Certificates of Insurance
. ACDRQ CERTIFICA TE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY)
OS/28/2009
PRODUCER (800) 524-7024 FAX (800) 524-4013 THIS CERTIFICATE IS ISSUED AS A MA ITER OF INFORMATION
Automatic Data Processing Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1 ADP Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Roseland, NJ 07068
INSURERS AFFORDING COVERAGE NAIC#
INSURED Early Learning Coalition of Mi_i - Dade/Monr04 INSURER A: BEIC - Bridgefield Employers I
2555 Ponce De Leon Blvd. INSURER B:
Coral Gables, FL 33134 INSURER c:
INSURER D:
INSURER E:
cnvFRAC::F~
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~~ ~~~~ TYPE OF INSURANCE POLICY NUMBER P~t~Y EFFECTlVE POLICY EXPIRATION LIMITS
GENERAL UABlLlTY EACH OCCURRENCE $
I--- DAMAGE T9~~~::,7~n('..\
COMMERCIAL GENERAL LIABILITY $
I--- o CLAIMS MADE D OCCUR
MED EXP (Anyone person) $
I--
PERSONAL & ADV INJURY $
I---
GENERAL AGGREGATE $
I--
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $
n n PRO- nLOC
POLICY JECT
AUTOMOBILE UABILlTY COMBINED SINGLE LIMIT
I-- $
ANY AUTO (Ea accident)
I---
ALL OWNED AUTOS BODILY INJURY
I--- $
SCHEDULED AUTOS (Per person)
I---
HIRED AUTOS BODILY INJURY
I-- $
NON-OWNED AUTOS (Per accident)
I--
-- PROPERTY DAMAGE $
(Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
=i ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
EXCESSAJMBRELLA UABlUTY EACH OCCURRENCE $
=:J OCCUR D CLAIMS MADE AGGREGATE $
$
=i DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSAnON AND 0830-35026 08/26/2008 08/26/2009 X I TVXC6~T ~JI~~ I IOJ~-
EMPLOYERS' UABUTY 500,00lJ
A ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500,00lJ
If yes, desaibe under 500,00G
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPnON OF OPERAnONS I LOCA nONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Monroe County
Gato Building
1100 Simonton St.
Key West, FL 33040
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRAnON DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
J!L.. DAYS WRITTEN NonCE TO THE CERnRCA TE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOncE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTAWES.
AUTHORIZED REPRESENTA WE
Matthew Robbins
ACORD 25 (2001/08)
@ACORD CORPORATION 1988
ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY)
6/19/2009
PRODUCER (305)714-4400 FAX: (305)714-4401 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
BROWN & BROWN INSURANCE-HBA DIVISION HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2500 NW 79th Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW"
Suite# 101
Miami FL 33122 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Philadelphia Indemni ty 18058
Early Learning Coalition Of Miami-Dade/Monroe INSURER B: Scottsdale Insurance 41297
2555 Ponce De Leoon Blvd Fl 5 INSURER c:
INSURER D:
Coral Gables FL 33134 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.
A- - TE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADD"L POLICY NUMBER P81+i1~:68,wf Pg~'fl(~J;~~N LIMITS
ITD ,,,QDn TYPE OF INSURANCE
GENERAL UABlUTY EACH OCCURRENCE $ 1,000,000
r-- ~~~~*~J9E~~E~nce)
X COMMERCIAL GENERAL LIABILITY $ 100,000
A I CLAIMS MADE [!] OCCUR PHPK416722 5/5/2009 5/5/2010 MED EXP (Anv one carson) $ 5,000
PERSONAL & ADV INJURY $ 1,000,000
r--
r-- GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000
rxl POLICY n ~~8T n LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000
r-- (Ea accident) $
ANY AUTO
r-- [gOlO
A ALL OWNED AUTOS PHPK416722 5/5/2009 BODILY INJURY
r-- ~JH) (Per person) $
r-- SCHEDULED AUTOS ''D1l
X HIRED AUTOS BODILY INJURY
r-- $
X NON-OWNED AUTOS (Per accident)
r-- -00 -
r-- OG PROPERTY DAMAGE $
./ (Per accident)
GARAGE UABlLlTY t / AUTO ONLY - EA ACCIDENT $
R ANY AUTO OTHER THAN EA ACC $
AUTO ONLY: AGG $
A EXCESS/UMBRELLA LIABILITY PHPK416722 5/5/2009 5/5/2010 EACH OCCURRENCE $ 5,000,000
~ OCCUR D CLAIMS MADE AGGREGATE $ 5,000,000
$
R DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION AND I we STATU- I OTH-
EMPLOYERS' LIABILITY TORY LIMITS ER
ANY PROPRIETORlPARTNERlEXECUTIVE E.L. EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $
B OTHER PROPERTY CPS1006973 5/5/2009 5/5/2010 KEY WEST LOC CNTS $15,000
SPECIAL $2,500 AOP DEDUCTIBLE CORAL GABLES CNTS $300,000
90% CO INSURANCE BUSINESS INcam $150,000
DESCRIPTION OF OPERA TIONSlLOCA TIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Certificate Ho1der is 1isted as Additiona1 Insured with respect to 1ocation 1100 Simonton Street Suite 1-204
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Monroe county EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
1100 Simonton Street ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
Key West, FL 33040 FAILURE TO DO SO SHALL IMPOSE NO OBUGATlON OR LIABIUTY OF ANY KIND UPON THE
INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE ~ ~
H INSURANCE GROUP/JAF __
ACORD 25 (2001/08)
III.I~n?1;: /ninO\ no~
@ACORDCORPORATION 1988
P2nc. 1 nf?
P.O. Box 988
Lakeland, FL 33802-0988
~gefield Employers
Insurance COmpanYT"
Member of Ubeny Mutual Group
1-800-282-7648
(863) 665-6060
Fax (863) 666-1958
CERTIFICATE OF INSURANCE
RE : 0830-35026
ISSUED TO : Monroe County Gato Bldg
1100 Simonton St
Key West, FL 33040
Producer: Amanda Scherman
Company: Automatic Data Processing
Insurance Agency
Address: 1 ADP Blvd.
Roseland, NJ 7068
Phone: (800) 524-7024
This is to certify that Early Leaming Coalition Of Miami-Dade/Monroe, 2555 Ponce De Leon Boulevard, 5th Floor Coral
Gables, FL 33134, being sUDJect to me prOVIsions OT me I"lonaa WOrKers' L;ompensatlon Law, nas securea me payment OT any
wOrKers' compensation benefits due by insuring their risk with the Bridgefield Employers Insurance Company.
POLICY NUMBER:
0830-35026
Statutory Limits -- State of Florida
EXPIRATION DATE:
August 26, 2011
Employers Liability
500,000 (Each Accident)
500,000 (Disease-Each Employee)
500,000 (Disease-Policy Limit)
EFFECTIVE DATE:
August26,2010
This certificate is not a policy and of itself does not afford any insurance. Nothing contained in this certificate shall be
construed as amending, extending, or altering coverage not afforded by the policy shown above or affording insurance to any
insured not named above.
The policy of insurance listed above has been issued to the named insured for the policy period indicated. Notwithstanding
any requirement, term or condition of any contract or other document to which this certificate may pertain, the insurance made
available by the described policy in this certificate is subject to only the terms, exclusions and conditions of such policy. Paid
claims may havle reduced the shown limits.
If the policy described above is cancelled before the expiration date indicated, the issuing company will endeavor to mail 30
days' written notice to the certificate holder named above, although if cancellation is for nonpayment of premium, then the issuing
company will endeavor to mail 30 days' written notice to the certificate holder. In any event, the issuing company, its agents, and
representatives accept no obligation or liability of any kind for failure to mail such notice.
(J ~t:s?~
Authorized Signature
Date: July 26, 2010
BridgefieJd Employers Insurance Company, rated A (Excellent) by A.M. Best Company. is an affiliate of and is managed by Summit.
Summmit includes Summit Consulting. Inc. and its subsidiaries.
wc 97-056 (Rev. 3/08) summitholdings.com
'lJi\' ~dl(O
ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMlDDNYYY)
7/6/2010
PRODUCER (305)714-4400 FAX: (305)714-4401 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
BROWN & BROWN INSURANCE-HBA DIVISION HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2500 NW 79th Aven.ue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Suite# 101
Miami FL 33122 INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Philadelphia Indemnitv 18058
Early Learning Cc.ali tion Of Miami-Dade/Monroe INSURER B:
2555 Ponce De Lec,on Blvd FI 5 INSURER c:
INSURER D:
Coral Gables FL 33134 INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING AN'!
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.
"''''/"IWI\J MAY .boll''''
I~~ ~~~~ TYPE OF INSURANCE POLICY NUMBER "8k~1i~~E "g~.fl(~:J't~N LIMITS
~NERAL LIABILITY EAI"H OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY ~~~~*~J9E~~~nce\ $ 100,000
A l CLAIMS MiI.DE ~ OCCUR PHPK55576l 7/1/2010 7/1/2011 MED EXP IAnv one """,on\ $ 5,000
- PER"'''NAL & ADV IN " 'RY $ 1,000,000
- "'''NERAL A"''''RE'''A T" $ 2,000,000
~'LAGGREnE L.IMIT AFlES PER: PR"D'"I"T'" - I""MP/"P AGG $ 2,000,000
PRO-
X POLICY :IECT LOC
~TOMOBlLE LIABILJTY COMBINED SINGLE LIMIT $ 1,000,000
ANY AUTO (Ea accident)
-
A - ALL O'MIIED AUTOS PHPK55576l 7/1/2~ 7/1/2011 BODILY INJURY
$
SCHEDULED AUTOS \ (Per pa",on)
f--
~ HIRED AUTOS BODILY INJURY $
~ NON-O'MIIED AUTOS ~\" J O;;>t (Per accident)
PROPERTY DAMAGE $
::"'"' (Per accident)
GARAGE UABILlTY V \ (, ~ ~ \\J AUTO ONLY - EA ACCIDENT $
~ ANY AUTO OTHER THAN ,'^ AN' $
AUTO ONLY: AGG $
EXCESS/UMBRELLA UABlLlTY "M~'" $ 5,000,000
::!J OCCUR [J CLAIMS MADE AGGREGATE $ 5,000,000
$
A ~ DEDUCTIBLE PHOB304438 7/1/2010 7/1/2011 $
X RETENTION $10,000 $
WORKERS COMPENSATlOI~ AND I T~~TflI,l4-;, I Ol~-
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNERlEXECUTIVE E.L. EACH ACCIDENT $
OFFICERlMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
"PE(:IAI PR"Vj"ir."N" below E.L. DISEASE - POLICY LIMIT $
OTHER
DESCRIPTION OF OPERA TlONS/L.OCATlONSlVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
Certificate Holder is listed as Additional Xnsured with respect to location 1100 Simonton Street Suite 1-204
Monroe county
1100 Simontc)n Street
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
~ 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 ~
H INSURANCE GROUP/JGl ~
@ACORDCORPORATlON 1988
CERTIFICATE HOLDER
ACORD 25 (2001/08)
lu<<==.n?c m..nc\ no...
PAn~ 1 nf?
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 CertifiC<:lte of Insurance on the reverse side of this form does not constitute a contract between the issuing
insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively
amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08)
INS025 (0108).088
Page 2 012