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Certificates of Insurance DATE(MWDD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 10/19/2021 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 Paula Isaksen NAME: Isaksen Insurance,Inc HCONN. Ext: (305)872-0097 a/c,No): (305)872-1005 30346 Overseas Highway E-MAIL Paula@lsaksenlnsurance.com ADDRESS: P.O.Box 430534 INSURER(S)AFFORDING COVERAGE NAIC# Big Pine Key FL 33043 INSURERA: Penn-America Insurance Company INSURED INSURER B Buccaneer Courier INSURER C: PO Box 430763 INSURER D: 29139 Aster Lane INSURER E: Big Pine Key FL 33043 INSURER F: COVERAGES CERTIFICATE NUMBER: CL21101902433 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 INSURANCEAUULbUbK POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 300,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDrence $ 100'000 MED EXP(Any one person) $ 5,000 A Y PAV0331679 10/22/2021 10/22/2022 PERSONAL&ADV INJURY $ 300,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 300,000 _ Approved Risk Manage ent included POLICY El PRO- ❑ LOC i PRODUCTS-COMP/OP AGG $ JECT OTHER: )�/ ),te"f," p a,t�- d ti $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO 10-19-2021 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accide nt) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (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 CANCELLATION 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 St AUTHORIZED REPRESENTATIVE Key West FL 33040 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD -'� BUCCCOU-01 DAILA CERTIFICATE OF LIABILITY INSURANCE DAT9/3/2 D/YYYY) �•� /3/2021 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 NAME: Insurance Office of America PHONE FAX 13361 Overseas Highway (A/C,No,Ext): (305)289-0213 (A/C,No):(305)743-1810 Marathon,FL 33050 E-MAIL DD ESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA:Mercury Indemnity Company of America 11201 INSURED INSURER B: Buccaneer Courier INSURER 7 P.O.Box 430763 INSURER D: Big Pine Key,FL 33043 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 MWDD/YYYY MWDD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR Approved Risk Management DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: 9-23-2022 GENERAL AGGREGATE $ POLICY JJECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 500,000 Ea accident $ ANY AUTO X BA090000006614 9/3/2021 9/3/2022 BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ 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 E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) COURIER SERVICE CERTIFICATE HOLDER IS ADDITIONAL INSURED WITH RESPECT TO WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED AS REQUIRED BY WRITTEN CONTRACT.PLEASE REFER TO THE ADDITIONAL INSURED ENDORSEMENT. CERTIFICATE HOLDER CANCELLATION 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 Monroe County Board Of County Commissioners 1100 Simonton Street --A221073 Key West FL 33040 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BUCCCOU-01 JOHNSONSO ,d►CORO" CERTIFICATE OF LIABILITY INSURANCE DATE(M/202YYY) `•� 9/242020 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 Julie Broche NAME: Insurance Office of America PHONE FAX 13361 Overseas Highway (A/C,No,Ext): (A/C,No): Marathon,FL 33060 ADD"RIESS:Julie.Broche@ioausa.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Mercury Indemnity Company of America 11201 INSURED INSURER B Buccaneer Courier INSURER C P.O.Box 430763 INSURER D Big Pine Key,FL 33043 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 MMIDDIYYYY MMIDDIYYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 500,000 Ea accident $ ANY AUTO X BA090000006614 9/3/2020 9/3/2021 BODILY INJURY Perperson) $ OWNED X SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident) ccident $ PIP-Basic $ 10,000 UMBRELLA LIAB OCCUR -ISK EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE 5',' -- AGGREGATE $ DED RETENTION$ By "' .- �+ `" - - $ WORKERS COMPENSATION , 9/2 4/2 0 2 0 PER OTH- AND EMPLOYERS'LIABILITY YIN .�M1 - --- STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ �� E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 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) COURIER SERVICE CERTIFICATE HOLDER IS ADDITIONAL INSURED WITH RESPECT TO WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED AS REQUIRED BY WRITTEN CONTRACT.PLEASE REFER TO THE ADDITIONAL INSURED ENDORSEMENT. CERTIFICATE HOLDER CANCELLATION 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 Monroe County Board Of County Commissioners 1100 Simonton Street iKey West FL 33040 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MWDD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 10/27/2020 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 Paula Isaksen NAME: Isaksen Insurance,Inc HCONN. Ext: (305)872-0097 a/c,No): (305)872-1005 30346 Overseas Highway E-MAIL Paula@lsaksenlnsurance.com ADDRESS: P.O.Box 430534 INSURER(S)AFFORDING COVERAGE NAIC# Big Pine Key FL 33043 INSURERA: Penn-America Insurance Company INSURED INSURER B Joanne Kaestner,DBA:Buccaneer Courier INSURER C: PO Box 430763 INSURER D: INSURER E: Big Pine Key FL 33043 INSURER F: COVERAGES CERTIFICATE NUMBER: CL20102702182 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 INSURANCEAUULbUbK POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 300,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDrence $ 100'000 MED EXP(Any one person) $ 5,000 A Y PAV0278713 10/22/2020 10/22/2021 PERSONAL&ADV INJURY $ 300,000 MOTHER LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 300,000 POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ included JECT: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ OWNED SCHEDULED yry AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON--OWNED ISKI PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY `{ _ Per accident By UMBRELLA LIAB OCCUR EACH OCCURRENCE $ LAB11/12/2 0 2 EXCESS L "`- CLAIMS-MADE ,A - "'^�`"""�"^ AGGREGATE $ DED I I RETENTION $ WAMF $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE ElN/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (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 CANCELLATION 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 St AUTHORIZED REPRESENTATIVE Key West FL 33040 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AC RD® CERTIFICATE OF LIABILITY INSURANCE -_ , DATE110712DIYYYY) F 11107l2017 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 The Johnsons Insurance Agency 30975 Ave A Big Pine Key FL 33043 CONTACT Debra Friis-Pettitt NAME: (AIC, N Ext : (305)872-2888 FAX AIC, tJo : (305)872-2324 ADDRESS: Dfriis@johnsonsinsure.com INSURER(S) AFFORDING COVERAGE NAIC p INSURER A: Mercury Indemnity Co of Florida 11201 INSURED LLL-La..� < «/ [,� uy Gl/ WILLIAM J KAESTNER PO BOX 430763 Big Pine Key FL 33043-0763 INSURER B INSURER C : INSURER D : INSURER E : INSURER F : rn..cmi cc (:CRTIFIr'ATF RIIIMRPR• CL1711717549 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 WVO POLICY NUMBER MMIDDIYYYY MWDDIYYYY OMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS -MADE ,❑ OCCUR PREMISES Ea occurrence S MED EXP (Any one person) S PERSONAL & ADV INJURY s GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S PRODUCTS - COMPIOP AGG $ POLICY D jECT LOC $ OTHER: AUTOMOBILE LIABILITY COMBINEDide1) NGLE OMIT Ea accJden g 500,000 BODILY INJURY (Per person) s ANY AUTO A OWNED x SCHEDULED AUTOS ONLY AUTOS HIRED x NON -OWNED AUTOS ONLY AUTOS ONLY IX BA090000006614 09103/2017 09/03/2018 'BODILY INJURY (Per accident) s PROPERTY TntDAMAGE $ PIP -Basic S 10,000 UMBRELLA L AS OCCUR EACH OCCURRENCE S HCLAIMS-MADE AGGREGATE s EXCESS LIAR , DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'UABIUTY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE PER OTH- STATUTE ER E.L. EACH ACCIDENT S E.L. DISEASE -EA EMPLOYEE S OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) N / A ELOISEASE-.POUCYLIMIT S If yyes, describe under 0 SCRIPTICNOFOPERATIONSbelow DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) courier service CERTIFICATE HOLDER IS ADDITIONAL INSURED WITH RESPECT TO WORK PERFORMED BY OR O BEHALF OF THE NAMED INSURED AS REQUIRE[ BY WRITTEN CONTRACT. PLEASE REFER TO THE ADDITIONAL INSURED ENDORSEMENT. APPI �V Y RIS M GE_MENT � C l�i►1G WAVER / . _kr S_ ER Monroe County Board Of County Commissioners 1100 Simonton Street Key West FL 33040 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 "88-2016 ACORD,GORPORATION. All rights reserved. ACORD 25 (2016�3) The ACORD name and logo are registered marks of ACORD (J C. C.. / ® A� oCERTIFICATE OF LIABILITY INSURANCE DATE (MWDDNM) a/11/2017 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 endorsemen s). PRODUCER CONTACT NAME: Debra Friis-Pettitt The Johnsons Insurance Agency PAIL NE No Ext: (305) 872-2888 (Fa.(305)872-2324 E-MAJLs:Dfriis@johnsonsinsure.com ADDRES 30975 Ave A INSURER(S) AFFORDING COVERAGE NAIC N Big Pine Key FL 33043 INSURER A:Colony Nat '1 Ins Co. INSURED INSURER B : Buccaneer Courier INSURER C P.O. Box 430763 INSURERD: INSURER E Big Pine Key FL 33043 INSURER F CnVFRAGFS CERTIFICATE NUMRFR-CL1741115182 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 LTR A L U POLICY EFF POLICY EXP LIMBS POLICY NUMBER E COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X OCCUR DAMAGE TO RENTED -- PREMISES(Eaoccurrence) $ 50,000 _ _ ]I lO1GL005261d01 14/13/2017 4/13/2018 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 x POLICY PRO- JECT _ LOC PRODUCTS -COMP/OP AGG $ - - _- included OTHER: Damage to Rented $ 100, 000 AUTOMOBILE LIABILITY COO Imo ) IN I-LI $ (Ea-- ANY AUTO BODILY INJURY (Per person) $ _ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ -_, AUTOS AUTOS ---_- — NON -OWNED PROPERTY DAMAGE $ -- HIRED AUTOS AUTOS Per accident-_-._.______ _— _ -- — - ----- --- - $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE - _ $ $ EXCESS LIAB CLAIMS -MADE DED I RETENTION $ WORKERS COMPENSATION H' i STATUTE ! ER AND EMPLOYERS LIABILITY Y / N _- i ANY PROPRIETOR/PARTNER/EXECUTIVE EACH E.L. EACH ACCIDENT $ j OFFICER/MEMBER EXCLUDED? N / A F CC -- - (Mandatory in NH) E.L. DISEASE - EA EMPLOYEr, $ If es, describe under _ --- DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ / LOCATIONS I VEHICLE (ACORD 101 Additional Remarks Schedule may be attached i( more space Is required) DESCRIPTION OF OPERATIONS LOC O S S( O y pa courier service A &ENT 4AP 44/A rule_R r`�� - u CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board Of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENT ATIVE Key Wet, FL 33040 C' S Cherrybon/SUECHE 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401) ACRD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) L---- 9/6/ 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 CONTACT Debra Friis- Pettitt NAME: The Johnsons Insurance Agency fAlc ° . No. Ext): (30 5)872 -2888 l ac No): (305)872 - 2324 30975 Ave A AD : Dfriis @johnsonsinsure.com INSURER(S) AFFORDING COVERAGE NAIC # Big Pine Key FL 33043 INSURERA:Colony Nat'l Ins Co INSURED INSURERBMercury Indemnity Co of Florida 11201 Buccaneer Courier INSURER C : P.O. BOX 430763 INSURERD: INSURER E : Big Pine Key FL 33043 INSURERF: COVERAGES CERTIFICATE NUMBER:CL169212832 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 EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DDIYYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE X OCCUR PR E S ( a occurrence) 50,000 PREMISES (Ea occurrence) $ X 101GL005261400 4/13/2016 4/13/2017 MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GE AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO X POLICY JECT LOC PRODUCTS - COMP /OP AGG $ OTHER: Damage to Rented $ 100,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 500,000 (Ea accident) ANY AUTO BODILY INJURY (Per person) $ B ALL OWNED SCHEDULED AUTOS X AUTOS X BA090000006614 9/3/2016 9/3/2017 BODILYINJURY(Peraccident) $ NON -OWNED PROPERTY DAMAGE X HIRED AUTOS S AUTOS (Per accident) $ Additional Insured $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE %g —Tj EXCESS LIAB CLAIMS -MADE AGGREGATE CD $"- t DED RETENTION $ C. m WORKERS COMPENSATION PER '-) OTH- -D AND EMPLOYERS' LIABILITY Y / N STATUTE r rl ER - 11 ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACC2I $ OFFICER/MEMBER EXCLUDED? N / A ...r C ' . - 1; (Mandatory in NH) E.L. DISEASE - £$ELOYEE $ If y, describe und .. .-0 7 DE OF OPERATIONS below E.L. DISEASE - B ICY LIMIT 3 ��_ C./1 i (V _ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) -- description of operations: Courier Service CERTIFICATE HOLDER IS ADDITIONAL INSURED WITH RESPECT TO WORK PERFORMED BY OR ON BEHALF OF THE NAMED INSURED AS REQUIRED BY WRITTEN CONT T. PLEASE REFER TO THE ADDITIONAL INSURED ENDORSEMENT. ARP ; V :as ly_. AGfMENT W! DA - InL rrAMIP (91 1( : C444 WAIVER N ' IV ^ 4 ; -f'( t � CERTIFICATE HOLDER CANCELLATION j , (305)295 -3179 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commssioner THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE C•• C. " 1 1 V % .Q, S Cherrybon /SUECHE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD • INS025 Omani) • ADDITIONAL COVERAGES Ref # Description Coverage Code Form No. Edition Date MLD MLD Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Hired /borrowed HRDBD Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 500,000 $125.00 Ref # Description Coverage Code Form No. Edition Date PPD PPD Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Hurricane Catastrophe Fund 1 HCF01 Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Non -owned NOWND Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium 500,000 $223.00 Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium OFADTLCV Copyright 2001, AMS Services, Inc.