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Certificates of InsuranceCERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 08/27/2010 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 1-630-773-3800 CONTACT NAME: Arthur J. Gallagher Risk Management Services, Inc. PHONE I FAX (ALG. No.Extt): f (A/C, No);_ Two Pierce Place _ E-MAIL ADDRESS: PRODUCER Itasca, IL 60143 CUSTOMER 10 INSURERS AFFORDING COVERAGE NAIC # Elizabeth Arehart 312-803-6369 INSURED INSURER A: INDIAN HARBOR INS CO 36940 Arthur J . Gallagher & Co., et al., including Gallagher Bassett Services, Inc., et al. INSURER B : INSURER C -- -- The Gallagher Centre Two Pierce Place Itasca, IL 60143 --^---------- _ ^----__ INSURER D : ----`- --- INSURER E : INSURER F : COVFRAGFS CFRTIFICOTF NIIMBFRO 1-11 /1VUY RFVICIn111 111I IUR111=12• 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 SUBR POLICY EFF POLICY EXP POLICY NUMBER MM/DD MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY R N DAMAGETO TEDPREMISES Ea occurrence $ MED EXP (Any one person) $ CLAIMS -MADE D OCCUR PERSONAL & ADV INJURY _ $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO JECT F LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO r BODILY INJURY (Per person) - $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ � ! SCHEDULED AUTOS HIRED AUTOS � � PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION - j WC STATU- OTH- IDESCIf AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) yes, be under RIPTIIPTI ON OF OPERATIONS below ? N / A � I //��' !!� '' ,, `''�/�WL� E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ A'Errors & Omissions (Claims Made) C ELU118 10 ,Aggregate lRetention EachWrongful Act 20,000,000 51000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) %OF--tt 11r11k oPt r c nvL_LJC_-F% UAIMUr-LLA 1 IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County, Florida THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11100 Simonton Street, Room 1-213 JKey West, FL 33040 AUTHORIZED REPRESENTATIVE USA Ire.,,-� G fe�l,.C�-✓ s..moncn3. © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 17171909 l 0 ACORV CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 08/31/09 PRODUCER 1-630-773-3800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION —thur J. Gallagher Risk Management Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Ao Pierce Place ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # Itasca, IL 60143 Elizabeth Arehart 312-803-6369 INSURED Arthur J. Gallagher & Co., including Gallagher Benefit INSURER A: INDIAN HARBOR INS CO 36940 Services, Inc. INSURER B: INSURER C: The Gallagher Centre Two Pierce Place Itasca, IL 60143 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 DD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE O RENTED PREMISES Ea occurrence $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICYF_� JECT 7 PRO - AUTOMOBILE AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR F-1 CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION WC STATU- OTH- TORY LIMITS ER AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER A Errors & Omissions BLU11325409 09/01/09 09/01/10 Each Wrongful Act 20,000,000 (Claims Made) Aggregate 20,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS "All Employees" are included as Named Insureds under the Errors & omissions coverage as evidenced herein. CERTIFICATE HOLDER CANCELLATION Evidence of Coverage Only For Informational Purposes Only Pierce Place Itasca, IL 60143 ACORD 25 (2009/01) katant 12908169 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 USA Ii�.«,..� iG,.✓ © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such 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 This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01) ACtaRD® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 05/12/10 [PRODUCER 1-630-773-3800 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION " .thur J. Gallagher Risk Management Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR .o Pierce Place ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # Itasca, IL 60143 nicole nelsoneala.com INSURED Arthur J. Gallagher & Co., including Gallagher Benefit Services, Inc. INSURER A: ARCH INS CO (A XV) 11150 INSURER B: ARCH INS CO 11150 INSURER C: ST PAUL FIRE & MARINE INS CO 24767 The Gallagher Centre Two Pierce Place Itasca, IL 60143 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 DD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDDNYYYI POLICY EXPIRATION DATE (MMIDDNYYY)- LIMITS A GENERAL LIABILITY 41GPP4938402 10/01/09 10/01/10 EACH OCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO PREMISES EaEoccurrence) $ 100,000 CLAIMS MADE F _x] OCCUR MED EXP (Any one person) $ 51000 PERSONAL & ADV INJURY $ 1,000,000 dXX Gen Agg per loc subj. GENERAL AGGREGATE $ 3,000,000 to $10 NIL policy agg PRODUCTS - COMP/OP AGG $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO FX] LOC POLICYF_� JECT B AUTOMOBILE LIABILITY 41CAB4939002 10/01/09 10/01/10 COMBINED SINGLE LIMIT B X ANY AUTO 41CAB4938302 10/01/09 10/01/10 (Ea accident) $ 2,000,000 BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) X PD Comp Ded $150 PROPERTY DAMAGE $ PD Coll Ded $15 0 X (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG C EXCESS / UMBRELLA LIABILITY QK01202177 10/01/09 10/01/10 EACH OCCURRENCE $ 25, 000, 000 AGGREGATE $ 25, 000, 000 X1 OCCUR F1 CLAIMS MADE $ DEDUCTIBLE $ X RETENTION $ 10 , 0 0 0 A WORKERS COMPENSATION 41WC I 4 9 3 810 2 10 / O l/ 0 9 10 / O l/ 10 X WC STATU- OTH- I TORY LIMITS AND EMPLOYERS' LIABILITY Y / NER E.L. EACH ACCIDENT $ 1, 0 0 0 , 000 A ANY PROPRIETOR/PARTNER/EXECUTIVE 41NC 14 9 3 8 2 0 2 10/01/09 10/01/10 OFFICER/MEMBER EXCLUDED? IN I E.L. DISEASE - EA EMPLOYE $ 11000,000 (Mandatory in NH) If es, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1, 0 0 0 , 0 0 0 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS a Ij & S u'v j _V IiCR I Ir itam I C MVLLJr_M �V �Ao & 60 cc Evidence of Coverage For Informational Purposes Only Pierce Place Itasca, IL 60143 ACORD 25 (2009/01) katant 15659431 L;ANUtLLA I IUN *10 Day Notice for Non -Payment of Premium 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 USA I ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such 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 This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01) A14 r CERTIFICATE OF LIABILITY INSURANCE DATE 10/04/2010 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 1-630-773-3800 Arthur J. Gallagher Risk Management Services, Inc. Two Pierce Place CONTACT NAME: PHONE FAX A/C No E-MAIL ADDRESS: PRODUCER Itasca, IL 60143 RI #: INSURERS AFFORDING COVERAGE NAIC4 nicole nelson®ajg.com INSURED Gallagher Benefit Services, Inc. - Boca Raton INSURER A: ARCH INS CO (A XV) 11150 INSURER B INSURERC: 2255 Glades Road, Suite 400E INSURER D : Boca Raton, FL 33431 INSURER E : —.— INSURER F : �"Vnmm"na 11 /484zn Or1/ILIA\I \I11\I�CI'f_ 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. INSRT LTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBER MMIDD/YYYYI. (MWDD/YYYYI - LIMITS A GENERAL LIABILITY 41GPP4938403 10/01/1 10/01/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100 , 000 CLAIMS 1XI OCCUR -MADE MED EXP (Any one person) $ 5,000 X Gen Agg per loc subj. - __ PERSONAL & ADV INJURY $ 1,000,000 X to $10 MIL policy agg. GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000 POLICY PRO X LOC A AUTOMOBILE LIABILITY 41CAB4939003 10/01/1 10/01/11 COMBINED SINGLE LIMIT A 41CAB4938303 10/01/1 10/01/11 (Ea accident) $ 2,000,000 g ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS X PROPERTY DAMAGE $ HIRED AUTOS � (Per accident) X NON-OWNEDAUTOS NMI PD Coll Ded $ 150 X $ PD Comp Ded $150 UMBRELLA LIAB EXCESS LIAB OCCUR r(� �t 11 EACH OCCURRENCE $ CLAIMS -MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 41WCI4938203 10/O1/1 10/O1/11 WCSTATU- OTH- X T E R A YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A 41WCI4938103 10/01/1 10/01/11 EL, EACH ACCIDENT $ 1,000,000 (Mandatory in NH) yes, describe under 1 / ( E.L. DISEASE - EA EMPLOYEE $ 1, 000, 000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 D DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, if more space Is required) The Monroe Board of County Commissioners is shown as an additional insured solely wit respect to General Liability coverageper form 00 ML0207 00 11 03. 0 r+ctorlrlrwTr unl nrn _ _ _.__ The Monroe Board of County Commissioners 1100 Simonton Street Suite 2-268 Key West, FL 33040 vY a:0 LUZ 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 USA v ,yaa-cuua At;UKU UUKPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD 17748928 POLICY NUMBER: 41GPP4938403 COMMERCIAL GENERAL LIABILITY CG 20 11 01 96 THIS ENDORSEMENT CHANGESTHE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE 1. Designation of Premises (Part Leased to You): ANY PREMISES LOCATED IN THE UNITED STATES OF AMERICA (INCLUDING ITS TERRITORIES AND POSSESSIONS), PUERTO RICO AND CANADA. 2. Name of Person or Organization (Additional Insured): ANY PERSON OR ORGANIZATION WHERE REQUIRED BY WRITTEN CONTRACT PROVIDED SUCH CONTRACT WAS EXECUTED PRIOR TO THE LOSS. 3. Additional Premium: INCLUDED (If no entry appears above, the information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction or demolition operations performed by or on behalf of the person or organization shown in the Schedule. CG 20 11 01 96 Copyright, Insurance Services Office, Inc., 1994 Page 1 of l ❑ THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SECTION II — WHO IS AN INSURED is amended to include as an additional insured the person or organization who is required under a written contract with you to be included as an insured under this policy, but only with respect to liability arising out of your operations or premises owned by or rented to you. All other terms and conditions of this policy remain unchanged. Issued By: Arch Insurance Company Endorsement Number: Policy Number: 41GPP4938403 Named Insured: Arthur J Gallagher This endorsement is effective on the inception date of this policy unless otherwise stated herein. Endorsement Effective Date: 10/1/2010 President 00 ML0207 00 11 03 Page 1 of 1 r 1 l:' ►ccaRo CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 08/2712010 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 terns 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 Ilieu of such endorsement(s). PRODUCER 1-630-773-3800 CONTACT NAME: PHONE FAX No. E A/C No), Arthur J. Gallagher Risk Management Services, Inc. E-MAIL ADDRESS: TWO Pierce Place PRODUCER Itasca, IL 60143 CUSTOMER ID Elizabeth Arehart . 312-803-6369 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: INDIAN HARBOR INS CO 36940 INSURERB: Arthur J. Gallagher 6 Co., et al., including Gallagher Bassett Services, Inc., et al. INSURERC: The Gallagher Centre INSURER D: TWO Pierce Place Itasca, IL 60143 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 17171909 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 OF INSURANCE ADDLTYPE INSR SUER POLICY NUMBER MM/DDPOLICY EFF MM/DDPOLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ _ CLAIMS -MADE E71OCCUR MED EXP (Any oneperson)$ PERSONAL & ADV INJURY _ $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY F PR? LOC $ AUTOMOBILE LIABILITY'. COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO _ BODILY INJURY (Per person) $ ALL OWNED AUTOS ' BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Per accident) $ $ NON -OWNED AUTOS �� $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE 'I DEDUCTIBLE $ > $ RETENTION $ WORKERS COMPENSATION r WC STATU- OTH- AND EMPLOYERS' LIABILITY Y!N / c T RY I ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PAR"FNER/EXECUTIVE 1 OFFICER/MEMBER EXC'_UDED? ❑ (Mandatory in NH) N / A' LLL...///"' I� E.L. DISEASE - EA EMPLOYE $ If yes, describe under / �V DESCRIPTION OF OPERATIONS below w�' E.L. DISEASE - POLICY LIMIT $ A Errors & Omiss:Lons ELU11841810 Eac Wrong u Act (Claims Made) Aggregate 20,000,000 .Retention 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County, Florida THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Room 1-213 AUTHORIZED REPRESENTATIVE Key West, FL 33040 ` USA simonchi ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD 17171909 Arthur J. Gallagher Risk Management Services, Inc. Two Pierce Place Itasca, IL 60143 USA Monroe County, Florida 1100 Simonton Street, Room 1-213 Key West, FL 33040 USA 13:70:360 (IIIIIIIIIIIIIIIIIiII'IIIIIIIf1111II111�ll�llll'llllllllllllll This document was brought to you by CertificatesNow and Arthur J. Gallagher Risk Management Services, Inc. in Itasca, IL. If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance. The data included in this notice and in the attached document is confidential to ConfirmNet and Arthur J. Gallagher Risk Management Services, Inc. cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. 1 2 Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669,8600 ►coRD CERTIFICATE OF LIABILITY INSURANCE " /01/20°10 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(les) 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 1-630- --' Arthur J. Gallagher Risk Management Sarvic Two Pierce Place Itasca, IL 60143 s, Inc. pAX A!c No : ADDRESS: PRODUCER nn+, �' INSUR R S AFFORDING COVERAGE NAIC # nicole nalson@ajg.com NI-T INSURED Gallagher Benefit Services, Inc. - Boca Rat n :INSURER A : AR 13UL H INS CO (A XV) 11150 $ IRE 6 MARINE ZNS CO 24767 2255 Glades Road, Suite 400E1' G� Boca Raton, FL 33431 I -_........................ ' -D7-- __ INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 17720156 REVtclnu NIUMBeo- 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 SUBR WvDPOLICY NUMBER MMO/LDYYM ID EFF POLICY EXP LIMITS A GENERAL LIABILITY 41GPP4938403 10/01/1 10/01/11 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR0, X Gen Aqg per lOC subj . _ ., K� �(i _ f' 1 ���lll ///ttt PRAEMISES GE ToE. occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 X to $10 MIL policy agq. GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- X LOC PRODUCTS - COMP/OP AGG $ 3,000,000 'IIYY $ A A AUTOMOBILE LIABILITY ANY AUTO 41CAB4939003 41CAB4938303 10/01 1 10/01/1 10 O1/11 10/01/11 COMBINED SINGLE LIMIT (Ea accident) $ 2,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS + BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ X X NON -OWNED AUTOS PD Comp Dad $150 C y PD Coll Dad $ 150 $ B X UMBRELLA LIAB rd OCCUR QK01202527 10/01/1 l0/01/11 EACH OCCURRENCE $ 25,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 25, 000, 000 DEDUCTIBLE $ X RETENTION $ 10,000 A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? N❑ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 41WCI4938203 41WCI4938103 10/01/1 10/01/1 10/01/11 10/O1/11 X WCSTATU- OTH- E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - E4 EMPLOYE $ 1, 000 , 000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 107, Additional Remarks Schedule, H more space Is required) "Who is an Insured" is amended to include as an Insured the person or organization shown in the schedule as an Additional Insured. The coverage afforded to the Additional Insured is solely limited to liability specifically resulting from the conduct of the named insured which may be imputed to the Additional Insured. This coverage shall be excess of all other insurance -whether primary, contingent, excess, or by means of self -insurance -potentially available to the additional insured, and this coverage shall be non-contributory with such other insurance. It is a condition precedent to this coverage that the Additional Insured seek defense and indemnity from all such other potentially available insurance. The coverage available hereunder is subject to the self -insured retention provision of this polic SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Employee