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COI Expires 09/25/2018�1 FLOR108 OP ID: RD A�oRo CERTIFICATE OF LIABILITY INSURANCE D09/27ATE /2017Y) 09/27/2017 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 endorsements . PRODUCER CONTACT Gulfstream Insurance Group Inc NAME: ynn Dowling MINIS, AAI, AIAM P.O. Box 8908 PHONE FAX (ac, No, El):954-334-1726 (A/C, No): 954-537-0177 Fort Lauderdale, FL 33310-8908 ADDRE SS: lynn@gulfstreaminsurance.net David Arch - - - - INSURERSINSURERASJ AFFORDING COVERAGE NAIC # INSURER A:New Hampshire Insurance Co INSURED Florida Keys Outreach INSURER B : Coalition, Inc. PO Box 4767 INSURER C : - _ Key West, FL 33041 INSURER D : INSURER E : INSURER F : CAVFRA11FA RPRTICIRATF kil 1MClCD• nr�ncr�u u,.■mrr.. nn. 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, EXCLUS!ONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSU82; LTR TYPE OF INSURANCEINSD POLICY NUMBER T - POLICY EFF POLICY EXP - - MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENE BILITY GENERAL ' OCCUR EACH OCCURRENCE_ $ 1,000,00 CLAIMS -MADE X 29-LX-067990535-1 09/25/2017 O9/25/2018 _ _ 'F DAMAGE Tb RENTED - 1,000,00 PREMISES (Ea occurrence) $ MED EXP (Any one person) $ 20,00 PERSONAL & ADV INJURY $ 1,000,00 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,00 POLICY PRO- JECT X LOC PRODUCTS - COMP/OP AGG $ 3,000,00 OTHER EmBenefit $ $1MIU3M1 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT `-tU $ 1,000,00 A X ANY AUTO 29-CA-084608414-1 1 BODILY LY IN INJURY (Per person) ', $ 09/25/2017 09/25/2018 BODILY -- ALL OWNED SCHEDULED AUTOS 'AUTOS - BODILY INJURY Per accident $ 'i ( ) X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE III I$ (Per accident) $ i UMBRELLA LIAB OCCUR I EACH OCCURRENCE �$ EXCESS LIAB CLAIMS -MADE, '.'. AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION PER OTH- AND LIABILITY YIN STATUTE ER ANER/EXECUTIVE OFFICE EMBER EXCLUDED? N / A D E.L. EACH ACCIDENT $ (ANY Mandatory n NHS' E.L.DISEASE - EA EMPLOYEE $ If es, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 .$ A (Abuse/Molestation 129-LX-067990535-1 09/25/2017' 09/25/2018 (,Limits a1MIU3Ml A ProfLiability 29-LX-067990535-1 09/25/2017 09/25/2018 'Limits $1MIU3MI DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is additional insured with respect to general liability as per written contract. x:�v BY M GEIVtENT Jw _ BAY WAIVER N/A ES^ nnPitt., MONROE2 Monroe County Board of County Commissioners Risk Management 1100 Simonton 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. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/ The ACORD name and logo are registered marks of ACORD LG= NOTEPAD. HOLDER CODE MONROE2 FLOR108 PAGE 2 INSURED'S NAME Florida Keys Outreach OP ID: RD Data 09/27/2017 oe County Board of County Commissioners are additional insured on the ral Liability & Automobile Liability as per written contract on the owing locations:1615,1616,1618& 162D Truesdell Court Key West,FL & 11624 Spaulding Court Key West,FL,10 days notice of cancellation for ayment 30 days for alb other reasons FLOR108 OP ID: PR .44COR5' �� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 10/01/2018 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()es) 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 PHONE FAX .954-561-2220 AIC No : 954-566-0673 E-MAIL ADDRESS: Fort Lauderdale, FL 33310-8908 David Arch INSURERS AFFORDING COVERAGE NAIC # INSURER A: New Hampshire Insurance Co INSURED Florida Keys Outreach Coalition, Inc. PO Box 4767 INSURER B : INSURER C : INSURERD: Key West, FL 33041 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 001 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. INSRPOLICY LTR TYPE OF INSURANCE DDL UBR POLICY NUMBER EFF MM/DD/YYW PO MM/D DY/YYW LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS-MADE a OCCUR X 06-LX-027573415-0 09/25/2018 09/25/2019 D DAMAREMISGEES TO Ea REocNTEcurrence P $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3,000,000 PRO LOG POLICY JECT Emp Ben. $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 11000,000 BODILY INJURY (Per person) $ A X ANY AUTO 01-CA-069972166-1 09/25/2018 09/25/2019 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE PER ACCIDENT $ NON -OWNED X HIRED AUTOS Ix AUTOS UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- I OTH- ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liab 06-LX-027573415-0 09/25/2018 09/25/2019 Limits $1ML/$3M A Abuse/Molestation 06-LX-027573415-0 09/25/2018 09/25/2018 Limits $1ML/$3M DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is additional insured with respect to general liability as per written contract. A PRO E R A ENT DATE �� p WAI E A Y S�Q— Monroe County Board of County Commissioners Risk Management 1100 Simonton St, 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 1 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 1010/05) CG: The ACORD name and logo are registered marks of ACORD