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COI EXPIRES 02/18/2016
A S'1 pr CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 2/6/2015 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 certifica holder in lieu of such endorsement(s). PRODUCER Regan Insurance Agency 90144 Overseas Hwy. Tavernier FL 33070 CONTACT Lilliam Reyes NAME: y PHONE (305) 852 -3234 aC No: (305)852 -3703 A D DRE SS : lreyes @reganinsuranceinc.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A .-Burliri ton Insurance Company 3620 INSURED Florida Keys History of Diving Museum 82990 Overseas Highway Islamorada FL 33036 INSURER B: INSURERC: Joseph Roth /FTHOM INSURERD: INSURER E: $ 1,000,000 INSURER F: X COMMERCIAL GENERAL LIABILITY COVERAGES CERTIFICATE NUMBER:15 - 16 GL 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 ADDL INS SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP MM /DD/YYYY LIMITS AUTHORIZED REPRESENTATIVE GENERAL LIABILITY Key West, FL 33041 Joseph Roth /FTHOM EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PR M SES Ea occur ence $ 100,000 A I CLAIMS -MADE F_x1 OCCUR X 535BO22458 /18/2015 /18/2016 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ included $ X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE. LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS APPR Y R BY NAG T BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAR DAT EACH OCCURRENCE $ H OCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE WAIVER YES DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER /EXECUTIVE WC STATU- OTH - Y ER LIM E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED' NIA (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate holder is shown as an additional insured per policy forms, conditions, limitations and exclusions. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010/05) INS025 ontnnm m ©1988 -2010 ACORD CORPORATION. All rights reserved. Thn AC r1Rr) nmm� nnrl Innn orn raniefornrl mnrlre of Ar`r1Rr) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissione Monroe County Tourism Development Council c/o Risk Management AUTHORIZED REPRESENTATIVE P O Box 1026 Key West, FL 33041 Joseph Roth /FTHOM ACORD 25 (2010/05) INS025 ontnnm m ©1988 -2010 ACORD CORPORATION. All rights reserved. Thn AC r1Rr) nmm� nnrl Innn orn raniefornrl mnrlre of Ar`r1Rr)