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Certificates of Insurance
A!'��1p�� DATE(MM/DD/YYYY) 'k_ CERTIFICATE OF LIABILITY INSURANCE 04/12/2024 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: Professional Risk Specialty Group (PRSG) PHONE 954-453-6295 FAX A/C No Ext:- A/C No E-MAIL 655 N Franklin St., Suite 2000 ADDRESS: Tampa, FL 33602 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: AttPro RRG Reciprocal 13795 INSURED INSURER B Bolton, Helm & Augustine, LLP INSURERC: 615 Crescent Executive Court INSURERD: Suite 600 INSURERS Lake Mary, FL 32746 : 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INS WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 AGE TX CLAIMS-MADE OCCUR PA D REM SESOEa o�EENcuD nce $ A X LAWYERS PROF LIAR RLP100914 04/01/2024 04/01 2025 MED EXP(Any one person) $ RETRO: 7/l/09 PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY T COMBINED SINGLE LIMIT $ :AA �r M%, Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED 4 """' Y PROPERTY DAMAGE HIRED AUTOS AUTOS 12.24 Per accident $ UMBRELLA LAB OCCUR N W,Oil, EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUT E ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Deductible: $5,000 CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street, Rm 2-268 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©198 014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD DS#3401349 A! r1 p�� DATE(MM/DD/YYYY) %'k- ?*AY CERTIFICATE OF LIABILITY INSURANCE 05/08/2023 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: Professional Risk Specialty Group (PRSG) PHONEAIC,NIFA Ext:954-453-6295 A/C No: E-MAIL 655 N Franklin St., Suite 2000 ADDRESS: Tampa, FL 33602 INSURERS AFFORDING COVERAGE NAIC# INSURERA: AttPro RRG Reciprocal 13795 INSURED INSURER B: Bolton, Helm & Augustine, LLP INSURERC: 615 Crescent Executive Court, Suite 600 INSURERD: Lake Mary, FL 32746 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS MADEOCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON OWNEDPROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADEAGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUT E ER ANY PROPRIETOR/PARTNER/EXECUTIVE N❑ A F.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? / (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A PROFESSIONAL LIABILITY RLP100914 04/01/2023 04/01/2024 Per Claim 1,000,000 (Claims-Made) RETRO:7/1/09 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Deductible: 5,000 77 �T A „, ,�, �__ 5 8 . 23 CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St Room 2-268 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1986,JO14 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD DS#2949617 OP ID: DM ATE ACORO CERTIFICATE OF LIABILITY INSURANCE D03/29/2022Y) 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: Michelle Kugler B&B Protector Plans,Inc-PSP HOE 655 N.Franklin St.Suite 2000 A/CNNo Ext:813-222�324 A No): 813-222-4288 Tampa,FLK filer E-MAIL mkugler@bbprograms.com Michelle Kugler PRODUCER CUSTOMER ID#:BOLTO-2 INSURER(S)AFFORDING COVERAGE NAIC# INSURED Bolton, Helm&Augustine, LLP INSURER A:ATTPRO RRG RECIPROCAL RISK 14146 DBA Public Entity Legal INSURER B Solutions 615 Crescent Executive Ct INSURER 7 Suite 600 INSURER D 7 Lake Mary, FL 32746 INSURER E 7 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE ( RENTED PREMISESS Ea occurrence) $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (PER ACCIDENT) NON-OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/M EMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Prof.Liability RLPL100914 04/01/2022 04/01/2023 Per Claim 1,000,000 (Claims Made) RETRO-ACTIVE DATE 07/01/2009 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) APPROVED BY RISK MANAGEMENT Deductible$5,000 BY. , DATE CERTIFICATE HOLDER CANCELLATION WAIVER N/A YES_ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St Room 2-268 Key West, FL 33040 AUTHORIZED REPRESENTATIVE ei6uh,t, s ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD OP ID: DM ATE ACORO CERTIFICATE OF LIABILITY INSURANCE D03/29/2022Y) 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: Michelle Kugler B&B Protector Plans,Inc-PSP 655 N.Franklin St.Suite 2000 A/CNNo Ext:813-222�324 A No): 813-222�288 Tampa,FLK filer E-MAIL mkugler@bbprograms.com Michelle Kugler PRODUCER CUSTOMER ID#:BOLTO-2 INSURER(S)AFFORDING COVERAGE NAIC# INSURED Bolton, Helm&Augustine, LLP INSURER A:ATTPRO RRG RECIPROCAL RISK 14146 DBA Public Entity Legal INSURER B Solutions 615 Crescent Executive Ct INSURER 7 Suite 600 INSURER D 7 Lake Mary, FL 32746 INSURER E 7 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED APPROVED BY RISK MANAGEMENT PREMISES Ea occurrence $ CLAIMS-MADE OCCUR BY . .,, MED EXP(Any one person) $ DATE __4[h12O2 PERSONAL&ADV INJURY $ WAVER NIA YES,— GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (PER ACCIDENT) NON-OWNED AUTOS $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/M EMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Prof.Liability RLPL100914 04/01/2022 04/01/2023 Per Claim 1,000,000 (Claims Made) RETRO-ACTIVE DATE 07/01/2009 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Deductible$5,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St Room 2-268 Key West, FL 33040 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD OP ID: FH ATE CERTIFICATE OF LIABILITY INSURANCE D04/14/2021Y) 04/14/2021 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 Felicia Harvey B&B Protector Plans,Inc-PSP 655 N.Franklin St.Suite 2000 ArcNNo Ext:813-222-4262 aC No: 813-222-4288 Tampa,FL 33602 E-MAIL fharvey@bbprograms.com Felicia Harvey PRODUCER y@bb ro p g CUSTOMER ID#:BOLTO-2 INSURER(S)AFFORDING COVERAGE NAIC# INSURED Bolton, Helm&Augustine, LLP INSURER A:ATTPRO RRG RECIPROCAL RISK 14146 DBA Public Entity Legal INSURER B Solutions 615 Crescent Executive Ct INSURER C: Suite 600 INSURER D: Lake Mary, FL 32746 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY JE� LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (PER ACCIDENT) NON-OWNED AUTOS $ 1, $ UMBRELLA LIAB OCCUR 5 ^..... _ EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE ry' ' -- AGGREGATE $ DEDUCTIBLE - 4 . 29 2021 _ $ RETENTION $ $ WORKERS COMPENSATION N 3 yft-,- WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Prof.Liability RLPL100914 04/01/2021 04/01/2022 Per Claim 1,000,00 (Claims Made) RETRO-ACTIVE DATE 07/01/2009 Aggregate 2,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Deductible$5,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 100085-FX Duluth„ GA 30096 AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD From: customerservice@certsonline.com From: From: customerservice@certsonline.com Subject: Upload Via Web 04-14-2021Attachment(s):Bolton_Helm.pdf Client Name: Monroe County Florida;Vendor Number: FX00000202;Vendor Name: Bolton Helm & Augustine LLP;Document Uploaded By: Jaclyn Flatt Risk Management/Certified Paralegal ;Date Uploaded: 4/14/2021 12:23:18 PM ;Comment: Current Professional liability expires 4/1/2022 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMNWVWY) 10/08/2020 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 certfificate 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 RARE: Matisse Harrington Agency Marketing Services,Inc. PRONE k41/UL EMT (727)384-1036 ju"Xc,No): (727)3434123 9800 4th Street N,Suite 400 ADDRESS: mhanington®agencymarketing.com INSURER(S)AFFORDING COVERAGE NYCY St.Petersburg FL 33702 INSURER A: AttPro RRG Reciprocal Risk Retention Group 14146 INSURED INSURERS: Bolton.Helm 8 Augustine,LLP dba Public Entity Legal INSURER C: PO.Box 958464 INSURER D: INSURER E: Lake Mary FL 32746 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. INSR ADDIM ICY UBR Po EFF POL EXP LTR TYPE OF INSURANCE INSO WVD- POLICY NUMBER (MMTD/DIYYYY) IMM001YYTT UNITS • COMMERCLAL GENERAL LIABILITY EACH OCCURRENCE DAMAIE10 RENTED CLAIMS-MADE I (OCCUR PREMISES lEa occurrence' MED EXP(Any one roman) Approved Risk Manage nt PERSONAL>/DviNJURY GENT AGGREGATE GATE LIMIT APPLIES PER: / �\-f GENERAL AGGREGATE R POLICY OTHER JE6 1-1 LOC i&— PRODUCTS-COMP/OP AGO AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT LEH ewEene ANY AUTO BODILY INJURY(Per pwn) ALL OWNED SCHEDULED BODILY INJURY(Poe accident) AUTOS AUTOS HIRED AUTOS — NON-OWNED S --2-3-2021 (Paulo OAMFGE UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB I CLAIMS-MADE AGGREGATE $ • DED RETENTIONS _ 5 WORKERS COMPENSATION • PER I OTR ANO EMPLOYERS'LIABILITY T.(N STATUTE ER ANY PROPRIETgLPPRTNERIEXECUTIVE^NIA E.L.EACH ACCIDENT 5 OFFICERAIEMBER EXCLUDED? (Mandatory M NH) E.L.DISEASE-EA EMPLOYEE Ny comb.nnn., DESCRIPTION OF OPERATIONS bow E.L.DISEASE-POLICY LIMIT $ A E80 RLP100914 04/01/2020 04/01/2021 $1,000,000 Per Claim/$2,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATORS I VEHICLES (ACORD 101.AddIBonM bmnyt MM4ult may baat.[Md II mom space Is required) Deductible$5,000 Retro Date:7/1/2009 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County BCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St.Room 2-263 AUTHORIZED REPRESENTATIVE Q 1 Key West FL 33040 Q �' ®1888-2014 ACORD CORPORATION. All tights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD a - � OP ID: BC DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE . 1 2110120 1 9 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 B&B Protector Plans,Inc-PSP NAME: Bridget Cunningham PHONE 655 N.Franklin St.Suite 2000 (A/C,No.Ext: FAX No): Tampa,FL 33602 ADDRIESS: bcunningham bbprograms.com Bridget Cunningham PRODUCER gpLTO-2 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NA1C# INSURED Bolton, Heim&Augustine, LLP INSURER A:ATTPR❑RRG RECIPROCAL RISK 14146 DBA Public Entity Legal INSURER B Solutions 615 Crescent Executive Ct INSURER C: Suite 600 INSURER D: Lake Mary, FL 32746 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. INSR TYPE OF INSURANCE ADDL SUB LTR POLICY NUMBER MM! DIYYYY MM IDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence S CLAIMS-MADE F-IOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY S GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S -]IPOLICY jE C LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea accident) ANY AUTO BODILY INJURY(Per person) S ALL OWNED AUTOS BODILY INJURY(Per accident) S SCHEDULED AUTOS �, PROPERTY DAMAGE S HIRED AUTOS (PER ACCIDENT) NON-OWNED AUTOS $ w�IVE[R $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DEDUCTIBLE $ RETENTION S S WORKERS COMPENSATION WC STATU- OTH- AN❑EMPLOYERS'LIABILITY Y I N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N!A E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED.. (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S A Prof.Liability RLPL100914 04101/2019 04/01/2020 Per Claim 11000,000 (Claims Made) Aggregate 210001000 DESCRIPTION OF❑PERATI0NS I LOCATIONS I VEHICLES (Attach AC0RD 101,Additional Remarks Schedule,if more space Is required) Deductible $5,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Room 2-26$ AUTHORIZED REPRESENTATIVE Key West, FL 33040 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD E 00reYYYt A,C.ORD., CERTIFICATE OF LIABILITY INSURANCE D. (MW ........................ 407-7672c�a50 THIS CERTIFICATE IS fSSUED AS A MATTER OF INFORMATION NATIONAL WSK MANA EMENT ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ROBERT%-01. RAY' LICENSE ftA2V576'e_,` HOLDER. THIS CERTIFICATE DOES NOT AMENU, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 1,533 NORTH RIDGE -AK E CIRCLE t LONG WOOD, FL 327`W`,f_1-4z554 INSURERS AFFORDING COVERAGE NAIL A ZURK, ............... .............. ------------ ................. 'LORIDA REIIAli FEE)ERAT!ON �-,!F V�E-RNIS& 8'%')VV'JNG,'0F VWW E't 16NE 3CV17ii SREE .... ... k,; 0L A AU A ................. M:AMI. Ft.. 3,i!8'1 . ........... I R K p r- -COVERAGE$ 'T �R -A I CY E.R!CiD i t4 D CA 10 NC- �,i NDI, TH�PCo(j Cif. (D F I NSUI RANIk- ANY R 0 IfE D S Y I E f D H i�R 'S J T MA Y P E FkTA,N,T:iE�'N SURA N C'E A r 701 CDES DESCR"REl P�4 P SIC; S. G T C L.'M TS 0yV: MAV L: ':' 0F 0 Y 0 All C -4,' N SR ADD�k: PGL�CYEFFECTiVE E04KATtON A GX E N.....R.. L LA Ad I Ory : �`-- 2'l 6 /147E,ek C H j C G U p Lj 1,0000.K R ( _ P ' 0 % J4:'200 02 !200 :00 Q! NE P800632 it % AL _jE ..... x ........... ................................................................................... x iA0s7%l%%JQuc)R 0.0 ....J ................ 1�A AC"FO:R 6 Qj0%E i P� 7AP .......... K; ............. A V TOM 40V lLf-L tAS I U Of A ppsoMil" 02.1"14" 000" A�: Ve N E A ij S . ................... .................................. Xxs kqale XN,, A:� C4. 0A Ni Au ff 7 Y A �D ri 1AN ........... )(J.000 E X C"'�w U M B N E LLA L k A M Ul'Y A X 0 2. 4 2 f 0 6 0 "14 �2 0 0,7 .............. .............. . ................... ................ .r2............................. gg . ...................... x 5 x W 0 R KE ft COMP EX SATI ON A,NM t% 'Or ......................................... 4.f IE m P LOY k R8�U XW LJTY 8'02"20C-lb 01 0,(A) 0 ............ ............................................... . ..................................... ............. OTHER C/' LAWYER'S P140i"NE'S.SIONAL 9 64 a 6 17, 1 02!2,3/2006 0212,V200'i R E A T E LIABILITY ER�4G L -aE S C R W T*N Q+0,PE R AT b0hS I LO CAT*N S4'lik H K LE S.{E XC L%j Sl�::%'-,-,0 0 ED 9 Y END ORSIE M F_NT S ft t L P IR 0 IV t S ON 3 -CERTIFICATE HOLDER CANCELLATION SHOULD ANY(W THE ABOVE DESCRIBED POLC�ES&F CANCELLE 0 6f FORE THE EKPMAT�01N' MEGGAN A. klEGGS, SR, COORDIN",,"'-0 ENEF UATE THERE-(��F.1"E ISSOINIG WSUKER MLL ENDEAVOR TO MA8, QAYS WRITTLN F4<- ................. kl0NR0FC(NJNTY RD OP 4-0tJNTv% KIISSIONE Nc>mlk TO 7 H F_CER TIPWATE HO L bEk A MV V,TO TH 4�.0 F 1.AUT FAK-00 F 1-0 DO 1�0 SflAk-L J 10 0 S I V.1 0 N T 0 N S T-, S L-11,1 T F 2.2(j8 IMPOSE NO OBLIGATION OR UABUTY OF ANY XWO UPON'rHF-4W%J9FP,iTS A4rVNTS OR REPRESE-NTATWLS. PHONE(305)292-4450 AUTHOR2 ED REPREUNTATIVE -2 FA( ki I L E f'05�2 Ra 3 4 ...................... ACOR D 25(2001108) A3f-0_RD 0 RP,,O R A T f0 &C E RTI F fCATE OP INSURANCE , ISSUE DATE(MMODrM o 8/21/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS TO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTENDED OR ALTER THE COVERAGE Brown&Brown Insurance AFFORDED BYTHE POLICIES BELOW. P.O. Box 153005 = COMPANIES AFFORDING COVERAGE Tampa, FL 33684-3005 COMPANY � Evanston Insurance Company ompany � LETTERCOMPANY INSURED COMPANY George A. Helm Ili,P.A.; Public Entity Legal Solutions LETTER 615 Crescent Executive Ct,, Suite 600 COMPANY LETTER • Lake Mary, FL 32746 COMPANY � LETTER COVERAGES ; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, ANY REQUIREMENT,TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY HE ISSUED OR MAYERTA N THE I SCIRRANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, lTM TYPE OF INSURANCE POLICY NUMBER _ POLICY EFF, POLICY EXP. LIMITS . OATE(MWDDIYY) DATE(MMIDD/YY) GENERAL LIABILITY GENERAL AGGREGATE COMM.GENERAL LIABILITY PROD-COMP/OP AGG. CLAIMS MADE OCC. PERS.&ADV,INJURY OWNER'8 8 CONTRACrS PROT EACH OCCURRENCE FIRE DAMAGE 'OMOBILE LIABILITY IVIED EXP.(ONE PER) . AUT ANY AUTO COMBINED SINGLE � LSMtT ALL OWNED AUTOS - SCHEDULED AUTOS BODILY INJURY (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS . - (Per occident) GARAGE LIABILITY t ANY Auro PROPERTY DAMAGE Ex.ESS LIABILITY UMBRELLA FARM EACH OCCURRENCE - ■ - AGGREGATE OTHER THAN UMBRELLA FORM '' r WORKERS COMPENSATION AND � tATUTORY 10TS EMPLOYER'S LIABILITY EACH ACCIDENT -THE PROPRIETOWPARTNER/EXECUTIVE DISEASE-POLICY LIMtT OFFICER ARE: (]INCL ❑EXCL DISEASE-EACH EMP, OTHER Lawyers Professional Liability - LA-80509E ' 04/0712009 44107t2'010 1 . ,404,40a 1,000,000 Each Claim Aggregate DESCRIPTION-OF DPERATIONSILOCAT1ONS1VEAICLES!SPECIAL ITEMS Deductible- $5,000 Each Claim CERTIFICATE HOLDER CANCELLATION . Monroe County SHOULD ANY OF THE A13OVE DESCRIBED POLICIES BE CANCELED BEFORE E ORE THE Board Of COUfltj/CQmmisSlflf'terS - EXPIRATION DATE THEREOF,THE ISSUING COMPANY 1100 Simonton Street DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMEV TO THEL FAVOR ILURE MAIL,BUT FAILURE Key West,FL 33044 To MAIL SUCH NOTICE SHALL tMPOSE NO OBLIGATION OR L ILITY OF ANY KIND UPON THE COMPANY' S AGENTS OR REPRESENTATIVES AUTHORIZE RE ESENTA IVE . . ACO Q�D 25-S(3193) i Client#: 13053 HELGEaR DATE(lIIMfDDIYYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 07122/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS No RIGHTS UPON THE TFICATE 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 ISSUE MURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policytiesj must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the poiicy,certain policies may require an endorsement A statement on this ce�aie does not confer rights to the certificate holder in lieu of such endorsements). CONTACT PRODUCER NAME: Gilsbar Specialty Ins Services �E .985 892-3520 AIC,No): 9858981761 2100 Covington Centre AAWRI: Covington,LA 70433-L.A MURMS)AFFORUM COVERAGE NAIC# 985 892-3520 INSURER A:Continental Casualty Co INSURED INSURER B: Bolton&Helm,LLP and George A.Helm 1r15uRfx c DBA Public Entity Legal Solutions INSURER D 723 E.Colonial Drive INSURER E; Orlando,FL 32803-8464 INSURER F COVERAGES CERTIFICATE NUMBER: REVN NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDi,ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY 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 HEREW IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE of INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WIND GENERAL LIABILITY EACH'ONCE $ COMMERCIAL GENERAL LIABILITY PAN REAA p occurrence) $ CLAIMS-MADE 1-1 OCCUR MEDa EXP one person) $ PERSONPRL&ADV INJURY $ GENERO LAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: -COMPIOP AGG $ Va POLICY JPRO- CT LOC $ AUTOMOBILE LIABILITY CO�]SIINGLE LIMIT Ea $ r'r BODULY 01JLIRY(Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY WSAW(Per aocident) $ AUTOS AUTOS NON-OWNED ,_ PRE EIAMAGE $ HIRED AUTOS AUTOS Per UMBRELLA LIAB OCCUR EACR OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DE I I RETENTION$ $ WORKERS COMPENSATION WCATY� ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNRIEXECUTIVE E= E.L..EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DWEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L_Di195E-POLICY LIMIT $ A Lawyers Prof 425357467 01/2011 0410112012 Each ClIalim:$1,000,000 A :$2,0009000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Lawyer's Professional:Liability CERTIFICATE HOLDER CANCELLATION Monroe County,Board of SHOULD ANY OF THE ABOVE DESC�FD POLICIES BE CANCELLED BEFORE tY THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street,Ste.2-268 Key West,FL 33040 AUTHVRQ REPRESENTATIVE Q 1988 2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S31321M3131 LTM f DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE OP ID FM BOLTO 2 04 16 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE B&B Protector Plans■ Inc - PSP CERTIF E DOES NOT AMEND,EXTEND OR 3101 W. MLK Jr. Blvd, 4th Flr ;MVERAGE A FORDED BY THE POLICIES BELOW. Tampa FL 33607 - ---- Phone:800-467-8734 Fax:813-222-4288 INSURERS AFFORDI G COVERAGE NA1C# INSURED UR "Bi ails Di act Select 25585 } INSURER B: Bolton & Helm, .PA INSURER C: 723 East Colonial Dr Ste 200 ROtINTY Orlando FL 32803 COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. k i LTR NSRE TYPE OF INSURANCE POLICY NUMBER DATE(MM/D2= DATE MWDD LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence) CLAIMS MADE [:]OCCUR MED EXP(Any one person) __ PERSONAL S ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICYF_�PERO- F-1 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) i -- -- --ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Pamson ) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) s � j GARAGE LIABILITY � AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS 1 UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ f a $ _ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONWC STATU. 170TH- AND EMPLOYERS'LIABILITY TORY LIMITS ER YIN ANY PROPRIETORIPARTNER/EXECUTIV E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEES i€yes.describe under f 4 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER a A Prof. Liability 20012200100-LPL 04/04/10 04/04/11 LIMIT 1,0001000 Claims Made) 2 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS $110001000/$2,000,000 Limits of Liability (CELL) ; $5,000.00 Per Claim/Loss } and Defense - Law Office � r 3 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONR0-1. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 4 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIA ITY OF ANY KIND U N THE I SURER,ITS AGENTS OR ) Monroe County Risk Management REPRESENTATIVES. 110 0 Simonton $t. AUTHORIZED REPRESENTA C Lourdes M. Mart 4VI. RPL e West FL 33040 ACORD 25(2009101) C 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD � 1 ur 110: 5U CE FAT I�'I�AT E �� �.�A B DATE(lEAM1Di�lYYYY) ILITY INSURANCE 06/28/12 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 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 confet'rights to the certificate holder in lieu of such endorsements. PRODUCER SUS-467-8734 NAME CONCT B&B Protector Plans,Inc-PSP $,� -22�-42$8 PHONE FAX HIV 3101 W.M LK Jr. Blvd,4th Fir (A/C.Na E t r (A/C,No: Tampa,FL 33607 E-MAIL - Lourdes M.Martinez,RPLU ADDRESS: PRODUCER .BOLTO 2 U 51TO98 112 INSURERS AFFORDING COVERAGE NA1C# _ ENSURED Bolton Helm, LLP andINSURER A:Darwin National Assurance Co 116624 George A. Helm DBA: INSURER B Public Entity Legal Solutions 723 East Colonial Dr,Ste 200 INSURER c Orlando,FL 32803 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. 11V5R ' TYPE OF INSURANCE C UH POLICY EFF POLICY EXP L7 POLICY NUMBER MMIC]DIYYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE _ $ COMMERCIAL GENERAL LIABILITY RENTEDDAMAZIF TO PREMISES occurrence CLAIMS-MADE OCCUR I � APPDR Cie M _MED EXP(Anyone Person) $ BY PERSONAL&ADV INJURY $ + DA Qw- WAA/tmww GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER:PRO- PRODUCTS-COMP/OP AGG $ POLICY[7F-1 LQC G; , $ AUTOMOBILE LIABILITY �• COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY(Per person) $ BODILY INJURY(Per accident) $ ---i SCHEDULED AUTOS PROPERTY DAMAGE � HIRED AUTOS (Per accident) $ NON-AWNED AUTOS $ $ UMBRELLA L1AB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION WC STATU- QTH- AHD EMPLOYERS'LIABILITY I I ANY PROPRIETOR/PARTNER/EXECUTIVE Y 1 N E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N 1 A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ -W If es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Prof.Liability 0307-4449 04/01/12 04/01/13 Per Claim 1,000,00 (Claims Mader Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space It required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St,Room 2-268 Key Vest, FL 33040 AUTHORIZED REPRESENTAT E Lourdes M. Martin z PLU- i tr 1988-2009 ACORD CORPORATION. fights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD OP ID: BC ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ 12/10/2019Y) 019 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). CONT PRODUCER NAMEACT Bridget Cunningham B&B Protector Plans,Inc-PSP PHONE FAX 655 N.Franklin St.Suite 2000 INC.No.Exti: (A/C,No): Tampa,FL 33602 AIL ADDRESS: bcunningham@bbprograms.com Bridget Cunningham PRODUCER --- BOLTO-2 CUSTOMER ID#: INSURER(S)AFFORDING COVERAGE NAIC# INSURED Bolton, Helm&Augustine, LLP INSURER A:ATTPRO RRG RECIPROCAL RISK 14146 DBA Public Entity Legal Solutions INSURER B 615 Crescent Executive Ct INSURER C: Suite 600 INSURER D: Lake Mary, FL 32746 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTRINSR.WVD POLICY NUMBER (MMIDDIYYYYI (MM/DDIYYYY) GENERAL LIABILITY EACH OCCURRENCE S DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) S CLAIMS-MADE OCCUR MED EXP(Any one person) S PERSONAL&ADV INJURY S GENERAL AGGREGATE S GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S nPOLICY n JE Q n LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) S ALL OWNED AUTOS BODILY INJURY(Per accident) S SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS APP (PER ACCIDENT) NON-OWNED AUTOS S WAIVER / UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DEDUCTIBLE S RETENTION S S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY - Y I N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S A Prof.Liability RLPL100914 04/01/2019 04/01/2020 Per Claim 1,000,000 (Claims Made) Aggregate 2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Deductible $5,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street - - - Room 2-268 AUTHORIZED REPRESENTATIVE Key West, FL 33040 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD ACORD", CERTIFICATE OF LIABILITY INSURANCE PROtHlCLR NA nCNAL RISK MANAGEMENT ROBERT J RAY LICENSE #A21576! 1533 NOR r H RIDGE LAKE CIRCLE LONGWOOD. FL 32750U554 ~SUREO \,'ERNiS & 8()\^iLlNG OF tvllAM! El 1680 NE 135"1; STREET MiAMI FL 33 if}'! THe ANY NSR ADO'L l TR INSRQ; TVP'f: Of t"'SI.:RANCE : GENERAL UA8IUT'f A PPS006C 32 x ^ C:YAV:;'R(;!;\LGF.!lERJI(c.I/JJ l 11, C;~AVS '110\;..;;; X '>C>':-,8 X HOST (,€~il. AG-;1Rf;::;i< E _it! - ,\"9(-;:3 PE"i A\,lTOMOllILf llA6tUl'r A ANY,,\,,""O PPSOOGO;2 4L. <llYN!:::; Ai.)T:::S ';;(;''iCOd,::;;)4~ "RfC Aj..i~;";S X '''''"''"'M,mA. ',. GAR"(j!; Uo\el\.iTV Ni'it",,"'O EXCESSiUllll8flELLA U,'81UTY A PDDOOGO- ';2 X C;(J',U, ^iAiV"V"c;"'. 0c0JCtlb,^-L 1COOOO WORKERS COMPEN&.\TlON );.NO B EMPLOVEftS'l,JAalUry ~>21-n188'- OntER C LAWYER'S PI,OFESSIONAL liABILITY 9686017i: CERTIFICATE HOlOER MEGG"N A I\IEGGS. SR. COORDIN. MONROE COUNTY RD OF COUNTY 1"00 SIMONTON ST, SUITE 2,268 KEY WEST, FL 3:V140 PHONE (3051 292.445ll FACSIMICF [3051292.4452 ACORO 25(2001108) 407-,767-2<}~)O DATe il.,;M/()ONY'VYi '}8115,'2006 THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOlOER. THIS CERTIFICATE OOES NOT AMENO, EXTEND OR ALTER THE COVERAGE AFFORDEO BY THE POLICIES BELOW. \is.>'iFRA INSURERS AFFORDING COVERAGE h<$;;,~F~ 8 GAHOLiNA CASUAL 11" ~SU,<U::f; \$iJ:~fR r: PC Y NUMBER POliCY EXPiRATION nATFIMM/flt}!YYI 02/14/2006 0211412007 02/14/2006 02/14/2UOl Yf) '- ~OL l0 ~&. 02/14i20C6 021'l,tj;!007 Q8/0~U20C6 1..i8if;2i2001 D2/23i20C8 02/23/2001 '''f:JO.:sr;:::!t~ !, V)'i'-i",i..;P'; GS',SR:;\~ JGGeLG... 'S ,II/;1 NAICO LlMl''rS s .UOO,QOO -,,-v $,5,00Q,000 PEf~ CLAiM $6,()(}U,UOO PER AGGREGATE J QMA;;'(i[ ,f,' A\:CiDP<'i'" 0:$1:';\81: _ EA "'t/t',(~n P $ ::JR. BENEF ITS AMISS!ONERS CANCElLATION SHOULD ANY Of TIif ABOVE DESCR1$eO POLfCl€S 8.E CANCELLED efj:()li:!'E THE EXP,RATiON 1JA1E THEREOf, lHt'i. ISSU!NG lN$lJRER WILL ENDEAVOR TO MAl\.- :',(] OA YS W~1Tn;;i'ol NOncE TO THE- CERTlHCA1E HOLDl".R "''''MfP TO THli LEFt. alJr FA'LI)(.lf TO 00 SO $tlAt.L IMPOSE NO OBLIGATION OR UABfUTY OF ANY kiND UPON T~r. mSURFR, rrs ACENTS OR i 1988 PRODUCER .CERTIFICATE Q'F INSURANCE Brown & Brown Insurance P.O, Box 153005 Tampa, FL 33684-3005 INSURED George A. Helm III, P,A.; Public Entity Legal Solutions 615 Crescent Executive Ct., Suite 600 Lake Mary, FL 32746 ISSUE DATE (MMIODNY) o 8/21/2009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS TO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENDED DR ALTER THE COVERAGE AFFORDED BY THE POLICIES B~lOW. COMPANY LETTER COMPANY LETTER COMPANY LETTER COMPANY lETTER COMPANY LETTER COMPANIES AFFORDING COVERAGE A Evanston Insurance Company B C o E COVERAGES i 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 INHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCe. AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ TYPE OF INSURANCE POLICY NUMBER POLICY EFF. POLICY EXP. OA TE (MMlDOIYY) . DATE (MMlDDIYY) GENERAL LIABILITY COMM. GENERAL LIABILITY CLAIMS MADE D OCC. OINNER'S & CONTRAcrs PROT ; AUTOMOBilE lIABILITY ~- ANY AUTO ALL OWNeD AUTOS SCHEDULED AUTOS HIRED AUTOS ---: NON-OWNED AUTOS 1- GARAGE LIABILITY ANY AUTO ex:;ess LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYER'S LIABILITY THE PROPRIETORlPARTNERlEXECUTIVE . OFFICER ARE: o INeL Cl EXCL OTHER ~ Lawyers Professional liability LA-805096 ; 04/07/2009 0410712010 Deductible ~ $5,000 Each Claim F= JI Y'-.Q/Vl ~ CERTIFICATE HOLDER Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 ACORD 25.5 (3193) LIMITS GENERAl AGGREGATE PROD-COMP/OP AGG. PERS. & ADV. INJURY EACH OCCURRENCE FIRE DAMAGE MED exp (ONE PER) COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODlL Y INJURY (Per ec:adenl) PROPERTY DAMAGE EACH OCCURRENCE AGGREGATE OISEASE.POUCY LINIlT DISEASE.EACH EMP. 1,000,000 Each Claim 1,000,000 Aggregate CANC,ELLA TION . . SHOULD ANY OF THE ABOVE DESCRIBED POliCIES BE CANCELED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTice SHALl IMPOSE NO OBLIGATION OR LIABILITY OF ANY K1NQ UPON TH~ COMPANY' S AGENTS OR REPRESENTATIVES AUTHORIZE RE ESENTATlVE Client#: 13053 HELGEOR ACORD,., CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 07/22/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TIE 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 N1SURER(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 certTcate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAM Gilsbar Specialty Ins Services ( Ext) : 985 8923520 FAX No): 9858981761 2100 Covington Centre ADDRESS: Covington, LA 70433-LA NSURER(S) AFFORDING COVERAGE NAIC # 985 892 -3520 NSURERA: Continental Casualty Co INSURED INSURER B : Bolton & Helm, LLP and George A. Helm INSURER C: DBA Public Entity Legal Solutions INSURER D : 723 E. Colonial Drive INSURER E : Orlando, FL 32803 -8464 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 WYRH 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 TYPE OF INSURANCE INSR MD POLICY NUMBER (MN JYYYY) (r POUCY YTY) LIMITS GENERAL LIABILITY EACH. OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PRE t>ta o� $ CLAIMS -MADE [ 1 OCCUR MEDEXP (Mary one person) $ PERSONAL &ADV INJURY $ GENERFLAGGREGATE $ GENII AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP /OP AGG $ POLICY n JECT LOC $ AUTOMOBILE LIABILITY . COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED f_ 4, BODILY JIYRY (Per accident) $ AUTOS AUTOS NON-OWNED ._ .. _.. _. N PRO DAMAGE $ HIRED AUTOS AUTOS � �I $ UMBRELLA UAB _ OCCUR - � EACH °COIae ENCE $ EXCESS [JAB CLAIMS -MADE AGGREGATE $ DED 1 RETENTION $ $ WORKERS COMPENSATION WC.SIAM- I OTH- AND EMPLOYERS' LIABILITY Y 1 N TORY i STS ER ANY PROPRIETOR/PARTNER /EXECUTIVE E.L.. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N / A (Mandatory in NH) E.L. DISEASE- EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE- POLICY LIMIT $ A Lawyers Prof 425357467 04/01/2011 04101/2012 Each Claim: $1,000,000 Aggregate: $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Lawyer's Professional Liability CERTIFICATE HOLDER CANCELLATION Monroe CODunty, Board of SHOULD DATE THEREOF. POLICIES CANCELLED BEFORE DELIVERED IN County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street, Ste. 2 -268 Key West, FL 33040 • AUTHORIZED REPRESENTATIVE I t¢ O-/'+ '-..- © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3132/M3131 LTM i c - CERTIFICATE OF LIABILITY INSURANCE OP ID RM DATE(MM/DD/YYYY) BOLTO -2 04/16/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE B &B Protector Plans, Inc - PSP tt t'• t'I� - .1, E DOES NOT AMEND, EXTEND OR 3101 W. MLK Jr. Blvd, 4th Fir jja jilt • - - FORDED BY THE POLICIES BELOW. Tampa FL 33607 Phone:800- 467 -8734 Fax:813- 222 -4288 INSURERS AFFORD! GCO ERAGE NAIC# INSURED , :.:URA' , least • actSol.ct 25585 INSURER B: ■ I Bolton & Helm, PA INSURERC 723 East Colonial Dr Ste 200 Orlando FL 32803 1 i 1 ''�` i ' COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 LTR R INSRC TYPE OF POLICY NUMBER DATE (MM /DDICYYYYYYE) POLICY A MWDD/YY EXPIRATION LIMITS LT INSRC INSURANCE GENERAL UABILI Y EACH OCCURRENCE $ UAMAOt IV KtN1bV COMMERCIAL GENERAL LIABILITY PREMISES (Ea ocourence) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENII AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ POLICY n izei n LOC • AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ -- ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS ( BODILY INJURY NON -OWNED AUTOS 4: (Per accident) $ • �( PROPERTY DAMAGE $ ` ` (Per a GARAGE LIABILITY )(= AUTO ONLY - EA ACCIDENT $ 1ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE _ 3 OCCUR (CLAIMS MADE AGGREGATE $ I $ DEDUCTIBLE $ • • RETENTION 8 $ WORKERS COMPENSATION WC SIAM- OTH- AND EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVEn E.L. EACH ACCIDENT $ • OFFICER/MEMBER EXCLUDED? I ` (Mandatory In NH) I E.L. DISEASE - EA EMPLOYEE $ N yes, describe under } SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER A Prof. Liability 20012200100 -LPL 04/04/10 04/04/11 LIMIT 1,000,000 (Claims Made) 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS $1,000,000/$2,000,000 Limits of Liability (CELL); $5,000.00 Per Claim /Loss and Defense - Law Office CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONRO -1 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIA ITY OF ANY KIND U N THE I SURER, ITS AGENTS OR REPRESENTATIVES. Monroe County Risk Management AUTHOR¢EDREPRESENTA . ! < 110 Simonton St . Lourdes M. Mart . P (Key West FL 33040 4 ACORD 25 (2009101) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 3 1 UY {U: WI '`t CERTIFICATE OF LIABILITY INSURANCE DA 06/28112 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 B • ELOW. 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(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 to the certificate holder in lieu of such endorsement(s). PRODUCER 800- 467 -8734 urea B&B Protector Plans, Inc - PSP PHE FAX 3101 W. MLK Jr. Blvd, 4th Fir • 813-222-4288 (A/c N No, Extl: (A/C, No): Tampa, FL 33607 E -MAIL — Lourdes M. Martinez, RPLU ADDRESS: PRODUCER -- CUSTOMER ID if: BOLTO -2 INSURERIS) AFFORDING COVERAGE 1 NAIL • INSURED Bolton & Helm, LLP and INSURER A: Darwin National Assurance Co 1 16624 George A. Helm DBA: 1 INSURER B : Public Entity Legal Solutions 723 East Colonial Dr, Ste 200 INSURER c Orlando, FL 32803 INSURERD: 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. INStt TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR MISR 1NV1 POLICY NUMBER (MMIDD/YYYYI IMMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ _ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) $ _ CLAIMS -MADE I l OCCUR 1APPR� . �� MED EXP (Any one person) $ BY , �� . 4 ' PERSONAL 8 ADV INJURY $ DA WAIVr' T ' a GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: Cn. C4Q' y PRODUCTS - COMP /OP AGG $ _ ' r PRO- r n K' POLICY JECT LOC C G ; 4 I ,L l $ I i ' V` A- ' AUTOMOBILE UABIUTY A ' 1' F F. $ COMBINED SINGLE LIMIT ANY AUTO (Ea accident) BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ _� SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) $ NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS -MADE AGGREGATE $ DEDUCTIBLE I $ RETENTION $ $ WORKERS COMPENSATION WC STATE- OTH AND EMPLOYERS' LIABILITY Y / N I TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE ` - - - ' OFFICER/MEMBER EXCLUDED? I I N / A E.L. EACH ACCIDENT $ (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Prof. Liability 0307 -4449 04/01/12 04/01/13 Per Claim 1.000,000 (Claims Made) Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St, Room 2 -268 Key West, FL 33040 AUTHORIZED REPRESENTAT E • Lourdes M. Martin PLU (1 ..., 0 © 1988-2009 ACORD CORPORATION. ights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD