Item F21 F.21
Coty f � ,�� ,' BOARD OF COUNTY COMMISSIONERS
�� Mayor David Rice,District 4
The Florida Keys � Mayor Pro Tem Craig Cates,District I
y Michelle Coldiron,District 2
James K.Scholl,District 3
Ij Holly Merrill Raschein,District 5
County Commission Meeting
November 15, 2022
Agenda Item Number: F21
Agenda Item Summary #11297
BULK ITEM: Yes DEPARTMENT: Facilities Maintenance
TIME APPROXIMATE: STAFF CONTACT: Alice Steryou(305) 292-4549
None
AGENDA ITEM WORDING: Approval to enter into a one (1) year Residential Lease Agreement
with a County employee, JW, as Lessee, for Unit 2, of a County-owned duplex.
ITEM BACKGROUND:
This item seeks approval of the third Lease for the same tenant for another one-year term, which will
commence on February 1, 2023, and terminate on January 31, 2024. The BOCC approved the first
one-year Lease with this tenant on January 20, 2021, and the Lease must be renewed annually. A
new Lease was also approved on January 21, 2022, for the second year. This tenant, JW, has
expressed his interest in renewing the annual lease. This item is for approval of a third one-year
Lease with the tenant for one-half of the County-owned duplex.
Tenant Selection Process
A County employee moved out of one-half of the County-owned duplex, Unit 2, on September 5,
2020. The unit was inspected and ready for lease again. County staff followed the approved
application process and opened up the opportunity to all County employees and Deputies for the
Monroe County Sheriff's Dept. A tenant is eligible by submitting an application and a Supervisor's
recommendation. Several employees submitted applications for this location. On January 12, 2021,
names for the employee rentals were compiled and a drawing was conducted to select the new tenant
in a manner fair to all applicants. JW's name was drawn for this location. The monthly rental fee is
$550.00.
PREVIOUS RELEVANT BOCC ACTION:
January 21, 2022 The BOCC approved a one-year lease agreement with a County employee
(JW) for one-half of the County-owned duplex, Unit 2. The term
commenced on February 1, 2022, and terminates on January 31, 2023.
January 20, 2021 The BOCC approved a one-year lease agreement with a County employee
(JW) for one-half of the County-owned duplex, Unit 2. The term
commenced on February 1, 2021, and terminated on January 31, 2022
Packet Pg. 1314
F.21
December 9, 2020 The Commission directed staff to offer two currently available County-
owned property locations simultaneously to Sheriff's deputies and County
staff to apply for rental of these locations.
CONTRACT/AGREEMENT CHANGES:
New Lease Agreement
STAFF RECOMMENDATION: Approval
DOCUMENTATION:
11-15-2022 JW Residential Lease with Exhibits - County duplex Key Largo (Final legal stamped)
Partial Exec-Redacted
FINANCIAL IMPACT:
Effective Date: 02/01/2023
Expiration Date: 01/31/2024
Total Dollar Value of Contract: Revenue
Total Cost to County: N/A
Current Year Portion: N/A
Budgeted: Yes
Source of Funds: Revenue
CPI: No
Indirect Costs: N/A
Estimated Ongoing Costs Not Included in above dollar amounts:
Revenue Producing: Yes If yes, amount: $550.00/Month
Grant: N/A
County Match: N/A
Insurance Required: Yes Current COI attached.
Additional Details: Lessee may only keep pets on the Premises that have been approved by the
Monroe County Assistant County Administrator and included in the lease application for the
Premises. The tenant has included a pet in the confidential Application and the Assistant County
Administrator has approved. A new COI will be provided when the current insurance expires in
January 2023.
Revenue
REVIEWED BY:
Patricia Eables Completed 11/01/2022 11:15 AM
William DeSantis Completed 11/01/2022 11:18 AM
Packet Pg. 1315
F.21
Kevin Wilson Completed 11/01/2022 12:03 PM
Purchasing Completed 11/01/2022 12:10 PM
Budget and Finance Completed 11/01/2022 12:20 PM
Brian Bradley Completed 11/01/2022 12:25 PM
Lindsey Ballard Completed 11/01/2022 12:39 PM
Board of County Commissioners Pending 11/15/2022 9:00 AM
Packet Pg. 1316
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COUNTY-OWNED PROPERTY RESIDENTIAL LEASE °
(I;NiI'LOYI;E)
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This Agreement is made and entered into on this 15th day of November, 2022, by the parties, CL
MONROE COUNTY, a political subdivision of the State of Florida, whose address is 1100 Simonton
Street, Key West, Florida 33040, ("County" or "Lessor"), and , a single person, and
a Monroe County Employee, ("Lessee").
WITNESSETH:
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WHEREAS, the County owns a residential duplex premises ("Premises") located at
Key Largo, Monroe County, Florida 33037, and
WHEREAS, the County has decided that at the present time it is in the County's best interest to
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enter into a lease with the Lessee upon the terms and conditions as contained herein; and
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WHEREAS, the Lessee is desirous of leasing the Premises from County on the terms and
conditions as contained herein;
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NOW,THEREFORE,the parties agree as follows:
1. PROPERTY. County leases to the Lessee the Premises located at Unit 2 of the Duplex facility
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known as Key Largo, Florida (previously the ), consisting of
approximately 800 square feet, and more particularly described as Unit 2,
Key Largo, Monroe County,Florida 33037 ). X
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2. TERM. The term of this agreement is f'or one (1) year commencing on February 1, 2023, and
terminating on January 31, 2024. There is no automatic renewal of this Agreement. The Lessee shall
have the option to renew the Lease as long as the terms of the Lease are met. In the event that the
Lessee does not vacate the Premises and surrender it to the County upon termination of this Agreement, U
Lessee will be liable for rent at a rate of Twenty and 00/100 Dollars ($20.00) per square foot per month I
prorated f'or the time he continues to occupy the property, as well as County's expenses and reasonable
attorney fees in obtaining possession of the property.
3. USE. The Premises shall be used solely for the purpose of only a "primary" residence. If the
Premises are used f'or any other purpose, the County shall have the option of immediately terminating this
Agreement. The Lessee shall not permit any use of the Premises in any manner that would obstruct or
interfere with any County function or duties.
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The Lessee will further use and occupy said Premises in a careful and proper manner, and not
commit any waste thereon. The Lessee shall not cause, or allow to be caused, any nuisance or
objectionable activity of any nature on the Premises. The Lessee will not use or occupy said Premises
for any unlawful purpose and will, at the Lessee's sole cost and expense, conform to and obey any i
present or future ordinances and/or rules, regulations, requirements, and orders of governmental
authorities or agencies respecting the use and occupation of said Premises. The Lessee acknowledges N
that if he ceases to be employed as a Monroe County Employee during the term of the Lease, for any `N
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reason whatsoever, the Lease shall be terminated. LO
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Lessee covenants and agrccs that he will, during the term of the Lease, keep the Premises in a 0)
good state of-repair and in the current condition. and that upon the termination of the Lease, Lessee will
relinquish possession of the Premises in the same good state of'repair as when he took possession of the >
Premises. L_
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The Lessee agrees that only his inlnlcdiate family or an approved roommate shall occupy the
Premises.
The lessee agrees to clean the Premises at the end of the lease term and to return it to the same �
Condition that it was in when the Lessee accepted the Premises. The Lessee agrees to pay any fees that
the Count incurs to clean the Premises, if necessary. after the Lessee vacates the Premises. c;
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4. RENT AND SECt;KITY DEPOSIT. For the use of the Premises, the Lessee shall pay the
County the current rent of FIFE HUNDRED FIFTY AND 00/100 Dollars ($550.00) per month, with
said payment due on the first day of each and every month beginning on February 1, 2023, and -
continuing up and until termination of this Lease. The Lessee shall pay a security deposit in the amount
equal to one (1) month's rent to the County prior to occupancy. The monthly payment shall be remitted to C,
the Monroe County Clerk of Courts, Finance Department, 500 Whitehead Street, Key West, Florida
33040.
5. UTILITIES. The Lessee shall pay for the utilities including water, sewer, electricity, and solid
waste collection. The cost of connections for the above-described utilities shall be at the expense of the E
County. The Lessee shall arrange for and provide residential electric service, telephone service, internet
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and cable television service, at his own expense. The cost of connections for residential telephone
service and internet/ cable television service shall be paid for by the Lessee.
6. CONDITIONS. The Lessee, further agrees that, during the term of this Lease:
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a) The Lessee is now and will remain an employee of Monroe County; and
b) He shall have a letter of permission from his Department Director permitting the Lessee a
to execute this Lease, a copy of which is attached hereto as Exhibit"A" and made a part 0
hereof.
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C) He shall maintain the Premises as his sole "primary" residence during the term of this
Lease and immediately notify Lessor if he shall cease to reside in the Premises as his a
"primary" residence. W
7. (QUIET ENJOYMENT_. Upon the payment by Lessee of the rents provided, and upon the M
observation and performance o p fall the covenants, terms, and conditions on Lessee's part to be observed _'
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and performed, Lessee shall peacefully and quietly hold and enjoy the subject premises for the term
hereby demised without hindrance or interruption by Lessor or any other person or persons lawfully or 0
equitably claiming by, through, or under Lessor, subject, nevertheless, to the terms of the Lease. U)
8. ASSIGNMENT AND SUBLETTING. This Lease may not be sold, transferred, or assigned in
full or part without the written permission of Lessor. Any purported assignment without such prior
written consent shall be null and void. Lessee shall not have the right to sublet this Lease or any portion N
of this Lease or property. I
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9. Df"FAULTS. In the event that Lessee fails, within thirty (30) days after notice, to cure any
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default of anv obligations owed by Lessee to Lessor under this Lease Agreement then, in that event,
Lessor shall have the right to terminate this [,case Agreement and to enter upon the leased Premises and
again have, repossess, and cnJo) the same as if this Lease Agreement had not been made. C,
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10. TERMINATION BY COUNTY. This Agreement may be terminated before the expiration of
a one (1) year teen. \;ith or without cause and in the sole discretion of the County, upon
I) Sixty (60) days' written notice by the County to the Lessee;
b) Thirty (30) days' written notice by the County to the Lessee when;
i) The Lessee fails to timely pay the County the amount described in this
Agreement; or
The Lessee leases the Premises or assigns any interest without the required
consent under this agreement; or
iii) The Lessee has left the employ of Monroe County; or
iv) Lessee fails to maintain the Premises as his "primary" residence; or
' c) Fifteen (15) days' notice by the County to the Lessee in an emergency situation. U)
11. TERMINATION BY LESSEE. The Lessee may terminate this Lease upon thirty (30) days'
written notice to the County if he leaves the employ of Monroe County or ceases to maintain the 76
Premises as his "primary residence"; or upon fifteen (15) days' notice by the Lessee to the County in an iz
emergency situation.
12. INSURANCE AND HOLD HARMLESS. The Lessee agrees to carry Ten Thousand and
00/100 Dollars (S10,000.00) in personal liability coverage on the Premises and shall provide evidence 0
thereof by a Certificate of Liability Insurance, a copy of which is attached hereto as Exhibit "B" and X
made a part hereof. Lessee will notify County upon receipt of any notice of reduction or termination of
such insurance, and shall immediately obtain replacement insurance.
The Lessee covenants and agrees to defend, indemnify, and hold harmless Monroe County Board
of County Commissioners, and its elected and appointed officers, officials, agents, servants, and t0
employees from any and all claims, demands, or causes of action for bodily injury (including death),
personal injury, and property damage (including property owned by Monroe County) and any other
losses, damages, costs, penalties, and expenses (including attomey's fees) which arise out of, in
connection with, or by reason of the Lessee utilizing the property govemed by this lease/rental
agreement. The extent of liability is in no way limited to, reduced, or lessened by the insurance
requirements contained elsewhere within this agreement. Insofar as the claims, actions, causes of action,
litigation, proceedings, costs, or expenses relate to events or circumstances that occur during the term of
this Lease, this section will survive the expiration of the term of this Lease or any earlier termination of
this Lease.
13. DAMAGE TO PROPERTY BY PETS OR ANIMALS. Lessee may only keep pets on the
Premises that have been approved by the Monroe County Assistant County Administrator and included in
the lease application for the Premises. The Lessee shall have sole responsibility for any damage, harm, i
nuisance, claim, or other liability which arises as a result of the Lessee(s) keeping pets or other animals
on the Premises, including the parking area upon which the rental Premises is situated. Any repairs of
the Premises, caused by animals or pets of the Lessee, shall be paid for by the Lessee within thirty (30) c4
days of being given notice by the County of the cost of the damages.
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14. ALTERATIONS AND/OR MODIFICATIONS. If the Lessee wishes to make any
modifications or alterations to the Premises, he must first make the request in writing to the County, and 0
receive written pennission from the Director of' Facilities Maintenance Department prior to making any M
alterations and/or modifications. 0
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15. NOTICE. Notices in this Agreement, unless otherwise specified, must be sent by United States .,
Mail, certified, return receipt requested, postage prepaid, or by courier with proof of delivery. Notice is
deemed received by Lessee when hand delivered by national courier with proof of delivery or by U. S.
Mail upon verified receipt or upon the date of refusal or non-acceptance of delivery. The place of giving
Notice shall remain the same as set forth herein until changed in writing in the manner provided in this
paragraph. Notices shall be sent to the following:
For the County: For the Lessee:
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Assistant County Administrator
1100 Simonton Street, #2-205 U)
Key West, Florida 33040
Telephone: 305-453-8797 .2
And
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Monroe County Attorney
P. O. Box 1026
Key West, Florida 33041-1026
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16. ATTACHMENTS. The following documents are required to be attached to this Agreement:
a) EXHIBIT A: Letter from Lessee's Department Head recommending Lessee and approved
by Assistant County Administrator permitting Lessee to execute the Agreement. U
b) EXHIBIT B: Certificate of Liability Insurance.
This Agreement shall not be effective until signed by all parties and all fully completed Exhibits to
the Agreement are attached hereto.
17. WHOLE CONTRACT AND WAIVER. This Residential Lease is the whole agreement
between the parties, and no prior or contemporaneous oral or written communications are part of the
Agreement. If the County waives any breach of the Agreement, that waiver shall not waive the covenant
or conditions breached, nor any later breach of any part of the Agreement.
18. TOBACCO FREE ENVIRONMENT/NO SMOKING POLICY. Lessee, or Lessee's family,
roommate, or guests shall not smoke within or outside the Premises. This includes smoking cigarettes or
tobacco of any kind, cigars, marijuana, pipes, vaping, or any other smoking device. This policy is in
effect a desire to mitigate (1) the irritation and known health effects of secondhand smoke; (ii) the
increased maintenance, cleaning, and redecorating costs from smoking; and (iii) the increased risk of fire CN
from smoking. Lessee acknowledges that Lessor's adoption of a no smoking policy does not make the CN
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Lessor the guarantor of the Lessee's health or of the smoke-free condition of the Premises. Lessee is
responsible for all costs and damage caused by the smoking including, but not limited to, stains, burns,
County-Owned Property Residential Lease -4-
(Employee)
odors, and rcnioval of dehiis. Any brcach of this no smoking policy could subject Lessee and all
occupants of the Premises to e\fiction and loss of any security deposit. 0
19. GOVERNING LANK S/VLNUE. This Agreement shall be governed by the laws of the State of 0
Florida and the United States. Venue for any dispute arising under this agreement must be in Monroe CL
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Counts, Florida. The County and Lessee specifically agree that neither the provisions of Florida
Statutes, Chapter 733. (Mobile Home Park Lot Tenancies) nor the provisions of Chapter 513, Mobile
Home and Recreational Vehicle Parks) are to be applied as governing this Agreement or used as
constructing provisions of this Agreement.
20. ATTOR\EY'S FEES. Should any cause of action or administrative proceeding arise out of
this lease in connection «ith the enforcement or interpretation of this Lease between Lessor and Lessee, �e
the prevailing party shall be entitled to reasonable attorney's fees, court costs, and out-of-pocket 76
expenses, as an award against the non-prevailing party. Mediation proceedings initiated and conducted
pursuant to this Agreement shall be in accordance with the Florida Rules of Civil Procedure and usual
and customary procedures required by the Sixteenth Judicial Circuit in and for Monroe County, Florida.
21. MEDIATION. The parties agree to mediate any disputes under this Agreement, and further
agree that they v-i11 not arbitrate any disputes.
22. SEVERABII.ITY. If any term or provision of this Agreement shall to any extent be held 7
invalid or unenforceable, the remainder of this Agreement shall not be affected thereby, and each E
remaining term and provision of this Agreement shall be valid and enforceable to the fullest extent 0
pennitted by law.
23. ABANDONMENT. If at any time during the term of this Agreement Lessee abandons the �
Premises or any part thereof, County may, at County's option, obtain possession of the Premises in the
manner provided by law,without becoming liable to Lessee for damages or for any payment of any kind X
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whatever. County may, at County's discretion, as agent for Lessee, relet the Premises, or any part
thereof, for the v-hole or any part thereof, for the whole or any part of the then unexpired term, and may
receive and collect all rent payable by virtue of such reletting, and, at County's option, hold Lessee liable
for any difference between the rent that would have been payable under this Agreement during the 0
balance of the unexpired term, if this Agreement had continued in force, and the net rent for such period
realized by County by means of such reletting. If County's right of reentry is exercised following
abandonment of the Premises by Lessee, then County shall consider any personal property belonging to
Lessee and left on the Premises to also have been abandoned, in which case County may dispose of all W
such personal property in any manner County shall deem proper and County is hereby relieved of all
liability for doing so.
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24. HAZARDOUS INIATERIALS. Lessee shall not keep on the Premises any item of a dangerous,
flammable, or explosive character that might unreasonably increase the danger of fire or explosion on 76
the Premises or that might be considered hazardous or extra hazardous by any responsible insurance
company.
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25. INSPECTION OF PREMISES. County and County's agents shall have the right at all i
reasonable times during the term of this Agreement and any renewal thereof to enter the Premises for the
purpose of inspecting the Premises and all buildings and improvements thereon, and for the purposes of N
making any repairs, additions, or alterations as may be deemed appropriate by County for the Q
preservation of the Premises or the building. County and its agents shall further have the right to exhibit L
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the Premises and to display the usual "for sale", "for rent", or "vacancy" signs on the Premises at any It I
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time within forty-five (45) days before the expiration of this Lease. The right of entry shall likewise
exist for the purpose of removing placards, signs, fixtures, alterations, or additions that do not conform
to this Agreement or to any restrictions, rules, or regulations affecting the Premises.
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" 26. RADON GAS. Notice to prospective Lessee: Radon is a naturally occurring radioactive gas C,
that, when it has accumulated in a building in sufficient quantities, may present health risks to persons �
who are exposed to it over time. Levels of radon that exceed federal and state guidelines have been
found in buildings in this state. Additional information regarding radon and radon testing may be
obtained from a County public health department.
27. SECTION HEADINGS, Section headings have been inserted in this Agreement as a matter of
convenience of reference only, and it is agreed that such section headings are not a part of this
Agreement and will not be used in the interpretation of any provision of this Agreement.
28. MUTUAL REVIEW. This Agreement has been carefully reviewed by Lessee and Lessor; -
therefore, this Agreement is not to be construed against either party on the basis of authorship.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date
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BOARD OF COUNTY COMMISSIONERS
Attest: KEVIN MADOK, CLERK OF MONROE COUNTY, FLORIDA,
LESSOR
By: By:
As Deputy Clerk Mayor
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WITNESSES for LESSEE: , LESSEE
Si'Aiaru!P��� Date
Signature / �
int Name Date
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Print Name Date
MONROE COUNTY ATTORNEY'S OFFICE
Lz ^ ED^S TO Of�MS
PATRICIA EABLE
ASSISTANT COUNTY ATTORNEY
DATE: 10/31/2022
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EXHIBIT "A"
RESIDENTIAL LEASE MEMORANDUM WITH A MONROE COUNTY
EMPLOYEE (JU.W.) TO RESIDE IN UNIT 2
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M EN1OR AND UM
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DATE: October XX, 2022
TO: Kevin Wilson, Assistant County Administrator
by Alice Steryou;Contract Monitor Facilities C,
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RF: Agenda Item— November 15, BOCC Meeting
County Employee— Residential Lease Unit 2,
of a County owned Duplex
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Pursuant to the Policy for use of residential housing on County-owned property approved
by the BOCC at the March 16, 2011 meeting, after a County employee moved out of one-
half of the County-owned duplex, Unit 2, on September 5, 2020, County staff followed the CL
approved application process and opened up the opportunity to all County employees and
Deputies for the Monroe County Sheriff's Dept. A tenant is eligible by submitting an
application and a Supervisor's recommendation. Several employees submitted applications
for this location. On January 12, 2021, names for the employee rentals were compiled and U
a drawing was conducted to select the new tenant in a manner fair to all applicants and a
Monroe County had applied for and was approved.
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I hereby request approval to enter into a one-year residential lease agreement with a
Monroe County employee to reside in Unit 2 of a County owned Duplex. The new lease
agreement would commence on February 1, 2023 and terminate on January 31, 2024. This
" employee has been leasing this Unit 2, of a County owned Duplex since February 01,
2021.
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Supervisor's Name and Title Dated
G.Kevin G Wilson, P.E. N
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2022.10.27 09:19:30 -04'00' LO
Kevin Wilson, Assistant County Administrator Dated
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EXHIBIT "B"
RESIDENTIAL LEASE WITH A MONROE COUNTY EMPLOYEE (J.W.)
TO RESIDE IN UNIT 2
CERTIFICATE OF INSURANCE
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*, BHO 99.002 0411 0119
First Community Insurance Company 00-0100092
��RS 11101 Roose%'eIt 1310 N,St. Petersburg, FL 33716 12/07/21
All Inquiries call 800-627-0000
INSURANC[ OROUP 3000 00000 HO H04 RENEWAL QUOTE
m Homeowners Form - H04 m
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.� Effective: 1/26/22 Date of Issue 0-
Page 1 of 2 12/07/21 CL
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_ Policy Period I TermT Inception Date Agent Agent's Pho; —
From: 1/26/22 To: 1/26/23 12:01 am Local Time 12 mos 1/26/21 12:01am 00 0100092 (305)451-14i
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Agent (305)451-1467
THE INSURANCE CONNECTION OF cs
SOUTH FLORIDA INC X
99353 OVERSEAS HWY STE 1
KEY LARGO FL 33037
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Coverages: T Limits of Liability: Premium.
............._._.
Section I Property APPROVED BY RISK MANAGEMENT
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C Personal Property $25,000
D Loss of Use DATE $5,000
Section II Liability WAVER N/A_X YES
E Personal Liability $300,000 Per Occurrence
F Medical Payments to Others $5,000 Per Person
Section I Deductibles
Deductible applied to all other perils: $1,000
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(Except if noted under Special Provisions) TOTAL PREMIUM $184.0 t0
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�EMPA Trust Fund $2.00 _
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MGA Fee $25.00
Total Assessment Fees $1.00
*See Assessment Fee Detail Notice
TOTAL FEES $28.01
GRAND TOTAL $212.01
Special Provisions: (continued on page 2)
]?leas se th reverse
side of this document for additional
Occupancy BCEGS Prot. Terr. Construction Class Year Bill to at Renewa
Class Buil t
Primary 199 04 100 Frame 1982 Insured
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Deborah S Brcka St. Petersburg, Florida Date: 12/07/21 CN
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Important Notices:
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FLOOD INSURANCE: YOU MAY ALSO NEED TO CONSIDER THE
PURCHASE OF FLOOD INSURANCE. YOUR HOMEOWNER'S
INSURANCE POLICY DOES NOT INCLUDE COVERAGE FOR
DAMAGE RESULTING FROM FLOOD EVEN IF HURRICANE
WINDS AND RAIN CAUSED THE FLOOD TO OCCUR. WITHOUT
SEPARATE FLOOD INSURANCE COVERAGE, YOU MAY HAVE
UNCOVERED LOSSES CAUSED BY FLOOD. PLEASE DISCUSS
THE NEED TO PURCHASE SEPARATE FLOOD INSURANCE
COVERAGE WITH YOUR INSURANCE AGENT.
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THIS POLICY DOES NOT CONTAIN COVERAGE FOR LOSS BY
u)WIND, HAIL, TORNADO, HURRICANE, AND TROPICAL STORM. ,
YOUR POLICY PROVIDES COVERAGE FOR A CATASTROPHIC GROUND a
COVER COLLAPSE THAT RESULTS IN THE PROPERTY BEING LO
UNINHABITABLE. OTHERWISE, YOUR POLICY DOES NOT PROVIDE
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COVERAGE FOR SINKHOLE LOSSES.
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i BHO 99.002 0411 0119
First Community Insurance Company 00-0100092
I I101 Roosevelt Blvd ti,St. Petersburg, FL 33716 12/07/21
BMKERS All Inquiries call 800-627-0000
INsuRYNCR OROUP 3000 00000 HO H04 RENEWAL QUOTE 0
Homeowners Form - H04
Po it c Number Effective: 1/26/22 Date of Issue
Page 2 of 2 12/07/21 CL
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Policy Period Term I Inception Date Agent Agent's Pho
From: 1/26/22 To: 1/26/23 12:01 am Local Time 12 mos 1/26/21 12:01am 00 0100092 1 (305)451-14
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Policy Subject to the Following Surcharges, Credits, Endorsements, and Forms CE
Form # Description Limits Deductible Premix 0
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HO 03 34 0503 Limited Fungi-Section II
BHO 09.132 0419 Limited Fungi--Section I
w $10,000 Occur/$20,000 Aggreg
Sinkhole Exclusion
HO 04 90 1000 Personal Property Replacement $5 0
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Building Age Modifier
Insurance Tier Disc/Srchg
Loss Free Disc
Second Story Discount
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