Item M5BOARD OF COUNTY COMMISSIONERS
AGENDA ITEM SUMMARY
Meeting Date: December 12, 2012 Division: BDCC
Bulk Item: Yes No x Department: George R. Neu gent
Staff Contact Person/Phone #: T. Colonna 4512
AGENDA ITEM WORDING:
Discussion requesting favorable consideration to waive and exempt the Pigeon Key Foundation from
having to carry the high cost of wind, Flood and Fire Insurance premiums on buildings the county
owns.
ITEM BACKGROUND:
The Pigeon Key Foundation buildings are old and historic and irreplaceable with extensive damage.
The cost to the foundation has become a burden due to the growing cost of premiums. The county
owns the buildings and the Foundation maintains the buildings at a very high cost.
Pigeon Key Foundation requests as a good steward of the Island and promoter of the beauty of our
county islands through their mission statement which promotes research, education while protecting
the historical culture and properties of this island jewel to thousands of people annually.
PREVIOUS RELEVANT BOCC ACTION:
CONTRACT/AGREEMENT CHANGES:
STAFF RECOMMENDATIONS:
TOTAL COST: INDIRECT COST: BUDGETED: Yes No
DIFFERENTIAL OF LOCAL PREFERENCE:
COST TO COUNTY: SOURCE OF FUNDS:
REVENUE PRODUCING: Yes No AMOUNT PER MONTH Year
APPROVED BY: County Atty OMB/Purchasing Risk Management
DOCUMENTATION: Included x Not Required
DISPOSITION: AGENDA ITEM #
Revised 7109
Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART I AND ENDORSEMENTS, IF ANY ISSUED TO FORM
A PART THEREOF, COMPLETB THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY,
CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY
6676 Corporate Center Parkway, Jacksonville, Florida 32216 -0973
INSURED NAME AND ADDRESS IT THIS IS A
1: "Swa.k "" RC E C E I V E D
PIGEON KEY FOUNDATION GE L BUSINESS
C/O MONROE COUNTY RISK MANAGEMENT SEP 2 7 2012
PO BOX 500130
MARATHON, FL 33050
POLICY TERM 8/16/2012 TO 8/16/2013 AT 12 :01 A.M. (EST) 1233D45
INCEPTION DATE ExPIRATION DATE This is your Policy Declaration Page - This is not a Bill - DO NOT PAY
PAGE 2
3ubj eat to Form No (s) :
4ortgeges /Loss Payee:
►gent :
HARRIS JOHNSON CORP 0004
THE JOHNSONS INS AGENCY
P.O. BOX 2346
MARATHON SHORES, FL 33052
(305) 289-0213
CIT W 03 - CNR 01 1 D004B Team 3
Payor:
INSURED
I Date: 7/24/2012
POLICY DECLARATION -- INSURED COPY QSY R 40 111
V11
Q
04
8
In
..........
r■r��
w..ww
67
1 314,000
90 9,420 T -85
3,6 41
19
90 1, 000 T -85
215
ONE STORY
FRAME MEETING ROOMS /CLASSROOMS BUILDING
ON STILTS /PILINGS LOC: C /1D #46
7 MILE BRIDGE PIGEON KEY MONROE
FL 33050
2 94,000
90 2,820 T -85
1,090
36,000
90 I r on T -85
410
ONE STORY
FRAME MUSEUM BUILDING ON
STILTS /PILINGS LOC:
C /ID #47
3 89, 000
0
90 2,670 T -85
1, 032
ONE STORY
F RAME OFFICE BUILDING ON
STILTS /PILINGS LOC:
C/ID #48
4 144,000
0
90 4,320 T -85
727
ONE STORY
FRAME (1) UNIT DORMITORY
BUILDING
ON STILTS /PILINGS LOC: C /ID #49
Total Co verage:
P Plan: Total Premium:
3ubj eat to Form No (s) :
4ortgeges /Loss Payee:
►gent :
HARRIS JOHNSON CORP 0004
THE JOHNSONS INS AGENCY
P.O. BOX 2346
MARATHON SHORES, FL 33052
(305) 289-0213
CIT W 03 - CNR 01 1 D004B Team 3
Payor:
INSURED
I Date: 7/24/2012
POLICY DECLARATION -- INSURED COPY QSY R 40 111
V11
Q
04
8
In
..........
r■r��
w..ww
67
Part 2: THIS DECLARATION PAGE, WITH POLICY PROVISIONS - PART I AND ENDORSEMENTS, IF ANY ISSUED TO FORM
A PART THEREOF, COMPLETE THE BELOW NUMBERED CITIZENS PROPERTY INSURANCE CORPORATION POLICY.
