABILITY
STATUTORY LIMITS
$
EACH ACCIDENT
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL
1
DISEASE - POLICY LIMIT
$
DISEASE - EACH EMPLOYEE
1 $
OTHER
A
PROFESSIONAL LIABILITY
404-1FLC102
11/02/98
04/01/03
$50,000,000 Each Occurrence
B
DESCRIPTION OF OPERATION S/LOCATIONSNEHICLES/SPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTIBLES OR RETENTIONS.
1,
CG
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MONROE COUNTY BOCC EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
RISK MANAGEMENT 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED To THE LEFT,
ATTN: MARIA SLAVIK BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
100 SIMONTON STREET
KEY WEST, FL 33040 ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AHXH1KK=X3CEFA0B8BN0M= R$H l I .N�.,L /_
Timothv J. Wicker �G�
MARSH USA INC. EVIDENCE OF PROPERTY INSURANCE CERTIFICATENUMBER:
CHI-000877930-00
PRODUCER
Marsh USA Inc.
COMPANY
SUPERIOR GUARANTY INS. COMPANY
333 South 7th Street, Suite 1600
Minneapolis, MN 55402-2400
Attn: Jackie Nitschke 612/692-7642
CC5448-ACO-PROP 1-
INSURED
LOAN NUMBER
POLICY NUMBER
WELLS FARGO & COMPANY AND ITS AFFILIATES
4041PRC104
INCLUDING ACO BROKERAGE HOLDINGS CORP.
ACO ACQUISTION CORP. & SUBSIDIARIES
EFFECTIVE DATE (MM/DDNY)
EXPIRATION DATE (MM/DDNY)
CONT. UNTIL
TERMINATED
WELLS FARGO CENTER - (MAC N9305-144)
03/01/02
03/01/03
IF CHECKED
SIXTH & MARQUETTE
MINNEAPOLIS, MN 55479
THIS REPLACES PRIOR EVIDENCE DATED:
PROPERTY INFORMATION'
LOCATION / DESCRIPTION
EVIDENCE OF COVERAGE IS PROVIDED AS RESPECTS LOCATED AT 602 VIRGINIA STREET EAST, CHARLESTON, WV. 25301.
COVERAGE INFORMATION This icertificate supersedes and replaceaany previously issued certificate for the policy period noted, below,
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED HEREIN HAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE CERTIFICATE MAY BE
ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH
POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COVERAGES / PERILS / FORMS
AMOUNT OF INSURANCE ($)
DEDUCTIBLE
PROPERTY "ALL RISK" OF PHYSICAL LOSS OR DAMAGE TO REAL AND PERSONAL PROPERTY
100,000,000
INCLUDING BUSINESS INTERRUPTION, EXTRA EXPENSE, RENTAL VALUE, ROYALTIES,
INLAND TRANSIT, ACCOUNTS RECEIVABLE, LEASEHOLD INTEREST, FLOOD,
EARTHQUAKE AND BOILER AND MACHINERY SUBJECT TO POLICY CONDITIONS AND A
RISK, ANAGENIEN
EXCLUSIONS BY
DATE
$100,000,000 EXCEPT AS SUBLIMITED UNDER POLICY
WAIVER
N/A
YES
REMARKS (including Special Conditions) UMITS.MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTIBLES'O ETENTIONS)
REINSURERS OF SUPERIOR GUARANTY W/AM BEST RATINGS: C C '
LEXINGTON INS CO (A++), LLOYDS OF LONDON (A); CNA (A); AMERICAN REINSURANCE/MUNICH ARP (A++);
CRUM & FORSTER INS. CO. (A-); XL WINTERTHUR (A-); ENDURANCE SPECIALITY INS. CO. (A-); AXA CORPORATE SOLUTIONS (A)
This certificate is issued as a matter of information only and confers no rights upon the certificate holder other than those provided in the policy. This certificate
does not amend, extend or alter the coverage afforded by the policies listed herein.
CANCELLATION
SHOULD ANY OF THE POLICIES LISTED HEREIN BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL
ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, BUT FAILURE TO MAIL, SUCH NOTICE SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER
OF THIS CERTIFICATE.
ADDITIONAL INTEREST'
NAME AND ADDRESS
NATURE OF INTEREST
COUNTY OF MONROE, RISK MANAGEMENT
MORTGAGEE ADDITIONAL INSURED
ATTN: MARIA SLAVIK
100 SIMONTON STREET
KEY WEST, FL 33040
LOSS PAYEE (OTHER)
MARSH USA INC.
BY Jean Stephanie�'`�
MM3 2100 VALIDIAS`OF: 08 03.02
08/19/02
IS ISSUED AS A MATTER OF INFORMATION
PRODUCER
THIS CERTIFICATE
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Marsh USA Inc.
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
333 South 7th Street, Suite 1600
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Minneapolis, MN 55402-2400
COMPANIES AFFORDING COVERAGE
COMPANY
A SUPERIOR GUARANTY INSURANCE COMPANY OF VERMONT
CC5448-ACO-FIB-
INSURED
WELLS FARGO & COMPANY AND ITS AFFILIATES
COMPANY
B (REINSURED BY LLOYDS OF LONDON)
INCLUDING ACID BROKERAGE HOLDINGS CORP.
ACO ACQUISTION CORP. & SUBSIDIARIES
COMPANY
WELLS FARGO CENTER - (MAC N9305-144)
C
SIXTH & MARQUETTE
COMPANY
MINNEAPOLIS, MN 55479
D
n� Ow 11
ISSUCONTED TO THE INSURED NAMED FOR THE POLICY PERIOD
TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEIS
THIS IS
TION
TERM OR IFORDEED
CUMENTABOVE
OF NYN RESPE CT
OTHER OHEREIN
BY THE POLICIES DESCRIBEDOR TTH
S SUBJECTO ALL HEI TERMS,
CERTIFICATE MAY I BES ISSUED ORNG NMAY EPERTA NE THE INSURANCE AFNT,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE
POLICY EXPIRATION
LIMITS
CO
TYPE n� ; ;� c
YPE CF P .aUP.A!K;E
POLICY NUt1GEP.
DATE (MM/DDIYY)
DATE (MM/DDNY)
LTR
GENERAL LIABILITY
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG
$
COMMERCIAL GENERAL LIABILITY
$
CLAIMS MADE OCCUR
PERSONAL & ADV INJURY
$
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$
ri
FIRE DAMAGE (Any one fire)
MED EXP (Any one person)
$
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY
(Per person)
$
SCHEDULED AUTOS
R
EN
HIRED AUTOS
AP
BODILY INJURY
(per accident)
$
NON -OWNED AUTOS
BY
/ J�
'l1
PROPERTY DAMAGE
$
WE
GARAGE LIABILITY
WpNER NIA
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
aq�i'�
OTHER THAN AUTO ONLY.0
$
EACH ACCIDENT
AGGREGATE
$
EXCESS LIABILITY
ccJ
EACH OCCURRENCE
$
$
UMBRELLA FORM
AGGREGATE
$
OTHER THAN UMBRELLA FORM
WORKERS
COMPENSATION AND
STATUTORY LIMITS
EMPLOYERS' LIABILITY
EACH ACCIDENT
$
THE PROPRIETOR/
INCL
DISEASE - POLICY LIMIT
$
PARTNERS/EXECUTIVE
FI
DISEASE -EACH EMPLOYEE
OFFICERS ARE:
EXCL
OTHER
A
FINANCIAL
404-1FLCI02
11/02/98
04/01/03
$50,000,000 Per Occ/Agg
B
INSTITUTIONS BOND
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTIBLES OR RETENTIONS.
