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Certificates of InsuranceACORD CERTIFICATE OF LIABILITY INSURANCE NDERD DATE(MM/DD/YY) 01/27/03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CMI INTERNATIONAL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WESTON TOWN CENTER HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1730 MAIN STREET, SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE WESTON FL 33326 Phone: 954-384-9900 Fax:954-384-9949 INSURED INSURERA: ZURICH AMERICAN INSURANCE CO. INSURERB: FLORIDA RETAIL FEDERATION INSURERC: WESTERN WORLD INSURANCE CO. Bender & Associates Architects INSURER D: 410 Angela Street Key West FL 33040 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMlDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 C X COMMERCIAL GENERAL LIABILITY NPP11754 10/25/02 10/25/03 FIRE DAMAGE(Anyonefire) $_50,000 CLAIMS MADE OCCUR MED EXP (Any one person) _ $ 5 , 00 0 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included POLICY PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ^ PItR 11K BY M� M�� BODILY INJURY (Per accident) $ ®ATE PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY WAIVER y Lb AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ , i AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE / 1. , AGGREGATE $ $ I $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 0520150560000 01/01/03 12/31/03 X TORY LIMITS ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE - POLICY LIMIT $ 100 , 000 OTHER A Professional EOC 7994721-09 01/05/03 01/05/04 Ea. Claim $1,000,000 Liability Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS PROFESSIONAL LIABILITY POLICY IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. C 010 .' )'*A 92 rl C. 4e_-, VCR I Ir1%.A 1 C r1ULur-m Y I ADDITIONAL INSURED; INSURER LETTER: C; GANL r_LLA I IUN MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN COUNTY OF MONROE RISK MGMT . 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 1100 SIMONTON STREET REPRESENTATIVES. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25-S (7/97) ©ACORD CORPORATION 1988 TE ACORD CERTIFICATE OF LIABILITY INSURANCE DADD/YY) NDERD 12/212/26/02 PRODUCER M THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CMI INTERNATIONAL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WESTON TOWN CENTER HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1730 MAIN STREET, SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WESTON FL 33326 INSURERS AFFORDING COVERAGE Phone:954-384-9900 Fax:954-384-9949 INSURED INSURER A: ZURICH AMERICAN INSURANCE CO. INSURER B: Bender & Associates Architects INSURERC: 410 Angela Street INSURER D: Key West FL 33040 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. INSPOLICY LTR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS MADE DOCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODI IoNJ RY $ ALL OWNED AUTOS SCHEDULED AUTOS AP }� MAN E ENT BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS BY� PATE \ 'l//l WAIVER N/A YE PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND V�Ulm TORY LIMITS ER E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER A Professional EOC 7994721-08 01/05/03 01/05/04 Ea. Claim $1,000,000 Liabilit Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THIS IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. UtK 111-IUA It MULUtK L4 I ADDITIONAL INSURED; INSUKLK LtI I LK: VM1�61GVL11 wn BOARDOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3_ DAYS WRITTEN COUNTY OF MONROE RISK MGMT . 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 1100 SIMONTON STREET REPRESENTATIVES. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE Leigh W. MCCrearyft ACORD 25-S (7/97) ,f . C C. : ©ACORD CORPORATION 1988 ACnRD,. CERTIFICATE OF LIABILITY INSURANCE CSR 7DATE(MM/DD/YY) NDERD 11/21/02 P:oDucER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CHI INTERNATIONAL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WESTON TOWN CENTER HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1730 MAIN STREET, SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WESTON FL 33326 Phone: 954-384-9900 Fax: 954-384-9949 INSURERS AFFORDING COVERAGE INSURED Bender & Associates Architects 410 Angela Street Key West FL 33040 rrnVPoAr_rc INSURER A: ZURICH AMERICAN INSURANCE CO. INSURER B: FLORIDA RETAIL FEDERATION INSURERC: WESTERN WORLD INSURANCE CO. INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 X C COMMERCIAL GENERAL LIABILITY CLAIMS MADE [X] OCCUR NPP11754 10/25/02 10/25/03 FIRE DAMAGE (Anyone fiire) $50,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: EPRO POLICY J CTD LOC PRODUCTS - COMP/OP AGG $ Included AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS APP D K MAN EMENT (P DI IoNrJ' RY $ HIRED AUTOS NON -OWNED AUTOS BY BODILY INJURY (Per accident) $ DATE ____ WAIVER MIA ES_ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO I ( / 11� OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY OCCUR CLAIMS MADE � CC !1 EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND B EMPLOYERS' LIABILITY 0520150560000 01/01/02 12/31/02 X TORY LIMITS ER E.L. EACH ACCIDENT $100,000 E.L. DISEASE - EA EMPLOYEE $ 500 , 000 OTHER E.L. DISEASE - POLICY LIMIT $ 100 000 A Professional EOC 7994721-08 01/05/02 01/05/03 Ea. Claim Liability Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS PROFESSIONAL LIABILITY POLICY IS A CLAIMS MADE POLICY. COVERAGE APPLIES $1,000,000 $1,000,000 ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. rFRTIFIrATF 41n1 nPo I — I......_....... ..._.._-- ..._-._-- - _ ------- _ _-_ - V I IUN MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN COUNTY OF MONROE RISK MGMT . NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON STREET REPRESENTATIVES. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE , ACORD 25-S (7/99 VIF ©ACORD CORPORATION 1988 GC TE y w.9v CERTIFICATE OF LIABILITY INSURANCE DA05/3°D/YY) .,T NDERD 05/30/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CHI INTERNATIONAL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WESTON TOWN CENTER HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1730 MAIN STREET, SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WESTON FL 33326 Phone: 954-384-9900 Fax: 954-384-9949 INSURERS AFFORDING COVERAGE BENDER & ASSOCIATES ARCHITECTS 410 ANGELA STREET KEY WEST FL 33040 rnveowr_CQ INSURERA: FLORIDA RETAIL FEDERATION INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD LI Y EXPIRATION POLICY DATE EXPIRATION IYYl LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR APPR Y b4 BY DATE MANA MENT YES EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECTPRO LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS i COMBINED SINGLE LIMIT (Ea accident)0-W $ BODILY INJURY (Per person) $ AODILY INJURY er acci nt) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY 052015056 01/01/02 12/31/02 X TORY LIMITS ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 10 0 , 0 0 0 E.L. DISEASE -POLICY LIMIT s500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE 41n1 nFR I W I enniTinuei iNcnRFn• mgimFa i FrrFR- CANCELLATION BOARDOF 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 COMMI S IONERS/RISK MANAGEMENT MARIA DEL RIO IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON STREET REPRESENTATIVES. AUTHORIZED REPRESENTATIVE KEY WEST FL 33040 Lei h W. McCreary AL;Urcu Lb-, (rror) ACORD CERTIFICATE OF LIABILITY INSURANCE NDERD DATE(MM/DD/YY) 05/02/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CMI INTERNATIONAL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WESTON TOWN CENTER HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1730 MAIN STREET, SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WESTON FL 33326 Phone:954-384-9900 Fax:954-384-9949 INSURERS AFFORDING COVERAGE INSURED INSURER A: ZURICH AMERICAN INSURANCE CO. INSURER B: INSURERC: Bender & Associates Architects 410 Angela Street Key West FL 33040 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD/YY POLICY EXPIRATION DATE MM/DDIYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS A A 0 D SK MA B O DATE MENT COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO i ` AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ / C� EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY - TVVORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A OTHER Professional Liability EOC 7994721-08 01/05/02 01/05/03 Ea. Claim $1,000,000 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THIS IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. -.-....-...- r.. r.. I ; VI11\V GGLMI IVI\ BOARDOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN COUNTY OF MONROE RISK MGMT . NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COCOUNTY BOARD OF COUNTYUNTY COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON STREET REPRESENTATIVES. r KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE j ►riGyii wr�nn non n�ewrl�u wnnn IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 171Q71 ACORDry CERTIFICATE OF LIABILITY INSURANCE CSR DATE(MWDD/YY) NDERD 1 05/14/02 MPRDD u THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION INTERNATIONAL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WESTON TOWN CENTER HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1730 MAIN STREET, SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WESTON FL 33326 Phone: 954-384-9900 Fax:954-384-9949 INSURERS AFFORDING COVERAGE INSURED Bender & Associates Architects 410 Angela Street Key West FL 33040 f�Al/CD A ncl+ INSURERA: ZURICH AMERICAN INSURANCE CO. INSURER B: FLORIDA RETAIL FEDERATION INSURERC: WESTERN WORLD INSURANCE CO. INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -SR TN LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 C X COMMERCIAL GENERAL LIABILITY NPP-11754 10/25/01 10/25/02 FIRE DAMAGE (Any one fire) $50,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1 000 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG , , $ Included POLICY PRO- JECT 1771 LOC AUTOMOBILE LIABILITY G MET LIMIT CO(Ea ANY AUTO D K M aBINEDISINGLE $ APP ALL OWNED AUTOS 1 BY BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS DATE NON -OWNED AUTOS WAIVER NIA YES .� BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA OTHER THAN C $ $ AUTO ONLY: EXCESS LIABILITY jAGG EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND X WL; -LIMITS B EMPLOYERS'LIABILITY ER 0520150560000 01/01/02 12/31/02 E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 5 0 0 , 0 0 0 E.L. DISEASE -POLICY LIMIT 1 $100,000 OTHER A Professional EOC 7994721-08 01/05/02 01/05/03 Ea. Claim $1,000,000 Liability Aggregate $1 000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS PROFESSIONAL LIABILITY POLICY IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. ­­.-,,.Arr- ..,. --- I -- MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN COUNTY OF MONROE RISK MGMT . NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON STREET REPRESENTATIVES. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE } (7/97) CORPORATION PROGRESSIVE EXPRESS INSURANCE CO. PO BOX 94739 CLEVELAND OH 44101-4739 This declarations page/amended declaration page with the p 3cket identified by the form 1050 and edition date 1194 completes the below numbered poll,,, .MENDED E F F ECT I VE DATE 12/04/01 PR499REINYW ® COMMERCIAL VEHICLE INSURANCE FULLERS INS AGCY 1432 KENNEDY DRIVE KEY WEST FL 33040 BERT L. BENDER 410 ANGELA ST KEY WEST FL 33040 AUTO DAMAGE LIMIT OF LIABILITY 24 Hour Policy Service: 1-800-444-4487 24-Hour Claims Service: 1-800-274-4499 24-Hour Bill Questions: 1-800-999-8781 COMMERCIAL AUTO POLICY DECLARATION POLICY NUMBER: CA 04557974- 1 POLICY PERIOD: 06/27/01 TO 06/27/02 FOR NAMED INSURED BERT L. BENDER 410 ANGELA ST KEY WEST FL 33040 This policy incepts the later of: 1. The time the application for insurance is executed on the first day of the policy period; or 2. 12:01 a.m. on the first day of the policy period. This policy shall expire at 12:01 a.m. on the last day of the policy period. The following coverages and limits apply to each described vehicle as shown below. Coverages are defined in the policy and are subject to the terms and conditions contained in the policy, including amendments and endorsements. No changes will be effective prior to the time changes are requested. REASON FOR ISSUANCE: ENDORSEMENT VEHICLE 02 ADDED SURCHARGE CHANGED LIMIT OF COMP FT/CAC COLL VEH YR MAKE MODEL SERIAL NUMBER LIABILITY DED DED DED RADIUS 01 1994 FORD ESCORT S/W 1FARP15J3RW131739 $4,425 500 500 200 02 1996 MADZA MX-5 MIATA JMlNA3536TO711195 $11,000 500 500 200 COVERAGES - LIMITS OF LIABILITY PREMIUMS THE COVERAGE IS APPLICABLE ONLY IF A PREMIUM IS INDICATED. TOTAL VEH 1 VEH 2 VEH 3 VEH 4 RESIDUAL BODILY INJURY $1,391 $598 $793 $100,000 EACH PERSON - $300,000 EACH ACCIDENT AND PROPERTY DAMAGE LIABILITY - $50,000 BASIC PERSONAL INJURY PROTECTION $206 $100 $106 $10,000 LIMIT/PERSON NAMED INSURED ONLY WITHOUT WORKERS COMPENSATION UNINSURED MOTORIST BODILY INJURY-NONSTACKED $266 $133 $133 $100,000 EACH PERSON - $300,000 EACH ACCIDENT COMPREHENSIVE - LIMIT OF LIABILITY LESS DEDUCTIBLE $112 $25 $87 COLLISION - LIMIT OF LIABILITY LESS DEDUCTIBLE $347 $78 $269 APP 0 BY r � 'K DATLc WAIVER N/, � PREMIUM BY VEHICLE PREMIUM DUE TO CHANGE FILING/OTHER FEES ATTACHMENTS IDENTIFIED BY FORM NO. (EDITION DATE) 5701 (0798) 1198 (0497) 1652 (0799) Feme �� . GCP $76 $934 $1,388 $5 $2, 372 TOTAL POLICY PREMIUM INCLUDES FEES 2068 (0799) 6865 (0695) Form No. 1113 (05/95) SIGNED INSURED'S COPY Page 1 of 02 CVFL0305011205Ll 11401 PROORDWYE® COMMERCIAL VEHICLE INSURANCE ADDITIONAL INSURED The person or organization named below is a person insured with respect to such liability coverage as is afforded by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be excess insurance over any other valid and collectible insurance. NAME OF PERSON OR ORGANIZATION: MONROE COUNTY BOCC 5100 COLLEGE RD KEY WEST FL 33040 LIMIT OF LIABILITY Bodily Injury each person/ each accident Property Damage each accident Combined Liability 4500, 000 each accident All other parts of this policy remain unchanged. This endorsement changes Policy No.: 04557974-1 Issued to (Name of Insured): BERT L. BENDER Endorsement Effective: 02/12/02 Expiration: 06/27/02 Form No. 1198 (4-97) CVFL04159716071-119801 ,�RD CERTIFICATE OF LIABILITY INSURANCE NDERD DATE(MM/DD/YY) 02/04/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CHI INTERNATIONAL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WESTON TOWN CENTER HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1730 MAIN STREET, SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE WESTON FL 33326 Phone:954-384-9900 Fax:954-384-9949 INSURED INSURERA: ZURICH AMERICAN INSURANCE CO. INSURER B: INSURERC: Bender & Associates Architects INSURER D: 410 Angela Street Key West FL 33040 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY CGMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ kGEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BY DATE M E�E �(ES T COMBINED SINGLE LIMIT (Ea accident) $ BODpersonINJURY $ BODILY INJURY (Per accident) $ PROa RTYDAMAGE (Perden $ GARAGE LIABILITYNNAME ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A OTHER Professional Liability EOC 7994721-08 01/05/02 01/05/03 Ea. Claim $1,000,000 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THIS IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. t,CK 1 IrILA 1 C KULUMK N I ADDITIONAL INSURED; INSURER LETTER: UANULLLA I IUN BOARDOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN COUNTY OF MONROE NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL RISK MANAGEMENT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR MARIA DE RIO 1100 SIMONTON STREET REPRESENTATIVES. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE I 1 A A / ACORD 25-S (71971 ©ACORD CORPORATION 1988 - 61740RD CERTIFICATE OF LIABILITY INSURANCE CSR T DATE(MM/DDIYY) NDERD 01/11/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CMI INTERNATIONAL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WESTON TOWN CENTER HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1730 MAIN STREET, SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WESTON FL 33326 Phone: 954-384-9900 Fax: 954-384-9949 INSURERS AFFORDING COVERAGE INSURED BENDER & ASSOCIATES ARCHITECTS 410 Angela Street Key West FL 33040 L:UV tKACitb INSURER A: WESTERN WORLD INSURANCE CO. INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMlDD YY POLICY EXPIRATION DATE MMIDDIYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE rX7 OCCUR NPP11754 10/25/01 10/25/02 EACH OCCURRENCE $ 1,000,000 - FIRE DAMAGE (Any one fire) $ 5jl 0 000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMPIOP AGG $ INC' L . ABOV AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS BY DATE Is OR VENT COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGELIABILITY ANY AUTO WAIVER NA YES AUTO ONLY - EA ACCIDENT $ 01, OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER IS ALSO NAMED ADDITIONAL INSURED ATIMA MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN MONROE COUNTY BOARD OF COUNTY NOTICE TO 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 5100 COLLEGE ROAD REPRESENTATIVES. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE ( , /' ACORD 25-S ©ACORD CORPORATION 19RR IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD ACORD CERTIFICATE OF LIABILITY INSURANC SR DATE(MM/DDMf) NDERD 08/18/00 PRODUCER CMI INTERNATIONAL, INC. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LEIGH W. MCCREARY 6161 BLUE LAGOON DR SUITE 420 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33126 COMPANIES AFFORDING COVERAGE Leigh W. McCreary Phone No. 266-9954 Fax No. COMPANY A STEADFAST INSURANCE CO. INSURED COMPANY B COMPANY Bender & Associates Architects C 410 Angela Street Key West FL 33040 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR PERSONAL 3 ADV INJURY $ EACH OCCURRENCE $ OWNER'S R CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS INJURY Per person) $ HIRED AUTOS NON -OWNED AUTOS __.. ._ -- BODILY INJUaccident)RY $ 1NI1AL 1" -- — PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO _- r.,� - ^ , _ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ v EXCESS LIABILITY UMBRELLA FORM _ ----/ co EACH OCCURRENCE AGGREGATE f OTHER THAN UMBRELLA FORM s WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- TORY LIMITS ER EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE - POLICY LIMIT $ OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER A Professional EPC7994721-06 01/05/00 01/05/01 Ea. Claim $1,000,000 Liability Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS THIS IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. CERTIFICATE HOLDER CANCELLATION BOARDOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COUNTY OF MONROE RISK MANAGEMENT 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MARIA DE RIO BUT FAILURE TO MAIL SUCH NOT1 SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 COLLEGE ROAD OF ANY KIND UPON THE COMPA , ITENTS OR REPPESEOTAWOtS. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE l ACORD 25-S (1195) Leigh W. McCreary, " AC O D CO PORATION 1988" - ► o� CERTIFICATE OF LIABILITY INSURANCI&�$ 1 DATE 0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Fullers, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 3600 Roosevelt Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West K 33040 INSURERS AFFORDING COVERAGE Phone:305-294-6677 Fax:305-292-4641 INSURED INSURER A: Progressive Commercial Div INSURER B: Bert L. Bender INSURER C: 410 Angela St. 1 INSURERD: key West FL 33040 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 PO'-ICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD POLICY EXPIRATION DATE MM/DD LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE E OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY LOC JECT PRODUCTS - COMP/OP AGG $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA04557974-0 06/27/00 06/27/01 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ 100000 X BODILY INJURY (Per accident) $ 300000 PROPERTY DAMAGE (Per accident) $ 5 0 0 0 0 GARAGE LIABILITY ANY AUTO 1'- :.Y - � AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ n1jE �— / ` ' _. --- l EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS I ER E.L. EACH ACCIDENT Is E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 1994 Ford Escort S/W 1FARP155ERW131739 GtKI Ir RrAlt KVLUtK � y I ADDITIONAL INSURED; INSURER LETTER: MONBOCC Monroe County BOCC Risk Management 5100 College Road Key West FL 33040 GANGELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. A A ACORD 25-S (7/97) ' / // ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD PRWRFIJAYE'J' COMMERCIAL VEHICLE M.M.MCE ADDITIONAL INSURED The person or organization named below is a person insured with respect to such liability coverage as is afforded by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be excess insurance over any other valid and collectible insurance. NAME OF PERSON OR ORGANIZATION: MONROE COUNTY BOCC 5100 COLLEGE RD KEY WEST FL 33040 LIMIT OF LIABILITY Bodily Injury $1oo,000 each person/ $300, 000 each accident Property Damage $50, 000 each accident Combined Liability each accident All other parts of this policy remain unchanged. This endorsement changes Policy No.: 04SS7974-0 Issued to (Name of Insured): BERT L. BENDER Endorsement Effective: 08/04/00 Expiration: 06/27/01 Form No. 1198 (4-97) CVFL04159716071-119801 ACORD CERTIFICATE OF LIABILITY INSURANC ,R DATE(MM/DD/YY) ND,RD 12/20/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CMI INTERNATIONAL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LEIGH W. MCCREARY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6161 BLUE LAGOON DR SUITE 420 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33126 COMPANIES AFFORDING COVERAGE COMPANY A WESTERN WORLD INSURANCE CO. Leigh W. McCreary Phone No. 266-9954 Fax No. INSURED COMPANY B COMPANY BENDER 6 ASSOCIATES ARCHITECTS C 410 Angela Street Key West FL 33040 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHCWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $1,000,000 X PRODUCTS -COMP/OPAGG f INC'L. ABOV A COMMERCIAL GENERAL LIABILITY NGL52966 10/25/00 10/25/01 CLAIMS MADE �X OCCUR PERSONAL & ADV INJURY $ 1 , 000 , 000 EACH OCCURRENCE $ 1 , 000 , 000 OWNER'S & CONTRACTOR'S PROT V O FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 5,000 ` AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS +�U ,nl COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS VK BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO kja) OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY _ _ EACH OCCURRENCE $ UMBRELLA FORM r GGREGATE $ OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY I WC STATU- OTH- TORY LIMITS ER " EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERSIEXECUTIVE EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ALSO NAMED ADDITIONAL INSURED ATIMA CERTIFICATE HOLDER CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL MONROE COUNTY BOARD OF COUNTY l O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, COMMISSIONERS BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 COLLEGE ROAD OF ANY KIND UPON THE COMPANY, TS AGENTS OR REPRESENTATIVES. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE Leigh W. McCreary UtDIAMPOPUATION ACORD 25S (1196) '1988 Florida Retail Federation Self insurers Fund Administered and serviced by Summit Consulting, Inc. P.O. Drawer 988 • Lakeland, FL 33802-0988 .r Telephone (863) 665-6060 or 1-800-282-7648 • Fax (863) 666-1958 CERTIFICATE OF INSURANCE RE: 0520-15056 ISSUED TO: Monroe County Risk Management 5100 College Rd. Key West, FL 33040 t:�, 5 I Board of Trustees W. "Bill" Kundrat, Jr., Chairman, Tallahassee George Sandefer, Vice Chairman, Palatka Nis Nissen, Lakeland William C. Rustin, Jr., Tallahassee Charles R. Wintz, Jacksonville This is to certify that Bender & Associates Architects_ P A 410 Angela Street, Key West, FL 33040 being subject to the provisions of the Florida Workers' Compensation Act, has secured the payment of the compensation by insuring their risk with the Florida Retail Federation Self Insurers Fund. COVERAGE NUMBER: 0520-15056 EFFECTIVE DATE: January 1, 2001 EXPIRATION DATE: January 1, 2002 REMARKS: Statutory -State of Florida Employers Liability $100,000 (Each Accident) $100,000 (Disease -Each Employee) $500,000 (Disease -Policy Limit) CANCELLATION: Should the above described policy be cancelled before the expiration day thereof, the issuing company will endeavor to mail 30 days written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company. This certificate is not a policy and of itself does not afford any insurance. Nothing contained in this certificate shall be construed as extending coverage not afforded }its the policy shown above Cr C affording ip to a..y -a r"---J 3 C..�.�..6 _.....�.......... insured not named above. V� 1-11,--- Summit Consulting, Inc., Administrator Florida Retail Federation Self Insurers Fund 01448 /pkh December 22, 2000 Date Prudential ly and CasualtyPrudentid Insurance Company Property IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIII A Subsidiary of The Prudential Insurance Certificate of Insurance P. O. Box 52102 Company of America Phoenix, AZ 85072 Policy Number: 39 4A652282 KCE3301746 Client Services 1-800-215-3495 MONROE COUNTY BOCC Lienholder Name 5100 COLLEGE RD and P.O. Address KEY WEST FL 33040-4319 111111111111111111111111111111111111111111111,1111111111111111 Policy effective From 06/03/2000 Untiil�T_minated �] Loss Payee Additional IntereS't Bender Nancy G Dba Bender & Associates Arcitects PA 4Jk 619 Elizabeth Street Key West FL 33040 Vehicle Data: Veh. Year Make Model Body Type Vehicle Identification # 92 Mitsubishi Eclipse G Hchbk 3D 4A3CS54U7NE099294 Coverage Data: Bodily Property Uninsured Underinsured Collision Comprehensive Injury Damage Motorists Motorists Deductible Deductible 1001000/ 50,000 1001000/ 500 500 300,000 300,000 Transaction Effective Date: 05/22/2000 Messages: LOSS PAYABLE COVERAGE AFFORDED Certificate of Insurance - The Company states that it has issued to the insured named on this certificate a policy which includes the coverage(s) shown. The Loss Payee's interest or the Additional Insured's interest (which includes a Leasing Company) under the Certificate of Insurance will continue in force until terminated. Notice of termination will be mailed to the Loss Payee or the Additional Interest at least 10 days before the effective date of the termination. A Loss Payee or an Additional Interest should review the Loss Payee and Additional Interest Clause and/or the Additional Interest Clause shown on the reverse. PAC 187 Ed. 4/93 LA33-001747 Cko.. -Prudential Prudential Property and Casualty Insurance Company P. O. Box 52102 Phoenix, AZ 85072 KCE3301745 A Subsidiary of The Prudential Insurance Company of America Certificate of Insurance Policy Number: 39 4A652282 Client Services 1-800-215-3495 MONROE COUNTY BOCC Lienholder Name 5100 COLLEGE RD and P.O. Address KEY WEST FL 33040-4319 Policy effective r R" J. j From 06/03/2000 Until T rminated Loss Payee Additional Interest Bender Nancy G Dba Bender `- ' ' Associates Arc i tects PA eC 619 Elizabeth Street Key West FL 33040 Vehicle Data: Veh. Year Make Model Body Type Vehicle Identification # 94 Mitsubishi Expo Wag 4X2 JA3ED59G9RZ017684 Coverage Data: Bodily Property Uninsured Underinsured Collision Comprehensive Injury Damage Motorists Motorists Deductible Deductible 1001000/ 50,000 1001000/ 500 500 300,000 300,000 Transaction Effective Date: 05/22/2000 Messages: LOSS PAYABLE COVERAGE AFFORDED INITIAL_ _. Certificate of Insurance - The Company states that it has issued to the insured named on this certificate a policy which includes the coverage(s) shown. The Loss Payee's interest or the Additional Insured's interest (which includes a Leasing Company) under the Certificate of Insurance will continue in force until terminated. Notice of termination will be mailed to the Loss Payee or the Additional Interest at least 10 days before the effective date of the termination. A Loss Payee or an Additional Interest should review the Loss Payee and Additional Interest Clause and/or the Additional Interest Clause shown on the reverse. PAC 187 Ed. 4/93 LA33-001746 Florida Retail Federation Self Insurers Fund Administered and serviced by Summit Consulting, Inc. P.O. Drawer 988 • Lakeland, FL 33802-0988 ,Vi Telephone (941) 665-6060 or 1-800-282-7648 • Fax (941) 666-1958 AMENDED CERTIFICATE OF INSURANCE RE: 0520-15056 ISSUED TO: Monroe County Construction Mgmt. 5100 College Rd. Key West, FL 33040 This is to certify that Bender & Associates Architects P A 410 Angela Street,Key West, FL 33040 Board of Trustees W. "Bill" Kundrat, Jr., Chairman, Tallahassee George Sandefer, Vice Chairman, Gainesville Nis Nissen, Lakeland William C. Rustin, Jr., Tallahassee Charles R. Wintz, Jacksonville being subject to the provisions of the Florida Workers' Compensation Act, has secured the payment of the compensation by insuring their risk with the Florida Retail Federation Self Insurers Fund. COVERAGE NUMBER: 0520-15056 EFFECTIVE DATE: January 1, 2000 EXPIRATION DATE: January 1, 2001 REMARKS: Statutory -State of Florida Employers Liability $100.000 (Each Accident) $100,000 (Disease -Each Employee) $500,000 (Disease -Policy Limit) CANCELLATION: Should the above described policy be cancelled before the expiration day thereof, the issuing company will endeavor to mail 30 days written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company. This certificate is not a policy and of itself does not afford any insurance. Nothing contained in this certificate shall be construed as extending coverage not afforded by the policy shown above or as affording insurance n insured not named above. V'— uY ,/ r Summit Consulting, Inc., Administrator Florida Retail Federation Self Insurers Fund 01448 /kas December 30, 1999 Date AC RD CERTIFICATE OF LIABILITY INSURANCq DATE(MM/DDIW) ENDERD 11/12/99 PRODUCER CMI INTERNATIONAL, INC. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LEIGH W. MCCREARY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6161 BLUE LAGOON DR SUITE 420 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33126 COMPANIES AFFORDING COVERAGE Leigh W. McCreary Phone No. 266-9954 Fax No. COMPANY A WESTERN WORLD INSURANCE CO. INSURED O'�5k COMPANY B COMPANY BENDER & ASSOCIATES ARCHITECTS C 410 Angela Street Key West FL 33040 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER pDATE (MA!,'DDIYY) OLICY EFFECTIVE POLICY (MM DC4YY)N LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 X PRODUCTS-COMP/OPAGG $ INC'L. ABOV A COMMERCIAL GENERAL LIABILITY NGL52966 10/25/99 10/25/00 CLAIMS MADE FX] OCCUR PERSONAL 3 ADV INJURY $ 1 , 000 , 000 EACH OCCURRENCE $ 1 , 000 , 000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO r ? COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS uY DATE (/��r,,�/ — BODILY INJURY (Per accident) _ vcC WANEQ• rk,', _ _ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM C EACH OCCURRENCE $ AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WCTORY STATULIMIS ERT- OTH-" EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE -POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ALSO NAMED ADDITIONAL INSURED ATIMA CERTIFICATE HOLDER - CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL MONROE COUNTY BOARD OF COUNTY 1 O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, COMMISSIONERS BU AILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 COLLEGE ROAD :Lq Y KIND UPON THE COMPANY, AGENTS OR REPRESENTATIVES. KEY WEST FL 33040 DATE AUTHORIZEDREPRESENTATIVE -,Leigh W. McCrea W001 MA ACORD 26-S (1195) INITIAL RD CORPORATION 19 FF (& Prudential Prudential Property and Casualty Insurance Company P. O. Box 52102 Phoenix, AZ 85072 PCE3301975 Client Services 1-800-215-3495 Lienholder Name and P.O. Address 0 Loss Payee A Subsidiary of The Prudential Insurance Company of America Certificate of Insurance Policy Number: 39 4A652282 MONROE COUNTY RISK MNGT 5100 COLLEGE RD 61.y _ KEY WEST FL 33040-4319 g VC Policy effective From 06/03/ 1999 CL ' Until Terminated Additional Interest Acff4 Bender Nancy G Dba Bender & Associates Arcitects PA 619 Elizabeth Street Key West FL 33040 Vehicle Data: Veh. Year 94 Make Mitsubishi Model Expo Body Type Wag 4X2 Vehicle Identification # JA3ED59G9RZO17684 Coverage Data: Bodily Property Uninsured Underinsured Collision Comprehensive Injury Damage Motorists Motorists Deductible Deductible 1001000/ 50,000 1001000/ 500 500 300,000 300,000 Transaction Effective Date: 08/03/1999 Messages: COMPREHENSIVE DEDUCTIBLE CHANGED , COLLISION DEDUCTIBLE CHANGED 6 i DATE INITIAL ---- —'"� Certificate of Insurance - The Company states that it has issued to the insured named on this certificate a policy which includes the coverage(s) shown. The Loss Payee's interest or the Additional Insured's interest (which includes a Leasing Company) under the Certificate of Insurance will continue in force until terminated. Notice of termination will be mailed to the Loss Payee or the Additional Interest at least 10 days before the effective date of the termination. A Loss Payee or an Additional Interest should review the Loss Payee and Additional Interest Clause and/or the Additional Interest Clause shown on the reverse. PAC 187 Ed. 4193 LA33-001976 Prudential Prudential Property and Casualty Insurance Company IIIIIIII11111111111111111111111111111IIN11111111111111111111111111111111111111111111111111111 P. O. Box 52102 Phoenix, AZ 85072 Client Services 1-800-215-3495 Lienholder Name and P.O. Address 0 Loss Payee A Subsidiary of The Prudential Insurance Certificate of Insurance Company of America Policy Number: 39 4A652282 MONROE COUNTY RISK MNGT 5100 COLLEGE RD KEY WEST FL 33040-4319 1111111111111111,111111111111111111111111111111111111111111111 K Additional Interest Bender Nancy G Dba Bender Associates Arcitects PA 619 Elizabeth Street Key West FL 33040 Vehicle Data: Veh. Year Make Model Body Type 92 Mitsubishi Eclipse G Hchbk 3D Coverage Data: Bodily Property Uninsured Underinsured Injury Damage Motorists Motorists 100,000/ 50,000 100,000/ 300,000 300,000 Transaction Effective Date: 06/03/1999 Messages: LOSS PAYABLE COVERAGE EXPIRED Policy effective From 06/03/ 1999 Until Terminated Vehicle Identification # 4A3CS54U7NEO99294 Collision Comprehensive Deductible Deductible 250 250 FAA" 6y Certificate of Insurance - The Company states that it has issued to the insured named on this certificate a policy which includes the coverage(s) shown. The Loss Payee's interest or the Additional Insured's interest (which includes a Leasing Company) under the Certificate of Insurance will continue in force until terminated. Notice of termination will be mailed to the Loss Payee or the Additional Interest at least 10 days before the effective date of the, termination. A Loss Payee or an Additional Interest should review the Loss Payee and Additional Interest Clause and/or the Additional Interest Clause shown on the reverse. PAC 187 Ed. 4l93 L A001-002069 - AGO RDCERTIFICATEOF DATE(MM/DD/YY) LIABILITY'.NSURAN�G csR BBNDERD 11/18/98 _ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CMI INTERNATIONAL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LEIGH W. MCCREARY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 6161 BLUE LAGOON DR SUITE 420 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. MIAMI FL 33126 COMPANIES AFFORDING COVERAGE Leigh W. McCreary COMPANY A WESTERN WORLD INSURANCE CO. Phone No. 266-9954 Fax No. INSURED COMPANY B COMPANY BENDER & ASSOCIATES ARCHITECTS C COMPANY 410 Angela Street Key West FL 33040 D CbVERAGES 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/DD/YY) POLICY EXPIRATION DATE IMM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 500,000 A X COMMERCIAL GENERAL LIABILITY NGL43328 10/25/98 10/25/99 PRODUCTS - COMP/OPAGG s INC'L. ABOV CLAIMS MADE F OCCUR PERSONAL & ADV INJURY s 500,000 EACH OCCURRENCE $ 500,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 1,000 AUTOMOBILE LIABILITY R`r' IQ ",t AF , COMBINED SINGLE LIMIT S ANY AUTO BODILY INJURY $ ALL OWNED AUTOS _ __.._ SCHEDULED AUTOS (Per parson) BODILY INJURY $ HIRED AUTOS � NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO I) t4-- vv I]`'f� C(. AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN IIMBRFLLA FORM EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVEF1 OFFICERS ARE: EXCL TO Y LIMITATU- OER TORY LIMITS ER EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ALSO NAMED ADDITIONAL INSURED ATIMA MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MONROE COUNTY BOARD OF COUNTY BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY COMMISSIONERS 5100 COLLEGE ROAD OF ANY KIND UPON THE COMPANY, 1 AG NTS OR REPRESENTATIVES. KEY WEST FL 33040 DATE AUTunm7rnREPRESENTATIVE 1 pe tWt"At Leiah W. McCreary hAIL-1 (k Prudential Prudential suraceCompany and Casualty IIIIIIIIIIIIIIIN111IIIIIIIIIIIIIIIIIIIIIIIIIIIII I1II IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII A Subsidiary of The Prudential Insurance Certificate of Insurance P. O. Box 52102 Company of America Phoenix, AZ85072 Policy Number: 39 4A652282 XME3301560 Client Services 1-800-215-3495 MONROE COUNTY RISK MNGT Lienholder Name 5100 COLLEGE RD and P.O. Address KEY WEST FL 33o4o-4319 0 Loss Payee N Additional Interest Bender Nancy G Dba Bender & Associates Arcitects PA 619 Elizabeth Street Key West FL 33040 ov 0Y DATE WAIVER: ;1:7- YFS - --- Policy effective From 12/03/1998 Until Terminated CL- Vehicle Data: Veh. Year Make Model Body Type Vehicle Identification # 94 Mitsubishi Expo Wag 4X2 JA3ED59G9RZO17684 Coverage Data: Bodily Property Uninsured Underinsured Collision Comprehensive Injury Damage Motorists Motorists Deductible Deductible 1001000/ 50,000 1001000/ 250 250 300,000 300,000 Transaction Effective Date: 12/01/1998 Messages: LOSS PAYABLE COVERAGE AFFORDED r OATF - 1 1I. MAL Certificate of Insurance - The Company states that it has issued to the insured named on this certificate a policy which includes the coverage(s) shown. The Loss Payee's interest or the Additional Insured's interest (which includes a Leasing Company) under the Certificate of Insurance will continue in force until terminated. Notice of termination will be mailed to the Loss Payee or the Additional Interest at least 10 days before the effective date of the termination. A Loss Payee or an Additional Interest should review the Loss Payee and Additional Interest Clause and/or the Additional Interest Clause shown on the reverse. PAC 187 Ed. 4193 LA33-001561 I(& Prudential Prudential Property and Casualty Insurance Company 11111111111111ININIIIII111111111111111111111111111111111111111111111111111111111III11111111 P. O. Box 52102 Phoenix, AZ 85072 XME3301561 Client Services 1-800-215-3495 Lienholder Name and P.O. Address 0 Loss Payee A Subsidiary of The Prudential Insurance Certificate of Insurance Company of America Policy Number: 39 4A652282 MONROE COUNTY RISK MNGT 5100 COLLEGE RD KEY WEST FL 33o4o-4319 N Additional Interest Bender Nancy G Dba Bender & Associates Arcitects PA 619 Elizabeth Street Key West FL 33040 Vehicle Data: Veh. Year 92 Make Mitsubishi Model Eclipse G Body Type Hchbk 3D Policy effective From 12/03/ 1998 Until Terminated Vehicle Identification # 4A3CS54U7NEo99294 Coverage Data: Bodily Property Uninsured Underinsured Collision Comprehensive Injury Damage Motorists Motorists Deductible Deductible 1001000/ 50,000 1001000/ 250 250 300,000 300,000 Transaction Effective Date: 12/01/1998 Messages: V LOSS PAYABLE COVERAGE AFFORDED R�qIXVIACIFM:. "1" CC 16y DATE KJ1 1 I-qT QA'['B INMAL WAIVER: ;�, , YFS Certificate of Insurance - The Company states that it has issued to the insured named on this certificate a policy which includes the coverage(s) shown. The Loss Payee's interest or the Additional Insured's interest (which includes a Leasing Company) under the Certificate of Insurance will continue in force until terminated. Notice of termination will be mailed to the Loss Payee or the Additional Interest at least 10 days before the effective date of the termination. A Loss Payee or an Additional Interest should review the Loss Payee and Additional Interest Clause and/or the Additional Interest Clause shown on the reverse. PAC 187 Ed. 4/93 LA33-001562 IL ACORD CERTIFICATE OF LIABILITY INSURANCRSR DAT1 ENDERD O/12/9/12/99 PRODUCER C 4I INTERNATIONAL, INC. LEIGH W. MCCREARY 6161 BLUE LAGOON DR SUITE 420 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. MIAMI FL 33126 COMPANIES AFFORDING COVERAGE Leigh W. McCreary Phone No. 266-9954 Fax No. COMPANY A STEADFAST INSURANCE CO. INSURED COMPANY B COMPANY / Bender &Associates Architects C COMPANY D 410 Angela Street Key West FL 33040 f_i�// COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ _ Q RY EM: ;�' MED EXP (Any one person) $ i' K�V AUTOMOBILE LIABILITY V COMBINED SINGLE LIMIT $ ANY AUTO _ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ATE -' ER: i�1.3 •'�---Y S �� BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY // AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO cc EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ ]UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND WC STAMlj OTH- TORY LIMITS ER EL EACH ACCIDENT $ EMPLOYERS' LIABILITY EL DISEASE - POLICY LIMIT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER A Professional EPC7994721-05 01/05/99 01/05/00 Ea. Claim $1,000,000 Liability Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS THIS IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. CERTIFICATE HOLDER" CANCELLATION BOARDOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COUNTY OF MONROE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, RISK MANAGEMENT MARIA DE RIO 5100 COLLEGEROAD j/3�q0( BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPAN , S AGENTS OR REPRES NTATIVES. KEY WEST FL 3304(DATE AUTHORIZED REPRESENTATIVE I ) INITIAL.. ACORD 25-S'(1/95) Leigh W. McCrea o APORD �TION Florida Retail Federation Self Insurers Fund Administered and serviced by Summit Consulting, Inc. P.O. Drawer 988 • Lakeland, FL 33802-0988 * Telephone (941) 665-6060 or 1-800-282-7648 • Fax (941) 666-1958 AMENDED CERTIFICATE OF INSURANCE RE: 0520-15056 ISSUED TO: Monroe County Construction Mgmt. 5100 College Rd. Key West, FL 33040 Board of Trustees W. `Bill" Kundrat, Jr., Chairman, Tallahassee George Sandefer, Vice Chairman, Gainesville Nis Nissen, Lakeland William C. Rustin, Jr., Tallahassee Charles R. Wintz, Jacksonville This is to certify that Bender & Associates Architects, P A 410 Angela Street, Key West, FL 33040 being subject to the provisions of the Florida Workers' Compensation Act, has secured the payment of the compensation by insuring their risk with the Florida Retail Federation Self Insurers Fund. COVERAGE NUMBER: 0520-15056 EFFECTIVE DATE: January 1, 1999 EXPIRATION DATE: January 1, 2000 REMARKS: Statutory -State of Florida Employers Liability $100,000 (Each Accident) $100,000 (Disease -Each Employee) $500,000 (Disease -Policy Limit) CANCELLATION: Should the above described policy be cancelled before the expiration day thereof, the issuing company will endeavor to mail 30 days written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company. This certificate is not a policy and of itself does not afford any insurance. Nothing contained in this certificate shall be construed as extending coverage not afforded by the policy shown above or as affording insurance to any :Cnsured not named above. ZIV� 7S 173CAJI Summit Consulting, Inc., Administrator Florida Retail Federation Self Insurers Fund 01448 /ph8 "Y DATE WAIVER: ;ti, ' 4YFS ant* ff 1 December 29, 1998 Date ME1t, PLE 00Y.J�W ` nn T - � aR'r-NT E ON!F DEC' 1998 1 Ti MF: ,—_--- -- -- '- 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. ICO TR I TYPE OF INSURANCE I POLICY NUMBER POLICY EFFECTIVEEXPIRATION I DATE MM/DD/YY) IPDATE (MM/DD/YY) I LIMITS 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) S MED EXP (Any one person) S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO 'PROVED B ' SK ' G MENT ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS BY (Per person) HIRED AUTOS BODILY INJURY S DATE (Per accident) NON -OWNED AUTOS �. WAIVER: N/A _.VFS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM G 1 AGGREGATE S OTHER THAN UMBRELLA FORM S ST O WCTOR - WORKERS COMPENSATION AND Y ER LIMIATU TMIjS ER EMPLOYERS' LIABILITY EL EACH ACCIDENT S THE PROPRIETOR/ INCL EL DISEASE - POLICY LIMIT S PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE S OTHER A Professional TBD 01/05/98 01/05/99 Ea. Claim $1,000,000 Liability Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS THIS IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. COUNTY OF MONROE RISK MANAGEMENT MARIA DE RIO 5100 COLLEGE ROAD KEY WEST FL 33040 BOARDOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, TS AGENT REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I Leigh W. McCreary �'l / ( x� A A ACOI SDI�jRT FIC 1 OF I'AB�:�� ��V�It ■� '�/4+ CSR DATEIMM/DD/YY) BENDEA2,D 11/24/97 PRODUCER CMI INTERNATIONAL, INC. LEIGH W. MCCREARY 6161 BLUE LAGOON DR SUITE 420 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. MIAMI FL 33126 COMPANIES AFFORDING COVERAGE Leigh W. McCreary Phone No. 266-9954 Fax No. COMPANY A WESTERN WORLD INSURANCE CO. INSURED COMPANY B COMPANY C BENDER & ASSOCIATES ARCHITECTS /�� COMPANY 720 CAROLINE STREET KEY WEST FL 33040 D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (T711,1/13DA Y) POLICY EXPIRATION DATE (r.7MIDD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 500,000 X PRODUCTS - COMP/OPAGG s INC'L. ABOV A COMMERCIAL GENERAL LIABILITY NGL43328 10/25/97 10/25/98 CLAIMS MADE OCCUR PERSONAL & ADV INJURY $SOO, OOO EACH OCCURRENCE $500, 000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 1,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS R�V BM EMf_NT BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS BY PROPERTY DAMAGE $ DATE cl GARAGE LIABILITY ANY AUTO WAIVER- NIA �- AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM OTHER THAN UMBRELLA FORM CC, $ WORKERS COMPENSATION AND WC STATU• OTH-!