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FY1992 04/01/1992y�ouNrr c 01 GG9 a G; •M 4!DE.._..... 39annp 1.. Rotbage BRANCH OFFICE CLERK OF THE CIRCUIT COURT BRANCH OFFICE 3117 OVERSEAS HIGHWAY MONROE COUNTY P.O. BOX 379 MARATHON, FLORIDA 33050 500 WHITEHEAD STREET PLANTATION KEY, FLORIDA 33070 TEL. (305) 743-9036 KEY WEST, FLORIDA 33040 TEL. (305) 852-9253 TEL. (305) 294-4641 April 13, 1992 Mrs. Sandra Higgs Monroe County Tourist Development Council 3406 North Roosevelt Boulevard Key West, FL 33040 Dear Mrs. Higgs: On April 1, 1992, the Board of County Commissioners of Monroe County approved and authorized exe- cution of a Local Major Events Agreement with Holiday Isle Resorts and Marina in the amount of $5,000.00, DAC IV, Two Penny Events for the Islamorada/Holiday Isle Gran Prix Series on June 20, 1992. BY COPY OF THIS LETTER TO RISK MANAGEMENT, WE ARE CALLING TO THEIR ATTENTION AS WELL AS TO YOUR ATTENTION THE INSURANCE REQUIREMENTS SET OUT IN SECTION 12 OF THIS AGREEMENT. Enclosed are two duplicate originals of the sub- ject Agreement, now executed and sealed by all parties. One of these documents should be sent to Holiday Isle; the other is for your own files. Sincerely yours, Danny L. Kolhage Clerk of Circuit Court and ex officio Clerk Board of County Commissioners By: Rosalie L. nnolly Deputy Clerk cc: County Attorney County Administrator w/o document Finance Director Risk Management File LOCAL MAJOR EVENTS AGENT 10 HOLIDAY ISLE RESORTS AND MARINA THIS AGREEMENT is entered into this 1,�. day of ' 1992, by and between BOARD OF COUNTY COMMISSIONERS, M NROE COUNTY, FLORIDA, (BOCC) and Holiday Isle Resorts and Marina. NOW, THEREFORE, and in consideration of the mutual covenants, contained herein the parties agree as follows: 1. The BOCC agrees to pay up to five thousands dollars ($5,000) for the Islamorada-Holiday Isle Gran Prix Series - June 20, 1992 from tourist development tax funds. (See Exhibit A) 2. Scope of Services: Holiday Isle Resorts and Marina agrees to provide the County with a one (1) day event as specified in the Scope of Services which is incorporated by reference (see Exhibit B). 3. All advertising and public relations services or supervision of advertising and public relations will be provided through the contracted agencies of the TDC/BOCC. The agencies of record, Tinsley Advertising and Stuart Newman Associates shall receive payment of work in progress upon submission of documented invoices associated with said event. 4. Payment: Any payments directly to Holiday Isle Resorts and Marina or vendors associated with said event shall be as follows: Payment upon presentation of an invoice shall indicate the task completed for which payment is sought, with proper documentation attached. Upon completion of said event, a financial statement detailing all revenue and expenses utilizing generally accepted accounting principals shall be prepared, notarized and submitted by event sponsor. Stuart Newman Associates (or alternative) shall confirm compliance with the Scope of Services. All payments are specifically contingent upon availability of TDC funds. Only acceptable expenses listed in the Monroe County Tourist Development Council Operations Manual shall be paid. 1 5. Accounting: Financial records of Holiday Isle Resorts and Marina pertaining to this project shall be kept on generally recognized accounting principles and shall be available to the BOCC or to an authorized representative for audit. 6. Modification: Additions to, modifications to, or deletions from the Scope of Services set forth in this contract may be made only by written mutual agreement, recommended by the TDC and approved by the BOCC. 7. Breach and Penalties: The parties agree to full performance of the covenants contained in this contract, and the BOCC reserves the right at its discretion, provided such breach is material to terminate the services in this contract for any misfeasance, malfeasance, or nonperformance of the contract terms or negligent performance of the contract terms by Holiday Isle Resorts and Marina. 8. Termination: 120 days after the date of the event, the contract will be terminated. All invoices must be submitted within the 120 day period. 9. Non Occurrence of Event: If the event does not take place, for any reason under control of Holiday Isle Resorts and Marina except for those reasons in paragraph 21, then Holiday Isle Resorts and Marina agrees to refund to the BOCC any amounts already paid to them or their vendors, and relieve the BOCC from any further payments. Event sponsor shall give written notice to the Monroe County Tourist Development Council if it is found necessary to cancel an event. The notice shall contain the following specifics: 1) reason for cancellation, 2) substantiation of the reason for cancellation and 3) person authorized to cancel including title and stated affiliation. 10. Risk of Loss: Holiday Isle Resorts and Marina agrees to relieve Monroe County of all risks for loss or damage during the event not caused by BOCC or its agents. 11. Indemnification and Hold Harmless: Holiday isle Resorts and Marina, agrees to indemnify and hold Monroe County harmless 2 for any and all claims, liability, losses and causes of action which may arise out of the fulfillment of the agreement. It agrees to pay all claims and losses and shall defend all suits filed due to the negligent acts, errors or omissions of Holiday Isle Resorts and Marina employees and/or agents, including related court costs. 12. Insurance Rcuirements: Holiday Isle Resorts and Marina, shall carry during the term of this agreement public liability insurance, including bodily injury and property loss damage to cover all claims, demands or actions by any person or entity in anyway arising from the operation, of this event(s). Such liability insurance shall be in an amount not less than $1,000,000. Monroe County shall be named as additional insured under the insurance policy and such insurance shall be primary and noncontributing with any insurance carried by the County. Holiday Isle Resorts and Marina, shall furnish the County with a certificate evidencing the insurance required by this paragraph not later than twenty (20) days prior to the event. 13. rmi s: Holiday Isle Resorts and Marina will secure all required permits, licenses including but not limited to occupational licenses. 14. saws and Regulations: It shall be understood and agreed that any and all services, materials and equipment shall comply full with all Local, State and Federal laws and regulations. 15. Taxes: The BOCC/TDC is exempt from Federal Excise and State of Florida Sales Tax. 16. Finance Charges: The BOCC/TDC will not be responsible for any finance charges. 17. Relation of BOCC/TDC: It is the intent of the parties hereto that Holiday Isle Resorts and Marina, shall be legally considered as an independent contractors and that neither it nor its employees shall, under any circumstances, be considered servants or agents of the BOCC/TDC and the BOCC/TDC shall at no time be legally responsible for any negligence on the part of said successful proposer, its employees or agents, resulting in either bodily or personal injury or property damage to any individual, firm, or corporation. 3 18. Disclosure: Holiday Isle Resorts and Marina shall be required to list any or all potential conflicts or interest, as defined by Florida Statute 112 and Monroe County Ethics Ordinance. Holiday Isle Resorts and Marina, shall disclose to the BOCC/TDC all actual or proposed conflicts of interest, financial or otherwise, direct or indirect, involving any client's interest which may conflict with the interest of the BOCC/TDC. 19. Assignment: Holiday Isle Resorts and Marina, shall not assign, transfer, convey, sublet or otherwise dispose of this proposal, or of any or all of its right, title or interest therein, or his or its power to execute such contract to any person, company or corporation without prior consent of the BOCC/TDC. 20. Compliance with laws - Nondiscrimination: Holiday Isle Resorts and Marina, shall comply with all federal, state and local laws and ordinances applicable to the work or payment for work thereof, and shall not discriminate on the grounds of race, color, religion, sex, age, or national origin in the performance of work under this Agreement. This Agreement shall be subject to all federal, state, and local laws and ordinances. 21. Force Majeure: Holiday Isle Resorts and Marina, shall not be liable for delay in performance or failure to perform in whole or in part, the services due to the occurrence of any contingency beyond its control or the control of any of its subcontractors or suppliers, including labor dispute, strike, labor shortage, war or act of war whether an actual declaration thereof if made or not, insurrection, sabotage, riot or civil commotion, act of public enemy, epidemic, quarantine restriction, accident, fire, explosion, storm, flood, drought or other act of God, act of any governmental authority, jurisdictional action, or insufficient supply of fuel, electricity, or materials or supplies, or technical failure where Holiday Isle Resorts and Marina, have exercised reasonable care in the prevention thereof, and any such delay or failure shall not constitute a breach of the Agreement. Upon demand of TDC, Holiday Isle Resorts and Marina, must furnish evidence of the causes of such delay or failure. Holiday Isle Resorts and Marina, shall not resume its performance hereunder unless provided for in the Scope of Services. 4 22. Governing Law/Venue: This Agreement shall be governed and construed by and in accordance with the laws of the State of Florida and constitutes the entire agreement between the BOCC and Holiday Isle Resorts and Marina. 23. Security Protection: The sponsor agrees to provide adequate security for the event. No TDC funds will be used for this purpose. 24. Anti solicitation: Holiday Isle Resorts and Marina warrants that it has not employed, retained or otherwise had act on its behalf any former County officer or employee subject to the prohibition of Section 2 of Ordinance No. 010-1990 or any County officer or employee in violation of Section 3 of Ordinance No. 010- 1990. For breach or violation of this provision the County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct from the contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former County officer or employee. 25. Ownership: All advertising and promotion work performed under the contract and paid for by the BOCC/TDC shall be the property of the BOCC/TDC, for whatever use and/or disposition the BOCC/TDC may deem appropriate. 26. Media rights: The TDC shall have the right to broadcast, rebroadcast, use, reproduce or transmit for any purpose whatsoever, radio, television, pictures, sound, film and tape motion pictures and still photographs paid by the BOCC/TDC under this contract. 27. Logo: All promotional literature and display advertising with the exception of generic advertising must display the Florida Keys and Key West logo/trade mark (as per enclosed). 28. Severability: If any provision of this Agreement shall be held by a Court of competent jurisdiction to be invalid or unenforceable, shall not be affected thereby; and each provision of this Agreement shall be valid and enforceable to the fullest extent permitted by law. E 29. Authority: Each of the signatories for the sponsor below certifies and warrants that: a) The sponsor's name in the agreement designated in its corporate charter, and b) they and contract for the sponsors and c) this approved by the sponsor's Board of Directors. IN WITNESS WHEREOF, the parties agre st above written (SE ) LYNDA L. MORTENSEN x Notry Pkklo- tale of Floft M► OOmn><68ion E*W APR 26.1993 COP tt AA 668399 Atte (o 'day ina a (SEAL) . JANN[y L.XOLHAGE, Clerk is the full name as are empowered to act agreement has been have Isle Resorts and PFF MONROE COUNTY:•M;UD OF COUNTYs i t • rR• MAYOR/CHAIRMAN Approved as to form and 1 z1fficiency: By: Date:L- 2 EXHIBIT 'A' THE ISLAMORADAMOLIDAY ISLE GRAN PRIX SERIES - JUNE 209 1992 PRINT ADVERTISING IN -COUNTY $1,000 OUT -OF -COUNTY 10000 RADIO ADVERTISING IN -COUNTY 500 OUT -OF -COUNTY 29000 PRODUCTION CHARGES 500 $5,000.00 7 EXHIBIT 'B' SCHEDULE OF EVENTS ISLAMORADA HOLIDAY ISLE GRAN PRIX SERIES Friday Evening - Racers and Officials begin arriving in Islamorada Saturday 8 a.m. - 10 a.m. Racers register in the Quarterdeck Lounge 10:30 a.m. Drivers meeting in Quarterdeck - all drivers must be present. Noon First heat of races begin 4:00 p.m. Races end 5:00 P.M. Awards Ceremony Begins E:3 FIARIDA S`t'ATU'T'1: S. ON PUllLIC ENTITY CRIMES THIS FORM MUST BE SIGNED IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICER A UT H O FU= TO ADMINISTER OATHS. C' 1. This sworn statement !s submittal with Sid. Proposal or Contract No. for 2. ThiVswom statement Is submitted by ii cc (name of entity submitting sworn statement] whose business address Is yoc�\ 0QQ"rSpr. r, \�kt u'N-k (If applicable) its Federal Employer Identification Number (FEIN) Is J 9_Y17 O1�T (If the entity has no FEZ;, include the Social Security Number of the individual signing this sworn statement: - ) 3. My name is and my relationship to the (please riot name of individual stgnin:l entity named above Is . 4. 1 understand that a 'public entity crimes as defined in Paragraph 287.133(1)(g), Florida Statutes, means a violation of any state or. federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other Bute or with the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and Involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. S. I understand that mconvicteds Or'conviction' as defined in Paragraph 287.133(1)(b),Doridn Statutes, MUM a finding of guilt or a conviction of a public entity crime, with or without an adjudimtion of PHU in any federal or state trial court of record relating to charges brought by indictment or information after July 1,1989, as a result of a jury verdict, nonjury trial, or entry of a plea of Sulty or noio contendere. 6. 1 understand that an 'alliliate• as defined in Paragraph 287.133(1)(a), Florida Statutes. means: 1. A predecessor or successor of a person convicted of a public entity crime; or 2. An entity under the control of any natural person who is active is the management o entity and Who ha: been convicted of a public entity crime. The tef'th ote officers, directors, executives, partners. shareholders, employees, members, a t#,gWjs,wltq are actfKe In the management of an affiliate- The ownership by one person of shares: cotrsitudng a:'cocatroli g interest in another person, or a pooling of equipment or income aatoa g P "iYot fir fair market value under an arm's length agreement, shall be a prima fade casd"iftt bne person contro ls another person. A person who knowingly enters into a joint veaturr,.,wi1h-a person who harbafi convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 7• understand that a "persons as defined in ?aragraph 2.87.133(1)(e), Florida Statutes. means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision Of goods or services Jet by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term 'person' includes those officers, directors, executives, partners. shareholders. emplovees, members, and agents who are active in management of an entin•. 8• Based on information and belief, the statement w . entity submitting this sworn statement. (Please indicate have statement appl;�� relation to the XF44L4464,, ,uaeenotaers, employees, members; or agents who are active in management of the entity, nor any affiliate of the entity have been or with and convicted of a public entity crime subsequent to July 1, 1989. The entity submitting this sworn statement, or ,one or more of the officers, directors, executives, partners, shareholders, employees, members, or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989, AM [Please Indicate which Additional statement applies.] Thera has been a proceeding concerning the conviction before a hearing* officer of the State of Florida, Division of Administrative Hearings. The final order entered by the hearing officer did not place the person or affillate on the convicted vendor list. (Please attach a copy of the final order.] , The person or affiliate was placed on the convicted vendor list. There has been a subsequent proceeding before a hearing officer of the State of Florida, Division of Administrative Hearings. The final order entered by the hearing officer determined that it was in the public interest to remove the person or of Bata from the convicted vendor list. [Please attach a copy of the final order.] The person or affiliate has not been placed on the convicted vendor list. (Please describe any action taken by or pending with the Departmenq General Services.) RSN Y APPEARED BEFORE ME, the undersigned authority, who, after first being sworn by me,• affixed his/her signature 4naVmc4oif2iZndrh'i�dualjsiggninegI in the space provided above on this day of19j, My commission expires: LVNOA L MORIENSEN Y PVbb4M bd Fbids My Comn�tlslon E100s APR 28,1M OOMMOAASNBN Form PUR 7068 (Rev. IW9) SWORN STATEMENT UNDER ORDINANCE NO. 10-1990 MONROE COUNTY, FLORIDA ETHICS CLAUSE saA----S- warrants that he/it has not employed, retained or otherwise had act on his/its behalf any former County officer or employee in voliation of Section 2 of Ordinance No. 10-1990 or any County officer or employee in violation of Section 3-of Ordinance No. 10-1990. For breach or violation of this provision the County may, in its discretion, terminate this contract without liability and may also, in its discretion, deduct from the contract or purchase price, or otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the STATE OF \ -- COUNTY OF r Ppjuntyrof-ricbr gkr/employee. ( sVgnatlure ) V P ONALLY APPEARED BEFORE ME, the undersigned authority, --- / who, after first being sworn by me, affixed his/her signature (name of individual signing) in the space provided above on this 1, day of NOTARY PUBLIC My commission expires: LYNDA L MORTENSEN NOWY Pubk-ft a of FIM 1A►OWfflft ion Expires APR 26,1M COMM # AA 668398 FURTHER CLARIFICATION RE: PERMITS• In addition to the requirements outlined in the TDC Event contract, the Monroe County Board of County Commissioners requites Event Coordinators to adhere to the following stipulations, where applicable, as it relates to an event taking place in the Florida Keys and Key West: necessary clean up placement of traffic cones spaced 50' apart along the entire section of road (where applicable) barricades on side streets, 'easements, and driveways prohibiting access onto closed_ section of roadway (where applicable) policemen directing traffic at beginning and ending of course, and also at -intersecting streets (where applicable) public notice given through handouts and announcements to those effected by road closing (where applicable) contact Emergency Rescue agencies supply proper insurance and hold harmless agreement as outlined in contract American Specialty �1 Insurance Group, Inc. May 20, 1992 Mr. William Torrente Miami Power Boat Racing Association 13251 S W 102 Terrace Miami, FL 33186 RE: Islamorada, FL June 20, 1992 Dear Mr. Torrente: 142 North Main Street Roanoke, IN 46783 Phone 219-672-8800 Fax 219-672-8835 600 Unicorn Park Drive Woburn, MA 01801 Phone 617-938-6300 Fax. 617-938-0996 On behalf of the underwriters, please find enclosed the Certificate of Insurance for the above referenced event. This Certificate has been issued to verify the insured, dates, and coverage provided. We have also enclosed three (3) extra copies so that you may distribute them to your Additional Insured. The original of this Certificate was mailed to Tammy Hillen at your request. If you have any questions concerning this Certificate, or the APBA Master Event Liability Program, please don't hesitate to call our office. We wish you a safe and successful event! Best Regards, Taffy F. Troup Client Service Representative TFT: ags Enclosure PC: Gloria Urbin, APBA Affiliates American Specialty Underwriters, Inc. • American Specialty Insurance Services, Inc. • American Specialty Claims Services, Inc. PRODUCER American Specialty Insurance Group, Inc 142 N. Main Street Roanoke, IN 46783 INSURED American Power Boat Association 17640 E. Nine Mile Road P.O. Box 377 East Detroit, MI 48021 AMERICAN POWER BOAT ASSOCIATION CERTIFICATE OF INSURANCE ADDENDUM MIAMI POWER BOAT RACING ASSOCIATION ISLAMORADA, FLORIDA FROM: 6/20/92 - 12:01 AM TO: 6/21 /92 - 12:01 AM As respects the event described in the attached Certificate of Insurance, the following are included as Additional Insured, but only as respects claims occurring as a result of the Named Insured's operations pertaining to a covered event: 1.) MONROE COUNTY - only with respect to the negligence caused by the American Power Boat Association, it's members, affiliates, and event sponsors in connection with this APBA event 2.1 MONROE COUNTY TOURISM DEVELOPMENT COMMISSION -only with respect to the negligence caused by the American Power Boat Association, it's members, affiliates, and event sponsors in connection with this APBA event 3.) HOLIDAY ISLE RESORT (EXCLUDING LIQUOR LIABILITY) - only with respect to the negligence caused by the American Power Boat Association, it's members, affiliates, and event sponsors in connection with this APBA event It is understood and agreed that the minimum standards as required by the insurance coverage conditions will be in full force and effect in order for this coverage to be provided. CERTIFICATE OF INSURANCE AMERICAN POWER BOAT ASSOCIATION CERTIFICATEHOLDER NIAMI POWER BOAT RACING ASSOCIATION WILLIAN TORRENTE 13251 S W 102 TERRACE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER INSURED American Specialty Insurance Group, Inc. American Power Boat Association 142 North Main Street 17640 E. Nine Mile Rd., P.O. Box 377 Roanoke, IN 46783 East Detroit, MI 48021 ADDITIONAL INSURED PLEASE SEE ADDENDUM COMPANIES AFFORDING COVERAGE COMPANY A General Star Indemnity Any Participant except employees and officials of the racing program, but only with respect to bodily injury or property damage to persons other than another Participant or employee. Any person or organization engaged in operating, managing, sanctioning, or COMPANY B Federal Insurance Company sponsoring the insured racing program, or providing the premises for the racing program including the officials of the racing program. COMPANY C COMPANY D COVERAGES - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT WITHSTANDING 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. CO LTR TYPE OF INSURANCE POLICY NUMBER COVERAGE EFF. DATE (MM/DD/YY) COVERAGE EXP. DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS A Commercial General Liability' IYG 300760 - A 6/20/92 12:01 A.M. 6/21/92 12:01 A.M. Each Occurrence $1,000 Prod-Comp-Ops Agg. $1,000 Pars. & Ad. Injury Agg. $1,000 Fire Legal Liability $50 Participant Legal Liab. $1,000 Non -Owned Air Legal Expense $25 Unintentional E&O $50 Property Damage Legal Exp. Part. Race Vehicle $25 Property Damage Official Watercraft $50 A Excess Liability" IXG300560 - A Each Occurrence -0- Prod-Comp-Ops Agg -0- Pers. & Ad. Injury Agg. -0- B Participant Accident' ` 6404-85-51 6/20/92 12:01 A.M. 6/21/92 12:01 A.M. AD&D $7.5 Excess Medical $7.5 Perm. & Total Disability $7.5 ADDITIONAL INFORMATION/ •'Participant Accident coverages are provided only- for "Participants" RESTRICTIONS/SPECIAL ITEMS as defined in the policy and not for any other person or additional insured who is not also a "Participant." 'Coverage EXCLUDES Liquor Liability *Coverage INCLUDES One Day Set Up and One Day Tear Down LOCATION: ISLANORADA, FL CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS' WRITTEN NOTICE TO THE CERTIFICATEHOLDER , BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. DATE ISSUED NAY 20. 1992 David A. Harris, Executive Vice President Authorized Representative, American Specialty Insurance Group, Inc. CERTIFICATE NUMBER APBA-92-PB-075 Form No. ASIG-APBA-Cert (1 1 /91) - PB CERTIFICATE OF INSURANCE AMERICAN POWER BOAT ASSOCIATION CERTIFICATEHOLDER MIAMI POWER BOAT RACING ASSOCIATION / l C/O: WILLIAM TORRENTE M(C) ,13251'S.W. 102 TERR MIAMI, FL 33186 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER INSURED American Specialty Insurance Group, Inc. 142 North Main Street Roanoke, IN 46783 American Power Boat Associatiep 17640 E. Nine Mile Rd., P.O. BcW377 N East Detroit, MI 48021 Z r Tt ADDITIONAL INSURED PLEASE SEE ADDENDUM COMPANIES AFFQRDING CdiRRAGE_, COMPANY A General Star Indemnity lr.: Any Participant except employees and officials of the racing program, a but only with respect to bodily injury or property damage to persons other than another Participant or employee. Any person or organization engaged in operating, managing, sanctioning, or COMPANY B Federal Insurance Company 7 --' sponsoring the insured racing program, or providing the premises for the racing program including the officials of the racing program. COMPANY C •.. V J COMPANY D COVERAGES - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT WITHSTANDING 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. CO LTR TYPE OF INSURANCE POLICY NUMBER COVERAGE EFF. DATE.(MM/DD/YY) COVERAGE EXP. DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS A Commercial General Liability* IYG 300760 - A 10/18/92 12:01 A.M. 10/19/92 12:01 A.M. Each Occurrence $1,000 Prod-Comp-Ops Agg. $1,000 Pers. & Ad. Injury Agg. $1,000 Fire Legal Liability $50 Participant Legal Liab. $1,000 Non -Owned Air Legal Expense $25 Unintentional E&O $50 Property Damage Legal Exp. Part. Race Vehicle $25 Property Damage Official Watercraft $50 A Excess Liability" IXG300560 - A Each Occurrence —0— Prod-Comp-Ops Agg —0— Pers. & Ad. Injury Agg. —0— B Participant Accident" 6404-85-51 10/18/92 12:01 A.M. 10/19/92 12:01 A.M. AD&D $7.5 Excess Medical $7.5 Perm. & Total Disability $7.5 ADDITIONAL INFORMATION/ I ' *Participant Accident coverages are provided only for "Participants" RESTRICTIONS/SPECIAL ITEMS as defined in die policy and r.�t for any otiter ,,crson or additional insured who is not also a "Participant." 'Coverage EXCLUDES Liquor Liability *Coverage INCLUDES One Day Set Up and One Day Tear Down LOCATION: ISLAMORADA, FLORIDA CANCELLATION - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS' WRITTEN NOTICE TO THE CERTIFICATEH OLDER , BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. DATE ISSUED OCTOBER 13, 1992 David A. Harn3"Ezecuti' 1rVt'"e ieWent Authorized Representative, American Specialty Insurance Group, Inc. CERTIFICATE NUMBER APBA-92—PB-205 Form No. ASIG-APBA-Cert 01 /91) - PB PRODUCER American Specialty Insurance Group, Inc. INSURED 142 N. Main Street American Power Boat Association Roanoke, IN 46783 17640 E. Nine Mile Road P.O. Box 377 East Detroit, MI 48021 AMERICAN POWER BOAT ASSOCIATION CERTIFICATE OF INSURANCE ADDENDUM MIAMI POWER BOAT RACING ASSOCIATION HOLIDAY ISLES GRAN PRIX ISLAMORADA, FLORIDA FROM: OCTOBER 18, 1992 - 12:01 A.M. TO: OCTOBER 19, 1992 - 12:01 A.M. As respects the event described in the attached Certificate of Insurance, the following Additional Insured, but only as respects claims occurring as a result of the Named ns ed areincludedas pertaining to a covered event: Aerations 1.) HOLIDAY ISLES RESORT & MARINA - only with respect to the negligence caused American Power Boat Association, it's members, affiliates, in connection w this APBA event filiates, and event sponsorby the 2.) MONROE COUNTY TOURIST DEVELOPMENT COUNCIL - only with respect to the n caused by the American Power Boat Association, it's members, affiliates, in connection with this APBA event egligenceiliates, and event sponsors 3.) KEY LARGO VOLUNTEER WATER RESCUE - only with respect to the negligence caused American Power Boat Association, it's members, affiliates, and event sponsors in connection y the this APBA event with 4.) MONROE COUNTY - only with respect to the negligence caused by the American Po Association, it's members, affiliates, and event sponsors in connection with this APBA event Power Boat 5.) ISLAMORADA CHAMBER OF COMMERCE - only with respect to the negligence caused American Power Boat Association, it's members, affiliates, and event sponsors in connection this APBA event by the with It is understood and agreed that the minimum standards as required by the insurance coverage conditions will be in full force and effect in order for this coverage to be provided.