ONO 10
,'
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
MONROE COUNTY BOCC
$O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
RISK MANAGEMENT
ATTN: MARIA SLAVIK
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
100 SIMONTON STREET
KEY WEST, FL 33040
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AtlxN (ZEFA B6BNDA = UH 1�/i6.�_
J. Wicker MAIA �•
Timothy
r
R
Marsh USA Inc.
333 South 7th Street, Suite 1600
Minneapolis, MN 55402-2400
r
CO-PL-
WELLS
& COMPANY AND ITS AFFILIATES
INCLUDING AOCO BROKERAGE HOLDINGS CORP
ACO ACQUISTION CORP. & SUBSIDIARIES
WELLS FARGO CENTER - (MAC N9305-144)
SIXTH & MARQUETTE
MINNEAPOLIS, MN 55479
CO
LTR
���� _ 08/19/02
wk
_; .
MEN -�' tr . ��....
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
A SUPERIOR GUARANTY INSURANCE COMPANY OF VERMON
COMPANY
B (REINSURED BY LLOYDS OF LONDON)
COMPANY
C
COMPANY
D
WE
FOR THE POLICY THE INSURED NAMED ABOVE RESPECT
CH THIS
THIS IS TO CERTIFY THAT THEPOLICIES
ANY IREQUIITH
REMEN, TERM OR CONDI ION OF ANY CE NPTORAC Una! BEEN ISSUED O ONCETHE DOHEREEN SNT WSUB ECT TO ALL O THE TERMS,
INDICATED, NOTWITHSTANDING
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY T
IONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
EXCLUSIONS AND CONDITLlMlrs
POLICY EFFECTIVE POLICY EXPIRATION
POLICY NUMBER DATE (MM/DD/YY) DATE (MMlDD/YY)
TYPE OF INSURANCE $
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
OWNER'S & CONTRACTOR'S PROT
ANY AUTO BY
ALL OWNED AUTOS
SCHEDULED AUTOS DATE
HIRED AUTOS WAVER NIA �- ES
NON -OWNED AUTOS
E
ANY AUTO
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERSIEXECUTIVE ,.
V,„cn
A PROFESSIONAL LIABILITY LO4-IFLCI02
11 /02/9
B
FsISPECIALITEMS LIMITS MAY HAVE BEEN
MONROE COUNTY BOCC
RISK MANAGEMENT
ATTN: MARIA SLAVIK
100 SIMONTON STREET
KEY WEST, FL 33040
T
,ENERALAGGREGATE
PRODUCTS - COMP/OP AGG $
IERSONAL & ADV INJURY $
EACH OCCURRENCE $
FIRE DAMAGE (Any one fire) $
MED EXP (Any one person) $
COMBINED SINGLE LIMIT $
BODILY INJURY $
(Per person)
BODILY INJURY $
(Per accident)
PROPERTY DAMAGE is
EA
t EACH ACCIDENT $
AGGREGATE $
EACH OCCURRENCE $
AGGREGATE $
$
CIDENT $
- POLICY LIMIT $
vnru cnAPi nVFF $
ZYPAIDCLaAwi-z=
ccurrence
OR RETEN"
E THE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOR
MAIL
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO
LEFT,
30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
BUT FIVES.
AILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTAT
xMZN)Im"mull"" PH
Timothy J. Wicker'
COMPANY
REPUBLIC INSURANCE CO
A OLD
CC5448-ACO-GAW-
COMPANY
COMPANY OF VERMONT
INSURED
& COMPANY AND ITS AFFILIATES
B SUPERIOR GUARANTY INSURANCE
WELLS FARGO
INCLUDING ACO BROKERAGE HOLDINGS CORP.
CORP. & SUBSIDIARIES
COMPANY
C (REINSURED MUNICH AMERICAN RISK PARTNERS)
A ACQUISTION
WELLS FARGO CENTER - (MAC N9305-144)
SIXTH & MARQUETTE
COMPANY
MINNEAPOLIS, MN 55479
D
POLICIES OF INSURANCE LISTEDLOW
HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE THE LI ICY
OR OTHER DOCUMENWITH RESPECT TO WHICH THIS
TERMS,
CONDITION OF ANY CONTRACT
IS IS TO CERTIFY THAT THE CO UBJECT TO ALL THE
TH
NOTWITHSTANDING ANY REQUIREMENT, TER OIBY
M OREXCLUSIONS
OHAVE
INDICATED, PAID CLAIMSHE
BEEN REDUCED
POLICES. LIMITS S OWN MAYRANCE
BE ISSUED
SUCH PERTAIN,
AND TONS OF
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
CO POLICY NUMBER
TYPE OF INSURANCE
DATE (6;F.".!DDlYY) DATE p., IDDIYY)
$ 2,000,000
IGENERAL
AGGREGATE
$ 2,000,000
GENERAL LIABILITY
MWZY 55034
04/01 /00 04/01 /03 PRODUCTS - COMP/OP AGG
$ 2,000,000
A X COMMERCIAL GENERAL LIABILITY
OCCUR
PERSONAL &ADV INJURY 2,000,000
OCCURRENCE $
CLAIMS MADE
EACH
$ 100,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
MED EXP (Any one person) $
MWTB 17908
04/01 /00 04/01/03 COMBINED SINGLE LIMIT $ 2,000,000
A AUTOMOBILE LIABILITY
ANY AUTO
BODILY INJURY $
ALL OWNED AUTOS
MA
olmeNT (Per person)
1+1
SCHEDULEDAUTOS AP
BODILY INJURY $
(Per accident)
HIRED AUTOS
BY
NON -OWNED AUTOS
PROPERTY DAMAGE $
OAFE
AUTO ONLY - EA ACCIDENT $
GARAGE LIABILITY YVAIVB
OTHER THAN AUTO ONLY: I�h
ANY AUTO
EACH ACCIDENT $
AGGREGATE $
$ 3,000,0003,000,000
(� EACH OCCURRENCE
$
EXCESS LIABILITY
4041 XSC101
11 /02/98 04/01 /03 AGGREGATE
PERS/ADV INJURY $ 3,000,000
B
UMBRELLA FORM
C X
OTHER THAN UMBRELLA FORM
FRS CID PENSATION AND MWC 107715 00
04/01/00 04/01 /03 X STATUTORY LIMITS
$ 500,000
A wu
EMPLOYERS' LIABILITY
EACH ACCIDENT
$ 500,000500,000
�j
DISEASE -POLICY LIMIT
$
THE PROPRIETOR/ INCL
DISEASE - EACH EMPLOYEE
PARTNERS/EXECUTIVE
I OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTIBLts vn 1cC�cn, v..
I O HOLDER Sl INCLUDED AS ADDITIONAL INSURED UNDER THE GENERAL LIABILITY, AUTO LIABILITY AND EXCESS LIABILITY POLICIES
CERTIFICATE NUMBER:
CHI-000877930-00
MARSH USA 1NC"
PRODUCER
Marsh USA Inc.
333 South 7th Street, Suite 1600
Minneapolis, MN 55402-2400
Attn: Jackie Nitschke 612/692-7642
CC5448-ACO-PROP1-
INSURED
WELLS FARGO &COMPANY AND ITS AFFILIATE
INCLUDING ACO BROKERAGE HOLDINGS CORP
ACO ACQUISTION CORP. & SUBSIDIARIES
WELLS FARGO CENTER - (MAC N9305-144)
SIXTH & MARQUETTE
MINNEAPOLIS, MN 55479
COMPANY
SUPERIOR GUARANTY INS. COMPANY
POLICY NUMBER
LOAN NUMBER 4041 PRC104
EXPIRATION DATE (MMIDDNY) TERMINATED
UNTIL
EFFECTIVE DATE (MMIDDIYY) TERMINATED
03/01/02 03/01/03 IF CHECKED
THIS REPLACES PRIOR EVIDENCE DATED:
PROPERTY°INFORMATION "
LOCATION I DESCRIPTION
IRGINIA STREET EAST, CHARLESTON, WV. 25301.
EVIDENCE OF
COVERAGE IS PROVIDED AS RESPECTS LOCATED AT 602 V
rind nobd'bebw.
COVERAGE INFORMATION This certificate supersedsTE HEREIN HAVE BEEN ISSUED TOTHEINSURED DWI TH RESPECT TO WHICH THEPOLICY
CERTIFICATE INDICATED,
MAY BE
F SUCH
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE
SIO
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT EI OTHER DOCUM
MAY PERTAIN, THE INSURANCE AFFORDED BY PAID CLAIMS.IES LISTED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONSrA ED($)XCLUDEDUCTNS TIIBLE
ISSUED ORAMOUNT OF INS
POLICIES. LIMITS SHOWN MAY HAVE BEEN COVERAGES 1 PERILS I FORMS
PROPERTY "ALL RISK" OF PHYSICAL LOSSTRA EXPENSE, RENTAL VALUE ROYALTIES,PERTY
41NIA
,000,000
OR DAMAGE TO REAL AND PERSONAL
INCLUDING BUSINESS INTERRUPTION, EX
INLAND TRANSIT, ACCOUNTS RECEIVABLE, LEASEHOLD INTEREST, FLOOD, A AGEINE
EARTHQUAKE AND BOILER AND MACHINERY SUBJECT TO POLICY CONDITIONS AND A
EXCLUSIONS DATE$100.000,000 EXCEPT AS SUBLIMITED UNDER POLICY H►g1VERES
r1
REMAK'NO t1"c1uw—w--
REINSURERS OF SUPERIOR GUARANTY W/AM BEST RATINGS:
LEXINGTON INS CO (A++), LLOYDS OF LONDON (A); CNA (A); AMERICAN REINS Y INS. CO.MUNICH ARP (A++);
CRUM & FORSTER INS. CO. (A-); XL WINTERTHUR (A-); ENDURANCE SPECIALITY INS. C(A ); AXA CORPORATE SOLUTIONS (A) vq� J
This certi
ficate is issued as a matter of information only and confers
rights
hethe certificate holder other than those provided in the policy. This certificate
does not amend, extend or alter the coverage afforded y policies
CANCELLATION
OTFICIES LISTED HEREIN BE CANCELLED BEFORE THE EXPIRATIIONDATE TFAILURE TO MAIL, SUCHAFFORDING, THE INSURER COVERAGE
WILL
NOTICE SHALL
SHOULD ANY OF THE POL
ENDEAVOR TO MAIL 3_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED HEREIN, U
Y KIND UPON THE INSURER AFFORDING COVERAGE, ITS AGENTS OR REPRESENTATIVES, OR THE ISSUER
IMPOSE NO OBLIGATION OR LIABILITY OF AN
OF THIS CERTIFICATE.
�.......uwr wTFRFST EST
NAME AND ADDRESS
COUNTY OF MONROE, RISK MANAGEMENT
ATTN: MARIA SLAVIK
100 SIMONTON STREET
KEY WEST, FL 33040
NATURE OF IN,
MORTGAGEE
FY
LOSS PAYEE
H USA INC.
Jean Stephanie
M►VI3 (2100)
ADDITIONAL INSURED
(OTHER)
VALID AS OF• 08/O3-L 2'
�1fi111,11. -E
PRODUCER
Marsh USA Inc.
Suite
Minneapol s MNreet55402-240000
CC5448-AC2-FIB-
INSURED
WELLS FARGO &COMPANY AND ITS AFFILIATE
INCLUDING ACID BROKERAGE HOLDINGS CORP
ACID ACQUISTION CORP. & SUBSIDIARIES
WELLS ARGO ER - (MAC N9305-144)
SIXTH & ETTE
MINNEAPOLIS, MN 55479
..
p p8/19/02
,_ .r
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TTE
OF
D AS A MA
THIL CAN DIFICONFERSISNOE RIGHTS UPONRTHE INFORMATION
ONDOES NOT HOLDER. THIS
ALTER THE COVERAGEIAFFORDED BY THE POLICIES BELOW.
O
COMPANIES AFFORDING COVERAGE
COMPANY
A SUPERIOR GUARANTY INSURANCE COMPANY OF VERMON
COMPANY
B (REINSURED BY LLOYDS OF LONDON)
COMPANY
C
COMPANY
D..
Of. _..__ ._
IOD
w, .
O HIS
HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PH T
NT WITH RESPECT
TERM OR CONDITION OF ANY CONTRACT OR OTHERTHE TERMS
THIS IS T O CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW
POLICIES BED HEREIN IS SUBJECT TO ALL
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,
PAID
MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE
LIMITS SHOWN MAY HAVE EDUCED
DPIRATONS
CERTIFICATE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.
LIMITS
OLCY EFFECTIVE
POLICY !,UM6ER
DATE (MM/DDIYY) DATE (MMIDD/YY)
$
CO TYPE OF INSL'RAl:CE
GENERAL AGGREGATE
LTR
GENERAL LIABILITY
$
PRODUCTS - COMP/OP AGG $
COMMERCIAL GENERAL LIABILITY
PERSONAL & ADV INJURY $
MADE 0 OCCUR
EACH OCCURRENCE
CLAIMS
OWNER'S &CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire) $
$
MED EXP (Any one person)
COMBINED SINGLE LIMIT $
AUTOMOBILE LIABILITY
BODILY INJURY $
ANY AUTO
(Per person)
ALL OWNED AUTOS
ANAG EN
INJURY $
FA
SCHEDULED AUTOS AppP
(Per accident)
(Per
HIRED AUTOS
$
ON -OWNED AUTOS
NBY
i PROPERTY DAMAGE
TE
AUTO ONLY - EA ACCIDENT $
GARAGE LIABILITY WAVER
NIA - OTHER THAN AUTO ONLY
$
EACH ACCIDENT
y�
ANY AUTO
AGGREGATE $
EACH OCCURRENCE $
EXCESS LIABILITY
AGGREGATE $
UMBRELLA FORM
STATUTORY LIMITS
OTHER THAN UMBRELLA FORM
$
WORKERS COMPENSATION AND
EACH ACCIDENT $
EMPLOYERS' LIABILITY
DISEASE -POLICY LIMIT
THE PROPRIETOR/ INCL
DISEASE - EACH EMPLOYEE $
PARTNERSIEXECUTIVE EXCL
OFFICERS ARE:
$50,000,OOOPerOcc/ gg
OTHER
404-1 F LCI02
11/02/98 04/01103
A FINANCIAL
B INSTITUTIONS BOND
PAID CLAIMS AND MAY HAVE DEDUCTIBLES OR RETENTION .
LES/SPECIAL ITEMS
LIMITS MAY HAVE BEEN REDUCED BY
nCcraiP710N OF OPERATIONSILOCATIONSNEHIC
DATE MM DD m
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PRODUCER 1-404-531-5400
HIS CERTIFICATE IS ISSUED AS A MATTER O F INFORMATION.
Acordia East - Atlanta
NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
FALTER
OLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1100 Johnson Ferry Road
THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite 250
COMPANIES AFFORDING COVERAGE
Atlanta, GA 30342
COMPANY
A Old Republic Insurance Co.
INSURED
COMPANY
Wells Fargo 6 Company and Its Subsidiaries '
B Superior Guaranty Insurance Co. of Vermont
including ACO Brokerage Holdings Corp.
COMPANY
Wells Fargo Center (MAC N9305-144)
C (Reinsured by American Re -Insurance Co.)
Sixth S Marquette
COMPANY
Minneapolis, MN 55479
p
THIS IS TO CERTIFY THAT THE POLICIES OF INSUANCE LISTED BELOW HAVE BEEN
ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF
SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MMIDDNY)
LIMITS
A
GENERAL
LIABILITY
MWZY 55729 04/O1/03
04/01/04
GENERAL AGGREGATE 1
$ 2,000,000
PRODUCTS - COMP'OPAGG
$ 2,000,000
X
COMMERCIAL rENERALLIABILITY
CLAIMS MADE X OCCUR
.,
PERSONAL & ADV INJURY
$ 2,000,000
OWNER'S 9 CONTRACTOR'S PROT
EACH OCCURRENCE
$ 2,000,000
FIRE DAMAGE (Any one fire)
$ 100,000
MED EXP (Any one person)
$
A AUTOMOBILE LIABILITY MWTB 18589
04/01/03 04/01/04 COMBINED SINGLE LIMIT $ 2, 000, 000
X ANY AUTO
ALL OW NED AUTOS
BODILY INJURY
$
SCHEDULEDAUTOS
(Per person)
X HIREDAUTOS
BODILY INJURY $
X NON-OWNEDAUTOS
(Per accident)
APPF�* SK M• AGEMEN 1 PROPERTY DAMAGE $
GARAGE LIABILITYI%AUTO
ONLY - EA ACCIDENT
Is
ANY AUTO DATE
—jl G
OTHER THAN AUTO ONLY:
...............................
$
EACH ACCIDENT
'.
AGGREGATE
$
EXCESS LIABILITY {��
EACH OCCURRENCE $
UMBRELLA FORM .
AGGREGATE $
OTHER THAN UMBRELLA FORM V
$
A
j WORKERS COMPENSATION AND EMPLOYERS'
LIABILITY
MWC 108546 00
09/O1/03
04/O1/04
X
�ti'C STATU-
roRvuMlTs
OTH-
ER
EL EACH ACCIDENT
$ 500,000
• THE PRIORIETOR
EL DISEASE —POLICY LIMIT
$ 500, 000
PARTNERS:EXECUTIVE X INCL
OFFICERS ARE:
EXCL
ELDISEASE— DISEASE
I $ SOO, 000
OTHER
B Excess Liability (Other
4041XSCI02
04/01/03
04/01/04
Each Occurrence 3,000,000
C than Umbrella Form)
Aggregate 3,000,000
Pers/Adv. Injury 3,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
RE: ACORDIA NATIONAL, INC. EMPLOYEES; 1100 SIMONTON STREET, KEY WEST, FL 33040. CERTIFICATE HOLDER IS INCLUDED AS
ADDITIONAL INSURED WITH RESPECT ABOVE LOCATION AS THEIR INTEREST MAY APPEAR.
C FitlfiiC{I<i .) Lt3 # .. : . ,-,
OE �1:.. ;>:. ........ . ..:.: .
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
COUNTY OF MONROE
EXPIRATION DATE THEREOF; THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT: BUT FAILURE TO
ATTN: MARIA SLAUIK
MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
1100 SIMONTON STREET
COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE A
KEY WEST, FL 33040
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Acordia East -Atlanta
DER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
FALTER
THE COVERAGE AFFORDED BY THE POLICIES BELOW.
1100 Johnson Ferry Road
Suite 250
COMPANIES AFFORDING COVERAGE
Atlanta, GA 30342
COMPANY
A Superior Guaranty Insurance Co. of Vermont
INSURED
COMPANY
Wells Fargo 6 Company and Its Subsidiaries
B (Reinsured by ACE American Ins. Co.)
including ACO Brokerage Holdings Corp.
COMPANY
Wells Fargo Center (MAC N9305-144)
C
Sixth S Marquette
COMPANY
Minneapolis, MN 55479
D
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THIS IS TO CERTIFY THAT THE POLICIES OF INSUANCE 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
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POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDIYY)
POLICY EXPIRATION
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A Professional Liability
404-1FLCI03
04/01/03
04/01/07
Each Occurrence 50,000,000
B
Aggregate 50,000,000
DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESISPECIAL ITEMS
RE: ACORDIA NATIONAL, INC. EMPLOYEES; 1100 SIMONTON STREET, KEY WEST, FL 33040.
u�itra..:?»:` ......:. ..
CANCELLAliQ1d..: ...
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
COUNTY OF MONROE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO
ATTN: MARIA SLAUIK
MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
1100 SIMONTON STREET
COMPANY. ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
KEY WEST, FL 33090
USA
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PRODUCER PHONE 1-404-531-5400 COMPANY
A x:
Acordia East - Atlanta ISuperior Guaranty Insurance Co. of Vermont
1100 Johnson Ferry Road
Suite 250
Atlanta, GA 30342
CODE: SUB CODE: I
LOCATIONID ESCRIPTION
See Remarks Section below for any Location/Description information.
PROPERTY "ALL RISK" OF PHYSICAL LOSS OR DAMAGE TO REAL AND PERSONAL PROPERTY
INCLUDING BUSINESS INTERRUPTION, EXTRA EXPENSE, RENTAL VALUE, ROYALTIES, INLAND
TRANSIT, ACCOUNTS RECEIVABLE, LEASEHOLD INTEREST, FLOOD, EARTHQUAKE, AND BOILER
AND MACHINERY, SUBJECT TO POLICY CONDITIONS AND EXCLUSIONS.
$100,000,000 EXCEPT AS SUBLIMITED UNDER POLICY.
THIS POLICY INCLUDES (TRIA) TERRORISM RISK INSURANCE ACT COVERAGE.
REINSURERS OF SUPERIOR GUARANTY W/AM BEST RATINGS:
LLOYDS OF LONDON A- XV; AXIS A- XIV; MUNICH RE A++ XV; CRUM & FORSTER INS. CO. A- X;
CNA A XV; XL A+ XV; ENDURANCE SPECIALTY INSURANCE LTD. A- XII; ARCH A- X
AM BEST RATINGS ARE OF THE EFFECTIVE DATE OF THE PROGRAM SHOWN.
RE: ACORDIA NATIONAL, INC. EMPLOYEES; 1100 SIMONTON STREET, KEY WEST, FL 33040.
CONTINUED UNTIL
TERMINATED IF CHECKED
AMOUNT OF INSURANCE
100,000,000
B I I LAMENi
APP
BY
THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULE9TN'C-FFECT FOR EACH POLICY PERIOD. SHOULD THE
POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS
WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT
INTEREST, IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW.
NAME AND ADDRESS
COUNTY OF MONROE
ATTN: MARIA SLAUIK
1100 SIMONTON STREET
KEY WEST, FL 33040
USA
MORTGAGEE ADDITIONAL INSURED
LOSS PAYEE
LOAN #
AUTHORIZED REPRESENTATIVE
4
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DATE (MMIDDIYY)
04/01/04
PRODUCER 1-404-531-5400
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Acordia East - Atlanta
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1100 Johnson Ferry Road
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
Suite 250
Atlanta, GA 30342
COMPANY
A Old Republic Insurance Co.
INSURED
COMPANY
Hells Fargo & Company and Its Subsidiaries
B Superior Guaranty Insurance Co. of Vermont
COMPANY
including ACO Brokerage Holdings Corp.
Wells Fargo Center (MAC N9305-144)
C (Reinsured by ACE American Ins. Co.)
Sixth & Marquette
Minneapolis, MN 55479
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSUANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF
SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDD/YY)
POLICY EXPIRATION
DATE (MM/DDAY)
LIMITS
A
GENERAL
LIABILITY
MWZY 56086
04/01/04
04/01/07
GENERAL AGGREGATE
$ 2,000,000
X
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X�OCCUR
PRODUCTS—COMPIOP AGG
$ 2,000,000
PERSONAL& ADV INJURY
$ 2,000,000
EACH OCCURRENCE
$ 2,000,000
OWNER'S& CONTRACTOR'S PROT
FIRE DAMAGE (Anyone fire)
$ 100,000
MED EXP (Any one person)
$
A
AUTOMOBILE
X
LIABILITY
ANYAUTO
MWTB 18875
04/01/04 04/01/07
COMBINED SINGLE LIMIT
$ 2, 000, 000
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
X
X
HIRED AUTOS
NON-OWNEDAUTOS
I�
APP 6Y 1SK
B Y _
M AGEMENT
BODILY INJURY
(Per accident)
$
DATE ,_..�_�.
YES _,..e_�,
PROPERTY DAMAGE
AUTO ONLY - EA ACCIDENT
$
$
GARAGE LIABILITY
ANY AUTO
WAIVER NiA_
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
1W
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
$
A
WORKERS COMPENSATION AND EMPLOYERS'
LIABILITY
MWC 108881 00
04/01/04
04/01/07
X
WC STATU-
TORY LIMITS
I
OTH-
ER
EL EACH ACCIDENT
$ 500,000
THE PRIORIETOR/
EL DISEASE — POLICY LIMIT
$ 500,000
PARTNERSIEXECUTIVE X INCL
OFFICERS ARE:
EXCL
! 1
EL DISEASE — DISEASE
$ 500,000
OTHER
B
Excess Liability (Other
4041XSCI07
04/01/04
04/01/07
Each Occurrence 3,000,000
C
than Umbrella Form)
Aggregate 3,000,000
Pere/Adv. Injury 3,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
RE: ACORDIA NATIONAL, INC. EMPLOYEES; 1100 SIMONTON STREET, KEY WEST, FL 33040. CERTIFICATE HOLDER IS INCLUDED AS
ADDITIONAL INSURED WITH RESPECT ABOVE LOCATION AS THEIR INTEREST MAY APPEAR.
Ieyq .., tv;.:• ....1...: , , ,... _ - �` tt •t.t ET , e..... ..
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
COUNTY OF MONROE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO
ATTN: MARIA SLAUIK MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
1100 SIMONTON STREET
COMPANY ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
KEY WEST, FL 33040
USA
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DATE (MM1DD1YY)
�►I/III.Da 05/03/05
THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE
RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY.
PRODUCER PHONE 1-404-531-5400 COMPANY
Acordia East - Atlanta Superior Guaranty Insurance Co. of Vermont
1100 Johnson Ferry Road (Reinsured by various Reinsurers)
Suite 250
Atlanta, GA 30342
CODE: SUB CODE:
AGENCY
INSURED LOAN NUMBER POLICY NUMBER
Wells Fargo & Company and Its Subsidiaries 4041PRCI07
including ACO Brokerage Holdings Corp. EFFECTIVE DATE EXPIRATION DATE
Wells Fargo Center (MAC N9305-144) CONTINUED UNTIL
Sixth & Marquette 05/01/05 105/01/06 TERMINATED IF CHECKED
Minneapolis, MN 55479 THIS REPLACES PRIOR EVIDENCE DATED:
LOCATIOWDESCRIPTION
See Remarks Section below for any Location/Description information.
COVERAGEIPERILS/FORMS AMOUNT OF INSURANCE DEDUCTIBLE
PROPERTY "ALL RISK• OF PHYSICAL LOSS OR DAMAGE TO REAL AND PERSONAL PROPERTY 100,000,000
INCLUDING BUSINESS INTERRUPTION, EXTRA EXPENSE, RENTAL VALUE, ROYALTIES, INLAND
TRANSIT, ACCOUNTS RECEIVABLE, LEASEHOLD INTEREST, FLOOD, EARTHQUAKE, AND BOILER
AND MACHINERY, SUBJECT TO POLICY CONDITIONS AND EXCLUSIONS.
$100,000,000 EXCEPT AS SUBLIMITED UNDER POLICY.
THIS POLICY INCLUDES TERRORISM COVERAGE SUBJECT TO THE DISPOSITION OF THE FEDERAL
TERRORISM RISK INSURANCE ACT OF 2002.
AN BEST RATINGS FOR REINSURERS OF SUPERIOR GUARANTY:
LLOYDS OF LONDON A XV; AXIS A XIV; MUNICH RE A+ XV; CRUM & FORSTER INS. CO. A- XII;
CNA A XV; XL BERMUDA A+ XV; ENDURANCE SPECIALTY INSURANCE LTD. A XIV; ARCH A- XIII
AM BEST RATINGS ARE AS OF THE EFFECTIVE DATE OF THE PROGRAM SHOWN.
RE: ACORDIA NATIONAL, INC. EMPLOYEES; 1100 SIMONTON STREET, KEY WEST, FL 3 D Y ISK`V
BY --
DATE
WAIVER YES ------
(�� a,'
THE POLICY IS SUBJECT TO THE PREMIUMS, FORMS, AND RULES IN EFFECT FOR EACH POLICY PERIOD. SHOULD THE
POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW 30 DAYS
WRITTEN NOTICE, AND WILL SEND NOTIFICATION OF ANY CHANGES TO THE POLICY THAT WOULD AFFECT THAT
INTEREST IN ACCORDANCE WITH THE POLICY PROVISIONS OR AS REQUIRED BY LAW.
NAME AND ADDRESS MORTGAGEE ADDITIONAL INSURED
LOSS PAYEE
COUNTY OF MONROE LOAN•
ATTN: MARIA SLAUIX
1100 SIMONTON STREET AUTHORIZED REPRESENTATIVE
KEY WEST, FL 33040 USA
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PRODUCER 1-404-531-5400
Wells Fargo Insurance Services Southeeat, Inc.
1100 Johnson Ferry Road
Suite 250
Atlanta, GA 30342
INSURED
Wells Fargo & Company and Its Subsidiaries
including ACO Brokerage Holdings Corp.
Vella Fargo Center (MAC N9305-144)
Sixth & Marquette
Minneapolis, MN 55479
03/31/07
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. ' THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
COMPANY
A Old
COMPANY
B
COMPANY
C
COMPANY
D
Insurance Co.
THIS IS TO CERTIFY THAT THE POLICIES OF INSUANCE 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
I
POLICY EFFECTIVE
DATE(MWDDM)
POLICY EXPIRATION
DATE(MMIDDIYY)
LIMITS
A
GENERAL
X
LIABILRY
COMMERCIAL GENERAL LIABILITY
MMZY 57393
04/01/07
04/01/10
GENERAL AGGREGATE
$ 10.000,000
PRODUCTS -COMPIOP AGG
$ 10,000,000
DIOX OCCUR
PERSONAL& ADV I NJURV
$ 10,000,000
OWNER 'S & CS ONTRACTOR'S PROT
EACH OCCURRENCE
$ 10,000,000
FIRE DAMAGE (Any one fire)
$ 100,000
MED EXP (Any one person)
COMBINED SINGLE LIMIT
$
$ 10, 000, 000
A
AUTOMOBILE
X
LIABILITY
MY AUTO
MNTB 19726
04/01/07
04/Ol/10
ALL OWNED AUTOS
BODILY INJURY
(Pel per50n)
$
SCHEDULED AUTOS
X
X
HIRED AUTOS
NONOWNEDAUTOS
INJ
URY BODILY
(PeDILY U
$
PROPERTY DAMAGE
$
GARAGE
LIABILITY
ANY AUTO
-
AUTO ONLY - EA ACCIDENT
$
_ `
n
OTHER THAN AUTO ONLY:
$
EACH ACCIDENT
AGGREGATE
$
EXCESS LMBILRY
UMBRELLA FORM
EACH•� OCCURRENCE
$
AGGREGATE
$
OTHER THAN UMBRELLA FORM
e �
X
WC STATU-
TORY LIMITS
OTN-
ER
$
A
WORKERS COMPENSATION AND EMPLOYERS'
LUmILRY
MNC 115034 00
04/01/07
04/01/30
THE PRIORIETOW
PAATNER&E%ECUTIVE X INCL
OFFICERSARE:
EXCL
OTHER I
EL EACH ACCIDENT
$ 1, 000, 000
EL DISEASE -POLICY LIMIT
$ 1, 000, 000
EL DISEASE -0ISEASE
$ 1, 000, 000
DESCRIPTION OF OPERATIONWLOCATIONSNEHICLES/SPECIAL ITEMS
RE: WELLS FARGO INSURANCE THIRD PARTY ADMINISTRATORS, INC. EMPLOYEES; 1100 SIMONTON STREET, KEY NEST, FL 33040.
CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED ON GENERAL LIABILITY WITH RESPECTS ABOVE LOCATION AS THEIR
INTERESTS MAY APPEAR,
CL , fir H dnC L,
DATE(MM'OONY)
//�§//�a//��pp//�� ��FIIFt y� E��I / �
L!S[ORD V " R G OF' i ��
§� y,���K M�
�lME .: 10/16/07
PROCUCER 1-404-531-5400
Wells Fargo Insurance Sa icss Southeast, Inc.
THIS CERTIFICATE 13 19SUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1100 Johnson Ferry Road
Suite 250
ALTERT HE POLICIES BELOW,
COMPANIES AFFORDING COVERAGE
COMPANY
Atlanta, GA 30342
A Superior Guaranty Insurance Co. of Verncat
COMPANY
B (Rainsured by Steadfast Insurance COWPany)
RMUR®
Wells Fargo a Company and Its Subsidiaries
COMPANY
C
including ACO Brokeraag9e Holdi s Corp.
Malls Fargo Center I N9305-144)
COMPANY
Rixth A Marquette
Minneapolis, NN 55479
D
THISISTO CERTIFY THAT THE POLICIES OF INSUANCE 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 SEEN REDUCED BY PAID CLAIMS.
t0
LTR
TYPE OF NNIRAMC!
POMCY MaNFA
POU'Vf UFECITME
MW(NWD A'T7
POLICY EXPNATOM
MTIem"aYY)
Lana
OlIMIHILIMs•1RY
GENERAL AGGREMTE
$
PRODUCTS-COAPNPAGG
§
CpAMERCYY OENERILLPaR11Y
PERSONAL4ADVINAJRY
$
CUF,W �pE ❑Oq;IXi
gvlo=RB aCUNFR/craR6 wroi
EAQI OCCURRENCE
$
RREDAWI U"mwaa)
§
MEDEXPWV"P )
§
AIRDYOaRE
UA�Y
Cq,HINFDSNGLEUMIT
S
ANYMIFO
i
A Off DAOTCB
SCHEDULEDMROB
BODILYINJURY
(PwP )
$
mwoAGTOS
NgIONNEOAUTD9
BODILYIwURY
(Pe—ostI
S
PROPERTY DAMAGE
aNMDE LYaNRY
AUTOONLY-EAAOCIDENf
4
OTHERTIPNAI ONLY:
I+:4�•;r,
AII1'MITO
AGGREGATE
i
KNOMM LNRRY ,,. -.. _'
EACH OCCURRENCE
S
PGGREGATE
f
arxERmwune�wrvw 4`. .• :.. -
i
rrOnUtti EaITIONAroeROYEti•
y�TY
WC STATUE
TO"UMfIS
OT4
ER
ELEACH QENT
i
THE PRONETdu
PNRINERbE(FlAIINE NCL
OFFICERS ME:
ppa
�
I
1
ELDISEASE-POUCYUMR
i
EL DISEASE-gSFASE
§
A
OTHER
Financial Institution
404-1FICXIO
04/01/07
04/01/10
Each Occurrence 100,000,000
B
Bond
Aggregate 100,000,000
DlaOMI10N OF ORM nI
AN, WELLS FARGO TRIED PARTY ADMINISTRATORS. INC. ENP1,01EE9R 1100 SIMONTON STREET, KEY WEST, FL 33040.
Comm P§CIl "OL001!`
IMIOULD ANY OF THE ASOYE DESCRIBED MUCIES BE CANCELLED BEFORE THE
COUNTY OF MONROE
EXPIRATION RITE THEREOF. THE MOVING COMPANY WILL EMOEAYOR TO MAIL Age MYS
WRI TZA NOTICE TO THE CENTFNJITE HOLDER NAMED TO THE LEFT, BUT FAILURE TO
ATTNR MONIQDE DIAZ
MAIL SUCH NOTICE ZRALL R4 M NO OBLNLATN)N OR LIABILITY OF ANY KIND UPON THE
1100 SIMONTON STREET
COWAMY Ifs EMIa OR REMEBEIRATVEA.
KEY WEST, FL 33040
fV /1FN,�-/ 'MY/
USA
RRRLLL
oart9 ACO
CC
DATE (MMIWIYV)
y�y
ACORD {i
�E
I„ ��. 04/03/07
PRODUCER 1-404-531-5400
Wells Fargo InsurSAOa $ervicas Southeast, Inc.
TNIS 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,
1100 Johnson Ferry Road
Suite 250
COMPANIES AFFORDING COVERAGE
COMPANY
A Superior Guaranty insurance Co. of Vermont
Atlanta, GA 30343
COMPANY
IS (Reinsured by Steadfast Insurance Company)
INSURED
wells Fargo A Company and Its Bubsidiarias
including ACO Brokerrag Soldin�la Corp.
wells Fargo Center (1�C N9305-44)
COMPANY
C
COMPANY
Sixth A Narquatte
Nimneapolim, NM SS479
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSUANCE 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 OFNWRANCE
POLICY MUYBBt
POLICY EFFIRmE
mn(MEDwYY)
POLICY [XPMNWON
DATE (YEONTY)
UNITS
OFNEKLIwetAY
COHNETX:VL GENEMLLVarRY
CINNB WADE �occuR
OWNERS a CONw OR8 P110I
GENERALAGGREGATE
E
PROd1CT3-COAPIOPAOG
E
PERBONALaAWINJURY
E
EAw10CCMiRENCE
E
FIREDAMAGE(ARYOefro)
E
MEDE%P(MryaNP )
E
AUIDYDSE
UPaun
coEMINED SINGLE LIMO
E
,wrAurD
E
ALL QYNEDAUTOB
BODILV INJURY
E
SUML
INJURY
(PM Bm�MU
JBODILY
PROPERTY DAMAGE
E
���, ^I
MIroONLY-EA ACGOENT
S
OTHESTHANAOTOONLY:
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EACHA DENT
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AGGREGATE
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mlm8 W WlY
EA01 OCCURRENCE
E
AGGREGATE
E
uA�flLA faRN ,
orNENINAv u1.eNNGaA FORK
E
YM01aaM000ElBMATIONAM �OY�
LY
,
WCSTATLL
TORYUMRS
OIH-
ER
EL EACH ACCIOENT
E
TM:PNgUE1OU
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EL DMEANE-Pw1CY LIAR
E
Ei w3EA3E-dSEASE
E
OFIiCERB ARE:
EXCL
A
O
prrofof essional Liability
404-3FICT10
04/01/07
04/01/10
Each Occurrence 100, 000, 000
g
Aggregate 100,000,000
DHcrApn 1OF OPEN WENS
RE, WELLS FARGO THIRD PARTY ADMINISTRATOR$, INC. A®LOYSRBT 1100 SIIINTOR STREET, RRY WEST, FL 33040.
GENTIP U
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
COWRY OF IIWiROE
UNRATION DATE THEREOF, THE W G COMPANY WILL EMOHIVOR TO MAIL IL DAYS
WRITTEN NOTTCE TO THE CERHF M HOLDER NAMED TO THE LEFT, BUT FAUJAE TO
ATTRI NARIA BLADIE
MAIL SUCH NOTICE SMALL IMPOSE NO OSUOATION OR IANUTY OF ANY END UPON THE
1100 SIMONTON STREET
COMPANY AGENTS OR R.NPRSSERAT^VEI. n
ATIYE
[EY WEST, FL 33040
/_)/,',
USA
/ r•Fu/MYQ
AYi{IR1112006tI M)
Af6Wb'eowVamnow"m
,Q 59p8136 bn
Gc f �6T.m4�aN,GC..
DATE (MM/DDNY)
27 10
RTIFICAT IS ISSUED AS A MATTER OF INFORMATI
PRODUCER 1ON
04-531-5
CON ERS NO RIGHTS UPON THE CERTIFICATE
Wells Fargo Insurance Services USA, Inc.
HOLDER. HIS ERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE OVE AGE AFFORDED BY THE POLICIES BELOW.
1100 Johnson Ferry Road
APR
C MPANIES AFFORDING COVERAGE
Suite 250
Atlanta, GA 30342
COMPANY
A -Old,.. RApubli Insurance Co. (NAIC #24147 )
INSURED
-WY
Wells Fargo & Company and Its Subsidiaries,
i � .
n y 1. •• t1 1 T
including Wells Far o Insurance Services USA, Inc.
Wells Fargo Center IMAC N9305-144)
COMPANY
C
Sixth & Marquette
COMPANY
Minneapolis, MN 55479
D
COVERAGES '
:,.
POLICIES OF INSUANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
THIS IS TO CERTIFY THAT THE
TERM OR CONDITION OF ANY CONTRACT
OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
NOTWITHSTANDING ANY REQUIREMENT,
THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF
ISSUED OR MAY PERTAIN,
SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIMITS
LTR
A
GENERAL LIABILITY
MWZY 58768
04/01/10
0 4/ 01 / 15
GENERAL AGGREGATE
$ 10 , 0 0 0, 0 0 0
X
COMMERCIAL GENERAL LIABILITY
PRODUCTS — COMP/OP AGG
$ 10 , 0 0 0 , 0 0 0
CLAIMS MADE OCCUR
PERSONAL & ADV INJURY
$ 10 , 000 , 000
OWNER'S & CONTRACTOR'S PROT
EACH OCCURRENCE
$ 10 , 0 0 0 , 0 0 0
FIRE DAMAGE (Anyone fire)
$ 1F000,000
MED EXP (Any one person) Is
A
AUTOMOBILE LIABILITY
'$ 20922
04/01/10
04/01/15 1
COMBINED SINGLE LIMIT
$ 10, 000, 000
X
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY
$
(Per person)
SCHEDULED AUTOS
X
HIRED AUTOS
BODILY INJURY
$
(Per accident)X
NON -OWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY:
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
UMBRELLA FORM
AGGREGATE
$
$
OTHER THAN UMBRELLA FORM
A
WORKERS COMPENSATION AND EMPLOYERS'
MWC 116599 00
04/01/10
0410-IJ15
X
WC STATU-
TORY LIMITS
OTH-
ER
LIABILITY
EL EACH ACCIDENT
$ 1 , 000 , 000
THE PRIORIETOR/
X
`,
EL DISEASE —POLICY LIMIT
$ 1,000,000
PARTNERS/EXECUTIVE
INCL
OFFICERS ARE:
EL DISEASE — DISEASE
$ 1, 000 000
ExCL
,
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
RE: WELLS FARGO INSURANCE THIRD PARTY ADMINISTRATORS, INC.
EMPLOYEES; 1100 SIMONTON STREET, KEY WEST, FL 33040.
CERTIFICATE HOLDER IS INCLUDED AS AN ADDITIONAL INSURED ON GENERAL LIABILITY WITH RESPECTS ABOVE LOCATION AS THEIR
INTERESTS MAY APPEAR.
C..Q.. ', Vt a.
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 3g DAYS
COUNTY OF MONROE
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO
ATTN • MARIA SLAUIK
•
MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
1100 SIMONTON STREET
COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE A
KEY WEST, FL 33040
USA
ACORD 25-S (1195)
ACORD CORPORATION 1988
CertRenewal
14:943196
Wells Fargo Insurance Services USA, Inc:
1100 Johnson Ferry Road
Suite 250
Atlanta, GA 30342
USA
COUNTY OF MONROE
ATTN: MARIA SLAUIK
1100 SIMONTON STREET
KEY WEST, FL 33040
USA 15:277:3722
IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII�III�I��IIIIIIIIIIIIIIIIII'
**********************************************************************
i "•
Attached is a Certificate of Insurance for Wells Fargo & Company or one of its affiliates or
subsidiaries. If you should have any questions regarding this certificate, please contact Sylvia
Peterson, Technical Assistant, at (404) 531-5421; sylvia.peterson@WellsFargo.com. Please
reference the Certificate ID Number (shown on bottom left of certificate) or pdf file number
should you need to contact her regarding this certificate.
If for some reason you no longer require a certificate for this Insured, please write "Delete"
across the front of the certificate and fax it to (404) 255-4454. No cover sheet is necessary.
Thank you,
Wells Fargo Insurance Services USA, Inc.
(404) 531-5400/ (800) 241-6633
(404) 255-4454 Fax
**FOR FAX AND U.S. MAIL DELIVERY RECIPIENTS: To expedite the issuance of certificates at renewal,
we can e-mail an original certificate to you immediately upon the completion of our renewal
process. If you would like future certificates delivered to you by way of e-mail, please contact
us.**
cc:
The data included in this notice and in the attached document is confidential to Ebix BPO
and the party responsible for bringing you this information.
Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 1:2
THIS IS TO CERTIFY THAT THE POLICIES OF INSUANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE
ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF
SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER
DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABF-1ILITY PRODUCTS — COMP/OP AGG $
CLAIMS MADE OCCUR PERSONAL S ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH $ OCCURR
ENCE
FIRE DAMAGE (Any one fire)
$
MED EXP (Any one person)
$
AUTOMOBILE
LIABILITY
ANY AUTO
COMBINED SINGLE LIMIT
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per person)
$
HIRED AUTOS
NON -OWNED AUTOS
BODILY INJURY
(Per accident)
$
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
ANY AUTO
OTHER THAN AUTO ONLY:
momm"I Raw
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
$
WORKERS COMPENSATION AND EMPLOYERS'
WC STATU-
OTH
LIABILITY
TORY LIMITS
ER
EL EACH ACCIDENT
$
THE PRIORIETOR/
_ '
PARTNERS/EXECUTIVE INCL
_
EL DISEASE — POLICY LIMIT
$
OFFICERS ARE:
EL DISEASE — DISEASE
$
EXCL
,"
m
OTHER
A
Professional Liability
404-1FICI-13
04/01/10
04/01/13
Each Occurrence 100,0001000
B
Aggregate 100,000,000
CertRenewal
15023316
Wells Fargo Insurance Services USA, Inc.
1100 Johnson Ferry Road
Suite 250
Atlanta, GA 30342
USA
COUNTY OF MONROE
ATTN: MARIA SLAUIK
1100 SIMONTON STREET
KEY WEST, FL 33040
USA 8:69:1395
I11'IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII'
**********************************************************************
Attached is a Certificate of Insurance for Wells Fargo & Company or one of its affiliates or
subsidiaries. If you should have any questions regarding this certificate, please contact Sylvia
Peterson, Technical Assistant, at (404) 531-5421; sylvia.peterson@WellsFargo.com. Please
reference the Certificate ID Number (shown on bottom left of certificate) or pdf file number
should you need to contact her regarding this certificate.
If for some reason you no longer require a certificate for this Insured, please write "Delete"
across the front of the certificate and fax it to (404) 255-4454. No cover sheet is necessary.
Thank you,
Wells Fargo Insurance Services USA, Inc.
(404) 531-5400/ (800) 241-6633
(404) 255-4454 Fax
**FOR FAX AND U.S. MAIL DELIVERY RECIPIENTS: To expedite the issuance of certificates at renewal,
we can e-mail an original certificate to you immediately upon the completion of our renewal
process. If you would like future certificates delivered to you by way of e-mail, please contact
us.**
cc:
The data included in this notice and in the attached document is confidential to Ebix BPO
and the party responsible for bringing you this information.
1:2
Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600