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Certificates of Insurance
JETLAGK-01 CAPWELLI '4coRo CERTIFICATE OF LIABILITY INSURANCE DATDIYYYY) 7110/21012018 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 Susan Cherrybon - 1% NAME: _ Johnsons Insurance Agency a Division of IOA PHONE FAX 30975 Avenue A (A/C, No, Ext): (A/C, No): Big Pine Key, FL 33043 A INSURER(S) AFFORDING COVERAGE NAIC # INSURER A.. LIoygC s INSURED INSURER B : Jet Lag KW LLC 3493 S Roosevelt Blvd wsuRER c : Unit 6 INSURER D Key West, FL 33040 INSURER E INSURER F rnVFRAnrA r1=RTIFIr:ATF NIIMRFR• RFVICInN NIIMRFR- 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 ADDL SUBR POLICY EFF POLICY EXP TR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD[YYYYI IMMMDIYYYYI I LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR LBW556426 06/22/2018 06/22/2019 X _ DAMAGE TO RENTED PREMISES (Ea occu�ngq $ 100,000 5,000 MED EXP (Anne person) $ 1,000,000 PERSONAL BADVINJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ X POLICY j �J; LOC 2,000,000 i PRODUCTS - COMP/OP AGG $ OTHER: S AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT r� accident S J ANY AUTO BODILY INJURY (Per person S OWNED SCHEDULED J AUTOS ONLY AUTOS _ BODILY INJURY (Per acc dent) S p AUTOS A�TOS ardent) S I ONLY O Y (Perr _, $ UMBRELLA LIAB OCCUR r� O ED ISK WIAIi GENiENT EACH OCCURRENCE S EXCESS LIAB _; CLAIMS-M _ AGGREGATE S DED RETENTION$ BY S WORKERS COMPENSATION _ I PER OTH- ER_ AND EMPLOYERS' LIABILITY Y/ N DATE -STATUTE . ANY PROPRIETOR/PARTNER/EXECUTIVE NIA WA� Y E.L. EACH ACCIDENT S �FFICER/MEM%1W EXCLUDED? WAIVER Aandat0 y In NH) E.L. DISEASE - EA EMPLOYEE $ If describe under as, DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder listed as an Additional Insured on the General Liability insurance coverage for Jet Lag KW LLC. rcorlclrA rc unl ncD rAK1r CI I ATInAI 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 REPRREESENTATI V E Monroe County Board of County Commissioners 1100 Simonton St 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 Ate^' DATE(MMIDD�YYVY) CERTIFICATE OF LIABILITY INSURANCE 07/19/2018 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). CONTACT PRODUCER 800-444-4487 NAME: PROGRESSIVE INSURANCEPHONE---------_._._.__.............. Eat) 800-444 4487 .................._.........._lac doi-- PO BOX 94739 ADDRESS: CLEVELAND OH 44101 _ INSURER(3)AFFORDING COVERAGE —._t YAIC0 INSURER United Financial Casual Co 11770 INSURED JET LAG KW LLC 1711 COUNTRY CLUB RD ATCHISON KS 66002 INSURER B INSURER : ......._ ....__._.._._._............. CCIVFRArFS CFRTIFICATF tJIIMRFR- RFVISION NtIMRFR- 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. RiBR'--------------------------------'AODLBUBR LTq TYPE OF INSURANCE I ---------------- POLICY EFF POLICY EXP POLICY NUMBER YM/DOlYYYY MMIDDIYYY _ ------- LIMITS !I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �� OCCUR -� EACH OCCURRENCE is PREMISES Ee _._ ! S -- - MEO EXP (Any one person) 1 It PERSONAL It ADV INJURY $ -- GENERAL AGGREGATE i$ `GEN'L AGGREGATE LIMITAPPLJ.:S I POLICY U JECOT- si___I LOC 4 ii OTHER: PRODUCTS - COMP/OP AGO S AUTOMOBILE LIABILITY A ! ANY AUTO COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) ; $ 100,000 --�jj OWNED i SCHEDULED ..._J AUTOS ONLY AUTOS Or 668537-0 4 05/31/2018 HIRED '- !NON -OWNED i__.....,, AUTOS ONLY ...; AUTOS ONLY ''; 0513t/20t9 BODILY INJURY (Per accident)! $ 30Q QQQ PROPERTY DAMAGE I $ 50 QQQ _t.P?r_(f.(�1_......._......... ....... _.._..—_..L.._...._..._ _._....__. $ ` UMBRELLA LIAB OCCUR ' EACH OCCURRENCE $ _..__._.. _.—.___ AGGREGATE $ i ;EXCESS LIAB ` I CLAIMS -MADE I DED RETENTION$ S (WORKERS COMPENSATION j IAND EMPLOYERS' LIABILITY Y t N ? `ANYPROPRIETOR'PARTNER,'EXECUTIVE IOFFICERWEMBEREXCLUDED7 NIA (Yandatory in NH) 'olr�4 GE BY PER TH' E.L. EACH ACCIDENT $ -------- ----------------- E.L. DISEASE • EA EMPLOYE $ If yes, describe under i DESCRIPTION OF OPERATIONS below --- E.L. DISEASE - POLICY LIMIT S WAIVER N/A YES — DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 2014 CHEVROLET TAHOE C1500/K15 1GNSKCE09ER153175 2013 MASE GRANTURISMO S/S ZAM45VLASD0073339 r,=oTirv%ATt: wnt nco rt]NCPI 1 ATInN ADDITIONAL INSURED MONROE COUNTY BOCC 100 ST SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 100 ST AUTHORIZED REPRESENTATIVE KEY WEST, FL 33040 A I `�� © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016:03) The ACORD name and logo are registered marks of ACORD DATE(MMIDDrYYYY) ACCW6 CERTIFICATE OF LIABILITY INSURANCE 1�06/28, 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 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). CONTACT I PRODUCER (800) 895-2886 NAME ____ (eN'FAX COMMERCIAL Ato,Ext) (800)895.2886 _s ,No): E-MAIL PO BOX 94739 _ADDRESS --- - --------------- — ----- .-... -..... --- - -- ------ ----- - CLEVELAND OH44101 - INSURER(S) AFFORDING COVERAGE NAIC0 INSURED 571 283 1337 JET LAG KW LLC 23060 BONITO LN CLIDJOE FL 33042 INSURER A; PROGRESSIVE EXPRESS INS COMPANY; 10193 INSURER B : INSURER C INSURER D INSURER E : en%1;;0er39ZR RFRTIFir`GTF NI►MRFR• 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. 1TR` TYPE OF INSURANCE ; D NE:SUBR,PdLiCY LTR POLICYNUMBER I(MM/DDrD/YYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ . DAMAGE TO RENTED CLAIMS -MADE _ > OCCUR PREh,11SES (Ea occvrrencet.... - . $_ .. _ j ! ------ -- --- - - - - - - - I MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: - GENERAL A GREGATE $ - POLICY - PE� -, LOC PRODUCTS _COMP OP AGG OTHER A AUTOA7061LE LlABIUTY ., . CO>:IB NED S!NGLE LIMIT 038045091 05131i2017; 05131/2018 (Ea accident) ._.. $ i ANY AUTO BODILY INJURY (Per person) $1 00,000 ' OWNED SCHEDULED BODILY INJURY (Per ccider.t)`. $ $3OO OOO :._.. AUTO$ ONLY i �! AUTOS HIRED f NON -OWNED : 'PROPERTY DAMAGE $_$SO,OOO s. AUTOS ONLY j AUTOS ONLY -:- _(Per acaden-). _ _ _ _ $ UMBRELLALtAB OCCUR, ? EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE - $ DED i i RETENTION $ $ ;WORKERS COMPENSATION ' AND EMPLOYERS' LIABILITY YIN .._.-STATUTE'--ORH--' -�- aANYPROPRIETOR'PARTNEREXECUTIVE E.L. EAC 1 A ODENT $ OFFICEPUMEMBEREXCLUDED? N7A ......__._ ... ...... ..._ ._.._... _. ... _... _._.. ._. (Mandatory In NH) YE ! El. D SEASE - EA EMPLOYEE $ < ---- ------------ II yes. describe under..YE I DESCRIPTION OF OPERATIONS betow E.L. DISEASE - POLICY LIMIT , $ DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) 14 CHEVROLET TAHOE C1500/K15 1 GNSKCE09ER153175 13 MASE GRANTURISMO S/S ZAM45VLA9D0073339 PP E ISK ANA EMENT ey .WI AN a 100 SIMONTON ST KEY WEST FL 33040 GANGtLLA I IUN 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 G OO 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AC 0® DATE (MMIDD/YYY1f7 `� CERTIFICATE OF LIABILITY INSURANCE 5/24/2017 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 Colleen Bratek NAME: _ The Johnsons Insurance Agency P�°Ne . (305) 872-2888 1 tZ.No): (305)872-2324 30975 Ave A ADDRESS:Cbratek@johnsonsinsure.com INSURERS) AFFORDING COVERAGE NAIC S _ _ Big Pine Key FL 33043 INSURER A :Llo ds of London INGURED INSURERS: - - -- - - - - - Jet Lag KW LLC, DBA: Jet Lag INSURERC: ------------------------------------------------ -- --- 3493 S Roosevelt Blvd INSURERD: Unit 8 INSURERE: FAY West FL 33040 INSURER F fZWRAGFS CFRTIFICATF hillURFRrCL1752415690 RFVISInN NI IYRFR- 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. TYP@ OF INSURANCE - --- POUCYNUMBER POLICY EFF POLICY EXP UMnS - Z COMMERCIAL GENERAL LIABILITY -�- _ EACH OCCURRENCE $ 1,000,000 A _ _' CLAIMS -MADE X OCCUR PREMISES (Ea occurrence) _ S 100,000 X LBW443616 5/23/2017 5/23/2018 MED EXP (Any one person) $ 5,000 - PERSONAL 8 ADV INJURY $ 1,000,000 ! GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 z POLICY — PRO JECT ^' LOC — -- -- PRODUCTS - COMP/OP AGG S _ 2,000,000 OTHER: Employee Benefits S AUTOMOBILE LIABILITY _--_- M I $ (Ea accidenU ANY AUTO I BODILY INJURY (Per person) $ - ALL SCHED AUTO ED - - AUTOS -' — - -- - - - BODILY BODILY INJURY (Per accident) $ -- -�-- NON -OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS (Per accident) — UMBRELLA UAB �^ OCCUR EACH OCCURRENCE $ EXCESS LIAM — _ CLAIMS -MADE AGGREGATE S DIED ' 1 RETENTIONS S WORKERS COMPENSATION H AND EMPLOYERS' LIABILITY YIN N _.__ STATUTE -i- - - - — ANY PROPRIETOR/PARTNER/EXECUTIVE _- E.L EACH ACCIDENT III OFFICER/MEMBER EXCLUDED? N / A -- ----- —- (Mardatory in NH) E.L DISEASE - EA EMPLOYEE S — -- --- H yes describe under - - - DinRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached IT more apace Is required) PP V EMENT BAYA ..,,�� �/►/�1V��w WAI R N/AYES Lum- wok i"a:I11121ei_11;111 1,e11ta13i1 Monroe County BOCC & Monroe 1100 Simonton St 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 ©198"-- I-'014 ACORD "PORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401) DATE (MMIDOfYYYY) ACo CERTIFICATE OF LIABILITY INSURANCE 5/16/2016 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 . CONTACT PRODUCER NAME: Colleen Bratsk The Johnsons Insurance Agency PHONE (305) 872-2888 CA Nd1 (305)972-2324 (r. N9, 91w _ 30975 Ave A ADDRESS:Cbratek@johnsonsinsure.com INSURER(S) AFFORDING COVERAGE NAIC N Big Pine Key FL 33043 INSURER A :Lloyds of London INSURED INSURER B : Jet Lag KW LLC , DBA: Jet Lag INSURER C : 3493 S Roosevelt Blvd INSURER0: Unit 8 INSURER E : Rey West FL 33040 1 INSURER F: ocV1Q1AW ►11IMRCD• COVERAGES GtKIlrl%,Alcnumocnr-------•-_ -------- 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. gd9R TYPE OF INSURANCE ADOL SUER pOUCY NUMBER POLICY EFF POLILM ICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 A CLAIMS -MADE X OCCUR _PREMISES Mai occurrence) X LBW443616R1 5/11/2016 5/11/2017 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE - $ 2,000,000 JEC LOC Employee Benefits PRODUCTS - PLOP AGG $ 2,000,000 X POLICY $ OTHER. I ) $ AUTOMOBILE LIABILITY (Egg) BODILY INJURY (Per person) .11 _ ANY AUTO LLOWNED SCHEDULED BODILY INJ (Per AUTOS accidem NON -OWNED PROPERTY E AG3 (rt (Per accdei+t) HIRED AUTOS AUTOS C1 UMBRELLA LIAB OCCUR EACH OCCURRER.i`1R EXCESS LIAB CLAIMS -MADE AGGREGATE OED RETENTIONPER H- WORKERS COMPENSATION STATUTE -4 � AND EMPLOYERS' LIABILITY y ! N `^J ANY PROPRIETORWARTNERIEXECUTIVE i NIA E L EACH ACCIDENT $ •' OFFICERIMEMB£R EXCLUDED? EL DISEASE - EA eMLOYEE $ (Mandatory In NH) La If yea, describe under E.L DISEASE - POLICY LIMIT III CRtPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) 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. AY PRO D G ENT D WAIV N A _ C�: c. Monroe County BOCC 1100 Simonton St 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 2L�M_66_4j 9 Cc 19 2014 ACORD PORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS026 (201401) , CCMI:> CERTIFICATE OF LIABILITY INSURANCE FDATE 05/1 /161 s/201 16 s 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). NAME: PRODUCER Automatic Data Processing Insurance Agency, Inc. 1 Adp Boulevard Roseland, NJ 07068 PHONE FAX A/C No Ext : AIC, No E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC p INSURER A: Employers Preferred Insurance Company 10346 INSURED INSURER B : INSURER C : JET LAG KW LLC INSURER D : 23060 BONITO LN Cudjoe Key, FL 33042 INSURER E INSURER F : L.UVtKAbtJ \IGn I., .--. -_ - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED,3kBOVE FOR=WE P CY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEIITH RESITCT T i�VHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN S BJECT P AL E TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OF INSURANCE GENERAL LIABILITY INSD WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DD/YYYY 01x LIMITS EACH OCCUFiR _MADE — PREMISES Ea c nceMED rCOMMERCIAL OCCUR EXP (Any son) PERSONAL & AbV HJJURY GENERAL AGGREGATE GENL AGGREGTE LIMIT APPLIES PER: POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COCNP/OP AGG $! OTHER: AUTOMOBILE LIABILITY SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE H X STATUTE ER $ DED RETENTION $ WORKERS COMPENSATION E.L. EACH ACCIDENT $ 500,QQ0 A AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N OFFICER/MEMBER EXCLUDED? ❑Y (Mandatory in NH) H yes, describe under DESCRIPTION OF OPERATIONS below N / A N EIG214671501 09104/2015 09/0412016 E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) APP V R NAGEMENT - Orl �� WAN R N/A E CC.-_k _e , r/ F-LA Monroe County BOCC 1100 Simonton St Key West, FL 33040 w•�.•Iw��ere�n�l: 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 TION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD A 0 CERTIFICATE OF LIABILITY INSURANCE ATE P06/13/2016 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 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 800-444-4487 Prog Commercial PO Box 94739 Cleveland OH 44101 CONTACT NAME: PMONE 800 444 4487 FANo: Ao RESS: INSURERS AFFORDING COVERAGE NAIL# INSURERA: Pro ressIve Express Insurance Company 10193 INSURED Jet Lag KW LLC 23060 Bonito Lane Cudjoe FL 33042 INSURER B : INSURER C : INSURERD: INSURER E: INSURER F : w., ftAree CERTIFICATE NUMBER• REVISION NUMBER: -r THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVGXOR THE PQSZY PRRrCD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W SPECT TO WHICHMIS HEREIN IS SUBI ALL TEM, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL I SUER POLICY NUNS ER POLICY EFF MNfODIYYYV[MWDDIYYYYI POLICY EXP r"L-ATS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $�n CLAIMS -MADE OCCUR PREMISES Ea occurrer $ �`•' MED EXP (Any one perserrf $ PERSONAL&ADV INJUR " $ r GENL AGGREGATE LIM IT APPLIES PER GENERAL AGGREGATE' $ Ln PRODUCTS - MP/OP WIS $ RLOC POLICY I- OTHER' COMBNEDSINGLELIM IT Ea accltlent $ A AUTOMOBILE LIABILITY / BODILY INJURY (Per person) $ 10000Q ANY AUTO v BODLYINJURY (Per accident) $300,000 OWNED SCHEDULED 03804509-0 05J312016 05/31/2017 AUTOS ONLY AUTOS HIRED NON -OWNED PPROPERer acc tlTYDAMAGE $ 50'000 AUTOS ONLY AUTOS ONLY UMBRELLA LIAR OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ EL. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? IMandatDryln NH) NIA E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION CF OPERATIONS blow A 03804509-0 05/31/2016 05/31/2017 100/300 Nonstk A �Ull PIP 1 OK ODed A Med Pay 5000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD'ID7, Additional Remarks Schedule, maybe attached If more space is required) 2014 CHEVROLET TAHOE C1500/K15 1GNSKCE09ER153175 4APPRED K EMI:fiITwt i (_C N/A C.r'- 1,2 +1 ADDITIONAL INSURED Monroe County BOCC 1100 Simonton St 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 n 19RR_211115 ACORD CORPORATION. All riahts ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD Kwc K CERTIFICATE OF LIABILITY INSURANCE OP ID TM DATE(MM/DD/YYYY) 07 29 10 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 NAME: Dan1 Tobal Key West Insurance, Inc. 646 United Street, Suite 1 Key West FL 33040 Phone:305-294-1096 Fax:305-294-8016 INSURED Jet Lag Accessories LLC 3493 S. Roosevelt Blvd. #217 Key West FL 33040 COVERAGES rr_laTlclrA'rc au uaove. I PHONE(A/C, No, Ext): 305-296-2925 rain u . CUSTOMERID#: JETLA-1 INSURER(S) AFFORDING COVERAGE INSURER A: Mount Vernon Fire Insurance INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : NAIC # - . V 1Qwn numor_rc: 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. LTR A TYPE OF INSURANCE: GENERAL LIABILITY X COMMERCIAL GENERAL LIA131LITY CLAIMS -MADE OCCUR INSR X WVD POLICY NUMBER TBA (MM/DD/YYYY) 08/01/10 \I (MM/DD/YYYY) 08/01/11 LIMITS EACH OCCURRENCE $ 1 , 000 , 000 PREMISES (Ea ocw nerr ce) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1 r 000 , 000 GENERAL AGGREGATE $ 1,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: RO X POLICY D P JECT LOC PRODUCTS -COMP/OP AGG $ 1 r OOO r 000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS \ -- I 1 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE /A n r� '-1 I, i L r �� J I_ �AU 2 20( 1 ��I �I EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH)y If yes, describe under DESCRIPTION OF OPERATIONS below $ / A U TORY LIMITS ER $ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) retail sales Certificate Holder is named Additional Insured as their interest may appear. CFRTIFIrATF Wni nCD %'MnIrCLLM 1 JUN MONCNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THERE NOTICE WILL BE DELIVERED IN A NCE WITH THE PO C ROVISIONS. Monroe County BOCC UTHOR¢E EPRESENTATI E 1100 Simonton Street Key West FL 33040 Ter _OAA @ 1988-20T JCORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACXORD JETLA-1 OP ID: TM %-.R,"" CERTIFICATE OF LIABILITY INSURANCE DATE 09/131/YYYY) 9/13/11 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 305-294-1096 Key West Insurance, Inc. 646 United Street, Suite 1 305-294-8016 Key West, FL 33040 Terry Melvin CONTACT PHONE FAX A/c No ExS : A/C No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Mount Vernon Fire Insurance INSURED Jet Lag Accessories, LLC 3493 S. Roosevelt Blvd. #217 INSURER B : INSURER C : Key West, FL 33040 INSURER D : INSURER E : INSURER F : - -- ITV HIV IV I\ 1\VIII�G R. 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 INSURANCEADDLSUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X CL2578915A 08/16/11 08/16/12 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 CLAIMS -MADE a OCCUR PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,00 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea, cdent $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON-OWNED OAUTSWNED PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N T Y LIMIT, E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below I _F7 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) retail sales Certificate holder is named additional insured as their interest may appear. Monroe County BOCC 1100 Simonton St. Key West, FL 33040 T SHOULD ANY OF THE THE EXPIRATION C ACCORDANCE WITH I DESCRIBED POLICIES BE CANCELLED BEFORE iEREOF, NOTICE WILL BE DELIVERED IN ICY PROVISIONS. c 0198810 ACORD CORPORATION. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered mark ACORD DATE (MMIDOfYYYY) ACo CERTIFICATE OF LIABILITY INSURANCE 5/16/2016 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 . CONTACT PRODUCER NAME: Colleen Bratsk The Johnsons Insurance Agency PHONE (305) 872-2888 CA Nd1 (305)972-2324 (r. N9, 91w _ 30975 Ave A ADDRESS:Cbratek@johnsonsinsure.com INSURER(S) AFFORDING COVERAGE NAIC N Big Pine Key FL 33043 INSURER A :Lloyds of London INSURED INSURER B : Jet Lag KW LLC , DBA: Jet Lag INSURER C : 3493 S Roosevelt Blvd INSURER0: Unit 8 INSURER E : Rey West FL 33040 1 INSURER F: ocV1Q1AW ►11IMRCD• COVERAGES GtKIlrl%,Alcnumocnr-------•-_ -------- 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. gd9R TYPE OF INSURANCE ADOL SUER pOUCY NUMBER POLICY EFF POLILM ICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 A CLAIMS -MADE X OCCUR _PREMISES Mai occurrence) X LBW443616R1 5/11/2016 5/11/2017 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE - $ 2,000,000 JEC LOC Employee Benefits PRODUCTS - PLOP AGG $ 2,000,000 X POLICY $ OTHER. I ) $ AUTOMOBILE LIABILITY (Egg) BODILY INJURY (Per person) .11 _ ANY AUTO LLOWNED SCHEDULED BODILY INJ (Per AUTOS accidem NON -OWNED PROPERTY E AG3 (rt (Per accdei+t) HIRED AUTOS AUTOS C1 UMBRELLA LIAB OCCUR EACH OCCURRER.i`1R EXCESS LIAB CLAIMS -MADE AGGREGATE OED RETENTIONPER H- WORKERS COMPENSATION STATUTE -4 � AND EMPLOYERS' LIABILITY y ! N `^J ANY PROPRIETORWARTNERIEXECUTIVE i NIA E L EACH ACCIDENT $ •' OFFICERIMEMB£R EXCLUDED? EL DISEASE - EA eMLOYEE $ (Mandatory In NH) La If yea, describe under E.L DISEASE - POLICY LIMIT III CRtPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) 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. AY PRO D G ENT D WAIV N A _ C�: c. Monroe County BOCC 1100 Simonton St 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 2L�M_66_4j 9 Cc 19 2014 ACORD PORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS026 (201401) , CCMI:> CERTIFICATE OF LIABILITY INSURANCE FDATE 05/1 /161 s/201 16 s 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). NAME: PRODUCER Automatic Data Processing Insurance Agency, Inc. 1 Adp Boulevard Roseland, NJ 07068 PHONE FAX A/C No Ext : AIC, No E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC p INSURER A: Employers Preferred Insurance Company 10346 INSURED INSURER B : INSURER C : JET LAG KW LLC INSURER D : 23060 BONITO LN Cudjoe Key, FL 33042 INSURER E INSURER F : L.UVtKAbtJ \IGn I., .--. -_ - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED,3kBOVE FOR=WE P CY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMEIITH RESITCT T i�VHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN S BJECT P AL E TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OF INSURANCE GENERAL LIABILITY INSD WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/DD/YYYY 01x LIMITS EACH OCCUFiR _MADE — PREMISES Ea c nceMED rCOMMERCIAL OCCUR EXP (Any son) PERSONAL & AbV HJJURY GENERAL AGGREGATE GENL AGGREGTE LIMIT APPLIES PER: POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COCNP/OP AGG $! OTHER: AUTOMOBILE LIABILITY SINGLE LIMIT Ea accident) $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE H X STATUTE ER $ DED RETENTION $ WORKERS COMPENSATION E.L. EACH ACCIDENT $ 500,QQ0 A AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N OFFICER/MEMBER EXCLUDED? ❑Y (Mandatory in NH) H yes, describe under DESCRIPTION OF OPERATIONS below N / A N EIG214671501 09104/2015 09/0412016 E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) APP V R NAGEMENT - Orl �� WAN R N/A E CC.-_k _e , r/ F-LA Monroe County BOCC 1100 Simonton St Key West, FL 33040 w•�.•Iw��ere�n�l: 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 TION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD A 0 CERTIFICATE OF LIABILITY INSURANCE ATE P06/13/2016 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 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 800-444-4487 Prog Commercial PO Box 94739 Cleveland OH 44101 CONTACT NAME: PMONE 800 444 4487 FANo: Ao RESS: INSURERS AFFORDING COVERAGE NAIL# INSURERA: Pro ressIve Express Insurance Company 10193 INSURED Jet Lag KW LLC 23060 Bonito Lane Cudjoe FL 33042 INSURER B : INSURER C : INSURERD: INSURER E: INSURER F : w., ftAree CERTIFICATE NUMBER• REVISION NUMBER: -r THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVGXOR THE PQSZY PRRrCD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT W SPECT TO WHICHMIS HEREIN IS SUBI ALL TEM, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL I SUER POLICY NUNS ER POLICY EFF MNfODIYYYV[MWDDIYYYYI POLICY EXP r"L-ATS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $�n CLAIMS -MADE OCCUR PREMISES Ea occurrer $ �`•' MED EXP (Any one perserrf $ PERSONAL&ADV INJUR " $ r GENL AGGREGATE LIM IT APPLIES PER GENERAL AGGREGATE' $ Ln PRODUCTS - MP/OP WIS $ RLOC POLICY I- OTHER' COMBNEDSINGLELIM IT Ea accltlent $ A AUTOMOBILE LIABILITY / BODILY INJURY (Per person) $ 10000Q ANY AUTO v BODLYINJURY (Per accident) $300,000 OWNED SCHEDULED 03804509-0 05J312016 05/31/2017 AUTOS ONLY AUTOS HIRED NON -OWNED PPROPERer acc tlTYDAMAGE $ 50'000 AUTOS ONLY AUTOS ONLY UMBRELLA LIAR OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS'LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ EL. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? IMandatDryln NH) NIA E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION CF OPERATIONS blow A 03804509-0 05/31/2016 05/31/2017 100/300 Nonstk A �Ull PIP 1 OK ODed A Med Pay 5000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD'ID7, Additional Remarks Schedule, maybe attached If more space is required) 2014 CHEVROLET TAHOE C1500/K15 1GNSKCE09ER153175 4APPRED K EMI:fiITwt i (_C N/A C.r'- 1,2 +1 ADDITIONAL INSURED Monroe County BOCC 1100 Simonton St 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 n 19RR_211115 ACORD CORPORATION. All riahts ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD Kwc K