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COI Expires 05/06/2013 .4COR CERTIFICATE OF LIABILITY INSURANCE 3 2°° " THIS CERTIFICATE IS ISSUED AS AA 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 ceslifcete holder is an ADDIT1ONAL INSURED,the policy(In)must be endowed. If SUBROGATION IS WAIVED,subject to tretemm and conditions of the polky,certain policies may require an endorsement A statement on this certificate don not confer rights to the certificate holder In lieu of such endonenwnNF). PROWLER NAMETACT : Cindy Crain Security First Insurance Agency PHONE XcxNo piety (407)919-4000- FAX No: 1318 Town Plaza Court EMAIL Winter Springs,FL 32708 CUSTOMFP ID Phone (407)977-7100 Fax (407)977-0024 INSUREMS)AFFGRDMG COVERAGE NAM* INSURED INSURER A: Lloyd's Of London Insurance Company REDMAN CONSULTING GROUP,INC. INSURER B: Urited States Liability Ins Group 7017 S.Altanlic Ave INSURER C: New Smyma Beach,FL 321 INSURER G: INSURER E: (386)427-9339 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. TIER ADBLSUBP POLICY EFF POW,LXP L1R TYPE OF INSURANCE INSR WVO POLICY NUMBER POLICY (MMMDD'YYYYL UNITS GENERAL UABIUTY EACH OCCURRENCE 1,000,000 UAMAGE IU NtNi OtU 50,000 COMMERCIAL GENERAL LIABILITY PREMISES(Ea occuroccurrence,.ren n � CLAIMS-MADE OCCUR TCN031540 MED EXP(Any one Amon) 5,000 A rI Y D&Ofi2D12 05/06)2013 PERSONAL a ADV INJURY excluded GENERAL GENERAL AGGREGATE 2,01)9,000 GEN'L AGGREGATE LIMIT APPLIES PER: _PRODUCTS-COMPOPAGG excluded © POUCY ❑ JEL7 ❑ Loc AOTOMOBILE IMBIU1Y COMBINED SINGLE LIMIT (En accident) ▪ ANY AUTO BCOILY INJURY(Pa person $ ALL OWNED AUTOS BODILY INJURY(Per accident, S. B ❑ SCHEDULED AUTOS I PROPERTYAGE HIRED AUTOS (Perxtithat)Mnl) ▪ NONOWNED AUTOS S n $ D UMBRELLA LAB n OCCUR \)..:Sci&Z) EACH OCCURRENCE S n EXCESS LIAR n CLAIMS-MADE v\ • AGGREGATE $ ❑ DEDUCTIBLE i RETENTION $WO -I RKERS COMPENS&TX)N TORYTAT U- Ii 0TH- AND EMPLOYERS'WMUTY YIN ANY PROPRIETOR/PARTNERIEXECUTIVEI r E.L.EACH ACCIDENT OFFICER/MEMBER OFFICER/MEMBER EXCLUDED? NIA (Manddmy In NH) EL.DISEASE-EA EMPLOYE E DEIf dmolb uMx SCRIPTIONe OF OPERATIONS box EL.DISEASE.POLICY LIMIT $ G24133655001 B Professional Liability 05/14/2012 05/14/2013 $1,000,000 DESCRPTON OF OPERATORS I LOCANONS I VEHICLES(Attach ACORD 101,AddIlo s Remarks Schedule,If more space Is rquked) The certificate holder is listed as an additional insured in respects to general liability coverage under policy TCN023224. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Suite 2-283 Key West,FL 33040 AUTHORIZED REPRESENTATIVE E-mail: haagThada@monroecoody-8.gov n ��1 �RPORARllATIO LaAQKM ®ACORD 9 AC d CORPORATION. All marks r D ACORD 26(2009/09)OF The ACORD name and logo are regbbrM of ACORD MONR(IE( (II!NT1.f IAIR111A Requra For Wdver of Iu,utnne.Requirement, n•rV^r`pl rim the tnsaistiie rNO•terneals IpeciiN m the lnnn,4`avule nrlr.urenv P Nu eermµ t *not w rv.LL[v ,the l.,ll.mme t•nl,.I Idle.. / r. /. . . IUWr _\}t' Ge.—.. _ r / 'A'.%(^/I e- ,Teit L.V. IirN N IAptmN I^J \len p.m enl l) VAS Meffe..n. ry . Apr' '01 /lrA/�) n..d n. ..eru. vrmrummCl ePMI rill .eI N.r .rrr..,a '.Loom or.. MONROE ( UI':nil'1.i I AIRIIIA Requnl Inc W.Irer of Inuinncr Requirement% Irr rryunlN rlu'ihc onintipnic no/or el pin Medm Int ieunn.E Me!ulr nlLam.nee Moquirrnscnin 46.411.(4.1 n rn.JrluM.n'hr Idluvu.amlw. Moan."'•4mn .r... r. ,rLro, it d., A 1 are-ji/G— dc.?e nMlre I v..I Appr..,ry MId .J.n.rm..nl11) _ �.. cria �Xhi Merr.,.m �- .0 L✓akc /C �/C u..r WITS i.11R14..I4.44r1.por,l .444.r...ru %..r <: "1 05-15-2009 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * NON-CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 05/15/2009 EXPIRATION DATE: N/A PERSON: REDMAN JEAN S FEIN: 593677108 BUSINESS NAME AND ADDRESS: REDMAN CONSULTING GROUP INC 7017 S ATLANTIC AVE NEW SMYRNA FL 32169 SCOPES OF BUSINESS OR TRADE: 1- CONSULTANT / MANAGEMENT IMPORTANT: Pursuant to Chapter 440 05(14 ES., an officer of a corporation who elects exemption from this chapter by filing a certificate ol election under this a section may mil iecor r benefits or compensation under this chaplet. Pursuant to Chapter 440.05(121, ES., C F rtificates ol election to be exempt.. apply only within the scope of the business or trade listed on the notice of election to he exempt. Pursuant to Chapter 440.05(131, P.S., Notices of electron to be exempt empt and certificates ol enotice election to he exempt shall be subject to revocation if, at any time after the filing ol the no ce or the issue of the cell(kale, the person named on the police o certilicatee o longer the requirements of This section for issuance of a certificate. The department shall revoke a certificate at any time for 'allure o1 the person u mm named on the cerle to meet the requirements ol this section. QUESTIONS? 18501 413-1609 OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 ,0O Jr.1 . 03-24-2010 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * NON-CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 03/24/2010 EXPIRATION DATE: N/A PERSON: REDMAN WILLIAM S JR FEIN: 593677108 BUSINESS NAME AND ADDRESS: REDMAN CONSULTING GROUP INC 7017 S ATLANTIC AVE NEW SMYRNA FL 32169 SCOPES OF BUSINESS OR TRADE: 1- CONSULTING IMPORTANT. Pursuant to Chapter 440 05(14). 1.5., an officer ol a corporation who elects exemption from this chapter by tiling a certificate ol election under this section may note r beneliu compensation ompensation under this chapter. Pursuant Its Chapter 440.051121, F.S.. Certilicates of election In be exempt._ apply only within the scope of the business OF trade listed on the noticeof election 10 be exempt. Pursuant to Chapter 440.05(13), ES., Notices ol election to be exempt and certificates ol election to be exempt shall be subject to revocation if. a any timealter the Irling ol the entice Or the issuanceol the certificate. the person named on the notice or cenifica no longer the requirements of this section for issuance of a ceftilicate. The tldepartment shal revoke a certificate at any time or failure of the person named on the certificate P1to meet the requirements of this section. QUESTIONS? 18501 413-160 near-T2 CERTiFtCA E OF ELECTION TO BE EXEMPT REVISED 09-06 Southern-Owners Page 1 19020 (10-80) Issued 08-18-2011 INSURANCE COMPANY AUTOMOBILE POLICY DECLARATIONS 6101 ANACAPRI BLVD. , LANSING, MI 48917-3999 Renewal Effective 09-25-2011 AGENCY JENNINGS INSURANCE AGENCY 12-0071-00 MKT TERR 051 (386) 428-6448 POLICY NUMBER 96-584-757-01 INSURED WILLIAM S REDMAN JR Company Use 72-06-FL-0709 Company POLICY TERM ADDRESS 7017 S ATLANTIC AVE Bill 12:01 a.m. 12:01 a.m. to NEW SMYRNA BEACH FL 32169-5009 09-25-2011 09-25-2012 In consideration of payment of the premium shown below, this policy is renewed. Please attach this Declarations and attachments to your policy. If you have any questions, please consult with your agent. DESCRIPTION OF ITEM INSURED TERRITORY 1 . 2004 CHEV TAHOE K1500 025 VIN: 1GNEK13Z94R115754 Volusia County, FL COVERAGES LIMITS PREMIUM Bodily Injury 5 100,000 person/5 300,000 occurrence $194.43 Property Damage $ 100,000 occurrence 62.74 Uninsured Motorist $ 100,000 person/5 300,000 occurrence 94.16 Medical Payments $ 2,000 person 10.51 Personal Injury Protection $ 10,000 54.39 Comprehensive Actual Cash Value - $ 250 deductible 41.34 Collision Actual Cash Value - $ 500 deductible 97.43 Florida Hurricane Catastrophe Fund Assessment 7.21 TOTAL $562.21 Interested Parties: None Additional Forms For This Item: 79255 (01-08) 79308 (01-08) 79402 (07-94) 79536 (07-94) 79299 (03-99) 79939 (03-05) 89023 (07-06) 79203 (07-06) ITEM DETAILS: Automobile driven to work or school 15 miles or more by a 66 year old operator. Cost Symbol: 14-7B-14-7B-64. 57.. Anti-theft device credit has been applied to the Fire and Theft or Comp coverage premium. 52 ABS Discount applies to BI, PD, Coll, and PIP premiums. Multi-Car Discount applies. 3O% Air Bag Discount applies to PIP and/or MP premiums. Florida Hurricane Catastrophe Fund assessment applies. Rate Effective Date 05-24-2011 150 h" t Haag-Rhonda From: Cassel-Nat Sent Wednesday,October 03,2012 9:53 AM To: Haag-Rhonda Subject RE:Insurance Waiver and Oct BOCC OK it does not have to go to the BOCC. pRlp Q�' 9 I Kmilccnc Ati. Cu++cl -- Assistant County Attorney 9 f. ;,:I Monroe County o e 1111 l2th Street,Suite 408 Dyke,Icrtt2v5�� Key West, FL 33040 Clrv,tit7JAIv - I (305)292-3470 C.LOCAL (305)292-3516(fax) i COVRVVENfi AW From: Haag-Rhonda Sent: Wednesday, October 03, 2012 9:49 AM To: Cassel-Nat Subject: RE: Insurance Waiver and Oct BOCC Yes, Maria has signed it....Where it says"Risk Mgmt"_._ Rhonda Haag Susra%nab!!!-y Program Manager Monroe County 1100 Simonton Street, Suite 2-283 Key West,FL 33040 Bus: (305) 292-4482 Cell: (305) 395-9928 From: Cassel-Nat Sent: Wednesday, October 03, 2012 9:45 AM To: Haag-Rhonda Subject: RE: Insurance Waiver and Oct BOCC That is the way I am tending to go, but I need to hear from Risk Management if she OKs the waiver I will not require it to go to the BOCC. But from your email I could not tell If Risk Management had seen the waiver. I ,ORIp I F/ 9 AoiilL..nr VA . ( n,�d / ^�1 Assistant County Attorney 11,- ,,, Monroe County e. 0 1111 12th Street,Suite 408 I oyan cr,.aA\P� Key West,FL 33040 --r \ (305)292-3470 aL,)f'., (305)292-3516(fax) C11'vFhNi N`I AO' • 1 From: Haag-Rhonda I Sent: Wednesday, October 03, 2012 9:37 AM To: Cassel-Nat Subject: RE: Insurance Waiver and Oct BOCC Here you go- I talked to Debbie Frederick, and she said she has never had to take a waiver in front of the BOCC_. that they get signed frequently and are routed and approved by staff(only). But I'll go with whatever you say_ cc Rhonda Haag Sustainability Program Manager Monroe County 1100 Simonton Street, Suite 2-283 Key West,FL 33040 Bus:(305)292-4482 Cell: (305) 395-9928 From: Cassel-Nat Sent: Wednesday, October 03, 2012 9:13 AM To: Haag-Rhonda Subject: RE: Insurance Waiver and Oct BOCC Send me a copy of the contract , the waiver, and Maria Slavic's determination of the acceptance of the waiver and I will tell you. Natilcene W. C asset �' Y Assistant County Attorney r Monroe County mo �p i 1111 12th Street,Suite 408 ,.?0 c v:(' Key West,FL 33040 fay,CO;!sly - (i (305)292-3470 it LOCAL (305)292-3516(tax) cOCFnwrvu nw, From: Haag-Rhonda Sent: Wednesday, October 03, 2012 9:10 AM To: Cassel-Nat Subject: Insurance Waiver and Oct BOCC Nat,the Redmond Consulting contract for$4850 was approved at the September BOCC meeting. However,2 waivers of insurance were subsequently submitted by the Contractor, requesting that we waive auto insurance because the firm doesn't own any autos and the workers comp because the firm carries an exemption from the State. The waivers have been approved by staff. Do I now need to resubmit the entire contract back to the October BOCC for approval—and include the waivers of insurance? If so, I drafted the 2 BOCC forms, see attached. (I wasn't aware that the consultant needed the waivers until it was too late...) Rhonda Haag Sustainability Program Manager Monroe County 1100 Simonton Street, Suite 2-283 Key West,FL 33040 2 Bus: (305) 292-4482 , ' Cell: (305)395-9928 3 i i s 1 . 1 4 A oo GATE (MMIDD/1 YYY) » CERTIFICATE OF LIABILITY INSURANCE 06,07/13 THIS CERTIFICATE I8 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS t CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES t 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 certMcate doss not confer fights to the certificate holder In lieu of such endorsement(s). PRODUCER SE Security First Insurance Agency PHONE . F (407) 977 -7100- I W C. Not: 1318 To Plaza Court E PPRO � Winter Springs, FL 32708 CUSTOMER m Phone (407) 977 -7100 Fax (407) 977 -0024 INSURERS) AFFORDING COVERAGE NAIC 5 € INSURED INSURER A : Covington Specially Ins Co REDMAN CONSULTING GROUP, INC. ENSURER B: United States Liability Ins Group 7017 S. AitarltiC Ave INSURER C : New Smyrna Beach, FL 321 INSURER D : INSURER E : (388) 427 -9339 INSURER F : COVERAGES CERTIFICATE NUM BER: 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 NSSR TYPE OF INSURANCE ADDL SUM POLICY EFF POpLLJ�CY EXP 1111/D LIMITS JNSR 1111/D DD/Y D POLICY NUMBER (MMIDOIYYYY) (MMIYYY) GENERAL UABIUTY EACH OCCURRENCE $ 1,000,000 ® COMMERCIAL GENERAL LIABILITY PREMISES (Ea S 1 0 0 ,E ❑ ❑ CLAMS.MADE © OCCUR VBA207659 -00 MED EXP (Any one person) S 5,000 A ❑ Y 10/12/2012 10/12/2013 PERSONAL d ADV INJURY $ 1,000.000 ❑ GENERAL AGGREGATE $ 2,000,0 GEN'L AGGREGATE LIMIT APPLES PER PRODUCTS - COMP/OP AGG S Included ® POLICY ❑ 1 -r ❑ LOC $ J AUTOMOBILE LABILITY COMBINED SINGLE LIMIT S (Ea accident) ❑ ANY AUTO , BODILY INJURY (Per person) S ❑ ALL OWNED AUTOS BODILY INJURY (Per accident) $ .14.. ❑ SCHEDULED AUTOS .i. PROPERTY DAMAGE ❑ HIRED AUTOS (Per accident) $ ❑ NON-OWNED AUTOS (O / $ ❑ UMBRELLA UAB ❑ OCCUR ` EACH OCCURRENCE $ El EXCESS UAB El CLAIMS.MADE ` AGGREGATE S ❑ DEDUCTIBLE S ❑ RETENTION S 8 WORKERS COMPENSATION ' ❑ W C S 1 RAFT ❑ ER AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNER/EXECUTNE Y I N E L EACH ACCIDENT S OFFICER/MEMBER EXCLUDED' N / A (Mandatory In NH) E L DISEASE - EA EMPLOYE S 11_ yyes, deaenbe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLJCY LIMIT 8 B Professional Liability SP1550803A 05/25/2013 05/25/2014 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule. E more space le required) The certificate holder is listed as an additional insured in respects to general Iiabihty coverage under policy VBA207659 -00. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County ACCORDANCE WITH THE POLICY PROVISIONS. Government and Cultural Center 102050 Overseas Highway, Ste. 212 AUTHORIZED REPRESENTATIVE /� t �(��( Key Largo, FL 33037 '�' yD.OLO A 1E haag-rhonda®monroecounty- fl.gov m 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) QF The ACORD name and logo are registered marks of ACORD