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Certificates of Insurance HORNW-1 ® DATE(M DD ) CERTIFICATE OF LIABILITY INSURANCE 0311512022 FTHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL AND CONFERS NO RIGHTS UPON THE CERTIFICATE L IS CERTIFICATE T AFFIRMATIVELY OR NEGATIVELYAMEND, XT ALTER THE COVERAGE AFFORDED Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE O S NOT CONSTITUTE A CONTRACT THE ISSUING I S ( ), AUTHORIZED REPRESENTATIVEC THE CERTIFICATE IMPORTANT: If the certificate of er is an ADDITIONAL INSURED,the olio (Ies)must have ADDITIONAL INSURED rovisions or be endorsed. If SUBROGATION IS WAIVED,subject tote terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer.rights tot the certificate of er in lieu of such endorsements). PRODUCER - 77 CONTACT Norman Fuller The Fullers,Inc NAME. 1432 Kennedy rive PHONE A/9,NoExt. - ..... ,(Arc,No): -2 -3 2 e West,FL 3304 E-MAIL k 2 4 77 3 Norman Fuller INSQRE.R(§)AFFPRP!He PPVE of NAIC A. ..INSURED ....__. INSURER A:Retail First Insurance Company illia P Horn Architect PA INSURER B Bill Horn INSURER C: 915 Eaton St, Key West,FL 33040 INSURER D INSURER E: INSURER F: C C TI IC T N : 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 Y BE ISSUED OR Y 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. TYPE OF INSURANCE .Wall wV0 POLIC°lNUMI9ER......... .-....... INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED FSkh1L1LE m .ril2 6AED EXP(Any one porson) $ PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ O- .. POLICY 0 J PERCT ❑ LOC PRODUCTS-COMPIOP AGG .$ OTHER: AUTOMOBILE LIABILITY 1 COMBINED SINGLE LIMIT ANY AUTO IPA ,irlt 1�I9 OWNED SCHEDULED BODILY INJURY(Per person) E AUTOS ONLY AUTOS BODILY INJURY,Per accident),$ I HIRED I EDLY PROPcER AUTOS ONLY O N PeraiTY tC)A GE UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION$ A WORKERS COMPENSATION PER X OTH- .AND EMPLOYERS'LIABILITY ..,..!.a,L )U C E ER, ANY PROPRIETOR/PARTNER/EXECUTIVE Y r N 52 -4 146 01/0112022 0110112023 E.L.EACH ACCIDENT 1,000,000 f)FFICEROMEMBER EXCLUDED? � N(A IMandatory In NH) E.L.C1ISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPE TUN beloav E.L.DISEASE-POLICY LIMIT ! 1,000,000 -7- 1 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) APPROVED BY(RISK MIANAOEMENT BN ,a ° n � DATE 1013112022 WAIVER NIA__.YES.,_- CERTIFICATE ER CANrF.LLATION MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St. Key West, FL 33040 AUTHORIZED REPRESEN A IVE Norman Fuller ACORD 25(2016103) C 9 - 015 A RD CORPORATION. All rights reserved. The ACORD name and logo are registered marks f ACOR HORNWI1 AC'CSRD" DATE(MWDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 10/25/2022 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 endorsements). PRODUCER 305-294-6677 CONTACT Norman Fuller NAME:__ The Fullers,Inc PHONE 305-294-6677 Fax 305-294-3025 1432 Kennedy Drive i,IAI No,Extl: (arc,No): Key West,FL 33040 E-MAIL Norman Fuller ADDRESS.: ....................... ... INSURE91 N AFFORDING CQVERA ____ INSURER A:Progressive, INSURED INSURER B: William Horn . ........... .. ... 151 Key Haven Rd. INSURER C Key West,FL 33040 INSURER D '. INSURER E INSURER F CQYVERA999 CERTIFICATE NUMBER: REY1619N 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 SUBRr POLICY NUMBER 1 POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED �'r�LNwNiE9F��✓�rrea�wrx) ,$ MED EXP.IAny one person) [$ ..... PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY F1 JECT LOC iPRODUCTS-COMP/OP AGG ,$ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT I ANY AUTO 02158316 05/29/2022 05/29/2023, BODILY INJURY{Per person) $ 1,000,000 OWNED X SCHEDULED X �. $ AUTOpS ONLY AUTOS BODILY INJURY(Per accident E AUTOS ONLY AUTOS ONL� $PeOra�itle tDAMAGE $ i UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ !WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE � ER ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA; E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE,$ If yes,describe under DESCRIPTI N F PERATI below E.L.DISEASE-POLICY LIMIT ' I � I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is rev-1-d' APPROVED BY RISK MANAGEMENT BY � I o� DATE 10/31,12 2 WAWE,R N/A__,YES..__ tl ER ATE H LDER CANOLLAIM MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLY PROVISIONS. Risk Management ' 1100 Simonton St. AUTHORIZED REPRESENTATG",4 Key West, FL 33040 Norman Fuller ACORD 25(2016103) © 88-2-15 ACOPy )CORPORATION. All rights reserved. The ACORD name and logo are registered marks of A ORD I Client#: 1049512 WILLIPH01 ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/17/2022 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(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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Jackie BerrioS USI Insurance Services,LLC PHONE o£ :813 321-7500 FAX 2502 IN Rocky Point Drive (AlE-MAIL Arc No: 813 321-7525 Suite 400 ADDREss: Jackie-Berrios@usi.com INSURER(S)AFFORDING COVERAGE NAIL# Pampa,FL 33607 INSURER A:Aspen American Insurance Company 43460 INSURED INSURER B: William P.Horn,Architect,P.A. 915 Eaton Street INSURER C: INSURER D: Key West,FL 33040 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMiDDtYYYY MMIDD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Ea accu ence)__$ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE Is PRO- POUGY F-1 JECT E LOC PRODUCTS-COMPIOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ jUMBRELLA LIAB OCCUR EACH OCCURRENCE $ CESS LIAB CLAIMS-MADE AGGREGATE $ D RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY 'TA T TE ANY PROPRIETORIPARTNER/EXECUTIVE Y I N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NIA (Mandatory in NH) E.C.