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Certificate of InsuranceSEATE -1 OP ID: CH CERTIFICATE OF LIABILITY INSURANCE DATE (MMOMYYY) 03106/2015 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 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 endorsement(s). PRODUCER Atlantic Pacific-Key West 1010 Kennedy Dr, Suite 203 Key West FL 33040 Rebecca N. Horan INSURED Sea Tech of the FI Keys, Inc. PO Box 420529 Summerland Key, FL 33042 Rebecca N. Horan FAX n • 305- 294 -7696 (AIC. NOI: 305- 294 -7363 WSURER(S) AFFORDING COVERAGE INSURERA: Maxum Indemnity Company INSURER B: Travelers Insurance Co. INSURER C : INSURER D: F: COVERAGES CERTIFICATE NUMBER: KEV13ION NUMBeK: 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. N TR SR TYPE OF INSURANCE MMD/YY L POLICY NUMBER MMID AW A X COMMERCIAL GENERAL. LIABILITY LIMITS EACH OCCURRENCE $ 1,000, CLAIMS-MADE OCCUR X LP600255311 03/01/2015 03101/2016 DAMAGE TO RENTE1Y_ PREMISES Ea occurrence $ 50 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,0w, GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,0 POLICY ECT F LOC PRODUCTS - COMPIOPAGG $ 1,0,0 OTHER: mp Ben. $ 1,000, AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1,000, BODILY INJURY (Per person) $ B X ANY AUTO X BA2B788033 03/01/2015 03101/2016 BODILY INJURY (Per accident) $ ALL OWNED X SCHEDULED X HIRED AUTOS NON -OWNED PROPERTY DAMAGE Per accident $ S UMBRELLA LIAB EACH OCCURRENCE $ HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE AP O B I MA ENT DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN ❑N OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA BY DATE WAIVER Nf'fa► -- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Seheduls, may be attached N more space Is required) RE Bayshore Manor Emergency Restroom Repairs MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 01988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD THIS ISM CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 155Vbu w ��...•... �...... NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. CERTIFICATE EXCLUSIONS AND CONDITIONS H 1 IE . LIMITS SHOWN MAY HAVE BEEN R OUCED BY PAID CLAIMS IIIBR ADD SU I POUCYEFP PONCYl7IP "m ITS Lu T YPE INSURANCE INSR wvD OENCOM $ ERCIAL GENERAL LIABILITY - pA1MGE�TpRENTED 5 CLAIMS MADE OCCUR M ED EXP I NO RKWI S s GENERAL AGGREQN&H s GEN'L AGGREGATE LIMIT APPLIES PER COMPW AGG S POLICY f7 PRO- S AUTOMOBILE UABNJTY COMBINED SINGLE LMT j ANY ALTO BODILY INJURY 1PWpQr Em BO ALL OWNED AUTOS SY j �I SCHEDULED AUTOS WAI PROPERTVDAMAOE �HiREDAUTOS r iPfr.+l�u9lM2 f NON•OW NEO AUTOS S 3 UMBRELLA LIM OCCUR EACH OCCURRENCE EXCESSUn CLAIMS MADE AGGREGATE RETENTION S ' S WORREReCOMPENSATION g I 0 1 " m • E L EACH ACCENT s 1,000.000 000, 000 :ANDEIIPLDYERS'L111YMTrY Y +N ANY PR IETONPARTNERIEXECUTIVE Y A EXCLUDED? NIA 4 6- 8 ti 5 7 9 2- 01- 0 2 03/01/2015 03 /01/2016 ID�InMR) EL. DISEASE -EA EMPLOYEE S 1, (MrW M NIII �ECrA1 PRO�RNS� E L. DISEASE - POLICY LIMIT 5 1 0 0 0, 0 0 0 BOB OFOPEM / LOCATIONS / VEHICLES (ApxhA- 4101.AddglaW lt�muksSehraduN Ema�tpae�Isr�q�W�d► Monroe Cmmty Board of Comty Cow' asiOners 1100 simmton stmt Besrgaocy Rest== Renovations Bayshore Manor Key west, FL 33040 Attn: Am Riger SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOMMO REPRESENTATIVE L039971 All rights reserved ACORD 25 (2009109) 01988-2009