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COI Expires 03/25/2018ACORD TM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 01-27-2017 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 andorsement(s). PRODUCER I CONTACT NAME: 51187 / Porter Allen Co Inc PHONE FAX 513 Southard Street (A/C No, Ext): (A/C No): Key West, FL 33040 E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC # INSURED INSURER A: MARKEL INSURANCE COMPANY INSURER B: Boys & Girls Club of the Keys Area, Inc. INSURER C: 1400 United Street, Suite 108 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. INSF ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/WYYI (MM/DD/YYYY) LIMITS A GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 ® COMMERCIAL GENERAL LIABILITY ❑ ❑CLAIMS -MADE ®OCCUR El8502CY263142-14 ® ❑ 03-25-2017 03-25-2018 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 1,000,000 AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ❑ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ❑ ALL OWNED ❑ SCHEDULED AUTOS AUTOS ❑ HIRED AUTOS ❑ NON -OWNED AUTOS ❑ ❑ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB O OCCUR ❑ ❑ EACH OCCURRENCE $ EXCESS LIAB ❑ CLAIMS -MADE AGGREGATE $ ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A ❑ ❑ WC STATU- ❑ OTH- TORY LIMITS ER E.L. EACH ACCIDENT b E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) Certificate holder is included as additional insured as lessor of premises. f RE: Wilder Road & Lytton Road, Big Pine Key, FL 33043 AP 0 R AGEMENT DA (� /I�'��'W U WA ER NIA, , ES� (C� 4T is CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1100 Simonton Street DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY Key West, FL 33040 PROVISIONS. J AUTHORIZED REPRESENTATIVE BSP G.C_ Bruce A. Kay 10 (c) 1988-2010 AMRti"CORPORATION. rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Q" ACORD TM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 01-27-2017 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 endorsement(s). PRODUCER CONTACT NAME: 51187 / Porter Allen Co Inc PHONE FAX 513 Southard Street (A/C No, Ext): (A/C No): Key West, FL 33040 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: MARKEL INSURANCE COMPANY INSURER B: Boys & Girls Club of the Keys Area, Inc. INSURER C: 1400 United Street, Suite 108 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. NSR ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER IMM/DD/YYYY (MM/DD/YYYY) LIMITS A GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE O RED PREMISES TEs o TErence) $ 100,000I� ® COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS -MADE ® OCCUR ❑ ® ❑ 8502CY263142-14 03-25-2017 03-25-2018 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- ❑ POLICY ❑ JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 1,000,000 S AUTOMOBILE LIABILITY ❑ ANY AUTO ❑ ❑ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ❑ ALL OWNED ❑ SCHEDULED AUTOS AUTOS ❑ HIRED AUTOS ❑ NON -OWNED AUTOS ❑ ❑ BODILY INJURY (Per accident), $ PROPERTY DAMAGE (Per accident) S $ UMBRELLA LIAB ❑ OCCUR ❑ ❑ EACH OCCURRENCE S EXCESS LIAB ❑ CLAIMS -MADE AGGREGATE S ❑ DED ❑ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A ❑ ❑ WC STATU- ❑ OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Certificate holder is included as additional insured as lessor of premises. PPRO u RE: 30150 South Street, Big Pine Key, FL 33043 BY EMENT r WAI / Q ES -- C( t �( It - CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1100 Simonton Street DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY Key West, FL 33040 PROVISIONS. l AUTHORIZED REPRESENTATIVE BSP G. c, Bruce A. Kay 10 (c) 1988-2010 A CO ORATION. fights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD BOYS&-1 OP ID: RD '41� �R" CERTIFICATE OF LIABILITY INSURANCE DA03/2TE 7/2017Y) 03/27/2017 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 endorsement(s). PRODUCER Gulfstream Insurance Group Inc P.O. Box 8908 CONTACT NAME: Lynn Dowling, AINS, AAI, AAM Fax AIC No Ert : 954-334-1726 A� NII: 954-537-0177 Fort Lauderdale, FL 33310-8908 David Arch ADDRE SS: lynn@gulfstreaminsurance.net INSURERS AFFORDING COVERAGE NAIC N INSURER A: New Hampshire Insurance Co 21841 INSURED Boys & Girls Clubs of the Keys Area, Inc. INSURERS: 1400 United St, Ste 108 INSURERC: INSURER D : Key West, FL 33040 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER- RFVICInN NInuRFR- 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. I�jR TYPE OF INSURANCE L U BR POLICY NUMBER POLICY EFF MM PCIDD YY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE r_X1 OCCUR 01LX092176997-0 03/25/2017 03/26/2016 EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 1,000,00 MED EXP (Any one person) $ 20,00 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ECT LOC GENERAL AGGREGATE $ 3,000,00 PRODUCTS - COMP/OP AGG $ 3,000,00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident)$ 1,000,00 A ANY AUTO 01CA069968644-0 03/26/2017 03/25/2018 BODILY INJURY (Per person) $ JX ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ Comp/Coll $ $500 DE UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Crime OILX092176997-0 03/25/2017 03/25/2018 EmpTheft 50,000 AAbuse/Molestation 01LX092176997-0 03/25/2017 03/25/2018 Limits $1MIL/$3MI DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The Certificate holder is named as additional insured on the general liability policy, as lessor of premises,only as respects to the negligence APPRO ED ISK ENIf:NT of the named insured regarding operations under this policy; coverage does Y not extend to the negligence or errors 8r omissions of the additional�''�' insured,in reference to premises Wilder Rd & Lytton Rd,Big Pine Key,FL 33043 WAI R N/ _ r��Ctz�� CERTIFICATE HOLDER CANCFI I ATInN MONROE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West, FL 33040 C 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 2,&t(--2__014/01) The ACORD name and logo are registered marks of ACORD BOYS&-1 OP ID: RD CERTIFICATE OF LIABILITY INSURANCE DA03/27/2017TE Y) 03/27/2017 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 endorsement(s). PRODUCER Gulfstream Insurance Group Inc P.O. Box 8908 Fort Lauderdale, FL 33310-8908 David Arch CONTACT Lynn Dowling, AINS, AAI, AAM PHONE FAX ac No El : 954-334-1726 ac No): 954-537-0177 E-MAIL ADDRESS: lynn@gulfstreaminsurance.net INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: New Hampshire Insurance Co 23841 INSURED Boys & Girls Clubs of the Keys Area, Inc. 1400 United St, Ste 108 INSURERS: INSURERC: INSURERD: 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. ILICYEXP LTR OF INSURANCE L IkDDTYPE SUBR POLICY NUMBER M1WDDY/YYYY EFF MWDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADEFX] OCCUR X 01 LX092176997-0 03/25/2017 03/25/2018 DAMAGE TO RFNTED`_ PREMISES Ea occurrence $ 1,000,00 MED EXP (Any one person) $ 20,00 PERSONAL & ADV INJURY - $ 1,000,00 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,00 GEN'L X POLICY ❑PRO LOC JECT PRODUCTS - COMP/OP AGG $ 3,000,00 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,00 A X ANY AUTO 01 CA069968644-0 03/25/2017 03/25/2018 BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ Comp/Coll $ $600 DE UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑NIA OFFICERIMEMBER EXCLUDED? PER H- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Crime 01LX092176997-0 03/25/2017 03/25/2018 EmpTheft 50,00 A Abuse/Molestation 01 LX092176997-0 03/25/2017 03/25/2018 Limits $1 MIL/$3MI DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom space Is required) The Certificate holder is named as additional insured on the general liability policy, as lessor of premises,only as respects to the negligence APPR D RISK EMENT of the named insured regarding operations under this policy; coverage does By AU not extend to the negligence or errors & omissions of the additional _^ n" _ U insured,in reference to premises 30150 S Street,Big Pine Key, FL 33043 WAI R N A L�L3illli1�7�1.-N.L•J M ■-A-1 .1 Monroe County Board of Commissioners 1100 Simonton Street Key West, FL 33040 MONROE2 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 ACORD 25 (201ft/01) GL� 01988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BOYS&1 OP ID: SC ,a►coR�` CERTIFICATE OF LIABILITY INSURANCE 06/06/ATE(M/2017Y) r017 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 endorsements . PRODUCER Gulfstream Insurance Group Inc P.O. Box 8908 NAMEACT Lynn Dowling, AINS, AAI, AAM PHONE 954-334-1726 aC No : 954-537-0177 A/C No Ext A DRESS: lynn@gulfstreaminsurance.net Fort Lauderdale, FL 33310-8908 David Arch INSURERS AFFORDING COVERAGE NAIC # INSURER A: New Hampshire Insurance Co INSURED Boys & Girls Clubs of the Keys INSURER B : Ashmere Ins Co Area, Inc. 1400 United St, Ste 108 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. ILTR TYPE OF INSURANCE U POLICY NUMBER EFF MBR M/DD/YYYY MLICY M/DDY� LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE )(1 OCCUR X 01 LX092176997-0 03/25/2017 03/25/2018 PREMISESRENTED- Ea occurrence $ 1,000,00 MED EXP (Any one person) $ 20,0011 PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,00 POLICY PECT RO LOC J X PRODUCTS - COMP/OP AGG $ 3,000,00 $ OTHER: AUTOMOBILE LIABILITY COEa aMBINED SINGLE LIMIT $ccident 1,000,00 BODILY INJURY (Per person) $ A X ANY AUTO 01 CA069968644-0 03/25/2017 03/25/2018 ALL OWNED SCHEDULED AUTOS AUTOS X rx NON -OWNED HIRED AUTOSAUTOS BODILY INJURY (Per accident) $ Pe�aPER ccidentDAMAGE $ Comp/Coll $ $500 DE UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LWB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? Y❑ (Mandatory in NH) N / A WCP000019601AIC 05/29/2017 05/29/2018 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 500,00 E.L. DISEASE - EA EMPLOYEE $ 500,00 If yes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,00 A Crime 01 LX092176997-0 03/25/2017 03/25/2018 EmpTheft 50,00 A Abuse/Molestation 01LX092176997-0 03/25/2017 03/26/2018 Limits $lMIU$3MI DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The Certificate holder is named as additional insured on the general liability polio , as lessor of premises,only as respects to the negligence of the named insured regarding operations under this policy; coverage does APP VE T not extend to the negligence or errors & omissions of the additional DA insured,in reference to premises 30150 S Street,Big Pine Key, FL 33043 WAIVERN. YE. MONROE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 Ga • C 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD