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Insurance/Permits/LicensesNEW 14 A.rilLIFIDELITY NATIONAL INDEMNITY INSURANCE COMPANY Fidelity National Indemnity Insurance Company P.O. Box 33003 St. Petersburg, FL 33733-8003 1-800-820-3242 EFFECTIVE: 10/15/10 PT nnn nVirT.AR ATTCINC PAr..F. FFL 99.001 0311 0116407 5/24/11 2000 11523 FLD RGLR Poliev Tvoa PoilayPriwPoi C Nitlmb, An" FLAX . RQLR 09 1150601041 00 1 Date of Issue 5/24/11 General Property Form Pdiic ` Per Term inter 10rt Delfil` CodPI�otTe From: 10/15/10 To: 10/15/11 12:01 am Standard Time 1 yr(s 10/15/10 12:01am JV3- - (305) 294-7696 Insured SAFE HARBOR ANIMAL RESCUE OF THE K 5230 COLLEGE RD KEY WEST FL 33040-4302 ATLANTIC PACIFIC INSURAN N 1010 KENNEDY DR STE 203 KEY WEST FL 33040-4133 ij 1 Insured Location (if other than above) 10550 AVIATION BLVD, MARATHON FL 33050 Address may have been changed in accordance with USPS standards Rifting InfornWIlort, Community Name: MARATHON, CITY OF Grandfathered: No Community #: 012681 Building Description: Non -Residential Map Panel/Suffix: 1381 K Condo Type: N/A # of Floors: One Floor Community Rating: 10 / 00% Basement/Enclosure: None Program Status: Regular Adjacent Grade: .0 Rating Flood Zone: AE Elevation Diff: 3 Location Description: Contents Location: The Reform Act of 1994 requires you to notify the WYO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a mortgagee on the insured location, FEDERAL POLICY SERVICE FEE: PRIOR PREMIUM: PREMIUM ADJUSTMENT: TOTAL PREMIUM: Premium Paid by: Insured S090181PmVi6wat $40.00 $247.00 $.00 $247.00 This policy covers only one building. If you have more than one building on your property, please make sure they are all covered, See III. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. FOCnte"I:tf gtT��titfi:> FFLG99.100 0503 0503 FFL 99.310 0709 0707 FFL 99.116 1005 1005 This policy is issued by Fidelity National Indemnity Insurance Cc Copy Sent To: As indicated on back or additional pages, if any. 011640709115060104111146 0000C Agent OP ID: JC CERTIFICATE OF LIABILITY( INSURANCE OATEIYW) d5/1211Y12111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS — CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: it the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomementisi. PRODUCER 305.4514788 Underwriters, Inc. 3d5-451-1 dba Ray Hampson & Associates 102481 Overseas Highway Key Largo, FL 33037 Key Largo INSURED Safe Harbor Animal Rescue of the Keys Inc. Katie Bentley 10550 Aviation Blvd Marathon, FL 33050 Eat): PKwwwucft 5AFEH-2 CUSTOMER it) a: No); INSURER($) AFFORDING COVERAGE NAIC 0 INSURER A: Progressive Insurance COOS 10193 INSURER B :Scottsdale Insurance Co 9Q00 INSURERC:United States Liability Insura 25895 iNsuRERD:Bridgefield Employers Insuranc 10701 INSURER E 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 REOUIREMENT, 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 _ .1 Aoocgualf LT" TYPE OF INSURANCEINSR WVnPOLICY NUMBER OIOCYEFF M LICYEXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 B X COMMERcwLG£NERALLIA$ItiTY X APP728660105 05109/11 05109112 OAMAGETOAENTIEo _ PREMISEs, (Ea ) _ s _ 10Q,00 cLAIMs-I+tAOE XoccuR -- — --- MED EXP (Any we person) S 5,00 P GEN AGGREGATE. UMITAPPLIES PER. POLICY IECTT. LOC ERSONAL 8 ADV iNJURY GENERAL AGGREGATE PRODUCTS -COMPtOPAGG $ 1,000,00 $ 2,000,00( $ Includec .9. AUTOMOBILE LIABILITY X ANY AUTO 07956547-0 05/03/11 05/03/12 COMBINED SINGLE LIMIT (Ea acudent) $ 1,000,00C ALL OWNED AUTOS BODILY INJURY (Per person) $ A X SCHEDULED AUTOS BODILY INJURY (Per accident) ; .. _ A X HIRED AUTOS PROPERTY DAMAGE $ A x (Per accalent) NON -OWNED auros _ ACV 04 F150 s 10,000 UMBRELLA i ACV 05 F150 s 11,000 O OCCUR EXCESS LIA �( l EACH OCCURRENCE $ CLAIMS-MADE OEOUCTIeLE AGGREGATE $ RETENTION $ S _ WORKERS COMPENSATION S AND EMPLOYERS, LIABILITY D YIN WC STATU- OTH- TORYLIMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE OFFrCERIMEMSER EXCLUDED? NIA 0830Q97fi2QOQQ0 05112/11 05112/12 , £ L EACH ACCIDENT $ 100 DO (Mandatory In NH) if yes, dasa a antler OESCRIPTION OF OPERATIONS Woi EL DISEASE - EA EMPLOYEE. .. .--. S_-._ 100,00 .-. C`. ;Directors80fficera £.L DISEASE-POLICYLItdIT S 500,00„ B Property 05109/11 05/09/12 .O 8 0 1 000 0 CPS135 616 GPS135761fi 06109/11 05/09112 Property DESCRIPTION OF OPERATIONS / LOCATIONS t VEHICLES (Attach ACORD /Of, Additional Remarks Schedule, it more space is required) 3eneral Liability Coverage does include 1 fO,BD not _YCItIAinn'�' endorsement for 'Certain Animal ANY OF THE E DESCRIBED ELLED BEFORE SHO The Monroe County Board THE UXPIRATION DATE VTHEREOF, NOTICE POLICIES WILL BE CDELIVERED N of commissionlem ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St Rm 2.231 Key West, FL 33040 AUTHORIZED REPRESENTATIVE Key Largo f, -- 01988-2009 At RD CORPORATION. All rights reserved. ACORD 26 (2009/09) The ACORD name and logo are registered marks of ACORD OP ID: JC ,a►c`aRv _ CERTIFICATE OF LIABILITY INSURANCE DATE(MMMMNV") 05113/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF 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 endorsems s . PRODUCER 305.451-4788 CONTACT Underwriters, Inc. er PNNAOM.E --- - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTMATHSTANDING 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. MR --- - A-b7bVWBR -- ---- POLCYEFP TYPE OP INSURANCE POLICY NUMBER MUM POLICYEXP - - 1AMMOrfYYYI UNITS OENERAL UABIUTY EACH OCCURRENCE 3 11000100 B Xl COMMERCIALGENERAL LIABILITY X 'APP128660105 05109111 05/09DAMAGETIYRERrE6 /12 PREMISES Me ood,renoa)- _ s_ _ - _ 100,0 4 77 CLAIMS,4"E X I OCCUR �M. E�D E_7_P WW am pnsan) 3_ - _ 510 B Property - _ - APP128660105 06109/11 05/09/12 PERSONAL a Aov pMRr s _ 1,000, 00 GENERAL AGGREGATE 3 2,080, tWNI AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ Includ POLICY PR �, LOC Property 3 110,00 AUTOMOBILE LIABILITY X COMBINED SINGLE OMIT 3 1,000,00 ANY AUTO 07936547-0 05103/11 l 05/03112 - - - - al INJURY (Per o +l s ALL OYYNED AUTOS BODILY INJURY (Pera deem) . 3 A X SCHEDULED AUTOS ��•�, - — - — A �;PROPERTYDNMGE� X HIRED AUTOS (Parsocidaru) 3 A X ! NON-OYNIED AUTOS 111V��� ACV 04 F150 Ts 10100 ACV Ol F150 s 11,00 UMBRELLA L1A8 -- OCCUR ` f EACH OCCURRENCE 3 EXCESSLIAe --- CLAIMS -MADE R AGGREGATE - - -- $ - DEDUCTIBLE RETENTION S WORKERS COMPENSATION VC STATU- OTH- AND EMPLOYERS LIABILITY YIN D MR LI. MIT&08300976200000 ANY PROPRIETOWARTNER1E.XECUTIW 05M 2/11 NIA; 05M 21112 E.L. EACH AC_C-IDENT 100,00 OWCERMEMBER ExCLUDED? Imyaansd,—V In DESCR � OP OOPERATIONS _— _---s E.L. DISEASE - EA EMPLOYEE 3 100,00 belwr E.L. DISEASE - POLICY LIMB 3 60010 C Dlrectors&Officea IND00420778 05109/11 05/09112 'D a o 1.00e1 E iEmployeeDishonesty N001076534 05113111 06/13112 290, DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORO 101. A"dwal Ranwft &eha&ts. N awm spree Is required) General Liability Coverage does not Include endorsement for "Certain Animal Exclusion" The Monroe County Board of Commissioners 1100 Simonton St Rm 2-231 Key West. Ft. 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROYISIONS. AUTHORIZED REPRESENTATIVE Key Largo 01988-200tAftR6t'ORPORATiON. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD Jul 01 2011 8:01PM HP FaxS.HAA.R.K. 3057434818 page 1 Safe Harbor Animal Rescue Of The Keys Inc. 10550 Aviation Blvd Marathon, FL 33050 June 28, 2011 Rick Scott Govemor Frank Farmer, Jr., M.D.. Ph.D. State Surgeon General To Whom It May Concern_ Congratulations! You are now licensed as a Pharmacy in Florida. Yo r license number is PH 25559. You will receive an official license within the next three to four eks. Your license will expire on 02/28/2013 and must be renewed biennially Renewal notices are mailed to the last mailing address of retard approximately 90 days p ' r to the expiration of your license. It is your responsibility to keep this office informed in writing your current mailing address for receiving your license renewal notice and other pertinent i formation concerning your pharmacy permit. The Department of Health is committed to continuous improvement in recent licensee, you are our most valuable customer. How you feel at provided you while you were getting licensed matters a great deal. To share your opinions, we have developed an on-line survey at www.doh.state.fl.us/mga/surveys/new-lic.htm. The brief time you take performed our jobs will help us better serve you and other new licensee It you have any questions, you may contact me at the address listed be (850) 245-4292. comer service. As a the service we ke it simple for you to tell us how we in the future. Sincerely, Caw" Elizabeth Ranne Regulatory Speciali III BOARD OF PHARMACY 4052 Bald Cypress Way, Bin C04 Tallahassee, FL 32399 http://www.doh.state,fl.ur. or by telephone at Jun 30 2011 1220PM HP Fax&H.A.R.K 3057434818 Page 1 ADAM H,PUIWAM COMMMONER This Permit is i Administrative Florida public i Florida Department of Agriculture and Consumer Services Division of Animal Industry BEEP PERMIT Bureau of Animal Disease Control WITH VEHICLE Contact: 585.I47, Florida Statvtcs Division of Animal industry SC-23, Florida Administrative Code Bureau of Animal Disease Control Mayo Building, Room 315 407 South Calhoun Street T HIlahassee, FL 32399-0800 (850) 410-0900 !FAX 410-0946 r�nnd.Section 5C-23, Florida t It ° a + ctt ses or refuse on gb*,"y, i Kg it umoer +>!+ This permit may be revoked by tl time if perndttee violates section e May 16, 201 1 Date of Issue nt-of Affr,10 [lture and Consumer Services at any *ftwW--orstly regulation adopted Pursuant thereto. State Veterinarian SAFE HARBOR ANIMAL RESCUE OF THE FLORIDA 10550 AVIATION BLVD, MARATHON, FL 33050 onn-nnn I,JLrlli,fl,,,,Lf,II,I III,r,lll�IJf„JfI„fLrrll„I ll,r,l EXPIRES PAID I CONTROLLED SUBSTANCE REGISTRATION CER TIPICATE EOCH60U! 02 28-2f] I UNITED STATES DEPARTMENT OF JUSTICE $551 I DRUG ENFORCEMENTADMINISTRATION 1 WASHINGTON D.C. 20537 DUSINIESSA IVlIY ISSUE DATE "ANIMALS ELTER 07-06-2011 r NIMAL RES UE OF THE FLORIDA I n�+sterrd ectnnty+Mmfn schedule restricted by srour stab. BLVD, SubttanceSections a Act oiand 1�We q�2 �d�a"rog�l or the Contrdled 33050-0000 j General may revoke a su ends provide that ft "ey 1 distribute, dl&Wse. Import orb registration a Lance,manuiclan, export a controlled eubatence, TFII3CERTIFICATE I3NOT BLE ON CH"Ge op OWNERSHIP, CONTROL, LOCATION, O R BUSINESS ACTIVITY I AND IT IS NOT VALID AFTER THE EXPIRATION DATE c NTROLLED SUBSTANCE REGISTRATION CERTIFICATE UNITED STATES DEPARTMENT OF JUSTICE DRUG ENFORCEPAENTADMINISTRA71ON WASHINGTON D.C. 20537 0FAREGISTRATION TkI RE6is TN)N NUMBER EXPIRES FEE MS2411685 Pao 02-28-2 14 $551 scN¢outas BUa Ess wm 2N, MLP ANIMAL HELTER 138UE DATE 3N, 07-06-2011 Registered activity within schedule is SAFE restricted by your State. 10550 AVIATION BLVD. MARATHON, FL 33050-0000 THIS CERTIFICATE IS NOT AND IT IS Nt -r vAj in A eTe Secdons 304 and 108 (21 USC 824 and 958) of the Controlled SubslanOes Act of 1970, as mended, Provide that the Attorney Genwal may revoke or suspend a regiatretion to manufacture, distrlbUW, ___j dLspensa, import Or 0Xp01"t s controlled subetatnce. ON CHANCE OF OWNERSHIP, CONTROL, LOCATION, OR BUSINESS ACTIVITY, ON DATE. a6ed 81817EVL90E A'd V'H'SXed dH Wd9b;Z L L lOZ L t lnr Part 2:THIS DECLARATION PAGE,WITH POLICY PROVISIONS-PART I AND ENDORSEMENTS,IF ANY ISSUED TO FORM A PART THEREOF,COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION,WIND ONLY POLICY 6676 Corporate Center Parkway, Jacksonville,Florida 32216-0973 O/ INSURED NAME AND ADDRESS ..... WED THIS IS A SAFE HARBOR ANIMAL RESCUE OF THE KEYS INC 1.aY / ENERAL BUSINESS 10550 AVIATION BLVD MARATHON, FL 33050 JUL 1 1 201 POLICY TERN 5/10/2011 '1u 5/10/2012 AT 12:01 .M. MST) CITIZENS POLICY NO 1502699 INCEPTION DATE EXPIRATION DATE This Is your P cy DecliwolksafteirfThis Is t a Bill-DO NOT PAY PAGE 1 Item Percent of No. Bunning COntenta Coinsurance Territory Premium APP11ca1e $ $ % $ $ 1 110,000 0 100 3,300 T-85 537 ONE STORY SWR ANIMAL SHELTER BLDG LOC: 10550 AVIATION BLVD MARATHON, MONROE FL 33050-2908 0 o C Y ��l-T(-� o co Total Coveraue: $110,000 Payment Plan: Full Pay Total Premium: $644 Premium Ammmt $537 2005 Citizens Property Insurance Corporation Emergency Assessment $8 Tax Exempt Surcharge $9 2005 Florida Hurricane Catastrophe Flmd(FHCF)Emergency Assessment $7 Catastrophe Reinsurance Surcharge $81 2007 Florida Insurance Guaranty Association Regular Assessment $2 CC : anctara /s Subject to Form Nolsl: CIT CP2 01 10 CNRW 01 10 01 10 CIT 18 18 01 10 Mortgagee/Lose Payee: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST, FL 33090 ra Agent Payor: MORGAN RAMP SON INSURANCE 3061 INSURED 102481 OVERSEAS HIGHWAY KEY LARGO, FL 33037 om (305) 951-9788 °a0e` 7/01/2011 CIT NW-CNR 01 10 30614 Team 3 MORTGAGEE COPY -01 JLA N 29556 3 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-0973 INSURED NAME AND ADDRESS 4,Vf'f6TIZENS THIS IS A SAFE HARBOR ANIMAL RESCUE OF THE KEYS INC 10550 AVIATION BLVD MARATHON, FL 33050 GENERAL BUSINESS POLICY TERM 9/22/2011 TO 9/22/2012 AT 12:01 A.M. (EST) CITIZENS POLICY No. 1505134 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY pAr>: i item No. Building I+ercBnt it Coin uranee AE))UCTI LEA Territory Premium Contents APP1 cable 1 189,909 0 100 5,697 T-85 928 ONE STORY SWR ANIMAL SHELTER LOC: 10550 AVIATION BLVD MARATHON, MONROE FL 33050-2908 Total Coverage: $189 909 Payment Plan: Full Pa Total Premium: $1 104 Premium Amount $ 92 8 2005 Citizens Property Insurance Corporation Emergency Assessment $ 9 Tax Exempt Surcharge $16 2005 Florida Hurricane Catastrophe Fund (FHCF) Emergency Assessment $12 Catastrophe Reinsurance Surcharge $13 9 Subject to Form No(s): CIT CP2 01 10 CNRW 01 10 01 10 CIT 18 18 01 10 Mortgagee/Loss Payee: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST, FL 33040 Agent: UNDERWRITERS INC 3061 102481 OVERSEAS HIGHWAY KEY LARGO, FL 33037 r uya�r. INSURED 0 0 co 0 (305) 451-4788 CIT W03-CNR 01 10 30614 Team 3 Date:11/15/2011 MORTGAGEE COPY -01 JWI N 28002 6 Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY 6676 Corporate Center Parkway, Jacksonville, Florida 32216-0973 4-61% INSURED NAME AND ADDRESS iTIZENS THIS IS A SAFE HARBOR ANIMAL RESCUE OF THE KEYS INC GENERAL BUSINESS 10550 AVIATION BLVD MARATHON, FL 33050 POLICY TERM 9/22/2012 TO 9/22/2013 AT 12:01 A.M. (EST) CITIZENS POLICY NO. 1505134 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY PAGE 1 Percent of ©BIIUCTIS2r$S = Nc- aiuilding : Contents Calasurance Territory : Premium:: aPPlicab�e s s e s 1 192,000 0 100 5,760 T-85 ONE STORY SWR ANIMAL SHELTER LOC: 10550 AVIATION BLVD MARATHON, MONROE FL 33050-2908 .v&vA'r,AV_+� L s 1,032 otol Cove e: $192 000 Payment Plan: Full 1'a Total Premium: $1 29 Premium Amount $1, 032 2005 Citizens Property Insurance Corporation Emergency Assessment $10 Tax Exempt Surcharge $18 2005 Florida Hurricane Catastrophe Fund (FHCF) Emergency Assessment $13 Catastrophe Reinsurance Surcharge $15 5 2009 Florida Insurance Guaranty Association Regular Assessment $1 Subject to Form NO(s): CIT CP2 02 12 CNRW 01 10 01 10 Mortgagee/Loss Payee: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST CG. KEY WEST, FL 33040 Agent: Payor: UNDERWRITERS INC 3061 102481 OVERSEAS HIGHWAY KEY LARGO, FL 33037 INSURED (305) 451-4788 CIT W03-CNR 01 10 30614 Team 3 Date: 7/30/2012 MORTGAGEE COPY -01 QSY R 40111 0 _ OP ID: AG ACORO' DATE (MwDwYYYI CERTIFICATE OF LIABILITY INSURANCE 08109112 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: N 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 endorsementfs . Mwouca 30545147SOLfY CAW s, Inc. mpson 3 Associates rseas Highway FL 33037 INURED Safe Harbor Animal Rescue of the Keys Inc. Katie Bentley 10550 Aviation Blvd Marathon, FL 33050 305.451-15391 jA No, E"tr PRODUCER CUSTOMER ID r.SAFEH-2 - - - (AC, Nor - INSURM481 AFFORDING COVERAGE _ _ NAIL 9- INSURER A _Progressive Insurance COS _ 10193 INSURERB:Scottsdale Insurance Co _ _- - ._- _ 9000 INSURERc:United States Liability Insura 25895 INSURER D :Bridgefield Employee: Ins_ uranc 10701 INSURER E : HiSCOX, INC. 1 _ COVERAGES GL:K I Irmo^ r C numomm;THIS LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IS TO CERTIFY THAT THE POLICIES OF INSURANCE TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS -- - - TYPE OF INSURANCE - - Atl�l SUBS -Oman VAM - POLICY NUMBER Ew POUI EXP - � LIMITS GENERAL LIABILITY Ir_ 05109113 EACH OCCURRENCE 'r0 RENTED B j X COMMERCIAL GENERAL LIABILITY X ,CPS1516546 06109/12 pq CvxSaIADE OCCUR MEO E%P (NM aro penan) f_` - _ _610 I —{ 05f09112 06109/13 B Properly PPS1516546 PERSONAL A ADV uvluRY s _ __. _. Y — _ _ 1+�+� _. — , - -- - - - - GENERAL AGGREGATE S 2,000,00 - - GENL AGGREGATE LIMIT APPLIES PER _ _ .._ PRODUCTS - COMPgP AGO `S ,. — — — — _ _Include POLICY °Ra Loc P►o S 110,0 AUTOMOBILE LIABILITY X Me no ) SINGLE LIMIT S 1,000,00 ANY AUTO 07956547.1 05f03M 2 05103M 3 : BODILY INJURY (Per parson)' S - ALL OWNED AUTOS APPR VE Y ASK• iAC•aEMENii 1 BODILY INJURY (Per awdore) I S A X SCHEOULED AUTOS PROPERTY DAMAGEAX� HWEDAUTOS(ParA X kwopwl 04 F160 `: _ — 10,00 NON-OWNED AUTOS{ACV � . ACV 05 F150 s 11,00 UMBRELLA LIAB OCCUR EACH OCCURRENCE _ EXCESS LMO _ CIJ11M3�1ADE i AGGREGgE - - DEDUCTIBLERETENTION - - L • WORKERS COYPE M7M NIC STATLL O R l - i TORY LIMITS _ ER - - - - AND EMPLOYER$ LIABILITY D . ANY PROPRIETORIP� Y! N 830-48192 05M 2112 05112M3 E.L EACH ACCtDENr -- S - { -- _ 100,00 (Mang AMEMBER EXCLUDED! N J A N NH)• E L DISEASE EA EMPLOYE6 S - -- - 100,00 MM yyesaa,, ddeeaaaalIbbam j DESC MLMTtONs holow E.L DISEASE - POLICY LIMIT S 600+00 C OirectorsaOfficers N00107OLU 05/09112 051OWill D & O 1,000100 E EmployeeDishonesty UC21216413.13 05113111 05/13113 260,0010 DESCMpTION OF OPERATIONS J LOCATIONS J VEHICLES (peach ACORD 101. Addidwal Rsn ft SchoWo. N nare specs Is requtred) General Liability Coverage does not include endorsement for "Certain Animal Exclusion" The Monroe County Board of Commissioners 1100 Simonton St Rm 2-231 Key West, L 33040 G c.. • �'tti•-c�vwl. 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 F Key Largo 01988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD ity In,, Company &F1DEL1TVFM0V' P.O. B 33003 EI etersburg FL 33733-8003 Customer Servic : 1-800-820-3242 Claims: 1 8 0-725-9472 NATIONAL INDEMNITY INSURANCE COMPANY-t LOOD DECL TIONS PAGE FFL 99.001 0712 000000000177225 11/19/12 2000 11523 FLD RGLR Pn 1 i r!v TvnP Policy Number I I Prior Policy Number Renewal ELD RGLR 09 1150601041 02 09 U 1 Date of Issue 11/19/12 General Property Form From:12/14/12 To:12/14/13 12:01 am Standard Timel 1 Insured SAFE HARBOR ANIMAL RESCUE OF THE K 10550 AVIATION BLVD MARATHON FL 33050-2908 10/15/10 12:01am 10700067 1(305) 451-4788 BYj V D R MONROE COUNTY BO A Ad G Gt OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST FL 33040-3110 Insured Location (if other than above) Address may have been changed in accordance with LJSPS standards. 10550 AVIATION BLVD, MARATHON FL 33050 LRatiny Information Community Name: MARATHON, CITY OF Grandfathered: No Community #: 120681 Condo Type: N/A Building Description: Non -Residential Map Panel/Suffix: 1381 K # of Floors: One Floor Community Rating: 10 / 00% Basement/Enclosure: None Program Status: Regular Adjacent Grade: 6.4 Flood Zone: AE Elevation Diff: 3 %�erage � ., � Deductible �Pr�ntium �, BUILDING $101,200 $1,000 ,5263.00 CONTENTS $0 $0 $.00 PROBATION SURCHARGE: $.00 ANNUAL SUBTOTAL: $263.00 DEDUCTIBLE CREDIT: $.00 DEAR MORTGAGEE ICC PREMIUM: $5.00 The Reform Act of 1994 requires you to notify COMMUNITY DISCOUNT: $.00 the WYO company for this policy within 60 days of any changes in the servicer of this loan. The above message applies only when there is a TOTAL WRITTEN PREMIUM: $268 . 00 mortgagee on the insured location. FEDERAL POLICY SERVICE FEE: $40 . 00 TOTAL PREMIUM: $308.00 Premium Paid b : Insured pwn This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See M. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy for details. �v 170 � �� FFLG99.100 0503 0503 FFL 99.310 1012 1010 FFL 99.116 1005 1005 This policy is issued by Fidelity National Indemnity Insurance Co Copy Sent To: As indicated on back or additional pages, if any. Chief Operating Officer 7 07000670911506010411232401 0000C Add'1 Interest OP io: SS1 A4CC>R "- CERTIFICATE OF LIABILITY INSURANCE DATE tMM1DDIYYYY) 05l21/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES 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 pol(cy(les) must be endorsed If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endonsemenL A statement on this certificate does not confer rights to the Certificate holder In Hsu of such endoreeme s . PRODUCER Phone: 306-451 rt788MTACT FAX PHONE Ne . Underwriters, Inc. Fax: 305- 451.1539 dba Ray Hampson & Associates 102481 Overseas Highway My Largoo, FL 33037 E-MaIL ApDREW. D SAFEH-2 INSUREP451 AFFORDING COVERAGE NAOC 2 INSURED Safe Harbor Animal Rescue of INSURER A:Progressive Insurance COS 10193 INsuwR e: Scottsdale Insurance Co 9000 the Keys Inc. Katie Bentley 10550 Aviation Blvd Marathon, FL 33050 wsumRC:United States Liability Insura 26895 INSURER D:Brid effeld Employers Insurenc 110701 INSURER a: Hiscox, INC. INSURER F rnvenAr±ee: CRQTI0d ATF U WIRER- REVISION NUMBERe 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. TYPE OF INSURANCE POLICY NUMBER IMMIDDIYYYYI LUwDwVYYYI Lam B B GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAQNSdNAOE I I OCCUR Property X CPS1616747 CPS1616747 05/09/2013 05109/2013 OSIMO14 OUM2014 EACH OCCURRENCE S 1,00(0400 pgEMIMS CE,o=w=1 S 100,00 MED EXP ( a" parson) S S,OO PERSONAL s AOV INJURY s 1,000,00 GENERAL AGGREGATE i 2,000,00 GEM AGGREGATE LIMIT APPLIES PER PROLoc POLICY JECT PRODUCTS - COMP/OP AGO S Include Property $ 110,00 A A A AUTOMOBILE UABOnY ANY AUTO ALL OWNED ALTOS SCHEDULED AUTOS HetEDAUTOs NON -OWNED AUTOS X 07956547.2 AP V SK G Y BDA W _. L OW0312013 W. U*X .A el 0610312014 , \ ew COMBINED SINGLE LIMIT (Ea sodden) BODILY 1WRY (Per person) $ 1,000,00 , S BODILY INJURY (Par aoddaA) S X PROPERTY DAMAGE (Per soa dera) S X X ACV 04 F150 S 10100 ACV 05 F1SO s 11100 UMBRELLA UAS EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE S DEDUCTIBLE RETENTION Si S D WORKERS COMPENSAMON ANY PROPRIETORA>AATNER EXECImvE YIN OFFICERJMEMBER EXCLUDED? (Myyama.bAory In NN) DESCRIPTION OdesaftAF OPERATIONS Dalar NIA830.48192 05l1212013 OSH 2I2014 WC STATU. OTH- E.L EACH ACCIDENT S 100,00 E.L. DISEASE - EA EMPLOYE S 100,00 E.L. DISEASE - POLICY LIAR $ 500,00 C E Pirectonaofficers lEmployeaDishonesty NDO1076534A UC21216413.13 06/09/2012 05113/2013 0510912016 05/13/2014 D & O 11000100 250,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aeaeh ACORD 101 Addhbnal Remarb Schedule "atom spay b reaulmd) General Liability Coverage does not iaclude endorsement for "Certain Animal :elusion" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Monroe County Board THE EXPIRATION DATE THEREOF, NOTICE VALL BE DELIVERED IN ty ACCORDANCE WITH THE P ICY PR VISIONS. of Commissioners 1100 Simonton St Rm 2-231 AUTHORIZED REP:M5�� Key West, F 33040 Key Largo C- CG 9 ACORD CORPORATION. All rtahts reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART 1 AND ENDORSEMENTS, IF ANY ISSUED TO FORM A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY. CITIZENS PROPERTY INSURANC Y POLICY 6676 Corporate Ce Parkway, J l i�J� 21"973 INSURED NAME AND ADDRESS CITIZENS THIS IS A swsAx!+Msru aae+.nas SAFE HARBOR ANIMAL RESCUE OF THE KEYS INC OCT - ` 2013 ENERAL BUSINESS 10550 AVIATION BLVD MARATHON, FL 33050 MONROE COUNTY POLICY TERM 9/22/2013 TO 9/22/2014 AT 12:01 1505134 INCEPTION DATE EXPIRATION DATE This is your Policy Declaration Page - This is not a BM - DO NOT PAY PAnF. 1 Item No. AMOUNT OF Building INSURANCE Percent of Contents Coilicable MDUCTIBLES Territory Premium 1 193,000 0 100 5,790 T-85 1,141 ONE STORY SWR ANIMAL SHELTER LOC: 10550 AVIATION BLVD MARATHON, MONROE FL 33050-2908 O LROK �- 0 co AP UAWbE L DA pr' 1 I N Total Coverage: $193 000 Payment Plan: Onarter Total Premium: $1 70 Premium Amount $1,141 2005 Citizens Property Insurance Corporation Emergency Assessment $11 Tax Exempt Surcharge $ 2 0 2005 Florida Hurricane Catastrophe Fund (FHCF) Emergency Assessment $15 Catastrophe Reinsurance Surcharge $171 2009 Florida Insurance Guaranty Association Regular Assessment $1 2012 Florida Insurance Guaranty Association Regular Assessment $11 Subject to Form No(s): CIT CP2 02 13 CNRW 01 10 01 10 Mortgagee/Loss Payee: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS 1100 SIMONTON ST KEY WEST, FL 33040 Agent: UNDERWRITERS INC 3061 102481 OVERSEAS HIGHWAY KEY LARGO, FL 33037 (305) 451-4788 CIT W03-CNR 01 10 30614 Team 3 rayor: INSURED Date: 9/27/2013 MORTGAGEE COPY -01 QSY R 40111 14 WRIGMr 1T Wright National Flood hlaerince Company A Stock Company P.O. Box 33003 Qf Cus �5-94723 42 A I 5-9472 FLOOD DECLARATIO S PAGE FFL 99.001 0713 000000000177225 12/09/13 2000 11523 FLD RGLR :Folic ;Numrber° � 1 c "Num e: S. lord °Pali Form 09 1150601041 03 115060 041 lGeneral Property Polio £Period f:Issue A" nt Code PrioePoGc Number From: 12 14 13 To: 12 14 14 12:01 am StandardTime 0700067 109 1150601041 02 Insured SAFE HARBOR ANIMAL RESCUE OF THE KEYS 10550 AVIATION BLVD MARATHON FL 33050-2908 Property Location (if other than above) 10550 AVIATION BLVD, MARATHON FL 33050 BUILDING $111,300 CONTENTS $0 The above message applies only when there is a mortgagee on the insured location. I MONROE COUNTY BOARD TE AP VE*'OM OF COUNTY COMMISSIONER`S1100 SIMONTON ST WAIVERN/"t u KEY WEST FL 33040-3110tc-'1 Address may have been changed in accordance writh LISPS standards. $1,000 $301.00 $0 $.00 ANNUAL SUBTOTAL: $301.00 DEDUCTIBLE DISCOUNT/SURCHARGE: $.00 ICC PREMIUM: $5.00 COMMUNITY RATING DISCOUNT: $.00 SUB -TOTAL: $306.00 RESERVE FUND ASSESSMENT: $15.00 PROBATION SURCHARGE: $.00 FEDERAL POLICY SERVICE FEE: $44.00 TOTAL OF PREMIUMS AND FEES: $365.00 Premium Paid This policy covers only one building. If you have more than one building on your property, please make sure they are all covered. See M. Property Covered within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company. Coverage Limitations may apply. Please refer to your Flood Insurance Policy Form for details. 7 FFLG99.100 0503 0503 FFL 99.310 1012 1010 FFL 99.116 1112 0611 This policy is issued by Wright National Flood Insurance Company A stock company Copy Sent To: As indicated on back or additional pages, if any. Chief Operating Officer 07000670911506010411334301 0000E Add'1 Interest Commmity : HARATHM, C comuuttyfi # 1.20601 ty Rating; 10 / 004 vz"rara Staff: Ragular rlood Risk/Rated Zone e A Suit Comparry FrL iti 001 0314 ° St. P~OW16 6t; 3373 3 884012 14 Ctaims> 1 �72 3� 1159602041 0111150601041 Gene:ral P za Agent (305)451-4788 B Prnpvty (.mra doo 11to0w dw e► t k i sxaa 1wr be m chmare l to der t wo 13 10550 AVIATION BLVD, MMATUM, FI, 33050 �� ACC'; Primazy ltaealtase: M Building Indicat*r: Zlevated Baa nt/Znclowur*/Crawlaya lac Snolowure or Crawlspace Conde Typo: W/A sbtwe asap appliev amM v %two t*t* 0 a mar+tgago can kbCjn-.0 4 k d"m I OF XV Panel/Suffix., 13011 Gra d£ati red, No $301F00 $100 $301, 00 $3_00 WOO 1T F 00 $303 00 $.00 $44-DO $ 3>63 , 00 080038 803 03113 •t 07000670911 OLD10411433803 0003 01801 Ire ACOIR�®=.: CERTIFICATE OF LIABILITY INSURANCE �t DATE`MM!°°,YYYY' 12/30/2014 THIS CYRTIFICATE,IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE 'DOEI ,NbT AWIRMATIVELY 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 REPROSENTAIWE ORIPRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the'cer=ificate holder Is an ADDITIONAL INSURED, the poitcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms'and condijioris Of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in•peu of such endomement(s). PRODUCER' 1JNDERWRITERS INC CONTACT ANTHONY A ATTY PHONE FAX A!C No 102451 ,QVER$eAS HWY E-MAIL INSURERS) AFFORDING COVERAGE NAIC N INSURER A: FAICJUA KEY LAB(30 FL 33037 INSURED SAFE HARBOR ANIMAL RESCUE OF THE KEYS INC INSURERS: INsttaER c 10550 AVIATION BLVD MARATHON FL 33050 INSURER D : INSURER E INSURER F : FEIN: 273086504 COVERAGES CERTIFICATE NUMBER! 1d12Annn77 REVISION NUMRER, THIS IS TO CERTIFY'TFIAT 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 NMiCH THIS CERTIF"TE 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 OFTNSURANCE wyn POLICY NUMBER POLII:Y EXP LIMITS GENERAL LIABILITY .r r COMMERCIALGENERALLIABILITY CLAIMS -MADE FIQCCUR ' EACH OCCURRENCE S PREMISES Ea. EL'nce S MED EXP (Any one parson) S PERSONAL & ADV INJURY $ ' GENERAL AGGREGATE S GENL AGGREGATE LIMIT APPUES PER: POLICY ' PRO LOC PRODUCTS - COMP10P AGG S S AU BILE LIABILITY ANY AUTO AILLLO ED SCHEDULED HIREDAUTOS AUTt� "ED Ea accident) S BODILY INJURY (Per person) S BODILY INJURY (Per acddent) S ��R�DAMAGE s $ UMBRd.LA LIAB EXCESS LIAB OCCUR CLAIMS MADE EACH OCCURRENCE S AGGREGATE S DED RETENTIONS S A WO ERg CO ENSATION AND EMPLOYERS' LaeluTY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICE/MEMBER EXCLUD�D7 1 Y I (Mandatory In NH) !ye* tlssuibe under. NIA El 7D760587 11/=014 11/22/2015 x WC STIMIT ER E.LEACH ACODENT S E.L. DISEASE - EA EMPLOYE S 100 000.00 E.L DISEASE - POLICY LIMIT s 500,000.00 .Y, DESCRIPTION OF OPERATIONS! LOCATIONS! VEHICLES (ACach ACORD 101, AddUloml Remarks Schedule, If more spaco Is mquhed) P4EMEM WAIVER /�/Cnn`C ),�=- — C4 Le the Monroe County Bord of Connisioners V 1 A IM03 N �RD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonlori St 17 .¢�� "A . THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2-231���(/// Key West FL 33040j� � '� �� � � REPRESENTATlVEC\`Z� Phon Number (305) 289-W38 7 01988-2010 ACORD CORPORATION. All riahts reserved. ACORD 2912010105) The ACORD name and logo are registered marks of ACORD OP ID: LM DATE (MM?DDIYYYY) 1 ACORN' CERTIFICATE OF LIABILITY INSURANCE 09/1712015 THIS CERTIFICATE IS ISSUED AS TE HOLDER, THIS A MATTER OF INFA R_IV�QY�j�D, EXTEND OR ALTERTHECOVERAGE AFFORDEDABY THE POLICIES �jgj� AUTHORIZED CERTIFICATE DOES NOT AFFIRMATIVELY U({5 NOT CONSTITU�E;A CONTRACT BETWEEN THE ISSUING INSURER(S), BELOW. THIS CERTIFICATE OF INSURAN tp C. REPRESENTATIVE OR PRODUCER, AND THE CERTIFI H IMPORTANT: If the certtflcate holder is an A I L URED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subjecto the terms and conditions of the policy, emit policies may require an endorsement A statement on this certificate does not confer rights to the __—utz—.e i. irlpr in lieu of such enders CONTACT PRODUCER Underwriters, Inc. dba The Morgan Insurance Group 102481 Overseas Highway Key Largo, FL 33037 Key Largo INSURED Safe Harbor Animal Rescue the Florida Keys Inc. Katie Bentley 10550 Aviation Blvd Marathon, FL 33050 MfltzP5` SAFEH-2 Atlantic Specialty Lines Flor H - Progressive Insurance COS C: D FWCJUA Workers Compens; E: 10193 a OVERAGES CERTIFICATE NUMBER:LISTED BELOW HAVE BEEN ISSUED TO THE INSURED POLICY THIS IS TO CERTIFY I REQUIREMENTN TERM OR COND TION OF ANY CONTRACTT OR OTHER DOCUMENNT WITH REESPECT TOWHICH PERIOD HIS INDICATED. NOTWITHSTANDING ANYRANCE AFFORDED BY THE CERTIFICATE MAYBE ISS CONDITILIED ONS OS. F SUCH POLICIES. L MITS SHOWN MAY AVE BEEN REDUCED IBY PAID CLAIMS. HEREIN IS SUBJECT TO ALL THE TERM EXCLUSIONS AND POLICY EFF POLICY EXP LIMITS NTR TYPE C INSURANCE POLICY NUMBER MMIDDIYYYY MM10DlYYYY 1,000,( EACH OCCURRENCE $ GENERAL LIABILITY $ X CPS2224469 05/09/2015j05l0512016 PREMISES Ea occurrence 5,1 B X COMMERCIAL GENERAL LIABILITY MEO EXP (Any one person) $ CLAIMS -MADE I OCCUR 1,000,1 CP$2224469 j 05/09/2015I 0510912016 PERSONAL 8 ADV INJURY $ 2,000,1 X Property I GENERAL AGGREGATE $ Donn, vrTc _ Comp10P AGG $ Inclut GEN'L AGGREGATE LIMIT APPLIES PER: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS A X SCHEDULED AUTOS A X HIRED AUTOS A X NON-OWNEDAUTOS $ 1 COMBINED SINGLE LIMIT $ 1 T07956547-0 (Ea accident) 05/03/2015 05/03/2016 BODILY INJURY (Per person) $ I BODILY INJURY (Per acudont) $ PROPERTY DAMAGE $ (PER ACCIDENT) ACV 04 F1 So ACV 05 F150 $ EACH OCCURRENCE $ UMBRELLA LIAB OCCUR ' �I AGGREGATE $ EXCESS LIAR CLAIMS -MADE I $ DEDUCTIBLE $ RETENTION $ WC STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN 7D760587 11/22/2014 11 /22/2015 E.L. EACH ACCIDENT $ D ANY PROPRIETORIPARTNERIEXECUTNE ❑ NIA I E.L. DISEASE - EA EMPLOYEE 3 OFFICERIMEMBER EXCLUDED? I (Mandatory In NH) E.L. DISEASE - POLICY LIMIT I If yes, describe under DESCRIPTION OF OPERATIONS below ND01076534B 05/0912015 05/09/2016 D & O E -Directors&Officers 05/13/2015 05/13/2016 E & O _ _ . , 10 11 1 IS E Employee Dishonest UC21216413A5 Glvl DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, If more space Is required) ()ATE ;eneral Liability Coverage does not in endorsements for Certain Animal WAIVE /A YES L(/le ;xClusion" CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NO ILL BE DELIVERED IN Monroe County Board of ACCORDANCE WITH THE POLICY PR ONS. Commisoners 1100 Simonton St Rm-2-231 AUTHORIZED REPRESENT Key West, FL 33040 Key Largo II, © 1988- CORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are regi er rks of ACORD