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Various Years-ACORD� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/D 04/15/9/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ARTHUR J GALLAGHER-BOCA RATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2255 GLADES RD SUITE 400E ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Boca Raton, FL 3 3 4 31- 7 3 7 9 INSURERS AFFORDING COVERAGE Spy INSURED EINSURIE7RA:XeuViSC i Mowrey Elevator Co Inc INsuRERB:Bridgefield Insurance Company 4518 Lafayette Street INSURERC: Marianna, FL 32446 INSURERD: INSURER E: 11U V CrcwuCa 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/Yl POLICY EXPIRATION DATE (MMIDD/YYI LIMITS A GENERAL LIABILITY* X1 COMMERCIAL GENERAL LIABILITY CLAIMS MADE F:v] OCCUR 991-140-961-99 `The limits of liability shown reflect Arthur J. Gallagher & CO. does for notification in the event of de 02/25/99 the limits at in of assume any re letion of the aggr 04/01/00 ptlon. ponsibility gate. EACH OCCURRENCE $] 000 000 FIRE DAMAGE (Any one fire) $1 000, 000 MED EXP (Any one person) $ tj PERSONAL & ADV INJURY $1 000, 000 GENERAL AGGREGATE $2 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE� Loc PRODUCTS - COMP/OP AGG $1 000 , 000 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Comp.De$2,500 9 91-14 0- 9 61- 9 9 ^ R± vY___ 0 2/ 2 5/ 9 9 'r rG11 J(Per 0 4/ 0 1/ 0 0 COMBINED SINGLE LIMIT (Ea accident) $1 000,000 , BODILY INJURY (Per person) $ BODILY INJURY accident)$2,500 $ r��_1c� DAMAGE (Per accident) $ CO11.DePROPERTY GARAGE LIABILITY * ANY AUTO �QT�. — ar„, AUTO ONLY - EA ACCIDENT $ -- OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY * OCCUR CLAIMS MADE DEDUCTIBLEcc- RETENTION $ 1 EACH OCCURRENCE $ AGGREGATE $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 9 7 2 7 5 4- 9 9 0 4/ 0 1 / 9 0 4/ 0 / 0 0 X TORY LIMITS I I ER E.L. EACH ACCIDENT $5 0 0 , 0 00 E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ 5 0 0, 0 0 0 $ 5 0 0 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder is listed as an Additional Insured on General Liability Coverage Only as respects to: Service & Maintenance I IIVMML IKJUKCU; IN.UKCK LC I I CK: %-AI4L.CLLP1 I IVIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County B . O . CI . C . DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3_0DAYS WRITTEN 5100 College Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Key West, FL 33040 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE ACORD25-S(7/97)1 Of 2 #S1628/M1614 A A I1 Q ACORD CnRPnRATInN 1959 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. AI:UKULS-bVIV7)2 of 2 #S1628/M1614 ACORD� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 04/01/1999 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ARTHUR J. GALLAGHER & CO. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2255 GLADES ROAD SUITE 400E HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR BOCA RATON FL 33431 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE 561-995-6706 INSURED MDWREY ELEVATOR COMPANY, INC. INSURERA: BRIDGEFIELD INSURANCE COMPANY INSURER B: 4518 LAFAYETTE STREET MARIANNA, FL 32446 850-526-4111 INSURER C: 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 LT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE AT MM DD POLICY EXPIRATION DATE MM DD LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR "Y�:=A A '; EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRC LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS �a�•n.�R. �Y ih� (irnits of liability shown, rc;;, �,f(iur J. Gaiisyher & CO, does n ty for notification in the event Of /-.�� Y ci tit (ir sits of (,, C' assume any i'esp epletion of the a 9 oo•;on,. ns&;i- re „ cJz'�;., COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY HANY AUTO UAUTO T Cf— 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' 972754-99 04/01/1999 04/01/2000 X ORY LIMITS OT E.L. EACH ACCIDENT I Is 500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT Is 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER IS ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY CERTIFICATE HOLDER I I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONROE COUNTY BOARD OF SHOULDANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION COMMISSIONERS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 3583 S. ROOSEVELT BLVD. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL KEY WEST FL 33040 I / IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR DATE ACORD 25-S (7197) '"WACORD CORPORATION 1988 uilent : y2 MUWKEY.EL.EVA'1'U ACORD,. CERTIFICATE OF LIABILITY INSURANCE 04/(03/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ARTHUR J GALLAGHER-BOCA RATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, 2255 GLADES RD SUITE 400E Boca Raton, FL 33431-7379 INSURED Mowrey Elevator Co Inc 4518 Lafayette Street Marianna, FL 32446 COVERAGES INSURERS AFFORDING COVERAGE :INSURER A:LlO d' s of London _ INSURER B:Bridgef ield Employers Ins. Co. 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 REQUREMENT, 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. INSRi TYPE OF INSURANCE T POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DAT M/ 1 r T 1 Dl - A GENERALLIABILIT* 0161 04/01/00 04/01/01 EACH OCCURRENCE $1�000�000- XCOMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 250,000 _ - CLAIMS MADE,X OCCUR' MED EXP (Anyone person) $ 5,000 ..-_—_ ---_ PERSONAL&ADVINJURY $1_L000L00_0 _ ___ — - `The limits of liability shown reflE Ct the limits at inception. GENERAL AGGREGATE $2 , 00 0 , 0 0 0 GATE LIMIT ArthurGallagher &Co. does of assume an re OnSlblll OEN'LAGGRE APPLIES PER:p -- PRODUCTS-COMP/OPAGG _- - .$l, 000_,_000- POLICY PRO -for notificationthe event of de letion of the a r ate, JECT 99 s AUTOMOBILE LIABILITY --. COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS Lq` K BODILY INJURY $ SCHEDULED AUTOS (Per person) V HIRED AUTOS -- ' NON AUTOS �11 /l/l BODILY INJURY (Per accident) $ -OWNED DATE I — --- -- - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY* AUTO ONLY- EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN ------ --- AUTO ONLY: AGG $ EXCESS LIABILITY *�i l' 4AGGREGATE EACH OCCURRENCE $ OCCUR CLAIMS MADE'i C $ DEDUCTIBLE $ RETENTION $ $ B 'WORKERS COMPENSATION AND 083023358 04/01/00 04/01/01 X QPY�A�dL7 OERi-' EMPLOYERS' LIABILITY - -- E.L. EACH ACCIDENT $5 0 , U - - -- E.L.DISEASE-EA.EMPLOYE Ell $5 0 0, 0 00 _ E.L. DISEASE -POLICY LIMIT, $500 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder is listed as an Additional Insured on General Liability Coverage Only as respects to: Service & Maintenance Monroe County B.O.C.C. 5100 College Road Key West, FL 33040 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILLENDEAVORTO MAIL3 0 DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON THE INSURER,ITS AGENTS OR IZED REPRESENTATIVE nrnnn 94.c nm7t,-i „4: n 4nrt3 c A c T T T � A/�AI'f 19 l�Arf MrfAT�AA� •wwn 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. AGORD 25-5 (7l97)2 of 2 #M3 64 6 client : y2 MUWKEYELEVA'Eu CERTIFICATE OF LIABILITY INSURANCE Ol/(25/Ol PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ARTHUR J GALLAGHER-BOCA RATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2255 GLADES RD SUITE 400E Boca Raton, FL 3 3 4 31- 7 3 7 9 INSURERS AFFORDING COVERAGE INSURED INSURERA:Lloyd' s of London Mowrey Elevator Co Inc INSURER B-Bridaef ield Emnlovers Ins. Co. 4518 Lafayette Street Marianna, FL 32446 COVFRAGFS 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 POLICYEFFECTIVE DATEMM / POLICYEXPIRATION T M/ /Y LIMITS A GENERAL LIABILIT%T 0 16 1 0 4/ 01 / 0 0 G 4/ 01 / 01 EACH OCCURRENCE $1, 0 0 Q 0 0 0 X COMMERCIALCGENERALLIABILITY FIRE DAMAGE (Anyone fire'$ 250,000 MADE OCCUR ME D EXP (Anyone person) I$ 5,000 __.PERSONAL &ADVINJURY I$1, 000L000 *The limits of liability shown reflect the limits at Inception. GENERAL AGGREGATE $2 , 000,000 EGEN'LAGGREGATE LIMIT APPLIES PER: Arthur J. Gallagher & Co. does rot assume any responsibility PRODUCTS-COMP/OP AGG-$1 , 000,000 PoucY r PRo- Loc for notification in the event of de letion of the aggr gate. - AUTOMOBILE LIABILITY -- - ! COMBINED SINGLE LIMIT I $ ''. _ ANY AUTO i (Ea accident) �ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS --- - I (Per person) -- ---__- -- - j HIRED AUTOSyay ,., BODILY INJURY NON-OWNEDAUTOS C,` N (Per accident) - "Y PROPERTY DAMAGE j (Per accident) $ GARAGE LIABILITY* ' AUTO ONLY- EAACCIDEN_T $ ANY AUTO �� OTHER THAN EA ACC j $ � AUTO ONLY: AGG $ EXCESS LIABILITY 'f �/. !�//,� i l`�""`� EACH I EACH OCCURRENCE $ OCCUR -: CLAIMS MADEI % $ -_- - — DEDUCTIBLE $ is RETENTION $ WC B WORKERS O KERSCOMPENSATION MPENSA ION AND 1083023358 04/01/00 ! 04/01/01 L X ORYLIMT ' EB _--_ LIABILITY E.L. EACH ACCIDENT $5 0 0, 0 0 0 E_L.DISEASE-EAEMPLOYEE $500, 000 $500, 000 E.L.DISEASE-POLICY Lim' OTHER i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder is listed as an Additional Insured as respects to: Service and Maintenance. L_t ItFt Monroe Cty B.O.C.C. Monroe Cty. Risk Mgmt.Office Attn: Maria del Rio 5100 College Road Key West, FL 33040 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL E N DEAVOR TO MAI L3 n DAYSWRITTEN DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, BUTFAILURE TO DOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. A_UT ORIZED REPRESENTATIVE ACORD25.S17/9711 --F ') +Fer- oor) GGC T.TT AT ._, Amnon nnoonoAr1nu 4non ACORD CERTIFICATE OF LIABILITY INSURANCE OPIi P DATE02/1DD/YY) wRE-02/19/O1 PROI _a:ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Molton, Allen & Williams, LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 272r_ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Post Office Box Pensacola FL 32513-2725. Phone:850-478-3400 Fax:850-478-1669 INSURED Mowre Elevator Company Inc. 4518 afart32446 Marianna COVERAGES INSURERS AFFORDING COVERAGE INSURER A: Auto Owners Insurance 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 FECTI DATE EFFECTIVE MIDDIDDDO/YYPOLICY /YEXPIRATION DATE M LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE r 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- JECT LOC PRODUCTS - COMP/OP AGG $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS 42320424 04/01/00 04/01/01 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Peraccident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO t:;"'K(1tJE( Ry yY'- `'" 5ji'6' AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ iiY PATE �� CC. n %J EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/IXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS * 30 days notice of cancellation except 10 for non-payment of premium. Service & Maintenance. Certificate Holder Insured status -See Attached excerpt from Policy Contract. Attn: Maria Dal Rio UrK I WIL A I t MULUCK N I ADDITIONAL INSURED; INSURER LETTER: _ L P%r4 r_LLA I IVM PMONR02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * DAYS WRITTEN Commissioners Monroe County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Risk Management Office IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5100 West College Road Key West FL 33040 REPRESENTATIVES. 25S 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. (71971 Agency Code 22-0556-00 Policy Number 42-172-542-00 8. Property damage means damage to or destruction of tangible property including resulting loss of use of that property. . 9. Relative means a person who resides with you and who is related to you by blood, marriage or adoption. Relative includes a ward or foster child who resides with you. 10. Suit means a civil court proceeding -in which 11. Trailer means a utility trailer, camping or vacati+ trailer, truck trailer or semi -trailer. 12. You or your means the first named ins•un shown in the Declarations and if an individu, your spouse who resides in the same househoic 13. Your automobile means the automobile- describe in the Declarations. damages because of bodily injury or property 14. We, us or our means the Company providing th damage to which this insurance applies are al- insurance. leged. SECTION 11 - LIABILITY COVERAGE i - OVERAGE a. Liabirity Coverage - Bodily Injury and Property Damage - We will pay damages for bodily injury and property damage for which you. become le- gally responsible because of or arising out of the ownership, maintenance or use of your automobile as an automobile. We will pay such damages: (1) on your behalf; (2) on behalf of any relative using your auto- mobile; (3) on behalf of any other person using your automobile with your permission; and (4) on -behalf of any person or organization legally responsible for .the use of your automobile when used by you, a relative, or with your permission. We will settle or defend, as we consider ap- propriate, any claim or stti for damages cov- ered by this policy. We will do this at our ex- pense, using attorneys of our choice. This agreement to settle or defend claims or suits ends when we have paid the limit of our li- ability. 2 b. Trailers (1) The Liability Coverage provided for you automobile includes: (a) a trailer designed for use with a pri vats passenger automobile; (b) a trailer with a load capacity of ZOO pounds or less; and (c) non -motorized farm machinery or farm wagon, while used with your automobile, whether owned by you or someone else. A trailer- described ln.(1)(a) or (1)(b) above does • not have to be attached to your automobile. (2) Liability ebverage provided by b.(1) above to: (a) your trailer designed for use with a privat* passenger automobile; and (b) your trailer- with- a load capacity a 2000 pounds or less;* includes your liability arising out of or re - suiting from use of your trailer by a per- son or organization other than you. acORv CERTIFICATE OF LIABILITY INSURANCE OPID P WRE-1 DATE(MWDD/YY) 04/30/01 PRnouCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Molton, Allen & Williams, LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Post Office Box 2725 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Pensacola FL 32513-2725 Phone:850-478-3400 Fax:850-478-1669 INSURED INSURER A: Auto Owners Insurance INSURER B: INSURERC: Mowrey Elevator Company Inc. 4518 Lafayette St. Marianna FL 32446 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMlDD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PROECT LOC J A AUTOMOBILE LIABILITY ANY AUTO 42320424 FL 04/01/01 04/01/02 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ` i AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO LIT ------111--- $ AUTO ONLY: AGG EXCESS LIABILITY +, ; , , _ "�S f EACH OCCURRENCE $ OCCUR CLAIMS MADE 1^�• �1�, q "� AGGREGATE $ $ $ PIDEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS I 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 * 30 days notice of cancellation except 10 for non-payment of premium. Service & Maintenance Certificate holder Insured Status -See Attached excerpt from policy contract. Attn: Maria del Rio VA 1 M 111VKNL IKJUKCU; IKJUKCK LCI I CK: %1M17L1CLLJ111V1Y PMONR02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * DAYS WRITTEN ✓/ Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Risk Management Office IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5100 College Road Key West FL 33040 REPRESENTATIVES. ©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. AGORD 25-5 (7/97) Agency Code 22-0556-00 Policy Number 42-172-542-00 a. Property damage means damage to or destruction of tangible property including resulting loss of use of that property. 9. Relative means a person who -resides with you and who is related to you by blood, marriage or adoption. Relative includes a ward or foster child who resides with you. 10. Suit means a civil court proceeding -in which 11. Trailer means a utility trailer, camping or vacatic trailer, truck trailer or semi -trailer. 12. You or your means the first named insure shown in the Declarations and if an individue your spouse who resides in the same househoic 13. Your automobile means the automobile describe in the Declarations. damages because of bodily injury or property 14. We, us or our means the Company providing thi damage to which this insurance applies are al- insurance. leged. SECTION 11 - LIABILITY COVERAGE 1. - ,POVERAGE a. Liability Coverage - Bodily Injury and Property Damage We will pay damages for bodily injury and property damage for which you. become le- gally responsible because of or arising out of the ownership, maintenance or use of your automobile as an automobile. We will pay such damages: (1) an your behalf, (2) on behalf of any relative using your auto- mobile; (3) on behalf of any other person using your automobile with your permission; and (4) on behalf of any person or organization legally responsible for the use of your automobile when used by you, a relative, or with your permission. We will settle or defend, as we consider ap- propriate, any claim or suiit for damages cov- ered by this policy. We will do this at our ex- pense, using attorneys of our choice. This agreement to settle or defend claims or suits ends when we have paid the limit of our li- ability. 2 b. Trailers (1) The Liability Coverage provided for you automobile includes: (a) a trailer designed for use with a pri vats passenger automobile; (b) a trailer with a load capacity of 2,M pounds or less; and (c) non -motorized farm machinery or farm wagon; while used with your automobile, whether owned by you or someone else. A trailer- described in.(1)(a) or (1)(b) above does - not have to be attached to your automobile. _ (2) Liability ebverage provided by b.(1) above to: (a) your trailer designed for use with a .private passenger automobile; and (b) your trailer with- a load capacity o. 2000 pounds or less;* includes your liability arising out of or re- sulting from use of your trailer by a per- son or organization other than you. ACORn CERTIFICATE OF LIABILITY INSURANCE 04/(06/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ARTHUR J GALLAGHER-BOCA RATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2255 GLADES RD SUITE 400E Boca Raton, FL 3 3 4 31- 7 3 7 9 INSURERS AFFORDING COVERAGE INSURED INSURER A: Lloyd , S of London Mowrey Elevator Co Inc �1 INSURER B:Bridgef ield Employers Ins. Co. 4518 Lafayette Street ----- — — - - i INSURER C: Marianna, FL 32446 - — ----_ _ - 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 REQUREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR, TYPE OF INSURANCE POLICY NUMBER LTR POLICY EFFECTIVE DATE MM/DD/ POLICY EXPIRATION DATE MM/DD/Y LIMITS A GENERAL LIABILITY 0221 04/01/01 04/01/02 ' EACH OCCURRENCE $1 OOO 000 , X GENERAL FIRE DAMAGE (Anyone fire) $2 5 O 0 0 0 �CLAIMLGENE .X OCCUR' CLAIMS MADE ME D EXP (Any one person) $5 OOO PERSONAL& ADV INJURY I$1, 000, 000 s2,000,000 J GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG POLICY PRO- JECT AUTOMOBILE LIABILITY h COMBINED SINGLE LIMIT $ J ANYAUTO (Ea accident) - - - - ----------- *- i ALL OWNED AUTOS - BODILY INJURY SCHEDULED AUTOS (Per person) $ HIREDAUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) -$ ti . r - - V'- f PROPERTY DAMAGE i� $ (Per accident) GARAGE LIABILITY' 1 AUTO ONLY - EA ACCIDENT - --- - -- $ _ - EA ACC OTHERTHAN - 1 $ /r �•. ....__ _ _ ___ �� ANY AUTO I -- --', is AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE is OCCUR r CLAIMS MADE, AGGREGATE $ $ CCC. • ` D - ----- �Qjrtµy - $ DEDUCTIBLE P/ $ RETENTION $ B WORKERS COMPENSATION AND 0 8 3 0 2 3 3 5 8 1 0 4/ O 1/ O 1 O 4/ O 1/ 0 2 X WC STATU- OTH- TORY LIMITS'Ems._ EMPLOYERS' LIABILITY E.L_EACH ACCIDENT 1$500, 900 $5 O O, 0 0 0 I-E..L.DISEASE-EAEMPLOYEEI $5 0 0 0 0 0 E.L. DISEASE -POLICY LIMI OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder is listed as an Additional Insured on General Liability Coverage Only as respects to: Service & Maintenance Monroe County B.O.C.C. 5100 College Road Key West, FL 33040 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATETHEREOF,THE ISSUING INSURER WILL EN DEAVOR TO MAIL3_0_ DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TOTHE LEFT, BUTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVE A[_ARn 95_C mwni - F AMC n Q r.rr nr � A!�/1��1 rA��A�AT1A�1 �nea 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. At--UHU25-511718712 of 2 #kM6308 ACORD CERTIFICATE OF LIABILITY INSURANCEOWRE-1 OPID DATE(MM/DDIYY) 04/17/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Molton, Allen & Williams, LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Post Office Box 2725 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pensacola FL 32513-2725 Phone:850-478-3400 Fax:850-478-1669 INSURERS AFFORDING COVERAGE INSURED INSURER A: Steadfast Ins. Co. INSURER B: Auto Owners Insurance INSURERC: Mowreyy Elevator Service, Inc. INSURERD: 4518 Lafayette St. Marianna FL 32446 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 DATE MM/DDIYY POLICY EXPIRATION DATE MM/DDIYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX] OCCUR SC03989225 04/01/02 04/01/03 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 s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICYF_j JECOr- LOC PRODUCTS - COMP/OP AGG s2,000,000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 42320424 04/01/01 04/20/02 COMBINED SINGLE LIMIT (Ea accident) $ 1, 0 0 0 , 0 0 0 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO APIDNAD BY Y GEMENT AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ D WAIVER EACH OCCURRENCE $ N/A U$ YES AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY i _ TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS *30 day notice of cancellation except 10 days for non-payment of premium. For: Service and Maintenance. Certificate Holder is listed as Additional Insured as respects Automobile and General Liability. VGn11rIVA 1 L nw"YGF% = I AUUI I IUKAL IK.IUMU; IKSUKCK LC I I CK: %,#kNkr_LLAIIUN MONRO0 2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe Cty Brd of Cty Comm. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * DAYS WRITTEN Monroe County Risk Mgmt NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Maria del Rio IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5100 W College Rd, Rm. 203 Key West FL 33040 REPRESENTATIVES. r+a+vrcu ca-a II11ai) VACORU COIRPORATION 1988 AcoRD,M CERTIFICATE OF LIABILITY INSURANCE 04/02/02) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ARTHUR J GALLAGHER-BOCA RATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2255 GLADES RD SUITE 400E Boca Raton, FL 33431-7379 INSURED Mowrey Elevator Co Inc 4518 Lafayette Street Marianna, FL 32446 r0VFR4GFS INSURERS AFFORDING COVERAGE INSURER A:Bridgefield Employers Ins. Co. INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION' LTRT M! D/YY T M/DD/ Y' LIMITS GENERAL LIABILITY '', EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Anyone fire) $ CLAIMS MADE: OCCUR' ME D EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OPAGG $ POLICY PRO- LOC' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO At -ROVED BY RISK MANAGEMENT '� (Ea accident) ALL OWNED AUTOS /`1 \%V� �,�i '.. BODILYINJURY $ \I SCHEDULED AUTOS PY ., '7„l C."' (Per person) HIRED AUTOS BODILY INJURY NON -OWNED AUTOS DATE ,��...-� (Per accident) $ wA1lfFii, NIAy YES PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMSMADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND 083023358 04/01/02 04/01/03 WCSTATTS OT ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $5 0 0 , 0 0 0 E.L.DISEASE-EA EMPLOYEE $5 0 0, 0 0 0 E.L. DISEASE -POLICY LIMIT $500 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Service and maintenance LETTER: County of Monroe HR Dept. Risk Mgmt Sec. 5100 College Road Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILLEN DEAVORTO MAI L3 0 DAYSWRITTEN NOTICETOTHE CERTIFICATE HOLDER NAMED TO THE LEFT, 13UTFAILURE TODOSOSHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANYKIND UPON THE INSURER, ITS AGENTS OR IZED REPRESENTATIVE nrnQn 9A_c twa7\-1 47 ') 11T/r9 n"r n ACM CERTIFICATE OF LIABILITY INSURANCE OP ID C DATE(MM/DD/YY) WRE-1 09/03/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Molton, Allen & Williams, LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Post Office Box 2725 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pensacola FL 32513-2725 Phone:850-478-3400 Fax:850-478-1669 INSURED Mowreyy Elevator Service, Inc. 4518 Lafayet32446. Marianna FL COVERAGES INSURERS AFFORDING COVERAGE INSURERA: Steadfast Ins. Co. INSURER B: Westport Ins Corp. 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 MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR SC03989225 04/01/02 04/01/03 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 $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT Ll PRODUCTS - COMP/OP AGG s2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS IE ► APPR BY M3 DATE _ � WAIVER NiA --- \ v '41A GEMEN ES 'DES COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ TWG-00519 04/22/02 04/01/03 EACH OCCURRENCE $ 1,000,000 AGGREGATE $ 1,000,000 $ $ 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 OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS *30 day notice of cancellation except 10 days for non-payment of premium. For: Service and Maintenance. Certificate Holder is listed as Additional Insured as respects Automobile and General Liability. •• r- i - VI►1\6rGLLMI IVI\ MONRO02 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe Cty Brd of Cty Conn. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * DAYS WRITTEN Monroe County Risk Mgmt NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Maria del Rio 5100 W College Rd, Rm . 203 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. ACORD i CACORD CORPORATION IRRS ACORD CERTIFICATE OF LIABILITY INSURANCE OPID C DATE 09/0DD/YY) WRE-1 09/03/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Molton, Allen & Williams, LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Post Office Box 2725 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pensacola FL 32513-2725 Phone:850-478-3400 Fax:850-478-1669 INSURERS AFFORDING COVERAGE Mowreyy Elevator Service, Inc. 4518 Lafayette St. Marianna FL COVERAGES INSURER A: Steadfast Ins. Co. INSURER B: Westport Ins Corp. 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. INSIR LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY CY EXPIRATION LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FX] OCCUR SC03989225 04/01/02 04/01/03 EACH OCCURRENCE $ 1 , 000 , 000 FIRE DAMAGE (Any one fire) $ 50,000 MED EXP (Any one person) $ 5 , 000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG s2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AP I ; RaK-N BY WE WAIN!" i N/A �- � GEMEN �r� s COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO C� ` AUTO ONLY - EA ACCIDENT $ OTHER THAN 1A ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMSMADE DEDUCTIBLE RETENTION $ TWG-00519 04/22/02 04/01/03 EACH OCCURRENCE $ 1 , 000 , 000 AGGREGATE $ 1,000,000 $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY VV TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS *30 day notice of cancellation except 10 days for non-payment of premium. < Qm I Ir 1VM IG fIVLUGR = i A U/IIUK L IKDVKCU; IKJUKCK LC I I CK: \,.Nlr IiCLLA I JWN MONRO03 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * DAYS WRITTEN Monroe County - Florida NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Public Service Building IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5100 College Rd Key West FL 33040 REPRESENTATIVES. AGORD 25-5 (7/97) / ©ACORD CORPORATION 1988 DATE (MM/DD/YY) AA OR CERTIFICATE OF LIABILITY INSURANCE 07/24/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ARTHUR J GALLAGHER-BOCA RATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2 2 5 5 GLADES RD SUITE 4 0 OE INSURERS AFFORDING COVERAGE Boca Raton, FL 33431-7379 INSURED INSURERA:U. S . Fire Insurance Company Mowrey Elevator Co Inc INSURER B:Bridgefield Employers Ins. CO. 4518 Lafayette Street INSURER C: Marianna, FL 32446 "�� 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. _ - NSR POLICY EFFECTIVE POLICY EXPIRATIO LIMITS TYPE OF INSURANCE POLICY NUMBER T T EACH OCCURRENCE $ GENERAL LIABILITY i FIRE DAMAGE (Any one tiro $ COMMERCIAL GENERAL LIABILITY i CLAIMS MADE❑ OCCUR ME EXP (Anyone person) $ PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ _ PRODUCTS-COMP/OPAGG $ GENL AGGREGATE LIMIT APPLIES PER: POLICY PJEC RO LOC A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS � GARAGE LIABILITY I ANY AUTO EXCESS LIABILITY ]l OCCUR 1:1CLAIMS DEDUCTIBLE 1336655043 BY YES WAIVER NIA B IWORKERS COMPENSATION AND 1083023358 EMPLOYERS' LIABILITY OTHER 05/15/02 05/15/03 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 BODILY INJURY I (Per person) $ ENT BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ r J AUTO ONLY -EA ACCIDENT$ OTHER THAN EA ACC AUTO ONLY: AGG $ _ s S Fcr.H ocCURRENCE $ 04/01/02104/01/03 ;;HACCIDENZ GATE - ..0 000 E.L.DISEASE-EAEMPLOYE $5 0 0, 0 0 0 ci n, CP_an11CV I IIuIIT'5500. 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder is listed as an Additional Insured as respects to Commercial Automobile Liability only. Job: Ejevator Inspection & Maintenance GC Monroe County Board of County Commissioners Disk Management ATTN: Maria Slavik 1 100 Simonton Street 2-268 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WI LL EN DEAVOR TO MAI L30 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 REPRESENTATIVE ACORD25-S(7197)1 of 2 #S13926/M11236 BJG © ACORD CORPORATION 1988 € Client#: 92 MOWREYELEVATC ACORD. CERTIFICATE OF LIABILITY INSURANCE 0DATE 331103D ) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ARTHUR J GALLAGHER-BOCA RATON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2255 GLADES RD SUITE 400E Boca Raton, FL 33431-7379 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: United States Fire Insurance Company Mowrey Elevator Co Inc INSURER B: Bridgefield Employers Ins. Co. 4518 Lafayette Street INSURER C: Marianna, FL 32446 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 NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ MERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREM I a occurrence $ ff—lomCLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT A X AUTOMOBILE LIABILITY 1336655043 05/15/02 05/15/03 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO (Ea accident) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ BODILY INJURY HIRED AUTOS NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY APP AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO s Ely!__ Y $ (� AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE WAIVER NIA �Y ° AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION AND 083023358 04/01/03 04/01/04 X OR STA IT ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT s500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEd s500,000 OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - POLICY LIMIT 1 $500.000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Coverage Only as respects to: Service & Maintenance j CERTIFICATE HOLDER CANCELLATION Monroe County B.O.C.C. Monroe County, Risk Mgmt. Off. 5100 College Road Room 203 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL i_ 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 REPRESENTATIVE ACORD 25 (2001/08)1 of 2 #M18255 '--4—"-' r -' DXS 0 ACORD CORPORATION 1988 OP ID P ACORD CERTIFICATE OF LIABILITY INSURANCE MOWRE-1 DATE (MM/DDlYYYY) 04 02 03 PRODUCER Molton, Allen & Williams, LLC Post Office Box 2725 Pensacola FL 32513-2725 Phone : 850-478-3400 Fax: 850-478-1669 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Mowreyy Elevator Company Inc. 4518 LafaRtte St. Marianna INSURER A: Admiral Insurance Company INSURERB: First Specialty Ins CO INSURER C: INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER P L Y F 1 DATE MM/DDIYY POLICY XPI TI N DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY MAW6568 04/01/03 04/01/04 PREMISES (Ea occurence) $ 50000 CLAIMS MADE Fx_1 OCCUR MED EXP (Any one person) $ Excluded PERSONAL BADVINJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG s2000000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO AP BY COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS DATE HIREDAUTOS NON -OWNED AUTOS WAIVER NIA }124 YES BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ r GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 B X OCCUR CLAIMSMADE MAW6567 04/01/03 04/01/04 AGGREGATE $ 1000000 $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT 1 $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS *30 days notice of cancellation except 10 days for non-payment of premium. Elevator Inspection & Maintenance CERTIFICATE HOLDER CANCELLATION MONRO-5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * DAYS WRITTEN Commissioners/Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn : Maria Slavik IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street 2-268 Key West FL 33040 REPRESENTATIVES. ACORD 25 (2001108) © ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/WYY) 04/01 /04 PRODUCER ARTHUR J GALLAGHER-BOCA RATON 2255 GLADES RD SUITE 400E Boca Raton, FL 33431-7379 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Mowrey Elevator Co Inc 4518 Lafayette Street Marianna, FL 32446 INSURER A: Bridgefield Employers Ins. Co. INSURERB: INSURER C: INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN LT R k-ffD' NSR TYPE OF INSURANCE _ - GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATION DATE MM!DDA! LIMITS EACH OCCURRENCE $ DAMAGE TO RENTED PREMISESn $ MED EXP (Any one person) $ CLAIMS MADE OCCUR PERSONAL BADVINJURY $ GENERALAGGREGATE $ PRODUCTS - CCMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE4 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accideno $ ANY AUTO ALL OWNED AUTOS BODILYINJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS ._ J �j INJURY (Per accident) $ NON -OWNED AUTOS ' - - - --� PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN E%�ACC AUTO ONLY: AGG $ ANY AUTO -- - "'"" $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE DEDUCTIBLE WC LIMIJ OTH- $ A RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 83023358 04/01/04 04/01/05 E.L. EACH ACCIDENT $500,000 E.L. DISEASE- EA EMPLOYEE s500,000 ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? { J� E.L. DISEASE - POLICY LIMIT s500,000 ff yes, describe under SPECIAL PROVISIONS below Y OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS Coverage Only as respects to: Service & Maintenance N ULIJtK Monroe County B.O.C.C. .N 5100 College Road Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'In_ 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 AUTHORIZED REPRESENTATIVE .. onowT ^k] 4009 ACORD 25 (2001/0,�) 1 of 2 #M21118 6JV —"— ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MM/DD/YYYY) MOWRE-1 C1 05/05/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Molton, Allen & Williams, LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Post Office Box 2725 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pensacola FL 32513-2725 Phone:850-478-3400 Fax:850-478-1669 INSURED Mowrey Elevator Company Inc. 4518 Lafayette St. Marianna FL 32446 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Admiral Insurance Company INSURER B: Lexington insurance Company 19437 INSURER C: INSURER D: INSURER E: L.vVr_MAuta 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. 1 I TR 11MRP11 TVGC r1F IAICI IRAMrF I POLICY NIIMRFR -'' I' I , I— I A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR X Contractual Liab CA000003775 02 04/01/04 04/01/05 EACH OCCURRENCEFs2OOOOOO PREMISES(Eaoccurence) MED EXP (Any one person)d PERSONAL & ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 2000000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS APP 6Y ___.-..... �� `vVAI `/F".''; *" p-�'i ( -�--�-- .-_-- �E- -N� COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO '1 AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ B EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMSMADE DEDUCTIBLE X RETENTION $ 10 , 000 7021488 04/01/04 ("�]��/'� \.� 04/01/05 EACH OCCURRENCE $ 1000000 AGGREGATE $ 1000000 $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *30 days notice of cancellation except 10 days for non-payment of premium. Elevator Service & Maintenance Monroe County Board of County Commissioners/Monroe County Risk Management are additional insured as respects General Liability. L ANI.tLLA I IVN MONRO - 5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * DAYS WRITTEN Commissioners /Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Maria Slavik 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. ACORD 25 (2001/08) © ACORD CORPORATION 1988 Policy Number: P-D 06 55 01 04 I fiecdve Date: TEllS END01�SEMENT C�4NGES TIEIE I-'OLTCY- 'LEASE RE_kD IT CAREFULLY. A DITION 4,L INSURED - OWNERS, LESSEES OR C ONTR-k I'O,RS - SCHEDULED PERSON OR ORG TI k T IO-N kATENDED) This endorsement modifies insurance provided under the following: COMMERCLAL GENEI:_AL LLABILITY COVERAGE PART SCHEDULE Name of Person or Organization: (If no entry appears above, information required to completee this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II— Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability caused by your ongoing operations performed for that insured. This insurance does not apply to liability caused by the sole negligence of the person or organization shown in the Schedule. B. With respect to the insurance afforded to these additional insureds, the following exclusions are added: 2. Exclusions (a) This insurance does not apply to "bodily injury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such worlL on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insureds) at the site of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. An nr, 4:Z n1 nd Page 1 of 1 ACORD ,M CERTIFICATE OF LIABILITY INSURANCE 06/115/2004 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JAMES K LABBIE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4 `i —A INDUSTRIAL BLVD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PENSACOLA, FL 32503 ( is 5 0) 4 7 7 - 2 511 INSURERS AFFORDING COVERAGE NAIC# INSURED MOWREY ELEVATOR COMPANY INSURER A: NATIONWIDE MUTUAL INS INSURER B: 4 518 LAFAYETTE STREET INSURER a MARIANNA , FL 32446 INSURER D: 1800-444-4449 jINSURERE: � COVERAGES TFIF , KIPS OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT IV WHICH IHIS GtK IIt-IUAIt MAY Ut ISSUtU UK MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PG _ICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR =L INSRD TYPE OF INSURANCE I POLICY EFFECTIVE ! POLICY EXPIRATION POLICY NUMBER DATE MMIDD ! DATE MWDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED ! COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $ CLAIMSMADE -. J, OCCUR ,, MED EXP(Anyone person) !! $ PERSONAL &ADV INJURY '$ i j GENERAL AGGREGATE $ I GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ PRO- !I POLICY JECT LOC I', AUTOMOBILE LIABILITY ! COMBINED SINGLE LIMIT I$ ]- 000, 000 ANYAUTO ! (Ea accident) r I i j X ALLOWNEDAUTOS ! 1I ! BODILYINJURY $ SCHEDULED AUTOS ! (Per person) A X 7 7- BA - 719 3 3 6 0 5/ 15 / 0 4 ''! 0 5/ 15 / 0 5 !BODILY I HIRED AUTOS f X NON-OWNEDAUTOS INJURY — 3 0 0 1 ' (Peraccident) $ I _ J PROPERTY DAMAGE $ I (Peraccident) _ !� ! GARAGE LIABILITY AUTO ONLY -EA ACCIDENT S ANYAUTO APP D Y ;JK IVi MEN7 OTHERTHAN EAACC S EXCESSIUMBRELLA LIABILITY AUTOONLY: AGG EACH OCCURRENCE $ $ OCCUR CLAIMSMADE 1 DATE �.._....� AGGREGATE $ - WAIVER N/A ILYES $ � DEDUCTIBLE J RETENTION $ -PC"-, (i h l / 0 $ 'NORKERSCOMPENSATIONAND ' TORYUM-ITS vER EMPLOYERS' LIABILITY 1 , j E.L. EACH ACCIDENT $ W PROPRIETMPAUNERI ECUTIVE OFFICERIM-BER-CLUDEDY E.L. DISEASE - EA EMPLOYEE $ Ifyes, describe under (//JT) SPECIAL PROVISIONS below / ) . LIr E.L. DISEASE - POLICY LIMIT $ OTHER r DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED WITH REGARDS TO BUSINESS AUTO LIABILITY CERTIFICATE HOLDER MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: MARIA SLAVIK 1100 SIONTON ST. 2-268 ,KEY WEST, FL 33040 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAME LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF Y KIN UPON THE INSURER, ITS ENT. R REPRESENTATIVES. AUTHORIZED REPRESENTATIVE —T _ /) ACORD25(2001/08) `� OACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE CSR Ns DATE(MM/DD/YYYY) MOWRE-1 04 04 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Molton, Allen & Williams, LLC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Post Office Box 2725 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pensacola FL 32513-2725 Phone:850-478-3400 Fax:850-478-1669 INSURED Mowrey Elevator Company Inc. 4518 Lafayette St. Marianna FL 32446 rnvcowr_cc INSURERS AFFORDING COVERAGE I NAIC # INSURER A: Admiral Insurance Company INSURERB: Evanston Insurance Company 35378 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 NSR TYPE OF INSURANCE POLICY NUMBER L Y F TIV DATE MM/DD/YY L E DDrtr N TAM( DATE MM/DD/YY LIMITS A X GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE [j(] OCCUR CA000003775 02 04/01/05 04/01/06 EACH OCCURRENCE $ 1, Q Q 0, Q Q Q X PREMISES (Ea occurence) $50,000 MED EXP (Any one person) $ Excluded PERSONAL & ADV INJURY $ 1, 0 0 0, 0 0 Q GENERAL AGGREGATE $ 2 , QQQ , QQQ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY J CO ET LOC PRODUCTS - COMP/OP AGG s2.000. OO O AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS "� , Y �':,- �`,. APfn BY DATE " k11_ � NAGEME� .I, COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ 3 PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY _ - r V (Jy( u AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: qGG $ $ B EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMSMADE DEDUCTIBLE X RETENTION $ Q CUGA220705 04/01/05 04/01/06 EACH OCCURRENCE $1,QQQ,QQQ AGGREGATE $ 1,000,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER jurH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *30 days notice of cancellation except 10 days for non-payment of premium. Elevator Service & Maintenance Monroe County Board of County Commissioners/Monroe County Risk Management are additional insured as respects General Liability. CFRTIFICOTF unl nl=D MONRO - 5 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL * DAYS WRITTEN Commissioners/Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Maria Slavik 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. AUTHORIZ E ACORD 25 (2�P1l08) © ACORD CORPORATION 1988 CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any Policy numbered and described below. CERTIFICATE HOLDER: MONROE CNTY BOARD OF CNTY C/R/M ATTN MARIA SLAVIK 1100 SIMONTON STREET 2-268 KEY WEST, FL 33040 INSURED: MOWREY ELEVATOR COMPANY INC 4518 LAFAYETTE ST MARIANNA, FL 32446 I I POLICY NUMBER I POLICY I POLICY { TYPE OF INSURANCE I & ISSUING CO. IEFF, DATE IEXP. DATE { LIABILITY I I C] Liability and I I I { Medical Expense I I { Personal and I I I Advertising Injuryl i C ] Medical Expenses i { I [ ] Fire Legal I I Liability l { I I I I I { { I [ ] Other Liability I i I I I I i AUTOMOBILE LIABILITY { 77-BA-719336-3001 { 05-15-03 105-15-04 { [XI BUSINESS AUTO I NATIONWIDE I MUTUAL { i l [X] Owned l INSURANCE CO. { l I CX] Hired I I I { [XI Non -Owned { { I I I I { I LIMITS OF LIABILITY (*LIMITS AT INCEPTION) I I Any One Occurrence........ S l I Included in Above - Any One Person or I Organization ANY ONE PERSON ........... S I Any One Fire or Explosion S I General Aggregate* ....... S I Prod/Comp Ops Aggregate* . $ l I I I Bodily Injury I (Each Person) S (Each Accident) ........ $ I Property Damage (Each Accident) ........ S l Combined Single Limit .... $ 1,000,000 I I EXCESS LIABILITY { { { { Each Occurrence .......... S i I { I I { Prod/Comp Ops/Disease [ ] Umbrella Form { APP; MA EMEN7 Aggregate* $ l I I I STATUTORY LIMITS l [ ] Workers' i DATE �� I BODILY INJURY/ACCIDENT ... $ { Compensation { "'A IVER N//A m� .YE vy I Bodily Injury by Disease I and C ] Employers' I ( I EACH EMPLOYEE .......... $ { Liability I v I'� { { Bodily Injury by Disease v I { POLICY LIMIT S l Should any of the above described policies nc efore the DESCRIPTION OF OPERATIONS/LOCATIONS expiration date, the insurance company will endeavor to mail VEHICLES/RESTRICTIONS/SPECIAL ITEMS written notice to the above named certificate holder, but failure to C/H IS LSTO AS AN ADDTL INSRD mail such notice shall impose no obligation or liability upon the AS RESPECTS TO COMM/AUTO LBTY company, its agents, or representatives. ONLY ELEVATOR/INSPECTION/MAINT Effective Date of Certificate: 05-15-2003 Authorized Representative: ROBERT REMIG Date Certificate Issued: 05-20-2003 Countersigned at: *AUTO*HOME*LIFE*BUSINESS 3298 SUMMIT BLVD STE 31B Ar-O-RQM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7 1s 2005 PRODUCER The Norris A enc �J Y P . 0. Box 16118 Panama City, FL 32406 850-769-9368 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED Mowrey Elevator Services, Inc. 4518 Lafayette Street Marianna, FL 32446 1850-526-4111 INSURER A: Brid efield Employers INSURER B: I 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. i INSR LTR ADDT INSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MM/DD/YY DATE MM/DD/YY LIMITS '. GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Ea occurence $ COMMERCIAL GENERAL LIABILITY CLAIMSMADE 7 OCCUR ME D EXP (Any one person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. I PRO- 1 LOC j POLICY JECT PRODUCTS - COMP/OP AGG I $ I AUTOMOBILE LIABILITY ANYAUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILYINJURY (Per person) $ ALLOWNEDAUTOS SCHEDULED AUTOS BODILY INJURY Peraccident $ 1, HIRED AUTOS NON-OWNEDAUTOS �p } K'' �,(.'-" s4 I �rl; iu?C.� BY G nAT ! PROPERTY DAMAGE ( ) I ---- RAGELIABILiTY WAIVER j AUTO ONLY -EAACCIDENT $ OTHER THAN EAACC j $ $ AUTOONLY: AGG EXCESSlUMBRELLA LIABILITY j EACH OCCURRENCE $ —J AGGREGATE OCCUR CLAIMSMADE . DEDUCTIBLE ccj� 1 $ $ $ RETENTION $ A WORKERSCOMPENSATIONANDi EMPLOYERS' LIABILITY I ANY PROPRIETOPJPARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 830-32461 NW WCSTATU- OTH- X TORYLIMITS ER E. L. EACH ACCIDENT 6-10-06 E.L.DISEASE - EA EMPLOYE,$ $ 500,000 rj00 000 i If yes, describe under SPECIAL PROVISIONS below 16-10-05 E.L. DISEASE -POLICY LIMIT I $ 500,000 OTHER � *10 days notice of !cancellation allowed for !nonpayment of premium. UtbURIP I IUN UI- UVtKAI IUNS/ LUUAI IUNb / VtKIULtb/ tXCLUbIUNb AUUEU BY tNUUKbtMtN I / SPECIAL PROVISIONS Via Fax: 305-295-3178/Mail For: Service and Maintenance I CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners Attn: Risk Management P.O. Box 1026 Key West, FL 33041-1026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001 /08r CC - CORPORATION 1988 ACORD,. CERTIFICATE OF LIABILITY INSURANCE FIDATJE(MMIDD/YYYY) ORAEL-1 2/29/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Neace Lukens.- Louisville HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2305 River Rd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Louisville KY 40206 Phone: 502-894-2100 Fax: 502-894-8602 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: _ INSURER B: _ Oracle Elevator Company INSURERC StarNet Insurance Company Mowrey Elevator Service, Inc. - - 4518 Layfayette Street INSURER D National Union Fire Ins co. 19. 445 Marianna FL 32446 INSURER E: U%iVa cravmo THE POLICIES OF INSURANCE LISTED BELOW. HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR ---- -- -- TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION) DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENRE,CE - - $ 1 , 000 , 000 C X 1 COMMERCIAL GENERAL LIABILITY JMS000011400 j 01/01/06 01/01/07 PREMISES(Eaoccurence) $ 1001000 CLAIMS MADE `• OCCUR MED EXP (Any one person) $ 10 , 000 PERSONAL&ADV INJURY_, 000, 000 X Gen Agg is also STOP GAP COVERAGE - 01/01/06 01/01/07 I Per Elevator GENERAL AGGREGATE $3,000,000 BLKT WOS & BLKT AI 01/01/06 01/01/07 PRODUCTS - COMP/OP AGG $ 1 , 000 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: Emp Ben. 1,000,000 POLICY X JERCOT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO - ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS �u t_'.".' --_ -I----- -- HIRED AUTOS . _. BODILY INJURY $ I (Per accident) 1 NON -OWNED AUTOS l ._.___..__- `� - PROPERTY DAMAGE 1I $ rlr.�':.:, .. _.. ...._.. _..._. ..� ', (Per accident) GA RAGE LIABILITY a ? ({'!"; \j �t1 ___-- .. _...- - - AUTO ONLY EA ACCIDENT $ ANY AUTO 'OTHER THAN EA ACC $ $ _ AUTO ONLY. AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5 , 000 , 000 D XXc OCCUR CLAIMS MADE I BR163811 01/01/06 01/01/07 1 AGGREGATE '., $ 5, 000, 000 1 DEDUCTIBLE $ X RETENTION $ 10 , 000 $ WORKERS COMPENSATION AND TORY LIMITS '� ER EMPLOYERS' LIABILITY '( EL EACH ACCIDENT $ — ANY PROPRIETOR/PARTNER/EXECUTIVE _ - __-- -- - — - - - 1 OFFICEWMEMBER EXCLUDED? E.L. DISEASE_- EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER I II DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is listed as additional insured with respects to the named insureds general liability coverage as required by written contract with the named insured. CERTIFICATE HOLDER (;ANL:tLLAI IUN MONCO-4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Commissioners c/o Monroe Cty. 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 P O Box 1026 Kew West FL 33041-1026 REPRESENTATIVES. ACORD 25 (2001/08) vAVUKU cUl(rvrcw IUN IV00 I DATE(MM/DDIYYYY) A-AaOjWM CERTIFICATE OF LIABILITY INSURANCE 1/11/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION FLORIDA INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 45-A INDUSTRIAL BLVD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PENSACOLA, FL 32503 850-477-2511 INSURERS AFFORDING COVERAGE NAIC# INSURED ORACLE ELEVATOR COMPANY INSURER A: NATIONWIDE P&C COMPANY DBA MOWREY ELEVATOR SERVICE, INC. INSURER B: 4518 LAFAYETTE ST . INSURER C: MARIANNA, FL 32446 INSURER D: INSURER E: v TI E 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 M/',Y PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR DD'L NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICYEXPIRATION DATE MM/DDlYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ED PREMISES Ea occurence 1 $ COMMERCIAL GENERAL LIABILITY MEDEXP(Anyone person) $ CLAIMSMADE OCCUR PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT �', ��AUTOMOBILE y ` 'X LIABILITY I ANYAUTO COMBINED SINGLE LIMIT �i (Ea accident) $ 1 000 000 ,I �DILYINJURY (Per person) $ X ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS 77-BA-7638883001 06/10/05 06/10/06 •' X BODILYINJURY (Peraccident)' $ X PROPERTY DAMAGE (Peraccident) $'I GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ $ ANYAUTO OTHERTHAN EAACC $ j iAUT00NLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR CLAIMSMADE �.� i �A:.e,. EACH OCCURRENCE 1� 1,-) , AGGREGATE $ $ $ .-.p_.._._............ .. .. DEDUCTIBLE t: .. _ j� i/ .. f ( ., $ $ RETENTION $ c- - i .. __ i. WORKERSCOMPENSATIONAND _ '"' ' - - -__. W TATU- - TORYLIMITS ER E.L. EACH ACCIDENT EMPLOYERS' LIABILITY a ANY PROPRIETOR/PARTNER/EXECUTIVE lr E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? 1rJ.J\ Ifyes,describeunder C.� y SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS', FOR: SERVICE AND MAINTENANCE CE:,RTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED CERTIFICATE HOLDER CANCELLATION VIA FAX: 305-295-3179 MONROE COUNTY BOARD OF COMMISSION C/O MONROE COUNTY RISK MANAGEMENT PO BOX 1026 KEY WEST, FL 33041-1026 ATTN: MARIA SLAVIK, CPM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO1 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 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. ACORD25 (2001/08) Co�IK�] 7Z�i�7 71�7:7_�iAla<ikYi:' ACORD CERTIFICATE OF LIABILITY INSURANCE OF ID DATE(MMIDDIYYYY) ORAEL-1 08 14 06 PRODUCER CATE IS ISSUED AS A MATTER OF INFORMATION _ NLY AND NFERS NO RIGHTS UPON THE CERTIFICATE Neace Lukens - Louisville �{ ;� f L:,�OLDER. TH S CERTIFICATE DOES NOT AMEND, EXTEND OR 2305 River Rd �•-•----------- ---A6�fEFj THE qOVERAGE AFFORDED BY THE POLICIES BELOW. Louisville KY Phone:502 894 201006 Fax:502 899` }860� Af'r_ I_•7 /HUH V / .INShJRERS.AFFORDING COVERAGE NAIC# I INSURER Af Oracle Elevator Company INSURER B� Geh al Ins. Co. of Amervca 24732 Mowre Elevator Service i. Inc �i,I rMURERC StarNet Insurance_ Company 3300 Davie W 50 Avenue FL 33314- .InIsuRF„R-0,,.._.t„t I DniOn K Ins. Co. - -- 19445 __. _—_ INsuRER E. V V V CKAIotD THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING CE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -- - - -�- -- --- INSR LTR NSR TYPE OF INSURANCE -_-- -POLICY POLICY NUMBER EFFECTIVE DATE MMIDDIVY POLICY EXPIRATION' DATE MMIDDIYY -- - LIMITS GENERAL LIABILITY I I EACH OCCURRENCE $1,000,000 C X IX COMMERCIAL GENERAL JMS000011400 Q1/01/06 01/O1/07 PCREMMSESO(Ea $100,000 �LIABILITY CLAIMS MADE ^ OCCUR occcue VIED EXP (Anyone person) $1Q, UQV X Gen Agg is also STOP GAP COVERAGE 01/01/06 01/01/07 PERSONAL B ADV INJURY $1,000,000 Per Elevator BLKT WOS & BLKT AI 01/01/06 O1/Ol/07 'GENERAL AGGREGATE $ 3, 000, 000 GENE AGGREGATELIMITAPPLIES PER. — - PRODUCTS-COMP/OP AGO $1,000,000 POLICYX JECT BLOC -_._ Emp Ben. _-_... _ _ — - 1,000,000 AUTOMOBILE LIABILITY B �X,I ANY AUTO 24CC1129851 06/10/06 01/01/07 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) ALL OWNED AUTOS -- - ---- _- - __- - -- --' BODILY INJURY $ SCHEDULEDADTQS BLNKT ADDITIONAL INSURED (Per person) X HIRED AUTOS BLNKT WAIVER SUBROCAT ION BODILY INJURY NONOWNEDAUTOS WHEN REQUIRED BY CONTRACT (Per accident) $ X Hired Car Phy Dmg 24CC1129851 06/10/06 01/01/07 PROPERTY DAMAGE $ X'35k limit 500 ded (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO -- -- ----_--_-- OTHERTHAN EAACC $ ,AUTO ONLY: AGO $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $S, QOQ, QQQ D IX OCCUR �CLAIMS MADE BE9300610 01/01/06 01/01/07 AGGREGATE $5,000,000 DEDUCTIBLE - X RETENTION $ 10, 000 - $ WORKERS COMPENSATION AND EMPLOYERS LIABILIVY - ---- LIMITS _. FR E ANY PROPRIETOR/PARTNER/EXECUTIVE L EACH ..EACH ACCIDENT $ EXCLUDED? a lily-IITJ If yes describe yes, describe and �[ E L. DISEASE EA EMPLOYEE $ S SPECIAL PROVISIONS below PROVISIONS r E.L. DISEASE - POLICY LIMIT $ OTHER CL �K- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate holder is named as additional insured with respects to the named insureds general liability coverage as required by written contract with the named insured. RTIFICATE HOLDER CANCFI I ATInN Monroe County Board of County Commissioners Risk Management P O Box 1026 Kew West FL 33041-1026 MONCO-4 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ACORD 25 (2001108) G C. 1988 ACOR - CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 10/10/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GERMANI INSURANCE AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 13767 Tallahassee, FL 32317 Al IP0 T14F COVERAGE AFFORDED BY THE POLICIES BELOW. RECE� (850) 942-1200 AFF RDING COVERAGE NAIC# INSURED Mowrey Elevator Servlc , Oracle Elevator Compa I C. OCT T 6�IN INSURERA ridg field Employers Ina Co. B- }R RER C 3300 SW 50th Avenue RERD _ Davie, FL 33314 MONROE C UN$17RER 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 LT OO•L xsRO TYPE F IN URANCE POLICY NUMBER -RD CVEFFECTIVE DATE MMIDD/YV POLICY EXPIRATION DATE MMIDOM/ LIMITS GENERAL LIABILITY EACH OCCURRENCE— $ — - PREMISES (Ea oamrence) COMMERCIAL GENERAL LIABILITY _ $ T— — CLAIMSMADE (OCCUR MED EXP(Any one person) $ PERSONALBADVINJURV $ GENERAL AGGREGATE _ $ - GE I AGGREGATE LIMIT APPLIES PER POLICY PRO- LOC JECT - PRODUCTS- COMPIOP AGG $ AUTOMOBILELIABILITV ANVAUTO j COMBINED SINGLE LIMIT (Ea accitlenQ $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS I r BODILYINJURV (Peramident) $ HIRED AUTOS NON-OWNEDAUTOS � PROPERTY DAMAGE _..- (Peramident) �'•. $ GARAGE LIABILITY uIrw AUTOONLV-EAACCIDENT $ _— ANYAUTO y N $ OTHER THAN -EAACC AUTOONLV: AGG $ EXCESSIUMBRELLA LIABILITY p r )1, EACH OCCURRENCE $ OCCUR 1I CLAIMSMADE ! AGGREGATE $ C� 8 J $- DEDUCTIBLE , $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETO ARTNER ECUTIVE OFFICERIMEMBER UCLUDED9 0830-32461 01/01/06 01/ DWCSIAI X IRYLMTS -"— — ?01/07 i,$_.__._ 500�0001 EI.EACHACCIDENT E.L. DISEASE - EA EMPLOYE $ 500 000 (ye5,de9Cnoe.nder SPECIAL PROVISIONS below El DISEASE -POLICY LIMIT $ 500 ODQ OTHER lU days cancellatmon notice allowed for non-payment of premium DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS For: Monroe County Detention Monroe County Board County Coalmissioners 1100 Simonton Street Key West, FL 33040 305-295-31,78 / Maria Fax: 305-2',95-3179 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOs of DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO WIL30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO IGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESEN TI ES. Slavik .'..Ao o.. .,...,.� ACORD25(20(V908,f )- ©ACORD CORPORATION 1988 ACORv CERTIFICATE OF LIABILITY INSURANCE OF ID R DATE(MDDIYYYY) ORAEL-1 1W2 26 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Neace Lukens - Louisville HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 2305 River Rd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Louisville KY 40206 Phone:502-894-2100 Fax:502-894-8602 INSURERS AFFORDING COVERAGE NAIL# ..... INSURER A. Nat'l Fire Ins Co of Hartford INSURER B: StarNet Insurance Company Oracle Elevator Company INSURER C: National Union Fire Ina. Co. _ 194.45 10851 Endeajvor Way INSURER D: Largo Fl, 33777 ----- INSURER E. COVERAGES THE POLICIES OF INSURANCE L113TED 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. O ""--"'" -""-"-"- — POLICY EFE TIVE POLICY EXPIRXTIN __--- -— — IN NSR TYPE OF INSURANCE POLICY NUMBER DATE MWDOIYY DATE MWDD" LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 $ X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR JMSQQQQ114Q2 Q1/Ql/QS Q1/Ql/Q9 $100,000 PAMAREMISES (Ea occuran., MED EXP (Any one Person) $ 10,000 PERSONAL&ADVINJURY $1,000,000 X Gen AAgg is also STOP GAP COVERAGE 01/01/08 01/01/09 $3,000,QQO Per Elevator GENERAL AGGREGATE �CEN'1. AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP ASS s3,000,000 PRC� 1-1JECT LOC POLICY X Ben. 1,000,000 A X AUTOMOBILE LIABILITY ANY AUTO 2092499980 01/01/08 01/01/09 COMBINED SINGLE LIMIT (Ea accident) $1 QQQ, QQQ r X BODILY INJURY (Per person) ALL OWNED AUTOS SCHEDULED AUTOS $ A A X X HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Par accident) $ A X Hired Car Phy Dmg 2092499980 01/01/08 01/01/09 $ PROPERTY DAMAGE (Per a.d.nt) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO $ EXCESWUMSRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 C X OCCUR F7CLAIMSMADE BE3055919 01/01/08 01/01/09 AGGREGATE $5,000,000 $ S DEDUCTIBLE X RETENTION $ 10, 000 S A A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY ANY CERIMEETORIEUDRIEXECUTIVE IfWa,c arrive no.,XCLEXCLUDED' SPECIAL PROVISIONS below 2092499977 2099346103 01/01/08 01/01/08 01/01/09 01/01/09 X I TORYLIMRS ER E.L.EACH ACCIDENT $1,000 QQQ Y E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT S1,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re: Service IS Maintenance Certificate Holder is named as additional insured with respects to the named insureds general liability and auto liability coverage as required by written contract with the named insurd. MONCO-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN M0[lroe County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Board of County Commissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street Key West E'L 33040 REPRESENTATIVES. 25 (20011081 w A A, Gi VI, ``---- CORPORATHIM 90RR �R� CERTIFICATE OF LIABILITY INSURANCE OP ID 7D �TE(MMIDDIYYYY) ORABL-1 09 14 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Neace Lukens - Louisville HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2305 River Rd Louisville KY 40206 Phone:502-894-2100 Fax:502-894-8602 INSURED Oracle Elevator Company 7207 114th Avenue Cop Unit F Largo FL 33773 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Nat'l Fire Ins Co of Hartford 20478 INSURER B: StarNet Insurance Com an INSURER C: National union Fire ins. Co . 19445 INSURER D: Valley Fore Insurance Co. 20508 INSURER E: V V r G F%PTV Gv7 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. IN3K 'Anllr'L LTR NS TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MNUDD POLICY EXPIRATION DATE MMIDD OMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, O O O, 000 PREMISES Ea occurence $ 10 0 , 0 0 0 B X X1 COMMERCIAL GENERAL LIABILITY JMS 0 0 0 0114 0 2 01/01/09 01 / 01 / 10 MED EXP (Any one person) $ 10 , 0 0 0 CLAIMS MADE FX]OCCUR PERSONAL & ADV INJURY $ 1, 0 0 0 , 0 0 0 X Gen Agg is also STOP GAP COVERAGE 01/01/09 01 / 01 / 10 Per Elevator GENERAL AGGREGATE $ 3, 0 0 0, 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3 , 0 0 0 , 000 Em Ben. 11000,000 JECT PRO- POLICY [j7] PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1, O O O , 0 0 0 A X X ANY AUTO 2092499980 01/01/09 01/01/10 (Ea accident) BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ A X HIRED AUTOS (Per accident) A X NON -OWNED AUTOS PROPERTY DAMAGE $ A X Hired Car Phy Dmg 2092499980 01/0 qt9 01/01/10 Y (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO vtto A $ .,,� AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5, 000, 000 C X OCCUR F-ICLAIMSMADE BE023406413 01 1/09 01/01/10 $ DEDUCTIBLE 6 k $ X RETENTION $ 10 , 0 0 0 WORKERS COMPENSATION _ X TORY LIMITS ER D AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIV Y I N 2092499977 01 / 0 09 01 / 01 / 10 E.L. EACH ACCIDENT $ 1, 0 0 0, 0 0 0 E.L. DISEASE - EA EMPLOYEE $ 110 0 0 , 0 0 0 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - POLICY LIMIT $ 1, 000j, 000 If yes, describe under SPECIAL PROVISIONS below OTHER A Install Cover 2092475002 01/01/09 /01/10 Install 657,000 Ded 1, 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SP CIAL PROVISIONS Re Service Maintenance Certificate Holde is named as additional insured with respects to the named insureds general liabili ty and auto liabili ty coverage as required by written contract ith the named insurd. f'`_CQTI=it_eTF UnI nFR CANCELLATION Monroe County Board of County Commissioners 1100 Simon ton Street Key West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONCO 12 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2009101) © 9 933-2009 AGUKD GUKPUKA I IUn. A11 rlgnm reservea. The ACORD name and logo are registered marks of ACORD DATE (MWDDlYYYY) ORDOF ORAEL -1 AtECERTIFICATELIABILITY INSURANCE OP ID RY 01 11 10 THIS CERTIFICATE IS ISSUED AS A MATTERINFORM FROCER ONLY AND CONFERS NO RIGHTS UPON T F CAATION HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR - Louisville a Neace Lukens Louis ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 2305 River Rd Louisville KY 40206 Phone : 5 0 2- 8 9 4- 210 0 Fax : 5 0 2- 8 9 4- 8 6 0 2 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Nat'l Fire Ins Co of Hartford 20478 INSURER B: StarNet Insurance COm an Oracle Elevator p Com any INSURERC: National union Fire Ins. Co. 19445 7207 114th Avenue N Unit F Insurance Co. INSURER D: Valle Fore Ins 20508 Largo FL 33773 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY THE INSURANCE AFFORDED BY THE CONTRACT OR OTHER DOCUMENT POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH MAY PERTAIN, POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER DATE MMIDD DATE MMIDD LIMITS EACH OCCURRENCE $ l, 0 0 0, 0 0 0 LTR NS TYPE OF INSURANCE GENERAL LIABILITY JMS 0 0 0 0114 0 4 O 1/ O 1/ l 0 O 1/ O 1/ 11 PREMISES (Ea occurence) $ 10 0, 0 0 0 $ X X COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx] OCCURMED EXP (Any one person) $ 1O, OOO ' also Gen Agg is X]Per STOP GAP COVERAGE O 1 / O 1 / l 0 01 / O 1 / 11 PERSONAL & ADV INJURY $ 1, 0 0 0 , 0 0 0 GENERAL AGGREGATE $ 3, 0 0 0, 0 0 0 Elevator PRODUCTS -COMP/OP AGG $ 3, 0 0 0, O O O GEN'L AGGREGATE LIMIT APPLIES PER: Em Ben . 110 0 0, O O O PRO- POLICY FX JECT F7LOC AUTOMOBILE LIABILITY 01 / 10 01 / 01 / 11 COMBINED SINGLE LIMIT (Ea accident) $ 1, O O O , O O O A X X ANY AUTO 2092499980 ,,, ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS BODILY INJURY A X HIRED AUTOS (Per accident) $ A X NON -OWNED AUTOS A X Hired Car Ph Dm 2092499980 O1/O1/10 01/O1/il PROPERTY DAMAGE $ (Per accident) A AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY C) EAACC $ ANY AUTO � / OTHER THAN AUTO ONLY: AGG $ EACH OCCURRENCE $ 510 0 0, O O O EXCESS !UMBRELLA LIABILITY OCCUR CLAIMS MADE KI❑ BE063807442 Ol/O1/10 O1/O1/11 AGGREGATE $ 5, 000, OOO C $ DEDUCTIBLE v $ X RETENTION $ 10 , 0 0 0 _ - WORKERS COMPENSATION X TORY LIMITS ER AND EMPLOYERS' LIABILITY Y/ N D ANY 2 0 9 2 499977 O 1/ O 1/ 10 O 1/ O 1/ 11 E.L. EACH ACCIDENT $ l, 0 0 0, 0 0 OFFICER/MEMBER EXCLUDED? �❑ E.L. DISEASE - EA EMPLOYEE $ 1, O O O , O O O In Mandato in NH If yes, describe under E.L. DISEASE - POLICY LIMIT $ l , 0 0 O , O O O SPECIAL PROVISIONS below OTHER A Install Cover 209 2475002 01/01/10 01/01/11 Install 11000,000 ! EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Ded 1,000 DESCRIPTION OF OPERATIONS !LOCATIONS /VEHICLES Re: Service and Maintenance Certificate holder is named as additional insured with respects to the named insureds general liability and auto liability coverage if and as required by written contract with the named insured. f%AUf%=1 1 ATM111 CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATI01 MONCO 12 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 Monroe County IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Board Of County Commissioners REPRESENTATIVES. 1100 Simonton Street AUTHo PRESENTATIVE Key West FL 33040 ACORD 25 (200 1) . 1988-2 ORD CORPORATION. All rights reserved. GC.. The ACORD name and logo are registered marks of ACORD Rom® CERTIFICATE OF LIABILITY INSURANCE OP ID 12 DATE(MM/DD/YYYY) 12 2s/lo 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 UUNIAUI NAME: Christi West t: 502- 59-9316 (A/c,No): 502-894-860 Neace Lukens - Louisville �,7�C rist'.west@neacelukens.com 2305 River Rd t, Louisville KY 40206 Phone:502-894-2100 Fax:502-894 602 , CUSTOMER ID#:' O L-1 INSU ER(S)AFFORDINGCOVERAGE NAIC# INSURED Oracle Elevator Company 7207 114th Avenue Np INSUsat-1 Fire Ins Co of Hartford INSURER B : tar et Insurance Company AC: Natio,aI Union Fire Ins. Co. Unit F MONRO Largo FL 33773 RiSK %,!A 1kfii fdkeTD: Valley Forge Insurance Co. INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fxl OCCUR JMS000011405 01/01/11 01/01/12 PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 10,000 X Gen Agg is also X STOP GAP COVERAGE 01/01/11 01/01/12 PERSONAL & ADV INJURY $1,000,000 Per Elevator GENERAL AGGREGATE $4,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s4,000,000 POLICY X PEC LOC Ben. $ 1, 000 , 000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS 2092499980 01/01/11 01/01/12 COMBINED SINGLE LIMIT accident) 1,000,000 X BODILY NJINJ$ BODILY (Per person) $ BODILY INJURY (Per accident) $ A SCHEDULED AUTOS HIRED AUTOS X (1y —6 ' X PROPERTY DAMAGE (Pei accident) $ A NON -OWNED AUTOS X $ A Hired Car Phy Dma 2092499980 01/01/11 01/01/12 rXI $ C UMBRELLA LIAB X OCCUR BE099331008 01/01/ /01/12 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE s5,000,000 DEDUCTIBLE RETENTION $ 10,000 $ // 1, X $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVEM OFFICERIMEMBEREXCLUDED? (Mandatory in NH) ff yes, describe under DESCRIPTION OF OPERATIONS below I 2092499977 01/01/11 �% 1aaa U 01/01/12 X I WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1 00O 000 E.L. DISEASE - EA EMPLOYEE $ 1 , 000 , 000 E.L. DISEASE - POLICY LIMIT $ 1 , 000 , 000 A Install Cover 2092475002 01/01/11 01/01/12 Install 1,000,000 Ded 1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Service and Maintenance Certificate holder is named as additional insured with respects to the named insureds general liability and auto liability coverage if and as required by written contract with the named insured. CERTIFICATE HOLDER CANCELLATIC)N MONC012 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West FL 33040 U 19I30-2009-ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ORAEL-1 OP ID: 12 CERTIFICATE OF LIABILITY INSURANCE AT12/2DD/YYYY) r2/27/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURAN CT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND TH[!!:2 IMPORTANT: If the certificate holder is an ED, the policy(ies) ust be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certaiuire an endorsemen A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen PRODUCER Neace Lukens - Louisville Assured NL Insurance Agcy, Inc 2305 River Rd Louisville, KY 40206 Alan J. Jones 94-8602 E MA EM NTACT NAME: PHONE ac No Ext FAX A/c No): DDRIESS: INSURERS AFFORDING COVERAGE NAIC # INSURERA:Valley Forge Insurance Co. INSURED Oracle Elevator Company INSURER B: Nat'l Fire Ins Co of Hartford 7207 114th Avenue N Unit F Largo, FL 33773 INSURER C: StarNet Insurance Company INSURER D:National Union Fire Ins. Co. INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER MM/DDIYYYY CY EFF MM/DD//YYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000. C X COMMERCIAL GENERAL LIABILITY X JMS000011406 01/01/12 01/01/13 DAMAGE TO RENTED PREMISES Ea occurrence $ 100 00 CLAIMS -MADE Fx_1 OCCUR MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 Gen Agg is also STOP GAP COVERAGE Per Elevator GENERAL AGGREGATE $ 4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,00 Emp Ben. $ 1,000,00 POLICY X PRO LOC B AUTOMOBILE LIABILITY X ANY AUTO X mr a� 1 01/01/12 01/01/13 COMBINED SINGLE LIMIT Ea accident 1000000 $ > > BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS T pA W Qp PROPERTY DAMAGE Per accident $ $ X Hr'd PD �GU UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 X AGGREGATE $ 6,000,00 D EXCESS LIAB CLAIMS -MADE BE068024723 01/01/12 01/01/13 DED I X I RETENTION $ 10,000 $ WORKERS COMPENSATION XI TO WC RYSTATU- OTH- ER A AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/❑N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 292499977 01/01/12 01/01/13 E.L. EACH ACCIDENT is 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 If yes, describe under DESCRIPTION OF OPERATIONS below B Install Cov/BR 2092475002 01/01/12 01/01/13 Install 1,000,00 Ded 1,uo DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Service and Maintenance Certificate holder is named as additional insured with respects to the named insureds general liability and auto liability coverage if and as required by written contract with the named insured. CFRTIFIr:ATF 41r11 nFR CANCELLATION MONC012 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Board of County Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 � ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ORACELE-01 JIMARRILLIA CERTIFICATE OF LIABILITY INSURANCE DATE27/20Y 12/27/202 12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, ce endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsem t(s).� PRODUCER CONTACT NAME: Neace Lukens - Louisville/ Assured NL Insure ice Agency Inc PHONE- --- FAX — lac, No, E>d (502) 894 2100 lac Nod: (502) 894-8602 2305 River Road -- ----- --- - - Louisville, KY 40206 EAIL J A , , " I 2 ADDRMESS_ INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: artford Underwriters Insurance Co 30104 MONROE COUN'IY- INSURED INSURER B: alley Forge Insurance Company.. 20508 - Oracle Elevator Company RISK MANAGEMEN OSURERC:-ommerce and Industry Insurance Company 19410 7207 114th Avenue N Unit F ontinental Casualty Company 20"3 Largo, FL 33773 INSURER E : _ INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDIL U R POLICY EFF POLICY EXP - - - - - LTR - - - TYPE OF INSURANCE ,INSR WVD - POLICY NUMBER _ 7 -1 jMM/DD/WYY IMM/DD/YYYY ._ LIMITS---__-- 1 GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 -DAMAGE TORENTED - --- -- - A X COMMERCIAL GENERAL LIABILITY 13UENOJ6996 1/1/2013 1/1/2014 PREMISES E $ 100,000 CLAIMS -MADE X OCCUR GEN'L AGGREGATE LIMIT APPLIES PER _ POLICY X PRO LOC _-JECT_ AUTOMOBILE LIABILITY B X _ ANY AUTO ALL OWNED AUTOS X HIREDAUTOS UMBRELLA LIAB SCHEDULED AUTOS X NON -OWNED AUTOS X OCCUR C X EXCESS LIAB CLAIMS -MADE DED (_RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N D ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) `- --- If yes, describe under DESCRIPTION OF OPERATIONS below B Installation / Build AP ;YNAGEMf NT v BY� w 2092499980 1/1/2013 BE018948748 1/1/2013 2092499977 1/1/2013 2092475002 1/1/2013 a occu_ rrenc-1 _ ___ _ _ _ _ _ MED EXP (Any one person) _ $ 10,000. PERSONAL & ADV INJURY $ 1,000,000' GENERAL AGGREGATE $ 3,000 000 PRODUCTS - COMP/OP AGG $ 3,000,000 - Max Genrl Aggre $ 10,000,000 COMBINED SINGLE LIMIT (Ea accident) — - 1,000 000 $ --- - 1/1/2014 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) I $ PROPERTY DAMAGE $ (PER ACCIDENT) $ EACH OCCURRENCE $ 10,000,000 1/1/2014 AGGREGATE $ ,Gen Aggregate $ 10,000,000 OTH-I TORY LIMITS ER 1/1/2014 ___ _;_ E.L. EACH ACCIDENT $ 1,000,000' E.L.DISEASE - EA EMPLOYEE'$ ---- 1,000,000' E.L. DISEASE - POLICY LIMIT - $ 1,000,000' 1/1/2014 Installation 1,000$000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Re: Service and Maintenance. Certificate holder is named as additional insured with respects to the namedinsureds general liability and auto liability coverage if and as required bywritten contract with the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street ----- -- Key Wpist, FL 33040 AUTHORIZED REPRESENTATIVE G L • �7�wc�v`�Z-cam �"" ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ORACELE-01 JMARRILLIA �►�oRO CERTIFICATE OF LIABILITY INSURANCE I DATE 12/30/2013Y) 12/30/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE CT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE C f TIFICAT DIMPORTANT: If the certificate holder is an AITIONAL INSURED, the policy(ies) m t be endorsed. If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certainicies may require an endorsement. statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) AIA PRODUCER JaCRTACT NAME: Neace Lukens - Louisville/ Assured NL Insurance A ency Inc PHONE 50 894-2100 p No : (502) 894$602 AX 2305 River Road A/C No Ext : ( ) Louisville, KY 40206 MONROE CO Ess: RISK MANAGEMENT INSURED Oracle Elevator Company 7207 114th Avenue N Unit F Largo, FL 33773 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hartford Underwriters Insurance Co 30104 INSURER B: Valley Forge Insurance Company 20508 INSURERc:Commerce and Industry Insurance Company 19410 INSURER D: Continental Casualty Company 20443 INSURERE: _ o CVICIn K1 LII IMRFR• GOVtKAUt, VCR 11r1%1ra I � "UM-'. OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY EXP TYPE OF INSURANCE POLICY NUMBER MM/DD MM/DD LIMITS L LIABILITY EACH OCCURRENCE $ 1,000,00 MMERCIAL GENERAL LIABILITY 13UENOJ7161 7/1 /2013 7/1/2014 kAX PREMISES Ea occurrence $ 300,00 CLAIMS -MADE OCCUR MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 3,000,00 PRODUCTS - COMP/OP AGG $ 3,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: MAX GNRL AGG $ 10,000,00 POLICY PRO- Loc accideD SINGLE LIMIT 1,000,00 AUTOMOBILE LIABILITY Ea $ 2092499980 1/1/2014 1/1/2016 B X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS NON-OWNED PROPERTY DAMAGE X HREDSAUTOS X Per accident)$ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,0 00 AGGREGATE $ C EXCESS LIAB CLAIMS -MADE BE060702197 7/1/2013 7/1/2014 X Gen Aggregate $ 10,000,00 DED RETENTION $ X WC SLIMITTATUO WORKERS COMPENSATION R TORY LIMIT ER E.L. EACH ACCIDENT $ 1,000,00 D AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE 2092499977 1/1/2014 1/1/2015 E.L. DISEASE - EA EMPLOYE $ 1,000,00 OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 B Install I Bldg Risk- 2092475002 1/1/2014 1/1/2015 Installation 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Re: Service and Maintenance. Certificate holder is named as additional insured with respects to the namedinsureds general liability and auto liability I coverage if and as required bywritten contract with the named insured. IS ENT P �lui'i1b� WANR N/AK/-- c ERTIFICATE HULUtK ZZ:01WV L- NKU01 Monroe County , ,- Board of County Commissioners 1 J 3 NJ (JI- i i i 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE lJ 1y00-LU I t1VlJrly ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD