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HomeMy WebLinkAboutCertificates of InsuranceAC�R� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDlYYY1() 06/08/2010 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 NO REPmnwmnm�RESENTATIVE OR PRODUCER, AND THE CERTIF ATE HOLD . -ANTI RAOT430'WEEN IIHE ISSUING INSURER(S), AUTHORIZED _E(i ti.4 "_., L D IMPORTANT: If the certificate holder is an ADDITIONAL tenons and conditions of the policy, certain policies certificate holder In lieu of such endorsen�e s . INSU �p►olieY(ies} �e-uFolnis requi an endorsement A stato i , If SUBROGATION IS WAIVED, subject to the certificate does not confer rights to the PRODUCER Kelly White & Associates Insurance, LLC P.O. Box 6340 VVIII ��� , , Nil r, f,, Ft lui NAME: A/C, No, (904 880-8181 W No): (904) 239-5443 � kwh' 'nsurance.com am ID: Main is i Jacksonville FL 32238-6340 INSUREMS) AFFORDING COVERAGE NAIC S INSURED INSURER A: RLI Insurance Co ASAP, Inc. INSURER B: Travelers Insurance Co P.O. Box 804 WAMRC: Great American Insurance Co INSURER D: American International Group Tavernier FL 33070 INSURER E: INSURER 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. TYPE OF BISURANCE INSR WVD POLICY NUMBER M M LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,00000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 A P&I including Crew Marine SalvW S MRP0200033 06/09/2010 06J09/2011 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 EML AGGREGATE LIMIT APPLIES PER: POLICYFJ PERCOJ LOC PRODUCTS - COMP/OP AGG $ 1,000,0W AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ B SCHEDULED AUTOS BA2771 RO65 06/09/2010 06/09/2011 PROPERTY DAMAGE (Per accident) $ HIRED AUTOS NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DEDUCTIBLE .r RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS! LIABILITY Y / N 9TATU- 15Z OTH- TORY LIMITS ER D ANY PROPRIETOR/PARTNER/EXECUTIVE[:] OFFICERI MEMBER EXCLUDED?' (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC005323754 ind USL&H 08/16/09 08/1612010 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Vessel Pollution OMH3491881 06/09/2010 06109/2011 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, AdditmW Rsrnari� Sc luie, if more space is required) Certificate holder is an additional insured as their interest may appear. Monroe County Board of County Commissioners 1100 Simonton Street Key Wes) w LJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. D REPRESENTATIVE FL 33040 � ACORD 25 (2009109) © ,M2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered arks of A9ORD ACOR& CERTIFICATE OF LIABILITY INSURANCE DATEF( 03/16//201011Y) 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 endorsements . PRODUCER CONTACT Kelly White & Associates Insurance, LLC NAME: PHONE(904) 880-8881 FAX A/C, No, A/C No (904) 239-5443 P.O. Box 6340E-MAIL ADDRESS kelly@kwhiteinsurance.com PRODUCER Main CUSTOMER ID: Jacksonville FL 32236-6340 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: RLI Insurance Co ASAP, Inc. INSURER B: Phoenix Insurance Co/Travelers 01613 P.O. Box 804 INSURER C: Great American Insurance Co INSURER D: Seabrlght Insurance Co Tavernier FL 33070 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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 INSR WVD POLICY NUMBER MM/DD/YYY MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 A P&I Including Crew MRP0200033 6/09/2010 6/09/2011 PERSONAL & ADV INJURY $ 1,000,000 Marine Salvor's GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY 7 ERDJ LOD AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ B SCHEDULED AUTOS BA2771 RO65 6/09/2010 6/09/2011 PROPERTY DAMAGE (Per accident) $ HIRED AUTOS NON-OWNEDAUTOS , $ 4 UMBRELLA LIABH EXCESS LIAB OCCUR CLAIMS -MADE! (/ X / (� �/ EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE $ $ RETENTION $ i ' WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N WC STA U- OTH- TO RY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 D ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N N / A BB1103703 incl USL&H 8/16/2010 8/16/2011 E.L. DISEASE - EA $ 1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below C Vessel Pollution OMH3491881 6/09/2010 6/09/2011 Per Co Schedule 1,000,000/5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is an additional insured as their interest may appear. CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners Attn: Rich Jones 2798 Overseas Highway Marathon FL 33050 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 Kelly White A294489 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD A`CPRL CERTIFICATE OF LIABILITY INSURANCE 08/08 � 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 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 lieu of such endorseme s . PRODUCER CONTACT Kelly White & Associates Insurance, LLC NAME 7No, (904) 880-888t AI No : (904) 239-54d3 P.O. Box 6340 ADDRESS kelty@kwhiteinsurance.com PR CUSTOAER 0. Main Jadtsonvihe FL 32236-6340 MUNtERM)AFFORDING COVERAGE NAIC s INSURED INSURER A: RLI Insurance Co ASAP, Inc. INSURER g: Phoenix Insurance Co/Travelers 01613 P.O. Box 804 INSURER c: Great American Insurance Co INSURER D: Zurich American Ins Cc of PA Tavernier FL 33070 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: RFVISInN NUMRFR- 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. Im TYPE OF INSURANCE INSR WVD POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR PREMISES oaxsrence $ 50,000 MED EXP (Any one person) $ 5,000 A P&I Including Crew MRP0200033 6/09/2011 6/09/2012 PERSONAL & ADV INJURY $ 1,000,000 Marine Salvor's GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 AGGREGATE LIMIT APPLIES PER POLICY EROJ- LOC CT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMB (Ea acddent) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per aaident) $ B SCHEDULED AUTOS BA2771 R065 6/09/2011 6l09/2012 PROPERTY DAMAGE (Per aoddent) S HIRED AUTOS NON -OWNED AUTOS $ $ e UMBRELLA LIAR OCCUR OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE y DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N TORY LIMITS D< ER E.LEACH ACgDENT $ 1,000,000 D OFFICE ExCLUDED��I� � N/A WC9692058indUSL&H 8/16/2011 8/16/2012 EL. DISEASE - EA $ 1,000,000 (Msndstory In NH) Ifyess. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000AQO 7essel PollutionOMH3491881 ( /2011 6/09/2012 Per Co Schedule 1,000,000/5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks SdwWWe, N more space is required) fax 305-292-4487 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE County of Monroe EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE Monroe County Risk Management WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 Kelly White A294489 ACORD 25 (2009/09 I e ACORD name and C 1988-2009 ACORD CORPORATION. All rights reserved. e' G logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE I m4m`li 07111i2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT- If the certificate holder is an ADDITIONAL INSURED, the policy(less) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditlorm of the policy, certain policies may require an endorsernent A ststernent on this certificate does not carrier rights to the PRODUCER Katy White & Associates insurance, LLC P.O. Box 6340 e Jacksonville FL 32236-8340 oft _..._ _ A -, RLI Insurance Co a+sw:goINSURER s : Travelers Property & Casualty Company ASAP, Inc. INSURER c P.O. Box 804 MiSUr18R €f c Zurich America INSURER E ; Great American Insurance Group Tavernier Ft_ 33070 f"ntrcDirs:�t Y'-FRTIFirATF NIJU PR- RFVNRIM NUURFR- 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 WRIT 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 CLAM. TYPE OF INKIRANCE ADM SUM POLICY Niel m M&M I LAM GEINWALLIABMJTY EACH OCCUFR 11000,00 UAK� �,t}O rA X COMMERCIALMA L �t�iR X P&I IndUding Crew MRP0200033 OM912012 06/09/2013 I4Eti EXP An one brow I 5,00 PERSONAL & AM INJURY 1100010C X Marine Salvors GENERAL AGGREGATE i 2,000,OC GEWL AGGREGATE L*W APPLIES PER= X POLICY PROLac PRODUCTS - Oki AGG 1,000,0© s AUTOMORU U1181t.ITY SINGLE LMt 1,000,0C G X ANY AUTO AALL OWNED NED SC ED X HIRED AUTOS X �"O X BA2771 ROSS RAP V 1R419,W V4AG8 06/0912012 EW; 06AM013 BODILY INJURY Liar per) S BODILY INJURY (Par soodenli _ t R1Y _ Db�ec�a�d LA L3A8HCLASAS4AADE EXLI" OCCUREACH NIA i L WC9692058 IGMII 08/1612012E.L OCCURRENCE $ AGGREGATE DEC) RETENrbN 00 EMPLOYERS, LABOW YIN Rf TOWPARTHERIEXECUTNE FFI"CER'"A"&MBERDa N ON OF OPERATIONS beiaw X WC STATLI X O R InClud s USL6i EACHACCIOEW 1,000,00 E.L.r3ISEASE:-EA84PLOYEE 3 1,000,00 E. L DISEASE - POLICY LINT S 1,000,00 E Vessel Pollution OMM3491881 06109t2O12 06AM013 $1,000,OW DESCRIPTION OF OPERAMMS I LOCA710M I VoyCLEs IAafaeh ACORD 101, Add oo ai R,,,, s S Mdulr, it m m spew to ngrkadl Certificate hokler is an additional insured as their interest may appear. UM Monroe County Board Of COUnty Commissioners THEEXPIRATION DATE THERE NOTICE WILL BE$� 0BEFORE ACCORDANCE WITH THE POLICY PROVISIONS. 2798 Overseas Highway Marathon I c� FL 33050 ' AUTrO RsENTATIVE ACORD 25 (20IMS) 0198&2010 ACORD CORPORATION. All rights reserved The ACORD Items and loran Ara rae►iala aA ,....a.. a^^— d i•^40R r"�i.i./Tlfi :.. CERTIFICATE OF LIABILITY INSURANCE DATE (MMfDDIYYYY) 06/11/2013 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 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 endorsements . PRODUCER Kelly White & Associates Insurance, LLC P.O. Box 350909 Jacksonville FL 32235 CONTACT HOUSE PHONE LAX E AIL PRESS PRODUCER riiqTnMFR in. INSURERS AFFORDING COVERAGE NAIC # INSURED ASAP, Inc. P.O. BOX 804 Tavernier FL 33070 INSURERA: RLI Insurance CO INSURER B: MAPFRE Insurance Company of Florida INSURER C: INSURER D: Zurich America INSURER E: Great American Insurance Group INSURER F: COVERAGES r=0TICIrATF I1tI11MR9Z0 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 TYPE OF INSURANCE POLICY NUMBER JAM LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 50,000 MED EXP (Any one person) $ 5,000 CLAIMS -MADE X OCCUR A X P&I Including Crew MRP0200033 06/09/2013 06/09/2014 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 X Marine Salvors DUCTS - COMP/OP AGG $ 1,000,000 EN'L AGGREGATE LIMIT APPLIES PER: POLICY PROD- LOC I E AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 ANY AUTO X BODILY INJURY (Per person) $ B ALL OWNED AUTOS SCHEDULED AUTOS 4150130008442 06/09/2013 06/09/2014 BODILY INJURY (Per accident) PROPERTY $ X HIRED AUTOS (Per accident) $ $ X NON -OWNED AUTOS ` $ PP NAGS ENT UMBRELLA LIAB OCCUR CLAIMS -MADE EXCESS LIAB A 2;�"VivIr —co Ft - ppG. •' >��L EACH OCCURRENCE $ IVAIVER A AGGREGATE $ DEDUCTIBLE $ $ RETENTION $ WORKERS COMPENSATION AND X WC STATU- X CITH- /� /� Includes USL&H D EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE N OFFIC�.j MFrnMWAR EXCLUDED? an a o // N /A WC9692058-01 08/16/2012 08/16/2013 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA $ 1,000,000 E.L.DISEASE- POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E Vessel Pollution OMH3491881 06/09/2013 06/09/2014 $1,000,000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Monroe County BOCC is additionally insured with respects to general liability and automobile liability as their intrests may appear. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE County of Monroe THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD Cc . -� nC .V1 C If ✓ CERTIFICATE OF LIABILITY INSURANCE DATE (01141I)CIT" I 08111=014, THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATWELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREIqlffj, AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE MOLDER. IMPORTANT: It the certificate holder Is an ADDITIONAL INSURED, the pol"Ies) must be arw1breed. If SUBWMATION 13 WANED, suboa to the terms and corAltioria of the poftc% Certain polfain may require an s"dorsowt A stab mW on Oft cortiftels do" not conW rights to the etrifflosift holder In ll*u of such endorser neriffs). PROOuCvt Kelly White & Associates Insurance, LLC P.O. Box 350909 JacksorMile Fl. 32235 =ACT HOUSE WIL I. IZZ PAWROWAFFORDINGCOVElItAGE "=a 0"pjm A: RLI Insurance Co INSURED ASAP, Inc. P.O. Box 804 Tavernier FL33070 IN"gN is; MAPFRE Insurance Company of Florida IN!MC; mmpmo: Weaw Insurance Company INSURER g -, Great American Insurance Group f—.-13vft1M P - d�eWCOAdl-CO rCCMCII-ATC 1IJ1fU0=0- OCU2411f%U Lif IUMCU- THIS IS TO CERTIFY THAT THE POLICIES, OF -INSURANCE, LISTED BELOW HAVF-BEEN ISSUED TO THE WSURED NAMED ABOVE FOR THEL PlMIGy PE-R*D' INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WrTH 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. "RI LTR TYPE OF PARMANCE POLICY NUMM POLICY 0tv 110101001YYYY) 11.0111" A X CONNIERCIAL GENERAL LIABILITY r';0 CLAIMS -MOM I ^ I OCCUR P&I Including Crew MRP0200033 0&09/2014 0&W2015 EACHOCCURRENCE 2 1,0001000 zxww PREMISES tE& omwomal 50,000 I X MEO EXP (Am am pwsm) S 5,000 X Marine Salvors peRSONALSAlps MM 1.000,000 GEWL X AGGREGATE LIMIT APPLIES PER: Poucy Elm ElLoc OTHEFt GENERAL AGGREGATE 2,000,000 PRODUCTS. CONROP AGO S 1,000,000 $ B AUTOMOD" LIABILITY x ANY AUTO ALLOY"I'D NSCIIEDOLM AUTO$ AUTOS HIRED AUTOS NON -OWNED Ix AUTOS 4110110108442 061090114 0&09=16 COMBINED SINGLE LINT S 1,000,000 BODILY IKAW (PW pown) S BODILY INJURY (Per mVWwA) S PROPERTY DAMAGE (per foodard S $ UMBRELLAL" EXCESS LIAR OCCUR EACH OCCURRENCE I RC:LA:0AS-MAOE A4GC4MGATE $ DEO, I I RETENTIONS S 0 NORKERS CCMPfMLjkTX)" kNO EMPLOYER LIABILITY YIN kNY PROPRIETOMPARTNER/EXECUTIVE F-] .)FFICE"FMSER EXCLUDED? L. Mandatory In NH) f yes, describe uMw JESCRIPTION OF OPERATIONS tw4aw MIA WC9692058-02 0811612014 0811612016 XjUZNTE i XI&TH, IndudesUSL&H A-' EACH —Acc'OENT E.L.OMEASE - EA EMPLOYEE 1'000'000 1 1,000,000 E.L. CiSEASE - POLICY UWT $ 1,000,E. E Vessel Pollution OMH34DIB81 0610912014 06IM2015 $1,000.000 spmm Is mq* *1 " DESCRIPTION OF OPERATIONS ho I LOCATIONS I VEHICLES (ACORD i6l, AdditlenW Romw1w Scdu%hmay be stlached If omossmom 09 db4fil WA NIA 'IVER —7- Monroe County BOCC Is additionally insured with respects to general liability and automobile liability as their intrasts may a , rw Coppty of Monroe AdArde b6tlnty ksk Management 1100 Simonton Street Key West SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR2150 REPRESENTATIVE FL 33040 ,D 19t10-2014 ACORD CORPORATION. All rights reserved. ACORD 29 (2014101) The ACORD name and logo are registered marks of ACORD ����� ,�CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDWYYYY) �..••--�� 07/22/2010 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 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 certwmmwwwwl�ificate holder in lieu of such endorsem s .zz:j - PRODUCER ACT E: Kelly White 8� Associates Insurance, LLC REGEN ( ) 880-8881 � No): (904) 239-5443 aC, No,1 P.O. Box 6340 ADD kel kwhiteinsurance.com AUG � T A. air Jacksonville FL 32236-6340 INSURERS AFFORDING COVERAGE NAIC 0 INSURED RLI nsurance Co ASAP, Inc. MONROE COt3 uRER B: Tra lens insurance Co P.O. Box 804 RISK MANACEM t American Insurance Co INSURER D: Seabright Insurance Co Tavernier FL 33070 INSURER E: INSURER F: CdVERAGES CFR I IFIC-ATF lilt IYRFR- 0CAfiQ1fWU rw IUUI=D- 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 INSR WVD POLICY NUMBER MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY 1 CLAIMS -MADE ® OCCUR DAMAGE M RENTED PREMISES Ea oocuffenoe $ 50,000 MED EXP (Any one person) $ 5,000 A P$I Including Crew MRP0200033 06/09/2010 06/09/2011 PERSONAL & ADV INJURY $ 1,000,000 Marine Salvoes GENERAL AGGREGATE $ 2,000,000 EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000 POLICY PRO'S F-] LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ B SCHEDULED AUTOS BA2771 RO65 06/09/2010 06/09/2011 PROPERTY DAMAGE (Per accident) $ HIRED AUTOS NON -OWNED AUTOS $ $ a UMBRELLA LU4B OCCUR s 4 r0 E CH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE .0000 DEDUCTIBLE $ a' $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N TORY LIMITS X ER E.L. EACH ACCIDENT $ 1,000,000 D ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / �► BB1103703 08/1612010 08/16/2011 E.L. DISEASE - EA $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Vessel Pollution OMH3491881 06/09/2010 06/09/2011 1,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (JUtach ACORD 101, Additions! Remarks Schedule, If more space is required) UV6 "-��A Mf SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Board of County EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE Commissioners WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key Wet FL 33040 . 046�� CY O 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are register arks of ACORD ACORU® CERTIFICATE OF LIABILITY INSURANCE DATE (MWDWYYYY) 06/16/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOEfOT CONS'�Il�j�F¢T BETWE THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CEFICATE {{�d[[ �t� i�:JiJ� IMPORTANT: H the oertMcate holder Is an ADDITMrsquiendom y(les) must be end ed. M SUBROGATION IS WANED, subject to the terns and conditions of the policy, certain policim L A statement this certificate does not confer rights to the certMcate hdder In lieu of such endo►seme s PRO�RNONTACTKelly White & Associates Insurance, LLCA� P.O. Box 6340 (904) 1 FAX (904) 239-5443 kelly@ tainsurance.com MainJacksonville FL 32236-6340INSURERS AFFORDING COVERAGE NAIC INSURED INSURERA: RLI Insurance Co ASAP, Inc. INSURER B: Phoenix Insurance CofTravelers 01613 P.O. Box 804 INSURER C: Great American Insurance Co INSURER D: Seatxight Insurance Co Tavernier FL 33070 INWRIM E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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. Im TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,DD0 COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR $ 50,000 MED EXP (Any one person) $ 5,000 A P&I Including Crean MRP0200033 6109/2011 6/09/2012 PERSON & ADV INJURY $ 1,000,000 Marine Salvors GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 1,000,000 M AGGREGATE LIMIT APPLIES PER POLICY PROJ- LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT Me accident) $ 1,ODO,ODO BODILY INJURY (Per person) . $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ B SCHEDULED AUTOS BA2771 RO65 6/09/2011 6/09/2012 PROPERTY DAMAGE (Per accident) $ HIRED AUTOS $ NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR \ C ( EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE Y 1-71� 1 DEDUCTIBLE $ $ RETEmnON $ pygNg TIONI AND Y / N STA TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 D ANY FF,CEW�ME,,EREAXRCLUERpcECLMVE�NIA BB1103703IndUSL&H 8116/2D10 8f16/2D11 E.L. DISEASE - EA $ 1,000,000 (Mmidatery in NH) Iyse dnc,dbeunder DES( RIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 C Vessel Pollution OMH3491881 6/09/2011 6/0912012 Per Co Schedule 1, ,000/5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Athch ACORD 101, Addltlorul Herniate Schedule, I more space is requkad) Certificate holder is an additxmal insured as their interest may appear. y'—OL _J Monroe County Board of County Commissioners 2790 Overseas Highway Marathon FL 33050 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 Kelly White A29"89 01988-2009 ACORD CORPORATION. All rights reserved_ ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD 16.- i ►® CERTIFICATE OF LIABILITY INSURANCE 5/2012 Y, EfO8':115/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR 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 C IMPORTANT: If the certificate holder is an ADD[ the terms and conditions of the policy, certain certificate holder in lieu of such endorseme s . NAL IN )must ties may require an endorsement A endorsed. If SUBROGATION IS WAIVED, subject to tement on this certificate does not confer rights to the PRODUCER Kelly White & Associates Insurance, LLC P.O. Box 6340 Jacksonville FL 32236 6340 AUG MONROE RISK MAN G CONE. HO E E � No): ffeA INSURE S AFFORDING COVERAGE NAIL RL Insurance Co INSURED ASAP, Inc. P.O. Box 804 Tavernier FL 33070 INSURER B: Travelers Property & Casualty Company INSURER C : INSURER D : Zurich America INSURER E: Great American Insurance Group COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. 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. L TYPE OF INSURANCE POLICY NUMBER MMIDOI YYYYJ EFF MPMID Y EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENITF15-- PREMISES a $ 50,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR MED EXP oneperson) $ 5,000 A X P81 Including Crew MRP0200033 06/09/2012 06/09/2013 PERSONAL & ADV INJURY $ 1,000,000 X Marine Salvors GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1.000,w0 Mr X POLICY PRO LOC $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT a ent 1,000,000 X BODILY INJURY (Per person) $ B ALL OWNED SCHEDULED HAIRED AUTOS TOSAUTOS X NO SWNED Brh2 o BA2771 RO65 BY R MANAGEMENT G 06/09/2012 06/09/2013 BODILY INJURY (Per accident) $ X X PPROPPEER' Y DAMAGE $ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ NORKERS COMPENSATION X I WC STATU- X OTH TORY LIMITS Includes USL&H D D EMPLOYERS' LIABILITY N PROPRIETOR/PARTNER/EXECUTIVE YIN FFICER/MEMBER EXCLUDED? ❑N Mandatory in NH) 41,00Hyes describe under DESCRIPTION OF OPERATIONS below N / A WC9692058 08/16/2012 08/16/2013 E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ 1,000,000 $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 0,000 E Vessel Pollution OMH3491881 06/09/2012 06/09/2013 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) r_CRTICIr_ATC Finl 11CR f AU1%Cl I ATlf%U SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 C. c.: ACORD 25 (2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD