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COI Expires 02/18/2015CERTIFICATE OF LIABILITY INSURANCE oATEtM 01129!.20 14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELY 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 It top 00ltiticafo holder Is an ADDI710NAL: INSURED the poitcy(tos).must 6 ®enolorsed, tt.SUBROGATIQN.[SWAIVED; subjsot.to: certificate lflcate holder In Il terms and condltl of the policy, certain policies may requlre an. endorsement:. A statement on this certificate does not confer'rights bu the certeu.of such end orsetniitt( (S}." R UCER Regan Insurance Agency 90144 Overseas Highway Tavernier FL 330:70. INSURED INSURED The Florida Keys History of Diving Museum 82990 Overseas Hwy„ ;NfoAsZ ' .Lilliam.RCye$'.. F'NaNE 3234. G'NO 305 -852 = A1G Ko: 30.5 852.3Tt)3' DoRESS LRiies REGAINSUFiAtlOEINCCOM. .. ItISURERWSI AF .0R61NG COVERAGE INSURURA' . Euritholon.Insurance .Go- {NSUREfi6; - 23520 INSURERC :: - TR; ` TYPEOP'INSURANCE N. W " 6 1 . P0LICY�NUt10E* MM /OQNYY M OfYlYY INSUPtER D ; istamGtBdii FL 33036: (NStJRF�'tF :- C.OVt»RAGES:. _ :t^Fttsf�tra^rF<r,iiinnia�a: . _ t rut.�ituty rfuultseti: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED'70:THE INSURED NAMED'ABOVEFOR THE POLICY:PERIOD: INDICATED. NOTWITHSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY.PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN EXCLUSIONSAND CONDITIONS OF SUCH POLICIES..LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IS SUBJECT TOALLTHE TERMS, TR; ` TYPEOP'INSURANCE N. W " 6 1 . P0LICY�NUt10E* MM /OQNYY M OfYlYY Ltfdt7�_," GENERAL LIABILITY - ' CACH OCCIJRRENGE _ 1,000,000 ipSfttER� ;1£hcRAL4lhAICttY: �'rC£dR FT asla Frt t 100.000_ CLAIM dA#t A LiFTiFXP nno alsen S. 5,000 Y 535BO21917 02/18/2014 02 t?ERS7 t. tu�VlNli r s 1,000,000" G? NFtriu GAr s 2,000,000: at?MtAGCR>rr.• TE.LIM17rPKESPER mooucrS= 4:aPfc AGG S Included .6 AUTOMOBILE LIABILITY r AWAUTO ' BODILY INJURY (Par,person) " ALL O'hNER -: SCIi; ^:riULI"D .. _. ,BODILY IWORY (Per'v�;#3dA£Il) S —.. AUTOS' AUTO$ NON OVYNED HIRED AUTOS F.!1T0S Ut°tii2:Y UMBRELLA LIAR o cuR vK 4i 0^J i1RR NC$: &. Excrm LIAR AGGREGATE CLAt &L4 izt)Ei CiiYx.. REi'Er11 i 4V�Mit($R.S,GOMPENS.ATIOrd " AND EMPLOYERT LlAeILITY � STA71t•_• H YIN ANY PROPRETOR/Pft{tTNEit XEGI! i tt'E FTiGEitlttEt CR.=SEUG£7)7' 1ardnew..In N/A 5:t EACH AS Cti? Ati' L U LAfb.+i??;OY!✓ t H), . tI. s.+Sx4Ci°�al.tp.�r n r.�CRI ?Tt "J OF OC'�t''.SJ1tTif}Att.tJ "�WY SW d:3EASE- PQLtGYL6�t11 l �+• OP.CR. iONOFOPERATiCINS.ILOCA71ONS /VEHICLES (Attach ACORD 101, Addiflonal Ramarkff,"I If more mpace 15 roquIrod The Certificate Holder is named as an additional Insured on this policy: OV D Y RIS ANAGEMENT Monroe County Board County Commissioners & Monroe County Tourism Development Council BY DATE RE — Capital Project "FY -15 R2 WAIVER N/A 1 YES_ Monroe Monroe Co Broad of County Commissioners & County c/o Risk Management PO BOX 1026 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. RNQPJZEO REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. All rights reserved. ✓w"W LJ 14V 1 V /VO, 1 1710 AwKu name and logo are registered marks of ACORD I CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES: BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN JHE ISSUING INSURER(S); AUTHORIZED: REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder is an ADDITIONAL NSURE0, the poticy(les) must be endorsed. If SUBROGATION CS WAIVED,.subject;ttr the terms and conditions of the policy, certain policies may r6qulre an endorsement..A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsell'110 1M PRODUCER Regan Insurance Agency 9 Y 90144 Overseas Highway Tavernier FL 33070 NAME: .. LIIIIBm Reyes _.. ... PHONE o E <t : :305- 852 -3234 Nall.' 305 - 852-3703 . ADDRESS* LReyes REGAINSURANCEINC.COM INSURER(S) AFFORDING COVERAGE, NAIC 0 aNSURERA : Burlington Insurance Co 23620 INSURED The Florida Keys History of Diving Museum 82920 Overseas Hwy., Isiamcrada_.. FL 33036 INSURER B 02/18/2014 INSURERC: EACH OCCURRENCE INSURERD ArtEMISES Es- octuiror INSURERS:- MF_D EXP tAn .0110 grgpp INSURERF: PERSONAL &Ar)V IN,IJRY P_f1tlRRdr3FC r.PR'TTFIrSdTF.h1111itIR1rR4 - ... '.RPIARI'Am AtflpAlrtFR.•. THIS IS CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINGANY 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. jIN LTR`. „_ '. TYPE OF INSURANCE N' POLICY NUMBER - E .. MM/ODIYYYY X MMIDDNYYY LIMITS A GENERAL LIABILITY x COMMERCO' LO Y _.. CLAIM. -MADE ERE. OCCUR ! Y 5358021917 02/18/2014 02/182015 EACH OCCURRENCE $ 1,000,000 ArtEMISES Es- octuiror $ 100,000 MF_D EXP tAn .0110 grgpp . Q 5.000 PERSONAL &Ar)V IN,IJRY $ 1,000,000 _...__ GENERALAGGREGATE'$ 2,000.000 OLN 41gGREC.ATELIMITAPPOES.PER. POLICY rr LOG PRODUCTS - COMP /OPAGG $ Included $ _ AUTOMOBILE LIABILITY ANYAUTO : ALL OWNI FD SCHEDULED AUTOS AUTOS NON- O)IvNED HIREOAUTOS AUTOS ED Y SK M BY R ME Fa'arrida BODILY INJURY (Perperson) $ . NJ 80DILYIIFY(Pe [ accdent) _ $ PRO T aAt>3rtGE _ $ _.....,... UMBRELLA LIAR EXCESS LIAR G11,IMS -MADE DATE WAIVER N/A Y EACH OCCURRENCE H occUR AGGREGATE - DED RETENTION $ WORKERS :COMPENSATION. AND EMPLOYERS' LIABILITY YIN At4YPROPRIETORIPARTNERrEXECUTIVE OFF(Cl"RINIEMBER EXCLUOED? (Mandetbty in NH) If s deserteur46T D S ri1PT?O�Qf:O kZA7ti)N3hetri:.. NIA Y 7STATU- v l r p EL EACH ACCIDENT w_ c L OIS: ASE FA EMP+ -4YE . .$ E.1-DISEASE-FOLICYLMIT . _. DESCRIPTION OF OPERATIONS /LOCATIONS! VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is require d) The Certificate Holder is. named as an additional insured on this policy: for the Capital Pro j•ect Monroe County Board County Commissioners & Monroe County Tourism Development Council CERTIFICATE HOLDER CANCEwLLA ON Monroe SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Cc Broad of County Commissioners & . County TD 1 . THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN c/o Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 1026 AUTHORIZED REPRESENTATIVE Key West FL 33040 01998-2010 ON. All rlahts reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD MONROE COUNTY, FLORIDA 2065 Edition Request for Waiver. of Insurance Requirements: Automobile Insurance It is requested diatthe insurance recjukotents,.as specified in the Co inty s Schedule of Insurance Requirements be waived or modified oi� the following contract: Contractor: _ Florida Keys .Historyof Diving. Museum Contract for :. Capital Funding, FY 2614 -2015 Improving Museum Sustainability Address of Contractor: . 82990 Overseas Hwy Islamorada, FL 33036 Phone: 305- 664 -9737 Scope of Work: _purchase and installation of LED` lights and -:In exhibit'display system Reason for Waiver: Contractor does not own any company: vehicles Policies Waiver will. apply to: County's Request for documentation of-Automobile Insurance Signature of Contractor: Not Approved Risk Management: Date,: County Administrator. Appeal: Approved Not Approved Date: Board of.County Commissioners Appeal: Approved Not Approved Meeting .Date: Administration Instruction #4709.( Ac R CERTIFICATE OF LIABILITY INSURANCE 701/28 14 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOTAFFIRMATIVELY 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 pollcy(les) 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: Liillam Reyes Regan Insurance Agency A!C No 305 - 852 -3234 1 A/C No : 305 -852 -3703 90144 Overseas Highway ADDRESS: LReyes @REGAINSURANCEINC.COM INSURER(S) AFFORDING COVERAGE NAIC S Tavernier FL 33070 INSURERA: Burlington Insurance Co 23620 INSURED INSURERS: The Florida Keys History of Diving Museum INSURERC: 82990 Overseas Hwy. INSURER D : INSURER E : Islamorada FL 33036 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: I Hls Is 1 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFF POLICY E P LTR TYPE OF INSURANCE INSR W1/D POLICY NUMBER MM /DD/YYYY MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE O RE TED PREMISES Ea occurrence $ 100,000 CLAIMS -MADE � OCCUR MEDEXP An one person) 5,000 A Y 535BO21917 02/18/2014 02/18/2015 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE 2,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: PRODUCTS - COMP /OPAGG $ Included POLICY PRO- LOC $ AUTOMOBILE LIABILITY Y ! A AG ENT COMBINED SINGLE LIMIT Ea edent 4A ANYAUTO BODILY INJURY(Perperson) $ AUTOS AUTOS R N/A BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA UAB HCLAIMS-MADE OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB DED I I RETENTION $ WORKERS COMPENSATION VVC STATU- OTH- -- _ AND'EMPLGYERS'`LIABILITY - -- IN - - -- — -- — -- - -- -- — - -- - - - -- -- E.L. EACH ACCIDENT ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N/A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If es , desa be y under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) The Certificate Holder is named as an additional insured on this policy: Monroe County Board County Commissioners & Monroe County Tourism Development Council RE: Proposed Capital Project Monroe Co Broad of County Commissioners & c/o Risk Management PO BOX 1026 Key West FL 3304C 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 ��ftE� © -1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) _ -- The ACORD-namo and logo-ara marks of ACORD —