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Certificates of InsuranceTH- CERTIFICATE OF LIABILITY INS THIS CERTIFICATE IS ISSUED qg q MATTER OF INFORMATION ONLY AND CONFERS NO INSURANCE CERTIFICATE DOES NOT DATE(MM/Dp/yyyy) AFFIRMATNELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE E CER 07/12/2oi1 BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. RIGHTS UPON THE CERTIFICATE HOLDER. THIS IMPORTANT: If the certificate holder is an ADDITIONAL INS TWEEN THE ISSUING INSURER(S), AU By THE POLICIES the terms and conditions of the y AUTHORIZED certificate holder in lieu of such endorse ent(scertain ) ll a endorsed. If SUBROGATION IS WAIVED, subject to PRODUCER y bIVEVnent. q tement on this certificate does not confer rights to the Lockton Risk Services NAME: P.O. Box 410679 PHONE Kansas City, MO JUL 12 E Ext:888-5 3-9002 FAX 64191-0679 S: A/C No: A S INSURED IN URER(S) AFFORDING COVERAGE Habitat for -- - HUMani ty of KeyA : Federa Insurance Co NAIC u 30320 Overseas Hwy West RISK MAN 20281 SURE Big Pine Key, FL 33043 R C : INSURER D COVERAGES INSURER E THIS IS TO CERTIFY THAT THEIS CERTIFICATE NUMBER: I"SURERF: INDICATED. Np DLICIES OF INSURANCE LISTED BELOW CERTIFICATE MAY BE SSU DNREQUIREMOR MAY PERTAIN, THE INSURA REVISION NUMBER: EXCLUSIONS AND CONDITIONS OF SUCH OLICI SE LIMITS SHOWNCONDITION OF q HAVE BEEN ISSUED TO THE INSURED NCE AFFORDED By THE POLCCIESO ESCRIE ED HEREIN IIS�UgIEES p ALL THE INSR WITH RESPECT TpLICY PERIOC LTR TYPE OF INSURANCE AD L su MAY HAVE BEEN REDUCED BY PAIp CLAIMS. WHICH THIS A GENERAL LIABILITY WVD POLICY NUMBER POLICY EFF TERMS, X GL1064565-i1 MM/UD/lYY POLICYEXP R COMMERCIAL GENERAL LIABILITY MM/DD/Yyy 04/01/2011 04/01/2012 LIMITS CLAIMS -MADE � EACH OCCURRENCE $1 0 OCCUR pl R GGEEI AGGREGATE LIMIT APPL PER " ' POLICY PRO- AUTOMOBILE LIABILITY LOC ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAB EXCESS LIAR OCCUR AND EMPLOYERS ­�+A+I IT TNI ANY PROPRIETOR/P (ABILITY Y / NOFFICER/MEMBER XCLUDE/EXECUTIVE ❑(Mandato )EXCLUDED?IfVes.__ry NH �1 DESCRIPTION OF OPERATIONS /LOCATIONS 'CORD 101, Additional /VEHICLES Location Address : 30320 Overseas Hi (Attach Remarks Schedule, if mores ace is ghway, Big Pine Key, FL 33043 P required) Monroe County Board of Co mmissioners 1100 Simonton St. Key West, FL 33040 , 00,000 PREMISES Ea occurrence $1 , 000, 000 MED EXP (Any one person) $p PERSONAL&ADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP qGG $2,p_ �0,000 BODILY INJURY (p er er person) $ $ BODILY INJURY (Per accident) $ PROPERTY Per accident DAMAGE $ EACH OCCURRENCE AGGREGATE WC STATU- $ TORY IMITS OTH- ER E.L. EACH ACCIDENT $ E L. DISEASE - EA EMPLOYE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUT�HgIRUED REPRE— S� T� "CORD 25 (2010jl 9125071 The ACORD name and logo are registered marks o ACORD RD CORPO RATION. All rights reserved. 1064565 BODILY INJURY (p er er person) $ $ BODILY INJURY (Per accident) $ PROPERTY Per accident DAMAGE $ EACH OCCURRENCE AGGREGATE WC STATU- $ TORY IMITS OTH- ER E.L. EACH ACCIDENT $ E L. DISEASE - EA EMPLOYE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUT�HgIRUED REPRE— S� T� "CORD 25 (2010jl 9125071 The ACORD name and logo are registered marks o ACORD RD CORPO RATION. All rights reserved. 1064565 A� �� CERTIFICATE OF LIABILITY INSURANCE Fo3/23/2013 D CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFICATE IS ISSUED AS A MATTER OrEGATIVEI-Y CERTIFICATE DOES NOT AFFIRMATIVELY ORER THE COVERAGE AFFORDED BY THE POLICIEBELOW. THIS CERTIFICATE OF INSURANCE REPRESENTATIVE OR PRODUCER, AND THE CECATE NOT NTRACT ETWEEN THE ISSUING INSURER(S), AUTHORIZED HOLDER. IMPORTANT: If the certificate holder is an ADDI the terms and conditions of the policy, certain pol certificate holder in lieu of such endorsements . NAL INSURED, the policy(ies) must b ies may pAtRre an pnd2Mrent. A st MAfI LUIJ endorsed. If SUBROGATION IS WAIVED, subject to ement on this certificate does not confer rights to the PRODUCER CONTACT NAM Lockton Affinity, LLC momm PHONE 888-5 -9002 FAX P.O. Box 410679 Kansas City, MO 64141-0679 RISK MAN INSURERS AFFORDING COVERAGE NAIL# INSURER A: Ace American Insurance Co. 22667 INSURED Habitat for Humanity of Key West and Lower Florida Keys, Inc. PO Box 5873 INSURER B : INSURERC: INSURER D : Key West, FL 33045 INSURERE: INSURER F CrTVFRALiFC CFRTIGICATF IWIMRFD• . DC\/1e1f%ki aulaaoOo. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIO 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 TERM EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fx ] OCCUR X GL1064565-13 • 04/01/2013 04/01/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 11000,000 MED EXP (Any one person) $ 0 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANYAUTO - ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS A B ( 'A WAI • IL(,. �! �+ COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ BODILY INJURY Per accident 8 PROPERTY DAMAGE Per accident $ UMBRELLA LAB EXCESS LAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LABILITY YIN ANY PROPRIETORIPARTNERIFXF.CUTI` .. OFFICERIMEMBER EXCLUDED? (Mandatory In NH) H yes, describe under DESCRIPTION OF OPERATIONS below NIA WC STATU- OTH- E.L. EACH ACCIDENTS E.L. DISEASE - EA EMPLOY E.L. DISEASE - POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Location Address: 30320 Overseas Highway, Big Pine. Key, FL 33043 Monroe County Board of Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE •�/f� THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton St. ��1iVl-A IC ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHOR�REPRESENTATIVE 0 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD 11138043 1064565 o ® I CERTIFICATE OF LIABILITY INSURANCE 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 INSURERS(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 Lockton Affinity, LLC P.O. Box 873401 Kansas City, MO 64187-3401 INSURED Habitat for Humanity of Key West and Lower Florida Keys, Inc. PO Box 6873, Key West, FL 33045 888-553-9002 ACE American Insurance Co. COVERAGE NAIC 22667 owl¢InN NII COVERAGES CERTIFICATE THIS IS TO CERTIFY THAT THE POLICIES PERIOD INDICATED. NOTWITHSTANDING ANY WHICH THIS CERTIFICATE MAY BE ISSUED ALL THE TERMS, EXCLUSIONS AND CONDITIONS IN SR INSR SR R TYPE OF INSURANCE A GENERAL LIABILITY OF INSURANCE REQUIREMENT, OR ADDL X NUM13EK: MAY OF SUCH uB D�GL�1064565-14 LISTED BELOW TERM OR CONDITION PERTAIN, THE INSURANCE POLICIES. LIMITS UMBER HAVE BEEN OF AFFORDED SHOWN MAY OLICY EFF MM/DD/YYYY) 04/O1/2014 ISSUED TO THE ANY CONTRACT BY THE HAVE BEEN REDUCED OLICY EXP MM/DD/YYYY) 04/01/2015 "--'—'—" ------ INSURED NAMED ABOVE OR OTHER DOCUMENT POLICIES DESCRIBED HEREIN BY PAID CLAIMS. LIMITS EACH OCCURRENCE FOR THE POLICY WITH RESPECT TO IS SUBJECT TO $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP An one person $ 0 X OMMERCIAL GENERAL LIABILITY LAIMS MADE X OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS — COMP/OP AGG $ 2,000,000 EN'L AGGREGATE LIMIT APPLIES PER: X OLICY AUTOMOBILE LIABILITY NY AUTO LL OWNED SCHEDULED UTOS AUTOS NON -OWNED AP B W I R MEM �� I COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY Per Person $ BODILY INJURY Per accident $ PROPERTY DAMAGE raccident, $ EACH OCCURRENCE $ IRED AUTOS AUTOS AGGREGATE MBRELLA LIAB OCCUR XCESS LIAB CLAIMS MADE ED RETENTIONS X C STATU- ORY LIMITS TH- R ORKERS COMPENSATION ND EMPLOYERS' LIABILITY NY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L. EACH ACCIDENT $ FFICER/MEMBER EXCLUDED? E.L. DISEASE — EA EMPLOYEE $ MANDATORY IN NH) f yes, describe under E.L. DISEASE —POLICY LIMIT ESCRIPTION OF OPERATIONS below Certificate Holder is named Additional Insured as respects to Landlord. CANCFI I OTInN ICATE HOLDER 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 Commissioners 1100 Simonton St., Key West, FL 33040 ACORD 25 (2010/05) The ACORD name and logo are registered marks of 1064565 nATE (MM/BO/YYYY) 'co CERTIFICATE OF LIABILITY INSUFIX ANCE"�22015 THIS GERTI FIGATE IS ISSUED AS A MATTER OF INFORMATION ONLY AMID CONFERS NO RIGHTS UPON THE CHSiAr�4TE HOLDER - THIS GERTI FIGATE DOES NOT AFFIRMATIVELY OR NEGATIVELY ^MENU, EXTEND OR ALTER THE COVERAGE AFFO ROED BY THE POLICIES BELOW_ THIS CERTIFICATE OF INSURANCE GOES NOT CONSTITUTE A GO NTRACT BETWEEN THE ISSUING INSURE RS(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 Lo the terms and conditions of the policy, certain policies may require an endorsement- A statement on this certificate does not nfer rights to the certificate holder in lieu of such eNdorsement(s )_- _ _ -_ PRODUCER Loc Kton Affinity, LLG HONE Ax P-O. Box 813401 svc Nu.E:x): 888-553-9002 Kansas City, MO 64187-3401 -MAIL OpRE55- N SU RER(5) AFFORDING COVERAGE NAIL NSURER-A: ACE A n Insurance Co. 22669 monca NSURER-B- HabiLa[ for Humanity of Key West and Lower Florida Keys, Inc NSURER-p- Key West, FL 33045 NSURER-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. NOT WITHS rAN DING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPCCT TO WHICH THIS CERTIFICATE MAV 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 RED_U C_ ED BV PAID CLAIMS. - 011cv E OLIGY EXP SR I MM/BB/YYYY) MM/OBKYW) i p TYPE OF INSURANCE POLICY NUMBER __ U9/O1/2015 04/U1/2016 _ _ _LIMITS _ - _ ___ GL1064565-15 \ GENERAL LIABILITY x CACTI OCC URR CNCE $1,000,000 DAMAGE TO RENTED X OMMCRCIAL GCN CRAL LIAUIL ITY PHF M_ ISES E a occurrunca S 1.000,000 _ MEU EXP (Any one perso: �. PC RSONAL 8 AOV INJURY__ ___ $ O LAIMS —1 X OCCUR _ __ _ vEN'L AGC3RE GATC LIMIT AP PLIrES PER. $ 1,000,000 _ GENERAL AGGRFc �ATF $ 2,000,000 _ PRODUCTS - COMP/OP AGG $ 2.000,000 COMUINCU SINGLE LIMIT AUTOMOBILE L (ABILITY APPfi �JV J EM i ,V`T�P/ Ha accidence___ $ Rpn11 V INJURY Pae Parson $ UTOS AIITCJH NON -OWNED IRCO AUTOS _ MtlRtLLA LIAf3 OCCUR WAIVER � BODILY INJURY Pel accident $ PROPER - Per aid nt) AMA6E $ - EACH OGGURRE NCE $ AGG_K_E_G_ATE $ __ XCE55 LIA6 CLAIMS MADC _ _ _ EO RETENTION $ IORKERS COMPENSATION NB EMPLOYERS' LIABILITY N_Y_PR_OPR_IETOR/PAR_TNFR/FXFf I1TIVE Y/N_ FFICER/MEMUER FX V'L.UUE U"� �. II �NOATORY 1,N NH) v descnbc_ der ESC RIPTION OF OPERATIVNS below Certificate Holder is named Additional Insured as respects to Landlord_ CERTIFICATE HOLDER _ Monroe County Board of Commissioners 1100 Simonton St-, Key West, FL 3304O ACORU 25 (2010/OS) 1064565 C STATII- TH- VRY LIMITS R F 1 FACH AGGIDE NT $ - ____ \ DI$EA4_E_-_ EA EMPLOYEE $ _F_ F I UIS6ASC -POLICY LIMIT $ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN AGG OR DANCE WITH THE POLICY PROVISIONS AUTHO RIZEO REPRESENTATIVE The ACORU name and logo are registered marks of ACORD .aco OR ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/MNYYY) Fo3/12/2015 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 WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Lockton Affinity, LLC P. O. Box 873401 Kansas City, MO 64187-3401 CONTACT NAME Lockton Affinity, LLC PHONE 888-553-9002 (AIC No:913-652-3967 AIC No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Ace American Insurance Co. 22667 INSURED INSURER B:ACE Property 6 Casualty Insurance Co. 20699 INSURERC: Habitat for Humanity of Key West and Lower Florida Keys, Inc. PO Box 5873 INSURERD: INSURERE: Key West, FL 33045 INSURER F : ,�c�ncrAwl w1rIwAQCG COVERAGES CERIIFICA It rvuMOCK; LISTED BELOW HAVE BEEN ISSUED TO THE INSURED - - - - NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LICYEF POLK:YEXP LIMITS INSR LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYY MM/DD/YW A X COMMERCIAL OENERALLIABILITY X GL1064565-15 04/01/2015 04/01/2016 EACH OCCURRENCE $ 1,000,000 TO RENT CLAIMS -MADE I _X1 OCCUR DAMAGE PREMISES a occurrence $ 1, 000 , 000 MED EXP (Any one person) $ 0 PERSONAL 8 ADV INJURY $ 1, 000 , 000 GENERAL AGGREGATE $ 2 , 000 , 000 GEML AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS - CAMProP AGG $ 2 , 000 , 000 OTHER: H08783342-02 04/01/2015 04/Ol/2016 OMBINED SINGLE LIMIT Ea accident $ 1 000 000 A AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ ANY AUTO ALL OVrNED X SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ N Per accident HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION C47339431 04/01/2015 04/01/2016 PER OTH- X STATUTE ER B E.L. EACH ACCIDENT $ 1, 000 , 000 AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYEE $ 1, 000 , 000 (Mandatory in NH) If yes desaihe under E.L. DISEASE -POLICY LIMIT $ 1 000 , 000 DESCRIPTION OF OPERATIONS below VEHICLES (ACORD 101, AddMional Remarks Schedule, maybe attached If more spac Is required DESCRIPTION OF OPERATIONS 1 LOCATIONS] Holder is named Additional Insured as respects to Landlord. Certificate hENENT YD 0Y�; �V"LR N/A� _ /� �► . ,' TE Monroe County Board of Commissioners 1100 Simonton St. 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. ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 15871101 1064565