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Certificates of Insurance
ACORD PRODUCER Rey West Insurance, Inc. P. O. Box 5487 Rey West FL 33045-5487 Rey West Insurance, Inc. Phone No. 305-294-1096 FaxNc INSURED Monroe Council of the Arts Inc Monica Haskell PO Box 717 Rey West FL 33041 T I N S �/ RANK ID BP DATE (MM/DD/YY) �OW©.9 09/16/98 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A Unionamerica Ins Co COMPANY B COMPANY C COMPANY D 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR I I I DATE (MM/DDIYY) DATE (MM/DDIYY) A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE ❑X OCCUR OWNER'S& CONTRACTOR'SPROT PU88192R12 09/30/98 09/30/99 GENERAL AGGREGATE $ 1000000 X PRODUCTS - COMP/OPAGG $ 0 PERSONAL & ADV INJURY $ 1000000 EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one fire) $ 50000 MED EXP (Any one person) $ 5000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS t.- ` "Y DATE '4'f fCR: "» / YFS COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO (��(pJ� � ��%J/J%— / 1 `V[pr or1rn/ AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: FIEXCL WC STATU- OTH- TORY LIMITS ER :: EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLESISPECIAL ITEMS Certificate holder is additional insured. Monroe County Board of County Commissioners ATTN: Maria 5100 College Road Rey West FL 33040 _ n MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NO SHALL IMPOSE NO OBLIGATION OR LIABILITY I 20F ANY KIND UPON THE C ITS AGPOS OR SENTATIVES. West '& — ACORD CERTIFICQ E OF LIABILITY INM .ANC DATE(MM/DDlYY) ONRO 9 10/19/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . O. Box 5487 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5487 Phone:305-294-1096 Fax:305-294-8016 INSURERS AFFORDING COVERAGE INSURER A: London Companies INSURER B: Monroe Council of the Arts Inc I INSURER c: Monica Haskell PO BOX 717 INSURER D: Key West FL 33041 INSURER E: L.VVtKAUrb 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. 1NSR LTR TYPE OF INSURANCE POLICY NUMBER LI Y MI TIV DATE MMlDD/YY P Y E PI I N DATE MM/DDlYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY PU94996 09/30/00 09/30/01 FIRE DAMAGE (Any one fire) $ lOOOOO CLAIMS MADE OCCUR MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1000000 ! GENERAL AGGREGATE $ 1000000 _ GEN'POLICYAGGREGATE APPLIES POECR: PRODUCTS - COMP/OP AGG $ 1000000 JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS "v BODILY INJURY NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE --- ��• �'rrt (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT ' $ ANY AUTO �- EA ACC OTHER THAN $ $ AUTO ONLY: AGG EXCESS LIABILITY - . �, EACH OCCURRENCE $ r— OCCUR CLAIMS MADE AGGREGATE $ I$ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC S LIMITS ER TORY EMPLOYERS' LIABILITY $ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT OTHER A Commercial Applica PU94996 09/30/00 09/30/011 DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Building or premises -office w� nvLVCR = 1 ADUI I IUNAL INSURED; IN5URER LETTER: VANUELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL County Commissioners 5100 College Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRES✓FN IVES. I I / ACORD 25-S (7/97) ©ACORD CORPORATION 1988 In DATE (MM/DD/YY) ACORD_ CERTLFIC E QF LIABJI IN l�1R t�CElMr�NRE1- 09/01/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. 0. Box 5487 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5487 COMPANIES AFFORDING COVERAGE Key West Insurance, Inc. COMPANY Phone No. 305-294-1096 Fax No.305-294-8016 A London Companies INSURED COMPANY B Monroe Council of the Arts Inc COMPANY Monica Haskell C PO Box 717 COMPANY Key West FL 33041 D 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, 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR I I DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $ 1000000 A X COMMERCIAL GENERAL LIABILITY BINDER PUB8192R11 09/30/99 09/30/00 PRODUCTS - COMP/OPAGG $ 0 CLAIMS MADE FX] OCCUR PERSONAL & ADV INJURY $ 1000000 OWNER'S& CONTRACTOR'SPROT EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one fire) $ 100000 MED EXP (Any one person) $ 5000 AUTOMOBILE LIABILITY ��, -^ R COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS ,,Y_ ' _ BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS �'� '' BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: DATE .•+ EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND WC STATU- OTH- TORY LIMITS ER EMPLOYERS LIABILITY EL EACH ACCIDENT $ THE PROPRIETOR/ INCL EL DISEASE - POLICY LIMIT $ PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Certificate of Insurance for Monroe County Board of County Commissioners as the additional insured CERTIFICATE 1-IOLDER CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Board of County 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Commissioners BUT FAILU E TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 College Road Key West FL 33040 OF A D UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AU D REPRES T IVE su c AGORD 25 S (1J95) O.RD CORPORATION 1988 OP ID AK ACORD CERTIFICAT" OF LIABILITY INSURAi. CE MONRO-9 DATE(MM1DD1YY) 1 12/12/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. P . 0. Box 5487 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Key West FL 33045-5487 Phone: 305-294-1096 Fax: 305-294-8016 INSURED INSURERA: Terra Nova Insurance Co. INSURER B: Florida Keys Council of the A Art s, Inc. 1100 Simonton Street Key West FL 33040 INSURER C: INSURER D: INSURER E: 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. INSR LTR TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE DATE MWD POLICY EXPIRATION DATE MWO LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 FIRE DAMAGE(Any one fire) $ 100000 A X COMMERCIALGENERALLIABILITY PU98005 09/30/01 09/30/02 MED EXP (Any one p—) $ 1000 CLAIMS MADE F_X] OCCUR PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE a 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - GOMP/OP AGG $ 1000000 PRO - POLICY JECT LOC P AUTOMOBILE LIABILITY ANV AUTO AP BY COMBINED SINGLE LIMIT (Ee accident) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS DATE WAIVER N/A O YES BODILY INJURY (Per perecn) S BODILY INJURY (Per eoddeM) $ PROPERTY' DAMAGE (Px atdtleM) S GARAGE LU.NLRY AUTO ONLY -EA ACCIDENT $ EA ACC OTHER THAN AUTO ONLY: AGG S ANY AUTO $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE AGGREGATE 3 S $ DEDUCTIBLE S RETENTION $ WC STATU- COMPENSATION AND JOT TORY LIMITS ER EMPLOYERS LIABILITY _ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER A Commercial Applica PU98005 09/30/01 09/30/02 DESCRIPTION OF OPERATIONSILOCATION8NEHICLESIMLUSIONS ADDED BY ENDORSEMENrISPECULL PROVISIONS certificate holder is landlord CERTIFICATE HOLDER I Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 OAYSWRITEN Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUf FAILURE TO DO 80 SHALL Attn: Maria Del Rio /Risk Mgmt IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street Key West FL 33040 REPRESENTAT J no ACORD 25-S (7197) tCACORD CORPORATION 1988 ACORo CERTIFICAI OF LIABILITY INSURA. _�E OP ID AK DATE(MMIDDIYY) MONRO-9 12/10/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 5487 Key West FL 33045-5487 INSURERS AFFORDING COVERAGE Phone: 305-294-1096 Fax:305-294-8016 INSURED INSURER A: Terra Nova Insurance Co. INSURER B: Florida Keys Council of the INSURER C: Arts, Inc. 1100 Simonton .Street INSURER D: Key West FL 33040 I INSURER E: 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MID POLICY EXPIRATION DATE MMID LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ZOOOOOO FIRE —AGE (AnY one fire) $ 100000 A X COMMERCIALGENEMLIASILITY PU98005 09/30/01 09/30/02 MED EXP (Any one per—) $ 1000 CLAIMS MADE FX] OCCUR PERSONAL &ADV INJURY $ 1000000 GENERAL AGGREGATE $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1000000 PRO- POLICV JECT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOSI) HIRED AUTOS NON -OWNED AUTOS v APP � i DATE I�!PJAf / � V ,,...� COMBINED SINGLE LIMIT (Ea acddeM) $ BODILY INJURY (Per pawn) $ BODILY INJURY (Per ecdeenl) S PROPERTY DAMAGE (Per accident) e N� WAIVER YES OAMGE LIABILITY AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY OCCUR ❑ CLAIMS MADE //' / l-. EACH OCCURRENCE S AGGREGATE $ S $ DEDUCTIBLE $ RETENTION S WC STATU- OTH- WORKERS COMPI RATION AND TORY LIMITS ER E.L. EACH ACCIDENT S EMPLOYERS' LIABILITY E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT S OTHER A Commercial Applica PU98005 09/30/01 09/30/02 DESCRIPTION OF OPERATIONSrLOCATIONS/VEHICLEBIMLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS certificate holder is additional insured (landlord) CERTIFICATE HOLDER Y I ADDITIONAL INSURED; INSURER LETTER: (:AIVI:tLLA I IVN MONROEC SHOULDANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYSWRITTEN Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL Commissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5100 College Road -Key Went FL 33940 REPRESENTATIVE i ACORD 25-S (7/97) C ACORD CORPORATION 1988 6_�wro ACORD PRODUCER IMI CERTIFICATE OF LIABILITY INSURANCE MONRO-9 OP IAK DATE 3/31 03/31/03 Rey West Insurance, Inc. P. O. Box 5487 Key West FL 33045-5487 Phone: 305-294-1096 Fax:305-294-8016 INSURED Florida Keys Council of the Arts/ Inc. 1100 Simonton Street Key West FL 33040 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: National Grange Mutual INSURERS: INSURER C: INSURER D: INSURER E: 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE D POLICY EXPIRATION DATE MUD LIMITS EACH OCCURRENCE $ 1000000 A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY BPG48805 09/30/02 09/30/03 FIRE DAMAGE(Arryonefire) S 500000 MED EXP (Any ane P-r-m) $ 1000 CLAIMS MADE a OCCUR PERSONAL SADV INJURY S excluded GENERAL AGGREGATE S 2000000 PRODUCTS -COMPIOP AGG S excluded GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea wddwd) S ANY AUTO ALLOWNEDAUTOS BODILY INJURY (Par P-reon) $ SCHEDULED AUTOS HIREDAUTOS BODILY INJURY (Per accident) $ NON -OWNED AUTOS PROPERTY DAMAGE (Peraccident) S IVI GE ENT AUTO ONLY - EA ACCIDENT S OARpGE LIABILITYAV" EA ACC OTHER THAN AUTO ONLY: AGG $ ANY AUTO [] BY $ EACH OCCURRENCE f EXCESS LIABILITY OCCUR ❑ CLAIMS MADE /� WAIVER N/A YES J ES AGGREGATE $ S S DEDUCTIBLE S RETENTION S WC STATU- OTH- WORKERS COMPENSATION AND TORY LIMITS ER E.L. EACH ACCIDENT S EMPLOYERS' LIABILITY E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATION&LOCATIONSIVENICLMIEXCLUSIONS ADDED BY ENDORSEMENTISPEC W. PROVISIONS certficate holder is additional insured - landlord CERTIFICATE HOLDER Y I ADDITIONAL INSURED; INSURER LETTER: 1 Ivry MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIONS /� DATE THEREOF, THE IBBIJING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Commissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street Key West FL 33040 REDRESENTAT ......,._ _ear..... v? � 25-S (7/97) % CACORD CORPORATION 1988 TE (MM/DDfYY) acoRv.. CERTIFICATE OF LIABILITY INSURANCE; O DA02111/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance , Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 646 United Street, Suite 1 Key West FL 33040 Phone:305-294-1096 Fax:305-294-8016 Florida Keys Council of the Arts, Inc. Arts, Inc. stF3040eetKeyWeL3 COVERAGES INSURERS AFFORDING COVERAGE INSURER A: National Grange Mutual INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMtU Atsvvm rvn 1— r — , , .• •�• ••-- - -- - 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. P LI Y E FIE IVE P LI Y XP TI N LIMITS POLICY NUMBER DATE MMIDDIYY DATE MM/DD/YY ILTR TYPE OF INSURANCE BPG48805 09/30/03 09/30/04 EACH OCCURRENCE $ 1000000 A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 41 OCCUR FIRE DAMAGE (Any one fire) $ lOOOOO MED EXP (Any one person) $ 1000 PERSONAL BADVINJURY $ 10.00000 $ 1000000 GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $ 1000000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC AUTOMOBILE JECT LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ AQP B �r — V D BV 41 +% -- AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG $ $ DATA ._---. ------ -- r , V `"" ""'" -t• EACH OCCURRENCE $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ AGGREGATE $ $ TH- $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER Commercial Applica BPG48805 09/30/03 09/30/04 A DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Building or premises -office CERTIFIGA I t MULUMI'c I I AUU111VNAI inaunw, �• MONBOCC Monroe County BOCC & TDC Attn: Risk Management 1100 Simonton Street Key West FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 LIABILITY OF Y KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. �� ' L ` iII J TIVE N"vtiGL V, ACORD 25-5 (7197),/ CG � �-�e.evw�•.(.- Wes CORPORATION 1988 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. LTR NSR TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR POLICY NUMBER BPG48805 DATE MMIDD/YY 09/30/04 DATE MWDD 09/30/05 LIMITS EACH OCCURRENCE $ lOOOOOO A PREMISES (Ea occurence) $ 500000 MED EXP (Any one person) $ 5 0 0 0 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 PRODUCTS - COMP/OP AGG $ 2 0 0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PPRO LOC POLICY JECT AUTOMOBILE LUU3ILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY OCCUR � CLAIMS MADE DEDUCTIBLE RETENTION $ 1 _, _ EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below ATU _ TORY LIMITSi I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Building or premises -office; Additional Insured: Monroe County BOCC, 1100 Simonton St. Key West, FL 33040 L,CK I Irm mi r= nvw�n Monroe County BOCC 1100 Simonton Street Key West FL 33040 1`A1J1_F1 I ATIrN MONCNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI 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 NQ OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25(20OR08) t CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OPID SJ DATE(MM,DDft. FLORI-6 1 05/12/06 PRODUCER IFICATE IS ISSUED AS A MATTER OF INFORMATION RECEIVE ;AL Y AN CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance; Inc. DER. HIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street; Suite 1 R T COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone: 305-294-1096 Fax:305-2 4-8 16 MAY 1 7 Florida Keys Council the MONROE COUN AS Arts, Inc. RISK MANAGEME INSURER C. 1100 Simonton Street INSURER D: Key West FL 33040 INSURER E: COVERAGES COVERAGE NAIC # 1 Grange Mutual 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. LTp INSR, TYPE OF INSURANCE POLICY NUMBER DATE (MWDDtME DATE MWDD(YY N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ SOOOOOO A X; X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR BPG48805 09/30/05 09/30/06 PREMISES (Ea occurence) $500000 MED EXP(Any one Person) $ 5000 PERSONAL S ADV INJURY $1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2000000 POLICY PRO- JECT LOG AUTOMOBILE LIABILITCOMBY ANY AUTO SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS F(E,..id.nt)NED INJURY$ rson)HIRED AUTOS NON -OWNED AUTOS INJURY$ cident)RTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHERTHAN EA ACC $ $ , AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE '1y��yin'II EACHOCCURRENCE $ AGGREGATE $ DEDUCTIBLE 1 I $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY u. - TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PHOPRIETOR/PARTNEWEXECUTIVE OFFICEWMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below S OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is additional insured -premises lessor re: location at 1100 Simonto Street, Key West, FL 33040 GANGELLATION MONCb= SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TH E EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County BOCC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Maria Slavic, Rick Mgmt Admin. 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY ANY KIND UPONT INSU , R EpS AGENTS OR Key West FL 33040 REPRESENTATIVES. ACOROM CERTIFICATE OF PRODUCER Key West Insurance, Inc. 646 United Street, Suite 1 Key West FL 33040 Phone: 305-294-1096 Fax: 305-294-8016 INSURED LIABILITY INSURANCE OP ID TM DATE(MM/DD/YYYY) FLORI - 6 1 0 6 19 0 9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. , INSURERS AFFORDING COVERAGE NAIL # INSURER A: National Grange Mutual Florida Keys Council of the INSURER B: Arts, Inc. 1100 Simonton Street 4¢JSUREC: v_ Key West FL 33040 INSURER D: COVERAGES IN.RURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IIN SURED NAMED.ABOYE 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER PO DATE M F-F-Eb Y E PDATE MlN/DD/W N LIMITS GENERAL LIABILITY A X X COMMERCIAL GENERAL LIABILITY BPG48805 EACH OCCURRENCE $ 1000000 09/30/08 09/30/09 CLAIMS MADE a OCCUR PREMISEs(Eaoccurenoe) $ 500000 MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2000000 POLICY JE O LOC PRODUCTS - COMP/OP AGG $ 2 Q Q Q Q 0 0 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ C EXCESS/UMBRELLA LIABILITY AUTO ONLY: AGG $ -- OCCUR � CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ 4t WORKERS COMPENSATION AND $ EMPLOYERS' LIABILITY , 1 TOPY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ OTHER E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Building or premises -office CERTIFICATE HOLDER CANCELLATION MCBOARD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board Of DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN County Commissoners CERTIFICATE OER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 1100 Simonton LIGATIONILIF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 &=LLDrYO IVES.�ACORD 25 (2001/08) nc . © ACORD CORPORATION 1988 C>Rb® CERTIFICATE OF LIABILITY INSURANCE OP ID TM DATE (MM/DD/YYYY) 1 FLORI-6 11 06 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Key West Insurance., Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 646 United Street, Suite 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33040 Phone : 305-294-1096 Fax : 305-294-8016 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: National Grange Mutual INSURER B: Florida Keys Council of the Arts, Inc. INSURER C: 1100 Simonton Street Key West FL 33040 INSURER D: INSURER E: 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DAOTE MLICYMIDD EFFECTIVE TION ATE MLICY M/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 10 0 0 0 0 0 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FxIOCCUR BPG4 8 8 0 5 0 9/ 3 0/ 0 9 0 9/ 3 0/ 10 PREMISES (Ea occurence) $ 5 0 0 0 0 0 MED EXP (Any one person) $ rj 0 0 0 PERSONAL & ADV INJURY $ 10 0 0 0 0 0 GENERAL AGGREGATE $ 2 0 0 0 0 0 0 PRODUCTS - COMP/OP AGG $ 2 0 0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- F-]LOC JECT 7 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ • GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGATE $ .. $ $ DEDUCTIBLE RETENTION $ �.r' y $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIV� OFFICER/MEMBER EXCLUDED? TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT ! SPECIAL PROVISIONS Building or premises -office Monroe County Board of County Commissioners is named as additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION MONCNTY I DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Monroe County BOCC Attn: Maria Slavic 1100 Simonton Street Key West FL 33040 NOTICE TO THE CERTIFICATE HO ER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPO OBLIGATION OR BIL OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESEN ATIVES. AUTHO;=Suz%jhcerVIL�JA NTA Key ACORD 25 (2009101) 1988-2Qdg ACORD CORPORATION. All rights reserved. Cr C V��� a ACORD name and logo are registered marks of {A RD t FLORI-6 OP ID: TM A�ORO CERTIFICATE OF LIABILITY INSURANCE 1 DAT10/02D/YYYY) 0/02112 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 CERTIFICA rE O IMPORTANT: If the certificate holder is an ADDITIONAL NSURED, i st be end rsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies mi y require an endorsement. A stateme t on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). �yq CON CTn PRODUCER Phone: 05-294-Mf kW r� Key West Insurance, Inc. Fax: 05-294-8016 PHONE FAX 646 United Street, Suite 1 A/c No Ext : (A/c, No): Key West, FL 33040 E-MAIL -I Key West Insurance, Inc. MO INSURER AFFORDING COVERAGE NAIC # RISK nae Mutual INSURED FLKeys Council of the Arts Inc Elizabeth Young, Exec. Dir. 1100 Simonton Street Key West, FL 33040 INSURERB: INSURERC: INSURER D : INSURER E : INSURER F : r`(1\/FRAr:FC r:FRTIFlr ATF NIIMRFR REVISION NUMBER' THIS IS TO CERTIFY THAT THE POLICIES OF !NSURA.NCE 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 POLICY NUMBER EFF MM DDPOLICY/YYYY Y EXP MM/ D/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X BPG48805 09/30/12 09/30/13 DAMA PREM E RENTED PREMISES Ea occurrence $ 500 00 CLAIMS -MADE a OCCUR MED EXP (Any one person) $ 5,OU PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 $ PRO- LOC X , POLICY , AUTOMOBILE LIABILITY ANY AUTO AP MANA 9Y COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ DA BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS W _ : Qte jL Oil: G PROPERTY DAMAGE (Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE I DED 77 RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE WC STATU- OTH- T RY LIMIT E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N / A 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) Building or premises -office Certificate holder is named additional insured as their interest may appear. C C. Ole 4'-1 C. 1L_ CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners Risk Management 1100 Simonton St. Key West, FL 33040 SHOULD ANY OF THE BOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITWT POLICY PROVISIONS. AUTHORI4.EDEDtR nSUr NTCev n !1 ' ©1� -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered rnUks of ACORD FLOR14 OP ID: TM CERTIFICATE OF LIABILITY INSURANCE ° 0712312013TE 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 certillcate holder Is an ADDITIONAL INSURED, the poiicy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terns 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 endorssmen s . Pnooucset Phone: 305-294-1096 Key West insurance, Inc. Fax: 305-294-8016 84B United Street, Suite 1 Key West, FL 33040 Key West Insurance, Inc. 22,wir PNONE F Ne AoO"REaa: INSURERS) AFFORDING COVERAGE NAIC • INSURER A. Nations) Grange Mutual INsuREO FLKeys Council of the Arts Inc Elizabeth Young, Exec. Dir. 1100 Simonton Street Key West, FL 33040 INSURER B : "`�` c INSURER D : INSURER E : I RER F : i+nvccwrec r!RRTIFic-ATF NINMBPR. 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. ILTR NSR TYPE OF INSURANCE POLICY NUMBERIMMIDWYYYY1 POLICY a" POLICY RXP LIMITS A GENERAL LIABILITY X COMMERCIAL4MGENERAL LIABILITY CLAIMSADE FKOCCUR X Host Liq. Lia. X BPG488OS 09/30/2012 09/30/2013 EACH OCCURRENCE S 1,000,0 DAMAGE To RENTE5PR S 500,0 MED EXP are S 5,0(10 PERSONAL 3 ADV INJURY S 1,000r GENERAL AGGREGATE $ 2,000,0 GERL AGGREGATE LIMIT APPLIES PER: Fx_1 POLICY PRO LOC PRODUCTS - COMPIOP AGG $ 2,000r0 $ AUTOMOa1L! LIABILITY ANY Auto ANY OWNED SSCHEDULED AUTOS HIRED AUTOS �pBWNED / BY (I W /�.PROPERTYs V�, NNE LIMIT s INJURY (Per perw) S BODILY INJURY (Per aaddotU) S Y— _ S UMBRELLA LIAe EXCESS LUS OCCUR CLAIMS -MADE EACH OCCURRENCE S AGGREGATE S DED f I RETENTIONS $ WORKERS COMPENeATiON AND EMPLOYERS' LIABRnY Y I N ANY PROPRIETORIPARTNERIEXECUTNE � OFFICERIMEMSER EXCLUDED? (Malditn in NH) I ww, demat s uwfa DESOOMON OF OPfRATIONS below NIA I WC STATU- OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE1 S E.L. DISEASE - POLICY LIMIT S DUOW TION OP OPERATIGNS I LOCATIONS I VEHICLES "wh ACORD 101, Add lio" Ranab eeheduls, B more spoon Is ngWred) Building or promises -office Certificate holder is named additional insured as their interest may appear. MONCNTY Monroe County BOCC Risk Management 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATTF� THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITKTHEIPOLICY PROVISIONS. 019 -2010 ACORD CORPORATIOR. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered of ACORD FLORI-6 OP ID: DW T DATE (MM/DD/YYYY) L �� CERTIFICATE OF LIABILITY INSURANCE I 09/25/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS OR ALTER TIGHTS UPON THE RE COVERAGE CERTIFICATEFFORDED BY THE POLIO EIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, 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 Phone: 305-294-1096 NAME: Dean G. Wahlstrom Key West Insurance, Inc. Fax: 305-294-8016 aoNC. No. .305-294-1096 FAX No : 305-294-8016 646 United Street, Suite 1 E-MAIL Key West, FL 33040 ADDRESS: dean@keywestinsurance.com Key West Insurance, Inc. INSURER(S) AFFORDING COVERAGE NAIC e INSURER A, National Grange Mutual INSURED FLKeys Council of the Ans Inc INSURER B : Elizabeth Young, Exec. Dir. INSURER C : 1100 Simonton Street Key West, FL 33040 INSURER D : INSURER E INSURER F 2L Li 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. POLICY EFF POLICY EXP LIMITS INSR 7ypE OF INSURANCE POLICY NUMBER MM/DD YY MM/DD YYY LTR 1,000,00 GENERAL LIABILITY EACH OCCURRENCE $ BPG48805 09/30/2013 09/30/2014 PREMISES Ea occurrence $ 500,00 A X COMMERCIAL GENERAL LIABILITY X 5+� CLAIMS -MADE F OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 PRODUCTS - COMP/OP AGG $ 29000,00 GEN'L AGGREGATE LIMIT APPLIES PER: ` $ POLICY PRO LOG COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY A K � Ea accident BY BODILY INJURY (Per person) $ ANY AUTO DA ALL OWNED SCHEDULED + BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON -OWNED Per accident HIRED AUTOS AUTOS $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION I WC STATU- OTH- WORKERS COMPENSATION T RY LIMITS ER AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N / A OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If es, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Building or premises -office The Certificate holder is an addtional insurance as their interest may appear CANCELLATION ~ ' ' r *1 CD CERTIFICATE HOLDER 1 MONBOCC ' SHOULD ANY OF THE ABOVE DESCRIBED POfCIES BE CAWPLLMOEFORE THE EXPIRATION DATE THEREOF, N61I61f , WILL BE—DELOWED IN Monroe County BOCC & TDC ACCORDANCE WITH THE POLICY PROVISIONS_ R.: Attn: Risk Management 1100 Simonton Street AUTHORIZED REPRESENTATIVE :'� CO r CD Key West, FL 33040 Key West Insurance, Inc. 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD FLORI-6 OP ID: DW CERTIFICATE OF LIABILITY INSURANCE DATE (MMroDnrrr) 09/26/2013 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(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 Phone:305-294-1096 Key West Insurance, Inc. Fax: 305-294-8016 646 United Street, Suite 1 Key West, FL 33040 Key West Insurance, Inc. CONTACT NAME: Dean G. Wahlstrom PHONE 305-294-1096 A/c No : 305-294$016 A/ E II p DRIESS, dean@keywestinsurance.com INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: National Grange Mutual INSURED FLKeys Council of the Arts Inc Elizabeth Young, Exec. Dir. 1100 Simonton Street Key West, FL 33040 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : COVEHAGE5 t,r-n I Irl%,^ I c Invrn_'_. - - 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 A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY ilCLAIMS -MADE FX-1 OCCUR X Host Liquor Liab X POLICY NUMBER BPG48805 POLICY EFF MM DD/YYY 09/30/2013 POLICY EXP M DD/YYY 09/30/2014 LIMBS EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 500,00 MED EXP (Any one person) $ 5,00 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 PRODUCTS -COMP/OP AGG $ 2,000+00 `' GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC COMBINED SINGLE LIMIT $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOSNO OWNED HIRED AUTOS AUTOS AP 'I I D - WAN�I -_ ME _. Yl-J,r! ��' - � Ea accident BODILY INJURY (Per person) BODILY $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB HOCCUR CLAIMS -MADE WC STATU- OTH- TORY LIMIT ER $ DED RETENTION WORKERS COMPENSATION E.L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N E.L. DISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A E.L. DIS E -POLICY LI $ � w � c O rr1 C) Q DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CQ Building or premises -office ' The Certificate holder is an addtional insurance as their interest 3C tT7 _ may appear _ . '.-• .. C) GJ � � c I t r1VLUEFi - MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC & TDC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Risk Management 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 Key West Insurance, Inc. n�nenn ATlAh1 All A. k►Q r Mmraef ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD FLORI-6 OP ID: DW _ --- -1 CERTIFICATE OF LIABILITY INSURANCE DATE(MMDDIYYYY) 10/10/2014 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 Key West Insurance, Inc. 646 United Street, Suite 1 Key West, FL 33040 Key West Insurance, Inc. CONTACT Ke West Insurance, Inc. NAME: Y PHONE 305-294-1096 FAX No : 305-294-8016 A/c No Ext AD E-MAIL dean@keywestinsurance.com INSURERS) AFFORDING COVERAGE # INSURER A: National Grange Mutual INSURED FLKeys Council of the Arts Inc Elizabeth Young, Exec. Dir. 1100 Simonton Street 9NAIC INSURER B : INSURERC: Key West, FL 33040 INSURER D INSURER E : ------ INSURER F : GOVhKAGh5 V. rzr11 [FROM r V_ "Urncv- OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. .... ---------------.._-- —-ObI�S�-- ...— _- —.._-- -- --POLICY EFF POLICY EXP ILTR TYPE OF INSURANCE POLICY NUMBER MM/DDlYVYY MMlDD/YYYY LIMITS A '.. X !COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 PREMISES Ea occurrence $ 50U,00 CLAIMS -MADE �X OCCUR X BPG48805 09/30/2014 09/30/2015 MED EXP (Any one person) $ 5+� A X Host Liquor BPG48805 09/30/2014 ; 09/30/2015 PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE', $ 2,000,00 GEN'L AGGREGATE OMIT APPLIES PER: 2,000,00 POLICY [�] PRO LOC JECT PRODUCTS - COMP/OP AGG $ OTHER: COMBINED SINGLE LIMIT $ Ea accidents AUTOMOBILE LIABILITY ',, BODILY INJURY (Per person) i., $ ANY AUTO —'. ALL OWNED :SCHEDULED BODILY INJURY (Per accident)',, $ _ AUTOS ._ AUTOS NON -OWNED ..— PROPERTY DAMAGE (Per accident) ____ $ HIRED AUTOS AUTOS $ i UMBRELLA LIAR '' OCCUR '', EACH OCCURRENCE $ AGGREGATE _.. ____...._ EXCESS LIAB ! CLAIMS -MADE ' _ _ ____$ $ DED RETENTION $--- PER I OTH- 'I WORKERS COMPENSATION STATUTE _ E.L. EACH ACCIDENT $_ AND EMPLOYERS' LIABILITY Y / N - ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N / A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE', $ If yes, describe under E.L. DISEASE - POLICY LIMIT', $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space's require PP GEWIENT the Certificate Holder is an additional Insured as their interest may appear WAIVER N/A CC-�1 (;Pi ►1�%X � �., Tf �C. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC & TDC ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Risk Management 1100 Simonton Street 1Z :4 •�w1 •d 8Z AUTHORIZED REPRESENTATIVE Key West, FL 33040 est Insurance, Inc. ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD — t FLORI-6 OP 10: TM ACOQO' pATE 2-4-1201) CERTIFICATE OF LIABILITY INSURANCE 09/4/YWYY5 THIS CERTIFICATE IS ISSUEp AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ODES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORpEp MY THE POLICIES BELOW. TH13 CERTIFICATE OF INSURANCE pOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORImmm REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: I( the certitica[e holder Is an AppIT10NAL INSURED, the policy(ies) must ba endorsed. If SUBROGATION IS WAIuEn. aubjact Lo the tames and conditions of the policy, carte In policies may requlra an andoraamenL A statement on this certi/icate Boas not confer rights to the certiTicata holder In Ilea of such an dorsamant a _ P RooucER wwtryni'" T Ke Wsa[ Insurance, Ino_ Kay West Insurance, Inc_ PHONE 305-294-6016 64B United Straat, Sui[e _ 306-294-'1096 Keyy WWeaq FL 33040 -wtwlL _ Kaast Insurance, Inc. R msuR s ArPoleallo covERwoa Nwlc P INauRPJe A: Natl onal Gran a Mutual INsuREo FLKeyyss Council of the Arts Inc INauRER s: r[ton Street M.y We.s;.t_ INsuRSR o Kay FL 33040 gyIYVmCYCK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 135UEp TO THE m- INSUREp NAMED ABOVE FOR THE POLICY PERI00 INOICATEp. NOTVIIITHSTANOING ANY REOUtREMENT. TERM OR CONpITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEp OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANp CONDITIONS OF SVCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REOUCEp BY PAIp CLAIMS. IryaR A A rPa oP INauRAN13 v v EP ou POLICY NUYRER MM/ppYWY NIOI]/W�'V X COMMERCWL GENERAL Wa1LtTV CLNMsaNAOE O occUR X BPG48806 09/30/201 S 09/30/2016 X HosL Liquor BPG4B305 09/30/2015 09/30/2010 YLaT8 EA4H OCCURRENCE MEG EXP M on �� i 000,0001 i 500,00 a 5,00 i 1,000,00 GEN'L AGGREGATE LIMIT MPLIEE PER: X POLICY O jECT LOG PERSONAI_dAOV INJURY GENERAL AGGREGATE PROOUCTB - CddP/OP AOG i 2,000,00 1 2,000,00 THER: s AUTpYOatLE LIAEILITY ANY AUTO ALL OWNED SCHEDULED AUT03 AUTOS HIREp AUTOS �OSWNED COMBINED a1N E LIMIT t BODILY INJURY (PK pMp,) BODILY INJURY (PN actldv,l) PROPERTY ON1.lA v r i i i i i UMaRiL6'd' LLta OCCUR ExCEia Wa CWMS�JIACE EACH OCCURRENCE AGGREGATE i i CEO RETENTOryf YVORKERi GOMPENaATON i ANO EY►LOYER$• LJI.BILITY Y / N ANY PROPRIETOR/PARTNER/EXECVTVE OFFICER/MEMBER EXOLUOEO? O N/A (Myanda[ory 1� NH) DES RIP�TION OF �P RATON l»I _ E.L IO SOEASECPJL EMPLOYE E.L. DISEASE -POLICY LI/WT i i S OEaCR1PTON OP OPER/LTtONB / LOGATONS / VEHK•LEa (ACORC tat. Atltlltlon�l R�,nF,b ieMdWF. ,IMy b� �YNtl If ,neeE EPFeE Is r�qW/PO) Certificate holder is Hamad additional insured as their interest may appear. PPR E NAc�E T 77 c— SHOULD ANY OF THE ABOVE DESCRIBED POLICIES t3E CANCELLED BEFORE MOnrOB COU. ty HE EXPIRATION OATS NOTICE WILL E IN BDELIVERED BOCC S. TOC � % � ^ i. Y(t 10,J 3Ue1 HEREOF. ANCE WITH T P ICY PROVISIONS_ 0 0 1 Ii2islt IVlana Zeman[ -I 7 �)� •�1'1 Simonton Street AVTNO REPRESENT ! Key West, FL 33040 Key We t Inauran Inc_ _ i bid Z 1 A ACORp 25 (2014/01) ® t98 014 ACORp CORPORATION. All rights reservatl. the d�St►�£kk�lAjeypljD���1./r�giateretl ma or AcoRp FLORI-6 OP ID: TM _. :.i i �, CERTIFICATE OF LIABILITY INSURANCE DATE (MM1DD!YYYY) 09/2412015 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 polic ome) must at endorsed. s 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 Ileu of such endorsements . PRODUCER Key West Insurance, Inc. 646 United Street, Suits 1 Key West. FL 33040 Key West Insurance, Inc. coNTAcr NAM , Key West Insurance Inc. PNONE 305-294-1096 A/C No : 305-294-8016 tiC ti+�Ext) ME;I A R t: INSURE S APPORDINO COVERAGE NAIL e INsuRERA.National Gran o Mutual INSURED FLKeys Council of the Arts Inc 1100 Simonton Street Key West, FL 33040 INSURERS: INSURER C: INSURER D : _ INSURER E INSURER P COVERAGES GLKIif-IGAItNUMUrM;-"- 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 TR A A TYPE or INSURANCE X COMMERCIAL GENERAL LIAaILITY CLNMSaaADE ETI OCCUR X Host Liquor X POLICY NUMBER BPG48806 BPG48805 a� EC MMPD 09/30/2016 09/30/2015 MM/DD/YYVY 09/30/2016 09/30/2016 UWTa EACH OCCURRENCE S 1,000, zuDCCET61tERTC S' s S00,0000 MED EXP or» PwwnS 5,00 PERSONAL A ADV INJURY i 1,000.00 GENERAL AGGREGATE I 2,000,00 GEN'L AGGREGATE LMMT APPLIES PER: 1:1JE O- LOC Lj PRODUCTS - COMPIOP AGG S 2,000,00 i W tIUTY COMBINED SIN E UMIr $ BODILY INJURY (P« P•rwn) S O UANY NEO SCHEDULEDBOOIIY NON-OWNEDUTOS AUTOSLLA INJURY (P•r eoudwlt) SAUTOS PR PERTYD OCCUR CUUMSJ.AADEAGGREWTERETENTION EACH OCCURRENCE LIAN LIAN i WORKERf CO PEN&ATION P STATUTE AND EUILOYIRV LJABIUTr YIN ANY PROPRtETORIPARTNERIEXECUTNE OFFICE4MEMBER EXCLUDED? N 1 A I j E.L. EACH ACCIDENT S E L DISEASE • EA EMPLOYEE I _--,-- (Mandatory In NH) M a, d•sorbo under bw I C L OISGSC - POLICY LIMIT S t DE SCRI/TK1N OP MEMTK)NI/ LOGLTIONS / VEHICL.Ee (ACORO 101, AddlMonal MrtwM• eohadul •, m•y E• atuan•d I1 more wk• 1• rpulr•4) Certificate holder Is Hamad additional Insured as their Interest may appear. AP G ME_ M_ OYE DATEv(/� WAN R N/A 1 +i� j j Monroe County BOCC & TDC ��•� ' 7U� Attn: Risk Management CE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCBRDANCE VNTH THE POILICY PROVISIONS. 1100 Simonton Street S,0 :OI AUTHORIZ' REPRESENT E KeyWest, FL 33040 �� Ke We t Insuran , Inc. lYJol'ji-w&' i�nl l Z1�� �10 y �� (j��1 O 198 014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name`krfdAA j, are registered ma of ACORD