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Certificates of Insurance ---""� ANDEOUT-01 ATHOMAS2 '4�`oRoR CERTIFICATE OF LIABILITY INSURANCE DAT7/7/2 D/YYYY) 021 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT John Darr NAME: Darr Schackow Insurance Agency LLC PHONE FAX 5200-B West Newberry Road (A/C,No,Ext):(352)338-0552 (A/C,No):(352)376-5741 Gainesville,FL 32607 ADDRESS:jdarr@darrschackowinsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Nw Insurance Co.Of America 25453 INSURED INSURER B:Allied Insurance Co of America 10127 Anderson Outdoor Advertising INSURER C: 9 Azalea Drive INSURER D: Key West,FL 33040 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 ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD MM DD YYYY MM DD Y A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR ACP5905051075 8/7/2021 8/7/2022 DAMAGE TO RENTED 100,000 X PREMISES Ea occurrence $ MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY PE LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ ANY AUTO X ACP3038894871 7/10/2021 7/10/2022 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ Appr Management $ UMBRELLA LIAB OCCUR V I sk EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE / _. AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION - PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNERJE OFFICER/MEMBER EXCLUDEDXECUTIVE ❑ N/A 11-16-2021 E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is named as an Additional Insured for General Liability and Commercial Auto when required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Count BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 100085 FX Duluth,GA 30096 AUTHORIZED REPRESENTATIVE ?"I", ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD From: athomas@darrschackowinsurance.com To: monroecountyfl monroecountyfl@Ebix.com CC: Subject: FW: Monroe County Florida Certificate of Insurance Req Date: 7/7/2021 3:49:38 PM Attachment(s): See attached revised Certificate of Insurance including the Hired/Non Owned Auto. Thank you, ApnTTfiiom" Sr. Commercial Account Manager Visit us at www.DarrSchackowinsurance.com �C 5200-B W. Newberry Road Gainesville, FL 32607 Tele 352-338-0552, Ext. 7148 Fax 352-376-5741 www.DarrSchackowlnsurance.com This transmission contains information that may be confidential or privileged, and is intended only for the recipient identified above. If you received this transmission in error,please notify the sender immediately, delete all copies, and be aware that any disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. Also,for your protection, coverage cannot be bound or changed via voice mail,email,fax,or online via the agency's website, and is not effective until confirmed directly with a licensed agent. From: DSI Info <Info@darrschackowinsurance.com> Sent:Wednesday,July 7, 2021 4:06 PM To:April Thomas <athomas@darrschackowinsurance.com> Subject: FW: Monroe County Florida Certificate of Insurance Req From:John Darr<idarr@darrschackowinsurance.com> Sent:Wednesday,July 7, 2021 4:02 PM To: DSI COI <coi@darrschackowinsurance.com> Subject: FW: Monroe County Florida Certificate of Insurance Req This is for Anderson Outdoor Advertising. John Darr 5200-B W. Newberry Road Gainesville, FL 32607 352-338-0552 352-244-0328 Direct JDarr@DarrSchackowinsurance.com This transmission contains information that may be confidential or privileged, and is intended only for the recipient identified above. If you received this transmission in error, please notify the sender immediately, delete all copies, and be aware that any disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. Also, for your protection, coverage cannot be bound or changed via voice mail, email, fax, or online via the agency's website, and is not effective until confirmed directly with a licensed agent. From: Customer Service<monroecountyfl@ebix.com> Sent:Wednesday,July 07, 2021 3:54 PM To:John Darr<jdarr@darrschackowinsurance.com> Subject: Monroe County Florida Certificate of Insurance Req CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. 1 The attached notice is being sent to you on behalf of Monroe County Florida by Ebix RCS. Monroe County Florida has engaged with Ebix to manage insurance compliance verification on its behalf. You must be properly insured while doing business with Monroe County Florida and comply with insurance requirements. As of the date of this notice we have not received proper evidence of insurance coverage. Please review the attached notice as it includes the information needed for compliance and where to send your Certificate of Insurance. Vendor Instructions:The attached notice is being sent to you and your agent, if we have their email address on file. Agent Instructions: Please review the attached notice as it includes the information needed for compliance. Please send your Certificate of Insurance via email to monroecountyfl@ebix.com; if you have any questions, please contact Ebix by calling(951) 925-1213; thank you for your prompt attention to this matter. EB1X Ebix,lnc. I One Ebix way I Johns Creek, GA 30097 1 Web- Insurance Compliance PO Box 100085-FX h Duluth, GA 30096 July 07, 2021 Reference Number- FX00000206 Pin Number: 12606268 Anderson Outdoor Advertising 9 Azalea Drive Key West, FL 33040 USA SUBJECT: CERTIFICATE OF INSURANCE REQUIREMENTS NOTIFICATION The terms of our agreement state that you must provide us with evidence of insurance coverage meeting our requirements while doing business with Monroe County Florida. According to our records, the evidence of your insurance coverage we received from Darr Schackow Insurance Agency, issued on 712l2021 requires your attention for the following reason(s): Deficiency Date Policy# *Auto Liability-Owned, Scheduled, Hired, &Non-Owned Autos are not properly identified. Included on the back of this notice is information about our certificate requirements. Please contact your insurance agent or broker and ask them to provide us with a current Certificate of Insurance using one of the following methods: A. By uploading directly to our website: htts:llwww.ebixcerts.com using your reference number and pin number shown at the top right of this notice. B. By email to monroecountyfl@ebix.com C. By fax to (770) 325-5717 After using one of these methods, please do not send us the certificate by mail. We should receive your Certificate of Insurance within 15 days of the date of this notice in order to avoid further notices and possible interruption of your activities with Monroe County Florida. If you have questions about this notice or the correct coverage required you may call us at(951)925-1213. Sincerely, Insurance Compliance Department Incomplete Coverage 1 [IC1] CERTIFICATE OF LIABILITY INSURANCE Date:MM/DD/YY 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(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, ertain policies may require an endorsement.A statement on this certificate does not confer ri hts to the certificate holder in lieu of such endorsements. PRODUCER Phone: CONTACT NAME: Fax: PHONE FAX Name&Address of Producer (A/C, No, Ext): (A/C, No): ADDRESS: PRODUCER CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC INSURED INSURER A: AM Best Rating A- .Or Better 13 1del INSURER B: AM Best RatingA-, Or Better rovi Name&Address of Insured INSURER C: AM Best Rating A- Or Better Provide INSURER D: AM Best Rating Or etter pr9yrde COVERAGES CERTIFICATE NUMBER: REVISION NU' BER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD DICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY ERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN M Y HAVE BEEN REDUCED BY PAID INSR DDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER DATE(MM/DDNY) (MM/DD/YYYY) LIMITS A GENERAL LIABILITY EACH O CURRENCE $1,000,000 COMMERCIAL GENERAL LIABILITY Y DA GE TO RENTED ❑0 CLAIMS MADE k] OCCUR 7 EMISES(Ea occurrence) MED EXP(Any one person) �y PERSONAL&ADV INJURY GENERAL AGG.LIABILITY APPLIES PE : GENERAL AGGREGATE $1,000,000 POLICY PROJECT F LOC PRODUCTS-COMP/OP AGG $1,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1000000 X❑ ANY AUTO HIRED AUTOS Y (Ea accident) ALL OWNED AUTOS BODILY INJURY (Per person) SCHEDULED AUTOS NON-OWNED AUTOS BODILY INJURY (Per accident) ❑ PROPERTY DAMAGE(Per accident) UMBRELLA LIAB OCCUR eEXCESS LIAB CL IMS_ EACH OCCURRENCE DEDUCTIBLE ❑ DE AGGREGATE RETENTION WORKERS COMBI NSATION AND ❑ WC STATUTORY LIMITS❑OTHER EMPLOYER'S I LITY NX ANY PROPRIETOR/PARTNER/ E.L.EACH ACCIDENT EXECUTIVE OFFICER/M N EXCLUDED?. E.L.DISEASE-EA EMPLOYEE (Mandatory in NH) ❑ If yes,describe under E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATI below Builders Risk: Real Replacement Value Proof Of Coverage DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) -Required Additional Insured Language for General Liability and Auto Liability Monroe County BOCC. -Workers Compensation: Must provide coverage for the following State(s): FL CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION-DATE THEREOF,NOTIC CE WITH THE Insurance Compliance POLICY PROVISIONS. PO Box 100085-FX AUTHORIZED REPRESENTATIVE Duluth,GA 30096 Certificate Must be Signed Monroe County Florida Certificate Requirements Please note that the certificate requirements appearing in this notice are for certificate tracking purposes only, and do not alter your insurance obligations under our agreement in any way. The certificate must include: Coverage must be placed with carrier rated not less than A-, and show complete insurance carrier names as it appears in AM Best Property&Casualty Guide (or include NAIC#or AMBest#). Binders are not acceptable. Required Certificate Holder Language: Monroe County BOCC. Additional Requirements: • Required Additional Insured Language for General Liability and Auto Liability Monroe County BOCC. • Workers Compensation: Must provide coverage for the following State(s): FL If appropriate, please complete the following section and return this form to the address shown on the front of this notice. Reference Number FX00000206 Anderson Outdoor Advertising 0 My Company is no longer doing business with Monroe County Florida. Automobile-No company owned autos. Workers'Compensation- I certify that my company has no employees that fall within the jurisdiction of any state(s) 0 Workers'Compensation Laws in which work is to be performed. Authorized Signature Date Printed Name Title Phone Number Contact Information If any of the information shown below is a) missing or b) incorrect, please complete or correct it and return it along with your certificate. Your Email Address: aoakw@aol.com Your Agent's Email Address: Your Telephone#: (305)294-5479 'V(56r1g&n 9t61ep)ione fF-1352)-n8-0552 Your Fax#: Your Agent's Fax#: (352)376-5741 ANDER-1 OP ID:SW ACOR®" DATE(MMIDDWYYY) �,� CERTIFICATE OF LIABILITY INSURANCE 09110l2019 THIS CERTIFICATE IS ISSUED AS,1A;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 pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 352-338-0552 521ACT John Darr IV Darr Schackow Insurance Agency PHONE 352-338-0552 I FAX 352-376-5741 5200-B Newberry Road (Arc,No,Ext): (NC,No): Gainesville,FL 32607 ADD AiigSS:JDarrrDarrSchackowinsurance.com John Darr IV INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:NW Insurance Co.Of America 25453 INSURED INSURER B:Allied P&C Insurance Company 42579 Anderson Outdoor Advertising 9 Azalea Drive INSURER C: Key West, FL 33040 INSURER D: 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. ILIRR TYPE OF INSURANCE ANSD 3y pR POLICY NUMBER (MMIDDIIYWY) IMMIDD/YYW) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR ACP5985051075 08/0712019 08107/2020 DAMAGETO RENTED 100,000 X PREMISES(Ea occurrence} $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 POLICY j1 LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY (Ea accident) $ ANY AUTO X ACP3018894871 07/10/2019 07/10/2020 BODILY INJURY(Per person) $ — — WNED AUTOSAR NLY X AUTODULED BODILY INJURY(Per accident) $ _ AUTOS ONLY _ NON-OWNEDTO LY � Oar Rd�tDAMAGE $ . $ — UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE APP, i B9KMA . MENT AGGREGATE $$ DED RETENTION$ WORKERS COMPENSATION ESY ' /_ IC PER OTH- AND EMPLOYERS'LIABILITY / STATUTE ER AANY PRO M IIETOE RJPARTNEREEXCLUDED? CUTIVE YIN NIA DATE 61`, I E.L.EACH ACCIDENT $ `Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under WAIVER NlA. YES DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Certificate Holder is named as an Additional Insured for General Liability and Commercial Auto when required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION MONROEI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE John Darr IV 1 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �...40 ANDER -1 OP ID: C3 '4 �9 CERTIFICATE OF LIABILITY INSURANCE DATE 07 1 2 / 2018 Y) 0 7/1 212 01 8 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 have ADDITIONAL 'INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 352 - 338 -0552 CONTACT John Darr IV Darr Schackow Insurance Agency PHONE 5200 - B Newberry Road (A/c, No, Ext): 352 - 338 -0552 I (NC No): 352- 376 -5741 Gainesville, FL 32607 E-MAIL JDarr @DarrSchackowinsurance.com John Darr IV INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Nw Insurance Co. Of America 25453 INSURED Anderson Outdoor Advertising INSURER B : Allied P & C Insurance Company 42579 9 Azalea Drive Key West, FL 33040 INSURER C : INSURER D : 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 ADDL SUBR W P OLICY NUMBER POLICY EFF POLICY EXP LIMITS I TR INSR Vft (MMIDDIYYYYI IMMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR ACP5975051075 08/07/2018 08/07/2019 DAMAGE TO RENTED 100,000 Y PREMISES OEa occurrence) $ MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY JECT I LOC PRODUCTS - COMP /OPAGG $ 1,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO ACP3008894871 07/10/2018 07/10/2019 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY (Per accident) $ AUTOS ONLY NON-OWNED ONEY PROPERTY accident) AMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ . DED RETENTION $ - rt ,K / . ' l AGENIEPR $ WORKERS COMPENSATION -� PER OTH- AND EMPLOYERS' LIABILITY Y/ N STATUTE ER ANY PROPRIETOR /PARTNER /EXECUTIVE BY / E .L. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? N / A (Mandatory in NH) ��� E.L. DISEASE - EA EMPLOYEE $ If yes, describe under _ DESCRIPTION OF OPERATIONS below WAIVED N/ YES— ' E.L. DISEASE - POLICY LIMIT $ Cyg _ 1 c DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) n G A I 0A 44 t e _ CERTIFICATE HOLDER CANCELLATION MONROEI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County BOCC 1100 Simonton Street Key Weft, FL 33040 AUTHORIZED REPRESENTATIVE )zi 1 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ANDER -1 OP ID: C3 ACORO° CERTIFICATE OF LIABILITY INSURANCE DATE(MM /201 YY) o7/2s/zols 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 352 - 338 -0552 CONTACT John Darr IV NAME: Darr Schackow Insurance Agency PHONE 352- 338 -0552 FAX 352 - 376 -5741 5200 - B Newberry Road (NC, No, Ext): (NC, No): Gainesville, FL 32607 E -MAIL JDarr@DarrSchackowinsurance.com John Darr IV ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Nw Insurance Co. Of America 25453 INSURED Anderson Outdoor Advertising INSURER B: Allied P & C Insurance Company 42579 9 Azalea Drive • Key West, FL 33040 INSURER C: INSURER D : 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 ADDL SUBR P OLICY NUMBER POLICY EFF POLICY EXP LIMITS I TiZ INsrt wvn IMM/DD/YYYY) IMMIDDIYYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE X OCCUR ACP5975051075 08/07/2018 08/07/2019 DAMAGE TO RENTED 100,000 Y PREMISES (Ea occurrence) S MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLCES PER: GENERAL AGGREGATE S 1,000,000 X POLICY PRO- JECT LOC PRODUCTS - COMP /OP AGG $ 1,000,000 OTHER: S COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY � E acc idet) ANY AUTO y ACP3008894871 07/10/2018 07/10/2019 BODILY INJURY (Per person) $ OWNED AUTOS ONLY X AUTOS BODILY INJURY (Per accident) $ AUTOS ONLY AUUTOS ONLY ( P r a c n $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE AGGREGATE S DED RETENTION $ AP P' a WOG W 8 ' r'' ORKERS COMPENSATION PER OTH STATUTE ER AND EMPLOYERS' LIABILITY — ANY PROPRIETOR/PARTNER /EXECUTIVE YIN N / A ��, "� ` E.L. EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? (Mandatory In NH) A E.L. DISEASE - EA EMPLOYEE $ If yes, describe under VVAIVE43 1 DESCRIPTION OF OPERATIONS below WAIVE 43 ► E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is named as an Additional Insured for Commercial Auto when required by written contract or agreement. CERTIFICATE HOLDER CANCELLATION MONROEI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County BOCC 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 by • j'LLr/tw l.„Ar � ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �--, ANDER -1 OP ID: SW ACORO DATE (MMJDD)YYYY) 411111.....---- CERTIFICATE OF LIABILITY INSURANCE 07/02/2018 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 352 - 338 -0552 CONTACT NAME: John Darr IV Darr Schackow Insurance Agency PHONE 352 - 338 - 0552 F A x 352- 376 -5741 5200 - B Newberry Road (AJC, No, Est): ( AIC , No): Gainesville, FL 32607 C MIDAA„:,Mrr@DarrSaFack-oWinsurance.com John Darr IV INSURER(S) AFFORDING COVERAGE NAIC N ' INSURER A: Nw Insurance Co. Of America 25453 INSURED Anderson Outdoor Advertising INSURER B: 9 Azalea Drive 1 Key West, FL 33040 INSURER C: INSURER D: i 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 ADDLISUBF POLICY NUMBER POLICY EFF POLICY EXP LIMBS LTR INSD • N/VD (MMIDDIYYYY) (MMIDD1YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR Y ACP5965051075 08/07/2017 08/07/2018 P FS(Eaoccurrence) $ 100,000 MED EXP (Anv one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 1'000'000 POLICY 28f 1 LOC PRODUCTS - COMP /OPAGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY (Ea SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AURTEOD 0 "NLY S ONLY _ AUTOS BODILY Ep BODILY INJURY (Per accident) $ AUTOS ONLY _ AUTOS ( P2 e ra cid n AM AGE $ t • NT de $ • UMBRELLA LIAB OCCUR ' P. eV • VI R ! EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE BY _ �a /i J - '1 / ' l - AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION DATE, l.J AND EMPLOYERS' LIABILITY STATUTE ER H ANY PROPRIETOR/PARTNERIE)ECUTIVE Y WAIVER WA— Y� E.L. EACH ACCIDENT $ OF � EXCLUDED? NI A lM E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS! VEHCLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners PO Box 1026 AUTHORIZED REPRESENTATIVE John Darr IV Key West, FL 33041 CC • r (Ma LA 0_, ACORD 25 (2016/03) ® 1988 -2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POUCY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABIUTY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN MARIA SLAVIK PO BOX 1026 KEY WEST FL 330411026 Locatlon(s) Of Covered Operations VARIOUS LOCATIONS THROUGHOUT THE STATE OF FLORIDA WHERE A WRITTEN CONTRACT OR AGREEMENT REQUIRES THAT THIS INSURANCE SPECIFICALLY PROVIDE SUCH COVERAGE FOR THE ADDITIONAL INSURED. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to 2. If coverage provided to the additional insured is include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured with respect to liability for "bodily injury", "property will not be broader than that which you are damage" or "personal and advertising injury" required by the contract or agreement to caused, in whole or in part, by: provide for such additional insured. 1. Your acts or omissions; or B. With respect to the insurance afforded to these 2. The acts or omissions of those acting on your additional insureds, the following additional behalf; exclusions apply: in the performance of your ongoing operations for This insurance does not apply to "bodily injury' or the additional insureds) at the Iocation(s) "property damage" occurring after: designated above. 1. All work, including materials, parts or However equipment furnished In connection with such work, on the project (other than service, 1. The insurance afforded to such additional maintenance or repairs) to be performed by or insured only applies to the extent permitted by on behalf of the additional insured(s) at the law: and location of the covered operations has been completed; or CO 20 10 04 13 © Insurance Services Office Inc 2012 Page 1 of 2 ACP GI205975051075 MACH 18162 AGENT COPY 45 0003927 CG 20 0413 2. That portion of "your work" out of which the 1. Required by the contract or agreement; or injury or damage arises has been put to its 2. Available under the applicable Limits of intended use by any person or organization Insurance shown in the Declarations; other than another contractor or subcontractor whichever is less. engaged in performing operations for a principal as a part of the same project. This endorsement shall not increase the C. With respect to the insurance afforded to these applicable Limits of Insurance shown in the additional insureds, the following is added to Declarations. Section III — Umlts Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: All terms and conditions apply unless modified by this endorsement. Page 2 of 2 CO Insurance Services Office Inc 2012 CO 2010 04 13 ACP GLZ05975051075 MACH 18962 AGENT COPY 45 0003928 • ANDER -1 OP ID: SW ACORO' DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 07!02!2018 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 352- 338 -0552 CONTACT NAME: John Darr IV Darr Schackow Insurance Agency PHONE 352-338-0552 I FAX 352- 376 -5741 5200 - B Newberry Road (A/C, No, Ext): (A/C, No): Gainesville, FL 32607 a oRIESS: JDarr @DarrSchackowinsurance.com John Darr IV • INSURER(S) AFFORDING COVERAGE NAIC 11 INSURERA: Nw Insurance Co. Of America 25453 INSURED Anderson Outdoor Advertising INSURERB: 9 Azalea Drive Key West, FL 33040 INSURER C: INSURER D: 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. ILTR TYPE OF INSURANCE IANSD SUBR POLICY NUMBER ( M M I POLICY (POLICY YYY) LIMBS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR Y ACP5965051075 08/07/2017 08/0712018 ? a oaurr $ 100,000 MED EXP (Anv one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 POLICY JECT LOC PRODUCTS- COMP /OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ • AUTOS ONLY AU ONLY p (Perr acciidentDAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y 1 N STATUTE ER ANY PROPRIETOR /PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ OFFICEF/MEMEER EXCLUDED? N 1 A (mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) - • =Y RISS4MANA • EME , n / 1 � I .,�' l i If "lGi;(�i2,� BY DATE_ I(. a I- WAIVER WA_ YES f 410 CERTIFICATE HOLDER CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners PO Box 1026 AUTHORIZED REPRESENTATIVE Key West, FL 33041 John Darr IV ACORD 4 (2016103) ©1988 -2015 ACORD CORPORATION. All rights reserved. `�,; ,µ,„u, The ACORD name and logo are registered marks of ACORD POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 1004 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN MARIA SLAVIK PO BOX 1026 KEY WEST FL 330411026 Locatlon(s) Of Covered Operations VARIOUS LOCATIONS THROUGHOUT THE STATE OF FLORIDA WHERE A WRITTEN CONTRACT OR AGREEMENT REQUIRES THAT THiS INSURANCE SPECIFICALLY PROVIDE SUCH COVERAGE FOR THE ADDITIONAL INSURED. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who is An Insured is amended to 2. If coverage provided to the additional insured is include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured with respect to liability for "bodily injury", "property will not be broader than that which you are damage" or "personal and advertising injury" required by the contract or agreement to caused, in whole or in part, by: provide for such additional insured. 1. Your acts or omissions; or B. With respect to the Insurance afforded to these 2. The acts or omissions of those acting on your additional insureds, the following additional behalf; exclusions apply: in the performance of your ongoing operations for This insurance does not apply to "bodily injury" or the additional insured(s) at the Iocation(s) "property damage" occurring after: designated above. 1. All work, including materials, parts or However, equipment furnished in connection with such 1. The insurance afforded to such additional work, on the project (other than service, insured only applies to the extent permitted by maintenance or repairs) to be performed by or law: and on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 2010 0413 ® Insurance Services Office, Inc„ 2012 Page 1 of 2 ACP GLZ05975051075 MACH 18162 AGENT COPY 45 0003927 CG20100413 2. That portion of 'your work' out of which the 1. Required by the contract or agreement; or injury or damage arises has been put to its 2. Available under the applicable Limits of intended use by any person or organization Insurance shown in the Declarations; other than another contractor or subcontractor whichever is less. engaged in performing operations for a principal as a part of the same project. This endorsement shall not increase the C. With respect to the insurance afforded to these applicable Limits of Insurance shown in the additional insureds, the following is added to Dectarations. Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: All terms and conditions apply unless modHled by this endorsement. Page 2 of 2 © Insurance Services Office, Inc., 2012 CO 2010 0413 ACP GLZ05975051075 MACH 18162 AGENT COPY 45 0003928 ANDER-1 OP ID: JF CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsementtcl PRODUCER 352-338-0552 Darr Schackow Insurance! Agency 5200 - B Newberry Road 352-376-5741 Gainesville FL 32607 John Darr I� INSURED Anderson Outdoor Advertising, 9 Azalea Drive Key West, FL 33040 INSURER(S) AFFORDING COVERAG INSURERA: NW Insurance Co. Of America INSURER B : INSURER C : INSURER D : INSURER E : NAIC 0 25453 _W Vr_rcravca 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. CTR TYPE OF INSURANCEINSR POLICY NUMBER MMIDD YYFYY MMILDIDIYYYY LIMBS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0 A X COMMERCIAL GENERAL LIABILITY CP5905051075 08/07/11 08/07/12 PREMISES ERENT r RENTED $ 100,0 CLAIMS -MADE CX7 OCCUR L---J GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO- JECT LOC LIABILITY A �OMOBILE ANY AUTO f J � ALL OWNED SCHEDULED AUTOS AUTOS �X HIP ED AUTOS X_ AUTOS NON -OWNED R UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIE:XECUTIVE Y 1 N OFPCERIMEMBER EXCLUDED N 1 A (Mandatory in NH) If yes, describe under MED EXP (Any one person) $ 5,00 PERSONAL &ADVINJ� 1,000,00 GENERAL AGGREGATE $ 1,000,00 PRODUCTS- COMPI.ORAGG $ 1,000,00 I$ 075 08/07111 08/07/12 BODILY INJURY (Per person] $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident EACH OCCURRENCE $ AGGREGATE �$ I$ SCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) VERTISING SIGN COMPANIES -OUTDOOR PRODUCTS -COMPLETED rlificate holder is listed as additional insured MONROEC Monroe County Board of County Commissioners E L EACH ACCIDENT $� E.L. DISEASE- EA EMPLOYEEEDISEASE- EA EMPLOYE—E�j—�$--- E L. DISEASE- POLICY LIMIT $ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 y' © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ANDER-1 OP ID: JF CERTIFICATE OF LIABILITY INSURANCE IS 708131111 (MMIODIYYYY) THIS CERTIFICATE 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 ADDITI s mus endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain poll es may re nt. A stat ment on this certificate does not confer rights to the certificate holder in lieu of such endorsamantrcl PRODUCER 352-338-0552 CONTACT Darr Schackow Insurance Agency NAME: 5200 - B Newberry Road 352 ff �5741 H Ext Gainesville, FL 32607 I (A/C, No) - John Darr IV ADDRESS: INS RER(S) AFFORDING COVERAGE NAIC i MONROE : Nw Ins nce CO.Of America 25453 INSURED Anderson Outdoor Advertising, RISK MAN 9 Azalea Drive Key West, F'L 33040 INSURERC: INSURER D : INSURER E : 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 LTR TYPE OF INSURANCE POLICY NUMBER MMIDDI MMJDDIYYYY LIMITS GENERAL LIABILITY A X COMMERCIALGENERA- LIABILITY ACP5905051075 EAACAOCCURRENCE $ 1,000,0 08107J11 08/07l12 PREMISES Ea occurrence $ 100,0 CLAIMS -MADE [] OCCUR MED EXP (Any one person) $ 5,0 PERSONAL & ADV INJURY $ 1,000, GEN'L AGGREGATE LIMIT AFPLIES PER: POLICY PRO- I LOC GENERAL AGGREGATE $ 1,000, PRODUCTS- COMPIOP AGG $ 1,000, A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS ED HIRED AUTOS X tJ UTOS NTOS ACP5905051075 08/07M1 $ 08/07/12 SINGLE LIMIT Ea aBcdeI $ 1,000, BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE „ r\ ` r ' EACH OCCURRENCE $ nFn T AGGREGATE $ AND EMPLOYERS' LIABILITY \/ ' k, WCY TATT- OTH- ANY PROPRIETOR/PARTNERIECECUPVE YIN ' OFFICER/MEMBER EXCLUDED? ❑ N I A E.L. EACH ACCIDENT $ (Mandatory in NH) If yes, describe under E.L. DISEASE - EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 4 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101 Additional Remarks Schedule, if mo ADVERTISING SIGN COMPANIES -OUTDOOR PRODUCES -COMPLETED LL re apace is required) Certificate holder is listed as additional insured G C: Itf 1 �. a s ►% CA— MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners Attn Maria Slavik AUTHORIZED REPRESENTATIVE PO Box �a n� IKev West, F FL 113041 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks ofACORD ANDERA OP ID: JF ACORO" CERTIFICATE OF LIABILITY INSURANCE 8131DI2 DAT08131112 8131 M 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 352-338-0552 Darr Schackow Insurance Agency 352-376-5741 5200 - B Newberry Road Gainesville, FL 32607 CONTACT NAME: PHONE FAX E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC I INSURER A : Nw Insurance Co. Of America 25453 INSURED Anderson Outdoor Advertising, 9 Azalea Drive Key West, FL 33040 INSURERB: INSURER C INSURER D : INSURER E : 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 LS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADOL imp SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY CP5915051075 08/07/12 08/07/13 PREMISE TO RENTED ES Ea occurrence $ 100,00 CLAIMS -MADE I -XI OCCUR MED EXP (Anyone person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMPIOP AGG $ 1,000,00 POLICY PIFCT RO LOC $ AUTOMOBILE LIABILITY Ea accident I $ 1,000,00 BODILY INJURY (Per person) $ A ANY AUTO CP5915051075 08/07/12 08/07/13 ALL OW NED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per .";dent $ NON -OWNED X HIRED AUTOS Ix AUTOS(P.,." UMBRELLA LAB HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILTY YIN ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA B DA W WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below f G E.L. DISEASE -POLICY LIMIT $ `1 Jel iIL ' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) ADVERTISING SIGN COMPANIES - OUTDOOR PRODUCTS -COMPLETED Certificate holder is listed as additional insured CERTIFICATE HOLDER CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners AUTHORIZEDREPRESENTATIVE 1100 Simonton Street Key West, FL 33040 O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (201Q/ 5) The ACORD name and logo are registered marks of ACORD L c._ ANDER-1 OP ID: JF CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 09/0312013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Phone:352-338-0552 Darr Schackow Insurance Agency Fax: 352-376-5741 5200 - B Newberry Road Galnesville, FL 32607 CONTACT NAME: PHONEFAX A!C No E A/C No EMAIL ADDRESS: INSURER($) AFFORDING COVERAGE NAIC i INSURERA:Nw Insurance Co. Of America 25453 INSURED Anderson Outdoor Advertising, 9 Azalea Drive Key West, FL 33040 INSURERB: INSURERC: INSURER D INSURER E INSURER F rnvc12eCcc rFRTIFIrOTF NLIMRFR- 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. TYPE OF INSURANCE POLICY NUMBER MMIDD MMIDDfYYYY LIMITS rA GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR ACP5925051075 08/07/2013 08l07/2014 EACH OCCURRENCE $ 1r000A0 PREMISES AGE ToEa ocITED currence $ 100,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00( GENERAL AGGREGATE $ 1,000,00( GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO LOC PRODUCTS- COMPIOP AGG $ 1,000,00 $ A AUTOMOBILE LIABILITY ANY AUTO AALL UTOS OWNED SCHEDULED AUTOS NON -OWNED X HIRED AUTOS Ix AUTOS CP5925051075 08/07/2013 08/0712014 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PPROPERdTnDAMAGE $ UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR ^ AP ENr EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA DA !� W �— /X�� Y '/ �/ WC STATU- OTH- ORY LIMITS E.L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) VERTISING SIGN COMPANIES - OUTDOOR PRODUCTS -COMPLETED Certificate holder is listed as additional insured MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board Of County ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West, FL 33040 (U 1VVt1-XUIU AUUKU %_UKl'UKAIIUN. All rlgrns reserveo. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AC D" ANDER-1 OP ID: EB CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAFTE HOLDER.0120IS14 CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED TE THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE RBY (S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(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 endorsements . PRODUCER NCONTACT AME: John Darr IV Darr Schackow Insurance Agency 5200 - B Newberry Road PHC No E :352-33"552 Gainesville, FL 32607 A AIc No: 352-376-5741 ADDRESS: 'dart darrschackowinsurance.com INSURER(S) AFFORDING COVERAGE NAIC 0 INSURER A:NW Insurance Co. Of America 25453 INSURED Anderson Outdoor Advertising, 9 Azalea Drive INSURERS: Key West, FL 33040 INSURERC: INSURER D : 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 LT TYPE OF INSURANCE POLICY NUMBER MMIDD MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE a OCCUR X ACP5935051075 08/07/2014 08/07/2015 PREMISES IEa occurrence $ 100,00 MED EXP (Any one person) $ 5,00 GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL BADVINJURY $ 1,000,00 tAN JJECT LOC GENERAL AGGREGATE $ 1,000,00 PRODUCTS - COMPIOPAGG $ 1,000,00 BILITY COMBINED SINGLE LIMIT $ 1,000,00 Eaaccident CP5935051075 08/07/2014 08/07/2015 BODILYINJURY (Per person) $ SCHEDULED AUTOS BODILY INJURY (Per accident) $ OS X NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident T UMBRELLA LIAR OCCUR $ EXCESS LIAB CLAIMS -MADE EACH OCCURPENCE AGGREGATE $ DED PcTENTION $ WORKERS COMPENSATION $ AND EMPLOYERS' LIABILITY YINIPSTATUTE ER ANY PROPRIETOPARTNER�E>ECUTIVE , ,FFICEP MEMBER E)<CLUDED? NIA E.L. EACH ACCIDENT (Mandatory In NH) It yes, describe under E.L. Dt SEASE - EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L. DI SEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORO 101, Additlonal Remarks Schedule, may be attache j(tngr0 1 ul Certificate Holder is Listed as an Additional Insured B t'I1CJ GEMEEN;TT WA N/ _ '�' U 414",C_ *w,-, CERTIFICATE HOLDER CANCELLATION MONROEC !� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Gt�D (' I .� i Tti t EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County A'��ORDANCE WITH THE POLICY PROVISIONS. Commissioners Attn: Monique Lewinski �I-� AUrHORIZEDREPRESENTATIVE PO Box 1026 �Key West FL 33041 •cam © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD ANDER-1 OP ID: EB ACORL7 CERTIFICATE OF LIABILITY INSURANCE DATE 09/15/2015Y) 09I15/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Darr Schackow Insurance Agency 5200 - B Newberry Road Gainesville, FL 32607 CONTACT John Darr IV PHONE FAX Arc No Ell: 352-338-0552(A/c,No : 352-376-5741 E-MAIL SS: jdarr@darrschackowinsurance.com INSURER(S) AFFORDING COVERAGE NAIC R INSURERA: NW Insurance Co. Of America 25453 INSURED Anderson Outdoor Advertising, 9 Azalea Drive INSURERB: Key West, FL 33040 INSURERC: INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NHMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCEADUL INSD SUB WVD POLICY EFF POLICY NUMBER MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X ACP5945051075 08/07/2015 08/07/2016 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY 7 jEO 7 LOC GENERAL AGGREGATE $ 1,000,000 PRODUCTS - COMP/OPAGG $ 1,000,000 $ OTHER AUTOMOBILE LIABILITY Ea aBINEDtSINGL LIMIT $ 1,000,000 A ANY AUTO ACP5945051075 08/07/2015 08/07/2016 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ WORKERS COMPENSATION - 'AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N 1 A STATUTE ER E.L. EACH ACCIDENT $ E.L DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under E.L DISEASE - POLICY LIMIT 1 $ OF OPERATIONS below ,DESCRIPTION DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more sW11G Monroe County Board of County Commissioners as an Additional Insured Y?E "fWAI- l/, ` CERTIFICATE HOLDER 7 CELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners QC :zi Wd 91 a1 AUTHORIZED REPRESENTATIVE Attn: Monique Lewinski PO Box 1026 �� .1 �':I i_ 0 j � �? �J Key West FL 33041 ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD qC0 OR ANDER-1 OP ID: EB CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDONY" THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER NAME: John Darr IV Darr Schackow Insurance Agency PHONE 5200 - B Newberry Road IC No E :352-338-0552 ac No: 352-376-5741 Gainesville, FL 32607 nDDREss: 'dart darrschackcwinsurance.com INSURERS) AFFORDING COVERAGE NAIC INSURERA: Nw Insurance Co. Of America 25453 INSURED Anderson Outdoor Advertising, 9 Azalea Drive INSURERS: Key West, FL 33040 INSURERC: INSURER D : INSURER E INSURER F %_- Vr_rcrlbeJ 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. NSR LTR TYPE OF INSURANCE POLICY NUMBER MM10D MMIODIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY ('� j EACH OCCURRENCE $ 1,000,0 CLAIMS -MADE 19I OCCUR X CP5935051075 no in7/9MI norn—nn.e —'"'"""— PREMISES Ea occurrence % MED EXP (Any one person) $ GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY ❑PRO- ❑ JECT LOC OTHER PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS- COMP/OP AGG $ q AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS ACP5935051075 08/07/2014 08/07/2015 COMBINED SINGLE LIMIT Ea accident)$ BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAB EXCESS LIAR p,_GJR CLAIMS -MADE EACH OCCU?PENCE £ DED RETENTION $ AGGREGATE $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y I N ANY PROPRIETORIPARRIER,EXECUTIVE OFFICEPIMEIABER EXCLUDED? (Mandatory In NH) If yes, dtiscribe under DE SCRIPTI'J1I JF OPERATIO^IS below NIA 6 STATUTE ER E L. EACH ACCIDENT $ E.L. DISEASE- EA EMPLOYEE $ E.L. DI;EA�,E- POLICY LIMIT { DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be 7ertificate Holder is Listed as an Additional Insured or9 4/w"c QG- P/C ,%", U L t, i l l -! ... MONROEC 1 1 100, 5, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ` EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County�ORDANCE WITH THE POLICY PROVISIONS. Commissioners r Attn: Monique Lewinski C r► f ,i AVIHORIZED REPRESENTATIVE Box F /�A Ke Key West.t. FL 33041 �'/�" ACORD 25 (2014/01) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ANDER-1 OP ID'ER ,a►CORO"` CERTIFICATE OF LIABILITY INSURANCE `--� DATE 09115/20/ YY) 09/1512015 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 EPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Darr Schackow Insurance Agency 5200 - B Newberry Road CONTACT NAME: Darr IV PHONE 352-376-5741 352-338-0552 : Arc No Ext Arc No Gainesville, FL 32607 AooREss: jdarr@darrschackowinsurance.com INSURER(S) AFFORDING COVERAGE NAIC N INSURERA:Nw Insurance Co. Of America 125453 INSURED Anderson Outdoor Advertising, 9 Azalea Drive Key West, FL 33040 B: -INSURER INSURER C INSURER D 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLI Y MMIDDIYYYY I Y X MM1DDlYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE T OCCUR X ACP5945051075 08/07/2015 08/07/2016 j j EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTEO PREMISES(Ea occurrence) $ 100,00 MED FRCP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. X POLICY ❑ JjECT LOC OTHER GENERAL AGGREGATE $ 1,000,000 PRODUCTS-COMPfOPAGG $ 1,000,000 $ AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS ACP5945051075 08/07/2015 08/07/2016 COMBINEDSINGLELIMIT Ea acadent $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acadent $ UMBRELLA LIAB EXCESS LIAB ,I OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORfPARTNEPIEXECUTIVE OFFICERfMEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N f A PER OTH- STATUTE ER E.L EACH ACCIDENT $ E L DISEASE - EA EMPLOYEE $ E L DISEASE -POLICY LIMIT $ I DESCRIPTION OF OPERATIONS! LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Monroe County Board of County Commissioners as an Additional Insured PPRO GEk E W E ER N/A { CERTIFICATE HOLDER p CELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 0£ -0 Nd 91 d3 Attn: Monique Lewinski AUTHORIZED REPRESENTATIVE PO Box 1026 080338 80J Q 1* iKey West FL 33041 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) t e ACORD name and logo are registered marks of ACORD