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Certificates of Insurance
Client#: 848R4 A C0RDT-M ` C E RTI FI CAT'E OF LIABILITY I N S U R�41� M" pATE4MM/DDPfYYY) ...,- 3/03/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Wortham Insurance & Risk Mgmt. PHONE 512 453-0031 AX 512 453-0041 A/C No Ext : NC, No : 221 West 6th Street, Suite1400 E-MAIL Austin, TX 78701 ADDRESS: 512 453-0031 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Indian Harbor Insurance Company 36940 INSURED Gila LLC INSURER B 8325 Tuscany Way, Building 4 INSURER C : Austin, TX 78754 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NIJMRFR- RFVI_QIAN NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUB WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCCURRENCE $ CLAIMS -MADE OCCUR PREMISES EaEoNccTu D nce $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO - GENERAL AGGREGATE $ POLICY JECT LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ PEXCESS AGGREGATE $ LIAB CLAIMS -MADE :DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A PER OTH- ISTATUTE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Errors & Omission MPP903326801 3/01/2017 03/01/2018 $2,000,000 Limit Professional Liab $2,000,000 Aggregate Claims -Made $100,000 Retention DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) JPPE GEMENT WAIV R N/A ,YES, f/ Ifi j Monroe County Board of County Commissioners 490 63rd Street Ocean Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE .'`off • � �t#h an �`,�ru • P ACORD 25 (2014/01) 1 Of 1 #S752082/M752069 ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 14LJT ACORD CERTIFICATE OF LIABILITY INSURANCE DATE 11/16/2007 PRODUCER Pathfinder/LL&D Insurance Group, LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1160 Dairy Ashford #220 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 441587 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Houston TX 77244-1587 INSURERS AFFORDING COVERAGE INSURED Gila Corporation dba Municipal Services Bureau/Gila Group 6505 Airport B:Ivd., Suite 100 Austin TX 78752 INSURER A: Hartford Underwriters Insurance Company INSURER B. Hartford Underwriters Insurance Company INSURER c: Federal Insurance Company INSURER D. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM 019 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 61SBQRS8500 03/01/2007 03/Ol/200g `C EACH OCCURRENCE $ 1,000,000 A COMMERCIAL GENERAL LIABILITY 1 X FIRE DAMAGE (Any one lire) $ 1,000,000 CLAIMS MADE OCCUR MED EXP (Any ono person) $ 10,000 PERSONAL& ADV INJURY $ Excluded (GENERAL AGGREGATE $ Z,OOQ000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS COMPIOPAGG $ 2,000,000 X POLICY PRO- FCT LOG AUTOMOBILE LIABILITY 61SBQRS8500 03/01/2007 03/01/2008 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 A ALL OWNED AUTOS SCHEDULED AUTOS y, BODILY INJURY $ (Per person) X HIRED AUTOS X NON -OW OWNED AUTOS ^ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY'AUTO -- - ONLYEAACCIDENT $ ANY AUTO ' OTHER THAN EA ACC $ AUTO ONLY: qGG EXCESS LIABILITY `G 03/01/2007 03/01/2008 EACH OCCURRENCE $ 4,000,000 X OCCUR CLAIMS MADE I6ISBQRS8500 AGGREGATE $ 4,000,000 A $ OEDUGTIBLE X HETENrioN ]0,000 IS WORKERS COMPENSATION AND 61WEQRT7847 03/01/2007 03/01/2008 X I CSTATU- OTH- TORYLIMITS. EMPLOYERS' LIABILITY B ER E. L. EACH ACCIDENT g 1,000,000 E.L. DISEASE - EA EMPLOYEE$ 1,000,000 C OTHERProfessional Liab 8197-6649 11/01/2007 11/01/2008 E.L. DISEASE- POLICY LIMIT 1,000,000 $1,000,000 Limit DESCRIPTION OF OPERATIONS/LOCATIONS EHICLESIEXCLUSIONS ADDED BY ENDORSEMENIUSPECIAL PROVISIONS Certificate holder is named as Additional Insured with respects on all policies as required by written contract. This certificate replaces any and all previously issue certificateds for the certificate holder as pertains. Subject to policy terms, conditions and exclusions. rvoTlnnwry u.�r ..�.. i Monroe County Board of County Commissioners 4901 street Ocean Marathon FL 33050 25-S (7/97) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 25-S ACOR T. CERTIFICATE OF LIABILITY INSURANCE DATE PRODUCER P 09/29/2008 at),finder/LL&:D Insurance Group, LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOI 1160 Dairy Ashford #220 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATI HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OF P.O. Box 441587 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Houston TX 77244-1587 INSURERS AFFORDING _COVERAGE INSURED Gila Corporation INSURER A: Hartford Underwriters Insurance Company__ dba Municipal Services Bureau/Gila Group INSURER B: Pr0 ressive County, Mutual Insurance 6505 Airport Blvd., Suite 100 INSURER c: Federal Insurance Company Austin TX 78752 INSURER D: - THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER MAY PERTAIN, THE INSURANCE: AFFORDED BY THE POLICIES DESCRIBED H POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID . UABILITY 161SBQRS8500 'MERCIAL GENERAL LIABILITY CLAIMS IMS MADE LJ OOCUR LIMIT 062807810 ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-O MEO AUTOS AGE LIABILITY ANY AUTO --SS UABIUTY❑ I61 SBQRS8500 OCCUR CLAIMS MADE DEDUCTIBLE WORKERS COMPENSATION AND I61 WE,QRT7847 EMPLOYERS' LIABILITY date: 07/01/1992 I NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING MENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH 1/2008 02/16/2008 U9 r(Para=ident) ED SINGLE LIMIT en0 S NJURY n) $ NJURY ent) S Y DAMAGE ent) $ OTHER THAN AUTO ONLY: /2009 EACH OCCUR AGGREGATE2009 Ak/01/2007II X WC STATE.L. EACH E.LDISEASE- SE - E.L.DISEASE- 2008 DESCRIPTION OF OPERATIONSILOCAnONSVEHICLESASXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Certificate holder is named as Additional Insured with respects on all policies as required by written contract. This certificate replaces any and all previously issue certificateds for the certificate holder as pertains. Subject to policy terms, conditions and exclusions. Monroe County Board of County Commissioners 490 63rd street Ocean Marathon FL 33050 11000,000 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD CERTIFICATE OF LIABILITY INSURANCE rN 10/1DATE 3/2008 PRODUCER Pathfinder/LL&D Insurance Group, LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1160 Dairy Ashford #220 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 441587 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Houston TX 77244-1587 INSURERS AFFORDING COVERAGE INSURED Gila Corporation dba Municipal Services Bureau/Gila Group 6505 Airport Blvd.., Suite 100 INSURER A: Hartford Underwriters Insurance Company INSURER B: Progressive County Mutual Insurance INSURER c: Federal Insurance Company Austin TX 78752 INSURER D: N URER 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE Fx� OCCUR 61SBQRS8500 03/01/2 -AAMEOMMO 03/01/2009 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (My one fire S 1,000,000 MED EXP (My one son $ 10,000 PERSONAL S ADV INJURY S Excluded GENERAL AGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO 2,000,000 T POUCYFI PRO- LOC AUTOMOBILE LIABILITY ANY AUTO 062807810 02/16/2008 02/16/2009 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ B ALL OWNED AUTOS SCHEDULED AUTOS X X BODILY INJURY (Peraccident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY V AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC ANYAUTO T' AUTO ONLY: AGO EXCESS X LIABILITY OCCUR CLAIMSMADE 61SBQRS8500 03/01/2008 03/01/2009 EACH OCCURRENCE 4,000,000 AGGREGATE E 4,000,000 E E DEDUCTIBLE _ X RETENTION $10,000 WORKERS COMPENSATION AND 61WEQRT7847 03/01/2008 03/Ol/20Q9 X WC STATU- OTH- E.L. EACH ACCIDENT 1,000,000 A EMPLOYERS' LIABILITY E.L. DISEASE - EA EMPLOYE $ 1,000,000 j(i'���A'C,,, E.L. DISEASE -POLICY LIMIT 1000000 C OTHERProfessional Liab 8197-6649 11/01/2007 $2,000,000 Limit Retro date: 07/01/1992 �03/01/2009 DESCRIPTION OF OPEMTIONSILOCATIONS VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Certificate holder is named as Additional Insured with respects on all policies as required by written contract. This certificate replaces any and all previously issue certificateds for the certificate holder as pertains. Subject to policy terms, conditions and exclusions. Cc ', 'P, I\-u NAJ , Monroe County Board of County Commissioners 490 63rd street Ocean Marathon FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO ME 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 AUTHORIZED REPRESENTATIVE H ACORD CERTIFICATE OF LIABILITY INSURANCE TM DATE 03/05/2009 PRODUCER pathfinder/LL&D Insurance Group, LLC 1160 Dairy Ashford #220 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 P.O. Box 441587 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Houston TX 77244-1587 INSURERS AFFORDING COVERAGE INSURED Gila Corporation INSURER A: Hartford Underwriters Insurance Company A+ INSURER B: Progressive County Mutual Insurance A+ dba Municipal Services Bureau/Gila Group 6505 Airport Blvd., Suite 100 Austin TX 78752 INSURER c: Federal Insurance Company A++ INSURER D: Hartford Casualty Insurnace Company A+ 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. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONITR 03/01/2010 LIMITS EACH OCCURRENCE $ 1,000,000 GENERAL LIABILITY 61SBQRS8500 03/01/2009 FIRE DAMAGE (Any one fire $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ Excluded GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 PRO LOC X POLICY AFrT AUTOMOBILE LIABILITY ANY AUTO 062807810 02/16/2009 02/16/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ B ALL OWNED AUTOS SCHEDULED AUTOS X X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PN _. _ .._,.. X _.. PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY - AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN $ ANY AUTO $ AUTO ONLY: AGG EXCESS LIABILITY X OCCUR CLAIMS MADE 61SBQRS8500 03/01/2009 03/01/2010 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 $ $ DEDUCTIBLE -- $ X RETENTION $ 10���� WORKERS COMPENSATION AND 61WEQRT7847 03/01/2009 03/01/2010 X WC STJ�AJTqATU- `OTH- A EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 C OTHERProfessional Liab 8197-6649 03/01/2009 03/01/2010 $2,000,000 Limit Retro date: 07/01/1992 D Crime OOFA0241339-08 03/01/2009 03/01/2010 $1,000,000 Limit DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate holder is named as Additional Insured with respects on all policies as required by written con-iract .TbiF�certifi-cate replaces any and all previously issue certificateds for the certificate holder as pertains. Subject to policy terms; cand'tio#h_xM T exclusions. ,BAR 2 J 2009 I.CK 1 1rIl.A1 t rIULUtK I _ I ADDITIONAL INSURED; INSURER LETTER: GANGtLLA1 IUN Monroe County Board of County Commissioners 490 63rd street Ocean Marathon FL 33050 e l GG•� '''`mow SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 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 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25-S (7/97) © ACORD CORPORATION 1988 ACORD., CERTIFICATE OF LIABILITY INSURANCE OP ID WIBA DATE(MMIDD/YYYY) GILAC-1 02 25/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PIA-Pathfinder/LL&D Ins Grp 1160 Dairy Ashford, Suite 220 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Houston TX 77079 Phone : 281-556-9999 Fax: 281-556-9609 INSURERS AFFORDING COVERAGE NAIC # INSURED' INSURER A: Hartford Lloyds Insurance Comp 38253 INSURER B: Hartford Casualty Insurance Co 29424 Gila Cororation p dba Municipal Services Bureau 6505 Airport Blvd., Suite 100 Austin TX 78752 INSURER C: Federal Insurance Com an p y INSURERD: Hartford -Twin City Fire Ins. C 29459 INSURER E: %0V V CF%JW%Vr_Q 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. LTRINSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MM/DDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 10 0 0 0 0 0 A X COMMERCIAL GENERAL LIABILITY 61 SBQRS 8 5 0 0 03/01/10 03/01/11 PREMISES (Ea occurence) $ 1000000 CLAIMS MADE FX] OCCUR MED EXP (Any one person) $ 10 0 0 0 PERSONAL & ADV INJURY $ excluded GENERAL AGGREGATE $ 2 0 0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2 0 0 0 0 0 0 POLICY[_� JECOT- LOC AUTOMOBILE LIABILITY ANY AUTO 61 SBQRS 8 5 0 0 03/01/10 03/01/11 COMBINED SINGLE LIMIT (Ea accident) $ 1 0 0 0 O O O ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS y (Per person) X HIRED AUTOS ` X NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident)$ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO ` OTHER THAN EA ACC $ $ t , AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 4 0 0 0 0 0 0 A 7 OCCUR F-ICLAIMSMADE 61SBQRS8500 03/01/10 03/01/11 AGGREGATE $ 4000000 $ DEDUCTIBLE $ X RETENTION $ 10 0 0 0 $ WORKERS COMPENSATION AND X I TORY LIMITS ER B EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE 61WECRT7 8 4 7 03/01/10 03/01/11 E.L. EACH ACCIDENT $ 10 0 0 0 0 0 OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYE $ 10 0 0 0 0 0 E.L. DISEASE - POLICY LIMIT $ 10 0 0 0 0 0 SPECIAL PROVISIONS below OTHER Professional Liab 8197-6649 03/01/10 03/01/11 s Limit 2000000 D I Crime OOKBO241339-10 1 03/01/10 03/01/11 Limit 1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Certificate holder is named as Additional Insured with respects on all policies as required by written contract. This certificate replaces any and all previously issue certificateds for the certificate holder as pertains. Subject to policy terms, conditions and exclusions. CERTIFICATE HOLDER CANCELLATION MONRO-3 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1.0 DAYS WRITTEN Monroe County Board of County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Commissioners IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 490 63.rd Street Ocean REPRESENTATIVES. Marathon FL 33050 AU ED REPRE ENTATIVE &#Jt`vv Ulu © ACORD CORPORATION 1988 cc Client#: 84884 14GILACOR ACORD,. CERTIFICATE F LIAMMSE 1SUR NCE ATE(MWDD/YYYY) F3/07/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOR ATION ONLY CONFERS RIGHT UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT OR NEGATI �AND TITIRrI �NO ER THE C( F FORDED BY THE POLICIES VE BELOW. H S CERTIFICATEOFNSUIRANCE DOES NOVELY T ONSLY 14 C�NRRCT BETWEEN ISSUING NGGE NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFIC TE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL I SURED, the olic ies me endorse . If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies y require tatement this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). RISK MANAGEMENT PRODUCER Wortham Insurance & Risk Mgt NAME: P,H N o E, t 512 453-0031 a 512 453-0041 221 West 6th St #1400 , Ne : ADDRESS: wpage@wortham-austin.com Austin, TX 78701 512 453-0031 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hartford Underwriters Ins Co 30104 INSURED Gila, dba: INSURER B : Sentinel Insurance Co Ltd 11000 Municipal Municipal Service Bureau &Gila Group INSURER C: Hartford Casualty Insurance Co 29424 6505 Airport Boulevard, Suite 100 INSURER D : Austin, TX 78752 INSURER E : INSURER F : COVERAGES f_POTIVIt'ATC WIIaaQC112- 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER MWDIDY EFF MMMILDIDY LIMITS A GENERAL LABILITY 65UUNJW4586 3/01/2011 03/01/201 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY I —XI - PREMISES Ea occurrOence $ 300,000 MED EXP (Any one person) $10,000 CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $1,000,000 _-- --.- -_. GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $2,000,000 $ B AUTOMOBILE LIABILITY 65UUNJW4586 3/01/2011 03/01/201 ECOMBINED BINEDSINGLELIMIT nt $1,000,000 X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X AONOSSWNED BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ _$ C X UMBRELLA LIAR ,X;; EXCESS LIAR OCCUR CLAIMS -MADE 65RHUJW1423 3/01/2011 03/01/201 EACH OCCURRENCE s4,000,000 AGGREGATE s4,000,000 DED RETENTION $10.000 O 000 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y 7 N OFFICER/MEMBER EXCLUDED? N Iyes, describe (Mandatoryin under NH) DESCRIPTION OF OPERATIONS below N I A 65WEZU1313 e 3/01/2011 ) - 03/01/201 X WCSTATU- OTH- JQBY 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 i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) General Liability, Auto Liability, and Umbrella include blanket additional insured and blanket waiver of subrogation when required by written contract. Workers Compensation includes blanket waiver of subrogation when required by written contract. Insurer cannot change or cancel coverage without the insurer first giving 30 days written notice to Certificate Holder of such change, cancellation or termination. Subject to policy terms, conditions and exclusions. Monroe County Board of County Commissioners 490 63rd Street Ocean Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS: AUTHORIZED REPRESENTATIVE �I u�J1.iI�n t © 1988-2010 ACORn CnRPnRATInM All A-1,1- ACORD 25 (2010.05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S214384/M214323 14LJT Client#: 84884 ACORD,, CERTIFICATE OF LIABILITY INSURANCE R DATE(MM/DD/YYYy) FREPRESENTATIVE ICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS E DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. If the certificate holder is an ADDITIONAL INSUREDthe policy(ies) must be endorsedIf SUBROGATION IS WAIVED, subject to conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Wortham Insurance & Risk Mgt NAME: 221 West 6th St #1400 PHA/C No, Ext : 512 453-0031 Ax Austin, TX 78701 EMAIL A/C, No): 512 453-0041 ADDRESS: Wpage@Wortham-austin.com 512 453-0031 INSURER(S) AFFORDING COVERAGE INSURED INSURER A: EXeCutive Risk Indemnity Inc N# Gila, LLC 35181 INSURER B 6505 Airport Boulevard, Suite 100 INSURER C : Austin, TX 78752 INSURER D : INSURER E : :OVERAGES CERTIFICATE NUMBER: INSURER F : THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD REVISION NUMBER: INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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�ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.RRTYPE OF INSURANCE ADDL SUBRINSR wvn vmnert Prn DU E POLICY EXP GENEIAL LIABILITY I lMM/�nnrvw� I , T rLIM COMMERCIAL GENERAL LIABILITY CLAIMS -MADE El OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n PRO- 'ECT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS AUTONON-OWNED S UMBRELLA LIAB OCCUR EXCESS LIAB ,......_ _ WORKERS COMPENSATION 1-- AND EMPLOYERS' LIABILITY kDES OPRIETOR/PARTNER/EXECUTIVE YIN R/MEMBER EXCLUDED? N / A tory in NH) escribe under IPTIONOFOPEONAssional Liab 81976649 EACH OCCURRENCE I $ MED EXP (Any one person) 5 PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ ! COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROP r Per a cidantDAMAGE $ l� E.L. E.L. E.L. DISEASE - POLICY LIMIT ��$2 $2 Million Limit Million Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Subject to policy terms, conditions and exclusions. Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 490 63rd Street Ocean ACCORDANCE WITH THE POLICY PROVISIONS. Marathon, FL 33050 AUTHORIZED REPRESENTATIVE � � f ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of A ORD$-2010 ACORD CORPORATION. All rights reserved. #S221064/M220568 14LJT Clipnt#- HARA4 iiit, 1r717_[dIIII]:) ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 1 3/07/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Wortham Insurance & Risk Mgt 221 West 6th St #1400 Austin, TX 78701 CON NAME: PHONE 512 453-0031 FAX No : 512 453-0041 [A/C No Ext E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC S 512 453-0031 INSURER A: Hartford Casualty Insurance Co. 29424 INSURED Gila, LLC dba: Municipal Service Bureau & Gila Group 8325 Tuscany Way, Building 4 Austin, TX 78754 INSURER B : INSURER C INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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. LTRR TYPE OF INSURANCE NSRADDLSUBR WVD POLICY NUMBER POLICY EFF MMIDDY EXP LIMITS A GENERAL LIABILITY 65UUNJW4586 3/01/2012 03/01/2013 EACH OCCURRENCE $1 00O 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea ocicurrence $ 30O 000 MED EXP (Any one person) $1 O 000 CLAIMS -MADE 5XI OCCUR PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ POLICY PRO LOC JECT A AUTOMOBILE LIABILITY 65UUNJW4586 3/01/2012 03/01/201 COMBINEDSINGLE1,000,000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X NON -OWNED AUTOS PeraERZDAMAGE $ $ A X UMBRELLA LIAB X OCCUR 65RHUJW1423 3/01/2012 03/01/2013 EACH OCCURRENCE s5,000,000 AGGREGATE s5,000,000 EXCESS LIAR CLAIMS -MADE DIED I X RETENTION $1 O 000 $ F65WEZU1313 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) N / A APPROYEp 3/01/2012 03/01/201 X WCSTATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below BY WAI _ Orb Cc t DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Sche ule, If more space Is required) Forms and Endorsements Schedule: Commercial General Liability Coverage Form #HG0001 0605 Commercial Automobile Broad Form Endorsement #HA9916 0910 CC:f-r•-,a-r1icv Monroe County Board of County Commissioners 490 63rd Street Ocean Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE .u11l�� f ©1988Z60 ACORD CORPORATION. All riahts reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD 00'JOA-21flI -1014 OA 1AI IT COMMEMM A6TOMOB .' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM To the extent that the provisions of this endorsement provide broader benefits to the "insured" than other provisions of the Coverage Form, the provisions of this endorsement apply. ' 1. BROAD FORM INSURED d. Any "employee" of yours while using a A. Subsidiaries and Newly Acquired or covered "auto" you don't own, hire or Formed Organizations borrow in your business or your personal affairs. The Named Insured shown in the ;. Declarations is amended to include: C. (1) Any legally incorporated subsidiary in Paragraph A.I. - WHO IS AN INSURED - of Ln- which you own more than 50% of the Section II Liability Coverage is amended to voting stock on the effective date of the add: Coverage Form. However, the Named e. The lessor of a covered "auto" while the Insured does not include any subsidiary "auto" is leased to you under a written that is an "insured" under any other agreement if: � automobile policy or would be an "insured" under such a policy but for its (1) The agreement requires you to termination or the exhaustion of its Limit provide direct primary insurance for of Insurance. the lessor and (2) Any organization that is acquired or (2) The "auto" is leased without a driver. formed by you and over which you Such a leased "auto" will be considered a maintain majority ownership. However, covered "auto" you own and not a covered the Named Insured does not include any "auto" you hire. newly formed or acquired organization: D. Anail Insured it Required b�,, � (a) That is a partnership, pint venture (1) Paragraph A.1. -WHO IS AN INSURED . or limited liability company - of Section If - Liability Coverage is (b) That is an "insured" under any other amended to add: policy, f. When you have agreed, in a written (c) That has exhausted its Limit of contract or written agreement, that a Insurance under any other policy, or person or organization be added as (d) 180 days or more after its an additional insured on your acquisition or formation by you, business auto policy, such person or unless. you have given us notice of organization is an "insured", but only the acquisition or formation. . to the extent such person or Coverage does not apply to "bodily organization is liable for "bodily injury" or "property damage" that results injury" or "property damage" caused from an "accident" that occurred before by the conduct of an "insured" under you formed or acquired the organization. paragraphs a. or b. of Who Is An B. Employees as Insureds Insured with regard to the ownership, maintenance or use of a Paragraph A.1. - WHO IS AN INSURED - of covered "auto." SECTION II - LIABILITY COVERAGE is amended to add: ® 2010, The Hartford (Includes copyrighted material 010Rf1 HAIs-S8 f of ISO Properties, Inc., with its permission.) Pagel of 5 The insurance afforded to any such additional insured applies only if the "bodily injury" or "property damage" occurs: (1) During the policy period, and (2) Subsequent to the execution of such written contract, and (3) Prior to the expiration of the period of time that the written contract requires such insurance be provided to the additional insured. (2) How Limits Apply If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the most we will pay on behalf of such additional insured is the lesser of: (a) The limits of insurance specified in the written . contract or written agreement; or (b) The Limits of Insurance shown in the Declarations. Such amount shall be a part of and not in addition to Limits of Insurance shown in the Declarations and described in this Section. (3) Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity. However, this provision does not apply to the extent that you have agreed in a written contract or written agreement that this insurance is primary and non- contributory with the additional insured's own insurance. (4) Duties in The Event Of Accident, Claim, Suit or Loss If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the additional insured shall be required to comply with the provisions in LOSS CONDITIONS 2. - DUTIES IN THE EVENT OF ACCIDENT, CLAIM , SUIT OR LOSS — OF SECTION IV — BUSINESS AUTO CONDITIONS, in the same manner as the Named Insured. Only with respect to insurance provided to an additional insured in 1.D. - Additional Insured If Required by Contract, the following provisions apply: (3) Primary Insurance When Required By Contract This insurance is primary if you have agreed in a written contract or written agreement that this insurance be primary. If other insurance is also primary, we will share with all that other insurance by the method described in Other Insurance 5.d. (4) Primary And Non -Contributory To Other Insurance When Required. By Contract If you have agreed in a written contract or written agreement that this insurance is primary and non-contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs (3) and (4) do. not apply to other insurance to which the additional insured has been added as an additional insured. When this insurance is excess, we will have no duty to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. When, this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self -insured amounts under all that other insurance. We will share the remaining loss, if any, by the method described in Other Insurance 5.d. . 2. AUTOS RENTED BY EMPLOYEES Any "auto" hired or rented by your "employee" on your behalf and at your direction will be considered an "auto" you hire. The OTHER INSURANCE Condition is amended by adding the following: ® 2010, The Hartford (Includes copyrighted material Form HA 99 16 09 10 of ISO Properties, Inc., with its permission.) Page 2 of 5 0 m 0 0 0 W OD Ln a Ln W CV 0 0 Ln 0 If an "employee's" personal insurance also applies on an excess basis to a covered "auto" hired or rented by your "employee" on your behalf and at your direction, this insurance will be primary to the "employee's" personal insurance. 3. AMENDED FELLOW EMPLOYEE EXCLUSION EXCLUSION 5. - FELLOW EMPLOYEE - of SECTION 11 - LIABILITY COVERAGE does not apply if you have workers' compensation insurance in -force covering all of your "employees". Coverage is excess over any other collectible insurance. 4. HIRED AUTO PHYSICAL DAMAGE COVERAGE If hired "autos" are covered "autos" for Liability Coverage and if Comprehensive, Specified Causes of Loss, or Collision coverages are provided under this Coverage Form for any "auto" you own, then the Physical Damage Coverages provided are extended to "autos" you hire or borrow, subject to the following limit. The most we will pay for "loss" to any hired "auto" is: (1) $100,000; (2) The actual cash value of the damaged or stolen property at the time of the "loss"; or (3) The cost of repairing or replacing the damaged or stolen property, whichever is smallest, minus a deductible. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. No deductible applies to "loss" caused by fire or lightning. Hired Auto Physical Damage coverage is excess over any other collectible insurance. Subject to the above limit, deductible and excess provisions, we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. We will also cover loss of use of the hired "auto" if it results from an "accident", you are legally liable and the lessor incurs an actual financial loss, subject to a maximum of $1000 per "accident". This extension of coverage does not apply to any "auto" you hire or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company), or members of their households. 5. PHYSICAL DAMAGE - ADDITIONAL TEMPORARY TRANSPORTATION EXPENSE COVERAGE Paragraph A.4.a. of SECTION III - PHYSICAL DAMAGE COVERAGE is amended to provide a limit of $50 per day and a maximum limit of $1,000. 6. LOAN/LEASE GAP COVERAGE Under SECTION III - PHYSICAL DAMAGE COVERAGE, in the event of a total "loss" to a covered "auto", we will pay your additional legal obligation for any difference between the actual cash value of the "auto" at the time of the "loss" and the "outstanding balance" of the loan/lease. "Outstanding balance" means the amount you owe on the loan/lease at the time of "loss" less any amounts representing taxes; overdue payments; penalties, interest or charges resulting from overdue payments; additional mileage charges; excess wear and tear charges; lease termination fees; security deposits not returned by the lessor, costs for extended warranties, credit life Insurance, health, accident or disability insurance purchased with the loan or Lease; and carry-over balances from previous loans or leases. 7. AIRBAG COVERAGE Under Paragraph B. EXCLUSIONS - of SECTION III - PHYSICAL DAMAGE COVERAGE, the following is added: The exclusion relating to mechanical breakdown does not apply to the accidental discharge of an airbag. S. ELECTRONIC EQUIPMENT - BROADENED COVERAGE The exceptions to Paragraphs B.4 - EXCLUSIONS - of SECTION III - PHYSICAL DAMAGE COVERAGE are replaced by the following: a.Exclusions 4.c. and 4.d. do not apply to equipment designed to be operated solely by use of the power from the "auto's" electrical system that, at the time of "loss", is: (1) Permanently installed in or upon the covered "auto"; (2) Removable from a housing unit which is permanently installed in or upon the covered "auto"; (3) An integral part of the same unit housing any electronic equipment described in Paragraphs a_ and b. above; or (4) Necessary for the normal operation of the covered "auto" or the monitoring of the covered "auto's" operating system. ® 2010, The Hartford (Includes copyrighted material Form HA 9916 0910 of ISO Properties, Inc., with its permission.) Page 3 of 5 b.$1,500 is the most we will pay for "loss" in any one "accident" to all electronic equipment that reproduces, receives or transmits audio, visual or data signals which, at the time of "loss", is: (1) Permanently installed in or upon the covered "auto" in a housing, opening or other location that is not normally used by the "auto" manufacturer for the .installation of such equipment; (2) Removable from a permanently installed housing unit as described in Paragraph b.(1) above or is an integral part of that equipment; or (3) An integral part of such equipment. c. For each covered "auto", should loss be limited to electronic equipment only, our obligation to pay for, repair, return or replace damaged or stolen electronic equipment will be reduced by the applicable deductible shown in the Declarations, or $250, whichever deductible is less. 9. EXTRA EXPENSE - BROADENED COVERAGE Under Paragraph A. - COVERAGE - of SECTION III - PHYSICAL DAMAGE COVERAGE, we will pay for the expense of returning a stolen covered "auto" to you. 10. GLASS REPAIR -WAIVER OF DEDUCTIBLE Under Paragraph D. - DEDUCTIBLE - of SECTION III - PHYSICAL DAMAGE COVERAGE, the following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. 11. TWO OR MORE DEDUCTIBLES Under Paragraph D. - DEDUCTIBLE - of SECTION III - PHYSICAL DAMAGE COVERAGE, the following is added: If another Hartford Financial Services Group, Inc. company policy or coverage form that is not an automobile policy or coverage form applies to the same "accident", the following applies: (1) If the deductible under this Business Auto Coverage Form is the smaller (or smallest) deductible, it will be waived; (2) If the deductible under this Business Auto Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. 12. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS The requirement in LOSS CONDITIONS 2.a. - DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS - of SECTION IV - BUSINESS AUTO CONDITIONS that you must notify us of an "accident" applies only when the "accident" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. 13. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. 14. HIRED AUTO - COVERAGE TERRITORY Paragraph e. of GENERAL CONDITIONS 7. - POLICY PERIOD, COVERAGE TERRITORY - of SECTION IV BUSINESS AUTO CONDITIONS is replaced by the following: e. For short-term hired "autos", the coverage territory with respect to Liability Coverage is anywhere in the world provided that if the "insured's" responsibility to pay damages for "bodily injury" or "property damage" is determined in a "suit," the "suit" is brought in the United States of America, the territories and possessions of the United States of America, Puerto Rico or Canada or in a settlernont we agree to. 15. WAN a $U6ROQAT"'�1 TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - of SECTION IV - BUSINESS AUTO CONDITIONS is amended by adding the following: We waive any right of recovery we may have against any person or organization with whom you have a written contract that requires such waiver because of payments we make for damages under this Coverage Form. 16. RESULTANT MENTAL ANGUISH COVERAGE The definition of "bodily injury' in SECTION V- DEFINITIONS is replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by any person, including mental anguish or death resulting from any of these. 171. 1EXTENDED CANCV LAU* CONDffW, 4, . Paragraph 2. of the COMMON POLICY CONDITIONS - CANCELLATION - applies except as follows: ® 2010, The Hartford (Includes copyrighted material Form HA 9916 0910 of ISO Properties, Inc., with its permission.) Page 4 of 5 N 0 OD O 0 0 �o m Ln er LA ko N O O Ln O is If we cancel for any reason other than nonpayment of premium, we will mail or deliver to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. 18. HYBRID PAYMENT COVERAGE In the event of a total loss to a "non -hybrid" auto for which Comprehensive, Specked Causes of Loss, or Collision coverages are provided under this Coverage Form, then such Physical Damage Coverages are amended as follows: a.lf the auto is replaced with a "hybrid" auto, we will pay an additional 10%, to a maximum of $2,500, of the "non -hybrid" auto's actual cash value or replacement cost, whichever is less, b.The auto must be replaced and a copy of a bill of sale or new lease agreement received by us within 60 calendar days of the date of "loss," c. Regardless of the number of autos damaged in any one "loss", the most we will pay under this Hybrid Payment Coverage provision for anyone "loss" is $10,000. For the purposes of the coverage provision, a.A "non -hybrid" auto is defined as an auto that uses only an internal combustion engine to move the auto. b.A "hybrid" auto is defined as an auto with an internal combustion engine and one or more electric motors; and that uses the internal combustion engine and one or more electric motors to move the auto, or the internal combustion engine to charge one or more electric motors, which move the auto. ® 2010, The Hartford (Includes copyrighted material Form HA 9916 0910 of ISO Properties, Inc., with its permission.) Page 5 of 5 COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read (2) The "bodily injury" or "property damage" occurs the entire policy carefully to determine rights, duties and during the policy period; and what is and is not covered. (3) Prior to the policy period, no insured listed Throughout this policy the words "you" and "your' refer to under Paragraph 1. of Section 11 — Who Is An the Named Insured shown in the Declarations, and any Insured and no "employee" authorized by you to other person or organization qualifying as a Named give or receive notice of an "occurrence" or i 4 Insured under this policy. The words "we", "us" and "our" claim, knew that the "bodily injury" or "property ck 'refer to the stock insurance company member of The damage" had occurred, in whole or in part. If Hartford providing this insurance. such a listed insured or authorized "employee" rt ;The word "insured" means any person or organization knew, prior to the policy period, that the "bodily o, qualifying as such under Section II — Who Is An Insured. injury" or "property damage" occurred, then any continuation, change or resumption of such Other words and phrases that appear in quotation marks "bodily injury" or "property damage" during or haves special meaning. Refer to Section V —Definitions. p g after the policy period will be deemed to have SECTION I — COVERAGES been known prior to the policy period. COVERAGE' A BODILY INJURY AND PROPERTY c. "Bodily injury" or "property damage" will be deemed DAMAGE LIABILITY to have been known to have occurred at the ig,1. Insuring Agreement earliest time when any- insured listed under Paragraph 1. of Section II — Who Is An Insured or a. We will pay those sums that the insured becomes any "employee" authorized by you to give or legally obligated to pay as damages because of receive notice of an "occurrence" or claim: "bodily injury" or "property damage" to which this = insurance applies. We will have the right and duty (1) Reports all, or any part, of the "bodily injury" or to defend. the insured against any "suit" seeking "property damage" to us or any other insurer; those damages. However, we will have no duty to (2) Receives a written or verbal demand or claim defend the insured against any "suit" seeking for damages because of the "bodily injury" or = damages for "bodily injury' or "property damage" to "property damage"; or mama which this insurance does not apply. We may, at (3) Becomes aware by any other means that iiiMliIII our discretion, investigate any "occurrence" and "bodily injury" or "property damage" has settle any claim or "suit" that may result. But: occurred or has begun to occur. (1) The amount we will pay for damages is limited d. Damages because of "bodily injury" include as described in Section III — Limits Of damages claimed by any person or organization for Insurance; and care, loss of services or death resulting at any time (2) . Our right and duty to defend ends when we from the "bodily injury". have used up the applicable limit of insurance in e. Incidental Medical Malpractice the payment of judgments or settlements under Coverages A or B or medical expenses under (1) "Bodily injury" arising out of the rendering of or Coverage C. failure to render professional health care � No other obligation or liability to pay sums or services as a physician, dentist, nurse, emergency medical technician or paramedic emergency perform acts or services is covered unless explicitly be deemed to be caused by an provided for under Supplementary Payments — "occurrence", but only if: Coverages A and B. b. This insurance applies to "bodily injury" and (a) The physician, dentist, nurse, emergency medical technician or paramedic is "property damage" only if: employed by you to provide such services; (1) The "bodily injury" or "property damage" is and I� caused by an "occurrence" that takes place in (b) You are not engaged in the business or the "coverage territory'; occupation of providing such services. He 08 0106 05 4: Page 1 of 18 ® 2005 The Hartford (Includes copyrighted material of Insurance Services Office, Inc. with its permission.) (2) For the purpose of determining the limits of insurance for incidental medical malpractice, any act or omission together with all related acts or omissions in the furnishing of these services to any one person will be considered one "occurrence". 2. Exclusions This insurance does not apply to: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. b. Contractual Liability "Bodily injury" or "property damage" for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages: (1) That the insured would have in the absence of the contract or agreement; or (2) Assumed in a contract or agreement that is an "insured contract", provided the "bodily injury" or "property damage" occurs subsequent to the execution of the contract or agreement. Solely for the purposes of liability assumed in an "insured contract", reasonable attorney fees and necessary litigation expenses incurred by or for a party other than an insured are deemed to be damages because of "bodily injury" or "property damage", provided: (a) Liability to such party for, or for the cost of, that party's defense has also been assumed in the same "insured contract'; and (b) Such attorney fees and litigation expenses are for defense of that party against a civil or alternative dispute resolution proceeding in which damages to which this insurance applies are alleged. C. Liquor Liability "Bodily injury" or "property damage" for which any insured may be held liable by reason of: (1) Causing or contributing to the intoxication of any person; (2) The furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol; or (3) Any statute, ordinance or regulation relating to the sale, gift, distribution or use of alcoholic beverages. This exclusion applies only if you are in the business of manufacturing, distributing, selling, serving or furnishing alcoholic beverages. d. Workers' Compensation And Similar Laws Any obligation of the insured under a workers' compensation, disability benefits or unemployment compensation law or any similar law. e. Employer's Liability "Bodily injury" to: (1) An "employee" of the insured arising out of and in the course of: (a) Employment by the insured; or (b) Performing duties related to the conduct of the insured's business; or (2) The spouse, child, parent, brother or sister, of that "employee" as a consequence of Paragraph (1) above. This exclusion applies: (1) Whether the insured may be liable. as an employer or in any other capacity; and (2) To any obligation to share ' damages with or repay someone else who must pay damages because of the injury. This exclusion does not apply to liability assumed by the insured under an "insured contract". f. Pollution (1) "Bodily injury" or "property damage" arising out of the actual, alleged or threatened discharge,. dispersal, . seepage, migration, release or escape of "pollutants": (a) At or from any premises, site or location which is or was at any time owned or occupied by, or rented or loaned to,, any insured. However, this subparagraph does not apply to: (i) "Bodily injury" if sustained within a building and caused by smoke, fumes, vapor or soot produced by or originating from equipment that is used to heat, cool or dehumidify the building, or equipment that is used to heat water for personal use, by the building's occupants or their guests; (ii) "Bodily injury" or "property damage" for which you may be held liable, if you are a contractor and the owner or lessee of such premises, site or location has been added to your policy as. an additional insured with respect to your ongoing operations performed for that additional insured at that premises; site or location and such premises, site or location is not and never was owned or occupied by, or rented or loaned to, any insured, other than that additional insured; or Page 2 of '18 HG 00 0106 05 (iii) "Bodily injury" or "property damage" (e) At or from any premises, site or location on arising out of heat, smoke or fumes from which any insured or any contractors or a "hostile fire"; subcontractors working directly or indirectly (b) At or from any premises, site or location on any insured's behalf are performing which is or was at any time used by or for operations if the operations are to test for, any insured or others for the handling, monitor, dean up, remove, contain, treat, storage, disposal, processing or treatment of detoxify or neutralize, or in any way respond waste; to, or assess the effects of, "pollutants". (c) Which are or were at any time transported, (2) Any loss, cost or expense arising out of any: handled, stored, treated, disposed of, or (a) Request, demand, order or statutory or processed as waste by or for regulatory requirement that any insured or (i) Any insured; or others test for, monitor, dean up, remove, m (ii) Any person or organization for whom yourq contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, O may be legally responsible; "pollutants"; or (d) At or from any premises, site or location on (b) Claim or suit by or on behalf of a � which any insured or any contractors or o governmental authority for damages �+ subcontractors working directly or indirectly because of testing for, monitoring, cleaning 0 on any insured's behalf are performing up, removing, containing, treating, Ln operations if the "pollutants" are brought on detoxifying or neutralizing, or in any way or to the premises, site or location in responding to, or assessing the effects of, connection with such operations by such "pollutants". insured, contractor or subcontractor. CVHowever, this subparagraph does not apply However, this paragraph does not apply to 0 Ln to: liability for damages because of "property o "Bodily (i) Bodily injury' or property damage that the insured would have in the arising out of the escape of fuels, absence of such request, demand, order or lubricants or other operating fluids which statutory or regulatory requirement, or such "suit" needed to perform the normal claim or by or on behalf of a governmentalare electrical, hydraulic or mechanical authority. functions necessary for the operation of g• Aircraft, Auto Or Watercraft "mobile equipment" or its parts, if such "Bodily injury" or "property damage" arising out of fuels, lubricants or other operating fluids the ownership, maintenance, use or entrustment to escape from a vehicle part designed to others of any aircraft, "auto" or watercraft owned or hold, store or receive them. This operated by or rented or loaned to any insured. Use exception does not apply if the "bodily includes operation and "loading or unloading". injury" or "property damage" arises out of This exclusion applies even if the claims against � the intentional discharge, dispersal or any insured allege negligence or other wrongdoing release of the fuels, lubricants or other in the supervision, hiring, employment, training or operating fluids, or if such fuels, � monitoring of others by that insured, if the lubricants or other operating fluids are "occurrence" which caused the "bodily injury" or brought on or to the premises, site or of damage" involved the ownership, location with the intent that they be maintenance, use or entrustment to others of any discharged, dispersed or released as part aircraft, "auto" or watercraft that is owned or of the operations being performed by operated by or rented or loaned to any insured. such insured, contractor or subcontractor; This exclusion does not apply to: (ii) "Bodily injury" or "property damage" (1) A watercraft while ashore on premises you own sustained within a building and caused or rent; by the release of gases, fumes or vapors (2) A watercraft you do not own that is: from materials brought into that building a Less than 51 feet Ion and () g' in connection with operations being performed by you or on your behalf by a (b) Not being used to carry persons for a contractor or subcontractor; or charge; _ (iii) "Bodily injury" or "property damage" (3) Parking an "auto" on, or on the ways next to, arising out of heat, smoke or fumes from premises you own or rent, provided the "auto" is a "hostile fire"; or not owned by or rented or loaned to you or the insured; HO 00 0106 05 Page 3 of 18 (4) Liability assumed under any "insured contract" for the ownership, maintenance or use of aircraft or watercraft; (5) "Bodily injury" or "property damage" arising out of the operation of any of the equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment"; or (6) An aircraft that is not owned by any insured and is hired, chartered or loaned with a paid crew. However, this exception does not apply if the insured has any other insurance for such "bodily injury" or "property damage",' whether the other insurance is primary, excess, contingent or on any other basis. h. Mobile Equipment "Bodily injury" or "property damage" arising out of: (1) The transportation of "mobile equipment" by an "auto" owned or operated by or rented or loaned to any insured; or (2) The use of "mobile equipment" in, or while in practice for, or while being prepared for, any prearranged racing, speed, demolition, or stunting activity. i. War "Bodily injury" or "property damage", however caused, arising, directly or indirectly, out of: (1) War, including undeclared or civil war; (2) Warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or (3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. j. Damage To Property "Property damage" to: (1) Property you own, rent, or occupy, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; (3) Property loaned. to you; (4) Personal property in the care, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if the "property damage" arises out of those operations; or (6) That particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire) to premises, including the contents of such premises, rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III — Limits Of Insurance. Paragraph (2) of this exclusion does not apply if the,. premises are "your work" and were never occupied, rented or held for rental by you. Paragraphs (3) and (4) of this exclusion do not apply to "property damage" arising from the use of elevators. Paragraphs (3), (4), (6) and (6) of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraphs (3) and (4) of this exclusion do not apply to "property damage" to borrowed equipment while not being used to perform operations at the job site. Paragraph (6) of this exclusion does not apply to "property damage" included in the "products - completed operations hazard". k. Damage To Your Product "Property damage" to "your product" arising out of it or any part of it. 1. Damage To Your Work "Property damage" to "your work" arising out of it or any part of it and included in the "products - completed operations hazard". This exclusion does not apply if the damaged work or the work out of which the damage arises was performed on your behalf by a subcontractor. m. Damage To Impaired Property Or Property Not Physically Injured "Property damage" to "impaired property" or property that has not been physically injured, arising out of: (1) A defect, deficiency, inadequacy or dangerous condition in "your product" or "your work"; or (2) A delay or failure by you or anyone acting on your behalf to perform a contract or agreement in accordance with its terms. This exclusion does not apply to the loss of use of other property arising out of sudden and accidental physical injury to "your product" or "your work" after it has been put to its intended use. Page 4 of 18 HG 00 0106 05 10 m 0 0 0 Co Ln LA LO N 0 0 Ln 0 n. Recall Of Products, Work Or Impaired Property . Damages claimed for any loss, cost or expense incurred by you or others for the loss of use, withdrawal, recall, inspection, repair, replacement, adjustment, removal or disposal of: (1) "Your product"; (2) "Your work"; or (3) "Impaired property"; if such product, work, or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect, deficiency, . inadequacy or dangerous condition in it. o. Personal And Advertising Injury "Bodily injury" arising out of "personal and advertising injury". p. Electronic Data Damages arising out of the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data. As used in this exclusion, electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software, including systems and applications software, hard or floppy disks, CD- ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. q. Employment -Related Practices "Bodily injury" to: (1) A person arising out of any "employment — related practices'; or (2) The spouse, child, parent, brother or sister of that person as a consequence of "bodily injury" to that person at whom any "employment - related practices" are directed. This exclusion applies: (1) Whether the insured may be liable as an employer or in any other capacity; and (2) To any obligation to share damages with or repay someone else who must pay damages because of the injury. r. Asbestos (1) "Bodily injury" or "property damage" arising out of the "asbestos hazard". (2) Any damages, judgments, settlements, loss, costs or expenses that: (a) May be awarded or incurred by reason of any claim or suit alleging actual or threatened injury or damage of any nature or kind to persons or property which would not have occurred in whole or in part but for the "asbestos hazard"; (b) Arise out of any request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, dean up, remove, encapsulate, contain, treat, detoxify or neutralize or in any way respond to or assess the effects of an "asbestos hazard"; or (c) Arise out of any claim or suit for damages because of testing for, monitoring, cleaning up, removing, encapsulating, containing, treating, detoxifying or neutralizing or in any way responding to or assessing the effects of an "asbestos hazard". Damage To Premises Rented To You — Exception For Damage By Fire, Lightning Or Explosion Exclusions c. through h. and j. through n. do not apply to damage by fire, lightning or explosion to premises 'while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section III — Limits Of Insurance. COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of "personal and advertising injury" to which this insurance applies. We will have the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no duty to defend the insured against any "suit" seeking damages for "personal and advertising injury" to which this insurance does not apply. We may, at our discretion, investigate any offense and settle any claim or "suit" that may result. But: (1) The amount we will pay, for damages is limited as described in Section III — Limits Of Insurance; and (2) Our right and duty to defend end when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments — Coverages A and B. b. This insurance applies to "personal and advertising injury" caused by an offense arising out of your business but only if the offense was committed in the "coverage territory" during the policy period. HG 00 0106 05 Page 5 of 18 2. Exclusions This insurance does not apply to: a. Knowing Violation Of Rights Of Another "Personal and advertising injury" arising out of an offense committed by, at the direction or with the consent or acquiescence of the insured with the expectation of inflicting "personal and advertising injury'. b. Material Published With Knowledge Of Falsity "Personal and advertising injury" arising out of oral, written or electronic publication of material, if done by or at the direction of the insured with knowledge. of its falsity. c. Material Published Prior To Policy Period "Personal and advertising injury' arising out of oral, written or electronic publication of material whose first publication took place before the beginning of the policy period. d. Criminal Acts "Personal and advertising injury" arising out of a criminal act committed by or at the direction of the insured. e. Contractual Liability "Personal and advertising injury" for which the insured has assumed liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement. f. Breach Of Contract "Personal and advertising injury" arising out of a breach of contract, except an implied contract to use another's "advertising idea" in your "advertisement". g. Quality Or Performance Of Goods — Failure To Conform To Statements "Personal and advertising injury" arising out of the failure of goods, products or services to conform with any statement of quality or performance made in your "advertisement". h. Wrong Description Of Prices "Personal and advertising injury" arising out of the wrong description of the price of goods, products or services. i. Infringement Of Intellectual Property Rights "Personal and advertising injury" arising out of any violation of any intellectual property rights such as copyright, patent, trademark, trade name, trade secret, service mark or other designation of origin or authenticity. However, this exclusion does not apply to infringement, in your "advertisement", of: (1) Copyright; (2) Slogan, unless the slogan is.also a trademark, trade name, service mark or other designation of origin or authenticity; or (3) Title of any literary or artistic work. j. Insureds In Media And Internet Type Businesses "Personal and advertising injury" committed by an insured whose business is: (1) Advertising, broadcasting, publishing or telecasting; (2) Designing or determining content of web sites for others; or (3) An Internet search, access, content or service provider. However, this exclusion does not apply to Paragraphs 17.a., b. and c. of "personal and advertising injury" under the Definitions Section. For the purposes of this exclusion, placing an "advertisement" for or linking to others on your web site, by itself, is not considered the business of advertising, broadcasting, publishing or telecasting. k. Electronic Chatrooms Or Bulletin Boards "Personal and advertising injury" arising out of an electronic chatroom or bulletin board the insured hosts, owns, or over which the insured exercises, control. I. Unauthorized Use Of Another's Name Or Product "Personal and advertising injury" arising out of the unauthorized use of another's name or product in your e-mail address, domain name or metatags, or any other similar tactics to mislead another's potential customers. m. Pollution "Personal and advertising injury" arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of "pollutants" at any time. n. Pollution -Related Any loss, cost or expense arising out of any: (1) Request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants"; or (2) Claim or suit by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of, "pollutants". Page 6 of 18 HG 00 0106 05 Ln m 0 0 0 w Go Ln U) %o N 0 0 Ln 0 o. War "Personal and advertising injury", however caused, arising, directly or indirectly, out of: (1) War, including undeclared or civil war; (2) Warlike action by a military force, including action in . hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or (3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. p. Internet Advertisements And Content Of Others "Personal and advertising injury" arising out of: (1) An "advertisement" for others on your web site; (2) Placing a link to a web site of others on your web site; (3) Content, including information, sounds, text, graphics, or images from a web site of others displayed within a frame or border on your web site; or (4) Computer code, software or programming used to enable: (a) Your web site; or (b) The presentation or functionality of an "advertisement" or other content on your web site. q. Right Of Privacy Created By Statute "Personal and advertising injury" arising out of the violation of a person's right of privacy created by any state or federal act. However, this exclusion does not apply to liability for damages that the insured would have in the absence of such state or federal act. r. Violation Of Anti -Trust law "Personal and advertising injury" arising out of a violation of any anti-trust law. s. Securities "Personal and advertising injury" arising out of the fluctuation in price or value of any stocks, bonds or other securities. t. Discrimination Or Humiliation "Personal and advertising 'injury" arising out of discrimination or humiliation committed by or at the direction of any "executive officer", director, stockholder, partner or member of the insured. u. Employment -Related Practices "Personal and advertising injury" to: (1) A person arising out of any "employment — related practices"; or (2) The spouse, child, parent, brother or sister of that person as a consequence of "personal and advertising injury" to that person at whom any "employment -related practices" are directed. This exclusion applies: (1) Whether the insured may be liable as an employer or in any other capacity; and (2) To any obligation to share damages with or repay someone else who must pay damages because of the injury. v. Asbestos (1) "Personal and advertising injury" arising out of the "asbestos hazard". (2) Any damages, judgments, settlements, loss, costs or expenses that: (a) May be awarded or incurred by reason of any claim or suit alleging actual or threatened injury or damage of any nature or kind to persons or property which would not have occurred in whole or in part but for the "asbestos hazard"; (b) Arise out of any request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, dean up, remove, encapsulate, contain, treat, detoxify or neutralize or in any way respond to or assess the effects of an "asbestos hazard'; or (c) Arise out of any claim or suit for damages because of testing for, monitoring, cleaning up, removing, encapsulating, containing, treating, detoxifying or neutralizing or in any way responding to or assessing the effects of an "asbestos hazard". COVERAGE C MEDICAL PAYMENTS 1. Insuring Agreement a. We will pay medical expenses as described below for "bodily injury" caused by an accident: (1) On premises you own or rent; (2) On ways next to premises you .own or rent; or (3) Because of your operations; provided that: (1) The accident takes place in the "coverage territory" and during the policy period; (2) The expenses are incurred and reported to us within three years of the date of the accident; and (3) The injured person submits to examination, at our expense, by physicians of our choice as often as we reasonably require. HG 00 01 06 05 Page 7 of 18 b. We will make these payments regardless of fault. These payments will not exceed the applicable limit of insurance. We will pay reasonable expenses for: (1) First aid administered at the time of an accident; (2) Necessary medical, surgical, x-ray and dental services, including prosthetic devices; and (3) Necessary ambulance, hospital, professional nursing and funeral services. 2. Exclusions We will not pay expenses for "bodily injury": a. Any Insured To any insured, except "volunteer workers" b. Hired Person To a person hired to do work for or on behalf of any insured or a tenant of any insured. c. Injury On Normally Occupied Premises To a person injured on that part of premises you own or rent that the person normally occupies. d. Workers Compensation And Similar Laws To a person, whether or not an "employee" of any insured, if benefits for the "bodily injury" are payable or must be provided under a workers' compensation or disability benefits law or a similar law. e. Athletics Activities To a person injured while practicing, instructing or participating in any physical exercises or games, sports, or athletic contests. f. Products -Completed Operations Hazard Included within.the "products -completed operations hazard". g. Coverage A Exclusions Excluded under Coverage A. SUPPLEMENTARY PAYMENTS — COVERAGES A AND B 1. We will pay, with respect to any claim we investigate or settle, or any "suit" against an insured we defend: a. All expenses we incur. b. Up to $1,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. c. The cost of appeal bonds or bonds to release attachments, but only for bond amounts within the applicable limit of insurance. We do not have to fumish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. e. All costs taxed against the insured in the "suit". f. Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer. g. All interest on the full amount of any judgment that accrues after entry of the judgment and before we have paid, offered to pay, or deposited in court the part of the judgment that is within the applicable limit of insurance. These payments will not reduce the limits of insurance. 2. If we defend an insured against a "suit" and an indemnitee of the insured is also named as a party to the "suit", we will defend that indemnitee if all of the following conditions are met: a. The "suit" against the indemnitee seeks damages for which the insured has assumed the liability of the indemnitee in a contract or agreement that is an "insured contract"; b. This insurance applies to such liability assumed by the insured; c. The obligation to defend, or the cost of the defense of, that indemnitee, has also been assumed by the insured in the same "insured contract"; d. The allegations in the "suit" and the information we know about the "occurrence" are such that no conflict appears to exist between the interests of the insured and the interests of the indemnitee; e. The indemnitee and the insured ask us to conduct and control the defense of that indemnitee against such "suit" and agree that we can assign the same counsel to defend the insured and the indemnitee; and f. The indemnitee: (1) Agrees in writing to: (a) Cooperate with us in the investigation, settlement or defense of the "suit"; (b) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the "suit'; (c) Notify any other insurer whose coverage is available to the indemnitee; and (d) Cooperate with us with respect to coordinating other applicable insurance available to the indemnitee; and (2) Provides us with written authorization to: (a) Obtain records and other information related to the "suit"; and (b) Conduct and control the defense of the indemnitee in such "suit". So long as the above conditions are met, attorneys' fees incurred by us in the defense of that indemnitee, Page 8 of 18 HG 00 0106 05 necessary litigation expenses incurred by us and necessary litigation expenses incurred by the indemnitee at our request will be paid as Supplementary Payments. Notwithstanding the provisions of Paragraph 2.b.(2) of Section I — Coverage A — Bodily Injury And Property Damage Liability, such payments will not be deemed to be damages for "bodily injury" and "property damage" and will not reduce the limits of. insurance. Our obligation to defend an insured's indemnitee and to pay for attorneys' fees and necessary litigation expenses as Supplementary Payments ends when: a. We have used up the applicable limit of insurance in the payment of judgments or settlements; or b. The conditions set forth above, or the terms of the agreement described in Paragraph f. above, are no longer met. 1. If you are designated in the Declarations as: a. An individual, you and your spouse are insureds, but only with respect to the conduct of a business of which you are the sole owner. b. A partnership or joint venture, you are an insured. Your members, your partners, and their spouses are also insureds, but only with respect to the conduct of your business. a c. A limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to i their duties as your managers. d. An organization other than a partnership, joint venture or limited liability company, you are an insured. Your "executive officers" and directors are insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds, but only with respect to their liability a as stockholders. e. A trust, you are an insured. Your trustees are also : insureds, but only with respect to their duties as trustees. . Each of'the following is also an insured: a. Employees and Volunteer workers Your "volunteer workers" only while performing duties related to the conduct of your business, or s your "employees", other than either your "executive officers" (if you are an organization other than a partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing '— duties related to the conduct of your business. However, none of these "employees" or "volunteer workers" are insureds for: (1) "Bodily injury" or "personal and advertising injury': (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co -"employee" while in the course of his or her employment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or that "volunteer worker' as a consequence of Paragraph (1)(a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1)(a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. If you are not in the business of providing professional health care services, Paragraph (d) does not apply to any nurse, emergency medical technician or paramedic employed by you to provide such services. (2) "Property damage" to property: (a) Owned, occupied or used by, (b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your "employees", "volunteer workers", any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). b. Real Estate Manager Any person (other than your "employee" or "volunteer worked, or any organization while acting as your real estate manager. c. Temporary Custodians of Your Property Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of that property; and. (2) Until your legal representative has been appointed. d. Legal Representative If You Die Your legal representative if you die, but only with respect to duties as such. That representative will HG 00 01 06 05 Page 9 of 18 have all your rights and duties under this Coverage Part. e. Unnamed Subsidiary Any subsidiary, and subsidiary thereof, of yours which is a legally incorporated entity of which you own a financial interest of more than 50% of the voting stock on the effective date of the Coverage Part. The insurance afforded herein for any subsidiary not named in this Coverage Part as a named insured does not apply to injury or damage with respect to which an insured under this Coverage Part is also an insured under another policy or would be an insured under such policy but for its termination or the exhaustion of its limits of insurance. 3. Newiy Acquired or Formed Organilza#on Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain financial interest of more than 50% of the voting stock, will qualify as a Named Insured if there is no other similar insurance available to that organization. However. a. Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier, b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. 4. Mobiille gopment With respect to "mobile equipment" registered in your name under any motor vehicle registration law, any person is an insured while driving such equipment along a public highway with your permission. Any other person or organization responsible for the conduct of such person is also an insured, but only with respect to liability arising out of the operation of the equipment, and only if no other insurance of any kind is available to that person or organization for this liability. However, no person or organization is an insured with respect to: a. "Bodily injury" to a co -"employee" of the person driving the equipment; or b. "Property damage" to property owned by, rented to, in the charge of or.occupied by you or the employer of any person who is an insured under this provision. S. Nonowned Watercraft With respect to watercraft you do not own that is less than 51 feet long and is not being used to carry persons for a charge, any person is an insured while operating such watercraft with your permission.. Any other person or organization responsible for the conduct of such person is also an insured, but only with respect to liability arising out of the operation of the watercraft, and only if no other insurance of any kind is available to that person or organization for this liability. However, no person or organization is an insured with respect to: a. "Bodily injury" to a co -"employee" of the person operating the watercraft; or b. "Property damage" to property owned by, rented to, in the charge of or occupied by you or the employer of any person who is an insured under this P . turns rt: , 61 Addilth mallInsureds. When: Required BY" '01"en +Contrast, ir1 AgreeMr 1�h The following person(s) or organization(s) are an additional insured when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement. A person or organization is an additional insured under this provision only for that period of time required by the contract or agreement. However, no such person or organization is an insured under this provision if such person or organization is included as an insured by an endorsement issued by us and made a part of this Coverage Part. 6. Vendors, Any person(s) or organization(s) (referred to below as vendor), but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business and only if this Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products - completed operations hazard". (1) The insurance afforded the vendor is subject to the following additional exclusions: This insurance does not apply to: (a) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; Page 10 of 18 HG 00 0106 05 (b) Any express warranty unauthorized by you; (c) Any physical or chemical change in the product made intentionally by the vendor; (d) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged:in the original container; (e) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the Go 1-1 o products; (f) Demonstration, installation, servicing or ,.1 repair operations, except such operations � performed at the vendor's premises in > connection with the sale of the product; Go Ln (g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any LA N other thing or substance by or for the 0 vendor; or 0 o (h) "Bodily injury" or "property damage" arising * out of the sole negligence of the vendor for its own acts or omissions or those, of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (i) The exceptions contained in Sub- MM paragraphs (d) or (f); or (ii) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. (2) This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. b. Lessors ors at, Equipment (1) Any person or organization from whom you lease equipment; but only with respect to their liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person or 'organization. (2) With respect to the insurance afforded to these additional insureds this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. c. Lessons of Und, or Premises Any person or organization from whom you lease land or premises, but only with respect to liability arising out of the ownership, maintenance or use of that part of the land or premises leased to you. With respect to the insurance afforded these additional insureds the following additional exclusions apply: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to lease that land; or 2. Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. d: Atchiteci Engineers or $460 rs Any architect, engineer, or surveyor, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (1) In connection with your premises; or (2) In the performance of your ongoing operations performed by you or on your behalf. With respect to the insurance afforded these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: 1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. e. Psm U1: Issued By _ Sty? . �r . iP+oi cat SubdiiWsio#w Any state or political subdivision, but only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. With respect to the insurance afforded these additional insureds, this insurance does not apply to: (1) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the state or municipality; or (2) "Bodily injury" or "property damage" included within the "products -completed operations hazard". HG 00 0106 05 Page 11 of 18 E Any Other Party Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (1) In the performance of your ongoing operations; (2) In connection with your premises owned by or rented to you; or (3) In connection with "your work" and included within the "products -completed operations hazard", but only if (a) The written contract or agreement requires you to provide such coverage to such additional insured; and (b) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products -completed operations hazard", VVith respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. The limits of insurance that apply to additional insureds under this provision is described in Section III — Limits Of Insurance. How this insurance applies when other insurance is available to the additional insured is described in the Other Insurance Condition in Section IV — Commercial General Liability Conditions. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. SECTION III — LIMITS OF INSURANCE 1. The Most We will Pay The Limits of Insurance shown in the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 2. General Aggregate Limit The General Aggregate Limit is the most we will pay for the sum of. a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard"; and c. Damages under Coverage B. 3., Products -Completed Operations Aggregate Limit The Products -Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily. injury" and "property damage" included in the "products -completed operations hazard". 4. Personal and Advertising Injury Limit - Subject to 2. above, the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal and advertising injury" sustained by any one person or organization. 5. Each Occurrence Limit Subject to 2. or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; and b. Medical expenses under Coverage C because of all "bodily injury" and "property damage" arising out of any one "occurrence". 6. Damage To Premises Rented To You Limit Subject to S. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, lightning or explosion, while rented to you or temporarily occupied by you with permission of the owner. In the case of damage by fire, lightning or explosion, the Damage to Premises Rented To You Limit applies to all damage proximately caused by the same event, whether such damage results from fire, lightning or explosion or any combination of these. 7. Medical Expense Limit Subject to 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person. 8. How Limits Apply To Additional Insureds If you have agreed in a written contract or written agreement that another person or organization be Page 12 of 18 HG 00 0106 05 f added asan additional insured on your policy, the most we will pay on behalf of such additional insured is the lesser of: a. The limits of insurance specified in the written contract or written agreement; or b. The Limits of Insurance shown in the Declarations. Such amount shall be a part of and not in addition to Limits of Insurance shown in the Declarations and described in this Section. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any w remaining period of less than 12 months, starting with the o beginning of the policy period shown in the Declarations, o unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the. Limits of Insurance. n SECTION IV — COMMERCIAL GENERAL LIABILITY QL60 CONDITIONS 1. Bankruptcy tA Bankruptcy or insolvency of the insured or of the o insured's estate will not relieve us of our obligations � under this Coverage Part. 0 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit a. Notice Of Occurrence Or Offense You or any additional insured must see to it that we are notified as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, notice should include: (1) How, when and where the "occurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage 2110111 arising out of the "occurrence" or offense. a� b. Notice Of Claim If a claim is made or "suit" is brought against any insured, you or any additional insured must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as practicable. You or any additional insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. c. Assistance And Cooperation Of The Insured You and any other involved insured must: (1) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the claim or "suit"; (2) Authorize us to obtain records and other information; (3) Cooperate with us in the investigation or settlement of the claim or defense against the "suit"; and (4) Assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply. d. Obligations At The Insureds Own Cost No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. e. Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity. However, this provision does not apply to the extent that you have agreed in a written contract or written agreement that this insurance is primary and non-contributory with the additional insured's own insurance. f. Knowledge Of An Occurrence, Offense, Claim Or Suit Paragraphs a. and b. apply to you or to any additional insured only when such "occurrence", offense, claim or "suit" is known to: (1) You or any additional insured that is an individual; (2) Any partner, if you or an additional insured is a partnership; (3) Any manager, if you or an additional insured is a limited liability company; (4) Any "executive officer" or insurance manager, if you or an additional insured is a corporation; (5) Any trustee, if you or an additional insured is a trust; or (6) Any elected or appointed official, if you or an additional insured is a political subdivision or public entity. This duty applies separately to you and any additional insured. 3. Legal Action Against Us No person or organization has a right under this Coverage Part: a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable'for damages that are not payable under the terms of this Coverage Part or HG 00 0106 05 Page 13 of 18 that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claimant's legal representative. 4. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as b. Excess Insurance This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis: (1) Your Work That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (2) Premises Rented To You That is fire, lightning or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (3) Tenant Liability That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner; (4) Aircraft, Auto Or Watercraft If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section I — Coverage A — Bodily Injury And Property Damage Liability; (5) Property Damage to Borrowed Equipment Or Use Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion j. of Section - Coverage A - Bodily Injury And Property Damage Liability; (6) When You Are Added As An Additional Insured To Other Insurance Any other insurance available to you covering liability for damages arising out of the premises or operations, or products and completed operations, for which you have been added as an additional insured by that insurance; or Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional insured. When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self -insured amounts under all that other insurance. We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part.. c. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. Page 14 of 18 HG 00 0106 06 • If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. 5. Premium Audit a. We will compute all premiums for this Coverage Part in accordance with our rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of Cn each audit period we will compute the earned � premium for that period and send notice to the first .� Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and o audit premiums paid for the policy period is greater o than the earned premium, we will return the excess m to the first Named Insured. Ln c. The first Named Insured must keep records. of the information we need for premium computation, and � send us copies at such times as we may request. 0 6. Representations c a. When You Accept This Policy By accepting this policy, you agree: _ (1) The statements in the Declarations are accurate and complete; (2) Those statements are based upon representations you made to us; and (3) We have issued this policy in reliance upon your representations. b. Unintentional Failure To Disclose Hazards I� If unintentionally you should fail to disclose all hazards relating to the conduct of your business that exist at the inception date of this Coverage Part, we shall not deny coverage under this : Coverage Part because of such failure. 1. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named 01111111 Insured; and b. Separately to each insured against whom claim is =111: made or "suit" is brought. 8. Transfer Of Rights Of Recovery Against Others To Us a. Transfer of Rights Of Recovery If the insured has rights to recover all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the 1. "Advertisement" means the widespread public dissemination of information or images that has the purpose of inducing the sale of goods, products or services through: a. (1) Radio; (2) Television; (3) Billboard; (4) Magazine; (5) Newspaper; or b. Any other publication that is given widespread public distribution. However, "advertisement" does not include: a. The design, printed material, information or images contained in, on or upon the packaging or labeling of any goods or products; or b. An interactive conversation between or among persons through a computer network. 2. "Advertising idea" means any idea for an "advertisement". 3. "Asbestos hazard" means an exposure or threat of exposure to the actual or alleged properties of asbestos and includes the mere presence of asbestos in any form. 4. "Auto" means a land motor vehicle, trailer or semitrailer designed for travel on public roads, including any attached machinery or equipment. But "auto" does not include "mobile equipment". 5. 'Bodily injury" means physical: a. Injury; b. Sickness; or c. Disease sustained by a person and, if arising out of the above, mental anguish or death at any time. HG 00 0106 06 Page 115 of 18 6. "Coverage territory" means: a. The United States of America (including its territories and possessions), Puerto Rico and Canada; b. International waters or airspace, but only if the injury or damage occurs in the course of travel or transportation between any places included in a. above; or c. All other parts of the world if the injury or damage arises out of: (1) Goods or products made or sold by you in the territory described in a. above; (2) The activities of a person whose home is in the territory described in a. above, but is away for a short time on your business; or (3) "Personal and advertising injury" offenses that take place through the Internet or similar electronic means of communication provided the insured's responsibility to pay damages is determined in the United States of America (including its territories and possessions), Puerto Rico or Canada, in a "suit" on the merits according to the substantive law in such territory or in a settlement we agree to. 7. "Employee" includes a "leased worker". "Employee" does not include a "temporary worker". 8. "Employment -Related Practices" means: a. Refusal to employ a person; b. Termination of a person's employment; or c. Employment -related practices, policies, acts or omissions, such as coercion, demotion, evaluation, reassignment, discipline, defamation, harassment, humiliation or discrimination directed at a person. 9. "Executive officer" means a person holding any of the officer positions created by your charter, constitution, by-laws or any other similar governing document. 10."Hostile fire" means one which becomes uncontrollable or breaks out from where it was intended to be. 11."Impaired property" means tangible property, other than "your product" or "your work", that cannot be used or is less useful because: a. It incorporates "your product" or "your work" that is known or thought to be defective, deficient, inadequate or dangerous; or b. You have failed to fulfill the terms of a contract or agreement; if such property can be restored to use by: a. The repair, replacement, adjustment or removal of "your product" or "your work"; or b. Your fulfilling the terms of the contract or agreement. 12."Insured contract" means: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning or explosion to premises while rented to you or temporarily occupied by you with permission of the owner is subject to the Damage to Premises Rented To You Limit described in Section III — Limits of Insurance; b. A sidetrack agreement; c. Any easement or license agreement, including an easement or license agreement in connection with construction or demolition operations on or within 50 feet of a railroad; d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to your business (including an indemnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily injury" or "property damage" to a third person or organization, provided the "bodily injury" or "property damage" is caused, in whole or in part, by you or by those acting on your behalf. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. includes that part of any contract or agreement that indemnifies a railroad for "bodily injury" or "property damage" arising out of construction or demolition operations, within 50 feet of any railroad property and affecting any railroad bridge or trestle, tracks, road -beds, tunnel, underpass or crossing. However, Paragraph f. does not include that part of any contract or agreement: (1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the .injury or damage; or (2) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (1) above and supervisory, inspection, architectural or engineering activities. 13. "Leased worker" means a person leased to you by a labor leasing firm under an agreement between you and the labor leasing firm, to perform duties related to the conduct of your business. "Leased worker" does not include a "temporary worker". 14. "Loading or unloading" means the handling of property: a. After it is moved from the place where it is accepted for movement into or onto an aircraft, watercraft or "auto"; Page 16 of 18 HG 00 0106 05 So 0 N m 0 0 0 160 m Ln u� to N 0 Co u') Co b. While it is in or on an aircraft, watercraft or "auto"; . or c. While it is being moved from an aircraft, watercraft or "auto" to the place where it is finally delivered; but "loading or unloading" does not include the movement of property by means of a mechanical device, other than a hand truck, that is not attached to the aircraft, watercraft or "auto". IS."Mobile equipment" means any of the following types of land vehicles, including any attached machinery or equipment: a. Bulldozers, farm machinery, forklifts and other vehicles designed for use principally off public roads; b. Vehicles maintained for use solely on or next to premises you own or rent; c. Vehicles that travel on crawler treads; d. Vehicles, whether self-propelled or not, maintained primarily to provide mobility to permanently mounted: (1) Power cranes, shovels, loaders, diggers or drills; or (2) Road construction or resurfacing equipment such as graders, scrapers or rollers; e. Vehicles not described in a., b., c. or d. above that are not self-propelled and are maintained primarily to provide mobility to permanently attached equipment of the following types: (1) Air compressors, pumps and generators, including spraying, welding, building cleaning, geophysical exploration, lighting and well servicing equipment; or (2) Cherry pickers and similar devices used to raise or lower workers; f. Vehicles not described in a., b., c. or d. above maintained primarily for purposes other than the transportation of persons or cargo. However, self-propelled vehicles with the following types of permanently attached equipment are not "mobile equipment" but will be considered "autos": (1) Equipment, of at least 1,000 pounds gross vehicle weight, designed primarily for: (a) Snow removal; (b) Road maintenance, but not construction or resurfacing; or (c) Street cleaning; (2) Cherry pickers and similar devices mounted on automobile or truck chassis and used to raise or lower workers; and (3) Air compressors, pumps and generators, including spraying, welding, building cleaning, geophysical exploration, lighting and well servicing equipment. 16. "Occurrence" means an accident, including continuous or repeated exposure to substantially the same general harmful conditions. 17."Personal and advertising injury" means injury, including consequential "bodily injury", arising out of one or more of the following offenses: a. False arrest, detention or imprisonment; b. Malicious prosecution; c. The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room, dwelling or premises that a person occupies, committed by or on behalf of its owner, landlord or lessor, d. Oral, written or electronic publication of material that slanders or libels a person or organization or disparages a person's or organization's goods, products or services; e. Oral, written or electronic publication of material that violates a person's right of privacy; f. Copying, in your "advertisement", a person's or organization's "advertising idea" or style of "advertisement"; g. Infringement of copyright, slogan, or title of any literary or artistic work, in your "advertisement"; or h. Discrimination or humiliation that results in injury to the feelings or reputation of a natural person. 18. "Pollutants" mean any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste includes materials to be recycled, reconditioned or reclaimed. 19."Products-completed operations hazard": a. Includes all "bodily injury" and "property damage" occurring away from premises you own or rent and arising out of "your product" or "your work" except: (1) Products that are still in your physical possession; or (2) Work that has not yet been completed or abandoned. However, "your work" will be deemed completed at the earliest of the following times: (a) When all of the work called for in your contract has been completed. (b) When all of the work to be done at the job site has been completed if your contract calls for work at more than one job site. (c) When that part of the work done at a job site has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project. Work that may need service, maintenance, correction, repair or replacement, but which is otherwise complete, will be treated as completed. HG 00 0106 06 Page 17 of 18 b. Does not include "bodily injury" or "property damage" arising out of. (1) The transportation of property, unless the injury or damage arises out of a condition in or on a vehicle not owned or operated by you, and that condition was created by the "loading or unloading" of that vehicle by any insured; (2) The existence of tools, uninstalled equipment or abandoned or unused materials; or (3) Products or operations for which the classification, listed in the Declarations or in a policy schedule, states that products - completed operations are subject to the General Aggregate Limit. 20."Property damage" means: a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of use shall be deemed to occur at the time of the physical injury that caused it; or b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the "occurrence" that caused it. As used in . this definition, computerized or electronically stored data, programs or software are not tangible property. Electronic data means information, fads or programs: a. Stored as or on; b. Created or used on; or c. Transmitted to or from; computer software, including systems and applications software, hand or floppy disks, CD- ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. 21. "Suit" means a civil proceeding in which damages because of "bodily injury", "property damage" or "personal and advertising injury" to which this insurance applies are alleged. "Suit" includes: a. An arbitration proceeding in which such damages are claimed and to which the insured must submit or does submit with our consent; or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with our consent. 22. "Temporary worker" means a person who is Y furnished to you to substitute for a permanent "employee" on leave or to meet seasonal or short- term workload conditions. 23."Volunteer worker" means a person who a. Is not your "employee"; b. Donates his or her work; c. Acts at the direction of and within the scope of duties determined by you; and d. Is not paid a fee, salary or other compensation by you or anyone else for their work performed for you. 24, "Your product": a. Means: (1) Any goods or products, other than real property, manufactured, sold, handled, distributed or disposed of by: (a) You; (b) Others trading under your name; or (c) A person or organization whose business or assets you have acquired; and (2) Containers (other than vehicles), materials, parts or equipment furnished in connection with such goods or products. b. Includes (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your product"; and (2) The providing of or failure to provide warnings or instructions. c. Does not include vending machines or other property rented to or located for the use of others but not sold. 25. "Your work": a. Means: (1) Work or operations performed by you or on your behalf; and (2) Materials, parts or equipment furnished in connection with such work or operations. b. Includes (1) Warranties or representations made at any time with' respect to the fitness, quality, durability, performance or use of "your work", and (2) The providing of or failure to provide warnings or instructions. Page 18 of 18 HG 00 0106 05 (_liant$- RARRA 14GILACOR ACORDTM CERTIFICATE OF LIABILITY INSURANCE DAT3l02/20122l2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ]CONTAC Wortham Insurance & Risk Mgt I 221 West 6th St #1400 Austin, TX 78701 PHONE Ext : AIC512 453-0031 j0, No 512 453-0041 AIC Noy E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Navigators Specialty Insurance 36056 512 453-0031 INSURED Gila, LLC 8325 Tuscany Way, Building 4 INSURER B : -- - !, INSURER C INSURER D Austin, TX 78754 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. IADDLSUBR POLICY EFF POLICY EXP INSR TYPE OF INSURANCE POLICY NUMBER MM/DD MMlDD/YYYY L_T_R-._........._;INSR WVD-._..... _._._ ...._�- "rq / _ ._...-,—.._.--LIMITSIM -- - GENERAL LIABILITY EACH OCCURRENCE $ _ PREMISES ERENTED occu ence $ COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) $ CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ COMBINED SINGLE LIMIT Ea accident $ POLICY PE,0�- LOG AUTOMOBILE LIABILITY - _ VE[� Y 'I C MfiNAGEME _ _ _ ____ _ $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULEDWA AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS B yam+ O, a . C�� BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ ++fof UMBRELLA LIAB OCCUR — P EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE + 0 • DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE - - OFFICER/MEMBER EXCLUDED? (Mandatory in NH) `""""-" NIA j WC STATU- OTH- �RY._.LIA�IIT� - ___ EB__ ___...._.__ _ E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A Professional Liab NY12MPLO118511C 3/01/2012 03/01/201 $2 Million Limit (E&O) $2 Million Aggregate $100,000 Retention DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CC Monroe County Board of County Commissioners 490 63rd Street Ocean Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ,;dj As Cc)1988-2010 ACORD CORPORATION. All riahts reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD �FC707aaR1M7a7r,7a 1 All IT Clientllt: RAR94 14GILACOR ACORM CERTIFICATE OF LIABILITY INSURANCE E (MMID DATE z THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such andorsement(s). PRODUCER Wortham Insurance &Risk Mgt NA a�", : 512 453-0031 FAX ac No : 512 453-0041 221 West 6th St #1400 Austin, TX 76701 512 453-0031 EMAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC t INSURER A: Hartford Casualty Insurance Co. 29424 INSURED Gila, LLC dba: Municipal Service Bureau & Gila Group 8325 Tuscany Way, Building 4 Austin, TX 78754 INSURER B INSURER C: INSURER D : INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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 BYppppPLLAIID CLAIMS. LTR TYPE OF INSURANCE U9 POLICY NUMBER FF MINODIYWY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR SSUUNJW4686 3►0112012 031011201 OCCURRENCES1 000000 -EACH PR S oauE�rran e $300 O00 MED EXP (Any one person) S10,000 PERSONAL d ADV INJURY $1 000 000 GENERAL AGGREGATE S2 O00 000 GENL AGGREGATE LIMIT APPLIES PER PROPOLICY JEC LOC PRODUCTS - COMPIOP AGG s2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS O HIRED AUTOS X AUTSEED Ix SSUUNJW4586 3101►2012 03/011201 C * wcwwwd) IMG LI I 1,000,000 BODILY INJURY (Par Person) S BODILY INJURY (Per accident) S (PeracciiPROPERTY DAMAGE S s A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE 65RHUJW1423 3►0112012 031011201 EACH OCCURRENCE S5,000,000 AGGREGATE $S W0 000 DED I X RETENTION S1 0.000 S A AND EMPLOYERS• LIABBJTY WORKERS COMPENSATION ANY PROPRIETORIPARTNERIEXECUTIVE �YIN OFFICERIMEMBER EXCLUDED? N 1 (Mandatory In NH) DeSCRPTMNe under OF OPERATIONS below N I A 65WEZU1313 3101/2012 03/011201 X WC STATLL oTH- E L EACH ACCIDENT $, OOO 000 E L DISEASE - EA EMPLOYEE $1 000 000 E L DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is rod) Forms and Endorsements Schedule: ")N., Commercial General Liability Coverage Form #HG0001 0605 Commercial Automobile Broad Form Endorsement #HA9916 0910 i lc� Monroe County Board of County THEULD EXANY OF THE ABOVE DESCRIBED POLICIESPIRATION DATE THEREOF, NOTICE WILL BENCDELIVEREDORINE Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 490 63rd Street Ocean Marathon, FL 33050 AUTHORIZED REPRESENTATIVE IB 198E-2010 ACORD CORPORATION. AN riahts reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD OS294239IM293194 14UT Client#: 84884 14GILACOR ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDIYYYY) 1 3/07/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Wortham Insurance & Risk Mgt 221 West 6th St #1400 Austin, TX 78701 NA E: CT PH NE AI No Ext 512 453-0031 trAff N.J. 512 453-0041 E-MAIL ADDRESS: INSURERS) AFFORDING COVERAGE NAIC s 512 453-0031 INSURER A: Hartford Casualty Insurance Co. 129424 INSURED Gila, LLC dba: Municipal Service Bureau 8r Gila Group 8325 Tuscany Way, Building 4 Austin, TX 78764 INSURER B : INSURER C INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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. LTRR TYPE OF INSURANCE DOL SUB POLICY NUMBER M U Y EFF IJ MNUDO� LIMITS A GENEkALUABILiTY X', COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 51OCCUR 66UUNIJW4586 3/01/2012 03/0112013 FAAC>iO�CCCURRENCE S1 00� 000 PREMISES EaEr ence S 30O OOO MED EXP (Arty one person) S110,000 PERSONAL & ADV INJURY $1 00O 000 GENERAL AGGREGATE S2 00O 000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO- LOC PRODUCTS - COMP/OP AGG s2,000,000 S A AUTOMOBILE LIABILITY ALL OWNED SCHEDULED IxANY AUTO AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS I SSUUNJW4586 3101/2012 03/01/201 Ea Bacc"dEer°n INGL LIMIT 1,000,000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PaOawC DAMAGE $ s A AR EXCESS LIAR X I OCCUR CLAIMS -MADE 65RHUJW1423 D3/01/201210310112012 EACH OCCURRENCE $5 00O 000 AGGREGATE $5 00O 000 DEC) I X RETENTION S1 D O0O $ A WORKERS COMPENSATION AND EMPLOYERS' LIABIUTY ANY PROPMETORIPARTNERIEXECUTIVE Y' N OFFICERIMEMBER EXCLUDED? N (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 65WEZU1313 3101I2012 03/01/201 OTH- X T STATU- FP E L EACH ACCIDENT $1 00O 000 E L DISEASE - EA EMPLOYEE $1 000 000 E L DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is red) Forms and Endorsements Schedule: Commercial General Liability Coverage Form #1HG0001 0605 Commercial Automobile Broad Form Endorsement #HA9916 0910 Monroe County Board of County Commissioners 490 63rd Street Ocean Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE -;Aw l f it IARR-201n ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S294239IM293194 14UT Client#: 84884 14GILACOR ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 3/01/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Wortham Insurance & Risk Mgt 221 West 6th St #1400 Austin, TX 78701 512 453-0031 CONTA NAME: PHONE 512 453-0031 FAX 512 453-0041 Et): AIC, No -(AJCMA, Lo ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Navigators Specialty Insurance 36056 INSURED Gila LLC INSURER B : 8325 Tuscany Way, Building 4 Austin, TX 78754 INSURERC: INSURER D : INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR rypE OF INSURANCE ADDL INSR SUB WVO POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occTurrrence $ CLAIMS -MADE F—IOCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT $ AUTOMOBILE LIABILITY ANY AUTO 120 D R pq uVl[1rt COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOSLL:MNON-OWNED 1 W BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED AUTOS AUTOS L —rill UMBRELLA LIABRILAIMS-MADE —_ OCCR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ WORKERS COMPENSATION WC STATU- I OTH- ER AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liab NY13MPLO118511C 3/01/2013 03/01/201 $3 Million Limit (E&O) $3 Million Aggregate $100 000 Retention DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Monroe County Board of County Commissioners 490 63rd Street Ocean Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE e�tL - d s n 1988-2010 ACORD CORPORATION_ All riahte rncnrved ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S358761'M358479 14LJT Lc.. Client#: 84884 14GILACOR ACOR& CERTIFICATE OF LIABILITY INSURANCE DATE /DD/YYYY) /01 /2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Wortham Insurance & Risk Mgt 221 West 6th St #1400 Austin, TX 78701 512 453-0031 CONTAC NAME: PHONE 512 453-0031 F [A/CExc : A/C, No): 512 453-0041 A Lo ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Hartford Casualty Insurance Co. 29424 INSURED INSURERB: Hartford Underwriters Insurance 30104 Gila LLC dba: Municipal Services Bureau & Gila Group 8325 Tuscany Way, Building 4 Austin, TX 78754 INSURER C : INSURERD: INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUB WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_x1 OCCUR 65UUNJW4586 3/01/2013 03/01/2014 EACH OCCURRENCE $1 000000 PREMISES Ea RENTED $ 300,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ 2,000,000 $ • AUTOMOBILE LIABILITY ANY,AUTO ALUOWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS E AUTOS - I 65UUNJW4586 1 3/01/2013 03/01/201 EeMIN aBctleDnt)SINGLELIMIT $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ A X UMBRELLALIAS EXCESS LIAB X OCCUR CLAIMS -MADE 65RHUJW1423 3/01/2013 03/01/2014 EACHOCCURRENCE $5000000 AGGREGATE $5 00O 000 DED I X RETENTION $1 O 000 $ A B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYTORY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED N (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A 65WEZU1313 (AOS) 65WBAG7006 (HI) 3/01/2013 3/01/2013 03/01/201 03/01/201 X WCSTATU- OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 w DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more srA I MRMENr Forms and Endorsements Schedule: BBYCommercial General Liability Coverage Form #HG0001 0605 Commercial Automobile Broad Form Endorsement #HA9916 0910 WA / —LC`. ( It Texas Waiver of our Right to Recover From Others Endorsement #WC420304 03/01/13 HO I f' t / _ f Monroe County Board of County Commissioners 490 63rd Street Ocean Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©198 ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S358623/M358472 0 ACORD CORPORATION. All rights reserved. 14LJT Client#: 84884 14GILACOR ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISE POLICIES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY TH BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), HE AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemengs). PRODUCER aONTACT Wortham Insurance & Risk Mgmt. NAME: 221 West 6th Street, Suite1400 ate No Eat : 512 453-0031 ac No : 512 453-0041 E MAIL Austin, TX 78701 ADo ss: 512 453-0031 INSURERS) AFFORDING COVERAGE NAIC S INSURED INSURER A: Great American Fidelity Insuran 41858 Gila LLC INSURERS: 8326 Tuscany Way, Building 4 INSURER C : Austin, TX 78754 INSURERD: INSURER E : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. SUBJECT TO ALL THE TERMS, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LRi TYPE OF INSURANCE ADD -SU-0 —amma POLICY NUMBER MMIOD F hjl�j ppYP Ug GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ Ea a D CLAIMS -MADE D PREMISE S OCCUR MED EXP (Any one non) ,. S PERSONAL & ACV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S POLICY P CT LOC PRODUCTS - COMP/OP AGG S S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO Ea amdenl) S BODILY INJURY (Par person) S ALL OWNED SCHEDULED OS AUTOS NON OWNED BODILY INJURY (Per=At dent) S HIREOAUTOSAUTOS PROPERTY DAMAGE S Per accident S UMBRELLA LIAR OCCUR EXCESS UAB CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION S WORKERS COMPENSATION S AND EMPLOYERS' LIABILITY OTH. WC STATU-sl— OFFICERIMEMBER EXCLUDED? ECUTIVE NIA LL JJ EL EACH ACCIDENT $ (Mandatory In NH) It yes, describe under E L DISEASE - EA EMPLOYEE S DESCRIPTION OF OPERATIONS below A Professional:Liab E. L DISEASE -POLICY LIMIT S MPL1751130 OW0112014 03/011201 $3 Million Limit (E&O) $3 Million Aggregate Claims -Made $100,000 Retention DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If mon apace is required) t K t�MENT AA*tEF-C' DATE WAIV�►'� 4-4 -%-t'�- lCANCELLATION CERTIFICATE HOLDER Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 490 63rd Street Ocean Marathon, FL 33050 AUTHORIZED REPRESENTATIVE s ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S439312/M439270 14LJT Client#: 84884 14GILACOR ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMOMYYYY) 2/2812014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Wortham Insurance 8t Risk Mgmt. 221 West 6th Street, Suite1400 Austin, TX 78701 CONTACT NAME: �" o E,,,, 512 453-0031 512 453-0041 ac No E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL I 512 453-0031 INSURER A: Great American Fidelity Insuran 41868 INSURED Gila LLC INSURER 9: INSURER C: 8326 Tuscany Way, Building 4 Austin, TX 78754 INSURERD., INSURER E: INSURER F : 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 CONTRACTOR 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. LLI& TYPE OF INSURANCE ADDL UB POLICY NUMBER NIMIDD/YYYY M Y P LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR &EMISESO& oNTEO S MED EXP (An one se rn), S PERSONAL 6 ADV INJURY .$ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC PRODUCTS - COMP/OP AGG $ S AUTOMOBILE LIABN-" IN IN LE UMIT Ea accident S BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED ALTOS BODILY INJURY (Per accident) S PROPERTYDAMAGE Per acridenl $ S UMBRELLA Lute EXCESS LU16 OCCUR CLAIMS -MADE i EACH OCCURRENCE $ AGGREGATE $ DED F7 RETENTIONS $ ` WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yak describe under DESCRIPTION OF OPERATIONS below N I A YNC STATU- OTH- E L. EACH ACCIDENT _ $ E L. DISEASE - EA EMPLOYEE $ E.L DISEASE -POLICY UMIT S A Professional Liab (E&O) Claims -Made MPL1751130 3/01/2014 03/01/201 $3 MillioakLimit $3 Million Aggregate $100 000 Retention DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more ENE L ��r��" TE WAVERIT �L N/A ES_ PIZ— Monroe County Board of County Commissioners 490 63rd Street Ocean so :6 W 40a SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ltd; (1)'19a8-5n1n OCARn CnRPnRAT1nKl All A.M. ---..A ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S439312/M439270 14UT Client#: 84884 14GILACOR ACORD. CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDDIYYYY) 2128/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Wortham insurance & Risk Mgmt. 221 West 6th Street, Suite1400 Austin, TX 78701 N' N LA a� No Exe : 512 453-0031rAA N.J.- S12 453-0041 —IC EMAIL ADORE INSURERIS) AFFORDING COVERAGE NAIL k 612 453-0031 INSURER A: Hartford Casualty Insurance Co. 29424 INSURED Gila LLC dba: INSURER 8: Hartford Underwriters Insurance 30104 INSURERC: Municipal Services Bureau & Gila Group 8325 Tuscany Way, Building 4 INSURER D: 1INSURER E Austin, TX 78764 INSURER F : 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 CONTRACTOR 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, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Ur LTR TYPE OF INSURANCEINSR POLICY NUMBER MMID MSIIODlY1'YY UMn'S A GENP..RALLIAHIUTY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR 66UUNJW4686 3/01/2014 03101/2016 EOoAAqCMMHA/�OCCURRENCE $1 000000 GG PREMI4�cmnee 000OOO MED EXP (Any one parson) $10 000 PERSONAL 6 AOV INJURY $1 00O 000 GENERAL AGGREGATE s2,000,000 GEML AGGREGATE LIMIT APPLIES PER: POLICY PRO -CT LOC PRODUCTS. COMPIOP AGG s2,000,000 S A AUTOMOBLELIABLITY 65UUNJW4586 3/01/2014 03/01/201 ; -Dsl UMl 1,000,000 IX ANY AUTO ALL OWNED SCHEOULED AUTOS AUTOS HIREDAUTOS X AUTOS ED BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ P A er $ f A B X UMBRELLALIAs EXCESS UAB X I OCCUR CwMc MADE NIA 65RHUJW1423 65WEZU1313 (AOSI 65WBAG7006(HI) 3/01/2014 3101l2014 3/01/201403/01/201 03/01/2015 03/01 /201 EACH OCCURRENCE $6000000 AGGREGATE $S 00O 000 DED X RETENTION S1 O 000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICERIiMEMBEER�EXRCLUDED ECUTIVEa IMandatoryIn NH)eund It yea, describe under DESCRIPTION OF OPERATIONS below vvC STATU- OTH- X TeRY LIMAIER $ E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1000000 E.L. DISEASE - POLICY LIMIT $1 000 000 Forms and Endorsements Schedule: APP R�Commercial General Liability Coverage Form #HG0001 g DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is require tN/A Commercial Automobile Broad Form Endorsement #HA9916 Texas Waiver of our Right to Recover From Others Endorsement #WC420304 WAIVER ���� t-foL -� #zJ 40-n1,04 County BdaZd of County Commissioners 490 63rd Street Ocean SO *r4V0n,F8 *ffl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 01988-2010 ACORO CORPORATInN ACORD 25 (2010/D6) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S439168/M439102 14LJT CI lent#: 84884 14GI LACOR ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (hthVDDIYYrq 212712015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such errdorsement(s). PRODUCER CONTACT NAME: Wortham Insurance & Risk Mgmt. PHONE 512 453.0031 512 453-0041 AI No Ext : Atc No 221 West 6th Street, Suite1400 E-MAIL Austin, TX 78701 ADDRESS: 512 453.0031 INSURERS AFFORDING COVERAGE NAIC>s INSURER A: Hartford Casualty Insurance Co. 29424 INSURED INSURER B : Hartford Underwriters Insurance 30104 Gila LLC dba: Municipal Services Bureau & Gila Group INSURERC: 8325 Tuscany Way, Building.4 INSURERD: Austin, TX 78754 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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. LTRR TYPE OF INSURANCE INSRL VND POLICY NUMBER f�hOILDICY EFF PINDtDY EXP LIMITS ' A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLNh1S-1,IADE I OCCUR 65UUNJW4586 - 3/01/2015 03/011201C EACHOCCURRENCE$1,000,000 PREnIfSES EaErcence S3O0 000 M ED EXP (Anyone person) $10 OOO PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENI-AGGREGATELIhIITAPPLIES PER: POLICY PRO- LOC PRODUCTS-COMPIOPAGG s2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON-01VNED AUTOS Ix 65UUNJW4586 03/01/2015 03/01/201 1EOT.aWdeDrn)SiNGLELUd1T 1,000,000 BODILY INJURY (Par person) S 130DILY INJURY (Per soadent) S PROPERTY DAMAGE Per acddenlj___v_ $ $ A X UMBRELLA LIAB EXCESS LiAB X OCCUR CLAIMS -MADE 65RHUJW1423 3/01/2015 03/011201 EACH OCCURRENCE Si000 000 AGGREGATE $5 000 000 ❑ED I X RETENTION$1O 000 S A B• WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANFICEWbRABOREXCIUE tE ECUIIVE 51 (Mandatory to NH) I(yes, descnbe under DESCRIPTIONOFOPERATIONS bWow NIA 65WEZU1313 (AOS) 65WBAG7006 (HI) 0310112015 03/01/2016 X WCSTAT1 - OrH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required Forms and Endorsements Schedule: APP CiEMENT Commercial General Liability Coverage Form #HG0001 DATE, �' Commercial Automobile Broad Form Endorsement #HA9916 W N A c C , ,y l if Waiver of our Right to Recover From Others Endorsement #WC000313 H J! l Waiver of our Right to Recover From Others Endorsement - California #WC040306 Monroe County Board of County Commissioners 490 63rd Street Ocean Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRI8ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE no iaaa-261n ACORD CORPORATION. All rinhts rrsarvert ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S520519/M520419 14LJT Client#: 84884 14GILACOR ACORD. CERTIFICATE OF LIABILITY INSURANCE DATDDIYYYYj 2l27/27/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain- policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ' NAME: Wortham Insurance & Risk Mgmt. PHONE 512 453-0031 FAX 512 453 0041 E')" arc Ne: 221 West 6th Street, SuIte1400 ��° Austin, TX 78701 ADogrSs__.__ -_ 512 453.0031 INSURER(S)AFFORDING AFFORDING COVERAGE NAIC a INSURER A: Great American Fidelity Insuran 41858 INSURED - Gila LLC INSURER B : 8325 Tuscany Way, Building 4 INSURER C Austin, TX 78754 INSURERD: INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE 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'AFFCRDED 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. LTR TYPE OF INSURANCE A SR Iv1 B POLICY NUMBER MI, DDY EFF tt!!DD M98D EXP LIMITS GENERAL LUIBIUTY EACH OCCURRENCEENTE $ COMMERCIAL GENERAL LIABILITY ppr ence PRRIEdIRES E. _ S CLAIMS-AIADE OCCUR i.IED EXP (Any one person) S PERSONAL & ADV INJURY S GENERAL AGGREGATE $ GENT. AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG S POLICY PERO- LOC $ AUTOMOBILE LIABILITY COaMBIaccNEdenDt SINGLE LIMIT E BODILY IN J URY (Per pe rson) $ ANY AUTO ALL OPINED SCHEDULED AUTOS AUTOS 1 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Paraccident) S HIRED AUTOS NON -OWNED AUTOS $ UMBRELLA LIAR OC CUR _ EACH OCCURRENCE S AGGREGATE $ EXCESS L1AB CLAIMS MADE DED RETENTION$ $ WORKERS COMPENSATION JWC STATU- OTH- AND EMPLOYERS' LIABILITY OFFICERMiEIMBER EXCLUDED?ECUTNE� NIA E.LEACH ACCIDENT $ ELL - EA EMPLOYEE S (Mandatory to NH) ayes, delbe under DESCRIPTION OF OPERATIONS bebw E.L. DISEASE - POLICY LIMIT $ A Professional Liab MPL1751130 0310112015 03/01/2016 $3 Million Limit (E&O) $3 Million Aggregate Claims -Made $100 000 Retention DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) EPPDR EMENT 5ee-- -- Cc cell Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 490 63rd Street Ocean Marathon, FL 33050 AUTHORIZED REPRESENTATIVE W 1Vdt5-2U1U ACORo GURPOKATION. Ali rignts reserved. ACORD 25.(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S5206471M520599 14LJT CI lent#: 84884 14GI LACOR ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE (hthVDDIYYrq 212712015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such errdorsement(s). PRODUCER CONTACT NAME: Wortham Insurance & Risk Mgmt. PHONE 512 453.0031 512 453-0041 AI No Ext : Atc No 221 West 6th Street, Suite1400 E-MAIL Austin, TX 78701 ADDRESS: 512 453.0031 INSURERS AFFORDING COVERAGE NAIC>s INSURER A: Hartford Casualty Insurance Co. 29424 INSURED INSURER B : Hartford Underwriters Insurance 30104 Gila LLC dba: Municipal Services Bureau & Gila Group INSURERC: 8325 Tuscany Way, Building.4 INSURERD: Austin, TX 78754 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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. LTRR TYPE OF INSURANCE INSRL VND POLICY NUMBER f�hOILDICY EFF PINDtDY EXP LIMITS ' A GENERALLIABILITY X COMMERCIAL GENERAL LIABILITY CLNh1S-1,IADE I OCCUR 65UUNJW4586 - 3/01/2015 03/011201C EACHOCCURRENCE$1,000,000 PREnIfSES EaErcence S3O0 000 M ED EXP (Anyone person) $10 OOO PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GENI-AGGREGATELIhIITAPPLIES PER: POLICY PRO- LOC PRODUCTS-COMPIOPAGG s2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON-01VNED AUTOS Ix 65UUNJW4586 03/01/2015 03/01/201 1EOT.aWdeDrn)SiNGLELUd1T 1,000,000 BODILY INJURY (Par person) S 130DILY INJURY (Per soadent) S PROPERTY DAMAGE Per acddenlj___v_ $ $ A X UMBRELLA LIAB EXCESS LiAB X OCCUR CLAIMS -MADE 65RHUJW1423 3/01/2015 03/011201 EACH OCCURRENCE Si000 000 AGGREGATE $5 000 000 ❑ED I X RETENTION$1O 000 S A B• WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANFICEWbRABOREXCIUE tE ECUIIVE 51 (Mandatory to NH) I(yes, descnbe under DESCRIPTIONOFOPERATIONS bWow NIA 65WEZU1313 (AOS) 65WBAG7006 (HI) 0310112015 03/01/2016 X WCSTAT1 - OrH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required Forms and Endorsements Schedule: APP CiEMENT Commercial General Liability Coverage Form #HG0001 DATE, �' Commercial Automobile Broad Form Endorsement #HA9916 W N A c C , ,y l if Waiver of our Right to Recover From Others Endorsement #WC000313 H J! l Waiver of our Right to Recover From Others Endorsement - California #WC040306 Monroe County Board of County Commissioners 490 63rd Street Ocean Marathon, FL 33050 SHOULD ANY OF THE ABOVE DESCRI8ED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE no iaaa-261n ACORD CORPORATION. All rinhts rrsarvert ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S520519/M520419 14LJT Client#: 84884 14GILACOR ACORD. CERTIFICATE OF LIABILITY INSURANCE DATDDIYYYYj 2l27/27/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain- policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ' NAME: Wortham Insurance & Risk Mgmt. PHONE 512 453-0031 FAX 512 453 0041 E')" arc Ne: 221 West 6th Street, SuIte1400 ��° Austin, TX 78701 ADogrSs__.__ -_ 512 453.0031 INSURER(S)AFFORDING AFFORDING COVERAGE NAIC a INSURER A: Great American Fidelity Insuran 41858 INSURED - Gila LLC INSURER B : 8325 Tuscany Way, Building 4 INSURER C Austin, TX 78754 INSURERD: INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE 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'AFFCRDED 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. LTR TYPE OF INSURANCE A SR Iv1 B POLICY NUMBER MI, DDY EFF tt!!DD M98D EXP LIMITS GENERAL LUIBIUTY EACH OCCURRENCEENTE $ COMMERCIAL GENERAL LIABILITY ppr ence PRRIEdIRES E. _ S CLAIMS-AIADE OCCUR i.IED EXP (Any one person) S PERSONAL & ADV INJURY S GENERAL AGGREGATE $ GENT. AGGREGATE LIMIT APPLIES PER: PRODUCTS -COMPIOP AGG S POLICY PERO- LOC $ AUTOMOBILE LIABILITY COaMBIaccNEdenDt SINGLE LIMIT E BODILY IN J URY (Per pe rson) $ ANY AUTO ALL OPINED SCHEDULED AUTOS AUTOS 1 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Paraccident) S HIRED AUTOS NON -OWNED AUTOS $ UMBRELLA LIAR OC CUR _ EACH OCCURRENCE S AGGREGATE $ EXCESS L1AB CLAIMS MADE DED RETENTION$ $ WORKERS COMPENSATION JWC STATU- OTH- AND EMPLOYERS' LIABILITY OFFICERMiEIMBER EXCLUDED?ECUTNE� NIA E.LEACH ACCIDENT $ ELL - EA EMPLOYEE S (Mandatory to NH) ayes, delbe under DESCRIPTION OF OPERATIONS bebw E.L. DISEASE - POLICY LIMIT $ A Professional Liab MPL1751130 0310112015 03/01/2016 $3 Million Limit (E&O) $3 Million Aggregate Claims -Made $100 000 Retention DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) EPPDR EMENT 5ee-- -- Cc cell Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Commissioners ACCORDANCE WITH THE POLICY PROVISIONS. 490 63rd Street Ocean Marathon, FL 33050 AUTHORIZED REPRESENTATIVE W 1Vdt5-2U1U ACORo GURPOKATION. Ali rignts reserved. ACORD 25.(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S5206471M520599 14LJT ,aco CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 04/11 i2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT MARSH USA INC. NAME: PHONE 1050 CONNECTICUT AVENUE, SUITE 700 A/C No Ext : AC No): WASHINGTON, DC 20036-5386 ADDRESS: Attn: CSS, TELEPHONE 202-263-7600 INSURER(S) AFFORDING COVERAGE NAIL # 115014-NAV-a&o-15-16 INSURER A: Federal Insurance Company 20281 INSURED GILA LLC INSURER B ; Vigilant Insurance Co 20397 DBA MUNICIPAL SERVICES BUREAU INSURER C : American Guarantee & Liability Ins Co 26247 8325 TUSCANY WAY, BLDG 4 INSURER D : Berkshire Hathaway Specialty Insurance Company 22276 AUSTIN, TX 78754 INSURER E : N/A N/A INSURER F COVERAGES CFRTIFICATF NIIMRFR• CLE-005078686-01 lal=vlslnm NII IMR1=R•R THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD/YYYY LIMITS A GENERAL LIABILITY 3597-08-27 04/30/2015 04/30/2016 EACH OCCURRENCE $ 1,000,000 TMERCIAL CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ PRO- JECT [X] LOC PRODUCTS -COMP/OP AGG $ 2,000,000 $ OTHER: r AUTOMOBILE LIABILITY 7358-83-74 04/30/2015 04/30/2016 COMBINED SINGLE LIMIT Ea accident $ 1,000.000 BODILY INJURY (Per person) " $ X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS $ BODILY INJURY (Per accident) NON -OWNED HIRED AUTOS AUTOS $ PROPERTY DAMAGE Per accident $ X UMBRELLA LIAB X OCCUR AUC 9820020-01 04/30/2015 04/30/2016 EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 5,000,000 EXCESS LIAB CLAIMS -MADE DIED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY N ANY PROPRIETOR/PARTNERIEXECl1TNE YIN OFFICERIMEMBER EXCLUDED? M (Mandatory In NH) N / A 7174-06-33 04/30/2015 04/30/2016 X1PER STATUTE ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D PROFESSIONAL LIABILITY 7-PPL-301336-01 04/30/2015 06/01/2016 10,000,000 ERRORS AND OMISSIONS SIR 25,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) MONROE COUNTY BOARD OF COUNTY COMMISSIONERS IS INCLUDED AS ADDITIONAL INSURED WHERE REQUIRED BY WRITTEN CONTRACT WITH RESPECTS TO GENERAL LIABILITY AND AUTO LIABILITY. WAIVER OF SUBROGATION IS APPLICABLE WHERE REQUIRED BY WRITTEN CONTRACT A D SUBJEC CY TERMS AND CONDITIONS WITH RESPECT TO WORKER'S COMPENSATION, GENERAL LIABILITY AND AUTO LIABILITY. B L 0yr6(; C L;tK I It-IL;A It HULLI I.ANI tLLA I IUN Monroe County Board of County SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Commissioners THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 49063rd Street Ocean ACCORDANCE WITH THE POLICY PROVISIONS. Marathon, FL 33050 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD