Certificates of Insurance
A.~..llIt, CERT.liF1CA1"e OF INSURANCE DA TE IMMIDD/YY)
01/23/02
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI
MARSH USA INC. ONLY AND CONFERS NO RIGHTS UPON THE "CERTIFICATE
1255 23rd STREET, NW HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OF
SUITE 400 AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
WASHINGTON, DC 20037 COMPANIES AFFORDING COVERAGE
Attn: PATTY MUNIZ - T.202-263-7769 ------ ------ --
COMPANY
500625-MAXI M.GAUWP-2001 A FEDERAL INSURANCE CO
---.-. --'-'--~'----'-~-'-------
INSURED COMPANY
MAXIMUS, INC. AND ALL SUBSIDIARIES i B ROYAL INDEMNITY CO
11419 SUNSET HILLS ROAD ~--------- -~--~- ---.--.--
RESTON,VA 20190 I COMPANY
C Executive Risk Specialty Insurance Company
r;;;~PANY - ._-_._.~.._.__.._-_.-
i D
COVERAGES Thjscertificate,""Uperse(:h~$and' replace," any preyiousIY.i,"sued.cedifi(:atei 4
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.
-. .___._ u._ ~ ~:ICY EFFECTI~~~L1CY EXPIRATlm .~---_.._--
CO TYPE OF INSURANCE POLICY NUMBER LIMITS
LTR DA TE (MMIDD/YY) DATE (MMIDD/YY)
GENERAL LIABILITY i GENERAL AGGREGATE $ 2,000,000
~.."C"' ""~ ''^"'u~ 3537.42.97 04/01101 104/01102 --
A PRODUCTS - COMP/OP AGG $ 2,000,000
"'J CLAIMS MADE IZJ OCCUR PERSONAL & ADV INJURY $ 1,000,000
,~ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 1,000,000
MED EXP (Anyone person) $ 10,000
AUTOMOBILE LIABILITY
~ COMBINED SINGLE LIMIT $ 1,000,000
B ANY AUTO PTS-461800 04/01/01 04/01/02
X ALL OWNED AUTOS 1 BODIL Y INJURY $
~I (Per person)
~ ',"eo",,",",,"
-- --
I X HIRED AUTOS BODILY INJURY i $
I.X_ NON-OWNED AUTOS (Per accident) ~ --
-----
I ' APe~VEI(BY fR~ K MANAGEME $
!.m_j________~ NT PROPERTY DAMAGE
~,
jGARAGE LIABILITY BY. '- t I ." AI j [A J AUTO ONLY - EA ACCIDENT $
, .....-- I - ': 5.. (.~ c----~...-
ANY AUTO DATE ~ C I OTHER THAN AUTO ONLY:
1- ---..------ -- '/YES , ~ACH ACCIDENT I_~_
N/A "-----
I WAIVER i AGGREGATE. $
I EXCESS LIABILITY I I ~~H OCCldRRENC;E _ .!............._
-
UMBRELLA FORM i AGGREGA2.E......_ ----J.. _ ---
! .-
I OTHER THAN UMBRELLA FORM $
, WORKERS COMPENSATION AND ! I_~TATUTORY LIMITS
EMPLOYERS' LIABILITY
B I RTC-461802 04/01/01 i 04/01/02 . EACH ~CC1DE-NT-- --+3; 1,000,000'
~81INCL -..-------------.-- ----.'---------_._--
I THE PROPRIETOR! DISEASE - POLICY L1MI~~ $ 1,000,000
i PARTNERS/EXECUTIVE DISEASE - EACH EMPLOYEE $ 1,000,000
OFFICERS ARE: EXCLI
I OTHER I 105/01/01
C i PROFESSIONAL L1AB 18165-7146 05/01/02 1.000,000
I I
I I
DESCRIPTION OF OPERATlONS/LOCATlONSIVEHICLES/SPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTlBLES OR RETENTIONS.
RE OPERATIONS REVIEW - DEVELOPMENT PERMIT PROCESS. MONROE COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS, ITS
OFFICERS, COUNCIL MEMBERS, AGENTS, EMPLOYEES, AND AUTHORIZED VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSURED AS REQUIRED
BY CONTRACT VvlTH THE NAMED INSURED.
CERTIFICATE HOLDER CLE-000667393-00 CANCELLA TION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MONROE COUNTY, FLORIDA EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
BOARD OF COUNTY COMMISSIONERS 30 --- DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
ATTN: COLLEEN GARDNER BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
2798 OVERSEAS HWY., STE. 410
MARATHON, FL 33050 ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Jl,IIlXllDX<<J:IKII~1(1 ~:~--OD---~
Scott A. Dean
ACORD 25-S (3/93) (<) ACORD CORPORATION 19
3
AtDttlllt"
PRODUCER
MARSH USA INC.
1255 23rd STREET, NW
SUITE 400
WASHINGTON, DC 20037
Attn: PATTY MUNIZ - T-202-263-7769
DATE (MM/DDIVY)
04/03/02
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
500625-MAXI M-GAUWP-200 1
INSURED
COMPANY
A FEDERAL INSURANCE CO
COMPANY
B ROYAL INDEMNITY CO
MAXIMUS, INC. AND ALL SUBSIDIARIES
11419 SUNSET HILLS ROAD
RESTON, VA 20190
COMPANY
C EXECUTIVE RISK SPECIALTY INS CO
COMPANY
D
CQilts...,." This certlficate stlperudes lInd;liI.pla~.sariy ~'1/lou.tY;,I~uill ~'ttlficate, 4
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 EXPIRATION L1M ITS
LTR DATE (MM/DDIVY) DATE (MM/DDIVY)
GENERAL LIABILITY GENERAL AGGREGATE $
A X COMMERCIAL GENERAL LIABILITY 3537.42-97 04/01/02 04/01/03 PRODUCTS - COMP/OP AGG $
CLAIMS MADE [8] OCCUR PERSONAL & ADV INJURY $
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $
FIRE DAMAGE (Anyone fire) $
MED EXP (Anyone person) $
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
A ANY AUTO 3537.42-97 04/01/02 04/01/03
X ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY iNJURY $
X NON.OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT
ANY AUTO DATE OTHER THAN AUTO ONLY:
WAIVER EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND X STATUTORY LIMITS
EMPLOYERS' LIABILITY
B RTO-465-555 04/0i !02 04/01/03 EACH ACCIDION r $
THE PROPRIETOR! X INCL DISEASE. POLICY LIMIT $
PARTNERS/EXECUTIVE $
OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE
OTHER
C PROFESSIONAL L1AB 8165.7146 05/01/01 05/01/02
2,000,000
2,000,000
1,000,000
1,000,000
1,000,000
10,000
1,000,000
1,000,000
1,000,000
1,000,000
1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTIBLES OR RETENTIONS.
ONROE COUNTY, FLORIDA IS INCLUDED AS AN ADDITIONAL INSURED FOR GENERAL LIABILITY/AUTOMOBILE LIABILITY AS REQUIRED BY
ONTRACT WITH THE NAMED INSURED.
CERTIFJCATcHE')jJ)~R~'~ h" .
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
3~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAlL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF
ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Q][MIIRIDlIX~ MARSH~' f'\
Scott A. Dean -J7'\ VI ~
MONROE COUNTY, FLORIDA
ATTN: BETH LETO
5100 COLLEGE RD., RM. 500
KEY WEST, FL 33040
ACORB CORPORATION 199
PRODUCER
MARSH USA INC.
1255 23rd STREET, NW
SUITE 400
WASHINGTON, DC 20037
Attn: PATTY MUNIZ - T-202-263-7769
DATE (MM/DDIVY)
05/01/02
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
500625-MAXI M-GAUWP-200 1
INSURED
COMPANY
A FEDERAL INSURANCE CO
MAXIMUS, INC. AND ALL SUBSIDIARIES
11419 SUNSET HILLS ROAD
RESTON, VA 20190
COMPANY
B ROYAL INDEMNITY CO
COMPANY
C EXECUTIVE RISK SPECIALTY INS CO
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 POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIVY) DATE (MM/DDIVYI
GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000
A X COMMERCIAL GENERAL LIABILITY 3537-42-97 04/01/02 04/01/03 PRODUCTS-COM~OPAGG $ 2,000,000
CLAIMS MADE [8] OCCUR PERSONAL & ADV INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Anyone fire) $ 1,000,000
MED EXP (Anyone person) $ 10,000
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $ 1,000,000
A ANY AUTO 3537-42-97 04/01/02 04/01/03
X ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY $
X NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LIABILITY $
WAIVER AUTO ONLY - EA ACCIDENT
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS LIABILITY $
EACH OCCURRENCE
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND X
EMPLOYERS' LIABILITY STATUTORY LIMITS
a RTO-465-555 04iOi/u2 04/01/03 EACH ACCIDENT $ i ,000,000
THE PROPRIETOR! X INCL DISEASE - POLICY LIMIT $ 1,000,000
PARTNERSIEXECUTIVE
OFFICERS ARE: EXCL DISEASE - EACH EMPLOYEE $ 1,000,000
OTHER
C PROFESSIONAL L1AB 8165-7146 05/01/02 05/01/03 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS LIMITS MAY HAVE BEEN REDUCED BY PAID CLAIMS AND MAY HAVE DEDUCTIBLES OR RETENTIONS.
ONROE COUNTY, FLORIDA IS INCLUDED AS AN ADDITIONAL INSURED FOR GENERAL LIABILITY/AUTOMOBILE LIABILITY AS REQUIRED BY
ONTRACT WITH THE NAMED INSURED.
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE INSURANCE COMPANY WILL ENDEAVOR TO MAIL
3~ 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.
lQIIM~ MARSH~< f"'\
Scott A. Dean ~ v. ~
MONROE COUNTY, FLORIDA
ATTN: BETH LETO
5100 COLLEGE RD., RM. 500
KEY WEST, FL 33040