Eisenhower 05/19/2021_Recorded Version evy C art
Kevin Madok, cpA
Clerk of the Circuit Court& Comptroller—Monroe County, Florida
cou
DATE: September 16, 2022
TO: Sheryl Graliani, Director
Social Serxices
ATM: Kim NA'ilkes Wean, Sr. Administrator
Fiscal& Program Compliance
Lourdes Francis, Administrator
Marie Brouillette, Sr. Special Programs
Administrator
FROM: Pamela G. Hanco
SUIUECT: May 19, 2021 BOCC Meeting
Attached is a copy ol'the 1611mving iteiii, which`vas resigned ividi original signatures and
recorded into die 0flicial Records:
CI Land Use Restriction Agreement for the State Housing Initiatives Partnership
Program for the purpose of guaranteeing a fifteen-year affordability period for property located
at 712 Eisenhower Drive, 714 Eisenhower Drive, 716 Eisenhower Drive, Unit 101, 716
Eisenhower Drive, Unit 102, 716 Eisenhower Drive, Unit 103, 716 Eisenhower Drive, Unit 104,
716 Eisenhower Drive, Unit 105; and for property located at 703 Pearl Street, 705 Pearl Street,
707 Pearl Street, 709 Pearl Street, Unit 101, 709 Pearl Street, Unit 201 in the City of Key West,
Florida 33040.
r riie originally recorded instrument will be sent to Ms. Francis along"ridi the recording fee
receipt. Should you have any questions please I'CcI free to contact iiie at (305) 292-35.50.
cc: HFH K. NN'elbuni
MCA R. Sterling
County Attorney
Finance
File
KEY WEST MARATHON PLANTATION KEY
500 Whitehead Street 3117 Overseas Highway 88770 Overseas Highway
Key West, Flodda 33040 Marathon, Florida 33050 Plantation Key, Florida 33070
MONROE COUNTY STATE HOUSING INITIATIVES
PARTNERHIP PROGRAM (SHIP}
LAND USE (LUEISENHOWER
This LAND USE RESTRICTION AGREEMENT ( ) (hereinafter called the
"Agreement") is made and entered into as of this 19`h day of May, 2021 between THE HOUSING
AUTHORITY OF THE CITY OF KEY WEST, FLORIDA, (hereinafter called the "Owner") and
COUNTY,MONROE a political subdivision of the State of Florida (hereinafter called the "County")
and HABITAT FOR HUMANITY,,OFY WEST AND LOWER FLORIDA KEYS (hereinafter
called the "Operator").
WITNESETH
WHEREAS, the County approved funding for THE HOUSINGAUTHORITY
CITY OF KEY WEST, FLORIDA, and HABITAT FOR HUMANITY OF KEY WEST AND
LOWER FLORIDA KEYS through the County's State Housing Initiatives Partnership Program
(SHIP) for the purpose of rehabilitating "EISENHOWER" a property/facility located in Monroe
County, Florida on Eisenhower Drive, unit numbers: 712, 714, 716 #101, 716 #102, 716 #103, 716
#104, 716 #105, and on Pearl Street unit numbers 703, 705, 707, 709 #101, 709 #201, in the City of
Key West, Florida, 33040 and the legal description as follows:
A parcel of land on the Island of Key West, known as part of Lot I&Lot 2, of Square I, Tract 7,
according to Albury's subdivision ofpart of Tract 7,as recorded in Deed Book "I", Page 239, in the Public
Records of Monroe County, Florida, said parcel being more particularly described as follows:
COMMENCE at the intersection of the Northeasterly Right of Way Line of Pearl Street and the
Northwesterly Right of Way Line ofNewton Street;thence N 44°5953"E along the said Northwesterly Right
of Way Line ofNewton Street far 150.09 feet to the platted Right of Way Line of Eisenhower Drive and the
Point of Beginning; thence continue N 44°5953"E along the said Northwesterly Right of Way Line of
Newton Street far 35.26 feet to the Southwesterly Right of Way Line of Eisenhower Drive as existing and
constructed; thence N 44°45'07"W along the said Southwesterly Right of Way Line of Eisenhower Drive as
existing and constructed far 98.90 feet;thence S 44°58'00"Wfor 29.48 feet to the platted Right of Way Line
of Eisenhower Drive;thence N41°24'22"E long the said platted Right of Way Line of Eisenhower Drive
for 99.02 feet to the said Northwesterly Right of Way Line ofNewton Street and the Point of Beginning.
WHEREAS, the County has agreed under certain conditions to issue a deferred forgivable
loan using SHIP funds to provide financing for preservation of affordable rental housing for very low
and low-income persons located at the "EISENOE " property in Monroe County, Key West
Florida, to be occupied by eligible persons as described Article 1.1 of the Agreement.
WHEREAS, in addition to any other requirements the County may impose incident to its
mortgage, the Owner has agreed that all housing units shall be leased, rented or made available on a
continuous basis for rental to very low and low-income persons as described in Article 1.2 of the
Agreement.
WHEREAS, this Land Use Restriction is intended to enc„re that the nrnni-rtv h,- „ ,-d in
accordance with the SHIP program. Doc#2391777 Bk#3194 Pg#1442
Recorded 91'16,2022 4:12 Pht Page 1 of 5
Filed and Recorded in Official Records of
NOW, THEREFORE, in consideration of the mutual covenants set forth herein and other good
and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the
County and the Owner do hereby contract and agree as follows:
AGREEMENT
ARTICLE I. RENTAL HOUSING RESTRICTIONS
1.1 Occupancy
One hundred percent (100%) of the housing units must be set-aside for occupants who
upon initial occupancy of both units must have annual gross incomes equal to or below
eighty percent (80%) for the Monroe County, Metropolitan Statistical Area (MSA), as
determined by the US Department of Housing and Urban Development (HUD) on an
annual basis.
1.2 Income/Eligibility
The SPONSOR shall determine and verify the income eligibility of tenants in accordance
with HUD Section 8 housing assistance programs in 24 CFR Part 5 for the Project.
Income shall be calculated by annualizing verified sources of income for the household
as the amount of income to be received by a household, during the 12 months, following
the effective date of the determination. The Annual Gross Income, as defined in Section
420.9071(4), F.S., must be used and the SHIP Program income limits cannot be
exceeded. The Owner shall maintain complete and accurate income records pertaining to
each tenant occupying a SHIP assisted unit. Onsite inspection as will be conducted
annually upon reasonable prior written notice to verify compliance with tenant income,
rents, and the minimum property standards as stated in Section 420.907-420.9079,
Florida Statutes and Rule 67-37, Florida Administrative Code, as they may be amended
from time to time.
1.3 SHIP Affordability
All housing units are subject to affordability limits established for SHIP assisted rental
units on an annual basis.
1.4 Long-term Affordability
The SHIP funds are subject to recapture during the affordability period if the property is
sold, transferred, etc. If the property is offered for sale prior to the end of the
affordability period, the Property shall be subject to the right of first refusal for purchase
at the current market value minus the grant award by eligible nonprofit organizations that
would provide continued occupancy by 80% and below AMI tenants. The Housing
Authority of the City of Key West, Florida shall have ninety (90) days from the date of
notification of intent to sell to identify an eligible non-profit.
1.5 Housing Standards
Rental Units assisted with SHIP funds shall be maintained in compliance with local
building code requirements for the duration of the affordability period. The Owner shall
cooperate with the County by allowing on-site inspection of SHIP assisted units for
compliance with local code requirements.
ARTICLE 11. CONSIDERATION
The County has authorized and issued a deferred forgivable loan to the Owner as an inducement
to the Owner to operate the units in the Project for the benefit of low-income households whose
incomes are equal to or less than eighty (80%) percent of median annual gross income for the
Monroe County, Metropolitan Statistical Area(MSA), as determined by the US Department of
Housing and Urban Development (HUD) on an annual basis, for a period of fifteen (15)years
following completion of the Project. In consideration of the issuance of the loan by the County
for the foregoing purposes, the County and Owner have entered into this Agreement.
