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Certificates of Insurance �►� CERTIFICATE OF LIABILITY INSURANCE DATE(M1/2023 Y) 06/21/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND ORALTER 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 have ADDITIONAL INSURED provisions or 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 Nolisha Worrell NAME: Northeast Underwriters,Inc. a/cNN Ext: (727)521-4253 (A/c,No): (727)527-9455 4790 1st Street North E-MAIL nworrell@neu-ins.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# St.Petersburg FL 33703 INSURERA: Travelers 0003 INSURED INSURERB: Travelers Indemnity Co.ofAm 25666 Interisk Corp INSURER C: 1101 Red Maple Cir NE INSURER D: INSURER E: St Petersburg FL 33703 INSURER F: COVERAGES CERTIFICATE NUMBER. 23-24 Master 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 MAYBE 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 AUUL5UbK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE Fx_]OCCUR PREM SESTOEa oNcurrrence $ 100'000 MED EXP(Any one person) $ 5,000 A Y 1660-3T549797 03/22/2023 03/22/2024 PERSONAL&ADV INJURY $ 1,000,000 RTHER AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 OLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OPAGG $ 2,000,000 JECT: Hired/Non-Owned Auto $ Included AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1", T" Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS ,� BODILY INJURY(Per accident) $ '� i ',:" ��rvrv�--�'^'^^'"" HIRED NON-OWNED DATPROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY 6 . 2 1 . 2 3 Per accident ww. y '-"w"--"—"�^ UMBRELLA LAB OCCUR ANNK'' -- EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY Y/N 1 OO,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ B OFFICER/MEMBER EXCLUDED? N/A UB2T9108762342 03/22/2023 03/22/2024 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The certificate holder is hereby named as additional insured,as per written contract,in regards to the general liability policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St AUTHORIZED REPRESENTATIVE Key West FL 33040 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DATE(MMIDD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 05/11/2022 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 have ADDITIONAL INSURED provisions or 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 Nolisha Worrell NAME: Northeast Underwriters,Inc. a/cNr o Ext: (727)521-4253 a/c,No): (727)527-9455 4790 1st Street North E-MAIL nworrell@neu-ins.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# St.Petersburg FL 33703 INSURERA: Travelers 0003 INSURED INSURER B: Travelers Indemnity Co.of Am 25666 Interisk Corp INSURER C: 1101 Red Maple Cir NE INSURER D: INSURER E: St Petersburg FL 33703 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2251113374 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 MAYBE 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 TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FX OCCUR PREM SDAMAGES Ea oNcurDreme $ 100'000 MED EXP(Any one person) $ 5,000 A 1660-3T549797 03/22/2022 03/22/2023 PERSONAL&ADV INJURY $ 1,000,000 MOTHER LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ❑ PRO ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT: Hired/Non-Owned Auto $ Included AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ APPROVED BY RISK MANAGEMENT Ea accident ANYAUTO B,. r�'`.. BODILY INJURY(Per person) $ OWNED SCHEDULED /�""� �' AUTOS ONLY AUTOS DATE S�ZS/ZO22 BODILY INJURY(Per accident) $ HIRED NON-OWNED -_"" '"""""-'" PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY WAVER WA YES Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 B OFFICER/MEMBER EXCLUDED? N/A UB2T9108762242 03/22/2022 03/22/2023 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Monroe County BOCC ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton St AUTHORIZED REPRESENTATIVE Key West FL 33040 @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) AC�"® CERTIFICATE OF LIABILITY INSURANCE 4/7/2021 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 have ADDITIONAL INSURED provisions or 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 CONTA NAME: Diane Lippincott Brier Grieves Agency PHONE 8138764166 g Y A/C,No,Ext: (A/C,No): 3617 Henderson Blvd ADDRESS: dianel@bgains.com INSURER(S)AFFORDING COVERAGE NAIC# Tampa FL 33609 INSURER A: NATIONWIDE INS CO OF AMER 25453 INSURED INSURER B: DEPOSITORS INS CO 42587 Insurance Advisory Group Inc-And INSURER C: 1101 Red Maple Cir NE INSURER D: INSURER E: St Petersburg FL 33703-6318 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A Y ACPBPOZ5904822604 03/20/2021 03/20/2022 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIESPER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑PEA ❑LOC Approved Risk Management PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: .� cSEc�Gv1e� Tenants Liability $ 300,000 AUTOMOBILE LIABILITY (Ea accident) $ 1,000,000 ANY AUTO 4-8-2021 BODILY INJURY(Per person) $ A OWNED SCHEDULED AUTOS ONLY AUTOS y ACPBPOZ5904822604 03/20/2021 03/20/2022 BODILY INJURY(Per accident) $ HIRED NON-OWNED FF<UFEF<I Y DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB HCLAIMS-MADE y AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION x STATUTE ER ND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? N/A ACPWCD5904822604 03/20/2021 03/20/2022 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is additional insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe County Board of County Commissioners,Risk Management THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Department ACCORDANCE WITH THE POLICY PROVISIONS. 1100 Simonton Street AUTHORIZED REPRESENTATIVE Key West FL 33040 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD INTE801 OP ID:S1 ACOREY DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 07/10/2019 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 NAME:CONTACT P&C-Direct Business Professional Services PHONE 8130.528.1056 FAX 602.760.3057 MiniCo INS Agency LLC (NC,No,Ext): (NC,No): 10851N Black Canyon Hwy Ste200 E-MAIL ADDRESS: Phoenix,AZ 85029 P&C-Direct Business INSURER(S)AFFORDING COVERAGE NAICtf INSURER A:Beazley Ins Co Inc.INSURED Interisk Corp/Insur Advisory INSURER B: Lawton Swan III,CPCU,CLU 1111 N Westshore Blvd#208 INSURER C Tampa,FL 33607-4711 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 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DDIYYYYI (MMIDDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE RENTED $ CLAIMS-MADE OCCUR PREMISESO(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED �E 'F PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) UMBRELLA LIAB OCCUR DY -BY AfBK� EACH OCCURRENCE $ __ i s EXCESS LIAB CLAWS-MADE QA -- --- � — AGGREGATE DED RETENTION$ W WORKERS COMPENSATION ,� PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE rn Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) CC - ` •I E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Misc Prof Liab V11D8T19PNPM 07/01/2019 07/01/2020 Per Claim 1,000,000 Aggregate 1,000,000 • DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 5,000 deductable CERTIFICATE HOLDER CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Monroe CountyBoard of CountyTHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Commissioners Risk Management Department AUTHORIZED REPRESENTATIVE 1100 Simonton Street • Key West,FL 33040 _ ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD elAccCERTIFICATE OF LIABILITY INSURANCE DATE 3/26/20119YYY) A 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 have ADDITIONAL INSURED provisions or 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 NAMEACT : Diane Lippincott Brier Grieves Agency (AICNNo,Ext): (813)876-4166 (A/c,No): IL 3617 Henderson Rd ADD ESS: dianel@bgains.com INSURER(S)AFFORDING COVERAGE I NAIC# Tampa FL 33609 INSURER A: NATIONWIDE INS CO OF AMER 25453 INSURED INSURER B: DEPOSITORS INS CO • Insurance Advisory Group AND Interisk Corporation INSURER C: 1111 N WEST SHORE BLVD INSURER D: INSURER E: TAMPA FL 33607 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. INSR HUULSUI311 POLICY El-I- POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A Y ACPBPOZ5914822604 03/20/2019 03/20/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY 'E0 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED JINGLE LIMI I $ (Ea accident) 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A —AWNED —SCHEDULED AUTOS ONLY AUTOS Y ACPBPOZ5914822604 03/20/2019 03/20/2020 BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERIY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION X PEN OII H- PEATUTEER AND EMPLOYERS'LIABILITY B OFFICER/MEMBER EXCLUDED? Y/N ANY / ECUTIVE N/A ACPWCD5984822604 03/20/2019 03/20/2020 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 • DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder shown as additional insured APP D RISKNAGEMJT Dt- i . BY c d DATE -- WAI CERTIFICATE HOLDER CANCELLATION— SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN County of Monroe ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management AUTHORIZED REPRESENTATIVE PO Box 1026 r3rLer(-w.s Key West,Fl 33041 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) The ACORD name and logo are registered marks of ACORD ..��" INTE801 OP ID: S1 ACOROe CERTIFICATE OF LIABILITY INSURANCE DATE(MMI °DIYYYY) kor.----- 06/29/2018 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 NAME: ACT P &C - Direct Business _ Professional Services PHONE FAX JLT Facilities (A/C. No. Ext): (A/C, No): 22 Century Hill Dr. Ste. 103 E -MAIL Latham, NY 12110 -1423 ADDRESS: P &C - Direct Business INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Beazley Ins Co Inc. INSURED Interisk Corp /Insur Advisory INSURER B: Lawton Swan III, CPCU, CLU 1111 N Westshore Blvd #208 INSURER C: Tampa, FL 33607 -4711 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 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER IMMIDD/YYYY) (MM /DDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GE 'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO JECT LOC PRODUCTS - COMP /OP AGG $ OTHER: $ AUTOMOBILE LIABILITY APP' i V E RIS + Ea �accident COMBINED SINGLE LIMIT $ ANY AUTO BY ' + IDILY INJURY (Per person) $ — ALL OWNED SCHEDULED r ^ BODILY INJURY (Per accident) $ AUTOS — NON -OWNED DATE / �/ PR Y DAMAGE $ HIRED AUTOS AUTOS C /L — - (Per accident) $ WAIV .r/� UMBRELLA LIAB �� — _ OCCUR EACH OCCURRENCE $ 61..g._ — EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ J L._f2 $ WORKERS COMPENSATION ) STATUTE ER H AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE Y / N N / A E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) I r� / APO i E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below • E.L. DISEASE - POLICY LIMIT S A Misc Prof Liab V11D5U18PNPM 07/01/2018 07/01/2019 Per Claim 2,000,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 5,000 deductable CERTIFICATE HOLDER CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners AUTHORIZED REPRESENTATIVE 1100 Simonton Street +.Jo& ./1-1" a""""te^ *, Key FL 33040 ��!! CC.: © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD ACC " CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 3/19/2018 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 Diane Lippincott NAME: pp Brier Grieves Insurance No Ext: (813) 876-4166 PA IC A/C No: (813)870-0170 AIL ADDRESS: dianel@bgains . com 3617 Henderson Blvd. INSURERS AFFORDING COVERAGE NAIC # INSURERA:Nationwide Insurance 25453 Tampa FL 33609 INSURED Interisk. Corporation INSURER B:De ositors Insurance Company 42587 INSURER C : Insurance Advisory Group Inc INSURERD: 1111 N West Shore Blvd Ste 208 INSURER E : INSURERF: Tampa FL 33607-4711 COVERAGES CERTIFICATE NUMBER:CL1831915730 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. INSR LTR TYPE OF INSURANCE ADDL D SUBR WVD POLICY NUMBER POLICY EFF MM/DD/YYYYI POLICY EXP (MMIDDNYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE ❑X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300, 000 MED EXP (Any one person) $ 5,000 ACPBPOZ5974822604 3/20/2018 3/20/2019 PERSONAL & ADV INJURY $ 1,000,000 GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT PRO ❑ LOG PRODUCTS - COMP/OPAGG $ 2,000,000 Hirediborrowed $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ AI ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS ACPBPOZ5974822604 3/20/2018 3/20/2019 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS X AUTOS UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N STATUTE X ER ANY PROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) NIA ACPWCD5974822604 3/20/2018 3/20/2019 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space s required) Certificate Holder shown as additional insured SK E E APPBBy _ BY_ �� WAIVER N/A Y S County of Monroe Risk Management PO Box 1026 Key West( FL 33041 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 Brier Grieves/NANCY /yam_ iC ACORD 25 (2014/01) INS025 (201401) @ 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INTE801 OP ID: TS CERTIFICATE OF LIABILITY INSURANCE �os►17� THIS CERTIFICATE 13 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 endorseme s PRODUCER Professional Services JLT Facilities 22 Century Hill Dr. Sts.103 Latham, NY 12110-1423 CONTACT NAME: P&C - Direct Business PHONE F Arc N O : Arc No ADDRESS: SNSU S AFFORDING COVERAGE NAIL i INSURER A: Beazley Ins Co Inc. INSURED Interisk Corpi lnsur Advisory Lawton Swan III, CPCU, CLU 1111 N Westshore Blvd t1= INSURER B : INSURER c Tampa, FL 338074711 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 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 POLICY NUMBER POLICY EFF POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE T N E PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ GEN'L POLICY PRO ❑ LOC JECT PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABIL ITY ANY AUTO APT RI K AG MENT COMBINED SINGLE LIMIT Ea accident $ BODILY BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BY BODILY INJURY (Per accident) $ NON -OWNED HIREDAUTOS AUTOS _ DATE i PR ERnDAMAGE $ UIIaRELLALUIB OCCUR 111 EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE / r� DED RETENTION $ $ WORIGIRS COMPENSATION AND EMPLOYERS' LLABKJTY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) NIA -fl— 1�l / f PER OTH- STATUTE I ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below I rU E.L. DISEASE - POLICY LIMIT $ A P►ofessionalLlab V11D2T17PNPM 07/01/2017 07/01/2018 Per Claim 2,000,000 Aggregate 2,0WAN DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Ranks Schedule, may he dtachsd I more paw Is required) 5,000 deductablo MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commisslonem AUTHORIZED REPRESENTATIVE 1100 Simonton Street�--- IKsv West FL 33040 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD ACOR 7 0 `� CERTIFICATE OF LIABILITY INSURANCE ATE (MM/DDNYYY) P3/16/2017 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(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 Brier Grieves Insurance 3617 Henderson Blvd. Tampa FL 33609 CONTAT NAME:ME: Diane DiLippincott PHONE (813) 876-4166 aC No: (813)870-0170 AIL ADDRESS:dianel@bgains.com INSURERS) AFFORDING COVERAGE NAIC # INSURER A Nationwide Insurance 25453 INSURED INTERISK CORPORATION INSURANCE ADVISORY GROUP INC 1111 N West Shore BLVD STE 208 TAMPA FL 33607-4711 INSURER B Depositors Insurance Company 42587 INSURERC: INSURERD: INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER:CL1731614226 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 POLI CIES. LIMITS SHOWN MAY HAVE BEEN REDU CED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE A DL SUBR POLICY NUMBER MM/DDY/YYYY MMfDD� LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE DOCCUR RGE To RENTED PREMI E Ea ccu orrence $ 300,000 M ED EXP (Any one person) $ 5,000 ACPBPOZ5964822604 3/20/2017 3/20/2018 PERSONAL & ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L X ❑ PRO JECT LOC 2,000,000POLICY HRDBB $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SIN—CL—ELIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS ACPBPOZ5954822604 3/20/2017 3/20/2018 BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) N / A ACPWCD5964822604 3/20/2017 3/20/2018 ER TH- STATUTE ER E.L. EACH ACCIDENT s 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 tf yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIP71ON OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Certificate Holder shown as additional insured aNPI� GEMENT ey-G A-AYE WAI ,�1 IA& I 0 I+CR I Ir n m I C riVLVCK County of Monroe Risk Management PO Box 1026 Key Wgst, FL 33041 GG• ACORD 25 (2014/01) INS025 (2n14n1) 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 ier Grieves/LIPPDI iyw_ -.e ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INTE801 OP ID: JN CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DD/YYYY) 06/24/2014 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 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 Professional Services JLT Facilities CONTACT P&C - Direct Business NAME: PHONE FAX A/c N o Ent): A/C No : E -MAIL ADDRESS: 22 Century Hill Dr. Ste. 103 Latham, NY 12110 -1423 COMMERCIAL GENERAL LIABILITY INSURERS) AFFORDING COVERAGE NAIC # INSURERA: Beazley Ins Co Inc. EACH OCCURRENCE $ INSURED Interisk Corp /Insur Advisory Lawton Swan III, CPCU, CLU 1111 North Westshore Blvd INSURER B: INSURER C INSURER D : Tampa, FL 33607 -4711 INSURER E : $ INSURER F : $ COVFRAnFA CERTIFICATE NUMRER: 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. INSR LTR TYPE OF INSURANCE Monroe County Board of County POLICY NUMBER MM /DD MM/DDNYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE El OCCUR DAMAGE TO RENTEIT_ PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGG $ POLICY ❑PRO F-1 LOC JECT $ OTHER: AUTOMOBILE LIABILITY MBINED SINGLE LIMIT Ea CO accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS RIS BY AGEMENT BODILY INJURY (Per accident) $ ROPER DAMAGE P P $ $ J MAMM UMBRELLA LIAB OCCUR �� w a v6 EACH OCCURRENCE $ H CLAIMS-MADE AGGREGATE $ EXCESS LIAR ~ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED' ❑ (Mandatory in NH) N / A D PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below `d1 A Miscellaneous V11CS514PNPM 07/ 1/ 14 07/01/2015 per claim 1,000,00 Prof Liab aggregate 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Deductible: $5,000 v 1 i •,kiNn03 3 '1 3 - 2813 'M1: CFRTIFICATF HOLDER CANCELLATION (4 I NV L' N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Risk Mana ab 803 0311,E ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners 1100 Simonton Street AUTHORIZED REPRESENTATIVE /)- / Key West, FL 33040 e, ACORD 25 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACC °® CERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDNYYY) 3/3/2015 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 Brier Grieves Insurance 3617 Henderson Blvd. Tampa FL 33609 CONTACT Diane Lippincott NAME: pP PHONE ($13)876 -4166 (A/C No;(813)670 -0170 IN EMAIL .dianel @b ains.com ADDRE g INSURERS AFFORDING COVERAGE NAIC # INSURER ANationwide Insurance 25453 INSURED INTERISK COROPORATION INSURANCE ADVISORY GROUP INC 1111 N WEST SHORE BLVD STE 208 TAMPA FL 33607 -4711 INSURER B : De ositors Insurance Company 42587 INSURER C: INSURER D: INSURER E: $ 1,000,000 INSURER F: COMMERCIAL GENERAL LIABILITY nn VFRArFR CERTIFICATE NUMRERCL153310646 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. INSR LTR TYPE OF INSURANCE POLICY NUMBER MM /DDY DD/YYYY MM% LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 300 , 000 MED EXP (Any one person) $ 5,000 A CLAIMS -MADE 71 OCCUR ACPBPOZ5944822604 /20/2015 /20/2016 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 $ X POLICY PRO LOC AUTOMOBILE LIABILITY EOai cccid ED t SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS CPBPOZ5944822604 /20/2015 /20/2016 BODILY INJURY (Per accident) $ POPE ac cide n t ) Y DAMAGE Per $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION X WC STATUS O R ORY LIMITS AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ 1 000 000 E.L. DISEASE - EA EMPLOYE $ 1 ' 000,000 OFFICER /MEMBEREXCLUDED7 (Mandatory in NH) N /A CPWCD5944822604 /20/2015 /20/2016 E.L. DISEASE - POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is req ' Certificate Holder shown as additional insured B j MAMA ENT BY DATE WAIVER Wq YES— 'Z C4k- Q11NV40AeOI9VN 5101 Risk Management L3* 1 Key West, FL O '33'D+il u 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 Brier Grieves /NANCY -,.0 ACORD 25 (2010/05) INSn25 i9ntnn5t m ©1933 -2010 ACORD CORPORATION. All ngnts reservea. Tho Af`n0111 n2mo nnel Inn^ nm ronia+arcfl m2r4e ^f annon INTE801 OP ID: S6 ACORO" CERTIFICATE OF LIABILITY INSURANCE 706/2612015 (MM /DD/YYYY) 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 endorse PRODUCER Professional Services JLT Facilities 22 Century Hill Dr. Ste. 103 Latham, NY 12110 -1423 NAME: CT P&C - Direct Business PHONE FAX A/c No EXt : A/c No): E -MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURER A: Beazley Ins Co Inc. i Key West FL 33040 U INSURED Interisk Corp /Insur Advisory Lawton Swan III, CPCU, CLU 1111 N Westshore Blvd #208 INSURER 8: EACH OCCURRENCE INSURERC: CLAIMS -MADE FI OCCUR Tampa, FL 336074711 INSURER D: 7:p DAMAGE TO PREMISES (Ea RENTED occurrence 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. INSR LTR TYPE OF INSURANCE AD DL UB POLICY NUMBER MM DD //YYYY MM DDY/YYYY LIMITS Commissioners AUTHORIZED REPRESENTATIVE COMMERCIAL GENERAL LIABILITY i Key West FL 33040 U EACH OCCURRENCE $ _ CLAIMS -MADE FI OCCUR 7:p DAMAGE TO PREMISES (Ea RENTED occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ i POLICY F7 ECT 7 LOC OTHER: PRODUCTS - COMP /OP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) _ $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS AUTOS PROPERTY DAMAGE Per accident $ NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR /PARTNER /EXECUTIVE PER OTH- STATUTE ER E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? F (Mandatory in NH) NIA E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below A prof liab V11CVY15PNPM 07/01/2015 07/01/2016 per claim 1,000,00 aggregate 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more 's required) 5,000 deductable AP PRO D E DA // Cl / R N Y_ I L v CERTIFICATE HOLDER CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Risk Management Monroe County Board of County Commissioners AUTHORIZED REPRESENTATIVE 1100 Simonton Street} i Key West FL 33040 U ACORD 25 (2014/01) ©1988 -2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A �� DATE (MM /DD/YYYY) AC� CERTIFICATE OF LIABILITY INSURANCE 4/5/2016 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 NAME: CT Diane Lippincott Brier Grieves Insurance PHONE C No E (813)876 -4166 FAX te13le70-0170 AI 3617 Henderson Blvd. ADDRESS,dianel @bgains.com INSURER(S) AFFORDING COVERAGE NAIC # Tampa FL 33609 INSURER A Nationwide Insurance 25453 INSURED Interisk Corporation INSURER BDe ositors Insurance Comp any 42587 INSURANCE ADVISORY GROUP INC INSURER C: _ 1111 N WEST SHORE BLVD STE 208 INSURERD: INSURER E : TAMPA FL 33607 -4711 INSURER F: ^ ^ MAnoc #%CDTICI!`ATC WI IUMCD -( T.1 F4Rn195Rd RFVIAI0N 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. INR S LS TYPE OF INSURANCE DL POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE OCCUR GE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 ACPBPOZ5954822604 3/20/2016 3/20/2017 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 2,000,000 $ POLICY ❑ JECT PRO" F-1 LOC HRDBB $ 1,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) ANY AUTO $ _ _ A ALL OWNED SCHEDULED ACPBPOZ5954822604 3/20/2016 3/20/2017 $ BODILY INJURY (Per accident) AUTOS AUTOS NON-OWNED $ PROPERTY DAMAGE Per accident HIRED AUTOS AUTOg UMBRELLA LIAR EACH OCCURRENCE $ H OCCUR AGGREGATE EXCESS LIAB CLAIMS -MADE S DIED RETENTION$ $ WORKERS COMPENSATION H S STATUTE ER AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1, 000,000 B 'OFFICERIMEMBER EXCLUDED? ❑ '(Mandatory in NH) NIA ACPWCD5954822604 3/20/2016 3/20/2017 E.L. DISEASE - POLICY LIMIT $ 1,000,000 M escri�nder A IPTI F OPERATIOS below I I tY MCC _ DESCRIP'&?N OF OPERATION9ii ATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, mabhed if mor e pac is required) Certi�cab9HolddY hown as additional insured EMANA NT All �G I: , BY W st VL; -J .a C3 DATE ° WAIVER N/A YES CERTIFICATE HOLOEK ULAN .CLLHIIVIV County of Monroe Risk Management PO Box 1026 Key West, FL 33041 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 rier Grieves /NANCY V IVOO -LU 14 AtIVr[v „ —... •.w. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 �n,jni, INTE801 oN lu. z DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 06/3012016 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 endorseme PRODUCER Professional Services JLT Facilities 22 Century Hill Dr. Ste. 103 Latham, NY 12110 -1423 P &C - Direct Business INSURED InteriskCorp /InsurAdvisory Lawton Swan III, CPCU, CLU 1111 N Westshore Blvd #208 Tampa, FL 33607 -4711 P &C - Direct Business C: D: E: COVERAGES GERTINUAt t NUrvlrsc HAVE BEEN ISSUED TO THE INSURE - - - - THE NAMED ABOVE TO PE C ERTIFY P OF LISTED BELOW THHIS THIS IS TO THAT THE OF ANY CONTRACT OR OTHER DOCUMENT WITH RE INDICATED. NOTWITHSTANDING ANY REQUIREME TERM OR CONDITION AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS ADDL SUBR POLICY EFF POLICY EXP LIMITS INSR LTR TYPE OF INSURANCE POLICYNUMBER ! COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE_ — I CLAIMS -MADE OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ $ �GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY L7 P- LOC � JECT RO � � PRODUCTS - COMP /OP AG G $ OTHER: COMBINED SINGLE LIMIT I Ea accident $ -- AUTOMOBILE LIABILITY BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ANY AUTO ALLOW NED f SCHEDULED AUTOS AUTOS AP BY I K MAN ENT PROPERTY DAMAGE $ H NON-OWNED Per accident $ HIRED AUTOS AUTOS BY UMBRELLA LIAB OCCUR DATE / EACH OCCURREN _ $ EXCESS LIAB CLAI MS -MADEI WAIVER NIA YES_ AGGREGATE $ $ D RETENTION $ ED WORKERS COMPENSATION PER � OTH- ISTATUTE ER AND EMPLOYERS' LIABILITY YIN ! ' ANY PROPRIETOR/PARTNER/EXECUTIVE I ❑I N / A I I E.L. EACH ACCIDENT $ $ r OFFICER/MEMBER EXCLUDED? (Mandatory in NH) r Hyes,describeunder !I C E.L. DISEA EA EMPLO E.L. DISEASQ POLICY LIM IT $ !DESCRIPTION OF OPERATIONS below 2 000 00 A IMisc Prof Liab V11CZL16PNPM „/i i 0 /2016 0710112017 Per Clai G . ' v � ^ Aggregat r 2,000,00 e CG DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 5,000 deductable 4 c -, v �. w MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Risk Management Monroe County Board of County AUTHORIZED REPRESENTATIVE Commissioners 1100 Simonton Street / 4^00 nn4A Ar`l1Dn r`nODnRATInN All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD ACORD CERTIFICATE OF LI�4BILIT� 1NSURANC �D 73 DATE(MM/DDlYY) NTE801 06/30/98 PRODUCER Jardine Group Services Corp. MCPL 48 Cornell Road THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Latham NY 12110 COMPANIES AFFORDING COVERAGE COMPANY Bill Gordon Phone No. 800-998-5545 FaxNo.518-782-3139 A NATIONAL UNION FIRE INS. CO. INSURED COMPANY Lawton Swan III, CPCU, CLU; Interisk Corporation, B COMPANY Insurance Advisory Group Inc C 1111 N Westshore Blvd, #208 Tampa FL 33607-4711 COMPANY D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PRODUCTS - COMP/OP AGG $ PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE (Anyone fire) $ MED EXP (Any one person) $ AUTOMOBILE LIABILITY ANY AUTO GEM` °r COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS i1Y BODILY INJURY (Per person) $ HIRED AUTOS DATE YES BODILY INJURY (Per accident) $ NON -OWNED AUTOS Wr,IVER: '�,� PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO ��l III t OTHER THAN AUTO ONLY EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- OTH- TORY LIMITS ER EL EACH ACCIDENT $ THE PROPRIETOR! PARTNERS/EXECUTIVE INCL OFFICERS ARE: EXCL EL DISEASE . POLICY LIMIT $ EL DISEASE - EA EMPLOYEE $ OTHER A Mgmt Consultants Prof Liability MCPL 6826902 07/01/98 07/01/99 Claim/Agg $1,000,000 Ded $5,000 DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS Aggregate $1,000,000. CERTIFICATE HOLDER ^ CANCELLATIONI; DATE r SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Ms . Donna J . Perez, Risk Mgr, Monroe Counntyty,, FFL L 5100 College Road, Room 207 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Rey West FL 33040 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ` 1) ACORD 254:',(119 AUTHORIZED REPRESENTATIVE Bill Gordon /Yf 11� v ravva�v IV IV." CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and described below. CERTIFICATE HOLDER: / INSURED: MONROE COUNTY RISK MANAGEMENT INSURANCE ADVISORY GROUP INC ATTN MARIA DEL RIO AND INTERISK CORPORATION 5100 COLLEGE ROAD 1111 N WESTSHORE BLVD KEY WEST, FL 33040 SUITE 208 TAMPA, FL 33607 POLICY NUMBER I POLICY I POLICY LIMITS OF LIABILITY TYPE OF INSURANCE & ISSUING CO. JEFF. DATE JEXP. DATE (*LIMITS AT INCEPTION) LIABILITY 77-BO-585401-0001 03-20-99 03-20-00 [X] Liability and NATIONWIDE Any One Occurrence........ $ 1,000,000 Medical Expense MUTUAL FIRE Personal and INSURANCE CO. Included in Above Any One Person or Advertising Injury Organization [X] Medical Expenses ANY ONE PERSON ........... $ 5,000 [XI Fire Legal Any One Fire or Explosion $ 50,000 Liability iL-` K t ' R . 1" General Aggregate* ....... $ 2,000,000 C ] Other Liability ;;y I _ Prod/Comp Ops Aggregate* . $ 1,000,000 -- DATE S Q AUTOMOBILE LIABILITY C ] BUSINESS AUTO WVVER: -, _`FS Bodily Injury C 7 Owned I I (_I (Each Person) .......... $ (Each Accident) ........ $ [ ] Hired C ] Non -Owned 1 Property Damage (Each Accident) ........ $ Combined Single Limit .... $ EXCESS LIABILITY Each Occurrence .......... $ Prod/Comp Ops/Disease [ ] Umbrella Form � � � � Aggregate* ............. $ � 77-WC 585401 0002 03-20-99 03-20-00 � STATUTORY LIMITS [X] Workers' � Nationwide BODILY INJURY/ACCIDENT $ 100,000 Compensation Mutual . Bodily Injury by Disease and [XI Employers' Insurance Co. EACH EMPLOYEE .......... $ 100,000 Liability Bodily Injury by Disease � POLICY LIMIT ........... $ 500,000 �)nouia any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONS expiration date, the insurance company will endeavor to mail 30 days VEHICLES/RESTRICTIONS/SPECIAL ITEMS written notice to the above named certificate holder, but failure to CERTIFICATE HOLDER IS LISTED mail such notice shall impose no obligation or liability upon the � A �/TIONAL INSURED company, its agents, or representatives. Effective Date of Certificate: 03-20-1999 Authorized Representative: P. STEVE NASH Date Certificate Issued: 03-24-1999 Countersigned at: 13741 N. DALE MABRY HWY G� TAMPA, FL 33618 d)ATE / INITIAL �r�L.Y_Yl_ Rim :::;:::":`..::;:::;: :::::..::::: :��:1:M}.: : ':':::..:::::::. ''; .:. ..... :.:: .. :: '' :.:.:::: :::: ;:::::........ ;::;. DATE (MM/DD/Y .>;.; ::; ..........................:.::............:::::.:. .:.;:.;;; ::::::::::::::::::::::: ....:: .. ....:..:::: :..... :. :::: :.:.:......... PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION KEEN BATTLE MEAD & CO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 BOX 171870 COMPANIES AFFORDING COVERAGE MIAMI LAKES FL 33017-1870 COMPANY A U S FIRE INS CO. INSURED COMPANY H G HOLDING CORP1� B INS SERVICING & ADJUSTING CO 9690 N W 41 ST COMPANY C MIAMI FL 33178-2968 COMPANY D :E r YERA:;::..:.:.:.:::::::.::::::::.:::._:........................................ ........... ....::::::::::::..:...................:::::::::::::::::::::.................:.::::::::::::::::::::.................:.::::::::::::::::::::.................::::. .::::................................................................... ..... .......... ............................... .....................:.................................................:......................................................................... THIi S S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW ........... ....... HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDD/YY) POLICY EXPIRATION DATE (MM/DD/YY) LIMITS GENERAL LIABILITY R/O 5031638181 0 3/ O 1/ 9 9 03/01/00 GENERAL AGGREGATE s2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG s2.000, 000 CLAIMS MADE a OCCUR PERSONAL 3 ADV INJURY $1 , 0 0 0, 0 0 0 OWNER'S 6 CONTRACTOR'S PILOT EACH OCCURRENCE $1 , 000, 000 FIRE DAMAGE (Any one fire) $ 50, 000 AuroMOBRE LU1BILm mR/O 1336441563 03/01/99 03/01/00 MED EXP (Any one person) $ 5, 000 -ANY AUTO COMBINED SINGLE LIMIT 1,000,000 $ ALL OWNED AUTOS SCHEDULED AUTOS a' � y' + � r, r C ^� *;r- BODILY INJURY (Per person) $ X HIRED AUTOS X NON -OWNED AUTOS V _ BODILY INJURY (Per accident) $ [.ATE _ PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO (� 'r4: i'. YES AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: f EACH ACCIDENT $ EXCESS LIABILITY - AGGREGATE $ (( EACH OCCURRENCE $ UMBRELLA FORM` OTHER THAN UMBRELLA FORM AGGREGATE $ WORKERS COMPENSATION AND R/O 4085654049 03/01/99 03/01/00 X - $ EMPLOYERS' LIABILITY TORY LIMBS ER ........:::..... ,0 THE PROPRIETOR/ EL EACH_ACCIDENT $10 0 , 0 0 PARTNERS/EXECUTIVE INCL _ EL DISEASE -POLICY LIMIT $ 5 0 0, 0 0 0 OFFICERS ARE: EXCL OTHER EL DISEASE -EA EMPLOYEE 1 $10 0 , 0 0 0 DESCRIPT1pN OF OPERATIONS/LOCAT1ONS/VEIICLES/SPECIAL REMS THE INTEREST OF MONROE COUNTY BOCC IS INCLUDED AS ADDITIONAL ON COMMERCIAL GENERAL AND AUTOMOBILE LIABILITY POLICIES. t-.Ll sii::i:::::>::>::>:::::;:::::.;:.;:.:::.;:.;::.;:.;:;:.>:.;::::::. ...:.:....:.>:::.r............ .,..::..::.. .................L n� .�: ::.. :;.:.�: • ::.� .:: :..::. ..::.::::::.::::::........:................ ::::. ::::...:,r{:....i:{?t::Yi;i::r:2.i;v:;ii::}::.::iii::.Y:<.iii:::::::::n�:.�:::::::::::...:.::::::::: DATE--J � _ MONROE COUNTY RISK MANAG91 _. ...........................::::::::::::::::::::!yy:iii:: i::is + ::jjviii}?5:::. s:::::i::iii::i::i :.,::. .i;4}iiii..... ........................:.::.:::.::::::::::::>:;:;: ;:;;;; SHOULD ANY OF THE ABOVE DESCRIBED POLKXES BE CANCELLED BEFORE THE ATTN : MARIA DELINKib EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAR 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED 5100 COLLEGE ROAD TO THE LEFT, KEY WEST, FLORIDA 33040 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY of ANY KM uPOel..: COMPANY ITS 8 NTS OR REPRESENTATIVES. AUTHORDMD REPWS A� ::.;;:.;.;.;:;.::.<:::»::;:::::::<:>::>::::::<:>::»:>:.;:.;:.;;:.;::.;:.:;.;:.:.:;.;:.:: �, a Ben Bathe � �. ;. .::::.::::::::::::::::....................... ...1.(::::..........:.::.::::::::.........:.::::::::::..............:.:.::.:...........::.::.:::::::.........:.::::::::...............::::::.::::.:..........:.:.:._:.:.:.:.:..::._::.:.:::....................:.. i........i . DE I ....::::::::::::..........::::::::::::::.........:.:.::.:..:::.........::::.::..:............::::::::::::................:....:...........:.::::.:...........:..:.::..........:.:....::........:..::::::::::::::.................. Attn: Ext: A INSURED_. ......_._................. _....... ..._ _. _. ... .._..._ _........ Insurance & Servicing & Adjusting Company COMPANY C/o H. G. Holding Corp. B.. ...... 9690 N . W. 41 St / COMPANY C Miami, FL 33178 ,2 v _.... COMPANY D THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERICE INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. __ _ .._.............._.... ...._..,........................................._._._...... ........... ......... _ .... ........ ....... __... ................. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR . ....... LIMITS DATE (MMIDD/YY) DATE (MMIDD/YY) GENERAL LIABILITY GENERAL AGGREGATE ! $ COMMERCIAL GENERAL LIABILITY ,,,....._. ._..... PRODUCTS COMP/OPAGG $ CLAIMS MADE ! OCCUR .... ............ ......_..:.......... ............ ...._.......... PERSONAL & ADV INJURY $ OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ _.... _._.. FIRE DAMAGE (Any one fire) $ _ MED EXP (Any one person) $ AUTOMOBILE LIABILITY A + ANY AUTO ! COMBINED SINGLE LIMIT $ ALL OWNED AUTOS „V------- BODILY INJURY SCHEDULED AUTOS (Per person) $ _ DATE .-� .................._._......... _ HIRED AUTOS , BODILY INJURY $ NON -OWNED AUTOS /YES (Per accident) WAItIFR:,; PROPERTY DAMAGE ! $ GARAGE LIABILITY c� :' ^ L AUTO ONLY - EA ACCIDENT $ ANY AUTO : U OTHER THAN AUTO ONLY: .... _ ...... EACH ACCIDENT: $ _.. AGGREGATES:_$ EXCESS LIABILITY EACH OCCURRENCE $ .. UMBRELLA FORM y1 .AGGREGATE _.._ _... $ ,OTHER THAN UMBRELLA FORM _... ��- $ WORKERS COMPENSATION AND WC STATU- OTH EMPLOYERS' LIABILITY .... ._ _..... TORY LIMITS ER ... �- ,,,;.__,, EL EACH ACCIDENT $ 1-HE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE POLICY LIMIT $ OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE, $ OTHER Commercial Crime Employee Dishonesty - A 6260209263 05/01/1998 05/01/2001$1,000,000 w/$10,000 ded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS lonroe County Board of County Commissioners is included as an additional insured. DATE Monroe County Risk(PI Attn: Maria Del Rio 5100 College Road Key West, FL 33040 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL II�peOSE NO OBLIGATION OR LIABILITY OF ANVK4[JD LADN THE COMPANY, ITS AG NT OR REPRESFNTGTIVFc Charl 1 'JU 1 11 : 1LFi F-<isK Manac7ement 305 295 4364 i. Consulunts Risk Management Employce Bencriis July 1, 1997 INTERISK CORPORATION Ms. Donna J Perez, ARM Risk Manager Monroe County S 100 College Road, Room 207 Key West, Florida 33040 Rc. Gertr kates of insurance Dear Donna. 1 I I 1 North WCslshore Boulevard Suite 20tt Tampa, FL 3.1607-471 1 Phone (813) 287.1040 FAIM miIC (813) 287-1041 As a follow-up to our telephone conversation, normally one (l) Certificate of Insurance will suffice as evidence of protection when a contractor or vendor has multiple contracts with the County. Obtaining a separate oertificato for each project or contract adds to the administration of the contract with no additional benefit. An exception to this procedure is when the contract requires insurance that Is specific to the project, such as pollution_ Normally poltuuon liability is written on a project specific basis and in that case separate OvMficates should be required with the project clearly identified. Another exception would be if the project is outside the nonnal operations of the contractor. For example, if a contractor had been engaged to repair County owned buildings and subsequently engaged to resurface roads, It is recottunendad that a separate Certificate be obtained to ensure the Contractor's insurer is aware of the diffeeart activities. As ahvsys, the monitoring of expiration dates is critical, regardless of tho number of certificates received. If you have any questions or need further clarification, please do not hesitate to call. Cordially, INTEPJSK CORPORATION Sidney G. Webber CPCU, ARM CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter the Terms and Conditions of Insuragc overage contained in any policy numbered and described below. Dn• 0��^ _, CERTIFICATE HOLDER: ti; A INSURED: C�' • �tS�C.� BOARD OF COUNTY COMMISSIONERS h' INSURANCE ADVISORY GROUP INC MONROE COUNTY FLORIDA �• ` AND INTERISK CORPORATION C/O MONROE CITY RISK MGMT 1 1111 N WESTSHORE BLVD ATTN MARIA DEL RIO ("' r - V — SUITE 208 5100 COLLEGE RD TAMPA, FL 33607 KEY WEST, FL 33040 4i ` IFS POLICY NUMBER j POLICY j POLICY I LIMITS OF LIABILITY j j TYPE OF INSURANCE j & ISSUING CO. IEFF. DATE IEXP. DATE 1 ("LIMITS AT INCEPiIOiN) j LIABILITY j 77-BO-585401-0001 j 03-20-00 j 03-20-01 j 1 [X] Liability and I NATIONWIDE j j j Any One Occurrence........ $ 1,000,000 j j Medical Expense I MUTUAL FIRE j Personal and j INSURANCE CO. j I I Included in Above - Any One Person or I Advertising Injury] j I j Organization I I [X] Medical Expenses I I j j ANY ONE PERSON ........... $ 5,000 j j [XI Fire Legal I I I I Any One Fire or Explosion $ 100,000 j j Liability I j j General Aggregate* ....... $ 2,000,000 j j I Prod/Comp Ops Aggregate* . $ 1,000,000 j j [ ] Other Liability j AUTOMOBILE LIABILITY j[] BUSINESS AUTO j j I j Bodily Injury I (Each Person) .......... $ j [ ] Owned I I I I (Each Accident) ........ $ j j C] Hired j j I j Property Damage [ ] Non -Owned j j j I (Each Accident) ........ $ j j I Combined Single Limit .... $ j EXCESS LIABILITY j j j I Each Occurrence .......... $ I j Prod/Comp Ops/Disease C ] Umbrella Form I j Aggregate* ............. $ 177-WC-585401-0002 j 03-20-00 103-20-01 j STATUTORY LIMITS j I [XI Workers' j Nationwide j j j BODILY INJURY/ACCIDENT ... $ 100,000 j j Compensation Mutual I j I Bodily Injury by Disease j j and j Insurance Co. j j j EACH EMPLOYEE .......... $ 100,000 I [X] Employers' I j j j Bodily Injury by Disease j j Liability I j I I POLICY LIMIT ........... $ 500,000 j Should any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONS expiration date, the insurance company will endeavor to mail 30 days VEHICLES/RESTRICTIONS/SPECIAL ITEMS written notice to the above named certificate holder, but failure to BOARD OF COUNTY COMMISSIONERS mail such notice shall impose no obligation or liability upon the MONROE COUNTY FLORIDA SHOWN AS company, its agents, or representatives. ADDITIONAL INSUREDS Effective Date of Certificate: 03-20-2000 Authorized Representative: P. STEVE NASH Date Certificate Issued: 03-09-2000 Countersigned at: 13741 N. DALE MABRY HWY TAMPA, FL 33618 DATE IPQITIAL -_ ACORD -D 0DATEDD/YY) OF LIABILITY INSUR NCBI81 05/09/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JLT Services Corporation ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MCPL HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13 Cornell Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Latham NY 12110 Phone: 800- 998-5545 Fax:518-782-3139 INSURERS AFFORDING COVERAGE INSURED Lawton Swan III, CPCU, CLU Interisk Corporation Advisory Group, Inc. 1111 North Westshore Blvd Tampa FL 33607-4711 COVERAGES INSURER A: NATIONAL UNION FIRE INS. CO. INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFE DATE MM/DDCTIVE POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS n _ - , _ v (;' L V !` aTF / yC� .I�•'�'�4: ,-`' - .,,, __ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ ` r / EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A OTHER Mgmt Consultants Prof. Liability MCPL 6827885 07/01/00 07/01/01 Ea Claim $1,000,000 Aggregate $1 000 000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS $5,000 deductible rrll_F I C nVLVCR DI I AUUI IIUNAL INWKEU; IMIJKEK LETTER: I.ANII. CLLA I IV" COUNTYO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION County of Monroe - Monroe DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN County Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Maria del Rio 5100 College Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENT S. . 0. ACORD 25-S 17/97) CnRPnRATInN 1QRR 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. ACORD 25-S CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and described below. CERTIFICATE HOLDER: r^ + �~ ` INSURED: COUNTY OF MONROE _ INSURANCE ADVISORY GROUP INC MONROE COUNTY RISK MAWM N AND INTERISK CORPORATION 5100 COLLEGE ROAD 1111 N WESTSHORE BLVD KEY WEST, FL 33040 SUITE 208 TAMPA, FL 33607 vY / POLICY NUMBER I POLICY I POLICY LIMITS OF LIABILITY TYPE OF INSURANCE & ISSUING CO. IEFF. DATE IEXP. DATE (*LIMITS AT INCEPTION) LIABILITY 77-BO-585401-0001 03-20-01 1 03-20-02 [XI Liability and NATIONWIDE Any One Occurrence........ $ 1,000,000 Medical Expense MUTUAL FIRE Personal and INSURANCE CO. Included in Above - Any One Person or Advertising Injuryl Organization [XI Medical Expenses ANY ONE PERSON ........... $ 5,000 [XI Fire Legal Any One Fire or Explosion $ 100,000 Liability General Aggregate* ....... $ 2,000,000 Prod/Comp Ops Aggregate* . $ 1,000,000 [ I Other Liability AUTOMOBILE LIABILITY 1 [ ] BUSINESS AUTO Bodily Injury (Each Person) .......... $ C I Owned (Each Accident) ........ $ [ I Hired Property Damage C I Non -Owned (Each Accident) ........ $ I_ Combined Single Limit .... $ EXCESS LIABILITY Each Occurrence . Prod/Comp Ops/Disease [ 1 Umbrella Form I Aggregate* ............. $ 77-WC-585401-0002 03-20-01 03-20-02 STATUTORY � LIMITS [XI Workers' Nationwide BODILY INJURY/ACCIDENT ... $ 100,000 1 Compensation Mutual Bodily Injury by Disease and Insurance Co. EACH EMPLOYEE .......... $ 100.000 [XI Employers' Bodily Injury by Disease Liability POLICY LIMIT ........... $ 500,000 Should any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONS expiration date, the insurance company will endeavor to mail 30 days VEHICLES/RESTRICTIONS/SPECIAL ITEMS written notice to the above named certificate holder, but failure to MONROE COUNTY BOARD OF COUNTY mail such notice shall impose no obligation or liability upon the COMMISSIONERS ALSO SHOWN AS company. its agents, or representatives. ADDITIONAL INSURED Effective Date of Certificate: 03-20-2001 Date Certificate Issued: 05-09-2001 Authorized Representative Countersigned at: P. STEVE NASH 3347 W. BEARSS AVE. 7::!� ARE ACORD CERTIFICA = OF LIABILITY INSU[ XNC� OP ID C DATE(MM/DD/YY) NTE801 10/O1/O1 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JLT Services Corporation ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MCPL HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13 Cornell Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Latham NY 12110 INSURERS AFFORDING COVERAGE Phone:800-998-5545 Fax:518-782-3139 INSURED INSURERA: National Union Fire Insur. Co. Lawton Swan III, CPCU, CLU INSURERB: Interisk Corporation, INSURERC: Insurance Advisory Group Inc. 1111 North Westshore Blvd INSURER D: Tampa FL 33607-4711 INSURER E: GUVERAGE5 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 LTR TYPE OF INSURANCE POLICY NUMBER LI Y EFFE IV DATE MM/DD/YY POLICY EXP I N DATE MM/DD/YY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRO LOC POLICY El JECT PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AP D �. n BY DATE WAIVES A ♦ EM 1 YES COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO \ AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN AUTO ONLY: AGG $ $ EXCESS LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ i EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A OTHER Mgmt Consultants Prof. Liability MCPL 925-48-96 07/01/01 07/01/02 Ea Claim $1,000,000 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Deductible $5,000 I Lrt: %1M17liCLLM I IVIY COUNTYO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION County of Monroe -Monroe DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN County Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Maria de Rio 5100 College Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REPRESENTATIVES. ACORD 25-S (7/97) TION 1988 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. ACORD 25-S (71971 CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and described below. CERTIFICATE HOLDER: COUNTY OF MONROE MONROE COUNTY RISK MANAGEMENT 5100 COLLEGE ROAD KEY WEST, FL 33040 INSURED: INSURANCE ADVISORY GROUP INC AND INTERISK CORPORATION 1111 N WESTSHORE BLVD SUITE 208 TAMPA, FL 33607 l POLICY NUMBER I POLICY I POLICY I LIMITS OF LIABILITY l TYPE OF INSURANCE & ISSUING CO. JEFF. DATE JEXP. DATE I (*LIMITS AT INCEPTION) LIABILITY 1 77-BO-585401-0001 1 03-20-02 1 03-20-03 1 1 1 [X] Liability and l NATIONWIDE i Any One Occurrence........ $ 1,000.000 l Medical Expense 1 MUTUAL FIRE I I 1 Personal and l INSURANCE CO. 1 Included in Above - Any One Person or i Advertising Injuryl I Organization 1 [XI Medical Expenses l ANY ONE PERSON ........... $ 5.000 1 [XI Fire Legal I I I Any One Fire or Explosion $ 100,000 1 Liability 1 I I I I ( l General Aggregate* ....... $ 2,000,000 I I 1 Prod/Comp Ops Aggregate* . $ 1,000,000 [ ] Other Liability I I I I I I AUTOMOBILE LIABILITYAHPR M*N EMENT I I [] BUSINESS AUTO B 1 = 1 Bodily Injury 1 r / (Each Person) .......... $ 1 [ ] Owned D*E (Each Accident) ........ $ 1 1 [ J7 ] Hired W4IVER NIA YES l Property Damage l [ ] Non -Owned 1 i (Each Accident) ........ $ I 1 I 1 Combined Single Limit .... $ 1 I EXCESS LIABILITY 1 1 Each Occurrence .......... $ Prod/Comp Ops/Disease l [ ] Umbrella Form 1 Aggregate* ............. $ I I 1 77-WC-585401-0002 1 03-20-02 1 03-20-03 1 STATUTORY LIMITS 1 i [X] Workers' Nationwide BODILY INJURY/ACCIDENT ... $ 100,000 l Compensation 1 Mutual Bodily Injury by Disease 1 and l Insurance Co. EACH EMPLOYEE .......... $ 100,000 l [XI Employers' l Bodily Injury by Disease Liability 1 1 POLICY LIMIT ........... $ 500,000 I_ _ I Should any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONS expiration date, the insurance company will endeavor to mail 30 days VEHICLES/RESTRICTIONS/SPECIAL ITEMS written notice to the above named certificate holder, but failure to MONROE COUNTY BOARD OF COUNTY mail such notice shall impose no obligation or liability upon the COMMISSIONERS ALSO SHOWN AS company, its agents, or representatives. ADDITIONAL INSURED Effective Date of Certificate: 03-20-2002 Authorized Representative: P. STEVE NASH Date Certificate Issued: 10-08-2002 Countersigned at: 3347 W. BEARSS AVE. TAMPA, FL 33618 CG Y� ACORD CERTIFICA" : OF LIABILITY INSUF .NCB OP ID G DATE(MM/DD/YY) NTE801 d 10/09/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JLT Services Corporation ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MCPL HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13 Cornell Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Latham NY 12110 Phone:800-998-5545 Fax:518-782-3139 INSURERS AFFORDING COVERAGE INSURED Lawton Swan III, CPCU, CLU Interisk Corporation, Insurance Advisory Group Inc. 1111 North Wes tshore Blvd Tampa FL 33607-4711 COVERAGES INSURER A: National Union Fire Insur. Co. INSURER B: INSURER C: INSURER D: INSURER E: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY Y XPIRATI N DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ FIRE DAMAGE (Any one fire) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP (Any one person) $ FERSONAL a AD`i iNJURY ' $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PROJECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) BODILY INJURY (Per accident) $ $ ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS K MAIN EMENT PROPERTY DAMAGE (Per accident) $ -- GARAGE LIABILITY ANY AUTO / ` R N/A =Y S AUTO ONLY - EA ACCIDENT $ EA ACC OTHER THAN _ $ $ AUTO ONLY: AGG EXCESS LIABILITY OCCUR CLAIMS MADE , EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE � $ $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY UN;iT $ onsultants =Mgmt MCPL 925-48-96 07/01/02 07/01/03i Ea Claim $1,000,000 Liability Aggregate $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONSIVEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Deductible $5,000 IMI�nW�UV-rrt L4 I AUUI I IUNAL INSURED; INSURER LETTER: t.ANGtLL.AI IUN COUNTYO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO County of Monroe - Monroe DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN County Risk Management NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Maria Slavik 1100 Simonton Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Key West FL 33040 REP S TATIVES. 17 25-S (7/97)� ©ACORD CORPORATION 1988 C C. CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and described below. CERTIFICATE HOLDER: INSURED: MONROE COUNTY INSURANCE ADVISORY GROUP INC RISK MANAGEMENT AND INTERISK CORPORATION 1100 SIMONTON STREET 1111 N WESTSHORE BLVD KEY WEST, FL 33040 SUITE 208 TAMPA, FL 33607 I POLICY NUMBER POLICY I POLICY LIMITS OF LIABILITY TYPE OF INSURANCE & ISSUING CO. IEFF. DATE IEXP. DATE I (*LIMITS AT INCEPTION) i LIABILITY 177-BO-585401-0001 103-20-03 103-20-04 I I I [XI Liability and I NATIONWIDE I I Any One Occurrence........ $ 1.000,000 I I Medical Expense MUTUAL FIRE I I I Personal and I INSURANCE CO. I I Included in Above - Any One Person or I Advertising Injury) I I Organization I [XI Medical Expenses I I ANY ONE PERSON ........... $ 5,000 I I [XI Fire Legal I I I Any One Fire or Explosion $ 100,000 I Liability I I I I General Aggregate* ....... $ 2.000,000 i AP � Y SK IN Ala"MENT Prod/Comp Ops Aggregate* . $ 1.000,000 I [ ] Other Liability gY AUTOMOBILE LIABILITY I I I [ ] BUSINESS AUTO I WAIVER N/Al_ YES I Bodily Injury (Each Person) .......... $ $ I [ I Owned I I (Each Accident) ........ I [ ] Hired I I I� C(� Property Damage I [ ] Non -Owned I I I (Each Accident) ........ $ I I I Combined Single Limit .... $ I EXCESS LIABILITY I I I Each Occurrence .......... $ I I I Prod/Comp Ops/Disease [ I Umbrella Form I I I Aggregate* ............. $ I 77-WC-585401-0002 103-20-03 03-20-04 I STATUTORY LIMITS I [XI Workers' I Nationwide I I BODILY INJURY/ACCIDENT ... $ 100,000 I Compensation I Mutual I Bodily Injury by Disease and Insurance Co. I I EACH EMPLOYEE .......... $ 100,000 [XI Employers' I I Bodily Injury by Disease Liability I I I POLICY LIMIT ........... $ 500,000 I Should any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONS expiration date, the insurance company will endeavor to mail 30 days VEHICLES/RESTRICTIONS/SPECIAL ITEMS written notice to the above named certificate holder, but failure to MONROE COUNTY BOARD OF COUNTY mail such notice shall impose no obligation or liability upon the COMMISSIONERS SHOWN AS CERTI- company, its agents, or representatives. FICATE HOLDER AND ADDL INSURED Effective Date of Certificate: 03-20-2003 Authorized Representative: P. STEVE NASH Date Certificate Issued: 03-19-2003 Countersigned at: 3347 W. BEARSS AVE. T PA, FL 33618 C e- ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID T DATE (MM/DD/YYYY) INTE801 07 24 03 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION JLT Services Corporation ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MCPL HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND oR 13 Cornell Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Latham NY 12110 Phone:800-998-5545 Fax:518-782-3139 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: National Union Fire Insur. o. Lawton Swan III, CPCU, CLU INSURERB: Interisk Corporation, Insurance Advisory Group, Inc. INSURER C. 1111 North Westshore Blvd INSURERD: Tampa FL 33607-4711 INSURER E: rnvro w n_nO 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. LTRIINSRI TYPE OF INSURANCE POLICY NUMBER P LI Y EFFE TIVE DATE MM/DD/YY POLI Y EXPIRATION DATE (MM/DDfYYj LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC RODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY INED SINGLE LIMIT cident) ttB $ LHIREDAUTOS _ A BY I: ' , �_, MAN E ENT ODILY INJURY (Per person $ BODILY INJURY (Per accident) $ All/cID 'A PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: GG $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE RENCE $ $ DEDUCTIBLE $RETENTION $WORKERS WLIMIT$ COMPENSATION AND EMPLOYERS' LIABILITY ITS ERANY PROPRIETOR/PARTNER/EXECUTIVE EXCLUDED? CIDENT $OFFICER/MEMBER If yes, describe under - EA EMPLOYEE $SPECIAL PROVISIONS below OTHER - POLICY LIM1IIT $ A Mgmt. Consultants TPL935-48-96 07/01/03 07/01/04 Prof. Liability DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Deductible $5,000 Ea Claim Aggregate $1,000,000 $1,000,000 CERTIFICATE Hnl nFR County of Monroe - Monroe County Risk Management Maria Slavik 1100 Simonton Street Key West FL 33040 COUNTYO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08) GC . © ACORD CORPORATION 1988 CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and described below. CERTIFICATE HOLDER: INSURED: MONROE COUNTY BOARD OF INSURANCE ADVISORY GROUP INC COUNTY COMMISSIONERS AND INTERISK CORPORATION MONROE COUNTY RISK MGMT 1111 N WESTSHORE BLVD 1100 SIMONTON ST SUITE 208 KEY WEST, FL 33040 TAMPA, FL 33607 l POLICY NUMBER POLICY I POLICY LIMITS OF LIABILITY 1 TYPE OF INSURANCE & ISSUING CO. IEFF. DATE IEXP. DATE I (*LIMITS AT INCEPTION) 1 LIABILITY 77-BO-585401-0001 103-20-04 103-20-05 1 I 1 [XI Liability and NATIONWIDE i l Any One Occurrence........ $ 1,000.000 l Medical Expense MUTUAL FIRE i Personal and INSURANCE CO. l Included in Above - Any One Person or l Advertising Injuryl Organization [XI Medical Expenses l ANY ONE PERSON ........... $ 5,000 l [X] Fire Legal I Any One Fire or Explosion $ 100.000 l l Liability 1 G NIeiJT i AP Y1 �� i General Aggregate* ....... $ 2,000,000 i ID By i Prod/Comp Ops Aggregate* . $ 1,000,000 l [ ] Other Liability DATE _ AUTOMOBILE LIABILITY l WAIVER YEP — I [ ] BUSINESS AUTO i 1 Bodily Injury l l (Each Person) .......... $ [ ] Owned l (Each Accident) ........ $ l [ ] Hired i 1 l Property Damage l [ ] Non -Owned 1 l (Each Accident) ........ $ I l Combined Single Limit .... $ EXCESS LIABILITY Each Occurrence .......... $ I Prod/Comp Ops/Disease l [ ] Umbrella Form l l Aggregate* ............. $ l l 77-WC-585401-0002 03-20-04 1 03-20-05 1 STATUTORY LIMITS [X] Workers' i Nationwide BODILY INJURY/ACCIDENT ... $ 100,000 1 Compensation l Mutual Bodily Injury by Disease l 1 and Insurance Co. 1 l EACH EMPLOYEE .......... $ 100,000 l l [X] Employers' 1 l Bodily Injury by Disease l Liability POLICY LIMIT ........... $ 500,000 Should any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONS expiration date, the insurance company will endeavor to mail 30 days VEHICLES/RESTRICTIONS/SPECIAL ITEMS written notice to the above named certificate holder, but failure to CERTIFICATE HOLDER SHOWN AS mail such notice shall impose no obligation or liability upon the ADDITIONAL INSUREDS company, its agents, or representatives Effective Date of Certificate: 03-20-2004 Authorized Representative: P. STEVE NASH Date Certificate Issued: 05-03-2004 Countersigned at: 3347 W. BEARSS AVE. TAMPA, FL 33618 l OP ID 80 DATE (MMIDDIYYYY) JACORD CERTIFICATE OF LIABILITY INSURANCE IN1TE801 07/26/04 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CE & O HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR JLT SERVICES ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 13 Cornell Road N Latham Y 12110 ERAGE NAIC # Phone:800-998-5545 Fax:518-782-3139 Interisk Co /Insur Advisory Lawton Swan II TampaNFLt33607-4711e Blvd INSURERS AFFORDING INSURER A: National Union Fire Insur. INSURER B: ------ INSURERC: — — --11 INSURER D: _ -- INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. BE ISSUED OR IN ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS TYPE OF INSURANCE POLICY NUMBER DATE I'MIDD/YY DATE MMIDD/YY LTR NaI EACH OCCURRENCE GENERAL LIABILITY $ PREMISES (Ea occurence) I — COMMERCIAL GENERAL LIABILITY MED EXP (Any one person) I $ CLAIMS MADE OCCUR i PERSONAL & ADV INJURY GENE GREGATE $ PRODUCTSGCOMP OP AGG , $ GEN'L AGGREGATE LIMIT APPLIES PER: I POLICY n JECT LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS —�i SCHEDULED AUTOS _l HIRED AUTOS NON -OWNED AUTOS swill GARAGE LIABILITY ANY AUTO EXCESSIUMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERJMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below COMBINED SINGLE LIMIT 1 $ (Ea accident) BODILY INJURY $ (Per person) i BODILY INJURY — 1 I$ (Per accident) PROPERTY DAMAGE i $ p `NT (Per accident) AUTO ONLY - EA ACCIDENT $ EA ACC 1 $ OTHER THAN -----1_— _ I AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE i$ - -} $ -- $ - 1TORY LIMITS j _!. ER �i.. E.L. EACH ACCIDENT I $- E.L. DISEASE - EA EMPLOYEE! $ E.L. DISEASE - POLICY LIMIT �L— A Mgmt. Consultants MCPL07/01/04 07/01/05 925-48-96 Prof. Liabilit DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS Deductible: $5,000; "Contract for Consulting Services" V\ G V-) C -0— CERTIFICATE HOLDER Monroe County Risk Management Monroe County Board of County Commissioners 1100 Simonton Street Key West FL 33040 Ea. Claim $1,000,000 Aaareaate $1,000,000 CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD 25 (2001/08) ACORD CORPORATION 1988 CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and described below. CERTIFICATE HOLDER: COUNTY OF MONROE RISK MANAGEMENT P 0 BOX 1026 KEY WEST, FL 33041-1026 INSURED: INSURANCE ADVISORY GROUP INC AND INTERISK CORPORATION 1111 N WESTSHORE BLVD SUITE 208 TAMPA. FL 33607 POLICY NUMBER I POLICY I POLICY LIMITS OF LIABILITY TYPE OF INSURANCE I & ISSUING CO. IEFF. DATE 1EXP. DATE I (*LIMITS AT INCEPTION) I I LIABILITY 177-BO-585401-0001 103-20-05 1 03-20-06 I [XI Liability and 1 NATIONWIDE I I 1 Any One Occurrence........ $ 1,000,000 1 Medical Expense I MUTUAL FIRE I 1 Personal and I INSURANCE CO. 1 1 I Included in Above - Any One Person or I Advertising Injuryl I I I Organization I [XI Medical Expenses I I ANY ONE PERSON ........... $ 5,000 I EX] Fire Legal I 1 I 1 Any One Fire or Explosion $ 100,000 I I Liability I I I I I I I General Aggregate* ....... $ 2,000,000 I I Prod/Comp Ops Aggregate* . $ 1,000,000 I C I Other Liability 1 I I I I I I AUTOMOBILE LIABILITY �/°� AM— I E I BUSINESS AUTO BY _ ... .... L__.-_.. I Bodily Injury __ (Each Person) .......... $ I Owned DATE (Each Accident) ........ $ I CC ] Hired NrA Property Damage C I Non -Owned I (Each Accident) ........ $ .CJ I Combined Single Limit .... $ EXCESS LIABILITY Each Occurrence .......... $ l I I Prod/Comp Ops/Disease I C 7 I— Umbrella Form l l I Aggregate* ............. S I I 177-WC-585401-0002 1 03-20-05 1 03-20-06 I STATUTORY LIMITS _I 1 CXI Workers' Nationwide I I BODILY INJURY/ACCIDENT ... $ 100,000 I 1 Compensation I Mutual I 1 I Bodily Injury by Disease I and Insurance Co. I I EACH EMPLOYEE .......... $ 100,000 I [X] Employers' I I Bodily Injury by Disease I Liability I I 1 I POLICY LIMIT ........... $ 500,000 I Should any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONS expiration date, the insurance company will endeavor to mail 30 days VEHICLES/RESTRICTIONS/SPECIAL ITEMS written notice to the above named certificate holder, but failure to MONROE COUNTY BOARD OF mail such notice shall impose no obligation or liability upon the COUNTY COMMISSIONERS AS CERT company, its agents, or representatives. HOLDERS AND ADDL INSUREDS Effective Date of Certificate: 03-20-2005 Date Certificate Issued: 04-26-2005 Coe j e. 5 . �' ` v..Q., r-. C.. t. Authorized Representative: P. STEVE NASH Countersigned at: 3347 W. BEARSS AVE. PA. FL 33618 ACORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID $ DATE(MM/DD/YIYY) INTE801 07 07 05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE JLT Services Corp - CE&O HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13 Cornell Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Latham NY 12110 Phone: 518-782-3000 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: National Union Fire Insur. . Co. INSURER B: Interisk CorplInsur Advisory INSURER Lawton Swan I _ 1111 North �leIstshore Blvd INSURER D: Tampa FL 33607-4711 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DDIYY POLICY EXPIRATION DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ PREMISES (Ea occurence) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE E OCCUR 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 COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS � BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ i GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ ANY AUTO r '. ISK M"AG,EMENY $ EXCESS/UMBRELLA LIABILITY OCCUR � CLAIMS MADE BY �. EACH OCCURRENCE $ AGGREGATE $ DATE _..___- __..v $ $ DEDUCTIBLE RETENTION $ �� ` ¢ jAw y �.;,} $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY // • OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE L • E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER A Mgmt. Consultants MCPL925-48-96 07/01/05 07/01/06 Ea. Claim $1,000,000 Prof. LiabilityA re ate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Deductible: $5,000 t; tK 111-I ;AI t MULUtK CANCELLATION Monroe County Risk Management Monroe County Board of County Commissioners 1100 Simonton Street Key West FL 33040 MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Amnon.1e 1-Inn41not CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and described below. CERTIFICATE HOLDER: COUNTY OF MONROE RISK MANAGEMENT P 0 BOX 1026 KEY WEST, FL 33041-1026 INSURED: INSURANCE ADVISORY GROUP INC AND INTERISK CORPORATION 1111 N WESTSHORE BLVD SUITE 208 TAMPA, FL 33607-4711 POLICY NUMBER I POLICY I POLICY I LIMITS OF LIABILITY TYPE OF INSURANCE & ISSUING CO. 1EFF. DATE 1EXP. DATE I (*LIMITS AT INCEPTION) LIABILITY 77-BO-585401-0001 1 03-20-05 1 03-20-06 [X] Liability and NATIONWIDE Any One Occurrence........ $ 1.000,000 1 Medical Expense 1 MUTUAL FIRE 1 Personal and INSURANCE CO. Included in Above - Any One Person or 1 1 Advertising Injury) 1 1 Organization 1 1 [XI Medical Expenses 1 ANY ONE PERSON ........... $ 5,000 [XI Fire Legal Any One Fire or Explosion $ 100,000 Liability General Aggregate* ....... $ 2,000,000 Prod/Comp Ops Aggregate* . $ 1.000,000 1 [ ] Other Liability 1 AUTOMOBILE LIABILITY — — 1 [ ] BUSINESS AUTO IT "„ `: - ---,�...__ �.(j_._ Bodily Injury �1 r� `-4 (Each Person) .......... $ 1 [ ] Owned - - .-._-__ _ __ _� ( Each Accident) ........ $ [ ] Hired Property Damage [ ] Non -Owned (Each Accident) ........ $ e, Combined Single Limit .... $ 1 EXCESS LIABILITY ach Occurrence .......... $ /Comp Ops/Disease 1 1 [ ] Umbrella Form ate* A re 99 9 ...... $ 1 77-WC-585401-0002 1 03-20-05 1 03-20-06 1 STATUTORY LIMITS 1 [X] Workers' Nationwide 1 BODILY INJURY/ACCIDENT ... $ 100,000 Compensation Mutual Bodily Injury by Disease and Insurance Co. EACH EMPLOYEE .......... $ 100,000 [XI Employers' Bodily Injury by Disease I Liability POLICY LIMIT ........... $ 500,000 I Should any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONS expiration date, the insurance company will endeavor to mail 30 days VEHICLES/RESTRICTIONS/SPECIAL ITEMS written notice to the above named certificate holder, but failure to MONROE COUNTY BOARD OF mail such notice shall impose no obligation or liability upon the COUNTY COMMISSIONERS AS CERT company, its agents, or representatives. HOLDERS AND ADDL INSUREDS Effective Date of Certificate: 03-20-2005 Date Certificate Issued: 02-13-2006 Authorized Representative: P. STEVE NASH Countersigned at: 3347 W. BEARSS AVE. TAMPA, FL 33618 G c-� CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and described below. , CERTIFICATE HOLDER: COUNTY OF MONROE RISK MANAGEMENT P 0 BOX 1026 KEY WEST, FL 33041-1 RECEIVED M AY ;' 1� MONROE COUNTY RISK MAfIAGEiV?EiVT URED: INSURANCE ADVISORY GROUP INC AND INTERISK CORPORATION 1111 N WESTSHORE BLVD SUITE 208 TAMPA, FL 33607-4711 POLICY NUMBER I POLICY I POLICY I LIMITS OF LIABILITY TYPE OF INSURANCE & ISSUING CO. JEFF. DATE 1EXP. DATE I (*LIMITS AT INCEPTION) LIABILITY 77-BO-585401-0001 03-20-06 03-20-07 1 [X] Liability and NATIONWIDE Any One Occurrence........ $ 1,000,000 Medical Expense MUTUAL FIRE J Personal and INSURANCE CO. Included in Above - Any One Person or Advertising Injury) Organization [XI Medical Expenses ANY ONE PERSON ........... $ 5,000 [X] Fire Legal Any One Fire or Explosion $ 100,000 Liability J General Aggregate* ....... $ 2,000,000 Prod/Comp Ops Aggregate* . $ 1,000,000 [ ] Other Liability AUTOMOBILE LIABILITY [ ] BUSINESS AUTO Bodily Injury (Each Person) .......... $ [ ] Owned (Each Accident) ........ $ [ ] Hired r:..---.- Property Damage [ ] Non -Owned ��} A �` 6L� (Each Accident) ........ $ Combined Single Limit .... $ LC EXCESS LIABILITY} ,fi Each Occurrence .......... $ d Prod/Comp Ops/Disease [ ] Umbrella Form - Aggregate* ............. $ I 77-WC-585401-0002 03-20-06 03-20-07 STATUTORY LIMITS [X] Workers' Nationwide BODILY INJURY/ACCIDENT ... $ 100,000 Compensation Mutual Bodily Injury by Disease and Insurance Co. EACH EMPLOYEE .......... $ 100,000 [X] Employers' Bodily Injury by Disease Liability POLICY LIMIT ........... $ 500.000 Should any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONS expiration date, the insurance company will endeavor to mail 30 days VEHICLES/RESTRICTIONS/SPECIAL ITEMS written notice to the above named certificate holder, but failure to MONROE COUNTY BOARD OF mail such notice shall impose no obligation or liability upon the COUNTY COMMISSIONERS AS CERT company, its agents, or representatives. HOLDERS AND ADDL INSUREDS Effective Date of Certificate: 03-20-2006 Authorized Representative: P. STEVE NASH Date Certificate Issued: 04-26-2006 Countersigned at: 3347 W. BEARSS AVE. TAMPA, FL 33618 G C - CERTIFICATE OF LIABILITY INSURANCE OP ID S DATE MwODmw) acoR INTE801 06/27/06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE JLT Services Corp - CE60 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 13 Cornell Road ALTER THE COVERAGE !+ AFFORDED BY THE POLICIES BELOW. Latham NY 12110 R �plfURilEB1BFFORDING CQ Phone: 518-782-3000 VERAGE NAIL# INSURER A: TAtlnrLl erl.A Tire I... Ca Interisk Corp/Insur Advisory J� Lawton Swan III 1111 North PTestshore Blvd INSURER": Tampa FL 33607-4711 1 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TIE D. NOTWITHSTANDING ANY RFOUIREMEHT, TERM OR CONDITION OF AM' CONTRACT OR OTHER DOCUIN EW WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PEH IAIN, fHE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NS TYPE OF INSURANCE POLICY NUMBER DATE (MNrODIYY DATE BAMUDIYY) LIMITS GENERAL LIABN.ITY EACH OCCURRENCE $ PREMISES (Ea neurence) $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP (My one parson) $ PERSONAL 8 A"V INJURY $ GENERAL AGGREGATE $ C GENT AGGREGATE I IMIT APPLIES PER. PRODUCTS - COMPIOP AGO $ POLICY TECOT LOC AUTOMOBILE LIABILITY AWN AIITG r - ..._.I, COMBINED SINGLE LIMIT HEH BCCltlenl) $ BODILY INJURY (Per pe6.) $ ALL OWNED AUTOS SCHEDULED AUTOS HIREDALROS NON -OWNED AUIUS ! . .. . .. .. __... ...... ..... /fir^ 'll�St ,... 'BODILY INXxtr (Per awdenl) $ PROPERTY DANAGE (Par eC.dert) $ GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ OILER THAN EA ACC $ ANY AUTO $ AUTO ONLY. AGO EXCESSA.MBRELLA LIABILITY OCCUR CLAIMS MADE H OCCURRENCE $ AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND TGRY LIMITS ER EMPLOYERS'LIABLITY ANY MR IETOR/PARTNERYEXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE-EAEMPLOYEE $ OFFICER/MEMBER EXCLUDED? II yes d.,v'bo under SPECIAL PROVISIONS by. E.L. DISEASE -POLICY LIMIT $ OTHER A Mgmt. Consultants MCPL925-48-96 07/01/06 07/01/07 Ea. Claim $1,000,000 Prof. Liability Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES J EXCLUSIONS ADDED BY ENDORSEMENT I SPEDW. PROVSIONS Deductible: $5,000 CERTIFICATE HOLDER CANCELLATION MONROEc SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAL 30 DAYS WRITTEN Monroe County Risk Management NOTICE TO THE CENEK:ATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL Monroe County commissioners Board of County IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 1100 Simonton Street REPRESENTATIVES. °A �- Key West FL 33040 ACORD25(2001108) e_C_ �CACORD CORPORATION 1998 CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend. extend, or otherwi e _erms-ark-6etie+is-qf Insurance coverage contained in any policynumbered and described belo . �'F�i r-10 I \t. r E _ I CERTIFICATE HOLDER: COUNTY OF MONROE RISK MANAGEMENT P 0 BOX 1026 KEY WEST, FL 33041-1026 INS RED: FEA ;,;p7 I INS ANE III Sul ANCE ADVISORY GROUP INC NTERISK CORPORATION N WESTSHORE BLVD 208 FL 33607-4711 POLICY NUMBER POLICY I POLICY LIMITS OF LIABILITY TYPE OF INSURANCE & ISSUING CO. IEFF. DATE IEXP. DATE I (*LIMITS AT INCEPTION) LIABILITY 77-BO-585401-0001 03-20-07 03-20-08 I [X] Liability and NATIONWIDE Any One Occurrence........ $ 1,000,000 Medical Expense MUTUAL FIRE Personal and INSURANCE CO. Included in Above - Any One Person or Advertising Injuryl Organization [X] Medical Expenses ANY ONE PERSON ........... $ 5,000 [X] Fire Legal Any One Fire or Explosion $ 100,000 Liability General Aggregate* ....... $ 2.000,000 Prod/Comp Ops Aggregate* . $ 1,000.000 [ ] Other Liability AUTOMOBILE LIABILITY [ ] BUSINESS AUTO Bodily Injury (Each Person) .......... S [ ] Owned - (Each Accident) ........ $ [ ] Hired [ ] Non -Owned ' Property Damage (Each Accident) ......-. $ Combined Single Limit .... $ EXCESS LIABILITY �; ,f Each Occurrence .......... S Prod/Comp Ops/Disease L ] Umbrella Form Aggregate* ............. $ 77-WC-585401-0002 03-20-07 03-20-08 STATUTORY LIMITS [XI Workers' Nationwide BODILY INJURY/ACCIDENT ... $ 100.000 Compensation Mutual Bodily Injury by Disease and Insurance Co. EACH EMPLOYEE .......... $ 100,000 [X] Employers' I Bodily Injury by Disease Liability POLICY LIMIT ........... $ 500,000 Should any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONS expiration date, the insurance company will endeavor to mail 30 days VEHICLES/RESTRICTIONS/SPECIAL ITEMS written notice to the above named certificate holder, but failure to MONROE COUNTY BOARD OF mail such notice shall impose no obligation or liability upon the COUNTY COMMISSIONERS AS CENT company, its agents, or representatives. HOLDERS AND ADDL INSUREDS Effective Date of Certificate: 03-20-2006 Authorized Representative: P. STEVE NASH Date Certificate Issued: 02-14-2007 Countersigned at: 3347 W. BEARSS AVE. TAMPA, FL 33618 CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as o e e e ��ftV Affis certi icate. This Certificate of Insurance does not amend, extend, or other ise alter bons of Insurance coverage contained in any policy numbered and described bel w. TI'J'-_" CERTIFICATE HOLDER: COUNTY OF MONROE RISK MANAGEMENT P 0 BOX 1026 KEY WEST, FL 33041-1026 JUL 16 2001 1 IN URANCE ADVISORY GROUP INC AN INTERISK CORPORATION 11�1 N WESTSHORE BLVD SUITE 208 TAMPA. FL 33607-4711 POLICY NUMBER POLICY I POLICY LIMITS OF LIABILITY TYPE OF INSURANCE & ISSUING CO. IEFF. DATE IEXP. DATE (*LIMITS AT INCEPTION) LIABILITY 77-BO-585401-0001 03-20-07 03-20-OB [XI Liability and l NATIONWIDE - - - Any One Occurrence .... .... -$ 1,000,000 Medical Expense MUTUAL FIRE Personal and INSURANCE CO. Included in Above - Any One Person or Advertising Injuryl Organization [X] Medical Expenses ANY ONE PERSON ........... $ 5,000 [X] Fire Legal Any One Fire or Explosion $ 100,000 l Liability General Aggregate* ...... $ 2,000.000 Prod/Comp Ops Aggregate* . $ 1,000.000 [ ] Other Liability AUTOMOBILE LIABILITY �\ ,, .-' [ ] BUSINESS AUTO 1 } Bodily Injury � Ibq_ l ,Y (Each Person) 8 [ ] Owned .,. I '`_. - (Each Accident) ....... $ [ ] Hired [ ] Non -Owned - . Property Damage (Each Accident) ........ - � n Combined Single Limit n $ EXCESS LIABILITY iyL^! a ccurrence .......... $ Prod/Comp Ops/Disease Umbrella Form Aggregate* ......... ... $ 77-WC-585401-0002 03-20-07 03-20-08 STATUTORY LIMITS [X] WorkersNationwide BODILY INJURY/ACCIDENT ... $ 100.000 Compensation Mutual Bodily Injury by Disease and Insurance Co. EACH EMPLOYEE .......... $ 100,000 [XI Employers' Bodily Injury by Disease Liability POLICY LIMIT .......... $ 500.000 Should any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONS expiration date, the insurance company will endeavor to mail 30 days VEHICLES/RESTRICTIONS/SPECIAI- ITEMS written notice to the above named certificate holder. but failure to MONROE COUNTY BOARD OF mail such notice shall impose no obligation or liability upon the COUNTY COMMISSIONERS AS CENT company, its agents. or representatives. HOLDERS AND ADDL INSUREDS Effective Date of Certificate: 03-20-2006 Date Certificate Issued: 02-14-2007 Authorized Representative: P. STEVE NASH Countersigned at: 3347 W. BEARSS AVE. TAMPA, FL 3361E G[.: 4"Zct vl, ACORD CERTIFICATE OF Protection Advantage Inc. 13 Cornell Road Latham MY 12110 Phone: 518-182-30010 ( �L�1yTiT�llta�.i-w- e'I I'1i41\iJi"I Fie IMIB�B�I Intexisk Coyx�p/Insux Advisory INSURERD TlampaNPLt33607-4711e Blvd . INSURER E: OF ID S I DATE (MMMOIY'IYY"() rumr"Yn1 I 06/21/07 O RIGHTS UPON THE CERTIFICATE CATE DOES NOT AMEND, EXTEND OR AFFORDED BY THE POLICIES BELOW. OVERAGE NAIL4 size T.mu{" Co. ! COVERAGES POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED N DABOVE FCRTHE POLICY PERIOD INDICATED NOTWITHSTANDING THE OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICAM MAY BE ISSUED OR ANY REQUIREMENT. TERM OR CONDITION MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AAA CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE Of INSURANCE POLICY NUA6E2 DATE(IAMIDDM/) DI'm 004430/'M LIMITS LTR EACH OCCURRENCE $ pENERAL LIABILTY ET PREMISES (Ea occuence) S COMMERCIAL GENERAL LIABILITY MED EXP (MY one person) $ CLAIMS MOPE ❑ OCCUR PERSONAL a ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS-COMPICP AGG $ GENL AGGREGATE L IMI I APPLIES PER'. POLICY PRLOC AUTOMOBILE UABILrw COMBINED SINGLE LIMIT (Ee ecddant) $ ANY AUTO ALL OWNED AUTOS BODILY INJURY F., Person) $ SCHEDULED AU SOS HIRED AUTOS BODILY INJURY (Per accident) S NON OWNED ALTOS PROPERTY DAMAGE $ (Par eRdden[) AUTO ONLY - EA ACCIDENT $ GARAGE LIABILT' EA ACC OTHER THAN $ ANY AJUTO $ AULO ONLY. AGG EACH OCCURRENCE $ EXCESSI IMBRELLA LIABILITY AGGREGATE $ OCCUR [] CLAIMS MADE $ S I DEDUCTIBLE RETENTION $ TORY LIMITS ER WORKERS COMPENSATICIN AND . EMPLOYERS' LIABILITY ., ^/� X 1 E.L. EACH ACCIDENT $ ANY PROPRIETORRARTNERIEXECUTIVE OFFICERIv EMBER EXCLUDED? IV1 r co E.L. DISEASE EA EMPLOYEE $ II'.S. wscnde under E.L. DISEASE- POLICY LIMIT $ SPECIAL PROVISIONS Nelaw OTHER MCPL925-48-96 07/01/07 07/01/08 Ea. Claim $1,000,000 A Mgmt. Consultants Aggregate $1,000,000 Prof. Liability &II ADDED BY ENDORSEMENTI SPECAL PROVISIONS OE.CRIPTON OF OPERATION.! LOCATION$ I MEW I EXCLUSIONS Deductible: $5,000 P •Mf`CI 1 erinM I.CR I IfR.Ie I G r �v�.vr• EXPIRATION WVR0ZC SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE DATE THEREOF, THE ISSUNG IN.IINER WILL ENDEAVORTO MAIL 30 DAYS WRITTEN Monroe County Risk Managem=t NOTICE TO THE CELIFICATE HOLDER NAMED TO WE LEFT, BUT FNLLVtE TO DO SO SHALL Monxoe County Board of COunty BNPOSE NO OBLIGATION OR LIABILITY OF ANY KIM UPON THE INSURER, ITS AGENTS OR commissioners 1100 Simonton Street p sEMATIVE � p Key west BT, 33040 � ZZd� GG ACORD CERTIFICATE OF LIABILITY INSURANCE OPID 3 "MiSMIDDIYYYY) INTESO. 06 21 07 PRoDMER CE60 Protection Advantage Inc.---- - 13 Cornell Road Latham NY 12110 Phone:518-782-300D THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THMCERMfICATE DOES NOT AMEND, EXTEND OR ALTqRrF0ECOVERA E AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING ERAGE NAICk INSURED f j Interisk Corxpp/Insur Adviso3iv 1111 North ➢Testshore Blvd Tampa rL 23607-4711 _IN,�RERA u4anLL en Pize in.uz. m. _ INSPIRER D. wsuRFR IIiSURERD ., .- - SURE RE..- _ COVERAGES - -.__ _ _ _ ._ ----_____.__.._..I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUMTO THE INSURED NAMEDABOVE FOR ME TCl1ICY PERIOD INDICATED NOTWITHSTANDING ANYREQUIREMENT,TERMORCONDITIONOFANYCONII TOROTHERD MEMWITHRESPECTTOWHICHTHISCERTIFICATEMAYBEISSUEDOR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBUECT TO ALL ME TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. —___..-.___ - ----.. LTR TYPE OF INSURANCE POLICY NUMBER _ DATE (MMIDD" I DATE (M$VODNY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GBE'RAL LIABILITY PREMISES (Ea ocwence) 8 CLAIMG MADE ❑ OCCUR MED EXP (Any one person) $ PERSONAL A ADV INJURY $ _ GENFRA. AGGREGATE ..._ $ _... GEN'L AGGREGATE LIMIT APPLIESPFR PRODUCTS - CONPIOP AGO $ POLICY PRO LOC AUTOMO&LE LIABILITY COMBINED SINGLE LIMIT $ ANY ALTO (Ee aocitlenU ALL OWNED AUTOS BODILY IN Y $ SCHFDULED AUTOS (Per persmj HIRED AUTOS - BODILY INJURY $ NON -OWNED AUTOS (Per as 'dent) PROPERTY DAMAGE $ (Par accitlerd) GIARAGE LIABILITY AUTOONLY EAACCIDEM $ ANY AUTO OTTER MAN EA ACC $ wvro ONLY �. _$ EXCESSAMBRELLA UAAILDY EACH OCCURRENCE $ OCCUR 17 CLAIMS MADE AGGREGATE $ OFDOCTIBLE, RETENTION $ - - WORKERS COMPCHiSATgN AND EMPLOYERS' LIABILRY TORY LIMITS LF F L. EACHACCIDENT RIPA4TNDED' UTrvE OFPICEW EMB IMEMBER EXCLUDED^ E.L. NSEASE EA EMROYEE $ Ify. I yas. oescriO ISIONSPECIgL PROVISIONS bebw t07/01/07 EL. DISEASE -POLICY LIMITOTTERA Mgmt. Consultants MCPL925-48-96 77/O1 08 Ea. Claim $1,000,000 Liability Aggregate $1, 000,000 OESCRIPTON OF OPHtAT10N91 LDCATONB I VEXCLES / E%CLUSIONS ADO® BY ENDORSEMENil SPECIAL PROVISgN3 Deductible: $5,,000 C C • 1 �� vv r C� MDnrOe County Risk Management Monroe County Board of County Commissioners 1100 Simonton street Key West ET, 33040 MDNROEC I SHOULD ANY OF TIE ABOVE ME SEO POLICES BE CANCELLED BEFORE THE EXPRATION DATE THEREOF, THE ISSUNG NSUTER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO TE C7DF111 ATE HOIDEN NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL BIPDSE ND OBLIGATION OR LIABILITY OF ANY KIND LPON TIE SIM.RER, RS AGENTS OR CORD__ CERTIFICATE OF LIABILITY INSURANCE CE60 pretaettaft Advaelf age 2nc. 22 Century Hill Dr. Ste. 103 Latham NY 12110-:2137 Phone:518-782-3000 1111N rth SWstshoreABlvdo� Tampa FL 33607-4711 INSURERS AFFORDING COVERAGE INSURERA, National Ueion Six. In... Co. INSURER C: INSURER O NAIC # 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 MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NMI TYPE OF MSURANCE PMJCYNUMBER PATE DATE IMINIMM UNITS GENERALLAWL EACH OCCURRENCE $ COMMERCIALGF:NERALUABILTTY CLAIMS MADE OCCUR PREMISES (Es occumrlre) $ MBDEXP(Aryorepenon) $ PERSONAL A ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER POLICY Et'9 LOG PRODUCTS-COMP/OPAGG $ AUTOMOBILE L AEIUIIY ANY AUTO COMBINED SINGLE LIMIT (Ea amM m) $ ALLOWNEDAUPDS SCHEDULEDAUTOS (Per Pelson) (Per Pe 'n) S HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per actkentI $ PROPERTY DAMAGE (Per aak n E GARAGE LABILITY ANY AUTO _ AUTOON.YEA ACGDEM $ OTHERTHAN EAACC AUTO ONLY' AGG $ E EXCES3IUMBREUA UA1CLIM OCCUR Cf CLAIMS MADE - EACH OCCURRENCE 8 E DEDUCIBLE g RETENTION $ 'I $ B COMPENSATION IWD EMPLOY EMPLOYERS LNBIUIY TORY UMRS ER ANY PROPRIET MPARTWWEXECUTNE OFFICERAEEMBER EXCLUDED? E.L. EACH ACCIDENT $ It yeah ribs under SPECIAL PROVISIONS helots OTHER E.L. DISEASE-EAEMPLOYE E.L. DISEASE-P000Y LIMIT $ $ A Mgmt. Consultants MCPL925-4 --96 07/01/ 88 017/01/09 PLiabilofOFOPTONiASIVECLEIECSIONS ADDED BY ERDORSEBi / SPECAL PROVI3O3DECRIPrORA Deductible: $5,000 Ea. Claim to $1,000,000 $1 000 000 CERTIFICATE HOLDER .-..ra.�...�..... Monroe County Risk Management Monroe County Hoard of County Commissioners 1100 Simonton Street Key Rest FL 33040 MQ,WEC I 3NOUED ANY GF THE ABOVE DESCROM POLICES BE CANCELLED BEFORE THE EXPIRATN DATE THEREOF. THE aS MWRER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CMTN:WATE HOLDER NAMED TO THE L69r. BUT FAILURE TO DO SO SNALL "'0"ND OBLNEATNRI OR UAsUW OF ANY MIND UPON THE POURER, ITS AGENTS OR CERTIFICATE OF INSURANCE The company indicated below certifies that the insurance afforded by the policy or policies numbered and described below is in force as of the effective date of this certificate. This Certificate of Insurance does not amend, extend, or otherwise alter the Terms and Conditions of Insurance coverage contained in any policy numbered and described below. CERTIFICATE HCLDER: COUNTY OF MONROE RISK MANAGEMENT P 0 BOX 1026 KEY WEST, FL 33041-1026 I I POLICY NUMBER I POLICY TYPE OF INSURANCE I 8, ISSUING CO. IEFF. DATE LIABILITY 177-BO-585401-0001 103-20-08 I [XI Liability and I NATIONWIDE I Medical Expense MUTUAL FIRE Personal and I INSURANCE CO. I Advertising Injuryl [XI Medical Expenses I [XI Fire Legal I I Liability I I I I [ I Other Liability j AUTOMOBILE LIABILITY I [XI BUSINESS AUTO I I [ I Owned I [XI Hired I [XI Non -owned EXCESS LIABILITY [ I Umbrella Form 177-BA-585401-0001 103-20-08 NATIONWIDE I MUTUAL FIRE INSURANCE CO. I I I INSURED: INSURANCE ADVISORY GROUP INC AND INTERISK CORPORATION 1111 N WEST SHORE BLVD STE 208 TAMPA, FL 33607-4711 POLICY I LIMITS OF LIABILITY EXP. DATE (*LIMITS AT INCEPTION) I 03-20-09 Any One Occurrence........ $ 1,000,000 I Included in Above - Any One Person or I Organization ANY ONE PERSON ........... $ 5,000 I Any One Fire or Explosion $ 100,000 I I I General Aggregate* ....... $ 2,000,000 I Prod/Comp Ops Aggregate* . $ 1,000,000 I I I 03-20-09 I Bodily Injury (Each Person) .......... $ I (Each Accident) ........ $ Property Damage (Each Accident) ........ $ Combined Single Limit .... $ 1,000,000 Each Occurrence .......... 8 Prod/Comp Ops/Disease Aggregate* ............. $ [XI 77-WC-585401-0002 03-20-08 103-20-09 I STATUTORY LIMITS 1 I Workers' I Nationwide I I BODILY INJURY/ACCIDENT ... $ 500,000 I Compensation I Mutual I I I Bodily Injury by Disease I and I [X] Employers' I Insurance Co. I EACH EMPLOYEE .......... 8 500,000 I Liability I I Bodily Injury by Disease I I POLICY LIMIT ........... $ 500.000 Should any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONS expiration date, the insurance company will endeavor to mail 30 days VEHICLES/RESTRICTIONS/SPECIAL ITEMS written notice to the above named certificate holder, but failure to MONROE COUNTY BOARD OF mail such notice shall impose no obligation or liability upon the COUNTY COMMISSIONERS AS CERT company, its agents, or representatives. HOLDERS AND ADDL INSUREDS Effective Date of Certificate: 03-20-2008 Date Certificate Issued: 07-02-2008 Authorized Represent live: BRIER S GRIEVES Countersigned at: 3347 W. BEARSS AVE. IV TAMPA, LR6)8'", 1�_ CERTIFICATE OF INSURANCE The company indicated below cert fies that RfeCirs c afforded 1y the policy or policies numbered and described below is in force as o the ctive-dat-"f--ttH s-Terti icate. This Certificate of Insurance does not amend, extend, or other ise alter the Terms and Con tion of Insurance coverage contained in any policy numbered and described be ow. MAR 2009 ! CERTIFICATE HOLDER: �. IidSURE COUNTY OF MONROE MONROE COUNTY I SURANCE ADVISORY GROUP INC RISK MANAGEMENT ftlSK i ;a�laC4_ti°riT D INTERISK CORPORATION P 0 BOX 1026 1111 N WEST SHORE BLVD STE 208 KEY WEST, FL 33041-1026 TAMPA, FL 33607-4711 POLICY NUMBER I POLICY I POLICY I LIMITS OF LIABILITY TYPE OF INSURANCE & ISSUING CO. JEFF. DATE JEXP. DATE I (*LIMITS AT INCEPTION) LIABILITY 77-BO-585401-0001 03-20-09 03-20-10 1 [X] Liability and NATIONWIDE Any One Occurrence........ $ 1,000,000 Medical Expense MUTUAL FIRE Personal and INSURANCE CO. Included in Above - Any One Person or Advertising Injury) Organization [X] Medical Expenses ANY ONE PERSON ........... $ 5,000 [X] Fire Legal Any One Fire or Explosion $ 100,000 Liability General Aggregate* ....... $ 2,000,000 Prod/Comp Ops Aggregate* . $ 1,000,000 [ ] Other Liability AUTOMOBILE LIABILITY 77-BA-585401- 1 03-20-09 1 03-20-10 [X] BUSINESS AUTO Nationwide Bodily Injury Insurance Co. (Each Person) .......... $ [ ] Owned (Each Accident) ........ $ [X] Hired Property Damage [X] Non -Owned _ (Each Accident) ........ $ r` Combined Single Limit .... $ 1,000,000 EXCESS LIABILITY Each Occurrence .......... $ Prod/Comp Ops/Disease [ ] Umbrella Form j i T Aggregate* ............. $ 77-WC-585401-0002 1 03-20-09 -20-10 STATUTORY LIMITS [X] Workers' Nationwide BODILY INJURY/ACCIDENT ... $ 500,000 Compensation Mutual / " Bodily Injury by Disease and Insurance Co. EACH EMPLOYEE .......... $ 500,000 [X] Employers' Bodily Injury by Disease Liability' POLICY LIMIT ........... $ 500,000 Should any of the above described policies be cancelled before the DESCRIPTION OF OPERATIONS/LOCATIONS expiration date, the insurance company will endeavor to mail 30 days VEHICLES/RESTRICTIONS/SPECIAL ITEMS written notice to the above named certificate holder, but failure to mail such notice shall impose no obligation or liability upon the company, its agents, or representatives. Effective Date of Certificate: 03-20-2008 Date Certificate Issued: 02-25-2009 C C 1 Authorized Representative: BRIER GRIEVES Countersigned at: 3347 W. BEARSS AVE. PA PA, FL 33618 AA& ACOM CERTIFICATE OF LIABILITY INSURANCE OP ID SS DATE(MM/DD/YYYY) INTE801 07 14 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO Professional Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Protection Advantage Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 22 Century Hill Dr. Ste. 103 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Latham NY 12110-1423 Phone : 518-782-3000 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: National Union Fire Insur. Co. INSURER B: Interisk Co /Insur Advisory INSURERC: 1111 North a tshore Blvd INSURER D: Tampa FL 33687-4711 INSURER E: rftnvGo a r_=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. LTR INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YY POLICY EXPIRATION DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MAD 7OCCUR UAMAU PREMISES (Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 7 PRO- JECT 7 LOC PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS 1 BODILY (Per accident)INJURY $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE ( U EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE ,, $ RETENTION $ $ WORKERS COMPENSATION AND W G STA U- EMPLOYERS' LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ If yes, describe under E.L. DISEASE - EA EMPLOYE $ SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $ A Mgmt. Consultants MCPL925-48-96 07/01/09 07/01/10 Prof. Liability DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Deductible: $5,000 Ea. Claim Aggregate $1,000,000 $1,000 000 CFRTIFIR_oTF Nni n=o ......._.. _ _.__. Monroe County Risk Management Monroe County Board of County Commissioners 1100 Simonton Street Key West FL 33040 25 (2001 /0 CG vr��v�VVI111V1\ MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIC DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REP ESENTATIVES. T O 1 REPRESENTATIVEzx��2� �• AC C�I�L� �....— CERTIFICATE OF LIABILITY INSURANCE F3/15/2010 TE (MMIDD/YYYY) PRODUCER (813) 87 6-4166 FAX: (813) 870-0170 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION F ATION Brier Grieves Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 3 617 Henderson Blvd. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I Tam Pa FL 3360 9 INSURERS AFFORDING COVERAGE - - - __ -- - - - - ---------�__ NAIC # INSURED INSURER A:Nationwide Mutual Fire 2377_9___ Insurance Advisory Group _. NSURER B: 1111 N Westshore Blvd Ste 208 .NSURER C: +NSURER D: TamPa FL 33607 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. N TYPE OF sUSURANCE POLICY EFFECTIVE : POLICY EXPIRATION �� I POLICY NUMBER nATI: ,Uutrlfllvvvw% . f1ATC GENERAL LIABILITY I ' COMMERCIAL GENERAL LIABILITY E; CLAIMS MADE El OCCUR 1'77BOS854010001 GEN'L AGGREGATE LIMIT APPLIES PER: P RO- t ? R 1 POLICY FIJECTLOC �AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS 77BO5854 010001 SCHEDULED AUTOS r —1 XHIRED AUTOS j X I NON -OWNED AUTOS GARAGE LIABILITY I ANY AUTO EXCESS 1 UMBRELLA LIABILITY r �7 OCCUR F1 CLAIMS MADE DEDUCTIBLE RETENTION $ A WORKERS CU!APENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIEIOR/PARTNER,-EXECUTIVE "CLL'CED^ (Mandatory In NH) 77WC5654010002 i If yes, describe under SPECIAL PROVISIONS below # OTHER 13/20/2010 3/20/2011 E 1 I 13/20/2010 3/20/2011 0 LIMITS EACH OCCURRENCE S i1A�T�F-' fi F-NT _- -- - ._ 11000,000 PR_E9 ES1 j_ocgV Snc©� a_ _i I 5011 V t) U - — MED EXP (Any one person)$ PERSONAL g ADV INJURY i S 1 000,000 i GENERAL AGGREGATE _ $_— -- — 2 0 0 0 0 O_O # PRODUCTS - COMPIOP AGG $ f 1 r 000,000 I �— COMBINED SINGLE LIMIT ! (Ea accident) !$ 11000.1000 BODILY INJURY at person) $ BOUILN' INJURY (Par accident) $ PROFERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT OTHER THAN _EA ACC AUTO ONLY: AGG $ rs - — $ EACH OCCURRENCE AGGREGATE j S WC _STATU- ; OTH- ; E.L. EACH _>i;CIDENT $ 500,000 3/20/2010 3/L7/2011 E.L. DISEASE EA EMPLOYE $ 5001 UUU E.L. DISEASE - POLICY LIMIT I $ SOD, 000 - -- -- --- • -• -• - • ' w""-Or's I IWIM-4 i V rr,wLw r r-wULUawnZ1 AUUr.0 tI V tNOURSEMENT / SPECIAL PROVISIONS Monroe County BOCC listed as additional insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION County o f Monroe c DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1 WRITTEN DAYWRITTENRisk Management PO BOX 1026 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To Da SC SHALL Key West, FL 33041 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. �t AUTHORIZED REPRESENTATIVE ACORD 25 (2009,'01) INS025 c2�)G9it) �O 9 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE OPID SS ""' 07 12 10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFO UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGA LY AMENtR THE CO RAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES N CON TIT ETWEEN E ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFI ATE H LDER —� IMPORTANT: If e certificate o er is an the terms and conditions of the policy, certain policies I the po Ic Ws must be endorms nay re wiree do+egle"s meet If SUBROGATION 15 WAIVED, subject to this certificate does not confer rights to the certificate holder in lieu of such endorsemert(s). PRODUCER Professional Services MAW - FAX IA/C.Neh Protection Advantage Inc. MON 1 ;—Vi 22 Century Hill Dr. Ste. 103 RIN; Latham NY 12110-1423 Phone : 518-78.2-3000 CUSTOMERID#- INTE801 INSURER(S) AFFORDING COVERAGE NAIC a INSURED Interisk Corrpp/Insur Advisory 1111 North We-stshore Blvd INSURERA: Bear -lay Insurance Ccmpaay Inc. INSURERS: Tampa EL 33607-4711 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 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 COND€TIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR $ POLICY NUMBER POLICY EFF (M fDDIYYYY) (NMlpp/Yyyy) LIMITS - GENERAL LUUBILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ CLAIMS -MADE 71OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ PRO- POLICY1-1 JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per awdent) $ NON -OWNED AUTOS t« _ $ UMBRELLA LIAR EXCESS LIAR OCCUR CLAIMSMADE .,, -- �� a �... _.. ..... EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE . ,.,. �/ RETENTION S $ WORKERS COMPENSATION W TATU- TH- AND EMPLOYERS' LIABILITY Y I N TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTI OFFICER/MEMBER EXCLUDED? IA E.L DISEASE - EA EMPLOY $ (Mandatory In NH) 9 If yes, describe under E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below C / A Miscellaneous lVlIC9909PNPM 07/01/1007/01/11 Ea. Claim $1,000000 Prof. Liability •- - Aggregate $1 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Aaaeh ACORD 101, Additional Remarks Schedule, R mon spats Isrslplirad) Deductible: $5,000 %,am I Irla.^ I c nvLUcrt CANCELLATION Monroe County Monroe County Commissioners 1100 Simonton IKev West FL 3. Risk Management Board of County Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MONROEC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MVVR/U GO t"TUVIUVI I ne AcvKo name and logo are registered marks of ACORD �1 "PC" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 3/29/2011 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 CERTIFl IMPORTANT: If the certificate holder is an ADDITION the terns and conditions of the policy, certain policies certificate holder in lieu of such endorsement(s). INSUR jK' ust be a orsed. If SUBROGATION IS WAIVED, subject to require an endorsement A state nt on this certificate does not confer rights to the PRODUCER Brier Grieves Insurance 3617 Henderson Blvd. APROtt P N (8T 8 -4166 FAX (813)870-0170 _ A/C N. o): _ -MAIL ADDRESS: dianel@ ins.com MONK 1)00052 3 FL 33609 RISK NAGEMENT S AFFORDING COVERAGE NAICk INSURED INSURER ANationwide Insurance 25453 INSURERBDepositors Insurance Company 42587 INSURANCE ADVISORY GROUP INC 1111 N WEST SHORE BLVD STE 208 -INSURER C: INSURER C: _ INSURER E : TAMPA FL 33607-4711 INSURERF: -'wvv nvmor=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 INSIR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE E] OCCUR NCPBPOZ5904822604 /20/2011 /20/2012 EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 ----- GENERAL AGGREGATE $ 2,000,000 — — GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- E T LOC PRODUCTS - COMP/OP AGG_ -- $ 2,000,000 --- ------ $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1 , 000 , 000 BODILY INJURY (Per person) $ A ALL OWNED AUTOS CPBPOZ5904822604 /20 2011 012012 BODILY INJURY (Per accident) $ SCHEDULED AUTOS X•PROPERTY DAMAGE (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X $ — UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE EACH OCCURRENCE ------------- $ AGGREGATE Is _ DEDUCTIBLE _ $ B RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yyes describe under 1) RIPTION OF OPERATIONS below N / A RCPWCD5904822604 /20/2011 /20/2012 WC STATU- OTH- T I E.L. EACH ACCIDENT _ $ 1 , 000 , 000 E.L. DISEASE - EA EMPLOYE — $ _ 1 , 0001 �00 E.L. DISEASE -POLICY LIMIT $ 1 000 01 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, H more space Is required) Certificate Holder shown as additional insured. County of Monroe Risk Management PO Box 1026 Key West, FL 33041 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 Grieves/NANCY t_6— _'e ecnDn -Je Pinnnrnnx v Tyaa-nwa AGURI) GURPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD INTE801 OP ID: SS DATE (MMIDDIYYYY) _ Q e 07108111 R CERTIFICATE OF LIABILITY INSURANCE RIGHTS THE CERTIFICATE HOLDER. OLICHES �►co� E A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED HIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY T AND CONFERS NO T ATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY CERTIFICATE DOES NOT AFFIRM ANTHIS CERTIF D THE CERTIFICATE HOLDER. les must be endorsed. If SUBROGATION IS WAIVED, subject to BELOW ENTA7IVE OR PRODUCER,ICATE OF NSURANCE DOES NOT CONS cllcy( ) REPRES IMPORTANT: NT: If the certificate holder Is an ADDI policies0Am 11 reU4 E 8'a� endorsement. A statement on this certificate does not confer rights tot e ay the terms and conditions of the policy, S rtain Or FAX _..wlaewta holder in lieu of such endorse 518 _ ' EA No PRODUCER Professional Services Protection Advanta a Inc. 22 Century. ill Dr. Se. 103 Latham, NY INSURED Interisk Corpllnsur Advisor) 11 North Welstshore Bllvdt 11 Tampa, FL 33607-4711 JUL 1 Inc. REVI�rVI\ rw...-- RAGES CERTIFICATE NUMBER:ITH OD F ANY CONTRACT OR OTHER CH THIS DOHEREEN IS SUB ECT TOTALOL THEI TERMS, VE F INSURANCE LISTED BELOW HA -BEEN ISSUED TO THE INSURE DD NAMED ABOVE FOR THE POLICY PERT D THIS IS TO CERTIFY THAT THE POLICIES O THE INSURANCE AFFORDED BY THE POLICIES DESCRIBE XP LIMITS INDICTED.MAY IBESSSUED OR MAYEPERTAIN, THE TERM OR CONDITIO MAY POLICY B POLICY IM CERTIFICATEMML DIYY F MM DDIYYYY EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS S voWc Nukls RVE BEEN REDUCED BY PAID CLAIM EACH OCCURRENCE $ EX -. _ _ TYPE OF INsuw+--' GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 0OCCUR A AGGREGATE LIMIT APPLIES PER: AUTOMOBILE LIABILITY ANY AUTO SCHEDULED ALL OWNED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE DED RETENTION WORKERS COMPENSATION ANA14Y PROPR EEOIN RIPARTINERIEXECUTIVE LITY Y❑ N I A OFFICERIMEMBER EXCLUDED? o...Astery In NH) 10PNPM PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ BODILY INJURY (Per Person) $ BODILY INJURY (Per accident) $ l� PeOr acc deM SAGE $ EACH OCCURRENCE ',2 AGGREGATE $ E.L. E.L. 07101112 IEa Claim lional Liab ' " OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required) . $5,000 C C r. �K Q /) Ge..-r 1 1 MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Risk Management Monroe County Board of County AUTHORIZED REPRESENTATIVE Commissioners 1100 Simonton Street rrs.. West. FL 33040 ©1988-2010 ACORD CORPORATION. All rights reserve d. The ACORD name and logo are registered marks of ACORD ACORD 25 (2010105) A� O CERTIFICATE OF LIABILITY INSURANCE 2/28i2o1�2 ' 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 Brier Grieves Insurance 3617 Henderson Blvd. Tampa FL 33609 CONTACT Diane Lippincott NAME: PP PHONE (813) 876-4166 FAX A N , (813)870-0170 E-MAIL .dianel@bgains.com INSURERS AFFORDING COVERAGE NAIC p INSURER A:Nationwide Insurance 25453 INSURED Interisk Corporation INSURANCE ADVISORY GROUP INC 1111 N WEST SHORE BLVD STE 208 TAMPA FL 33607-4711 INSURER B:De ositors Insurance Company 42587 INSURER C : INSURERD: INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER:CL1222805229 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. INSR LTR TYPE OF INSURANCE A L SUBR POLICY NUMBER POLICY EFF POI MM/DCY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED — PREMISES Ea occurrence $ 300,000 MED EXP (Any oneperson) $ 5,000 A CLAIMS -MADE OCCUR PLCPBPOZ5914822604 /20/2012 /20/2013 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ X POLICY JECT PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ A ANY AUTO ALL ONNED SCHEDULED AUTOS NON OWNED X HIRED AUTOS AUTOS X AUTOS(Per CPBPOZ5914822604 /20/2012 /20/2013 BODILY INJURY (Per accident) $ PROPERTY accident) P $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4DED XCESS LIAB CLAIMS -MADE b�y � W AGGREGATE $ RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE -- -er. f Ma-YIG�T,6 - OTH- X WC STATU- 11 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 OFFICER/MEMBEREXCLUDED? (Mandatory in NH) N/A PWCD5914822604 /20/2012 /20/2013 E.L. DISEASE - POLICY LIMIT 1 $ 1 000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder shown as additional insured UtK I It- IUA It MULULK VAIYV CLLA I lum County of Monroe Risk Management PO Box 1026 Key West, FL 33041 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 ACORD 25 (2010105) INS025 (201005).01 Grieves/NANCY / — _I U 19SS--lU1U AUVKU UVKI UKA I IVN. All rlgnis reserveo. The ACORD name and logo are registered marks of ACORD INTE801 OP ID: SS A�RO' CERTIFICATE OF LIABILITY INSURANCE ATE07/10/120/12 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 endorsements . PRODUCER 518-782-3000 Professional Services Protection Advantage Inc. 22 Century Hill Dr. Ste. 103 Latham, NY 12110-1423 CONTACT NAME: A/c°Nt o Ext : ac No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC M INSURER A: BeaZley Insurance Company Inc. INSURED Interisk Corp/Incur Advisory Lawton Swan III, CPCU, CLU 1111 North Westshore Blvd Tampa, FL 33607-4711 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 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 DDL UB POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO REN ED PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 171 OCCUR APM B � ( MAMGMENT MED EXP (Any one person) $ PERSONAL & ADV INJURY $ QA GENERAL AGGREGATE $ W 9 lC/ellG GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC CG • $ 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 PROPPER DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE D? OFFICER/MEMBER EXCLUDE❑ N / A E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 1 $ A Miscellaneous V11CJY11PNPM 07/01/12 07/01/13 Ea Claim 1,000,00 Professional Liab Aggregate 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Deductible: $5,000 CERTIFICATE HOLDER CANCELLATION MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County AUTHORIZED REPRESENTATIVE Commissioners Simonton Street KeX Ke West, FL 33040 G C_'. ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD A� O� CERTIFICATE OF LIABILITY INSURANCE DA 3/11/20 Y3 Y) 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 INSURERO, 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 Brier Grieves Insurance 3617 Henderson Blvd. Tampa FL 33609 NAB C Diane Lippincott - PHONE . (813) 876-4166 FAx (813) 870-0170 LAIC VQ E-MAILdiaael@bgains.com INSURERS AFFORDING COVERAGE NAIL 0 INSURER ANationwide Insurance 25453 INSURED INTERISK CORPORATION INSURANCE ADVISORY GROUP INC 1111 N WEST SHORE BLVD STE 208 TAMPA FL 33607-4711 INSURERBOO OS1tOrS Insurance Company 42587 INSURERC: INSURER 0: INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER CL1331107207 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIES 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 QFSUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MMIDDNY POLICY EXP M YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO REP= PREMISES Ea occurrence $ 300,000 X COMMERCIAL GENERAL LIABILITY A CLAIMS -MADE a OCCUR kCPBPOZ5924822604 /20/2013 /20/2014 MM EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGO $ 2,000,000 $ X POLICY PRO- LOC AUTOMOBILE LIABILITY \ V EOMBIINEED SINGLE LIMB 1,000,000 BODILY INJURY (Per person) $ AI ANY AUTO ALL OVMED SCHEDULED AUTOS AUTOS NON-O\VIED HIRED AUTOSAUTOS E CPSPOZ5924822604 /20/2013 /20/2014 BODILY INJURY (Per accidenq $ P PERTYDAMAGES Per accede $ UMBRELLA LIAR EACH'OCCURRENCE $ HOCCUR AGGREGATE $ EXCESSLIAB CLAIMS -MADE DEL) I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS! LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE YIN X 11VC STATU- OTH- I ER E.L. EACH ACCIDENT $ 1 OOO OOO OFFICERIMEMBER EXCLUDED? (Mandatory in NH) NIA CPWCD5924822604 /20/2013 /20/2014 E.L. DISEASE - EA EMPLOYEE S 1,000,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATION31 LOCATIONS I VEHICLES (Attach ACORD 101, AddKlonal Remarks Schedule, it In is r I ) Certificate Holder shown as additional insured L -3 cL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN County of Monroe ACCORDANCE WITH TIME POLICY PROVISIONS. Risk Management PO BOX 1026 AUTHORIZEDREPRESEMATIVE Key West, FL 33041 Brier Grieves/NANCY t-- k3 � -w� ecl6lAmfu c c- INTE801 OP ID: LM A41043PRL7ri CERTIFICATE OF LIABILITY INSURANCE �-'—'' DATE(MM/DD/YYYY) 07/01 /13 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 Phone. Professional Services JLT Facilities Fax: 22 Century Hill Dr. Ste. 103 Latham, NY 12110-1423 CONTACT NAME: E FAX vCONN Ext : A/C No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:BeaZley Ins Co Inc. INSURED Interisk Corp/Insur Advisory Lawton Swan III, CPCU, CLU 1111 North Westshore Blvd Tampa, FL 33607-4711 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 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 rypE OF INSURANCEADDLSUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence $ COMMERCIAL GENERAL LIABILITY CLAIMS-MADE1:1 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JE $ 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 $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A f E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below - E.L. DISEASE - POLICY LIMIT 1 $ A Misc. Professional Liability V11C0912PNPM 07/01/13 6' 07/01/14 Per Claim 1,000,00 Aggregate 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) Deductible: $5,000 CERTIFICATE HOLDER MONROEC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Monroe County Risk Management ACCORDANCE WITH THE POLICY PROVISIONS. Monroe County Board of County Commissioners AUTHORIZED REPRESENTATIVE 11 y0 Simonton StreetGa.C:.t+, Ke West, FL 33040 G C.: ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ACORO® CERTIFICATE OF LIABILITY INSURANCE i`� ATE D/17/ roD/Y4 317/201 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 Brier Grieves Insurance 3617 Henderson Blvd. Tampa FL 33609 CONTACT NAME: Diane Lippincott PHONE (813) 876-4166 FAICAX No); (813)870-0170 (Air No FXtI- E-MAILD:dianel@bgains.com INSURERS AFFORDING COVERAGE NAIC # INSURERANationwide Insurance 25453 INSURED INTERISK CORPORATION INSURANCE ADVISORY GROUP INC 1111 N WEST SHORE BLVD STE 208 TAMPA FL 33607-4711 INSURER BDepositors Insurance Company 42587 INSURER C : INSURERD: INSURER E : INSURERF: COVERAGES CERTIFICATE NUMBER:CL1431709149 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. INSR LTR TYPE OF INSURANCE ADDLISUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGERENTED—300,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 A CLAIMS -MADE OCCUR ACPBPOZ5934822604 3/20/2014 /20/2015 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 $ X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY (Per person) $ ANY AUTO A ALL OWNED SCHEDULED CPBPOZ5934822604 3/20/2014 3/20/2015 BODILY INJURY (Per accident) $ AUTOS AUTOS X x NON -OWNED PROPERTY DAMAGE Per accident $ HIRED AUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ EXCESS LIAB RD ED I I RETENTION $ $ B WORKERS COMPENSATION STATUSOTH- XIT R AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA CPWCD5934822604 3/20/2014 /20/2015 E.L. DISEASE -POLICY LIMIT $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder shown as additional insured APP Y R SI IAGEMENT DAT WAN�N/(� c CC • � � CERTIFICATE HULUtK l,ArvlrCLv♦ I I%J" County of Monroe Risk Management PO Box 1026 Key West, FL 33041 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 ACORD 25 (2010105) INSn95 mmons) m Grieves/NANCY -,e V 1Vtftf-LU1U AL.UKU L UKruKAI IUn. All nytlla FVbtPFvCu. Tho AC`npn nama anrt Innn ara ranictararl mnrtrc of Arson