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Certificates of Insurance A COROw CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 10/29/2009 PRODUCER Phone (443)837-3200 FAX (410)280-9243 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brian Bays Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 111 Forbes Street AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Annapolis, NO 21401 Margaret Smentkowsk (443)837-2076 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Erie Insurance Exchange RC Quinn Consulting Inc INSURER B: 104 4th St., NE INSURER C: Apt 2 INSURER D: Charlottesville VA 22902-5200 INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN rSSUED 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 ADO'L P~k+~~:&~68,w)E Pg~~l(~b~~N LIMITS I Tg IIN~gn TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 - X jMMERCIAl GENERAL LIABILITY ~~~~~~J?E~~~~~nce) $ 1,000,000 I-- CLAIMS MADE ~ OCCUR A Q41 0290169 5/2/2009 5/2/2010 MED EXP (Anv one person) $ 5,000 - ---- PERSONAL & ADV INJURY $ 1,000,000 - GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 ~ nPRO- n X POLICY JECT LOC A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I-- $ 1,000,000 ANY AUTO Q41 0290169 5/2/2009 5/2/2010 (Ea accident) - --- ALL OWNED AUTOS BODIL Y INJURY $ SCHEDULED AUTOS (Per person) I--- ,~ ( I X HIRED AUTOS n - - BODIL Y INJURY $ X NON-OWNED AUTOS t) (Per accident) - ~~,- - l. r'5i::;; PROPERTY DAMAGE $ -""\~~ (Per accident) GARAGE LIABILITY \V.. '- t~ J AUTO ONLY - EAACCIDENT $ R ANY AUTO " OTHER THAN EA ACe $ \ AUTO ONL Y: AGG $ EXCESS/UMBRELLA LIABILITY RRENCF $ ~ OCCUR o CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND Q95-0300449 11/03/2008 11/03/2009 x I T~*~I~JNs r OJ~- EMPLOYERS' LIABILITY 11/03/2009 11/03/2010 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, describe under 500,000 SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERA TIONS/LOCA TlONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Monroe County Board of County Commissioners is additional insured with regard to auto and general liability. CERTIFICATE HOLDER CANCELLATION ocathey-jerry@monroecounty Monroe County Board of County Commissione 1100 S~onton St. Suite 2-205 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 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 Margaret "'j'?4.~LCi-. ~~&~~. @ ACORD CORPORATION 1988 ACORD 25 (2001/08) I~Qn?1; ""'no\ no... D~nA 1 nf? • V ^✓ CERTIFICATE OF LIABILITY INSURANCE A2;imo ) 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 policylies) 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 CONTACT M. Smentkowski NAME: Brian Bays Insurance PHONE Fnl. (443)837-3200 FAX ly).(410)280-9245 522 Chesapeake Avenue ADDRESS:margaret@brianbaysins.com INSURER(S)AFFORDING COVERAGE NAIL Annapolis MD 21403 INSURER A£rie Exchange 26271 INSURED INSURER B: RC QUINN CONSULTING INC INSURER C: 104 4TH ST NE APT 2 INSURERD: INSURER E: CHARLOTTESVILLE VA 22902-5200 INSURERF: COVERAGES CERTIFICATE NUMBER:11-12 General 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 MATH 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 ADDL SUER POLICY EFF POLICY EXP R TYPE OF INSURANCE INSR WMD POLICY NUMBER IMM'DDVYP/I IMMTDIYYYYI UNITS GENERAL LABILITY EACH OCCURRENCE 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES 10EaENFED ocarrencel 1,000,000 A CLAIMS-MADE I X I OCCUR X Q41-0290169 5/2/2011 5/2/2012 MED EXP Any one person) 5,000 PERSONAL S ADV INJURY 1,000,000 GENERAL AGGREGATE 2,000,000 GGE GM EN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS-COMPNP AGG 2,000,000 X POLICY PIFTT LOC AUTOMw,mune,un (CEOOMMBBINEDD SINGLE LIMIT ccidenn $ 1,000,000 A _ ANY AUTO BODILY INJURY(Per person} $ ALL OWNED SCHEDULED X Q41-0290169 5/2/2011 5/2/2012 BODILY INJURY(Per&rrodent) $ _ AUTOS _ AUTOS X NON-OWNED PROPERTY DAMAGE X MIRED AUTOS AUTOS $ (Per emdentl UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION$ $ WORKERS COMPENSATION WC STATN OTH. AND EMPLOYERS'LIABILITY TORYI IMRE FR ANY PROPRIETOR/PARTNER/EXECUTIVEYI" NIA E.L EACH ACCIDENT OFFICERIMEMBER EXCLUDED? Mandatory In NH) qj. \ EL.DISEASE-EA EMPLOYEE $ If yes,cla$C7613111.601'DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (Attach ACORD 101,Addition Remade Schedule,II nwre apace la required) Monroe County Board of County Commissioners is additional insured with regard to auto and general liability. CERTIFICATE HOLDER CANCELLATION ocathey-j arty@monroecounty SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton St. Suite 2-205 AUTHORIZED REPRESENTATIVE Key West, FL 33040 M. Smentkowaki/RLS - -114.- .tw,,et . - -F/y✓aJ1e ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INSO2R rv01oom or Tha ernnn name.are Inn n am ren:eru.M mane of strum