ARTICLE 111. RELIANCE
In performing its duties hereunder, the County may rely upon statements and certifications of the
Owner, believed to be genuine and to have been executed by the proper person or persons, and
upon audits of the books and records of the Owner pertaining to occupancy of the Project. In
addition, the Florida Housing Finance Corporation may consult with counsel, and the opinion of
such counsel shall be full and complete authorization and protection with respect to any action
taken or suffered by the County in good faith and in conformity with the opinion of such counsel.
The Owner may rely upon certification of low-income households reasonably believed to be
genuine and to have been executed by the proper person or persons.
ARTICLE IV. TERM
This Agreement shall become effective upon its execution and shall remain in full force and effect
for a period of fifteen(15) years from the date of the completion of the rehabilitation of the Project
as confirmed by final inspection by the building department and/or issuance of a final certification
of occupancy.
ARTICLE V. INSURANCE
The Owner shall insure the property for the full replacement cost for the duration of the Land Use
Restriction Agreement. Any such policy must be issued by a company acceptable to the County,
include the County as an additional insured and provide for at least thirty (30) days notice prior to
cancellation.
ARTICLE V . DAMAGE, DESTRUCTION OF THE PROJECT
Subject to the superior rights of the holder of any first mortgage, in the event that the Project is
damaged or destroyed, the Owner shall deposit with the County any insurance proceeds and shall
promptly commence to rebuild,replace, repair or restore the Project in such manner as is consistent
with the Loan Documents. The County shall make any such insurance proceeds available to
provide funds for such restoration work. In the event the Owner fails to commence or to complete
the rebuilding, repair, replacement or restoration of the Project after notice from the County, the
County shall have the right, in addition to any other remedies granted in the Loan Documents or
at law or in equity, to repair, restore, rebuild or replace the Project so as to prevent the occurrence
of a default hereunder.
ARTICLE V . SALE, TRANSFER OR REFINANCING OF THE PROJECT OR
DISSOLUTION OF CORPORATION
The loan for the Project hereunder as to both principal and interest shall be assumable upon project
sale, transfer or refinancing or dissolution of the Owner's Corporation if the proposed Owner of
the Project is an eligible nonprofit organization (approved by the County) and agrees to maintain
all set asides and other requirements of the SHIP Loan Documents for the period originally
specified.
In the event the above-stated conditions are not met, the loan for the Project hereunder as to both
principal and interest shall be due in full upon the sale, transfer or refinancing of the Project.
Notwithstanding, payment of principal and interest in full, these restrictions shall remain in full
force and effect for the term of this Agreement.
ARTICLE VIII. ENFORCEMENT/DEFAULT
The benefits of this Agreement shall inure to, and may be enforced by the COUNTY for the
duration of the Agreement, whether or not the COUNTY shall continue to be the holder of the
Mortgage, whether or not the Project loan may be paid in full, and whether or not any bonds issued
for the purpose of providing funds for the project are outstanding. The SPONSOR warrants that
it has not, and will not, execute any other agreement with provisions contradictory to, or in
opposition to,the provisions hereof, and that, in any event, the requirements of this Agreement are
paramount and controlling as to the rights and obligations herein set forth and supersede any other
requirements in conflict herewith. However, this shall not preclude the COUNTY from
subordinating its loan to construction financing.
If the Owner defaults in the performance of its obligations under this Agreement or breaches any
covenant, agreement or warranty of the Owner set forth in this Agreement, and if such default
remains uncured for a period of thirty (30) days after notice thereof shall have been given by the
County to the Owner (or for an extended period approved by the County if such default stated in
such notice can be corrected, but not within such thirty (30) day period, and if the Owner
commences such correction within such thirty (30) day period, and thereafter diligently pursues
the same to completion within such extended period),then the County may take any lawful action,
whether for specific performance of any covenant in this Agreement or such other remedy as may
be deemed most effective by the County to enforce the obligations of the Owner with respect to
the Project. If a default by the Owner under this Agreement is not timely cured, the County may
institute foreclosure proceedings against the Project, but only as provided in the Mortgage.
Notwithstanding any of the foregoing,the County will have the right to seek specific performance
of any of the covenants and requirements of this Agreement concerning the rehabilitation and
operation of the Project.
ARTICLE IX. RECORDING AND FILING
Upon execution and delivery by the parties hereto, the County shall cause this Agreement and all
amendments and supplements hereto to be recorded and filed in the official public records of
Monroe County.
ARTICLE X. COVENANTS TO RUN WITH THE LAND
This Agreement and the covenants contained herein shall run with the land and shall bind, and the
benefits shall inure to, respectively,the Owner and the County and their respective successors and
assigns during the Term of this Agreement.
ARTICLE XI. GOVERNING LAW
This Agreement shall be governed by and construed in accordance with the laws of the State of
Florida, with respect to both substantive rights and with respect to procedures and remedies.
ARTICLE XII. ATTORNEY'S FEES AND COSTS
In the event of any legal action to enforce the terms of this Agreement, each party shall bear its
own attorney's fees and costs.
ARTICLE XIII. NOTICE AND EFFECT
Any notice required to be given hereunder shall be given by personal delivery, by registered mail
or by registered expedited service at the addresses specified below or at such other addresses as
may be specified in writing by the parties hereto, and any such notice shall be deemed received on
the date of delivery if by personal delivery or expedited delivery service, or on actual receipt if
sent by registered mail.
FOR THE COUNTY FOR THE OWNER
Robert Shillinger, Esq. THE HOUSING AUTHORITY OF THE
County Attorney CITY OF KEY WEST, FLORIDA
I I I I 12'h Street, Suite 408 1400 Kennedy Drive
Key West, FL 33040 Key West, FL 33040
(305) 292-3470
ATTEST:
KEVIN MADOK, CPA, CLERK BOARD OF COUNTY COMMISSIONERS OF
'1-'1N- 1-%IV-jR"E COUNTY, FLORIDA
11111100
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THE HOUSING AUTHORITY OFT CITY
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OF KEY-).��"ES, F �5601DA
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By: 16indy SterlinV,-r)ecutive Director
Dated Date—
V'J 1,
HABITAT FOR HUMANITY OF KEY WEST
AND LOWER KEYS
By: Krishna Welburn, Executive Director
Date:
a4+ R . �WE(rwmwfyyyy)
CERTIFICATE OF LIABILITY INSU NCE 1121
IS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON E 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
PRESENTATIVE 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 endorsementisi.
PRODUCER NAME' Locktan Affinity, .fiLCRH
...
Lo kton fi nity, L I CNN:,Extk ERB 5 a3 9002 (ACC,Na) 913-652-3967
E-MAIL
P. Ch» Box 1373401bDRE ..................
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Kansas City, NO 64187»-3401 ItJSOttE�S OFF®RD11 0 COVERAGE NAIL
�J ..............._...._ ..................._ _................._........_._................_.
UNSURER A:Aca 1Eanaa�:d.a��.!n Aun�n,axxx.mca� cll,
IIU'I:aU,1RED INSURER a
Habitat for Humanity O Key West INSU NSURE __.....
rl Lower �o r .cla Keys, Inc. Ct�
PO :Box 873 INSUR Da
IKey West, FL 330 IhNSURERg:
INSURER F
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THUS IS'TO CERTIFY THAT'THE.POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAKED ABOVE FOR THE POUCY PERIOD
INDICATED, WWWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES, DESCRIBED HEREIN IS SUBJECT 'TO ALL THE TERMS,
EXC'LU VONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOVM MAY HAVE BEEN REDUCED BY PAID CLAIMS.
_ _.._..._._. .. _....�..........._._. ......
IN SR-............... _.,,..'I'YTaE OF UNSU ��_.._n ...__.a"a1'SOI. E R....._._._ POLICY NUMBER ...., ......_....... h7� �._�_. L V�'6 ..LUMUTS
LTR
A X• COMMERCIAL GENERAL II.VABIII.UTY r G9 1064565°-21 04/01.12021 04/01/2022 EACiI CCURRENCE $1,000„000
.. .. ._ ...
CUTwUI N4ADE ,K OCCUR R1'�L.1WNSL Lx��rraar alp $1 000 000
P a r mP "" (Any one gmenrm) so
... _ _ �,•,m, I4ER OPJAL A91V' ......UNty _ $1„000,00Cb
Eb`L AGGREGATE �OIIT'Rt RgJIES N"b .__ GEtUVEUCT BCC.REt,x CE....._._ 2,000 000
_.._ p(•14LIIC L...m., UUT T _. Ltd F 6_U@J_,_.. T"a"MPIOP AGG $2 OI 000
OTI NEk $
AUTOMOBILE LI LIT P
.... I�CSMI Y IIN�'LUDR ......... ...
1?�st�l"tA E; ..s�a¢�o¢Bxaai "N Qt�ans Tmsur��vnk S .....
ALL T"�W FLU SCHEDULED BODILY UN A)RY"(Near a uNdantk $
AUU"q"'OS A4Pfig1S _.
N ONaN-C E'D C79 E1t'O F $
HIREDAI,ffO» AUTE4 Nax n¢x Sewnti _. _, . ... .
UMBRELLA LLAB OCCUR i S;SC yfRENCE b
EXCESS LAD CLAHWtzMAOI:: AGGREa�AIE $
_. ...... _ ....-._. 1..................._.�.. --- .- ..._..........._ .....................................
DIED RETENHONS $
VORKERSCOMPENSATION E:CE (S'fH-
AND EMPLO &LIABILITY Y.'N f Bh I16CQ I:k$.._, ........__
ANY PROPRIET'0R#'ARTNERJEXECLr71VE E.L LJ H ACC NL71 'f
OFFICER110 EMBER EXCLUDED �... NIA ,_,.__ _..._..... ......., ...._ .... ._,....... ......
(Mandatory In PHI E.L DISEASE-EA EMPLOYE $
Kt darsoreta under .....................�.............
87ESS IENPTION OF OPERATIONS trLgow E.L.DISEASE•POLUCY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddUtlanaO Raaaaiks Sdiedwla„anay be attachad If more space Is required)
Certificate Holder .is Additional Iruareurr ai as Respects to Written Contract.
CERTIFICATE HOLDER CANCELLATION
1064565
Monroe Cott my BOCC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
500 641'n.itehe ad Street ACCORDANCE WITH THE POLICY PROVISIONS.
Key 14aat, FL 33040
AUTHORIB RESEN'i nviF,
(D 1888-2014 ACORD CORPORATION. All rights reserved.
ACORD (2014101) The ACORD name and logo are registered marks of ACORD
39481662 1064565
HABITATFOR HUMANITY AFFILIATE INSURANCE PROGRAM
PROPERTY SCHEDULE COVERAGE SUAMARY
Account,#: 1064565
Habitat for Humanity of Key West and l.,ower Florida Keys, Inc.
04/01/2022
Business Income Limit in excess of $250,000 $428,305
Connputer(EDP)Limit in excess of $50,000 $0
Employee Theft in excess of$100,000 $0
Contractors Equipment Limit in excess of$25,000 $0
Tools Limit in excess of$2,500 $20,000
Ntunber of Trailer's 0
Trailer Value $0
Trailer Contents Value $0
Other Contents Value $0
r/n
Location# Type Address Building Contents Inventory
1001 Tenant Occupied 716 Eisenhower Drive,Building I Key 750,000
— West F1,33040 -T3-0,60-0
1002 Tenant Occupied 716 Eisenhower DriVre,Building 2 Key
West Fl,33040
-1-003 Tenant Occupied 716 Eisenhower Drive,Building 3 Key 100,000
West FL 33040
....................
1301 Tenant Occupied 5530 3rd Avenue,Apt. I Stock Island FL 620,000
33040
... ...........................
1302 Tenant Occupied 5530 3rd Avenue,Apt.2 Stock Island F'L 620,000
33040
1303 Tenant Occupied 553013rd Avenue,Apt,3 Stock Island FL 620,000
33040
2101 Tenant Occupied 291.72 Rose Drive Big Pine Key_FL 33043.._'_ 300,000
2201 Office 471 Overseas Highway Big Coppitt Key 1,088,590 20,000
Fl,13040
t
2901 'Warehouse I I I Overseas Hwy**GL Only**Key
West Fl,33040 �=10
THE
"O"ro"D
LOCKTON AFFINITY LLO
10896 LOWFLI.AVE STE300
OVERLAND PARK,KS 66210
Mail To :
Agent. LOCKTON AFFINITY LLC
LOCKTON AFFINITY LLC
10895 LOWELL AVE STE 300
lie 6111111 le loll 1111111111 1 11 1 1 1111 111 millill 11111111111 OVERLAND PARK,KS 66210
HFH KEY WEST (913)652-7500
PO BOX 5873
KEY WEST,FL 33045-58 73 RENEWAL NOTICE
Your flood insurance policy will expire an 10/18/2021.Please
follow renewal instructions on the remittance coupon below.
This policy contains a 25%credit for community floodplain
management activities.
Policy Number: 87048816602019
Policy Expiration Date : 10/18/2021
Loan Number: N/A APPROVED BY RISK MAN—A'EMENT
Billing Date: 08/19/2021
Payor: Insured D )2)--.!�tjj
Insured Property Location ATE --fi ------
716 EISENHOWER DR BLDG 1 WAVER N;A. YIES_
KEY WEST, FL 330400000
Coverage Options Coverage Amounts Deductibles Premium
Building Contents Building Contents
A.Current coverage 275,000.00 0.00 5.000-00 0.00 4,304.00
B. Increased coverage 302,500,00 0.00 5,000.00 000 4,864.00
This renewal offer is being made on behalf of Hartford Fire Insurance Company
Follow the instructions below to pay your renewal premium online with a credit card or electronic check.
a Visit https:/fTheHarilord.ManageFlood.com and select"Pay Renewal Online".
0 Enter your policy information and follow the instructions to select your payment type and available coverage amounts if applicable.
0 You will immediately receive a copy of your renewal declarations page.
See reverse of this notice for important additional information
IF PAYING BY CHECK OR MONEY ORDER PLEASE DETACH HERE AND SEND THIS PORTION WITH YOUR PAYMENT
Insured Name: HFH KEY WEST
Renewal Date: 10/1812021
HARTFORD Policy No: 87048816602019
Bill ID: 17048125-147145916
To pay by check or money order: Seled One- 0 Option A 0 Opficen B
s Make payment for the exact amount of the coverage option $4.304 $4,864
you selected.
a Full payment is required for the option selected. Amount Endosed: $
e Write your policy number on your check or money order.
0 Return this portion in the attached return envelope.
Make check or money order payable to- Hartford Fire Insurance Company
PO BOX 913385
DENVER, CO 80291-3385
900017048125 000147145916 0
na
HARTrORD
LOCKTON AFFINITY LLC
10895 LCTWE'Ld AVE STE 300
OVERLAND PARK,K5 66210
Mail To:
Agent: LOCKTON AFFINITY LLC
LOCKTON AFFINITY LLC
10895 LOWELL AVE STE 300
II'I'''1'II"IIIIIII1611111111I1"III'1111 l'I'fl'llll'll'11I I OVERLAND PARK, KS 66210
HFH KEY WEST (913)652-7500
PO BOX 5873
KEY WEST,FL 33045-5873
APPPOVED o tit'®MANAGEMENT RENEWAL NOTICE
IBY � .mm „c Your flood insurance policy will expire on 10/12/2021.Please
DATE O follow renewal Instructions on the remittance coupon below.
WAVER WA� YES This policy contains a 25%credit for community floodplain
management activities.
Policy r: 8704816522019
Policy Expiration ate : 10/12/2021
Loan Number: N/
Billing to: 06/14/2021
Payor: Insured
Insured Property Location :
716 EISENHOWERDR APT 2
KEY WEST, FL 330400000
Coverage tl Coverage mounts Deductlibles, Premium
Building Contents Building Contents
A.Current coverage 250,000.00 0.00 5,000.00 0.00 744.00
.Increased coverage N/A NIA N/A N/A NIA
This renewal offer is being made on behalf of Hartford Fire Insurance Company
Fallow the instructions below to pay your renewal premium online with a credit card or electronic check.
Visit https.,/frheHwfford.ManageFlood.com and select 'Pay Renewal Online',
Enter your policy information and follow the instructions to select your payment type and available coverage amounts if applicable
You will immediately receive a copy of your renewal declarations page.
See reverse of this notice for important additional information
IF PAYING BY CHECK OR MONEY ORDER PLEASE DETACH HERE AND SEND THIS PORTION WITH YOUR PAYMENT.
I KEY WEST
Renewal Date: 1 /1 1 0 1
HARTFORo Policy No: 87048816522019
BIII ID: 16894453-146973142
To pay by check or money order: SelectOption A 0 Option B
• Make payment for the exact amount of the coverage option 74 /A
you selected.
Full payment is required for the option selected. Amount
Write your policy number on your check or money order. -
Return this portion in the attached return envelope.
Make check or money order payable to Hartford Fire Insurance Company
PO BOX 913385
DENVER, CO 80291-3385
100016894453000146973142
ti
TFIE
HARTFORD
LOCKTON AFFINITY LLC
10895 LOWELL AVE STE 300
OVERLAND PARK,KS 66210
APPROVED' Y RISK M NAO E®T
Mail To : DATE_
WAVER WA YES Agent : LOCKTON AFFINITY LLC
= LOCKTON AFFINITY LLC
10895 LOELL AVE STE 300
11®®1111'11®111111 1'1'11" 'I'11"'1I1111-11"'1'llllll'I'lllll OVERLAND PARK,KS 66210
HFH KEY WEST (913)652-7500
PO BOX 5873
KEY WEST,FL 33045-5873
RENEWAL NOTICE
Your flood insurance policy will expire on 10/1212021, Please
follow renewal instructions on the remittance coupon below.
This policy contains a 25%credit for community fioodplain
management activities.
Policy Number : 870488162019
Policy Expiration Date: 10/12/2021
Loan Number; N/A
Billing at /14/2021
Payor: Insured
Insured Property Location :
716 EISENHOWERLD 3
KEY WEST, FL 330400000
Coversille:0ptions Coverage Amounts Deductibles Premium
Building Contents Building Contents
A.Current coverage 93,200.00 0.00 5,000.00 000 1,307.00
B.Increased coverage 102,500.00 0.00 5,000.00 0.00 1,324.00
This renewal offer is being made on behalf of Hartford Fire Insurance Company
Follow the instructions below to pay your renewal premium online with a credit card or electronic check.
e Visit it ...............
ttpe./frheHa ord. onageFlo� com and select"Pay Renewal Online". ���� �sit
e Enter your policy information and follow the instructions to select your payment type and available coverage amounts if applicable.
e You will immediately receive a copy of your renewal declarations page.
See reverse of this notice for Important additional information
IF PAYING BY CHECK OR MONEY ORDER PLEASE DETACH HERE AND SEND THIS PORTION WITH YOUR PAYMENT
I : HFH KEY WEST
Renewal.4 10/1 1 021
HARTFORo Policy No: 87048816382019
illl : 16894451-146972543
To pay by check or money order: Select One: 0 Option A 0 Option
Make payment for the exact amount of the coverage option $1,307 $1,324
you selected,
e Full payment is required for the option selected. Amount
Write your policy number on your check or money order.
Return this portion in the attached return envelope.
Make check or money order payable to., Hartford Fire Insurance Company
PO BOX 913385
E80291-3385
000016894451 72 5
DATE(MUNIONY"
CERTIFICATE OF LIABILITY INSURANCE
..............
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 INSURERS(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: It the certificate holder is an ADDITIONAL INSURED,the polley(ies)must be endorsed. Of 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).
TACT
PRODUCER
... ...........
Lockton Affinity E Ax
P.O.Box 873401,LLC 896-553-9002
Kansas City,MO 64187.3401 AK
DDRESS:
ORDIN C0%%RAGE NAIC
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can Bnourance cm 22H
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Habitat for I lumanity of Key West and Lower Florida Keys,inc, SURER.C:Westchester FWS Ins,co� $0030
PO Box 5873 URER-0: ... .......................... . . .............
IKey West,I L 33045
................
Ct#fiF_1CAtt &U—MBEW REVISION NUMBEW
..............._ '_..._. ........FOR
.......
"111+8 iS TO GEffT`11FY'rHA'r'T'H1i P(A lCIES OF iNSURANCE irm';T.D BELOW HAVE BEEN iSSUED TO THE�WSURED NAMED ABOVE FOR THE TIOLK�'(PERK*
WMCATEID WJ1WITHSTANONG ANYREQUFkEMENT, TERM OR CONEXIiON 0FANYcoiqrRACF OR(YTHERIX)CUMENr'
CER"TiRCAJr EMAYBEMSUEU OIL MAYI:10iTA1N,, fli Ili"NSURANCE AFFORDED Byna.POLKJES DESCMBED HEREIN iSSUWECT "TO AL.LT'HE"Tr ERMS, YYY
EXCL.US]iONS AND CONDI l 0NS f.)F SU01 POLKAES _"AT` SHUVVIN MAY I 1AVE BEEN RED UGED BY PAO CLAWS
Y&O LF
am- '__` '— - ' '"' -a— cilw
TYPE OF INSURANCE POUCY NUM R (�tle _(MMRDLV��LYJ_ LNITS
LI'ABILITY GLI064565-22 0410.112022 04101/2023 EACH OCCURRENCE
DAh"GE FO RIDqrED
X�:WW-RCJAL GENERAL LVWU s ry $1,000,000
ME EXP(An so
PFRSONAL&ADVIINJURY $1,000,000
1"E $2,000,,000
GEN1 AGGREGATE LAW NIPLIES PER F1R(XAJCTS- COMIN'WAGG $2,000,000
AUTOMONLE UASLM (Ea vccA4 Kn0
%NY AUK) Nu
N''A'OWNER) SCJ�ED�A
Milos AU r0S 80DR.Y INJURY(Per acadwffl
41REZ NON-OWNIED Fikdm-rrT_y bAmAciF.
huyns AU10S
X JWRELI.ALIAS X OCCUR 10
ACH 6L�C'
1.IIAS CLAWS IMADIE
APPROVED,BY RISK MANAGEMENT
EN ON 100v&
..M'A
NOI IXERS COMPE Tor B ..., i T
T
WD EMPLOYERS'LLABILITY DIR
DATE y_UM
kNY PROPME'rOWPARTNEWEXECUTWE ..........
ON -1k _',�
D------T_ WAVER NA6_YE
)FRCERNEMBER C-U E-111
EX D EU EACHAC CH)ENT
MANDATORY IN NH)
$ YEE"PLO)
:1�L� —. ...................
PESCRIPTiON OF OPERATK)NS bekm E 11 rNSEASE:-PQ�CY OWT $
................ ----------- ............
Bk1 4i 04/0112022 04101/20231 Uftl $10,000,000
SpisdalForm Deductible Per Schedule
_J 1
r�wik y Ind.Crime,Policy#PCIO64565-22,D410112022 04,10112023,Limits Per Schedule on File with Lockton Affinity,LLC
Insurer A:Directors&Officers Liability,Policy#DO1064965-22,04101/2022...0410112023,LimiL$1,000,000
lnsurer A:!Excess Directors&Officers Liability,Policy#DOX1 1VA565-22,04!0112022-04/0112023, Lirnit:$1,000,000
Insurer C:Volunteer Accident Medical Expense,Policy#MEDI 064565-,22,0410112022-04101/2023,Limit$250,000
Insurer C:Volunteer Disability,Policy#DM1064565-22,0410112022-04101/2023,7'emporary Total Disability Limit:60%Salary
CANCELLATION
Proof of Coverage SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WTH THE POLICY PROVISIONS
TWeAd6§6 name and logo are registered marks ofACORD
1064565