CITIZENS PROPERTY INSURANCE CORPORATION, WIND ONLY POLICY
Total Covers e: S1 � 1 Don Pa meat Plan: uarterl Total Premium: $11 6of% - -
Premium Amount $ 9 , 8 0 8 2045 Citizens Properly Insurance Corporation Emergency Assessment $98
Tax Exempt Surcharge $172 2045 Florida Hurricane Catastrophe Fund (FHCF) Emergency Assessment $128
Catastrophe Reinsurance Surcharge $1,471
2009 Florida Insurance Guaranty Association Regular Assessment $12
3ubjact to Form Nosy:
CIT CP2 02 12 CN RW 01 10 01 14
lortgagee /Lose Payae: -
MONROE COUNTY BOARD OF CTY COMM
1100 SIM ST
KEY WEST, FL 33040
►gent:
HARRIS JOHNSON CORP 0004
THE JOHNSONS INS AGENCY
P.O. BOX 2346
MARATHON SHORES, FL 33052
(305) 289 -0213
CIT NO3 -CNR 01 10 00048 Team 3
Payor:
INSURED
I Data: 7/24/2012
POLICY DECLARATION - INSURED COPY QSY R 40111 68
6676 Corporate Centex Parkway, Jacksonville, Florida 32216 -a0973
TIM
INSURED NAME AND ADDRESS
" �„ THIS I9 A
alit al06rittm eaaalceattal+t ,.,.X
PIGEON KEY FOUNDATION
SEP i� 7 GENERAL BUSINESS
C/O MONROE COUNTY RISK MANAGEMENT
fi+ 2012
PO BOX 500130
B y&
MARATHON FL 33050
,
POLICY TERM 8/16/2012 TO 8/16/2013
AT 12 A.M. (EST) CITIZENS POLICY NO. 1233045
INCEPTION DATE Exp,RATION DATE
This is your Policy Declaration Page - This is not a Bill - DD NOT PAY
PAGE 3
♦ •
..11FF.MM
� 33 • Lt;'y�.L�•j-4 L '��y'�L�� ♦a \a\ L \ \ t
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+
L C • L • \♦ a 4 i s aw daL L Y }L • L ` aL i s • i i•• ai i i\ i al a i i � ai•
\ L L \ a 4 \ L • 1 + • \ � 4 4 L a \ \ f
w L ll y \ L \A 4 \\ L a ti} L • f a L L } L i 1 a L L
11 a fur O t r f a
5 144, 000 0
90 4.320 T -85 727
ONE STORY FRAME 3 UNIT BRIDGE K/A TENDERS HOUSE ON
STILTS/PILINGS LOC: C /ID #50
6 86, o00 0
90 2, T- 997
ONE STORY FRAME LABORATORY BUILDING ON STILTS /PILINGS LOC:
C /ID #51
7 52 ■ 000 0
90 1,560 T -85 603
ONE STORY FRAME CLASSROOMS BUILDING ON STILTS /PILINGS LOG:
C /ID #53
8 23 0
90 1 T-85 116
ONE STORY FRAME (1) UNIT STAFF DORMITORY LOC:
9 0 30,000
90 1,o0o T -85 249
CONTENTS OF A ONE STORY MASONRY GENERATOR BUILDING LOC:
Total Covers e: S1 � 1 Don Pa meat Plan: uarterl Total Premium: $11 6of% - -
Premium Amount $ 9 , 8 0 8 2045 Citizens Properly Insurance Corporation Emergency Assessment $98
Tax Exempt Surcharge $172 2045 Florida Hurricane Catastrophe Fund (FHCF) Emergency Assessment $128
Catastrophe Reinsurance Surcharge $1,471
2009 Florida Insurance Guaranty Association Regular Assessment $12
3ubjact to Form Nosy:
CIT CP2 02 12 CN RW 01 10 01 14
lortgagee /Lose Payae: -
MONROE COUNTY BOARD OF CTY COMM
1100 SIM ST
KEY WEST, FL 33040
►gent:
HARRIS JOHNSON CORP 0004
THE JOHNSONS INS AGENCY
P.O. BOX 2346
MARATHON SHORES, FL 33052
(305) 289 -0213
CIT NO3 -CNR 01 10 00048 Team 3
Payor:
INSURED
I Data: 7/24/2012
POLICY DECLARATION - INSURED COPY QSY R 40111 68
S canned
89015 OVERSEAS HIGHWAY 30975 AVENUE A 13361 OVERSEAS HIGHWAY
TAVERNIER, FL 33070 BIG PINE KEY, FL 33043 MARATHON SHORES, FL 33050
N
June 14, 2012
The Pigeon Key Foundation
Jason Koler
P.0, Box 500130
Marathon FL 33050
w
Ref: Property Hull & Co
Policy #CPS 1585461 (05117112 to 05117113)
Dear Mr, Koler:
Enclosed please find your renewal policy.
PLEASE NOTE: Like all insurance policies, your policy contains exclusions, coverage
limitations, and conditions. It is extremely important that you carefully read your policy
and let us know if you have any questions.
Thank you for insuring with the Jolulsons Insurance Agency.
Sincerely,
Customer Service Department
The Johnsons Insurance Agency
Big Pine Keyldd
" YC)UR FLUKIl. A KEYS 1N3UK^f%4L.0 k.,MN I CM
TAVERNIER BIG PINE MARATHON
MM 89 • MM 31 • MM 54
852 -9247 872 -2888 289 -0213
Renewal of SCOTTSDA.LE INSURANCE RANGE COMP)
CPS 14 Cl .a 4 9
Home Office'.
One Nationwide Plaza " Columbus, Ohio 43215
Administrative Office:
8877 North Gainey Center Drive ■ Scottsdale, Arizona 8
1 -800-423 -7675
A STOCK COMPANY
ITEM 1. Named Insured and Mailing Address
The Plgexcm Xf--y Foundation
P-0. Sax 500130
• Maratl - iQn FL 33050
Agen Name and Address
Policy Number
CPS 1685461
Scanned
mull & company, Inc.
900 Garillcan Parkway, Suite 150
Agent No.. 02003_ Program No.: rrolaE
Si_-. Peteer'shurg FL 33716
ITEM 2. Policy Period From: 05/17/2012 To: 05/ 3.7/2013 Term: 365 DAY,
12 :01 A.M., Standard Time at the mailing address shown in ITEM 1.
Business Description: Mu m
in return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the
insurance as stated in this policy. This policy consists of the following coverage parts for which a premium is Indicated.
Where no premium is shown, there Is no coverage. This premium may be subject to adjustment.
Coverage Part(s)
FLAT CANCELLATION
Premium Summary
Commercial General Liability Coverage Part
NOT PERMITTED $
NOT COVERED
Commercial Property Coverage Part
$
5, 498
Commercial Crime And Fidelity Coverage Part
$
NOT COVERED
Minimum Earned
Commercial Inland Marine Coverage Part
$
Premium Applies
NOT COVERED
Commercial Auto Coverage Part
$
NOT COVERED
Professional Liability Coverage Part
$
NOT COVERED
This insurance is issued pursuant to the Florida surplus lines law.
Persons insured by surplus lines $
carriers do not have the protection of the Florida insurance guaranty act to the extent of any right of
recovery for the obligation of an insolvent unlicensed insurer.
$
Total Policy Premium: $
5,498.00
policy Feces $
35.00
SURPLUS LINE INSURERS' POLICY RATES STATE TAX $
276.65.
AND FORMS ARE NOT APPROVED BY
ANY STAMPING FEE $
5.53
FLORIDA REGULATORY AGENCY.
FHCr' FEE $
71.93
C'PIC FEE $
55.33
EMPA FEE $
4.00
Policy Total: $
5,946.44
Form(s) and Endorsement(s) made a part of this policy at time of issue:
SEE SCHEDULE OF FORMS AND ENDORSEMENTS
THE JDHNSONS (TAVERNIER) — LINDA R DEG114DER
THE .TOHNSONS (TAVERNIER) — #86406
89015 OVERSEAS HIGHWAY
T vex l e FL 3 S . u C LIS 1.1 A t #A309417
THIS COMMON POLICY DECLARATION AND THE SUPPLEMENTAL DECLARATIONS), TOGETHER WITH
THE COMMON POLICY CONDITIONS, COVERAGE PART(S), COVERAGE FORM(S) AND FORMS AND ENDORSEMENTS, IF ANY,
COMPLETE THE ABOVE NUMBERED POLICY.
oPS -D -1 (8-10)
INSURED opsd1J . fap
Scanned
Policy No.
SCOTTSDALE INSURANCE COMPANY&
SCHEDULE OF FORMS AND ENDORSEMENTS
CPS 15 S 5 4 61 Effective Date: 05/17/2012
12:01 A.M., Standard Time
Named insured The Pig -ec n Key Fomndat i can Agent N
09O D3
UTS-C OVPG 12-09
Y
Gc %rer Page '
OPS --D -1
8 -10
Caxranon Policy DaCla=ftt10n5
UTS -SP -2
:12• --95
Sckledule 09 Forms ailcl Ez�dcarss�rrlQnts
COM 400 FORMS
C7TS- SP-- -3
B-96
Locations Schadule
IL 00 17
11 -98
Campton po licy conditions
IL 09 53
1 -08
Exc1 Cent Actz Tarrarizrn
UTS- 9g 5 -96
Ser%rlc a ref Suii- Clauses
UTS -119g
1 -00
Min Earnaci Cana- -allat -lon Prom
PROPERTY FORMS
cps- o ---1
1-0 -10
PrropertJr supplemental Dec
CPS -SP- -4
10•-10
Proparty Ext Supple nental Doc
CPS- SP ---SL
6-92
Mortgage Holders Schedule
CP 00 10
6 -07
Building & Pexsonal PrOP Cc)v
CP 00 90
7--88
PrCparty Conditions
CP 01 $0
1 7--06
Excl Of Loss Due Tcs Vr12uM Ox Eaacteria
CP 10 30
6--07
Ca.0 as Of lJoss- Spacial Fo m
CP 10 32
8 - 08
Water Exclusion Endt
CP 10 33
6 -95
The, ft Excl
CP 10 54
6--07
Windstorm Ox Hail Excl
FS -18 21-86
Total -- Constructive Loss Claut;e
UTS -365s
2 -09
Azrtend Of Noripetymarit Catrjcr�1 C�x�daltic�n
STATE FORMS
cps- 6es -Ft.
1-12
FL- Changes
IL fag 01 1 ---:10
FL- Sin]cholel Lo,-,s Coveragra
UTS -29 -FL
6 -97
FL- Cancel-- Nonxr=imew
PCtiLIC3 j40LnER NOTICES
NOTX0178CD;
2
Clalin Rapo=t ing Information
IgOTSo3e1FL
7--09
FL-- Pollcyholrl(ax Not::Lce
ADDITIONAL FORMS
UTS-SP 2 (12 -95)
INSURE utssnzh. t ap
*ep va
S INSURANCE COMPANY"' jo%�� —
SCHEDULE OF LOCATIONS
Polic No.
CPS1585461
Effective Date 05/17/2012
Named Insured Then Plc Ke Faunaatt:Lan
A No,
12,.-'0 1 A.M. Standard Time
09003
I f1rc. 00 *4 10-0M I NS TiRE D
I I
gi FIDELITY
NATIONAL. 1NDEMNITY INSURANCE COMPANY
09 1150342891 02
Fidelity National Indemnity Insurance Company
P.U. Box 33003
St. Petersburg, FL 33733 -8003
1400-820-3242
FLOOD DECLARATI PAGE
09 1150342891 01 Date of Issue 5/07/12
FFL 99.001 0112
0830664
5/07/12
2000 11523 FLD RGLR
Policy Type
General Property Form
From; 5/22/12 To: 5/22/13 12:01 am Standard Thel 1 yr(s) 1 5/22/04 12 :01am j U98 -- (305) 289 - 0213
Agent (305) 289- -0213
THE JOHNSONS INSURANCE AGENCY THE PIGEON KEY FOUNDATION
13361 OVERSEAS HWY PO BOX 500130
MARATHON FL 33050 -3550 MARATHON FL 33050 -0130
M, / \y 11. 2 0 1 2
Location Description: GARAGE BLDG 16
� a �w
r , Vii. ,. , g h � "p, � �� y y s
�r. .c. N V a sf. • .i �i�i�a� , .`�X�s. +s-.w
BUILDING $60,400 $2
$498.00
CONTENTS $7 $2
$117.00
PROBATION SURCHARGE:
$.00
ANNUAL SUBTOTAL:
$615.00
x DEDUCTIBLE CREDIT:
$100
ICC PREMIUM:
$74,04
DEAR Mt]RTGAOEE
COMMUNITY DISCOUNT:
$. 00
The Reform Act of 1994 requires you to notify
the 1NYO company for this policy within 60 days
of any changes In the servicer of this loan.
The above message applies only when there is
a mortgagee on the insured location.
TOTAL PREMIUM:
00846770911503428911212807 00009
Insured
TOTAL WRITTEN PREMIUM:
FEDERAL POLICY SERVICE FEE:
$685.00
$40.00
$725.00
I I r r
FEM
laffln—
R DELITY
NATIONAL INDEMNITY INSURANCE COMPANY
09 1150342881 02
Fidelity National Indemnity Insurance Company
P.o. Box 33003
St. Petersburg, FL 33733 -8003
1-800- 820 -3242
FLOOD DECLARATIONS PAGE
0t'7c �L c A v.d�� �
M`L
60 01 1 []ate of Issue 5/07/12
FFL 99.001 0112
0830664
5/07/12
2000 11523 FLD RGLR
Policy Type
General Property Form
From 5/22/12 To: 5/22/13 12;01 am Standard Time 1 yr(s) 1 5/22/04 12 :0 1 am I U98- - (305) 289 -0213
Agent (305} 289 -0213
THE JOHNSONS INSURANCE AGENCY THE PIGEON KEY FOUNDATION
13361 OVERSEAS HWY PO BOX 500130
MARATHON FL 33050 -3550 MARATHON FL 33050 -0130
W 1 V i 1 I
The Reform Act of 1994 requires you to notrly
the wYO company for this policy within SB days
l of any changes in the servicer of this loan.
The above message applies only when there is
a mortgagee on the insured location.
TOTAL PREMIUM:
008467709111503428811212807 00008
Insured
TOTAL WRITTEN PREMIUM:
FEDERAL POLICY SERVICE FEE:
$601.00
$40.00
$641.00
i �'
9 LFIDELITY
NATIONAL IN13EMNITY INSURANCE COMPANY
09 1150342888 02
Fidelity National indemnity insurance Company
RO, Box 33403
St. Petersburg, FL 33733 -8003
1-800-820-3242
FLOOD DELL kRATIONS PAGE
2XV AM
x
09 1150342888 O1 Date of Issue 5/07/12
FFL 99.001 0112
0830664
5/07/12
2000 11523 FLD RGLR
Policy Type
General Property Form
Agent (305) 289 - 0213
THE JOHNSONS INSURANCE AGENCY THE PIGEON KEY FOUNDATION
13361 OVERSEAS HWY PO BOX 500130
MARATHON FL 33050--3550 MARATHON FL 33050 -0130 MIAY 1 [
I
Insured Location (if other than above) Address may have been changed in accordance with LISPS standards,
BRIDGE TENDERS HOUSE 16 ID #50, GENERAL DELIVERY, PIGEON KEY FL 33050
Grandf athered:
Building Description:
of Floors:
Basement /Enclosure:
No
Non - Residential
One Floor
None
Community Name:
Community #:
Map Panel /Suffix:
Community Rating:
Program Status:
Rating Flood Zone:
MONROE COUNTY
125123
0025 F Condo Type: N/A
10 / 001
Regular Adjacent Grade: .0
AE Elevation Diff :N/A
Rr
6 1
BUILDING $31,500 $2
$261.00
CONTENTS $7 $2
$118,00
F WAS
From: 5/22/12 To: 5/22/13 12:01 am Standard Time
1 yr(s)
5/22/g4 12:!TS9
$ -
X305 289 --0213
Agent (305) 289 - 0213
THE JOHNSONS INSURANCE AGENCY THE PIGEON KEY FOUNDATION
13361 OVERSEAS HWY PO BOX 500130
MARATHON FL 33050--3550 MARATHON FL 33050 -0130 MIAY 1 [
I
Insured Location (if other than above) Address may have been changed in accordance with LISPS standards,
BRIDGE TENDERS HOUSE 16 ID #50, GENERAL DELIVERY, PIGEON KEY FL 33050
Grandf athered:
Building Description:
of Floors:
Basement /Enclosure:
No
Non - Residential
One Floor
None
Community Name:
Community #:
Map Panel /Suffix:
Community Rating:
Program Status:
Rating Flood Zone:
MONROE COUNTY
125123
0025 F Condo Type: N/A
10 / 001
Regular Adjacent Grade: .0
AE Elevation Diff :N/A
Rr
6 1
BUILDING $31,500 $2
$261.00
CONTENTS $7 $2
$118,00
PROBATION SURCHARGE:
$.00
ANNUAL SUBTOTAL:
$379.40
f
DEDUCTIBLE CREDIT*
$100
ICC PREMIUM:
$70.00
[SEAR RfinRTGArEE
COMMUNITY DISCOUNT:
$'00
The Reform Act of 1994 requires you to notify
the WYO company for this policy within 60 days
of any changes in the servicer of this loan, TOTAL WRITTEN PREMIUM: $449.00
The above message applies only when there is FEDERAL POLICY SERVICE FEE: $40.00
a mortgagee on the insured location.
TOTAL PREMIUM: $453.00
00846770911503428881212807 OOOOF
Insured
R
NATIONAL INDEMNITY INSURANCE COMPANY
Fidelity National Indemnity Insurance Company
RO, Box 33403
St. Petersburg, FL 33733 -8003
1.800- 820 -3242
FLOOD DECLARATIONS PAGE
FFL 99.001 0112
0830664
5/07/12
2004 11523 FLD RGLR
Policy Type
mT..._.T...... -- -
--- ----- ----
- - ------------- 09 1150342880 02 09 1154342880 ... _ - 01 Date of Issue 5/07/12 General Property Form
S ' n
MEL
.„ t 3
`£x. t ` ' Rte'
From: 5/22/12 To: 5/22/13 12: am Standard Time 1 yr(s) 5/22/04 12:01am U98— — (305) 289 - 0213
Agent (305) 289 --0213
THE JOHNSONS INSURANCE AGENCY
13361 OVERSEAS HWY
MARATHON FL 33050 - 3550
Location Description: ID #49
THE PIGEON KEY FOUNDATION
PO BOX 500130
MARATHON FL 33050 - 0130
i
It fA) 1 1' c-
The Reform Act of 1994 requires you to notify
the wYO company for this policy within SO days
of any changes in the servicer of this loan.
The above message applies only when there is
a mortgagee on the insured location,
TOTAL WRITTEN PREMIUM:
FEDERAL POLICY SERVICE FEE:
TOTAL PREMIUM:
00846770911503428801212807 00007
Insured
$749.00
$40.00
$789.00
BUILDING $81 $2,000
$679.00
CONTENTS $0 $0
$.00
PROBATION SURCHARGE:
$100
ANNUAL SUBTOTAL:
$679.00
luffiffiffiNESSENEW DEDUCTIBLE CREDIT:
$.00
ICC PREMIUM:
$70.00
DEAR RACyRTGAG9=E
COMMUNITY DISCOUNT:
$100
The Reform Act of 1994 requires you to notify
the wYO company for this policy within SO days
of any changes in the servicer of this loan.
The above message applies only when there is
a mortgagee on the insured location,
TOTAL WRITTEN PREMIUM:
FEDERAL POLICY SERVICE FEE:
TOTAL PREMIUM:
00846770911503428801212807 00007
Insured
$749.00
$40.00
$789.00
Ir M FIDELITY
NATIONAL INDEMNIFY INSURANCE COMPANY
09 1150342886 02
Fidelity National indemnity insurance Company
P.O. Box 33003
St. Petersburg, FL 33733 -8003
1 - 800 -820 -3242
FLOOD DECLARATION'S PAGE
F ��°
09 1150342886 01 Date of Issue 5/07/12
FFL 99,001 0112
0830664
5/07/12
2000 11523 FLD RGLR
Policy Type
General Property Form
;e x;
r s
s�
BUILDING $48,840 $2,000
$4
R W_ ;
From: 5/22/12 To: 5/22/13 12: 01 am Standard Time
1 yr(s)
5/22/04 12 :01 am
U98- -
( 289 -0213
Agent (305) 289 -0213
THE JOHNSONS INSURANCE AGENCY THE PIGEON KEY FOUNDATION
13361 OVERSEAS HWY PO BOX 500130
MARATHON FL 33050--3550 MARATHON FL 33050 -0130Y 14. 0 2o 12
Insured Location (if other than above) Address may have been changed in aoaordanoe with USPS standards.
BRIDGE FOREMANS HOUSE 17 ID 051, PIGEON KEY FL 33054
Im INERS"fim*
r r
a
Grandf athered:
Building Description;
# of Floors:
Basement /Enclosure:
No
Non — Residential
One Floor
None
Community Name.
Community #:
Map Panel /Suffix:
Community Rating;
Program Status:
Rating Flood Zone;
MONROE COUNTI
125129
0025 F
10 / 00%
Regular
AE
Condo Type: N/A
Adjacent Grade: .0
Elevation Diff: N/A
The Reform Act of 1994 requires you to notify
the wYO company for this policy within 60 days
of any changes in the servicer of this loan. TOTAL WRITTEN PREMIUM; $944.00
The above message applies only when there is FEDERAL POLICY SERVICE FEE: $40.
a mortgagee on the insured location,
TOTAL PREMIUM; $944.00
00846770911503428861212807 0000D
Insured
r i i
s�
BUILDING $48,840 $2,000
$4
CONTENTS $26,500 $2
$429.00
PROBATION SURCHARGE:
$400
ANNUAL SUBTOTAL:
$834.00
= DEDUCTIBLE CREDIT:
$100
ICC PREMIUM:
$70.00
DEAR UnRTPAG E E
COMMUNITY DISCOUNT:
$100
The Reform Act of 1994 requires you to notify
the wYO company for this policy within 60 days
of any changes in the servicer of this loan. TOTAL WRITTEN PREMIUM; $944.00
The above message applies only when there is FEDERAL POLICY SERVICE FEE: $40.
a mortgagee on the insured location,
TOTAL PREMIUM; $944.00
00846770911503428861212807 0000D
Insured
r i i
Fidelity National Indemnity Insurance Company FFL 99.00 0112
P.O. Box 3303
St. Petersburg, FL 33733»8003 4$30664
1.800- 820-3242 5/07/12
imZI- XIDELIT Y
2004 11523 FLD RGLR
NATIONAL. INDEMNITY INSURANCE COMPANY
FLOOD DECLARATIONS PAGE Policy Type
09 1154342889 02 09 115034a889 41 date of Issue 5/07/12 General Property Dorm
5
Mali 09
6
From: 5/22/12 To: 5/22/13 12:01 am Standard Time 1 yr(s) 5/22/44 12;01am U98- -- 1 (305) 289 -0213
it I-AI it I 'VI V■ I I %AN ftl
The Reform Act of 1994 requires you to notify
the WYO company for this policy within 60 days
of any changes in the servicer of this loan,
The above message applies only when there is
a mortgagee on the insured location,
TOTAL WRITTEN PREMIUM:
FEDERAL POLICY SERVICE FEE:
TOTAL PREMIUM:
$866.00
$44.00
$906.00
� k
• k
r
00846770911503428891212807 00000 00690
i
Insured
FM-
I D E LITY
NATIONAL INDEMNITY INSURANCE COMPANY
09 1150342883 02
Fidelity National Indemnity insurance Company
P.O. Box 33003
St. Petersburg, FL 33733 -8003
1- 800 -820 -3242
FLOOD DECLARATIONS PAGE
09 1150342883 01 Cate of Issue 5/07/12
FFL 99.001 0112
0830664
5/07/12
2000 11523 FLD RGLR
Policy Type
�
111 4 ; D �? •s5 r ; ai KoFMn`"�� rx Li' i si i
General Property Form
From. 5 /22112 To: 5/22/13 12;01 am Standard T ime 1 yr(s) 5/22/44 1 2 : 01am I U98- -- (305) 289 -0213
Agent (305)289 -0213
THE JOHNSONS INSURANCE AGENCY THE PIGEON KEY FOUNDATION
13361 OVERSEAS HNY PO BOX 500130
MARATHON FL 33050 -3550 MARATHON FL 33050 -0130 �'"
l l �-\ T, E
Insured Location (if other than above) Address may have been changed in accordance with LISPS standards.
HONEYMOON COTTAGE 12/ ID #52 GENERAL DELIVERY, PIGEON KEY FL 33050
Grandf athered:
Building Description:
I of Floors:
Basement /Enclosure:
No
Non — Residential
One Floor
None
Community Name:
Community #:
Map Panel /Suffix:
Community Rating:
Program Status:
Rating Flood Zone:
MONROE COUNTI
125129
0025 F
10 / 00%
Regular
AE
Condo Type: N/A
Adjacent Grade: . 0
E 1 evat i on Di f f: N/A
BUILDING $15 $2
$127,00
CONTENTS $5 $2,000
$81.04
PROBATION SURCHARGE:
$100
ANNUAL SUBTOTAL:
$208.00
DEDUCTIBLE CREDIT:
$.00
ICC PREMIUM:
$70.00
DEAR MORTGAGEE
COMMUNITY DISCOUNT
$000
The Reform Act of 1994 requires you to 11otify
the wYO company for this policy within 60 days
of any changes in the servicer of this loan.
The above message applies only when there is
a mortgagee on the insured location.
TOTAL WRITTEN PREMIUM:
FEDERAL POLICY SERVICE FEE:
TOTAL PREMIUM:
00846770911503428831212807 0000A
Insured
$278,00
$40,00
$318,00
00686
L FIDELITY
NATIONAL INDEMNITY INSURANCE COMPANY
09 115 43428 76 02
Fidelity National Indemnity Insurance Company
P.D. Box 33003
Bt. Petersburg, FL 33733 -8003
1.800- 820 -3242
FLOOD DECLARATIONS PAGE q
M R I bati of ;� ����
i
09 1150342876 01 Issue 5/47/12
FFL 99.001 4112
0830664
5/07/12
2000 11523 FLD RGLR
Policy Type
a snV 3 c -kx
General Property Form
From; 5/22/12 To; 5/22/13 12:01 am Standard Thel 1 yr($) 5/22/44 12:01am I U98- -- (305) 289 -0213
Agent (305) 289 -0213
THE JOHNSONS INSURANCE AGENCY THE PIGEON KEY FOUNDATION
13361 OVERSEAS HWY PO BOX 500130
MARATHON FL 33050 -3550 MARATHON FL 33450 --0130 Ali /- -�'y
VIMAI l 1111V1 It t w,wrlr.rlr.w
The Reform Act of 1994 requires you to notify
the WY4 company for this policy within 60 days
of any changes in the servicer of this loan.
The above message applies only when there is
a mortgagee on the insured location,
TOTAL PREMIUM:
00846770911503428761212807 00000
Insured
TOTAL WRITTEN PREMIUM:
FEDERAL POLICY SERVICE FEE:
$312.00
$40.40
$352.00
110
L FIDELITY
NATIONAL INDEMNITY INSURANCE COMPANY
-
_� �... __._._....._...._._......_.._ - - - --
09 1150342878 02 09 1150342878 01 date of Issue 5/07/12 General Property Form
mij 5 oo' zo !
From: 5/22/12 To: 5/22/13 12:01 am Stand7ard lme !1 !y ( s} 5/22/04 12:01am U98- - (305) 289 --0213
Agent (305) 289 -0213
THE JOHNSONS INSURANCE AGENCY THE PIGEON KEY FOUNDATION
13361 OVERSEAS HWY PO BOX 500130
MARATHON FL 33050 - 3550 MARATHON FL 33050--0130
Location Description: #15
Fidelity National Indemnity Insurance Company
P.O. Box 33003
St Petersburg, FL 33733 -8003
1 - 800 -820 -3242
FLOOD DECLARATIONS PAGE
FFL 99.001 0112
0830664
5/07/12
2000 11523 FLD RGLR
Policy Type
-... .. _ .. .. w.
V 7� �.. 1C 211" r � � rr 't t S ). . E. .. . 6. -. 4Y` �t'•-.�� w -..¢,. . � � � y' � ,�ki:� iAa�F .. -q5 ^ax. �: �t nn�7 • 4�EQ 'R E �:'2�xaA»uS
ite'- raw�f3.'�`?�.
l
BUIL DING 000 I re
$423,00
CONTENTS $0 $0
00
PROBATION SURCHARGE:
$100
ANNUAL SU BTOTAL:
00
• �:i1�x 3�a 37b'?&3�'• za" F� �� n �s�.•: #;r�� ��{ ��� i DEDUCTI C
' -
f.2i2
ICC i�Af'��pa' i^ • �RC:'� g'�7.Q ]3 � Ri.-�i .. ;3. r.r�� 1. l�i��' �.'ir �a�-
P
1
COMMUNITY DISCOUNT:
$100
r
The Reform Act of 1994 requires you to notify
the WYO company for this policy within Sg days
of any changes in the servicer of this loan.
TOTAL WRITTEN PREMIUM:
FEDERAL POLICY SERVICE FEE:
$493.00
$40.00
The above message applies only when there is
a mortgagee on the insured location,
TOTAL PREMIUM:
$533.00
00846770911503428781212807 0000E 00683
Insured
FIDELITY
NATIONAL INDEMNITY INSURANCE COMPANY
Fidelity National Indemnity insurance Company
P.O. Sax 33003
St. Petersburg, FL 33733 -8003
1 - 800 - 820 -3242
FLOOD DECLARATIONS PAGE
-- -- -- --- --
09 1150342884 02 09 1150 342884 , 01 Date of Issue 5/07/12
From: 5/22/12 To: 5/22/13 12:01 am Standard Tl 1 y r(s ) 1 5/22/04 12:01 am U9$-
Agent (305) 289 -0213
FFL 99.001 0112
0830664
5/07/12
2000 11523 FLD RGLR
Policy Type
General Property Form
— 1(305) 289 - 0213
THE JOHNSONS INSURANCE AGENCY THE PIGEON KEY FOUNDATION
13361 OVERSEAS HWY PO BOX 500130
MARATHON FL 33050 - 3550 MARATHON FL 33050 -0130 �
hilICYIZ 2U12 �
9 .' ..: x ' •3' ' F:: 5 � '' �� :' i:1�.�.�Z�m�i' �'1� ?.;�1 .
....��y.K•. :nA � T\ ;5: -.: - �:.:�.
CONTENTS 11 111 $
$870,00
PROBA 1
11
ANNUAL SU BTOTAL:
���F
$100
3:11;1,1 0
1
The Reform Act of 1994 requires you to notify
the WYO company #or this policy within fiO days
of any changes in the servicer of this loan. TOTAL WRITTEN PREMIUM: $2
The above message applies only when there is FEDERAL POLICY SERVICE FEE: $40,
a mortgagee on the insured location,
TOTAL PREMIUM: $2
00846770911503428841212807 0000B 00687
Insured