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Certificates of Insurance 7 ® DATE(MM/DD/YYYY) A�O CERTIFICATE OF LIABILITY INSURANCE 09/26/2019 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 MARSH RISK&INSURANCE SERVICES PHON: PHONE FAX 345 CALIFORNIA STREET,SUITE 1300 (A/C.No.Extl: (A/C,No): CALIFORNIA LICENSE NO.0437153 E-MAIL SAN FRANCISCO,CA 94104 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# CN109337515-AOSWC-PDGWX-19 A Air INSURERA:Lexington Insurance Company 19437 INSURED INSURER B:Greenwich Insurance Company 22322 Lyft,Inc. N/A 185 Berry St.,Suite 5000 INSURER C:N/A San Francisco,CA 94107 INSURER D:Safety National Casualty Corp. 15105 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-003501241-48 REVISION NUMBER: 15 THIS IS TO CERTIFY THAT THE POLIO ES 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 W • IY POLICY EFF POLICY EXP LIMITS LTR INSD VD POLICY NUMBER (MMIDDYYYI (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY 065463589 • 05/01/2019 05/01/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE RETE CLAIMS-MADE X OCCUR . PREMISESO(Ea occurrence) $ 100,000 MED EXP(Any one person) $ EXCLUDED X Self Insured Retention$500,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X ECT _ POLICY JEC LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY RAD500056301 10/01/2019 10/01/2020 COMBINED SINGLE LIMIT $ 1,000,000 • (Ea accident) ANY AUTO UM/UIM$20,000 CSL BODILY INJURY(Per person) $ B OWNED SCHEDULED RAD500055001 10/01/2019 10/01/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED UM/UIM$250,000 CSL PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) X Symbol 10 X Primary s UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-M 'DE AGG/EGATE $ DED I RETENTION$ $ D WORKERS COMPENSATION LDS4060725 07/01/2019 07/01/2020 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A A SI (` (Mandatory in NH) -� /7 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below BY E.L.DISEASE-POLICY LIMIT $ 1,000,000 DATE WAIVER Iy/A.- YES__ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Proof of insurance for Lyft,Inc re:AIRPORT OPERATING AGREEMENT between Monroe County and Lyft.Inc.to operate at the Key West International Airport The Monroe County Board of County Commissioners,its employees and officials shall be included as additional insureds on the General Liability and Automobile Liability policies where required by written contract but only with respect to liability arising out of the Named Insured's operations. Auto Liability policies evidenced above include Personal Injury Protection. Auto Policy#RAD500056301 evidenced above provides coverage for Period 1. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St., THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West,FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services I Jenna Boyce 412ti L � !_O ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: RAD500055001 COMMERCIAL AUTO 'CA20 48 1.0 13 This ENDORSEMENT CHANGES THE:POLICY, PLEASE REAP I Fow..y: SIGNAT D EINSURED, F0 R COVERED AUTOS LIABILITY COVERAGE ThiSi.enddreetrieltrnbOifiee-ineUrande prOVided Order thef011oWing:. AUTO DEALERS COVERAGE FORM BUSINESSAUTO COVERAGE FORM MOTOR CARRIER-COVERAGE FORM With resp ct to coverage :provided by this endorsement the provisions of the Coverage Form apply unless Modified by this endorserneht. This endorsement identifies person(s) or organization(s) who are "insureds' for Covered Autos Liability Coverage Under the Who Is An Insured •provision of the Coverage- Form. This endorsement does not alter coverage proVided inthe.CoVerage FOrrn This endorsement changes the policy effective on the inception date of the policy unless another date is indicated beloW. Named Insured: LYFT, Endorsement Effective Date: October lt:2019 SCHEDULE . . Name Of Person(s)Or Organization(s); Any oersen or organization where required by regulation,statute,orlinance,or to the extent required • by COntraitor agreenient. Information required.to completethis Schedule, if notshown above, will be shown in the.Declarations.. Eacnpersonor organizatibn shown in the Schedule.is an "inSUred".for-Covered Autos Liability Cdverage, but Only to the e*terit-that'beron or organization qualifies as an 'insured" under the Who Is An Insured provision contained In Paragraph: Section II — Covered Autos Liability Coverage in the BUsiness Auto and Motor. Carrier Coverage. Forms and Paragraph D:2. of Section I — Covered Autos CoVerages',Olthe Auto Dealers Coverage Form. •Ck 20 48 4013 lbSurahCe SerVices Offick 2011 Paqe.1 Of 1 POLICY NUMBER: RAD500056301 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following:. AUTO DEALERS COVERAGE FORM BUSINESS:AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the pilovisions of the Coverage Form apply unles s modified by this endorsement. This:endorsement identifies;person(s) or organizations)who are"insureds"for Covered Autos Liability Coverage under the Who is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: LYFT, INC., Endorsement Effective Date: October 1, 2019 SCHEDULE Name Of Persons)Or Organization(s): Any person or organization where required by regulation;statute,ordinance, or to the extent required by contract or:agreement. Information required to complete this Schedule, if not shown above, will beshown,in the Declarations. Each person or;organization shown in the Schedule is Autos Liability Coverage in the Business Auto and, an "insured" for Covered Autos Liability Coverage; but Motor Carrier Coverage:Forms and Paragraph D.2. of only to'the extent:that person or organization qualifies Section I, — Covered Autos Coverages of the Auto as en "insured"under the Who Is An Insured provision Dealers Coverage Form. contained in Paragraph A.1. of Section II — Covered CA 20 48 10'13 ©Insurance.Services•'Office, Inc., 2011 Page 1 of 1 ENDORSEMENT This ehdoreerrient effeotive 12..01 AM:05/01/201S Foririee part Of policy ha.:, 065463589 Issued .INC; By: LEXINIGTON,INquRmeg COMPANY • THIS ENDORSE-MENT CHANGES THE, POLICY : PLEASE READ IT CAREFULLY: . , . . ADDITIONAL :INSURED REQUIRED: BY, wiliTTEN:pONTRAPT SCHEDULE Perkin or-Orgaiiilation: ANY PERSON OR :ORGAN I ORGANIZATION YOU ARE REQUIRED TO I NCLUDE AS AN ADDITIONAL INSURED BY A WRITTEN CONTRACT Section II Who Is An Insured is amended -required by the written contract or 10 include the'person: or organization show written agreement. This endorsement in the. Schedule above that you are required shall not increase the Limits of 10 inblUde, as an additional insured on. this. IneUrance stated ih the DeclaraticinS policy by a written COnteact or written under Item 3. LititlitS of Insurance agreement in 'effect during-this policy period :pertaining to the coverage provided and executed prior to the "occurrence" the herein bodily Injury' or "property damage." 4, The insurance provided to: such an B. The insurance provided to. the above additional insured does not apply to described additional insured under this "bodily injury" or "property damage" endorsement is limited as folloWs: arising out of an atcbitect!e, engineers 1. COVERAGE A BODILY INJURY AND. _or 1. surveyot!.S rendering of or 4ilure. PROPERTY DAMAGE. (Section I - to render .any professional services CdVeragee) only. 2. The person or organization is only an i The preparing approving or failing to additional insured with respect to liability prepare or. approve maps shop Tieing out of "your :vvotle or "your drawings, opinions, repot*,-surveys product' for that additional insured orciprs, change.: orders; or In the event that the Limits Of Insurance drawings:and specifications and provided by this policy exceed the Limits ii Supervisory, inspection architectural InsuranCe -required by the WititteW or engineering activities'. Contract or written agreerfieitt,. 1E6 5. Tlii8:in§"ut6hCe does ricit60131V-to insurance provided by this endorsement injury" or "probqrtij4hri*g0" arising (50t: shall be limited to the Limits of Insurance of "your wri" or "your product- 1*-4* '(0'21 .4) included in the "_products-completed. BODILY INJURY AND PROPERTY operations hazard" uniess you are. DAMAGE LIABILITY(Section I Coverages) required to provide :such coverage by does not apply to you if the "bodily injury or Written contract or written,agreement and "property :damage" arises .Out: Of "your then Only for the"period of•tilne required work" or ".your' product" performed On by the written 'contract or written premises A4 ich are toviied or rented by the agreement and in no event beyond the: additional insured at:the time "your-work" or' expiration date Of-the policyc' "your.product" Is performed: 6. Any coverage provided by tills Dc In accordance witl the terms and:,conditions endorsement to an additional. ',insured. of the policy, and as ;more fully explained in. shall...be excess:over any other valid and the policy; as -soon as, practicable, each. collectible insurance available to the additional insured must :give us 'prompt additional insured. wliether primary, notice of any y•".occurrence 'which may result excess; contingent Or on any other basis: in 'a `claim`, forward all legal papers to us;; unless 'a written 'contract or written cooperate in the defense of anyiactions;, and :agreement specifically requires that this otherwise comply with. ;all of the policy's: insurance app y on a primary and terms: and,conditions .non contributcry basis. C. Subparagraph (1);(a) of the Pollution .exclusion. paragraph 21, Exclusions of COVERAGE A. LX4285' '(02114) :jneiudescopyrighted information of the insurance Services Offices,Inc:; with its permission All.rights reserved:: A6 D® CERTIFICATE OF LIABILITY INSURANCE ATE(2019D ) f 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 MARSH RISK&INSURANCE SERVICES PHON: 345 CALIFORNIA STREET,SUITE 1300 (NCNr o.Ext): FAX No): CALIFORNIA LICENSE NO.0437153 E-MAIL SAN FRANCISCO,CA 94104 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# CN109337515-AOSWGPDGWX-18 A Air INSURER A:Lexington Insurance Company 19437 INSURED INSURER B:Greenwich Insurance Company 22322 Lyft,Inc. 185 Berry St.,Suite 5000 INSURER C:N/A N/A San Francisco,CA 94107 INSURER D:Safety National Casualty Corp. 15105 INSURER E: INSURER F: . COVERAGES CERTIFICATE NUMBER: SEA-003501241-45 REVISION NUMBER: 13 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 S POLICY EFF POLICY EXP TYPE OF INSURANCE N ;A ND VD POLICY NUMBER /Y{MMIDDYYY) (MMIDD/YWY) LIMITS A X COMMERCIAL GENERAL LIABILITY 065463589 05/01/2019 05/01/2020 EACH OCCURRENCE $ 1,000;000 DAMAGE CLAIMS-MADE X OCCUR PREMISESO(Ea occu ante) $ 100,000 APP Y PIS`�M NAGEuENT MED EXP(Any one person) $ EXCLUDED X Self Insured Retention$500,000 SY I 10 ) 1 PERSONAL ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: DATE &GENERAL AGGREGATE $ 2,000,000 X POLICY PRO LOC 7 —i PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER: WAIVER Nia YES__ $ B AUTOMOBILE LIABILITY RAD5000563 05/01/2019 10/01/2019 COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO UM/UIM$20,000 CSL BODILLYY INJURY(Per person) $ B OWNED SCHEDULED RAD5000550 10/01/2018 10/01/2019 _ AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED UM/UIM$250,000 CSL PROPERTY DAMAGE . AUTOS ONLY AUTOS ONLY (Per accident) $ X Symbol 10 X Primary $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ D WORKERS COMPENSATION LDS4060725 _ '07/01/2019 .07/01/2020 X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN 1,000,000 ANYPROPRIETORlPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N NIA ——— - - --- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5 1,000,000 If yes,describe under \ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Proof of insurance for Lyft,Inc re:AIRPORT OPERATING AGREEMENT between Monroe County and Lyft,Inc.to operate at the Key West International Airport. The Monroe County Board of County Commissioners,its employees and officials shall be included as additional insureds on the General Liability and Automobile Liability policies where required by written contract but only with respect to liability arising out of the Named Insured's operations. Auto Liability policies evidenced above include Personal Injury Protection. Auto Policy#RAD5000563 evidenced above provides coverage for Period 1. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West,FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services Jenna Boyce 4�-��t-\—A - } d.� ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY'NUMBER:RAD5000550 COMMERCIAL AUTO CA 20 4810.1; THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR ,COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the follewing:. AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM • With respeet,to coverage, provided by this endorsement, the provisions of the Coverage-Form apply,unless Modified by this endersernent. This endorsement identifies person(s)or organization(s)who are "insureds"for Covered Autos LIability Coverage Under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the CoVerageforrit This endorsement changes thopolicyeffeetive'on the inception date'cif the pcilicyonless another date isllhdicated below. Named Insured:, LYFT,INC. Endorsement.Effective Date; October 1,2018 -SCHEDULE Name Of PersOn(s)Or OrganizatIOn(s): Any person or organization where retWired by regulation,statute;ordinance, or to the extent required by contract or agreement... Information required to complete thisSchedule, if not Shown•above,will be shown in the Declarations. . . Each person or organization shown in the Schedule is an"insured"for Covered Autos Liability Coverage,but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph Al SeCtion.II— Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph :D.2. Of Section I — Covered Autos Coverages of the Auto Dealers:Coverage FORT!. CA•20 48 1011 Insurance Services Office,Inc.,201.1 Page 1 of 1 POLICY NUMBER: RAD5000563 _ COMMERCIAL AUTO :Oil)40 10 13 . , . THIS ENDORSEMENT CHANGES THE POLICY: PLEASE READ IT CAREFULLY: DESIGNATED INSURED FOR COVERED. AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVEIA0E-50Riyi BUsiNs.iwTo.CovERApEFoRM: MOTOR CARRIER COVERAGE FORM. With respect tO a'Overage provided eridoienient,.the prOviaiOnsef the Coverage FartirePOY.,erilees Modified:by this ender:sem eriL This endorsement identifies Opr§on(§) or organization(s)who are"insureds for COVered:AUtdS:LiabilityCOVerage under the Who Is An Insured provision of the Coverage Foto). This endorsement does not..alter coverage provided in the Coverage FOrM. This.eridorternent•changes the PelioY effective On the iricePtion date cif:the Oeliby Unles'S another date iS indicated below. Named LYFT; INC. Endo-I-Seri-lent EffeetiVe Date: May 1 2019 SCHEDULE Name Of Pqi-p00(0):4;4'prgOizOtiliki(* Any person or organization where reethred by regulation, statute,ordinance, or to the extent required by Centred itlea4ternetit. .Information required to complete this;Schedule, if not shown:above,:Will be shown in:the Declarations. ,Each person or organization shown in the.:Schedolp.is Autos Liability Coverage in the Business ,Auto and an "insured'i for Covered Autos Liability Coverage, but Motor Carrier Coverage.Forms and Paragraph 1)2, of only to the.extent that person errorganization..q6alifies Section I Covered Autos Coverages of the Auto as an !Insured" under the Who Is An Insured provision Dealers coverage Form: _ Contained in' Paragraph 41. ef Sectign II — Covered CA . . 20 48 10 1* ineUranae - 1. of I ENDORSEMENT Thi§-sehdoreemeht:effeOtiVe 12:01 AM 05/01/2019' Farms a part Of.P011OY PO:: 065463589 Issued tii:•LYFT, INC; By: LEXINgTON INSURANCECOMPANY' THIS P.NPP13*E.IVIENT cHANcE:s THE POLICY . PLEASE READ IT CARRFULLY . . ADDITIONAL INSURED. REQUIRED BY WRITTEN CONTRACT SCHEDULE Name of Perebn br.Organizafibn: ANY PERSON; OR :ORGAN I ZAT yOu REQUIRED TQ INCLUDE AS AN ADDITIONAL INSURED BY A WRITTEN CONTRACT Section II Who Is An Insured is amended ,required by the written contract or 10 include ,the person or organization shovun :written agreement This endorsement in the Schedule ,above that you are required shall not increase the Limits of th include as :'ah additional insured .on this Insurance stated iri the Declaraticihs policy by a' written"COntrect Or Written :Under Item 3. 'LinlitP Of. Insurance agreement in effect during this Poliby period pertaining to the •beverage provided and executed prior to the occurrence" of the herein: bodily injury" or "property.darhage." 4. The insurance provided to such an . B. The insurance provided to 'the above, additional. insured does not apply to . described additional insured under this bodily injury" or "property damage" 'endorsement is limited as follows: arising out of an architecres, engineer'S 1. COVERAGE A. BODILY INJURY AND or 1. surveyor's rendering Of or faildre PROPERTY DAMAGE :(SectiOri I - to render any professional Service§ Coverages) Only. including:: The person :or organization is only an, i The preparing, approving or failing to additional insured :with respect to liability prepare or approye. maps, shop arising out of "your worie or "your drawings .opinions reportp, surveys product for that additional ihsdred. field orderP, change orders, or' 3., .th,e event that:the Limits of Insurance 'drawings and'PpeCificatiOns', and provided by this policy exceed the Limits ii' Supervisory,inspeCtion-, architectural of InStirance :required by the Witten :Or'engineering activities. contract or Written agreement,- .the 5. This-insurance does hot to "apPlY bOdily „ Insurance provided by this endorsement injury" Or. properly damage arising out • • shall be limited to the Limits of Insurance of 'your work or your product.' L5023 (oti 4) included in the "proclucts-completed BODILY INJURY AND PROPERTY operations hazard unless you are DAMAGE LIABILITY (Sec-lion I Coverages) required to provide such coverage by does not apply to you if the bodily injury or written contract or written agreement and "property damage' arises out of "your then Only for the period of time required Work" or "your product' performed on by the written contract: or Written premises AhhiCh are 'owned or rented by the agreement and in no event beyond the additional insured at the tithe "Our Work" Of expiration date of the Oblidy. your product" perforMed. 0. Any coverage provided by this 0. 11-1 accordance with the terms and conditions endorsement to an additional insured of the policy and as more fully explained in shall be excess over any other valid and the policy, as soon as practicable, each collectible insurance available to the additional insUred must give us prompt additional insured hether primarY., notice of any"OcoUrrence" Whibh MaY result AibeSs,, contingent Or on any other basis in a :claim, forWard all legal papers to Us, linle§.g a written contract. Or :written cooperate in the defense Of anYraatione, and agreement speCitiCally requires that this otherwise comply With all of the policy's insurance apply on a primary and terms and conditions. non-contributory basis. c. Subparagraph (1)(e) of the Pollution exclusion paragraph 2.f., Exclusions of COVERAGE A. LX4285 (:32/1.4) Includes copyrighted information of the Insurance Services Offices,Inc:, with its permission. All rights reserved.. CERTIFICATE OF LIABILITY INSURANCE DATE OS/14/2019 nYYY) 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 MARSH RISK & INSURANCE SERVICES 345 CALIFORNIA STREET, SUITE 1300 CALIFORNIA LICENSE NO.0437153 SAN FRANCISCO, CA 94104 CONTACT NAME: PH (A/C, ON o A/C No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A:Lexington Insurance Company 19437 CN1 09337515-AOSWC-PDGWX-1 8 A Air INSURED Lyft, Inc. INSURER B : Greenwich Insurance Company 22322 INSURER C : N/A NIA 185 Berry St., Suite 5000 INSURER D : Safety National Casualty Corp. 15105 San Francisco, CA 94107 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: SEA-003501241-42 REVISION Nt1MRFR- 12 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPE OF INSURANCE I,NSD DDL SWVD POLICYNUMBER MMIUERIDYIYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 065463589 05/01/2019 05/0112020 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR DAMAGES (RENTED PREMISES Ea occurrence) $ 100,000 MED EXP (Any one person) $ EXCLUDED X Self Insured Retention$500,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO X JECT❑LOC 2,000,000POLICY $ OTHER: B AUTOMOBILE LIABILITY RAD5000563 05/01/2019 10/0112019 COMBINED SINGLE LIMIT a Ea ccident $ 1,000,000 ANY AUTO UM/UIM $20,000 CSL BODILY INJURY (Per person) $ B OWNED SCHEDULED AUTOS ONLY AUTOS RAD5000550 10/0112018 10/01/2019 BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UM/UIM $250,000 CSL PROPERTY DAMAGE Per accident $ $ X Symbol 10 X Primary UMBRELLA LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR _TfRETENTION DED $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/M EMBER EXCLUDED? 51 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A PRP4055498 APPRO' E 07/01/2018 EMEf�i 07/01/2019 X IPER I OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT S 1,000,000 DAiE WAIVER N/A . DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Proof of insurance for Lyft, Inc re: AIRPORT OPERATING AGREEMENT between Monroe County and Lyft, Inc. to operate at the Key West International Airport. The Monroe County Board of County Commissioners, its employees and officials shall be included as additional insureds on the General Liability and Automobile Liability policies where required by written contract. but only with respect to liability arising out of the Named Insured's operations. Auto Liability policy evidenced above include Personal Injury Protection. Auto Policy #RAD5000563 evidenced above provides coverage for Period 1. CERTIFICATE HOLDER CANCFI I ATION Monroe County BOCC 1100 Simonton St. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED .IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh Risk & Insurance Services Jenna Boyce�1��'�i.`rn ty__ ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: RAD5000550 .COMMERCIAL • AUTO CA Z6 4810 113 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE -READ IT CAREFULLY. DESIGNATED TED INSURED- FOR COVERED AUTOS LIABILITY _O1VERAG' t This endorsement modifies.insurance provided under the following . AUTO DEALERS. COVERAGE FORM, BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect :to, coverage provided by this .endorsement, the provisions -,of the .Coverage :Form apply unless modified by this.endorsement: This endorsement Identifies. person(s) oiorgantzation(s) who are `Insureds`' for Covered Autos Llabllity Coverage under the. Who' Is 'An Insured provision of the Coverage' Form. This endorsement does not alter coverage provided inAhe Coverage Form. This endorsement changes the pollcyeffective-ori the Inception date of the policy unless another date Is Indicated below. Namad Insured: LYFT,INC. Endorsement Eftetiv .a Bate:: Odbober 1, 2018 SCHE601-t Name Of Person(s) Or Organizatlon(s): Any par2a00 at drdsihimition wh®ns m® 6' d b� regjulatioea,.�a�taate, drdiniwicn. at to th6 ®xient reouia�d by contrect.or agraament:. information.rewIred to complete this'Schedule, if not shown above, will be shown in:the Declarations.. Each person 'or organization; shown in the;Schedule is an "insured° for Covered Autos Liability Coverage, but only -to the extent that person or organization IIualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Cov®raga Fonds and Paragraph 0.1; of Section 1 — Covered .Autos Coverages- of the Auto Dealers -Coverage Form. CA 20'.4316.13 0 Insurance Serviees Office, Inc:,-2t19:1 Pagg 1 pul ROLICY.NUM . BER-�. RAb6000563 COMMERCIAL AUTO t A' 20 48 10 13., THIS:tEN.DO-R.S.EMEN.T'GH-ANOES'THt. POLICY. PLEASE READ IT CAREFULLY. re W-6 T­h­­is, en.d6 ' With rb6pec. .t ,-c6veragepro .ed b- thisendorsement; the 'provisions of the Covera'ge Form,app1 unle sno'd.ifi ed. by this eb'dorserridrit., This 6nd6rVB66nt icl6neifiies'060soh(s). 6r:6rgaHiiatibfi(s).Wh­ , 6 are "insureds" for - Covered.Autos Liability Coverage under provision of the Coverage F hiz d lt6r: coverage 'e in tie the, Who*:. Is An In' sured ge orfti,.* is endorsement oes not:.a d 'I' pr6Vi C 6v&6geForm. This endorserribnt.changes the:ooliby effedtive on the inception date.-of,thepolicy unless* another :date is indibated ,below. Named Insured: LYFT, INC. Endorsement, . EffectiveDatb:; May l,2(19 SCHEDULE Name Of Person(s) Or Organization,(s).:� My person or organization Wh6re, rdduiired by. r6_ulat ioh.. s.tatu.te, ordinance; -orI .o the ekient required, by contract &-agreement. Information. required to:com lete this, iS6hedulej- it not shown above, will be shown ih.the Declarations. Each person or organization on shown in; 'theZ . chedule is an "insured'.,,fqr,c6vered,A'utos. Ljab-ility.CbVeracie,;but . only to the extent that person or organization qualifies as an '.insured' under the Who. Is'An 'Insured provision contained in Paragraph A-l. of Section.11 — Covered Autos . LiabilitV , C.overage . i n- the Business Auto and Motor Carrier Coverag� B F orff s.."and 1 P aragraph . D.2. of Section 'I, " Covered Autos- Govera.ges,of the Auto Dealers Coverage,Forni.; CA A 48 16 1'8 &Insr n "'S6 q,a c6.. fv1ce.s:0ffiipe­ Inc., 2011 Page 1 of 1 ENDORSEMENT This end'orsernent,,effective -lZol AM 05/01/2019 Forms a part of policy no:: 065463630 Issued to: LYFT, INC. By LEXINGTON INSURANCE COMPANY THIS. E.N,DORSE:f111ENT CHANGES THE POLICY: PLEASE READ IT CAREFULLY. ADDITIONAL INSURED. REQUIRED BY WRITTEN CONTRACT SCHEDULE Name. of Per"son or Organization: ANY PERSON, OR ORGANIZATION:YOU ARE'R.EOUIRED TO: INCLUDE AS AN ADDITIONAL INSURED BY:A WRITTEN CONTRACT A. Section If - Who Is An Insured: is amended m include .tiie .person. or organizatio1.n, shown in. the: Schedule above that you are required to include as an additional insured on this. Policy by a written contract or written agreement in effect during this policy period and executed., do(to the "occurrence of the "bodily .,injury' or "property. damage." B. The, insurance provided to the above described additional. insured, pricier this, endorsement is Iimited as follows: 1. COVERAGE. A. BODILY INJURY AND PROPERTY .DAMAGE (Section I - Ctiverages) only. 2c The person ur organization is only a►) additional insured with respect to liability arising out of ''your work'' 'or "your product" for tfat'additional insured. 3. In the event that: the Limits of Insurance. provided by this policy exceed the Limits of Insurance required by the written contract or written agreement, the 'insurance provided by this: endorsement shall be limited -to the Limits of Insurance LX4285 '(02/14) required by the, written ccntract ,or written agreement. This endorsement shall not increase the. Limits of Insurance 'stated in the Declarations under Item 31 Limits: of Insurance pertaining to the coverage provided herein: 4, The insurance provided to, .su.ch an additional insured does not apply to. ".bodily injury" 'or "property damage" arising out.of an architect's, engineer"s or 1. surveyor':s rendering of or failure to render any professional .services including:. i The preparing; approving or failing to prepare or approve .maps,_ chop. drawings, opinions, reports,. surveys, field orders; change orders, or' drawings and'speci$cations; and. ii Supervisory,'inspection, aechibactural or'engineering activities. 5. This - insurance does not apply to " b6clily injury" or "property damage" arising out of your work or "your product included in. the " produpts-completed. operations hazardunless you ,area. required to p.ro.vide 'such coverage by written 'contract.: or, Written agrb ement and then only" for period of time; required by the Written contract, or :written: agreement arid in no event beyond p 9 �p I" tion date f the policy. )p Any: coverage provi.ded by this, endorsement, to an additional .:insured.. shall be excess overany-pthorvalld and. collectible s inspran,ce'', available to the addifion6l ih§w0d iAfibthdr" primary;.. excess, cbntirige-htor on any other basis unless a':written contract or Written agreementspecifically fbqoies� that this, jspeci c. insurance ap . ary. and ply, on. a prim. non-pontributbry basis. C. Subparagraph! (1),(a) of the Pollution exclusion. paragraph :2; f. " Ekblusions.of COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY (Sepbon I Coveragp,.). does nOt..apply to"yw if the %odilyin"jUry' or "propertV damage" arise's out' "your wotk" or 'your product" performed on premises Mich. are owned or rented by the' additional insured afthe time "your work' or `'your product" is pieeloft-ndd. ., DIn accordance Wi , I - i the terms andponditions, of the policy and as more "fully "ex plained.i.n. the -policy, as 'soon aspracticable,each additional insured must giveUs prompt n . oli . ce Of any "occurrence" ;which may result: in -a claim, f6rVvbfd all legal; papers to us,_ cooperate in the defense of ariy:'adb6fis_,. and otherwise comply Wth all of the policy's . 1. . .. . ­: .1. - . . _.- --.1 :terms and conditions.. LX4285 02/14) 1 1 no ludes.copyrighted infdrmatiowof the Insurance Services Offices, Inc.; Withjts� permission:Ali riots reserved. A ® DATE IYYYY) CERTIFICATE OF LIABILITY INSURANCE 09/27/2018 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 CONTACT • MARSH RISK & INSURANCE SERVICES PHON: 345 CALIFORNIA STREET, SUITE 1300 (AIC N N No. Ext): (A/C, No): CALIFORNIA LICENSE NO. 0437153 E -MAIL SAN FRANCISCO, CA 94104 ADDRESS. INSURER(S) AFFORDING COVERAGE NAIC # CN109337515- AOSWC - PDGWX -18 Air INSURER A : Lexington Insurance Company 19437 INSURED INSURER B : Greenwich Insurance Compan y 22322 Lyft, Inc. 185 Berry St., Suite 5000 INSURER C : N/A N/A San Francisco, CA 94107 INSURER D : Safety National Casualty Corp. 15105 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: SEA- 003501241 -37 REVISION NUMBER: 9 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 INSD SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MMIDD/YYYY) (MMIDDIYYYY) A X COMMERCIAL GENERAL LIABILITY 065463589 05/01/2018 05/01/2019 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) S EXCLUDED X Self Insured Retention$500,000 PERSONAL & ADV INJURY S 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY PRO- L OC JECT PRODUCTS- COMP /OPAGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY RAD5000550 10/01/2018 10/01/2019 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED BODILY INJURY (Per accident) S AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) X Symbol 10 X Primary UM /UIM $ 250,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE AGGREGATE S DED RETENTION $ S D WORKERS COMPENSATION PRP4055498 07/01/2018 07/01/2019 X I PER I 1 OTH- ER AND EMPLOYERS' LIABILITY STA Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under pPR D A VEfr BY I y "%f ' ENT 1,000,000 DESCRIPTION OF OPERATIONS below �I( E.L. DISEASE - POLICY LIMIT $ 4 WAIVER r1Fi7 /\ _ ck -LfcJ w, DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Proof of insurance for Lyft, Inc re: AIRPORT OPERATING AGREEMENT between Monroe County and Lyft, Inc. to operate at the Key West International Airport. • The Monroe County Board of County Commissioners, its employees and officials shall be included as additional insureds on the General Liability and Automobile Liability policies where required by written contract but only with respect to liability arising out of the Named Insured's operations. Auto Liability policy evidenced above include Personal Injury Protection. Auto Policy #RAD5000550 evidenced above provides coverage for Period 1. CERTIFICATE HOLDER CANCELLATION e Monroe County BOCC -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West, FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. - AUTHORIZED REPRESENTATIVE - of Marsh Risk 8 Insurance Services C.C... i Jenna Boyce , /_Q — - 'x 0_51._ © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD poiIcY.i4uNpER:i3,epppopp5o COMMERCIAL AUTO ' 4.20 4a leis THIS ENDORSEMENT CHANGES THE POLICY: PLEASE READ ITCAREFULL'Y, . . , DESIGNATED INSURED FOR . . . :• • : , COVERED AUTOS LIABILITY COVERAGE Thio •opdor000n.t fpodqie.0000 Orider.thielOpOVEirig: AUTO DEALERS COVERAGE FORM BUSINESS , AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respeOt ' coverage provided by this :endorsement the proviaions- of the Coverage Fonli. apply. unless Modified by this endorsement, This endorsement Identes.persan(e).0t-Organliation(S) who are "ifieUredV.for Covered Autos Liablitty coVerage . • . Under the Who Is An Insured prOvisiOn of the Coverage This endorsement does riot alter coverage : provided in theCoVerage Form. This endorsement charigesi.the pollbyeffettiVeort the*Inception date of the pollCy unless another dateiS'Iridfcated belOW. Named Ipsprad: LYFT, MO: Eridersernerit Effective Date 000441, 2018: SCHEDULE Name Of Person(S) Or OrganIzatIon(S): Any parer:0 organization Where required by regulation, staturte, OrdiOoppe, or to extent reOired: • by.contreatittigreentent, InfOrmation.required to complete thisSchedule;:ifnotahown above, will. be shown..in.the. Declarations. Each personibterganiZatioashoWn in the Schedule is an Insured" for Covered Autos Liability Coverage, but onlyto•.theextent that person or organization qualifies as an "insured" under the Who Is An Insured oroVision: in pai.agraeh . A.1 of sootiorf, 11 — Covered Autos Liability Coverage in the Business Auto ; and Motor Carrier — :Coverage Forms and Paragraph 0 2 af Section . 1_ — Covered Autos' toverages: of the.AutO Dealer&CoverageForm. • CA 20.48 10 . 13 0' Insurance Office, Pags 1 -of ENDORSEIVIE•NT # 05 This ender Sernent 12:01 AM '0510 . . Fornis a part Of pOlidy nb.:, 0.65463589 • Issued to: :LYPT , I NO. . . By: LEXINGTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE P.OLICY. PLEASE READ •IT CAREFULLY ADDITIONAL INSURED REQUIRED•SYWRITTEN CONTRACT A. Section 11 Wholls.An Insured is amended to 4 The frisurance .. provided to: .such an include any person or organikatiOn . you are r8- additional insured does not apply to "bodily quired to include as an additional insured on injury" or "property.damage" arising but of this policy .by a written contract or written an architect's,. engineer's Or- surveyor's agreentent, in effect : during this. policy 'period rendering of or failure to render any pro- and ekOCOted prior tio the "occurrence " of the :feSSibnal services-including: "bodily injury" or il damage." I The preparing, approving or failing to . prepare or approve Maps, shop draw- B. The insurance provided to the above;-despribecl _ . ingS, opinionS,. rep:arts; - sf.trveys i iield additional. .insured under this endorsement is orders, change orders or drav and limited 'as follows: :specitaations; and 1. COVERAGE A 80D • INJURY AND ii. Supervisory, : inspection, architectural or • P ROPERTY DAMAGE (Section I - • ' " " - engineering activities. .Coverages) only: 5: This insuran6e does not .apPlY. to "bodily 2. The person or organization is only an ad- injury" or property damage" arising out of dilional insured Wth respect to liability your work or your product included in .ariSifig out of "YOUr WOrk" "Our brb- the "products -completed operatons hazard" duct for that additi onafinsured.: unless you are required :to provide such coverage by ' . contract or written 3. :In The - eVent that the - LiMits of 'Insurarice...... agreement and then only for :the - peririd of provided by this policy exceed 'the Lirnits of InSUrance ,required by the written contract tithe' required by the Written contract or . waten..agreemenvand in no &vent. beyond or written agreement, the 'insurance' pro- the .eZpirati on date Of the policy: vided by this endors shall be limited to ihe Limits of Insurance required by the written. 'Contract Or "written •agreernent. This endorsement hall: not ThOreaSe the Lirnits Of Insurance stated in the Declarations under Item 3. Limits of Insurance pertaining to. the Coverage provided herein, Includes copyrighted infOrrnatien of the' Insurance Services Offices:Inc. .LX94.36' (10/03) With its perrnissieri. All.rightS resekred. .1 of 2 6. My coverage provided by this endorse- D. In 'accordance with.the terms and conditions of merit to an' additional insured shall be the policy and as. more tiny :explained in the excess over any. other valid and collectible policy, as soon as practicable•; each additional insurance available to the additional insured insured: must give us prompt notice of any whether primary, excess contingent or on "occurrence winch may result in a claim, any other basis unless a.written. contract or forward all legal papers to us, cooperate in the written agreement specifically requires that defense of any :actions, and otherWse comply this insurance apply on a primary or wfth all of the policy's terms:and. conditions: non- eontributory basis: C. Subparagraph (1)(a) of the Pollution exclusion paragraph 2f:, :Exclusions of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY (Section 1 Coverages) does not apply .to : you if the "bodily injury" or "property darnage" arises out of 'your work" or '`your product "' performed on prernises. 'which are owned or rented by the additional insured at the time "your Work" or "your product" is per- formed: • Authorized Representative OR Countersignature (In states where applicable) Includes copyrighted information of the Insurance Services Offices Inc. :LX94e6 (1 /03) with its permission. All rights reserved. Page 2 'of.2 A�oRGP- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYVYV) s2o2o,a 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 MARSH RISK & INSURANCE SERVICES NAME` PHONE FAX 345 CALIFORNIA STREET, SUITE 1300 IA/C. No. Ext)i (A/C, No): CALIFORNIA LICENSE NO. 0437153 E - MAIL SAN FRANCISCO, CA 94104 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC 1 CN109337515- AOSWC- PDGWX- INSURER A : Lexington Insurance Company _ 19437 INSU INSURER B : Zurich American Insurance Company _ 16535 IIIIRISt. Suite 5000 INSURER C: N/A _ N/A San Francisco, CA 94107 INSURER D: Safety National Casualty Corp. 15105 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: SEA - 003501241 - 29 REVISION NUMBER: 9 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 ADDLSUBR' POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY 065463589 05/01/2018 05/01/2019 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED CLAIMS -MADE X OCCUR PREMISES Ea occurrence) $ 100, MED EXP (Any one person) $ EXCLUDED X Self Insured Retention$500,000 PERSONAL & ADV INJURY 8 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO- LOC PRODUCTS- COMP /OPAGG 8 2 PRO- JECT OTHER $ AUTOMOBILE LIABILITY B AP 4281454-02 1 0/01 / 2017 10/01/2018 COMBINED SINGLE LIMIT $ 1000000 (Ea accident) ANY AUTO APP OV Y EMENT . BODILY INJURY (Per person) $ — OWNED SCHEDULED AUTOS ONLY AUTOS 's I 1( / / , BODILY INJURY (Per accident) $ HIRED NON -OWNED BY , PROPERTY DAMAGE _ AUTOS ONLY AUTOS ONLY / / (Per accident) $ X Symbol10 X Primary DATE UM /UIM $ 1,000,000 UMBRELLA LIAB OCCUR WAIVbR WA L YR8,.__ EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ D WORKERS COMPENSATION PRP4055498 07/01/2018 07/01/2019 X PER OT AND EMPLOYERS' LIABILITY ANYPROPRIETOR /PARTNER /EXECUTIVE Y / N E.L. EACH ACCIDENT S 1,000,000 OFFICER /MEMBER EXCLUDED N N/A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE 8 1,000,000 If yes, describe under 1,003,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Proof of insurance for Lyft, Inc re: AIRPORT OPERATING AGREEMENT between Monroe County and Lyft, Inc. to operate at the Key West International Airport. The Monroe County Board of County Commissioners, its employees and officials shall be included as additional insureds on the General Liability and Automobile Liability policies where required by written contract but only with respect to liability arising out of the Named Insured's operations. Auto Liability policy evidenced above include Personal Injury Protection. Auto Policy #BAP4281454 -02 evidenced above provides coverage for Period 1. CERTIFICATE HOLDER CANCELLATION Monroe County BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1100 Simonton St. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Key West. FL 33040 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE n 1 /� � of Marsh Risk & Insurance Services CC CC ' • ' ,' L t; 1 ctz Jenna Boyce '12/'-- '-" .iL © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: BAP 4281454 -02 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the pdicy effective on the inception date of the policy unless another date is indicated below. Named Insured: Lyft, Inc. Endorsement Effective Date: 10/1/2017 SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization where required by regulation, statute, ordinance, or by contract or agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. - Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage. but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 Insurance Services Office. Inc., 2011 Page 1 of 1 Wolters Kluwer Financial Services I Uniform Fonnsm' ENDORSEMENT # 05 This endorsement, effective 12:01 AM 05/01/ 20 18 Forme a part of policy no.: 065463589 Issued to: LYFT, INC. By: LEXINGTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED REQUIRED BY WRITTEN CONTRACT A. Section II - Who Is An Insured is amended to 4. The insurance provided m such an include any person or organization you are re- additional insured does not apply to "bodily quired to include as an additional insured on injury" or "property damage" arising out of this policy by a written contract or written an architect's, engineer's or surveyor's agreement in effect during this policy period rendering of or failure to render any pro - and executed prior to the "occurrence" of the fessional services including: "bodily injury" or "property damage." 1 The preparing, approving or failing to B. The insurance provided to the above described prepare or approve maps, shop draw- additional insured under this endorsement is ings, opinions, reports, surveys, field limited as fellows: orders, change orders, or drawings and specifications; and 1. COVERAGE A BODILY INJURY AND 11 Supervisory, inspection, architectural or PROPERTY DAMAGE (Section I - engineering activities. Coverages) only. 5. This insurance does not apply to ''bodily 2. The person or organization is only an ad- injury" or "property damage" arising out of ditional insured with respect to liability "your work" or "your product" included in arising out of "your work" or "your pro- the "products- completed operatons hazard" duct" for that additional insured. unless you are required to provide such 3. In the event that the Limits of Insurance coverage by written contract or written provided by this policy exceed the Limits of agreement and then only tor the period of Insurance required by the written contract time required by the written contract or or written agreement, the insurance pro- written agreement and in no event beyond vided by this endorsement shall be limited the expiration date of the policy. to the Limits of Insurance required by the written contract o r written agreement. This endorsement shall not increase the Limits of Insurance stated in the Declarations under Item 3. Limits of Insurance pertaining to the coverage provided herein. Includes copyrighted information of the Insurance Services Offices, Inc. LX9486 (10/03) with its permission. All rights reserved. Page 1 of 2 6. Any coverage provided by this endorse- D. In accordance with the terms and conditions of ment to an additional insured shall be the policy and as more fully explained in the excess over any other valid and collectible policy, as soon as practicable, each additional insurance available to the additional insured insured must give us prompt notice of any whether primary, excess, contingent or on "occurrence" which may result in a claim, any other basis unless a written contract or forward all legal papers to us, cooperate in the written agreement specifically requires that defense of any actions, and otherwise comply this insurance apply on a primary or with all of the policy's terms and conditions. non - contributory basis. C. Subparagraph (1)(a) of the Pollution exclusion paragraph 2.f., Exclusions of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY (Section I - Coverages) does not apply to you if the "bodily injury" or "property damage" arises out of your work" or your product" performed on premises which are owned or rented by the additional insured at the time your work" or "your product" is per- formed. Authorized Representative OR Countersignature (In states where applicable) Includes copyrighted information of the Insurance Services Offices, Inc. LX9486 (10/03) with its permission. All rights reserved. Page 2 of 2