COI Expires 05/09/2015OP 10: 551
CERTIFICATE OF LIABILITY INSURANCE ° 0
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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(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
certificate holder in lieu of such endorsement(s).
PRODUCER NAME-
Underwriters. Inc. PHONE
dbe Ray Hampson & Associates Me
102461 Overseas Highway na o�
Kew Largo. FL 33037 eweeu_e
INSURED
A:
the Keys Inc. muuR e: Scottsdale Insurance Co_
10550 Aviation Blvd INSURER C: United States Liability I nsu ri
Marathon, FL 33050
INC.
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.
0=1 TYPE OF INSURANCE POLICY NUMBER
LI Lam
GENERAL LIASHM
EACH OCCURRENCE
$ 1,000,00
B X COMMERCIAL GENERAL LIABILITY X CPS1993204
CLARA54 DE ❑X OCCUR
OSIOM14 05/0912015 PREMI Ea o noe
MED EXP Wy arm
S 100,00
S 5,00
B Property CPS1993204
05/0912014 0510912015 PERSONAL A ADV INJURY
S 1,000,00
GENERAL AGGREGATE
S 2,000,00
GEM AGGREGATE LIMIT APPLIES PER:
PRODUCTS -COMPW AGO
S Includ
POLI Loc I I
Property
s 110
AUTOMOBILE LIABILITY
ANY AUTO
X
07956547 -2
05/03/2014
05!031201 S
COM B DIED SINGLE LIMIT
(Ea secidard)
$ 100000
' '
BODILY INJURY (Per person)
S
ALL OWNED AUTOS
BODILY INJURY (Per - — Ierd)
S
A
A
X SCHEDULED AUTOS
X HIRED AUTOS
PROPERTY DAMAGE
(PER ACCIDENT)
S
ACV 04 F150
s 10,00
A
X NON- OWNEDAUTOS
ACV OS F160
s 11,00
ri
U MMRRELLA. LIAR
OCCUR
EACH OCCURRENCE
S
AGGREGATE
S
EXCESS LIAR
CLAR44AADE
DEDUCTIBLE
S
S
RETENT
WORKERS COMPENSATIGN
WC STATU 0TH
AND EMPLOYERS LIABMM
ANY PROPRETORN'� Y �
OFFCCEPJMEMBER EXCLUDED?
(Mandalay In NMI
NIA
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEd
S
E.L. DISEASE - POLICY uMrr
I S
Ityyse�s deeaibewi der
pESM OP TIONS below
C
ND01076534A
QW00
05/09/2016
D & O
1
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IDirectors&Offfears
EmployeeDishonesty
I
I
I UC21216413.14
05M=0141
0611312016
250
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ABaeh WORD 101 Addidanel Remarb schedule, N mare space is requb"
General Liability Coverage does not include endorsement for "Certain Animal
E xclusion" A1 ASK M
EMF,�(T
DA
1 71
C ,
CERTIFICATE HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
The Monroe County Board
THE EXPIRATION DATE THEREOF, NOTICE WILL
ACCORDANCE WITH THE POLICY PROVISIONS.
BE DELIVERED IN
i 1 oo Simonton St k9 Jan L - If 1(' NZ
K West, FL 33040
Key UdO338 WJ 03113
AUTHORIM REPRESENTATIVE
K ey Lar
v
PIK
a 10 OACORD CORPORATION. All rights reserved.
ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD