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Certificates of Insurance RAY HAMPSON & ASSOCIATES INSURANCE AGENCY 102481 OVERSEAS HWY KEY LARGO .........11111:111111...11.1.11.111.111111.1111..1..1.11111.11111.......1.11.....1....:..........:....................... DAlEPlMmDIY~ ......., 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 . ACDBD.. PRODUCER FL 33037 COMPANY A EVANSTON INSURANCE COMPANY MONROE COUNlY INSURED MATTHEW FOWLER ARCHITECT COMPANY B 21 SHIPS WAY BIG PINE KEY, COMPANY C FL 33043 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 CONDmON 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 CONDmONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POUCY NUMBER POUCY EFFECTlVE POUCY EXPlRAnoN DAlE PlMIDDIYY) DAlE PlMIDDlYY) UMITS GENERAL UABLITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE D OCCUR OWNER'S & CONTRACTOR'S PROT GENERAL AGGREGATE S PRODUCTS - COMPIOP AGG S PERSONAL & ADV INJURY S EACH OCCURRENCE S FIRE DAMAGE (Any one fire) S MED EXP (Any one person) S AUTOMOBLE UABIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-QWNED AUTOS COMBINED SINGLE UMIT S BODILY INJURY (Per person) S GARAGE UABLITY ANY AUTO BODILY INJURY (Per accident) S PROPERTY DAMAGE S DATE WAIVER AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE EXCESS UABIUTY I UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKERS COMPENSAnON AND EMPLOYERS' UABLITY BINDER #02209 05/01/02 05/01/03 S EL DISEASE-POUCY LIMIT S EL DISEASE-EA EMPLOYEE S 1,000,000 PER CLAIM 1,000,000 AGGREGATE 2,500 DEDUCTIBL , , , .~ i THE PROPRIETORl PARTNERSlEXECUTIVE OFFICERS ARE: OTHER INCL EXCL PROF'L LIABILITY DESCRIPTION OF OPERAnONSILOCAnONSIVEHlCLESlSPEClAL ITEMS ARCHITECT ERRORS AND OMISSIONS COVERAGE. ~~nm~jtg:HPgJH.::...,.mii::::P!~P:'M.~~~:. :::::;:::::::::::::::::::::::::::::::;:::::::::::::::;:::::::::::;:::::::::::::::::::::::::::::::::::::::::: ............................................................................................................ :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: .................................................... .................................................. .................................................. . ................................................... -. .................................................. . ................................................... ................................................... ................................................. .............. ... -..... MONROE COUNTY BOARD OF COMMISSIONERS RISK MANAGEMENT 1100 SIMONTON STREET KEY WEST, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPlRAnoN DAlE THEREOF, THE ISSUING COMPANY WU ENDEAVOR TO MAL ~ DAYS WRITTEN NonCE TO THE CERTFlCATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAL SUCH NOnce SHAU. IMPOSE NO OBUGAT1ON OR UABLJTY OF ANY KIND UPON THE AUTHORIZED REPRESENTAT1VE AGOBLf.jllll.IIIIIII!..:IJI.:I..IIIIIIIII!:.'lllllllllli.1.1.. RAY HAMPSON & ASSOCIATES INSURANCE AGENCY 102481 OVERSEAS HWY KEY LARGO DATE (MMlDDIY~ 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 PRODUCER FL 33037 COMPANY A MATTHEW FOWLER & TOM TIMMONS COMPANY B OLD DO SURANCE CO CINBtIIUcnON MANAGEMENT INSURED 21 SHIPS WAY BIG PINE KEY, COMPANY C FL 33043 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 CONDmON 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 CONDmONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POUCY NUMBER POUCY EFFEcnvE POUCY EXPlRAnoN DATE (MM/DDIYY) DATE (MM/DDIY~ UMITS GENERALUABIUTY BINDER #02210 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE [K] OCCUR OWNER'S & CONTRACTOR'S PROT 05 / 0 1 / 02 05/0 1/03 GENERAL AGGREGATE S 1 , 000 , 0 0 0 PRODUCTS - COMPIOP AGG S 1 , 0 0 0 , 0 0 0 PERSONAL & ADV INJURY S 5 0 0 , 0 0 0 EACH OCCURRENCE S 5 0 0 , 0 0 0 FIRE DAMAGE (Any one fire) S 5 0 , 0 0 0 MED EXP (Any one person) S 5 , 0 0 0 AUTOMOBILE UABLITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-QWNED AUTOS COMBINED SINGLE LIMIT S BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE S GARAGE UABIUTY ANY AUTO APR BY DATE WAIVER AUTO ONLY - EA ACCIDENT S OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE EXCESS UABIUTY UMBRELLA FORM. OTHER THAN UMBRELLA FORM WORKERS COMPENSAOON AND EMPLOYERS' UABIJTY THE PROPRIETORl PARTNERs/EXECUTIVE OFFICERS ARE: OTHER INCL EXCL S EL DISEASE-POLICY LIMIT S EL DISEASE-EA EMPLOYEE S DESCRIPnON OF OPERA11ONSIL0CAnoNSIYEHlCLESlSPECIAL ITEMS MONROE COUNTY BOARD OF COMMISSIONERS AS ADDITIONAL INSURED. tai'nFlCAttHdlJ)ER? ...................................................... ....... .. ,....................................... ................................... ................................. ............................ .......................... .................. ....................................... ......................................... . ................................ ..................... .tl"t~~":;::;::(:;::;::'i ............. ................................................ MONROE COUNTY BOARD OF COMMISSIONERS RISK MANAGEMENT 1100 SIMONTON STREET KEY WEST, FL 33040 SHOULD ANY OF TIE ABOVE DESCRIBED POLJCIES BE CANCEllED BEFORE THE EXPlRAnoN DATE THEREOF, TIE ISSUING COMPANY WLL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOT1CE TO TIE CERT1FICAlE HOLDER NAMED TO TIE LEFT, BUT FAILURE TO MAL SUCH NOncE SHALL IMPOSE NO OBLlGAnoN OR UABIUTY OF ANY KIND UPON TIE AUTHORIZED REPRESENTA ......................J................................. At~.:"~$.tt'"[:::) TIM ............ ........ ..................................................................................... .......................................... . ........................................ .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .. ............................ ........................ ... ............ ............... ............................ ............................................. ............................................ ............................................... .......................................,............................................... ............................................ ....................,...................... .. .. ................................ . ................. ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (lI/MIDDIYYYY) 1M 0110812007 PROD~CEr< Phone: (360) 598-3700 Fax: (360) sg8-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HALL & CO / A & E PROF. INSURANCE PROGRAM ONLY AND CONFERS NO RIOHTS UPON THE CERTIFICATE 19578 10TH AVENUE N.E. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR POULSBO WA 98370 ALTER , BY THE . 0.' nw INSURERS AFFORDING COVERAGE NAIC# f-----.-.---.--. St. Paul Fire & Marine IftlUlaRGeCo. .-.- INSURED INSURER A: -~,. MATTHEW FOWLER ARCHITECT ---~ --'--- INSURER B: .. 21 SHIPS WAY IINSURER c: . .- -'- BIG PINE KEY FL 33043 _. I'NSURER D. , /\,) / INSURER E: COVERAGES LIL THE POliCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOlWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSVE:r:r-rnr- MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . " 'NSO '""' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE P~~,::O';'~ LIMITS ". 'NS' l)ATi!-l_OONYl ~NERAL LIABILITY EACH OCCURRENCE I .~.- COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED I .- ~ CLAIMSMADED OCCUR PREMISES(E'oCCU'ence) -- MED, EXP (Anyone person) I - ._.- PERSONAL & ADV INJURY I - -.---~"-^------ "-,,- GENERAL AGGREGATE I - - ------- ---- ------ . GEN'l AGGREGATE UMIT APPUES PER PRODUCTS-COMPIOP AGG I I .nPRO. nl -. ---". POLICY JECT lOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT -. (Eaaccident) I ANY AUTO - .~...- f- ALL OWNED AUTOS BODILY INJURY - (Per person) I SCHEDULED AUTOS f-- ---- HIRED AUTOS BODILY INJURY f-- (Peraccidenl) I NON-OWNED AUTOS I-- \rf\( ;) .) C--"-' I-- . PROPERTY DAMAGE I (per accident) GARAOE L.IABILlTY ~.J1t._\V . .. .... AUTO ONLY - EA ACCIDENT I R ANY AUTO ..- .. - J:L [J-U! OTHER THAN J.:AACC I -. ~- -~ AUTO ONLY AGG I rE?CCESS I UMBREL.LA L.IABILITY II' ... EACH OCCURRENCE I _J OCCUR CJ CLAIMS MADE AGGREGATE I c-- I r-~i 1--. $ -- DEDUCTIBLE r--" RETENTION $ C--' I WORKERS COMPENSATION AND IWC"'A'" I laTHER TORVLlMITS EMPLOYERS' L.IABILlTY AlfV PROPRIETORJPARTNERJEXECUTlVE EL EACH ACCIDENT I .- OFFlCERlMlMaER EXCLUDED? E.l. DISEASE_EA EMPLOYEE I "y.', deec:rb undllr -. SPIiCIALPROVISION8IM1Dw EL DISEASE-POLICY LIMIT I OTHER: ProtessJonal Liability QP03810292 05/01106 05101107 $600,000 Per Claim limit A Claims Made Form $500,000 Aggregate Limit DESCRIPTION OF OPERATIONSIlOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER Monroe County Board of County Corrmissioners 1100 Simonton St. Key West, FL 33040 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELL.ED 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, rrs AGENTS OR REPRESENTATIVES Attention: ACORD 26 (2001108) AUTHORIZED REPRESENTATIVE CertifICate # ~OffBollert @ACORD CORPORATION 1988 49007 : Air.OP..D.', CERTIFICATE OF LIABILITY INSURANCE I DA.fE(MMIDOIYYYYJ 01/0912007 THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFORMATION PROOtICER Marsh AffInity Group Services ONLY AND CONFERS NO RIGHTS UPON TIlE CERTIFICATE a service of Seabury & Smith, Inc. I!?!:.?!R. TIllS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 9153 Des Moines. IA 50306 'Ar"''' ~'Hr" Timmins Engineering, LLC A. Uowl's of Lo",,~ 1122000 INSURED P.O. Box 368 . Big Pine Key, FL 33043 INSTT1U'-R t": I INSURER n: I INSURER E: ['II .IJ/ 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. I~.!R ~ TYPE OF INSURANCE POUCY NUMBER POUCY EFfECTNE POUCY EXPIRATION I iUjRALUABlUTY I.... ...........RCIAl. GEHEL:J:UTY RENTE . P .1 CLAlMS MADE OCCUR MEO' . . f- . f- GENERAL AGGREGATE . , M,RALAGGn~LYT ~n:PER: PRODUCTS - COMPIOP AGG . POlICY ROJECT LOC ~OMOBILE UABlUTY COMBINED SINGLE UMIT f- IWY AUTO lEI Acddent) . >- ALL OWNED AUTOS BOOIL Y INJURY >- SHCEDULED AUTOS (PerPersonl . >- HIRED AUTOS BODILY INJURY ~ NON~EO AUTOS IPerAc:cldenll . - PROPERTY DAMAGE " (Per Accident) . Ej';' '::' )JfJ\ Ir,,, , ~ AUTO ONLY - EAACCI:>ENT . EAACC . OTHER THAN " - AUTO ONLY: AGG . EXCESSlUMBREUA UABlUTY . .V'l t?~~1 EACH OCCURRENCE . =:]OCCUR 0 CLAIMS MADE X AGGREGATE . =i:OUC118LE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' I UlORY UMrrd -r ER UABlUTY ~ PROf'R1ETORJPARnIERlEXECUTiVE E.L EACH ACCIDENT . ACEWMEMBEREXCLUDED? E.L DISEASE - EA E'*'LOYEE . If yes, descrlbe under PEClAL PROVISIONS below E.L DISEASE - POUCY UMlT . OTHER DEDUCTIBLE: PER CLAIM 5,000 A PROFESSIONAL LfABlLITY INSURANCe 0006102 08/20/2006 08/20/2007 LIMITS: PER CLAIM $1,000,000 RETRO DATE: 0812012004 . DESCRIPTION OF OPERATIONSIlOCATlONSNECHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/sPEClAl PROVISIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CNfCEUED BEFORE THE EXPIRATION Monroe County Board of County DATE THEREOF, THE ISSUING INSURER WILL ENDeAVOR TO MAJL ...!2.. DAYS WRrrTEN Commissioners NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAlWRf TO DO SO SHALL 1100 Simonton Street IMPose NO OBLIGATION OR LIASIUTY OF AAY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. AUTHOR!ZeD 1'(A;-..... '^ e ~'tCrv REPReSENTATIVE , ACORD" CERTlFICA TE OF LIABILITY INSURANCE , _.---, , 01/08/2007 PRODU~ER" (105)~94-2542 FAX (105)296-7985 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Po~er Allen Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 511"Southard Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Key West, FL H040 INSURERS AFFORDING COVERAGE NAIC# INSURED JIIIatthew Fowler Architect INSURER A First Community Insuranl:e .'to. 21 Ship's Way INSURER B Big Pine Key, FL H043 INSURER C , INSURER 0 ' "I '. INSURER E COVFlUGES WI-/' THE POLlCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE IssueD OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS ~ TYPE OF INSURANCE POUCY NUMBER POUCY EFFECl1VE ~~.Ed EXPlRA1l0N UMITS GEHERALUABIUTY 09 0004962746 2 02 05/01/2006 05/01/2007 ' EACH OCCURRENCE $ 1,000,000 'x COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED , 50,000 l CLAIMS MAOE [K] OCCUR MED EXP IAny one person I S 5,000 A X PERSONAL & ADV INJURY S 1,000,000 f-- l,OOO,oo( GENERAL AGGREGATE , f-- h'L AGG~~~ LIMIT APPLIES PER PRODUCTS - COMPIOP AGG , l,OOO,OO( PRO- nl POLICY JECT LOC ~TOMOBlLE UABlUTY I COMBINED SINGLE UMfT , ANY AUTO i (EaaCCldent) f- f- ALL OWNED AUTOS I 800lL Y INJURY SCHEDULED AUTOS ;Perpefsonl I' - HIRED AUTOS BODilY INJURY - , NON-OWNED AUTOS IPeracadeflt) - PROPERTY DAMAGE , (Per accIdent) GARAGE UABlUTY AUTO ONLY - EA ACCIDENT , ~ -ANY AUTO OTHER THAN EA ACe , AUTO ONLY AGG. $ EXCESS/UMBREllA UABlUTY m(~ Do,JL EACH OCCURRENCE , ~.OCCUR D CLAIMS MADE AGGREGATE , ~ ,,-~--o 7 , ==1 DEOUCTIBLE $ RETENTION , I , S WORKERS COMPENSATION AND I WC STATU-,! IOJ~- EMPLOYERS' UABlUTY E L. EACH ACCIDENT ANY PROPRIETOR/PARTNERfE.xECUTIVE , OFFICERfMEMBER EXCLUDED" E L DISEASE - EA EMPLOYE , If yes_ describe url(]ef , SPECIAL PROVISIONS belOW ! I E.L DISEASE - POLICY LIMIT i S OTHER i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate holder is named as additional insured C T N Monroe County Board of County Commisioners 1100 Simonton Street Key West, FL 31040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILl.. ENDEAVOR TO MAIL E TO THE CERTIACATE HOLDER NAMED TO THE LEFT, CE SHALL IMPOSE NO OBLIGATION OR LIABILITY @ACORDCORPORATION 1988 ACORD 25 (2001/08) ACORD LIABILITY INSURANCE I DATE (MMIDDIYYYY) CERTIFICATE OF 01/16/2008 TM PRODUCER Phone (360) 59g-3700 Fax (360) 598-3703 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MICHAEL J. HALL & COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CERTifiCATE ARCHITECTS & ENGINEERS PROFESSIONAL INSURANCE HOLDER. THIS CERTIFICATE DOES :'v"~uAcM!,~,~;.,;~T;~~ ,';,R PROGRAM, INC. ., TCR 19578 10TH AVENUE N.I:. POULSBO WA 98370 INSURERS AFFORDING COVERAGE NAIC# !,NSURERlo___St. pauTFire &=Marine_ insura"ce (;0:_=- I --- ----------- ----- ------ t --- -- ------- INSURED -- -------- -- MATTHEW FOWLER ARCHITECT I~~U~~~ B: ---- -------- -------- -- ------ . ------ ----- 21 SHIPS WAY - INSURER c: BIG PINE KEY FL 33043 ,----- - - ----..---- ----..---- -:::=-=-1- ----- '1IN~~_~~~ 0: --- -- - ---------- ---- - ---..--- INSURER E: COVERAGES THE POLICIES OF INSURANCI~ 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 --1----- ________c POLICY NUMBER 1 TYPE OF INSURANCE POL;~~ EFFECTIVE--T--POll~;-;;;';ATION- DATE MMlDDIYY DATE MMlDDIYY LIMITS INSR ADD'L LTR INSR GENERAL LIABILITY '~, COMMERCIAL GENER,AL LIABILITY! __ _ ~=] CLAIMS MADE 1_ J OCCUR ~ACH OC~~~_E_t'!CE DAMAGE TO RENTED r~~~'1E:~~~~~C::C;~rsor;J--- -t~ $ I PERSONAL & AOV INJURY GENERAL AGGREGATE ANY AUTO ALL OWNED P.UTOS SCHEDULED AUTOS PRODUCTS-COMP/OP AGG S COMBINED SINGLE LIMIT (Eaaccident) pI)- BODILY INJURY (Per person) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY {Per accident) ANY AUTO PROPERTY DAMAGE ,$ {Peraccidel'lt} EXCESS I UMBRELI.A LIABILITY OCCUR l' I CLAIMS MADE 'h ~_~_~r:Q_g!iL_'l'~_EA_Ac:CI[J~NT i $ I OTHER THAN E!-_~~_~.i$ AUTO ONLY AGG $ i EACH OCCURRENCE i $ L____ GARAGE LIABILITY I ~ DEDUCTIBLE RETENTION $ -j~-- ___n________ +__ $ , IWCSTATU-' 1 IE~L~-~A~g~~~~sD~;:- ~~-=1$=--=-=~-=_~ ~ EL DISEASE-EA EMPLOYEE 1$ AGGREGATE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AN'{ PROPRIETOR/PARTNER/EXECUTIVE OFFlCERIMEMBER EXCLUDED'? If yes, describe under SPECIAL PROVISIONS below OTHER: Professional Liability A Claims Made Form QP03810292 05/01/07 05/01/09 I EL DISEASE-POLICY LIMIT i $ I $500,000 Per Claim Limit ; $500,000 Aggregate Limrt Mom DESCRIPTION OF OPEflATIONS/LOCATIONlflAlllel.JR6jelCClllU81ONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Continuing Contract IAN ,).) ",,_'nn;J' 01 . (-,,,I.. ....'" n", w-- '.J" CERTIFICATE HOLDEFt CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Monroe County B,aard of Commissioners EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO Facilities Development DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS 1100 Simonton St AGENTS OR REPRESENTATIVES Key West FL 33040 AUTHORIZED REPRESENTATIVE ~o~ Attention: Ann Ri~,er/Paulette Harper ACORD 2~(2001/08) C.L'~.L Certificate # 69573 @ACORDCORPORATION 1988 JA~-Io:2UUH WcU Ub:j~ PM ~ AX NUl -.---- -. -~ _.-- . aIR (lOS)Z94~2S42 Parter All.n COMPany southard Str.et W.st. FL 33040 td W Fr__n !D ., - er 21 Ship's Way Iii Pine Key. FL 3304J PAX 305 296-7915 INSURERS AFFORDING COVEl'AGI INSUAiR It: F rst eon.an t Insuranc. Co.. INIIJ..eR . I~C:..' INSUAM D: INIURIR e: NAle. , POLICIES ~ INSUIW\ICE LISTED .!LOW H,\VI! BEEN lSSulD TO THE INSURID NAMED MCW. FOR TH! POUCY PeRIOD INDICATED. /IIO'TWITHSTANDlI\IG . REOUIREMENT, TERM OR cONDITION OF AtN coNTRACT OR O'I'HSR DOCUMENT WITH ReSPECT TO WHICJot THIS CERTIFICATE MAV BIISSUED OR , pIRTAlN, THI INSURANCE AfIlIORDID BY'THE POLICIES oRCRJIED HIREINIS SUBJECT TO AI.L THE TI!RM8. EXCLUSIONS AND coNDITIONS OF SUCH .lCIES. AGGREGATE LIMITS SHOWN MAV HA\l1 BEIN REDUCED IV PAID CLAIMS. 1YPI tIP~. 1tOI.K:Y......" LMTI .......LIAIIIU1V 01 0004962146 2 OJ 05/0 2007 05/01/2001 · J( COMMMClAL G5fIII!IW,. \JA8IJIY · c:&.Ma NAOIi I!] OCCUR Nm &lIP IMr - pItIaIl) · PIiIIIONAL & AlJN IN.IUIW . CIENIML MdfISGATS I G8ft. AdQRIIMTIi LIMIT ~ I"!R; PftCDUC'l'S · CXJMPIQP AGG I ~ . IJ)C AUTOIIIDIILI UAIIUTY ANYAUTD ALL 0YJNIiD AUTas SCHIiDULiD AuT08 HIIlIiD AUTOa HQMoOWNeD AUTO' = CO.... IINIU UMIT . (18 .....) 8QDLY ItWIW . e.... ,.,..>> ~~ . ~DAMAGIi . ----I ~~ AUTO aNI. Y.IA ACCIDiNT . IiA ACe . ~cae . . I . . . IXCIlllUMIRB.LA ~ OCCUR 0 ClAI...... 5ACH OCCURA!HCI A.....,. DDJCTI8LI ..,..,... . _~TlDNAND ~.. UAIILITY =~~I =~= ..... mHO ..... &ACH AeCaNT . iJ.. ~ -I' EMPl . !.L ~. paucy LIMIT . MONROF. COUNTY FACIlITIES DEVELOPMENT MONROE COUNTY BUILDING DEPT 279' OVERSEAS HIGHWAY MARATHON. FL J3050-ZZZ7 eACORD CORPORATION 1981 IIPnGN 01' allDAn~ I I.OCATlaNI I VIHICLIII excWSlONS ADDID lit ~ 1.-ectAL PRCMIIGNI ~.-Arch1t.cts. Engineers and Draftsmen D.,,1 ... ... 1...uM ,,,11\ ." . A l'iY ~. .' ! ",- ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (ftNDDIYYYY) N. 01/1112001 PRODUCER Phone: (380) 591-3700 Fax: (380) 591-3703 THIS CIRTlfllCAT8 .. .uum AS A MAnER OP INFOftMATION MICHAEL J. HALL & COMPANY ONLY AND CONJIIRI NO RlGHTI UPON TH. CIRTIPlCATI ARCHITECTS & ENGINEERS PROFESSIONAL INSURANCE HOLDIJl THIS cllmPlCATI DOD NOT AMBD, IXTIND OR PROGRAM, INC. AL TmI I ..- - .v ....... IIftI .,.... IUR...~ MM. 1..71 10TH AVENUE N.E. POULSBO WA .1370 INSURERS AFFORDING COVERAGE NAIC . - St. Paul Fir. & M...... In...ance Co. INSURED ,'NSURER A: MATTHEW FOWLER ARCHITECT 'INSURER 8: 21 SHIPS WAY INSURER c: BIG PINE KEY FL 33043 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD lNaCATED, NOTWITHSTANDING ANY REQUIREMENT TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTlFlCAlE MAY BE ISSUED OR MAY PERTAIN, THE'fNSURANCE AFFORDED BY THE POliCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATEUMlTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~ INM n...OPINSURANC8 POLICY NUMIIM ~IPNCTMI ~IXNA" GBNDAL LIMLITY COMMERCIAL GENERAL LIABILITY CLAIMS MADED OCCUR GENt. AGGREGATE LIMIT APPlIES PER: POUCY ~RO- LOC AUTOM08L8 UAlllUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS EAOI OCCURRENCE ~1O "ENrID ,.".... ..-- MED. EXP (Any one peftIOft) PERSONAL & ADV INJURY GENERAL AGGREGATE _AGO. .1. .. ... -.' I . ~ .. ~ . _ .: -~'.I COMBINED SINGLE LIMIT (Ea KCideftI) BODIL. Y INJURY (P- ,.,son) ~... .-_. "~'.~ ".~ _. 80DIL Y INJURY (p.1ICCidInfJ GMAG. LIMIJTY ANY AUTO DC_' UMMILLA UMIIJTY OCCUR 0 ClAIMS MADE .~ AUTO ONLY - EA ACCIDENT . OTHER THAN EA ACe . AUTO ONLY: AGO . EACH OCCURRENCE . AGGREGATE S . . . DEDUCTIBlE RETENTION S WORK" C~TION AND .....ov... LIMIJTY MIf~CNW~1CUTIVI OMC~ aa.ua.r .,.., ..... ...... ...... ~..... OTHER: "at........ Liability A CIIInIa M-. '0IIII QP03110212 01/01107 01111101 ,'100,111 ,. C...... ...... ...,.. "epte LknI ". '. . j"" . ".,":. ". ., .... t., DESCRIPTION OF OPERATIONSILOCATJONSIVIHtcLeSll!XCt.U8IONI ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Continuing ContrKt . .. ~ ~I "'~ ~ ~ ,:~ ~ ~~ :] CERTFICATE HOLDER 'il I" ......- LIMITS s s s s s - ----.--.-----. S s s . . 01'HD s ---.---- ----- ._--_.... S . -.--- - ..- .-- --- .- S I ! I J Monroe County BoiIrd of Commissioner. FK...... Development 1100 Simonton It Key West FL 33041 CANCELLATION SHOUlD ANY OF THE ABOVE DESCRIBED POUCES BE CANCELLED BeFORE THe EXPfRATION DATE THEREOF, THE ISSUING INSURER WU ENOeAVOR TO MAL 30 CAYS WAmEN NOTICE TO nE CERnACATE HOlOER NAMED TO THE LEFT. BUT FAILURE TO 00 so SHAlL IMPOSE NO OIUGATION OR LlA8IJTY OF ANY KINO UPON TlE INSURER. frs AGENTS OR REPRESENTAnVES AU~RaEDREPRESENTAnVe Attention: Ann RIgerIP..teae H..... ACORD 2. (2001/01) ~ff Bollert tC ACORD CORPORATION ,.. Certificate, 69573