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ A Professional AAAE10004104 0812012022 0812012023 $2,000,000 per claim Liability $3,000,000 anni aggr. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Professional Liability coverage is written on a claims-made basis. APPROVED BY RISK MANAGEMENT Project:All Projects for Monroe County,FL;Annual Contract for Architectural Services. r DATE )1)13_I 202 WAIVER NIA YES CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Risk Management 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West,FL 33040 O 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S370624801M37062226 HKYZP HOR m1 ffi LICERTIFICATE OF ABILITY DATE(MMdDD1 p 101 41 022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY C NEGATIVELY AMEND, EXTEND O ALTER THE COVERAGE AFFORDED Y 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(i ) 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 n its to the certificate holder in lieu of such endo ement s. PRODUCER 0 ® d6 77 ACT Norman Fuller The Fullers,Inc 1432 Kennedy Drive 14 PHONE 305 294 6677 PAX 3 5 2 4-3025 IArc_NF EeI` ...i A , ------ Key West,FL 33040 Norman Fuller .._ NAIL#_. _INS ERA_Fiat q9 lmunetV Insurance CIS. 13990 INSURED ie�� William Horn ArclliCtect Pa Inc t „ . ... Architect,PA,Inc. Bill Horn . 915 Eaton St, Key West,FL 33040 .„� I INSURER P T 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. €NSR TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS POLICY NUMBER A COMMERCIAL GENERAL LIABILITYCla oec�esaRFnsc 2,000,000 CLAIMS-MADE X OCCUR i DAMAGE TO RENTED _ ❑ 09 0004962996 S 1 E 09121/2022 09121/202 FF,Ew,ESE ,3, x, $ _ 0 000' X Business Owners _.._.._. 6,00 „_n7ED EXP�An,�ane�re(sonp _,�a __ PERSQNAL, Dv�NJLI�Y_ 2,000,000 GE,N'LAGGREGATE LIMIT APPLIES PER: 000,000 ,GEWRAL af e_GATE.. ... _.__ _...... X POLICY 71 ippef ❑ LOC 2,000,000 AUTOMOBILE LIABILITY j0MBINEQ SINGLE LIMIT icy a, ,do ANY AUTO Bt1D,ILY.ItdJURY IPer#ersnn ._$ . OWNED eSCHEDULED - AUTOS ONLY AUTOS SOQILY,lBV, SURY¢'„F?er„akxrden[[„r,.$ HIRED P60N CVNEQ PROPERLY DAMAGE AUTOS ONLY AUTD NLY fPe� Ctt�t, UMBRELLA LIAR OCCUR EXCES S LIAR CLAIMS-MADE ;' AGGREGATE __ DED RETENTION!$ i WORKEREMPS COMPENSA 1OITNY ., PER SIT", THY!N ,wTAT,UTE.: SI. , ANY PROPRIETORtrPARTNERMXECUTIVE r OFFICERtHI PAGER EXCLUDEa? ❑ N i A (Mandaao,yYi�NH) If yes,describe under D ! { F P T w P LI Y III 1 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached N more space is required} architect APPROVED BY RISK MANAGEMENT e DATE 10/31/2022 WAIVER N/A YES SAKELLATION MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE POLICY PROVI 'ONS. Risk Management �,o 1100 Simonton St. AUTHORIZED REPRESENTA p Key West, FL,33040 ,• Norman Fuller ��' ACORD 26(2016/03) ®19 -20 5 AC ! CORPORATION. All rights reserved. The ACORD name and logo are registered marks of AC RD I " HORNW-1 DATE(M DDIY ) CERTIFICATE OF LIABILITY INSURANCE 1111912021 THIS TIFI AT IS ISSUED A F INFORMATION LY AND CONFERS I HT UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY TIV LY AMEND, EXTENDALTER THE COVERAGE AFFORDEDY THE POLICIES BELOW. THIS TIFI A F INSURANCE DOES NOT CONSTITUTE A CONTRACT THE ISSUING I U ( ), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOL . IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the olicy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATIONIS 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 endo ement s PRODUCER 3015- - 7 CONTACT Norman Fuller The Fullers,Inc 1432 Kennedy Drive PHONE a Est): 2 4® QX,N®):3 2 Key West,FL 33040 E-MAIL _ _. Norman Fuller Ac®aE _ INSURERISI AFFORDING COVE GE.... ......... NAIL ,,, ...... INSURER AFirst_ o ity Ins raneeCo. 13990 — _ _. INSURED INSURER f# WilliamHorn rchictect Inc —_. Bill Horn i INSURER C: - 916 Eaton St. _ Key West,FL 3040 JINS413ERD; INSURER E: INSURER F COVER6GEE CERTIFICATE 110 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 Y HAVE BEEN REDUCED BY PAID CLAIMS. -- - _ - NSR ADDL SU®R POLICY EFF POLICY EXP I'. TYPE OF INSURANCE POLICY NUMBER a ( l LIMITS A COMMERCIAL GENERAL LIABILITY � EACH OCCURRENCE $ 2,000,000 _ CLAIMS-MADE OCCUR DAMAGE TO RENTED 5 O 0004 9 17 0 / 1/201 12112 22 i usiness OwnersF' EfS Ls osr�na _ MED EXP iAny oneTerson) $ 5,000 .. PERSONAL&ADV INJURY $ 2,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: ,0 ® I! GENE LAGGREGATE $ _. RO- POLICY E JECT ❑LCC 2 P0 ' PR®QUCTS AGG ..$ 4 ®TREK Approved Risk Management AUTOMOBILE LIABILITY �EOMBINE�DISINGLE LIMIT ANY AUTO BODILY INJURY`Per wersoN 1$ OWNED SCHEDULED d'11+ k ' _*u — - AUTOS ONLY AUTOS �// h BODILY INJURY Per.accidenti $ AUTOS ONLY AUOTOS ONEY PROPERTY DAMAGE 1 1-19-2021 Per ace dent) I UMBRELLA LIAB OCCUR EACH OCCURRENCE _$ EXCESS LIAR CLAIMS-MADE' AGGREGATE QED RETENTION$ WORKERS COMPENSATION AND EMPLOYERV LIABILITY Y!N -- PER H TLTI L ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA E.L.EACH,ACCIDENT $ (Mandatory in NH) E.L.DISEASE EMPLOYEE $ If yes,describe under 7-- DESCRIPTION OF OPERATIONS below E.L.DI E-POLICY LIMIT i DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) certificate holder is additional insured as per form#BPO4480106 CERTIFICATE HOLDER CANMLATION MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, OTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROV IONS. Risk Management 1100 Simonton St. AUTHORIZED REPRESENT Key West, FL 33040 Norman Fuller ACORD 25(2016103) © 98 '2015 ORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks ,ACO Client#: 1049512 WILLIPH01 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/18/2021 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 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT USI Insurance Services, LLC PHONE a/C,No,EXt:813 321-7500 FAX 813 321-7525 2502 N Rocky Point Drive E-MAIL AfC,NO Suite 400 ADDRESS: Tampa, FL 33607 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURED INSURER A:Aspen American Insurance Company 43460 William P. Horn,Architect, P.A. INSURER B 915 Eaton Street INSURER C: Key West, FL 33040 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 CONTRACTOR 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 ADDLSUBR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DDNWY MM/DDY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMSESaocce u nce $ MED EXP(Any one person) $ Approved Risk Management PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: , +- GENERAL AGGREGATE $ PRO- POLICY JECT LOC OTHER: PRODUCTS-COMPIOP AGG $ �AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT $ Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN TA LITE 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 Professional AAAE10004103 8/20/2021 08120/2022 $2,000,000 per claim Liability $3,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Professional Liability coverage is written on a claims-made basis. Project:All Projects for Monroe County,FL;Annual Contract for Architectural Services. CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Risk Management 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West,FL 33040 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S33036569/M33031645 JZGZP PROGREll/UE® FULLERS INS AGCY COMMERC/AL 1432 KENNEDY DRIVE KEY WEST,FL 33040 1-305-294-6677 Policy number: 02158316-6 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY June 2,2021 Page 1 of 2 I, T Certificate of Insurance . _ L 3 . 2 12 1 - �-- - Certificate Holder ................................................................................................................................................................................................... Additional Insured MONROE COUNTY BOC 1100 SIMONTON S KEY WEST, FL 33040 Insured Agent/Surplus Lines Broker ................................................................................................................................................................................................... WILLIAM HORN FULLERS INS AGCY 151 KEY HAVEN RD 1432 KENNEDY DRIVE KEY WEST, FL 33040 KEY WEST, FL 33040 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. ............................................................................................................................................................................. Policy Effective Date: May 29, 2021 Policy Expiration Date: May 29, 2022 Insurance coverage(s) Limits ............................................................................................................................................................................. BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE MIT UNINSURED MOTORIST $300,000 CSL STACKED ............................................................................................................................................................................. PERSONAL INJURY PROTECTION $10,000 W/$0 DIED-NAMED INSURED ONLY ............................................................................................................................................................................. EMPLOYER'S NON-OWNED AUTO BIPD $1,000,000 COMBINED SINGLE LIMIT ............................................................................................................................................................................. HIRED AUTO BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT Description of Location/Vehicles/Special Items Scheduled autos only ............................................................................................................................................................................. 2018 PORSCHE MACAN WP1AG2A53JLB61351 COMPREHENSIVE $500 DIED COLLISION $500 DIED Continued Policy number: 02158316-6 Page 2 of 2 Certificate number 15321NET316 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241 00102) HORNW-1 [:AC�R(3' DATE(MM/DDlYYYY) CERTIFICATE OF LIABILITY INSURANCE 0s102/2021 - --------------- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CEFUIFICATE 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 305-294-6677 L CONTACT Norman Fuller The Fullers,Inc NAME` 1432 Kennedy Drive (AHCO,N,Ext:305 294-6677 FAx 305 294-3025 Y ? - - lac No):.... -- Key West,FL 33040 E-MAIL Norman Fuller .ADORE ____ NSURERIS)AFFORDING COVERAGE _.... .,,,_ (INSURERA:Retail First Insurance CompaM i— INSURED INSURER B: William P Horn Architect PA ,,,,-_...... _ Bill Horn INSURERC. 915 Eaton St. ....... T Key West,FL 33040 INSURERD: _ INSURER E INSURER F: C YERAGES CERTIFICATE N MB- 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 FXP ........... TYPE OF INSURANCE POLICY NUMBER Y LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ CLAIMS-MADE OCCUR DAMAGE TO RENTED PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑JELQT LOC :71 PRODUCTS-COMPlOP AGG_,5 OTHER: By AUTOMOBILE LIABILITY I_ n: COMBINED SINGLE LIMIT ANY AUTO 6 . 3 . 2 0 21 $ - -- wv __a BODILY INJURY Pererson) OWNED SCHEDULED -- AUTOS ONLY AUTOS - BODILY-INJURYIPer acciden14$ HIRES NpN-pyyIED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY _ Per accident} $ UMBRELLA LIAB OCCUR i.EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ ,. DED RETENTION$ A WORKERS COMPENSATION PER OTH AND EMPLOYERS'LIABILITY STA10-E,........ ER YIN ANY PROPRIETOR/PARTNER/EXEC UTIVE 520-40146 07/01/2021 01101/2022 1,000,000 OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000' If yes,describe under " --- - DESCRIPTI N F OP RATIONS below E.L.DISEASE-POLICY LIMIT 1,000,000' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Coun BOCC THE EXPIRATION DATE ,THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE POLICY PROVISI NS. Risk Management 1100 Simonton St. AUTHORIZED REPRESENTATI Key West, FL 33040 Norman Fuller I ACORD 25(2016/03) 01 8-2 15 AC RD"CORPORATION. All rights reserved. The ACORD name and logo are registered marks of A ORD PROGREll/UE® FULLERS INS AGCY COMMERC/AL 1432 KENNEDY DRIVE KEY WEST,FL 33040 1-305-294-6677 Policy number: 02158316-6 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY June 2,2021 Page 1 of 2 I, T Certificate of Insurance . _ L 3 . 2 12 1 - �-- - Certificate Holder ................................................................................................................................................................................................... Additional Insured MONROE COUNTY BOC 1100 SIMONTON S KEY WEST, FL 33040 Insured Agent/Surplus Lines Broker ................................................................................................................................................................................................... WILLIAM HORN FULLERS INS AGCY 151 KEY HAVEN RD 1432 KENNEDY DRIVE KEY WEST, FL 33040 KEY WEST, FL 33040 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. ............................................................................................................................................................................. Policy Effective Date: May 29, 2021 Policy Expiration Date: May 29, 2022 Insurance coverage(s) Limits ............................................................................................................................................................................. BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE MIT UNINSURED MOTORIST $300,000 CSL STACKED ............................................................................................................................................................................. PERSONAL INJURY PROTECTION $10,000 W/$0 DIED-NAMED INSURED ONLY ............................................................................................................................................................................. EMPLOYER'S NON-OWNED AUTO BIPD $1,000,000 COMBINED SINGLE LIMIT ............................................................................................................................................................................. HIRED AUTO BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT Description of Location/Vehicles/Special Items Scheduled autos only ............................................................................................................................................................................. 2018 PORSCHE MACAN WP1AG2A53JLB61351 COMPREHENSIVE $500 DIED COLLISION $500 DIED Continued Policy number: 02158316-6 Page 2 of 2 Certificate number 15321NET316 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241 00102) Client#: 1049512 WILLIPH01 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/18/2021 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 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT USI Insurance Services, LLC PHONE a/C,No,EXt:813 321-7500 FAX 813 321-7525 2502 N Rocky Point Drive E-MAIL AfC,NO Suite 400 ADDRESS: Tampa, FL 33607 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURED INSURER A:Aspen American Insurance Company 43460 William P. Horn,Architect, P.A. INSURER B 915 Eaton Street INSURER C: Key West, FL 33040 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 CONTRACTOR 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 ADDLSUBR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DDNWY MM/DDY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMSESaocce u nce $ MED EXP(Any one person) $ Approved Risk Management PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: , +- GENERAL AGGREGATE $ PRO- POLICY JECT LOC OTHER: PRODUCTS-COMPIOP AGG $ �AUTOMOBILE LIABILITY - - COMBINED SINGLE LIMIT $ Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN TA LITE 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 Professional AAAE10004103 8/20/2021 08120/2022 $2,000,000 per claim Liability $3,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Professional Liability coverage is written on a claims-made basis. Project:All Projects for Monroe County,FL;Annual Contract for Architectural Services. CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Risk Management 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West,FL 33040 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S33036569/M33031645 JZGZP HORNW-1 DATE(M DDIY ) CERTIFICATE OF LIABILITY INSURANCE 1111912021 THIS TIFI AT IS ISSUED A F INFORMATION LY AND CONFERS I HT UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY TIV LY AMEND, EXTENDALTER THE COVERAGE AFFORDEDY THE POLICIES BELOW. THIS TIFI A F INSURANCE DOES NOT CONSTITUTE A CONTRACT THE ISSUING I U ( ), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOL . IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the olicy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATIONIS 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 endo ement s PRODUCER 3015- - 7 CONTACT Norman Fuller The Fullers,Inc 1432 Kennedy Drive PHONE a Est): 2 4® QX,N®):3 2 Key West,FL 33040 E-MAIL _ _. Norman Fuller Ac®aE _ INSURERISI AFFORDING COVE GE.... ......... NAIL ,,, ...... INSURER AFirst_ o ity Ins raneeCo. 13990 — _ _. INSURED INSURER f# WilliamHorn rchictect Inc —_. Bill Horn i INSURER C: - 916 Eaton St. _ Key West,FL 3040 JINS413ERD; INSURER E: INSURER F COVER6GEE CERTIFICATE 110 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 Y HAVE BEEN REDUCED BY PAID CLAIMS. -- - _ - NSR ADDL SU®R POLICY EFF POLICY EXP I'. TYPE OF INSURANCE POLICY NUMBER a ( l LIMITS A COMMERCIAL GENERAL LIABILITY � EACH OCCURRENCE $ 2,000,000 _ CLAIMS-MADE OCCUR DAMAGE TO RENTED 5 O 0004 9 17 0 / 1/201 12112 22 i usiness OwnersF' EfS Ls osr�na _ MED EXP iAny oneTerson) $ 5,000 .. PERSONAL&ADV INJURY $ 2,000,000 GEN1 AGGREGATE LIMIT APPLIES PER: ,0 ® I! GENE LAGGREGATE $ _. RO- POLICY E JECT ❑LCC 2 P0 ' PR®QUCTS AGG ..$ 4 ®TREK Approved Risk Management AUTOMOBILE LIABILITY �EOMBINE�DISINGLE LIMIT ANY AUTO BODILY INJURY`Per wersoN 1$ OWNED SCHEDULED d'11+ k ' _*u — - AUTOS ONLY AUTOS �// h BODILY INJURY Per.accidenti $ AUTOS ONLY AUOTOS ONEY PROPERTY DAMAGE 1 1-19-2021 Per ace dent) I UMBRELLA LIAB OCCUR EACH OCCURRENCE _$ EXCESS LIAR CLAIMS-MADE' AGGREGATE QED RETENTION$ WORKERS COMPENSATION AND EMPLOYERV LIABILITY Y!N -- PER H TLTI L ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA E.L.EACH,ACCIDENT $ (Mandatory in NH) E.L.DISEASE EMPLOYEE $ If yes,describe under 7-- DESCRIPTION OF OPERATIONS below E.L.DI E-POLICY LIMIT i DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) certificate holder is additional insured as per form#BPO4480106 CERTIFICATE HOLDER CANMLATION MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, OTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROV IONS. Risk Management 1100 Simonton St. AUTHORIZED REPRESENT Key West, FL 33040 Norman Fuller ACORD 25(2016103) © 98 '2015 ORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks ,ACO HORNW -1 _ DATE(MWDD/Y ) 10ERTIFICATE OF LIABILITY INSURANCE 1t 3/ THIS CERTIFICATE I I A A F INFORMATION L A CONFERS RIGHTS T CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTERTHE COVERAGE AFFORDEDY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE CONTRACT THE ISSUING I ( ), AUTHORIZED REPRESENTATIVE PRODUCER, THE CERTIFICATE HOL . IMPORTANT: 1f the certificate holder is an ADDITIONAL INSURED,the olic (les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject tot the terms and conditions of the policy, certain policies mayquire an endorsement. A statement n this certificate does not confer n h o the certificate holder in lieu of such en o e ent s. PRODUCER 30 -254-6677 CONTACT N- NormanFuller TheFullers,Inc PHONE _ 143 Kennedy rive (A/C,No,E�ti:3 - (AA/C,No):3 _ Key West,FL 33040 E-MAIL Norman Fuller ADDRESS: INSURRLS)AFFORDING COVERAGE NAIC INSURER A:Retail FirstInsur ce Company INSURED INS_ ER e WilliamHorn Architect P --- _ Ill Horn INSPIRER C 915 _...... Eaton St. INStdR R D Key West,FL 33040 INSURER E: — ..._.. INSURER F: OCERTIFICATEUM I I 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 ADbL SUER POLICY EFF POLICY EXP POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY GH OCCURRENCE $ CLAIMS-MADE OCCUR ( ®�TPI�tGE TO RENTED t tal $ Approved Risk Management $ _._._. PERSONAL&ADV INJURY ($ g} GENT AGGREGATE LIMIT APPLIES PER: � PROD_GENERAL AGGREGATE _$ I��" M 4:,�sr,z -_ POLICY❑ EGT LOG - PRODUCTS-COMP(OP AGG .$ _ OTHER: 11-29-2021 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ...................... ANY AUTO OWNED SCHEDULED BODILY INJURYLParperson4 _ AUTOS ONLY AUTOS BODILY INJURY ,IPer accidentl AT'R p �� PROPERTY D AGE UT S ONLY _ A®OS®NL® lPar eccid®nti, _.... $ UMBRELLA LIAS OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE DED RETENTION$ WORKERS COMPENSATION PER OTH- AND E PLOYERS'LIABILITY YIN _ ¢ ANY PROPRIErOR/PARTNERlEXEGUrivE 2 146 1t1/ 21 1t 1t 2 1, '6001 E.L.EACH ACCIDENT $ (Mandatory in EXCLUDED? ❑ NIA (Mandatary In NH) E.L.DISEASE-EA EMPLOYEE$ 1,000,000 Ifyes,describe under -- -..— DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT i 1000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERT FICATE_H LDER CANPgLLATION MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE t7OLICY PROVISIONS. Risk Management ' 1100 Simonton St. AUTHORIZED REPRESENTATIVE, Key West,FL 33040 Norman Fuller i ACORD 25(2016103) ©1088-2b15 AC RD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of A ORD tJ �� l ^" HORN -1 DATE �I®D ) 10ERTIFICATE OF LIABILITY INSURANCE 0121 12020 'THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY' N 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 BOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pplicy(I )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 rl hts to the certl0cate holder in Bets of such erldoraelnent s. - PRODUCER 30 -2 4-66T7 CONTACT Norman Fuller The Fullers,Inc PHONE 30 294 6677 ;FAx 30 294-3025 142 Kennedy Drive F ��,.E1.... Key West,FL 33040 j A-MAI No an Fuller ATaBe� d. _ .. . . .. s Ia6 � .First s tl I Insurance Co. 139 0 William Born Archictect Pa Inc ICAtTTPany INSURED _ __... Retail.._al First Insurance _.. ......_.._ ___ _ ,.. ..__ Architect,PA, Inc. INS_URERC Bill Horn 915 Eaton St. INaueB _ _ Key West,FL 33040 _ ENSURES IN$uRER P THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERILED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR TYPE CF INSIJ NCE �AD6L•$US"�k .. ,MI PgLI Y E�UMSER �. . .POLICY EFF POLICY ESP LIMITS A COMMERCIAL GENERAL LIABILITY 2,000,000 ,EACHOGCURRENC,E,,. �.�_.. _. F AGE TOENT€D 0,000 CLAIMS-MADE ®OCCUR 09 0004962996 016 0912112020 09/2112021 � • gat M R ; L �Es�a��a r nr,t _...: Duslneaa Owners �nEa acpv k o �onl 5,000 _PERSOPd€iL Z AW INJURY s._. ,000,000 � AGGREGATE AP"PLtESfER: , " _ 2$0pQ,Q0B POLICY PreY � OC 2,000,000 AEG AUTOMOBILE LIABILITY "COMBINED SINGLE LIMIT ANY AUTO y� ,BOf3iLY INJURY IParrsony .$...... OWNED _ 'SCHEDULED ". �, rN` _. AUTOS ONLY AUTOS t� p BODILY,INJURY IPee accident};"$ AU S ONLY AUTO QNYy� PROPERTY DAMAGE s t(?eragr� �nlp ...,...._ 11/2/2020 UMBRELLA LIAS OCCUR EAGH,Of ClIRRENCE $N .. EXCESS LIAR CLAIMS-MADE WANN _ ACiGRECaAT} .. __.. DELI RETENTION$ WORKERS COMPENSATION PERTU L I� F AND EMPLOYERS'LIASI " a ,. YIN; S20-40146 01/01/2020 0110112021; 11000,000 ANY PROPRIErORIPARTNERIEXECUTIVE E.L EACp�A CIDhNT FFtCER1M1.�gd ERCXCLUDED4 _NIA arateHj .L olsA -,EA Ea9P1 OYEEp 1,000,000 Ryes,describe under 1,000,000 .. i i I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101,Additional Remarks Schedule,may be attached If more space is required) T F A ELLATI N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Arir vnAEfn I3aw4i THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN County ACCORDANCE WITH THE LICY FOR ISIONS. Risk Management 1100 Simonton St. AUTHORIZED REPRESENTATI Key West,FL 33040 Norman F'ILIIIer ACORD 25(2016103) 0198 -2 15 AC D CORPORATION. All rights reserved. The ACORD name and logo are registered(narks of A ORD HORNW-1 ACVRL3' DATE(MM/DDlYYYY) CERTIFICATE OF LIABILITY INSURANCE os/o2/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CEFUIFICATE 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 rIr1hts to the certificate holder in lieu of such endorsements PRO CER 305-294-6677 coNTAcT Norman Fuller PRODU The Fullers,Inc SAME.____ m„ m Kennedy Drive PHONE N ,Ext:305-294-6677 FAx 305-294-3025 IAlC ---....... Key West,FL 33040 E-MAIL Norman Fuller p13QRESS ----- ----- INSURER(S)AFFQRDING COVERAGE INSURER A:Retail First Insurance Company INSURED INSURER B. William P Horn Architect PA Bill Horn INSURERC: 915 Eaton St. �� Key West,FL 33040 INSURER D INSURER E INSURER F COVERAGES ERTIFIC N-MB • REM19N NI R: 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 SUER POLICY EFF POLICY EXP POLICY NUMBER Lis TYPE OF INSURANCELEE LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE i DAMAGE TO RENTED OCCUR CLAIMS-MADE tld NINSC fLw. "�e 1........ ,.. MED EXP[Any oRq- ersonj PERSON„ GENT AGGREGATE LIMIT APPLIES PER: GENERA JET PRODUCTS-COMP/OP AGG $ AGGREGA POLICY LOC PROP- � � � I� u4, - �� TE I OTH R. 6 . 3 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Cl.a �cicnll $ ANY AUTO „ . -I ��1 BODILY IN (PerJserson) �$ OWNED SCHEDULED AUTOS ONLY AUTOS WAN" 1`00� BODILY INJURY(Per accident! AURED p pyy TOS ONLY AUTOS ONNL� Perr a c de tDAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ o EXCESS LIAB CLAIMS-MADE 1 1 AGGREGATE $ DED RETENTION$ 1 A AND EMPWORKERLOYERS LIABILTY Y!N SEl1 UCf ECGH ANY PROPRIETOR/PARTNERIEXECUTIVE 620-40146 01/01/2021 01/01/2022 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A E.L.EACH ACCIDENT 1 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1��' If yes,describe under DESCRIPTI N QF P I S below E.L.DISM E-POLICY LIMIT 1 1,000,000 i I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) TIFIC E H R - ELLAT,ION MONBOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe Coun BOCC THE EXPIRATION DATE ,THEREOF, NOTICE WILL BE DELIVERED IN ty ACCORDANCE WITH THE POLICY PROVISI INS. Risk Management 1100.Simonton St. AUTHORIZED REPRESENTATI ,4/ Key West, FL 33040 Norman Fuller ACORD 25(2016/03) ©1 8-2 15 AC RD ORPORATION. All rights reserved. of The ACORD name and logo are registered marks A ORD Client : 1049512 WILLIPH01 [�TE:MDDYYY ACORDT. LIABILITY I 2/2020 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 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: USI Insurance Services,LLC PFIONE 813 321-7500 PAX A/C,No,Ext: A/C,No: 2502 N Rocky Point Drive EMAIL Suite 400 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Tampa, FL 33607 INSURER A;Aspen American Insurance Company 43460 INSURED INSURER B: William P. Horn,Architect,P.A. INSURER C 915 Eaton Street INSURER D: Key West, FL 33040 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 CONTRACTOR 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/YYY MM/DD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑OCCUR PREMISESOEa oocu Dence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION 117 2/2 0 2 PER SA T OTH- AND EMPLOYERS'LIABILITY ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N � � E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A xx (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Professional AAAE10004102 0812012020 08/20/2021 $2,000,000 per claim Liability $3,000,000 annl aggr. DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Professional Liability coverage is written on a claims-made basis. RE:Annual Contract for Architectural Services. CERTIFICATE HOLDER CANCELLATION Monroe County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE ©1988.2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S30236797/M30236781 TXFEW PROGREll/UE' FULLERS INS AGCY COMMERC/AL 1432 KENNEDY DRIVE KEY WEST,FL 33040 1-305-294-6677 Policy number: 02158316-6 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY June 2,2021 Page 1 of 2 I, u'a, if � . Certificate of Insurance 6 3. 2021 — Certificate Holder ................................................................................................................................................................................................... Additional Insured MONROE COUNTY BOC 1100 SIMONTON S KEY WEST, FL 33040 Insured Agent/Surplus Lines Broker ................................................................................................................................................................................................... WILLIAM HORN FULLERS INS AGCY 151 KEY HAVEN RD 1432 KENNEDY DRIVE KEY WEST, FL 33040 KEY WEST, FL 33040 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. ............................................................................................................................................................................. Policy Effective Date: May 29, 2021 Policy Expiration Date: May 29, 2022 Insurance coverage(s) Limits ............................................................................................................................................................................. BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT ............................................................................................................................................................................. UNINSURED MOTORIST $300,000 CSL STACKED ............................................................................................................................................................................. PERSONAL INJURY PROTECTION $10,000 W/$0 DIED-NAMED INSURED ONLY ............................................................................................................................................................................. EMPLOYER'S NON-OWNED AUTO BIPD $1,000,000 COMBINED SINGLE LIMIT ............................................................................................................................................................................. HIRED AUTO BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT Description of Location/Vehicles/Special Items Scheduled autos only ............................................................................................................................................................................. 2018 PORSCHE MACAN WP1AG2A53JLB61351 COMPREHENSIVE $500 DIED COLLISION $500 DIED Continued Policy number: 02158316-6 Page 2 of 2 Certificate number 15321NET316 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241 (10102) NO I1 DATE(MMOWYYYY) CERTIFICATE OF LIABILITY INSURANCE 10f216202q 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 pollay(i )must have ADDITIONAL INSURED provisions or Oardo d. If SUBROGATION IS WAIVED,subject to the terms and conditions Of the palmy, certain policies may require an endorsement. A statement on this Ifi to does n(A Cog r ri tsa the C901111cate holder In liege of such andomernon PRODUCER 305® (V rman Fuller The Fullers,III4 1432 n D ��,�N�.. I 05.2. . 677 . .. _.. FAx n5 2 - 025 Key West FL 33040 I_._... ... Norman Fuller BdSUuREb .,.. _ 151 t, L Q�b INSU _ 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, LIMITS COMMERCIAL 49NERAL LIASIUTY EACH OC URREhIfi,E,_.,... S _ CLAIMS4AADE ❑OCCUR DAP,A.AGE ,"O REINED FIIJISEar GEPd'LAGGR -Ep APf€BIER ;G£MERALAGGETSGAIE e ROLICY LOG A AUTOMDSlLS LIASILtrY Oft INED 3kNGLE LIMIT I,0®R,444 C M£ MYC ----- $ .. ANYAUTO 021SS3iS.g OS929I2424 =912021 OWNED x AUTOS 3EO S421JFLY.EPd�IjRY,�FarseadexQy,_� ,_.... ;C WWUTOS ONLY AUTOS k ;f4�S ONLY Rp��yyy��D7rya FkUTK)S 9Ptt.Y Po��coident0AMF9C, UMBRELLA L OCCUR SK « �r�I rAl EXCE>98 LIAS CLAINIS-MADE _. _.. DED RETENTION$ ,� ,, - WORKERS COMPENSATION 5 5 2 0 2 1 OTH- RR . �a AND EMPLOYERV LIASCLITY ��« � �°^�^^„-�•'«"""°� eTUTI ANY eeab OOPPYRIETORIPARTNERIEXECUTIVE 1�/N ®� Cdt� Esh t�MLUDE L ;NIA' Ny' m� EL D15E8SE-EA ENiPEgYE1 $ . dItie under ..�.., m,_.,,....,..�.,., yc DESCRIPTION OF OPERATIONS I LOCATIONS I V MICLES CACORD 10%AftfflWfld duty,My be AftWhW If MOM OPM IS Mqu! ) p3, MONSO d CC SHOULD ANY OF THE ABOVE DESCRIBED POLIC196 BE CANCELLED BEFORE Monroe Cpaarl I ACC THE EXPIRATION DATE THEREOP, NOTICE WILL BE DELIVERED IN ACCORDANCE NTH THE P LIC"Y VISIONS. Risk Management 1100 Simonton St. T N IIIIII�r �40 �. ATM REPM Key t,FL 330 014 1 AC, CORPORATION.All rights reserved. The ACORD notate and logo are registered a of ACO D Client#: 1049512 WILLIPHOI ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)08/16/2019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: USI Insurance Services,LLC PHONE 813 321-7500 FAx (A/C,No,Ext): (A/C,No): 2502 N Rocky Point Drive E-MAIL Suite 400 ADDRESS: Tampa, FL 33607 INSURER(S)AFFORDING COVERAGE NAIC# _INSURER A:Aspen American Insurance Company 43460 INSURED INSURER B: William P.Horn,Architect, P.A. 915 Eaton Street INSURER C: INSURER D: Key West,FL 33040 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. ILTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MMIDD/YYYY) (MMIDD/YYYY) • COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISESO(Ea RENTED $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED •AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) APP "ED ' isi( fftiori UMBRELLA LIAB OCCUR BY EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE DATE ' 7. JJJ AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WAIV' SPER TATUTE EORH AND EMPLOYERS'LIABILITY Y/N _� Yeg—_ _- 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 Professional AAAE10004101 08/2012019 08/20/2020 $2,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) • Professional Liability coverage is written on a claims-made basis. Project:All Projects for Monroe County, FL;Annual Contract for Architectural Services. CERTIFICATE HOLDER CANCELLATION Monroe CountySHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Risk Management 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West, FL 33040 �.A 08--tee ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #526383194/M26383185 MRLEW ' .OP.ID: NF Ac'coRry �q DATE(MM/ODNYYY) 4 CERTIFICATE OF LIABILITY INSURANCE 05/20/19 . 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 • 305-294-6677 CNAANT MEACT . The Fullers,Inc 305-292-4641 PHO.NN,Est); .FAX vc;No): 1432 Kennedy Drive E-MAIL Key West,FL 33040 ADDRESS:- PRODUCER - - Norman Fuller CUSTOMER ID B:HORNWI1 - .. INSURER(SI AFFORDING COVERAGE 1 NAIC# ' INSURED William Horn INSURER A:ProgreSS(Ve ' 151 Key Haven Rd. INSURER B: • Key West, FL 33040 INSURER C INSURER D: - INSURER E: - INSURERF: 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. ILTR TYPE OF INSURANCE •. DD RT fliPOLICY EFF if POLICY EXP' - —'--" INSR YAM POLICY NUMBER I(MM/DD/YYYY)I'(MM/DDJYYYY1 LIMITS GENERAL LIABILITY 1 . EACH OCCURRENCE I$ I COMMERCIAL GENERAL LIABILITY U7uPREMISTI MI f0 REFfTED 7 — ES(Ea occurrence) I$ CLAIMS-MADE OCCUR • MED EXP(Any one person) $ PERSONAL&ADV INJURY 1 S GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: I I ; PRODUCTS-COMP/OP AGG 1$ 1 POLICY I 1 7CT- I 1 LOC I$ _ AUTOMOBILE LIABILITY X COMBINED SINGLE LIMIT A -- ANY AUTO (Ea accident) $ 1,000,OOP I 02158316-8 05/29/'19 05/29/20 BODILY INJURY(Per person) $ . ALL OWNED AUTOS — -- I BODILY INJURY(Per accident)I$ X SCHEDULED AUTOS I PROPERTY DAMAGE X�• HIRED AUTOS AP BY f(Per accident) $ --I MEAT 1 — ;_s._._ X I NON-OWNED AUTOS UMBRELLA LIAB OCCUR jDA EACH OCCURRENCE EXCESS LIAB i _ CLAIMS-MADE AGGREGATE Fi `I DEDUCTIBLE -- j WAIVER NI `` $ — 1 RETENTION $ .1 $ {WORKERS COMPENSATION �»I I WC STATU- IOTH- AND EMPLOYERS'LIABILITY Y/N , -_g_E 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 i I E.L.DISEASE-POLICY LIMIT I$ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,R more space Is required) . CERTIFICATE HOLDER CANCELLATION MONBOCC • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County BOCC , , THE EXPIRATION DATE THEREOF, NOTICE WILL.cBE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management r,1 /1 1100 Simonton St. IAUTHORIZED REPRESENT/1TNE 1./. Key West, FL 33040 Norman Fuller l(/ / , ___-__. d �Pf ©1088-2bb9 AC D CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks/of ACOI��I/ • OP ID:NF A� ' CERTIFICATE OF DATE LIABILITY INSURANCE CE 09/18/18 THIS CERTIFICATE IS ISSUED!AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AF9IRMATIVELY 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(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER I 305-294-6677 NCONTACT The Fullers,Inc I 305-292-4641 PHONE 1432 Kennedy Drive E-MAIL.exi): — — i i>uc;Nc) Key West,FL 33040 ADDRESS: Norman Fuller I CUSTOMER =. .„� CUSTOMER ID#:hICyRNW-1 INSURER(S)AFFORDING COVERAGE _ I x NAICa INSURED William P Horn Architect PA INSURER A: Insurance First Community. Co. _ 13990 Bill Horn f � 915 Eaton St- INSURER'B: �� I Key West,FL 33040 INSURER C_ —` '�' I _INSURER D.: 4-- — INSURER E: — — — -_.._..__� 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)�..... .._...-._.w_ _ (AISOL SUII2:' -__-__..—__.__.:._,.._...___— _ i. LTR t TYPE OF INSURANCE 1 I INSR 4 W D 1 POLICY NUMBER I(MM/DDDY/YYYY},I LM/DDT): OMITS GENERAL LIABILITY j I 1 EACH OCCURRENCE , A ;COMMERCIAL GENERAL LIABILITY X i 090004962995814 i 09/21/18 08/21/19 DArtATt- REITt'ED +I$. 2,050 000 1 I PREMISES(Ea occurrence) $ �O,OOO� I CLAIMS-MADE r i ocCUR ' — - L MED EXP(Any one person) $ 5,000 X Business Owners I —. PERSONAL 8 ADV INJURY $ 2,000,000 �GEN'L AGGREGATE LIMIT APPLIES PER— i GENERAL AGGREGATE $ 4,000,00 . PROT- ;-1 i ,I I PRODUCTS.-COMP/OP AGO $ 2,000,000 X I POLICY I dFC ! i LOC' I 1 I$ .___-..._ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) I ALL OWNED AUTOS rBODILY INJURY(Per person) $ �V-- y` _____,.._.__ SCHEDULED AUTOS i j BODILY INJURY(Parawident)t$ W ... HIRED AUTOS I r' PERTYDAMAGE yj (Per accident) I S •.�a— _._.-...:. NON-OWNED AUTOS i I I$ ..__ UMBRELLA LIAR OCCURI APP "! 1 ( K MA EMENT i I EACH OCCURRENCE $ EXCESS LIAR I + ((� ._..- _ —�� 1�_�CLAIMS !MADE ( BY I AGGREGATE u1 — _ DEDUCTIBLE I $ RETENTION $ I I_...:.»_._.__..�.__—..._.__` $ _,,._._._..._ WORKERS COMPENSATION w ((''� AND EMPLOYERS'LIABILITY Y/N WAIVER � �— ) _.LTOL3YI IWC MITS I OTH-I$ I ANY PROPRIETOR/PARTNERlEXECUTNE.'n p $ •-- - OFFICER/MEMBER EXCLUDED? 1 1 N/A I f .'E.L.EACH ACCIDENT _ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below i ) E.L.DISEASE-POLICY.LIMIT ,$ I i I ! 1 I DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) architect CERTIFICATE HOLDER I CANCELLATION. MONRCON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County THE EXPIRATION DATE TIIEREOF, NOTICE WILL: BE DELIVERED IN ACCORDANCE WITI'THE POLICY PROVISIONS. Commissioners I ,= j 1/ 1100 Simonton.street AUTHORIZED REPRESF•ATdi / Key West,FL 33040 Norman Fuller 'f. !/L - ©198-2O9 ACpRD CORPORATION. All rights reserved. ACORD 25'(2009/09) The ACORD name and logo are registered marks alACO D