� TORY LIMITSI I ER i EL EACH ACCIDENT $ EMPLOYERS' LIABILITY EL DISEASE - POLICY LIMIT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE S OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ALSO NAMED ADDITIONAL INSURED ATIMA CERTIFICATE HOLDER CANCELLATION: MONROEC.+ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, MONROE COUNTY BOARD OF COUNTY COMMISSIONERS BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 COLLEGE ROAD KEY WEST FL 33040 Ir OF ANY KIND UPON THE COMPANY, IT AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE In^ n^� l,/�' v` Leigh W. McCreary Y Ij IQRPOIiATION VACOORI ACORD 25-$ (1(95l C1986 FF (ky, Prudential INNEW P. O. Box 429 Hinsdale, IL 60522 Client Services 1-800-437-5556 Claims 1-800-437-3535 Named Insured and P.O. Address Prudential Property and Casualty Insurance Company A Subsidiary of The Prudential Insurance Company of America 11189 Car Policy Renewal Declarations Policy Number: 39 4A652282 Agency Data: 771295 5 CGAB 024 Bender Nancy G Dba Bender & Associates Arcitects PA 619 Elizabeth Street Key West FL 33040-6874 This policy period covers 6 months, from 06/03/1998 to 12/03/1998, 12:01 A.M. at place of garaging. Listed below are names and birth dates of licensed drivers resident in your household. 1 Bender Nancy Groff 09/16/50 2 Bender Bert Leslie 07/30/47 Listed below are the cars covered by your policy. CAR YEAR MAKE MODEL BODY TYPE VEHICLE ID NUMBER TERRITORY SYMBOL CLASS CODE 1 1994 Mitsubishi Expo Wag 4X2 JA3ED59G9RZO17684 036 C 711120 2 1992 Mitsubishi Eclipse G Hchbk 3D 4A3CS54U7NEo99294 036 J 881220 Listed below and within "Important Messages", are your policy coverages, limits, and premiums. If a premium charge does not appear, that coverage is not provided. COVERAGES LIMITS PREMIUMS Car 1 Car 2 Bodily Injury $ 90 $ 91 Each Person $ 100,000 Each Accident $ 300,000 Property Damage $ 45 $ 45 Each Accident $ 50,000 Uninsured Motorists $ 95 $ 95 Bodily Injury Each Person $ 100,000 Each Accident $ 300,000 Personal Injury Protection $ 28 $ 31 Collision Deductible - $ 250 $ 78 $ 94 Comprehensive Deductible - $ 250 $ 31 $ 44 Towing - $50 Each Occurrence $ 3 $ 3 TOTAL PREMIUM PER CAR $ 370 $ 403 TOTAL POLICY PREMIUM $ 773 MKn r R}' K A fM "Y PTE 3vat PAC 681 ED. 1/90 GBWA PAGE 1 OF 2 SA02-000036 L /Z�4 Prudential Property and Casualty ThePruderdialVol Insurance Company 000001 A Subsidiary of The Prudential Insurance Car Policy Renewal Declarations Company of America P. O. Box 429 Hinsdale IL 60522 Client Services 1-800-437-5556 Claims 1-800-437-3535 Named Insured and P.O. Address Policy Number: 39 4A652282 Agency Data: 771295 5 CGAB 024 Bender Nancy G Dba Bender & Associates Arcitects PA 619 Elizabeth Street Key West FL 33040-6874 This policy period covers 6 months, from 12/03/97 to 06/03/98, 12:01 A.M. at place of garaging. Listed below are names and birth dates of licensed drivers resident in your household. 1 Bender Nancy Groff 09/16/50 2 Bender Bert Leslie 07/30/47 Listed below are the cars covered by your policy. CAR YEAR MAKE MODEL BODY TYPE VEHICLE ID NUMBER TERRITORY SYMBOL CLASS CODE 1 1994 Mitsubishi Expo Wag 4X2 JA3ED59G9RZ017684 036 C 711120 2 1992 Mitsubishi Eclipse G Hchbk 3D 4A3CS54U7NE099294 036 J 881220 Listed below and within "Important Messages", are your policy coverages, limits, and premiums. If a premium charge does not appear, that coverage is not provided. COVERAGES LIMITS Bodily Injury Each Person $ 100,000 Each Accident $ 300,000 Property Damage Each Accident $ 50,000 Uninsured Motorists Bodily Injury Each Person $ 100,000 Each Accident $ 300,000 Personal Injury Protection Collision Deductible - $ 250 Comprehensive Deductible - $ 250 Towing - $50 Each Occurrence TOTAL PREMIUM PER CAR TOTAL POLICY PREMIUM bnppPV PY R K M A�T PY DATE WAI11FR: N/A YES PREMIUMS Car 1 Car 2 $ 90 $ 91 $ 45 $ 45 $ 95 $ 95 $ 28 $ 78 $ 31 $ 3 $ 370 $ 31 $ 94 $ 44 $ 3 $ 403 al .- 1. . cr cad - M $ 773 PAC 681 ED. 1/90 FKWA PAGE 1 OF 2 SA02-000147 IL. THIS IS TO CERTIFY THAT THE POLICIESO F 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. I CO I TYPE OF INSURANCE POLICY NUMBER DATE Y=...,'DD/YY) ECTIVE POLICY [MM/CDTYY) ION LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG $ OCCUR CLAIMS MADEEJ PERSONAL & ADV INJURY S OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) S MED EXP (Any one person) S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S ANY AUTO ALL OWNED AUTOS .. BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS 1 111 BODILY INJURY (Per accident) S NON -OWNED AUTOS -- ---- -' -, -.; PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ pPPROVEO BY R4 K ' AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ 1.BY S UMBRELLA FORM 1119Ci / AGGREGATE 1STAT OTHER THAN UMBRELLA FORMLLI yr �� .0 S WORKERS COMPENSATION AND Y�0 L� fl� WC TH- TORY L M TS OER I. EMPLOYERS' LIABILITY /� C I EACH ACCIDENT $ THE PROPRIETOR/ INCL 1 l� 1, EL DISEASE - POLICY LIMIT S PARTNERS/EXECUTI V E OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER A Professional BOC794721-02 01/05/97 01/05/98 Ea. Claim $1,000,000 Liability Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SNECIAL I I Ems THIS IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. COUNTY OF MONROE RISK MANAGEMENT MARIA DE RIO 5100 COLLEGE ROAD KEY WEST FL 33040 BOARDOF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY TS AGENTS OOP{R///f/{�REESP/R�`E�'SSE/N�}TATI�V�ESS. ///� ,� /2 AUTHORIZED REPRESENTATIVE �`,7�1�`-'/I' " 1 l.-� ��_��/ �-�7! Leigh W. McCrear � ( II I A0401r1/® CERTIF'CA f E OFF 'NSU_ INSURANCE NC^ ISSUE DATE (MM/DD/YY) 5-29-96 PRODUCER Broker THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Capital Assurance Services, Inc. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 2700 Westhall Lane, Suite 210 POLICIES BELOW. Maitland, FL 32751-7299 COMPANIES AFFORDING COVERAGE Agent CMI International 6161 Blue Lagoon Drive, Ste. 420 Miami, FL 33126 INSURED COMPANY A Steadfast Insurance Company LETTER p y COMPANY B LETTER Bender & Assoc. Architects P.A. COMPANY LETTER C 720 Caroline Street Key West, FL 33040 COMPANY LETTER D COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE B INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED E EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE CO TYPE OF INSURANCE POLICY NUMBER POLICY I LTR DATE(IV GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. I I AUTOMOBILE LIABILITY APPROVER BY RISK MANAGEN ANY AUTO % ALL OWNED AUTOS BY SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS i GARAGE LIABILITY 1 PROPERTY DAMAGE $ Y EXCESS LIABILITY EACH OCCURRENCE $ I UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT $ ? AND j DISEASE —POLICY LIMIT $ EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE $ _ A OTHER Professional $1,000,000 Each Claim Liability EOC 794721-02 1-5-96 1-5-97 $1,000,000 Aggregate ($10,000 Ded/Claim) DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ,THIS IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ;ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. CERTIFICATE HOLDER CANCELLATION Board of County Commissioners Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Construction Management EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 5100 College Road +` MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Key West, FL 33040 LEFT, T FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LI LIT OF ANY KIND UPOI THE COMPANY, ITS AGENTS OR REPRESENTATIVES. REPR SENTATIVE 25-S (7/90) CC ' 1�� �l�U Caw kIZED CORPORATION 1990ACORD Florida Retail Federation 17LSelf Insurers Fund AMENDED CERTIFICATE OF INSURANCE ISSUED TO: Monroe County Construction Mgmt. 5100 College Rd. Key West, FL 33040 d, Board of Trustees W. "Bill" Kundrat, Jr., Chairman, Tallahassee George Sandefer, Vice Chairman, Gainesville Nis Nissen, Lakeland j Thomas PeLakeland tV// William C. Ruststin, Jr., Jr., T Tallahassee Charles R. Wintz, Jacksonville M0NROE COUNTY T''-MP0I ! MAAMmEMENT JAN 2 6 1998 11 TIME: '7 RECEIVE RO Y This is to certify that Bender & Associates Architects, P A 720_ Caroline _Str, et. Kev West. FL_ 33040 _ being subject -to to provisions of the Florida Workers' Compensation Act, has securt-J the payment of the compensation by insuring their risk with the Florida Retail Federation Self Insurers Fund COVERAGE NUMBER: 0520-15056 EFFECTIVE DATE: January 1, 1998 EXPIRATION DATE: January 1, 1999 REMARKS: Statutory-Sta-=e of Florida Employers .Liability $100,000 (Each Accident) $100,000 (Disease -Each Employee) $500,000 (Disease -Policy Limit) CANCELLATION: Should the above described policy be cancelled before the expiration day thereof, the issuing company will endeavor to mail 30 days written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company. This certificate is not a policy and of itself does not afford any insurance. Nothing contained in this certificate shall be construed as extending coverage not afforded by the policy shown above or as affording insurance to any insured not named above. z�� 7S,7�14�. Summit Consulting, Inc., Administrator Florida Retail Federation Self Insurers Fund /jj4 Ap°ftC� 8Y x r� DATE �% YES �--.� January 2, 1998 Date Administered and serviced by Summit Consulting, Inc. P.O. Drawer 988 • Lakeland, FL 33802-0988 • Telephone (941) 665-6060 or 1-800-282-7648 • Fax (941) 666-1958 Av Prudential Prudential Property and Casualty Insurance Company P. O. Box 52102 Phoenix, AZ 85072 KCE3301747 A Subsidiary of The Prudential Insurance Company of America Client Services 1-800-215-3495 MONROE COUNTY BOCC Lienholder Name 5100 COLLEGE RD and P.O. Address KEY WEST FL 33040-4319 0 Loss Payee N Additional Interest Bender Nancy G Dba Bender & Associates Arcitects PA 619 Elizabeth Street Key West FL 33040 Certificate of Insurance Policy Number: 39 4A652282 Policy effective From 06/03/2000 Until Terminated Vehicle Data: Veh. Year Make Model Body Type Vehicle Identification # 96 Mazda Mx-5 Miat Convrtbl JMlNA3536T0711195 Coverage Data: Bodily Property Uninsured Underinsured Collision Comprehensive Injury Damage Motorists Motorists Deductible Deductible 1001000/ 50,000 1001000/ 500 500 300,000 300,000 Transaction Effective Date: 05/22/2000 Messages: LOSS PAYABLE COVERAGE AFFORDED DATE, INITIAL Certificate of Insurance - The Company states that it has issued to the insured named on this certificate a policy which includes the coverage(s) shown. The Loss Payee's interest or the Additional Insured's interest (which includes a Leasing Company) under the Certificate of Insurance will continue in force until terminated. Notice of termination will be mailed to the Loss Payee or the Additional Interest at least 10 days before the effective date of the termination. A Loss Payee or an Additional Interest should review the Loss Payee and Additional Interest Clause and/or the Additional Interest Clause shown on the reverse. PAC 187 Ed. 4/93 LA33-001748 -ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID N DATE(MMIDD/YYYY) BEND 02 19 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Fullers, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1432 Kennedy Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone:305-294-6677 Fax:305-292-4641 INSURED Bert L. Bender 410 Angela St. Key West FL 33040 f•A\ ICD A I\ �!. INSURERS AFFORDING COVERAGE I NAIC # INSURER A: Progressive Commercial Div INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR rNUSLR I TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY A ANY AUTO 04557974-2 06/27/02 06/27/03 COMBINED SINGLE LIMIT (Ea accident) $ SOOOOO ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO H\ L LIB u ISK ��J..4 AC7�INT AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR � CLAIMS MADE DATE 1NAIVFR EACH OCCURRENCE $ YES AGGREGATE $ DEDUCTIBLE RETENTION $ . '1 / $ $ WORKERS COMPENSATION ANDWC EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Ifes, describe under y SPECIAL PROVISIONS below OTHER + 7 w STA TORY LIMITS ER E.L. EACH ACCIDENT E Eq E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ l � DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Monroe County BOCC is an additional insured CFRTIFICATF 41fU n=o ­\ L_P%11Vn1 MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL --&I DAYS WRITTEN Monroe County BOCC Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 Simonton S t . IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. I /J Norman Fuller '--� ACORD 25 (2001/08) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AMRn 95 /9nnilm PROOREWYE® COMMERCIAL VEHICLE INSURANCE ADDITIONAL INSURED The person or organization named below is a person insured with respect to such liability coverage as is afforded by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be excess insurance over any other valid and collectible insurance. NAME OF PERSON OR ORGANIZATION: MONROE COUNTY SOCC 5100 COLLEGE RD KEY WEST FL 33040 LIMIT OF LIABILITY Bodily Injury each person/ each accident Property Damage each accident Combined Liability SSoo, 000 each accident All other parts of this policy remain unchanged. This endorsement changes Policy No.: 04557974-2 Issued to (Name of Insured): BERT L. BENDER Endorsement Effective: 05/ 15/03 Expiration: 06/27/03 CP 1 AP S41SK MAN E ENT BY WAIVER N/A Form No. 1198 (4-97) CVFL04159716071-119802 PROORElEW) COMMERCIAL VEHICLE INSURANCE ADDITIONAL INSURED The person or organization named below is a person insured with respect to such liability coverage as is afforded by the policy but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this agreement will be excess insurance over any other valid and collectible insurance. NAME OF PERSON OR ORGANIZATION: MONROE COUNTY SOCC 5100 COLLEGE RD KEY WEST FL 33040 LIMIT OF LIABILITY Bodily Injury Property Damage Combined Liability each person/ each accident each accident s 1 , 000, 000 each accident Apo D R SK MA ' EMENT BY DATE All other parts of this policy remain unchanged. WAIVER N/A rYES , This endorsement changes Policy No.: 04557974-2 (1P6 e VjjIssued to (Name of Insured): BERT L. BENDER CC Endorsement Effective: 05/20/03 Expiration: 06/27/03 Co',,�>f - M cn!, ct-.V,\ c, Y. C e.. Form No. 1198 (4-97) CVFL04159716071-119802 N DATE (MM/DD/YYYY) ID ACQRD CERTIFICATE OF LIABILITY INSURANCE OP BEOPID 1 12 31 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Fullers, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1432 Kenney d Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone:305-294-6677 Fax:305-292-4641 INSURED Bert L. Bender 410 Angela St. Key West FL 33040 COVERAGES INSURERS AFFORDING COVERAGE INSURER A: Progressive INSURER B: INSURER C: INSURER D: INSURER E: NAIC # THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY F ECTIVE DATE MM/DD POLIC XPIRATION DATE MW D/YY LIMBS GENERAL LIABILITY MMERCIAL GENERAL LIABILITY CLAIMS MADE F—IOCCUR EACH OCCURRENCE $ UA Al, PREMISES (EaED— occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ rGELL GENERAL AGGREGATE $ GREGATE LIMIT APPLIES PER: ICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ A X AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 04557974-3 06/27/03 06/27/04 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO A III! NT AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR F—ICLAIMS MADE DEDUCTIBLE RETENTION $ Ap p DATE r_—'" $ _- h Y EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 1 y f WC TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT -- $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS architect, certificate holder is additional insured GrK I II-IL;AI t MULULK CANGELLATION MONBOCC 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 BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Risk Management IMPOSE NO OBLIGATION OR LIABILITY OF ANY IND UPON THE INSURER, ITS AGENTS OR 1100 Simonton St. Key West FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08)/ / l� % ` © ACORD CORPORATION 1988 TE Ac RD CERTIFICATE OF LIABILITY INSURANCE DA01/0DD/YY) NDERD O1/05/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CMI INTERNATIONAL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WESTON TOWN CENTER HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1730 MAIN STREET, SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WESTON FL 33326 INSURERS AFFORDING COVERAGE Phone:954-384-9900 Fax:954-384-9949 INSURED Bender & Associates Architects 410 Angela Street Key West FL 33040 COVERAGES INSURER A: ZURICH AMERICAN INSURANCE CO. INSURERB: FLORIDA RETAIL FEDERATION INSURERC: WESTERN WORLD INSURANCE CO. INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 FIRE DAMAGE (Any one fire) $50,000 C X COMMERCIAL GENERAL LIABILITY NPP0835264 10/25/03 10/25/04 MED EXP (Any one person) $ 5 , 00 0 CLAIMS MADE ❑X OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included POLICY PRO LOC JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Ap(Per 13Y !r.lI-,k M EMENI BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ DATA . (' GARAGE LIABILITY ----/IV AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR El CLAIMS MADE $ DEDUCTIBLE y $ $ RETENTION $ WORKERS COMPENSATION AND X I TORY LIMITS ER E.L. EACH ACCIDENT $100,000 B EMPLOYERS' LIABILITY 0520150560000 01/01/04 12/31/04 E.L. DISEASE - EA EMPLOYEE $ 500 , 000 E.L. DISEASE- POLICY LIMIT 1 $ 100 000 OTHER A Professional EOC 7994721-09 01/05/03 02/10/04 Ea. Claim $1,000,000 Liability Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS PROFESSIONAL LIABILITY POLICY IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM' . �.- u r-m t iriw%1 C ri%jL_uvi% i I AUUI I IUNAL Iry JURCU; INQU-M LCI ICR. �,,, ��+. • •• MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN COUNTY OF MONROE RISK MGMT . 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 1100 SIMONTON STREET REPRESENTATIVES. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE e i O)ACORD CORPORATION 1988 �� f �ICORD CERTIFICATE OF LIABILITY INSURANCE DA01/2DD,0) NDERD O1/21/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CMI INTERNATIONAL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WESTON TOWN CENTER HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1730 MAIN STREET, SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WESTON FL 33326 Phone: 954-384-9900 Fax: 954-384-9949 INSURERS AFFORDING COVERAGE INSURED INSURERA: ZURICH AMERICAN INSURANCE CO. INSURER B: FLORIDA RETAIL FEDERATION Bender & Associates Architects INSURER C: WESTERN WORLD INSURANCE CO. 410 Angela Street INSURER D: Key West FL 33040 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS C GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 17X OCCUR NPP0835264 10/25/03 10/25/04 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $50,000 MED EXP (Any one person) $ 5 , 0 0 0 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $1,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ Included AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AP r �> 8�, DATA' 8 � �,IS M GEMEN� COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY HCANY AUTO ' /' V , AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ ti l EACH OCCURRENCE $ AGGREGATE $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 0520150560000 01/01/04 12/31/04 X I TORY LIMITS I I ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 500 , OOO E.L. DISEASE -POLICY LIMIT $ 100 000 A OTHER Professional Liability EOC 7994721-09 01/05/03 02/10/04 Ea. Claim $1,000,000 Aggregate $1,000 000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS PROFESSIONAL LIABILITY POLICY IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. GtK I IfIUA I t HULUILK Y I ADDITIONAL INSURED; INSURER LETTER: C GANGtLLA I IUN MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN COUNTY OF MONROE RISK MGMT . 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 1100 SIMONTON STREET REPRESENTATIVES. KEY WEST FL 33040 FAUTHORIZEDREPRESENTATIVE (7p7) . 4 C.: ©ACORD CORPORATION 1988 FORD DATE (MM/DD/YY) CERTIFICATE OF LIABILITY INSURANCI;NDSRID 1NFORMATpN 04 CMI INTERNATIONAL, INC. WESTON TOWN CENTER 1730 MAIN STREET, SUITE 200 WESTON FL 33326 Phone:954-384-9900 Fax:954-384-9949 INSURED Bender & Associates Architects st1F533040Key WeL THIS I;tK I Iri%,m a --- 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 INSURER A: EVANSTON INSURANCE COMPANY INSURER e: FLORIDA RETAIL FEDERATION wsuRERc: WESTERN WORLD INSURANCE CO. INSURER D: INSURER E: COVERAGES OVE THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABANY REQUIREMENT, TERM OR CONDITION F ANY CONTRACT OR OTHER DOCUMENT WITH R SPECTT TO WHI OH IT IS CER PERIOD CATE MAY BE O ISSUED OR DING MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS rR F INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY EACH OCCURRENCE $ 1 , OOO , OOO LITY AL GENERAL LIABILITY NPP0835264 10/25/03 10/25/04 FIRE DAMAGE (Any oneflre) $ SO,OOMED EXP (Any one person) $5,000 S MADE OCCUR PERSONAL & ADV INJURY $ 1 , OOO , OOO GENERAL AGGREGATE $ 1 , 000 , 000 PRODUCTS - COMP/OP AGG $ Included GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC POLICY JECT COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY (Ea accident) ANY AUTO BODILY INJURY $ ALL OWNED AUTOS (Per person) SCHEDULED AUTOS APPM� �' P NA M NT BODILY INJURY $ HIRED AUTOS BY (Per accident) NON -OWNED AUTOS DATE-- PROPERTY DAMAGE $ (Per accident) -� AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY EA ACC $ OTHER THAN ANY AUTO . AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESS LIABILITY AGGREGATE $ OCCUR CLAIMS MADE $ r $ DEDUCTIBLE $ RETENTION $ X TORY LIMITS ER WORKERS COMPENSATION AND 01/01/04 12/31/04 E.LEACHAccIDENT $100,00 0520150560000 $ 500 000 BEMPLOVERS'LIABILITY EASE- EAM, E.L. DISEASE -POLICY LIMIT $ 100,000 jAProfessional :THER AE-808090 02/10/04 02/10/05 Ea. Claim $1,000,000 A re ate $1 000 000 abilit DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS PROFESSIONAL LIABILITY POLICY IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. CERTIFICATE HOLDER Y ADDITIONAL INSURED; INSURER LETTER: C CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN COUNTY OF MONROE RISK MGMT . NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL MONROE COUNTY BOARD OF IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR COUNTY COMMISSIONERS REPRESENTATIVES. 1100 SIMONTON STREET AUTHORIZED REPRESENTATIVE f— KEY WEST FL 33040 Leigh W. McCrea ©ACORD CORPORATION 1988 ACORD 25-5 (7197) ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DD/YYYY) BENDE-1 09 20 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE The Fullers, Inc HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1432 Kennedy Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone:305-294-6677 Fax:305-292-4641 INSURED Bert L. Bender 410 Angela St. Key West FL 33040 vV♦Gr\MVLJ INSURERS AFFORDING COVERAGE I NAIC # INSURER A: Progressive Commercial Div INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSQ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ _ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Ft2tPOLICY JPEC JET LOC AUTOMOBILE LIABILITY A X ANY AUTO 04557974-4 06/27/04 06/27/05 COMBINED SINGLE LIMIT (Ea accident) $1000000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE AP BY 1K %lAEINI ff / N T _ EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE DATE _ --- - $ RETENTION $ V $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY' _ TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE y OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below tom' a E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ ,OTHER e -kff L DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ND RSEMENT / SPECIA PROVISIONS Certificate Holder is an additional insured. CoPiA's w..v._n I.AIVGtLLA 1 IUN MONBOCC 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 BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Risk Management IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton St. Key West FL 33040 REPRESENTATIVES. A) REPRESENTATIVE Fuller ' ACORD 25 (2001/08) Vw © ACORD CORPORATION 1988 ACQRD CERTIFICATE OF LIABILITY INSURANCE NDERD FD;DD/YY) OTE(MM/1/25/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CMI INTERNATIONAL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WESTON TOWN CENTER HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1730 MAIN STREET, SUITE 200 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WESTON FL 33326 Phone: 954-384-9900 Fax: 954-384-9949 INSURERS AFFORDING COVERAGE INSURED INSURER A: EVANSTON INSURANCE COMPANY INSURERB: FLORIDA RETAIL FEDERATION INSURER C: WESTERN WORLD INSURANCE CO. Bender & Associates Architects 410 Angela Street Key West FL 33040 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 C X COMMERCIAL GENERAL LIABILITY NPP0835264 10/25/04 10/25/05 FIRE DAMAGE (Any one fire) s50,000 CLAIMS MADE [ X] OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 1 , 000 , 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included POLICY PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APP �� [f �J 61-- � ��� 1�1� ( BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ DATE GARAGE LIABILITY WAIVN - - AUTO ONLY- EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO I $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ 71 OCCUR CLAIMS MADE ( C V;4 AGGREGATE $ $ DEDUCTIBLE q RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 0520150560000 01/01/05 12/31/05 X I TORY LIMITS I I ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE- EA EMPLOYEE $ 500 , 000 E.L. DISEASE -POLICY LIMIT $ 100,000 OTHER A Professional AE-808090 02/10/04 02/10/ 55 Ea. Claim $1,000,000 Liability Aggregate $1 000,000 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS PROFESSIONAL LIABILITY POLICY IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE PO'�L CY TERM. vcn[ 11r1t,ri I C nvLucic D4 I ADDI IIUNAL INSURED; INSURER LETTER: %.ANVtLLA I IVN MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN COUNTY OF MONROE RISK MGMT . NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON STREET REPRESENTATIVES. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE 1A I II Io­ CUR® CERTIFICATEOF LIABILITY INSURANCE OP ID IG DATE (MM/DDmnrY) BENDERD 01 07 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CMI INTERNATIONAL, INC. UNIVERSITY PLACE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5220 S . UNIVERSITY DR, C - 2 0 3 ALTER THE COVERAGE AFFORDED BY THE POLICIES PELOW. DAVIE FL 33328 Phone : 9 5 4- 6 8 0- 0 9 0 0 Fax : 9 5 4- 6 8 0- 5 6 0 0 INSURERS AFFORDING COVERAGE NAIL # INSURED INSURER A: EVANSTON INSURANCE COMPANY, INSURER B: FLORIDA RETAIL FEDERATION INSURER C: WESTERN WORLD INSURANCE Co. Bender & .Associates Architects 410 Angela Street Key West FL 33040 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRINSRC ADDwL--- TYPE OF INSURANCE POLICY NUMBER DATECMM/DD EFFECTIVE POLICY EXPIRATION ATE MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 0 0 0, 0 0 0 C X X ,COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx] OCCUR NPP11340934 10 25/09 10/25/10 $ 50, 000 PREMISES (Ea occurence) MED EXP (Any one person) $ 5 , 0 0 0 PERSONAL & ADV INJURY $ 1, 0 0 0, 0 0 0 GENERAL AGGREGATE $ 2,000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Excluded PRO - POLICY JECTF7 LOC E(, AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS _ PROPERTY DAMAGE (Per accident) $ 3 GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO m -'� "` a) OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS / UMBRELLA LIABILITY OCCUR C ] CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVES] OFFICER/MEMBER EXCLUDED? I-1 0520150560000 01 / 01 / 10 12 / 31 / 10 - X 4R'Y LIMITS ER E.L. EACH ACCIDENT $ 5 0 0, 0 0 0 E.L. DISEASE - EA EMPLOYEE $ 5 0 0 , 0 0 0 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 5 0 0 , 0 0 0 SPECIAL PROVISIONS below OTHER A Professional AE-816840 02/10/09 02/10/10 Ea. Claim $1,000,000 Liability Aggregate $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS PROFESSIONAL LIABILITY POLICY IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. RETROACTIVE DATE 1/5/93. L;hKTIFIGATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONROEC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COUNTY OF MONROE IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PROJECT M;LNAGEMENT REPRESENTATIVES. AUTHORIZED REPRESENTATIVE f , 1100 SIMONTON STREET ROOM 2216 Leigh W. McCreary l KEY WEST FL 33040 ACORD 25 (2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD *lt s?i °I` EDTIFI ATE F LIABILITY INSURANCE E OP ID ICz DATE(MIWtDOtYYYYj BENDF.RD 02422410 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF>>INFORMATION C MI INTERNATIONAL, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE UNIVERSITY PLACE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5220 S. UNIVERSITY DR, C-203 ALTER THE COVERAGE' AFFORDED BY THE POLICIES BELOW. DAVIE FL 33328 Phcne:954-680-0900 PAx:954-680-5600 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: EVANSTON INSURANCE COMPANY INSURER B, FLORIDA RETAIL FEDERATION INSURER C: waste WORM INS> cs co. Bender & Associates Architects 410 Angela Street Key West FL 33040 INSURER D: INSURER E: 1*i*yf4z Cj*i 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. LTRINSRC TYPE Of INSURANCE POLICY NUMBER QaTE MMttH�IYYYY 1?aTE IylMtt##tYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 C X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR NPP1134934 10/25/09 10/25/10 PREMISES Eaoccurence) $ 50, 000 ME EXP (Arty one person) $ 5 , 0 0 0 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2, 0 0 0, 0 0 0 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $Excluded POLICY PRO- LOC JECT AUTOMOBILE LIABILITY ANY AUTO 7b COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS Y BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS '" PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/ UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND SUPLOYERW LIAB:t.ITY Y I N ANY PROPRIETOR/PARTN ER/EXECUTIv ---� OFFICE"EMBER EXCLUDED? U 0520150560000 01/ 01 / 10 12 / 31 / 10 X TWC LIMITS ER - E.L. EACH ACCIDENT $ 5 0 0 , 0 0 0 E.L. DISEASE - EA EMPLOYEE $ 5 0 0 , 0 0 0 d orb In NH) If e�, describe under If yes, SPECIAL PROVISIONS I,a$Iow E.L. DISEASE - POLICY LIMIT $ 500 , 000 OTHER A Professional AE818834 02/10/10' 02/10/11 Ea. Claim $1,000,000 Liability, Aggregate $1,000,000 DESCRIPTION Of OPERATIONS I LOCATIONS ! VEHICLES t EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS PROFESSIONAL LIABILITY POLICY IS A CLAIMS MADE POLICY. COVERAGE APPLIES ONLY TO THOSE CLAIMS WHICH FIRST OCCUR AND ARE FIRST REPORTED TO THE COMPANY DURING THE POLICY TERM. RETROACTIVE DATE 1/5/93 . Mwroe Courtly %.+=M 11rf%0A I C COUNTY OF MONROE PROJECT MANAGEMENT 11.00 SIMONTON STREET ROOM 2216 SHOULD ANY Of THE ABOVE DESCRIBED POLICIE> MONROEC DATE THEREOF, THE ISSUING INSURER WIBA NOTICE TO THE CERTIFICATE HOLDER NaIM IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND THE INSURER, ITS AGENTS OR C The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in Lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon. AGo'RD 26 (2009101) CORD, CERTIFICATE OF LIABILITY INSURANCE 05/2W2011 PRODUCER (305)822-7800 FAX (305)362-2443 Collinsworth, Alter, Fowler & French LLC 8000 Governors Square Blvd, Suite 301 Miami Lakes, FL 33016 Zorai da Gonzalez Ext 159 zgonzalez@caffllc.com THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ND OR ALTER THE OVERAGE AFFORDEDLDER. THIS CERTIFICATE BOY THEPOLICIESBELOW. INSURERS AFFORDING COVERAGE NAIC # wAmm Bender & Associates Architects, P.A. 410 Angela Street Key West, FL 33040 INSURERA: New Hampshire Ins Co A XV INSURERB: Phoenix Insurance Co A+ XV INSURER c: Travelers Casualty & Surety Co + XV INSURER D: INSURER E: P%AVCQAnCC 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. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE IMM/001M POLICY EXPIRATION Lam GENERAL LJABRM 6608178X318 04/20/2011 02/10/2012 EACH OCCURRENCE $ 1, 000, 00 r MMERCIAL GENERAL LIABILITY DAMAGE TO RENTED Fa nmwwica) $ 300,0001 CLAIMS MADE FX OCCUR MED EXP (Any one Person) $ 5 , OO N PERSONAL & ADV INJURY $ 1,000,0 GENERAL AGGREGATE $ 2 , 000, 0 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY X Jj X LOG AUTOMOBILE LIABILITY X ANY AUTO BA8179X15 5 04/20/2011 02/10/2012 COMBINED SINGLE LIMIT (Ea accident) 1,000,000 BODILY INJURY (Per w Pe) $ B ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Peraociderd) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABRJITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXGESSANIBFELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND U63704T808 04/20/2011 02/10/2012 X WC sTATu- OTH- C EMPLAYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NO E.L. EACH ACCIDENT $ 500, OO E.L. DISEASE - EA EMPLOYE $ 500, OO If yes describe under SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT $ 500,00 A roIVI essional Liability aims -Made Form 44269171 02/10/2011 02/10/2012 $1,000,000 Each Claim $1,000,000 Annual Aggregate RETRODATE: I/S/19931 $20,000 Deductible Ea Claim BESCFwrnON OF OPERATIONS / LOCATIONS / VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS nroe County Board of County Commissioners is an additional insured on the General & Auto Liability; excluding professional services. Monroe County Board of County Commissioners Attn: Project Manager 1100 Simonton St., Room 2216 Key West , FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE 11 I..._ - ACORD 25 (200101) ®AORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or after the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) CERTIFICATE OF LIABILITY INSURANCE °"2MOIM4 THIS CERTIFICATE 18 ISSUED AS A NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVLY OR NEGATIVELY AMEN06 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT SETWEENI THE ISSUING INSURER(8), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT: N the certNleats holder Is an ADDITIONAL INSURED, do poky(IW must he andomod. if SUBROGATION 18 WANED, subject to the terms and cmtdhkxm of the Policy, certain policies may require an ondoTJomenL A statement on this cwditmb does not conlar rights to the cartillcote holder In No of such ondonwimet4ol PROPUCON French, LLC Square Suits 301R!2"nuludicsfillecom MI Lakes, FL 33016 WROT Zoraida Gonzalo 8-?M3.�,Fowler 308 522-7050 AFwaolNs rovaUceE NAMc • MPJlMt A:Ph0=IX Insurance Co 2= Ma D Bender i Associates Architects, P.A. 410 Angola Street Key Weef, FL 33040 swunaR a:Tm velars Indemn Company 28658 efsunan C:Tmvelers Cesualty and sway company of Amerke owma D AU Insurance Comixiny 3056 INSURWR E : COVERAGES CERTIFICATE NUMBER: RPWSIOM NiNMBERi THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVIATHSTANOING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MATH RESPECT TO VNi1CH 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. rnE OP WINJOANCEMUM Urals ONArALLWUNUIY l A X CeMAERCIAOENEMLUA LITY X envaX3111 i CtNMS MAW LAX_ OCCUR j 2H01�14 j 2M0120is EACH OCCURRENCE s 1,000,00 �IIIM ,Q,rly— f 3ao,0 M,reo EV Y" a� pas) f 5,00 PERSONAL A AM INJURY f 1,000,004 GEEN'LAWREWEUMnAPPLIES Pot POLICY I X LOC I { 09NOM MORMTE s 2,000.004 PRODUCTS-COMPrOPAW f 2►0 f AUTOMOeMtE A X --X M A8 LnYale— AJYAUTO X ALLOWCO SCHEOOULEOMAOS �� �BAefllX155 2H012014 2M012015 `SOOLYMNAIRY(PWPr ) eOOILY ID4AJNY p4r feddMlq 1,000,00 IS J f f ' HIRW AUTOS AUTOS j X B UMW LLW X ? OCCUR j I UAa � CWM&MAOEE I iCUP3763T175 2HOW14 ' 2/10/2015 EACH OCCURRENCE f 2.�r�11 AOgRw►-m f DED X Na 10000 s 2,000,00 w01tl COMPENSATION ! I X A C j ANYFROPRRTOINPARTNERRXECUTIVEYIN i U63704TSOS 2HW2014 ` 2HO1201S EL eACHACCIOEW • q NIA' ' j �H i I E.L OSEASS-EA EMPLOY or n E.M_ tJISEASE • POLICY uMn Is _ _500,0 s �,0 s 500.00 p ProfasloMNMI Lkb I Ion P0013858 21/012014 f 2MOI2015 Each CWM p Clahns-Mach Bask RDP0013S58 211012014 ` ZltOf2015 iAnnwi Aggregate 2,000, 2,000,00 OasCART�N OP OPERATIONS J U7CIITIONe I VSfIICf.Le (A1MeA AWIO fat, A+dNNrrl m�� ffiINdub, M � �pra� N rgrkMl Professional Liability Retroactive Date 01105H!!3; Professional LlablNq/ Deductible $15,000 Each Claim Monroe County Board of County Commissioners Is sin additional Insured on the General NA Auto Lkb ft ududin roh w*mal services. APPLibM DA WAIV_ UM 1 IMGA n JS 1'1fA.MOW GANUELLATKM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE Maros County Board of County Commissioners Aft: ACCORDANCE NOTICE WLL BE DELIVERED IN PM�"dk- �o�t1tl�.� h 1 OZ AccoNeDANCE wrnN THE POLIc,r PRovtswua 1100 s Key Weed, FL. 33040 AUTHORIZED PMeEsIIrTAtmra 0 11 ou 3 ] �] '�" 0 t� - A*1:2� ACORD 25 (2010M) The ACORD name and logo are registered marks of ACORD BEND&AS-01 ZGONZALEZ CERTIFICATE OF LIABILITY INSURANCE DAT11012D/Y 4 2/10/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Collinsworth, Alter, Fowler 8, French, LLC 8000 Governors Square Blvd Suite 301 Suite Miami Lakes, FL 33016 CNTACT NAME: Zoraida Gonzalez PHONE (305) 822-7800 FAXNo): (305) 362-2443 Ext E-MAIL ADDRESS: zgonzalez@cafflic.com INSURERS) AFFORDING COVERAGE NAIC # INSURER A: Phoenix Insurance Co 25623 INSURED Bender & Associates Architects, P.A. 410 Angela Street Key West, FL 33040 INSURER B : Travelers Indemnity Company 25658 INSURER C : Travelers Casualty and Surety Company of America INSURER D: RLI Insurance Company 13056 INSURER E : INSURER F : "...�� rCnTrclrA rC U"RAf311=112• RFVISIDN NUMBER: vTHIS' 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 Ty PE OF INSURANCE POLICY NUMBER CY EFF MM1DDIYYYY POLICY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 300,00 A X COMMERCIAL GENERAL LIABILITY X 6608178X318 2/10/2014 2/10/2015 MED EXP (Any one person) $ 5,00 CLAIMS -MADE � OCCUR PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 $ POLICY X PRO LOC AUTOMOBILE LIABILITY Ee a.d.nl)-COMBINED GLE LIMIT $ 1,000,00 BODILY INJURY (Per person) $ A X ANY AUTO X BA8179X155 2/10/2014 2/10/2015 BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident) $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,00 AGGREGATE $ B EXCESS LIAB CLAIMS -MADE CUP3763T175 2/10/2014 2/10/2015 DED X RETENTION $ 10,000 Aggregate $ 2,000,00 C WORKERS COMPENSATION AND EMPLOYERS' LU181LnY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I❑NN OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A UB3704T808 2/10/2014 2/10/2015 X WC STATU- OTH- TDRY LIMITS ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYE $ 500,00 E.L. DISEASE -POLICY LIMIT $ 500,00 If yes, describe under DESCRIPTION OF OPERATIONS below D Professional Liab RDP0013858 2/10/2014 2/10/2015 Each Claim 2,000,00 D Claims -Made Basis RDP0013858 2/10/2014 2/10/2015 Annual Aggregate 2,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Professional Liability Retroactive Date 01/0511993; Professional Liability Deductible $15,000 Each Claim Monroe County Board of County Commissioners is an additional insured on the General & Auto Liability excluding professional services. APP%DEMENT D WAIVER N/A -_ a:u17LeLAIR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners Attn: THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty tY ACCORDANCE WITH THE POLICY PROVISIONS. Project Manager 1100 Simonton St., Room 2216 Key West, FL 33040 AUTHORIZED REPRESENTATIVE O IM115-ZI17U AL UKU L VKYVKA I IVM. All 9191IW 1C3C1YCU- ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD BEND&AS-01 ZGONZALEZ ACORO` CERTIFICATE OF LIABILITY INSURANCE DATE /6/2 2/6/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES I OOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERT FICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the ertificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditi ns of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in liei i of such endorsement(s). PRODUCER CONTNAME: Zoraida Gonzalez Collinsworth, Alter, Fowl r & French, LLC PHONE (305) 822-7800 ac No ; (305) 362-2443 A/C No Ext 8000 Governors Square ivd E-MAIL z onzalez caffllc.com ADDRESS: g Suite 301 Miami Lakes. FL 33016 INSURED Bender & A sociate 410 Angela Street Key West, FlL 33040 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Phoenix Insurance Co 25623 INSURER B : Travelers Indemnity Company 25658 Architects, P.A. INSURER C :Travelers Casualty and Surety Company of America INSURER o : RLI Insurance Comuanv 13056 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY T AT 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 I SUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONE ITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INS RANCE ADDLSUBR POLICY NUMBER MM/ DfYYYY MPOLICY fYYYY LIMITS A X COMMERCIAL GENE IAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR X 6608178X318 02/10/2015 02/10/2016 PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 RO- POLICY JEC LOC PRODUCTS -COMP/OP AGG $ 2,000,00 $ OTHER: I AUTOMOBILE LIABILITY COMaccidentBINED SINGLE LIMIT Ea $ 1,000,000 BODILY INJURY (Per person) $ A X ANY AUTO X BA8179X155 02/10/2015 02/10/2016 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ X X HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 B EXCESS LIAB CLAIMS -MADE CUP3763T175 02/10/2015 02/10/2016 DED I X I RETENT ON $ 10,000 $ C WORKERS COMPENSATIO AND EMPLOYERS' LIABILITYSTATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLU (Mandatory In NH) Y� ED? N / A UB3704T808 02/10/2015 02/10/2016 �( PER OTH- ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYE $ 500,000 If yes, describe under DESCRIPTION OF OPERA IONS below E.L. DISEASE - POLICY LIMIT $ 500,000 D Professional Liab RDPOO18685 02/10/2015 02/10/2016 Each Claim 2,000,000 D Claims -Made Basis RDPOO18685 02/10/2015 02/10/2016 Annual Aggregate 2,000,000 DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Professional Liability Retroactive Date 01/05/1993; Professional Liability Deductible $15,000 Each Claim Monroe County Board of County Commissioners is an additional insured on the General & Auto Liability exclu ing profe ' al services. PP NA EMEldT Y D WAIVE Q _ CERTIFICATE HOLDFRI CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Project Manger Board of County Commissioners Attn: THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonil on St., Room 2216 AUTHORIZED REPRESENTATIVE Key West, F L 33040 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD BEND&AS-01 ZGONZALEZ Akk. R CERTIFICATE OF LIABILITY INSURANCE DATE16/2015 Y) 2/612015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Pm,CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 10'REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Collinsworth, Alter, Fowler & French, LLC 8000 Governors Square Blvd Suite 301 Miami Lakes, FL 33016 CONTNAME: Zoraida Gonzalez PHONE (305) 822-7800 n/c No : 305 362-2443 A/C No Ext : ( ) E-MAIL z onzalez caffllc.com ADDRESS: g INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Phoenix Insurance Co 25623 INSURED INSURER B : Travelers Indemnity Company 25658 avelers Casualty and Surety Company of America Bender & Associates Architects, P.A. LI Insurance Company LINSURER 13056 410 Angela Street Key West, FL 33040 COVERAGES CERTIFICATE NUMRFR- RFVIRInrJ s11uuRIPP. 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 _INMA L SUBR POLICY NUMBER MM/ DNYYY LICY EXP MM DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR X 6608178X318 02/10/2015 02/10/2016 EACH OCCURRENCE $ 1,000,000 pREMISEs Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT IE LOC GENERAL AGGREGATE $ 2,000,000 GENT PRODUCTS -COMP/OP AGG $ 2,000,000 $ 'E OTHER: AUTOMOBILE X LIABILITY ANY AUTO X BA8179X155 02/10/2015 02/10/2016 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ X ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS P BODILY INJURY (Per accident ( ) $ PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 B EXCESS LIAB CLAIMS -MADE CUP3763T175 02/10/2015 02/10/2016 AGGREGATE $ 2,000,000 DED I X I RETENTION$ 10,000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � N / A UB3704T808 02/10/2015 02/10/2016 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 D Professional Liab RDPOO18685 02/10/2015 02/10/2016 Each Claim 2,000,000 D Claims -Made Basis RDPOO18685 02/10/2015 02/10/2016 Annual Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Professional Liability Retroactive Date 01/05/1993; Professional Liability Deductible $15,000 Each Claim Monroe County Board of County Commissioners is an additional insured on the General & Auto Liability excluding profs al services. NA EMEW kPP Y D WAIVE N/ " CERTIFICATE HOLDER rANrFI I ATInkI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners Attn: THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Project Manager ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St., Room 2216 AUTHORIZED REPRESENTATIVE Key West, FL 33040 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD