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Home My WebLink AboutCertificates of Insurance CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/10/2021 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Morris&Reynolds Inc. NAME: PHONE Miami South Dixie Highway A/C No Ext:305 238-1000 AIC No:305-255-9643 Miami FL 33176 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Everest National Insurance Company 10120 INSURED WORLWID-02 INSURER B: Master Concessionair LLC dba Worldwide Concessions Post Office Box 260190 INSURERC: Miami FL 33126-0190 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:1225851660 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDD/YYYY)I(MMIDDIYYYYI LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑JECOT- LOC PRODUCTS-COMP/OP AGG $ OTHER: I $ AUTOMOBILE LIABILITY ) �" COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED 9 . 4 . 2021 AUTOS ONLY AUTOSDAT ' -_—^ BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS SS CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION SW3WC00037211 9/10/2021 9/10/2022 X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUE N NIA _ _ Mandatory in NH) M E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Conch Flyer Concessions,LLC @ 3495 S.Roosevelt Blvd.,Key West,FL 33040 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County BOCC Ins Compliance ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 100085-FX Duluth GA 30096 AUTHORIZED REPRESENTATIVE USA @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD MASTECON6 DATE(MMIDD/YYYY) Ado,Ram CERTIFICATE OF LIABILITY INSURANCE 3/1/2022 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 endorsement(s). PRODUCER CONTACT NAME: Yomie Gutierrez Commercial Lines-(305)443-4886 PHONE 786-454-2039 FAX 305-669-6030 A/C No Ext: AIC No USI Insurance Services LLC E-MAIL omie. utierrez usi.com ADDRESS: Y J C 201 Alhambra Circle Ste#1401 INSURER(S)AFFORDING COVERAGE NAIC# Coral Gables, FL 33134 INSURER A: Hartford Fire Insurance Company 19682 INSURED INSURERB: Trumbull Insurance Company 27120 Master Concessionair, LLC INSURERC: Hartford Casualty Insurance Company 29424 1200 NW 78th Ave., Suite 400 INSURER D: INSURER E: Doral, FL 33126 INSURER F: COVERAGES CERTIFICATE NUMBER: 15510856 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY q X COMMERCIAL GENERAL LIABILITY 21 UUN DE7238 3/1/2022 3/1/2023 EACH OCCURRENCE $ 1,000,000 A AGE RETE CLAIMS-MADE OCCUR PREM SESOEa oNcurrDence $ 300,000 APPROVED BY RISK MANAGEMENT BY .. � ,,, MED EXP(Any one person) $ 10,000 DATE 3 117/202 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: / GENERAL AGGREGATE $ 2,000,000 PRO- WAVER N,iA_YES,®. POLICY� JECT � LOC PRODUCTS-COMP/OP AGG $ 2,OOQ000 OTHER: $ B AUTOMOBILE LIABILITY 21 LIEN DE7216 3/1/2022 3/1/2023 Ea acccidentSINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS x HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident C X UMBRELLALIAB X OCCUR 21 RHU DE8191 3/1/2022 3/1/2023 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED X RETENTION$ 10,000 S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Liquor Liability 21UUN DE7238 310112022 3/01/2023 Each Occurrence$1,000,000 Aggregate$2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Ref:Conch Flyer Concessions, LLC/Concessions Development Group, LLC Location:3493 South Roosevelt Blvd Key West, FL 33040-Key West Monroe County BOCCs is an additional insured with respects to General Liability policy,as per written contract. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Insurance Compliance ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 100085-FX Duluth, GA 30096 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) (This certificate replaces certificate#15296085 issued on 2/26/2021) AC D CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 9/10/2019 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(les)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 CONTACT NAME: Morris&Reynolds Inc. PHONE FAX 14821 South Dixie Highway IN E MC.No.Extl:305-238-1000 (A/c,No):305-255-9643 AIL Miami FL 33176 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC S INSURER A:Everest National Insurance Co. 10120 INSURED WORLWID-02 INSURER B Master Concessionair LLC dba Worldwide Concessions Post Office Box 260190 INSURERC: Miami FL 33126-0190 INSURER D: INSURER E: I INSURER F: • COVERAGES CERTIFICATE NUMBER:2144923184 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. INSRLR TYPE OF INSURANCE NSO IS, D I POLICY NUMBER I IMMIDDY/YYYYY)I IMMILDIDIYYYYI. LIMITS ' 'COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I S ' ' 1— DAMAGE TO RENTED I CLAIMS-MADE I I OCCUR I PREMISES(Ea occurrence) I S I_ i I MED EXP(Any one person) S i I PERSONAL&AOV INJURY S I GEN'L AGGREGATE LIMIT APPLIES PER: I GENERAL AGGREGATE S 1 i POLICY EC : LOC I j - ' I PRODUCTS-COMP/OP AGG I S I-I OTHER: i APP Y 1 KMAt AGE T I S I AUTOMOBILE LIABILITY BY ` J Z CO aBI EDtSINGLE LIMIT I S 7 ANY AUTO (/�y, �/1 i BODILY INJURY(Per person) I S 1 OWNED ISCHEDULED DATE `'1 '�1 (�( / BODILY INJURY(Per accident) S AUTOS ONLY AUTOS l PROPERTY DAMAGE HIRED I— UOSNON-OWNED I WAIVER N�A� IYES__ I (Per accident) I S AUTOS ONLY I AUTOS ONLY I I I I I I I I UMBRELLALIAB I OCCUR ! I I I EACH OCCURRENCE i S EXCESS LIAB CLAIMS-MADE; i ;AGGREGATE I S I DED I I RETENTION 5 I I S A I WORKERS IANDEMPLOYOERS'LIABIION I LIITY Y/N I SVV3WC00037-191 9/10/2019 I 9/10/2020 LX I STATUTE I I ER I ;ANYPROPRIETOR/PARTNER/EXECUTIVE I I I f I E.L EACH ACCIDENT I Si,o00.000 OFFICER/MEMBEREXCLUDED', N N/A I(Mandatory In NH) i I I I I E.L.DISEASE-EA EMPLOYEEI S 1,000,000 If yes.describe under DESCRIPTION OF OPERATIONS below I I I E.L.DISEASE-POLICY LIMIT I S 1,000,000 l l I I I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If mom space Is required) Conch Flyer Concessions.LLC @ 3495 S.Roosevelt Blvd..Key West,FL 33040 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Board of County Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West FL 33040 AUTHORIZED REP ESENTATIVE USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD MASTECIaN6 ALCQ® QATE15f201fYTYlry ,rl.►` CERTIFICATE OF LIABILITY INSURANCE 4s12a1s 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 ISRER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the olicy(les)must have ADDITIONAL INSURED provisions or be endomed. 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 N CONTACT Claudia Ramos Commercial Lines-(305)443 488 PHONE 7$6 765.1153 FAX No,:305.126-0017 US[Insurance Services LLC A� L...: claudia.ramos@usi cam 2601 South Bayshore Drive,Suite 1600 INSURE s AFFORDtNOCOVE GE "MCI Coconut Grove,FL 33133 INSURER A: Zurich American Insurance Co 16535 INSURED I suREg e: American Guarantee and Liability Insurance Corn, 26247 Master Concessionair,LLC INSURER c 5727 NW 7th Street Suite#97 INsuRERD: INSURER E, Miami FL 33126 IHSURERF,. COVERAGES CERTIFICATE NUMBER: 14112410 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A13OVE FOR THE POt..ICY PERR::A1':I INDICATED NOTWITHSTANDING ANY REOU'R MENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT Tr:)WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THIS TERMS„ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, l.TR TYPE OF INSURANCE .SUL U� S�i�AR PQI.11CI EFF �FraI"ICY FXIP� """""'................. INSR I POLICY NUMBER ODIYYYY MNVDDNYYV LIMITS LIABILITYIAL EACH OCCURI611i'SNCE s 1„I300„0DO q ............... X CPO 5949a03-06 3/1/2019 3111202a CLAIMS-MADE OCCUR .IA,-•' ..�•IiIi;ITP:'.D...... .. 1,041G,OIYO X riti,2.11l;aI:.....•. 5 MED F%P An I.unas rsonl� '�" E.00�0 PERSONAL It AL'•h1f INJURY '..s I,D80,0 0 GEN'...... LAGGREGATELIMITAPPLIESPER. ;GENERALRGGREGATE 5 znoopou ... .., ,,., ......... POLICY •,,..JECT""""""""""""""" LOC PRODUCTS Ct"JVnIP10PAGG 5 2,P,NOd'l.04W.. .... OTHER,,... ..................... I;,,Otx � ..... I�::IN.... „zINL:IL::.LIm I A AUTaMoaILELtAaILITY X CPO5949a03-O6 3/1/2019 31112020 a nl S too7o'000 X ANY AUTO BODILY INJURY(P'er Person) 5 OWNED • SI:,HEDULED V:4C9DIL^Ir INJURY(Per unrclrkvyx p s ..............•, AUTOsONLY AI6rTO5 X HIRED x NON-OWNED FPRC,kF'+ERTYV.".IAMAGE y ............- AUTOS ONLY ................. AII.ITOS ONLY .tU�6�.IY..::�:6v"w!.r�E,rvl:d.................. .._..... . S 5 ................................................................................................................. .. AIMS-MADE ...........,... ....,,.... M ...., . ® x uMBRELLALlAe ; x OCCUR AUC59449024-05 31112019 3/1/2020 EA(::I•�I:ar:.cl..rRRENCE. TD,i:Irla1,D1Ia EXCESS LIAR AZ,T�rvRER.iI'Vii 10.0 I1e,0 DE.D I RETENTION S s ....WORKERS COMPENSATION rRrI AND EMPLOYERS'LIABILITY v r N Ar,U'VPFIOInR1ETOFUPARTNER.n::XECUTIVE N f A .Ilw L,.EACPd ACCIDENT '.. OFFICERIMEMBEREXCLUDED? a` (Mandatary In NHI E I. DISEASE EA EriiPl•.O'I'E:E s 11 DS CTI under R PON OF OPERATIONS belay E:A.DISEASE POLICY l.IMT q ......., ............................................................................................................................... A Liuor Liability L CP05949003-0 3 3100020 Euar,;tl Ommrrence S1,CIN.W00 AgIIralsle s,2,000,000 I I ' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it mare space its vrrgiAged) The following are additional insured: MIAMI-DADE COUNTY,FLORIDA MIAMI DADE AVIATION DEPARTMENT AGE "(j WESTFIELD AIRPORT,LLC, a Delaware Limited Liability Corporation WESTFIELD DEVELOPMENT,INC.,a Delaware corporation VNI WESTFIELD,LLC,a Delaware Limited Liability Corporation ...................................................................................................................... . C TIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street THE EXPIRATION DATE THEREOF. NOTICE WILL B DEUV D I ACCORDANCE WITH THE POLICY PROVISIONS. Room 268 Key West„FL 33040 AUTHORIZEOREPRESENTATIVE The ACORD name and logo are registered marks of ACORD 198-2015 ACORD CORPORATION, All rights reserved, ACORD 25(2016103) imau Afflis A490w "ua7+a7ee,adan4+srmrsl Client Code:MASTE=CON6 SIB 14112410 Additional Remarks Schedule (Continued from Page 1) Location 3493 South Roosevelt Blvd Key West,FL 33040-Key West International Airport/The McCoy Terminal/KW International Terminal/Arrival Lounge Monroe County Board of County Commissioners are Additional Insured in respects to the General and Auto Liability as per mitten contract. Additional Remarks Schedule-Con't MASTECON6 A�"`� DATE/5/201/YYYY) /"��O CERTIFICATE OF LIABILITY INSURANCE 4/5/2019 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Claudia Ramos Commercial Lines-(305)443-4886 PHONE 786.785.1153 FAX 305-428-0017 (A/C.No.Ext): (A/C,No); USI Insurance Services LLC ADDRESS: claudia.ramos@usi.com 2601 South Bayshore Drive,Suite 1600 INSURER(S)AFFORDING COVERAGE NAIC# Coconut Grove,FL 33133 INSURERA: Zurich American Insurance Co 16535 INSURED INSURER B: American Guarantee and Liability Insurance Corn 26247 Master Concessionair,LLC INSURER C: 5727 NW 7th Street Suite#97 INSURER D: INSURER E: Miami FL 33126 INSURER F COVERAGES CERTIFICATE NUMBER: 14112410 REVISION NUMBER: See below 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. INSRLT TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY X CPO 5949003-06 3/1/2019 3/1/2020 EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X OCCUR DAMAGETORENTED PREMISES((Ea occurrence) $ 1,000,000 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG S 2,000,000 OTHER: S A AUTOMOBILE LIABILITY X CPO 5949003-06 3/1/2019 3/1/2020 COMBINED SINGLE LIMIT sccident) 1,000,000 (Ea a X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED x NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) S B X UMBRELLA LIAB X OCCUR AUC59449024-05 3/1/2019 3/1/2020 EACH OCCURRENCE S 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Liquor Liability CP05949003-06 3/01/2019 3/01/2020 Each Occurrence$1,000,000 Aggregate$2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS!.VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The following are additional insured: • MIAMI-DADE COUNTY,FLORIDA APP \ % MIAMI DADE AVIATION DEPARTMENT 8 WESTFIELD AIRPORT,LLC, a Delaware Limited Liability Corporation [_7A WESTFIELD DEVELOPMENT,INC.,a Delaware corporation WAI R N/A g� WESTFIELD,LLC,a Delaware Limited Liability Corporation L( 1/.)1 CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Room 268 Key West,FL 33040 AUTHORIZED REPRESENTATIVE 4)-7 774 C01,..7 " The ACORD name and logo are registered marks of ACORD ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) 11111 01E11 III HI I 1111 I 11111110 1111111111111 111111 cveolAosr000loarcyoarororoic (This certificate replaces certificate#14112497Issuad on 4/52019) Client Code:MASTECON6 SID:14112410 Additional Remarks Schedule (Continued from Page 1) Location:3493 South Roosevelt Blvd Key West,FL 33040-Key West International Airport/The McCoy Terminal/KW International Terminal/Arrival Lounge Monroe County Board of County Commissioners are Additional Insured in respects to the General and Auto Liability as per written contract. Additional Remarks Schedule-Con't • 11111111111111111111 1 III 1 li111111IIII IIIII II II IIII IIIII IIII III I IIII ff11 IIII IIII •CYB01A05/000704/03/03/0roro WORLWID-02 ARAVELO ACOROA CERTIFICATE OF LIABILITY INSURANCE DATE1/2/2 D/YYYY) 1/2/2019 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Morris&Reynolds Inc. PHONE 14821 South Dixie Highway (A/c,No,Eat):(305)238-1000 I FAX No):(305)255-9643 Miami,FL 33176 E-MAIL INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:FCCI Insurance Company 10178 INSURED INSURER B: Conch Flyer Concessions,LLC INSURER C: Ms.Maribel Cardo 5727 NW 7th Street#97 INSURER D: Miami,FL 33126 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD 1MM/DD/YYYY1 (MM/DD/YYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) S _ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ _ WNED _ AUTOS ONLY AUTOSULED BYF VE g R BODILY INJURY(Per accident) $ HIRED NON-OWNED DATE_. .-v. _ • PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY WAIVER /A 5 (Per accident) $ $ UMBRELLA LIAB OCCUR 1 EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ - $ A WORKERS COMPENSATION X STATUTE OTH- ER AND EMPLOYERS'LIABILITY Y/N 001WC18A69153 9/10/2018 9/10/2019 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Workers Compensation 001WC1877726 9/10/2018 9/10/2019 GA&VA Emp Liab 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Restaurant and Concessions at Miami,Ft.Lauderdale,Key West,Orlando,Atlanta,and Dulles International Airports. Conch Flyer Concessions,LLC @ 3495 S.Roosevelt Blvd.,Key West,FL 33040 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe CountyBoard of CountyCommissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Key West,FL 33040 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 136687 ' ® , DATE (MMIDDIYYYY) A�� CERTIFICATE OF LIABILITY INSURANCE 3/19/2018 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 - -- -- 1ONTACT CAME: Claudia Ramos Commercial Lines - (305) 443 -4886 'HONE FAX NC. No. Ext : 786 (aC, No): 305 - 428 -0017 USI Insurance Services National, Inc. / I 1 E O , ,/ I / ^' �J ' / ADDRESS: c laudia.ramos C� usi.com 2601 South Bayshore Drive, Suite 1600 l�rCVVV111��v��///��` , INSURER(S)AFFORDINGCOVERAGE NAIL Coconut Grove, FL 33133 NSURERA: Z urich American Insurance Co 16535 INSURED VralitA04...+ NSURER B: American Guarantee and Liability Insurance Com 26247 Master Concessionair, LLC ® NSURER C : 5727 NW 7th Street Suite #97 NSURER 0: NSURER E: Miami FL 33126 I INSURER F : COVERAGES CERTIFICATE NUMBER: 12834461 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP W LIMITS LTR INSD VD POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY) A X COMMERCIAL GENERAL LIABILITY CPO 5949003 3/1/2018 3/1/2019 EACH OCCURRENCE S 1,000,000 DAMAGE — CLAIMS-MADE X OCCUR PREMISES O (Ea occur ence) S 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL BADV INJURY 5 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY PRO JECT LOC PRODUCTS - COMP /OP AGG S 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY CPO 5949003 3/1/2018 3/1/2019 COMBINED SINGLE LIMIT s 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS ONLY AUTOS X HIRED x NON -OWNED PROPERTY DAMAGE 5 AUTOS ONLY _ AUTOS ONLY (Per accident) — $ B x UMBRELLA LIAB x OCCUR AUC59449024 - 3/1/2018 3/1/2019 EACH OCCURRENCE S 10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 10,000,000 DED RETENTION $ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY y / N STATUTE ER ANYPROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N / A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Liquor Liability CP05949003 - 05 3/01/2018 3/01/2019 Each Occurrence $1,000,000 Aggregate S2,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The following are additional insured: MIAMI -DADE COUNTY, FLORIDA red AP OVER BY RI G M T MIAMI DADE AVIATION DEPARTMENT BY !i1 2 . , R c 4=U. Ada WESTFIELD AIRPORT, LLC, a Delaware Limited Liability Corporation - i�' K WESTFIELD DEVELOPMENT, INC., a Delaware corporation DATE WESTFIELD, LLC, a Delaware Limited Liability Corporation WAIVER YES_ CERTIFICATE HOLDER CANCELLATION Monroe County Board of County Commissioners SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1100 Simonton Street ACCORDANCE WITH THE POLICY PROVISIONS. Room 268 Key West, FL 33040 AUTHORIZED REPRESENTATIVE 9 « The ACORD name and logo are registered marks of ACORD © 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) • CID: 136687 SID: 12834461 Additional Remarks Schedule (Continued from Page 1) Location: 3493 South Roosevelt Blvd Key West, FL 33040- Key West International Airport/The McCoy Terminal /KW International Terminal /Arrival Lounge Monroe County Board of County Commissioners are Additional Insured in respects to the General Liability , as per written contract. • Additional Remarks Schedule -Con't WORLDWC OP ID: AA2 A ^ ^ Q CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 09/29/2017 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 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). Morris & Reynolds Inc. 14821 South Dixie Highway Miami, FL 33176 CONTAPRODUCER NAME: Annete Herman PHONE 305-238-1000 FAXNo : 305-255-9643 , No Ext ADDRESS: anneteh@morrisandreynolds.com INSURERS AFFORDING COVERAGE NAIC # Robert D. Reynolds INSURER A: FCCI Insurance Company 10178 INSURED Master Concessionair, LLC d/b/a World Wide Concessions MCA TH ACP JV, LLC INSURER B : INSURER C Ms. Maribel Cardo INSURER D : INSURER E 5727 NW 7th Street #97 Miami, FL 33126 INSURER F r1COTIGI/`AT1= K1 RA0I=D• REVISION NUMBER: L1VVaMM%J1CQ -- 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 SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F—IOCCUR EACH OCCURRENCE $ DAMAGE T RENTED PREMISES Ea occurrence $ _ MED EXP (Any one person) $ _ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ _ $ POLICY D PROJECTEJ LOCAGG -PRODUCTSCOMP/OP I$ OTHER: LIABILITY Ea accident)nSINGLE LIMIT COMBINEAUTOMOBILE $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS BODILY INJURY (Per accident) $ PROPERTY Per accident DAMAGE $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ WORKERS COMPENSATION X PER OTH- STATUTE ER $ E.L. EACH ACCIDENT $ 1+000+00 A AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YjJ OFFICER/MEMBER EXCLUDED? �J (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 001 WC17A69153 U9/10/?0'7 09/09/2018 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE -POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Conch Flyer Concessions, LLC @ 3495 S. Roosevelt Blvd., Key West, FL 33040 BjlvtEy;NGEMENT q l// � �w AIVER A cc:P1L CERTIFIGATt HULUtK MONROE8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners AUTHORIZED REPRESENTATIVE 1100 Simonton Street Key West, FL 33040 ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD 136687 ACORV CERTIFICATE OF LIABILITY INSURANCE DATE3/88/2017 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 endorsements . PRODUCER Commercial Lines - (305) 443-4886 CONTACT Claudia Ramos PHOONE FAx No Ext: 305-443A886 q� No: 305-428-0017 Wells Fargo Insurance Services USA, Inc. 2601 South Bayshore Drive, Suite 1600 ,ADDRESS: Claudia. Ramos@wellsfargo.com INSURER(S) AFFORDING COVERAGE J NAIC# Coconut Grove, FL 33133 INSURER A: Zurich American Insurance Co 16535 INSURED Master Concessionair, LLC INSURERB: American Guarantee and Liability Insurance Com 26247 INSURER C : 5727 NW 7th Street Suite#97 _ INSURER D : INSURER E : Miami FL 33126 INSURER F COVERAGES CERTIFICATE NUMBER: 11547841 REVISION NUMBER: See below 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 L UBR POLICY NUMBER POLIO EFF MMIDD/YYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE N OCCUR CPO5949003-03 3/1/2017 3!1/2018 EACH OCCURRENCE $ 1,000,000 PREMISES EaEo�rence $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 POLICY ❑ PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG S 2,000,000 S OTHER: A AUTOMOBILE LIABILITY CP05949003-03 3/1/2017 3/1/2018 COMBINED SINGLE LIMIT S 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) S X PROPERTYDAMAGE or accident) $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY $ B X UMBRELLA UAB X OCCUR AUC5944902403 3/1/2017 3/1/2018 EACH OCCURRENCE $ 10=0,000 AGGREGATE $ 10,000,000 EXCESS LIAR CLAIMS -MADE DIED I I RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXEW,— STAT T ORH E.L. EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Liquor Liability CPO594900303 3M1/2017 3/01/2018 1,000,000 Each Occurrence Aggregate $2Mil DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Ref: Conch Flyer Concessions, LLC / Concessions Development Group, LLC Location: 3493 South Roosevelt Blvd Key West, FL 33040- Key West International Airport The McCoy Terminal/ KW International Terminal / Arrival Lounge Monroe County Board of County Commissioners are additional insured, as per written contract. APPR ED 61 GEMENT BY pv- 1 W AIV N. A Y �G CERTIFICATE HOLDER CANCELLATION Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street Room 268 AUTHORIZED REPRESENTATIVE Key West FL 33040 % GC.) vWC.c� � The ACORD name and logo are registered marks of ACORD 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 111111111111111111 IN IIIII IIIII) IIII IIIII IIIII IIII IIIII IIIII IIIII IIIII IIIII IIIII IIII III) rvanransron........n'..- DATE (MM/DD/YYYY) ACOREP CERTIFICATE OF LIABILITY INSURANCE 4/30/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must a endorsed. SUBROGATION WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A stat tement on this s certificate does not confer rights to the certificate holder in lieu of such endomement(s). CONTACT PRODUCER NAME: Julio C Moreno, Sr. Wells Fargo Ins Services USA, Inc. (MIA) PHONE E (305) 443 -4886 FAX No:(305) 441 -0460 2601 S Bayshore Dr, Suite 1600 E -MAIL Coconut Grove FL 33133 INSURERS AFFORDING COVERAGE NAIC # INSURER A: American Zurich Insurance CO. 40142 INSURER B: Zurich American Insurance Co. 27855 INSURED Master Concessionair, LLC Guarantee & Liability 26247 INSURERC:American DBA: World Wide Concessions 5727 NW 7th Street Suite #97 INSURER D: Miami FL 33126 -0190 INSURER E: (305) 871 -0559 INSURER F: COVERAGES CERTIFICATE NUMBER: Cert ID 422150 REVISION NUMBER: BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 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 ADDL SUB POLICY EFF POLICY EXP LIMITS INR TYPE OF INSURANCE POLICY NUMBER MM /DD/YYYY MM /DD/YYYY LT EACH OCCURRENCE $ 1,000,000 GENERAL LIABILITY DAMAGET RENTED $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CP0594900300 3/1/2014 3/1/2015 PREMISES Ea occurrence MED EXP (Any one person) $ 5,000 CLAIMS -MADE ❑X OCCUR PERSONAL & ADV INJURY $ 1 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OPAGG $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY Ea accident CP0594900300 3/1/2014 3/1/2015 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON -OWNED Per accident X X HID AUTOS RE AUTOS $ OCCUR AUC594902400 3/1/2 3/1/2015 EACH OCCURRENCE $ 10,000,000 C X UMBRELLA LIAS X $ 10,000,000 AGGREGATE EXCESS LIAB CLAIMS -MADE APP B I K ENT $ DED RETENTION $ WC STATU- OTH- WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N DAT E.L. EACH ACCIDENT $ ANY PROPRIETOR /PARTNER/EXECUTIVE . OFFICER /MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A WANIR N/ E.L. DISEASE - EA EMPLOYE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below CP0594900300 3/1/2014 3/1/2015 Sa Common Cause A Liquor Liability Aggregate $2MIL 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) $1.8MM Improvements /$170,000 Equipment, (A)Property- Policy #CP0594900300 Eff: 3/1/14 - 3/1/2015- $30,000 Inventory,$900,000 Business Income (C) Umbrella Covers over Employers Liability (EL) Ref: Conch Flyer Concessions, LLC / Concessions Development Group, LLC Rey West International Airport Location; 3493 South Roosevelt Blvd Rey West, FL 33040- The McCoy Terminal/ KW International Terminal / Arrival Lounge Monroe County Board of County Commissi(%ers Lie Addpxionall, insured, as per written contract. CERTIFICATE HOLDER CANCELLATION K ' � - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE '� THE EXPIRATION DATE THEREOF, NOTICE W ILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County 3 l y Commissioners 1100 Simonton Street 1 //t.�}_ J�JI AUTHORIZED REPRESENTATIVE Room 268 Rey West FL 33040 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD ISSUE DATE (MM/DD/YY) al:llis1�® CERTIFICATE OF INSURANCE 9/15/90 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS KEY WEST INSURANCE, INC. NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, 3104 Flagler Avenue EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Key West, FL 33040 COMPANIES AFFORDING COVERAGE CODE SUB -CODE INSURED CONCH FLYER, INC. DBA/CONCH FLYER RESTAURANT AND LOUNGE 3495 S. Roosevelt Boulevard Key West, FL 33040 COMPANY LETTER A CASUALTY INDEMNITY EXCHANGE COMPANY LETTER B UNITED NATIONAL INSURANCE CO. COMPANY G. LETTER COMPANY D LETTER COMPANY E LETTER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER ALL LIMITS IN THOUSANDS DATE (MM/DDlYY) DATE (MM/DDlYY) GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY CUO 24 264 CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY EXCESS LIABILITY OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY 9/15/90 9/15/91 Aeceivv i Risk Mgmt.,& Loss Control DATE INITIAL B OTHER LIQUOR LIABILITY LIQ 100018 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS RESTAURANT/TAVERN MONROE COUNTY ATTENTION: DONNA PEREZ Wing 2 - Room 207 Public Service Building 5825 Junior College Road Key West, FL 33040 ACORD 25-S (3/88) GENERAL AGGREGATE $1 , 000, 0 0 PRODUCTS-COMP/OPS AGGREGATE $ PERSONAL & ADVERTISING INJURY $ EACH OCCURRENCE $1,000, 00 FIRE DAMAGE (Any one fire) $ MEDICAL EXPENSE (Any one person) $ COMBINED SINGLE $ LIMIT BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY $ DAMAGE EACH AGGREGATE OCCURRENCE STATUTORY $ (EACH ACCIDENT) $ (DISEASE —POLICY LIMIT) $ (DISEASE —EACH EMPLO) 9/15/90 9/15/91 $500,000 Aggregate/$500,000 %,AN'-r-LLA I IVN _-- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ©ACORD CORPORATION 1988 i,.. .� MITI 1 nl'Ir I 11:a I1�'11-14-88 x'In u�ulll)n11 Emery-Ri.cha rdson Inc:. P.O. Box 11434 Ft.Laud, F]_ 33339 - i T'Il I CaS Ll d1tS, il1C�E 'Ylt=1.VYC�1d71C7 1lich1c,an '111tual Is ' -Conch Flyer In(-.-, dba rrl I'LZitect Nat, � na l Ins 'o Conch E'l7er Res � urant & — -- - - - - ! 3491) S . Roos t Blvci rti i bc�rt�.' ''�';ut'ua 1 L Key West:, F.I. 33040- i i 111i• ml ;mllllll■III I I III■ II II 11 I■IIIIII II11 I I III 1 II 1 I mill I III III 1111 THIS IS TO CERTIFY THAT ';11_ia E;- : F NSLIFIAIJI EE I,F I i 31i . 1 i , E il, I I I! . E . CI M ;l NOTWITHSTANEIINia ANY IEQUIR :1I i J- , TE`PMA C I CD I 1 CI' 1 1 CCI . IV 0 1 ME IE V It i fl BE CSSUEEI OR 14AV PERT, II, TH i '1,E L IANCE A FORTE i' ', CIE: E1: 111 1 Li C T10NS OF 'SUCH PIal.IC1E:E . TYPE E (F IN'MRAN -'OLI J': I- I! - - _ - G GENERAL LIAB11_fl'1' - - - X COMPF.LHENISVE =ORM u U X PREMISS/OPFFIAIIONS CU 0 2 4 tom'. h 4 _. 1 _ 8 - - ! UNDERCROUNJ 11 A, EXPLOSON & COLLAPSE 11'L4RD X PRODUC TS/CICIV PLETED OI) : w ON 5 t X CONTRACTUAL A 500 500 X INDEPENDENT (;O%ITRACTCf i X BROAD '-ORM PROP_RTY I) NAGE - - - I X PERSONAL MIL'RY 500 ! AUTOMOBILE LIABILITY ANY ALTO ;p ALL OVVNED ALTOS (PRIV PeSS_) - Y - _ ALL OVVNED AUTOS (011": THAN 1 1v PFm ,4Ss A ! HIRED AUTOS - NON-OVVNED AUTOS )i GARAGE LIABILITY - - I, 1 AI I EXCESS LIABILITY UMBRELLA F031N n1 1 5 Q 500 P- X OTHER THAN MAERELLA F(IiDA GLF()40844 i 5-88 9-15- 89 WORKERS' COMIPENSi4ICON { AIN[1 100 : N.. � L EMPLOYERS' LIABILI I"1' WC 1 3. 4 4 `) 0 0/ 01 S 1- 6- 8 8 1 1- 6- 8 9 5 Q-0, i:- C M,', ------ -- -- - - — - - --- - !. - - - 10� 4;,H "NIP" 1 F- OTHER . C LIQUOR LIABILITY GA607589 9-23-88 9-23-89 $500,000. 1 iL'RIPTION OF CIF ERATIONEII.;)I ICIV: P EHICLE:S, iPE:C t CSSilllllllll■IIII I milli III ,i County of Monroe Office of County Adminstrator Donna Perez wing 111, Room 300 Public Service Bldg IIyl�1; �11 �ii .I;II I 1 I IIII�IIIII'IIIIIIIIIIIII1IHIII11I SIH : LEI 01 „ ° "F V ;F 2 Cil:!ti BE : I1',I IiLI E V '!II )RE THE EX- pit r C I 1 ' . f IE i;:C'M 1'1 1 1' VI i. EAVOR TO NI,I II j Q I ;'i C I i:iiT1FI'1 j E )II.11 iAED TO THE IC f IM1I'VI'i IL. ';, DR LIABILITY OI° IY 111 E 3:IN ( ( ;; OR 1:V ;I EI''G I hJTI :''CCI t:SI J 1J•. C it • I�,Y u, j: � • Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. NAME AND ADDRESS OF SERVICE COMPANY COMPANIES AFFORDING COVERAGES COMPANY A EXECUTIVE RISK CONSULTANTS, INC. P 0 BOX 166007 LETTER COMPANY B•is�• ALTAMONTE SPRINGS FL 32716 LETTER NAME AND ADDRESS OF INSURED 4. COMPANY STAFF LEASING, INC.. ETTER C.Ilan COMPAERY C ,l 1301 6TH AVE WEST STE 101 BRADENTON FL 34205 J COMPANY C LETTER G This is to certify that policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement, term or condition p�ygw r 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 o s ► _ policies. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. COMPANY LETTER TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS COMP/OP AGG $ CLAIMS MADE OCCUR. PERSONAL & ADV. INJURY $�� OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE _ $ C� i7 'E_ FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ _.. _.. HIREDAUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) _._ _...... GARAGE LIABILITY --- PROPERTY DAMAGE i$ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION ran ry p� EACHACCIDENT $ 10n0900,0 AND DISEASE -POLICY LIMIT $ 5009000......... A EMPLOYERS' LIABILITY #� �L 060--06904 /(� / 3/01 93 j{��I 3!/01 4 100900o DISEASE -EACH EMPLOYEE $ OTHER STATE OF FLGRI A/FLORIDA EMPL YEES ONL A-46756 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Effective Cate: 05/01/92 Cancellation: Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavor to mail 30 days written notice to the below named certificate holder, but failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. NAME AND ADDRESS OF CERTIFICATE HOLDER ISSUE DATE MONROE COUNTY 03101/9` 1� n 5100 JUNIOR CCLLEGE ROAD W STOCK ISLAND KEY iwlcSTi FL 3304C AUTHORIZED REPRESENTATIVE A6111UP. CERTIFICATE OF INSURANCE DAT�.j17IfQlg'/ 9, PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JOHNSON & HIGGINS ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ATTN: KEITH CORNISH HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CASUALTY DEPARTMENT ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 125 BROAD STREET COMPANIES AFFORDING COVERAGE NEW YORK NY 10004-2424 -_-_-__ COMPANY Liberty Mutual Insurance Co. -- --- --- ----- INSURED ---- _—- --_ ---- �Jn STAFF LEASING, L.P., TOTAL EMPLOYEE I COMPANY g LEASING SERVICES, L.P., FLORIDA Y -- - - -- PAYROLL LEASING AND SERVICES L.P. I COMPANY � ( & ITS AFFILIATES & SUBSIDIARIES DATE — %% a 1301 6TH AVENUE WEST - - - - - - - BRADENTON FL 32406 ,' COMPANY ,. D WAVER: N/A YES COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER IDATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY r GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY +- -_-j CLAIMS MADE iOCCUR OWNER'S & CONT PROT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS Received Risk. hlgm ''L.oss Control PRODUCTS COMP/OP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE _- $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ COMBINED SINGLE LIMIT $ BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY a �...>,a.3 - --� AUTO ONLY EA ACCIDENT $ ` ANY AUTO - -- --- MT11A,L �._� OTHER THAN AUTO ONLY I EACH ACCIDENT $ r+uun�ur,i� S I EXCESS LIABILITY EACH OCCURRENCE i $ UMBRELLA ORM _ E —� $ -- — AGGREGATHER OTHER THAN FORM '$ WORKERS COMPENSATION AND ' , u 3/1195 X STATUTORY LIMITS SC LIABILITY WC1-651-004110-01( 03/01/9fs r — --- — -- PLOY __ EACH ACCIDENT- THE PROPRIETOR/ IX ] INCL I PARTNERS/EXECUTIVE ' DISEASE - POLICY LIMIT $ 1,000,000 i OFFICERS ARE: i EXCL _ _ DISEASE - EACH EMPLOYEE $ 1,000.000 OTHER iI III i Ili '. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS * THE WORKERS COMPENSATION LAWS - LIABILITY UNDER WHICH 1S COVERED UNDER THIS POLICY - OBLIGATE STAFF LEASING, TOTAL EMPLOYEE LEASING SERVICES AND FLORIDA PAYROLL LEASING AND SERVICES TO PAY BENEFITS ONLY TO ETL1j1YEES OF STAf *MIN["LFJ'§RS , INC. C CERTIFICATE HOLDER N a) � 7� IF THE ABOVE DESCRIBED MONROE COUNTY BU I LD I N( POLICIES BE CANCELLED BEFORE THE ' ` - RISK MGMT . OFF I CI TE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 5100 JUNIOR COLLEGE R( VRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, h t,;Y WEST, FL 33040 � '0 MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 3 UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ESENTATIVE ACORD 25-S (3/93) S i ba a r � �lerf (ORATION 1993 T i a- ACORD CERTIFICATE OF LIABILITY INSURANCE CSR CH DATE(MMIDDIYYYY) 1 CONCH-4 05 16 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West P.O. Box 5548 RECEIVED EXTEND OR ALTER HE COVERALD 1. THIS IGE AFFORDED BYFICATE DOES TTHE POLICIES BELOW. Key West FL 33045-5548 Key Phone:305-294-7696 Fax:305 94- 383 IN URE AFFORDING COVERAGE NAIC# -- _� INS RER A: North Pointe Insurance Co. 03510 INSURED MAY 1 2006 INS RER B: C n h Flyer, Inc. d b a The Conch F1ya 349 S. Roosevelt Bl Key West FL 33040 Res MONROE COUNT! RISKMANAGEMENi RER c: -- INSURERD E: COVERAGES THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INtUR LTRINSRE ADD' TYPE OF INSURANCE POLICY NUMBER DATE MMIDDM%E DATE MMIDDM' N LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000, 000 X _ $lOD,OOD A X COMMERCIAL GENERAL LIABILITY ClAIM3 MADE OCCUR 7094106729 09/15/05 09/15/06 PREMISES (Ea oT�RE ccu en�ce) WED FXP(Any one person) $ 51000 PERSONAL & ADV INJURY $1,000,000 _ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $2, 000, 000 POLICY PRO- LOC ECT X AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1000000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ A HIRED AUTOS X NON -OWNED AUTOS 7094106729 09/15/05 09/15/06 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) �$ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: qGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ �. $ - $ DEDUCTIBLE $ RETENTION $ .. r— WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 7 TwUbIAIU- LIMITS I Eft - E.L. EACH ACCIDENT $ ANY PROPRIETOR/ R/EXECUTIVE " EL DISEASE -EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? EXCLUDED? S C tlescbbe ISEer SPECIAL PROVISIONS below � �- -- E.L. DISEASE -POLICY LIMIT $ OTHER Cc. DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Restaurant - less than 75% alcohol, no dance floor HOLDER MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAT14 DATE THEREAF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of County LRMEPI" CE Commissioners 1100 Simonton St SE Key West FL 33040 ES WED TO THE LEFT, BUT FAILURE TO DO SO SHALL ANY KIND UPON THE INSURER, ITS AGENTS OR 125 (2007 8) . G Cl*. ACPHI a1® PRODUCER EY WEST INSURANCE INC. .0. BOX 9108 EY WEST FL 33041-9108 INSURED ONCH FLYER, INC. /0 JOHN RICHMOND 495 S. ROOSEVELT BLVD. EY WEST, FL 33040 ISSUE DATE (MM/DD/YY) CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A ILLINOIS INSURANCE EXCHANGE LETTER COMPANY B CAPACITY INSURANCE CO. LETTER COMPANY C APPROVED BY RISK MANAIrFVW, LETTER COMPANY D BY LETTER COMPANY EDATE / LETTER THE INSURED NAMED ABOVE FOR THE POLICY PERIOD OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, BY PAID CLAIMS. O TR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY MMERCIAL GENERAL LIABILITY LAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROT. DRT 16 0 7 7 4 0 3 3 3 6 9/ 15 / 9 3 9/ 15 / 9 4 GENERAL AGGREGATE $ 1 0 0 0 0 0 PRODUCTS—COMP/OP AGG. $ 1,000,00C PERSONAL & ADV. INJURY $ 1 0 0 0 0 0 EACH OCCURRENCE $ 1 0 0 0 0 0 FIRE DAMAGE (Any one fire) $ 5 0 0 0 MED.EXP. (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON —OWNED AUTOS GARAGE LIABILITY COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ DAMAGE I EXCESSUMBRELOTHER LA F UMBRELLA FORM I I I AGGREGATE $ TE OCCURRENCE STATUTORY LIMITS WORKER'S COMPENSATION AND EACH ACCIDENT $ EMPLOYERS' LIABILITY DISEASE —POLICY LIMIT $ DISEASE —EACH EMPLOYEE $ OTHEILIQUOR LIAB CGLOO1786 9/15/93 9/15/94 500,000. Received Risk q.gmt. &!Loss Control DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS DATE l / — `� ESTAURANT/TAVERN o/c_ ERTIFICATE HOLDER IS ADDITIONAL INSURED'�'L MONROE CO BOARD OF COUNTY COMMISSIONERS ATTN: RISK MANAGEMENT 5100 COLLEGE ROAD KEY WEST FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL I ()— DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Certificate of insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to Certify that Staff Leasing, L.P., Total Employee Leasing Services,L.P., Florida Payroll Leasing & Services, L.P. , Staff Leasing, II, L.P., Staff Leasing III, L.P., and It's Affiliates and Subsidiaries 1301 6th Ave. West, Suite 101 Bradenton FL 34206 is, at the issue date of this certificate, insured by the Company u Name and address of LIBERTY Insured MUTUAL .b ,ider the policy(ies) listed below. The insurance afforded by the listed policy(Ies) Is subject to all their terms, exclusions and conditions and is not altered by any requirement, term or condition of anv contract or other rtnminnAnt with rasnaet in uihirh thin nn.Fif,.. #� �, : ... TYPE OF POLICY CERTIFICATE EXP. DATE * ❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY X❑ POLICY TERM Coverage Afforded Under WC Law of the Following States: EMPLOYERS LIABILITY WORKERS COMPENSATION 3-1-96 WC1-651-004110-015 FL,GA,AL,AZ,CO, CT, ID, IL, IN, KY, LA,MD,MI,MO,MS, NC,NH,NY,OR,PA, Bodily Injury By Accident Each 1,000,000. Accident Bodily injury By Disease Policy 1,000,000. Limit SC,TN,TX,VA Bodily Injury By Disease Each 1,000,000. Person GENERAL LIABILITY General Aggregate -Other than Prod/Completed Operations ❑ CLAIMS MADE APPROVED Ell RISK MANAGFUFNT Products/Completed Operations Aggregate RETRO DATE RY L'' Bodily Injury and Property Damage Liability Per ❑ OCCURRENCE DATE WAIVER: N/A ^� y— YES Occurrence Personal and Advertising Injury Per Person/ Organization Other: Other: AUTOMOBILE LIABILITY ❑ OWNED Each Accident - Single Limit - B. I. and P. D. Combined Each Person ❑ NON -OWNED Each AccidOccurrence ❑ HIRED Each *Mend Occurrence OTHER DATE ADDITIONAL COMMENTS Employees leased to: INITIAL Their Effective Date: f.z3,b ?31'0I1145 The above reference Wo er's � mp nssaiion policy provides statutory benefits only to employees of the Named Insured(s) on the policy, not to employees of any other employer. *IF TI-IF CFGTIMPATC CVDIMATi . n -- - -- -- - • •• • •�+•..�.� • .vvry 1 n`lu%jua. un GA I ENDED I tHM, YVU WILL BE NOTIFIED IF COVERAGE IS TERMINATED OR REDUCED BEFORE THE CERTIFICATE EXPIRATION DATE. HOWEVER, YOU WILL NOT BE NOTIFIED ANNUALLY OF THE CONTINUATION OF COVERAGE. SPECIAL NOTICE - OHIO: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT Liberty Mutual CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES Insurance Group UNTIL AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: CITY Of F C.WIRISK RANAEEITWOf; CERTIFICATE 1 0 C O L L RCA D HOLDER KEY W E a T' FL x :0 4 w JOHN SHAHINIAN AUTHORIZED REPRESENTATIVE _ Orlando, FL 4? 2/ 1 4 J S 5 OFFICE DATE ISSUED �.,L 11v0UrIMNta UHvuv as respects such insurance as cc . y,41�„c , i CERTIFICATE OF INSURANCE THE pU45g ISSUE DATE (MM/DD/YY) 10/16/95 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE EY WEST INSURANCE INC. POLICIES BELOW. . 0. BOX 9108 COMPANIES AFFORDING COVERAGE KEY WEST FL 33041-9108 COMPANY A CAPACITY INSURANCE CO. LETTER COMPANY B COLONIA INSURANCE CO/PROGRAM INSURED LETTER ONCH FLYER, INC. COMPANY C o/l°la 5� /O JOHN RICHMOND LETTER Gam. 495 S. ROOSEVELT BLVD. COMPANY BY — D KEY WEST, FL 33040 LETTER COMPANY E �_ .,. n LETTER 4r�+�+C�• fy'; A i �.,� ------ CpYI+RA��S 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 DESCRIBEDIS SUBJECT TO ALL THE TERMS, EXCLUSIONS LIMITS AND CONDITIONS OFISUCH POLIVGrIE3 SHOWN MAY HAVE BEEN REDUCED Y PAID CLLAIMSEIN O TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS TR ATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY C P P 7 9 5 7 2 9 A 09/15/95 9/ 15 / 9 6 GENERAL AGGREGATE $ 1 O O O O O MMERCIAL GENERAL LIABILITY PRODUCTS—COMP/OP AGG. $ 1 O O O O O LAIMS MADE OCCUR. PERSONAL & ADV. INJURY $ 11000,00 OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000,00 FIRE DAMAGE (Any one fire) $ 5 O O O MED.EXP. (Any one person) $ 5,00 AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO F? �eived LIMIT $ BODILY INJURY ALL OWNED AUTOS 1"AgrTPI. & LOSS COR II SCHEDULED AUTOS (Per person) $ HIRED AUTOS t h '_ --.__ � n Z o 3'y BODILY INJURY NON —OWNED AUTOS e LrS (Per accident) $ GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY LIMITS EACH ACCIDENT AND $ LIMIT $ EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE $ oTHEIPROPERTY CPP795729A 09/15/95 09/15/96 $ 50,000 LIQ LIABILITY CLP004378 09/15/95 9/15/96 $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ERTIFICATE HOLDER IS ADDITIONAL INSURED CIRT FI TE HOLDEA CANGELLATlON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MONROE CO BOARD OF MAIL 10— DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE COUNTY COMMISSIONERS LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR ATTN : RISK MANAGEMENT LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 5100 COLLEGE ROAD KEY WEST FL 33040 AUTHORIZED REP SENTATIVEm (� I AC4Rp 254 (7i9Q} CG ; n OACORD CORPORATION: 1900 Certificate of Insurance 5 }� peg THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOL'i�EIL I' CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LIS'ljSktE PI I17t. & Loss Controi This is to Certify that DATE - CIO Staff Leasing, L.P., Staff Leasing II, L.P., Staff INITIAL.Alf Leasing III, L.P., Staff Leasing, IV, L.P. Staff Name and UBER Leasing V, L.P. address of MUTUAL® 600 301 Blvd. West Suite 202 Insured. Bradenton, FL 34205 Is, at the issue date of this certificate, insured by the Company under the policy(iesl) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this oertKficats may be isstied. TYPE OF POLICY EXP. DATE El CONTINUOUS E EXTENDED IX POLICY TERM POLICY NUMBER LIMIT OF LIABILITY WORKERS COMPENSATION 01 /01 /97 WA1-65D-004110-296 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AZ, CA, CT, DE, FL, GA, IL, IA, IN, KY, EMPLOYERS LIABILITY Bodily Injury B Accident y $1,000,000 Each Accident Bodily Injury By Disease $1,000,000 Lim �y LA, MD, MI, MN, MS, MO, NC, NE, NH, OK, PA, SC, TN, TX, UT, Bodily Injury By Disease VA $1,000,000 Each rerson ' GENERAL LIABILITY APPROVED BY RISK IAANAQFM NT niC' /C General Aggregate -Other than Products/CompletedOperations ❑ OCCURRENCE ❑ CLAIMS MADE BY OAT -�o� O E ` ti, 'A CG L — v v c c Producis/Completed Operations Aggregate Bodily Injury and Property Damage Liability Per Occurrence Personal Injury RETRO DATE Per Person/ Organization Other Other AUTOMOBILE LIABILITY Each Accident - Single Limit B.I. and P.D. Combined Each Person OWNED NON -OWNED Each Accident or Occurrence HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS Employees Leased TO: CONCH FLYERS, INC. 236 Effective Date: 5/1/92 The above referenced Workers' Compensation policy provides statutory benefits only to employees of the Named Insured(s) on the policy, not to employees of any other employer. n the cenmcate expiration oats is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. SPECIAL NOTICE-OHIO: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACIUTA71NG A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED Liberty Mutual Group UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: C8 rFICATE CITY OF MONROW/RISK MANAGEMENT OFFICE HOLDER 5100 COLL ROAD LKEY WEST FL 33040 508 6 � �M� � � -/ /r, " �� Linda Mielke AUTHORIZED REPRESENTATIVE ORLANDO,FL 2/23/96 OFFICE DATE ISSUED This certificate is MUTUAL GROUP as respects such insurance as is afforded by Those Companies BS 772L (FL) AC CEEk `'IFICATE CIF LIABILITY IN��IRANck Bp ' DATE(MM/DD/YY) - ONCfi-3 12/04/96 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Rey West Insurance, Inc. P . 0. Box 5487 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE Rey West FL 33045-5487 COMPANY A Colonia Insurance Company Mike Smith Phone No. 305-294-1096 Fax No. INSURED COMPANY B Capacity Insurance Co. Conch Flyer, Inc. COMPANY C/O John Richmond C 3495 S . Roosevelt Blvd. Rey West FL 33040 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 1,000,000 A COMMERCIAL GENERAL LIABILITY CPP796230A 09/15/96 09/15/97 X PRODUCTS - COMP/OPAGG $ 1,000,000 CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ 1,000,000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any one fire) $ 500,00 MED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS APPROM Y BY RISK MA,NAGEWNT -PROPERTY DAMAGE $ GARAGE LIABILITY ILTO ONLY - EA ACCIDENT $ Cr ANY AUTO �/ L OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU• OTH- TORY LIMITS ER I' EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ OFFICERS ARE: EXCL OTHER B Liq Liability CLP004378A 09/15/96 09/15/97 500,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS Certificate holder is additional insured. CERTIFICATE HOLDER CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Risk Management Attn : Ray Miller 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 5100 College Road BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Rey West FL 33040 OF ANY KIND UPON TH PA Y, ITS AGENTS PRESENTATIVES. AUTHORIZED REPRESE E Mike Smith�7 ACORD U4 (1105) {e7ACClItD ORATION 1988 Certificate of Insurance THIS CERIIFICATF. IS ISSUED AS A :NATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THF. CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LIS"FED BELOW. This is to Certify that REVISED Staff Leasing, L.P., Staff Leasing II, L.P. ❑ Staff Leasing III, L.P., Staff Leasing IV, L.P. Name and LIBERTY Staff Leasing, V, L.P. address of MUTUAL® 600 301 Boulevard West, Suite 202 Insured. Bradenton, FL 34205 ❑ Is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. TYPE OF POLICY EXP. DATE CONTINUOUS EXTENDED POLICY TERM POLICY NUMBER LIMIT OF LIABILITY WORKERS COMPENSATION 1 /1 /98 WA1-65D-004110-297 COVERAGE AFFORDED UNDER WC LAW OF THE FOLLOWING STATES: AL, AR, AZ, CA, CO, CT, DE, DC, FL, GA, IA, IL, IN, KY, LA, MA, MD, ME, Mr,, MN, MS, MO, NC, NE, NH, NM, NJ, NY, OK, EMPLOYERS LIABILITY Bodily Injury By Accident 0,000. Each Accident $1,00yBy Bodily Injury BDisease Disease $1,000,000. amity PA, RI, SC, TN, TX, UT, VA Bodily Injury By Disease "ENT $1,000,000. Each Person GENERAL General Aggregate - Other than Products/Completed Operations LIABILITY ❑ OCCURRENCE By DATE Products/Completed Operations Aggregate ❑ CLAIMS MADE YFS --- -- L Bodily Injury and Property Damage Liability Per Occurrence Personal Injury — RETRO DATE cc, ./, � L. Per Person/ Organization Other Other r AUTOMOBILE LIABILITY OWNED n Each Accident - Single Limit B.I. and P.D. Combined Each Person ❑ NON -OWNED Each Accident or Occurrence HIRED - Each Accident or Occurrence OTHER Employees Leased To; 0236 : CONCH FLYERS, INC. Effective Date: 1 /1 /97 1 The above referenced Workers' Compensation policy provides statutory benefits only to employees of the Named Insured(s) on the policy, not to employees of any other employer. ' If the certificate expiration date is continuous or extended term, you will be notified If coverage is terminated or reduced before the certificate expiration date. SPECIAL NOTICE-OHIO: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE Liberty Mutual Group THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST s O nava NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: CITY OF MONROW/RISK MANAGEMENT OFFICE 508 5100 COLL ROAD HOLDER KEY WEST, FL 33040 Linda Mielke L_ Bradenton, FL 800-475-4430 1 /2/97 OFFICE PHONE DATE ISSUED This Certificate is executed by I IBF.RI Y MUTUAL GROUT' as respects such insurance as is afforded by'1'hose Companies BS 7721, (FL) CERTIFICATE A OFINSURANCE ISSUE DATE (MM;DDIYY) 10/22/97 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE HORAN INSURANCE AGENCY DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, A Division of AP,At]anticPacificlnsn*aru� COMPANIES AFFORDING COVERAGE P.O. BOX 5548 KEY WEST, FLORIDA 33045 COMPANY LETTER A Service Insurance Company INSURED .. COMPANY B LETTER y, The Conic l -Flyer Restaurant ,^ 3495 S. Roosevelt Blvd. � LETTERNY - Key West, FL. 33040 /. COMPANY LETTER D COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, 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. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS j A GENERAL LIABILITY COMPREHENSIVE FORM aff)-500940 9/15/97 I 9/15/98 I BODILY INJURY OCC. $1 000 000 M BODILY INJURY AGG. $3 000 000 PREMISES/OPERATIONS PROPERTY DAMAGE OCC. $1 000 000 UNDERGROUND EXPLOSION & COLLAPSE HAZARD PROPERTY DAMAGE AGG. $3 000 000 BI & PD COMBINED OCC. $ PRODUCTS/COMPLETED OPER. j BI & PD COMBINED AGG. $ CONTRACTUAL INDEPENDENT CONTRACTORSPERSONAL AGG. S BROAD FORM PROPERTY DAMAGE PERSONAL INJURY AUTOMOBILE LIABILITY ANY AUTO BODILY INJURY (Per person) S ALL OWNED AUTOS ( Priv. Pass. ) Other Than ALL OWNED AUTOS ( ) Priv. Pass. BODILY INJURY ( Per accident) $ PROPERTY DAMAGE i S HIRED AUTOS NON -OWNED AUTOS C •.. nPpq(11!�(� I GARAGE LIABILITY j BODILY INJURY & PROPERTY DAMAGE $ COMBINED EXCESS LIABILITY UMBRELLA FORM r` °iT F I �FS .. EACH OCCURRENCE S AGGREGATE $ OTHER THAN UMBRELLA FORM ��•�n.rcR•. nl/ti --"� WORKER'S COMPENSATION fpn STATUTORY LIMITS r_ EACH ACCIDENT $ AND EMPLOYERS' LIABILITY 6 j ! DISEASE--POLICYLIMIT $ DISEASE —EACH EMPLOYEE $ - OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Risk Management 5100 College Road EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL j � DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Key West, FL. 33040 a-r,r;' "",LEFT, BUT FAIL RE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Attn: Maria del Rio ''---!A'B&W,'O KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Additional Insured HORIZED RIPSENTATIVE _- Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to Certify that _ STAFF LEASING, L.P., BY STAFF ACQUISITION, INC., THE GENERAL PARTNER, AND THE AFFILIATED Nag and LIBERTY LIMITED PARTNERSHIPS OF WHICH STAFF ACQUISITION, INC. IS THE GENERAL PARTNER AND address of MUTUAL THEIR SUCCESSOR CORPORATIONS Insured. 600 301 BOULEVARD WEST, SUITE 202 BRADENTON, FLORIDA 34205 Is, at the issue date of this oanificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. CERTIFICATE EXP. DATE ❑ 'CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ® POLICY TERM COVERAGE AFFORDED UNDER WC EMPLOYERS LIABILITY 01 /01 /99 WA1-65D-004110-298AW L OF THE FOLLOWING STATES: Bodily Injury By Accident WORKERS WC 1-651-004110-018 Each $1,000,000 COMPENSATION accident Bodily Injury By Disease All States Endorsement $1,000,000 Policy Limit Bodiy Injury By Disease $1,000,000 Each Person GENERAL General Aggregate - Other than Products/Completed Operations LIABILITY ❑ OCCURRENCE Products/Completed Operations Aggregate RETRO DATE Bodily Injury and Property Damage Liability _ Per Occurrence Personal and Advertising Injury Per Person/ Organization ❑ CLAIMS MADE Other AUTOMOBILE Al'DR(?vE y MA ( FNT Each Accident -Single Limit LIABILITY B.I. and P.D. Combined ❑ OWNED RY - RITE _ Each Person ❑ NON -OWNED Each Accident or Occurrence ❑ HIRED Each Accident or Occurrence OTHER Employees Leased To: Effective Date: 236 1 /1 /98 CONCH FLYERS, INC. The above referenced Workers' Compensation policy provides statutory benefits only to employees of the Named Insured(s) on the policy, not to employees of any other employer. *IF THE CERTIFICATE EXPIRATION DATE IS CONTINUOUS OR EXTENDED TERM, YOU WILL BE NOTIFIED IF COVERAGE IS TERMINATED OR REDUCED BEFORE THE CERTIFICATE EXPIRATION DATE. SPECIAL NOTICE - OHIO: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMRS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. IMPORTANT NOTICE TO FLORIDA POLICYHOLDERS AND CERTIFICATE HOLDERS: IN THE EVENT YOU HAVE ANY QUESTIONS OR NEED INFORMATION ABOUT THIS CERTIFICATE FOR ANY REASON, PLEASE CONTACT YOUR LOCAL SALES PRODUCER, WHOSE NAME AND TELEPHONE NUMBER APPEARS IN THE LOWER RIGHT HAND CORNER OF THIS CERTIFICATE. THE APPROPRIATE LOCAL SALES OFFICE MAIUNG ADDRESS MAY ALSO BE OBTAINED BY CALLING THIS NUMBER. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW. COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIdS BEFORE THE STATED EXPIRATION DATE THE Liberty Mutual Group UNTIL AT LEAST 30DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: CONCH FLYERS, INC. CERTFICATE HOLDER 3495 S. ROOSEVELT BLVD. -'ej -/-,. - dn--� o alit Lynn Houser AUTHORIZED REPRESENTATIVE L EY WEST,_ FL 33040 I Bradenton, FL 800-475-4430 1 /1 /98 OFFICE PHONE DATEISSUED This certificate is executed by LIBERTY MUTUAL GROUP as respects such insurance as is afforded by Those Companies BS 772L R2 UqUOR" ':!,, i 7, Various provisions - In ihis policy qyeraga. Read the entire policy carefully to determine rights duties and'WfibVi!ifand is;n6Vd6V4b6-Jr'1 I'" ")6D Thi'dUbibuUthis policy , Wdrd§)fybb" ljl4 'four' r6fd? id,�fhd'Nhmed.IhsIffedIghoWn im't16lbeclara- ti6tstan&a6V dth& peri6h'6e-'6fCffjfljtb-ualify- ing'asa Named"lnsUied'dn&litkis 06116y,) Tfidwords "We',' "dt" -end"46vt" refer fffh* d6mli Mviding this insurance. The word "insured" means any persdh!,(&dr6iiniza- tioniquaiitying as-,such-,underiWHO1S-ANi.114SU RED B O'W, Gihee! w6rd§'a rid-, %piAfds6s',- tKat "apoed F in quotation &arke,have'soeciall-inddnihIj. F(efo`1t6-T)EFINITIONS (Shdtioivv):.i I - " W IOR L ]A 6 1 LIW SECTION I -,LIQ ; COVERAGE will pay,7,thow sums. that cthe insured be- comes legally obligated to pa-p as damages because of, "'initAK, tq,,,,yv ip4,)tpi�jnsurance is imposed 60pJ[p1jf lia ry 1 q I n . top p '6tin#,sqIIing, serving or 2 y oo, 'Peverage. We urnis ijiz,9,, ny)pl "6WW f ffi% t T Q r duty,, tq defend any well have 01 t amag We may suit" seekin'g t ose at our discret,IbnqInVe§fijfd&rh0 flhjUe,'ir(J,)settIe any claim orj 11stAifi that 4may, result-(Bpt: (1) The amount r_we,,will, payr,for damages is limited as described in LIMIT$ OF IN- h 0"' 1; J bur,', right, and., duty .to Aefend (Ind when We have used up the applJoaMe limit of insurance in the payr �eqT,?,judq"n% or To lbojeuJ V1F,1.1j(JM9* No other obligation or liability to; ,p8yiA-Vms or perform acts or s rvicgs is coveredun*,s ex- plicitly OroVid LtMENtARY P AYMMTt"' thi's 1Wbian -Whidl oc- curs during the policy peri6d"in . coverage r, c territoryltu', tjo'y 21 41d 16 9 i 64�. ;IVJ 961ST 11h,-'_ .� 2F�110r. urig Pirpi, iijo',/ 116 '3VO i This insurance does not 4p.ply;49.Iqvo") a. Expected or Intended Injury kAGEF'O' ,orkers ,Compenslation"j- and vSimilar ),10"Any obligation of the insured under a workers compensation, disability ben6fitis61r'l unem- ployment tbmgdnstktion-'16W':dPa'Kgjl-slmhdr law 11Nv c. Employer's Liability (1) An "employee" of the insured -arisihO\ oLft pf and, in thq'9ourseof,-, I r I ,(a),. -Employment by the insured; or (61' Perfdrml . ng, dutl'os 'reiafed to , lthe, On - duct of the insured's business; or spouse, "Istler b 910 c (2) (Th e, child, parent, brother ori�s mployconsequence of ise as a ' I S ,J J6 0—paragiaph 0 above This exclusion applies: Whether the insured may. ',b * e, liable - ,aA ap employer or in any other capacity; and . T Any, obligattion. , 16,,phare,dir o mqgis,With Ise, who .',pWt_,,pay .or., repay,,somqone _jal, ji, damages becauseq 0 nlyFy I A' d. Liquor License •Not- In-,Ef f ect,9 I no :i_-"Injury" arising, out of bri*,'a1coholic'beV4agi -go Id 04 b, I-servedtit" fdrnished!,A4hiIe,,ariy raq red ;1,,,;Iicense.is suspende&*r after, such` licenselex- n. nn p itesiis,c-ancelled-;or,revt)kt3d Your Product "I"', (- iriiing out of your prqd'Ucf-,,This exclusion does not apply'to' injUlrv, , _for� hich ' the insured or the insured's 'ind 'riniilie6 6 s may 2,,.- be held,liable by reason lof: (11 ) Causing or contributing to the intoxication of dhy` person; " "k 1, " -� i , 1V - :1 V! OJa3P (2) The furnishing -of alcoholic- beverages 'to person ,under the legal i 4rink 1g,a..,ge,orun der the influence f alcohol or,;,,!i.z, (3),,,ApyL statute_ o rdina nce 9 r regulationrelat- i ngo the salel;,gi4r. distribytion-or of , . alcoholic bqvffages.. "Injury" expected or intended from the stand- point of the insured. This exclusion does not apply to "bodily injury" resulting from the use of reasonable force to protect persons or property. CGLOO 33 1 otg3l Copyright, I rtsUtalnoe --Services _Qffice, Inc;; 1992 Page l of--S"� C1 A STOCK COMPANY NEW Renewal of Number SP-80 Policy No. SNIP 50 09 40 SERVICE INSURANCE COMPANY IS )R BRADENTON, FLORIDA 34205 (941) 746-4107 Oct. 2, 1997 COMMON POLICY DECLARATIONS Named Insured and Mailing Address D/B/A THE CONCH FLYER RESTAURANT CONCH FLYER, INC. 3495 SOUTH ROOSEVELT BLVD. KEY WEST, FL. 33040-5260 Policy Period: From 09/15/97 to 09/15/98 location of risk. AGENT: HORAN INSURANCE AGE AGENT # 0300 Any inquiries or complaints that cannot be resolved by your Agent, Please Call (941) 746-4107 at 12:01 A.M. Standard Time at your DESCRIPTION OF BUSINESS AND LOCATION OF PREMISES Form of Business: ❑ Individual ❑ Joint Venture Partnership EX Corporation ❑ Other Business Description: RESTAURANT Lo ation of All Premises You Own, Rent or Occupy: 15 3495 SOUTH ROOSEVELT BOULEVARD, KEY WEST, FL, 33040 IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT. PREMIUM Commercial Property Coverage Part —SECTION I $ Included Commercial General Liability Coverage Part —SECTION II $ Included Commercial Crime Coverage Part —SECTION III $ Included Commercial Inland Marine Coverage Part —SECTION IV $ None Liquor Law Legal Liability —SECTION V $ Tnr_ltyiAd PREMIUM SHOWN IS PAYABLE AT INCEPTION. TOTAL $ 4,286* ***FOUR THOUSAND TWO HUNDRED EIGHTY SIX DOLLARS DEDUCTIBLE SECTION 1 $750.00 ; SECTION II * Includes $4 Dept. of Rev. Surch. DEDUCTIBLE GLASS COVERAGE ONLY Forms applicable to all Coverage Parts: (Show numbers) C00001(10-93), CGO033(10-93), CG0220(07-92), CG2011(11-85), CG2147(10-93), CG2149(10-93) CG2407(11-85), CP0010(10-91), CP0030(10-91), CP0090(07-88), CP0125(06-95), CP1030(10-91) CP1054(10-90), CP1211(10-91), CP1910(10-91), IL0017(11-85), IL0021(11-94), IL0175(09-93) IL0255(07-94), IL0415(10-91), MP0450(12-79), SI131(01-88), SI16(03-92), SI20(06-92) Countersigned: Date By Authorized Representative THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE PART DECLARATIONS, COVERAGE PART COVERAGE, FORMS) AND FORMS AND ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF COMPLETE THE ABOVE NUMBERED POLICY. CDL 190 (0)-X (1) (Ed. 3/95) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1983, 1984. 'OLICY NUMBER: SMP 50 09 40 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE 1. Designation of Premises (Part Leased to You): 3495 SOUTH ROOSEVELT BLVD. , KEY WEST, FL 33040-5260 2. Name of Person or Organization (Additional Insured): *MONROE COUNTY 500 3. Additional Premium: INCLUDED (If no entry appears above, the information required to complete this endorsement will be shown in the Declara- tions as applicable to this endorsement.) WHO IS INSURED (Section II) is amended to include as This insurance does not apply to: an insured the person or organization shown in the 1. Any ''occurrence'' which takes place after you Schedule but only with respect to liability arising out cease to be a tenant in that premises. of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule 2. Structural alterations, new construction or dem- and subject to the following additional exclusions: olition operations performed by or on behalf of the person or organization shown in the Sched- ule. *WHITEHEAD STREET KEY WEST, FL 33040 INTEREST: LANDLORD CG 20 11 11 85 Copyright, Insurance Services Office, Inc., 1984 ❑ •,';"'�"® CERTIFICATE /'� A OFINSURANCE ISSUE DATE (MMlDD/YY) 03/24/1998 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND H O RAN INSURANCE AGENCY CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE ADivision of POLICIES BELOW. COMPANIES AFFORDING COVERAGE AtLniac paczc inSLranrn A - P.O. BOX 5548 KEY WEST, FLORIDA 33045 COMPANY A LETTER Service Insurance Company COMPANY B LETTER INSURED The Conch Flyer Restaurant 3495 S. Roosevelt Blvd. COMPANY LETTER C' COMPANY LETTER D Key West, FL 33040 COMPANY E LETTER • ' 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. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY COMPREHENSIVE FORM SMP-500940 9/15/97 9/15/98 BODILY INJURY OCC. $ 11000,000 BODILY INJURY AGG. $ 3,000,000 PROPERTY DAMAGE OCC. $ 11000,000 PREMISES/OPERATIONS PROPERTY DAMAGE AGG. $ 3,000,000 UNDERGROUND EXPLOSION & COLLAPSE HAZARD BI & PD COMBINED OCC. $ PRODUCTS/COMPLETED OPER. BI & PD COMBINED AGG. $ CONTRACTUAL PERSONAL INJURY AGG. $ INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE APPROVED BY M�7f ME"' PERSONAL INJURY AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS ( Priv. Pass. ) ALL OWNED AUTOS ( Other Than Priv. Pass. BY 3 DATE / L4AI�FR: NIA S BODILY INJURY (Per person) ) $ BODILY accident) de INJURY Per accident $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY BODILY INJURY & PROPERTY DAMAGE $ COMBINED EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY LIMITS EACH ACCIDENT $ AND DISEASE —POLICY LIMIT $ EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE $ OTt{ER Liquor Liability SMP-500940 9/15/97 9/15/98 $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS B00C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Risk Management 5100 College Road EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Key West, FL 33040 Attn: Marla del Rio • LEFT, BUT FAILURE TO M L SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UP N THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATI Additional Insured Acam CERTIFICATE OF DATE (MMIDD/YY) LIABILIT' IN URANCEP HB D 03/20/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Rey West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rey West FL 33041-5548 COMPANIES AFFORDING COVERAGE Horan Insurance Phone No. 305-294-7696 Fax No.305-294-7383 COMPANY A Service Insurance COnpany INSURED COMPANY B Allstate COMPANY Conch Flyer r Inc. d/b/a The Conch Flyer Rest. C COMPANY D 3495 South Roosevelt Blvd Rey West FL 3340 COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (MM/DDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ $3 , 000 , 000 A COMMERCIAL GENERAL LIABILITY SMP-500940 09/15/97 09/15/98 X PRODUCTS - COMP/OPAGG $ $3 , 000 , 000 CLAIMS MADE El OCCUR PERSONAL & ADV INJURY $ $ 1 r 000 , 000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ $ 1 r 000 , 000 FIRE DAMAGE (Any one fire) $ $1 , 0 00 , 000 MED EXP (Any one person) $ $1 , 0 0 0 AUTOMOBILE LIABILITY ANY AUTO 650421837 01/20/98 01/20/99 COMBINED SINGLE LIMIT $$500,000 BODILY INJURY (Per person) $ B ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS �j°�'RGVED BY K MAN GFM�NT PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO D,ATE 3 EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSA i iUN AND EMPLOYERS' LIABILITY VVC STATU- OTH TORT LIMITS ER EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVEF1 EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESISPECIAL ITEMS Monroe County -additional insured CERTIFICATE HOLDER CANCELLATION MONROE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL rport Finance 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Bev Moore BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 College Road OF ANY KIND UPON THE COMPANY, ITS AAENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Rey West FL 33040 Horan Insurance Y LOA-CORD ACORD 26-S (1196) CORPORATION 1988 LIIJ Certificate of Insurance TIIIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to Certify that _ STAFF LEASING, L.P., BY STAFF ACQUISITION, INC., THE GENERAL PARTNER, AND THE AFFILIATED Name and LIBERTY LIMITED PARTNERSHIPS OF WHICH STAFF ACQUISITION, INC. IS THE GENERAL PARTNER AND address of MUTUAL ° THEIR SUCCESSOR CORPORATIONS Insured. 600 301 BOULEVARD WEST, SUITE 202 BRADENTON, FLORIDA 34205 Is, at the issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and conditions and is not altered by any requirement, term or condition of any contract or other document with respect to which this certificate may be issued. CERTIFICATE EXP. DATE ❑ 'CONTINUOUS TYPE OF POLICY ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY EX POLICY TERM COVERAGE AFFORDED UNDER WC; EMPLOYERS UABILrrY 01 /01 /99 WA1-65D-004110-298 LAW OF THE FOLLOWING STATES: Bodily Injury By Accident. WORKERS WC1-651-004110-018 $1,000,000 Each Accident COMPENSATION Bodily Injury By Disease All States Endorsement $1,000,000 Policy Limit Bodily Injury By Disease $1,000,000 Each Person GENERAL General Aggregate - Other than Products/Completed Operations LIABILITY — Products/Completed Operations Aggregate OCCURRENCE RETRO DATE Bodily Injury and Property Damage Liability Per VAN :a3/iaM Peen Occurrence Personal and Advertising Injury — -- Per Person/ 3M Organization I ❑ CLAIMS MADE Other Other 1�8 AUTOMOBILE 1N3iti39 1fW SIa1�8 3AOIJdad Each Accident - Single Limit LIABILITY B.I.and P.D_Combined— OWNED Each Person ❑tl NON -OWNED annR ' R4' , 4 �tl(,FfatNT -- ! Each Accident or Occurrence ❑ HIRED RY Each Accident or Occurrence OTHER I) ATF L 1+1A111KR: NIA ,,,-�,,,,VFS.. _... �- t✓s��t,�` Employeos Leased To: Effective Date: 236 1 /1 /98 CONCH FLYERS, INC. The above referenced Workers' Compensation policy provides statutory benefits only to employees of the Named Insured(s) on the policy, not to employees of any other employer. 'IF THE CERTIFICATE EXPIRATION DATE IS CONTINUOUS OR EXTENDED TERM, YOU WILL BE NOTIFIED IF COVERAGE IS TERMINATED OR REDUCED BEFORE THE CERTIFICATE EXPIRATION DATE. SPECIAL NOTICE - OHIO: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. IMPORTANT NOTICE TO FLORIDA POLICYHOLDERS AND CERTIFICATE HOLDERS: IN THE EVENT YOU HAVE ANY QUESTIONS OR NEED INFORMATION ABOUT THIS CERTIFICATE FOR ANY REASON, PLEASE CONTACT YOUR LOCAL SALES PRODUCER, WHOSE NAME AND TELEPHONE NUMBER APPEARS IN THE LOWER RIGHT HAND CORNER OF THIS CERTIFICATE. THE APPROPRIATE LOCAL SALES OFFICE MAILING ADDRESS MAY ALSO BE OBTAINED BY CALLING THIS NUMBER. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: CITY OF MONROW/RISK MANAGEMENT OFFICE 7 CEHnWATE HOLDER 5100 COLL ROAD LKEY WEST,_ FL 33040 q'�� Liberty Mutual Group A, a Ja - 4 - 4 go��- - aid Lynn Houser AU ORIZED REPRESENTATIVE Bradenton, FL 800-475-4430 1 /1 /98 OFFICE PHONE DATE ISSUED Fhis certificate is executed by LIBERTY MUTUAL GROUP as respects such insurance as is afforded by Those Companies BS 772L R2 AICORD CERTIFICATE OF LIABILITY INSURANCkPID NB DATE(MM1DD/YY) ~' PRODUCER ONCH-4 09/17/98 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Atlantic Pacific -Key West P.O. Box 5548 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33041-5548 COMPANIES AFFORDING COVERAGE Horan Insurance COMPANY Phone No. 305-294-7696 FaxNo.305-294-7383 A Service Insurance Company INSURED COMPANY B Conch Flyer r Inc. / d/b/a The Conch Flyer Rest. ✓ COMPANY C 3495 South Roosevelt Blvd Key West FL 3340 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ $3 , OOO r OOO I X A COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE ❑ OCCUR SMP-500940 09/15/97 09/15/98 PRODUCTS - COMP/OPAGG $ $3,000,000 PERSONAL &ADV INJURY $ $1 r OOO 000 EACH OCCURRENCE r $ $1 r 000 r OOO OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ $1 OOO OOO MED EXP (Any one person) r r $ $1 r 0O0 AUTOMOBILE LIABILITY ANY AUTO 650421837 01/20/98 01/20/99 COMBINED SINGLE LIMIT E$$500,000 Ix B ALL OWNED AUTOS SCHEDULED AUTOS � BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY P r aIdN nt) $ PROPERTY DAMAGE $ It e%A GARAGE LIABILITY Y AUTO ONLY - EA ACCIDENT $ ANY AUTO =q" OTHER THAN AUTO ONLY: n ntE EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY &0.00--- EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM 1r017100$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- TORY LIMITS ER EL EACH ACCIDENT $ $— T �� iE NER ft XECLI INCL PARTNERS/EXECUTIVE qjx � EL DISEASE - POLICY LIMIT OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Monroe County -additional insured 6-4 CERTIFICATE HOLDER CANCELLATION DAIS 6 !/n 1)!=AL " " Monroe County Risk Management 5100 College Road Key West FL 33040 ONROE SHOULD ANY OF THE ABOVE DESCRIBED POLICI BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPA Y WILL ENDEAVOR TO MAIL 1 O DAYS WRITTEN NOTICE TO THE CERTIFICAT HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE a0 OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPAN &ITS AGENTS OR R RESENTATIVES. AUTHORIZED REPRESENIATIVE ACORD 25-S (1195) Horan Insurance nAr-nRn rnaonDATlnu eeoo �';,";"• CERTIFICATE A OFINSURANCE ISSUE DATE (MM/DD/YY) 10 13 98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND H O R A N INSURANCE AGENCY CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE ADivision of POLICIES BELOW. ANantir P 'F �� API' COMPANIES AFFORDING COVERAGE P.O. BOX 5548 � COMPANY LETTER A Service Insurance Crnnpany KEY WEST, FLORIDA 33045 Xl^ COMPANY B LETTER INSURED The Conch Flyer Restaurant 3495 S. Roosevelt Blvd. COMPANY LETTER C COMPANY LETTER D Key West, FL. 33040 COMPANY E LETTER • ' 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. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY BODILY INJURY OCC. $1 000,000 COMPREHENSIVE FORM 500940 10/15/98 10/15/99 BODILY INJURY AGG. $3 000,000 PREMISES/OPERATIONS PROPERTY DAMAGE OCC. $1, OOOOOO UNDERGROUND EXPLOSION & COLLAPSE HAZARD PROPERTY DAMAGE AGG. s3,000,000 BI & PD COMBINED OCC. $ PRODUCTS/COMPLETED OPER. BI & PD COMBINED AGG. $ CONTRACTUAL PERSONAL INJURY AGG. $ INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS ( Priv. Pass. ) Tha ALL OWNED AUTOS ( Other assn) Priv.v Y �, , ". BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS DATE PROPERTY DAMAGE $ YES GARAGE LIABILITY BODILY INJURY & PROPERTY DAMAGE COMBINED $ LIAI?!L:TY E_ACtI CCCURRENOE N�CCES2 UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION I STATUTORY LIMITS EACH ACCIDENT $ AND DISEASE —POLICY LIMIT Is EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE 1 $ OTHER Same DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County Risk Management EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 5100 College Road MAIL _10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Key West, FL. 33040 LEFT, BUT FAILURtDMAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Attn: Marla del Rio LIABILITY OF UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. �� AUTHORIZED S ATIVE Additional Insured INITIAL .-. •t INSURED Conch Flyer, Inc. d/b/a/ The Conch Flyer lest. 3495 S. Roosevelt Blvd., Key West, FL 33040 DATE (MMIDDM') 1/12/99 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A COMPANY AU _ _TA'IE B COMPANY C COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR I I I DATE (MM/DD/YY) I DATE (MM/DD/YY) I LIMITS GENERAL UABIUTY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR OWNER'S & CONTRACTOR'S PROT AUTOMOBILE LIABILITY ANY AUTO B ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON40WNED AUTOS GARAGE LIABILITY 7 ANY AUTO EXCESS UA9IUTY UMBRELLA FORM OTHFR THAN UMBRELLA FOR".! WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL OTHER GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG S PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (" one fire) $ MED EXP WW one person) $ COMBINED SINGLE LIMIT $ 500,000 650421837 1/20/98 1/20/99 BODILY INJURY $ BODILY INJURY OW a $ IDESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Monroe County - Additional Insured. - Monroe County Ris}T. Managament 5100 College Road Key West FL 33040 PROPERTY DAMAGE Is AUTO ONLY - EA ACCIDENT S OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EACH OCCURRENCE $ AGGREGATE S JOTH A - TORVIIMITR FA - EL EACH ACCIDENT is EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE S SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON _34AAMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESEN Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER. THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW. This is to Certify that STAFF LEASING, L.P., BY STAFF ACQUISITION, INC., THE GENERAL PARTNER, AND THE AFFILIATED LIMITED PARTNERSHIPS OF WHICH STAFF ACQUISITION, INC. IS THE GENERAL PARTNER AND THEIR SUCCESSOR CORPORATIONS 600 301 BOULEVARD WEST, SUITE 202 BRADENTON, FLORIDA 34205 Name and LIBERTY address of MUTUAL® Insured Is, at the Issue date of this certificate, insured by the Company under the policy(ies) listed below. The insurance afforded by the listed policy(ies) is subject to all their terms, exclusions and conditions and is not altered by any requirement, term or condition of anv contract or other document with resoert to whirh this rartifirata may ha issl larf TYPE OF POLICY CERTIFICATE EXP. DATE *❑ CONTINUOUS ❑ EXTENDED POLICY NUMBER LIMIT OF LIABILITY ® POLICY TERM Coverage Afforded Under WC EMPLOYERS LIABILITY Law of the Following States: WORKERS COMPENSATION 1-1-2000 WA1-65D-004110-299 WC 1-651-004110-019 All States Endorsement Bodily Injury By Accident Each $1,000,000. Accident Bodily Injury By Disease Policy $1,000,000. Limit Bodily Injury By Disease Each $1,000,000. Person GENERAL LIABILITY General Aggregate -Other than Prod/Completed Operations ❑ CLAIMS MADE Products/Completed Operations Aggregate RETRO DATE �.- . K (� �- ?' Bodily Injury and Property Damage Liability Per Occurrence ❑ OCCURRENCE Y Personal and Advertising Injury Per Person/ Organization DATE Other: Other: AUTOMOBILE LIABILITY ❑ OWNED ❑ NON -OWNED El HIRED 4' '' I " v Each Accident - Single Limit - B.I. and P.D. Combined Each Person Each Accident or Occurrence Each Accident or Occurrence OTHER EMPLOYEES LEASED TO: EFFECTIVE DATE: 021-36 01 /01 /99 CONCH FLYERS, INC. The above referenced Workers' Compensation policy provides statutory benefits only to employees of the Named Insured(s) on the policy, not to employees of any other employer. IF THE CER I IFICA 1 E EXPIRATION DATE IS CONTINUOUS OR EXTENDED TERM, YOU WILL BE NOTIFIED IF COVERAGE IS TERMINATED OR REDUCED BEFORE THE CERTIFICATE EXPIRATION DATE, SPECIAL NOTICE - OHIO: ANY PERSON WHO, WITH INTENT TO DEFRAUD OR KNOWING THAT HE IS FACILITATING A FRAUD AGAINST AN INSURER, SUBMITS AN APPLICATION OR FILES A CLAIM CONTAINING A FALSE OR DECEPTIVE STATEMENT IS GUILTY OF INSURANCE FRAUD. IMPORTANT NOTICE TO FLORIDA POLICY HOLDERS AND CERTIFICATE HOLDERS: IN THE EVENT YOU HAVE ANY QUESTIONS OR NEED INFORMATION ABOUT THIS CERTIFICATE FOR ANY REASON, PLEASE CONTACT YOUR LOCAL SALES PRODUCER, WHOSE NAME AND TELEPHONE NUMBER APPEARS IN THE LOWER RIGHT HAND CORNER OF THIS CERTIFICATE. THE APPROPRIATE LOCAL SALES OFFICE MAILING ADDRESS MAY ALSO BE OBTAINED BY CALLING THIS NUMBER. NOTICE OF CANCELLATION: (NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER Liberty Mutual Group THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: ,^r CERTIFICATE MONROE COUNTY HOLDER ATTN:OFFICE OF RISK. MCT/MARIA 5100 0 COl__LEGE ROAD FOCI K I St -AND DATE - . 441C4. AA�� TERE A M. SCHELL EL_ RIO AUTHORIZED REPRESENTATIVE 01 / 12/91) Bradenton, FL 800-475-4430 OFFICE PHONE DATE ISSUED INITIAL This certificate is executed by LIBERTY MUTUAL GROUP as respects such insurance as is afforded by Those Companies BS 772L R2 CERTIFICATE OF INSURANCE ALLSTATE INDEMNITY COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is in force: POLICYHOLDER POLICY NUMBER CONCH FLYER INC 650421837 BAP 3495 S ROOSEVELT BLVD KEY WEST, FL 33040 The person or organization designated below is described in the policy as: MONROE COUNTY 5100 COLLEGE RD KEY WEST. FL 33040 Coverages designated are afforded as stated below: 1997 FORD /F150 1 FTDX0766VKD57511 EFFECTIVE DATE OF CERTIFICATE 03/09/99 POLICY PERIOD 01/20/99 TO 01/20/00 AT 12:01 A.M. STANDARD TIME LIENHOLDER (Loss Payable Clause) X ADDITIONAL INTERESTED PARTY ADDITIONAL INSURED CERTIFICATE HOLDER DATE INITIAL To the person or organization stated above: This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days written notice at its last address known to the Company. Proof of such mailing is deemed sufficient proof of such notice. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. B U 1380-1 PAGE 1 OF 1 But 14-2 YOU'RE IN GOOD HANDS WITH ALLSTATEo AliSial " CUSTOMER NUMBER: CA650421837 RUN DATE: 03-11-99 A.I.P. (CA) 60 50 421837 01 01 0020 MONROE COUNTY 5100 COLLEGE RD KEY WEST, FL 33040 0 1-4 Ln o, 0 .o M } W Y M C' a W cm BUi 14-2 YOU'RE IN GOOD HANDS WITH ALLSTATE@ ACORD CERTIFICATE Or DATE (MM/DDNY) C$R CC LIABILITY INSURANCE. CONCH-4 03/09/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33041-5548 COMPANIES AFFORDING COVERAGE Horan Insurance Phone No. 305-294-7696 Fax No.305-294-7383 COMPANY A Allstate Insurance Co. INSURED COMPANY B Conch Flyer r Inc. COMPANY d/b/a The Conch Flyer Rest. C 3495 South Roosevelt Blvd Key West FL 3340 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD" POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ EACH OCCURRENCE $ OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ 500000 BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS 650421837 01/20/99 01/20/00 X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY F �l ,� EACH OCCURRENCE $ UMBRELLA FORM tiY AGGREGATE $ $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL FIEXCL UA( � � FR. 4' !� .. ES �- (� WC ORY L MITS OER EL EACH ACCIDENT '— $ EL DISEASE -POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ OFFICERS ARE: (](J� OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS 1997 Ford F150 VIN# 1FTDX0766VKD57511 Addn'l insured: Monroe County CERTIFICATE HOLDER CANCELLATION MCBCOMM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Monroe County Board Of CO 5100 College Rd �/ 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCTICE LL IMPOSE NO OBLIGATION OR LIABILITY Key West FL 330 40 / / OF ANY KIND UPON THE C MP ' Y, OR REPRESENTATIVES. DATE AUTHORIZED REPRESENTATI INITIAL AGGRD 25-S (1/95) s-- oran Insurance ACORD CORPORATION LJ ACORD CERTIFICATE OF LIABILITY INSURANCEggsR CH DATE(MWDDIYY) NCH-4 10/28/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33041-5548 INSURERS AFFORDING COVERAGE Phone:305-294-7696 Fax:305-294-7383 INSURER A: Service Insurance Company INSURER B: C n Flyer , Inc. d%b a The Conch Flyer Rest. INSURERC: 3495 South Roosevelt Blvd INSURERD: Key West FL 3340 � � INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MMIDD/YY LIMITS A GENERAL LIABILITY COMMERCIALGENERALLIABILITY SMP500940 09/15/99 09/15/00 EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ 1000000 47CLAIMS MADE 71 OCCUR MED EXP (Any one person) $ NX Business Owners PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY JECOf LOC AUTOMOBILE LIABILITY r ANY AUTO ALL OWNED AUTOS h i SCHEDULED AUTOS 1 - ;� R / COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS j i 'IV I _ PROPERTY DAMAGE (Per accident) $ �J 4 i GARAGE LIABILITY ANY AUTO / AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN $ $ AUTO ONLY: AGG EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE Cc. AGGREGATE $ DEDUCTIBLE /�(� $ RETENTION $ 1111 V /I $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS I I ER E.L. EACH .ACCIDENT -- $ E.L. DISEASE- EA EMPLOYE $ i E.L. DISEASE - POLICY LIMIT $ OTHER A ;Business Owners SMP500940 09/15/99 09/15/00 PROPERTY 31000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MCRI SKM I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO Monroe County Risk Mgmt. fax#305-295-4364 5100 College Rd. Key West FL 33040 DATE DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NQ-(?BLIGATR)N-CkR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR I ACORD 2" (7/97) CACORD (iORPORATION 1980 Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage by the policies listed below. Named Insured(s): Staff Leasing, LP, by Staff Acquisition, Inc., The General Partner, and The Affiliated Limited Partnerships of Which Staff Acquisition, Inc. is The General Partner and their Successor Corporations 600 301 Boulevard West, Suite 202 Bradenton, Florida 34205 CN!A RISK MANAGEMENT Insurer Affording Coverage Coverages: Continental Casualty Company The policy(ies) of insurance listed below have been issued to the insured named above for the policy period indicated. The insurance afforded by the policy(ies) described herein is subject to all the terms, exclusions and conditions of such policy(ies). Certificate Exp. Date Type of Insurance ❑ continuous ❑ Extended Policy Number Limits * ® Policy Term Workers' 1-1-2001 WC 189165165 Employer's Liability Bodily Injury By Accident Compensation WC 189165182 $1,000,000 Each Accident Bodily Injury By Disease $1,000,000 Policy Limit Bodily Injury By Disease h•r-r y ; 4^� $1,000,000 Each Person Other: Y Employees Leased To: Effective Date: 1/1/00 14124 Conch Flyer Inc The above referenced workers' compensation policy(ies) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(ies), not to the employees of any other employer. *If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. However, you will not be notified annually of the continuation of coverage. Notice of Cancellation: (Not applicable unless a number of days are entered below) Before the stated expiration date the company will not cancel or reduce the insurance afforded under the above policy(ies) until at least 30 days notice of such cancellation has been mailed to: Certificate Holder: MONROE COUNTY 5100 COLLEGE RD KEY WEST, FL 33040-4319 I�rll�rrll�llrrr�lrrllirrrrlr�lrrllr�r�lll�lr�llrr�ll�rrrrlirl 1161, 00C/4(��- Martin Oosterbaan Authorized Representative Office: St. Louis, MO Phone: (877) 427-5567 12/15/99 Date Issued ACORD,` CERTIFICATE OF LIABILITY INSURANC�D SL DATE DD/YY) NCH-4 05/005/02/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33041-5548 INSURERS AFFORDING COVERAGE Phone:305-294-7696 Fax:305-294-7383 CQQn h Flyer , Inc. d/b a The Conch Flyer Rest. 3495 South Roosevelt Blvd Key West FL 3340 COVERAGES INSURER A: Service Insurance Cozq INSURER B: Allstate Insurance Co. INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY DATE MMIDDIYY POLICY EXPIRATION DATE MWDDIYY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR X Business Owners SMP500940 09/15/99 09/15/00 EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ 1000000 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROECT LOC J PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 650421837 01/20/00 01/20/01 COMBINED SINGLE LIMIT (Ea accident) $ 500000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO R" ..f ; e �` t AUTO ONLY - EA ACCIDENT $ HER THAN EA ACC TO NLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION (V,'( _ __ (A„ , , _ J4 - V - — ! n EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A OTHER Business Owners SMP500940 09/15/99 09/15/00 PROPERTY 31000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS MONROE COUNTY BOARD OF COUNTY COMMISSIONERS AS ADDITIONAL INSURED CERTIFICATE HOLDER Y I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION MCRI SKM I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO MONROE COUNTY BOARD OF COUNTY COMMISSIONERS Key West FL 33040 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBYG�TION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25-S ©ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANC481NCHR CH DATE(MMIDDfVY) I -4 11/20/00 Atlantic Pacific -Rey West P.O. Box 5548 Rey West FL 33041-5548 Phone:305-294-7696 Fax:305-294-7383 INSURED Cqqn h Flyer, Inc. d/b a The Conch Flyer Rest. 3495 South Roosevelt Blvd Rey West FL 3340 COVERAGES ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: Service Insurance Comb INSURERB: Allstate Insurance Co. INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT TYPE OF INSURANCE POLICY NUMBER DATE M Y EAT N DATE AMID LIMITS rA GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR X Business Owners SMP500940 RECEIVED N e �r y 09/15/00 09/15/01 EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Anyone fire) $ 1000000 MED EXP (Any one person) $ 1000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JRO- LOC PRODUCTS - COMP/OP AGG $ 3000000 B A A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS p� ►p(+H AS`! NG f �V 650421837 SMP600940 SNP600940 01/20/00 09/15/00 09/15/00 01/20/01 09/15/01 09/15/01 COMBINED SINGLE LIMIT (Ea accident) $ 5 0 0 0 0 0 BODILY INJURY (Per person) $ X X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ •ARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACGDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ f _ _ - ' _ _ — EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' UAINI IT/ 4-�& A I TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ A OTHER Business Owners SMP500940 09/15/00 V IL 09/15/01 PROPERTY 31900 DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISMS LISTED AS ADDNrL INSURED: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CERTIFICATE HOLDER Y I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION MCRI sm SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CoDmissioners IMPOSE NO OBLIGAT! LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS 5100 College Rd. Rey West FL 33040 REPRESENTATIVES n Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policies listed below. Named Insur"Ks): Staff Leasing, LP, By Staff Acquisition, Inc., The General Partner, And The Affiliated Limited Partnerships Of Which Staff Acquisition, Inc. Is The General Partner And Staff Leasing, Inc. Is The Limited Partner including Staff Leasing of Texas, LP, Staff Leasing of Texas II, LP, Staff Leasing IV, LP 600 301 Boulevard West, Suite 202 Bradenton, Florida 34205 Mi CN!A RISK MANAGEMENT Insurer Affording Coverage Coverages' Continental Casualty Company The policy(ies) of insurance listed below have been issued to the insured named above for the policy period indicated. The insurance afforded by the policy(ies) described herein is subject to all the terms, exclusions and conditions of such policy(ies). Certificate Exp. Date Type of Insurance ❑ continuous Policy Number Limits ❑ Extended * ® Policy Term Workers' 1-1-2002 WC 189165165 Employer's Liability Bodily Injury By Accident Compensation WC 189165182 WC 247848874 $1,000,000 Each Accident WC 247848888 Bodily Injury By Disease $1,000,000 Policy Limit Bodily Injury By Disease $1,000,000 Each Person Other- L Employees Leased To: Effective Date: 1/1/01 ' -- _ 7 RE�� 14124 Conch Flyer Inch PUREH �� The above referenced workers' compensation policy(ies) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(ies), not to the employees of any other employer. *If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. However, you will not be notified annually of the continuation of coverage. Notice of Cancellation: (Not applicable unless a number of days are entered below) Before the stated expiration date the company will not cancel or reduce the insurance afforded under the above policy(ies) until at least 30 days notice of such cancellation has been mailed to: Certificate Holder: Monroe County Board of Commissioners 5100 College Rd Key West, FL 33040-4319 1ffflfff1If'If n flffl1'iffillflllllffffl11flffll... 1111111111111 14L, 004-41�� Martin oosterbaan Authorized Representative Office: St. Louis, MO Phone: (877) 427-5567 12/15/00 Date Issued ACORD_ CERTIFICATE OF LIABILITY INSURANCE CSR CH DATE09/0DD/YY) NCH-4 09/06/O1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Rey West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5548 I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box Rey West FL 33041-5548 Phone:305-294-7696 Fax:305-294-7383 INSURED C n Flyer, Inc. dgb a The Conch Flyer Rest. 3495 South Roosevelt Blvd Rey West FL 3340 COVERAGES INSURERS AFFORDING COVERAGE INSURER A: Service Insurance INSURER B: INSURER C: INSURER D: INSURER E: 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR1LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE M POLICY EXPIRATION DATE M LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE DOCCUR X Business Owners SW500940 09/15/01 09/15/02 EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one fire) $ 1000000 MED EXP (Any one person) $ 1000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE S 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT LOC PRODUCTS - COMPIOP AGG $ 3000000 A A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS SMP600940 SMP600940 09/15/01 09/15/01 09/15/02 09/15/02 COMBINED SINGLE LIMIT (Ea accident) $ 500000 BODILY INJURY (Per person) $ X BODILY INJURY (Per wmdenry $ X F1 PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE FIBY DEDUCTIBLE RETENTION $ � R ARC $ DATE 74T$ NAQEMENT EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS EMPLOYERS'OMIABILS�TIONAND WAIVER N/A - r YES TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E. L. DISEASE - POLICY LIMIT I 3 OTHER C PROPERTY 32900 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS ADDNL INSURED LISTED AS: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CERTIFICATE HOLDER Y I ADDITIONAL INSURED; INSURER LETTER: Y CANCELLATION MCRI SRM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _.Q— DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Monroe County Risk Mgmt . IMPOSE NO OBLIGATION ILITY OF PON THE INSURER, ITS AGENTS 5100 College Rd. Rey West FL 33040 REPRESENTATIVES^� ACORD 25S 171971 V 0 ACORD CORPORATION Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policies listed below. Named Itlsured(s): Staff Leasing Inc. d/b/a Gevity HR and its wholly owned subsidiaries including Gevity HR, LP; Gevity HR IV, LP; Gevity HR IX, LP; and Gevity HR X, LP 600 301 Boulevard West, Suite 202 Bradenton, Florida 34205 10, INSURANCE IN TOUCH WITH BUSINESS Insurer Affording Coverage Coverages: Continental Casualty Company The policy(ies) of insurance listed below have been issued to the insured named above for the policy period indicated. The insurance afforded by the policy(ies) described herein is subject to all the terms, exclusions and conditions of such policy(ies). Certificate Exp. Date 1�7pe of Insurance ❑ continuous Policy Number Limits ❑ Extended * X Policy Term Workers 1-1-2003 WC 189165165 Employers Liability Bodily Injury by Accident Compensation WC 189165182 WC 247848874 $1,000,000 Each Accident WC 247848888 Bodily Injury by Disease $1,000,000 Policy Limit Bodily Injury by Disease $1,000,000 Each Person Other. SY Employees Leased to, APP K E MENEtYective Date: 1/1/02 FL 0 H 006476 14124 Conch Flyer Inc. BY �(� J 61p (%�, DATE I "" ', WAIVER N/A YES _ C t" The above referenced workers compensation policy(ies) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(ies), not to the employees of any other employer. *If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. However, you will not be notified annually of the continuation of coverage. Notice of Cancellation: (Not applicable unless a number of days are entered below) Before the stated expiration date, the company will not cancel or reduce the insurance afforded under the above policy(ies) until at least 30 days notice of such cancellation has been mailed to: Certificate Holder- —--4 C3 ACORD CERTIFICATE OF LIABILITY INSURANCFL.,OWCSR CH DATE(MWDDIYY) CH 4 01/29/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Rey West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rey West FL 33045-5548 INSURERS AFFORDING COVERAGE Phone:305-294-7696 Fax:305-294-7383 INSURED INSURER A: Service Insurance CoWany INSURER B: C n Flyer , Inc. INSURER C: d%b�a The Conch Flyer Rest. i 349 South Roos"" t Blvd INSURER D: Rey West FL 3340 I INSURER E: �.vrc,vwc� THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER DATE POLICY EXFP411RUA DATE M LIMITS A 1-1 GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR X Business Owners SMPS00940 09/15/01 09/15/02 EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one fire) $ 1000000 MED EXP (Any one person) $ 1000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG $ 3000000 A A A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS liability SMP600940 SMP600940 SMP600940 09/15/01 09/15/01 09/15/01 09/15/02 09/15/02 09/15/02 COMBINED SINGLE LIMIT (Ea accident) $ 500000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X NLiquor PROPERTY DAMAGE (Per accident) $ $ 50 0 , 000 GARAGE LU181LITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ qp� g I BY DATE �� AGEME EAC►+OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WAIVER _Tr_0 h 1 . •. WC STA TH TORS LIMffS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.LDISEASE- POLICY LIMIT $ OTHER PROPERTY 32900 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ADDNL INSURED LISTED AS: MONROE COUNTY BOARD OF COUNTY COMMISSIONERS CERTIFICATE HOLDER Y I ADDITIONAL INSURED; INSURER LETTER: Y LoArWICLLA 1 RM MCBCCO14 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of County NOTICE TO THE C ATE NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Comm IMPOSENO IOA ON LU1B1 D UPON THE INSURER, ITS AGENTS OR 1100 Simonton St Rey West FL 33040 REPRESENLA « 25-S 171971 - ` % C ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE CSR CH DATE(MM/DD/YY) ONCH-4 11/19/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5548 Phone:305-294-7696 Fax:305-294-7383 INSURED C n h Flyer, Inc. d%b a The Conch Flyer Rest. 3495 S. Roosevelt Blvd Key West FL 3340 CK91'L;4.z_IH *9 INSURERS AFFORDING COVERAGE INSURERA: Service Insurance INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER DATE MWDD/YY E CY EXPIRATION DATE MM/DD/YY LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE L OCCUR X Business Owners SMP5 0 0 94 0 09/15/02 09/15/03 EACH OCCURRENCE $ 1000000 FIRE DAMAGE (Any one fire) $ 10 0 0 0 0 0 MED EXP (Any one person) $ 1000 PERSONAL BADVINJURY $ GENERAL AGGREGATE $ 3000000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROECT LOC J PRODUCTS - COMP/OP AGG $ A A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS SMP500940 SMP500940 09/15/02 09/15/02 09/15/03 09/15/03 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ AP BY SATE — WAIVER NIA ci-- ES_ --- EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Cy 11 TORY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ $ E.L. DISEASE - POLICY LIM IT $ A OTHER LIQUOR LIABILITY SMP500940 09/15/02 09/15/031 PROPERTY 33900 LIMITS 500/500/500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS r wI11 c nVa.YGR = I AUU1I1UNAL INSUKEU; INSUKEK LETTER: Y GANGtLLAI IUN MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -1-(L DAYS WRITTEN Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Risk Mgmt 3 0 5 - 2 9 5 - 4 3 4 2 IMPOSE NO BLI ATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton St Key West FL 33040 REPRES TA E ACORD 25-S (7197)/ ©ACORD CORPORATI N 1988 GC Service Insurance Company Date: August 8, 2002 Policy #: SMP 50 09 40 Named Insured: d/b/a The Conch Flyer Restaurant Dear Christina: Please be advised that we have received our requested information. Therefore, we are rescinding our Notice of Cancellation. Your policy is in full force and effect without lapse in coverage, until the expiration date of 9/15/02. Should you have any questions, please contact your agent. Sincerely, � �Lr Jacquie Humphreys Commercial Underwriting, Ext 1048 C= 3 0 CD� N Cc: Agent #: 0300 0�, Agency: Horan Insurance Agency M Monroe County 500 CDC), .. N File • > e a • cn c n 4A U (941) 746-4107, P.O. Box 9729, Bradenton, Florida 34206-9729, 1-800-780-8423, Fax 746-1792 ACORD„ CERTIFICATE OF LIABILITY INSURANCE i CH DATE(MMMD/YYYY) 1 CONCH-4 12 03 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West P.O. Box 5548 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5548 Phone: 305-294-7696 Fax:305-294-7383 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: North Pointe Insurance Co. 03510 INSURER B: St. Paul Fire & Marine Ins. Co24767 Conch Flyer, Inc. d/b a The Conch Flyer Rest. 3495 S. Roosevelt Blvd Key West FL 3340 INSURER C: INSURER D: INSURER E' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MKDD/YV POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A % $ COMMERCIAL GENERAL LIABILITY 2094106729 09/15/03 09/15/04 PREMISES (Ea occurence) $ 100,000 CLAIMS MADE F—IOCCUR MED EXP (AN one person) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,000 PRO- POUCV JECT LOC % AUTOMOBILE LIABILITY ANY AUTO COMBINED S NGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accidents $ A HIRED AUTOS NON -OWNED AUTOS 2094106729 09/15/03 09/15/04 % PROPERTVDAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ EA ACC OTHER THM $ ANYAUTO r� APO B �r ,,qqCC MANA E r.'lir T f $ AUTO ONLY. AGG EXCESSIUMBRELLA LIABILITY 1�-! EACH OCCURRENCE $ OCCUR ❑ CLAIMS MADE y-� A�c C r� v� AGGREGATE $ $ DEDUCTIBLE �y I / WAIVER WAIVER N/A _ ._.... r':.'��..,. _... —... $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY , WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ ANY-ROPRIETOR/PARTNER/FXECUINL A OFFICERIMEMBER EXCLUDED? / E.L. DISEASE- EA EMPLOYEE $ N yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER B Liquor Liability SF05527401 11/13/03 11/13/04 Liquor 500000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Restaurant - less than 75% alcohol, no dance floor CER I (FICA I E HOLDER CANCELLATION Monroe County Board of County Commissioners 1100 Simonton St Key West FL 33040 MCBCCOM I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR AUTHORIZED ACORD 25 (2001/08) / Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policies listed below. Named Insured(s): Gevity HR, Inc and its wholly owned subsidiaries including but not limited to Gevity HR, LP; Gevity HR 11, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity MARSH HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp. 600 301 Boulevard West Bradenton, Florida 34205 Insurer Affording Coverage Coverages: American Home Assurance Co., Member of American International Group, Inc. (AIG) The policy(ies) of insurance listed below have been issued to the insured named above for the policy period indicated. The insurance afforded by the policy(ies) described herein is subject to all the terms, exclusions and conditions of such policy(ies). Certificate Exp. Date Type of Insurance ❑ Continuous ❑ Extended PolicyNumber Limits *® Policy Term Employers Liability Workers' 1-1-2005 RMWC2633886 Bodily Injury By Accident Compensation RMWC2633892 $ 2,000,000 Each Accident Bodily Injury By Disease RMWC2633912 RMWC2633913 $ 2,000,000 Policy Limit RMWC2633920 Bodily Injury By Disease $ 2,000,000 Each Person Other: Employees Leased To: S31 _-_ V 89AIftective Date: 1/1/04 14124 Conch Fryer Inc. _ 31VO AP E A 0l 31 S` M N G EVE !3 Y E At1h:g, vw \,4; ip AS r1.3/`OWddb DATE The above referenced workers' compensation olic ies provide(s) s statutory benefits only to the employees of the Named Insured(s) on such ol� te5��p P P Y( ) P O Y Y) P Y )tea to thetl s of r employer. -� r�'��, .._ *If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. However, you will not be notified annually of the continuation of coverage. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording overage, its agents or representatives. Certificate Holder: 1 r �► Monroe County Board of Commissioners Michael C. Weiss 5100 College Rd Key West, FL 33040-4319 �tt��ttt��t��tt� t��tttt�tt�tt��t n t��t�tt��tit��ttttt��t) CC. Authorized Representative of Marsh USA Inc. (866) 443-8489 l/l/2004 Phone Date Issued V ACORD CERTIFICATE OF LIABILITY INSURANCE CSR CH DATE(MM/DD/YYYY) CONCH-4 1 04 12 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR O B 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. . ox Key West FL 33045-5548 Phone:305-294-7696 Fax:305-294-7383 CQQn��//h Flyer, Inc. yy 3495aS. RooseThe veltlBlvdRest. Key West FL 3340 INSURERS AFFORDING COVERAGE NAIC # INSURER A: North Pointe Insurance Co. 03510 INSURERB: St. Paul Fire & Marine Ins. Cd4767 INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INb LTRCY NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1, 0 0 0, 0 0 0 PREMISES(Eaoccurence) $ 100,000 A X X COMMERCIAL GENERAL LIABILITY 2094106729 09/15/03 09/15/04 MED EXP (Any one person) $ 5,000 CLAIMS MADE OCCUR PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY PRO LOC JECT X AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 10 0 00 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ A HIRED AUTOS NON -OWNED AUTOS 2094106729 09/15/03 09/15/04 X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO �iIOP $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE Y _ DATE AGGREGATE $ DEDUCTIBLE RETENTION $ YES $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ` I TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER B Liquor Liability SFOSS27401 11/13/03 11/13/04 Liquor 500000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Restaurant - less than 75% alcohol, no dance floor GERTIFIGATE MOLDER CANCELLATION MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Commissioners IMPOSE NO OBLIGATION OR LIABIL F ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton St Key West FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Horan Insurance ACORD 25 (2001/08) C © ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE CSR CH DATE(MWDD/YYYY) CONCH-4 1 04 12 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 54 8 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 5 Key West FL 33045-5548 Phone:305-294-7696 Fax:305-294-7383 INSURED C h Flyer, Inc. d�bn a The Conch Flyer Rest. 349 S. Roosevelt Blvd Key West FL 3340 rnVFDAnPR INSURERS AFFORDING COVERAGE NAIC # INSURER A: North Pointe Insurance Co. 03510 INSURERB: St. Paul Fire & Marine Ins. 084767 INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER E DATE MM/DD/YY POLICY EXPIRATION DATE MM/DDIYY LIMITS A X GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR 2094106729 09/15/03 09/15/04 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurence) $100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PRO LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 A X AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 2094106729 09/15/03 09/15/04 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If es, describe under SPECIAL PROVISIONS below UblAU- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ B OTHER Liquor Liability SF05527401 11/13/03 11/13/04 Liquor 500000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Restaurant - less than 75% alcohol, no dance floor I.CK I IrII..AI C r7VLUCK GANGELLATIDN MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Commissioners IMPOSE NO OBLIGATION OR LIABILI 0 Y KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton St Key West FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Horan Insurance ACORD 25 (2001/08) © ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE CSR CH DATE(MWDD/YYYY) CONCH-4 1 04 12 04 PRODUCER , THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5548 Phone:305-294-7696 Fax:305-294-7383 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: North Pointe Insurance Co. 03510 INSURERB: St. Paul Fire & Marine Ins. C84767 C n h Flyer d%ba The Conch Flyer Rest., Inc. INSURERC: 3495 S. Roosevelt Blvd INSURERD: Key West FL 3340 " INSURER E: L916111-1ZtXel4A THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT WU NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY ION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X I X L COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR 2094106729 09/15/03 09/15/04 PREMISES (Ea occurence) $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 FGEI'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT 17 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1000000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ A HIRED AUTOS NON -OWNED AUTOS 2094106729 09/15/03 09/15/04 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO PP % - OTHER THAN EAACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE �Y-- ""` "" " .` . ,. --,.-.------��, EACH OCCURRENCE $ AGGREGATE $ $ DATE-�_.,_.. ,. DEDUCTIBLE WAIVER $ RETENTION $ _ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If es, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ OTHER B Liquor Liability SF05527401 11/13/03 11/13/04 Liquor 500000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Restaurant - less than 75% alcohol, no dance floor L`CDTICIr"ATC Ur%1 nCo I Kill MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Commissioners 1100 Simonton St IMPOSE NO OBLIGATION OR LIABILITY I A71ND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. Horan Insurance ACORD 25 (2001/08) © ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE CSR CH DATE(MM/DD/YYYY) CONCH-4 1 04 12 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5548 Phone:305-294-7696 Fax:305-294-7383 INSURED C n h Flyer, Inc. 3495 S. RooseveltlyYer BlvdRest. Key West FL 3340 N V Y CIt/1V CJ INSURERS AFFORDING COVERAGE NAIC # INSURER A: North Pointe Insurance Co. 03510 INSURERB: St. Paul Fire & Marine Ins. C84767 INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSRE TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS A X GENERAL LI"ILITY X COMMERCIALGENERAL LIABILITY CLAIMS MADE OCCUR 2094106729 09/15/03 09/15/04 EACH OCCURRENCE $ 1,000,000 PREMISES(Ea occurence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE s 2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: 17 POLICY PRO- JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 A X AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 2094106729 09/15/03 09/15/04 COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR 7 CLAIMS MADE DEDUCTIBLE RETENTION $ _ai tEENT EACH OCCURRENCE $ AGGREGATE $ $ t o 1^/ 1) B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If es, describe under SPECIAL PROVISIONS below OTHER Liquor Liability ". i . �. .....,..._. ,. , ._ Pl�;it1 j!K SF05527401 11/13/04 TORY LIMITS ER - '�/�� 11/13/03 E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ Liquor 500000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Restaurant - less than 75% alcohol, no dance floor CERTIFICATE wnl nFR vIV� V CLL,11 RJR MCBCCO14 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOIN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Commissioners 1100 Simonton St IMPOSE NO OBLIGATION OR LIABILITY OF A KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Horan Insurance ACORD 25 (2001/08) 0 ACORD CORPORATION 1988 Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend, extend, or alter the coverage afforded by the policies listed below. Named Insured(s): Gevity HR, Inc and its wholly owned subsidiaries including but not limited to Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp. 600 301 Boulevard West Bradenton, Florida 34205 Coverages: MARSH Insurer American Home Assurance Co., Member of American International Group, Inc. (AIG) The policy(ies) of insurance listed below have been issued to the insured named above for the policy period indicated. The insurance afforded by the nolicv(ies) described herein is subject to all the terms, exclusions and conditions of such policy(ies). Type of Insurance Workers' Compensation Other: Certificate Exp. Date ❑ Continuous ❑ Extended 5a Policv Term 1-1-2006 Policy Number RMWC330470 RMWC330495 Limits Bodily Injury By Accident $ 2 000,000 Each Accident Bodily Injury By Disease $ 2,000,000 Policy Limit Bodily Injury By Disease $ 2,000,000 Each Person Employees Leased To: ec ve ate: 1/1/05 AT -__. _ �' `.__._ 14124 Conch Flyer Inc. WAIVER C. The above referenced workers' compensation policy(ies) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(ies), not to the employees of any other *If the certificate expiration date is continuous or extended term, you will be notified if coverage is terminated or reduced before the certificate expiration date. However, you will not be notified annually of the continuation of coverage. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: Monroe County Board of Commissioners 5100 College Rd Key West, FL 33040-4319 GG *L� a ,(,e Michael C. Weiss Authorized Representative of Marsh USA Inc. (866)443-8489 1/l/2005 Phone Date Issued ACORD_ CERTIFICATE OF LIABILITY INSURANCE CSR CH I DATE(MM/DD/YYYY) CONCH-4 04/20/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5548 Phone:305-294-7696 Fax:305-294-7383 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: North Pointe Insurance Co. 03510 INSURER B: COII h Flyer , Inc. d/b a The Conch Flyer Rest. INSURER C: 349 S . Roosevelt Blvd INSURER D. Key West FL 33040 INSURER E. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IMIK I `kI L INSIRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 A X X7 COMMERCIAL GENERAL LIABILITY CLAIMS MADE DOCCUR 7094106729 09/15/04 09/15/05 PREMISES (Ea occurenca) $ 100 , 000 MED EXP (Any one person) $ 5 , 0 00 PERSONAL & ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 POLICY F PRO LOC JECT X AUTOMOBILE LIABILITY ANY AUTO COMBWED SINGLE LIMIT (Ea accident) $ 1000000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ A HIRED AUTOS NoraowNEDAuros 7094106729 09/15/04 09/15/05 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ Anmiliii AUTO ONLY: AGG EACH OCCURRENCE $ $ EXCESS/UMBRELLA LIABILITY \ .11= OCCUR ❑ CLAIMS MADE BY AGGREGATE $ DATE _�N!/ $ DEDUCTIBLE ,/ $ RETENTION $ WAVER. Y --YFS .__.._.,.... $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE �_44 EXCLUDED? OF es, describe If yes, describe under C , E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER A Liquor Liability 7094106729 09/15/04 09/15/05 Liquor 1000000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Restaurant - less than 75% alcohol, no dance floor `4.AN9_tLLA I IUN MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board Of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Commissioners PO BOX 1026 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33041-1026 REPRESENTATIVES. Horan IIIsuranc ACORD 25 200'1/08) qq�RD CORPORATION 1988 ACORD_ CERTIFICATE OF LIABILITY INSURANCE CSR CH DATEIMM/DDIYYYY) CONCH-4 01/05/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5548 Phone:305-294-7696 rax:305-294-7383 Con h Flyer, Inc. d/b a The Conch rlyer Rest. 349 S. Roosevelt Blvd Key West FL 33040 COVFRAnFA INSURERS AFFORDING COVERAGE I NAIC # INSURER A, North Pointe Insurance Co. 03510 INSURER B. INSURER C INSURER D INSURER E. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBER DATE (MWDD/YY) DATE (MWDD/YY) LIMITS 7XX LIABILITY MERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR 7094106729 09/15/05 09/15/06 EACH OCCURRENCE $ 1 , OOO , OOO PREMISES (Ea occurence) $ 100 , 000 MED EXP (Any one person) $ 5 000 r PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE $ 2 , 000 , 000 RGEN'L AGGREGATE LIMIT APPLIES PER. POLICY F PRO- ECT JLOC PRODUCTS - COMP/OP AGG $ 2 , 000 , 000 AUTOMOBILE LIABILITY X ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1000000 ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIRED AUTOS A X NON -OWNED AUTOS 7094106729 09/15/05 09/15/06 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY- EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY AGG EACH OCCURRENCE $ P, EXCESS/UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE $ $ AGGREGATE $ DEDUCTIBLE RETENTION $ r y' ..—.__. _.. $ $ WORKERS COMPENSATION AND (j +-� _ --_-,_ .. _ "................... EMPLOYERS' LIABILITY _._._._ ANY PROPRIETOR/PARTNER/EXECUTIVE `u,�/11`(-' OFFICER/MEMBER EXCLUDED? - '- � " " "' TORY LIMITS ER E.LEACH ACCIDENT $ If yes, C!escrite ender SPECIAL PROVISIONS below e OTHER E.L. DISEASE - EA EMPLOYEE, $ E L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Restaurant - less than 75% alcohol, no dance floor Or 1-7" CERTIFICATE HOLDER Monroe County Board of County Commissioners PO Box 1026 Key West FL 33041-1026 �a.LI11 own WBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE O E CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOS NO BLIGInON 0!�' 1 ILFY OF ANY KIND UPON THE INSURER, ITS AGENTS OR D 25 (2001l08) © ACORD CORPORATION 1988 Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder other than those provided by this policy. This certificate does not amend, extend, or alter the coverage afforded by the policies described herein. Named Insured(s): Gevity HR, Inc and its wholly owned subsidiaries including but not limited to Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp. 600 301 Boulevard West Bradenton, Florida 34205 Coverages: MARSH Insurer American Home Assurance Co., Member of American International Group, Inc. (AIG) This is to certify that the policy(ies) of insurance described herein have been issued to the insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which the Certificate may be issued or may pertain, the insurance afforded by the policy(ies)described herein is subject to all the terms, conditions and exclusions of such policy(ies). (Aggregate) Limits shown may have been reduced by paid claims. Type of Insurance Certificate Exp. Date Policy Number Limits Employersiability 1-1-2007 RMWC9426922 Bodily Injury By Accident Workers' $ 2,QQQ,000 Each Accident Compensation RMWC9431313 Bodily Injury By Disease $ 2,000,000 Policy Limit Bodily Injury By Disease $ 2,000,000 Each Person Other: Employees Leased To: Effective Date: 1/1/06 14124 Conch Flyer inc. ' "��' `l t, Jx._.___Y The above referenced workers' compensation policy(ies) provide(s) statutory benefits only to the employees of the Named Insured(s) on such policy(ies), not to the employees of any other Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: Monroe County Board of Commissioners 5100 College Rd Key West, FL 3W40-4319 �u�,ruA�r��wu,rt�l�nrr�u�u��r►u��r�n�4nr�lnrnf�r� *C; Z �e , (�6 "/a � � Michael C. Weiss Authorized Representative of Marsh USA Inc. (866) 443-8489 12/15/2005 Phone Date Issued InU 2 7 20 CSR CH DATE (MMroD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE CONCH-4 1 05 O1 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Atlantic Pacific -Key West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 5548 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West FL 33045-5548 Phone:305-294-7696 Fax:305-294-7 INSURED INSURER B: Cqqn h Flyer, Inc. MAY d/b a The Conch Flyer Res N c: 3495 S . Roosevelt !Blvd INSURER D: Key West FL 33040 rnVGver_GQ G COVERAGE I NAIC # Pointe Insurance Co. 1 03510 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED RIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/Yl( POLICY EXPIRATION DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 PREMISES Eaoccurence) $ 100,000 A X X COMMERCIAL GENERAL LIABILITY 7094106729 09/15/05 09/15/06 CLAIMS MADE OCCUR MED EXP (Any one person) s5,000 PERSONAL 8 ADV INJURY $ 1 , 000 , 000 GENERAL AGGREGATE s2,000,000 �Ehl't_ AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s2,000,000 POLICY PROECT LOC J X AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1000000 BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ A HIRED AUTOS NON -OWNED AUTOS 7094106729 09/15/05 09/15/06 X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ $ RETENTION $ 6 t _ ) WORKERS COMPENSATION AND EMPLOYERS' LIABILITY STATIJ- TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WAIV r_ F NIA . _. f r' t E.L. DISEASE - POLICY LIMIT _ $ OTHER r L.0 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Restaurant - less than 75% alcohol, no dance floor GEKTIFIGATE HOLDER CANCELLATION MCBCCOM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Monroe County Board of County NOTI E T THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Commissioners IMP SE NO BLIG ION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton St Key West FL 33040 REP ESENT TIVE AUTH RIZED EP Hora I ura e ACORD 25 (2001/08) © ACORD CORPORATION 191 ACORD, CERTIFICATE OF LIABILITY INSURANCE 09ios%z6) PRODUCER (305)294-4494 FAX (305)294-0772 Keys Insurance Services, Inc. 805 Peacock Plaza ----ALTER Key West, FL 33040Fjt,_`; THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Conch Flyer, Inc 3495 So. Roosevelt Blvd f Key West, FL 33040 SEP 1 MONRO( CQUNTY INSURERA: Lloyds of London INSURER B: INSURERC: INSURER D: NSURE E: COVERAGESIV LIVI L IV THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DV TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE fMWDDWI 09/15/2006 POLICY EXPIRATIONlia. LIMITS GENERAL LIABILITY ARPI-60978 09/15/2007 EACH OCCURRENCE $ 1,00 ' 00 X COMMERCIAL GENERAL LIABILITY DAMAGETORENTEDPRFMcRF En—, E SO,OO CLAIMS MADE [K] OCCUR MED EXP (Any one person) $ 5,000 A PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 1,000,00 POLICY JECT LOC LIQUOR LIABILITY $1,000,000 AUTOMOBILE UABILIry ANY AUTO COMBINED SINGLE LIMIT (Ea accident) E ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ J' GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO *vr 6--~- OTHER THAN EA ACC AUTO ONLY: AGG E $ EXCESS/UMBRELLA LIABILITY OCCUR F-1 (:LAIMS MADE � " �'' :�. _. _.. _-,- " EACH OCCURRENCE $ AGGREGATE E $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND I WC STATU- OTH- EMPLOYERS' UABIUry E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE- EA EMPLOYE $ OFFICER/MEMBER FXCLUDEDP EXCLUDED? I( es, describe under SPECIAL PROVISIONS below E.L. DISEASE- POLICY LIMIT --- $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is also added as an additional insured. Monroe County Attn: Risk Management 500 Whitehead St Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED EXPIRATION DATE THEREOF, THE ISSUIN( 10 DAYS WRITTEN NOTICE TOTH BUT FAILURE TO MAIL SUCH NOTIC A AUTHORIZED BEC ELL BEFORE THE t yYILRf D ORTOMAIL fE jJ� DE AMED TO THE LEFT, wB//O B TION OR LIABILITY ACORD 25 (2001108) CORPORATION 1988 MONROE COUNTY, FLORIDA Request For Waiver of Insurance Requirements zoos EREG L IV L t, LJUL -,-W _ RISK f ,ROE COUNTY RISV iv;ANNGEMENT� It is requested that the insurance requirements, as specified in the County's Schedule of Insurance Requirements, be waived or modified on the following 'contract. .J� Contractor: Contract for: l—VVTb i?�.R9„yJGt Address of Contractor:0.__-S'., Phone: Scope of Work: Reason for Waiver: Policies Waiver will apply to: Signature of Contractor Risk Management Date County Administrator appeal: Approved: Date: Board of County Commissioners appeal: Approved: Meeting Date: Administration Instruction N47026 Not Approved: Not Approved: 104 Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder other than those provided by this policy. This certificate does not amend, extend, or alter the coverage afforded by the policies described herein. Named Insured(s): Gevity HR, Inc and its wholly owned subsidiaries including but not limited to Gevity HR, LP; Gevity HR II, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; Gevity HR VII, LP; Gevity HR Vill, LP; MARSH Gevity HR IX, LP; Gevity HR X, LP; Gevity HR Xl, LLC; Gevity HR XII Corp. 9000 Town Center Parkwy Insurer Affording Coverage Bradenton, FL 34202 American Home Assurance Co., Member of American International Group,Inc.(AIG) Coverages: This is to certify that the policy(ies) of insurance described herein have been issued to the insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which the Certificate may be issued or may pertain, the insurance afforded by the policy(ies) described herein is subject to all the terms, conditions and exclusions of such policy(ies). (Aggregate) Limits shown may have been reduced by paid claims. Type of Insurance Certificate Exp. Policy Number Limits Date Workers' Compensation 1-1-2008 RMWC9719932 RMWC9719957 Employers Liability Bodily Injury By Accident $2,000,000 Each Accident Bodily Injury By Disease $2,000,000 Policy Limit Bodily Injury By Disease $2,000,000 Each Person MM Other: y 1 1 Employees Leased To: Effective Date : 01-JAN-2007 14124.Conch Flyer Inc The above referenced workers' compensation policy(ies) provide(s) statutory benefits only to employees of the Named Insured(s) on such policy(ies), not to the employees of any other employer. Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder Monroe County Risk Management 3495 S Roosevelt Blvd Key West, FL 33040 Michael C. Weiss Authorized Representative of Marsh USA Inc. (866)443-8489 17 -JUL - 2 0 07 Phone Dale Issued Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon the Certificate Holder other than those provided by this policy. This certificate does not amend, extend, or alter the coveraee afforded by the DOlicies described herein. Named Insured(s): RECEN Gevity HR, Inc; Gevity HR, LP; Gevity HR 11, LP; Gevity HR III, LP; Gevity HR IV, LP; Gevity HR V, LP; Gevity HR VI, LP; DEC 2 6 1.'07 Gevity HR VII, LP; Gevity HR VIII, LP; Gevity HR IX, LP; Gevity HR X, LP; Gevity HR XI, LLC; Gevity HR XII Corp.; J MONROE GOU Gevity XIV, LLC. RISK MANAGEMENT 9000 Town Center Parkway Bradenton, Florida 34202 Insurer Affording Coverage American Home Assurance Company Coverages: Member of American International Group, Inc. (AIG) This is to certify that the policy(ies) of insurance described herein have been issued to the insured named herein for the policy period indicated. Notwithstanding any requirement, term or condition of any contract or other document with respect to which the Certificate may be issued or may pertain, the insurance afforded by the policy(ies)described herein is subject to all the terms, conditions and exclusions of such policy(ies). (Aggregate) Limits shown may have been reduced by paid claims. Type of Insurance Certificate Exp. Date Policy Number Limits Employers Liability Workers' 1-1-2009 RAMC4402574 Bodily Injury By Accident Compensation RMWC4275667 $2,000,000 Each Accident Bodily Injury By Disease $ 2,000,000 Policy Lim t Bodily Injury By Disease ,r $ 2,000,000 Each Person 4 _ Other: Employees Leased To: WAid::f N11A�-, --- ectiveDate: 1/l/08 14124 Conch Flyer Inc. II N X , 0 (_Q91_ The above referenced workers' compensation policy(ies) provide(s) staNtory benefitCs only to the employees of the Named Insured(s) on such policy(ies), not to the employees of any other employer Notice of Cancellation: Should any of the policies described herein be cancelled before the expiration date thereof, the insurer affording coverage will endeavor to mail 30 days written notice to the certificate holder named herein, but failure to mail such notice shall impose no obligation or liability of any kind upon the insurer affording coverage, its agents or representatives. Certificate Holder: Monroe County Risk Management 3495 S Roosevelt Blvd Key West, FL 33040-5260 IIII III 1 1 1IN II I_� I I.�II_�II-�I-�II�I 1I I 111 I I I I 11 11 11 111 I I I 11 I I I 11 I I I 11I Michael C. Weiss Authorized Representative of Marsh USA Inc. (866)443-8489 01/01/2008 Phone Date Issued ACORD CERTIFICATE OF LIABILITY INSURANCE 1 /13/2007 PRODUCER (30S)294-4494 FAX (305)743-OSS2 Keys Insurance Services, Inc. SOS Peacock Plaza Key West, FL 33040 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC II "umm, Conch Flyer, Inc. 349S S. Roosevelt Blvd. Key West, FL 33040 NwFwR : Lloyds of London INSURERB: INSURER c: INEVRER O: INSURER E: 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. EXCLUSK)NS AND CONDITIONS OF SUCH POLICES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ME OFINURANCE POLICY NUMBER EFFECTIVE FX UNITS " GENERAL UAMUIY MLERCM GENERAL LLIABILITY1 GIANTS MADE OOCCIIR TO: ARPQ16428S LIQUOR LIABILITY 09/15/2007 $1,000,000 09/IS/2108 EAcHocmw&mcs c OO 0100( CAAMOE TO RENTED MEDEXP(",,nspA ) S ' SO S 1rOO PEIUONALBAMINJURY s 1,000.00( GENERAL AGGREGATE E 2,000.00 GeA AGGREGATE LIMIT APPLES PER: POLICY JE°NOGT Loc PRODUCTS-COINFYOP AGO S I OO AUTCMOINLL LIABILITY ANY AM ALLOWNEDAUTOS SCWDUIEDAUT65 HIREDAVTOSBODILY NOMowNEDAUTos n 1 ''� •l �..-. '- IEFCW .NSMHA)Emm SBIIXE UMIT E BODILY B4roraNnNI�Y s INJURY (PWSCddwG S - PROPEOY DIMAOE s - - •. OARANELJABILIIY ANY AUTO , AUTO ONLY EA ACCIDENT E OnER71uW GACC AUTO ONLY. AGG E S EXCEBSNMBREILA UAmLnY OCCUR �CIADAE MADE DEDucneLE RETENrIDN SINORIG �c��yl� EACH OCCURRENCE s "'. %•-, AGGREGATE E _ s RSCOLPENSATION AMO MMPLORB'LIABILITYWC mLMAYl I dYmTAHHFr PROVISION$OMO. OTNNEt STATV- OTN- EL EACH ACCIDENT nMeWE E ELOUNEASE-EA f F.A. DISEASE -POLICY UMrr S _.-- DEBCPoIrION of OPERATIONS I LOCATIONS IvEMCLF41 EMUSION$ADDIM BY ENDORSEMENT I SPEOAL PROVISIONS nroe County Board of County Commissioners is added as certificate holder and additional insured. EERTIPN_ATe SHOULD ANY OF THE ABOVE D W*C POLICIES BE CANCELLED BEFORET,E EXPIRATION OATS THEREOF. THE ISSUING USURER ENDEAVOR Tp MAL Monroe County _10 OAVBWRRTEINOTICETO A RNAMEOTOTIE LEPI_ Attn: Risk Management our FALURE To NAIL ILICNI OBUGATIONORLIABYJTY•.., 1100 Simonton Street Room 268 OF ANY IBNouroNTHE Aug, '— Key West, FL 33040 AVINONWO F. .. - ACORD 2s(2o0TPoa) FAX: (30S)29S-3179 mAC D CORPORAT•InM 4aeR GG� Q ACORDM CERTIFICATE OF LIABILITY INSURANCE 09/13/2 07 PRODUCER (305)294-4494 FAX (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Keys Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 805 Peacock Plaza ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West, FL 33040 R F(' F �wI IntERS AFF RDING COVERAGE I NAIC # INSURED Conch Flyer, Inc. 3495 S. Roosevelt Blvd. INSURER B: Key West, FL 33040 FEB IN C INSURER D: r� THE POLICIES OF INSURANCE. LISTED BELOW HAVE BE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR T.DATE D' rypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION fMWQDfYYI LIMITS GENERAL LIABILITY ARPQ164285 09/15/2007 09/15/2008 EACHOCCURRENCE $ 1,000,00 DAMAGE TO RENTED $ SO' ;UU X COMMERCIAL GENELiAL LIABILITY MED EXP (Any one person) $ 1; 00 CLAIMS MADE � OCCUR PERSONAL & ADV INJURY S 1,000,000 A GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 1,000,00 POLICv PECOT LOC LIQUOR LIABILITY $1,000,000 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accdent) $ BODILY INJURY (Per person) S ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Peraccident).. $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ ,. AUTO ONLY: AGO EXCESS/UMBRELLA LIABILITY _ EACH OCCURRENCE $ AGGREGATE $ - OCCUR CLAIMS MADE _ DEDUCTIBLE _ _._..._.. $ Is 1'j RETENTION $ rJ WORKERS COMPENSATION AND WCSTATU- OTH- E.L. EACH ACCIDENT $ _ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEWE(ECUTIVE ) E.L. DISEASE - EA EMPLOYE $ OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below '� A E.L. DISEASE -POLICY LIMIT I $ OTHER I ILL ova DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS onroe County Board of County Commissioners is added as certificate holder and additional insured. Monroe County Attn: Risk Management 1100 Simonton :Street Room 268 Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSUi2ESWATIVES. ENDEAVOR TO MAIL - lO DAYS WRITTEN NOTICE TO FLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NO SH I BLIGATION OR LIABILITY' OF ANY KIND UPON THE IN S EN AUTHORIZED REPRESENT VE / _ Arnon ICIoAndmRt FAX: (305)295-3179 v . a C_ CORPORATION..1988 ACORU, CERTIFICATE OF LIABILITY INSURANCE DATE (M08 VY OS/16/08 PRODUCER 1-800-472-0072 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Psyches Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 150 Sa HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR TFgraee Dr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Rochester, NY 14620 INSURERS AFFORDING COVERAGE INSURED Paychex Business Solutions, Inc. CONCH FLYER INC 911 Panorama Trail South Rochester, NY 14625 877-266-6850 INSURER A'. ILLINOIS NATIONAL INSURANCE COMPANY INSURER B: INSURER C. INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE DATE (MMIDOM) POLICY EXPIRATION DATE (MMDSYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE § FIRE DAMAGE (Any one lire) E COMMERCIAL GENERAL LIABILITY CLAIMSMADE ❑OCCUR MEDEXP(Anyoneperaon) $ PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRO F PRODUCTS -COMP/OP AGO E POLICY JECT LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea wr,xtent) § ALL OWNED AUTOS BODILY INJURY WHEDULEDAUTOS (Per person) $ HIREDAUTO HIBEDANED BODILY INJURY NO AUTOS y\1 (Her iJent) PROPERTY DAMAGE (Per ecckeell $ GARAGE LIABILITY AUTOONLVEA ACCIDENT $ MY AUTO OTHER EA ACC THANAUTO $ $ ONLY. ASS EXCESSLIABILITY OCCUR OCCUR CI -AIMS MADE ULjL/4U\§ EACH OCCURRENCE $ AGGREGATE $ E DEDUCTIBLE t $ REfENT10N § //^/ t , l $ A WORKERS COMPENSATION AND EMPLOYERS' 2243523 O6/Bl/08 06/01/09 X WCSTATU- TORYLIMITS OTH- ER E.L. EACH ACCIDENT $ 11000,000 On�lry ELDISEASE-EAEMPLONCE $ 1,000,000 E.L. DISEASE -POLICY LIMIT is 1,000,000 OTHER E E DESCRIPTION OF OPERATIONSLOCATIONSVEHICLESAD%CLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR COUNTY BOARD OF COUNTY COMMISSIONERS SIMONTON STREET 268 NEST, FL 33040 USA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 90 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO $0 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. 8797315 ® ACORD CORPORATION 1988 A Ca-rm CERTIFICATE OF LIABILITY INSURANCE 9A14M2009' PRODUCER (3 0 5) 2 9 4- 4 4 9 4 FAX: (3 0 5) 7 4 3- 0 5 8 2 Keys Insurance Services, Inc. 805 Peacock Plaza E("j'E IkaER Key West FL 33040 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONFERS NO RIGHTS UPON THE CERTIFICATE DER. THI CERTIFICATE DOES NOT AMEND, EXTEND OR THE C VERAGE AFFORDED BY O THE POLICIES BELOW. S IN RS AFFO DING COVERAGE NAIC # INSURED-SEP Conch Flyer, Inc. 3495 S . Roosevelt Blvd. ��-.;,�' Key West FL 33040 IN A: L O d of London INSURER B: " �R C: IWIN'R D: INSURER E: 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. REGNTE LIMITS SHOWN MAY HAVE BE CED BY PAID CLAIMS, INSR LTRINSRDTYPE ADD'L OF INSURANCE POLICY NUMBER POLICY DATE MM/DD/YYE POLICY MEXPIRATION D/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED PREMISES Ea occurrence) 501000X $ A COMMERCIAL GENERAL LIABILITY CLAIMS MADE FxIOCCUR ARPI644661-1 9/15/2009 9/15/2010 MED EXP (Any oneperson) $ 1, 000 PERSONAL & ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP A $ 11000,000 GENT AGGREGATE LIMIT APPLIES PER: 1 X POLICY JE PO- LOC LIQUOR LIABILITY $110 0 0, 0 0 0 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ F- GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA A $ $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ 7 OCCUR FICLAIMS MADE $ DEDUCTIBLE RETENTION +% WORKERS COMPENSATION AND - WC STAOTH- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISION§ below OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate holder is also added as an additional insured CERTIFICATE HOLDER CANCELLATION Monroe County BOCC 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED EXPIRATION DATE THEREOF, THE ISSUING 10 DAYS WRITTEN NOTICE CER FAILURE TO DO SO SHALL I SE N L A INSURER ITS AGENTS O RES TA S AUTHORIZED REPRESEN TIVE F Hager LI IES BE CANCELLED BEFORE THE URER WILL ENDEAVOR TO MAIL TE HOLDER NAMED TO THE LEFT, BUT N OR LIABILITY OF ANY KIND UPON THE ACORD 25 (2001108) ACORD CORPORATION 19RR OVERAGES 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. G TE LIMITS SHOWN MAY HAV BEEN REDUCED By PAID CLAIMS, VSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LIMITS TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MMIDDIYY GENERAL LIABILITY EACH OCCURRENCE $ 1, 0 0 0, 0 0 0 DAMAGE TO RENTED $ 50,000 X COMMERCIAL GENERAL LIABILITY --PREMISES (Ea occurrence) A CLAIMS MADE X OCCUR ARP1644661-1 9/15/2009 9/15/2010 MED EXP An one person) $ 1, 000 1 000 000 PERSONAL & ADV INJURY $ � � GENERAL AGGREGATE $ 21000,000 pQrnni ir_T.R - rOMP/OP AGG $ 110 0 0 , 0 0 0 GENT AGGREGATE LIMn APFLItb rtM: X PO - POLICY E LOC LIQUOR LIABILITY AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR FICLAIMS MADE DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ OTHER THAN EA A $ AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE $ $ C $ E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEI E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate holder is also added as an additional insured GEKI IFIL;A 1 r- NULUMM Monroe County BOCC 1100 Simonton Street Key West, FL 33040 f%A K1rG1 I ATInAI $11000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INS ER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE t HIE .J.'c TIF CA OLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPO OC. 0 LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR SENTATI AUTHORIZED REPRESENTATIV F Hager ACORD 25 (2001108) J �. v ©rD CORPORATION 1988 Page 1 of 2 11/13/2009 16:43 Remote ID Imprint ID D 2/2 A ORUm C CERTIFICATE CIF LIABILITY INSURANCE DATE (MMIDOlYY) 1 11/13/09 PRODUCER 1-800-472-0072 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 150 Sar►grass Dr ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Rochester, NY 14620 INSURED Paychex Business Solutions, Inc. DER A: ILLINOI S NATIONAL INSURANCE COMPANY 14SUWR B- CONCH FLYER INC NSUWR C: 911 Panorama Trail South Rochester, NY 14625 1877-266-6850 INSURER I - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAM CLAIMS. INSR POLICY EFFECTME POLICY EXPIRATION LT TYKE OF INSURANCE POLICY NUM R DATE (MMMOM") DATE (MIAODIYY) LNMMTS GENERAL LIABILITY EACH OCCURRENCE S FIRE OAWGE (Any arm fim) S COMMERCIAL GENERAL LLM&ITY CLAMS MADE F] OCCUR MEG EXP (Any one pwmm) S PERSONAL a ADV NJURY S GENERAL AGGREGATE S GENL AGGREGATE LMAIT APPLIES PER PRODUCTS - COMPIOP AGG S PI?a [:] [:].ECT POLICY LOC AUTOMOBILE LIABILITY COMBINED SINGLE LMST ANY AUTO I (Ea ) S ALL OWNED AUTOS BODILY NJIEtY SCHEDULED AUTOS HIRED AUTOS '"' WwPam) I S BODILY INJURY NON -OWNED AUTOS (Par accident) S PROPERTY 0##MQE (Par aocid"t) i GARAGE LIABILITY 44 AUTO ONLY - EA ACCIDENT S OTHER THAN AUTO EA ACC : ANY AUTO • S ONLY: AGG EXCESS LIABILITY T EACHOCCURRENCE S OCCUR a CI A66 MADE c AGGREGATE S DEDUCTIBLE S S S RETENTION S WORKERSCOMFENSATIONANDENILOYERS' a5890435 06�01/09 06%Ol/10 x WCSTATU- OTI+ TORY LIMTS ER EL. EACH ACcx)ENT S 160001000 E.E. DISEASE - EA EMPLOYEE S 1000 0 , 0 0 0 EL_ DISEASE - POLICY LIMIT S 160001000 OTHER s S S DESCRIPTION OF OPERATIONWLOCATIONSIVENICLESMXCLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYERS LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSU CERTIFICATE HOLDER AODITIONALINSUItEO; MSURERLETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TIME EXPIRATION DATE FXONMROZ COUNTY BOARD OF COUNTY CO3WSSIONSRS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 90_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IWOSE NO OBLIGATION 1100 SIMONTON STREET OR LIABILITY OF ANY KIND WON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ROOM 268 KEY WEST, FL 33040 AUTHORQEDREPRESENTATIVE USA ACORD 2" (7/97) CLLRWIS ® ACORD CORPORATION 1988 13610737 D ACORIXm CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDM)05/14/10 PRODUCER 1-877-266-6850 Paychex Insurance Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 150 Sawgrass Dr C ERTIFICATE DOES NOT AMEND, EXTEND OR HE COVE AGE AFFORDED BY THE POLICIES BELOW. Rochester, NY 14620 1 SURERS AFFORDING COVERAGE INSURER A: ILL NOIS ATIONAL INSURANCE COMPANY INSURED Paychex Business Solutions, Inc. MAY I SUR MU CONCH FLYER INC �� 911 Panorama Trail South INSURER C: Rochester, NY 14625 MOON ROE 1877-266-6850 RISK MAN A . /% r ! T. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ CLAIMS MADE F-1 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- [-] PRODUCTS — COMP/OP AGG $ POLICY M JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO [(Eaaccjdent) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE _a ..,... (Per accident) $ GARAGE LIABILITY A� . - -._ .�..�..�,. AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN AUTO EA ACC $ ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR El CLAIMS MADE AGGREGATE $ 1 $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS 012007139 0 6 / 01 / 10 0 6 / 01 / 11 X WC STATU- OTH- TORYLIMITS ER E.L. EACH ACCIDENT $ 1, 0 0 0, 0 0 0 E.L. DISEASE— EA EMPLOYEE $ 1 , 000 , 000 410 111"] LID& E.L. DISEASE — POLICY LIMIT $ 110 0 0, 0 0 0 OTHER $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INS I CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 90 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION 1100 SIMONTON STREET OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ROOM 268 KEY WEST, FL 38040. AUTHORIZED REPRESENTATIVE = f ' USA',_ -`t ACORD 25-S (7197) DISGRO 15693249 © A CORD CORPORATION 1988 A� 913/CERTIFICATE OF LIABILITY INSURANCE DA/13/DD/YY2010 0 PRODUCER (305) 294-4494 FAX: (305) 743-0582 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Reya Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 805 Peacock Plaza LTAK THE COMERAGE AFFORDED BY THE POLICIES BELOW. Rey West FL 33040 INSURED Conch Flyer, Inc. 3495 S. Roosevelt Blvd. Rey West FL 33040 rnvcplar-Fc �..,c. _ INSURER: • INSURER A C INSURER C _ E- 'FOR I_NG COVERAGE_ NAIC # ito Specialty Ins. Co THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'LI I POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE S_ 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENT€--- PREM($FS(Eaocartenee__ S 100,000 A CLAIMS MADE X OCCURPR1601688 9/15/2010 9/15/2011 MED EXP (Any one person) $ _ 5,000 - PERSONAL dADVINJURY S 1,000,000 - _ GENERAL AGGREGATE S 2,000_L000_ I__GEN'LAGGREGATE LIMIT APPLIESPER - PRODUCTS - COMP/OPAGG 5 11000,000 X POLICY PRO LOC Li or Liabilit 9 15 2010 9 15 2011 Each Occurrence 11000,000 AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT S ANY AUTO (Ea accdent) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (PM person) HIRED AUTOS _ BODILY INJURY S 1 NON -OWNED AUTOS (Per accident) "- - PROPERTY DAMAGE S (Per accdent) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT, S ANY AUTO 0 OTHER THAN - EA ACC _ S _ AUTO ONLY. AGG S EXCESS I UMBRELLA LIABILITY ��// OCCUR CLAIMS MADE EACH OCCURRENCE S _ _ U /" AGGREGATE $ _ , S DEDUCTIBLE S RETENTION 5 ^" S WORKERS COMPENSATION ) STATU- OTH AND EMPLOYERS' LIABILITY YIN TORY-1-1mrTS, I ER I ANY PROPRIETORIPARTN=R/EXECUTIVE EXCLLIDEDO E L EACH ACCIDENT $ (Mandatory In MI (Mandatory In NH) H yyeeaa deaonhs older SPECVIL PROVISIONS hebw E L DISEASE - EA EMPLOYEE S -- --- _ E l DISEASE -POLICY LIMIT S OTHER I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate holder is also added as an additional insured. Diaz-MOniclue@monroecounty- SHOULD ANY OF THE ABOVE DESCRIBED POLICI BE CANCELLED BEFORE THE EXPIRATION Monroe County BOCC DATE THEREOF, THE ISSUING INSURER WILL E DEAVOR TO MAIL 10 DAYS WRITTEN 1100 Simonton Street Rey West, FL 33040 NOTICE TO THE CERTIFICATE HOLDER NA 0 THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LI 47 1 KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES - AUTHORIZED REPRESENTA /1 ::::yj VI i F Hager (��r ACORD 25 (2009/01) 01988- 09 ACORI CORPO TION. "Al rinhtn racam—1 rauca (ZUUWI) The ACORD name and logo are registered marks of ACORD AC J?a. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YY) 09/19/20119/19011 PRODUCER 1-8 - 66-6850 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Paychex Insurance Agency, Inc. RS NO RIGHTS UPON THE CERTIFICATE REC THIS RTIFICATE DOES NOT AMEND, EXTEND OR 150 Sawgrass Dr E COVE GE AFFORDED BY THE POLICIES BELOW. I SURERS AFFORDING COVERAGE Rochester, NY 14620 INSURED L. Paychex Business Solutions, Inc. IN uR ILLINOIs ATIONAL INSURANCE COMPANY INSURERS: CONCH FLYER INC 911 Panorama Trail South e INSURER D: , Rochester, NY 14625 '.:. wsuRER E: 877-266-6850 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iNSR POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) DATE (MMIDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ MED EXP(Any one person) $ CLAIMS MADE [_]..CUR PERSONAL B ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS—COMP/OP AGO $ PRO - POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIREDAUTOS NON -OWNED AUTOS BODILY INJURY �� (Per accident) $ � I - PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY- ANY AUTO �j - 't) AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN AUTO $ $ - ONLY: AGG EXCESS LIABILITY , . - - EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' uABILITY WC O11 598 305 06/01/11 06/01/12 WC STATU - OTH- K WC ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE —EA EMPLOYEE $ 11000,000 E.L. DISEASE— POLICY LIMIT $ 1,000,000 OTHER $ DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS WORKERS COMPENSATION COVERAGE IS PROVIDED TO ONLY THOSE EMPLOYEES LEASED TO, BUT NOT SUBCONTRACTORS OF THE NAMED INSUR 00 , T ` cL •�? �c VCR 111'1V^ I C nVLUGR NRL1Ns U;IN-M ItH: UANGtLLA IIVN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE MONROE COUNTY BOARD OF COUNTY COMMISSIONERS THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 90 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION 111 SIMONTON ST. OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. WEST, FL 33040 USA AUTHORIZED REPRESENTATIVE ACORD 25-S (7197) `'--- ® ACORD CORPORATION 1988 23109080 A� of CERTIFICATE OF LIABILITY INSURANCE 9DATE /13/2011YY1 THIS CERTIFICATE IS ISSUED AS A MATTER OFIFICATTE "" aMRIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR L gr =0 THEAFFORDEDY THE WIVS BLOW, THIS CERTIFICATE OF INSURANCE D }„y TRACT THE ISSUING AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CE HOLDER. IMPORTANT: If the certificate holder is an ADDITSURED,the the terns and conditions of the policy, certain polnNO policy(les) must endorsed. If SUBROGATION IS WANED, subject to aI� e4.do?sVenL A sta ant on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s .PRODUCER Insurance Services, Inc.)A0'NROE NAYTACT F. HagKeys . (305) 94-4494 FAx (305)743-05e2 805 Peacock Plaza RISK MAN hags eysinsurance.com CUSTOMER ID eA O O 1954 6 INSURERS AFFORDING COVERAGE NAICa Key West FL 33040 INSURED INSURERA:Lloyds of London INSURER e : Conch Flyer, Inc„ 3495 S. Roosevelt Blvd. (Terminal #1 and #2 1NSURERC: _ INSURERD: INSURER E • Rey West FL 33040 JINSURER F COVERAGES CERTIFICATE NUMBER:CL1191302820 REVIS117N 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. LYN TYPE OF INSURANCE � POLICY NUMBER MIDarf POLICY yyylFF MPOE�IP LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ,� A X CLAIMS -MADE XJ OCCUR I ( I i XRPI69045-10 jS/15/2011 9/iS/2012 E I ( EACH OCCURRENCE s 11000,000 I�>: nc s so, o00 i NEDEXPIAn one person) S 11000 PERSONAL SADVINJURY $ 11000,000 GEN%AGGREGATE LNARAPPLIES PER : ! X POLICY I ( JECTPRO n LOC GENERAL AGGREGATE is 2,000,000 PRODUCTS-COMPJOPAGG IS 1,000,000 I LwwLAIN* Is 11000,000 AU MOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS I HIRED AUTOS NON -OWNED AUTOS I COMBINED SINGLE LIMB (Ea udderd) I S BODILY INJURY (Per person) I S BODILY INJURY (Per accident) S PROPERTY DAMAGE i (Par acciderd) S 5 UMBRELLA LIAR _ I OCCUR i I EXCESS LIAR CLAIMS• 4ADE� DEDUCTIBLE RETENTION S I I _ EACH OCCURRENCE S I ' AGGREGATE S I ' S WORKERS COMPENSATION I AND EMPLOYERS LIABILITY YIN' ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDEDI N / A HMya �tW NH DESCRIPTION OF OPERATIONS below j I WC STATU• I IOTH- ) J _:SI PR �� , E L. EACH ACCIDENT 1 E L DISEASE - EA EMPLOYEE c E L. DISEASE •POLICY LIMIT S S $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, Irmore space Is required) Certificate holder is also added as an additional insured. Monroe County BOCC 5100 College Road Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED THE EXPIRATION DATE THEREOF, N ACCORDANCE WITH THE POLICY PRQMSI AUTHORIZED REPRESENTATIVE F. Hager/LH If-r CANCELLED BEFORE BE IDEWERED IN mvvnu ca <<uuwUwJ w isa84009 ACORO CORPORATION. All rights reserved. INS025 (20OW9) The ACORD name and logo are registered marks of ACORD ACORD .. ....:..:.,..... ... ,',' .,'..;,."..;>isii<asiasisiasisis>isisii»E?Eaiasiii>ii>;;;:DATE M DD : . 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 p orsement. A statement on this certificate does not confer rights to the certificate holer in lieu o t(s). PRODUCER MPANIES AFFORDING COVERAGE PAYCHEX INSURANCE AGENCY, INC. 150 SAWGRASS DRIVE ROCHESTER, NY 14620 s77-266-6s5o MAY 2 COMPANY A LLINOIS NATIONAL INSURANCE COMPANY MPANY B INSURED Paychex Business Solutions, Inc. CONCH FLYER INC MONROECMWM COMPANY C ANY KEY WEST INrL AIRPORT RISK MANAGE 911 PANORAMA TRAIL SOUTH ROCHESTER, NY 14625-0397 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MWDD(YY) POLICY EXPIRATION I DATE (MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ='LAIMS MADE [:�DCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ PERSONAL & ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS A SCHEDULED AUTOS B p BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS WAI _ CA"Y_ BODILY INJURY (Per accident) $ CC: �i UZ r►1 s PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ AGGREGATE $ OTHER THAN UMBRELLA FORM $ A WORKER'S COMPENSATION AND EMPLOYERS' LIABILITYER 020558387 06/01/12 06/01/13 X W RYTAT - OTH- EL EACH ACCIDENT $ 1,000,000.00 EL DISEASE - POLICY LIMIT $ 1,000,000.00 EL DISEASE - EA EMPLOYEE $ 1,000,000.00 _F OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Worker's Compensation coverage is provided to only those employees leased to, but not subcontractors of the named insured. +"?II 13E1E::_:::sEEtEEsEEsE:;:,::5:e:;:>s::}?:>:>:sz'•i!r:EE:;:;: E:;;:::::;s:?a>;:, MONROE COUNTY BOARD OF COUNTY COM SIM COMMISSIONERS COMMISSIONERS NTON STREET ROOM 268 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTOOMED REPRESENT91VE KEY WEST, FL 33040 % L Heafth/Benefits Print Date: May 15, 2012 • A� CERTIFICATE OF LIABILITY INSURANCE DATE D"YYY' / /2012 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: B the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)_. PRODUCER CONTACT ONT CT Donna Marlene Ross Keys Insurance Services sHONH Ertl. (305)294-4494 I FAX (�- fAn:.Nel:(305)743-0582 805 Peacock Plaza &mealSS:mross@keysinsurance.com ADDRE INSURERS)AFFORDING COVERAGE NAIL a Key West FL 33040 INsuI Ra:Lloyds of London INSURED INSURER B: -Conch J.yer.,..-Inc.) INSURERC: 3495 S. Roosevelt Blvd. INSURERD: INSURER E: Key West FL 33040 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1210203883 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 SUER POUCY EFF POUCY EXP LTR TYPE OF INSURANCE JNSR tWO POUCY NUMBER ,IMM/DDIYYYYI IMMIDDIYYYYI UMITS GENERAL UABIUTY EACH OCCURRENCE S 1,000,000 — DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) S 50,000 A I CLANS-MADE ©OCCUR ARPI69045-10-01 9/15/2012 9/15/2013 MED EXP(Arty one person) $ 1,000 — PERSONAL It ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: plp� PRODUCTS-COMP/OP AGG S 1,000,000 71 POLICY n jECa I^I LOC APPRO�L} Y jM7LMAN SABO _ LIQUOR LIABILITY S 1,000,000-- _ AUTOMOBILE UABIUTY BY /^' COMBINED 51NGLS UNIT DA (Ea accident) $ — /ANY AUTO WAIV ' ' BODILYINJURY(Per parson) $ ALL OWNED SCHEDULED ©� L BODILY INJURY(Per accident) S —IH REDS AUTOS AUTOS NON-OWNED 1 PROPERTY DAMAGE S AUTOAUTOS C C. Z/ (Per accident) A-p rl l $ UMBRELLA LIAR — OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED I RETENTIONS $ WORKERS COMPENSATION I WC STATU• IOTH- AND EMPLOYERS'LIABILITY Y 1 N TORY I NITSFR ANY PROPRIETOR/PARTNER/EXECUTIVE El OFFICERIEMSER EXCLUDED? N IA EL EACH ACCIDENT S (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If Y90.describe uridm DESCRIPTION OF OPERATIONS belcw EL DISEASE-POUCY LIMIT $ • DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Certificate holder is also added as an additional insured. • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE D CRI::D POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE TN' • OF, NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE P P. -4.' RO SIONS. 5100 College Road �i. Key ., •West, FL 33040 AUTHORIZED REPRESENT - /1 / CU 1[�� 0-:- c.o• et.Q/Y? C.1i--i F Hager ACORD 25(2010/05) ©1988.2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD «« CERTIFICATE OF LIABILITY INSURANCE 05152013 nrYYY) 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 Paychex Insurance Agency Inc Ei PAYCHEX INSURANCE AGENCY, INC. 150 SAWGRASS DRIVE OWN (A/C, NO. EXT): 877-266-6850 1 (A/C, NO): 585-389-7426 E-MAIL Certs@paychex.com ADDRESSm ROCHESTER, NY 14620 INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: ILLINOIS NATIONAL INSURANCE COMPANY INSURER B: Paychex Business Solutions, Inc. CONCH FLYER INC INSURER C: KEY WEST INT'L AIRPORT 911 PANORAMA TRAIL SOUTH ROCHESTER, NY 14625-0397 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADEE�DCCUR B BY GE ENT DAMAGE TO RENTEDrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ DA WAIV �� * 7 GENERAL AGGREGATE EN'L AGGREGATE LIMIT APPLIES PER: POLICY = PROJECT= LOC PRODUCTS -COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS = NON-WNED _ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB = OCCUR EACH OCCURRENCE $ EXCESS LIAS =CLAIMS -MADE AGGREGATE $ DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY 013255888 06/01 /2013 06/01 /2014MITE.L. X WC STATU- OTH- EACH ACCIDENT $ 1,000,000.00 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � E.L. DISEASE - EA EMPLOYEE $ 1,000,000.00 E.L. DISEASE - POLICY LIMIT $ 1,000,000.00 (Mandatory in NH) I N N/A If yes, describe under DESCRIPTION OF OPERATIONS / LOCA71ONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Worker's Compensation coverage is provided to only those employees leased to, but not subcontractors of the named insured. CERTIFICATE HOLDER CANCELLATION MONROE COUNTY BOARD OF COUNTY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION COMMISSIONERS DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY 111 SIMONTON ST. PROVISIONS, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR KEY WEST, FL 33040 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRfESENTATIV AGORD 25 (2010/05) 91988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OATS MM#WYYYY) A Oe CERTIFICATE OF LIABILITY INSURANCE 9/23/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ND OR ALTER THE END, EXTE BELOW. CERTIFICATEGE AFFORDED BY THE POLICIES THIS CERTIFICATE RTIFICATE OS NOT F AFFIRMATIVELY INSURANCE DOES CONSTITUTE A CONTRACT BETWEEN THEE SUING INSURER(S), AUTHORIZED RPONF FAITATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT, 9 the certificate noafer Is an AL the terms and conditions of the policy, certain certificate holder In lieu of such andorsement(i PRODUCER Reys Insurance Services 605 Peacock Plaza Key West FL 33040 MJStN1ED Coach Flyer, Inc. 3495 S. Roosevelt Blvd. Ray 040 IL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED. sub)ect to may require an endorsement. A statement on this certificate does not confer rights to the �r Donna Marlene Ross PHONE .— (305)294-4494 1 PAX Nk (305)7413-05e2 .con sr...e,nu u, Unen. COVERAGES CERTIFICATE NUMatrl:�+�+`+.,�..�oo , HAVE BEEN ISSUED TO THE INSURED •--•-'-'-' " -- NAMED ABOVE FOR THE POLICY PERIOD RAN THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIRS. EXCLUSIONS AND LIMITS LTR TYPE OF INSURANCE POLICY NUMBER EACH OCCURRENCE S 11000,000 GENERAL UABILnY 7/15/2014 5 100,000 X COMMERCIAL GENERALLL48U / iisisoia X ISWO129413 a MED E(Anys,000 A OCCUR PERSONAL a ADV INJURY 5 11000,000 GENERAL AGGREGATE S 2,000,000 PRODUCTS- COMPAP AGO S 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: L;�, �;ry S 1,000,000 X �� PRO• LOC COMBINED 314GLE LIMIT AUTOMOBILE LIABILITY BODILY INJURY Ma "CIM) S ANY AUTO ALLOSCHEDULED +� BODILY INJURY (Pa u=WM) S AUTOS 1 19 YNED S IM E RIYVAMAGE FLARED AUTOS AUTOS S UMBRELLA LIAe OCCUR EACH OCCURRENCE S AGGREGATE S EXCI-OmESS LIAR CLAIMS -MADE S VIC STATU OTFI WORKERS COMPENSATION EL EACH ACCIDENT S AND EMPLOYERS' LIABILITY Ya ANY PROPRIETORIPARTNEMEXECUTIVE EXCLUDED? A NIA EL DISEASE - EA EMPLO S M . E.L. DISEASE •POLICY LIMB S MOM OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aeeah ACORD 101, AddlBonal Remade SelndW*- N Mmo epees Ie n 1" insured. Certificate holder is also added as an additional �,•,,,, B BSI WDIA A1V N A •�t _ �t- Monroe County BOCC 5100 College Road Rey West, FL 33040 ACORD 25 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DAy NOTICE WILL BE DELIVERED INACCO DANCE WITH TH a�►Is "- d3S C f 6Z AUTHORIZED REPRESENTATIrrC-1 0 3 ]' � I q +j Hager 01988-2010 ACORD CORPORATION. All rights reserved IN302S (2was).01 The ACORD name ana Togo are reginerea moms yr ,-.vnv OP ID: DK 14EP, CERTIFICATE OF LIABILITY INSURANCE D05/30/2014Y) 05/3012014 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 endorsements . PRODUCER Phone: 305-238-1000 Morris 8r Reynolds Inc. Fax: 305-255-9643 14821 South Dixie Highway Miami, FL 33176 Robert D. Reynolds CACT NAME: PHONE FAX A/c No Ext : A/C No): E-MAIL PRODUCER CUSTOMER ID #: WORLDWC INSURER(S) AFFORDING COVERAGE NAIC # INSURED World Wide Concessions; Master INSURER A: FCCI Insurance Company 10178 Concessionair, LLC Ms. Maribel Cardo INSURER B : 5727 NW 7th Street #97 INSURER C : INSURER D Miami, FL 33126 INSURER E : INSURER F : COVERAGES CERTIFICATE Nt1MRF_R- RFVLclnnl KII IMRFR• 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 SUB POLICY NUMBER MM/DDY� MM/DDT LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE DOCCUR DAMAGE To RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY JECT PRO LOC $ AUTOMOBILE LIABILITY ANY AUTO ALL OW NED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS APPR B WAIVER /A Oyffs— / t bEMENT � �y D COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Peraccident) $ $ (�) UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DEDUCTIBLE $ $ RETENTION S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYTORY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N / A 001 WC13A69153 09/10/2013 09/10/2014 X WCSTATU- OTH- ER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 Ifyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Conch Flyer Concessions, LLC @ 3495 S. Roosevelt Blvd., Key West, FL 33040 MONROE8 Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD ACORN® DATE(MMJODIYYYIf) CERTIFICATE OF LIABILITY INSURANCE 9/23/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(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 NAME• : cr N Donna Marlene Ross NAME; Keys Insurance Services PNONNo Pro. (305)294-4494 I rtitNot 005)743-0502 805 Peacock Plaza XAIL • RESS:mrosa@keyeinaurance.com INSURERS)AFFORDING COVERAGE NAIL s Key West FL 33040 INSURER A:Starr Indemnity & Liab Co INSURED INSURER B: Conch Flyer, Inc. INSURER C: _ 3495 S. Roosevelt Blvd. INSURER 0: INSURER E: Rey West FL 33040 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1210203883 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INNSSA TYPE OF INSURANCE ADDL SUBR POLICY EFP POLICY EXP UNITS LIM !NSA WVD, POUCY NUMBER IMMIRD/YYYY1 IMM IDOMYYY) GENERAL UABIUTY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY PRMAGE TO RENTED PREMISES(Ea occurrence) S 100,000 A CtAIMS•MADE II OCCUR X SISA00129413 9/15/2013 9/15/2014 MEDEXP pay e;eperson) $ 5,000 — PERSONAL&ADV INJURY S 1,000,000 — GENERAL AGGREGATE S 2,000,000 GEM.AGGREGATE LIMIT APPUES PER: PRODUCTS-COMP/OP AGG S 2,000,000 X I POLICY I. l FFM El LOC Liquor Uabaty S 1,000,000 AUTOMOBILE UABILITY (Ea COMBINED B SINGLE LIMIT S AUTOS AUTO BODILY INJURY(Per person) S _ ALL OWNED SCHEDULED — AUTOS ,_, BODILY INJURY(Per aaident) S NON-OWNED PROPERTY DAMAGE "' _ HIRED AUTOS _ AUTOS (Per accident) S S UMBRELLA UAB — OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE S DED I RETENTIONS I S WORKERS COMPENSATION I TARYSLIAIu1 ITITR I FA AND EMPLOYERS'UABILTTY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) EL DISEASE•EA EMPLOYEE S liver.describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,U more space Is re tired) Certificate holder is also added as an additional insured. EMEttr B PR WAIV N/A. , Y CC •'PI I-g-- k rlI -Kwl,t- , •`-_ ",', 4,k�:1:� ;lt-alfA1 C1r� CERTIFICATE HOLDER CANCELLATION L-U 8r.) '.4 '`I 1 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATFy ITT1 �9F,� NOTICE I��L c�BE� DEUVERED IN Monroe County BOCC ACCORDANCE WITH THEtEDL( ISI mob.Q G 5100 College Road AUTHORIZEDrn '' Key West, FL 33040 AUTHORIZED REPRESENrAF-jQ3 '; -0J 1411 F Hager ACORD 25(2010/05) • O 1988-2010 ACORD CORPORATION. All rights reserved. INS025(201006).01 The ACORD name and logo are registered marks of ACORD