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Certificates of InsuranceACORD CERTIFICATE OF PRODUCER l_ - _2.—.- Stahl & Associates Ins., Inc. 8202 Washington St., Ste. 4 Port Richey FL 34668 Phone:727-846-9969 Fax:727-848-4236 4939 New LIABILITY INSURANCE JUL 1 5 ONLY AND CONFERS NO RIC HOLDER. THIS CERTIFICATE ALTER THE COVERAGE AFFI AFFORDING COVERAGE PWA Insurance C THE DATE(MLVDDNYYY) NAIC N 1 INSURERH Ind,an Basbov Insuranw CO I_ I UUVCMAUCJ 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 SFI TYPE OF INSURANCE POLICY NUMBER DA MWD DATE Ma�D UNITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Ea occurenw $ COMMERCIAL GENERAL LIABILITY MED EXP (MY One person) $ CLAIMS MADE OCCUR PERSONAL A ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY jE6 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS ///���,,,���\\\ BODILY INJURY (Par person) $ BODILY INJURY (Per accident) $ HIREDAUTOS 11 1Y' NON -OWNED AUTOS I PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY - '. '. .... _.__... _, AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC AUTO ONLY: AGO $ ANY AUTO $ EXCESSIIMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND _ X I TORY LIMITS ER E.L. EACH ACCIDENT $1,000,000 A EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? 2008009126129 05/13/08 05/13/09 E.L. DISEASE - EA EMPLOYEE $ 1, 000, 000 E.L. DISEASE - POLICY LIMIT $1,000 000 If yes describe under SPECIAL PROVISIONS below OTHER B Professional PECO026481 Ea Claim 2,000,000 and Pollution 05/26/08 05/26/09 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: Marathon Government Center Certificate holder is listed as additional insured with regards to pollution liability with regards to written contract, subject to the terms, conditions and exclusions of the policy. MONROEB -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County Board Of IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR County Commissioners 3583 South Roosevelt Blvd REPRESENTATIVES. ALIT P Key West FL 33040 ACORD 25 (ZUUT/UU) ACON-D. CERTIFICATE OF LIAB INSURANCE OP ID S USNAT-1 DATE (MMIDDIYYM 0 22 09 PRODUCER Stahl & Associates Ins .. , Inc.. 3939 Tampa Road Oldsmar FL 34677 Phone : 813-818--5300 Fax : 813-818-5396 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIL # INSURED Lg. Water Services Corp 9 Cross , Bayou B New Port Rs.ch FL 34652-3434 � INSURERA: Zenith Insurance Co. 132169 INSURER It Steadfast Insurance Co. INSURER C: INSURER D: INSURER THE POLICIES OF INSURANCE U$TED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. No DING F '�'' e 09 ANY REQUIREMENT: TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE tSSU • MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 13 SUB JECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS Pill _IMFS AAARFAIATF L NITS SHOWN MAY HAVE BEEN REDUCED BY PAN] CL AIM& LTR2 TYPE OF INSURANCE POLICY NUIMBER DATERLIMITS AW GENERAL LIABILITY COMMERCIAL. GENERAL LIABILITY CLAIMS MADE E OCCUR EACH OCCURRENCE MOM IV MR J ED, PREMISES fltg o=ro = MED EXP (ft one Person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMPIOP AGG $ $ $ S 3 GEWL AGGREGATE LNIT APPLIES PER: POLICY a- LOC $ AUTOMOBILE LIAILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS .NON -OWNED AUTOS . COMBINED SINGLE LIMIT (EA u ddent) BODILY INJURY (Per peon) BODILY INJURY (Per ao:k nt) PROPERTY DAMAGE {Per acci�der�t) $ S $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN FA ACC AUTO ONLY- AGG $ $ S EXCESSIUMBRELLA LIABILITY I Y OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE AGGREGATE $ $ s : S A VVORXERS COMPENSATION AND EMPL PfEW LIABILITY OFFIMY CER EXCLUDED? ECUT�E Eyes SPEC' dePROVISIONS below °�� under NM 004 7 10TH- x TORY LIMITS ER 05/ 13 / 0 9 05/ 13/10 E.L EACH ACCIDENT E L DISEASE - EA EAAPLOYE EL DISEASE -POLICY LIMY $1 0 0 0 00 0 $ x 0 0 0 0 0 0 s 1 O 0 0 0 0 0 B OTHER Professional Pollution PEC6542361-00 1 05/26/09 05/26/10 Ica Claim 210001000 I I I AqgE2qate 2 000 000 0EG4i1rT:M 0r UFVM I Wr401 L .A;A I AM;61 Yt!' R;LMa 1 G7wR.Ya mm mumu DT cauumacmCN I 1 7TLLMi6 PR VMWJM0 RE: Mkrathon Government Center Certificate holder is listed as additional insured with regards to pollution liability with regards to written contract, subject to the t141xua , conditions and exclusions of the policy.. CERTIFICATE MOLDER CANCELLATION ,NRO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO 1IA & 10 DAY& WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $O SHALL Monroe County Board Of County Commissioners POSE NO OBLIGATION OR L.1118LLI7'lf OF ANY KIND UPI THE INSURER. ITS AGENTS OR 3583 South Roosevelt Blvd REPREaENTATRM& �Gey meat FL 33040 A!T* Y , �,.'"'' _ �._•� w nnsn SIR #4snAA 1no1 Z7 ne Ar''f %0rl i`r1DZW%0 AT14%M 4 GM r�vv.�v A~ piw ■r%rv, ACORD., CERTIFICATE OF LIABILITY INSURANCE DATE/ 12/0101/2008Y) oos PRODUCER 888-494-9844 HAROLD MORRISON D/B/A C & C CONSULTANTS P O BOX 701340 ST CLOUD, FL 34770-1340 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 # NSURED U.S WATER SERVICES CORPORATION 4939 CROSS BAYOU BOULEVARD NEW PORT RICHEY, FL 34652 INSURER A: ARCH INSURANCE COMPA INSURER B: INSURER C: INSURER D: INSURER E: COVERAGES I t5 _ 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. INBR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMMIMNY1 POLICY EXPIRATIONLTR DATE IMIDDIYYI CHANTS GENERAL LIABNJITY EACH OCCURRENCE a 11000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GWPKGO077203 11 /30/08 11 /30/09 PREMISES Ea NTED oe a 1001000 MED EXP (Any one person) a 10, 000 PERSONALS ADV INJURY a 1,000,000 GENERAL AGGREGATE a 3,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS) COMPIOP AGG a 32000,000 PRO> JECT LOC POLICY[—]. F- A AUTOMOBILE X LIABILITY ANY AUTO GWPKGO077203 11 /30/08 11 /30/09 COMBINED SINGLE LIMIT (Ea accident) : 1,000,000 BODILY INJURY (Per pion) a ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS N> NOOWNED AUTOS � .100 l (% X BODILY INJURY ( Per accident) $ X PROPERTY DAMAGE (Per accident) a GARAGE LIABILITY AUTO ONLY) EA ACCIDENT a OTHER THAN EA ACC a ANY AUTO a AUTO ONLY: AGG A EXCESSAJMBRELI-IA►LaANLITY X OCCUR CLAIMS MADE GWUFP0077203 11/30/08 11/30/09 EACH OCCURRENCE $ 5,000,000 AGGREGATE a 5,000 000 a a DEDUCTIBLE RETENTION a WORKERS COMPENSATION AND EMPLOYERS' LIABTY TORY WCIUSLIMITS OER > E.L. EACH ACCIDENT a ANY PRO PRIETOR/PARTN ERIEXEC UTIVE E.L. DISEASE > EA EMPLOYEE a IS OFFICER/MEMBER EXCLUDED? If yea. describe under PROVISIONS below E.L. DISEASE) POLICY LIMIT a OTHER f DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED WITH REGARDS TO GENERAL LIABILITY, AND AUTOMOBILE LIABILITY AS THEIR INTERESTS MAY APPEAR. LOCATION: MARATHON GOVERNMENT CENTER CERTIFICATE HOLDER _ CANCELLATION MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 3583 SOUTH ROOSEVELT BLVD KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLIMS BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING ENSURER WILL ENDEAVOR TO MAN. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION TY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPR ACORD 25 (2001108) ' ACORD CORPORATION 1988 ACaRD � CERTIFICATE OF LIABILITY INSURANCE OP ID S DATE (MM/DD/YYYY) USWAT-1 05 27 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Stahl & Associates Ins . , Inc . 3939 Tampa Road Rs�S NO RIGHTS UPON THE CERTIFICATE THIS CERTIFICATE DOES NOT AMEND, EXTEND OR REE COVERAGE AFFORDED BY THE POLICIES BELOW. 1 Oldsmar FL 34677 ... _ _., . .� Phone : 813-818-5300 Fax : 813-818-5396 INSURERS AFFORDINGICOVERAGE NAIC # INSURED JUN INSUIERRU Zt ith Insurance CO. 132169 INSURER B: Stmadf st Insurance Co. U.S . Water Services Corp - 4 93 9 Cross Bayou Blvd �� New Port Richey FL 34652-3434 ItNSE::. _..........a............. i+rire a �►�e VVVG«/1VG%7 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. INZK L LTR SRI TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DAB M POLICY RATION DATE M LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES Ea oocurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ pOLICyF_] PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) S HIRED AUTOS BODILY INJURY NON -OWNED AUTOS - (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO F. OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR 1.