Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Certificates of Insurance
DATE (MM/DD/YY) ,Mbbalb. CERTIFICATE OF INSURANCE 12/17/97 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION POE & BROWN INC 220 SOUTH RIDGEWOOD AVENUE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 BOX 2412 COMPANIES AFFORDING COVERAGE DAYTONA BEACH, FL 32115 COMPANY AFRONTIER INS CO INSURED MENTAL HEALTH CARE CENTER OF THE COMPANY SCRUM & FORSTER IND CO LOWER KEYS 1205 FOURTH STREET COMPANY C*RISCORP INS CO/FLORIDA KEY WEST FL 33040 COMPANY DSCOTTSDALE INS CO 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/DDfYY) POLICY EXPIRATION DATE(MM/DD/YY) LIMITS A GENERAL LIABILITY GLSCO04302006 12/19/97 12/19/98 GENERAL AGGREGATE $3 . 000 , 000 -.- I-OMMERCIAL 'n, PRODUCTS- COMP/OP AGG sINCLUDED GENERAL LIABILITY 7X CLAIMSMADEFIOCCUR PERSONAL& ADV INJURY $1,000,000 EACH OCCURRENCE $1,000,000 & CONTRACTOR'S PROT —OWNER'S FIRE DAMAGE Any one fire) $5 0 , 0 0 0 ME D EXP (Any one person) s5,000 B AUTOMOBILE LIABILITY ANY AUTO 1336382046 12/19/97 12/19/98 COMBINED SINGLE LIMIT $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS 914K X INJURY (Per accident) HIREDAUTOS f NON -OWNED AUTOS COMP DIED $500 Y_ Cl 'BODILY c vcg X X PROPERTY DAMAGE $ MX COLL DED $500 GARAGE LIABILITY ANY AUTO 01 C c. AUTO ONLY -EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESSLIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM C WORKERS COMPENSATION AND 26211 07/01/97 07/01/98 STATUTORY LIMITS EMPLOYERS! LIABILITY EACH ACCIDENT $1,000,000 DISEASE -POLICY LIMIT $1,000,000 THE PROPRIETOR/ R INCL PARTNERS/EXECUTIVE OFFICERS ARE: EXCL DISEASE -EACH EMPLOYEE $1,000,000 A OTHER PROF.LIAB. BNDRJJH 12/19/97 12/19/98 $1,000,000/$3,000,000 D D & 0 LIABILITY BNDRJJH 12/19/97 12/19/98 $1,000,000 AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY AND COMMERCIAL AUTO LIABILITY POLICIES. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COUNTY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COMMISSIONERS; ATTN: KAY MILLER 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WING II RM 207 P.S.B. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 COLLEGE ROAD OF ANY KIND UPON THE COMPANY, ITS AGENTS DR REPRESENTATIVES. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE JACORD25-S(3193)1 Of.306/M22283 JJH ACORD CORPORA ION 1993] MENTAT,HFAI AID mo. CERTIFICATE OF DATE (MM/DD/YY) INSURANCE - 06/24/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION POE & BROWN INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 220 SOUTH RIDGEWOOD AVENUE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 BOX 2 412 COMPANIES AFFORDING COVERAGE DAYTONA BEACH, FL 32115 -- — -- -- -_—- COMPANY AFRONTIER INS CO INSURED COMPANY MENTAL HEALTH CARE CENTER OF THE SCRUM & FORSTER IND CO LOWER = - -- - - - -- - --- - -- 1205 FOURTH STREET COMPANY / �' ZENITH INS CO -- --- --- - - - - - Key West, FL 33040 ��-------- COMPANY DSCOTTSDALE INS CO 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 TYPE OF INSURANCE POLICYNUMBER LTR POLICYEFFECTIVE POLICY EXPIRATION LIMITS DATE(MM/DD/YY) DATE(MM/DD/YY) A GENERAL LIABILITY GLS000432006 12/19/97 12/19/98 GENERAL AGGREGATE $3, 000, 000__ _X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $3 , 0 O 0 , 0 0 0_ X CLAIMS MADE a OCCUR PERSONAL 6 ADV INJURY i$1 000, 000 E CONTRACTOR'S PROT EACH OCCURRENCE $1 , 0 0 0 , 0 0 0 - _OWNER'S FIRE DAMAGE (Anyone fire_)�$10 0 ,_ 0 0_ _ 0 ME D EXP (Any one person) $5 0 O 0 B AUTOMOBILE LIABILITY 1336382046 12/19/97 12/19/98 X COMBINED SINGLE LIMIT I,$1, 000, 000 ANY AUTO ALL OWNED AUTOS BODILY INJURY _ SCHE DULED AUTOS (Per person) F $ X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS JY (Per accident) �— — X COMP DED $ 5 0 0 X COLL DED $ 5 0 0 DATF PROPERTY DAMAGE !$ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT AUTO ONLY -EA ACCIDENT �..1 E ANY AUTO WAIVER: • - _YES OTHER THAN AUTO ONLY: _ :/r��� (J EACHACCIDENT '$ ---- — 1 r�/AlJ1�L/��J AGGREGATE $ EX CESS LIABILITY EACH OCCURRENCE $ UMBRELLAFORM AGGREGATE '$ OTHER THAN UMBRELLA FORM is C WORKERS COMPENSATION AND 26211 0 7/ O 1/ 9 8 0 7/ 0 1/ 9 9 STATUTORY LIMITS EMPLOYERS' LIABILITY -- - - _- EACHACCIDENT I$1�_—,000, O_OO THE PROPRIETOR/ PARTNERS/EXECUTIVE -- INCL DISEASE -POLICY LIMIT $1L0 0 0 , O O O— OFFICERS ARE: I EXCL DISEASE -EACH EMPLOYEE $1 , 0 0 0, 0 0 0 D OTHER D & 0 LIAB DES006383 12/19/97 12/19/98 $1,000,000 AGGREGATE A PROFESSIONAL PL000411 12/19/97 12/19/98 $1,000,000/3,000,000 LIABILITY DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY AND COMMERCIAL AUTO LIABILITY POLICIES. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COUNT EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COMMISSIONERS; ATTN : 4 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WING II RM 207 P.S.B. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 COLLEGE ROAD OF ANY KIND UPON THE COMPANY, IT AGEN R REPRESENTATIVES. RI ED REPRESENTATIVE Key West, FL 33040 ACORD 25- S (3/93)1 of 1 S 3 0 6 4 7 M3 0 6 4 6 / JJH © ACORD CORPOR ION 1993 MRNTAT,NFAL,TH ACORD,. OF INSURANCE °ATE(MM/°°,�' _. CERTIFICATE 12/30/99 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BROWN & BROWN INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 220 SOUTH RIDGEWOOD AVENUE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O BOX 2412 COMPANIES AFFORDING COVERAGE DAYTONA BEACH, FL 32115 _ COMPANY AFRONTIER INS CO INSURED COMPANY MENTAL HEALTH CARE CENTER OF BZENITH INS CO THE LOWER KEYS 1205 FOURTH ST 15 NY coMCSCOTTSDALE INS CO KEY 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 (MM/DD/YY) LIMITS A GENERAL LIABILITY G2 0 0 0 2 7 5 0 3 01 12 / 19 / 9 9 12 / 19 / 0 0 GENERAL AGGREGATE $3 , 000 0 0 0 X PRODUCTS-COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY X CLAIMS MADE F—IOCCUR PERSONAL & ADV INJURY $1 0 0 O 0 0 0 EACH OCCURRENCE $1 0 0 O 0 0 0 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $10 0 0 0 0 MED EXP (Any one person) $5 0 0 0 A AUTOMOBILE LIABILITY A2 0 0 0 0 2 4 8 6 0 0 12 / 19 / 9 9 12 / 19 / 0 0 11 COMBINED SINGLE LIMIT COMBINED $1 , 0 0 0, 0 0 0 ANY AUTO BODILY INJURY $ ALL OWNED AUTOS 1 SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO t / OTHER THAN AUTO ONLY: $ EACH ACCIDENT ,$ AGGREGATE EXCESS LIABILITY �L / , (� EACH OCCURRENCE is UMBRELLA FORM, AGGREGATE $ OTHER THAN UMBRELLA FORM $ B WORKERS COMPENSATION AND 26211 0 7/ 01 / 9 9 0 7/ 01 / 0 0 STATUTORY LIMITS ' EMPLOYERS' LIABILITY — EACH ACCIDENT $1 , 000, 000 THE PROPRIETOR/ INCL DISEASE -POLICY LIMIT $1 0 0 0 000 PARTNERS/EXECUTIVE , , OFFICERS ARE: EXCL D ISEASE- EACH EMPLOYEE I$1 , 0 0 0, 0 0 0 M OTHER PROF.LIAB. PL00001253 12/19/99112/19/00 $1,000,000/3,000,000 C b & 0 LIABILITY DES007586 12/19/99112/19/00 $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY AND COMMERCIAL AUTO LIABILITY POLICIES. CERTIFICATE HOLDER CANCELLATION DATE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BO&RUAO TION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COMMISSIONERS; ATT : KAY MILLER 'In DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WING II RM 207 P.S.B. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 COLLEGE ROAD OF ANY'? KIND UPON THE COMPANY, ITS AGENTS ,OR REPRESENTATIVES. Key West, FL 33040 AUTNORUtED REPRESENTATIVE ACORD 25-S (3/93) 1 of 1 S 6 316 0 M 6 315 6 > n. J—JH O I CORD CORPORATiGN 1993 MRNTAT,WRAT,TN ACORD,. CERTIFICATE OF INSURANCE DATE(NM/DD/YY) 08/08/00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BROWN & BROWN INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 220 SOUTH RIDGEWOOD AVENUE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O BOX 2412 COMPANIES AFFORDING COVERAGE DAYTONA BEACH, FL 32115 _ COMPANY AFRONTIER INS CO INSURED MENTAL HEALTH CARE CENTER OF COMPANY BZENITH INS CO THE LOWER KEYS 1205 FOURTH ST COMPANY DSCOTTSDALE INS CO KEY 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 POUCY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) UMITS A GENERAL LIABILITY I G2 0 0 0 2 7 5 0 3 01 12/19/99 12/19/00 GENERAL AGGREGATE s3,000,000 X PRODUCTS-COMP/OP AGG $ COMMERCIAL GENERAL LIABILITY X CLAIMS MADE EOCCUR PERSONAL & ADV INJURY $1 0 0 0 000 EACH OCCURRENCE $1 0 0 O 0 0 0 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $10 0 0 0 0 MED EXP (Any one person) s5,000 A AUTOMOBILE LIABILITY A20000249100 12/19/99 12/19/00 ANY AUTO COMBINED SINGLE LIMIT $1 000,000 BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) HIREDAUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ IX PROPERTY DAMAGE $ vY- - }�.rr . - J GARAGE UABIUTY AUTO ONLY -EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABIUTY EACH OCCURRENCE Is AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM B WORKERS COMPENSATION AND 26211 0 7 / 01 / 0 0 0 7 / 01: / 01 STATUTORY LIMITS EMPLOYERS' UABIUTY — `-- -- $1 000, 000 EACH ACCIDENT THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE HEXCL DISEASE -POLICY LIMIT $1 0 0 0 000 DISEASE -EACH EMPLOYEE $1 , 0 0 O 000 OFFICERS ARE: . A OTHER PROF.LIAB. PL00001253 12/19/99 12/19/00 $1,000,000/$3,000,000 C D & O LIABILITY DES007586 12/19/99 12/19/00 $1,000,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY AND COMMERCIAL AUTO LIABILITY POLICIES. CERTIFIC TE HOLDER ..CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COUNTY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR To MAIL COMMISSIONERS -40_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WING II RM 207 P.S.B. 5100 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABIUTY COLLEGE ROAD ATTN: KAY MILLER OF ANY- KIND UPON THE COMPANY, ITS AGENTS REPRESENTATIVES. Key West, FL 33040 AUTHORIZED REPRESENTATIVE AGORD 25-S 3/93)1 of i 1 S76887 M7'6$$4' '' ''' OACOR.,CORPO, tON7993 MF.MTAT,T-TEAT.TR ACORD. CERTIFICATE OF INSURANCE 12/26/00 PRODUCER BROWN & BROWN INC 220 SOUTH RIDGEWOOD AVENUE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMGND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 BOX 2 412--•--- . ` COMPANIES AFFORDING COVEMPE DAYTONA BEACH, FL 32115 COMPANY ASCOTTSDALE INS CO INSURED MENTAL HEALTH CARE CENTER OF COMPANY BOLD DOMINION INS CO THE LOWER KEYS 1205 FOURTH ST COMPANY CZENITH INS CO KEY WEST, FL 33040 COMPANY I 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. _ COI LTR I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE j DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY O P S 0 2 9 2 8 3 12 / 19 / 0 0 !I 12 / 19 / 01 GENERAL AGGREGATE s3,000,000 X PRODUCTS-COMP/OP AGG s3,000,000 COMMERCIAL GENERAL LIABILITY PERSONAL & ADV INJURY $1 , 0 0 0 , 0 0 0 X CLAIMS MADE OCCUR EACH OCCURRENCE $1 0 0 0 0 0 0 OWNER'S & CONTRACTOR'S PROT j FIRE DAMAGE (Any one fire) $3 0 0 0 0 0 MED EXP (Any one person) s5,000 B AUTOMOBILE LIABILITY B I QUO 3 13 9 12 / 19 / 0 0 112 / 19 / 01 COMBINED SINGLE LIMIT $1 , 0 0 0 , 0 0 0 ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOSNA NON -OWNED AUTOS _ BODILY INJURY (Per person) $ X X BODILY INJURY (Per accident) $ X �! PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO }, ` r`' _ EACH ACCIDENT $ P, AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ (AGGREGATE i$ �I UMBRELLA FORM I-1 $ OTHER THAN UMBRELLA FORM C WORKERS COMPENSATION AND 26211 1 0 % / 01 / 0 0 0 % / 01 / 0 1 1 ! STATUTORY LIMITS EMPLOYERS' LIABILITY EACH ACCIDENT _ $1, 0 00,000 $1 , 0001 000 THE PROPRIETOR/—INCL PARTNERSIEXECUTIVE OFFICERS ARE: EXCL DISEASE -POLICY LIMIT DISEASE -EACH EMPLOYEE I$1 000, 000 AI,OTHER D&O LIAB '..OPS029283 '12/19/00 12/19/011$1,000,000 AGGREGATE A''PROFESSIONAL OPS029283 12/19/00 12/19/011$1,000,000 PER OCC. LIABILITY �$3,000,000 AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECWL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY AND COMMERCIAL AUTO LIABILITY POLICIES. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COUNTY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COMMISSIONERS; ATTN : KAY MILLER 3_0— DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WING II RM 207 P.S.B. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 5100 COLLEGE ROAD OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. O ZED REPRESENTATIVE 141993 Key West, FL 33040 ACORD25S(3l93)1 of 1 584580 M84566 luiN`N1iNKI-YWAIft 01 ACORD CERTIFICATE OF INSURANCE 11j13%o1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BROWN & BROWN INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 220 SOUTH RIDGEWOOD AVENUE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 BOX 2 412 COMPANIES AFFORDING COVERAGE DAYTONA BEACH, FL 32115 COMPANY ASCOTTSDALE INS CO INSURED MENTAL HEALTH CARE CENTER OF COMPANY BOLD DOMINION INS CO THE LOWER KEYS — 1205 FOURTH ST COMPANYCCOMMERCE & INDUSTRY KEY WEST, FL 33040 j 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. 7LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIDD/YY) LIMITS A GENERAL LIABILITY O P S 0 2 9 2 8 3 12 / 19 / 0 0 12 / 19 / 01 GENERAL AGGREGATE $3 000, 000 PRODUCTS-COMP/OP AGG $ X 11 COMMERCIAL GENERAL LIABILITY X CLAIMS MADE OCCUR PERSONAL & ADV INJURY $1 0 0 0 0 0 0 EACH OCCURRENCE $1 0 0 O 0 0 0 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $10 0 0 0 0 MED EXP (Any one person) $5 0 0 0 B 11 AUTOMOBILE LIABILITY ANY AUTO B 1 G2 713 8 12 / 19 / 0 0 12 / 19 / 01 COMBINED SINGLE LIMIT $1 , 0 0 0 , 0 0 0 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ♦ ® N dMEN� BY HMrR X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE $ DATE GARAGE LIABILITY WAIVER NIA YE AUTO ONLY -EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ " AGGREGATE $ 1 EXCESS LIABILITY UMBRELLA FORM ° D EACH OCCURRENCE $ AGGREGATE $ $ OTHER THAN UMBRELLA FORM C WORKERS COMPENSATION AND I EMPLOYERS' LIABILITY WC 6 9 9 6 2 4 9 0 7/ 01 / 0 1 ! 0 7/ 01 / 0 2 1 1 STATUTORY LIMITS EACH ACCIDENT j$1, 0 00, 0 0 0 THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE OFFICERS ARE: P EXCL ! DISEASE -POLICY LIMIT $1 0 0 0 00 0 DISEASE -EACH EMPLOYEE $1 0 0 0 , 0 0 0 A OTHER D & 0 Liab OPS029283 12/19/00 12/19/011$1,000,000 AGGREGATE A Professional OPS029283 12/19/00'12/19/01 $1,000,000 PER OCC. Liability 1$3,000,000 AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESISPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY AND COMMERCIAL AUTO LIABILITY POLICIES. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COUNTY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COMMISSIONERS —4 n DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WING II RM 207 P.S.B. 5100 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY COLLEGE ROAD ATTN : KAY MILLER OF ANY KIND UPON THE COMPANY, ITS. AGENTS- 09 REPRESENTATIVES. Key West, FL 33040 ACORD25-S(3/93) 1 of 1 Si105065 M105058 A THOfkjz"EPRIE SENTATIVE i JJH QACORDCORPOR ON 1993' PRODUCER BROWN & BROWN INC 220 SOUTH RIDGEWOOD AVENUE P 0 BOX 2412 DAYTONA BEACH, FL 32115 INSURED MENTAL HEALTH CARE CENTER OF THE LOWER KEYS 1-1 1205 FOURTH ST l� KEY WEST, FL 33040 DATE (MM/DD/YY) 11/14/01 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 ASCOTTSDALE INS CO COMPANY BOLD DOMINION INS CO COMPANY CCOMMERCE & INDUSTRY 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/DD/YYI DATE IMM/DDIYYI A GENERAL LIABILITY IOPS029283 12 / 19 / 0 0 12 / 19 / 0 1 GENERAL AGGREGATE $3 0 0 01000 X xi PRODUCTS-COMP/OP AGG $3 0 0 0 0 0 0 COMMERCIAL GENERAL LIABILITY X CLAIMS MADE OCCUR PERSONAL & ADV INJURY $1 0 0 0 0 0 0 EACH OCCURRENCE $1 0 0 0 0 0 0 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $3 0 0 0 0 0 MED EXP (Any one person) s5,000 B AUTOMOBILE LIABILITY B 1 G2 713 8 12 / 19 / 0 0 12 / 19 / 01 l ANY AUTO COMBINED SINGLE LIMIT $1 0 0 0 0 0 0 i i X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS P D ANA EMENT X BODILY INJURY (Per accident) $ X BY PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO WAIVER /A - YE.S AUTO ONLY -EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ pi, AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM ` $ OTHER THAN UMBRELLA FORM C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR! PARTNERS/EXECUTIVE INCL R WC G 9 9 G 2 4 9 0 7/ 01 / 01 I 0 7/ 01 / 0 2 STATUTORY LIMITS EACH ACCIDENT $1 , 000,000 DISEASE -POLICY LIMIT $1 000,000 DISEASE -EACH EMPLOYEE $1 , 000,000 OFFICERS ARE: EXCL A OTHER D&O LIAB. OPS029283 12/19/00 12/19/Ol $1,000,000 AGGREGATE A PROFESSIONAL OPS029283 12/19/00 12/19/01 $1,000,000 PER OCC. IABILITY I $3,000,000 AGGREGATE DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY AND COMMERCIAL AUTO LIABILITY POLICIES. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COUNTY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COMMISSIONERS -40 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WING II RM 207 P.S.B. 5100 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY COLLEGE ROAD ATTN: KAY MILLER Key West, FL 33040 ACORD 25-S (3/33)1 of 1 S 10 5 0 9 8 M 1(3 5 0 9 5 OF ANY., KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. A fFWR14D REPRESENTATIVE +yam, �, �. r V ` i � � � tea':* � � � � �Q A'GORt3 CeOF2PQRAZtO(47 9.J3 PRODUCER BROWN & BROWN INC 220 SOUTH RIDGEWOOD AVENUE P 0 BOX 2412 DAYTONA BEACH, FL 32115 INSURED MENTAL HEALTH CARE CENTER OF THE LOWER KEYS 1205 FOURTH ST KEY WEST, FL 33040 .:.:.:,.::... A �+ DATE (MM/DD/YY) C Fii12/14/01 . .:_. :. _......._._._.._,.. 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 ASCOTTSDALE INS CO COMPANY BOLD DOMINION INS CO COMPANY CCOMMERCE & INDUSTRY 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 LTRDATE I TYPE OF INSURANCE POLICY NUMBER I POLICY EFFECTIVE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILIrY X CLAIMS MADE EOCCUR OWNER'S & CONTRACTOR'S PROT OPS 0 3 2 0 7 5 12 / 19 / 01 12 / 19 / 0 2 GENERAL AGGREGATE $3 0 0 O 0 Q 0 X PRODUCTS-COMP/OP AGG $3 0 0 0 0 0 0 PERSONAL & ADV INJURY $1 000 000 EACH OCCURRENCE $1 0 0 O 0 0 0 FIRE DAMAGE (Any one fire) $3 0 0 000 MED EXP (Any one person) $5 . 000 B AUTOMOBILE LIABILITY B 1 G2 713 8 12 / 19 / 01 12 / 19 / 0 2 X ANY AUTO COMBINED SINGLE LIMIT $1 000,000 r X X ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOSDATE NON -OWNED AUTOS AP B t BY EME � T JURY n) JURY nt)X $PPROPERTY E X COMP DED $500 WAIVER NIA YES / �C ' DAMAGE $ COLL DED $500 GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE WC6 9 9 6 2 4 9 0 7/ 01 / 01 0 7/ 01 / 0 2 STATUTORY LIMITS EACH ACCIDENT $1, 0 0 0 0 0 0 DISEASE -POLICY LIMIT $1 0 0 0 0 0 0 DISEASE -EACH EMPLOYEE $1 , O O 0 , 0 0 0 $1,000,000 PER LOSS OFFICERS ARE: EXCL A OTHER D & 0 OPS032075 I12/19/01 12/19/02 IABILITY DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY AND COMMERCIAL AUTO LIABILITY POLICIES. MONROE COUNTY BOARD OF COUNTY COMMISSIONERS ATTN: KAY MILLER WING II ROOM 207 P.S.B. 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 'n 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 4 KIND UPON THE COMPANY, ITS AGENTS -QR REPRESENTATIVES. AUTRQRIZf:D REPRESENTATIVE <' a MENTALHEALTH ACORD. TE OF tNSUFFN+GE DATE(MM/DD/YY) 02/15/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BROWN & BROWN INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 220 SOUTH RIDGEWOOD AVENUE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 BOX 2412 COMPANIES AFFORDING COVERAGE DAYTONA BEACH, FL 32115 COMPANY ASCOTTSDALE INS CO INSURED COMPANY MENTAL HEALTH CARE CENTER OF BOLD DOMINION INS CO THE LOWER KEYS / 1205 FOURTH S T (i, COMPANY COMMERCE & INDUSTRY KEY 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 (MM/DD/YY) LIMITS A GENERAL LIABILITY OPS 0 3 2 0 7 5 12 / 19 / 01 � 12 / 19 / 0 2 GENERAL AGGREGATE $3 0 0 0 000 X PRODUCTS-COMP/OP AGG s3,000,000 COMMERCIAL GENERAL LIABILITY X CLAIMS MADEEl OCCUR PERSONAL & ADV INJURY $1 0 0 O 0 0 0 EACH OCCURRENCE $1 0 O 0 000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $3 0 0 000 - MED EXP (Any one person) s5,000 B AUTOMOBILE LIABILITY B 1G2 713 8 12 / 1 9/ 0 1 12 / 1 9/ 0 2 X ANY AUTO COMBINED SINGLE LIMIT $1 , 000,000 BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) HIRED AUTOS X BODILY $ X NON -OWNED AUTOS NAGS ENT (Per accident) X COMP DED $500 J PROPERTY DAMAGE $ X COLL DED $ 5 0 0 GARAGE LIABILITY j AUTO ONLY -EA ACCIDENT $ OTHER THAN AUTO ONLY: ANY AUTO DA WAN�: ; , �—YESES lvol EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY �) EACH OCCURRENCE $ UMBRELLA FORM . AGGREGATE $ $ OTHER THAN UMBRELLA FORM C I WORKERS COMPENSATION AND WC 6 9 9 6 2 4 9 0 7/ 0 1/ 01 0 7/ 01 / 0 2 STATUTORY LIMITS EMPLOYERS' LIABILITY EACH ACCIDENT $1 O O O O O O THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE DISEASE -POLICY LIMIT sl 0 00, 00 0 DISEASE -EACH EMPLOYEE $1 0 0 O 0 0 0 OFFICERS ARE: EXCL A OTHER D & 0 OPS032075 12/19/01 12/19/02 $1,000,000 PER LOSS IABILITY I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HAS BEEN REVISED AND SUPERCEDES ONE DATED 12/14/01. CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY AND COMMERCIAL AUTO LIABILITY POLICIES. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MONROE COUNTY BOARD OF COUNTY EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL COMMISSIONERS -�0_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, WING II RM 207 P.S.B. 5100 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY COLLEGE ROAD ATTN : KAY MILLER OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AU OAIZED REPRESENTATIVE Key West, FL 3 3 O 4 O ACpRD 25•S W93) 3 Of 1> S 10 9 7 9 8 M10 9 7 9! 2 J JH ©AGQRD CQRPORATION 1993i ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID J2 DATE(MM/DDIYYYY) MENTA-1 1 11 07 02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Daytona Beach Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2412 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Daytona Beach FL 32115-2412 Phone:386-252-9601 Fax:386-239-5729 INSURED MENTAL HEALTH CARE CENTER OF THE LOWER KEYS 1205 FOURTH ST KEY WEST FL 33040 COVERAGES INSURERS AFFORDING COVERAGE NAIC # INSURERA: Scottsdale Ins Co INSURER B: Old Dominion Ins Co INSURER C: Commerce & Industry Ins Co 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 POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 A X COMMERCIAL GENERAL LIABILITY X CLAIMS MADE [::] OCCUR OPS032075 12/19/01 12/19/02 PREMISES Eaoocurence $ 300,000 MED EXP (Any one person) s5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s3,000,000 71 POLICY PROJECT LOC B AUTOMOBILE LIABILITY ANY AUTO B1G27138 12/19/01 12/19/02 COMBINED SINGLE LIMIT (Ea accident) $ 1 000 000 r r X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY (Per accident) $ X COMP DED $500 APPR X PROPERTY DAMAGE (Per accident) $ X COLL DED $500 GARAGE LIABILITY BY AUTO ONLY - EA ACCIDENT $ OTHER THAEA ACC AUTO ONLYN AGG $ ANY AUTO DATE $ EXCESS/UMBRELLA LIABILITY OCCUR � CLAIMS MADE WAIVER /A _.—.— YES. 7 EACH OCCURRENCE $ AGGREGATE $ $ $ DEDUCTIBLE �, RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WC5682674 07/01/02 07/01/03 TORY LIMITS_ ER E.L. EACH ACCIDENT $ 1r r 000 000 OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1 , 000 , 000 E.L. DISEASE - POLICY LIMIT $ 1 , 000 , 000 SPECIAL PROVISIONS below OTHER A D & O LIABILITY OPS029283 12/19/01 12/19/02 PER LOSS $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY AND COMMERCIAL AUTO LIABILITY POLICIES. CERTIFICATE HOLDER CANCELLATION MCBCC03 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COMMISSIONERS ATTN. MARIA SLAVIK IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON STREET REPRESENTATIVES. KEY WEST FL 33040 AUTHORIZED REPRESENTATIVE .....+�.+ kavv uvol U ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID J2 DATE (MMIDD/YYYY) MENTA-1 12 18 02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Daytona Beach Office P.O. Box 2412 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Daytona Beach FL 32115-2412 Phone:386-252-9601 Fax:386-239-5729 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: National Grange Mutual Ins Co INSURER B: Scottsdale Iris Co MENTAL HEALTH CARE CENTER OF THE LOWER KEYS INSURER c: Old Dominion Ins Co INSURERD: Commerce & Industry Ins Co 1205 FOURTH ST KEY WEST FL 33040 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 NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 B X COMMERCIAL GENERAL LIABILITY OPS034689 12/19/02 12/19/03 PREMISES(Eaoccurence) s300,000 X CLAIMS MADE ] OCCUR MED EXP (Any one person) s5,000 PERSONAL & ADV INJURY $1,000,000 X PROF. LIAB. $1,000,000 EA. OCC. GENERAL AGGREGATE s3,000,000 $3, 000, 000 AGG. GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s3,000,000 POLICY PRO JECT LOC C AUTOMOBILE LIABILITY ANY AUTO B11327138 12/19/02 12/19/03 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO tl pp® P4r ��_ AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN AUTO ONLY: AGG $ $ EXCESSIUMBRELLA LIABILITY lay EACH OCCURRENCE $ OCCUR CLAIMS MADE DEDUCTIBLE DATE yVmv AGGREGATE $ $ $ RETENTION $ , D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WC56112674 07/01/02 07/01/03 OTH- TORY LIMITS ER F.I_.EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER A Property Section FRG27138 12/19/02 12/19/03 PROPERTY 1,210,968 B D & O LIABILITY OPS034689 12/19/02 1 12/19/03 PER OCC. 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER IS ADDITIONAL INSURED AS RESPECTS THE GENERAL LIABILITY AND COMMERCIAL AUTO LIABILITY POLICIES. CERTIFICATE HOLDER CANCELLATION MCBCC03 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN MONROE COUNTY BOARD OF COUNTY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COMMISSIONERS ATTN: MARIA SLAVIK IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON STREET REPRESENTATIVES. KEY WEST FL 33040 AUTHORIZED REPRESE VE_ w A� le I Joanne Penn „Fvo= ACORD 25 (2001/08) 6. G : __ _ _ OP ID D DATE (MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE MENTA-1 09/25/03 TTER OF INFORMATION PRODUCER Brown & Brown, Inc. Daytona Beach Office P.O. Box 2412 Daytona Beach FL 32115-2412 Phone:386-252-9601 Fax:386-239-5729 MENTAL HEALTH CARE CENTER OF THE LOWER KEYS 1205 FOURTH ST KEY WEST FL 33040 THIS CERTIFICATE IS ISSUED AS A MA 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. Commerce & Indus INSURER B: INSURER C: INSURER D: INSURER E: Ins Co NAIC # 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. LIMITS LTR NS TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DATE MMIDD EACH OCCURRENCE $ GENERAL LIABILITY $ PREMISES (Ea occurence) COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS MADE OCCUR PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO- LOC POLICY JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILITY EA ACC $ OTHER THAN ANY AUTO AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESSIUMBRELLA LIABILITY AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ - - TORY LIMITS ER WORKERS COMPENSATION AND A EMPLOYERS'LIABILITY WC7822883 07/01/03 07/01/04 E.L. EACH ACCIDENT $ $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. DISEASE - EA EMPLOYEE .$ $` 1 , 0 0 0, 0 0 0 OFFICER/MEMBER EXCLUDED'? If yes, describe under E.L. DISEASE - POLICY LIMIT $ $1 , 000 , 000 SPECIAL PROVISIONS below OTHER i DESCRIPTION OF OPERATK)NS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVI BY DATE WAIVER 1{A.._��.... ..__...,_._...._ CERTIFICATE HOLDER CANCELLATION MONRCO2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL MONROE COUNTY RISK MANAGEMENT IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR MARIA SLAVIK REPRESENTATIVES. 1100 SIMONTON ST LAVW91ZEDREPRESENTATNE KEY WEST FL 33040 1 V ^ jzAs .A ACORD 26 (2001/08) ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MMIDD/YYYY) MENTA-1 02 03 04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Daytona Beach Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 2 412 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Daytona Beach FL 32115-2412 Phone:386-252-9601 Fax:386-239-5729 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Scottsdale Ins Co INSURER B: Old Dominion Ins Co MENTAL HEALTH CARE CENTER OF INSURER C: THE LOWER KEYS 1205 FOURTH ST INSURERD. KEY WEST FL 33040 INSURER E: %.vvr_rvavw 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 NSRrGENERAL INSURANCE POLICY NUMBER DATE MMID EXPIRATIOW DATE MMID LIMITS A Y GENERAL LIABILITY ADE OCCUR IABILITY OPS0036765 $I000000 Fv. / $3000000 AG SUBLIMIT $250000/$500000 12/19/03 12/19/03 12/19/03 12/19/04 12/19/04 12/19/04 EACH OCCURRENCE $$1000000 PREMISES(Eaoccurence) S$300000 MED EXP (Any one person) $$5000 PERSONALBADVINJURY $$1000000 ABUSE GENERAL AGGREGATE $ $3000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO LOC POLICY JECT PRODUCTS - COMP/OP AGG $ $3000000 B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS B1G27138 12/19/03 12/19/04 COMBINED SINGLE LIMIT (Ea accident) $ $1000000 X 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/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ {(R [- "" EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below (y .r { r IVI' ' TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED WITH RESPECTS TO OPERATIONS OF THE NAMED INSURED. CERTIFICATE HOLDER cANE;hLLA1IUN MONRCO2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL MONROE COUNTY BOARD OF IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPO THE INSURER, ITS AGENTS OR COUNTY COMMISSIONERS 1100 SIMONTON ST NTATNES. KEY WEST FL 33040 UTH REPRESENTAT1VEs 4 -w _w sa ACORD 25 (2001/08) 1 j 0 ACORD CORPgTTION 1988 DATE (MM/DD/YYYYI ACORD CERTIFICATE OF LIABILITY INSURANCE MENTA 1 01/0° PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Daytona Beach Office HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . O . Box 2412 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Daytona Beach FL 32115-2412 Phone:386-252-9601 Fax:386-239-5729 INSURED MENTAL HEALTH CARE CENTER OF THE LOWER KEYS 1205 FOURTH ST KEY WEST FL 33040 rnvFRAC.FS4 INSURERS AFFORDING COVERAGE NAIC # INSURER Scottsdale Ins Co INSURER B: Old Dominion Ins Co INSURER C: Commerce & Industry Ins Co 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 INS4 TYPE OF INSURANCE POLICY NUMBER DATE MWD DATE MWDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 A X COMMERCIAL GENERAL LIABILITY OPS0039184 12/19/04 12/19/05 PREMISES (Ea occurence) s300,000 X1 CLAIMS MADE OCCUR MED EXP (Any one person) s5,000 PERSONAL & ADV INJURY $ 1,000,000 X PROFESSIONAL $1,000,000/3,000,00 12/19/04 12/19/05 SUBLIMIT$250,000/500,000 12/19/04 12/19/05 X SEXUAL MISCONDUCT GENERAL AGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3 , 000 , 000 RoiPOLICY JPLOC JEC B AUTOMOBILE LIABILITY ANY AUTO BIG27138 12/19/04 12/19/05 COMBINED SINGLE LIMIT (Ea accident) $ 1 , 000 , 000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) r / r GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO _ — �/ / C $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY ' ' ' EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE � $ RETENTION $ Lc. C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC7692717 07/01/04 07/01/05 TORY LIMITS ER E.L. EACH ACCIDENT $ 1 000 000 E.L. DISEASE - EA EMPLOYEE $ 1 , 000 , 000 E.L. DISEASE - POLICY LIMIT $ 1 , 000 , 000 OTHER A DIR. & OFF. LIAB. OPS0039184 12/19/04 12/19/05 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: MENTAL HEALTH SERVICES AGREEMENT CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED, AS THIER INTEREST MAY APPEAR AS RESPECTS LIABILITY ON THE PART OF MENTAL HEALTH CARE CENTER OF THE LOWER KEYS, INC. FAX 305-929-4564 CERTIFICATE HOLDER rAN[_FI I ATIAN MONRCO2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION e-, 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 OCOUNTY BOARD OF COUNTY CCOMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 SIMONTON ST RE ESENTATNES. A REPRESENTATIVE +r KEY WEST FL 33040 AI.VKLJ AD (LuuT►ua) ep ACORD COLORATION 1983 ACORDn CERTIFICATE OF LIABILITY INSURANCE DATE 01/05106D ) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HRH of Orlando HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 800 N. Magnolia Ave, Ste. 1600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orlando, FL 32803 407 926-2600 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Scottsdale Insurance Co 41297 Mental Health Care Center of the INSURER B: Lower Keys Inc INSURER C: P O Box Box 1026 INSURER D: Key West, FL 33041A026 INSURERE: a.vvcRAGES 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 POLICY EFFECTIVE DATE M D POLICY EXPIRATION DATEM DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY TBI 12/19/05 12/19/06 EACH OCCURRENCE $1 000 000 DAMAGE TO RENTED $300 000 MED EXP (Any one person) $5 000 X CLAIMS MADE OCCUR PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE s3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG s3,000,000 PRO-CT LOC POLICYF_j JE AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS .'� I , P m o d 1' L .3 Y` i BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS f 111 J. s [: ,....... /l -.�.✓t•t.��. _ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY` " " AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY C (_, , EACH OCCURRENCE $ AGGREGATE $ OCCUR F1 CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WC STATU- OTH- WORKERS COMPENSATION AND T E.L. EACH ACCIDENT $ EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under SPECIAL PROVISIONS below A OTHER Prof Liab TBI 12/19/05 12/19/06 $1,000,000/3,000,000 A Employee Dishones TBI 12/19/05 12/19/06 $1,000,000 - $1,000 ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Retro Date: 10/03/86 Certificate Holder is added as an additional insured for general liability but only with respect to operations of the Named Insured. Monroe Co. Board of County Commissioners P O Box 1026 Key West, FL 33041-1026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL I n 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 a,?mc ACORD 25 (2001/08) x of 2 #S172921/M172917 JMCBU 0 ACORD CORPORATION 1988 AMFNITUE — cllenta: Lbb4vDATE ACORM CERTIFICATE OF LIABILITY INSURANCE (MWDM 01105106Dff) PRODUCER HRH of Orlando 800 N. Magnolia Ave, Ste. 1600 Orlando, FL 32803 407 926-2600 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 # INSURED Mental Health Care Center of the Lower Keys Inc P O Box Box 1026 Key West, FL 33041-1026 INSURER A: Scottsdale Insurance Co 41297 INSURER B: INSURER C: INSURER D: INSURERE: 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 A NSRE TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY X CLAIMS MADE DOCCUR POLICY NUMBER TBI POLICY EFFECTIVE DATE DD 12/19/05 POLICY EXPIRATION DATE M D 12/19/06 LIMITS EACH OCCURRENCE $1 000 000 DAMAGE TO RENTED $300 000 MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE $3 OOO OOO PRODUCTS - COMP/OP AGG $3 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRa El LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS < 4 ; COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO :• + �.�: ...._... ... } �1+� f�,j __ :. �..:f _ ... - AUTO ONLY - EA ACCIDENT $ EA ACC HERTHAN AUTO ONLY: OT AGG $ $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below WC STATU- OTH- E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A A OTHER Prof Liab Employee Dishones TBI TBI 12/19/05 12/19/05 12/19/06 12/19/06 $1,000,000/3,000,000 $1,000,000 - $1,000 ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Retro Date: 10/03/86 Certificate Holder is added as an additional insured for general liability but only with respect to operations of the Named Insured. Monroe Co. Board of County Commissioners P O Box 1026 Key West, FL 33041-1026 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 n 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 a.fmc, ACORD 25 (200 08)1 Of 2 #S172921IM172917 imt;bU ==VVRV VVRr Vn�IIVI� I7YV ACORD CERTIFICATE OF LIABILITY INSURANCE OP�A�lp�DATE(MM/DD/YYYY) PRODUCER MENTS/30 05 ED AATTER OFINFORMATION ERS NIGHON THE CERTIFICATE E IS IS:AFFORD:ED:BY Brown & Brown, Inc. T::�:: Daytona Beach Office RTIFIE DOT AMEND, EXTEND OR P.O. Box 2412 ERAGE THE POLICIES BELOW. Daytona Beach FL 32115-2412 Phone: 386-252-9601 Fax: 386-239-5729 INSURERS AFFORDING COVERAGE INSURED FNAIC # INSURER A: Scottsdale Ins Co 41297 INSURER B: Old Dominion Ins Co MENTAL HEALTH CARE CENTER OF THE LOWER KEYS 1205 FOURTH ST KEY WEST FL 33040 INSURERC: Commerce 6r Industry Ins Co LINSURERD: 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 MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT POLICIES. RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OF SUCH LTR NSR TYPE OF INSURANCE POLICY NUMBER OLICY DATE EF ECTIDfYY E PDATE LIW GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY OPS0039184 CE 12/19/04urence) X CLAIMS MADE OCCUR X PROFESSIONAL $1, 000, 000/3, 000, 000 E(nyone person) $ 5000 12/19/04 12/19/05 PERSONAL X SEXUAL MISCONDUCT SUBLIMIT $250,000/500,000 &ADV INJURY $ 1 r 000 , 000 12/19/04 12/19/05 GENERAL GEN'L AGGREGATE LIMIT APPLIES PER: AGGREGATE $ 3, 000, 000 POLICY PRO_ PRODUCTS - COMP/ OPAGG $ 3 f 000 1 000 JECT LOC AUTOMOBILE LIABILITY B X ANY AUTO BIG27138 COMBINED SINGLE LIMIT 12/19/04 12/19/05 (Ea accident) $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY DIIL IIN'J)URY $ P X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY $ (Per accident) A U SK Mr EMEPJ� GE PR�accident) GARAGE LIABILITY (P$ /� $ ANYAUTO _—.�._ _AUACCIDENT ,._.._4_, OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR ❑CLAIMS MADE , EACH OCCURRENCE $ AGGREGATE DEDUCTIBLE �` RETENTION $ l $ WORKERS COMPENSATION AND $ C EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WC670--85-07 OFFICER/MEMBER EXCLUDED? I _ TORY LIMITS ER 07/01/05 07/01/06 F.I_.FACHACCIDENT $ 1, 000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - EA EMPLOYEE $ 1 , 0 0 0 , Q 0 0 OTHER E.L. DISEASE - POLICY LIMIT $ 1 rli n Q 000 A DIR. & OFF. LIAB. OPS0039184 12/19/04 12/19/05 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: MENTAL HEALTH SERVICES AGREEMENT CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED, AS THIER INTEREST MAY APPEAR AS RESPECTS LIABILITY ON THE PART OF MENTAL HEALTH CARE CENTER OF THE LOWER KEYS, INC. FAX 305-295-3179 CERTIFICATE HOLDER CANCELLATION i ONRCO2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN MONROE COUNTY BOARD OF NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COUNTY COMMISSIONERS IMPOSE NO OB ATION OR LIABILITY OF ANY KIND UPON E INSURER, ITS AGENTS OR P 0 BOX 1026 RE ESE S. KEY WEST FL 33041-1026 AU RIZE ATIV ACORD 25 (2001/08) Joan a nn © ACORD CORPORA 1988 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 DATEYMM/DD�E PDATE MM D N LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY OPS0039184 12/19/04 12/19/05 EACH OCCURRENCE $ 1,000,000 X CLAIMS MADE El OCCUR PREMISES(Ea occurence) $300,000 MED EXP (Any one person) $ 5,000 X PROFESSIONAL $1,000,000/3,000,000 12/19/04 12/19/05 PERSONAL X SEXUAL MISCONDUCT SUBLIMIT $250,000/500,000 12/19/04 12/19/05 & ADV INJURY $1,000,000 GENERAL AGGREGATE $ 3.()()0 , 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 3 , 00 0 , OOO POLICY PRO- JECT LOC AUTOMOBILE LIABILITY X $ 1,000,000 B ANY AUTO BIG27138 12/19/04 12/19/05 COMBINED SINGLE LIMIT (Ea accident) ALL OWNED AUTOS ,ODIILeYsINJ)URY $ SCHEDULED AUTOS X HIRED AUTOS X BODILY INJURY accident) $(Per NON -OWNED AUTOS - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY IS!{ I AGEMENI- AUTO ONLY - EA ACCIDENT $ ANY AUTO 6 `� OTHER THAN EA ACC $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY $ OCCUR CLAIMS MADE WAIVER EACH OCCURRENCE $ v NSA AGGREGATE $ DEDUCTIBLE (�jY RETENTION $ $ JUUV, WORKERS COMPENSATION AND 00 $ C EMPLOY;ERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WC670-85-07 TORY LIMITS ER 07/01/05 07/01/06 E.L.F-AGHACUJLN-i OFFICER/MEMBER EXCLUDED? a, 1, 0 0 0, 000 If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000 SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $ 1,000,000 A DIR. & OFF. LIAR. OPS0039184 12/19/04 12/19/05 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS RE: MENTAL HEALTH SERVICES AGREEMENT CERTIFICATE HOLDER IS NAMED AS ADDITIONAL INSURED, AS THIER INTEREST MAY APPEAR AS RESPECTS LIABILITY ON THE PART OF MENTAL HEALTH CARE CENTER OF THE LOWER KEYS, INC. FAX 305-295-3179 CG A h CERTIFICATE HOLDER CANCELLATION MONRCO2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN MONROE COUNTY BOARD OF NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL COUNTY COMMISSIONERS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR P O BOX 1026 R E y KEY WEST FL 33041-1026 I REP ESENTATIVE ACORD 25 (2001/08) Zan' n Penn ©ACORD CORP ION 1981 ClientlK: 26649 AMFNTIJFA ACORD CERTIFICATE OF LIABILITY INSURANCE 02103106 PRODUCER .---. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HRH of Orlando - ;ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 800 N. Magnolia Ave, Ste. 1600 _. .. .."-HOLDER. T14S CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orlando, FL 32803 407 926-2000 U. INSURERS AFFORDING COVERAGE NAIC a INSURED t Mental Health Care Center of the Lower Keys Inc CRIB i______-.. _. __.__.._ 1205 Fourth St tJGfefr`t Key West, FL 33040 ��'' ary„`;?,GcYi INSURER ,' SCOtt ale Insurance Co 41297 : *SURER C: Su 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, LTA NIUU TYPE OF INSURANCE POLICY NUMBER POLICY EFKCnVE POLICY EXPIRATION UMRB A GENERAL LABILITY OPS0042185 12119/05 12119/06 EACH OCCURRENCE $1 000 000 COMMERCIAL GENERAL LIABILITY X CVJMS MADE ❑ OCCUR DAMAGE TO RENTED MED EXP (Airy we Pxvwi) $300000 f$ 000 PERSONAL&ADVINJURY $1000000 GENERALAGGREGATE $3000000 AGGREGATE LIMIT APPUE9PER: PRODUCTS-COMP/CPAGG 53000000 GENL POLICY PRO LOC JECT ALITOMOSILE LABILITY ANYAUTO COMBINED SINGLE LIMIT (Ee acd tl $ ALL OWNED AUTOS fGHEDUIED AUTOS HIRED AUTOS NCN�OWNED AUTOS _ _ W .. n � - BODILY INJURY (FayeNDn) $ (1 I4r eDILY INJURYoNdenU S PROPERTY°AUAGE (Per acdtlenl) j , GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S ANY AUTO ^ - /l- ///jjj��� YYY OTHER THAN FAACC AUTO ONLY: AGG $ S EXCESSIUMBRELLA LIABILITY OCCUR CIAIMSMADE EACH OCCURRENCE j AGGREGATE j f s DEDUCTIBLE RETENTION j S VATRNERB CDMp(DNIATM)N AND WCBTATU• OTW EMPLOYERS' LIABILITY E.L. EACH ACCIDENT S ANY PROPRIETORNARTNER/EXECUTIVE OFFlCERBJEMBER EXCLUDED? N yyaes tlno m unner 8PE MLPROVISMI 0 N 5 tO E.L. DISEASE EA EMPLOY f l. DISEASE - POLICYLIMIT j A OTC Prof Liab 12119/05 12119/06 $1,000,00013,000,000 A �OF`30042185 Employee Dlshones OPSO1142185 12/19/05 12/19/O6 $1,000,000-51,000 Dad DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES) EXCLUSIONSADDED BY ENDORSEMENT/ SPECIAL PROVISION] Ratro Date: 10/3186 — � � l4PJ'1l4CLLA\IIVN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION °IITETHEREOF.THEISWNGINSURERNILLEN°EAVORTOWUL jn DAYBWPoTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE I.M. BUT FAILURE TO DO SO SHALL NPOSE NO OBLIMTION OR LABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AU,rFJMD REP S/EENPPTATNE ACORD 25-?1101108)1 of 2 i13177195/M175403 JMCBU a ACORD CORPORATION 1988 ACORD,M CERTIFICATE OF LIABILITY INSURANCE 12/062006 1 HRH of Orlando 800 N. Magnolia Ave, Ste. 1600 Orlando, FL 32803 407 926-2600 Mental Health Care Center of Lower Keys Inc dba 1205 Fourth St Key West, FL 33040 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ,_ HOLDER,_ HIS CERTIFICATE DOES NOT AMEND, EXTEND OR n EQEkV ALTER TH COVERAGE AFFORDED BY THE POLICIES BELOW. DEC 8 INSURE INSURE INSURE ERS !A: : B: I C: D: E: COVERAGE Isurance Co NAIC # 41297 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 POLICY EFFECTIVE DATE Offili POLICY EXPIRATION DATE fMMIDDNY1 LIMITS A GENERAL LIABILITY OPS0042185 12/19/05 12/19/06 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES (Ea occurrence) a300 000 X CLAIMS MADE F—IOCCUR MED EXP (Any one person) $5 000 PERSONAL 8 ADV INJURY $1 00Q 000 GENERAL AGGREGATE $3.000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $3000000 PRO-T LOG POLICY 0JEC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accldeni) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accitlenp $ HIRED AUTOS NON -OWNED AUI OS p - - �� � PROPERTY DAMAGE (Per accident) $ -- _ GARAGE LIABILITY - - AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANY AUTO- - - - ""' '_' $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY a EACH OCCURRENCE S AGGREGATE S OCCUR []CLAIMS MADE $ DEDUCTIBLE C / 8 RETENTION WORKERS COMPENSATION AND WC CRY STATU- OTH- ER EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIE%ECUTIVE E.L. DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. !`MEASE-POLICY!IM!T SPECIAL PROVISIONS beI_ A OTHER Prof Liab OPS0042185 12/19/05 12/19/06 $1, 00 0, 000/3, 0 00, 000 A Directors & Offic OPS0042185 12/19/05 12/19/06 $1,000,000-41,000 Ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS •10 day notice of cancellation applies to non-payment of premium. Retro Date: 1013/86 Certificate Holder is added as an additional insured for general liability �'G �l 4 n C but only with respect to operations of the Named Insured. Monroe Co. Board of County Commissioners 1100 Simonton Street Key West, FI_ 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20' 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 ^��^� ca 1..V HV.) T Ot L P5197521/M779449 ASING 9 ACORD CORPORATION 1988