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COI Expires 03/01/2018
• • • ��",,, KEITAND -01 NCHANDUVI A�oRa CERTIFICATE OF LI ABILITY INSURAN DATE(MMIDDIYYYY 03/01/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED; the policy(ies) must have ADDITIONAL INSURED provisions or 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 COTACT I NAM Ames & Gough I PHONE FAX 8300 Greensboro Drive I tom, No. E=t): (703) 827 -2277 I (A/C, No): 827 4279 Suite 980 kiMOfiss: admin @amesgough.co m McLean, VA 22102 I INSURER(S) AFFORDING COVERAGE f NAIC INSURER A : National Union Fire Insurance Company 119445 INSURED i INSURER B : St. Paul Fire and Marine Insurance Company ;24767 _ Keith and Schnars, P.A. [INSURER C : National Union Fire Insurance Company of Pittsburgh, PA11�5 6500 North Andrews Avenue i INSURER o : Continental Casualty Company (CNA) A, XV 120443 Ft. Lauderdale, FL 33309 -2132 INSURER E : _ I i 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? ��ADDL SUBR: I POLICY EFF . POLICY EXP LTR + TYPE OF INSURANCE I INS01 1 WVD I POLICY NUMBER J LMM /DD/YYYY1 (MM/DDIYYYYI . LIMITS ' X � COMMERCIAL GENERAL LIABILITY ) 1,000,000 A EACH OCCURRENCE $ I I CLAIMS -MADE I X I OCCUR :5180214 03/01/2017 03/01/2018 D REMJSE AMAGE S (E TO Ra ENTED nce) $ 300,000 :.....__i I P oc aure i , . MED EXP (Anyone person) $ 10 1--I _ ! I PERSONAL & ADV INJURY _$ 1,000 . GEML AGGREGATE LIMIT APPLIES PER: 2,000,000 GENERAL AGGREGATE _ $ X POLICY I X i J P E Ra T 1 X 1 LOC ( PRODUCTS - COMP/OP AGG $ 2,000,000 • • :1 OTHER: C I i $ i COMBINED SINGLE LIMIT i 1 A ' AUTOMOBILE LIABILITY (Ea dS�[198nU $ X I ANY AUTO 2961640 03101/2017; 03101/2018 BODILYINJURY(Perperson) $ OWNED ! SCHEDULED 1 AUTOS ONLY --•--1 AUTOS 1 BODILY INJURY (Per accident) J $ • • I.�.�, AUTOS ONLY I AUTOS ONL (Per accident) AGE , $ ■ 1 I I I $ B X UMBRELLA LIAB I X i OCC I 5,000, EACH OCCURRENCE $ I EXCESS LIAR : CLAIMS- MADE UP- 15T76430 -17 -NF 03/01/2017 03/01/2018 ' AGGREGATE $ 5,000,000 j DED X RETENTION $ 10,000 I $ C DISEASE - EA EMPLOYEE $ 1 AND WORKERS COMPENSATION LIABIUTY X PER J ER ■ ANY PROPRIETOR /PARTNER/EXECUTIVE YlNN 0 03!0112017 03/01(2018 1,000,000 I OFFICER/MEMBER EXCLUDED ? i N 1 A EL. EACH ACCIDENT $ / (Mandatory in NH) ' I E.L. 1,000, 1 H yes d under j i i ! ' DESCRIPTION OF OPERATIONS below ' 1 j I I E.L. DISEASE - POLICY LIMIT $ 1,000 D 'Professional j AEH006091227 03/01/2017. 03/01/2018 !Per Claim 2,000,000 D , Liability + IAEH006091227 1 03/01/2017 j 03/01/2018 Aggregate 4,000,000 i • DESCRIPTION OF OPERATIONS 1 LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Re: K &S #17923.XX, Monroe County Comp Plan Update Master Plan. Certificate holder, as Contractor, is an Additional Insured as respects General Liability and Auto Liability when req red by writte i i ii ,, ract subject to the terms, conditions and exclusions of the policy. AP •�i V 1 . � GEMENT BY �A�i . __ \ WAIVER N/A ES _ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS. 2798 Overseas Hwy Marathon, FL 33050 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. Ali rights reserved. The ACORD name and logo are registered marks of ACORD 70 A�"C7►REO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 10/20/2010 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 Seitlin 6700 N. Andrews Ave., Ste 300 CONTACT NAME: (AICNo, Ext: (954) 938-8788 FAX No: No:(954) 938-8566 E-MAIL Ft. Lauderdale FL 33309 ADDRESS: PRODUCER CUSTOMER ID : INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:St. Paul Fire & Marine 24767 Keith and Schnars, P. A. INSURER B: Travelers Indemnity Co of CT 25682 INSURER C:Charter Oak Fire Insurance Co 25615 6500 North Andrews Avenue INSURERD:Ins. Co. of the State of PA 19429 Ft. Lauderdale FL 33309 INSURER E: underwriters at Lloyds INSURER F : COVERAGES CERTIFICATE NUMBER: Cert ID 25712 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE [] OCCUR P660-193X5294-TCT-10 8/14/2010 8/14/2011 DA AGE RENTED PREMSEl Eaoccurence $ 300,000 MED EXP (Any one person) $ 10 , 000 PERSONAL & ADV INJURY $ 11000,000 X Contractual Liab. X XCU, Broad Form PD GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- X $ C AUTOMOBILE X LIABILITY ANY AUTO P810-290R8594-COF-10 8/14/2010 8/14/2011 COMBINED SINGLE LIMIT (Ea accident) $ 11000,000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS — ^��t1+ i - BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X NON -OWNED AUTOS , I ,�� : f �/ X $ $ U lJ A X UMBRELLA LIAB X EXCESS LIAB OCCUR CLAIMS -MADE QR06803864 x I ` 8/14/2010 8/14/2011 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 DEDUCTIBLE PROD/CO-OPS AGG $ 5,000,000 $ RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A WC5864967 12/1/2009 12/l/2010 WC STATU- OTH- X T MIER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, describe under E.L. DISEASE - POLICY LIMIT 1 $ 1,000,000 DESCRIPTION OF OPERATIONS below I E Maritime Employers F12M1M697-3081-09 12/1/2009 CSL: $1,000,000 Any one Liability �12/l/2010 accident or illness DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Re: K&S #17923.XX, Monroe County Comp Plan Update Master Plan. Certificate holder, as Contractor, is an Additional Insured as respects General Liability when required by written contract subject to the terms, conditions and exclusions of the policy. V GA I It-1\,M 1 G FlwLu Monroe County Board of County Commissioners 2798 Overseas Hwy Marathon FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE cU 1958-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD ACC>Ro CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 11/30/2010 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 Seitlin 6700 N. Andrews Ave., Ste 300 Ft. Lauderdale FL 33309 CONTACT NAME: PHONE (954) 938-8788 A/C No:(954) 938-8566 E-MAIL ADDRESS: PRODUCER ,.USTOM.R ID III INSURE S AFFORDING COVERAGE NAIC # INSURED Keith and Schnars, P. A. INSURERA:St. Paul Fire & Marine 24767 INSURERB:Travelers Indemnit Cc of CT 125682 6500 North Andrews Avenue INSURER C :Charter Oak Fire Insurance Cc 25615 INSURERD:Ins. Co. of the State of PA 19429 Ft. Lauderdale FL 33309 INSURERE:Underwriters at Lloyds INSURER F -- - -- -"— -----'--"" r\GY171V19 1\UMDCIC. 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 TYPE OF INSURANCE ADDL SUBRI POLICY NUMBER POLICY EFF MM/DD/YYri POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY ~, EACH OCCURRENCE $ 11000,000 DAMA NTED PREMISES Eaoccurrence $ 300,000 B X COMMERCIAL GENERAL LIABILITY P660-193XS294-TCT-10 8/14/2010 8/14/2011 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10 , 000 X Contractual Liab. PERSONAL & ADV INJURY Is 1,000,000 XCU, Broad Form PD GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER:1 PRODUCTS - COMP/OP AGG is 2,000,000 X jj POLICY PRO- JECT�7 LOC ''� $ AUTOMOBILE LIABILITY l ! COMBINED SINGLE LIMIT $ 11000,000 C �IANYAUTO P810-290X8594-COF-10 8/14/2010 I8/14/2011 (Ea accident) BODILY INJURY (Per person) Is ALL OWNED AUTOS BODILY INJURY (Per accident) $ j� I I SCHEDULED AUTOS �I, PROPERTY DAMAGE i$ '. X HIRED AUTOS X (Per accident) $ NON -OWNED AUTOS Is UMBRELLA LIAB I X OCCUR A LXII EXCESS LIAB I QK06803864 8/14/2010 8/14/2011 EACH OCCURRENCE I $ 5,000,000 AGGREGATE is 5,000,000 I CLAIMS -MADE DEDUCTIBLE PROD/CO-OPS AGG $ 51000,000 RETENTION $ i WORKERTION AND YERS'LSAILIT D AND EMPLOYERS' LIABILITY Y / NTORY wC5226685 12/1/2010 12/1/2011 X WCSTATU- OTH- LIMITS $ E.L. EACH ACCIDENT $ 11000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? N/AI I (Mandatory in NH) N yes. describe under ! E.L. DISEASE - EA EMPLOYEE $ 1,0001000 E.L. DISEASE -POLICY LIMIT $ 11000,000 $1,000,000 Any one DESCRIPTION OF OPERATIONS below E Maritime Employers F12M1M697-3081-10 I12/1/2010 '12/1/2011 Liability I �CSL: accident or illness DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Re: R&S #17923.XX, Monroe County Comp Plan Update Master Plan. Certificate holder, as Contractor, is an Additional Insured as respects General Liability when required by written contract subject to the terms, conditions and exclusions of the policy. r reTl Cl/. ATE Monroe County Board of County Commissioners 2798 Overseas Hwy Marathon FL 33050 ACORD 25 (2009/09) 1'W" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE r v ,noo-cvua AkL UKU cUKrrUKATIUN. All rights reserved. The ACORD name and logo are registered marks of ACORD . *c CERTIFICATE OF LIABILITY INSURANCEF5/31/(MMIDD2011D/Y� 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: Ames & Gough 8300 Greensboro Drive Suite 980 PHONE Ext, (703) 827-2277 A/C No: (703)827-2279 E-MAIL ADDRESS: PROCUSTUCERER I 00002075 McLean, VA 22102 INSURERS AFFORDING COVERAGE NAIC III INSURED INSURERA:Continental Casualty Company 20443 INSURER B : Keith and Schnars, P.A. 6500 North Andrews Avenue INSURERC: INSURERD: INSURER E Ft. Lauderdale FL 33309-2132 INSURERF: COVERAGES CERTIFICATE NUMBER!2011-2012 17=VICIr11J oil 1111,110120 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCEJM& ADDL SUBR WVDPOLICY MM/ AY DYUMBER MM DnYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F7 OCCUR DAMAGE TO RENTEDPREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO - I LOC $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ HIRED AUTOS NON -OWNED AUTOS ' �j r 11SICJ j $ $ _ I HOCCUR EACH OCCURRENCE $ AGGREGATE $ 4UMIBREL�AB EXCES CLAIMS-MADE DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A WC STATU- I OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A PROFESSIONAL LIABILITY H 00 609 12 27 /1/2011 3/1/2012 PER CLAIM 500,000 AGGREGATE 11000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: X&S #17923.XX/MONROE COUNTY COMP PLAN UPDATE/MASTER PLAN Monroe County Marathon Government Center 2798 Overseas Highway Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Rniae/BHARRI - t'Vvwvv► W 1983-2009 ACORD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD ACOR© ��0 CERTIFICATE 4F LIABILITY INSURANCE ' DATE(MMIDofYYYY) 8/15/2011 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($), 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 Seitlin 6700 North Andrews Avenue, Suite 300 CONTA NAME__ PHONE Ext. (954) 938-878B T _ aC.No):(954) 938-8566 E411AIL ADDRESS: Fort Lauderdale FL 33309 T INSURER(s) AFFORDING COVERAGE NAIC # INSURER A:Insurance Cc of the State of Pen {19429 _ INSURED INSURER e_ Llo d' a IInderwriters at London Keith and Schnars, P. A. — INSURERC:Travelers Indemnity Company of C 25692 INSURER D:Charter Oak Fire Ins Cc 25615 6500 North Andrews Avenue INSURER E:St. Paul Fire i Marine Ins. Co. 24767 Fort Lauderdale FL 33309 INSURER F : COVERAGES CERTIFICATE NUMBER: Cart ID 29698 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. I�TR .'�' TYPE OF INSURANCE IADINSRI U .....- I POLICY NUMBER POLICY EFF POLICY EXP MMIDDNYY MMIU ' { LIMITS GENERAL LIABILITY 1 18 EACH OCCURRENCE $ 1,000,000 C XI COMMERCIAL GENERAL LIABILITY i CLAIMS -MADE C'; OCCUR P660-193X529 -T -1 011 ;8/14/2012 PREMISESEaoocurrence "S 300,000 MED EXP (Any one person) _ $ 10,000 PERSONAL BADVINJURY $ 11000,000 ''. X '.. Contractual Liab. ! X,' _XCU_, Broad Form PD GENERAL AGGREGATE f$ 2,000,000 ! , GENLAGGREGATELIMIT APPLIES PER: X POLICY I PRO:JECT i LOC _ PRODUCTS- COMP/OPAGG'$ 2,000,000 j is AUTOMOBILE LIABILITY i COMBINED SINGLE LIMIT IEa accident> 5 11000,000 BODILY INJURY (Per person) $ D X'ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS P810-290K8594-COF-11 18/14/2011 18/14/2012 BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS _j AUTOS PROPERTY DAMAGE Per acoldent _ { $ _ g g gUMBRELLALIAe X OCCUR OKOSS04589 8/14/2011 EACH OCCURRENCE $ 51000,000 •. AGGREGATE $ 5, 000, 000- EXCESS LIAR CLAIMS -MADE _1 �18/14/2012 DED I RETENTION _ $ A WORKERS COMPENSATION AND LIABILITY YIN I ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERNEMBER EXCLUDED? (Mandatory In NH) ❑ If yes, describe under DESCRIPTION OF OPERATIONS below NIA I I iQC5226685 112/1/2010 I 1,12/1/2011 WC STATU- ! OTH- X R E.L. EACH ACCIDENT $ 11000,000 E.L. DISEASE - EA EMPLOYEE; S 1,000,000 E.L. DISEASE -POLICY LIMIT 5 11000,000 B Maritime Employers Liab. F12M1M697-3081-10 12/1/2010 12/1/2011 !An yy one accident or$ 1,000,000 lillneea I $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addittorul Remarks schedule, If more space is required) Re: K&S #17923.XX, Monroe County Comp Plan Update master Plan. Certificate holder, as Contractor, is an Additional Insured as respects General Liability when required by written contract subject to the terms, conditions and exclusions of the policy. Monroe County Marathon Government Center 2798 Overseas Hwy Marathon FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD A� V CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE DATE 6/9/2 2 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 poiicy(les) must be endorsed. If SUBROGATION IS WANED, 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(*). PRODUCER Seitlin 6700 North Andrews Avenue, Suite 300 CO T NAB PHONEo. t (954) 938-8788 AIc Na: (954) 938-8566 MAIL ADORE88• INSURE 8 AFFORDING COVERAGE NAIC* Fort Lauderdale FL 33309 INSURERA:Zurich American Ins Co of IL 27855 _ INSURED Keith and Schnars, P. A. INSURERS:Llo d's Underwriters at London INSURER C:Travelers Indemnit Co of CT 25682 INSURERD:Charter Oak Fire Ins Cc 25615 6500 North Andrews Avenue Fort Lauderdale FL 33309 INSURERE:St. Paul Fire a Marine Ins. Co. 24767 INSURER F : ervlQlAaJ Y114aRCQ• HAVE BEEN ISSUED TO THE INSURED COVERAGES cbKI IrK:A1C IvumnClc:THIS NAMED ABOVE FOR THE POLICY PERIOD IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS POUCY EFF POUCY EXP LIMITS INSR LTR TYPE OF INSURANCE POLICY NUMBER MM/DD MMIDD 1,000,000 GENERAL LIABILITY EACH OCCURRENCE S C X COMMERCIAL GENERAL LIABILITYTR. P660-193XS294-TCT-11 �8/14/2011 I5/14/2012 PREMISES Eaocarence $ 300,000 CLAIMS -MADE a OCCUR MED EXP (Any ona person) $ 10,000 PERSONAL BADVINJURY $ 1,OOD,000 X Contractual Liab._ { GENERAL AGGREGATE 5 2,000,000 X _XCU, Broad Form PD ' PRODUCTS - COMP/OP AGG $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: I $ PRO- LOC X POLICY - CO BINEn SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY �(Eeecddentl _. P810-29OKS594-COP-11 B/14/2011 I9/14/2012 BODILY INJURY(Per pe son) S D X ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) 5 - AUTOS AUTOS PROPERTY DAMAGE 5 NON -OWNED I Per accident HIRED AUTOS AUTOS l - — 5 g X UMBRELLA LIAS X OCCUR QX06804589 8/14/2011 le/14/2012 EACH OCCURRENCE 5 5,000,000 AGGREGATE 5 51000,000 - EXCESS LIAB 71 CLAIMS -MADE I S DED RETENTIONS WORKERS COMPENSATION WC9598999-00 112/1/2011 12/1/2012 WC STATU- OTH- XTORY LIMITS A AND EMPLOYERS' LIABILITY YIN I E.L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA 11000,000 OFFICERIMEMBER EXCLUDED? 1 E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE-POLICYLIMR 5 1, 000, 000 (Mandatory In NH) If yes, tlescribeunder DESCRIPTION OF OPERATIONS below H Maritime Rmployers Liab. F12MIX697-3081-11 12/1/2011 12/1/2012 y illnene accident or$ 1,000,0DO $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remerka Schedule, It mars apace la required) Re: XIS #17923.XX, Monroe County Comp Plan Update Master Plan. Certificate holder, as Liability and Automobile Liability when Contractor, is an Additional Insured as respects General and exclusions of the policy. Umbrella required by written contract subject to the terms, conditions follows loan to the underlying policies as respects to Additional Insureds subject to the terms, conditions and exclusions of the policy. Monroe County Marathon Government Center 2798 Overseas Hwy Marathon FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE r„one_,jn4n Ar-nan CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD KEITAND-01 DGARCIA aR© CERTIFICATE OF LIABILITY INSURANCE DATE(NMIDDIYYYY) 9/412012 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 j 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 N A T .' NAME: Ames 8, Gough �P�IIONE PAX $300 Greensboro Drive :(703) 827-2277 AK No: 703) 827-2279 Suite 980 IL McLean, VA 22102DOREss: INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: Travelers Indemnity Company of Connecticut 125682 INSURED INSURERS: Phoenix Insurance Company j25623 22292 Keith and Schnars, P.A. INSURER C : Hanover Insurance Company 19038 6500 North Andrews Avenue INSURER D : Travelers Casualty and Surety Company Ft. Lauderdale, FL 33309-2132 ;INSURER E : Continental Casualty Company (CNA) 20443 INSURER F : COVERAGES CERTIFICATE NUMBER: RFviSinhl Nit iuRFR. 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. VTR SR I TYPE OF INSURANCE iA POLICY NUMBER MMIDDIYY78H412013 LIMITS GENERAL LIABILITY EACH OCCURRENCE i $ 1,000,00 ! A X COMMERCIAL GENERAL LIABILITY 6601C229558 i 8/14120PREMISESTO EaENTEDnce) $ 1,000,000!rT i, CLAIMS -MADE I X 'j OCCUR B `RNMED BY DA W r- EXP (Arty one person) $ 10,000 PERSONAL 6 ADV INJURY $ 1,000,000 T GENERAL AGGREGATE 1$ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY X JECTPRO X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 is B ! AUTOMOBILE LIABILITY X I ANY AUTO ! ALL OWNED E jj SCHEDULED AUTOS AUTOS NON -OWNED X WRED AUTOS t X AUTOS j 410117511478 8/1412012 I _ 18/14/2013 i OMBNaccdSINGLE LIMIT 1,000,OOO $ BODILY INJURY (Per person) $ j — E BODILY INJURY (Per accident) $ PROPERTYPe �cdden X ! UMBRELLA LIAR 7X - OCCUR EACH OCCURRENCE ! $ 5,000,000 I C ' EXCESS UAS CLAIMS -MADE UHR964402100 $114/2012 8114/2013 _ ;AGGREGATE is 5,000,000 DED I RETENTION$ j $ I 1 D WORKERS COMPENSATIONS' i AND EMPLOYERLIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTNE OFFICERIMEMBEREXCLUOEO? �iNIA'.. (Mandatory In NH) It yes describe under DESCRIPTION OF OPERATIONS below I i IUB3943T893 8114/2012 j 811412013 X it CSTATU- ;OTH- E.L.DENT EACH ACCIDENT s 1,000,000 E.L DISEASE - EA EMPLOYEE , $ 1,000,0001 - E.L. DISEASE - POUCY LIMIT ; $ 1,000,00O E (Professional Liab. I AEH 00 60912 27 3/1/2012 3/112013 PER CLAIMIAGG. 1,000,006 F12M1M697-3081-11 12/1/2011 12/112012 illness DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) :Re: K&S #17923.XX, Monroe County Comp Plan Update Master Plan. Certificate holder, as Contractor, is an Additional Insured as respects General Liability !and Automobile Liability when required by written contract subject to the terms, conditions and exclusions of the policy. Umbrella follows form to the underlying policies as respects to Additional Insureds subject to the terms, conditions and exclusions of the policy. I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC j THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2798 Overseas Highway ACCORDANCE WITH THE POLICY PROVISIONS. Marathon, FL 33050 AUTHORIZED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD KEITAND-01 CDIXON A SRO CERTIFICATE OF LIABILITY INSURANCE D /1812 Y 13 21812013 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 Ames Gough eensboro Drive 8300 Greensboro Suite 980 McLean, VA 22102 CONTACT NAME: _ PHONE (703) 827-2277 1 (A/c Nol: (703) 827-2279 A/Co Ext N E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Company of Connecticut i25682 INSURED INSURER B : Travelers indemnity Company 125658 INSURER C : Hanover Insurance Company 122292 Keith and SChnars, P.A. INSURER D : Travelers Casualty & Surety Company of America 131194 6500 North Andrews Avenue Ft. Lauderdale, FL 33309-2132 INSURER E: Continental Casualty Company (CNA) A(XV) 120443 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. I NTR TYPE OF INSURANCE L POLICY NUMBER I MMIDD/YYYY MM DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X I OCCUR 1660-1 C229558 1 08/14/2013 08/14/2014 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: X POLICY )Cl PRO- X LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1 000,000 X BODILY INJURY (Per person) $ 1,000,000 B ANY AUTO BA-4D881029 08/14/2013 08/14/2014 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ 1,000,000 HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE PER ACCIDENT $ 1,000,000 $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE Is 5,000,000 X AGGREGATE is 5,000,000 (', EXCESS LIAB CLAIMS -MADE UHR-9644021-01 08/14/2013 08/14/2014 1 DED X RETENTION$ 10,000 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERfMEMBER-e%CLUDED? F7 (Mandatory. inNHX') N/A UB-3943TB93 08/14/2013 08114/2014 WC STATU- OTH- X 1 TORY LIMITS ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, descripe untl r DESCRIPTION O ERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000.000 E Professional EH 00 609 12 27 03/01/2013 03/01/2014 (Per Claim 1,000.000 E Liability AEH 00 609 12 27 03/01/20131 03/01/2014 (Aggregate 2,000,000 I DESCRIPTION OF-OPERAIrIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule. if more space is required) RE: RFQ-NONE-58-6-2013/ec — ON -CALL PROFESSIONAL ENGINEERING SERVICES. Certificate Holder is-ipcluded as additional insured with the exception of workers compensation & professional liability. Y S C NAGEMENT Q N AD E _ - CERTIF: ATE- HOLDEF: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Key West, FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25 (2010/05) © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 10 POLICY NUMBER: UHR 9644021-00 COMMERCIAL LIABILITY UMBRELL CU 22 4012 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CHANGES This endorsement modifies insurance provided under the following: COMMERCIAL LIABILITY UMBRELLA COVERAGE PART Effective Date of Change: B-14-2012 Change Endorsement No.: #1 Named Insured: KEITH & SCHNARS The following item(s): ❑ Insured's Name ❑ Policy Number ❑ Effective/Expiration Date ❑ Payment Plan ❑ Additional Interested Parties: ❑ Limits/Exposures ❑ Covered Property/Located Description ❑ Rates ❑ Insured's Mailing Address ❑ Company ❑ Insured's Legal Status/Business of Insured ❑ Premium Determination ® Coverage Forms and Endorsements ❑ Self -Insured Retention ❑ Classification/Class Codes ❑ Underlying Insurance is (are) changed to read (See Additional Page(s)): ADDING MANUSCRIPT END FOR 30DAY NOTICE OF CANCELLATION The above amendments result in a change in the premium as follows: ❑ NO CHANGES ❑ TO BE ADJUSTED ADDITIONAL AT AUDIT PREMIUM Endorsement Effective: Named Insured: KEITH & SCHNARS �ountersiUned By: RETURN PREMIUM (Authorized Representative) Agency Name: AMES & GOUGH INS 3002702 CU 2240 12 04 © ISO Properties, Inc., 2004 Page 1 of 2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, IT IS HEREBY AGREED AND UNDERSTOOD THAT SECTON 1X CONDITIONS D, CANCELLATION 2B IS AMENDED TO REFLECT 30 DAYS IN LIEU OF 60 DAYS. Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, agreements or limitations of the policy other than as above stated. (Completion of the following, including countersignature, is required to make this endorsement effective only when it is issued subsequent to preparation of the Policy.) Effective B-14-2012 this endorsement forms a part of Policy No, UHR9644021 Issued to By Date of Issue Countersigned by Authorized Representative of the Company 475-01.73 (06/09) POLICY NUMBER: X-810-1175R478-PHX-13 ISSUE DATE:09-06-13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATIONMONRENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: Number of Days Notice: 60 WHEN WE DO NOT RENEW (Nonrenewal): PROVISIONS: A. For any statutorily permitted reason other than nonpayment of premium, the number of days re- quired for notice of cancellation, as provided in the CONDITIONS Section of this insurance, or as amended by any applicable state cancellation endorsement applicable to this insurance, is in- creased to the number of days shown in the SCHEDULE above. Number of days Notice: B. For any statutorily permitted reason other than nonpayment of premium, the number of days re- quired for notice of When We Do Not Renew (Nonrenewal), as provided in the CONDITIONS Section of this insurance, or as amended by any applicable state When We Do Not Renew (Nonrenewal) endorsement applicable to this in- surance, is increased to the number of days shown in the SCHEDULE above. IL T3 20 09 97 Copyright, The Travelers Indemnity Company. 1997 Page 1 of 1 1 KAVtLtKb J AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 ENDORSEMENT WC 99 06 P8 (00) POLICY NUMBER: (XAUB-3943TB9-3-13 ) FLORIDA NOTICE OF CANCELLATION OR NONRENEWAL BY US ENDORSEMENT The following replaces PART SIX — CONDITIONS, D. Cancellation, Paragraph 2.: We may cancel or not renew this policy by mailing or delivering to you written notice stating when sucn cancellation or nonrenewal is to take effect. Mailing that notice to you at your mailing address shown in Item 1 of the Information Page will be sufficient to prove notice. We will mail or deliver that notice: a. At least ten days before the effective date of the cancellation or nonrenewal, if we cancel or do not renew for nonpayment of premium; or b. At least the number of days shown in the Schedule before the effective date of the cancellation or non - renewal, if we cancel or do not renew for any other reason. Notwithstanding the provisions above, in no event will the number of days advance notice for cancellation or nonrenewal for any reason other than nonpayment of premium be fewer than the 45 days notice required by Florida law. SCHEDULE NUMBER OF DAYS 60 All other terms and conditions of this policy remain unchanged. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is requireo only wren this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. n--;.— e