%VLAIMS MADE AGGREGATE $ s DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND X TWC LIMITS A EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE M1 O O 4 7 O 2 ER 0 5/ 13 / 10 0 5/ 13 / 11 E.L. EACH ACCIDENT $ 10,0 0 0, 0 0 0 OFFICERIMEMBER EXCLUDED? If , describe under der DISEASE - EA EMPLOYE S 110001000 SPECIAL PROVISIONS below DISEASE E.L. - POLICY LIMIT $ 1, OOO OOO OTHER B Professional & PEC6542361-01 05/26/10 05/26/11 Ea Claim 2,000,000 Pollution Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS IRE: 2,000,000 Marathon Government Center Certificate holder is listed as additional insured with regards to pollution liability with regards to written contract, subject to the terms, conditions and exclusions of the policy. CERTIFICATE HOLDER .01 CANCELLATION • MONROEB 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 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL County Commissioners IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 3583 South Roosevelt Blvd REPRESENTATIVES. Key West FL 33040 'RMWJKTFM ACORD 25 (2001/08) 0 ACORD CORPORATION 1988 ,4coR CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDpryyyy) � CE PRODUCER 11 /21 /2010 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HAROLD MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D/B/A C & C CONSULTANTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O BOX 701340 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ST CLOUD, FL 34770-1340 INSURERS AFFORDING COVERAGE - NAIC # INSURED INSURER A. ARCH INSURANCE COMPANY U.S WATER SERVICES CORPORATION INsuRERe ---------------- 4939 CROSS BAYOU BOULEVARD c INsuRER: r_--- -- -- RC NEW PORT RICHEY, FL 34652 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 MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT THIS CERTIFICATE MAY BE ISSUED OR TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PTYPO QF OLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER -------- A Y GENERALUABILITY X COMMERCIAL GENERAL LIABILITY j GWPK00077205 EACH OCCURRENCE _ b 1,000,000 11/30/10 11/30/11 CLAIMS MADE X OCCUR PREMISES Ea oceurrence b 100,000 - ---------- MEDEXP(Any oneperson) b10,000 ----- d� PERSONAL & ADV INJURY b 1,000,000 --- -- -- GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE b _ 3,000,000 POLICY PRO PRO_DUC_TS-COMP/OPAGG b 3,000,000 LOC _Cj: A Y AUTOMOBILE LIABILITY ANY AUTO GWPKG0077205 11 /30/10 1 1130%1 1 COMBINED SINGLE LIMIT (Ea accident) b 1,000,000 — ALL OWNED AUTOS F _ _ b ------ SCHEDULED AUTOS HIRED AUTOS i j BODILY INJURY (Per person) r- - --" ---- X X NON -OWNED AUTOS BODILY INJURY (Per accident) b - -- ----- PROPERTY DAMAGE accident) --' GARAGE LIABILITY 5b(Per ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN EA ACC ' b -- I AUTO ONLY: _ XCESSIUMBRELLA AGG b b S,000,OOO A �LIABILITY X] OCCUR CLAIMSMADE GWUFP0077205 ! 11/30/10 11/30/11 EACH OCCURRENCE AGGREGATE __________ b_ 5,000,000 j I— EXCESS OF GENERAL LIABILITY. AUTO DEDUCTIBLE LIABILITY & EMPLOYERS LIABILITY j b RETENTION b ---__---- -- § ---- - WORKERSCOMPE ISATiON b AND EMPLOYERS' LIABILITY r"-\ . �; Y I N - ANV PROPRIETOR/PARTNER/EXECUTIVE WC STATU- OTH- T_ RY IMIT - ERT— - — - OFFICER/MEMBER EXCLUDED? ! I/`(j/�/I� (Mandatory In NH) ❑ y E.L. EACH ACCIDENT j b It yes, describe under I SPECIAL PROVISIONS below �'-' E.L. DISEASE - EA EMPLOYEE b --- - - - OTHER E.L. DISEASE - POLICY LIMIT b 6) DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER IS NAMED ADDITIONAL INSURED WITH REGARDS TO GENERAL LIABILITY, THEIR INTERESTS MAY APPEAR. AND AUTOMOBILE LIABILITY AS LOCATION: MARATHON GOVERNMENT CENTER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 3583 SOUTH ROOSEVELT BLVD REPRESENTATIVES. KEY WEST, FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and l000 are reoistered marks of ACORD OP ID: SG CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 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 ADDITION the terms and conditions of the policy, ce ICI y�""q3 must be endorsed. If SUBROGATION IS WAIVED, subject to certificate holder in lieu of such endorsem t(s). ' �.>Gi v��ndorsem t. A statement on this certificate does not confer rights to the PRODUCER 813-818-5300 CONTACT Stahl & Associates Ins., Inc. NAME: 813-818-5396 PHONE FAx 3939 Tampa Road UTAY 2 2011 A/C No E Oldsmar, FL 34677 E-MAIL /uc No ADDRESS: Stahl 8r Associates Insurance PR DUCE CU R #: USWAT-1 INSURED U.S. Water Services Corp U1N t INSURER(S) AFFORDING COVERAGE • 4939 Cross Bayou Blvd RISK MANAGEM enith Insurance Co. NAIC #132169 New Port Richey, FL 34652-3434 INSURER B : Steadfast Insurance Co. INSURER C : INSURER D : INSURER E : COVERAGES CERTIFICATE NUMBER: INSL'r'R F THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW INDICATED. NOTWITHSTANDING HAVE BEEN ISSUED TO THE INSURED NAMED ABO E OR THE POLICY PERIOD ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER CERTIFICATE MAY BE ISSUED OR MAY DOCUMENT WITH RESPECT TO PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE INSR WHICH THIS THE LTR TYPE OF INSURANCE BEEN REDUCED BY PAID CLAIMS. TERMS, POLICY EFF POLICY EXP GENERAL LIABILITY POLICY NUMBER MM/DD/YYYY MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ t PERSONAL & ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO LOC PRODUCTS - COMP/OPAGG $ AUTOMOBILE LIABILITY $ ANY AUTO r COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS BODILY INJURY (Per accident) $ 1\ Ix/�,1 HIRED AUTOS v PROPERTY DAMAGE NON -OWNED AUTOS J ! (Per accident) $ v UMBRELLA LIAB OCCUR $ EXCESS LIAB CLAIMS -MADE � EACH OCCURRENCE $ M!(-A DEDUCTIBLE AGGREGATE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY A Y! $ PVC N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A M1004703 X STATU- OTI I_ TORY LIMITS ER 05/13/11 (Mandatory in NH) If yes, describe under 05/13/12 E.L. EACH ACCIDENT $ 1,000,00 D DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ 1,000,00 B Professional $ IPEC654236101 Pollution E.L. DISEASE -POLICY LIMIT $ 05/26/10 05/25/11 Ea Claim 1,000,00 2,000,00 Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If 2,000,00 more space Is required) MONROEC THE SHOULD EXPIRAT ON H DATE ABOVE DESCRIBED ENOTIICE POLICIES WILLL CBE CDELIVERED BEFOREELLED Monroe County, Florida ACCORDANCE WITH THE POLICY PROVISIONS. IN 1100 Simonton St Key West, FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25 (2009/09) The ACORD name and logo are registered marks 2of ACORD ACORD CORPORATION. All rights reserved. OP ID: S DAZE plllroDrYYYr) CERTIFICATE OF LIABILITY INSURANCE OMS111 THIS CF.RTiFICATE IS ISSUED AS A MATTER OF INFORMATtON ONLY AND GOFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFiRMAT1YELY OR NEtiATNELY 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. ect to IMPORTANT: 9 the certificate holder to an ADDITIONAL m require an a p°ndorselment A statement on this cce tiflcabe does not confer rbe endorsed. if SUBROGATION IS ights to the the terms and conditions of the poficy, certain policies certificate holder in lieu of such endorse s). CONTACT paODR 813-818-5300 NAME: P Stahl & Associates Ins., Inc. 813-818-5396Re ._.__ _ N—> -_ 3939 Tampa Road IwDREss — - -- — Oldsmar, FL 34677 Stahl & Associates Insurance INsu -AFFORDING COVePJ GE NMc s INSURED U.S. Water Services Corp BNNsuR>R�;Zenith Insurance Co. 132169 4939 Craw Bayou Blvd NsuRER e : American Safety indemnity Co - ----- New Port Richey, FL 34652-3434 of c : - OVERAGESVCK 111.14J� r G nv,wc,�..• _ 0 ABOVE FOR THE POLICY PEKIUU THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IME13 ANY T THE CT OR OrfIIFR DOCUMENT RED NAME WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUNW:MENT, TERM OR CONDITION OF 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 S"OVVN MAY HAVE BEEN REDUCED BY PAID CLAIMS _ ---- ----- TYPE OF MaIAtANCE POUJCY NUMBER EACH Ot;CURRErNCE E COEVAL LWOM comet taw GENERAL LIAIARY «J19�3 iMDE n OCCUR GEN'L AGGREGATE LWT APPLIES PER micy PRa Loc AUTOMOBia LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON4MMED AUTOS umWW LALAB OCCUR EXCESS UAB CLAMAS DEDUCTIBLE RETEMM I WCINID RaCOMPENSAIM AND EMPLOTERS' UABLITY A Mir PROPRIErCWPAR►NEWEXEc'""E 'N INIA1 X �1004703 05M3111 I OSM3H2 --------------------- NON ofF OpPeERATIONS f L�OC�ATII OrNgS I VEIACLES t�t►ACORD W A RMOMM Gdw"% N more SPM Is legvr*M I COd y yYrFlten�Cnwltract• P 1onaIncludesUPoQ0, Rolicyl iiver CSudes a anon when Additional Insured and Blanket Waiver of Subrogsnon when required In contract. 1 PERSONAL i AOV INJURY 1 $ pROOUCTS - compooP AGO S s COMBINED SINGLE UMIT = (I--M-4 BOOtLY INJURY (Pr P—) S BODILY INJURY (Pr PROPERTY OA6/AGE s (Pr todda t) s EACH OCCURRENCE S 1411 s 1 MONROE2 I 1 SHOULD ANY OF THE ABOVE DESCRIBEDL POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Building Dept. Marathon Government Center AUTHORIZED RAOWASENTATIVE 2798 Overseas Highway #300 Marathon, FL 33050 A 1968-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD USWAT-1 OP ID: SG ACORO� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYY) 05/10/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 813-818-5300 Stahl & Associates Ins., Inc. 813-818-5396 3939 Tampa Road Oldsmar, FL 34677 Stahl & Associates Insurance CONTACT NAME: Sue Goodman, CPCU PHONE 813-818-5350 aC No): 813-818-5396 A/C No Ext ADDRESS: sue.goodman@stahlinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Zenith Insurance CO. 13269 INSURED U.S. Water Services Corp 4939 Cross Bayou Blvd New Port Richey, FL 34652-3434 INSURER B : Colony Insurance Co. 05719 INSURER C INSURER D : 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 ADDL SUB POLICY NUMBER MM/DD/YYY MM/DD/Y YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS -MADE F—IOCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- LOC $ AUTOMOBILE LIABILITY APPRO BY - COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO DA ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS W � � BODILY INJURY (Per accident) $ PR ER Perra cdentDAMAGE $ ` UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? F_N] (Mandatory in NH) N / A M1004704 05/13/12 05/13/13 X WC STATU- OTH- T RY IT E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 -I/•'.ies, d=sc^�x under DESCRIPTION OF OPERATIONS below - — - -- E.L. DISEASE - POLICY LIMIT - — $ 1,000,00 B Professional & PKC300752 05/26/12 05/26/13 Per claim 2,000,00 Contracors Polluti Aggregate 2,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) F n ro RE: Marathon Government Center I t Certificate holder is listed as additional insured with regards to pollution liability with regards to written contract, subject to the terms, conditions and exclusions of the policy. MAY 1 4 2012 By CERTIFICATE HOLDER CANCELLATION MONROEB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners 3583 South Roosevelt Blvd AUTHORIZED REPRESENTATIVE Key West, FL 33040 ec ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 11 /25/2012 PRODUCER 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HAROLD MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D/B/A C & C CONSULTANTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O BOX 701340 ST CLOUD, FL 34770-1340 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: ARCH INSURANCE COMPANY U.S WATER SERVICES CORPORATION INSURER B. _ 4939 CROSS BAYOU BOULEVARD INSURER C: NEW PORT RICHEY, FL 34652 INSURER D: I INSURER E: CnVFRAnFR 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 DD' - _ — TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER MM E(MM1DDfYYYY111 LIMITS A Y GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISESAEaoccurrence1_ $ 100 000 X COMMERCIAL GENERAL LIABILITY GWPKGO077207 11/30/12 11/30/13 - - CLAIMS MADE -1 OCCUR MED EXP (Any one person) $ 10,000 _ _ _ PERSONAL & ADV INJURY $ 1,000,000 AGG REGATE$ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: (GENERAL PRODUCTS - COMP/OP AGG $ 3,000,000 7 PRO-JECT POLICY LOC A Y AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 X ANY AUTO GWPKGO077207 ' 11/30/12 11/30/13 (Ea accident) $ BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) — ------------ $ X - HIRED AUTOS AP E �7G1YO�, BY I', BODILY INJURY X NON -OWNED AUTOS DA ,•/�Y�, f /� 1 (Per accident) PROPERTY DAMAGE $ - - -- - ----- -- WA '^- LL . r (Per accident) GARAGE LIABILITY ! AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS I UMBRELLA ABILITY EACH OCCURRENCE _ _ $ S,000,OOO -- $ 5,000,000 X OCCUR Imo— CLAIMS MADE GWFXS0077202 11/30/12 11/30/13 AGGREGATE EXCESS OF GENERAL I I $ LIABILITY, AUTO LIABILITY( — - --- DEDUCTIBLE & EMPLOYERS LIABILITY ;_ _ -- - -- -- $ $ RETENTION $ WORKERS COMPENSATION i I WC STATT- OTH- S ER Y / N ANY PRO ry IETOR/PARTNER/EXECUTIVE OFFICER/M EMBER EXCLUDED? ❑I E.L. EACH ACCIDENT $ (Mandatory In NH E.L. DISEASE - EA EMPLOYEEI $ S yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT ! $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE LISTED AS ADDITIONAL INSURED ON COMMERCIAL GENERAL LIABILITY AND AUTOMOBILE LIABILITY AS THEIR INTERESTS MAY APPEAR. LOCATION: WASTEWATER TREATMENT PLANT -MARATHON GOVERNMENT CENTER MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 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)(XYD MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT)0XX04Xj ( ][x0( (9X Doi AUTHORIZED REPRESENTATIVE w ACORD 25 (2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and loco are realstered marks of ACORD CG. USWAT-1 OP ID: GO A� Ro• CERTIFICATE OF LIABILITY INSURANCE AT05109//YYYY) r5/09/13 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 ofifl`ie pbhcy, certain policies"mWy require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of quch endq ement s . PRODUCER f i27-784-8554 Stahl & Associates Insurance l 3939 Tampa Road MAY 14 2 013 727-789-2823 Oldsmar, FL 34677 ii Michael Pagano, AAI-ADDRESS: 1 CONTACT NAME: Sue Goodman PHONE FAX A/C No Ell: 813-818-5350 A/c No): 813-818-5396 E'MAIL sue.goodman@stahlinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSURERA:Zenith Insurance Company INSURED U.S. Water Services Corp 4939 Cross Bayou Blvd New Port Richey, FL 34652-3434 INSURER B : Colony Insurance Co. 05719 INSURER C : INSURER D : 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. ILTR TYPE OF INSURANCE INSR V POLICY NUMBER MM DDM' MM DD//YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY 0 M A EMENT DAMAGE TO RENTED ccurrence PREMISES Ea occurrence) $ CLAIMS -MADE OCCUR B4A. MED EXP (Any one person) $ & ADV INJURY $ WPERSONAL WN � � C .!� _ U GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1-1 POLICY F PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) N / A M1004705 05/13/13 05/13/14 X WC STATU- OTH- T E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - FA EMPLOYEE $ 1,000,00 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,00 B Professionl & PKC300752 05/26112 06/26/13 Per Claim 2,000,00 Contrctr Pollution Aggregate 2,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Marathon Government Center Certificate holder is listed as additional insured with regards to pollution liability with regards to written contract, subject to the terms, conditions and exclusions of the policy. CERTIFICATE HOLDER CANCELLATION MONROEB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of ACCORDANCE WITH THE POLICY PROVISIONS. County Commissioners AUTHORIZED REPRESENTATIVE 3583 South Roosevelt Blvd Key West, FL 33040 CL' ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/06) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11 /29/2013 PRODUCER$ THIS CE TIFICATE IS ISSUED AS A MATTER OF INFORMATION HAROLD MORRISON +""'ff VE0 ONLY A D CONFERS NO RIGHTS UPON THE CERTIFICATE D/B/A C & C CONSULTANTS HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O BOX 701340 ALTER E COVERAGE AFFORDED BY THE POLICIES BELOW. ST CLOUD, FL 34770-1340 D F r ° 2 INSURERS FFORDING COVERAGE NAIL IF INSURED INSURER A: CH INSURANCE COMPANY U.S WATER SERVICES CORPOhATION MO OE CO URER B: 4939 CROSS BAYOU BOULEVA RISK MANAGEM INSURER C: NEW PORT RICHEY, FL 34652 INSURER D: INSURER E: COVERAGES I Nt YULIGItS Ur 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. NSR DD' POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YYYY) POLICY EXPIRATION DATE(MM/PDNYYYI LIMITS A Y GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE lil OCCUR GWPKGO077208 11/30/13 11/30/14 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurrence $ 100,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 3,000,000 A Y AUTOMOBILE X LIABILITY ANY AUTO GWPKGO077208 11/30/13 11/30/14 COM BINED SINGLE LIMIT (Ea accident) $ 1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG A EXCESSIUMBRELLALIABILITY X OCCUR CLAIMS MADE GWFXS0077203 EXCESS OF GENERAL 11/30/13 11/30/14 EACH OCCURRENCE $ S,000,OOO AGGREGATE $ 5,000,000 $ DEDUCTIBLE LIABILITY, AUTO LIABILITY & EMPLOYERS LIABILITY $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Mandatory In NH) Iyes, (f decribe under SPECIALsPROVISIONS below S. STATU- OTH- T P.Y IMI E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER ,ESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS AONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE LISTED AS ADDITIONAL INSURED ON MMERGAAL GENERAL .(ABILITY AND AUTOMOBILE LIABILITY AS THEIR INTERESTS MAY APPEAR. a PR E RIS GEMENT .00ATION: WASTEWATER TREATMENT PLANT -MARATHON GOVERNMENT CENTER WA N/A,� Y _ CC ' -Fr L yt lc— .ERTIFICATE HOLDER ti' -) E CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILLXbPMM00"O MAIL 30 DAYS WRITTEN MONROE COUNTY BOARD OF JJU,�I Y NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT>7j( ,Xxx"@49 COMMISSIONERS 1 ` 330 h� Mar x 1100 SIMONTON STREET '^]j ��� �a�ErX�&xxXXXXXXXXXX KEY WEST, FL 33040 �J E 01 Lj e } I AUTHORIZED REPRESENTATIVE LLnevinlvl-w� (CORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and loao are reaistered marks of ACORD DATE (MM/DD/YYYY) ACORD® CERTIFICATE OF LIABILITY INSURANCE �i 11 /26/2015 PRODUCER 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HAROLD MORRISON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D/B/A C & C CONSULTANTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O BOX 701340 ST CLOUD, FL 34770-1340 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: ARCH INSURANCE COMPANY U.S WATER SERVICES CORPORATION INSURER B: 4939 CROSS BAYOU BOULEVARD INSURER C: NEW PORT RICHEY, FL 34652 INSURERD: I 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. NSR -TR ADD' POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YYY POLICY EXPIRATION DATE MM/DD LIMITS A Y GENERAL LIABILITY EACH OCCURRENCE i 1,000,000 AMA T RENTED PREMISES Ea occurrence i 100,000 X COMMERCIAL GENERAL LIABILITY GWPKG0077210 11/30/15 11/30/16 CLAIMS MADE 1 OCCUR MED EXP (Any one person) i 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERALAGGREGATE i 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 3,000,000 POLICY PRO LOC A Y AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO GWPKGO077210 11/30/15 11/30/16 (Ea accident) BODILY INJURY i ALL OWNED AUTOS SCHEDULED AUTOS (Per person) X BODILY INJURY i HIRED AUTOS X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE i (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT i OTHER THAN EA ACC i ANY AUTO i AUTO ONLY: AGG A EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE i 5,000,000 AGGREGATE $ 5,000,000 X OCCUR CLAIMS MADE GWFXS0077205 11/30/15 11/30/16 EXCESS OF GENERAL LIABILITY, AUTO LIABILITY i DEDUCTIBLE & EMPLOYERS LIABILITY i i RETENTION $ WORKERS COMPENSATION WC STATU- OTH- T RY LIMIT R AND EMPLOYERS' LIABILITY YIN N ANY PROPRIETOR/PARTNER/EXECU I kA E.L. EACH ACCIDENT i OFFICER/MEMBER EXCLUDED? R 9 EMENT (Mandatory in NH) frP E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT 1 $ Ir yes, descnoe unaer SPECIAL PROVISIONS below DA E — OTHER r�D r , W V IESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS AONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE LISTED AS ADDITIONAL INSURED ON COMMERCIAL GENERAL -IABILITY AND AUTOMOBILE LIABILITY AS THEIR INTERESTS MAY APPEAR. .00ATION: WASTEWATER TREATMAT11- ,1) "%I - HQGWOVERNMENT CENTER :ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION j] �}� <✓I J N$ ^�� ���� DATE THEREOF, THE ISSUING INSURER WILL K1AAX0WXO MAIL 30 DAYS WRITTEN MONROE COUNTY BOA llyyJJ(( Or1 J NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFTAMX0Mx0MA*=(,90K COMMISSIONERS 1100 SIMONTON STRE6 W J38 80J 0311.� a�t *AY&Wt s.(XXXXXXXXXX(XXX X � KEY WEST. FL 33040 AUTHORIZED REPRESENTATIVE / .0 6 (CORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and loco are registered marks of ACORD '� CERTIFICATE OF LIA B I L I TY INSURANCE DATE (MM/DD/YYYY) PRODUCER 1 1 /26/2015 HAROLD MURRISUN 888-494-9844 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE D/B/A C 8r C CONSULTANTS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O BOX 701340 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ST CLOUD, FL 34770-1340 INSURED INSURERS AFFORDING COVERAGE NAIC # INSURERA: ARCH INSURANCE COMPANY U.S WATER SERVICES CORPORATION INSURERS: 4939 CROSS BAYOU BOULEVARD INSURER C: NEW PORT RICHEY, FL 34652 INSURER D: I r`nvco A rI- INSURER E: THE POI ICIFC r)P IAIQI MAKI- I CU [3r-LUVV HAVE BEEN ISSUED TO THE INSURED VE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT ^EWITHOR RESPECT TOFOR THEPOLICY WH WHICH SOCDERTTIFICATE MAY BE LIEDNOTWITHSTANDING MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND C iR DD' RI I IXEF QF INSURANCE POLICY NUMBER ?OLICY EFFECTIVE POLICY EXPIRaTIn>� A Y GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY GWPKGO077210 CLAIMS MADE [j] OCCUR I REGATE LIMIT APPLIES PER:Y PRO X LOCLE LIABILITYUTO GWPKGO077210WNED AUTOSULED AUTOSAUTOSWNED AUTOS GARAGE LIABILITY IANY AUTO A LIABILITY UR CLAIMS MADE GWFXS0077205 LFXCEUMBRELLA EXCESS OF GENERAL CTIBLE LIABILITY, AUTO LIABILITY 8 EMPLOYERS LIABILITY NTION $ WORKERS COMPENSATION AND EHPLOYFFtS' .A.S!-' 17Y DDDG11/ f{D4 ANY PROPRIETOR/PARTNER/EXECUTIVE a Y OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If es, describe under WAIVE N/A SPECIAL PROVISIONS below OTHER 11/30/15 11/30/15 11/30/15 11 /30/16 11 /30/16 11 /30/16 • , Mgvjrfu EACH OCCURRENC%$1,000,000 0 000AMA E EN PREMISES Ea occur0,000MED EXP (Any one p000PERSONAL & ADV IN,000GENERALAGGREGA,W0°RODUCTS-COMP/,000 COMBINED SINGLE LIMIT 11000,000 (Ea accident) S BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ ;EACH R THAN EA ACC $ ONLY: AGG $ OCCURRENCE $ AGGREGATE $ E.L.EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ 5,000,000 5, 000, 000 IESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS AONROE COUNTY BOARD OF COUNTY COMMISSIONERS ARE LISTED AS ADDITIONAL INSURED FOR COMMERCIAL GENERAL .IABILITY AND AUTO LIABILITY AS THEIR INTEREST MAY APPEAR. It H R MONROE COUNTY BOCC 1100 SIMONTON STREET KEY WEST, FL 33040 CORD 25 (2009/01) SO M ad S 133 13A NCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL X",tO MAIL 30 DAYS WRITTEN QCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFTAMXp" (pM)WX0("K REPRESENTATIVE • v— - --I - • - Ww' a 1988-2009 ACORD CORPORATION. All rights The ACORD name and logo are registered marks o ACORD reserved.