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Certificates of Insurance A~~~.lllt. CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) 9/10/99 PRODUCER SeaCoast Underwriters, Inc. 2200 Lucien Way, Suite 330 Maitland, FL 32751 Agent Lupfer-Frakes, Inc. 222 Church Street Kissimmee, FL 32741 INSURED 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 f~T~~~NY A SAFECO Surplus Lines Insurance Company f~T~~NY B Michael Design Associates, Inc. 400 W. New England Ave., Ste. 1 Winter Park, FL 32789 f~~~NY C f~~~~Y 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRA nON DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON.OWNED AUTOS GARAGE LIABILITY ..,y GENERAL AGGREGATE $ PRODUCTS.COMP/OP AGG. $ PERSONAL & ADV. INJURY $ EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED. EXPENSE (Anyone person) $ CLAIMS MADE OCCUR. OWNER'S & CONTRACTOR'S PROTo Wt.'VFP: .. ~ i\!.~' .~__ YFS COMBINED SINGLE $ LIMIT BODIL Y INJURY $ (Per person) BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ EACH OCCURRENCE $ AGGREGATE $ [1!,TE Excess LIABILITY UMBRELLA FORM OTi-iER THAN UMBRELLA fORM AND EMPLOYERS' LIABILITY STATUTORY LIMITS EACH ACCIDENT $ WORKER'S COMPENSATION DISEASE-POLICY LIMIT $ DISEASE-EACH EMPLOYEE $ OTHER A Professional Liability CM 7850892A 12/2/98 12/2/99 $1,000,000 Each Claim $1,000,000 Aggregate I ....--- - - ! DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS , This is a claims made policy. Coverage applies only to those claims which first occur ; and are first reported to the Company during the policy term. I )CERTIFICATE HOLDER CANCEL LA TION 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL....J.!L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. MONROE COUNTY 2798 Overseas Suite 400 Marathon, FL BOCC Highway , ACORD 25-S (7/90) AUTHORIZED REPRESENTATIVE q~~ @ACORD CORPORATION 1990 .. ACORD. .......I$.t$Eilml"lmE.t~mIIIBlruiliIIlIR~jIE~fI~l@e$~:.\................... DATE (MMlDDNY) ............H?'.M...}..LL.:...:)~~~)Lm.::S?~.H?'~)itt~f'}<............ 09/24/99 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTifiCATE DOES .NOT- AMEND-i.EXTEND- OR . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE PRODUCER Lup:fer- i!-rakes - msur-a-:noe --- 222 Church street Kissimmee FL 34741 Phone No. 407-847-2841 Fax No. INSURED COMPANY A Assurance Co. of America COMPANY B Everest National Insurance Michael Design, Inc. 400 W.New England Ave.,Ste 1 Winter Park FL 32789 COMPANY C SAFE CO Surplus Lines Ins. Co. COMPANY o THIS IS TO CERTIFY THAT THE POliCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POlICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPtRATION LIMITS LTR DATE (MMlDDNY) DATE (MMIOOIVY) GENERAL LIABILITY GENERAL AGGREGATE S 2000000 A X COMMERCIAL GENERAL LIABILITY PPS32777543 03/12/99 03/12/00 PRODUCTS - COMP/OP AGG S 2000000 CLAIMS MADE [!] OCCUR PERSONAL & ADV INJURY S 1000000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE S 1000000 FIRE DAMAGE (Anyone fire) S 1000000 MED EXP (Anyone person) S 10000 AUTOMOBILE LIABILITY S 1000000 PPS32777543 03/12/99 03/12/00 COMBINED SINGLE LIMIT A ANY AUTO ALL OWNED AUTOS BOOIL Y INJURY S SCHEDULED AUTOS (per person) X HIRED AUTOS ., BODILY INJURY (per lICCident) S X NON-OWNED AUTOS LIY PROPERTY DAMAGE S -;- GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO \\'-"\'[9: i'~~. ," " _/"'YFs OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EXCESS LIABILITY EACH OCCURRENCE S 1000000 A X UMBRELLA FORM PPS32777543 03/12/99 03/12/00 AGGREGATE s 1000000 OTHER THAN UMBRELLA FORM S WORKERS COMPENSATION AND EMPLOYERS" LIABILITY S 500000 B THE PROPRIETOR! INCL USA 001018 SEC1800028 OS/22/99 OS/22/00 s 500000 PARTNERSlEXECUTlVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE S 500000 OTHER A Comm Application PPS32777543 03/12/99 03/12/00 A Property Section PPS32777543 03/12/99 03/12/00 DESCRIPTION OF OPERATlONSlLOCATlONSlVEHICLESlSPECIAL ITEMS Engineers or Architects-Consulting-Not Engaged in Construction SUP!lrvision. Cert. Holder named Additional Insured wit res~cts to General Liab;lity and Auto Liability. *10 day notice in the event 0 non-payment of preDU.UJIl. Monroe County BOCC 2798 Overseas Highway Ste. 400 Marathon FL 33050 MONROEB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAlL 30* 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 KIN UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED RE ESENTATlVE ..iW5qq)'#JQQRfi:@iQitlQ~1~M ACORD. C>ERTlFICATE OF: L.IAeltriY:1N:Sl.JRANCBp:ftit~::: DATE (MMlDDNY) .:...:.....:.:...........:.:.:...:.:.....:.....:...:...:...:.:.:. ...:...:...:. .......:.:...:...:.......:.:...:.....:...:.:...:.........:.....:...:.:.............:.....:.:.....: .~~.Cn~. S:. 09/11/00 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 PRODUCER Lupfer-Frakes Insurance 222 Church Street Kissimmee FL 34741 Special Accounts Phone No. 407 - 847 - 2 841 Fax No. INSURED COMPANY A Assurance Co. of America COMPANY B Everest National Insurance Michael Design Associates Ste 1 400 W. New England Ave Winter Park FL 32789 COMPANY C SAFECO Surplus Lines Ins. Co. COMPANY D .. . ....,......... ....,................ . ........ . ........ . ........ . ............. . .......... . .......... . ......... . ........ . .oOV~,*$:. ........ . . . . . . . . . . ............................. . . . . . . . . . . . . . . . . . . . . . .... .............. .. 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 POLICY EXPIRATION DATE (MMlDDNY) DATE (MM/DDNY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2000000 - A X COMMERCIAL GENERAL LIABILITY PPS32777543 03/09/00 03/09/01 PRODUCTS.COM~OPAGG $ 2000000 I CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1000000 OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $1000000 - - FIRE DAMAGE (Anyone fire) $ 1000000 MED EXP (Anyone person) $ 10000 AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $1000000 A ANY AUTO PPS32777543 03/09/00 03/09/01 - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS 1 ~'~~tS (Per person) - X HIRED AUTOS -. BODILY INJURY - $ X NON.OWNED AUTOS (Per accident) - v u' () I~lr@ - PROPERTY DAMAGE $ n'TC GARAGE LIABILITY , AUTO ONLY. EA ACCIDENT $ - ..L. vrs ANY AUTO \tl"\TQ: i~t ;" OTHER THAN AUTO ONLY: - - EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $1000000 A M UMBRELLA FORM PPS32777543 03/09/00 03/09/01 AGGREGATE $1000000 OTHER THAN UMBRELLA FORM $ WORKERS COMPEN8ATION AND ! WC STATU- I 10TH- iRkf LIMITS ER ...... EMPLOYERS' LIABILITY EL EACH ACCIDENT $ 500000 B THE PROPRIETOR! RINCL 3300000066991 08/01/00 08/01/01 EL DISEASE - POLICY LIMIT $ 500000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE. EA EMPLOYEE $ 500000 OTHER A Property Section PPS32777543 03/09/00 03/09/01 A Crime Section PPS32777543 03/09/00 03/09/01 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Engineers or Architects-Consulting-Not Engaged in Construction Supervision. Cert. Holder named Additional Insured witfi res~ects to General Liab~lity and Auto Liability. *10 day notice in the event o~ non-payment of prem1um. PER.TiF.lpAti:: J;lQLpeF.f . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............... . ........ . ........ . . . : .CAN(?ELLAtION". ................... . ................... . ................... . .......... . .......... . ......... . . . . . . . . . . . MONROEB 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 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 , ~ .......~~~~f~~...~~~~\1.Ilt~..~AC~ON.1~66;.... Monroe County BOCC Mayra Fax:305-289-2854 2798 Overseas Highway Ste. Marathon FL 33050 400 ACeRO :i~$ :(1f$~}... ........ . ........ . ........ . ........ .