Services Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mrs. Maria F. Gonzalez ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Suits 2-268 AUTHORIZED REPRESENTATIVE Key West, FL 33040 Leb-fl ----1.... W TNUO-LOUN ACUKD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD 17720156 SUPPLEMENT TO CERTIFICATE OF INSURANCE I DATE 10/O1/2010 Gallagher Benefit Services, Inc. - Boca Raton Additional Descriotion of Ooerations/Remarks from Pa-ge 1: and the Additional Insured shall pay the entire self -insured retention obligation owed under this policy as to loss for which the Additional Insured seeks coverage." Additional Information: 3:4 Arthur J. Gallagher Risk Management Services, Inc. Two Pierce Place Itasca, IL 60143 USA Employee Services Monroe County Mrs. Maria F. Gonzalez 1100 Simonton Street, Suite 2-268 Rey west, FL 33040 USA 56:358:360 IIIIIIIIIII'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111'IIII This document was brought to you by CertificatesNow and Arthur J. Gallagher Risk Management Services, Inc. in Itasca, IL. If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance. The data included in this notice and in the attached document is confidential to ConfirmNet and Arthur J. Gallagher Risk Management Services, Inc. cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. 1:4 Certificate Delivery by CertificatesNow - www.ConfirmNet.00m - 877.669.8600 DATE (MM/DD/YYY`/) o CERTIFICATE OF LIABILITY INSURANCE I 08/24/2011 THIS CERTIFICATE 1:5 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 AD Ee ol�icy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to Td��9111 tatement on this certificate does not confer rights to the the terms and conditions of the policy, certain olicies may,Fq�yt� gE certificate holder in lieu of such endorsement( 1CCGGlI.. C1 V coNracr PRODUCER 1-6 0-773-3800 NAME: Arthur J. Gallagher Risk Management Se ices, inc. PHONE FAX IA/G_ No. Ertl: (A/C. NO AUG 3 0 AIL C Certificates@AJG.com RESS: Two Pierce Place INSURERS AFFORDING COVERAGE NAIC # Itasca, IL 60143 I 7:AN HARBOR INS CO 36940 INSURER A: Direct All Inquiriies to Email E � URER B INSURED RISK MANAGE Arthur J. Gallagher 6 Co., et al., inc Gallagher Bassett Services, Inc., at al. The Gallagher Centre INSURERD: Two Pierce Place INSURERE: Itasca, IL 60143 INSURER F: CERTIFICATE NUMBER: 22807554 REVISION NUMBER: COVERAGES BELOW FOR THE POLICY PERIOD HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE: ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND POLICY EFF POLICY EXP LIMITS ADDL SUBR INSR TYPE OF INSURANCE POLICY NUMBER Mill 0 MMIDD LTR EACH OCCURRENCE $ GENERAL LIABILITY D A E TE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS -MADE D OCCUR MED EXP (Any one person) PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OPAGG $ GEML AGGREGATE LIMIT APPLIES PER: $ POLICY PRCT F O LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ BODILY INJURY (Per person) ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON -OWNED Per accident HIRED AUTOS AUTOS $ - EACH OCCURRENCE $ UMBRELLA LIAB OCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ WC STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N '' E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N I A E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below ELU12255711 09/Ol/1 09/O1/12 Each Wrongful Act 20,000,000 A Errors 6 Omissions Aggregate 20,000,000 (Claims Made) Retention 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE County, Florida THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Room 1-213 AUTHORIZED REPRESENTATIVE Key West, FL 330,10 USA 1'fAT1A\1- All AwMl� Y/i V I�VV�iV IV �vvl�� vv.�. v..... •�•-• --- --.� ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD vinayachi 3:4 22807554 AFRO® D10/06/2011 CERTIFICATE OF LIABILITY INSURANCE MATTERTHIS CERTIFICATE IS ISSUED AS A CERT F CATE DOES NOT A FIRMAT VE YOR NEN T VELYO��EICERTIFICATE I ALTER HE COVERAGE AFFORDED THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOE NOT CONSTITUTE A CONTRACT BE EEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIF ATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIO L INSUR e o y musJbee rsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policie may require an endorsement. A on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-312-70 0100 Arthur J. Gallagher Risk Management Services Inc. FAX A/C, No): 300 South Riverside Plaza ADDRESS: Chi Certificates@AJG.com Suite 1900 Chicago, IL 60606 INSURER(S) AFFORDING COVERAGE NAIC# Direct All Inquiries to Email INSURERA: ARCH INS CO (A XV) 11150 INSURED INSURER B : Gallagher Benefit Services, Inc. - Boca Raton INSURER C 2255 Glades Road, Suite 400E INSURERD: INSURER E : Boca Raton, FL 33431 INSURER F : COVERAGES CERTIFICATE NUMBER: 23522995 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 ADOL POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMBS A GENERAL LIABILITY 41GPP4938404 10/01/1 10/01/12 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TRENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 10,000 CLAIMS -MADE CXI OCCUR PERSONAL &ADV INJURY $ 1,000,000 X Gen Agg per loc subj. X to $10 MIL policy agg. GENERAL AGGREGATE $3,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMP/OP AGG $ 3,000,000 $ POLICY PRO- X LOC JECT A A AUTOMOBILE LIABILITY X ANY AUTO 41CAB4938304 (AOS) 41CA64939004 (MA) 1 1 10/01/1 10/01/12 10/01/12 COMBINED SINGLE LIMIT Ea accident 2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ A A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORRARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? N❑ (Mandatory in NH) N / A 41WCI4938204 WI 41WCI4938104 ADS 10/01/1 10/01/1 10/O1/12 10/01/12 X T RY TATT- EEL E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Scheduleore space is required) The Monroe Board of County Commissioners is shown as an ad tiona cured solely with respect to ral�Liability coverageper form 00 ML0207 00 11 03. r, l rFaTIPIf'ATF 41ni nFR CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Monroe Board of County Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Suite 2-268 Rey West, FL 33040-4 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD mrutyunjayachi 23522995 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARE BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM insured the SECTION II —WHO IS AN INSURED amended der aewritten contract with yoinclude as an u to be included person or organization who is required as an insured under this policy, but ented to with respect to liability arising out of your operations or premises owned by All other terms and conditions of this policy remain unchanged. Issued By: Arch Insurance Company Endorsement Number: Policy Number: 41 GPP4938404 Named Insured: Arthur J Gallagher This endorsement is effective on the inception date of this policy unless otherwise stated herein. Endorsement Effective Date: 10/01/2011 President Page 1 of 1 00 ML0207 00 1103 P5261X)28002 AcoR CERTIFICATE OF LIABILITY INSURANCE 08/30 DIDDIY2 OB/30/201 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 CER _ IMPORTANT: If the certificate holder is an ADDITI NAL INSUI (as) Snust be en rsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poll es may re l r e 1" A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER 1-312- 4-0100 CONTACT SEP NAME: Arthur J. Gallagher Risk Management Servic Inc. f�AME:: FAX (AIC, No, Eat): (A/C, No): 300 South Riverside Plaza E-MAIL Chi-Certificates@AJG.com 1900 ADDRESS: Chicago, IL 60606 INSURER(S) AFFORDING COVERAGE NAIL 0 Direct All inquiries to Email M0NRO �A INDIAN HARBOR INS CO 136940 INSURED RISK MA AGEMENT Arthur J. Gallagher & Co., et al., including Gallagher Bassett Services, Inc., et al. INSURERC: The Gallagher Centre INSURERD: Two Pierce Place Itasca, IL 60143 INSURER E: I COVERAGES rFRTIFIr:ATF MIIURFR• 28885177 ucvtetnu la ruoco. 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 TYPE OF INSURANCE 'IADDLSUBR. POLICY EFF LTR POLICY NUMBER MMIDDIYYYY POLICY EXP LIMITS MMIDDIYYYY GENERAL LIABILITY '' EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) E CLAIMS -MADE OCCUR i V M~"G T BY MED EXP (Any one person) $ WPERSONAL 8 ADV INJURY $ pry •. uw _ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: ! ' PRODUCTS - COMP/OP AGG I E POLICY PRO- LOC /^� L G • V '. �''S AUTOMOBILE LIABILITY.. COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO 1 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ NON -OWNED ' PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAR !OCCUR , EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE, _ AGGREGATE �. $ DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- i AND EMPLOYERS' LIABILITY YIN 1 TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE '.., E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ❑ N / A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If Yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Errors & Omissions ELU12691512 09/01/1 09/01/13 Each Wrongful Act 20,000,000 (Claima Made) Aggregate 20,000,000 Retention 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) V Vt\ r Ir gum r G t7VLYCn County, Florida 1100 Simonton Street, Room 1213 Key West, FL 33040 trsA 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 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD prabhaschi 28885177 1 ® DATE (MM/DD/YYYY) ACORN CERTIFICATE OF LIABILITY INSURANCE 08/30/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR N ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE D S NOT C��TjFitTf%frCQNTRqstat WEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CER FICATE H ���JJJJ IMPORTANT: If the certificate holder is an ADDITI NAL INSURED, the policy(ies) mdorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poli es may re uire an endorsement. ent on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). E Pr 4"' PRODUCER 1-312- 4-0100 CONTACT NAME: Arthur J. Gallagher Risk Management Servic s, Inc. PHONE - /eIFAX .. _ _ _ C Nnl• 300 South Riverside Plaza I MONROE Suite 1900-RISK MAN Chicago, IL 60606 Direct All Inquiries to Email INSURED Gallagher Benefit Services, Inc. - Boca Raton 2255 Glades Road, Suite 400E Boca Raton, FL 33431 Chi_C tificates@AJG.com G ME IVT RER(S) AFFORDING COVERA INSURER A: INDIAN HARBOR INS CO INSURER B : INSURER C : INSURER D : INSURER E: IQQQIana RG\/ICI(lN MIIMRFR• NAIC # 36940 UUVCKHb CJ IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE A L INSR SUBR WVD - _ POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TRENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ MED EXP (Any one person) $ CLAIMS -MADE OCCUR V RISKA BY PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ WAIVER N/AJE YES— GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ O!!r'--/�' • ', �rl� $ POLICY PRO JFCTLOC c�(.� l AUTOMOBILE LIABILITY / /, ,� /`�� COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) ALL OWNED SCHEDULED $ AUTOS AUTOS NED NON-OPer $ PROPERTY DAMAGE accident)__. HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE EXCESS LIAB CLAIMS -MADE $ DED RETENTION$ WCRY STATUS OTH- $ WORKERS COMPENSATION LIMITS E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE $ _ OFFICER/MEMBER EXCLUDED? ❑ N I A (Mandatory in NH) E.L. DISEASE - POLICY LIMIT 1 $ If yes, describe under DESCRIPTION OF OPERATIONS below A Errors & Omissions ELU12691512 09/O1/1 09/01/13 Each Wrongful Act 20,000,000 (Claims Made) Aggregate 20,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) K I It-IUA I t MULL) Monroe County Board of County Commissioners 1100 Simonton Street, Room 1-214 Key West, FL 33040 USA 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 I7oo'LV IV Al,Vrxu l,VI- VVv ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD prabhaschi 28883808 ACOR©® CERTIFICATE OF LIABILITY INSURANCE �,. D10/11/DD to/11/zo12lz 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 1-312-704-0100 Arthur J. Gallagher Risk Management Services, Inc. CONTACT NAME: PHONE FAX C No Ext : A/C No): E-ESS: MAIL ADDRChi Certificates@AJG.com 300 South Riverside Plaza Suite 1900 Chicago, IL 60606 INSURERS AFFORDING COVERAGE NAICM INSURERA: ARCH INS CO (A XV) 11150 Direct All Inquiries to Email INSURED INSURERB: COMMERCE & INDUSTRY INS CO 19410 Gallagher Benefit Services, Inc. - Boca Raton INSURER C INSURERD: 2255 Glades Road, Suite 400E INSURERE: Boca Raton, FL 33431 INSURER F: COVERAGES CERTIFICATE NUMBER: 29640361 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 OF INSURANCE ADDLTYPE 261& Wyn SUBR POLICY NUMBER MM/DDY EFF POLICY LIMITS A GENERAL LIABILITY 41GPP4938405 10/01/1 10/01/13 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 CLAIMS -MADE 1XI OCCUR MED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 X Gen Agg per loc subj. X to $10 MIL policy agg. GENERAL AGGREGATE $ 3,000,000 GEN'LAGGREGATELIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000 POLICY PRO- X LOC JECT $ A AUTOMOBILE LIABILITY 41CAB4938305 (AOS) 0 O1 0 0 3 COMBINED SINGLE LIMIT Ea accident 2,000,000 A X 41CAB4939005 (MA) 10/01/1 10/01/13 ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ X NON -OWNED H HIRED AUTOS AUTOS Pet r accid en B X UMBRELLA LIAB N OCCUR BE 067656028 lo/ol/1 10/01/13 EACH OCCURRENCE $25,000,000 AGGREGATE $ 25, 000, 000 EXCESS LIAB CLAIMS -MADE DED X RETENTION$ 10, 000 $ A WORKERS COMPENSATION 41WCI4938205 WI 10/01/1 10/01/13 STATU OTH- AND EMPLOYERS' LIABILITY YIN _X E.L. EACH ACCIDENT $ 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE 41WCI4938105 AOS 10/01/1 10/01/13 /M OFFICEREMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below fiPffE.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 Y r (� r. WAI — _ ; DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) "Who is an Insured• is amended to include as an Insured the person or organization shown in the schedule as an Additional Insured. The coverage afforded to the Additional Insured is solely limited to liability specifically resulting from the conduct of the named insured which may be imputed to the Additional Insured. This coverage shall be excess of all other insurance -whether primary, contingent, excess, or by means of self -insurance -potentially available to the additional insured, and this coverage shall be non-contributory with such other insurance. It is a condition precedent to this coverage that the Additional Insured seek defense and indemnity from all such other potentially available insurance. The coverage available hereunder is subject to the self -insured retention provision of this policy, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Mrs. Maria F. Gonzalez 1100 Simonton Street, Suite 2-268 AUTHORIZED REPRESENTATIVE Rey West, FL 33040 - USA G C . ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD vinodchi 29640361 1--0111 A�'Q � CERTIFICATE OF LIABILITY INSURANCE D/DDIYYYY) ATE 08/28S/28/2013 THI�RTIFICATE 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(iss) 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 1-312-704-0100 Arthur T. Gallagher Risk Management Services, Inc. CAO EACT PHONE FAX o A/C No: 300 South Riverside Plaza ADDRESS: Chi Certificates@ajg.com INSURERS AFFORDING COVERAGE NAIC9 Suite 1900 INSURERA: LEXINGTON INS CO 19437 Chicago, IL 60606 Direct all inquires to email INSURED INSURERS: XL SPECIALTY INS CO 37885 INSURER C: Gallagher Benefit Services, Inc. - Boca Raton INSURER0: 2255 Glades Road, Suite 400E INSURER E INSURER F Boca Raton, FL 33431 COVERAGES %,cmi lrm,^i c munriu -- ----- • -- — - 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 GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ADDL SUER POLICY NUMBER A POLICY EFF MMIDD POLICY EXP MMIDD LIMITS EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ CLAIMS -MADE OCCUR SAP DA E(� � PERSONAL & ADV INJURY $ WA /A 1/ � " cc GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ T ��.I �,t lM /� , Cr GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY Ea accident BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB HCLAIMS-MADE DED RETENTION $ WC STATU- OTH- WORKERS COMPENSATION f LIMIT E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE $ A B OFFICERIMEMBER EXCLUDED? ❑ (Mandatory in NH) If es, describe under OF OTIONS below DESCRIPTION OPERATIONS Errors & Omissions (Claims Made) N / A 013345681 ELU13116713 09/01/1 09/01/14 E.L. DISEASE -POLICY LIMIT $ Each Wrongful Act 20,000,000 Aggregate 20,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Monroe County Board of County Commissioners 11100 Simonton Street, Room 1-214 JRey West, FL 33040 USA 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 efwTlAw1 wrr �... {.�� �ncnn,na ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD jkeefechi 35398723 ACC>Ra CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 10/01/2013 r 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). 1-312-704-0100 PRODUCER Arthur J. Gallagher Risk Management Services, inc. 300 South Riverside Plaza CONTAC N AME:T Direct All Inquiries to Email PHONE FAX N AIC No E-MAIL Chi—Certificates@AJG.com ADDRESS: INSURERS AFFORDING COVERAGE NAICf1 Suite 1900 INSURER AARCH INS CO (A XV) 11150 Chicago, IL 60606 INSURED Gallagher Benefit Services, Inc. - Boca Raton INSURERB: COMMERCE & INDUSTRY INS CO 19410 INSURERC: INSURERD: 2255 Glades Road, Suite 400E INSURER E : INSURER F Boca Raton, FL 33431 O cAllQIAld WI IURFR• COVERAGES GEKIII-IGA1It. lvumanlc: ------- - HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND ADDL SUBR POLICY EFF POLICY EXP LIMITS INSR TYPE OF INSURANCE POLICY NUMBER MMIDD MMIDD LTR 10/O1/14 1,000,000 41OPP4938406 10/01/1 EACH OCCURRENCE $ A GENERAL LIABILITY DAMAGE TO RENTED 100,000 $ X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence MED EXP (Any one person) $ 10,000 CLAIMS -MADE a OCCUR X Gen Agg per loc subj. PERSONAL & ADV INJURY $ 1,000,000 X to $10 MIL policy agg. GENERALAGGREGATE $ 3,000,000 PRODUCTS - COMP/OP AGG $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: $ POLICY PRO- X LOC 41CAH4938306 (ADS) 1 0 COMBINED SINGLE LIMIT Ea accident)2,000,000 A AUTOMOSILELIABILITY 41CAB4939006 (MA) 10/O1/l 10/01/14_BODILY INJURY (Per person) $ A X ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON -OWNED Per accident Ix X HIRED AUTOS AUTOS $ H X UMBRELLALIAB X OCCUR BE 05842681 10/01/1 10/01/14 EACH OCCURRENCE $ 25, 000, 000 AGGREGATE $ 25, 000, 000 EXCESS LIAB CLAIMS -MADE WCSTATU- I JOTH- X Is 41WCI4938106 (AOS) 10/01/1 10/01/14 DED I X I RETENTION$10,000 WORKERS COMPENSATION A AND EMPLOYERS' LIABILITYYIN 41WCI4938106 (WI) 10/01/1 10/ 1/14 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N I A 14,mfNAE ()'� a' E.L. DISEASE - POLICY LIMIT $ 1, 000,000 (Mandatory in NH) If yes, describe under �P DESCRIPTION OF OPERATIONS below LJAI C/ Q DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) "Who is an Insured" is amended to include as an Insured the person or organization shown in the schedule as an Additional Insured. The coverage afforded to the Additional Insured is solely limited to liability specifically resulting from the conduct of the named insured which may be imputed to the Additional Insured. This coverage shall be of all other insurance -whether primary, contingent, excess, or by means of self -insurance -potentially available excess to the additional insured, and this coverage shall be non-contributory with such other insurance. It is a condition to this coverage that the Additional Insured seek defense and indemnity from all such other potentially precedent The coverage hqreu6okoWsubject to the self -insured retention provision of this policy, available insurance. CERTIFICATE HOLDER `}' " . - CANCELLA 1 iON {'}� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC ' S "C I!■ 0 i 1�0 EIOZ THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Mrs. Maria F. Gonzalez 1100 Simonton Street, Suite 2-'It,,, QJ�y j (]J`IJ^ll j AUTHORIZED REPRESENTATIVE Rey West, FL 33040 �j J USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD kcwikchi 36124953 J DATE SUPPLEMENT TO CERTIFICATE OF INSURANCE 10/01/2013 Gallagher Benefit Services, Inc. - Boca Raton Additional Description of Operations/Remarks from Paw 1: Additional Information: ® A� O CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 08/25/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 1-312-704-0100 Arthur J. Gallagher Risk Management Services, Inc. CONTACT AME CT PHONE FAX AAL9. No. E A/C No): E-MAIL ifit0 Chi Certcaesa rn ADDRESS: fig'co 300 South Riverside Plaza INSURERS AFFORDING COVERAGE NAIC N Suite 1900 Chicago, IL 60606 Direct all inquires to email INSURERA: LEXINGTON INS CO 19437 INSURED INSURERB: XL SPECIALTY INS CO 37885 INSURER C : Gallagher Benefit Services, Inc. - Boca Raton ..r , 2255 Gladeq Road, Suite 400E INSURERD: INSURER E : �`? t Boca Raton, Fr., 33431 INSURER F : VVrC,\AVLV r. THIS IS TO CERTIFY THAT • HE 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 IVUED 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 `�]IpE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DDY EFF CY MMIDDI EXP LIMITS GENERAL•kAABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ t COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS -MADE F—IOCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JEC SINGLE LIMIT COM$ AUTOMOBILE LIABILITY Ea accideINEDnt) BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED PROPERTY DAMAGE Per accident $ HIRED AUTOS IAUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- LIMAND EMPLOYERS' LIABILITY Y I N E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandatory in NH) E.L. DISEASE -POLICY LIMIT $ H yes, describe under DESCRIPTION OF OPERATIONS below A Errors & Omissions 015012431 09/01/1 09/01/15 Each Wrongful Act 20,000,000 8 (Claims Made) BLU13573314 09/01/1 09/01/15 Aggregate 20,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) B v► O r'i" L WA R N/ — Cc: �j Monroe County Board of County Commissioners 1100 Simonton Street, Room 1-214 IXey West, FL 33040 USA 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 W-IV00-&V IV N%,WF% J a+VRr VI\AI,V,�. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD lavanyachi 41154799 P526002X002 iX AC40RDO® CERTIFICATE OF DATE(MMIDDIYYYY) LIABILITY INSURANCE 10/03/2014 HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION TCERTIFICATE CERT ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS DOES NOT NOT VELY VELY OR ANIOT NE(3ICATE AMEND, XA F ORDED BY BELOW. THIS CERTIFICATE F CATEFOFN INSURAELYNCE DOES ER THE THE CONSTITUTE TRACTTBETW REPRESENTATIVE OR PRODUCER, AND THE CERTIFOR CONTEND EN IISSUINGVERAGE NSURER S) TAUT AUTHHE ORIZED rev HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pol(cy(ies) must be O endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A N statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). NTACT PRODUCER 1-312-704-0100�NAMIE: Arthur J. Gallagher Risk Management Services, Inc. Direct All InQuiriea to Email I v ONE FAX C, No, Ezt): 300 South Riverside Plaza E-MAIL (A/C, No): rl > Suite 1900 ADDRESS: Chi-_CertificateB@AJG.Com Z Chicago, IL 60606 INSURER(S) AFFORDING COVERAGE L'l NAIC / INSURED INSURER A: ARCH INS CO (A XV) 11150 Gallagher Benefit Services, Inc. - Boca Raton INSURERB: COMMERCE & INDUSTRY INS CO 19410 2255 Glades Road, Suite 400E INSURER C : INSURER D : Boca Raton, FL 33431 INSURER E: COVERAGES ��aon`n CERTIFICATE NUMBER: 41761800 r THIS IS 10 CERIIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE INDICATED. _ _ REVISION NUMBER: BEEN ISSUED TO THE INSURED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, NAMED ABOVE FOR THE POLICY PERIOD ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THE INSURANCE AFFORDED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN THIS BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, INSR MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADOL SUBR LTR TYPE OF INSURANCEIII wyn POLICY NUMBER POLICY EFF POLICY EXP A GENERAL LIABILITY 41GPP4938407 MMIDD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY 10/01/1 10/01/15 � EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 X Gen Agg per loc subj . MED EXP (Any one person) $ 10,000 X to $10 MIL Policy 9g• a PERSONAL &ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY PRO X LOC PRODUCTS -COMP/OP AGG $ 3,000,000 000 A AUTOMOBILE LIABILITY I 41CAB4939007 MA ( ) A $ 10/Ol 1� 10/01/15 COMBINED SINGLE LIMIT X 41CAB4938307 (AOS) ANY AUTO 10/O1/1 10/Ol/15 (Ea accident) $ 3,000,000 ALL OWNED SCHEDULED BODILY INJURY Per person $ ( P ) AUTOS AUTOS X X BODILY INJURY Per accident) $ ( HIREDAUTOS AUTOS PROPERTY DAMAGE (Per accident) $ B X UMBRELLA LIAB X OCCUR BE5842691 $ EXCESS LIAR 10/01/14 10/01/15 EACH OCCURRENCE $ 25, 000, 000 �CLAIMS-MADE : DED X RETENTION$10,000 AGGREGATE $ 25,000,000 A WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY 41WCI4938107 (ADS) 10/O1/lq 10/Ol/15 X WC STATU- OTH A ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N TORY LIMITS ER OFFICERIMEMBER EXCLUDED? �'NIAi, 41WCI4938107 (WI) 10/01/14 10/01/15 E.L. EACH ACCIDENT (Mandatory in NH) $ 11000,000 If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1, 000, 000 DESCRIPTION OF OPERATIONS below P Ac�,�. AG4�'�`t, E L. DISEASE - POLICY LIMIT $ 1, 000, 000 DA ------ ----- i ------ Cal tA DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space isrequired) "Who is an Insured" is amended to include as an Insured the person or organization shown in the schedule as an Additional Insured. The coverage afforded to the Additional Insured is solely limited to liability Specifically resulting from the conduct of the named insured which may be imputed to the Additional Insured. This coverage shall be excess of all other insurance -whether primary, contingent, excess, or by means of self -insurance -potentially available to the additional insured, and this coverage shall be non-contributory with such other insurance. It is a condition precedent to this coverage that the Additional Insured seek defense and indemnity from all such other potentially available insurance. The coverage available hereunder is subject to the self -insured retention provision of this policy CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVEtC@SC.piLNo ELLED Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE CDEL DELIVERED BEFORE Mrs. Maria F. Gonzalez ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Suite 2-268 AUTHORIZED REPRESEN"ki e M��4 Rey West, FL 33040 u USA r (� � v I ©1988-2010 ACORD CORPORA I All rights reserved. kcwikchi ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD 41761800