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Certificates of Insurance ACCORD® CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 07/02/2021 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 CONTACT NAME: Hiscox Inc. A/CON No, Ext: (888)202-3007 FAX No): 520 Madison Avenue -ADDRESS: contact@hiscox.com 32nd Floor New York, NY 10022 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Hiscox Insurance Company Inc 10200 INSURED INSURER B ERIN L DEADY P.A. 54 1/2 SE 6TH AVE INSURERC: DELRAY BEACH, FL 33483 INSURERD: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MM/DD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DA CLAIMS-MADE � OCCUR PREM SESOEa occurrDence $ 100,000 MED EXP(Any one person) $ 5,000 A Y Y UDC-2298363-CGL-21 06/29/2021 06/29/2022 PERSONAL&ADV INJURY $ 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICYEl jE LOC PRODUCTS-COMP/OP AGG $ S/T Gen.Agg OTHER: $ AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLALIAB OCCUR �� * ,,.. EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE ---" " AGGREGATE $ ,_. DED RETENTION$ �.'. 6 l,.Q, "..... �,�,-, $ WORKERS COMPENSATION "^"" "°""'"`"""" PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE Y❑ M ' K I �,„�- E.L.EACH ACCIDENT $ OFFICE R/M EMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION Monroe County BOCC PO Box 100085-FX AUTHORIZED REPRESENTATIVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Duluth GA 30096 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ! @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 111 iir INSURANCEMutual COMPANY CERTIFICATE OF INSURANCE This Certificate does not amend, extend or alter the coverage afforded by the policy. This is to certify that the policy of insurance shown below has been issued and is in force at this time. NAMED INSURED AND ADDRESS: Erin L. Deady, P.A. T 620 W. Bloxham Street 7,� Lake Worth, FL33462 w _� TYPE OF INSURANCE: LAWYERS PROFESSIONAL LIABILITY A 6 —® POLICY NUMBER: 99783 POLICYTERM: 09/20/2021 to 09/20/2022 RETROACTIVE DATE: Erin L. Deady—09/20/2011 LIABILITY LIMITS: $2,000,000 Per Claim/$2,000,000 Total Limit DEDUCTIBLE: $5,000 CANCELLATION: Should the above-described policy be canceled before the expiration date thereof, the issuing Company will endeavor to mail 30 days written notice to the below named Certificate Holder, but failure to mail such notice shall impose NO obligation or liability of any kind upon the Company, its agents or representatives. NAME AND ADDRESS OF CERTIFICATE HOLDER: Monroe County Board Of County Commissioners Insurance Compliance P.O. Box 100085 Duluth, GA 30096 This Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. February 11, 2021 :�' T�" DATE OF ISSUE -------------------- PROGRFfWYF' MAGEN INSURANCE INC COMMERC/AL 2255 GLADES RD#324A BOCA RATON,FL 33431 1-561-221-6710 Policy number: 02115798 Underwritten by: Progressive Express Ins Company NAIC Number:10193 May 20,2022 Page 1 of 1 Certificate of Insurance Certificate Holder Additional Insured MONROE COUNTY By PO BOX 100085 DA 5 2 DULUTH, GA 30096 '® �m�'5 �� WAMP 1' Insured Agent ................................................................................................................................................................................................... ERIN L. DEADY MAGEN INSURANCE INC 54 1/2 SE 6 AVE 2255 GLADES RD#324A DELRAY BEACH, FL 33483 BOCA RATON, FL 33431 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. Liability coverage may not apply to all scheduled vehicles. ............................................................................................................................................................................. Policy Effective Date: May 8, 2022 Policy Expiration Date: May 8, 2023 Insurance coverage(s) Limits ............................................................................................................................................................................. Bodily Injury/Property Damage $1,000,000 Combined Single Limit ............................................................................................................................................................................. Any Auto Bodily Injury/Property Damage $1,000,000 Combined Single Limit ............................................................................................................................................................................. Personal Injury Protection $10,000 w/$0 Ded -Named Insured Only ............................................................................................................................................................................. Broad Form Matching Limits All Coverages Description of Location/Vehicles/Special Items Scheduled autos only ............................................................................................................................................................................. 2012 PORSCHE CAYENNE HYBRID WP1AE2A20CLA91242 Comprehensive $500 Ded Collision $500 Ded Rental Reimbursement $40 Per Day($1,200 Max) Roadside Assistance Selected w/$0 Ded Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241 (05/16) O� � a JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION ** CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW NON-CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/24/2021 EXPIRATION DATE: 11/24/2023 PERSON: ERIN L DEADY EMAIL: ERIN@DEADYLAW.COM FEIN: 453108752 BUSINESS NAME AND ADDRESS: ERIN L, DEADY, P.A. 701 NORTHPOINT PARKWAY, SUITE 2, 05 WEST PALM BEACH, FL 33407 SCOPE OF BUSINESS OR TRADE: Attorney-All Employees& Clerical,Messengers,Drivers IMPORTANT:Pursuant to subsection 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to subsection 440.05(12),F.S.,Certificates of election to be exempt issued under subsection(3)shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to subsection 440.05(13),F.S.,notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01413397 QUESTIONS?(850)413-1609 ACCORD® CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 07/02/2021 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 CONTACT NAME: Hiscox Inc. A/CON No, Ext: (888)202-3007 FAX No): 520 Madison Avenue -ADDRESS: contact@hiscox.com 32nd Floor New York, NY 10022 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Hiscox Insurance Company Inc 10200 INSURED INSURER B ERIN L DEADY P.A. 54 1/2 SE 6TH AVE INSURERC: DELRAY BEACH, FL 33483 INSURERD: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MM/DD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DA CLAIMS-MADE � OCCUR PREM SESOEa occurrDence $ 100,000 MED EXP(Any one person) $ 5,000 A Y Y UDC-2298363-CGL-21 06/29/2021 06/29/2022 PERSONAL&ADV INJURY $ 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICYEl jE LOC PRODUCTS-COMP/OP AGG $ S/T Gen.Agg OTHER: $ AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $ Ea accident ANY AUTOw BODILY INJURY(Per person) $ OWNED SCHEDULED A AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ � +�""'° ,.�,.,�, HIRED NON-OWNED 4 PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY ,�,. ,--- Per accident $ 4 2021 GL only - $ UMBRELLALIAB q ^^^""'"II — occuR "'""""�" '" EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE WAN" ''"'- AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICE R/M EMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION Monroe County BOCC PO Box 100085-FX AUTHORIZED REPRESENTATIVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Duluth GA 30096 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ! @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD PROGREll/UE' MAGEN INSURANCE INC COMMERCIAL 7301 W PALMETTO PK RD BOCA RATON, FL 33433 1-561-221-6710 Policy number: 02115798-1 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY May 13,2021 Page 1 of 2 W Certificate of Insurance . - 6 . 2021 Certificate Holder WAMP , °. MONROE COUNTY BOCC-INS COMP PO BOX 100085-FX DULUTH,GA 30096 Insured Agent/Surplus Lines Broker ................................................................................................................................................................................................... ERIN L. DEADY MAGEN INSURANCE INC 54 1/2 SE 6 AVE 7301 W PALMETTO PK RD DELRAY BEACH, FL 33483 BOCA RATON, FL 33433 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. ............................................................................................................................................................................. Policy Effective Date: May 8,2021 Policy Expiration Date: May 8, 2022 Insurance coverage(s) Limits ............................................................................................................................................................................. BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT ............................................................................................................................................................................. PERSONAL INJURY PROTECTION $10,000 W/$0 DIED-NAMED INSURED ONLY ............................................................................................................................................................................. ANY AUTO BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT ............................................................................................................................................................................. BROAD FORM MATCHING LIMITS ALL COVERAGES Description of Location/Vehicles/Special Items Scheduled autos only ............................................................................................................................................................................. 2012 PORSCHE CAYENNE HYBRID WPIAE2A20CLA91242 COMPREHENSIVE $500 DIED COLLISION $500 DIED RENTAL REIMBURSEMENT $40 PER DAY($1,200 MAX) ROADSIDE ASSISTANCE SELECTED Continued Policy number: 02115798-1 Page 2 of 2 Certificate number 13321NET798 Please be advised that the certificate holder will not be notified in the event of a mid-term cancellation. 'P��­ Form 5241(10102) From: erin@deadylaw.com To: monroecountyfl monroecountyfl@Ebix.com CC: Subject: ELD PA COI Date: 5/13/2021 2:11:11 PM Attachment(s): Erin L. Deady, P.A. 54%SE 6th Avenue Delray Beach, FL 33483 954.593.5102 calendly.com/eldpa-54 https://erindeadylaw.com/ JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION ** CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW NON-CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/24/2021 EXPIRATION DATE: 11/24/2023 PERSON: ERIN L DEADY EMAIL: ERIN@DEADYLAW.COM FEIN: 453108752 BUSINESS NAME AND ADDRESS: ERIN L, DEADY, P.A. APPROVED BY RISK MANAGEMENT 701 NORTHPOINT PARKWAY, SUITE 2, 05 �.� WEST PALM BEACH, FL 33407 -' DATE._ 2/23/22 SCOPE OF BUSINESS OR TRADE: WAVER MA YES Attorney-All Employees& Clerical,Messengers,Drivers IMPORTANT:Pursuant to subsection 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to subsection 440.05(12),F.S.,Certificates of election to be exempt issued under subsection(3)shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to subsection 440.05(13),F.S.,notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01413397 QUESTIONS?(850)413-1609 INSURANCEF Florida Lawyers LMMutual COMPANY CERTIFICATE OF INSURANCE This Certificate does not amend, extend or alter the coverage afforded by the policy. This is to certify that the policy of insurance shown below has been issued and is in force at this time. NAMED INSURED AND ADDRESS: Erin L. Deady, P.A. 620 W. Bloxham Street Lake Worth, FL 33462 APPROVED BY RISK MANAGEMENT TYPE OF INSURANCE: LAWYERS PROFESSIONAL LIABILITY DATE 2/23/22 POLICY NUMBER: 99783 WAVER NIA YES POLICY TERM: 09/20/2021 to 09/20/2022 RETROACTIVE DATE: Erin L. Deady—09/20/2011 LIABILITY LIMITS: $2,000,000 Per Claim/$2,000,000 Total Limit DEDUCTIBLE: $5,000 CANCELLATION: Should the above-described policy be canceled before the expiration date thereof, the issuing Company will endeavor to mail 30 days written notice to the below named Certificate Holder, but failure to mail such notice shall impose NO obligation or liability of any kind upon the Company, its agents or representatives. NAME AND ADDRESS OF CERTIFICATE HOLDER: Monroe County Board Of County Commissioners Insurance Compliance P.O. Box 100085 Duluth, GA 30096 This Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. February 11, 2021 D IVE DATE OF ISSUE i i i l Io 11 II I I e ACCORD® CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 07/02/2021 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 CONTACT NAME: Hiscox Inc. A/CON No, Ext: (888)202-3007 FAX No): 520 Madison Avenue -ADDRESS: contact@hiscox.com 32nd Floor New York, NY 10022 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Hiscox Insurance Company Inc 10200 INSURED INSURER B ERIN L DEADY P.A. 54 1/2 SE 6TH AVE INSURERC: DELRAY BEACH, FL 33483 INSURERD: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MM/DD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DA CLAIMS-MADE � OCCUR PREM SESOEa occurrDence $ 100,000 MED EXP(Any one person) $ 5,000 A Y Y UDC-2298363-CGL-21 06/29/2021 06/29/2022 PERSONAL&ADV INJURY $ 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICYEl jE LOC PRODUCTS-COMP/OP AGG $ S/T Gen.Agg OTHER: $ AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $ Ea accident ANY AUTOw BODILY INJURY(Per person) $ OWNED SCHEDULED A AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ � +�""'° ,.�,.,�, HIRED NON-OWNED 4 PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY ,�,. ,--- Per accident $ 4 2021 GL only - $ UMBRELLALIAB q ^^^""'"II — occuR "'""""�" '" EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE WAN" ''"'- AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICE R/M EMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION Monroe County BOCC PO Box 100085-FX AUTHORIZED REPRESENTATIVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Duluth GA 30096 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ! @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD F Florida Lawyers LMMutual INSURANCE COMPANY CERTIFICATE OF INSURANCE This Certificate does not amend, extend or alter the coverage afforded by the policy. This is to certify that the policy of insurance shown below has been issued and is in force at this time. NAMED INSURED AND ADDRESS: Erin L. Deady, P.A. Approved Risk Management 620 W Bloxham Street � Lake Worth, FL 33462 --12-7-2021 TYPE OF INSURANCE: LAWYERS PROFESSIONAL LIABILITY POLICY NUMBER: 99783 POLICY TERM: 09/20/2021 to 09/20/2022 RETROACTIVE DATE: Erin L. Deady—09/20/2011 LIABILITY LIMITS: $2,000,000 Per Claim/$2,000,000 Total Limit DEDUCTIBLE: $5,000 CANCELLATION: Should the above-described policy be canceled before the expiration date thereof, the issuing Company will endeavor to mail 30 days written notice to the below named Certificate Holder, but failure to mail such notice shall impose NO obligation or liability of any kind upon the Company, its agents or representatives. NAME AND ADDRESS OF CERTIFICATE HOLDER: Monroe County BOCC Insurance Compliance P.O. Box 100085 Duluth, GA 30096 This Certificate is issued as a matter of information only and confers no rights upon the Certificate Holder. April 22, 2021 D IVE DATE OF ISSUE i i i l Io 11 II I I e ACCORD® CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 07/02/2021 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 CONTACT NAME: Hiscox Inc. A/CON No, Ext: (888)202-3007 FAX No): 520 Madison Avenue -ADDRESS: contact@hiscox.com 32nd Floor New York, NY 10022 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Hiscox Insurance Company Inc 10200 INSURED INSURER B ERIN L DEADY P.A. 54 1/2 SE 6TH AVE INSURERC: DELRAY BEACH, FL 33483 INSURERD: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MM/DD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DA CLAIMS-MADE � OCCUR PREM SESOEa occurrDence $ 100,000 MED EXP(Any one person) $ 5,000 A Y Y UDC-2298363-CGL-21 06/29/2021 06/29/2022 PERSONAL&ADV INJURY $ 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICYEl jE LOC PRODUCTS-COMP/OP AGG $ S/T Gen.Agg OTHER: $ AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $ Ea accident ANY AUTOw BODILY INJURY(Per person) $ OWNED SCHEDULED A AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ � +�""'° ,.�,.,�, HIRED NON-OWNED 4 PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY ,�,. ,--- Per accident $ 4 2021 GL only - $ UMBRELLALIAB q ^^^""'"II — occuR "'""""�" '" EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE WAN" ''"'- AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICE R/M EMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION Monroe County BOCC PO Box 100085-FX AUTHORIZED REPRESENTATIVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Duluth GA 30096 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ! @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD FFlorida Lawyer's LmMutual pNS URANCE COMPANY CLRTH�WAIT (4 NSL RANCF Vhs Ccalfic"atc is issuccl as a li-mUcr of'fflf0rmaIIjoIl-j (jtlly Mld CMtfc,`TS ffi) ri(l IMS Upon ihe Ccrt&icalc HoMer, This ertit'jeate docs not anicild, cXtend or ahc o r the cveu c �-�I�ljff`o�-�:Jc(j Ily tile p(wlj cy lisled bclmv: NAMF,D INSI(JR11) AND ADDRFSS: 1:1Hn L Dcady, PA, 620 W, Noxhant Strcet Lake Worth, H, 33462 1 his is to CwHy that the pohcy of insurance hStcd below has bl.,cli issued to the insurcd narned abovc and is in forcc at this time. FY 11 F ()F I N S U RA N CI LAWN'11"RS PROFFSSIONAL LIABILATY POi W)" NUMBFIR: 9,'S 9 6 0 A"71c By_ POLIC"Y I 1-I'M 09/20 2020 to 09 20,'202 1 LIAWLITY LAMFFS: S2,000,000 per clainl S2,000,000 total limit CANCELLAII(M Should the abovc-describcd policy he calicdcd beforc- the cxpiration datc, there.of. thc issuing Company will crideavor to mad 30 (Lays wriucri notice io the bdow immcd Cerfificate Hokk�r,buat fidlurc to mail such noticc sbaH impose NYC obligation or liahility of any kirld upoll the its il-WnIs m 11CPr,escl1U,.1U I vcS, NAMF AND ADDRFSS OF (TR I I HCA1 �01,,DFR! Monroe County Board of'COUIAV COH-MUSSIOBCJS huSrjt-,'ffl(;e 11.0. Box MOW Dtfluth, Gcorgia 30096 Se, tcrilber 16, 2020 DAI'E OF ISSUF' 11�TATIVE O� � a JIMMY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION ** CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW NON-CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/25/2019 EXPIRATION DATE: 11/24/2021 PERSON: ERIN L DEADY EMAIL: ERIN@DEADYLAW.COM FEIN: 453108752 BUSINESS NAME AND ADDRESS: ERIN L, DEADY, P.A. 701 NORTHPOINT PARKWAY, SUITE 2, 05 WEST PALM BEACH, FL 33407 SCOPE OF BUSINESS OR TRADE: Attorney-All Employees& Clerical,Messengers,Drivers IMPORTANT:Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12), F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01058156 QUESTIONS?(850)413-1609 PROGREll/UE' MAGEN INSURANCE INC COMMERCIAL 7301 W PALMETTO PK RD BOCA RATON, FL 33433 1-561-221-6710 Policy number: 02115798-1 Underwritten by: PROGRESSIVE EXPRESS INS COMPANY May 13,2021 Page 1 of 2 W Certificate of Insurance . - 6 . 2021 Certificate Holder WAMP , °. MONROE COUNTY BOCC-INS COMP PO BOX 100085-FX DULUTH,GA 30096 Insured Agent/Surplus Lines Broker ................................................................................................................................................................................................... ERIN L. DEADY MAGEN INSURANCE INC 54 1/2 SE 6 AVE 7301 W PALMETTO PK RD DELRAY BEACH, FL 33483 BOCA RATON, FL 33433 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. ............................................................................................................................................................................. Policy Effective Date: May 8,2021 Policy Expiration Date: May 8, 2022 Insurance coverage(s) Limits ............................................................................................................................................................................. BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT ............................................................................................................................................................................. PERSONAL INJURY PROTECTION $10,000 W/$0 DIED-NAMED INSURED ONLY ............................................................................................................................................................................. ANY AUTO BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT ............................................................................................................................................................................. BROAD FORM MATCHING LIMITS ALL COVERAGES Description of Location/Vehicles/Special Items Scheduled autos only ............................................................................................................................................................................. 2012 PORSCHE CAYENNE HYBRID WPIAE2A20CLA91242 COMPREHENSIVE $500 DIED COLLISION $500 DIED RENTAL REIMBURSEMENT $40 PER DAY($1,200 MAX) ROADSIDE ASSISTANCE SELECTED Continued Policy number: 02115798-1 Page 2 of 2 Certificate number 13321NET798 Please be advised that the certificate holder will not be notified in the event of a mid-term cancellation. 'P��­ Form 5241(10102) From: erin@deadylaw.com To: monroecountyfl monroecountyfl@Ebix.com CC: Subject: ELD PA COI Date: 5/13/2021 2:11:11 PM Attachment(s): Erin L. Deady, P.A. 54%SE 6th Avenue Delray Beach, FL 33483 954.593.5102 calendly.com/eldpa-54 https://erindeadylaw.com/ INSURANCEF Florida Lawyers LmMutual COMPANY CERTIFICATE OF INSURANCE 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 policy listed below: NAMED INSURED AND ADDRESS: Erin L. Deady, P.A. 620 W. Bloxham Street Lake Worth, FL 33462 This is to certify that the policy of insurance listed below has been issued to the insured named above and is in force at this time. TYPE OF INSURANCE: LAWYERS PROFESSIONAL LIABILITY POLICY NUMBER: 92218 APPROVED RISK MANAGEMENT POLICY TERM: 09/20/2019 to 09/20/2020 w4l_4� /L 151&1a RETROACTIVE DATE: 09/20/2011 11-1-2020 LIABILITY LIMITS: $2,000,000 per claim $2,000,000 total limit CANCELLATION: Should the above-described policy be canceled before the expiration date thereof, the issuing Company will endeavor to mail 30 days written notice to the below named Certificate Holder, but failure to mail such notice shall impose NO obligation or liability of any kind upon the Company, its agents or representatives. NAME AND ADDRESS OF CERTIFICATE HOLDER: Monroe County Board of County Commissioners Insurance Compliance P.O. Box 100085 Duluth, Georgia 30096 June 17, 2020 - + DATE OF ISSUE _ i 1 A l PIE i ° i . i I m i :II :11 I I i INSURANCE COMPANY PROGRFfWYF® MAGEN INSURANCE INC COMMERC/AL 7301 W PALMETTO PK RD BOCA RATON,FL 33433 1-561-221-6710 Policy number: 02115798-0 Underwritten by: Progressive Express Ins Company June 3,2020 Page 1 of 2 APPROVED RISK MANAGEMENT Certificate of Insurance W41-� /L 151&1a 11-1-2020 Certificate Holder ................................................................................................................................................................................................... Additional Insured MONROE COUNTY BOCC INSURANCE COMPLIANCE PO BOX 100085-FX DULUTH, GA 30096 Insured Agent/Surplus Lines Broker ................................................................................................................................................................................................... ERIN L. DEADY MAGEN INSURANCE INC 54112 SE 6 AVE 7301 W PALMETTO PK RD DELRAY BEACH, FL 33483 BOCA RATON, FL 33433 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. It confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exclusions, limitations, endorsements, and conditions of these policies. ............................................................................................................................................................................. Policy Effective Date: May 8, 2020 Policy Expiration Date: May 8, 2021 Insurance coverage(s) Limits ............................................................................................................................................................................. Bodily Injury/Property Damage $1,000,000 Combined Single Limit ............................................................................................................................................................................. Personal Injury Protection $10,000 w/$0 Ded-Named Insured Only ............................................................................................................................................................................. Any Auto Bodily Injury/Property Damage $1,000,000 Combined Single Limit ............................................................................................................................................................................. Broad Form Matching Limits All Coverages Description of Location/Vehicles/Special Items Scheduled autos only ............................................................................................................................................................................. 2012 PORSCHE CAYENNE HYBRID WP1AE2A20CLA91242 Comprehensive $500 Ded Collision $500 Ded Rental Reimbursement $40 Per Day($1,200 Max) Roadside Assistance Selected Continued Policy number: 02115798-0 Page 2 of 2 Certificate number 15520A12798 Please be advised that additional insureds and loss payees will be notified in the event of a mid-term cancellation. Form 5241 00102) ACOR" CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) 06/03/2020 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 NAME: Hiscox Inc. A/CONNo Ext: (888)202-3007 FAX A//C No): 520 Madison Avenue -ADDRESS: contact@hiscox.com 32nd Floor New York, NY 10022 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Hiscox Insurance Company Inc 10200 INSURED INSURER B ERIN L DEADY P.A. 54 1/2 SE 6TH AVE INSURER C7 DELRAY BEACH, FL 33483 INSURER D7 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 SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MM/DD X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE MAEOCCUR PREM SES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A Y Y UDC-2298363-CGL-20 06/29/2020 06/29/2021 PERSONAL&ADV INJURY $ 0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑ PRO- ElJECT LAG APPROVED RISK MANAGEMENT PRODUCTS-COMP/OPAGG $ S/T Gen.Agg OTHER: $ AUTOMOBILE LIABILITY COMBINEDSINGLELIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED AUTOS ONLY AUTOSULED 11-1-2020 SCHEDBODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICE R/M EMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Consulting CERTIFICATE HOLDER CANCELLATION Monroe County BOCC-Insurance Compliance PO Box 100085-FX SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Duluth GA 30096 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD